Provider Directory

Illinois
Health Alliance MAPD HMO Plan
Provider Directory
This directory provides a list of Health Alliance MAPD HMO’s network providers.
This directory is for beneficiaries in Alexander, Carroll, Clark, Clay, Crawford, Edgar, Edwards,
Effingham, Fayette, Franklin, Gallatin, Grundy, Hamilton, Hancock, Hardin, Henderson, Henry,
Iroquois, Jackson, Jasper, Jefferson, JoDaviess, Johnson, Kankakee, Lake, LaSalle, Lawrence,
Macoupin, Marion, Massac, McDonough, Mercer, Montgomery, Perry, Pope, Pulaski, Putnam,
Richland, Rock Island, Saline, Schuyler, Union, Wabash, Warren, Wayne, Whiteside, White and
Williamson counties in Illinois.
This directory is current as of October 1, 2015. Some network providers may have been added or
removed from our network after this directory was printed. We do not guarantee that each provider
is still accepting new members. To get the most up-to-date information about Health Alliance
MAPD HMO’s network providers in your area, you can visit HealthAllianceRetiree.org/SOI or call
our Customer Service Department at 1-877-795-6131, Monday through Friday, 8 a.m. to 8 p.m.
TTY/TDD users should call 711.
Health Alliance MAPD HMO is an HMO plan with a Medicare contract. Enrollment in Health
Alliance MAPD HMO depends on contract renewal.
1-877-795-6131
TTY/TDD 711
HealthAllianceRetiree.org/SOI
This information is available for free in other languages. Please call our Customer Service
Department at 1-877-795-6131, Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users should
call 711.
cps-STEHMOproviderdirectory-0815
Section 1 – Introduction
This directory provides a list of Health Alliance MAPD HMO’s network providers. To get detailed
information about your health care coverage, please see your Evidence of Coverage.
You will have to choose one of our network providers who are listed in this directory to be your Primary
Care Physician (PCP). The term “PCP” will be used throughout this directory. Generally, you must
get your health care coverage from your PCP. In most situations, your PCP must give you approval in
advance before you can use other providers in the Plan’s network, such as Specialists, Hospitals, Skilled
Nursing Facilities or home health care agencies. This is called giving you a “referral.”
Referrals from your PCP are not required for Emergency Care or Urgently Needed Care. You can receive
some other kinds of care without approval in advance from your PCP.
•
•
Routine women’s health care, which include breast exams, mammograms (X-rays of the breast),
Pap tests and pelvic exams, as long as you get them from a Network Provider.
Flu shots and pneumonia vaccinations, as long as you get them from a Network Provider.
The “Network Providers” listed in this directory have agreed to provide you with your health care
coverage. You may go to any of our network providers listed in this directory. However, some services
may require a referral. If you have been going to one network provider, you are not required to continue
going to that same provider. In some cases, you may get covered services from non-network providers.
If you have any questions about whether we will pay for any medical services or care that you are
considering, you have the right to ask us whether we will cover it before you get the service or care.
If you receive care from a non-network provider and receive a bill from that provider, you should not
pay it. Instead, please submit it to Health Alliance Medicare so we can determine what, if any, of the fees
you actually must pay.
If you are using an out-of-network provider for Emergency Care, Urgently Needed Care or out-of-area
dialysis, you may not have to pay a higher cost-sharing amount.
If you obtain routine care from out-of-network providers, it may cost more than if you went to an innetwork provider.
HMO members:
Emergency care can always be obtained in or out of the service area from the nearest available provider.
If you have a medical emergency:
•
•
Get help as quickly as possible. Call 911 for help or go to the nearest emergency room, Hospital
or urgent care center. Call for an ambulance if you need it. You do not need to get approval or a
referral first.
As soon as possible, make sure to tell Health Alliance about your emergency. We need
to follow up on your Emergency Care. You or someone else should call to tell us about your
Emergency Care, usually within 48 hours.
You must use plan providers except in emergency or urgent care situations or for out-of-area renal
dialysis or other services. When out of the service area, urgent care may be obtained from the first
available provider.
i
If you obtain routine care from out-of-network providers, neither Medicare nor Health Alliance will be
responsible for the costs.
What is the service area for Health Alliance MAPD HMO?
The counties in our service area are listed below.
Alexander, Carroll, Clark, Clay, Crawford, Edgar, Edwards, Effingham, Fayette, Franklin, Gallatin,
Grundy, Hamilton, Hancock, Hardin, Henderson, Henry, Iroquois, Jackson, Jasper, Jefferson, JoDaviess,
Johnson, Kankakee, Lake, LaSalle, Lawrence, Macoupin, Marion, Massac, McDonough, Mercer,
Montgomery, Perry, Pope, Pulaski, Putnam, Richland, Rock Island, Saline, Schuyler, Union, Wabash,
Warren, Wayne, Whiteside, White and Williamson counties in Illinois.
How do you find Health Alliance MAPD HMO providers in your area?
This directory is organized by category (Primary Care Physicians, Specialty Care, etc.) and then
alphabetically by city. Or you can use the index that begins on page 1438 to find an alphabetical listing
of all providers.
If you have questions about Health Alliance MAPD HMO or require assistance in selecting a PCP,
please call our Customer Service Department at 1-877-795-6131, Monday through Friday, 8 a.m. to
8 p.m. TTY\TDD users should call 711. Or, visit HealthAllianceRetiree.org/SOI.
Section 2 – List of Network Providers
ii
ABINGDON, IL
ALPHA, IL
Primary Care Physicians
Midlevel providers (including nurse practitioners and physician assistants) cannot be selected as Primary Care
Physicians. However, you may use the services of a midlevel provider by selecting his or her supervising physician
as your designated Primary Care Physician. Midlevel providers are indicated by italics.
ABINGDON, IL
ALEDO, IL
ALGONQUIN, IL
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
LIU, YAN, MD
GENDER: F
PROVIDER #: 280151
NPI #: 1366540684
E-PRESCRIBE: NO
OSF MEDICAL GROUP
100 N MONROE ST
ABINGDON, IL 61410
PHONE: (309) 462-2343
E-PRESCRIBE: NO
FIGANBAUM, TRAVIS L.,
MD
GENDER: M
PROVIDER #: 149567
NPI #: 1881603165
E-PRESCRIBE: NO
MEDICAL ASSOCIATES
CLINIC
1007 NW 3RD ST
ALEDO, IL 61231
PHONE: (309) 582-3789
E-PRESCRIBE: NO
SYED, SHAHWAR F., MD
GENDER: F
PROVIDER #: 178878
NPI #: 1679687750
E-PRESCRIBE: NO
SYED S ASGHAR MD PC
2575 W ALGONQUIN RD
SUITE C
ALGONQUIN, IL 60102
PHONE: (847) 854-8595
E-PRESCRIBE: NO
STONEKING, ERIN I., MD
GENDER: F
PROVIDER #: 166727
NPI #: 1083758403
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
100 N MONROE ST
ABINGDON, IL 61410
PHONE: (309) 462-2343
E-PRESCRIBE: NO
ALPHA, IL
FAMILY PRACTICE
CLOOS, CARLA R., MD
GENDER: F
PROVIDER #: 222307
NPI #: 1649439175
E-PRESCRIBE: NO
GENESIS MEDICAL CENTER
ALEDO - ER DEPARTMENT
409 NW 9TH AVE
ALEDO, IL 61231
PHONE: (309) 582-3701
E-PRESCRIBE: NO
GENERAL PRACTICE
CAJIGAL, ARTEMIO L., MD
GENDER: M
PROVIDER #: 020328
NPI #: 1609871540
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
202 PICARD ST
ALPHA, IL 61413-0419
PHONE: (309) 629-4601
E-PRESCRIBE: NO
* Please contact Health Alliance at the number on the back of your member ID
card.
1
1
ALTAMONT, IL
ALTON, IL
Primary Care Physicians
ALTAMONT, IL
FAMILY PRACTICE
BLOEMER, ERIC A., MD
GENDER: M
PROVIDER #: 223295
NPI #: 1073742664
E-PRESCRIBE: YES
MID ILLINOIS MEDICAL
CARE ASSOC
8 N 3RD ST
ALTAMONT, IL 62411
PHONE: (618) 881-4973
E-PRESCRIBE: YES
FROST, ROBERT W., MD
GENDER: M
PROVIDER #: 186801
NPI #: 1568449098
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
2
FAMILY PRACTICE OB
FROST, ROBERT W., MD
GENDER: M
PROVIDER #: 186801
NPI #: 1568449098
E-PRESCRIBE: NO
MARSHALL CLINIC
EFFINGHAM
205 N MAIN ST
ALTAMONT, IL 62411
PHONE: (618) 483-6131
E-PRESCRIBE: NO
ALTON, IL
ADULT/INTERNAL
MEDICINE
ATON, GUY W., MD
GENDER: M
PROVIDER #: 291912
NPI #: 1265424295
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
GREEN, CHRISTOPHER
R., MD
GENDER: M
PROVIDER #: 100005
NPI #: 1568479939
E-PRESCRIBE: NO
ALTON INTERNAL
MEDICINE
#220 2 MEMORIAL DR
ALTON, IL 62002
PHONE: (618) 474-1723
E-PRESCRIBE: NO
HOELSCHER, JOHN A.,
MD
GENDER: M
PROVIDER #: 099986
NPI #: 1447267810
E-PRESCRIBE: NO
ALTON INTERNAL
MEDICINE
#220 2 MEMORIAL DR
ALTON, IL 62002
PHONE: (618) 474-1723
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
2
ALTON, IL
ALTON, IL
MOSSMAN, BARRY M., MD
GENDER: M
PROVIDER #: 169535
NPI #: 1053516294
E-PRESCRIBE: NO
ALTON INTERNAL
MEDICINE
#220 2 MEMORIAL DR
ALTON, IL 62002
PHONE: (618) 474-1723
E-PRESCRIBE: NO
RICCI, JAMES D., MD
GENDER: M
PROVIDER #: 103861
NPI #: 1710994181
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ALTON INTERNAL
MEDICINE
#220 2 MEMORIAL DR
ALTON, IL 62002
PHONE: (618) 474-1723
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
BOYD, KEVIN D., DO
GENDER: M
PROVIDER #: 107348
NPI #: 1407962012
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
KLEIN, MICHAEL S., MD
GENDER: M
PROVIDER #: 192627
NPI #: 1790834737
E-PRESCRIBE: NO
SAINT ANTHONYS
PHYSICIAN GROUP
2 SAINT ANTHONYS WAY
SUITE 205
ALTON, IL 62002
PHONE: (618) 462-2222
E-PRESCRIBE: NO
KUMARAGURU, PRIYA,
MD
GENDER: F
PROVIDER #: 215718
NPI #: 1902062862
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
FAMILY PHYSICIANS OF
ALTON
#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
RAMCHANDANI, MANJU,
MD
GENDER: F
PROVIDER #: 199686
NPI #: 1114125028
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
KSB MEDICAL GROUP
305 E JOE DR SUITE 231
AMBOY, IL 61310
PHONE: (815) 857-3044
E-PRESCRIBE: NO
4
DRENGENBERG, DEBRA
C., MD
GENDER: F
PROVIDER #: 073778
NPI #: 1669443966
E-PRESCRIBE: NO
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
ANNA, IL
ADULT/INTERNAL
MEDICINE
BEATTY, STEVEN, MD
GENDER: M
PROVIDER #: 028006
NPI #: 1851399232
E-PRESCRIBE: NO
RURAL HEALTH INC
513 N MAIN ST
ANNA, IL 62906
PHONE: (618) 833-4471
E-PRESCRIBE: NO
FAMILY PRACTICE
CERNY, J MICHAEL, MD
GENDER: M
PROVIDER #: 029385
NPI #: 1407852825
E-PRESCRIBE: NO
515 N MAIN ST
ANNA, IL 62906
PHONE: (618) 833-8555
E-PRESCRIBE: NO
ECK, MICHAEL, MD
GENDER: M
PROVIDER #: 049959
NPI #: 1891888665
E-PRESCRIBE: NO
CONVENIENT CARE CLINIC
517 N MAIN ST
ANNA, IL 62906
PHONE: (618) 833-2295
BARNES, JACQUELYN K., PA;
PROVIDER #: 270554
BRADDOCK, TERRI, FNP;
PROVIDER #: 167480
CHAPMAN, MARY K., FNP;
PROVIDER #: 178771
FRIZZELL, JESSICA L., PA;
PROVIDER #: 191913
HAUENSTEIN, NAARAH L., PA;
PROVIDER #: 199530
KINSEY, RUSSELL J., PA-C;
PROVIDER #: 247079
MARTINEZ, STEVEN L., PA;
PROVIDER #; 177636
SARGENT, RACHEL M., PA:
PROVIDER #; 166732
SCHIERBAUM, KATHY, FNP;
PROVIDER #; 034031
E-PRESCRIBE: NO
HUNTER-REACH,
PAMELA, MD
GENDER: F
PROVIDER #: 180124
NPI #: 1942208988
E-PRESCRIBE: NO
HUNTER REACH FAMILY
MEDICINE LLC
98 PEACH RIDGE RD
ANNA, IL 62906
PHONE: (618) 614-1400
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
4
ANNA, IL
ANNAWAN, IL
LIU, QI, MD
GENDER: F
PROVIDER #: 117166
NPI #: 1255383535
E-PRESCRIBE: NO
RURAL HEALTH INC
513 N MAIN ST
ANNA, IL 62906
PHONE: (618) 833-4471
BARKE, HALLEY M., PA;
PROVIDER #: 160008
E-PRESCRIBE: NO
LUCAS, CHRISTINE M.,
MD
GENDER: F
PROVIDER #: 048870
NPI #: 1346248374
E-PRESCRIBE: NO
RURAL HEALTH INC
513 N MAIN ST
ANNA, IL 62906
PHONE: (618) 833-4471
FULLER, CHERYL, CFNP;
PROVIDER #: 186509
E-PRESCRIBE: NO
RIBBING, WILLIAM, MD
GENDER: M
PROVIDER #: 028299
NPI #: 1245238625
E-PRESCRIBE: NO
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
Primary Care Physicians
STRACK, KAREN, DO
GENDER: F
PROVIDER #: 234731
NPI #: 1700855871
E-PRESCRIBE: NO
RURAL HEALTH INC
513 N MAIN ST
ANNA, IL 62906
PHONE: (618) 833-4471
E-PRESCRIBE: NO
VERCIDE, JOEL M., MD
GENDER: M
PROVIDER #: 180103
NPI #: 1134211139
E-PRESCRIBE: NO
CONVENIENT CARE CLINIC
517 N MAIN ST
ANNA, IL 62906
PHONE: (618) 833-2295
SARGENT, RACHEL M., PA;
PROVIDER #: 166732
E-PRESCRIBE: NO
VERCIDE, JOEL, MD
GENDER: M
PROVIDER #: 055164
NPI #: 1134211139
E-PRESCRIBE: NO
UNION COUNTY FAMILY
PRACTICE
515 N MAIN ST SUITE C
ANNA, IL 62906
PHONE: (618) 833-2872
BARNES, JACQUELYN K., PA;
PROVIDER #: 248951
E-PRESCRIBE: NO
GENERAL PRACTICE
AITI, TAMER, MD
GENDER: M
PROVIDER #: 223679
NPI #: 1801043864
E-PRESCRIBE: NO
UNION COUNTY FAMILY
PRACTICE
515 N MAIN ST SUITE D
ANNA, IL 62906
PHONE: (618) 833-2872
E-PRESCRIBE: NO
ANNAWAN, IL
FAMILY PRACTICE
RUDY, PAUL M., MD
GENDER: M
PROVIDER #: 046219
NPI #: 1093794745
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
TRINITY FAMILY MEDICAL
ASSOCIATES
110 S DEPOT
ANNAWAN, IL 61234
PHONE: (309) 935-6778
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
5
ARCOLA, IL
ASHTON, IL
Primary Care Physicians
ARCOLA, IL
ARLINGTON, KY
FAMILY PRACTICE
GENERAL PRACTICE
BIGGS, ROBERT, MD
GENDER: M
PROVIDER #: 247111
NPI #: 1699094995
E-PRESCRIBE: NO
SARAH BUSH LINCOLN
HEALTH CENTER
241 W SPRINGFIELD RD
ARCOLA, IL 61910
PHONE: (217) 268-4444
E-PRESCRIBE: NO
ZETTER, DAVID R., MD
GENDER: M
PROVIDER #: 096828
NPI #: 1598711756
E-PRESCRIBE: NO
DAVID R ZETTER MD
HWY 80 E
ARLINGTON, KY 42021
PHONE: (270) 655-6231
E-PRESCRIBE: NO
ARTHUR, IL
WADE, VIRGINIA A., MD
GENDER: F
PROVIDER #: 047861
NPI #: 1720012024
E-PRESCRIBE: NO
600 E COUNTY RD 300 N
ARCOLA, IL 61910
PHONE: (217) 268-5008
E-PRESCRIBE: NO
FAMILY PRACTICE
GENERAL PRACTICE
CLIMACO, RAMON U., MD
GENDER: M
PROVIDER #: 006108
NPI #: 1932195906
E-PRESCRIBE: NO
120 S LOCUST
ARCOLA, IL 61910
PHONE: (217) 268-4323
E-PRESCRIBE: NO
6
ELLINGTON, CHARLES R.,
MD
GENDER: M
PROVIDER #: 061404
NPI #: 1407833130
E-PRESCRIBE: NO
ARTHUR MEDICAL CENTER
650 COLUMBIA
ARTHUR, IL 61911
PHONE: (217) 543-3869
E-PRESCRIBE: NO
HARTMAN, PATRICK, MD
GENDER: M
PROVIDER #: 053300
NPI #: 1861508160
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
650 WEST COLUMBIA
ARTHUR, IL 61911
PHONE: (217) 543-3869
E-PRESCRIBE: NO
ASHTON, IL
FAMILY PRACTICE
JAIN, SAMEER S., MD
GENDER: M
PROVIDER #: 189423
NPI #: 1699987230
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ASHTON FAMILY HEALTH
CENTER
320 N FIRST ST
ASHTON, IL 61006
PHONE: (815) 453-2681
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
6
ASSUMPTION, IL
AURORA, IL
ASSUMPTION, IL
Primary Care Physicians
ATWOOD, IL
FAMILY PRACTICE
FAMILY PRACTICE
CUNNINGTON, WALTER
H., MD
GENDER: M
PROVIDER #: 133335
NPI #: 1811024508
E-PRESCRIBE: NO
COMMUNITY MEDICAL
CLINIC OF ASSUMPTION
118 N WALNUT
ASSUMPTION, IL 62510
PHONE: (217) 226-3133
E-PRESCRIBE: NO
MANINT, JAMES E., DO
GENDER: M
PROVIDER #: 002832
NPI #: 1376534420
E-PRESCRIBE: NO
ATWOOD RURAL HEALTH
CLINIC
108 S MAIN ST
ATWOOD, IL 61913
PHONE: (217) 578-3814
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: NO
TEODORO, CATHERINE
D., MD
GENDER: F
PROVIDER #: 225034
NPI #: 1720373574
E-PRESCRIBE: YES
COMMUNITY MEDICAL
CLINIC
118 N WALNUT
ASSUMPTION, IL 62510
PHONE: (217) 226-3133
E-PRESCRIBE: YES
ATLANTA, IL
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 222916
NPI #: 1922235944
E-PRESCRIBE: NO
ATWOOD RURAL HEALTH
108 N MAIN ST
ATWOOD, IL 61913
PHONE: (217) 578-3814
E-PRESCRIBE: NO
AURORA, IL
FAMILY PRACTICE
ADULT/INTERNAL
MEDICINE
MITCHELL, PHILIP, MD
GENDER: M
PROVIDER #: 028458
NPI #: 1508839895
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
307 W MAIN
ATLANTA, IL 61723
PHONE: (309) 365-8608
E-PRESCRIBE: NO
BURGNER, KAREN M., MD
GENDER: F
PROVIDER #: 205751
NPI #: 1598785792
E-PRESCRIBE: NO
DREYER CLINIC WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
COLLINS, MICHAEL, MD
GENDER: M
PROVIDER #: 016446
NPI #: 1366467680
E-PRESCRIBE: NO
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
DAGIANTIS, WILLIAM P.,
MD
GENDER: M
PROVIDER #: 205715
NPI #: 1972511822
E-PRESCRIBE: NO
DREYER CLINIC WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
DAS, PRASUN K., MD
GENDER: M
PROVIDER #: 069838
NPI #: 1295768778
E-PRESCRIBE: NO
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.
7
Primary Care Physicians
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
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
DREYER, ROMAN, MD
GENDER: M
PROVIDER #: 133533
NPI #: 1376576793
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
8
AURORA, IL
AURORA, IL
HEASER, AMITA, MD
GENDER: F
PROVIDER #: 205750
NPI #: 1902062219
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
MALKANI, SUNIL K., MD
GENDER: M
PROVIDER #: 202058
NPI #: 1538153655
E-PRESCRIBE: NO
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DR
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
KAPUR, KULJIT S., DO
GENDER: F
PROVIDER #: 223596
NPI #: 1831399518
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
MARZEC, MICHAEL F., MD
GENDER: M
PROVIDER #: 205749
NPI #: 1205847613
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
LEE, KAREN M., MD
GENDER: F
PROVIDER #: 181176
NPI #: 1417022351
E-PRESCRIBE: NO
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DR
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
OLLEE, SHARON C., MD
GENDER: F
PROVIDER #: 139006
NPI #: 1013076504
E-PRESCRIBE: NO
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
LEUNG, DOMINIC K., MD
GENDER: M
PROVIDER #: 193413
NPI #: 1144230335
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
PALMER, JOHN O., MD
GENDER: M
PROVIDER #: 205752
NPI #: 1598778706
E-PRESCRIBE: NO
DREYER CLINIC-FOX
VALLEY
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.
8
AURORA, IL
AURORA, IL
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
SAPYTA, STEVEN J., MD
GENDER: M
PROVIDER #: 093995
NPI #: 1518071323
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
SETHI, AMAN, MD
GENDER: M
PROVIDER #: 248765
NPI #: 1447446349
E-PRESCRIBE: NO
DREYER CLINIC RUSH
COPLEY
2040 OGDEN AVE STE 401
AURORA, IL 60504
PHONE: (630) 585-7100
E-PRESCRIBE: NO
TIWARI, NIDHI, MD
GENDER: F
PROVIDER #: 176619
NPI #: 1053415067
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
444 N EOLA RD SUITE 110
AURORA, IL 60502
PHONE: (630) 499-8758
E-PRESCRIBE: NO
Primary Care Physicians
YIN, JENNIFER K., MD
GENDER: F
PROVIDER #: 182590
NPI #: 1528224169
E-PRESCRIBE: NO
DREYER CLINIC-HIGHLAND
1221 NORTH HIGHLAND
AVENUE
AURORA, IL 60506
PHONE: (630) 859-3248
E-PRESCRIBE: NO
FAMILY PRACTICE
AGHIA, GEORGE A., MD
GENDER: M
PROVIDER #: 255232
NPI #: 1811218142
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PRIME HEALTHCARE
SERVICES
01900 OGDEN AVE SUITE 200
AURORA, IL 60504
PHONE:
E-PRESCRIBE: NO
ALAM, SAROOR, MD
GENDER:
PROVIDER #: 136181
NPI #: 1013064138
E-PRESCRIBE: NO
PRIME HEALTHCARE
SERVICES
01900 OGDEN AVE SUITE 200
AURORA, IL 60504
PHONE:
E-PRESCRIBE: NO
ALLEN, JAMISON D., DO
GENDER: M
PROVIDER #: 105156
NPI #: 1184614760
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
9
Primary Care Physicians
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
10
AURORA, IL
AURORA, IL
GALLA-PAGADALA,
ARUNA, MD
GENDER: F
PROVIDER #: 255250
NPI #: 1033310024
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
IRELAND, CHARLES R.,
DO
GENDER: M
PROVIDER #: 024359
NPI #: 1346268604
E-PRESCRIBE: NO
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
HO, VIVIEN T., MD
GENDER: F
PROVIDER #: 205761
NPI #: 1083897888
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
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
HUBBARD, BRIAN T., DO
GENDER: M
PROVIDER #: 124884
NPI #: 1447284476
E-PRESCRIBE: NO
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, ROBERT G., DO
GENDER: M
PROVIDER #: 176670
NPI #: 1235154337
E-PRESCRIBE: NO
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.
10
AURORA, IL
AURORA, IL
KUMAR, ASHWIN, MD
GENDER: M
PROVIDER #: 205767
NPI #: 1457517005
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
OOSTMAN, BRIAN D., DO
GENDER: M
PROVIDER #: 205695
NPI #: 1316950496
E-PRESCRIBE: NO
DREYER CLINIC-HIGHLAND
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
PATEL, BHARTI K., MD
GENDER: F
PROVIDER #: 055367
NPI #: 1902819139
E-PRESCRIBE: NO
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
Primary Care Physicians
PULS, RICHARD W., MD
GENDER: M
PROVIDER #: 145514
NPI #: 1407818230
E-PRESCRIBE: NO
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
PURI, JIGNASA M., DO
GENDER: F
PROVIDER #: 171193
NPI #: 1447283908
E-PRESCRIBE: NO
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
SHETH, MANSI C., DO
GENDER: F
PROVIDER #: 244946
NPI #: 1669600870
E-PRESCRIBE: NO
DREYER MEDICAL GROUP
LTD
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
E-PRESCRIBE: NO
VAIKUTIS, JOHN P., DO
GENDER: M
PROVIDER #: 159643
NPI #: 1528098365
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
2800 BEVERLY DRIVE
AURORA, IL 60502-8516
PHONE: (630) 315-8700
E-PRESCRIBE: NO
WAHEED, MONA H., MD
GENDER: F
PROVIDER #: 264243
NPI #: 1063510659
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 W GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
WEILER, KEITH E., MD
GENDER: M
PROVIDER #: 078777
NPI #: 1184733321
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
11
Primary Care Physicians
PEDIATRICS
ABRAMS, BARRY, MD
GENDER: M
PROVIDER #: 078774
NPI #: 1659305183
E-PRESCRIBE: NO
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
BENZIGER, KEITH E., MD
GENDER: M
PROVIDER #: 067041
NPI #: 1073543112
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
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 WEST GALENA
BOULEVARD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
12
AURORA, IL
AURORA, IL
ECKBERG, LORENE S., MD
GENDER: F
PROVIDER #: 016445
NPI #: 1831122043
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DREYER CLINIC-WEST
AURORA
1870 W GALENA BLVD
AURORA, IL 60506
PHONE: (630) 859-6700
E-PRESCRIBE: NO
JUNG, ANDREW D., MD
GENDER: M
PROVIDER #: 205760
NPI #: 1598814329
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DREYER MEDICAL GROUP
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
DREYER MEDICAL GROUP
4100 HEALTHWAY DR
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
OVERCASH, JULIE A., MD
GENDER: F
PROVIDER #: 016433
NPI #: 1881607992
E-PRESCRIBE: NO
DREYER CLINIC-FOX
VALLEY
4100 HEALTHWAY DRIVE
AURORA, IL 60504
PHONE: (630) 851-3105
E-PRESCRIBE: NO
SHETTY, ANISHA R., MD
GENDER: F
PROVIDER #: 225462
NPI #: 1629247465
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
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.
12
AVA, IL
BATAVIA, IL
AVA, IL
ADULT/INTERNAL
MEDICINE
FEINERMAN, ADRIAN D.,
MD
GENDER: M
PROVIDER #: 105069
NPI #: 1568484590
E-PRESCRIBE: NO
FEINERMAN FAMILY
PRACTICE
205 W DAVIS ST
AVA, IL 62907
PHONE: (618) 426-3394
E-PRESCRIBE: NO
AVON, IL
GENERAL PRACTICE
MEHTA, SHRIKANT A., MD
GENDER: M
PROVIDER #: 003043
NPI #: 1346358199
E-PRESCRIBE: NO
SAUNDERS CLINIC
1800 23RD AVE
AVON, IL 61415
PHONE: (309) 465-3129
E-PRESCRIBE: NO
Primary Care Physicians
BARTLETT, IL
FAMILY PRACTICE
FREDERICKS, JENNIFER,
MD
GENDER: F
PROVIDER #: 270184
NPI #: 1093743163
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
820 S ROUTE 59 SUITE A
BARTLETT, IL 60103-1300
PHONE: (630) 483-5930
E-PRESCRIBE: NO
BARTONVILLE, IL
ADULT/INTERNAL
MEDICINE
JUJJAVARAPU, VIJAYA
L., MD
GENDER: F
PROVIDER #: 057719
NPI #: 1750356226
E-PRESCRIBE: NO
PROCTOR MEDICAL GROUP
1506 W GARFIELD AVE
BARTONVILLE, IL 61607
PHONE: (309) 697-2416
ESTEP, PATRICIA J., APN;
PROVIDER #: 214206
E-PRESCRIBE: NO
FAMILY PRACTICE
HICOK, WILLIAM C., MD
GENDER: M
PROVIDER #: 039014
NPI #: 1457326944
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
13
Primary Care Physicians
BATAVIA, IL
BATAVIA, IL
BOSH, RONALD G., MD
GENDER: M
PROVIDER #: 044038
NPI #: 1811928443
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DREYER CLINIC-BATAVIA
2500 W FABYAN PARKWAY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
BOWMAN, MARK J., DO
GENDER: M
PROVIDER #: 057258
NPI #: 1194750075
E-PRESCRIBE: NO
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
COLLINS, MICHAEL, MD
GENDER: M
PROVIDER #: 016446
NPI #: 1366467680
E-PRESCRIBE: NO
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
SHAH, REENA R., DO
GENDER: F
PROVIDER #: 213662
NPI #: 1972597524
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DREYER CLINIC BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
FAMILY PRACTICE
IRELAND, CHARLES R.,
DO
GENDER: M
PROVIDER #: 024359
NPI #: 1346268604
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
14
AMANI, EBRAHIM, MD
GENDER: M
PROVIDER #: 244863
NPI #: 1386615904
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
14
BATAVIA, IL
BATAVIA, IL
NOVOTA, PETER A., MD
GENDER: M
PROVIDER #: 270739
NPI #: 1124132394
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DREYER CLINIC-BATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
Primary Care Physicians
PURI, JIGNASA M., DO
GENDER: F
PROVIDER #: 171193
NPI #: 1447283908
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DREYER MEDICAL CLINICBATAVIA
2500 W FABYAN PKWY
BATAVIA, IL 60510
PHONE: (630) 879-2110
E-PRESCRIBE: NO
SROKA, JEFFREY D., MD
GENDER: M
PROVIDER #: 019251
NPI #: 1316962012
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
1049 E WILSON ST
BATAVIA, IL 60510-3174
PHONE: (630) 232-2776
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
15
Primary Care Physicians
BEARDSTOWN, IL
BELLEVILLE, IL
FAMILY PRACTICE
ADULT/INTERNAL
MEDICINE
CHOUDHARY, BHAVNA,
MD
GENDER: F
PROVIDER #: 277872
NPI #: 1902184708
E-PRESCRIBE: YES
CASS COUNTY HEALTH
CLINIC
8590 ST LUKES DR
BEARDSTOWN, IL 62618
PHONE: (217) 323-2242
E-PRESCRIBE: YES
CATH, ANNE M., MD
GENDER: F
PROVIDER #: 250371
NPI #: 1417937574
E-PRESCRIBE: NO
PC ASSOCIATES LLC
4600 MEMORIAL DR SUITE
440
BELLEVILLE, IL 62226
PHONE: (618) 236-8000
E-PRESCRIBE: NO
SANCHEZ, DOMINIQUE F.,
DO
GENDER: F
PROVIDER #: 215990
NPI #: 1861654857
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
ELMER HUGH TAYLOR
CLINIC
100 W 15TH ST
BEARDSTOWN, IL 62618
PHONE: (217) 323-2445
E-PRESCRIBE: NO
16
HAGEMAN, MATTHEW,
MD
GENDER: M
PROVIDER #: 082402
NPI #: 1376540930
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PC ASSOCIATES LLC
4600 MEMORIAL DR SUITE
440
BELLEVILLE, IL 62226
PHONE: (618) 236-8000
E-PRESCRIBE: NO
BEARDSTOWN, IL
BELLEVILLE, IL
SHAWAHIN, NIDAL, MD
GENDER: M
PROVIDER #: 092059
NPI #: 1245236884
E-PRESCRIBE: NO
PC ASSOCIATES LLC
4600 MEMORIAL DRIVE
SUITE 360
BELLEVILLE, IL 62226
PHONE: (618) 222-7280
E-PRESCRIBE: NO
FAMILY PRACTICE
ABEL, WALLACE K., MD
GENDER: M
PROVIDER #: 103950
NPI #: 1003808858
E-PRESCRIBE: NO
BELLEVILLE FAMILY
MEDICAL ASSOC LTD
301 W LINCOLN STE 200
BELLEVILLE, IL 62220
PHONE: (618) 234-2566
E-PRESCRIBE: NO
ADAMS, DONALD G., MD
GENDER: M
PROVIDER #: 216394
NPI #: 1508842352
E-PRESCRIBE: NO
PC ASSOCIATES LLC
333 SOUTH ILLINOIS STREET
SUITE A
BELLEVILLE, IL 62220
PHONE: (618) 277-4888
E-PRESCRIBE: NO
DESPAIN, DOUGLAS C.,
MD
GENDER: M
PROVIDER #: 103615
NPI #: 1275525024
E-PRESCRIBE: NO
BELLEVILLE FAMILY
MEDICAL ASSOC LTD
301 W LINCOLN STE 200
BELLEVILLE, IL 62220
PHONE: (618) 234-2566
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
16
BELLEVILLE, IL
BELLEVILLE, IL
Primary Care Physicians
GARNER, ROBERT W., DO
GENDER: M
PROVIDER #: 109054
NPI #: 1285612242
E-PRESCRIBE: NO
BELLEVILLE FAMILY
MEDICAL ASSOC LTD
301 W LINCOLN STE 200
BELLEVILLE, IL 62220
PHONE: (618) 234-2566
E-PRESCRIBE: NO
O'NEILL, BRIAN A., MD
GENDER:
PROVIDER #: 198773
NPI #: 1669466066
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
BELLEVILLE FAMILY
MEDICAL ASSOC LTD
301 W LINCOLN STE 200
BELLEVILLE, IL 62220
PHONE: (618) 234-1604
E-PRESCRIBE: NO
O'NEILL, DAVID, DO
GENDER: M
PROVIDER #: 199236
NPI #: 1922092394
E-PRESCRIBE: NO
PC ASSOCIATES LLC
4600 MEMORIAL DRIVE
SUITE 220
BELLEVILLE, IL 62226
PHONE: (618) 235-6191
E-PRESCRIBE: NO
PEDIATRICS
MANARANG, DON, DO
GENDER: M
PROVIDER #: 098311
NPI #: 1205833860
E-PRESCRIBE: NO
PC ASSOCIATES LLC
130 LINCOLN PLACE CT
BELLEVILLE, IL 62221-5884
PHONE: (618) 257-2029
E-PRESCRIBE: NO
MANNAN-HILALY,
SALMA, MD
GENDER:
PROVIDER #: 101806
NPI #: 1699772251
E-PRESCRIBE: NO
PC ASSOCIATES LLC
4600 MEMORIAL DRIVE
SUITE 160
BELLEVILLE, IL 62226
PHONE: (618) 235-0460
E-PRESCRIBE: NO
RAWDON, DAVID, MD
GENDER: M
PROVIDER #: 119790
NPI #: 1376549139
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PC ASSOCIATES LLC
3701 MEMORIAL DRIVE
BELLEVILLE, IL 62226
PHONE: (618) 222-0000
E-PRESCRIBE: NO
KRUMHOLZ, LINDSEY,
MD
GENDER: F
PROVIDER #: 299460
NPI #: 1053675561
E-PRESCRIBE: NO
TLC PEDIATRICS LTD
4600 MEMORIAL DRIVE STE
280
BELLEVILLE, IL 62226
PHONE:
E-PRESCRIBE: NO
LAFF, STACIE, MD
GENDER: F
PROVIDER #: 109943
NPI #: 1851318489
E-PRESCRIBE: NO
TLC PEDIATRICS LTD
4600 MEMORIAL DRIVE STE
280
BELLEVILLE, IL 62226
PHONE:
E-PRESCRIBE: NO
NGO, KHAI, MD
GENDER:
PROVIDER #: 188627
NPI #: 1205905197
E-PRESCRIBE: NO
TLC PEDIATRICS LTD
4600 MEMORIAL DRIVE STE
280
BELLEVILLE, IL 62226
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
17
Primary Care Physicians
NORMAN, DAVID C., MD
GENDER: M
PROVIDER #: 105936
NPI #: 1306871660
E-PRESCRIBE: NO
DAVID DORMAN MD INC
4600 MEMORIAL DRIVE STE
G60
BELLEVILLE, IL 62226
PHONE: (618) 257-2550
E-PRESCRIBE: NO
BELVIDERE, IL
FAMILY PRACTICE
AL-SARAF, ABBAS F., MD
GENDER:
PROVIDER #: 165130
NPI #: 1245221134
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
1747 LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-9030
E-PRESCRIBE: NO
ANSARI, MOHAMMED, MD
GENDER:
PROVIDER #: 200494
NPI #: 1649492620
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
1747 LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-9030
E-PRESCRIBE: NO
18
CASTELLO, GREGORY C.,
DO
GENDER: M
PROVIDER #: 300556
NPI #: 1417939323
E-PRESCRIBE: NO
PHYSICIANS IMMEDIATE
CARE
1663 BELVIDERE RD
BELVIDERE, IL 61008
PHONE: (847) 653-0130
E-PRESCRIBE: NO
CLOR, MONA, MD
GENDER:
PROVIDER #: 123685
NPI #: 1932182003
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
1747 LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-9030
E-PRESCRIBE: NO
DEAN, LESLIE A., MD
GENDER: F
PROVIDER #: 051441
NPI #: 1316912462
E-PRESCRIBE: NO
UNIVERSITY PRIMARY
CARE CLINIC/BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
DELADISMA, MARCONI,
MD
GENDER: M
PROVIDER #: 262776
NPI #: 1477597342
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
1747 LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-9030
E-PRESCRIBE: NO
BELLEVILLE, IL
BELVIDERE, IL
DUDAS, ANDRZEJ M., DO
GENDER: M
PROVIDER #: 202735
NPI #: 1609037308
E-PRESCRIBE: NO
UIC 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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
1747 LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-9030
E-PRESCRIBE: NO
IRONSIDE, MARY J., MD
GENDER: F
PROVIDER #: 281594
NPI #: 1275579658
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.
18
BELVIDERE, IL
BELVIDERE, IL
KAUR, AMANDEEP, MD
GENDER: M
PROVIDER #: 278146
NPI #: 1184875072
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
KING, MITCHELL S., MD
GENDER: M
PROVIDER #: 109091
NPI #: 1225038276
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
Primary Care Physicians
LOPEZ, CASSANDRA M.,
MD
GENDER: F
PROVIDER #: 286032
NPI #: 1619125317
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
LUCIETTO-SIERADZKI,
THERESE M., MD
GENDER: F
PROVIDER #: 068386
NPI #: 1699708636
E-PRESCRIBE: NO
YOUR FAMILY DOCTOR
205 CADILLAC COURT SUITE
7
BELVIDERE, IL 61008
PHONE: (815) 544-0087
HYSELL, DEBRA, APN;
PROVIDER #: 123918
E-PRESCRIBE: NO
NIKA, VASIL, MD
GENDER: M
PROVIDER #: 077628
NPI #: 1811987886
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
PHOENIX, JAMES W., MD
GENDER: M
PROVIDER #: 289696
NPI #: 1700922267
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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 #: 084617
NPI #: 1447240445
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
POLIZZOTTO, MICHAEL
J., MD
GENDER: M
PROVIDER #: 107575
NPI #: 1871595371
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.
19
Primary Care Physicians
BELVIDERE, IL
BELVIDERE, IL
ROSKA, JOHN M., MD
GENDER: M
PROVIDER #: 241969
NPI #: 1679714216
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
1747 HENRY LUCKOW LANE
BELVIDERE, IL 61008
PHONE: (815) 971-2000
E-PRESCRIBE: NO
SIMMONS, MARY D., MD
GENDER: F
PROVIDER #: 282746
NPI #: 1457373946
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
ROSS, JOSEPH E., MD
GENDER: M
PROVIDER #: 286073
NPI #: 1487682977
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
SAPYING, ATISAK, MD
GENDER: M
PROVIDER #: 008802
NPI #: 1982694980
E-PRESCRIBE: NO
UNIVERSITY PRIMARY
CARE CLINIC BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
ROYCE, JEFFERY S., MD
GENDER: M
PROVIDER #: 281607
NPI #: 1619910635
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
SHARKEY, CARRIE, MD
GENDER: F
PROVIDER #: 030512
NPI #: 1295725323
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
SAJJADI OSKOUEI,
SEYYED A., MD
GENDER: M
PROVIDER #: 252574
NPI #: 1912136896
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
20
WEDEL, PAUL E., MD
GENDER: M
PROVIDER #: 008762
NPI #: 1700860764
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.
20
BELVIDERE, IL
BENLD, IL
WILLIAMS, FARION R., MD
GENDER: M
PROVIDER #: 071143
NPI #: 1568446516
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVANCED REPRODUCTIVE
CENTER
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
PEDIATRICS
DAVIS, RAYMOND A., MD
GENDER: M
PROVIDER #: 193612
NPI #: 1417067604
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
PHELAN, KAREN W., MD
GENDER: F
PROVIDER #: 008652
NPI #: 1801871017
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
BELVIDERE
2170 PEARL ST
BELVIDERE, IL 61008
PHONE: (815) 395-5886
E-PRESCRIBE: NO
Primary Care Physicians
POTTS, MICHAEL J., MD
GENDER: M
PROVIDER #: 008720
NPI #: 1881679090
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
BEMENT HEALTHCARE
CENTER
601 N MORGAN
BEMENT, IL 61813
PHONE: (217) 678-2191
E-PRESCRIBE: NO
FAMILY PRACTICE
IMBURGIA, DOMINIC C.,
MD
GENDER: M
PROVIDER #: 040058
NPI #: 1114955960
E-PRESCRIBE: NO
BEMENT COMMUNITY
MEDICAL CENTER
120 W BODMAN
BEMENT, IL 61813
PHONE:
E-PRESCRIBE: NO
MANINT, JAMES E., DO
GENDER: M
PROVIDER #: 002832
NPI #: 1376534420
E-PRESCRIBE: NO
BEMENT HEALTH CARE
CENTER
601 N MORGAN
BEMENT, IL 61813
PHONE: (217) 678-2191
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: NO
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 222916
NPI #: 1922235944
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
21
Primary Care Physicians
BENTON, IL
ADULT/INTERNAL
MEDICINE
NEELY, MEGAN J., MD
GENDER: F
PROVIDER #: 259247
NPI #: 1528233681
E-PRESCRIBE: NO
CROSSROADS FAMILY
MEDICINE OF BENTON
905 W WASHINGTON ST
SUITE A
BENTON, IL 62812
PHONE: (618) 435-2229
E-PRESCRIBE: NO
PARKS, ROBERT J., MD
GENDER: M
PROVIDER #: 264223
NPI #: 1356380497
E-PRESCRIBE: YES
FRANKLIN HOSPITAL
201 BAILEY LN
BENTON, IL 62812
PHONE: (618) 439-3161
E-PRESCRIBE: YES
PARKS, ROBERT, MD
GENDER: M
PROVIDER #: 254906
NPI #: 1356380497
E-PRESCRIBE: NO
CROSSROADS FAMILY
MEDICINE OF BENTON
905 W WASHINGTON ST
SUITE A
BENTON, IL 62812
PHONE: (618) 435-2229
E-PRESCRIBE: NO
22
RESABA, GEMILO, MD
GENDER: M
PROVIDER #: 042552
NPI #: 1760427199
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SIH MEDICAL GROUP AT
BENTON COMMUNITY
HEALTH RHC
203 BAILEY LN SUITE 1
BENTON, IL 62812-1969
PHONE: (618) 438-5670
E-PRESCRIBE: NO
HARTMAN, JOHN DAVID,
MD
GENDER: M
PROVIDER #: 175344
NPI #: 1851399976
E-PRESCRIBE: YES
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
BENTON, IL
BENTON, IL
MORTHLAND, TIMOTHY
E., MD
GENDER: M
PROVIDER #: 257336
NPI #: 1255375515
E-PRESCRIBE: NO
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
POSITICO, JOANNA, MD
GENDER: F
PROVIDER #: 272262
NPI #: 1558682864
E-PRESCRIBE: YES
NATIONAL HEALTHCARE
OF MT VERNON INC
905 W WASHINGTON ST STE
A
BENTON, IL 62812
PHONE: (618) 435-2229
E-PRESCRIBE: YES
RETHORST, RICHARD, MD
GENDER: M
PROVIDER #: 263240
NPI #: 1770530024
E-PRESCRIBE: YES
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
22
BENTON, IL
BENTON, KY
SZOKE, DAVID F., MD
GENDER: M
PROVIDER #: 290052
NPI #: 1477531192
E-PRESCRIBE: NO
905 W WASHINGTON ST
BENTON, IL 62812
PHONE: (618) 435-5444
E-PRESCRIBE: NO
WARNER, TRICIA K., MD
GENDER: F
PROVIDER #: 259248
NPI #: 1326029158
E-PRESCRIBE: NO
CROSSROADS FAMILY
MEDICINE OF BENTON
905 W WASHINGTON ST
SUITE A
BENTON, IL 62812
PHONE: (618) 435-2229
E-PRESCRIBE: NO
PEDIATRICS
NWOSU, MARJORIE M.,
MD
GENDER: F
PROVIDER #: 259249
NPI #: 1932164951
E-PRESCRIBE: NO
CROSSROADS FAMILY
MEDICINE OF BENTON
905 W WASHINGTON ST
SUITE A
BENTON, IL 62812
PHONE: (618) 435-2229
E-PRESCRIBE: NO
Primary Care Physicians
BENTON, KY
ADULT/INTERNAL
MEDICINE
BROWN, CHRISTINA M.,
DO
GENDER: F
PROVIDER #: 225691
NPI #: 1598057549
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MARSHALL CO HOSP &
LONG TERM CARE FAC DBA
MARSHALL
617 OLD SYMSONIA ROAD
BENTON, KY 42025
PHONE: (270) 527-2411
E-PRESCRIBE: NO
LYLES, JULIA T., MD
GENDER: F
PROVIDER #: 297315
NPI #: 1740434307
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MD PARTNERS PLLC
615 OLD SYMSONIA RD
BENTON, KY 42025
PHONE: (270) 527-4800
E-PRESCRIBE: NO
HALL, KIM M., MD
GENDER: F
PROVIDER #: 297317
NPI #: 1780660068
E-PRESCRIBE: NO
MARSHALL CO HOSP &
LONG TERM CARE FAC DBA
MARSHALL
617 OLD SYMSONIA RD
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
Primary Care Physicians
HEISS, JOHN R., MD
GENDER: M
PROVIDER #: 297890
NPI #: 1013951813
E-PRESCRIBE: NO
MARSHALL CO HOSP &
LONG TERM CARE FAC DBA
MARSHALL
617 OLD SYMSONIA ROAD
BENTON, KY 42025
PHONE: (270) 527-2411
E-PRESCRIBE: NO
MD PARTNERS PLLC
615 OLD SYMSONIA ROAD
BENTON, KY 42025
PHONE: (270) 527-4800
E-PRESCRIBE: NO
TVEITE, JOHN E., MD
GENDER: M
PROVIDER #: 297310
NPI #: 1205919040
E-PRESCRIBE: NO
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
HARMS, CRAIG K., MD
GENDER: M
PROVIDER #: 198666
NPI #: 1598878373
E-PRESCRIBE: NO
FAMILY PHYSICIANS OF
BETHALTO
155 E BETHALTO DR
BETHALTO, IL 62010
PHONE: (618) 377-8961
E-PRESCRIBE: NO
24
BETTENDORF, IA
ADULT/INTERNAL
MEDICINE
JEROME, WILLIAM P., MD
GENDER: M
PROVIDER #: 179314
NPI #: 1215915855
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
UNITYPOINT CLINICINTERNAL MEDICINE
BETTENDORF
4480 UTICA RIDGE RD SUITE
2230
BETTENDORF, IA 52722
PHONE: (563) 742-5150
E-PRESCRIBE: YES
BENTON, KY
BETTENDORF, IA
KING, JAMES D., DO
GENDER: M
PROVIDER #: 177922
NPI #: 1720058019
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
UNITYPOINT CLINICINTERNAL MEDICINE
BETTENDORF
4480 UTICA RIDGE RD SUITE
2230
BETTENDORF, IA 52722
PHONE: (563) 742-5150
E-PRESCRIBE: YES
PAREIGIS, ALEX J., MD
GENDER: M
PROVIDER #: 195070
NPI #: 1184603953
E-PRESCRIBE: NO
TRINITY MEDICAL CENTER
AT TERRACE PARK
4500 UTICA RIDGE RD
BETTENDORF, IA 52722
PHONE: (563) 742-5000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
24
BETTENDORF, IA
BETTENDORF, IA
SCHLOTFELDT II,
RONALD B., MD
GENDER: M
PROVIDER #: 224557
NPI #: 1033496088
E-PRESCRIBE: NO
UNITYPOINT CLINICINTERNAL MEDICINE
BETTENDORF
4480 UTICA RIDGE RD SUITE
2230
BETTENDORF, IA 52722
PHONE: (563) 742-5150
E-PRESCRIBE: NO
FAMILY PRACTICE
ABDULLAH, AFSANA Y.,
DO
GENDER: F
PROVIDER #: 290300
NPI #: 1760583066
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 400
BETTENDORF, IA 52722
PHONE: (563) 359-7548
GEORGE, JENNIFER A., ARNP;
PROVIDER #: 068802
E-PRESCRIBE: NO
Primary Care Physicians
ANDERSEN, KURT A., MD
GENDER: M
PROVIDER #: 059360
NPI #: 1477558799
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
HEALTHPLEX
2140 53RD AVENUE
BETTENDORF, IA 52722
PHONE: (563) 421-5700
E-PRESCRIBE: NO
ANDERSON, GARY A., DO
GENDER: M
PROVIDER #: 034792
NPI #: 1205831120
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
CONVENIENT CARE CLINICS
2140 53RD AVENUE
BETTENDORF, IA 52722
PHONE: (563) 421-5700
E-PRESCRIBE: NO
APPEL, MIKKA M., MD
GENDER: F
PROVIDER #: 090042
NPI #: 1275505505
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
TRINITY TERRACE PARK
FAMILY PRACTICE CLINIC
4480 UTICA RIDGE RD SUITE
160
BETTENDORF, IA 52722
PHONE: (563) 742-4850
E-PRESCRIBE: NO
BALCIULIS, SUSAN, MD
GENDER: F
PROVIDER #: 069469
NPI #: 1700992401
E-PRESCRIBE: NO
STATE STREET WOMENS
HEALTH CENTER
1004 STATE ST
BETTENDORF, IA 52722
PHONE: (563) 359-5535
E-PRESCRIBE: NO
BLECHLE, KEVIN, DO
GENDER: M
PROVIDER #: 120786
NPI #: 1396725768
E-PRESCRIBE: YES
TRINITY EXPRESS CARE
BETTENDORF
3415 53RD AVE
BETTENDORF, IA 52722
PHONE: (563) 742-4350
BLAIR, TRINA G., PA-C;
PROVIDER #: 221567
E-PRESCRIBE: YES
BOONE, CHRISTOPHER
R., MD
GENDER: M
PROVIDER #: 276225
NPI #: 1225324361
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
2140 53RD AVE
BETTENDORF, IA 52722
PHONE: (563) 421-5700
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
25
Primary Care Physicians
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
CAMPBELL, MARY M., MD
GENDER: F
PROVIDER #: 059598
NPI #: 1760470454
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
26
COON, TERESA, MD
GENDER: F
PROVIDER #: 053409
NPI #: 1831205525
E-PRESCRIBE: NO
STATE STREET WOMENS
HEALTH CENTER
1004 STATE ST
BETTENDORF, IA 52722
PHONE: (563) 359-5535
E-PRESCRIBE: NO
DANIEL, MYRA S., MD
GENDER: F
PROVIDER #: 075995
NPI #: 1891783569
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
TRINITY FAMILY PRACTICE
4480 UTICA RIDGE RD SUITE
160
BETTENDORF, IA 52722
PHONE: (563) 742-4850
E-PRESCRIBE: NO
BETTENDORF, IA
BETTENDORF, IA
GEICK, LYNN B., MD
GENDER: M
PROVIDER #: 075390
NPI #: 1326010299
E-PRESCRIBE: NO
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
HAGEMANN, JASON C.,
DO
GENDER: M
PROVIDER #: 222244
NPI #: 1285954594
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
26
BETTENDORF, IA
BETTENDORF, IA
Primary Care Physicians
HENDERSON, JAMES G.,
MD
GENDER: M
PROVIDER #: 224542
NPI #: 1750353223
E-PRESCRIBE: NO
TRINITY EXPRESS CARE
BETTENDORF
3415 53RD AVE
BETTENDORF, IA 52722
PHONE: (563) 742-4350
E-PRESCRIBE: NO
KNUDSON, ROBERT J.,
MD
GENDER: M
PROVIDER #: 076001
NPI #: 1528056207
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
4017 DEVILS GLEN RD SUITE
100
BETTENDORF, IA 52722
PHONE: (563) 332-6387
E-PRESCRIBE: NO
HERMANSON, MARK E.,
MD
GENDER: M
PROVIDER #: 034785
NPI #: 1639174196
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 400
BETTENDORF, IA 52722
PHONE: (563) 359-7548
GEORGE, JENNIFER A., ARNP;
PROVIDER #: 068802
E-PRESCRIBE: NO
KUMAR, POMILLA C., MD
GENDER: F
PROVIDER #: 071636
NPI #: 1568431880
E-PRESCRIBE: NO
BETTENDORF PEDIATRIC &
FAMILY PRACTICE
ASSOCIATES
4017 DEVILS GLEN RD SUITE
200
BETTENDORF, IA 52722
PHONE: (563) 332-3400
E-PRESCRIBE: NO
KANE, FRANCIS L., MD
GENDER: M
PROVIDER #: 055003
NPI #: 1750353744
E-PRESCRIBE: NO
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
KUMAR, POMILLA, MD
GENDER: F
PROVIDER #: 295637
NPI #: 1568431880
E-PRESCRIBE: NO
UPC EXPRESS CARE
BETTENDORF
3415 53RD AVE
BETTENDORF, IA 52722
PHONE:
E-PRESCRIBE: NO
LETNEY, TODD L., MD
GENDER: M
PROVIDER #: 055007
NPI #: 1295709657
E-PRESCRIBE: NO
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
LINDLEY, JAMES A., MD
GENDER: M
PROVIDER #: 224531
NPI #: 1528064052
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
TRINITY FAMILY PRACTICE
4480 UTICA RIDGE RD #160
BETTENDORF, IA 52722
PHONE: (800) 845-6592
E-PRESCRIBE: NO
MCCABE, WILLIAM C., MD
GENDER: M
PROVIDER #: 124937
NPI #: 1730157322
E-PRESCRIBE: NO
GENESIS CONVIENENT
CARE
4017 DEVILS GLENN RD
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.
27
Primary Care Physicians
MCELHINNEY, BRUCE A.,
DO
GENDER: M
PROVIDER #: 034802
NPI #: 1811993371
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 100
BETTENDORF, IA 52722
PHONE: (563) 441-1843
E-PRESCRIBE: NO
MEHTA, FALGUNI, MD
GENDER: F
PROVIDER #: 176020
NPI #: 1831311851
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNITYPOINT CLINICFAMILY MEDICINE
BETTENDORF
4480 UTICA RIDGE RD SUITE
2236
BETTENDORF, IA 52722
PHONE: (563) 742-5850
E-PRESCRIBE: NO
28
MILLER, JOANNE M., MD
GENDER: F
PROVIDER #: 052081
NPI #: 1093777518
E-PRESCRIBE: NO
GENESIS CONVENIENT
CARE
4017 DEVILS GLEN RD SUITE
100
BETTENDORF, IA 52722
PHONE: (563) 421-3700
E-PRESCRIBE: NO
MOTTO, AMANDA M., DO
GENDER: F
PROVIDER #: 166163
NPI #: 1578705653
E-PRESCRIBE: YES
TRINITY FAMILY PRACTICE
CLINIC
4480 UTICA RIDGE RD STE
160
BETTENDORF, IA 52722
PHONE: (563) 742-4850
E-PRESCRIBE: YES
SALOWITZ, STACIE L., MD
GENDER: F
PROVIDER #: 286526
NPI #: 1639462443
E-PRESCRIBE: NO
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
BETTENDORF, IA
BETTENDORF, IA
GENESIS HEALTH GROUP
HEALTHPLEX
2140 53RD AVE
BETTENDORF, IA 52722
PHONE: (563) 421-5700
E-PRESCRIBE: NO
SCHIERBROCK,
CATHERINE L., MD
GENDER: F
PROVIDER #: 288210
NPI #: 1235423377
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
4017 DEVILS GLEN ROAD
SUITE 100
BETTENDORF, IA 52722
PHONE: (563) 332-6387
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
CONVENIENT CARE
4017 DEVILS GLEN ROAD
SUITE 101
BETTENDORF, IA 52722
PHONE: (563) 421-3700
E-PRESCRIBE: NO
SINGH, ARMEET, MD
GENDER:
PROVIDER #: 301102
NPI #: 1902056096
E-PRESCRIBE: NO
UPC PEDIATRICS
BETTENDORF
4480 UTICA RIDGE RD SUITE
1120
BETTENDORF, IA 52722-1656
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
28
BETTENDORF, IA
BETTENDORF, IA
SMITH, DENICE, MD
GENDER: F
PROVIDER #: 242439
NPI #: 1134171085
E-PRESCRIBE: YES
WOMENS CARE
SPECIALISTS DBA INFINITY
MEDICAL
4480 UTICA RIDGE RD SUITE
140
BETTENDORF, IA 52722
PHONE:
E-PRESCRIBE: YES
SOJKA, MATTHEW L., MD
GENDER: M
PROVIDER #: 272187
NPI #: 1659358471
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
3740 UTICA RIDGE RD SUITE
B
BETTENDORF, IA 52722
PHONE: (563) 344-7400
E-PRESCRIBE: NO
Primary Care Physicians
TREIBER, KARL D., DO
GENDER: M
PROVIDER #: 085064
NPI #: 1932105855
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 400
BETTENDORF, IA 52722
PHONE: (563) 359-7548
E-PRESCRIBE: NO
VAMPOLA, STEPHANIE,
DO
GENDER:
PROVIDER #: 294234
NPI #: 1891101457
E-PRESCRIBE: NO
TRINITY FAMILY PRACTICE
4480 UTICA RIDGE RD SUITE
160
BETTENDORF, IA 52722
PHONE: (563) 742-4850
E-PRESCRIBE: NO
WENCK, TODD, MD
GENDER: M
PROVIDER #: 087306
NPI #: 1750353595
E-PRESCRIBE: NO
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
PEDIATRICS
ANDERSON, ROBERT F.,
MD
GENDER: M
PROVIDER #: 034783
NPI #: 1932104858
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
865 LINCOLN RD SUITE 200
BETTENDORF, IA 52722
PHONE: (563) 344-8600
E-PRESCRIBE: NO
DELESSIO, LINDA M., MD
GENDER: F
PROVIDER #: 054372
NPI #: 1275538209
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
29
Primary Care Physicians
FRYE, CLAUDIA S., MD
GENDER: F
PROVIDER #: 156783
NPI #: 1588644249
E-PRESCRIBE: NO
UNITYPOINT CLINICPEDIATRIC BETTENDORF
4480 UTICA RIDGE RD SUITE
1120
BETTENDORF, IA 52722
PHONE: (563) 742-5750
E-PRESCRIBE: NO
HENSCH, JULIA C., MD
GENDER: F
PROVIDER #: 283402
NPI #: 1770879017
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
865 LINCOLN RD STE 200
BETTENDORF, IA 52722
PHONE: (563) 344-8600
E-PRESCRIBE: NO
KUKREJA, GAUTAM, MD
GENDER: M
PROVIDER #: 286257
NPI #: 1205151198
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
CONVENIENT CARE
2140 53RD AVE
BETTENDORF, IA 52722
PHONE: (563) 421-5700
E-PRESCRIBE: NO
MAHMOOD, ALASMI, MD
GENDER: M
PROVIDER #: 236977
NPI #: 1215120126
E-PRESCRIBE: NO
TRINITY MEDICAL CENTER
4500 UTICA RIDGE RD
BETTENDORF, IA 52722
PHONE: (563) 742-5000
E-PRESCRIBE: NO
30
MOSHIER, BRIAN J., DO
GENDER: M
PROVIDER #: 167081
NPI #: 1699860452
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
BETTENDORF PEDIATRIC &
FAMILY PRACTICE
ASSOCIATES
4017 DEVILS GLEN RD SUITE
200
BETTENDORF, IA 52722
PHONE: (563) 332-3400
E-PRESCRIBE: NO
STECHER, JULIE M., MD
GENDER: F
PROVIDER #: 285425
NPI #: 1215220207
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
865 LINCOLN RD STE 200
BETTENDORF, IA 52722
PHONE: (563) 344-8600
E-PRESCRIBE: NO
BETTENDORF, IA
BLOOMINGDALE, IL
BLOOMINGDALE, IL
FAMILY PRACTICE
MCGRAW, MICHAEL J.,
MD
GENDER: M
PROVIDER #: 269883
NPI #: 1275568289
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
245 S GARY AVE SUITE 100
BLOOMINGDALE, IL 601082200
PHONE: (630) 924-4009
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
30
BLOOMINGDALE, IL
BLOOMINGTON, IL
Primary Care Physicians
VOSICKY, MICHAEL F.,
DO
GENDER: M
PROVIDER #: 236224
NPI #: 1609807908
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
245 S GARY SUITE 100
BLOOMINGDALE, IL 601082200
PHONE: (630) 924-4009
E-PRESCRIBE: NO
BERCK, LILLA, MD
GENDER: F
PROVIDER #: 134887
NPI #: 1396946125
E-PRESCRIBE: NO
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
ZORETIC, NICHOLAS, DO
GENDER: M
PROVIDER #: 269066
NPI #: 1003820820
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
245 S GARY AVE SUITE 100
BLOOMINGDALE, IL 601082200
PHONE: (630) 924-4009
E-PRESCRIBE: NO
COCHRAN, MICHAEL, MD
GENDER: M
PROVIDER #: 007301
NPI #: 1831176692
E-PRESCRIBE: NO
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
BLOOMINGTON, IL
ADULT/INTERNAL
MEDICINE
ABADEER, PETER S., DO
GENDER: M
PROVIDER #: 107004
NPI #: 1760469522
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP BLOOMINGTON
FAMILY MEDICINE
3024 EMPIRE ST SUITE 3A
BLOOMINGTON, IL 61704
PHONE: (309) 556-7700
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
E-PRESCRIBE: NO
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
FARINAS, ERIC J., MD
GENDER: M
PROVIDER #: 078585
NPI #: 1841277613
E-PRESCRIBE: NO
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
FRANCOIS, ANDRE, MD
GENDER: M
PROVIDER #: 276141
NPI #: 1790070837
E-PRESCRIBE: NO
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
E-PRESCRIBE: NO
OSF SJMC WOUND CARE
CLINIC
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 661-6230
E-PRESCRIBE: NO
GALUE, GUSTAVO A., MD
GENDER: M
PROVIDER #: 146850
NPI #: 1295903359
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-5361
E-PRESCRIBE: NO
32
HANCOCK, JAMES B., MD
GENDER: M
PROVIDER #: 106556
NPI #: 1235116088
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
JANI, JAYDEV Y., MD
GENDER: M
PROVIDER #: 261534
NPI #: 1851559942
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61701
PHONE: (309) 664-3000
E-PRESCRIBE: NO
BLOOMINGTON, IL
BLOOMINGTON, IL
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
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
KIM, DANIELLE F., DO
GENDER: F
PROVIDER #: 181966
NPI #: 1770592487
E-PRESCRIBE: NO
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
E-PRESCRIBE: NO
KINDRED, STEPHEN L.,
MD
GENDER: M
PROVIDER #: 007306
NPI #: 1720065584
E-PRESCRIBE: NO
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.
32
BLOOMINGTON, IL
BLOOMINGTON, IL
KLAUSS, SVEN, MD
GENDER: M
PROVIDER #: 078597
NPI #: 1619953486
E-PRESCRIBE: NO
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
E-PRESCRIBE: NO
KNEEZEL, LAWRENCE D.,
MD
GENDER: M
PROVIDER #: 000014
NPI #: 1336174580
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
ROTH, CAROLYN, NP;
PROVIDER #: 022398
E-PRESCRIBE: NO
KOLAKALETI,
SPANDANA, MD
GENDER: F
PROVIDER #: 258762
NPI #: 1073741021
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
Primary Care Physicians
PEDERSEN, PAUL E., DO
GENDER: M
PROVIDER #: 008001
NPI #: 1053403675
E-PRESCRIBE: NO
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-5361
NORRIS, PAMELA J., NP;
PROVIDER #: 074338
E-PRESCRIBE: NO
PEDERSEN, PAUL E., MD
GENDER: M
PROVIDER #: 262882
NPI #: 1053403675
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61701
PHONE: (309) 664-3000
E-PRESCRIBE: NO
PINTER, LARRY J., MD
GENDER: M
PROVIDER #: 297537
NPI #: 1861429177
E-PRESCRIBE: NO
CURA MEDICAL GROUP LLC
13 RED STONE CT
BLOOMINGTON, IL 61704
PHONE: (309) 825-5349
E-PRESCRIBE: NO
POAG II, JOHN L., MD
GENDER: M
PROVIDER #: 078592
NPI #: 1770569550
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
33
Primary Care Physicians
FAMILY PRACTICE
BELGRAVE, STEPHEN J.,
MD
GENDER: M
PROVIDER #: 000672
NPI #: 1114951357
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
FURNACE, PATRICIA, NP;
PROVIDER #: 000483
E-PRESCRIBE: NO
BIRGE, KENNETH, MD
GENDER: M
PROVIDER #: 004787
NPI #: 1194896720
E-PRESCRIBE: NO
SUMMITT FAMILY MEDICAL
CENTER
902 N HERSHEY RD
BLOOMINGTON, IL 61704
PHONE: (309) 662-6880
E-PRESCRIBE: NO
BROCKHOUSE, VICTORIA
J., DO
GENDER: F
PROVIDER #: 283664
NPI #: 1790744555
E-PRESCRIBE: NO
CHESTNUT FAMILY HEALTH
CENTER
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
PHONE: (309) 557-1400
E-PRESCRIBE: NO
34
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 195260
NPI #: 1598971137
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
308 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-5050
WICKENHAUSER, KELSEY B.,
PA; PROVIDER #: 299424
E-PRESCRIBE: NO
HAKES, PAUL E., MD
GENDER: M
PROVIDER #: 288575
NPI #: 1750315602
E-PRESCRIBE: NO
OSF PROMPTCARE
1505 EASTLAND DR SUITE
1100
BLOOMINGTON, IL 61701
PHONE: (309) 663-2100
E-PRESCRIBE: NO
BLOOMINGTON, IL
BLOOMINGTON, IL
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
HOUGHTON, ADAM D., MD
GENDER: M
PROVIDER #: 252898
NPI #: 1568783439
E-PRESCRIBE: NO
STEPHEN C PILCHER MD
9 HEARTLAND DR
BLOOMINGTON, IL 61704
PHONE: (309) 663-7642
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
34
BLOOMINGTON, IL
BLOOMINGTON, IL
JOHNSON,
CHRISTOPHER R., MD
GENDER: M
PROVIDER #: 283393
NPI #: 1043445869
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
Primary Care Physicians
MOY, CALVIN, MD
GENDER: M
PROVIDER #: 239101
NPI #: 1154558732
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
PROMPTCARE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
PILCHER, STEPHEN C.,
MD
GENDER: M
PROVIDER #: 178680
NPI #: 1265454607
E-PRESCRIBE: NO
9 HEARTLAND DR SUITE C
BLOOMINGTON, IL 61704
PHONE: (309) 663-7642
SCANLON, ELIZABETH J., NP;
PROVIDER #: 188033
E-PRESCRIBE: NO
NASEER, JIBRAN, MD
GENDER: M
PROVIDER #: 202723
NPI #: 1821261892
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
ROYYURU, SASIKALA D.,
MD
GENDER: F
PROVIDER #: 226914
NPI #: 1982800876
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 556-7337
E-PRESCRIBE: NO
NEIL, WILLIAM L., MD
GENDER: M
PROVIDER #: 000654
NPI #: 1639286131
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
FURNACE, PATRICIA, NP;
PROVIDER #: 000483
E-PRESCRIBE: NO
OSBORNE, CHAD S., MD
GENDER: M
PROVIDER #: 030464
NPI #: 1235249921
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
IMMANUEL HEALTH
CENTER
502 S MORRIS AVE SUITE D
BLOOMINGTON, IL 61701
PHONE: (309) 808-2778
E-PRESCRIBE: NO
SHANMUGAM, RAJU M.,
MD
GENDER: M
PROVIDER #: 228277
NPI #: 1043448111
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 556-7556
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
35
Primary Care Physicians
SPANIOL, JACK P., MD
GENDER: M
PROVIDER #: 118560
NPI #: 1356379184
E-PRESCRIBE: NO
OSF MEDICAL GROUP
308 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-5050
E-PRESCRIBE: NO
OSF PROMPTCARE
1505 EASTLAND DR SUITE
1100
BLOOMINGTON, IL 61701
PHONE: (309) 663-2100
E-PRESCRIBE: NO
STEFFEN, SAMUEL E., MD
GENDER: M
PROVIDER #: 281453
NPI #: 1790704435
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
36
SYEDA, QAMER F., MD
GENDER: F
PROVIDER #: 226675
NPI #: 1588892509
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
FURNACE, PATRICIA, NP;
PROVIDER #: 000483
E-PRESCRIBE: NO
ZACHARIAS, AMY, MD
GENDER: F
PROVIDER #: 265544
NPI #: 1295754984
E-PRESCRIBE: NO
OBSTETRICS &
GYNECOLOGY CARE ASSOC
1505 EASTLAND DR SUITE
500
BLOOMINGTON, IL 61701
PHONE: (309) 662-2273
E-PRESCRIBE: NO
BLOOMINGTON, IL
BLOOMINGTON, IL
PEDIATRICS
ALBARO, CECILIA A., MD
GENDER: F
PROVIDER #: 248567
NPI #: 1497879290
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
36
BLOOMINGTON, IL
BLOOMINGTON, IL
EMM, BRIAN A., MD
GENDER: M
PROVIDER #: 119839
NPI #: 1043315021
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
HANCOCK, JAMES B., MD
GENDER: M
PROVIDER #: 106556
NPI #: 1235116088
E-PRESCRIBE: NO
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
HOSCHEK, JEFFREY C.,
MD
GENDER: M
PROVIDER #: 152717
NPI #: 1376641217
E-PRESCRIBE: NO
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
KNOLL, DEANNA M., DO
GENDER: F
PROVIDER #: 086028
NPI #: 1629026398
E-PRESCRIBE: NO
BLOOMINGTON PEDIATRICS
& ALLERGY
306 SAINT JOSEPH DRIVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
KOHAUS, ASHLEY S., MD
GENDER: F
PROVIDER #: 248952
NPI #: 1043536295
E-PRESCRIBE: NO
BLOOMINGTON PEDIATRIC
& ALLERGY LTD
306 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
MARSHALL, KIMBERLY
P., MD
GENDER: F
PROVIDER #: 177468
NPI #: 1255353603
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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) 664-3100
BRAUN, KRISTEN A., NP;
PROVIDER #: 007424
E-PRESCRIBE: NO
POGUE, LUCAS C., MD
GENDER: M
PROVIDER #: 078595
NPI #: 1033195847
E-PRESCRIBE: NO
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.
37
Primary Care Physicians
ROSA, MARIA R., MD
GENDER: F
PROVIDER #: 071605
NPI #: 1992804793
E-PRESCRIBE: NO
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
BRAUN, KRISTEN A., NP;
PROVIDER #: 007424
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
E-PRESCRIBE: NO
BLOOMINGTON PEDIATRICS
& ALLERGY LTD
306 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
TRAINOR, STEPHEN P.,
MD
GENDER: M
PROVIDER #: 000569
NPI #: 1144331828
E-PRESCRIBE: NO
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 664-3100
BRAUN, KRISTEN A., NP;
PROVIDER #: 007424
E-PRESCRIBE: NO
38
WEAVER, BARRY C., MD
GENDER: M
PROVIDER #: 002245
NPI #: 1609824242
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 381-2180
E-PRESCRIBE: NO
BLOOMINGTON, IL
BLUE GRASS, IA
BENOIT, GENA L., MD
GENDER: F
PROVIDER #: 077432
NPI #: 1730184003
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
38
BLUE GRASS, IA
BOONVILLE, IN
CROME, CHRISTOPHER
M., MD
GENDER: M
PROVIDER #: 095541
NPI #: 1205831211
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 381-2180
E-PRESCRIBE: NO
MOUNCE, KERI L., MD
GENDER: F
PROVIDER #: 136034
NPI #: 1043304736
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
FAMILY MEDICAL CENTER
OF BLUE GRASS
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 381-2180
E-PRESCRIBE: NO
Primary Care Physicians
TILALA, NIRAL H., MD
GENDER: M
PROVIDER #: 130483
NPI #: 1780884551
E-PRESCRIBE: NO
GENESIS FAMILY MEDICAL
CENTER
413 S MISSISSIPPI
BLUE GRASS, IA 52726
PHONE: (563) 381-2180
E-PRESCRIBE: NO
BLUE ISLAND, IL
FAMILY PRACTICE
BEYENE, ASMAMAW, MD
GENDER:
PROVIDER #: 267458
NPI #: 1326161241
E-PRESCRIBE: NO
PMG-PRESENCE MEDICAL
GROUP
12935 S GREGORY ST
BLUE ISLAND, IL 60406
PHONE: (630) 914-2417
E-PRESCRIBE: NO
BOLINGBROOK, IL
ADULT/INTERNAL
MEDICINE
CHAKRABARTI,
SUDARSANA, MD
GENDER:
PROVIDER #: 267374
NPI #: 1104096940
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
1000 REMINGTON BLVD
SUITE 100
BOLINGBROOK, IL 60440
PHONE: (630) 914-2417
E-PRESCRIBE: NO
BOONVILLE, IN
ADULT/INTERNAL
MEDICINE
STROUSE, LESLIE S., MD
GENDER: F
PROVIDER #: 260300
NPI #: 1881601599
E-PRESCRIBE: NO
DEACONESS CLINIC INC
3355 LIBERTY BLVD
BOONVILLE, IN 47601
PHONE: (812) 858-3355
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
39
Primary Care Physicians
BOURBONNAIS, IL
ADULT/INTERNAL
MEDICINE
ALI, SYEDA F., MD
GENDER:
PROVIDER #: 280621
NPI #: 1861770679
E-PRESCRIBE: NO
RIVERSIDE HEALTH
SYSTEMS
300 RIVERSIDE DR STE 2100
BOURBONNAIS, IL 60914
PHONE: (815) 935-2784
E-PRESCRIBE: NO
ANSARI, NADEEM, MD
GENDER: M
PROVIDER #: 271589
NPI #: 1073651808
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ALLIANCE INTERNAL
MEDICINE SC
370 LARRY POWER RD SUITE
2
BOURBONNAIS, IL 60914
PHONE: (815) 523-7020
E-PRESCRIBE: NO
40
BOURBONNAIS, IL
BOURBONNAIS, IL
CHANDAN, NARESH, DO
GENDER:
PROVIDER #: 033633
NPI #: 1811094550
E-PRESCRIBE: NO
ALLIANCE INTERNAL
MEDICINE
370 LARRY POWER RD STE 2
BOURBONNAIS, IL 60914
PHONE: (815) 523-7020
E-PRESCRIBE: NO
MOPARTHI, VENKATA,
MD
GENDER: M
PROVIDER #: 099434
NPI #: 1699797548
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
656 N CONVENT SUITE C
BOURBONNAIS, IL 60914
PHONE: (815) 936-5167
E-PRESCRIBE: NO
DEEPANKAR, RAHUL, MD
GENDER: M
PROVIDER #: 194329
NPI #: 1376503045
E-PRESCRIBE: NO
RIVERSIDE PRIMARY CARE
ASSOCIATES
400 RIVERSIDE DRIVE SUITE
2800
BOURBONNAIS, IL 60914
PHONE: (815) 933-1671
E-PRESCRIBE: NO
MOSS, KEITH, MD
GENDER: M
PROVIDER #: 244026
NPI #: 1588601819
E-PRESCRIBE: YES
RMG INTERNAL MED
300 RIVERSIDE SUITE 2400
BOURBONNAIS, IL 60914
PHONE: (815) 935-2784
E-PRESCRIBE: YES
HUSSAINI, ASIMA K., MD
GENDER: F
PROVIDER #: 156446
NPI #: 1437110970
E-PRESCRIBE: NO
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
OMOTOSHO, WURAOLA I.,
MD
GENDER: F
PROVIDER #: 184428
NPI #: 1427222884
E-PRESCRIBE: NO
PROVENA SERVICE
CORPORATION
656 N CONVENT SUITE C
BOURBONNAIS, IL 60914
PHONE: (815) 936-5167
E-PRESCRIBE: NO
OO, SAW, MD
GENDER: F
PROVIDER #: 170735
NPI #: 1093813156
E-PRESCRIBE: NO
ALLIANCE INTERNAL
MEDICINE SC
370 LARRY POWER RD SUITE
2
BOURBONNAIS, IL 60914
PHONE: (815) 523-7020
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
40
BOURBONNAIS, IL
BOURBONNAIS, IL
THOMAS, ABRAHAM, MD
GENDER: M
PROVIDER #: 089063
NPI #: 1063423655
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
656 N COVENANT SUITE B
BOURBONNAIS, IL 60914
PHONE: (815) 936-5167
E-PRESCRIBE: NO
VILLEGAS, JOEL P., MD
GENDER: M
PROVIDER #: 186983
NPI #: 1518063205
E-PRESCRIBE: NO
ALLIANCE INTERNAL
MEDICINE SC
370 LARRY POWER RD SUITE
2
BOURBONNAIS, IL 60914
PHONE: (815) 741-7590
E-PRESCRIBE: NO
WROBLEWSKI, THOMAS,
MD
GENDER: M
PROVIDER #: 244870
NPI #: 1891833612
E-PRESCRIBE: YES
RMG INTERNAL MEDICINE
300 RIVERSIDE DR STE 2100
BOURBONNAIS, IL 60914
PHONE: (815) 935-2784
E-PRESCRIBE: YES
YALAMANCHILI, SARAT
P., MD
GENDER: M
PROVIDER #: 063144
NPI #: 1194722942
E-PRESCRIBE: NO
SARAT P YALAMANCHILI
MD
1521 N CONVENT ST SUITE
100
BOURBONNAIS, IL 60914
PHONE: (815) 937-4500
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
CHANDAN, RITU, DO
GENDER: M
PROVIDER #: 280846
NPI #: 1710061650
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
475 BROWN BLVD SUITE 106
BOURBONNAIS, IL 60914
PHONE: (815) 937-8786
E-PRESCRIBE: NO
NEPOMUCENO,
REYNALDO E., MD
GENDER: M
PROVIDER #: 271079
NPI #: 1447283692
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
FIRST CARE FAMILY CLINIC
581 WILLIAM LATHAM DR
SUITE 102
BOURBONNAIS, IL 60914
PHONE: (815) 802-0000
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
41
Primary Care Physicians
ZAHEER PEDIATRIC
ASSOCIATES
581 WILLIAM LATHAM DR
SUITE 101
BOURBONNAIS, IL 60914
PHONE: (815) 802-0022
E-PRESCRIBE: YES
WOITAS, MEGAN P., DO
GENDER: F
PROVIDER #: 207114
NPI #: 1801091392
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
19 HERITAGE DR SUITE 209
BOURBONNAIS, IL 60914
PHONE: (815) 932-3540
E-PRESCRIBE: YES
42
BOURBONNAIS, IL
BOURBONNAIS, IL
BATISH, NAINA, MD
GENDER: F
PROVIDER #: 099729
NPI #: 1063425296
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
CENTER OF BOURBONNAIS
338 LARRY POWER RD
BOURBONNAIS, IL 60914
PHONE: (815) 935-2991
E-PRESCRIBE: NO
GARCIA, MARIA L., MD
GENDER: F
PROVIDER #: 110659
NPI #: 1487667614
E-PRESCRIBE: NO
ABC PEDIATRICS OF
KANKAKEE COUNTY SC
370 LARRY POWER RD SUITE
1
BOURBONNAIS, IL 60914
PHONE: (815) 937-3515
E-PRESCRIBE: NO
MCBRIDE, DOREENA M.,
MD
GENDER: F
PROVIDER #: 170971
NPI #: 1801830799
E-PRESCRIBE: YES
PEDICLINIC PC
461 BROWN BLVD
BOURBONNAIS, IL 60914
PHONE: (815) 933-5700
E-PRESCRIBE: YES
KIM, YOU S., MD
GENDER: F
PROVIDER #: 005269
NPI #: 1225041445
E-PRESCRIBE: NO
ABC PEDIATRICS OF
KANKAKEE COUNTY SC
370 LARRY POWER RD SUITE
1
BOURBONNAIS, IL 60914
PHONE: (815) 937-3515
E-PRESCRIBE: NO
OO, MYINT, MD
GENDER: M
PROVIDER #: 083190
NPI #: 1215940143
E-PRESCRIBE: NO
ABC PEDIATRICS OF
KANKAKEE COUNTY SC
370 LARRY POWER RD SUITE
1
BOURBONNAIS, IL 60914
PHONE: (815) 937-3515
E-PRESCRIBE: NO
STERLING, LEIGH E., DO
GENDER: F
PROVIDER #: 184711
NPI #: 1326225954
E-PRESCRIBE: NO
ZAHEER PEDIATRIC
ASSOCIATES
581 WILLIAM LATHAM DR
SUITE 101
BOURBONNAIS, IL 60914
PHONE: (815) 802-0022
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
42
BOURBONNAIS, IL
BRIMFIELD, IL
ZAHEER, SAADIA, MD
GENDER: F
PROVIDER #: 186459
NPI #: 1629178264
E-PRESCRIBE: NO
ZAHEER PEDIATRIC
ASSOCIATES
581 WILLIAM LATHAM DR
SUITE 101
BOURBONNAIS, IL 60914
PHONE: (815) 802-0022
E-PRESCRIBE: NO
BOWLING GREEN, MO
FAMILY PRACTICE
MYERS, JANET P., DO
GENDER: F
PROVIDER #: 051522
NPI #: 1770562225
E-PRESCRIBE: NO
HANNIBAL CLINIC
OPERATIONS LLC
710 BUSINESS 61 SOUTH
BOWLING GREEN, MO 63334
PHONE: (573) 324-2063
E-PRESCRIBE: NO
BRADLEY, IL
FAMILY PRACTICE
ARANAS, MELCHORPAULO, MD
GENDER: M
PROVIDER #: 230885
NPI #: 1376775205
E-PRESCRIBE: YES
THE MEDICAL GROUP OF
KANKAKEE COUNTY
555 E NORTH ST SUITE 3
BRADLEY, IL 60915
PHONE: (815) 929-0858
E-PRESCRIBE: YES
Primary Care Physicians
DAYHOFF JR, CLYDE W.,
DO
GENDER: M
PROVIDER #: 072102
NPI #: 1255417382
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
BRAIDWOOD HEALTHCARE
CENTER
389 E MAIN ST
BRAIDWOOD, IL 60408
PHONE: (815) 458-2532
E-PRESCRIBE: YES
THOMAS, JENNIFER L.,
MD
GENDER: F
PROVIDER #: 186477
NPI #: 1811181712
E-PRESCRIBE: NO
BRAIDWOOD HEALTHCARE
CENTER
389 E MAIN ST
BRAIDWOOD, IL 60408
PHONE: (815) 458-2532
E-PRESCRIBE: NO
BRIMFIELD, IL
FAMILY PRACTICE
BEVILL, ROBERT S., MD
GENDER: M
PROVIDER #: 008402
NPI #: 1700886280
E-PRESCRIBE: NO
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
CALVERT CITY, KY
FAMILY PRACTICE
GENERAL PRACTICE
ARNOLD, JOHN M., MD
GENDER: M
PROVIDER #: 014509
NPI #: 1154327526
E-PRESCRIBE: NO
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
WALLER, CHARLES L., MD
GENDER: M
PROVIDER #: 096831
NPI #: 1306841341
E-PRESCRIBE: NO
PURCHASE CARE LLC
503 5TH AVE
CALVERT CITY, KY 42029
PHONE: (270) 395-5388
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
GELLADA, KAREN, MD
GENDER:
PROVIDER #: 220336
NPI #: 1285897967
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
130 KYSOR DR
BYRON, IL 61010
PHONE: (815) 971-2000
E-PRESCRIBE: NO
44
CAMBRIDGE, IL
ADULT/INTERNAL
MEDICINE
KVELLAND, EVEN C., MD
GENDER: M
PROVIDER #: 046221
NPI #: 1467430025
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
TRINITY FAMILY MEDICAL
ASSOCIATES
106 N EAST ST
CAMBRIDGE, IL 61238
PHONE: (309) 937-2405
E-PRESCRIBE: YES
BUSHNELL, IL
CAMBRIDGE, IL
FAMILY PRACTICE
FORD, DONALD R., MD
GENDER: M
PROVIDER #: 046218
NPI #: 1053398933
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
TRINITY FAMILY MEDICAL
ASSOCIATES
106 N EAST ST
CAMBRIDGE, IL 61238
PHONE: (309) 937-2405
E-PRESCRIBE: YES
PEDIATRICS
VAN KERREBROECK,
DREW R., MD
GENDER: M
PROVIDER #: 085168
NPI #: 1568440345
E-PRESCRIBE: YES
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.
44
CANTON, IL
CANTON, IL
CANTON, IL
ADULT/INTERNAL
MEDICINE
KROCK, KENNETH, MD
GENDER: M
PROVIDER #: 013495
NPI #: 1699883868
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
ADAMS, SUSAN E., CNP;
PROVIDER #: 154523
E-PRESCRIBE: NO
SMITH, JIMMIE, MD
GENDER: M
PROVIDER #: 014146
NPI #: 1194834937
E-PRESCRIBE: NO
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
BOWERS, JOSHUA D., MD
GENDER: M
PROVIDER #: 167250
NPI #: 1194947002
E-PRESCRIBE: NO
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (307) 647-0201
E-PRESCRIBE: NO
HOLTHAUS, SUZANNE E.,
MD
GENDER: F
PROVIDER #: 062751
NPI #: 1174631337
E-PRESCRIBE: NO
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
FAWCETT, GRETCHEN W., PA;
PROVIDER #: 149499
E-PRESCRIBE: NO
LANSER, TODD A., MD
GENDER: M
PROVIDER #: 166967
NPI #: 1376765891
E-PRESCRIBE: NO
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
MARTIN, ERIN, MD
GENDER: F
PROVIDER #: 172229
NPI #: 1457573818
E-PRESCRIBE: NO
METHODIST MEDICAL
GROUP AT CANTON
2076 N MAIN
CANTON, IL 61520
PHONE: (309) 647-6090
E-PRESCRIBE: NO
MORSE II, JAMES R., MD
GENDER: M
PROVIDER #: 048254
NPI #: 1134135627
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
SAVEGNAGO, A KURT, MD
GENDER: M
PROVIDER #: 013497
NPI #: 1003924085
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
PHILLIPS, BENJAMIN W.,
MD
GENDER: M
PROVIDER #: 133274
NPI #: 1275678021
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
CARBONDALE, IL
ADULT/INTERNAL
MEDICINE
FASNACHT, ELBERT A.,
MD
GENDER: M
PROVIDER #: 027366
NPI #: 1790834828
E-PRESCRIBE: NO
721 S LEWIS LANE
CARBONDALE, IL 62901
PHONE: (618) 457-4999
WOODS, ABBY M., NP;
PROVIDER #: 217067
E-PRESCRIBE: NO
46
LAWLER BJORNBERG,
COLLEEN M., MD
GENDER: F
PROVIDER #: 076582
NPI #: 1750370243
E-PRESCRIBE: NO
522 E MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 457-8275
E-PRESCRIBE: NO
MARTIN, KURT R., MD
GENDER: M
PROVIDER #: 027530
NPI #: 1164535365
E-PRESCRIBE: YES
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
MATSA, SWARNA, MD
GENDER: F
PROVIDER #: 255522
NPI #: 1245548536
E-PRESCRIBE: NO
SIH MEDICAL GROUP AT
CENTER FOR MEDICAL
ARTS
2601 W MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 549-5361
E-PRESCRIBE: NO
CANTON, IL
CARBONDALE, IL
MELLA-PICEL, CARLOS,
MD
GENDER: M
PROVIDER #: 254239
NPI #: 1770713125
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
CARBONDALE FAMILY
MEDICINE LLC
1175 CEDAR COURT
CARBONDALE, IL 62901
PHONE: (618) 549-0300
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
46
CARBONDALE, IL
CARBONDALE, IL
GARRIDO-ZAMBRANO,
ALEX, MD
GENDER: M
PROVIDER #: 228142
NPI #: 1720242480
E-PRESCRIBE: NO
SIH MEDICAL GROUP AT
CENTER FOR MEDICAL
ARTS
2601 W MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 549-5361
E-PRESCRIBE: NO
HUMPHREY, JON O., MD
GENDER: M
PROVIDER #: 133676
NPI #: 1699972893
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
Primary Care Physicians
LUTCHKA, DARLENE S.,
MD
GENDER: F
PROVIDER #: 108715
NPI #: 1760429146
E-PRESCRIBE: NO
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
MIGONE, ANA O., MD
GENDER: F
PROVIDER #: 027532
NPI #: 1790753341
E-PRESCRIBE: NO
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
MALONE, SARA B., MD
GENDER: F
PROVIDER #: 177640
NPI #: 1386976298
E-PRESCRIBE: NO
SIU SOUTHERN ILLINOIS
FAMILY MEDICINE
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
E-PRESCRIBE: NO
MOORE-CONNELLEY,
MARCI L., MD
GENDER: F
PROVIDER #: 070315
NPI #: 1851377717
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
SIH MEDICAL GROUP
FAMILY PRACTICE
207 W JACKSON SUITE 102
CARBONDALE, IL 62901
PHONE: (618) 457-6787
E-PRESCRIBE: YES
NAING, KYAW, MD
GENDER: M
PROVIDER #: 032834
NPI #: 1215913181
E-PRESCRIBE: NO
SIU - SOUTHERN ILLINOIS
FAMILY MEDICINE
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
47
Primary Care Physicians
NEWCOMB, AARON, DO
GENDER: M
PROVIDER #: 151082
NPI #: 1568636470
E-PRESCRIBE: NO
ADOLESCENT HEALTH
CENTER
101 SOUTH WALL STREET
CARBONDALE, IL 62901
PHONE: (618) 529-2621
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
SALEM, ANAD K., MD
GENDER: M
PROVIDER #: 047982
NPI #: 1659366839
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
E-PRESCRIBE: NO
SALEM, ANAD, MD
GENDER: M
PROVIDER #: 031261
NPI #: 1659366839
E-PRESCRIBE: NO
207 W JACKSON
CARBONDALE, IL 62901
PHONE: (618) 457-2963
KEMP, COLLEEN B., PA;
PROVIDER #: 257837
E-PRESCRIBE: NO
48
SCHONEWOLF, SCOTT K.,
DO
GENDER: M
PROVIDER #: 109954
NPI #: 1114996204
E-PRESCRIBE: NO
SIU - SOUTHERN ILLINOIS
FAMILY MEDICINE
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
E-PRESCRIBE: NO
SCOTT, QUINCY O., DO
GENDER: M
PROVIDER #: 032826
NPI #: 1992781710
E-PRESCRIBE: NO
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
SMAGA, SHARON, MD
GENDER: F
PROVIDER #: 029478
NPI #: 1689650566
E-PRESCRIBE: NO
SIU - SOUTHERN ILLINOIS
FAMILY MEDICINE
305 W JACKSON SUITE 200
CARBONDALE, IL 62901
PHONE: (618) 536-6621
E-PRESCRIBE: NO
CARBONDALE, IL
CARBONDALE, IL
TIPPY, PENELOPE, MD
GENDER: F
PROVIDER #: 032828
NPI #: 1568448447
E-PRESCRIBE: NO
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
YOCHUM, ANDREW J., DO
GENDER: M
PROVIDER #: 226686
NPI #: 1568682649
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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.
48
CARBONDALE, IL
CARLINVILLE, IL
PEDIATRICS
BLEICHNER, AMANDA J.,
MD
GENDER: F
PROVIDER #: 184264
NPI #: 1639339419
E-PRESCRIBE: NO
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
DABROWSKI, LUKASZ,
MD
GENDER: M
PROVIDER #: 301846
NPI #: 1467711796
E-PRESCRIBE: NO
SOUTHERN ILLINOIS
MEDICAL SERVICES
1325 CEDAR COURT
CARBONDALE, IL 62901
PHONE:
E-PRESCRIBE: NO
KORTE, TANDY P., MD
GENDER: F
PROVIDER #: 075989
NPI #: 1376656439
E-PRESCRIBE: YES
SIH MEDICAL GROUP AT
CENTER FOR MEDICAL
ARTS
2601 W MAIN ST
CARBONDALE, IL 62901
PHONE: (618) 549-5361
E-PRESCRIBE: YES
Primary Care Physicians
MARTIN, KURT R., MD
GENDER: M
PROVIDER #: 027530
NPI #: 1164535365
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
1111 CEDAR CT
CARBONDALE, IL 62901
PHONE: (618) 529-8687
E-PRESCRIBE: NO
CARLINVILLE, IL
ADULT/INTERNAL
MEDICINE
CHOPRA, KAMAL K., MD
GENDER: M
PROVIDER #: 008537
NPI #: 1598762262
E-PRESCRIBE: NO
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
OBRIEN, ELIZABETH E.,
MD
GENDER: F
PROVIDER #: 151137
NPI #: 1881650570
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
101 MCCASLAND AVE
CARLINVILLE, IL 62626
PHONE: (217) 854-5099
JAVENS, HANNAH J., PA-C;
PROVIDER #: 210674
E-PRESCRIBE: YES
FAMILY PRACTICE
WILKENS, KATE M., MD
GENDER: F
PROVIDER #: 189130
NPI #: 1477735397
E-PRESCRIBE: NO
CARLINVILLE AREA
HOSPITAL
1115 MORGAN ST #2
CARLINVILLE, IL 62626
PHONE: (217) 854-3141
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
49
Primary Care Physicians
GENERAL PRACTICE
CARLINVILLE AREA
HOSPITAL ASSOCIATION
20733 NORTH BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3141
E-PRESCRIBE: NO
SAQIB, ZAHID, MD
GENDER: M
PROVIDER #: 004783
NPI #: 1710063292
E-PRESCRIBE: NO
DOCTORS CLINIC
402 S PLUM ST
CARMI, IL 62821
PHONE: (618) 382-4193
E-PRESCRIBE: NO
CARLINVILLE FAMILY
HEALTHCARE
1115 MORGAN ST STE 2
CARLINVILLE, IL 62626
PHONE: (217) 854-3881
E-PRESCRIBE: NO
PEDIATRICS
PEDIATRICS
BARNHART, RACHEL T.,
MD
GENDER: F
PROVIDER #: 100626
NPI #: 1265438576
E-PRESCRIBE: NO
CARMI COMMUNITY
HEALTH CENTER
103 COMMERCE ST
CARMI, IL 62821
PHONE: (618) 384-5686
E-PRESCRIBE: NO
KATERJI, BASEL, MD
GENDER: M
PROVIDER #: 274055
NPI #: 1508152315
E-PRESCRIBE: NO
SPRINGFIELD CLINIC LLP
101 MCCASLAND AVE
CARLINVILLE, IL 62626
PHONE: (217) 854-5099
E-PRESCRIBE: NO
CARMI, IL
FAMILY PRACTICE
DOLAN, NATHANAEL J.,
MD
GENDER: M
PROVIDER #: 166997
NPI #: 1417183153
E-PRESCRIBE: NO
CARMI COMMUNITY
HEALTH CENTER
103 COMMERCE ST
CARMI, IL 62821
PHONE: (618) 384-5686
E-PRESCRIBE: NO
50
JONES, JED W., DO
GENDER: M
PROVIDER #: 203676
NPI #: 1740287226
E-PRESCRIBE: NO
CARMI COMMUNITY
HEALTH CENTER
103 COMMERCE ST
CARMI, IL 62821
PHONE: (618) 384-5686
E-PRESCRIBE: NO
CARLINVILLE, IL
CAROL STREAM, IL
CAROL STREAM, IL
ADULT/INTERNAL
MEDICINE
CAMPANO, LEE C., MD
GENDER: M
PROVIDER #: 269724
NPI #: 1104041797
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
517 THORNHILL DR
CAROL STREAM, IL 60188
PHONE: (630) 668-3210
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
50
CAROL STREAM, IL
CARTERVILLE, IL
MIELE, ANGELO, MD
GENDER: F
PROVIDER #: 269851
NPI #: 1144326109
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
2201 RANDALL RD
CARPENTERSVILLE, IL 60110
PHONE: (847) 551-1589
E-PRESCRIBE: NO
PEDIATRICS
MAW, THIDA, MD
GENDER: F
PROVIDER #: 189862
NPI #: 1114927191
E-PRESCRIBE: NO
2201 RANDALL ROAD
CARPENTERSVILLE, IL 60110
PHONE: (847) 428-1179
E-PRESCRIBE: NO
Primary Care Physicians
CARROLLTON, IL
FAMILY PRACTICE
ADAMS, AUGUST G., MD
GENDER: M
PROVIDER #: 071511
NPI #: 1992803985
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
THOMAS H BOYD
MEMORIAL HOSPITAL
800 SCHOOL ST
CARROLLTON, IL 62016
PHONE: (217) 942-3600
E-PRESCRIBE: NO
GILL, GULTASIB K., MD
GENDER: M
PROVIDER #: 280455
NPI #: 1306125521
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
800 SCHOOL ST
CARROLLTON, IL 62016
PHONE: (217) 942-9012
E-PRESCRIBE: NO
CARTERVILLE, IL
FAMILY PRACTICE
BROWN, DOUGLAS, DO
GENDER: M
PROVIDER #: 182629
NPI #: 1033364674
E-PRESCRIBE: NO
BROWNS FAMILY MEDICINE
LLC
209 W COMMERCIAL SUITE
H
CARTERVILLE, IL 62918
PHONE: (618) 985-9559
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
51
CARTERVILLE, IL
CASEYVILLE, IL
Primary Care Physicians
NEKZAD, MATIN, MD
GENDER: M
PROVIDER #: 045510
NPI #: 1679548689
E-PRESCRIBE: NO
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
WACHTER, JAMES E., MD
GENDER: M
PROVIDER #: 033301
NPI #: 1982655692
E-PRESCRIBE: NO
CARTERVILLE FAMILY
PRACTICE CENTER
1006 S DIVISION ST
CARTERVILLE, IL 62918
PHONE: (618) 985-4841
E-PRESCRIBE: NO
CARTHAGE, IL
FAMILY PRACTICE
HEIGHTON, DOUGLAS A.,
MD
GENDER: M
PROVIDER #: 174769
NPI #: 1184661076
E-PRESCRIBE: NO
MEMORIAL MEDICAL
CLINIC CARTHAGE
1450 N COUNTY RD 2050
CARTHAGE, IL 62321
PHONE: (217) 357-2173
E-PRESCRIBE: NO
52
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
E-PRESCRIBE: NO
HANCOCK CO HEALTH DEPT
671 WABASH AVE
CARTHAGE, IL 62321
PHONE: (217) 357-2171
E-PRESCRIBE: NO
CASEY, IL
FAMILY PRACTICE
IMBURGIA, DOMINIC C.,
MD
GENDER: M
PROVIDER #: 040058
NPI #: 1114955960
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
A TO Z PEDIATRICS LLC
1230 GEORGE E CHANCE
PKWY
CASEYVILLE, IL 62232
PHONE: (618) 345-5437
E-PRESCRIBE: NO
WAGNER, JEAN, MD
GENDER: F
PROVIDER #: 154716
NPI #: 1902909153
E-PRESCRIBE: NO
A TO Z PEDIATRICS LLC
1230 GEORGE E CHANCE
PKWY
CASEYVILLE, IL 62232
PHONE: (618) 345-5437
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
52
CEDAR GROVE, IL
CHAMPAIGN, IL
CEDAR GROVE, IL
PEDIATRICS
REDDY, PRADEEP, MD
GENDER: M
PROVIDER #: 299271
NPI #: 1649384892
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CENTRALIA FAMILY
HEALTH CENTER
1441 W BROADWAY
CENTRALIA, IL 62801
PHONE: (618) 532-9050
E-PRESCRIBE: NO
Primary Care Physicians
CHAMPAIGN, IL
ADULT/INTERNAL
MEDICINE
ADAMS, ABIGAIL E., MD
GENDER: F
PROVIDER #: 249883
NPI #: 1306002993
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
BARTLETT, ANDREW, DO
GENDER: M
PROVIDER #: 091819
NPI #: 1073520516
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-5434
E-PRESCRIBE: YES
DALLAS, HOLLY E., MD
GENDER: F
PROVIDER #: 289248
NPI #: 1811289309
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-5434
E-PRESCRIBE: NO
HO, DANG D., MD
GENDER: M
PROVIDER #: 091640
NPI #: 1669489217
E-PRESCRIBE: YES
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.
53
Primary Care Physicians
HSU-LUMETTA, JENNIE
C., MD
GENDER: F
PROVIDER #: 085865
NPI #: 1811929219
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
HEARTLAND HOME
HEALTHCARE
309 E SPRINGFIELD AVE
CHAMPAIGN, IL 61820
PHONE: (217) 352-5135
E-PRESCRIBE: NO
SCHUCHART,
CHARLOTTE L., MD
GENDER: F
PROVIDER #: 100310
NPI #: 1659389393
E-PRESCRIBE: YES
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-8000
E-PRESCRIBE: YES
MURTY, SMITA, MD
GENDER: F
PROVIDER #: 275255
NPI #: 1447493945
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
410 E UNIVERSITY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 355-8880
E-PRESCRIBE: NO
54
QATTASH, ISMAIL, MD
GENDER: M
PROVIDER #: 150677
NPI #: 1538329982
E-PRESCRIBE: YES
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
SEHY, J TIMOTHY, MD
GENDER: M
PROVIDER #: 091666
NPI #: 1548278229
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
CHAMPAIGN, IL
CHAMPAIGN, IL
SUNDARAM, SUMUK, MD
GENDER: M
PROVIDER #: 091668
NPI #: 1275542912
E-PRESCRIBE: YES
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-8000
E-PRESCRIBE: YES
SYED, NASREEN, MD
GENDER: F
PROVIDER #: 069429
NPI #: 1174634893
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
WALKER, NATHAN R., MD
GENDER: M
PROVIDER #: 109269
NPI #: 1629087325
E-PRESCRIBE: YES
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-1200
E-PRESCRIBE: YES
WELCH, JANET W., MD
GENDER: F
PROVIDER #: 009865
NPI #: 1891898110
E-PRESCRIBE: YES
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
54
CHAMPAIGN, IL
CHAMPAIGN, IL
WILSON, PAUL R., MD
GENDER: M
PROVIDER #: 000026
NPI #: 1710084124
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
FAMILY PRACTICE
AHN, JIN H., DO
GENDER: M
PROVIDER #: 293192
NPI #: 1669720017
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
Primary Care Physicians
BAISA, MARIA LENNIE Q.,
MD
GENDER: F
PROVIDER #: 091869
NPI #: 1326154188
E-PRESCRIBE: YES
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6104
E-PRESCRIBE: YES
CARPENTER, KRISTINE
R., MD
GENDER: F
PROVIDER #: 293304
NPI #: 1215198189
E-PRESCRIBE: NO
COMMUNITY ELEMENTS
801 N WALNUT
CHAMPAIGN, IL 61820
PHONE: (217) 373-2430
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
GENTRY, STEVE A., MD
GENDER: M
PROVIDER #: 299726
NPI #: 1104189802
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6107
E-PRESCRIBE: YES
GEORGE, LINDSEY, MD
GENDER: F
PROVIDER #: 286331
NPI #: 1356645667
E-PRESCRIBE: NO
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-6104
E-PRESCRIBE: NO
HAMPTON, SIMONE R.,
MD
GENDER:
PROVIDER #: 240208
NPI #: 1033184247
E-PRESCRIBE: NO
FRANCES NELSON HEALTH
CE
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.
55
Primary Care Physicians
HANSEN, SONJA, MD
GENDER: F
PROVIDER #: 240211
NPI #: 1710923560
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 365-6207
E-PRESCRIBE: YES
HUSSAIN, FAROOQ M.,
MD
GENDER: M
PROVIDER #: 281296
NPI #: 1942509369
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
JAMMA, KIRANMAI, MD
GENDER: F
PROVIDER #: 095226
NPI #: 1053328609
E-PRESCRIBE: YES
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6104
E-PRESCRIBE: YES
56
KIM, JANE C., MD
GENDER: F
PROVIDER #: 151480
NPI #: 1356511166
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6201
E-PRESCRIBE: YES
KIM, KEVIN S., DO
GENDER: M
PROVIDER #: 196016
NPI #: 1962634519
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
FRANCES NELSON HEALTH
CE
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
PHONE: (217) 356-1558
E-PRESCRIBE: NO
MADDEN, JESSICA D., MD
GENDER: F
PROVIDER #: 289649
NPI #: 1861627499
E-PRESCRIBE: NO
PROMISE HEALTHCARE
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
PHONE: (217) 356-1558
E-PRESCRIBE: NO
CHAMPAIGN, IL
CHAMPAIGN, IL
MCCOY, DAWN K., MD
GENDER: F
PROVIDER #: 095770
NPI #: 1356365779
E-PRESCRIBE: YES
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
MEGEFF, RANDALL A., MD
GENDER: M
PROVIDER #: 031712
NPI #: 1083663918
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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.
56
CHAMPAIGN, IL
CHAMPAIGN, IL
OSAJI, ONA, MD
GENDER: F
PROVIDER #: 109274
NPI #: 1447269113
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
RUDAWSKI, STEPHEN M.,
DO
GENDER: M
PROVIDER #: 119484
NPI #: 1053403055
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6104
E-PRESCRIBE: YES
WU, STANLEY S., MD
GENDER: M
PROVIDER #: 106661
NPI #: 1700981727
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 365-6201
E-PRESCRIBE: YES
FAMILY PRACTICE OB
WAGNER, CHRISTIAN E.,
MD
GENDER: M
PROVIDER #: 019848
NPI #: 1063514123
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
SWEARINGEN, JEFFREY
V., MD
GENDER: M
PROVIDER #: 000677
NPI #: 1689785305
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
FRANCES NELSON HEALTH
CE
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
PHONE: (217) 356-1558
E-PRESCRIBE: NO
PEDIATRICS
ADAMS, ABIGAIL E., MD
GENDER: F
PROVIDER #: 249883
NPI #: 1306002993
E-PRESCRIBE: YES
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
BAECHLER, VERONICA
R., MD
GENDER: F
PROVIDER #: 276189
NPI #: 1659339430
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1257
E-PRESCRIBE: YES
EASTIN, HALEY E., MD
GENDER: F
PROVIDER #: 299663
NPI #: 1184970386
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6107
E-PRESCRIBE: YES
58
FULLAN, SEAN P., MD
GENDER: M
PROVIDER #: 252656
NPI #: 1669791166
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6202
E-PRESCRIBE: YES
MARANON, M LOUISA, MD
GENDER: F
PROVIDER #: 091647
NPI #: 1588674105
E-PRESCRIBE: YES
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
HAUFFE, JAMES E., MD
GENDER: M
PROVIDER #: 000568
NPI #: 1396752952
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-1200
E-PRESCRIBE: YES
BOLTON, SUSAN, MD
GENDER: F
PROVIDER #: 113679
NPI #: 1336156884
E-PRESCRIBE: YES
CHRISTIE CLINIC
1801 WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-1257
E-PRESCRIBE: YES
CHAMPAIGN, IL
CHAMPAIGN, IL
LOHANO, TEEKAM D., MD
GENDER:
PROVIDER #: 250080
NPI #: 1396063137
E-PRESCRIBE: NO
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: NO
PORTER, MYISHA Z., MD
GENDER: F
PROVIDER #: 150678
NPI #: 1093975443
E-PRESCRIBE: NO
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61820
PHONE: (217) 366-1257
E-PRESCRIBE: NO
STRIEGEL, JANE E., MD
GENDER: F
PROVIDER #: 000505
NPI #: 1427169127
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6200
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
58
CHANNAHON, IL
CHARLESTON, IL
CHANNAHON, IL
ADULT/INTERNAL
MEDICINE
MOY, LAWTON, MD
GENDER: M
PROVIDER #: 184193
NPI #: 1669676011
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
735 18TH ST
CHARLESTON, IL 61920
PHONE: (217) 345-6582
E-PRESCRIBE: NO
BAJAJ, RENU, MD
GENDER: F
PROVIDER #: 051615
NPI #: 1700996568
E-PRESCRIBE: NO
901 W LINCOLN
CHARLESTON, IL 61920
PHONE: (217) 345-3909
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
59
Primary Care Physicians
DORNER, MATTHEW J.,
MD
GENDER: M
PROVIDER #: 192649
NPI #: 1528176880
E-PRESCRIBE: NO
CHARLESTON FAMILY
PRACTICE
116 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-7700
E-PRESCRIBE: NO
MIKEL, GARY, MD
GENDER: M
PROVIDER #: 042299
NPI #: 1962518746
E-PRESCRIBE: NO
WALK-IN CLINIC
CHARLESTON
2040 LINCOLN AVE SUITE
100
CHARLESTON, IL 61920
PHONE: (217) 345-2030
E-PRESCRIBE: NO
EMENECKER, MARK, DO
GENDER: M
PROVIDER #: 072301
NPI #: 1285740571
E-PRESCRIBE: NO
SBL CHARLESTON FAMILY
PRACTICE
116 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-7700
E-PRESCRIBE: NO
PERRINO, ERICA, MD
GENDER: F
PROVIDER #: 300473
NPI #: 1033556998
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CHARLESTON EAST FAMILY
PRACTICE
2040 LINCOLN AVE SUITE
101
CHARLESTON, IL 61920
PHONE: (217) 345-2211
E-PRESCRIBE: NO
RANCHERO, BERNIE C.,
MD
GENDER: M
PROVIDER #: 210303
NPI #: 1568656445
E-PRESCRIBE: NO
SBL CHARLESTON FAMILY
PRACTICE
116 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-7700
E-PRESCRIBE: NO
SBL PRAIRIE FAMILY
PRACTICE
2040 LINCOLN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-2030
E-PRESCRIBE: NO
60
WALK IN CLINIC
CHARLESTON
2040 LINCOLN AVE SUITE
100
CHARLESTON, IL 61920
PHONE: (217) 345-2030
E-PRESCRIBE: NO
CHARLESTON, IL
CHARLESTON, IL
WHALEN, CORNELIUS,
MD
GENDER: M
PROVIDER #: 004056
NPI #: 1184774564
E-PRESCRIBE: NO
925 18TH ST
CHARLESTON, IL 61920
PHONE: (217) 345-2123
E-PRESCRIBE: NO
WHITAKER, KIMBERLY,
MD
GENDER: F
PROVIDER #: 284801
NPI #: 1972724979
E-PRESCRIBE: NO
SBL MEDICALS CENTER
116 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-7700
E-PRESCRIBE: NO
PEDIATRICS
STOLTZ, DAVID, MD
GENDER: M
PROVIDER #: 108923
NPI #: 1578674420
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
60
CHATHAM, IL
CHEBANSE, IL
CHATHAM, IL
FAMILY PRACTICE
CRABTREE, JAMES T., MD
GENDER: M
PROVIDER #: 189964
NPI #: 1538188818
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CHATHAM FAMILY
PRACTICE
345 N MAIN ST
CHATHAM, IL 62629
PHONE: (217) 483-3333
E-PRESCRIBE: NO
Primary Care Physicians
SCHEIBLER-VENTRESS,
CHRISTINA L., MD
GENDER: F
PROVIDER #: 119047
NPI #: 1831148022
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
CHATSWORTH, IL
FAMILY PRACTICE
STEVENS, JENNIFER E.,
MD
GENDER: F
PROVIDER #: 182380
NPI #: 1043412893
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
125 W 1ST NORTH ST
CHEBANSE, IL 60922
PHONE: (815) 697-2323
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
61
Primary Care Physicians
LOWRY-ROHLFING, LISA
A., MD
GENDER: F
PROVIDER #: 035316
NPI #: 1386755973
E-PRESCRIBE: NO
CHESTER CLINIC
2319 OLD PLANK RD
CHESTER, IL 62233
PHONE: (618) 826-2388
BLECHLE, VALERIE, FNP;
PROVIDER #: 272783
E-PRESCRIBE: NO
CHENOA, IL
FAMILY PRACTICE
LAU, DANIEL S., MD
GENDER: M
PROVIDER #: 206357
NPI #: 1720398480
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
918 E LINCOLN ST
CHENOA, IL 61726
PHONE: (815) 945-2261
E-PRESCRIBE: NO
CHESTER, IL
FAMILY PRACTICE
KRIEG, JAMES R., MD
GENDER: M
PROVIDER #: 036081
NPI #: 1851402390
E-PRESCRIBE: NO
CHESTER CLINIC
2319 OLD PLANK RD
CHESTER, IL 62233
PHONE: (618) 826-2388
ALBERTINI, ANGELA M., PA-C;
PROVIDER #: 172577
E-PRESCRIBE: NO
CHESTER SPECIALTIES
1900 STATE ST
CHESTER, IL 62233
PHONE: (618) 826-4581
E-PRESCRIBE: NO
62
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
CHESTER CLINIC
2319 OLD PLANK RD
CHESTER, IL 62233
PHONE: (618) 826-2388
LINZY, JAMIE E., PA-C;
PROVIDER #: 172575
E-PRESCRIBE: NO
CHENOA, IL
CHICAGO, IL
CHESTER SPECIALTIES
1900 STATE ST
CHESTER, IL 62233
PHONE: (618) 826-4581
E-PRESCRIBE: NO
CHICAGO, IL
ADULT/INTERNAL
MEDICINE
ACKERMANN, RONALD T.,
MD
GENDER: M
PROVIDER #: 270949
NPI #: 1629029210
E-PRESCRIBE: NO
675 N ST CLAIR
GALTER 18-200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
ADEGUNSOYE,
ADEKONLA T., MD
GENDER:
PROVIDER #: 292845
NPI #: 1861712903
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PMG IN FULLERTON
1150 W FULLERTON AVE
CHICAGO, IL 60614
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
62
CHICAGO, IL
CHICAGO, IL
AMDUR, RACHEL L., MD
GENDER: F
PROVIDER #: 195997
NPI #: 1124145172
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
ANCHA, BASAVA, MD
GENDER:
PROVIDER #: 233596
NPI #: 1265488647
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PMG NORTH SHORE-FOSTER
2740 W FOSTER SUITE 113
CHICAGO, IL 60626
PHONE: (847) 679-5120
E-PRESCRIBE: NO
ARBETTER, KENNETH R.,
MD
GENDER: M
PROVIDER #: 237548
NPI #: 1336132851
E-PRESCRIBE: NO
ARKES 2300
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
Primary Care Physicians
ATLAS, BARRY, MD
GENDER: M
PROVIDER #: 267773
NPI #: 1073513305
E-PRESCRIBE: NO
PMG BARRY ATLAS, MD
6374 N LINCOLN AVE SUITE
312
CHICAGO, IL 60659
PHONE: (773) 588-7710
E-PRESCRIBE: NO
AU, DENISE K., MD
GENDER: F
PROVIDER #: 278809
NPI #: 1932172889
E-PRESCRIBE: NO
GALTER 18-200
675 N ST CLAIR
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
BAKER, DAVID W., MD
GENDER: M
PROVIDER #: 189669
NPI #: 1124098066
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
BALDINGER, MICHAEL
GENDER:
PROVIDER #: 279152
NPI #: 1598879223
E-PRESCRIBE: NO
PRESENCE HEALTHCARE
1150 W FULLERTON AVE
CHICAGO, IL 60614
PHONE:
E-PRESCRIBE: NO
BELL, KIMBRA A., MD
GENDER: F
PROVIDER #: 273761
NPI #: 1154373876
E-PRESCRIBE: NO
201 E HURON GALTER 12-105
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
BERG, SARA R., MD
GENDER: F
PROVIDER #: 278821
NPI #: 1255642153
E-PRESCRIBE: NO
111 W WASHINGTON #1801
CHICAGO, IL 60602
PHONE: (312) 926-3627
E-PRESCRIBE: NO
BERKOWITZ, LYLE L., MD
GENDER: M
PROVIDER #: 272911
NPI #: 1962457119
E-PRESCRIBE: NO
1913 W NORTH AVE
CHICAGO, IL 60622
PHONE: (312) 926-3627
E-PRESCRIBE: NO
BIERMAN, JENNIFER A.,
MD
GENDER: F
PROVIDER #: 223367
NPI #: 1235105776
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
BOHOLST, BRIAN C., MD
GENDER: M
PROVIDER #: 278825
NPI #: 1235181959
E-PRESCRIBE: NO
1333 W BELMONT #200
CHICAGO, IL 60657
PHONE: (312) 926-3627
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
63
Primary Care Physicians
CHICAGO, IL
CHICAGO, IL
BOSTON, MEAGHAN K.,
MD
GENDER: F
PROVIDER #: 255328
NPI #: 1144485046
E-PRESCRIBE: NO
676 N SAINT CLAIR ARKES
2300
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
BRICKNER, SHAWN E.,
MD
GENDER: F
PROVIDER #: 278829
NPI #: 1770717423
E-PRESCRIBE: NO
ARKES 2000
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
BRANDIES, JULIE R., MD
GENDER: F
PROVIDER #: 278606
NPI #: 1467405472
E-PRESCRIBE: NO
20 S CLARK ST 11TH FL
CHICAGO, IL 60603
PHONE: (312) 926-3627
E-PRESCRIBE: NO
BRISSON, GREGORY E.,
MD
GENDER: M
PROVIDER #: 278830
NPI #: 1891740627
E-PRESCRIBE: NO
1333 W BELMONT #200
CHICAGO, IL 60657
PHONE: (312) 926-3627
E-PRESCRIBE: NO
CHALISE, SHYAM, MD
GENDER: M
PROVIDER #: 231445
NPI #: 1245487008
E-PRESCRIBE: NO
ST JOSEPH HOSPITAL
2900 N LAKESHORE DR 7
EAST
CHICAGO, IL 60657
PHONE: (773) 661-5800
E-PRESCRIBE: NO
BRODECH, WALTER, MD
GENDER: M
PROVIDER #: 267765
NPI #: 1295827434
E-PRESCRIBE: NO
PMG UKRAINIAN VILLAGE
FAMILY MEDICINE
809 N WESTERN AVE
CHICAGO, IL 60622
PHONE: (773) 772-9121
E-PRESCRIBE: NO
CHENG, CATHERINE C.,
MD
GENDER: F
PROVIDER #: 278835
NPI #: 1124046446
E-PRESCRIBE: NO
ARKES 2200
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-1300
E-PRESCRIBE: NO
BUTTER, JOHN E., MD
GENDER: M
PROVIDER #: 061768
NPI #: 1629037064
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
CHRISTOFF, ERIC D., MD
GENDER: M
PROVIDER #: 272511
NPI #: 1245287317
E-PRESCRIBE: NO
1460 N HALSTED ST #504
CHICAGO, IL 60622
PHONE: (312) 926-3627
E-PRESCRIBE: NO
BRANDT, DAVID A., MD
GENDER: M
PROVIDER #: 278827
NPI #: 1629004965
E-PRESCRIBE: NO
ARKES 415
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
BREHM, ERIC S., MD
GENDER: M
PROVIDER #: 278828
NPI #: 1780639930
E-PRESCRIBE: NO
GALTER 12-105
201 E HURON
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
64
CHADHA, VINKY, MD
GENDER: M
PROVIDER #: 278834
NPI #: 1659335065
E-PRESCRIBE: NO
GALTER 18-200
675 N ST CLAIR
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
64
CHICAGO, IL
CHICAGO, IL
CONNELLY, ROBERT J.,
MD
GENDER: M
PROVIDER #: 278800
NPI #: 1093754590
E-PRESCRIBE: NO
1913 W NORTH AVE
CHICAGO, IL 60622
PHONE: (312) 926-3627
E-PRESCRIBE: NO
20 S CLARK ST 11TH FL
CHICAGO, IL 60603
PHONE: (312) 926-3627
E-PRESCRIBE: NO
CROMWELL, ALISON, MD
GENDER: F
PROVIDER #: 278837
NPI #: 1467531384
E-PRESCRIBE: NO
1333 W BELMONT #200
CHICAGO, IL 60657
PHONE: (312) 926-3627
E-PRESCRIBE: NO
DERMAN, DANIEL M., MD
GENDER: M
PROVIDER #: 278840
NPI #: 1912947458
E-PRESCRIBE: NO
GALTER 12-105
201 E HURON
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
DIDWANIA, AARATI D., MD
GENDER: F
PROVIDER #: 217431
NPI #: 1811930654
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
Primary Care Physicians
DIDWANIA, AASHISH K.,
MD
GENDER: M
PROVIDER #: 146681
NPI #: 1467512855
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
DOLAN, BRIGID M., MD
GENDER: F
PROVIDER #: 277426
NPI #: 1669672804
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
DOLAN, NANCY C., MD
GENDER: F
PROVIDER #: 072776
NPI #: 1396814802
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
DUDEK, JANUSZ M., MD
GENDER: M
PROVIDER #: 278845
NPI #: 1073531570
E-PRESCRIBE: NO
4801 W PETERSON #406
CHICAGO, IL 60646-5713
PHONE: (312) 694-8855
E-PRESCRIBE: NO
DUDEK, MARTA A., MD
GENDER: F
PROVIDER #: 278846
NPI #: 1083666432
E-PRESCRIBE: NO
4801 W PETERSON #406
CHICAGO, IL 60646-5713
PHONE: (312) 694-8855
E-PRESCRIBE: NO
DUGGAL, ISHVEENA K.,
MD
GENDER: F
PROVIDER #: 278847
NPI #: 1487943205
E-PRESCRIBE: NO
ARKES 2300
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
DUNHAM, DANIEL P., MD
GENDER: M
PROVIDER #: 110169
NPI #: 1881624294
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
ENGMAN, ELIZABETH V.,
MD
GENDER: F
PROVIDER #: 092811
NPI #: 1730121526
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
65
Primary Care Physicians
ESRIG, ELYSE T., MD
GENDER: F
PROVIDER #: 278848
NPI #: 1356388201
E-PRESCRIBE: NO
20 S CLARK ST 11TH FL
CHICAGO, IL 60603
PHONE: (312) 926-3627
E-PRESCRIBE: NO
EULIEN, HAROLD, MD
GENDER: M
PROVIDER #: 248377
NPI #: 1700877222
E-PRESCRIBE: NO
PMG LINCOLON PARK
2800 N SHERIDAN RD SUITE
309
CHICAGO, IL 60803
PHONE: (773) 248-6913
E-PRESCRIBE: NO
EVANS, DANIEL B., MD
GENDER: M
PROVIDER #: 209424
NPI #: 1881620862
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
FARBY, GERALD, MD
GENDER: M
PROVIDER #: 243775
NPI #: 1972504454
E-PRESCRIBE: NO
PMG-VIKING MEDICAL
GROUP
3500 W PETERSON AVE
CHICAGO, IL 60659
PHONE: (773) 961-3200
E-PRESCRIBE: NO
66
CHICAGO, IL
CHICAGO, IL
FARLEY-LI, JEANNE E.,
MD
GENDER: F
PROVIDER #: 278850
NPI #: 1487745527
E-PRESCRIBE: NO
ARKES 2200
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-1300
E-PRESCRIBE: NO
FRY, MARY E., MD
GENDER: F
PROVIDER #: 242497
NPI #: 1801996368
E-PRESCRIBE: NO
PMG RESURRECTION
SERVICES
2800 N SHERIDAN SUITE 408
CHICAGO, IL 60657
PHONE: (773) 348-4010
E-PRESCRIBE: NO
FOODY, JAMES J., MD
GENDER: M
PROVIDER #: 278851
NPI #: 1639109960
E-PRESCRIBE: NO
GALTER 18-200
675 N ST CLAIR
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
GLYNN, JOHN F., DO
GENDER: M
PROVIDER #: 278904
NPI #: 1407895121
E-PRESCRIBE: NO
ARKES 415
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
FOX, DAVID J., MD
GENDER: M
PROVIDER #: 253440
NPI #: 1760610067
E-PRESCRIBE: NO
676 N SAINT CLAIR ARKES
2000
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
GOEL, MITA S., MD
GENDER: F
PROVIDER #: 109495
NPI #: 1821034380
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
FRIEDMAN, JORDANA,
MD
GENDER: F
PROVIDER #: 256982
NPI #: 1730119066
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
GOLDENBERG, BRUCE D.,
MD
GENDER: M
PROVIDER #: 298907
NPI #: 1528172236
E-PRESCRIBE: NO
PMG IM LAWRENCE
5425 W LAWRENCE AVE
CHICAGO, IL 60630
PHONE: (773) 725-7557
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
66
CHICAGO, IL
CHICAGO, IL
GRANIERI, SAMUEL J.,
MD
GENDER: M
PROVIDER #: 278910
NPI #: 1154360873
E-PRESCRIBE: NO
ARKES 415
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
GREEN, MARIANNE M.,
MD
GENDER: F
PROVIDER #: 244298
NPI #: 1700814332
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
GRUBER, GARY H., MD
GENDER: M
PROVIDER #: 278916
NPI #: 1487693610
E-PRESCRIBE: NO
ARKES 415
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
HALL, JAMES L., MD
GENDER: M
PROVIDER #: 238735
NPI #: 1649263153
E-PRESCRIBE: NO
676 N SAINT CLAIR ARKES
2300
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
Primary Care Physicians
HARGAN, ROBERT T., MD
GENDER: M
PROVIDER #: 226180
NPI #: 1962591404
E-PRESCRIBE: NO
LINCOLN PARK MEDICAL
2800 N SHERIDAN RD #211
CHICAGO, IL 60657
PHONE: (630) 914-2417
E-PRESCRIBE: NO
RESURRECTION SERVICES
PO BOX 564437
CHICAGO, IL 60656
PHONE: (708) 583-7310
E-PRESCRIBE: NO
HAVEY, ROBERT J., MD
GENDER: M
PROVIDER #: 278918
NPI #: 1780677211
E-PRESCRIBE: NO
ARKES 2300
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
HAYES, KENNETH H., MD
GENDER: M
PROVIDER #: 278920
NPI #: 1700812872
E-PRESCRIBE: NO
20 S CLARK ST 11TH FL
CHICAGO, IL 60603
PHONE: (312) 926-3627
E-PRESCRIBE: NO
HEIDMANN, DIANE, MD
GENDER: F
PROVIDER #: 278921
NPI #: 1003100629
E-PRESCRIBE: NO
ARKES 2300
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
HEIMAN, HEATHER L., MD
GENDER: F
PROVIDER #: 232934
NPI #: 1538198049
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
HENNING, AMY A., MD
GENDER: F
PROVIDER #: 239472
NPI #: 1174780035
E-PRESCRIBE: NO
676 N SAINT CLAIR ARKES
2300
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
HIDAKA, DANIEL A., MD
GENDER: M
PROVIDER #: 278925
NPI #: 1215190764
E-PRESCRIBE: NO
ARKES 2300
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
HILDEBRAND, JAY A., MD
GENDER: M
PROVIDER #: 243372
NPI #: 1427269737
E-PRESCRIBE: NO
676 N SAINT CLAIR ARKES
2300
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
67
Primary Care Physicians
HILL, PETER B., MD
GENDER: M
PROVIDER #: 278926
NPI #: 1962445304
E-PRESCRIBE: NO
1333 W BELMONT #200
CHICAGO, IL 60657
PHONE: (312) 926-3627
E-PRESCRIBE: NO
HUANG, SEAN, MD
GENDER: M
PROVIDER #: 278928
NPI #: 1871819383
E-PRESCRIBE: NO
111 W WASHINGTON #1801
CHICAGO, IL 60602
PHONE: (312) 926-3627
E-PRESCRIBE: NO
HUFMEYER, KATHRYN K.,
MD
GENDER: F
PROVIDER #: 278929
NPI #: 1699060954
E-PRESCRIBE: NO
GALTER 18-200
675 N ST CLAIR
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
HUNT, KEVIN E., MD
GENDER: M
PROVIDER #: 278931
NPI #: 1609899913
E-PRESCRIBE: NO
111 W WASHINGTON #1801
CHICAGO, IL 60602
PHONE: (312) 926-3627
E-PRESCRIBE: NO
68
JASTI, NANDANA, MD
GENDER: F
PROVIDER #: 266349
NPI #: 1770773871
E-PRESCRIBE: NO
PMG-PRESENCE HEALTH
GROUP
3319 N ELSTON SUITE 100
CHICAGO, IL 60618
PHONE: (773) 751-7200
E-PRESCRIBE: NO
JEAN-JACQUES, MURIEL,
MD
GENDER: F
PROVIDER #: 233254
NPI #: 1457476186
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
KALEMBER, CAROLINE
P., MD
GENDER: F
PROVIDER #: 278935
NPI #: 1487987509
E-PRESCRIBE: NO
ADA 1050
211 E CHICAGO AVE
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
KANDULA, NAMRATHA
R., MD
GENDER: F
PROVIDER #: 258161
NPI #: 1316976624
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
CHICAGO, IL
CHICAGO, IL
KANSAL, NIDHI, MD
GENDER: F
PROVIDER #: 278956
NPI #: 1396034484
E-PRESCRIBE: NO
ARKES 2300
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
KENNEDY, JESSICA M.,
MD
GENDER: F
PROVIDER #: 278958
NPI #: 1932332731
E-PRESCRIBE: NO
1333 W BELMONT #200
CHICAGO, IL 60657
PHONE: (312) 926-3627
E-PRESCRIBE: NO
KHO, ABEL N., MD
GENDER: M
PROVIDER #: 212176
NPI #: 1679530935
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
KHOURY, NADIM Y., MD
GENDER: M
PROVIDER #: 278960
NPI #: 1649263179
E-PRESCRIBE: NO
ARKES 2300
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
68
CHICAGO, IL
CHICAGO, IL
Primary Care Physicians
KIM, JEANNE I., MD
GENDER: F
PROVIDER #: 245912
NPI #: 1790741890
E-PRESCRIBE: NO
676 N SAINT CLAIR ARKES
2300
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
KONSTANTELOS,
CHRISTOPHER J., MD
GENDER: M
PROVIDER #: 278971
NPI #: 1952330243
E-PRESCRIBE: NO
1333 W BELMONT #200
CHICAGO, IL 60657
PHONE: (312) 926-3627
E-PRESCRIBE: NO
KIRBY, JOANNE C., MD
GENDER: F
PROVIDER #: 238391
NPI #: 1629061114
E-PRESCRIBE: NO
676 N SAINT CLAIR ARKES
2300
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
KOPIN, JEFFREY D., MD
GENDER: M
PROVIDER #: 278972
NPI #: 1093754970
E-PRESCRIBE: NO
20 S CLARK ST 11TH FL
CHICAGO, IL 60603
PHONE: (312) 926-3627
E-PRESCRIBE: NO
KISSINGER, AMY L., MD
GENDER: F
PROVIDER #: 278963
NPI #: 1548215841
E-PRESCRIBE: NO
676 N SAINT CLAIR ARKES
415
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
KLOR-GROSS,
ELISABETH, MD
GENDER: F
PROVIDER #: 298872
NPI #: 1609879279
E-PRESCRIBE: NO
PMG FP PRESENCE
HEALTHCARE SERVICES
1150 W FULLERTON
CHICAGO, IL 60614
PHONE: (773) 549-7757
E-PRESCRIBE: NO
KWAH, JASON H., MD
GENDER: M
PROVIDER #: 278976
NPI #: 1619255411
E-PRESCRIBE: NO
#815
680 N LAKE SHORE DRIVE
CHICAGO, IL 60611
PHONE: (312) 926-8811
E-PRESCRIBE: NO
LAGONE, CYNTHIA A., MD
GENDER: F
PROVIDER #: 235055
NPI #: 1144236613
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
LAZAREVIC, VOJISLAV,
MD
GENDER: M
PROVIDER #: 300291
NPI #: 1245317940
E-PRESCRIBE: NO
PMG IM SHERIDAN
2800 N SHERIDAN ROAD
SUITE 500
CHICAGO, IL 60657
PHONE:
E-PRESCRIBE: NO
LEE, JENNY K., MD
GENDER: F
PROVIDER #: 278982
NPI #: 1093759490
E-PRESCRIBE: NO
1333 W BELMONT #200
CHICAGO, IL 60657
PHONE: (312) 926-3627
E-PRESCRIBE: NO
LEE, MICHAEL Y., MD
GENDER: M
PROVIDER #: 238964
NPI #: 1942293451
E-PRESCRIBE: NO
676 N SAINT CLAIR ARKES
2300
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
LIEBOVITZ, DAVID M., MD
GENDER: M
PROVIDER #: 218040
NPI #: 1972564748
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
69
Primary Care Physicians
LOCATELLI, ANNE F., MD
GENDER: F
PROVIDER #: 278988
NPI #: 1326086315
E-PRESCRIBE: NO
1913 W NORTH AVE
CHICAGO, IL 60622
PHONE: (312) 926-3627
E-PRESCRIBE: NO
MARKS, KELLYN R., MD
GENDER: F
PROVIDER #: 279003
NPI #: 1215973599
E-PRESCRIBE: NO
GALTER 12-105
201 E HURON
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
MARTIN, GARY J., MD
GENDER: M
PROVIDER #: 279002
NPI #: 1356359756
E-PRESCRIBE: NO
GALTER 18-200
675 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
MCDERMOTT, MARY M.,
MD
GENDER: F
PROVIDER #: 279000
NPI #: 1992911028
E-PRESCRIBE: NO
GALTER 18-200
675 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
70
CHICAGO, IL
CHICAGO, IL
MILSTEAD, CHADWICK V.,
MD
GENDER: M
PROVIDER #: 243019
NPI #: 1740273259
E-PRESCRIBE: NO
676 N SAINT CLAIR ARKES
2300
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
NAUSHEEN, HUMERA, MD
GENDER: F
PROVIDER #: 266367
NPI #: 1609029529
E-PRESCRIBE: NO
PMG-RESURRECTION
MEDICAL CENTER
7435 W TALCOTT AVE
CHICAGO, IL 60631
PHONE: (630) 914-2417
E-PRESCRIBE: NO
MULLAN, JOAN C., MD
GENDER: F
PROVIDER #: 278999
NPI #: 1396856019
E-PRESCRIBE: NO
ADA 1050
211 E CHICAGO AVE
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
NEELY, DAVID B., MD
GENDER: M
PROVIDER #: 239269
NPI #: 1184634289
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
MURPHY, THOMAS M., DO
GENDER: M
PROVIDER #: 298881
NPI #: 1487817649
E-PRESCRIBE: NO
PMG OLR
5645 W ADDISON
CHICAGO, IL 60634
PHONE:
E-PRESCRIBE: NO
NG, EVAN H., MD
GENDER: M
PROVIDER #: 243985
NPI #: 1518141720
E-PRESCRIBE: NO
676 N SAINT CLAIR ARKES
2300
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
NADLER, CHARLES F., MD
GENDER: M
PROVIDER #: 278997
NPI #: 1326031832
E-PRESCRIBE: NO
ARKES 2300
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
NICOLAS, JOHN D., MD
GENDER: M
PROVIDER #: 278993
NPI #: 1417940917
E-PRESCRIBE: NO
ARKES 2300
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
70
CHICAGO, IL
CHICAGO, IL
Primary Care Physicians
NOBLE, COURTNEY A.,
MD
GENDER: F
PROVIDER #: 122939
NPI #: 1336194711
E-PRESCRIBE: NO
676 N SAINT CLAIR ARKES
2300
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
ORDERS, CHRISTINE E.,
MD
GENDER: F
PROVIDER #: 278986
NPI #: 1194751461
E-PRESCRIBE: NO
GALTER 12-105
201 E HURON
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
O'BRIEN, MATTHEW J.,
MD
GENDER: M
PROVIDER #: 278388
NPI #: 1306900378
E-PRESCRIBE: NO
675 N SAINT CLAIR GALTER
18-200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
ORELIND, ERIK R., MD
GENDER: M
PROVIDER #: 278985
NPI #: 1538193040
E-PRESCRIBE: NO
ARKES 2200
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-1300
E-PRESCRIBE: NO
ODLAND, PAUL B., MD
GENDER: M
PROVIDER #: 192803
NPI #: 1760596464
E-PRESCRIBE: NO
PMG IM FULLERTON
1150 W FULLERTON AVE
CHICAGO, IL 60614
PHONE: (773) 549-7757
E-PRESCRIBE: NO
ORRICO, LUISA A., MD
GENDER: F
PROVIDER #: 267434
NPI #: 1649490657
E-PRESCRIBE: NO
RESURRECTION MEDICAL
CENTER
7435 W TALCOTT AVE
CHICAGO, IL 60631
PHONE: (630) 914-2417
E-PRESCRIBE: NO
OLSON, JEFFREY A., MD
GENDER: M
PROVIDER #: 227948
NPI #: 1952374795
E-PRESCRIBE: NO
3500 W PETERSON STE 634
CHICAGO, IL 60659
PHONE:
E-PRESCRIBE: NO
PARIKH, NIKIE, MD
GENDER: F
PROVIDER #: 278981
NPI #: 1255516951
E-PRESCRIBE: NO
ARKES 2000
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
RESURRECTION SERVICES
62311 COLLECTIONS CTR
CHICAGO, IL 60693-0623
PHONE: (719) 277-7545
E-PRESCRIBE: NO
PATEL, SANJAY P., MD
GENDER: M
PROVIDER #: 271302
NPI #: 1518991900
E-PRESCRIBE: NO
201 E HURON GALTER 12-105
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
PEDDINGHAUS, WOLF D.,
MD
GENDER: M
PROVIDER #: 298883
NPI #: 1487640660
E-PRESCRIBE: NO
PMG NSMG LINCOLNWOOD
7380 N LINCOLN AVE
CHICAGO, IL 60712
PHONE: (847) 568-7400
E-PRESCRIBE: NO
PENATE, DOUGLAS F., MD
GENDER: M
PROVIDER #: 278978
NPI #: 1326337395
E-PRESCRIBE: NO
ARKES 2300
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
PERSELL, STEPHEN D.,
MD
GENDER: M
PROVIDER #: 103592
NPI #: 1831124585
E-PRESCRIBE: NO
675 N SAINT CLAIR GALTER
18-200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
71
Primary Care Physicians
PICKERING, PAUL L., MD
GENDER: M
PROVIDER #: 278974
NPI #: 1407973183
E-PRESCRIBE: NO
1333 W BELMONT #200
CHICAGO, IL 60657
PHONE: (312) 926-3627
E-PRESCRIBE: NO
RAMIREZ, LESLIE G., MD
GENDER: F
PROVIDER #: 278961
NPI #: 1255366613
E-PRESCRIBE: NO
1333 W BELMONT #200
CHICAGO, IL 60657
PHONE: (312) 926-3627
E-PRESCRIBE: NO
PIERRO, DANIELLE C., MD
GENDER: F
PROVIDER #: 278970
NPI #: 1417981812
E-PRESCRIBE: NO
GALTER 12-105
201 E HURON
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
RAO, SHESH, MD
GENDER:
PROVIDER #: 238051
NPI #: 1306885504
E-PRESCRIBE: NO
PMG ST JOSEPH HOSPITAL
2800 N SHERIDAN RD
CHICAGO, IL 60657
PHONE: (773) 661-5800
E-PRESCRIBE: NO
PRIMER, JASON I., MD
GENDER: M
PROVIDER #: 278965
NPI #: 1487693628
E-PRESCRIBE: NO
ARKES 415
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
ROEMER, PHILLIP E., MD
GENDER: M
PROVIDER #: 212327
NPI #: 1063447837
E-PRESCRIBE: NO
675 N SAINT CLAIR GALTER
18-200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
PRIYANATH, APARNA, MD
GENDER: F
PROVIDER #: 123016
NPI #: 1154352227
E-PRESCRIBE: NO
675 N SAINT CLAIR GALTER
18-200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
ROSS, ELLEN M., MD
GENDER: F
PROVIDER #: 278880
NPI #: 1275572422
E-PRESCRIBE: NO
ARKES 415
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
72
CHICAGO, IL
CHICAGO, IL
ROWLEY, GUY A., MD
GENDER: M
PROVIDER #: 298888
NPI #: 1972617074
E-PRESCRIBE: NO
PMG IM LAWRENCE
5425 W LAWRENCE AVE
CHICAGO, IL 60630
PHONE: (773) 725-7557
E-PRESCRIBE: NO
ROYSTON, BETH, MD
GENDER: F
PROVIDER #: 278871
NPI #: 1255370490
E-PRESCRIBE: NO
ARKES 415
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
RUBIO, ELENITA, MD
GENDER: F
PROVIDER #: 223385
NPI #: 1962514984
E-PRESCRIBE: NO
PMG-RIIS PARK MEDICAL
CENTER
5322 W FULLERTON AVE
CHICAGO, IL 60639
PHONE: (773) 622-0056
E-PRESCRIBE: NO
RUO, BERNICE, MD
GENDER: F
PROVIDER #: 205110
NPI #: 1093748881
E-PRESCRIBE: NO
675 N SAINT CLAIR GALTER
18-200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
72
CHICAGO, IL
CHICAGO, IL
SASSOWER, NANCY W.,
MD
GENDER: F
PROVIDER #: 278866
NPI #: 1851384366
E-PRESCRIBE: NO
ARKES 2300
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
SCHULTZ, ANNE F., MD
GENDER: F
PROVIDER #: 278864
NPI #: 1346223922
E-PRESCRIBE: NO
GALTER 12-105
201 E HURON
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
SCOLA, RENEE A., MD
GENDER: F
PROVIDER #: 278863
NPI #: 1457344970
E-PRESCRIBE: NO
ARKES 2300
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
SHAPIRO, SUSAN D., MD
GENDER: F
PROVIDER #: 231215
NPI #: 1326026139
E-PRESCRIBE: NO
62311 COLLECTION CTR DR
CHICAGO, IL 60693
PHONE:
E-PRESCRIBE: NO
Primary Care Physicians
SHENEMAN, SUSAN M.,
MD
GENDER: F
PROVIDER #: 278861
NPI #: 1083647978
E-PRESCRIBE: NO
20 S CLARK ST 11TH FL
CHICAGO, IL 60603
PHONE: (312) 926-3627
E-PRESCRIBE: NO
STERN, THOMAS, MD
GENDER: M
PROVIDER #: 231525
NPI #: 1477592665
E-PRESCRIBE: NO
62311 COLLECTIONS CTR DR
CHICAGO, IL 60693
PHONE:
E-PRESCRIBE: NO
SOGLIN, LENORE F., MD
GENDER: F
PROVIDER #: 225671
NPI #: 1114133717
E-PRESCRIBE: NO
675 N SAINT CLAIR GALTER
18-200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
STEWART, MICHAEL J.,
MD
GENDER: M
PROVIDER #: 278856
NPI #: 1902845605
E-PRESCRIBE: NO
ARKES 415
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
SORCE, TRACY B., MD
GENDER: F
PROVIDER #: 278859
NPI #: 1023001542
E-PRESCRIBE: NO
ARKES 2000
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
STOLAR, MARK W., MD
GENDER: M
PROVIDER #: 278855
NPI #: 1396784591
E-PRESCRIBE: NO
ARKES 415
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
STARR, BYRON D., MD
GENDER: M
PROVIDER #: 278857
NPI #: 1427041946
E-PRESCRIBE: NO
ARKES 2000
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
SUH, ANNE M., MD
GENDER: F
PROVIDER #: 278854
NPI #: 1104852722
E-PRESCRIBE: NO
111 W WASHINGTON #1801
CHICAGO, IL 60602
PHONE: (312) 926-3627
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
73
Primary Care Physicians
SUPHANGUL, MONTHA,
MD
GENDER:
PROVIDER #: 267506
NPI #: 1548424229
E-PRESCRIBE: NO
RESURRECTION MEDICAL
CENTER
7435 W TALCOTT AVE
CHICAGO, IL 60631
PHONE: (630) 914-2417
E-PRESCRIBE: NO
SZYPERSKI, PAUL V., MD
GENDER: M
PROVIDER #: 273098
NPI #: 1205829785
E-PRESCRIBE: NO
676 N SAINT CLAIR ARKES
2300
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
TANG, JOYCE W., MD
GENDER: F
PROVIDER #: 227511
NPI #: 1417160359
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
TATAR, AUDREY M., MD
GENDER: F
PROVIDER #: 278852
NPI #: 1578509451
E-PRESCRIBE: NO
111 W WASHINGTON #1801
CHICAGO, IL 60602
PHONE: (312) 926-2700
E-PRESCRIBE: NO
74
CHICAGO, IL
CHICAGO, IL
THAKUR, N RICHIE, MD
GENDER: M
PROVIDER #: 278849
NPI #: 1578581633
E-PRESCRIBE: NO
GALTER 12-105
201 E HURON
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
TSATSOULIS, DIMITRA J.,
MD
GENDER: F
PROVIDER #: 278844
NPI #: 1609821974
E-PRESCRIBE: NO
20 S CLARK ST 11TH FL
CHICAGO, IL 60603
PHONE: (312) 926-3627
E-PRESCRIBE: NO
TOOMGANTI, PRASUNA,
MD
GENDER:
PROVIDER #: 267542
NPI #: 1811061567
E-PRESCRIBE: NO
PMG-ST JOSEPH HOSPITAL
2900 N LAKESHORE DR
CHICAGO, IL 60657
PHONE: (773) 665-3000
E-PRESCRIBE: NO
TYNUS, KATHERINE M.,
MD
GENDER: F
PROVIDER #: 278843
NPI #: 1932133766
E-PRESCRIBE: NO
20 S CLARK ST 11TH FL
CHICAGO, IL 60603
PHONE: (312) 926-3627
E-PRESCRIBE: NO
TOSETTI, PATRICK A., MD
GENDER: M
PROVIDER #: 130437
NPI #: 1508831470
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
TRUNSKY, JEFFEREY A.,
MD
GENDER: M
PROVIDER #: 161050
NPI #: 1306854799
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 18200
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
UCHIDA, TOSHIKO L., MD
GENDER: F
PROVIDER #: 187195
NPI #: 1598791949
E-PRESCRIBE: NO
GALTER 18-200
675 N ST CLAIR
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
ULSTRUP, KARIN B., MD
GENDER: F
PROVIDER #: 278841
NPI #: 1922091420
E-PRESCRIBE: NO
ARKES 2300
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
74
CHICAGO, IL
CHICAGO, IL
Primary Care Physicians
VACCARO, ANTHONY J.,
MD
GENDER: M
PROVIDER #: 278836
NPI #: 1346268844
E-PRESCRIBE: NO
1333 W BELMONT #200
CHICAGO, IL 60657
PHONE: (312) 926-3627
E-PRESCRIBE: NO
WILKES, CHERYL L., MD
GENDER: F
PROVIDER #: 225959
NPI #: 1770591364
E-PRESCRIBE: NO
GALTER 18-200 675 N ST
CLAIR
CHICAGO, IL 60611
PHONE: (312) 695-8630
E-PRESCRIBE: NO
AKHTAR, ROKEYA, MD
GENDER:
PROVIDER #: 210185
NPI #: 1780687368
E-PRESCRIBE: NO
PMG ROKEYA AKHTAR, MD
5600 W ADDISON SUITE 202
CHICAGO, IL 60634
PHONE: (773) 202-8444
E-PRESCRIBE: NO
VINSON, TINA M., MD
GENDER: F
PROVIDER #: 267540
NPI #: 1083668404
E-PRESCRIBE: NO
PMG-RESURRECTION
MEDICAL CENTER
7435 W TALCOTT AVE
CHICAGO, IL 60631
PHONE: (630) 914-2417
E-PRESCRIBE: NO
WILSNACK, JOEL A., MD
GENDER: M
PROVIDER #: 278826
NPI #: 1427083062
E-PRESCRIBE: NO
20 S CLARK ST 11TH FL
CHICAGO, IL 60603
PHONE: (312) 926-3627
E-PRESCRIBE: NO
BISCOTAKIS,
EVANGELOS, MD
GENDER:
PROVIDER #: 205365
NPI #: 1487835138
E-PRESCRIBE: NO
PMG-EVANGELOS
BISCOTAKIS MD
7447 W TALCOTT SUITE 245
CHICAGO, IL 60631
PHONE: (773) 774-7474
E-PRESCRIBE: NO
VOCINO, SHARON M., MD
GENDER: F
PROVIDER #: 278831
NPI #: 1679755417
E-PRESCRIBE: NO
150 E HURON #1100
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
WEAVER, STEPHANIE L.,
MD
GENDER: F
PROVIDER #: 242618
NPI #: 1942316229
E-PRESCRIBE: NO
ARKES 2300 676 N SAINT
CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-6000
E-PRESCRIBE: NO
WILSON, PAULETTE C.,
MD
GENDER: F
PROVIDER #: 287783
NPI #: 1558475657
E-PRESCRIBE: NO
PMG IM FULLERTON
1150 W FULLERTON AVE
CHICAGO, IL 60614-8160
PHONE: (773) 549-7757
E-PRESCRIBE: NO
FAMILY PRACTICE
AFFINITO, JOHN H., MD
GENDER: M
PROVIDER #: 267729
NPI #: 1316930191
E-PRESCRIBE: NO
PMG RESURRECTION
MEDICAL CENTER
7435 W TALCOTT AVE
CHICAGO, IL 60631
PHONE: (630) 954-6700
E-PRESCRIBE: NO
BORRACCINI, CRISTINA,
MD
GENDER: F
PROVIDER #: 267822
NPI #: 1760638381
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PMG LAKEVIEW FAMILY
MEDICINE
3002 N ASHLAND AVE
CHICAGO, IL 60657
PHONE: (773) 244-0441
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
75
Primary Care Physicians
CABRERA, EDUARDO, MD
GENDER: M
PROVIDER #: 264887
NPI #: 1831337930
E-PRESCRIBE: NO
UKRAINIAN VILLAGE
FAMILY MEDICINE
809 N WESTERN AVE
CHICAGO, IL 60622
PHONE: (773) 772-9121
E-PRESCRIBE: NO
DEJEAN, ANDRE T., MD
GENDER: M
PROVIDER #: 298944
NPI #: 1639140700
E-PRESCRIBE: NO
PRESENCE HEALTHCARE
SERVICES
9000 STONY ISLAND AVE
CHICAGO, IL 60617
PHONE: (773) 731-1092
E-PRESCRIBE: NO
JABLONSKA, URSZULA,
MD
GENDER: F
PROVIDER #: 269088
NPI #: 1851303945
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PRESENCE MEDICAL GROUP
3204 N OAK PARK AVE
CHICAGO, IL 60634
PHONE:
E-PRESCRIBE: NO
FERRA, LESTER, MD
GENDER: M
PROVIDER #: 264562
NPI #: 1023324696
E-PRESCRIBE: NO
RESURRECTION SERVICES
2233 W DIVISION ST
CHICAGO, IL 60622
PHONE: (312) 770-2000
E-PRESCRIBE: NO
LASALA, NOEL E., MD
GENDER: M
PROVIDER #: 298873
NPI #: 1386646172
E-PRESCRIBE: NO
PMG FP ARMITAGE
3224 W ARMITAGE AVE
CHICAGO, IL 60647
PHONE: (773) 645-0096
E-PRESCRIBE: NO
GORDON, OLENA, MD
GENDER: F
PROVIDER #: 269083
NPI #: 1528309705
E-PRESCRIBE: NO
PMG UKRAINIAN VILLAGE
FAMILY MEDICINE
809 N WESTERN
CHICAGO, IL 60622
PHONE: (773) 722-9121
E-PRESCRIBE: NO
PMG FP CHICAGO
3758 W CHICAGO AVE
CHICAGO, IL 60651
PHONE: (773) 235-0626
E-PRESCRIBE: NO
76
LEYNES, ACEZR, MD
GENDER: M
PROVIDER #: 298876
NPI #: 1689672537
E-PRESCRIBE: NO
PMG FP ARMITAGE
3224 W ARMITAGE AVE
CHICAGO, IL 60647
PHONE: (773) 645-0096
E-PRESCRIBE: NO
CHICAGO, IL
CHICAGO, IL
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
E-PRESCRIBE: NO
3224 W ARMITAGE AVE
CHICAGO, IL 60647
PHONE: (773) 645-0096
E-PRESCRIBE: NO
3758 W CHIGAGO AVE
CHICAGO, IL 60651
PHONE: (773) 235-0626
E-PRESCRIBE: NO
MONTOYA, JUAN P., MD
GENDER: M
PROVIDER #: 267446
NPI #: 1861625444
E-PRESCRIBE: NO
HUMBOLDT PARK FAMILY
PHYSICIANS
1431 N WESTERN AVE #205
CHICAGO, IL 60622
PHONE: (773) 278-2600
E-PRESCRIBE: NO
MUNSHI, SHIBANI C., MD
GENDER: F
PROVIDER #: 269341
NPI #: 1083813596
E-PRESCRIBE: NO
150 E HURON #1100
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
76
CHICAGO, IL
CHICAGO, IL
RAMOS, GEMA, MD
GENDER: F
PROVIDER #: 298886
NPI #: 1588978365
E-PRESCRIBE: NO
PMG RUBIO
5322 W FULLERTON
CHICAGO, IL 60639
PHONE: (773) 622-0056
E-PRESCRIBE: NO
RARDIN, SEAN, MD
GENDER: M
PROVIDER #: 222725
NPI #: 1225020076
E-PRESCRIBE: NO
2827 MOMENTUM PLACE
CHICAGO, IL 60689
PHONE: (630) 416-2300
E-PRESCRIBE: NO
REEVES RICHARDSON,
TANYA, MD
GENDER: F
PROVIDER #: 222717
NPI #: 1427106921
E-PRESCRIBE: NO
2827 MOMENTUM PLACE
CHICAGO, IL 60689
PHONE: (630) 416-2300
E-PRESCRIBE: NO
SALVADOR, BERNARD,
MD
GENDER: M
PROVIDER #: 267457
NPI #: 1548426174
E-PRESCRIBE: NO
PMG-LAKEVIEW FAMILY
MEDICINE
3002 N ASHLAND AVE
CHICAGO, IL 60657
PHONE: (773) 244-0441
E-PRESCRIBE: NO
Primary Care Physicians
STEPHENS, LUKE A., MD
GENDER: M
PROVIDER #: 300919
NPI #: 1194987461
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP HALSTED ADN
BLACKHAWK
1460 N HALSTED ST STE 401
CHICAGO, IL 60642
PHONE: (773) 880-0320
E-PRESCRIBE: NO
STRACKS, JOHN S., MD
GENDER: M
PROVIDER #: 278783
NPI #: 1790804136
E-PRESCRIBE: NO
150 E HURON #1100
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
TUASON, MARIA C., MD
GENDER: F
PROVIDER #: 289944
NPI #: 1013919893
E-PRESCRIBE: NO
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
PRESENCE HEALTHCARE
3224 W ARMITAGE
CHICAGO, IL 60647
PHONE:
E-PRESCRIBE: NO
WILLIAMS, HELEN, MD
GENDER: F
PROVIDER #: 300866
NPI #: 1427214931
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP SOUTHEAST
2301 EAST 93RD ST
CHICAGO, IL 60617
PHONE: (773) 731-9898
E-PRESCRIBE: NO
PEDIATRICS
CHANDRA-PURI, ANITA,
MD
GENDER: F
PROVIDER #: 277258
NPI #: 1386690857
E-PRESCRIBE: NO
1460 N HALSTED #502
CHICAGO, IL 60642
PHONE: (312) 926-7337
E-PRESCRIBE: NO
HWAN, PETER H., MD
GENDER: M
PROVIDER #: 278824
NPI #: 1225208218
E-PRESCRIBE: NO
1460 N HALSTED ST #502
CHICAGO, IL 60642
PHONE: (312) 926-7337
E-PRESCRIBE: NO
KARACIC, THERESA L.,
MD
GENDER: F
PROVIDER #: 278789
NPI #: 1538102652
E-PRESCRIBE: NO
1460 N HALSTED ST #502
CHICAGO, IL 60642
PHONE: (312) 926-3627
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
77
Primary Care Physicians
LECHMAN, PETER A., MD
GENDER: M
PROVIDER #: 277497
NPI #: 1972544328
E-PRESCRIBE: NO
1460 N HALSTED ST #502
CHICAGO, IL 60642
PHONE: (312) 926-7337
E-PRESCRIBE: NO
LEVINE, ALLISON K., MD
GENDER: F
PROVIDER #: 278822
NPI #: 1275702128
E-PRESCRIBE: NO
1460 N HALSTED ST #502
CHICAGO, IL 60642
PHONE: (312) 926-7337
E-PRESCRIBE: NO
MARTIN, PAUL C., MD
GENDER: M
PROVIDER #: 278819
NPI #: 1598792699
E-PRESCRIBE: NO
1460 N HALSTED ST #502
CHICAGO, IL 60642
PHONE: (312) 926-7337
E-PRESCRIBE: NO
RAO, ANJALI S., MD
GENDER: F
PROVIDER #: 274346
NPI #: 1194719690
E-PRESCRIBE: NO
1460 N HALSTED ST #502
CHICAGO, IL 60642
PHONE: (312) 926-7337
E-PRESCRIBE: NO
VASSMER, LINDA A.
GENDER:
PROVIDER #: 296262
NPI #: 1427060789
E-PRESCRIBE: NO
AMG AHCC 12
PO BOX 92710
CHICAGO, IL 60675
PHONE:
E-PRESCRIBE: NO
78
CHILLICOTHE, IL
ADULT/INTERNAL
MEDICINE
HOUSER, JOHN W., MD
GENDER: M
PROVIDER #: 071241
NPI #: 1417038852
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
CHICAGO, IL
CHILLICOTHE, IL
FAMILY PRACTICE
REHMAN, AZIZUR, MD
GENDER: M
PROVIDER #: 008403
NPI #: 1336156611
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST MEDICAL
GROUP AT CHILLICOTHE
525 SWEETBRIAR DR
CHILLICOTHE, IL 61523
PHONE: (309) 274-2102
E-PRESCRIBE: NO
PEDIATRICS
NULTY, WILLIAM G., MD
GENDER: M
PROVIDER #: 052671
NPI #: 1639148356
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
78
CHRISMAN, IL
CISSNA PARK, IL
CHRISMAN, IL
FAMILY PRACTICE
SODVADIYA,
JITENDRAKUMAR, MD
GENDER: M
PROVIDER #: 280276
NPI #: 1194010496
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CHRISTOPHER GREATER
AREA RURAL HEALTH
PLANNING C
4241 STATE HWY 14W
CHRISTOPHER, IL 62822
PHONE: (618) 724-2401
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
NANNI, FREDERICA J., MD
GENDER: F
PROVIDER #: 168507
NPI #: 1275570889
E-PRESCRIBE: NO
REA CLINIC
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
PHONE: (618) 724-2401
E-PRESCRIBE: NO
PEDIATRICS
CRISTE, MA CLARAVEL
B., MD
GENDER: F
PROVIDER #: 250140
NPI #: 1245486679
E-PRESCRIBE: NO
REA CLINIC
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
PHONE: (618) 724-2401
E-PRESCRIBE: NO
JAVED, DURRI S., MD
GENDER: F
PROVIDER #: 027659
NPI #: 1275510604
E-PRESCRIBE: NO
REA CLINIC
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
PHONE: (618) 724-2401
SALMO, PATRICIA M., PA-C;
PROVIDER #: 073743
E-PRESCRIBE: NO
CISSNA PARK, IL
ADULT/INTERNAL
MEDICINE
DODIA, NARAN P., MD
GENDER: M
PROVIDER #: 079271
NPI #: 1154401974
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL DBA
CISSNA P
141 WEST GARFIELD AVE
CISSNA PARK, IL 60924
PHONE: (815) 457-2146
E-PRESCRIBE: YES
COLBERT, JAY R., DO
GENDER: M
PROVIDER #: 132466
NPI #: 1437379021
E-PRESCRIBE: NO
CISSNA PARK MEDICAL
CLINIC
141 W GARFIELD AVE
CISSNA PARK, IL 60924
PHONE: (815) 457-2146
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
79
CLIFTON, IL
CLINTON, IL
Primary Care Physicians
CLIFTON, IL
CLINTON, IA
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
MOPARTHI, VENKATA,
MD
GENDER: M
PROVIDER #: 099434
NPI #: 1699797548
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
335 E SIXTH AVE
CLIFTON, IL 60927
PHONE: (815) 694-2044
E-PRESCRIBE: NO
HERNDON, ERIN K., MD
GENDER: F
PROVIDER #: 269138
NPI #: 1942294483
E-PRESCRIBE: NO
GENESIS HEALTH SYSTEM
221 MAIN AVE
CLINTON, IA 52732
PHONE: (563) 242-7522
E-PRESCRIBE: NO
OMOTOSHO, WURAOLA I.,
MD
GENDER: F
PROVIDER #: 184428
NPI #: 1427222884
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
335 E SIXTH AVE
CLIFTON, IL 60927
PHONE: (815) 694-2044
VEASEY, REBECCA E., PA-C;
PROVIDER #: 102478
E-PRESCRIBE: NO
80
JERGENSON, DOUGLAS
J., MD
GENDER: M
PROVIDER #: 241855
NPI #: 1689678344
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
108 S FOURTH ST
CLINTON, IA 52732
PHONE: (563) 241-1239
E-PRESCRIBE: NO
ROBINSON, RANDY R., MD
GENDER: M
PROVIDER #: 018396
NPI #: 1497736326
E-PRESCRIBE: YES
2027 S 21ST ST
CLINTON, IA 52732
PHONE: (563) 243-7200
E-PRESCRIBE: YES
SMITH, DENICE, MD
GENDER: F
PROVIDER #: 242439
NPI #: 1134171085
E-PRESCRIBE: YES
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 #: 200790
NPI #: 1619950060
E-PRESCRIBE: NO
CLINTON INTERNAL
MEDICINE LLC
40 CLINTON PLAZA
CLINTON, IL 61727
PHONE: (217) 935-7600
POWERS, DANNA E., FNP;
PROVIDER #: 200793
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
80
CLINTON, IL
CLIVE, IA
WILLIAMS, BRIT M., MD
GENDER: M
PROVIDER #: 140841
NPI #: 1780667816
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
RURAL HEALTH CENTER
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 937-5284
E-PRESCRIBE: NO
Primary Care Physicians
CLINTON, KY
ADULT/INTERNAL
MEDICINE
SMITH, WILLIAM, MD
GENDER: M
PROVIDER #: 297268
NPI #: 1134131907
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
308 S WASHINGTON ST
CLINTON, KY 42031-1347
PHONE: (270) 653-0220
E-PRESCRIBE: NO
CLIVE, IA
ADOLESCENT MEDICINE
STIER, AMY C., MD
GENDER: F
PROVIDER #: 131907
NPI #: 1447290770
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ABUSHAHIN, LAITH I., MD
GENDER: M
PROVIDER #: 254227
NPI #: 1326288564
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
CLIVE, IA
CLIVE, IA
ARE, CHAITANYA, MD
GENDER: M
PROVIDER #: 201043
NPI #: 1912173766
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
82
DANIEL, BRIAN P., MD
GENDER: M
PROVIDER #: 130362
NPI #: 1609864271
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
82
CLIVE, IA
CLIVE, IA
Primary Care Physicians
DAVIS, REBECCA S., MD
GENDER: F
PROVIDER #: 144084
NPI #: 1508823105
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
EL ABIAD, RAMI G., MD
GENDER: M
PROVIDER #: 165712
NPI #: 1003025032
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
GOERDT, CHRISTOPHER
J., MD
GENDER: M
PROVIDER #: 130937
NPI #: 1548258163
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
IM, KYOUNG B., MD
GENDER: M
PROVIDER #: 182987
NPI #: 1316156193
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
84
KALDIJIAN, LAURIS C.,
MD
GENDER: M
PROVIDER #: 130116
NPI #: 1790772051
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CLIVE, IA
CLIVE, IA
KWOFIE, MICHAEL A., MD
GENDER: M
PROVIDER #: 201126
NPI #: 1669633608
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
LEON-FERRE, ROBERTO
A., MD
GENDER: M
PROVIDER #: 249719
NPI #: 1427361377
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
84
CLIVE, IA
CLIVE, IA
NASSAR, BOULOS S., MD
GENDER: M
PROVIDER #: 201026
NPI #: 1043420730
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
NISLY, NICOLE L., MD
GENDER: F
PROVIDER #: 130629
NPI #: 1659354959
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
Primary Care Physicians
ROSENTHAL, GARY E.,
MD
GENDER: M
PROVIDER #: 130901
NPI #: 1679555056
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
SCHMID, PHILLIP G., MD
GENDER: M
PROVIDER #: 155227
NPI #: 1477538767
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
CLIVE, IA
CLIVE, IA
SMITH, ZACHARY E., MD
GENDER: M
PROVIDER #: 300926
NPI #: 1780944074
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
WESTERMANN, SHAWNA
J., MD
GENDER: F
PROVIDER #: 131792
NPI #: 1114909413
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
THROWER, ABBY R., MD
GENDER: F
PROVIDER #: 156468
NPI #: 1821073594
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
86
VELUR, SATHVIKA, MD
GENDER: F
PROVIDER #: 222349
NPI #: 1932339413
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
86
CLIVE, IA
CLIVE, IA
FAMILY PRACTICE
ABERNATHY, MABRA G.,
MD
GENDER: M
PROVIDER #: 182877
NPI #: 1316922545
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
BANU, HUSSAIN, MD
GENDER: F
PROVIDER #: 184211
NPI #: 1063622637
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
Primary Care Physicians
BUTLER, NICHOLAS R.,
MD
GENDER: M
PROVIDER #: 253408
NPI #: 1427285071
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CHACKALACKAL,
REBECCA G., MD
GENDER: F
PROVIDER #: 178794
NPI #: 1609863323
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
CONNETT, MEGHAN A.,
MD
GENDER: F
PROVIDER #: 254804
NPI #: 1215258538
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
ENDRES, JILL E., MD
GENDER: F
PROVIDER #: 144317
NPI #: 1356338610
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
87
Primary Care Physicians
CLIVE, IA
CLIVE, IA
FICK, DANIEL S., MD
GENDER: M
PROVIDER #: 130259
NPI #: 1457347049
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
JOHNSON, JENNIFER A.,
MD
GENDER: F
PROVIDER #: 256233
NPI #: 1699744045
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
MARTINEZ, DENISE A.,
MD
GENDER: F
PROVIDER #: 203311
NPI #: 1013171891
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
88
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
88
CLIVE, IA
CLIVE, IA
SAUNDERS, KATHARINE
J., MD
GENDER:
PROVIDER #: 131937
NPI #: 1932188380
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
THOMA, KATE D., MD
GENDER: F
PROVIDER #: 151445
NPI #: 1134338965
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
Primary Care Physicians
WILBUR, JASON K., MD
GENDER: M
PROVIDER #: 131800
NPI #: 1265428858
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
GENERAL PRACTICE
FORBES, LANCE P., MD
GENDER: M
PROVIDER #: 130272
NPI #: 1699751073
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
PEDIATRICS
BENSON, REBECCA J., MD
GENDER: F
PROVIDER #: 182686
NPI #: 1023213030
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
BOUTROS, RAMI A., MD
GENDER: M
PROVIDER #: 203057
NPI #: 1063477024
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
89
Primary Care Physicians
D'ALESSANDRO, DONNA
M., MD
GENDER: F
PROVIDER #: 130360
NPI #: 1396730248
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
DUNGY, CLAIBOURNE I.,
MD
GENDER: M
PROVIDER #: 130401
NPI #: 1992782585
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
90
CLIVE, IA
CLIVE, IA
KAMATH, APARNA S., MD
GENDER: F
PROVIDER #: 161312
NPI #: 1275735805
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
LINK, ELLEN A., MD
GENDER: F
PROVIDER #: 131227
NPI #: 1114913878
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
90
CLIVE, IA
COAL CITY, IL
Primary Care Physicians
MURPH, JODY R., MD
GENDER: F
PROVIDER #: 131450
NPI #: 1851381560
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
PRICE, NATHAN B., MD
GENDER: M
PROVIDER #: 254202
NPI #: 1275709586
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
WALDRON, DEBRA B., MD
GENDER: F
PROVIDER #: 152920
NPI #: 1215932074
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
DRURY, MARY M., ARNP;
PROVIDER #: 192642
E-PRESCRIBE: NO
ORAL, RESMIYE, MD
GENDER: F
PROVIDER #: 130660
NPI #: 1417944521
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI WORK INJ REC CTR DES
MOINES
1601 NW 114TH ST
CLIVE, IA 50325
PHONE:
E-PRESCRIBE: NO
COAL CITY, IL
ADULT/INTERNAL
MEDICINE
ANALYTIS, SPYRO D., MD
GENDER: M
PROVIDER #: 020444
NPI #: 1407953441
E-PRESCRIBE: NO
460 N BROADWAY ST
COAL CITY, IL 60416
PHONE: (815) 634-4099
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
91
Primary Care Physicians
DEEPANKAR, RAHUL, MD
GENDER: M
PROVIDER #: 194329
NPI #: 1376503045
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
CENTER OF COAL CITY
5775 EAST STATE ROUTE 113
COAL CITY, IL 60416
PHONE: (815) 634-0100
E-PRESCRIBE: NO
KAO, COLIN, DO
GENDER: M
PROVIDER #: 280871
NPI #: 1023129897
E-PRESCRIBE: YES
RIVERSIDE HEALTH
SYSTEMS
5775 E STATE HWY 113
COAL CITY, IL 60416
PHONE: (815) 634-0100
E-PRESCRIBE: YES
KHAN, AFTAB, MD
GENDER: M
PROVIDER #: 207554
NPI #: 1720073729
E-PRESCRIBE: NO
LIBERTY MEDICAL CENTER
4 E NORTH ST
COAL CITY, IL 60416
PHONE: (815) 942-8080
E-PRESCRIBE: NO
SAFDAR, SAIMA, MD
GENDER: F
PROVIDER #: 208669
NPI #: 1336449214
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
KUCINSKI MEDICAL LTD
400 N BROADWAY ST
COAL CITY, IL 60416
PHONE: (815) 634-8030
E-PRESCRIBE: NO
FAMILY PRACTICE
JURAK, DANIEL M., DO
GENDER: M
PROVIDER #: 020496
NPI #: 1912919259
E-PRESCRIBE: NO
FAMILY PHYSICIANS OF
COAL CITY
935 E DIVISION ST
COAL CITY, IL 60416
PHONE: (815) 634-8447
E-PRESCRIBE: NO
92
COAL VALLEY, IL
FAMILY PRACTICE
WANG, PAUL, MD
GENDER: M
PROVIDER #: 060636
NPI #: 1508839481
E-PRESCRIBE: YES
COAL VALLEY CLINIC
104 W 18TH AVE
COAL VALLEY, IL 61240
PHONE: (309) 799-7518
E-PRESCRIBE: YES
COAL CITY, IL
COLLINSVILLE, IL
COLFAX, IL
ADULT/INTERNAL
MEDICINE
DEOSKAR, UDAY L., MD
GENDER: M
PROVIDER #: 070445
NPI #: 1386733145
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
101 ST LOUIS ROAD
COLLINSVILLE, IL 62234
PHONE: (618) 346-1144
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
92
COLONA, IL
CORALVILLE, IA
COLONA, IL
FAMILY PRACTICE
FORD, DONALD, MD
GENDER: M
PROVIDER #: 054544
NPI #: 1053398933
E-PRESCRIBE: NO
COLONA CLINIC
1604 CLEVELAND RD
COLONA, IL 61241
PHONE: (309) 796-2999
E-PRESCRIBE: NO
CORALVILLE, IA
ADOLESCENT MEDICINE
STIER, AMY C., MD
GENDER: F
PROVIDER #: 131907
NPI #: 1447290770
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
Primary Care Physicians
BIEBER, DALE E., MD
GENDER: M
PROVIDER #: 144048
NPI #: 1265457519
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
DAVIS, REBECCA S., MD
GENDER: F
PROVIDER #: 144084
NPI #: 1508823105
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
CYR, JESSICA E., MD
GENDER: F
PROVIDER #: 249622
NPI #: 1245559376
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTH CARE
105 E 9TH ST
CORALVILLE, IA 52241
PHONE: (855) 467-3700
E-PRESCRIBE: NO
DIRKSEN, RACHAEL R.,
MD
GENDER: F
PROVIDER #: 225813
NPI #: 1386886257
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
DANIELSON, SAMANTHA
J., MD
GENDER: F
PROVIDER #: 249615
NPI #: 1891014122
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTH CARE
105 E 9TH ST
CORALVILLE, IA 52241
PHONE: (855) 467-3700
E-PRESCRIBE: NO
EL ABIAD, RAMI G., MD
GENDER: M
PROVIDER #: 165712
NPI #: 1003025032
E-PRESCRIBE: NO
IOWA RIVER LANDING-UIHC
105 E 9TH ST
CORALVILLE, IA 52241
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
GOERDT, CHRISTOPHER
J., MD
GENDER: M
PROVIDER #: 130937
NPI #: 1548258163
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
HEGEMAN, ROBERT J.,
MD
GENDER: M
PROVIDER #: 184670
NPI #: 1508808684
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
IOWA RIVER LANDING GENERAL INTERNAL
MEDICINE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
94
LEON-FERRE, ROBERTO
A., MD
GENDER: M
PROVIDER #: 249719
NPI #: 1427361377
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVE
105 E 9TH ST
CORALVILLE, IA 52241
PHONE: (855) 467-3700
E-PRESCRIBE: NO
NISLY, NICOLE L., MD
GENDER: F
PROVIDER #: 130629
NPI #: 1659354959
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
FAMILY PRACTICE
BUCHKINA, JULIE R., MD
GENDER: F
PROVIDER #: 224834
NPI #: 1790939288
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI QUICK CARE
CORALVILLE
2510 CORRIDOR WAY SUITE
6A
CORALVILLE, IA 52241-7604
PHONE: (319) 384-8500
E-PRESCRIBE: NO
FARRELL, ANGELA T., MD
GENDER: F
PROVIDER #: 257961
NPI #: 1871814194
E-PRESCRIBE: NO
UI QUICK CARECORALVILLE
2510 CORRIDOR WAY SUITE
6A
CORALVILLE, IA 52241
PHONE: (319) 337-7642
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
94
CORALVILLE, IA
CORALVILLE, IA
HAYDEN, KIMBERLY A.,
MD
GENDER: F
PROVIDER #: 172822
NPI #: 1740255736
E-PRESCRIBE: NO
2769 HEARTLAND DR SUITE
205
CORALVILLE, IA 52241-2732
PHONE: (319) 688-7400
E-PRESCRIBE: NO
PEDIATRICS
BEHUNIN, KATIE J B., DO
GENDER: F
PROVIDER #: 290217
NPI #: 1265725774
E-PRESCRIBE: NO
IOWA RIVER LANDINGPEDIATRICS
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
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
Primary Care Physicians
BOUTROS, RAMI A., MD
GENDER: M
PROVIDER #: 203057
NPI #: 1063477024
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
CHRISTENSEN, LORI A.,
MD
GENDER: F
PROVIDER #: 130329
NPI #: 1639165285
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
FISHBANE-GORDON,
MEREDITH L., MD
GENDER: F
PROVIDER #: 288985
NPI #: 1417165614
E-PRESCRIBE: NO
IOWA RIVER LANDINGPEDIATRICS
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.
95
Primary Care Physicians
LAREW, MARY S., MD
GENDER: F
PROVIDER #: 130686
NPI #: 1376539601
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
96
CORALVILLE, IA
CORALVILLE, IA
OETTING, MARGUERITE
H., MD
GENDER: F
PROVIDER #: 144852
NPI #: 1073529384
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
96
CORALVILLE, IA
CREST HILL, IL
SULLIVAN, SHANNON J.,
MD
GENDER: F
PROVIDER #: 131922
NPI #: 1093702755
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
IOWA RIVER LANDINGUNIVERSITY OF IOWA
HEALTHCARE
105 E 9TH ST
CORALVILLE, IA 52241-2209
PHONE: (855) 467-3700
E-PRESCRIBE: NO
COULTERVILLE, IL
FAMILY PRACTICE
BECKEMEYER, SHAWN,
MD
GENDER: F
PROVIDER #: 048692
NPI #: 1023075264
E-PRESCRIBE: NO
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
Primary Care Physicians
JAMES JR, FRANKLIN, MD
GENDER: M
PROVIDER #: 063400
NPI #: 1659338713
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
COULTERVILLE MEDICAL
CLINIC
803 E GRAND
COULTERVILLE, IL 62237
PHONE: (618) 758-2331
E-PRESCRIBE: YES
COVINGTON, IN
ADULT/INTERNAL
MEDICINE
MALHOTRA, BIKRAMJIT,
MD
GENDER: M
PROVIDER #: 040585
NPI #: 1942243472
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ALLIANCE HEALTH
2208 WEBER RD UNIT A
CREST HILL, IL 60403
PHONE: (815) 741-7590
E-PRESCRIBE: NO
PETHKAR, SANJAY, MD
GENDER: M
PROVIDER #: 041167
NPI #: 1134181829
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
3100 N THEODORE ST
CREST HILL, IL 60435
PHONE: (815) 725-3454
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
97
Primary Care Physicians
KANTAR, MOUHANNAD,
MD
GENDER: M
PROVIDER #: 221789
NPI #: 1710127576
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
301 N MADISON ST SUITE 120
CREST HILL, IL 60435
PHONE: (815) 725-0007
E-PRESCRIBE: NO
STAMPLEY, ANDREA G.,
MD
GENDER: F
PROVIDER #: 138996
NPI #: 1225102148
E-PRESCRIBE: NO
2224 WEBER RD
CREST HILL, IL 60403
PHONE: (815) 725-1600
E-PRESCRIBE: NO
98
CREVE COEUR, IL
FAMILY PRACTICE
BRUNE, DANIEL H., MD
GENDER: M
PROVIDER #: 010785
NPI #: 1982896551
E-PRESCRIBE: NO
CREVE COEUR FAMILY
PHYSICIANS
120 WAGNER DR
CREVE COEUR, IL 61610
PHONE: (309) 699-6921
E-PRESCRIBE: NO
CRYSTAL LAKE, IL
FAMILY PRACTICE
BORCHARDT, ROBIN F.,
MD
GENDER: M
PROVIDER #: 221618
NPI #: 1992734297
E-PRESCRIBE: NO
ROCKFORD ORTHOPEDIC
ASSOCIATES
750 E TERRA COTTA AVE
STE C
CRYSTAL LAKE, IL 60014
PHONE: (815) 455-0800
E-PRESCRIBE: NO
CREST HILL, IL
CULLOM, IL
CULLOM, IL
ADULT/INTERNAL
MEDICINE
PATEL, MUKESH V., MD
GENDER:
PROVIDER #: 119833
NPI #: 1780602946
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
98
DANVILLE, IL
DANVILLE, IL
DANVILLE, IL
ADULT/INTERNAL
MEDICINE
CAILLOUET, LYNETTE S.,
MD
GENDER: F
PROVIDER #: 268996
NPI #: 1871680199
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4748
JOHNSON, ERICA M., FNP;
PROVIDER #: 144619
E-PRESCRIBE: NO
Primary Care Physicians
MUSHTAQ, MUHAMMAD,
MD
GENDER: M
PROVIDER #: 001411
NPI #: 1851460380
E-PRESCRIBE: NO
701 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-1100
E-PRESCRIBE: NO
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 446-6410
E-PRESCRIBE: NO
PARUCHURI, SURENDRA
P., MD
GENDER:
PROVIDER #: 050050
NPI #: 1902847437
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 446-6410
E-PRESCRIBE: NO
FAMILY PRACTICE
BERG, SUSAN A., MD
GENDER: F
PROVIDER #: 255845
NPI #: 1043219736
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7850
OSAZE, EBUN, PA; PROVIDER
#: 072109
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
99
Primary Care Physicians
BROADERS, KAREN, MD
GENDER: F
PROVIDER #: 266685
NPI #: 1699703777
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
2300 N VERMILION AVE
DANVILLE, IL 61832
PHONE: (217) 431-7650
E-PRESCRIBE: YES
GINDI, GEORGE R., MD
GENDER: M
PROVIDER #: 015566
NPI #: 1477503472
E-PRESCRIBE: NO
FAMILY PRACTICE
MEDICAL CENTER LTD
511 W FAIRCHILD
DANVILLE, IL 61832
PHONE: (217) 431-2025
E-PRESCRIBE: NO
GINDI, MARY Y., MD
GENDER: F
PROVIDER #: 060657
NPI #: 1417907031
E-PRESCRIBE: NO
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
100
HORNER, TIMOTHY, MD
GENDER: M
PROVIDER #: 121759
NPI #: 1336246800
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CHRISTIE CLINIC
3545 N VERMILLION
DANVILLE, IL 61832
PHONE: (217) 442-8611
E-PRESCRIBE: YES
MANTELL, SUSAN, MD
GENDER: F
PROVIDER #: 256909
NPI #: 1881651461
E-PRESCRIBE: NO
HELPING HANDS MEDICAL
CLINIC
1017 W WILLIAMS ST
DANVILLE, IL 61832
PHONE: (217) 516-8617
E-PRESCRIBE: NO
MARGANSKI, TERESA M.,
MD
GENDER: F
PROVIDER #: 000662
NPI #: 1346261146
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
KANESHIRO, ALISON G., NP;
PROVIDER #: 204237
E-PRESCRIBE: YES
DANVILLE, IL
DANVILLE, IL
MENEELY, TIMOTHY, DO
GENDER: M
PROVIDER #: 262214
NPI #: 1629178181
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
311 W FAIRCHILD
DANVILLE, IL 61832
PHONE: (217) 477-0240
E-PRESCRIBE: YES
MOHAMMED, ASLAM, MD
GENDER:
PROVIDER #: 275476
NPI #: 1205156940
E-PRESCRIBE: YES
CARLE DANVILLE ON
FAIRCHILD
311 W FAIRCHILD
DANVILLE, IL 61832
PHONE: (217) 431-7600
E-PRESCRIBE: YES
MONTGOMERY,
VERNESHA, MD
GENDER: F
PROVIDER #: 274466
NPI #: 1902048234
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CHRISTIE CLINIC
405 N SHERIDAN ST
DANVILLE, IL 61832
PHONE: (217) 431-6330
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
100
DANVILLE, IL
DANVILLE, IL
PETERS, ELEANOR K., MD
GENDER: F
PROVIDER #: 102482
NPI #: 1942217542
E-PRESCRIBE: YES
CHRISTIE CLINIC
3545 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 442-8611
MARTIN, JOLENA, PA-C;
PROVIDER #: 120059
E-PRESCRIBE: YES
RANA, JATIN M., MD
GENDER: M
PROVIDER #: 272563
NPI #: 1952693798
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
733 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 442-3268
E-PRESCRIBE: NO
SADIQ, NAVEED I., MD
GENDER: M
PROVIDER #: 181481
NPI #: 1821064213
E-PRESCRIBE: NO
DANVILLE POLYCLINIC LTD
735 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 443-9100
E-PRESCRIBE: NO
Primary Care Physicians
SADIQ, RAJA ADNAN, MD
GENDER: M
PROVIDER #: 181467
NPI #: 1255488896
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
101
Primary Care Physicians
HOWARD, MONIQUE M.,
MD
GENDER: F
PROVIDER #: 237881
NPI #: 1346243326
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
737 NORTH LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 442-0433
E-PRESCRIBE: NO
REDDY, PADMASHREE,
MD
GENDER: F
PROVIDER #: 007229
NPI #: 1912948282
E-PRESCRIBE: NO
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4716
E-PRESCRIBE: NO
102
DAVENPORT, IA
ADULT/INTERNAL
MEDICINE
AL-SHEIKHA, MOUHAMED
W., MD
GENDER: M
PROVIDER #: 065366
NPI #: 1063418374
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
OUTREACH
303 WEST 6TH STREET
DAVENPORT, IA 52803
PHONE: (563) 322-8890
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
E-PRESCRIBE: NO
DANVILLE, IL
DAVENPORT, IA
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
COMMUNITY HEALTH CARE
WEST DAVENPORT
4205 NORTH FAIRMOUNT
STREET
DAVENPORT, IA 52806
PHONE: (563) 336-3000
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
E-PRESCRIBE: NO
HASSAN, SYED, MD
GENDER: M
PROVIDER #: 104474
NPI #: 1104810886
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
OUTREACH
303 WEST 6TH STREET
DAVENPORT, IA 52803
PHONE: (563) 322-8890
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
102
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
COMMUNITY HEALTH CARE
WEST DAVENPORT
4205 NORTH FAIRMOUNT
STREET
DAVENPORT, IA 52806
PHONE: (563) 336-3000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
JAEGLE, DEBRA M., MD
GENDER: F
PROVIDER #: 068088
NPI #: 1780684100
E-PRESCRIBE: YES
QUAD CITIES INTERNAL
MEDICINE PC
3509 SPRING ST SUITE 3
DAVENPORT, IA 52807
PHONE: (563) 359-5011
E-PRESCRIBE: YES
Primary Care Physicians
KOLLA, RADHIKA N., MD
GENDER: F
PROVIDER #: 050363
NPI #: 1598744096
E-PRESCRIBE: NO
GREAT RIVER MEDICAL
GROUP
4626 PROGRESS DR SUITE C
DAVENPORT, IA 52807
PHONE: (563) 441-9100
E-PRESCRIBE: NO
KOPP, LISA A., DO
GENDER: F
PROVIDER #: 061419
NPI #: 1821077322
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
MOTTO, EDWIN, MD
GENDER: M
PROVIDER #: 127392
NPI #: 1699774455
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
103
Primary Care Physicians
COMMUNITY HEALTH CARE
VIROLOGY
1351 W CENTRAL PARK
SUITE 360
DAVENPORT, IA 52801
PHONE: (563) 421-4244
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
WEST DAVENPORT
4205 N FAIRMOUNT ST
DAVENPORT, IA 52806
PHONE: (563) 336-3000
E-PRESCRIBE: NO
SATTI, VINAY V., MD
GENDER: M
PROVIDER #: 170479
NPI #: 1629099726
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
OUTREACH
303 WEST 6TH STREET
DAVENPORT, IA 52803
PHONE: (563) 322-8890
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
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
104
COMMUNITY HEALTH CARE
WEST DAVENPORT
4205 NORTH FAIRMOUNT
STREET
DAVENPORT, IA 52806
PHONE: (563) 336-3000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
SHAH, SAYED, MD
GENDER: M
PROVIDER #: 283052
NPI #: 1255327425
E-PRESCRIBE: NO
SHAH MEDICAL
CONSULTING
2206 E 52ND ST SUITE A
DAVENPORT, IA 52807
PHONE: (563) 355-7411
E-PRESCRIBE: NO
SNYDER, THOMAS J., DO
GENDER: M
PROVIDER #: 180804
NPI #: 1912985532
E-PRESCRIBE: NO
TRINITY BETTENDORF
INTERNAL MEDICINE
4626 PROGRESS DR SUITE A
DAVENPORT, IA 52806
PHONE: (563) 386-0850
E-PRESCRIBE: NO
TONG, THEN, MD
GENDER:
PROVIDER #: 260818
NPI #: 1447578992
E-PRESCRIBE: YES
UNITYPOINT CLINIC
FAMILY MEDICINE AT
DEXTER COURT
3385 DEXTER CT BLDG 3
SUITE 103
DAVENPORT, IA 52807
PHONE: (563) 441-5860
E-PRESCRIBE: YES
DAVENPORT, IA
DAVENPORT, IA
FAMILY PRACTICE
AANESTAD, JENNIFER,
MD
GENDER: F
PROVIDER #: 260817
NPI #: 1386649341
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1345 W CENTRAL PARK
DAVENPORT, IA 52804
PHONE: (563) 421-4400
GILMORE, JAYNE E., CFNP;
PROVIDER #: 201318
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
104
DAVENPORT, IA
DAVENPORT, IA
ANDERSON, GARY A., DO
GENDER: M
PROVIDER #: 034792
NPI #: 1205831120
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
210 W 53RD ST
DAVENPORT, IA 52807
PHONE: (563) 386-3436
CONARD, SHARON S., ARNP;
PROVIDER #: 063232
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
CONVENIENT CARE CLINICS
1520 W 53RD STREET
DAVENPORT, IA 52806
PHONE: (563) 421-3800
E-PRESCRIBE: NO
ANDRESEN, ANDREW A.,
MD
GENDER: M
PROVIDER #: 084960
NPI #: 1396740361
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
DAVENPORT CLINIC PC
1820 W 3RD ST
DAVENPORT, IA 52802
PHONE: (563) 326-1661
E-PRESCRIBE: YES
Primary Care Physicians
BENOIT, GENA L., MD
GENDER: F
PROVIDER #: 077432
NPI #: 1730184003
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
BUNTING, DEAN A., MD
GENDER: M
PROVIDER #: 085513
NPI #: 1134170137
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
UNITYPOINT CLINICFAMILY MEDICINE
EASTERN AVE
5359 EASTERN AVE
DAVENPORT, IA 52807
PHONE: (563) 742-5900
E-PRESCRIBE: YES
CARDOTT, RANDEL, MD
GENDER: M
PROVIDER #: 023629
NPI #: 1295704674
E-PRESCRIBE: NO
GENESIS CONVENIENT
CARE
210 W 53RD ST
DAVENPORT, IA 52803
PHONE: (563) 421-3700
E-PRESCRIBE: NO
BONNETT, VALERIE L.,
MD
GENDER: F
PROVIDER #: 054301
NPI #: 1023097912
E-PRESCRIBE: NO
FAMILY MEDICAL CENTER
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52807
PHONE: (563) 421-4400
E-PRESCRIBE: NO
BOONE, CHRISTOPHER
R., MD
GENDER: M
PROVIDER #: 276225
NPI #: 1225324361
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
CONVENIENT CARE
1520 W 53RD ST SUITE 2
DAVENPORT, IA 52806
PHONE: (563) 421-3800
E-PRESCRIBE: NO
CLAUDY, FRANK R., MD
GENDER: M
PROVIDER #: 163036
NPI #: 1255343364
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
FAMILY MEDICAL CENTER
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1520 W 53RD ST SUITE 1
DAVENPORT, IA 52806
PHONE: (563) 421-4900
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
105
Primary Care Physicians
DAVIS, JASON G., DO
GENDER: M
PROVIDER #: 085500
NPI #: 1588662050
E-PRESCRIBE: NO
QUAD CITIES FAMILY
PHYSICIANS
3940 MARQUETTE ST
DAVENPORT, IA 52806
PHONE: (563) 386-3111
E-PRESCRIBE: NO
500 W RIVER DR
DAVENPORT, IA 52801
PHONE: (563) 336-3000
E-PRESCRIBE: YES
DAVIS, ROCHELLE R., DO
GENDER: F
PROVIDER #: 085498
NPI #: 1851399323
E-PRESCRIBE: NO
QUAD CITIES FAMILY
PHYSICIANS
3940 MARQUETTE ST
DAVENPORT, IA 52806
PHONE: (563) 386-3111
E-PRESCRIBE: NO
ELMENDORF, CHARLES
F., DO
GENDER: M
PROVIDER #: 058545
NPI #: 1023046331
E-PRESCRIBE: NO
UNITYPOINT FAMILY
MEDICINE AT SPRING ST
3411 SPRING ST
DAVENPORT, IA 52807
PHONE: (563) 359-4200
E-PRESCRIBE: NO
HAJI-ABDIRAHMAN,
HASSAN, MD
GENDER: M
PROVIDER #: 227583
NPI #: 1972735785
E-PRESCRIBE: YES
COMMUNITY HEALTH CARE
4205 N FAIRMONT ST
DAVENPORT, IA 52806
PHONE: (563) 343-9095
E-PRESCRIBE: YES
106
HARKER, SHEENA L., DO
GENDER: F
PROVIDER #: 275301
NPI #: 1447544580
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
CONVENIENT CARE
1520 W 53RD ST STE 2
DAVENPORT, IA 52806
PHONE: (563) 421-3800
E-PRESCRIBE: NO
HARTMANN, PAUL R., MD
GENDER: M
PROVIDER #: 077674
NPI #: 1508861055
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1520 W 53RD ST SUITE 1
DAVENPORT, IA 52806
PHONE: (563) 421-4900
E-PRESCRIBE: NO
HUETTMAN JR, PACKY
A., DO
GENDER: M
PROVIDER #: 066152
NPI #: 1831194307
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1520 W 53RD SUITE 1
DAVENPORT, IA 52806
PHONE: (563) 421-4900
E-PRESCRIBE: NO
HULL, MARK A., MD
GENDER: M
PROVIDER #: 034800
NPI #: 1275538746
E-PRESCRIBE: NO
GENESIS FAMILY MEDICAL
CENTER
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
DAVENPORT, IA
DAVENPORT, IA
JOHNSON, BRADLEY W.,
DO
GENDER: M
PROVIDER #: 233723
NPI #: 1134116684
E-PRESCRIBE: NO
GENESIS HEALTH SYSTEM
1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
PHONE: (563) 421-1288
E-PRESCRIBE: NO
KELLY, MICHAEL J., MD
GENDER: M
PROVIDER #: 191883
NPI #: 1396766937
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
COMMUNITY HEALTH CARE
4205 N FAIRMOUNT ST
DAVENPORT, IA 52806
PHONE: (563) 343-9095
E-PRESCRIBE: YES
500 W RIVER DR
DAVENPORT, IA 52801
PHONE: (563) 336-3000
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
106
DAVENPORT, IA
DAVENPORT, IA
LASS, RENEE, DO
GENDER: F
PROVIDER #: 111459
NPI #: 1174584445
E-PRESCRIBE: NO
RENEE LASS DO
4626 PROGRESS DR STE B
DAVENPORT, IA 52807
PHONE: (563) 359-3736
E-PRESCRIBE: NO
LOCASCIO, ALEXANDER,
DO
GENDER: M
PROVIDER #: 080442
NPI #: 1568468007
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
210 W 53RD ST
DAVENPORT, IA 52806
PHONE: (563) 386-6430
E-PRESCRIBE: NO
LYONS, THOMAS E., MD
GENDER: M
PROVIDER #: 072382
NPI #: 1952307407
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1520 W 53RD ST SUITE 1
DAVENPORT, IA 52806
PHONE: (563) 421-4900
E-PRESCRIBE: NO
MCCABE, WILLIAM C., MD
GENDER: M
PROVIDER #: 124937
NPI #: 1730157322
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1520 W 53RD ST SUITE 2
DAVENPORT, IA 52806
PHONE: (563) 421-3800
E-PRESCRIBE: NO
Primary Care Physicians
MCLAUGHLIN, CHRISTA
S., MD
GENDER: F
PROVIDER #: 077458
NPI #: 1780680272
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3618 N DIVISION ST
DAVENPORT, IA 52806
PHONE: (563) 391-4827
GILMORE, JAYNE E., CFNP;
PROVIDER #: 201318
E-PRESCRIBE: NO
MENGANG, JOELLE M.,
MD
GENDER: F
PROVIDER #: 254678
NPI #: 1629389184
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
INC
303 W 6TH ST
DAVENPORT, IA 52803-5101
PHONE: (563) 322-8890
E-PRESCRIBE: NO
500 W RIVER DR
DAVENPORT, IA 52801
PHONE: (563) 336-3000
E-PRESCRIBE: NO
MILLER, HAROLD W., MD
GENDER: M
PROVIDER #: 034791
NPI #: 1417953563
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
210 W 53RD ST
DAVENPORT, IA 52806
PHONE: (563) 386-3240
CONARD, SHARON S., ARNP;
PROVIDER #: 063232
E-PRESCRIBE: NO
MILLER, JOANNE M., MD
GENDER: F
PROVIDER #: 052081
NPI #: 1093777518
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
107
Primary Care Physicians
MOTTO, AMANDA M., DO
GENDER: F
PROVIDER #: 166163
NPI #: 1578705653
E-PRESCRIBE: YES
UNITYPOINT CLINICFAMILY MEDICINE
EASTERN AVE
5359 EASTERN AVE
DAVENPORT, IA 52807
PHONE: (563) 742-5900
E-PRESCRIBE: YES
PATTON, JOHN J., MD
GENDER: M
PROVIDER #: 067501
NPI #: 1982600912
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3618 N DIVISION ST
DAVENPORT, IA 52806
PHONE: (563) 391-4827
GILMORE, JAYNE E., CFNP;
PROVIDER #: 201318
E-PRESCRIBE: NO
PERSSON, MICHAEL C.,
MD
GENDER: M
PROVIDER #: 143732
NPI #: 1356485775
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3618 N DIVISION ST
DAVENPORT, IA 52806
PHONE: (563) 391-4827
E-PRESCRIBE: NO
RAMSEY, WARNE, MD
GENDER: M
PROVIDER #: 022977
NPI #: 1497734321
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
210 W 53RD ST
DAVENPORT, IA 52806
PHONE: (563) 386-1607
E-PRESCRIBE: NO
108
ROBERTS, STANLEY K.,
DO
GENDER: M
PROVIDER #: 034794
NPI #: 1972509107
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
210 W 53RD ST
DAVENPORT, IA 52806
PHONE: (563) 386-1607
CONARD, SHARON S., ARNP;
PROVIDER #: 063232
E-PRESCRIBE: NO
SALOWITZ, STACIE L., MD
GENDER: F
PROVIDER #: 286526
NPI #: 1639462443
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
CONVENIENT CARE
1520 W 53RD ST SUITE 2
DAVENPORT, IA 52806
PHONE: (563) 421-3800
E-PRESCRIBE: NO
SCHIERBROCK,
CATHERINE L., MD
GENDER: F
PROVIDER #: 288210
NPI #: 1235423377
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
CONVENIENT CARE
1520 W 53RD ST SUTIE 2
DAVENPORT, IA 52806
PHONE: (563) 421-3800
E-PRESCRIBE: NO
DAVENPORT, IA
DAVENPORT, IA
SCHROEDER, JULIE M.,
MD
GENDER: F
PROVIDER #: 169570
NPI #: 1811969181
E-PRESCRIBE: NO
WATERFORD FAMILY
MEDICINE
1820 E 54TH ST SUITE B
DAVENPORT, IA 52807
PHONE: (563) 355-9990
E-PRESCRIBE: NO
SEEMANN, CHRISTEL, DO
GENDER: F
PROVIDER #: 195246
NPI #: 1205801115
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1820 W 3RD ST
DAVENPORT, IA 52802
PHONE: (563) 326-1661
E-PRESCRIBE: NO
SORENSEN, STEPHEN M.,
MD
GENDER: M
PROVIDER #: 075252
NPI #: 1881647071
E-PRESCRIBE: NO
FAMILY MEDICAL CENTER
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
STALEY, THOMAS R., MD
GENDER: M
PROVIDER #: 228223
NPI #: 1174750855
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1345 W CENTRAL PARK
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
108
DAVENPORT, IA
DAVENPORT, IA
STROM, STEVEN M., DO
GENDER: M
PROVIDER #: 149742
NPI #: 1316965387
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3618 N DIVISION ST
DAVENPORT, IA 52806
PHONE: (563) 391-4827
GILMORE, JAYNE E., CFNP;
PROVIDER #: 201318
E-PRESCRIBE: NO
SYFERT, RICHARD, DO
GENDER: M
PROVIDER #: 028401
NPI #: 1881690709
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
210 W 53RD ST
DAVENPORT, IA 52806
PHONE: (563) 391-3133
CONARD, SHARON S., ARNP;
PROVIDER #: 063232
E-PRESCRIBE: NO
THOMPSON, STEPHEN M.,
DO
GENDER: M
PROVIDER #: 034795
NPI #: 1457357253
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
210 W 53RD ST
DAVENPORT, IA 52806
PHONE: (563) 386-8250
CONARD, SHARON S., ARNP;
PROVIDER #: 063232
E-PRESCRIBE: NO
Primary Care Physicians
THOMPSON, STEPHEN,
MD
GENDER: M
PROVIDER #: 184564
NPI #: 1457357253
E-PRESCRIBE: NO
WOUND MANAGEMENT
CONSULTANTS PC
1351 W CENTRAL PARK AVE
SUITE 1225
DAVENPORT, IA 52804
PHONE: (563) 421-1585
E-PRESCRIBE: NO
TILALA, NIRAL H., MD
GENDER: M
PROVIDER #: 130483
NPI #: 1780884551
E-PRESCRIBE: NO
GENESIS FAMILY MEDICAL
CENTER
1345 WEST CENTRAL PARK
DAVENPORT, IA 52804
PHONE: (563) 421-4400
E-PRESCRIBE: NO
TRUE, CHERYL A., MD
GENDER: F
PROVIDER #: 104488
NPI #: 1104891712
E-PRESCRIBE: NO
WATERFORD FAMILY
MEDICINE
1820 E 54TH ST SUITE B
DAVENPORT, IA 52807
PHONE: (563) 355-9990
E-PRESCRIBE: NO
WALCZYK, JEFFREY S.,
MD
GENDER: M
PROVIDER #: 075246
NPI #: 1508843384
E-PRESCRIBE: YES
UNITYPOINT CLINIC
FAMILY MEDICINE AT
DEXTER COURT
3385 DEXTER CT BLDG 3
SUITE 103
DAVENPORT, IA 52807
PHONE: (563) 441-5860
E-PRESCRIBE: YES
WELLS, TAMMY J., MD
GENDER: F
PROVIDER #: 070477
NPI #: 1093794968
E-PRESCRIBE: NO
WATERFORD FAMILY
MEDICINE
1820 E 54TH ST SUITE B
DAVENPORT, IA 52807
PHONE: (563) 355-9990
DAVIS, CAMMIE, FNP;
PROVIDER #: 076753
E-PRESCRIBE: NO
PEDIATRICS
BLUNK, RICHARD C., MD
GENDER: M
PROVIDER #: 189369
NPI #: 1649209933
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1351 W CENTRAL PARK
SUITE 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.
109
Primary Care Physicians
DYKSTRA, SHARON K.,
DO
GENDER: F
PROVIDER #: 034796
NPI #: 1659376556
E-PRESCRIBE: NO
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
COMMUNITY HEALTH CARE
VIROLOGY
1351 W CENTRAL PARK
SUITE 360
DAVENPORT, IA 52801
PHONE: (563) 421-4244
E-PRESCRIBE: NO
GARVIN, GREGORY L., DO
GENDER: M
PROVIDER #: 034522
NPI #: 1194720953
E-PRESCRIBE: NO
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
KUKREJA, GAUTAM, MD
GENDER: M
PROVIDER #: 184580
NPI #: 1205151198
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
OUTREACH
303 WEST 6TH STREET
DAVENPORT, IA 52803
PHONE: (563) 322-8890
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
KUKREJA, DEEPNA, MD
GENDER: F
PROVIDER #: 209042
NPI #: 1194017913
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
OUTREACH
303 W 6TH ST
DAVENPORT, IA 52803
PHONE: (563) 322-8890
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
RIVER DRIVE
500 W RIVER DR
DAVENPORT, IA 52801
PHONE: (563) 336-3000
E-PRESCRIBE: NO
110
COMMUNITY HEALTH CARE
WEST DAVENPORT
4205 N FAIRMONT ST
DAVENPORT, IA 52806
PHONE: (563) 336-3000
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
DAVENPORT, IA
DAVENPORT, IA
COMMUNITY HEALTH CARE
WEST DAVENPORT
4205 NORTH FAIRMOUNT
STREET
DAVENPORT, IA 52806
PHONE: (563) 336-3000
CACCAMO, JOSEPH, PA-C;
PROVIDER #: 113185
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1351 W CENTRAL PARK STE
4100
DAVENPORT, IA 52804
PHONE: (563) 383-2581
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
CONVENIENT CARE
1520 W 53RD STE SUITE 2
DAVENPORT, IA 52806
PHONE: (563) 421-3800
E-PRESCRIBE: NO
MCCLELLAN, CURT C., DO
GENDER: M
PROVIDER #: 134319
NPI #: 1558331389
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
110
DAVENPORT, IA
DE WITT, IA
OZAKI, LINDA S., MD
GENDER: F
PROVIDER #: 065338
NPI #: 1053305003
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
OUTREACH
303 WEST 6TH STREET
DAVENPORT, IA 52803
PHONE: (563) 322-8890
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
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
COMMUNITY HEALTH CARE
WEST DAVENPORT
4205 NORTH FAIRMOUNT
STREET
DAVENPORT, IA 52806
PHONE: (563) 336-3000
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
E-PRESCRIBE: NO
Primary Care Physicians
SHEHATA, MAI, MD
GENDER:
PROVIDER #: 260307
NPI #: 1548588429
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GENESIS MEDICAL CENTER
DEWITT
1118 11TH ST
DE WITT, IA 52742
PHONE: (563) 659-4200
E-PRESCRIBE: NO
HARKER, SHEENA L., DO
GENDER: F
PROVIDER #: 275301
NPI #: 1447544580
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GENSIS HEALTH GROUP
1008 11TH ST
DE WITT, IA 52742
PHONE: (563) 659-9137
E-PRESCRIBE: NO
HANAS, STEVEN J., MD
GENDER: M
PROVIDER #: 019915
NPI #: 1265437883
E-PRESCRIBE: NO
GENESIS 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.
111
Primary Care Physicians
DECATUR, IL
ADULT/INTERNAL
MEDICINE
AHMAD, AHMAD H., MD
GENDER: M
PROVIDER #: 087218
NPI #: 1053397018
E-PRESCRIBE: NO
LAKESHORE MEDICAL
OFFICE BUILDING
1770 E LAKE SHORE DR
SUITE 201
DECATUR, IL 62521
PHONE: (217) 428-7921
E-PRESCRIBE: NO
ATLURI, HIMA S., MD
GENDER: F
PROVIDER #: 064171
NPI #: 1609866052
E-PRESCRIBE: NO
DECATUR MEMORIAL
HOSPITAL
2300 N EDWARDS ST
DECATUR, IL 62526
PHONE: (217) 876-8121
E-PRESCRIBE: NO
DECATUR REHAB
136 DIPPER LANE
DECATUR, IL 62522
PHONE: (217) 428-7767
E-PRESCRIBE: NO
ST MARYS HOSPITAL
1800 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 464-2966
E-PRESCRIBE: NO
112
DECATUR, IL
DECATUR, IL
BAUMBERGER, DAVID W.,
MD
GENDER: M
PROVIDER #: 008871
NPI #: 1043277064
E-PRESCRIBE: YES
INTERNAL MEDICINE
ASSOCIATES OF DECATUR
304 W HAY ST SUITE 312
DECATUR, IL 62526
PHONE: (217) 876-5621
E-PRESCRIBE: YES
FRANKLIN, WILLIAM B.,
MD
GENDER: M
PROVIDER #: 008870
NPI #: 1407813389
E-PRESCRIBE: NO
INTERNAL MEDICINE
ASSOCIATES OF DECATUR
304 W HAY ST SUITE 312
DECATUR, IL 62526
PHONE: (217) 876-5623
E-PRESCRIBE: NO
BELUR, REVATHI, MD
GENDER: F
PROVIDER #: 285912
NPI #: 1518133842
E-PRESCRIBE: NO
INTERNAL MEDICINE
ASSOCIATES OF DECATUR
304 W HAY ST
DECATUR, IL 62526
PHONE: (217) 876-5600
E-PRESCRIBE: NO
FRITZ, RICHARD H., MD
GENDER: M
PROVIDER #: 008960
NPI #: 1528026473
E-PRESCRIBE: NO
418 W WOOD ST
DECATUR, IL 62522
PHONE: (217) 422-8586
E-PRESCRIBE: NO
FIOR, CARLOS G., MD
GENDER: M
PROVIDER #: 011163
NPI #: 1336237296
E-PRESCRIBE: NO
HSHS MEDICAL GROUP
INTERNAL MEDICINENORTH DECATUR
2965 N MAIN ST SUITE E
DECATUR, IL 62526-4392
PHONE: (217) 875-9775
E-PRESCRIBE: NO
ST MARYS ADULT AND
GERIATRIC MEDICINE
2981 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9775
E-PRESCRIBE: NO
NALLALA, DEEPIKA R.
GENDER: F
PROVIDER #: 256415
NPI #: 1851609739
E-PRESCRIBE: NO
HSHS MEDICAL GROUP INC
1750 E LAKE SHORE DR STE
100
DECATUR, IL 62521
PHONE: (217) 464-1200
E-PRESCRIBE: NO
NEWLIN, JOHN W., MD
GENDER: M
PROVIDER #: 261358
NPI #: 1528159688
E-PRESCRIBE: YES
JOHN W NEWLIN MD LLC
302 W HAY SUITE 130
DECATUR, IL 62526
PHONE: (217) 872-8100
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
112
DECATUR, IL
DECATUR, IL
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
HSHS MEDICAL GROUP INC
1770 E LAKE SHORE DR
SUITE 301
DECATUR, IL 62521
PHONE: (217) 464-1350
E-PRESCRIBE: YES
SMITH, KEITH R., MD
GENDER: M
PROVIDER #: 008868
NPI #: 1659338309
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
1 MEMORIAL DR SUITE 201
DECATUR, IL 62526
PHONE: (217) 875-1090
E-PRESCRIBE: NO
Primary Care Physicians
VERMA, AJAY, MD
GENDER: M
PROVIDER #: 263817
NPI #: 1285609321
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
BRADLEY, JOHN G., MD
GENDER: M
PROVIDER #: 021092
NPI #: 1508843236
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
SOUTH SHORES MEDICAL
CENTER
550 SOUTHLAND DR
DECATUR, IL 62521
PHONE: (217) 425-9264
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
113
Primary Care Physicians
DI MONDO, JOHN P., MD
GENDER: M
PROVIDER #: 095419
NPI #: 1518050095
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
741 W PERSHING RD
DECATUR, IL 62526
PHONE: (217) 876-7200
E-PRESCRIBE: NO
GREGORY, DAVID C., MD
GENDER: M
PROVIDER #: 217604
NPI #: 1871599522
E-PRESCRIBE: YES
CORNERSTONE FAMILY
MEDICAL CENTER
415 E ASH SUITE A
DECATUR, IL 62526
PHONE: (217) 791-5760
E-PRESCRIBE: YES
114
HANNEKEN, KIMBERLY,
MD
GENDER: F
PROVIDER #: 173325
NPI #: 1215047782
E-PRESCRIBE: NO
ST MARYS FAMILY
MEDICINE
1770 E LAKE SHORE DR
SUITE 207
DECATUR, IL 62521
PHONE: (217) 429-9700
E-PRESCRIBE: NO
DECATUR, IL
DECATUR, IL
JUNKER, JESSIE A., MD
GENDER: F
PROVIDER #: 122770
NPI #: 1205828084
E-PRESCRIBE: NO
SIU HEALTHCARE DECATUR
250 W KENWOOD
DECATUR, IL 62526
PHONE: (217) 872-3800
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
KLEIN, SUSAN M., MD
GENDER: F
PROVIDER #: 042460
NPI #: 1558348268
E-PRESCRIBE: NO
SIU HEALTHCARE DECATUR
250 W KENWOOD
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
HEIM, DENNIS, MD
GENDER: M
PROVIDER #: 032410
NPI #: 1891891636
E-PRESCRIBE: YES
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
KONDA, SUDHAKAR R.,
MD
GENDER: M
PROVIDER #: 184008
NPI #: 1376737346
E-PRESCRIBE: NO
KENWOOD FAMILY
MEDICINE
102 W KENWOOD AVE SUITE
110
DECATUR, IL 62526
PHONE: (217) 876-6330
E-PRESCRIBE: NO
JONES, DAVID A., MD
GENDER: M
PROVIDER #: 070550
NPI #: 1942292412
E-PRESCRIBE: NO
FAMILY PRACTICE
MEDICAL CENTER
1770 E LAKE SHORE DR
SUITE 305
DECATUR, IL 62521
PHONE: (217) 424-9193
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
114
DECATUR, IL
DECATUR, IL
MAHONY, JOHN P., MD
GENDER:
PROVIDER #: 301127
NPI #: 1063554863
E-PRESCRIBE: NO
DMH EXPRESS CARE NORTH
3131 N WATERS ST
DECATUR, IL 62526-2472
PHONE:
E-PRESCRIBE: NO
MARSCHNER, CYNTHIA
C., DO
GENDER: F
PROVIDER #: 079953
NPI #: 1194721571
E-PRESCRIBE: YES
DECATUR FAMILY
MEDICINE
4775 E MARYLAND ST SUITE
B
DECATUR, IL 62521
PHONE: (217) 864-3737
E-PRESCRIBE: YES
MILLER, TIMOTHY A., MD
GENDER: M
PROVIDER #: 031109
NPI #: 1588621205
E-PRESCRIBE: NO
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
Primary Care Physicians
OLIGSCHLAEGER, DAVID
M., DO
GENDER: M
PROVIDER #: 069620
NPI #: 1851383418
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
115
DECATUR, IL
DEKALB, IL
Primary Care Physicians
SCOTT, MARK D., MD
GENDER: M
PROVIDER #: 005013
NPI #: 1598867707
E-PRESCRIBE: NO
SIU HEALTHCARE DECATUR
250 W KENWOOD
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
DEERFIELD, IL
WALL, MICHAEL M., MD
GENDER: M
PROVIDER #: 051815
NPI #: 1093772311
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
250 W KENWOOD AVE
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
GENERAL PRACTICE
FABRIQUE, KEITH L., MD
GENDER: M
PROVIDER #: 191123
NPI #: 1225196710
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
E-PRESCRIBE: NO
2220 N MONROE ST
DECATUR, IL 62526
PHONE: (217) 423-7337
E-PRESCRIBE: NO
116
GOWDAR, KUSUMA, MD
GENDER: F
PROVIDER #: 008955
NPI #: 1669541728
E-PRESCRIBE: NO
741 W PERSHING RD
DECATUR, IL 62526
PHONE: (217) 876-7200
E-PRESCRIBE: NO
BERLIANT, SHARON D.,
MD
GENDER: F
PROVIDER #: 278718
NPI #: 1982672549
E-PRESCRIBE: NO
350 S WAUKEGAN RD #200
DEERFIELD, IL 60015
PHONE: (847) 926-0106
E-PRESCRIBE: NO
LEVINSON, CORI A., MD
GENDER: F
PROVIDER #: 278719
NPI #: 1356385389
E-PRESCRIBE: NO
350 S WAUKEGAN RD #200
DEERFIELD, IL 60015
PHONE: (847) 926-0106
E-PRESCRIBE: NO
LU, EVAN S., MD
GENDER: M
PROVIDER #: 122657
NPI #: 1215969308
E-PRESCRIBE: NO
350 S WAUKEGAN RD #200
DEERFIELD, IL 60015
PHONE: (847) 926-3627
E-PRESCRIBE: NO
WEINBERG, JEFFREY L.,
MD
GENDER: M
PROVIDER #: 278720
NPI #: 1447228762
E-PRESCRIBE: NO
350 S WAUKEGAN RD #200
DEERFIELD, IL 60015
PHONE: (847) 926-0106
E-PRESCRIBE: NO
FAMILY PRACTICE
GERSHON, MICHAEL A.,
DO
GENDER: M
PROVIDER #: 273281
NPI #: 1639379381
E-PRESCRIBE: NO
350 S WAUKEGAN RD
DEERFIELD, IL 60015
PHONE: (847) 475-2273
E-PRESCRIBE: NO
DEKALB, IL
FAMILY PRACTICE
CRUTCHER, LISA, MD
GENDER: F
PROVIDER #: 235617
NPI #: 1841261013
E-PRESCRIBE: NO
KISHWAUKEE PHYSICIAN
GROUP
ONE KISH HOSPITAL DR
DEKALB, IL 60115
PHONE: (815) 786-7150
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
116
DEKALB, IL
DIETERICH, IL
PEDIATRICS
GOSWAMI, UMESH P., MD
GENDER: M
PROVIDER #: 022625
NPI #: 1669466801
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
UMESH GOSWAMI MD
625 E BETHANY RD SUITE 3
DEKALB, IL 60115
PHONE: (815) 758-5100
E-PRESCRIBE: YES
DELAVAN, IL
PEDIATRICS
FLINT, JOSEPH L., MD
GENDER: M
PROVIDER #: 224588
NPI #: 1013064195
E-PRESCRIBE: YES
DELAVAN PEDIATRICS LLC
101 E 5TH ST
DELAVAN, IL 61734
PHONE: (309) 696-2216
E-PRESCRIBE: YES
Primary Care Physicians
DES MOINES, IA
ADULT/INTERNAL
MEDICINE
TONG, THEN, MD
GENDER:
PROVIDER #: 260818
NPI #: 1447578992
E-PRESCRIBE: YES
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
DES PLAINES, IL
FAMILY PRACTICE
DAMASARU, LENUS, MD
GENDER:
PROVIDER #: 246542
NPI #: 1467690040
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PMG OAKTON MAPLE
FAMILY PRACTICE
1792 OAKTON
DES PLAINES, IL 60018
PHONE: (847) 827-4496
E-PRESCRIBE: NO
DIETERICH, IL
FAMILY PRACTICE
BLOEMER, ERIC A., MD
GENDER: M
PROVIDER #: 223295
NPI #: 1073742664
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
MID-ILLINOIS MEDICAL
CARE ASSOCIATES
203 S MAIN ST
DIETERICH, IL 62424
PHONE: (217) 925-5730
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
117
Primary Care Physicians
FAMILY PRACTICE
DIXON, IL
ADULT/INTERNAL
MEDICINE
AGRAWAL, PRANJAL M.,
MD
GENDER: M
PROVIDER #: 135762
NPI #: 1174723290
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
KSB MEDICAL GROUP
215 E FIRST ST SUITE 212
DIXON, IL 61021
PHONE: (815) 285-5815
E-PRESCRIBE: NO
MUHSIN, ADNAN A., MD
GENDER: M
PROVIDER #: 019260
NPI #: 1942278502
E-PRESCRIBE: NO
KSB MEDICAL GROUP
144 N COURT ST
DIXON, IL 61021
PHONE: (815) 288-7733
E-PRESCRIBE: NO
118
APPENHEIMER, A
TIMOTHY, MD
GENDER: M
PROVIDER #: 040928
NPI #: 1417937632
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
DAVENPORT, CRAIG R.,
MD
GENDER: M
PROVIDER #: 281273
NPI #: 1508064932
E-PRESCRIBE: NO
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
DIXON, IL
DIXON, IL
GUELDE, KIMBERLI J., MD
GENDER: F
PROVIDER #: 084379
NPI #: 1497726707
E-PRESCRIBE: YES
KSB MEDICAL GROUP
144 N COURT ST
DIXON, IL 61021
PHONE: (815) 284-7733
E-PRESCRIBE: YES
HERNANDEZ, JUAN C.,
MD
GENDER: M
PROVIDER #: 106996
NPI #: 1780650176
E-PRESCRIBE: NO
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
JAMAL, ASAD, MD
GENDER: M
PROVIDER #: 257729
NPI #: 1013950476
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
KSB MEDICAL GROUP TOWN SQUARE CENTRE
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
118
DIXON, IL
DU QUOIN, IL
Primary Care Physicians
SACHDEV, POONAM, MD
GENDER: F
PROVIDER #: 189479
NPI #: 1659529527
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
KSB MEDICAL GROUP
215 E 1ST ST SUITE 326
DIXON, IL 61021
PHONE: (815) 284-5719
E-PRESCRIBE: NO
SELGESTAD, JOHN G., MD
GENDER: M
PROVIDER #: 022968
NPI #: 1518935014
E-PRESCRIBE: NO
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
PEDIATRICS
WELTY, JOSEPH M., MD
GENDER: M
PROVIDER #: 024288
NPI #: 1861460586
E-PRESCRIBE: NO
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
PAGE, GAYE A., CNP;
PROVIDER #: 096840
E-PRESCRIBE: NO
GENERAL PRACTICE
DEETS, DAVID K., MD
GENDER: M
PROVIDER #: 041287
NPI #: 1093786220
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
KSB MEDICAL GROUP
102 S HENNEPIN AVE
DIXON, IL 61021
PHONE: (815) 288-7711
E-PRESCRIBE: NO
DU QUOIN, IL
ADULT/INTERNAL
MEDICINE
TUCKER, GLADSTONE A.,
MD
GENDER: M
PROVIDER #: 117644
NPI #: 1023087012
E-PRESCRIBE: NO
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
BIGHAM, BETH, MD
GENDER: F
PROVIDER #: 075503
NPI #: 1235128554
E-PRESCRIBE: NO
MARSHALL BROWNING
HOSPITAL CLINIC
900 N WASHINGTON ST
DU QUOIN, IL 62832
PHONE: (618) 542-1050
E-PRESCRIBE: NO
FURRY, CRAIG W., MD
GENDER: M
PROVIDER #: 021751
NPI #: 1609864750
E-PRESCRIBE: NO
20 N WASHINGTON STE 2
DU QUOIN, IL 62832
PHONE: (618) 542-2129
CHAPMAN-POGUE, ELLEN M.,
FNP; PROVIDER #: 136734
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
119
DU QUOIN, IL
EAST DUNDEE, IL
Primary Care Physicians
RATHERT, BENJAMIN T.,
MD
GENDER: M
PROVIDER #: 254081
NPI #: 1275854853
E-PRESCRIBE: NO
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
DURAND, IL
FAMILY PRACTICE
HAMEL, TIMOTHY J., MD
GENDER: M
PROVIDER #: 190099
NPI #: 1417021882
E-PRESCRIBE: NO
MONROE CLINIC-DURAND
400 S CENTER ST
DURAND, IL 61024
PHONE: (815) 248-3443
E-PRESCRIBE: NO
120
DURANT, IA
FAMILY PRACTICE
AANESTAD, JENNIFER R.,
MD
GENDER: F
PROVIDER #: 101683
NPI #: 1386649341
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
105 JOHN ST
DWIGHT, IL 60420
PHONE: (815) 584-3343
E-PRESCRIBE: NO
EAST DUNDEE, IL
FAMILY PRACTICE
NAVEED, RABIA, MD
GENDER: F
PROVIDER #: 248916
NPI #: 1134351604
E-PRESCRIBE: NO
IMMEDIATE CARE PLUS
888 E MAIN ST
EAST DUNDEE, IL 60118
PHONE: (847) 426-0600
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
120
EAST MOLINE, IL
EAST MOLINE, IL
EAST MOLINE, IL
ADULT/INTERNAL
MEDICINE
HAQUE, SYED M., MD
GENDER: M
PROVIDER #: 072992
NPI #: 1720072960
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
EAST MOLINE
708 15TH AVE
EAST MOLINE, IL 61244-2134
PHONE: (563) 327-2105
E-PRESCRIBE: NO
SATTI, VINAY V., MD
GENDER: M
PROVIDER #: 170479
NPI #: 1629099726
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
EAST MOLINE
708 15TH AVE
EAST MOLINE, IL 61244-2134
PHONE: (563) 327-2105
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
HAJI-ABDIRAHMAN,
HASSAN, MD
GENDER: M
PROVIDER #: 227583
NPI #: 1972735785
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
121
Primary Care Physicians
EAST MOLINE, IL
EAST PEORIA, IL
KHOURY, SANDRA J., MD
GENDER: F
PROVIDER #: 077669
NPI #: 1831159342
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PEDIATRIC GROUP
ASSOCIATES SC
465 AVENUE OF THE CITIES
SUITE 120
EAST MOLINE, IL 61244
PHONE: (309) 755-6115
E-PRESCRIBE: NO
FAMILY PRACTICE
KUKREJA, DEEPNA, MD
GENDER: F
PROVIDER #: 209042
NPI #: 1194017913
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
EAST MOLINE
708 15TH AVE
EAST MOLINE, IL 61244-2134
PHONE: (563) 327-2105
E-PRESCRIBE: NO
OZAKI, LINDA S., MD
GENDER: F
PROVIDER #: 065338
NPI #: 1053305003
E-PRESCRIBE: NO
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
COSTERISAN, AARON D.,
MD
GENDER: M
PROVIDER #: 292975
NPI #: 1396975736
E-PRESCRIBE: NO
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
KUKREJA, GAUTAM, MD
GENDER: M
PROVIDER #: 184580
NPI #: 1205151198
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
EAST MOLINE
708 15TH AVE
EAST MOLINE, IL 61244-2134
PHONE:
E-PRESCRIBE: NO
MOEN, CHRISTOPHER S.,
MD
GENDER: M
PROVIDER #: 007039
NPI #: 1942260070
E-PRESCRIBE: NO
PEDIATRIC GROUP
ASSOCIATES SC
465 AVENUE OF THE CITIES
SUITE 120
EAST MOLINE, IL 61244
PHONE: (309) 755-6115
E-PRESCRIBE: NO
122
EAST PEORIA, IL
ADULT/INTERNAL
MEDICINE
SIDLER, G GENE, MD
GENDER: M
PROVIDER #: 057275
NPI #: 1396844932
E-PRESCRIBE: NO
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
COON, JOHN J., MD
GENDER: M
PROVIDER #: 292969
NPI #: 1437163540
E-PRESCRIBE: NO
PROCTOR FIRST CARE
2535 E WASHINGTON ROAD
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
DOBBINS, LEAH E., MD
GENDER: F
PROVIDER #: 294911
NPI #: 1871873745
E-PRESCRIBE: NO
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
GOLBY, ANGELA A., DO
GENDER: F
PROVIDER #: 281464
NPI #: 1639183536
E-PRESCRIBE: NO
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6032
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
122
EAST PEORIA, IL
EAST PEORIA, IL
Primary Care Physicians
GRIEBEL, CRAIG, MD
GENDER: M
PROVIDER #: 292965
NPI #: 1740294347
E-PRESCRIBE: NO
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
MAKSIMOVIC, DEJAN, DO
GENDER: M
PROVIDER #: 292989
NPI #: 1891992269
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST MEDICAL
GROUP AT EAST PEORIA
200 RIVER RD
EAST PEORIA, IL 61611
PHONE: (309) 698-0290
E-PRESCRIBE: NO
RUBUSH, AMANDA, MD
GENDER: F
PROVIDER #: 294417
NPI #: 1447513148
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
123
Primary Care Physicians
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 275530
NPI #: 1922235944
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
STETTER, MATTHEW, DO
GENDER: M
PROVIDER #: 059603
NPI #: 1205935848
E-PRESCRIBE: NO
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
WEGMAN, CHERYL L., MD
GENDER: F
PROVIDER #: 214580
NPI #: 1174590889
E-PRESCRIBE: NO
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
124
WILLIAMS, TIMOTHY J.,
MD
GENDER: M
PROVIDER #: 275550
NPI #: 1508893595
E-PRESCRIBE: NO
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
EDDYVILLE, KY
FAMILY PRACTICE
FRENCH, DAVID W., MD
GENDER: M
PROVIDER #: 296885
NPI #: 1649336306
E-PRESCRIBE: NO
403 W FAIRVIEW AVE
EDDYVILLE, KY 42038
PHONE: (270) 388-5454
E-PRESCRIBE: NO
GENERAL PRACTICE
HILAND, STEVE B., MD
GENDER: M
PROVIDER #: 096757
NPI #: 1003810797
E-PRESCRIBE: NO
627 W FAIRVIEW AVE
EDDYVILLE, KY 42038
PHONE: (270) 388-9764
E-PRESCRIBE: NO
EAST PEORIA, IL
EFFINGHAM, IL
EFFINGHAM, IL
ADULT/INTERNAL
MEDICINE
ALZAHABI, BASHAR, MD
GENDER: M
PROVIDER #: 042835
NPI #: 1467448456
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
401 N MULBERRY ST
EFFINGHAM, IL 62401
PHONE: (217) 347-0768
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
124
EFFINGHAM, IL
EFFINGHAM, IL
DUST, EUGENE P., MD
GENDER: M
PROVIDER #: 003397
NPI #: 1386604940
E-PRESCRIBE: NO
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
KOWALSKI, DAVID J., MD
GENDER: M
PROVIDER #: 055355
NPI #: 1538194600
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
MARSHALL CLINIC
EFFINGHAM
300 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-4151
E-PRESCRIBE: NO
Primary Care Physicians
ROZENE, TINA M., MD
GENDER: F
PROVIDER #: 054508
NPI #: 1467489807
E-PRESCRIBE: NO
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
FAMILY PRACTICE
BLOEMER, ERIC A., MD
GENDER: M
PROVIDER #: 223295
NPI #: 1073742664
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
MID-ILLINOIS MEDICAL
CARE ASSOCIATES LLC
512 N MAPLE
EFFINGHAM, IL 62401
PHONE: (217) 347-7030
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
125
Primary Care Physicians
IMBURGIA, DOMINIC C.,
MD
GENDER: M
PROVIDER #: 040058
NPI #: 1114955960
E-PRESCRIBE: NO
EFFINGHAM COMMUNITY
MEDICAL CENTER
901 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 347-2900
E-PRESCRIBE: NO
JENSON, JEFFREY J., MD
GENDER: M
PROVIDER #: 106081
NPI #: 1740211390
E-PRESCRIBE: NO
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
126
KNAUER, HOPE E., MD
GENDER: F
PROVIDER #: 055760
NPI #: 1376578492
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PEDIATRICS
KOWALSKI, DAVID J., MD
GENDER: M
PROVIDER #: 055355
NPI #: 1538194600
E-PRESCRIBE: YES
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
EFFINGHAM, IL
EL PASO, IL
ROZENE, TINA M., MD
GENDER: F
PROVIDER #: 054508
NPI #: 1467489807
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
EL PASO, IL
FAMILY PRACTICE
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
126
EL PASO, IL
EL PASO, IL
HAKES, PAUL E., MD
GENDER: M
PROVIDER #: 004325
NPI #: 1750315602
E-PRESCRIBE: NO
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
INGALSBE, STEVEN C.,
MD
GENDER: M
PROVIDER #: 007304
NPI #: 1962428128
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
Primary Care Physicians
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCARE MEDICAL
GROUP EL PASO
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
WOODS, MICHAEL J., MD
GENDER: M
PROVIDER #: 235613
NPI #: 1871698761
E-PRESCRIBE: NO
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
127
Primary Care Physicians
ELDORADO, IL
FAMILY PRACTICE
BLAIN, MICHAEL A., DO
GENDER: M
PROVIDER #: 192430
NPI #: 1801076146
E-PRESCRIBE: NO
ELDORADO RURAL HEALTH
CLINIC
1401 US 45 N
ELDORADO, IL 62930
PHONE: (618) 273-2951
MORRIS, CURTIS, PA;
PROVIDER #: 262693
E-PRESCRIBE: NO
EWELL, KIMBALL E., MD
GENDER: M
PROVIDER #: 027433
NPI #: 1457303943
E-PRESCRIBE: NO
ELDORADO PRIMARY CARE
1007 ROUTE 45
ELDORADO, IL 62930
PHONE: (618) 273-7723
STOUT-MASON, SABRINA R.,
CFNP; PROVIDER #: 242060
E-PRESCRIBE: NO
MILLER, ANDREA K., MD
GENDER: F
PROVIDER #: 099828
NPI #: 1750333241
E-PRESCRIBE: YES
ELDORADO PRIMARY CARE
1007 ROUTE 45
ELDORADO, IL 62930
PHONE: (618) 273-7723
OZEE, MARY, CFNP;
PROVIDER #: 124860
E-PRESCRIBE: YES
128
OLDHAM, NATHAN E., MD
GENDER: M
PROVIDER #: 181930
NPI #: 1780883843
E-PRESCRIBE: NO
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
SVOBODA, CRAIG V., MD
GENDER: M
PROVIDER #: 119597
NPI #: 1699873117
E-PRESCRIBE: NO
ELDORADO RURAL HEALTH
CLINIC
1401 US 45 N
ELDORADO, IL 62930
PHONE: (618) 273-2951
E-PRESCRIBE: NO
ELDORADO, IL
ELDRIDGE, IA
GENERAL PRACTICE
PARTRIDGE, ELLIOTT O.,
MD
GENDER: M
PROVIDER #: 046813
NPI #: 1750368213
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
128
ELDRIDGE, IA
ELGIN, IL
MCCAW, PATRICIA J., MD
GENDER: F
PROVIDER #: 078284
NPI #: 1801892351
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
129
Primary Care Physicians
FAMILY PRACTICE
COLIN, VICTOR H., MD
GENDER: M
PROVIDER #: 182995
NPI #: 1659369163
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
130
MUELLER, CHRISTINE M.,
MD
GENDER: F
PROVIDER #: 180417
NPI #: 1215925722
E-PRESCRIBE: NO
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
POULOS, DOROTHEA, MD
GENDER: F
PROVIDER #: 180827
NPI #: 1003804519
E-PRESCRIBE: NO
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
SUSARLA, SAVITHA, DO
GENDER: F
PROVIDER #: 181015
NPI #: 1518976323
E-PRESCRIBE: NO
V SUSARLA MD SC
860 SUMMIT ST SUITE 123
ELGIN, IL 60120
PHONE: (847) 741-0026
E-PRESCRIBE: NO
ELGIN, IL
ELMWOOD, IL
PEDIATRICS
FANG, HENRY Y., MD
GENDER: M
PROVIDER #: 017749
NPI #: 1598850646
E-PRESCRIBE: NO
1590 WEATHERSTONE LANE
SUITE 7
ELGIN, IL 60123
PHONE: (847) 695-8558
E-PRESCRIBE: NO
YUEN, MICHAEL H., MD
GENDER: M
PROVIDER #: 043115
NPI #: 1144326687
E-PRESCRIBE: NO
1590 WEATHERSTONE LANE
SUITE 7
ELGIN, IL 60123
PHONE: (847) 695-8558
E-PRESCRIBE: NO
ELMWOOD, IL
FAMILY PRACTICE
BAYLOR, MARK C., MD
GENDER: M
PROVIDER #: 001414
NPI #: 1740256700
E-PRESCRIBE: NO
ELMWOOD FAMILY
MEDICAL CENTER
120 W MAIN ST
ELMWOOD, IL 61529
PHONE: (309) 742-2921
GARNER, PAMELA, FNP;
PROVIDER #: 174548
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
130
EQUALITY, IL
EUREKA, IL
EQUALITY, IL
Primary Care Physicians
ERIE, IL
FAMILY PRACTICE
FAMILY PRACTICE
EWELL, KIMBALL E., MD
GENDER: M
PROVIDER #: 027433
NPI #: 1457303943
E-PRESCRIBE: NO
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
CARROLL JR, J F KELLY,
MD
GENDER: M
PROVIDER #: 020346
NPI #: 1437154507
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
530 12TH ST
ERIE, IL 61250
PHONE: (309) 659-2215
FIEDLER-EATON, RUTH M.,
APN; PROVIDER #: 049734
E-PRESCRIBE: NO
MILLER, ANDREA K., MD
GENDER: F
PROVIDER #: 099828
NPI #: 1750333241
E-PRESCRIBE: YES
EQUALITY FAMILY
PRACTICE
183 W LANE ST
EQUALITY, IL 62934-1332
PHONE: (618) 276-5196
OZEE, MARY, CFNP;
PROVIDER #: 124860
E-PRESCRIBE: YES
DANNENFELDT, JOHN C.,
MD
GENDER: M
PROVIDER #: 020348
NPI #: 1881699890
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
530 12TH ST
ERIE, IL 61250
PHONE: (309) 659-2215
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
131
Primary Care Physicians
HUGHES, CHRISTOPHER
R., MD
GENDER: M
PROVIDER #: 068435
NPI #: 1235158924
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
JENKINS, SHERYL D., CNP;
PROVIDER #: 030360
E-PRESCRIBE: NO
MILLER, DAVID L., MD
GENDER: M
PROVIDER #: 007309
NPI #: 1437178415
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
HOFFMAN, JENNIFER, NP;
PROVIDER #: 101038
E-PRESCRIBE: NO
132
MITCHELL, PHILIP, MD
GENDER: M
PROVIDER #: 028458
NPI #: 1508839895
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
HOFFMAN, JENNIFER, NP;
PROVIDER #: 101038
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
EUREKA, IL
EVANSTON, IL
RHODEN, CARL RAY, MD
GENDER: M
PROVIDER #: 258428
NPI #: 1992026579
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP EUREKA
105 S MAJOR
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
EVANSTON, IL
ADULT/INTERNAL
MEDICINE
ALT, SUSAN L., MD
GENDER: F
PROVIDER #: 272995
NPI #: 1255384277
E-PRESCRIBE: NO
1704 MAPLE AVE #200
EVANSTON, IL 60201
PHONE: (847) 926-0106
E-PRESCRIBE: NO
CAMPBELL, THOMAS, MD
GENDER: M
PROVIDER #: 176173
NPI #: 1972506665
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PRESENCE MEDICAL GROUP
2500 RIDGE AVE STE 1210
EVANSTON, IL 60201
PHONE: (847) 491-0888
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
132
EVANSTON, IL
EVANSVILLE, IN
SMITH, ELEANOR G., MD
GENDER: F
PROVIDER #: 278721
NPI #: 1942459292
E-PRESCRIBE: NO
1704 MAPLE AVE #200
EVANSTON, IL 60201
PHONE: (847) 926-0106
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
BABBER, PARIKSHET A.,
MD
GENDER: M
PROVIDER #: 089251
NPI #:
E-PRESCRIBE: NO
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
FISCHER, TESSA, MD
GENDER: F
PROVIDER #: 228807
NPI #: 1730247859
E-PRESCRIBE: NO
PMG STF EVANSTON
FAMILY MEDICINE
800 AUSTIN SUITE 409
EVANSTON, IL 60202
PHONE: (847) 733-1495
E-PRESCRIBE: NO
BENNETT, CHRISTINA,
MD
GENDER: F
PROVIDER #: 278274
NPI #: 1194092668
E-PRESCRIBE: NO
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
EVANSVILLE, IN
ADULT/INTERNAL
MEDICINE
ALLAW, MOHAMMED A.,
MD
GENDER: M
PROVIDER #: 152121
NPI #: 1336142728
E-PRESCRIBE: NO
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE:
E-PRESCRIBE: NO
BIEKER, MARY A., MD
GENDER: F
PROVIDER #: 065654
NPI #: 1811063258
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-2334
E-PRESCRIBE: NO
GRAVES, MARK, MD
GENDER: M
PROVIDER #: 049650
NPI #: 1285702308
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
133
Primary Care Physicians
HARDESTY, WILLIAM P.,
MD
GENDER: M
PROVIDER #: 073617
NPI #: 1881799179
E-PRESCRIBE: NO
DEACONESS PRIMARY
CARE FOR SENIORS
1750 OAK HILL RD
EVANSVILLE, IN 47711
PHONE: (812) 485-2580
E-PRESCRIBE: NO
IQBAL, KASHIF Z., MD
GENDER: F
PROVIDER #: 152991
NPI #: 1942376074
E-PRESCRIBE: NO
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
NALIN, DANIEL J., MD
GENDER: M
PROVIDER #: 169080
NPI #: 1144284480
E-PRESCRIBE: NO
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
PARKAR, TABASSUM I.,
MD
GENDER: F
PROVIDER #: 153328
NPI #: 1205015898
E-PRESCRIBE: NO
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
JUDY, LAWRENCE A., MD
GENDER: M
PROVIDER #: 152992
NPI #: 1427125129
E-PRESCRIBE: NO
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9372
E-PRESCRIBE: NO
PATEL, DIVYA U., MD
GENDER: F
PROVIDER #: 169066
NPI #: 1184678419
E-PRESCRIBE: NO
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9372
E-PRESCRIBE: NO
MEUNIER, JOHN C., MD
GENDER: M
PROVIDER #: 185614
NPI #: 1831391176
E-PRESCRIBE: NO
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
RUSCHE, ROBERT, MD
GENDER: M
PROVIDER #: 205774
NPI #: 1437152808
E-PRESCRIBE: NO
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
134
EVANSVILLE, IN
EVANSVILLE, IN
SCHEINOST, MICHAEL E.,
DO
GENDER: M
PROVIDER #: 180755
NPI #: 1336119593
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9372
E-PRESCRIBE: NO
THIENEMAN JR, ANDREW
C., MD
GENDER: M
PROVIDER #: 153142
NPI #: 1881762060
E-PRESCRIBE: NO
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9372
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
134
EVANSVILLE, IN
EVANSVILLE, IN
VIX, VERNON A., MD
GENDER: M
PROVIDER #: 153135
NPI #: 1144388349
E-PRESCRIBE: NO
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 474-7123
E-PRESCRIBE: NO
VOGEL, GORDON A., MD
GENDER: M
PROVIDER #: 213510
NPI #: 1417984303
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
FAMILY PRACTICE
BANNING, VERNON P.,
MD
GENDER: M
PROVIDER #: 159012
NPI #: 1508932930
E-PRESCRIBE: NO
DEACONESS CLINIC INC
8600 UNIVERSITY BLVD
ROOM HP0091
EVANSVILLE, IN 47712
PHONE: (812) 465-1250
E-PRESCRIBE: NO
Primary Care Physicians
BENDER, COURTNEY, DO
GENDER: F
PROVIDER #: 278284
NPI #: 1538455027
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEACONESS CLINIC INC
1750 OAK HILL RD
EVANSVILLE, IN 47711
PHONE: (812) 479-1777
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
135
Primary Care Physicians
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
136
GALEN, RENE M., MD
GENDER: F
PROVIDER #: 086322
NPI #: 1013083187
E-PRESCRIBE: NO
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
GREER, DAVID B., MD
GENDER: M
PROVIDER #: 065611
NPI #: 1508869900
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4605 FIRST AVE
EVANSVILLE, IN 47710
PHONE: (812) 428-6161
E-PRESCRIBE: NO
GROSSMAN, DARLA R.,
MD
GENDER: F
PROVIDER #: 153055
NPI #: 1568538650
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
EVANSVILLE, IN
EVANSVILLE, IN
8600 N KENTUCKY AVE
EVANSVILLE, IN 47725
PHONE:
E-PRESCRIBE: NO
HATLER, DOUGLAS J., MD
GENDER: M
PROVIDER #: 065671
NPI #: 1932178829
E-PRESCRIBE: NO
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
KANG SMITH, JUNG W.,
MD
GENDER: F
PROVIDER #: 263838
NPI #: 1770842460
E-PRESCRIBE: NO
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-2334
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
136
EVANSVILLE, IN
EVANSVILLE, IN
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
E-PRESCRIBE: NO
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
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
E-PRESCRIBE: NO
DEACONESS FAMILY
MEDICINE RESIDENCY
515 READ ST
EVANSVILLE, IN 47710
PHONE: (812) 450-3363
E-PRESCRIBE: NO
Primary Care Physicians
KRAJEC, EMILY B., DO
GENDER: F
PROVIDER #: 259938
NPI #: 1700198520
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4506 FIRST AVE
EVANSVILLE, IN 47710
PHONE: (812) 428-6161
E-PRESCRIBE: NO
MARTIN, SUSAN M., MD
GENDER: F
PROVIDER #: 073528
NPI #: 1184791618
E-PRESCRIBE: NO
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 649-5061
E-PRESCRIBE: NO
LABELLE, TIMOTHY D.,
MD
GENDER: M
PROVIDER #: 289892
NPI #: 1356327548
E-PRESCRIBE: NO
DEACONESS COMP CENTER
329 W COLUMBIA ST
EVANSVILLE, IN 47710
PHONE: (812) 450-7455
E-PRESCRIBE: NO
MYERS, MICHAEL T., MD
GENDER: M
PROVIDER #: 077405
NPI #: 1275600371
E-PRESCRIBE: NO
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
LINK, CHAD E., MD
GENDER: M
PROVIDER #: 201533
NPI #: 1609038868
E-PRESCRIBE: NO
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
LODICO, PETER J., MD
GENDER: M
PROVIDER #: 219543
NPI #: 1225011828
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4506 FIRST AVE
EVANSVILLE, IN 47710
PHONE: (812) 428-6161
E-PRESCRIBE: NO
PAGE, DAVID M., MD
GENDER: M
PROVIDER #: 084763
NPI #: 1598768848
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
137
Primary Care Physicians
POTTANAT, JANCY G.,
MD
GENDER: F
PROVIDER #: 153000
NPI #: 1760550800
E-PRESCRIBE: NO
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
SHATSKY, MARK L., DO
GENDER: M
PROVIDER #: 087089
NPI #:
E-PRESCRIBE: NO
DEACONESS FAMILY
MEDICINE
310 W IOWA ST
EVANSVILLE, IN 47710
PHONE: (812) 450-6200
E-PRESCRIBE: NO
ROBINSON, LAYNE D., MD
GENDER: M
PROVIDER #: 153051
NPI #: 1386712941
E-PRESCRIBE: NO
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
RODOCKER, GREGORY
W., MD
GENDER: M
PROVIDER #: 153054
NPI #: 1821091117
E-PRESCRIBE: NO
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
DEACONESS MEDICAL
GROUP
350 W COLUMBIA ST #440
EVANSVILLE, IN 47710
PHONE: (812) 425-2461
E-PRESCRIBE: NO
138
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 425-5243
E-PRESCRIBE: NO
EVANSVILLE, IN
EVANSVILLE, IN
TOELLE, APRIL M., DO
GENDER: F
PROVIDER #: 231368
NPI #: 1255530317
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
138
EVANSVILLE, IN
FAIRBURY, IL
VOLZ, KIM A., MD
GENDER: F
PROVIDER #: 065630
NPI #: 1679533962
E-PRESCRIBE: NO
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
DEACONESS FAMILY
MEDICINE RESIDENCY
515 READ ST
EVANSVILLE, IN 47710
PHONE: (812) 450-3363
E-PRESCRIBE: NO
PEDIATRICS
CONNORS, JAMES J., MD
GENDER: M
PROVIDER #: 065787
NPI #: 1700952918
E-PRESCRIBE: NO
DEACONESS CLINIC INC
421 CHESTNUT ST
EVANSVILLE, IN 47713
PHONE: (812) 426-9273
E-PRESCRIBE: NO
CRECELIUS, W M., MD
GENDER: M
PROVIDER #: 065791
NPI #: 1275609497
E-PRESCRIBE: NO
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
Primary Care Physicians
GRAUSO, NANCY L., DO
GENDER: F
PROVIDER #: 249541
NPI #: 1811979875
E-PRESCRIBE: NO
DEACONESS CLINIC INC
545 S BOEHNE CAMP RD
EVANSVILLE, IN 47712
PHONE: (812) 429-1818
E-PRESCRIBE: NO
MARX, DORIANNE S., MD
GENDER: F
PROVIDER #: 095834
NPI #: 1669549101
E-PRESCRIBE: NO
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
MEUNIER, JOHN C., MD
GENDER: M
PROVIDER #: 185614
NPI #: 1831391176
E-PRESCRIBE: NO
DEACONESS CARE GROUP
600 MARY ST
EVANSVILLE, IN 47747
PHONE: (812) 450-7338
E-PRESCRIBE: NO
PORTER, JAMES R., MD
GENDER: M
PROVIDER #: 065645
NPI #: 1184643694
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
MITCHELL, PHILIP, MD
GENDER: M
PROVIDER #: 028458
NPI #: 1508839895
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
139
FAIRBURY, IL
FARMINGTON, IL
Primary Care Physicians
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
WENGER, RACHEL M., MD
GENDER: F
PROVIDER #: 185804
NPI #: 1649436098
E-PRESCRIBE: NO
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
SCHWEIZER, HEATHER
D., MD
GENDER: F
PROVIDER #: 109519
NPI #: 1578656831
E-PRESCRIBE: NO
OSF MEDICAL GROUP
106 S FIRST ST
FAIRBURY, IL 61739
PHONE: (815) 692-2833
E-PRESCRIBE: NO
FAIRFIELD, IL
PEDIATRICS
BARNHART, RACHEL T.,
MD
GENDER: F
PROVIDER #: 100626
NPI #: 1265438576
E-PRESCRIBE: NO
FAIRFIELD COMMUNITY
HEALTH CENTER
209 NW 11TH ST
FAIRFIELD, IL 62837
PHONE: (618) 842-4470
E-PRESCRIBE: NO
SMITH, BONNIE J., MD
GENDER: F
PROVIDER #: 071354
NPI #: 1306865084
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
106 S FIRST ST
FAIRBURY, IL 61739
PHONE: (815) 692-2308
E-PRESCRIBE: NO
140
JONES, JED W., DO
GENDER: M
PROVIDER #: 203676
NPI #: 1740287226
E-PRESCRIBE: NO
FAIRFIELD COMMUNITY
HEALTH CENTER
209 NW 11TH ST
FAIRFIELD, IL 62837
PHONE: (618) 842-4470
E-PRESCRIBE: NO
FARMER CITY, IL
FAMILY PRACTICE
RAY, DARRIN M., MD
GENDER: M
PROVIDER #: 161876
NPI #: 1679785778
E-PRESCRIBE: YES
THE FAMILY HEALTH
CLINIC OF FARMER CITY
1230 GEORGE ROCK DR
FARMER CITY, IL 61842
PHONE: (309) 928-9192
E-PRESCRIBE: YES
GENERAL PRACTICE
CASTROVILLO, GEORGE,
MD
GENDER: M
PROVIDER #: 003995
NPI #: 1295763043
E-PRESCRIBE: NO
109 S MAIN
FARMER CITY, IL 61842
PHONE: (309) 928-2131
E-PRESCRIBE: NO
FARMINGTON, IL
ADULT/INTERNAL
MEDICINE
CHAMBERLIN, JASON G.,
DO
GENDER: M
PROVIDER #: 069684
NPI #: 1831207349
E-PRESCRIBE: NO
GRAHAM MEDICAL GROUP
601 E FORT ST
FARMINGTON, IL 61531
PHONE: (309) 245-2406
CROUSE, NANCY J., CNP;
PROVIDER #: 152241
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
140
FARMINGTON, IL
FLANAGAN, IL
FAMILY PRACTICE
LANSER, TODD A., MD
GENDER: M
PROVIDER #: 166967
NPI #: 1376765891
E-PRESCRIBE: NO
GRAHAM MEDICAL GROUP
601 E FORT ST
FARMINGTON, IL 61531
PHONE: (309) 124-2406
E-PRESCRIBE: NO
MARTIN, ERIN, MD
GENDER: F
PROVIDER #: 172229
NPI #: 1457573818
E-PRESCRIBE: NO
METHODIST MEDICAL
GROUP AT FARMINGTON
158 E FULTON ST
FARMINGTON, IL 61531
PHONE: (309) 245-2416
E-PRESCRIBE: NO
PEDIATRICS
CHAMBERLIN, JASON G.,
DO
GENDER: M
PROVIDER #: 069684
NPI #: 1831207349
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GRAHAM MEDICAL GROUP
141 E VERNON ST
FARMINGTON, IL 61531
PHONE: (309) 245-2406
E-PRESCRIBE: NO
Primary Care Physicians
601 E FORT ST
FARMINGTON, IL 61531
PHONE: (309) 245-2406
E-PRESCRIBE: NO
FISHER, IL
FAMILY PRACTICE
HAGAN, DAVID J., MD
GENDER: M
PROVIDER #: 050892
NPI #: 1467433557
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
103 W SOUTH ST
FLANAGAN, IL 61740
PHONE: (815) 796-4591
E-PRESCRIBE: NO
STALTER, LARRY P., MD
GENDER:
PROVIDER #: 002836
NPI #: 1992898258
E-PRESCRIBE: NO
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.
141
Primary Care Physicians
STEVENS, JENNIFER E.,
MD
GENDER: F
PROVIDER #: 182380
NPI #: 1043412893
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
103 W SOUTH ST
FLANAGAN, IL 61740
PHONE: (815) 796-4591
E-PRESCRIBE: NO
FORRESTON, IL
FAMILY PRACTICE
FORREST, IL
FAMILY PRACTICE
AUSTMAN, KATHERINE
M., MD
GENDER: F
PROVIDER #: 098058
NPI #: 1396739462
E-PRESCRIBE: NO
PRAIRIE FAMILY MEDICINE
& OBSTETRICS
122 E WABASH AVE
FORREST, IL 61741
PHONE: (815) 657-8707
E-PRESCRIBE: NO
142
BREWER, BENJAMIN E.,
MD
GENDER: M
PROVIDER #: 050891
NPI #: 1184618258
E-PRESCRIBE: YES
PRAIRIE FAMILY MEDICINE
& OBSTETRICS
122 E WABASH AVE
FORREST, IL 61741
PHONE: (815) 657-8707
E-PRESCRIBE: YES
MARTINEZ, LUCIO, MD
GENDER:
PROVIDER #: 098335
NPI #: 1154397354
E-PRESCRIBE: YES
FHN HEALTHCARE CENTERFORRESTON
813 FIRST AVE
FORRESTON, IL 61030
PHONE: (815) 938-3130
KORF, SUSAN A., APN;
PROVIDER #: 173558
E-PRESCRIBE: YES
MOORE, APRIL L., MD
GENDER: F
PROVIDER #: 221253
NPI #: 1053523704
E-PRESCRIBE: NO
FHN HEALTHCARE CENTERFORRESTON
803 FIRST AVE
FORRESTON, IL 61030
PHONE: (815) 938-3130
E-PRESCRIBE: NO
FLANAGAN, IL
FORSYTH, IL
FORSYTH, IL
FAMILY PRACTICE
BARNES, RONALD L., MD
GENDER: M
PROVIDER #: 079575
NPI #: 1962469981
E-PRESCRIBE: NO
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
ELLINGTON, CHARLES R.,
MD
GENDER: M
PROVIDER #: 061404
NPI #: 1407833130
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PRIORITY CARE FORSYTH
845 S ROUTE 51
FORSYTH, IL 62535
PHONE: (217) 875-0953
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
142
FORSYTH, IL
FORT BRANCH, IN
MCCORMACK, ANTHONY
T., MD
GENDER: M
PROVIDER #: 008948
NPI #: 1154388791
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
241 WEAVER RD SUITE 210
FORSYTH, IL 62535
PHONE: (217) 876-5370
E-PRESCRIBE: NO
PABALATE, ROBERTO G.,
MD
GENDER: M
PROVIDER #: 203189
NPI #: 1528221504
E-PRESCRIBE: NO
241 W WEAVER RD SUITE
145B
FORSYTH, IL 62535
PHONE: (217) 876-5220
E-PRESCRIBE: NO
Primary Care Physicians
QURESHI, MARYAM, MD
GENDER: F
PROVIDER #: 171570
NPI #: 1639381817
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
FORSYTH MEDICAL CENTER
241 WEAVER RD SUITE 145-C
FORSYTH, IL 62535
PHONE: (217) 876-5200
E-PRESCRIBE: YES
YOCKS, BRIAN C., MD
GENDER: M
PROVIDER #: 079941
NPI #: 1811954878
E-PRESCRIBE: YES
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
FORT BRANCH, IN
FAMILY PRACTICE
CARTER, ADRIAN L., DO
GENDER: M
PROVIDER #: 157614
NPI #: 1023002250
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEACONESS CLINIC INC
802 E OAK ST
FORT BRANCH, IN 47648
PHONE: (812) 753-3942
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
143
FORT DODGE, IA
FREEPORT, IL
Primary Care Physicians
FORT DODGE, IA
FREEPORT, IL
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
NEEKHRA, ANEESH, MD
GENDER: M
PROVIDER #: 248825
NPI #: 1134384548
E-PRESCRIBE: NO
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
2700 1ST AVE S SUITE 100
FORT DODGE, IA 50501
PHONE: (319) 754-4400
E-PRESCRIBE: NO
DOSI, RENU, MD
GENDER: F
PROVIDER #: 202236
NPI #: 1073522140
E-PRESCRIBE: NO
FHN MEMORIAL HOSPITAL
1045 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7410
E-PRESCRIBE: NO
FORT MADISON, IA
ADULT/INTERNAL
MEDICINE
NEEKHRA, ANEESH, MD
GENDER: M
PROVIDER #: 248825
NPI #: 1134384548
E-PRESCRIBE: NO
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
5445 AVE O SUITE 108
FORT MADISON, IA 52627
PHONE: (319) 754-4400
E-PRESCRIBE: NO
EAPEN, JOSEPH, MD
GENDER: M
PROVIDER #: 098276
NPI #: 1790757466
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7760
E-PRESCRIBE: NO
ESKER, ALAN, MD
GENDER: M
PROVIDER #: 055462
NPI #: 1831159698
E-PRESCRIBE: YES
FHN FAMILY HEALTHCARE
CENTER
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7740
E-PRESCRIBE: YES
GAERTNER, EUGENE M.,
MD
GENDER: M
PROVIDER #: 196666
NPI #: 1053387472
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
FREEPORT REGIONAL
HEALTH CARE
FOUNDATION
1010 FAIRWAY DR
FREEPORT, IL 61032
PHONE: (815) 599-6000
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER-BURCHARD HILLS
1010 W FAIRWAY
FREEPORT, IL 61032
PHONE: (815) 599-7740
E-PRESCRIBE: YES
144
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
144
FREEPORT, IL
FREEPORT, IL
LUY, LAWRENCE H., MD
GENDER: M
PROVIDER #: 098314
NPI #: 1942276365
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
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
Primary Care Physicians
MERRY, MICHAEL J., MD
GENDER: M
PROVIDER #: 098461
NPI #: 1477529675
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
WAITZKIN, HOWARD B.,
MD
GENDER: M
PROVIDER #: 252298
NPI #: 1770598245
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER
3001 HIGHLAND VIEW DR
FREEPORT, IL 61032
PHONE: (815) 235-3165
E-PRESCRIBE: NO
HAY, DONALD, MD
GENDER: M
PROVIDER #: 112469
NPI #: 1326040098
E-PRESCRIBE: YES
FHN FAMILY HEALTHCARE
CENTER
750 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 599-7170
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
145
Primary Care Physicians
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER
3001 HIGHLAND VIEW DR
FREEPORT, IL 61032
PHONE: (815) 235-3165
E-PRESCRIBE: NO
146
MUISE, MICHAEL J., MD
GENDER: M
PROVIDER #: 134364
NPI #: 1659481844
E-PRESCRIBE: NO
MONROE CLINIC FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
PEDERSEN, REBECCA,
MD
GENDER: F
PROVIDER #: 098508
NPI #: 1770556672
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER
3001 HIGHLAND VIEW DR
FREEPORT, IL 61032
PHONE: (815) 235-3165
E-PRESCRIBE: NO
PERRY, MICHAEL, MD
GENDER: M
PROVIDER #: 066453
NPI #: 1972579175
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
FHN FAMILY HEALTHCARE
CENTER
750 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 599-7170
E-PRESCRIBE: YES
FREEPORT, IL
FREEPORT, IL
FHN FAMILY HEALTHCARE
CENTER-BURCHARD HILLS
1010 W FAIRWAY
FREEPORT, IL 61032
PHONE: (815) 599-6000
E-PRESCRIBE: YES
WORKMAN, ALLEN, MD
GENDER:
PROVIDER #: 070207
NPI #: 1578539789
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER
3001 HIGHLAND VIEW DR
FREEPORT, IL 61032
PHONE: (815) 235-3166
E-PRESCRIBE: NO
PEDIATRICS
ANGELILLI, ADAM T., MD
GENDER: M
PROVIDER #: 173548
NPI #: 1144478173
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
FREEPORT REGIONAL
HEALTH CARE
FOUNDATION
1010 FAIRWAY DR
FREEPORT, IL 61032
PHONE: (815) 599-6000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
146
FREEPORT, IL
FULTON, KY
JOHNSON, AMY L., MD
GENDER: F
PROVIDER #: 049969
NPI #: 1619998242
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
Primary Care Physicians
PANDIAN, SHOBANA, MD
GENDER: M
PROVIDER #: 097698
NPI #: 1619940970
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 599-7755
MYERS, ELIZABETH A., APN;
PROVIDER #: 119078
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
THOMAS, PRASAD, MD
GENDER: M
PROVIDER #: 097327
NPI #: 1144296351
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER
750 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-9816
E-PRESCRIBE: NO
FULTON, KY
ADULT/INTERNAL
MEDICINE
COX, F GREGORY, MD
GENDER: M
PROVIDER #: 096856
NPI #: 1104830801
E-PRESCRIBE: NO
HOSPITAL OF FULTON DBA
HILLVIEW MEDICAL CLINIC
2006 HOLIDAY LN STE 100
FULTON, KY 42041
PHONE: (270) 472-1612
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
147
Primary Care Physicians
FAMILY PRACTICE
WHITLEDGE, JOSHUA D.,
DO
GENDER: M
PROVIDER #: 296911
NPI #: 1871596767
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
INDU B MALIK MD
227 COMMERCIAL AVENUE
FULTON, KY 42041
PHONE: (270) 472-3262
E-PRESCRIBE: NO
GALATIA, IL
FAMILY PRACTICE
ALEXANDER, JAMES O.,
MD
GENDER: M
PROVIDER #: 033074
NPI #: 1114094851
E-PRESCRIBE: NO
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
148
FORD, CLAYTON T., MD
GENDER: M
PROVIDER #: 279289
NPI #: 1689960650
E-PRESCRIBE: NO
GALATIA PRIMARY CARE
124 E MAIN
GALATIA, IL 62935
PHONE: (618) 268-4083
BOYD, PEGGY M., CNP;
PROVIDER #: 247138
E-PRESCRIBE: NO
GALESBURG, IL
ADULT/INTERNAL
MEDICINE
HERSHKOWITZ, JEFFREY
D., DO
GENDER: M
PROVIDER #: 060776
NPI #: 1922101104
E-PRESCRIBE: NO
OSF GALESBURG CLINIC
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
MURPHY, LYLE, PA;
PROVIDER #: 169626
E-PRESCRIBE: NO
JAMNADAS, BRIJ B., MD
GENDER: M
PROVIDER #: 051798
NPI #: 1669575460
E-PRESCRIBE: NO
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
FULTON, KY
GALESBURG, IL
KHAISER, AFSHIN, MD
GENDER: M
PROVIDER #: 280049
NPI #: 1255630646
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF GALESBURG CLINIC
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
HAJOSTEK, MELISSA A., APN;
PROVIDER #: 227896
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
148
GALESBURG, IL
GALESBURG, IL
STONEKING, ERIN I., MD
GENDER: F
PROVIDER #: 166727
NPI #: 1083758403
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MEDICAL ARTS CLINIC
834 N SEMINARY ST SUITE
201
GALESBURG, IL 61401
PHONE: (309) 343-2072
E-PRESCRIBE: NO
Primary Care Physicians
CONLEE, ANNEVAY D.,
MD
GENDER: F
PROVIDER #: 230257
NPI #: 1053540237
E-PRESCRIBE: NO
OSF GALESBURG CLINIC
1707 N HENDERSON ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
SRENIAWSKI, MEGHAN J., PA;
PROVIDER #: 288630
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
3375 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 343-5114
E-PRESCRIBE: NO
FLACCO, VALERIE A., MD
GENDER: F
PROVIDER #: 229778
NPI #: 1255430120
E-PRESCRIBE: NO
OSF GALESBURG CLINIC
1707 N HENDERSON ST
GALESBURG, IL 61401
PHONE: (309) 343-1017
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MEDICAL ARTS CLINIC
834 N SEMINARY ST SUITE
201
GALESBURG, IL 61401
PHONE: (309) 343-3162
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
149
Primary Care Physicians
LINK, GREG A., DO
GENDER: M
PROVIDER #: 049809
NPI #: 1871692798
E-PRESCRIBE: NO
OSF MEDICAL GROUP
3375 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 343-5114
E-PRESCRIBE: NO
SLOAN, ROGER D., MD
GENDER: M
PROVIDER #: 156022
NPI #: 1932207859
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF PROMPTCARE
1707 N HENDERSON ST
GALESBURG, IL 61401
PHONE: (309) 343-1017
E-PRESCRIBE: NO
NESSELROAD III, JAMES
D., MD
GENDER: M
PROVIDER #: 050580
NPI #: 1164521928
E-PRESCRIBE: NO
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
VERMA, RUBY, MD
GENDER: F
PROVIDER #: 266327
NPI #: 1235444035
E-PRESCRIBE: NO
MEDICAL ARTS CLINIC
834 N SEMINARY ST SUITE
201
GALESBURG, IL 61401
PHONE: (309) 343-7130
E-PRESCRIBE: NO
PEACHEY, KEITH E., MD
GENDER: M
PROVIDER #: 015085
NPI #: 1184623746
E-PRESCRIBE: NO
MEDICAL ARTS CLINIC
834 N SEMINARY ST SUITE
201
GALESBURG, IL 61401
PHONE: (309) 343-7135
E-PRESCRIBE: NO
150
WAGNER, ROBERT, MD
GENDER: M
PROVIDER #: 015092
NPI #: 1588663017
E-PRESCRIBE: NO
MEDICAL ARTS CLINIC
834 N SEMINARY ST SUITE
201
GALESBURG, IL 61401
PHONE: (309) 343-7132
E-PRESCRIBE: NO
GALESBURG, IL
GALESBURG, IL
WILLIAMS, BONNIE M.,
MD
GENDER: F
PROVIDER #: 054295
NPI #: 1497754436
E-PRESCRIBE: NO
MEDICAL ARTS CLINIC
834 N SEMINARY ST SUITE
201
GALESBURG, IL 61401
PHONE: (309) 343-7139
E-PRESCRIBE: NO
GENERAL PRACTICE
JAGANNATHAN,
HAMSAVENI K., MD
GENDER: F
PROVIDER #: 056054
NPI #: 1538251582
E-PRESCRIBE: NO
FAMILY PLANNING
SERVICE OF WESTERN
ILLINOIS INC
311 E MAIN ST SUITE 409
GALESBURG, IL 61401
PHONE: (309) 343-6162
E-PRESCRIBE: NO
MEHTA, HARSHA S., MD
GENDER: F
PROVIDER #: 020819
NPI #: 1104837285
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
575 N KELLOGG ST SUITE 2
GALESBURG, IL 61401
PHONE: (309) 343-0160
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
150
GALESBURG, IL
GALVA, IL
WIECHERT, MARK, MD
GENDER: M
PROVIDER #: 281458
NPI #: 1063513893
E-PRESCRIBE: NO
OSF MEDICAL GROUP
3375 SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 343-5114
E-PRESCRIBE: NO
PEDIATRICS
ALFAHEL, SAOUSAN, MD
GENDER: F
PROVIDER #: 273715
NPI #: 1366697427
E-PRESCRIBE: NO
OSF GALESBURG CLINIC
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
E-PRESCRIBE: NO
KAUR, RASHAM, MD
GENDER: F
PROVIDER #: 273808
NPI #: 1366790602
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PEDIATRIC AND
ADOLESCENT CARE
834 N SEMINARY ST SUITE
302
GALESBURG, IL 61401
PHONE: (309) 342-2171
E-PRESCRIBE: NO
Primary Care Physicians
LARSON, AMY, MD
GENDER: F
PROVIDER #: 126464
NPI #: 1356442172
E-PRESCRIBE: NO
PEDIATRIC AND
ADOLESCENT CARE
834 N SEMINARY ST SUITE
304
GALESBURG, IL 61401
PHONE: (309) 342-2144
E-PRESCRIBE: NO
LEISURE, MARKETA, MD
GENDER: F
PROVIDER #: 254646
NPI #: 1578504379
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
230 EXCHANGE ST SUITE 1
GALVA, IL 61434
PHONE: (309) 932-3800
E-PRESCRIBE: NO
JEFFRIES, KEVIN, MD
GENDER: M
PROVIDER #: 090978
NPI #: 1871541615
E-PRESCRIBE: NO
REGIONAL HEALTH
PARTNERS
336 FRONT ST
GALVA, IL 61434
PHONE: (309) 932-3101
HARKER, TAMI L., CNP;
PROVIDER #: 111142
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
151
Primary Care Physicians
PRASAD, LEKHA, MD
GENDER: F
PROVIDER #: 046216
NPI #: 1396724274
E-PRESCRIBE: NO
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: NO
GARDNER, IL
FAMILY PRACTICE
PASSERMAN, MARK A.,
DO
GENDER: M
PROVIDER #: 118822
NPI #: 1851404313
E-PRESCRIBE: YES
GARDNER HEALTHCARE
CENTER
409 ROUTE 53
GARDNER, IL 60424
PHONE: (815) 237-0413
ZWEERES, TAMMY S., NP;
PROVIDER #: 219133
E-PRESCRIBE: YES
SORIA, LOREN L., MD
GENDER: F
PROVIDER #: 067455
NPI #: 1700864295
E-PRESCRIBE: YES
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
THOMAS, JENNIFER L.,
MD
GENDER: F
PROVIDER #: 186477
NPI #: 1811181712
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
152
VAN KERREBROECK,
DREW R., MD
GENDER: M
PROVIDER #: 085168
NPI #: 1568440345
E-PRESCRIBE: YES
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
GARDNER, IL
GENESEO, IL
FAMILY PRACTICE
ALLA, HIMABINDU, MD
GENDER: F
PROVIDER #: 139332
NPI #: 1194780049
E-PRESCRIBE: NO
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: NO
BROWN, JULIE, MD
GENDER: F
PROVIDER #: 255658
NPI #: 1538488788
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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.
152
GENESEO, IL
GENEVA, IL
FORD, DONALD, MD
GENDER: M
PROVIDER #: 054544
NPI #: 1053398933
E-PRESCRIBE: NO
HAMMOND HENRY
HOSPITAL
210 WEST ELK STREET
GENESEO, IL 61254
PHONE:
E-PRESCRIBE: NO
JENKINS, JULIA C., DO
GENDER: F
PROVIDER #: 195069
NPI #: 1346201316
E-PRESCRIBE: NO
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: NO
MILLER, JOANNE M., MD
GENDER: F
PROVIDER #: 290344
NPI #: 1093777518
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
Primary Care Physicians
RABACAL, RANILO J., MD
GENDER: M
PROVIDER #: 185780
NPI #: 1396930590
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
TRINITY FAMILY MEDICAL
ASSOCIATES
600 N COLLEGE AVE SUITE
120
GENESEO, IL 61254
PHONE: (309) 944-5342
E-PRESCRIBE: YES
GENEVA, IL
ADULT/INTERNAL
MEDICINE
SHAH, MRUNAL V., MD
GENDER: M
PROVIDER #: 269262
NPI #: 1356571525
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
351 DELNOR DR SUITE 100
GENEVA, IL 60134-4220
PHONE: (630) 638-9900
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
153
GENEVA, IL
GIBSON CITY, IL
Primary Care Physicians
THANGEDA, SRAVAN K.,
MD
GENDER: M
PROVIDER #: 269204
NPI #: 1487876439
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
351 DELNOR DR SUITE 100
GENEVA, IL 60134-4220
PHONE: (630) 938-9900
E-PRESCRIBE: NO
FAMILY PRACTICE
ALLEN, JAMISON D., DO
GENDER: M
PROVIDER #: 105156
NPI #: 1184614760
E-PRESCRIBE: NO
JAMISON ALLEN DO LLC
2172 BLACKBERRY DR
GENEVA, IL 60134
PHONE: (630) 879-3500
NARDONE, MARIE, NP;
PROVIDER #: 171783
E-PRESCRIBE: NO
OMALLEY, DANIEL C., MD
GENDER: M
PROVIDER #: 269508
NPI #: 1811932056
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
351 DELNOR DR SUITE 200
GENEVA, IL 60134-4220
PHONE: (630) 938-9900
E-PRESCRIBE: NO
GENOA, IL
FAMILY PRACTICE
WEIS, CHRISTINE R., MD
GENDER: F
PROVIDER #: 211369
NPI #: 1841451549
E-PRESCRIBE: NO
KISHWAUKEE PHYSICIAN
GROUP INC
599 PEARSON DR
GENOA, IL 60135
PHONE: (815) 784-2100
E-PRESCRIBE: NO
GEORGETOWN, IL
FAMILY PRACTICE
GINDI, GEORGE R., MD
GENDER: M
PROVIDER #: 015566
NPI #: 1477503472
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
154
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
154
GIBSON CITY, IL
GILMAN, IL
NELSON, NEIL R., MD
GENDER: M
PROVIDER #: 011177
NPI #: 1386637106
E-PRESCRIBE: NO
#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
FAMILY PRACTICE
AUSTMAN, KATHERINE
M., MD
GENDER: F
PROVIDER #: 098058
NPI #: 1396739462
E-PRESCRIBE: NO
GIBSON AREA HOSPITAL
7 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-5500
E-PRESCRIBE: NO
DELOST, GREGORY J., MD
GENDER: M
PROVIDER #: 043508
NPI #: 1992864672
E-PRESCRIBE: YES
FAMILY HEALTHCARE OF
GIBSON CITY
#3 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4030
E-PRESCRIBE: YES
Primary Care Physicians
HAGAN, DAVID J., MD
GENDER: M
PROVIDER #: 050892
NPI #: 1467433557
E-PRESCRIBE: YES
GIBSON CITY CLINIC
222 N SANGAMON AVE
GIBSON CITY, IL 60936
PHONE: (217) 784-8148
E-PRESCRIBE: YES
RAY, BERNADETTE M.,
MD
GENDER: F
PROVIDER #: 156869
NPI #: 1164634267
E-PRESCRIBE: NO
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
126 E 9TH ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4086
E-PRESCRIBE: NO
SPANGLER, MARK, MD
GENDER: M
PROVIDER #: 043507
NPI #: 1336208347
E-PRESCRIBE: NO
FAMILY HEALTHCARE OF
GIBSON CITY
#3 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4030
E-PRESCRIBE: NO
FAMILY PRACTICE OB
DELOST, GREGORY J., MD
GENDER: M
PROVIDER #: 043508
NPI #: 1992864672
E-PRESCRIBE: YES
FAMILY HEALTHCARE OF
GIBSON CITY
#3 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4030
E-PRESCRIBE: YES
PEDIATRICS
NELSON, NEIL R., MD
GENDER: M
PROVIDER #: 011177
NPI #: 1386637106
E-PRESCRIBE: NO
#8 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-8580
RICHMOND, ANNE-MARIE R.,
PA; PROVIDER #: 079774
E-PRESCRIBE: NO
GILMAN, IL
ADULT/INTERNAL
MEDICINE
ALFORD, RODNEY, MD
GENDER: M
PROVIDER #: 299265
NPI #: 1427128909
E-PRESCRIBE: NO
IMH GILMAN CLINIC
508 E CRESCENT
GILMAN, IL 60938
PHONE: (815) 265-8889
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
155
GILMAN, IL
GLEN ELLYN, IL
Primary Care Physicians
DODIA, NARAN P., MD
GENDER: M
PROVIDER #: 079271
NPI #: 1154401974
E-PRESCRIBE: NO
IMH GILMAN CLINIC
508 E CRESCENT
GILMAN, IL 60938
PHONE: (815) 265-8332
E-PRESCRIBE: NO
GIRARD, IL
REYES, CRISANTO M., MD
GENDER: M
PROVIDER #: 096136
NPI #: 1154461978
E-PRESCRIBE: NO
IMH GILMAN CLINIC
508 E CRESCENT ST
GILMAN, IL 60938
PHONE: (815) 265-8889
E-PRESCRIBE: NO
FAMILY PRACTICE
AJAKAIYE, MICHAEL, MD
GENDER: M
PROVIDER #: 281890
NPI #: 1831346980
E-PRESCRIBE: YES
508 E CRESCENT
GILMAN, IL 60938
PHONE: (815) 265-8889
E-PRESCRIBE: YES
FONTANILLA, ANGELITA,
MD
GENDER: F
PROVIDER #: 192480
NPI #: 1114076080
E-PRESCRIBE: NO
IMH GILMAN CLINIC
508 E CRESCENT ST
GILMAN, IL 60938
PHONE: (815) 265-8889
E-PRESCRIBE: NO
156
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
CHOPRA, KAMAL K., MD
GENDER: M
PROVIDER #: 008537
NPI #: 1598762262
E-PRESCRIBE: NO
GIRARD FAMILY MEDICAL
125 S SECOND ST
GIRARD, IL 62640
PHONE: (217) 627-3350
E-PRESCRIBE: NO
BAIRD, JOHN S., MD
GENDER: M
PROVIDER #: 215490
NPI #: 1851555619
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
885 ROOSEVELT RD SUITE
201
GLEN ELLYN, IL 60137-6141
PHONE: (630) 384-6330
E-PRESCRIBE: NO
FAMILY PRACTICE
WILKENS, KATE M., MD
GENDER: F
PROVIDER #: 189130
NPI #: 1477735397
E-PRESCRIBE: NO
GIRARD FAMILY HEALTH
CARE
205 S 3RD ST
GIRARD, IL 62640
PHONE: (217) 627-2141
E-PRESCRIBE: NO
GLASFORD, IL
FAMILY PRACTICE
PEDIATRICS
GLEN ELLYN, IL
BAYLOR, MARK C., MD
GENDER: M
PROVIDER #: 001414
NPI #: 1740256700
E-PRESCRIBE: NO
201 E MAIN ST
GLASFORD, IL 61533
PHONE: (309) 245-4007
GARNER, PAMELA, FNP;
PROVIDER #: 174548
E-PRESCRIBE: NO
GAWNE, STEPHEN R., MD
GENDER: M
PROVIDER #: 191585
NPI #: 1497729537
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
444 PARK BLVD
GLEN ELLYN, IL 60137-4622
PHONE: (630) 469-0045
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
156
GLEN ELLYN, IL
GLENVIEW, IL
Primary Care Physicians
HA, KENNETH C., DO
GENDER: M
PROVIDER #: 205495
NPI #: 1497975502
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
444 PARK BLVD
GLEN ELLYN, IL 60137-4622
PHONE: (630) 469-0045
E-PRESCRIBE: NO
LOBUE, STEVEN M., MD
GENDER: M
PROVIDER #: 130838
NPI #: 1417987108
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
885 ROOSEVELT RD
GLEN ELLYN, IL 60137-6141
PHONE: (630) 545-3760
E-PRESCRIBE: NO
PEDIATRICS
LEE, KENNETH K., MD
GENDER: M
PROVIDER #: 211899
NPI #: 1043245970
E-PRESCRIBE: NO
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
CHRISTENSEN, JOSEPH
M., MD
GENDER: M
PROVIDER #: 270260
NPI #: 1932121357
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
885 ROOSEVELT RD STE 201
GLEN ELLYN, IL 60137-6141
PHONE: (630) 790-1555
E-PRESCRIBE: NO
GLENVIEW, IL
ADULT/INTERNAL
MEDICINE
CHIZHIK, IRENA, MD
GENDER: F
PROVIDER #: 278724
NPI #: 1275501579
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026
PHONE: (847) 724-4536
E-PRESCRIBE: NO
ELLIOTT, GLYNN J., MD
GENDER: M
PROVIDER #: 256805
NPI #: 1366481426
E-PRESCRIBE: NO
RMG NSMG IM PATRIOT
2614 PATRIOT BLVD STE A
GLENVIEW, IL 60026
PHONE: (847) 251-1500
E-PRESCRIBE: NO
GOLDSTEIN, BETTY, MD
GENDER: F
PROVIDER #: 278727
NPI #: 1699743070
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026
PHONE: (847) 724-4536
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
157
Primary Care Physicians
GOLDSTEIN, DANIEL J.,
MD
GENDER: M
PROVIDER #: 278728
NPI #: 1265401335
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026
PHONE: (847) 724-4536
E-PRESCRIBE: NO
MILLER, RICHARD J., MD
GENDER: M
PROVIDER #: 270387
NPI #: 1811933195
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026-8039
PHONE: (847) 724-4536
E-PRESCRIBE: NO
JINDAL, RAJESH, MD
GENDER:
PROVIDER #: 256833
NPI #: 1184818791
E-PRESCRIBE: NO
PMG-NORTHSHOREPATRIOT
2614 PATRIOT BLVD SUITE A
GLENVIEW, IL 60026
PHONE: (847) 729-8833
E-PRESCRIBE: NO
NUGENT, COLLEEN M.,
MD
GENDER: F
PROVIDER #: 298882
NPI #: 1083773535
E-PRESCRIBE: NO
PMG NSMG IM PATRIOT
2614 PATRIOT BLVD STE A
GLENVIEW, IL 60026
PHONE: (847) 729-8833
E-PRESCRIBE: NO
GLENVIEW, IL
GLENVIEW, IL
SHAPIRO, SUSAN D., MD
GENDER: F
PROVIDER #: 231215
NPI #: 1326026139
E-PRESCRIBE: NO
RMG NSMG IM PATRIOT
2614 PATRIOT BLVD STE A
GLENVIEW, IL 60026
PHONE: (847) 729-8833
E-PRESCRIBE: NO
SHOLL, STEVEN P., MD
GENDER: M
PROVIDER #: 278736
NPI #: 1982672275
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026
PHONE: (847) 724-4536
E-PRESCRIBE: NO
LEVINE, STEVEN A., MD
GENDER: M
PROVIDER #: 272826
NPI #: 1275502346
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026
PHONE: (847) 724-4536
E-PRESCRIBE: NO
PETRUNGARO, KATHRYN
M., MD
GENDER: F
PROVIDER #: 255925
NPI #: 1558526186
E-PRESCRIBE: NO
2701 PATRIOT BLVD #2701
GLENVIEW, IL 60026
PHONE: (847) 724-4536
E-PRESCRIBE: NO
SINGH, BHUPINDER, MD
GENDER:
PROVIDER #: 256807
NPI #: 1932250446
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
2614 PATRIOT BLVD STE A
GLENVIEW, IL 60026
PHONE: (847) 729-8833
E-PRESCRIBE: NO
RASOF, MIRIAM L., MD
GENDER: F
PROVIDER #: 249880
NPI #: 1942231030
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026-8039
PHONE: (847) 724-4536
E-PRESCRIBE: NO
VARGAS, ELADIO A., MD
GENDER: M
PROVIDER #: 278738
NPI #: 1962569509
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026-8039
PHONE: (847) 998-9788
E-PRESCRIBE: NO
158
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
158
GLENVIEW, IL
GOLDEN, IL
Primary Care Physicians
VARGAS, LEONARDO, MD
GENDER: M
PROVIDER #: 278740
NPI #: 1245385699
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026-8039
PHONE: (847) 998-9788
E-PRESCRIBE: NO
LECHMAN, PETER A., MD
GENDER: M
PROVIDER #: 277497
NPI #: 1972544328
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026-8039
PHONE: (312) 926-7337
E-PRESCRIBE: NO
WOOD, DANA R., MD
GENDER: F
PROVIDER #: 278722
NPI #: 1679592265
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026
PHONE: (847) 724-4536
E-PRESCRIBE: NO
MAKS, JONATHAN H., MD
GENDER: M
PROVIDER #: 252378
NPI #: 1720033160
E-PRESCRIBE: NO
2614 PATRIOT BLVD STE A
GLENVIEW, IL 60026
PHONE: (847) 729-8833
E-PRESCRIBE: NO
FAMILY PRACTICE
RAO, ANJALI S., MD
GENDER: F
PROVIDER #: 274346
NPI #: 1194719690
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026-8039
PHONE: (312) 926-7337
E-PRESCRIBE: NO
GERSHON, MICHAEL A.,
DO
GENDER: M
PROVIDER #: 273281
NPI #: 1639379381
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026
PHONE: (847) 724-4536
E-PRESCRIBE: NO
PEDIATRICS
KARACIC, THERESA L.,
MD
GENDER: F
PROVIDER #: 278789
NPI #: 1538102652
E-PRESCRIBE: NO
2701 PATRIOT BLVD
GLENVIEW, IL 60026-8039
PHONE: (312) 926-3627
E-PRESCRIBE: NO
GODFREY, IL
ADULT/INTERNAL
MEDICINE
BURNSIDE, DAVID W., MD
GENDER: M
PROVIDER #: 291868
NPI #: 1124045752
E-PRESCRIBE: NO
ALTON MEMORIAL
CONVENIENT CARE
5520 GODFREY RD
GODFREY, IL 62035
PHONE: (618) 463-7800
E-PRESCRIBE: NO
FAMILY PRACTICE
MOHYUDDIN, YUSUF A.,
MD
GENDER: M
PROVIDER #: 180646
NPI #: 1851516306
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
159
GOLDEN, IL
GRAYSLAKE, IL
Primary Care Physicians
MULLER, MERLE H., MD
GENDER: M
PROVIDER #: 200424
NPI #: 1891770350
E-PRESCRIBE: NO
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
WHITE, DONNA, MD
GENDER: F
PROVIDER #: 026122
NPI #: 1679550289
E-PRESCRIBE: NO
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
PHILLIPS, DEBRA, MD
GENDER: F
PROVIDER #: 014474
NPI #: 1467439075
E-PRESCRIBE: NO
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
GRAND RIVERS, KY
FAMILY PRACTICE
BROWN, ERIC C., MD
GENDER: M
PROVIDER #: 297516
NPI #: 1134235419
E-PRESCRIBE: NO
LIVINGSTON HOSP &
HEALTHCARE SRVCS DBA
GRAND LAKES
1860 J H OBRYAN AVENUE
GRAND RIVERS, KY 42045
PHONE: (270) 362-8246
E-PRESCRIBE: NO
SHARP, JASON E., MD
GENDER: M
PROVIDER #: 136103
NPI #: 1366470510
E-PRESCRIBE: YES
EAST ADAMS COUNTY
RURAL HEALTH CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: YES
GRANVILLE, IL
FAMILY PRACTICE
VON FANGE, TIMOTHY J.,
MD
GENDER: M
PROVIDER #: 154122
NPI #: 1154461739
E-PRESCRIBE: NO
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
160
BAILEY, SHAWN E., MD
GENDER: M
PROVIDER #: 031412
NPI #: 1447363585
E-PRESCRIBE: NO
ST MARGARETS HEALTH
GRANVILLE CLINIC
309 S MCCOY ST
GRANVILLE, IL 61326
PHONE: (815) 339-6245
E-PRESCRIBE: NO
FAMILY PRACTICE OB
BAILEY, SHAWN E., MD
GENDER: M
PROVIDER #: 031412
NPI #: 1447363585
E-PRESCRIBE: NO
ST MARGARETS HEALTH
GRANVILLE CLINIC
309 S MCCOY ST
GRANVILLE, IL 61326
PHONE: (815) 339-6245
E-PRESCRIBE: NO
GRAYSLAKE, IL
ADULT/INTERNAL
MEDICINE
BEN-DOV, DANA L., MD
GENDER: F
PROVIDER #: 278741
NPI #: 1194709477
E-PRESCRIBE: NO
1275 E BELVIDERE RD #250
GRAYSLAKE, IL 60030
PHONE: (847) 926-0106
E-PRESCRIBE: NO
BUSSELL, JENNIFER K.,
MD
GENDER: F
PROVIDER #: 278742
NPI #: 1740219567
E-PRESCRIBE: NO
1275 E BELVIDERE RD #250
GRAYSLAKE, IL 60030
PHONE: (847) 926-0106
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
160
GRAYSLAKE, IL
GREENVILLE, IL
FAMILY PRACTICE
CLEMENTS, DEBORAH S.,
MD
GENDER: F
PROVIDER #: 278714
NPI #: 1255427779
E-PRESCRIBE: NO
1275 E BELVIDERE RD #250
GRAYSLAKE, IL 60030
PHONE: (847) 926-0106
E-PRESCRIBE: NO
HOLLOWAY, ALISON S.,
MD
GENDER: F
PROVIDER #: 278716
NPI #: 1699751735
E-PRESCRIBE: NO
1275 E BELVIDERE RD #250
GRAYSLAKE, IL 60030
PHONE: (847) 926-0106
E-PRESCRIBE: NO
GREENFIELD, IL
FAMILY PRACTICE
ADAMS, AUGUST G., MD
GENDER: M
PROVIDER #: 071511
NPI #: 1992803985
E-PRESCRIBE: NO
BOYD FILLAGER CLINIC GREENFIELD RHC
712 COLLEGE ST
GREENFIELD, IL 62044
PHONE: (217) 368-3051
BEAVERS, LAURIE, NP;
PROVIDER #: 279847
E-PRESCRIBE: NO
Primary Care Physicians
ALI, MOHAMMED, MD
GENDER: M
PROVIDER #: 239337
NPI #: 1184708547
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
BOYD FILLAGER CLINIC
GREENFIELD RHC
712 COLLEGE ST
GREENFIELD, IL 62044
PHONE: (217) 368-3051
E-PRESCRIBE: NO
SIDDIQUI, GULAM, MD
GENDER: M
PROVIDER #: 221463
NPI #: 1720131188
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
712 COLLEGE ST
GREENFIELD, IL 62044
PHONE: (217) 368-3041
E-PRESCRIBE: NO
GREENVILLE, IL
FAMILY PRACTICE
BOND, MICHAEL M., DO
GENDER: M
PROVIDER #: 187095
NPI #: 1386623353
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
161
Primary Care Physicians
FUNNEMAN, RICHARD D.,
MD
GENDER: M
PROVIDER #: 198232
NPI #: 1396726121
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GREENVILLE REGIONAL
HOSPITAL INC
200 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1380
GRAY, CYNTHIA K., FNP;
PROVIDER #: 301051
E-PRESCRIBE: NO
MCCRACKEN, BOYD A.,
MD
GENDER: M
PROVIDER #: 252124
NPI #: 1023000908
E-PRESCRIBE: NO
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
SIEFKEN, PHILIP E., MD
GENDER: M
PROVIDER #: 192110
NPI #: 1689629107
E-PRESCRIBE: NO
GREENVILLE REGIONAL
HOSPITAL INC
200 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1230
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
E-PRESCRIBE: NO
GREENVILLE REGIONAL
HOSPITAL INC
200 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1230
E-PRESCRIBE: NO
162
GRH MEDICAL GROUP
101 HEALTHCARE DRIVE
GREENVILLE, IL 62246
PHONE: (618) 664-2531
E-PRESCRIBE: NO
GRH MEDICAL GROUP
101 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-2531
E-PRESCRIBE: NO
GREENVILLE, IL
HANNIBAL, MO
HAMILTON, IL
GENERAL PRACTICE
MCKENNEY, EDWARD F.,
DO
GENDER: M
PROVIDER #: 023236
NPI #: 1457334591
E-PRESCRIBE: NO
1471 KEOKUK ST
HAMILTON, IL 62341
PHONE: (217) 847-3383
E-PRESCRIBE: NO
HANNIBAL, MO
ADULT/INTERNAL
MEDICINE
BARTLETT, RODERICK
M., MD
GENDER: M
PROVIDER #: 103264
NPI #: 1649259300
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
HANNIBAL REGIONAL
MEDICAL GROUP
6500 HOSPITAL DR
HANNIBAL, MO 63401
PHONE: (573) 629-3400
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
162
HANNIBAL, MO
HANNIBAL, MO
GWAN-NULLA, MEESHA,
MD
GENDER: F
PROVIDER #: 299922
NPI #: 1669435707
E-PRESCRIBE: NO
HANNIBAL REGIONAL
MEDICAL GROUP
6500 HOSPITAL DR
HANNIBAL, MO 63401
PHONE:
E-PRESCRIBE: NO
HALPIN, STEPHEN E., MD
GENDER: M
PROVIDER #: 067135
NPI #: 1346229937
E-PRESCRIBE: NO
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3120
E-PRESCRIBE: NO
KERKEMEYER, GEORGE,
MD
GENDER: M
PROVIDER #: 103271
NPI #: 1083693683
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (473) 231-3116
E-PRESCRIBE: NO
Primary Care Physicians
MEIDL, ERIK J., MD
GENDER: M
PROVIDER #: 069205
NPI #: 1891774469
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
HANNIBAL REGIONAL
HOSPITAL
6500 HOSPITAL DRIVE
HANNIBAL, MO 63401
PHONE:
E-PRESCRIBE: NO
RICHEH, BUTHAINA, MD
GENDER: F
PROVIDER #: 152263
NPI #: 1598711855
E-PRESCRIBE: NO
HANNIBAL REGIONAL
HOSPITAL
6000 HOSPITAL DR
HANNIBAL, MO 63401
PHONE:
E-PRESCRIBE: NO
TWEEDY, PHILIP D., MD
GENDER: M
PROVIDER #: 093673
NPI #: 1376522870
E-PRESCRIBE: NO
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3124
E-PRESCRIBE: NO
FAMILY PRACTICE
BOXERMAN, CARROL L.,
DO
GENDER: F
PROVIDER #: 054092
NPI #: 1982683652
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3139
E-PRESCRIBE: NO
GREVING, JOHN P., MD
GENDER: M
PROVIDER #: 142671
NPI #: 1043388036
E-PRESCRIBE: NO
HANNIBAL REGIONAL
MEDICAL GROUP
6500 HOSPITAL DR
HANNIBAL, MO 63401
PHONE: (573) 629-3400
E-PRESCRIBE: NO
JOHNSON III, LENT C., MD
GENDER: M
PROVIDER #: 060235
NPI #: 1457330052
E-PRESCRIBE: NO
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3141
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
163
Primary Care Physicians
MCCOY, LESLIE A., DO
GENDER: F
PROVIDER #: 073001
NPI #: 1376522938
E-PRESCRIBE: NO
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3232
E-PRESCRIBE: NO
SAMARITONI, ADAM J.,
DO
GENDER: M
PROVIDER #: 185131
NPI #: 1013117498
E-PRESCRIBE: NO
HANNIBAL REGIONAL
MEDICAL GROUP
6500 HOSPITAL DR
HANNIBAL, MO 63401
PHONE: (573) 629-3400
E-PRESCRIBE: NO
MEMKEN, JOHN A., MD
GENDER: M
PROVIDER #: 059551
NPI #: 1932188471
E-PRESCRIBE: NO
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3143
E-PRESCRIBE: NO
NICHOLS, LAWRENCE E.,
DO
GENDER: M
PROVIDER #: 051162
NPI #: 1902885460
E-PRESCRIBE: NO
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3145
E-PRESCRIBE: NO
OUELLETTE, DAVID F.,
MD
GENDER: M
PROVIDER #: 119204
NPI #: 1093794588
E-PRESCRIBE: NO
PO BOX 311
HANNIBAL, MO 63401
PHONE:
E-PRESCRIBE: NO
164
TENTORI, MICHAEL B.,
DO
GENDER: M
PROVIDER #: 299218
NPI #: 1932227907
E-PRESCRIBE: NO
PREFERRED FAMILY
HEALTHCARE INC
141 COMMUNICATIONS DR
HANNIBAL, MO 63401
PHONE: (573) 603-1460
E-PRESCRIBE: NO
ZIMMERMAN, DALE D., DO
GENDER: M
PROVIDER #: 112929
NPI #: 1720169899
E-PRESCRIBE: NO
HANNIBAL REGIONAL
MEDICAL GROUP
6500 HOSPITAL DR
HANNIBAL, MO 63401
PHONE: (573) 735-2506
E-PRESCRIBE: NO
HANNIBAL, MO
HANNIBAL, MO
PEDIATRICS
BAUMANN, DEBORAH A.,
MD
GENDER: F
PROVIDER #: 253235
NPI #: 1740521210
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3106
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
164
HANNIBAL, MO
HARRISBURG, IL
Primary Care Physicians
THORNTON, JAMES L.,
MD
GENDER: M
PROVIDER #: 051741
NPI #: 1659350155
E-PRESCRIBE: NO
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3104
E-PRESCRIBE: NO
RIDER, SHANNON B., MD
GENDER: M
PROVIDER #: 076766
NPI #: 1508846429
E-PRESCRIBE: NO
PRIMARY CARE GROUP
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
E-PRESCRIBE: NO
WHITE, BARBARA A., DO
GENDER: F
PROVIDER #: 223112
NPI #: 1629057120
E-PRESCRIBE: NO
HANNIBAL REGIONAL
MEDICAL GROUP
6500 HOSPITAL DR
HANNIBAL, MO 63401
PHONE: (573) 629-3400
E-PRESCRIBE: NO
ALEXANDER, JAMES O.,
MD
GENDER: M
PROVIDER #: 033074
NPI #: 1114094851
E-PRESCRIBE: NO
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
HARRISBURG, IL
ADULT/INTERNAL
MEDICINE
EUBANKS, MATTHEW B.,
MD
GENDER: M
PROVIDER #: 223539
NPI #: 1679717425
E-PRESCRIBE: NO
PRIMARY CARE GROUP
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
E-PRESCRIBE: NO
FAMILY PRACTICE
EWELL, KIMBALL E., MD
GENDER: M
PROVIDER #: 027433
NPI #: 1457303943
E-PRESCRIBE: NO
HARRISBURG MEDICAL
CENTER
100 DR WARREN TUTTLE DR
HARRISBURG, IL 62946
PHONE: (217) 253-7671
E-PRESCRIBE: NO
FORD, CLAYTON T., MD
GENDER: M
PROVIDER #: 279289
NPI #: 1689960650
E-PRESCRIBE: NO
ALEXANDER FAMILY
PRACTICE
901 S COMMERCIAL
HARRISBURG, IL 62946
PHONE: (618) 252-0411
BOYD, PEGGY M., CNP;
PROVIDER #: 247138
E-PRESCRIBE: NO
JONES, BRENT M., MD
GENDER: M
PROVIDER #: 275871
NPI #: 1063708550
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
PRIMARY CARE GROUP
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
E-PRESCRIBE: NO
RIDER, SHANNON B., MD
GENDER: M
PROVIDER #: 267673
NPI #: 1508846429
E-PRESCRIBE: NO
HARRISBURG MEDICAL
CENTER
100 DR WARREN TUTTLE DR
HARRISBURG, IL 62946
PHONE: (618) 253-7691
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
165
HARRISBURG, IL
HAVANA, IL
Primary Care Physicians
VARGO, ADAM, MD
GENDER: M
PROVIDER #: 135061
NPI #: 1861683187
E-PRESCRIBE: NO
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
WATTERS, ROGER, MD
GENDER: M
PROVIDER #: 007068
NPI #: 1356321343
E-PRESCRIBE: NO
PRIMARY CARE GROUP
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
HOFFMAN, MEGAN, CNP;
PROVIDER #: 203007
E-PRESCRIBE: NO
WINKLEMAN, LAURA M.,
MD
GENDER: F
PROVIDER #: 107343
NPI #: 1558331207
E-PRESCRIBE: NO
PRIMARY CARE GROUP
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
E-PRESCRIBE: NO
166
WINKLEMAN, MATTHEW
C., MD
GENDER: M
PROVIDER #: 106886
NPI #: 1225018153
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
YETTER, TAD A., MD
GENDER: M
PROVIDER #: 009446
NPI #: 1245296979
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
HAVANA MEDICAL
ASSOCIATES
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 543-6600
E-PRESCRIBE: YES
SCHULTZ, BRUCE W., MD
GENDER: M
PROVIDER #: 090450
NPI #: 1356307433
E-PRESCRIBE: NO
HAVANA MEDICAL
ASSOCIATES RURAL
HEALTH
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 543-8564
KIRCHNER, MARSHA R., FNP;
PROVIDER #: 134649
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
166
HAVANA, IL
HERRIN, IL
Primary Care Physicians
PEDIATRICS
FAMILY PRACTICE
WAGONER, RICHARD W.,
MD
GENDER: M
PROVIDER #: 070921
NPI #: 1861458952
E-PRESCRIBE: NO
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
KANG SMITH, JUNG W.,
MD
GENDER: F
PROVIDER #: 263853
NPI #: 1770842460
E-PRESCRIBE: NO
DEACONESS CLINIC INC
340 STARLITE DR
HENDERSON, KY 42420
PHONE: (270) 844-8027
E-PRESCRIBE: NO
HENDERSON, KY
ADULT/INTERNAL
MEDICINE
WATKINS, SCOTT A., MD
GENDER: M
PROVIDER #: 141610
NPI #: 1417905332
E-PRESCRIBE: NO
DEACONESS CLINIC INC
1413 N ELM ST SUITE 106
HENDERSON, KY 42420
PHONE: (270) 827-0064
E-PRESCRIBE: NO
WRIGHT, GARAH E., MD
GENDER: F
PROVIDER #: 141611
NPI #: 1295783884
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
SIH MEDICAL GROUP
INTERNAL MEDICINE
404 LINCOLN DR
HERRIN, IL 62948
PHONE: (618) 997-0166
E-PRESCRIBE: YES
BUCHMAN, RICHARD K.,
MD
GENDER: M
PROVIDER #: 279007
NPI #: 1639457807
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
315 S 13TH ST SUITE 2
HERRIN, IL 62948
PHONE: (618) 942-5883
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
167
Primary Care Physicians
FAMILY PRACTICE
BUTT, AWAIS, MD
GENDER: M
PROVIDER #: 226575
NPI #: 1942560172
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
3305 LOGAN DR
HERRIN, IL 62948
PHONE: (618) 997-4444
NATYSHOK, STEPHANIE, PA;
PROVIDER #: 214405
E-PRESCRIBE: NO
KORTE, MARK J., MD
GENDER: M
PROVIDER #: 077636
NPI #: 1821102849
E-PRESCRIBE: NO
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
168
OESTMANN, KEVIN D., MD
GENDER: M
PROVIDER #: 033353
NPI #: 1902913908
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SIH MEDICAL GROUP AT
LOGAN PRIMARY CARE
405 RUSHING DR
HERRIN, IL 62948
PHONE: (618) 993-3300
E-PRESCRIBE: NO
HERRIN, IL
HERSCHER, IL
WORKMAN, MICHAEL A.,
MD
GENDER: M
PROVIDER #: 094621
NPI #: 1184731267
E-PRESCRIBE: NO
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, MELCHORPAULO, MD
GENDER: M
PROVIDER #: 230885
NPI #: 1376775205
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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.
168
HERSCHER, IL
HIGHLAND PARK, IL
Primary Care Physicians
LONG, JEFFERY D., MD
GENDER: M
PROVIDER #: 072484
NPI #: 1932284700
E-PRESCRIBE: NO
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
PEDIATRICS
ZAIDI, HASHIM R., MD
GENDER: M
PROVIDER #: 140892
NPI #: 1821005448
E-PRESCRIBE: NO
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
FAMILY PRACTICE
HEYWORTH, IL
FAMILY PRACTICE
RAUCH, DAREN J., MD
GENDER: M
PROVIDER #: 134195
NPI #: 1174544407
E-PRESCRIBE: NO
OSF MEDICAL GROUP
801 FOX RUN
HEYWORTH, IL 61745
PHONE: (309) 473-2795
E-PRESCRIBE: NO
MILLIGAN, DAVID E., MD
GENDER: M
PROVIDER #: 233914
NPI #: 1902131014
E-PRESCRIBE: NO
OSF MEDICAL GROUP
801 FOX RUN
HEYWORTH, IL 61745
PHONE: (309) 473-2069
E-PRESCRIBE: NO
HICKMAN, KY
BENIGNO, DAISY M., MD
GENDER: F
PROVIDER #: 297272
NPI #: 1528228046
E-PRESCRIBE: NO
HOSPITAL OF FULTON DBA
HICKMAN-FULTON COUNTY
MEDIC
2003 S 7TH ST
HICKMAN, KY 42050
PHONE: (270) 236-3202
E-PRESCRIBE: NO
HIGHLAND PARK, IL
ADULT/INTERNAL
MEDICINE
FREILICH, ROBERT A., MD
GENDER: M
PROVIDER #: 278743
NPI #: 1528066347
E-PRESCRIBE: NO
600 CENTRAL AVE #333
HIGHLAND PARK, IL 60035
PHONE: (847) 926-0106
E-PRESCRIBE: NO
MCCLURE, MITCHELL S.,
MD
GENDER: M
PROVIDER #: 278744
NPI #: 1770764128
E-PRESCRIBE: NO
600 CENTRAL AVE #333
HIGHLAND PARK, IL 60035
PHONE: (312) 926-3627
E-PRESCRIBE: NO
OREN-AMIT, GALI R., MD
GENDER: F
PROVIDER #: 278745
NPI #: 1265606040
E-PRESCRIBE: NO
600 CENTRAL AVE #333
HIGHLAND PARK, IL 60035
PHONE: (312) 926-3627
E-PRESCRIBE: NO
PETRUNGARO, KATHRYN
M., MD
GENDER: F
PROVIDER #: 255925
NPI #: 1558526186
E-PRESCRIBE: NO
600 CENTRAL AVE #333
HIGHLAND PARK, IL 60035
PHONE: (847) 926-0106
E-PRESCRIBE: NO
PIEST, LYNN M., MD
GENDER: F
PROVIDER #: 271953
NPI #: 1801853072
E-PRESCRIBE: NO
600 CENTRAL AVE #333
HIGHLAND PARK, IL 60035
PHONE: (312) 926-3627
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
169
Primary Care Physicians
FAMILY PRACTICE
HIGHLAND, IL
ADULT/INTERNAL
MEDICINE
ALVARADO, JANET L., MD
GENDER: F
PROVIDER #: 194447
NPI #: 1336114818
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
170
BYERS, DOUGLAS M., MD
GENDER: M
PROVIDER #: 008060
NPI #: 1891805099
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
SPRINGFIELD CLINICHILLSBORO
1280 E TREMONT WEST
BLDG
HILLSBORO, IL 62049
PHONE: (217) 532-2320
BEHRHORST, VIRGINIA L.,
ARNP; PROVIDER #: 217220
E-PRESCRIBE: YES
HIGHLAND, IL
HINCKLEY, IL
MCFARLIN, ROGER C., MD
GENDER: M
PROVIDER #: 235140
NPI #: 1417927658
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
DREYER CLINIC-HINCKLEY
741 EAST LINCOLN AVE
HINCKLEY, IL 60520
PHONE: (815) 286-9256
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
170
HOMER, IL
HOOPESTON, IL
HOMER, IL
ADULT/INTERNAL
MEDICINE
PATEL, MAHINDRA D., MD
GENDER: M
PROVIDER #: 006780
NPI #: 1841263258
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
Primary Care Physicians
HALLORAN, THOMAS J.,
MD
GENDER: M
PROVIDER #: 000050
NPI #: 1588696785
E-PRESCRIBE: YES
HOOPESTON COMMUNITY
MEMORIAL 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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
JONEIKIS, CORTNEY N.,
MD
GENDER: F
PROVIDER #: 253732
NPI #: 1205009693
E-PRESCRIBE: YES
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
BARK, GEORGE A., MD
GENDER: M
PROVIDER #: 195800
NPI #: 1487665071
E-PRESCRIBE: NO
FAMILY HEALTHCARE OF
HOOPESTON
837 E ORANGE
HOOPESTON, IL 60942
PHONE: (217) 283-5530
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
HOOPESTON COMMUNITY
HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
FAMILY PRACTICE
BERG, SUSAN A., MD
GENDER: F
PROVIDER #: 255845
NPI #: 1043219736
E-PRESCRIBE: YES
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
171
Primary Care Physicians
BROADERS, KAREN M.,
MD
GENDER: F
PROVIDER #: 048103
NPI #: 1699703777
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: NO
ELDER, DONALD R., MD
GENDER: M
PROVIDER #: 281298
NPI #: 1497743025
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE HOOPESTON
REGIONAL HEALTH CENTER
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
172
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
CARLE HOOPESTON
REGIONAL HEALTH CENTER
701 E ORANGE ST
HOOPESTON, IL 60942-1801
PHONE: (217) 283-5531
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
HOOPESTON, IL
HOOPESTON, IL
RAY, DARRIN M., MD
GENDER: M
PROVIDER #: 161876
NPI #: 1679785778
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
FAMILY HEALTH CARE OF
HOOPESTON
837 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5530
E-PRESCRIBE: NO
FAMILY PRACTICE OB
BROADERS, KAREN M.,
MD
GENDER: F
PROVIDER #: 048103
NPI #: 1699703777
E-PRESCRIBE: YES
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.
172
HOOPESTON, IL
HOPKINS PARK, IL
MARGANSKI, TERESA M.,
MD
GENDER: F
PROVIDER #: 000662
NPI #: 1346261146
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
Primary Care Physicians
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
E-PRESCRIBE: YES
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
HOPEDALE, IL
FAMILY PRACTICE
CAFFERY, DENNIS R., MD
GENDER: M
PROVIDER #: 013473
NPI #: 1295825594
E-PRESCRIBE: NO
OSF MEDICAL GROUP
143 FORD AVE
HOPEDALE, IL 61747
PHONE: (309) 449-3336
E-PRESCRIBE: NO
HOPKINS PARK, IL
PEDIATRICS
ALFORD, RODNEY S., MD
GENDER: M
PROVIDER #: 101964
NPI #: 1427128909
E-PRESCRIBE: NO
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
MCCUISTON JR,
STONEWALL, MD
GENDER: M
PROVIDER #: 050993
NPI #: 1720072143
E-PRESCRIBE: NO
PEMBROKE COMMUNITY
HEALTH CENTER
3400 S MAIN ST
HOPKINS PARK, IL 60944
PHONE: (815) 944-5545
E-PRESCRIBE: NO
PEMBROKE RURAL HEALTH
CLINIC
3400 S MAIN ST
HOPKINS PARK, IL 60944
PHONE: (815) 944-5545
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
173
HUNTLEY, IL
IOWA CITY, IA
Primary Care Physicians
HUNTLEY, IL
IOWA CITY, IA
FAMILY PRACTICE
ADOLESCENT MEDICINE
BORCHARDT, ROBIN F.,
MD
GENDER: M
PROVIDER #: 221618
NPI #: 1992734297
E-PRESCRIBE: NO
CRYSTAL LAKE
ORTHOPAEDIC SURGERY &
SPORTS MEDICINE
12519 REGENCY PKWY STE E
HUNTLEY, IL 60142
PHONE: (815) 455-0800
E-PRESCRIBE: NO
STIER, AMY C., MD
GENDER: F
PROVIDER #: 131907
NPI #: 1447290770
E-PRESCRIBE: NO
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
HUTCHINS PARK, IL
FAMILY PRACTICE
SAPYING, ATISAK, MD
GENDER: M
PROVIDER #: 008802
NPI #: 1982694980
E-PRESCRIBE: NO
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
HUTCHINS PARK, IL 61103
PHONE: (815) 971-2726
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
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
ABURIZIK, ARWA, MD
GENDER: F
PROVIDER #: 249391
NPI #: 1356559298
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
174
ABUSHAHIN, LAITH I., MD
GENDER: M
PROVIDER #: 254227
NPI #: 1326288564
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & 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.
174
IOWA CITY, IA
IOWA CITY, IA
BECK, GWEN Z., MD
GENDER: F
PROVIDER #: 129602
NPI #: 1174597116
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 353-7821
E-PRESCRIBE: NO
BIEBER, DALE E., MD
GENDER: M
PROVIDER #: 144048
NPI #: 1265457519
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
CARLISLE, THOMAS L.,
MD
GENDER: M
PROVIDER #: 130307
NPI #: 1134116288
E-PRESCRIBE: NO
UIHC DIVISION OF
HEMATOLOGY, ONCOLOGY
AND BLOOD
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4200
E-PRESCRIBE: NO
Primary Care Physicians
CHAHLA, MAYY F., MD
GENDER: F
PROVIDER #: 206874
NPI #: 1982722146
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
CHASE, JOHN S., MD
GENDER: M
PROVIDER #: 130323
NPI #: 1487642013
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-7102
E-PRESCRIBE: NO
DAHHAN, ALI, MD
GENDER: M
PROVIDER #: 263987
NPI #: 1770713364
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
DANIEL, BRIAN P., MD
GENDER: M
PROVIDER #: 130362
NPI #: 1609864271
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
DAVIS, REBECCA S., MD
GENDER: F
PROVIDER #: 144084
NPI #: 1508823105
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL & CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-7102
E-PRESCRIBE: NO
DIRKSEN, RACHAEL R.,
MD
GENDER: F
PROVIDER #: 225813
NPI #: 1386886257
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
EBERLEIN, MICHAEL H.,
MD
GENDER: M
PROVIDER #: 203362
NPI #: 1568482362
E-PRESCRIBE: NO
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
EL ABIAD, RAMI G., MD
GENDER: M
PROVIDER #: 165712
NPI #: 1003025032
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNA
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4060
E-PRESCRIBE: NO
GLENN, KEVIN A., MD
GENDER: M
PROVIDER #: 130934
NPI #: 1972591402
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
GOERDT, CHRISTOPHER
J., MD
GENDER: M
PROVIDER #: 130937
NPI #: 1548258163
E-PRESCRIBE: NO
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
FANG, MICHELE M., MD
GENDER: F
PROVIDER #: 152985
NPI #: 1780751594
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
FRAER, MONY, MD
GENDER: M
PROVIDER #: 161841
NPI #: 1497845960
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICSNEPHROLOG
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-8133
E-PRESCRIBE: NO
GEHLBACH, BRIAN K., MD
GENDER: M
PROVIDER #: 203366
NPI #: 1285797704
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
176
GUTIERREZ PEREZ,
JEYDITH A., MD
GENDER: F
PROVIDER #: 299691
NPI #: 1982968830
E-PRESCRIBE: NO
U OF IOWA HOSP
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE:
E-PRESCRIBE: NO
IOWA CITY, IA
IOWA CITY, IA
HARRIS, KATHRINE I., MD
GENDER: F
PROVIDER #: 183596
NPI #: 1306040472
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
HASSAN, IHAB H., MD
GENDER: M
PROVIDER #: 201140
NPI #: 1326258682
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNA
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.
176
IOWA CITY, IA
IOWA CITY, IA
HOFFMAN, RICHARD M.,
MD
GENDER: M
PROVIDER #: 292786
NPI #: 1598870297
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
IM, KYOUNG B., MD
GENDER: M
PROVIDER #: 182987
NPI #: 1316156193
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
JOHNSON, KRISTA M., MD
GENDER: F
PROVIDER #: 216361
NPI #: 1457412280
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
Primary Care Physicians
JOY, PARIJAT S., MD
GENDER: M
PROVIDER #: 249727
NPI #: 1922261387
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
KABOLI, PETER, MD
GENDER: M
PROVIDER #: 130112
NPI #: 1518949940
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
KLAPPA, ANTHONY J.,
MD
GENDER: M
PROVIDER #: 290308
NPI #: 1982998837
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
KAMATH, APARNA S., MD
GENDER: F
PROVIDER #: 161312
NPI #: 1275735805
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNA
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.
177
Primary Care Physicians
IOWA CITY, IA
IOWA CITY, IA
KUPERMAN, ETHAN F.,
MD
GENDER: M
PROVIDER #: 252076
NPI #: 1528225042
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
MISHRA, ABHISHEK K.
GENDER: M
PROVIDER #: 301340
NPI #: 1467700484
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
KWOFIE, MICHAEL A., MD
GENDER: M
PROVIDER #: 201126
NPI #: 1669633608
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
MISHRA, ANKUR
GENDER:
PROVIDER #: 300691
NPI #: 1619223880
E-PRESCRIBE: NO
U OF IOWA HOSP AND
CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE:
E-PRESCRIBE: NO
NASSAR, BOULOS S., MD
GENDER: M
PROVIDER #: 201026
NPI #: 1043420730
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
MOLANO, ILONKA, MD
GENDER: F
PROVIDER #: 301965
NPI #: 1407051030
E-PRESCRIBE: NO
U OF IOWA HOSP AND CLINI
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE:
E-PRESCRIBE: NO
NISLY, NICOLE L., MD
GENDER: F
PROVIDER #: 130629
NPI #: 1659354959
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
MANNING, BRADLEY L.,
MD
GENDER: M
PROVIDER #: 301335
NPI #: 1881642049
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
178
MOSHER, HILARY J., MD
GENDER: F
PROVIDER #: 201023
NPI #: 1114185055
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
NABEEL, YASSAR, MD
GENDER: M
PROVIDER #: 252287
NPI #: 1073826814
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
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
E-PRESCRIBE: NO
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.
178
IOWA CITY, IA
IOWA CITY, IA
POPESCU, IOANNA, MD
GENDER: F
PROVIDER #: 131522
NPI #: 1821086778
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4200
E-PRESCRIBE: NO
Primary Care Physicians
SCHILLING, MARGO L.,
MD
GENDER:
PROVIDER #: 130997
NPI #: 1255314563
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
SIMMONS, JONATHAN S.,
DO
GENDER: M
PROVIDER #: 130854
NPI #: 1154317857
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL & CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-7102
E-PRESCRIBE: NO
SINGH, GITANJALI
GENDER: F
PROVIDER #: 293338
NPI #: 1922253459
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
SHEN, WENDY W., MD
GENDER: F
PROVIDER #: 131347
NPI #: 1902896707
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
SHINOZAKI, ERI, MD
GENDER: F
PROVIDER #: 262545
NPI #: 1841467115
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
SMITH, ZACHARY E., MD
GENDER: M
PROVIDER #: 300926
NPI #: 1780944074
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
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.
179
Primary Care Physicians
SMOCK, JUSTIN W., MD
GENDER: M
PROVIDER #: 182665
NPI #: 1720284128
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNA
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
SZOT, JOSEPH F., MD
GENDER: M
PROVIDER #: 131935
NPI #: 1881682441
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
SOUBRA, MAHMOUD N.,
MD
GENDER: M
PROVIDER #: 203398
NPI #: 1427212224
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
SULIMAN, FAROUG Y., MD
GENDER: M
PROVIDER #: 161322
NPI #: 1174616668
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE GEN
IM
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
180
TAHIR, RIZWAN, MD
GENDER: M
PROVIDER #: 207528
NPI #: 1538395272
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
TELFAH, MOHAMMAD A.,
MD
GENDER: M
PROVIDER #: 300932
NPI #: 1861756421
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
VELUR, SATHVIKA, MD
GENDER: F
PROVIDER #: 222349
NPI #: 1932339413
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
INTERNAL
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
VIKAS, PRAVEEN
GENDER: M
PROVIDER #: 301376
NPI #: 1619162435
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
INTERNAL MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4200
E-PRESCRIBE: NO
WAHLS, TERRY L., MD
GENDER: F
PROVIDER #: 131652
NPI #: 1932181237
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
WESTERMANN, SHAWNA
J., MD
GENDER: F
PROVIDER #: 131792
NPI #: 1114909413
E-PRESCRIBE: NO
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.
180
IOWA CITY, IA
IOWA CITY, IA
WHITE, KATHERINE M.,
MD
GENDER: F
PROVIDER #: 228082
NPI #: 1518903731
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/DEPT
OF INT
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
WILSON, MARK C., MD
GENDER: M
PROVIDER #: 131823
NPI #: 1356323786
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
FAMILY PRACTICE
ABERNATHY, MABRA G.,
MD
GENDER: M
PROVIDER #: 182877
NPI #: 1316922545
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
PRIMARY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4646
E-PRESCRIBE: NO
Primary Care Physicians
APPENHEIMER, STACEY
A., MD
GENDER: F
PROVIDER #: 272317
NPI #: 1225357585
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
FAMILY MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
UI QUICK CARE NORTH
DODGE
2557 NORTH DODGE ST
IOWA CITY, IA 52245
PHONE: (319) 384-8822
E-PRESCRIBE: NO
BANU, HUSSAIN, MD
GENDER: F
PROVIDER #: 184211
NPI #: 1063622637
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL & CLINICS/
PRIMARY C
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-4646
E-PRESCRIBE: NO
UI QUICK CARE-MORMON
TREK
767 MORMON TREK BLVD
IOWA CITY, IA 52246-1812
PHONE: (319) 384-8333
E-PRESCRIBE: NO
BERGUS, GEORGE R., MD
GENDER: M
PROVIDER #: 129998
NPI #: 1811983414
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7900
E-PRESCRIBE: NO
BUCHKINA, JULIE R., MD
GENDER: F
PROVIDER #: 224834
NPI #: 1790939288
E-PRESCRIBE: NO
UI HEALTH CARESOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52240-2907
PHONE: (319) 467-6789
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-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
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
FAMILY MEDICINE
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.
181
Primary Care Physicians
CAPIZZANO, JUANA N.,
MD
GENDER: F
PROVIDER #: 290100
NPI #: 1881910628
E-PRESCRIBE: NO
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
CHACKALACKAL,
REBECCA G., MD
GENDER: F
PROVIDER #: 178794
NPI #: 1609863323
E-PRESCRIBE: NO
STUDENT HEALTH SERVICEUNIVERSITY OF IOWA
4189 WESTLAWN SOUTH
IOWA CITY, IA 52242
PHONE: (319) 335-8370
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
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
182
CLARK, WILLIAM D., MD
GENDER: M
PROVIDER #: 210949
NPI #: 1083639140
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
FAMILY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
CONNETT, MEGHAN A.,
MD
GENDER: F
PROVIDER #: 254804
NPI #: 1215258538
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
FAMILY MEDICINE
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
IOWA CITY, IA
IOWA CITY, IA
CRAMER, ELIZABETH S.,
MD
GENDER: F
PROVIDER #: 225768
NPI #: 1386870483
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 & 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
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
ENDRES, JILL E., MD
GENDER: F
PROVIDER #: 144317
NPI #: 1356338610
E-PRESCRIBE: NO
UNIV OF IOWA HOSPITALS &
CLINICS
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.
182
IOWA CITY, IA
IOWA CITY, IA
Primary Care Physicians
EVANS, ERIC, MD
GENDER: M
PROVIDER #: 146699
NPI #: 1730175571
E-PRESCRIBE: NO
U OF IOWA STUDENT
HEALTH
4189 WESTLAWN
IOWA CITY, IA 52242
PHONE: (319) 335-8389
E-PRESCRIBE: NO
FICK, DANIEL S., MD
GENDER: M
PROVIDER #: 130259
NPI #: 1457347049
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
FARRELL, ANGELA T., MD
GENDER: F
PROVIDER #: 257961
NPI #: 1871814194
E-PRESCRIBE: NO
UI HEALTH CARESOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52240
PHONE: (319) 467-6789
E-PRESCRIBE: NO
GEORGE-PAULSEN,
LESLIE E., MD
GENDER: F
PROVIDER #: 254789
NPI #: 1245550094
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 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
CAPITAL TOWN CENTER
201 S CLINTON ST SUITE 195
IOWA CITY, IA 52240
PHONE: (319) 384-0520
E-PRESCRIBE: NO
HOTH, PETER L., MD
GENDER: M
PROVIDER #: 238890
NPI #: 1912931676
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
FAMILY MEDICINE FAMILY
PRACTI
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.
183
Primary Care Physicians
KERKHOFF, TERI J., MD
GENDER: F
PROVIDER #: 130552
NPI #: 1952388381
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
STUDENT HEALTH AND
WELLNESS
4189 WESTLAWN
IOWA CITY, IA 52242
PHONE: (319) 335-8370
E-PRESCRIBE: NO
LEVY, BARCEY T., MD
GENDER: F
PROVIDER #: 131088
NPI #: 1588650402
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
184
IOWA CITY, IA
IOWA CITY, IA
MARTINEZ, DENISE A.,
MD
GENDER: F
PROVIDER #: 203311
NPI #: 1013171891
E-PRESCRIBE: NO
UI FAMILY CARE-SEIC
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 467-6789
E-PRESCRIBE: NO
RAY, BRIGIT E., MD
GENDER: F
PROVIDER #: 290409
NPI #: 1396038261
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
FAMILY MEDICINE
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
UI QUICK CARE NORTH
DODGE
2557 NORTH DODGE ST
IOWA CITY, IA 52245
PHONE: (319) 384-8822
E-PRESCRIBE: NO
ROSENFELD OTOOL,
SANDRA R., MD
GENDER: F
PROVIDER #: 144321
NPI #: 1396962445
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 384-7222
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
E-PRESCRIBE: NO
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
SAUNDERS, KATHARINE
J., MD
GENDER:
PROVIDER #: 131937
NPI #: 1932188380
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
HOSPITAL AND CLINICS
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.
184
IOWA CITY, IA
IOWA CITY, IA
SHAIK, SHALINA, MD
GENDER: F
PROVIDER #: 204631
NPI #: 1215192224
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
FAMILY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
SHIAN, BRIAN X., MD
GENDER: M
PROVIDER #: 204015
NPI #: 1780875781
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
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
FAMILY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
WILBUR, JASON K., MD
GENDER: M
PROVIDER #: 131800
NPI #: 1265428858
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
Primary Care Physicians
WOLFE, STEVEN L., MD
GENDER: M
PROVIDER #: 131844
NPI #: 1992791578
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
WOODWARD, THOMAS W.,
MD
GENDER: M
PROVIDER #: 280536
NPI #: 1932137353
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7222
E-PRESCRIBE: NO
PEDIATRICS
BEHUNIN, KATIE J B., DO
GENDER: F
PROVIDER #: 290217
NPI #: 1265725774
E-PRESCRIBE: NO
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
BENSON, REBECCA J., MD
GENDER: F
PROVIDER #: 182686
NPI #: 1023213030
E-PRESCRIBE: NO
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
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
HOSPITALS & CLINICS/
PEDIATRICS
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
CHRISTENSEN, