Provider Directory

GROUP MEDICARE PLANS
Illinois
Health Alliance Medicare PPO Plan
Provider Directory
This directory provides a list of Health Alliance Medicare PPO network providers.
This directory is for Employer Group Plans. Please contact Health Alliance Member Services at
the number listed on the back of your ID card for additional information.
This directory is current as of October 1, 2015. Some network providers may have been added
or removed from our network after this directory was printed. We do not guarantee that each
provider is still accepting new members. To get the most up-to-date information about Health
Alliance Medicare PPO’s network providers in your area, you can visit HealthAlliance.org or call
our Member Service Department at 1-800-965-4022, Monday through Friday, 8 a.m. to 8 p.m.
TTY/TDD users should call 711.
Health Alliance Medicare is a PPO plan with a Medicare contract. Enrollment in Health Alliance
Medicare depends on contract renewal.
This information is available for free in other languages. Please call Member Services at
1-800-965-4022, Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users should call 711.
1-800-965-4022
TTY/TDD 711
HealthAlliance.org
cps-ILGrpMedPPOproviderdirectory-0616
Section 1 – Introduction
This directory provides a list of Health Alliance Medicare PPO’s network providers. To get detailed
information about your health care coverage, please see your Evidence of Coverage.
The “network providers” listed in this directory have agreed to provide you with your health care
services. You may go to any of our network providers who are listed in this directory. However, some
services may require a referral. If you have been going to one network provider, you are not required to
continue going to that same provider. In some cases, you may get covered services from non-network
providers.
If you receive care from a non-network provider and receive a bill from that provider, you should not
pay it. Instead, please submit it to Health Alliance Medicare so we can determine what, if any, of the fees
you actually must pay.
If you obtain routine care from out-of-network providers, it may cost more than if you went to an
in-network provider.
PPO members:
Emergency care can always be obtained in or out of the service area from the nearest available provider.
If you have a medical emergency:
• Get help as quickly as possible. Call 911 for help or go to the nearest emergency room, Hospital
or urgent care center. Call for an ambulance if you need it. You do not need to get approval or a
referral first.
• As soon as possible, make sure to tell Health Alliance Medicare about your emergency. We
need to follow up on your Emergency Care. You or someone else should call to tell us about your
Emergency Care, usually within 48 hours.
Emergency and urgent services care can always be obtained in or out of the service area from the nearest
available provider. If you obtain routine care from out-of-network providers, it may cost more than if
you went to an in-network provider.
What is the service area for Health Alliance Medicare PPO?
This directory is for Employer Group Plans. Please contact Health Alliance Member Services at the
number listed on the back of your ID card for additional information.
i
How do you find Health Alliance Medicare PPO providers in your area?
This directory is organized alphabetically by city and by category (Primary Care Physicians, Specialty
Care, etc.). Or, you can use the index that begins on page 1628 to find an alphabetical listing of all
providers.
If you have questions about Health Alliance Medicare PPO or require assistance in selecting a PCP,
please call our Member Services Department at 1-800-965-4022, Monday through Friday, 8 a.m. to
8 p.m. TTY\TDD users should call 711. Or, visit HealthAlliance.org.
Section 2 – List of Network Providers
ii
ABINGDON, IL
ALEDO, IL
Primary Care Physicians
SECTION 2 – LIST OF NETWORK PROVIDERS
Midlevel providers (including nurse practitioners and physician assistants) cannot be selected as Primary Care
Physicians. However, you may use the services of a midlevel provider by selecting his or her supervising physician
as your designated Primary Care Physician. Midlevel providers are indicated by italics.
ABINGDON, IL
ADULT/INTERNAL
MEDICINE
LIU, YAN, MD
GENDER: F
PROVIDER #: 280151
NPI #: 1366540684
OSF MEDICAL GROUP
100 N MONROE ST
ABINGDON, IL 61410
PHONE: (309) 462-2343
E-PRESCRIBE: NO
STONEKING, ERIN I., MD
GENDER: F
PROVIDER #: 166727
NPI #: 1083758403
OSF MEDICAL GROUP
100 N MONROE ST
ABINGDON, IL 61410
PHONE: (309) 462-2343
E-PRESCRIBE: NO
FAMILY PRACTICE
CONLEE, ANNEVAY D., MD
GENDER: F
PROVIDER #: 226186
NPI #: 1053540237
OSF MEDICAL GROUP
100 N MONROE ST
ABINGDON, IL 61410
PHONE: (309) 462-2343
E-PRESCRIBE: NO
ALBION, IL
FAMILY PRACTICE
MITCHELL, STEVEN C., MD
GENDER: M
PROVIDER #: 057692
NPI #: 1972500460
ALBION COMMUNITY
HEALTH CENTER
33 W MAIN ST
ALBION, IL 62806
PHONE: (618) 445-2287
SCHWEISS, KENNETH J., PAC; PROVIDER #: 183585
E-PRESCRIBE: NO
FAMILY PRACTICE
CLOOS, CARLA R., MD
GENDER: F
PROVIDER #: 222307
NPI #: 1649439175
GENESIS MEDICAL CENTER
ALEDO - ER DEPARTMENT
409 NW 9TH AVE
ALEDO, IL 61231
PHONE: (309) 582-3701
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
PADGETT, ROBERT D., MD
GENDER: M
PROVIDER #: 223843
NPI #: 1306832910
MEDICAL ASSOCIATES
CLINIC
1007 NW 3RD ST
ALEDO, IL 61231
PHONE: (309) 582-3789
E-PRESCRIBE: NO
FIGANBAUM, TRAVIS L., MD
GENDER: M
PROVIDER #: 149567
NPI #: 1881603165
MEDICAL ASSOCIATES
CLINIC
1007 NW 3RD ST
ALEDO, IL 61231
PHONE: (309) 582-3789
E-PRESCRIBE: NO
SANTIAGO, JULIO, MD
GENDER: M
PROVIDER #: 112723
NPI #: 1144216185
MEDICAL ASSOCIATES
CLINIC
1007 NW 3RD ST
ALEDO, IL 61231
PHONE: (309) 582-3789
E-PRESCRIBE: NO
WURZBURGER, KRISTIN, MD
GENDER: F
PROVIDER #: 120878
NPI #: 1902892805
MEDICAL ASSOCIATES
CLINIC
1007 NW 3RD ST
ALEDO, IL 61231
PHONE: (309) 582-3789
E-PRESCRIBE: NO
PEDIATRICS
ALEDO, IL
KHAN, NAFEES, MD
GENDER:
PROVIDER #: 127862
NPI #: 1548255243
TRINITY MEDICAL CENTER
409 NW 9TH AVE
ALEDO, IL 61231
PHONE: (309) 582-5301
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
1
Primary Care Physicians
ALGONQUIN, IL
ADULT/INTERNAL
MEDICINE
SYED, SHAHWAR F., MD
GENDER: F
PROVIDER #: 178878
NPI #: 1679687750
SYED S ASGHAR MD PC
2575 W ALGONQUIN RD
SUITE C
ALGONQUIN, IL 60102
PHONE: (847) 854-8595
E-PRESCRIBE: NO
ALPHA, IL
GENERAL PRACTICE
CAJIGAL, ARTEMIO L., MD
GENDER: M
PROVIDER #: 020328
NPI #: 1609871540
GENESIS HEALTH GROUP
202 PICARD ST
ALPHA, IL 61413-0419
PHONE: (309) 629-4601
E-PRESCRIBE: NO
ALTAMONT, IL
FAMILY PRACTICE
BLOEMER, ERIC A., MD
GENDER: M
PROVIDER #: 223295
NPI #: 1073742664
MID ILLINOIS MEDICAL
CARE ASSOC
8 N 3RD ST
ALTAMONT, IL 62411
PHONE: (618) 881-4973
E-PRESCRIBE: YES
2
FROST, ROBERT W., MD
GENDER: M
PROVIDER #: 186801
NPI #: 1568449098
MARSHALL CLINIC
EFFINGHAM
205 N MAIN ST
ALTAMONT, IL 62411
PHONE: (618) 483-6131
E-PRESCRIBE: NO
OPILKA, JOHN, MD
GENDER: M
PROVIDER #: 055846
NPI #: 1497715056
MID-ILLINOIS MEDICAL
CARE ASSOCIATES
8 N 3RD ST
ALTAMONT, IL 62411
PHONE: (618) 483-6151
DUNN, JULIE A., FNP;
PROVIDER #: 084103
WAGNER, DIANNE B., FNP;
PROVIDER #: 074337
E-PRESCRIBE: NO
FAMILY PRACTICE OB
FROST, ROBERT W., MD
GENDER: M
PROVIDER #: 186801
NPI #: 1568449098
MARSHALL CLINIC
EFFINGHAM
205 N MAIN ST
ALTAMONT, IL 62411
PHONE: (618) 483-6131
E-PRESCRIBE: NO
ALGONQUIN, IL
ALTON, IL
ALTON, IL
ADULT/INTERNAL
MEDICINE
ATON, GUY W., MD
GENDER: M
PROVIDER #: 291912
NPI #: 1265424295
ATON & RIEDEL
3550 COLLEGE AVE #B
ALTON, IL 62002
PHONE: (618) 462-3200
E-PRESCRIBE: NO
BLAIR JR, EDWARD B., MD
GENDER: M
PROVIDER #: 209508
NPI #: 1093821605
SAINT ANTHONYS
PHYSICIAN GROUP
2 SAINT ANTHONYS WAY
SUITE 205
ALTON, IL 62002
PHONE: (618) 462-2222
KRUPSKA-BUCKLEY,
MONIKA, PA; PROVIDER #:
269027
MCFARLIN, COURTNEY M.,
PA; PROVIDER #: 289380
RYNDERS, ELAINE A., PA;
PROVIDER #: 181077
E-PRESCRIBE: NO
BUTTERFIELD, COLIN M., MD
GENDER: M
PROVIDER #: 089222
NPI #: 1952417578
SAINT ANTHONYS
PHYSICIAN GROUP
2 SAINT ANTHONYS WAY
SUITE 205
ALTON, IL 62002
PHONE: (618) 462-2222
VINCENT, BILLIE L., APN;
PROVIDER #: 289401
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ALTON, IL
ALTON, IL
GREEN, CHRISTOPHER R.,
MD
GENDER: M
PROVIDER #: 100005
NPI #: 1568479939
ALTON INTERNAL
MEDICINE
#220 2 MEMORIAL DR
ALTON, IL 62002
PHONE: (618) 474-1723
E-PRESCRIBE: NO
GULER, AHMET B., MD
GENDER: M
PROVIDER #: 201152
NPI #: 1790738664
AMH HOSPITALISTS
1 MEMORIAL DR
ALTON, IL 62002
PHONE: (314) 653-5643
E-PRESCRIBE: NO
HOELSCHER, JOHN A., MD
GENDER: M
PROVIDER #: 099986
NPI #: 1447267810
ALTON INTERNAL
MEDICINE
#220 2 MEMORIAL DR
ALTON, IL 62002
PHONE: (618) 474-1723
E-PRESCRIBE: NO
MCNEAR, MICHAEL S., MD
GENDER: M
PROVIDER #: 048951
NPI #: 1619934304
JCH MEDICAL GROUP
#2 ST ANTHONY WAY STE
105
ALTON, IL 62002
PHONE: (618) 463-1111
E-PRESCRIBE: NO
Primary Care Physicians
MOSSMAN, BARRY M., MD
GENDER: M
PROVIDER #: 169535
NPI #: 1053516294
ALTON INTERNAL
MEDICINE
#220 2 MEMORIAL DR
ALTON, IL 62002
PHONE: (618) 474-1723
E-PRESCRIBE: NO
WUELLNER, JOHN C., MD
GENDER: M
PROVIDER #: 101706
NPI #: 1558378927
ALTON INTERNAL
MEDICINE
#220 2 MEMORIAL DR
ALTON, IL 62002
PHONE: (618) 474-1723
E-PRESCRIBE: NO
PATNEY, VIKRAM, MD
GENDER: M
PROVIDER #: 291276
NPI #: 1699744235
ALTON HOSPITALISTS
#2-101 1 MEMORIAL DR
ALTON, IL 62002
PHONE: (618) 463-7240
E-PRESCRIBE: NO
FAMILY PRACTICE
RICCI, JAMES D., MD
GENDER: M
PROVIDER #: 103861
NPI #: 1710994181
ALTON INTERNAL
MEDICINE
#220 2 MEMORIAL DR
ALTON, IL 62002
PHONE: (618) 474-1723
E-PRESCRIBE: NO
WHITE, ALISHA A., MD
GENDER: F
PROVIDER #: 186483
NPI #: 1467600155
ALTON INTERNAL
MEDICINE
#220 2 MEMORIAL DR
ALTON, IL 62002
PHONE: (618) 474-1723
E-PRESCRIBE: NO
BOYD, KEVIN D., DO
GENDER: M
PROVIDER #: 107348
NPI #: 1407962012
SAINT ANTHONYS
PHYSICIAN GROUP
2 SAINT ANTHONYS WAY
SUITE 205
ALTON, IL 62002
PHONE: (618) 462-0499
E-PRESCRIBE: YES
COKER, OLUSEGUN A., MD
GENDER: M
PROVIDER #: 204366
NPI #: 1295998748
FAMILY PHYSICIANS OF
ALTON
#1 MEMORIAL DR 1ST
FLOOR
ALTON, IL 62002
PHONE: (618) 465-7080
E-PRESCRIBE: NO
4 MEMORIAL DR #230B
ALTON, IL 62002
PHONE: (618) 463-7777
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
3
ALTON, IL
ANNA, IL
Primary Care Physicians
KLEIN, MICHAEL S., MD
GENDER: M
PROVIDER #: 192627
NPI #: 1790834737
SAINT ANTHONYS
PHYSICIAN GROUP
2 SAINT ANTHONYS WAY
SUITE 205
ALTON, IL 62002
PHONE: (618) 462-2222
E-PRESCRIBE: NO
QUAIZAR, HUZAIFA, MD
GENDER: M
PROVIDER #: 263406
NPI #: 1326334343
AMH HOSPITALISTS
1 MEMORIAL DR
ALTON, IL 62002
PHONE: (618) 463-7200
E-PRESCRIBE: NO
KUMARAGURU, PRIYA, MD
GENDER: F
PROVIDER #: 215718
NPI #: 1902062862
SAINT ANTHONYS
PHYSICIAN GROUP
2 SAINT ANTHONYS WAY
SUITE 205
ALTON, IL 62002
PHONE: (618) 462-2222
E-PRESCRIBE: NO
LUANGJAMEKORN, MENA
M., MD
GENDER: F
PROVIDER #: 201627
NPI #: 1255320578
FAMILY PHYSICIANS OF
ALTON
#4 MEMORIAL DR #230B
ALTON, IL 62002
PHONE: (618) 463-7777
E-PRESCRIBE: NO
PORTILLO-ROMERO,
JESSICA, MD
GENDER: F
PROVIDER #: 239440
NPI #: 1972731958
FAMILY PHYSICIANS OF
ALTON
#4 MEMORIAL DR #230B
ALTON, IL 62002
PHONE: (618) 463-7777
E-PRESCRIBE: NO
4
RAMCHANDANI, MANJU, MD
GENDER: F
PROVIDER #: 199686
NPI #: 1114125028
SAINT ANTHONYS
PHYSICIAN GROUP
2 SAINT ANTHONYS WAY
SUITE 205
ALTON, IL 62002
PHONE: (618) 462-2222
E-PRESCRIBE: NO
TALBERT, DAWN N., DO
GENDER: F
PROVIDER #: 258209
NPI #: 1962713073
FAMILY PHYSICIANS OF
ALTON
#4 MEMORIAL DR #230B
ALTON, IL 62002
PHONE: (618) 463-7777
E-PRESCRIBE: NO
AMBOY, IL
FAMILY PRACTICE
CROWE, KURT R., MD
GENDER: M
PROVIDER #: 122821
NPI #: 1831130129
KSB MEDICAL GROUP
305 E JOE DR SUITE 231
AMBOY, IL 61310
PHONE: (815) 857-3044
E-PRESCRIBE: NO
DRENGENBERG, DEBRA C.,
MD
GENDER: F
PROVIDER #: 073778
NPI #: 1669443966
KSB MEDICAL GROUP
305 E JOE DR SUITE 231
AMBOY, IL 61310
PHONE: (815) 857-3044
GUSSE, COLLINE N., PA-C;
PROVIDER #: 069060
E-PRESCRIBE: NO
AMES, IA
FAMILY PRACTICE
SHULMAN, MARC A., MD
GENDER: M
PROVIDER #: 041915
NPI #: 1225191836
IOWA STATE STUDENT
HEALTH CENTER
2260 THIELEN STUDENT
HEALTH CENTER
AMES, IA 50011-2260
PHONE: (515) 294-7265
E-PRESCRIBE: NO
ANNA, IL
ADULT/INTERNAL
MEDICINE
BEATTY, STEVEN, MD
GENDER: M
PROVIDER #: 028006
NPI #: 1851399232
RURAL HEALTH INC
513 N MAIN ST
ANNA, IL 62906
PHONE: (618) 833-4471
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ANNA, IL
ARCOLA, IL
FAMILY PRACTICE
CERNY, J MICHAEL, MD
GENDER: M
PROVIDER #: 029385
NPI #: 1407852825
515 N MAIN ST
ANNA, IL 62906
PHONE: (618) 833-8555
E-PRESCRIBE: NO
HUNTER-REACH, PAMELA,
MD
GENDER: F
PROVIDER #: 180124
NPI #: 1942208988
HUNTER REACH FAMILY
MEDICINE LLC
98 PEACH RIDGE RD
ANNA, IL 62906
PHONE: (618) 614-1400
E-PRESCRIBE: NO
Primary Care Physicians
RIBBING, WILLIAM, MD
GENDER: M
PROVIDER #: 028299
NPI #: 1245238625
RURAL HEALTH INC
513 N MAIN ST
ANNA, IL 62906
PHONE: (618) 833-4471
BRANDT, LEEANN, PA;
PROVIDER #: 049736
ENDRIZZI, AMANDA, PA;
PROVIDER #: 258809
MARKS, VIVIAN L., NP;
PROVIDER #: 259957
MILLER, BROOKE A., PA-C;
PROVIDER #: 147000
SHERRILL, JEFFREY A., PA-C;
PROVIDER #: 245595
TREECE, CHELSEA, PA-C;
PROVIDER #: 296613
E-PRESCRIBE: NO
LIU, QI, MD
GENDER: F
PROVIDER #: 117166
NPI #: 1255383535
RURAL HEALTH INC
513 N MAIN ST
ANNA, IL 62906
PHONE: (618) 833-4471
BARKE, HALLEY M., PA;
PROVIDER #: 160008
E-PRESCRIBE: NO
STRACK, KAREN, DO
GENDER: F
PROVIDER #: 234731
NPI #: 1700855871
RURAL HEALTH INC
513 N MAIN ST
ANNA, IL 62906
PHONE: (618) 833-4471
E-PRESCRIBE: NO
LUCAS, CHRISTINE M., MD
GENDER: F
PROVIDER #: 048870
NPI #: 1346248374
RURAL HEALTH INC
513 N MAIN ST
ANNA, IL 62906
PHONE: (618) 833-4471
FULLER, CHERYL, CFNP;
PROVIDER #: 186509
E-PRESCRIBE: NO
FAMILY PRACTICE
ANNAWAN, IL
RUDY, PAUL M., MD
GENDER: M
PROVIDER #: 046219
NPI #: 1093794745
TRINITY FAMILY MEDICAL
ASSOCIATES
110 S DEPOT
ANNAWAN, IL 61234
PHONE: (309) 935-6778
E-PRESCRIBE: YES
FAMILY PRACTICE OB
RUDY, PAUL M., MD
GENDER: M
PROVIDER #: 046219
NPI #: 1093794745
TRINITY FAMILY MEDICAL
ASSOCIATES
110 S DEPOT
ANNAWAN, IL 61234
PHONE: (309) 935-6778
E-PRESCRIBE: YES
ARCOLA, IL
FAMILY PRACTICE
BIGGS, ROBERT, MD
GENDER: M
PROVIDER #: 247111
NPI #: 1699094995
SARAH BUSH LINCOLN
HEALTH CENTER
241 W SPRINGFIELD RD
ARCOLA, IL 61910
PHONE: (217) 268-4444
E-PRESCRIBE: NO
WADE, VIRGINIA A., MD
GENDER: F
PROVIDER #: 047861
NPI #: 1720012024
600 E COUNTY RD 300 N
ARCOLA, IL 61910
PHONE: (217) 268-5008
E-PRESCRIBE: NO
GENERAL PRACTICE
CLIMACO, RAMON U., MD
GENDER: M
PROVIDER #: 006108
NPI #: 1932195906
120 S LOCUST
ARCOLA, IL 61910
PHONE: (217) 268-4323
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
5
ARLINGTON, KY
ASSUMPTION, IL
Primary Care Physicians
ARLINGTON, KY
ASHLAND, MO
GENERAL PRACTICE
FAMILY PRACTICE
ZETTER, DAVID R., MD
GENDER: M
PROVIDER #: 096828
NPI #: 1598711756
DAVID R ZETTER MD
HWY 80 E
ARLINGTON, KY 42021
PHONE: (270) 655-6231
E-PRESCRIBE: NO
MRUZIK, JOHN C., MD
GENDER: M
PROVIDER #: 117119
NPI #: 1104936566
BOONE MEDICAL GROUP
ASHLAND
605C DOUGLAS DR
ASHLAND, MO 65010
PHONE: (573) 657-9354
E-PRESCRIBE: NO
ARTHUR, IL
FAMILY PRACTICE
ELLINGTON, CHARLES R.,
MD
GENDER: M
PROVIDER #: 061404
NPI #: 1407833130
ARTHUR MEDICAL CENTER
650 COLUMBIA
ARTHUR, IL 61911
PHONE: (217) 543-3869
E-PRESCRIBE: NO
HARTMAN, PATRICK, MD
GENDER: M
PROVIDER #: 053300
NPI #: 1861508160
SBL ARTHUR CLINIC
211 S WALNUT
ARTHUR, IL 61911
PHONE: (217) 543-3444
E-PRESCRIBE: NO
PABALATE, ROBERTO G.,
MD
GENDER: M
PROVIDER #: 203189
NPI #: 1528221504
650 WEST COLUMBIA
ARTHUR, IL 61911
PHONE: (217) 543-3869
E-PRESCRIBE: NO
6
MURPHEY, NATHANIEL G.,
MD
GENDER: M
PROVIDER #: 291087
NPI #: 1720025307
BOONE MEDICAL GROUP
ASHLAND
605 C DOUGLAS DR
ASHLAND, MO 65010
PHONE: (573) 657-9354
E-PRESCRIBE: NO
ASHTON, IL
FAMILY PRACTICE
JAIN, SAMEER S., MD
GENDER: M
PROVIDER #: 189423
NPI #: 1699987230
KSB MEDICAL GROUP
707 MAIN ST
ASHTON, IL 61006
PHONE: (815) 453-1212
E-PRESCRIBE: NO
PRATHIPATI, SUSHMITA N.,
MD
GENDER: F
PROVIDER #: 257836
NPI #: 1740581776
ASHTON FAMILY HEALTH
CENTER
320 N FIRST ST
ASHTON, IL 61006
PHONE: (815) 453-2681
E-PRESCRIBE: NO
ASSUMPTION, IL
FAMILY PRACTICE
CUNNINGTON, WALTER H.,
MD
GENDER: M
PROVIDER #: 133335
NPI #: 1811024508
COMMUNITY MEDICAL
CLINIC OF ASSUMPTION
118 N WALNUT
ASSUMPTION, IL 62510
PHONE: (217) 226-3133
E-PRESCRIBE: NO
TEODORO, CATHERINE D.,
MD
GENDER: F
PROVIDER #: 225034
NPI #: 1720373574
COMMUNITY MEDICAL
CLINIC
118 N WALNUT
ASSUMPTION, IL 62510
PHONE: (217) 226-3133
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ATLANTA, IL
AURORA, IL
ATLANTA, IL
FAMILY PRACTICE
MITCHELL, PHILIP, MD
GENDER: M
PROVIDER #: 028458
NPI #: 1508839895
ADVOCATE MEDICAL
GROUP
307 W MAIN
ATLANTA, IL 61723
PHONE: (309) 365-8608
E-PRESCRIBE: NO
ATWOOD, IL
FAMILY PRACTICE
GONG, CHUNLING, MD
GENDER: F
PROVIDER #: 172231
NPI #: 1952572661
ATWOOD RURAL HEALTH
CLINIC
108 S MAIN ST
ATWOOD, IL 61913
PHONE: (217) 578-3814
E-PRESCRIBE: NO
MANINT, JAMES E., DO
GENDER: M
PROVIDER #: 002832
NPI #: 1376534420
ATWOOD RURAL HEALTH
CLINIC
108 S MAIN ST
ATWOOD, IL 61913
PHONE: (217) 578-3814
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: NO
Primary Care Physicians
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 222916
NPI #: 1922235944
ATWOOD RURAL HEALTH
108 N MAIN ST
ATWOOD, IL 61913
PHONE: (217) 578-3814
E-PRESCRIBE: NO
AURORA, IL
ADULT/INTERNAL
MEDICINE
ALVAREZ-LEONARDO,
RAMON, MD
GENDER: M
PROVIDER #: 140741
NPI #: 1861425365
DREYER MEDICAL GROUP
LTD
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 906-5151
E-PRESCRIBE: NO
BANSAL, AMAR, MD
GENDER: M
PROVIDER #: 120356
NPI #: 1710929716
DREYER CLINIC HIGHLAND
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
DREYER CLINIC RUSH
COPLEY
2040 OGDEN AVE SUITE 401
AURORA, IL 60504
PHONE: (630) 585-7100
E-PRESCRIBE: NO
BULJ, TANYA K., MD
GENDER: F
PROVIDER #: 200368
NPI #: 1316144892
DREYER MEDICAL GROUP
LTD
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
BURGNER, KAREN M., MD
GENDER: F
PROVIDER #: 205751
NPI #: 1598785792
DREYER CLINIC WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
CHOO, JULIA J., MD
GENDER: F
PROVIDER #: 161370
NPI #: 1114094042
DREYER CLINIC HIGHLAND
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
COLLINS, MICHAEL, MD
GENDER: M
PROVIDER #: 016446
NPI #: 1366467680
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
7
Primary Care Physicians
DAGIANTIS, WILLIAM P., MD
GENDER: M
PROVIDER #: 205715
NPI #: 1972511822
DREYER CLINIC WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
DREYER, ROMAN, MD
GENDER: M
PROVIDER #: 133533
NPI #: 1376576793
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
DAS, PRASUN K., MD
GENDER: M
PROVIDER #: 069838
NPI #: 1295768778
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
HARNACK, STEVEN C., MD
GENDER: M
PROVIDER #: 099880
NPI #: 1982622387
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
DAVE, SHILPA S., DO
GENDER: F
PROVIDER #: 120679
NPI #: 1881624245
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
HEASER, AMITA, MD
GENDER: F
PROVIDER #: 205750
NPI #: 1902062219
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
JACOBS-EL, JAMIL, MD
GENDER: M
PROVIDER #: 110551
NPI #: 1912931932
DREYER CLINIC HIGHLAND
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
DREYER CLINIC RUSH
COPLEY
2040 OGDEN AVE SUITE 401
AURORA, IL 60504
PHONE: (630) 585-7100
E-PRESCRIBE: NO
8
AURORA, IL
AURORA, IL
JOHNSTON, WILLIAM C., MD
GENDER: M
PROVIDER #: 078799
NPI #: 1578581716
DREYER CLINIC FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
DREYER CLINIC WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
JONES, JUDSON E., MD
GENDER: F
PROVIDER #: 027622
NPI #: 1609894856
DREYER CLINIC HIGHLAND
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
DREYER CLINIC RUSH
COPLEY
2020 OGDEN AVE SUITE 360
AURORA, IL 60504
PHONE: (630) 585-3100
E-PRESCRIBE: NO
KAPUR, KULJIT S., DO
GENDER: F
PROVIDER #: 223596
NPI #: 1831399518
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
AURORA, IL
AURORA, IL
Primary Care Physicians
LEE, KAREN M., MD
GENDER: F
PROVIDER #: 181176
NPI #: 1417022351
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DR
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
MERAI, PARAG G., MD
GENDER: M
PROVIDER #: 200421
NPI #: 1992905335
DREYER MEDICAL GROUP
LTD
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 906-5120
E-PRESCRIBE: NO
PHOTOWALA, FATEMA, MD
GENDER: F
PROVIDER #: 185590
NPI #: 1669674610
DREYER MEDICAL GROUP
LTD
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
LEUNG, DOMINIC K., MD
GENDER: M
PROVIDER #: 193413
NPI #: 1144230335
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
OLLEE, SHARON C., MD
GENDER: F
PROVIDER #: 139006
NPI #: 1013076504
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
REDDY, AJAY K., MD
GENDER: M
PROVIDER #: 300553
NPI #: 1366654865
DREYER CLINIC-HIGHLAND
1221 NORTH HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
MALKANI, SUNIL K., MD
GENDER: M
PROVIDER #: 202058
NPI #: 1538153655
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DR
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
MARZEC, MICHAEL F., MD
GENDER: M
PROVIDER #: 205749
NPI #: 1205847613
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
OW, EARL PHILLIP, MD
GENDER: M
PROVIDER #: 078787
NPI #: 1235110958
DREYER CLINIC FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
PALMER, JOHN O., MD
GENDER: M
PROVIDER #: 205752
NPI #: 1598778706
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DR
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
DREYER CLINIC-RUSH
COPLEY
2040 OGDEN AVE SUITE 401
AURORA, IL 60504-7208
PHONE: (630) 585-7100
E-PRESCRIBE: NO
ROUSSEAU, LAYNE A., DO
GENDER: M
PROVIDER #: 166583
NPI #: 1962645630
DREYER CLINIC HIGHLAND
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
DREYER CLINIC RUSH
COPLEY
2040 OGDEN AVE SUITE 401
AURORA, IL 60504
PHONE: (630) 585-7100
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
9
Primary Care Physicians
SAPYTA, STEVEN J., MD
GENDER: M
PROVIDER #: 093995
NPI #: 1518071323
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
YIN, JENNIFER K., MD
GENDER: F
PROVIDER #: 182590
NPI #: 1528224169
DREYER CLINIC-HIGHLAND
1221 NORTH HIGHLAND
AVENUE
AURORA, IL 60506
PHONE: (630) 859-3248
E-PRESCRIBE: NO
SETHI, AMAN, MD
GENDER: M
PROVIDER #: 248765
NPI #: 1447446349
DREYER CLINIC RUSH
COPLEY
2040 OGDEN AVE STE 401
AURORA, IL 60504
PHONE: (630) 585-7100
E-PRESCRIBE: NO
FAMILY PRACTICE
SZUCH, NEENA S., MD
GENDER: F
PROVIDER #: 129260
NPI #: 1992842116
DREYER CLINIC HIGHLAND
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
TIWARI, NIDHI, MD
GENDER: F
PROVIDER #: 176619
NPI #: 1053415067
PROVENA MEDICAL GROUP
444 N EOLA RD SUITE 110
AURORA, IL 60502
PHONE: (630) 499-8758
E-PRESCRIBE: NO
10
AGHIA, GEORGE A., MD
GENDER: M
PROVIDER #: 255232
NPI #: 1811218142
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DR
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
ALAM, HUMA, MD
GENDER: F
PROVIDER #: 290360
NPI #: 1639362544
PRIME HEALTHCARE
SERVICES
01900 OGDEN AVE SUITE 200
AURORA, IL 60504
PHONE:
E-PRESCRIBE: NO
ALAM, SAROOR, MD
GENDER:
PROVIDER #: 136181
NPI #: 1013064138
PRIME HEALTHCARE
SERVICES
01900 OGDEN AVE SUITE 200
AURORA, IL 60504
PHONE:
E-PRESCRIBE: NO
AURORA, IL
AURORA, IL
ALLEN, JAMISON D., DO
GENDER: M
PROVIDER #: 105156
NPI #: 1184614760
JAMISON ALLEN DO LLC
1300 N HIGHLAND SUITE 10
AURORA, IL 60506
PHONE: (630) 892-7629
NARDONE, MARIE, NP;
PROVIDER #: 171783
E-PRESCRIBE: NO
BAJWA, TEHMINA A., MD
GENDER: F
PROVIDER #: 205755
NPI #: 1922083476
DREYER CLINIC ORCHARD
2424 W INDIAN TRAIL SUITE
B
AURORA, IL 60506
PHONE: (630) 907-2424
E-PRESCRIBE: NO
BIELAT, JULIA L., MD
GENDER: F
PROVIDER #: 216036
NPI #: 1477689081
CADENCE PHYSICIAN
GROUP
2800 BEVERLY DRIVE
AURORA, IL 60502-8516
PHONE: (630) 315-8700
E-PRESCRIBE: NO
BOWMAN, GARY G., MD
GENDER: M
PROVIDER #: 019568
NPI #: 1821023748
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
AURORA, IL
AURORA, IL
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
BOWMAN, MARK J., DO
GENDER: M
PROVIDER #: 057258
NPI #: 1194750075
DREYER CLINIC -WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (830) 859-6700
E-PRESCRIBE: NO
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
COSGROVE COUNTS,
KRISTEN M., MD
GENDER: F
PROVIDER #: 150228
NPI #: 1255393732
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
GALLA-PAGADALA, ARUNA,
MD
GENDER: F
PROVIDER #: 255250
NPI #: 1033310024
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
Primary Care Physicians
HO, VIVIEN T., MD
GENDER: F
PROVIDER #: 205761
NPI #: 1083897888
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
HUBBARD, BRIAN T., DO
GENDER: M
PROVIDER #: 124884
NPI #: 1447284476
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506-2091
PHONE: (630) 859-6700
E-PRESCRIBE: NO
IRELAND, CHARLES R., DO
GENDER: M
PROVIDER #: 024359
NPI #: 1346268604
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
IRELAND, ROBERT G., DO
GENDER: M
PROVIDER #: 176670
NPI #: 1235154337
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
KUMAR, ASHWIN, MD
GENDER: M
PROVIDER #: 205767
NPI #: 1457517005
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
KWOK, WAILAM A., MD
GENDER: M
PROVIDER #: 121824
NPI #: 1740397892
DREYER CLINIC RUSH
COPLEY
2040 OGDEN AVE SUITE 401
AURORA, IL 60504
PHONE: (630) 585-7100
E-PRESCRIBE: NO
OOSTMAN, BRIAN D., DO
GENDER: M
PROVIDER #: 205695
NPI #: 1316950496
DREYER CLINIC-HIGHLAND
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
11
AURORA, IL
AURORA, IL
Primary Care Physicians
PATEL, BHARTI K., MD
GENDER: F
PROVIDER #: 055367
NPI #: 1902819139
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
DREYER CLNIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
SHETH, MANSI C., DO
GENDER: F
PROVIDER #: 244946
NPI #: 1669600870
DREYER MEDICAL GROUP
LTD
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
PULS, RICHARD W., MD
GENDER: M
PROVIDER #: 145514
NPI #: 1407818230
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
VAIKUTIS, JOHN P., DO
GENDER: M
PROVIDER #: 159643
NPI #: 1528098365
CADENCE PHYSICIAN
GROUP
2800 BEVERLY DRIVE
AURORA, IL 60502-8516
PHONE: (630) 315-8700
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
WAHEED, MONA H., MD
GENDER: F
PROVIDER #: 264243
NPI #: 1063510659
DREYER CLINIC-WEST
AURORA
1870 W GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
PURI, JIGNASA M., DO
GENDER: F
PROVIDER #: 171193
NPI #: 1447283908
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
12
WEILER, KEITH E., MD
GENDER: M
PROVIDER #: 078777
NPI #: 1184733321
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
TAYLOR, JILL M., PA-C;
PROVIDER #: 115706
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
TAYLOR, JILL M., PA-C;
PROVIDER #: 115706
E-PRESCRIBE: NO
PEDIATRICS
ABRAMS, BARRY, MD
GENDER: M
PROVIDER #: 078774
NPI #: 1659305183
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DR
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
AURORA, IL
AVA, IL
BENZIGER, KEITH E., MD
GENDER: M
PROVIDER #: 067041
NPI #: 1073543112
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
DAVE, SHILPA S., DO
GENDER: F
PROVIDER #: 120679
NPI #: 1881624245
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
ECKBERG, LORENE S., MD
GENDER: F
PROVIDER #: 016445
NPI #: 1831122043
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
JUNG, ANDREW D., MD
GENDER: M
PROVIDER #: 205760
NPI #: 1598814329
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
Primary Care Physicians
OVERCASH, JULIE A., MD
GENDER: F
PROVIDER #: 016433
NPI #: 1881607992
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
SCHNELL, LAURIE R., MD
GENDER: F
PROVIDER #: 016434
NPI #: 1447364211
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
SCHULZ, PAMELA J., DO
GENDER: F
PROVIDER #: 137449
NPI #: 1174625206
DREYER MEDICAL GROUP
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
SHETTY, ANISHA R., MD
GENDER: F
PROVIDER #: 225462
NPI #: 1629247465
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
THOMAS, AMY O., MD
GENDER: F
PROVIDER #: 299451
NPI #: 1134359862
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DR
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
TREVINO, REYNA M., MD
GENDER: F
PROVIDER #: 186859
NPI #: 1669551115
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
AVA, IL
ADULT/INTERNAL
MEDICINE
FEINERMAN, ADRIAN D., MD
GENDER: M
PROVIDER #: 105069
NPI #: 1568484590
FEINERMAN FAMILY
PRACTICE
205 W DAVIS ST
AVA, IL 62907
PHONE: (618) 426-3394
E-PRESCRIBE: NO
DREYER MEDICAL GROUP
4100 HEALTHWAY DR
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
13
AVON, IL
BATAVIA, IL
Primary Care Physicians
AVON, IL
BARTONVILLE, IL
GENERAL PRACTICE
ADULT/INTERNAL
MEDICINE
MEHTA, SHRIKANT A., MD
GENDER: M
PROVIDER #: 003043
NPI #: 1346358199
SAUNDERS CLINIC
1800 23RD AVE
AVON, IL 61415
PHONE: (309) 465-3129
E-PRESCRIBE: NO
JUJJAVARAPU, VIJAYA L.,
MD
GENDER: F
PROVIDER #: 057719
NPI #: 1750356226
PROCTOR MEDICAL GROUP
1506 W GARFIELD AVE
BARTONVILLE, IL 61607
PHONE: (309) 697-2416
ESTEP, PATRICIA J., APN;
PROVIDER #: 214206
E-PRESCRIBE: NO
BARTLETT, IL
FAMILY PRACTICE
FREDERICKS, JENNIFER, MD
GENDER: F
PROVIDER #: 270184
NPI #: 1093743163
CADENCE PHYSICIAN
GROUP
820 S ROUTE 59 SUITE A
BARTLETT, IL 60103-1300
PHONE: (630) 483-5930
E-PRESCRIBE: NO
PARIKH, NEHA R., DO
GENDER: F
PROVIDER #: 269500
NPI #: 1770561870
CADENCE PHYSICIAN
GROUP
820 S ROUTE 59
BARTLETT, IL 60103-1300
PHONE: (630) 483-5930
E-PRESCRIBE: NO
STAVIG, ROLF R., MD
GENDER: M
PROVIDER #: 155581
NPI #: 1265462089
CADENCE PHYSICIAN
GROUP
820 S ROUTE 59 SUITE A
BARTLETT, IL 60103-1300
PHONE: (630) 483-5930
E-PRESCRIBE: NO
14
FAMILY PRACTICE
HICOK, WILLIAM C., MD
GENDER: M
PROVIDER #: 039014
NPI #: 1457326944
PROCTOR MEDICAL GROUP
1506 W GARFIELD AVE
BARTONVILLE, IL 61607
PHONE: (309) 697-2416
ESTEP, PATRICIA J., APN;
PROVIDER #: 214206
E-PRESCRIBE: NO
BATAVIA, IL
ADULT/INTERNAL
MEDICINE
BLONSKY, ADAM N., MD
GENDER: M
PROVIDER #: 104138
NPI #: 1326055294
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
BOSH, RONALD G., MD
GENDER: M
PROVIDER #: 044038
NPI #: 1811928443
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
BULJ, TANYA K., MD
GENDER: F
PROVIDER #: 200368
NPI #: 1316144892
DREYER MEDICAL GROUP
LTD
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 482-9200
E-PRESCRIBE: NO
COLLINS, MICHAEL, MD
GENDER: M
PROVIDER #: 016446
NPI #: 1366467680
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
DAGIANTIS, WILLIAM P., MD
GENDER: M
PROVIDER #: 205715
NPI #: 1972511822
DREYER CLINIC BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
DAS, PRASUN K., MD
GENDER: M
PROVIDER #: 069838
NPI #: 1295768778
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BATAVIA, IL
BATAVIA, IL
JOHNSTON, WILLIAM C., MD
GENDER: M
PROVIDER #: 078799
NPI #: 1578581716
DREYER CLINIC BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
PATEL, RUTUJA D., DO
GENDER: F
PROVIDER #: 275019
NPI #: 1043453608
DREYER CLINIC-BATAVIA
2500 W FABYAN PARKWAY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
SHAH, REENA R., DO
GENDER: F
PROVIDER #: 213662
NPI #: 1972597524
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
SZUCH, NEENA S., MD
GENDER: F
PROVIDER #: 129260
NPI #: 1992842116
DREYER MEDICAL GROUP
2500 W FABYAN PARKWAY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
AMANI, EBRAHIM, MD
GENDER: M
PROVIDER #: 244863
NPI #: 1386615904
CADENCE PHYSICIAN
GROUP
1049 E WILSON STREET
BATAVIA, IL 60510-3174
PHONE: (630) 232-2776
E-PRESCRIBE: NO
BOWMAN, GARY G., MD
GENDER: M
PROVIDER #: 019568
NPI #: 1821023748
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
BOWMAN, MARK J., DO
GENDER: M
PROVIDER #: 057258
NPI #: 1194750075
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
HUBBARD, BRIAN T., DO
GENDER: M
PROVIDER #: 124884
NPI #: 1447284476
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
IRELAND, CHARLES R., DO
GENDER: M
PROVIDER #: 024359
NPI #: 1346268604
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
IRELAND, ROBERT G., DO
GENDER: M
PROVIDER #: 176670
NPI #: 1235154337
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
NOVOTA, PETER A., MD
GENDER: M
PROVIDER #: 270739
NPI #: 1124132394
DREYER MEDICAL GROUP
LTD
2500 W FABYAN PARKWAY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
PATEL, BHARTI K., MD
GENDER: F
PROVIDER #: 055367
NPI #: 1902819139
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
POTZICK, JULIE, MD
GENDER: M
PROVIDER #: 269488
NPI #: 1689645202
CADENCE PHYSICIAN
GROUP
1049 E WILSON ST
BATAVIA, IL 60510-3174
PHONE: (630) 232-2776
E-PRESCRIBE: NO
PULS, RICHARD W., MD
GENDER: M
PROVIDER #: 145514
NPI #: 1407818230
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
15
Primary Care Physicians
PURI, JIGNASA M., DO
GENDER: F
PROVIDER #: 171193
NPI #: 1447283908
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
JUNG, ANDREW D., MD
GENDER: M
PROVIDER #: 205760
NPI #: 1598814329
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
VASTOLA-LEWAN, BONNIE
J., DO
GENDER: F
PROVIDER #: 205753
NPI #: 1558529909
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
MURPHY, DENNIS B., MD
GENDER: M
PROVIDER #: 154130
NPI #: 1568473908
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
WEILER, KEITH E., MD
GENDER: M
PROVIDER #: 078777
NPI #: 1184733321
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
TAYLOR, JILL M., PA-C;
PROVIDER #: 115706
E-PRESCRIBE: NO
PEDIATRICS
ABRAMS, BARRY, MD
GENDER: M
PROVIDER #: 078774
NPI #: 1659305183
DREYER MEDICAL CLINICBATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
16
SROKA, JEFFREY D., MD
GENDER: M
PROVIDER #: 019251
NPI #: 1316962012
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
WIDMER, LINDA C., MD
GENDER: F
PROVIDER #: 269075
NPI #: 1053434381
CADENCE PHYSICIAN
GROUP
1049 E WILSON ST
BATAVIA, IL 60510-3174
PHONE: (630) 232-2776
E-PRESCRIBE: NO
BATAVIA, IL
BEARDSTOWN, IL
BEARDSTOWN, IL
FAMILY PRACTICE
CHOUDHARY, BHAVNA, MD
GENDER: F
PROVIDER #: 277872
NPI #: 1902184708
CASS COUNTY HEALTH
CLINIC
8590 ST LUKES DR
BEARDSTOWN, IL 62618
PHONE: (217) 323-2242
E-PRESCRIBE: YES
OMAR, BIBI, MD
GENDER: F
PROVIDER #: 266855
NPI #: 1275755001
BEARDSTOWN CLINIC
100 W 15TH ST
BEARDSTOWN, IL 62618
PHONE:
E-PRESCRIBE: NO
SANCHEZ, DOMINIQUE F., DO
GENDER: F
PROVIDER #: 215990
NPI #: 1861654857
CASS COUNTY HEALTH
CLINIC
8590 ST LUKES DR
BEARDSTOWN, IL 62618
PHONE: (217) 323-2242
E-PRESCRIBE: YES
TAILLEFER, MARGUERITE S.,
MD
GENDER: F
PROVIDER #: 217417
NPI #: 1588978241
ELMER HUGH TAYLOR
CLINIC
100 W 15TH ST
BEARDSTOWN, IL 62618
PHONE: (217) 323-2445
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BELLEVILLE, IL
BELLEVILLE, IL
BELLEVILLE, IL
ADULT/INTERNAL
MEDICINE
CATH, ANNE M., MD
GENDER: F
PROVIDER #: 250371
NPI #: 1417937574
PC ASSOCIATES LLC
4600 MEMORIAL DR SUITE
440
BELLEVILLE, IL 62226
PHONE: (618) 236-8000
E-PRESCRIBE: NO
HAGEMAN, MATTHEW, MD
GENDER: M
PROVIDER #: 082402
NPI #: 1376540930
PC ASSOCIATES LLC
130 LINCOLN PLACE COURT
BELLEVILLE, IL 62221
PHONE: (618) 257-1297
E-PRESCRIBE: NO
RAMOS-PARDO, BEATRIZ,
MD
GENDER:
PROVIDER #: 118276
NPI #: 1780670844
PC ASSOCIATES LLC
4600 MEMORIAL DR SUITE
440
BELLEVILLE, IL 62226
PHONE: (618) 236-8000
E-PRESCRIBE: NO
SHAWAHIN, NIDAL, MD
GENDER: M
PROVIDER #: 092059
NPI #: 1245236884
PC ASSOCIATES LLC
4600 MEMORIAL DRIVE
SUITE 360
BELLEVILLE, IL 62226
PHONE: (618) 222-7280
E-PRESCRIBE: NO
Primary Care Physicians
WENDLAND, MARCIA L., MD
GENDER: F
PROVIDER #: 170412
NPI #: 1194706564
5105 W MAIN ST
BELLEVILLE, IL 62226
PHONE: (618) 233-0798
E-PRESCRIBE: NO
FAMILY PRACTICE
GARNER, ROBERT W., DO
GENDER: M
PROVIDER #: 109054
NPI #: 1285612242
BELLEVILLE FAMILY
MEDICAL ASSOC LTD
301 W LINCOLN STE 200
BELLEVILLE, IL 62220
PHONE: (618) 234-2566
E-PRESCRIBE: NO
ABEL, WALLACE K., MD
GENDER: M
PROVIDER #: 103950
NPI #: 1003808858
BELLEVILLE FAMILY
MEDICAL ASSOC LTD
301 W LINCOLN STE 200
BELLEVILLE, IL 62220
PHONE: (618) 234-2566
E-PRESCRIBE: NO
HITCHCOCK, JAMES M., DO
GENDER: M
PROVIDER #: 193330
NPI #: 1295725174
BELLEVILLE FAMILY
MEDICAL ASSOC LTD
301 W LINCOLN STE 200
BELLEVILLE, IL 62220
PHONE: (618) 234-1604
E-PRESCRIBE: NO
ADAMS, DONALD G., MD
GENDER: M
PROVIDER #: 216394
NPI #: 1508842352
PC ASSOCIATES LLC
333 SOUTH ILLINOIS STREET
SUITE A
BELLEVILLE, IL 62220
PHONE: (618) 277-4888
E-PRESCRIBE: NO
MANARANG, DON, DO
GENDER: M
PROVIDER #: 098311
NPI #: 1205833860
PC ASSOCIATES LLC
130 LINCOLN PLACE CT
BELLEVILLE, IL 62221-5884
PHONE: (618) 257-2029
E-PRESCRIBE: NO
DESPAIN, DOUGLAS C., MD
GENDER: M
PROVIDER #: 103615
NPI #: 1275525024
BELLEVILLE FAMILY
MEDICAL ASSOC LTD
301 W LINCOLN STE 200
BELLEVILLE, IL 62220
PHONE: (618) 234-2566
E-PRESCRIBE: NO
MANNAN-HILALY, SALMA,
MD
GENDER:
PROVIDER #: 101806
NPI #: 1699772251
PC ASSOCIATES LLC
4600 MEMORIAL DRIVE
SUITE 160
BELLEVILLE, IL 62226
PHONE: (618) 235-0460
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
17
Primary Care Physicians
BELLEVILLE, IL
BELVIDERE, IL
O'NEILL, BRIAN A., MD
GENDER:
PROVIDER #: 198773
NPI #: 1669466066
PC ASSOCIATES LLC
4600 MEMORIAL DRIVE
SUITE 220
BELLEVILLE, IL 62226
PHONE: (618) 235-6191
E-PRESCRIBE: NO
WALKER, MELINDA S., DO
GENDER: F
PROVIDER #: 103543
NPI #: 1306838156
BELLEVILLE FAMILY
MEDICAL ASSOC LTD
301 W LINCOLN STE 200
BELLEVILLE, IL 62220
PHONE: (618) 234-2566
E-PRESCRIBE: NO
NGO, KHAI, MD
GENDER:
PROVIDER #: 188627
NPI #: 1205905197
TLC PEDIATRICS LTD
4600 MEMORIAL DRIVE STE
280
BELLEVILLE, IL 62226
PHONE:
E-PRESCRIBE: NO
O'NEILL, DAVID, DO
GENDER: M
PROVIDER #: 199236
NPI #: 1922092394
PC ASSOCIATES LLC
4600 MEMORIAL DRIVE
SUITE 220
BELLEVILLE, IL 62226
PHONE: (618) 235-6191
E-PRESCRIBE: NO
PEDIATRICS
NORMAN, DAVID C., MD
GENDER: M
PROVIDER #: 105936
NPI #: 1306871660
DAVID DORMAN MD INC
4600 MEMORIAL DRIVE STE
G60
BELLEVILLE, IL 62226
PHONE: (618) 257-2550
E-PRESCRIBE: NO
RAWDON, DAVID, MD
GENDER: M
PROVIDER #: 119790
NPI #: 1376549139
PC ASSOCIATES LLC
4600 MEMORIAL DRIVE
SUITE 160
BELLEVILLE, IL 62226
PHONE: (618) 235-0460
E-PRESCRIBE: NO
WADE, JAMES P., MD
GENDER:
PROVIDER #: 082401
NPI #: 1386640399
PC ASSOCIATES LLC
3701 MEMORIAL DRIVE
BELLEVILLE, IL 62226
PHONE: (618) 222-0000
E-PRESCRIBE: NO
18
ALI, AYOOB, MD
GENDER: M
PROVIDER #: 074616
NPI #: 1700832391
MEMORIAL HOSPITAL
4500 MEMORIAL DRIVE
BELLEVILLE, IL 62226
PHONE: (618) 233-7750
E-PRESCRIBE: NO
KRUMHOLZ, LINDSEY, MD
GENDER: F
PROVIDER #: 299460
NPI #: 1053675561
TLC PEDIATRICS LTD
4600 MEMORIAL DRIVE STE
280
BELLEVILLE, IL 62226
PHONE:
E-PRESCRIBE: NO
LAFF, STACIE, MD
GENDER: F
PROVIDER #: 109943
NPI #: 1851318489
TLC PEDIATRICS LTD
4600 MEMORIAL DRIVE STE
280
BELLEVILLE, IL 62226
PHONE:
E-PRESCRIBE: NO
SADIQ, FAROUK, MD
GENDER: M
PROVIDER #: 075190
NPI #: 1992801070
MEMORIAL HOSPITAL
4500 MEMORIAL DRIVE
BELLEVILLE, IL 62226
PHONE: (618) 233-7750
E-PRESCRIBE: NO
BELVIDERE, IL
ADULT/INTERNAL
MEDICINE
MOLINARI, ANTHONY F., MD
GENDER: M
PROVIDER #: 294334
NPI #: 1043290158
OSF MEDICAL GROUP
1954 GATEWAY CENTER DR
BELVIDERE, IL 61008-9303
PHONE: (815) 544-7400
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BELVIDERE, IL
BELVIDERE, IL
FAMILY PRACTICE
AL-SARAF, ABBAS F., MD
GENDER:
PROVIDER #: 165130
NPI #: 1245221134
ROCKFORD HEALTH
PHYSICIANS
1747 LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-9030
E-PRESCRIBE: NO
ANSARI, MOHAMMED, MD
GENDER:
PROVIDER #: 200494
NPI #: 1649492620
ROCKFORD HEALTH
PHYSICIANS
1747 LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-9030
E-PRESCRIBE: NO
CASTELLO, GREGORY C., DO
GENDER: M
PROVIDER #: 300556
NPI #: 1417939323
PHYSICIANS IMMEDIATE
CARE
1663 BELVIDERE RD
BELVIDERE, IL 61008
PHONE: (847) 653-0130
E-PRESCRIBE: NO
CLOR, MONA, MD
GENDER:
PROVIDER #: 123685
NPI #: 1932182003
ROCKFORD HEALTH
PHYSICIANS
1747 LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-9030
E-PRESCRIBE: NO
Primary Care Physicians
DEAN, LESLIE A., MD
GENDER: F
PROVIDER #: 051441
NPI #: 1316912462
UNIVERSITY PRIMARY
CARE CLINIC/BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
HERMAN, LUKE, MD
GENDER: M
PROVIDER #: 204348
NPI #: 1457509150
ROCKFORD HEALTH
PHYSICIANS
1747 LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-9030
E-PRESCRIBE: NO
DELADISMA, MARCONI, MD
GENDER: M
PROVIDER #: 262776
NPI #: 1477597342
ROCKFORD HEALTH
PHYSICIANS
1747 LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-9030
E-PRESCRIBE: NO
HITT, ROCKTON, MD
GENDER: M
PROVIDER #: 200693
NPI #: 1225108947
ROCKFORD HEALTH
PHYSICIANS
1747 LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-9030
E-PRESCRIBE: NO
DUDAS, ANDRZEJ M., DO
GENDER: M
PROVIDER #: 202735
NPI #: 1609037308
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
IRONSIDE, MARY J., MD
GENDER: F
PROVIDER #: 281594
NPI #: 1275579658
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
GO-LIM, JOCELYN R., MD
GENDER: F
PROVIDER #: 160697
NPI #: 1255376471
OSF MEDICAL GROUP
143 KISHWAUKEE ST
BELVIDERE, IL 61008
PHONE: (815) 544-7400
E-PRESCRIBE: NO
KAUR, AMANDEEP, MD
GENDER: M
PROVIDER #: 278146
NPI #: 1184875072
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
19
Primary Care Physicians
KING, MITCHELL S., MD
GENDER: M
PROVIDER #: 109091
NPI #: 1225038276
UNIVERSITY PRIMARY
CARE CLINIC/BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 547-5461
E-PRESCRIBE: NO
KNABE, BRIAN, MD
GENDER: M
PROVIDER #: 141981
NPI #: 1437192408
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
LEE, KENTON, MD
GENDER: M
PROVIDER #: 019581
NPI #: 1366426397
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
LOPEZ, CASSANDRA M., MD
GENDER: F
PROVIDER #: 286032
NPI #: 1619125317
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
20
LUCIETTO-SIERADZKI,
THERESE M., MD
GENDER: F
PROVIDER #: 068386
NPI #: 1699708636
YOUR FAMILY DOCTOR
205 CADILLAC COURT SUITE
7
BELVIDERE, IL 61008
PHONE: (815) 544-0087
HYSELL, DEBRA, APN;
PROVIDER #: 123918
E-PRESCRIBE: NO
MORKER, DIVYESH N., MD
GENDER: M
PROVIDER #: 283397
NPI #: 1629399399
OSF CENTER FOR HEALTH
1954 GATEWAY CENTER DR
BELVIDERE, IL 61008
PHONE: (815) 544-7400
E-PRESCRIBE: NO
MYERS, RACHEL N., MD
GENDER: F
PROVIDER #: 248529
NPI #: 1013149889
OSF PROMPTCARE
1954 GATEWAY CENTER DR
BELVIDERE, IL 61008
PHONE: (815) 547-3780
E-PRESCRIBE: NO
NIKA, VASIL, MD
GENDER: M
PROVIDER #: 077628
NPI #: 1811987886
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
BELVIDERE, IL
BELVIDERE, IL
PARIKH, RUCHI, MD
GENDER: F
PROVIDER #: 256236
NPI #: 1689992885
OSF CENTER FOR HEALTH
1954 GATEWAY CENTER DR
BELVIDERE, IL 61008
PHONE: (815) 544-7400
E-PRESCRIBE: NO
PHOENIX, JAMES W., MD
GENDER: M
PROVIDER #: 289696
NPI #: 1700922267
ROCKFORD HEALTH
PHYSICIANS
1747 HENRY LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-9030
E-PRESCRIBE: NO
PLESCIA, JOHN, MD
GENDER: M
PROVIDER #: 237860
NPI #: 1366671463
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
POCOCK, DAVID G., MD
GENDER: M
PROVIDER #: 298431
NPI #: 1447240445
OSF MEDICAL GROUP
2170 PEARL ST
BELVIDERE, IL 61008-6020
PHONE: (815) 547-5461
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BELVIDERE, IL
BELVIDERE, IL
Primary Care Physicians
POLIZZOTTO, MICHAEL J.,
MD
GENDER: M
PROVIDER #: 107575
NPI #: 1871595371
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
SAJJADI OSKOUEI, SEYYED
A., MD
GENDER: M
PROVIDER #: 252574
NPI #: 1912136896
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
ROSKA, JOHN M., MD
GENDER: M
PROVIDER #: 241969
NPI #: 1679714216
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
SANDOVAL, WILLIAM, MD
GENDER: M
PROVIDER #: 295313
NPI #: 1912080912
ROCKFORD HEALTH
PHYSICIANS
1747 HENRY LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-2000
E-PRESCRIBE: NO
ROSS, JOSEPH E., MD
GENDER: M
PROVIDER #: 286073
NPI #: 1487682977
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
SAPYING, ATISAK, MD
GENDER: M
PROVIDER #: 298428
NPI #: 1982694980
OSF MEDICAL GROUP
2170 PEARL ST
BELVIDERE, IL 61008-6020
PHONE: (815) 547-5461
E-PRESCRIBE: NO
ROYCE, JEFFERY S., MD
GENDER: M
PROVIDER #: 281607
NPI #: 1619910635
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
UNIVERSITY PRIMARY
CARE CLINIC BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
SCHULTHEIS, MARTINE A.,
MD
GENDER: F
PROVIDER #: 278377
NPI #: 1275829178
OSF PROMPTCARE
1954 GATEWAY CENTER DR
BELVIDERE, IL 61008-9303
PHONE: (815) 547-3780
E-PRESCRIBE: NO
SHARKEY, CARRIE, MD
GENDER: F
PROVIDER #: 030512
NPI #: 1295725323
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
SHRESTHA, PATRICIA A., MD
GENDER: F
PROVIDER #: 286033
NPI #: 1720382088
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
SIMMONS, MARY D., MD
GENDER: F
PROVIDER #: 282746
NPI #: 1457373946
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
ULMER, MEREDITH M., MD
GENDER: F
PROVIDER #: 223423
NPI #: 1720216930
ROCKFORD HEALTH
PHYSICIANS
1669 BELVIDERE RD
BELVIDERE, IL 61008
PHONE: (815) 971-2000
E-PRESCRIBE: NO
1747 HENRY LUCKLOW
LANE
BELVIDERE, IL 61008
PHONE: (815) 971-9030
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
21
BELVIDERE, IL
BENLD, IL
Primary Care Physicians
WEDEL, PAUL E., MD
GENDER: M
PROVIDER #: 008762
NPI #: 1700860764
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
WILLIAMS, FARION R., MD
GENDER: M
PROVIDER #: 071143
NPI #: 1568446516
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
WOLLSTADT, LOYD, MD
GENDER: M
PROVIDER #: 010897
NPI #: 1356332498
ADVANCED REPRODUCTIVE
CENTER
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
ZAHEER, KASHIF M., MD
GENDER: M
PROVIDER #: 143994
NPI #: 1417996729
OSF CENTER FOR HEALTH
1954 GATEWAY CENTER DR
BELVIDERE, IL 61008
PHONE: (815) 544-7400
E-PRESCRIBE: NO
OSF MEDICAL GROUP
143 KISHWAUKEE ST
BELVIDERE, IL 61008
PHONE: (815) 544-7400
E-PRESCRIBE: NO
22
PEDIATRICS
FAMILY PRACTICE
DAVIS, RAYMOND A., MD
GENDER: M
PROVIDER #: 193612
NPI #: 1417067604
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
IMBURGIA, DOMINIC C., MD
GENDER: M
PROVIDER #: 040058
NPI #: 1114955960
BEMENT COMMUNITY
MEDICAL CENTER
120 W BODMAN
BEMENT, IL 61813
PHONE:
E-PRESCRIBE: NO
PHELAN, KAREN W., MD
GENDER: F
PROVIDER #: 008652
NPI #: 1801871017
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
MANINT, JAMES E., DO
GENDER: M
PROVIDER #: 002832
NPI #: 1376534420
BEMENT HEALTH CARE
CENTER
601 N MORGAN
BEMENT, IL 61813
PHONE: (217) 678-2191
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: NO
POTTS, MICHAEL J., MD
GENDER: M
PROVIDER #: 008720
NPI #: 1881679090
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
BEMENT, IL
ADULT/INTERNAL
MEDICINE
MANDHAN, NARAIN D., MD
GENDER: M
PROVIDER #: 185109
NPI #: 1730170655
BEMENT HEALTHCARE
CENTER
601 N MORGAN
BEMENT, IL 61813
PHONE: (217) 678-2191
E-PRESCRIBE: NO
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 222916
NPI #: 1922235944
BEMENT HEALTHCARE
CENTER
601 N MORGAN
BEMENT, IL 61813
PHONE: (217) 678-2191
E-PRESCRIBE: NO
BENLD, IL
FAMILY PRACTICE
POOS, JOSHUA D., MD
GENDER: M
PROVIDER #: 162610
NPI #: 1134142540
COMMUNITY FAMILY
PRACTICE
311 E CENTRAL AVE
BENLD, IL 62009
PHONE: (217) 835-4334
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BENTON, IL
BENTON, KY
BENTON, IL
ADULT/INTERNAL
MEDICINE
PARKS, ROBERT J., MD
GENDER: M
PROVIDER #: 264223
NPI #: 1356380497
FRANKLIN HOSPITAL
201 BAILEY LN
BENTON, IL 62812
PHONE: (618) 439-3161
E-PRESCRIBE: YES
RESABA, GEMILO, MD
GENDER: M
PROVIDER #: 042552
NPI #: 1760427199
FRANKLIN HOSPITALFAMILY HEALTHCARE
CLINIC
201 BAILEY LANE
BENTON, IL 62812
PHONE: (618) 439-3161
GRUNERT, ROSE Y., FNP;
PROVIDER #: 138385
E-PRESCRIBE: NO
FAMILY PRACTICE
HARRISON, BRIAN, MD
GENDER: M
PROVIDER #: 111587
NPI #: 1518920073
SIH MEDICAL GROUP AT
BENTON COMMUNITY
HEALTH RHC
203 BAILEY LN SUITE 1
BENTON, IL 62812-1969
PHONE: (618) 438-5670
E-PRESCRIBE: NO
Primary Care Physicians
HARTMAN, JOHN DAVID, MD
GENDER: M
PROVIDER #: 175344
NPI #: 1851399976
FRANKLIN HOSPITALFAMILY HEALTHCARE
CLINIC
201 BAILEY LANE
BENTON, IL 62812
PHONE: (618) 439-3161
BRADDOCK, TERRI, FNP;
PROVIDER #: 176109
HENSON, ANGELA H., PA;
PROVIDER #: 166332
E-PRESCRIBE: YES
MORTHLAND, TIMOTHY E.,
MD
GENDER: M
PROVIDER #: 257336
NPI #: 1255375515
FRANKLIN HOSPITAL
FAMILY HEALTHCARE
CLINIC
201 BAILEY LANE
BENTON, IL 62812
PHONE: (618) 439-3161
DORRIS, JASON, PA-C;
PROVIDER #: 263234
RICE, HEATHER D., PA;
PROVIDER #: 276723
E-PRESCRIBE: NO
RETHORST, RICHARD, MD
GENDER: M
PROVIDER #: 263240
NPI #: 1770530024
FRANKLIN HOSPITAL
FAMILY HEALTHCARE
CLINIC
201 BAILEY LN
BENTON, IL 62812
PHONE: (618) 439-3161
BROWN, NICOLE E., PA-C;
PROVIDER #: 272532
SULLIVAN, DEBORAH, ARNP;
PROVIDER #: 268064
E-PRESCRIBE: YES
SZOKE, DAVID F., MD
GENDER: M
PROVIDER #: 290052
NPI #: 1477531192
905 W WASHINGTON ST
BENTON, IL 62812
PHONE: (618) 435-5444
E-PRESCRIBE: NO
BENTON, KY
ADULT/INTERNAL
MEDICINE
BROWN, CHRISTINA M., DO
GENDER: F
PROVIDER #: 225691
NPI #: 1598057549
MARSHALL CO HOSP &
LONG TERM CARE FAC DBA
MARSHALL
617 OLD SYMSONIA ROAD
BENTON, KY 42025
PHONE: (270) 527-2411
E-PRESCRIBE: NO
HARRIS, ROBERT C., MD
GENDER: M
PROVIDER #: 245055
NPI #: 1265403265
MD PARTNERS PLLC
615 OLD SYMSONIA ROAD
BENTON, KY 42025
PHONE: (270) 527-4800
E-PRESCRIBE: NO
JESSEE, ALI J., DO
GENDER: F
PROVIDER #: 296907
NPI #: 1396922118
MARSHALL CO HOSP &
LONG TERM CARE FAC DBA
MARSHALL
617 OLD SYMSONIA ROAD
BENTON, KY 42025
PHONE: (270) 527-2411
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
23
BENTON, KY
BETTENDORF, IA
Primary Care Physicians
LYLES, JULIA T., MD
GENDER: F
PROVIDER #: 297315
NPI #: 1740434307
MARSHALL CO HOSP &
LONG TERM CARE FAC DBA
MARSHALL
617 OLD SYMSONIA RD
BENTON, KY 42025
PHONE: (270) 527-2411
E-PRESCRIBE: NO
FAMILY PRACTICE
BOHANNON, TODD L., MD
GENDER: M
PROVIDER #: 195263
NPI #: 1740381276
MD PARTNERS PLLC
615 OLD SYMSONIA RD
BENTON, KY 42025
PHONE: (270) 527-4800
E-PRESCRIBE: NO
TVEITE, JOHN E., MD
GENDER: M
PROVIDER #: 297310
NPI #: 1205919040
MURRAY CALLOWAY CO
HOSP CORP DBA MARSHALL
CO FAMIL
543 POWELL ST
BENTON, KY 42025
PHONE: (270) 527-2273
E-PRESCRIBE: NO
BETHALTO, IL
FAMILY PRACTICE
HALL, KIM M., MD
GENDER: F
PROVIDER #: 297317
NPI #: 1780660068
MARSHALL CO HOSP &
LONG TERM CARE FAC DBA
MARSHALL
617 OLD SYMSONIA RD
BENTON, KY 42025
PHONE: (270) 527-2411
E-PRESCRIBE: NO
HEISS, JOHN R., MD
GENDER: M
PROVIDER #: 297890
NPI #: 1013951813
MARSHALL CO HOSP &
LONG TERM CARE FAC DBA
MARSHALL
617 OLD SYMSONIA ROAD
BENTON, KY 42025
PHONE: (270) 527-2411
E-PRESCRIBE: NO
24
MD PARTNERS PLLC
615 OLD SYMSONIA ROAD
BENTON, KY 42025
PHONE: (270) 527-4800
E-PRESCRIBE: NO
HARMS, CRAIG K., MD
GENDER: M
PROVIDER #: 198666
NPI #: 1598878373
FAMILY PHYSICIANS OF
BETHALTO
155 E BETHALTO DR
BETHALTO, IL 62010
PHONE: (618) 377-8961
E-PRESCRIBE: NO
BETTENDORF, IA
ADULT/INTERNAL
MEDICINE
JEROME, WILLIAM P., MD
GENDER: M
PROVIDER #: 179314
NPI #: 1215915855
TRINITY MEDICAL CENTER
AT TERRACE PARK
4500 UTICA RIDGE RD
BETTENDORF, IA 52722
PHONE: (563) 742-5000
E-PRESCRIBE: YES
UNITYPOINT CLINICINTERNAL MEDICINE
BETTENDORF
4480 UTICA RIDGE RD SUITE
2230
BETTENDORF, IA 52722
PHONE: (563) 742-5150
E-PRESCRIBE: YES
KETTELKAMP, JAMES E., MD
GENDER: M
PROVIDER #: 073373
NPI #: 1346228970
UNITYPOINT CLINICINTERNAL MEDICINE
BETTENDORF
4480 UTICA RIDGE RD SUITE
2230
BETTENDORF, IA 52722
PHONE: (563) 742-5150
E-PRESCRIBE: YES
KING, JAMES D., DO
GENDER: M
PROVIDER #: 177922
NPI #: 1720058019
TRINITY TERRACE PARK
FAMILY PRACTICE CLINIC
4480 UTICA RIDGE RD SUITE
160
BETTENDORF, IA 52722
PHONE: (563) 742-4850
E-PRESCRIBE: YES
KING, JAMES, DO
GENDER: M
PROVIDER #: 093413
NPI #: 1720058019
UNITYPOINT CLINICINTERNAL MEDICINE
BETTENDORF
4480 UTICA RIDGE RD SUITE
2230
BETTENDORF, IA 52722
PHONE: (563) 742-5150
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BETTENDORF, IA
BETTENDORF, IA
Primary Care Physicians
PAREIGIS, ALEX J., MD
GENDER: M
PROVIDER #: 195070
NPI #: 1184603953
TRINITY MEDICAL CENTER
AT TERRACE PARK
4500 UTICA RIDGE RD
BETTENDORF, IA 52722
PHONE: (563) 742-5000
E-PRESCRIBE: NO
ANDERSEN, KURT A., MD
GENDER: M
PROVIDER #: 059360
NPI #: 1477558799
GENESIS HEALTH GROUP
HEALTHPLEX
2140 53RD AVENUE
BETTENDORF, IA 52722
PHONE: (563) 421-5700
E-PRESCRIBE: NO
BALCIULIS, SUSAN, MD
GENDER: F
PROVIDER #: 069469
NPI #: 1700992401
STATE STREET WOMENS
HEALTH CENTER
1004 STATE ST
BETTENDORF, IA 52722
PHONE: (563) 359-5535
E-PRESCRIBE: NO
SCHLOTFELDT II, RONALD
B., MD
GENDER: M
PROVIDER #: 224557
NPI #: 1033496088
UNITYPOINT CLINICINTERNAL MEDICINE
BETTENDORF
4480 UTICA RIDGE RD SUITE
2230
BETTENDORF, IA 52722
PHONE: (563) 742-5150
E-PRESCRIBE: NO
ANDERSON, GARY A., DO
GENDER: M
PROVIDER #: 034792
NPI #: 1205831120
GENESIS HEALTH GROUP
CONVENIENT CARE CLINICS
2140 53RD AVENUE
BETTENDORF, IA 52722
PHONE: (563) 421-5700
E-PRESCRIBE: NO
BLECHLE, KEVIN, DO
GENDER: M
PROVIDER #: 120786
NPI #: 1396725768
TRINITY EXPRESS CARE
BETTENDORF
3415 53RD AVE
BETTENDORF, IA 52722
PHONE: (563) 742-4350
BLAIR, TRINA G., PA-C;
PROVIDER #: 221567
E-PRESCRIBE: YES
FAMILY PRACTICE
ABDULLAH, AFSANA Y., DO
GENDER: F
PROVIDER #: 290300
NPI #: 1760583066
TRINITY FAMILY PRACTICE
4480 UTICA RIDGE RD SUITE
160
BETTENDORF, IA 52722
PHONE: (563) 742-4850
E-PRESCRIBE: NO
AGUILAR, STEVEN J., MD
GENDER: M
PROVIDER #: 034782
NPI #: 1427053842
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 400
BETTENDORF, IA 52722
PHONE: (563) 359-7548
GEORGE, JENNIFER A., ARNP;
PROVIDER #: 068802
E-PRESCRIBE: NO
APPEL, MIKKA M., MD
GENDER: F
PROVIDER #: 090042
NPI #: 1275505505
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
3740 UTICA RIDGE RD SUITE
B
BETTENDORF, IA 52722
PHONE: (563) 344-7400
HANSSEN, MELISSA A., APN;
PROVIDER #: 045419
E-PRESCRIBE: NO
ARNOLD, DANIEL J., DO
GENDER: M
PROVIDER #: 192383
NPI #: 1033198908
TRINITY TERRACE PARK
FAMILY PRACTICE CLINIC
4480 UTICA RIDGE RD SUITE
160
BETTENDORF, IA 52722
PHONE: (563) 742-4850
E-PRESCRIBE: NO
BOONE, CHRISTOPHER R.,
MD
GENDER: M
PROVIDER #: 276225
NPI #: 1225324361
GENESIS HEALTH GROUP
2140 53RD AVE
BETTENDORF, IA 52722
PHONE: (563) 421-5700
E-PRESCRIBE: NO
4017 DEVILS GLEN RD SUITE
100
BETTENDORF, IA 52722
PHONE: (563) 332-6387
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
CONVENIENT CARE
4017 DEVILS GLEN RD SUITE
101
BETTENDORF, IA 52722
PHONE: (563) 421-3700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
25
Primary Care Physicians
CAMPBELL, MARY M., MD
GENDER: F
PROVIDER #: 059598
NPI #: 1760470454
GENESIS HEALTH GROUP
4017 DEVILS GLEN RD SUITE
100
BETTENDORF, IA 52722
PHONE: (563) 332-6387
E-PRESCRIBE: NO
CARDOTT, RANDEL, MD
GENDER: M
PROVIDER #: 023629
NPI #: 1295704674
GENESIS CONVENIENT
CARE
4017 DEVILS GLEN RD
BETTENDORF, IA 52722
PHONE: (563) 421-3700
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
4017 DEVILS GLEN RD SUITE
100
BETTENDORF, IA 52722
PHONE: (563) 332-6387
E-PRESCRIBE: NO
GENESIS HEALTHPLEX
2140 53RD AVE
BETTENDORF, IA 52722
PHONE: (563) 421-5700
E-PRESCRIBE: NO
COON, TERESA, MD
GENDER: F
PROVIDER #: 053409
NPI #: 1831205525
STATE STREET WOMENS
HEALTH CENTER
1004 STATE ST
BETTENDORF, IA 52722
PHONE: (563) 359-5535
E-PRESCRIBE: NO
26
DANIEL, MYRA S., MD
GENDER: F
PROVIDER #: 075995
NPI #: 1891783569
GENESIS HEALTH GROUP
4017 DEVILS GLEN RD SUITE
100
BETTENDORF, IA 52722
PHONE: (563) 332-6387
HAAS, DEBORAH S.;
PROVIDER #: 089094
E-PRESCRIBE: NO
EDWARDS, ANDREW D., MD
GENDER: M
PROVIDER #: 075996
NPI #: 1336137009
GENESIS HEALTH GROUP
4017 DEVILS GLEN RD SUITE
100
BETTENDORF, IA 52722
PHONE: (563) 332-6387
E-PRESCRIBE: NO
FISHER, JESSICA, DO
GENDER: F
PROVIDER #: 300479
NPI #: 1528311487
TRINITY FAMILY PRACTICE
4480 UTICA RIDGE RD SUITE
160
BETTENDORF, IA 52722
PHONE: (563) 742-4850
E-PRESCRIBE: NO
GEICK, LYNN B., MD
GENDER: M
PROVIDER #: 075390
NPI #: 1326010299
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
3740 UTICA RIDGE RD SUITE
B
BETTENDORF, IA 52722
PHONE: (563) 344-7400
HANSSEN, MELISSA A., APN;
PROVIDER #: 045419
E-PRESCRIBE: NO
BETTENDORF, IA
BETTENDORF, IA
HAGEMANN, JASON C., DO
GENDER: M
PROVIDER #: 222244
NPI #: 1285954594
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 400
BETTENDORF, IA 52722
PHONE: (563) 359-7548
E-PRESCRIBE: NO
HARKER, SHEENA L., DO
GENDER: F
PROVIDER #: 275301
NPI #: 1447544580
GENESIS HEALTH GROUP
2140 53RD AVE
BETTENDORF, IA 52722
PHONE: (563) 421-5700
E-PRESCRIBE: NO
4017 DEVILS GLEN RD STE
100
BETTENDORF, IA 52722
PHONE: (563) 332-6387
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
CONVENIENT CARE
4017 DEVILS GLEN RD STE
101
BETTENDORF, IA 52722
PHONE: (563) 421-3700
E-PRESCRIBE: NO
HENDERSON, JAMES G., MD
GENDER: M
PROVIDER #: 224542
NPI #: 1750353223
TRINITY EXPRESS CARE
BETTENDORF
3415 53RD AVE
BETTENDORF, IA 52722
PHONE: (563) 742-4350
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BETTENDORF, IA
BETTENDORF, IA
HERMANSON, MARK E., MD
GENDER: M
PROVIDER #: 034785
NPI #: 1639174196
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 400
BETTENDORF, IA 52722
PHONE: (563) 359-7548
GEORGE, JENNIFER A., ARNP;
PROVIDER #: 068802
E-PRESCRIBE: NO
KANE, FRANCIS L., MD
GENDER: M
PROVIDER #: 055003
NPI #: 1750353744
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
3740 UTICA RIDGE RD SUITE
B
BETTENDORF, IA 52722
PHONE: (563) 344-7400
HANSSEN, MELISSA A., APN;
PROVIDER #: 045419
JAMES, ELIZABETH, PA;
PROVIDER #: 119454
E-PRESCRIBE: NO
KNUDSON, ROBERT J., MD
GENDER: M
PROVIDER #: 076001
NPI #: 1528056207
GENESIS HEALTH GROUP
4017 DEVILS GLEN RD SUITE
100
BETTENDORF, IA 52722
PHONE: (563) 332-6387
E-PRESCRIBE: NO
KUMAR, POMILLA C., MD
GENDER: F
PROVIDER #: 071636
NPI #: 1568431880
BETTENDORF PEDIATRIC &
FAMILY PRACTICE
ASSOCIATES
4017 DEVILS GLEN RD SUITE
200
BETTENDORF, IA 52722
PHONE: (563) 332-3400
E-PRESCRIBE: NO
Primary Care Physicians
KUMAR, POMILLA, MD
GENDER: F
PROVIDER #: 295637
NPI #: 1568431880
UPC EXPRESS CARE
BETTENDORF
3415 53RD AVE
BETTENDORF, IA 52722
PHONE:
E-PRESCRIBE: NO
MCCABE, WILLIAM C., MD
GENDER: M
PROVIDER #: 124937
NPI #: 1730157322
GENESIS CONVIENENT
CARE
4017 DEVILS GLENN RD
BETTENDORF, IA 52722
PHONE: (563) 421-3700
E-PRESCRIBE: NO
LETNEY, TODD L., MD
GENDER: M
PROVIDER #: 055007
NPI #: 1295709657
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
3740 UTICA RIDGE RD SUITE
B
BETTENDORF, IA 52722
PHONE: (563) 344-7400
HANSSEN, MELISSA A., APN;
PROVIDER #: 045419
E-PRESCRIBE: NO
MCELHINNEY, BRUCE A., DO
GENDER: M
PROVIDER #: 034802
NPI #: 1811993371
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 100
BETTENDORF, IA 52722
PHONE: (563) 441-1843
E-PRESCRIBE: NO
LINDLEY, JAMES A., MD
GENDER: M
PROVIDER #: 224531
NPI #: 1528064052
TRINITY EXPRESS CARE
BETTENDORF
3415 53RD AVE
BETTENDORF, IA 52722
PHONE: (563) 742-4350
E-PRESCRIBE: NO
MARTIN, KENNETH, DO
GENDER: M
PROVIDER #: 300424
NPI #: 1699118356
TRINITY FAMILY PRACTICE
4480 UTICA RIDGE RD #160
BETTENDORF, IA 52722
PHONE: (800) 845-6592
E-PRESCRIBE: NO
MEHTA, FALGUNI, MD
GENDER: F
PROVIDER #: 176020
NPI #: 1831311851
UNITYPOINT CLINICFAMILY MEDICINE
BETTENDORF
4480 UTICA RIDGE RD SUITE
2236
BETTENDORF, IA 52722
PHONE: (563) 742-5850
E-PRESCRIBE: NO
MEHTA, NILESH R., MD
GENDER: M
PROVIDER #: 176023
NPI #: 1982826905
UNITYPOINT CLINICFAMILY MEDICINE
BETTENDORF
4480 UTICA RIDGE RD SUITE
2236
BETTENDORF, IA 52722
PHONE: (563) 742-5850
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
27
Primary Care Physicians
MILLER, JOANNE M., MD
GENDER: F
PROVIDER #: 052081
NPI #: 1093777518
GENESIS CONVENIENT
CARE
4017 DEVILS GLEN RD SUITE
100
BETTENDORF, IA 52722
PHONE: (563) 421-3700
E-PRESCRIBE: NO
SCHIERBROCK, CATHERINE
L., MD
GENDER: F
PROVIDER #: 288210
NPI #: 1235423377
GENESIS HEALTH GROUP
4017 DEVILS GLEN ROAD
SUITE 100
BETTENDORF, IA 52722
PHONE: (563) 332-6387
E-PRESCRIBE: NO
MOTTO, AMANDA M., DO
GENDER: F
PROVIDER #: 166163
NPI #: 1578705653
TRINITY FAMILY PRACTICE
CLINIC
4480 UTICA RIDGE RD STE
160
BETTENDORF, IA 52722
PHONE: (563) 742-4850
E-PRESCRIBE: YES
GENESIS HEALTH GROUP
CONVENIENT CARE
4017 DEVILS GLEN ROAD
SUITE 101
BETTENDORF, IA 52722
PHONE: (563) 421-3700
E-PRESCRIBE: NO
SALOWITZ, STACIE L., MD
GENDER: F
PROVIDER #: 286526
NPI #: 1639462443
GENESIS HEALTH GROUP
4017 DEVILS GLEN RD SUITE
100
BETTENDORF, IA 52722
PHONE: (563) 332-6387
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
CONVENIENT CARE
4017 DEVILS GLEN RD SUITE
101
BETTENDORF, IA 52722
PHONE: (563) 421-3700
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
HEALTHPLEX
2140 53RD AVE
BETTENDORF, IA 52722
PHONE: (563) 421-5700
E-PRESCRIBE: NO
28
SINGH, ARMEET, MD
GENDER:
PROVIDER #: 301102
NPI #: 1902056096
UPC PEDIATRICS
BETTENDORF
4480 UTICA RIDGE RD SUITE
1120
BETTENDORF, IA 52722-1656
PHONE:
E-PRESCRIBE: NO
SMITH, DENICE, MD
GENDER: F
PROVIDER #: 242439
NPI #: 1134171085
WOMENS CARE
SPECIALISTS DBA INFINITY
MEDICAL
4480 UTICA RIDGE RD SUITE
140
BETTENDORF, IA 52722
PHONE:
E-PRESCRIBE: YES
BETTENDORF, IA
BETTENDORF, IA
SOJKA, MATTHEW L., MD
GENDER: M
PROVIDER #: 272187
NPI #: 1659358471
TRINITY TERRACE PARK
FAMILY PRACTICE
4480 UTICA RIDGE RD
BETTENDORF, IA 52722
PHONE: (563) 742-4850
E-PRESCRIBE: NO
STALEY, THOMAS R., MD
GENDER: M
PROVIDER #: 228223
NPI #: 1174750855
GENESIS HEALTH GROUP
4017 DEVILS GLEN RD SUITE
100
BETTENDORF, IA 52722
PHONE: (563) 332-6387
E-PRESCRIBE: NO
TERRONEZ, JARED A., MD
GENDER: M
PROVIDER #: 201375
NPI #: 1497990667
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
3740 UTICA RIDGE RD SUITE
B
BETTENDORF, IA 52722
PHONE: (563) 344-7400
E-PRESCRIBE: NO
TREIBER, KARL D., DO
GENDER: M
PROVIDER #: 085064
NPI #: 1932105855
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 400
BETTENDORF, IA 52722
PHONE: (563) 359-7548
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BETTENDORF, IA
BETTENDORF, IA
Primary Care Physicians
VAMPOLA, STEPHANIE, DO
GENDER:
PROVIDER #: 294234
NPI #: 1891101457
TRINITY FAMILY PRACTICE
4480 UTICA RIDGE RD SUITE
160
BETTENDORF, IA 52722
PHONE: (563) 742-4850
E-PRESCRIBE: NO
CROUSE, DENNIS T., MD
GENDER: M
PROVIDER #: 267828
NPI #: 1225012180
TRINITY MEDICAL CENTER
BETTENDORF
4500 UTICA RIDGE RD
BETTENDORF, IA 52722
PHONE: (563) 742-5000
E-PRESCRIBE: NO
KUKREJA, GAUTAM, MD
GENDER: M
PROVIDER #: 286257
NPI #: 1205151198
GENESIS HEALTH GROUP
CONVENIENT CARE
2140 53RD AVE
BETTENDORF, IA 52722
PHONE: (563) 421-5700
E-PRESCRIBE: NO
WENCK, TODD, MD
GENDER: M
PROVIDER #: 087306
NPI #: 1750353595
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
3740 UTICA RIDGE RD SUITE
B
BETTENDORF, IA 52722
PHONE: (563) 344-7400
HANSSEN, MELISSA A., APN;
PROVIDER #: 045419
E-PRESCRIBE: NO
DELESSIO, LINDA M., MD
GENDER: F
PROVIDER #: 054372
NPI #: 1275538209
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 200
BETTENDORF, IA 52722
PHONE: (563) 344-8600
FRENELL, GINA L., FNP;
PROVIDER #: 135523
SWANSON, BRENDA L., ARNP;
PROVIDER #: 063069
E-PRESCRIBE: NO
MAHMOOD, ALASMI, MD
GENDER: M
PROVIDER #: 236977
NPI #: 1215120126
TRINITY MEDICAL CENTER
4500 UTICA RIDGE RD
BETTENDORF, IA 52722
PHONE: (563) 742-5000
E-PRESCRIBE: NO
PEDIATRICS
FRYE, CLAUDIA S., MD
GENDER: F
PROVIDER #: 156783
NPI #: 1588644249
UNITYPOINT CLINICPEDIATRIC BETTENDORF
4480 UTICA RIDGE RD SUITE
1120
BETTENDORF, IA 52722
PHONE: (563) 742-5750
E-PRESCRIBE: NO
ANDERSON, ROBERT F., MD
GENDER: M
PROVIDER #: 034783
NPI #: 1932104858
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 200
BETTENDORF, IA 52722
PHONE: (563) 344-8600
DREXLER, ALICE E., ARNP;
PROVIDER #: 066648
FRENELL, GINA L., FNP;
PROVIDER #: 135523
E-PRESCRIBE: NO
BEHNKE, AIMEE C., MD
GENDER: F
PROVIDER #: 200982
NPI #: 1508883943
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 200
BETTENDORF, IA 52722
PHONE: (563) 344-8600
E-PRESCRIBE: NO
HENSCH, JULIA C., MD
GENDER: F
PROVIDER #: 283402
NPI #: 1770879017
GENESIS HEALTH GROUP
865 LINCOLN RD STE 200
BETTENDORF, IA 52722
PHONE: (563) 344-8600
E-PRESCRIBE: NO
MOSHIER, BRIAN J., DO
GENDER: M
PROVIDER #: 167081
NPI #: 1699860452
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 200
BETTENDORF, IA 52722
PHONE: (563) 344-8600
E-PRESCRIBE: NO
NAGENDRA, BADANAVAL,
MD
GENDER: M
PROVIDER #: 077004
NPI #: 1932177094
BETTENDORF PEDIATRIC &
FAMILY PRACTICE
ASSOCIATES
4017 DEVILS GLEN RD SUITE
200
BETTENDORF, IA 52722
PHONE: (563) 332-3400
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
29
Primary Care Physicians
STECHER, JULIE M., MD
GENDER: F
PROVIDER #: 285425
NPI #: 1215220207
GENESIS HEALTH GROUP
865 LINCOLN RD STE 200
BETTENDORF, IA 52722
PHONE: (563) 344-8600
E-PRESCRIBE: NO
VOSICKY, MICHAEL F., DO
GENDER: M
PROVIDER #: 236224
NPI #: 1609807908
CADENCE PHYSICIAN
GROUP
245 S GARY SUITE 100
BLOOMINGDALE, IL 601082200
PHONE: (630) 924-4009
E-PRESCRIBE: NO
BLOOMINGDALE, IL
FAMILY PRACTICE
MCGRAW, MICHAEL J., MD
GENDER: M
PROVIDER #: 269883
NPI #: 1275568289
CADENCE PHYSICIAN
GROUP
245 S GARY AVE SUITE 100
BLOOMINGDALE, IL 601082200
PHONE: (630) 924-4009
E-PRESCRIBE: NO
MCKINNON, KIMBERLY, DO
GENDER:
PROVIDER #: 300142
NPI #: 1124257241
CDPG BLOOMINGDALE
FAMILY
245 SOUTH GARY SUITE LLA
BLOOMINGDALE, IL 601082228
PHONE:
E-PRESCRIBE: NO
MUSGRAVE, EMILY E., DO
GENDER: F
PROVIDER #: 209057
NPI #: 1750545786
CADENCE PHYSICIAN
GROUP
245 S GARY AVE SUITE 100
BLOOMINGDALE, IL 601082200
PHONE: (630) 924-4009
E-PRESCRIBE: NO
30
ZORETIC, NICHOLAS, DO
GENDER: M
PROVIDER #: 269066
NPI #: 1003820820
CADENCE PHYSICIAN
GROUP
245 S GARY AVE SUITE 100
BLOOMINGDALE, IL 601082200
PHONE: (630) 924-4009
E-PRESCRIBE: NO
BLOOMINGDALE, IN
FAMILY PRACTICE
ABED, AZIZ H., MD
GENDER: M
PROVIDER #: 256685
NPI #: 1477874154
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
200 W ACADEMY ST
BLOOMINGDALE, IN 478328095
PHONE:
E-PRESCRIBE: YES
BETTENDORF, IA
BLOOMINGTON, IL
BEACHY, ERIC D., MD
GENDER: M
PROVIDER #: 239781
NPI #: 1881652188
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
201 W ACADEMY ST
BLOOMINGDALE, IN 478328095
PHONE: (765) 498-9000
E-PRESCRIBE: NO
BLOOMINGTON, IL
ADULT/INTERNAL
MEDICINE
ABADEER, PETER S., DO
GENDER: M
PROVIDER #: 107004
NPI #: 1760469522
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
BERCK, LILLA, MD
GENDER: F
PROVIDER #: 134887
NPI #: 1396946125
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BLOOMINGTON, IL
BLOOMINGTON, IL
Primary Care Physicians
COCHRAN, MICHAEL, MD
GENDER: M
PROVIDER #: 007301
NPI #: 1831176692
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
FARINAS, ERIC J., MD
GENDER: M
PROVIDER #: 078585
NPI #: 1841277613
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
DEOSKAR, UDAY L., MD
GENDER:
PROVIDER #: 281585
NPI #: 1386733145
ADVOCATE MEDICAL
GROUP BLOOMINGTON
FAMILY MEDICINE
3024 EMPIRE ST SUITE 3A
BLOOMINGTON, IL 61704
PHONE: (309) 556-7700
E-PRESCRIBE: NO
FRANCOIS, ANDRE, MD
GENDER: M
PROVIDER #: 276141
NPI #: 1790070837
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
E-PRESCRIBE: NO
SENIOR HEALTH &
GERIATRICS OF CENTRAL
ILLINOIS
2103 E WASHINGTON ST
SUITE 2C
BLOOMINGTON, IL 61701
PHONE: (309) 663-5810
ROOP, JAYCIE N., APN;
PROVIDER #: 195083
E-PRESCRIBE: NO
DUNCAN, ERIC D., MD
GENDER: M
PROVIDER #: 000042
NPI #: 1841219763
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
KOTT, KATHRYN B., APN;
PROVIDER #: 209877
ROTH, CAROLYN, NP;
PROVIDER #: 022398
E-PRESCRIBE: NO
GALUE, GUSTAVO A., MD
GENDER: M
PROVIDER #: 146850
NPI #: 1295903359
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
HALPERIN, IRA L., MD
GENDER: M
PROVIDER #: 262624
NPI #: 1548352107
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61701
PHONE: (309) 664-3000
E-PRESCRIBE: NO
HALPERIN, IRA, DO
GENDER: M
PROVIDER #: 032944
NPI #: 1548352107
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-5361
E-PRESCRIBE: NO
OSF SJMC WOUND CARE
CLINIC
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 661-6230
E-PRESCRIBE: NO
HANCOCK, JAMES B., MD
GENDER: M
PROVIDER #: 106556
NPI #: 1235116088
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
HOSCHEK, JEFFREY C., MD
GENDER: M
PROVIDER #: 152717
NPI #: 1376641217
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
31
Primary Care Physicians
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: YES
KIM, DANIELLE F., DO
GENDER: F
PROVIDER #: 181966
NPI #: 1770592487
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
E-PRESCRIBE: NO
JANI, JAYDEV Y., MD
GENDER: M
PROVIDER #: 261534
NPI #: 1851559942
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61701
PHONE: (309) 664-3000
E-PRESCRIBE: NO
KINDRED, STEPHEN L., MD
GENDER: M
PROVIDER #: 007306
NPI #: 1720065584
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
OSF PROMPTCARE
1505 EASTLAND DR STE 1100
BLOOMINGTON, IL 61701
PHONE: (309) 663-2100
CARR, ABBI D., APN;
PROVIDER #: 209082
E-PRESCRIBE: NO
KANTAMNENI, ANURADHA,
MD
GENDER: F
PROVIDER #: 096577
NPI #: 1447283015
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
32
BLOOMINGTON, IL
BLOOMINGTON, IL
KOLAKALETI, SPANDANA,
MD
GENDER: F
PROVIDER #: 258762
NPI #: 1073741021
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
PEDERSEN, PAUL E., DO
GENDER: M
PROVIDER #: 008001
NPI #: 1053403675
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-5361
NORRIS, PAMELA J., NP;
PROVIDER #: 074338
E-PRESCRIBE: NO
KLAUSS, SVEN, MD
GENDER: M
PROVIDER #: 078597
NPI #: 1619953486
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
E-PRESCRIBE: NO
PEDERSEN, PAUL E., MD
GENDER: M
PROVIDER #: 262882
NPI #: 1053403675
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61701
PHONE: (309) 664-3000
E-PRESCRIBE: NO
KNEEZEL, LAWRENCE D., MD
GENDER: M
PROVIDER #: 000014
NPI #: 1336174580
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
ROTH, CAROLYN, NP;
PROVIDER #: 022398
E-PRESCRIBE: NO
PINTER, LARRY J., MD
GENDER: M
PROVIDER #: 297537
NPI #: 1861429177
CURA MEDICAL GROUP LLC
13 RED STONE CT
BLOOMINGTON, IL 61704
PHONE: (309) 825-5349
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BLOOMINGTON, IL
BLOOMINGTON, IL
POAG II, JOHN L., MD
GENDER: M
PROVIDER #: 078592
NPI #: 1770569550
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
POGUE, LUCAS C., MD
GENDER: M
PROVIDER #: 078595
NPI #: 1033195847
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
RAY, WILLIAM J., MD
GENDER: M
PROVIDER #: 007311
NPI #: 1689672859
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
SWANSON, JAMES E., MD
GENDER: M
PROVIDER #: 007314
NPI #: 1538146394
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
BELGRAVE, STEPHEN J., MD
GENDER: M
PROVIDER #: 000672
NPI #: 1114951357
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
FURNACE, PATRICIA, NP;
PROVIDER #: 000483
E-PRESCRIBE: NO
BENSON, JONATHAN D., DO
GENDER: M
PROVIDER #: 259053
NPI #: 1972887982
ILLINOIS VEIN SPECIALISTS
3302 GERIG DR SUITE 100
BLOOMINGTON, IL 61704
PHONE:
E-PRESCRIBE: NO
BIRGE, KENNETH, MD
GENDER: M
PROVIDER #: 004787
NPI #: 1194896720
SUMMITT FAMILY MEDICAL
CENTER
902 N HERSHEY RD
BLOOMINGTON, IL 61704
PHONE: (309) 662-6880
E-PRESCRIBE: NO
BOHN, KATHRYN, MD
GENDER: F
PROVIDER #: 187916
NPI #: 1194751156
ILLINOIS VEIN SPECIALISTS
3302 GERIG DR SUITE 100
BLOOMINGTON, IL 61704
PHONE:
E-PRESCRIBE: NO
BROCKHOUSE, VICTORIA J.,
DO
GENDER: F
PROVIDER #: 283664
NPI #: 1790744555
CHESTNUT FAMILY HEALTH
CENTER
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
PHONE: (309) 557-1400
E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 195260
NPI #: 1598971137
CHESTNUT FAMILY HEALTH
CENTER
702 W CHESTNUT
BLOOMINGTON, IL 61701
PHONE: (309) 557-1400
E-PRESCRIBE: NO
CHESTNUT HEALTH
SYSTEMS
1003 MARTIN LUTHER KING
DR
BLOOMINGTON, IL 61701
PHONE: (309) 827-6026
E-PRESCRIBE: NO
GINNETTI, RICHARD A., MD
GENDER: M
PROVIDER #: 006881
NPI #: 1336231836
OSF MEDICAL GROUP
308 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-5050
WICKENHAUSER, KELSEY B.,
PA; PROVIDER #: 299424
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
33
Primary Care Physicians
HAKES, PAUL E., MD
GENDER: M
PROVIDER #: 288575
NPI #: 1750315602
OSF PROMPTCARE
1505 EASTLAND DR SUITE
1100
BLOOMINGTON, IL 61701
PHONE: (309) 663-2100
E-PRESCRIBE: NO
HOUGHTON, ADAM D., MD
GENDER: M
PROVIDER #: 252898
NPI #: 1568783439
STEPHEN C PILCHER MD
9 HEARTLAND DR
BLOOMINGTON, IL 61704
PHONE: (309) 663-7642
E-PRESCRIBE: NO
OSF PROMPTCARE-CENTER
FOR HEALTH AT NORD
FARMS
1001 N MITSUBISHI
MOTORWAY
BLOOMINGTON, IL 61704
PHONE: (309) 828-0806
E-PRESCRIBE: NO
HILL, STEPHEN W., MD
GENDER: M
PROVIDER #: 252900
NPI #: 1427360429
STEPHEN C PILCHER MD
9 HEARTLAND DR STE B
BLOOMINGTON, IL 61704
PHONE: (309) 663-7642
E-PRESCRIBE: NO
HOLSCHBACH, JUSTIN J.,
MD
GENDER: M
PROVIDER #: 252192
NPI #: 1053623330
OSF MEDICAL GROUP
308 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-5050
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
PROMPTCARE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
34
JOHNSON, CHRISTOPHER R.,
MD
GENDER: M
PROVIDER #: 283393
NPI #: 1043445869
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
SCHROCK, BRIAN A., PA;
PROVIDER #: 291116
E-PRESCRIBE: NO
KENNEY, TOM J., MD
GENDER: M
PROVIDER #: 073321
NPI #: 1710070057
OSF MEDICAL GROUP
1405 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 661-2400
E-PRESCRIBE: NO
308 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-5050
E-PRESCRIBE: NO
MARLEY, DANIEL S., MD
GENDER: M
PROVIDER #: 108737
NPI #: 1154348969
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
BLOOMINGTON, IL
BLOOMINGTON, IL
MOY, CALVIN, MD
GENDER: M
PROVIDER #: 239101
NPI #: 1154558732
OSF MEDICAL GROUPCOLLEGE AVE
PROMPTCARE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
NASEER, JIBRAN, MD
GENDER: M
PROVIDER #: 202723
NPI #: 1821261892
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
NEIL, WILLIAM L., MD
GENDER: M
PROVIDER #: 000654
NPI #: 1639286131
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
FURNACE, PATRICIA, NP;
PROVIDER #: 000483
E-PRESCRIBE: NO
NIELSEN, THOMAS E., MD
GENDER: M
PROVIDER #: 206029
NPI #: 1871521757
ILLINOIS VEIN SPECIALISTS
3302 GERIG DR SUITE 100
BLOOMINGTON, IL 61704
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BLOOMINGTON, IL
BLOOMINGTON, IL
Primary Care Physicians
OSBORNE, CHAD S., MD
GENDER: M
PROVIDER #: 030464
NPI #: 1235249921
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
SCOTT, TRINA, MD
GENDER: F
PROVIDER #: 233400
NPI #: 1508958307
IMMANUEL HEALTH
CENTER
502 S MORRIS AVE SUITE D
BLOOMINGTON, IL 61701
PHONE: (309) 808-2778
E-PRESCRIBE: NO
PILCHER, STEPHEN C., MD
GENDER: M
PROVIDER #: 178680
NPI #: 1265454607
9 HEARTLAND DR SUITE C
BLOOMINGTON, IL 61704
PHONE: (309) 663-7642
SCANLON, ELIZABETH J., NP;
PROVIDER #: 188033
E-PRESCRIBE: NO
SHANMUGAM, RAJU M., MD
GENDER: M
PROVIDER #: 228277
NPI #: 1043448111
ADVOCATE MEDICAL
GROUP
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 556-7556
E-PRESCRIBE: NO
PILCHER, STEPHEN, MD
GENDER: M
PROVIDER #: 258210
NPI #: 1265454607
CHESTNUT HEALTH
SYSTEMS
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
PHONE: (309) 827-6026
E-PRESCRIBE: NO
SPANIOL, JACK P., MD
GENDER: M
PROVIDER #: 118560
NPI #: 1356379184
OSF MEDICAL GROUP
308 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-5050
E-PRESCRIBE: NO
ROYYURU, SASIKALA D., MD
GENDER: F
PROVIDER #: 226914
NPI #: 1982800876
ADVOCATE MEDICAL
GROUP
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 556-7337
E-PRESCRIBE: NO
STEFFEN, SAMUEL E., MD
GENDER: M
PROVIDER #: 281453
NPI #: 1790704435
CHESTNUT FAMILY HEALTH
CENTER
702 W CHESTNUT
BLOOMINGTON, IL 61701
PHONE: (309) 557-1400
E-PRESCRIBE: NO
STEVENS, JENNIFER E., MD
GENDER: F
PROVIDER #: 239592
NPI #: 1043412893
OSF CENTER FOR HEALTH
AT NORD FARMSPROMPTCARE
1001 N MITSUBISHI
MOTORWAY
BLOOMINGTON, IL 61704
PHONE: (309) 828-0806
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
PROMPTCARE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
OSF PROMPTCARE
1505 EASTLAND DR SUITE
1100
BLOOMINGTON, IL 61701
PHONE: (309) 663-2100
E-PRESCRIBE: NO
SYEDA, QAMER F., MD
GENDER: F
PROVIDER #: 226675
NPI #: 1588892509
ADVOCATE MEDICAL
GROUP
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 556-7337
E-PRESCRIBE: NO
WOODS, MICHAEL J., MD
GENDER: M
PROVIDER #: 000674
NPI #: 1871698761
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
FURNACE, PATRICIA, NP;
PROVIDER #: 000483
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
35
Primary Care Physicians
PEDIATRICS
ALBARO, CECILIA A., MD
GENDER: F
PROVIDER #: 248567
NPI #: 1497879290
CHILDRENS HOSPITAL OF
IL-PEDIATRIC CARDIOLOGY
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 655-3453
E-PRESCRIBE: NO
BANDY, JOHN R., MD
GENDER: M
PROVIDER #: 017778
NPI #: 1801844063
BLOOMINGTON PEDIATRICS
& ALLERGY
306 SAINT JOSEPH DRIVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
BOE, ERIK P., MD
GENDER: M
PROVIDER #: 018008
NPI #: 1942268271
BLOOMINGTON PEDIATRICS
& ALLERGY
306 SAINT JOSEPH DRIVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
DEWEY, JODIE A., MD
GENDER: F
PROVIDER #: 009692
NPI #: 1275559270
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 664-3100
BRAUN, KRISTEN A., NP;
PROVIDER #: 007424
E-PRESCRIBE: NO
36
BLOOMINGTON, IL
BLOOMINGTON, IL
EMM, BRIAN A., MD
GENDER: M
PROVIDER #: 119839
NPI #: 1043315021
BLOOMINGTON PEDIATRICS
& ALLERGY
306 SAINT JOSEPH DRIVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
KNOLL, DEANNA M., DO
GENDER: F
PROVIDER #: 086028
NPI #: 1629026398
BLOOMINGTON PEDIATRICS
& ALLERGY
306 SAINT JOSEPH DRIVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
FARINAS, ERIC J., MD
GENDER: M
PROVIDER #: 078585
NPI #: 1841277613
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
KOHAUS, ASHLEY S., MD
GENDER: F
PROVIDER #: 248952
NPI #: 1043536295
BLOOMINGTON PEDIATRIC
& ALLERGY LTD
306 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
HANCOCK, JAMES B., MD
GENDER: M
PROVIDER #: 106556
NPI #: 1235116088
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
HOSCHEK, JEFFREY C., MD
GENDER: M
PROVIDER #: 152717
NPI #: 1376641217
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
MARSHALL, KIMBERLY P.,
MD
GENDER: F
PROVIDER #: 177468
NPI #: 1255353603
BLOOMINGTON PEDIATRICS
& ALLERGY
306 SAINT JOSEPH DRIVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
PEGRAM, LORI L., MD
GENDER: F
PROVIDER #: 000567
NPI #: 1215947171
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 664-3100
BRAUN, KRISTEN A., NP;
PROVIDER #: 007424
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BLOOMINGTON, IL
BLUE GRASS, IA
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3100
BRAUN, KRISTEN A., NP;
PROVIDER #: 007424
E-PRESCRIBE: NO
POGUE, LUCAS C., MD
GENDER: M
PROVIDER #: 078595
NPI #: 1033195847
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
ROSA, MARIA R., MD
GENDER: F
PROVIDER #: 071605
NPI #: 1992804793
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 664-3100
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
TOOHILL, KAYE H., MD
GENDER: F
PROVIDER #: 119816
NPI #: 1316905805
BLOOMINGTON PEDIATRICS
& ALLERGY LTD
306 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
Primary Care Physicians
TRAINOR, STEPHEN P., MD
GENDER: M
PROVIDER #: 000569
NPI #: 1144331828
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 664-3100
BRAUN, KRISTEN A., NP;
PROVIDER #: 007424
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
BRAUN, KRISTEN A., NP;
PROVIDER #: 007424
E-PRESCRIBE: NO
WEAVER, BARRY C., MD
GENDER: M
PROVIDER #: 002245
NPI #: 1609824242
BLOOMINGTON PEDIATRIC
& ALLERGY LTD
306 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
BLUE GRASS, IA
FAMILY PRACTICE
ANDERSEN, KURT A., MD
GENDER: M
PROVIDER #: 059360
NPI #: 1477558799
GENESIS HEALTH GROUP
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 421-4400
GILMORE, JAYNE E., CFNP;
PROVIDER #: 201318
E-PRESCRIBE: NO
ANDRESEN, ANDREW A., MD
GENDER: M
PROVIDER #: 084960
NPI #: 1396740361
GENESIS HEALTH GROUP
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 381-2180
E-PRESCRIBE: NO
BENOIT, GENA L., MD
GENDER: F
PROVIDER #: 077432
NPI #: 1730184003
GENESIS HEALTH GROUP
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 381-2180
E-PRESCRIBE: NO
BONNETT, VALERIE L., MD
GENDER: F
PROVIDER #: 054301
NPI #: 1023097912
FAMILY MEDICAL CENTER
OF BLUE GRASS
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 381-2180
E-PRESCRIBE: NO
BUNTING, DEAN A., MD
GENDER: M
PROVIDER #: 085513
NPI #: 1134170137
GENESIS HEALTH GROUP
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 381-2180
E-PRESCRIBE: NO
CLAUDY, FRANK R., MD
GENDER: M
PROVIDER #: 163036
NPI #: 1255343364
GENESIS HEALTH GROUP
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 381-2180
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
37
Primary Care Physicians
CROME, CHRISTOPHER M.,
MD
GENDER: M
PROVIDER #: 095541
NPI #: 1205831211
GENESIS HEALTH GROUP
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 421-4400
E-PRESCRIBE: NO
HULL, MARK A., MD
GENDER: M
PROVIDER #: 034800
NPI #: 1275538746
GENESIS HEALTH GROUP
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 381-2180
E-PRESCRIBE: NO
BLUE ISLAND, IL
FAMILY PRACTICE
MOUNCE, KERI L., MD
GENDER: F
PROVIDER #: 136034
NPI #: 1043304736
FAMILY MEDICAL CENTER
OF BLUE GRASS
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 381-2180
E-PRESCRIBE: NO
SORENSEN, STEPHEN M., MD
GENDER: M
PROVIDER #: 075252
NPI #: 1881647071
FAMILY MEDICAL CENTER
OF BLUE GRASS
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 381-2180
E-PRESCRIBE: NO
38
TILALA, NIRAL H., MD
GENDER: M
PROVIDER #: 130483
NPI #: 1780884551
GENESIS FAMILY MEDICAL
CENTER
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 381-2180
E-PRESCRIBE: NO
BEYENE, ASMAMAW, MD
GENDER:
PROVIDER #: 267458
NPI #: 1326161241
PMG-PRESENCE MEDICAL
GROUP
12935 S GREGORY ST
BLUE ISLAND, IL 60406
PHONE: (630) 914-2417
E-PRESCRIBE: NO
BLUE MOUND, IL
FAMILY PRACTICE
BOCK, JAMES, MD
GENDER: M
PROVIDER #: 157369
NPI #: 1285643825
ST MARYS FAMILY
MEDICINE
113 E SIEBERG
BLUE MOUND, IL 62513
PHONE: (217) 692-2151
E-PRESCRIBE: NO
BLUE GRASS, IA
BOLINGBROOK, IL
BOLINGBROOK, IL
ADULT/INTERNAL
MEDICINE
CHAKRABARTI,
SUDARSANA, MD
GENDER:
PROVIDER #: 267374
NPI #: 1104096940
SUBURBAN WELLNESS SC
396 REMINGTON BLVD
SUITE 140
BOLINGBROOK, IL 60440
PHONE: (630) 312-3005
E-PRESCRIBE: NO
KOTA, SRINIVAS C., MD
GENDER: M
PROVIDER #: 080582
NPI #: 1659481562
726 S WEBER RD
BOLINGBROOK, IL 60490
PHONE: (630) 378-9785
E-PRESCRIBE: NO
PEDIATRICS
DECKER, HEATHER A., MD
GENDER: F
PROVIDER #: 225572
NPI #: 1336114529
PROVENA MEDICAL GROUP
1000 REMINGTON BLVD
SUITE 100
BOLINGBROOK, IL 60440
PHONE: (630) 914-2417
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BOONVILLE, IN
BOURBONNAIS, IL
BOONVILLE, IN
ADULT/INTERNAL
MEDICINE
STROUSE, LESLIE S., MD
GENDER: F
PROVIDER #: 260300
NPI #: 1881601599
DEACONESS CLINIC INC
3355 LIBERTY BLVD
BOONVILLE, IN 47601
PHONE: (812) 858-3355
E-PRESCRIBE: NO
BOONVILLE, MO
FAMILY PRACTICE
WHITING, AARON J., MD
GENDER: M
PROVIDER #: 291089
NPI #: 1225359573
BOONE MEDICAL GROUP
BOONVILLE
408 6TH ST
BOONVILLE, MO 65233
PHONE: (660) 882-3955
E-PRESCRIBE: NO
BOURBON, MO
ADULT/INTERNAL
MEDICINE
BARBIN, JENNIFER F., MD
GENDER: F
PROVIDER #: 291057
NPI #: 1326160144
BOURBON CLINIC
240 COLLEGE ST
BOURBON, MO 65441
PHONE: (573) 732-5140
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
MARQUINO, MARLON C., MD
GENDER: M
PROVIDER #: 203456
NPI #: 1366642704
BOURBON CLINIC
PO BOX 100 240 COLLEGE ST
BOURBON, MO 65441
PHONE: (573) 732-5140
E-PRESCRIBE: NO
BOURBONNAIS, IL
ADULT/INTERNAL
MEDICINE
ALI, SYEDA F., MD
GENDER:
PROVIDER #: 280621
NPI #: 1861770679
RIVERSIDE HEALTH
SYSTEMS
300 RIVERSIDE DR STE 2100
BOURBONNAIS, IL 60914
PHONE: (815) 935-2784
E-PRESCRIBE: NO
ANAND, DHARAM, MD
GENDER:
PROVIDER #: 087365
NPI #: 1134107170
KEY INTERNAL MEDICINE
10 FITNESS DR STE 101
BOURBONNAIS, IL 60914
PHONE: (815) 932-9210
E-PRESCRIBE: NO
ANSARI, NADEEM, MD
GENDER: M
PROVIDER #: 271589
NPI #: 1073651808
RIVERSIDE HEALTH
SYSTEMS
400 RIVERSIDE DR STE 1600
BOURBONNAIS, IL 60914
PHONE: (815) 929-1191
E-PRESCRIBE: NO
CHANDAN, NARESH C., DO
GENDER: M
PROVIDER #: 175000
NPI #: 1811094550
ALLIANCE INTERNAL
MEDICINE SC
370 LARRY POWER RD SUITE
2
BOURBONNAIS, IL 60914
PHONE: (815) 523-7020
E-PRESCRIBE: NO
CHANDAN, NARESH, DO
GENDER:
PROVIDER #: 033633
NPI #: 1811094550
ALLIANCE INTERNAL
MEDICINE
370 LARRY POWER RD STE 2
BOURBONNAIS, IL 60914
PHONE: (815) 523-7020
E-PRESCRIBE: NO
DEEPANKAR, RAHUL, MD
GENDER: M
PROVIDER #: 194329
NPI #: 1376503045
RIVERSIDE PRIMARY CARE
ASSOCIATES
400 RIVERSIDE DRIVE SUITE
2800
BOURBONNAIS, IL 60914
PHONE: (815) 933-1671
E-PRESCRIBE: NO
HUSSAINI, ASIMA K., MD
GENDER: F
PROVIDER #: 156446
NPI #: 1437110970
RIVERSIDE PRIMARY CARE
ASSOCIATES
400 RIVERSIDE DR SUITE
2800
BOURBONNAIS, IL 60914
PHONE: (815) 935-1100
REDDICK, DENA K., FNPC;
PROVIDER #: 195029
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
39
Primary Care Physicians
MOPARTHI, VENKATA, MD
GENDER: M
PROVIDER #: 099434
NPI #: 1699797548
PROVENA MEDICAL GROUP
656 N CONVENT SUITE C
BOURBONNAIS, IL 60914
PHONE: (815) 936-5167
E-PRESCRIBE: NO
THOMAS, ABRAHAM, MD
GENDER: M
PROVIDER #: 089063
NPI #: 1063423655
PROVENA MEDICAL GROUP
656 N COVENANT SUITE B
BOURBONNAIS, IL 60914
PHONE: (815) 936-5167
E-PRESCRIBE: NO
MOSS, KEITH, MD
GENDER: M
PROVIDER #: 244026
NPI #: 1588601819
RMG INTERNAL MED
300 RIVERSIDE SUITE 2400
BOURBONNAIS, IL 60914
PHONE: (815) 935-2784
E-PRESCRIBE: YES
VILLEGAS, JOEL P., MD
GENDER: M
PROVIDER #: 186983
NPI #: 1518063205
ALLIANCE INTERNAL
MEDICINE SC
370 LARRY POWER RD SUITE
2
BOURBONNAIS, IL 60914
PHONE: (815) 741-7590
E-PRESCRIBE: NO
OMOTOSHO, WURAOLA I.,
MD
GENDER: F
PROVIDER #: 184428
NPI #: 1427222884
PROVENA SERVICE
CORPORATION
656 N CONVENT SUITE C
BOURBONNAIS, IL 60914
PHONE: (815) 936-5167
E-PRESCRIBE: NO
WROBLEWSKI, THOMAS, MD
GENDER: M
PROVIDER #: 244870
NPI #: 1891833612
RMG INTERNAL MEDICINE
300 RIVERSIDE DR STE 2100
BOURBONNAIS, IL 60914
PHONE: (815) 935-2784
E-PRESCRIBE: YES
OO, SAW, MD
GENDER: F
PROVIDER #: 170735
NPI #: 1093813156
ALLIANCE INTERNAL
MEDICINE SC
370 LARRY POWER RD SUITE
2
BOURBONNAIS, IL 60914
PHONE: (815) 523-7020
E-PRESCRIBE: NO
40
YALAMANCHILI, SARAT P.,
MD
GENDER: M
PROVIDER #: 063144
NPI #: 1194722942
SARAT P YALAMANCHILI
MD
1521 N CONVENT ST SUITE
100
BOURBONNAIS, IL 60914
PHONE: (815) 937-4500
E-PRESCRIBE: NO
BOURBONNAIS, IL
BOURBONNAIS, IL
FAMILY PRACTICE
CHANDAN, RITU, DO
GENDER: M
PROVIDER #: 280846
NPI #: 1710061650
RIVERSIDE MEDICAL
GROUP PRIMARY CARE
ASSOCIATES BO
400 RIVERSIDE DR STE 2800
BOURBONNAIS, IL 60914
PHONE: (815) 935-1100
BETTS, DAVINA, PA;
PROVIDER #: 249874
E-PRESCRIBE: YES
DOWNING, RASHIDA M., MD
GENDER: F
PROVIDER #: 208863
NPI #: 1750536645
RIVERSIDE PRIMARY CARE
ASSOCIATES
400 RIVERSIDE DR SUITE
2800
BOURBONNAIS, IL 60914
PHONE: (815) 935-1100
ROSE, LISA A., CNP;
PROVIDER #: 236919
E-PRESCRIBE: NO
GOODMAN, JORDAN A., MD
GENDER:
PROVIDER #: 132922
NPI #: 1538244389
PROVENA MEDICAL GROUP
656 N CONVENT SUITE B
BOURBONNAIS, IL 60914
PHONE: (815) 936-5186
E-PRESCRIBE: NO
NEPOMUCENO, JENNIFER,
MD
GENDER: F
PROVIDER #: 223482
NPI #: 1437175148
PROVENA MEDICAL GROUP
475 BROWN BLVD SUITE 106
BOURBONNAIS, IL 60914
PHONE: (815) 937-8786
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BOURBONNAIS, IL
BOURBONNAIS, IL
NEPOMUCENO, REYNALDO
E., MD
GENDER: M
PROVIDER #: 271079
NPI #: 1447283692
PROVENA SERVICE
CORPORATION
656 N CONVENT SUITE B
BOURBONNAIS, IL 60914
PHONE: (815) 936-5186
E-PRESCRIBE: NO
PHILIP-KULI, JULIA, MD
GENDER:
PROVIDER #: 264815
NPI #: 1417262031
RIVERSIDE MEDICAL
GROUP
400 RIVERSIDE DR STE 2800
BOURBONNAIS, IL 60914
PHONE: (815) 935-1100
E-PRESCRIBE: NO
WAHEED, HARRIS, MD
GENDER: M
PROVIDER #: 207122
NPI #: 1164511580
FIRST CARE FAMILY CLINIC
581 WILLIAM LATHAM DR
SUITE 102
BOURBONNAIS, IL 60914
PHONE: (815) 802-0000
E-PRESCRIBE: YES
ZAHEER PEDIATRIC
ASSOCIATES
581 WILLIAM LATHAM DR
SUITE 101
BOURBONNAIS, IL 60914
PHONE: (815) 802-0022
E-PRESCRIBE: YES
Primary Care Physicians
WOITAS, MEGAN P., DO
GENDER: F
PROVIDER #: 207114
NPI #: 1801091392
FIRST CARE FAMILY CLINIC
581 WILLIAM LATHAM DR
SUITE 102
BOURBONNAIS, IL 60914
PHONE: (815) 802-0000
E-PRESCRIBE: YES
WOITAS, MEGAN, DO
GENDER: F
PROVIDER #: 211783
NPI #: 1801091392
ZAHEER PEDIATRIC
ASSOCIATES
581 WILLIAM LATHAM DR
SUITE 101
BOURBONNAIS, IL 60914
PHONE: (815) 802-0022
E-PRESCRIBE: YES
PEDIATRICS
BANAS, ANTONI, MD
GENDER: M
PROVIDER #: 277896
NPI #: 1730269408
19 HERITAGE DR SUITE 209
BOURBONNAIS, IL 60914
PHONE: (815) 932-3540
E-PRESCRIBE: YES
BATISH, NAINA, MD
GENDER: F
PROVIDER #: 099729
NPI #: 1063425296
ABC PEDIATRICS OF
KANKAKEE COUNTY SC
370 LARRY POWER RD SUITE
1
BOURBONNAIS, IL 60914
PHONE: (815) 937-3515
E-PRESCRIBE: NO
GARCIA, MARIA L., MD
GENDER: F
PROVIDER #: 110659
NPI #: 1487667614
ABC PEDIATRICS OF
KANKAKEE COUNTY SC
370 LARRY POWER RD SUITE
1
BOURBONNAIS, IL 60914
PHONE: (815) 937-3515
E-PRESCRIBE: NO
KIM, YOU S., MD
GENDER: F
PROVIDER #: 005269
NPI #: 1225041445
ABC PEDIATRICS OF
KANKAKEE COUNTY SC
370 LARRY POWER RD SUITE
1
BOURBONNAIS, IL 60914
PHONE: (815) 937-3515
E-PRESCRIBE: NO
LEAHY-AUER, JOANNE M.,
MD
GENDER: F
PROVIDER #: 054745
NPI #: 1548369317
RIVERSIDE MEDICAL
CENTER OF BOURBONNAIS
338 LARRY POWER RD
BOURBONNAIS, IL 60914
PHONE: (815) 935-2991
E-PRESCRIBE: NO
MCBRIDE, DOREENA M., MD
GENDER: F
PROVIDER #: 170971
NPI #: 1801830799
PEDICLINIC PC
461 BROWN BLVD
BOURBONNAIS, IL 60914
PHONE: (815) 933-5700
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
41
BOURBONNAIS, IL
BRAIDWOOD, IL
Primary Care Physicians
OO, MYINT, MD
GENDER: M
PROVIDER #: 083190
NPI #: 1215940143
ABC PEDIATRICS OF
KANKAKEE COUNTY SC
370 LARRY POWER RD SUITE
1
BOURBONNAIS, IL 60914
PHONE: (815) 937-3515
E-PRESCRIBE: NO
RAZDAN, AVTAR, MD
GENDER: M
PROVIDER #: 005261
NPI #: 1376536615
475 BROWN BLVD
BOURBONNAIS, IL 60914
PHONE: (815) 939-0003
E-PRESCRIBE: YES
GENERAL PRACTICE
MCKENNEY, EDWARD F., DO
GENDER: M
PROVIDER #: 044066
NPI #: 1457334591
MEMORIAL MEDICAL
CLINICS
209 E 5TH STREET
BOWEN, IL 62316
PHONE: (217) 842-5211
LEON, JEFFREY A., PA-C;
PROVIDER #: 034004
E-PRESCRIBE: NO
BOWLING GREEN, MO
STERLING, LEIGH E., DO
GENDER: F
PROVIDER #: 184711
NPI #: 1326225954
ZAHEER PEDIATRIC
ASSOCIATES
581 WILLIAM LATHAM DR
SUITE 101
BOURBONNAIS, IL 60914
PHONE: (815) 802-0022
E-PRESCRIBE: NO
ZAHEER, SAADIA, MD
GENDER: F
PROVIDER #: 186459
NPI #: 1629178264
ZAHEER PEDIATRIC
ASSOCIATES
581 WILLIAM LATHAM DR
SUITE 101
BOURBONNAIS, IL 60914
PHONE: (815) 802-0022
E-PRESCRIBE: NO
42
BOWEN, IL
FAMILY PRACTICE
MYERS, JANET P., DO
GENDER: F
PROVIDER #: 051522
NPI #: 1770562225
HANNIBAL CLINIC
OPERATIONS LLC
710 BUSINESS 61 SOUTH
BOWLING GREEN, MO 63334
PHONE: (573) 324-2063
E-PRESCRIBE: NO
BRADLEY, IL
FAMILY PRACTICE
ARANAS, MELCHOR-PAULO,
MD
GENDER: M
PROVIDER #: 230885
NPI #: 1376775205
THE MEDICAL GROUP OF
KANKAKEE COUNTY
555 E NORTH ST SUITE 3
BRADLEY, IL 60915
PHONE: (815) 929-0858
E-PRESCRIBE: YES
DAYHOFF JR, CLYDE W., DO
GENDER: M
PROVIDER #: 072102
NPI #: 1255417382
THE MEDICAL GROUP OF
KANKAKEE COUNTY
555 E NORTH ST SUITE 3
BRADLEY, IL 60915
PHONE: (815) 929-0858
E-PRESCRIBE: NO
ZAIDI, HASHIM R., MD
GENDER: M
PROVIDER #: 140892
NPI #: 1821005448
THE MEDICAL GROUP OF
KANKAKEE COUNTY
555 E NORTH ST SUITE E
BRADLEY, IL 60915
PHONE: (815) 929-0858
E-PRESCRIBE: NO
PEDIATRICS
YOUSSEF, HASSAN H., MD
GENDER: M
PROVIDER #: 188371
NPI #: 1609903574
400 S KENNEDY DR SUITE
900
BRADLEY, IL 60915
PHONE: (815) 932-3132
E-PRESCRIBE: NO
BRAIDWOOD, IL
FAMILY PRACTICE
PASSERMAN, MARK A., DO
GENDER: M
PROVIDER #: 118822
NPI #: 1851404313
BRAIDWOOD HEALTHCARE
CENTER
389 E MAIN ST
BRAIDWOOD, IL 60408
PHONE: (815) 458-2532
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
BRAIDWOOD, IL
BRIMFIELD, IL
THOMAS, JENNIFER L., MD
GENDER: F
PROVIDER #: 186477
NPI #: 1811181712
BRAIDWOOD HEALTHCARE
CENTER
389 E MAIN ST
BRAIDWOOD, IL 60408
PHONE: (815) 458-2532
E-PRESCRIBE: NO
BRAZIL, IN
FAMILY PRACTICE
BOULOS, DANY, MD
GENDER: M
PROVIDER #: 204671
NPI #: 1780830703
PROVIDENCE MEDICAL
GROUP
1207 E NATIONAL AVE
BRAZIL, IN 47834
PHONE: (812) 446-2551
E-PRESCRIBE: NO
BREITWEISER, DAVID A., MD
GENDER: M
PROVIDER #: 122563
NPI #: 1194715854
PROVIDENCE MEDICAL
GROUP
1214 EAST NATIONAL
AVENUE SUITE 100
BRAZIL, IN 47834
PHONE: (812) 238-1730
E-PRESCRIBE: NO
JOHNSON, CRAIG A., MD
GENDER: M
PROVIDER #: 154359
NPI #: 1295725851
PROVIDENCE MEDICAL
GROUP
1214 EAST NATIONAL
AVENUE SUITE 100
BRAZIL, IN 47834
PHONE: (812) 238-1730
E-PRESCRIBE: NO
Primary Care Physicians
ZWERNER, FRANK A., DO
GENDER: M
PROVIDER #: 205826
NPI #: 1821254269
PROVIDENCE MEDICAL
GROUP
1214 E NATIONAL AVE SUITE
100
BRAZIL, IN 47834
PHONE: (812) 238-1730
E-PRESCRIBE: NO
BRIDGETON, MO
ADULT/INTERNAL
MEDICINE
HERNANDEZ, RICARDO A.,
MD
GENDER: M
PROVIDER #: 290775
NPI #: 1225191380
12303 DEPAUL DR
BRIDGETON, MO 63044
PHONE: (314) 344-6000
E-PRESCRIBE: NO
PEDIATRICS
FERGUSON, JULIE R., DO
GENDER: F
PROVIDER #: 287407
NPI #: 1689602781
GLENNON CARE
PROFESSIONAL SERVICES
12255 DEPAUL DRIVE SUITE
300
BRIDGETON, MO 63044
PHONE: (314) 344-6021
E-PRESCRIBE: NO
MAJERUS, CHELSEA R., MD
GENDER: F
PROVIDER #: 299118
NPI #: 1154634376
SSM DEPAUL HC PHYS
BILLING
12303 DEPAUL DRIVE
BRIDGETON, MO 63044-2512
PHONE: (314) 344-7280
E-PRESCRIBE: NO
POTTS, KATHLEEN M., CPNP
GENDER: F
PROVIDER #: 265889
NPI #: 1518912708
GLENNON CARE
PREOFESSIONAL SERVICES
DBA GLENNON CA
12255 DEPAUL DRIVE
BRIDGETON, MO 63044
PHONE: (314) 344-6021
E-PRESCRIBE: NO
BRIMFIELD, IL
FAMILY PRACTICE
BEVILL, ROBERT S., MD
GENDER: M
PROVIDER #: 008402
NPI #: 1700886280
EAGLE FAMILY MEDICINE
111 E KNOXVILLE AVE
BRIMFIELD, IL 61517
PHONE: (309) 446-3305
ESTEP, PATRICIA J., APN;
PROVIDER #: 086784
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
43
Primary Care Physicians
BUSHNELL, IL
FAMILY PRACTICE
ARNOLD, JOHN M., MD
GENDER: M
PROVIDER #: 014509
NPI #: 1154327526
BUSHNELL FAMILY
PRACTICE
155 W HAIL ST
BUSHNELL, IL 61422
PHONE: (309) 772-9444
ADAMS, SUSAN E., APN;
PROVIDER #: 108211
BUSTER, TRUDY M., APN;
PROVIDER #: 223253
E-PRESCRIBE: NO
MMG BUSHNELL FAMILY
PRACTICE
1150 N COLE ST
BUSHNELL, IL 61422
PHONE: (309) 772-9444
E-PRESCRIBE: NO
BYRON, IL
FAMILY PRACTICE
FLOORE, CYNTHIA A., MD
GENDER: F
PROVIDER #: 272784
NPI #: 1235126632
OSF MEDICAL GROUP
109 N FRANKLIN ST
BYRON, IL 61010
PHONE: (815) 395-4542
E-PRESCRIBE: NO
GELLADA, KAREN, MD
GENDER:
PROVIDER #: 220336
NPI #: 1285897967
ROCKFORD HEALTH
PHYSICIANS
130 KYSOR DR
BYRON, IL 61010
PHONE: (815) 971-2000
E-PRESCRIBE: NO
44
MYERS, RACHEL N., MD
GENDER: F
PROVIDER #: 248529
NPI #: 1013149889
OSF MEDICAL GROUP
109 N FRANKLIN ST
BYRON, IL 61010
PHONE: (815) 234-3900
E-PRESCRIBE: NO
PEDIATRICS
PUNSALAN, ROBIN A., MD
GENDER: F
PROVIDER #: 252534
NPI #: 1326367236
OSF MEDICAL GROUP
109 N FRANKLIN ST
BYRON, IL 61010
PHONE: (815) 234-3900
E-PRESCRIBE: NO
CALVERT CITY, KY
GENERAL PRACTICE
WALLER, CHARLES L., MD
GENDER: M
PROVIDER #: 096831
NPI #: 1306841341
PURCHASE CARE LLC
503 5TH AVE
CALVERT CITY, KY 42029
PHONE: (270) 395-5388
E-PRESCRIBE: NO
BUSHNELL, IL
CAMBRIDGE, IL
CAMBRIDGE, IL
ADULT/INTERNAL
MEDICINE
KVELLAND, EVEN C., MD
GENDER: M
PROVIDER #: 046221
NPI #: 1467430025
TRINITY FAMILY MEDICAL
ASSOCIATES
106 N EAST ST
CAMBRIDGE, IL 61238
PHONE: (309) 937-2405
E-PRESCRIBE: YES
VAN KERREBROECK, DREW
R., MD
GENDER: M
PROVIDER #: 085168
NPI #: 1568440345
TRINITY FAMILY MEDICAL
ASSOCIATES
106 N EAST ST
CAMBRIDGE, IL 61238
PHONE: (309) 937-2405
E-PRESCRIBE: YES
FAMILY PRACTICE
FORD, DONALD R., MD
GENDER: M
PROVIDER #: 046218
NPI #: 1053398933
TRINITY FAMILY MEDICAL
ASSOCIATES
106 N EAST ST
CAMBRIDGE, IL 61238
PHONE: (309) 937-2405
E-PRESCRIBE: YES
PETERSON, AMBER M., MD
GENDER: F
PROVIDER #: 134214
NPI #: 1225175607
TRINITY FAMILY MEDICAL
ASSOCIATES
106 N EAST ST
CAMBRIDGE, IL 61238
PHONE: (309) 937-2405
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CAMBRIDGE, IL
CANTON, IL
PEDIATRICS
VAN KERREBROECK, DREW
R., MD
GENDER: M
PROVIDER #: 085168
NPI #: 1568440345
TRINITY FAMILY MEDICAL
ASSOCIATES
106 N EAST ST
CAMBRIDGE, IL 61238
PHONE: (309) 937-2405
E-PRESCRIBE: YES
CANTON, IL
ADULT/INTERNAL
MEDICINE
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: YES
KROCK, KENNETH, MD
GENDER: M
PROVIDER #: 013495
NPI #: 1699883868
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
PHILLIPS, BENJAMIN W., MD
GENDER: M
PROVIDER #: 133274
NPI #: 1275678021
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
ADAMS, SUSAN E., CNP;
PROVIDER #: 154523
E-PRESCRIBE: NO
Primary Care Physicians
SMITH, JIMMIE, MD
GENDER: M
PROVIDER #: 014146
NPI #: 1194834937
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
LANSER, TODD A., MD
GENDER: M
PROVIDER #: 166967
NPI #: 1376765891
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
FAMILY PRACTICE
MARTIN, ERIN, MD
GENDER: F
PROVIDER #: 172229
NPI #: 1457573818
METHODIST MEDICAL
GROUP AT CANTON
2076 N MAIN
CANTON, IL 61520
PHONE: (309) 647-6090
E-PRESCRIBE: NO
BOWERS, JOSHUA D., MD
GENDER: M
PROVIDER #: 167250
NPI #: 1194947002
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (307) 647-0201
E-PRESCRIBE: NO
DAY, JOHN H., MD
GENDER: M
PROVIDER #: 117182
NPI #: 1376651802
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
HOLTHAUS, SUZANNE E., MD
GENDER: F
PROVIDER #: 062751
NPI #: 1174631337
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
FAWCETT, GRETCHEN W., PA;
PROVIDER #: 149499
E-PRESCRIBE: NO
MORSE II, JAMES R., MD
GENDER: M
PROVIDER #: 048254
NPI #: 1134135627
METHODIST MEDICAL
GROUP AT CANTON
2076 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-6090
JOHNSON, CANDY, FNP;
PROVIDER #: 174551
E-PRESCRIBE: NO
RENICK, PATRICK B., MD
GENDER: M
PROVIDER #: 151022
NPI #: 1760604193
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
45
Primary Care Physicians
SAVEGNAGO, A KURT, MD
GENDER: M
PROVIDER #: 013497
NPI #: 1003924085
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
HAYES, DEBRA L., NP;
PROVIDER #: 035446
E-PRESCRIBE: NO
PEDIATRICS
KROCK, KENNETH, MD
GENDER: M
PROVIDER #: 013495
NPI #: 1699883868
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
PHILLIPS, BENJAMIN W., MD
GENDER: M
PROVIDER #: 133274
NPI #: 1275678021
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
ADAMS, SUSAN E., CNP;
PROVIDER #: 154523
E-PRESCRIBE: NO
WELL, MARCI, MD
GENDER: F
PROVIDER #: 049801
NPI #: 1821107699
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
46
CAPE GIRARDEAU, MO
PEDIATRICS
DEMPSHER, DAVID, MD
GENDER: M
PROVIDER #: 074630
NPI #: 1063527414
SOUTHEAST MISSOURI
HOSPITAL
1701 LACEY ST
CAPE GIRARDEAU, MO 63701
PHONE: (573) 331-6372
E-PRESCRIBE: NO
EDDY, MARK, MD
GENDER: M
PROVIDER #: 074670
NPI #: 1760596126
SOUTHEAST MISSOURI
HOSPITAL
1701 LACEY ST
CAPE GIRARDEAU, MO 63701
PHONE: (573) 331-6372
E-PRESCRIBE: NO
SISKA, MARGARET K., MD
GENDER: F
PROVIDER #: 258523
NPI #: 1013195122
SOUTHEAST MISSOURI
HOSPITAL
1701 LACEY ST
CAPE GIRARDEAU, MO 63701
PHONE: (573) 331-6372
E-PRESCRIBE: NO
CANTON, IL
CARBONDALE, IL
CARBONDALE, IL
ADULT/INTERNAL
MEDICINE
FASNACHT, ELBERT A., MD
GENDER: M
PROVIDER #: 027366
NPI #: 1790834828
721 S LEWIS LANE
CARBONDALE, IL 62901
PHONE: (618) 457-4999
WOODS, ABBY M., NP;
PROVIDER #: 217067
E-PRESCRIBE: NO
LAWLER BJORNBERG,
COLLEEN M., MD
GENDER: F
PROVIDER #: 076582
NPI #: 1750370243
522 E MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 457-8275
E-PRESCRIBE: NO
MARTIN, KURT R., MD
GENDER: M
PROVIDER #: 027530
NPI #: 1164535365
SIH MEDICAL GROUP AT
CENTER FOR MEDICAL
ARTS
2601 W MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 549-5361
DAVIS, JILL L., PA; PROVIDER
#: 109260
LYONS, MARY C., PA;
PROVIDER #: 037666
SMITH, TOMMIE S., PA-C;
PROVIDER #: 155059
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CARBONDALE, IL
CARBONDALE, IL
MATSA, SWARNA, MD
GENDER: F
PROVIDER #: 255522
NPI #: 1245548536
SIH MEDICAL GROUP AT
CENTER FOR MEDICAL
ARTS
2601 W MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 549-5361
E-PRESCRIBE: NO
MELLA-PICEL, CARLOS, MD
GENDER: M
PROVIDER #: 254239
NPI #: 1770713125
SIH MEDICAL GROUP AT
CENTER FOR MEDICAL
ARTS
2601 W MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 549-5361
E-PRESCRIBE: YES
RUIZ JORGE, GRETEL R., MD
GENDER:
PROVIDER #: 255243
NPI #: 1427289859
SIH MEDICAL GROUP AT
CENTER FOR MEDICAL
ARTS
2601 W MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 549-5361
E-PRESCRIBE: YES
FAMILY PRACTICE
CHAUDHRY, MUKESH, MD
GENDER: F
PROVIDER #: 125471
NPI #: 1508866559
CARBONDALE FAMILY
MEDICINE LLC
1175 CEDAR COURT
CARBONDALE, IL 62901
PHONE: (618) 549-0300
E-PRESCRIBE: NO
Primary Care Physicians
GARRIDO-ZAMBRANO,
ALEX, MD
GENDER: M
PROVIDER #: 228142
NPI #: 1720242480
SIH MEDICAL GROUP AT
CENTER FOR MEDICAL
ARTS
2601 W MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 549-5361
E-PRESCRIBE: NO
HUMPHREY, ANDREA, MD
GENDER: F
PROVIDER #: 197443
NPI #: 1265626105
NEW HORIZONS OB/GYN
305 W JACKSON ST SUITE 100
CARBONDALE, IL 62901
PHONE: (618) 457-0404
E-PRESCRIBE: NO
HUMPHREY, JON O., MD
GENDER: M
PROVIDER #: 133676
NPI #: 1699972893
SIU - SOUTHERN ILLINOIS
FAMILY MEDICINE
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
E-PRESCRIBE: NO
JONES, ROGER D., MD
GENDER: M
PROVIDER #: 002824
NPI #: 1285723635
SIH MEDICAL GROUP
FAMILY PRACTICE
207 W JACKSON SUITE 102
CARBONDALE, IL 62901
PHONE: (618) 457-0456
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
E-PRESCRIBE: NO
LUTCHKA, DARLENE S., MD
GENDER: F
PROVIDER #: 108715
NPI #: 1760429146
SHAWNEE HEALTH CARE
400 S LEWIS LN
CARBONDALE, IL 62901
PHONE: (618) 519-9900
ROHLING, MICHAEL P., LCPC;
PROVIDER #: 292395
SCOTT, MARCIA K., PA;
PROVIDER #: 204683
E-PRESCRIBE: NO
MALONE, SARA B., MD
GENDER: F
PROVIDER #: 177640
NPI #: 1386976298
SIU SOUTHERN ILLINOIS
FAMILY MEDICINE
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
E-PRESCRIBE: NO
MCELHENY, BRIAN G., MD
GENDER: M
PROVIDER #: 019904
NPI #: 1386603033
SIH MEDICAL GROUP
FAMILY PRACTICE
207 W JACKSON SUITE 102
CARBONDALE, IL 62901
PHONE: (618) 457-6787
E-PRESCRIBE: YES
MIGONE, ANA O., MD
GENDER: F
PROVIDER #: 027532
NPI #: 1790753341
SIH MEDICAL GROUP AT
CENTER FOR MEDICAL
ARTS
2601 W MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 549-5361
BOTTIAUX, BIANCA B., PA-C;
PROVIDER #: 037526
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
47
Primary Care Physicians
MOORE-CONNELLEY, MARCI
L., MD
GENDER: F
PROVIDER #: 070315
NPI #: 1851377717
SIU - SOUTHERN ILLINOIS
FAMILY MEDICINE
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
E-PRESCRIBE: NO
NAING, KYAW, MD
GENDER: M
PROVIDER #: 032834
NPI #: 1215913181
SIU - SOUTHERN ILLINOIS
FAMILY MEDICINE
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
E-PRESCRIBE: NO
SHAWNEE HEALTH CARE
400 S LEWIS LN
CARBONDALE, IL 62901
PHONE: (618) 519-9900
EPPLIN, ANDREA, APN;
PROVIDER #: 259484
ROHLING, MICHAEL P., LCPC;
PROVIDER #: 292395
E-PRESCRIBE: NO
48
SALEM, ANAD K., MD
GENDER: M
PROVIDER #: 047982
NPI #: 1659366839
SIU PHYSICIANS &
SURGEONS
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
E-PRESCRIBE: NO
SMAGA, SHARON, MD
GENDER: F
PROVIDER #: 029478
NPI #: 1689650566
SIU - SOUTHERN ILLINOIS
FAMILY MEDICINE
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
E-PRESCRIBE: NO
SALEM, ANAD, MD
GENDER: M
PROVIDER #: 031261
NPI #: 1659366839
207 W JACKSON
CARBONDALE, IL 62901
PHONE: (618) 457-2963
KEMP, COLLEEN B., PA;
PROVIDER #: 257837
E-PRESCRIBE: NO
TIPPY, PENELOPE, MD
GENDER: F
PROVIDER #: 032828
NPI #: 1568448447
SIU - SOUTHERN ILLINOIS
FAMILY MEDICINE
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
BAIER, MAX A., PA; PROVIDER
#: 125714
E-PRESCRIBE: NO
SCHONEWOLF, SCOTT K.,
DO
GENDER: M
PROVIDER #: 109954
NPI #: 1114996204
SIU - SOUTHERN ILLINOIS
FAMILY MEDICINE
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
E-PRESCRIBE: NO
NEWCOMB, AARON, DO
GENDER: M
PROVIDER #: 151082
NPI #: 1568636470
ADOLESCENT HEALTH
CENTER
101 SOUTH WALL STREET
CARBONDALE, IL 62901
PHONE: (618) 529-2621
E-PRESCRIBE: NO
CARBONDALE, IL
CARBONDALE, IL
SCOTT, QUINCY O., DO
GENDER: M
PROVIDER #: 032826
NPI #: 1992781710
SIU - SOUTHERN ILLINOIS
FAMILY MEDICINE
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
MARKLEY, ALICIA D., PA-C;
PROVIDER #: 267672
E-PRESCRIBE: NO
YOCHUM, ANDREW J., DO
GENDER: M
PROVIDER #: 226686
NPI #: 1568682649
SIU-SOUTHERN ILLINOIS
FAMILY MEDICINE
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 453-3777
WOODARD, EMILY E., PA;
PROVIDER #: 249732
E-PRESCRIBE: YES
FAMILY PRACTICE OB
HUMPHREY, ANDREA, MD
GENDER: F
PROVIDER #: 197443
NPI #: 1265626105
NEW HORIZONS OB/GYN
305 W JACKSON ST SUITE 100
CARBONDALE, IL 62901
PHONE: (618) 457-0404
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CARBONDALE, IL
CARLINVILLE, IL
FEDERALLY QUALIFIED
HEALTH CENTER
ADOLESCENT HEALTH
CENTER
GENDER:
PROVIDER #: 228939
NPI #: 1457381774
101 SOUTH WALL STREET
CARBONDALE, IL 62901-0321
PHONE: (618) 985-2200
E-PRESCRIBE: NO
SHAWNEE HEALTH CARE
CARBONDALE
GENDER:
PROVIDER #: 206624
NPI #: 1073745345
400 S LEWIS LANE
CARBONDALE, IL 62901-3457
PHONE: (618) 985-2200
E-PRESCRIBE: NO
SHAWNEE WOMENS HEALTH
AND FAMILY MEDICINE
GENDER:
PROVIDER #: 157764
NPI #: 1578656682
202 W JACKSON ST
CARBONDALE, IL 62901
PHONE: (618) 457-0465
E-PRESCRIBE: NO
SOUTHERN IL RESPIRATORY
DISEASE CLINIC
CARBONDALE
GENDER:
PROVIDER #: 207319
NPI #: 1346427333
1335 CEDAR CT
CARBONDALE, IL 62901
PHONE: (618) 985-2200
E-PRESCRIBE: NO
Primary Care Physicians
PEDIATRICS
BLEICHNER, AMANDA J., MD
GENDER: F
PROVIDER #: 184264
NPI #: 1639339419
SIH MEDICAL GROUP AT
CENTER FOR MEDICAL
ARTS
2601 W MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 543-5361
JOHNSON, WENDI, APN;
PROVIDER #: 280995
E-PRESCRIBE: NO
KORTE, TANDY P., MD
GENDER: F
PROVIDER #: 075989
NPI #: 1376656439
SIH MEDICAL GROUP AT
CENTER FOR MEDICAL
ARTS
2601 W MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 549-5361
E-PRESCRIBE: YES
MARTIN, KURT R., MD
GENDER: M
PROVIDER #: 027530
NPI #: 1164535365
SIH MEDICAL GROUP AT
CENTER FOR MEDICAL
ARTS
2601 W MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 549-5361
DAVIS, JILL L., PA; PROVIDER
#: 109260
LYONS, MARY C., PA;
PROVIDER #: 037666
SMITH, TOMMIE S., PA-C;
PROVIDER #: 155059
E-PRESCRIBE: YES
PAVLOVICH, JAMES J., MD
GENDER: M
PROVIDER #: 027538
NPI #: 1679686745
SIH MEDICAL GROUP AT
CENTER FOR MEDICAL
ARTS
2601 W MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 549-5361
HALE, DEANA L., APN;
PROVIDER #: 205603
E-PRESCRIBE: NO
PLOEGMAN, PAUL F., MD
GENDER: M
PROVIDER #: 027246
NPI #: 1871517466
1111 CEDAR CT
CARBONDALE, IL 62901
PHONE: (618) 529-8687
E-PRESCRIBE: NO
CARLINVILLE, IL
ADULT/INTERNAL
MEDICINE
CHANDRA, ALPANA, MD
GENDER: F
PROVIDER #: 238420
NPI #: 1033212923
HSHS MEDICAL GROUP INC
20733 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3141
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
49
Primary Care Physicians
CHOPRA, KAMAL K., MD
GENDER: M
PROVIDER #: 008537
NPI #: 1598762262
CARLINVILLE MEDICAL
CLINIC
604 N BROAD STREET
CARLINVILLE, IL 62626
PHONE: (217) 854-9411
DE WITT, NATHAN A., PA;
PROVIDER #: 103380
GUIDISH, CATHY L., FNP;
PROVIDER #: 119668
NORRIS, ARLENE, PA-C;
PROVIDER #: 081057
E-PRESCRIBE: NO
CRANCER, LESTER A., DO
GENDER: M
PROVIDER #: 068120
NPI #: 1285682864
JCH MEDICAL GROUP
CARLINVILLE
103 MCCASLAND
CARLINVILLE, IL 62626
PHONE: (217) 854-2623
SEYMOUR, DEBORAH M.,
APN; PROVIDER #: 278415
E-PRESCRIBE: NO
MCNEAR, MICHAEL S., MD
GENDER: M
PROVIDER #: 048951
NPI #: 1619934304
JCH MEDICAL GROUP
CARLINVILLE
103 MCCASLAND
CARLINVILLE, IL 62626
PHONE: (217) 854-2623
SMITH, JONNELLE, PA-C;
PROVIDER #: 218705
E-PRESCRIBE: NO
50
OBRIEN, ELIZABETH E., MD
GENDER: F
PROVIDER #: 151137
NPI #: 1881650570
SPRINGFIELD CLINIC
101 MCCASLAND AVE
CARLINVILLE, IL 62626
PHONE: (217) 854-5099
JAVENS, HANNAH J., PA-C;
PROVIDER #: 210674
E-PRESCRIBE: YES
CARLINVILLE, IL
CARMI, IL
PEDIATRICS
FAMILY PRACTICE
ATEVENS-SCHILSKY, LINDA
V., MD
GENDER: F
PROVIDER #: 238323
NPI #: 1245203439
JCH MEDICAL GROUP
CARLINVILLE
103 MCCASLAND
CARLINVILLE, IL 62626
PHONE: (217) 854-2623
E-PRESCRIBE: NO
WILKENS, KATE M., MD
GENDER: F
PROVIDER #: 189130
NPI #: 1477735397
CARLINVILLE AREA
HOSPITAL
1115 MORGAN ST #2
CARLINVILLE, IL 62626
PHONE: (217) 854-3141
E-PRESCRIBE: NO
CRUZ, LOURDES M., MD
GENDER: F
PROVIDER #: 041111
NPI #: 1932165537
JCH MEDICAL GROUP
CARLINVILLE
103 MCCASLAND
CARLINVILLE, IL 62626
PHONE: (217) 854-2623
E-PRESCRIBE: NO
CARLINVILLE AREA
HOSPITAL ASSOCIATION
20733 NORTH BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3141
E-PRESCRIBE: NO
CARLINVILLE FAMILY
HEALTHCARE
1115 MORGAN ST STE 2
CARLINVILLE, IL 62626
PHONE: (217) 854-3881
E-PRESCRIBE: NO
KATERJI, BASEL, MD
GENDER: M
PROVIDER #: 274055
NPI #: 1508152315
SPRINGFIELD CLINIC LLP
101 MCCASLAND AVE
CARLINVILLE, IL 62626
PHONE: (217) 854-5099
E-PRESCRIBE: NO
CARMI, IL
FAMILY PRACTICE
BRITT, ANDREW M., MD
GENDER: M
PROVIDER #: 087983
NPI #: 1033115043
CARMI COMMUNITY
HEALTH CENTER
103 COMMERCE ST
CARMI, IL 62821
PHONE: (618) 384-5686
SUTTON, GRETCHEN P., PA-C;
PROVIDER #: 183587
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CARMI, IL
CARROLL, IA
CARTER, HARRY A., MD
GENDER: M
PROVIDER #: 019507
NPI #: 1538165261
CARMI COMMUNITY
HEALTH CENTER
103 COMMERCE ST
CARMI, IL 62821
PHONE: (618) 384-5686
CWIK, CHERYL, PA;
PROVIDER #: 263714
E-PRESCRIBE: NO
DOLAN, NATHANAEL J., MD
GENDER: M
PROVIDER #: 166997
NPI #: 1417183153
CARMI COMMUNITY
HEALTH CENTER
103 COMMERCE ST
CARMI, IL 62821
PHONE: (618) 384-5686
E-PRESCRIBE: NO
GENERAL PRACTICE
SAQIB, ZAHID, MD
GENDER: M
PROVIDER #: 004783
NPI #: 1710063292
DOCTORS CLINIC
402 S PLUM ST
CARMI, IL 62821
PHONE: (618) 382-4193
E-PRESCRIBE: NO
PEDIATRICS
BARNHART, RACHEL T., MD
GENDER: F
PROVIDER #: 100626
NPI #: 1265438576
CARMI COMMUNITY
HEALTH CENTER
103 COMMERCE ST
CARMI, IL 62821
PHONE: (618) 384-5686
E-PRESCRIBE: NO
Primary Care Physicians
JONES, JED W., DO
GENDER: M
PROVIDER #: 203676
NPI #: 1740287226
CARMI COMMUNITY
HEALTH CENTER
103 COMMERCE ST
CARMI, IL 62821
PHONE: (618) 384-5686
E-PRESCRIBE: NO
CAROL STREAM, IL
ADULT/INTERNAL
MEDICINE
CAMPANO, LEE C., MD
GENDER: M
PROVIDER #: 269724
NPI #: 1104041797
CADENCE PHYSICIAN
GROUP
571 THORHILL DR
CAROL STREAM, IL 60188
PHONE: (630) 668-3210
E-PRESCRIBE: NO
HENG, JOAQUIN, MD
GENDER: M
PROVIDER #: 269143
NPI #: 1457455750
CADENCE PHYSICIAN
GROUP
517 THORHILL DR
CAROL STREAM, IL 60188
PHONE: (630) 668-3210
E-PRESCRIBE: NO
IGNATIUS, SUSAN T., MD
GENDER: F
PROVIDER #: 269501
NPI #: 1649374935
CADENCE PHYSICIAN
GROUP
517 THORNHILL DR
CAROL STREAM, IL 60188
PHONE: (630) 668-3210
E-PRESCRIBE: NO
MIELE, ANGELO, MD
GENDER: F
PROVIDER #: 269851
NPI #: 1144326109
CADENCE PHYSICIAN
GROUP
517 THORNHILL DR
CAROL STREAM, IL 60188
PHONE: (630) 668-3210
E-PRESCRIBE: NO
CARPENTERSVILLE, IL
FAMILY PRACTICE
JOSEPH, JINCY K., MD
GENDER: F
PROVIDER #: 180178
NPI #: 1720009228
2201 RANDALL RD
CARPENTERSVILLE, IL 60110
PHONE: (847) 551-1589
E-PRESCRIBE: NO
PEDIATRICS
MAW, THIDA, MD
GENDER: F
PROVIDER #: 189862
NPI #: 1114927191
2201 RANDALL ROAD
CARPENTERSVILLE, IL 60110
PHONE: (847) 428-1179
E-PRESCRIBE: NO
CARROLL, IA
FAMILY PRACTICE
YANKEY, JOSEPH M., DO
GENDER: M
PROVIDER #: 242025
NPI #: 1538329917
DES MOINES ORTHOPAEDIC
SURGEONS PC
311 S CLARK ST SUITE 285
CARROLL, IA 51401
PHONE: (712) 792-2093
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
51
Primary Care Physicians
CARROLLTON, IL
ADULT/INTERNAL
MEDICINE
MCNEAR, MICHAEL S., MD
GENDER: M
PROVIDER #: 048951
NPI #: 1619934304
JCH MEDICAL GROUP
CARROLLTON
523 S MAIN ST
CARROLLTON, IL 62016
PHONE: (217) 942-3326
SMITH, JONNELLE, PA-C;
PROVIDER #: 218705
E-PRESCRIBE: NO
FAMILY PRACTICE
ADAMS, AUGUST G., MD
GENDER: M
PROVIDER #: 071511
NPI #: 1992803985
THOMAS H BOYD
MEMORIAL HOSPITAL
800 SCHOOL ST
CARROLLTON, IL 62016
PHONE: (217) 942-3600
KULP, MELISSA G., FNP;
PROVIDER #: 271072
E-PRESCRIBE: NO
ALI, MOHAMMED, MD
GENDER: M
PROVIDER #: 239337
NPI #: 1184708547
THOMAS H BOYD
MEMORIAL HOSPITAL
800 SCHOOL ST
CARROLLTON, IL 62016
PHONE: (217) 942-3600
E-PRESCRIBE: NO
52
GILL, GULTASIB K., MD
GENDER: M
PROVIDER #: 280455
NPI #: 1306125521
THOMAS H BOYD
MEMORIAL HOSPITAL
800 SCHOOL ST
CARROLLTON, IL 62016
PHONE: (217) 942-3600
E-PRESCRIBE: NO
SIDDIQUI, GULAM, MD
GENDER: M
PROVIDER #: 221463
NPI #: 1720131188
THOMAS H BOYD
MEMORIAL HOSPITAL
800 SCHOOL ST
CARROLLTON, IL 62016
PHONE: (217) 942-3600
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
THOMAS H BOYD RURAL
HEALTH CLINIC
GENDER:
PROVIDER #: 280482
NPI #: 1164507604
800 SCHOOL ST
CARROLLTON, IL 62016
PHONE: (217) 942-9012
E-PRESCRIBE: NO
PEDIATRICS
ATEVENS-SCHILSKY, LINDA
V., MD
GENDER: F
PROVIDER #: 238323
NPI #: 1245203439
JCH MEDICAL GROUP
CARROLLTON
523 SOUTH MAIN ST
CARROLLTON, IL 62016
PHONE: (217) 942-3326
E-PRESCRIBE: NO
CARROLLTON, IL
CARTERVILLE, IL
UHLES, JAMES E., MD
GENDER: M
PROVIDER #: 166268
NPI #: 1427270941
JCH MEDICAL GROUP
CARROLLTON
523 S MAIN ST
CARROLLTON, IL 62016
PHONE: (217) 942-3326
E-PRESCRIBE: NO
CARTERVILLE, IL
FAMILY PRACTICE
BROWN, DOUGLAS, DO
GENDER: M
PROVIDER #: 182629
NPI #: 1033364674
BROWNS FAMILY MEDICINE
LLC
209 W COMMERCIAL SUITE
H
CARTERVILLE, IL 62918
PHONE: (618) 985-9559
E-PRESCRIBE: NO
NEKZAD, MATIN, MD
GENDER: M
PROVIDER #: 045510
NPI #: 1679548689
CARTERVILLE FAMILY
PRACTICE
1006 S DIVISION ST
CARTERVILLE, IL 62918-1544
PHONE: (618) 985-4841
BLESS, CATHY D., CNP;
PROVIDER #: 073080
CHURCH, SHOSHANA, PA-C;
PROVIDER #: 169746
MCMURPHY, KATHRYN M.,
PA; PROVIDER #: 301242
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CARTERVILLE, IL
CARTHAGE, IL
WACHTER, JAMES E., MD
GENDER: M
PROVIDER #: 033301
NPI #: 1982655692
CARTERVILLE FAMILY
PRACTICE CENTER
1006 S DIVISION ST
CARTERVILLE, IL 62918
PHONE: (618) 985-4841
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
CARTERVILLE FAMILY
PRACTICE
GENDER:
PROVIDER #: 027171
NPI #: 1811928732
6325 BRANDHORST DR
CARTERVILLE, IL 62918
PHONE: (618) 985-4841
E-PRESCRIBE: NO
CARTHAGE, IL
ADULT/INTERNAL
MEDICINE
WESP, AARON G., MD
GENDER: M
PROVIDER #: 233662
NPI #: 1831169788
MEMORIAL MEDICAL
CLINIC CARTHAGE
1450 N COUNTY RD 2050
CARTHAGE, IL 62321
PHONE: (217) 357-2173
E-PRESCRIBE: NO
WOMEN & FAMILY
MEDICAL GROUP
403 S ADAMS ST SUITE 239
CARTHAGE, IL 62321
PHONE: (217) 357-0617
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
ALT, SUZANNE E., DO
GENDER: F
PROVIDER #: 206489
NPI #: 1811995566
WOMEN & FAMILY
MEDICAL GROUP
403 S ADAMS ST SUITE 239
CARTHAGE, IL 62321
PHONE: (217) 357-0617
E-PRESCRIBE: YES
BELL, CARL T., MD
GENDER: M
PROVIDER #: 199143
NPI #: 1013929090
MEMORIAL HOSPITAL
1454 N COUNTY RD 2050
CARTHAGE, IL 62321-3551
PHONE: (217) 357-8562
E-PRESCRIBE: NO
MIDWEST FAMILY MEDICAL
CARE
630 LOCUST ST
CARTHAGE, IL 62321
PHONE: (217) 357-2173
E-PRESCRIBE: NO
BURGE, SUSAN J., DO
GENDER: F
PROVIDER #: 222919
NPI #: 1386848042
WOMEN & FAMILY
MEDICAL GROUP
403 S ADAMS ST SUITE 239
CARTHAGE, IL 62321
PHONE: (217) 357-0617
E-PRESCRIBE: NO
DAVIS, KURTIS W., MD
GENDER: M
PROVIDER #: 204537
NPI #: 1639335193
MEMORIAL MEDICAL
CLINIC CARTHAGE
1450 N COUNTY RD 2050
CARTHAGE, IL 62321
PHONE: (218) 357-2173
E-PRESCRIBE: NO
MIDWEST FAMILY MEDICAL
CARE
630 LOCUST ST
CARTHAGE, IL 62321
PHONE: (217) 357-2173
E-PRESCRIBE: NO
WOMEN & FAMILY
MEDICAL GROUP
403 S ADAMS ST SUITE 239
CARTHAGE, IL 62321
PHONE: (217) 357-0617
E-PRESCRIBE: NO
HEIGHTON, DOUGLAS A., MD
GENDER: M
PROVIDER #: 174769
NPI #: 1184661076
MEMORIAL MEDICAL
CLINIC CARTHAGE
1450 N COUNTY RD 2050
CARTHAGE, IL 62321
PHONE: (217) 357-2173
E-PRESCRIBE: NO
MEMORIAL MEDICAL
CLINICS
630 LOCUST ST
CARTHAGE, IL 62321
PHONE: (217) 357-2173
E-PRESCRIBE: NO
SMITH, LIONEL J., MD
GENDER: M
PROVIDER #: 223678
NPI #: 1386617249
HANCOCK CO HEALTH DEPT
671 WABASH AVE
CARTHAGE, IL 62321
PHONE: (217) 357-2171
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
53
CASEY, IL
CAYUGA, IN
Primary Care Physicians
CASEY, IL
FAMILY PRACTICE
IMBURGIA, DOMINIC C., MD
GENDER: M
PROVIDER #: 040058
NPI #: 1114955960
CASEY COMMUNITY
MEDICAL CENTER
6 W ALABAMA
CASEY, IL 62420
PHONE: (217) 932-2626
E-PRESCRIBE: NO
CASEYVILLE, IL
PEDIATRICS
EBERHART, LORI, MD
GENDER: F
PROVIDER #: 154706
NPI #: 1699884825
A TO Z PEDIATRICS LLC
1230 GEORGE E CHANCE
PKWY
CASEYVILLE, IL 62232
PHONE: (618) 345-5437
E-PRESCRIBE: NO
MCGRANAHAN, MARK, MD
GENDER: M
PROVIDER #: 154715
NPI #: 1215922000
A TO Z PEDIATRICS LLC
1230 GEORGE E CHANCE
PKWY
CASEYVILLE, IL 62232
PHONE: (618) 345-5437
E-PRESCRIBE: NO
54
WAGNER, JEAN, MD
GENDER: F
PROVIDER #: 154716
NPI #: 1902909153
A TO Z PEDIATRICS LLC
1230 GEORGE E CHANCE
PKWY
CASEYVILLE, IL 62232
PHONE: (618) 345-5437
E-PRESCRIBE: NO
CAYUGA, IN
FAMILY PRACTICE
ABED, AZIZ H., MD
GENDER: M
PROVIDER #: 256685
NPI #: 1477874154
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928-8230
PHONE:
E-PRESCRIBE: YES
BEACHY, ERIC D., MD
GENDER: M
PROVIDER #: 239781
NPI #: 1881652188
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
114 N DIVISION ST
CAYUGA, IN 47928-8230
PHONE:
E-PRESCRIBE: NO
BUECHLER, JAMES R., MD
GENDER: M
PROVIDER #: 210488
NPI #: 1104817758
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928-8230
PHONE: (765) 492-9042
E-PRESCRIBE: NO
CARDIN, RACHEL, MD
GENDER: F
PROVIDER #: 245760
NPI #: 1790914380
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928-8230
PHONE:
E-PRESCRIBE: YES
CHAPPELL, ELAINE M., MD
GENDER: F
PROVIDER #: 216079
NPI #: 1326204769
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928-8230
PHONE: (765) 492-9042
E-PRESCRIBE: YES
GALE, BING W., MD
GENDER: F
PROVIDER #: 299142
NPI #: 1396736039
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928-8230
PHONE: (765) 492-9042
E-PRESCRIBE: NO
VALERA, LAURIE J., MD
GENDER: F
PROVIDER #: 190608
NPI #: 1790941086
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928-8230
PHONE: (765) 492-9042
HALL, NICOLE S., NP;
PROVIDER #: 220100
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CEDAR GROVE, IL
CHAMPAIGN, IL
CEDAR GROVE, IL
PEDIATRICS
REDDY, PRADEEP, MD
GENDER: M
PROVIDER #: 299271
NPI #: 1649384892
HEALTH HEROES OF
ILLINOIS
3412 OFFICE PARK DR
CEDAR GROVE, IL 62959
PHONE: (256) 426-5389
E-PRESCRIBE: NO
CENTER, MO
FAMILY PRACTICE
TUCKER, MARK A., DO
GENDER: M
PROVIDER #: 168952
NPI #: 1285643346
HANNIBAL CLINIC
OPERATIONS LLC
401 E HIGHWAY 19
CENTER, MO 63436
PHONE: (573) 267-3318
E-PRESCRIBE: NO
CENTRALIA, IL
FAMILY PRACTICE
ZAHOOR, MAHVISH, MD
GENDER: F
PROVIDER #: 139763
NPI #: 1316909021
CENTRALIA FAMILY
HEALTH CENTER
1441 W BROADWAY
CENTRALIA, IL 62801
PHONE: (618) 532-9050
E-PRESCRIBE: NO
Primary Care Physicians
CENTRALIA, MO
CHAMPAIGN, IL
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
CONKRIGHT, KENDRA J., MD
GENDER: F
PROVIDER #: 291104
NPI #: 1053556647
BOONE MEDICAL GROUP
CENTRALIA
1021 E HWY 22
CENTRALIA, MO 65240
PHONE: (573) 682-5588
E-PRESCRIBE: NO
ADAMS, ABIGAIL E., MD
GENDER: F
PROVIDER #: 249883
NPI #: 1306002993
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
FAMILY PRACTICE
CODY, CATHY J., MD
GENDER: F
PROVIDER #: 291103
NPI #: 1225349111
BOONE MEDICAL GROUP
CENTRALIA
1021 E HWY 22
CENTRALIA, MO 65240
PHONE: (573) 682-5580
E-PRESCRIBE: NO
MRUZIK, JOHN C., MD
GENDER: M
PROVIDER #: 117119
NPI #: 1104936566
BOONE MEDICAL GROUP
CENTRALIA
1021 E HWY 22
CENTRALIA, MO 65240
PHONE: (573) 682-5580
E-PRESCRIBE: NO
BARTLETT, ANDREW, DO
GENDER: M
PROVIDER #: 091819
NPI #: 1073520516
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
CINNAMON, SCOTT R., MD
GENDER: M
PROVIDER #: 047465
NPI #: 1851326755
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
COLLINS, KATHLEEN L., MD
GENDER: F
PROVIDER #: 091616
NPI #: 1962419432
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-5434
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
55
Primary Care Physicians
DALLAS, HOLLY E., MD
GENDER: F
PROVIDER #: 289248
NPI #: 1811289309
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6200
E-PRESCRIBE: YES
DEEM, DANIEL C., MD
GENDER: M
PROVIDER #: 275055
NPI #: 1487948386
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61820
PHONE: (217) 366-5434
E-PRESCRIBE: NO
HABIB, IHSAN, MD
GENDER: M
PROVIDER #: 229515
NPI #: 1609958032
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-5434
E-PRESCRIBE: NO
HAMMOUD, IHAB, MD
GENDER: M
PROVIDER #: 181226
NPI #: 1538378617
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
HO, DANG D., MD
GENDER: M
PROVIDER #: 091640
NPI #: 1669489217
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
56
HSU-LUMETTA, JENNIE C.,
MD
GENDER: F
PROVIDER #: 085865
NPI #: 1811929219
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
MANDHAN, NARAIN D., MD
GENDER: M
PROVIDER #: 185109
NPI #: 1730170655
HEARTLAND HOME
HEALTHCARE
309 E SPRINGFIELD AVE
CHAMPAIGN, IL 61820
PHONE: (217) 352-5135
E-PRESCRIBE: NO
MURTY, SMITA, MD
GENDER: F
PROVIDER #: 275255
NPI #: 1447493945
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-5646
E-PRESCRIBE: NO
PATEL, MAHINDRA D., MD
GENDER: M
PROVIDER #: 006780
NPI #: 1841263258
410 E UNIVERSITY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 355-8880
E-PRESCRIBE: NO
PETERSON, JOHN A., MD
GENDER: M
PROVIDER #: 271138
NPI #: 1003833625
RECOVERY OPTIONS
2917 CROSSING
CHAMPAIGN, IL 61822
PHONE: (217) 344-2740
E-PRESCRIBE: NO
CHAMPAIGN, IL
CHAMPAIGN, IL
QATTASH, ISMAIL, MD
GENDER: M
PROVIDER #: 150677
NPI #: 1538329982
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-5646
E-PRESCRIBE: YES
SCHUCHART, CHARLOTTE
L., MD
GENDER: F
PROVIDER #: 100310
NPI #: 1659389393
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-8000
E-PRESCRIBE: YES
SEHY, J TIMOTHY, MD
GENDER: M
PROVIDER #: 091666
NPI #: 1548278229
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
SPERKA, GRETCHEN B., DO
GENDER: F
PROVIDER #: 085880
NPI #: 1518067743
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CHAMPAIGN, IL
CHAMPAIGN, IL
Primary Care Physicians
SUNDARAM, SUMUK, MD
GENDER: M
PROVIDER #: 091668
NPI #: 1275542912
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-8000
E-PRESCRIBE: YES
WILSON, PAUL R., MD
GENDER: M
PROVIDER #: 000026
NPI #: 1710084124
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
BAISA, MARIA LENNIE Q., MD
GENDER: F
PROVIDER #: 091869
NPI #: 1326154188
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6104
E-PRESCRIBE: YES
SYED, NASREEN, MD
GENDER: F
PROVIDER #: 069429
NPI #: 1174634893
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
ZABANEH, SAMI, MD
GENDER: M
PROVIDER #: 091839
NPI #: 1548279110
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
WALKER, NATHAN R., MD
GENDER: M
PROVIDER #: 109269
NPI #: 1629087325
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-1200
E-PRESCRIBE: YES
FAMILY PRACTICE
CARPENTER, KRISTINE R.,
MD
GENDER: F
PROVIDER #: 293304
NPI #: 1215198189
COMMUNITY ELEMENTS
801 N WALNUT
CHAMPAIGN, IL 61820
PHONE: (217) 373-2430
E-PRESCRIBE: NO
WELCH, JANET W., MD
GENDER: F
PROVIDER #: 009865
NPI #: 1891898110
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
ANDERSON, BRENDA, NP;
PROVIDER #: 064470
SWINYER, PAULA S., CNS;
PROVIDER #: 023646
E-PRESCRIBE: YES
AHN, JIN H., DO
GENDER: M
PROVIDER #: 293192
NPI #: 1669720017
CARLE PHYSICIANS GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
ANTONSEN, INGRID C., MD
GENDER: F
PROVIDER #: 091696
NPI #: 1508870601
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6107
KINCAID, SARAH, PA;
PROVIDER #: 151494
ROESCHLEY, SUMMER L.,
APN; PROVIDER #: 155678
E-PRESCRIBE: YES
FRANCES NELSON HEALTH
CENTER
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
PHONE: (217) 356-1558
E-PRESCRIBE: NO
CESNJAJ, MIRJANA, MD
GENDER: F
PROVIDER #: 148222
NPI #: 1750553814
CARLE PHYSICIAN GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
FONTAINE, EMILY M., MD
GENDER: F
PROVIDER #: 298197
NPI #: 1144531096
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
57
Primary Care Physicians
CHAMPAIGN, IL
CHAMPAIGN, IL
GENTRY, STEVE A., MD
GENDER: M
PROVIDER #: 299726
NPI #: 1104189802
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6107
E-PRESCRIBE: YES
HUSSAIN, FAROOQ M., MD
GENDER: M
PROVIDER #: 281296
NPI #: 1942509369
CARLE PHYSICIAN GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
MADDEN, JESSICA D., MD
GENDER: F
PROVIDER #: 289649
NPI #: 1861627499
PROMISE HEALTHCARE
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
PHONE: (217) 356-1558
E-PRESCRIBE: NO
GEORGE, LINDSEY, MD
GENDER: F
PROVIDER #: 286331
NPI #: 1356645667
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-6104
E-PRESCRIBE: NO
JAMMA, KIRANMAI, MD
GENDER: F
PROVIDER #: 095226
NPI #: 1053328609
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6104
E-PRESCRIBE: YES
HAMPTON, SIMONE R., MD
GENDER:
PROVIDER #: 240208
NPI #: 1033184247
FRANCES NELSON HEALTH
CE
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
PHONE: (217) 356-1558
E-PRESCRIBE: NO
KIM, JANE C., MD
GENDER: F
PROVIDER #: 151480
NPI #: 1356511166
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6201
E-PRESCRIBE: YES
MCCOY, DAWN K., MD
GENDER: F
PROVIDER #: 095770
NPI #: 1356365779
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6201
PARRETT, LAURA, NP;
PROVIDER #: 000701
ZUKOSKY, MARCIA, NP;
PROVIDER #: 000506
E-PRESCRIBE: YES
HANSEN, SONJA, MD
GENDER: F
PROVIDER #: 240211
NPI #: 1710923560
FRANCES NELSON HEALTH
CE
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
PHONE: (217) 356-1558
E-PRESCRIBE: NO
HOFFMAN II, JOHN R., MD
GENDER: M
PROVIDER #: 220138
NPI #: 1760480396
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 365-6207
E-PRESCRIBE: YES
58
KIM, KEVIN S., DO
GENDER: M
PROVIDER #: 196016
NPI #: 1962634519
CARLE PHYSICIAN GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
KOHLER, CORINNE, MD
GENDER: F
PROVIDER #: 240214
NPI #: 1053386250
FRANCES NELSON HEALTH
CE
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
PHONE: (217) 356-1558
E-PRESCRIBE: NO
MEGEFF, RANDALL A., MD
GENDER: M
PROVIDER #: 031712
NPI #: 1083663918
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6107
ANDERSON, BRENDA, NP;
PROVIDER #: 064470
SWINYER, PAULA S., CNS;
PROVIDER #: 023646
E-PRESCRIBE: YES
MOHAMMED, ASLAM A., MD
GENDER: M
PROVIDER #: 293194
NPI #: 1205156940
CARLE PHYSICIANS GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 265-6203
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CHAMPAIGN, IL
CHAMPAIGN, IL
OSAJI, ONA, MD
GENDER: F
PROVIDER #: 109274
NPI #: 1447269113
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
RAFFERTY, CARLA M., MD
GENDER: F
PROVIDER #: 195937
NPI #: 1578719316
CARLE PHYSICIAN GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
RAY, DANA M., MD
GENDER: F
PROVIDER #: 127121
NPI #: 1225051071
FRANCES NELSON HEALTH
CENTER
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
PHONE: (217) 356-1558
E-PRESCRIBE: NO
RUDAWSKI, STEPHEN M., DO
GENDER: M
PROVIDER #: 119484
NPI #: 1053403055
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 222916
NPI #: 1922235944
HEARTLAND HOME
HEALTHCARE
309 E SPRINGFIELD AVE
CHAMPAIGN, IL 61820
PHONE: (217) 352-5135
E-PRESCRIBE: NO
Primary Care Physicians
SWEARINGEN, JEFFREY V.,
MD
GENDER: M
PROVIDER #: 000677
NPI #: 1689785305
CARLE PHYSICIAN GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
TROIANO, CYNTHIA M., DO
GENDER: F
PROVIDER #: 095241
NPI #: 1366450520
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6104
E-PRESCRIBE: YES
WAGNER, CHRISTIAN E., MD
GENDER: M
PROVIDER #: 019848
NPI #: 1063514123
CARLE PHYSICIAN GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
WHITAKER, KIMBERLY, MD
GENDER: F
PROVIDER #: 240206
NPI #: 1972724979
FRANCES NELSON HEALTH
CE
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
PHONE: (217) 356-1558
E-PRESCRIBE: NO
WU, STANLEY S., MD
GENDER: M
PROVIDER #: 106661
NPI #: 1700981727
CARLE PHYSICIANS GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
YANG, TINA Y., DO
GENDER: F
PROVIDER #: 204235
NPI #: 1457590408
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 365-6201
E-PRESCRIBE: YES
FAMILY PRACTICE OB
SWEARINGEN, JEFFREY V.,
MD
GENDER: M
PROVIDER #: 000677
NPI #: 1689785305
CARLE PHYSICIAN GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
FEDERALLY QUALIFIED
HEALTH CENTER
CHAMPAIGN URBANA
PUBLIC HEALTH
GENDER:
PROVIDER #: 061946
NPI #: 1073666996
201 WEST KENYON RD
CHAMPAIGN, IL 61820
PHONE: (217) 352-7961
E-PRESCRIBE: NO
FRANCES NELSON HEALTH
CENTER
GENDER:
PROVIDER #: 253430
NPI #: 1578821005
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
PHONE: (217) 356-1558
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
59
Primary Care Physicians
PEDIATRICS
ADAMS, ABIGAIL E., MD
GENDER: F
PROVIDER #: 249883
NPI #: 1306002993
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
BAECHLER, VERONICA R.,
MD
GENDER: F
PROVIDER #: 276189
NPI #: 1659339430
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
BASILIOS, FATHY, MD
GENDER: M
PROVIDER #: 091868
NPI #: 1992710420
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1257
E-PRESCRIBE: YES
BOLTON, SUSAN, MD
GENDER: F
PROVIDER #: 113679
NPI #: 1336156884
CHRISTIE CLINIC
1801 WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-1257
E-PRESCRIBE: YES
EASTIN, HALEY E., MD
GENDER: F
PROVIDER #: 299663
NPI #: 1184970386
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6107
E-PRESCRIBE: YES
60
CHAMPAIGN, IL
CHAMPAIGN, IL
FULLAN, SEAN P., MD
GENDER: M
PROVIDER #: 252656
NPI #: 1669791166
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6202
E-PRESCRIBE: YES
MUSSELMAN, MARK S., MD
GENDER: M
PROVIDER #: 068604
NPI #: 1336256825
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 365-6200
E-PRESCRIBE: YES
HAUFFE, JAMES E., MD
GENDER: M
PROVIDER #: 000568
NPI #: 1396752952
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6202
E-PRESCRIBE: YES
PALAZZOLO, MICHAEL, MD
GENDER: M
PROVIDER #: 091833
NPI #: 1427065028
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
KEELEY, JOSEPH, MD
GENDER: M
PROVIDER #: 192709
NPI #: 1093752370
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-1200
E-PRESCRIBE: YES
PORTER, MYISHA Z., MD
GENDER: F
PROVIDER #: 150678
NPI #: 1093975443
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61820
PHONE: (217) 366-1257
E-PRESCRIBE: NO
LOHANO, TEEKAM D., MD
GENDER:
PROVIDER #: 250080
NPI #: 1396063137
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: NO
STRIEGEL, JANE E., MD
GENDER: F
PROVIDER #: 000505
NPI #: 1427169127
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6200
E-PRESCRIBE: YES
MARANON, M LOUISA, MD
GENDER: F
PROVIDER #: 091647
NPI #: 1588674105
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CHANNAHON, IL
CHARLESTON, IL
CHANNAHON, IL
ADULT/INTERNAL
MEDICINE
MOY, LAWTON, MD
GENDER: M
PROVIDER #: 184193
NPI #: 1669676011
MINOOKA HEALTHCARE
CENTER
27240 W SAXONY DR SUITE
201
CHANNAHON, IL 60410
PHONE: (815) 467-1518
E-PRESCRIBE: NO
FAMILY PRACTICE
CIECHNA, SCOTT P., MD
GENDER: M
PROVIDER #: 165165
NPI #: 1508803776
MINOOKA HEALTHCARE
CENTER
27240 W SAXONY DR SUITE
201
CHANNAHON, IL 60410
PHONE: (815) 467-1518
E-PRESCRIBE: NO
CONNOLLY, MARY C., MD
GENDER: F
PROVIDER #: 216784
NPI #: 1174790141
CHANNAHON HEALTHCARE
CENTER
25259 REED ST
CHANNAHON, IL 60410
PHONE: (815) 467-0555
E-PRESCRIBE: YES
Primary Care Physicians
JEGAN-MOHAN,
JANANDANA K., MD
GENDER: F
PROVIDER #: 178973
NPI #: 1942468145
PROVENA MEDICAL GROUP
27025 W EAMES ST
CHANNAHON, IL 60410
PHONE: (815) 467-1988
E-PRESCRIBE: NO
SERRANO, BELINDA, MD
GENDER: F
PROVIDER #: 168516
NPI #: 1558506196
CHANNAHON HEALTHCARE
CENTER
25259 REED ST
CHANNAHON, IL 60410
PHONE: (815) 467-0555
E-PRESCRIBE: YES
PEDIATRICS
HART, RITA A., DO
GENDER: F
PROVIDER #: 080042
NPI #: 1760452825
MINOOKA HEALTHCARE
CENTER
27240 W SAXONY DR SUITE
201
CHANNAHON, IL 60410
PHONE: (815) 467-1518
ELWORTHY, SHERRI M., PA;
PROVIDER #: 201650
E-PRESCRIBE: NO
MOY, LAWTON, MD
GENDER: M
PROVIDER #: 184193
NPI #: 1669676011
MINOOKA HEALTHCARE
CENTER
27240 W SAXONY DR SUITE
201
CHANNAHON, IL 60410
PHONE: (815) 467-1518
E-PRESCRIBE: NO
CHARLESTON, IL
FAMILY PRACTICE
ALVARADO, JOAN, MD
GENDER: F
PROVIDER #: 246976
NPI #: 1033430624
CHARLESTON FAMILY
PRACTICE
116 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-7700
E-PRESCRIBE: NO
BAJAJ, ARUN, MD
GENDER: M
PROVIDER #: 003987
NPI #: 1841252087
735 18TH ST
CHARLESTON, IL 61920
PHONE: (217) 345-6582
E-PRESCRIBE: NO
BAJAJ, RENU, MD
GENDER: F
PROVIDER #: 051615
NPI #: 1700996568
901 W LINCOLN
CHARLESTON, IL 61920
PHONE: (217) 345-3909
E-PRESCRIBE: NO
DORNER, MATTHEW J., MD
GENDER: M
PROVIDER #: 192649
NPI #: 1528176880
CHARLESTON FAMILY
PRACTICE
116 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-7700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
61
Primary Care Physicians
EMENECKER, MARK, DO
GENDER: M
PROVIDER #: 072301
NPI #: 1285740571
SBL CHARLESTON FAMILY
PRACTICE
116 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-7700
E-PRESCRIBE: NO
MARTINEZ, JAIME, MD
GENDER: M
PROVIDER #: 248888
NPI #: 1962713909
CHARLESTON EAST FAMILY
PRACTICE
2040 LINCOLN AVE SUITE
101
CHARLESTON, IL 61920
PHONE: (217) 345-2211
E-PRESCRIBE: NO
SBL PRAIRIE FAMILY
PRACTICE
2040 LINCOLN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-2030
E-PRESCRIBE: NO
MIKEL, GARY, MD
GENDER: M
PROVIDER #: 042299
NPI #: 1962518746
WALK-IN CLINIC
CHARLESTON
2040 LINCOLN AVE SUITE
100
CHARLESTON, IL 61920
PHONE: (217) 345-2030
E-PRESCRIBE: NO
WHALEN, CORNELIUS, MD
GENDER: M
PROVIDER #: 004056
NPI #: 1184774564
925 18TH ST
CHARLESTON, IL 61920
PHONE: (217) 345-2123
E-PRESCRIBE: NO
62
WHITAKER, KIMBERLY, MD
GENDER: F
PROVIDER #: 284801
NPI #: 1972724979
SBL MEDICALS CENTER
116 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-7700
E-PRESCRIBE: NO
GENERAL PRACTICE
JOHNSON, CARL, MD
GENDER: M
PROVIDER #: 268644
NPI #: 1275525701
CHARLESTON PRIMARY
CARE
506 W LINCOLN AVE SUITE
200
CHARLESTON, IL 61920
PHONE: (217) 348-8730
E-PRESCRIBE: NO
PEDIATRICS
STOLTZ, DAVID, MD
GENDER: M
PROVIDER #: 108923
NPI #: 1578674420
WALK-IN CLINIC
CHARLESTON
2040 LINCOLN AVE SUITE
100
CHARLESTON, IL 61920
PHONE: (217) 345-2030
FULTON, PATRICIA, APN;
PROVIDER #: 159947
WOODARD, MICHELE, APN;
PROVIDER #: 123343
E-PRESCRIBE: NO
CHARLESTON, IL
CHATHAM, IL
CHATHAM, IL
FAMILY PRACTICE
CRABTREE, JAMES T., MD
GENDER: M
PROVIDER #: 189964
NPI #: 1538188818
CHATHAM FAMILY
PRACTICE
345 N MAIN ST
CHATHAM, IL 62629
PHONE: (217) 483-3333
BLANK, SARAH, PA;
PROVIDER #: 292300
E-PRESCRIBE: NO
MOSQUERA, GUSTAVO, MD
GENDER: M
PROVIDER #: 190685
NPI #: 1033395629
FAMILY MEDICAL CENTER
OF CHATHAM LLC
101 E PLUMMER RD
CHATHAM, IL 62629
PHONE: (217) 483-3487
SIGLE, KATHLEEN, ARNP;
PROVIDER #: 147552
WAGGONER, KRISTINA, FNP;
PROVIDER #: 297792
E-PRESCRIBE: NO
ROLLET, JOHN C., MD
GENDER: M
PROVIDER #: 189969
NPI #: 1932119112
CHATHAM FAMILY
PRACTICE
345 N MAIN ST
CHATHAM, IL 62629
PHONE: (217) 483-3333
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CHATHAM, IL
CHESTER, IL
SCHEIBLER-VENTRESS,
CHRISTINA L., MD
GENDER: F
PROVIDER #: 119047
NPI #: 1831148022
FAMILY MEDICAL CENTER
OF CHATHAM LLC
101 E PLUMMER RD
CHATHAM, IL 62629
PHONE: (217) 483-3487
SIGLE, KATHLEEN, ARNP;
PROVIDER #: 147552
E-PRESCRIBE: NO
SCHMIDT, KENNETH W., MD
GENDER: M
PROVIDER #: 252731
NPI #: 1225183890
HSHS MEDICAL GROUP
345 N MAIN ST
CHATHAM, IL 62629
PHONE: (217) 483-3333
E-PRESCRIBE: NO
SHEEDY, MICHAEL, MD
GENDER: M
PROVIDER #: 041063
NPI #: 1790758894
FAMILY MEDICAL CENTER
OF CHATHAM LLC
101 E PLUMMER RD
CHATHAM, IL 62629
PHONE: (217) 483-3487
SIGLE, KATHLEEN, ARNP;
PROVIDER #: 147552
E-PRESCRIBE: NO
SUCHOMSKI, GERALD, MD
GENDER: M
PROVIDER #: 042838
NPI #: 1538133350
FAMILY MEDICAL CENTER
OF CHATHAM LLC
101 E PLUMMER RD
CHATHAM, IL 62629
PHONE: (217) 483-3487
SIGLE, KATHLEEN, ARNP;
PROVIDER #: 147552
E-PRESCRIBE: NO
Primary Care Physicians
CHATSWORTH, IL
FAMILY PRACTICE
STEVENS, JENNIFER E., MD
GENDER: F
PROVIDER #: 182380
NPI #: 1043412893
OSF MEDICAL GROUP
416 E LOCUST ST
CHATSWORTH, IL 60921
PHONE: (815) 635-3177
E-PRESCRIBE: NO
CHEBANSE, IL
ADULT/INTERNAL
MEDICINE
PENNEPALLI, RAJENDRA S.,
MD
GENDER: M
PROVIDER #: 005317
NPI #: 1154371193
125 W 1ST NORTH ST
CHEBANSE, IL 60922
PHONE: (815) 697-2323
E-PRESCRIBE: NO
CHENOA, IL
FAMILY PRACTICE
LAU, DANIEL S., MD
GENDER: M
PROVIDER #: 206357
NPI #: 1720398480
OSF MEDICAL GROUP
918 E LINCOLN ST
CHENOA, IL 61726
PHONE: (815) 945-2261
E-PRESCRIBE: NO
NORRIS, STEVEN S., MD
GENDER: M
PROVIDER #: 077629
NPI #: 1316988934
OSF MEDICAL GROUP
918 E LINCOLN ST
CHENOA, IL 61726
PHONE: (815) 945-2261
E-PRESCRIBE: NO
CHERRY VALLEY, IL
FAMILY PRACTICE
GO-LIM, JOCELYN R., MD
GENDER: F
PROVIDER #: 160697
NPI #: 1255376471
OSF MEDICAL GROUP
1572 S BELL SCHOOL RD
CHERRY VALLEY, IL 61016
PHONE: (815) 332-3015
E-PRESCRIBE: NO
LIM, EDISON U., MD
GENDER: M
PROVIDER #: 057274
NPI #: 1215966858
OSF MEDICAL GROUP
1572 S BELL SCHOOL RD
CHERRY VALLEY, IL 61016
PHONE: (815) 332-3015
E-PRESCRIBE: NO
CHESTER, IL
FAMILY PRACTICE
KRIEG, JAMES R., MD
GENDER: M
PROVIDER #: 036081
NPI #: 1851402390
CHESTER CLINIC
2319 OLD PLANK RD
CHESTER, IL 62233
PHONE: (618) 826-2388
ALBERTINI, ANGELA M., PA-C;
PROVIDER #: 172577
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
63
CHESTER, IL
CHICAGO, IL
Primary Care Physicians
CHESTER SPECIALTIES
1900 STATE ST
CHESTER, IL 62233
PHONE: (618) 826-4581
E-PRESCRIBE: NO
CHESTER SPECIALTIES
1900 STATE ST
CHESTER, IL 62233
PHONE: (618) 826-4581
E-PRESCRIBE: NO
LOWRY-ROHLFING, LISA A.,
MD
GENDER: F
PROVIDER #: 035316
NPI #: 1386755973
CHESTER CLINIC
2319 OLD PLANK RD
CHESTER, IL 62233
PHONE: (618) 826-2388
BLECHLE, VALERIE, FNP;
PROVIDER #: 272783
E-PRESCRIBE: NO
CHESTER SPECIALTIES
1900 STATE ST
CHESTER, IL 62233
PHONE: (618) 826-4581
E-PRESCRIBE: NO
MOLNAR, JOSEPH P., DO
GENDER: M
PROVIDER #: 221046
NPI #: 1306881412
CHESTER CLINIC
2319 OLD PLANK RD
CHESTER, IL 62233
PHONE: (618) 826-2388
E-PRESCRIBE: YES
CHESTER SPECIALTIES
1900 STATE ST
CHESTER, IL 62233
PHONE: (618) 826-4581
E-PRESCRIBE: YES
PLATT, STEPHEN M., MD
GENDER: M
PROVIDER #: 035317
NPI #: 1720053077
CHESTER CLINIC
2319 OLD PLANK RD
CHESTER, IL 62233
PHONE: (618) 826-2388
LINZY, JAMIE E., PA-C;
PROVIDER #: 172575
E-PRESCRIBE: NO
64
CHICAGO, IL
ADULT/INTERNAL
MEDICINE
ADEGUNSOYE, ADEKONLA
T., MD
GENDER:
PROVIDER #: 292845
NPI #: 1861712903
SYKES ADVOCATE HEALTH
CT
2545 S MLK DRIVE
CHICAGO, IL 60616-2441
PHONE:
E-PRESCRIBE: NO
ADEN, MARILYN, MD
GENDER: F
PROVIDER #: 289336
NPI #: 1598768152
PMG IN FULLERTON
1150 W FULLERTON AVE
CHICAGO, IL 60614
PHONE:
E-PRESCRIBE: NO
ANCHA, BASAVA, MD
GENDER:
PROVIDER #: 233596
NPI #: 1265488647
PMG OUR LADY OF
RESURRECTION
5645 W ADDISON ST
CHICAGO, IL 60634
PHONE: (630) 914-2417
E-PRESCRIBE: NO
ANDERSON, ELIZABETH, MD
GENDER: F
PROVIDER #: 231214
NPI #: 1912940552
PMG NORTH SHORE-FOSTER
2740 W FOSTER SUITE 113
CHICAGO, IL 60626
PHONE: (847) 679-5120
E-PRESCRIBE: NO
ATLAS, BARRY, MD
GENDER: M
PROVIDER #: 267773
NPI #: 1073513305
PMG BARRY ATLAS, MD
6374 N LINCOLN AVE SUITE
312
CHICAGO, IL 60659
PHONE: (773) 588-7710
E-PRESCRIBE: NO
BALDINGER, MICHAEL
GENDER:
PROVIDER #: 279152
NPI #: 1598879223
PRESENCE HEALTHCARE
1150 W FULLERTON AVE
CHICAGO, IL 60614
PHONE:
E-PRESCRIBE: NO
BRODECH, WALTER, MD
GENDER: M
PROVIDER #: 267765
NPI #: 1295827434
PMG UKRAINIAN VILLAGE
FAMILY MEDICINE
809 N WESTERN AVE
CHICAGO, IL 60622
PHONE: (773) 772-9121
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CHICAGO, IL
CHICAGO, IL
Primary Care Physicians
CHALISE, SHYAM, MD
GENDER: M
PROVIDER #: 231445
NPI #: 1245487008
ST JOSEPH HOSPITAL
2900 N LAKESHORE DR 7
EAST
CHICAGO, IL 60657
PHONE: (773) 661-5800
E-PRESCRIBE: NO
GOLDENBERG, BRUCE D.,
MD
GENDER: M
PROVIDER #: 298907
NPI #: 1528172236
PMG IM LAWRENCE
5425 W LAWRENCE AVE
CHICAGO, IL 60630
PHONE: (773) 725-7557
E-PRESCRIBE: NO
LAZAREVIC, VOJISLAV, MD
GENDER: M
PROVIDER #: 300291
NPI #: 1245317940
PMG IM SHERIDAN
2800 N SHERIDAN ROAD
SUITE 500
CHICAGO, IL 60657
PHONE:
E-PRESCRIBE: NO
EULIEN, HAROLD, MD
GENDER: M
PROVIDER #: 248377
NPI #: 1700877222
PMG LINCOLON PARK
2800 N SHERIDAN RD SUITE
309
CHICAGO, IL 60803
PHONE: (773) 248-6913
E-PRESCRIBE: NO
HARGAN, ROBERT T., MD
GENDER: M
PROVIDER #: 226180
NPI #: 1962591404
LINCOLN PARK MEDICAL
2800 N SHERIDAN RD #211
CHICAGO, IL 60657
PHONE: (630) 914-2417
E-PRESCRIBE: NO
MURPHY, THOMAS M., DO
GENDER: M
PROVIDER #: 298881
NPI #: 1487817649
PMG OLR
5645 W ADDISON
CHICAGO, IL 60634
PHONE:
E-PRESCRIBE: NO
FARBY, GERALD, MD
GENDER: M
PROVIDER #: 243775
NPI #: 1972504454
PMG-VIKING MEDICAL
GROUP
3500 W PETERSON AVE
CHICAGO, IL 60659
PHONE: (773) 961-3200
E-PRESCRIBE: NO
FRY, MARY E., MD
GENDER: F
PROVIDER #: 242497
NPI #: 1801996368
PMG RESURRECTION
SERVICES
2800 N SHERIDAN SUITE 408
CHICAGO, IL 60657
PHONE: (773) 348-4010
E-PRESCRIBE: NO
RESURRECTION SERVICES
PO BOX 564437
CHICAGO, IL 60656
PHONE: (708) 583-7310
E-PRESCRIBE: NO
JASTI, NANDANA, MD
GENDER: F
PROVIDER #: 266349
NPI #: 1770773871
PMG-PRESENCE HEALTH
GROUP
3319 N ELSTON SUITE 100
CHICAGO, IL 60618
PHONE: (773) 751-7200
E-PRESCRIBE: NO
KLOR-GROSS, ELISABETH,
MD
GENDER: F
PROVIDER #: 298872
NPI #: 1609879279
PMG FP PRESENCE
HEALTHCARE SERVICES
1150 W FULLERTON
CHICAGO, IL 60614
PHONE: (773) 549-7757
E-PRESCRIBE: NO
NAUSHEEN, HUMERA, MD
GENDER: F
PROVIDER #: 266367
NPI #: 1609029529
PMG-RESURRECTION
MEDICAL CENTER
7435 W TALCOTT AVE
CHICAGO, IL 60631
PHONE: (630) 914-2417
E-PRESCRIBE: NO
ODLAND, PAUL B., MD
GENDER: M
PROVIDER #: 192803
NPI #: 1760596464
PMG IM FULLERTON
1150 W FULLERTON AVE
CHICAGO, IL 60614
PHONE: (773) 549-7757
E-PRESCRIBE: NO
OLSON, JEFFREY A., MD
GENDER: M
PROVIDER #: 227948
NPI #: 1952374795
3500 W PETERSON STE 634
CHICAGO, IL 60659
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
65
Primary Care Physicians
RESURRECTION SERVICES
62311 COLLECTIONS CTR
CHICAGO, IL 60693-0623
PHONE: (719) 277-7545
E-PRESCRIBE: NO
ORRICO, LUISA A., MD
GENDER: F
PROVIDER #: 267434
NPI #: 1649490657
RESURRECTION MEDICAL
CENTER
7435 W TALCOTT AVE
CHICAGO, IL 60631
PHONE: (630) 914-2417
E-PRESCRIBE: NO
PEDDINGHAUS, WOLF D., MD
GENDER: M
PROVIDER #: 298883
NPI #: 1487640660
PMG NSMG LINCOLNWOOD
7380 N LINCOLN AVE
CHICAGO, IL 60712
PHONE: (847) 568-7400
E-PRESCRIBE: NO
RAO, SHESH, MD
GENDER:
PROVIDER #: 238051
NPI #: 1306885504
PMG ST JOSEPH HOSPITAL
2800 N SHERIDAN RD
CHICAGO, IL 60657
PHONE: (773) 661-5800
E-PRESCRIBE: NO
ROWLEY, GUY A., MD
GENDER: M
PROVIDER #: 298888
NPI #: 1972617074
PMG IM LAWRENCE
5425 W LAWRENCE AVE
CHICAGO, IL 60630
PHONE: (773) 725-7557
E-PRESCRIBE: NO
66
CHICAGO, IL
CHICAGO, IL
RUBIO, ELENITA, MD
GENDER: F
PROVIDER #: 223385
NPI #: 1962514984
PMG-RIIS PARK MEDICAL
CENTER
5322 W FULLERTON AVE
CHICAGO, IL 60639
PHONE: (773) 622-0056
E-PRESCRIBE: NO
VINSON, TINA M., MD
GENDER: F
PROVIDER #: 267540
NPI #: 1083668404
PMG-RESURRECTION
MEDICAL CENTER
7435 W TALCOTT AVE
CHICAGO, IL 60631
PHONE: (630) 914-2417
E-PRESCRIBE: NO
SHAPIRO, SUSAN D., MD
GENDER: F
PROVIDER #: 231215
NPI #: 1326026139
62311 COLLECTION CTR DR
CHICAGO, IL 60693
PHONE:
E-PRESCRIBE: NO
WILSON, PAULETTE C., MD
GENDER: F
PROVIDER #: 287783
NPI #: 1558475657
PMG IM FULLERTON
1150 W FULLERTON AVE
CHICAGO, IL 60614-8160
PHONE: (773) 549-7757
E-PRESCRIBE: NO
STERN, THOMAS, MD
GENDER: M
PROVIDER #: 231525
NPI #: 1477592665
62311 COLLECTIONS CTR DR
CHICAGO, IL 60693
PHONE:
E-PRESCRIBE: NO
SUPHANGUL, MONTHA, MD
GENDER:
PROVIDER #: 267506
NPI #: 1548424229
RESURRECTION MEDICAL
CENTER
7435 W TALCOTT AVE
CHICAGO, IL 60631
PHONE: (630) 914-2417
E-PRESCRIBE: NO
TOOMGANTI, PRASUNA, MD
GENDER:
PROVIDER #: 267542
NPI #: 1811061567
PMG-ST JOSEPH HOSPITAL
2900 N LAKESHORE DR
CHICAGO, IL 60657
PHONE: (773) 665-3000
E-PRESCRIBE: NO
FAMILY PRACTICE
AFFINITO, JOHN H., MD
GENDER: M
PROVIDER #: 267729
NPI #: 1316930191
PMG RESURRECTION
MEDICAL CENTER
7435 W TALCOTT AVE
CHICAGO, IL 60631
PHONE: (630) 954-6700
E-PRESCRIBE: NO
AKHTAR, ROKEYA, MD
GENDER:
PROVIDER #: 210185
NPI #: 1780687368
PMG ROKEYA AKHTAR, MD
5600 W ADDISON SUITE 202
CHICAGO, IL 60634
PHONE: (773) 202-8444
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CHICAGO, IL
CHICAGO, IL
BISCOTAKIS, EVANGELOS,
MD
GENDER:
PROVIDER #: 205365
NPI #: 1487835138
PMG-EVANGELOS
BISCOTAKIS MD
7447 W TALCOTT SUITE 245
CHICAGO, IL 60631
PHONE: (773) 774-7474
E-PRESCRIBE: NO
BORRACCINI, CRISTINA, MD
GENDER: F
PROVIDER #: 267822
NPI #: 1760638381
PMG SMEMC ED
600 W ADAMS
CHICAGO, IL 60661
PHONE: (708) 675-7070
E-PRESCRIBE: NO
BRAUNSTEIN, SARA, MD
GENDER: F
PROVIDER #: 224249
NPI #: 1861551954
PMG LAKEVIEW FAMILY
MEDICINE
3002 N ASHLAND AVE
CHICAGO, IL 60657
PHONE: (773) 244-0441
E-PRESCRIBE: NO
CABRERA, EDUARDO, MD
GENDER: M
PROVIDER #: 264887
NPI #: 1831337930
UKRAINIAN VILLAGE
FAMILY MEDICINE
809 N WESTERN AVE
CHICAGO, IL 60622
PHONE: (773) 772-9121
E-PRESCRIBE: NO
Primary Care Physicians
DEJEAN, ANDRE T., MD
GENDER: M
PROVIDER #: 298944
NPI #: 1639140700
PRESENCE HEALTHCARE
SERVICES
9000 STONY ISLAND AVE
CHICAGO, IL 60617
PHONE: (773) 731-1092
E-PRESCRIBE: NO
FERRA, LESTER, MD
GENDER: M
PROVIDER #: 264562
NPI #: 1023324696
RESURRECTION SERVICES
2233 W DIVISION ST
CHICAGO, IL 60622
PHONE: (312) 770-2000
E-PRESCRIBE: NO
GORDON, OLENA, MD
GENDER: F
PROVIDER #: 269083
NPI #: 1528309705
PMG UKRAINIAN VILLAGE
FAMILY MEDICINE
809 N WESTERN
CHICAGO, IL 60622
PHONE: (773) 722-9121
E-PRESCRIBE: NO
JABLONSKA, URSZULA, MD
GENDER: F
PROVIDER #: 269088
NPI #: 1851303945
PMG JEFFERSON PARK
FAMILY MEDICINE
5251 N MILWAUKEE
CHICAGO, IL 60630
PHONE: (773) 283-9300
E-PRESCRIBE: NO
KERSTAN, PETER D., MD
GENDER:
PROVIDER #: 298087
NPI #: 1780687301
PRESENCE MEDICAL GROUP
3204 N OAK PARK AVE
CHICAGO, IL 60634
PHONE:
E-PRESCRIBE: NO
LASALA, NOEL E., MD
GENDER: M
PROVIDER #: 298873
NPI #: 1386646172
PMG FP ARMITAGE
3224 W ARMITAGE AVE
CHICAGO, IL 60647
PHONE: (773) 645-0096
E-PRESCRIBE: NO
PMG FP CHICAGO
3758 W CHICAGO AVE
CHICAGO, IL 60651
PHONE: (773) 235-0626
E-PRESCRIBE: NO
LEYNES, ACEZR, MD
GENDER: M
PROVIDER #: 298876
NPI #: 1689672537
PMG FP ARMITAGE
3224 W ARMITAGE AVE
CHICAGO, IL 60647
PHONE: (773) 645-0096
E-PRESCRIBE: NO
PMG FP CHICAGO
3758 W CHICAGO AVE
CHICAGO, IL 60651
PHONE: (773) 235-0626
E-PRESCRIBE: NO
MARAVILLA, IRMA, MD
GENDER: F
PROVIDER #: 298879
NPI #: 1881634061
3224 W ARMITAGE AVE
CHICAGO, IL 60647
PHONE: (773) 645-0096
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
67
Primary Care Physicians
3758 W CHIGAGO AVE
CHICAGO, IL 60651
PHONE: (773) 235-0626
E-PRESCRIBE: NO
MONTOYA, JUAN P., MD
GENDER: M
PROVIDER #: 267446
NPI #: 1861625444
HUMBOLDT PARK FAMILY
PHYSICIANS
1431 N WESTERN AVE #205
CHICAGO, IL 60622
PHONE: (773) 278-2600
E-PRESCRIBE: NO
RAMOS, GEMA, MD
GENDER: F
PROVIDER #: 298886
NPI #: 1588978365
PMG RUBIO
5322 W FULLERTON
CHICAGO, IL 60639
PHONE: (773) 622-0056
E-PRESCRIBE: NO
SALVADOR, BERNARD, MD
GENDER: M
PROVIDER #: 267457
NPI #: 1548426174
PMG-LAKEVIEW FAMILY
MEDICINE
3002 N ASHLAND AVE
CHICAGO, IL 60657
PHONE: (773) 244-0441
E-PRESCRIBE: NO
TUASON, MARIA C., MD
GENDER: F
PROVIDER #: 289944
NPI #: 1013919893
PMG FP ARMITAGE
3224 W ARMITAGE AVE
CHICAGO, IL 60647
PHONE: (773) 645-0096
E-PRESCRIBE: NO
PMG FP CHICAGO
3758 W CHICAGO AVE
CHICAGO, IL 60651
PHONE: (773) 235-0626
E-PRESCRIBE: NO
RARDIN, SEAN, MD
GENDER: M
PROVIDER #: 222725
NPI #: 1225020076
2827 MOMENTUM PLACE
CHICAGO, IL 60689
PHONE: (630) 416-2300
E-PRESCRIBE: NO
PEDIATRICS
REEVES RICHARDSON,
TANYA, MD
GENDER: F
PROVIDER #: 222717
NPI #: 1427106921
2827 MOMENTUM PLACE
CHICAGO, IL 60689
PHONE: (630) 416-2300
E-PRESCRIBE: NO
VASSMER, LINDA A.
GENDER:
PROVIDER #: 296262
NPI #: 1427060789
AMG AHCC 12
PO BOX 92710
CHICAGO, IL 60675
PHONE:
E-PRESCRIBE: NO
68
PRESENCE HEALTHCARE
3224 W ARMITAGE
CHICAGO, IL 60647
PHONE:
E-PRESCRIBE: NO
CHICAGO, IL
CHILLICOTHE, IL
CHILLICOTHE, IL
ADULT/INTERNAL
MEDICINE
HOUSER, JOHN W., MD
GENDER: M
PROVIDER #: 071241
NPI #: 1417038852
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
NAU, CHRISTOPHER W., MD
GENDER: M
PROVIDER #: 202694
NPI #: 1104023092
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
NULTY, WILLIAM G., MD
GENDER: M
PROVIDER #: 052671
NPI #: 1639148356
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
RIECH, ROBERT R., MD
GENDER: M
PROVIDER #: 160893
NPI #: 1437225935
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CHILLICOTHE, IL
CHRISTOPHER, IL
FAMILY PRACTICE
REHMAN, AZIZUR, MD
GENDER: M
PROVIDER #: 008403
NPI #: 1336156611
METHODIST MEDICAL
GROUP AT CHILLICOTHE
525 SWEETBRIAR DR
CHILLICOTHE, IL 61523
PHONE: (309) 274-2102
E-PRESCRIBE: NO
ROGERS, TED L., MD
GENDER: M
PROVIDER #: 008404
NPI #: 1467469759
METHODIST MEDICAL
GROUP AT CHILLICOTHE
525 SWEETBRIAR DR
CHILLICOTHE, IL 61523
PHONE: (309) 274-2102
E-PRESCRIBE: NO
PEDIATRICS
NAU, CHRISTOPHER W., MD
GENDER: M
PROVIDER #: 202694
NPI #: 1104023092
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
NULTY, WILLIAM G., MD
GENDER: M
PROVIDER #: 052671
NPI #: 1639148356
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
Primary Care Physicians
RIECH, ROBERT R., MD
GENDER: M
PROVIDER #: 160893
NPI #: 1437225935
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
CHRISMAN, IL
FAMILY PRACTICE
SODVADIYA,
JITENDRAKUMAR, MD
GENDER: M
PROVIDER #: 280276
NPI #: 1194010496
FAMILY MEDICAL CENTER
112 W MADISON AVE
CHRISMAN, IL 61924
PHONE: (217) 269-2394
E-PRESCRIBE: YES
CHRISTOPHER, IL
ADULT/INTERNAL
MEDICINE
JENKINS, MICHELLE, MD
GENDER: F
PROVIDER #: 084257
NPI #: 1942287321
REA CLINIC
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
PHONE: (618) 724-2401
MATHENIA, JEREMY, PA;
PROVIDER #: 267713
STARKY, MARILYN S., PA-C;
PROVIDER #: 049588
E-PRESCRIBE: NO
SHARATH, CHETHANA, MD
GENDER: F
PROVIDER #: 258007
NPI #: 1134375660
CHRISTOPHER GREATER
AREA RURAL HEALTH
PLANNING C
4241 STATE HWY 14W
CHRISTOPHER, IL 62822
PHONE: (618) 724-2401
E-PRESCRIBE: NO
FAMILY PRACTICE
NANNI, FREDERICA J., MD
GENDER: F
PROVIDER #: 168507
NPI #: 1275570889
REA CLINIC
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
PHONE: (618) 724-2401
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
CHRISTOPHER RURAL
HEALTH CLINIC DBA REA
CLINIC
GENDER:
PROVIDER #: 260757
NPI #: 1639159213
PO BOX 155
CHRISTOPHER, IL 62822
PHONE:
E-PRESCRIBE: NO
PEDIATRICS
CRISTE, MA CLARAVEL B.,
MD
GENDER: F
PROVIDER #: 250140
NPI #: 1245486679
REA CLINIC
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
PHONE: (618) 724-2401
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
69
CHRISTOPHER, IL
CLAY CITY, IN
Primary Care Physicians
JAVED, DURRI S., MD
GENDER: F
PROVIDER #: 027659
NPI #: 1275510604
REA CLINIC
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
PHONE: (618) 724-2401
SALMO, PATRICIA M., PA-C;
PROVIDER #: 073743
E-PRESCRIBE: NO
CLAY CITY, IN
CISSNA PARK, IL
FAMILY PRACTICE
ADULT/INTERNAL
MEDICINE
DODIA, NARAN P., MD
GENDER: M
PROVIDER #: 079271
NPI #: 1154401974
IMH CISSNA PARK CLINC
141 W GARFIELD
CISSNA PARK, IL 60924
PHONE: (815) 457-2146
E-PRESCRIBE: NO
FAMILY PRACTICE
BERG, SUSAN A., MD
GENDER: F
PROVIDER #: 255845
NPI #: 1043219736
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL DBA
CISSNA P
141 WEST GARFIELD AVE
CISSNA PARK, IL 60924
PHONE: (815) 457-2146
E-PRESCRIBE: YES
70
COLBERT, JAY R., DO
GENDER: M
PROVIDER #: 132466
NPI #: 1437379021
CISSNA PARK MEDICAL
CLINIC
141 W GARFIELD AVE
CISSNA PARK, IL 60924
PHONE: (815) 457-2146
E-PRESCRIBE: NO
BEACHY, ERIC D., MD
GENDER: M
PROVIDER #: 114574
NPI #: 1881652188
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
BROWNE, GEORGE O., PA;
PROVIDER #: 142519
EASLEY, TOMMIE, NP;
PROVIDER #: 155429
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: NO
DALUGA, PAUL L., MD
GENDER: M
PROVIDER #: 030893
NPI #: 1700877362
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
BROWNE, GEORGE O., PA;
PROVIDER #: 142519
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: NO
FITZGERALD, GARY A., MD
GENDER: M
PROVIDER #: 036577
NPI #: 1467443838
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANDFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
KELLAR, DANIEL P., MD
GENDER: M
PROVIDER #: 031853
NPI #: 1467443119
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: NO
MARCIANO, PATRICIA N., MD
GENDER: F
PROVIDER #: 173978
NPI #: 1053398578
UNION HOSPITAL INC
315 LANKFORD ST
CLAY CITY, IN 47841-1008
PHONE: (812) 939-2126
E-PRESCRIBE: NO
MCCALISTER, ELIZABETH A.,
MD
GENDER: F
PROVIDER #: 213764
NPI #: 1710092689
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CLAY CITY, IN
CLIFTON, IL
MCDONALD, STEVEN A., MD
GENDER: M
PROVIDER #: 009928
NPI #: 1578537056
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: NO
PLOWGIAN, EVAN S., MD
GENDER: M
PROVIDER #: 296293
NPI #: 1326363896
UNION HOSPITAL INCPROFESSIONAL GROUP
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
SHARMA, PUJA, MD
GENDER:
PROVIDER #: 228220
NPI #: 1427287010
UNION HOSPITAL
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
STEVENS, RANDALL L., MD
GENDER: M
PROVIDER #: 144190
NPI #: 1225029481
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
FIELDS, BETH R., FNP;
PROVIDER #: 144665
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: YES
Primary Care Physicians
TURNER, JAMES, DO
GENDER: M
PROVIDER #: 009064
NPI #: 1245221522
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
BATTISTA, BARBARA, PA;
PROVIDER #: 144507
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: NO
VALERA, LAURIE J., MD
GENDER: F
PROVIDER #: 171772
NPI #: 1790941086
UNION HOSPITAL INC
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
VEGAS, TOMAS C., MD
GENDER: M
PROVIDER #: 142477
NPI #: 1629277306
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
WILSON, WILLIAM E., MD
GENDER: M
PROVIDER #: 142479
NPI #: 1508857764
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: NO
CLIFTON, IL
ADULT/INTERNAL
MEDICINE
MOPARTHI, VENKATA, MD
GENDER: M
PROVIDER #: 099434
NPI #: 1699797548
PROVENA MEDICAL GROUP
335 E SIXTH AVE
CLIFTON, IL 60927
PHONE: (815) 694-2044
E-PRESCRIBE: NO
OMOTOSHO, WURAOLA I.,
MD
GENDER: F
PROVIDER #: 184428
NPI #: 1427222884
PROVENA MEDICAL GROUP
335 E SIXTH AVE
CLIFTON, IL 60927
PHONE: (630) 914-2417
E-PRESCRIBE: NO
THOMAS, ABRAHAM, MD
GENDER: M
PROVIDER #: 089063
NPI #: 1063423655
PROVENA MEDICAL GROUP
335 E SIXTH AVE
CLIFTON, IL 60927
PHONE: (815) 694-2044
VEASEY, REBECCA E., PA-C;
PROVIDER #: 102478
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
71
CLINTON, IA
CLINTON, IN
Primary Care Physicians
CLINTON, IA
ADULT/INTERNAL
MEDICINE
HERNDON, ERIN K., MD
GENDER: F
PROVIDER #: 269138
NPI #: 1942294483
GENESIS HEALTH SYSTEM
221 MAIN AVE
CLINTON, IA 52732
PHONE: (563) 242-7522
E-PRESCRIBE: NO
JERGENSON, DOUGLAS J.,
MD
GENDER: M
PROVIDER #: 241855
NPI #: 1689678344
GENESIS HEALTH GROUP
221 MAIN AVE
CLINTON, IA 52732
PHONE: (563) 242-7522
E-PRESCRIBE: NO
FAMILY PRACTICE
KASPER, RICHARD B., MD
GENDER: M
PROVIDER #: 061162
NPI #: 1639167307
GENESIS HEALTH GROUP
221 MAIN AVE
CLINTON, IA 52732
PHONE: (563) 242-7522
E-PRESCRIBE: NO
OSARO, ODUAH D., MD
GENDER: M
PROVIDER #: 055959
NPI #: 1821095787
108 S FOURTH ST
CLINTON, IA 52732
PHONE: (563) 241-1239
E-PRESCRIBE: NO
72
ROBINSON, RANDY R., MD
GENDER: M
PROVIDER #: 018396
NPI #: 1497736326
2027 S 21ST ST
CLINTON, IA 52732
PHONE: (563) 243-7200
E-PRESCRIBE: YES
SMITH, DENICE, MD
GENDER: F
PROVIDER #: 242439
NPI #: 1134171085
WOMENS CARE
SPECIALISTS DBA INFINITY
MEDICAL
507 S 4TH ST
CLINTON, IA 52732
PHONE: (563) 241-4000
E-PRESCRIBE: YES
CLINTON, IL
ADULT/INTERNAL
MEDICINE
KUREISHY, FARRUKH, MD
GENDER: M
PROVIDER #: 056153
NPI #: 1619950060
CLINTON INTERNAL
MEDICINE LLC
40 CLINTON PLAZA
CLINTON, IL 61727
PHONE: (217) 935-7600
E-PRESCRIBE: NO
WILLIAMS, BRIT M., MD
GENDER: M
PROVIDER #: 140841
NPI #: 1780667816
RURAL HEALTH CENTER
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 937-5284
E-PRESCRIBE: NO
FAMILY PRACTICE
KOEPPEN, MICHAEL, MD
GENDER: M
PROVIDER #: 252762
NPI #: 1679535728
DR JOHN WARNER
HOSPITAL
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
RAUCH, DAREN J., MD
GENDER: M
PROVIDER #: 134195
NPI #: 1174544407
OSF MEDICAL GROUP
1231 KLEEMANN DR
CLINTON, IL 61727
PHONE: (217) 935-5022
DALTON, NICOLE M., PA;
PROVIDER #: 172928
E-PRESCRIBE: NO
PEDIATRICS
SCERBA, TRICIA L., MD
GENDER: F
PROVIDER #: 089084
NPI #: 1467534065
RURAL HEALTH CENTER
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 937-5284
E-PRESCRIBE: NO
CLINTON, IN
ADULT/INTERNAL
MEDICINE
OOMMEN, KOSHY, MD
GENDER: M
PROVIDER #: 203332
NPI #: 1497844278
UNION HOSPITAL INC
801 S MAIN STREET
CLINTON, IN 47842-2261
PHONE: (765) 832-1234
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CLINTON, IN
CLINTON, KY
FAMILY PRACTICE
ABED, AZIZ H., MD
GENDER: M
PROVIDER #: 256685
NPI #: 1477874154
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842-2493
PHONE: (765) 828-1003
E-PRESCRIBE: YES
BUECHLER, JAMES R., MD
GENDER: M
PROVIDER #: 210488
NPI #: 1104817758
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842-2493
PHONE: (765) 828-1003
E-PRESCRIBE: NO
CARDIN, RACHEL, MD
GENDER: F
PROVIDER #: 245760
NPI #: 1790914380
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842-2493
PHONE: (765) 828-1003
E-PRESCRIBE: YES
CHAPPELL, ELAINE M., MD
GENDER: F
PROVIDER #: 216079
NPI #: 1326204769
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842-2493
PHONE: (765) 828-1003
E-PRESCRIBE: YES
Primary Care Physicians
GALE, BING W., MD
GENDER: F
PROVIDER #: 299142
NPI #: 1396736039
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842-2493
PHONE: (765) 828-1003
E-PRESCRIBE: NO
MACKE, STEVEN, MD
GENDER: M
PROVIDER #: 283965
NPI #: 1609867373
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842-2493
PHONE: (765) 828-1003
E-PRESCRIBE: NO
VALERA, LAURIE J., MD
GENDER: F
PROVIDER #: 171772
NPI #: 1790941086
UNION HOSPITAL INC
801 S MAIN ST
CLINTON, IN 47842
PHONE: (765) 832-1234
E-PRESCRIBE: NO
VALLEY PROFESSIONALS
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842-2493
PHONE: (765) 828-1003
HALL, NICOLE S., NP;
PROVIDER #: 220100
E-PRESCRIBE: NO
VEGAS, TOMAS C., MD
GENDER: M
PROVIDER #: 142477
NPI #: 1629277306
UNION HOSPITAL INC
700 S MAIN ST
CLINTON, IN 47842-1357
PHONE: (765) 832-1357
E-PRESCRIBE: NO
CLINTON, KY
ADULT/INTERNAL
MEDICINE
SMITH, WILLIAM, MD
GENDER: M
PROVIDER #: 297268
NPI #: 1134131907
HOSPITAL OF FULTON INC
DBA CLINTON FAMILY
CARE CLI
106 W CLAY ST
CLINTON, KY 42031
PHONE: (270) 653-6277
E-PRESCRIBE: NO
FAMILY PRACTICE
SMITH, BRUCE C., MD
GENDER: M
PROVIDER #: 153958
NPI #: 1962400648
308 S WASHINGTON ST
CLINTON, KY 42031-1347
PHONE: (270) 653-0220
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
73
Primary Care Physicians
CLIVE, IA
ADOLESCENT MEDICINE
STIER, AMY C., MD
GENDER: F
PROVIDER #: 131907
NPI #: 1447290770
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
ABRAMS, THAD E., MD
GENDER: M
PROVIDER #: 129286
NPI #: 1326022385
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ABU HEJLEH, TAHER B., MD
GENDER: M
PROVIDER #: 222698
NPI #: 1447469655
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ABURIZIK, ARWA, MD
GENDER: F
PROVIDER #: 249391
NPI #: 1356559298
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
74
CLIVE, IA
CLIVE, IA
ABUSHAHIN, LAITH I., MD
GENDER: M
PROVIDER #: 254227
NPI #: 1326288564
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
BAILIN, STEVEN J., MD
GENDER: M
PROVIDER #: 266816
NPI #: 1689656258
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ALI, ASAD, MD
GENDER: M
PROVIDER #: 263990
NPI #: 1437454188
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
BECK, GWEN Z., MD
GENDER: F
PROVIDER #: 129602
NPI #: 1174597116
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ARE, CHAITANYA, MD
GENDER: M
PROVIDER #: 201043
NPI #: 1912173766
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
BIEBER, DALE E., MD
GENDER: M
PROVIDER #: 144048
NPI #: 1265457519
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ATTALURI, PHANI ASHOK,
MD
GENDER: M
PROVIDER #: 144039
NPI #: 1417066499
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
BRODERICK, ANN, MD
GENDER: F
PROVIDER #: 130208
NPI #: 1275521833
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CLIVE, IA
CLIVE, IA
Primary Care Physicians
BUIKEMA, BRENDA S., MD
GENDER: F
PROVIDER #: 151429
NPI #: 1881804706
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
COTARLAN, VLADIMIR, MD
GENDER: M
PROVIDER #: 212534
NPI #: 1124294442
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CARLISLE, THOMAS L., MD
GENDER: M
PROVIDER #: 130307
NPI #: 1134116288
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CYR, JESSICA E., MD
GENDER: F
PROVIDER #: 249622
NPI #: 1245559376
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CHAHLA, MAYY F., MD
GENDER: F
PROVIDER #: 206874
NPI #: 1982722146
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
DAHHAN, ALI, MD
GENDER: M
PROVIDER #: 263987
NPI #: 1770713364
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CHASE, JOHN S., MD
GENDER: M
PROVIDER #: 130323
NPI #: 1487642013
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
DANIEL, BRIAN P., MD
GENDER: M
PROVIDER #: 130362
NPI #: 1609864271
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
DANIELSON, SAMANTHA J.,
MD
GENDER: F
PROVIDER #: 249615
NPI #: 1891014122
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
DAVIS, REBECCA S., MD
GENDER: F
PROVIDER #: 144084
NPI #: 1508823105
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
DIRKSEN, RACHAEL R., MD
GENDER: F
PROVIDER #: 225813
NPI #: 1386886257
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
EBERLEIN, MICHAEL H., MD
GENDER: M
PROVIDER #: 203362
NPI #: 1568482362
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
75
Primary Care Physicians
CLIVE, IA
CLIVE, IA
EL ABIAD, RAMI G., MD
GENDER: M
PROVIDER #: 165712
NPI #: 1003025032
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
GERKE, ALICIA, MD
GENDER: F
PROVIDER #: 159742
NPI #: 1053520759
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
HARRIS, KATHRINE I., MD
GENDER: F
PROVIDER #: 183596
NPI #: 1306040472
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
FANG, MICHELE M., MD
GENDER: F
PROVIDER #: 152985
NPI #: 1780751594
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
GLENN, KEVIN A., MD
GENDER: M
PROVIDER #: 130934
NPI #: 1972591402
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
HASSAN, IHAB H., MD
GENDER: M
PROVIDER #: 201140
NPI #: 1326258682
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
FRAER, MONY, MD
GENDER: M
PROVIDER #: 161841
NPI #: 1497845960
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
GOERBIG-CAMPBELL,
JENNIFER L., MD
GENDER: F
PROVIDER #: 169620
NPI #: 1700808185
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
HEGEMAN, ROBERT J., MD
GENDER: M
PROVIDER #: 184670
NPI #: 1508808684
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
GEHLBACH, BRIAN K., MD
GENDER: M
PROVIDER #: 203366
NPI #: 1285797704
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
76
GOERDT, CHRISTOPHER J.,
MD
GENDER: M
PROVIDER #: 130937
NPI #: 1548258163
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
IM, KYOUNG B., MD
GENDER: M
PROVIDER #: 182987
NPI #: 1316156193
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CLIVE, IA
CLIVE, IA
Primary Care Physicians
INCE, DILEK, MD
GENDER: F
PROVIDER #: 168574
NPI #: 1336358019
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
KABOLI, PETER, MD
GENDER: M
PROVIDER #: 130112
NPI #: 1518949940
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
KUPERMAN, ETHAN F., MD
GENDER: M
PROVIDER #: 252076
NPI #: 1528225042
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
IRANI, KAIKOBAD, MD
GENDER: M
PROVIDER #: 254178
NPI #: 1699748335
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
KALDIJIAN, LAURIS C., MD
GENDER: M
PROVIDER #: 130116
NPI #: 1790772051
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
KUPPACHI, SARAT C., MD
GENDER: M
PROVIDER #: 207048
NPI #: 1093983629
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
JOHNSON, KRISTA M., MD
GENDER: F
PROVIDER #: 216361
NPI #: 1457412280
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
KAMATH, APARNA S., MD
GENDER: F
PROVIDER #: 161312
NPI #: 1275735805
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
KWOFIE, MICHAEL A., MD
GENDER: M
PROVIDER #: 201126
NPI #: 1669633608
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
JOY, PARIJAT S., MD
GENDER: M
PROVIDER #: 249727
NPI #: 1922261387
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
KATZ, DAVID A., MD
GENDER: M
PROVIDER #: 130250
NPI #: 1023090321
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
LAROIA, SANDEEP T., MD
GENDER: M
PROVIDER #: 144235
NPI #: 1154403632
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
77
Primary Care Physicians
LEON-FERRE, ROBERTO A.,
MD
GENDER: M
PROVIDER #: 249719
NPI #: 1427361377
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
MOSHER, HILARY J., MD
GENDER: F
PROVIDER #: 201023
NPI #: 1114185055
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
NABEEL, YASSAR, MD
GENDER: M
PROVIDER #: 252287
NPI #: 1073826814
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
NASSAR, BOULOS S., MD
GENDER: M
PROVIDER #: 201026
NPI #: 1043420730
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
78
CLIVE, IA
CLIVE, IA
NISLY, NICOLE L., MD
GENDER: F
PROVIDER #: 130629
NPI #: 1659354959
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ROEDER, SUSAN L., DO
GENDER:
PROVIDER #: 130899
NPI #: 1487615340
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
OHL, MICHAEL E., MD
GENDER: M
PROVIDER #: 165120
NPI #: 1518903509
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ROSENTHAL, GARY E., MD
GENDER: M
PROVIDER #: 130901
NPI #: 1679555056
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
POLYAK, STEVEN F., MD
GENDER: M
PROVIDER #: 174505
NPI #: 1932141660
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SAQLAIN, MUHAMMAD U.,
MD
GENDER: M
PROVIDER #: 252279
NPI #: 1730494915
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
POPESCU, IOANNA, MD
GENDER: F
PROVIDER #: 131522
NPI #: 1821086778
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SCHILLING, MARGO L., MD
GENDER:
PROVIDER #: 130997
NPI #: 1255314563
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CLIVE, IA
CLIVE, IA
Primary Care Physicians
SCHMID, PHILLIP G., MD
GENDER: M
PROVIDER #: 155227
NPI #: 1477538767
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SINGH, NAMRATA, MD
GENDER: F
PROVIDER #: 254667
NPI #: 1306131495
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SOUBRA, MAHMOUD N., MD
GENDER: M
PROVIDER #: 203398
NPI #: 1427212224
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SHEN, WENDY W., MD
GENDER: F
PROVIDER #: 131347
NPI #: 1902896707
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SKELLY, KELLY S., MD
GENDER: F
PROVIDER #: 131363
NPI #: 1194711770
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SZOT, JOSEPH F., MD
GENDER: M
PROVIDER #: 131935
NPI #: 1881682441
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SHINOZAKI, ERI, MD
GENDER: F
PROVIDER #: 262545
NPI #: 1841467115
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SMITH, ZACHARY E., MD
GENDER: M
PROVIDER #: 300926
NPI #: 1780944074
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
TAHIR, RIZWAN, MD
GENDER: M
PROVIDER #: 207528
NPI #: 1538395272
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SIMMONS, JONATHAN S., DO
GENDER: M
PROVIDER #: 130854
NPI #: 1154317857
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SMOCK, JUSTIN W., MD
GENDER: M
PROVIDER #: 182665
NPI #: 1720284128
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
TELFAH, MOHAMMAD A., MD
GENDER: M
PROVIDER #: 300932
NPI #: 1861756421
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
79
Primary Care Physicians
THROWER, ABBY R., MD
GENDER: F
PROVIDER #: 156468
NPI #: 1821073594
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
TRICOT, GUIDO J., MD
GENDER: M
PROVIDER #: 212674
NPI #: 1063502540
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
VELUR, SATHVIKA, MD
GENDER: F
PROVIDER #: 222349
NPI #: 1932339413
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
WAHLS, TERRY L., MD
GENDER: F
PROVIDER #: 131652
NPI #: 1932181237
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
80
WESTERMANN, SHAWNA J.,
MD
GENDER: F
PROVIDER #: 131792
NPI #: 1114909413
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
WHITE, KATHERINE M., MD
GENDER: F
PROVIDER #: 228082
NPI #: 1518903731
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
WILSON, MARK C., MD
GENDER: M
PROVIDER #: 131823
NPI #: 1356323786
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
FAMILY PRACTICE
ABERNATHY, MABRA G., MD
GENDER: M
PROVIDER #: 182877
NPI #: 1316922545
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CLIVE, IA
CLIVE, IA
BANU, HUSSAIN, MD
GENDER: F
PROVIDER #: 184211
NPI #: 1063622637
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
BERGUS, GEORGE R., MD
GENDER: M
PROVIDER #: 129998
NPI #: 1811983414
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
BUCHKINA, JULIE R., MD
GENDER: F
PROVIDER #: 224834
NPI #: 1790939288
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
BUTLER, NICHOLAS R., MD
GENDER: M
PROVIDER #: 253408
NPI #: 1427285071
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CLIVE, IA
CLIVE, IA
CHACKALACKAL, REBECCA
G., MD
GENDER: F
PROVIDER #: 178794
NPI #: 1609863323
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CLARK, WILLIAM D., MD
GENDER: M
PROVIDER #: 210949
NPI #: 1083639140
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CRAMER, ELIZABETH S., MD
GENDER: F
PROVIDER #: 225768
NPI #: 1386870483
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
DOBYNS, RICHARD C., MD
GENDER: M
PROVIDER #: 130389
NPI #: 1912993387
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
Primary Care Physicians
ENDRES, JILL E., MD
GENDER: F
PROVIDER #: 144317
NPI #: 1356338610
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
FARRELL, ANGELA T., MD
GENDER: F
PROVIDER #: 257961
NPI #: 1871814194
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
FICK, DANIEL S., MD
GENDER: M
PROVIDER #: 130259
NPI #: 1457347049
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
GAGLIOTI, ANNE H., MD
GENDER: F
PROVIDER #: 175181
NPI #: 1699977751
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
GEORGE-PAULSEN, LESLIE
E., MD
GENDER: F
PROVIDER #: 254789
NPI #: 1245550094
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
HOTH, PETER L., MD
GENDER: M
PROVIDER #: 238890
NPI #: 1912931676
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
IMBOREK, KATHERINE L., MD
GENDER: F
PROVIDER #: 206882
NPI #: 1902069875
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
JAMES, PAUL A., MD
GENDER: M
PROVIDER #: 129988
NPI #: 1366438947
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
81
Primary Care Physicians
JOHNSON, JENNIFER A., MD
GENDER: F
PROVIDER #: 256233
NPI #: 1699744045
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
KERKHOFF, TERI J., MD
GENDER: F
PROVIDER #: 130552
NPI #: 1952388381
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
LEVY, BARCEY T., MD
GENDER: F
PROVIDER #: 131088
NPI #: 1588650402
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
LYNCH, ALISON C., MD
GENDER: F
PROVIDER #: 129287
NPI #: 1528055886
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
82
MAHARRY, MICHAEL K., MD
GENDER: M
PROVIDER #: 131244
NPI #: 1073509436
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
KIES, VALERIE O., PA-C;
PROVIDER #: 200041
NELSON, CHRISTINA B.,
ARNP; PROVIDER #: 218618
POLLOCK, ANNE E., ARNP;
PROVIDER #: 139886
E-PRESCRIBE: NO
MARTINEZ, DENISE A., MD
GENDER: F
PROVIDER #: 203311
NPI #: 1013171891
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
MATVEEVA, JULIA N., MD
GENDER: F
PROVIDER #: 193447
NPI #: 1114101201
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ROSENFELD OTOOL,
SANDRA R., MD
GENDER: F
PROVIDER #: 144321
NPI #: 1396962445
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CLIVE, IA
CLIVE, IA
SAUNDERS, KATHARINE J.,
MD
GENDER:
PROVIDER #: 131937
NPI #: 1932188380
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SHAIK, SHALINA, MD
GENDER: F
PROVIDER #: 204631
NPI #: 1215192224
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SHIAN, BRIAN X., MD
GENDER: M
PROVIDER #: 204015
NPI #: 1780875781
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SMOOT, MILTON K., MD
GENDER: M
PROVIDER #: 169010
NPI #: 1205026093
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CLIVE, IA
CLIVE, IA
THOMA, KATE D., MD
GENDER: F
PROVIDER #: 151445
NPI #: 1134338965
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
WILBUR, JASON K., MD
GENDER: M
PROVIDER #: 131800
NPI #: 1265428858
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
WOLFE, STEVEN L., MD
GENDER: M
PROVIDER #: 131844
NPI #: 1992791578
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
Primary Care Physicians
PEDIATRICS
ALDOSS, OSAMAH, MD
GENDER: M
PROVIDER #: 254223
NPI #: 1104043710
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
BENSON, REBECCA J., MD
GENDER: F
PROVIDER #: 182686
NPI #: 1023213030
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
GENERAL PRACTICE
BOUTROS, RAMI A., MD
GENDER: M
PROVIDER #: 203057
NPI #: 1063477024
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
FORBES, LANCE P., MD
GENDER: M
PROVIDER #: 130272
NPI #: 1699751073
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
BRUMBAUGH, JANE E., MD
GENDER: F
PROVIDER #: 223971
NPI #: 1619002458
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CHRISTENSEN, LORI A., MD
GENDER: F
PROVIDER #: 130329
NPI #: 1639165285
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CILIBERTO, MICHAEL A., MD
GENDER: M
PROVIDER #: 255818
NPI #: 1043418809
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CONRAD, AMY L., PSYD
GENDER: F
PROVIDER #: 249646
NPI #: 1942646195
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
D'ALESSANDRO, DONNA M.,
MD
GENDER: F
PROVIDER #: 130360
NPI #: 1396730248
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
83
Primary Care Physicians
CLIVE, IA
CLIVE, IA
DUNGY, CLAIBOURNE I., MD
GENDER: M
PROVIDER #: 130401
NPI #: 1992782585
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
HASKELL, SARAH E., DO
GENDER: F
PROVIDER #: 203401
NPI #: 1780893503
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
KINZER, SAMUEL E., MD
GENDER: M
PROVIDER #: 130562
NPI #: 1417942350
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
DUSDIEKER, LOIS B., MD
GENDER: F
PROVIDER #: 130404
NPI #: 1427043371
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
JETTON, JENNIFER G., MD
GENDER: F
PROVIDER #: 183600
NPI #: 1588985261
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
LAREW, MARY S., MD
GENDER: F
PROVIDER #: 130686
NPI #: 1376539601
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
EBACH, DAWN R., MD
GENDER: F
PROVIDER #: 129830
NPI #: 1457346231
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
KAMATH, APARNA S., MD
GENDER: F
PROVIDER #: 161312
NPI #: 1275735805
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
LAROCHE, HELENA H., MD
GENDER: F
PROVIDER #: 130708
NPI #: 1700896628
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
EL-SHEIKH, AYMAN A., MD
GENDER: M
PROVIDER #: 168572
NPI #: 1497734875
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
KAMBEROS, NATALIE L., DO
GENDER: F
PROVIDER #: 224005
NPI #: 1689769531
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
LEE-SON, KANG YU K., MD
GENDER: F
PROVIDER #: 259175
NPI #: 1487083911
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
84
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CLIVE, IA
CLIVE, IA
Primary Care Physicians
LINK, ELLEN A., MD
GENDER: F
PROVIDER #: 131227
NPI #: 1114913878
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
MOONJELY, ANITA J., MD
GENDER: F
PROVIDER #: 144292
NPI #: 1649255035
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
MARKS, JESSIE E., MD
GENDER: F
PROVIDER #: 222459
NPI #: 1912134339
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
MURPH, JODY R., MD
GENDER: F
PROVIDER #: 131450
NPI #: 1851381560
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
MCELROY, STEVEN J., MD
GENDER: M
PROVIDER #: 213908
NPI #: 1811084957
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
NEWLAND, CATHERINE D.,
MD
GENDER: F
PROVIDER #: 253393
NPI #: 1982860185
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
MILLER, DAYNA J., MD
GENDER: F
PROVIDER #: 206875
NPI #: 1487859997
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
NG, BENTON Y., MD
GENDER: M
PROVIDER #: 224639
NPI #: 1811933005
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
OETTING, MARGUERITE H.,
MD
GENDER: F
PROVIDER #: 144852
NPI #: 1073529384
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ORAL, RESMIYE, MD
GENDER: F
PROVIDER #: 130660
NPI #: 1417944521
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
PETERSON, ANDREW R., MD
GENDER: M
PROVIDER #: 186642
NPI #: 1528023504
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
PHILLIPS, GEORGE C., MD
GENDER: M
PROVIDER #: 131514
NPI #: 1013902709
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
85
Primary Care Physicians
PRICE, NATHAN B., MD
GENDER: M
PROVIDER #: 254202
NPI #: 1275709586
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SULLIVAN, SHANNON J., MD
GENDER: F
PROVIDER #: 131922
NPI #: 1093702755
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
RABE, GLENDA K., MD
GENDER: F
PROVIDER #: 152935
NPI #: 1790994143
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
TRAPANE, PAMELA L., MD
GENDER: F
PROVIDER #: 170779
NPI #: 1215988977
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SHCHELOCHKOV, OLEG A.,
MD
GENDER: M
PROVIDER #: 172227
NPI #: 1841434537
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
VIGIL, GRETCHEN E., MD
GENDER: F
PROVIDER #: 131647
NPI #: 1407842735
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SHY, ROSEMARY R., MD
GENDER: F
PROVIDER #: 216351
NPI #: 1841238946
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
86
WALDRON, DEBRA B., MD
GENDER: F
PROVIDER #: 152920
NPI #: 1215932074
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
DRURY, MARY M., ARNP;
PROVIDER #: 192642
E-PRESCRIBE: NO
CLIVE, IA
COAL CITY, IL
COAL CITY, IL
ADULT/INTERNAL
MEDICINE
ANALYTIS, SPYRO D., MD
GENDER: M
PROVIDER #: 020444
NPI #: 1407953441
460 N BROADWAY ST
COAL CITY, IL 60416
PHONE: (815) 634-4099
E-PRESCRIBE: NO
DEEPANKAR, RAHUL, MD
GENDER: M
PROVIDER #: 194329
NPI #: 1376503045
RIVERSIDE MEDICAL
CENTER OF COAL CITY
5775 EAST STATE ROUTE 113
COAL CITY, IL 60416
PHONE: (815) 634-0100
E-PRESCRIBE: NO
KHAN, AFTAB, MD
GENDER: M
PROVIDER #: 207554
NPI #: 1720073729
LIBERTY MEDICAL CENTER
4 E NORTH ST
COAL CITY, IL 60416
PHONE: (815) 942-8080
E-PRESCRIBE: NO
KUCINSKI, LAURA J., DO
GENDER: F
PROVIDER #: 241169
NPI #: 1093010126
KUCINSKI MEDICAL LTD
400 N BROADWAY ST
COAL CITY, IL 60416
PHONE: (815) 634-8030
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
COAL CITY, IL
COLUMBIA, MO
FAMILY PRACTICE
JURAK, DANIEL M., DO
GENDER: M
PROVIDER #: 020496
NPI #: 1912919259
FAMILY PHYSICIANS OF
COAL CITY
935 E DIVISION ST
COAL CITY, IL 60416
PHONE: (815) 634-8447
E-PRESCRIBE: NO
KAO, COLIN, DO
GENDER: M
PROVIDER #: 280871
NPI #: 1023129897
RIVERSIDE HEALTH
SYSTEMS
5775 E STATE HWY 113
COAL CITY, IL 60416
PHONE: (815) 634-0100
E-PRESCRIBE: YES
SAFDAR, SAIMA, MD
GENDER: F
PROVIDER #: 208669
NPI #: 1336449214
LIBERTY MEDICAL CENTER
4 E NORTH ST
COAL CITY, IL 60416
PHONE: (815) 942-8080
E-PRESCRIBE: NO
COAL VALLEY, IL
FAMILY PRACTICE
WANG, PAUL, MD
GENDER: M
PROVIDER #: 060636
NPI #: 1508839481
COAL VALLEY CLINIC
104 W 18TH AVE
COAL VALLEY, IL 61240
PHONE: (309) 799-7518
E-PRESCRIBE: YES
Primary Care Physicians
COLFAX, IL
ADULT/INTERNAL
MEDICINE
DEOSKAR, UDAY L., MD
GENDER: M
PROVIDER #: 070445
NPI #: 1386733145
HERITAGE MANOR
402 S HARRISON ST
COLFAX, IL 61728
PHONE: (309) 723-2591
E-PRESCRIBE: NO
COLLINSVILLE, IL
FAMILY PRACTICE
AHMED, MAKIN U., MD
GENDER: M
PROVIDER #: 114837
NPI #: 1821134495
415 WEST MAIN ST STE 1
COLLINSVILLE, IL 62234
PHONE: (618) 346-2241
E-PRESCRIBE: NO
CORVALLIS, JOSEPH M., MD
GENDER: M
PROVIDER #: 061842
NPI #: 1477506426
101 ST LOUIS ROAD
COLLINSVILLE, IL 62234
PHONE: (618) 346-1144
E-PRESCRIBE: NO
KALAHER, MELISSA L., MD
GENDER: F
PROVIDER #: 230858
NPI #: 1629161765
GRANITE CITY CLINIC CORP
101 UNITED DRIVE
COLLINSVILLE, IL 622347434
PHONE:
E-PRESCRIBE: NO
GENERAL PRACTICE
ADESARA, RAHMIN P., MD
GENDER:
PROVIDER #: 195018
NPI #: 1699975185
GRANITE CITY CLINIC CORP
101 UNITED DRIVE
COLLINSVILLE, IL 622347434
PHONE:
E-PRESCRIBE: NO
COLONA, IL
FAMILY PRACTICE
FORD, DONALD, MD
GENDER: M
PROVIDER #: 054544
NPI #: 1053398933
COLONA CLINIC
1604 CLEVELAND RD
COLONA, IL 61241
PHONE: (309) 796-2999
E-PRESCRIBE: NO
COLUMBIA, MO
ADULT/INTERNAL
MEDICINE
ABU-SALAH, TAREQ M., MD
GENDER: M
PROVIDER #: 291072
NPI #: 1417914474
BOONE HOSPITAL
INTENSIVISTS
1600 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-8000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
87
Primary Care Physicians
AL-SAYYED, LEEN HUSNI
ALI, MD
GENDER: F
PROVIDER #: 291139
NPI #: 1053626242
BOONE MEDICAL GROUP
SOUTH
#104 200 SO HAMPTON
COLUMBIA, MO 65203
PHONE: (573) 499-9009
E-PRESCRIBE: NO
HERRING, MARTHA J., MD
GENDER: F
PROVIDER #: 291001
NPI #: 1497757041
BHC HOSPITALISTS
1600 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-8000
E-PRESCRIBE: NO
BOYER, HOLLY M., MD
GENDER: F
PROVIDER #: 291129
NPI #: 1801985833
BOONE MEDICAL GROUP
SOUTH
#104 200 E SOUTHAMPTON
COLUMBIA, MO 65203
PHONE: (573) 499-9009
E-PRESCRIBE: NO
CHOUDHURY, ADNAN Z., MD
GENDER: M
PROVIDER #: 290994
NPI #: 1669603486
BHC HOSPITALISTS
1600 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-8000
E-PRESCRIBE: NO
GOODIN, JASON A., DO
GENDER: M
PROVIDER #: 291157
NPI #: 1629165436
BOONE PULMONARY
#110 1605 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-7119
E-PRESCRIBE: NO
88
JAMES, DAVID T., MD
GENDER: M
PROVIDER #: 291000
NPI #: 1033398771
BHC HOSPITALISTS
1600 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-8000
E-PRESCRIBE: NO
JAMISON, KIMBERLY, MD
GENDER: F
PROVIDER #: 291195
NPI #: 1568547180
BOONE WOUND
MANAGEMENT
1600 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-3612
E-PRESCRIBE: NO
JARBOU, MOHAMMAD, MD
GENDER: M
PROVIDER #: 272550
NPI #: 1396830915
BOONE PULMONARY
#110 1605 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-7119
E-PRESCRIBE: NO
COLUMBIA, MO
COLUMBIA, MO
KARNCHANASORN,
SOPHANA, MD
GENDER: F
PROVIDER #: 291067
NPI #: 1710165303
BOONE HOSPITAL CENTER
HOSPITALISTS
1600 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-8000
E-PRESCRIBE: NO
LLORENS, REBECCA F., MD
GENDER: F
PROVIDER #: 291135
NPI #: 1316998503
BOONE MEDICAL GROUP
SOUTH
#104 200 E SOUTHAMPTON
DR
COLUMBIA, MO 65203
PHONE: (573) 499-9009
E-PRESCRIBE: NO
LODHI, HUMAYUN A., MD
GENDER: M
PROVIDER #: 291153
NPI #: 1386643492
BOONE PULMONARY
#110 1605 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-7119
E-PRESCRIBE: NO
SHEKHAR, RAHUL, MD
GENDER: M
PROVIDER #: 290797
NPI #: 1184854663
BOONE PHYSICIAN
SERVICES LLC
1600 E BROADWAY
COLUMBIA, MO 65201-5844
PHONE: (573) 815-8000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
COLUMBIA, MO
COLUMBUS JUNCTI, IA
VARADHARAJAN,
ANANDHALAKSHIMI, MD
GENDER: F
PROVIDER #: 291011
NPI #: 1518165067
BHC INTENSIVISTS
1600 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-8000
E-PRESCRIBE: NO
FAMILY PRACTICE
DALY, MICHAEL M., DO
GENDER: M
PROVIDER #: 223881
NPI #: 1447361100
BOONE MEDICAL GROUP
CENTRAL 2
#110 1605 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-2236
E-PRESCRIBE: NO
GOELLER, DONALD P., MD
GENDER: M
PROVIDER #: 291095
NPI #: 1821250887
BOONE MEDICAL GROUP
CENTRAL #1
#110 1605 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-8130
E-PRESCRIBE: NO
CONVENIENT CARE BOONE
MEDICAL GROUP
#275 601 BUSINESS LOOP 70
W
COLUMBIA, MO 65203
PHONE: (573) 874-0008
E-PRESCRIBE: NO
Primary Care Physicians
JONES, JUSTIN E., MD
GENDER: M
PROVIDER #: 291059
NPI #: 1962488536
BOONE FAMILY PRACTICE
#110 1605 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-8130
E-PRESCRIBE: NO
LOPEZ RHODES, MARIANNE
R., MD
GENDER: F
PROVIDER #: 291146
NPI #: 1194014308
BOONE MEDICAL GROUP
SOUTH
200 E SOUTHAMPTON
COLUMBIA, MO 65203
PHONE: (573) 499-9009
E-PRESCRIBE: NO
MRUZIK, JOHN C., MD
GENDER: M
PROVIDER #: 117119
NPI #: 1104936566
CONVENIENT CARE BOONE
MEDICAL GROUP
#275 601 BUSINESS LOOP 70
W
COLUMBIA, MO 65203
PHONE: (573) 874-0008
E-PRESCRIBE: NO
MURPHEY, NATHANIEL G.,
MD
GENDER: M
PROVIDER #: 291087
NPI #: 1720025307
CONVENIENT CARE BOONE
MEDICAL GROUP
#275 601 BUSINESS LOOP 70
W
COLUMBIA, MO 65203
PHONE: (573) 874-0008
E-PRESCRIBE: NO
NAQVI, RUBAB H., MD
GENDER: F
PROVIDER #: 291151
NPI #: 1881822617
BOONE MEDICAL GROUP
SOUTH
200 E SOUTHAMPTON
COLUMBIA, MO 65203
PHONE: (573) 499-9009
E-PRESCRIBE: NO
SCHOEPHOERSTER, PAUL
W., MD
GENDER: M
PROVIDER #: 217283
NPI #: 1801849252
BOONE MEDICAL GROUP
CENTRAL 1
#110 1605 E BROADWAY
COLUMBIA, MO 65201
PHONE: (573) 815-8130
E-PRESCRIBE: NO
COLUMBUS JUNCTI, IA
FAMILY PRACTICE
MASONHOLDER, BRIAN, DO
GENDER: M
PROVIDER #: 093564
NPI #: 1851333942
COLUMBUS JUNCTION
MEDICAL CLINIC
109 E WALNUT ST
COLUMBUS JUNCTI, IA 52738
PHONE: (319) 728-2429
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
89
Primary Care Physicians
CORALVILLE, IA
ADOLESCENT MEDICINE
STIER, AMY C., MD
GENDER: F
PROVIDER #: 131907
NPI #: 1447290770
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
BECK, GWEN Z., MD
GENDER: F
PROVIDER #: 129602
NPI #: 1174597116
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
BIEBER, DALE E., MD
GENDER: M
PROVIDER #: 144048
NPI #: 1265457519
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
90
BOZEK, GREGORY, MD
GENDER: M
PROVIDER #: 037044
NPI #: 1790764751
NORTH CORRIDOR
INTERNAL MEDICINE
2591 HOLIDAY RD
CORALVILLE, IA 52241
PHONE: (319) 341-9778
E-PRESCRIBE: NO
CYR, JESSICA E., MD
GENDER: F
PROVIDER #: 249622
NPI #: 1245559376
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTH CARE
105 E 9TH ST
CORALVILLE, IA 52241
PHONE: (855) 467-3700
E-PRESCRIBE: NO
DANIELSON, SAMANTHA J.,
MD
GENDER: F
PROVIDER #: 249615
NPI #: 1891014122
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTH CARE
105 E 9TH ST
CORALVILLE, IA 52241
PHONE: (855) 467-3700
E-PRESCRIBE: NO
DAVIS, REBECCA S., MD
GENDER: F
PROVIDER #: 144084
NPI #: 1508823105
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
CORALVILLE, IA
CORALVILLE, IA
DIRKSEN, RACHAEL R., MD
GENDER: F
PROVIDER #: 225813
NPI #: 1386886257
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
EL ABIAD, RAMI G., MD
GENDER: M
PROVIDER #: 165712
NPI #: 1003025032
IOWA RIVER LANDING-UIHC
105 E 9TH ST
CORALVILLE, IA 52241
PHONE: (855) 467-3700
E-PRESCRIBE: NO
GOERDT, CHRISTOPHER J.,
MD
GENDER: M
PROVIDER #: 130937
NPI #: 1548258163
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
GOMENDOZA, MICHAEL, MD
GENDER: M
PROVIDER #: 219673
NPI #: 1174637110
MERCY URGENT CARE
WEST
2769 HEARTLAND DR SUITE
205
CORALVILLE, IA 52241
PHONE: (319) 887-2900
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CORALVILLE, IA
CORALVILLE, IA
Primary Care Physicians
HEGEMAN, ROBERT J., MD
GENDER: M
PROVIDER #: 184670
NPI #: 1508808684
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
NISLY, NICOLE L., MD
GENDER: F
PROVIDER #: 130629
NPI #: 1659354959
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
HOFFMAN, RICHARD M., MD
GENDER: M
PROVIDER #: 292786
NPI #: 1598870297
IOWA RIVER LANDING GENERAL INTERNAL
MEDICINE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
TAN, CAROL ANN C., MD
GENDER: F
PROVIDER #: 219686
NPI #: 1356455398
MERCY URGENT CARE
WEST
2769 HEARTLAND DR SUITE
205
CORALVILLE, IA 52241
PHONE: (319) 887-2900
E-PRESCRIBE: NO
LAROIA, SANDEEP T., MD
GENDER: M
PROVIDER #: 144235
NPI #: 1154403632
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
WESTERMANN, SHAWNA J.,
MD
GENDER: F
PROVIDER #: 131792
NPI #: 1114909413
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
LEON-FERRE, ROBERTO A.,
MD
GENDER: M
PROVIDER #: 249719
NPI #: 1427361377
IOWA RIVER LANDINGUNIVE
105 E 9TH ST
CORALVILLE, IA 52241
PHONE: (855) 467-3700
E-PRESCRIBE: NO
FAMILY PRACTICE
BAHADUR, SHIVENDRA, MD
GENDER: M
PROVIDER #: 243657
NPI #: 1467531657
MERCY URGENT CARE
WEST
2769 HEARTLAND DR STE
205
CORALVILLE, IA 52241
PHONE: (319) 688-7400
E-PRESCRIBE: NO
BARR, HILARY H., MD
GENDER: F
PROVIDER #: 123346
NPI #: 1801839394
MERCY SERVICES
CORALVILLE
2055 OAKDALE RD
CORALVILLE, IA 52241
PHONE: (319) 248-0037
LUDEKING, THERESA, PA;
PROVIDER #: 124847
E-PRESCRIBE: NO
BUCHKINA, JULIE R., MD
GENDER: F
PROVIDER #: 224834
NPI #: 1790939288
UI QUICK CARECORALVILLE
2510 CORRIDOR WAY SUITE
6A
CORALVILLE, IA 52241-7604
PHONE: (319) 337-7642
E-PRESCRIBE: NO
CAPIZZANO, JUANA N., MD
GENDER: F
PROVIDER #: 290100
NPI #: 1881910628
UI QUICK CARE
CORALVILLE
2510 CORRIDOR WAY SUITE
6A
CORALVILLE, IA 52241-7604
PHONE: (319) 384-8500
E-PRESCRIBE: NO
COLLAPPAKKAM,
PADMALATHA, MD
GENDER: F
PROVIDER #: 202593
NPI #: 1790983989
MERCY SERVICES
CORALVILLE
2055 OAKDALE RD
CORALVILLE, IA 52241
PHONE: (319) 248-0168
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
91
Primary Care Physicians
CORALVILLE, IA
CORALVILLE, IA
FARRELL, ANGELA T., MD
GENDER: F
PROVIDER #: 257961
NPI #: 1871814194
UI QUICK CARECORALVILLE
2510 CORRIDOR WAY SUITE
6A
CORALVILLE, IA 52241
PHONE: (319) 337-7642
E-PRESCRIBE: NO
PEREA, ERNEST M., MD
GENDER: M
PROVIDER #: 248531
NPI #: 1033171004
MERCY OCCUPATIONAL
HEALTH
2769 HEARTLAND DR STE
205
CORALVILLE, IA 52241
PHONE: (319) 339-3921
E-PRESCRIBE: NO
CHRISTENSEN, LORI A., MD
GENDER: F
PROVIDER #: 130329
NPI #: 1639165285
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
GREINER, JAMIE A., MD
GENDER: F
PROVIDER #: 187487
NPI #: 1326244690
MERCY SERVICES
CORALVILLE
2055 OAKDALE RD
CORALVILLE, IA 52241
PHONE: (319) 248-0168
E-PRESCRIBE: NO
PEDIATRICS
BEHUNIN, KATIE J B., DO
GENDER: F
PROVIDER #: 290217
NPI #: 1265725774
IOWA RIVER LANDINGPEDIATRICS
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
D'ALESSANDRO, DONNA M.,
MD
GENDER: F
PROVIDER #: 130360
NPI #: 1396730248
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
BENSON, REBECCA J., MD
GENDER: F
PROVIDER #: 182686
NPI #: 1023213030
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
DUNGY, CLAIBOURNE I., MD
GENDER: M
PROVIDER #: 130401
NPI #: 1992782585
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
BOUTROS, RAMI A., MD
GENDER: M
PROVIDER #: 203057
NPI #: 1063477024
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
DUSDIEKER, LOIS B., MD
GENDER: F
PROVIDER #: 130404
NPI #: 1427043371
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
HAYDEN, KIMBERLY A., MD
GENDER: F
PROVIDER #: 172822
NPI #: 1740255736
2769 HEARTLAND DR SUITE
205
CORALVILLE, IA 52241-2732
PHONE: (319) 688-7400
E-PRESCRIBE: NO
MILANI, JAMES W., DO
GENDER: M
PROVIDER #: 298551
NPI #: 1477621134
MERCY OCCUPATIONAL
MEDICINE OF CORALVILLE
2769 HEARTLAND DRIVE
SUITE 205
CORALVILLE, IA 52241-2732
PHONE: (319) 339-3921
E-PRESCRIBE: NO
92
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CORALVILLE, IA
CORALVILLE, IA
Primary Care Physicians
FISHBANE-GORDON,
MEREDITH L., MD
GENDER: F
PROVIDER #: 288985
NPI #: 1417165614
IOWA RIVER LANDINGPEDIATRICS
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
MILLER, DAYNA J., MD
GENDER: F
PROVIDER #: 206875
NPI #: 1487859997
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
PHILLIPS, GEORGE C., MD
GENDER: M
PROVIDER #: 131514
NPI #: 1013902709
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
LAREW, MARY S., MD
GENDER: F
PROVIDER #: 130686
NPI #: 1376539601
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
MOONJELY, ANITA J., MD
GENDER: F
PROVIDER #: 144292
NPI #: 1649255035
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
SHY, ROSEMARY R., MD
GENDER: F
PROVIDER #: 216351
NPI #: 1841238946
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
LINK, ELLEN A., MD
GENDER: F
PROVIDER #: 131227
NPI #: 1114913878
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
MURPH, JODY R., MD
GENDER: F
PROVIDER #: 131450
NPI #: 1851381560
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
SULLIVAN, SHANNON J., MD
GENDER: F
PROVIDER #: 131922
NPI #: 1093702755
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
MARKS, JESSIE E., MD
GENDER: F
PROVIDER #: 222459
NPI #: 1912134339
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
OETTING, MARGUERITE H.,
MD
GENDER: F
PROVIDER #: 144852
NPI #: 1073529384
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
VIGIL, GRETCHEN E., MD
GENDER: F
PROVIDER #: 131647
NPI #: 1407842735
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
93
Primary Care Physicians
COULTERVILLE, IL
COVINGTON, IN
FAMILY PRACTICE
BECKEMEYER, SHAWN, MD
GENDER: F
PROVIDER #: 048692
NPI #: 1023075264
COULTERVILLE MEDICAL
CLINIC
203 E GRANT
COULTERVILLE, IL 62237
PHONE: (618) 758-2331
COOK, CANDACE, CFNP;
PROVIDER #: 127611
HILL, PATRICIA, ARNP;
PROVIDER #: 242370
E-PRESCRIBE: NO
JAMES JR, FRANKLIN, MD
GENDER: M
PROVIDER #: 063400
NPI #: 1659338713
COULTERVILLE MEDICAL
CLINIC
203 E GRANT
COULTERVILLE, IL 62237
PHONE: (618) 758-2331
E-PRESCRIBE: NO
WOOD, KELLY, MD
GENDER: F
PROVIDER #: 254236
NPI #: 1619193869
COULTERVILLE MEDICAL
CLINIC
803 E GRAND
COULTERVILLE, IL 62237
PHONE: (618) 758-2331
E-PRESCRIBE: YES
94
ADULT/INTERNAL
MEDICINE
MALHOTRA, BIKRAMJIT, MD
GENDER: M
PROVIDER #: 040585
NPI #: 1942243472
DANVILLE POLYCLINIC LTD
416 UNION ST
COVINGTON, IN 47932
PHONE: (765) 793-2122
JOHNSON, ERICA M., FNP;
PROVIDER #: 144619
E-PRESCRIBE: NO
PATEL, KEVAL D., MD
GENDER: M
PROVIDER #: 031778
NPI #: 1447291182
DANVILLE POLYCLINIC
416 UNION ST
COVINGTON, IN 47932
PHONE: (765) 793-2122
E-PRESCRIBE: NO
CREST HILL, IL
ADULT/INTERNAL
MEDICINE
ALVI, FARHANA P., MD
GENDER: F
PROVIDER #: 169061
NPI #: 1568451276
ALLIANCE HEALTH
2208 WEBER RD UNIT A
CREST HILL, IL 60403
PHONE: (815) 741-7590
E-PRESCRIBE: NO
COULTERVILLE, IL
CREST HILL, IL
PETHKAR, SANJAY, MD
GENDER: M
PROVIDER #: 041167
NPI #: 1134181829
ALLIANCE HEALTH
1421 ESSINGTON RD
CREST HILL, IL 60435
PHONE: (815) 609-3627
E-PRESCRIBE: NO
FAMILY PRACTICE
JAVED, MAHWESH, MD
GENDER: M
PROVIDER #: 287106
NPI #: 1831204536
PROVENA MEDICAL GROUP
3100 N THEODORE ST
CREST HILL, IL 60435
PHONE: (815) 725-3454
E-PRESCRIBE: NO
KANTAR, MOUHANNAD, MD
GENDER: M
PROVIDER #: 221789
NPI #: 1710127576
PROVENA MEDICAL GROUP
16151 WEBER RD SUITE 101
CREST HILL, IL 60403
PHONE: (815) 773-7827
E-PRESCRIBE: NO
PEDIATRICS
BELICENA, JONETTE P., MD
GENDER: F
PROVIDER #: 084671
NPI #: 1134117344
PROVENA MEDICAL GROUP
301 N MADISON ST SUITE 120
CREST HILL, IL 60435
PHONE: (815) 725-0007
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CREST HILL, IL
CULLOM, IL
STAMPLEY, ANDREA G., MD
GENDER: F
PROVIDER #: 138996
NPI #: 1225102148
2224 WEBER RD
CREST HILL, IL 60403
PHONE: (815) 725-1600
E-PRESCRIBE: NO
CREVE COEUR, IL
FAMILY PRACTICE
BRUNE, DANIEL H., MD
GENDER: M
PROVIDER #: 010785
NPI #: 1982896551
CREVE COEUR FAMILY
PHYSICIANS
120 WAGNER DR
CREVE COEUR, IL 61610
PHONE: (309) 699-6921
E-PRESCRIBE: NO
CREVE COEUR, MO
ADULT/INTERNAL
MEDICINE
LECUYER, PAUL B., MD
GENDER: M
PROVIDER #: 099262
NPI #: 1427161298
BARNES WEST MEDICAL
CONSULTANTS
969 MASON RD #160
CREVE COEUR, MO 63141
PHONE: (314) 996-3434
E-PRESCRIBE: NO
Primary Care Physicians
CRYSTAL LAKE, IL
FAMILY PRACTICE
BORCHARDT, ROBIN F., MD
GENDER: M
PROVIDER #: 221618
NPI #: 1992734297
ROCKFORD ORTHOPEDIC
ASSOCIATES
750 E TERRA COTTA AVE
STE C
CRYSTAL LAKE, IL 60014
PHONE: (815) 455-0800
E-PRESCRIBE: NO
CUBA, MO
ADULT/INTERNAL
MEDICINE
BARBIN, JENNIFER F., MD
GENDER: F
PROVIDER #: 291057
NPI #: 1326160144
CUBA CLINIC
102 OZARK DR #B
CUBA, MO 65453
PHONE: (573) 885-6600
E-PRESCRIBE: NO
MODAD, MUSA, MD
GENDER: M
PROVIDER #: 291350
NPI #: 1902917834
CUBA CLINIC
#B 102 OZARK DR
CUBA, MO 65453
PHONE: (573) 885-6600
E-PRESCRIBE: NO
FAMILY PRACTICE
MARQUINO, MARLON C., MD
GENDER: M
PROVIDER #: 203456
NPI #: 1366642704
CUBA CLINIC
102 OZARK DR #B
CUBA, MO 65453
PHONE: (573) 885-6600
E-PRESCRIBE: NO
CULLOM, IL
ADULT/INTERNAL
MEDICINE
PATEL, MUKESH V., MD
GENDER:
PROVIDER #: 119833
NPI #: 1780602946
OSF MEDICAL GROUP
105 W HACK ST
CULLOM, IL 60929
PHONE: (815) 689-2126
KENNEDY, MARY H., NP;
PROVIDER #: 119849
E-PRESCRIBE: NO
FAMILY PRACTICE
MOY, CALVIN, MD
GENDER: M
PROVIDER #: 224829
NPI #: 1154558732
OSF MEDICAL GROUP
105 W HACK ST
CULLOM, IL 60929
PHONE: (815) 689-2126
E-PRESCRIBE: NO
STEVENS, JENNIFER E., MD
GENDER: F
PROVIDER #: 182380
NPI #: 1043412893
OSF MEDICAL GROUP
105 W HACK ST
CULLOM, IL 60929
PHONE: (815) 689-2126
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
95
Primary Care Physicians
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 446-6410
E-PRESCRIBE: NO
DANVILLE, IL
ADULT/INTERNAL
MEDICINE
CAILLOUET, LYNETTE S., MD
GENDER: F
PROVIDER #: 268996
NPI #: 1871680199
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 446-6410
E-PRESCRIBE: NO
HALLORAN, THOMAS J., MD
GENDER: M
PROVIDER #: 000050
NPI #: 1588696785
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
LONG, JACQUELINE A., NP;
PROVIDER #: 216679
OSHAUGHNESSY, DARLA, NP;
PROVIDER #: 009961
WALLON, REBECCA C., PA;
PROVIDER #: 210593
E-PRESCRIBE: YES
MALHOTRA, BIKRAMJIT, MD
GENDER: M
PROVIDER #: 040585
NPI #: 1942243472
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4748
JOHNSON, ERICA M., FNP;
PROVIDER #: 144619
E-PRESCRIBE: NO
MUSHTAQ, MUHAMMAD, MD
GENDER: M
PROVIDER #: 001411
NPI #: 1851460380
701 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-1100
E-PRESCRIBE: NO
96
PARUCHURI, SURENDRA P.,
MD
GENDER:
PROVIDER #: 050050
NPI #: 1902847437
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832-4360
PHONE: (217) 477-4730
E-PRESCRIBE: NO
PARUCHURI, USHA R., MD
GENDER:
PROVIDER #: 268797
NPI #: 1699861575
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4707
E-PRESCRIBE: NO
PATEL, KEVAL D., MD
GENDER: M
PROVIDER #: 031778
NPI #: 1447291182
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832-4360
PHONE: (217) 477-4738
E-PRESCRIBE: NO
SADIQ, RAJA IRFAN, MD
GENDER: M
PROVIDER #: 182447
NPI #: 1316142755
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 446-6410
E-PRESCRIBE: NO
DANVILLE, IL
DANVILLE, IL
SEKAR, VENKAT E., MD
GENDER: M
PROVIDER #: 002764
NPI #: 1114974441
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4772
E-PRESCRIBE: NO
SODHI, BRIJNANDAN S., MD
GENDER: M
PROVIDER #: 002055
NPI #: 1700879178
SODHI MEDICAL SERVICES
1010 W CLAY ST
DANVILLE, IL 61832
PHONE: (217) 431-7200
MARTINDILL, GREGORY L.,
PA-C; PROVIDER #: 057172
SHELBY, JILL E., CNP;
PROVIDER #: 151399
E-PRESCRIBE: NO
FAMILY PRACTICE
ANUKWU, LINUS, MD
GENDER: M
PROVIDER #: 172297
NPI #: 1144242090
BAYVIEW FAMILY CLINIC
3595 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 443-9000
E-PRESCRIBE: NO
DANVILLE PEDIATRICS &
FAMILY CARE
723 N LOGAN
DANVILLE, IL 61832
PHONE: (217) 446-3259
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
DANVILLE, IL
DANVILLE, IL
BERG, SUSAN A., MD
GENDER: F
PROVIDER #: 255845
NPI #: 1043219736
CARLE PHYSICIAN GROUP
311 W FAIRCHILD
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
BIRBAL-JAIN, ADITYA A., MD
GENDER:
PROVIDER #: 272036
NPI #: 1255628723
CARLE PHYSICIANS GROUP
311 W FAIRCHILD
DANVILLE, IL 61832
PHONE: (217) 477-0240
E-PRESCRIBE: YES
BROADERS, KAREN M., MD
GENDER: F
PROVIDER #: 048103
NPI #: 1699703777
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7850
OSAZE, EBUN, PA; PROVIDER
#: 072109
E-PRESCRIBE: YES
BROADERS, KAREN, MD
GENDER: F
PROVIDER #: 266685
NPI #: 1699703777
CARLE PHYSICIAN GROUP
2300 N VERMILION AVE
DANVILLE, IL 61832
PHONE: (217) 431-7650
E-PRESCRIBE: YES
Primary Care Physicians
GINDI, GEORGE R., MD
GENDER: M
PROVIDER #: 015566
NPI #: 1477503472
FAMILY PRACTICE
MEDICAL CENTER LTD
511 W FAIRCHILD
DANVILLE, IL 61832
PHONE: (217) 431-2025
E-PRESCRIBE: NO
MANTELL, SUSAN, MD
GENDER: F
PROVIDER #: 256909
NPI #: 1881651461
HELPING HANDS MEDICAL
CLINIC
1017 W WILLIAMS ST
DANVILLE, IL 61832
PHONE: (217) 516-8617
E-PRESCRIBE: NO
GINDI, MARY Y., MD
GENDER: F
PROVIDER #: 060657
NPI #: 1417907031
FAMILY PRACTICE
MEDICAL CENTER LTD
511 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-2025
DANG, KIM ANH THI, PA-C;
PROVIDER #: 133452
OLIVIER, GEORGE F., PA-C;
PROVIDER #: 119057
E-PRESCRIBE: NO
MARGANSKI, TERESA M., MD
GENDER: F
PROVIDER #: 000662
NPI #: 1346261146
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
KANESHIRO, ALISON G., NP;
PROVIDER #: 204237
E-PRESCRIBE: YES
HORNER, TIMOTHY, MD
GENDER: M
PROVIDER #: 121759
NPI #: 1336246800
CHRISTIE CLINIC
3545 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 442-8611
KINNEY, TERESA; PROVIDER
#: 190013
E-PRESCRIBE: YES
JABINES-STEWART,
HAYDEE B., MD
GENDER: F
PROVIDER #: 186758
NPI #: 1558359240
CHRISTIE CLINIC
3545 N VERMILLION
DANVILLE, IL 61832
PHONE: (217) 442-8611
E-PRESCRIBE: YES
MENEELY, TIMOTHY, DO
GENDER: M
PROVIDER #: 262214
NPI #: 1629178181
CARLE PHYSICIAN GROUP
311 W FAIRCHILD
DANVILLE, IL 61832
PHONE: (217) 477-0240
E-PRESCRIBE: YES
MOHAMMED, ASLAM, MD
GENDER:
PROVIDER #: 275476
NPI #: 1205156940
CARLE DANVILLE ON
FAIRCHILD
311 W FAIRCHILD
DANVILLE, IL 61832
PHONE: (217) 431-7600
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
97
DANVILLE, IL
DANVILLE, IL
Primary Care Physicians
MONTGOMERY, VERNESHA,
MD
GENDER: F
PROVIDER #: 274466
NPI #: 1902048234
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
MURPHY, JEANELLE, DO
GENDER: F
PROVIDER #: 167177
NPI #: 1043480874
CHRISTIE CLINIC
405 N SHERIDAN ST
DANVILLE, IL 61832
PHONE: (217) 431-6330
E-PRESCRIBE: YES
ONDIVEERAPPAN,
KAMATCHI V., MD
GENDER:
PROVIDER #: 257747
NPI #: 1003893959
BAYVIEW FAMILY CLINIC
3595 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 443-9000
E-PRESCRIBE: NO
PETERS, ELEANOR K., MD
GENDER: F
PROVIDER #: 102482
NPI #: 1942217542
CHRISTIE CLINIC
3545 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 442-8611
MARTIN, JOLENA, PA-C;
PROVIDER #: 120059
E-PRESCRIBE: YES
98
RANA, JATIN M., MD
GENDER: M
PROVIDER #: 272563
NPI #: 1952693798
CARLE PHYSICIAN GROUP
311 W FAIRCHILD
DANVILLE, IL 61832
PHONE: (217) 477-0240
E-PRESCRIBE: YES
RAVAEE, MANOUCHER, MD
GENDER: M
PROVIDER #: 003100
NPI #: 1972610491
733 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 442-3268
E-PRESCRIBE: NO
SADIQ, NAVEED I., MD
GENDER: M
PROVIDER #: 181481
NPI #: 1821064213
DANVILLE POLYCLINIC LTD
735 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 443-9100
E-PRESCRIBE: NO
SADIQ, RAJA ADNAN, MD
GENDER: M
PROVIDER #: 181467
NPI #: 1255488896
DANVILLE POLYCLINIC LTD
735 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 443-9100
E-PRESCRIBE: NO
SLOCUM, ERICH, DO
GENDER: M
PROVIDER #: 280301
NPI #: 1356625362
CARLE PHYSICIANS GROUP
311 W FAIRCHILD
DANVILLE, IL 61832
PHONE: (217) 477-0240
E-PRESCRIBE: YES
FAMILY PRACTICE OB
BROADERS, KAREN M., MD
GENDER: F
PROVIDER #: 048103
NPI #: 1699703777
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7850
OSAZE, EBUN, PA; PROVIDER
#: 072109
E-PRESCRIBE: YES
MARGANSKI, TERESA M., MD
GENDER: F
PROVIDER #: 000662
NPI #: 1346261146
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
KANESHIRO, ALISON G., NP;
PROVIDER #: 204237
E-PRESCRIBE: YES
GERIATRICS PCP
GHULYANI, SHUKTI, MD
GENDER:
PROVIDER #: 291830
NPI #: 1225203805
CARLE PHYSICIAN GROUP
311 W FAIRCHILD
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: NO
PEDIATRICS
HAQUE, SABEEHA, MD
GENDER: F
PROVIDER #: 258450
NPI #: 1417033705
RIVERVIEW PEDIATRICS
102 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 442-5863
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
DANVILLE, IL
DAVENPORT, IA
HOWARD, MONIQUE M., MD
GENDER: F
PROVIDER #: 237881
NPI #: 1346243326
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
JELIAZKOVA, ZLATKA K., MD
GENDER: F
PROVIDER #: 197393
NPI #: 1346403060
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4714
E-PRESCRIBE: NO
MAES, HOLLY, MD
GENDER: F
PROVIDER #: 218732
NPI #: 1548285612
737 NORTH LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 442-0433
E-PRESCRIBE: NO
REDDY, PADMASHREE, MD
GENDER: F
PROVIDER #: 007229
NPI #: 1912948282
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4716
E-PRESCRIBE: NO
Primary Care Physicians
DAVENPORT, IA
ADULT/INTERNAL
MEDICINE
AL SHEIKHA, MOUHAMED
W., MD
GENDER: M
PROVIDER #: 155801
NPI #: 1063418374
RENAL DIALYSIS
ASSOCIATE
1228 E RUSHOLME SUITE 8
DAVENPORT, IA 52803
PHONE: (563) 326-6256
E-PRESCRIBE: NO
AL-SHEIKHA, MOUHAMED
W., MD
GENDER: M
PROVIDER #: 065366
NPI #: 1063418374
INTERNAL MEDICINE
ASSOCIATES
1230 E RUSHOLME ST SUITE
303
DAVENPORT, IA 52803
PHONE: (563) 326-6273
MANY, FRANCE B., ARNP;
PROVIDER #: 175580
E-PRESCRIBE: NO
BONTU, RUPA, MD
GENDER: M
PROVIDER #: 093460
NPI #: 1407835994
GREAT RIVER MEDICAL
GROUP
4626 PROGRESS DR SUITE C
DAVENPORT, IA 52807
PHONE: (563) 441-9100
E-PRESCRIBE: NO
HAQUE, SYED M., MD
GENDER: M
PROVIDER #: 072992
NPI #: 1720072960
COMMUNITY HEALTH CARE
OUTREACH
303 WEST 6TH STREET
DAVENPORT, IA 52803
PHONE: (563) 322-8890
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
RIVER DRIVE
500 WEST RIVER DRIVE
DAVENPORT, IA 52801
PHONE: (563) 336-3000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
VIROLOGY
1351 WEST CENTRAL PARK
SUITE 360
DAVENPORT, IA 52801
PHONE: (563) 421-4244
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
HASSAN, SYED, MD
GENDER: M
PROVIDER #: 104474
NPI #: 1104810886
COMMUNITY HEALTH CARE
OUTREACH
303 WEST 6TH STREET
DAVENPORT, IA 52803
PHONE: (563) 322-8890
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
DECKER, SUZANNE M., FNPC;
PROVIDER #: 174058
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
99
Primary Care Physicians
COMMUNITY HEALTH CARE
RIVER DRIVE
500 WEST RIVER DRIVE
DAVENPORT, IA 52801
PHONE: (563) 336-3000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
DECKER, SUZANNE M., FNPC;
PROVIDER #: 174058
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
VIROLOGY
1351 WEST CENTRAL PARK
SUITE 360
DAVENPORT, IA 52801
PHONE: (563) 421-4244
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
DECKER, SUZANNE M., FNPC;
PROVIDER #: 174058
E-PRESCRIBE: NO
JAEGLE, DEBRA M., MD
GENDER: F
PROVIDER #: 068088
NPI #: 1780684100
QUAD CITIES INTERNAL
MEDICINE PC
3509 SPRING ST SUITE 3
DAVENPORT, IA 52807
PHONE: (563) 359-5011
E-PRESCRIBE: YES
KOLLA, RADHIKA N., MD
GENDER: F
PROVIDER #: 050363
NPI #: 1598744096
GREAT RIVER MEDICAL
GROUP
4626 PROGRESS DR SUITE C
DAVENPORT, IA 52807
PHONE: (563) 441-9100
E-PRESCRIBE: NO
100
KOMMURI, ANAND, MD
GENDER: M
PROVIDER #: 261432
NPI #: 1770819591
PULMONARY ASSOCIATES
1801 E 54TH ST SUITE 100
DAVENPORT, IA 52807
PHONE: (563) 323-1229
E-PRESCRIBE: NO
KOPP, LISA A., DO
GENDER: F
PROVIDER #: 061419
NPI #: 1821077322
GREAT RIVER MEDICAL
GROUP
4626 PROGRESS DR SUITE C
DAVENPORT, IA 52807
PHONE: (563) 441-9100
E-PRESCRIBE: NO
METUGE AHONE, ANNE A.,
MD
GENDER: F
PROVIDER #: 248047
NPI #: 1669623583
COMMUNITY HEALTH CARE
INC
303 W 6TH ST
DAVENPORT, IA 52803
PHONE: (563) 322-8890
E-PRESCRIBE: YES
500 W RIVER DR
DAVENPORT, IA 52801
PHONE: (563) 336-3000
E-PRESCRIBE: YES
MOTTO, EDWIN V., MD
GENDER: M
PROVIDER #: 077942
NPI #: 1699774455
INTERNAL MEDICINE
ASSOCIATES
1230 E RUSHOLME ST SUITE
303
DAVENPORT, IA 52803
PHONE: (563) 326-6273
MANY, FRANCE B., ARNP;
PROVIDER #: 175580
E-PRESCRIBE: NO
DAVENPORT, IA
DAVENPORT, IA
MOTTO, EDWIN, MD
GENDER: M
PROVIDER #: 127392
NPI #: 1699774455
RENAL DIALYSIS
ASSOCIATE
1228 E RUSHOLME SUITE 8
DAVENPORT, IA 52803
PHONE: (563) 326-6256
E-PRESCRIBE: NO
PANCHOLI, SANJAY S., DO
GENDER: M
PROVIDER #: 195787
NPI #: 1780894816
COMMUNITY HEALTH CARE
OUTREACH
303 W 6TH ST
DAVENPORT, IA 52803
PHONE: (563) 322-8890
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
RIVER DR
500 W RIVER DR
DAVENPORT, IA 52801
PHONE: (563) 336-3000
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
VIROLOGY
1351 W CENTRAL PARK
SUITE 360
DAVENPORT, IA 52801
PHONE: (563) 421-4244
E-PRESCRIBE: NO
SATTI, VINAY V., MD
GENDER: M
PROVIDER #: 170479
NPI #: 1629099726
COMMUNITY HEALTH CARE
OUTREACH
303 WEST 6TH STREET
DAVENPORT, IA 52803
PHONE: (563) 322-8890
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
DECKER, SUZANNE M., FNPC;
PROVIDER #: 174058
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
DAVENPORT, IA
DAVENPORT, IA
COMMUNITY HEALTH CARE
RIVER DRIVE
500 WEST RIVER DRIVE
DAVENPORT, IA 52801
PHONE: (563) 336-3000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
DECKER, SUZANNE M., FNPC;
PROVIDER #: 174058
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
VIROLOGY
1351 WEST CENTRAL PARK
SUITE 360
DAVENPORT, IA 52801
PHONE: (563) 421-4244
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
DECKER, SUZANNE M., FNPC;
PROVIDER #: 174058
E-PRESCRIBE: NO
SHAH, SAYED, MD
GENDER: M
PROVIDER #: 283052
NPI #: 1255327425
SHAH MEDICAL
CONSULTING
2206 E 52ND ST SUITE A
DAVENPORT, IA 52807
PHONE: (563) 355-7411
E-PRESCRIBE: NO
TONG, THEN, MD
GENDER:
PROVIDER #: 260818
NPI #: 1447578992
UNITYPOINT CLINIC
FAMILY MEDICINE AT
DEXTER COURT
3385 DEXTER CT BLDG 3
SUITE 103
DAVENPORT, IA 52807
PHONE: (563) 441-5860
E-PRESCRIBE: YES
Primary Care Physicians
FAMILY PRACTICE
AANESTAD, JENNIFER, MD
GENDER: F
PROVIDER #: 260817
NPI #: 1386649341
UNITYPOINT CLINIC
FAMILY MEDICINE AT
DEXTER COURT
3385 DEXTER COURT STE 103
DAVENPORT, IA 52807
PHONE: (563) 441-5860
E-PRESCRIBE: YES
ACKLAND, CANDYCE, MD
GENDER: F
PROVIDER #: 086748
NPI #: 1255310744
GREAT RIVER MEDICAL
GROUP
4626 PROGRESS DR SUITE C
DAVENPORT, IA 52807
PHONE: (563) 441-9100
E-PRESCRIBE: NO
ANDERSEN, KURT A., MD
GENDER: M
PROVIDER #: 059360
NPI #: 1477558799
GENESIS HEALTH GROUP
1345 W CENTRAL PARK
DAVENPORT, IA 52804
PHONE: (563) 421-4400
GILMORE, JAYNE E., CFNP;
PROVIDER #: 201318
E-PRESCRIBE: NO
ANDERSON, GARY A., DO
GENDER: M
PROVIDER #: 034792
NPI #: 1205831120
GENESIS HEALTH GROUP
210 W 53RD ST
DAVENPORT, IA 52807
PHONE: (563) 386-3436
CONARD, SHARON S., ARNP;
PROVIDER #: 063232
E-PRESCRIBE: NO
ANDRESEN, ANDREW A., MD
GENDER: M
PROVIDER #: 084960
NPI #: 1396740361
GENESIS HEALTH GROUP
1236 E RUSHOLME ST SUITE
150
DAVENPORT, IA 52803
PHONE: (563) 421-3990
E-PRESCRIBE: NO
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
PHONE: (563) 421-4400
BROWN, SARAH, ARNP;
PROVIDER #: 124068
E-PRESCRIBE: NO
ARNOLD, DANIEL J., DO
GENDER: M
PROVIDER #: 089055
NPI #: 1033198908
DAVENPORT CLINIC PC
1820 W 3RD ST
DAVENPORT, IA 52802
PHONE: (563) 326-1661
E-PRESCRIBE: YES
BENOIT, GENA L., MD
GENDER: F
PROVIDER #: 077432
NPI #: 1730184003
GENESIS HEALTH GROUP
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
BLECHLE, KEVIN, DO
GENDER: M
PROVIDER #: 120786
NPI #: 1396725768
UNITYPOINT CLINICFAMILY MEDICINE
EASTERN AVE
5359 EASTERN AVE
DAVENPORT, IA 52807
PHONE: (563) 742-5900
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
101
Primary Care Physicians
BONNETT, VALERIE L., MD
GENDER: F
PROVIDER #: 054301
NPI #: 1023097912
FAMILY MEDICAL CENTER
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52807
PHONE: (563) 421-4400
E-PRESCRIBE: NO
BUNTING, DEAN A., MD
GENDER: M
PROVIDER #: 085513
NPI #: 1134170137
GENESIS HEALTH GROUP
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
CARDOTT, RANDEL, MD
GENDER: M
PROVIDER #: 023629
NPI #: 1295704674
GENESIS CONVENIENT
CARE
210 W 53RD ST
DAVENPORT, IA 52803
PHONE: (563) 421-3700
E-PRESCRIBE: NO
HAJI-ABDIRAHMAN,
HASSAN, MD
GENDER: M
PROVIDER #: 227583
NPI #: 1972735785
COMMUNITY HEALTH CARE
500 W RIVER DR
DAVENPORT, IA 52801
PHONE: (563) 336-3000
E-PRESCRIBE: YES
HULL, MARK A., MD
GENDER: M
PROVIDER #: 034800
NPI #: 1275538746
GENESIS FAMILY MEDICAL
CENTER
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
CLAUDY, FRANK R., MD
GENDER: M
PROVIDER #: 163036
NPI #: 1255343364
GENESIS HEALTH GROUP
1345 W CENTRAL PARK
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
CROME, CHRISTOPHER M.,
MD
GENDER: M
PROVIDER #: 095541
NPI #: 1205831211
FAMILY MEDICAL CENTER
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
102
ELMENDORF, CHARLES F.,
DO
GENDER: M
PROVIDER #: 058545
NPI #: 1023046331
UNITYPOINT FAMILY
MEDICINE AT SPRING ST
3411 SPRING ST
DAVENPORT, IA 52807
PHONE: (563) 359-4200
E-PRESCRIBE: NO
JOHNSON, BRADLEY W., DO
GENDER: M
PROVIDER #: 233723
NPI #: 1134116684
GENESIS HEALTH SYSTEM
1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
PHONE: (563) 421-1288
E-PRESCRIBE: NO
DAVENPORT, IA
DAVENPORT, IA
KELLY, MICHAEL J., MD
GENDER: M
PROVIDER #: 191883
NPI #: 1396766937
GENESIS HEALTH GROUP
1820 W THIRD ST
DAVENPORT, IA 52802
PHONE: (563) 326-1661
E-PRESCRIBE: NO
KOLAWOLE, OLATOKUNBO
O., MD
GENDER: F
PROVIDER #: 195782
NPI #: 1073798617
GENESIS HEALTH GROUP
1820 W 3RD ST
DAVENPORT, IA 52802
PHONE: (563) 326-1661
E-PRESCRIBE: NO
KUMAR, MUKESH, MD
GENDER:
PROVIDER #: 227592
NPI #: 1164756920
COMMUNITY HEALTH CARE
500 W RIVER DR
DAVENPORT, IA 52801
PHONE: (563) 336-3000
E-PRESCRIBE: YES
LASS, RENEE, DO
GENDER: F
PROVIDER #: 111459
NPI #: 1174584445
RENEE LASS DO
4626 PROGRESS DR STE B
DAVENPORT, IA 52807
PHONE: (563) 359-3736
E-PRESCRIBE: NO
MENGANG, JOELLE M., MD
GENDER: F
PROVIDER #: 254678
NPI #: 1629389184
COMMUNITY HEALTH CARE
INC
303 W 6TH ST
DAVENPORT, IA 52803-5101
PHONE: (563) 322-8890
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
DAVENPORT, IA
DAVENPORT, IA
500 W RIVER DR
DAVENPORT, IA 52801
PHONE: (563) 336-3000
E-PRESCRIBE: NO
MILLER, JOANNE M., MD
GENDER: F
PROVIDER #: 052081
NPI #: 1093777518
GENESIS HEALTH GROUP
EMERGENCY PHYSICIANS
1227 E RUSHOLME
DAVENPORT, IA 52803
PHONE:
E-PRESCRIBE: NO
GENESIS MEDICAL CENTER
1401 W CENTRAL PARK
DAVENPORT, IA 52804
PHONE: (563) 324-0471
E-PRESCRIBE: NO
MILLER, JOANNE, MD
GENDER: F
PROVIDER #: 208353
NPI #: 1093777518
WOUND MANAGEMENT
CONSULTANTS PC
1351 W CENTRAL PARK AVE
SUITE 1225
DAVENPORT, IA 52804
PHONE: (563) 421-1585
E-PRESCRIBE: NO
MONTEGUT SR, ANTHONY J.,
MD
GENDER: M
PROVIDER #: 183262
NPI #: 1306830013
GENESIS HEALTH GROUP
EMERGENCY PHYSICIANS
127 E RUSHOLME ST
DAVENPORT, IA 52803
PHONE: (563) 421-1288
E-PRESCRIBE: NO
1401 W CENTRAL PARK
DAVENPORT, IA 52804
PHONE: (563) 324-0471
E-PRESCRIBE: NO
Primary Care Physicians
MOTTO, AMANDA M., DO
GENDER: F
PROVIDER #: 166163
NPI #: 1578705653
UNITYPOINT CLINICFAMILY MEDICINE
EASTERN AVE
5359 EASTERN AVE
DAVENPORT, IA 52807
PHONE: (563) 742-5900
E-PRESCRIBE: YES
SCHROEDER, JULIE M., MD
GENDER: F
PROVIDER #: 169570
NPI #: 1811969181
WATERFORD FAMILY
MEDICINE
1820 E 54TH ST SUITE B
DAVENPORT, IA 52807
PHONE: (563) 355-9990
E-PRESCRIBE: NO
STALEY, THOMAS R., MD
GENDER: M
PROVIDER #: 228223
NPI #: 1174750855
GENESIS HEALTH GROUP
1345 W CENTRAL PARK
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
THOMPSON, STEPHEN, MD
GENDER: M
PROVIDER #: 184564
NPI #: 1457357253
WOUND MANAGEMENT
CONSULTANTS PC
1351 W CENTRAL PARK AVE
SUITE 1225
DAVENPORT, IA 52804
PHONE: (563) 421-1585
E-PRESCRIBE: NO
SEEMANN, CHRISTEL, DO
GENDER: F
PROVIDER #: 195246
NPI #: 1205801115
GENESIS HEALTH GROUP
1820 W 3RD ST
DAVENPORT, IA 52802
PHONE: (563) 326-1661
E-PRESCRIBE: NO
TILALA, NIRAL H., MD
GENDER: M
PROVIDER #: 130483
NPI #: 1780884551
GENESIS FAMILY MEDICAL
CENTER
1345 WEST CENTRAL PARK
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
SORENSEN, STEPHEN M., MD
GENDER: M
PROVIDER #: 075252
NPI #: 1881647071
FAMILY MEDICAL CENTER
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
TRUE, CHERYL A., MD
GENDER: F
PROVIDER #: 104488
NPI #: 1104891712
WATERFORD FAMILY
MEDICINE
1820 E 54TH ST SUITE B
DAVENPORT, IA 52807
PHONE: (563) 355-9990
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
103
Primary Care Physicians
WALCZYK, JEFFREY S., MD
GENDER: M
PROVIDER #: 075246
NPI #: 1508843384
UNITYPOINT CLINIC
FAMILY MEDICINE AT
DEXTER COURT
3385 DEXTER CT BLDG 3
SUITE 103
DAVENPORT, IA 52807
PHONE: (563) 441-5860
E-PRESCRIBE: YES
GARVIN, GREGORY L., DO
GENDER: M
PROVIDER #: 034522
NPI #: 1194720953
GENESIS HEALTH GROUP
1351 W CENTRAL PARK AVE
SUITE 4100
DAVENPORT, IA 52804
PHONE: (563) 383-2581
SWANSON, BRENDA L., ARNP;
PROVIDER #: 063069
E-PRESCRIBE: NO
WELLS, TAMMY J., MD
GENDER: F
PROVIDER #: 070477
NPI #: 1093794968
WATERFORD FAMILY
MEDICINE
1820 E 54TH ST SUITE B
DAVENPORT, IA 52807
PHONE: (563) 355-9990
DAVIS, CAMMIE, FNP;
PROVIDER #: 076753
E-PRESCRIBE: NO
KHAN, NAFEES, MD
GENDER:
PROVIDER #: 127862
NPI #: 1548255243
TRINITY MEDICAL CENTER
4622 PROGRESS DR STE A
DAVENPORT, IA 52807
PHONE: (563) 742-5800
E-PRESCRIBE: NO
KUKREJA, DEEPNA, MD
GENDER: F
PROVIDER #: 209042
NPI #: 1194017913
COMMUNITY HEALTH CARE
OUTREACH
303 W 6TH ST
DAVENPORT, IA 52803
PHONE: (563) 322-8890
E-PRESCRIBE: NO
PEDIATRICS
BLUNK, RICHARD C., MD
GENDER: M
PROVIDER #: 189369
NPI #: 1649209933
GENESIS HEALTH GROUP
1351 W CENTRAL PARK
SUITE 4100
DAVENPORT, IA 52804
PHONE: (563) 383-2581
E-PRESCRIBE: NO
DYKSTRA, SHARON K., DO
GENDER: F
PROVIDER #: 034796
NPI #: 1659376556
GENESIS HEALTH GROUP
1351 W CENTRAL PARK AVE
SUITE 4100
DAVENPORT, IA 52804
PHONE: (563) 383-2581
SWANSON, BRENDA L., ARNP;
PROVIDER #: 063069
E-PRESCRIBE: NO
104
COMMUNITY HEALTH CARE
RIVER DRIVE
500 W RIVER DR
DAVENPORT, IA 52801
PHONE: (563) 336-3000
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
VIROLOGY
1351 W CENTRAL PARK
SUITE 360
DAVENPORT, IA 52801
PHONE: (563) 421-4244
E-PRESCRIBE: NO
DAVENPORT, IA
DAVENPORT, IA
KUKREJA, GAUTAM, MD
GENDER: M
PROVIDER #: 184580
NPI #: 1205151198
COMMUNITY HEALTH CARE
OUTREACH
303 WEST 6TH STREET
DAVENPORT, IA 52803
PHONE: (563) 322-8890
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
DECKER, SUZANNE M., FNPC;
PROVIDER #: 174058
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
RIVER DRIVE
500 WEST RIVER DRIVE
DAVENPORT, IA 52801
PHONE: (563) 336-3000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
DECKER, SUZANNE M., FNPC;
PROVIDER #: 174058
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
VIROLOGY
1351 WEST CENTRAL PARK
SUITE 360
DAVENPORT, IA 52801
PHONE: (563) 421-4244
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
DECKER, SUZANNE M., FNPC;
PROVIDER #: 174058
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1351 W CENTRAL PARK STE
4100
DAVENPORT, IA 52804
PHONE: (563) 383-2581
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
DAVENPORT, IA
DE WITT, IA
MCCLELLAN, CURT C., DO
GENDER: M
PROVIDER #: 134319
NPI #: 1558331389
GENESIS HEALTH GROUP
1351 W CENTRAL PARK AVE
SUITE 4100
DAVENPORT, IA 52804
PHONE: (563) 383-2581
E-PRESCRIBE: NO
NORMAN, DONNA M., DO
GENDER: F
PROVIDER #: 034798
NPI #: 1144226580
GENESIS HEALTH GROUP
1351 W CENTRAL PARK AVE
SUITE 4100
DAVENPORT, IA 52804
PHONE: (563) 383-2581
SWANSON, BRENDA L., ARNP;
PROVIDER #: 063069
E-PRESCRIBE: NO
OZAKI, LINDA S., MD
GENDER: F
PROVIDER #: 065338
NPI #: 1053305003
COMMUNITY HEALTH CARE
OUTREACH
303 WEST 6TH STREET
DAVENPORT, IA 52803
PHONE: (563) 322-8890
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
RIVER DRIVE
500 WEST RIVER DRIVE
DAVENPORT, IA 52801
PHONE: (563) 336-3000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
Primary Care Physicians
COMMUNITY HEALTH CARE
VIROLOGY
1351 WEST CENTRAL PARK
SUITE 360
DAVENPORT, IA 52801
PHONE: (563) 421-4244
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
SHEHATA, MAI, MD
GENDER:
PROVIDER #: 260307
NPI #: 1548588429
GENESIS HEALTH GROUP
1351 W CENTRAL PARK
SUITE 411
DAVENPORT, IA 52804
PHONE: (563) 383-2581
E-PRESCRIBE: NO
DE WITT, IA
FAMILY PRACTICE
BELL, JENNIFER L., MD
GENDER: F
PROVIDER #: 271685
NPI #: 1225079817
GENESIS HEALTH SYSTEMS
1008 11TH ST
DE WITT, IA 52742
PHONE: (563) 659-9137
E-PRESCRIBE: NO
CLOOS, CARLA R., MD
GENDER: F
PROVIDER #: 222307
NPI #: 1649439175
GENESIS MEDICAL CENTER
DEWITT
1118 11TH ST
DE WITT, IA 52742
PHONE: (563) 659-4200
E-PRESCRIBE: NO
HANAS, STEVEN J., MD
GENDER: M
PROVIDER #: 019915
NPI #: 1265437883
GENESIS HEALTH GROUP
1008 11TH ST
DE WITT, IA 52742
PHONE: (563) 659-9137
E-PRESCRIBE: NO
HARKER, SHEENA L., DO
GENDER: F
PROVIDER #: 275301
NPI #: 1447544580
GENESIS MEDICAL CENTER
DEWITT CAMPUS
1118 11TH ST
DE WITT, IA 52742
PHONE: (563) 659-4200
E-PRESCRIBE: NO
PERSSON, MICHAEL C., MD
GENDER: M
PROVIDER #: 143732
NPI #: 1356485775
GENESIS HEALTH SYSTEM
DEWITT
1118 11TH ST
DE WITT, IA 52742
PHONE: (563) 659-4200
E-PRESCRIBE: NO
WARHANK, ROSE A., MD
GENDER: F
PROVIDER #: 115337
NPI #: 1275502288
GENSIS HEALTH GROUP
1008 11TH ST
DE WITT, IA 52742
PHONE: (563) 659-9137
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
105
Primary Care Physicians
BELUR, REVATHI, MD
GENDER: F
PROVIDER #: 285912
NPI #: 1518133842
INTERNAL MEDICINE
ASSOCIATES OF DECATUR
304 W HAY ST
DECATUR, IL 62526
PHONE: (217) 876-5600
E-PRESCRIBE: NO
DECATUR, IL
ADULT/INTERNAL
MEDICINE
AHMAD, AHMAD H., MD
GENDER: M
PROVIDER #: 087218
NPI #: 1053397018
LAKESHORE MEDICAL
OFFICE BUILDING
1770 E LAKE SHORE DR
SUITE 201
DECATUR, IL 62521
PHONE: (217) 428-7921
E-PRESCRIBE: NO
FIOR, CARLOS G., MD
GENDER: M
PROVIDER #: 011163
NPI #: 1336237296
HSHS MEDICAL GROUP
INTERNAL MEDICINENORTH DECATUR
2965 N MAIN ST SUITE E
DECATUR, IL 62526-4392
PHONE: (217) 875-9775
E-PRESCRIBE: NO
ATLURI, HIMA S., MD
GENDER: F
PROVIDER #: 064171
NPI #: 1609866052
DECATUR MEMORIAL
HOSPITAL
2300 N EDWARDS ST
DECATUR, IL 62526
PHONE: (217) 876-8121
E-PRESCRIBE: NO
ST MARYS ADULT AND
GERIATRIC MEDICINE
2981 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9775
E-PRESCRIBE: NO
DECATUR REHAB
136 DIPPER LANE
DECATUR, IL 62522
PHONE: (217) 428-7767
E-PRESCRIBE: NO
FRANKLIN, WILLIAM B., MD
GENDER: M
PROVIDER #: 008870
NPI #: 1407813389
INTERNAL MEDICINE
ASSOCIATES OF DECATUR
304 W HAY ST SUITE 312
DECATUR, IL 62526
PHONE: (217) 876-5623
E-PRESCRIBE: NO
ST MARYS HOSPITAL
1800 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 464-2966
E-PRESCRIBE: NO
BAUMBERGER, DAVID W.,
MD
GENDER: M
PROVIDER #: 008871
NPI #: 1043277064
INTERNAL MEDICINE
ASSOCIATES OF DECATUR
304 W HAY ST SUITE 312
DECATUR, IL 62526
PHONE: (217) 876-5621
E-PRESCRIBE: YES
106
FRITZ, RICHARD H., MD
GENDER: M
PROVIDER #: 008960
NPI #: 1528026473
418 W WOOD ST
DECATUR, IL 62522
PHONE: (217) 422-8586
E-PRESCRIBE: NO
DECATUR, IL
DECATUR, IL
JATOI, NAEEMUDDIN, MD
GENDER: M
PROVIDER #: 144383
NPI #: 1922070333
HOSPITALIST PROGRAM ST
MARYS DECATUR
1800 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 464-5811
SHEEHY III, GERALD J., PA;
PROVIDER #: 196302
E-PRESCRIBE: NO
ST MARYS ADULT AND
GERIATRIC MEDICINE
1750 E LAKESHORE DR
SUITE 100
DECATUR, IL 62521
PHONE: (217) 475-2880
E-PRESCRIBE: NO
KHAN, MUHAMMAD N., MD
GENDER: M
PROVIDER #: 060932
NPI #: 1598767493
MIDWEST INTERNAL
MEDICINE OF DECATUR
2975 N WATER ST
DECATUR, IL 62526
PHONE: (217) 875-3810
ZORA, ANGELA M., NP;
PROVIDER #: 259966
E-PRESCRIBE: NO
NALLALA, DEEPIKA R.
GENDER: F
PROVIDER #: 256415
NPI #: 1851609739
HSHS MEDICAL GROUP INC
1750 E LAKE SHORE DR STE
100
DECATUR, IL 62521
PHONE: (217) 464-1200
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
DECATUR, IL
DECATUR, IL
NEWLIN, JOHN W., MD
GENDER: M
PROVIDER #: 261358
NPI #: 1528159688
JOHN W NEWLIN MD LLC
302 W HAY SUITE 130
DECATUR, IL 62526
PHONE: (217) 872-8100
E-PRESCRIBE: YES
WEST HAY MEDICAL
CENTER
302 W HAY ST SUITE 130
DECATUR, IL 62526
PHONE: (217) 872-8100
E-PRESCRIBE: NO
PATEL, DHIRENDRA K., MD
GENDER: M
PROVIDER #: 002682
NPI #: 1306837471
ST MARYS ADULT &
GERATRIC MEDICINE
2981 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9775
E-PRESCRIBE: NO
RUSSO, MARINA, MD
GENDER: F
PROVIDER #: 283895
NPI #: 1174510978
HSHS MEDICAL GROUP INC
1770 E LAKE SHORE DR
SUITE 301
DECATUR, IL 62521
PHONE: (217) 464-1350
E-PRESCRIBE: YES
SALIK, SYED Z., MD
GENDER: M
PROVIDER #: 171971
NPI #: 1265408694
1900 E LAKE SHORE DR
SUITE 340
DECATUR, IL 62521
PHONE: (217) 791-6703
E-PRESCRIBE: NO
Primary Care Physicians
SMITH, KEITH R., MD
GENDER: M
PROVIDER #: 008868
NPI #: 1659338309
304 W HAY ST SUITE 312
DECATUR, IL 62526
PHONE: (217) 876-5624
E-PRESCRIBE: NO
TOTEL, GREGORY L., MD
GENDER: M
PROVIDER #: 017514
NPI #: 1558470690
1 MEMORIAL DR SUITE 201
DECATUR, IL 62526
PHONE: (217) 875-1090
E-PRESCRIBE: NO
VERMA, AJAY, MD
GENDER: M
PROVIDER #: 263817
NPI #: 1285609321
2300 N EDWARD ST
DECATUR, IL 62526
PHONE: (217) 876-4360
E-PRESCRIBE: NO
FAMILY PRACTICE
ARGUELLES, CESAR S., MD
GENDER: M
PROVIDER #: 042464
NPI #: 1518944248
SIU HEALTHCARE DECATUR
250 W KENWOOD
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
AVERY, KATHERINE A., MD
GENDER: F
PROVIDER #: 276229
NPI #: 1104112333
SIU HEALTHCARE
250 W KENWOOD AVE
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: YES
BAIRSETTY, ADARSH R., MD
GENDER: F
PROVIDER #: 180386
NPI #: 1285856278
SOUTH SHORES MEDICAL
CENTER
550 SOUTHLAND DR SUITE 1
DECATUR, IL 62521
PHONE: (217) 422-0311
E-PRESCRIBE: NO
BARNES, RONALD L., MD
GENDER: M
PROVIDER #: 079575
NPI #: 1962469981
DMH URGENT CARE
2120 N 27TH ST
DECATUR, IL 62526
PHONE: (217) 876-4940
GOOD, MARY A., PA;
PROVIDER #: 211114
E-PRESCRIBE: NO
DOCTORS FAMILY
PRACTICE
2975 N WATER ST
DECATUR, IL 62526
PHONE: (217) 876-5320
GOOD, MARY A., PA;
PROVIDER #: 211114
E-PRESCRIBE: NO
BILYEU, SCOTT M., MD
GENDER: M
PROVIDER #: 200416
NPI #: 1053516971
HSHS MEDICAL GROUP
2965 N MAIN SUITE F
DECATUR, IL 62526
PHONE: (217) 875-7847
E-PRESCRIBE: NO
BOCK, JAMES, MD
GENDER: M
PROVIDER #: 157369
NPI #: 1285643825
HSHS MEDICAL GROUP
2965 N MAIN ST SUITE F
DECATUR, IL 62526
PHONE: (217) 875-7847
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
107
Primary Care Physicians
ST MARYS FAMILY
MEDICINE
1770 E LAKE SHORE DR
SUITE 207
DECATUR, IL 62521
PHONE: (217) 429-9700
E-PRESCRIBE: NO
BRADLEY, JOHN G., MD
GENDER: M
PROVIDER #: 021092
NPI #: 1508843236
SIU HEALTHCARE DECATUR
250 W KENWOOD
DECATUR, IL 62526
PHONE: (217) 872-3800
LAW, LAURA E., PA;
PROVIDER #: 118113
E-PRESCRIBE: NO
CAVANAGH, PATRICK J., MD
GENDER: M
PROVIDER #: 042195
NPI #: 1669439584
SOUTH SHORES MEDICAL
CENTER
550 SOUTHLAND DR
DECATUR, IL 62521
PHONE: (217) 425-9264
E-PRESCRIBE: YES
COVAULT, JOAN M., DO
GENDER: F
PROVIDER #: 222331
NPI #: 1346346236
HSHS MEDICAL GROUP
2965 N MAIN ST SUITE F
DECATUR, IL 62526
PHONE: (217) 875-7847
E-PRESCRIBE: NO
108
DI MONDO, JOHN P., MD
GENDER: M
PROVIDER #: 095419
NPI #: 1518050095
SPRINGFIELD CLINIC
1770 E LAKE SHORE DR
SUITE 105
DECATUR, IL 62521
PHONE: (217) 428-3424
NORTON, JENNIFER A., NP;
PROVIDER #: 118299
E-PRESCRIBE: YES
ELLINGTON, CHARLES R.,
MD
GENDER: M
PROVIDER #: 114586
NPI #: 1407833130
SIU HEALTHCARE DECATUR
250 W KENWOOD
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
GOWDAR, PRASANNA S., MD
GENDER: M
PROVIDER #: 008953
NPI #: 1316023559
741 W PERSHING RD
DECATUR, IL 62526
PHONE: (217) 876-7200
E-PRESCRIBE: NO
GREGORY, DAVID C., MD
GENDER: M
PROVIDER #: 217604
NPI #: 1871599522
CORNERSTONE FAMILY
MEDICAL CENTER
415 E ASH SUITE A
DECATUR, IL 62526
PHONE: (217) 791-5760
E-PRESCRIBE: YES
DECATUR, IL
DECATUR, IL
HANNEKEN, KIMBERLY, MD
GENDER: F
PROVIDER #: 173325
NPI #: 1215047782
ST MARYS FAMILY
MEDICINE
1770 E LAKE SHORE DR
SUITE 207
DECATUR, IL 62521
PHONE: (217) 429-9700
E-PRESCRIBE: NO
ST MARYS FAMILY
MEDICINE-LAKE SHORE
1750 E LAKE SHORE DR
SUITE 300
DECATUR, IL 62521
PHONE: (217) 429-9700
E-PRESCRIBE: NO
HEIM, DENNIS, MD
GENDER: M
PROVIDER #: 032410
NPI #: 1891891636
SPRINGFIELD CLINIC
1770 E LAKE SHORE DR
SUITE 105
DECATUR, IL 62521
PHONE: (217) 428-3424
NORTON, JENNIFER A., NP;
PROVIDER #: 118299
E-PRESCRIBE: YES
JONES, DAVID A., MD
GENDER: M
PROVIDER #: 070550
NPI #: 1942292412
FAMILY PRACTICE
MEDICAL CENTER
1770 E LAKE SHORE DR
SUITE 305
DECATUR, IL 62521
PHONE: (217) 424-9193
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
DECATUR, IL
DECATUR, IL
Primary Care Physicians
JUNKER, JESSIE A., MD
GENDER: F
PROVIDER #: 122770
NPI #: 1205828084
SIU HEALTHCARE DECATUR
250 W KENWOOD
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
MAHONY, JOHN P., MD
GENDER:
PROVIDER #: 301127
NPI #: 1063554863
DMH EXPRESS CARE NORTH
3131 N WATERS ST
DECATUR, IL 62526-2472
PHONE:
E-PRESCRIBE: NO
KLEIN, SUSAN M., MD
GENDER: F
PROVIDER #: 042460
NPI #: 1558348268
SIU HEALTHCARE DECATUR
250 W KENWOOD
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
MARSCHNER, CYNTHIA C.,
DO
GENDER: F
PROVIDER #: 079953
NPI #: 1194721571
DECATUR FAMILY
MEDICINE
4775 E MARYLAND ST SUITE
B
DECATUR, IL 62521
PHONE: (217) 864-3737
E-PRESCRIBE: YES
KONDA, SUDHAKAR R., MD
GENDER: M
PROVIDER #: 184008
NPI #: 1376737346
KENWOOD FAMILY
MEDICINE
102 W KENWOOD AVE SUITE
110
DECATUR, IL 62526
PHONE: (217) 876-6330
E-PRESCRIBE: NO
SUDHAKAR KONDA MD
FAMILY MEDICINE
1663 W KING ST
DECATUR, IL 62523
PHONE: (217) 876-5820
E-PRESCRIBE: NO
3131 N WATER ST
DECATUR, IL 62526
PHONE: (217) 876-5320
E-PRESCRIBE: NO
4455 US ROUTE 36 E
DECATUR, IL 62521
PHONE: (217) 876-5940
E-PRESCRIBE: NO
MILLER, TIMOTHY A., MD
GENDER: M
PROVIDER #: 031109
NPI #: 1588621205
HEALTH & WELLNESS
CENTER
2122 NORTH 27TH ST
DECATUR, IL 62521
PHONE: (217) 876-4249
E-PRESCRIBE: NO
PRIORITY HEALTH FAMILY
MEDICINE
5160 N HICKORY POINT
FRONTAGE ROAD
DECATUR, IL 62526
PHONE: (217) 330-9788
E-PRESCRIBE: NO
MULTANI, KIRANPREET K.,
DO
GENDER: F
PROVIDER #: 222316
NPI #: 1316123953
HSHS MEDICAL GROUP
2965 N MAIN ST SUITE F
DECATUR, IL 62526
PHONE: (217) 875-7847
E-PRESCRIBE: YES
OLIGSCHLAEGER, DAVID M.,
DO
GENDER: M
PROVIDER #: 069620
NPI #: 1851383418
SIU DECATUR FAMILY
PRACTICE
250 W KENWOOD AVE
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
PABALATE, ROBERTO G.,
MD
GENDER: M
PROVIDER #: 203189
NPI #: 1528221504
1663 W KING ST
DECATUR, IL 62523
PHONE: (217) 876-5820
E-PRESCRIBE: NO
3131 N WATER ST
DECATUR, IL 62526
PHONE: (217) 876-5320
E-PRESCRIBE: NO
4455 US ROUTE 36 EAST
DECATUR, IL 62521
PHONE: (217) 876-5940
E-PRESCRIBE: NO
4775 E MARYLAND STREET
SUITE A
DECATUR, IL 62521
PHONE: (217) 864-3737
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
109
DECATUR, IL
DECATUR, IL
Primary Care Physicians
DMH WALMART RETAIL
EAST
4625 E MARYLAND AVE
DECATUR, IL 62521
PHONE: (217) 876-5520
E-PRESCRIBE: NO
DMH WALMART RETAIL
NORTH
4224 N PROSPECT DR
DECATUR, IL 62526
PHONE: (217) 876-5530
E-PRESCRIBE: NO
KENWOOD FAMILY
MEDICINE
102 W KENWOOD AVE SUITE
110
DECATUR, IL 62526
PHONE: (217) 876-6330
E-PRESCRIBE: NO
PARKER, JUSTIN D., MD
GENDER: M
PROVIDER #: 253416
NPI #: 1730490111
SIU HEALTHCARE DECATUR
250 W KENWOOD
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: YES
RADEMACHER, DENNIS J.,
MD
GENDER: M
PROVIDER #: 027914
NPI #: 1679673354
SPRINGFIELD CLINIC
1770 E LAKE SHORE DR
SUITE 105
DECATUR, IL 62521
PHONE: (217) 428-3424
NORTON, JENNIFER A., NP;
PROVIDER #: 118299
WADDINGTON, STACEY E.,
PA-C; PROVIDER #: 203317
E-PRESCRIBE: YES
110
RAY, DANA M., MD
GENDER: F
PROVIDER #: 127121
NPI #: 1225051071
COMMUNITY HEALTH
IMPROVEMENT CENTER
2300 N EDWARD ST
DECATUR, IL 62526
PHONE: (217) 876-8121
E-PRESCRIBE: NO
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
MCPHERRON, PHYLLIS H.,
ARNP; PROVIDER #: 179847
OESTREICH, DEBRA J., ARNP;
PROVIDER #: 135434
REQUARTH, CONNIE H.,
ARNP; PROVIDER #: 217860
SMITH, LISA K., ARNP;
PROVIDER #: 092580
E-PRESCRIBE: NO
HERITAGE BEHAVIORAL
HEALTH CENTER
151 N MAIN ST
DECATUR, IL 62523
PHONE: (217) 362-6262
E-PRESCRIBE: NO
SCOTT, MARK D., MD
GENDER: M
PROVIDER #: 005013
NPI #: 1598867707
SIU HEALTHCARE DECATUR
250 W KENWOOD
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
WALL, MICHAEL M., MD
GENDER: M
PROVIDER #: 051815
NPI #: 1093772311
SIU PHYSICIANS &
SURGEONS INC
250 W KENWOOD AVE
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
GENERAL PRACTICE
FABRIQUE, KEITH L., MD
GENDER: M
PROVIDER #: 203283
NPI #: 1225196710
HSHS MEDICAL GROUP
1750 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 464-1440
E-PRESCRIBE: NO
OCCUPATIONAL HEALTH &
WELLNESS AT ST MARYS
1750 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 422-6100
E-PRESCRIBE: NO
PEDIATRICS
BRANHAM, CHRISTINA M.,
MD
GENDER: F
PROVIDER #: 108692
NPI #: 1124001391
2220 N MONROE ST
DECATUR, IL 62526
PHONE: (217) 423-7337
E-PRESCRIBE: NO
CHANDRA, VINEETA, MD
GENDER: F
PROVIDER #: 104333
NPI #: 1356316541
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
GOWDAR, KUSUMA, MD
GENDER: F
PROVIDER #: 008955
NPI #: 1669541728
741 W PERSHING RD
DECATUR, IL 62526
PHONE: (217) 876-7200
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
DECATUR, IL
DES MOINES, IA
Primary Care Physicians
PATEL, SAMIR A., DO
GENDER: M
PROVIDER #: 042129
NPI #: 1992704332
ST MARYS KARE4KIDS
PEDIATRIC MEDICINE
1900 E LAKE SHORE DR
SUITE 330
DECATUR, IL 62521
PHONE: (217) 423-2889
KINDRED JOHNSON, AMY L.,
APN; PROVIDER #: 160140
PIETRZAK, LINDA S., NP;
PROVIDER #: 185245
E-PRESCRIBE: NO
YOCKEY, SANDRA L., MD
GENDER: F
PROVIDER #: 136751
NPI #: 1427132190
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
SHAFI, ANWAR, MD
GENDER: M
PROVIDER #: 158056
NPI #: 1487809448
SIU PHYSICIANS &
SURGEONS INC
1900 E LAKE SHORE DR STE
330
DECATUR, IL 62521
PHONE: (217) 545-8000
E-PRESCRIBE: NO
CRUTCHER, LISA, MD
GENDER: F
PROVIDER #: 235617
NPI #: 1841261013
KISHWAUKEE PHYSICIAN
GROUP
ONE KISH HOSPITAL DR
DEKALB, IL 60115
PHONE: (815) 786-7150
E-PRESCRIBE: NO
SOUKI, RAMZI C., MD
GENDER: M
PROVIDER #: 253970
NPI #: 1386807451
SIU PHYSICIANS &
SURGEONS INC
2300 N EDWARD ST FIRST FL
DECATUR, IL 62526
PHONE: (217) 545-8000
E-PRESCRIBE: YES
THOMSON, MARGARET M.,
MD
GENDER: F
PROVIDER #: 192962
NPI #: 1033177183
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
DEKALB, IL
DELAVAN, IL
PEDIATRICS
FLINT, JOSEPH L., MD
GENDER: M
PROVIDER #: 224588
NPI #: 1013064195
DELAVAN PEDIATRICS LLC
101 E 5TH ST
DELAVAN, IL 61734
PHONE: (309) 696-2216
E-PRESCRIBE: YES
FAMILY PRACTICE
PEDIATRICS
GOSWAMI, UMESH P., MD
GENDER: M
PROVIDER #: 022625
NPI #: 1669466801
625 E BETHANY RD SUITE 3
DEKALB, IL 60115
PHONE: (815) 758-5100
E-PRESCRIBE: NO
MORKER, MAYURI, MD
GENDER: F
PROVIDER #: 212752
NPI #: 1598059982
UMESH GOSWAMI MD
625 E BETHANY RD SUITE 3
DEKALB, IL 60115
PHONE: (815) 758-5100
E-PRESCRIBE: YES
DES MOINES, IA
ADULT/INTERNAL
MEDICINE
TONG, THEN, MD
GENDER:
PROVIDER #: 260818
NPI #: 1447578992
UNITYPOINT CLINIC
INTERAL MEDICINE-PENN
AT METH
1215 PLEASANT ST SUITE 506
DES MOINES, IA 50309
PHONE: (515) 266-1000
E-PRESCRIBE: YES
UNITYPOINT CLINIC
INTERNAL MEDICINE-PENN
AVE
1201 PENN AVE
DES MOINES, IA 50316
PHONE: (515) 266-1000
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
111
DES MOINES, IA
DIXON, IL
Primary Care Physicians
FAMILY PRACTICE
DIETERICH, IL
YANKEY, JOSEPH M., DO
GENDER: M
PROVIDER #: 242025
NPI #: 1538329917
DES MOINES ORTHOPAEDIC
SURGEONS PC
1301 PENN AVE SUITE 213
DES MOINES, IA 50316
PHONE: (515) 263-9696
E-PRESCRIBE: YES
DES PLAINES, IL
FAMILY PRACTICE
DAMASARU, LENUS, MD
GENDER:
PROVIDER #: 246542
NPI #: 1467690040
PMG OAKTON MAPLE
FAMILY PRACTICE
1792 OAKTON ST
DES PLAINES, IL 60018
PHONE: (847) 827-4496
E-PRESCRIBE: NO
KHAN, EJAZ, MD
GENDER: M
PROVIDER #: 269071
NPI #: 1518902527
PMG OAKTON MAPLE
FAMILY PRACTICE
1792 OAKTON
DES PLAINES, IL 60018
PHONE: (847) 827-4496
E-PRESCRIBE: NO
FAMILY PRACTICE
BLOEMER, ERIC A., MD
GENDER: M
PROVIDER #: 223295
NPI #: 1073742664
MID ILLINOIS MEDICAL
CARE ASSOC
203 S MAIN ST
DIETERICH, IL 62424
PHONE: (217) 925-5730
E-PRESCRIBE: YES
BRADDY, MICHELLE R., MD
GENDER: F
PROVIDER #: 151351
NPI #: 1619068061
MID-ILLINOIS MEDICAL
CARE ASSOCIATES
203 S MAIN ST
DIETERICH, IL 62424
PHONE: (217) 925-5730
E-PRESCRIBE: NO
DIXON, IL
ADULT/INTERNAL
MEDICINE
AGRAWAL, PRANJAL M., MD
GENDER: M
PROVIDER #: 135762
NPI #: 1174723290
KSB MEDICAL GROUP
144 N COURT ST
DIXON, IL 61021
PHONE: (815) 284-7733
E-PRESCRIBE: YES
IYER, LAXMAN, MD
GENDER: M
PROVIDER #: 026589
NPI #: 1891761094
KSB MEDICAL GROUP
215 E FIRST ST SUITE 212
DIXON, IL 61021
PHONE: (815) 285-5815
E-PRESCRIBE: NO
112
MUHSIN, ADNAN A., MD
GENDER: M
PROVIDER #: 019260
NPI #: 1942278502
KSB MEDICAL GROUP
144 N COURT ST
DIXON, IL 61021
PHONE: (815) 288-7733
E-PRESCRIBE: NO
FAMILY PRACTICE
APPENHEIMER, A TIMOTHY,
MD
GENDER: M
PROVIDER #: 040928
NPI #: 1417937632
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
ZEMAN, KATHRYN M., PA;
PROVIDER #: 055009
E-PRESCRIBE: YES
APPENHEIMER, STACEY, MD
GENDER: F
PROVIDER #: 254704
NPI #: 1225357585
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
BANDY, MICHELLE L., MD
GENDER: F
PROVIDER #: 291982
NPI #: 1366466435
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
DIXON, IL
DIXON, IL
Primary Care Physicians
DAVENPORT, CRAIG R., MD
GENDER: M
PROVIDER #: 281273
NPI #: 1508064932
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
SACHDEV, POONAM, MD
GENDER: F
PROVIDER #: 189479
NPI #: 1659529527
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
TIEMAN, LYMAN R., MD
GENDER: M
PROVIDER #: 124162
NPI #: 1174591929
KSB MEDICAL GROUP
215 E 1ST ST SUITE 326
DIXON, IL 61021
PHONE: (815) 284-5719
E-PRESCRIBE: NO
GUELDE, KIMBERLI J., MD
GENDER: F
PROVIDER #: 084379
NPI #: 1497726707
KSB MEDICAL GROUP
144 N COURT ST
DIXON, IL 61021
PHONE: (815) 284-7733
E-PRESCRIBE: YES
SELGESTAD, JOHN G., MD
GENDER: M
PROVIDER #: 022968
NPI #: 1518935014
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
PEDIATRICS
HERNANDEZ, JUAN C., MD
GENDER: M
PROVIDER #: 106996
NPI #: 1780650176
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
WELTY, JOSEPH M., MD
GENDER: M
PROVIDER #: 024288
NPI #: 1861460586
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
PAGE, GAYE A., CNP;
PROVIDER #: 096840
E-PRESCRIBE: NO
JAMAL, ASAD, MD
GENDER: M
PROVIDER #: 257729
NPI #: 1013950476
KSB MEDICAL GROUP
403 W 1ST ST
DIXON, IL 61021
PHONE: (815) 285-5629
E-PRESCRIBE: NO
REWERSKI, SANTISLAW, MD
GENDER: M
PROVIDER #: 116642
NPI #: 1831188317
KSB MEDICAL GROUP TOWN SQUARE CENTRE
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: YES
GENERAL PRACTICE
DEETS, DAVID K., MD
GENDER: M
PROVIDER #: 041287
NPI #: 1093786220
KSB MEDICAL GROUP
215 E FIRST ST SUITE 326
DIXON, IL 61021
PHONE: (815) 284-5719
E-PRESCRIBE: NO
NAG, PRATIP K., MD
GENDER:
PROVIDER #: 254924
NPI #: 1437261963
KSB MEDICAL GROUP INC
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
RIVERA, MARIA P., MD
GENDER: F
PROVIDER #: 032559
NPI #: 1073581971
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
SAYANA, VIJAYA A., MD
GENDER: F
PROVIDER #: 022994
NPI #: 1831167642
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
113
DU QUOIN, IL
DWIGHT, IL
Primary Care Physicians
DU QUOIN, IL
ADULT/INTERNAL
MEDICINE
TUCKER, GLADSTONE A., MD
GENDER: M
PROVIDER #: 117644
NPI #: 1023087012
MARSHALL BROWNING
HOSPITAL CLINIC
900 N WASHINGTON ST
DU QUOIN, IL 62832
PHONE: (618) 542-1050
KLUMP, DANIELLE, NP;
PROVIDER #: 247539
E-PRESCRIBE: NO
FAMILY PRACTICE
DURAND, IL
BIGHAM, BETH, MD
GENDER: F
PROVIDER #: 075503
NPI #: 1235128554
MARSHALL BROWNING
HOSPITAL CLINIC
900 N WASHINGTON ST
DU QUOIN, IL 62832
PHONE: (618) 542-1050
E-PRESCRIBE: NO
FAMILY PRACTICE
FURRY, CRAIG W., MD
GENDER: M
PROVIDER #: 021751
NPI #: 1609864750
20 N WASHINGTON STE 2
DU QUOIN, IL 62832
PHONE: (618) 542-2129
CHAPMAN-POGUE, ELLEN M.,
FNP; PROVIDER #: 136734
E-PRESCRIBE: NO
114
RATHERT, BENJAMIN T., MD
GENDER: M
PROVIDER #: 254081
NPI #: 1275854853
CHRISTOPHER GREATER
AREA RURAL HEALTH
PLANNING
119 GAS PLANT RD
DU QUOIN, IL 62832
PHONE: (618) 542-8702
EPPLIN, ANDREA M., NP;
PROVIDER #: 272325
POITER, MICHAEL H., PA;
PROVIDER #: 151959
SALMO, PATRICIA M., PA-C;
PROVIDER #: 073743
E-PRESCRIBE: NO
HAMEL, TIMOTHY J., MD
GENDER: M
PROVIDER #: 190099
NPI #: 1417021882
MONROE CLINIC-DURAND
400 S CENTER ST
DURAND, IL 61024
PHONE: (815) 248-3443
E-PRESCRIBE: NO
DURANT, IA
FAMILY PRACTICE
AANESTAD, JENNIFER R.,
MD
GENDER: F
PROVIDER #: 101683
NPI #: 1386649341
GENESIS HEALTH GROUP
619 5TH ST
DURANT, IA 52747
PHONE: (563) 785-4487
E-PRESCRIBE: NO
ILTIS, MARK, MD
GENDER: M
PROVIDER #: 108964
NPI #: 1659369353
GENESIS HEALTH GROUP
619 5TH ST
DURANT, IA 52747
PHONE: (563) 785-4487
E-PRESCRIBE: NO
DWIGHT, IL
FAMILY PRACTICE
CICHON, MICHAEL C., DO
GENDER: M
PROVIDER #: 002084
NPI #: 1902877095
COMMUNITY MEDICAL
CENTER
103 JOHN ST
DWIGHT, IL 60420
PHONE: (815) 584-3051
E-PRESCRIBE: NO
PASSERMAN, MARK A., DO
GENDER: M
PROVIDER #: 118822
NPI #: 1851404313
DWIGHT HEALTHCARE
CENTER
101 S PRAIRIE AVE
DWIGHT, IL 60420
PHONE: (815) 584-3291
ZWEERES, TAMMY S., NP;
PROVIDER #: 219133
E-PRESCRIBE: YES
SWINK, TRAVIS W., DO
GENDER: M
PROVIDER #: 070062
NPI #: 1619060977
OSF MEDICAL GROUP
105 JOHN ST
DWIGHT, IL 60420
PHONE: (815) 584-3343
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
EAST DUNDEE, IL
EAST MOLINE, IL
EAST DUNDEE, IL
FAMILY PRACTICE
NAVEED, RABIA, MD
GENDER: F
PROVIDER #: 248916
NPI #: 1134351604
IMMEDIATE CARE PLUS
888 E MAIN ST
EAST DUNDEE, IL 60118
PHONE: (847) 426-0600
E-PRESCRIBE: NO
EAST MOLINE, IL
ADULT/INTERNAL
MEDICINE
HAQUE, SYED M., MD
GENDER: M
PROVIDER #: 072992
NPI #: 1720072960
COMMUNITY HEALTH CARE
EAST MOLINE
708 15TH AVE
EAST MOLINE, IL 61244-2134
PHONE: (563) 327-2105
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
E-PRESCRIBE: NO
PANCHOLI, SANJAY S., DO
GENDER: M
PROVIDER #: 195787
NPI #: 1780894816
COMMUNITY HEALTH CARE
EAST MOLINE
708 15TH AVE
EAST MOLINE, IL 61244-2134
PHONE: (563) 327-2105
E-PRESCRIBE: NO
Primary Care Physicians
SATTI, VINAY V., MD
GENDER: M
PROVIDER #: 170479
NPI #: 1629099726
COMMUNITY HEALTH CARE
EAST MOLINE
708 15TH AVE
EAST MOLINE, IL 61244-2134
PHONE: (563) 327-2105
E-PRESCRIBE: NO
FAMILY PRACTICE
HAJI-ABDIRAHMAN,
HASSAN, MD
GENDER: M
PROVIDER #: 227583
NPI #: 1972735785
COMMUNITY HEALTH CARE
708 15TH AVE
EAST MOLINE, IL 61244
PHONE: (563) 327-2000
E-PRESCRIBE: YES
KUMAR, MUKESH, MD
GENDER:
PROVIDER #: 227592
NPI #: 1164756920
COMMUNITY HEALTH CARE
708 15TH AVE
EAST MOLINE, IL 61244
PHONE: (563) 327-2000
E-PRESCRIBE: YES
LINDLEY, JAMES A., MD
GENDER: M
PROVIDER #: 224531
NPI #: 1528064052
TRINITY EXPRESS CARE
465 AVE OF THE CITIES
SUITE 100
EAST MOLINE, IL 61244
PHONE: (309) 779-5670
E-PRESCRIBE: NO
SHORT, NANCY J., MD
GENDER: F
PROVIDER #: 059704
NPI #: 1134125032
4360 KENNEDY DR SUITE 1
EAST MOLINE, IL 61244
PHONE: (309) 792-6090
E-PRESCRIBE: NO
WANG, PAUL, MD
GENDER: M
PROVIDER #: 060636
NPI #: 1508839481
UNITYPOINT CLINICEXPRESS CARE-MOLINE
465 AVE OF THE CITIES
EAST MOLINE, IL 61244
PHONE: (309) 779-5670
E-PRESCRIBE: YES
PEDIATRICS
BRODD, ANDERS J., MD
GENDER: M
PROVIDER #: 077666
NPI #: 1164482295
PEDIATRIC GROUP
ASSOCIATES SC
465 AVENUE OF THE CITIES
SUITE 120
EAST MOLINE, IL 61244
PHONE: (309) 755-6115
E-PRESCRIBE: NO
HERR, THOMAS J., MD
GENDER: M
PROVIDER #: 077668
NPI #: 1295795326
PEDIATRIC GROUP
ASSOCIATES SC
465 AVENUE OF THE CITIES
SUITE 120
EAST MOLINE, IL 61244
PHONE: (309) 755-6115
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
115
Primary Care Physicians
KHAN, NAFEES, MD
GENDER:
PROVIDER #: 127862
NPI #: 1548255243
TRINITY EXPRESS CARE
465 AVENUE OF THE CITIES
SUITE 100
EAST MOLINE, IL 61244
PHONE: (309) 779-5670
E-PRESCRIBE: NO
KHOURY, SANDRA J., MD
GENDER: F
PROVIDER #: 077669
NPI #: 1831159342
PEDIATRIC GROUP
ASSOCIATES SC
465 AVENUE OF THE CITIES
SUITE 120
EAST MOLINE, IL 61244
PHONE: (309) 755-6115
E-PRESCRIBE: NO
KUKREJA, DEEPNA, MD
GENDER: F
PROVIDER #: 209042
NPI #: 1194017913
COMMUNITY HEALTH CARE
EAST MOLINE
708 15TH AVE
EAST MOLINE, IL 61244-2134
PHONE: (563) 327-2105
E-PRESCRIBE: NO
KUKREJA, GAUTAM, MD
GENDER: M
PROVIDER #: 184580
NPI #: 1205151198
COMMUNITY HEALTH CARE
EAST MOLINE
708 15TH AVE
EAST MOLINE, IL 61244-2134
PHONE:
E-PRESCRIBE: NO
116
MOEN, CHRISTOPHER S., MD
GENDER: M
PROVIDER #: 007039
NPI #: 1942260070
PEDIATRIC GROUP
ASSOCIATES SC
465 AVENUE OF THE CITIES
SUITE 120
EAST MOLINE, IL 61244
PHONE: (309) 755-6115
E-PRESCRIBE: NO
NEPTUNE, HAILE, MD
GENDER: F
PROVIDER #: 042391
NPI #: 1013977149
PEDIATRIC GROUP
ASSOCIATES SC
465 AVENUE OF THE CITIES
SUITE 120
EAST MOLINE, IL 61244
PHONE: (309) 755-6115
E-PRESCRIBE: NO
OZAKI, LINDA S., MD
GENDER: F
PROVIDER #: 065338
NPI #: 1053305003
COMMUNITY HEALTH CARE
EAST MOLINE
708 15TH AVE
EAST MOLINE, IL 61244-2134
PHONE: (563) 327-2105
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
E-PRESCRIBE: NO
EAST MOLINE, IL
EAST PEORIA, IL
EAST PEORIA, IL
ADULT/INTERNAL
MEDICINE
SIDLER, G GENE, MD
GENDER: M
PROVIDER #: 057275
NPI #: 1396844932
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
FAMILY PRACTICE
COON, JOHN J., MD
GENDER: M
PROVIDER #: 292969
NPI #: 1437163540
PROCTOR FIRST CARE
2535 E WASHINGTON ROAD
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
COSTERISAN, AARON D., MD
GENDER: M
PROVIDER #: 292975
NPI #: 1396975736
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
DOBBINS, LEAH E., MD
GENDER: F
PROVIDER #: 294911
NPI #: 1871873745
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
EAST PEORIA, IL
EAST PEORIA, IL
Primary Care Physicians
GOLBY, ANGELA A., DO
GENDER: F
PROVIDER #: 281464
NPI #: 1639183536
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6032
E-PRESCRIBE: NO
MAKSIMOVIC, DEJAN, DO
GENDER: M
PROVIDER #: 292989
NPI #: 1891992269
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
PATEL, JUMUNA, MD
GENDER: F
PROVIDER #: 113913
NPI #: 1033200928
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
GRIEBEL, CRAIG, MD
GENDER: M
PROVIDER #: 292965
NPI #: 1740294347
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
MCMILLIN, MATTHEW, MD
GENDER: M
PROVIDER #: 282413
NPI #: 1528021987
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
RUBUSH, AMANDA, MD
GENDER: F
PROVIDER #: 294417
NPI #: 1447513148
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
HARMS, JAY S., MD
GENDER: M
PROVIDER #: 051654
NPI #: 1518075282
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
MONTEFOLKA, MARK P., MD
GENDER: M
PROVIDER #: 103596
NPI #: 1114026754
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
SAMUEL, ELDON M., MD
GENDER: M
PROVIDER #: 111572
NPI #: 1427149210
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
JAFFER, ASIM K., MD
GENDER: M
PROVIDER #: 290048
NPI #: 1316193543
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
MUGO, LEAH, MD
GENDER: F
PROVIDER #: 228936
NPI #: 1679700694
METHODIST MEDICAL
GROUP AT EAST PEORIA
200 RIVER RD
EAST PEORIA, IL 61611
PHONE: (309) 698-0290
E-PRESCRIBE: NO
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 275530
NPI #: 1922235944
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
JAVED, MAHWESH, MD
GENDER: F
PROVIDER #: 217800
NPI #: 1710149224
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
MUSAITIF, ZIAD A., DO
GENDER: M
PROVIDER #: 062698
NPI #: 1316909328
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
SIAL, MUHAMMED I., MD
GENDER: M
PROVIDER #: 100173
NPI #: 1447212469
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
117
Primary Care Physicians
SPRINGER, DAVID G., MD
GENDER: M
PROVIDER #: 008422
NPI #: 1205931318
METHODIST MEDICAL
GROUP AT EAST PEORIA
200 RIVER RD
EAST PEORIA, IL 61611
PHONE: (309) 698-0290
E-PRESCRIBE: NO
EDDYVILLE, KY
FAMILY PRACTICE
FRENCH, DAVID W., MD
GENDER: M
PROVIDER #: 296885
NPI #: 1649336306
403 W FAIRVIEW AVE
EDDYVILLE, KY 42038
PHONE: (270) 388-5454
E-PRESCRIBE: NO
STETTER, MATTHEW, DO
GENDER: M
PROVIDER #: 059603
NPI #: 1205935848
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
GENERAL PRACTICE
HILAND, STEVE B., MD
GENDER: M
PROVIDER #: 096757
NPI #: 1003810797
627 W FAIRVIEW AVE
EDDYVILLE, KY 42038
PHONE: (270) 388-9764
E-PRESCRIBE: NO
WEGMAN, CHERYL L., MD
GENDER: F
PROVIDER #: 214580
NPI #: 1174590889
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
EDWARDSVILLE, IL
FAMILY PRACTICE
WILLIAMS, TIMOTHY J., MD
GENDER: M
PROVIDER #: 275550
NPI #: 1508893595
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
118
EL-KHATIB, RUNDA A., MD
GENDER: F
PROVIDER #: 116658
NPI #: 1245281831
GRANITE CITY CLINIC CORP
1121 UNIVERSITY DR
EDWARDSVILLE, IL 620255582
PHONE: (618) 655-9523
E-PRESCRIBE: NO
EAST PEORIA, IL
EFFINGHAM, IL
EFFINGHAM, IL
ADULT/INTERNAL
MEDICINE
ALZAHABI, BASHAR, MD
GENDER: M
PROVIDER #: 042835
NPI #: 1467448456
900 W TEMPLE AVE SUITE
103
EFFINGHAM, IL 62401
PHONE: (217) 347-5000
NIEMEYER III, WILLIAM H.,
PA; PROVIDER #: 087263
E-PRESCRIBE: NO
ARORA, ARVINDER K., MD
GENDER: F
PROVIDER #: 161900
NPI #: 1740294370
NARINDER S ARORA MD SC
401 N MULBERRY ST
EFFINGHAM, IL 62401
PHONE: (217) 347-0768
E-PRESCRIBE: NO
ARORA, NARINDER S., MD
GENDER: M
PROVIDER #: 002772
NPI #: 1477576924
401 N MULBERRY ST
EFFINGHAM, IL 62401
PHONE: (217) 347-0768
E-PRESCRIBE: NO
DUST, EUGENE P., MD
GENDER: M
PROVIDER #: 003397
NPI #: 1386604940
MID ILLINOIS MEDICAL
CARE ASSOCIATES
900 W TEMPLE AVE SUITE
205
EFFINGHAM, IL 62401
PHONE: (217) 347-0458
DUNLAP, SUSAN, NP;
PROVIDER #: 180038
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
EFFINGHAM, IL
EFFINGHAM, IL
KOWALSKI, DAVID J., MD
GENDER: M
PROVIDER #: 055355
NPI #: 1538194600
MARSHALL CLINIC
EFFINGHAM, SC
300 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-4151
BARTHELME, MELINDA K.,
FNP; PROVIDER #: 074325
BUSHUR, VICKIE S., APN;
PROVIDER #: 191652
CROOK, KARILYN S., PA-C;
PROVIDER #: 175705
E-PRESCRIBE: YES
MANEJA, JENNIFER C., MD
GENDER: F
PROVIDER #: 288674
NPI #: 1194775064
MARSHALL CLINIC
EFFINGHAM
300 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-4151
E-PRESCRIBE: NO
ROZENE, TINA M., MD
GENDER: F
PROVIDER #: 054508
NPI #: 1467489807
MARSHALL CLINIC
EFFINGHAM, SC
300 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-4151
BARTHELME, MELINDA K.,
FNP; PROVIDER #: 074325
BUSHUR, VICKIE S., APN;
PROVIDER #: 191652
CROOK, KARILYN S., PA-C;
PROVIDER #: 175705
DALLMIER, JOLLY M., NP;
PROVIDER #: 151002
HARRIS, DEBRA J., APN;
PROVIDER #: 191648
E-PRESCRIBE: NO
Primary Care Physicians
SCHWING, LOUIS E., MD
GENDER: M
PROVIDER #: 263205
NPI #: 1467565069
HSHS MEDICAL GROUP
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-2121
E-PRESCRIBE: NO
TORSHIZI, AMIR A., MD
GENDER: M
PROVIDER #: 180924
NPI #: 1982825196
HSHS MEDICAL GROUP
503 N MAPLE
EFFINGHAM, IL 62401
PHONE: (217) 342-2121
E-PRESCRIBE: NO
FAMILY PRACTICE
BLOEMER, ERIC A., MD
GENDER: M
PROVIDER #: 223295
NPI #: 1073742664
MID ILLINOIS MEDICAL
CARE ASSOC
512 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 347-7030
E-PRESCRIBE: YES
900 W TEMPLE AVE SUITE
205
EFFINGHAM, IL 62401
PHONE: (217) 347-0458
E-PRESCRIBE: YES
BRADDY, MICHELLE R., MD
GENDER: F
PROVIDER #: 151351
NPI #: 1619068061
MID-ILLINOIS MEDICAL
CARE ASSOCIATES
512 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 347-7030
E-PRESCRIBE: NO
900 W TEMPLE AVE STE 106
EFFINGHAM, IL 62401
PHONE: (217) 347-2707
E-PRESCRIBE: NO
FLYNN, SEAN, MD
GENDER: M
PROVIDER #: 076638
NPI #: 1407816044
MID-ILLINOIS MEDICAL
CARE ASSOCIATES
512 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 347-7030
LIDY, JUDY, CNP; PROVIDER
#: 070990
E-PRESCRIBE: NO
GAGE, ANDREW R., MD
GENDER: M
PROVIDER #: 244029
NPI #: 1013931567
MID-ILLINOIS MEDICAL
CARE ASSOCIATES LLC
512 N MAPLE
EFFINGHAM, IL 62401
PHONE: (217) 347-7030
E-PRESCRIBE: YES
IMBURGIA, DOMINIC C., MD
GENDER: M
PROVIDER #: 040058
NPI #: 1114955960
EFFINGHAM COMMUNITY
MEDICAL CENTER
901 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 347-2900
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
119
EFFINGHAM, IL
EFFINGHAM, IL
Primary Care Physicians
JENSON, JEFFREY J., MD
GENDER: M
PROVIDER #: 106081
NPI #: 1740211390
MARSHALL CLINIC
EFFINGHAM SC
300 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-4151
BARTHELME, MELINDA K.,
FNP; PROVIDER #: 074325
BUSHUR, VICKIE S., APN;
PROVIDER #: 191652
CROOK, KARILYN S., PA-C;
PROVIDER #: 175705
DALLMIER, JOLLY M., NP;
PROVIDER #: 151002
HARRIS, DEBRA J., APN;
PROVIDER #: 191648
MCMAHON, MARGO S., APN;
PROVIDER #: 191644
E-PRESCRIBE: NO
KNAUER, HOPE E., MD
GENDER: F
PROVIDER #: 055760
NPI #: 1376578492
MARSHALL CLINIC
EFFINGHAM, SC
300 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-4151
BARTHELME, MELINDA K.,
FNP; PROVIDER #: 074325
BUSHUR, VICKIE S., APN;
PROVIDER #: 191652
CROOK, KARILYN S., PA-C;
PROVIDER #: 175705
DALLMIER, JOLLY M., NP;
PROVIDER #: 151002
HARRIS, DEBRA J., APN;
PROVIDER #: 191648
MCMAHON, MARGO S., APN;
PROVIDER #: 191644
PADGETT, DAVID W., PA-C;
PROVIDER #: 137795
SHEA, KATHY J., FNP;
PROVIDER #: 067976
VAUGHN, KATHI L., APN;
PROVIDER #: 191633
WALLIN, MARY, NP;
PROVIDER #: 191646
E-PRESCRIBE: NO
OLTMAN, PAUL D., MD
GENDER: M
PROVIDER #: 068496
NPI #: 1942208087
EFFINGHAM MEDICAL
CENTER
900 W TEMPLE SUITE 204
EFFINGHAM, IL 62401
PHONE: (217) 347-7776
E-PRESCRIBE: NO
120
PEDIATRICS
KOWALSKI, DAVID J., MD
GENDER: M
PROVIDER #: 055355
NPI #: 1538194600
MARSHALL CLINIC
EFFINGHAM, SC
300 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-4151
BARTHELME, MELINDA K.,
FNP; PROVIDER #: 074325
BUSHUR, VICKIE S., APN;
PROVIDER #: 191652
CROOK, KARILYN S., PA-C;
PROVIDER #: 175705
E-PRESCRIBE: YES
ROZENE, TINA M., MD
GENDER: F
PROVIDER #: 054508
NPI #: 1467489807
MARSHALL CLINIC
EFFINGHAM, SC
300 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-4151
BARTHELME, MELINDA K.,
FNP; PROVIDER #: 074325
BUSHUR, VICKIE S., APN;
PROVIDER #: 191652
CROOK, KARILYN S., PA-C;
PROVIDER #: 175705
DALLMIER, JOLLY M., NP;
PROVIDER #: 151002
HARRIS, DEBRA J., APN;
PROVIDER #: 191648
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
EL PASO, IL
EL PASO, IL
EL PASO, IL
FAMILY PRACTICE
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
GINNETTI, RICHARD A., MD
GENDER: M
PROVIDER #: 006881
NPI #: 1336231836
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
HAKES, PAUL E., MD
GENDER: M
PROVIDER #: 004325
NPI #: 1750315602
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
FISCHER, DEBRA L., APN;
PROVIDER #: 206358
TYNER, JEAN MARIE, NP;
PROVIDER #: 137005
E-PRESCRIBE: NO
OSF MEDICAL GROUP
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
Primary Care Physicians
INGALSBE, STEVEN C., MD
GENDER: M
PROVIDER #: 007304
NPI #: 1962428128
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
FISCHER, DEBRA L., APN;
PROVIDER #: 206358
TYNER, JEAN MARIE, NP;
PROVIDER #: 137005
E-PRESCRIBE: NO
MITCHELL, PHILIP, MD
GENDER: M
PROVIDER #: 028458
NPI #: 1508839895
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
SHANMUGAM, RAJU M., MD
GENDER: M
PROVIDER #: 228277
NPI #: 1043448111
ADVOCATE MEDICAL
GROUP EL PASO
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
SHEPPARD, SUSAN J., MD
GENDER: F
PROVIDER #: 054077
NPI #: 1598857278
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
STEFFEN, SAMUEL E., MD
GENDER: M
PROVIDER #: 093898
NPI #: 1790704435
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
FISCHER, DEBRA L., APN;
PROVIDER #: 206358
TYNER, JEAN MARIE, NP;
PROVIDER #: 137005
E-PRESCRIBE: NO
STEVENS, JENNIFER E., MD
GENDER: F
PROVIDER #: 239592
NPI #: 1043412893
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
SYEDA, QAMER F., MD
GENDER: F
PROVIDER #: 226675
NPI #: 1588892509
ADVOCARE MEDICAL
GROUP EL PASO
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
121
Primary Care Physicians
WOODS, MICHAEL J., MD
GENDER: M
PROVIDER #: 235613
NPI #: 1871698761
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
EWELL, KIMBALL E., MD
GENDER: M
PROVIDER #: 027433
NPI #: 1457303943
ELDORADO PRIMARY CARE
1007 ROUTE 45
ELDORADO, IL 62930
PHONE: (618) 273-7723
STOUT-MASON, SABRINA R.,
CFNP; PROVIDER #: 242060
E-PRESCRIBE: NO
ELDORA, IA
FAMILY PRACTICE
BROWN, TERESA L., DO
GENDER: F
PROVIDER #: 082266
NPI #: 1366530768
BROWN FAMILY PRACTICE
PLC
1250 WASHINGTON ST
ELDORA, IA 50627
PHONE: (641) 939-7777
E-PRESCRIBE: NO
ELDORADO, IL
FAMILY PRACTICE
BLAIN, MICHAEL A., DO
GENDER: M
PROVIDER #: 192430
NPI #: 1801076146
ELDORADO RURAL HEALTH
CLINIC
1401 US 45 N
ELDORADO, IL 62930
PHONE: (618) 273-2951
MORRIS, CURTIS, PA;
PROVIDER #: 262693
E-PRESCRIBE: NO
122
MILLER, ANDREA K., MD
GENDER: F
PROVIDER #: 099828
NPI #: 1750333241
ELDORADO PRIMARY CARE
1007 ROUTE 45
ELDORADO, IL 62930
PHONE: (618) 273-7723
OZEE, MARY, CFNP;
PROVIDER #: 124860
E-PRESCRIBE: YES
OLDHAM, NATHAN E., MD
GENDER: M
PROVIDER #: 181930
NPI #: 1780883843
FERRELL HOSPITAL FAMILY
PRACTICE
1306 MAPLE ST
ELDORADO, IL 62930
PHONE: (618) 273-3361
GAUTHIER, MELISSA A., PA-C;
PROVIDER #: 226066
JACKSON, KATIE E., PA-C;
PROVIDER #: 238050
REDICK, LINDA S., PA;
PROVIDER #: 162182
SMITH, PENNIE L., PA-C;
PROVIDER #: 175414
E-PRESCRIBE: NO
1407 LOCUST ST
ELDORADO, IL 62930
PHONE: (618) 297-9605
GAUTHIER, MELISSA A., PA-C;
PROVIDER #: 226066
SMITH, PENNIE L., PA-C;
PROVIDER #: 175414
E-PRESCRIBE: NO
EL PASO, IL
ELDRIDGE, IA
SVOBODA, CRAIG V., MD
GENDER: M
PROVIDER #: 119597
NPI #: 1699873117
ELDORADO RURAL HEALTH
CLINIC
1401 US 45 N
ELDORADO, IL 62930
PHONE: (618) 273-2951
E-PRESCRIBE: NO
GENERAL PRACTICE
PARTRIDGE, ELLIOTT O., MD
GENDER: M
PROVIDER #: 046813
NPI #: 1750368213
FERRELL HOSPITAL FAMILY
PRACTICE
1306 MAPLE ST
ELDORADO, IL 62930
PHONE: (618) 297-9670
HOSMAN, ANDREW E., PA;
PROVIDER #: 199782
E-PRESCRIBE: NO
ELDRIDGE, IA
FAMILY PRACTICE
CLOOS, CARLA R., MD
GENDER: F
PROVIDER #: 222307
NPI #: 1649439175
GENESIS MEDICAL CENTER
301 N 4TH AVE
ELDRIDGE, IA 52748
PHONE: (563) 421-9880
E-PRESCRIBE: NO
DARROW, JAMES A., MD
GENDER: M
PROVIDER #: 034789
NPI #: 1023013042
GENESIS HEALTH GROUP
301 N FOURTH AVE
ELDRIDGE, IA 52748
PHONE: (563) 421-9880
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ELDRIDGE, IA
ELGIN, IL
MCCAW, PATRICIA J., MD
GENDER: F
PROVIDER #: 078284
NPI #: 1801892351
GENESIS HEALTH GROUP
301 N FOURTH AVE
ELDRIDGE, IA 52748
PHONE: (563) 421-9880
E-PRESCRIBE: NO
NEIL, MATTHEW L., MD
GENDER: M
PROVIDER #: 085492
NPI #: 1578569091
GENESIS HEALTH GROUP
301 N FOURTH AVE
ELDRIDGE, IA 52748
PHONE: (563) 421-9880
E-PRESCRIBE: NO
SCHRECK, MICHEAL E., MD
GENDER: M
PROVIDER #: 034790
NPI #: 1013913904
GENESIS HEALTH GROUP
301 N FOURTH AVE
ELDRIDGE, IA 52748
PHONE: (563) 421-9880
E-PRESCRIBE: NO
ELGIN, IL
ADULT/INTERNAL
MEDICINE
AHMED, NAZNEEN, MD
GENDER: F
PROVIDER #: 200939
NPI #: 1215926621
PROVENA MEDICAL GROUP
1975 LIN LOR LANE SUITE
205
ELGIN, IL 60123
PHONE: (847) 742-4488
E-PRESCRIBE: NO
Primary Care Physicians
DAUDI, SHAZIA S., MD
GENDER: F
PROVIDER #: 179795
NPI #: 1235137928
FIDAI MEDICAL GROUP
1710 N RANDALL RD SUITE
380
ELGIN, IL 60123
PHONE: (847) 741-9800
E-PRESCRIBE: NO
FIDAI, GULZAR S., MD
GENDER: F
PROVIDER #: 089032
NPI #: 1851398218
FIDAI MEDICAL GROUP
1710 N RANDALL RD SUITE
380
ELGIN, IL 60123
PHONE: (847) 741-9800
E-PRESCRIBE: NO
GEPHART, ANANDITA G., MD
GENDER: F
PROVIDER #: 086130
NPI #: 1790709343
PROVENA MEDICAL GROUP
1975 LIN LOR LANE SUITE
205
ELGIN, IL 60123
PHONE: (847) 742-4488
E-PRESCRIBE: NO
GOEL, ARCHANA, MD
GENDER: F
PROVIDER #: 141829
NPI #: 1063529832
HERITAGE PRIMARY CARE
SC
1435 N RANDALL RD SUITE
210
ELGIN, IL 60123
PHONE: (847) 488-9589
E-PRESCRIBE: NO
LIPOV, SERGEI G., MD
GENDER: M
PROVIDER #: 068593
NPI #: 1982634127
1975 LIN LOR LN SUITE 285
ELGIN, IL 60123
PHONE: (847) 608-7542
E-PRESCRIBE: NO
OLIVEROS, DESIREE F., MD
GENDER: F
PROVIDER #: 188909
NPI #: 1205846128
PROVENA MEDICAL GROUP
NEW LENOX
1975 LIN LOR LN SUITE 295
ELGIN, IL 60123
PHONE: (847) 622-2086
E-PRESCRIBE: NO
SUSARLA, VISWANATHAM,
MD
GENDER: M
PROVIDER #: 180824
NPI #: 1922014315
V SUSARLA MD SC
860 SUMMIT ST SUITE 123
ELGIN, IL 60120
PHONE: (847) 741-0026
E-PRESCRIBE: NO
WIN, THAN, MD
GENDER: M
PROVIDER #: 180393
NPI #: 1427098581
1975 LIN LOR LN
SUITE 285
ELGIN, IL 60123
PHONE: (847) 608-7542
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
123
Primary Care Physicians
FAMILY PRACTICE
COLIN, VICTOR H., MD
GENDER: M
PROVIDER #: 182995
NPI #: 1659369163
ELGIN FAMILY PHYSICIANS
SC
1435 RANDALL RD SUITE 301
ELGIN, IL 60123
PHONE: (847) 888-3661
E-PRESCRIBE: NO
915 CENTER ST SUITE 3000
ELGIN, IL 60120
PHONE: (847) 888-3661
E-PRESCRIBE: NO
FLORENTINO, POCHOLO S.,
MD
GENDER: M
PROVIDER #: 062722
NPI #: 1649359969
ELGIN CARE CENTER
530 N MCLEAN BLVD
ELGIN, IL 60123
PHONE: (847) 695-4800
E-PRESCRIBE: NO
GUPTA, VANITA, MD
GENDER: F
PROVIDER #: 111567
NPI #: 1760583629
ELGIN FAMILY PHYSICIANS
SC
1435 RANDALL RD SUITE 301
ELGIN, IL 60123
PHONE: (847) 888-3661
E-PRESCRIBE: NO
915 CENTER ST SUITE 3000
ELGIN, IL 60120
PHONE: (847) 888-3661
E-PRESCRIBE: NO
MUELLER, CHRISTINE M., MD
GENDER: F
PROVIDER #: 180417
NPI #: 1215925722
ELGIN FAMILY PHYSICIANS
SC
1435 RANDALL RD SUITE 301
ELGIN, IL 60123
PHONE: (847) 888-3661
E-PRESCRIBE: NO
915 CENTER ST SUITE 3000
ELGIN, IL 60120
PHONE: (847) 888-3661
E-PRESCRIBE: NO
YUEN, MICHAEL H., MD
GENDER: M
PROVIDER #: 043115
NPI #: 1144326687
1590 WEATHERSTONE LANE
SUITE 7
ELGIN, IL 60123
PHONE: (847) 695-8558
E-PRESCRIBE: NO
POULOS, DOROTHEA, MD
GENDER: F
PROVIDER #: 180827
NPI #: 1003804519
ELGIN FAMILY PHYSICIANS
SC
1435 RANDALL RD SUITE 301
ELGIN, IL 60123
PHONE: (847) 888-3661
E-PRESCRIBE: NO
915 CENTER ST SUITE 3000
ELGIN, IL 60120
PHONE: (847) 888-3661
E-PRESCRIBE: NO
BAYLOR, MARK C., MD
GENDER: M
PROVIDER #: 001414
NPI #: 1740256700
ELMWOOD FAMILY
MEDICAL CENTER
120 W MAIN ST
ELMWOOD, IL 61529
PHONE: (309) 742-2921
GARNER, PAMELA, FNP;
PROVIDER #: 174548
E-PRESCRIBE: NO
SUSARLA, SAVITHA, DO
GENDER: F
PROVIDER #: 181015
NPI #: 1518976323
V SUSARLA MD SC
860 SUMMIT ST SUITE 123
ELGIN, IL 60120
PHONE: (847) 741-0026
E-PRESCRIBE: NO
FAMILY PRACTICE
PEDIATRICS
FANG, HENRY Y., MD
GENDER: M
PROVIDER #: 017749
NPI #: 1598850646
1590 WEATHERSTONE LANE
SUITE 7
ELGIN, IL 60123
PHONE: (847) 695-8558
E-PRESCRIBE: NO
124
ELGIN, IL
EQUALITY, IL
ELMWOOD, IL
FAMILY PRACTICE
EQUALITY, IL
EWELL, KIMBALL E., MD
GENDER: M
PROVIDER #: 027433
NPI #: 1457303943
EQUALITY FAMILY
PRACTICE
183 W LANE ST
EQUALITY, IL 62934-1332
PHONE: (618) 276-5196
FRANKLIN, STEPHANIE, CNP;
PROVIDER #: 084808
QUINN, AMY E., FNP;
PROVIDER #: 232223
STOUT-MASON, SABRINA R.,
CFNP; PROVIDER #: 242060
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
EQUALITY, IL
EUREKA, IL
MILLER, ANDREA K., MD
GENDER: F
PROVIDER #: 099828
NPI #: 1750333241
EQUALITY FAMILY
PRACTICE
183 W LANE ST
EQUALITY, IL 62934-1332
PHONE: (618) 276-5196
OZEE, MARY, CFNP;
PROVIDER #: 124860
E-PRESCRIBE: YES
ERIE, IL
FAMILY PRACTICE
CARROLL JR, J F KELLY, MD
GENDER: M
PROVIDER #: 020346
NPI #: 1437154507
GENESIS HEALTH GROUP
530 12TH ST
ERIE, IL 61250
PHONE: (309) 659-2215
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
DANNENFELDT, JOHN C., MD
GENDER: M
PROVIDER #: 020348
NPI #: 1881699890
GENESIS HEALTH GROUP
530 12TH ST
ERIE, IL 61250
PHONE: (309) 659-2215
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE OB
CARROLL JR, J F KELLY, MD
GENDER: M
PROVIDER #: 020346
NPI #: 1437154507
GENESIS HEALTH GROUP
530 12TH ST
ERIE, IL 61250
PHONE: (309) 659-2215
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
DANNENFELDT, JOHN C., MD
GENDER: M
PROVIDER #: 020348
NPI #: 1881699890
GENESIS HEALTH GROUP
530 12TH ST
ERIE, IL 61250
PHONE: (309) 659-2215
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
EUREKA, IL
FAMILY PRACTICE
BENSON, JONATHAN D., DO
GENDER: M
PROVIDER #: 259053
NPI #: 1972887982
THE VEIN SPECIALISTS LLC
101 S MAJOR ST CLINIC 3
EUREKA, IL 61530
PHONE: (309) 862-4000
E-PRESCRIBE: NO
BOHN, KATHRYN, MD
GENDER: F
PROVIDER #: 187916
NPI #: 1194751156
THE VEIN SPECIALISTS LLC
101 S MAJOR ST CLINIC 3
EUREKA, IL 61530
PHONE: (309) 862-4000
E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
FOGO, SHANE C., MD
GENDER: M
PROVIDER #: 102295
NPI #: 1063446318
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
HUGHES, CHRISTOPHER R.,
MD
GENDER: M
PROVIDER #: 068435
NPI #: 1235158924
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
HOFFMAN, JENNIFER, NP;
PROVIDER #: 101038
E-PRESCRIBE: NO
JONES, STEVEN, MD
GENDER: M
PROVIDER #: 007305
NPI #: 1942228101
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
JENKINS, SHERYL D., CNP;
PROVIDER #: 030360
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
125
EUREKA, IL
EVANSVILLE, IN
Primary Care Physicians
MILLER, DAVID L., MD
GENDER: M
PROVIDER #: 007309
NPI #: 1437178415
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
HOFFMAN, JENNIFER, NP;
PROVIDER #: 101038
E-PRESCRIBE: NO
MITCHELL, PHILIP, MD
GENDER: M
PROVIDER #: 028458
NPI #: 1508839895
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP EMERGENCY
MEDICINE
101 S MAJOR
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
MROCZKO, MARK, MD
GENDER: M
PROVIDER #: 122386
NPI #: 1528089885
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
HOFFMAN, JENNIFER, NP;
PROVIDER #: 101038
E-PRESCRIBE: NO
126
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
RHODEN, CARL RAY, MD
GENDER: M
PROVIDER #: 258428
NPI #: 1992026579
ADVOCATE MEDICAL
GROUP EUREKA
105 S MAJOR
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
EVANSTON, IL
ADULT/INTERNAL
MEDICINE
CAMPBELL, THOMAS, MD
GENDER: M
PROVIDER #: 176173
NPI #: 1972506665
PMG EVANSTON INTERNAL
MEDICINE
800 AUSTIN ST SUITE 451
EAST TOWER
EVANSTON, IL 60202
PHONE: (847) 316-6600
E-PRESCRIBE: NO
DOBLIN, BRUCE H., MD
GENDER: M
PROVIDER #: 265722
NPI #: 1417903212
PRESENCE MEDICAL GROUP
2500 RIDGE AVE STE 1210
EVANSTON, IL 60201
PHONE: (847) 491-0888
E-PRESCRIBE: NO
FAMILY PRACTICE
FISCHER, TESSA, MD
GENDER: F
PROVIDER #: 228807
NPI #: 1730247859
PMG STF EVANSTON
FAMILY MEDICINE
800 AUSTIN SUITE 409
EVANSTON, IL 60202
PHONE: (847) 733-1495
E-PRESCRIBE: NO
EVANSVILLE, IN
ADULT/INTERNAL
MEDICINE
ALLAW, MOHAMMED A., MD
GENDER: M
PROVIDER #: 152121
NPI #: 1336142728
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE:
E-PRESCRIBE: NO
BABBER, PARIKSHET A., MD
GENDER: M
PROVIDER #: 089251
NPI #:
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
BENNETT, CHRISTINA, MD
GENDER: F
PROVIDER #: 278274
NPI #: 1194092668
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
EVANSVILLE, IN
EVANSVILLE, IN
BIEKER, MARY A., MD
GENDER: F
PROVIDER #: 065654
NPI #: 1811063258
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9372
E-PRESCRIBE: NO
CHILUKURI, RAMA D., MD
GENDER: F
PROVIDER #: 157934
NPI #: 1699841874
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
COMBS, KENNETH G., MD
GENDER: M
PROVIDER #: 222537
NPI #: 1619971942
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
CROITORU, ANDREI M., MD
GENDER: M
PROVIDER #: 229512
NPI #: 1134358161
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
DIDITA, EMANUEL, MD
GENDER: M
PROVIDER #: 238928
NPI #: 1174752109
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-2334
E-PRESCRIBE: NO
Primary Care Physicians
GRAVES, MARK, MD
GENDER: M
PROVIDER #: 049650
NPI #: 1285702308
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9372
E-PRESCRIBE: NO
4233 GATEWAY BLVD
EVANSVILLE, IN 47737-3868
PHONE: (812) 426-9372
E-PRESCRIBE: NO
IQBAL, KASHIF Z., MD
GENDER: F
PROVIDER #: 152991
NPI #: 1942376074
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 474-7123
E-PRESCRIBE: NO
4506 FIRST AVE
EVANSVILLE, IN 47710
PHONE: (812) 428-6161
E-PRESCRIBE: NO
HARDESTY, WILLIAM P., MD
GENDER: M
PROVIDER #: 073617
NPI #: 1881799179
DEACONESS PRIMARY
CARE FOR SENIORS
1750 OAK HILL RD
EVANSVILLE, IN 47711
PHONE: (812) 485-2580
E-PRESCRIBE: NO
JUDY, LAWRENCE A., MD
GENDER: M
PROVIDER #: 152992
NPI #: 1427125129
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9372
E-PRESCRIBE: NO
HARRIS, DAVID T., MD
GENDER: M
PROVIDER #: 143795
NPI #: 1992783559
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
DEACONESS CRITICAL
CARE GROUP
519 HARRIET ST
EVANSVILLE, IN 47710
PHONE: (812) 450-7720
E-PRESCRIBE: NO
DEACONESS SLEEP CENTER
7307 E COLUMBIA ST STE 101
EVANSVILLE, IN 47715
PHONE: (812) 473-1737
E-PRESCRIBE: NO
MEUNIER, JOHN C., MD
GENDER: M
PROVIDER #: 185614
NPI #: 1831391176
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
NALIN, DANIEL J., MD
GENDER: M
PROVIDER #: 169080
NPI #: 1144284480
DEACONESS PRIMARY
CARE FOR SENIORS
1750 OAK HILL RD
EVANSVILLE, IN 47711
PHONE: (812) 485-2580
E-PRESCRIBE: NO
4498 N 1ST AVE
EVANSVILLE, IN 47710
PHONE: (812) 436-7280
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
127
Primary Care Physicians
NIAZI, SULTAN O., MD
GENDER: M
PROVIDER #: 152825
NPI #: 1801874441
DEACONESS CARE GROUP
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9559
E-PRESCRIBE: NO
DEACONESS CRITICAL
CARE GROUP
519 HARRIET ST
EVANSVILLE, IN 47710
PHONE: (812) 450-7720
E-PRESCRIBE: NO
PARKAR, TABASSUM I., MD
GENDER: F
PROVIDER #: 153328
NPI #: 1205015898
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
PATEL, DIVYA U., MD
GENDER: F
PROVIDER #: 169066
NPI #: 1184678419
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9372
E-PRESCRIBE: NO
RUSCHE, ROBERT, MD
GENDER: M
PROVIDER #: 205774
NPI #: 1437152808
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
128
EVANSVILLE, IN
EVANSVILLE, IN
SARIPALLI, LEELA, MD
GENDER: F
PROVIDER #: 153017
NPI #: 1871515908
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9311
E-PRESCRIBE: NO
VIX, VERNON A., MD
GENDER: M
PROVIDER #: 153135
NPI #: 1144388349
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 474-7123
E-PRESCRIBE: NO
SCHEINOST, MICHAEL E., DO
GENDER: M
PROVIDER #: 180755
NPI #: 1336119593
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
VOGEL, GORDON A., MD
GENDER: M
PROVIDER #: 213510
NPI #: 1417984303
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
SCHEU, BRADLEY B., DO
GENDER: M
PROVIDER #: 274868
NPI #: 1427345099
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
YOUSEF, BASSAM, MD
GENDER: M
PROVIDER #: 203008
NPI #: 1598745184
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
SIAGE, YOUSSEF, MD
GENDER: M
PROVIDER #: 153085
NPI #: 1346386190
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9372
E-PRESCRIBE: NO
FAMILY PRACTICE
THIENEMAN JR, ANDREW C.,
MD
GENDER: M
PROVIDER #: 153142
NPI #: 1881762060
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9372
E-PRESCRIBE: NO
BANNING, VERNON P., MD
GENDER: M
PROVIDER #: 159012
NPI #: 1508932930
DEACONESS CLINIC INC
8600 UNIVERSITY BLVD
ROOM HP0091
EVANSVILLE, IN 47712
PHONE: (812) 465-1250
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
EVANSVILLE, IN
EVANSVILLE, IN
Primary Care Physicians
BENDER, COURTNEY, DO
GENDER: F
PROVIDER #: 278284
NPI #: 1538455027
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9411
E-PRESCRIBE: NO
545 S BOEHNE CAMP RD
EVANSVILLE, IN 47712
PHONE: (812) 429-1818
E-PRESCRIBE: NO
CONWAY, MARK F., MD
GENDER: M
PROVIDER #: 073468
NPI #: 1174690374
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
545 S BOEHNE CAMP RD
EVANSVILLE, IN 47712
PHONE: (812) 429-1818
E-PRESCRIBE: NO
BOHLEBER, AMANDA E., MD
GENDER: F
PROVIDER #: 153320
NPI #: 1306981394
DEACONESS CLINIC INC
520 MARY ST SUITE 340
EVANSVILLE, IN 47710
PHONE: (812) 450-6700
E-PRESCRIBE: NO
CORDTS, SCOTT M., MD
GENDER: M
PROVIDER #: 167729
NPI #: 1023095262
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
BOND, ROBERT D., MD
GENDER: M
PROVIDER #: 065598
NPI #: 1386710614
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9450
E-PRESCRIBE: NO
BROSHEARS, PHILIP G., MD
GENDER: M
PROVIDER #: 180749
NPI #: 1215138920
DEACONESS CLINIC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9372
E-PRESCRIBE: NO
DEACONESS FAMILY
MEDICINE RESIDENCY
515 READ ST
EVANSVILLE, IN 47710
PHONE: (812) 450-3363
E-PRESCRIBE: NO
520 MARY ST SUITE 340
EVANSVILLE, IN 47710
PHONE: (812) 450-6200
E-PRESCRIBE: NO
DAVIDSON, THOMAS W., MD
GENDER: M
PROVIDER #: 153242
NPI #: 1336141548
DEACONESS CLINIC INC
1750 OAK HILL RD
EVANSVILLE, IN 47711
PHONE: (812) 479-1777
E-PRESCRIBE: NO
520 MARY ST STE 340
EVANSVILLE, IN 47710
PHONE: (812) 450-6700
E-PRESCRIBE: NO
DAVISON, JAMIE L., MD
GENDER: F
PROVIDER #: 201535
NPI #: 1235391491
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
DEWEESE, ANGELA S., MD
GENDER: F
PROVIDER #: 153061
NPI #: 1679641161
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
545 S BOEHNE CAMP RD
EVANSVILLE, IN 47712
PHONE: (812) 429-1818
E-PRESCRIBE: NO
FENNELL, ELTON G., MD
GENDER: M
PROVIDER #: 289894
NPI #: 1497705891
DEACONESS FAMILY
MEDICAL
611 HARRIET ST SUITE 504
EVANSVILLE, IN 47710
PHONE: (812) 450-6200
E-PRESCRIBE: NO
DEACONESS FAMILY
MEDICINE RESIDENCY
515 READ ST
EVANSVILLE, IN 47710
PHONE: (812) 450-3363
E-PRESCRIBE: NO
GALEN, RENE M., MD
GENDER: F
PROVIDER #: 086322
NPI #: 1013083187
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
129
Primary Care Physicians
GREER, DAVID B., MD
GENDER: M
PROVIDER #: 065611
NPI #: 1508869900
DEACONESS CLINIC INC
4605 FIRST AVE
EVANSVILLE, IN 47710
PHONE: (812) 428-6161
E-PRESCRIBE: NO
KANG SMITH, JUNG W., MD
GENDER: F
PROVIDER #: 263838
NPI #: 1770842460
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-2334
E-PRESCRIBE: NO
GROSSMAN, DARLA R., MD
GENDER: F
PROVIDER #: 153055
NPI #: 1568538650
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
545 S BOEHNE CAMP RD
EVANSVILLE, IN 47712
PHONE: (812) 429-1818
E-PRESCRIBE: NO
GUTMANN JR, JAMES E., MD
GENDER: M
PROVIDER #: 153059
NPI #: 1790851897
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
8600 N KENTUCKY AVE
EVANSVILLE, IN 47725
PHONE:
E-PRESCRIBE: NO
HATLER, DOUGLAS J., MD
GENDER: M
PROVIDER #: 065671
NPI #: 1932178829
DEACONESS PRIMARY
CARE FOR SENIORS
4498 N 1ST AVE
EVANSVILLE, IN 47710
PHONE: (812) 436-7280
ALEXANDER, LISA G., FNP;
PROVIDER #: 073867
E-PRESCRIBE: NO
130
DEACONESS CLINIC INC
4506 FIRST AVE
EVANSVILLE, IN 47710
PHONE: (812) 428-6161
E-PRESCRIBE: NO
KINCAID, RICHARD W., MD
GENDER: M
PROVIDER #: 153056
NPI #: 1144397860
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
545 S BOEHNE CAMP RD
EVANSVILLE, IN 47712
PHONE: (812) 429-1818
E-PRESCRIBE: NO
8600 N KENTUCKY AVE
EVANSVILLE, IN 47725
PHONE: (812) 426-9565
E-PRESCRIBE: NO
KOCHER, JARED J., MD
GENDER: M
PROVIDER #: 231357
NPI #: 1346299724
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-2334
E-PRESCRIBE: NO
DEACONESS FAMILY
MEDICINE
515 READ ST
EVANSVILLE, IN 47710
PHONE: (812) 450-3363
E-PRESCRIBE: NO
EVANSVILLE, IN
EVANSVILLE, IN
611 HARRIET ST SUITE 504
EVANSVILLE, IN 47710
PHONE: (812) 450-6200
E-PRESCRIBE: NO
KOEHLER JR, DAVID A., MD
GENDER: M
PROVIDER #: 160501
NPI #: 1801973086
DEACONESS FAMILY
MEDICINE RESIDENCY
515 READ ST
EVANSVILLE, IN 47710
PHONE: (812) 450-3363
E-PRESCRIBE: NO
KRAJEC, EMILY B., DO
GENDER: F
PROVIDER #: 259938
NPI #: 1700198520
DEACONESS CLINIC INC
4506 FIRST AVE
EVANSVILLE, IN 47710
PHONE: (812) 428-6161
E-PRESCRIBE: NO
LABELLE, TIMOTHY D., MD
GENDER: M
PROVIDER #: 289892
NPI #: 1356327548
DEACONESS COMP CENTER
329 W COLUMBIA ST
EVANSVILLE, IN 47710
PHONE: (812) 450-7455
E-PRESCRIBE: NO
LINK, CHAD E., MD
GENDER: M
PROVIDER #: 201533
NPI #: 1609038868
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
EVANSVILLE, IN
EVANSVILLE, IN
Primary Care Physicians
LODICO, PETER J., MD
GENDER: M
PROVIDER #: 219543
NPI #: 1225011828
DEACONESS CLINIC INC
4506 FIRST AVE
EVANSVILLE, IN 47710
PHONE: (812) 428-6161
E-PRESCRIBE: NO
POTTANAT, JANCY G., MD
GENDER: F
PROVIDER #: 153000
NPI #: 1760550800
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
MARTIN, SUSAN M., MD
GENDER: F
PROVIDER #: 073528
NPI #: 1184791618
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 649-5061
E-PRESCRIBE: NO
ROBINSON, LAYNE D., MD
GENDER: M
PROVIDER #: 153051
NPI #: 1386712941
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
MYERS, MICHAEL T., MD
GENDER: M
PROVIDER #: 077405
NPI #: 1275600371
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9565
E-PRESCRIBE: NO
8600 N KENTUCKY AVE
EVANSVILLE, IN 47725
PHONE: (812) 426-9565
E-PRESCRIBE: NO
RODOCKER, GREGORY W.,
MD
GENDER: M
PROVIDER #: 153054
NPI #: 1821091117
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE:
E-PRESCRIBE: NO
520 MARY ST STE 340
EVANSVILLE, IN 47710
PHONE: (812) 450-6700
E-PRESCRIBE: NO
PAGE, DAVID M., MD
GENDER: M
PROVIDER #: 084763
NPI #: 1598768848
DEACONESS CLINIC INC
4506 FIRST AVE
EVANSVILLE, IN 47710
PHONE: (812) 428-6161
E-PRESCRIBE: NO
520 MARY ST SUITE 340
EVANSVILLE, IN 47710
PHONE: (812) 450-6700
E-PRESCRIBE: NO
DEACONESS MEDICAL
GROUP
350 W COLUMBIA ST #440
EVANSVILLE, IN 47710
PHONE: (812) 425-2461
E-PRESCRIBE: NO
SHATSKY, MARK L., DO
GENDER: M
PROVIDER #: 087089
NPI #:
DEACONESS FAMILY
MEDICINE
310 W IOWA ST
EVANSVILLE, IN 47710
PHONE: (812) 450-6200
E-PRESCRIBE: NO
DEACONESS FAMILY
PRACTICE
515 READ ST
EVANSVILLE, IN 47710
PHONE: (812) 450-3363
E-PRESCRIBE: NO
SMITH, WILLIAM R., MD
GENDER: M
PROVIDER #: 258514
NPI #: 1770842890
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
DEACONESS FAMILY
MEDICINE
611 HARRIET ST SUITE 501
EVANSVILLE, IN 47710
PHONE: (812) 450-7700
E-PRESCRIBE: NO
SUTTON, WILLIAM E., MD
GENDER: M
PROVIDER #: 183342
NPI #: 1902879109
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 425-5243
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
131
Primary Care Physicians
TOELLE, APRIL M., DO
GENDER: F
PROVIDER #: 231368
NPI #: 1255530317
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-2334
E-PRESCRIBE: NO
TORTORIELLO, WILLIAM A.,
MD
GENDER: M
PROVIDER #: 119615
NPI #: 1861411100
DEACONESS FAMILY
MEDICINE
310 W IOWA ST
EVANSVILLE, IN 47710
PHONE: (812) 450-6200
E-PRESCRIBE: NO
520 MARY ST SUITE 340
EVANSVILLE, IN 47710
PHONE: (812) 450-6200
E-PRESCRIBE: NO
DEACONESS FAMILY
MEDICINE RESIDENCY
515 READ ST
EVANSVILLE, IN 47710
PHONE: (812) 450-3363
E-PRESCRIBE: NO
VEAZEY, LAUREN E., MD
GENDER:
PROVIDER #: 250898
NPI #: 1811208820
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE:
E-PRESCRIBE: NO
8600 N KENTUCKY AVE
EVANSVILLE, IN 47725
PHONE: (812) 426-9565
E-PRESCRIBE: NO
132
VOLZ, KIM A., MD
GENDER: F
PROVIDER #: 065630
NPI #: 1679533962
DEACONESS FAMILY
MEDICINE
310 W IOWA ST
EVANSVILLE, IN 47710
PHONE: (812) 450-6200
E-PRESCRIBE: NO
520 MARY ST STE 340
EVANSVILLE, IN 47710
PHONE: (812) 450-6200
E-PRESCRIBE: NO
EVANSVILLE, IN
EVANSVILLE, IN
GRAUSO, NANCY L., DO
GENDER: F
PROVIDER #: 249541
NPI #: 1811979875
DEACONESS CLINIC INC
545 S BOEHNE CAMP RD
EVANSVILLE, IN 47712
PHONE: (812) 429-1818
E-PRESCRIBE: NO
PEDIATRICS
MARX, DORIANNE S., MD
GENDER: F
PROVIDER #: 095834
NPI #: 1669549101
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
545 S BOEHNE CAMP RD
EVANSVILLE, IN 47712
PHONE: (812) 429-1818
E-PRESCRIBE: NO
CONNORS, JAMES J., MD
GENDER: M
PROVIDER #: 065787
NPI #: 1700952918
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
MEUNIER, JOHN C., MD
GENDER: M
PROVIDER #: 185614
NPI #: 1831391176
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
CRECELIUS, W M., MD
GENDER: M
PROVIDER #: 065791
NPI #: 1275609497
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9480
E-PRESCRIBE: NO
8600 N KENTUCKY AVE
EVANSVILLE, IN 47725
PHONE: (812) 426-9565
E-PRESCRIBE: NO
PORTER, JAMES R., MD
GENDER: M
PROVIDER #: 065645
NPI #: 1184643694
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
DEACONESS FAMILY
MEDICINE RESIDENCY
515 READ ST
EVANSVILLE, IN 47710
PHONE: (812) 450-3363
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
EVANSVILLE, IN
FAIRFIELD, IL
RANOLA, MARIA C., MD
GENDER: F
PROVIDER #: 141731
NPI #: 1194703959
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
RANSDELL, ROBERT W., MD
GENDER: M
PROVIDER #: 268069
NPI #: 1609940998
ROBERT W RANSDELL MD
801 ST MARYS DR STE 405 E
EVANSVILLE, IN 47714
PHONE: (812) 473-0297
E-PRESCRIBE: NO
SHELTON, DARREL, MD
GENDER: M
PROVIDER #: 153086
NPI #: 1518035856
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
FAIRBURY, IL
FAMILY PRACTICE
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
Primary Care Physicians
MITCHELL, PHILIP, MD
GENDER: M
PROVIDER #: 028458
NPI #: 1508839895
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
SCHWEIZER, HEATHER D.,
MD
GENDER: F
PROVIDER #: 109519
NPI #: 1578656831
OSF MEDICAL GROUP
106 S FIRST ST
FAIRBURY, IL 61739
PHONE: (815) 692-2833
E-PRESCRIBE: NO
SMITH, BONNIE J., MD
GENDER: F
PROVIDER #: 071354
NPI #: 1306865084
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
FERGUSON, REBECCA L.,
APN; PROVIDER #: 086655
E-PRESCRIBE: NO
STEVENS, JENNIFER E., MD
GENDER: F
PROVIDER #: 182380
NPI #: 1043412893
OSF MEDICAL GROUP
106 S FIRST ST
FAIRBURY, IL 61739
PHONE: (815) 692-2308
E-PRESCRIBE: NO
WENGER, RACHEL M., MD
GENDER: F
PROVIDER #: 185804
NPI #: 1649436098
FAMILY HEALTHCARE OF
FAIRBURY
221 WALCREST
FAIRBURY, IL 61739
PHONE: (815) 692-1150
E-PRESCRIBE: NO
401 S CLAY ST
FAIRBURY, IL 61739
PHONE: (815) 692-1150
E-PRESCRIBE: NO
FAIRFIELD, IL
FAMILY PRACTICE
MITCHELL, STEVEN C., MD
GENDER: M
PROVIDER #: 057692
NPI #: 1972500460
FAIRFIELD COMMUNITY
HEALTH CENTER
209 NW 11TH ST
FAIRFIELD, IL 62837
PHONE: (618) 842-4470
FRITCHER, LISA M., PA-C;
PROVIDER #: 183581
SINCLAIR, RACHEL A., NP;
PROVIDER #: 183590
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
133
Primary Care Physicians
PEDIATRICS
FARMINGTON, IL
BARNHART, RACHEL T., MD
GENDER: F
PROVIDER #: 100626
NPI #: 1265438576
FAIRFIELD COMMUNITY
HEALTH CENTER
209 NW 11TH ST
FAIRFIELD, IL 62837
PHONE: (618) 842-4470
E-PRESCRIBE: NO
JONES, JED W., DO
GENDER: M
PROVIDER #: 203676
NPI #: 1740287226
FAIRFIELD COMMUNITY
HEALTH CENTER
209 NW 11TH ST
FAIRFIELD, IL 62837
PHONE: (618) 842-4470
E-PRESCRIBE: NO
CHAMBERLIN, JASON G., DO
GENDER: M
PROVIDER #: 069684
NPI #: 1831207349
GRAHAM MEDICAL GROUP
601 E FORT ST
FARMINGTON, IL 61531
PHONE: (309) 245-2406
CROUSE, NANCY J., CNP;
PROVIDER #: 152241
E-PRESCRIBE: NO
FAMILY PRACTICE
LANSER, TODD A., MD
GENDER: M
PROVIDER #: 166967
NPI #: 1376765891
GRAHAM MEDICAL GROUP
601 E FORT ST
FARMINGTON, IL 61531
PHONE: (309) 124-2406
E-PRESCRIBE: NO
FARMER CITY, IL
FAMILY PRACTICE
RAY, DARRIN M., MD
GENDER: M
PROVIDER #: 161876
NPI #: 1679785778
THE FAMILY HEALTH
CLINIC OF FARMER CITY
1230 GEORGE ROCK DR
FARMER CITY, IL 61842
PHONE: (309) 928-9192
E-PRESCRIBE: YES
MARTIN, ERIN, MD
GENDER: F
PROVIDER #: 172229
NPI #: 1457573818
METHODIST MEDICAL
GROUP AT FARMINGTON
158 E FULTON ST
FARMINGTON, IL 61531
PHONE: (309) 245-2416
E-PRESCRIBE: NO
GENERAL PRACTICE
CASTROVILLO, GEORGE, MD
GENDER: M
PROVIDER #: 003995
NPI #: 1295763043
109 S MAIN
FARMER CITY, IL 61842
PHONE: (309) 928-2131
E-PRESCRIBE: NO
134
ADULT/INTERNAL
MEDICINE
FAIRFIELD, IL
FARMINGTON, MO
PEDIATRICS
CHAMBERLIN, JASON G., DO
GENDER: M
PROVIDER #: 069684
NPI #: 1831207349
GRAHAM MEDICAL GROUP
601 E FORT ST
FARMINGTON, IL 61531
PHONE: (309) 245-2406
CROUSE, NANCY J., CNP;
PROVIDER #: 152241
E-PRESCRIBE: NO
WELL, MARCI, MD
GENDER: F
PROVIDER #: 049801
NPI #: 1821107699
GRAHAM MEDICAL GROUP
141 E VERNON ST
FARMINGTON, IL 61531
PHONE: (309) 245-2406
E-PRESCRIBE: NO
601 E FORT ST
FARMINGTON, IL 61531
PHONE: (309) 245-2406
E-PRESCRIBE: NO
FARMINGTON, MO
ADULT/INTERNAL
MEDICINE
ABU AL RUB, FADEE, MD
GENDER: M
PROVIDER #: 291241
NPI #: 1790992675
PHC HOSPITALISTS
1101 W LIBERTY
FARMINGTON, MO 63640
PHONE: (573) 708-1272
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
FARMINGTON, MO
FARMINGTON, MO
Primary Care Physicians
ADAM, MOHAMAD, MD
GENDER: M
PROVIDER #: 291207
NPI #: 1114231297
PHC HOSPITALISTS
1101 W LIBERTY
FARMINGTON, MO 63640
PHONE: (573) 760-8310
E-PRESCRIBE: NO
KIRKLEY, SCOTT D., MD
GENDER: M
PROVIDER #: 167541
NPI #: 1972604908
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
BAHNA, SOUBHI, MD
GENDER: M
PROVIDER #: 291193
NPI #: 1497069751
PHC HOSPITALISTS
1101 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 760-8310
E-PRESCRIBE: NO
OGAH, EDIOM, MD
GENDER: M
PROVIDER #: 199593
NPI #: 1881702900
PHC HOSPITALISTS
1101 W LIBERTY
FARMINGTON, MO 63640
PHONE: (573) 708-1272
E-PRESCRIBE: NO
BORREGO, RAUL A., MD
GENDER: M
PROVIDER #: 144599
NPI #: 1407834187
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
PATNEY, VIKRAM, MD
GENDER: M
PROVIDER #: 291276
NPI #: 1699744235
PHC HOSPITALISTS
1101 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
PHC HOSPITALISTS
1101 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
ROUBEY, RAAD R., MD
GENDER: M
PROVIDER #: 172361
NPI #: 1528106739
PHC HOSPITALISTS
1101 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: YES
GRIX, GARY J., MD
GENDER: M
PROVIDER #: 185866
NPI #: 1902912645
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
SCHROEDER, KATIE, MD
GENDER: F
PROVIDER #: 286268
NPI #: 1487818001
PARKLAND HOSPITAL
1103 W LIBERTY STREET
FARMINGTON, MO 63640
PHONE: (573) 701-0642
E-PRESCRIBE: NO
1105 W LIBERTY STREET
FARMINGTON, MO 63640
PHONE: (573) 756-6451
E-PRESCRIBE: NO
FAMILY PRACTICE
AMBALONG, MARIA P., MD
GENDER: F
PROVIDER #: 291349
NPI #: 1285660076
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
BODAGALA, JAYASREE, MD
GENDER: F
PROVIDER #: 291210
NPI #: 1083990089
PHC HOSPITALISTS
1101 W LIBERTY
FARMINGTON, MO 63640
PHONE: (573) 708-1272
E-PRESCRIBE: NO
BORCHERS, KIMBERLY L.,
MD
GENDER: F
PROVIDER #: 291351
NPI #: 1396940862
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
DUMONTIER, EDWARD H.,
MD
GENDER: M
PROVIDER #: 291213
NPI #: 1548247315
PARKLAND HEALTH GROUP
1105 W LIBERTY #4050
FARMINGTON, MO 63640
PHONE: (573) 756-7844
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
135
Primary Care Physicians
KOTAGIRI, CHAITANYA K.,
MD
GENDER: M
PROVIDER #: 291395
NPI #: 1588825228
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
PHC HOSPITALISTS
1101 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
MORUMURU, RAVI K., MD
GENDER: M
PROVIDER #: 291206
NPI #: 1144514704
PHC HOSPITALISTS
1101 W LIBERTY
FARMINGTON, MO 63640
PHONE: (573) 760-8310
E-PRESCRIBE: NO
SMITH, JAMESY C., DO
GENDER: M
PROVIDER #: 291393
NPI #: 1053632935
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
PHC HOSPITALISTS
1101 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
PEDIATRICS
AYYAGARI, SUJATHA R., MD
GENDER: F
PROVIDER #: 167819
NPI #: 1922057751
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
CLAUSS, KARIN L., MD
GENDER: F
PROVIDER #: 291370
NPI #: 1235392648
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
DICKERSON, RACHEL A., MD
GENDER: F
PROVIDER #: 291344
NPI #: 1174797427
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
KORNHARDT, JEANNE M.,
MD
GENDER: F
PROVIDER #: 291355
NPI #: 1679521116
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
MOORE, DARLENE A., MD
GENDER: F
PROVIDER #: 171753
NPI #: 1780769489
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: YES
136
FARMINGTON, MO
FENTON, MO
FENTON, MO
PEDIATRICS
ALI, AYOOB, MD
GENDER: M
PROVIDER #: 074616
NPI #: 1700832391
SSM ST CLARE HEALTH
CENTER
1015 BOWLES AVE
FENTON, MO 63026
PHONE: (636) 496-2000
E-PRESCRIBE: NO
ANDERSON, CONNIE D., MD
GENDER: F
PROVIDER #: 077531
NPI #: 1073619334
SSM ST CLARE HEALTH
CENTER
1015 BOWLES AVE
FENTON, MO 63026
PHONE: (636) 496-2000
E-PRESCRIBE: NO
BENDER, THOMAS M., MD
GENDER: M
PROVIDER #: 120249
NPI #: 1649278789
SSM ST CLARE HEALTH
CENTER
1015 BOWLES AVE
FENTON, MO 63026
PHONE: (636) 496-2000
E-PRESCRIBE: NO
BROOKER, ROBERT W., MD
GENDER: M
PROVIDER #: 078699
NPI #: 1134224934
SSM ST CLARE HEALTH
CENTER
1015 BOWLES AVE
FENTON, MO 63026
PHONE: (636) 496-2000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
FENTON, MO
FLANAGAN, IL
Primary Care Physicians
CERNY, LAURA M., MD
GENDER: F
PROVIDER #: 149643
NPI #: 1508981135
SSM ST CLARE HEALTH
CENTER
1015 BOWLES AVE
FENTON, MO 63026
PHONE: (636) 496-2000
E-PRESCRIBE: NO
MAJERUS, CHELSEA R., MD
GENDER: F
PROVIDER #: 299114
NPI #: 1154634376
SSM ST CLARE HC PHYS
BILLING
1015 BOWLES AVENUE
FENTON, MO 63026-2394
PHONE: (314) 344-7280
E-PRESCRIBE: NO
CLAASSEN, COLLEEN C., MD
GENDER: F
PROVIDER #: 272052
NPI #: 1053558932
SSM ST CLARE HEALTH
CENTER
1015 BOWLES AVE
FENTON, MO 63026
PHONE: (636) 496-5000
E-PRESCRIBE: NO
NOGUCHI, AKIHIKO, MD
GENDER: M
PROVIDER #: 074975
NPI #: 1679514889
SSM ST CLARE HEALTH
CENTER
1015 BOWLES AVE
FENTON, MO 63026
PHONE: (636) 496-2000
E-PRESCRIBE: NO
FLEMING, ROBERT, MD
GENDER: M
PROVIDER #: 074696
NPI #: 1669577839
SSM ST CLARE HEALTH
CENTER
1015 BOWLES AVE
FENTON, MO 63026
PHONE: (636) 496-2000
E-PRESCRIBE: NO
SADIQ, FAROUK, MD
GENDER: M
PROVIDER #: 075190
NPI #: 1992801070
SSM ST CLARE HEALTH
CENTER
1015 BOWLES AVE
FENTON, MO 63026
PHONE: (636) 496-2000
E-PRESCRIBE: NO
KEENAN, WILLIAM, MD
GENDER: M
PROVIDER #: 075152
NPI #: 1023063393
SSM ST CLARE HEALTH
CENTER
1015 BOWLES AVE
FENTON, MO 63026
PHONE: (636) 496-2000
E-PRESCRIBE: NO
FISHER, IL
FAMILY PRACTICE
HAGAN, DAVID J., MD
GENDER: M
PROVIDER #: 050892
NPI #: 1467433557
FISHER FAMILY PRACTICE
CENTER
104 S THIRD ST
FISHER, IL 61843
PHONE: (217) 897-1692
ALLEN, MARY E., FNP;
PROVIDER #: 076642
E-PRESCRIBE: YES
FLAG CENTER, IL
FAMILY PRACTICE
ALANIS, DIANA E., MD
GENDER: F
PROVIDER #: 133412
NPI #: 1922007418
ROCHELLE COMMUNITY
HOSPITAL
900 N 2ND ST
FLAG CENTER, IL 61068
PHONE: (815) 562-2181
E-PRESCRIBE: NO
FLANAGAN, IL
ADULT/INTERNAL
MEDICINE
RINKER, JOHN M., MD
GENDER: M
PROVIDER #: 226351
NPI #: 1316173636
OSF MEDICAL GROUP
103 W SOUTH ST
FLANAGAN, IL 61740
PHONE: (815) 796-4591
E-PRESCRIBE: NO
FAMILY PRACTICE
SCHWEIZER, HEATHER D.,
MD
GENDER: F
PROVIDER #: 109519
NPI #: 1578656831
OSF MEDICAL GROUP
103 W SOUTH ST
FLANAGAN, IL 61740
PHONE: (815) 796-4591
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
137
Primary Care Physicians
STALTER, LARRY P., MD
GENDER:
PROVIDER #: 002836
NPI #: 1992898258
OSF MEDICAL GROUP
103 W SOUTH ST
FLANAGAN, IL 61740
PHONE: (815) 796-4591
E-PRESCRIBE: NO
STEVENS, JENNIFER E., MD
GENDER: F
PROVIDER #: 182380
NPI #: 1043412893
OSF MEDICAL GROUP
103 W SOUTH ST
FLANAGAN, IL 61740
PHONE: (815) 796-4591
E-PRESCRIBE: NO
SWINK, TRAVIS W., DO
GENDER: M
PROVIDER #: 070062
NPI #: 1619060977
OSF MEDICAL GROUP
103 W SOUTH ST
FLANAGAN, IL 61740
PHONE: (815) 796-4591
E-PRESCRIBE: NO
BLEDSOE, YOLANDA E., MD
GENDER: F
PROVIDER #: 268735
NPI #: 1396855391
NORTHWEST PHYSICIANS
1225 GRAHAM RD #2320C
FLORISSANT, MO 63031
PHONE: (314) 953-6801
E-PRESCRIBE: NO
RUGEN, REBECCA V., MD
GENDER: F
PROVIDER #: 291100
NPI #: 1023129954
ST LOUIS PRIMARY CARE
ASSOCIATES
1225 GRAHAM RD #2320C
FLORISSANT, MO 63031
PHONE: (314) 831-6883
E-PRESCRIBE: NO
FLORISSANT, MO
ADULT/INTERNAL
MEDICINE
FAMILY PRACTICE
ALMASALMEH, NASER M.,
MD
GENDER: M
PROVIDER #: 238616
NPI #: 1184698243
GRANITE CITY CLINIC CORP
751 ST FRANCOIS ST
FLORISSANT, MO 63031
PHONE:
E-PRESCRIBE: NO
138
ANSARI, CHARMAINE S., MD
GENDER: F
PROVIDER #: 155029
NPI #: 1972613297
BJC MEDICAL GROUP
NORTH COUNTY
PHYSICIANS
#2320C 1225 GRAHAM RD
FLORISSANT, MO 63031
PHONE: (314) 953-6801
E-PRESCRIBE: NO
HERLETH, DANIEL R., MD
GENDER: M
PROVIDER #: 229715
NPI #: 1235365776
NORTHWEST PHYSICIANS
1225 GRAHAM RD #2320C
FLORISSANT, MO 63031
PHONE: (314) 953-6801
E-PRESCRIBE: NO
FLANAGAN, IL
FLORISSANT, MO
NAPIER, GENA L., MD
GENDER: F
PROVIDER #: 291384
NPI #: 1073654091
FLORISSANT VALLEY
FAMILY MEDICINE
#406 11125 DUNN RD
FLORISSANT, MO 63031
PHONE: (314) 839-8700
E-PRESCRIBE: NO
SCHUERMAN, THEODORE J.,
MD
GENDER: M
PROVIDER #: 291098
NPI #: 1285745257
ST LOUIS PRIMARY CARE
ASSOCIATES
1225 GRAHAM RD #2320C
FLORISSANT, MO 63031
PHONE: (314) 831-6883
E-PRESCRIBE: NO
TRIBUNE-BROWN, DORIS J.,
DO
GENDER: F
PROVIDER #: 291107
NPI #: 1174572762
ST LOUIS PRIMARY CARE
ASSOCIATES
1225 GRAHAM RD #2320C
FLORISSANT, MO 63031
PHONE: (314) 831-6883
E-PRESCRIBE: NO
PEDIATRICS
WUCA-NORTHWEST
PEDIATRICS LLC
GENDER:
PROVIDER #: 293501
NPI #:
1265 GRAHAM RD
FLORISSANT, MO 63031
PHONE: (314) 837-0405
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
FORREST, IL
FORSYTH, IL
FORREST, IL
FAMILY PRACTICE
AUSTMAN, KATHERINE M.,
MD
GENDER: F
PROVIDER #: 098058
NPI #: 1396739462
PRAIRIE FAMILY MEDICINE
& OBSTETRICS
122 E WABASH AVE
FORREST, IL 61741
PHONE: (815) 657-8707
E-PRESCRIBE: NO
Primary Care Physicians
MOORE, APRIL L., MD
GENDER: F
PROVIDER #: 221253
NPI #: 1053523704
FHN HEALTHCARE CENTERFORRESTON
803 FIRST AVE
FORRESTON, IL 61030
PHONE: (815) 938-3130
E-PRESCRIBE: NO
FORSYTH, IL
ADULT/INTERNAL
MEDICINE
BREWER, BENJAMIN E., MD
GENDER: M
PROVIDER #: 050891
NPI #: 1184618258
PRAIRIE FAMILY MEDICINE
& OBSTETRICS
122 E WABASH AVE
FORREST, IL 61741
PHONE: (815) 657-8707
E-PRESCRIBE: YES
HASNAIN, MOHAMMAD, MD
GENDER: M
PROVIDER #: 050277
NPI #: 1093772998
241 W WEAVER RD SUITE 210
FORSYTH, IL 62535
PHONE: (217) 876-5200
E-PRESCRIBE: YES
FORRESTON, IL
BARNES, RONALD L., MD
GENDER: M
PROVIDER #: 079575
NPI #: 1962469981
FORSYTH MEDICAL CENTER
241 W WEAVER RD STE 145 B
FORSYTH, IL 62535
PHONE: (217) 876-5220
GOOD, MARY A., PA;
PROVIDER #: 211114
E-PRESCRIBE: NO
FAMILY PRACTICE
MARTINEZ, LUCIO, MD
GENDER:
PROVIDER #: 098335
NPI #: 1154397354
FHN HEALTHCARE CENTERFORRESTON
813 FIRST AVE
FORRESTON, IL 61030
PHONE: (815) 938-3130
KORF, SUSAN A., APN;
PROVIDER #: 173558
E-PRESCRIBE: YES
FAMILY PRACTICE
BOCK, JAMES, MD
GENDER: M
PROVIDER #: 157369
NPI #: 1285643825
PRIORITY CARE FORSYTH
133 BARNETT AVE #4
FORSYTH, IL 62535
PHONE: (217) 872-0953
E-PRESCRIBE: NO
ELLINGTON, CHARLES R.,
MD
GENDER: M
PROVIDER #: 061404
NPI #: 1407833130
FORSYTH MEDICAL CENTER
113 ILLINI DRIVE
FORSYTH, IL 62535
PHONE: (217) 875-5760
E-PRESCRIBE: NO
HANNEKEN, KIMBERLY, MD
GENDER: F
PROVIDER #: 173325
NPI #: 1215047782
PRIORITY CARE FORSYTH
845 S ROUTE 51
FORSYTH, IL 62535
PHONE: (217) 875-0953
E-PRESCRIBE: NO
MCCORMACK, ANTHONY T.,
MD
GENDER: M
PROVIDER #: 008948
NPI #: 1154388791
SENIOR LIFE ENRICHMENT
CENTER
241 W WEAVER RD STE 240
FORSYTH, IL 62535
PHONE: (217) 876-6350
COYNE, NANCY; PROVIDER #:
066436
DALTON-PETERS, MARILEE
M., APN; PROVIDER #: 076286
ELLIS, JANETTE S., PA-C;
PROVIDER #: 216096
MAHONEY, GRETCHEN L.,
APN; PROVIDER #: 175050
MILLER, PATRICIA, APN;
PROVIDER #: 049089
E-PRESCRIBE: NO
MILLER, TIMOTHY A., MD
GENDER: M
PROVIDER #: 031109
NPI #: 1588621205
241 WEAVER RD SUITE 210
FORSYTH, IL 62535
PHONE: (217) 876-5370
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
139
Primary Care Physicians
PABALATE, ROBERTO G.,
MD
GENDER: M
PROVIDER #: 203189
NPI #: 1528221504
241 W WEAVER RD SUITE
145B
FORSYTH, IL 62535
PHONE: (217) 876-5220
E-PRESCRIBE: NO
QURESHI, MARYAM, MD
GENDER: F
PROVIDER #: 171570
NPI #: 1639381817
FORSYTH MEDICAL CENTER
241 W WEAVER RD SUITE
145-D
FORSYTH, IL 62535
PHONE: (217) 876-5250
E-PRESCRIBE: YES
SCRIBNER, KENNETH W., MD
GENDER: M
PROVIDER #: 195230
NPI #: 1992753172
FORSYTH MEDICAL CENTER
241 WEAVER RD SUITE 190
FORSYTH, IL 62535
PHONE: (217) 876-5240
E-PRESCRIBE: NO
WALL, MICHAEL M., MD
GENDER: M
PROVIDER #: 026056
NPI #: 1093772311
FORSYTH MEDICAL CENTER
241 WEAVER RD SUITE 145-C
FORSYTH, IL 62535
PHONE: (217) 876-5200
E-PRESCRIBE: YES
140
YOCKS, BRIAN C., MD
GENDER: M
PROVIDER #: 079941
NPI #: 1811954878
FORSYTH MEDICAL CENTER
241 WEAVER RD SUITE 145-A
FORSYTH, IL 62535
PHONE: (217) 876-5270
SHELTON, MEGAN A., NP;
PROVIDER #: 167570
E-PRESCRIBE: YES
PEDIATRICS
BASNET, EKTA, MD
GENDER: F
PROVIDER #: 187364
NPI #: 1265667117
ST MARYS KARE4KIDS
PEDIATRIC MEDICINE
133 BARNET AVE SUITE 4
FORSYTH, IL 62535
PHONE: (217) 872-0953
PIETRZAK, LINDA S., NP;
PROVIDER #: 185245
E-PRESCRIBE: NO
PATEL, SAMIR A., DO
GENDER: M
PROVIDER #: 042129
NPI #: 1992704332
PRIORITY CARE FORSYTH
845 S ROUTE 51
FORSYTH, IL 62535
PHONE: (217) 875-0953
PIETRZAK, LINDA S., NP;
PROVIDER #: 185245
E-PRESCRIBE: NO
FORSYTH, IL
FORT DODGE, IA
FORT BRANCH, IN
FAMILY PRACTICE
CARTER, ADRIAN L., DO
GENDER: M
PROVIDER #: 157614
NPI #: 1023002250
DEACONESS CLINIC INC
802 E OAK ST
FORT BRANCH, IN 47648
PHONE: (812) 753-3942
E-PRESCRIBE: NO
DAVIDSON, THOMAS W., MD
GENDER: M
PROVIDER #: 153242
NPI #: 1336141548
DEACONESS CLINIC INC
802 E OAK ST
FORT BRANCH, IN 47648
PHONE: (812) 753-3942
E-PRESCRIBE: NO
LUTZ, LARRY W., MD
GENDER: M
PROVIDER #: 034013
NPI #: 1386648343
DEACONESS CLINIC INC
802 E OAK ST
FORT BRANCH, IN 47648
PHONE: (812) 753-3942
E-PRESCRIBE: NO
FORT DODGE, IA
ADULT/INTERNAL
MEDICINE
NEEKHRA, ANEESH, MD
GENDER: M
PROVIDER #: 248825
NPI #: 1134384548
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
2700 1ST AVE S SUITE 100
FORT DODGE, IA 50501
PHONE: (319) 754-4400
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
FORT MADISON, IA
FREEPORT, IL
FORT MADISON, IA
ADULT/INTERNAL
MEDICINE
NEEKHRA, ANEESH, MD
GENDER: M
PROVIDER #: 248825
NPI #: 1134384548
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
5445 AVE O SUITE 108
FORT MADISON, IA 52627
PHONE: (319) 754-4400
E-PRESCRIBE: NO
FREEPORT, IL
ADULT/INTERNAL
MEDICINE
DOSI, RENU, MD
GENDER: F
PROVIDER #: 202236
NPI #: 1073522140
FHN MEMORIAL HOSPITAL
1045 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7410
E-PRESCRIBE: NO
EAPEN, JOSEPH, MD
GENDER: M
PROVIDER #: 098276
NPI #: 1790757466
FHN FAMILY HEALTHCARE
CENTER
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7760
E-PRESCRIBE: NO
Primary Care Physicians
ESKER, ALAN, MD
GENDER: M
PROVIDER #: 055462
NPI #: 1831159698
FHN FAMILY HEALTHCARE
CENTER
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7740
E-PRESCRIBE: YES
FHN FAMILY HEALTHCARE
CENTER-BURCHARD HILLS
1010 W FAIRWAY
FREEPORT, IL 61032
PHONE: (815) 599-7740
E-PRESCRIBE: YES
GAERTNER, EUGENE M., MD
GENDER: M
PROVIDER #: 196666
NPI #: 1053387472
FHN WOUND CARE CENTER
1045 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7410
WRIGHT, CARRIE, NP;
PROVIDER #: 199869
E-PRESCRIBE: NO
GOPAL, ARAVIND, MD
GENDER:
PROVIDER #: 252306
NPI #: 1386959302
FREEPORT REGIONAL
HEALTH CARE
FOUNDATION
1010 W FAIRWAY DR
FREEPORT, IL 61032
PHONE:
E-PRESCRIBE: NO
JACKSON, SANDRA N., MD
GENDER: F
PROVIDER #: 257679
NPI #: 1063640563
FREEPORT REGIONAL
HEALTH CARE
FOUNDATION
1010 FAIRWAY DR
FREEPORT, IL 61032
PHONE: (815) 599-6000
E-PRESCRIBE: NO
LUY, LAWRENCE H., MD
GENDER: M
PROVIDER #: 098314
NPI #: 1942276365
FHN FAMILY HEALTHCARE
CENTER
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7740
CATES, MELODY J., APN;
PROVIDER #: 118241
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER-BURCHARD HILLS
1010 W FAIRWAY
FREEPORT, IL 61032
PHONE: (815) 599-6000
CATES, MELODY J., APN;
PROVIDER #: 118241
E-PRESCRIBE: NO
MCNULTY, DIANA, MD
GENDER: F
PROVIDER #: 070077
NPI #: 1215900105
FHN FAMILY HEALTHCARE
CENTER-BURCHARD HILLS
1010 W FAIRWAY
FREEPORT, IL 61032
PHONE: (815) 599-6000
MYERS, ELIZABETH A., APN;
PROVIDER #: 119078
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
141
Primary Care Physicians
FHN HEALTHCARE CENTER SAME DAY CARE
1842A S WEST AVE
FREEPORT, IL 61032
PHONE: (815) 599-7877
MYERS, ELIZABETH A., APN;
PROVIDER #: 119078
E-PRESCRIBE: NO
MERRY, MICHAEL J., MD
GENDER: M
PROVIDER #: 098461
NPI #: 1477529675
FHN FAMILY HEALTHCARE
CENTER
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7798
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER-BURCHARD HILLS
1010 W FAIRWAY
FREEPORT, IL 61032
PHONE: (815) 599-6000
E-PRESCRIBE: NO
PARKS, CLARENCE, MD
GENDER: M
PROVIDER #: 088229
NPI #: 1245203512
FHN COMMUNITY
HEALTHCARE CENTER
10 W LINDEN ST
FREEPORT, IL 61032
PHONE: (815) 599-8414
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER-STEPHENSON
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7790
E-PRESCRIBE: NO
142
WAITZKIN, HOWARD B., MD
GENDER: M
PROVIDER #: 252298
NPI #: 1770598245
FREEPORT REGIONAL
HEALTH CARE
FOUNDATION
1010 W FAIRWAY DR
FREEPORT, IL 61032
PHONE:
E-PRESCRIBE: NO
FAMILY PRACTICE
ANDERSON, ERIC K., MD
GENDER: M
PROVIDER #: 182027
NPI #: 1184645616
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
BENNETT, BRIAN T., MD
GENDER: M
PROVIDER #: 076859
NPI #: 1780657270
FHN FAMILY HEALTHCARE
CENTER
3001 HIGHLAND VIEW DR
FREEPORT, IL 61032
PHONE: (815) 235-3165
E-PRESCRIBE: NO
FULTON, ZACHARY J., MD
GENDER: M
PROVIDER #: 107613
NPI #: 1982676656
FHN FAMILY HEALTHCARE
CENTER
3001 HIGHLAND VIEW DR
FREEPORT, IL 61032
PHONE: (815) 235-3165
E-PRESCRIBE: NO
FREEPORT, IL
FREEPORT, IL
HAY, DONALD, MD
GENDER: M
PROVIDER #: 112469
NPI #: 1326040098
FHN FAMILY HEALTHCARE
CENTER
750 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 599-7170
E-PRESCRIBE: YES
FHN FAMILY HEALTHCARE
CENTER-BURCHARD HILLS
1010 W FAIRWAY
FREEPORT, IL 61032
PHONE: (815) 599-6000
E-PRESCRIBE: YES
HERNANDEZ, KATHERINE A.,
MD
GENDER: F
PROVIDER #: 225862
NPI #: 1396906749
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 232-1406
E-PRESCRIBE: NO
JELINEK, CHRISTOPHER W.,
MD
GENDER: M
PROVIDER #: 068223
NPI #: 1689640005
FHN FAMILY HEALTHCARE
CENTER
3001 HIGHLAND VIEW DR
FREEPORT, IL 61032
PHONE: (815) 235-3165
E-PRESCRIBE: YES
MILLER, TERRY L., MD
GENDER: M
PROVIDER #: 098462
NPI #: 1164498366
FHN FAMILY HEALTHCARE
CENTER
3001 HIGHLAND VIEW DR
FREEPORT, IL 61032
PHONE: (815) 235-3165
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
FREEPORT, IL
FREEPORT, IL
Primary Care Physicians
MUISE, MICHAEL J., MD
GENDER: M
PROVIDER #: 134364
NPI #: 1659481844
MONROE CLINIC FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
WORKMAN, ALLEN, MD
GENDER:
PROVIDER #: 070207
NPI #: 1578539789
FHN FAMILY HEALTHCARE
CENTER
3001 HIGHLAND VIEW DR
FREEPORT, IL 61032
PHONE: (815) 235-3166
E-PRESCRIBE: NO
PEDERSEN, REBECCA, MD
GENDER: F
PROVIDER #: 098508
NPI #: 1770556672
FHN FAMILY HEALTHCARE
CENTER
3001 HIGHLAND VIEW DR
FREEPORT, IL 61032
PHONE: (815) 235-3165
E-PRESCRIBE: NO
PEDIATRICS
PERRY, MICHAEL, MD
GENDER: M
PROVIDER #: 066453
NPI #: 1972579175
FHN FAMILY HEALTHCARE
CENTER
3001 HIGHLAND VIEW DR
FREEPORT, IL 61032
PHONE: (815) 235-3165
E-PRESCRIBE: NO
SCHLEICH, JEFFREY, MD
GENDER: M
PROVIDER #: 098528
NPI #: 1215900519
FHN FAMILY HEALTHCARE
CENTER
750 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 599-7170
E-PRESCRIBE: YES
FHN FAMILY HEALTHCARE
CENTER-BURCHARD HILLS
1010 W FAIRWAY
FREEPORT, IL 61032
PHONE: (815) 599-6000
E-PRESCRIBE: YES
ANGELILLI, ADAM T., MD
GENDER: M
PROVIDER #: 173548
NPI #: 1144478173
FHN HEALTHCARE CENTER
BURCHARD HILLS
1010 W FAIRWAY DR
FREEPORT, IL 61032
PHONE: (815) 599-7755
E-PRESCRIBE: NO
JACKSON, SANDRA N., MD
GENDER: F
PROVIDER #: 257679
NPI #: 1063640563
FREEPORT REGIONAL
HEALTH CARE
FOUNDATION
1010 FAIRWAY DR
FREEPORT, IL 61032
PHONE: (815) 599-6000
E-PRESCRIBE: NO
JOHNSON, AMY L., MD
GENDER: F
PROVIDER #: 049969
NPI #: 1619998242
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
MERRY, MICHAEL J., MD
GENDER: M
PROVIDER #: 098461
NPI #: 1477529675
FHN FAMILY HEALTHCARE
CENTER
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7798
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER-BURCHARD HILLS
1010 W FAIRWAY
FREEPORT, IL 61032
PHONE: (815) 599-6000
E-PRESCRIBE: NO
MILLER, ANGELA C., MD
GENDER: F
PROVIDER #: 056697
NPI #: 1285738757
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
PANDIAN, SHOBANA, MD
GENDER: M
PROVIDER #: 097698
NPI #: 1619940970
FHN FAMILY HEALTHCARE
CENTER
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7950
E-PRESCRIBE: NO
PAREKH, PARIMAL V., MD
GENDER: M
PROVIDER #: 058800
NPI #: 1992778252
FHN FAMILY HEALTHCARE
CENTER
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7755
MYERS, ELIZABETH A., APN;
PROVIDER #: 119078
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
143
FREEPORT, IL
GALATIA, IL
Primary Care Physicians
FHN FAMILY HEALTHCARE
CENTER-BURCHARD HILLS
1010 W FAIRWAY
FREEPORT, IL 61032
PHONE: (815) 599-6000
MYERS, ELIZABETH A., APN;
PROVIDER #: 119078
E-PRESCRIBE: NO
PARKS, CLARENCE, MD
GENDER: M
PROVIDER #: 088229
NPI #: 1245203512
FHN COMMUNITY
HEALTHCARE CENTER
10 W LINDEN ST
FREEPORT, IL 61032
PHONE: (815) 599-8414
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
COX, F GREGORY, MD
GENDER: M
PROVIDER #: 096856
NPI #: 1104830801
HOSPITAL OF FULTON DBA
HILLVIEW MEDICAL CLINIC
2006 HOLIDAY LN STE 100
FULTON, KY 42041
PHONE: (270) 472-1612
E-PRESCRIBE: NO
FAMILY PRACTICE
FHN FAMILY HEALTHCARE
CENTER-STEPHENSON
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7790
E-PRESCRIBE: NO
THOMAS, PRASAD, MD
GENDER: M
PROVIDER #: 097327
NPI #: 1144296351
FHN FAMILY HEALTHCARE
CENTER
750 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-9816
E-PRESCRIBE: NO
144
FULTON, KY
WHITLEDGE, JOSHUA D., DO
GENDER: M
PROVIDER #: 296911
NPI #: 1871596767
HOSPITAL OF FULTON DBA
HILLVIEW MEDICAL CLINIC
2006 HOLIDAY LANE SUITE
100
FULTON, KY 42041
PHONE: (270) 472-1612
E-PRESCRIBE: NO
GENERAL PRACTICE
MALIK, INDU B., MD
GENDER: F
PROVIDER #: 096819
NPI #: 1437190287
INDU B MALIK MD
227 COMMERCIAL AVENUE
FULTON, KY 42041
PHONE: (270) 472-3262
E-PRESCRIBE: NO
PEDIATRICS
MALIK, NASIRA M., MD
GENDER: F
PROVIDER #: 097613
NPI #: 1184638884
HOSPITAL OF FULTON DBA
HILLVIEW MEDICAL CLINIC
2006 HOLIDAY LANE STE 100
FULTON, KY 42041
PHONE: (270) 472-1612
E-PRESCRIBE: NO
GALATIA, IL
FAMILY PRACTICE
ALEXANDER, JAMES O., MD
GENDER: M
PROVIDER #: 033074
NPI #: 1114094851
GALATIA PRIMARY CARE
124 E MAIN
GALATIA, IL 62935
PHONE: (618) 268-4083
ALEXANDER, JENNIFER L.,
PA-C; PROVIDER #: 081229
BANKS, LONI J., ARNP;
PROVIDER #: 219339
E-PRESCRIBE: NO
FORD, CLAYTON T., MD
GENDER: M
PROVIDER #: 279289
NPI #: 1689960650
GALATIA PRIMARY CARE
124 E MAIN
GALATIA, IL 62935
PHONE: (618) 268-4083
BOYD, PEGGY M., CNP;
PROVIDER #: 247138
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
GALESBURG, IL
GALESBURG, IL
GALESBURG, IL
ADULT/INTERNAL
MEDICINE
HERSHKOWITZ, JEFFREY D.,
DO
GENDER: M
PROVIDER #: 060776
NPI #: 1922101104
OSF GALESBURG CLINIC
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
MURPHY, LYLE, PA;
PROVIDER #: 169626
E-PRESCRIBE: NO
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
765 N KELLOGG ST SUITE 203
GALESBURG, IL 61401
PHONE: (309) 343-4114
E-PRESCRIBE: YES
JAMNADAS, BRIJ B., MD
GENDER: M
PROVIDER #: 051798
NPI #: 1669575460
OSF GALESBURG CLINIC
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
E-PRESCRIBE: NO
OSF GALESBURG CLINIC
PROMPTCARE
1707 HENDERSON ST
GALESBURG, IL 61401
PHONE: (309) 343-1000
E-PRESCRIBE: NO
Primary Care Physicians
KHAISER, AFSHIN, MD
GENDER: M
PROVIDER #: 280049
NPI #: 1255630646
OSF MEDICAL GROUP
3375 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 343-5114
E-PRESCRIBE: NO
KING, JAMES H., MD
GENDER: M
PROVIDER #: 169636
NPI #: 1295838001
OSF GALESBURG CLINIC
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
E-PRESCRIBE: NO
LIU, YAN, MD
GENDER: F
PROVIDER #: 178156
NPI #: 1366540684
OSF GALESBURG CLINIC
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
E-PRESCRIBE: NO
MEEKER, MARK A., DO
GENDER: M
PROVIDER #: 049761
NPI #: 1225139058
OSF GALESBURG CLINIC
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
HAJOSTEK, MELISSA A., APN;
PROVIDER #: 227896
E-PRESCRIBE: NO
STONEKING, ERIN I., MD
GENDER: F
PROVIDER #: 166727
NPI #: 1083758403
OSF MEDICAL GROUP
3375 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 343-5114
QUAM, JULIE A., PA;
PROVIDER #: 209892
E-PRESCRIBE: NO
STRAUCH, CARL E., MD
GENDER: M
PROVIDER #: 002916
NPI #: 1154320620
COTTAGE INTERNAL
MEDICINE GROUP
834 N SEMINARY ST SUITE
303
GALESBURG, IL 61401
PHONE: (309) 342-9189
E-PRESCRIBE: NO
FAMILY PRACTICE
CARRIER, JEREMY R., MD
GENDER: M
PROVIDER #: 206440
NPI #: 1871753921
MEDICAL ARTS CLINIC
834 N SEMINARY ST SUITE
201
GALESBURG, IL 61401
PHONE: (309) 343-2072
E-PRESCRIBE: NO
CONLEE, ANNEVAY D., MD
GENDER: F
PROVIDER #: 230257
NPI #: 1053540237
OSF GALESBURG CLINIC
1707 N HENDERSON ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
SRENIAWSKI, MEGHAN J., PA;
PROVIDER #: 288630
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
145
Primary Care Physicians
FLACCO, VALERIE A., MD
GENDER: F
PROVIDER #: 229778
NPI #: 1255430120
OSF GALESBURG CLINIC
1707 N HENDERSON ST
GALESBURG, IL 61401
PHONE: (309) 343-1017
E-PRESCRIBE: NO
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
ROSEN, PETER N., APN;
PROVIDER #: 281466
E-PRESCRIBE: NO
OSF MEDICAL GROUP
3375 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 343-5114
E-PRESCRIBE: NO
CURRIE, ROBERT E., MD
GENDER: M
PROVIDER #: 015087
NPI #: 1043219579
MEDICAL ARTS CLINIC
834 N SEMINARY ST SUITE
201
GALESBURG, IL 61401
PHONE: (309) 343-7130
E-PRESCRIBE: NO
DUBRICK, ANTON, MD
GENDER: M
PROVIDER #: 255124
NPI #: 1568485043
KNOX CLINIC CORP
834 N SEMINARY ST #303
GALESBURG, IL 61401
PHONE: (309) 345-4513
E-PRESCRIBE: NO
FLACCO, RICHARD M., MD
GENDER: M
PROVIDER #: 049726
NPI #: 1407955362
OSF MEDICAL GROUP
3375 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 343-5114
E-PRESCRIBE: NO
146
OSF MEDICAL GROUP
3375 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 343-5114
BRADLEY, LAURA K., ARNP;
PROVIDER #: 156475
E-PRESCRIBE: NO
HILL, JEFFREY, MD
GENDER: M
PROVIDER #: 015084
NPI #: 1609875145
MEDICAL ARTS CLINIC
834 N SEMINARY ST SUITE
201
GALESBURG, IL 61401
PHONE: (309) 343-3162
E-PRESCRIBE: NO
LINK, GREG A., DO
GENDER: M
PROVIDER #: 049809
NPI #: 1871692798
OSF MEDICAL GROUP
3375 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 343-5114
E-PRESCRIBE: NO
LONG, CASSIDY R., DO
GENDER: M
PROVIDER #: 299398
NPI #: 1376804492
OSF MEDICAL GROUP
3375 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 343-5114
E-PRESCRIBE: NO
GALESBURG, IL
GALESBURG, IL
NESSELROAD III, JAMES D.,
MD
GENDER: M
PROVIDER #: 050580
NPI #: 1164521928
OSF MEDICAL GROUP
3375 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 343-5114
JOHNSON, TIMOTHY W., PA;
PROVIDER #: 212148
JOHNSON, TIMOTHY W., PA;
PROVIDER #: 212149
E-PRESCRIBE: NO
PEACHEY, KEITH E., MD
GENDER: M
PROVIDER #: 015085
NPI #: 1184623746
MEDICAL ARTS CLINIC
834 N SEMINARY ST SUITE
201
GALESBURG, IL 61401
PHONE: (309) 343-7135
E-PRESCRIBE: NO
SLOAN, ROGER D., MD
GENDER: M
PROVIDER #: 156022
NPI #: 1932207859
OSF MEDICAL GROUP
3375 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 343-5114
E-PRESCRIBE: NO
SLOAN, ROGER M., MD
GENDER: M
PROVIDER #: 246540
NPI #: 1932207859
OSF PROMPTCARE
1707 N HENDERSON ST
GALESBURG, IL 61401
PHONE: (309) 343-1017
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
GALESBURG, IL
GALESBURG, IL
VERMA, RUBY, MD
GENDER: F
PROVIDER #: 266327
NPI #: 1235444035
MEDICAL ARTS CLINIC
834 N SEMINARY ST SUITE
201
GALESBURG, IL 61401
PHONE: (309) 343-7130
E-PRESCRIBE: NO
WAGNER, ROBERT, MD
GENDER: M
PROVIDER #: 015092
NPI #: 1588663017
MEDICAL ARTS CLINIC
834 N SEMINARY ST SUITE
201
GALESBURG, IL 61401
PHONE: (309) 343-7132
E-PRESCRIBE: NO
WILLIAMS, BONNIE M., MD
GENDER: F
PROVIDER #: 054295
NPI #: 1497754436
MEDICAL ARTS CLINIC
834 N SEMINARY ST SUITE
201
GALESBURG, IL 61401
PHONE: (309) 343-7139
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
KNOX COMMUNITY HEALTH
CENTER
GENDER:
PROVIDER #: 272429
NPI #: 1649526773
1361 W FREMONT
GALESBURG, IL 61401
PHONE: (309) 344-2225
E-PRESCRIBE: NO
Primary Care Physicians
GENERAL PRACTICE
PEDIATRICS
JAGANNATHAN, HAMSAVENI
K., MD
GENDER: F
PROVIDER #: 056054
NPI #: 1538251582
FAMILY PLANNING
SERVICE OF WESTERN
ILLINOIS INC
311 E MAIN ST SUITE 409
GALESBURG, IL 61401
PHONE: (309) 343-6162
E-PRESCRIBE: NO
ALFAHEL, SAOUSAN, MD
GENDER: F
PROVIDER #: 273715
NPI #: 1366697427
OSF GALESBURG CLINIC
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
E-PRESCRIBE: NO
MEHTA, HARSHA S., MD
GENDER: F
PROVIDER #: 020819
NPI #: 1104837285
575 N KELLOGG ST SUITE 2
GALESBURG, IL 61401
PHONE: (309) 343-0160
E-PRESCRIBE: NO
MEHTA, SHRIKANT A., MD
GENDER: M
PROVIDER #: 003043
NPI #: 1346358199
575 N KELLOGG ST SUITE 2
GALESBURG, IL 61401
PHONE: (309) 343-0160
E-PRESCRIBE: NO
WIECHERT, MARK, MD
GENDER: M
PROVIDER #: 281458
NPI #: 1063513893
OSF MEDICAL GROUP
3375 SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 343-5114
E-PRESCRIBE: NO
KAUR, RASHAM, MD
GENDER: F
PROVIDER #: 273808
NPI #: 1366790602
OSF GALESBURG CLINIC
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
E-PRESCRIBE: NO
KESAVAN, B S., MD
GENDER: M
PROVIDER #: 007436
NPI #: 1396744868
PEDIATRIC AND
ADOLESCENT CARE
834 N SEMINARY ST SUITE
302
GALESBURG, IL 61401
PHONE: (309) 342-2171
E-PRESCRIBE: NO
LARSON, AMY, MD
GENDER: F
PROVIDER #: 126464
NPI #: 1356442172
PEDIATRIC AND
ADOLESCENT CARE
834 N SEMINARY ST SUITE
304
GALESBURG, IL 61401
PHONE: (309) 342-2144
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
147
GALESBURG, IL
GENESEO, IL
Primary Care Physicians
LEISURE, MARKETA, MD
GENDER: F
PROVIDER #: 254646
NPI #: 1578504379
PEDIATRIC AND
ADOLESCENT CARE
834 N SEMINARY ST SUITE
304
GALESBURG, IL 61401
PHONE: (309) 342-2144
E-PRESCRIBE: NO
PARALIKAR, SUBHASH, MD
GENDER: M
PROVIDER #: 018863
NPI #: 1659370179
PEDIATRIC AND
ADOLESCENT CARE
834 N SEMINARY ST SUITE
302
GALESBURG, IL 61401
PHONE: (309) 342-2144
E-PRESCRIBE: NO
PEPPERS, FRANK J., MD
GENDER: M
PROVIDER #: 060357
NPI #: 1821097395
PEDIATRIC AND
ADOLESCENT CARE
834 N SEMINARY ST SUITE
302
GALESBURG, IL 61401
PHONE: (309) 342-2171
E-PRESCRIBE: NO
GALVA, IL
FAMILY PRACTICE
GRADY, CLYDE M., MD
GENDER: M
PROVIDER #: 052173
NPI #: 1851484075
OSF MEDICAL GROUP
230 EXCHANGE ST SUITE 1
GALVA, IL 61434
PHONE: (309) 932-3800
E-PRESCRIBE: NO
148
GARDNER, IL
FAMILY PRACTICE
PASSERMAN, MARK A., DO
GENDER: M
PROVIDER #: 118822
NPI #: 1851404313
GARDNER HEALTHCARE
CENTER
409 ROUTE 53
GARDNER, IL 60424
PHONE: (815) 237-0413
ZWEERES, TAMMY S., NP;
PROVIDER #: 219133
E-PRESCRIBE: YES
THOMAS, JENNIFER L., MD
GENDER: F
PROVIDER #: 186477
NPI #: 1811181712
GARDNER HEALTHCARE
CENTER
409 ROUTE 53
GARDNER, IL 60424
PHONE: (815) 237-0413
E-PRESCRIBE: NO
GENESEO, IL
ADULT/INTERNAL
MEDICINE
KVELLAND, EVEN C., MD
GENDER: M
PROVIDER #: 046221
NPI #: 1467430025
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
PRASAD, LEKHA, MD
GENDER: F
PROVIDER #: 046216
NPI #: 1396724274
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: NO
SORIA, LOREN L., MD
GENDER: F
PROVIDER #: 067455
NPI #: 1700864295
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
VAN KERREBROECK, DREW
R., MD
GENDER: M
PROVIDER #: 085168
NPI #: 1568440345
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
FAMILY PRACTICE
ALLA, HIMABINDU, MD
GENDER: F
PROVIDER #: 139332
NPI #: 1194780049
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
GENESEO, IL
GENESEO, IL
BROWN, JULIE, MD
GENDER: F
PROVIDER #: 255658
NPI #: 1538488788
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE:
E-PRESCRIBE: NO
FORD, DONALD R., MD
GENDER: M
PROVIDER #: 046218
NPI #: 1053398933
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
Primary Care Physicians
MILLER, JOANNE M., MD
GENDER: F
PROVIDER #: 290344
NPI #: 1093777518
HAMMOND HENRY
HOSPITAL
600 N COLLEGE AVE
GENESEO, IL 61254
PHONE: (309) 944-9122
E-PRESCRIBE: NO
PETERSON, AMBER M., MD
GENDER: F
PROVIDER #: 134214
NPI #: 1225175607
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
FORD, DONALD, MD
GENDER: M
PROVIDER #: 054544
NPI #: 1053398933
HAMMOND HENRY
HOSPITAL
210 WEST ELK STREET
GENESEO, IL 61254
PHONE:
E-PRESCRIBE: NO
RABACAL, RANILO J., MD
GENDER: M
PROVIDER #: 185780
NPI #: 1396930590
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: NO
JENKINS, JULIA C., DO
GENDER: F
PROVIDER #: 195069
NPI #: 1346201316
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: NO
RUDY, PAUL M., MD
GENDER: M
PROVIDER #: 046219
NPI #: 1093794745
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
FAMILY PRACTICE OB
RUDY, PAUL M., MD
GENDER: M
PROVIDER #: 046219
NPI #: 1093794745
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
PEDIATRICS
SORIA, LOREN L., MD
GENDER: F
PROVIDER #: 067455
NPI #: 1700864295
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
VAN KERREBROECK, DREW
R., MD
GENDER: M
PROVIDER #: 085168
NPI #: 1568440345
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
149
Primary Care Physicians
FAMILY PRACTICE
GENEVA, IL
ALLEN, JAMISON D., DO
GENDER: M
PROVIDER #: 105156
NPI #: 1184614760
JAMISON ALLEN DO LLC
2172 BLACKBERRY DR
GENEVA, IL 60134
PHONE: (630) 879-3500
NARDONE, MARIE, NP;
PROVIDER #: 171783
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
SANTI, CHRISTOPHER, MD
GENDER: M
PROVIDER #: 289924
NPI #: 1124006697
CORNERSTONE MEDICAL
GROUP
351 DELNOR DR SUITE 300
GENEVA, IL 60134
PHONE: (630) 262-1001
E-PRESCRIBE: NO
BURANDT, STEVEN L., DO
GENDER: M
PROVIDER #: 289915
NPI #: 1942315106
CORNERSTONE MEDICAL
GROUP
351 DELNOR DR SUITE 300
GENEVA, IL 60134
PHONE: (630) 262-1001
E-PRESCRIBE: NO
SHAH, MRUNAL V., MD
GENDER: M
PROVIDER #: 269262
NPI #: 1356571525
CADENCE PHYSICIAN
GROUP
351 DELNOR DR SUITE 100
GENEVA, IL 60134-4220
PHONE: (630) 638-9900
E-PRESCRIBE: NO
THANGEDA, SRAVAN K., MD
GENDER: M
PROVIDER #: 269204
NPI #: 1487876439
CADENCE PHYSICIAN
GROUP
351 DELNOR DR SUITE 100
GENEVA, IL 60134-4220
PHONE: (630) 938-9900
E-PRESCRIBE: NO
WILLIS, MICHELLE, DO
GENDER: F
PROVIDER #: 281096
NPI #: 1255567574
CORNERSTONE MEDICAL
GROUP
351 DELNOR DR SUITE 300
GENEVA, IL 60134
PHONE: (630) 262-1001
E-PRESCRIBE: NO
150
ENG, THOMAS, DO
GENDER: M
PROVIDER #: 205231
NPI #: 1639277551
CORNERSTONE MEDICAL
GROUP
351 DELNOR DR SUITE 300
GENEVA, IL 60134
PHONE: (630) 262-1001
E-PRESCRIBE: NO
JOHNSON, VICTORIA S., MD
GENDER: F
PROVIDER #: 121451
NPI #: 1760595904
CORNERSTONE MEDICAL
GROUP
351 DELNOR DR SUITE 300
GENEVA, IL 60134
PHONE: (630) 262-1001
E-PRESCRIBE: NO
GENEVA, IL
GENEVA, IL
JONES, DOROTHY N., MD
GENDER:
PROVIDER #: 065241
NPI #: 1497768618
CORNERSTONE MEDICAL
GROUP
351 DELNOR DR SUITE 300
GENEVA, IL 60134
PHONE: (630) 262-1001
E-PRESCRIBE: NO
LAYCOCK, LORI L., DO
GENDER: F
PROVIDER #: 289921
NPI #: 1316045206
CORNERSTONE MEDICAL
GROUP
351 DELNOR DR SUITE 300
GENEVA, IL 60134
PHONE: (630) 262-1001
E-PRESCRIBE: NO
MUHR, ASHLEY T., DO
GENDER: F
PROVIDER #: 281054
NPI #: 1891016499
CORNERSTONE MEDICAL
GROUP
351 DELNOR DR SUITE 300
GENEVA, IL 60134
PHONE: (630) 262-1001
E-PRESCRIBE: NO
MUNRO, CATHY L., MD
GENDER: F
PROVIDER #: 196305
NPI #: 1144335373
CORNERSTON MEDICAL
GROUP
351 DELNOR DR SUITE 300
GENEVA, IL 60134
PHONE: (630) 262-1001
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
GENEVA, IL
GIBSON CITY, IL
OMALLEY, DANIEL C., MD
GENDER: M
PROVIDER #: 269508
NPI #: 1811932056
CADENCE PHYSICIAN
GROUP
351 DELNOR DR SUITE 200
GENEVA, IL 60134-4220
PHONE: (630) 938-9900
E-PRESCRIBE: NO
PACHON, AMBER L., MD
GENDER: F
PROVIDER #: 289922
NPI #: 1881830776
CORNERSTONE MEDICAL
GROUP
351 DELHOR DR SUITE 300
GENEVA, IL 60134
PHONE: (630) 262-1001
E-PRESCRIBE: NO
SEVERINO, RONALD G., MD
GENDER: M
PROVIDER #: 209314
NPI #: 1932214186
CORNERSTONE MEDICAL
GROUP
351 DELNOR DR SUITE 300
GENEVA, IL 60134
PHONE: (630) 262-1001
E-PRESCRIBE: NO
GENOA, IL
FAMILY PRACTICE
WEIS, CHRISTINE R., MD
GENDER: F
PROVIDER #: 211369
NPI #: 1841451549
KISHWAUKEE PHYSICIAN
GROUP INC
599 PEARSON DR
GENOA, IL 60135
PHONE: (815) 784-2100
E-PRESCRIBE: NO
Primary Care Physicians
GEORGETOWN, IL
FAMILY PRACTICE
GINDI, GEORGE R., MD
GENDER: M
PROVIDER #: 015566
NPI #: 1477503472
FAMILY PRACTICE
MEDICAL CENTER LTD
302 N MAIN ST
GEORGETOWN, IL 61846
PHONE: (217) 662-2282
DANG, KIM ANH THI, PA-C;
PROVIDER #: 133452
MCGUIRE, MARY, APN;
PROVIDER #: 092625
OLIVIER, GEORGE F., PA-C;
PROVIDER #: 119057
E-PRESCRIBE: NO
GINDI, MARY Y., MD
GENDER: F
PROVIDER #: 060657
NPI #: 1417907031
FAMILY PRACTICE
MEDICAL CENTER LTD
302 N MAIN ST
GEORGETOWN, IL 61846
PHONE: (217) 662-2282
DANG, KIM ANH THI, PA-C;
PROVIDER #: 133452
MCGUIRE, MARY, APN;
PROVIDER #: 092625
OLIVIER, GEORGE F., PA-C;
PROVIDER #: 119057
E-PRESCRIBE: NO
GIBSON CITY, IL
ADULT/INTERNAL
MEDICINE
GEADA, OMAR A., MD
GENDER: M
PROVIDER #: 042398
NPI #: 1861568933
GIBSON AREA MEDICAL
CLINIC
#8 DOCTORS PARK
GIBSON CITY, IL 60936-2000
PHONE: (217) 784-8580
E-PRESCRIBE: NO
126 E 9TH ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4086
E-PRESCRIBE: NO
GIBSON COMMUNITY
HOSPITAL
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
NELSON, NEIL R., MD
GENDER: M
PROVIDER #: 011177
NPI #: 1386637106
#8 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-8580
RICHMOND, ANNE-MARIE R.,
PA; PROVIDER #: 079774
E-PRESCRIBE: NO
GIBSON COMMUNITY
HOSPITAL
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-2340
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
151
Primary Care Physicians
FAMILY PRACTICE
126 E 9TH ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4086
E-PRESCRIBE: NO
AUSTMAN, KATHERINE M.,
MD
GENDER: F
PROVIDER #: 098058
NPI #: 1396739462
GIBSON AREA HOSPITAL
7 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-5500
E-PRESCRIBE: NO
SPANGLER, MARK, MD
GENDER: M
PROVIDER #: 043507
NPI #: 1336208347
FAMILY HEALTHCARE OF
GIBSON CITY
#3 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4030
E-PRESCRIBE: NO
DELOST, GREGORY J., MD
GENDER: M
PROVIDER #: 043508
NPI #: 1992864672
FAMILY HEALTHCARE OF
GIBSON CITY
#3 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4030
E-PRESCRIBE: YES
FAMILY PRACTICE OB
DELOST, GREGORY J., MD
GENDER: M
PROVIDER #: 043508
NPI #: 1992864672
FAMILY HEALTHCARE OF
GIBSON CITY
#3 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4030
E-PRESCRIBE: YES
HAGAN, DAVID J., MD
GENDER: M
PROVIDER #: 050892
NPI #: 1467433557
GIBSON CITY CLINIC
222 N SANGAMON AVE
GIBSON CITY, IL 60936
PHONE: (217) 784-8148
E-PRESCRIBE: YES
PEDIATRICS
NELSON, NEIL R., MD
GENDER: M
PROVIDER #: 011177
NPI #: 1386637106
#8 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-8580
RICHMOND, ANNE-MARIE R.,
PA; PROVIDER #: 079774
E-PRESCRIBE: NO
RAY, BERNADETTE M., MD
GENDER: F
PROVIDER #: 156869
NPI #: 1164634267
FAMILY HEALTHCARE OF
GIBSON CITY
#3 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4030
E-PRESCRIBE: NO
GIBSON AREA MEDICAL
CLINIC
#8 DOCTORS PARK
GIBSON CITY, IL 60936-2000
PHONE: (217) 784-8580
E-PRESCRIBE: NO
152
GIBSON CITY, IL
GILMAN, IL
GILLESPIE, IL
PEDIATRICS
POLO, THERESE L., MD
GENDER: F
PROVIDER #: 105964
NPI #: 1215088000
807 BROADWAY ST
GILLESPIE, IL 62033
PHONE: (217) 839-3900
SOBCZAK, BERNADETTE K.,
APN; PROVIDER #: 162839
E-PRESCRIBE: NO
GILMAN, IL
ADULT/INTERNAL
MEDICINE
ALFORD, RODNEY, MD
GENDER: M
PROVIDER #: 299265
NPI #: 1427128909
IMH GILMAN CLINIC
508 E CRESCENT
GILMAN, IL 60938
PHONE: (815) 265-8889
E-PRESCRIBE: NO
DODIA, NARAN P., MD
GENDER: M
PROVIDER #: 004004
NPI #: 1154401974
121 E CRESCENT ST
GILMAN, IL 60938
PHONE: (815) 265-4628
E-PRESCRIBE: NO
IMH GILMAN CLINIC
508 E CRESCENT
GILMAN, IL 60938
PHONE: (815) 265-8332
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
GILMAN, IL
GLEN ELLYN, IL
REYES, CRISANTO M., MD
GENDER: M
PROVIDER #: 096136
NPI #: 1154461978
IMH GILMAN CLINIC
508 E CRESCENT ST
GILMAN, IL 60938
PHONE: (815) 265-8889
E-PRESCRIBE: NO
PEDIATRICS
FONTANILLA, ANGELITA, MD
GENDER: F
PROVIDER #: 192480
NPI #: 1114076080
IMH GILMAN CLINIC
508 E CRESCENT ST
GILMAN, IL 60938
PHONE: (815) 265-8889
E-PRESCRIBE: NO
GIRARD, IL
ADULT/INTERNAL
MEDICINE
CHOPRA, KAMAL K., MD
GENDER: M
PROVIDER #: 008537
NPI #: 1598762262
GIRARD FAMILY MEDICAL
125 S SECOND ST
GIRARD, IL 62640
PHONE: (217) 627-3350
E-PRESCRIBE: NO
FAMILY PRACTICE
WILKENS, KATE M., MD
GENDER: F
PROVIDER #: 189130
NPI #: 1477735397
GIRARD FAMILY HEALTH
CARE
205 S 3RD ST
GIRARD, IL 62640
PHONE: (217) 627-2141
E-PRESCRIBE: NO
Primary Care Physicians
GLASFORD, IL
FAMILY PRACTICE
BAYLOR, MARK C., MD
GENDER: M
PROVIDER #: 001414
NPI #: 1740256700
201 E MAIN ST
GLASFORD, IL 61533
PHONE: (309) 245-4007
GARNER, PAMELA, FNP;
PROVIDER #: 174548
E-PRESCRIBE: NO
GLEN ELLYN, IL
ADULT/INTERNAL
MEDICINE
BAIRD, JOHN S., MD
GENDER: M
PROVIDER #: 215490
NPI #: 1851555619
CADENCE PHYSICIAN
GROUP
885 ROOSEVELT RD SUITE
201
GLEN ELLYN, IL 60137-6141
PHONE: (630) 384-6330
E-PRESCRIBE: NO
GAWNE, STEPHEN R., MD
GENDER: M
PROVIDER #: 191585
NPI #: 1497729537
CADENCE PHYSICIAN
GROUP
885 ROOSEVELT RD SUITE
201
GLEN ELLYN, IL 60137-6141
PHONE: (630) 384-6330
E-PRESCRIBE: NO
FAMILY PRACTICE
ELLENS, JENNIFER L., MD
GENDER: F
PROVIDER #: 194811
NPI #: 1912932831
CADENCE PHYSICIAN
GROUP
444 PARK BLVD
GLEN ELLYN, IL 60137-4622
PHONE: (630) 469-0045
E-PRESCRIBE: NO
HA, KENNETH C., DO
GENDER: M
PROVIDER #: 205495
NPI #: 1497975502
CADENCE PHYSICIAN
GROUP
444 PARK BLVD
GLEN ELLYN, IL 60137-4622
PHONE: (630) 469-0045
E-PRESCRIBE: NO
HEPHNER, MICHELLE M., DO
GENDER: F
PROVIDER #: 180046
NPI #: 1235346719
CADENCE PHYSICIAN
GROUP
885 ROOSEVELT RD
GLEN ELLYN, IL 60137-6141
PHONE: (630) 545-3760
E-PRESCRIBE: NO
LEE, KENNETH K., MD
GENDER: M
PROVIDER #: 211899
NPI #: 1043245970
CADENCE PHYSICIAN
GROUP
444 PARK BLVD
GLEN ELLYN, IL 60137-4622
PHONE: (630) 469-0045
E-PRESCRIBE: NO
885 ROOSEVELT RD SUITE
201
GLEN ELLYN, IL 60137-6141
PHONE: (630) 545-3760
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
153
GLEN ELLYN, IL
GODFREY, IL
Primary Care Physicians
LOBUE, STEVEN M., MD
GENDER: M
PROVIDER #: 130838
NPI #: 1417987108
CADENCE PHYSICIAN
GROUP
444 PARK BLVD
GLEN ELLYN, IL 60137-4622
PHONE: (630) 469-0045
E-PRESCRIBE: NO
PEDIATRICS
CHRISTENSEN, JOSEPH M.,
MD
GENDER: M
PROVIDER #: 270260
NPI #: 1932121357
CADENCE PHYSICIAN
GROUP
885 ROOSEVELT RD STE 202
GLEN ELLYN, IL 60137-6141
PHONE: (630) 790-1555
E-PRESCRIBE: NO
DESTEFANI, THOMAS B., MD
GENDER: M
PROVIDER #: 270245
NPI #: 1588638811
CADENCE PHYSICIAN
GROUP
885 ROOSEVELT RD STE 202
GLEN ELLYN, IL 60137-6141
PHONE: (630) 790-1555
E-PRESCRIBE: NO
JUDY, KAREN R., MD
GENDER: F
PROVIDER #: 270163
NPI #: 1326012428
CADENCE PHYSICIAN
GROUP
885 ROOSEVELT RD STE 201
GLEN ELLYN, IL 60137-6141
PHONE: (630) 790-1555
E-PRESCRIBE: NO
154
GLENVIEW, IL
ADULT/INTERNAL
MEDICINE
ELLIOTT, GLYNN J., MD
GENDER: M
PROVIDER #: 256805
NPI #: 1366481426
RMG NSMG IM PATRIOT
2614 PATRIOT BLVD STE A
GLENVIEW, IL 60026
PHONE: (847) 251-1500
E-PRESCRIBE: NO
JINDAL, RAJESH, MD
GENDER:
PROVIDER #: 256833
NPI #: 1184818791
PMG-NORTHSHOREPATRIOT
2614 PATRIOT BLVD SUITE A
GLENVIEW, IL 60026
PHONE: (847) 729-8833
E-PRESCRIBE: NO
MAKS, JONATHAN H., MD
GENDER: M
PROVIDER #: 252378
NPI #: 1720033160
2614 PATRIOT BLVD STE A
GLENVIEW, IL 60026
PHONE: (847) 729-8833
E-PRESCRIBE: NO
NUGENT, COLLEEN M., MD
GENDER: F
PROVIDER #: 298882
NPI #: 1083773535
PMG NSMG IM PATRIOT
2614 PATRIOT BLVD STE A
GLENVIEW, IL 60026
PHONE: (847) 729-8833
E-PRESCRIBE: NO
SHAPIRO, SUSAN D., MD
GENDER: F
PROVIDER #: 231215
NPI #: 1326026139
RMG NSMG IM PATRIOT
2614 PATRIOT BLVD STE A
GLENVIEW, IL 60026
PHONE: (847) 729-8833
E-PRESCRIBE: NO
SINGH, BHUPINDER, MD
GENDER:
PROVIDER #: 256807
NPI #: 1932250446
PMG NORTHSHOREPATRIOT
2614 PATRIOT BLVD SUITE A
GLENVIEW, IL 60026
PHONE: (847) 729-8833
E-PRESCRIBE: NO
PEDIATRICS
MAKS, JONATHAN H., MD
GENDER: M
PROVIDER #: 252378
NPI #: 1720033160
2614 PATRIOT BLVD STE A
GLENVIEW, IL 60026
PHONE: (847) 729-8833
E-PRESCRIBE: NO
GODFREY, IL
ADULT/INTERNAL
MEDICINE
BURNSIDE, DAVID W., MD
GENDER: M
PROVIDER #: 291868
NPI #: 1124045752
ALTON MEMORIAL
CONVENIENT CARE
5520 GODFREY RD
GODFREY, IL 62035
PHONE: (618) 463-7800
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
GODFREY, IL
GRANITE CITY, IL
FAMILY PRACTICE
MOHYUDDIN, YUSUF A., MD
GENDER: M
PROVIDER #: 180646
NPI #: 1851516306
SAINT ANTHONYS
PHYSICIAN GROUP
1311 D'ADRIAN
PROFESSIONAL PARK
GODFREY, IL 62035
PHONE: (618) 462-2222
E-PRESCRIBE: NO
GOLDEN, IL
FAMILY PRACTICE
DECASTRO, ALEC, MD
GENDER: M
PROVIDER #: 181300
NPI #: 1396710919
EAST ADAMS CITY RURAL
HEALTH
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
MACKRIDES, PAULA S., DO
GENDER: F
PROVIDER #: 099892
NPI #: 1316924087
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
MULLER, MERLE H., MD
GENDER: M
PROVIDER #: 200424
NPI #: 1891770350
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
Primary Care Physicians
PHILLIPS, DEBRA, MD
GENDER: F
PROVIDER #: 014474
NPI #: 1467439075
EAST ADAMS RURAL
HEALTH CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
GAIL, DONNA C., CNP;
PROVIDER #: 030062
E-PRESCRIBE: NO
SHARP, JASON E., MD
GENDER: M
PROVIDER #: 136103
NPI #: 1366470510
EAST ADAMS COUNTY
RURAL HEALTH CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: YES
GRAND RIVERS, KY
FAMILY PRACTICE
BROWN, ERIC C., MD
GENDER: M
PROVIDER #: 297516
NPI #: 1134235419
LIVINGSTON HOSP &
HEALTHCARE SRVCS DBA
GRAND LAKES
1860 J H OBRYAN AVENUE
GRAND RIVERS, KY 42045
PHONE: (270) 362-8246
E-PRESCRIBE: NO
GRANITE CITY, IL
ADULT/INTERNAL
MEDICINE
VON FANGE, TIMOTHY J., MD
GENDER: M
PROVIDER #: 154122
NPI #: 1154461739
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
ADAMS, MICHAEL C., MD
GENDER: M
PROVIDER #: 120559
NPI #: 1851383301
GRANITE CITY PHYSICIANS
CORP
2044 MADISON AVENUE
SUITE 15
GRANITE CITY, IL 62040-4641
PHONE:
E-PRESCRIBE: NO
WHITE, DONNA, MD
GENDER: F
PROVIDER #: 026122
NPI #: 1679550289
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
GERARDO, MICHAEL P., DO
GENDER: M
PROVIDER #: 258761
NPI #: 1851588800
GRANITE CITY CLINIC CORP
2100 MADISON AVE
GRANITE CITY, IL 62040-4701
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
155
GRANITE CITY, IL
GREENFIELD, IL
Primary Care Physicians
GRANITE CITY PHYSICIANS
CORP
GENDER:
PROVIDER #: 290250
NPI #: 1073567483
2044 MADISON AVENUE
SUITE 15
GRANITE CITY, IL 62040-4641
PHONE:
E-PRESCRIBE: NO
HARMON, LAWRENCE T., MD
GENDER: M
PROVIDER #: 142074
NPI #: 1275526956
GRANITE CITY PHYSICIANS
CORP
2044 MADISON AVENUE
SUITE 15
GRANITE CITY, IL 62040-4641
PHONE: (618) 451-1500
E-PRESCRIBE: NO
KONZEN, KEVIN L., MD
GENDER: M
PROVIDER #: 099899
NPI #: 1033102702
GRANITE CITY PHYSICIANS
CORP
2044 MADISON AVENUE
SUITE 15
GRANITE CITY, IL 62040-4641
PHONE:
E-PRESCRIBE: NO
MAHAY, RAJINDER, MD
GENDER: M
PROVIDER #: 140188
NPI #: 1669490421
GRANITE CITY PHYSICIANS
CORP
2044 MADISON AVENUE
SUITE 15
GRANITE CITY, IL 62040-4641
PHONE:
E-PRESCRIBE: NO
156
FAMILY PRACTICE
FAMILY PRACTICE OB
BLANKENSHIP, ROBERT D.,
MD
GENDER: M
PROVIDER #: 194215
NPI #: 1669465365
GRANITE CITY PHYSICIANS
CORP
2044 MADISON AVENUE
SUITE 15
GRANITE CITY, IL 62040-4641
PHONE:
E-PRESCRIBE: NO
BAILEY, SHAWN E., MD
GENDER: M
PROVIDER #: 031412
NPI #: 1447363585
ST MARGARETS HEALTH
GRANVILLE CLINIC
309 S MCCOY ST
GRANVILLE, IL 61326
PHONE: (815) 339-6245
E-PRESCRIBE: NO
GRANITE CITY CLINIC CORP
GENDER:
PROVIDER #: 290858
NPI #: 1255387957
2120 MADISON AVENUE
SUITE 2003
GRANITE CITY, IL 62040-4747
PHONE:
E-PRESCRIBE: NO
GRANVILLE, IL
FAMILY PRACTICE
BAILEY, SHAWN E., MD
GENDER: M
PROVIDER #: 031412
NPI #: 1447363585
ST MARGARETS HEALTH
GRANVILLE CLINIC
309 S MCCOY ST
GRANVILLE, IL 61326
PHONE: (815) 339-6245
E-PRESCRIBE: NO
GREENFIELD, IL
FAMILY PRACTICE
ADAMS, AUGUST G., MD
GENDER: M
PROVIDER #: 071511
NPI #: 1992803985
BOYD FILLAGER CLINIC GREENFIELD RHC
712 COLLEGE ST
GREENFIELD, IL 62044
PHONE: (217) 368-3051
BEAVERS, LAURIE, NP;
PROVIDER #: 279847
E-PRESCRIBE: NO
ALI, MOHAMMED, MD
GENDER: M
PROVIDER #: 239337
NPI #: 1184708547
BOYD FILLAGER CLINICGREENFIELD RHC
712 COLLEGE ST
GREENFIELD, IL 62044
PHONE: (217) 368-3051
E-PRESCRIBE: NO
GILL, GULTASIB K., MD
GENDER: M
PROVIDER #: 280455
NPI #: 1306125521
BOYD FILLAGER CLINIC
GREENFIELD RHC
712 COLLEGE ST
GREENFIELD, IL 62044
PHONE: (217) 368-3051
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
GREENFIELD, IL
GREENVILLE, IL
SIDDIQUI, GULAM, MD
GENDER: M
PROVIDER #: 221463
NPI #: 1720131188
BOYD FILLAGER CLINIC
GREENFIELD RHC
712 COLLEGE ST
GREENFIELD, IL 62044
PHONE: (217) 368-3051
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
BOYD-FILLAGER CLINIC
GREENFIELD RHC
GENDER:
PROVIDER #: 064326
NPI #: 1912090960
712 COLLEGE ST
GREENFIELD, IL 62044
PHONE: (217) 368-3041
E-PRESCRIBE: NO
GREENVILLE, IL
ADULT/INTERNAL
MEDICINE
TEPPER, ARNOLD S., MD
GENDER: M
PROVIDER #: 230113
NPI #: 1861449753
GREENVILLE REGIONAL
HOSPITAL INC
200 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1230
E-PRESCRIBE: NO
GRH MEDICAL GROUPSPECIALTY
200 HEALTHCARE DR STE
1501
GREENVILLE, IL 62246
PHONE: (618) 664-1230
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
BOND, MICHAEL M., DO
GENDER: M
PROVIDER #: 187095
NPI #: 1386623353
CONVENIENT CAREGREENVILLE REG HOSPITAL
1345 S STATE ROUTE 127
GREENVILLE, IL 62246
PHONE: (618) 664-9390
E-PRESCRIBE: NO
GREENVILLE REGIONAL
HOSPITAL INC
200 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1230
E-PRESCRIBE: NO
DAWDY, JOHN K., MD
GENDER: M
PROVIDER #: 205384
NPI #: 1598759201
GREENVILLE REGIONAL
HOSPITAL INC
200 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1230
GRAY, CYNTHIA K., FNP;
PROVIDER #: 301051
E-PRESCRIBE: NO
GRH MEDICAL GROUP
201 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1380
E-PRESCRIBE: NO
FUNNEMAN, RICHARD D., MD
GENDER: M
PROVIDER #: 198232
NPI #: 1396726121
GRENVILLE REGIONAL
HOSPITAL INC
200 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1230
E-PRESCRIBE: NO
GRH MEDICAL GROUP
101 HEALTHCARE DRIVE
GREENVILLE, IL 62246
PHONE: (618) 664-2531
E-PRESCRIBE: NO
HALL, TRACY L., DO
GENDER: F
PROVIDER #: 205379
NPI #: 1659366102
GREENVILLE REGIONAL
HOSPITAL INC
200 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1380
GRAY, CYNTHIA K., FNP;
PROVIDER #: 301051
E-PRESCRIBE: NO
GRH MEDICAL GROUP
201 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1380
E-PRESCRIBE: NO
HOPKINS, KELSEY M., MD
GENDER: F
PROVIDER #: 191752
NPI #: 1508012527
GREENVILLE REGIONAL
HOSPITAL INC
200 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1230
E-PRESCRIBE: NO
GRH MEDICAL GROUP
101 HEALTHCARE DRIVE
GREENVILLE, IL 62246
PHONE: (618) 664-2531
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
157
Primary Care Physicians
MCCRACKEN, BOYD A., MD
GENDER: M
PROVIDER #: 252124
NPI #: 1023000908
GREENVILLE REGIONAL
HOSPITAL INC
200 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1380
GRAY, CYNTHIA K., FNP;
PROVIDER #: 301051
E-PRESCRIBE: NO
GRH MEDICAL GROUP
201 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1380
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
BARTLETT, RODERICK M.,
MD
GENDER: M
PROVIDER #: 103264
NPI #: 1649259300
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3118
E-PRESCRIBE: NO
GULZAR, SOHAIL, MD
GENDER: M
PROVIDER #: 180742
NPI #: 1184682015
HANNIBAL REGIONAL
MEDICAL GROUP
6500 HOSPITAL DR
HANNIBAL, MO 63401
PHONE: (573) 629-3400
E-PRESCRIBE: NO
SIEFKEN, PHILIP E., MD
GENDER: M
PROVIDER #: 192110
NPI #: 1689629107
GREENVILLE REGIONAL
HOSPITAL INC
200 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1230
E-PRESCRIBE: NO
GWAN-NULLA, MEESHA, MD
GENDER: F
PROVIDER #: 299922
NPI #: 1669435707
HANNIBAL REGIONAL
MEDICAL GROUP
6500 HOSPITAL DR
HANNIBAL, MO 63401
PHONE:
E-PRESCRIBE: NO
GRH MEDICAL GROUP
101 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-2531
E-PRESCRIBE: NO
HAMILTON, IL
GENERAL PRACTICE
MCKENNEY, EDWARD F., DO
GENDER: M
PROVIDER #: 023236
NPI #: 1457334591
1471 KEOKUK ST
HAMILTON, IL 62341
PHONE: (217) 847-3383
E-PRESCRIBE: NO
158
HANNIBAL, MO
HALPIN, STEPHEN E., MD
GENDER: M
PROVIDER #: 067135
NPI #: 1346229937
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3120
E-PRESCRIBE: NO
GREENVILLE, IL
HANNIBAL, MO
KERKEMEYER, GEORGE, MD
GENDER: M
PROVIDER #: 103271
NPI #: 1083693683
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3783
E-PRESCRIBE: NO
LONG, PRISCILLA E., MD
GENDER: F
PROVIDER #: 050494
NPI #: 1134108640
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (473) 231-3116
E-PRESCRIBE: NO
MEIDL, ERIK J., MD
GENDER: M
PROVIDER #: 069205
NPI #: 1891774469
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3122
E-PRESCRIBE: NO
PATEL, KEYUR V., MD
GENDER: M
PROVIDER #: 296639
NPI #: 1598196826
HANNIBAL REGIONAL
HOSPITAL
6500 HOSPITAL DRIVE
HANNIBAL, MO 63401
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
HANNIBAL, MO
HANNIBAL, MO
Primary Care Physicians
RICHEH, BUTHAINA, MD
GENDER: F
PROVIDER #: 152263
NPI #: 1598711855
HANNIBAL REGIONAL
HOSPITAL
6000 HOSPITAL DR
HANNIBAL, MO 63401
PHONE:
E-PRESCRIBE: NO
GREVING, JOHN P., MD
GENDER: M
PROVIDER #: 142671
NPI #: 1043388036
HANNIBAL REGIONAL
MEDICAL GROUP
6500 HOSPITAL DR
HANNIBAL, MO 63401
PHONE: (573) 629-3400
E-PRESCRIBE: NO
NICHOLS, LAWRENCE E., DO
GENDER: M
PROVIDER #: 051162
NPI #: 1902885460
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3145
E-PRESCRIBE: NO
TWEEDY, PHILIP D., MD
GENDER: M
PROVIDER #: 093673
NPI #: 1376522870
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3124
E-PRESCRIBE: NO
JOHNSON III, LENT C., MD
GENDER: M
PROVIDER #: 060235
NPI #: 1457330052
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3141
E-PRESCRIBE: NO
OUELLETTE, DAVID F., MD
GENDER: M
PROVIDER #: 119204
NPI #: 1093794588
PO BOX 311
HANNIBAL, MO 63401
PHONE:
E-PRESCRIBE: NO
FAMILY PRACTICE
MCCOY, LESLIE A., DO
GENDER: F
PROVIDER #: 073001
NPI #: 1376522938
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3232
E-PRESCRIBE: NO
BOXERMAN, CARROL L., DO
GENDER: F
PROVIDER #: 054092
NPI #: 1982683652
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 248-3132
E-PRESCRIBE: NO
EVANS, JEFFRY T., MD
GENDER: M
PROVIDER #: 057370
NPI #: 1548249238
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3139
E-PRESCRIBE: NO
MEMKEN, JOHN A., MD
GENDER: M
PROVIDER #: 059551
NPI #: 1932188471
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3143
E-PRESCRIBE: NO
SAMARITONI, ADAM J., DO
GENDER: M
PROVIDER #: 185131
NPI #: 1013117498
HANNIBAL REGIONAL
MEDICAL GROUP
6500 HOSPITAL DR
HANNIBAL, MO 63401
PHONE: (573) 629-3400
E-PRESCRIBE: NO
TENTORI, MICHAEL B., DO
GENDER: M
PROVIDER #: 299218
NPI #: 1932227907
PREFERRED FAMILY
HEALTHCARE INC
141 COMMUNICATIONS DR
HANNIBAL, MO 63401
PHONE: (573) 603-1460
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
159
HANNIBAL, MO
HARRISBURG, IL
Primary Care Physicians
ZIMMERMAN, DALE D., DO
GENDER: M
PROVIDER #: 112929
NPI #: 1720169899
HANNIBAL REGIONAL
MEDICAL GROUP
6500 HOSPITAL DR
HANNIBAL, MO 63401
PHONE: (573) 735-2506
E-PRESCRIBE: NO
THORNTON, JAMES L., MD
GENDER: M
PROVIDER #: 051741
NPI #: 1659350155
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3104
E-PRESCRIBE: NO
PEDIATRICS
WHITE, BARBARA A., DO
GENDER: F
PROVIDER #: 223112
NPI #: 1629057120
HANNIBAL REGIONAL
MEDICAL GROUP
6500 HOSPITAL DR
HANNIBAL, MO 63401
PHONE: (573) 629-3400
E-PRESCRIBE: NO
BAUMANN, DEBORAH A., MD
GENDER: F
PROVIDER #: 253235
NPI #: 1740521210
HANNIBAL REGIONAL
MEDICAL GROUP
6500 HOSPITAL DR
HANNIBAL, MO 63401
PHONE: (573) 629-3400
E-PRESCRIBE: NO
BUBOLZ, JUSTIN F., MD
GENDER: M
PROVIDER #: 053754
NPI #: 1962481630
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3102
E-PRESCRIBE: NO
MCHARDY JR, BRYSON R.,
MD
GENDER: M
PROVIDER #: 166327
NPI #: 1841299161
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3106
E-PRESCRIBE: NO
160
HARDIN, IL
ADULT/INTERNAL
MEDICINE
MCNEAR, MICHAEL S., MD
GENDER: M
PROVIDER #: 048951
NPI #: 1619934304
JCH MEDICAL GROUP
HARDEN
106 S WATER ST
HARDIN, IL 62047
PHONE: (618) 576-9407
E-PRESCRIBE: NO
FAMILY PRACTICE
HARMON, DAVID A., MD
GENDER: M
PROVIDER #: 216667
NPI #: 1033175633
JCH MEDICAL GROUP
HARDIN
106 SOUTH WATER ST
HARDIN, IL 62047
PHONE: (618) 576-9407
E-PRESCRIBE: NO
HARRISBURG, IL
ADULT/INTERNAL
MEDICINE
EUBANKS, MATTHEW B., MD
GENDER: M
PROVIDER #: 223539
NPI #: 1679717425
PRIMARY CARE GROUP
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
E-PRESCRIBE: NO
RIDER, SHANNON B., MD
GENDER: M
PROVIDER #: 076766
NPI #: 1508846429
PRIMARY CARE GROUP
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
E-PRESCRIBE: NO
FAMILY PRACTICE
ALEXANDER, JAMES O., MD
GENDER: M
PROVIDER #: 033074
NPI #: 1114094851
ALEXANDER FAMILY
PRACTICE
901 S COMMERCIAL ST
HARRISBURG, IL 62946
PHONE: (618) 252-0411
ALEXANDER, JENNIFER L.,
PA-C; PROVIDER #: 081229
BANKS, LONI J., ARNP;
PROVIDER #: 219339
EVERSMANN, ELIZABETH,
ARNP; PROVIDER #: 228135
FERRELL, LESLIE A., ARNP;
PROVIDER #: 227260
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
HARRISBURG, IL
HAVANA, IL
Primary Care Physicians
EWELL, KIMBALL E., MD
GENDER: M
PROVIDER #: 027433
NPI #: 1457303943
HARRISBURG MEDICAL
CENTER
100 DR WARREN TUTTLE DR
HARRISBURG, IL 62946
PHONE: (217) 253-7671
E-PRESCRIBE: NO
RIDER, SHANNON B., MD
GENDER: M
PROVIDER #: 267673
NPI #: 1508846429
HARRISBURG MEDICAL
CENTER
100 DR WARREN TUTTLE DR
HARRISBURG, IL 62946
PHONE: (618) 253-7691
E-PRESCRIBE: NO
FORD, CLAYTON T., MD
GENDER: M
PROVIDER #: 279289
NPI #: 1689960650
ALEXANDER FAMILY
PRACTICE
901 S COMMERCIAL
HARRISBURG, IL 62946
PHONE: (618) 252-0411
BOYD, PEGGY M., CNP;
PROVIDER #: 247138
E-PRESCRIBE: NO
VARGO, ADAM, MD
GENDER: M
PROVIDER #: 135061
NPI #: 1861683187
PRIMARY CARE GROUP
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
HOFFMAN, MEGAN, CNP;
PROVIDER #: 203007
JACKSON, BROOKE A., PA-C;
PROVIDER #: 096406
PHELPS, KELLY L., PA-C;
PROVIDER #: 229509
PRICE, JENNIFER, PA-C;
PROVIDER #: 110960
E-PRESCRIBE: NO
JONES, BRENT M., MD
GENDER: M
PROVIDER #: 275871
NPI #: 1063708550
PRIMARY CARE GROUP
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
E-PRESCRIBE: YES
JONES, LARRY R., MD
GENDER: M
PROVIDER #: 034760
NPI #: 1639149172
PRIMARY CARE GROUP
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
E-PRESCRIBE: NO
WATTERS, ROGER, MD
GENDER: M
PROVIDER #: 007068
NPI #: 1356321343
PRIMARY CARE GROUP
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
HOFFMAN, MEGAN, CNP;
PROVIDER #: 203007
E-PRESCRIBE: NO
WINKLEMAN, MATTHEW C.,
MD
GENDER: M
PROVIDER #: 106886
NPI #: 1225018153
PRIMARY CARE GROUP
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
PRICE, JENNIFER, PA-C;
PROVIDER #: 110960
E-PRESCRIBE: NO
HAVANA, IL
ADULT/INTERNAL
MEDICINE
WAGONER, RICHARD W., MD
GENDER: M
PROVIDER #: 070921
NPI #: 1861458952
HAVANA MEDICAL
ASSOCIATES RURAL
HEALTH
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 543-8564
KIRCHNER, MARSHA R., FNP;
PROVIDER #: 134649
NOLL, CYNTHIA C., CFNP;
PROVIDER #: 073746
TURNER, SHERIE L., PA-C;
PROVIDER #: 029708
E-PRESCRIBE: NO
WINKLEMAN, LAURA M., MD
GENDER: F
PROVIDER #: 107343
NPI #: 1558331207
PRIMARY CARE GROUP
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
161
Primary Care Physicians
YETTER, TAD A., MD
GENDER: M
PROVIDER #: 009446
NPI #: 1245296979
HAVANA MEDICAL
ASSOCIATES RURAL
HEALTH
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 543-8564
KIRCHNER, MARSHA R., FNP;
PROVIDER #: 134649
NOLL, CYNTHIA C., CFNP;
PROVIDER #: 073746
TURNER, SHERIE L., PA-C;
PROVIDER #: 029708
E-PRESCRIBE: NO
FAMILY PRACTICE
BITNER, BETHANY L., MD
GENDER: F
PROVIDER #: 228551
NPI #: 1316173164
HAVANA MEDICAL
ASSOCIATES
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 543-6600
E-PRESCRIBE: YES
WAGONER, RICHARD W., MD
GENDER: M
PROVIDER #: 070921
NPI #: 1861458952
HAVANA MEDICAL
ASSOCIATES RURAL
HEALTH
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 543-8564
KIRCHNER, MARSHA R., FNP;
PROVIDER #: 134649
NOLL, CYNTHIA C., CFNP;
PROVIDER #: 073746
TURNER, SHERIE L., PA-C;
PROVIDER #: 029708
E-PRESCRIBE: NO
HENDERSON, KY
ADULT/INTERNAL
MEDICINE
SCHULTZ, BRUCE W., MD
GENDER: M
PROVIDER #: 090450
NPI #: 1356307433
HAVANA MEDICAL
ASSOCIATES RURAL
HEALTH
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 543-8564
KIRCHNER, MARSHA R., FNP;
PROVIDER #: 134649
E-PRESCRIBE: NO
162
PEDIATRICS
WATKINS, SCOTT A., MD
GENDER: M
PROVIDER #: 141610
NPI #: 1417905332
DEACONESS CLINIC INC
1413 N ELM ST SUITE 106
HENDERSON, KY 42420
PHONE: (270) 827-0064
E-PRESCRIBE: NO
FAMILY PRACTICE
KANG SMITH, JUNG W., MD
GENDER: F
PROVIDER #: 263853
NPI #: 1770842460
DEACONESS CLINIC INC
340 STARLITE DR
HENDERSON, KY 42420
PHONE: (270) 844-8027
E-PRESCRIBE: NO
HAVANA, IL
HERRIN, IL
WRIGHT, GARAH E., MD
GENDER: F
PROVIDER #: 141611
NPI #: 1295783884
DEACONESS CLINIC INC
1413 N ELM ST SUITE 106
HENDERSON, KY 42420
PHONE: (270) 827-0064
E-PRESCRIBE: NO
HENRY, IL
ADULT/INTERNAL
MEDICINE
TUN, THAW, MD
GENDER: M
PROVIDER #: 019463
NPI #: 1326142902
ST MARGARETS HEALTH
HENRY CLINIC
528 EDWARDS ST
HENRY, IL 61537
PHONE: (309) 364-3088
E-PRESCRIBE: NO
HERRIN, IL
ADULT/INTERNAL
MEDICINE
ANANTACHAI, PRAMOTE, MD
GENDER: M
PROVIDER #: 189864
NPI #: 1841344876
SIH MEDICAL GROUP
INTERNAL MEDICINE
404 LINCOLN DR
HERRIN, IL 62948
PHONE: (618) 997-0166
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
HERRIN, IL
HERSCHER, IL
BUCHMAN, RICHARD K., MD
GENDER: M
PROVIDER #: 279007
NPI #: 1639457807
SIH MG INTERNAL
MEDICINE
404 LINCOLN DR
HERRIN, IL 62948-3879
PHONE: (618) 998-9910
E-PRESCRIBE: NO
MUNIZ, JAVIER, DO
GENDER: M
PROVIDER #: 039692
NPI #: 1548263668
315 S 13TH ST SUITE 2
HERRIN, IL 62948
PHONE: (618) 942-5883
E-PRESCRIBE: NO
FAMILY PRACTICE
BUTT, AWAIS, MD
GENDER: M
PROVIDER #: 226575
NPI #: 1942560172
SOUTHERN ILLINOIS
MEDICAL CARE
ASSOCIATES
3022 SOUTH PARK AVE
HERRIN, IL 62948
PHONE: (618) 988-9777
ROGERS-SMITH, THERESA A.,
PA; PROVIDER #: 258804
E-PRESCRIBE: YES
HAYS, WILLIAM F., MD
GENDER: M
PROVIDER #: 010668
NPI #: 1083728000
3305 LOGAN DR
HERRIN, IL 62948
PHONE: (618) 997-4444
NATYSHOK, STEPHANIE, PA;
PROVIDER #: 214405
E-PRESCRIBE: NO
Primary Care Physicians
KORTE, MARK J., MD
GENDER: M
PROVIDER #: 077636
NPI #: 1821102849
SIH MEDICAL GROUP AT
LOGAN PRIMARY CARE
405 RUSHING DR
HERRIN, IL 62948
PHONE: (618) 993-3300
GALLO, ROBIN L., PA-C;
PROVIDER #: 105095
GRANT, RACHEL L., PA-C;
PROVIDER #: 232581
E-PRESCRIBE: NO
OESTMANN, KEVIN D., MD
GENDER: M
PROVIDER #: 033353
NPI #: 1902913908
SIH MEDICAL GROUP AT
LOGAN PRIMARY CARE
405 RUSHING DR
HERRIN, IL 62948
PHONE: (618) 993-3300
GRANT, RACHEL L., PA-C;
PROVIDER #: 232581
E-PRESCRIBE: NO
PARKS, JEFFREY D., MD
GENDER: M
PROVIDER #: 033308
NPI #: 1215044367
SIH MEDICAL GROUP AT
LOGAN PRIMARY CARE
405 RUSHING DR
HERRIN, IL 62948
PHONE: (618) 993-3300
GRANT, RACHEL L., PA-C;
PROVIDER #: 232581
OAKLEY, MICAH L., PA-C;
PROVIDER #: 140040
PARKS, ELIZABETH A., PA-C;
PROVIDER #: 152532
E-PRESCRIBE: NO
SMITH, MARK L., MD
GENDER: M
PROVIDER #: 033352
NPI #: 1043327141
SIH MEDICAL GROUP AT
LOGAN PRIMARY CARE
405 RUSHING DR
HERRIN, IL 62948
PHONE: (618) 993-3300
E-PRESCRIBE: NO
WORKMAN, MICHAEL A., MD
GENDER: M
PROVIDER #: 094621
NPI #: 1184731267
SIH MEDICAL GROUP AT
LOGAN PRIMARY CARE
405 RUSHING DR
HERRIN, IL 62948
PHONE: (618) 993-3300
E-PRESCRIBE: NO
HERSCHER, IL
FAMILY PRACTICE
ARANAS, MELCHOR-PAULO,
MD
GENDER: M
PROVIDER #: 230885
NPI #: 1376775205
THE MEDICAL GROUP OF
KANKAKEE COUNTY
692 N MAPLE ST
HERSCHER, IL 60941
PHONE: (815) 426-2020
E-PRESCRIBE: YES
DAYHOFF JR, CLYDE W., DO
GENDER: M
PROVIDER #: 072102
NPI #: 1255417382
THE MEDICAL GROUP OF
KANKAKEE COUNTY
692 N MAPLE ST
HERSCHER, IL 60941
PHONE: (815) 426-2020
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
163
HERSCHER, IL
HILLSBORO, IL
Primary Care Physicians
LONG, JEFFERY D., MD
GENDER: M
PROVIDER #: 072484
NPI #: 1932284700
THE MEDICAL GROUP OF
KANKAKEE COUNTY
692 N MAPLE ST
HERSCHER, IL 60941
PHONE: (815) 426-2020
CHRISTENSON, JENNIFER C.,
PA-C; PROVIDER #: 208632
PATTERSON, KRISTY L., PA-C;
PROVIDER #: 208615
E-PRESCRIBE: NO
ZAIDI, HASHIM R., MD
GENDER: M
PROVIDER #: 140892
NPI #: 1821005448
THE MEDICAL GROUP OF
KANKAKEE COUNTY
692 N MAPLE ST
HERSCHER, IL 60941
PHONE: (815) 426-2020
CHRISTENSON, JENNIFER C.,
PA-C; PROVIDER #: 208632
PATTERSON, KRISTY L., PA-C;
PROVIDER #: 208615
E-PRESCRIBE: NO
HEYWORTH, IL
FAMILY PRACTICE
RAUCH, DAREN J., MD
GENDER: M
PROVIDER #: 134195
NPI #: 1174544407
OSF MEDICAL GROUP
801 FOX RUN
HEYWORTH, IL 61745
PHONE: (309) 473-2795
E-PRESCRIBE: NO
164
PEDIATRICS
MILLIGAN, DAVID E., MD
GENDER: M
PROVIDER #: 233914
NPI #: 1902131014
OSF MEDICAL GROUP
801 FOX RUN
HEYWORTH, IL 61745
PHONE: (309) 473-2069
E-PRESCRIBE: NO
HIAWATHA, IA
FAMILY PRACTICE
GUNNETT, CAROL A., MD
GENDER: F
PROVIDER #: 280981
NPI #: 1750326864
FAMILY MEDICINE AND
MORE PLC
1350 BOYSON RD BUILDING
C
HIAWATHA, IA 52233
PHONE: (319) 826-6773
E-PRESCRIBE: NO
HICKMAN, KY
FAMILY PRACTICE
BENIGNO, DAISY M., MD
GENDER: F
PROVIDER #: 297272
NPI #: 1528228046
HOSPITAL OF FULTON DBA
HICKMAN-FULTON COUNTY
MEDIC
2003 S 7TH ST
HICKMAN, KY 42050
PHONE: (270) 236-3202
E-PRESCRIBE: NO
HIGHLAND, IL
ADULT/INTERNAL
MEDICINE
ALVARADO, JANET L., MD
GENDER: F
PROVIDER #: 194447
NPI #: 1336114818
HSHS MEDICAL GROUP INC
12860 TROXLER AVENUE
HIGHLAND, IL 62249
PHONE: (618) 665-1281
E-PRESCRIBE: NO
HILLSBORO, IL
ADULT/INTERNAL
MEDICINE
MULCH, BARBARA A., MD
GENDER: F
PROVIDER #: 008095
NPI #: 1023118791
SPRINGFIELD CLINICHILLSBORO
1250 E TREMONT EAST BLDG
HILLSBORO, IL 62049
PHONE: (217) 532-6911
DURBIN, THERESA, PA-C;
PROVIDER #: 146592
HUTCHISON, LYNNE M., NP;
PROVIDER #: 016376
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
HILLSBORO, IL
HOOPESTON, IL
FAMILY PRACTICE
BYERS, DOUGLAS M., MD
GENDER: M
PROVIDER #: 008060
NPI #: 1891805099
SPRINGFIELD CLINICHILLSBORO
1250 E TREMONT EAST BLDG
HILLSBORO, IL 62049
PHONE: (217) 532-6911
DURBIN, THERESA, PA-C;
PROVIDER #: 146592
HUTCHISON, LYNNE M., NP;
PROVIDER #: 016376
E-PRESCRIBE: YES
CADY, BENJAMIN W., MD
GENDER: M
PROVIDER #: 224139
NPI #: 1487899662
SPRINGFIELD CLINIC LLP
1280 E TREMONT ST
HILLSBORO, IL 62049
PHONE: (217) 535-6911
E-PRESCRIBE: NO
CADY, BRIAN J., MD
GENDER: M
PROVIDER #: 159935
NPI #: 1811908775
SPRINGFIELD CLINICHILLSBORO
1280 E TREMONT WEST
BLDG
HILLSBORO, IL 62049
PHONE: (217) 532-2320
BEHRHORST, VIRGINIA L.,
ARNP; PROVIDER #: 217220
E-PRESCRIBE: YES
Primary Care Physicians
MCFARLIN, ROGER C., MD
GENDER: M
PROVIDER #: 235140
NPI #: 1417927658
HSHS MEDICAL GROUP
400 ROUNTREE ST
HILLSBORO, IL 62049
PHONE: (217) 532-9471
LIPE, SHILOH M., PA-C;
PROVIDER #: 235562
E-PRESCRIBE: YES
MULCH JR, ROBERT F., MD
GENDER: M
PROVIDER #: 008096
NPI #: 1578663241
SPRINGFIELD CLINICHILLSBORO
1250 E TREMONT EAST BLDG
HILLSBORO, IL 62049
PHONE: (217) 532-6911
DURBIN, THERESA, PA-C;
PROVIDER #: 146592
HUTCHISON, LYNNE M., NP;
PROVIDER #: 016376
E-PRESCRIBE: YES
HINCKLEY, IL
FAMILY PRACTICE
LABAK, SANDRA T., DO
GENDER: F
PROVIDER #: 034292
NPI #: 1396766218
DREYER CLINIC-HINCKLEY
741 EAST LINCOLN AVE
HINCKLEY, IL 60520
PHONE: (815) 286-9256
E-PRESCRIBE: NO
HOMER, IL
ADULT/INTERNAL
MEDICINE
PATEL, MAHINDRA D., MD
GENDER: M
PROVIDER #: 006780
NPI #: 1841263258
210 N MAIN ST
HOMER, IL 61849
PHONE: (217) 896-2491
E-PRESCRIBE: NO
HOOPESTON, IL
ADULT/INTERNAL
MEDICINE
GARG, ANUJ, MD
GENDER: M
PROVIDER #: 257849
NPI #: 1679585905
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: NO
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: NO
HALLORAN, THOMAS J., MD
GENDER: M
PROVIDER #: 000050
NPI #: 1588696785
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
165
Primary Care Physicians
JONEIKIS, CORTNEY N., MD
GENDER: F
PROVIDER #: 253732
NPI #: 1205009693
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
KALIANI, NEELU, MD
GENDER:
PROVIDER #: 266871
NPI #: 1568495166
HOOPESTON COMMUNITY
HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
SYLVESTER, GERRI D., MD
GENDER: F
PROVIDER #: 264066
NPI #: 1477798767
CARLE PHYSICIAN GROUP
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
FAMILY PRACTICE
BARK, GEORGE A., MD
GENDER: M
PROVIDER #: 195800
NPI #: 1487665071
FAMILY HEALTHCARE OF
HOOPESTON
837 E ORANGE
HOOPESTON, IL 60942
PHONE: (217) 283-5530
E-PRESCRIBE: NO
166
BERG, SUSAN A., MD
GENDER: F
PROVIDER #: 255845
NPI #: 1043219736
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL DBA
CARLE HO
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL DBA
CHARLOTT
801 EAST ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 383-6792
E-PRESCRIBE: YES
BROADERS, KAREN M., MD
GENDER: F
PROVIDER #: 048103
NPI #: 1699703777
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
COLBERT, JAY R., DO
GENDER: M
PROVIDER #: 132466
NPI #: 1437379021
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: NO
HOOPESTON, IL
HOOPESTON, IL
ELDER, DONALD R., MD
GENDER: M
PROVIDER #: 281298
NPI #: 1497743025
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
MARGANSKI, TERESA M., MD
GENDER: F
PROVIDER #: 000662
NPI #: 1346261146
CARLE HOOPESTON
REGIONAL HEALTH CENTER
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL DBA
CHARLOTT
801 EAST ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
MCCARTHY, WILLIAM D., MD
GENDER: M
PROVIDER #: 178416
NPI #: 1902836414
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: NO
MOHAMMED, ASLAM, MD
GENDER:
PROVIDER #: 275476
NPI #: 1205156940
CARLE HOOPESTON
REGIONAL HEALTH CENTER
701 E ORANGE ST
HOOPESTON, IL 60942-1801
PHONE: (217) 283-5531
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
HOOPESTON, IL
HOPEDALE, IL
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942-1802
PHONE: (217) 283-5644
E-PRESCRIBE: YES
PUROHIT, MEENA, MD
GENDER:
PROVIDER #: 294170
NPI #: 1235529660
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
RAY, DARRIN M., MD
GENDER: M
PROVIDER #: 161876
NPI #: 1679785778
FAMILY HEALTHCARE OF
HOOPESTON
837 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5530
E-PRESCRIBE: YES
SMITH, LAURA, MD
GENDER: F
PROVIDER #: 229273
NPI #: 1750518775
FAMILY HEALTHCARE OF
HOOPESTON
837 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5530
E-PRESCRIBE: NO
VENATTA, ADREE, MD
GENDER: F
PROVIDER #: 227245
NPI #: 1871722751
FAMILY HEALTH CARE OF
HOOPESTON
837 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5530
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE OB
BROADERS, KAREN M., MD
GENDER: F
PROVIDER #: 048103
NPI #: 1699703777
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
MARGANSKI, TERESA M., MD
GENDER: F
PROVIDER #: 000662
NPI #: 1346261146
CARLE HOOPESTON
REGIONAL HEALTH CENTER
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL DBA
CHARLOTT
801 EAST ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
PEDIATRICS
HOWARD, MONIQUE M., MD
GENDER: F
PROVIDER #: 237881
NPI #: 1346243326
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL DBA
CARLE HO
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
KANANI, REZA, MD
GENDER:
PROVIDER #: 256036
NPI #: 1609134352
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
KNEPP, MARC D., MD
GENDER: M
PROVIDER #: 268539
NPI #: 1568686277
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
HOPEDALE, IL
ADULT/INTERNAL
MEDICINE
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
107 TREMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
167
HOPEDALE, IL
IOWA CITY, IA
Primary Care Physicians
FAMILY PRACTICE
HUNTLEY, IL
CAFFERY, DENNIS R., MD
GENDER: M
PROVIDER #: 013473
NPI #: 1295825594
OSF MEDICAL GROUP
143 FORD AVE
HOPEDALE, IL 61747
PHONE: (309) 449-3336
E-PRESCRIBE: NO
FAMILY PRACTICE
BORCHARDT, ROBIN F., MD
GENDER: M
PROVIDER #: 221618
NPI #: 1992734297
CRYSTAL LAKE
ORTHOPAEDIC SURGERY &
SPORTS MEDICINE
12519 REGENCY PKWY STE E
HUNTLEY, IL 60142
PHONE: (815) 455-0800
E-PRESCRIBE: NO
HOPKINS PARK, IL
PEDIATRICS
ALFORD, RODNEY S., MD
GENDER: M
PROVIDER #: 101964
NPI #: 1427128909
PEMBROKE COMMUNITY
HEALTH CENTER RHC
3400 S MAIN ST
HOPKINS PARK, IL 60944
PHONE: (815) 944-5545
BETTS, DAVINA M., PA;
PROVIDER #: 232222
E-PRESCRIBE: NO
HUTCHINS PARK, IL
FAMILY PRACTICE
SAPYING, ATISAK, MD
GENDER: M
PROVIDER #: 008802
NPI #: 1982694980
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
HUTCHINS PARK, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
MCCUISTON JR,
STONEWALL, MD
GENDER: M
PROVIDER #: 050993
NPI #: 1720072143
PEMBROKE COMMUNITY
HEALTH CENTER
3400 S MAIN ST
HOPKINS PARK, IL 60944
PHONE: (815) 944-5545
E-PRESCRIBE: NO
IOWA CITY, IA
ADOLESCENT MEDICINE
PEMBROKE RURAL HEALTH
CLINIC
3400 S MAIN ST
HOPKINS PARK, IL 60944
PHONE: (815) 944-5545
E-PRESCRIBE: NO
168
STIER, AMY C., MD
GENDER: F
PROVIDER #: 131907
NPI #: 1447290770
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
ABRAMS, THAD E., MD
GENDER: M
PROVIDER #: 129286
NPI #: 1326022385
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
ABU HEJLEH, TAHER B., MD
GENDER: M
PROVIDER #: 222698
NPI #: 1447469655
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4200
E-PRESCRIBE: NO
ABURIZIK, ARWA, MD
GENDER: F
PROVIDER #: 249391
NPI #: 1356559298
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
IOWA CITY, IA
IOWA CITY, IA
ABUSHAHIN, LAITH I., MD
GENDER: M
PROVIDER #: 254227
NPI #: 1326288564
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4200
E-PRESCRIBE: NO
ALI, ASAD, MD
GENDER: M
PROVIDER #: 263990
NPI #: 1437454188
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
ARE, CHAITANYA, MD
GENDER: M
PROVIDER #: 201043
NPI #: 1912173766
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
ATTALURI, PHANI ASHOK,
MD
GENDER: M
PROVIDER #: 144039
NPI #: 1417066499
UNIVERSITY OF IOWA
HOSPITALS & CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
Primary Care Physicians
BAILIN, STEVEN J., MD
GENDER: M
PROVIDER #: 266816
NPI #: 1689656258
UIHC DIVISION OF
CARDIOVASCULAR
DISEASES
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-7102
E-PRESCRIBE: NO
BUIKEMA, BRENDA S., MD
GENDER: F
PROVIDER #: 151429
NPI #: 1881804706
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNA
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
BECK, GWEN Z., MD
GENDER: F
PROVIDER #: 129602
NPI #: 1174597116
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 353-7821
E-PRESCRIBE: NO
CARLISLE, THOMAS L., MD
GENDER: M
PROVIDER #: 130307
NPI #: 1134116288
UIHC DIVISION OF
HEMATOLOGY, ONCOLOGY
AND BLOOD
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4200
E-PRESCRIBE: NO
BIEBER, DALE E., MD
GENDER: M
PROVIDER #: 144048
NPI #: 1265457519
UNIVERSITY OF IOWA
HOSPITAL & CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-7102
E-PRESCRIBE: NO
BRODERICK, ANN, MD
GENDER: F
PROVIDER #: 130208
NPI #: 1275521833
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
CHAHLA, MAYY F., MD
GENDER: F
PROVIDER #: 206874
NPI #: 1982722146
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
CHAMPION, M CRAIG, MD
GENDER: M
PROVIDER #: 123420
NPI #: 1831191626
MERCY TOWNCREST
INTERNAL MEDICINE
2460 TOWNCREST DRIVE
IOWA CITY, IA 52240-6622
PHONE: (319) 338-7862
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
169
Primary Care Physicians
IOWA CITY, IA
IOWA CITY, IA
CHASE, JOHN S., MD
GENDER: M
PROVIDER #: 130323
NPI #: 1487642013
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-7102
E-PRESCRIBE: NO
DAVIS, REBECCA S., MD
GENDER: F
PROVIDER #: 144084
NPI #: 1508823105
UNIVERSITY OF IOWA
HOSPITAL & CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-7102
E-PRESCRIBE: NO
EBERLY, SCOTT, MD
GENDER: M
PROVIDER #: 123423
NPI #: 1013982347
MERCY TOWNCREST
INTERNAL MEDICINE
2460 TOWNCREST DRIVE
IOWA CITY, IA 52240
PHONE: (319) 338-7862
E-PRESCRIBE: NO
COTARLAN, VLADIMIR, MD
GENDER: M
PROVIDER #: 212534
NPI #: 1124294442
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-7102
E-PRESCRIBE: NO
DIRKSEN, RACHAEL R., MD
GENDER: F
PROVIDER #: 225813
NPI #: 1386886257
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
EL ABIAD, RAMI G., MD
GENDER: M
PROVIDER #: 165712
NPI #: 1003025032
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNA
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4060
E-PRESCRIBE: NO
DAHHAN, ALI, MD
GENDER: M
PROVIDER #: 263987
NPI #: 1770713364
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
DONELSON, CHRISTINA, MD
GENDER: F
PROVIDER #: 123422
NPI #: 1053388686
MERCY TOWNCREST
INTERNAL MEDICINE
2460 TOWNCREST DRIVE
IOWA CITY, IA 52240
PHONE: (319) 338-7862
E-PRESCRIBE: NO
FANG, MICHELE M., MD
GENDER: F
PROVIDER #: 152985
NPI #: 1780751594
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
DANIEL, BRIAN P., MD
GENDER: M
PROVIDER #: 130362
NPI #: 1609864271
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
EBERLEIN, MICHAEL H., MD
GENDER: M
PROVIDER #: 203362
NPI #: 1568482362
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
FRAER, MONY, MD
GENDER: M
PROVIDER #: 161841
NPI #: 1497845960
UNIVERSITY OF IOWA
HOSPITALS AND CLINICSNEPHROLOG
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-8133
E-PRESCRIBE: NO
170
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
IOWA CITY, IA
IOWA CITY, IA
GEHLBACH, BRIAN K., MD
GENDER: M
PROVIDER #: 203366
NPI #: 1285797704
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
GERKE, ALICIA, MD
GENDER: F
PROVIDER #: 159742
NPI #: 1053520759
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-8486
E-PRESCRIBE: NO
GLENN, KEVIN A., MD
GENDER: M
PROVIDER #: 130934
NPI #: 1972591402
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
GOERBIG-CAMPBELL,
JENNIFER L., MD
GENDER: F
PROVIDER #: 169620
NPI #: 1700808185
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-7102
E-PRESCRIBE: NO
Primary Care Physicians
GOERDT, CHRISTOPHER J.,
MD
GENDER: M
PROVIDER #: 130937
NPI #: 1548258163
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
REGER, JACQUELINE K.,
ARNP; PROVIDER #: 130281
E-PRESCRIBE: NO
GUPTA, PRAVIN, MD
GENDER:
PROVIDER #: 236998
NPI #: 1124132188
TOWNCREST INTERNAL
MEDICINE
2460 TOWNCREST DR
IOWA CITY, IA 52240
PHONE: (319) 338-7862
E-PRESCRIBE: NO
GUTIERREZ PEREZ, JEYDITH
A., MD
GENDER: F
PROVIDER #: 299691
NPI #: 1982968830
U OF IOWA HOSP
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE:
E-PRESCRIBE: NO
HARRIS, KATHRINE I., MD
GENDER: F
PROVIDER #: 183596
NPI #: 1306040472
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
HASAN, YAZAN Z., MD
GENDER: M
PROVIDER #: 286509
NPI #: 1386999431
UNIVERSITY OF IOWA
HOSPITAL AND CLINIC
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 383-2533
E-PRESCRIBE: NO
HASSAN, IHAB H., MD
GENDER: M
PROVIDER #: 201140
NPI #: 1326258682
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
HEGEMAN, ROBERT J., MD
GENDER: M
PROVIDER #: 184670
NPI #: 1508808684
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNA
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
HOFFMAN, RICHARD M., MD
GENDER: M
PROVIDER #: 292786
NPI #: 1598870297
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
171
Primary Care Physicians
IOWA CITY, IA
IOWA CITY, IA
IM, KYOUNG B., MD
GENDER: M
PROVIDER #: 182987
NPI #: 1316156193
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
JOY, PARIJAT S., MD
GENDER: M
PROVIDER #: 249727
NPI #: 1922261387
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
KAMBOJ, SUKRITI, MD
GENDER: F
PROVIDER #: 300908
NPI #: 1134475650
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
INCE, DILEK, MD
GENDER: F
PROVIDER #: 168574
NPI #: 1336358019
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNA
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-8133
E-PRESCRIBE: NO
KABOLI, PETER, MD
GENDER: M
PROVIDER #: 130112
NPI #: 1518949940
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
KATZ, DAVID A., MD
GENDER: M
PROVIDER #: 130250
NPI #: 1023090321
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
KALDIJIAN, LAURIS C., MD
GENDER: M
PROVIDER #: 130116
NPI #: 1790772051
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
KELLEY, JOHN T., MD
GENDER: M
PROVIDER #: 123452
NPI #: 1871567131
MERCY TOWNCREST
INTERNAL MEDICINE
2460 TOWNCREST DRIVE
IOWA CITY, IA 52240
PHONE: (319) 338-7862
E-PRESCRIBE: NO
KAMATH, APARNA S., MD
GENDER: F
PROVIDER #: 161312
NPI #: 1275735805
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNA
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
KLAPPA, ANTHONY J., MD
GENDER: M
PROVIDER #: 290308
NPI #: 1982998837
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
IRANI, KAIKOBAD, MD
GENDER: M
PROVIDER #: 254178
NPI #: 1699748335
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-7102
E-PRESCRIBE: NO
JOHNSON, KRISTA M., MD
GENDER: F
PROVIDER #: 216361
NPI #: 1457412280
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
172
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
IOWA CITY, IA
IOWA CITY, IA
Primary Care Physicians
KUPERMAN, ETHAN F., MD
GENDER: M
PROVIDER #: 252076
NPI #: 1528225042
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
LAREW, RICHARD E B, MD
GENDER: M
PROVIDER #: 065448
NPI #: 1003880592
MERCY TOWNCREST
INTERNAL MEDICINE
2460 TOWNCREST DRIVE
IOWA CITY, IA 52240-6622
PHONE: (319) 338-7862
E-PRESCRIBE: NO
MISHRA, ABHISHEK K.
GENDER: M
PROVIDER #: 301340
NPI #: 1467700484
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
KUPPACHI, SARAT C., MD
GENDER: M
PROVIDER #: 207048
NPI #: 1093983629
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
NEPHROLOGY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-8133
E-PRESCRIBE: NO
LAROIA, SANDEEP T., MD
GENDER: M
PROVIDER #: 144235
NPI #: 1154403632
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
RADIOLO
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 356-3444
E-PRESCRIBE: NO
KUSNER, DAVID J., MD
GENDER: M
PROVIDER #: 206644
NPI #: 1871562736
INFECTIOUS DISEASE
PHYSICIANS OF IOWA CITY
540 E JEFFERSON ST SUITE
306
IOWA CITY, IA 52245
PHONE: (319) 688-7440
E-PRESCRIBE: NO
LIVORSI, DANIEL J., MD
GENDER: M
PROVIDER #: 297821
NPI #: 1720240237
DEPARTMENT OF INTERNAL
MEDICINE DIVISION OF
INFECT
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-8133
E-PRESCRIBE: NO
MOSHER, HILARY J., MD
GENDER: F
PROVIDER #: 201023
NPI #: 1114185055
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
KWOFIE, MICHAEL A., MD
GENDER: M
PROVIDER #: 201126
NPI #: 1669633608
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
MANNING, BRADLEY L., MD
GENDER: M
PROVIDER #: 301335
NPI #: 1881642049
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
NABEEL, YASSAR, MD
GENDER: M
PROVIDER #: 252287
NPI #: 1073826814
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
MISHRA, ANKUR
GENDER:
PROVIDER #: 300691
NPI #: 1619223880
U OF IOWA HOSP AND
CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
173
Primary Care Physicians
NASSAR, BOULOS S., MD
GENDER: M
PROVIDER #: 201026
NPI #: 1043420730
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
OBITA, AGNES O O., MD
GENDER: F
PROVIDER #: 290379
NPI #: 1639590227
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
NICKNISH, THOMAS R, MD
GENDER: M
PROVIDER #: 123454
NPI #: 1467452342
MERCY TOWNCREST
INTERNAL MEDICINE
2460 TOWNCREST DRIVE
IOWA CITY, IA 52240-6622
PHONE: (319) 338-7862
E-PRESCRIBE: NO
OHL, MICHAEL E., MD
GENDER: M
PROVIDER #: 165120
NPI #: 1518903509
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNA
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-8133
E-PRESCRIBE: NO
NISLY, NICOLE L., MD
GENDER: F
PROVIDER #: 130629
NPI #: 1659354959
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
NOUREDDINE, LAMA, MD
GENDER: F
PROVIDER #: 293511
NPI #: 1013176817
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 356-8133
E-PRESCRIBE: NO
174
OVROM, FRED H., MD
GENDER: M
PROVIDER #: 100009
NPI #: 1619941226
MERCY TOWNCREST
INTERNAL MEDICINE
2460 TOWNCREST DRIVE
IOWA CITY, IA 52240-6622
PHONE: (319) 338-7862
E-PRESCRIBE: NO
POLYAK, STEVEN F., MD
GENDER: M
PROVIDER #: 174505
NPI #: 1932141660
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
GASTROE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4060
E-PRESCRIBE: NO
IOWA CITY, IA
IOWA CITY, IA
POPESCU, IOANNA, MD
GENDER: F
PROVIDER #: 131522
NPI #: 1821086778
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
ROEDER, SUSAN L., DO
GENDER:
PROVIDER #: 130899
NPI #: 1487615340
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4200
E-PRESCRIBE: NO
ROSENTHAL, GARY E., MD
GENDER: M
PROVIDER #: 130901
NPI #: 1679555056
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
SAQLAIN, MUHAMMAD U.,
MD
GENDER: M
PROVIDER #: 252279
NPI #: 1730494915
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4200
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
IOWA CITY, IA
IOWA CITY, IA
SARIN, SALAISH K., MD
GENDER: M
PROVIDER #: 071213
NPI #: 1699749283
MERCY TOWNCREST
INTERNAL MEDICINE
2460 TOWNCREST DRIVE
IOWA CITY, IA 52240-6622
PHONE: (319) 338-7862
E-PRESCRIBE: NO
SCHILLING, MARGO L., MD
GENDER:
PROVIDER #: 130997
NPI #: 1255314563
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
SCHMID, PHILLIP G., MD
GENDER: M
PROVIDER #: 155227
NPI #: 1477538767
UNIVERSITY OF IOWA
HOSPITAL & CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-7102
E-PRESCRIBE: NO
SHEN, WENDY W., MD
GENDER: F
PROVIDER #: 131347
NPI #: 1902896707
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
Primary Care Physicians
SHINOZAKI, ERI, MD
GENDER: F
PROVIDER #: 262545
NPI #: 1841467115
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
SKELLY, KELLY S., MD
GENDER: F
PROVIDER #: 131363
NPI #: 1194711770
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
SIMMONS, JONATHAN S., DO
GENDER: M
PROVIDER #: 130854
NPI #: 1154317857
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
SMITH, ZACHARY E., MD
GENDER: M
PROVIDER #: 300926
NPI #: 1780944074
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
SINGH, GITANJALI
GENDER: F
PROVIDER #: 293338
NPI #: 1922253459
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
SMOCK, JUSTIN W., MD
GENDER: M
PROVIDER #: 182665
NPI #: 1720284128
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNA
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
SINGH, NAMRATA, MD
GENDER: F
PROVIDER #: 254667
NPI #: 1306131495
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 353-6757
E-PRESCRIBE: NO
SOUBRA, MAHMOUD N., MD
GENDER: M
PROVIDER #: 203398
NPI #: 1427212224
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
175
Primary Care Physicians
SULIMAN, FAROUG Y., MD
GENDER: M
PROVIDER #: 161322
NPI #: 1174616668
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
THROWER, ABBY R., MD
GENDER: F
PROVIDER #: 156468
NPI #: 1821073594
UNIVERSITY OF IOWA
HOSPITAL & CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 354-8777
E-PRESCRIBE: NO
IOWA CITY, IA
IOWA CITY, IA
VYAS, ANKUR, MD
GENDER: M
PROVIDER #: 301389
NPI #: 1528222320
MERCY SPECIALTY CLINICS
CARDIOVASCULAR
DISEASE
540 E JEFFERSON ST STE 400
IOWA CITY, IA 52245-2474
PHONE: (319) 339-3400
E-PRESCRIBE: NO
SZOT, JOSEPH F., MD
GENDER: M
PROVIDER #: 131935
NPI #: 1881682441
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
TRICOT, GUIDO J., MD
GENDER: M
PROVIDER #: 212674
NPI #: 1063502540
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
HEMATOL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4200
E-PRESCRIBE: NO
TAHIR, RIZWAN, MD
GENDER: M
PROVIDER #: 207528
NPI #: 1538395272
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
VELUR, SATHVIKA, MD
GENDER: F
PROVIDER #: 222349
NPI #: 1932339413
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
WESTERMANN, SHAWNA J.,
MD
GENDER: F
PROVIDER #: 131792
NPI #: 1114909413
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
TELFAH, MOHAMMAD A., MD
GENDER: M
PROVIDER #: 300932
NPI #: 1861756421
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
VIKAS, PRAVEEN
GENDER: M
PROVIDER #: 301376
NPI #: 1619162435
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4200
E-PRESCRIBE: NO
WHITE, KATHERINE M., MD
GENDER: F
PROVIDER #: 228082
NPI #: 1518903731
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/DEPT
OF INT
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
176
WAHLS, TERRY L., MD
GENDER: F
PROVIDER #: 131652
NPI #: 1932181237
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
IOWA CITY, IA
IOWA CITY, IA
WILSON, MARK C., MD
GENDER: M
PROVIDER #: 131823
NPI #: 1356323786
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
ZEITLER, RODNEY, MD
GENDER: M
PROVIDER #: 123455
NPI #: 1437126281
MERCY TOWNCREST
INTERNAL MEDICINE
2460 TOWNCREST DRIVE
IOWA CITY, IA 52240-6622
PHONE: (319) 338-7862
E-PRESCRIBE: NO
FAMILY PRACTICE
ABERNATHY, MABRA G., MD
GENDER: M
PROVIDER #: 182877
NPI #: 1316922545
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
PRIMARY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4646
E-PRESCRIBE: NO
APPENHEIMER, STACEY A.,
MD
GENDER: F
PROVIDER #: 272317
NPI #: 1225357585
UIHC DEPARTMENT OF
FAMILY MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
Primary Care Physicians
BANU, HUSSAIN, MD
GENDER: F
PROVIDER #: 184211
NPI #: 1063622637
UNIVERSITY OF IOWA
HOSPITAL & CLINICS/
PRIMARY C
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4646
E-PRESCRIBE: NO
BERGUS, GEORGE R., MD
GENDER: M
PROVIDER #: 129998
NPI #: 1811983414
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7900
E-PRESCRIBE: NO
BOILEAU, ANNE M., MD
GENDER: F
PROVIDER #: 167343
NPI #: 1942235619
IOWA CITY FAMILY
PRACTICE CLINIC
269 N 1ST AVE
IOWA CITY, IA 52245
PHONE: (319) 351-6852
E-PRESCRIBE: NO
BUCHKINA, JULIE R., MD
GENDER: F
PROVIDER #: 224834
NPI #: 1790939288
UI HEALTH CARESOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52240-2907
PHONE: (319) 467-6789
E-PRESCRIBE: NO
UI QUICK CARE NORTH
DODGE
2557 NORTH DODGE ST
IOWA CITY, IA 52245
PHONE: (319) 384-8822
E-PRESCRIBE: NO
UI QUICK CARE-EAST
1843 LOWER MUSCATINE RD
IOWA CITY, IA 52240-1812
PHONE: (319) 467-8350
E-PRESCRIBE: NO
UI QUICK CARE-MORMON
TREK
767 MORMON TREK BLVD
IOWA CITY, IA 52246-1812
PHONE: (319) 384-8333
E-PRESCRIBE: NO
UI QUICK CARE-OLD
CAPITAL TOWN CENTER
201 S CLINTON ST SUITE 195
IOWA CITY, IA 52240-4023
PHONE: (319) 384-0520
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
FAMILY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
BUTLER, NICHOLAS R., MD
GENDER: M
PROVIDER #: 253408
NPI #: 1427285071
UIHC DEPARTMENT OF
FAMILY MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
CAPIZZANO, JUANA N., MD
GENDER: F
PROVIDER #: 290100
NPI #: 1881910628
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
177
Primary Care Physicians
UI QUICK CARE - NORTH
DODGE
2557 NORTH DODGE ST
IOWA CITY, IA 52245
PHONE: (319) 384-8822
E-PRESCRIBE: NO
UI QUICK CARE EAST
1843 LOWER MUSCATINE RD
IOWA CITY, IA 52240
PHONE: (319) 467-8350
E-PRESCRIBE: NO
UI QUICK CARE MORMON
TREK
767 MORMON TREK BLVD
IOWA CITY, IA 52246
PHONE: (319) 384-8333
E-PRESCRIBE: NO
UI QUICK CARE OLD
CAPITOL TOWN CENTER
201 SOUTH CLINTON STREET
#195
IOWA CITY, IA 52240-4048
PHONE: (319) 384-0520
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
FAMILY MEDICINE
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
CHACKALACKAL, REBECCA
G., MD
GENDER: F
PROVIDER #: 178794
NPI #: 1609863323
STUDENT HEALTH SERVICEUNIVERSITY OF IOWA
4189 WESTLAWN SOUTH
IOWA CITY, IA 52242
PHONE: (319) 335-8370
E-PRESCRIBE: NO
CLARK, WILLIAM D., MD
GENDER: M
PROVIDER #: 210949
NPI #: 1083639140
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
FAMILY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
CRAMER, ELIZABETH S., MD
GENDER: F
PROVIDER #: 225768
NPI #: 1386870483
UI QUICK CARE NORTH
DODGE
2557 NORTH DODGE ST
IOWA CITY, IA 52245
PHONE: (319) 384-8822
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
FAMILY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
DOBYNS, RICHARD C., MD
GENDER: M
PROVIDER #: 130389
NPI #: 1912993387
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
IOWA CITY, IA
IOWA CITY, IA
ENDRES, JILL E., MD
GENDER: F
PROVIDER #: 144317
NPI #: 1356338610
UNIV OF IOWA HOSPITALS &
CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
EVANS, ERIC, MD
GENDER: M
PROVIDER #: 146699
NPI #: 1730175571
U OF IOWA STUDENT
HEALTH
4189 WESTLAWN
IOWA CITY, IA 52242
PHONE: (319) 335-8389
E-PRESCRIBE: NO
FARRELL, ANGELA T., MD
GENDER: F
PROVIDER #: 257961
NPI #: 1871814194
UI HEALTH CARESOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52240
PHONE: (319) 467-6789
E-PRESCRIBE: NO
UI QUICK CARE NORTH
DODGE
2557 NORTH DODGE ST
IOWA CITY, IA 52245
PHONE: (319) 384-8822
E-PRESCRIBE: NO
UI QUICK CARE-EAST
1843 LOWER MUSCATINE RD
IOWA CITY, IA 52240
PHONE: (319) 467-8350
E-PRESCRIBE: NO
UI QUICK CARE-MORMON
TREK
767 MORMON TREK BLVD
IOWA CITY, IA 52246
PHONE: (319) 384-8333
E-PRESCRIBE: NO
178
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
IOWA CITY, IA
IOWA CITY, IA
UI QUICK CARE-OLD
CAPITAL TOWN CENTER
201 S CLINTON ST SUITE 195
IOWA CITY, IA 52240
PHONE: (319) 384-0520
E-PRESCRIBE: NO
FICK, DANIEL S., MD
GENDER: M
PROVIDER #: 130259
NPI #: 1457347049
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
GAGLIOTI, ANNE H., MD
GENDER: F
PROVIDER #: 175181
NPI #: 1699977751
FAMILY CARE CENTER
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
GEORGE-PAULSEN, LESLIE
E., MD
GENDER: F
PROVIDER #: 254789
NPI #: 1245550094
UI QUICK CARE NORTH
DODGE
2557 NORTH DODGE ST
IOWA CITY, IA 52245
PHONE: (319) 384-8822
E-PRESCRIBE: NO
GORE, MALHAR S., MD
GENDER: M
PROVIDER #: 298542
NPI #: 1982766705
MERCY FAMILY MEDICINE
OF IOWA CITY
269 N 1ST AVENUE
IOWA CITY, IA 52245-3616
PHONE: (319) 351-6852
E-PRESCRIBE: NO
Primary Care Physicians
HEITHOFF, BRAD, MD
GENDER: M
PROVIDER #: 155589
NPI #: 1437137239
IOWA CITY FAMILY
PRACTICE CLINIC
269 N 1ST AVE
IOWA CITY, IA 52245
PHONE: (319) 351-6852
E-PRESCRIBE: NO
HOTH, PETER L., MD
GENDER: M
PROVIDER #: 238890
NPI #: 1912931676
UI QUICK CARE NORTH
DODGE
2557 NORTH DODGE ST
IOWA CITY, IA 52245
PHONE: (319) 384-8822
E-PRESCRIBE: NO
IMBOREK, KATHERINE L., MD
GENDER: F
PROVIDER #: 206882
NPI #: 1902069875
UI FAMILY CARE-SEIC
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 467-6789
E-PRESCRIBE: NO
UI QUICK CARE NORTH
DODGE
2557 NORTH DODGE ST
IOWA CITY, IA 52245
PHONE: (319) 384-8822
E-PRESCRIBE: NO
UICH-DEPARTMENT OF
ORTHOPAEDIC SURGERY
2701 PRAIRIE MEADOW DR
IOWA CITY, IA 52242
PHONE: (319) 384-7070
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
FAMILY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
JAMES, PAUL A., MD
GENDER: M
PROVIDER #: 129988
NPI #: 1366438947
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
JOHNSON, JENNIFER A., MD
GENDER: F
PROVIDER #: 256233
NPI #: 1699744045
UIHC DEPARTMENT OF
FAMILY MEDICINE FAMILY
PRACTI
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
KAO, ROSANNA, MD
GENDER: F
PROVIDER #: 123360
NPI #: 1033157482
IOWA CITY FAMILY
PRACTICE CLINIC
1011 ARTHUR ST
IOWA CITY, IA 52240
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
179
Primary Care Physicians
KERKHOFF, TERI J., MD
GENDER: F
PROVIDER #: 130552
NPI #: 1952388381
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
LYNCH, ALISON C., MD
GENDER: F
PROVIDER #: 129287
NPI #: 1528055886
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
LEIDAL, REBECCA R., MD
GENDER: F
PROVIDER #: 203316
NPI #: 1548209919
UNIVERSITY OF IOWA
STUDENT HEALTH AND
WELLNESS
4189 WESTLAWN
IOWA CITY, IA 52242
PHONE: (319) 335-8370
E-PRESCRIBE: NO
MAHARRY, MICHAEL K., MD
GENDER: M
PROVIDER #: 131244
NPI #: 1073509436
UI QUICK CARE NORTH
DODGE
2557 NORTH DODGE ST
IOWA CITY, IA 52245
PHONE: (319) 384-8822
KIES, VALERIE O., PA-C;
PROVIDER #: 200041
NELSON, CHRISTINA B.,
ARNP; PROVIDER #: 218618
E-PRESCRIBE: NO
LEVY, BARCEY T., MD
GENDER: F
PROVIDER #: 131088
NPI #: 1588650402
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
LOEB, ELIZABETH M., MD
GENDER: F
PROVIDER #: 123362
NPI #: 1518905199
IOWA CITY FAMILY
PRACTICE CLINIC
269 N FIRST AVE
IOWA CITY, IA 52245
PHONE: (319) 351-6852
E-PRESCRIBE: NO
180
UI QUICK CARE-MORMON
TREK
767 MORMON TREK BLVD
IOWA CITY, IA 52246
PHONE: (319) 384-8333
NELSON, CHRISTINA B.,
ARNP; PROVIDER #: 218618
POLLOCK, ANNE E., ARNP;
PROVIDER #: 139886
E-PRESCRIBE: NO
MANGRICH HICKMAN,
ELIZABETH, MD
GENDER: F
PROVIDER #: 123364
NPI #: 1639117054
IOWA CITY FAMILY
PRACTICE
269 N FIRST AVE
IOWA CITY, IA 52245
PHONE: (319) 351-6852
E-PRESCRIBE: NO
IOWA CITY, IA
IOWA CITY, IA
MARTINEZ, DENISE A., MD
GENDER: F
PROVIDER #: 203311
NPI #: 1013171891
UI FAMILY CARE-SEIC
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 467-6789
E-PRESCRIBE: NO
UI QUICK CARE NORTH
DODGE
2557 NORTH DODGE ST
IOWA CITY, IA 52245
PHONE: (319) 384-8822
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
FAMILY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
MATVEEVA, JULIA N., MD
GENDER: F
PROVIDER #: 193447
NPI #: 1114101201
UIHC FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
FAMILY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
IOWA CITY, IA
IOWA CITY, IA
RAY, BRIGIT E., MD
GENDER: F
PROVIDER #: 290409
NPI #: 1396038261
UIHC DEPARTMENT OF
FAMILY MEDICINE
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
RITTGERS-EASTON,
MINYON, MD
GENDER: F
PROVIDER #: 123369
NPI #: 1972541894
IOWA CITY FAMILY
PRACTICE CLINIC
269 N FIRST AVE
IOWA CITY, IA 52245
PHONE: (319) 351-6852
E-PRESCRIBE: NO
ROSENFELD OTOOL,
SANDRA R., MD
GENDER: F
PROVIDER #: 144321
NPI #: 1396962445
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
SAUNDERS, KATHARINE J.,
MD
GENDER:
PROVIDER #: 131937
NPI #: 1932188380
UI QUICK CARE NORTH
DODGE
2557 NORTH DODGE ST
IOWA CITY, IA 52245
PHONE: (319) 384-8822
E-PRESCRIBE: NO
Primary Care Physicians
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
SHAIK, SHALINA, MD
GENDER: F
PROVIDER #: 204631
NPI #: 1215192224
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
FAMILY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
SHI, MEI, MD
GENDER: F
PROVIDER #: 270640
NPI #: 1205159688
MERCY FAMILY MEDICINE
1067 RYAN COURT
IOWA CITY, IA 52246
PHONE:
E-PRESCRIBE: NO
SHIAN, BRIAN X., MD
GENDER: M
PROVIDER #: 204015
NPI #: 1780875781
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
FAMILY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
SMOOT, MILTON K., MD
GENDER: M
PROVIDER #: 169010
NPI #: 1205026093
INSTITUTE FOR
ORTHOPAEDICS SPORTS
MEDICINE AND
2701 PRAIRIE MEADOW DR
IOWA CITY, IA 52242
PHONE: (319) 356-2211
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
FAMILY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
THOMA, KATE D., MD
GENDER: F
PROVIDER #: 151445
NPI #: 1134338965
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
FAMILY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
THOMAS, SARAH, MD
GENDER: F
PROVIDER #: 058191
NPI #: 1225071772
IOWA CITY FAMILY
PRACTICE CLINIC
269 N FIRST AVE
IOWA CITY, IA 52245
PHONE: (319) 351-6852
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
181
Primary Care Physicians
VOLM, TIMOTHY G., DO
GENDER: M
PROVIDER #: 178668
NPI #: 1508948498
MERCY URGENT CARE EAST
269 N 1ST AVE SUITE 102
IOWA CITY, IA 52245
PHONE: (319) 688-7777
E-PRESCRIBE: NO
WALLACE, MICHAEL H., MD
GENDER: M
PROVIDER #: 185750
NPI #: 1801982475
MERCY URGENT CARE EAST
269 N 1ST AVE SUITE 102
IOWA CITY, IA 52245
PHONE: (319) 688-7777
E-PRESCRIBE: NO
WILBUR, JASON K., MD
GENDER: M
PROVIDER #: 131800
NPI #: 1265428858
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
WOLFE, STEVEN L., MD
GENDER: M
PROVIDER #: 131844
NPI #: 1992791578
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
182
WOODWARD, THOMAS W.,
MD
GENDER: M
PROVIDER #: 280536
NPI #: 1932137353
UIHC STUDENT HEALTH
SERVICE
4189 WESTLAWN SOUTH
IOWA CITY, IA 52242
PHONE: (319) 335-8370
E-PRESCRIBE: NO
GENERAL PRACTICE
FORBES, LANCE P., MD
GENDER: M
PROVIDER #: 130272
NPI #: 1699751073
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
PEDIATRICS
ALDOSS, OSAMAH, MD
GENDER: M
PROVIDER #: 254223
NPI #: 1104043710
UIHC DEPARTMENT OF
PEDIATRICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
BAYER, DIANA K., DO
GENDER: F
PROVIDER #: 292636
NPI #: 1730318205
UIHC DEPARTMENT OF
PEDIATRICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
IOWA CITY, IA
IOWA CITY, IA
BEHUNIN, KATIE J B., DO
GENDER: F
PROVIDER #: 290217
NPI #: 1265725774
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
BENDALY, EDGARD A., MD
GENDER: M
PROVIDER #: 272972
NPI #: 1225247406
UIHC DEPARTMENT OF
PEDIATRICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
BENSON, REBECCA J., MD
GENDER: F
PROVIDER #: 182686
NPI #: 1023213030
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
PEDIATR
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
BOUTROS, RAMI A., MD
GENDER: M
PROVIDER #: 203057
NPI #: 1063477024
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
IOWA CITY, IA
IOWA CITY, IA
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
PEDIATRICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
BRUMBAUGH, JANE E., MD
GENDER: F
PROVIDER #: 223971
NPI #: 1619002458
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS/
PEDIATRI
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
CHRISTENSEN, LORI A., MD
GENDER: F
PROVIDER #: 130329
NPI #: 1639165285
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
CILIBERTO, MICHAEL A., MD
GENDER: M
PROVIDER #: 255818
NPI #: 1043418809
UIHC DEPARTMENT OF
PEDIATRICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE:
E-PRESCRIBE: NO
Primary Care Physicians
CONRAD, AMY L., PSYD
GENDER: F
PROVIDER #: 249646
NPI #: 1942646195
UIHC DEPARTMENT OF
PEDIATRICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
EBACH, DAWN R., MD
GENDER: F
PROVIDER #: 129830
NPI #: 1457346231
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2950
E-PRESCRIBE: NO
D'ALESSANDRO, DONNA M.,
MD
GENDER: F
PROVIDER #: 130360
NPI #: 1396730248
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
EL-SHEIKH, AYMAN A., MD
GENDER: M
PROVIDER #: 168572
NPI #: 1497734875
UNIVERSITY OF IOWA
HOSPITALS AND CLINICSPEDIAT
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
DUNGY, CLAIBOURNE I., MD
GENDER: M
PROVIDER #: 130401
NPI #: 1992782585
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
DUSDIEKER, LOIS B., MD
GENDER: F
PROVIDER #: 130404
NPI #: 1427043371
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
FISHBANE-GORDON,
MEREDITH L., MD
GENDER: F
PROVIDER #: 288985
NPI #: 1417165614
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
PEDIATRICS PFP
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
183
Primary Care Physicians
HASKELL, SARAH E., DO
GENDER: F
PROVIDER #: 203401
NPI #: 1780893503
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
PEDIATRIC
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
JETTON, JENNIFER G., MD
GENDER: F
PROVIDER #: 183600
NPI #: 1588985261
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
PEDIATRIC
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
KAMBEROS, NATALIE L., DO
GENDER: F
PROVIDER #: 224005
NPI #: 1689769531
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
PEDIATRIC
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
184
KINZER, SAMUEL E., MD
GENDER: M
PROVIDER #: 130562
NPI #: 1417942350
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
LINK, ELLEN A., MD
GENDER: F
PROVIDER #: 131227
NPI #: 1114913878
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
LAREW, MARY S., MD
GENDER: F
PROVIDER #: 130686
NPI #: 1376539601
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
KAMATH, APARNA S., MD
GENDER: F
PROVIDER #: 161312
NPI #: 1275735805
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNA
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
IOWA CITY, IA
IOWA CITY, IA
LAROCHE, HELENA H., MD
GENDER: F
PROVIDER #: 130708
NPI #: 1700896628
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
LEE-SON, KANG YU K., MD
GENDER: F
PROVIDER #: 259175
NPI #: 1487083911
UIHC DIVISION OF
PEDIATRIC NEPHROLOGY &
HYPERTEN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
MARKS, JESSIE E., MD
GENDER: F
PROVIDER #: 222459
NPI #: 1912134339
UI FAMILY CARE-SEIC
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
PEDIATR
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
MATSUMOTO, SATSUKI S.,
MD
GENDER: F
PROVIDER #: 270262
NPI #: 1609072818
UIHC DEPARTMENT OF
PEDIATRICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
IOWA CITY, IA
IOWA CITY, IA
MCCARTHY, PATRICK J., MD
GENDER: M
PROVIDER #: 301337
NPI #: 1699031260
UIHC DEPARTMENT OF
PEDIATRICS PFP
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
MCELROY, STEVEN J., MD
GENDER: M
PROVIDER #: 213908
NPI #: 1811084957
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
PEDIATR
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-8931
E-PRESCRIBE: NO
MILLER, DAYNA J., MD
GENDER: F
PROVIDER #: 206875
NPI #: 1487859997
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
PEDIATRIC
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
MOONJELY, ANITA J., MD
GENDER: F
PROVIDER #: 144292
NPI #: 1649255035
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
Primary Care Physicians
UNIVERSITY OF IOWA
HOSPITALS AND CLINCS
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
MURPH, JODY R., MD
GENDER: F
PROVIDER #: 131450
NPI #: 1851381560
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
NEWLAND, CATHERINE D.,
MD
GENDER: F
PROVIDER #: 253393
NPI #: 1982860185
UIHC DEPARTMENT OF
PEDIATRICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
NG, BENTON Y., MD
GENDER: M
PROVIDER #: 224639
NPI #: 1811933005
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
PEDIATRIC
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
O'CONNOR, ANGELA M., MD
GENDER: F
PROVIDER #: 298537
NPI #: 1457334468
MERCY CLINICSPEDIATRICS
540 E JEFFERSON ST SUITE
105
IOWA CITY, IA 52245-2460
PHONE: (319) 688-7337
E-PRESCRIBE: NO
OETTING, MARGUERITE H.,
MD
GENDER: F
PROVIDER #: 144852
NPI #: 1073529384
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
ORAL, RESMIYE, MD
GENDER: F
PROVIDER #: 130660
NPI #: 1417944521
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
185
Primary Care Physicians
PETERSON, ANDREW R., MD
GENDER: M
PROVIDER #: 186642
NPI #: 1528023504
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
PHILLIPS, GEORGE C., MD
GENDER: M
PROVIDER #: 131514
NPI #: 1013902709
GENERAL PEDIATRICS/
FAMILY CARE CENTER
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 356-2211
E-PRESCRIBE: NO
INSTITUTE FOR
ORTHOPAEDICS SPORTS
MEDICINE REHAB
2701 PRAIRIE MEADOW DR
IOWA CITY, IA 52242-8001
PHONE: (319) 384-7070
E-PRESCRIBE: NO
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
186
PRICE, NATHAN B., MD
GENDER: M
PROVIDER #: 254202
NPI #: 1275709586
UIHC DIVISION OF
PEDIATRIC INFECTIOUS
DISEASES
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
RABE, GLENDA K., MD
GENDER: F
PROVIDER #: 152935
NPI #: 1790994143
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-7096
E-PRESCRIBE: NO
SHCHELOCHKOV, OLEG A.,
MD
GENDER: M
PROVIDER #: 172227
NPI #: 1841434537
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
PEDITRI
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
SHY, ROSEMARY R., MD
GENDER: F
PROVIDER #: 216351
NPI #: 1841238946
UI FAMILY CARE-SEIC
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
IOWA CITY, IA
IOWA CITY, IA
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
PEDIATRIC
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
SUBRAMANIAM,
UMASHANKAR, MD
GENDER: M
PROVIDER #: 298419
NPI #: 1487768032
MERCY HOSPITAL
500 E MARKET ST
IOWA CITY, IA 52245-2633
PHONE: (319) 339-0300
E-PRESCRIBE: NO
SULLIVAN, SHANNON J., MD
GENDER: F
PROVIDER #: 131922
NPI #: 1093702755
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
TRAPANE, PAMELA L., MD
GENDER: F
PROVIDER #: 170779
NPI #: 1215988977
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
PEDIATR
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
IOWA CITY, IA
JACKSONVILLE, IL
VIGIL, GRETCHEN E., MD
GENDER: F
PROVIDER #: 131647
NPI #: 1407842735
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
WALDRON, DEBRA B., MD
GENDER: F
PROVIDER #: 152920
NPI #: 1215932074
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-1469
E-PRESCRIBE: NO
JACKSONVILLE, IL
ADULT/INTERNAL
MEDICINE
COULTAS, DAVID D., MD
GENDER: M
PROVIDER #: 026904
NPI #: 1902804495
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
CARRIGAN, STEPHANIE J.,
APN; PROVIDER #: 126554
E-PRESCRIBE: NO
Primary Care Physicians
DANG, NAVNEET S., MD
GENDER: M
PROVIDER #: 254132
NPI #: 1316228869
COGENT HEALTHCARE OF
IL LLC
1600 W WALNUT ST
JACKSONVILLE, IL 62650
PHONE:
E-PRESCRIBE: NO
MCNEAR, MICHAEL S., MD
GENDER: M
PROVIDER #: 048951
NPI #: 1619934304
JCH MEDICAL GROUP
JACKSONVILLE
1440 W WALNUT ST STE A
JACKSONVILLE, IL 62650
PHONE: (217) 243-3543
E-PRESCRIBE: NO
ELADASARI, BABU R., MD
GENDER: M
PROVIDER #: 184254
NPI #: 1356393300
PASSAVANT PHYSICIANS
GROUP
559 N WESTGATE AVE
JACKSONVILLE, IL 62650
PHONE: (217) 243-5474
E-PRESCRIBE: NO
PRABHAKAR,
CHANDUPATLA, MD
GENDER: M
PROVIDER #: 008888
NPI #: 1720197346
PASSAVANT INTERNAL
MEDICINE
559 N WESTGATE
JACKSONVILLE, IL 62650
PHONE: (217) 243-5474
HOOVER, SONDRA S., APN;
PROVIDER #: 178775
E-PRESCRIBE: NO
GERBERDING, ALLEN G., MD
GENDER: M
PROVIDER #: 194898
NPI #: 1558333633
HSHS MEDICAL GROUP
FAMILY MEDICINEJACKSONVILLE
1515 W WALNUT
JACKSONVILLE, IL 62650
PHONE: (217) 243-6454
E-PRESCRIBE: NO
GRIFFIN, ANTHONY M., MD
GENDER: M
PROVIDER #: 191788
NPI #: 1770558603
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
CUNNINGHAM, ABBY L.,
ARNP; PROVIDER #: 218844
E-PRESCRIBE: NO
VERMA, UDIT, MD
GENDER: M
PROVIDER #: 267746
NPI #: 1750619672
PASSAVANT PHYSICIAN
ASSN
559 N WESTGATE
JACKSONVILLE, IL 62650
PHONE: (217) 243-5474
E-PRESCRIBE: NO
FAMILY PRACTICE
BOHAN, JAMES A., MD
GENDER: M
PROVIDER #: 168834
NPI #: 1295733830
MORGAN COUNTY HEALTH
DEPARTMENT
345 W STATE ST
JACKSONVILLE, IL 62650
PHONE: (217) 245-5111
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
187
Primary Care Physicians
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
FLINN, JENNIFER G., CNP;
PROVIDER #: 053579
E-PRESCRIBE: NO
COLEN, MICHELLE R., MD
GENDER: F
PROVIDER #: 151255
NPI #: 1336138122
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
E-PRESCRIBE: NO
HALE, MARSHALL T., MD
GENDER: M
PROVIDER #: 008543
NPI #: 1245226372
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
CUNNINGHAM, ABBY L.,
ARNP; PROVIDER #: 218844
FLINN, JENNIFER G., CNP;
PROVIDER #: 053579
WOODS, KATHLEEN A., FNP;
PROVIDER #: 133066
E-PRESCRIBE: NO
MALCOTT, JOHN L., MD
GENDER: M
PROVIDER #: 068502
NPI #: 1134227135
SPRINGFIELD CLINIC LLP
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
KING, MICHAEL, PA;
PROVIDER #: 097262
PIPER, JANE E., FNP;
PROVIDER #: 218580
WRIGHT, AMBER N., NP;
PROVIDER #: 136516
E-PRESCRIBE: YES
MONTGOMERY, BENJAMIN
E., MD
GENDER: M
PROVIDER #: 169866
NPI #: 1083609747
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
E-PRESCRIBE: NO
PETERSON, JOHN A., MD
GENDER: M
PROVIDER #: 168860
NPI #: 1164495941
MORGAN COUNTY HEALTH
DEPARTMENT
345 W STATE ST
JACKSONVILLE, IL 62650
PHONE: (217) 245-5111
E-PRESCRIBE: NO
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
FLINN, JENNIFER G., CNP;
PROVIDER #: 053579
LIETZ, DIANE M., FNPC;
PROVIDER #: 243865
E-PRESCRIBE: NO
188
JACKSONVILLE, IL
JACKSONVILLE, IL
WYATT, KIM E., MD
GENDER: F
PROVIDER #: 120829
NPI #: 1487609640
SPRINGFIELD CLINIC LLP
15 FOUNDERS LANE
JACKSONVILLE, IL 626503918
PHONE: (217) 291-1041
E-PRESCRIBE: NO
PEDIATRICS
ATEVENS-SCHILSKY, LINDA
V., MD
GENDER: F
PROVIDER #: 238323
NPI #: 1245203439
JCH MEDICAL GROUP
JACKSONVILLE
1440 W WALNUT SUITE A
JACKSONVILLE, IL 62650
PHONE: (217) 243-3543
E-PRESCRIBE: NO
BASNET, EKTA, MD
GENDER: F
PROVIDER #: 228672
NPI #: 1265667117
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
E-PRESCRIBE: NO
GIBBS, GRETCHEN S., MD
GENDER: F
PROVIDER #: 136581
NPI #: 1184795940
MPS JACKSONVILLE
15 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
BEARD, LACY B., ARNP;
PROVIDER #: 219290
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
JACKSONVILLE, IL
JERSEYVILLE, IL
LILLPOP, STEVEN T., MD
GENDER: M
PROVIDER #: 009154
NPI #: 1851387609
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
BEARD, LACY B., ARNP;
PROVIDER #: 219290
WHITEHEAD, SHANA, PA-C;
PROVIDER #: 078870
E-PRESCRIBE: NO
TAYLOR, JANE K., MD
GENDER: F
PROVIDER #: 202702
NPI #: 1588827588
HSHS MEDICAL GROUP
FAMILY MEDICINEJACKSONVILLE
1515 W WALNUT SUITE 2
JACKSONVILLE, IL 62650
PHONE: (217) 243-6454
E-PRESCRIBE: NO
JERSEYVILLE, IL
ADULT/INTERNAL
MEDICINE
CRANCER, LESTER A., DO
GENDER: M
PROVIDER #: 068120
NPI #: 1285682864
JCH MEDICAL GROUP
JERSEYVILLE
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
PHONE: (618) 498-2101
SEYMOUR, DEBORAH M.,
APN; PROVIDER #: 278415
E-PRESCRIBE: NO
Primary Care Physicians
JERSEY COMMUNITY
HOSPITAL
390 MAPLE SUMMIT ROAD
JERSEYVILLE, IL 62052
PHONE: (618) 498-6402
E-PRESCRIBE: NO
DIZON, LEONCIO, MD
GENDER: M
PROVIDER #: 028474
NPI #: 1114982352
JCH MEDICAL GROUP
JERSEYVILLE
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
PHONE: (618) 498-2101
CANAVAN, COLLEEN C., PA-C;
PROVIDER #: 028916
E-PRESCRIBE: NO
MCNEAR, MICHAEL S., MD
GENDER: M
PROVIDER #: 048951
NPI #: 1619934304
JCH MEDICAL GROUP
270 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
PHONE: (618) 498-2273
E-PRESCRIBE: NO
JCH MEDICAL GROUP
HOSPITAL
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
PHONE: (618) 498-6402
E-PRESCRIBE: NO
JCH MEDICAL GROUPJERSEYVILLE
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
PHONE: (618) 498-2101
E-PRESCRIBE: NO
FAMILY PRACTICE
ELVING-DIAL, CRISTY A., MD
GENDER: F
PROVIDER #: 077612
NPI #: 1922056506
JCH MEDICAL GROUPJERSEYVILLE
390 MAPLE SUMMIT ROAD
JERSEYVILLE, IL 62052
PHONE: (618) 498-2101
WELLENKAMP, KRISTA, PA-C;
PROVIDER #: 288763
E-PRESCRIBE: NO
HARMON, DAVID A., MD
GENDER: M
PROVIDER #: 216667
NPI #: 1033175633
JCH MEDICAL GROUP
JERSEYVILLE
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
PHONE: (618) 498-2101
E-PRESCRIBE: NO
LYONS, TIMOTHY L., MD
GENDER: M
PROVIDER #: 134857
NPI #: 1164636825
JCH MEDICAL GROUP
JERSEYVILLE
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
PHONE: (618) 498-2101
SKOLASINSKI, MEGAN M., PAC; PROVIDER #: 288761
E-PRESCRIBE: NO
PALCHEFF, JOHN, DO
GENDER: M
PROVIDER #: 028475
NPI #: 1760442032
JCH MEDICAL GROUP
JERSEYVILLE
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
PHONE: (618) 498-5544
HARGRAVE, VICTORIA, APN;
PROVIDER #: 288759
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
189
JERSEYVILLE, IL
JOLIET, IL
Primary Care Physicians
VOIGTS, RANDALL, DO
GENDER: M
PROVIDER #: 028523
NPI #: 1548225600
JCH MEDICAL GROUP
JERSEYVILLE
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
PHONE: (618) 498-2101
HARGRAVE, VICTORIA, APN;
PROVIDER #: 288759
NORRIS, ARLENE J., PA-C;
PROVIDER #: 219887
E-PRESCRIBE: NO
PEDIATRICS
ATEVENS-SCHILSKY, LINDA
V., MD
GENDER: F
PROVIDER #: 238323
NPI #: 1245203439
JCH MEDICAL GROUP
JERSEYVILLE
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
PHONE: (618) 498-2101
E-PRESCRIBE: NO
UHLES, JAMES E., MD
GENDER: M
PROVIDER #: 166268
NPI #: 1427270941
JCH MEDICAL GROUP
JERSEYVILLE
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
PHONE: (618) 498-2101
E-PRESCRIBE: NO
JOHNSTON CITY, IL
ADULT/INTERNAL
MEDICINE
JAVED, KHALID, MD
GENDER: M
PROVIDER #: 033305
NPI #: 1174529663
JOHNSTON CITY
COMMUNITY HEALTH
CENTER
14410 RT 37
JOHNSTON CITY, IL 62951
PHONE: (618) 983-6911
GUNTHER, GINA, APRN;
PROVIDER #: 073871
MATHENIA, JESSICA L., PA;
PROVIDER #: 210413
E-PRESCRIBE: NO
GENERAL PRACTICE
GRIFFIN, DONALD L., MD
GENDER: M
PROVIDER #: 028221
NPI #: 1396738878
JOHNSTON CITY
COMMUNITY HEALTH
CENTER
14410 RT 37
JOHNSTON CITY, IL 62951
PHONE: (618) 983-6911
YOUNGBLOOD, NATASHA,
ARNP; PROVIDER #: 269135
E-PRESCRIBE: NO
JOLIET, IL
ADULT/INTERNAL
MEDICINE
CHAUHAN, KEYUR M., MD
GENDER: M
PROVIDER #: 232662
NPI #: 1124261748
WUNDERLICH MD SC
310 N HAMMES SUITE 101
JOLIET, IL 60435
PHONE: (815) 741-4445
E-PRESCRIBE: NO
JAYAPRAKASH,
MARIONETTE S., MD
GENDER: F
PROVIDER #: 258855
NPI #: 1760655187
WUNDERLICH MD SC
2000 GLENWOOD AVE SUITE
107
JOLIET, IL 60435
PHONE: (815) 741-4445
E-PRESCRIBE: NO
JOUDEH, MOHANAD, MD
GENDER: M
PROVIDER #: 229893
NPI #: 1659546414
PROVENA MEDICAL GROUP
333 MADISON ST
JOLIET, IL 60435
PHONE: (815) 725-7133
E-PRESCRIBE: NO
SHAH, NIRAJ Y., MD
GENDER: F
PROVIDER #: 265720
NPI #: 1215248067
PRIMARY CARE OF JOLIET
2025 S CHICAGO ST
JOLIET, IL 60436
PHONE: (815) 726-2200
E-PRESCRIBE: NO
AIJAZ, MAIMOONA, MD
GENDER: F
PROVIDER #: 188257
NPI #: 1679518518
1717 GLENWOOD AVE
JOLIET, IL 60435
PHONE: (815) 274-2828
E-PRESCRIBE: NO
190
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
JOLIET, IL
JOLIET, IL
SHAH, YATIN M., MD
GENDER: M
PROVIDER #: 041205
NPI #: 1235108911
PRIMARY CARE OF JOLIET
2025 S CHICAGO ST
JOLIET, IL 60436
PHONE: (815) 726-2200
DRUHE, JODY L., ARNP;
PROVIDER #: 245145
HUSHAW, LINDA L., ARNP;
PROVIDER #: 245194
MANCKE, VICTORIA L., CFNP;
PROVIDER #: 195053
MORALES, MELISA R., CNP;
PROVIDER #: 231134
SVARA, JACQUELINE P., APN;
PROVIDER #: 111169
E-PRESCRIBE: NO
TRAGER, GARY M., MD
GENDER: M
PROVIDER #: 037798
NPI #: 1982646535
FAMILY MEDICAL GROUP
SC
330 N MADISON ST SUITE 104
JOLIET, IL 60435
PHONE: (815) 725-3440
E-PRESCRIBE: NO
WUNDERLICH, ANDREW W.,
MD
GENDER: M
PROVIDER #: 118185
NPI #: 1275528341
WUNDERLICH MD SC
310 N HAMMES SUITE 101
JOLIET, IL 60435
PHONE: (815) 741-4445
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
DOYLE, TIMOTHY W., DO
GENDER: M
PROVIDER #: 210600
NPI #: 1548376510
WUNDERLICH MD SC
310 N HAMMES AVE SUITE
101
JOLIET, IL 60435
PHONE: (815) 741-4445
E-PRESCRIBE: NO
KRAVETS, SERGEI A., DO
GENDER: M
PROVIDER #: 182411
NPI #: 1386686012
FAMILY MEDICAL GROUP
SC
330 N MADISON ST SUITE 104
JOLIET, IL 60435
PHONE: (815) 725-3440
E-PRESCRIBE: NO
LATIF, MARIA R., MD
GENDER: F
PROVIDER #: 196449
NPI #: 1063620607
INTERNAL MEDICINE &
FAMILY PHYSICIANS SC
1051 ESSINGTON RD SUITE
290
JOLIET, IL 60435
PHONE: (815) 773-0099
SCHAPPELL, AMANDA A., PAC; PROVIDER #: 244883
E-PRESCRIBE: NO
MCVAY, MARK A., DO
GENDER: M
PROVIDER #: 177186
NPI #: 1366541484
CROSSROADS COUNSELING
SERVICES LLC
3077 W JEFFERSON ST SUITE
108
JOLIET, IL 60435
PHONE: (815) 941-3882
E-PRESCRIBE: YES
MEHTA, ABHISHEK, MD
GENDER:
PROVIDER #: 147812
NPI #: 1588852792
PRIMARY CARE JOLIET
2025 S CHICAGO ST
JOLIET, IL 60436
PHONE: (815) 726-2200
E-PRESCRIBE: NO
2202 ESSINGTON RD
JOLIET, IL 60435
PHONE: (815) 727-5821
E-PRESCRIBE: NO
QADRI, MUNEEB M., MD
GENDER:
PROVIDER #: 288173
NPI #: 1972815033
PRESENCE SERVICE
CORPORATION
3100 N THEODORE ST
JOLIET, IL 60435
PHONE: (815) 725-3454
E-PRESCRIBE: NO
SHIVELY, KARLA R., DO
GENDER: F
PROVIDER #: 110156
NPI #: 1871535450
FAMILY MEDICAL GROUP
SC
330 N MADISON ST SUITE 104
JOLIET, IL 60435
PHONE: (815) 725-3440
E-PRESCRIBE: NO
SIDIKI, ZENABU, MD
GENDER: F
PROVIDER #: 253154
NPI #: 1932377660
WUNDERLICH MD SC
2000 GLENWOOD AVE STE
107
JOLIET, IL 60435
PHONE: (815) 714-4445
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
191
Primary Care Physicians
WASZAK, MICHAEL L., MD
GENDER: M
PROVIDER #: 085578
NPI #: 1215971809
FAMILY MEDICAL GROUP
SC
330 N MADISON ST SUITE 104
JOLIET, IL 60435
PHONE: (815) 725-3440
E-PRESCRIBE: NO
GENERAL PRACTICE
AJMERE, KISHOR G., MD
GENDER: M
PROVIDER #: 041213
NPI #: 1144239369
KISHOR AJMERE MD LTD
2435 GLENWOOD AVE SUITE
110
JOLIET, IL 60435
PHONE: (815) 744-6005
E-PRESCRIBE: NO
PEDIATRICS
ASCHINBERG, LORENZO C.,
MD
GENDER: M
PROVIDER #: 041129
NPI #: 1043300460
L CLAUDE ASCHINBERG MD
LTD
114 BARNEY DR
JOLIET, IL 60435
PHONE: (815) 729-0521
E-PRESCRIBE: NO
ASCHINBERG, PAUL S., MD
GENDER: M
PROVIDER #: 072172
NPI #: 1326138744
L CLAUDE ASCHINBERG MD
LTD
114 BARNEY DR
JOLIET, IL 60435
PHONE: (815) 729-0521
E-PRESCRIBE: NO
192
GOPI, SHANTHI R., MD
GENDER: F
PROVIDER #: 200971
NPI #: 1821012410
CITY CENTER HEALTHCARE
300 N OTTAWA ST
JOLIET, IL 60432
PHONE: (815) 726-0311
E-PRESCRIBE: NO
JABER, NABIL, MD
GENDER: M
PROVIDER #: 058185
NPI #: 1679649388
DR JABER PEDATRICS PC
1106 N LARKIN AVE
JOLIET, IL 60435
PHONE: (815) 725-6226
E-PRESCRIBE: NO
MAINI, ANUJA, MD
GENDER: F
PROVIDER #: 277949
NPI #: 1649285206
PROVENA MEDICAL GROUP
301 N SPRINGFIELD AVE STE
120
JOLIET, IL 60435
PHONE: (815) 725-0007
E-PRESCRIBE: NO
NIAZI, SHERAHSAN K., MD
GENDER: M
PROVIDER #: 078149
NPI #: 1902972516
JOLIET PEDIATRICS &
FAMILY CARE LTD
831 N LARKIN AVE
JOLIET, IL 60435
PHONE: (815) 741-8888
E-PRESCRIBE: NO
JOLIET, IL
KALONA, IA
KALONA, IA
FAMILY PRACTICE
ACHARYA-GUPTA, SONIA,
MD
GENDER: F
PROVIDER #: 193436
NPI #: 1437345329
MERCY KALONA FAMILY
PRACTICE
503 3RD ST
KALONA, IA 52247
PHONE: (319) 656-3151
E-PRESCRIBE: NO
LAUGHLIN, MARY, MD
GENDER: F
PROVIDER #: 060474
NPI #: 1225071640
MERCY KALONA FAMILY
PRACTICE
503 THIRD ST
KALONA, IA 52247
PHONE: (319) 656-3151
E-PRESCRIBE: NO
SHARP, LARISA A., MD
GENDER: F
PROVIDER #: 190820
NPI #: 1346397619
MERCY KALONA FAMILY
PRACTICE
503 3RD ST
KALONA, IA 52247
PHONE: (319) 656-3151
E-PRESCRIBE: NO
SETLUR, USHA, MD
GENDER: F
PROVIDER #: 173923
NPI #: 1679533467
210 N HAMMES AVE SUITE
201
JOLIET, IL 60435
PHONE: (815) 741-8088
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
KANKAKEE, IL
KANKAKEE, IL
KANKAKEE, IL
ADULT/INTERNAL
MEDICINE
ALI, SYEDA F., MD
GENDER:
PROVIDER #: 280621
NPI #: 1861770679
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
ALMEIDA, ROSELLE, MD
GENDER: F
PROVIDER #: 280916
NPI #: 1720243645
RIVERSIDE MEDICAL
GROUP
375 N WALL ST
KANKAKEE, IL 60901
PHONE: (815) 936-3240
E-PRESCRIBE: YES
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: YES
ANSARI, NADEEM, MD
GENDER: M
PROVIDER #: 271589
NPI #: 1073651808
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
Primary Care Physicians
APPLEWHITE, TERRILL, MD
GENDER: M
PROVIDER #: 125011
NPI #: 1205910114
FIVE APPLES INPATIENT
SPECIALIST
400 N WALL ST SUITE 308
KANKAKEE, IL 60901
PHONE: (815) 937-7962
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP
400 N WALL ST SUITE 308
KANKAKEE, IL 60901
PHONE: (815) 937-7962
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
BEHAJ, VALBONA, MD
GENDER: F
PROVIDER #: 245856
NPI #: 1407011588
PRESENCE MEDICAL GROUP
500 W COURT ST
KANKAKEE, IL 60901
PHONE: (815) 937-2400
E-PRESCRIBE: NO
CHANDAN, NARESH, DO
GENDER:
PROVIDER #: 033633
NPI #: 1811094550
RIVERSIDE MEDICAL
GROUP INTERNAL
MEDICINE KANKAKEE
401 N WALL ST SUITE 102
KANKAKEE, IL 60901
PHONE: (815) 928-5090
CARTER, REBECCA A., ARNP;
PROVIDER #: 241078
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
CHATRATH, SANJAY, DO
GENDER: M
PROVIDER #: 043585
NPI #: 1861591711
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
DEEPANKAR, RAHUL, MD
GENDER: M
PROVIDER #: 194329
NPI #: 1376503045
LAUREN HANA MD
375 N WALL ST SUITE P610
KANKAKEE, IL 60901
PHONE: (815) 939-9394
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
DIDWANIA, SURESH, MD
GENDER: M
PROVIDER #: 117790
NPI #: 1093777880
INTERNAL MEDICINE
SPECIALISTS
555 W COURT ST STE 400
KANKAKEE, IL 60901
PHONE: (815) 932-4614
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
193
Primary Care Physicians
FAROOQI, SADAF A., MD
GENDER:
PROVIDER #: 277901
NPI #: 1366739013
PRESENCE MEDICAL GROUP
500 W COURT ST
KANKAKEE, IL 60901
PHONE: (815) 937-2400
E-PRESCRIBE: NO
HUSSAINI, ASIMA K., MD
GENDER: F
PROVIDER #: 156446
NPI #: 1437110970
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
HYRE, MICHAEL C., MD
GENDER: M
PROVIDER #: 186217
NPI #: 1083713978
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
MOSS, KEITH, MD
GENDER: M
PROVIDER #: 244026
NPI #: 1588601819
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: YES
194
PATEL, VALLABH N., MD
GENDER: M
PROVIDER #: 130849
NPI #: 1750344214
INTERNAL MEDICINE
SPECIALISTS OF KANKAKEE
555 W COURT ST 400
KANKAKEE, IL 60901
PHONE: (815) 932-4614
E-PRESCRIBE: YES
PATEL, VIKAS K., MD
GENDER: M
PROVIDER #: 278654
NPI #: 1235349598
RIVERSIDE HEALTH
SYSTEMS
375 N WALL ST SUITE P610
KANKAKEE, IL 60901
PHONE: (815) 939-9394
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
PYLE, NATHAN, DO
GENDER: M
PROVIDER #: 288332
NPI #: 1174821540
RIVERSIDE MEDICAL
GROUP INTERNAL
MEDICINE
401 N WALL ST STE 102
KANKAKEE, IL 60901
PHONE: (815) 928-5090
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
KANKAKEE, IL
KANKAKEE, IL
WROBLEWSKI, THOMAS, MD
GENDER: M
PROVIDER #: 244870
NPI #: 1891833612
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: YES
RMG INTERNAL MEDICINE
401 N WALL ST SUITE 102
KANKAKEE, IL 60901
PHONE: (815) 937-4404
E-PRESCRIBE: YES
FAMILY PRACTICE
AKINTILO, OLATUNJI R., MD
GENDER: M
PROVIDER #: 190101
NPI #: 1760485007
1 DEERBORN SQUARE SUITE
600
KANKAKEE, IL 60901
PHONE: (815) 304-5106
GAINER, MARTHA J., ARNP;
PROVIDER #: 231853
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP PRIMARY CARE
EAST COURT
1701 E COURT ST
KANKAKEE, IL 60901
PHONE: (815) 935-9391
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
KANKAKEE, IL
KANKAKEE, IL
CHANDAN, RITU, DO
GENDER: M
PROVIDER #: 280846
NPI #: 1710061650
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: YES
DOWNING, RASHIDA M., MD
GENDER: F
PROVIDER #: 208863
NPI #: 1750536645
MEADOWVIEW PRIMARY
CARE ASSOCIATES
70 MEADOWVIEW SUITE 300
KANKAKEE, IL 60901
PHONE: (815) 935-1100
ROSE, LISA A., CNP;
PROVIDER #: 236919
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
KAO, COLIN, DO
GENDER: M
PROVIDER #: 280871
NPI #: 1023129897
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: YES
KIM, DONG O., MD
GENDER: M
PROVIDER #: 281362
NPI #: 1104938984
PRESENCE MEDICAL GROUP
500 W COURT ST
KANKAKEE, IL 60901
PHONE: (815) 937-2400
E-PRESCRIBE: NO
Primary Care Physicians
KOLLA, RAJASEKHAR, MD
GENDER: M
PROVIDER #: 120883
NPI #: 1720160179
PROVENA MEDICAL GROUP
455 W COURT ST SUITE 102
KANKAKEE, IL 60901
PHONE: (815) 937-8744
BECKMAN, SHONNA C., PA-C;
PROVIDER #: 238076
E-PRESCRIBE: NO
MACEREN, RAYMOND G., MD
GENDER: M
PROVIDER #: 186677
NPI #: 1891706503
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
OLOFSSON, BRIAN P., MD
GENDER: M
PROVIDER #: 005258
NPI #: 1073604534
BRIAN OLOFSSON MD
400 N WALL ST SUITE 510
KANKAKEE, IL 60901
PHONE: (815) 932-5725
E-PRESCRIBE: YES
PHILIP-KULI, JULIA, MD
GENDER:
PROVIDER #: 264815
NPI #: 1417262031
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
POWELL, JENNIFER M., MD
GENDER: F
PROVIDER #: 238069
NPI #: 1124131966
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
WU, SIMON K., MD
GENDER: M
PROVIDER #: 092926
NPI #: 1407044241
401 N WALL SUITE 101
KANKAKEE, IL 60901
PHONE: (815) 933-1664
E-PRESCRIBE: NO
PEDIATRICS
ALFORD, RODNEY S., MD
GENDER: M
PROVIDER #: 101964
NPI #: 1427128909
RIVERSIDE COMMUNITY
HEALTH NETWORK
401 N WALL ST SUITE 206
KANKAKEE, IL 60901
PHONE: (815) 937-2044
BETTS, DAVINA M., PA;
PROVIDER #: 232222
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
195
KANKAKEE, IL
KENTLAND, IN
Primary Care Physicians
GUPTA, ANUJA, MD
GENDER: F
PROVIDER #: 166764
NPI #: 1013938257
RIVERSIDE CARDIAC
SPECIALISTS
500 N WALL ST SUITE 100
KANKAKEE, IL 60901
PHONE: (815) 933-2557
E-PRESCRIBE: NO
MCCUISTON JR,
STONEWALL, MD
GENDER: M
PROVIDER #: 064795
NPI #: 1720072143
MED-PEDS ASSOCIATES PC
375 N WALL ST STE P520
KANKAKEE, IL 60901
PHONE: (815) 933-0194
E-PRESCRIBE: YES
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
ISKANDER, SAFWAT G., MD
GENDER: M
PROVIDER #: 089072
NPI #: 1194781112
400 N WALL SUITE 312
KANKAKEE, IL 60901
PHONE: (815) 933-3200
E-PRESCRIBE: YES
JONAS, ROY E., MD
GENDER: M
PROVIDER #: 071122
NPI #: 1760582316
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
LEAHY-AUER, JOANNE M.,
MD
GENDER: F
PROVIDER #: 054745
NPI #: 1548369317
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
196
RIVERSIDE MEDICAL
GROUP PRIMARY CARE
ASSOC PAVILLI
375 N WALL ST STE P520
KANKAKEE, IL 60901
PHONE: (815) 933-0194
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
KANSAS, IL
FAMILY PRACTICE
SODVADIYA,
JITENDRAKUMAR, MD
GENDER: M
PROVIDER #: 280276
NPI #: 1194010496
FAMILY MEDICAL CENTER
104 E BUENA VISTA
KANSAS, IL 61933
PHONE: (217) 948-5905
E-PRESCRIBE: YES
GENERAL PRACTICE
AKERMAN, MICHAEL B., MD
GENDER: M
PROVIDER #: 011041
NPI #: 1356421473
KANSAS FAMILY MEDICAL
CENTER
104 E BUENA VISTA
KANSAS, IL 61933
PHONE: (217) 948-5905
E-PRESCRIBE: NO
KENTLAND, IN
ADULT/INTERNAL
MEDICINE
FLORIDO, GONZALO, MD
GENDER: M
PROVIDER #: 007020
NPI #: 1063552990
IMH KENTLAND CLINIC
303 N SEVENTH ST
KENTLAND, IN 47951
PHONE: (219) 474-5464
MORGAN, DEBORAH L., APN;
PROVIDER #: 144509
E-PRESCRIBE: NO
REYES, CRISANTO M., MD
GENDER: M
PROVIDER #: 096136
NPI #: 1154461978
IMH KENTLAND CLINIC
303 N SEVENTH
KENTLAND, IN 47951
PHONE: (219) 474-5464
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
KEWANEE, IL
KEWANEE, IL
KEWANEE, IL
ADULT/INTERNAL
MEDICINE
CASTATOR, JASON A., MD
GENDER: M
PROVIDER #: 294054
NPI #:
OSF SAINT LUKE MEDICAL
CENTER
1051 W SOUTH STREET
KEWANEE, IL 61443
PHONE: (309) 853-3361
E-PRESCRIBE: NO
Primary Care Physicians
NAHA, KAKAN K., MD
GENDER: M
PROVIDER #: 267738
NPI #: 1881609675
OSF SAINT LUKE MEDICAL
CENTER
1051 W SOUTH ST
KEWANEE, IL 61443
PHONE: (309) 853-3361
E-PRESCRIBE: NO
FAMILY PRACTICE
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
1051 SOUTH ST
KEWANEE, IL 61443
PHONE: (309) 676-8123
E-PRESCRIBE: YES
AHEARN, MICHAEL A., MD
GENDER: M
PROVIDER #: 084900
NPI #: 1184687717
AHEARN & ASSOCIATES
MEDICAL CENTER
519 ELLIOTT ST SUITE S 1
KEWANEE, IL 61443
PHONE: (309) 853-2442
ONEILL, KAROL, FNP;
PROVIDER #: 091909
E-PRESCRIBE: NO
LINDBOM, JAMES S., MD
GENDER: M
PROVIDER #: 053560
NPI #: 1740205954
OSF SAINT LUKE MEDICAL
CENTER
1051 W SOUTH ST
KEWANEE, IL 61443
PHONE: (309) 852-7700
E-PRESCRIBE: NO
AHEARN, MICHAEL, MD
GENDER: M
PROVIDER #: 273864
NPI #: 1184687717
OSF SAINT LUKE MEDICAL
CENTER
1051 W SOUTH ST
KEWANEE, IL 61443
PHONE: (309) 852-7500
E-PRESCRIBE: NO
LINDBOM, JAMES, MD
GENDER: M
PROVIDER #: 120070
NPI #: 1740205954
KEWANEE MEDICAL CLINIC
204 W SOUTH ST
KEWANEE, IL 61443
PHONE: (309) 853-5360
E-PRESCRIBE: NO
JEFFRIES, KEVIN, MD
GENDER: M
PROVIDER #: 090978
NPI #: 1871541615
REGIONAL HEALTH
PARTNERS
1258 W SOUTH ST SUITE 2
KEWANEE, IL 61443
PHONE: (309) 853-3677
GLASER, BETHANY L., PA-C;
PROVIDER #: 186008
HARKER, TAMI L., CNP;
PROVIDER #: 111142
E-PRESCRIBE: NO
PRATT, TIMOTHY A., MD
GENDER: M
PROVIDER #: 280149
NPI #: 1073719357
OSF MEDICAL GROUP
1051 W SOUTH ST
KEWANEE, IL 61443
PHONE: (815) 454-2811
E-PRESCRIBE: NO
RAMOS, JULIO A., MD
GENDER: M
PROVIDER #: 142325
NPI #: 1982629044
REGIONAL HEALTH
PARTNERS
1258 W SOUTH ST SUITE 2
KEWANEE, IL 61443
PHONE: (309) 853-3677
E-PRESCRIBE: NO
RARDIN, SEAN M., MD
GENDER: M
PROVIDER #: 273880
NPI #: 1225020076
OSF SAINT LUKE MEDICAL
CENTER
1051 W SOUTH STREET
KEWANEE, IL 61443
PHONE: (309) 853-3361
E-PRESCRIBE: NO
SAMUEL, ELDON M., MD
GENDER: M
PROVIDER #: 169310
NPI #: 1427149210
KEWANEE FAMILY HEALTH
CLINIC
1051 W SOUTH ST
KEWANEE, IL 61443
PHONE: (309) 852-7500
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
197
KEWANEE, IL
LA HARPE, IL
Primary Care Physicians
SATKAUSKAS, REMIGIJUS,
MD
GENDER: M
PROVIDER #: 092940
NPI #: 1760430524
REGIONAL HEALTH
PARTNERS
1258 W SOUTH ST SUITE 2
KEWANEE, IL 61443
PHONE: (309) 853-3677
BROKAW, JENNIFER, FNP;
PROVIDER #: 089415
HARKER, TAMI L., CNP;
PROVIDER #: 111142
MARTIN, KATHLEEN, FNP;
PROVIDER #: 096592
E-PRESCRIBE: NO
SHAH, SAIF U., MD
GENDER: M
PROVIDER #: 273874
NPI #: 1396914065
OSF SAINT LUKE MEDICAL
CENTER
1051 W SOUTH STREET
KEWANEE, IL 61443
PHONE: (309) 853-3361
E-PRESCRIBE: NO
SNIDER, CRYSTAL, MD
GENDER: F
PROVIDER #: 153721
NPI #: 1700098845
REGIONAL HEALTH
PARTNERS
1258 W SOUTH ST SUITE 2
KEWANEE, IL 61443
PHONE: (309) 853-3677
E-PRESCRIBE: NO
198
KIRKWOOD, MO
ADULT/INTERNAL
MEDICINE
COULSON, KATHRYN A., MD
GENDER: F
PROVIDER #: 130212
NPI #: 1417160185
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY RD
STE 205
KIRKWOOD, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
MORLEY, JOHN E., MD
GENDER: M
PROVIDER #: 074960
NPI #: 1851302418
DES PERES HOSPITAL
2345 DOUGHERTY FERRY RD
STE 420
KIRKWOOD, MO 63122
PHONE: (314) 966-9313
E-PRESCRIBE: NO
KNOXVILLE, IL
FAMILY PRACTICE
DEYOUNG, MARK B., MD
GENDER: M
PROVIDER #: 081957
NPI #: 1306845045
KNOXVILLE CLINIC
904 E MAIN ST
KNOXVILLE, IL 61448
PHONE: (309) 289-2341
E-PRESCRIBE: NO
GRADY, CLYDE M., MD
GENDER: M
PROVIDER #: 052173
NPI #: 1851484075
OSF MEDICAL GROUP
104 S BROAD ST
KNOXVILLE, IL 61448
PHONE: (309) 289-2335
E-PRESCRIBE: NO
KUTTAWA, KY
FAMILY PRACTICE
WILDER, DEBRA L., MD
GENDER: F
PROVIDER #: 297508
NPI #: 1174513915
KUTTAWA CLINIC PLLC
91 CEDAR STREET
KUTTAWA, KY 42055
PHONE: (270) 388-7380
E-PRESCRIBE: NO
LA HARPE, IL
FAMILY PRACTICE
DAVIS, KURTIS W., MD
GENDER: M
PROVIDER #: 233574
NPI #: 1639335193
FAMILY RURAL HEALTH OF
LA HARPE
501 E MAIN
LA HARPE, IL 61450
PHONE: (217) 659-3844
CRIM, MONICA G., ARNP;
PROVIDER #: 055526
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
LA SALLE, IL
LANARK, IL
LA SALLE, IL
Primary Care Physicians
LAKE ST LOUIS, MO
FAMILY PRACTICE
FAMILY PRACTICE
CALDERON, RICARDO J., MD
GENDER: M
PROVIDER #: 020199
NPI #: 1194886226
128 BUCKLIN ST
LA SALLE, IL 61301
PHONE: (815) 220-7170
E-PRESCRIBE: YES
ROOS, SCOTT K., MD
GENDER: M
PROVIDER #: 121839
NPI #: 1770596983
HAWK RIDGE MEDICAL
ASSOCIATES
#B19 6261 RONALD REAGAN
DR
LAKE ST LOUIS, MO 63367
PHONE: (636) 561-3021
E-PRESCRIBE: NO
FESS, KARA O., MD
GENDER: F
PROVIDER #: 092321
NPI #: 1700843950
HYGIENIC INSTITUTE
2970 CHARTERS ST
LA SALLE, IL 61301
PHONE: (815) 223-0196
CRIST, MARY FRANCES, APN;
PROVIDER #: 201110
E-PRESCRIBE: NO
PEDIATRICS
FAMILY PRACTICE
HAYNES, SUSAN E., MD
GENDER: F
PROVIDER #: 230862
NPI #: 1699863811
SSM CARDINAL GLENNON
AT ST JOSEPH HOSPITAL
WEST
400 MEDICAL PLAZA STE 220
LAKE ST LOUIS, MO 63367
PHONE: (314) 577-5674
E-PRESCRIBE: NO
CUANY, MARIANNA, MD
GENDER: F
PROVIDER #: 008443
NPI #: 1154335107
METHODIST MEDICAL
GROUP AT LACON
1112 E FIFTH ST
LACON, IL 61540
PHONE: (309) 246-2676
E-PRESCRIBE: NO
LLOYD, ANGELA M., MD
GENDER: F
PROVIDER #: 287488
NPI #: 1518912047
SSM ST JOSEPH HOSP WEST
PHYS BILLING
200 MEDICAL PLAZA
LAKE ST LOUIS, MO 63367
PHONE: (636) 625-5200
E-PRESCRIBE: NO
LACON, IL
GRIEBEL, CRAIG P., MD
GENDER: M
PROVIDER #: 075506
NPI #: 1740294347
METHODIST MEDICAL
GROUP AT LACON
1112 E FIFTH ST
LACON, IL 61540
PHONE: (309) 246-2676
E-PRESCRIBE: NO
MAJERUS, CHELSEA R., MD
GENDER: F
PROVIDER #: 299110
NPI #: 1154634376
SSM ST JOSEPH WEST PHYS
BILLING
100 MEDICAL PLAZA DRIVE
LAKE ST LOUIS, MO 633671366
PHONE: (636) 625-5200
E-PRESCRIBE: NO
NISAR, NUZHAT, MD
GENDER: F
PROVIDER #: 116627
NPI #: 1790730554
SSM ST JOSEPH WEST PHYS
BILLING
200 MEDICAL PLAZA
LAKE ST LOUIS, MO 633671379
PHONE: (636) 625-5200
E-PRESCRIBE: NO
WILMOTT, ROBERT, MD
GENDER: M
PROVIDER #: 075332
NPI #: 1821007824
SSM CARDINAL GLENNON
AT ST JOSEPH HOSPITAL
WEST
100 MEDICAL PLAZA
LAKE ST LOUIS, MO 63367
PHONE: (636) 625-5200
E-PRESCRIBE: NO
LANARK, IL
FAMILY PRACTICE
REESE, DAVID, MD
GENDER: M
PROVIDER #: 059260
NPI #: 1255307468
FHN FAMILY HEALTHCARE
CENTER
602 W OLYMPIC DR
LANARK, IL 61046
PHONE: (815) 493-2831
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
199
LAWRENCEVILLE, IL
LEMONT, IL
Primary Care Physicians
LAWRENCEVILLE, IL
LE CLAIRE, IA
ADULT/INTERNAL
MEDICINE
FAMILY PRACTICE
CLAGETT, CHARLES B., MD
GENDER: M
PROVIDER #: 283559
NPI #: 1467421545
LAWRENCE COUNTY
MEMORIAL HOSPITAL
PRIMARY CARE CLI
2111 LEXINGTON AVE SUITE
1
LAWRENCEVILLE, IL 62439
PHONE: (618) 943-7214
E-PRESCRIBE: NO
FAMILY PRACTICE
SMITH, JEFFREY, MD
GENDER: M
PROVIDER #: 164631
NPI #: 1982806923
PRIMARY CARE CLINIC
2111 LEXINGTON AVE SUITE
4
LAWRENCEVILLE, IL 62439
PHONE: (618) 943-7216
E-PRESCRIBE: NO
WINTERS, RACHEL A., MD
GENDER: F
PROVIDER #: 057693
NPI #: 1902884273
RACHEL WINTERS
2111 LEXINGTON AVE STE 3
LAWRENCEVILLE, IL 62439
PHONE: (618) 943-6202
E-PRESCRIBE: NO
200
SMITH, CHARLES A., DO
GENDER: M
PROVIDER #: 049407
NPI #: 1861498669
GENESIS HEALTH GROUP
200 CODY RD
LE CLAIRE, IA 52753
PHONE: (563) 289-2273
E-PRESCRIBE: NO
SPRENGELMEYER,
MICHELLE M., MD
GENDER: F
PROVIDER #: 162492
NPI #: 1326018524
GENESIS HEALTH GROUP
200 S CODY RD
LE CLAIRE, IA 52753
PHONE: (563) 421-9740
PALMER, TERESA J., PA-C;
PROVIDER #: 200105
E-PRESCRIBE: NO
LE ROY, IL
FAMILY PRACTICE
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
911 S CHESTNUT
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
KUBE, BRENDA A., MD
GENDER: F
PROVIDER #: 083676
NPI #: 1386660355
LE ROY FAMILY MEDICINE
911 S CHESTNUT ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
MITCHELL, PHILIP, MD
GENDER: M
PROVIDER #: 028458
NPI #: 1508839895
AMG LEROY
911 S CHESTNUT
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
911 S CHESTNUT ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
LEMONT, IL
FAMILY PRACTICE
SCIUBISZ, MARTA H., MD
GENDER: F
PROVIDER #: 278278
NPI #: 1922394808
PRESENCE MEDICAL GROUP
15947 127TH ST SUITE B
LEMONT, IL 60439
PHONE: (630) 243-6300
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
LENA, IL
LEXINGTON, IL
LENA, IL
ADULT/INTERNAL
MEDICINE
GILL, SIMRUN K., MD
GENDER: F
PROVIDER #: 204752
NPI #: 1740468800
MONROE CLINIC - LENA
214 N SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
LE, DANIEL, MD
GENDER: M
PROVIDER #: 067879
NPI #: 1972524676
MONROE CLINIC-LENA
214 N SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
Primary Care Physicians
TAWFIK, SHOKRY S., MD
GENDER: M
PROVIDER #: 088261
NPI #: 1013983436
FHN FAMILY HEALTHCARE
CENTER
160 W MAIN ST
LENA, IL 61048
PHONE: (815) 369-3300
E-PRESCRIBE: YES
WELL, MARCI, MD
GENDER: F
PROVIDER #: 049801
NPI #: 1821107699
GRAHAM MEDICAL GROUP
2001 N MAIN ST
LEWISTOWN, IL 61542
PHONE: (309) 647-0201
E-PRESCRIBE: NO
PEDIATRICS
DUEMLER, BRUCE K., MD
GENDER: M
PROVIDER #: 058040
NPI #: 1619041084
MONROE CLINIC-LENA
214 SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
LEWISTOWN, IL
FAMILY PRACTICE
FAMILY PRACTICE
ANUMU, ELISABETH A., MD
GENDER: F
PROVIDER #: 204736
NPI #: 1215185715
MONROE CLINIC-LENA
214 N SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
BOWERS, JOSHUA D., MD
GENDER: M
PROVIDER #: 167250
NPI #: 1194947002
GRAHAM MEDICAL GROUP
408 S MAIN ST
LEWISTOWN, IL 61542
PHONE: (309) 547-9700
GORHAM, BECKY L.;
PROVIDER #: 148869
E-PRESCRIBE: NO
GERBICK, BARBARA J., MD
GENDER: F
PROVIDER #: 128438
NPI #: 1326197468
MONROE CLINIC-LENA
214 N SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
PEDIATRICS
ROUDEBUSH, ANDREW, DO
GENDER: M
PROVIDER #: 279154
NPI #: 1376540559
GRAHAM MEDICAL GROUP
408 S MAIN ST
LEWISTOWN, IL 61542
PHONE: (309) 547-9700
E-PRESCRIBE: YES
LEXINGTON, IL
FAMILY PRACTICE
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
307 W MAIN
LEXINGTON, IL 61753
PHONE: (309) 365-8608
E-PRESCRIBE: NO
HAKES, PAUL E., MD
GENDER: M
PROVIDER #: 004325
NPI #: 1750315602
ADVOCATE MEDICAL
GROUP
307 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 365-8608
TYNER, JEAN MARIE, NP;
PROVIDER #: 137005
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
307 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 365-8608
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
201
Primary Care Physicians
FAMILY PRACTICE
STEFFEN, SAMUEL E., MD
GENDER: M
PROVIDER #: 093898
NPI #: 1790704435
ADVOCATE MEDICAL
GROUP
307 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 365-8608
TYNER, JEAN MARIE, NP;
PROVIDER #: 137005
E-PRESCRIBE: NO
LINCOLN, IL
ADULT/INTERNAL
MEDICINE
COX, MELISSA, MD
GENDER: F
PROVIDER #: 068917
NPI #: 1871699603
SPRINGFIELD CLINIC
100 STAHLHUT DR
LINCOLN, IL 62656
PHONE: (217) 735-9555
KAESEBIER, ASHLEY J., FNPC;
PROVIDER #: 168570
REXROAD, MARIA E., APN;
PROVIDER #: 023231
E-PRESCRIBE: NO
BIVIN, RICHARD E., MD
GENDER: M
PROVIDER #: 069652
NPI #: 1386641033
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
MENDEZ, SUE MARIE S., NP;
PROVIDER #: 126546
MURPHY, ROSEMARIE, NP;
PROVIDER #: 049849
SHELEY, ANDREA C., FNP;
PROVIDER #: 239502
THOMAS, NICOLE L., FNP;
PROVIDER #: 299843
TUCHOLKE, KATHLEEN E.,
FNP; PROVIDER #: 154792
E-PRESCRIBE: NO
CARROLL, DENNIS M., MD
GENDER: M
PROVIDER #: 007519
NPI #: 1396838835
SPRINGFIELD CLINIC
100 STAHLHUT DR
LINCOLN, IL 62656
PHONE: (217) 735-9555
DRAPER, SHARON L., NP;
PROVIDER #: 131153
TESSIER-QUINT, PATRICIA A.,
ARNP; PROVIDER #: 241056
E-PRESCRIBE: NO
KASA, PAUL R., MD
GENDER: M
PROVIDER #: 008519
NPI #: 1598751554
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
MURPHY, ROSEMARIE, NP;
PROVIDER #: 049849
TUCHOLKE, KATHLEEN E.,
FNP; PROVIDER #: 154792
E-PRESCRIBE: NO
202
LEXINGTON, IL
LINCOLN, IL
LAYA, MARIA F., MD
GENDER: F
PROVIDER #: 020928
NPI #: 1265428015
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
MURPHY, ROSEMARIE, NP;
PROVIDER #: 049849
E-PRESCRIBE: NO
MIZEUR, TRACY A., MD
GENDER: F
PROVIDER #: 108193
NPI #: 1467427716
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: NO
RIVERA, CHRISTOPHER E.,
MD
GENDER: M
PROVIDER #: 201934
NPI #: 1326200080
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
TUCHOLKE, KATHLEEN E.,
FNP; PROVIDER #: 154792
E-PRESCRIBE: NO
SCHAFER, ERIN R., MD
GENDER: F
PROVIDER #: 273242
NPI #: 1407145162
SPRINGFIELD CLINIC
100 STAHLHUT DR
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
LINCOLN, IL
LISBON, IA
WAHAB, AMIR JOHN, MD
GENDER: M
PROVIDER #: 032754
NPI #: 1881669158
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
MURPHY, ROSEMARIE, NP;
PROVIDER #: 049849
TUCHOLKE, KATHLEEN E.,
FNP; PROVIDER #: 154792
E-PRESCRIBE: NO
ZWILLING, THOMAS J., MD
GENDER: M
PROVIDER #: 008515
NPI #: 1427023704
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
MURPHY, ROSEMARIE, NP;
PROVIDER #: 049849
SHELEY, ANDREA C., FNP;
PROVIDER #: 239502
E-PRESCRIBE: NO
PEDIATRICS
COX, MELISSA, MD
GENDER: F
PROVIDER #: 068917
NPI #: 1871699603
SPRINGFIELD CLINIC
100 STAHLHUT DR
LINCOLN, IL 62656
PHONE: (217) 735-9555
KAESEBIER, ASHLEY J., FNPC;
PROVIDER #: 168570
REXROAD, MARIA E., APN;
PROVIDER #: 023231
E-PRESCRIBE: NO
Primary Care Physicians
LINCOLN, NE
FAMILY PRACTICE
CASTILLO, SARAH M., MD
GENDER: F
PROVIDER #: 298099
NPI #: 1700141850
PEOPLES HEALTH CENTER
1021 N 27TH ST
LINCOLN, NE 68503
PHONE: (402) 476-1455
E-PRESCRIBE: NO
2201 S 17TH ST
LINCOLN, NE 68502
PHONE: (402) 476-1455
E-PRESCRIBE: NO
2246 O ST
LINCOLN, NE 68510
PHONE: (402) 476-1455
E-PRESCRIBE: NO
ISRAEL, MICHAEL E., MD
GENDER: M
PROVIDER #: 282553
NPI #: 1184907362
PEOPLES HEALTH CENTER
1021 N 27TH ST
LINCOLN, NE 68503
PHONE: (402) 476-1455
E-PRESCRIBE: NO
2246 O ST
LINCOLN, NE 68510
PHONE: (402) 476-1455
E-PRESCRIBE: NO
LINCOLNWOOD, IL
ADULT/INTERNAL
MEDICINE
GILLAN, M AMIN, MD
GENDER: M
PROVIDER #: 269095
NPI #: 1316984305
PMG NORTHSHORE
LINCOLNWOOD
7380 N LINCOLN AVE
LINCOLNWOOD, IL 60712
PHONE: (847) 568-7400
E-PRESCRIBE: NO
MASSEL, BRUCE, MD
GENDER: M
PROVIDER #: 269102
NPI #: 1669419412
PMG NORTHSHORE
LINCOLNWOOD
7380 N LINCOLN AVE
LINCOLNWOOD, IL 60712
PHONE: (847) 568-7400
E-PRESCRIBE: NO
LISBON, IA
ADULT/INTERNAL
MEDICINE
GRAY, TODD W., MD
GENDER: M
PROVIDER #: 236997
NPI #: 1447346630
WASHINGTON COUNTY
HOSPITAL MEDICAL CLINIC
444 E POLK ST
LISBON, IA 52253
PHONE: (319) 653-6601
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
203
Primary Care Physicians
LOCKPORT, IL
LOVES PARK, IL
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
ANWAR, MUHAMMED UMAIR,
MD
GENDER: M
PROVIDER #: 087278
NPI #: 1568485084
ANWAR MED CENTER OF
SOUTHWEST SUBURB SC
300 READ ST SUITE B
LOCKPORT, IL 60441
PHONE: (815) 834-1903
E-PRESCRIBE: NO
PETERSON, KENNETH R., MD
GENDER: M
PROVIDER #: 223880
NPI #: 1912017104
ROCKFORD HEALTH
PHYSICIANS
7702 N ALPINE RD
LOVES PARK, IL 61111
PHONE: (815) 971-2000
E-PRESCRIBE: NO
FAMILY PRACTICE
KUNCHALA, VINITHA, MD
GENDER: F
PROVIDER #: 260147
NPI #: 1477756732
PMG LOCKPORT PEDS
703 E 9TH ST
LOCKPORT, IL 60441
PHONE: (815) 838-0694
E-PRESCRIBE: NO
LOUISIANA, MO
FAMILY PRACTICE
ONIK, JAN W., MD
GENDER: F
PROVIDER #: 299912
NPI #: 1982604930
HANNIBAL REGIONAL
MEDICAL GROUP
211 S 3RD T
LOUISIANA, MO 63353
PHONE: (573) 754-5555
E-PRESCRIBE: NO
204
FAMILY PRACTICE
DEGUZMAN, PEDRO B., MD
GENDER: M
PROVIDER #: 078686
NPI #: 1902834229
OSF MEDICAL GROUP
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8500
E-PRESCRIBE: NO
GO-LIM, JOCELYN R., MD
GENDER: F
PROVIDER #: 160697
NPI #: 1255376471
OSF MEDICAL GROUP
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8500
E-PRESCRIBE: NO
OSF MEDICAL GROUP-ROCK
CUT PROMPT CARE
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8450
E-PRESCRIBE: NO
LOCKPORT, IL
LOVES PARK, IL
KOUIMELIS, MICHAEL D., MD
GENDER: M
PROVIDER #: 160714
NPI #: 1033373907
OSF MEDICAL GROUP
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8500
E-PRESCRIBE: NO
LIM, EDISON U., MD
GENDER: M
PROVIDER #: 057274
NPI #: 1215966858
OSF MEDICAL GROUP
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8500
E-PRESCRIBE: NO
OSF MEDICAL GROUP-ROCK
CUT PROMPT CARE
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8450
E-PRESCRIBE: NO
MARCK, MICHAEL A., MD
GENDER: M
PROVIDER #: 160814
NPI #: 1720018161
OSF MEDICAL GROUP
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8500
E-PRESCRIBE: NO
MARTENS, MONICA A., MD
GENDER: F
PROVIDER #: 233909
NPI #: 1710142740
OSF MEDICAL GROUP
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8500
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
LOVES PARK, IL
MACOMB, IL
MORKER, DIVYESH N., MD
GENDER: M
PROVIDER #: 283397
NPI #: 1629399399
OSF PROMPTCARE
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8450
E-PRESCRIBE: NO
MUELLER, JOHN H., MD
GENDER: M
PROVIDER #: 136183
NPI #: 1952335333
OSF MEDICAL GROUP
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8500
E-PRESCRIBE: NO
MYERS, RACHEL N., MD
GENDER: F
PROVIDER #: 248529
NPI #: 1013149889
OSF PROMPTCARE-ROCK
CUT
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8450
E-PRESCRIBE: NO
SCHULTHEIS, MARTINE A.,
MD
GENDER: F
PROVIDER #: 278377
NPI #: 1275829178
OSF PROMPTCARE
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8450
E-PRESCRIBE: NO
Primary Care Physicians
TASHAKORI, MAHTAB, MD
GENDER: F
PROVIDER #: 172909
NPI #: 1508895780
OSF MEDICAL GROUP-ROCK
CUT PROMPT CARE
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8450
E-PRESCRIBE: NO
TILLERY, JEFFRY M., MD
GENDER: M
PROVIDER #: 102426
NPI #: 1689602211
OSF MEDICAL GROUP
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8500
E-PRESCRIBE: NO
TOMACRUZ, MOSES S., MD
GENDER: M
PROVIDER #: 160758
NPI #: 1144414921
OSF MEDICAL GROUP
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8500
E-PRESCRIBE: NO
PEDIATRICS
ORTEGA, ROMULO, MD
GENDER:
PROVIDER #: 223961
NPI #: 1194835389
ROCKFORD HEALTH
PHYSICIANS
7702 N ALPINE RD
LOVES PARK, IL 61111
PHONE: (815) 971-2000
E-PRESCRIBE: NO
PUNSALAN, ROBIN A., MD
GENDER: F
PROVIDER #: 252534
NPI #: 1326367236
OSF MEDICAL GROUP
9951 ROCK CUT CROSSING
LOVES PARK, IL 61111
PHONE: (815) 639-8500
E-PRESCRIBE: NO
ZIMMERMAN, CHRISTINE L.,
MD
GENDER: F
PROVIDER #: 220803
NPI #: 1649335472
ROCKFORD HEALTH
PHYSICIANS
7702 N ALPINE RD
LOVES PARK, IL 61111
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MACOMB, IL
ADULT/INTERNAL
MEDICINE
BIAGINI, TIMOTHY
GENDER:
PROVIDER #: 291931
NPI #: 1568618544
LAMOINE VALLEY CLINIC
5 DOCTORS LANE
MACOMB, IL 61455
PHONE:
E-PRESCRIBE: NO
BIAGINI, TIMOTHY, MD
GENDER: M
PROVIDER #: 247216
NPI #: 1568618544
GASTRO HEALTH OF
ILLINOIS
5 DOCTORS LN
MACOMB, IL 61455
PHONE: (309) 836-3387
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
205
Primary Care Physicians
MACOMB, IL
MACOMB, IL
FLORES, NOEL L., MD
GENDER: M
PROVIDER #: 132755
NPI #: 1316921000
MACOMB INTERNAL
MEDICINE
515 E GRANT ST SUITE 111
MACOMB, IL 61455
PHONE: (309) 837-9926
E-PRESCRIBE: NO
JALIL, YOUSAF, MD
GENDER: M
PROVIDER #: 212796
NPI #: 1629384136
MACOMB INTERNAL
MEDICINE
515 E GRANT ST SUITE 111
MACOMB, IL 61455
PHONE: (309) 837-9926
E-PRESCRIBE: NO
NEEKHRA, ANEESH, MD
GENDER: M
PROVIDER #: 248825
NPI #: 1134384548
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
402 S ADAMS ST
MACOMB, IL 61455
PHONE: (319) 754-4400
E-PRESCRIBE: NO
GREATHOUSE, DAVID J., DO
GENDER: M
PROVIDER #: 014521
NPI #: 1720071129
LAMOINE VALLEY CLINIC
FIVE DOCTORS LN
MACOMB, IL 61455
PHONE: (309) 836-3387
E-PRESCRIBE: NO
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
501 E GRANT ST SUITE 107
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: YES
GREATHOUSE, DAVID, DO
GENDER: M
PROVIDER #: 156388
NPI #: 1720071129
MCDONOUGH DISTRICT
HOSPITAL
525 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 833-4101
E-PRESCRIBE: NO
KARKARE, SUJATA A., MD
GENDER: F
PROVIDER #: 218650
NPI #: 1164430161
MACOMB INTERNAL
MEDICINE
515 E GRANT ST STE 112
MACOMB, IL 61455
PHONE: (309) 837-2414
E-PRESCRIBE: NO
REEM, DAVID W., MD
GENDER: M
PROVIDER #: 156504
NPI #: 1336124668
MACOMB INTERNAL
MEDICINE
515 E GRANT ST SUITE 111
MACOMB, IL 61455
PHONE: (309) 837-9926
E-PRESCRIBE: NO
HARRISON, HEATHER, MD
GENDER: F
PROVIDER #: 256692
NPI #: 1497929798
MCDONOUGH DISTRICT
HOSPITAL PEDIATRICS
505 E GRANT ST SUITE 202
MACOMB, IL 61455
PHONE: (309) 833-1729
POUNDERS, MELISSA, APN;
PROVIDER #: 194391
E-PRESCRIBE: NO
MILLER, DAVID L., DO
GENDER: M
PROVIDER #: 067033
NPI #: 1861497612
MEDICAL GROUP OF
MACOMB LLC
505 E GRANT ST SUITE 103
MACOMB, IL 61455
PHONE: (309) 833-3536
E-PRESCRIBE: NO
206
FAMILY PRACTICE
ARNOLD, JOHN M., MD
GENDER: M
PROVIDER #: 098418
NPI #: 1154327526
MCDONOUGH DISTRICT
HOSPITAL
525 E GRANT
MACOMB, IL 61455
PHONE: (309) 833-4101
E-PRESCRIBE: NO
FARR, CURTIS C., MD
GENDER: M
PROVIDER #: 023406
NPI #: 1700861937
SPRINGFIELD CLINICMACOMB
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MACOMB, IL
MACOMB, IL
Primary Care Physicians
LI, XIAOLU (SHERRY), MD
GENDER: F
PROVIDER #: 049467
NPI #: 1396810644
WESTERN ILLINOIS
MEDICAL GROUP
909 E GRANT ST SUITE A
MACOMB, IL 61455
PHONE: (309) 837-2000
E-PRESCRIBE: NO
WASCHULL, AMY S., MD
GENDER: F
PROVIDER #: 133973
NPI #: 1639264625
SPRINGFIELD CLINICMACOMB
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
ONEILL, CHARLES J., MD
GENDER: M
PROVIDER #: 014513
NPI #: 1881673226
SPRINGFIELD CLINICMACOMB
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
FAMILY PRACTICE OB
REEVES, MICHELLE R., MD
GENDER: F
PROVIDER #: 068487
NPI #: 1518942754
SPRINGFIELD CLINICMACOMB
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
POUNDERS, MELISSA L., NP;
PROVIDER #: 221315
E-PRESCRIBE: NO
STORTZUM, CHRISTOPHER
D., MD
GENDER: M
PROVIDER #: 107971
NPI #: 1124003843
SPRINGFIELD CLINICMACOMB
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
FARR, CURTIS C., MD
GENDER: M
PROVIDER #: 023406
NPI #: 1700861937
SPRINGFIELD CLINICMACOMB
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
ONEILL, CHARLES J., MD
GENDER: M
PROVIDER #: 014513
NPI #: 1881673226
SPRINGFIELD CLINICMACOMB
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
WASCHULL, AMY S., MD
GENDER: F
PROVIDER #: 133973
NPI #: 1639264625
SPRINGFIELD CLINICMACOMB
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
PEDIATRICS
BALBORT, LIBERTY A., MD
GENDER: F
PROVIDER #: 223246
NPI #: 1356597090
MCDONOUGH DISTRICT
HOSPITAL PEDIATRICS
505 E GRANT ST SUITE 202
MACOMB, IL 61455
PHONE: (309) 833-1729
POUNDERS, MELISSA, APN;
PROVIDER #: 194391
E-PRESCRIBE: NO
HARRISON, HEATHER, MD
GENDER: F
PROVIDER #: 256692
NPI #: 1497929798
MCDONOUGH DISTRICT
HOSPITAL PEDIATRICS
505 E GRANT ST SUITE 202
MACOMB, IL 61455
PHONE: (309) 833-1729
POUNDERS, MELISSA, APN;
PROVIDER #: 194391
E-PRESCRIBE: NO
LOCKARD, MARY
KATHLEEN, MD
GENDER: F
PROVIDER #: 095260
NPI #: 1679571152
MEDICAL GROUP OF
MACOMB LLC
505 E GRANT ST SUITE 103
MACOMB, IL 61455
PHONE: (309) 833-3536
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
207
Primary Care Physicians
MADISONVILLE, KY
ADULT/INTERNAL
MEDICINE
ADAMS-KRUEGER, ANDREA,
MD
GENDER: F
PROVIDER #: 297359
NPI #: 1902037021
THMS-ST JOSEPH MC LLC
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE:
E-PRESCRIBE: NO
AKRAM, MUHAMMAD, MD
GENDER: M
PROVIDER #: 298178
NPI #: 1902803737
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
ASSEFA, GETU, MD
GENDER: M
PROVIDER #: 298290
NPI #: 1326019142
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
BANDY, ERIC L., MD
GENDER: M
PROVIDER #: 297126
NPI #: 1881695815
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
208
MADISONVILLE, KY
MADISONVILLE, KY
BAUER, RICHARD C., MD
GENDER: M
PROVIDER #: 297136
NPI #: 1770689960
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
HARDISON, BARRY G., MD
GENDER: M
PROVIDER #: 297145
NPI #: 1225039258
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
CHANG FIGUEROA, SERGIO
E., MD
GENDER: M
PROVIDER #: 298378
NPI #: 1447498522
BAPTIST HEALTH MEDICAL
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
HEATHERLY, STEVEN, MD
GENDER: M
PROVIDER #: 298324
NPI #: 1922289602
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
DACOSTA, JOHN A., MD
GENDER: M
PROVIDER #: 298384
NPI #: 1932133642
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
KANBAR, ALI H., MD
GENDER: M
PROVIDER #: 298448
NPI #: 1831146844
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
GONDAL, MUHAMMAD K., MD
GENDER: M
PROVIDER #: 298677
NPI #: 1902082795
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
KOVTUN, NATALIA, MD
GENDER: F
PROVIDER #: 297147
NPI #: 1720184724
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MADISONVILLE, KY
MADISONVILLE, KY
POPESCU, TUDOR, MD
GENDER: M
PROVIDER #: 297376
NPI #: 1356448005
THMS-ST JOSEPH MC LLC
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE:
E-PRESCRIBE: NO
SREEKUMAR, BHASKARAN
N., MD
GENDER: M
PROVIDER #: 298335
NPI #: 1538140165
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
STEINFELD, CARROLL M.,
MD
GENDER: M
PROVIDER #: 298386
NPI #: 1588761290
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
TAYLOR, FRANK H., MD
GENDER: M
PROVIDER #: 298680
NPI #: 1295832913
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
Primary Care Physicians
VETTIANKAL, GEORGE J.,
MD
GENDER: M
PROVIDER #: 298482
NPI #: 1245211879
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
BUNCH, CHRISTOPHER A.,
MD
GENDER: M
PROVIDER #: 297454
NPI #: 1598956971
EMERGENCY SERVICES OF
VIRGINIA PC
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE:
E-PRESCRIBE: NO
WILLIAMS, KEVIN L., MD
GENDER: M
PROVIDER #: 297385
NPI #: 1316978034
THMS-ST JOSEPH MC LLC
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE:
E-PRESCRIBE: NO
CHANEY, BRIAN, MD
GENDER: M
PROVIDER #: 296986
NPI #: 1124029160
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
FAMILY PRACTICE
AHMED, ABDUL, MD
GENDER: M
PROVIDER #: 296963
NPI #: 1336376086
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
BOWLES, JAMES M., MD
GENDER: M
PROVIDER #: 296982
NPI #: 1316043516
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
CHAPPELL, KRISTY G., MD
GENDER: F
PROVIDER #: 297059
NPI #: 1073514030
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
FRALISH, BILLY K., MD
GENDER: M
PROVIDER #: 297080
NPI #: 1407149560
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
209
Primary Care Physicians
MADISONVILLE, KY
MADISONVILLE, KY
GOODALE, DIANNE L., MD
GENDER: F
PROVIDER #: 297082
NPI #: 1497851562
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
HAWS, PALMELLA N., MD
GENDER: F
PROVIDER #: 297443
NPI #: 1912954538
EMERGENCY SERVICES OF
VIRGINIA PC
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE:
E-PRESCRIBE: NO
TAWWAB, FAISAL, MD
GENDER: M
PROVIDER #: 297110
NPI #: 1285927277
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
HACK, MICHAEL L., MD
GENDER: M
PROVIDER #: 297087
NPI #: 1619073681
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
JONES, KENT E., MD
GENDER: M
PROVIDER #: 297095
NPI #: 1780780783
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
VINCENT, W K., MD
GENDER: M
PROVIDER #: 297117
NPI #: 1801897855
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
HANKE, FORREST A., MD
GENDER: M
PROVIDER #: 297090
NPI #: 1295831279
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
MCCLURE, WILLIAM T., MD
GENDER: M
PROVIDER #: 297101
NPI #: 1548218456
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
PEDIATRICS
HARGROVE, KENNETH R.,
MD
GENDER: M
PROVIDER #: 297092
NPI #: 1467413047
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
PISAREWICZ, KATARZYNA,
MD
GENDER: F
PROVIDER #: 297102
NPI #: 1114210101
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
210
FLOYD, JAN H., MD
GENDER: F
PROVIDER #: 297325
NPI #: 1326070699
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
KILGORE, APRIL, MD
GENDER: F
PROVIDER #: 297322
NPI #: 1407060569
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MADISONVILLE, KY
MAHOMET, IL
WOODS, AUBAINE M., MD
GENDER: F
PROVIDER #: 297327
NPI #: 1184771057
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
MAHOMET, IL
ADULT/INTERNAL
MEDICINE
SATHER, CARL A., MD
GENDER: M
PROVIDER #: 198681
NPI #: 1174733034
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
E-PRESCRIBE: YES
FAMILY PRACTICE
BRUNNER, DAWN C., MD
GENDER: F
PROVIDER #: 225404
NPI #: 1063643187
CHRISTIE CLINIC
1001 COMMERCIAL DR
MAHOMET, IL 61853
PHONE: (217) 586-6600
E-PRESCRIBE: NO
HENRICHS, CHRISTINE E.,
MD
GENDER: F
PROVIDER #: 093453
NPI #: 1619908662
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
HUSMANN, JEAN H., PA-C;
PROVIDER #: 016963
E-PRESCRIBE: YES
Primary Care Physicians
MADDEN, JESSICA D., MD
GENDER: F
PROVIDER #: 222831
NPI #: 1861627499
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
E-PRESCRIBE: YES
NELSON, CHRISTOPHER D.,
MD
GENDER: M
PROVIDER #: 107462
NPI #: 1083669519
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
E-PRESCRIBE: YES
OSAJI, ONA, MD
GENDER: F
PROVIDER #: 109274
NPI #: 1447269113
CHRISTIE CLINIC
1001 COMMERCIAL DR
MAHOMET, IL 61853
PHONE: (217) 586-6600
E-PRESCRIBE: YES
SAMUEL-PARKS, CARLA, MD
GENDER: F
PROVIDER #: 170575
NPI #: 1326245655
CHRISTIE CLINIC
1001 COMMERCIAL DR
MAHOMET, IL 61853
PHONE: (217) 586-6600
E-PRESCRIBE: YES
SCHAAP, PAUL A., MD
GENDER: M
PROVIDER #: 000146
NPI #: 1467548248
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
HUSMANN, JEAN H., PA-C;
PROVIDER #: 016963
E-PRESCRIBE: YES
WEBB, DAVID K., MD
GENDER: M
PROVIDER #: 000679
NPI #: 1619075017
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
HUSMANN, JEAN H., PA-C;
PROVIDER #: 016963
E-PRESCRIBE: YES
PEDIATRICS
SATHER, CARL A., MD
GENDER: M
PROVIDER #: 198681
NPI #: 1174733034
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
211
MANNING, IA
MARION, IL
Primary Care Physicians
PEDIATRICS
MANNING, IA
ADULT/INTERNAL
MEDICINE
NEEKHRA, ANEESH, MD
GENDER: M
PROVIDER #: 248825
NPI #: 1134384548
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
527 E GRANT ST
MANNING, IA 51455
PHONE: (319) 754-4400
E-PRESCRIBE: NO
MANTENO, IL
MAQUOKETA, IA
FAMILY PRACTICE
CHELLI, NAOMI, MD
GENDER: F
PROVIDER #: 265283
NPI #: 1609840834
JACKSON CO REGIONAL
HEALTH CENTER
700 W GROVE
MAQUOKETA, IA 52060
PHONE: (563) 652-2474
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
HYRE, MICHAEL C., MD
GENDER: M
PROVIDER #: 186217
NPI #: 1083713978
RIVERSIDE MEDICAL
CENTER
395 N LOCUST
MANTENO, IL 60950
PHONE: (815) 468-6870
E-PRESCRIBE: NO
MARENGO, IL
FAMILY PRACTICE
FAMILY PRACTICE
REBADIO SY, RHODORA A.,
MD
GENDER: F
PROVIDER #: 178950
NPI #: 1710085535
PROVENA MEDICAL GROUP
501 S LOCUST ST
MANTENO, IL 60950
PHONE: (815) 468-6737
E-PRESCRIBE: NO
212
JONAS, ROY E., MD
GENDER: M
PROVIDER #: 071122
NPI #: 1760582316
RIVERSIDE MEDICAL
CENTER
395 N LOCUST
MANTENO, IL 60950
PHONE: (815) 468-6870
E-PRESCRIBE: NO
ZAHEER, KASHIF M., MD
GENDER: M
PROVIDER #: 143994
NPI #: 1417996729
OSF MEDICAL GROUP
556 E GRANT HIGHWAY
MARENGO, IL 60152
PHONE: (815) 568-6557
E-PRESCRIBE: NO
MARION, IL
ADULT/INTERNAL
MEDICINE
LAKHDHIR, AMIN A., MD
GENDER: M
PROVIDER #: 246086
NPI #: 1356321970
SOUTHERN ILLINOIS
MEDICAL CARE
ASSOCIATES LLC
3331 WEST DEYOUNG ST
SUITE 305
MARION, IL 62959-5898
PHONE: (618) 993-0013
E-PRESCRIBE: YES
LAWLER BJORNBERG,
COLLEEN M., MD
GENDER: F
PROVIDER #: 076582
NPI #: 1750370243
1129 N CARBON ST
MARION, IL 62959
PHONE: (618) 993-0002
E-PRESCRIBE: NO
LAWLER, MICHAEL P., MD
GENDER: M
PROVIDER #: 169714
NPI #: 1629203708
1129 N CARBON ST SUITE 3
MARION, IL 62959
PHONE: (618) 993-1111
E-PRESCRIBE: NO
LUY, MICHAEL W., MD
GENDER: M
PROVIDER #: 256263
NPI #: 1720333768
SOUTHERN ILLINOIS
MEDICAL CARE
ASSOCIATES LLC
3331 W DEYOUNG ST SUITE
305
MARION, IL 62959-5898
PHONE: (618) 993-0013
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MARION, IL
MARION, IL
MOHR, CLINTON J., MD
GENDER: M
PROVIDER #: 245959
NPI #: 1356427736
SOUTHERN ILLINOIS
MEDICAL CARE
ASSOCIATES LLC
3331 W DEYOUNG ST SUITE
305
MARION, IL 62959-5898
PHONE: (618) 993-0013
E-PRESCRIBE: YES
POSTIGO-ALARCON,
RICARDO, MD
GENDER: M
PROVIDER #: 254853
NPI #: 1902060155
SOUTHERN ILLINOIS
MEDICAL CARE
ASSOCIATES LLC
3331 W DEYOUNG ST SUITE
305
MARION, IL 62959-5898
PHONE: (618) 993-0013
E-PRESCRIBE: YES
FAMILY PRACTICE
ALEXANDER, JAMES O., MD
GENDER: M
PROVIDER #: 033074
NPI #: 1114094851
MARION ALEXANDER
CLINIC
3106 OUTER DR SUITE 200
MARION, IL 62959
PHONE: (618) 997-4332
ALEXANDER, JENNIFER L.,
PA-C; PROVIDER #: 081229
BANKS, LONI J., ARNP;
PROVIDER #: 219339
FERRELL, LESLIE A., ARNP;
PROVIDER #: 227260
E-PRESCRIBE: NO
Primary Care Physicians
BRYANT, JODI L., MD
GENDER: F
PROVIDER #: 076976
NPI #: 1508848284
SOUTHERN ILLINOIS
MEDICAL CARE
ASSOCIATES
3411 PROFESSIONAL PARK
DR
MARION, IL 62959
PHONE: (618) 997-2161
BRINKLEY, JERI LYNN, PA-C;
PROVIDER #: 187861
COLLARD, TAMARA G., PA-C;
PROVIDER #: 070701
COOK, MOYA R., NP;
PROVIDER #: 244463
E-PRESCRIBE: NO
BURGE, SUZANNE, MD
GENDER: F
PROVIDER #: 105053
NPI #: 1467456798
SOUTHERN ILLINOIS
MEDICAL CARE
ASSOCIATES
3411 PROFESSIONAL PARK
DR
MARION, IL 62959
PHONE: (618) 997-2161
BOYD, PEGGY, CNP;
PROVIDER #: 135164
BRINKLEY, JERI LYNN, PA-C;
PROVIDER #: 187861
E-PRESCRIBE: NO
FORD, CLAYTON T., MD
GENDER: M
PROVIDER #: 279289
NPI #: 1689960650
3106 OUTER DR
MARION, IL 62959
PHONE: (618) 997-4332
BOYD, PEGGY M., CNP;
PROVIDER #: 247138
E-PRESCRIBE: NO
KENNEDY, NICOLE, MD
GENDER: F
PROVIDER #: 253775
NPI #: 1780902486
SOUTHERN ILLINOIS
MEDICAL CARE
ASSOCIATES
3411 PROFESSIONAL PARK
DR
MARION, IL 62959-6394
PHONE: (618) 997-2161
E-PRESCRIBE: NO
NEKZAD, MATIN, MD
GENDER: M
PROVIDER #: 045510
NPI #: 1679548689
SHAWNEE HEALTH CARE
MARION
1506 N SIOUX DR
MARION, IL 62959
PHONE: (618) 997-5270
E-PRESCRIBE: NO
SANGINENI, SHIREESHA, MD
GENDER: F
PROVIDER #: 236120
NPI #: 1578791422
HEARTLAND FAMILY
MEDICINE
3331 W DEYOUNG ST SUITE
309
MARION, IL 62959
PHONE: (618) 998-7155
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
SHAWNEE BEHAVIORAL
HEALTH SERVICES
GENDER:
PROVIDER #: 217743
NPI #: 1255362174
3111 WILLIAMSON CO PKWY
MARION, IL 62959
PHONE: (618) 997-3647
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
213
MARION, IL
MARSEILLES, IL
Primary Care Physicians
SHAWNEE HEALTH CAREMARION
GENDER:
PROVIDER #: 177547
NPI #: 1649405150
1506 N SIOUX DR
MARION, IL 62959
PHONE: (618) 997-5270
E-PRESCRIBE: NO
MADDUX, JONATHAN P., MD
GENDER: M
PROVIDER #: 212506
NPI #: 1417194689
FAMILY PRACTICE CLINIC
PSC
518 W GUM ST
MARION, KY 42064
PHONE: (270) 965-5238
E-PRESCRIBE: NO
PEDIATRICS
CHEDIAK, RONALD, MD
GENDER: M
PROVIDER #: 082832
NPI #: 1184627861
CHEDIAK PEDIATRICS
3331 W DEYOUNG SUITE 207
MARION, IL 62959
PHONE: (618) 993-1421
E-PRESCRIBE: NO
STARKEY, ANTHONY D., MD
GENDER: M
PROVIDER #: 297277
NPI #: 1801896196
789 CHAPEL HILL RD
MARION, KY 42064
PHONE: (270) 965-2005
E-PRESCRIBE: NO
MARION, KY
FAMILY PRACTICE
BROWN, ERIC
GENDER: M
PROVIDER #: 225106
NPI #: 1134235419
CRITTENDEN MEDICAL
SYSTEMS ER PHYSICIANS
520 WEST GUM STREET
MARION, KY 42064
PHONE: (270) 965-1042
E-PRESCRIBE: NO
MAROA, IL
FAMILY PRACTICE
CRAWFORD, SARAH E., DO
GENDER: F
PROVIDER #: 270128
NPI #: 1891929824
CRITTENDEN MEDICAL
SYSTEMS ER PHYSICIANS
520 WEST GUM STREET
MARION, KY 42064
PHONE: (270) 965-1042
E-PRESCRIBE: NO
214
RATLEY, AMY J., DO
GENDER: F
PROVIDER #: 150064
NPI #: 1538177688
CRITTENDEN MEDICAL
SYSTEMS ER PHYSICIANS
520 WEST GUM STREET
MARION, KY 42064
PHONE: (270) 965-1042
E-PRESCRIBE: NO
MILLER, TIMOTHY A., MD
GENDER: M
PROVIDER #: 031109
NPI #: 1588621205
114 E MAIN ST
MAROA, IL 61756
PHONE: (217) 794-5472
E-PRESCRIBE: NO
MARSEILLES, IL
ADULT/INTERNAL
MEDICINE
FLATT, LLOYD M., MD
GENDER: M
PROVIDER #: 032392
NPI #: 1295713766
MARSEILLES HEALTHCARE
CENTER
580 SYCAMORE ST
MARSEILLES, IL 61341
PHONE: (815) 795-2122
LOTESTO, MEGAN C., APN;
PROVIDER #: 206881
E-PRESCRIBE: YES
FAMILY PRACTICE
BECK-JAKUPAK, JANET, MD
GENDER: F
PROVIDER #: 012186
NPI #: 1518953520
MARSEILLES FAMILY
HEALTH CENTER
151 W WASHINGTON ST
MARSEILLES, IL 61341
PHONE: (815) 795-2171
E-PRESCRIBE: NO
PEDIATRICS
BEST, IAN P., MD
GENDER: M
PROVIDER #: 101279
NPI #: 1659359248
MARSEILLES HEALTHCARE
CENTER
580 SYCAMORE ST
MARSEILLES, IL 61341
PHONE: (815) 795-2122
LOTESTO, MEGAN C., APN;
PROVIDER #: 206881
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MARSHALL, IL
MARYVILLE, IL
MARSHALL, IL
FAMILY PRACTICE
JAMES, AMY C., MD
GENDER: F
PROVIDER #: 120308
NPI #: 1972549426
UNION HOSPITAL INC
408 N 2ND ST
MARSHALL, IL 62441
PHONE: (217) 826-2361
E-PRESCRIBE: YES
MCCALISTER, ELIZABETH A.,
MD
GENDER: F
PROVIDER #: 213764
NPI #: 1710092689
UNION HOSPITAL INC
408 N 2ND ST
MARSHALL, IL 62441
PHONE: (217) 826-2361
E-PRESCRIBE: NO
PINE-MATTAS, DENISE P.,
MD
GENDER: F
PROVIDER #: 186083
NPI #: 1659313989
CORK FAMILY MEDICINE
408 N 2ND ST
MARSHALL, IL 62441
PHONE: (217) 826-2361
E-PRESCRIBE: NO
UNION HOSPITAL INC
408 N 2ND ST
MARSHALL, IL 62441
PHONE: (217) 826-2361
E-PRESCRIBE: NO
TURNER, JAMES, DO
GENDER: M
PROVIDER #: 009064
NPI #: 1245221522
UNION HOSPITAL INC
408 N 2ND ST
MARSHALL, IL 62441
PHONE: (217) 826-2361
E-PRESCRIBE: NO
Primary Care Physicians
MARSHALLTOWN, IA
ADULT/INTERNAL
MEDICINE
STOCKER, CHAD M., DO
GENDER: M
PROVIDER #: 271946
NPI #: 1942313507
RADIANT COMPLEXIONS
DERMATOLOGY CLINIC OF
MARSHALL
265 1ST AVE SUITE 100
MARSHALLTOWN, IA 501585032
PHONE: (641) 753-2150
E-PRESCRIBE: YES
MARTINSVILLE, IL
FAMILY PRACTICE
DAVIS, DAVID, MD
GENDER: M
PROVIDER #: 006686
NPI #: 1053302240
CLARK COUNTY FAMILY
MEDICINE
890 RIDGELAWN RD
MARTINSVILLE, IL 62442
PHONE: (217) 382-4191
HERSHFIELD, THERESA M.,
CNP; PROVIDER #: 074326
MORRISON, RACHEL K., PA-C;
PROVIDER #: 118328
SEIBOLD, BRENDA, FNP;
PROVIDER #: 098671
E-PRESCRIBE: NO
RICHARDS, JOHN J., MD
GENDER: M
PROVIDER #: 169168
NPI #: 1215193651
CLARK COUNTY FAMILY
MEDICINE
890 RIDGELAWN RD
MARTINSVILLE, IL 62442
PHONE: (217) 382-4191
E-PRESCRIBE: NO
MARYLAND HEIGHT,
MO
FAMILY PRACTICE
AGASINO, ARMELA R., MD
GENDER: F
PROVIDER #: 193782
NPI #: 1467569954
MISSOURI BAPTIST HOSP OF
PO BOX 1807
MARYLAND HEIGHT, MO
63043
PHONE: (314) 996-8101
E-PRESCRIBE: NO
MARYVILLE, IL
FAMILY PRACTICE
MALENCH, PETER B., MD
GENDER: M
PROVIDER #: 108468
NPI #: 1760465165
MALENCH & MALENCH MDS
10 PROFESSIONAL PARK DR
MARYVILLE, IL 62062
PHONE: (618) 288-7244
E-PRESCRIBE: NO
PEDIATRICS
EDDY, MARK, MD
GENDER: M
PROVIDER #: 074670
NPI #: 1760596126
ANDERSON HOSPITAL
2133 VADALABENE
MARYVILLE, IL 62062
PHONE: (618) 288-5606
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
215
MARYVILLE, IL
MATTOON, IL
Primary Care Physicians
GELLER, THOMAS, MD
GENDER: M
PROVIDER #: 074685
NPI #: 1962428813
ANDERSON HOSPITAL
2133 VADALABENE
MARYVILLE, IL 62062
PHONE: (618) 288-5606
E-PRESCRIBE: NO
MASON CITY, IL
FAMILY PRACTICE
MAJERUS, CHELSEA R., MD
GENDER: F
PROVIDER #: 299121
NPI #: 1154634376
SSM GLENNON CARE
PROFESSIONAL SERVICES
6800 STATE ROUTE 162
MARYVILLE, IL 62062-8500
PHONE: (618) 288-5711
E-PRESCRIBE: NO
NOYES, BLAKESLEE, MD
GENDER: M
PROVIDER #: 074977
NPI #: 1811906613
ANDERSON HOSPITAL
2133 VADALABENE
MARYVILLE, IL 62062
PHONE: (618) 288-5606
E-PRESCRIBE: NO
SCHULTZ, BRUCE W., MD
GENDER: M
PROVIDER #: 090450
NPI #: 1356307433
MASON CITY MEDICAL
ASSOCIATES RURAL
HEALTH
100 N MAIN ST
MASON CITY, IL 62664
PHONE: (309) 543-8564
E-PRESCRIBE: NO
MATTOON, IL
ADULT/INTERNAL
MEDICINE
MASON CITY, IA
ADULT/INTERNAL
MEDICINE
THANGARAJ, YUVARAJ, MD
GENDER: M
PROVIDER #: 292285
NPI #: 1215943063
ASSOCIATES IN KIDNEY
CARE PLC
910 N EISENHOWER
MASON CITY, IA 50401-1525
PHONE: (641) 428-7799
E-PRESCRIBE: NO
216
BITNER, BETHANY L., MD
GENDER: F
PROVIDER #: 228551
NPI #: 1316173164
MASON CITY MEDICAL
ASSOCIATES
122 E ELM
MASON CITY, IL 62664
PHONE: (217) 482-3400
E-PRESCRIBE: YES
CAMDEN, TIMOTHY, MD
GENDER: M
PROVIDER #: 280946
NPI #: 1659323327
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
CRADDOCK, RUTH A., MD
GENDER:
PROVIDER #: 297788
NPI #: 1891764643
SBL PHYSICIAN BILLING
1000 HEALTH CTR DRIVE
MATTOON, IL 61938
PHONE:
E-PRESCRIBE: NO
GOOD, ROBERT G., DO
GENDER: M
PROVIDER #: 280925
NPI #: 1639122922
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
JAMIS, EDELITA R., MD
GENDER: F
PROVIDER #: 280943
NPI #: 1942500335
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
JAMIS, ROEL CONRAD E., MD
GENDER: M
PROVIDER #: 280944
NPI #: 1033419429
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5960
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MATTOON, IL
MATTOON, IL
JOAG, KIRAN, MD
GENDER: M
PROVIDER #: 004144
NPI #: 1013023258
SBL FAMILY PRACTICE
CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7400
E-PRESCRIBE: NO
KATSAMAKIS,
CONSTANTINE D., DO
GENDER: M
PROVIDER #: 202779
NPI #: 1407906100
THE SBL HEART CENTER
1000 HEALTH CENTER DR
SUITE 107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
QATTASH, ISMAIL, MD
GENDER: M
PROVIDER #: 150677
NPI #: 1538329982
CHRISTIE CLINIC
105 B PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 345-3000
E-PRESCRIBE: YES
THAMEEM, DANISH, MD
GENDER: M
PROVIDER #: 285719
NPI #: 1821035106
SBL HEALTH CENTER
1000 HEALTH CENTER DR
SUITE 107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
Primary Care Physicians
VASSAY, JULIAN, MD
GENDER: M
PROVIDER #: 030247
NPI #: 1003922782
SBL INTERNAL MEDICINE
101 PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 258-2110
E-PRESCRIBE: NO
WINOGRAD, DAVID, DO
GENDER: M
PROVIDER #: 066193
NPI #: 1144337767
SBL INTERNAL MEDICINE
101 PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 849-3151
E-PRESCRIBE: NO
YAGNESH, DAVE, MD
GENDER: M
PROVIDER #: 271586
NPI #: 1295815645
SBL MEDICAL CENTER
1000 HEALTH CENTER DR
MATTOON, IL 61938
PHONE: (217) 238-4325
E-PRESCRIBE: NO
FAMILY PRACTICE
BALLENGEE, MELISSA A.,
MD
GENDER: F
PROVIDER #: 280958
NPI #: 1093093296
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
200 LERNA RD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5920
E-PRESCRIBE: YES
2512 HURST DR
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
BRAMHAM, AMANDA, MD
GENDER: F
PROVIDER #: 258200
NPI #: 1689994014
SBL MEDICAL CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
BRAZILL, KEVIN P., DO
GENDER: M
PROVIDER #: 299508
NPI #: 1003132788
CARLE PHYSICIAN GROUP
2512 HURST DRIVE
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
CARPENTER, KRISTINE R.,
MD
GENDER: F
PROVIDER #: 281301
NPI #: 1215198189
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
CATT, LUCAS L., MD
GENDER: M
PROVIDER #: 164037
NPI #: 1912174970
PRAIRIE FAMILY PRACTICE
PRAIRIE PAVILION I SUITE
103 1005 HEALTH CENTER
DR
MATTOON, IL 61938
PHONE: (217) 348-2525
MONTGOMERY, PATRICIA,
PA-C; PROVIDER #: 054487
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
217
Primary Care Physicians
DETERS, GREGORY, MD
GENDER: M
PROVIDER #: 050449
NPI #: 1497861702
SBL FAMILY MEDICAL
CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
DORNER, MATTHEW J., MD
GENDER: M
PROVIDER #: 192649
NPI #: 1528176880
SARAH BUSH LINCOLN
HEALTH CENTER
1000 HEALTH CENTER DR
SUITE 302
MATTOON, IL 61938
PHONE: (217) 238-4850
E-PRESCRIBE: NO
EMENECKER, MARK, DO
GENDER: M
PROVIDER #: 072301
NPI #: 1285740571
SARAH BUSH LINCOLN
HEALTH CENTER
1000 HEALTH CENTER DR
SUITE 302
MATTOON, IL 61938
PHONE: (217) 238-4850
E-PRESCRIBE: NO
GARNER, TODD E., DO
GENDER:
PROVIDER #: 298015
NPI #: 1871664292
SBL HEALTH CENTER
1000 HEALTH CENTER DR
MATTOON, IL 61938
PHONE:
E-PRESCRIBE: NO
218
KREMER, MARLENE, MD
GENDER: F
PROVIDER #: 050701
NPI #: 1831205749
SBL FAMILY PRACTICE
CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7000
LIDY, JUDY, APN; PROVIDER
#: 115007
E-PRESCRIBE: NO
LYSTILA, AJA, MD
GENDER: F
PROVIDER #: 280942
NPI #: 1215159744
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP
2512 HUST DR
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
MANTELL, SUSAN K., MD
GENDER: F
PROVIDER #: 287215
NPI #: 1881651461
SBL FAMILY MEDICAL
CENTER
1000 MEDICAL CENTER DR
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
MATTOON, IL
MATTOON, IL
MARTINEZ, JAIME, MD
GENDER: M
PROVIDER #: 248888
NPI #: 1962713909
SBL PRAIRIE FAMILY
PRACTICE
1005 HEALTH CENTER DR
SUITE 103
MATTOON, IL 61938
PHONE: (217) 258-2581
E-PRESCRIBE: NO
MIKEL, GARY, MD
GENDER: M
PROVIDER #: 042299
NPI #: 1962518746
SBL FAMILY MEDICAL
CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
WALK-IN CLINIC MATTOON
144 DETTRO DR
MATTOON, IL 61938
PHONE: (217) 238-3000
E-PRESCRIBE: NO
NEKKANTI, NARESH, MD
GENDER: M
PROVIDER #: 280941
NPI #: 1366762759
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
NEWTON, MATTHEW H., DO
GENDER: M
PROVIDER #: 272569
NPI #: 1831329531
CARLE PHYSICIAN GROUP
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5920
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MATTOON, IL
MATTOON, IL
2512 HURST DR
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
NEWTON, MATTHEW, DO
GENDER: M
PROVIDER #: 280927
NPI #: 1831329531
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
NOMMENSEN, MICHAEL J.,
MD
GENDER: M
PROVIDER #: 245329
NPI #: 1831105808
CARLE PHYSICIAN GROUP
200 LERNA ROAD SOUTH
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
RUBUSH, AMANDA, MD
GENDER: F
PROVIDER #: 299654
NPI #: 1447513148
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
THAIN, ROBERT, MD
GENDER: M
PROVIDER #: 241842
NPI #: 1285737213
SBL FAMILY PRACTICE
CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
Primary Care Physicians
WOCHNER, ROBERT J., MD
GENDER: M
PROVIDER #: 001942
NPI #: 1164538864
PRAIRIE FAMILY PRACTICE
PRAIRIE PAVILION I SUITE
103 1005 HEALTH CENTER
DR
MATTOON, IL 61938
PHONE: (217) 348-2525
E-PRESCRIBE: NO
GENERAL PRACTICE
LEIFHEIT, AMY J., MD
GENDER: F
PROVIDER #: 191681
NPI #: 1376707687
SBL PEDIATRIC CLINIC
PRAIRIE PAVILION I SUITE
100 1005 HEALTH CENTER
DR
MATTOON, IL 61938
PHONE: (217) 348-2525
FEARDAY, CARI, PA-C;
PROVIDER #: 102773
E-PRESCRIBE: NO
JOHNSON, CARL R., MD
GENDER: M
PROVIDER #: 118109
NPI #: 1275525701
500 HEALTH CENTER DR
SUITE 206
MATTOON, IL 61938
PHONE: (217) 258-4080
E-PRESCRIBE: YES
NWOSU, MARJORIE, MD
GENDER: F
PROVIDER #: 274139
NPI #: 1932164951
SBL HEALTH CENTER
200 RICHMOND AVE E
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
PEDIATRICS
SEWELL, SHANA, DO
GENDER: F
PROVIDER #: 273149
NPI #: 1386611663
SBL PEDIATRIC CLINIC
1005 HEALTH CENTER DR
SUITE 100
MATTOON, IL 61938
PHONE: (217) 258-4006
E-PRESCRIBE: NO
KNOX, DAVID R., MD
GENDER: M
PROVIDER #: 280949
NPI #: 1033222625
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
2512 HUST DR
MATTOON, IL 61938
PHONE: (217) 258-5900
FORSYTHE, JAMIE L., NP;
PROVIDER #: 206005
E-PRESCRIBE: YES
SNOWDEN, IVAN THOMAS,
MD
GENDER: M
PROVIDER #: 004045
NPI #: 1720194483
SBL PEDIATRICS
PRAIRIE PAVILION I SUITE
100 1005 HEALTH CENTER
DR
MATTOON, IL 61938
PHONE: (217) 348-2525
COPE, NOELLE R., APN;
PROVIDER #: 050263
SMITH, ELIZA, APN;
PROVIDER #: 208628
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
219
Primary Care Physicians
MAYFIELD, KY
ADULT/INTERNAL
MEDICINE
DOS REMEDIOS, ROBERTO,
MD
GENDER: M
PROVIDER #: 298717
NPI #: 1497872899
JACKSON PURCHASE
PULMONARY MEDICINE
PLLC
1111 MEDICAL CENTER
CIRCLE
MAYFIELD, KY 42066
PHONE: (270) 251-4040
E-PRESCRIBE: NO
PITARAS, ELIAS, MD
GENDER: M
PROVIDER #: 244756
NPI #: 1104096239
PINELAKE PHYSICIAN
PRACTICE LLC
1029 MEDICAL CENTER CIR
MAYFIELD, KY 42066
PHONE: (270) 251-4590
E-PRESCRIBE: NO
SALVUCCI, THOMAS J., DO
GENDER: M
PROVIDER #: 297986
NPI #: 1093783532
PINELAKE PHYSICIAN
PRACTICE LLC
1029 MEDICAL CENTER
CIRCLE
MAYFIELD, KY 42066
PHONE: (270) 251-4950
E-PRESCRIBE: NO
220
TOROK, ANITA, MD
GENDER: F
PROVIDER #: 201766
NPI #: 1952595159
PURCHASE
GASTROENTEROLOGY
ASSOCIATES PSC
1029 MEDICAL CENTER
CIRCLE SUITE 306
MAYFIELD, KY 42066
PHONE: (270) 251-4575
E-PRESCRIBE: NO
WOODS, TANYA M., MD
GENDER: F
PROVIDER #: 296886
NPI #: 1679576342
PINELAKE PHYSICIAN
PRACTICE LLC
1029 MEDICAL CENTER
CIRCLE
MAYFIELD, KY 42066
PHONE: (270) 251-4590
E-PRESCRIBE: NO
FAMILY PRACTICE
CARRICO, JEFFREY A., MD
GENDER: M
PROVIDER #: 185843
NPI #: 1982607610
WESTERN KY FAMILY
HEALTHCARE INC
318 SOUTH 7TH STREET
MAYFIELD, KY 42066
PHONE: (270) 251-3223
E-PRESCRIBE: NO
DOBROSE, CHRISTOPHER
D., MD
GENDER: M
PROVIDER #: 296891
NPI #: 1871564666
PINELAKE PHYSICIAN
PRACTICE LLC
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
PHONE: (270) 251-4080
E-PRESCRIBE: NO
MAYFIELD, KY
MAYFIELD, KY
JONES, DALE E., MD
GENDER: M
PROVIDER #: 096836
NPI #: 1750335923
1029 MEDICAL CENTER CIR
STE 200
MAYFIELD, KY 42066
PHONE: (270) 247-5320
E-PRESCRIBE: NO
STONE, RICHARD D., DO
GENDER: M
PROVIDER #: 262259
NPI #: 1508178336
STONE FAMILY PRACTICE
PLLC
1029 MEDICAL CENTER
CIRCLE
MAYFIELD, KY 42066
PHONE: (270) 251-4545
E-PRESCRIBE: NO
WILLIAMS, PATRICIA M., MD
GENDER: F
PROVIDER #: 297275
NPI #: 1952304891
110 S 9TH ST
MAYFIELD, KY 42066
PHONE: (270) 247-7795
E-PRESCRIBE: NO
WILLIAMS, WAYNE E., MD
GENDER: M
PROVIDER #: 297283
NPI #: 1366544827
110 S 9TH ST
MAYFIELD, KY 42066
PHONE: (270) 247-7795
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MAYFIELD, KY
MENDOTA, IL
PEDIATRICS
HUSSAIN, ABID, MD
GENDER: M
PROVIDER #: 260270
NPI #: 1164620340
MAYFIELD PEDIATRIC
CLINIC
417 SOUTH 6TH STREET
MAYFIELD, KY 42066
PHONE: (270) 247-1104
E-PRESCRIBE: NO
MAZON, IL
ADULT/INTERNAL
MEDICINE
COMFORT, CHARLES D., MD
GENDER: M
PROVIDER #: 020482
NPI #: 1861484321
MAZON MEDICAL CENTER
522 DEPOT ST
MAZON, IL 60444
PHONE: (815) 448-2423
EGIZIO, BRANDI R., PA-C;
PROVIDER #: 144981
E-PRESCRIBE: NO
MORRIS HOSPITAL &
HEALTHCARE CENTERS
522 DEPOT ST
MAZON, IL 60444
PHONE: (815) 448-2423
E-PRESCRIBE: NO
Primary Care Physicians
MCLEANSBORO, IL
FAMILY PRACTICE
PALEPU, SAI, MD
GENDER: M
PROVIDER #: 257038
NPI #: 1558673152
HAMILTON MEMORIAL
HOSPITAL
611 S MARSHALL AVE
MCLEANSBORO, IL 62859
PHONE: (618) 643-2361
E-PRESCRIBE: NO
GENERAL PRACTICE
COPE, ASUNCION R., MD
GENDER: F
PROVIDER #: 016432
NPI #: 1366446395
611 S MARSHALL
MCLEANSBORO, IL 62859
PHONE: (618) 643-2361
LORD, CINDY L., CNP;
PROVIDER #: 175281
VOGEL, TARA L., CNP;
PROVIDER #: 210029
E-PRESCRIBE: NO
MENDOTA, IL
ADULT/INTERNAL
MEDICINE
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
1315 MEMORIAL DR
MENDOTA, IL 61342
PHONE: (309) 676-8123
E-PRESCRIBE: YES
FAMILY PRACTICE
CHINN, MARY M., MD
GENDER: F
PROVIDER #: 030823
NPI #: 1750302253
OSF MEDICAL GROUP
1404 WASHINGTON ST
MENDOTA, IL 61342
PHONE: (815) 538-1825
BATTLES, JANE R., APN;
PROVIDER #: 256295
E-PRESCRIBE: NO
KRECKMAN, JOHN F., MD
GENDER: M
PROVIDER #: 287982
NPI #: 1124126909
OSF SAINT PAUL MEDICAL
CENTER
1401 E 12TH ST
MENDOTA, IL 61342
PHONE: (815) 539-7461
E-PRESCRIBE: NO
LOPEZ, LEONARDO, MD
GENDER: M
PROVIDER #: 059553
NPI #: 1376643007
ASSOCIATED PHYSICIANS
SC
1405 E 12TH ST SUITE 300
MENDOTA, IL 61342
PHONE: (815) 538-2031
E-PRESCRIBE: NO
OSF SAINT PAUL MEDICAL
CENTER
1401 EAST 12TH ST
MENDOTA, IL 61342
PHONE: (815) 539-7461
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
221
MENDOTA, IL
METROPOLIS, IL
Primary Care Physicians
MATHEIS-SOLIMAN, AMY M.,
DO
GENDER: F
PROVIDER #: 135047
NPI #: 1376566539
OSF MEDICAL GROUP
1401 E 12TH ST
MENDOTA, IL 61342
PHONE: (815) 539-7461
GONZALES, KRISTI A., PA;
PROVIDER #: 285189
VEZZETTI, ANGELA M., PA;
PROVIDER #: 225591
E-PRESCRIBE: NO
1405 E 12TH ST SUITE 600
MENDOTA, IL 61342
PHONE: (815) 538-7200
VEZZETTI, ANGELA M., PA;
PROVIDER #: 225591
E-PRESCRIBE: NO
SCHOLL, DAVID A., MD
GENDER: M
PROVIDER #: 022883
NPI #: 1841211380
OSF MEDICAL GROUP
1401 E 12TH ST
MENDOTA, IL 61342
PHONE: (815) 539-7461
E-PRESCRIBE: NO
1405 E 12TH ST SUITE 600
MENDOTA, IL 61342
PHONE: (815) 538-7200
EDWARDS, JONATHAN, APN;
PROVIDER #: 294391
MCCONVILLE, JUDITH A.,
APN; PROVIDER #: 137998
E-PRESCRIBE: NO
222
PEDIATRICS
SHULA, THOMAS J., MD
GENDER: M
PROVIDER #: 020263
NPI #: 1760486245
OSF CHILDRENS MEDICAL
GROUP-CONGENTIAL
HEART CEN
1401 E 12TH ST
MENDOTA, IL 61342
PHONE: (815) 227-5600
E-PRESCRIBE: NO
METAMORA, IL
ADULT/INTERNAL
MEDICINE
OBRIEN, DANIEL E., MD
GENDER: M
PROVIDER #: 182767
NPI #: 1275741829
OSF MEDICAL GROUP
928 W MOUNT VERNON
METAMORA, IL 61548
PHONE: (309) 367-2227
E-PRESCRIBE: NO
FAMILY PRACTICE
LINDSTROM, STEPHANIE M.,
MD
GENDER: F
PROVIDER #: 071728
NPI #: 1811903073
METHODIST MEDICAL
GROUP AT METAMORA
901 W WALNUT
METAMORA, IL 61548
PHONE: (309) 367-4144
E-PRESCRIBE: NO
WHITFORD, MICHAEL R., MD
GENDER: M
PROVIDER #: 008408
NPI #: 1164439980
METHODIST MEDICAL
GROUP AT METAMORA
901 W WALNUT
METAMORA, IL 61548
PHONE: (309) 367-4144
E-PRESCRIBE: NO
PEDIATRICS
OBRIEN, DANIEL E., MD
GENDER: M
PROVIDER #: 182767
NPI #: 1275741829
OSF MEDICAL GROUP
928 W MOUNT VERNON
METAMORA, IL 61548
PHONE: (309) 367-2227
E-PRESCRIBE: NO
METROPOLIS, IL
ADULT/INTERNAL
MEDICINE
BEJGUM, PAVAN, MD
GENDER: M
PROVIDER #: 202037
NPI #: 1437469343
BHARAT K PATEL MD
12 HOSPITAL DRIVE
METROPOLIS, IL 62960
PHONE: (618) 524-2182
E-PRESCRIBE: NO
PATEL, BHARAT K., MD
GENDER: M
PROVIDER #: 029364
NPI #: 1992735526
BHARAT K PATEL MD
12 HOSPITAL DRIVE
METROPOLIS, IL 62960
PHONE: (618) 524-2182
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
METROPOLIS, IL
MINONK, IL
FAMILY PRACTICE
OLIVER, RANDY E., MD
GENDER: M
PROVIDER #: 056986
NPI #: 1245219443
FAMILY PHYSICIANS
CENTER
1203 W 10TH ST
METROPOLIS, IL 62960
PHONE: (618) 524-3795
E-PRESCRIBE: NO
STATON, THOMAS W., MD
GENDER: M
PROVIDER #: 056987
NPI #: 1306825500
FAMILY PHYSICIANS
CENTER
1203 W 10TH ST
METROPOLIS, IL 62960
PHONE: (618) 524-3795
BROOKSHIER, CHERYL, FNP;
PROVIDER #: 073830
E-PRESCRIBE: NO
GENERAL PRACTICE
BAJUYO, BENITO C., MD
GENDER: M
PROVIDER #: 019862
NPI #: 1134119654
1006 BUTLER ST
METROPOLIS, IL 62960
PHONE: (618) 524-9232
E-PRESCRIBE: NO
MILAN, IL
FAMILY PRACTICE
JOHNSON, JOHN T., DO
GENDER: M
PROVIDER #: 213599
NPI #: 1598759284
MILAN MEDICAL GROUP
LTD
1929 E 10TH AVE
MILAN, IL 61264
PHONE: (309) 787-2600
E-PRESCRIBE: NO
Primary Care Physicians
MILFORD, IL
ADULT/INTERNAL
MEDICINE
ALFORD, RODNEY, MD
GENDER: M
PROVIDER #: 299265
NPI #: 1427128909
IMH MILFORD CLINIC
34 E JONES ST
MILFORD, IL 60953
PHONE: (815) 889-4241
E-PRESCRIBE: NO
REYES, CRISANTO M., MD
GENDER: M
PROVIDER #: 096136
NPI #: 1154461978
IMH MILFORD CLINIC
207 N AXTEL ST
MILFORD, IL 60953
PHONE: (815) 889-4241
E-PRESCRIBE: NO
MINONK, IL
ADULT/INTERNAL
MEDICINE
DODIA, NARAN P., MD
GENDER: M
PROVIDER #: 079271
NPI #: 1154401974
IMH MILFORD CLINIC
34 E JONES ST
MILFORD, IL 60953
PHONE: (815) 889-4241
E-PRESCRIBE: NO
WHITE, JESSICA L., MD
GENDER: F
PROVIDER #: 224721
NPI #: 1902048986
OSF MEDICAL GROUP
120 E 7TH ST
MINONK, IL 61760
PHONE: (309) 432-2515
E-PRESCRIBE: NO
FLORIDO, GONZALO, MD
GENDER: M
PROVIDER #: 007020
NPI #: 1063552990
IMH MILFORD CLINIC
207 N AXTEL ST
MILFORD, IL 60953
PHONE: (815) 889-4241
E-PRESCRIBE: NO
FAMILY PRACTICE
HALLORAN, THOMAS J., MD
GENDER: M
PROVIDER #: 000050
NPI #: 1588696785
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
322 N CHICAGO ST
MILFORD, IL 60953
PHONE: (815) 889-4011
E-PRESCRIBE: YES
MOY, CALVIN, MD
GENDER: M
PROVIDER #: 224829
NPI #: 1154558732
OSF MEDICAL GROUP
120 E 7TH ST
MINONK, IL 61760
PHONE: (309) 432-2515
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
223
MINOOKA, IL
MOLINE, IL
Primary Care Physicians
MINOOKA, IL
MOLINE, IL
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
KHAN, AFTAB, MD
GENDER: M
PROVIDER #: 047850
NPI #: 1720073729
LIBERTY MEDICAL CENTER
603 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 521-1010
E-PRESCRIBE: NO
ADE, DAVID T., MD
GENDER: M
PROVIDER #: 021034
NPI #: 1972589042
550 30TH AVE SUITE 12
MOLINE, IL 61265
PHONE: (309) 762-5513
E-PRESCRIBE: NO
FAMILY PRACTICE
MCVAY, MARK A., DO
GENDER: M
PROVIDER #: 177186
NPI #: 1366541484
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: YES
SAFDAR, SAIMA, MD
GENDER: F
PROVIDER #: 208118
NPI #: 1336449214
LIBERTY MEDICAL CENTER
603 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 521-1010
E-PRESCRIBE: NO
SYED, HASSNAIN S., MD
GENDER: M
PROVIDER #: 186955
NPI #: 1669798542
LIBERTY MEDICAL CENTER
603 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 521-1010
E-PRESCRIBE: NO
224
ADE, THOMAS D., MD
GENDER: M
PROVIDER #: 027926
NPI #: 1568448884
550 30TH AVE SUITE 12
MOLINE, IL 61265
PHONE: (309) 762-5513
BEDNAR, EMILY, ARNP;
PROVIDER #: 156251
E-PRESCRIBE: NO
CASTRO, REYNALDO M., MD
GENDER: M
PROVIDER #: 050708
NPI #: 1477539799
550 30TH AVE SUITE 12
MOLINE, IL 61265
PHONE: (309) 762-5513
BEDNAR, EMILY, ARNP;
PROVIDER #: 156257
E-PRESCRIBE: NO
CHELLI, EDWIN S., MD
GENDER: M
PROVIDER #: 181032
NPI #: 1508988353
TRINITY HEALTH
PARTNERS
525 VALLEY VIEW DR
MOLINE, IL 61265
PHONE: (309) 762-9869
E-PRESCRIBE: NO
AHMAD, ANIS, MD
GENDER: M
PROVIDER #: 092879
NPI #: 1174511661
3061 7TH ST SUITE A
MOLINE, IL 61265
PHONE: (309) 762-6161
E-PRESCRIBE: NO
CUNNINGHAM, PATRICK C.,
MD
GENDER: M
PROVIDER #: 034788
NPI #: 1548265556
GENESIS HEALTH GROUP
615 VALLEY VIEW DR SUITE
204
MOLINE, IL 61265
PHONE: (309) 764-4500
E-PRESCRIBE: NO
CADY, BRIAN T., MD
GENDER: M
PROVIDER #: 034239
NPI #: 1083619134
GENESIS HEALTH GROUP
3900 28TH AVE DR SUITE 200
MOLINE, IL 61265
PHONE: (309) 582-3789
HENSEL, COLLEEN A., FNP;
PROVIDER #: 062747
E-PRESCRIBE: NO
DAVIES, JOHN J., MD
GENDER: M
PROVIDER #: 069922
NPI #: 1437123064
7TH STREET INTERNAL
MEDICINE
600 JOHN DEERE RD SUITE
404
MOLINE, IL 61265
PHONE: (309) 779-3627
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MOLINE, IL
MOLINE, IL
UNITYPOINT CLINICINTERNAL MEDICINEMOLINE
600 JOHN DEERE RD SUITE
401
MOLINE, IL 61265
PHONE: (309) 779-3627
E-PRESCRIBE: YES
DURCO, MILAN, MD
GENDER: M
PROVIDER #: 118156
NPI #: 1811976137
MEDICAL ARTS
ASSOCIATES
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4240
E-PRESCRIBE: NO
HAQUE, SYED M., MD
GENDER: M
PROVIDER #: 072992
NPI #: 1720072960
COMMUNITY HEALTH CARE
MOLINE
1106 4TH AVENUE
MOLINE, IL 61265
PHONE: (563) 327-2000
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
E-PRESCRIBE: NO
HASSAN, SYED, MD
GENDER: M
PROVIDER #: 104474
NPI #: 1104810886
COMMUNITY HEALTH CARE
MOLINE
1106 4TH AVENUE
MOLINE, IL 61265
PHONE: (563) 327-2000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
Primary Care Physicians
HORANI, HANI, MD
GENDER: M
PROVIDER #: 135250
NPI #: 1437237542
MEDICAL ARTS
ASSOCIATES
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4220
E-PRESCRIBE: NO
OKBA, AHMED F., MD
GENDER: F
PROVIDER #: 107424
NPI #: 1538139100
MEDICAL ARTS
ASSOCIATES
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4210
E-PRESCRIBE: NO
KEEVEN, LEONARD J., MD
GENDER: M
PROVIDER #: 117740
NPI #: 1750347035
UNITYPOINT CLINICINTERNAL MEDICINE
MOLINE
600 JOHN DEERE RD SUITE
401
MOLINE, IL 61265
PHONE: (309) 779-3627
E-PRESCRIBE: YES
OLUTADE, TOYOSI T., MD
GENDER: M
PROVIDER #: 207354
NPI #: 1417111311
TRINITY 7TH STREET
INTERNAL MEDICINE
600 JOHN DEERE RD SUITE
401
MOLINE, IL 61265
PHONE: (309) 779-3627
E-PRESCRIBE: NO
KHALAFALLAH, AHMED, MD
GENDER: M
PROVIDER #: 026710
NPI #: 1366412934
MEDICAL ARTS
ASSOCIATES
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4215
E-PRESCRIBE: NO
MALLIK, NAMRATA, MD
GENDER: F
PROVIDER #: 216724
NPI #: 1750543179
GENESIS HEALTH GROUP
3900 28TH AVE DR SUITE 200
MOLINE, IL 61265
PHONE: (309) 582-3789
E-PRESCRIBE: NO
PANCHOLI, SANJAY S., DO
GENDER: M
PROVIDER #: 195787
NPI #: 1780894816
COMMUNITY HEALTH CARE
INC
1106 4TH AVE
MOLINE, IL 61265
PHONE: (563) 327-2000
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
CONVENIENT CARE
3900 28TH AVE DR SUITE 200
MOLINE, IL 61265
PHONE: (309) 281-6000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
225
Primary Care Physicians
PAREIGIS, ALEX J., MD
GENDER: M
PROVIDER #: 051790
NPI #: 1184603953
MEDICAL ARTS
ASSOCIATES
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4200
E-PRESCRIBE: NO
PAREIGIS, ELIZABETH R., MD
GENDER: F
PROVIDER #: 283007
NPI #: 1912292582
MEDICAL ARTS
ASSOCIATES LTD
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4222
E-PRESCRIBE: NO
PETERSON, JOHN M., MD
GENDER: M
PROVIDER #: 065441
NPI #: 1760452189
MEDICAL ARTS
ASSOCIATES
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4200
E-PRESCRIBE: NO
POGUE, CHARLES G., MD
GENDER: M
PROVIDER #: 020116
NPI #: 1912995697
GENESIS HEALTH GROUP
3900 28TH AVE SUITE 200
MOLINE, IL 61265
PHONE: (309) 582-3789
E-PRESCRIBE: NO
226
MOLINE, IL
MOLINE, IL
SATTI, VINAY V., MD
GENDER: M
PROVIDER #: 170479
NPI #: 1629099726
COMMUNITY HEALTH CARE
MOLINE
1106 4TH AVENUE
MOLINE, IL 61265
PHONE: (563) 327-2000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
APPEL, MIKKA M., MD
GENDER: F
PROVIDER #: 090042
NPI #: 1275505505
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
4101 JOHN DEERE RD
MOLINE, IL 61265
PHONE: (309) 765-1600
HANSSEN, MELISSA A., APN;
PROVIDER #: 045419
E-PRESCRIBE: NO
WARDLOW, JEAN E., MD
GENDER: F
PROVIDER #: 156745
NPI #: 1316984313
GENESIS HEALTH GROUP
3900 28TH AVE DR SUITE 200
MOLINE, IL 61265
PHONE: (309) 582-3789
E-PRESCRIBE: NO
BODE, DAWN M., MD
GENDER: F
PROVIDER #: 048510
NPI #: 1619972999
GENESIS HEALTH GROUP
3900 28TH AVE DR SUITE 200
MOLINE, IL 61265
PHONE: (309) 582-3789
E-PRESCRIBE: NO
FAMILY PRACTICE
BOLLAERT, MICHAEL J., MD
GENDER: M
PROVIDER #: 256994
NPI #: 1487975066
UNITYPOINT CLINIC
EXPRESS CARE-JOHN DEERE
RD
5401 44TH AVE DR SUITE 100
MOLINE, IL 61265
PHONE: (309) 779-5670
E-PRESCRIBE: NO
ALLA, HIMABINDU, MD
GENDER: F
PROVIDER #: 139332
NPI #: 1194780049
TRINITY HEALTH
PARTNERS
525 VALLEY VIEW DR
MOLINE, IL 61265
PHONE: (309) 762-9869
E-PRESCRIBE: NO
ANDERSON, BRIAN D., DO
GENDER: M
PROVIDER #: 048462
NPI #: 1134124191
GENESIS HEALTH GROUP
3900 28TH AVE DR SUITE 200
MOLINE, IL 61265
PHONE: (309) 582-3789
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
UNITYPOINT CLINIC
FAMILY MEDICINE-JOHN
DEERE RD
5401 44TH DR AVE SUITE 101
MOLINE, IL 61265
PHONE: (309) 779-4050
E-PRESCRIBE: NO
UNITYPOINT CLINICEXPRESS CARE-MOLINE
106 19TH AVE SUITE 103
MOLINE, IL 61265
PHONE: (309) 779-7050
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MOLINE, IL
MOLINE, IL
UNITYPOINT CLINICFAMILY MEDICINE MOLINE
525 VALLEY VIEW DR
MOLINE, IL 61265
PHONE: (309) 762-9869
E-PRESCRIBE: NO
BRINGAS, ENRIQUE M., MD
GENDER: M
PROVIDER #: 067317
NPI #: 1124025531
GENESIS HEALTH GROUP
3900 28TH AVE DR SUITE 200
MOLINE, IL 61265
PHONE: (309) 582-3789
E-PRESCRIBE: NO
CABRERA, JASMIN E., MD
GENDER: F
PROVIDER #: 149545
NPI #: 1003086364
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
4101 JOHN DEERE RD
MOLINE, IL 61265-6790
PHONE: (309) 765-1600
E-PRESCRIBE: NO
CARDOTT, RANDEL O., MD
GENDER: M
PROVIDER #: 287629
NPI #: 1295704674
MEDICAL ARTS ASSOC
600 JOHN DEERE RD #200
MOLINE, IL 61265
PHONE:
E-PRESCRIBE: NO
CARDOTT, RANDEL, MD
GENDER: M
PROVIDER #: 023629
NPI #: 1295704674
GENESIS CONVENIENT
CARE CLINIC
2350 41ST ST
MOLINE, IL 61265
PHONE: (309) 764-1880
E-PRESCRIBE: NO
Primary Care Physicians
CHICKRIS, NICOLE M., MD
GENDER: F
PROVIDER #: 257032
NPI #: 1922329507
UNITYPOINT CLINICEXPRESS CARE-JOHN DEERE
RD
5401 44TH AVE DR SUITE 100
MOLINE, IL 61265
PHONE: (309) 779-5670
E-PRESCRIBE: NO
UNITYPOINT CLINICEXPRESS CARE-MOLINE
106 19TH AVE SUITE 103
MOLINE, IL 61265
PHONE: (309) 779-7050
E-PRESCRIBE: NO
UNITYPOINT CLINICFAMILY MEDICINE-JOHN
DEERE RD
5401 44TH AVE DR SUITE 101
MOLINE, IL 61265
PHONE: (309) 779-4050
E-PRESCRIBE: NO
UNITYPOINT CLINICFAMILY MEDICINE-MOLINE
525 VALLEY VIEW DR
MOLINE, IL 61265
PHONE: (309) 762-9869
E-PRESCRIBE: NO
FISCELLA, RONALD B., MD
GENDER: M
PROVIDER #: 265240
NPI #: 1225039894
2526 41ST ST
MOLINE, IL 61265
PHONE: (309) 281-4000
E-PRESCRIBE: NO
GEICK, LYNN B., MD
GENDER: M
PROVIDER #: 075390
NPI #: 1326010299
JOHN DEERE MEDICAL
GROUP
4101 JOHN DEERE RD
MOLINE, IL 61265
PHONE: (309) 757-1905
HANSSEN, MELISSA A., APN;
PROVIDER #: 045419
E-PRESCRIBE: NO
GOLDEN, JOHN W., MD
GENDER: M
PROVIDER #: 020351
NPI #: 1417943499
GENESIS HEALTH GROUP
3900 28TH AVE DR SUITE 120
MOLINE, IL 61265
PHONE: (309) 582-3789
E-PRESCRIBE: NO
HAJI-ABDIRAHMAN,
HASSAN, MD
GENDER: M
PROVIDER #: 227583
NPI #: 1972735785
COMMUNITY HEALTH CARE
1106 4TH AVE
MOLINE, IL 61265
PHONE: (563) 327-2000
E-PRESCRIBE: YES
ILTIS, MARK, MD
GENDER: M
PROVIDER #: 108964
NPI #: 1659369353
GENESIS HEALTH GROUP
3900 28TH AVE SUITE 200
MOLINE, IL 61265
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
227
Primary Care Physicians
JENKINS, JULIA C., DO
GENDER: F
PROVIDER #: 195069
NPI #: 1346201316
TRINITY HEALTH
PARTNERS
525 VALLEY VIEW DR
MOLINE, IL 61265
PHONE: (309) 762-9869
E-PRESCRIBE: NO
KURANI, ILESH A., MD
GENDER: M
PROVIDER #: 207399
NPI #: 1508838848
QC MEDICAL GROUP &
WEIGHT LOSS CLINIC
4350 7TH ST SUITE B
MOLINE, IL 61265
PHONE: (309) 517-1180
E-PRESCRIBE: NO
KANE, FRANCIS L., MD
GENDER: M
PROVIDER #: 055003
NPI #: 1750353744
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
4101 JOHN DEERE RD
MOLINE, IL 61265
PHONE: (309) 765-1600
HANSSEN, MELISSA A., APN;
PROVIDER #: 045419
JAMES, ELIZABETH, PA;
PROVIDER #: 119454
E-PRESCRIBE: NO
LETNEY, TODD L., MD
GENDER: M
PROVIDER #: 055007
NPI #: 1295709657
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
4101 JOHN DEERE RD
MOLINE, IL 61265
PHONE: (309) 765-1600
HANSSEN, MELISSA A., APN;
PROVIDER #: 045419
E-PRESCRIBE: NO
KUKHAR, NATALIYA, MD
GENDER: F
PROVIDER #: 207735
NPI #: 1780868604
TRINITY HEALTH
PARTNERS
525 VALLEY VIEW DR
MOLINE, IL 61265
PHONE: (309) 762-9869
E-PRESCRIBE: NO
KUMAR, MUKESH, MD
GENDER:
PROVIDER #: 227592
NPI #: 1164756920
COMMUNITY HEALTH CARE
1106 4TH AVE
MOLINE, IL 61265
PHONE: (563) 327-2000
E-PRESCRIBE: YES
228
LINDLEY, JAMES A., MD
GENDER: M
PROVIDER #: 224531
NPI #: 1528064052
TRINITY EXPRESS CARE
106 19TH AVE SUITE 103
MOLINE, IL 61265
PHONE: (309) 779-7050
E-PRESCRIBE: NO
MCLOONE, PAUL, MD
GENDER: M
PROVIDER #: 026712
NPI #: 1114905460
TRINITY HEALTH
PARTNERS
525 VALLEY VIEW DR
MOLINE, IL 61265
PHONE: (309) 762-9869
E-PRESCRIBE: YES
MOLINE, IL
MOLINE, IL
UNITYPOINT CLINIC
FAMILY MEDICINE AT JOHN
DEERE
5401 44TH AVE DR SUITE 101
MOLINE, IL 61265
PHONE: (309) 779-4050
E-PRESCRIBE: YES
MENGANG, JOELLE M., MD
GENDER: F
PROVIDER #: 254678
NPI #: 1629389184
COMMUNITY HEALTH CARE
INC
1106 4TH AVE
MOLINE, IL 61265-1231
PHONE: (563) 327-2000
E-PRESCRIBE: NO
NWUMEH, EMMANUEL, MD
GENDER: M
PROVIDER #: 230646
NPI #: 1164643623
HYBRID MEDICAL GROUP
3061 7TH ST SUITE B
MOLINE, IL 61265
PHONE: (309) 200-0212
E-PRESCRIBE: YES
SHAIKH, DAANISH K., MD
GENDER: M
PROVIDER #: 284339
NPI #: 1902105588
JOHN DEER MEDICAL
GROUP
4101 JOHN DEER RD
MOLINE, IL 61265
PHONE: (309) 757-1905
E-PRESCRIBE: YES
SHNURMAN, BENJAMIN Z.,
DO
GENDER: M
PROVIDER #: 042345
NPI #: 1720060460
615 35TH AVE
MOLINE, IL 61265
PHONE: (309) 762-0476
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MOLINE, IL
MOLINE, IL
Primary Care Physicians
SPRENGELMEYER,
MICHELLE M., MD
GENDER: F
PROVIDER #: 162492
NPI #: 1326018524
GENESIS HEALTH GROUP
3900 28TH AVE DR SUITE 200
MOLINE, IL 61265
PHONE: (309) 582-3789
PALMER, TERESA J., PA-C;
PROVIDER #: 200105
E-PRESCRIBE: NO
WENCK, TODD, MD
GENDER: M
PROVIDER #: 087306
NPI #: 1750353595
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
4101 JOHN DEERE RD
MOLINE, IL 61265
PHONE: (309) 765-1600
HANSSEN, MELISSA A., APN;
PROVIDER #: 045419
E-PRESCRIBE: NO
TEMMERMAN, JOAN C., MD
GENDER: F
PROVIDER #: 260471
NPI #: 1710984158
GENESIS HEALTH GROUP
3800 29TH AVENUE DR SUITE
200
MOLINE, IL 61265
PHONE: (309) 281-6000
E-PRESCRIBE: NO
GENERAL PRACTICE
TERRONEZ, JARED A., MD
GENDER: M
PROVIDER #: 201375
NPI #: 1497990667
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
4101 JOHN DEERE RD
MOLINE, IL 61265
PHONE: (309) 765-1600
E-PRESCRIBE: NO
WANG, PAUL, MD
GENDER: M
PROVIDER #: 060636
NPI #: 1508839481
UNITYPOINT CLINICEXPRESS CARE-MOLINE
106 19TH AVE STE 103
MOLINE, IL 61265
PHONE: (309) 779-7050
E-PRESCRIBE: YES
CAJIGAL, ARTEMIO L., MD
GENDER: M
PROVIDER #: 020328
NPI #: 1609871540
GENESIS CONVENIENT
CARE-IL
2350 41ST ST
MOLINE, IL 61265
PHONE: (309) 764-1880
E-PRESCRIBE: NO
PEDIATRICS
BRODD, ANDERS J., MD
GENDER: M
PROVIDER #: 077666
NPI #: 1164482295
PEDIATRIC GROUP
ASSOCIATES SC
1625 AVENUE OF THE CITIES
MOLINE, IL 61265
PHONE: (309) 797-5437
E-PRESCRIBE: NO
BUNKER, DAVID G., MD
GENDER: M
PROVIDER #: 246462
NPI #: 1205820099
FRANKLIN PEDIATRICS SC
4376 7TH ST
MOLINE, IL 61265
PHONE: (309) 762-0777
E-PRESCRIBE: NO
CROUSE, DENNIS T., MD
GENDER: M
PROVIDER #: 267828
NPI #: 1225012180
TRINITY MOLINE
500 JOHN DEERE RD
MOLINE, IL 61265
PHONE: (309) 757-3131
E-PRESCRIBE: NO
HERR, THOMAS J., MD
GENDER: M
PROVIDER #: 077668
NPI #: 1295795326
PEDIATRIC GROUP
ASSOCIATES SC
1625 AVENUE OF THE CITIES
MOLINE, IL 61265
PHONE: (309) 797-5437
E-PRESCRIBE: NO
KHAN, NAFEES, MD
GENDER: M
PROVIDER #: 109963
NPI #: 1548255243
FRANKLIN PEDIATRICS SC
4376 7TH ST
MOLINE, IL 61265
PHONE: (309) 762-0777
E-PRESCRIBE: NO
TRINITY EXPRESS CARE
106 19TH ST SUITE 103
MOLINE, IL 61265
PHONE: (309) 779-7050
E-PRESCRIBE: NO
TRINITY MEDICAL CENTER
1106 4TH AVE
MOLINE, IL 61265
PHONE: (309) 779-2031
E-PRESCRIBE: NO
4600 3RD ST
MOLINE, IL 61265
PHONE: (309) 779-2031
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
229
Primary Care Physicians
KHOURY, SANDRA J., MD
GENDER: F
PROVIDER #: 077669
NPI #: 1831159342
PEDIATRIC GROUP
ASSOCIATES SC
1625 AVENUE OF THE CITIES
MOLINE, IL 61265
PHONE: (309) 797-5437
E-PRESCRIBE: NO
NEPTUNE, HAILE, MD
GENDER: F
PROVIDER #: 042391
NPI #: 1013977149
PEDIATRIC GROUP
ASSOCIATES SC
1625 AVENUE OF THE CITIES
MOLINE, IL 61265
PHONE: (309) 797-5437
E-PRESCRIBE: NO
KUKREJA, DEEPNA, MD
GENDER: F
PROVIDER #: 209042
NPI #: 1194017913
COMMUNITY HEALTH CARE
MOLINE
1106 4TH AVE
MOLINE, IL 61265
PHONE: (563) 327-2000
E-PRESCRIBE: NO
OZAKI, LINDA S., MD
GENDER: F
PROVIDER #: 065338
NPI #: 1053305003
COMMUNITY HEALTH CARE
MOLINE
1106 4TH AVENUE
MOLINE, IL 61265
PHONE: (563) 327-2000
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
E-PRESCRIBE: NO
KUKREJA, GAUTAM, MD
GENDER: M
PROVIDER #: 184580
NPI #: 1205151198
COMMUNITY HEALTH CARE
MOLINE
1106 4TH AVENUE
MOLINE, IL 61265
PHONE: (563) 327-2000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
MOEN, CHRISTOPHER S., MD
GENDER: M
PROVIDER #: 007039
NPI #: 1942260070
PEDIATRIC GROUP
ASSOCIATES SC
1625 AVENUE OF THE CITIES
MOLINE, IL 61265
PHONE: (309) 797-5437
E-PRESCRIBE: NO
SCHOTT, MICHAEL J., MD
GENDER:
PROVIDER #: 278203
NPI #: 1033179544
PEDIATRICS PLUS SC
4011 AVE OF THE CITIES
#101B
MOLINE, IL 61265
PHONE: (309) 517-6177
E-PRESCRIBE: NO
TUAZON, PAULITO D., MD
GENDER: M
PROVIDER #: 020304
NPI #: 1477559391
GENESIS CONVENIENT
CARE-IL
2350 41ST ST
MOLINE, IL 61265
PHONE: (309) 764-1880
E-PRESCRIBE: NO
MOLINE, IL
MONEE, IL
WALTER, ANDREW W., MD
GENDER: M
PROVIDER #: 158958
NPI #: 1154382034
PEDIATRIC GROUP
ASSOCIATES SC
1625 AVENUE OF THE CITIES
SUITE 120
MOLINE, IL 61265
PHONE: (309) 797-5437
E-PRESCRIBE: NO
MOMENCE, IL
FAMILY PRACTICE
POWELL, JENNIFER M., MD
GENDER: F
PROVIDER #: 238069
NPI #: 1124131966
RIVERSIDE MEDICAL
CENTER OF MOMENCE
3761 N ROUTE 1-17
MOMENCE, IL 60954
PHONE: (815) 472-3923
E-PRESCRIBE: NO
MONEE, IL
FAMILY PRACTICE
PHILIP-KULI, JULIA, MD
GENDER:
PROVIDER #: 264815
NPI #: 1417262031
RIVERSIDE MEDICAL
GROUP
25711 S EGYPTIAN TRAIL
MONEE, IL 60449
PHONE: (708) 534-7523
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3900 28TH AVE SUITE 200
MOLINE, IL 61265
PHONE: (309) 281-6000
E-PRESCRIBE: NO
230
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MONMOUTH, IL
MONMOUTH, IL
MONMOUTH, IL
ADULT/INTERNAL
MEDICINE
BASILICO, LEOPOLDO M.,
MD
GENDER: M
PROVIDER #: 265495
NPI #: 1538480603
OSF HOLY FAMILY
MEDICAL CENTER
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-3141
E-PRESCRIBE: NO
ESPINOZA, OSMAN, MD
GENDER: M
PROVIDER #: 253628
NPI #: 1861623100
OSF HOLY FAMILY CLINIC
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-3141
E-PRESCRIBE: NO
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
1201 E BROADWAY SUITE B
MONMOUTH, IL 61462
PHONE: (309) 343-4114
E-PRESCRIBE: YES
MEDRANO, RUBEN A., MD
GENDER: M
PROVIDER #: 066675
NPI #: 1073509683
OSF HOLY FAMILY CLINICS
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-1414
SHIMMIN, LEAH R., APN;
PROVIDER #: 207376
WAKELAND, JUDITH A., PA-C;
PROVIDER #: 113501
E-PRESCRIBE: NO
Primary Care Physicians
RATTANSI, SAJJAD A., MD
GENDER: M
PROVIDER #: 265488
NPI #: 1821202524
OSF HOLY FAMILY
MEDICAL CENTER
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-3141
E-PRESCRIBE: NO
JNANANAND, NAYANTARA,
MD
GENDER: F
PROVIDER #: 178688
NPI #: 1013128925
OSF HOLY FAMILY CLINICS
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-1414
E-PRESCRIBE: NO
ROYEEN, ABDUL W., MD
GENDER: M
PROVIDER #: 201037
NPI #: 1821227976
OSF HOLY FAMILY CLINICS
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-1414
E-PRESCRIBE: NO
KATCHEN, DEBRA, MD
GENDER: F
PROVIDER #: 163701
NPI #: 1427057942
COTTAGE MONMOUTH
CLINIC
2 AMERICINN WAY SUITE B
MONMOUTH, IL 61462
PHONE: (309) 734-0100
E-PRESCRIBE: NO
FAMILY PRACTICE
BATTENBURG, JAMES R., MD
GENDER: M
PROVIDER #: 100996
NPI #: 1851387443
OSF HOLY FAMILY CLINICS
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-1414
KUSLER, KEVIN J., PA-C;
PROVIDER #: 080024
MITCHELL, ROBERT J., PA-C;
PROVIDER #: 148544
E-PRESCRIBE: NO
CARRIER, JEREMY R., MD
GENDER: M
PROVIDER #: 206440
NPI #: 1871753921
COTTAGE MONMOUTH
CLINIC
2 AMERICINN WAY
MONMOUTH, IL 61462
PHONE: (309) 734-0100
E-PRESCRIBE: NO
LASALA, FRANK T., MD
GENDER: M
PROVIDER #: 119538
NPI #: 1538116975
OSF HOLY FAMILY CLINICS
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-1414
E-PRESCRIBE: NO
PADGETT, ROBERT D., MD
GENDER: M
PROVIDER #: 075613
NPI #: 1306832910
OSF HOLY FAMILY CLINICS
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-1414
WAKELAND, JUDITH A., PA-C;
PROVIDER #: 113501
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
231
Primary Care Physicians
PEDIATRICS
MONTICELLO, IL
WEIDMAN, MATTHEW J., MD
GENDER: M
PROVIDER #: 158313
NPI #: 1134226145
OSF HOLY FAMILY CLINICS
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-1414
E-PRESCRIBE: NO
MONROE CITY, MO
FAMILY PRACTICE
YAGER, RODNEY L., DO
GENDER: M
PROVIDER #: 126168
NPI #: 1851321202
HANNIBAL CLINIC
OPERATIONS LLC
400 N MAIN
MONROE CITY, MO 63456
PHONE: (573) 735-4541
E-PRESCRIBE: NO
MONTGOMERY, IL
FAMILY PRACTICE
NAVEED, RABIA, MD
GENDER: F
PROVIDER #: 293634
NPI #: 1134351604
ON CALL MEDICAL
1851 DOUGLAS BLVD
MONTGOMERY, IL 60538
PHONE: (630) 844-9900
E-PRESCRIBE: NO
232
ADULT/INTERNAL
MEDICINE
FARASAT, MORTEZA, MD
GENDER: M
PROVIDER #: 239025
NPI #: 1891849105
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
MONMOUTH, IL
MONTICELLO, IL
GLASCOCK, BRANDY, MD
GENDER: F
PROVIDER #: 249950
NPI #: 1578884995
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
E-PRESCRIBE: YES
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
MUHAMMAD, SAAD, MD
GENDER: M
PROVIDER #: 239024
NPI #: 1417188418
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
GONG, CHUNLING, MD
GENDER: F
PROVIDER #: 172231
NPI #: 1952572661
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
WALKER, NATHAN R., MD
GENDER: M
PROVIDER #: 109269
NPI #: 1629087325
CHRISTIE CLINIC
107 W AMIN ST
MONTICELLO, IL 61856
PHONE: (217) 762-3352
E-PRESCRIBE: YES
LANKER, WILLIAM K., MD
GENDER: M
PROVIDER #: 000664
NPI #: 1568429009
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
KODISH, BRIAN, PA-C;
PROVIDER #: 187780
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: YES
FAMILY PRACTICE
ELLIS, DOUGLAS R., MD
GENDER: M
PROVIDER #: 235919
NPI #: 1992790786
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
E-PRESCRIBE: YES
MANINT, JAMES E., DO
GENDER: M
PROVIDER #: 002832
NPI #: 1376534420
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MONTICELLO, IL
MORRIS, IL
MARTY, ANN C., MD
GENDER: F
PROVIDER #: 000153
NPI #: 1215958905
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
BARRE, CHRISTY, NP;
PROVIDER #: 009608
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: YES
SAMS, JACOB, MD
GENDER: M
PROVIDER #: 264065
NPI #: 1730340498
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 222916
NPI #: 1922235944
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
SPARENBERG, STEVEN, DO
GENDER: M
PROVIDER #: 068602
NPI #: 1386744506
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
PEARMAN, JENNIFER ANN,
PA; PROVIDER #: 154247
E-PRESCRIBE: YES
Primary Care Physicians
FAMILY PRACTICE OB
LANKER, WILLIAM K., MD
GENDER: M
PROVIDER #: 000664
NPI #: 1568429009
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
KODISH, BRIAN, PA-C;
PROVIDER #: 187780
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: YES
MARTY, ANN C., MD
GENDER: F
PROVIDER #: 000153
NPI #: 1215958905
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
BARRE, CHRISTY, NP;
PROVIDER #: 009608
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: YES
PEDIATRICS
PALAZZOLO, MICHAEL, MD
GENDER: M
PROVIDER #: 091833
NPI #: 1427065028
CHRISTIE CLINIC
107 W MAIN ST
MONTICELLO, IL 61856
PHONE: (217) 762-3352
E-PRESCRIBE: YES
MORGANFIELD, KY
FAMILY PRACTICE
RIGAUX, ARMAND J., MD
GENDER: M
PROVIDER #: 288152
NPI #: 1104929322
DEACONESS CLINIC INC
1700 US HWY 60 WEST
MORGANFIELD, KY 42437
PHONE: (270) 389-0031
E-PRESCRIBE: NO
MORRIS, IL
ADULT/INTERNAL
MEDICINE
ALAHDAB, MOHAMAD, MD
GENDER: M
PROVIDER #: 267890
NPI #: 1184849747
MORRIS HOSPITAL AND
HEALTHCARE CENTERS
151 W HIGH ST
MORRIS, IL 60450
PHONE: (815) 705-1000
E-PRESCRIBE: NO
ANALYTIS, SPYRO D., MD
GENDER: M
PROVIDER #: 020444
NPI #: 1407953441
MEDICAL OFFICE OF
MORRIS
114 W WAVERLY ST
MORRIS, IL 60450
PHONE: (815) 941-1580
E-PRESCRIBE: NO
COMFORT, CHARLES D., MD
GENDER: M
PROVIDER #: 020482
NPI #: 1861484321
COMFORT MEDICAL
1345 N EDWARDS ST
MORRIS, IL 60450
PHONE: (815) 942-1421
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
233
Primary Care Physicians
MORRIS HEALTHCARE
1345 N EDWARDS ST SUITE
202
MORRIS, IL 60450
PHONE: (815) 942-1421
E-PRESCRIBE: NO
KHAN, AFTAB, MD
GENDER: M
PROVIDER #: 047850
NPI #: 1720073729
LIBERTY MEDICAL CENTER
1368 LIBERTY ST
MORRIS, IL 60450
PHONE: (815) 942-8080
E-PRESCRIBE: NO
KUCINSKI, LAURA J., DO
GENDER: F
PROVIDER #: 241169
NPI #: 1093010126
KUCINSKI MEDICAL LTD
114 W WAVERLY ST
MORRIS, IL 60450
PHONE: (815) 942-8210
E-PRESCRIBE: NO
PEPLOS, OLGA M., MD
GENDER: F
PROVIDER #: 070705
NPI #: 1891873113
MEDICAL OFFICE OF
MORRIS
114 W WAVERLY ST
MORRIS, IL 60450
PHONE: (815) 941-1580
E-PRESCRIBE: NO
FAMILY PRACTICE
CUMBA, CESARIO M., MD
GENDER: M
PROVIDER #: 020476
NPI #: 1811062300
TRATT CLINIC SC
219 BEDFORD RD
MORRIS, IL 60450
PHONE: (815) 942-3000
E-PRESCRIBE: NO
234
HENZE, MARLENE K., MD
GENDER: F
PROVIDER #: 027786
NPI #: 1154495786
151 W HIGH ST
MORRIS, IL 60450
PHONE: (815) 416-1331
E-PRESCRIBE: NO
JONES, JENNIFER L., MD
GENDER: F
PROVIDER #: 069192
NPI #: 1477510717
JENNIFER L JONES MD LLC
1499 LAKEWOOD DR
MORRIS, IL 60450
PHONE: (815) 416-1300
E-PRESCRIBE: NO
MCVAY, MARK A., DO
GENDER: M
PROVIDER #: 177186
NPI #: 1366541484
CROSSROADS COUNSELING
SERVICES LLC
1802 N DIVISION ST STE 509
MORRIS, IL 60450
PHONE: (815) 941-3882
E-PRESCRIBE: YES
SAFDAR, SAIMA, MD
GENDER: F
PROVIDER #: 208118
NPI #: 1336449214
LIBERTY MEDICAL CENTER
1368 LIBERTY ST
MORRIS, IL 60450
PHONE: (815) 942-8080
E-PRESCRIBE: NO
SALEEM, RAJA, MD
GENDER:
PROVIDER #: 213655
NPI #: 1083829105
1345 N EDWARDS ST
MORRIS, IL 60450
PHONE: (815) 448-2423
E-PRESCRIBE: YES
MORRIS, IL
MORTON GROVE, IL
SYED, HASSNAIN, MD
GENDER:
PROVIDER #: 269933
NPI #: 1669798542
LIBERTY MEDICAL CENTER
1368 LIBERTY ST
MORRIS, IL 60450
PHONE: (815) 942-8080
E-PRESCRIBE: NO
PEDIATRICS
JOHNSON, RICHARD C., MD
GENDER: M
PROVIDER #: 020497
NPI #: 1629153135
JOHNSON PEDIATRICS
320 LIBERTY ST
MORRIS, IL 60450
PHONE: (815) 942-5335
E-PRESCRIBE: NO
KIJEK, BARBARA G., MD
GENDER: F
PROVIDER #: 029910
NPI #: 1508822149
1802 N DIVISION ST SUITE
303
MORRIS, IL 60450
PHONE: (815) 741-7590
E-PRESCRIBE: NO
MORTON GROVE, IL
ADULT/INTERNAL
MEDICINE
BUCKMAN, JEFFREY, MD
GENDER: M
PROVIDER #: 267786
NPI #: 1760597710
PMG JEFFREY BUCKMAN
MD/ALLAN SUTOW MD
5747 DEMPSTER ST SUITE
300
MORTON GROVE, IL 60053
PHONE: (847) 324-8700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MORTON, IL
MORTON, IL
MORTON, IL
ADULT/INTERNAL
MEDICINE
MARSHALL, DOUGLAS, MD
GENDER: M
PROVIDER #: 091360
NPI #: 1477569499
MARSHALL INTERNAL
MEDICINE SC
110 N MAIN ST
MORTON, IL 61550
PHONE: (309) 266-8900
E-PRESCRIBE: NO
SIDLER, G GENE, MD
GENDER: M
PROVIDER #: 057275
NPI #: 1396844932
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
TAKATA ROSSI, JANICE L.,
MD
GENDER: F
PROVIDER #: 076565
NPI #: 1417144577
MORTON MEDICAL CENTER
1600 S FOURTH AVE SUITE
140
MORTON, IL 61550
PHONE: (309) 263-6154
E-PRESCRIBE: NO
FAMILY PRACTICE
AGARWAL, DEVASHISH, MD
GENDER: M
PROVIDER #: 162927
NPI #: 1841382298
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
Primary Care Physicians
BERATIO, CATHERINE R., MD
GENDER: F
PROVIDER #: 224725
NPI #: 1629200753
OSF MEDICAL GROUP
435 MAXINE DR SUITE 3 & 4
MORTON, IL 61550
PHONE: (309) 266-5405
E-PRESCRIBE: NO
CARRIGAN, MARC D., MD
GENDER: M
PROVIDER #: 223542
NPI #: 1225295223
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
COON, JOHN J., MD
GENDER: M
PROVIDER #: 292969
NPI #: 1437163540
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
COSTERISAN, AARON D., MD
GENDER: M
PROVIDER #: 292975
NPI #: 1396975736
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
CUANY, MARIANNA, MD
GENDER: F
PROVIDER #: 008443
NPI #: 1154335107
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
DOBBINS, LEAH E., MD
GENDER:
PROVIDER #: 300150
NPI #: 1871873745
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
DOERING, JACOB, MD
GENDER: M
PROVIDER #: 140791
NPI #: 1598887333
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
FORD, KIMBERLY Y., DO
GENDER: F
PROVIDER #: 185057
NPI #: 1275724866
KOCH FAMILY MEDICINE SC
411 MAXINE DR
MORTON, IL 61550
PHONE: (309) 263-2411
E-PRESCRIBE: NO
GOLBY, ANGELA A., DO
GENDER: F
PROVIDER #: 281464
NPI #: 1639183536
PROCTOR FIRST CARE
621 W JACKSON
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
235
Primary Care Physicians
GRIEBEL, CRAIG, MD
GENDER: M
PROVIDER #: 292965
NPI #: 1740294347
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
HAKE, RONALD L., MD
GENDER: M
PROVIDER #: 008409
NPI #: 1518971977
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
HARMS, JAY S., MD
GENDER: M
PROVIDER #: 051654
NPI #: 1518075282
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
JAFFER, ASIM K., MD
GENDER: M
PROVIDER #: 290048
NPI #: 1316193543
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
JAVED, MAHWESH, MD
GENDER: M
PROVIDER #: 199791
NPI #: 1710149224
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
236
JOHNSON, CHRISTOPHER R.,
MD
GENDER: M
PROVIDER #: 248547
NPI #: 1043445869
OSF MEDICAL GROUPMORTON
435 MAXINE DR SUITE 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
SCHROCK, BRIAN A., PA;
PROVIDER #: 296757
E-PRESCRIBE: NO
KOCH, STANLEY, MD
GENDER: M
PROVIDER #: 008623
NPI #: 1467436436
KOCH FAMILY MEDICINE SC
411 MAXINE DR
MORTON, IL 61550
PHONE: (309) 263-2411
GILLES, ANGELA J., FNP;
PROVIDER #: 098055
E-PRESCRIBE: NO
LINK, GREG A., DO
GENDER: M
PROVIDER #: 160479
NPI #: 1871692798
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
BABCOCK, MALINDA M., APN;
PROVIDER #: 209857
E-PRESCRIBE: NO
MAKSIMOVIC, DEJAN, DO
GENDER: M
PROVIDER #: 292989
NPI #: 1891992269
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
MORTON, IL
MORTON, IL
MCMILLIN, MATTHEW, MD
GENDER: M
PROVIDER #: 048253
NPI #: 1528021987
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
MONTEFOLKA, MARK P., MD
GENDER: M
PROVIDER #: 103596
NPI #: 1114026754
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
MUGO, LEAH, MD
GENDER: F
PROVIDER #: 228936
NPI #: 1679700694
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
MUSAITIF, ZIAD A., DO
GENDER: M
PROVIDER #: 062698
NPI #: 1316909328
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MORTON, IL
MORTON, IL
Primary Care Physicians
PATEL, JUMUNA, MD
GENDER: F
PROVIDER #: 113913
NPI #: 1033200928
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
SIAL, MUHAMMED I., MD
GENDER: M
PROVIDER #: 100173
NPI #: 1447212469
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
WIRTH, JILL, MD
GENDER: F
PROVIDER #: 168782
NPI #: 1003028150
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
RUBUSH, AMANDA, MD
GENDER: F
PROVIDER #: 294417
NPI #: 1447513148
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
STETTER, MATTHEW, DO
GENDER: M
PROVIDER #: 059603
NPI #: 1205935848
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
WRIGHT, AMANDA, DO
GENDER: F
PROVIDER #: 171472
NPI #: 1942404884
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
SAMUEL, ELDON M., MD
GENDER: M
PROVIDER #: 111572
NPI #: 1427149210
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
STONER, GREGG, MD
GENDER: M
PROVIDER #: 239435
NPI #: 1467546218
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
PEDIATRICS
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 275530
NPI #: 1922235944
PROCTOR FIRST CARE
621 W JACKSON
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
TONOZZI-KINZINGER,
JESSICA A., MD
GENDER: F
PROVIDER #: 273207
NPI #: 1447424791
OSF MEDICAL GROUP
435 MAXINE DR SUITE 3&4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
SHEPHERDSON, JOHN D., DO
GENDER: M
PROVIDER #: 058746
NPI #: 1164535910
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
WILLIAMS, TIMOTHY J., MD
GENDER: M
PROVIDER #: 275550
NPI #: 1508893595
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
BEATY, SHAD D., MD
GENDER:
PROVIDER #: 081377
NPI #: 1538241591
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
CHRISTISON, AMY, MD
GENDER: F
PROVIDER #: 008433
NPI #: 1720029267
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
CROSS, DAVID T., MD
GENDER: M
PROVIDER #: 134872
NPI #: 1831301282
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
237
Primary Care Physicians
KNIGHT, MATTHEW E., MD
GENDER: M
PROVIDER #: 052157
NPI #: 1346322310
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
LUNDY, MOLLY K., MD
GENDER: F
PROVIDER #: 255688
NPI #: 1124349089
OSF MEDICAL GROUP
432 MAXINE DRIVE SUITES 3
&4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
PRADHAN, SUSHMA R., MD
GENDER: F
PROVIDER #: 179132
NPI #: 1922185545
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
SIERRA, REBECCA A., MD
GENDER: F
PROVIDER #: 222767
NPI #: 1417186420
OSF MEDICAL GROUP
435 MAXINE DR SUITE 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
SUN, MAY, MD
GENDER:
PROVIDER #: 281253
NPI #: 1629365424
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
238
SUREKA, RACHANA, MD
GENDER: F
PROVIDER #: 094335
NPI #: 1093721573
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
MOUNT MORRIS, IL
FAMILY PRACTICE
PLESCIA, JOHN H., MD
GENDER: M
PROVIDER #: 227783
NPI #: 1366671463
KSB MEDICAL GROUP
405 CHARLES AVE
MOUNT MORRIS, IL 61054
PHONE: (815) 734-6061
E-PRESCRIBE: NO
MOWEAQUA, IL
FAMILY PRACTICE
BILYEU, ALAN D., MD
GENDER: M
PROVIDER #: 008961
NPI #: 1417956798
MOWEAQUA FAMILY
PRACTICE
620 N PUTNAM ST
MOWEAQUA, IL 62550
PHONE: (217) 768-3884
E-PRESCRIBE: YES
BILYEU, ALISON
GENDER: F
PROVIDER #: 134756
NPI #: 1568474823
MOWEAQUA FAMILY
PRACTICE
620 N PUTNAM ST
MOWEAQUA, IL 62550
PHONE: (217) 768-3884
E-PRESCRIBE: YES
MORTON, IL
MT CARROLL, IL
BILYEU, THOMAS M., MD
GENDER: M
PROVIDER #: 008962
NPI #: 1215936562
MOWEAQUA FAMILY
PRACTICE
620 N PUTNAM ST
MOWEAQUA, IL 62550-9466
PHONE: (217) 768-3884
E-PRESCRIBE: YES
MT CARROLL, IL
ADULT/INTERNAL
MEDICINE
GAERTNER, EUGENE M., MD
GENDER: M
PROVIDER #: 098281
NPI #: 1053387472
FHN FAMILY HEALTHCARE
CENTER
1120 HALTHCARE DR
MT CARROLL, IL 61053
PHONE:
E-PRESCRIBE: NO
MILLER, SHELLY A., MD
GENDER: F
PROVIDER #: 301203
NPI #: 1235387325
FHN FAMILY HEALTHCARE
1120 HEALTHCARE DR
MT CARROLL, IL 61053
PHONE: (815) 244-4181
E-PRESCRIBE: NO
FAMILY PRACTICE
HARMSTON, GREG T., MD
GENDER: M
PROVIDER #: 062931
NPI #: 1679549877
FHN FAMILY HEALTHCARE
CENTER
1120 HEALTHCARE DR
MT CARROLL, IL 61053
PHONE: (815) 244-4181
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MT PROSPECT, IL
MT ZION, IL
MT PROSPECT, IL
FAMILY PRACTICE
INDYK, SABRINA A., MD
GENDER: F
PROVIDER #: 231523
NPI #: 1124256136
MT PROSPECT FAMILY MED
601 W CENTRAL RD
MT PROSPECT, IL 60056
PHONE: (630) 914-2417
E-PRESCRIBE: NO
MT VERNON, IL
FAMILY PRACTICE
COX, ELIZABETH D., MD
GENDER: F
PROVIDER #: 168562
NPI #: 1801806039
716 SALEM RD
MT VERNON, IL 62864
PHONE: (618) 204-5891
E-PRESCRIBE: NO
MITCHELL, STEVEN C., MD
GENDER: M
PROVIDER #: 057692
NPI #: 1972500460
MT VERNON COMMUNITY
HEALTH CENTER
2920 VETERANS MEMORIAL
DR
MT VERNON, IL 62864
PHONE: (618) 244-6544
E-PRESCRIBE: NO
Primary Care Physicians
PEDIATRICS
JAVED, DURRI S., MD
GENDER: F
PROVIDER #: 027659
NPI #: 1275510604
MT VERNON COMMUNITY
HEALTH CENTER
2920 VETERANS MEMORIAL
DR
MT VERNON, IL 62864
PHONE: (618) 244-6544
MCCOY, DEBORAH A., FNP;
PROVIDER #: 177168
E-PRESCRIBE: NO
MT ZION, IL
FAMILY PRACTICE
BILYEU, SCOTT M., MD
GENDER: M
PROVIDER #: 200416
NPI #: 1053516971
MT ZION FAMILY CARE
CENTER
1200 N STATE HIGHWAY 121
MT ZION, IL 62549-1224
PHONE: (217) 864-5531
E-PRESCRIBE: NO
JONES, JED W., DO
GENDER: M
PROVIDER #: 203676
NPI #: 1740287226
MT VERNON COMMUNITY
HEALTH CENTER
2920 VETERANS MEMORIAL
DR
MT VERNON, IL 62864
PHONE: (618) 244-6544
E-PRESCRIBE: NO
COSTERISAN, DENNIS D., DO
GENDER: M
PROVIDER #: 014430
NPI #: 1578565701
MT ZION FAMILY CARE
CENTER
1200 N STATE HWY 121
MT ZION, IL 62549
PHONE: (217) 864-5531
AUTON, JULIE K., NP;
PROVIDER #: 181757
E-PRESCRIBE: NO
MT VERNON, IN
COVAULT, JOAN M., DO
GENDER: F
PROVIDER #: 222331
NPI #: 1346346236
MT ZION FAMILY CARE
CENTER
1200 N STATE HIGHWAY 121
MT ZION, IL 62549-1224
PHONE: (217) 864-5531
E-PRESCRIBE: NO
FAMILY PRACTICE
SUTTON, WILLIAM E., MD
GENDER: M
PROVIDER #: 183342
NPI #: 1902879109
DEACONESS CLINIC INC
813 E 4TH ST SUITE A
MT VERNON, IN 47620
PHONE: (812) 838-2139
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
239
Primary Care Physicians
SMITH, DANIEL B., MD
GENDER: M
PROVIDER #: 014431
NPI #: 1699779538
MT ZION FAMILY CARE
CENTER
1200 N STATE HWY 121
MT ZION, IL 62549
PHONE: (217) 864-5531
AUTON, JULIE K., NP;
PROVIDER #: 181757
HIGGINS, MORGAN L., PA-C;
PROVIDER #: 213265
E-PRESCRIBE: NO
MURPHYSBORO, IL
ADULT/INTERNAL
MEDICINE
HIGGINS, KELLY C., MD
GENDER: F
PROVIDER #: 266602
NPI #: 1356337133
MURPHYSBORO HEALTH
CENTER
7 S HOSPITAL DR
MURPHYSBORO, IL 62966
PHONE: (618) 687-3418
E-PRESCRIBE: NO
FAMILY PRACTICE
BELFER, EVAN T., MD
GENDER: M
PROVIDER #: 078338
NPI #: 1689780876
801 N 14TH ST
MURPHYSBORO, IL 62966
PHONE: (618) 687-2319
E-PRESCRIBE: NO
240
BLAISE, DALE W., MD
GENDER: M
PROVIDER #: 027020
NPI #: 1770557472
SIH MEDICAL GROUP AT
LOGAN PRIMARY CARE AT
MEDICAL
19 E SHAWNEE DR SUITE 2
MURPHYSBORO, IL 62966
PHONE: (618) 684-2172
SAILLIEZ, AMANDA S., PA;
PROVIDER #: 108680
E-PRESCRIBE: NO
FADDEN, CLARE, MD
GENDER: F
PROVIDER #: 095547
NPI #: 1932146271
MURPHYSBORO HEALTH
CENTER
SEVEN S HOSPITAL DR
MURPHYSBORO, IL 62966
PHONE: (618) 687-3418
BOUDET, PATRICIA A., PA-C;
PROVIDER #: 293257
CAMERON, GERALD R., PA;
PROVIDER #: 132566
KELLY, CHERI, PA; PROVIDER
#: 132564
WILSON, JILL B., APN;
PROVIDER #: 266597
E-PRESCRIBE: NO
HANSON, EMILY D., DO
GENDER: F
PROVIDER #: 086266
NPI #: 1023083748
SIH MEDICAL GROUP AT
LOGAN PRIMARY CARE AT
MEDICAL
19 E SHAWNEE DR SUITE 2
MURPHYSBORO, IL 62966
PHONE: (618) 684-2172
E-PRESCRIBE: NO
MT ZION, IL
MURPHYSBORO, IL
KUPFERER, THOMAS W., DO
GENDER: M
PROVIDER #: 027368
NPI #: 1437147089
MURPHYSBORO FAMILY
MEDICINE
628 N 14TH ST
MURPHYSBORO, IL 62966
PHONE: (618) 687-2353
E-PRESCRIBE: NO
628 N 14TH STREET
MURPHYSBORO, IL 62966
PHONE: (618) 687-2353
E-PRESCRIBE: NO
KUPFERER, VALERIE A., DO
GENDER: F
PROVIDER #: 294393
NPI #: 1003869280
MURPHYSBORO FAMILY
MEDICINE
628 N 14TH ST
MURPHYSBORO, IL 62966
PHONE: (618) 687-2353
E-PRESCRIBE: NO
RIPPERDA, JEFFREY, MD
GENDER: M
PROVIDER #: 132587
NPI #: 1306869557
MURPHYSBORO HEALTH
CENTER
7 S HOSPITAL DR
MURPHYSBORO, IL 62966
PHONE: (618) 687-3418
ELLIS, CHERYL A., APN;
PROVIDER #: 161401
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MURPHYSBORO, IL
MURRAY, KY
FAMILY PRACTICE OB
FADDEN, CLARE, MD
GENDER: F
PROVIDER #: 095547
NPI #: 1932146271
MURPHYSBORO HEALTH
CENTER
SEVEN S HOSPITAL DR
MURPHYSBORO, IL 62966
PHONE: (618) 687-3418
BOUDET, PATRICIA A., PA-C;
PROVIDER #: 293257
CAMERON, GERALD R., PA;
PROVIDER #: 132566
KELLY, CHERI, PA; PROVIDER
#: 132564
WILSON, JILL B., APN;
PROVIDER #: 266597
E-PRESCRIBE: NO
RIPPERDA, JEFFREY, MD
GENDER: M
PROVIDER #: 132587
NPI #: 1306869557
MURPHYSBORO HEALTH
CENTER
7 S HOSPITAL DR
MURPHYSBORO, IL 62966
PHONE: (618) 687-3418
ELLIS, CHERYL A., APN;
PROVIDER #: 161401
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
MURPHYSBORO HEALTH
CENTER
GENDER:
PROVIDER #: 183840
NPI #: 1245260645
7 S HOSPITAL DR
MURPHYSBORO, IL 62966
PHONE: (618) 687-3418
E-PRESCRIBE: NO
Primary Care Physicians
MURRAY, KY
ADULT/INTERNAL
MEDICINE
AHMADI, MEHDI, MD
GENDER: M
PROVIDER #: 097600
NPI #: 1619961026
MURRAY ONCOLOGY
ASSOCIATES
204 S 9TH ST
MURRAY, KY 42071
PHONE: (270) 759-4199
E-PRESCRIBE: NO
CLARK, HOLLIS J., MD
GENDER: M
PROVIDER #: 097397
NPI #: 1790766178
PRIMARY CARE MEDICAL
CENTER
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
DITTOE, NATHANIEL, MD
GENDER: M
PROVIDER #: 293678
NPI #: 1720106685
BAPTIST HEALTH MEDICAL
GROUP
300 S 8TH ST STE 181
MURRAY, KY 42071
PHONE: (270) 759-4098
E-PRESCRIBE: NO
FINCH, MONTE G., DO
GENDER: M
PROVIDER #: 297937
NPI #: 1205856887
MURRAY CALLOWAY CO
PUBLIC HOSP CORP DBA
PHYS SPECI
300 SOUTH 8TH STREET
SUITE 182W
MURRAY, KY 42071
PHONE: (270) 759-4000
E-PRESCRIBE: NO
FORD, JAMES K., MD
GENDER: M
PROVIDER #: 298310
NPI #: 1285665182
MURRAY CALLOWAY
COUNTY PUBLIC HOSP CORP
DBA MURRAY
300 SOUTH 8TH STREET
SUITE 382 WEST
MURRAY, KY 42071
PHONE: (877) 832-0263
E-PRESCRIBE: NO
GWINN, JAMES S., MD
GENDER: M
PROVIDER #: 298318
NPI #: 1588693840
MURRAY CALLOWAY
COUNTY PUBLIC HOSP CORP
DBA MURRAY
300 SOUTH 8TH STREET
SUITE 382 WEST
MURRAY, KY 42071
PHONE: (877) 832-0263
E-PRESCRIBE: NO
KELLY, PATRICK S., MD
GENDER: M
PROVIDER #: 097403
NPI #: 1598747396
PRIMARY CARE MEDICAL
CENTER
300 S 8TH ST SUITE 480W
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
MCELROY, BRADLEY B., MD
GENDER: M
PROVIDER #: 298331
NPI #: 1043248636
MURRAY CALLOWAY
COUNTY PUBLIC HOSP CORP
DBA MURRAY
300 SOUTH 8TH STREET
SUITE 382 WEST
MURRAY, KY 42071
PHONE: (877) 832-0263
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
241
MURRAY, KY
MURRAY, KY
Primary Care Physicians
MILLER, DAN M., MD
GENDER: M
PROVIDER #: 297486
NPI #: 1336142496
DR DAN M MILLER PLLC
312 SOUTH 8TH STREET
MURRAY, KY 42071
PHONE: (270) 753-2395
E-PRESCRIBE: NO
O'DELL, NICHOLAS C., MD
GENDER: M
PROVIDER #: 297309
NPI #: 1881987329
MURRAY CALLOWAY
COUNTY PUBLIC HOSP CORP
DBA MURRAY
300 S 8TH ST STE 480 W
MURRAY, KY 42071
PHONE: (270) 753-0704
E-PRESCRIBE: NO
SHASTRI, GHANSHYAM, MD
GENDER: M
PROVIDER #: 298411
NPI #: 1508159310
MURRAY CALLOWAY
COUNTY PUBLIC HOSP CORP
DBA MURRAY
300 S 8TH ST STE 480W
MURRAY, KY 42071
PHONE: (270) 753-0704
E-PRESCRIBE: NO
FAMILY PRACTICE
ADAMS, T MICHAEL, MD
GENDER: M
PROVIDER #: 096858
NPI #: 1720069479
PRIMARY CARE MEDICAL
CENTER
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
242
BUTLER, DANIEL F., MD
GENDER: M
PROVIDER #: 096861
NPI #: 1619958097
PRIMARY CARE MEDICAL
CENTER
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
HEFFLEY, SUSAN M., MD
GENDER: F
PROVIDER #: 198659
NPI #: 1417007642
PRIMARY CARE MEDICAL
CTR
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
CROUCH, RICHARD H., MD
GENDER: M
PROVIDER #: 297311
NPI #: 1588620405
MURRAY CALLOWAY
COUNTY PUBLIC HOSP CORP
DBA MURRAY
300 S 8TH ST STE 480W
MURRAY, KY 42071
PHONE: (270) 762-1782
E-PRESCRIBE: NO
HUGHES, ROBERT C., MD
GENDER: M
PROVIDER #: 096898
NPI #: 1326029786
PRIMARY CARE MEDICAL
CENTER
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
FORD, ALISON J., MD
GENDER: F
PROVIDER #: 216191
NPI #: 1548305386
MURRAY CALLOWAY
COUNTY PUBLIC HOSP CORP
DBA MURRAY
300 S 8TH ST STE 480W
MURRAY, KY 42071
PHONE: (270) 762-1782
E-PRESCRIBE: NO
GUPTON, EMILY T., DO
GENDER: F
PROVIDER #: 186809
NPI #: 1174744817
PRIMARY CARE MEDICAL
CENTER
1000 SOUTH 12TH STREET
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
ROBINSON, WILLIAM E., MD
GENDER: M
PROVIDER #: 268455
NPI #: 1811166705
MURRAY CALLOWAY
COUNTY PUBLIC HOSP CORP
DBA MURRAY
300 S 8TH ST STE 480W
MURRAY, KY 42071
PHONE: (270) 753-0704
E-PRESCRIBE: NO
PEDIATRICS
AUSTIN, CLEGG F., MD
GENDER: M
PROVIDER #: 296952
NPI #: 1235130667
MURRAY PEDIATRICS
300 S 8TH ST STE 208E
MURRAY, KY 42071
PHONE: (270) 759-9223
E-PRESCRIBE: NO
300 SOUTH 8TH STREET
SUITE 208E
MURRAY, KY 42071
PHONE: (270) 759-9223
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MURRAY, KY
MUSCATINE, IA
BURCH, KIMBERLY A., MD
GENDER: F
PROVIDER #: 097617
NPI #: 1972585065
PRIMARY CARE MEDICAL
CENTER
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
HUGHES, JOYCE F., MD
GENDER: F
PROVIDER #: 033795
NPI #: 1326029067
PRIMARY CARE MEDICAL
CTR
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
MILO, JACKIE, MD
GENDER: F
PROVIDER #: 297889
NPI #: 1851699896
MURRAY PEDIATRICS
300 SOUTH 8TH STREET
SUITE 208E
MURRAY, KY 42071
PHONE: (270) 759-9223
E-PRESCRIBE: NO
MUSCATINE, IA
ADULT/INTERNAL
MEDICINE
BARTELS, DAVID C., DO
GENDER: M
PROVIDER #: 263197
NPI #: 1245492768
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9508
E-PRESCRIBE: NO
Primary Care Physicians
COOLEY, LINDA M., MD
GENDER: F
PROVIDER #: 221562
NPI #: 1760410161
MUSCATINE MEDICAL
SURGICAL ASSOCIATES
2104 CEDARWOOD DR SUITE
200
MUSCATINE, IA 52761
PHONE: (563) 263-4848
E-PRESCRIBE: NO
HAMIEH, TAREK, MD
GENDER: M
PROVIDER #: 261404
NPI #: 1962604892
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
HERNDON, ERIN K., MD
GENDER: F
PROVIDER #: 273046
NPI #: 1942294483
UNITYPOINT HEALTHTRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
MOORE, CATHERINE E., MD
GENDER: F
PROVIDER #: 261430
NPI #: 1922264498
TRINITY MEDICAL CENTER
M
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9213
E-PRESCRIBE: NO
NADKARNI, MANASI P., MD
GENDER: F
PROVIDER #: 271728
NPI #: 1538171145
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
UNITYPOINT CLINIC/
INTERNAL MEDICINE AT
MULBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4111
E-PRESCRIBE: NO
ROEDER, SUSAN L., MD
GENDER: F
PROVIDER #: 259941
NPI #: 1487615340
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9508
E-PRESCRIBE: NO
SCHLOTFELDT II, RONALD
B., MD
GENDER: M
PROVIDER #: 224557
NPI #: 1033496088
UNITYPOINT CLINIC
INTERNAL MEDICINEMULBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4111
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
243
Primary Care Physicians
FAMILY PRACTICE
SMITH, MELINDA A., MD
GENDER: F
PROVIDER #: 186009
NPI #: 1649257254
GENESIS HEALTH GROUP
2104 CEDARWOOD DR
MUSCATINE, IA 52761
PHONE: (563) 262-0800
BURR, CYNTHIA M., NP;
PROVIDER #: 191762
E-PRESCRIBE: NO
MUSCATINE MEDICAL
SURGICAL ASSOCIATES
2104 CEDARWOOD DR #200
MUSCATINE, IA 52761
PHONE: (563) 263-4848
BURR, CYNTHIA, ARNP;
PROVIDER #: 137711
E-PRESCRIBE: NO
SPENGLER, ERIN K., MD
GENDER: F
PROVIDER #: 259939
NPI #: 1568698579
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9508
E-PRESCRIBE: NO
WEISS, ROBERT F., MD
GENDER: M
PROVIDER #: 157582
NPI #: 1205813912
UNITYPOINT CLINIC/
INTERNAL MEDICINE AT
MULBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4111
MITCHAM, KATHLEEN J., PAC; PROVIDER #: 218054
E-PRESCRIBE: NO
244
ALLEN, RHEA J., MD
GENDER: F
PROVIDER #: 230497
NPI #: 1366429177
IOWA PHYSICIANS CLINIC
MEDICAL FOUNDATION
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4116
E-PRESCRIBE: NO
1616 CEDAR ST
MUSCATINE, IA 52761
PHONE: (563) 262-4116
E-PRESCRIBE: NO
BUCHKINA, JULIE R., MD
GENDER: F
PROVIDER #: 224834
NPI #: 1790939288
UI HEALTH CAREMUSCATINE
3465 MULBERRY AVE
MUSCATINE, IA 52761-2324
PHONE: (563) 263-0339
E-PRESCRIBE: NO
CAPIZZANO, JUANA N., MD
GENDER: F
PROVIDER #: 290100
NPI #: 1881910628
UI HEALTH CARE/UI QUICK
CARE MUSCATINE
3465 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 263-0339
E-PRESCRIBE: NO
ELLIOTT, ANGELA A., DO
GENDER: F
PROVIDER #: 273031
NPI #: 1629490123
UNITYPOINT CLINIC
EXPRESS CARE AT NORTH
PORT
3426 NORTH PORT DR #200
MUSCATINE, IA 52761
PHONE: (563) 264-9508
E-PRESCRIBE: NO
MUSCATINE, IA
MUSCATINE, IA
FARRELL, ANGELA T., MD
GENDER: F
PROVIDER #: 257961
NPI #: 1871814194
UI HEALTH CAREMUSCATINE
3465 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 263-0339
E-PRESCRIBE: NO
UI QUICK CARE-MUSCATINE
3465 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 263-0590
E-PRESCRIBE: NO
GEORGE-PAULSEN, LESLIE
E., MD
GENDER: F
PROVIDER #: 254789
NPI #: 1245550094
UNIVERSITY OF IOWA
COMMUNITY MEDICAL
SERVICES IN
3465 MULVERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 263-0339
E-PRESCRIBE: NO
HARDING, JOAN E., MD
GENDER: F
PROVIDER #: 261387
NPI #: 1194708446
TRINITY MEDICAL CENTER
MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MUSCATINE, IA
MUSCATINE, IA
HILL, ANNETTE Y., DO
GENDER: F
PROVIDER #: 185844
NPI #: 1952461782
MERCY FAMILY MEDICINE
OF MUSCATINE
2104 CEDARWOOD DR SUITE
102
MUSCATINE, IA 52761
PHONE: (563) 263-0515
E-PRESCRIBE: NO
HOGAN, DANIEL, MD
GENDER: M
PROVIDER #: 123355
NPI #: 1295777407
MERCY FAMILY MEDICINE
OF MUSCATINE
2104 CEDARWOOD DR STE
102
MUSCATINE, IA 52761-2668
PHONE: (563) 263-0515
E-PRESCRIBE: NO
HOSTETLER, COLETTE, MD
GENDER: F
PROVIDER #: 118136
NPI #: 1477530129
UNITYPOINT CLINIC
FAMILY MEDICINE AT
MULLBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4110
E-PRESCRIBE: NO
HURST, KATHERINE L., MD
GENDER: F
PROVIDER #: 190829
NPI #: 1639377021
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
Primary Care Physicians
KASPER, RICHARD B., MD
GENDER: M
PROVIDER #: 061162
NPI #: 1639167307
GENESIS HEALTH GROUP
2104 CEDARWOOD DR STE
203
MUSCATINE, IA 52761
PHONE: (563) 262-0800
E-PRESCRIBE: NO
LEE, TERESA M., MD
GENDER: F
PROVIDER #: 128858
NPI #: 1295725588
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
MAHARRY, MICHAEL K., MD
GENDER: M
PROVIDER #: 131244
NPI #: 1073509436
UI QUICK CARE-MUSCATINE
3465 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 263-0590
KIES, VALERIE O., PA-C;
PROVIDER #: 200041
NELSON, CHRISTINA B.,
ARNP; PROVIDER #: 218618
POLLOCK, ANNE E., ARNP;
PROVIDER #: 139886
E-PRESCRIBE: NO
MEYER, JOHN K., DO
GENDER: M
PROVIDER #: 122665
NPI #: 1467435834
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
MILLER, HAROLD W., MD
GENDER: M
PROVIDER #: 034791
NPI #: 1417953563
GENESIS HEALTH GROUP
2104 CEDARWOOD DR
MUSCATINE, IA 52761
PHONE: (563) 262-0820
E-PRESCRIBE: NO
ODELL, MARK S., MD
GENDER: M
PROVIDER #: 112103
NPI #: 1699752469
UNITYPOINT CLINIC
FAMILY MEDICINE AT
NORTH PORT
3426 NORTH PORT DR #100
MUSCATINE, IA 52761
PHONE: (563) 262-4101
E-PRESCRIBE: NO
PAULSRUD, STEVEN G., DO
GENDER: M
PROVIDER #: 140651
NPI #: 1558348284
UNITYPOINT CLINIC
FAMILY MEDICINE AT
NORTH PORT
3426 NORTH PORT DR #100
MUSCATINE, IA 52761
PHONE: (563) 262-4101
E-PRESCRIBE: NO
SAGHA, HAMID R., MD
GENDER: M
PROVIDER #: 155507
NPI #: 1265644371
UNITYPOINT CLINIC/
INTERNAL MEDICINE AT
MULBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4111
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
245
Primary Care Physicians
SARKAR, SHRIMA E., MD
GENDER: F
PROVIDER #: 103230
NPI #: 1033196811
UNITYPOINT CLINIC
FAMILY MEDICINE AT
NORTH PORT
3426 NORTH PORT DR #100
MUSCATINE, IA 52761
PHONE: (563) 262-4101
E-PRESCRIBE: NO
SCHMEIG, ERIC W., DO
GENDER: M
PROVIDER #: 156938
NPI #: 1376520734
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4112
E-PRESCRIBE: NO
SCHMIEG, ASHLEY M., DO
GENDER: F
PROVIDER #: 132833
NPI #: 1033196498
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-4112
E-PRESCRIBE: NO
SOJKA, MATTHEW L., MD
GENDER: M
PROVIDER #: 080667
NPI #: 1659358471
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4112
NELSON, EVAN C., PA-C;
PROVIDER #: 228395
THORNBURG, JASON, PA-C;
PROVIDER #: 228391
E-PRESCRIBE: NO
246
SORENSEN, STEPHEN M., MD
GENDER: M
PROVIDER #: 158894
NPI #: 1881647071
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
WANG, PAUL, MD
GENDER: M
PROVIDER #: 060636
NPI #: 1508839481
UNITYPOINT CLINIC
EXPRESS CARE-MULBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9508
E-PRESCRIBE: YES
WETTACH, DAVID M., MD
GENDER: M
PROVIDER #: 154150
NPI #: 1184601890
UNITYPOINT CLINIC/
FAMILY MEDICINE AT
MULBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4110
E-PRESCRIBE: NO
WRIGHT, JEFFREY M., DO
GENDER: M
PROVIDER #: 294175
NPI #: 1770586463
UNITYPOINT HEALTH
TRINITY MUSCATINE
EMERGENCY DEPT
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9508
E-PRESCRIBE: NO
MUSCATINE, IA
MUSCATINE, IA
PEDIATRICS
ANDERSON, ROBERT F., MD
GENDER: M
PROVIDER #: 034783
NPI #: 1932104858
GENESIS HEALTH GROUP
2104 CEDARWOOD DR STE
203
MUSCATINE, IA 52761
PHONE: (563) 262-0800
E-PRESCRIBE: NO
GALOSO, MARIA T., MD
GENDER: F
PROVIDER #: 156947
NPI #: 1134105935
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4112
E-PRESCRIBE: NO
KHAN, NAFEES, MD
GENDER:
PROVIDER #: 127862
NPI #: 1548255243
TRINITY MEDICAL CENTER
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
MUELLER, REBECCA M., MD
GENDER: F
PROVIDER #: 202424
NPI #: 1902048580
UNITYPOINT CLINIC/
PEDIATRICS AT MULBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4115
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MUSCATINE, IA
NASHVILLE, IL
NATH, HIMADRI, MD
GENDER: M
PROVIDER #: 221484
NPI #: 1205101714
UNITYPOINT CLINIC/
PEDIATRICS AT MULBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4115
E-PRESCRIBE: NO
SMITH, MELINDA A., MD
GENDER: F
PROVIDER #: 186009
NPI #: 1649257254
GENESIS HEALTH GROUP
2104 CEDARWOOD DR
MUSCATINE, IA 52761
PHONE: (563) 262-0800
BURR, CYNTHIA M., NP;
PROVIDER #: 191762
E-PRESCRIBE: NO
MUSCATINE MEDICAL
SURGICAL ASSOCIATES
2104 CEDARWOOD DR #200
MUSCATINE, IA 52761
PHONE: (563) 263-4848
BURR, CYNTHIA, ARNP;
PROVIDER #: 137711
E-PRESCRIBE: NO
WALTER, ANDREW W., MD
GENDER: M
PROVIDER #: 158961
NPI #: 1154382034
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
Primary Care Physicians
NAPERVILLE, IL
ADULT/INTERNAL
MEDICINE
ABRAHAM, ALIN K., MD
GENDER: F
PROVIDER #: 171586
NPI #: 1316101181
CADENCE PHYSICIAN
GROUP
636 RAYMOND DR
NAPERVILLE, IL 60563-9790
PHONE: (630) 355-5302
E-PRESCRIBE: NO
GAWNE, STEPHEN R., MD
GENDER: M
PROVIDER #: 191585
NPI #: 1497729537
CADENCE PHYSICIAN
GROUP
636 RAYMOND DR SUITE 200
NAPERVILLE, IL 60563-9791
PHONE: (630) 355-5302
E-PRESCRIBE: NO
NASH, STEVEN P., MD
GENDER: M
PROVIDER #: 215711
NPI #: 1518129766
CADENCE PHYSICIAN
GROUP
636 RAYMOND DR SUITE 200
NAPERVILLE, IL 60563-9790
PHONE: (630) 355-5302
E-PRESCRIBE: NO
WESTERHOLM, MARY M., MD
GENDER: F
PROVIDER #: 156754
NPI #: 1790951093
CADENCE PHYSICIAN
GROUP
636 RAYMOND DR SUITE 200
NAPERVILLE, IL 60563-9790
PHONE: (630) 355-5302
E-PRESCRIBE: NO
PEDIATRICS
CAHILL, SEAN M., MD
GENDER: M
PROVIDER #: 269723
NPI #: 1801862206
CADENCE PHYSICIAN
GROUP
636 RAYMOND DR SUITE 200
NAPERVILLE, IL 60563-9790
PHONE: (630) 355-5302
E-PRESCRIBE: NO
NASHVILLE, IL
ADULT/INTERNAL
MEDICINE
SIDDIQUI, MOHAMMED Z., MD
GENDER: M
PROVIDER #: 076751
NPI #: 1730115973
WASHINGTON COUNTY
HOSPITAL
705 S GRAND AVE
NASHVILLE, IL 62263
PHONE: (618) 327-2225
E-PRESCRIBE: NO
FAMILY PRACTICE
DAVIDSON, ROBERT, MD
GENDER: M
PROVIDER #: 169898
NPI #: 1790774826
WASHINGTON COUNTY
HOSPITAL
705 S GRAND AVE
NASHVILLE, IL 62263
PHONE: (618) 327-2225
AHOLT, RACHEL B., FNP;
PROVIDER #: 161060
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
247
NASHVILLE, IL
NEW LENOX, IL
Primary Care Physicians
FEWELL, GINGER A., MD
GENDER: F
PROVIDER #: 273120
NPI #: 1619263647
WASHINGTON COUNTY
HOSPITAL
705 S GRAND AVE
NASHVILLE, IL 62263
PHONE: (618) 327-8236
E-PRESCRIBE: YES
SHAH, NIRAJ, MD
GENDER: M
PROVIDER #: 272368
NPI #: 1134440969
PC ASSOCIATES LLC
1245 S MILL ST
NASHVILLE, IL 62263
PHONE: (618) 327-8119
E-PRESCRIBE: YES
NAUVOO, IL
FAMILY PRACTICE
BURGE, SUSAN J., DO
GENDER: F
PROVIDER #: 222919
NPI #: 1386848042
MEMORIAL MEDICAL
CLINICS
1370 MULLHOLLAND
NAUVOO, IL 62354
PHONE: (217) 453-2402
E-PRESCRIBE: NO
NEOGA, IL
FAMILY PRACTICE
VANDEVEER, JANICE, MD
GENDER: F
PROVIDER #: 203280
NPI #: 1861654675
SBL NEOGA CLINIC
650 OAK AVE
NEOGA, IL 62447
PHONE: (217) 895-2222
BOEHM, IVEN, PA-C;
PROVIDER #: 118863
E-PRESCRIBE: NO
NEW LENOX, IL
ADULT/INTERNAL
MEDICINE
ARLA-POLAVARAPU, LATHA
P., DO
GENDER: F
PROVIDER #: 179436
NPI #: 1578548921
PROVENA MEDICAL GROUP
410 E LINCOLN HIGHWAY
SUITE 251
NEW LENOX, IL 60451
PHONE: (815) 485-2541
E-PRESCRIBE: NO
FAMILY PRACTICE
ANSARI, MUHAMMAD, MD
GENDER: M
PROVIDER #: 273996
NPI #: 1770787673
PMG NEW LENOX FAMILY
PRACTICE
410 E LINCOLN HIGHWAY
NEW LENOX, IL 60451
PHONE: (815) 485-2541
E-PRESCRIBE: NO
248
CALIMAG, DAVID M., DO
GENDER: M
PROVIDER #: 176156
NPI #: 1922112184
LINCOLNWAY MEDICAL
ASSOCAITES PC
250 E MAPLE ST SUITE A
NEW LENOX, IL 60451
PHONE: (815) 485-0760
E-PRESCRIBE: NO
COHEN-LEWE, ADAM S., DO
GENDER: M
PROVIDER #: 225680
NPI #: 1831362946
PROVENA MEDICAL GROUP
410 E LINCOLN HIGHWAY
251
NEW LENOX, IL 60451
PHONE: (815) 485-2541
E-PRESCRIBE: NO
MADANI, LUBNA S., MD
GENDER: F
PROVIDER #: 254725
NPI #: 1124349006
NEW LENOX IMMEDIATE
CARE
410 E LINCOLN HWY
NEW LENOX, IL 60451
PHONE: (815) 462-5566
E-PRESCRIBE: NO
WHYTE, STEPHANIE C., MD
GENDER: F
PROVIDER #: 265735
NPI #: 1710116546
PRESENCE MEDICAL GROUP
410 E LINCOLN HIGHWAY
#251
NEW LENOX, IL 60451
PHONE: (815) 485-2541
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
NEW LENOX, IL
NEWBURGH, IN
PEDIATRICS
DECKER, HEATHER A., MD
GENDER: F
PROVIDER #: 225572
NPI #: 1336114529
PROVENA MEDICAL GROUP
188 W ILLINOIS HIGHWAY
NEW LENOX, IL 60451
PHONE: (815) 463-0351
E-PRESCRIBE: NO
PATTERSON, LEE V., MD
GENDER: M
PROVIDER #: 179797
NPI #: 1700905981
PROVENA MEDICAL GROUP
188 W ILLINOIS HIGHWAY
NEW LENOX, IL 60451
PHONE: (815) 463-0951
E-PRESCRIBE: NO
NEWARK, IL
ADULT/INTERNAL
MEDICINE
FLATT, LLOYD M., MD
GENDER: M
PROVIDER #: 032392
NPI #: 1295713766
NEWARK HEALTHCARE
CENTER
FIVE NORTH JOHNSON
NEWARK, IL 60541
PHONE: (815) 695-5042
E-PRESCRIBE: YES
Primary Care Physicians
NEWBURGH, IN
ADULT/INTERNAL
MEDICINE
ALLAW, MOHAMMED A., MD
GENDER: M
PROVIDER #: 152121
NPI #: 1336142728
DEACONESS CLINIC INC
4015 GATEWAY BLVD 3RD
FL
NEWBURGH, IN 47630
PHONE: (812) 858-6244
E-PRESCRIBE: NO
THE HEART HOSPITAL AT
DEACONESS GATEWAY
4007 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 842-4784
E-PRESCRIBE: NO
BENNETT, CHRISTINA, MD
GENDER: F
PROVIDER #: 278274
NPI #: 1194092668
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
BIEKER, MARY A., MD
GENDER: F
PROVIDER #: 065654
NPI #: 1811063258
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9372
E-PRESCRIBE: NO
CHILUKURI, RAMA D., MD
GENDER: F
PROVIDER #: 157934
NPI #: 1699841874
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
COMBS, KENNETH G., MD
GENDER: M
PROVIDER #: 222537
NPI #: 1619971942
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
CROITORU, ANDREI M., MD
GENDER: M
PROVIDER #: 229512
NPI #: 1134358161
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
DIDITA, EMANUEL, MD
GENDER: M
PROVIDER #: 238928
NPI #: 1174752109
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
HARRIS, DAVID T., MD
GENDER: M
PROVIDER #: 143795
NPI #: 1992783559
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
249
Primary Care Physicians
THE HEART HOSPITAL AT
DEACONESS GATEWAY
4007 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 842-4784
E-PRESCRIBE: NO
IQBAL, KASHIF Z., MD
GENDER: F
PROVIDER #: 152991
NPI #: 1942376074
DEACONESS CLINIC INC
10455 ORTHOPAEDIC DR
NEWBURGH, IN 47630
PHONE: (812) 858-2100
E-PRESCRIBE: NO
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 474-7123
E-PRESCRIBE: NO
JUDY, LAWRENCE A., MD
GENDER: M
PROVIDER #: 152992
NPI #: 1427125129
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9372
E-PRESCRIBE: NO
MEUNIER, JOHN C., MD
GENDER: M
PROVIDER #: 185614
NPI #: 1831391176
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
NEFF, WARD M., MD
GENDER: M
PROVIDER #: 152823
NPI #: 1588667968
DEACONESS CLINIC INC
4015 GATEWAY BLVD 3RD
FL
NEWBURGH, IN 47630
PHONE: (812) 858-6244
E-PRESCRIBE: NO
250
NEWBURGH, IN
NEWBURGH, IN
NIAZI, SULTAN O., MD
GENDER: M
PROVIDER #: 152825
NPI #: 1801874441
DEACONESS CARE GROUP
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9559
E-PRESCRIBE: NO
SIAGE, YOUSSEF, MD
GENDER: M
PROVIDER #: 153085
NPI #: 1346386190
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9372
E-PRESCRIBE: NO
PARKAR, TABASSUM I., MD
GENDER: F
PROVIDER #: 153328
NPI #: 1205015898
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
STROUSE, LESLIE S., MD
GENDER: F
PROVIDER #: 260300
NPI #: 1881601599
DEACONESS CLINIC INC
4015 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE:
E-PRESCRIBE: NO
RUSCHE, ROBERT, MD
GENDER: M
PROVIDER #: 205774
NPI #: 1437152808
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
THIENEMAN JR, ANDREW C.,
MD
GENDER: M
PROVIDER #: 153142
NPI #: 1881762060
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9372
E-PRESCRIBE: NO
SCHEINOST, MICHAEL E., DO
GENDER: M
PROVIDER #: 180755
NPI #: 1336119593
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
SCHEU, BRADLEY B., DO
GENDER: M
PROVIDER #: 274868
NPI #: 1427345099
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
VIX, VERNON A., MD
GENDER: M
PROVIDER #: 153135
NPI #: 1144388349
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 474-7123
E-PRESCRIBE: NO
YOUSEF, BASSAM, MD
GENDER: M
PROVIDER #: 203008
NPI #: 1598745184
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
NEWBURGH, IN
NEWBURGH, IN
FAMILY PRACTICE
BLEVINS, MIRANDA E., MD
GENDER: F
PROVIDER #: 245006
NPI #: 1962630574
DEACONESS CLINIC INC
4015 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 858-9400
E-PRESCRIBE: NO
BOND, ROBERT D., MD
GENDER: M
PROVIDER #: 065598
NPI #: 1386710614
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 386-6650
E-PRESCRIBE: NO
CONWAY, MARK F., MD
GENDER: M
PROVIDER #: 073468
NPI #: 1174690374
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9372
E-PRESCRIBE: NO
CORDTS, SCOTT M., MD
GENDER: M
PROVIDER #: 167729
NPI #: 1023095262
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
DALESSANDRI, ANNE, MD
GENDER: F
PROVIDER #: 137961
NPI #: 1891813234
DEACONESS CLINIC INC
4015 GATEWAY BLVD 3RD
FLOOR
NEWBURGH, IN 47630
PHONE: (812) 858-9400
E-PRESCRIBE: NO
Primary Care Physicians
DAVISON, JAMIE L., MD
GENDER: F
PROVIDER #: 201535
NPI #: 1235391491
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
GROSSMAN, DARLA R., MD
GENDER: F
PROVIDER #: 153055
NPI #: 1568538650
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 429-1818
E-PRESCRIBE: NO
DEWEESE, ANGELA S., MD
GENDER: F
PROVIDER #: 153061
NPI #: 1679641161
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 429-1818
E-PRESCRIBE: NO
GUTMANN JR, JAMES E., MD
GENDER: M
PROVIDER #: 153059
NPI #: 1790851897
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9565
E-PRESCRIBE: NO
GALEN, RENE M., MD
GENDER: F
PROVIDER #: 086322
NPI #: 1013083187
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9700
E-PRESCRIBE: NO
HALL, JON M., MD
GENDER: M
PROVIDER #: 070167
NPI #: 1184723975
DEACONESS CLINIC INC
4015 GATEWAY BLVD 3RD
FLOOR
NEWBURGH, IN 47630
PHONE: (812) 858-9400
E-PRESCRIBE: NO
GIBSON, ALEAH P., MD
GENDER: F
PROVIDER #: 160581
NPI #: 1780792903
DEACONESS CLINIC INC
4015 GATEWAY BLVD STE
3000
NEWBURGH, IN 47630
PHONE: (812) 858-9400
E-PRESCRIBE: NO
GREER, DAVID B., MD
GENDER: M
PROVIDER #: 065611
NPI #: 1508869900
DEACONESS CLINIC INC
10455 ORTHOPAEDIC DR
NEWBURGH, IN 47630
PHONE: (812) 858-2100
E-PRESCRIBE: NO
KANG SMITH, JUNG W., MD
GENDER: F
PROVIDER #: 263838
NPI #: 1770842460
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
DEACONESS CLINIC INC
10455 ORTHOPAEDIC DR
NEWBURGH, IN 47630
PHONE: (812) 858-2100
E-PRESCRIBE: NO
4015 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
251
Primary Care Physicians
KINCAID, RICHARD W., MD
GENDER: M
PROVIDER #: 153056
NPI #: 1144397860
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 429-1818
E-PRESCRIBE: NO
MARTIN, SUSAN M., MD
GENDER: F
PROVIDER #: 073528
NPI #: 1184791618
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 649-5061
E-PRESCRIBE: NO
KOCHER, JARED J., MD
GENDER: M
PROVIDER #: 231357
NPI #: 1346299724
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
MYERS, MICHAEL T., MD
GENDER: M
PROVIDER #: 077405
NPI #: 1275600371
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9565
E-PRESCRIBE: NO
KRAJEC, EMILY B., DO
GENDER: F
PROVIDER #: 259938
NPI #: 1700198520
DEACONESS CLINIC INC
10455 ORTHOPAEDIC DR
NEWBURGH, IN 47630
PHONE: (812) 858-2100
E-PRESCRIBE: NO
PAGE, DAVID M., MD
GENDER: M
PROVIDER #: 084763
NPI #: 1598768848
DEACONESS CLINIC INC
10455 ORTHOPAEDIC DR
NEWBURGH, IN 47630
PHONE: (812) 858-2100
E-PRESCRIBE: NO
LINK, CHAD E., MD
GENDER: M
PROVIDER #: 201533
NPI #: 1609038868
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
POTTANAT, JANCY G., MD
GENDER: F
PROVIDER #: 153000
NPI #: 1760550800
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 853-7391
E-PRESCRIBE: NO
LODICO, PETER J., MD
GENDER: M
PROVIDER #: 219543
NPI #: 1225011828
DEACONESS CLINIC INC
10455 ORTHOPAEDIC DR
NEWBURGH, IN 47630
PHONE: (812) 858-2100
E-PRESCRIBE: NO
ROBINSON, LAYNE D., MD
GENDER: M
PROVIDER #: 153051
NPI #: 1386712941
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9700
E-PRESCRIBE: NO
252
NEWBURGH, IN
NEWBURGH, IN
SIMONEAUX, JENNIFER D.,
MD
GENDER: F
PROVIDER #: 153060
NPI #: 1700880036
DEACONESS CLINIC INC
4015 GATEWAY BLVD 3RD
FL
NEWBURGH, IN 47630
PHONE: (812) 858-9400
E-PRESCRIBE: NO
STOLTZ, RUSTON L., MD
GENDER: M
PROVIDER #: 059527
NPI #: 1023011418
DEACONESS CLINIC INC
4015 GATEWAY BLVD 3RD
FLOOR
NEWBURGH, IN 47630
PHONE: (812) 858-9400
E-PRESCRIBE: NO
TOELLE, APRIL M., DO
GENDER: F
PROVIDER #: 231368
NPI #: 1255530317
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
TOOTHMAN, GREGORY R.,
MD
GENDER: M
PROVIDER #: 153134
NPI #: 1538162920
DEACONESS CLINIC INC
4015 GATEWAY BLVD 3RD
FL
NEWBURGH, IN 47630
PHONE: (812) 858-9400
E-PRESCRIBE: NO
DEACONESS PRIMARY
CARE
4099 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 858-9400
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
NEWBURGH, IN
NEWBURGH, IN
WALLISCH, FREDERICK H.,
MD
GENDER: M
PROVIDER #: 153130
NPI #: 1528027950
DEACONESS CLINIC INC
4015 GATEWAY BLVD 3RD
FL
NEWBURGH, IN 47630
PHONE: (812) 858-9400
E-PRESCRIBE: NO
WESSEL, DUSTEN A., DO
GENDER: M
PROVIDER #: 203013
NPI #: 1699938134
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 853-7391
E-PRESCRIBE: NO
PEDIATRICS
CONNORS, JAMES J., MD
GENDER: M
PROVIDER #: 065787
NPI #: 1700952918
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 429-1818
E-PRESCRIBE: NO
CRECELIUS, W M., MD
GENDER: M
PROVIDER #: 065791
NPI #: 1275609497
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 429-1818
E-PRESCRIBE: NO
Primary Care Physicians
FARMER, RACHEL, MD
GENDER: F
PROVIDER #: 256390
NPI #: 1699822569
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 429-1818
E-PRESCRIBE: NO
HANNON, TAMARA S., MD
GENDER: F
PROVIDER #: 196002
NPI #: 1750354510
DEACONESS RILEY
CHILDRENS SPECIALTY
CENTER
4133 GATEWAY BLVD SUITE
200
NEWBURGH, IN 47630
PHONE: (812) 285-3131
E-PRESCRIBE: NO
HURLOCK, JULIE A., MD
GENDER: F
PROVIDER #: 065799
NPI #: 1093718405
DEACONESS CLINIC INC
4111 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 853-5300
E-PRESCRIBE: NO
DEAVONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9510
E-PRESCRIBE: NO
JUSTAK, JENELLE L., DO
GENDER: F
PROVIDER #: 087064
NPI #: 1356344766
DEACONESS CLINIC INC
4111 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 853-5300
E-PRESCRIBE: NO
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9510
E-PRESCRIBE: NO
KITCH, KARLA R., MD
GENDER: F
PROVIDER #: 150546
NPI #: 1942260138
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 842-3880
E-PRESCRIBE: NO
MARX, DORIANNE S., MD
GENDER: F
PROVIDER #: 095834
NPI #: 1669549101
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 429-1818
E-PRESCRIBE: NO
MEUNIER, JOHN C., MD
GENDER: M
PROVIDER #: 185614
NPI #: 1831391176
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
MONEM, GAMEL F., MD
GENDER: M
PROVIDER #: 156210
NPI #: 1568551042
DEACONESS CARE GROUP
4011 GATEWAY BLVD
FOURTH FLOOR
NEWBURGH, IN 47630
PHONE: (812) 842-3880
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
253
Primary Care Physicians
PHILLIPS, BARRY S., MD
GENDER: M
PROVIDER #: 153044
NPI #: 1124021571
DEACONESS CLINIC INC
4111 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 853-5300
E-PRESCRIBE: NO
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9510
E-PRESCRIBE: NO
ROGERS, PAMELA J., MD
GENDER: F
PROVIDER #: 153013
NPI #: 1891760419
DEACONESS CLINIC INC
4111 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 853-5300
E-PRESCRIBE: NO
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9510
E-PRESCRIBE: NO
DEACONESS MEDICAL
GROUP PEDIATRICS
4111 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 853-5300
E-PRESCRIBE: NO
SHELTON, DARREL, MD
GENDER: M
PROVIDER #: 153086
NPI #: 1518035856
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 479-6909
E-PRESCRIBE: NO
PORTER, JAMES R., MD
GENDER: M
PROVIDER #: 065645
NPI #: 1184643694
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
RANOLA, MARIA C., MD
GENDER: F
PROVIDER #: 141731
NPI #: 1194703959
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
DEACONESS RILEY
CHILDRENS SPECIALTY
CENTER
4133 GATEWAY BLVD SUITE
220
NEWBURGH, IN 47630
PHONE: (812) 858-3131
E-PRESCRIBE: NO
254
WEYER, GURPREET B., MD
GENDER: F
PROVIDER #: 224936
NPI #: 1801098025
DEACONESS CLINIC INC
4133 GATEWAY BLVD SUITE
250
NEWBURGH, IN 47630
PHONE: (812) 853-5671
E-PRESCRIBE: NO
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9510
E-PRESCRIBE: NO
WILLIAMS, BRUCE P., MD
GENDER: M
PROVIDER #: 065854
NPI #: 1174734602
DEACONESS CLINIC INC
4133 GATEWAY BLVD 2ND
FL
NEWBURGH, IN 47630
PHONE: (812) 853-5671
E-PRESCRIBE: NO
NEWBURGH, IN
NEWTON, IL
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9510
E-PRESCRIBE: NO
NEWTON, IL
FAMILY PRACTICE
BLOEMER, ERIC A., MD
GENDER: M
PROVIDER #: 223295
NPI #: 1073742664
MID ILLINOIS MEDICAL
CARE ASSOC
910 S VAN BUREN ST
NEWTON, IL 62448
PHONE: (618) 783-3800
E-PRESCRIBE: YES
IMBURGIA, DOMINIC C., MD
GENDER: M
PROVIDER #: 040058
NPI #: 1114955960
CONSOLIDATED
COMMUNITY MEDICAL
CENTER SC
804 W JOURDAN ST
NEWTON, IL 62448
PHONE: (618) 783-4200
E-PRESCRIBE: NO
JENSON, JEFFREY J., MD
GENDER: M
PROVIDER #: 106081
NPI #: 1740211390
MARSHALL CLINIC
EFFINGHAM
507 W WASHINGTON ST
NEWTON, IL 62448
PHONE: (618) 783-5094
BARTHELME, MELINDA K.,
FNP; PROVIDER #: 074325
BUSHUR, VICKIE S., APN;
PROVIDER #: 191652
CROOK, KARILYN S., PA-C;
PROVIDER #: 175705
HARRIS, DEBRA J., APN;
PROVIDER #: 191648
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
NOKOMIS, IL
NORMAL, IL
NOKOMIS, IL
FAMILY PRACTICE
CUNNINGTON, WALTER H.,
MD
GENDER: M
PROVIDER #: 133335
NPI #: 1811024508
COMMUNITY MEDICAL
CLINIC OF NAKOMIS
120 S CEDAR
NOKOMIS, IL 62075
PHONE: (217) 562-2544
E-PRESCRIBE: NO
DYCOCO, GLORIA, MD
GENDER: F
PROVIDER #: 018388
NPI #: 1598837999
NOKOMIS MEDICAL GROUP
107 W STATE ST
NOKOMIS, IL 62075
PHONE: (217) 562-2143
E-PRESCRIBE: NO
TEODORO, CATHERINE D.,
MD
GENDER: F
PROVIDER #: 225034
NPI #: 1720373574
COMMUNITY MEDICAL
CLINIC
120 S CEDAR
NOKOMIS, IL 62075
PHONE: (217) 562-2544
E-PRESCRIBE: YES
GENERAL PRACTICE
DYCOCO, VIRGILIO M., MD
GENDER: M
PROVIDER #: 006563
NPI #: 1528137403
NOKOMIS MEDICAL GROUP
107 W STATE ST
NOKOMIS, IL 62075
PHONE: (217) 562-2143
E-PRESCRIBE: NO
Primary Care Physicians
QUIZON, DEOGRACIAS F.,
MD
GENDER: M
PROVIDER #: 014784
NPI #: 1437228319
NOKOMIS MEDICAL GROUP
107 W STATE ST
NOKOMIS, IL 62075
PHONE: (217) 562-2143
E-PRESCRIBE: NO
NORMAL, IL
ADULT/INTERNAL
MEDICINE
PANOPIO, PHOEBE B., MD
GENDER: F
PROVIDER #: 087906
NPI #: 1710070289
MIDWEST ALLERGY SINUS
ASTHMA, SC
2010 JACOBSSEN DR
NORMAL, IL 61761
PHONE: (309) 888-4009
E-PRESCRIBE: NO
YAMBAY VALIENTE, LIZA C.,
MD
GENDER: F
PROVIDER #: 248099
NPI #: 1881840080
AMG/AHHC BROMENN
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2791
E-PRESCRIBE: NO
YUSAF, OMER, MD
GENDER: M
PROVIDER #: 254925
NPI #: 1669585956
COGENT HEALTHCARE OF
ILLINOIS LLC
1304 FRANKLIN AVE SUITE
380
NORMAL, IL 61761
PHONE: (309) 268-3589
E-PRESCRIBE: NO
FAMILY PRACTICE
BOHN, KATHRYN, MD
GENDER: F
PROVIDER #: 187916
NPI #: 1194751156
ILLINOIS VEIN SPECIALISTS
328 SUSAN DR SUITE 300
NORMAL, IL 61761
PHONE: (309) 862-4000
E-PRESCRIBE: NO
BUFFEY, TIMOTHY, DO
GENDER: M
PROVIDER #: 264733
NPI #: 1164422663
COGENT HEALTHCARE OF
ILLINOIS LLC
1300 FRANKLIN AVE SUITE
380
NORMAL, IL 61761
PHONE: (309) 268-3589
E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE LL OF
THE MED OFFICE BLDG
NORMAL, IL 61761
PHONE: (309) 451-2920
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1437 E COLLEGE AVE
NORMAL, IL 61761
PHONE: (309) 454-4411
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
255
Primary Care Physicians
HAKES, PAUL E., MD
GENDER: M
PROVIDER #: 288575
NPI #: 1750315602
OSF PROMPTCARE
2200 FORT JESSE RD SUITE
100
NORMAL, IL 61761
PHONE: (309) 661-6280
E-PRESCRIBE: NO
MADUGULA, MADHAVI, MD
GENDER:
PROVIDER #: 154798
NPI #: 1144266065
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
JANI, JYOTIR H., MD
GENDER: M
PROVIDER #: 086122
NPI #: 1790877835
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
MITCHELL, PHILIP, MD
GENDER: M
PROVIDER #: 028458
NPI #: 1508839895
ADVOCATE MEDICAL
GROUP
1437 E COLLEGE AVE
NORMAL, IL 61761
PHONE: (309) 454-4411
E-PRESCRIBE: NO
JIBAWI, AHMAD, MD
GENDER: M
PROVIDER #: 254415
NPI #: 1346551892
COGENT HEALTHCARE OF
IL LLC
1304 FRANKLIN AVE
NORMAL, IL 61761
PHONE: (309) 268-3589
E-PRESCRIBE: NO
LIU, JOSEPH H., MD
GENDER: M
PROVIDER #: 107949
NPI #: 1669564738
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
256
ADVOCATE MEDICAL
GROUP SUGAR CREEK
PRIMARY CARE
1302 FRANKLIN AVE STE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
NASEER, JIBRAN, MD
GENDER: M
PROVIDER #: 226420
NPI #: 1821261892
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
NIELSEN, THOMAS E., MD
GENDER: M
PROVIDER #: 206029
NPI #: 1871521757
ILLINOIS VEIN SPECIALISTS
328 SUSAN DR SUITE 300
NORMAL, IL 61761
PHONE: (309) 862-4000
E-PRESCRIBE: NO
NORMAL, IL
NORMAL, IL
PENDLETON, DIONNA, MD
GENDER: F
PROVIDER #: 277933
NPI #: 1063668994
COGENT HEALTHCARE OF
IL LLC
1304 FRANKLIN AVE
NORMAL, IL 61761
PHONE: (309) 268-3589
E-PRESCRIBE: NO
COGENT HEALTHCARE OF
ILLINOIS LLC
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
PHONE: (309) 268-3598
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE LL OF
THE MED OFFICE BLDG
NORMAL, IL 61761
PHONE: (309) 451-2920
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1437 E COLLEGE AVE
NORMAL, IL 61761
PHONE: (309) 454-4411
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
NORMAL, IL
NORTH AURORA, IL
RHODEN, CARL RAY, MD
GENDER: M
PROVIDER #: 258428
NPI #: 1992026579
ADVOCATE MEDICAL
GROUP
1437 EAST
NORMAL, IL 61761
PHONE: (309) 454-4411
E-PRESCRIBE: NO
SHANMUGAM, RAJU M., MD
GENDER: M
PROVIDER #: 228277
NPI #: 1043448111
ADVOCATE MEDICAL
GROUP URGENT CARE/
OCCUPATIONAL
1437 E COLLEGE AVE
NORMAL, IL 61761
PHONE: (309) 454-4411
E-PRESCRIBE: NO
SHEPPARD, SUSAN J., MD
GENDER: F
PROVIDER #: 054077
NPI #: 1598857278
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
STEVENS, JENNIFER E., MD
GENDER: F
PROVIDER #: 239592
NPI #: 1043412893
OSF PROMPTCARE
2200 FORT JESSE RD SUITE
100
NORMAL, IL 61761
PHONE: (309) 661-6280
E-PRESCRIBE: NO
Primary Care Physicians
VALES, JAMES S., MD
GENDER: M
PROVIDER #: 137076
NPI #: 1083724405
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
PEDIATRICS
EBREO, ADAM, DO
GENDER: M
PROVIDER #: 133819
NPI #: 1225144553
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
KANE, ANDREA M., MD
GENDER: F
PROVIDER #: 147935
NPI #: 1285804724
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2770
E-PRESCRIBE: NO
TILLMAN, ANITA, MD
GENDER: F
PROVIDER #: 076746
NPI #: 1821016502
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2770
E-PRESCRIBE: NO
TRAEGER, AARON R., MD
GENDER: M
PROVIDER #: 181861
NPI #: 1083890156
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2770
E-PRESCRIBE: NO
NORTH AURORA, IL
PEDIATRICS
HOLGADO-COCJIN, MARIA,
MD
GENDER: F
PROVIDER #: 256337
NPI #: 1164407508
DREYER CLINIC-NORTH
AURORA
82 MILLER DR SUITE 102
NORTH AURORA, IL 60542
PHONE: (630) 897-6044
E-PRESCRIBE: NO
SMITH, SARAH E., MD
GENDER: F
PROVIDER #: 256319
NPI #: 1275796260
DREYER CLINIC-NORTH
AURORA
82 MILLER DR SUITE 102
NORTH AURORA, IL 60542
PHONE: (630) 897-6044
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
257
Primary Care Physicians
FAMILY PRACTICE
NORTH ENGLISH, IA
FAMILY PRACTICE
HOGAN, DANIEL, MD
GENDER: M
PROVIDER #: 123355
NPI #: 1295777407
MERCY FAMILY MEDICINE
OF NORTH ENGLISH
402 S WALNUT ST
NORTH ENGLISH, IA 52316
PHONE: (319) 664-3211
E-PRESCRIBE: NO
SCHLICHTMANN, JAMES L,
MD
GENDER: M
PROVIDER #: 123370
NPI #: 1104868348
NORTH ENGLISH FAMILY
PRACTICE CLINIC
402 S WALNUT ST
NORTH ENGLISH, IA 52316
PHONE: (319) 664-3211
E-PRESCRIBE: NO
NORTH LIBERTY, IA
ADOLESCENT MEDICINE
STIER, AMY C., MD
GENDER: F
PROVIDER #: 131907
NPI #: 1447290770
UI HEALTH CARE - NORTH
LIBERTY
3 LIONS DRIVE
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
258
ARCENAS, KATHERINE C.,
MD
GENDER: F
PROVIDER #: 256134
NPI #: 1043531197
NORTH LIBERTY FAMILY
HEALTH CENTRE PC
585 W CHERRY ST
NORTH LIBERTY, IA 52317
PHONE: (319) 626-6006
E-PRESCRIBE: NO
CAPIZZANO, JUANA N., MD
GENDER: F
PROVIDER #: 290100
NPI #: 1881910628
UI HEALTH CARE - NORTH
LIBERTY
3 LIONS DRIVE
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UI QUICK CARE - NORTH
LIBERTY
720 PACHA PKWY STE 1
NORTH LIBERTY, IA 523174796
PHONE: (319) 384-8801
E-PRESCRIBE: NO
FARRELL, ANGELA T., MD
GENDER: F
PROVIDER #: 257961
NPI #: 1871814194
QUICK CARE-NORTH
LIBERTY
720 PACHA PARKWAY SUITE
1
NORTH LIBERTY, IA 52317
PHONE: (319) 384-8801
E-PRESCRIBE: NO
NORTH ENGLISH, IA
NORTH LIBERTY, IA
HEMPY, NATALIE (TALLY),
MD
GENDER: F
PROVIDER #: 123354
NPI #: 1316099450
NORTH LIBERTY FAMILY
HEALTH CENTRE PC
585 W CHERRY ST
NORTH LIBERTY, IA 52317
PHONE: (319) 626-6006
E-PRESCRIBE: NO
HOTH, PETER L., MD
GENDER: M
PROVIDER #: 238890
NPI #: 1912931676
UI HEALTH CARE-NORTH
LIBERTY
3 LIONS DR
NORTH LIBERTY, IA 52317
PHONE: (319) 467-5050
E-PRESCRIBE: NO
JOHNSON, LISA, MD
GENDER: F
PROVIDER #: 123358
NPI #: 1265584312
NORTH LIBERTY FAMILY
HEALTH CENTRE PC
585 W CHERRY ST
NORTH LIBERTY, IA 52317
PHONE: (319) 626-6006
E-PRESCRIBE: NO
MAXSON, JAMI A., MD
GENDER: F
PROVIDER #: 123366
NPI #: 1467504506
NORTH LIBERTY FAMILY
HEALTH CENTRE PC
585 W CHERRY ST
NORTH LIBERTY, IA 52317
PHONE: (319) 626-6006
E-PRESCRIBE: NO
UI HEALTH CARE-NORTH
LIBERTY
3 LIONS DR
NORTH LIBERTY, IA 52317
PHONE: (319) 467-5050
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
NORTH LIBERTY, IA
NORTH LIBERTY, IA
PEDIATRICS
BEHUNIN, KATIE J B., DO
GENDER: F
PROVIDER #: 290217
NPI #: 1265725774
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
BENSON, REBECCA J., MD
GENDER: F
PROVIDER #: 182686
NPI #: 1023213030
FAMILY CARE CENTERNORTH LIBERTY
3 LIONS DR
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
BOUTROS, RAMI A., MD
GENDER: M
PROVIDER #: 203057
NPI #: 1063477024
UI HEALTH CARE - NORTH
LIBERTY
3 LIONS DRIVE
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
Primary Care Physicians
CHRISTENSEN, LORI A., MD
GENDER: F
PROVIDER #: 130329
NPI #: 1639165285
UI HEALTH CARE - NORTH
LIBERTY
3 LIONS DRIVE
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
D'ALESSANDRO, DONNA M.,
MD
GENDER: F
PROVIDER #: 130360
NPI #: 1396730248
UI HEALTH CARE - NORTH
LIBERTY
3 LIONS DRIVE
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
FISHBANE-GORDON,
MEREDITH L., MD
GENDER: F
PROVIDER #: 288985
NPI #: 1417165614
UI HEALTH CARE-NORTH
LIBERTY
3 LIONS DR
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UICH GENERAL PEDIATRICS
NORTH LIBERTY
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
LAREW, MARY S., MD
GENDER: F
PROVIDER #: 130686
NPI #: 1376539601
UI HEALTH CARE - NORTH
LIBERTY
3 LIONS DRIVE
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
LINK, ELLEN A., MD
GENDER: F
PROVIDER #: 131227
NPI #: 1114913878
UI HEALTH CARE - NORTH
LIBERTY
3 LIONS DRIVE
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
259
Primary Care Physicians
MARKS, JESSIE E., MD
GENDER: F
PROVIDER #: 222459
NPI #: 1912134339
FAMILY CARE CENTERNORTH LIBERTY
3 LIONS DR
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
MILLER, DAYNA J., MD
GENDER: F
PROVIDER #: 206875
NPI #: 1487859997
UI QUICK CARE-NORTH
LIBERTY
3 LIONS DR
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
MOONJELY, ANITA J., MD
GENDER: F
PROVIDER #: 144292
NPI #: 1649255035
UI HEALTH CARE - NORTH
LIBERTY
3 LIONS DRIVE
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
260
MURPH, JODY R., MD
GENDER: F
PROVIDER #: 131450
NPI #: 1851381560
UI HEALTH CARE - NORTH
LIBERTY
3 LIONS DRIVE
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
OETTING, MARGUERITE H.,
MD
GENDER: F
PROVIDER #: 144852
NPI #: 1073529384
FAMILY CARE CENTERNORTH LIBERTY
3 LIONS DR
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
NORTH LIBERTY, IA
NORTH LIBERTY, IA
PHILLIPS, GEORGE C., MD
GENDER: M
PROVIDER #: 131514
NPI #: 1013902709
FAMILY CARE CENTER
NORTH LIBERTY
3 LIONS DRIVE
NORTH LIBERTY, IA 52317
PHONE: (319) 356-2211
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
SHY, ROSEMARY R., MD
GENDER: F
PROVIDER #: 216351
NPI #: 1841238946
UI QUICK CARE-NORTH
LIBERTY
3 LIONS DR
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
SULLIVAN, SHANNON J., MD
GENDER: F
PROVIDER #: 131922
NPI #: 1093702755
UI HEALTH CARE - NORTH
LIBERTY
3 LIONS DRIVE
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
NORTH LIBERTY, IA
O FALLON, MO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
VIGIL, GRETCHEN E., MD
GENDER: F
PROVIDER #: 131647
NPI #: 1407842735
UI HEALTH CARE - NORTH
LIBERTY
3 LIONS DRIVE
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
NOVELTY, MO
ADULT/INTERNAL
MEDICINE
HRONEK, BRETT W., MD
GENDER: M
PROVIDER #: 291203
NPI #: 1275791568
PHC HOSPITALISTS
1101 W LIBERTY ST
NOVELTY, MO 63460
PHONE: (573) 756-6751
E-PRESCRIBE: NO
Primary Care Physicians
O FALLON, MO
ADULT/INTERNAL
MEDICINE
GRUS, BRIAN A., MD
GENDER: M
PROVIDER #: 291397
NPI #: 1053421065
INTERNAL MEDICINE
ASSOCI
#108 20 PROGRESS POINT P
O FALLON, MO 63368
PHONE: (636) 344-2400
E-PRESCRIBE: NO
TUETH, JAMIE L., DO
GENDER: F
PROVIDER #: 291396
NPI #: 1619100989
INTERNAL MEDICINE
ASSOCI
#108 20 PROGRESS PKWY
O FALLON, MO 63368
PHONE: (636) 344-2400
E-PRESCRIBE: NO
FAMILY PRACTICE
KULKARNI, JYOTI G., MD
GENDER: F
PROVIDER #: 229575
NPI #: 1649281668
O'FALLON CONVENIENT
CARE
2630 HWY K
O FALLON, MO 63368
PHONE: (636) 980-5300
E-PRESCRIBE: NO
O'FALLON FAMILY
MEDICINE
2630 HWY K
O FALLON, MO 63368
PHONE: (636) 240-5454
E-PRESCRIBE: NO
LYNSKEY, VERA, MD
GENDER: F
PROVIDER #: 291229
NPI #: 1851501068
O'FALLON FAMILY
MEDICINE
2630 HIGHWAY K
O FALLON, MO 63368
PHONE: (636) 240-5454
E-PRESCRIBE: NO
MCINTOSH, SEAN A., DO
GENDER: M
PROVIDER #: 291189
NPI #: 1700997731
PHEASANT POINT
PHYSICIAN
20 PROGRESS PT PKWY #108
O FALLON, MO 63368
PHONE: (636) 379-4140
E-PRESCRIBE: NO
MOORE, TIMOTHY D., DO
GENDER: M
PROVIDER #: 291230
NPI #: 1396762910
O'FALLON FAMILY
MEDICINE
2630 HIGHWAY K
O FALLON, MO 63368
PHONE: (636) 240-5454
E-PRESCRIBE: NO
SCHNURR, XIMENA S., MD
GENDER: F
PROVIDER #: 291228
NPI #: 1043444342
O'FALLON FAMILY
MEDICINE
2630 HIGHWAY K
O FALLON, MO 63368
PHONE: (636) 980-5300
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
261
O FALLON, MO
OAKLAND CITY, IN
Primary Care Physicians
STACHECKI, GEORGE P., MD
GENDER: M
PROVIDER #: 111669
NPI #: 1902916927
O'FALLON FAMILY
MEDICINE
2630 HIGHWAY K
O FALLON, MO 63368
PHONE: (636) 240-5454
E-PRESCRIBE: NO
STANTON, LIZA, MD
GENDER: F
PROVIDER #: 121475
NPI #: 1508976523
O'FALLON FAMILY
MEDICINE
2630 HIGHWAY K
O FALLON, MO 63368
PHONE: (636) 240-5454
E-PRESCRIBE: NO
THOMAS, MICHELE M., MD
GENDER: F
PROVIDER #: 161741
NPI #: 1326020041
BARNES WEST PRIMARY
CARE
1040 N MASON RD #102
O FALLON, MO 63368
PHONE: (314) 996-3430
E-PRESCRIBE: NO
MORRISON, SCOTT F., MD
GENDER: M
PROVIDER #: 205536
NPI #: 1508858713
PC ASSOCIATES LLC
310 N SEVEN HILLS RD
O'FALLON, IL 62269
PHONE: (618) 624-6181
E-PRESCRIBE: NO
RYAN, LISA A., MD
GENDER: F
PROVIDER #: 290855
NPI #: 1215120589
WAY TO GROW PEDIATRICS
20 PROGRESS PT PKWY #108
O FALLON, MO 63368
PHONE: (636) 344-2213
E-PRESCRIBE: NO
SZALKOWSKI, JENNIFER, MD
GENDER: F
PROVIDER #: 289156
NPI #: 1275524290
PC ASSOCIATES LLC
310 N SEVEN HILLS ROAD
O'FALLON, IL 62269
PHONE: (618) 624-6181
E-PRESCRIBE: NO
O'FALLON, IL
OAKLAND CITY, IN
FAMILY PRACTICE
BUCHNER, JULIE, MD
GENDER: F
PROVIDER #: 199156
NPI #: 1336330158
PC ASSOCIATES LLC
310 N SEVEN HILLS RD
O'FALLON, IL 62269
PHONE: (618) 624-6181
E-PRESCRIBE: NO
O'FALLON FAMILY
MEDICINE
2630 HIGHWAY K
O FALLON, MO 63368
PHONE: (636) 240-5454
E-PRESCRIBE: NO
PEDIATRICS
BLYTHE, TRINA J., MD
GENDER: F
PROVIDER #: 171298
NPI #: 1316080559
WAY TO GROW PEDIATRICS
20 PROGRESS PT PKWY #108
O FALLON, MO 63368
PHONE: (636) 344-2213
E-PRESCRIBE: NO
262
O'FALLON PEDIATRICS
GENDER:
PROVIDER #: 293475
NPI #: 1366830572
20 PROGRESS POINT PKWY
SUITE 220
O FALLON, MO 63368
PHONE: (636) 344-3333
E-PRESCRIBE: NO
HENRY, KAITLIN, MD
GENDER: F
PROVIDER #: 270454
NPI #: 1003136276
PC ASSOCIATES
310 N SEVEN HILLS RD
O'FALLON, IL 62269
PHONE:
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
ETHERTON, STEVEN W., DO
GENDER: M
PROVIDER #: 134499
NPI #: 1407951734
DEACONESS CLINIC INC
1204 WILLIAMS ST
OAKLAND CITY, IN 47660
PHONE: (812) 749-6187
E-PRESCRIBE: NO
GEHLHAUSEN, TERRY C., DO
GENDER: M
PROVIDER #: 049484
NPI #: 1861479743
DEACONESS CLINIC INC
1204 WILLIAMS ST
OAKLAND CITY, IN 47660
PHONE: (812) 749-6187
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
OAKLAND CITY, IN
ORANGEVILLE, IL
HEICHELBECH, HOLLY L., DO
GENDER: F
PROVIDER #: 167740
NPI #: 1538204367
DEACONESS CLINIC INC
1204 WILLIAMS ST
OAKLAND CITY, IN 47660
PHONE: (812) 749-6187
E-PRESCRIBE: NO
OGLESBY, IL
ADULT/INTERNAL
MEDICINE
INCIONG, RAMON B., MD
GENDER: M
PROVIDER #: 019515
NPI #: 1891707998
ST MARGARETS HEALTH
OGLESBY CLINIC
402 WALNUT ST
OGLESBY, IL 61348
PHONE: (815) 883-3241
E-PRESCRIBE: NO
FAMILY PRACTICE
DEBOER, KELLY L., MD
GENDER: F
PROVIDER #: 207288
NPI #: 1023070257
OGLESBY MEDICAL CLINIC
520 W WALNUT ST
OGLESBY, IL 61348
PHONE: (815) 883-3588
E-PRESCRIBE: NO
ODONNELL, DAVID P., DO
GENDER: M
PROVIDER #: 249086
NPI #: 1972517191
IVCH MEDICAL GROUP
520 W WALNUT
OGLESBY, IL 61348
PHONE: (815) 883-3588
E-PRESCRIBE: NO
Primary Care Physicians
OLNEY, IL
ONARGA, IL
FAMILY PRACTICE
FAMILY PRACTICE
ATWOOD, BRIAN L., MD
GENDER: M
PROVIDER #: 095145
NPI #: 1235182809
ATWOOD MEDICAL LLC
1400 NORTH EAST STREET
OLNEY, IL 62450
PHONE: (618) 395-1400
E-PRESCRIBE: NO
BREWER, BENJAMIN E., MD
GENDER: M
PROVIDER #: 109044
NPI #: 1184618258
THE ONARGA CLINIC
109 N CHESTNUT
ONARGA, IL 60955
PHONE: (815) 268-4840
E-PRESCRIBE: YES
SHAUKAT, BUSHRA, MD
GENDER: F
PROVIDER #: 277631
NPI #: 1033486758
RMH PROFESSIONAL
SERVICES
1200 NORTH EAST STREET
OLNEY, IL 62450
PHONE: (618) 395-7340
E-PRESCRIBE: YES
800 E LOCUST ST
OLNEY, IL 62450
PHONE: (618) 395-1944
E-PRESCRIBE: YES
LANOUE, DOUGLAS A., MD
GENDER: M
PROVIDER #: 263959
NPI #: 1700032646
THE ONARGA CLINIC
109 N CHESTNUT
ONARGA, IL 60955
PHONE: (815) 268-4840
E-PRESCRIBE: NO
OMAHA, NE
ADULT/INTERNAL
MEDICINE
MULLEN, JULIA A., MD
GENDER: F
PROVIDER #: 237618
NPI #: 1043233729
PHYSICIANS OF INTERNAL
MEDICINE PC
7710 MERCY RD STE 601
OMAHA, NE 68124
PHONE: (402) 397-5236
E-PRESCRIBE: NO
ORANGEVILLE, IL
FAMILY PRACTICE
SCHLEICH, JEFFREY, MD
GENDER: M
PROVIDER #: 098528
NPI #: 1215900519
FHN FAMILY HEALTHCARE
CENTER
101 W MAIN ST
ORANGEVILLE, IL 61060
PHONE: (815) 989-3100
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
263
OREGON, IL
OSWEGO, IL
Primary Care Physicians
OREGON, IL
OSWEGO, IL
FAMILY PRACTICE
BANDERA, ROBERT M., MD
GENDER: M
PROVIDER #: 076539
NPI #: 1134199458
KSB MEDICAL GROUP
1307 W WASHINGTON ST
OREGON, IL 61061
PHONE: (815) 732-3151
E-PRESCRIBE: YES
MYERS, MARK K., MD
GENDER: M
PROVIDER #: 040925
NPI #: 1619945193
KSB MEDICAL GROUP
1307 W WASHINGTON ST
OREGON, IL 61061
PHONE: (815) 732-3151
GUSSE, COLLINE N., PA-C;
PROVIDER #: 069060
E-PRESCRIBE: YES
FAMILY PRACTICE
MCCAW, MAXHN H., DO
GENDER: M
PROVIDER #: 107113
NPI #: 1275511305
415 11TH AVE
ORION, IL 61273
PHONE: (309) 526-3111
E-PRESCRIBE: NO
264
DEOL, KIRANJIT K., MD
GENDER: F
PROVIDER #: 232316
NPI #: 1841486198
DREYER MEDICAL GROUP
LTD
80 TEMPLETON DR
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
DUNNE, ALEXIS P., MD
GENDER: F
PROVIDER #: 173205
NPI #: 1336324367
DREYER CLINIC-OSWEGO
80 TEMPLETON DRIVE
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
RECKAMP, GREGORY D., MD
GENDER: M
PROVIDER #: 040926
NPI #: 1649248543
KSB MEDICAL GROUP
1307 W WASHINGTON ST
OREGON, IL 61061
PHONE: (815) 732-3151
GUSSE, COLLINE N., PA-C;
PROVIDER #: 069060
E-PRESCRIBE: YES
ORION, IL
ADULT/INTERNAL
MEDICINE
FAKHRUDDIN, ATIF, MD
GENDER: M
PROVIDER #: 141140
NPI #: 1952349516
DREYER CLINIC OSWEGO
80 TEMPLETON DRIVE
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
JONES, JUDSON E., MD
GENDER: F
PROVIDER #: 027622
NPI #: 1609894856
DREYER CLINIC OSWEGO
80 TEMPLETON DRIVE
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
KARESH, JOHN W., MD
GENDER: M
PROVIDER #: 022760
NPI #: 1932127917
DREYER CLINIC-OSWEGO
80 TEMPLETON DRIVE
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
PETERSON, MARK E., MD
GENDER: M
PROVIDER #: 177305
NPI #: 1114030384
DREYER CLINIC-OSWEGO
80 TEMPLETON DRIVE
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
FAMILY PRACTICE
CRANE, JENNIFER R., MD
GENDER: F
PROVIDER #: 186228
NPI #: 1689699902
DREYER CLINIC-OSWEGO
80 TEMPLETON DRIVE
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
HOULAHAN, ROY F., MD
GENDER: M
PROVIDER #: 095483
NPI #: 1720011752
DREYER CLINIC OSWEGO
80 TEMPLETON DR
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
KAMPMAN, BRIDGET A., MD
GENDER: F
PROVIDER #: 225468
NPI #: 1922237023
DREYER CLINIC-OSWEGO
80 TEMPLETON DR
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
OSWEGO, IL
OTTAWA, IL
KELLY, RICHARD P., DO
GENDER: M
PROVIDER #: 205756
NPI #: 1831118264
DREYER CLINIC OSWEGO
80 TEMPLETON DR
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
OOSTMAN, BRIAN D., DO
GENDER: M
PROVIDER #: 205695
NPI #: 1316950496
DREYER CLINIC-OSWEGO
80 TEMPLETON DR
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
SHETH, MANSI C., DO
GENDER: F
PROVIDER #: 244946
NPI #: 1669600870
DREYER CLINIC OSWEGO
80 TEMPLETON DR
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
SPANIK, CARLI T., MD
GENDER: F
PROVIDER #: 208036
NPI #: 1740446392
DREYER CLINIC-OSWEGO
80 TEMPLETON DRIVE
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
WEBER, HEATHER H., MD
GENDER: F
PROVIDER #: 205754
NPI #: 1831319748
DREYER CLINIC-OSWEGO
80 TEMPLETON DR
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
Primary Care Physicians
PEDIATRICS
CHORVAT, KAREN J., MD
GENDER: F
PROVIDER #: 205717
NPI #: 1245402932
DREYER CLINIC OSWEGO
80 TEMPLETON DR
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
SKURKA, JEROME J., MD
GENDER: M
PROVIDER #: 022516
NPI #: 1871609016
80 TEMPLETON DRIVE
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
OTTAWA, IL
ADULT/INTERNAL
MEDICINE
CABALFIN, CYNTHIA L., MD
GENDER: F
PROVIDER #: 115275
NPI #: 1497708382
OTTAWA REGIONAL
MEDICAL CENTER
1050 E NORRIS DR SUITE 2B
OTTAWA, IL 61350
PHONE: (815) 433-2606
E-PRESCRIBE: NO
CURTIS, BRIAN S., MD
GENDER: M
PROVIDER #: 258765
NPI #: 1730272964
OTTAWA REGIONAL
MEDICAL CENTER INC
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: NO
GUERRERO, RAUL V., MD
GENDER: M
PROVIDER #: 129444
NPI #: 1053307660
OTTAWA REGIONAL
MEDICAL CENTER
1050 E NORRIS DR SUITE 2B
OTTAWA, IL 61350
PHONE: (815) 433-2606
E-PRESCRIBE: NO
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
1100 E NORRIS DR
OTTAWA, IL 61350
PHONE: (309) 676-8123
E-PRESCRIBE: YES
MAGUIRE, ROBERT B., MD
GENDER: M
PROVIDER #: 013148
NPI #: 1174571673
OTTAWA REGIONAL
MEDICAL CENTER
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
PETERSON, TIMOTHY W., PA;
PROVIDER #: 199839
PIAGENTINI, DANIELLE, APN;
PROVIDER #: 299407
E-PRESCRIBE: YES
MANIGOLD, DAVID O., MD
GENDER: M
PROVIDER #: 013149
NPI #: 1346299641
OTTAWA REGIONAL
MEDICAL GROUP
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
265
OTTAWA, IL
OTTAWA, IL
Primary Care Physicians
FAMILY PRACTICE
MCVAY, MARK A., DO
GENDER: M
PROVIDER #: 012189
NPI #: 1366541484
112 W CENTER ST
OTTAWA, IL 61350
PHONE: (815) 434-3414
E-PRESCRIBE: NO
BHURGRI, JASMINE N., MD
GENDER: F
PROVIDER #: 098800
NPI #: 1821046186
OTTAWA REGIONAL
MEDICAL CENTER
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: YES
DUMITRESCU, ADRIANA P.,
MD
GENDER: F
PROVIDER #: 096534
NPI #: 1376591933
OTTAWA REGIONAL
MEDICAL CENTER
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: YES
GUEORGUIEV, GUEORGUI S.,
MD
GENDER: M
PROVIDER #: 127259
NPI #: 1356336952
OTTAWA REGIONAL
MEDICAL CENTER
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: YES
KOGANTI, USHASRI, MD
GENDER: F
PROVIDER #: 063780
NPI #: 1992917009
1129 COLUMBUS ST
OTTAWA, IL 61350
PHONE: (815) 434-2048
E-PRESCRIBE: NO
OSF MEDICAL GROUP
1209 STARFIRE DR SUITE 3
OTTAWA, IL 61350
PHONE: (815) 434-2048
E-PRESCRIBE: NO
266
CROSSROADS COUNSELING
SERVICES LLC
112 W CENTER ST
OTTAWA, IL 61350
PHONE: (815) 434-3414
E-PRESCRIBE: YES
601 W NORRIS DR SUITE B
OTTAWA, IL 61350
PHONE: (815) 433-5101
E-PRESCRIBE: YES
ROSBOROUGH, BRIAN S.,
MD
GENDER: M
PROVIDER #: 015533
NPI #: 1881643948
OTTAWA REGIONAL
MEDICAL CENTER
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: YES
SYED, HASSNAIN S., MD
GENDER: M
PROVIDER #: 186955
NPI #: 1669798542
LIBERTY MEDICAL CENTER
827 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 434-7204
E-PRESCRIBE: NO
TREMB, RYAN J., DO
GENDER: M
PROVIDER #: 288640
NPI #: 1568638989
OSF MEDICAL GROUP
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: NO
FAMILY PRACTICE OB
DUMITRESCU, ADRIANA P.,
MD
GENDER: F
PROVIDER #: 096534
NPI #: 1376591933
OTTAWA REGIONAL
MEDICAL CENTER
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: YES
PEDIATRICS
CURTIS, BRIAN S., MD
GENDER: M
PROVIDER #: 258765
NPI #: 1730272964
OTTAWA REGIONAL
MEDICAL CENTER INC
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: NO
MAMTANI, PUSHPA K., MD
GENDER: F
PROVIDER #: 279764
NPI #: 1376527168
OTTAWA REGIONAL
MEDICAL CENTER
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: NO
MARCHINI, ALEJANDRO, MD
GENDER: M
PROVIDER #: 277639
NPI #: 1740326719
OTTAWA REGIONAL
MEDICAL CENTER INC
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
OTTAWA, IL
PADUCAH, KY
ST CLAIR, PAMELA, MD
GENDER: F
PROVIDER #: 131703
NPI #: 1467575332
OTTAWA REGIONAL
MEDICAL CENTER
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: NO
PADUCAH, KY
ADULT/INTERNAL
MEDICINE
AFENYA, KENNETH K., MD
GENDER: M
PROVIDER #: 297364
NPI #: 1558593210
THMS-ST JOSEPH MC LLC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
ALI, SHAUKAT, MD
GENDER: M
PROVIDER #: 097465
NPI #: 1700956844
JPMA DBA WESTERN KY
KIDNEY SPECIALISTS
1532 LONE OAK RD STE 315
PADUCAH, KY 42003
PHONE: (270) 538-5880
E-PRESCRIBE: NO
BAILEY, BILLY D., MD
GENDER: M
PROVIDER #: 029602
NPI #: 1396730552
WEST KENTUCKY
RHEUMATOLOGY
125 AUGUSTA AVE STE A
PADUCAH, KY 42003
PHONE: (270) 534-0046
E-PRESCRIBE: NO
Primary Care Physicians
BOWMAN-STROUD, CYNTHIA
A., MD
GENDER: F
PROVIDER #: 148792
NPI #: 1912045527
JPMA PSC DBA PADUCAH
FAMILY MEDICINE
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4270
E-PRESCRIBE: YES
CASE, JEFFREY D., MD
GENDER: M
PROVIDER #: 009886
NPI #: 1710916176
DERMATOLOGY & SKIN
SURGERY CLINIC
110 MEDICAL CENTER DR
PADUCAH, KY 42003
PHONE: (270) 443-2471
E-PRESCRIBE: NO
BROADBENT, JOHN E., MD
GENDER: M
PROVIDER #: 062276
NPI #: 1902894983
225 MEDICAL CENTER DR
SUITE 203
PADUCAH, KY 42003
PHONE: (270) 441-4275
E-PRESCRIBE: NO
CHUA, WINSTON C., MD
GENDER: M
PROVIDER #: 137966
NPI #: 1013923846
ONCOLOGY ASSOCIATES OF
WEST KENTUCKY
2603 KENTUCKY AVE STE
403
PADUCAH, KY 42003
PHONE: (270) 444-3930
E-PRESCRIBE: NO
BUTLER, DANNY N., MD
GENDER: M
PROVIDER #: 037607
NPI #: 1003999251
DR BUTLER & ASSOCIATES
PLLC
2603 KENTUCKY AVE SUITE
303
PADUCAH, KY 42003
PHONE: (270) 443-2900
E-PRESCRIBE: NO
CONCEPCION, LUIS A., MD
GENDER: M
PROVIDER #: 073170
NPI #: 1194778449
ONCOLOGY ASSOCIATES OF
WEST KENTUCKY
2603 KENTUCKY AVE STE
403
PADUCAH, KY 42003
PHONE: (270) 444-3930
E-PRESCRIBE: NO
CARTER, RUSSELL W., DO
GENDER: M
PROVIDER #: 031343
NPI #: 1912976085
BLUEGRASS
GASTROENTEROLOGY PSC
225 MEDICAL CENTER
DRIVE SUITE 307
PADUCAH, KY 42003
PHONE: (270) 441-4700
E-PRESCRIBE: NO
DE LA ROSA, RAYMOND E.,
MD
GENDER: M
PROVIDER #: 117522
NPI #: 1083667984
JPMA DBA PADUCAH
ENDOCRINOLOGY
225 MEDICAL CENTER DR
PADUCAH, KY 42003
PHONE: (270) 441-4498
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
267
Primary Care Physicians
PADUCAH, KY
PADUCAH, KY
DITTOE, NATHANIEL, MD
GENDER: M
PROVIDER #: 293678
NPI #: 1720106685
BAPTIST HEALTH MEDICAL
GROUP
2601 KENTUCKY AVENUE
SUITE 301
PADUCAH, KY 42003
PHONE: (270) 575-3113
E-PRESCRIBE: NO
FORD, JAMES K., MD
GENDER: M
PROVIDER #: 288077
NPI #: 1285665182
BAPTIST HEALTH MEDICAL
GROUP
2601 KENTUCKY AVENUE
SUITE 301
PADUCAH, KY 42003
PHONE: (270) 575-3113
E-PRESCRIBE: NO
HAMMONDS, CARA L., MD
GENDER: F
PROVIDER #: 273379
NPI #: 1841401494
JPMA PSC DBA PADUCAH
RHEUMATOLOGY
225 MEDICAL CENTER DR
STE 206
PADUCAH, KY 42003
PHONE: (270) 441-4522
E-PRESCRIBE: NO
FAULKNER, MICHAEL, MD
GENDER: M
PROVIDER #: 298299
NPI #: 1336342427
BAPTIST HEALTH MEDICAL
GROUP
2601 KENTUCKY AVENUE
SUITE 301
PADUCAH, KY 42003
PHONE: (270) 575-3113
E-PRESCRIBE: NO
FRAZINE, RYAN C., MD
GENDER: M
PROVIDER #: 274310
NPI #: 1548339070
ADVANCED INTERNAL
MEDICINE PLLC
2605 KENTUCKY AVE
PADUCAH, KY 42003
PHONE: (270) 366-7650
E-PRESCRIBE: NO
HANCOCK, JOHN C., DO
GENDER: M
PROVIDER #: 296899
NPI #: 1790930352
THMS-ST JOSEPH MC LLC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
FISCHER, MAE, MD
GENDER: F
PROVIDER #: 097424
NPI #: 1518036177
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: YES
FLEENOR-FORD, ANITA J.,
MD
GENDER: F
PROVIDER #: 071470
NPI #: 1740284348
INFECTIOUS DISEASE
ASSOCIATES PLLC
2601 KENTUCKY AVE STE
404
PADUCAH, KY 42003
PHONE: (270) 444-9889
E-PRESCRIBE: NO
268
GWINN JR, JAMES S., MD
GENDER: M
PROVIDER #: 288076
NPI #: 1588693840
BAPTIST HEALTH MEDICAL
GROUP
2601 KENTUCKY AVENUE
SUITE 301
PADUCAH, KY 42003
PHONE: (270) 575-3113
E-PRESCRIBE: NO
HALL, ALICE R., MD
GENDER: F
PROVIDER #: 297372
NPI #: 1033105879
THMS-ST JOSEPH MC LLC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
KAMINENI, PADMA R., MD
GENDER:
PROVIDER #: 298444
NPI #: 1275575615
BAPTIST HEALTH MEDICAL
100 KIANA COURT
PADUCAH, KY 42002
PHONE: (270) 554-0011
E-PRESCRIBE: NO
LEA, BRIAN A., MD
GENDER: M
PROVIDER #: 288249
NPI #: 1962665364
BAPTIST HEALTH MEDICAL
GROUP
2601 KENTUCKY AVENUE
SUITE 301
PADUCAH, KY 42003
PHONE: (270) 575-3113
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PADUCAH, KY
PADUCAH, KY
Primary Care Physicians
LEBUHN, CARL B., MD
GENDER: M
PROVIDER #: 071469
NPI #: 1700880309
INFECTIOUS DISEASE
ASSOCIATES PLLC
2601 KENTUCKY AVE STE
404
PADUCAH, KY 42003
PHONE: (270) 444-9889
E-PRESCRIBE: NO
MCCOMBS, RICK J., MD
GENDER: M
PROVIDER #: 065300
NPI #: 1972580991
PADUCAH
GASTROENTEROLOGY PSC
225 MEDICAL CENTER DR
SUITE 307
PADUCAH, KY 42003
PHONE: (270) 441-4700
E-PRESCRIBE: NO
MEALS, LEE T., MD
GENDER: F
PROVIDER #: 297503
NPI #: 1578622379
MEALS & TOLAR
IMPAIRMENT SPECIALIST
DBA PREMIER PR
150 BRETT CHASE SUITE B
PADUCAH, KY 42003
PHONE: (270) 554-4820
E-PRESCRIBE: NO
LEBUHN, POLLY J., MD
GENDER: F
PROVIDER #: 097428
NPI #: 1417026949
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: NO
MCCULLOUGH, NANNETTE
L., MD
GENDER: F
PROVIDER #: 297464
NPI #: 1972663201
EMERGENCY SERVICES OF
VIRGINIA PC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
MEEKS, VAN T., MD
GENDER: F
PROVIDER #: 261106
NPI #: 1255574984
TOTAL LIFE CARE
2850 LONE OAK RD STE 4
PADUCAH, KY 42003-8043
PHONE:
E-PRESCRIBE: NO
LONG JR, JAMES H., MD
GENDER: M
PROVIDER #: 097434
NPI #: 1881763100
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: YES
MCCULLOUGH, STEVEN J.,
DO
GENDER: M
PROVIDER #: 097468
NPI #: 1780753988
JPMA DBA WESTERN KY
KIDNEY SPECIALISTS
1532 LONE OAK ROAD SUITE
315
PADUCAH, KY 42003
PHONE: (270) 538-5880
E-PRESCRIBE: YES
MABRY, ROBERT T., MD
GENDER: M
PROVIDER #: 297462
NPI #: 1043213820
EMERGENCY SERVICES OF
VIRGINIA PC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
MCELROY, BRADLEY B., MD
GENDER: M
PROVIDER #: 286423
NPI #: 1043248636
BAPTIST HEALTH MEDICAL
GROUP
2601 KENTUCKY AVENUE
SUITE 301
PADUCAH, KY 42003
PHONE: (270) 575-3113
E-PRESCRIBE: NO
PHILLIPS, CHRISTOPHER R.,
MD
GENDER: M
PROVIDER #: 183123
NPI #: 1912024563
JPMA PSC DBA PADUCAH
RHEUMATOLOGY
225 MEDICAL CENTER DR
STE 206
PADUCAH, KY 42003
PHONE: (270) 441-4522
E-PRESCRIBE: NO
PITTARD, JOSEPH M., MD
GENDER: M
PROVIDER #: 097441
NPI #: 1629147574
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
269
Primary Care Physicians
PUERTOLLANO, GLENN R.,
MD
GENDER: M
PROVIDER #: 297380
NPI #: 1679544381
THMS-ST JOSEPH MC LLC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
SAYYAD, TARIQ, MD
GENDER: M
PROVIDER #: 297468
NPI #: 1265481915
EMERGENCY SERVICES OF
VIRGINIA PC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
PURVIS, MELISSA L., MD
GENDER: F
PROVIDER #: 187019
NPI #: 1710144746
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: NO
SHIBEN, TIMOTHY E., MD
GENDER: M
PROVIDER #: 073370
NPI #: 1780652347
BLUEGRASS
GASTROENTEROLOGY PSC
225 MEDICAL CENTER DR
SUITE 307
PADUCAH, KY 42003
PHONE: (270) 441-4700
E-PRESCRIBE: NO
RANKIN, BRADLEY T., MD
GENDER: M
PROVIDER #: 026993
NPI #: 1457355893
FAMILY ALLERGY &
ASTHMA
2312 KENTUCKY AVE
PADUCAH, KY 42003
PHONE: (270) 442-5151
E-PRESCRIBE: NO
SIVA, NIRANJAN, MD
GENDER: M
PROVIDER #: 120635
NPI #: 1154330157
NEUROLOGY GROUP OF
PADUCAH PLLC
2603 KENTUCKY AVENUE
SUITE 402
PADUCAH, KY 42003
PHONE: (270) 443-2830
E-PRESCRIBE: NO
REED, PAMELA, MD
GENDER: F
PROVIDER #: 089049
NPI #: 1356310429
BLUEGRASS
GASTROENTEROLOGY PSC
225 MEDICAL CENTER DR
SUITE 307
PADUCAH, KY 42003
PHONE: (270) 441-4700
E-PRESCRIBE: NO
270
SKINNER, WILLIAM L., MD
GENDER: M
PROVIDER #: 097611
NPI #: 1376657254
WEST KENTUCKY
HEMATOLOGY &
ONCOLOGY GROUP
225 MEDICAL CENTER DR
STE 301
PADUCAH, KY 42003
PHONE: (270) 441-4343
E-PRESCRIBE: NO
PADUCAH, KY
PADUCAH, KY
SMITH, RICHARD D., MD
GENDER: M
PROVIDER #: 090426
NPI #: 1710056676
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: NO
SRINIVASAN, SANKAR, MD
GENDER: M
PROVIDER #: 298524
NPI #: 1811982390
BAPTIST HEALTH MEDICAL
GROUP
100 KIANA COURT
PADUCAH, KY 42002
PHONE: (270) 554-0011
E-PRESCRIBE: NO
THOMPSON, BENJAMIN H.,
MD
GENDER: M
PROVIDER #: 297384
NPI #: 1043413131
THMS-ST JOSEPH MC LLC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
TOLAR, RHEANEL A., MD
GENDER: F
PROVIDER #: 297507
NPI #: 1427117225
MEALS & TOLAR
IMPAIRMENT SPECIALIST
DBA PREMIER PR
150 BRETT CHASE SUITE B
PADUCAH, KY 42003
PHONE: (270) 554-4820
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PADUCAH, KY
PADUCAH, KY
Primary Care Physicians
WALLACE, JESSE, MD
GENDER: M
PROVIDER #: 097454
NPI #: 1568531416
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: NO
CONYER, WILLIAM R., MD
GENDER: M
PROVIDER #: 297068
NPI #: 1366409088
BAPTIST HEALTH MEDICAL
GROUP
2601 KENTUCKY AVENUE
SUITE 103
PADUCAH, KY 42003
PHONE: (270) 415-4860
E-PRESCRIBE: NO
LESLIE, DARRELL B., MD
GENDER: M
PROVIDER #: 145248
NPI #: 1588741755
JPMA PSC DBA PADUCAH
FAMILY MEDICINE
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4270
E-PRESCRIBE: YES
WILKERSON, JONATHAN D.,
MD
GENDER: M
PROVIDER #: 257930
NPI #: 1235326737
JPMA DBA WESTERN KY
KIDNEY SPECIALISTS
1532 LONE OAD RD STE 315
PADUCAH, KY 42003
PHONE: (270) 538-5380
E-PRESCRIBE: NO
COOK, KENNETH G., MD
GENDER: M
PROVIDER #: 043933
NPI #: 1720169501
225 MEDICAL CENTER DR
STE 208C
PADUCAH, KY 42003
PHONE: (502) 441-4144
E-PRESCRIBE: NO
LESLIE, SHANNA M., MD
GENDER: F
PROVIDER #: 143670
NPI #: 1730278920
JPMA PSC DBA PADUCAH
FAMILY MEDICINE
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4270
E-PRESCRIBE: YES
WINKLER, CHARLES F., MD
GENDER: M
PROVIDER #: 291608
NPI #: 1083665061
BAPTIST HEALTH MEDICAL
GROUP
100 KIANA COURT
PADUCAH, KY 42002
PHONE: (270) 554-0011
E-PRESCRIBE: NO
FAMILY PRACTICE
BANISTER, KAREN C., MD
GENDER: F
PROVIDER #: 297493
NPI #: 1730248535
MEALS & TOLAR
IMPAIRMENT SPECIALIST
DBA PREMIER PR
150 BRETT CHASE SUITE B
PADUCAH, KY 42003
PHONE: (270) 554-4820
E-PRESCRIBE: NO
EICKHOLZ, JAMES N., MD
GENDER: M
PROVIDER #: 064311
NPI #: 1831120930
546 LONE OAK RD
PADUCAH, KY 42003
PHONE: (270) 441-4850
E-PRESCRIBE: NO
HORN, FRANCES M., DO
GENDER: F
PROVIDER #: 296896
NPI #: 1154313120
THMS-ST JOSEPH MC LLC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
MARTIN, ARIBBE A., MD
GENDER: F
PROVIDER #: 096956
NPI #: 1437210499
225 MEDICAL CENTER DR
SUITE 209A
PADUCAH, KY 42003
PHONE: (270) 441-4506
E-PRESCRIBE: NO
NELSON, JENNIFER W., DO
GENDER: F
PROVIDER #: 135807
NPI #: 1336222512
TOTAL LIFE CARE PLLC
2850 LONE OAK ROAD SUITE
4
PADUCAH, KY 42003
PHONE: (270) 554-3904
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
271
Primary Care Physicians
PARISH, KYLE D., MD
GENDER: M
PROVIDER #: 140981
NPI #: 1881622751
KYLE D PARISH MD PSC
1532 LONE OAK ROAD SUITE
305
PADUCAH, KY 42003
PHONE: (270) 443-0010
E-PRESCRIBE: NO
WELLS, ALLAN G., MD
GENDER: M
PROVIDER #: 297455
NPI #: 1902969074
EMERGENCY SERVICES OF
VIRGINIA PC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
RINEY, JEFFREY L., MD
GENDER: M
PROVIDER #: 067161
NPI #: 1669495552
SUITE 209B
225 MEDICAL CENTER DR
PADUCAH, KY 42003
PHONE: (270) 441-4610
E-PRESCRIBE: NO
WIGGINS, JOSEPH D., MD
GENDER: M
PROVIDER #: 096966
NPI #: 1992763254
657 LONE OAK RD STE 1
PADUCAH, KY 42003
PHONE: (270) 443-4430
E-PRESCRIBE: NO
GENERAL PRACTICE
RUXER, JENA T., MD
GENDER: F
PROVIDER #: 297355
NPI #: 1538470224
THMS-ST JOSEPH MC LLC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
SAXON, DAVID B., MD
GENDER: M
PROVIDER #: 288191
NPI #: 1023075173
BAPTIST HEALTH MEDICAL
GROUP
2601 KENTUCKY AVENUE
SUITE 103
PADUCAH, KY 42003
PHONE: (270) 415-4860
E-PRESCRIBE: NO
272
MCDONALD, SEAN P., MD
GENDER: M
PROVIDER #: 296900
NPI #: 1548250129
LONE OAK CHIROPRACTIC
PSC
125 AUGUSTA AVE STE D
PADUCAH, KY 42003
PHONE: (270) 554-5114
E-PRESCRIBE: NO
PEDIATRICS
BLOCK III, FRANK J., MD
GENDER: M
PROVIDER #: 096333
NPI #: 1770550287
150 BRETT CHASE SUITE A
PADUCAH, KY 42003
PHONE: (270) 534-9513
E-PRESCRIBE: NO
PADUCAH, KY
PADUCAH, KY
BOWMAN-STROUD, CYNTHIA
A., MD
GENDER: F
PROVIDER #: 148792
NPI #: 1912045527
JPMA PSC DBA PADUCAH
FAMILY MEDICINE
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4270
E-PRESCRIBE: YES
BRUCE, WILLIAM M., MD
GENDER: M
PROVIDER #: 097619
NPI #: 1831184704
PEDIATRIC GROUP OF
PADUCAH PSC
2605 KENTUCKY AVE STE
501 DOB #3
PADUCAH, KY 42003
PHONE: (270) 443-7534
E-PRESCRIBE: NO
MASON, KAYLA G., MD
GENDER: F
PROVIDER #: 097621
NPI #: 1336135961
PEDIATRIC GROUP OF
PADUCAH PSC
2605 KENTUCKY AVE STE
501 DOB #3
PADUCAH, KY 42003
PHONE: (270) 443-7534
E-PRESCRIBE: NO
MCGREGOR, ELIZABETH C.,
MD
GENDER: F
PROVIDER #: 202929
NPI #: 1154584605
PEDIATRIC GROUP OF
PADUCAH PSC
2605 KENTUCKY AVE STE
501 DOB #3
PADUCAH, KY 42003
PHONE: (270) 443-7534
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PADUCAH, KY
PANA, IL
MEEKS, VAN T., MD
GENDER: F
PROVIDER #: 261106
NPI #: 1255574984
TOTAL LIFE CARE
2850 LONE OAK RD STE 4
PADUCAH, KY 42003-8043
PHONE:
E-PRESCRIBE: NO
MUDD, JEFFREY M., MD
GENDER: M
PROVIDER #: 097690
NPI #: 1518952480
PEDIATRIC GROUP OF
PADUCAH PSC
2605 KENTUCKY AVE STE
501 DOB #3
PADUCAH, KY 42003
PHONE: (270) 443-7534
E-PRESCRIBE: NO
SCHELL, DAVID H., MD
GENDER: M
PROVIDER #: 097691
NPI #: 1649266271
PEDIATRIC GROUP OF
PADUCAH PSC
2605 KENTUCKY AVE STE
501 DOB #3
PADUCAH, KY 42003
PHONE: (270) 443-7534
E-PRESCRIBE: NO
PALMYRA, MO
FAMILY PRACTICE
KNORR, DAVID J., DO
GENDER: M
PROVIDER #: 085187
NPI #: 1255310850
HANNIBAL CLINIC
OPERATIONS LLC
1811 S MAIN
PALMYRA, MO 63461
PHONE: (573) 769-2231
E-PRESCRIBE: NO
Primary Care Physicians
PONTIUS, GINA M., MD
GENDER: F
PROVIDER #: 209747
NPI #: 1871793257
HANNIBAL CLINIC
OPERATIONS LLC
1811 S MAIN
PALMYRA, MO 63461
PHONE: (573) 769-2231
E-PRESCRIBE: NO
PANA, IL
ADULT/INTERNAL
MEDICINE
PRABHU, MANJESHWAR, MD
GENDER: M
PROVIDER #: 008667
NPI #: 1770683450
SPRINGFIELD CLINIC
101 E 9TH ST
PANA, IL 62557
PHONE: (217) 562-2131
E-PRESCRIBE: NO
FAMILY PRACTICE
CUNNINGTON, LAURIE E., MD
GENDER: F
PROVIDER #: 134371
NPI #: 1114056363
COMMUNITY MEDICAL
CLINIC OF PANA
101 E 9TH ST SUITE 105
PANA, IL 62557
PHONE: (217) 562-2544
ANKLAM, DEBRA, CNP;
PROVIDER #: 172570
E-PRESCRIBE: NO
CUNNINGTON, WALTER H.,
MD
GENDER: M
PROVIDER #: 133335
NPI #: 1811024508
COMMUNITY MEDICAL
CLINIC OF PANA
101 E 9TH ST SUITE 105
PANA, IL 62557
PHONE: (217) 562-2544
ANKLAM, DEBRA, CNP;
PROVIDER #: 172570
E-PRESCRIBE: NO
DYCOCO, GLORIA, MD
GENDER: F
PROVIDER #: 018388
NPI #: 1598837999
PANA MEDICAL GROUP LLC
217 S LOCUST
PANA, IL 62557
PHONE: (217) 562-2143
E-PRESCRIBE: NO
MUNESES, MARLON, MD
GENDER: M
PROVIDER #: 252732
NPI #: 1265422067
COMMUNITY MEDICAL
CLINIC OF PANA
101 E NINTH ST
PANA, IL 62557
PHONE: (217) 562-2544
E-PRESCRIBE: YES
TEODORO, CATHERINE D.,
MD
GENDER: F
PROVIDER #: 225034
NPI #: 1720373574
COMMUNITY MEDICAL
CLINIC
101 E 9TH ST
PANA, IL 62557
PHONE: (217) 562-2544
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
273
Primary Care Physicians
PANA, IL
PARK RIDGE, IL
GENERAL PRACTICE
FAMILY PRACTICE
GENERAL PRACTICE
DYCOCO, VIRGILIO M., MD
GENDER: M
PROVIDER #: 006563
NPI #: 1528137403
PANA MEDICAL GROUP LLC
217 S LOCUST
PANA, IL 62557
PHONE: (217) 562-2143
E-PRESCRIBE: NO
MACKE, STEVEN, MD
GENDER: M
PROVIDER #: 243295
NPI #: 1609867373
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8911
E-PRESCRIBE: NO
QUIZON, DEOGRACIAS F.,
MD
GENDER: M
PROVIDER #: 014784
NPI #: 1437228319
PANA MEDICAL GROUP LLC
217 S LOCUST
PANA, IL 62557
PHONE: (217) 562-2143
E-PRESCRIBE: NO
MOTWANI, HARESH K., MD
GENDER: M
PROVIDER #: 301233
NPI #: 1598841025
PARIS COMMUNITY
HOSPITAL
721 E COURT ST
PARIS, IL 61944-2420
PHONE:
E-PRESCRIBE: NO
AKERMAN, MICHAEL B., MD
GENDER: M
PROVIDER #: 011041
NPI #: 1356421473
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
ARP, SUSAN, CNP; PROVIDER
#: 026870
ROARK, MICHELLE, CNP;
PROVIDER #: 010529
WALLACE, LOUWANNA, CNP;
PROVIDER #: 007057
E-PRESCRIBE: NO
PARIS, IL
ADULT/INTERNAL
MEDICINE
KUHN, WILLIAM A., MD
GENDER: M
PROVIDER #: 004384
NPI #: 1942202007
640 E COURT ST
PARIS, IL 61944
PHONE: (217) 463-3326
E-PRESCRIBE: NO
SUTTON, REID, MD
GENDER: M
PROVIDER #: 004047
NPI #: 1205916236
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
E-PRESCRIBE: NO
274
PHIPPS, LELAND, MD
GENDER: M
PROVIDER #: 004076
NPI #: 1902969579
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
ARP, SUSAN, CNP; PROVIDER
#: 026870
PITTS, JAMES D., PA-C;
PROVIDER #: 209933
ROARK, MICHELLE, CNP;
PROVIDER #: 010529
WALLACE, LOUWANNA, CNP;
PROVIDER #: 007057
E-PRESCRIBE: NO
SODVADIYA,
JITENDRAKUMAR, MD
GENDER: M
PROVIDER #: 280276
NPI #: 1194010496
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
E-PRESCRIBE: YES
GUINTO, MAKERTO, MD
GENDER: M
PROVIDER #: 255989
NPI #: 1689776593
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 463-1946
E-PRESCRIBE: NO
PARIS COMMUNITY
HOSPITAL
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-4141
E-PRESCRIBE: NO
PARK RIDGE, IL
ADULT/INTERNAL
MEDICINE
ASIMACOPOULOS, VOULA,
MD
GENDER:
PROVIDER #: 267744
NPI #: 1114920824
PMG PARK RIDGE
205 S NORTHWEST HWY
SUITE 130
PARK RIDGE, IL 60068-5802
PHONE: (847) 292-5200
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PARK RIDGE, IL
PEKIN, IL
PMG PARK RIDGE INTERNAL
MED SOUTH
132 S PROSPECT AVE
PARK RIDGE, IL 60068
PHONE: (847) 292-5200
E-PRESCRIBE: NO
FAMILY PRACTICE
EVANS, JOHN C., MD
GENDER: M
PROVIDER #: 235558
NPI #: 1003964156
PMG-MEDICAL SURGICAL
ASSOCIATES OF PARK
RIDGE
205 S NW HWY SUITE 130
PARK RIDGE, IL 60068-5802
PHONE: (847) 292-5200
E-PRESCRIBE: NO
PETERSON, MARY KATE, DO
GENDER: F
PROVIDER #: 236779
NPI #: 1356508675
PARK RIDGE
205 S NORTHWEST HWY
SUITE 130
PARK RIDGE, IL 60068-5802
PHONE: (847) 929-5200
E-PRESCRIBE: NO
PAXTON, IL
FAMILY PRACTICE
BARK, GEORGE A., MD
GENDER: M
PROVIDER #: 195800
NPI #: 1487665071
PAXTON CLINIC
227 N MARKET ST
PAXTON, IL 60957
PHONE: (217) 379-4864
E-PRESCRIBE: NO
Primary Care Physicians
FOELLNER, RICHARD P., DO
GENDER: M
PROVIDER #: 007767
NPI #: 1487659074
THE PAXTON CLINIC
227 N MARKET ST
PAXTON, IL 60957
PHONE: (217) 379-4864
OAKLEY, LISA, FNP;
PROVIDER #: 074339
E-PRESCRIBE: YES
RAY, BERNADETTE M., MD
GENDER: F
PROVIDER #: 156869
NPI #: 1164634267
THE PAXTON CLINIC
227 N MARKET ST
PAXTON, IL 60957
PHONE: (217) 379-4864
E-PRESCRIBE: NO
RAY, DARRIN M., MD
GENDER: M
PROVIDER #: 161876
NPI #: 1679785778
227 N MARKET ST
PAXTON, IL 60957
PHONE: (217) 379-4864
E-PRESCRIBE: YES
PECATONICA, IL
FAMILY PRACTICE
MCFADDEN, MICHAEL, MD
GENDER: M
PROVIDER #: 098352
NPI #: 1154394484
FHN HEALTHCARE CENTER
1301 S MAIN ST
PECATONICA, IL 61063
PHONE:
E-PRESCRIBE: YES
MOYER-GUFFEY, JENNIFER
A., MD
GENDER: F
PROVIDER #: 112468
NPI #: 1831159508
FHN FAMILY HEALTHCARE
CENTER
1301 S MAIN ST
PECATONICA, IL 61063
PHONE: (815) 239-1400
E-PRESCRIBE: NO
PEKIN, IL
ADULT/INTERNAL
MEDICINE
AMANULLAH, JAMALUDDIN
F., MD
GENDER: M
PROVIDER #: 219864
NPI #: 1184673147
COMPREHENSIVE
HEALTHCARE
1021 COURT ST SUITE B
PEKIN, IL 61554
PHONE: (309) 349-3175
E-PRESCRIBE: YES
DU, LIHUA, MD
GENDER: F
PROVIDER #: 288235
NPI #: 1215198320
PROHEALTH PRIMARY
CARE
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
275
Primary Care Physicians
FAMILY PRACTICE
HONAN, MICHAEL P., MD
GENDER: M
PROVIDER #: 229519
NPI #: 1255424750
INTERNAL MEDICINE
ASSOCIATES OF PEKIN
600 S 13TH ST SUITE E
PEKIN, IL 61554
PHONE: (309) 353-0473
JOHNSON, DANIELLE, PA;
PROVIDER #: 230502
E-PRESCRIBE: YES
AGARWAL, DEVASHISH, MD
GENDER: M
PROVIDER #: 162927
NPI #: 1841382298
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
BOYER, AARON T., MD
GENDER: M
PROVIDER #: 166814
NPI #: 1104811058
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: YES
CUANY, MARIANNA, MD
GENDER: F
PROVIDER #: 008443
NPI #: 1154335107
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
LINDELL, JOHN R., MD
GENDER: M
PROVIDER #: 004584
NPI #: 1548212517
PROHEALTH PRIMARY
CARE
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
ROBISON, KIRK B., PA-C;
PROVIDER #: 084014
E-PRESCRIBE: NO
VON BUN, FRIEDRICH J., MD
GENDER: M
PROVIDER #: 010760
NPI #: 1760489306
PEKIN PULMONARY CLINIC
1327 EXECUTIVE COURT
PEKIN, IL 61554
PHONE: (309) 353-5864
E-PRESCRIBE: NO
276
DAWALIBI, ANTOINE J., DO
GENDER: M
PROVIDER #: 040290
NPI #: 1982618930
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
DUENSING, WILLIAM, DO
GENDER: M
PROVIDER #: 210918
NPI #: 1982673190
MILLER FAMILY MEDICINE
SC
1503 VALLE VISTA BLVD
PEKIN, IL 61554
PHONE: (309) 353-6225
E-PRESCRIBE: YES
PEKIN, IL
PEKIN, IL
FISHER II, CURTIS W., DO
GENDER: M
PROVIDER #: 081959
NPI #: 1710941331
PEKIN FAMILY PRACTICE
2355 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 347-2700
E-PRESCRIBE: NO
JACQUES, RENALDO A., MD
GENDER: M
PROVIDER #: 021726
NPI #: 1477528974
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
JAVED, MAHWESH, MD
GENDER: M
PROVIDER #: 199791
NPI #: 1710149224
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
KABATAY-LEE HO, MARIA T.,
MD
GENDER: F
PROVIDER #: 088922
NPI #: 1174560353
PROHEALTH FAMILY
MEDICINE
600 S 13TH ST SUITE I
PEKIN, IL 61554
PHONE: (309) 346-1102
E-PRESCRIBE: NO
PROHEALTH PRIMARY
CARE
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PEKIN, IL
PEKIN, IL
KHAN, MOHAMMED M., MD
GENDER: M
PROVIDER #: 238609
NPI #: 1679703797
FAMILY HEALTH CENTER
OF PEKIN
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
E-PRESCRIBE: YES
LIZER, ROBERT A., DO
GENDER: M
PROVIDER #: 297527
NPI #: 1184624280
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
MCMILLIN, MATTHEW, MD
GENDER: M
PROVIDER #: 048253
NPI #: 1528021987
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
MILLER, KEVIN E., DO
GENDER: M
PROVIDER #: 154610
NPI #: 1770589012
MILLER FAMILY MEDICINE
SC
1503 VALLE VISTA BLVD
PEKIN, IL 61554
PHONE: (309) 353-6225
E-PRESCRIBE: NO
QUINONES, JOHN M., MD
GENDER: M
PROVIDER #: 295702
NPI #: 1063520021
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
Primary Care Physicians
SISON JR, GENEROSO N., MD
GENDER: M
PROVIDER #: 156548
NPI #: 1609085273
PROHEALTH FAMILY
MEDICINE
600 S 13TH ST SUITE I
PEKIN, IL 61554
PHONE: (309) 346-1102
HARTMAN, JESSICA, APN;
PROVIDER #: 233666
E-PRESCRIBE: NO
PROHEALTH PRIMARY
CARE
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
HARTMAN, JESSICA, APN;
PROVIDER #: 233666
E-PRESCRIBE: NO
SUMER, VOLKAN, DO
GENDER: M
PROVIDER #: 048335
NPI #: 1730185125
ILLINOIS CENTERS FOR
PAIN & REHAB SC
3400 GRIFFIN AVE
PEKIN, IL 61554
PHONE: (309) 347-4277
STYNINGER, VICTORIA D., PAC; PROVIDER #: 089451
E-PRESCRIBE: NO
TATE, LINDSAY B., MD
GENDER:
PROVIDER #: 259049
NPI #: 1235389727
PROHEALTH PRIMARY
CARE
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
E-PRESCRIBE: NO
WIRTH, JILL, MD
GENDER: F
PROVIDER #: 168782
NPI #: 1003028150
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
PEDIATRICS
BOWMAN, REGINALD, DO
GENDER: M
PROVIDER #: 203021
NPI #: 1316101892
PROHEALTH PEDIATRICS
3223 GRIFFIN AVE
PEKIN, IL 61554
PHONE: (309) 353-1822
E-PRESCRIBE: NO
KHAN, MOHAMMED A., MD
GENDER: M
PROVIDER #: 168542
NPI #: 1396953485
PROHEALTH PEDIATRICS
3212 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-0902
E-PRESCRIBE: NO
SWITZER-HUNTER, ERIKA L.,
MD
GENDER: F
PROVIDER #: 100831
NPI #: 1891749198
PROHEALTH PEDIATRICS
3223 GRIFFIN AVE
PEKIN, IL 61554
PHONE: (309) 353-1822
OBERLE, BUFFI S., NP;
PROVIDER #: 166305
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
277
Primary Care Physicians
PEMBROKE TOWNSH, IL
ADULT/INTERNAL
MEDICINE
ALFORD, RODNEY, MD
GENDER: M
PROVIDER #: 005309
NPI #: 1427128909
PEMBROKE RURAL HEALTH
CLINIC
3400 S MAIN
PEMBROKE TOWNSH, IL
60958
PHONE: (815) 944-5545
E-PRESCRIBE: YES
PEORIA HEIGHTS, IL
ADULT/INTERNAL
MEDICINE
SIDLER, G GENE, MD
GENDER: M
PROVIDER #: 057275
NPI #: 1396844932
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
FAMILY PRACTICE
AUSFAHL, JAMES D., MD
GENDER: M
PROVIDER #: 016137
NPI #: 1518058619
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
278
PEMBROKE TOWNSH, IL
PEORIA HEIGHTS, IL
COON, JOHN J., MD
GENDER: M
PROVIDER #: 292969
NPI #: 1437163540
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
MURARI, PALLAVI, MD
GENDER: F
PROVIDER #: 298166
NPI #: 1245585322
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
CUSACK, ANDREW J., DO
GENDER: M
PROVIDER #: 298258
NPI #: 1578827523
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
MUSAITIF, ZIAD A., DO
GENDER: M
PROVIDER #: 062698
NPI #: 1316909328
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
DOBBINS, LEAH E., MD
GENDER: F
PROVIDER #: 294911
NPI #: 1871873745
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
PATEL, JUMUNA, MD
GENDER: F
PROVIDER #: 113913
NPI #: 1033200928
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
GOLBY, ANGELA A., DO
GENDER: F
PROVIDER #: 281464
NPI #: 1639183536
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
RAMIREZ, SARAH I., MD
GENDER: F
PROVIDER #: 283555
NPI #: 1326339151
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
GRIEBEL, CRAIG, MD
GENDER: M
PROVIDER #: 292965
NPI #: 1740294347
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
RUBUSH, AMANDA, MD
GENDER: F
PROVIDER #: 294417
NPI #: 1447513148
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PEORIA HEIGHTS, IL
PEORIA, IL
SAMUEL, ELDON M., MD
GENDER: M
PROVIDER #: 111572
NPI #: 1427149210
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 275530
NPI #: 1922235944
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
SIAL, MUHAMMED I., MD
GENDER: M
PROVIDER #: 100173
NPI #: 1447212469
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
STETTER, MATTHEW, DO
GENDER: M
PROVIDER #: 059603
NPI #: 1205935848
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
WILLIAMS, TIMOTHY J., MD
GENDER: M
PROVIDER #: 275550
NPI #: 1508893595
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
Primary Care Physicians
XIE, YANG, MD
GENDER: M
PROVIDER #: 133526
NPI #: 1346257128
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
PEORIA, IL
ADULT/INTERNAL
MEDICINE
ADAMS, JAMES K., MD
GENDER: M
PROVIDER #: 043590
NPI #: 1275613689
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
ADLER, ALEXANDER, MD
GENDER: M
PROVIDER #: 292981
NPI #: 1912929118
PROCTOR MULTI
SPECIALTY SERVICES
5401 N KNOXVILLE AVE STE
418
PEORIA, IL 61614
PHONE: (309) 683-8231
E-PRESCRIBE: NO
AGARWAL, ANITA, MD
GENDER: F
PROVIDER #: 160695
NPI #: 1649293226
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
AGARWAL, NARESH K., MD
GENDER:
PROVIDER #: 160836
NPI #: 1538134960
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
ASAM-JENSEN, TERESA, MD
GENDER: F
PROVIDER #: 203160
NPI #: 1487851184
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
BAMAN, TIMIR S., MD
GENDER: M
PROVIDER #: 197469
NPI #: 1831230812
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
BANSAL, SAURABH K., MD
GENDER: M
PROVIDER #: 270186
NPI #: 1942451885
HEARTLAND COMMUNITY
HEALTH CLINIC
320 ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
BLASCYK, DANIEL A., MD
GENDER: M
PROVIDER #: 298205
NPI #: 1720248636
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
279
Primary Care Physicians
CHAVALI, MALINI, MD
GENDER:
PROVIDER #: 080370
NPI #: 1245311778
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
DAVIS, RACHAEL P., MD
GENDER: F
PROVIDER #: 269810
NPI #: 1902110265
HEARTLAND COMMUNITY
HEALTH CLINIC
320 W ARMSTRONG
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
COHEN, BRIAN D., MD
GENDER: M
PROVIDER #: 008412
NPI #: 1710991856
METHODIST MEDICAL
GROUP AT SOUTH
JEFFERSON
2127 SW JEFFERSON ST
PEORIA, IL 61605
PHONE: (309) 674-4812
E-PRESCRIBE: NO
EICHINGER, KATHLEEN R.,
MD
GENDER: F
PROVIDER #: 273799
NPI #: 1902127657
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
COLE, SUSAN J., MD
GENDER: F
PROVIDER #: 146340
NPI #: 1144313388
SUSAN J COLE MD &
ASSOCIATES
5401 N KNOXVILLE AVE
SUITE 105
PEORIA, IL 61614
PHONE: (309) 691-2311
E-PRESCRIBE: YES
FARRELL, JOHN J., MD
GENDER: M
PROVIDER #: 101662
NPI #: 1043284649
OSF MEDICAL GROUP
723 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 624-8749
E-PRESCRIBE: NO
CONNER-GARCIA, THEMBI,
MD
GENDER:
PROVIDER #: 272092
NPI #: 1629092226
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: YES
280
GAJULA, SONIA, MD
GENDER: F
PROVIDER #: 209058
NPI #: 1417055989
OSF MEDICAL GROUP
1001 MAIN ST SUITE 400
PEORIA, IL 61606
PHONE: (309) 308-0900
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
GARCIA, RAMON, MD
GENDER: M
PROVIDER #: 116082
NPI #: 1710928700
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
GRAVLIN, DEAN A., MD
GENDER: M
PROVIDER #: 192150
NPI #: 1053315861
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 105
PEORIA, IL 61603
PHONE: (309) 655-7888
E-PRESCRIBE: NO
GULLEY, R MICHAEL, MD
GENDER: M
PROVIDER #: 160848
NPI #: 1316028855
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
HERSHKOWITZ, JEFFERY D.,
DO
GENDER: M
PROVIDER #: 244213
NPI #: 1922101104
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-8108
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
HIGGS, CRAIG L., MD
GENDER: M
PROVIDER #: 146541
NPI #: 1649488925
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
KESLER, MEGAN M., APN;
PROVIDER #: 206423
E-PRESCRIBE: NO
HINZ, ANNE E., MD
GENDER: F
PROVIDER #: 192185
NPI #: 1578750212
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 105
PEORIA, IL 61603
PHONE: (309) 655-7888
E-PRESCRIBE: NO
HIPPLER, STEPHEN E., MD
GENDER: M
PROVIDER #: 050877
NPI #: 1659451060
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
JAJU, AMRUTA S., MD
GENDER: F
PROVIDER #: 284760
NPI #: 1205171709
PROCTOR MEDICAL GROUP
INTERNAL MEDICINE
5401 N KNOXVILLE AVE
SUITE 207
PEORIA, IL 61614
PHONE: (309) 693-2020
E-PRESCRIBE: NO
Primary Care Physicians
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: YES
JOHNSON, DAVID M., MD
GENDER: M
PROVIDER #: 192227
NPI #: 1235133935
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 105
PEORIA, IL 61603
PHONE: (309) 655-7888
E-PRESCRIBE: NO
KHAISER, SHIRAZ A., MD
GENDER:
PROVIDER #: 275036
NPI #: 1568681740
ILLINOIS
GASTROENTEROLOGY
INSTITUTE
1001 MAIN ST SUITE 500A
PEORIA, IL 61606
PHONE: (309) 672-4980
E-PRESCRIBE: NO
KHAN, FARHANA A., MD
GENDER: F
PROVIDER #: 280072
NPI #: 1215184353
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
KNIGHT, REBECCA A., MD
GENDER: F
PROVIDER #: 057906
NPI #: 1437261047
THE KNIGHT CENTER FOR
INTEGRATED HEALTH
5401 N KNOXVILLE AVE
SUITE 104
PEORIA, IL 61614
PHONE: (309) 692-0123
E-PRESCRIBE: NO
KOURI, THOMAS F., MD
GENDER: M
PROVIDER #: 070927
NPI #: 1568412773
PROCTOR MEDICAL GROUP
INTERNAL MEDICINE
5401 N KNOXVILLE AVE
SUITE 204
PEORIA, IL 61614
PHONE: (309) 683-1200
E-PRESCRIBE: NO
KUPFER, JOEL M., MD
GENDER: M
PROVIDER #: 292977
NPI #: 1558325993
PROCTOR MULTI
SPECIALTY SERVICES
5401 N KNOXVILLE AVE STE
418
PEORIA, IL 61614
PHONE: (309) 683-8231
E-PRESCRIBE: NO
LEE, SHAO-TSENG, MD
GENDER:
PROVIDER #: 048854
NPI #: 1225108855
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8108
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
281
Primary Care Physicians
MANNAA, MOHANNAD M.,
MD
GENDER: M
PROVIDER #: 281468
NPI #: 1861423576
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
MEISTER, ROBERT A., MD
GENDER: M
PROVIDER #: 008390
NPI #: 1114992229
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE
SUITE 204
PEORIA, IL 61614
PHONE: (309) 683-1200
E-PRESCRIBE: NO
MCCREA, RANDOLPH L., MD
GENDER: M
PROVIDER #: 050139
NPI #: 1891885182
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
MCSHANE, GERALD J., MD
GENDER: M
PROVIDER #: 051670
NPI #: 1669553012
OSF HOSPITAL FOLLOW-UP
CLINIC
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 683-9471
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
OSF MEDICAL GROUPPEDIATRIC AFTER HOURS
CLINIC
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (888) 627-5673
E-PRESCRIBE: NO
282
MILLER, BARRY L., MD
GENDER: M
PROVIDER #: 062681
NPI #: 1891885190
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
MISCHLER, MATTHEW, MD
GENDER: M
PROVIDER #: 158639
NPI #: 1174747885
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-6428
E-PRESCRIBE: NO
MOBERG, KIRK D., MD
GENDER: M
PROVIDER #: 242942
NPI #: 1235153677
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE
SUITE 204
PEORIA, IL 61614
PHONE: (309) 691-0365
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
MULCAHEY, KATHRYN A.,
MD
GENDER: F
PROVIDER #: 112130
NPI #: 1568542975
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
SHUMWAY, TERRI N., ARNP;
PROVIDER #: 215899
E-PRESCRIBE: NO
NATHAN, NORMAN, MD
GENDER: M
PROVIDER #: 009021
NPI #: 1902813447
METHODIST MEDICAL
GROUP AT KNOXVILLE
2709 N KNOXVILLE AVE
PEORIA, IL 61604
PHONE: (309) 688-2117
BENKO, JOYCE, NP;
PROVIDER #: 009842
E-PRESCRIBE: NO
PROCTOR MEDICAL GROUP
INTERNAL MEDICINE/
PRIMARY
5401 N KNOXVILLE AVE
SUITE 204
PEORIA, IL 61614
PHONE: (309) 683-1200
E-PRESCRIBE: NO
ORBANA, MYRNA P., MD
GENDER: F
PROVIDER #: 194435
NPI #: 1588776819
METHODIST INTENSIVIST
PULMONARY & SLEEP
INSTITUTE
900 MAIN ST SUITE 630
PEORIA, IL 61602
PHONE: (309) 672-4966
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
Primary Care Physicians
PERVEEN, SANA, MD
GENDER: F
PROVIDER #: 293035
NPI #: 1679853618
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-2250
E-PRESCRIBE: NO
RISK, ANNE C., MD
GENDER: F
PROVIDER #: 227938
NPI #: 1871754309
OSF MEDICAL GROUP-GLEN
PARK
5114 N GLEN PARK PL
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
SALAZAR, VIVIAN W., MD
GENDER: F
PROVIDER #: 069553
NPI #: 1184704595
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
PISOH, WATCOUN-NCHINDA
E., MD
GENDER: M
PROVIDER #: 296728
NPI #: 1568759512
OSF MEDICAL GROUP
5105 GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 308-5900
E-PRESCRIBE: NO
RODENBERG, DAVID A., MD
GENDER: M
PROVIDER #: 050033
NPI #: 1417038860
OSF MEDICAL GROUPADULT AFTER HOURS
CLINIC
5114 GLEN PARK PL
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
SARDA, PAWAN D., MD
GENDER: M
PROVIDER #: 284980
NPI #: 1063720993
PROCTOR SPECIALTY
SERVICES
5401 KNOXVILLE AVE SUITE
418
PEORIA, IL 61614
PHONE: (309) 671-8231
E-PRESCRIBE: NO
ROHDE, JAY T., MD
GENDER: M
PROVIDER #: 273145
NPI #: 1457671745
OSF MEDICAL GROUP
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (888) 627-5673
E-PRESCRIBE: NO
SFEIR, HADY E., MD
GENDER: F
PROVIDER #: 109084
NPI #: 1952491243
OSF MEDICAL GROUP
1001 MAIN ST STE 400
PEORIA, IL 61606
PHONE: (309) 308-0900
E-PRESCRIBE: NO
RADEE, APICHART L., MD
GENDER: M
PROVIDER #: 298264
NPI #: 1649310640
PROCTOR MULTI
SPECIALTY SERVICES
5401 N KNOXVILLE AVE
SUITE 418
PEORIA, IL 61614
PHONE: (309) 683-8231
E-PRESCRIBE: NO
RAMSAHAI, SHWETA, MD
GENDER: F
PROVIDER #: 209706
NPI #: 1003075128
OSF MEDICAL GROUP
723 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 624-8749
E-PRESCRIBE: NO
RUFUS JR, EDWARD A., MD
GENDER: M
PROVIDER #: 021404
NPI #: 1871597450
5401 N KNOXVILLE AVE
SUITE 306
PEORIA, IL 61614
PHONE: (309) 691-7890
E-PRESCRIBE: NO
SHALLAT, JOHN S., MD
GENDER: M
PROVIDER #: 112740
NPI #: 1942381306
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
283
Primary Care Physicians
PEORIA, IL
PEORIA, IL
SHANE, STEPHAN W., MD
GENDER: M
PROVIDER #: 052594
NPI #: 1447332424
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUTIE 105
PEORIA, IL 61603
PHONE: (309) 655-7888
E-PRESCRIBE: NO
VAZQUEZ-MELENDEZ, ELSA
L., MD
GENDER: F
PROVIDER #: 195446
NPI #: 1356542864
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
YADAV, MANAJYOTI, MD
GENDER: M
PROVIDER #: 237986
NPI #: 1932470044
U OF I COLLEGE OF
MEDICINE
530 N GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-3292
E-PRESCRIBE: NO
SIDLER, G GENE, MD
GENDER: M
PROVIDER #: 057275
NPI #: 1396844932
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
WAZIR, SHAHID, MD
GENDER: M
PROVIDER #: 289687
NPI #: 1548440803
PROCTOR MULTI
SPECIALTY SERVICES
5401 N KNOXVILLE AVE STE
418
PEORIA, IL 61614
PHONE: (309) 683-8231
E-PRESCRIBE: NO
FAMILY PRACTICE
SMITH, TERRY E., MD
GENDER: M
PROVIDER #: 041992
NPI #: 1861582165
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
STAPEL, MARY E., MD
GENDER: F
PROVIDER #: 252608
NPI #: 1891922571
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
284
WEIGLEY, NASIM, MD
GENDER: F
PROVIDER #: 280484
NPI #: 1992090815
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
228 NE JEFFERSON
PEORIA, IL 61602
PHONE: (309) 671-8000
E-PRESCRIBE: NO
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
711 W JOHN GWYNN AVE
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
ADAMS, ROBERT B., MD
GENDER: M
PROVIDER #: 064713
NPI #: 1184646317
METHODIST AT ALLEN
ROAD-FAMILY MEDICINE
2338 W VAN WINKLE WAY
SUITE 3300
PEORIA, IL 61615
PHONE: (309) 693-2020
E-PRESCRIBE: NO
AGARWAL, DEVASHISH, MD
GENDER: M
PROVIDER #: 162927
NPI #: 1841382298
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
ALI, SYED M., MD
GENDER: M
PROVIDER #: 005342
NPI #: 1700805439
GLEN AVENUE FAMILY
PRACTICE
4930 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 691-3707
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
ANDREWS, MELANIE L., MD
GENDER: F
PROVIDER #: 296146
NPI #: 1023339603
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
ANDREWS, MELANIE, MD
GENDER: F
PROVIDER #: 283603
NPI #: 1023339603
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
BARNETT, JAMES W., MD
GENDER: M
PROVIDER #: 132039
NPI #: 1730103722
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
LEMAN, SANDRA, PA;
PROVIDER #: 131172
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC AT EAST
BLUFF
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 681-4606
LEMAN, SANDRA, PA;
PROVIDER #: 131172
E-PRESCRIBE: NO
Primary Care Physicians
BEVILL, ROBERT S., MD
GENDER: M
PROVIDER #: 008402
NPI #: 1700886280
EAGLE FAMILY MEDICINE
2809 W WILLOW KNOLLS
SUITE C
PEORIA, IL 61614
PHONE: (309) 692-6604
ESTEP, PATRICIA J., APN;
PROVIDER #: 086784
E-PRESCRIBE: NO
BHATIA, PREM, MD
GENDER: F
PROVIDER #: 016142
NPI #: 1720179773
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
BOCKEWITZ, BRANDON M.,
MD
GENDER: M
PROVIDER #: 185721
NPI #: 1619199627
METHODIST AT ALLEN
ROAD-FAMILY MEDICINE
2338 W VAN WINKLE WAY
SUITE 3300
PEORIA, IL 61615
PHONE: (309) 693-2020
E-PRESCRIBE: NO
BOYER, AARON T., MD
GENDER: M
PROVIDER #: 166814
NPI #: 1104811058
METHODIST MEDICAL
GROUP AT PEARTREE
6831 PEAR TREE LANE
PEORIA, IL 61615
PHONE: (309) 691-1250
E-PRESCRIBE: NO
CADET-SAINTILUS, KAREN,
MD
GENDER: F
PROVIDER #: 158054
NPI #: 1003936766
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
CARRIGAN, MARC D., MD
GENDER: M
PROVIDER #: 223542
NPI #: 1225295223
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
CARRIGAN, MARC, MD
GENDER: M
PROVIDER #: 276063
NPI #: 1225295223
HEARTLAND COMMUNITY
HEALTH CLINIC AT CARVER
711 W JOHN H GWYNN JR
AVE
PEORIA, IL 61605
PHONE: (309) 672-5650
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
285
Primary Care Physicians
PEORIA, IL
PEORIA, IL
CHAMBERS-DAMM, KRISTEN
A., MD
GENDER: F
PROVIDER #: 224705
NPI #: 1447485693
OSF MEDICAL GROUP
8600 N ROUTE 91 SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
COON, JOHN, MD
GENDER: M
PROVIDER #: 292956
NPI #: 1437163540
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
CUANY, MARIANNA, MD
GENDER: F
PROVIDER #: 008443
NPI #: 1154335107
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9100
E-PRESCRIBE: NO
CLAY, LISA R., MD
GENDER: F
PROVIDER #: 184528
NPI #: 1124228010
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
CORSO, KRISTINA, MD
GENDER: F
PROVIDER #: 275338
NPI #: 1275829038
UNITYPOINT CLINIC
FAMILY MEDICINE AT
PRAIRIE POI
9010 N ALLEN RD SUITE J
PEORIA, IL 61615
PHONE: (309) 495-8500
E-PRESCRIBE: NO
CUSACK, ANDREW J., DO
GENDER: M
PROVIDER #: 298181
NPI #: 1578827523
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE
SUITE 400
PEORIA, IL 61614
PHONE: (309) 689-0909
E-PRESCRIBE: NO
CONKLIN, DARREN J., MD
GENDER: M
PROVIDER #: 135149
NPI #: 1255451803
METHODIST MEDICAL
GROUP AT STERLING
3335 N STERLING AVE
PEORIA, IL 61604
PHONE: (309) 687-5900
E-PRESCRIBE: NO
COON, JOHN J., MD
GENDER: M
PROVIDER #: 292969
NPI #: 1437163540
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
286
COSTERISAN, AARON D., MD
GENDER: M
PROVIDER #: 292975
NPI #: 1396975736
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
COSTERISAN, AARON, MD
GENDER: M
PROVIDER #: 255724
NPI #: 1396975736
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
CUSACK, ANDREW, DO
GENDER: M
PROVIDER #: 298797
NPI #: 1578827523
METHODIST MEDICAL
GROUP ON STERLING
3335 N STERLING AVE
PEORIA, IL 61604
PHONE: (309) 687-5900
E-PRESCRIBE: NO
DAWALIBI, ANTOINE J., DO
GENDER: M
PROVIDER #: 040290
NPI #: 1982618930
METHODIST MEDICAL
GROUP AT PEARTREE
6831 PEAR TREE LANE
PEORIA, IL 61615
PHONE: (309) 691-1250
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
DHALIWAL, GURPAWAN, MD
GENDER:
PROVIDER #: 267004
NPI #: 1871889816
UNITYPOINT CLINIC
FAMILY MEDICINE AT
METHODIST N
2338 W VAN WINKLE WAY
STE 3300
PEORIA, IL 61615
PHONE: (309) 693-2020
E-PRESCRIBE: NO
DOBBINS, LEAH E., MD
GENDER:
PROVIDER #: 300150
NPI #: 1871873745
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
FORD, KIMBERLY Y., DO
GENDER: F
PROVIDER #: 173985
NPI #: 1275724866
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
Primary Care Physicians
FORD, KIMBERLY, DO
GENDER: F
PROVIDER #: 173981
NPI #: 1275724866
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
GILBERT, GEORGE C., MD
GENDER: M
PROVIDER #: 008444
NPI #: 1215021100
SAMARITAN FAMILY
MEDICAL SERVICES PC
5401 N KNOXVILLE AVE
SUITE 215
PEORIA, IL 61614
PHONE: (309) 689-0044
E-PRESCRIBE: NO
GOLBY, ANGELA A., DO
GENDER: F
PROVIDER #: 281464
NPI #: 1639183536
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 685-0172
E-PRESCRIBE: NO
GOLEMON, JOAN, MD
GENDER: F
PROVIDER #: 008625
NPI #: 1710991633
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
HIRSCH, BETH, NP;
PROVIDER #: 158489
E-PRESCRIBE: NO
GOLEMON, THOMAS B., MD
GENDER: M
PROVIDER #: 008424
NPI #: 1619981370
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
DAVIS, AMY, CNP; PROVIDER
#: 161344
DINTZIS, SUSANNAH, CNP;
PROVIDER #: 097720
HIRSCH, BETH, NP;
PROVIDER #: 158489
TOOKEY, GERALDINE M., NP;
PROVIDER #: 087859
E-PRESCRIBE: NO
GRIEBEL, CRAIG P., MD
GENDER: M
PROVIDER #: 115785
NPI #: 1740294347
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
GRIEBEL, CRAIG, MD
GENDER: M
PROVIDER #: 292965
NPI #: 1740294347
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERG DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
287
Primary Care Physicians
GROSS, HENRY R., MD
GENDER: M
PROVIDER #: 020420
NPI #: 1023190337
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
HEARTLAND COMM HEALTH
CLINIC AT HUMAN SERVICE
CTR
GENDER:
PROVIDER #: 153148
NPI #: 1336193861
228 NE JEFFERSON AVE
PEORIA, IL 61603
PHONE: (309) 671-8000
E-PRESCRIBE: NO
HARMS, JAY S., MD
GENDER: M
PROVIDER #: 051654
NPI #: 1518075282
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
HENSOLD, JAMES F., MD
GENDER: M
PROVIDER #: 224612
NPI #: 1013011394
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
DAVIS, AMY, CNP; PROVIDER
#: 161344
E-PRESCRIBE: NO
HEARTLAND AT CARVER
GENDER:
PROVIDER #: 153148
NPI #: 1336193861
711 W GWYNN JR AVE
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
HEARTLAND AT E BLUFF
GENDER:
PROVIDER #: 153148
NPI #: 1336193861
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
HEARTLAND AT GARDEN
GENDER:
PROVIDER #: 153148
NPI #: 1336193861
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
288
HINCKS, KERRY L., DO
GENDER: M
PROVIDER #: 134902
NPI #: 1104847458
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
JAFFER, ASIM K., MD
GENDER: M
PROVIDER #: 150497
NPI #: 1316193543
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4809
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
JAVED, MAHWESH, MD
GENDER: M
PROVIDER #: 199791
NPI #: 1710149224
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4908
E-PRESCRIBE: NO
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
JOHNSON, LESLIE E., MD
GENDER: M
PROVIDER #: 010761
NPI #: 1336111897
CARDINAL MEDICAL
GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: YES
OSF MEDICAL GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: NO
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
Primary Care Physicians
JONGERIUS, N MICHAEL, MD
GENDER: M
PROVIDER #: 154240
NPI #: 1235144056
JUNCTION MEDICAL SC
5016 N UNIVERSITY ST
SUITE 107
PEORIA, IL 61614
PHONE: (309) 740-4232
E-PRESCRIBE: NO
KNEPP, GARY L., DO
GENDER: M
PROVIDER #: 200487
NPI #: 1275576514
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
LAHOOD, TIMOTHY, MD
GENDER: M
PROVIDER #: 020269
NPI #: 1245223130
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE
SUITE 400
PEORIA, IL 61614
PHONE: (309) 689-0909
E-PRESCRIBE: NO
KHAN, TAARIQ, MD
GENDER: M
PROVIDER #: 275266
NPI #: 1437445202
UNITYPOINT CLINICFAMILY CLINIC AT
METHODIST NORTH
2338 W VAN WINKLE WAY
SUITE 3300
PEORIA, IL 61615
PHONE: (309) 693-2020
E-PRESCRIBE: NO
KNEPP, KEITH, MD
GENDER: M
PROVIDER #: 102307
NPI #: 1982623666
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
LAWLESS, TIMOTHY J., MD
GENDER: M
PROVIDER #: 057536
NPI #: 1982679569
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE STE
204
PEORIA, IL 61614
PHONE: (309) 683-1200
E-PRESCRIBE: NO
KOSCICA, SARAH, MD
GENDER: F
PROVIDER #: 268716
NPI #: 1003814625
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
LEMAN, JEFFREY, MD
GENDER: M
PROVIDER #: 171303
NPI #: 1134357056
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
LAGOSKI, CHARLES W., DO
GENDER: M
PROVIDER #: 182246
NPI #: 1164479424
METHODIST CENTER FOR
SENIOR HEALTH
900 MAIN ST SUITE 100
PEORIA, IL 61602
PHONE: (309) 672-4908
E-PRESCRIBE: NO
LEMMERT, DAWN R., MD
GENDER: F
PROVIDER #: 088648
NPI #: 1891888145
OSF MEDICAL GROUP NURSING HOME SERVICES
5114 N GLEN PARK PLACE
PEORIA, IL 61614-4686
PHONE: (309) 683-8108
E-PRESCRIBE: NO
KIM-KUPFER, CAROLINE, MD
GENDER: F
PROVIDER #: 195723
NPI #: 1083643480
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC AT EAST
BLUFF
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
289
Primary Care Physicians
LIDVALL, JOHN, MD
GENDER: M
PROVIDER #: 253037
NPI #: 1376856559
METHODIST AT ALLEN
ROAD-FAMILY MEDICINE
2338 W VAN WINKLE WAY
SUITE 3300
PEORIA, IL 61615
PHONE: (309) 693-2020
E-PRESCRIBE: NO
LIZER, ROBERT A., DO
GENDER: M
PROVIDER #: 026848
NPI #: 1184624280
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE
SUITE 204
PEORIA, IL 61614
PHONE: (309) 683-1200
E-PRESCRIBE: NO
MAKSIMOVIC, DEJAN, DO
GENDER: M
PROVIDER #: 292989
NPI #: 1891992269
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
MCMILLIN, MATTHEW, MD
GENDER: M
PROVIDER #: 048253
NPI #: 1528021987
METHODIST MEDICAL
GROUP AT PEARTREE
6831 PEAR TREE LANE
PEORIA, IL 61615
PHONE: (309) 691-1250
E-PRESCRIBE: NO
290
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
MILLER, GLENN D., MD
GENDER: M
PROVIDER #: 028606
NPI #: 1407862022
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
MILLER, JOHN K., MD
GENDER: M
PROVIDER #: 008439
NPI #: 1174539761
METHODIST AT ALLEN
ROAD-FAMILY MEDICINE
2338 W VAN WINKLE WAY
SUITE 3300
PEORIA, IL 61615
PHONE: (309) 693-2020
ANDERSON, DEAN L., FNP;
PROVIDER #: 063750
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
MONTEFOLKA, MARK P., MD
GENDER: M
PROVIDER #: 103596
NPI #: 1114026754
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
MORTON, JEFFREY S., MD
GENDER: M
PROVIDER #: 199986
NPI #: 1407856503
METHODIST AT ALLEN
ROAD-FAMILY MEDICINE
2338 W VAN WINKLE WAY
SUITE 3300
PEORIA, IL 61615
PHONE: (309) 693-2020
E-PRESCRIBE: NO
MOSKOP, GREGORY T., MD
GENDER: M
PROVIDER #: 157529
NPI #: 1033161054
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
LENEVE, CHERYL A., PA;
PROVIDER #: 204217
E-PRESCRIBE: NO
MOY, LACEY, MD
GENDER: F
PROVIDER #: 244371
NPI #: 1013144021
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
MUGO, LEAH, MD
GENDER: F
PROVIDER #: 228936
NPI #: 1679700694
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
MUNGEE, MEGHA, MD
GENDER: F
PROVIDER #: 160862
NPI #: 1760670913
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
MUSAITIF, ZIAD A., DO
GENDER: M
PROVIDER #: 062698
NPI #: 1316909328
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 893-3030
E-PRESCRIBE: NO
NA'ALLAH, RAHMAT O., MD
GENDER: F
PROVIDER #: 168911
NPI #: 1730200791
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
Primary Care Physicians
NA'ALLAH, RAHMAT, MD
GENDER: F
PROVIDER #: 186480
NPI #: 1730200791
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
PEREZ JR, PABLO E., MD
GENDER: M
PROVIDER #: 150716
NPI #: 1578658993
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
OLIVER-PAYNE, ROXIE N.,
MD
GENDER: F
PROVIDER #: 288423
NPI #: 1376864959
HEARTLAND COMMUNITY
HEALTH CLINIC
711 W JOHN GWYNN JR AVE
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
QADRI, MUNEEB, MD
GENDER: M
PROVIDER #: 254224
NPI #: 1972815033
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 692-9110
E-PRESCRIBE: NO
PATEL, AMISH V., MD
GENDER: M
PROVIDER #: 242452
NPI #: 1932384955
METHODIST CENTER FOR
SENIOR HEALTH
900 MAIN ST SUITE 100
PEORIA, IL 61602
PHONE: (309) 672-4908
E-PRESCRIBE: NO
METHODIST MEDICAL
CENTER
500 CENTENNIAL DR
PEORIA, IL 61611
PHONE: (309) 672-4908
E-PRESCRIBE: NO
PATEL, JUMUNA, MD
GENDER: F
PROVIDER #: 113913
NPI #: 1033200928
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
QUINOINES, JOHN M., DO
GENDER: M
PROVIDER #: 294933
NPI #: 1063520021
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE STE
400
PEORIA, IL 61614
PHONE: (309) 689-0909
E-PRESCRIBE: NO
RAMIREZ, SARAH I., MD
GENDER: F
PROVIDER #: 283616
NPI #: 1326339151
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
291
Primary Care Physicians
RENICK, PATRICK, MD
GENDER: M
PROVIDER #: 161897
NPI #: 1760604193
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
SAN GERMAN, HENRY S., MD
GENDER: M
PROVIDER #: 010762
NPI #: 1205928397
CARDINAL MEDICAL
GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: YES
RUBUSH, AMANDA, MD
GENDER: F
PROVIDER #: 295707
NPI #: 1447513148
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 275530
NPI #: 1922235944
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
PROCTOR MEDICAL GROUP
FAMILY MEDICINE
5401 N KNOXVILLE AVE
SUITE 400
PEORIA, IL 61614
PHONE: (309) 689-0909
E-PRESCRIBE: NO
SAMUEL, ELDON M., MD
GENDER: M
PROVIDER #: 111572
NPI #: 1427149210
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
SAN GERMAN, HENRY A., MD
GENDER: M
PROVIDER #: 298460
NPI #: 1205928397
OSF MEDICAL GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: NO
292
SHOTICK JR, GEORGE K., MD
GENDER: M
PROVIDER #: 190106
NPI #: 1104941657
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
SIAL, MUHAMMED I., MD
GENDER: M
PROVIDER #: 100173
NPI #: 1447212469
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
SPRINGER, DAVID G., MD
GENDER: M
PROVIDER #: 008422
NPI #: 1205931318
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61605
PHONE: (309) 672-4977
E-PRESCRIBE: NO
STETTER, MATTHEW, DMD
GENDER: M
PROVIDER #: 103981
NPI #: 1205935848
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
STETTER, MATTHEW, DO
GENDER: M
PROVIDER #: 059603
NPI #: 1205935848
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
STONER, GREGG, MD
GENDER: M
PROVIDER #: 008442
NPI #: 1467546218
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
LACCI, KATHLEEN, PA;
PROVIDER #: 178705
LEMAN, SANDRA, PA;
PROVIDER #: 131172
LEONARDI, DENISE, CNP;
PROVIDER #: 115795
RAY, JANET, FNP; PROVIDER
#: 115806
TEAR, SHARON T., NP;
PROVIDER #: 194316
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC AT EAST
BLUFF
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 681-4606
LEMAN, SANDRA, PA;
PROVIDER #: 131172
LEONARDI, DENISE, CNP;
PROVIDER #: 115795
RAY, JANET, FNP; PROVIDER
#: 115806
TEAR, SHARON T., NP;
PROVIDER #: 194316
E-PRESCRIBE: NO
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
Primary Care Physicians
TRACHTENBARG, DAVID, MD
GENDER: M
PROVIDER #: 008428
NPI #: 1952318719
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
OVERCASH, PATTI, FNP;
PROVIDER #: 063366
E-PRESCRIBE: NO
VILATTE, ALAIN W., MD
GENDER: M
PROVIDER #: 076551
NPI #: 1417039736
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
WALSH, RYAN P., MD
GENDER: M
PROVIDER #: 097155
NPI #: 1770523219
METHODIST FAMILY
MEDICAL CENTER
815 N MAIN ST
PEORIA, IL 61603
PHONE: (309) 672-5955
E-PRESCRIBE: NO
WEGMAN, CHERYL L., MD
GENDER: F
PROVIDER #: 289885
NPI #: 1174590889
PROCTOR MEDICAL GROUP
INTERNAL MEDICINE
5401 N KNOXVILLE AVE
SUITE 207
PEORIA, IL 61614
PHONE: (309) 693-2020
E-PRESCRIBE: NO
WILLIAMS, LASHUNDA D.,
MD
GENDER: F
PROVIDER #: 134717
NPI #: 1629194089
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
WILLIAMS, TIMOTHY J., MD
GENDER: M
PROVIDER #: 275550
NPI #: 1508893595
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
WIRTH, JILL, MD
GENDER: F
PROVIDER #: 168782
NPI #: 1003028150
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
WRIGHT, AMANDA, DO
GENDER: F
PROVIDER #: 171472
NPI #: 1942404884
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
293
Primary Care Physicians
METHODIST MEDICAL
GROUP AT PRAIRIE POINTE
9010 N ALLEN ROAD
PEORIA, IL 61615
PHONE: (309) 495-8500
E-PRESCRIBE: NO
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
WYNN, KELVIN E., MD
GENDER: M
PROVIDER #: 128467
NPI #: 1104928639
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CL
GENDER:
PROVIDER #: 277452
NPI #: 1568883718
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
294
GENERAL PRACTICE
LIANG, JEFFREY Y., MD
GENDER: M
PROVIDER #: 192573
NPI #: 1679540330
METHODIST MEDICAL
GROUP AT DUNLAP
10322 N JULIET COURT
PEORIA, IL 61615
PHONE: (309) 243-8598
E-PRESCRIBE: NO
PEDIATRICS
XIE, YANG, MD
GENDER: M
PROVIDER #: 123374
NPI #: 1346257128
PEORIA INTEGRATIVE
MEDICAL CENTER LTD
4930 N EXECUTIVE DR SUITE
A
PEORIA, IL 61614
PHONE: (309) 683-6002
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
HEARTLAND COMMUNITY
HEALTH CLINIC
GENDER:
PROVIDER #: 125379
NPI #: 1336193861
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 681-7602
E-PRESCRIBE: NO
AGUIRRE-CASTANEDA,
ROXANA A., MD
GENDER: F
PROVIDER #: 201612
NPI #: 1871755298
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
AKERELE, DAVID O., MD
GENDER: M
PROVIDER #: 217396
NPI #: 1073887527
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
AL-SAYYED, BAN H., MD
GENDER: F
PROVIDER #: 289684
NPI #: 1811940497
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9594
E-PRESCRIBE: NO
ALBARO, CECILIA A., MD
GENDER: F
PROVIDER #: 248567
NPI #: 1497879290
CHILDRENS HOSPITAL OF
ILLINOIS MEDICAL GROUP
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
ALNATOUR, MOURAD, MD
GENDER: M
PROVIDER #: 116691
NPI #: 1891734257
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
COLEMAN, SHELLENE, CPNP;
PROVIDER #: 069519
MILLER, CAROL J., CPNP;
PROVIDER #: 023683
E-PRESCRIBE: NO
ASAM-JENSEN, TERESA, MD
GENDER: F
PROVIDER #: 203160
NPI #: 1487851184
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
BECKER, JASON E., MD
GENDER: M
PROVIDER #: 136432
NPI #: 1922215920
OSF MEDICAL GROUP
2900 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-3616
E-PRESCRIBE: NO
BENSON, JEFFREY C., MD
GENDER: M
PROVIDER #: 210817
NPI #: 1851342208
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
BLASCYK, DANIEL A., MD
GENDER: M
PROVIDER #: 298205
NPI #: 1720248636
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
BUEHLER, CHRISTINE J., MD
GENDER: F
PROVIDER #: 077570
NPI #: 1902906571
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
Primary Care Physicians
CHATRATH, UMESH, MD
GENDER:
PROVIDER #: 031655
NPI #: 1659336030
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9680
E-PRESCRIBE: NO
CHRISTISON, AMY, MD
GENDER: F
PROVIDER #: 008433
NPI #: 1720029267
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
COLEMAN, SHELLENE, CPNP;
PROVIDER #: 069519
HENDERSON, MELINDA B.;
PROVIDER #: 073083
MILLER, CAROL J., CPNP;
PROVIDER #: 023683
SWANSON, REBECCA, NP;
PROVIDER #: 050610
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
221 NE GLEN OAK AVE 7
WEST STE 401
PEORIA, IL 61603
PHONE: (309) 672-5522
E-PRESCRIBE: NO
DEPPERMANN, MARTE L.,
MD
GENDER: F
PROVIDER #: 188924
NPI #: 1962602979
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9680
E-PRESCRIBE: NO
DESHPANDE, BENALI G., MD
GENDER: F
PROVIDER #: 150476
NPI #: 1841489929
OSF MEDICAL GROUP
2900 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-3616
E-PRESCRIBE: NO
EICHINGER, KATHLEEN R.,
MD
GENDER: F
PROVIDER #: 273799
NPI #: 1902127657
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
FLORES, JOSUE A., MD
GENDER: M
PROVIDER #: 224448
NPI #: 1306108105
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
GALBREATH, JOHN P., MD
GENDER: M
PROVIDER #: 052526
NPI #: 1285724583
OSF MEDICAL GROUP
2900 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-3616
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
295
Primary Care Physicians
GORDILLO PEREZ,
ROBERTO, MD
GENDER: M
PROVIDER #: 197038
NPI #: 1407084759
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 655-4242
E-PRESCRIBE: NO
HARVEY, MARY A., MD
GENDER: F
PROVIDER #: 143169
NPI #: 1215037890
CARDINAL MEDICAL
GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: YES
HALPERIN, THOMAS E., MD
GENDER: M
PROVIDER #: 008435
NPI #: 1689615163
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
COLEMAN, SHELLENE, CPNP;
PROVIDER #: 069519
HENDERSON, MELINDA B.;
PROVIDER #: 073083
MILLER, CAROL J., CPNP;
PROVIDER #: 023683
SWANSON, REBECCA, NP;
PROVIDER #: 050610
E-PRESCRIBE: NO
HARRIS, JEANNE A., MD
GENDER: F
PROVIDER #: 064781
NPI #: 1295825586
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
296
HO, TERRY A., MD
GENDER: M
PROVIDER #: 166693
NPI #: 1104027572
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
IFTEKHAR, RIFFAT, MD
GENDER: F
PROVIDER #: 252558
NPI #: 1629282546
OSF MEDICAL GROUPPEDIATRIC AFTER HOURS
CLINIC
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (888) 627-5673
E-PRESCRIBE: NO
ISMAIL, SHUROUK I., MD
GENDER: F
PROVIDER #: 151895
NPI #: 1528214129
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
KANG, IAN K., MD
GENDER: M
PROVIDER #: 217799
NPI #: 1699856450
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
KENDHARI, HARLEENA K.,
MD
GENDER: F
PROVIDER #: 212475
NPI #: 1265629760
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9594
E-PRESCRIBE: NO
KNEPP, MARC D., MD
GENDER: M
PROVIDER #: 224828
NPI #: 1568686277
OSF CONGENITAL HEART
CENTER
420 NE GLEN OAK AVE
SUTIE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
KONSTANTELOS,
CHRISTOS, DO
GENDER: M
PROVIDER #: 231106
NPI #: 1114970936
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
Primary Care Physicians
LAPKE, JALAYNE, MD
GENDER:
PROVIDER #: 031658
NPI #: 1508837758
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9680
E-PRESCRIBE: NO
MAJCINA, KATHY A., MD
GENDER: F
PROVIDER #: 160855
NPI #: 1164437729
OSF MEDICAL GROUPPEDIATRICS AFTER HOURS
530 N E GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-7951
E-PRESCRIBE: NO
LUCE, RONALD A., MD
GENDER: M
PROVIDER #: 031673
NPI #: 1487736450
OSF MEDICAL GROUP
PEDIATRIC AFTER HOURS
CLINIC
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (888) 627-5673
E-PRESCRIBE: NO
MASTER SANKAR RAJ,
VIMAL, MD
GENDER:
PROVIDER #: 289563
NPI #: 1336339597
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
LUNDY, MOLLY K., MD
GENDER: F
PROVIDER #: 255688
NPI #: 1124349089
OSF MEDICAL GROUP
PEDIATRIC AFTER HOURS
CLINIC
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (888) 627-5673
E-PRESCRIBE: NO
MCCARTHY, HEATHER L., DO
GENDER: F
PROVIDER #: 298455
NPI #: 1306819289
OSF MEDICAL GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: NO
MAINI, ANUJA, MD
GENDER: F
PROVIDER #: 101008
NPI #: 1649285206
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
COLEMAN, SHELLENE, CPNP;
PROVIDER #: 069519
E-PRESCRIBE: NO
MCCARTHY, HEATHER, DO
GENDER: F
PROVIDER #: 053675
NPI #: 1306819289
CARDINAL MEDICAL
GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: YES
MCLAUCHLAN, HEATHER,
MD
GENDER: F
PROVIDER #: 086200
NPI #: 1356319479
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9680
E-PRESCRIBE: NO
MILLER, BARRY L., MD
GENDER: M
PROVIDER #: 062681
NPI #: 1891885190
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
MULLETT, CHRISTOPHER T.,
DO
GENDER: M
PROVIDER #: 202397
NPI #: 1306806518
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
NEESE, ALLEN L., MD
GENDER: M
PROVIDER #: 010780
NPI #: 1841261872
CARDINAL MEDICAL
GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
297
Primary Care Physicians
PERKS, CHRISTINE, MD
GENDER: F
PROVIDER #: 097261
NPI #: 1033383070
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
OSF MEDICAL GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: NO
NULTY, WILLIAM, MD
GENDER: M
PROVIDER #: 101542
NPI #: 1639148356
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-3863
E-PRESCRIBE: NO
OLIPHANT, CHRISTY A., MD
GENDER: F
PROVIDER #: 137535
NPI #: 1184836561
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
PALMER HILL, SIDNEY A., MD
GENDER: F
PROVIDER #: 239117
NPI #: 1447411509
OSF MEDICAL GROUPNEWBORN HOSPITALIST
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 624-8818
E-PRESCRIBE: NO
PATTERSON, JANET, MD
GENDER: F
PROVIDER #: 256050
NPI #: 1497720411
U OF I COLLEGE OF
MEDICINE
507 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 681-6960
E-PRESCRIBE: NO
298
PETRAK, CHANNING, MD
GENDER: M
PROVIDER #: 086138
NPI #: 1952370538
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9594
E-PRESCRIBE: NO
PHILBIN, NORA B., DO
GENDER: F
PROVIDER #: 254718
NPI #: 1548561392
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
E-PRESCRIBE: NO
PRADHAN, SUSHMA R., MD
GENDER: F
PROVIDER #: 179132
NPI #: 1922185545
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
RISK, ANNE C., MD
GENDER: F
PROVIDER #: 227938
NPI #: 1871754309
OSF MEDICAL GROUP-GLEN
PARK
5114 N GLEN PARK PL
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
ROHDE, JAY, MD
GENDER: M
PROVIDER #: 281469
NPI #: 1457671745
HEARTLAND COMMUNITY
HEALTH CLINIC
320 E ARMSTRONG
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
ROSE, ELIZABETH A., MD
GENDER: F
PROVIDER #: 273162
NPI #: 1205123734
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
ROSE, ELIZABETH, MD
GENDER: F
PROVIDER #: 283600
NPI #: 1205123734
HEARTLAND COMMUNITY
HEALTH CLINIC
320 E ARMSTRONG
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
SANTORINEOS, DIANE J., DO
GENDER: F
PROVIDER #: 117367
NPI #: 1518991066
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
SHALLAT, SHELLY, MD
GENDER: F
PROVIDER #: 268096
NPI #: 1184706988
HEARTLAND COMMUNITY
HEALTH CLINIC
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
SMITH, TERRY E., MD
GENDER: M
PROVIDER #: 041992
NPI #: 1861582165
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
STAPEL, MARY E., MD
GENDER: F
PROVIDER #: 252608
NPI #: 1891922571
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
Primary Care Physicians
STURDAVANT, ADAM, MD
GENDER: M
PROVIDER #: 285150
NPI #: 1720375520
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
2214 N UNIVERSITY AVE
PEORIA, IL 61604
PHONE: (309) 680-7634
E-PRESCRIBE: NO
228 NE JEFFERSON
PEORIA, IL 61602
PHONE: (309) 671-8000
E-PRESCRIBE: NO
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
320 E ARMSTRONG
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
711 W JOHN GWYNN AVE
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
SUREKA, RACHANA, MD
GENDER: F
PROVIDER #: 094335
NPI #: 1093721573
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
E-PRESCRIBE: NO
VAZQUEZ-MELENDEZ, ELSA
L., MD
GENDER: F
PROVIDER #: 195446
NPI #: 1356542864
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
VAZQUEZ-MELENDEZ, ELSA,
MD
GENDER: F
PROVIDER #: 159694
NPI #: 1356542864
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 671-3000
E-PRESCRIBE: NO
WILLEMSEN-REID, MARION,
DO
GENDER: F
PROVIDER #: 050655
NPI #: 1720029283
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
COLEMAN, SHELLENE, CPNP;
PROVIDER #: 069519
HENDERSON, MELINDA B.;
PROVIDER #: 073083
MILLER, CAROL J., CPNP;
PROVIDER #: 023683
SWANSON, REBECCA, NP;
PROVIDER #: 050610
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
299
Primary Care Physicians
PEOTONE, IL
ADULT/INTERNAL
MEDICINE
HYRE, MICHAEL C., MD
GENDER: M
PROVIDER #: 186217
NPI #: 1083713978
RIVERSIDE MEDICAL
CENTER OF PEOTONE
611 DIVISION ST
PEOTONE, IL 60468
PHONE: (708) 258-9058
E-PRESCRIBE: NO
PEDIATRICS
JONAS, ROY E., MD
GENDER: M
PROVIDER #: 071122
NPI #: 1760582316
RIVERSIDE MEDICAL
CENTER OF PEOTONE
611 DIVISION ST
PEOTONE, IL 60468
PHONE: (708) 258-9058
E-PRESCRIBE: NO
PERU, IL
ADULT/INTERNAL
MEDICINE
COTE, MARIO E., MD
GENDER: M
PROVIDER #: 052561
NPI #: 1376514273
ILLINOIS VALLEY
COMMUNITY HOSPITAL
925 WEST ST
PERU, IL 61354
PHONE: (815) 780-3696
E-PRESCRIBE: YES
300
ILLINOIS VALLEY HEALTH
SERVICES
710 PEORIA ST
PERU, IL 61354
PHONE: (815) 223-3500
E-PRESCRIBE: YES
FERNANDEZ, MARK A., MD
GENDER: M
PROVIDER #: 023119
NPI #: 1033114939
IVCH MEDICAL GROUP/
PERU PRIMARY CARE
CLINIC
920 WEST ST BUILDING B
PERU, IL 61354
PHONE: (815) 223-9214
E-PRESCRIBE: NO
INCIONG, RAMON B., MD
GENDER: M
PROVIDER #: 019515
NPI #: 1891707998
ST MARGARETS MIDTOWN
HEALTH CENTER
1650 MIDTOWN ROAD
PERU, IL 61354
PHONE: (815) 223-0203
SHIN, KRISTIE, PA-C;
PROVIDER #: 170778
E-PRESCRIBE: NO
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
920 WEST ST SUITE 212
PERU, IL 61354
PHONE: (309) 676-8123
E-PRESCRIBE: YES
PEOTONE, IL
PERU, IL
LEIFHEIT, JOEL S., MD
GENDER: M
PROVIDER #: 221643
NPI #: 1871696229
ILLINOIS VALLEY
COMMUNITY HOSPITAL
925 WEST ST
PERU, IL 61354
PHONE: (815) 780-3696
E-PRESCRIBE: YES
RITZ, ELIZABETH E., MD
GENDER: F
PROVIDER #: 075798
NPI #: 1114998226
IVCH MEDICAL GROUP/
ADULT MEDICINE CLINIC
920 WEST ST SUITE 216
PERU, IL 61354
PHONE: (815) 780-3838
E-PRESCRIBE: NO
FAMILY PRACTICE
BAILEY, SHAWN E., MD
GENDER: M
PROVIDER #: 031412
NPI #: 1447363585
ST MARGARETS MIDTOWN
HEALTH CENTER
1650 MIDTOWN ROAD
PERU, IL 61354
PHONE: (815) 223-2807
LOPEZ, CARRIE, PA;
PROVIDER #: 163016
E-PRESCRIBE: NO
BENSON, JONATHAN D., DO
GENDER: M
PROVIDER #: 259053
NPI #: 1972887982
THE VEIN SPECIALISTS LLC
3602 MARQUETTE RD
PERU, IL 61354
PHONE: (309) 862-4000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PERU, IL
PERU, IL
BOHN, KATHRYN, MD
GENDER: F
PROVIDER #: 187916
NPI #: 1194751156
THE VEIN SPECIALISTS LLC
3602 MARQUETTE RD
PERU, IL 61354
PHONE: (309) 862-4000
E-PRESCRIBE: NO
DEBOER, KELLY L., MD
GENDER: F
PROVIDER #: 207288
NPI #: 1023070257
ILLINOIS VALLEY
COMMUNITY HOSPITAL
925 WEST ST
PERU, IL 61354
PHONE: (815) 780-3696
E-PRESCRIBE: NO
NIELSEN, THOMAS E., MD
GENDER: M
PROVIDER #: 206029
NPI #: 1871521757
ILLINOIS VEIN SPECIALISTS
LLC
3602 MARQUETTE RD
PERU, IL 61354
PHONE: (309) 862-4000
E-PRESCRIBE: NO
SAFDAR, SAIMA, MD
GENDER: F
PROVIDER #: 256376
NPI #: 1336449214
ILLINOIS VALLEY FAMILY
MEDICINE
1305 6TH ST
PERU, IL 61354
PHONE: (815) 223-4273
E-PRESCRIBE: NO
Primary Care Physicians
TWANOW, RICHARD, MD
GENDER: M
PROVIDER #: 019464
NPI #: 1366558199
ST MARGARETS MIDTOWN
HEALTH CENTER
1650 MIDTOWN ROAD
PERU, IL 61354
PHONE: (815) 223-0203
CHRISTENSEN, CATHERINE,
PA-C; PROVIDER #: 074214
MILLER, MICHAEL E., PA;
PROVIDER #: 138944
E-PRESCRIBE: NO
GENERAL PRACTICE
VASQUEZ, MICHELLE L., MD
GENDER: F
PROVIDER #: 191640
NPI #: 1164629531
FAMILY MEDICINE CLINIC
920 WEST ST SUITE 216
PERU, IL 61354
PHONE: (815) 220-0898
E-PRESCRIBE: NO
CURRY, THOMAS M., MD
GENDER: M
PROVIDER #: 030384
NPI #:
920 WEST ST BLDG A SUITE
214
PERU, IL 61354
PHONE: (815) 223-0207
E-PRESCRIBE: NO
IVCH MEDICAL GROUP/
PERU PRIMARY CARE
CLINIC
920 W ST SUITE 311
PERU, IL 61354
PHONE: (815) 223-9214
E-PRESCRIBE: NO
FAMILY PRACTICE OB
BAILEY, SHAWN E., MD
GENDER: M
PROVIDER #: 031412
NPI #: 1447363585
ST MARGARETS MIDTOWN
HEALTH CENTER
1650 MIDTOWN ROAD
PERU, IL 61354
PHONE: (815) 223-2807
LOPEZ, CARRIE, PA;
PROVIDER #: 163016
E-PRESCRIBE: NO
BERNAL, ALEJANDRO, MD
GENDER: M
PROVIDER #: 019512
NPI #: 1346253630
ST MARGARETS MIDTOWN
HEALTH CENTER
1650 MIDTOWN ROAD
PERU, IL 61354
PHONE: (815) 223-2645
ALVARADO, ANGELLA, APN;
PROVIDER #: 286673
E-PRESCRIBE: NO
PEDIATRICS
FERNANDEZ, MARK A., MD
GENDER: M
PROVIDER #: 023119
NPI #: 1033114939
IVCH MEDICAL GROUP/
PERU PRIMARY CARE
CLINIC
920 WEST ST BUILDING B
PERU, IL 61354
PHONE: (815) 223-9214
E-PRESCRIBE: NO
GOEL, NEELAM, MD
GENDER: F
PROVIDER #: 020933
NPI #: 1457360828
920 WEST ST BLDG A SUITE
116
PERU, IL 61354
PHONE: (815) 223-6222
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
301
PERU, IL
PINCKNEYVILLE, IL
Primary Care Physicians
KHAN, NAFEES, MD
GENDER:
PROVIDER #: 127862
NPI #: 1548255243
TRINITY MEDICAL CENTER
600 N COLLEGE AVE
PERU, IL 61354
PHONE: (309) 779-5000
E-PRESCRIBE: NO
PETERSBURG, IL
FAMILY PRACTICE
PETERSBURG, IN
FAMILY PRACTICE
GROW, NATHANIAL D., MD
GENDER: M
PROVIDER #: 065615
NPI #: 1912900291
DEACONESS CLINIC INC
106 W PIKE AVE
PETERSBURG, IN 47567
PHONE: (812) 354-1052
E-PRESCRIBE: NO
BILYEU, JOE A., MD
GENDER: M
PROVIDER #: 166012
NPI #: 1023230968
MENARD MEDICAL CENTER
1 CENTRE DR
PETERSBURG, IL 62675
PHONE: (217) 632-7761
FESEN, TERESA A., FNP;
PROVIDER #: 233808
E-PRESCRIBE: NO
KEEPES, GARY J., MD
GENDER: M
PROVIDER #: 065679
NPI #: 1104829480
DEACONESS CLINIC INC
106 W PIKE AVE
PETERSBURG, IN 47567
PHONE: (812) 354-1052
COLEMAN, KELLY, CNP;
PROVIDER #: 073864
E-PRESCRIBE: NO
TELLEZ, MAOXIIM N., MD
GENDER: F
PROVIDER #: 133655
NPI #: 1740311349
MENARD MEDICAL CENTER
LLC
1 CENTRE DR
PETERSBURG, IL 62675
PHONE: (217) 632-7761
FESEN, TERESA A., FNP;
PROVIDER #: 233808
E-PRESCRIBE: NO
WEISMAN, ERRIN, DO
GENDER: F
PROVIDER #: 280145
NPI #: 1235425299
DEACONESS CLINIC INC
106 W PIKE AVE
PETERSBURG, IN 47567
PHONE: (812) 354-1052
E-PRESCRIBE: NO
PHILO, IL
FAMILY PRACTICE
MANTELL, SUSAN K., MD
GENDER: F
PROVIDER #: 121371
NPI #: 1881651461
CENTER FOR YOUR HEALTH
LTD
501 N LINCOLN STREET
PHILO, IL 61864
PHONE: (217) 684-2419
E-PRESCRIBE: NO
302
PINCKNEYVILLE, IL
ADULT/INTERNAL
MEDICINE
REYES, CHRISTOPHER D.,
MD
GENDER: M
PROVIDER #: 051108
NPI #: 1407828940
FAMILY MEDICAL CENTER
101 N WALNUT
PINCKNEYVILLE, IL 62274
PHONE: (618) 357-2131
WINTER, AMANDA R., PA-C;
PROVIDER #: 204595
E-PRESCRIBE: NO
FAMILY PRACTICE
BIGHAM, BETH A., MD
GENDER: F
PROVIDER #: 029986
NPI #: 1235128554
MEDICAL ARTS SC
13 N WALNUT ST
PINCKNEYVILLE, IL 62274
PHONE: (618) 357-2147
E-PRESCRIBE: NO
BILAL, SALVA, MD
GENDER: F
PROVIDER #: 165658
NPI #: 1003030651
FAMILY MEDICAL CENTER
101 N WALNUT
PINCKNEYVILLE, IL 62274
PHONE: (618) 357-2131
E-PRESCRIBE: NO
DAVIDSON, ROBERT, MD
GENDER: M
PROVIDER #: 034538
NPI #: 1790774826
MEDICAL ARTS SC
13 N WALNUT ST
PINCKNEYVILLE, IL 62274
PHONE: (618) 357-2147
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PINCKNEYVILLE, IL
PLAINFIELD, IL
FOZARD, GREGG J., MD
GENDER: M
PROVIDER #: 034761
NPI #: 1689646127
FAMILY MEDICAL CENTER
101 N WALNUT
PINCKNEYVILLE, IL 62274
PHONE: (618) 357-2131
CHARLES, MARIAH K., FNPC;
PROVIDER #: 200992
EUBANKS, ANGI, PA-C;
PROVIDER #: 049013
PRIEBE, STEPHEN, PA;
PROVIDER #: 061864
E-PRESCRIBE: NO
PITTSFIELD, IL
FAMILY PRACTICE
LOCKHART, DAVID W., MD
GENDER: M
PROVIDER #: 175377
NPI #: 1619985827
ILLINI COMMUNITY
HOSPITAL RURAL HEALTH
CLINIC
321 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (217) 285-9447
E-PRESCRIBE: YES
WAGONER, CHRISTOPHER,
MD
GENDER: M
PROVIDER #: 184863
NPI #: 1750583506
EXPRESS WALK-IN CLINIC
101 E WASHINGTON
PITTSFIELD, IL 62363-1436
PHONE:
E-PRESCRIBE: NO
ILLINI COMMUNITY
HOSPITAL RURAL HEALTH
CLINIC
321 W WASHINGTON ST
PITTSFIELD, IL 62363
PHONE: (217) 285-9447
E-PRESCRIBE: NO
Primary Care Physicians
PLAINFIELD, IL
ADULT/INTERNAL
MEDICINE
DEOL, KIRANJIT K., MD
GENDER: F
PROVIDER #: 232316
NPI #: 1841486198
DREYER MEDICAL GROUP
LTD
24508 W VILLAGE CENTER
DR
PLAINFIELD, IL 60544
PHONE: (815) 439-9400
E-PRESCRIBE: NO
PETHKAR, SANJAY, MD
GENDER: M
PROVIDER #: 041167
NPI #: 1134181829
ALLIANCE HEALTH
13415 S ROUTE 59
PLAINFIELD, IL 60544
PHONE: (815) 741-7590
E-PRESCRIBE: NO
FAMILY PRACTICE
BURNS, MICHELLE B., OD
GENDER: F
PROVIDER #: 291561
NPI #: 1598780942
PRESENCE MEDICAL GROUP
7000 CANTON FARM RD
PLAINFIELD, IL 60544
PHONE: (815) 577-2929
E-PRESCRIBE: NO
JAYESINGHE, VIPULI E., MD
GENDER: F
PROVIDER #: 276123
NPI #: 1265673701
PMG FP PLAINFIELD
24016 W MAIN ST
PLAINFIELD, IL 60544
PHONE: (815) 436-7303
E-PRESCRIBE: NO
KEDZIERSKI, ALEXANDER S.,
DO
GENDER: M
PROVIDER #: 205757
NPI #: 1326006610
DREYER CLINICPLAINFIELD
24508 W VILLAGE CENTER
DR
PLAINFIELD, IL 60544
PHONE: (815) 439-9400
E-PRESCRIBE: NO
MADANI, LUBNA S., MD
GENDER: F
PROVIDER #: 254725
NPI #: 1124349006
PRESENCE MEDICAL GROUP
7000 CANTON FARM RD
PLAINFIELD, IL 60586
PHONE: (815) 609-5501
E-PRESCRIBE: NO
TURK, FARAH R., MD
GENDER: F
PROVIDER #: 182764
NPI #: 1366453839
ALLIANCE HEALTH
13550 S ROUTE 30 SUITE 100
PLAINFIELD, IL 60544
PHONE: (815) 741-7590
E-PRESCRIBE: NO
GENERAL PRACTICE
SAMARAWEERA, MOHIN T.,
MD
GENDER:
PROVIDER #: 298889
NPI #: 1295896173
PMG FP PLAINFIELD
24016 MAIN ST
PLAINFIELD, IL 60544
PHONE: (815) 436-7303
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
303
PLANO, IL
PONTIAC, IL
Primary Care Physicians
PLANO, IL
POLO, IL
FAMILY PRACTICE
ADULT/INTERNAL
MEDICINE
ALAM, HUMA, MD
GENDER: F
PROVIDER #: 290360
NPI #: 1639362544
PRIME HEALTHCARE
SERVICES
1200 W SOUTH ST
PLANO, IL 60545
PHONE: (630) 301-1886
E-PRESCRIBE: NO
WOLLSTADT, LOYD, MD
GENDER: M
PROVIDER #: 209519
NPI #: 1356332498
KSB MEDICAL GROUP
1107 S DIVISION AVE
POLO, IL 61064
PHONE: (815) 946-3453
E-PRESCRIBE: NO
FAMILY PRACTICE
ALAM, SAROOR, MD
GENDER:
PROVIDER #: 136181
NPI #: 1013064138
PRIME HEALTHCARE
SERVICES
1200 W SOUTH ST
PLANO, IL 60545
PHONE: (630) 301-1886
E-PRESCRIBE: NO
ALI, SYEDA, MD
GENDER:
PROVIDER #: 231498
NPI #: 1265732176
KISHWAUKEE PHYSICIANS
GROUP
11000 E RT 34 SUITE 2
PLANO, IL 60545
PHONE: (815) 786-3770
E-PRESCRIBE: YES
304
RAVEN, RISHA, MD
GENDER: F
PROVIDER #: 059822
NPI #: 1487622379
KSB MEDICAL GROUP
1107 S DIVISION AVE
POLO, IL 61064
PHONE: (815) 946-3453
GUSSE, COLLINE N., PA-C;
PROVIDER #: 069060
E-PRESCRIBE: NO
PONTIAC, IL
ADULT/INTERNAL
MEDICINE
MIKEWORTH, JAMES B., MD
GENDER: M
PROVIDER #: 252545
NPI #: 1790927309
OSF MEDICAL GROUP
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-2001
E-PRESCRIBE: NO
PATEL, MUKESH V., MD
GENDER:
PROVIDER #: 119833
NPI #: 1780602946
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
203
PONTIAC, IL 61764
PHONE: (815) 844-5115
KENNEDY, MARY H., NP;
PROVIDER #: 119849
E-PRESCRIBE: NO
RINKER, JOHN M., MD
GENDER: M
PROVIDER #: 226351
NPI #: 1316173636
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
203
PONTIAC, IL 61764
PHONE: (815) 844-5115
E-PRESCRIBE: NO
WHITE, JESSICA L., MD
GENDER: F
PROVIDER #: 224721
NPI #: 1902048986
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
203
PONTIAC, IL 61764
PHONE: (815) 844-5115
E-PRESCRIBE: NO
FAMILY PRACTICE
FERNANDEZ, ANGELITO J.,
MD
GENDER:
PROVIDER #: 052172
NPI #: 1700966116
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PONTIAC, IL
PONTIAC, IL
LAU, DANIEL S., MD
GENDER: M
PROVIDER #: 206357
NPI #: 1720398480
OSF MEDICAL GROUP
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-3633
E-PRESCRIBE: NO
MITCHELL, PHILIP, MD
GENDER: M
PROVIDER #: 028458
NPI #: 1508839895
ADVOCATE MEDICAL
GROUP
1504C W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-2893
E-PRESCRIBE: NO
MOY, CALVIN, MD
GENDER: M
PROVIDER #: 224829
NPI #: 1154558732
OSF PROMPTCARE
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-2828
E-PRESCRIBE: NO
MOY, LACEY D., MD
GENDER: F
PROVIDER #: 224830
NPI #: 1013144021
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
E-PRESCRIBE: NO
MURPHY, THOMAS C., MD
GENDER: M
PROVIDER #: 202744
NPI #: 1104087394
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
E-PRESCRIBE: NO
Primary Care Physicians
PROEHL, REBECCA A., MD
GENDER: F
PROVIDER #: 112368
NPI #: 1427141787
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
CATHCART, JULIA E., PA;
PROVIDER #: 188297
E-PRESCRIBE: NO
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-2001
CATHCART, JULIA E., PA;
PROVIDER #: 188297
VANDERVEEN, DANIELLE J.,
PA; PROVIDER #: 195670
E-PRESCRIBE: NO
OSF PROMPTCARE
2500 W REYNOLDS ST SUITE
105
PONTIAC, IL 61764
PHONE: (815) 842-8501
CATHCART, JULIA E., PA;
PROVIDER #: 188297
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
1504 C W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-2893
E-PRESCRIBE: NO
RINKER, JOHN W., DO
GENDER: M
PROVIDER #: 005311
NPI #: 1255449393
1515 W REYNOLDS ST
PONTIAC, IL 61764-9673
PHONE: (815) 842-3381
E-PRESCRIBE: NO
SCHWEIZER, HEATHER D.,
MD
GENDER: F
PROVIDER #: 109519
NPI #: 1578656831
OSF MEDICAL GROUP
918 E LINCOLN ST
PONTIAC, IL 61764
PHONE: (815) 945-2261
E-PRESCRIBE: NO
GENERAL PRACTICE
PURNELL, JOHN C., MD
GENDER: M
PROVIDER #: 002599
NPI #: 1750579660
401 E WATER
PONTIAC, IL 61764
PHONE: (815) 842-1166
E-PRESCRIBE: NO
PEDIATRICS
PROEHL, REBECCA A., MD
GENDER: F
PROVIDER #: 112368
NPI #: 1427141787
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
CATHCART, JULIA E., PA;
PROVIDER #: 188297
E-PRESCRIBE: NO
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-2001
CATHCART, JULIA E., PA;
PROVIDER #: 188297
VANDERVEEN, DANIELLE J.,
PA; PROVIDER #: 195670
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
305
Primary Care Physicians
OSF PROMPTCARE
2500 W REYNOLDS ST SUITE
105
PONTIAC, IL 61764
PHONE: (815) 842-8501
CATHCART, JULIA E., PA;
PROVIDER #: 188297
E-PRESCRIBE: NO
LIM, EDISON U., MD
GENDER: M
PROVIDER #: 057274
NPI #: 1215966858
OSF MEDICAL GROUP
13539 IL ROUTE 76
POPLAR GROVE, IL 61065
PHONE: (815) 765-0147
E-PRESCRIBE: NO
POPLAR GROVE, IL
MORKER, DIVYESH N., MD
GENDER: M
PROVIDER #: 283397
NPI #: 1629399399
OSF MEDICAL GROUP
13539 IL ROUTE 76
POPLAR GROVE, IL 61065
PHONE: (815) 765-0147
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
MOLINARI, ANTHONY F., MD
GENDER: M
PROVIDER #: 294334
NPI #: 1043290158
OSF MEDICAL GROUP
13539 IL ROUTE 76
POPLAR GROVE, IL 610658815
PHONE: (815) 765-0427
E-PRESCRIBE: NO
FAMILY PRACTICE
FLOORE, CYNTHIA A., MD
GENDER: F
PROVIDER #: 272784
NPI #: 1235126632
OSF MEDICAL GROUP
13539 IL ROUTE 76
POPLAR GROVE, IL 61065
PHONE: (815) 765-0147
E-PRESCRIBE: NO
GO-LIM, JOCELYN R., MD
GENDER: F
PROVIDER #: 160697
NPI #: 1255376471
OSF MEDICAL GROUP
13539 IL ROUTE 76
POPLAR GROVE, IL 61065
PHONE: (815) 765-0147
E-PRESCRIBE: NO
306
PRINCETON, IL
ADULT/INTERNAL
MEDICINE
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: YES
PATEL, KETAN R., MD
GENDER: M
PROVIDER #: 016522
NPI #: 1114910528
530 PARK AVE EAST SUITE
101
PRINCETON, IL 61356
PHONE: (815) 872-1221
E-PRESCRIBE: NO
PONTIAC, IL
PRINCETON, IL
FAMILY PRACTICE
CERNOVICH, RICK S., MD
GENDER: M
PROVIDER #: 280147
NPI #: 1508824723
OSF MEDICAL GROUP
530 PARK AVE E SUITE 203
PRINCETON, IL 61356
PHONE: (815) 454-2811
E-PRESCRIBE: NO
DAVIS, GREGG E., MD
GENDER: M
PROVIDER #: 061719
NPI #: 1306887674
GREGG E DAVIS MD LTD
204 PARK AVE EAST
PRINCETON, IL 61356
PHONE: (815) 879-3212
E-PRESCRIBE: NO
FABER, ARNOLD L., MD
GENDER: M
PROVIDER #: 033957
NPI #: 1295776565
PERRY MEMORIAL FAMILY
HEALTH CLINIC
530 PARK AVE EAST STE 303
PRINCETON, IL 61356
PHONE: (815) 875-4531
E-PRESCRIBE: NO
MESTAN, ROBERT, MD
GENDER: M
PROVIDER #: 128923
NPI #: 1659312924
PERRY MEMORIAL FAMILY
HEALTH CLINIC
530 PARK AVE EAST STE 303
PRINCETON, IL 61356
PHONE: (815) 875-4531
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
PRINCETON, IL
PRINCEVILLE, IL
Primary Care Physicians
GENERAL PRACTICE
FAMILY PRACTICE
FAMILY PRACTICE
ASCANO, MANUEL R., MD
GENDER: M
PROVIDER #: 057196
NPI #: 1598712218
ASCANO MEDICAL CLINIC
400 N MAIN ST SUITE 1
PRINCETON, IL 61356
PHONE: (815) 875-2323
E-PRESCRIBE: NO
BOND, ROBERT D., MD
GENDER: M
PROVIDER #: 065598
NPI #: 1386710614
DEACONESS CLINIC INC
401 N RICHLAND CREEK DR
PRINCETON, IN 47670
PHONE: (812) 386-6650
E-PRESCRIBE: NO
685 S VAIL ST
PRINCETON, IN 47670
PHONE: (812) 386-6650
E-PRESCRIBE: NO
CASH, RALPH L., MD
GENDER: M
PROVIDER #: 297400
NPI #: 1083710206
CASH FAMILY PRACTICE
PLLC
302 MICBETH DRIVE
PRINCETON, KY 42445
PHONE: (270) 365-1225
E-PRESCRIBE: NO
PRINCETON, IN
ADULT/INTERNAL
MEDICINE
MURTHY, KRISHNA, MD
GENDER: F
PROVIDER #: 065022
NPI #: 1841293115
DEACONESS CLINIC INC
685 S VAIL ST
PRINCETON, IN 47670
PHONE: (812) 386-6560
E-PRESCRIBE: NO
PATEL, RAMESH P., MD
GENDER: M
PROVIDER #: 153046
NPI #: 1093718363
DEACONESS CLINIC INC
105 N SECOND AVE
PRINCETON, IN 47670
PHONE: (812) 386-6560
E-PRESCRIBE: NO
685 S VAIL ST
PRINCETON, IN 47670
PHONE: (812) 386-6560
E-PRESCRIBE: NO
DEACONESS MEDICAL
GROUP
105 N 2ND AVE
PRINCETON, IN 47670
PHONE: (812) 386-6560
E-PRESCRIBE: NO
DAVIDSON, THOMAS W., MD
GENDER: M
PROVIDER #: 153242
NPI #: 1336141548
DEACONESS CLINIC INC
685 S VAIL ST
PRINCETON, IN 47670
PHONE: (812) 386-6560
E-PRESCRIBE: NO
KRAJEC, EMILY B., DO
GENDER: F
PROVIDER #: 259938
NPI #: 1700198520
DEACONESS CLINIC INC
685 S VAIL ST
PRINCETON, IN 47670
PHONE: (812) 386-6650
E-PRESCRIBE: NO
PERRY, JAMI T., MD
GENDER: F
PROVIDER #: 297452
NPI #: 1710050729
PERRY FAMILY MEDICAL
PLLC
605 SOUTH JEFFERSON ST
PRINCETON, KY 42445
PHONE: (270) 365-9455
E-PRESCRIBE: NO
PEDIATRICS
LITTLEJOHN, CHARLES M.,
MD
GENDER: M
PROVIDER #: 097463
NPI #: 1831202738
1100 S JEFFERSON ST
PRINCETON, KY 42445
PHONE: (270) 365-3343
E-PRESCRIBE: NO
PRINCETON, KY
ADULT/INTERNAL
MEDICINE
HALL, DAVID P., MD
GENDER: M
PROVIDER #: 298687
NPI #: 1831180942
BIG SPRINGS CARDIOLOGY
114 EDWARDS STREET
PRINCETON, KY 42445
PHONE: (270) 365-0220
E-PRESCRIBE: NO
PRINCEVILLE, IL
FAMILY PRACTICE
SCHUPBACH, JOSHUA J., MD
GENDER: M
PROVIDER #: 097887
NPI #: 1447267711
METHODIST MEDICAL
GROUP AT PRINCEVILLE
223 E MAIN ST
PRINCEVILLE, IL 61559
PHONE: (309) 385-4371
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
307
Primary Care Physicians
QUINCY, IL
ADULT/INTERNAL
MEDICINE
REICH, ABBY M., MD
GENDER: F
PROVIDER #: 133885
NPI #: 1700966124
BLESSING PHYSICIAN
SERVICES
927 BROADWAY
QUINCY, IL 62301
PHONE: (217) 223-8914
E-PRESCRIBE: YES
FAMILY PRACTICE
BETH, TIMOTHI J., DO
GENDER: M
PROVIDER #: 039278
NPI #: 1629083431
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: YES
SIU QUINCY FAMILY
PRACTICE
612 N 11TH STREET
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: YES
DANIELS, JAMES M., MD
GENDER: M
PROVIDER #: 030358
NPI #: 1750368452
SIU QUINCY FAMILY
PRACTICE
612 N 11TH STREET
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: YES
308
QUINCY, IL
QUINCY, IL
DIXON, WILLIAM D., MD
GENDER: M
PROVIDER #: 265637
NPI #: 1740299759
SIU QUINCY FAMILY
PRACTICE
612 N 11TH ST
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: NO
KIM, JOSEPH M., MD
GENDER: M
PROVIDER #: 185589
NPI #: 1992905376
QUINCY FAMILY PRACTICE
CENTER
612 11TH ST SUITE B
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: NO
FRIYE, PAMELA J., DO
GENDER: F
PROVIDER #: 288397
NPI #: 1639156383
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 322
QUINCY, IL 62301
PHONE: (217) 228-2080
E-PRESCRIBE: NO
KIM, MAY, MD
GENDER: F
PROVIDER #: 170864
NPI #: 1386844744
QUINCY FAMILY PRACTICE
CENTER
612 N 11TH ST SUITE B
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: NO
GINOS, STEVEN R., MD
GENDER: M
PROVIDER #: 019180
NPI #: 1740298942
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 223-8400
WILLIAMS, RUTH L., PA-C;
PROVIDER #: 244839
E-PRESCRIBE: YES
KIRKPATRICK, MICHAEL, MD
GENDER: M
PROVIDER #: 065475
NPI #: 1871517862
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 228-2230
E-PRESCRIBE: YES
IQBAL, OWAIS M., MD
GENDER:
PROVIDER #: 258848
NPI #: 1184911695
BLESSINGS HOSPITAL
1005 BROADWAY
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: NO
SIU HEALTHCARE
612 NORTH 11TH STREET
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: NO
LOCKHART, DAVID W., MD
GENDER: M
PROVIDER #: 019181
NPI #: 1619985827
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 223-8400
HOLTMAN, ROBIN L., APN;
PROVIDER #: 163165
SCHLIEPER, MICHELLE D.,
NP; PROVIDER #: 245310
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
QUINCY, IL
QUINCY, IL
Primary Care Physicians
MACKRIDES, PAULA, DO
GENDER: F
PROVIDER #: 095019
NPI #: 1316924087
SIU QUINCY FAMILY
PRACTICE
612 N 11TH STREET
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: NO
ODUMOSU, OCHUELE, MD
GENDER:
PROVIDER #: 276422
NPI #: 1891079323
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 322
QUINCY, IL 62301
PHONE: (217) 228-2080
E-PRESCRIBE: NO
RICHARDSON, ALAN D., MD
GENDER: M
PROVIDER #: 140248
NPI #: 1922114750
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 201
QUINCY, IL 62301
PHONE: (217) 222-9913
E-PRESCRIBE: YES
MILLER, THOMAS H., MD
GENDER: M
PROVIDER #: 240192
NPI #: 1912984527
FAMILY PLANNING INC
636 HAMPSHIRE ST SUITE
201
QUINCY, IL 62301
PHONE: (217) 224-6877
E-PRESCRIBE: NO
OTT, TIMOTHY T., DO
GENDER: M
PROVIDER #: 186953
NPI #: 1558463505
SUI QUINCY FAMILY
PRACTICE
612 N 11TH STREET
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: NO
SHARP, JASON E., MD
GENDER: M
PROVIDER #: 134310
NPI #: 1366470510
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: YES
MILLER, THOMAS, MD
GENDER: M
PROVIDER #: 016229
NPI #: 1912984527
SIU QUINCY FAMILY
PRACTICE
612 N 11TH STREET
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: YES
PERRY, CRYSTAL L., MD
GENDER: F
PROVIDER #: 048586
NPI #: 1689682528
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: YES
WHITE, DONNA, MD
GENDER: F
PROVIDER #: 014487
NPI #: 1679550289
SIU QUINCY FAMILY
PRACTICE
612 N 11TH STREET
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: NO
MULLER, MERLE H., MD
GENDER: M
PROVIDER #: 199790
NPI #: 1891770350
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 101
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: NO
SIU QUINCY FAMILY
PRACTICE
612 N 11TH STREET
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: NO
BLESSING WALK IN CLINIC
1005 BROADWAY
QUINCY, IL 62301-2834
PHONE: (217) 223-8400
E-PRESCRIBE: YES
PHILLIPS, DEBRA, MD
GENDER: F
PROVIDER #: 016228
NPI #: 1467439075
SIU QUINCY FAMILY
PRACTICE
612 N 11TH STREET
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: NO
GENERAL PRACTICE
HUANG, LI, MD
GENDER: M
PROVIDER #: 013785
NPI #: 1215951488
729 BROADWAY
QUINCY, IL 62301
PHONE: (217) 228-0252
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
309
QUINCY, IL
RANTOUL, IL
Primary Care Physicians
PEDIATRICS
RAMSEY, IL
BAUSTIAN, LORETTA A., DO
GENDER: F
PROVIDER #: 110598
NPI #: 1538153408
BLESSING PHYSICIANS
SERVICES
927 BROADWAY SUITE 300
QUINCY, IL 62301
PHONE: (217) 228-2230
E-PRESCRIBE: NO
CONTRERAS, LIZ, MD
GENDER: F
PROVIDER #: 268210
NPI #: 1295034890
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 302
QUINCY, IL 62301
PHONE: (217) 224-6423
E-PRESCRIBE: NO
RAAD, PIERRE E., MD
GENDER: M
PROVIDER #: 118215
NPI #: 1407877418
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 300
QUINCY, IL 62305
PHONE: (217) 228-2230
E-PRESCRIBE: NO
TOLBERT, CHARONE, MD
GENDER: F
PROVIDER #: 245306
NPI #: 1033386461
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 300
QUINCY, IL 62301
PHONE: (217) 224-6423
E-PRESCRIBE: NO
310
FAMILY PRACTICE
MUNESES, MARLON, MD
GENDER: M
PROVIDER #: 252732
NPI #: 1265422067
COMMUNITY MEDICAL
CLINIC OF RAMSEY
715 S SUPERIOR
RAMSEY, IL 62080
PHONE: (618) 423-2412
E-PRESCRIBE: YES
RANTOUL, IL
FAMILY PRACTICE
ARCHEY, JOANN, MD
GENDER: F
PROVIDER #: 092396
NPI #: 1104831627
CHRISTIE CLINIC
209 W BORMAN AVE
RANTOUL, IL 61866
PHONE: (217) 892-9671
E-PRESCRIBE: YES
FRANZEN, THOMAS L., MD
GENDER: M
PROVIDER #: 026213
NPI #: 1609895499
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
ANDERSON, BRENDA, NP;
PROVIDER #: 064470
SWINYER, PAULA S., CNS;
PROVIDER #: 023646
E-PRESCRIBE: YES
KAPLAN, BRUCE W., MD
GENDER: M
PROVIDER #: 000675
NPI #: 1790700110
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
JAHANBIGLAR, NASER, PA;
PROVIDER #: 046816
E-PRESCRIBE: YES
KRAMER, FRANCES K., MD
GENDER: M
PROVIDER #: 000148
NPI #: 1306865605
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
E-PRESCRIBE: YES
RUDAWSKI, STEPHEN M., DO
GENDER: M
PROVIDER #: 119484
NPI #: 1053403055
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
E-PRESCRIBE: YES
RUIZ, NELLY, MD
GENDER: F
PROVIDER #: 250040
NPI #: 1841511508
CHRISTIE CLINIC
209 W BORMAN AVE
RANTOUL, IL 61866
PHONE: (217) 366-1200
E-PRESCRIBE: NO
SLOCUM, ERICH, DO
GENDER: M
PROVIDER #: 249250
NPI #: 1356625362
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
RANTOUL, IL
RILEY, IN
FAMILY PRACTICE OB
FRANZEN, THOMAS L., MD
GENDER: M
PROVIDER #: 026213
NPI #: 1609895499
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
ANDERSON, BRENDA, NP;
PROVIDER #: 064470
SWINYER, PAULA S., CNS;
PROVIDER #: 023646
E-PRESCRIBE: YES
RED BUD, IL
ADULT/INTERNAL
MEDICINE
BIRNER, NANCY P., MD
GENDER: F
PROVIDER #: 087829
NPI #: 1043214778
BLOSSOM CITY PRIMARY
CARE
415 W SOUTH 4TH ST
RED BUD, IL 62278
PHONE: (618) 282-7777
HARRIMAN, AMBER L., PA-C;
PROVIDER #: 136257
KEMPFER, RAECHELLE L.,
APN; PROVIDER #: 162831
WUNDERLICH, MARY O., PAC; PROVIDER #: 210531
E-PRESCRIBE: NO
Primary Care Physicians
ROHLFING, AMY L., MD
GENDER: F
PROVIDER #: 108534
NPI #: 1255335188
OLDER ADULT HEALTH
CENTER
325 SPRING ST
RED BUD, IL 62278
PHONE: (618) 282-7373
HOLMAN, DEBBIE L., APRN;
PROVIDER #: 232970
SHEEHAN, JESSICA L., CGNP;
PROVIDER #: 145854
TUTTLE, SUSAN, NP;
PROVIDER #: 176010
E-PRESCRIBE: NO
FAMILY PRACTICE
MAHTANI, ANDREW V., MD
GENDER: M
PROVIDER #: 186718
NPI #: 1659579613
RED BUD CLINIC
CORPORATION
415 W SOUTH 4TH ST SUITE D
RED BUD, IL 62278
PHONE: (618) 282-7777
E-PRESCRIBE: NO
RED BUD FAMILY PRACTICE
325 SPRING ST
RED BUD, IL 62278
PHONE: (618) 282-5205
E-PRESCRIBE: NO
MAHTANI, ANDREW, MD
GENDER: M
PROVIDER #: 283621
NPI #: 1659579613
RED BUD ILLINOIS
HOSPITAL COMPANY LLC
325 SPRING ST
RED BUD, IL 62278
PHONE: (618) 282-5205
E-PRESCRIBE: YES
WALLS, DAVID A., MD
GENDER: M
PROVIDER #: 060989
NPI #: 1437130507
824 LOCUST ST
RED BUD, IL 62278
PHONE: (618) 282-6656
E-PRESCRIBE: NO
PEDIATRICS
BIRNER, NANCY P., MD
GENDER: F
PROVIDER #: 087829
NPI #: 1043214778
BLOSSOM CITY PRIMARY
CARE
415 W SOUTH 4TH ST
RED BUD, IL 62278
PHONE: (618) 282-7777
HARRIMAN, AMBER L., PA-C;
PROVIDER #: 136257
KEMPFER, RAECHELLE L.,
APN; PROVIDER #: 162831
WUNDERLICH, MARY O., PAC; PROVIDER #: 210531
E-PRESCRIBE: NO
RILEY, IN
FAMILY PRACTICE
SCHULD, MARK J., MD
GENDER: M
PROVIDER #: 047705
NPI #: 1023014479
UNION HOSPITAL INC
7500 STATE RD 46
RILEY, IN 47871
PHONE: (812) 894-2304
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
311
RIVERSIDE, IA
ROANOKE, IL
Primary Care Physicians
RIVERSIDE, IA
RIVERTON, IL
FAMILY PRACTICE
CAPIZZANO, JUANA N., MD
GENDER: F
PROVIDER #: 290100
NPI #: 1881910628
UI HEALTHCARE RIVER
CROSSING
3056 RIVER CROSSING CT
RIVERSIDE, IA 52327
PHONE: (319) 467-8355
E-PRESCRIBE: NO
CRAMER, ELIZABETH S., MD
GENDER: F
PROVIDER #: 225768
NPI #: 1386870483
UI HEALTHCARE RIVER
CROSSING
3056 RIVER CROSSING
COURT
RIVERSIDE, IA 52327
PHONE: (319) 467-8355
E-PRESCRIBE: NO
FARRELL, ANGELA T., MD
GENDER: F
PROVIDER #: 257961
NPI #: 1871814194
UI HEALTH CARE-RIVER
CROSSING
3056 RIVER CROSSING
COURT
RIVERSIDE, IA 52327
PHONE: (319) 467-8351
E-PRESCRIBE: NO
312
ADULT/INTERNAL
MEDICINE
SAGINS, KENNETH R., MD
GENDER: M
PROVIDER #: 027202
NPI #: 1275633968
SPRINGFIELD CLINIC
RIVERTON
1275 N 7TH ST
RIVERTON, IL 62561
PHONE: (217) 528-7541
E-PRESCRIBE: NO
PEDIATRICS
SAGINS, KENNETH R., MD
GENDER: M
PROVIDER #: 027202
NPI #: 1275633968
SPRINGFIELD CLINIC
RIVERTON
1275 N 7TH ST
RIVERTON, IL 62561
PHONE: (217) 528-7541
E-PRESCRIBE: NO
FOGO, SHANE C., MD
GENDER: M
PROVIDER #: 102295
NPI #: 1063446318
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
HUGHES, CHRISTOPHER R.,
MD
GENDER: M
PROVIDER #: 068435
NPI #: 1235158924
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
FAMILY PRACTICE
JONES, STEVEN, MD
GENDER: M
PROVIDER #: 007305
NPI #: 1942228101
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
415 W FRONT
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
MILLER, DAVID L., MD
GENDER: M
PROVIDER #: 007309
NPI #: 1437178415
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
ROANOKE, IL
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ROANOKE, IL
ROCHELLE, IL
MITCHELL, PHILIP, MD
GENDER: M
PROVIDER #: 028458
NPI #: 1508839895
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
MROCZKO, MARK, MD
GENDER: M
PROVIDER #: 122386
NPI #: 1528089885
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
ORWIG, STACY C., MD
GENDER: F
PROVIDER #: 185662
NPI #: 1982826384
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
STEFFEN, SAMUEL E., MD
GENDER: M
PROVIDER #: 093898
NPI #: 1790704435
ADVOCATE MEDICAL
GROUP
415 W FRONT
ROANOKE, IL 61561
PHONE: (309) 923-7456
FISCHER, DEBRA L., APN;
PROVIDER #: 206358
E-PRESCRIBE: NO
Primary Care Physicians
STOECKER, BRAD A., MD
GENDER: M
PROVIDER #: 134493
NPI #: 1508887860
OSF MEDICAL GROUP
401 N MAIN ST
ROANOKE, IL 61561
PHONE: (309) 923-2661
E-PRESCRIBE: NO
ROCHELLE, IL
ADULT/INTERNAL
MEDICINE
PERSAUD, PITAMBER, MD
GENDER: M
PROVIDER #: 061823
NPI #: 1265489108
ROCHELLE FAMILY
HEALTHCARE INC
822 N 2ND ST
ROCHELLE, IL 61068
PHONE: (815) 562-3784
E-PRESCRIBE: NO
FAMILY PRACTICE
ALANIS, DIANA E., MD
GENDER: F
PROVIDER #: 133412
NPI #: 1922007418
ROCHELLE MEDICAL
GROUP
510 LINCOLN HIGHWAY
ROCHELLE, IL 61068
PHONE: (815) 561-8335
E-PRESCRIBE: NO
GORMAN, CHRISTINE M., MD
GENDER: F
PROVIDER #: 229386
NPI #: 1376656645
ROCHELLE COMMUNITY
HOSPITAL
900 N SECOND ST
ROCHELLE, IL 61068
PHONE:
E-PRESCRIBE: NO
POPP, JASON C., MD
GENDER: M
PROVIDER #: 072817
NPI #: 1003993148
ROCHELLE COMMUNITY
HOSPITAL
900 N SECOND ST
ROCHELLE, IL 61068
PHONE:
ZOELLER, LUCINDA, APN;
PROVIDER #: 275418
E-PRESCRIBE: NO
PRATHIPATI, SUSHMITA N.,
MD
GENDER: F
PROVIDER #: 257836
NPI #: 1740581776
ROCHELLE COMMUNITY
HOSPITAL
900 N 2ND ST
ROCHELLE, IL 61068
PHONE: (815) 562-2181
E-PRESCRIBE: NO
ROCHELLE MEDICAL
GROUP
510 LINCOLN HWY
ROCHELLE, IL 61068
PHONE: (815) 561-8335
E-PRESCRIBE: NO
GENERAL PRACTICE
THIARA, SURJIT S., MD
GENDER: M
PROVIDER #: 288335
NPI #: 1609856715
ROCHELLE PROFESSIONAL
BLDG
915 CARON RD
ROCHELLE, IL 61068
PHONE: (815) 562-4014
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
313
Primary Care Physicians
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
ROCHESTER, IL
ADULT/INTERNAL
MEDICINE
MULKANOOR, SHALINI, MD
GENDER: F
PROVIDER #: 202751
NPI #: 1447558390
SPRINGFIELD PRIORITY
CARE
300 SATTLEY ST
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
JURANEK, ROBERT H., MD
GENDER: M
PROVIDER #: 008556
NPI #: 1336236264
SPRINGFIELD PRIORITY
CARE
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
TOWNSEND, WINSTON J., MD
GENDER: M
PROVIDER #: 043999
NPI #: 1003889411
SPRINGFIELD PRIORITY
CARE
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
YU, WILLIAM, MD
GENDER: M
PROVIDER #: 008558
NPI #: 1003903931
SPRINGFIELD PRIORITY
CARE
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
FAMILY PRACTICE
BODDU, LAVANYA, MD
GENDER: F
PROVIDER #: 158194
NPI #: 1851503833
SPRINGFIELD PRIORITY
CARE
300 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
314
OMAR, BIBI W., MD
GENDER: F
PROVIDER #: 266908
NPI #: 1275755001
HSHS MEDICAL GROUP INC
300 SATTLEY ST
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
WIDICUS, DIANA T., MD
GENDER: F
PROVIDER #: 003147
NPI #: 1851471072
SPRINGFIELD PRIORITY
CARE
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
ROCHESTER, IL
ROCK FALLS, IL
ROCK FALLS, IL
ADULT/INTERNAL
MEDICINE
DORMAN, ROBERT J., DO
GENDER: M
PROVIDER #: 132610
NPI #: 1184714271
WHITESIDE COUNTY
COMMUNITY HEALTH
CLINIC
1300 W 2ND STREET
ROCK FALLS, IL 61071-1005
PHONE: (815) 826-2230
E-PRESCRIBE: YES
SALAHUDDIN, MUHAMMAD
GENDER: M
PROVIDER #: 119284
NPI #: 1831138700
WHITESIDE COUNTY
COMMUNITY HEALTH
CLINIC
1300 W 2ND ST
ROCK FALLS, IL 61071
PHONE: (815) 626-2230
E-PRESCRIBE: NO
FAMILY PRACTICE
BOWMAN, JUDITH E., MD
GENDER: F
PROVIDER #: 212529
NPI #: 1326023037
WHITESIDE COUNTY
COMMUNITY HEALTH
CLINIC
1300 W 2ND ST
ROCK FALLS, IL 61071
PHONE: (815) 626-2230
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ROCK FALLS, IL
ROCK ISLAND, IL
GUTHRIE, KELLEY J., MD
GENDER: F
PROVIDER #: 269887
NPI #: 1013005313
WHITESIDE COUNTY
COMMUNITY HEALTH
CLINIC
1300 W 2ND ST
ROCK FALLS, IL 61071
PHONE: (815) 626-2230
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
WHITESIDE COUNTY
COMMUNITY HEALTH CLINIC
GENDER:
PROVIDER #: 147819
NPI #: 1528008034
1300 W 2ND ST
ROCK FALLS, IL 61071
PHONE: (815) 626-2230
E-PRESCRIBE: NO
GENERAL PRACTICE
MATHEW, SARAH, MD
GENDER: F
PROVIDER #: 242586
NPI #: 1598832420
WHITE COUNTY HEALTH
DEPARTMENT
1300 W 2ND ST
ROCK FALLS, IL 61071
PHONE: (815) 626-2231
E-PRESCRIBE: NO
Primary Care Physicians
ROCK ISLAND, IL
ADULT/INTERNAL
MEDICINE
FLOWERS, ROBERT A., MD
GENDER: M
PROVIDER #: 020112
NPI #: 1992709703
UNITYPOINT CLINICINTERNAL MEDICINE ROCK
ISLAND
2202 18TH AVE
ROCK ISLAND, IL 61201
PHONE: (309) 786-3466
E-PRESCRIBE: NO
2508 24TH ST SUITE F
ROCK ISLAND, IL 61201
PHONE: (309) 786-3466
E-PRESCRIBE: NO
HAQUE, SYED M., MD
GENDER: M
PROVIDER #: 072992
NPI #: 1720072960
COMMUNITY HEALTH CARE
ROBERT YOUNG CENTER
2200 3RD AVENUE
ROCK ISLAND, IL 61201
PHONE: (563) 336-3000
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
ROCK ISLAND
2750 11TH STREET
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
E-PRESCRIBE: NO
HASSAN, SYED, MD
GENDER: M
PROVIDER #: 104474
NPI #: 1104810886
COMMUNITY HEALTH CARE
ROBERT YOUNG CENTER
2200 3RD AVENUE
ROCK ISLAND, IL 61201
PHONE: (563) 336-3000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
ROCK ISLAND
2750 11TH STREET
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
JEROME, WILLIAM P., MD
GENDER: M
PROVIDER #: 179314
NPI #: 1215915855
TRINITY MEDICAL CENTER
WEST CAMPUS
2701 17TH ST
ROCK ISLAND, IL 61201
PHONE: (309) 779-5000
E-PRESCRIBE: YES
KEYES, CORPIA C., MD
GENDER: F
PROVIDER #: 284054
NPI #: 1831322965
TRINITY HOSPITALIST
PROGRAM
2701 17TH ST
ROCK ISLAND, IL 61201
PHONE: (309) 779-3101
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
315
Primary Care Physicians
PANCHOLI, SANJAY S., DO
GENDER: M
PROVIDER #: 195787
NPI #: 1780894816
COMMUNITY HEALTH CARE
INC
2750 11TH ST
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
ROWE, AMANDA S., CNP;
PROVIDER #: 206156
E-PRESCRIBE: NO
SATTI, VINAY V., MD
GENDER: M
PROVIDER #: 170479
NPI #: 1629099726
COMMUNITY HEALTH CARE
ROBERT YOUNG CENTER
2200 3RD AVENUE
ROCK ISLAND, IL 61201
PHONE: (563) 336-3000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
ROBERT YOUNG CENTER
2200 3RD AVE
ROCK ISLAND, IL 61201
PHONE: (563) 336-3000
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
ROCK ISLAND
2750 11TH STREET
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
RAVINDRAN, BHANU, MD
GENDER:
PROVIDER #: 237192
NPI #: 1336484013
TRINITY MEDICAL CENTER
HOSPITALIST PROGRAM
2701 17TH ST
ROCK ISLAND, IL 61201
PHONE: (309) 779-3101
E-PRESCRIBE: NO
UNITYPOINT CLINIC
INTERNAL MEDICINE ROCK
ISLAND
2202 18TH AVENUE
ROCK ISLAND, IL 61201
PHONE: (309) 786-3466
E-PRESCRIBE: NO
RAY, STEVEN A., MD
GENDER: M
PROVIDER #: 020379
NPI #: 1780680736
GENESIS HEALTH GROUP
2560 24TH ST SUITE 202
ROCK ISLAND, IL 61201
PHONE: (309) 794-0590
CLARKE, MARA M., APN;
PROVIDER #: 178146
E-PRESCRIBE: NO
316
SMITH, MARK W., MD
GENDER:
PROVIDER #: 297884
NPI #: 1326111790
TRINITY ROCK ISLAND
2701 17TH ST
ROCK ISLAND, IL 61201-5393
PHONE:
E-PRESCRIBE: NO
WESTON, PATRICK S., MD
GENDER: M
PROVIDER #: 261593
NPI #: 1306813423
TRINITY MEDICAL CENTER
2701 17TH ST
ROCK ISLAND, IL 61201
PHONE:
E-PRESCRIBE: NO
ROCK ISLAND, IL
ROCK ISLAND, IL
FAMILY PRACTICE
GANNON, DAVID L., MD
GENDER: M
PROVIDER #: 020350
NPI #: 1003886128
2550 24TH ST
ROCK ISLAND, IL 61201
PHONE: (309) 793-4223
E-PRESCRIBE: NO
HAJI-ABDIRAHMAN,
HASSAN, MD
GENDER: M
PROVIDER #: 227583
NPI #: 1972735785
COMMUNITY HEALTH CARE
2750 11TH ST
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
E-PRESCRIBE: YES
COMMUNITY HEALTH CARE
INC
2200 3RD AVE
ROCK ISLAND, IL 61201
PHONE: (309) 779-3086
E-PRESCRIBE: YES
JIT, SIMRAN, MD
GENDER:
PROVIDER #: 228478
NPI #: 1336473198
COMMUNITY HEALTH CARE
2750 11TH ST
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
E-PRESCRIBE: YES
JONES, BRUCE, MD
GENDER: M
PROVIDER #: 093411
NPI #: 1902869548
3635 14TH AVE
ROCK ISLAND, IL 61201
PHONE: (309) 788-6244
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ROCK ISLAND, IL
ROCK ISLAND, IL
KHAN, MOHSIN A., MD
GENDER: M
PROVIDER #: 176033
NPI #: 1073712683
INTEGRATIVE PAIN
CENTERS OF AMERICA
2508 25TH ST SUITE D
ROCK ISLAND, IL 61201
PHONE: (309) 762-7246
E-PRESCRIBE: NO
KUMAR, MUKESH, MD
GENDER:
PROVIDER #: 227592
NPI #: 1164756920
COMMUNITY HEALTH CARE
2750 11TH ST
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
E-PRESCRIBE: YES
ROBERT YOUNG CENTER
2200 3RD AVE
ROCK ISLAND, IL 61201
PHONE: (309) 779-3086
E-PRESCRIBE: YES
MENGANG, JOELLE M., MD
GENDER: F
PROVIDER #: 254678
NPI #: 1629389184
COMMUNITY HEALTH CARE
INC
2200 3RD AVE
ROCK ISLAND, IL 61201-8840
PHONE: (309) 779-3086
E-PRESCRIBE: NO
2750 11TH ST
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
E-PRESCRIBE: NO
SIU, CHERIE O., MD
GENDER: F
PROVIDER #: 273512
NPI #: 1265692123
KSB MEDICAL GROUP
102 S HENNEPIN AVE
ROCK ISLAND, IL 61201
PHONE: (815) 288-7711
E-PRESCRIBE: NO
Primary Care Physicians
TEMMERMAN, JOAN C., MD
GENDER: F
PROVIDER #: 260471
NPI #: 1710984158
GENESIS HEALTH SYSTEM
2560 24TH ST SUITE 202
ROCK ISLAND, IL 61201
PHONE: (309) 786-3395
E-PRESCRIBE: NO
PEDIATRICS
CROUSE, DENNIS T., MD
GENDER: M
PROVIDER #: 267828
NPI #: 1225012180
TRINITY ROCK ISLAND
2701 17TH ST
ROCK ISLAND, IL 61201
PHONE: (309) 779-5000
E-PRESCRIBE: NO
HARTMAN, SARAH L., DO
GENDER: F
PROVIDER #: 282904
NPI #: 1568759520
COMMUNITY HEALTH CARE
INC
2750 11TH ST
ROCK ISLAND, IL 61201
PHONE: (563) 336-3000
E-PRESCRIBE: NO
KHAN, NAFEES, MD
GENDER:
PROVIDER #: 127862
NPI #: 1548255243
TRINITY MEDICAL CENTER
2200 3RD ST
ROCK ISLAND, IL 61201
PHONE: (309) 779-2094
E-PRESCRIBE: NO
2560 24TH ST STE 101
ROCK ISLAND, IL 61201
PHONE: (309) 779-2800
E-PRESCRIBE: NO
2701 17TH ST
ROCK ISLAND, IL 61201
PHONE: (309) 779-5000
E-PRESCRIBE: NO
KUKREJA, DEEPNA, MD
GENDER: F
PROVIDER #: 209042
NPI #: 1194017913
COMMUNITY HEALTH CARE
ROBERT YOUNG CENTER
2200 3RD AVE
ROCK ISLAND, IL 61201
PHONE: (563) 336-3000
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
ROCK ISLAND
2750 11TH ST
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
E-PRESCRIBE: NO
KUKREJA, GAUTAM, MD
GENDER: M
PROVIDER #: 184580
NPI #: 1205151198
COMMUNITY HEALTH CARE
ROBERT YOUNG CENTER
2200 3RD AVENUE
ROCK ISLAND, IL 61201
PHONE: (563) 336-3000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
ROCK ISLAND
2750 11TH STREET
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
NATH, SFURTI, MD
GENDER:
PROVIDER #: 253473
NPI #: 1417266081
TRINITY MEDICAL CENTER
2701 17TH ST
ROCK ISLAND, IL 61201
PHONE: (309) 779-3045
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
317
Primary Care Physicians
OZAKI, LINDA S., MD
GENDER: F
PROVIDER #: 065338
NPI #: 1053305003
COMMUNITY HEALTH CARE
ROBERT YOUNG CENTER
2200 3RD AVENUE
ROCK ISLAND, IL 61201
PHONE: (563) 336-3000
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
ROCK ISLAND
2750 11TH STREET
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
E-PRESCRIBE: NO
COATES, AARON G., MD
GENDER: M
PROVIDER #: 191719
NPI #: 1871603050
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
DEVENNEY, PHILIPPA M., MD
GENDER: F
PROVIDER #: 271064
NPI #: 1518189083
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
ROCKFORD, IL
ADULT/INTERNAL
MEDICINE
BARI, HUMAIRA J., MD
GENDER:
PROVIDER #: 126711
NPI #: 1497845135
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
BAUTISTA, ELEANOR V., MD
GENDER: F
PROVIDER #: 160639
NPI #: 1780669804
OSF MEDICAL GROUP
6830 VILLAGREEN VIEW
ROCKFORD, IL 61107
PHONE: (815) 282-1339
E-PRESCRIBE: NO
318
BREFELD, THOMAS J., MD
GENDER: M
PROVIDER #: 103001
NPI #: 1699885871
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
DIETZ, FREDERICK, MD
GENDER:
PROVIDER #: 022153
NPI #: 1235249426
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
3401 PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
ROCK ISLAND, IL
ROCKFORD, IL
DONTARAJU, VENKATA S.,
MD
GENDER: M
PROVIDER #: 240736
NPI #: 1821241084
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
EHTESHAM, RUBINA, MD
GENDER: F
PROVIDER #: 078590
NPI #: 1962512152
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
GLOVSKY, ROBERT M., MD
GENDER: M
PROVIDER #: 143234
NPI #: 1316057508
ROCKFORD HEALTH
PHYSICIANS
7702 N ALPINE RD
ROCKFORD, IL 61111
PHONE: (815) 971-2000
E-PRESCRIBE: NO
HAHNEL, ROBERT P., MD
GENDER: M
PROVIDER #: 093998
NPI #: 1861502056
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ROCKFORD, IL
ROCKFORD, IL
HAYES, RICHARD P., MD
GENDER: M
PROVIDER #: 023117
NPI #: 1932177136
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
HOVIS, JOHN G., MD
GENDER: M
PROVIDER #: 029477
NPI #: 1770693962
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
HOVIS, ROBIN R., MD
GENDER: F
PROVIDER #: 060787
NPI #: 1033229224
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
3401 PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
HYDER, AHTESHAM, MD
GENDER: M
PROVIDER #: 151446
NPI #: 1740207505
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
Primary Care Physicians
IVAN, AURELIAN, MD
GENDER:
PROVIDER #: 223430
NPI #: 1841467743
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MCHUGH, HUGH T., MD
GENDER:
PROVIDER #: 022380
NPI #: 1578673760
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
KILARU, PRASAD K., MD
GENDER: M
PROVIDER #: 070504
NPI #: 1003910423
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: YES
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: YES
MITCHELL, DAVID R., MD
GENDER:
PROVIDER #: 070790
NPI #: 1013027200
ROCKFORD HEALTH
PHYSICIANS
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MALONEY, MICHAEL B., DO
GENDER: M
PROVIDER #: 067956
NPI #: 1164452611
OSF MEDICAL GROUP
698 FEATHERSTONE RD
SUITE 250
ROCKFORD, IL 61107
PHONE: (815) 399-4404
E-PRESCRIBE: NO
MATHEW, MAXINE A., MD
GENDER: F
PROVIDER #: 272070
NPI #: 1578792511
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MONKEMEYER, JON, MD
GENDER: M
PROVIDER #: 092242
NPI #: 1114087731
ROCKFORD HEALTH
PHYSICIANS
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MUHAMMAD, TRACY L., MD
GENDER:
PROVIDER #: 223486
NPI #: 1033161435
ROCKFORD HEALTH
PHYSICIANS
5970 CHRUCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
319
Primary Care Physicians
ROCKFORD, IL
ROCKFORD, IL
NAEEM, SAIMA, MD
GENDER:
PROVIDER #: 153681
NPI #: 1164478616
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
NOREM, DENNIS G., MD
GENDER: M
PROVIDER #: 076826
NPI #: 1386754570
ROCKFORD HEALTH
PHYSICIANS
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
QASSEM, ZAHER, MD
GENDER:
PROVIDER #: 197009
NPI #: 1366551996
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
NARRA, LEELA, MD
GENDER: F
PROVIDER #: 052765
NPI #: 1225001571
ROCKFORD HALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
NOWAK, GREGORY G., MD
GENDER: M
PROVIDER #: 089309
NPI #: 1376516625
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
RABOR, DONALD A., MD
GENDER: M
PROVIDER #: 022149
NPI #: 1083687362
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
OLIN, ANNETTE, MD
GENDER: F
PROVIDER #: 223441
NPI #: 1053323881
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
RACANELLI, VINCENT J., DO
GENDER: M
PROVIDER #: 135431
NPI #: 1730299926
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
PAK, CHONG H., MD
GENDER:
PROVIDER #: 118329
NPI #: 1003926296
ROCKFORD HEALTH
SOLUTIONS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
RASKIN, LEONID, MD
GENDER: M
PROVIDER #: 112388
NPI #: 1558471748
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-4026
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
NASEER, ALIYA S., MD
GENDER: F
PROVIDER #: 069763
NPI #: 1568572758
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
NGUYEN, KIM-DOAN K., MD
GENDER:
PROVIDER #: 223476
NPI #: 1235371386
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
320
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ROCKFORD, IL
ROCKFORD, IL
ROGERS, CRAIG B., MD
GENDER: M
PROVIDER #: 073289
NPI #: 1548370737
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
RONE, ARTHUR S., MD
GENDER: M
PROVIDER #: 025784
NPI #: 1457461642
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE SUITE
302
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
ROY, BHARATI P., MD
GENDER:
PROVIDER #: 088463
NPI #: 1366552556
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
3401 N PERRYVILLE RD
ROCKFORD, IL 61101
PHONE: (815) 971-2000
E-PRESCRIBE: NO
SIDDIQUI, NADEEM A., MD
GENDER:
PROVIDER #: 116230
NPI #: 1447360631
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
Primary Care Physicians
SMITH, JEFFREY R., MD
GENDER: M
PROVIDER #: 087437
NPI #: 1346200938
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
STAGNARO-GREEN, ALEX S.,
MD
GENDER: M
PROVIDER #: 291471
NPI #: 1124052048
UIC COLLEGE OF MEDICINE
@ ROCKFORD
1601 PARKVIEW
ROCKFORD, IL 61107
PHONE: (815) 395-5870
E-PRESCRIBE: NO
SYED, MALIHA, MD
GENDER:
PROVIDER #: 132531
NPI #: 1043230303
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-4026
E-PRESCRIBE: NO
WARD, CHRISTINE B., MD
GENDER: F
PROVIDER #: 132522
NPI #: 1982714176
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
WEISS, SHELDON A., MD
GENDER: M
PROVIDER #: 205956
NPI #: 1427168616
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
YUSAF, OMER, MD
GENDER: M
PROVIDER #: 171559
NPI #: 1669585956
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
FAMILY PRACTICE
AGUERO-MEDINA, CARLOS,
MD
GENDER: M
PROVIDER #: 262823
NPI #: 1053364349
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
AL-SARAF, ABBAS F., MD
GENDER:
PROVIDER #: 165130
NPI #: 1245221134
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
321
Primary Care Physicians
ANSARI, MOHAMMED, MD
GENDER:
PROVIDER #: 200494
NPI #: 1649492620
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
BORCHARDT, ROBIN F., MD
GENDER: M
PROVIDER #: 221618
NPI #: 1992734297
ROCKFORD ORTHOPEDIC
ASSOCIATES
324 ROXBURY RD
ROCKFORD, IL 61107
PHONE: (815) 398-9491
E-PRESCRIBE: NO
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
PHONE: (779) 771-7000
E-PRESCRIBE: NO
CLOR, MONA, MD
GENDER:
PROVIDER #: 123685
NPI #: 1932182003
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
DEAN, LESLIE A., MD
GENDER: F
PROVIDER #: 051441
NPI #: 1316912462
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
322
ROCKFORD, IL
ROCKFORD, IL
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIV WOMEN & CHILD
HLTH
2780 MCFARLAN RD
ROCKFORD, IL 61107
PHONE: (815) 229-1700
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
UNIVERSITY CLINIC AT
BLACKHAWK
330 15TH AVE
ROCKFORD, IL 61104
PHONE: (815) 972-7200
E-PRESCRIBE: NO
DELADISMA, MARCONI, MD
GENDER: M
PROVIDER #: 262776
NPI #: 1477597342
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103-3619
PHONE: (815) 971-2000
E-PRESCRIBE: NO
DUDAS, ANDRZEJ M., DO
GENDER: M
PROVIDER #: 202735
NPI #: 1609037308
ADVANCED REPRODUCTIVE
CENTER
435 N MULLFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
ECKBURG, JOSEPH, MD
GENDER: M
PROVIDER #: 260840
NPI #: 1154492312
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
FLOORE, CYNTHIA A., MD
GENDER: F
PROVIDER #: 272784
NPI #: 1235126632
OSF MEDICAL GROUP
621 ROXBURY RD
ROCKFORD, IL 61107
PHONE: (815) 397-3350
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ROCKFORD, IL
ROCKFORD, IL
GANDER, KEVIN J., MD
GENDER: M
PROVIDER #: 219926
NPI #: 1255379863
OSF MEDICAL GROUP
6830 VILLAGREEN VIEW
ROCKFORD, IL 61107
PHONE: (815) 282-1339
E-PRESCRIBE: NO
GO-LIM, JOCELYN R., MD
GENDER: F
PROVIDER #: 160697
NPI #: 1255376471
OSF MEDICAL GROUP
621 ROXBURY RD
ROCKFORD, IL 61107
PHONE: (815) 397-3350
E-PRESCRIBE: NO
6830 VILLAGREEN VIEW
ROCKFORD, IL 61107
PHONE: (815) 282-1339
E-PRESCRIBE: NO
698 FEATHERSTONE RD
SUITE 250
ROCKFORD, IL 61107
PHONE: (815) 399-4404
E-PRESCRIBE: NO
OSF MEDICAL GROUPSOUTHRIDGE PROMPT CARE
4423 MANCHESTER DR
ROCKFORD, IL 61109
PHONE: (815) 394-1391
E-PRESCRIBE: NO
GUENEV, PERKA, MD
GENDER:
PROVIDER #: 223414
NPI #: 1205934254
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
Primary Care Physicians
HERMAN, LUKE, MD
GENDER: M
PROVIDER #: 204348
NPI #: 1457509150
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE:
E-PRESCRIBE: NO
HITT, ROCKTON, MD
GENDER: M
PROVIDER #: 200693
NPI #: 1225108947
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
IRONSIDE, MARY J., MD
GENDER: F
PROVIDER #: 281594
NPI #: 1275579658
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
KAUR, AMANDEEP, MD
GENDER: M
PROVIDER #: 278146
NPI #: 1184875072
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIV WOMEN & CHILD
HLTH
2780 MCFARLAN RD
ROCKFORD, IL 61107
PHONE: (815) 229-1700
E-PRESCRIBE: NO
UNIVERSITY CLINIC AT
BLACKHAWK
330 15TH AVE
ROCKFORD, IL 61104
PHONE: (815) 972-7200
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
323
Primary Care Physicians
KING, MITCHELL S., MD
GENDER: M
PROVIDER #: 109091
NPI #: 1225038276
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
UNIVERSITY STUDENT
HEALTH & WELLNESS AT
PARKVIEW
1601 PARKVIEW AVE
ROCKFORD, IL 61107
PHONE: (815) 395-5870
E-PRESCRIBE: NO
KNABE, BRIAN, MD
GENDER: M
PROVIDER #: 141981
NPI #: 1437192408
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
324
ROCKFORD, IL
ROCKFORD, IL
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
KOBLER, WILLIAM E., MD
GENDER: M
PROVIDER #: 112147
NPI #: 1588693626
OSF MEDICAL GROUP
6830 VILLAGREEN VIEW
ROCKFORD, IL 61107
PHONE: (815) 282-1339
E-PRESCRIBE: NO
LEE, KENTON, MD
GENDER: M
PROVIDER #: 019581
NPI #: 1366426397
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
LIM, EDISON U., MD
GENDER: M
PROVIDER #: 057274
NPI #: 1215966858
OSF MEDICAL GROUP
621 ROXBURY RD
ROCKFORD, IL 61107
PHONE: (815) 397-3350
E-PRESCRIBE: NO
6830 VILLAGREEN VIEW
ROCKFORD, IL 61107
PHONE: (815) 282-1339
E-PRESCRIBE: NO
698 FEATHERSTONE RD
SUITE 250
ROCKFORD, IL 61107
PHONE: (815) 399-4404
E-PRESCRIBE: NO
OSF MEDICAL GROUP AT
WALMART
7219 WALTON ST
ROCKFORD, IL 61107
PHONE: (815) 921-8901
E-PRESCRIBE: NO
OSF MEDICAL GROUPSOUTHRIDGE PROMPT CARE
4423 MANCHESTER DR
ROCKFORD, IL 61109
PHONE: (815) 394-1391
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ROCKFORD, IL
ROCKFORD, IL
LOPEZ, CASSANDRA M., MD
GENDER: F
PROVIDER #: 286032
NPI #: 1619125317
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
MARTENS, MONICA A., MD
GENDER: F
PROVIDER #: 233909
NPI #: 1710142740
OSF MEDICAL GROUPSOUTHRIDGE PROMPT CARE
4423 MANCHESTER DR
ROCKFORD, IL 61109
PHONE: (815) 394-1391
E-PRESCRIBE: NO
Primary Care Physicians
MCDONALD, BRYAN A., MD
GENDER: M
PROVIDER #: 126238
NPI #: 1669582854
ROCKFORD HEALTH
PHYSICIANS
2300 ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MYERS, RACHEL N., MD
GENDER: F
PROVIDER #: 248529
NPI #: 1013149889
OSF PROMPTCARESOUTHRIDGE
4423 MANCHESTER DR
ROCKFORD, IL 61109
PHONE: (815) 394-1391
E-PRESCRIBE: NO
NICOLOSI, FRANK J., MD
GENDER: M
PROVIDER #: 135675
NPI #: 1477663664
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
NIKA, VASIL, MD
GENDER: M
PROVIDER #: 077628
NPI #: 1811987886
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
NOWAK, MAGDALENA, MD
GENDER: F
PROVIDER #: 223416
NPI #: 1740439215
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
PLESCIA, JOHN, MD
GENDER: M
PROVIDER #: 237860
NPI #: 1366671463
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
325
Primary Care Physicians
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
POCOCK, DAVID G., MD
GENDER: M
PROVIDER #: 084617
NPI #: 1447240445
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
POLIZZOTTO, MICHAEL J.,
MD
GENDER: M
PROVIDER #: 107575
NPI #: 1871595371
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
326
ROCKFORD, IL
ROCKFORD, IL
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
ROHRBACHER, MELISSA, MD
GENDER:
PROVIDER #: 223417
NPI #: 1649349564
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
ROSKA, JOHN M., MD
GENDER: M
PROVIDER #: 241969
NPI #: 1679714216
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
ROSS, JOSEPH E., MD
GENDER: M
PROVIDER #: 286073
NPI #: 1487682977
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ROCKFORD, IL
ROCKFORD, IL
ROYCE, JEFFERY S., MD
GENDER: M
PROVIDER #: 281607
NPI #: 1619910635
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
SAJJADI OSKOUEI, SEYYED
A., MD
GENDER: M
PROVIDER #: 252574
NPI #: 1912136896
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
Primary Care Physicians
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
SAPYING, ATISAK, MD
GENDER: M
PROVIDER #: 008802
NPI #: 1982694980
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
SCHERMER, IAN H., MD
GENDER:
PROVIDER #: 193208
NPI #: 1992815187
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
SCHOENWALD, JOHN J., MD
GENDER: M
PROVIDER #: 008814
NPI #: 1992734446
OSF MEDICAL GROUP
621 ROXBURY RD
ROCKFORD, IL 61107
PHONE: (815) 397-3350
E-PRESCRIBE: NO
SCHROEDER, PAUL, MD
GENDER: M
PROVIDER #: 223420
NPI #: 1578623195
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
SCHULTHEIS, MARTINE A.,
MD
GENDER: F
PROVIDER #: 278377
NPI #: 1275829178
OSF MEDICAL GROUP
621 ROXBURY RD
ROCKFORD, IL 61107
PHONE: (815) 397-3350
E-PRESCRIBE: NO
6830 VILLAGREEN VIEW
ROCKFORD, IL 61107
PHONE: (815) 282-1339
E-PRESCRIBE: NO
OSF PROMPTCARE
4423 MANCHESTER DR
ROCKFORD, IL 61109
PHONE: (815) 394-1391
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
327
Primary Care Physicians
SHARKEY, CARRIE, MD
GENDER: F
PROVIDER #: 030512
NPI #: 1295725323
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
SHRESTHA, PATRICIA A., MD
GENDER: F
PROVIDER #: 286033
NPI #: 1720382088
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
328
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
SIMMONS, MARY D., MD
GENDER: F
PROVIDER #: 282746
NPI #: 1457373946
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
ROCKFORD, IL
ROCKFORD, IL
SOUFAN, BASSAM, MD
GENDER:
PROVIDER #: 033961
NPI #: 1356451546
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
ROCKFORS HEALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
TASHAKORI, MAHTAB, MD
GENDER: F
PROVIDER #: 172909
NPI #: 1508895780
OSF MEDICAL GROUP
6830 VILLAGREEN VIEW
ROCKFORD, IL 61107
PHONE: (815) 282-1339
E-PRESCRIBE: NO
OSF MEDICAL GROUP AT
WALMART
3849 NORTHRIDGE DR
ROCKFORD, IL 61114
PHONE: (815) 921-8800
E-PRESCRIBE: NO
OSF MEDICAL GROUPSOUTHRIDGE IMMEDIATE
CARE
4423 MANCHESTER DR
ROCKFORD, IL 61109
PHONE: (815) 394-1391
E-PRESCRIBE: NO
TAWFIK, ATEF S., MD
GENDER: M
PROVIDER #: 114744
NPI #: 1629007067
OSF MEDICAL GROUP
621 ROXBURY RD
ROCKFORD, IL 61107
PHONE: (815) 397-3350
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ROCKFORD, IL
ROCKFORD, IL
WASHINGTON, CHARLES M.,
MD
GENDER: M
PROVIDER #: 186721
NPI #: 1518077700
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
WEDEL, PAUL E., MD
GENDER: M
PROVIDER #: 008762
NPI #: 1700860764
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
Primary Care Physicians
WHELAN, SARAH A., MD
GENDER: F
PROVIDER #: 244273
NPI #: 1477598241
OSF MEDICAL GROUP
698 FEATHERSTONE RD
SUITE 250
ROCKFORD, IL 61107
PHONE: (815) 399-4404
E-PRESCRIBE: NO
WILLIAMS, FARION R., MD
GENDER: M
PROVIDER #: 071143
NPI #: 1568446516
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
WOLLSTADT, LOYD, MD
GENDER: M
PROVIDER #: 010897
NPI #: 1356332498
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
ZAHEER, KASHIF M., MD
GENDER: M
PROVIDER #: 143994
NPI #: 1417996729
OSF SAINT ANTHONY
MEDICAL CENTER
5666 E STATE ST
ROCKFORD, IL 61108
PHONE: (815) 226-2000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
329
Primary Care Physicians
ZAIDI, SYED R., MD
GENDER: M
PROVIDER #: 252606
NPI #: 1285949800
OSF MEDICAL GROUP
698 FEATHERSTONE RD
SUITE 250
ROCKFORD, IL 61107
PHONE: (815) 399-4404
E-PRESCRIBE: NO
BHATEJA, MANIKA, MD
GENDER: F
PROVIDER #: 281535
NPI #: 1902035777
UIC WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
ZUG, DIANE H., MD
GENDER: F
PROVIDER #: 126365
NPI #: 1578596227
OSF MEDICAL GROUP
6830 VILLAGREEN VIEW
ROCKFORD, IL 61107
PHONE: (815) 282-1339
E-PRESCRIBE: NO
CARRION, FRANCISCO, MD
GENDER: M
PROVIDER #: 032755
NPI #: 1144330325
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
PEDIATRICS
BAPTIST, ERROL C., MD
GENDER: M
PROVIDER #: 008772
NPI #: 1043233471
ERROL C BAPTIST MD
461 N MULFORD RD #4
ROCKFORD, IL 61107
PHONE: (815) 397-2400
E-PRESCRIBE: NO
BEAVES, SARAH M., MD
GENDER: F
PROVIDER #: 061104
NPI #: 1063522241
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
330
DAVIS, RAYMOND A., MD
GENDER: M
PROVIDER #: 193612
NPI #: 1417067604
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
ROCKFORD, IL
ROCKFORD, IL
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
DEUTSCH, DAVID E., DO
GENDER: M
PROVIDER #: 065351
NPI #: 1326158510
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
GONAZALEZ, JOSE L., MD
GENDER: M
PROVIDER #: 114902
NPI #: 1043320237
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
GONZALEZ, ISABEL A., MD
GENDER: F
PROVIDER #: 110436
NPI #: 1225148414
RMH PEDIATRIC
HOSPITALISTS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ROCKFORD, IL
ROCKFORD, IL
HOGANSON, GEORGE E., MD
GENDER: M
PROVIDER #: 113355
NPI #: 1164497483
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
HORNBACH, MARK, MD
GENDER: M
PROVIDER #: 024347
NPI #: 1194829515
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
HUTT, WILLIAM D., MD
GENDER: M
PROVIDER #: 065571
NPI #: 1942310131
ROCKFORD HEALTH
PHYSICIANS
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
KASKAVAGE, JILLIAN R., MD
GENDER: F
PROVIDER #: 298656
NPI #: 1063788149
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
Primary Care Physicians
KNEPP, MARC D., MD
GENDER: M
PROVIDER #: 289597
NPI #: 1568686277
OSF CHILDRENS MEDICAL
GROUP-CONGENITAL
HEART CENTE
5701 STRATHMOOR DR
ROCKFORD, IL 61107
PHONE: (815) 227-5600
E-PRESCRIBE: NO
LESNIK, JOSEPH J., MD
GENDER: M
PROVIDER #: 224149
NPI #: 1861470262
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
MARTINEZ, MARIA C., MD
GENDER: F
PROVIDER #: 108783
NPI #: 1841300035
ROCKFORD HEALTH
PHYSICIANS
5970 CHUCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MINER, PHILIP T., MD
GENDER: M
PROVIDER #: 032883
NPI #: 1295845485
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MOODY, PATRICIA L., MD
GENDER: F
PROVIDER #: 100756
NPI #: 1043369747
ROCKFORD HEALTH
PHYSICIANS
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MORALES, PABLO, MD
GENDER: M
PROVIDER #: 110627
NPI #: 1740390939
ROCKFORD MEMORIAL
HOSPITAL
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
OMENGAN, IGNACIO U., MD
GENDER: M
PROVIDER #: 053696
NPI #: 1912911785
461 N MULFORD RD SUITE 10
ROCKFORD, IL 61107
PHONE: (815) 394-1930
E-PRESCRIBE: NO
PHELAN, KAREN W., MD
GENDER: F
PROVIDER #: 008652
NPI #: 1801871017
ADVANCED REPRODUCTIVE
CENTER
435 N FULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
331
Primary Care Physicians
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
THE WOMENS & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
PHELAN, KAREN, MD
GENDER: F
PROVIDER #: 297814
NPI #: 1801871017
ROCKFORD HEALTH
PHYSICIANS
2780 MCFARLAND ROAD
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
RAO, POTLURI B., MD
GENDER: M
PROVIDER #: 115845
NPI #: 1649380833
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
POTTS, MICHAEL J., MD
GENDER: M
PROVIDER #: 008720
NPI #: 1881679090
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
RHODES, SHARON K., MD
GENDER: F
PROVIDER #: 223941
NPI #: 1093825283
ROCKFORD HEALTH
PHYSICIANS
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2780 MCFARLAND ROAD
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
332
RODRIGUEZ, ANGELA M., MD
GENDER: F
PROVIDER #: 063382
NPI #: 1639289820
ROCKFORD HEALTH
PHYSICIANS
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
ROCKFORD, IL
ROCKFORD, IL
SHAH, ARUNA, MD
GENDER: F
PROVIDER #: 010077
NPI #: 1225138142
PEDIATRICS &
ADOLESCENT MEDICINE
419 N MULFORD RD SUITE 1
ROCKFORD, IL 61107
PHONE: (815) 229-9095
E-PRESCRIBE: NO
SHULA, THOMAS J., MD
GENDER: M
PROVIDER #: 020263
NPI #: 1760486245
OSF CHILDRENS MEDICAL
GROUP-CONGENITAL
HEART CEN
444 ROXBURY RD
ROCKFORD, IL 61107
PHONE: (815) 227-5600
E-PRESCRIBE: NO
OSF CHILDRENS MEDICAL
GROUP-CONGENITAL
HEART CENT
5701 STRATHMOOR DR
ROCKFORD, IL 61107
PHONE: (815) 227-5600
E-PRESCRIBE: NO
SIDDIQUI, KHALID A., MD
GENDER: M
PROVIDER #: 115197
NPI #: 1538279724
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ROCKPORT, IN
ROCKTON, IL
ROCKPORT, IN
FAMILY PRACTICE
MARTIN, SUSAN M., MD
GENDER: F
PROVIDER #: 073528
NPI #: 1184791618
DEACONESS CLINIC INC
3434 W STATE ROAD 66
ROCKPORT, IN 47635
PHONE: (812) 469-5061
E-PRESCRIBE: NO
ROCKTON, IL
FAMILY PRACTICE
DEAN, LESLIE A., MD
GENDER: F
PROVIDER #: 051441
NPI #: 1316912462
UNIVERSITY PRIMARY
CARE CLINIC ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
DUDAS, ANDRZEJ M., DO
GENDER: M
PROVIDER #: 202735
NPI #: 1609037308
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
IRONSIDE, MARY J., MD
GENDER: F
PROVIDER #: 281594
NPI #: 1275579658
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
Primary Care Physicians
KAUR, AMANDEEP, MD
GENDER: M
PROVIDER #: 278146
NPI #: 1184875072
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
LOPEZ, CASSANDRA M., MD
GENDER: F
PROVIDER #: 286032
NPI #: 1619125317
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
KING, MITCHELL S., MD
GENDER: M
PROVIDER #: 109091
NPI #: 1225038276
UNIVERSITY PRIMARY
CARE CLINIC/ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 624-2644
E-PRESCRIBE: NO
NIKA, VASIL, MD
GENDER: M
PROVIDER #: 077628
NPI #: 1811987886
UNIVERSITY PRIMARY
CARE CLINIC/ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
KNABE, BRIAN, MD
GENDER: M
PROVIDER #: 141981
NPI #: 1437192408
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
PLESCIA, JOHN, MD
GENDER: M
PROVIDER #: 237860
NPI #: 1366671463
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
LEE, KENTON, MD
GENDER: M
PROVIDER #: 019581
NPI #: 1366426397
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
POCOCK, DAVID G., MD
GENDER: M
PROVIDER #: 084617
NPI #: 1447240445
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
333
Primary Care Physicians
POLIZZOTTO, MICHAEL J.,
MD
GENDER: M
PROVIDER #: 107575
NPI #: 1871595371
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
SAJJADI OSKOUEI, SEYYED
A., MD
GENDER: M
PROVIDER #: 252574
NPI #: 1912136896
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
ROSKA, JOHN M., MD
GENDER: M
PROVIDER #: 241969
NPI #: 1679714216
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
SAPYING, ATISAK, MD
GENDER: M
PROVIDER #: 008802
NPI #: 1982694980
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
ROSS, JOSEPH E., MD
GENDER: M
PROVIDER #: 286073
NPI #: 1487682977
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
SHARKEY, CARRIE, MD
GENDER: F
PROVIDER #: 030512
NPI #: 1295725323
UIC PRIMARY CARE CLINIC/
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
ROYCE, JEFFERY S., MD
GENDER: M
PROVIDER #: 281607
NPI #: 1619910635
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
SHRESTHA, PATRICIA A., MD
GENDER: F
PROVIDER #: 286033
NPI #: 1720382088
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
334
ROCKTON, IL
ROCKTON, IL
SIMMONS, MARY D., MD
GENDER: F
PROVIDER #: 282746
NPI #: 1457373946
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
WEDEL, PAUL E., MD
GENDER: M
PROVIDER #: 008762
NPI #: 1700860764
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
WILLIAMS, FARION R., MD
GENDER: M
PROVIDER #: 071143
NPI #: 1568446516
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
WOLLSTADT, LOYD, MD
GENDER: M
PROVIDER #: 010897
NPI #: 1356332498
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ROCKTON, IL
ROODHOUSE, IL
PEDIATRICS
DAVIS, RAYMOND A., MD
GENDER: M
PROVIDER #: 193612
NPI #: 1417067604
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
PHELAN, KAREN W., MD
GENDER: F
PROVIDER #: 008652
NPI #: 1801871017
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
POTTS, MICHAEL J., MD
GENDER: M
PROVIDER #: 008720
NPI #: 1881679090
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
ROME, IL
FAMILY PRACTICE
ORWIG, STACY C., MD
GENDER: F
PROVIDER #: 185662
NPI #: 1982826384
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROME, IL 61562
PHONE: (309) 923-7456
E-PRESCRIBE: NO
Primary Care Physicians
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROME, IL 61562
PHONE: (309) 923-7456
E-PRESCRIBE: NO
ROODHOUSE, IL
ADULT/INTERNAL
MEDICINE
MCNEAR, MICHAEL S., MD
GENDER: M
PROVIDER #: 048951
NPI #: 1619934304
JCH MEDICAL GROUP
ROODHOUSE
205 S MORSE ST
ROODHOUSE, IL 62082
PHONE: (217) 589-4383
SMITH, JONNELLE, PA-C;
PROVIDER #: 218705
E-PRESCRIBE: NO
FAMILY PRACTICE
ADAMS, AUGUST G., MD
GENDER: M
PROVIDER #: 071511
NPI #: 1992803985
RURAL HEALTH CENTER OF
ROODHOUSE
132 W LORTON ST
ROODHOUSE, IL 62082
PHONE: (217) 589-4629
KULP, MELISSA G., FNP;
PROVIDER #: 271072
E-PRESCRIBE: NO
FRY, SHAWN M., MD
GENDER: F
PROVIDER #: 294840
NPI #: 1659467793
RURAL HEALTH CENTER OF
ROODHOUSE
132 W LORTON ST
ROODHOUSE, IL 62082
PHONE: (217) 589-4629
E-PRESCRIBE: NO
GILL, GULTASIB K., MD
GENDER: M
PROVIDER #: 280455
NPI #: 1306125521
RURAL HEALTH CENTER OF
ROODHOUSE
132 W LORTON ST
ROODHOUSE, IL 62082
PHONE: (217) 589-4629
E-PRESCRIBE: NO
VOIGTS, RANDALL, DO
GENDER: M
PROVIDER #: 028523
NPI #: 1548225600
JCH MEDICAL GROUP
ROODHOUSE
205 S MORSE ST
ROODHOUSE, IL 62082
PHONE: (217) 589-4383
BAILEY, SAMUEL A., PA-C;
PROVIDER #: 073642
HARGRAVE, VICTORIA, APN;
PROVIDER #: 288759
NORRIS, ARLENE J., PA-C;
PROVIDER #: 219887
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
RURAL HEALTH CENTER OF
ROODHOUSE
GENDER:
PROVIDER #: 203102
NPI #: 1144313180
132 W LORTON ST
ROODHOUSE, IL 62082
PHONE: (217) 589-4629
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
335
Primary Care Physicians
PEDIATRICS
FAMILY PRACTICE
ATEVENS-SCHILSKY, LINDA
V., MD
GENDER: F
PROVIDER #: 238323
NPI #: 1245203439
JCH MEDICAL GROUP
ROODHOUSE
205 S MORSE ST
ROODHOUSE, IL 62082
PHONE: (217) 589-4383
E-PRESCRIBE: NO
DORONILA-HUGHES,
KATERINA C., MD
GENDER: F
PROVIDER #: 178720
NPI #: 1942304456
OSF MEDICAL GROUP
4682 E ROCKTON RD SUITE
102
ROSCOE, IL 61073
PHONE: (815) 624-1300
E-PRESCRIBE: NO
UHLES, JAMES E., MD
GENDER: M
PROVIDER #: 166268
NPI #: 1427270941
JCH MEDICAL GROUP
ROODHOUSE
205 S MORSE ST
ROODHOUSE, IL 62082
PHONE: (217) 589-4383
E-PRESCRIBE: NO
SAJJADI OSKOUEI, SEYYED
A., MD
GENDER: M
PROVIDER #: 298228
NPI #: 1912136896
OSF MEDICAL GROUP
4682 E ROCKTON RD STE 102
ROSCOE, IL 61073-7475
PHONE: (815) 624-1300
E-PRESCRIBE: NO
ROSCOE, IL
ADULT/INTERNAL
MEDICINE
HANSEN, DAVID L., MD
GENDER: M
PROVIDER #: 151236
NPI #: 1689784878
ROCKFORD HEALTH
PHYSICIANS
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
PHONE: (815) 971-2000
E-PRESCRIBE: NO
SEKULIC, DUSICA, MD
GENDER: F
PROVIDER #: 151484
NPI #: 1801906094
ROCKFORD HEALTH
PHYSICIANS
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
PHONE: (815) 971-2000
E-PRESCRIBE: NO
336
PEDIATRICS
PETERSON, BRUCE P., MD
GENDER: M
PROVIDER #: 146956
NPI #: 1821108010
ROCKFORD HEALTH
PHYSICIANS
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
PHONE: (815) 971-2000
E-PRESCRIBE: NO
TAYLOR, JANE K., MD
GENDER: F
PROVIDER #: 274049
NPI #: 1588827588
ROCKFORD HEALTH
PHYSICIANS
5000 PRAIRIE ROSE RD
ROSCOE, IL 61073
PHONE: (815) 971-2000
E-PRESCRIBE: NO
ROODHOUSE, IL
ROSICLARE, IL
ROSEVILLE, IL
FAMILY PRACTICE
LEONARD, RONALD K., MD
GENDER: M
PROVIDER #: 042019
NPI #: 1760562177
OSF MEDICAL GROUP
235 E PENN AVE
ROSEVILLE, IL 61473
PHONE: (309) 426-2128
E-PRESCRIBE: NO
ROSICLARE, IL
ADULT/INTERNAL
MEDICINE
CHATTO, ELADIO M., MD
GENDER: M
PROVIDER #: 027424
NPI #: 1376543702
HARDIN COUNTY GENERAL
HOSPITAL CLINIC
6 FERRELL ROAD
ROSICLARE, IL 62982
PHONE: (618) 285-6634
E-PRESCRIBE: NO
SUNGA, MARCOS N., MD
GENDER: M
PROVIDER #: 045999
NPI #: 1255331625
HARDIN COUNTY GENERAL
HOSPITAL CLINIC
6 FERRELL ROAD
ROSICLARE, IL 62982
PHONE: (618) 285-6634
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ROSICLARE, IL
SAINT CHARLES, MO
PEDIATRICS
BHASKAR, SADASHIVAIAH,
MD
GENDER: M
PROVIDER #: 220337
NPI #: 1417002098
HARDIN COUNTY GENERAL
HOSPITAL CLINIC
6 FERRELL ROAD
ROSICLARE, IL 62982
PHONE: (618) 285-6634
E-PRESCRIBE: NO
REDDY, PRADEEP G., MD
GENDER:
PROVIDER #: 226593
NPI #: 1649384892
HARDIN COUNTY GENERAL
HOSPITAL CLINIC
6 FERRELL ROAD
ROSICLARE, IL 62982
PHONE: (618) 285-6634
E-PRESCRIBE: NO
ROSSVILLE, IL
FAMILY PRACTICE
COLBERT, JAY R., DO
GENDER: M
PROVIDER #: 132466
NPI #: 1437379021
ROSSVILLE MEDICAL
CENTER
619 N CHICAGO ST
ROSSVILLE, IL 60963
PHONE: (217) 748-4141
E-PRESCRIBE: NO
Primary Care Physicians
RUSHVILLE, IL
ADULT/INTERNAL
MEDICINE
SAINT CHARLES, MO
PEDIATRICS
AL-DADAH, ASHRAF
GENDER:
PROVIDER #: 290305
NPI #: 1457526576
SARAH D CULBERTSON
238 SOUTH CONGRESS
RUSHVILLE, IL 62681
PHONE: (217) 322-3345
E-PRESCRIBE: NO
FOY, THOMAS, MD
GENDER: M
PROVIDER #: 074812
NPI #: 1427069525
SSM ST JOSEPH MEDICAL
PARK
1475 KISKER RD
SAINT CHARLES, MO 63304
PHONE: (636) 498-7979
E-PRESCRIBE: NO
CHANDRA, ALPANA, MD
GENDER: F
PROVIDER #: 238420
NPI #: 1033212923
HSHS MEDICAL GROUP INC
238 S CONGRESS
RUSHVILLE, IL 62681
PHONE: (217) 322-4321
E-PRESCRIBE: YES
NOYES, BLAKESLEE, MD
GENDER: M
PROVIDER #: 074977
NPI #: 1811906613
SSM ST JOSEPH MEDICAL
PARK
1475 KISKER RD
SAINT CHARLES, MO 63304
PHONE: (636) 498-7979
E-PRESCRIBE: NO
FAMILY PRACTICE
BITAR, GERARD G., MD
GENDER: M
PROVIDER #: 191078
NPI #: 1821222100
HSHS MEDICAL GROUP
108 RODEWALD DR
RUSHVILLE, IL 62681
PHONE: (217) 322-3529
E-PRESCRIBE: NO
PAPPA, HELEN M., MD
GENDER: F
PROVIDER #: 275786
NPI #: 1134138993
SSM ST JOSEPH MEDICAL
PARK
1475 KISKER ROAD
SAINT CHARLES, MO 63304
PHONE: (636) 498-7979
E-PRESCRIBE: NO
DIIORIO, DANIEL, MD
GENDER: M
PROVIDER #: 263554
NPI #: 1083662050
RUSHVILLE FAMILY
PRACTICE
238 S CONGRESS
RUSHVILLE, IL 62681
PHONE: (217) 322-3345
E-PRESCRIBE: YES
SOBUSH, KURTIS, MD
GENDER: M
PROVIDER #: 292970
NPI #: 1821297490
SSM ST JOSEPH MEDICAL
PARK
1475 KISKER RD
SAINT CHARLES, MO 63304
PHONE: (636) 498-7979
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
337
SAINT CHARLES, MO
SANDWICH, IL
Primary Care Physicians
TECKMAN, JEFFREY H., MD
GENDER: M
PROVIDER #: 103737
NPI #: 1811907470
SSM ST JOSEPH MEDICAL
PARK
1475 KISKER RD
SAINT CHARLES, MO 63304
PHONE: (636) 498-7979
E-PRESCRIBE: NO
WILMOTT, ROBERT, MD
GENDER: M
PROVIDER #: 075332
NPI #: 1821007824
SSM ST JOSEPH MEDICAL
PARK
1475 KISKER RD
SAINT CHARLES, MO 63304
PHONE: (636) 498-7979
E-PRESCRIBE: NO
SAINT CLAIR, MO
ADULT/INTERNAL
MEDICINE
SALEM, KY
ADULT/INTERNAL
MEDICINE
FAMILY PRACTICE
JHA, GAUTAM, MD
GENDER: M
PROVIDER #: 226215
NPI #: 1447314737
SALEM FAMILY HEALTH
CENTER
1250 W WHITTAKER
SALEM, IL 62881
PHONE: (618) 548-3740
E-PRESCRIBE: NO
BURKHART, STEPHEN B., MD
GENDER: M
PROVIDER #: 297511
NPI #: 1033169974
CRITTENDEN HEALTH
SYSTEM SYSTEMS INC DBA
BURKHART
117 EAST MAIN STREET
SALEM, KY 42078
PHONE: (270) 988-3839
E-PRESCRIBE: NO
SHROFF, RAJENDRA R., MD
GENDER: M
PROVIDER #: 164386
NPI #: 1245259274
SALEM FAMILY HEALTH
CENTER
1250 W WHITTAKER
SALEM, IL 62881
PHONE: (618) 548-3740
E-PRESCRIBE: NO
WALLER, CHARLES, MD
GENDER:
PROVIDER #: 047654
NPI #: 1306841341
LIVINGSTON HOSPITAL AND
HEALTHCARE SERVICES
INC
131 HOSPITAL DRIVE
SALEM, KY 42078
PHONE: (270) 988-7256
E-PRESCRIBE: NO
FAMILY PRACTICE
BARBIN, JENNIFER F., MD
GENDER: F
PROVIDER #: 291057
NPI #: 1326160144
ST CLAIR CLINIC
875 N COMMERCIAL
SAINT CLAIR, MO 63077
PHONE: (636) 629-7474
E-PRESCRIBE: NO
ZAHOOR, MAHVISH, MD
GENDER: F
PROVIDER #: 111532
NPI #: 1316909021
SALEM FAMILY HEALTH
CENTER
1250 W WHITTAKER
SALEM, IL 62881
PHONE: (618) 548-3740
E-PRESCRIBE: NO
FAMILY PRACTICE
MARQUINO, MARLON C., MD
GENDER: M
PROVIDER #: 203456
NPI #: 1366642704
ST CLAIR CLINIC
875 N COMMERCIAL
SAINT CLAIR, MO 63077
PHONE: (636) 629-7474
E-PRESCRIBE: NO
338
SALEM, IL
SANDWICH, IL
FAMILY PRACTICE
DELA CRUZ, MAUREEN O.,
MD
GENDER: F
PROVIDER #: 221779
NPI #: 1467767566
KISHWAUKEE PHYSICIAN
GROUP INC
1310 N MAIN ST SUITE 208
SANDWICH, IL 60548
PHONE: (630) 552-9830
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SANDWICH, IL
SESSER, IL
ENGLEHART, ERIK D., MD
GENDER: M
PROVIDER #: 208102
NPI #: 1679581367
KISHWAUKEE PHYSICIAN
GROUP INC
1310 N MAIN ST SUITE 200
SANDWICH, IL 60548
PHONE: (815) 786-9988
E-PRESCRIBE: NO
224 E RAILROAD ST
SANDWICH, IL 60548
PHONE: (815) 786-7150
E-PRESCRIBE: NO
SAVANNA, IL
FAMILY PRACTICE
WOODS, DANIEL, MD
GENDER: M
PROVIDER #: 098543
NPI #: 1942276159
FHN FAMILY HEALTHCARE
CENTER
2107 CHICAGO AVE
SAVANNA, IL 61074
PHONE: (815) 273-3323
E-PRESCRIBE: NO
SAVOY, IL
ADULT/INTERNAL
MEDICINE
WALKER, NATHAN R., MD
GENDER: M
PROVIDER #: 109269
NPI #: 1629087325
CHRISTIE CLINIC
501 N DUNLAP ST
SAVOY, IL 61870
PHONE: (217) 366-5434
E-PRESCRIBE: YES
Primary Care Physicians
FAMILY PRACTICE
PEDIATRICS
ANUKWU, LINUS, MD
GENDER: M
PROVIDER #: 172297
NPI #: 1144242090
BAYVIEW FAMILY CLINIC
LTD
206 BURWASH AVE
SAVOY, IL 61874
PHONE: (217) 356-3400
E-PRESCRIBE: NO
HOWD, DANA J., MD
GENDER: F
PROVIDER #: 020494
NPI #: 1225083736
HOWD MEDICAL LLC
271 N MAIN ST
SENECA, IL 61360
PHONE: (815) 357-8511
E-PRESCRIBE: NO
SESSER, IL
PEDIATRICS
PALAZZOLO, MICHAEL, MD
GENDER: M
PROVIDER #: 091833
NPI #: 1427065028
CHRISTIE CLINIC
507 N DUNLAP
SAVOY, IL 61874
PHONE: (217) 366-2660
E-PRESCRIBE: YES
SENECA, IL
ADULT/INTERNAL
MEDICINE
HOWD, DANA J., MD
GENDER: F
PROVIDER #: 020494
NPI #: 1225083736
HOWD MEDICAL LLC
271 N MAIN ST
SENECA, IL 61360
PHONE: (815) 357-8511
E-PRESCRIBE: NO
FAMILY PRACTICE
ADULT/INTERNAL
MEDICINE
BEE, LEE P., DO
GENDER: M
PROVIDER #: 249481
NPI #: 1669429908
SOUTHERN ILLINOIS
MEDICAL SPECIALISTS LLC
107 W FRANKLIN ST
SESSER, IL 62884
PHONE: (618) 625-2105
E-PRESCRIBE: YES
FAMILY PRACTICE
NANNI, FREDERICA J., MD
GENDER: F
PROVIDER #: 168507
NPI #: 1275570889
SESSER COMMUNITY
HEALTH CENTER
6294 STATE HIGHWAY 154
SESSER, IL 62884
PHONE: (618) 625-6979
E-PRESCRIBE: NO
HOLLOWAY, LIANNE, MD
GENDER: F
PROVIDER #: 188488
NPI #: 1619000932
271 N MAIN ST
SENECA, IL 61360
PHONE: (815) 357-8511
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
339
SHABBONA, IL
SHELBYVILLE, IL
Primary Care Physicians
SHABBONA, IL
ADULT/INTERNAL
MEDICINE
KHAN, GHORI, MD
GENDER: M
PROVIDER #: 111043
NPI #: 1326072042
KISHWAUKEE HEALTH
FAMILY AND SPECIALTY
CARE
105 E NAVAHOO
SHABBONA, IL 60550
PHONE: (815) 824-2124
E-PRESCRIBE: YES
SHAWNEETOWN, IL
FAMILY PRACTICE
BLAIN, MICHAEL A., DO
GENDER: M
PROVIDER #: 192430
NPI #: 1801076146
SHAWNEETOWN
COMMUNITY HEALTH
CENTER
9525 GOLD HILL RD
SHAWNEETOWN, IL 62984
PHONE: (618) 269-3815
MORRIS, CURTIS, PA;
PROVIDER #: 262693
E-PRESCRIBE: NO
SVOBODA, CRAIG V., MD
GENDER: M
PROVIDER #: 119597
NPI #: 1699873117
SHAWNEETOWN
COMMUNITY HEALTH
CENTER
9525 GOLD HILL RD
SHAWNEETOWN, IL 62984
PHONE: (618) 269-3815
E-PRESCRIBE: NO
340
SHEFFIELD, IL
FAMILY PRACTICE
CERNOVICH, RICK S., MD
GENDER: M
PROVIDER #: 280147
NPI #: 1508824723
OSF MEDICAL GROUP
113 S MAIN ST
SHEFFIELD, IL 61361
PHONE: (815) 454-2811
E-PRESCRIBE: NO
PRATT, TIMOTHY A., MD
GENDER: M
PROVIDER #: 280149
NPI #: 1073719357
OSF MEDICAL GROUP
113 S MAIN ST
SHEFFIELD, IL 61361
PHONE: (815) 454-2811
E-PRESCRIBE: NO
SHELBYVILLE, IL
ADULT/INTERNAL
MEDICINE
AGAPITO, ARNOLD, MD
GENDER: M
PROVIDER #: 086673
NPI #: 1467421677
SHELBY MEMORIAL
HOSPITAL
200 S CEDAR ST
SHELBYVILLE, IL 62565
PHONE: (217) 774-4400
DOYLE, HANNAH, PA-C;
PROVIDER #: 196389
E-PRESCRIBE: NO
BOKKA, JAGAN M., MD
GENDER: M
PROVIDER #: 202418
NPI #: 1124274063
SHELBY MEMORIAL
HOSPITAL
200 S CEDAR ST
SHELBYVILLE, IL 62565
PHONE: (217) 774-4400
E-PRESCRIBE: NO
FAMILY PRACTICE
BOWERS, DORIS, MD
GENDER: F
PROVIDER #: 278090
NPI #: 1275525990
SBL MEDICAL CENTER
207 S PINE ST SUITE 10
SHELBYVILLE, IL 62565
PHONE: (217) 774-4305
E-PRESCRIBE: NO
FORE, LAUREN L., MD
GENDER: F
PROVIDER #: 273517
NPI #: 1609216548
SHELBY MEMORIAL
HOSPITAL
200 S CEDAR ST
SHELBYVILLE, IL 62565
PHONE: (217) 774-4400
E-PRESCRIBE: NO
IMBURGIA, DOMINIC C., MD
GENDER: M
PROVIDER #: 040058
NPI #: 1114955960
CONSOLIDATED
COMMUNITY MEDICAL
CENTERS SC
249 N MORGAN ST
SHELBYVILLE, IL 62565
PHONE: (217) 774-2900
YUTMEYER, CATHERINE E.,
PA-C; PROVIDER #: 141948
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SHELBYVILLE, IL
SIGOURNEY, IA
OLIGSCHLAEGER, DAVID M.,
DO
GENDER: M
PROVIDER #: 255511
NPI #: 1851383418
HSHS MEDICAL GROUP INC
207 S PINE ST SUITE F
SHELBYVILLE, IL 62565-1749
PHONE: (217) 774-7883
E-PRESCRIBE: YES
GENERAL PRACTICE
DAUZ, URBANO A., MD
GENDER: M
PROVIDER #: 032062
NPI #: 1962435669
DAUZ & DAUZ, MDS, SC
207 S PINE ST SUITE 6
SHELBYVILLE, IL 62565
PHONE: (217) 774-5508
E-PRESCRIBE: NO
SHERMAN, IL
ADULT/INTERNAL
MEDICINE
SAGINS, KENNETH R., MD
GENDER: M
PROVIDER #: 027202
NPI #: 1275633968
SPRINGFIELD CLINIC
SHERMAN
400 ST JOHNS DR
SHERMAN, IL 62684
PHONE: (217) 528-7541
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
PEDIATRICS
KELLENBERGER, BRYAN,
MD
GENDER: M
PROVIDER #: 285904
NPI #: 1275733073
SPRINGFIELD CLINIC
400 ST JOHNS DR
SHERMAN, IL 62684
PHONE: (217) 528-7541
E-PRESCRIBE: NO
JERCINOVIC, SPOMENKA,
MD
GENDER: F
PROVIDER #: 041146
NPI #: 1689637555
JERCINOVIC PEDIATRICS
611 W JEFFERSON ST
SHOREWOOD, IL 60431
PHONE: (815) 729-1144
E-PRESCRIBE: NO
PEDIATRICS
SAGINS, KENNETH R., MD
GENDER: M
PROVIDER #: 027202
NPI #: 1275633968
SPRINGFIELD CLINIC
SHERMAN
400 ST JOHNS DR
SHERMAN, IL 62684
PHONE: (217) 528-7541
E-PRESCRIBE: NO
SHOREWOOD, IL
FAMILY PRACTICE
BENIG, VINCENT R., MD
GENDER: M
PROVIDER #: 182759
NPI #: 1487609772
ALLIANCE HEALTH
1144 W JEFFERSON ST SUITE
200
SHOREWOOD, IL 60404
PHONE: (815) 741-7590
E-PRESCRIBE: NO
SIGOURNEY, IA
FAMILY PRACTICE
CAPIZZANO, JUANA N., MD
GENDER: F
PROVIDER #: 290100
NPI #: 1881910628
UI FAMILY CARESIGOURNEY
1314 SOUTH STUART ST
SIGOURNEY, IA 52591
PHONE: (641) 622-3840
E-PRESCRIBE: NO
FARRELL, ANGELA T., MD
GENDER: F
PROVIDER #: 257961
NPI #: 1871814194
UI HEALTH CARESIGOURNEY
1314 S STUART ST
SIGOURNEY, IA 52591
PHONE: (641) 622-3840
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
341
Primary Care Physicians
GENERAL PRACTICE
VITHESPONGSE,
PRIDIPONGSE, MD
GENDER: M
PROVIDER #: 275452
NPI #: 1144223470
KEOKUK COUNTY HEALTH
CENTER
23019 HWY 149
SIGOURNEY, IA 52591
PHONE: (641) 622-1170
E-PRESCRIBE: NO
PEDIATRICS
GRAEFF, MARY LOU, MD
GENDER: F
PROVIDER #: 272742
NPI #: 1396738902
KEOKUK COUNTY HEALTH
CENTER
23019 HWY 149
SIGOURNEY, IA 52591
PHONE: (641) 622-1170
E-PRESCRIBE: NO
KHALAFALLAH, AHMED, MD
GENDER: M
PROVIDER #: 145455
NPI #: 1366412934
GENESIS MEDICAL CENTER
ILLINI EKG PHYSICIANS
801 ILLINI DR
SILVIS, IL 61282
PHONE: (309) 792-9363
E-PRESCRIBE: NO
POGUE, CHARLES G., MD
GENDER: M
PROVIDER #: 020116
NPI #: 1912995697
GENESIS HEALTH GROUP
855 ILLINI DR SUITE 300
SILVIS, IL 61282
PHONE: (309) 281-2040
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
POGUE, CHARLES, MD
GENDER: M
PROVIDER #: 129661
NPI #: 1912995697
GHS D/B/A GENESIS
MEDICAL CENTER ILLINI
EKG PHYS
801 ILLINI DR
SILVIS, IL 61282
PHONE: (309) 792-9363
E-PRESCRIBE: NO
DADHANIYA,
NAVINCHANDRA, MD
GENDER: M
PROVIDER #: 020224
NPI #: 1528058807
903 ILLINI DR
SILVIS, IL 61282
PHONE: (309) 792-2100
E-PRESCRIBE: YES
SINGH, DHARAMVEER, MD
GENDER: M
PROVIDER #: 207498
NPI #: 1972703858
GENESIS HEALTH GROUP
855 ILLINI DR SUITE 300
SILVIS, IL 61282
PHONE: (309) 281-2070
E-PRESCRIBE: NO
SILVIS, IL
342
SIGOURNEY, IA
SILVIS, IL
FAMILY PRACTICE
BULL, JAMES A., MD
GENDER: M
PROVIDER #: 020345
NPI #: 1588669634
GENESIS HEALTH GROUP
855 ILLINI DR SUITE 300
SILVIS, IL 61282
PHONE: (309) 792-7060
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
BULL, JAMES, MD
GENDER: M
PROVIDER #: 156742
NPI #: 1588669634
GENESIS MEDICAL CENTER
ILLINI EKG PHYSICIANS
801 ILLINI DR
SILVIS, IL 61282
PHONE: (309) 792-9363
E-PRESCRIBE: NO
CARROLL JR, J F KELLY, MD
GENDER: M
PROVIDER #: 020346
NPI #: 1437154507
GENESIS HEALTH GROUP
855 ILLINI DRIVE SUITE 300
SILVIS, IL 61282
PHONE: (309) 792-7060
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
COTTONE, MICHAEL, MD
GENDER: M
PROVIDER #: 020347
NPI #: 1013912005
GENESIS HEALTH GROUP
855 ILLINI DRIVE SUITE 300
SILVIS, IL 61282
PHONE: (309) 792-7060
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SILVIS, IL
SMITHLAND, KY
Primary Care Physicians
DANNENFELDT, JOHN C., MD
GENDER: M
PROVIDER #: 020348
NPI #: 1881699890
GENESIS HEALTH GROUP
855 ILLINI DRIVE SUITE 300
SILVIS, IL 61282
PHONE: (309) 792-7060
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
DANNENFELDT, JOHN C., MD
GENDER: M
PROVIDER #: 020348
NPI #: 1881699890
GENESIS HEALTH GROUP
855 ILLINI DRIVE SUITE 300
SILVIS, IL 61282
PHONE: (309) 792-7060
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
FISCELLA, RONALD B., MD
GENDER: M
PROVIDER #: 265240
NPI #: 1225039894
GENESIS MEDICAL CENTER ILLINI CAMPUS
801 ILLINI DR
SILVIS, IL 61282
PHONE: (309) 281-4000
E-PRESCRIBE: NO
LINDLEY, JAMES A., MD
GENDER: M
PROVIDER #: 020353
NPI #: 1528064052
GENESIS HEALTH GROUP
855 ILLINI DRIVE SUITE 300
SILVIS, IL 61282
PHONE: (309) 792-7060
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
LINDLEY, JAMES A., MD
GENDER: M
PROVIDER #: 020353
NPI #: 1528064052
GENESIS HEALTH GROUP
855 ILLINI DRIVE SUITE 300
SILVIS, IL 61282
PHONE: (309) 792-7060
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
FAMILY PRACTICE OB
CARROLL JR, J F KELLY, MD
GENDER: M
PROVIDER #: 020346
NPI #: 1437154507
GENESIS HEALTH GROUP
855 ILLINI DRIVE SUITE 300
SILVIS, IL 61282
PHONE: (309) 792-7060
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
PEDIATRICS
ANBERBER, SISSAY A., MD
GENDER: M
PROVIDER #: 149735
NPI #: 1467613638
GENESIS HEALTH GROUP
1504 10TH ST
SILVIS, IL 61282
PHONE: (309) 792-6350
E-PRESCRIBE: NO
BAYNESAGN,
WOLDEGABRIEL A., MD
GENDER: M
PROVIDER #: 230891
NPI #: 1801192406
GENESIS HEALTH GROUP
1504 10TH ST
SILVIS, IL 61282
PHONE: (309) 281-2350
E-PRESCRIBE: NO
METCALF, PETER J., MD
GENDER: M
PROVIDER #: 020273
NPI #: 1811993306
GENESIS HEALTH GROUP
1504 10TH ST
SILVIS, IL 61282
PHONE: (309) 281-2350
E-PRESCRIBE: NO
TUAZON, PAULITO D., MD
GENDER: M
PROVIDER #: 020304
NPI #: 1477559391
GENESIS HEALTH GROUP
1504 10TH ST
SILVIS, IL 61282
PHONE: (309) 792-6350
E-PRESCRIBE: NO
SKOKIE, IL
ADULT/INTERNAL
MEDICINE
OLSON, JEFFREY A., MD
GENDER: M
PROVIDER #: 227948
NPI #: 1952374795
4905 OLD ORCHARD CTR
SKOKIE, IL 60077
PHONE:
E-PRESCRIBE: NO
SMITHLAND, KY
FAMILY PRACTICE
TRUONG, KHAI C., MD
GENDER: M
PROVIDER #: 296938
NPI #: 1003892548
TRI-RIVERS HEALTHCARE
PLLC
205 E ADAIR ST
SMITHLAND, KY 42081
PHONE: (270) 988-3298
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
343
Primary Care Physicians
SMITHTON, IL
SOUTH BELOIT, IL
FAMILY PRACTICE
FAMILY PRACTICE
SCHENEWERK,
CHRISTOPHER, MD
GENDER: M
PROVIDER #: 101426
NPI #: 1154328722
PC ASSOCIATES LLC
4017 ILLINOIS STATE ROUTE
159 SUITE 101
SMITHTON, IL 62285-1702
PHONE: (618) 257-2875
E-PRESCRIBE: NO
DUDAS, ANDRZEJ M., DO
GENDER: M
PROVIDER #: 202735
NPI #: 1609037308
UNIVERSITY CLINIC AT
SOUTH BELOIT
245 PRAIRIE HILL RD
SOUTH BELOIT, IL 61080
PHONE: (815) 389-9252
E-PRESCRIBE: NO
840 BLACKHAWK BLVD
SOUTH BELOIT, IL 61080
PHONE: (815) 398-7573
E-PRESCRIBE: NO
SOLON, IA
FAMILY PRACTICE
GORE, MALHAR S., MD
GENDER: M
PROVIDER #: 298542
NPI #: 1982766705
MERCY FAMILY MEDICINE
OF SOLON
510 W MAIN STREET SUITE A
SOLON, IA 52333-9764
PHONE: (319) 624-2991
E-PRESCRIBE: NO
MANGRICH HICKMAN,
ELIZABETH, MD
GENDER: F
PROVIDER #: 123364
NPI #: 1639117054
SOLON FAMILY PRACTICE
CLINIC
510 W MAIN ST SUITE A
SOLON, IA 52333
PHONE: (319) 624-2991
E-PRESCRIBE: NO
344
KAUR, AMANDEEP, MD
GENDER: M
PROVIDER #: 278146
NPI #: 1184875072
UNIVERSITY CLINIC AT
SOUTH BELOIT
245 PRAIRIE HILL RD
SOUTH BELOIT, IL 61080
PHONE: (815) 389-9252
E-PRESCRIBE: NO
840 BLACKHAWK BLVD
SOUTH BELOIT, IL 61080
PHONE: (815) 398-7573
E-PRESCRIBE: NO
SOUTH ELGIN, IL
ADULT/INTERNAL
MEDICINE
DHILLON, KUSHLEEN K., MD
GENDER: F
PROVIDER #: 252784
NPI #: 1871567115
ADVOCATE MEDICAL
GROUP
2000 MCDONALD RD SUITE
220
SOUTH ELGIN, IL 60177
PHONE: (847) 468-1206
E-PRESCRIBE: NO
SMITHTON, IL
SPARTA, IL
LANGMAN, ROBERT E., DO
GENDER: M
PROVIDER #: 235866
NPI #: 1164592432
CADENCE PHYSICIAN
GROUP
552 RANDALL RD
SOUTH ELGIN, IL 60177-3315
PHONE: (630) 315-6790
E-PRESCRIBE: NO
SPARTA, IL
FAMILY PRACTICE
CHUNG, DAVID T., MD
GENDER: M
PROVIDER #: 068537
NPI #: 1417914557
FAMILY HEALTH CENTRE
207A S BURNS
SPARTA, IL 62286
PHONE: (618) 443-3084
MOLDENHAUER, MICHAEL J.,
ARNP; PROVIDER #: 230141
E-PRESCRIBE: NO
COULTER, RUSSELL E., MD
GENDER: M
PROVIDER #: 047165
NPI #: 1548227606
FAMILY HEALTH CENTRE
207A S BURNS
SPARTA, IL 62286
PHONE: (618) 443-3084
MOLDENHAUER, MICHAEL J.,
ARNP; PROVIDER #: 230141
WILLIS, JESSICA, FNPC;
PROVIDER #: 295674
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SPARTA, IL
SPRING VALLEY, IL
SALARDA, ELVIRA S., MD
GENDER: F
PROVIDER #: 028373
NPI #: 1114984283
BRADBURY RURAL HEALTH
CLINIC
211 S BURNS
SPARTA, IL 62286
PHONE: (618) 443-4889
RIECKENBERG, DEANNE C.,
ARNP; PROVIDER #: 223139
E-PRESCRIBE: NO
SPARTA MEDICAL OFFICE
215A S BURNS
SPARTA, IL 62286
PHONE: (618) 443-3084
RIECKENBERG, DEANNE C.,
ARNP; PROVIDER #: 223139
E-PRESCRIBE: NO
WOOD, KELLY, MD
GENDER: F
PROVIDER #: 254236
NPI #: 1619193869
BRADBURY RURAL HEALTH
CLINIC
211 S BURNS AVE
SPARTA, IL 62286
PHONE: (618) 443-4889
E-PRESCRIBE: YES
FAMILY HEALTH CENTRE
207 A S BURNS
SPARTA, IL 62286
PHONE: (618) 443-3084
E-PRESCRIBE: YES
NORTH CAMPUS
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-6228
E-PRESCRIBE: YES
SPARTA MEDICAL OFFICE
215A S BURNS
SPARTA, IL 62286
PHONE: (618) 443-4889
E-PRESCRIBE: YES
Primary Care Physicians
SPRING VALLEY, IL
ADULT/INTERNAL
MEDICINE
LUKANCIC, LOUIS R., MD
GENDER: M
PROVIDER #: 019513
NPI #: 1326153651
ST MARGARETS HEALTH
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-1595
E-PRESCRIBE: NO
MORROW, MICHAEL S., MD
GENDER: M
PROVIDER #: 073812
NPI #: 1013920420
ST MARGARETS HEALTH
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2366
E-PRESCRIBE: NO
MORROW, ROBERT W., MD
GENDER: M
PROVIDER #: 063399
NPI #: 1295747137
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2365
E-PRESCRIBE: NO
600 E FIRST ST 2ND FLR
SPRING VALLEY, IL 61362
PHONE: (815) 663-2811
E-PRESCRIBE: NO
TUN, THAW, MD
GENDER: M
PROVIDER #: 019463
NPI #: 1326142902
ST MARGARETS HEALTH
SPRING VALLEY CLINIC
1302 N GREENWOOD ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-4308
E-PRESCRIBE: NO
FAMILY PRACTICE
NORRIS, NICOLE E., MD
GENDER: F
PROVIDER #: 097129
NPI #: 1689679599
ST MARGARETS FAMILY
HEALTH CLINIC
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 663-5981
E-PRESCRIBE: YES
SCHLAGHECK, DAVID, MD
GENDER: M
PROVIDER #: 034636
NPI #: 1336255157
ST MARGARETS HEALTH
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2367
CHRISTENSEN, CATHERINE,
PA-C; PROVIDER #: 074214
E-PRESCRIBE: NO
SHEPHERD, BENJAMIN I., MD
GENDER: M
PROVIDER #: 277591
NPI #: 1720297591
ST MARGARETS FAMILY
HEALTH CLINIC
416 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 663-5981
E-PRESCRIBE: YES
TWANOW, RICHARD, MD
GENDER: M
PROVIDER #: 019464
NPI #: 1366558199
ST MARGARETS HEALTH
SPRING VALLEY CLINIC
1302 N GREENWOOD ST
SPRING VALLEY, IL 61362
PHONE: (815) 663-5511
CHRISTENSEN, CATHERINE,
PA-C; PROVIDER #: 074214
MILLER, MICHAEL E., PA;
PROVIDER #: 138944
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
345
Primary Care Physicians
FAMILY PRACTICE OB
SCHLAGHECK, DAVID, MD
GENDER: M
PROVIDER #: 034636
NPI #: 1336255157
ST MARGARETS HEALTH
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2367
CHRISTENSEN, CATHERINE,
PA-C; PROVIDER #: 074214
E-PRESCRIBE: NO
PEDIATRICS
SPRINGFIELD, IL
ADULT/INTERNAL
MEDICINE
AMIN SHEHATA, ALFRED L.,
MD
GENDER: M
PROVIDER #: 252565
NPI #: 1144538430
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
GOEL, NEELAM, MD
GENDER: F
PROVIDER #: 020933
NPI #: 1457360828
600 E FIRST ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-5555
E-PRESCRIBE: NO
LUKANCIC, LOUIS R., MD
GENDER: M
PROVIDER #: 019513
NPI #: 1326153651
ST MARGARETS HEALTH
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-1595
E-PRESCRIBE: NO
MORROW, ROBERT W., MD
GENDER: M
PROVIDER #: 063399
NPI #: 1295747137
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2365
E-PRESCRIBE: NO
600 E FIRST ST 2ND FLR
SPRING VALLEY, IL 61362
PHONE: (815) 663-2811
E-PRESCRIBE: NO
346
VALENCIA, ROSEMARY B.,
MD
GENDER: F
PROVIDER #: 005158
NPI #: 1649285362
600 E FIRST ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2630
E-PRESCRIBE: NO
AW, DIANE H., MD
GENDER: F
PROVIDER #: 253837
NPI #: 1053632844
SPRINGFIELD CLINIC LLP
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
PHONE: (217) 528-7541
E-PRESCRIBE: NO
BLEYER, JOHN E., MD
GENDER: M
PROVIDER #: 044783
NPI #: 1538166467
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704
PHONE: (217) 862-0800
RIECKENBERG, DEANNE, NP;
PROVIDER #: 120145
E-PRESCRIBE: NO
SPRING VALLEY, IL
SPRINGFIELD, IL
BLEYER, LORIE A., MD
GENDER: F
PROVIDER #: 044784
NPI #: 1952308884
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
BARTOLOMUCCI, TAMMY J.,
CNP; PROVIDER #: 234097
SANDERS, MINDY M., PA;
PROVIDER #: 136209
E-PRESCRIBE: NO
BOTTUM, KATHLEEN M., MD
GENDER: F
PROVIDER #: 079068
NPI #: 1124003025
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1700
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
BOWERS, STEVEN R., MD
GENDER: M
PROVIDER #: 044785
NPI #: 1093713562
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
BURNS, GEORGE M., MD
GENDER: M
PROVIDER #: 010479
NPI #: 1710957659
CAPITOL HEALTHCARE
MEDICAL ASSOCIATES LLC
2603 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-0307
DAMBACHER, MARY, NP;
PROVIDER #: 280847
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
BUSSING, ROBERT C., MD
GENDER: M
PROVIDER #: 051673
NPI #: 1699751354
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
BARTOLOMUCCI, TAMMY J.,
CNP; PROVIDER #: 234097
GIBBS, ALYSSA R., FNP;
PROVIDER #: 227550
LANOUE, CHRISTI C., ARNP;
PROVIDER #: 219857
E-PRESCRIBE: NO
CAGA-ANAN, REXANNE L.,
MD
GENDER: F
PROVIDER #: 276649
NPI #: 1386933877
SIU HEALTHCARE
320 E CARPENTER ST STE A
SPRINGFIELD, IL 62702
PHONE: (217) 744-8000
E-PRESCRIBE: NO
751 N RUTLEDGE STE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
CHANDRA, ALPANA, MD
GENDER: F
PROVIDER #: 238420
NPI #: 1033212923
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE DR
SPRINGFIELD, IL 62704
PHONE: (217) 241-3595
E-PRESCRIBE: YES
800 E CARPENTER ST
SPRINGFIELD, IL 62769
PHONE: (217) 544-6464
E-PRESCRIBE: YES
Primary Care Physicians
CHODASH, HOWARD B., MD
GENDER: M
PROVIDER #: 283916
NPI #: 1295720027
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-9722
E-PRESCRIBE: YES
CUMPA, EDGARD A., MD
GENDER: M
PROVIDER #: 132609
NPI #: 1497743488
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
COMERFORD, MICHAEL V.,
MD
GENDER: M
PROVIDER #: 044786
NPI #: 1497753974
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
FLORENCE, NICOLE A., MD
GENDER: F
PROVIDER #: 061200
NPI #: 1811983851
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
HODEL, RACHELLE L., APN;
PROVIDER #: 271575
REYNOLDS, MELANIE R., APN;
PROVIDER #: 133062
E-PRESCRIBE: NO
COUGHLIN, WILLIAM N., MD
GENDER: M
PROVIDER #: 083845
NPI #: 1376542266
2524 FARRAGUT DRIVE
SPRINGFIELD, IL 62704
PHONE: (217) 726-9020
E-PRESCRIBE: YES
CRAMER, ROBERT, MD
GENDER: M
PROVIDER #: 283750
NPI #: 1366451791
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-9722
E-PRESCRIBE: YES
HANSEN, MARK E., MD
GENDER: M
PROVIDER #: 028524
NPI #: 1861488801
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
GIBBS, ALYSSA R., FNP;
PROVIDER #: 227550
GUDEHUS, SHELLY L., CNP;
PROVIDER #: 108872
KROHE, COURTNEY B., NP;
PROVIDER #: 196083
SIGLE, KATHLEEN A., CFNP;
PROVIDER #: 185910
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
347
Primary Care Physicians
HARNEY, ALFRED N., MD
GENDER: M
PROVIDER #: 283778
NPI #: 1972512374
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-7437
E-PRESCRIBE: YES
HINGLE, SUSAN T., MD
GENDER: F
PROVIDER #: 060086
NPI #: 1124003124
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1700
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
E-PRESCRIBE: NO
HLAFKA, MARTHA L., MD
GENDER: F
PROVIDER #: 247018
NPI #: 1215162102
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
HOLDER, LARRY W., MD
GENDER: M
PROVIDER #: 239321
NPI #: 1417914326
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1700
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
348
JAYARMAIAH, POORNIMA,
MD
GENDER: F
PROVIDER #: 185627
NPI #: 1174784086
HSHS MEDICAL GROUP
3215 EXECUTIVE PARK DR
4TH FLOOR
SPRINGFIELD, IL 62703
PHONE: (877) 636-2261
E-PRESCRIBE: NO
HSHS MEDICAL GROUP INC
1118 LEGACY POINTE DR
SPRINGFIELD, IL 62711
PHONE: (217) 787-8870
E-PRESCRIBE: NO
JOHNSTON, CHAD R., MD
GENDER: M
PROVIDER #: 237604
NPI #: 1538239520
CAPITOL HEALTHCARE
MEDICAL ASSOCIATES
2603 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-0307
DAMBACHER, MARY, NP;
PROVIDER #: 280847
E-PRESCRIBE: NO
JURANEK, ROBERT H., MD
GENDER: M
PROVIDER #: 008556
NPI #: 1336236264
HERITAGE MANOR
NURSING HOME
900 N RUTHLEDGE ST
SPRINGFIELD, IL 62702
PHONE: (217) 789-0930
E-PRESCRIBE: NO
LEWIS MEMORIAL
CHRISTIAN HOSPITAL
3500 W WASHINGTON
SPRINGFIELD, IL 62711
PHONE: (217) 793-4062
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
MEMORIAL HOME HEALTH
701 N FIRST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3000
E-PRESCRIBE: NO
MEMORIAL MEDICAL
CENTER
701 N FIRST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3000
E-PRESCRIBE: NO
PRIORITY CARE ST JOHNS
HEALTH CENTER
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE: (217) 789-1403
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
3631 S 6TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE ATTN PRACTICE
MANAGER
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
ST JOHNS HOSPITAL
800 E CARPENTER
SPRINGFIELD, IL 62769
PHONE: (217) 544-6464
E-PRESCRIBE: NO
KHATIWADA, BINOD, MD
GENDER: M
PROVIDER #: 296176
NPI #: 1023365368
SPRINGFIELD CLINIC LLP
701 NORTH 1ST ST
SPRINGFIELD, IL 62781-0001
PHONE: (217) 788-3883
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
Primary Care Physicians
KOVACH, REGINA, MD
GENDER: F
PROVIDER #: 079073
NPI #: 1164407169
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
MAURER, JOSEPH J., MD
GENDER: M
PROVIDER #: 283829
NPI #: 1265442883
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-9722
E-PRESCRIBE: YES
KWONG, HELEN D., MD
GENDER: F
PROVIDER #: 230082
NPI #: 1346357886
ST JOHNS HEALTH CENTER
AT PANTHER CREEK
2801 MATHERS RD
SPRINGFIELD, IL 62711
PHONE: (217) 789-3600
E-PRESCRIBE: NO
MCAFEE, CATHY L., MD
GENDER: F
PROVIDER #: 153951
NPI #: 1154579308
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
LAFATA, JAMES M., MD
GENDER: M
PROVIDER #: 284089
NPI #: 1407866270
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-9722
E-PRESCRIBE: YES
LYTCHAKOV, VLADIMIR A.,
MD
GENDER: M
PROVIDER #: 150901
NPI #: 1184617201
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
MOONAT, ASHISH, MD
GENDER: M
PROVIDER #: 260364
NPI #: 1063670362
HSHS MEDICAL GROUP INC
800 E CARPENTER ST
SPRINGFIELD, IL 62769
PHONE: (217) 544-6464
E-PRESCRIBE: NO
MUSINIPALLY, SUNIL, MD
GENDER: M
PROVIDER #: 263618
NPI #: 1497965065
HSHS MEDICAL GROUP INC
800 E CARPENTER ST
SPRINGFIELD, IL 62769
PHONE: (217) 544-6464
E-PRESCRIBE: NO
NALLALA, DEEPIKA R.
GENDER: F
PROVIDER #: 256415
NPI #: 1851609739
HSHS MEDICAL GROUP INC
1118 LEGACY POINTE DR
SPRINGFIELD, IL 62711
PHONE: (217) 787-8870
E-PRESCRIBE: NO
NENABER, MICHAEL E., MD
GENDER: M
PROVIDER #: 184744
NPI #: 1497765093
HSHS MEDICAL GROUP INC
2801 MATHERS RD
SPRINGFIELD, IL 62711
PHONE: (217) 789-3600
E-PRESCRIBE: NO
ONGUTI, SHARON K., MD
GENDER: F
PROVIDER #: 277733
NPI #: 1427341866
SIU HEALTHCARE
751 N RUTLEDGE STE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
PAPIREDDY, MURALIDHAR
R., MD
GENDER: M
PROVIDER #: 186817
NPI #: 1902136914
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0812
E-PRESCRIBE: NO
PISOH, WATCOUN-NCHINDA
E., MD
GENDER: M
PROVIDER #: 283752
NPI #: 1568759512
SIU HEALTHCARE
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
349
Primary Care Physicians
PITTMAN, DAVID D., MD
GENDER: M
PROVIDER #: 180758
NPI #: 1124052030
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
PRASAD, PINNAMANENI, MD
GENDER:
PROVIDER #: 283832
NPI #: 1730199829
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-9722
E-PRESCRIBE: YES
REA, JOANNA R., MD
GENDER: F
PROVIDER #: 224548
NPI #: 1487631974
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1700
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
ROBINSON, ROBERT L., MD
GENDER: M
PROVIDER #: 088063
NPI #: 1306833843
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0812
E-PRESCRIBE: NO
350
SPRINGFIELD, IL
SPRINGFIELD, IL
RULL, GARY, MD
GENDER: M
PROVIDER #: 078680
NPI #: 1154306017
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-3880
E-PRESCRIBE: NO
SAUNDERS, MARY A., MD
GENDER: F
PROVIDER #: 011726
NPI #: 1255301107
CAPITOL HEALTHCARE
MEDICAL ASSOCIATES LLC
2603 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-0307
E-PRESCRIBE: NO
RUSSO, MARINA, MD
GENDER: F
PROVIDER #: 283895
NPI #: 1174510978
HSHS MEDICAL GROUP INC
1118 LEGACY POINT DR
SPRINGFIELD, IL 62711
PHONE: (217) 787-8870
E-PRESCRIBE: YES
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-9722
E-PRESCRIBE: YES
SHULL, GARY G., MD
GENDER: M
PROVIDER #: 008112
NPI #: 1326148016
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
AMIDON, LAURA, NP;
PROVIDER #: 060237
E-PRESCRIBE: YES
SALAZAR, LAURA Y., MD
GENDER: F
PROVIDER #: 186249
NPI #: 1336333228
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1700
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
SANDERCOCK, DAVID B., MD
GENDER: M
PROVIDER #: 061220
NPI #: 1770556565
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
STEWARD, DAVID, MD
GENDER: M
PROVIDER #: 040335
NPI #: 1104801075
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1700
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
BAKER, JENNIFER A., CNP;
PROVIDER #: 122222
E-PRESCRIBE: NO
STONE, SCHUYLER W., MD
GENDER: M
PROVIDER #: 300769
NPI #: 1750645263
SIU HEALTHCARE
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
TODD, CHRISTINE, MD
GENDER: F
PROVIDER #: 063297
NPI #: 1861477747
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
TORSHIZI, AMIR A., MD
GENDER: M
PROVIDER #: 180924
NPI #: 1982825196
HSHS MEDICAL GROUP
800 E CARPENTER ST
SPRINGFIELD, IL 62769
PHONE: (217) 544-6464
E-PRESCRIBE: NO
TOWNSEND, WINSTON J., MD
GENDER: M
PROVIDER #: 043999
NPI #: 1003889411
PRIORITY CARE ST JOHNS
HEALTH CENTER
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE: (217) 789-1403
BUSS, KRISTIN R., PA-C;
PROVIDER #: 212044
ELY, MARY E., FNP;
PROVIDER #: 176114
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
3631 S 6TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
ELY, MARY E., FNP;
PROVIDER #: 176114
E-PRESCRIBE: NO
Primary Care Physicians
SPRINGFIELD PRIORITY
CARE ATTN PRACTICE
MANAGER
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
BUSS, KRISTIN R., PA-C;
PROVIDER #: 212044
ELY, MARY E., FNP;
PROVIDER #: 176114
E-PRESCRIBE: NO
TSANG, CELINA C., MD
GENDER: F
PROVIDER #: 283796
NPI #: 1447260344
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-9722
E-PRESCRIBE: YES
VARGAS, OMAR A., MD
GENDER: M
PROVIDER #: 197459
NPI #: 1639390388
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1700
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
VARNEY, ANDREW, MD
GENDER: M
PROVIDER #: 049197
NPI #: 1467437343
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
BLESSMAN, DONNA J., FNP;
PROVIDER #: 133769
E-PRESCRIBE: NO
VASCONCELLES, CARA E.,
MD
GENDER: F
PROVIDER #: 044787
NPI #: 1114992658
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
HODEL, RACHELLE L., APN;
PROVIDER #: 271575
E-PRESCRIBE: NO
VENIGALLA, PRAMILA R., MD
GENDER: F
PROVIDER #: 073284
NPI #: 1093815680
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
VISWANATHAN, AVINASH K.,
MD
GENDER: M
PROVIDER #: 253660
NPI #: 1639487911
KOKE MILL MEDICAL
CENTER
3132 OLD JACKSONVILLE RD
SUITE 200
SPRINGFIELD, IL 62794
PHONE: (217) 862-0800
E-PRESCRIBE: NO
WHITE, NEVILLE, MD
GENDER: M
PROVIDER #: 008119
NPI #: 1861589103
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
351
Primary Care Physicians
YU, WILLIAM, MD
GENDER: M
PROVIDER #: 008558
NPI #: 1003903931
HSHS MEDICAL GROUP INC
2801 MATHERS RD
SPRINGFIELD, IL 62711
PHONE: (217) 789-3600
E-PRESCRIBE: NO
PRIORITY CARE ST JOHNS
HEALTH CENTER
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE: (217) 789-1403
BUSS, KRISTIN R., PA-C;
PROVIDER #: 212044
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
BUSS, KRISTIN R., PA-C;
PROVIDER #: 212044
E-PRESCRIBE: NO
3631 S 6TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
FAMILY PRACTICE
ALBERS, JANET, MD
GENDER: F
PROVIDER #: 032830
NPI #: 1023006913
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
ETHERTON, AIRN A., FNPC;
PROVIDER #: 163852
HANNA, BECKY J., PA-C;
PROVIDER #: 069526
MOOSE, HELEN L., CNM;
PROVIDER #: 068045
E-PRESCRIBE: NO
352
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
ETHERTON, AIRN A., FNPC;
PROVIDER #: 163852
HANNA, BECKY J., PA-C;
PROVIDER #: 069526
E-PRESCRIBE: NO
ALBRACHT, BRYAN J., DO
GENDER: M
PROVIDER #: 020836
NPI #: 1568572931
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
COWELL, MARISSA M., PA-C;
PROVIDER #: 075433
HART, JULIE C., PA;
PROVIDER #: 129092
LAFRENZ, ANGELA K., CFNP;
PROVIDER #: 199975
MILNES, JILL L., PA;
PROVIDER #: 110851
E-PRESCRIBE: YES
ALDRIDGE, TRACY A., MD
GENDER: F
PROVIDER #: 069137
NPI #: 1154310027
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
SIMS, ZACHARY B., PA-C;
PROVIDER #: 146253
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
SIMS, ZACHARY B., PA-C;
PROVIDER #: 146253
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
AVILA, AMBER N., MD
GENDER: F
PROVIDER #: 255526
NPI #: 1295056737
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
5220 S 6TH ST RD STE 1200
SPRINGFIELD, IL 62703
PHONE: (217) 545-8000
E-PRESCRIBE: NO
BAKER, NORAH F., MD
GENDER: F
PROVIDER #: 278129
NPI #: 1407144819
SOUTHERN ILLINOIS
UNIVERSITY
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
BARNHART, AMBER J., MD
GENDER: F
PROVIDER #: 021096
NPI #: 1215926183
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
BITAR, GERARD G., MD
GENDER: M
PROVIDER #: 191078
NPI #: 1821222100
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
PRIORITY CARE ST JOHNS
HEALTH CENTER
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE: (217) 789-1403
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
2329 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
BLAND, GEOFFREY A., MD
GENDER: M
PROVIDER #: 008053
NPI #: 1629188958
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
HARPER, CAROL M., PA;
PROVIDER #: 042249
MANTILLA-ACEVEDO, JOSE
G., FNPC; PROVIDER #:
185246
E-PRESCRIBE: YES
BODDU, LAVANYA, MD
GENDER: F
PROVIDER #: 158194
NPI #: 1851503833
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
3631 S 6TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 789-1825
E-PRESCRIBE: NO
Primary Care Physicians
SPRINGFIELD PRIORITY
CARE ATTN PRACTICE
MANAGER
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
BRENHAM, CAREYANA M.,
MD
GENDER: F
PROVIDER #: 082376
NPI #: 1568451946
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
BREWER, MICHAEL, MD
GENDER: M
PROVIDER #: 008056
NPI #: 1588774756
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
HENDRICKS, JENNIFER A.,
NP; PROVIDER #: 097269
HUDGINS-BREWER, SANDRA,
FNP; PROVIDER #: 008560
OSOWSKI, MELISSA M., FNPC;
PROVIDER #: 226532
E-PRESCRIBE: YES
CENTRAL COUNTIES
HEALTH CENTERS INC
GENDER:
PROVIDER #: 156173
NPI #: 1861480709
2239 E COOK ST
SPRINGFIELD, IL 62703
PHONE: (217) 788-2300
ALLAMREDDY, SWAPNA
REDDY; PROVIDER #: 225326
BANGA, MADHUMITA;
PROVIDER #: 212112
HASHIM, ZULFIQAR, MD;
PROVIDER #: 188387
MURPHY, MICHAEL, MD;
PROVIDER #: 176923
E-PRESCRIBE: NO
DANIELS, JAMES, MD
GENDER: M
PROVIDER #: 300763
NPI #: 1750368452
SIU HEALTHCARE
320 E CARPENTER ST SUITE
A
SPRINGFIELD, IL 62702
PHONE: (217) 744-8000
E-PRESCRIBE: NO
DYNDA, MICHAL, MD
GENDER: M
PROVIDER #: 186488
NPI #: 1578749164
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
353
Primary Care Physicians
EL-AMIN, WENDI R., MD
GENDER: F
PROVIDER #: 271073
NPI #: 1033239496
SIU CENTER FROM FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8100
E-PRESCRIBE: NO
ELLISON, JOSHUA R., MD
GENDER: M
PROVIDER #: 166828
NPI #: 1972716033
MPS-NORTH DIRKSEN
3220 ATLANTA ST
SPRINGFIELD, IL 62707
PHONE: (217) 588-7400
WANGARD, REBECCA S.,
CFNP; PROVIDER #: 262658
E-PRESCRIBE: NO
GLEASON, CHRISTOPHER,
MD
GENDER: M
PROVIDER #: 048442
NPI #: 1649269887
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 523-1848
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
GRAHAM, DAVID B., MD
GENDER: M
PROVIDER #: 147082
NPI #: 1386759264
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
354
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
HIGUCHI, MASAYA, MD
GENDER: M
PROVIDER #: 226268
NPI #: 1457544892
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
KALAIR, MISBAH A., MD
GENDER:
PROVIDER #: 300173
NPI #: 1134477219
HSHS MEDICAL GROUP
11110
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE:
E-PRESCRIBE: NO
KOZAK, STEFAN P., MD
GENDER: M
PROVIDER #: 008085
NPI #: 1265530596
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
GARNER, DEBRA S., NP;
PROVIDER #: 112575
E-PRESCRIBE: YES
SPRINGFIELD, IL
SPRINGFIELD, IL
KRECKMAN, JOHN F., MD
GENDER: M
PROVIDER #: 295487
NPI #: 1124126909
SIU/FQHC SIU CENTER FOR
FAMILY MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
LANZOTTI, DANIEL E., MD
GENDER: M
PROVIDER #: 008090
NPI #: 1154429330
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
ESSLINGER, CONSTANCE L.,
FNP; PROVIDER #: 030734
HAZARD, MINDY L., NP;
PROVIDER #: 117745
SANDERS, MINDY M., PA-C;
PROVIDER #: 155369
E-PRESCRIBE: NO
LAUSEN, HARALD, DO
GENDER: M
PROVIDER #: 137464
NPI #: 1396878674
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
LEE, JOHN K., MD
GENDER: M
PROVIDER #: 201954
NPI #: 1952566184
SOUTH SIXTH MEDICAL
ASSOCIATES LLC
2950 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 588-7450
E-PRESCRIBE: NO
LEWIS, STEVEN J., MD
GENDER: M
PROVIDER #: 135575
NPI #: 1598763880
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
GARNER, DEBRA S., NP;
PROVIDER #: 112575
E-PRESCRIBE: NO
LOPP, LAURI F., MD
GENDER: F
PROVIDER #: 120504
NPI #: 1831189539
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
Primary Care Physicians
MCKAY, MARK T., MD
GENDER: M
PROVIDER #: 027204
NPI #: 1013015031
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
COWELL, MARISSA M., PA-C;
PROVIDER #: 075433
HART, JULIE C., PA;
PROVIDER #: 129092
LAFRENZ, ANGELA K., CFNP;
PROVIDER #: 199975
MILNES, JILL L., PA;
PROVIDER #: 110851
E-PRESCRIBE: YES
MIROCHA, NICHOLE J., DO
GENDER: F
PROVIDER #: 133981
NPI #: 1457573388
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
MORTON, SCOTT, MD
GENDER: M
PROVIDER #: 008094
NPI #: 1407956170
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
ESSLINGER, CONSTANCE L.,
FNP; PROVIDER #: 030734
HAWKINS, BRENDA K., FNP;
PROVIDER #: 070191
HENDRICKS, JENNIFER A.,
NP; PROVIDER #: 097269
MEARS, DENISE, NP;
PROVIDER #: 066108
VANCE, MELINDA, FNP;
PROVIDER #: 034584
E-PRESCRIBE: NO
MULKANOOR, SHALINI, MD
GENDER: F
PROVIDER #: 202751
NPI #: 1447558390
HSHS MEDICAL GROUP
2801 MATHERS ROAD
SPRINGFIELD, IL 62711
PHONE: (217) 789-3600
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE: (217) 789-1403
E-PRESCRIBE: NO
2329 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE ATTN PRACTICE
MANAGER
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
355
Primary Care Physicians
OBRIEN, DANIEL K., MD
GENDER: M
PROVIDER #: 283883
NPI #: 1356351811
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-9722
E-PRESCRIBE: YES
OMAR, BIBI W., MD
GENDER: F
PROVIDER #: 266908
NPI #: 1275755001
HSHS MEDICAL GROUP INC
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
2329 N DIRKSEN PARKWAY
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
PHILLIPS, PAUL W., MD
GENDER: M
PROVIDER #: 166050
NPI #: 1386850071
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
GARNER, DEBRA S., NP;
PROVIDER #: 112575
E-PRESCRIBE: NO
RAHMAN, RACHEL L., MD
GENDER: F
PROVIDER #: 223001
NPI #: 1568425353
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
356
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
RICHARDS, JENNIFER E., MD
GENDER: F
PROVIDER #: 068918
NPI #: 1013017797
SPRINGFIELD CLINIC
1100 CENTRE WEST DR
SPRINGFIELD, IL 62704
PHONE: (217) 793-9960
WITMER, JAMEY L., FNP;
PROVIDER #: 239032
E-PRESCRIBE: NO
ROTONDO, ERICA A., MD
GENDER: F
PROVIDER #: 278152
NPI #: 1447484977
SIU CENTER FOR FAMILY
MEDICINE- FQHC
520 N 4TH STREET
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SOUTHERN ILLINOIS
UNIVERSITY
5220 S 6TH ST RD STE 1500
SPRINGFIELD, IL 62704
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
SAPETTI, LARRY, MD
GENDER: M
PROVIDER #: 121987
NPI #: 1811929177
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
ROYER, ANGELIA K., PA;
PROVIDER #: 263619
SANDERS, MINDY M., PA-C;
PROVIDER #: 155369
E-PRESCRIBE: YES
SCHOENBURG, KIM Y., MD
GENDER: F
PROVIDER #: 008111
NPI #: 1164522850
SPRINGFIELD CLINIC
1100 CENTRE WEST DR
SPRINGFIELD, IL 62704
PHONE: (217) 793-9960
HERZBERGER, ROSEMARY L.,
CFNP; PROVIDER #: 188345
E-PRESCRIBE: YES
STEGEMAN, JAMES R., MD
GENDER: M
PROVIDER #: 008113
NPI #: 1205936895
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
STEPHENS, TERESA L., CNP;
PROVIDER #: 066225
E-PRESCRIBE: YES
THOMAS, CYNTHIA, MD
GENDER: F
PROVIDER #: 038971
NPI #: 1447249875
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
THE NOLL PAVILION
5220 S 6TH ST RD STE 1500
SPRINGFIELD, IL 62703
PHONE: (217) 545-8000
E-PRESCRIBE: NO
THOMPSON, VALERIE S., MD
GENDER: F
PROVIDER #: 238199
NPI #: 1508954926
HSHS MEDICAL GROUP
2901 OLD JACKSONVILLE
ROAD SUITE B4
SPRINGFIELD, IL 62704
PHONE: (217) 241-3586
E-PRESCRIBE: NO
VILLAFUERTE, LYDIA S., MD
GENDER: F
PROVIDER #: 166842
NPI #: 1548249469
SOUTH SIXTH MEDICAL
ASSOCIATES LLC
2950 S SIXTH ST
SPRINGFIELD, IL 62703
PHONE: (217) 588-7450
E-PRESCRIBE: YES
WELLS, TABATHA SELINA,
MD
GENDER: F
PROVIDER #: 229389
NPI #: 1992933923
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
Primary Care Physicians
WESTERN, JENNIFER, MD
GENDER: F
PROVIDER #: 008983
NPI #: 1407957475
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
YAFFE, STUART A., MD
GENDER: M
PROVIDER #: 008123
NPI #: 1992806988
SPRINGFIELD CLINIC
1100 CENTRE WEST DR
SPRINGFIELD, IL 62704
PHONE: (217) 793-9960
E-PRESCRIBE: YES
WESTERN, RANDY, MD
GENDER: M
PROVIDER #: 008984
NPI #: 1760424584
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
GARNER, DEBRA S., NP;
PROVIDER #: 112575
E-PRESCRIBE: YES
YAP, DENNIS, MD
GENDER: M
PROVIDER #: 252886
NPI #: 1508967597
YAP FAMILY PRACTICE LTD
2979 LINDBERGH BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 652-2416
E-PRESCRIBE: YES
WIDICUS, DIANA T., MD
GENDER: F
PROVIDER #: 003147
NPI #: 1851471072
SPRINGFIELD PRIORITY
CARE
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE: (217) 789-1403
E-PRESCRIBE: NO
3631 S 6TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE-ATTN PRACTICE
MANAGER
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
CENTRAL COUNTIES
HEALTH CENTERS INC
GENDER:
PROVIDER #: 156173
NPI #: 1861480709
2239 E COOK ST
SPRINGFIELD, IL 62703
PHONE: (217) 788-2300
ALLAMREDDY, SWAPNA
REDDY; PROVIDER #: 225326
BANGA, MADHUMITA;
PROVIDER #: 212112
HASHIM, ZULFIQAR, MD;
PROVIDER #: 188387
MURPHY, MICHAEL, MD;
PROVIDER #: 176923
E-PRESCRIBE: NO
SIU CENTER FOR FAMILY
MEDICINE-RHC
GENDER:
PROVIDER #: 244555
NPI #: 1497002182
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8137
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
357
Primary Care Physicians
PEDIATRICS
BATTERMAN, CRAIG E., MD
GENDER: M
PROVIDER #: 069806
NPI #: 1134101769
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST SUITE PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-4238
E-PRESCRIBE: NO
BENNETT, GREGORY, MD
GENDER: M
PROVIDER #: 048421
NPI #: 1881677052
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST SUITE PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-7732
E-PRESCRIBE: NO
BHAMIDIPATI, PRASANTA L.,
MD
GENDER: F
PROVIDER #: 291973
NPI #: 1851601462
SIU HEALTHCARE
301 N 8TH STREET SUITE
PAV 4A
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
BHANDARI, PURVI P., MD
GENDER:
PROVIDER #: 259922
NPI #: 1649436809
SPRINGFIELD CLINIC LLP
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
E-PRESCRIBE: NO
358
BLEYER, JOHN E., MD
GENDER: M
PROVIDER #: 044783
NPI #: 1538166467
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704
PHONE: (217) 862-0800
RIECKENBERG, DEANNE, NP;
PROVIDER #: 120145
E-PRESCRIBE: NO
BLEYER, LORIE A., MD
GENDER: F
PROVIDER #: 044784
NPI #: 1952308884
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
BARTOLOMUCCI, TAMMY J.,
CNP; PROVIDER #: 234097
SANDERS, MINDY M., PA;
PROVIDER #: 136209
E-PRESCRIBE: NO
BOWERS, STEVEN R., MD
GENDER: M
PROVIDER #: 044785
NPI #: 1093713562
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
BUNTAIN, WILLIAM L., MD
GENDER: M
PROVIDER #: 240073
NPI #: 1700902608
HSHS MEDICAL GROUP INC
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 757-6535
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
CASTALDO, RAYMOND L.,
MD
GENDER: M
PROVIDER #: 008061
NPI #: 1568558484
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
E-PRESCRIBE: YES
COMERFORD, MICHAEL V.,
MD
GENDER: M
PROVIDER #: 044786
NPI #: 1497753974
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
DELA CRUZ, MARTHE K., MD
GENDER: F
PROVIDER #: 169164
NPI #: 1326257098
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST SUITE PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-4238
E-PRESCRIBE: NO
DOLAN, VIRGINIA M., MD
GENDER: F
PROVIDER #: 009848
NPI #: 1912905415
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
EHRLICH, CHRISTOPHER B.,
MD
GENDER: M
PROVIDER #: 094238
NPI #: 1134213820
SPRINGFIELD CLINIC
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 787-9424
PURSEGLOVE, TRACY A.,
CPNP; PROVIDER #: 061810
E-PRESCRIBE: YES
FLORENCE, NICOLE A., MD
GENDER: F
PROVIDER #: 061200
NPI #: 1811983851
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
HODEL, RACHELLE L., APN;
PROVIDER #: 271575
REYNOLDS, MELANIE R., APN;
PROVIDER #: 133062
E-PRESCRIBE: NO
GILLISON, CLAUDINE T., MD
GENDER: F
PROVIDER #: 182717
NPI #: 1013126317
SPRINGFIELD CLINIC
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
E-PRESCRIBE: NO
JOHN, ASHISH, MD
GENDER: M
PROVIDER #: 166898
NPI #: 1346452174
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
Primary Care Physicians
JOHN, TEENA, MD
GENDER: F
PROVIDER #: 166896
NPI #: 1437371010
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
JONES, TERRY L., MD
GENDER: M
PROVIDER #: 008080
NPI #: 1265530612
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
KLUNICK, VALERIE A., CPNP;
PROVIDER #: 061675
YOUNKER, ANGELA G., CNP;
PROVIDER #: 183057
E-PRESCRIBE: YES
KINK, LYNN M., MD
GENDER: F
PROVIDER #: 180746
NPI #: 1225255847
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 4W64
SPRINGFIELD, IL 62701
PHONE: (217) 545-0003
E-PRESCRIBE: NO
KNEPP, MARC D., MD
GENDER: M
PROVIDER #: 224828
NPI #: 1568686277
CHILDRENS HOSPITAL OF
ILLINOIS MEDICAL GROUP
320 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (309) 655-3453
E-PRESCRIBE: NO
LEE, CYNTHIA J., MD
GENDER: F
PROVIDER #: 283792
NPI #: 1649283383
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-9722
E-PRESCRIBE: YES
LOWER, TRACY, MD
GENDER: M
PROVIDER #: 019246
NPI #: 1023090578
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 4W64
SPRINGFIELD, IL 62701
PHONE: (214) 545-0003
E-PRESCRIBE: NO
MAJCINA, SARAH
GENDER: F
PROVIDER #: 276982
NPI #: 1447460456
SIU HEALTHCARE
415 N 9TH SUITE 4W64
SPRINGFIELD, IL 62701
PHONE: (217) 545-8000
E-PRESCRIBE: NO
MILBRANDT, TRACY P.
GENDER: F
PROVIDER #: 109485
NPI #: 1063494516
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST SUITE PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-7732
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
359
Primary Care Physicians
MINER, MICHELLE M., MD
GENDER: F
PROVIDER #: 076725
NPI #: 1285617456
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST SUITE PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-4238
E-PRESCRIBE: NO
MURRAY, BARBARA L.
GENDER: F
PROVIDER #: 131825
NPI #: 1376679472
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
PHILLIPS, MISTY M., MD
GENDER: F
PROVIDER #: 132082
NPI #: 1053461657
SPRINGFIELD CLINIC
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
PURSEGLOVE, TRACY A.,
CPNP; PROVIDER #: 061810
E-PRESCRIBE: YES
SANDERCOCK, DAVID B., MD
GENDER: M
PROVIDER #: 061220
NPI #: 1770556565
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
360
SAVAGE, VERONICA G., MD
GENDER: F
PROVIDER #: 014791
NPI #: 1447350137
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
E-PRESCRIBE: YES
SHAFI, ANWAR, MD
GENDER: M
PROVIDER #: 158056
NPI #: 1487809448
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST SUITE PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-0702
E-PRESCRIBE: NO
SOUKI, RAMZI C., MD
GENDER: M
PROVIDER #: 253970
NPI #: 1386807451
SIU PHYSICIANS &
SURGEONS INC
619 E MASON 5TH FL
SPRINGFIELD, IL 62794
PHONE: (217) 545-8000
E-PRESCRIBE: YES
STEH, BETH A., MD
GENDER: F
PROVIDER #: 009849
NPI #: 1669572251
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
E-PRESCRIBE: YES
SPRINGFIELD, IL
SPRINGFIELD, IL
TAYLOR, JANE K., MD
GENDER: F
PROVIDER #: 202702
NPI #: 1588827588
HSHS MEDICAL GROUP
PEDIATRICS-PRAIRIE
CROSSING
4337 CONESTOGA DR
SPRINGFIELD, IL 62711
PHONE: (217) 789-3620
E-PRESCRIBE: NO
UNAL, SHEREF H., MD
GENDER: M
PROVIDER #: 136841
NPI #: 1730297607
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-8000
E-PRESCRIBE: NO
VARGAS, LAURA B., MD
GENDER: F
PROVIDER #: 190944
NPI #: 1679736219
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 4W16
SPRINGFIELD, IL 62794
PHONE: (800) 331-2229
E-PRESCRIBE: NO
VASCONCELLES, CARA E.,
MD
GENDER: F
PROVIDER #: 044787
NPI #: 1114992658
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
HODEL, RACHELLE L., APN;
PROVIDER #: 271575
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SPRINGFIELD, IL
ST CHARLES, IL
VLAHOS, KORINE, MD
GENDER: F
PROVIDER #: 050433
NPI #: 1720053267
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
WALLACE, STEPHEN E., MD
GENDER: M
PROVIDER #: 008860
NPI #: 1548360134
SPRINGFIELD CLINIC
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 787-9424
FRICKE, PENNY S., FNP;
PROVIDER #: 158258
PURSEGLOVE, TRACY A.,
CPNP; PROVIDER #: 061810
E-PRESCRIBE: YES
WOJTOWICZ, STEPHANIE,
MD
GENDER: F
PROVIDER #: 048417
NPI #: 1003917089
SPRINGFIELD CLINIC
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 787-9424
FRICKE, PENNY S., FNP;
PROVIDER #: 158258
PURSEGLOVE, TRACY A.,
CPNP; PROVIDER #: 061810
E-PRESCRIBE: YES
Primary Care Physicians
ST CHARLES, IL
ADULT/INTERNAL
MEDICINE
CATCHING, KAREN C., MD
GENDER: F
PROVIDER #: 270263
NPI #: 1336219682
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD STE 307
ST CHARLES, IL 60174-5799
PHONE: (630) 208-3200
E-PRESCRIBE: NO
KHAN, NADIA M., MD
GENDER: F
PROVIDER #: 259903
NPI #: 1154413136
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD SUITE 307
ST CHARLES, IL 60174-5799
PHONE: (630) 208-3200
E-PRESCRIBE: NO
MCNAUGHTON, SCOTT D.,
MD
GENDER: M
PROVIDER #: 242221
NPI #: 1073510335
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD
ST CHARLES, IL 60174
PHONE: (630) 208-3200
E-PRESCRIBE: NO
VAN ROEKEL, VIVIAN, MD
GENDER: F
PROVIDER #: 269132
NPI #: 1487657524
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD
ST CHARLES, IL 60174-5799
PHONE: (630) 208-3200
E-PRESCRIBE: NO
ZIMMERS, LORI A., MD
GENDER: F
PROVIDER #: 269069
NPI #: 1588734818
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD STE 307
ST CHARLES, IL 60174-5799
PHONE: (630) 208-3200
E-PRESCRIBE: NO
FAMILY PRACTICE
CALABRIA, ROBERT J., DO
GENDER: M
PROVIDER #: 220937
NPI #: 1114911898
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD SUITE 101
ST CHARLES, IL 60174-5799
PHONE: (630) 513-8275
E-PRESCRIBE: NO
HEREDIA, ELIZABETH A., MD
GENDER: F
PROVIDER #: 107453
NPI #: 1194755843
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD SUITE 200
ST CHARLES, IL 60174-5799
PHONE: (630) 377-7900
E-PRESCRIBE: NO
KRUSE, DANIEL, MD
GENDER: M
PROVIDER #: 142040
NPI #: 1992736284
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD STE 200
ST CHARLES, IL 60174-5799
PHONE: (630) 377-7900
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
361
Primary Care Physicians
KWIATKOWSKI, MADELINE
C., DO
GENDER: F
PROVIDER #: 253700
NPI #: 1245319979
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD
ST CHARLES, IL 60174-5799
PHONE: (630) 933-1701
E-PRESCRIBE: NO
NOVOTA, PETER A., MD
GENDER: M
PROVIDER #: 270739
NPI #: 1124132394
DREYER MEDICAL GROUP
LTD
3310 W MAIN ST SUITE 200
ST CHARLES, IL 60175
PHONE: (630) 897-6044
E-PRESCRIBE: NO
SANDERS, JAMES J., MD
GENDER: M
PROVIDER #: 221152
NPI #: 1578537973
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD SUITE 101
ST CHARLES, IL 60174-5799
PHONE: (630) 513-8275
E-PRESCRIBE: NO
WARD, EDWARD J., MD
GENDER: M
PROVIDER #: 122616
NPI #: 1720013766
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD SUITE 200
ST CHARLES, IL 60174-5799
PHONE: (630) 377-7900
E-PRESCRIBE: NO
362
PEDIATRICS
HOLGADO-COCJIN, MARIA,
MD
GENDER: F
PROVIDER #: 256337
NPI #: 1164407508
DREYER CLINIC-ST
CHARLES
3310 W MAIN ST SUITE 200
ST CHARLES, IL 60175
PHONE: (630) 897-6044
E-PRESCRIBE: NO
SCHUTTE, ERIN E., MD
GENDER: F
PROVIDER #: 269263
NPI #: 1750375432
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD
ST CHARLES, IL 60174-5799
PHONE: (630) 797-4255
E-PRESCRIBE: NO
SMITH, SARAH E., MD
GENDER: F
PROVIDER #: 256319
NPI #: 1275796260
DREYER CLINIC-ST
CHARLES
3310 W MAIN ST SUITE 200
ST CHARLES, IL 60175
PHONE: (630) 897-6044
E-PRESCRIBE: NO
SWEENEY-GOTSCH,
BRIDGET M., MD
GENDER: F
PROVIDER #: 256572
NPI #: 1932339132
DREYER CLINIC ST
CHARLES
3310 W MAIN ST SUITE 200
ST CHARLES, IL 60175
PHONE: (630) 897-6044
E-PRESCRIBE: NO
ST CHARLES, IL
ST CHARLES, MO
TAPAS, NICHOLAS J., MD
GENDER: M
PROVIDER #: 269205
NPI #: 1730144171
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD STE 202
ST CHARLES, IL 60174-5799
PHONE: (630) 797-4255
E-PRESCRIBE: NO
WILLIAMS, RHONDA K., MD
GENDER: F
PROVIDER #: 198197
NPI #: 1801879465
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD SUITE 202
ST CHARLES, IL 60174-5799
PHONE: (630) 797-4255
E-PRESCRIBE: NO
ST CHARLES, MO
PEDIATRICS
LLOYD, ANGELA M., MD
GENDER: F
PROVIDER #: 112129
NPI #: 1518912047
SSM ST JOSEPH HC PHYS
BILLING
300 FIRST CAPITOL DRIVE
GLENNON CARE
ST CHARLES, MO 63301
PHONE: (636) 947-5000
E-PRESCRIBE: NO
MAJERUS, CHELSEA R., MD
GENDER: F
PROVIDER #: 299095
NPI #: 1154634376
SSM ST JOSEPH HC PHYS
BILLING
300 FIRST CAPITOL DRIVE
ST CHARLES, MO 63301-2844
PHONE: (314) 344-7280
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST CHARLES, MO
ST LOUIS, MO
NISAR, NUZHAT, MD
GENDER: F
PROVIDER #: 116627
NPI #: 1790730554
SSM ST JOSEPH HOSP WEST
PHYS BILLING
300 FIRST CAPITOL DR
ST CHARLES, MO 63301-2844
PHONE: (636) 947-5000
E-PRESCRIBE: NO
WASHINGTON, MEGAN L.,
DO
GENDER: F
PROVIDER #: 269035
NPI #: 1144541970
SSM ST JOSEPH HC PHYS
BILLING
300 FIRST CAPITOL DRIVE
ST CHARLES, MO 63301-2844
PHONE: (636) 947-5000
E-PRESCRIBE: NO
WUCA-NORTHWEST
PEDIATRICS LLC
GENDER:
PROVIDER #: 293499
NPI #: 1083954861
11 GARVEY PKWY
ST CHARLES, MO 63303
PHONE:
E-PRESCRIBE: NO
ST CLAIR, MO
FAMILY PRACTICE
DOUCETTE, EMILY, MD
GENDER: F
PROVIDER #: 292489
NPI #: 1487940078
SSM ST MARYS HEALTH
CENTER
6420 CLAYTON RD
ST CLAIR, MO 63117
PHONE: (314) 977-4700
E-PRESCRIBE: NO
Primary Care Physicians
GEBAUER, SARAH C., MD
GENDER: F
PROVIDER #: 298837
NPI #: 1225392087
FAMILY & COMMUNITY
MEDICINE
6420 CLAYTON ROAD
ST CLAIR, MO 63117
PHONE: (314) 977-4700
E-PRESCRIBE: NO
ST ELMO, IL
FAMILY PRACTICE
SKOW, GLENN A., MD
GENDER: M
PROVIDER #: 224840
NPI #: 1396987053
CONFIDENCE MEDICAL ST
ELMO
428 N MAIN PO BOX 94
ST ELMO, IL 62458
PHONE:
E-PRESCRIBE: YES
ST LOUIS, MO
ADOLESCENT MEDICINE
CORNELIUS, VICTORIA E.,
MD
GENDER: F
PROVIDER #: 074611
NPI #: 1609885607
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
DUNSTAN-BRADY,
MARIANNE, MD
GENDER: F
PROVIDER #: 074646
NPI #: 1528163706
HOGAN STREET REGIONAL
YOUTH CENTER
1839 HOGAN STREET
ST LOUIS, MO 63106
PHONE: (314) 340-7434
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-6406
E-PRESCRIBE: NO
ST LOUIS COUNTY DIVISION
OF YOUTH SERVICES
13298 BELLEFONTAINE
ROAD
ST LOUIS, MO 63138
PHONE: (314) 355-8088
E-PRESCRIBE: NO
HOMMELSON, TARA, NP
GENDER: F
PROVIDER #: 292715
NPI #: 1477982098
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD 1ST
FLOOR
ST LOUIS, MO 63104
PHONE: (314) 268-4010
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
363
Primary Care Physicians
ADULT/INTERNAL
MEDICINE
ABATE, GETAHUN, MD
GENDER: M
PROVIDER #: 230696
NPI #: 1881885044
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 977-9050
E-PRESCRIBE: NO
ABU AL RUB, FADEE, MD
GENDER: M
PROVIDER #: 291241
NPI #: 1790992675
CH HOSPITALISTS
#2427 11133 DUNN RD
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
ADAM, MOHAMAD, MD
GENDER: M
PROVIDER #: 291207
NPI #: 1114231297
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
AHMAD, BAZGHA I., DO
GENDER: F
PROVIDER #: 265109
NPI #: 1841517158
MBMC HOSPITALISTS
3015 NORTH BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
364
ALBERT, STEWART, MD
GENDER: M
PROVIDER #: 074610
NPI #: 1417967969
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6157
E-PRESCRIBE: NO
ALDERSON, LISA J., MD
GENDER: F
PROVIDER #: 191827
NPI #: 1538102561
SAINT LOUIS UNIVERSITY
HOSPITAL
3635 VISTA AVE AT GRAND
BLVD
ST LOUIS, MO 63110
PHONE: (314) 577-8894
E-PRESCRIBE: NO
UNIVERSITY TOWER
1034 S BRENTWOOD BLVD
SUITE 1120
ST LOUIS, MO 63117
PHONE: (314) 977-4663
E-PRESCRIBE: NO
ALI, MOHAMED A., MD
GENDER: M
PROVIDER #: 291227
NPI #: 1285607135
2880 NETHERTON
ST LOUIS, MO 63136
PHONE: (314) 355-5300
E-PRESCRIBE: NO
ATLURI, RAMA B., MD
GENDER: F
PROVIDER #: 074667
NPI #: 1063507531
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY
ROAD SUITE 205
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
ST LOUIS, MO
ST LOUIS, MO
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 203
ST LOUIS, MO 63110
PHONE: (314) 977-6070
E-PRESCRIBE: NO
UNIVERSITY TOWER
1034 S BRENTWOOD BLVD
SUITE 1120
ST LOUIS, MO 63117
PHONE: (314) 977-4663
E-PRESCRIBE: NO
AUSTIN, KAREN L., MD
GENDER: F
PROVIDER #: 291406
NPI #: 1649398926
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
AZHARUDDIN, MUHAMMAD,
MD
GENDER: M
PROVIDER #: 294003
NPI #: 1851490460
SAINT LOUIS UNIVERSITY
HOSPITAL
3635 VISTA AVE AT GRAND
BLVD
ST LOUIS, MO 63110
PHONE: (314) 577-8000
E-PRESCRIBE: NO
BACON, BRUCE R., MD
GENDER: M
PROVIDER #: 074658
NPI #: 1083622963
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
BAIG, KAMRAN A., MD
GENDER: M
PROVIDER #: 291448
NPI #: 1285711747
CH HOSPITALISTS
11133 DUNN RD
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
BAIG, SOPHIA, MD
GENDER: F
PROVIDER #: 265328
NPI #: 1598081432
MBMC HOSPITALISTS
3015 NORTH BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
BAKANAS, ERIN, MD
GENDER: F
PROVIDER #: 074663
NPI #: 1043229974
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 577-6100
E-PRESCRIBE: NO
BAN, DAVID J., MD
GENDER: M
PROVIDER #: 291403
NPI #: 1245349380
INTERNAL MEDICINE
SPECIALISTS
#387C 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5900
E-PRESCRIBE: NO
Primary Care Physicians
BASTANI, BAHAR, MD
GENDER: M
PROVIDER #: 074678
NPI #: 1326059957
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
BESHAH, LEALEM T., MD
GENDER: M
PROVIDER #: 287448
NPI #: 1427144450
CH HOSPITALISTS
11133 DUNN RD #2427
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
BHATTACHARYYA, ANJAN,
MD
GENDER: M
PROVIDER #: 149650
NPI #: 1134193162
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
WULLER HALL
3711 W PINE MALL 2ND
FLOOR
ST LOUIS, MO 63108
PHONE: (314) 977-8255
E-PRESCRIBE: NO
BORTS, MICHAEL, MD
GENDER: M
PROVIDER #: 074699
NPI #: 1912991753
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 977-9050
E-PRESCRIBE: NO
BOUREY, RAYMOND E., MD
GENDER: M
PROVIDER #: 277677
NPI #: 1982607578
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY
ROAD SUITE 211
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6157
E-PRESCRIBE: NO
SALUS CENTER
3545 LAFAYETTE AVE
ST LOUIS, MO 63104
PHONE: (314) 977-5337
E-PRESCRIBE: NO
BRODY, ARNOLD, MD
GENDER: M
PROVIDER #: 293959
NPI #: 1396706867
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6157
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
365
Primary Care Physicians
BROWN, DAVID J., MD
GENDER: M
PROVIDER #: 218064
NPI #: 1861433195
BARNES WEST MEDICAL
CONSULTANTS
969 MASON RD #160
ST LOUIS, MO 63141
PHONE: (314) 996-3434
E-PRESCRIBE: NO
CHAITMAN, BERNARD, MD
GENDER: M
PROVIDER #: 074748
NPI #: 1326056292
UNIVERSITY TOWER
1034 S BRENTWOOD BLVD
SUITE 1120
ST LOUIS, MO 63117
PHONE: (314) 977-4663
E-PRESCRIBE: NO
BUCKHOLD, FRED R., MD
GENDER: M
PROVIDER #: 180082
NPI #: 1417147588
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 206/207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
CHOKSI-YALAMANCHILI,
HIRAL, MD
GENDER: F
PROVIDER #: 146419
NPI #: 1235333477
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206
AND 207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
CAYABYAB-LOE, LILIBETH
M., MD
GENDER: F
PROVIDER #: 291418
NPI #: 1578672614
INTERNAL MEDICINE
SPECIALISTS
#387C 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5900
E-PRESCRIBE: NO
CHACKO, SONIA M., MD
GENDER: F
PROVIDER #: 184603
NPI #: 1497951008
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY RD
STE 211
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 206/207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
366
CORDER, JAMES C., MD
GENDER: M
PROVIDER #: 274241
NPI #: 1184698987
WEST COUNTY MEDICAL
ASSOCIATES
3009 N BALLAS RD #359C
ST LOUIS, MO 63131
PHONE: (314) 996-4545
E-PRESCRIBE: NO
CORNELIUS, VICTORIA E.,
MD
GENDER: F
PROVIDER #: 074611
NPI #: 1609885607
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
ST LOUIS, MO
ST LOUIS, MO
COSTELLO, JOHN B., MD
GENDER: M
PROVIDER #: 291446
NPI #: 1417062563
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
COULSON, KATHRYN A., MD
GENDER: F
PROVIDER #: 130212
NPI #: 1417160185
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 203
ST LOUIS, MO 63110
PHONE: (314) 977-6070
E-PRESCRIBE: NO
COVENEY, KIMBERLY A., MD
GENDER: F
PROVIDER #: 291420
NPI #: 1770801995
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
CRUZ OLIVER, DULCE M., MD
GENDER: F
PROVIDER #: 180081
NPI #: 1447453691
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6055
E-PRESCRIBE: NO
DELANEY, NANCY Z., MD
GENDER: F
PROVIDER #: 074628
NPI #: 1083623888
STUDENT HEALTH
3518 LACLEDE AVE
ST LOUIS, MO 63103
PHONE: (314) 977-2323
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
DESAI, PRIYAL R., MD
GENDER: F
PROVIDER #: 290922
NPI #: 1144513235
ASSOCIATED INTERNISTS
#227A 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-7800
E-PRESCRIBE: NO
DIBBLE, JUDITH A., MD
GENDER: F
PROVIDER #: 247088
NPI #: 1972529972
RHEUMATOLOGY &
INTERNAL MEDICINE
ASSOCIATES
3023 N BALLAS RD #500D
ST LOUIS, MO 63131
PHONE: (314) 996-7930
E-PRESCRIBE: NO
DIBISCEGLIE, ADRIAN M., MD
GENDER: M
PROVIDER #: 074633
NPI #: 1144244930
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
SALUS CENTER
3545 LAFAYETTE AVE
ST LOUIS, MO 63104
PHONE: (314) 977-9400
E-PRESCRIBE: NO
DYKEWICZ, MARK S., MD
GENDER: M
PROVIDER #: 074666
NPI #: 1518971092
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 977-9050
E-PRESCRIBE: NO
Primary Care Physicians
EDWARDS, JOHN, MD
GENDER: M
PROVIDER #: 074675
NPI #: 1972531861
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
EGGEBRECHT, RUSSELL E.,
MD
GENDER: M
PROVIDER #: 291224
NPI #: 1275551194
OVERLAND MEDICAL
GROUP
8888 LADUE RD #210
ST LOUIS, MO 63124
PHONE: (314) 862-5044
E-PRESCRIBE: NO
EIDELMAN, ZAMIR, MD
GENDER: M
PROVIDER #: 291392
NPI #: 1194806497
INTERNAL MED
SPECIALISTS
#387C 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5900
E-PRESCRIBE: NO
ELLENA, JOHN T., MD
GENDER: M
PROVIDER #: 075513
NPI #: 1487767240
BARNES WEST MEDICAL
CONSULTANTS
969 MASON RD #160
ST LOUIS, MO 63141
PHONE: (314) 996-3434
E-PRESCRIBE: NO
ESPIRITU, JOSEPH R., MD
GENDER: M
PROVIDER #: 077534
NPI #: 1578650362
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY RD
STE 205
ST LOUIS, MO 63122
PHONE: (314) 977-5337
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 202
ST LOUIS, MO 63110
PHONE: (314) 977-6190
E-PRESCRIBE: NO
SALUS CENTER
3545 LAFAYETTE AVE
ST LOUIS, MO 63104
PHONE: (314) 977-9600
E-PRESCRIBE: NO
FERREIRA, SCOTT, MD
GENDER: M
PROVIDER #: 204552
NPI #: 1134221393
SAINT LOUIS UNIVERSITY
HOSPITAL
3635 VISTA AVE AT GRAND
BLVD
ST LOUIS, MO 63110
PHONE: (314) 577-8860
E-PRESCRIBE: NO
UNIVERSITY TOWER
1034 S BRENTWOOD BLVD
SUITE 1120
ST LOUIS, MO 63117
PHONE: (314) 977-4663
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
367
Primary Care Physicians
FESLER, MARK J., MD
GENDER: M
PROVIDER #: 178902
NPI #: 1235204066
WEST PAVILION
3655 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 577-6056
E-PRESCRIBE: NO
FLAHERTY, JOSEPH H., MD
GENDER: M
PROVIDER #: 074695
NPI #: 1710995568
DES PERES HOSPITAL
2345 DOUGHERTY FERRY RD
STE 420
ST LOUIS, MO 63122
PHONE: (314) 966-9313
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6055
E-PRESCRIBE: NO
FLURY, KIRK E., MD
GENDER: M
PROVIDER #: 158752
NPI #: 1467450577
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY RD
STE 205
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
FORSBERG, MICHAEL J., MD
GENDER: M
PROVIDER #: 130222
NPI #: 1518047406
DOCTORS OFFICE BUILDING
3660 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 577-8860
E-PRESCRIBE: NO
368
FOSKO, SCOTT, MD
GENDER: M
PROVIDER #: 074811
NPI #: 1598782476
ANHEUSER-BUSCH
INSTITUTE
1755 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 256-3400
E-PRESCRIBE: NO
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY
ROAD SUITE 200
ST LOUIS, MO 63122
PHONE: (314) 977-9721
E-PRESCRIBE: NO
ST LOUIS, MO
ST LOUIS, MO
FUNG, PHILIP, MD
GENDER: M
PROVIDER #: 292499
NPI #: 1275795593
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 206/207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
GAMMACK, JULIE K., MD
GENDER: F
PROVIDER #: 086459
NPI #: 1518975366
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6055
E-PRESCRIBE: NO
FREIE, JORDAN A., MD
GENDER: M
PROVIDER #: 270795
NPI #: 1366592925
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
GEORGE, SARAH L., MD
GENDER: F
PROVIDER #: 084947
NPI #: 1215994975
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 977-9050
E-PRESCRIBE: NO
FREY, SHARON, MD
GENDER: F
PROVIDER #: 074813
NPI #: 1356359228
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 977-9050
E-PRESCRIBE: NO
GIACAMAN, MIKE H., MD
GENDER: M
PROVIDER #: 074702
NPI #: 1770625311
DOCTORS OFFICE BUILDING
3660 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
FULLER, MICHAEL P., MD
GENDER: M
PROVIDER #: 042804
NPI #: 1194732842
ASSOCIATED INTERNISTS
#227A 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-7800
E-PRESCRIBE: NO
GOGIA, NAMRITA, MD
GENDER: F
PROVIDER #: 290920
NPI #: 1982995825
ASSOCIATED INTERNISTS
#227A 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-7800
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
GOLDSTEIN, BENJAMIN M.,
MD
GENDER: M
PROVIDER #: 291226
NPI #: 1811919228
OVERLAND MEDICAL
GROUP
8888 LADUE RD #210
ST LOUIS, MO 63124
PHONE: (314) 862-5044
E-PRESCRIBE: NO
GORSE, GEOFFREY, MD
GENDER: M
PROVIDER #: 074720
NPI #: 1285647115
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 977-9050
E-PRESCRIBE: NO
GOYAL, SAGUN D., MD
GENDER: F
PROVIDER #: 284855
NPI #: 1316032741
WEST PAVILION
3655 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 577-6056
E-PRESCRIBE: NO
GRAHAM, IRENE L., MD
GENDER: F
PROVIDER #: 078697
NPI #: 1538177407
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 977-9050
E-PRESCRIBE: NO
GULER, AHMET B., MD
GENDER: M
PROVIDER #: 201152
NPI #: 1790738664
CH HOSPITALISTS
#2427 11133 DUNN RD
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
Primary Care Physicians
GUPTA, DEEPASHREE, MD
GENDER: F
PROVIDER #: 240137
NPI #: 1679773253
DES PERES HOSPITAL
2345 DOUGHERTY FERRY
ROAD SUITE 420
ST LOUIS, MO 63122
PHONE: (314) 966-9313
E-PRESCRIBE: NO
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY
ROAD SUITE 211
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6055
E-PRESCRIBE: NO
HAMMAMI, MUHAMMAD, MD
GENDER: M
PROVIDER #: 292502
NPI #: 1073801809
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 206/207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
HAMMER, STEPHANIE M., MD
GENDER: F
PROVIDER #: 290927
NPI #: 1023025780
ASSOCIATED INTERNISTS
#227A 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-7800
E-PRESCRIBE: NO
HART, STEVEN P., MD
GENDER: M
PROVIDER #: 176695
NPI #: 1891821997
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
HARTOG, NICHOLAS L., MD
GENDER: M
PROVIDER #: 291436
NPI #: 1669766325
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
HEANEY, ROBERT M., MD
GENDER: M
PROVIDER #: 074767
NPI #: 1831100684
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 206/207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
HERMANN, CATHERINE A.,
MD
GENDER: F
PROVIDER #: 196130
NPI #: 1437268596
ASSOCIATED INTERNISTS
#227A 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-7800
E-PRESCRIBE: NO
HOFFMAN, JOHN L., MD
GENDER: M
PROVIDER #: 184450
NPI #: 1871604520
CENTRAL MEDICAL GROUP
#14A 4921 PARKVIEW PL
ST LOUIS, MO 63110
PHONE: (314) 454-8778
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
369
Primary Care Physicians
HOFT, DANIEL, MD
GENDER: M
PROVIDER #: 074778
NPI #: 1730197617
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 977-9050
E-PRESCRIBE: NO
JAIN, ANSHU, MD
GENDER: F
PROVIDER #: 226719
NPI #: 1588820468
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
HRONEK, BRETT W., MD
GENDER: M
PROVIDER #: 291203
NPI #: 1275791568
CH HOSPITALISTS
11133 DUNN RD #2427
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
JALLAD, BASSEL, MD
GENDER: M
PROVIDER #: 293983
NPI #: 1124282306
WEST PAVILION
3655 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 577-6056
E-PRESCRIBE: NO
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
ISSA, DANY, MD
GENDER: M
PROVIDER #: 293809
NPI #: 1578536116
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 977-6000
E-PRESCRIBE: NO
JACHNA, CAROLYN M., MD
GENDER: F
PROVIDER #: 168385
NPI #: 1558378216
ASSOCIATED INTERNISTS
#227A 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-7800
E-PRESCRIBE: NO
370
JAMKHANA, ZAFAR, MD
GENDER: M
PROVIDER #: 225195
NPI #: 1316170111
DOCTORS OFFICE BUILDING
3660 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 977-6190
E-PRESCRIBE: NO
KAEHER, ELLEN W., MD
GENDER: F
PROVIDER #: 297995
NPI #: 1336433432
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6055
E-PRESCRIBE: NO
KAMAT, VINAY F., MD
GENDER: M
PROVIDER #: 204039
NPI #: 1760522916
BARNES WEST MEDICAL
CONSULTANTS
969 MASON RD #160
ST LOUIS, MO 63141
PHONE: (314) 996-3434
E-PRESCRIBE: NO
ST LOUIS, MO
ST LOUIS, MO
KANE, MICHELLE A., MD
GENDER: F
PROVIDER #: 103933
NPI #: 1659480689
INTERNAL MEDICINE
SPECIALISTS
#387C 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5900
E-PRESCRIBE: NO
KARCHES, KYLE E., MD
GENDER: M
PROVIDER #: 298006
NPI #: 1649533845
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
KASIREDDY, RAVICHANDRA
R., MD
GENDER: M
PROVIDER #: 291408
NPI #: 1053512418
CH HOSPITALISTS
11133 DUNN RD
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
KASWAN, NITIKA, MD
GENDER: F
PROVIDER #: 287451
NPI #: 1609032028
CH HOSPITALISTS
11133 DUNN RD #2427
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
KENNEDY, DONALD, MD
GENDER: M
PROVIDER #: 075157
NPI #: 1063526978
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 977-9050
E-PRESCRIBE: NO
KHANN, MEHREEN B., MD
GENDER: F
PROVIDER #: 284832
NPI #: 1942292420
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
KHOUKAZ, GHASSAN H., MD
GENDER: M
PROVIDER #: 277066
NPI #: 1376526418
CH HOSPITALISTS
#2427 11133 DUNN RD
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
KICHURA, NADREW B., MD
GENDER: M
PROVIDER #: 298012
NPI #: 1265794432
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
KLEIN, ANDREW J., MD
GENDER: M
PROVIDER #: 165878
NPI #: 1366482424
DOCTORS OFFICE BUILDING
3660 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 577-8860
E-PRESCRIBE: NO
Primary Care Physicians
KOHN, HOWARD D., MD
GENDER: M
PROVIDER #: 193304
NPI #: 1053496745
SUNSET HILLS ADULT
MEDICINE
3844 S LINDBERGH BLVD
#210
ST LOUIS, MO 63127
PHONE: (314) 525-0490
E-PRESCRIBE: NO
KORAISHY, FARRUKH, MD
GENDER: M
PROVIDER #: 293843
NPI #: 1336108760
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 977-6000
E-PRESCRIBE: NO
KORNU, KIMBELL, MD
GENDER: M
PROVIDER #: 298102
NPI #: 1265675771
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
LABUNDY, JENNIFER L., MD
GENDER: F
PROVIDER #: 164476
NPI #: 1063615284
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
LENTINE, KRISTA L., MD
GENDER: F
PROVIDER #: 100514
NPI #: 1033223961
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
LIEU, CHARLES H., MD
GENDER: M
PROVIDER #: 164177
NPI #: 1871510396
UNIVERSITY MEDICAL
CONSULTANTS
1110 HIGHLANDS PLZ DR E
#280
ST LOUIS, MO 63110
PHONE: (314) 367-9595
E-PRESCRIBE: YES
LIONBERGER, JACK, MD
GENDER: M
PROVIDER #: 293988
NPI #: 1043325228
WEST PAVILION
3655 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 577-6056
E-PRESCRIBE: NO
LITTLE, MILTA O., DO
GENDER: F
PROVIDER #: 180102
NPI #: 1740409754
DES PERES HOSPITAL
2345 DOUGHERTY FERRY RD
STE 420
ST LOUIS, MO 63122
PHONE: (314) 966-9313
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
371
Primary Care Physicians
LUDWIG, LAUREN M., MD
GENDER: F
PROVIDER #: 291211
NPI #: 1073775052
PGLC
3015 N BALLAS
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
LUSK, RODNEY, MD
GENDER: M
PROVIDER #: 074916
NPI #: 1912008962
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 977-9050
E-PRESCRIBE: NO
LYNCH, CHRISTOPHER R.,
MD
GENDER: M
PROVIDER #: 290946
NPI #: 1568402683
BARNES WEST MEDICAL
CONSULTANTS
#160 969 MASON RD
ST LOUIS, MO 63141
PHONE: (314) 996-3434
E-PRESCRIBE: NO
MAHON, GERALD M., MD
GENDER: M
PROVIDER #: 170223
NPI #: 1154302289
DES PERES HOSPITAL
2345 DOUGHERTY FERRY
ROAD SUITE 420
ST LOUIS, MO 63110
PHONE: (314) 966-9313
E-PRESCRIBE: NO
372
MARTIN, KEVIN, MD
GENDER: M
PROVIDER #: 074925
NPI #: 1235140864
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
MARYLAND MEDICAL
GROUP
GENDER:
PROVIDER #: 293458
NPI #: 1376869255
1110 HIGHLANDS PLZ E 375
ST LOUIS, MO 63110
PHONE: (314) 367-3113
E-PRESCRIBE: NO
MAXWELL, MARILYN A., MD
GENDER: F
PROVIDER #: 074583
NPI #: 1144233164
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
MCGURK, JOHN M., MD
GENDER: M
PROVIDER #: 291411
NPI #: 1255627188
INTERNAL MEDICINE
SPECIALISTS
#387C 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5900
E-PRESCRIBE: NO
ST LOUIS, MO
ST LOUIS, MO
MEHDIRAD, ALI A., MD
GENDER: M
PROVIDER #: 197238
NPI #: 1093770257
SAINT LOUIS UNIVERSITY
HOSPITAL
3635 VISTA AVE AT GRAND
BLVD
ST LOUIS, MO 63110
PHONE: (314) 577-8894
E-PRESCRIBE: NO
UNIVERSITY TOWER
1034 S BRENTWOOD BLVD
SUITE 1120
ST LOUIS, MO 63117
PHONE: (314) 977-4663
E-PRESCRIBE: NO
MENON, RISHI A., MD
GENDER: M
PROVIDER #: 298302
NPI #: 1639375967
UNIVERSITY TOWER
1034 S BRENTWOOD BLVD
ST SUITE 1120
ST LOUIS, MO 63117
PHONE: (314) 977-4663
E-PRESCRIBE: NO
MERANDO, ADAM R., MD
GENDER: M
PROVIDER #: 298311
NPI #: 1790072338
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
MERZA, THISHARA, MD
GENDER: F
PROVIDER #: 273862
NPI #: 1073773347
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
MILLER, CHAD S., MD
GENDER: M
PROVIDER #: 298874
NPI #: 1386866333
GENERAL INTERNAL
MEDICINE
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
MOINUDDIN, MASARRATH J.,
MD
GENDER: F
PROVIDER #: 287443
NPI #: 1851596209
UNIVERSITY TOWER
1034 S BRENTWOOD BLVD
SUITE 1120
ST LOUIS, MO 63117
PHONE: (314) 977-4663
E-PRESCRIBE: NO
MOORE, TERRY L., MD
GENDER: M
PROVIDER #: 074959
NPI #: 1114014867
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 203
ST LOUIS, MO 63110
PHONE: (314) 977-6070
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 267-4010
E-PRESCRIBE: NO
MORLEY, JOHN E., MD
GENDER: M
PROVIDER #: 074960
NPI #: 1851302418
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6055
E-PRESCRIBE: NO
Primary Care Physicians
MORRIS, DONALD G., MD
GENDER: M
PROVIDER #: 210990
NPI #: 1760591705
INTERNAL MEDICINE
SPECIALISTS
#387C 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5900
E-PRESCRIBE: NO
MOYER, GENEVIEVE, MD
GENDER: F
PROVIDER #: 292449
NPI #: 1881972800
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 206/207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
MUETH, MELANIE R., MD
GENDER: F
PROVIDER #: 291223
NPI #: 1053384917
CH HOSPITALISTS
11133 DUNN RD #2427
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
PALLIATIVE CARE
11155 DUNN RD #300N
ST LOUIS, MO 63136
PHONE: (314) 653-5737
E-PRESCRIBE: NO
NASEERUDDIN, MUHAMMAD,
MD
GENDER: M
PROVIDER #: 275429
NPI #: 1194849224
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
NAYAK, RAVI P., MD
GENDER: M
PROVIDER #: 099897
NPI #: 1689789026
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY RD
STE 205
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 202
ST LOUIS, MO 63110
PHONE: (314) 977-9600
E-PRESCRIBE: NO
NAYDENOV, SOOPHIA, MD
GENDER: F
PROVIDER #: 270322
NPI #: 1558562900
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 202
ST LOUIS, MO 63110
PHONE: (314) 977-6190
E-PRESCRIBE: NO
NEUMAYR, ROBERT H., MD
GENDER: M
PROVIDER #: 180321
NPI #: 1316924681
UNIVERSITY TOWER
1034 S BRENTWOOD BLVD
SUITE 1120
ST LOUIS, MO 63117
PHONE: (314) 977-4663
E-PRESCRIBE: NO
NORFLEET, TRACY W., MD
GENDER: F
PROVIDER #: 247342
NPI #: 1487680377
CENTRAL MEDICAL GROUP
#14A 4921 PARKVIEW PL
ST LOUIS, MO 63110
PHONE: (314) 454-8778
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
373
Primary Care Physicians
OLSEN, THOMAS J., MD
GENDER: M
PROVIDER #: 075001
NPI #: 1235142274
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY
ROAD SUITE 211
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
OMRAN, MOHHAMED L., MD
GENDER: M
PROVIDER #: 075002
NPI #: 1861592925
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY
ROAD SUITE 205
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
PANTELIS, JOSEPH A., MD
GENDER: M
PROVIDER #: 291447
NPI #: 1700097128
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
374
ST LOUIS, MO
ST LOUIS, MO
PATEL, MITESH B., MD
GENDER: M
PROVIDER #: 298349
NPI #: 1336401942
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
PETZCHEN, MARCELLA, NP
GENDER: F
PROVIDER #: 075014
NPI #: 1255393716
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
PATEL, NIRAV H., MD
GENDER: M
PROVIDER #: 238492
NPI #: 1720290273
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 977-9050
E-PRESCRIBE: NO
PHATAK, RAHUL S., MD
GENDER: M
PROVIDER #: 169452
NPI #: 1124086038
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
PATNEY, VIKRAM, MD
GENDER: M
PROVIDER #: 291276
NPI #: 1699744235
CH HOSPITALISTS
#2427 11133 DUNN RD
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
PHILIPNERI, MARIE, MD
GENDER: F
PROVIDER #: 075016
NPI #: 1144231770
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
MBMB HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
PERRY, HORACE, MD
GENDER: M
PROVIDER #: 075010
NPI #: 1245317510
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6055
E-PRESCRIBE: NO
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 762-0089
E-PRESCRIBE: NO
PINCUS, STEVEN M., MD
GENDER: M
PROVIDER #: 075021
NPI #: 1063420933
WEST PAVILION
3655 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 577-6056
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
PODDAR, NISHANT, MD
GENDER: M
PROVIDER #: 261586
NPI #: 1124387675
WEST PAVILION
3655 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 577-6056
E-PRESCRIBE: NO
POGUE, DOUGLAS H., MD
GENDER: M
PROVIDER #: 111960
NPI #: 1326055070
ASSOCIATED INTERNISTS
#227A 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-7800
E-PRESCRIBE: NO
PORTER, NORA L., MD
GENDER: F
PROVIDER #: 075026
NPI #: 1255344313
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 997-6100
E-PRESCRIBE: NO
PRABLEK, DIANA, MD
GENDER: F
PROVIDER #: 292475
NPI #: 1588689541
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY RD
STE 211
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 206/207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
Primary Care Physicians
PRATHER, CHARLENE, MD
GENDER: F
PROVIDER #: 075029
NPI #: 1043228927
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
SALUS CENTER
3545 LAFAYETTE AVE
ST LOUIS, MO 63104
PHONE: (314) 977-9400
E-PRESCRIBE: NO
RAO, SAVITHA V., MD
GENDER: F
PROVIDER #: 291257
NPI #: 1992989370
CH HOSPITALISTS
#2427 11133 DUNN RD
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
RAO, SEEMA M., MD
GENDER: F
PROVIDER #: 290923
NPI #: 1770711913
ASSOCIATED INTERNISTS
#227A 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-7800
E-PRESCRIBE: NO
RAYANI, ANITHA, MD
GENDER: F
PROVIDER #: 189089
NPI #: 1952506875
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
REDDY, ARHAANTH D., MD
GENDER: M
PROVIDER #: 291405
NPI #: 1124313283
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
REIKER, MARGARET W., MD
GENDER: F
PROVIDER #: 291423
NPI #: 1902915853
INTERNAL MEDICINE
SPECIA
#387C 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5900
E-PRESCRIBE: NO
REUTER, MATTHEW D., MD
GENDER: M
PROVIDER #: 186803
NPI #: 1588874820
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
RICE, TIMOTHY D., MD
GENDER: M
PROVIDER #: 075181
NPI #: 1417058280
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
375
Primary Care Physicians
RICHART, JOHN M., MD
GENDER: M
PROVIDER #: 075182
NPI #: 1659480242
WEST PAVILION
3655 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 577-6056
E-PRESCRIBE: NO
ROBINSON-MITCHELL,
ERICA, MD
GENDER: F
PROVIDER #: 292474
NPI #: 1629366521
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 206/207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
RODIN, MIRIAM B., MD, PHD
GENDER: F
PROVIDER #: 137563
NPI #: 1154484673
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6055
E-PRESCRIBE: NO
SAGGAR, SONNY, MD
GENDER: M
PROVIDER #: 292566
NPI #: 1578596235
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 206/207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
SAKURAI, KAORI A., MD
GENDER: F
PROVIDER #: 291390
NPI #: 1225119530
INTERNAL MED
SPECIALISTS
#387C 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5900
E-PRESCRIBE: NO
376
SANFORD, ANGELA M., MD
GENDER: F
PROVIDER #: 280290
NPI #: 1710115290
DES PERES HOSPITAL
2345 DOUGHERTY FERRY RD
STE 420
ST LOUIS, MO 63122
PHONE: (314) 966-9313
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6055
E-PRESCRIBE: NO
SANTOSH, SADASHIV, MD
GENDER: M
PROVIDER #: 283994
NPI #: 1366653891
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 202
ST LOUIS, MO 63110
PHONE: (314) 977-6190
E-PRESCRIBE: NO
SARATHI, ANITA A., MD
GENDER: F
PROVIDER #: 290824
NPI #: 1548497258
BHC PHYSICIAN SERVICES
LLC
4414 N FLORISSANT AVE
ST LOUIS, MO 63107-1812
PHONE: (314) 814-8515
E-PRESCRIBE: NO
SCHEIN, RAPHAEL T., MD
GENDER: M
PROVIDER #: 190313
NPI #: 1083791529
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
ST LOUIS, MO
ST LOUIS, MO
SCHMITZ, PAUL, MD
GENDER: M
PROVIDER #: 075197
NPI #: 1457304651
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 202
ST LOUIS, MO 63110
PHONE: (314) 977-6190
E-PRESCRIBE: NO
3660 VISTA AVE STE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
SCHOCKETT, ERICA R., MD
GENDER: F
PROVIDER #: 196523
NPI #: 1114082096
UNIVERSITY MEDICAL
CONSULTANTS
1110 HIGHLANDS PLZ DR E
#280
ST LOUIS, MO 63110
PHONE: (314) 367-9595
E-PRESCRIBE: NO
SCHROEDER, KATIE, MD
GENDER: F
PROVIDER #: 286268
NPI #: 1487818001
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY
ROAD SUITE 205
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
SHETTY, VILAAS, MD
GENDER: M
PROVIDER #: 221954
NPI #: 1164577540
ANHEUSER-BUSCH
INSTITUTE
1755 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-8642
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 977-6025
E-PRESCRIBE: NO
SAINT LOUIS UNIVERSITY
HOSPITAL
3635 VISTA AVE AT GRAND
BLVD
ST LOUIS, MO 63110
PHONE: (314) 577-8022
E-PRESCRIBE: NO
WEST PAVILION
3655 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 577-8022
E-PRESCRIBE: NO
SHIEH, STEPHANIE, MD
GENDER: F
PROVIDER #: 293804
NPI #: 1760611289
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 977-6000
E-PRESCRIBE: NO
SIEGEL, CRAIG S., MD
GENDER: M
PROVIDER #: 291441
NPI #: 1295812733
CH HOSPITALISTS
11133 DUNN RD
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
Primary Care Physicians
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
SILVERBERG, ALAN, MD
GENDER: M
PROVIDER #: 075205
NPI #: 1972511848
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY
ROAD SUITE 211
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 204
ST LOUIS, MO 63110
PHONE: (314) 977-4663
E-PRESCRIBE: NO
SLAVIN, RAYMOND, MD
GENDER: M
PROVIDER #: 075207
NPI #: 1780694877
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 977-9050
E-PRESCRIBE: NO
SOKOL-ANDERSON,
MARCIA, MD
GENDER: F
PROVIDER #: 075210
NPI #: 1811905797
DRUMMOND HALL
3691 RUTGER HALL
ST LOUIS, MO 63110
PHONE: (314) 977-9050
E-PRESCRIBE: NO
TADI, RAVIKANTH R., MD
GENDER: M
PROVIDER #: 291248
NPI #: 1275823635
CH HOSPITALISTS
#2427 11133 DUNN RD
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
TAYLOR, JASON R., MD
GENDER: M
PROVIDER #: 204984
NPI #: 1972623536
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
TEMPRANO, KATHERINE K.,
MD
GENDER: F
PROVIDER #: 170221
NPI #: 1629082599
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY RD
STE 205
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 203
ST LOUIS, MO 63110
PHONE: (314) 977-6070
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
377
Primary Care Physicians
TERRELL, WANDA T., MD
GENDER: F
PROVIDER #: 205872
NPI #: 1558391938
WEST END INTERNAL
MEDICINE PARTNERS
1110 HIGHLANDS PLZ DR E
#280
ST LOUIS, MO 63110
PHONE: (314) 367-2766
E-PRESCRIBE: NO
TETRI, BRENT A., MD
GENDER: M
PROVIDER #: 075239
NPI #: 1699783563
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY
ROAD SUITE 205
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
SALUS CENTER
3545 LAFAYETTE AVE
ST LOUIS, MO 63104
PHONE: (314) 977-9400
E-PRESCRIBE: NO
THOMAS, THEODORE S., MD
GENDER: M
PROVIDER #: 259439
NPI #: 1326359837
MBMC HOSPITALISTS
3015 NORTH BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
378
ST LOUIS, MO
ST LOUIS, MO
TU, YIFAN, MD
GENDER: F
PROVIDER #: 279043
NPI #: 1447405899
WEST PAVILION
3655 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 577-6056
E-PRESCRIBE: NO
VOSS, BENJAMIN A., MD
GENDER: M
PROVIDER #: 230267
NPI #: 1053517656
ASSOCIATED INTERNISTS
#227A 3009 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-7800
E-PRESCRIBE: NO
VO, THANH-MAI N., MD
GENDER: F
PROVIDER #: 283038
NPI #: 1235367160
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 202
ST LOUIS, MO 63110
PHONE: (314) 977-6190
E-PRESCRIBE: NO
3660 VISTA AVE STE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 977-6000
E-PRESCRIBE: NO
WALDEN, HENRY D., MD
GENDER: M
PROVIDER #: 075304
NPI #: 1275546285
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
DRUMMOND HALL
3691 RUTGER AVE
ST LOUIS, MO 63110
PHONE: (314) 762-0089
E-PRESCRIBE: NO
VOINESCU, ALEXANDRA I.,
MD
GENDER: M
PROVIDER #: 137575
NPI #: 1912018870
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 302 &
308
ST LOUIS, MO 63110
PHONE: (314) 577-6000
E-PRESCRIBE: NO
WILL, KERRY C., MD
GENDER: F
PROVIDER #: 291401
NPI #: 1366643884
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
WILLIAMS, NANCY J., MD
GENDER: F
PROVIDER #: 184995
NPI #: 1982637302
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
WUCA - SKOR BERK AND
DANIELS
GENDER:
PROVIDER #: 293383
NPI #: 1437188133
4921 PARKVIEW PLACE 13A
ST LOUIS, MO 63110-1032
PHONE: (314) 333-4100
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
WUCA-GRANT MEDICAL
GENDER:
PROVIDER #: 293497
NPI #: 1669405544
114 N TAYLOR AVE
ST LOUIS, MO 63105
PHONE:
E-PRESCRIBE: NO
YAP, FREDERICK Y., MD
GENDER: M
PROVIDER #: 172507
NPI #: 1780601732
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6055
E-PRESCRIBE: NO
Primary Care Physicians
BRODY, ARNOLD, MD
GENDER: M
PROVIDER #: 293959
NPI #: 1396706867
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 204
ST LOUIS, MO 63110
PHONE: (314) 977-6157
E-PRESCRIBE: NO
FAMILY PRACTICE
DAVIS, DAWN M., MD
GENDER: F
PROVIDER #: 298815
NPI #: 1437307782
FAMILY & COMMUNITY
MEDICINE
3660 VISTA AVE SUITE 103
ST LOUIS, MO 63110
PHONE: (314) 977-4700
E-PRESCRIBE: NO
BONDALAPATI, NAVEEN K.,
MD
GENDER: M
PROVIDER #: 275249
NPI #: 1104147214
CH HOSPITALISTS
11133 DUNN RD #2427
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
GARDINER, GENA M., MD
GENDER: F
PROVIDER #: 201808
NPI #: 1699702472
FAMILY CARE AT
CHRISTIAN HOSPITAL
#406 11125 DUNN RD
ST LOUIS, MO 63136
PHONE: (314) 653-5484
E-PRESCRIBE: NO
BREEDEN, MATTHEW, MD
GENDER: M
PROVIDER #: 297914
NPI #: 1184982084
UNIVERSITY TOWER
1034 S BRENTWOOD BLVD
ST SUITE 1120
ST LOUIS, MO 63117
PHONE: (314) 977-4440
E-PRESCRIBE: NO
HOOKS-ANDERSON, DENISE
R., MD
GENDER: F
PROVIDER #: 215478
NPI #: 1417931056
UNIVERSITY TOWER
1034 S BRENTWOOD BLVD
STE 1120
ST LOUIS, MO 63117
PHONE: (314) 977-4440
E-PRESCRIBE: NO
KNAPP-BAKER, PAULA J.,
DO
GENDER: F
PROVIDER #: 189701
NPI #: 1528167145
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
LITTLE, TONYA, MD
GENDER: F
PROVIDER #: 292473
NPI #: 1811965619
SSM ST MARYS HEALTH
CENTER
6420 CLAYTON RD
ST LOUIS, MO 63117
PHONE: (314) 977-4440
E-PRESCRIBE: NO
LUEKING, MELISSA J., MD
GENDER: F
PROVIDER #: 291246
NPI #: 1043454812
CH HOSPITALISTS
#2427 11133 DUNN RD
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
MBMB HOSPITALISTS
3015 N BALLAS
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
MANARD, WILLIAM T., MD
GENDER: M
PROVIDER #: 172524
NPI #: 1912927534
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 103
ST LOUIS, MO 63110
PHONE: (314) 977-4700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
379
Primary Care Physicians
MEHRA, SUWAN, MD
GENDER: M
PROVIDER #: 255943
NPI #: 1396948659
SSM ST MARY'S HEALTH
CENTER 1031 BELLEVUE
MED BLDG
1031 BELLEVUE AVE STE 400
ST LOUIS, MO 63117
PHONE: (314) 744-7455
E-PRESCRIBE: NO
TRIVEDI, RUPAL, MD
GENDER: F
PROVIDER #: 218697
NPI #: 1265635502
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 103
ST LOUIS, MO 63110
PHONE: (314) 977-4440
E-PRESCRIBE: NO
MITCHELL, WILLIAM A., MD
GENDER: M
PROVIDER #: 137572
NPI #: 1497958508
ANHEUSER-BUSCH
INSTITUTE
1755 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 256-3850
E-PRESCRIBE: NO
TUCKER, JANE L., MD
GENDER: F
PROVIDER #: 275073
NPI #: 1942275045
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY RD
STE 205
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
QUAIZAR, HUZAIFA, MD
GENDER: M
PROVIDER #: 263406
NPI #: 1326334343
CH HOSPITALISTS
#2427 11133 DUNN RD
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
VALERA, REDEL D., MD
GENDER: M
PROVIDER #: 291252
NPI #: 1184880528
CH HOSPITALISTS
#2427 11133 DUNN RD
ST LOUIS, MO 63136
PHONE: (314) 653-5643
E-PRESCRIBE: NO
SCHNEIDER, FRANK D., MD
GENDER: M
PROVIDER #: 155715
NPI #: 1407866908
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY RD
STE 205
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
VERRY, CHRISTIAN, MD
GENDER: M
PROVIDER #: 229154
NPI #: 1063568640
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY
ROAD SUITE 205
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
380
ST LOUIS, MO
ST LOUIS, MO
SSM ST MARYS HEALTH CTR
1027 BELLEVUE MEDICAL
BLDG
1031 BELLEVUE AVE SUITE
208A
ST LOUIS, MO 63117
PHONE: (314) 768-1050
E-PRESCRIBE: NO
UNIVERSITY TOWER
1034 S BRENTWOOD BLVD
SUITE 1120
ST LOUIS, MO 63117
PHONE: (314) 977-4440
E-PRESCRIBE: NO
WESSELS, JENNIFER M., MD
GENDER: F
PROVIDER #: 260103
NPI #: 1437385986
BARNES WEST PRIMARY
CARE
1040 N MASON #102
ST LOUIS, MO 63141
PHONE: (314) 996-3430
E-PRESCRIBE: NO
YOUNUS, SUMERA, MD
GENDER: F
PROVIDER #: 188470
NPI #: 1003962820
MBMC HOSPITALISTS
3015 N BALLAS RD
ST LOUIS, MO 63131
PHONE: (314) 996-5772
E-PRESCRIBE: NO
ZOBERI, KIMBERLY, MD
GENDER: F
PROVIDER #: 075243
NPI #: 1497772388
DES PERES HOSPITAL
(MEDICAL ARTS PAVILION
II)
2315 DOUGHERTY FERRY RD
STE 205
ST LOUIS, MO 63122
PHONE: (314) 977-9600
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
PEDIATRICS
ABDEL-BAKI, MOHAMED S.,
MD
GENDER: M
PROVIDER #: 258522
NPI #: 1508021361
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5641
E-PRESCRIBE: NO
ABRAHAM, ELIZABETH C.,
MD
GENDER: F
PROVIDER #: 183276
NPI #: 1467654293
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
AGARWAL, ASHIMA, MD
GENDER: F
PROVIDER #: 262500
NPI #: 1114171915
SAINT LOUIS UNIVERSITY
HOSPITAL
3635 VISTA AVE AT GRAND
BLVD
ST LOUIS, MO 63110
PHONE: (314) 577-8782
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5624
E-PRESCRIBE: NO
Primary Care Physicians
AHMAD, SHAHNAZ, MD
GENDER: F
PROVIDER #: 074565
NPI #: 1184634685
SSM CARDINAL GLENNON
CHILDREN'S MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
AL-JUREIDINI, SAADEH B.,
MD
GENDER: M
PROVIDER #: 074606
NPI #: 1144326315
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5674
E-PRESCRIBE: NO
ALI, AYOOB, MD
GENDER: M
PROVIDER #: 074616
NPI #: 1700832391
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD STE
155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5663
E-PRESCRIBE: NO
ANDERSON, CONNIE D., MD
GENDER: F
PROVIDER #: 077531
NPI #: 1073619334
SSM CARDINAL GLENNON
CHILDRENS MED CTR AT ST
ANTHO
12700 SOUTHFORK ROAD
SUITE 155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5663
E-PRESCRIBE: NO
ANDERSON, EDWIN L., MD
GENDER: M
PROVIDER #: 074627
NPI #: 1295885580
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5644
E-PRESCRIBE: NO
ANDREONE, TERESA, MD
GENDER: F
PROVIDER #: 074639
NPI #: 1659473130
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5395
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
381
Primary Care Physicians
ARTHUR, JOSHUA, MD
GENDER: M
PROVIDER #: 292483
NPI #: 1528100054
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
BAILEY, HEMINA, MD
GENDER: F
PROVIDER #: 216960
NPI #: 1093091357
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
BARAM, MUJAHIDA, MD
GENDER: F
PROVIDER #: 294541
NPI #: 1407018336
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5641
E-PRESCRIBE: NO
BARENKAMP, STEPHEN, MD
GENDER: M
PROVIDER #: 074671
NPI #: 1164433439
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5644
E-PRESCRIBE: NO
382
BEAN, ALLISON B., MD
GENDER: F
PROVIDER #: 297882
NPI #: 1417215476
SSM CARDINAL GLENNON
CHILDRENS CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63110
PHONE: (314) 268-4070
E-PRESCRIBE: NO
BECKER, BRADLEY, MD
GENDER: M
PROVIDER #: 074569
NPI #: 1609887983
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD STE
155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
BELSHA, CRAIG, MD
GENDER: M
PROVIDER #: 074571
NPI #: 1457458879
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
ST LOUIS, MO
ST LOUIS, MO
BENDER, THOMAS M., MD
GENDER: M
PROVIDER #: 120249
NPI #: 1649278789
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD STE
155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5663
E-PRESCRIBE: NO
BHATLA, DEEPIKA, MD
GENDER: F
PROVIDER #: 128296
NPI #: 1841417680
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4000
E-PRESCRIBE: NO
BLUE FISH PEDIATRICS
GENDER:
PROVIDER #: 293512
NPI #: 1972912087
12360 MANCHESTER RD
SUITE 100
ST LOUIS, MO 63131
PHONE: (314) 966-8500
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
Primary Care Physicians
BRADDOCK, STEPHEN R.,
MD
GENDER: M
PROVIDER #: 181524
NPI #: 1811934490
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5639
E-PRESCRIBE: NO
BROOKER, ROBERT W., MD
GENDER: M
PROVIDER #: 078699
NPI #: 1134224934
SSM CARDINAL GLENNON
CHILDRENS MED CTR AT ST
ANTHO
12700 SOUTHFORK ROAD
SUITE 155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
BRAUN, COLLEEN N., DO
GENDER: F
PROVIDER #: 170206
NPI #: 1700082443
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5360
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5663
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5663
E-PRESCRIBE: NO
BROOM, MATTHEW A., MD
GENDER: M
PROVIDER #: 117317
NPI #: 1114967767
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
CHARNEY, RACHEL L., MD
GENDER: F
PROVIDER #: 152607
NPI #: 1699940056
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5360
E-PRESCRIBE: NO
CALAMUR, NANDINI
GENDER: F
PROVIDER #: 269447
NPI #: 1679774871
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5395
E-PRESCRIBE: NO
CHRISTANELL, CARA, NP
GENDER: F
PROVIDER #: 078202
NPI #: 1912975764
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5347
E-PRESCRIBE: NO
BRINKMEIER, JENNIFER, MD
GENDER: F
PROVIDER #: 293375
NPI #: 1487859047
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD STE
155D
ST LOUIS, MO 63128
PHONE: (314) 842-3535
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5650
E-PRESCRIBE: NO
CERNY, LAURA M., MD
GENDER: F
PROVIDER #: 149643
NPI #: 1508981135
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD STE
155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
383
Primary Care Physicians
CIBULSKIS, CATHERINE, MD
GENDER: F
PROVIDER #: 212006
NPI #: 1578733929
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5663
E-PRESCRIBE: NO
CLAASSEN, COLLEEN C., MD
GENDER: F
PROVIDER #: 272052
NPI #: 1053558932
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5642
E-PRESCRIBE: NO
COSTA, DARY, MD
GENDER: M
PROVIDER #: 209654
NPI #: 1184826273
SSM CARDINAL GLENNON
CHILDRENS MED CTR AT ST
ANTHO
12700 SOUTHFORK ROAD
SUITE 155D
ST LOUIS, MO 63128
PHONE: (314) 842-3535
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4010
E-PRESCRIBE: NO
384
CRUZ, OSCAR, MD
GENDER: M
PROVIDER #: 074615
NPI #: 1801816236
ANHEUSER-BUSCH
INSTITUTE
1755 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 256-3220
E-PRESCRIBE: NO
ST LOUIS, MO
ST LOUIS, MO
DAVITT, BRADLEY, MD
GENDER: M
PROVIDER #: 053522
NPI #: 1801818653
ANHEUSER-BUSCH
INSTITUTE
1755 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 256-3220
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD
ST LOUIS, MO 63128
PHONE: (314) 842-3535
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD
ST LOUIS, MO 63128
PHONE: (314) 842-3535
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5660
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5660
E-PRESCRIBE: NO
CUNDIFF, KRISTEN M., MD
GENDER: F
PROVIDER #: 256114
NPI #: 1487988093
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5641
E-PRESCRIBE: NO
DEMPSHER, DAVID, MD
GENDER: M
PROVIDER #: 074630
NPI #: 1063527414
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5648
E-PRESCRIBE: NO
DAVENPORT, SANDRA L., MD
GENDER: F
PROVIDER #: 172528
NPI #: 1912044918
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5639
E-PRESCRIBE: NO
DIMAIO, ANN, MD
GENDER: F
PROVIDER #: 075180
NPI #: 1811908353
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5360
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
Primary Care Physicians
DOERHOFF, FAYE, MD
GENDER: F
PROVIDER #: 074634
NPI #: 1528005154
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5360
E-PRESCRIBE: NO
EDDY, MARK, MD
GENDER: M
PROVIDER #: 074670
NPI #: 1760596126
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5648
E-PRESCRIBE: NO
FERGUSON, WILLIAM S., MD
GENDER: M
PROVIDER #: 094046
NPI #: 1538263140
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4000
E-PRESCRIBE: NO
DOLATSHAHI, LEILI J., MD
GENDER: F
PROVIDER #: 289592
NPI #: 1477743607
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5641
E-PRESCRIBE: NO
EISENBEIS, JOHN, MD
GENDER: M
PROVIDER #: 054084
NPI #: 1659398246
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 312
ST LOUIS, MO 63110
PHONE: (314) 977-4440
E-PRESCRIBE: NO
FITE, EMILY A., MD
GENDER: F
PROVIDER #: 228638
NPI #: 1134358153
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5360
E-PRESCRIBE: NO
DUNSTAN-BRADY,
MARIANNE, MD
GENDER: F
PROVIDER #: 074646
NPI #: 1528163706
HOGAN STREET REGIONAL
YOUTH CENTER
1839 HOGAN STREET
ST LOUIS, MO 63106
PHONE: (314) 340-7434
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-6406
E-PRESCRIBE: NO
ST LOUIS COUNTY DIVISION
OF YOUTH SERVICES
13298 BELLEFONTAINE
ROAD
ST LOUIS, MO 63138
PHONE: (314) 355-8088
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4010
E-PRESCRIBE: NO
FELDENBERG, LOUIS R., MD
GENDER: M
PROVIDER #: 119301
NPI #: 1295702314
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
FLEMING, ROBERT, MD
GENDER: M
PROVIDER #: 074696
NPI #: 1669577839
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD STE
155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5663
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
385
Primary Care Physicians
FOREST PARK PEDIATRICS
GENDER:
PROVIDER #: 293505
NPI #: 1033453527
4488 FOREST PARK AVE
SUITE 230
ST LOUIS, MO 63108
PHONE: (314) 535-7855
E-PRESCRIBE: NO
FOY, THOMAS, MD
GENDER: M
PROVIDER #: 074812
NPI #: 1427069525
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD STE
155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
FREEDMAN, ANYA J., MD
GENDER: F
PROVIDER #: 297975
NPI #: 1982959433
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5395
E-PRESCRIBE: NO
386
FRENCH, ANU R., MD
GENDER: F
PROVIDER #: 286769
NPI #: 1386699767
SSM GLENNON CARE
PROFESSIONAL SERVICES
PO BOX 504604
ST LOUIS, MO 63150
PHONE:
E-PRESCRIBE: NO
GALE, GORDON, MD
GENDER: M
PROVIDER #: 074820
NPI #: 1396849907
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4000
E-PRESCRIBE: NO
GARNREITER, JASON M., MD
GENDER: M
PROVIDER #: 253705
NPI #: 1790988962
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5641
E-PRESCRIBE: NO
GARRETT, JEREMY S., MD
GENDER: M
PROVIDER #: 102607
NPI #: 1982615118
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5395
E-PRESCRIBE: NO
ST LOUIS, MO
ST LOUIS, MO
GELLER, THOMAS, MD
GENDER: M
PROVIDER #: 074685
NPI #: 1962428813
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 303
ST LOUIS, MO 63110
PHONE: (314) 977-6082
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5338
E-PRESCRIBE: NO
GERARD, JAMES, MD
GENDER: M
PROVIDER #: 074686
NPI #: 1164511770
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5360
E-PRESCRIBE: NO
GHADBAN, RAFIF, MD
GENDER: F
PROVIDER #: 256411
NPI #: 1881841443
ANHEUSER-BUSCH
INSTITUTE
1755 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 256-3220
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5660
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
GOTT, ROLANDA A., MD
GENDER: F
PROVIDER #: 287531
NPI #: 1588617559
SSM CARDINAL GLENNON
CHILDRENS MC PHYS
BILLING
1465 SOUTH GRAND BLVD
DEVELOPMENTAL
PEDIATRICS
ST LOUIS, MO 63104-1003
PHONE: (314) 577-5609
E-PRESCRIBE: NO
GRISHABER, JUDY, DO
GENDER: F
PROVIDER #: 160127
NPI #: 1164668364
SAINT LOUIS UNIVERSITY
HOSPITAL
3635 VISTA AVE AT GRAND
BLVD
ST LOUIS, MO 63110
PHONE: (314) 577-8475
E-PRESCRIBE: NO
SCHWITALLA HALL
1402 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-8475
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5624
E-PRESCRIBE: NO
GUZMAN, MIGUEL A., MD
GENDER: M
PROVIDER #: 243539
NPI #: 1093926602
SAINT LOUIS UNIVERSITY
HOSPITAL
3635 VISTA AVE AT GRAND
BLVD
ST LOUIS, MO 63110
PHONE: (314) 577-8782
E-PRESCRIBE: NO
Primary Care Physicians
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5624
E-PRESCRIBE: NO
HALLER, KENNETH, MD
GENDER: M
PROVIDER #: 074733
NPI #: 1679584304
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
HALLORAN, DONNA R., MD
GENDER: F
PROVIDER #: 106150
NPI #: 1003826520
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
HAYNES, SUSAN E., MD
GENDER: F
PROVIDER #: 230862
NPI #: 1699863811
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5674
E-PRESCRIBE: NO
HEANEY, MARY, MD
GENDER: F
PROVIDER #: 074763
NPI #: 1043220296
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
HENTZELMAN, JOSHUA, MD
GENDER: M
PROVIDER #: 191417
NPI #: 1588865091
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 312
ST LOUIS, MO 63110
PHONE: (314) 977-4440
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4010
E-PRESCRIBE: NO
HOHENBERG, MARY, PA
GENDER: F
PROVIDER #: 074780
NPI #: 1235251968
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD 5TH
FLOOR
ST LOUIS, MO 63104
PHONE: (314) 268-4180
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
387
Primary Care Physicians
HUDDLESTON, CHARLES,
MD
GENDER: M
PROVIDER #: 212117
NPI #: 1942226162
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD 5TH
FLOOR
ST LOUIS, MO 63104
PHONE: (314) 268-4180
E-PRESCRIBE: NO
HUGGE, CHRISTOPHER W.,
MD
GENDER: M
PROVIDER #: 106151
NPI #: 1235140328
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4000
E-PRESCRIBE: NO
JAIN, AJAY K., MD
GENDER: M
PROVIDER #: 165875
NPI #: 1518194570
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
JOHNSON, KERI P., MD
GENDER: F
PROVIDER #: 286723
NPI #: 1558316034
SSM GLENNON CARE
PROFESSIONAL SERVICES
PO BOX 504604
ST LOUIS, MO 63150-4604
PHONE:
E-PRESCRIBE: NO
388
ST LOUIS, MO
ST LOUIS, MO
JOSEPHSEN, JUSTIN B., MD
GENDER: M
PROVIDER #: 272820
NPI #: 1346404191
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5663
E-PRESCRIBE: NO
KING, WILSON, MD
GENDER: M
PROVIDER #: 231456
NPI #: 1982820338
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5674
E-PRESCRIBE: NO
KEENAN, WILLIAM, MD
GENDER: M
PROVIDER #: 075152
NPI #: 1023063393
SSM CARDINAL GLENNON
CHILDRENS MED CTR AT ST
ANTHO
12700 SOUTHFORK ROAD
SUITE 155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
KIRBY, AMELIA, MD
GENDER: F
PROVIDER #: 293859
NPI #: 1184929101
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5639
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5663
E-PRESCRIBE: NO
KING, MARTA A., MD
GENDER: F
PROVIDER #: 258884
NPI #: 1134135379
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5641
E-PRESCRIBE: NO
KNUTSEN, ALAN, MD
GENDER: M
PROVIDER #: 075163
NPI #: 1114937711
SSM CARDINAL GLENNON
CHILDRENS MED CTR AT ST
ANTHO
12700 SOUTHFORK ROAD
SUITE 155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
Primary Care Physicians
KOTHE, TERENCE, MD
GENDER: M
PROVIDER #: 294540
NPI #: 1184914285
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
LAFFEY, STEVEN, MD
GENDER: M
PROVIDER #: 074871
NPI #: 1205847589
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5360
E-PRESCRIBE: NO
LYNCH, ROBERT, MD
GENDER: M
PROVIDER #: 074918
NPI #: 1477564763
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5395
E-PRESCRIBE: NO
KUTZ, TIMOTHY, MD
GENDER: M
PROVIDER #: 075165
NPI #: 1003827668
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
LIN, ALEXANDER Y., MD
GENDER: M
PROVIDER #: 181569
NPI #: 1073797221
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD 1ST
FLOOR
ST LOUIS, MO 63104
PHONE: (314) 678-2182
E-PRESCRIBE: NO
MANGALAT, NISHA, MD
GENDER: F
PROVIDER #: 235811
NPI #: 1992970792
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
LABARGE, GENE M., MD
GENDER: M
PROVIDER #: 130170
NPI #: 1740294149
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
LADAGE, JENNIFER, MD
GENDER: F
PROVIDER #: 074870
NPI #: 1477642106
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
SSM ST MARYS HEALTH
CENTER BELLEVUE
MEDICAL BLDG
1035 BELLEVUE AVE SUITE
203
ST LOUIS, MO 63117
PHONE: (314) 977-6051
E-PRESCRIBE: NO
WEST PAVILION
3655 VISTA AVE
ST LOUIS, MO 63110
PHONE: (314) 577-6131
E-PRESCRIBE: NO
LOWRIE, LIA, MD
GENDER: F
PROVIDER #: 238646
NPI #: 1154312726
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5395
E-PRESCRIBE: NO
MANLEY-MARKOWSKI,
RENEE N., MD
GENDER: F
PROVIDER #: 254595
NPI #: 1669790796
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5641
E-PRESCRIBE: NO
MANNIX, CHRISTINA M., MD
GENDER: F
PROVIDER #: 135802
NPI #: 1184727984
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5395
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
389
Primary Care Physicians
MAXWELL, MARILYN A., MD
GENDER: F
PROVIDER #: 074583
NPI #: 1144233164
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
MILLER, AARON S., MD
GENDER: M
PROVIDER #: 284595
NPI #: 1427223874
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5641
E-PRESCRIBE: NO
MOHAMED, SHAKIR, MD
GENDER: M
PROVIDER #: 283195
NPI #: 1023227451
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5663
E-PRESCRIBE: NO
NAKANISHI, ALBERT, MD
GENDER: M
PROVIDER #: 074969
NPI #: 1295824811
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5360
E-PRESCRIBE: NO
390
ST LOUIS, MO
ST LOUIS, MO
NASEER, SHAHIDA, MD
GENDER: F
PROVIDER #: 074971
NPI #: 1336159854
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
NOYES, BLAKESLEE, MD
GENDER: M
PROVIDER #: 074977
NPI #: 1811906613
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
NOFFSINGER, JAY, MD
GENDER: M
PROVIDER #: 074974
NPI #: 1033130588
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4010
E-PRESCRIBE: NO
OCONNOR, DENNIS, MD
GENDER: M
PROVIDER #: 074980
NPI #: 1851302475
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5644
E-PRESCRIBE: NO
NOGUCHI, AKIHIKO, MD
GENDER: M
PROVIDER #: 074975
NPI #: 1679514889
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD STE
155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
PAPPA, HELEN M., MD
GENDER: F
PROVIDER #: 275786
NPI #: 1134138993
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5663
E-PRESCRIBE: NO
PARUTHI, SHALINI, MD
GENDER: F
PROVIDER #: 151086
NPI #: 1144340936
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 977-6100
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
PINCUS, ELISA, MD
GENDER: F
PROVIDER #: 292479
NPI #: 1548569734
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
PORTER, NORA L., MD
GENDER: F
PROVIDER #: 075026
NPI #: 1255344313
DOCTORS OFFICE BUILDING
3660 VISTA AVE SUITE 206 &
207
ST LOUIS, MO 63110
PHONE: (314) 997-6100
E-PRESCRIBE: NO
RAHIMI, MOHAMMAD B., MD
GENDER: M
PROVIDER #: 109910
NPI #: 1609971290
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 525-4250
E-PRESCRIBE: NO
Primary Care Physicians
RALLO, JEFFREY T., MD
GENDER: M
PROVIDER #: 276957
NPI #: 1881821932
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
RATLIFF, AMBER S., DO
GENDER: F
PROVIDER #: 298880
NPI #: 1649408261
SLUCARE DEPT OF
PEDIATRICS
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5663
E-PRESCRIBE: NO
ROSENBLUM, JERRY L., MD
GENDER: M
PROVIDER #: 180085
NPI #: 1265548911
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
SADIQ, FAROUK, MD
GENDER: M
PROVIDER #: 075190
NPI #: 1992801070
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD STE
155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5663
E-PRESCRIBE: NO
SAINI, SHERMINI, MD
GENDER: F
PROVIDER #: 183289
NPI #: 1578752010
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4000
E-PRESCRIBE: NO
SALLEE, CHRISTOPHER J.,
MD
GENDER: M
PROVIDER #: 152702
NPI #: 1003861543
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
SALLEE, HEIDI M., MD
GENDER: F
PROVIDER #: 085824
NPI #: 1568473007
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
391
Primary Care Physicians
SANFORD, THOMAS R., MD
GENDER: M
PROVIDER #: 104587
NPI #: 1568489151
DOCTORS OFFICE BUILDING
3660 VISTA AVE STE 312
ST LOUIS, MO 63110
PHONE: (314) 977-4440
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD STE
155D
ST LOUIS, MO 63128
PHONE: (314) 842-3535
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4010
E-PRESCRIBE: NO
SCALZO, ANTHONY, MD
GENDER: M
PROVIDER #: 075193
NPI #: 1801806054
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5360
E-PRESCRIBE: NO
SCHIFF, TERESA, MD
GENDER: F
PROVIDER #: 075194
NPI #: 1851301097
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
392
ST LOUIS, MO
ST LOUIS, MO
SCHMIDT, MARTIN P., MD
GENDER: M
PROVIDER #: 298412
NPI #: 1336110840
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63110
PHONE: (314) 268-4070
E-PRESCRIBE: NO
SISKA, MARGARET K., MD
GENDER: F
PROVIDER #: 258523
NPI #: 1013195122
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5641
E-PRESCRIBE: NO
SCHROCK, LISA, MD
GENDER: F
PROVIDER #: 294553
NPI #: 1821218637
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5641
E-PRESCRIBE: NO
SOBUSH, KURTIS, MD
GENDER: M
PROVIDER #: 292970
NPI #: 1821297490
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
SHAW, LINDA, MD
GENDER: F
PROVIDER #: 293078
NPI #: 1033123138
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 267-4070
E-PRESCRIBE: NO
SOTELO-AVILA, CIRILO, MD
GENDER: M
PROVIDER #: 075212
NPI #: 1033162060
SCHWITALLA HALL
1402 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-8782
E-PRESCRIBE: NO
SINEFF, MICHELLE C., MD
GENDER: F
PROVIDER #: 109052
NPI #: 1316939838
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5624
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST LOUIS, MO
SPENCE, KIMBERLY L., MD
GENDER: F
PROVIDER #: 154693
NPI #: 1841218567
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
ST ANTHONYS MED CTR ST
LOUIS-PHYSICIANS OFFICE
CTR
10010 KENNERLY RD
ST LOUIS, MO 63128
PHONE: (314) 525-1000
E-PRESCRIBE: NO
Primary Care Physicians
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4010
E-PRESCRIBE: NO
STRAND, MARYA L., MD
GENDER: F
PROVIDER #: 258124
NPI #: 1437169653
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5641
E-PRESCRIBE: NO
STAED, TIMOTHY W., MD
GENDER: M
PROVIDER #: 075216
NPI #: 1134175847
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
SUTHERELL, JAMIE S., MD
GENDER: M
PROVIDER #: 164391
NPI #: 1477760585
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5674
E-PRESCRIBE: NO
SSM DEPAUL HC PHYS
BILLING
PO BOX 503913
ST LOUIS, MO 63150-3913
PHONE: (314) 810-1331
E-PRESCRIBE: NO
SWIDLER, PETRA A., MD
GENDER: F
PROVIDER #: 191453
NPI #: 1700895596
SSM CARDINAL GLENNON
CHILDRENS MC PHY
BILLING
1465 SOUTH GRAND BLVD
ST LOUIS, MO 63104-1003
PHONE: (314) 577-5629
E-PRESCRIBE: NO
STITH, JOHN, MD
GENDER: M
PROVIDER #: 075220
NPI #: 1164449757
SSM CARDINAL GLENNON
CHILDRENS MED CTR AT ST
ANTHO
12700 SOUTHFORK ROAD
SUITE 155D
ST LOUIS, MO 63128
PHONE: (314) 842-3535
E-PRESCRIBE: NO
TANIOS, ALINE T., MD
GENDER: F
PROVIDER #: 282396
NPI #: 1851317176
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
TECKMAN, JEFFREY H., MD
GENDER: M
PROVIDER #: 103737
NPI #: 1811907470
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD STE
155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
TOLLEFSEN, SHERIDA, MD
GENDER: F
PROVIDER #: 075258
NPI #: 1396850749
SSM CARDINAL GLENNON
CHILDRENS MED CTR AT ST
ANTHO
12700 SOUTHFORK ROAD
SUITE 155
ST LOUIS, MO 63128
PHONE: (314) 525-4250
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
393
Primary Care Physicians
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5648
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-8694
E-PRESCRIBE: NO
TREDWAY, TREVOR L., MD
GENDER: M
PROVIDER #: 084957
NPI #: 1376583070
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5360
E-PRESCRIBE: NO
WADE, KATRINA, MD
GENDER: F
PROVIDER #: 293953
NPI #: 1750478491
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5360
E-PRESCRIBE: NO
VELASCO MASSON, JAIME
L., MD
GENDER: M
PROVIDER #: 283037
NPI #: 1356541197
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5641
E-PRESCRIBE: NO
WANGARD, CHRISTOPHER
R., MD
GENDER: M
PROVIDER #: 230702
NPI #: 1023127396
SSM GLENNON CARE
PROFESSIONAL SERVICES
PO BOX 504604
ST LOUIS, MO 63150
PHONE:
E-PRESCRIBE: NO
VOGLER, CAROLE, MD
GENDER: F
PROVIDER #: 075296
NPI #: 1063465466
SAINT LOUIS UNIVERSITY
HOSPITAL
3635 VISTA AVE AT GRAND
BLVD
ST LOUIS, MO 63110
PHONE: (314) 577-8475
E-PRESCRIBE: NO
394
WATHEN, DAVID A., DO
GENDER: M
PROVIDER #: 165615
NPI #: 1811190408
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4070
E-PRESCRIBE: NO
ST LOUIS, MO
ST LOUIS, MO
WERNER, JASON A., MD
GENDER: M
PROVIDER #: 152602
NPI #: 1194990556
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5395
E-PRESCRIBE: NO
WILD, ALAN PAUL K., MD
GENDER: M
PROVIDER #: 168064
NPI #: 1871582692
SSM CARDINAL GLENNON
CHILDREN MED CTR @ ST
ANTHONY
12700 SOUTHFORK RD STE
155D
ST LOUIS, MO 63128
PHONE: (314) 842-3535
E-PRESCRIBE: NO
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4010
E-PRESCRIBE: NO
WILMOTT, ROBERT, MD
GENDER: M
PROVIDER #: 075332
NPI #: 1821007824
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ST LOUIS, MO
ST PETERS, MO
Primary Care Physicians
WOOD, ELLEN, MD
GENDER: F
PROVIDER #: 075346
NPI #: 1568471183
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 268-4020
E-PRESCRIBE: NO
MEGHJEE, ZINNAT, DO
GENDER: F
PROVIDER #: 290944
NPI #: 1639186398
BARNES ST PETERS
INTERNAL MEDICINE
#203 6 JUNGERMANN
CIRCLE
ST PETERS, MO 63376
PHONE: (636) 916-9015
E-PRESCRIBE: NO
ZAHRA, MICHAEL S., MD
GENDER: M
PROVIDER #: 106153
NPI #: 1881826626
SSM CARDINAL GLENNON
CHILDRENS MEDICAL
CENTER
1465 S GRAND BLVD
ST LOUIS, MO 63104
PHONE: (314) 577-5395
E-PRESCRIBE: NO
NGUYEN, JENNIFER L., MD
GENDER: F
PROVIDER #: 291372
NPI #: 1477878098
FAMILY PHYSICIANS OF ST
PETERS
#200 201 BJC ST PETERS DR
ST PETERS, MO 63376
PHONE: (636) 916-9615
E-PRESCRIBE: NO
ST PETERS, MO
ADULT/INTERNAL
MEDICINE
KERN, ERIN E., DO
GENDER: F
PROVIDER #: 290907
NPI #: 1407180441
ADVANCED INTERNAL
MEDICINE
#200 201 BJC ST PETERS DR
ST PETERS, MO 63376
PHONE: (636) 916-9615
E-PRESCRIBE: NO
FAMILY PRACTICE
BLAIR, PATRICIA J., MD
GENDER: F
PROVIDER #: 290958
NPI #: 1992799225
BARNES-JEWISH ST PETERS
FAMILY MEDICINE
#200 201 BJC ST PETERS DR
ST PETERS, MO 63376
PHONE: (636) 916-9615
E-PRESCRIBE: NO
FORTADO-CLARK, CINDY M.,
MD
GENDER: F
PROVIDER #: 291093
NPI #: 1629118088
ST PETERS MULTISPECIALTY
201 BJC ST PETERS DR #200
ST PETERS, MO 63376
PHONE: (636) 916-9615
E-PRESCRIBE: NO
HAYES, JENNIFER I., MD
GENDER: F
PROVIDER #: 291373
NPI #: 1467650101
FAMILY PHYSICIANS OF ST
PETERS
#302 70 JUNGERMANN CIR
ST PETERS, MO 63376
PHONE: (636) 916-7590
E-PRESCRIBE: NO
HIBBARD, ANNE L., MD
GENDER: F
PROVIDER #: 290948
NPI #: 1184618415
BARNES-JEWISH ST PETERS
FAMILY MEDICINE
#200 201 BJC ST PETERS DR
ST PETERS, MO 63376
PHONE: (636) 916-9615
E-PRESCRIBE: NO
RADEL, STEVEN M., MD
GENDER: M
PROVIDER #: 237397
NPI #: 1285627331
BARNES-JEWISH ST PETERS
FAMILY MEDICINE
#200 201 BJC ST PETERS DR
ST PETERS, MO 63376
PHONE: (636) 916-9615
E-PRESCRIBE: NO
PEDIATRICS
CLOVERLEAF PEDIATRICS
GENDER:
PROVIDER #: 293486
NPI #: 1710375928
4200 N CLOVERLEAF DRIVE
SUITE F
ST PETERS, MO 63376
PHONE: (636) 939-3362
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
395
Primary Care Physicians
FAMILY PRACTICE
STAUNTON, IL
ADULT/INTERNAL
MEDICINE
CHANDRA, ALPANA, MD
GENDER: F
PROVIDER #: 238420
NPI #: 1033212923
HSHS MEDICAL GROUP INC
400 N CALDWELL ST
STAUNTON, IL 62088-1499
PHONE: (618) 635-4241
E-PRESCRIBE: YES
FAMILY PRACTICE
LOWRY-ROHLFING, LISA A.,
MD
GENDER: F
PROVIDER #: 035316
NPI #: 1386755973
STEELEVILLE FAMILY
PRACTICE
602 W SHAWNEETOWN
TRAIL
STEELEVILLE, IL 62288
PHONE: (618) 965-3382
BLECHLE, VALERIE, FNP;
PROVIDER #: 272783
E-PRESCRIBE: NO
POOS, JOSHUA D., MD
GENDER: M
PROVIDER #: 162610
NPI #: 1134142540
COMMUNITY FAMILY
PRACTICE
325 N CALDWELL ST
STAUNTON, IL 62088
PHONE: (618) 635-4333
E-PRESCRIBE: NO
STEELEVILLE, IL
ADULT/INTERNAL
MEDICINE
FEINERMAN, ADRIAN D., MD
GENDER: M
PROVIDER #: 105069
NPI #: 1568484590
FEINERMAN FAMILY
PRACTICE
501 W ILLINOIS ST
STEELEVILLE, IL 62288
PHONE: (618) 965-9266
E-PRESCRIBE: NO
396
KRIEG, JAMES R., MD
GENDER: M
PROVIDER #: 036081
NPI #: 1851402390
STEELEVILLE FAMILY
PRACTICE
602 W SHAWNEETOWN
TRAIL
STEELEVILLE, IL 62288
PHONE: (618) 965-3382
ALBERTINI, ANGELA M., PA-C;
PROVIDER #: 172577
E-PRESCRIBE: NO
MOLNAR, JOSEPH P., DO
GENDER: M
PROVIDER #: 221046
NPI #: 1306881412
STEELEVILLE FAMILY
PRACTICE
602 W SHAWNEETOWN
TRAIL
STEELEVILLE, IL 62288
PHONE: (618) 965-3382
E-PRESCRIBE: YES
STAUNTON, IL
STEELVILLE, MO
PLATT, STEPHEN M., MD
GENDER: M
PROVIDER #: 035317
NPI #: 1720053077
STEELEVILLE FAMILY
PRACTICE
602 W SHAWNEETOWN
TRAIL
STEELEVILLE, IL 62288
PHONE: (618) 965-3382
LINZY, JAMIE E., PA-C;
PROVIDER #: 172575
E-PRESCRIBE: NO
PREUSS, MARK D., MD
GENDER: M
PROVIDER #: 047169
NPI #: 1952368110
STEELEVILLE CLINIC
NINE WESTWOOD DR
STEELEVILLE, IL 62288
PHONE: (618) 965-3466
CHAMNESS, KAREN J., PA-C;
PROVIDER #: 073739
E-PRESCRIBE: NO
WOOD, KELLY, MD
GENDER: F
PROVIDER #: 254236
NPI #: 1619193869
STEELEVILLE CLINIC
9 WESTWOOD DR
STEELEVILLE, IL 62288
PHONE: (618) 965-3466
E-PRESCRIBE: YES
STEELVILLE, MO
ADULT/INTERNAL
MEDICINE
BARBIN, JENNIFER F., MD
GENDER: F
PROVIDER #: 291057
NPI #: 1326160144
STEELVILLE CLINIC
510 W MAIN ST
STEELVILLE, MO 65565
PHONE: (573) 775-4600
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
STEELVILLE, MO
STREATOR, IL
FAMILY PRACTICE
MARQUINO, MARLON C., MD
GENDER: M
PROVIDER #: 203456
NPI #: 1366642704
STEELVILLE CLINIC
PO BOX AH 510 W MAIN ST
STEELVILLE, MO 65565
PHONE: (573) 775-4600
E-PRESCRIBE: NO
STEWARDSON, IL
ADULT/INTERNAL
MEDICINE
KOWALSKI, DAVID J., MD
GENDER: M
PROVIDER #: 055355
NPI #: 1538194600
MARSHALL CLINIC
EFFINGHAM, SC
405 S PINE ST
STEWARDSON, IL 62463
PHONE: (217) 682-3373
BUSHUR, VICKIE S., APN;
PROVIDER #: 191652
CROOK, KARILYN S., PA-C;
PROVIDER #: 175705
E-PRESCRIBE: YES
PEDIATRICS
KOWALSKI, DAVID J., MD
GENDER: M
PROVIDER #: 055355
NPI #: 1538194600
MARSHALL CLINIC
EFFINGHAM, SC
405 S PINE ST
STEWARDSON, IL 62463
PHONE: (217) 682-3373
BUSHUR, VICKIE S., APN;
PROVIDER #: 191652
CROOK, KARILYN S., PA-C;
PROVIDER #: 175705
E-PRESCRIBE: YES
Primary Care Physicians
STOCKTON, IL
FAMILY PRACTICE
CLEARY, MARTIN, MD
GENDER: M
PROVIDER #: 079106
NPI #: 1104890482
FHN FAMILY HEALTHCARE
CENTER-STOCKTON
725 N PEARL ST
STOCKTON, IL 61085
PHONE: (815) 947-3211
E-PRESCRIBE: NO
MCFADDEN, MICHAEL, MD
GENDER: M
PROVIDER #: 098352
NPI #: 1154394484
FHN FAMILY HEALTHCARE
CENTER-STOCKTON
725 N PEARL ST
STOCKTON, IL 61085
PHONE: (815) 947-3211
KORF, SUSAN A., APN;
PROVIDER #: 173558
E-PRESCRIBE: YES
STREATOR, IL
ADULT/INTERNAL
MEDICINE
CABALFIN, CYNTHIA A., MD
GENDER: F
PROVIDER #: 298314
NPI #: 1497708382
OSF MEDICAL GROUP
2377 N BLOOMINGTON ST
STE B
STREATOR, IL 61364-1307
PHONE: (815) 673-2441
E-PRESCRIBE: NO
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
205 S PARK
STREATOR, IL 61364
PHONE: (309) 676-8123
E-PRESCRIBE: YES
KARKERA, DAMODARA, MD
GENDER: M
PROVIDER #: 020179
NPI #: 1225090434
104 W SIXTH ST SUITE 302
STREATOR, IL 61364
PHONE: (815) 673-1565
E-PRESCRIBE: NO
MIKEWORTH, JAMES B., MD
GENDER: M
PROVIDER #: 252545
NPI #: 1790927309
OSF MEDICAL GROUP
2377 N BLOOMINGTON RD
STE B
STREATOR, IL 61364
PHONE: (815) 673-2441
E-PRESCRIBE: NO
PAL, INDRA, MD
GENDER: M
PROVIDER #: 021657
NPI #: 1740366004
104 E BRIDGE ST
STREATOR, IL 61364
PHONE: (815) 672-0567
E-PRESCRIBE: NO
FAMILY PRACTICE
BENSON, JONATHAN D., DO
GENDER: M
PROVIDER #: 259053
NPI #: 1972887982
THE VEIN SPECIALISTS LLC
119 S STERLING ST
STREATOR, IL 61364
PHONE: (309) 862-4000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
397
Primary Care Physicians
BOHN, KATHRYN, MD
GENDER: F
PROVIDER #: 187916
NPI #: 1194751156
THE VEIN SPECIALISTS LLC
119 S STERLING ST
STREATOR, IL 61364
PHONE: (309) 862-4000
E-PRESCRIBE: NO
RICCA, GLEN L., MD
GENDER: M
PROVIDER #: 021944
NPI #: 1730134073
CAMELOT TERRACE
516 W FRENCH ST
STREATOR, IL 61364
PHONE: (815) 672-2600
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
HERITAGE MANOR
NURSING HOME
1525 E MAIN ST
STREATOR, IL 61364
PHONE: (815) 672-4516
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
ST MARYS FAMILY
MEDICINE-PARKVIEW
109 E ELM ST
STREATOR, IL 61364
PHONE: (815) 672-4587
HESS, PATRICIA A., APN;
PROVIDER #: 230080
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
ST MARYS HOSPITAL
111 SPRING ST
STREATOR, IL 61364
PHONE: (815) 673-2311
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
398
ST MARYS OPTIMUM
HEALTH C/O ST MARYS
HOSPITAL
111 SPRING ST
STREATOR, IL 61364
PHONE: (815) 673-2311
E-PRESCRIBE: NO
WARGO, MARK A., MD
GENDER: M
PROVIDER #: 049165
NPI #: 1457304156
CAMELOT TERRACE
516 W FRENCH ST
STREATOR, IL 61364
PHONE: (815) 672-2600
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
FOUNTAIN HEALTHCARE
1639 N 150TH RD
STREATOR, IL 61364
PHONE: (815) 793-6611
E-PRESCRIBE: NO
HERITAGE MANOR
NURSING HOME
1525 E MAIN ST
STREATOR, IL 61364
PHONE: (815) 672-4516
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
PARKVIEW FAMILY
PRACTICE
109 E ELM ST
STREATOR, IL 61364
PHONE: (815) 672-4587
HESS, PATRICIA A., APN;
PROVIDER #: 230080
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
STREATOR, IL
SUGAR GROVE, IL
ST MARYS HOSPITAL
111 SPRING ST
STREATOR, IL 61364
PHONE: (815) 673-2311
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
ST MARYS OPTIMUM
HEALTH C/O ST MARYS
HOSPITAL
111 SPRING ST
STREATOR, IL 61364
PHONE: (815) 673-2311
E-PRESCRIBE: NO
SUGAR GROVE, IL
ADULT/INTERNAL
MEDICINE
VUONG, KELLY, MD
GENDER: F
PROVIDER #: 227063
NPI #: 1073511135
CADENCE PHYSICIAN
GROUP
414 DIVISION ST
SUGAR GROVE, IL 60554-5109
PHONE: (630) 315-1010
E-PRESCRIBE: NO
PEDIATRICS
SCHULMAN, DANIEL J., MD
GENDER: M
PROVIDER #: 269265
NPI #: 1871507541
CADENCE PHYSICIAN
GROUP
414 DIVISION ST
SUGAR GROVE, IL 60554-5109
PHONE: (630) 315-1010
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SULLIVAN, IL
SULLIVAN, MO
SULLIVAN, IL
ADULT/INTERNAL
MEDICINE
BUKHARI, FAISAL, MD
GENDER: M
PROVIDER #: 033815
NPI #: 1376545509
SULLIVAN FAMILY CARE
CENTER
TWO W ADAMS ST
SULLIVAN, IL 61951
PHONE: (217) 728-7353
MILLER, KIM L., ARNP;
PROVIDER #: 089263
E-PRESCRIBE: NO
FAMILY PRACTICE
DORNER, MATTHEW J., MD
GENDER: M
PROVIDER #: 192649
NPI #: 1528176880
SBL SULLIVAN CLINIC
7 HAWTHORNE LANE
SULLIVAN, IL 61951
PHONE: (217) 728-8441
MUNCH, TAMMY, PA-C;
PROVIDER #: 137788
E-PRESCRIBE: NO
DUST, GLEN, MD
GENDER: M
PROVIDER #: 004005
NPI #: 1477555738
SULLIVAN FAMILY CARE
CENTER
2 W ADAMS ST
SULLIVAN, IL 61951
PHONE: (217) 728-7353
CLAYTON, JACQUELINE R.,
APRN; PROVIDER #: 131335
E-PRESCRIBE: NO
Primary Care Physicians
HARTMAN, PATRICK, MD
GENDER: M
PROVIDER #: 053300
NPI #: 1861508160
SBL SULLIVAN CLINIC
7 HAWTHORNE LN
SULLIVAN, IL 61951
PHONE: (217) 728-8441
E-PRESCRIBE: NO
KONDA, SUDHAKAR R., MD
GENDER: M
PROVIDER #: 184008
NPI #: 1376737346
SUDHAKAR KONDA MD
FAMILY MEDICINE
1220 W JACKSON ST
SULLIVAN, IL 61951
PHONE: (217) 728-2042
E-PRESCRIBE: NO
SULLIVAN, MO
ADULT/INTERNAL
MEDICINE
ABU AL RUB, FADEE, MD
GENDER: M
PROVIDER #: 291241
NPI #: 1790992675
MBHS HOSPITALISTS
751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
PHONE: (573) 468-4186
E-PRESCRIBE: NO
AYAZ, ASIM, MD
GENDER: M
PROVIDER #: 291434
NPI #: 1144509563
MBHS HOSPITALISTS
751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
PHONE: (573) 468-1997
E-PRESCRIBE: NO
BARBIN, JENNIFER F., MD
GENDER: F
PROVIDER #: 291057
NPI #: 1326160144
MBHS WOUND CARE
751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
PHONE: (573) 468-1997
E-PRESCRIBE: NO
SULLIVAN CLINIC
965 MATTOX DR
SULLIVAN, MO 63080
PHONE: (573) 860-6000
E-PRESCRIBE: NO
JACKSON, THOMAS J., MD
GENDER: M
PROVIDER #: 291043
NPI #: 1528262698
MBHS WOUND CARE
751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
PHONE: (573) 468-1997
E-PRESCRIBE: NO
SULLIVAN CLINIC
965 MATTOX DR
SULLIVAN, MO 63080
PHONE:
E-PRESCRIBE: NO
LOPEZ CASTELBLANCO,
RODRIGO A., MD
GENDER: M
PROVIDER #: 291304
NPI #: 1447583273
MISSOURI BAPTIST
HOSPITAL SULLIVAN
HOSPITALISTS
751 SAPPINGTON BRIDGE RD
SULLIVAN, MO 63080
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
399
SULLIVAN, MO
SYCAMORE, IL
Primary Care Physicians
MODAD, MUSA, MD
GENDER: M
PROVIDER #: 291350
NPI #: 1902917834
SULLIVAN CLINIC
965 MATTOX DR
SULLIVAN, MO 63080
PHONE: (573) 860-6000
E-PRESCRIBE: NO
SYCAMORE, IL
ADULT/INTERNAL
MEDICINE
FAMILY PRACTICE
MARQUINO, MARLON C., MD
GENDER: M
PROVIDER #: 203456
NPI #: 1366642704
MBHS WOUND CARE
751 SAPPINGTON RD
SULLIVAN, MO 63080
PHONE: (573) 468-1997
E-PRESCRIBE: NO
SULLIVAN CLINIC
965 MATTOX DR
SULLIVAN, MO 63080
PHONE: (573) 860-6000
E-PRESCRIBE: NO
AHMAD, SHAKEEL, MD
GENDER: M
PROVIDER #: 065881
NPI #: 1891704029
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
CHANG, SHIH-WEN, MD
GENDER: M
PROVIDER #: 103036
NPI #: 1629084579
CONSULTANTS OF
INTERNAL MEDICINE LTD
1711 DEKALB AVE SUITE C4
SYCAMORE, IL 60178
PHONE: (815) 895-0555
E-PRESCRIBE: NO
ZIMMERMAN, MATTHEW T.,
DO
GENDER: M
PROVIDER #: 291056
NPI #: 1689967069
SULLIVAN CLINIC
965 MATTOX DR
SULLIVAN, MO 63080
PHONE: (573) 860-6000
E-PRESCRIBE: NO
HAAB, ROGER L., MD
GENDER: M
PROVIDER #: 008454
NPI #: 1386653517
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
PEDIATRICS
KHAN, GHORI, MD
GENDER: M
PROVIDER #: 111043
NPI #: 1326072042
KISHWAUKEE INTERNISTS
SC
2535 W BETHANY RD SUITE
201
SYCAMORE, IL 60178
PHONE: (815) 754-0300
E-PRESCRIBE: YES
SARIPALLI, RAVI K., MD
GENDER: M
PROVIDER #: 291053
NPI #: 1235372244
SULLIVAN CLINIC
965 MATTOX DR
SULLIVAN, MO 63080
PHONE: (573) 860-6000
E-PRESCRIBE: NO
400
MORKER, BHAGAVATLAL A.,
MD
GENDER:
PROVIDER #: 290443
NPI #: 1871505917
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 SYCAMORE DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
PATEL, ILAXI, DO
GENDER:
PROVIDER #: 290764
NPI #: 1629087861
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
PATEL, RAKESHKUMAR K.,
MD
GENDER:
PROVIDER #: 290427
NPI #: 1437168671
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
PHAM, THONG, MD
GENDER: M
PROVIDER #: 139303
NPI #: 1538188057
DEKALB CLINIC
1850 GATEWAY DR
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SYCAMORE, IL
TAYLORVILLE, IL
THAKKAR, DHAVAL, MD
GENDER: M
PROVIDER #: 062767
NPI #: 1720090871
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
FAMILY PRACTICE
ALLEN, JAMISON D., DO
GENDER: M
PROVIDER #: 105156
NPI #: 1184614760
JAMISON ALLEN DO LLC
2560 HAUSER ROSS DR
SUITE 450
SYCAMORE, IL 60178
PHONE: (815) 748-5130
NARDONE, MARIE, NP;
PROVIDER #: 171783
E-PRESCRIBE: NO
CRUTCHER, LISA D., MD
GENDER: F
PROVIDER #: 254016
NPI #: 1841261013
CADENCE PHYSICIAN
GROUP
1830 MEDITERRANEAN DR
SYCAMORE, IL 60178-3144
PHONE: (815) 306-2700
E-PRESCRIBE: NO
MCFADDEN, JEFFREY A., MD
GENDER: M
PROVIDER #: 291038
NPI #: 1487678652
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
Primary Care Physicians
PEDIATRICS
COOK, SUZANNE R., MD
GENDER: F
PROVIDER #: 008450
NPI #: 1134138365
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
JAFRI, SYED S., MD
GENDER:
PROVIDER #: 290453
NPI #: 1982801791
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (812) 758-8671
E-PRESCRIBE: NO
MORKER, MAYURI, MD
GENDER: F
PROVIDER #: 292073
NPI #: 1598059982
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
PHILLIPS, DAVID S., MD
GENDER:
PROVIDER #: 290424
NPI #: 1669484713
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
TABLE GROVE, IL
ADULT/INTERNAL
MEDICINE
TOWNSEND, WINSTON J., MD
GENDER: M
PROVIDER #: 043999
NPI #: 1003889411
HSHS MEDICAL GROUP DBA
FAMILY MEDICINE OF
TABLE GR
130 N BROADWAY ST
TABLE GROVE, IL 61482
PHONE: (612) 227-4171
FAWCETT, GRETCHEN W., PAC; PROVIDER #: 180621
E-PRESCRIBE: NO
FAMILY PRACTICE
BITAR, GERARD G., MD
GENDER: M
PROVIDER #: 191078
NPI #: 1821222100
HSHS MEDICAL GROUP
130 N BROADWAY ST
TABLE GROVE, IL 61482
PHONE: (309) 758-5070
E-PRESCRIBE: NO
TAYLORVILLE, IL
ADULT/INTERNAL
MEDICINE
DELVALLE, RICHARD K., MD
GENDER: M
PROVIDER #: 008670
NPI #: 1932290384
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-4939
BRUMMET, SANDRA J., NP;
PROVIDER #: 109503
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
401
Primary Care Physicians
GILL, PAVINDERPAL S., MD
GENDER: M
PROVIDER #: 008510
NPI #: 1245336148
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
MANSON, KAREN, FNP;
PROVIDER #: 049851
SCHNEIDER, PATRICIA A.,
FNPC; PROVIDER #: 150783
E-PRESCRIBE: NO
MCCLINTOCK, ROGER, MD
GENDER: M
PROVIDER #: 016533
NPI #: 1043318066
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
REXROAD, KRISTINA M., FNP;
PROVIDER #: 217535
SCHNEIDER, PATRICIA A.,
FNPC; PROVIDER #: 150783
E-PRESCRIBE: YES
PRABHU, MANJESHWAR, MD
GENDER: M
PROVIDER #: 008667
NPI #: 1770683450
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-4939
BRUMMET, SANDRA J., NP;
PROVIDER #: 109503
E-PRESCRIBE: NO
TAYLORVILLE, IL
TAYLORVILLE, IL
FAMILY PRACTICE
PEDIATRICS
KIEL, DAVID J., MD
GENDER: M
PROVIDER #: 008511
NPI #: 1447358726
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
CURRIE, REBECCA L., CNP;
PROVIDER #: 078928
REXROAD, KRISTINA M., FNP;
PROVIDER #: 217535
STEELY, MEGAN M., PA-C;
PROVIDER #: 228655
E-PRESCRIBE: YES
DELUKA, JENNIFER M., MD
GENDER: F
PROVIDER #: 253138
NPI #: 1740591619
SPRINGFIELD CLINIC LLP
600 N MAIN
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: NO
MILICEVIC, DRAGICIA N., MD
GENDER: F
PROVIDER #: 225461
NPI #: 1245344357
SPRINGFIELD CLINIC LLP
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
CC MEDICAL CLINIC
GENDER:
PROVIDER #: 187807
NPI #: 1952427163
115 E PLEASANT
TAYLORVILLE, IL 62568
PHONE: (217) 824-3757
E-PRESCRIBE: NO
FREIJ, YASER B., MD
GENDER: M
PROVIDER #: 008507
NPI #: 1104919836
SPRINGFIELD CLINIC
115 E PLEASANT ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
TURNER, KIMBERLY V., FNP;
PROVIDER #: 133632
YOUNKER, ANGELA G., CNP;
PROVIDER #: 183057
E-PRESCRIBE: NO
MCCLINTOCK, ROGER, MD
GENDER: M
PROVIDER #: 016533
NPI #: 1043318066
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
REXROAD, KRISTINA M., FNP;
PROVIDER #: 217535
SCHNEIDER, PATRICIA A.,
FNPC; PROVIDER #: 150783
E-PRESCRIBE: YES
GENERAL PRACTICE
CHEN, HWA L., MD
GENDER: M
PROVIDER #: 068582
NPI #: 1104854918
CC MEDICAL CLINIC
1141 N CHENEY ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-7477
E-PRESCRIBE: NO
402
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
TERRE HAUTE, IN
TERRE HAUTE, IN
TERRE HAUTE, IN
ADULT/INTERNAL
MEDICINE
ELIAS, JOEL N., MD
GENDER: M
PROVIDER #: 154769
NPI #: 1497808893
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE P
TERRE HAUTE, IN 47802
PHONE: (812) 232-0921
E-PRESCRIBE: NO
JANICKI, DAVID J., MD
GENDER: M
PROVIDER #: 004611
NPI #: 1336113638
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE D
TERRE HAUTE, IN 47802
PHONE: (812) 238-5665
E-PRESCRIBE: NO
KODURU, RAVI K., MD
GENDER: M
PROVIDER #: 203374
NPI #: 1265521058
UNION HOSPITAL INC
1332 N 7TH ST
TERRE HAUTE, IN 47807
PHONE: (812) 478-8888
E-PRESCRIBE: NO
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7000
E-PRESCRIBE: NO
601 SURGERY CENTER DR
TERRE HAUTE, IN 47802
PHONE: (812) 235-1200
E-PRESCRIBE: NO
Primary Care Physicians
KOJ, IMAD G., MD
GENDER: M
PROVIDER #: 114357
NPI #: 1073503207
PROVIDENCE MEDICAL
GROUP
3903 S 7TH ST SUITE 2E
TERRE HAUTE, IN 47802
PHONE: (812) 235-7370
E-PRESCRIBE: NO
MARDINI, ANTWAN M., MD
GENDER: M
PROVIDER #: 109292
NPI #: 1982678470
PROVIDENCE MEDICAL
GROUP
1530 N 7TH ST SUITE 111
TERRE HAUTE, IN 47807
PHONE: (812) 232-9663
E-PRESCRIBE: NO
OOMMEN, KOSHY, MD
GENDER: M
PROVIDER #: 203332
NPI #: 1497844278
UNION HOSPITAL INC
1332 N 7TH ST
TERRE HAUTE, IN 47807
PHONE: (812) 478-8888
E-PRESCRIBE: NO
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7000
E-PRESCRIBE: NO
601 SURGERY CENTER DR
TERRE HAUTE, IN 47802
PHONE: (812) 235-1200
E-PRESCRIBE: NO
PITTMAN, LYNN A., MD
GENDER: F
PROVIDER #: 154805
NPI #: 1609840040
PROVIDENCE MEDICAL
GROUP
3560 SOUTH 4TH STREET
TERRE HAUTE, IN 47802
PHONE: (812) 237-9455
E-PRESCRIBE: NO
REDDY, VUPPALA V., MD
GENDER: M
PROVIDER #: 048743
NPI #: 1174612931
UNION HOSPITAL INC
1332 N 7TH ST
TERRE HAUTE, IN 47807
PHONE: (812) 478-8888
E-PRESCRIBE: NO
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7000
E-PRESCRIBE: NO
601 SURGERY CENTER DR
TERRE HAUTE, IN 47802
PHONE: (812) 235-1200
E-PRESCRIBE: NO
SHAH, DIPEN V., MD
GENDER: M
PROVIDER #: 203392
NPI #: 1093804874
UNION HOSPITAL INC
1332 N 7TH ST
TERRE HAUTE, IN 47807
PHONE: (812) 478-8888
E-PRESCRIBE: NO
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7000
E-PRESCRIBE: NO
601 SURGERY CENTER DR
TERRE HAUTE, IN 47802
PHONE: (812) 235-1200
E-PRESCRIBE: NO
FAMILY PRACTICE
ABDALLA, MUSA, MD
GENDER: M
PROVIDER #: 298676
NPI #: 1548552375
UNION HOSPITAL INC
1530 N 7TH STREET SUITE
200
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
403
Primary Care Physicians
BOULOS, DANY, MD
GENDER: M
PROVIDER #: 204671
NPI #: 1780830703
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE A
TERRE HAUTE, IN 47802
PHONE: (812) 238-1730
E-PRESCRIBE: NO
1606 N 7TH STREET
TERRE HAUTE, IN 47804
PHONE: (812) 238-7000
E-PRESCRIBE: NO
ABDAYEM, JOSEPH Y., MD
GENDER: M
PROVIDER #: 195835
NPI #: 1134375157
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE A
TERRE HAUTE, IN 47802
PHONE: (812) 232-5936
E-PRESCRIBE: NO
BEACHY, ERIC D., MD
GENDER: M
PROVIDER #: 114574
NPI #: 1881652188
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
BROWNE, GEORGE O., PA;
PROVIDER #: 142519
E-PRESCRIBE: NO
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
BROWNE, GEORGE O., PA;
PROVIDER #: 142519
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: NO
404
DALUGA, PAUL L., MD
GENDER: M
PROVIDER #: 030893
NPI #: 1700877362
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
BROWNE, GEORGE O., PA;
PROVIDER #: 142519
DEGROOTE, DANIELLE L., NP;
PROVIDER #: 205827
E-PRESCRIBE: NO
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
BROWNE, GEORGE O., PA;
PROVIDER #: 142519
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: NO
TERRE HAUTE, IN
TERRE HAUTE, IN
EPPLIN, EUGENE H., MD
GENDER: M
PROVIDER #: 209569
NPI #: 1528174182
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
FITZGERALD, GARY A., MD
GENDER: M
PROVIDER #: 036577
NPI #: 1467443838
1530 N 7TH ST SUITE 104
TERRE HAUTE, IN 47807
PHONE: (260) 399-3777
E-PRESCRIBE: NO
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: NO
INGEBRIGTSEN, JANIS C.,
MD
GENDER: F
PROVIDER #: 130736
NPI #: 1609867357
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
TERRE HAUTE, IN
TERRE HAUTE, IN
UNION HOSPITAL
INCORPORATED
1530 N 7TH ST SUITE 110
TERRE HAUTE, IN 47807
PHONE: (812) 238-7878
E-PRESCRIBE: YES
JAMES, AMY C., MD
GENDER: F
PROVIDER #: 120308
NPI #: 1972549426
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: YES
KELLAR, DANIEL P., MD
GENDER: M
PROVIDER #: 031853
NPI #: 1467443119
5500 S US HWY 41 SUITE 1
TERRE HAUTE, IN 47802
PHONE: (812) 238-7791
E-PRESCRIBE: NO
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: NO
Primary Care Physicians
KIGORWE, KENNETH, MD
GENDER: M
PROVIDER #: 276202
NPI #: 1831355270
UNION HOSPITAL INC
1530 N 7TH ST SUITE 200
TERRE HAUTE, IN 47807-1057
PHONE: (812) 242-3157
E-PRESCRIBE: NO
LOVEALL, HAROLD P., MD
GENDER: M
PROVIDER #: 130604
NPI #: 1962476440
PROVIDENCE MEDICAL
GROUP
1233 MAPLE AVENUE
TERRE HAUTE, IN 47804
PHONE: (812) 232-5936
E-PRESCRIBE: NO
MARCIANO, PATRICIA N., MD
GENDER: F
PROVIDER #: 173978
NPI #: 1053398578
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
UNION HOSPITAL INC
1606 N 7TH ST
TERRE HAUTE, IN 47804-2706
PHONE: (812) 238-7000
E-PRESCRIBE: NO
UNION HOSPITAL-FAMILY
MEDICAL CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (260) 399-3777
E-PRESCRIBE: NO
MCCALISTER, ELIZABETH A.,
MD
GENDER: F
PROVIDER #: 213764
NPI #: 1710092689
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
UNION HOSPITAL INC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7631
E-PRESCRIBE: NO
MCDONALD, STEVEN A., MD
GENDER: M
PROVIDER #: 009928
NPI #: 1578537056
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
FAMILY MEDICINE EAST
4001 WABASH AVE
TERRE HAUTE, IN 47803
PHONE: (812) 877-0506
HUTCHINSON, KAY T., NP;
PROVIDER #: 132863
E-PRESCRIBE: NO
PROVIDENCE MEDICAL
GROUP
4949 E POPLAR ST
TERRE HAUTE, IN 47802
PHONE: (812) 877-0506
E-PRESCRIBE: NO
MORROW, ALOHNA L., MD
GENDER: F
PROVIDER #: 154753
NPI #: 1790763027
PROVIDENCE MEDICAL
GROUP
4949 E POPLAR DR
TERRE HAUTE, IN 47803
PHONE: (812) 877-0506
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
405
Primary Care Physicians
RAMSEY, KELLY M., MD
GENDER: F
PROVIDER #: 280612
NPI #: 1124312129
UNION HOSPITAL
INCORPORATED
1530 N 7TH ST SUITE 200
TERRE HAUTE, IN 47807
PHONE: (812) 242-3115
E-PRESCRIBE: NO
STEVENS, RANDALL L., MD
GENDER: M
PROVIDER #: 144190
NPI #: 1225029481
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
FIELDS, BETH R., FNP;
PROVIDER #: 144665
E-PRESCRIBE: YES
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
FIELDS, BETH R., FNP;
PROVIDER #: 144665
E-PRESCRIBE: YES
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
FIELDS, BETH R., FNP;
PROVIDER #: 144665
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: YES
406
TURNER, JAMES, DO
GENDER: M
PROVIDER #: 009064
NPI #: 1245221522
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
BATTISTA, BARBARA, PA;
PROVIDER #: 144507
E-PRESCRIBE: NO
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
BATTISTA, BARBARA, PA;
PROVIDER #: 144507
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7000
BATTISTA, BARBARA, PA;
PROVIDER #: 144507
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: NO
VALERA, LAURIE J., MD
GENDER: F
PROVIDER #: 171772
NPI #: 1790941086
UNION HOSPITAL FAMILY
MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (260) 399-3777
E-PRESCRIBE: NO
TERRE HAUTE, IN
TERRE HAUTE, IN
VEGAS, TOMAS C., MD
GENDER: M
PROVIDER #: 142477
NPI #: 1629277306
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7301
E-PRESCRIBE: NO
FAMILY MEDICINE EAST
4001 WABASH AVE
TERRE HAUTE, IN 47803-1647
PHONE: (812) 238-7711
E-PRESCRIBE: NO
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
UNION HOSPITAL HEALTH
CHECK
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: NO
WILSON, WILLIAM E., MD
GENDER: M
PROVIDER #: 142479
NPI #: 1508857764
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
TERRE HAUTE, IN
TOLUCA, IL
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: NO
ZWERNER, FRANK A., DO
GENDER: M
PROVIDER #: 205826
NPI #: 1821254269
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST
TERRE HAUTE, IN 47802
PHONE: (812) 238-1730
E-PRESCRIBE: NO
GENERAL PRACTICE
BUTLER, RICHARD A., MD
GENDER: M
PROVIDER #: 211323
NPI #: 1326113598
UNION HOSPITAL INC
5500 S US HIGHWAY 41
SUITE 1
TERRE HAUTE, IN 47802
PHONE: (812) 238-7791
E-PRESCRIBE: NO
TEUTOPOLIS, IL
FAMILY PRACTICE
BLOEMER, ERIC A., MD
GENDER: M
PROVIDER #: 223295
NPI #: 1073742664
MID ILLINOIS MEDICAL
CARE ASSOC
206 N PEARL ST
TEUTOPOLIS, IL 62467
PHONE: (217) 857-6481
E-PRESCRIBE: YES
Primary Care Physicians
MERKEL, JOHN U., MD
GENDER: M
PROVIDER #: 054835
NPI #: 1972563500
MID ILLINOIS MEDICAL
CARE
206 N PEARL
TEUTOPOLIS, IL 62467
PHONE: (217) 857-6481
KRUGER, MARCIE N., CNP;
PROVIDER #: 070987
E-PRESCRIBE: NO
RUNDE, CHARLES W., MD
GENDER: M
PROVIDER #: 002589
NPI #: 1760442214
MID ILLINOIS MEDICAL
CARE
206 N PEARL
TEUTOPOLIS, IL 62467
PHONE: (217) 857-6481
E-PRESCRIBE: NO
TILTON, IL
FAMILY PRACTICE
KARINATTU, JOSEPH, MD
GENDER: M
PROVIDER #: 010605
NPI #: 1861410011
100 E FIFTH ST
TILTON, IL 61833
PHONE: (217) 443-5480
E-PRESCRIBE: YES
TIPTON, IA
FAMILY PRACTICE
CARROLL, CHARLES W., MD
GENDER: M
PROVIDER #: 100260
NPI #: 1962445890
MERCY SERVICES TIPTON
56 CEDAR ST
TIPTON, IA 52772
PHONE: (563) 886-2196
E-PRESCRIBE: NO
MOUNCE, KERI L., MD
GENDER: F
PROVIDER #: 207087
NPI #: 1043304736
MERCY SERVICES TIPTON
56 CEDAR ST
TIPTON, IA 52772
PHONE: (563) 886-2195
E-PRESCRIBE: NO
RITTGERS-EASTON,
MINYON, MD
GENDER: F
PROVIDER #: 123369
NPI #: 1972541894
MERCY SERVICES TIPTON
56 CEDAR ST
TIPTON, IA 52772
PHONE: (563) 886-2195
E-PRESCRIBE: NO
TOLUCA, IL
FAMILY PRACTICE
RICCA, GLEN L., MD
GENDER: M
PROVIDER #: 021944
NPI #: 1730134073
ASTA CARE
101 E VIA GHIGLIERI
TOLUCA, IL 61369
PHONE: (815) 452-2367
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
WARGO, MARK A., MD
GENDER: M
PROVIDER #: 049165
NPI #: 1457304156
ASTA CARE
101 E VIA GHIGLIERI
TOLUCA, IL 61369
PHONE: (815) 452-2367
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
407
TREMONT, IL
TUSCOLA, IL
Primary Care Physicians
TREMONT, IL
TROY, IL
TROY, MO
FAMILY PRACTICE
FAMILY PRACTICE
PEDIATRICS
BAER, JOHN D., MD
GENDER: M
PROVIDER #: 010775
NPI #: 1255331773
TREMONT MEDICAL CLINIC
105 S LOCUST ST
TREMONT, IL 61568
PHONE: (309) 925-2961
BURKS, TERESA L., APN;
PROVIDER #: 073081
E-PRESCRIBE: NO
BROSS, DEBORAH L., MD
GENDER: F
PROVIDER #: 103955
NPI #: 1487692430
LOPATIN AND ASSOCIATES
301 EDWARDSVILLE ROAD
TROY, IL 62294
PHONE: (618) 667-7057
E-PRESCRIBE: YES
FERGUSON, JULIE R., DO
GENDER: F
PROVIDER #: 287407
NPI #: 1689602781
GLENNON CARE
PROFESSIONAL SERVICES
TROY
164 PROFESSIONAL
PARKWAY
TROY, MO 63379
PHONE: (636) 462-5437
E-PRESCRIBE: NO
KRALL, DIANE C., MD
GENDER: F
PROVIDER #: 108547
NPI #: 1144215708
TREMONT MEDICAL CLINIC
105 S LOCUST ST
TREMONT, IL 61568
PHONE: (309) 925-2961
BURKS, TERESA L., APN;
PROVIDER #: 073081
E-PRESCRIBE: NO
LOVELL, JOHN, MD
GENDER: M
PROVIDER #: 010776
NPI #: 1366442881
TREMONT MEDICAL CLINIC
105 S LOCUST ST
TREMONT, IL 61568
PHONE: (309) 925-2961
BURKS, TERESA L., APN;
PROVIDER #: 073081
OHNESORGE, AMANDA J., PA;
PROVIDER #: 203247
E-PRESCRIBE: NO
408
CANTRELL, DOLORES M., MD
GENDER: F
PROVIDER #: 294014
NPI #: 1801839105
GRANIT CITY CLINIC CORP
220 EAST US HWY 40
TROY, IL 62294
PHONE: (618) 667-1200
E-PRESCRIBE: NO
GRANITE CITY CLINIC CORP
220 E US HIGHWAY 40
TROY, IL 62294-2201
PHONE:
E-PRESCRIBE: NO
LOPATIN, ERIC D., MD
GENDER: M
PROVIDER #: 103604
NPI #: 1356381271
LOPATIN AND ASSOCIATES
301 EDWARDSVILLE ROAD
TROY, IL 62294
PHONE: (618) 667-7057
E-PRESCRIBE: NO
TUSCOLA, IL
ADULT/INTERNAL
MEDICINE
GARG, ANUJ, MD
GENDER: M
PROVIDER #: 257849
NPI #: 1679585905
CARLE AT TUSCOLA
301 E SOUTHLINE RD
TUSCOLA, IL 61953-2014
PHONE: (217) 253-5231
E-PRESCRIBE: NO
LEE, ISSAC, MD
GENDER: M
PROVIDER #: 162773
NPI #: 1528260908
CHRISTIE CLINIC
300 N MAIN ST
TUSCOLA, IL 61953
PHONE: (217) 253-9258
KILPATRICK, WILLIAM E.,
APN; PROVIDER #: 110778
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
TUSCOLA, IL
URBANA, IL
FAMILY PRACTICE
JALIPARTHI,
SWARNALATHA, MD
GENDER: F
PROVIDER #: 281529
NPI #: 1487892865
CARLE AT TUSCOLA
301 W SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
301 E SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: YES
LI, DANDAN, MD
GENDER:
PROVIDER #: 281530
NPI #: 1720366917
CARLE AT TUSCOLA
301 W SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
301 W SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: YES
PARK, GRACE, MD
GENDER: F
PROVIDER #: 281528
NPI #: 1619147592
CARLE AT TUSCOLA
301 E SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
301 W SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: YES
Primary Care Physicians
PERUMAL, SATHISH, MD
GENDER: M
PROVIDER #: 280869
NPI #: 1659583938
CARLE AT TUSCOLA
301 E SOUTHLINE RD
TUSCOLA, IL 61953-2014
PHONE: (217) 253-5231
E-PRESCRIBE: YES
ROBERTS, NATHAN L., MD
GENDER: M
PROVIDER #: 281685
NPI #: 1225089626
CARLE AT TUSCOLA
301 SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: NO
SALMONS, SALLY J., MD
GENDER: F
PROVIDER #: 281692
NPI #: 1295834901
CARLE AT TUSCOLA
301 SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP
301 SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: NO
PEDIATRICS
KNEPP, MARC D., MD
GENDER: M
PROVIDER #: 268539
NPI #: 1568686277
CARLE AT TUSCOLA
301 E SOUTHLINE RD
TUSCOLA, IL 61953-2014
PHONE: (217) 253-5231
E-PRESCRIBE: YES
LEE, ISSAC, MD
GENDER: M
PROVIDER #: 162773
NPI #: 1528260908
CHRISTIE CLINIC
300 N MAIN ST
TUSCOLA, IL 61953
PHONE: (217) 253-9258
KILPATRICK, WILLIAM E.,
APN; PROVIDER #: 110778
E-PRESCRIBE: YES
ROBERTS, NATHAN L., MD
GENDER: M
PROVIDER #: 068728
NPI #: 1225089626
CARLE AT TUSCOLA
301 SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
ANDERSON, BRENDA, NP;
PROVIDER #: 064470
GRIMALDI, ANGELA M., PA;
PROVIDER #: 153898
SWINYER, PAULA S., CNS;
PROVIDER #: 023646
E-PRESCRIBE: NO
URBANA, IL
ADULT/INTERNAL
MEDICINE
BOONYAPREDEE, MAYTEE,
MD
GENDER: M
PROVIDER #: 284791
NPI #: 1235314501
CARLE PHYSICIAN GROUP
611 W PARK
URBANA, IL 61801
PHONE: (217) 383-3270
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
409
Primary Care Physicians
JOHNSON, PHILIP B., MD
GENDER: M
PROVIDER #: 000232
NPI #: 1710902127
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
KALA, NOLEEN V., MD
GENDER: F
PROVIDER #: 079290
NPI #: 1578596276
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
MAJDIZADEH, SHIRIN, MD
GENDER:
PROVIDER #: 298999
NPI #: 1700135126
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3130
E-PRESCRIBE: YES
MBANG, PAMELA A., MD
GENDER: F
PROVIDER #: 285875
NPI #: 1699968347
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3313
E-PRESCRIBE: YES
410
PETER, SUMA P., MD
GENDER: F
PROVIDER #: 040407
NPI #: 1730199944
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
ANDERSON, BRENDA, NP;
PROVIDER #: 064470
SWINYER, PAULA S., CNS;
PROVIDER #: 023646
E-PRESCRIBE: YES
STOLL, JOHN F., MD
GENDER: M
PROVIDER #: 000052
NPI #: 1295835429
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
KALE, PETER J., NP;
PROVIDER #: 000480
E-PRESCRIBE: YES
FAMILY PRACTICE
AVERY, KATHERINE A., MD
GENDER:
PROVIDER #: 298187
NPI #: 1104112333
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3170
E-PRESCRIBE: YES
CARPENTER, KRISTINE R.,
MD
GENDER: F
PROVIDER #: 293304
NPI #: 1215198189
COMMUNITY RESOURCE
CENTER
1400 W PARK
URBANA, IL 61801
PHONE: (317) 337-2000
E-PRESCRIBE: NO
URBANA, IL
URBANA, IL
CARPENTER, KRISTINE, MD
GENDER: F
PROVIDER #: 284203
NPI #: 1215198189
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3170
E-PRESCRIBE: YES
CESNJAJ, MIRJANA, MD
GENDER: F
PROVIDER #: 148222
NPI #: 1750553814
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
FONS, DOMINIQUE K., MD
GENDER: F
PROVIDER #: 202201
NPI #: 1134391881
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 365-6201
E-PRESCRIBE: YES
FONTAINE, EMILY M., MD
GENDER: F
PROVIDER #: 298197
NPI #: 1144531096
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
HENRICHS, CHRISTINE E.,
MD
GENDER: F
PROVIDER #: 093453
NPI #: 1619908662
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 586-8400
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
URBANA, IL
URBANA, IL
Primary Care Physicians
HUSSAIN, FAROOQ M., MD
GENDER: M
PROVIDER #: 281296
NPI #: 1942509369
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
MENEELY, TIMOTHY S., DO
GENDER: M
PROVIDER #: 007956
NPI #: 1629178181
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
RUDAWSKI, STEPHEN M., DO
GENDER: M
PROVIDER #: 119484
NPI #: 1053403055
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
JABBOUR, JEROME A., MD
GENDER: M
PROVIDER #: 274243
NPI #: 1255325676
CARLE PHYSICIAN GROUP
1818 E WINDSOR
URBANA, IL 61802-9566
PHONE: (217) 255-9670
E-PRESCRIBE: YES
MOHAMMED, ASLAM A., MD
GENDER: M
PROVIDER #: 293194
NPI #: 1205156940
CARLE PHYSICIANS GROUP
1818 W WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
KIM, KEVIN S., DO
GENDER: M
PROVIDER #: 196016
NPI #: 1962634519
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3130
E-PRESCRIBE: YES
NEKKANTI, NARESH, MD
GENDER: M
PROVIDER #: 257553
NPI #: 1366762759
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE:
E-PRESCRIBE: YES
SWEARINGEN, JEFFREY V.,
MD
GENDER: M
PROVIDER #: 000677
NPI #: 1689785305
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3311
E-PRESCRIBE: YES
LEE, DANIEL J., DO
GENDER: M
PROVIDER #: 150676
NPI #: 1568637189
CHRISTIE CLINIC
1710 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 344-9440
CRAIG, MEGHAN, PA;
PROVIDER #: 153947
E-PRESCRIBE: YES
RAFFERTY, CARLA M., MD
GENDER: F
PROVIDER #: 195937
NPI #: 1578719316
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
MASON, BRANDYN W., DO
GENDER:
PROVIDER #: 298193
NPI #: 1205197613
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9670
E-PRESCRIBE: YES
RAY, DANA M., MD
GENDER: F
PROVIDER #: 127121
NPI #: 1225051071
URBANA SCHOOL HEALTH
CENTER
1002 S RACE ST
URBANA, IL 61801
PHONE: (217) 239-4220
E-PRESCRIBE: NO
WAGNER, CHRISTIAN E., MD
GENDER: M
PROVIDER #: 019848
NPI #: 1063514123
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
ANDERSON, BRENDA, NP;
PROVIDER #: 064470
SWINYER, PAULA S., CNS;
PROVIDER #: 023646
E-PRESCRIBE: YES
WHITEHILL, DAVID L., MD
GENDER: M
PROVIDER #: 000658
NPI #: 1366542763
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
411
Primary Care Physicians
WU, STANLEY S., MD
GENDER: M
PROVIDER #: 106661
NPI #: 1700981727
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
FAMILY PRACTICE OB
SWEARINGEN, JEFFREY V.,
MD
GENDER: M
PROVIDER #: 000677
NPI #: 1689785305
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3311
E-PRESCRIBE: YES
WHITEHILL, DAVID L., MD
GENDER: M
PROVIDER #: 000658
NPI #: 1366542763
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
GENERAL PRACTICE
HAMPTON, SIMONE R., MD
GENDER: F
PROVIDER #: 135588
NPI #: 1033184247
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3170
E-PRESCRIBE: YES
412
GERIATRICS PCP
GHULYANI, SHUKTI, MD
GENDER: F
PROVIDER #: 121949
NPI #: 1225203805
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802-9566
PHONE: (217) 255-9700
GAMBRELL-VANNICE, ANN
M., APN; PROVIDER #: 015322
E-PRESCRIBE: YES
PEDIATRICS
ABBASI, ISMAIL, MD
GENDER: M
PROVIDER #: 245321
NPI #: 1427035989
CARLE PHYSICIAN GROUP
611 W PARK STREET
URBANA, IL 61801-2500
PHONE: (217) 383-3266
E-PRESCRIBE: YES
BECK, DONNA T., MD
GENDER: F
PROVIDER #: 000571
NPI #: 1255365797
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
MOHR, JANET F., CNP;
PROVIDER #: 010013
E-PRESCRIBE: YES
BUETOW, M KATHLEEN, MD
GENDER: F
PROVIDER #: 000518
NPI #: 1245267780
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
E-PRESCRIBE: YES
URBANA, IL
URBANA, IL
FULLAN, SEAN P., MD
GENDER: M
PROVIDER #: 252656
NPI #: 1669791166
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
HILL, MALCOLM C., MD
GENDER: M
PROVIDER #: 000491
NPI #: 1043235112
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
MOHR, JANET F., CNP;
PROVIDER #: 010013
E-PRESCRIBE: YES
KANANI, REZA, MD
GENDER:
PROVIDER #: 285521
NPI #: 1609134352
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-4700
E-PRESCRIBE: YES
SCHROEDER, STEFANIE A.,
DO
GENDER: F
PROVIDER #: 300420
NPI #: 1578828836
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9670
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
URBANA, IL
VANDALIA, IL
Primary Care Physicians
SCHUSTER, JOHN, MD
GENDER: M
PROVIDER #: 099142
NPI #: 1245201607
CHRISTIE CLINIC
1710 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 344-9440
E-PRESCRIBE: YES
YOUAKIM, JON P., MD
GENDER: M
PROVIDER #: 299764
NPI #: 1205190071
CARLE PHYSICIAN GROUP
1818 E WINDSOR GROUP
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
STEPHENS, FRANK J., MD
GENDER: M
PROVIDER #: 005189
NPI #: 1871693002
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
MOHR, JANET F., CNP;
PROVIDER #: 010013
E-PRESCRIBE: YES
ZIEMER, ANNA L., MD
GENDER: F
PROVIDER #: 300513
NPI #: 1376805077
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9670
E-PRESCRIBE: NO
SUM, ADA C., MD
GENDER: F
PROVIDER #: 203794
NPI #: 1962667030
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
E-PRESCRIBE: YES
TRIPATHY, NEENA, MD
GENDER: F
PROVIDER #: 068597
NPI #: 1700997301
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
MOHR, JANET F., CNP;
PROVIDER #: 010013
E-PRESCRIBE: YES
VANDALIA, IL
ADULT/INTERNAL
MEDICINE
CHANDRA, ALPANA, MD
GENDER: F
PROVIDER #: 238420
NPI #: 1033212923
HSHS MEDICAL GROUP INC
650 W TAYLOR
VANDALIA, IL 62471-1227
PHONE: (618) 283-5531
E-PRESCRIBE: YES
FAMILY PRACTICE
DOSSETT, BRIAN W., MD
GENDER:
PROVIDER #: 021349
NPI #: 1366490815
1029 NORTH EIGHTH STREET
VANDALIA, IL 62471
PHONE: (618) 283-4469
E-PRESCRIBE: NO
FAYETTE COUNTY
HOSPITAL
650 W TAYLOR ST
VANDALIA, IL 62471
PHONE:
E-PRESCRIBE: NO
JAMAL, ASAD, MD
GENDER: M
PROVIDER #: 169730
NPI #: 1013950476
FAYETTE COUNTY
HOSPITAL WELLNESS
COMPLEX
825 NEW YORK AVE SUITE 2
VANDALIA, IL 62471
PHONE: (618) 283-5545
SCHAUFELBERGER,
VERONICA L., FNP;
PROVIDER #: 200006
E-PRESCRIBE: NO
PATEL, BHAVESH, MD
GENDER: M
PROVIDER #: 257181
NPI #: 1740590231
HEARTLAND HEALTH
SERVICES
650 W TAYLOR ST
VANDALIA, IL 62471
PHONE:
E-PRESCRIBE: NO
825 NEW YORK AVE
VANDALIA, IL 62471
PHONE: (618) 283-5545
E-PRESCRIBE: NO
SKOW, GLENN A., MD
GENDER: M
PROVIDER #: 224840
NPI #: 1396987053
CONFIDENCE MEDICAL
VANDALIA
1442 N 8TH
VANDALIA, IL 62471
PHONE:
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
413
VANDALIA, IL
WARSAW, IL
Primary Care Physicians
FAYETTE COUNTY
HOSPITAL
650 W TAYLOR ST
VANDALIA, IL 62471
PHONE: (217) 283-5532
E-PRESCRIBE: YES
THE WELLNESS COMPLEX
825 NEW YORK AVE
VANDALIA, IL 62471
PHONE:
E-PRESCRIBE: YES
VIRDEN, IL
WARREN, IL
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
MILLER, SHELLY A., MD
GENDER: F
PROVIDER #: 301203
NPI #: 1235387325
FHN FAMILY HEALTHCARE
606 TISDELL AVE
WARREN, IL 61087
PHONE: (815) 745-2644
E-PRESCRIBE: NO
CHAPA, VITTAL V., MD
GENDER: M
PROVIDER #: 008544
NPI #: 1003805151
138 E DEAN ST
VIRDEN, IL 62690
PHONE: (217) 965-5481
E-PRESCRIBE: NO
FAMILY PRACTICE
VIRGINIA, IL
FAMILY PRACTICE
CHOUDHARY, BHAVNA, MD
GENDER: F
PROVIDER #: 277872
NPI #: 1902184708
CASS COUNTY HEALTH
CLINIC
331 SOUTH MAIN
VIRGINIA, IL 62691
PHONE: (217) 452-3057
E-PRESCRIBE: YES
414
SANCHEZ, DOMINIQUE F., DO
GENDER: F
PROVIDER #: 215990
NPI #: 1861654857
CASS COUNTY HEALTH
CLINIC
331 S MAIN ST
VIRGINIA, IL 62691
PHONE: (217) 452-3057
E-PRESCRIBE: YES
CLEARY, MARTIN, MD
GENDER: M
PROVIDER #: 079106
NPI #: 1104890482
FHN FAMILY HEALTHCARE
CENTER
606 TISDELL AVE
WARREN, IL 61087
PHONE: (815) 745-2644
E-PRESCRIBE: NO
WARRENTON, MO
PEDIATRICS
FERGUSON, JULIE R., DO
GENDER: F
PROVIDER #: 287407
NPI #: 1689602781
SSM GLENNON CARE
511 ASHLAND
WARRENTON, MO 63383
PHONE: (636) 456-0543
E-PRESCRIBE: NO
WARSAW, IL
FAMILY PRACTICE
SMITH, LIONEL J., MD
GENDER: M
PROVIDER #: 053381
NPI #: 1386617249
HAMILTON WARSAW
CLINIC
1102 N COUNTY RD 700
WARSAW, IL 62379
PHONE: (217) 256-4100
METZGER, TERESA L., CNP;
PROVIDER #: 009487
POKHAREL, TILAK, PA;
PROVIDER #: 286914
WILLIAMS, RUTH L., PA-C;
PROVIDER #: 244839
E-PRESCRIBE: NO
MCFADDEN, MICHAEL, MD
GENDER: M
PROVIDER #: 098352
NPI #: 1154394484
FHN HEALTHCARE CENTER
606 TISDELL AVE
WARREN, IL 61087
PHONE:
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
WASHINGTON, IA
WASHINGTON, IL
WASHINGTON, IA
Primary Care Physicians
WASHINGTON, IL
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
LIN, REY C., MD
GENDER: M
PROVIDER #: 193412
NPI #: 1447244603
WASHINGTON COUNTY
HOSPITAL MEDICAL CLINIC
400 E POLK ST
WASHINGTON, IA 52353
PHONE: (319) 653-6601
E-PRESCRIBE: NO
ALONSO, LYNESSA A., DO
GENDER: F
PROVIDER #: 182340
NPI #: 1679665020
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
FAMILY PRACTICE
FRIER, CURTIS J., DO
GENDER: M
PROVIDER #: 193419
NPI #: 1902899586
WASHINGTON COUNTY
HOSPITAL MEDICAL CLINIC
400 E POLK ST
WASHINGTON, IA 52353
PHONE: (319) 653-6601
E-PRESCRIBE: NO
BOLEY, CHARLES K., MD
GENDER: M
PROVIDER #: 154234
NPI #: 1912126640
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
RINGENBERG, ALYSE C., APN;
PROVIDER #: 209901
E-PRESCRIBE: NO
HUANG, CHUNG W., MD
GENDER: M
PROVIDER #: 066771
NPI #: 1649264193
WASHINGTON COUNTY
HOSPITAL MEDICAL CLINIC
400 E POLK ST
WASHINGTON, IA 52353
PHONE: (319) 653-6601
E-PRESCRIBE: NO
GORMAN, MATTHEW J., DO
GENDER: M
PROVIDER #: 094199
NPI #: 1427130392
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
PLATTENBERGER-GILMORE,
ROBIN I., DO
GENDER: F
PROVIDER #: 193423
NPI #: 1679566293
WASHINGTON COUNTY
HOSPITAL MEDICAL CLINIC
400 E POLK ST
WASHINGTON, IA 52353
PHONE: (319) 653-6601
E-PRESCRIBE: NO
JAMNADAS, AMIT B., MD
GENDER:
PROVIDER #: 284987
NPI #: 1104072305
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: YES
JOSEPH, SARAH A., MD
GENDER: F
PROVIDER #: 204224
NPI #: 1881974541
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
MUNGER, TANYA J., APN;
PROVIDER #: 227933
E-PRESCRIBE: NO
LINDAHL, LARRY S., MD
GENDER: M
PROVIDER #: 006773
NPI #: 1770681629
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
MILLER, RHETT L., MD
GENDER: M
PROVIDER #: 084572
NPI #: 1871675645
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
ROHDE, JAY T., MD
GENDER: M
PROVIDER #: 273145
NPI #: 1457671745
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
415
Primary Care Physicians
FAMILY PRACTICE
CUTINELLO JR, ANTHONY J.,
DO
GENDER: M
PROVIDER #: 126822
NPI #: 1669422333
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
HENSOLD, JAMES F., MD
GENDER: M
PROVIDER #: 224612
NPI #: 1013011394
METHODIST MEDICAL
GROUP AT WASHINGTON
1201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 444-2090
DAVIS, AMY, CNP; PROVIDER
#: 161344
E-PRESCRIBE: NO
KINSINGER, LEE T., MD
GENDER: M
PROVIDER #: 007322
NPI #: 1417983487
ILLINI FAMILY MEDICINE
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 444-3627
AHRENS, GERILYN, PA-C;
PROVIDER #: 117657
SCHERTZ, JILL E., PA-C;
PROVIDER #: 047978
WILLIAMS, TIFFANI L., PA-C;
PROVIDER #: 203062
E-PRESCRIBE: NO
416
KINSINGER, PAUL A., MD
GENDER: M
PROVIDER #: 003496
NPI #: 1912933938
ILLINI FAMILY MEDICINE
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 444-3627
AHRENS, GERILYN, PA-C;
PROVIDER #: 117657
SCHERTZ, JILL E., PA-C;
PROVIDER #: 047978
E-PRESCRIBE: NO
PIERS, SHAWN E., MD
GENDER: M
PROVIDER #: 051249
NPI #: 1720160500
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
WIRTH, JILL, MD
GENDER: F
PROVIDER #: 168782
NPI #: 1003028150
METHODIST MEDICAL
GROUP WASHINGTON
1201 N CUMMINGS LN
WASHINGTON, IL 61571
PHONE: (309) 444-2090
E-PRESCRIBE: NO
PEDIATRICS
ALONSO, LYNESSA A., DO
GENDER: F
PROVIDER #: 182340
NPI #: 1679665020
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
WASHINGTON, IL
WASHINGTON, IL
BOLEY, CHARLES K., MD
GENDER: M
PROVIDER #: 154234
NPI #: 1912126640
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
RINGENBERG, ALYSE C., APN;
PROVIDER #: 209901
E-PRESCRIBE: NO
CARLSON, SCOTT D., MD
GENDER: M
PROVIDER #: 006251
NPI #: 1386726255
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
GORMAN, MATTHEW J., DO
GENDER: M
PROVIDER #: 094199
NPI #: 1427130392
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
JOSEPH, SARAH A., MD
GENDER: F
PROVIDER #: 204224
NPI #: 1881974541
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
MUNGER, TANYA J., APN;
PROVIDER #: 227933
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
WASHINGTON, IL
WATERMAN, IL
MILLER, RHETT L., MD
GENDER: M
PROVIDER #: 084572
NPI #: 1871675645
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
PEQUETTE, TROY E., MD
GENDER: M
PROVIDER #: 050715
NPI #: 1184714487
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
SHALLAT, SHELLY S., MD
GENDER: F
PROVIDER #: 107245
NPI #: 1184706988
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
WASHINGTON, MO
FAMILY PRACTICE
BAKER, TIM E., MD
GENDER: M
PROVIDER #: 074664
NPI #: 1760596134
MERCY MEDICAL BUILDING
- WASHINGTON, MO
851 E FIFTH ST STE 306
WASHINGTON, MO 63090
PHONE: (636) 239-2741
E-PRESCRIBE: NO
Primary Care Physicians
FRITZ, WILLIAM H., MD
GENDER: M
PROVIDER #: 158798
NPI #: 1407820913
MERCY MEDICAL BUILDING
- WASHINGTON MO
851 E FIFTH ST STE 306
WASHINGTON, MO 63090
PHONE: (636) 239-2741
E-PRESCRIBE: NO
WATERLOO, IA
PEDIATRICS
BRUMBAUGH, JANE E., MD
GENDER: F
PROVIDER #: 223971
NPI #: 1619002458
COVENANT MEDICAL
CENTER-NEONTAL
INTENSIVE
3421 W 9TH ST
WATERLOO, IA 50702
PHONE: (319) 272-8422
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
AMJADI, HAMID, DO
GENDER: M
PROVIDER #: 262757
NPI #: 1700861333
IOWA ADULT MEDICAL
CLINIC LLC
3471 PHEASANT LN
WATERLOO, IA 50701
PHONE: (319) 233-3611
E-PRESCRIBE: NO
BOGDANIC, VINKO M., MD
GENDER: M
PROVIDER #: 256401
NPI #: 1932184249
IOWA ADULT MEDICAL
CLINIC LLC
3471 PHEASANT LN
WATERLOO, IA 50701
PHONE: (319) 233-3611
E-PRESCRIBE: NO
WATERLOO, IL
FAMILY PRACTICE
MAHTANI, ANDREW V., MD
GENDER: M
PROVIDER #: 186718
NPI #: 1659579613
RED BUD CLINIC
CORPORATION
509 HAMACHER ST SUITE
102
WATERLOO, IL 62298
PHONE: (618) 939-3939
E-PRESCRIBE: NO
WATERMAN, IL
FAMILY PRACTICE
ENGLEHART, ERIK D., MD
GENDER: M
PROVIDER #: 208102
NPI #: 1679581367
KISHWAUKEE PHYSICIAN
GROUP INC
10003 US ROUTE 30
WATERMAN, IL 60556
PHONE: (815) 786-7150
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
417
Primary Care Physicians
WATSEKA, IL
ADULT/INTERNAL
MEDICINE
ALFORD, RODNEY, MD
GENDER: M
PROVIDER #: 299265
NPI #: 1427128909
IMH MULTISPECIALTY
PHYSIANS
200 LAIRD LANE
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
DODIA, NARAN P., MD
GENDER: M
PROVIDER #: 079271
NPI #: 1154401974
IMH MULTISPECIALTY
PHYSICIANS
200 LAIRD LN
WATSEKA, IL 60970
PHONE: (815) 432-6175
E-PRESCRIBE: NO
REYES, CRISANTO M., MD
GENDER: M
PROVIDER #: 096136
NPI #: 1154461978
IMH MULTISPECIALTY
PHYSICIANS
200 LAIRD LN
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
TANLIM, ALBERT C., MD
GENDER: M
PROVIDER #: 093859
NPI #: 1659342665
CARLE AT WATSEKA
1490 E WALNUT ST STE C
WATSEKA, IL 60970
PHONE: (815) 432-8200
E-PRESCRIBE: NO
418
FAMILY PRACTICE
CARPENTER, KRISTINE, MD
GENDER: F
PROVIDER #: 229425
NPI #: 1215198189
200 LARID LN
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
625 S 5TH ST SUITE A
WATSEKA, IL 60970
PHONE: (815) 432-0740
E-PRESCRIBE: NO
LANOUE, DOUGLAS A., MD
GENDER: M
PROVIDER #: 231578
NPI #: 1700032646
IMH WATSEKA
200 LAIRD LANE
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
MCCARTHY, WILLIAM D., MD
GENDER: M
PROVIDER #: 178416
NPI #: 1902836414
CARLE AT WATSEKA
1490 E WALNUT ST STE C
WATSEKA, IL 60970
PHONE: (815) 432-8200
E-PRESCRIBE: NO
POWELL, JENNIFER M., MD
GENDER: F
PROVIDER #: 238069
NPI #: 1124131966
RIVERSIDE MEDICAL
CENTER
1490 E WALNUT ST STE A
WATSEKA, IL 60970
PHONE: (815) 432-0250
E-PRESCRIBE: NO
WATSEKA, IL
WATSEKA, IL
PUROHIT, MEENA, MD
GENDER:
PROVIDER #: 294170
NPI #: 1235529660
CARLE HOOPESTON
REGIONAL HEALTH CENTER
845 S 4TH ST
WATSEKA, IL 60970
PHONE: (815) 432-2461
E-PRESCRIBE: YES
TORRES, TERESITA G., MD
GENDER: F
PROVIDER #: 274564
NPI #: 1639138324
IMH-WATSEKA
200 LAIRD LN
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
YU, JACQUELINE, MD
GENDER: F
PROVIDER #: 272016
NPI #: 1821274515
CARLE AT WATSEKA
1490 E WALNUT ST STE C
WATSEKA, IL 60970
PHONE: (815) 432-8200
E-PRESCRIBE: YES
ZUMWALT, PHILIP F., MD
GENDER: M
PROVIDER #: 004058
NPI #: 1629066170
WATSEKA FAMILY
PRACTICE
125 S FOURTH ST
WATSEKA, IL 60970
PHONE: (815) 432-5408
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
WATSEKA, IL
WEST DES MOINES, IA
Primary Care Physicians
FAMILY PRACTICE OB
PEDIATRICS
ZUMWALT, PHILIP F., MD
GENDER: M
PROVIDER #: 004058
NPI #: 1629066170
WATSEKA FAMILY
PRACTICE
125 S FOURTH ST
WATSEKA, IL 60970
PHONE: (815) 432-5408
E-PRESCRIBE: YES
WUCA-NORTHWEST
PEDIATRICS LLC
GENDER:
PROVIDER #: 293502
NPI #:
1660 W MEYER RD
WENTZVILLE, MO 63385
PHONE:
E-PRESCRIBE: NO
PEDIATRICS
FONTANILLA, ANGELITA, MD
GENDER: F
PROVIDER #: 192480
NPI #: 1114076080
IMH WATSEKA
200 LAIRD LANE
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
WENTZVILLE, MO
ADULT/INTERNAL
MEDICINE
MABE, NANCY C., MD
GENDER: F
PROVIDER #: 198845
NPI #: 1902808892
HEARTLAND INTERNAL
MEDICINE ASSOCIATES
1021 WENTZVILLE PKWY
WENTZVILLE, MO 63385
PHONE: (636) 887-3800
E-PRESCRIBE: NO
WEST BRANCH, IA
FAMILY PRACTICE
HEITHOFF, BRAD, MD
GENDER: M
PROVIDER #: 155589
NPI #: 1437137239
WEST BRANCH FAMILY
PRACTICE CLINIC
206 COOKSON DR
WEST BRANCH, IA 52358
PHONE: (319) 643-2516
COLLINS, ELLEN R., PA-C;
PROVIDER #: 124814
E-PRESCRIBE: NO
NOVAK, THOMAS A., MD
GENDER: M
PROVIDER #: 054577
NPI #: 1376581868
WEST BRANCH FAMILY
PRACTICE CLINIC
206 COOKSON DR
WEST BRANCH, IA 52358
PHONE: (319) 643-2516
PATTON, EMILY, CNP;
PROVIDER #: 124848
E-PRESCRIBE: NO
WEST BURLINGTON, IA
ADULT/INTERNAL
MEDICINE
NEEKHRA, ANEESH, MD
GENDER: M
PROVIDER #: 248825
NPI #: 1134384548
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
1225 S GEAR AVE SUITE 153
WEST BURLINGTON, IA
52655
PHONE: (319) 754-4400
E-PRESCRIBE: NO
WEST DES MOINES, IA
FAMILY PRACTICE
BOLLINGER, ALAN, DO
GENDER: M
PROVIDER #: 285786
NPI #: 1295830115
CENTRAL STATES
MEDICINE PLLC
1300 37TH ST STE 3 & 4
WEST DES MOINES, IA 50266
PHONE: (515) 267-1819
E-PRESCRIBE: NO
YANKEY, JOSEPH M., DO
GENDER: M
PROVIDER #: 242025
NPI #: 1538329917
DES MOINES ORTHOPAEDIC
SURGEONS
6001 WESTOWN PKWY
WEST DES MOINES, IA 502667702
PHONE: (515) 224-1414
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
419
Primary Care Physicians
WEST FRANKFORT, IL
FAMILY PRACTICE
BRYANT, JODI L., MD
GENDER: F
PROVIDER #: 076976
NPI #: 1508848284
SOUTHERN ILLINOIS
MEDICAL CARE
ASSOCIATES
406 W SAINT LOUIS ST
WEST FRANKFORT, IL 62896
PHONE: (618) 937-6300
ADKINS, JULIE A., ARNP;
PROVIDER #: 229762
E-PRESCRIBE: NO
DAVIS, DENNON W., MD
GENDER: M
PROVIDER #: 047016
NPI #: 1689788630
SIH MEDICAL GROUP AT
LOGAN PRIMARY CARE
SERVICE CO
502 W ST LOUIS ST
WEST FRANKFORT, IL 62896
PHONE: (618) 937-3400
BUEZA, JESSE, PA-C;
PROVIDER #: 178622
SHADOWENS, CHRISTOPHER
S., PA-C; PROVIDER #: 073465
E-PRESCRIBE: NO
KENNEDY, NICOLE, MD
GENDER: F
PROVIDER #: 253775
NPI #: 1780902486
SOUTHERN ILLINOIS
MEDICAL CARE
406 W ST LOUIS ST
WEST FRANKFORT, IL 62896
PHONE: (618) 937-6300
E-PRESCRIBE: NO
420
MORTHLAND, TIMOTHY E.,
MD
GENDER: M
PROVIDER #: 257336
NPI #: 1255375515
FRANKLIN HOSPITAL DBA
MORTHLAND COLLEGE
HEALTH S
309 W SAINT LOUIS ST
WEST FRANKFORT, IL 62896
PHONE: (618) 932-2200
DORRIS, JASON, PA-C;
PROVIDER #: 263234
RICE, HEATHER D., PA;
PROVIDER #: 276723
E-PRESCRIBE: NO
MORTHLAND, TIMOTHY, MD
GENDER: M
PROVIDER #: 277793
NPI #: 1255375515
MORTHLAND COLLEGE
HEALTH SERVICES
309 W ST LOUIS ST SUITE B
WEST FRANKFORT, IL 62896
PHONE:
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
MINERS MEMORIAL
HOSPITAL
GENDER:
PROVIDER #: 207793
NPI #: 1841477833
2553 KEN GRAY BLVD
WEST FRANKFORT, IL 62896
PHONE: (618) 985-2200
E-PRESCRIBE: NO
WEST FRANKFORT, IL
WEST SALEM, IL
WEST LIBERTY, IA
FAMILY PRACTICE
HANNA, LAUREN, MD
GENDER: F
PROVIDER #: 123353
NPI #: 1518909787
MERCY SERVICE WEST
LIBERTY
1401 CREES ST
WEST LIBERTY, IA 52776
PHONE: (319) 627-2131
E-PRESCRIBE: NO
LAVADIE-GOMEZ, ELEANOR
L., MD
GENDER: F
PROVIDER #: 187629
NPI #: 1538367925
MERCY SERVICES WEST
LIBERTY
1401 CREES ST
WEST LIBERTY, IA 52776
PHONE: (319) 627-2132
E-PRESCRIBE: NO
WEST SALEM, IL
FAMILY PRACTICE
GARRETT, HARRY T., DO
GENDER: M
PROVIDER #: 034190
NPI #: 1871589515
100 S MAIN ST
WEST SALEM, IL 62476
PHONE: (618) 456-3727
GREATHOUSE, GAIL M., FNP;
PROVIDER #: 073667
WEILER, CAROL, PA-C;
PROVIDER #: 073873
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
WHEATON, IL
WHEATON, IL
WHEATON, IL
ADULT/INTERNAL
MEDICINE
AMBLER, DOUGLAS, MD
GENDER: M
PROVIDER #: 182636
NPI #: 1154343689
CADENCE PHYSICIAN
GROUP
7 BLANCHARD CIR SUITE
206
WHEATON, IL 60189-2037
PHONE: (630) 653-0848
E-PRESCRIBE: NO
CHIANG, PAUL P., MD
GENDER: M
PROVIDER #: 270261
NPI #: 1902831696
CADENCE PHYSICIAN
GROUP
1800 N MAIN ST 2ND FLOOR
WHEATON, IL 60187-3112
PHONE: (630) 614-4960
E-PRESCRIBE: NO
PIPITONE, ANTHONY J., DO
GENDER: M
PROVIDER #: 211037
NPI #: 1821010349
CADENCE PHYSICIAN
GROUP
7 BLANCHARD CIR SUITE
206
WHEATON, IL 60189-2037
PHONE: (630) 653-0848
E-PRESCRIBE: NO
SANTI, CHRISTOPHER, MD
GENDER: M
PROVIDER #: 289924
NPI #: 1124006697
CORNERSTONE MEDICAL
GROUP
2001 N GARY AVE SUITE 110
WHEATON, IL 60187
PHONE: (630) 614-4100
E-PRESCRIBE: NO
Primary Care Physicians
2001 S WEISBROOK RD
WHEATON, IL 60189
PHONE: (630) 614-4000
E-PRESCRIBE: NO
TEBEAU, CHRISTOPHER M.,
MD
GENDER: M
PROVIDER #: 136620
NPI #: 1427070986
CADENCE PHYSICIAN
GROUP
7 BLANCHARD CIR SUITE
206
WHEATON, IL 60189-2037
PHONE: (630) 653-0848
E-PRESCRIBE: NO
WILLIS, MICHELLE, DO
GENDER: F
PROVIDER #: 281096
NPI #: 1255567574
CORNERSTONE MEDICAL
GROUP
2001 N GARY AVE SUITE 110
WHEATON, IL 60187
PHONE: (630) 614-4100
E-PRESCRIBE: NO
2001 S WEISBROOK RD
WHEATON, IL 60189
PHONE: (630) 614-4000
E-PRESCRIBE: NO
FAMILY PRACTICE
BURANDT, STEVEN L., DO
GENDER: M
PROVIDER #: 289915
NPI #: 1942315106
CORNERSTONE MEDICAL
GROUP
2001 N GARY AVE SUITE 110
WHEATON, IL 60187
PHONE: (630) 614-4100
E-PRESCRIBE: NO
2001 S WEISBROOK RD
WHEATON, IL 60189
PHONE: (630) 614-4000
E-PRESCRIBE: NO
CORCORAN, MARIE E., DO
GENDER: F
PROVIDER #: 203802
NPI #: 1386759710
CENTRAL DUPAGE
PHYSICIAN
7 BLANCHARD CIR #200
WHEATON, IL 60189
PHONE: (630) 510-9009
E-PRESCRIBE: NO
CORNWELL, THOMAS A., MD
GENDER: M
PROVIDER #: 249846
NPI #: 1386679082
CADENCE PHYSICIAN
GROUP
1800 N MAIN ST SECOND
FLOOR
WHEATON, IL 60187-3112
PHONE: (630) 614-4960
E-PRESCRIBE: NO
ENG, THOMAS, DO
GENDER: M
PROVIDER #: 205231
NPI #: 1639277551
CORNERSTONE MEDICAL
GROUP
2001 N GARY AVE SUITE 110
WHEATON, IL 60187
PHONE: (630) 614-4100
E-PRESCRIBE: NO
2001 S WEISBROOK RD
WHEATON, IL 60189
PHONE: (630) 614-4000
E-PRESCRIBE: NO
JOHNSON, VICTORIA S., MD
GENDER: F
PROVIDER #: 121451
NPI #: 1760595904
CORNERSTONE MEDICAL
GROUP
2001 N GARY AVE SUITE 110
WHEATON, IL 60187
PHONE: (630) 614-4100
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
421
Primary Care Physicians
LAYCOCK, LORI L., DO
GENDER: F
PROVIDER #: 289921
NPI #: 1316045206
CORNERSTONE MEDICAL
GROUP
2001 S WEISBROOK RD
WHEATON, IL 60189
PHONE: (630) 614-4000
E-PRESCRIBE: NO
2001 S WEISBROOK RD
WHEATON, IL 60189
PHONE: (630) 614-4000
E-PRESCRIBE: NO
JONES, DOROTHY N., MD
GENDER:
PROVIDER #: 065241
NPI #: 1497768618
CORNERSTON MEDICAL
GROUP
2001 S WEISBROOK RD
WHEATON, IL 60189
PHONE: (630) 614-4000
E-PRESCRIBE: NO
CORNERSTONE MEDICAL
GROUP
2001 N GARY AVE SUITE 110
WHEATON, IL 60187
PHONE: (630) 614-4100
E-PRESCRIBE: NO
LARSEN, JANE E., MD
GENDER: F
PROVIDER #: 269963
NPI #: 1043536428
CADENCE PHYSICIAN
GROUP
7 BLANCHARD CIR STE 200
WHEATON, IL 60189-2037
PHONE: (630) 510-9009
E-PRESCRIBE: NO
LARSON, BETH E., MD
GENDER: F
PROVIDER #: 289918
NPI #: 1407969645
CORNERSTONE MEDICAL
GROUP
1002 N GARY AVE SUITE 110
WHEATON, IL 60187
PHONE: (630) 614-4100
E-PRESCRIBE: NO
422
MUNRO, CATHY L., MD
GENDER: F
PROVIDER #: 196305
NPI #: 1144335373
CORNERSTON MEDICAL
GROUP
2001 N GARY AVE SUITE 110
WHEATON, IL 60187
PHONE: (630) 614-4100
E-PRESCRIBE: NO
CORNERSTONE MEDICAL
GROUP
2001 S WEISBROOK RD
WHEATON, IL 60189
PHONE: (630) 614-4000
E-PRESCRIBE: NO
OSWALD, LAURA A., DO
GENDER: F
PROVIDER #: 163559
NPI #: 1164453601
CADENCE PHYSICIAN
GROUP
7 BLANCHARD CIR SUITE
200
WHEATON, IL 60189-2037
PHONE: (630) 510-9009
E-PRESCRIBE: NO
PACHON, AMBER L., MD
GENDER: F
PROVIDER #: 289922
NPI #: 1881830776
CORNERSTONE MEDICAL
GROUP
2001 N GARY AVE SUITE 110
WHEATON, IL 60187
PHONE: (630) 614-4100
E-PRESCRIBE: NO
WHEATON, IL
WHEATON, IL
2001 S WEISBROOK RD
WHEATON, IL 60189
PHONE: (630) 614-4000
E-PRESCRIBE: NO
RICHARDSON, AUDREY C.,
MD
GENDER: F
PROVIDER #: 269392
NPI #: 1326031196
CADENCE PHYSICIAN
GROUP
1800 N MAIN ST
WHEATON, IL 60187-3112
PHONE: (630) 614-4960
E-PRESCRIBE: NO
SALVADOR, BERNARD B.,
MD
GENDER: M
PROVIDER #: 269277
NPI #: 1548426174
CADENCE PHYSICIAN
GROUP
7 BLANCHARD CIR
WHEATON, IL 60189
PHONE: (630) 510-9009
E-PRESCRIBE: NO
SEVERINO, RONALD G., MD
GENDER: M
PROVIDER #: 209314
NPI #: 1932214186
CORNERSTONE MEDICAL
GROUP
2001 N GARY AVE SUITE 110
WHEATON, IL 60187
PHONE: (630) 614-4100
E-PRESCRIBE: NO
2001 S WEISBROOK RD
WHEATON, IL 60189
PHONE: (630) 614-4000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
WHEATON, IL
WILLIAMSBURG, IA
SEYMOUR, JAY, MD
GENDER: M
PROVIDER #: 265645
NPI #: 1174545669
CADENCE PHYSICIAN
GROUP
7 BLANCHARD CIR SUITE
200
WHEATON, IL 60189-2037
PHONE: (630) 510-9009
E-PRESCRIBE: NO
PEDIATRICS
BETTI, ROY J., MD
GENDER: M
PROVIDER #: 269681
NPI #: 1831123801
CADENCE PHYSICIAN
GROUP
2001 N GARY AVE
WHEATON, IL 60187-3055
PHONE: (630) 653-5115
E-PRESCRIBE: NO
CASTROVILLARI, JOY E., MD
GENDER: F
PROVIDER #: 270265
NPI #: 1053576686
CADENCE PHYSICIAN
GROUP
2001 GARY AVE
WHEATON, IL 60187-3055
PHONE: (630) 653-5115
E-PRESCRIBE: NO
WHITE HALL, IL
FAMILY PRACTICE
ADAMS, AUGUST G., MD
GENDER: M
PROVIDER #: 071511
NPI #: 1992803985
GREENE COUNTY RURAL
HEALTH CENTER
116A MAIN ST
WHITE HALL, IL 62092
PHONE: (217) 374-2188
E-PRESCRIBE: NO
Primary Care Physicians
FRY, SHAWN M., MD
GENDER: F
PROVIDER #: 294840
NPI #: 1659467793
GREENE COUNTY RURAL
HEALTH CLINIC
116A MAIN STREET
WHITE HALL, IL 62092
PHONE: (217) 374-2188
E-PRESCRIBE: NO
GILL, GULTASIB K., MD
GENDER: M
PROVIDER #: 280455
NPI #: 1306125521
GREENE COUNTY RURAL
HEALTH CENTER
116A MAIN ST
WHITE HALL, IL 62092
PHONE: (217) 374-2188
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
GREENE COUNTY RURAL
HEALTH CENTER
GENDER:
PROVIDER #: 022181
NPI #: 1366535304
116A MAIN ST
WHITE HALL, IL 62092
PHONE: (217) 374-2188
E-PRESCRIBE: NO
WILLIAMSBURG, IA
ADULT/INTERNAL
MEDICINE
HEGEMAN, ROBERT J., MD
GENDER: M
PROVIDER #: 052393
NPI #: 1508808684
MERCY SERVICES
WILLIAMSBURG
819 S HIGHLAND
WILLIAMSBURG, IA 52361
PHONE: (319) 668-2722
LUDEKING, THERESA, PA;
PROVIDER #: 124847
E-PRESCRIBE: NO
FAMILY PRACTICE
KOENIG, CHARLOTTE, MD
GENDER: F
PROVIDER #: 136202
NPI #: 1841262979
MERCY SERVICES
WILLIAMSBURG
819 S HIGHLAND
WILLIAMSBURG, IA 52361
PHONE: (319) 668-2722
E-PRESCRIBE: NO
READ, LECK, MD
GENDER: M
PROVIDER #: 198645
NPI #: 1316965239
MERCY SERVICES
WILLIAMSBURG
819 S HIGHLAND
WILLIAMSBURG, IA 52361
PHONE: (319) 668-2722
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
423
Primary Care Physicians
SCHWIEBERT, LISA M., MD
GENDER: F
PROVIDER #: 254991
NPI #: 1710206255
MERCY FAMILY MEDICINE
OF WILLIAMSBURG
819 S HIGHLAND ST
WILLIAMSBURG, IA 52361
PHONE: (319) 668-2722
E-PRESCRIBE: NO
WILLIAMSFIELD, IL
FAMILY PRACTICE
LEONARD, RONALD K., MD
GENDER: M
PROVIDER #: 042019
NPI #: 1760562177
OSF MEDICAL GROUP
120 E GALE ST
WILLIAMSFIELD, IL 61489
PHONE: (309) 639-2233
E-PRESCRIBE: NO
WILMETTE, IL
ADULT/INTERNAL
MEDICINE
ELLIOTT, GLYNN J., MD
GENDER: M
PROVIDER #: 256805
NPI #: 1366481426
PMG NORTHSHOREPATRIOT
1625 SHERIDAN RD
WILMETTE, IL 60091
PHONE: (841) 251-1500
E-PRESCRIBE: NO
424
MAKS, JONATHAN H., MD
GENDER: M
PROVIDER #: 252378
NPI #: 1720033160
PMG NORTHSHOREPATRIOT
1625 SHERIDAN RD
WILMETTE, IL 60091
PHONE: (847) 251-2191
E-PRESCRIBE: NO
SINGH, BHUPINDER, MD
GENDER:
PROVIDER #: 256807
NPI #: 1932250446
PMG PRESENCE MEDICAL
GROUP
1625 SHERIDAN RD
WILMETTE, IL 60091
PHONE: (847) 251-1500
E-PRESCRIBE: NO
PEDIATRICS
MAKS, JONATHAN H., MD
GENDER: M
PROVIDER #: 252378
NPI #: 1720033160
PMG NORTHSHOREPATRIOT
1625 SHERIDAN RD
WILMETTE, IL 60091
PHONE: (847) 251-2191
E-PRESCRIBE: NO
WILLIAMSBURG, IA
WILMINGTON, IL
WILMINGTON, IL
ADULT/INTERNAL
MEDICINE
CHATRATH, SANJAY, DO
GENDER: M
PROVIDER #: 043585
NPI #: 1861591711
RIVERSIDE MEDICAL
CENTER OF WILMINGTON
105 N FIRST ST
WILMINGTON, IL 60481
PHONE: (815) 476-5210
PROKOP, KARIE L., PA-C;
PROVIDER #: 232221
E-PRESCRIBE: NO
FAMILY PRACTICE
MACEREN, RAYMOND G., MD
GENDER: M
PROVIDER #: 186677
NPI #: 1891706503
RIVERSIDE MEDICAL
CENTER OF WILMINGTON
105 S FIRST ST
WILMINGTON, IL 60481
PHONE: (815) 476-5210
CROYLE, CYNTHIA D., CNP;
PROVIDER #: 236886
HOLMES, TIMBOLIN D., CNP;
PROVIDER #: 244521
LOPEZ, GEORGINA, CNP;
PROVIDER #: 236887
SCHNELL, JENNIFER, NP;
PROVIDER #: 228238
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
WILTON, IA
WINFIELD, IL
WILTON, IA
FAMILY PRACTICE
SCHMIEG, ASHLEY, DO
GENDER: F
PROVIDER #: 260581
NPI #: 1033196498
UNITYPOINT CLINIC/
FAMILY MEDICINE AT
WILTON
400 OVERSEN DR
WILTON, IA 52778
PHONE: (563) 732-2121
E-PRESCRIBE: NO
SOJKA, MATTHEW L., MD
GENDER: M
PROVIDER #: 230139
NPI #: 1659358471
UNITYPOINT CLINIC/
FAMILY MEDICINE AT
WILTON
400 OVESEN DR
WILTON, IA 52778
PHONE: (563) 732-2121
E-PRESCRIBE: NO
WINFIELD, IL
ADULT/INTERNAL
MEDICINE
OTTEMAN, CRYSTAL J., MD
GENDER: F
PROVIDER #: 285051
NPI #: 1174578629
CADENCE PHYSICIAN
GROUP
25 NORTH WINFIELD RD
WINFIELD, IL 60190
PHONE: (321) 243-4244
E-PRESCRIBE: NO
Primary Care Physicians
ROBB-RAREY, CANDICE R.,
DO
GENDER: F
PROVIDER #: 229868
NPI #: 1235372996
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD
WINFIELD, IL 60190-1295
PHONE: (630) 653-0848
E-PRESCRIBE: NO
SAHA, SANDEEP A., MD
GENDER: M
PROVIDER #: 269362
NPI #: 1679685101
CADENCE PHYSICIAN
GROUP
25 N WINFIELD
WINFIELD, IL 60190-1295
PHONE: (630) 933-4700
E-PRESCRIBE: NO
TOWNE, PATRICK J., MD
GENDER: M
PROVIDER #: 269141
NPI #: 1568484012
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD
WINFIELD, IL 60190-1295
PHONE: (630) 653-0848
E-PRESCRIBE: NO
FAMILY PRACTICE
BIRT, MAURICE W., MD
GENDER: M
PROVIDER #: 204338
NPI #: 1780614503
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD SUITE 501
WINFIELD, IL 60190-1295
PHONE: (630) 260-0600
E-PRESCRIBE: NO
CARSTEN, JAMES, MD
GENDER: M
PROVIDER #: 204464
NPI #: 1194756023
CENTRAL DUPAGE PHYS
GRP
25 WINFIELD RD SUITE 501
WINFIELD, IL 60190
PHONE: (630) 682-0500
E-PRESCRIBE: NO
DERRICK, MELODY J., MD
GENDER: F
PROVIDER #: 196263
NPI #: 1407945827
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD SUITE 501
WINFIELD, IL 60190-1295
PHONE: (630) 260-0600
E-PRESCRIBE: NO
GARVEY, JOAN E., MD
GENDER: F
PROVIDER #: 270180
NPI #: 1891989703
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD STE 501
WINFIELD, IL 60190-1295
PHONE: (630) 260-0600
E-PRESCRIBE: NO
GRGANTO, DAVID M., MD
GENDER: M
PROVIDER #: 220801
NPI #: 1679508766
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD SUITE 501
WINFIELD, IL 60190-1295
PHONE: (630) 260-0600
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
425
Primary Care Physicians
JOHNSON, JEFFREY T., DO
GENDER: M
PROVIDER #: 224145
NPI #: 1689786352
CADENCE PHYSICIAN
GROUP
27 W 350 HIGHLAKE RD
WINFIELD, IL 60190-1262
PHONE: (630) 933-4625
E-PRESCRIBE: NO
KEAGLE, KEVIN D., DO
GENDER: M
PROVIDER #: 230783
NPI #: 1841308277
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD SUITE 501
WINFIELD, IL 60190-1295
PHONE: (630) 260-0600
E-PRESCRIBE: NO
MOLINE, KATHLEEN C., DO
GENDER:
PROVIDER #: 269579
NPI #: 1730373259
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD STE 501
WINFIELD, IL 60190-1295
PHONE: (630) 260-0600
E-PRESCRIBE: NO
ZIMMERMAN, RAYMOND J.,
MD
GENDER: M
PROVIDER #: 269070
NPI #: 1386602100
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD STE 501
WINFIELD, IL 60190-1295
PHONE: (630) 260-0600
E-PRESCRIBE: NO
426
PEDIATRICS
JAO, MICHELLE, MD
GENDER: F
PROVIDER #: 269515
NPI #: 1083632947
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD SUITE 501
WINFIELD, IL 60190-1295
PHONE: (630) 260-0600
E-PRESCRIBE: NO
MIKHAILOV, MARY J., MD
GENDER: F
PROVIDER #: 269849
NPI #: 1700817244
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD STE 501
WINFIELD, IL 60190-1295
PHONE: (630) 260-0600
E-PRESCRIBE: NO
VOGT, KRISTEN L., MD
GENDER: F
PROVIDER #: 258311
NPI #: 1518920669
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD
WINFIELD, IL 60190-1295
PHONE: (630) 260-0600
E-PRESCRIBE: NO
WINNEBAGO, IL
FAMILY PRACTICE
MICHALSEN, BRIAN T., DO
GENDER: M
PROVIDER #: 232954
NPI #: 1548426158
ROCKFORD HEALTH
PHYSICIANS
102 LANDMARK DR
WINNEBAGO, IL 61088
PHONE: (815) 971-2000
E-PRESCRIBE: NO
WINFIELD, IL
WINNETKA, IL
RUDOLPH, HAHN T., DO
GENDER:
PROVIDER #: 076307
NPI #: 1275643462
ROCKFORD HEALTH
PHYSICIANS
102 LANDMARK DR
WINNEBAGO, IL 61088
PHONE: (815) 971-2000
E-PRESCRIBE: NO
STRUTZENBERG, JON, DO
GENDER: M
PROVIDER #: 092255
NPI #: 1174633366
ROCKFORD HEALTH
PHYSICIANS
102 LANDMARK DR
WINNEBAGO, IL 61088
PHONE: (815) 971-2000
E-PRESCRIBE: NO
WINNETKA, IL
ADULT/INTERNAL
MEDICINE
MANDZIJ, ROMAN W., MD
GENDER: M
PROVIDER #: 263895
NPI #: 1841239902
PRESENCE HEALTH
SERVICES
525 WINNETKA AVE
WINNETKA, IL 60093
PHONE: (847) 501-4060
E-PRESCRIBE: NO
STERN, THOMAS, MD
GENDER: M
PROVIDER #: 231525
NPI #: 1477592665
RMG NSMG IM WINNETKA
525 WINNETKA RD
WINNETKA, IL 60093
PHONE: (847) 501-4060
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
WOODSTOCK, IL
YORKVILLE, IL
WOODSTOCK, IL
ADULT/INTERNAL
MEDICINE
NARRA, LEELA, MD
GENDER: F
PROVIDER #: 052765
NPI #: 1225001571
ROCKFORD HEALTH
PHYSICIANS
2000 LAKE AVE
WOODSTOCK, IL 60098
PHONE: (815) 337-7100
E-PRESCRIBE: NO
SMITH, JEFFREY R., MD
GENDER: M
PROVIDER #: 087437
NPI #: 1346200938
ROCKFORD HEALTH
PHYSICIANS
2000 LAKE AVE
WOODSTOCK, IL 60098
PHONE: (815) 337-7100
E-PRESCRIBE: NO
WYOMING, IL
FAMILY PRACTICE
JEFFRIES, KEVIN, MD
GENDER: M
PROVIDER #: 090978
NPI #: 1871541615
REGIONAL HEALTH
PARTNERS
101 S GALENA AVE
WYOMING, IL 61491
PHONE: (309) 695-6448
HARKER, TAMI L., CNP;
PROVIDER #: 111142
E-PRESCRIBE: NO
Primary Care Physicians
RAMOS, JULIO A., MD
GENDER: M
PROVIDER #: 142325
NPI #: 1982629044
REGIONAL HEALTH
PARTNERS
101 S GALENA AVE
WYOMING, IL 61491
PHONE: (309) 695-6448
E-PRESCRIBE: NO
SATKAUSKAS, REMIGIJUS,
MD
GENDER: M
PROVIDER #: 092940
NPI #: 1760430524
REGIONAL HEALTH
PARTNERS
101 S GALENA AVE
WYOMING, IL 61491
PHONE: (309) 695-6448
BROKAW, JENNIFER, FNP;
PROVIDER #: 089415
HARKER, TAMI L., CNP;
PROVIDER #: 111142
MARTIN, KATHLEEN, FNP;
PROVIDER #: 096592
E-PRESCRIBE: NO
SNIDER, CRYSTAL, MD
GENDER: F
PROVIDER #: 153721
NPI #: 1700098845
REGIONAL HEALTH
PARTNERS
101 S GALENA
WYOMING, IL 61491
PHONE: (309) 695-6448
E-PRESCRIBE: NO
YORKVILLE, IL
ADULT/INTERNAL
MEDICINE
FAKHRUDDIN, ATIF, MD
GENDER: M
PROVIDER #: 141140
NPI #: 1952349516
DREYER CLINIC YORKVILLE
1500 SYCAMORE RD SUITE
1000
YORKVILLE, IL 60560
PHONE: (630) 553-4470
E-PRESCRIBE: NO
SAPYTA, STEVEN J., MD
GENDER: M
PROVIDER #: 093995
NPI #: 1518071323
DREYER CLINICYORKVILLE
1500 SYCAMORE RD STE
1000
YORKVILLE, IL 60560
PHONE: (630) 553-4470
E-PRESCRIBE: NO
FAMILY PRACTICE
DORMAN, DOUGLAS G., MD
GENDER: M
PROVIDER #: 100805
NPI #: 1891711958
DREYER CLINICYORKVILLE
1500 SYCAMORE RD STE
1000
YORKVILLE, IL 60560
PHONE: (630) 553-4470
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
427
Primary Care Physicians
YORKVILLE, IL
ZEIGLER, IL
PEDIATRICS
DANTZER, MICHAEL R., MD
GENDER: M
PROVIDER #: 081976
NPI #: 1124044474
DREYER CLINICYORKVILLE
1500 SYCAMORE RD STE
1000
YORKVILLE, IL 60560
PHONE: (630) 553-4470
E-PRESCRIBE: NO
ZEIGLER, IL
NURSE PRACTITIONER
HOLMAN, DEBBIE L., NP
GENDER: F
PROVIDER #: 299006
NPI #: 1073547717
29 CIRCLE
ZEIGLER, IL 62999
PHONE: (618) 923-4310
E-PRESCRIBE: NO
428
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
ALTAMONT, IL
ANKENY, IA
Family Practice Physicians listed in this section may be selected to provide primary care or uncomplicated
obstetrical care. Midlevel providers are indicated by italics.
ALTAMONT, IL
FAMILY PRACTICE OB
FROST, ROBERT W., MD
GENDER: M
PROVIDER #: 186801
NPI #: 1568449098
MARSHALL CLINIC
EFFINGHAM
205 N MAIN ST
ALTAMONT, IL 62411
PHONE: (618) 483-6131
E-PRESCRIBE: NO
ALTON, IL
OBSTETRICS/
GYNECOLOGY
CANNON, SARA M., MD
GENDER: F
PROVIDER #: 140343
NPI #: 1770594723
JCH MEDICAL GROUPALTON OB
#2 ST ANTHONYS WAY STE
105
ALTON, IL 62002
PHONE: (618) 463-1111
E-PRESCRIBE: NO
KISABETH, TIM C., MD
GENDER: M
PROVIDER #: 207680
NPI #: 1851384796
JCH MEDICAL GROUPALTON OB
#2 ST ANTHONYS WAY STE
105
ALTON, IL 62002
PHONE: (618) 463-1111
E-PRESCRIBE: NO
TALSKY, JOSEPH M., MD
GENDER: M
PROVIDER #: 193778
NPI #: 1629026208
ALTON OB/GYN
ASSOCIATES
#230 4 MEMORIAL DR
ALTON, IL 62002
PHONE: (618) 433-6410
E-PRESCRIBE: NO
ANKENY, IA
OBSTETRICS/
GYNECOLOGY
BOEHNKE, CAROLINE A., MD
GENDER: F
PROVIDER #: 232827
NPI #: 1104171743
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
800 E FIRST ST SUITE W220
ANKENY, IA 50021
PHONE:
E-PRESCRIBE: YES
CHANG, EMILY, DO
GENDER: F
PROVIDER #: 257020
NPI #: 1003011560
OB/GYN ASSOC OF DES
MOINES
800 E FIRST ST SUITE W220
ANKENY, IA 50021
PHONE:
E-PRESCRIBE: YES
DASSANAYAKE, TAMARA M.,
MD
GENDER:
PROVIDER #: 105545
NPI #: 1487752622
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
1802 SE DELAWARE SUITE
110B
ANKENY, IA 50021
PHONE: (515) 964-3241
E-PRESCRIBE: NO
DORNBIER, DENNIS P., DO
GENDER: M
PROVIDER #: 041925
NPI #: 1306944525
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
1802 SE DELAWARE SUITE
110B
ANKENY, IA 50021
PHONE: (515) 964-3241
E-PRESCRIBE: NO
FAGERLAND, JEFFREY J.,
DO
GENDER: M
PROVIDER #: 112953
NPI #: 1811095045
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
1802 SE DELAWARE SUITE
110B
ANKENY, IA 50021
PHONE: (515) 964-3241
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
429
Obstetrics/Gynecology
Care Providers
FELTZ, STEPHEN M., MD
GENDER: M
PROVIDER #: 055970
NPI #: 1417055641
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
1802 SE DELAWARE SUITE
110B
ANKENY, IA 50021
PHONE: (515) 964-3241
E-PRESCRIBE: NO
JENKINS, LINDSEY, MD
GENDER: F
PROVIDER #: 284942
NPI #: 1023339728
OB/GYN ASSOC OF DES
MOINES PLC
800 E FIRST ST SUITE W220
ANKENY, IA 50021
PHONE: (515) 288-3287
E-PRESCRIBE: YES
TURNER, FRANCESCA M.,
DO
GENDER: F
PROVIDER #: 133955
NPI #: 1801805304
OBSTETRICS &
GYNECOLOGICAL
ASSOCIATES PC
800 E FIRST ST SUITE W220
ANKENY, IA 50021
PHONE: (515) 288-3827
E-PRESCRIBE: NO
ANKENY, IA
AURORA, IL
ANNA, IL
OBSTETRICS/
GYNECOLOGY
PANCHAMUKHI, SRIDEVI
VARADEA, MD
GENDER: F
PROVIDER #: 055761
NPI #: 1831197656
RURAL HEALTH INC
513 N MAIN
ANNA, IL 62906
PHONE: (618) 833-4471
E-PRESCRIBE: NO
ANNAWAN, IL
FAMILY PRACTICE OB
RUDY, PAUL M., MD
GENDER: M
PROVIDER #: 046219
NPI #: 1093794745
TRINITY FAMILY MEDICAL
ASSOCIATES
110 S DEPOT
ANNAWAN, IL 61234
PHONE: (309) 935-6778
E-PRESCRIBE: YES
AURORA, IL
OBSTETRICS/
GYNECOLOGY
COKLEY, CHERISE, MD
GENDER: F
PROVIDER #: 266554
NPI #: 1285835025
PRESENCE MERCY
MEDICAL CENTER
1325 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-2222
E-PRESCRIBE: NO
430
ESPINOZA, ROSEMARY, MD
GENDER: F
PROVIDER #: 078788
NPI #: 1013940238
DREYER CLINIC RUSH
COPLEY
2040 OGDEN AVE SUITE 401
AURORA, IL 60504
PHONE: (630) 585-7100
E-PRESCRIBE: NO
GANDHI, ANITA M., MD
GENDER: F
PROVIDER #: 173503
NPI #: 1659380277
DREYER CLINIC RUSH
COPLEY
2040 OGDEN AVE SUITE 401
AURORA, IL 60504
PHONE: (630) 585-7100
E-PRESCRIBE: NO
HARRIS, SANDRA G., MD
GENDER: F
PROVIDER #: 027617
NPI #: 1861410268
DREYER CLINIC HIGHLAND
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
DREYER CLINIC RUSH
COPLEY
2040 OGDEN AVE SUITE 401
AURORA, IL 60504
PHONE: (630) 585-7100
E-PRESCRIBE: NO
JONES, JUDSON E., MD
GENDER: F
PROVIDER #: 027622
NPI #: 1609894856
DREYER CLINIC HIGHLAND
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
AURORA, IL
BELLEVILLE, IL
DREYER CLINIC RUSH
COPLEY
2020 OGDEN AVE SUITE 360
AURORA, IL 60504
PHONE: (630) 585-3100
E-PRESCRIBE: NO
LISAC, JOSEPH E., MD
GENDER: M
PROVIDER #: 027633
NPI #: 1962413344
DREYER CLINIC HIGHLAND
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
DREYER CLINIC RUSH
COPLEY
2020 OGDEN AVE SUITE 360
AURORA, IL 60504
PHONE: (630) 585-3100
E-PRESCRIBE: NO
MOTYCKA, JULIE B., MD
GENDER: F
PROVIDER #: 078797
NPI #: 1821009259
DREYER CLINIC HIGHLAND
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
DREYER CLINIC RUSH
COPLEY
2040 OGDEN AVE SUITE 401
AURORA, IL 60504
PHONE: (630) 585-7100
E-PRESCRIBE: NO
OLABI, NIZAR, DO
GENDER: M
PROVIDER #: 195795
NPI #: 1023004504
PROVENA MEDICAL GROUPNEW LENOX
1315 N HIGHLAND SUITE 204
AURORA, IL 60506
PHONE: (630) 801-5600
E-PRESCRIBE: NO
ORONSAYE, OSARETIN L.,
MD
GENDER: M
PROVIDER #: 188797
NPI #: 1093701575
PROVENA MEDICAL GROUPNEW LENOX
1315 N HIGHLAND SUITE 204
AURORA, IL 60506
PHONE: (630) 801-5600
E-PRESCRIBE: NO
RAO, CHANDRIKA S., MD
GENDER: F
PROVIDER #: 280029
NPI #: 1356638019
DREYER CLINIC RUSH
COPLEY
2040 OGDEN AVE SUITE 401
AURORA, IL 60504
PHONE: (630) 585-7100
E-PRESCRIBE: NO
BATAVIA, IL
OBSTETRICS/
GYNECOLOGY
ESPINOZA, ROSEMARY, MD
GENDER: F
PROVIDER #: 078788
NPI #: 1013940238
DREYER MEDICAL CLINICBATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
BELLEVILLE, IL
GYNECOLOGY
CHADWICK, WILLIAM, MD
GENDER: M
PROVIDER #: 069991
NPI #: 1568454775
OB PRACTICE LLC
4600 MEMORIAL DR SUITE
400
BELLEVILLE, IL 62226
PHONE: (618) 234-2390
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
BEATTY, ADRIENA, DO
GENDER:
PROVIDER #: 261574
NPI #: 1043260979
OB PRACTICE LLC
4600 MEMORIAL DR STE 400
BELLEVILLE, IL 62226-5366
PHONE: (618) 234-2390
E-PRESCRIBE: NO
KELSEY, SEKOU, MD
GENDER: M
PROVIDER #: 131147
NPI #: 1982661567
OB PRACTICE LLC
4600 MEMORIAL DR STE 400
BELLEVILLE, IL 62226
PHONE: (618) 234-2390
E-PRESCRIBE: NO
MUSSEMANN, FRANK F., MD
GENDER: M
PROVIDER #: 080101
NPI #: 1083660344
180 S THIRD ST STE 200
BELLEVILLE, IL 62220
PHONE: (618) 233-0017
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
431
Obstetrics/Gynecology
Care Providers
BELVIDERE, IL
OBSTETRICS/
GYNECOLOGY
ALKHABBAZ, ANTOUN, MD
GENDER: M
PROVIDER #: 281596
NPI #: 1992797260
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
DURKEE, TIMOTHY, MD
GENDER: M
PROVIDER #: 136512
NPI #: 1780682393
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
HARB, TAREK S., MD
GENDER: M
PROVIDER #: 286246
NPI #: 1598701088
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
HOLDEN, JOHN, MD
GENDER: M
PROVIDER #: 070083
NPI #: 1992856892
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
432
BELVIDERE, IL
BETTENDORF, IA
MALONE, LISA M., MD
GENDER: F
PROVIDER #: 281598
NPI #: 1588647523
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
SCHLEICHER, BETH A., MD
GENDER: F
PROVIDER #: 281615
NPI #: 1356646673
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
BETTENDORF, IA
GYNECOLOGY
JABBARI, GHOLAM H., MD
GENDER: M
PROVIDER #: 177686
NPI #: 1801867957
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 100
BETTENDORF, IA 52722
PHONE: (563) 355-1000
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
ALQULALI, MONA S., MD
GENDER: F
PROVIDER #: 147882
NPI #: 1497722979
INFINITY MEDICAL GROUP
4480 UTICA RIDGE RD SUITE
2230
BETTENDORF, IA 52722
PHONE: (563) 243-1413
E-PRESCRIBE: YES
BARR, ANDRIA L., DO
GENDER: F
PROVIDER #: 133287
NPI #: 1720102320
UNITYPOINT CLINIC-OB/
GYN BETTENDORFY
4480 UTICA RIDGE RD SUITE
1140
BETTENDORF, IA 52722
PHONE: (563) 742-5700
E-PRESCRIBE: YES
BRENOT, KAREN L., DO
GENDER: F
PROVIDER #: 166158
NPI #: 1972709046
UNITYPOINT CLINIC-OB/
GYN BETTENDORF
4480 UTICA RIDGE RD SUITE
1140
BETTENDORF, IA 52722
PHONE: (563) 742-5700
E-PRESCRIBE: YES
CARAMAN, IURIE, MD
GENDER: M
PROVIDER #: 252618
NPI #: 1821237660
GENESIS HEALTH GROUP
865 LINCOLN RD STE 100
BETTENDORF, IA 52722
PHONE: (563) 355-1000
E-PRESCRIBE: NO
KISHIUE, RICHARD M., MD
GENDER: M
PROVIDER #: 035512
NPI #: 1295731727
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 100
BETTENDORF, IA 52722
PHONE: (563) 355-1000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
BETTENDORF, IA
BLOOMINGTON, IL
PIMENTEL, ROBERT, MD
GENDER: M
PROVIDER #: 285232
NPI #: 1245236298
UNITYPOINT CLINIC OB/
GYN UTICA RIDGE RD
4480 UTICA RIDGE RD STE
108
BETTENDORF, IA 52722
PHONE: (563) 742-5280
E-PRESCRIBE: NO
RICAURTE, EDUARDO L., MD
GENDER: M
PROVIDER #: 174022
NPI #: 1285613422
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 100
BETTENDORF, IA 52722
PHONE: (563) 355-1000
E-PRESCRIBE: NO
YATES, LEROY L., MD
GENDER: M
PROVIDER #: 075592
NPI #: 1851397780
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 100
BETTENDORF, IA 52722
PHONE: (563) 355-7548
E-PRESCRIBE: NO
YODER, KRISTINA N., DO
GENDER: F
PROVIDER #: 224567
NPI #: 1649430620
UNITYPOINT CLINIC-OB/
GYN BETTENDORF
4480 UTICA RIDGE RD SUITE
1140
BETTENDORF, IA 52722
PHONE: (563) 742-5700
E-PRESCRIBE: NO
BLOOMINGTON, IL
OBSTETRICS/
GYNECOLOGY
DAMERON, JENNIFER S., MD
GENDER: F
PROVIDER #: 101079
NPI #: 1679685879
DR WEAVER & ASSOCIATES
326 FAIRWAY DR
BLOOMINGTON, IL 61701
PHONE: (309) 451-9595
E-PRESCRIBE: NO
DUDLEY, HEATHER L., MD
GENDER: F
PROVIDER #: 107752
NPI #: 1356320592
CONTEMPORARY
OBSTETRICS &
GYNECOLOGY PC
2304 STERN DR
BLOOMINGTON, IL 61704
PHONE: (309) 663-0411
E-PRESCRIBE: NO
DUTTA, SARAH, MD
GENDER: F
PROVIDER #: 253582
NPI #: 1083648240
107 N REGENCY DR SUITE 3
BLOOMINGTON, IL 61701
PHONE: (309) 661-0406
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
EMM, LISA R., MD
GENDER: F
PROVIDER #: 153137
NPI #: 1386665966
CONTEMPORARY
OBSTETRICS &
GYNECOLOGY PC
2304 STERN DR
BLOOMINGTON, IL 61704
PHONE: (309) 663-0411
E-PRESCRIBE: NO
FULK, NONA P., MD
GENDER:
PROVIDER #: 152450
NPI #: 1619974227
OSF COMMUNITY
PRENATAL CLINIC
502 S MORRIS AVE SUITE B
BLOOMINGTON, IL 61701
PHONE: (309) 829-6407
E-PRESCRIBE: NO
KOSSLER, KARLA R., MD
GENDER: F
PROVIDER #: 204182
NPI #: 1780876961
SHARON R WEAVER MD SC
326 FAIRWAY DR
BLOOMINGTON, IL 61701
PHONE: (309) 451-9595
E-PRESCRIBE: NO
MILLER, JAY-JAMES R., MD
GENDER: M
PROVIDER #: 153330
NPI #: 1003915968
MILLER UROGYNECOLOGY
SC
107 N REGENCY DR SUITE 2
BLOOMINGTON, IL 61701
PHONE: (309) 665-0900
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
433
Obstetrics/Gynecology
Care Providers
NORD, DANIEL A., MD
GENDER: M
PROVIDER #: 002606
NPI #: 1336144955
NORD & WELLMAN
OBSTETRICS/GYNECOLOGY
1505 EASTLAND DR SUITE
230
BLOOMINGTON, IL 61701
PHONE: (309) 663-8888
E-PRESCRIBE: NO
NYI, SHAI S., MD
GENDER: M
PROVIDER #: 173982
NPI #: 1073606323
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
SLOTKY, BARRY, MD
GENDER: M
PROVIDER #: 002774
NPI #: 1932194834
BARRY SLOTKY MD SC
107 N REGENCY DR SUITE 3
BLOOMINGTON, IL 61701
PHONE: (309) 663-6338
E-PRESCRIBE: NO
WEAVER, SHARON R., MD
GENDER: F
PROVIDER #: 004053
NPI #: 1215049416
DR WEAVER & ASSOCIATES
326 FAIRWAY DR
BLOOMINGTON, IL 61701
PHONE: (309) 451-9595
E-PRESCRIBE: NO
WELLMAN, RICHARD W., MD
GENDER: M
PROVIDER #: 017332
NPI #: 1184629701
NORD & WELLMAN
OBSTETRICS/GYNECOLOGY
SC
1505 EASTLAND DR SUITE
230
BLOOMINGTON, IL 61701
PHONE: (309) 663-8888
E-PRESCRIBE: NO
OGUNLEYE, BAMIDELE A.,
MD
GENDER: M
PROVIDER #: 229224
NPI #: 1831209584
ADVANCED WOMENS
HEALTHCARE SC
2111 E OAKLAND SUITE B
BLOOMINGTON, IL 61704
PHONE: (309) 808-3068
E-PRESCRIBE: NO
BOURBONNAIS, IL
SANTIAGO JR, JOSEPH A.,
MD
GENDER: M
PROVIDER #: 225542
NPI #: 1831185487
OBSTETRICS &
GYNECOLOGY CARE ASSOC
1505 EASTLAND DR SUITE
500
BLOOMINGTON, IL 61701
PHONE: (309) 662-2273
E-PRESCRIBE: NO
434
BLOOMINGTON, IL
BRIDGETON, MO
OBSTETRICS/
GYNECOLOGY
ANDREWS, LIZY, MD
GENDER: F
PROVIDER #: 223292
NPI #: 1831218577
RIVERSIDE MEDICAL
CENTER OF BOURBONNAIS
338 LARRY POWER RD
BOURBONNAIS, IL 60914
PHONE: (815) 935-2991
E-PRESCRIBE: NO
YALAMANCHILI, SAROJA,
MD
GENDER:
PROVIDER #: 289850
NPI #: 1124077326
RIVERSIDE WOMEN AND
CHILDREN
338 LARRY POWER RD
BOURBONNAIS, IL 609144430
PHONE: (815) 935-4651
E-PRESCRIBE: NO
BRAZIL, IN
OBSTETRICS/
GYNECOLOGY
BREITWEISER, DAVID A., MD
GENDER: M
PROVIDER #: 122563
NPI #: 1194715854
PROVIDENCE MEDICAL
GROUP
1214 EAST NATIONAL
AVENUE SUITE 100
BRAZIL, IN 47834
PHONE: (812) 238-1730
E-PRESCRIBE: NO
BRIDGETON, MO
OBSTETRICS/
GYNECOLOGY
CARTWRIGHT, ANGELA L.,
DO
GENDER: F
PROVIDER #: 287628
NPI #: 1548252000
SSM DEPAUL HC PHYS
BILLING
12303 DEPAUL DRIVE
BRIDGETON, MO 63044-2512
PHONE: (314) 344-6000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
CANTON, IL
CAROL STREAM, IL
CANTON, IL
OBSTETRICS/
GYNECOLOGY
BUCKLEY, ERIN, MD
GENDER: M
PROVIDER #: 255928
NPI #: 1417261041
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
QIAO, JING, MD
GENDER: F
PROVIDER #: 186407
NPI #: 1285887711
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
SAMMARCO, MICHAEL J., MD
GENDER: M
PROVIDER #: 249892
NPI #: 1609878420
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
CARBONDALE, IL
FAMILY PRACTICE OB
HUMPHREY, ANDREA, MD
GENDER: F
PROVIDER #: 197443
NPI #: 1265626105
NEW HORIZONS OB/GYN
305 W JACKSON ST SUITE 100
CARBONDALE, IL 62901
PHONE: (618) 457-0404
E-PRESCRIBE: NO
GYNECOLOGY
GARWIN, SYLVIA, MD
GENDER: F
PROVIDER #: 233378
NPI #: 1780687574
SIH MEDICAL GROUPGYNECOLOGY
120 N ILLINOIS AVE
CARBONDALE, IL 62901
PHONE: (618) 529-5611
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
BOBO, ANDRE T., MD
GENDER: M
PROVIDER #: 294495
NPI #: 1437299724
NEW HORIZONS OBSTETRIC
& GYNECOLOGY
305 W JACKSON ST STE 100
CARBONDALE, IL 62901
PHONE: (618) 529-2834
E-PRESCRIBE: NO
GATES, DOUGLAS L., MD
GENDER: M
PROVIDER #: 027521
NPI #: 1952406639
NEW HORIZONS OB/GYN
305 W JACKSON ST SUITE 100
CARBONDALE, IL 62901
PHONE: (618) 457-0404
E-PRESCRIBE: NO
SOHN, WOO H., MD
GENDER:
PROVIDER #: 256194
NPI #: 1932491834
SHAWNEE HEALTH SERVICE
AND DEV CORP
202 W JACKSON ST
CARBONDALE, IL 62901
PHONE: (618) 457-0465
E-PRESCRIBE: NO
CAROL STREAM, IL
OBSTETRICS/
GYNECOLOGY
FESENMYER, LYNN A., MD
GENDER: F
PROVIDER #: 231974
NPI #: 1518978865
CADENCE PHYSICIAN
GROUP
397 SCHMALE RD
CAROL STREAM, IL 601882756
PHONE: (630) 221-9663
E-PRESCRIBE: NO
HAY, DEBORAH L., MD
GENDER: F
PROVIDER #: 239638
NPI #: 1235140492
CADENCE PHYSICIAN
GROUP
397 SCHMALE RD
CAROL STREAM, IL 601882756
PHONE: (630) 221-9663
E-PRESCRIBE: NO
LARRY, MICHAEL G., MD
GENDER: M
PROVIDER #: 264327
NPI #: 1164433348
CADENCE PHYSICIAN
GROUP
397 SCHMALE RD
CAROL STREAM, IL 601882756
PHONE: (630) 221-9663
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
435
Obstetrics/Gynecology
Care Providers
MACEK, KENNETH R., MD
GENDER: M
PROVIDER #: 231520
NPI #: 1902028293
CADENCE PHYSICIAN
GROUP
397 SCHMALE RD
CAROL STREAM, IL 601882756
PHONE: (630) 221-9663
E-PRESCRIBE: NO
CAROL STREAM, IL
CHAMPAIGN, IL
CEDAR RAPIDS, IA
GYNECOLOGY
BROWN, ROBIN G., MD
GENDER: F
PROVIDER #: 125192
NPI #: 1144292350
ROBIN BROWN MD
1953 1ST AVE SE SUITE A2
CEDAR RAPIDS, IA 52402
PHONE: (319) 365-0059
E-PRESCRIBE: NO
RUSSO, LUCILLE R., MD
GENDER: F
PROVIDER #: 245631
NPI #: 1730190927
CADENCE PHYSICIAN
GROUP
397 SCHMALE RD
CAROL STREAM, IL 601882756
PHONE: (630) 221-9663
E-PRESCRIBE: NO
CHAMPAIGN, IL
FAMILY PRACTICE OB
SWEARINGEN, JEFFREY V.,
MD
GENDER: M
PROVIDER #: 000677
NPI #: 1689785305
CARLE PHYSICIAN GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
CARTHAGE, IL
OBSTETRICS/
GYNECOLOGY
JONES, CHRISTOPHER M.,
MD
GENDER: M
PROVIDER #: 111573
NPI #: 1033159363
WOMEN & FAMILY
MEDICAL GROUP
403 S ADAMS ST SUITE 239
CARTHAGE, IL 62321
PHONE: (217) 357-0617
E-PRESCRIBE: NO
GYNECOLOGY
DABROWSKI, MELINDA, MD
GENDER: F
PROVIDER #: 000212
NPI #: 1124053848
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6201
E-PRESCRIBE: YES
SPAIN, MARTA T., MD
GENDER: F
PROVIDER #: 205078
NPI #: 1326009705
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6201
E-PRESCRIBE: YES
436
OBSTETRICS/
GYNECOLOGY
COOPER-MORPHEW,
SUSAN, MD
GENDER: F
PROVIDER #: 252357
NPI #: 1629206164
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: NO
GUTIERREZ, BIBIANCY, MD
GENDER: F
PROVIDER #: 300279
NPI #: 1780973875
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1255
E-PRESCRIBE: YES
HELFER, TAMARA, MD
GENDER: F
PROVIDER #: 115926
NPI #: 1932102969
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1255
E-PRESCRIBE: YES
KING, KIEYA, MD
GENDER: F
PROVIDER #: 118103
NPI #: 1801810197
CHRISTIE CLINIC
100 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1304
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
CHAMPAIGN, IL
CHICAGO, IL
MCGREGOR, CANDACE, MD
GENDER: F
PROVIDER #: 166989
NPI #: 1205007721
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
SMITH, MICHAEL A., MD
GENDER: M
PROVIDER #: 110706
NPI #: 1952319667
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
TRUPIN, SUZANNE R., MD
GENDER: F
PROVIDER #: 006741
NPI #: 1750374807
WOMENS HEALTH
PRACTICE
2125 S NEIL ST
CHAMPAIGN, IL 61820
PHONE: (217) 356-3736
E-PRESCRIBE: YES
YOUNG, SARAH B., MD
GENDER: F
PROVIDER #: 134175
NPI #: 1477630523
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1255
E-PRESCRIBE: YES
CHANNAHON, IL
CHESTERFIELD, MO
OBSTETRICS/
GYNECOLOGY
OBSTETRICS/
GYNECOLOGY
SETRINI-BEST, LETICIA R.,
MD
GENDER: F
PROVIDER #: 262683
NPI #: 1235113812
MORRIS HOSPITAL AND
HEALTHCARE CENTERS
27240 W SAXONY DR SUITE
202
CHANNAHON, IL 60410
PHONE: (815) 467-0555
E-PRESCRIBE: YES
KAUFMAN, BECKY A., MD
GENDER: F
PROVIDER #: 298107
NPI #: 1326003559
SSM ST MARY'S HEALTH
CENTER
224 S WOODSMILL RD SUITE
665 SOUTH
CHESTERFIELD, MO 63017
PHONE: (314) 977-7455
E-PRESCRIBE: NO
CHARLESTON, IL
OBSTETRICS/
GYNECOLOGY
HORVAT, MARIA, MD
GENDER: F
PROVIDER #: 007861
NPI #: 1932109121
100 DEERPATH RD
CHARLESTON, IL 61920
PHONE: (217) 345-2727
E-PRESCRIBE: NO
HOUSEWORTH, WILLIAM H.,
MD
GENDER: M
PROVIDER #: 004295
NPI #: 1841311735
102 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-3830
E-PRESCRIBE: NO
CHICAGO, IL
OBSTETRICS/
GYNECOLOGY
AHRANJANI, MATTHEW, MD
GENDER: M
PROVIDER #: 228704
NPI #: 1861425050
PMG OB GYN
5600 W ADDISON SUITE 504
CHICAGO, IL 60634
PHONE: (312) 282-5299
E-PRESCRIBE: NO
BUCCIERO, MICHELE, MD
GENDER: F
PROVIDER #: 264458
NPI #: 1255441275
ST FRANCIS HOSPITAL OB/
GYN GROUP
800 AUSTIN ST STE 505 WEST
TOWER
CHICAGO, IL 60602
PHONE: (630) 914-2417
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
437
Obstetrics/Gynecology
Care Providers
CHICAGO, IL
CLINTON, IN
BUJEWSKI, STEVEN, MD
GENDER: M
PROVIDER #: 267749
NPI #: 1295791168
PMG WOMEN FIRST
7447 W TALCOTT SUITE 418
CHICAGO, IL 60631
PHONE: (773) 775-2180
E-PRESCRIBE: NO
PHAM, THYTHY, MD
GENDER:
PROVIDER #: 267432
NPI #: 1285880757
PMG WOMEN FIRST
7447 W TALCOTT SUITE 418
CHICAGO, IL 60631
PHONE: (773) 775-2180
E-PRESCRIBE: NO
GIORDANO, CARRIE, MD
GENDER: F
PROVIDER #: 269087
NPI #: 1205892072
PMG WOMEN FIRST
7447 W TALCOTT SUITE 418
CHICAGO, IL 60631
PHONE: (773) 775-2180
E-PRESCRIBE: NO
PHILBRICK, JULIE, DO
GENDER: F
PROVIDER #: 298885
NPI #: 1043445778
PMG WOMEN FIRST
7447 W TALCOTT STE 418
CHICAGO, IL 60631
PHONE: (773) 775-2180
E-PRESCRIBE: NO
GLEIXNER, PAUL, MD
GENDER: M
PROVIDER #: 266361
NPI #: 1912101254
PMG-WOMEN FIRST
7447 W TALCOTT SUITE 418
CHICAGO, IL 60631
PHONE: (877) 737-4636
E-PRESCRIBE: NO
SCHRIEFER PHILBRICK,
JULIE, DO
GENDER: F
PROVIDER #: 294955
NPI #: 1043445778
PRESENCE HEALTHCARE
SERVICES
7447 W TALCOTT AVE STE
418
CHICAGO, IL 60631
PHONE: (773) 775-2180
E-PRESCRIBE: NO
HEO, LUCY, MD
GENDER: F
PROVIDER #: 269085
NPI #: 1336163625
PMG SFH OB/GYN GROUP
800 AUSTINST SUITE 354
EAST TOWER
CHICAGO, IL 60602
PHONE: (630) 914-2417
E-PRESCRIBE: NO
LOCHER, STEPHEN R., MD
GENDER:
PROVIDER #: 292824
NPI #: 1679582076
OB MIDWIVES IMMC
3048 N WILTON 3 FLOOR
CHICAGO, IL 60657
PHONE:
E-PRESCRIBE: NO
438
CLINTON, IA
OBSTETRICS/
GYNECOLOGY
ALQULALI, MONA S., MD
GENDER: F
PROVIDER #: 147882
NPI #: 1497722979
INFINITY MEDICAL GROUP
507 S FOURTH ST
CLINTON, IA 52732
PHONE: (563) 241-4000
E-PRESCRIBE: YES
BREAUX, STEVEN, MD
GENDER: M
PROVIDER #: 131552
NPI #: 1154326437
240 N BLUFF BLVD SUITE 200
CLINTON, IA 52732
PHONE: (563) 243-0100
E-PRESCRIBE: YES
CLINTON, IL
OBSTETRICS/
GYNECOLOGY
OGUNLEYE, BAMIDELE A.,
MD
GENDER: M
PROVIDER #: 229224
NPI #: 1831209584
ADVANCED WOMENS
HEALTHCARE
422 W WHITE ST
CLINTON, IL 61727
PHONE: (309) 808-3068
E-PRESCRIBE: NO
CLINTON, IN
OBSTETRICS/
GYNECOLOGY
SAKBUN, VANNARA, MD
GENDER:
PROVIDER #: 214205
NPI #: 1558335893
WEST CENTRAL COMM
HOSP
801 S MAIN ST
CLINTON, IN 47842
PHONE: (812) 299-1723
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
CLIVE, IA
CLIVE, IA
CLIVE, IA
OBSTETRICS/
GYNECOLOGY
BOLGER, HOLLY-MARIE, DO
GENDER: F
PROVIDER #: 203930
NPI #: 1972709814
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
BOWDLER, NOELLE C., MD
GENDER: F
PROVIDER #: 130033
NPI #: 1396732160
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
BRADLEY, CATHERINE S.,
MD
GENDER: F
PROVIDER #: 130037
NPI #: 1225022486
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
COOKINGHAM, LISA M., MD
GENDER: F
PROVIDER #: 249625
NPI #: 1134383128
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ELSON, MARY GRACE, MD
GENDER: F
PROVIDER #: 129841
NPI #: 1932193133
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
GREINER, ANDREA L., MD
GENDER: F
PROVIDER #: 155224
NPI #: 1427016716
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
EPPSTEINER, ERIN E., MD
GENDER: F
PROVIDER #: 249594
NPI #: 1922234517
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
HARDY-FAIRBANKS, ABBEY
J., MD
GENDER: F
PROVIDER #: 183594
NPI #: 1619073988
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
GELLHAUS, THOMAS M., MD
GENDER: M
PROVIDER #: 183638
NPI #: 1518931062
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
GENADRY, RENE, MD
GENDER: M
PROVIDER #: 227241
NPI #: 1962412023
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
HUNTER, STEPHEN K., MD
GENDER: M
PROVIDER #: 131052
NPI #: 1790779866
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
KOLDER, VERONIKA E B, MD
GENDER: F
PROVIDER #: 144230
NPI #: 1427047547
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
439
Obstetrics/Gynecology
Care Providers
CLIVE, IA
CLIVE, IA
KRESOWIK, JESSICA D., MD
GENDER: F
PROVIDER #: 183682
NPI #: 1801006242
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
MAZUR, EUGENIA, MD
GENDER: F
PROVIDER #: 199992
NPI #: 1407147911
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
NIEBYL, JENNIFER R., MD
GENDER: F
PROVIDER #: 130627
NPI #: 1538153739
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
LESLIE, KIMBERLY K., MD
GENDER: F
PROVIDER #: 165784
NPI #: 1477560423
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
MEADOWS, JILL L., MD
GENDER: F
PROVIDER #: 131642
NPI #: 1841284031
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
LI, CHAO, MD
GENDER: M
PROVIDER #: 222449
NPI #: 1194981126
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
MEJIA SOUNHEIN, RACHEL
B., MD
GENDER: F
PROVIDER #: 249780
NPI #: 1336374768
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
NUANGCHAMNONG, NINA,
MD
GENDER: F
PROVIDER #: 237319
NPI #: 1326207572
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
MAASSEN, RACHEL A., MD
GENDER: F
PROVIDER #: 131233
NPI #: 1770535593
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
440
MUNCH, ERIKA M., MD
GENDER: F
PROVIDER #: 249777
NPI #: 1093078966
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
PICCONI, JASON L., MD
GENDER: M
PROVIDER #: 203352
NPI #: 1588871859
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
REYES, HENRY EDWARD D.,
MD
GENDER: M
PROVIDER #: 224619
NPI #: 1144456880
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
CLIVE, IA
CORALVILLE, IA
RYAN, GINNY L., MD
GENDER: F
PROVIDER #: 130912
NPI #: 1285624981
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
WARD, KELLY K., MD
GENDER: F
PROVIDER #: 131668
NPI #: 1790774818
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SANTILLAN, MARK K., MD
GENDER: M
PROVIDER #: 144324
NPI #: 1114137668
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
YANKOWITZ, JEROME, MD
GENDER: M
PROVIDER #: 131857
NPI #: 1336133594
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
STEINES WAGEMESTER,
JENNIFER C., MD
GENDER: F
PROVIDER #: 222452
NPI #: 1467613091
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ZLATNIK, FRANK J., MD
GENDER: M
PROVIDER #: 129333
NPI #: 1306830591
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
STOCKDALE, COLLEEN M.,
MD
GENDER: F
PROVIDER #: 130549
NPI #: 1841287604
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CORALVILLE, IA
GYNECOLOGY
PATRICK, BARBARA, MD
GENDER: F
PROVIDER #: 124365
NPI #: 1538153457
WOMAN TO WOMAN
GYNECOLOGY SERVICES
2055 OAKDALE RD SUITE C
CORALVILLE, IA 52241
PHONE: (319) 337-4900
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
ADAM, DIANE E., MD
GENDER: F
PROVIDER #: 046871
NPI #: 1134113061
OB/GYN ASSOCIATES OF
IOWA CITY PC
2769 HEARTLAND DR SUITE
201
CORALVILLE, IA 52241
PHONE: (319) 337-3193
E-PRESCRIBE: NO
BOLGER, HOLLY-MARIE, DO
GENDER: F
PROVIDER #: 203930
NPI #: 1972709814
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
BRADLEY, CATHERINE S.,
MD
GENDER: F
PROVIDER #: 130037
NPI #: 1225022486
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
441
Obstetrics/Gynecology
Care Providers
CLEVENGER-HOEFT, MIA,
MD
GENDER: F
PROVIDER #: 124366
NPI #: 1487648325
OB/GYN ASSOCIATES OF
IOWA CITY PC
2769 HEARTLAND DR SUITE
201
CORALVILLE, IA 52241
PHONE: (319) 337-3193
E-PRESCRIBE: NO
COYNE, LAUREN E., MD
GENDER: F
PROVIDER #: 301409
NPI #: 1063724979
IOWA RIVER LANDING WOMENS HEALTH CLINIC
(OB/GYN)
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
ELSON, MARY GRACE, MD
GENDER: F
PROVIDER #: 129841
NPI #: 1932193133
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
GENADRY, RENE, MD
GENDER: M
PROVIDER #: 227241
NPI #: 1962412023
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
442
GOODMAN, JILL C., MD
GENDER: F
PROVIDER #: 184095
NPI #: 1841400272
OB/GYN ASSOCIATES OF
IOWA CITY PC
2769 HEARTLAND DR SUITE
201
CORALVILLE, IA 52241
PHONE: (319) 337-3193
E-PRESCRIBE: NO
MAASSEN, RACHEL A., MD
GENDER: F
PROVIDER #: 131233
NPI #: 1770535593
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
MERRYMAN, ABBEY, MD
GENDER: F
PROVIDER #: 293862
NPI #: 1487972451
U OF IOWA HOSPITAL &
CLINICS
105 E 9TH ST
CORALVILLE, IA 52241
PHONE:
E-PRESCRIBE: NO
SHEPARD, JAMI L., MD
GENDER: F
PROVIDER #: 202594
NPI #: 1730386582
OB/GYN ASSOCIATES OF
IOWA CITY PC
2769 HEARTLAND DR SUITE
201
CORALVILLE, IA 52241
PHONE: (319) 337-3193
E-PRESCRIBE: NO
CORALVILLE, IA
CORALVILLE, IA
STEINES WAGEMESTER,
JENNIFER C., MD
GENDER: F
PROVIDER #: 222452
NPI #: 1467613091
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
WARD, KELLY K., MD
GENDER: F
PROVIDER #: 131668
NPI #: 1790774818
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
WENZEL, LORI S., MD
GENDER: F
PROVIDER #: 087189
NPI #: 1144214073
OB/GYN ASSOCIATES OF
IOWA CITY PC
2769 HEARTLAND DR SUITE
201
CORALVILLE, IA 52241
PHONE: (319) 337-3193
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
DANVILLE, IL
DANVILLE, IL
DANVILLE, IL
FAMILY PRACTICE OB
BROADERS, KAREN M., MD
GENDER: F
PROVIDER #: 048103
NPI #: 1699703777
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7850
OSAZE, EBUN, PA; PROVIDER
#: 072109
E-PRESCRIBE: YES
MARGANSKI, TERESA M., MD
GENDER: F
PROVIDER #: 000662
NPI #: 1346261146
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
KANESHIRO, ALISON G., NP;
PROVIDER #: 204237
E-PRESCRIBE: YES
OBSTETRICS/
GYNECOLOGY
BURNS, LAVIAS, MD
GENDER:
PROVIDER #: 265816
NPI #: 1164518205
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
DILLARD, TIFFANI, MD
GENDER: F
PROVIDER #: 266915
NPI #: 1871695684
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
Obstetrics/Gynecology
Care Providers
GALLOWAY, KEVIN, DO
GENDER: M
PROVIDER #: 266495
NPI #: 1073507547
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
GOODWINE-WOZNIAK,
NANCY, MD
GENDER: F
PROVIDER #: 266910
NPI #: 1700805942
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
HENNESY, MICHAEL, MD
GENDER: M
PROVIDER #: 266912
NPI #: 1932194016
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
HSIEH, HUAN JANE, MD
GENDER: F
PROVIDER #: 002273
NPI #: 1316993496
DANVILLE POLYCLINIC LTD
707 NORTH LOGAN AVE
DANVILLE, IL 61832-4360
PHONE: (217) 477-4718
E-PRESCRIBE: NO
IBRAHIM, NASRELDIN M., MD
GENDER: M
PROVIDER #: 283528
NPI #: 1750572053
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 431-7756
E-PRESCRIBE: YES
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
KAPLAN, GLENDA, MD
GENDER: F
PROVIDER #: 169331
NPI #: 1558465765
CHRISTIE CLINIC
800 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 366-1200
E-PRESCRIBE: YES
NOLLA, LORAINE B., MD
GENDER: F
PROVIDER #: 280728
NPI #: 1386600989
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
RAJJOUB, MOHANNAD, MD
GENDER: M
PROVIDER #: 224833
NPI #: 1255659587
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 446-6410
E-PRESCRIBE: NO
SCHMITZ, ANNA, MD
GENDER: F
PROVIDER #: 266913
NPI #: 1073720157
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
443
Obstetrics/Gynecology
Care Providers
SHAH, MANISHA C., MD
GENDER: F
PROVIDER #: 190590
NPI #: 1306154984
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 446-6410
E-PRESCRIBE: NO
SHEPHERD, JAMES, MD
GENDER: M
PROVIDER #: 266914
NPI #: 1821198094
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
YOUNG, TERENCE, MD
GENDER:
PROVIDER #: 218023
NPI #: 1639274491
CHRISTIE CLINIC
800 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 431-8930
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
HANSEN, DELOS D., MD
GENDER: M
PROVIDER #: 185826
NPI #: 1548234859
WOUND MANAGEMENT
CONSULTANTS PC
1351 W CENTRAL PARK AVE
SUITE 1225
DAVENPORT, IA 52804
PHONE: (563) 421-1585
E-PRESCRIBE: NO
RICAURTE, EDUARDO, MD
GENDER: M
PROVIDER #: 174564
NPI #: 1285613422
EDGERTONS WOMENS
HEALTH CENTER
1510 E RUSHOLME ST
DAVENPORT, IA 52803
PHONE: (563) 359-6633
E-PRESCRIBE: NO
DE WITT, IA
GYNECOLOGY
DAVENPORT, IA
GYNECOLOGY
JABBARI, GHOLAM H., MD
GENDER: M
PROVIDER #: 177686
NPI #: 1801867957
GENESIS HEALTH GROUP
1230 E RUSHOLME ST SUITE
301
DAVENPORT, IA 52803
PHONE: (563) 322-9150
E-PRESCRIBE: NO
444
DANVILLE, IL
DECATUR, IL
JABBARI, GHOLAM H., MD
GENDER: M
PROVIDER #: 177686
NPI #: 1801867957
GENSIS HEALTH GROUP
1008 11TH ST
DE WITT, IA 52742
PHONE: (563) 659-4450
E-PRESCRIBE: NO
DECATUR, IL
OBSTETRICS/
GYNECOLOGY
AMIEWALAN, ANTHONY O.,
MD
GENDER: M
PROVIDER #: 098063
NPI #: 1669486668
VIVIAN WOMENS CENTER
INC
1750 E LAKE SHORE DR
SUITE 320
DECATUR, IL 62521
PHONE: (217) 422-0560
E-PRESCRIBE: NO
AMIEWALAN, ANTHONY, MD
GENDER: M
PROVIDER #: 280828
NPI #: 1669486668
ST MARYS HOSPITAL
1800 E LAKESHORE DR
DECATUR, IL 62521
PHONE: (217) 422-6100
E-PRESCRIBE: NO
ANTHONY, ROBERT R., MD
GENDER: M
PROVIDER #: 279407
NPI #: 1598892309
DECATUR MEMORIAL
HOSPITAL
2300 N EDWARD ST
DECATUR, IL 62526
PHONE: (217) 876-4360
E-PRESCRIBE: NO
VITA CENTER FOR WOMEN
ONE MEMORIAL DR SUITE
300
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
DECATUR, IL
DECATUR, IL
BYRKIT, GRETCHEN L., MD
GENDER: F
PROVIDER #: 064379
NPI #: 1104800044
WOMEN'S HEALTH CARE
SPECIALISTS OF DECATUR
LLC
ONE MEMORIAL DR SUITE
216
DECATUR, IL 62526
PHONE: (217) 875-5574
E-PRESCRIBE: NO
ECHEAZU, CHINELO C., MD
GENDER: M
PROVIDER #: 285427
NPI #: 1922319839
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
VITA CENTER FOR WOMEN
ONE MEMORIAL DR SUITE
300
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: NO
HANNA, ADEL S., MD
GENDER: M
PROVIDER #: 090966
NPI #: 1265418982
LAKE SHORE OB/GYN OF
DECATUR SC
1770 E LAKE SHORE DR
SUITE 303
DECATUR, IL 62521
PHONE: (217) 429-4119
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
250 W KENWOOD
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
JOHNSON, PIERRE M., MD
GENDER:
PROVIDER #: 253414
NPI #: 1659531903
VITA CENTER FOR WOMEN
ONE MEMORIAL DR SUITE
300
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: NO
KELLER, JAY S., MD
GENDER: M
PROVIDER #: 297846
NPI #: 1790760544
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
VITA CENTER FOR WOMEN
2 MEMORIAL DR STE 305
DECATUR, IL 62526
PHONE: (217) 876-8370
E-PRESCRIBE: NO
ONE MEMORIAL DR SUITE
300
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: NO
MOODALAGIRIAIAH,
MAMATHA, MD
GENDER:
PROVIDER #: 253415
NPI #: 1891058566
VITA CENTER FOR WOMEN
2 MEMORIAL DR STE 305
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: NO
MORISETTY, VIDYA SAGAR
RAO, MD
GENDER: M
PROVIDER #: 050982
NPI #: 1265549174
MIDWEST OB/GYN &
INFERTILITY CENTER
675 E SNYDER DRIVE
DECATUR, IL 62526
PHONE: (217) 875-1886
E-PRESCRIBE: NO
NELSON, MILDRED S., MD
GENDER: F
PROVIDER #: 285917
NPI #: 1952318545
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
VITA CENTER FOR WOMEN
LLC
1 MEMORIAL DR SUITE 300
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: YES
PFEIFFER, JEFFREY S., MD
GENDER: M
PROVIDER #: 278425
NPI #: 1134103070
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
VITA CENTER FOR WOMEN
LLC
ONE MEMORIAL DRIVE
SUITE 300
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
445
Obstetrics/Gynecology
Care Providers
PLANNED PARENTHOOD OF
ILLINOIS
GENDER:
PROVIDER #: 287940
NPI #: 1144637075
3021 N OAKLAND AVE
DECATUR, IL 62526
PHONE: (217) 877-6474
E-PRESCRIBE: NO
RAHEB, ADEL S., MD
GENDER: F
PROVIDER #: 280829
NPI #: 1265418982
ST MARYS HOSPITAL
1800 E LAKESHORE DR
DECATUR, IL 62521
PHONE: (217) 422-6100
E-PRESCRIBE: NO
ROMINGER, DERIN S., MD
GENDER: M
PROVIDER #: 009170
NPI #: 1821072760
WOMEN'S HEALTH CARE
SPECIALISTS OF DECATUR
LLC
ONE MEMORIAL DR SUITE
216
DECATUR, IL 62526
PHONE: (217) 875-5574
E-PRESCRIBE: NO
STEPANIAN, MARSHALL W.,
MD
GENDER: M
PROVIDER #: 209732
NPI #: 1528061678
VITA CENTER FOR WOMEN
LLC
ONE MEMORIAL DR SUITE
300
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: NO
446
DECATUR, IL
DES MOINES, IA
WALTON, LAUREL A., DO
GENDER: F
PROVIDER #: 039262
NPI #: 1508892530
LAUREL A WALTON DO
1770 LAKESHORE DR SUITE
309
DECATUR, IL 62521
PHONE: (217) 422-9740
E-PRESCRIBE: NO
WINTER, SARAH E., MD
GENDER: F
PROVIDER #: 297850
NPI #: 1316258056
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
VITA CENTER FOR WOMEN
LLC
ONE MEMORIAL DR SUITE
300
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: NO
DEKALB, IL
OBSTETRICS/
GYNECOLOGY
DUBRICK, PAUL A., MD
GENDER: M
PROVIDER #: 196003
NPI #: 1558345637
KISHWAUKEE COMMUNITY
HOSPITAL
ONE KISH HOSPITAL DR
DEKALB, IL 60115
PHONE: (815) 756-1521
E-PRESCRIBE: NO
HOBSON, PAULA M., MD
GENDER: F
PROVIDER #: 191942
NPI #: 1821215971
KISHWAUKEE COMMUNITY
HOSPITAL
ONE KISH HOSPITAL DRIVE
DEKALB, IL 60115
PHONE: (815) 756-1521
E-PRESCRIBE: NO
KISHWAUKEE COMMUNITY
HOSPITAL
625 BETHANY RD
DEKALB, IL 60115
PHONE: (815) 756-1521
E-PRESCRIBE: NO
DES MOINES, IA
OBSTETRICS/
GYNECOLOGY
BOEHNKE, CAROLINE A., MD
GENDER: F
PROVIDER #: 232827
NPI #: 1104171743
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
330 LAUREL SUITE 1100
DES MOINES, IA 50314
PHONE: (515) 288-3287
E-PRESCRIBE: YES
CHANG, EMILY, DO
GENDER: F
PROVIDER #: 257020
NPI #: 1003011560
OB/GYN ASSOC OF DES
MOINES
330 LAUREL SUITE 1100
DES MOINES, IA 50314
PHONE: (515) 288-3287
E-PRESCRIBE: YES
5900 E UNIVERSITY SUITE
301
DES MOINES, IA 50327
PHONE:
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
DES MOINES, IA
EFFINGHAM, IL
DASSANAYAKE, TAMARA M.,
MD
GENDER:
PROVIDER #: 105545
NPI #: 1487752622
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
330 LAUREL ST SUITE 1100
DES MOINES, IA 50314
PHONE: (515) 288-3287
E-PRESCRIBE: NO
DORNBIER, DENNIS P., DO
GENDER: M
PROVIDER #: 041925
NPI #: 1306944525
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
330 LAUREL ST SUITE 1100
DES MOINES, IA 50314
PHONE: (515) 288-3287
E-PRESCRIBE: NO
FAGERLAND, JEFFREY J.,
DO
GENDER: M
PROVIDER #: 112953
NPI #: 1811095045
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
330 LAUREL ST SUITE 1100
DES MOINES, IA 50314
PHONE: (515) 288-3287
E-PRESCRIBE: NO
FELTZ, STEPHEN M., MD
GENDER: M
PROVIDER #: 055970
NPI #: 1417055641
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
330 LAUREL ST SUITE 1100
DES MOINES, IA 50314
PHONE: (515) 288-3287
E-PRESCRIBE: NO
JENKINS, LINDSEY, MD
GENDER: F
PROVIDER #: 284942
NPI #: 1023339728
OB/GYN ASSOC OF DES
MOINES PLC
330 LAUREL SUITE 1100
DES MOINES, IA 50314
PHONE: (515) 288-3287
E-PRESCRIBE: YES
TURNER, FRANCESCA M.,
DO
GENDER: F
PROVIDER #: 133955
NPI #: 1801805304
OBSTETRICS &
GYNECOLOGICAL
ASSOCIATES PC
330 LAUREL SUITE 1100
DES MOINES, IA 50314
PHONE: (515) 223-8685
E-PRESCRIBE: NO
DIXON, IL
OBSTETRICS/
GYNECOLOGY
BIDA-DUDUN, ANNA, MD
GENDER: F
PROVIDER #: 285300
NPI #: 1669444782
KSB MEDICAL GROUP
215 E 1ST ST STE 215
DIXON, IL 61021
PHONE: (815) 285-5952
E-PRESCRIBE: NO
LONG, WILLIAM P., DO
GENDER: M
PROVIDER #: 055762
NPI #: 1568430460
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
RYDZYNSKI, ROBB V., DO
GENDER: M
PROVIDER #: 118600
NPI #: 1720016306
KSB MEDICAL GROUP
215 E 1ST ST SUITE 215
DIXON, IL 61021
PHONE: (815) 285-5422
E-PRESCRIBE: NO
STONE, SHIRLEY J., MD
GENDER: F
PROVIDER #: 017563
NPI #: 1578531018
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
EAST MOLINE, IL
OBSTETRICS/
GYNECOLOGY
HUSSAIN, MUNAWAR, MD
GENDER: M
PROVIDER #: 020272
NPI #: 1356316517
4500 KENNEDY DR
EAST MOLINE, IL 61244
PHONE: (309) 796-2777
E-PRESCRIBE: NO
EFFINGHAM, IL
GYNECOLOGY
WHIGHTSEL, JEFFREY, MD
GENDER: M
PROVIDER #: 010523
NPI #: 1023004439
EFFINGHAM OB/GYN
ASSOCIATES
912 N HENRIETTA ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3337
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
447
Obstetrics/Gynecology
Care Providers
OBSTETRICS/
GYNECOLOGY
CHRISTENSEN, FRANKLYN
C., MD
GENDER: M
PROVIDER #: 264474
NPI #: 1366454316
CARLE PHYSICIAN GROUP
401 N KELLER DR SUITE 3 & 4
EFFINGHAM, IL 62401
PHONE: (217) 347-6400
E-PRESCRIBE: YES
DUST, JENNIFER H., MD
GENDER: F
PROVIDER #: 202441
NPI #: 1255537197
EFFINGHAM OB/GYN
ASSOCIATES
912 N HENRIETTA ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3337
E-PRESCRIBE: NO
HALLER, KELLY H., MD
GENDER: F
PROVIDER #: 074502
NPI #: 1871589382
EFFINGHAM OB/GYN
ASSOCIATES
912 N HENRIETTA ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3337
E-PRESCRIBE: NO
NELSON, MILDRED S., MD
GENDER: F
PROVIDER #: 276444
NPI #: 1952318545
EFFINGHAM OBSTETRICS
AND GYNECOLOGY
ASSOCIATES
912 N HENRIETTA ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3337
E-PRESCRIBE: NO
ELGIN, IL
DANNENFELDT, JOHN C., MD
GENDER: M
PROVIDER #: 020348
NPI #: 1881699890
GENESIS HEALTH GROUP
530 12TH ST
ERIE, IL 61250
PHONE: (309) 659-2215
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
EVANSTON, IL
OBSTETRICS/
GYNECOLOGY
OBSTETRICS/
GYNECOLOGY
GLADDIN, STEPHEN F., MD
GENDER: M
PROVIDER #: 230287
NPI #: 1386692671
COMPLETE HEALTHCARE
FOR WOMEN SC
1435 N RANDALL RD SUITE
310
ELGIN, IL 60123
PHONE: (847) 488-0800
E-PRESCRIBE: NO
HERRIGES, THOMAS, MD
GENDER: M
PROVIDER #: 220094
NPI #: 1407962079
PMG-ST FRANCISE
HOSPITAL OB/GYN GROUP
800 AUSTIN ST SUITE W
TOWER
EVANSTON, IL 60201
PHONE: (630) 914-2417
E-PRESCRIBE: NO
ERIE, IL
FAMILY PRACTICE OB
MCDAID, DAWN M., MD
GENDER: F
PROVIDER #: 300082
NPI #: 1841373156
EFFINGHAM OB/GYN
ASSOCIATES
912 N HENRIETTA ST
EFFINGHAM, IL 62401-1788
PHONE: (217) 342-3337
E-PRESCRIBE: NO
448
EFFINGHAM, IL
EVANSTON, IL
CARROLL JR, J F KELLY, MD
GENDER: M
PROVIDER #: 020346
NPI #: 1437154507
GENESIS HEALTH GROUP
530 12TH ST
ERIE, IL 61250
PHONE: (309) 659-2215
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
WEHRMANN, GINA R., MD
GENDER:
PROVIDER #: 247649
NPI #: 1992729263
RESURRECTION SERVICES
800 AUSTIN ST STE 354 E
EVANSTON, IL 60202-3454
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
FAIRBURY, IL
FENTON, MO
KUMAR, SAURABH, MD
GENDER: M
PROVIDER #: 291366
NPI #: 1114160603
MEDICAL ARTS CLINIC
1103 W LIBERTY
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
PILE, AARON J., MD
GENDER: M
PROVIDER #: 291363
NPI #: 1659369965
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
LADD, CHRISTINE M., MD
GENDER: F
PROVIDER #: 291362
NPI #: 1962466896
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
ROCKAMANN, ANN M., MD
GENDER: F
PROVIDER #: 291398
NPI #: 1013943406
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
APPELBAUM, JOHN K., MD
GENDER: M
PROVIDER #: 291374
NPI #: 1154409399
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
MCDONALD, JENNIFER K.,
DO
GENDER: F
PROVIDER #: 291352
NPI #: 1376641886
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
WEINSTEIN, DAVID L., MD
GENDER: M
PROVIDER #: 291394
NPI #: 1043328305
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
HARTMAN, RICHARD A., MD
GENDER: M
PROVIDER #: 291341
NPI #: 1427097666
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
MORMOL, JEFFREY S., MD
GENDER: M
PROVIDER #: 291377
NPI #: 1639103377
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
JOSTES, MARK J., MD
GENDER: M
PROVIDER #: 291369
NPI #: 1477518595
MEDICAL ARTS CLINIC
1103 W LIBERTY
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
PHILPOTT, TIMOTHY C., MD
GENDER: M
PROVIDER #: 291364
NPI #: 1861570004
MEDICAL ARTS CLINIC
1103 W LIBERTY ST
FARMINGTON, MO 63640
PHONE: (573) 756-6751
E-PRESCRIBE: NO
FAIRBURY, IL
OBSTETRICS/
GYNECOLOGY
NYI, SHAI S., MD
GENDER:
PROVIDER #: 023553
NPI #: 1073606323
OSF MEDICAL GROUP
106 S FIRST ST
FAIRBURY, IL 61739
PHONE: (815) 692-2833
E-PRESCRIBE: NO
FARMINGTON, MO
OBSTETRICS/
GYNECOLOGY
FENTON, MO
OBSTETRICS/
GYNECOLOGY
MOSTELLO, DOROTHEA J.,
MD
GENDER: F
PROVIDER #: 287259
NPI #: 1841208725
SSM ST CLARE HC PHYS
BILLING
1015 BOWLES AVENUE
FENTON, MO 63026
PHONE: (636) 496-2000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
449
Obstetrics/Gynecology
Care Providers
ISAWI, MOHAMMED
FAROUK, MD
GENDER: M
PROVIDER #: 098278
NPI #: 1174583611
FHN HEALTHCARE CENTERHARLEM AVE
25 N HARLEM AVE
FREEPORT, IL 61032
PHONE: (815) 599-7750
E-PRESCRIBE: NO
FLORISSANT, MO
OBSTETRICS/
GYNECOLOGY
MILLER, CORY S., MD
GENDER: M
PROVIDER #: 291242
NPI #: 1578875647
NORTHWEST PHYSICIANS
1225 GRAHAM RD #2320C
FLORISSANT, MO 63031
PHONE: (314) 953-6801
E-PRESCRIBE: NO
FREEPORT, IL
OBSTETRICS/
GYNECOLOGY
DAN-PULLO, COURTNEY L.,
MD
GENDER: F
PROVIDER #: 221261
NPI #: 1023379831
FHN FAMILY HEALTHCARE
CENTER
25 N HARLEM AVE
FREEPORT, IL 61032
PHONE: (815) 599-7750
E-PRESCRIBE: NO
HINDS, NICOLAI E., MD
GENDER: M
PROVIDER #: 167236
NPI #: 1124024161
FHN HEALTHCARE CENTERHARLEM AVE
25 N HARLEM AVE
FREEPORT, IL 61032
PHONE: (815) 599-7750
E-PRESCRIBE: NO
450
MARTIN, KEITH R., MD
GENDER: M
PROVIDER #: 144336
NPI #: 1801007190
MONROE CLINICHIGHLAND WOMENS CARE
3103 W KUNKLE BLVD
FREEPORT, IL 61032
PHONE: (815) 233-0999
E-PRESCRIBE: NO
MCGUIRE, RITA J., MD
GENDER: F
PROVIDER #: 151451
NPI #: 1780634733
FHN FAMILY HEALTHCARE
CENTER
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7750
E-PRESCRIBE: NO
SIDHU, RUHEE K., MD
GENDER:
PROVIDER #: 296475
NPI #: 1710139902
FREEPORT REGIONAL
HEALTH
25 N HARLEM AVE
FREEPORT, IL 61032
PHONE: (815) 599-7750
E-PRESCRIBE: NO
FLORISSANT, MO
GALESBURG, IL
TURNER-TOWNSEND,
ALYSIA
GENDER: F
PROVIDER #: 205769
NPI #: 1487611034
MONROE CLINICHIGHLAND WOMENS CARE
3103 W KUNKLE BLVD
FREEPORT, IL 61032
PHONE: (815) 233-0999
E-PRESCRIBE: NO
GALESBURG, IL
OBSTETRICS/
GYNECOLOGY
BAUM, TARA, MD
GENDER: F
PROVIDER #: 282440
NPI #: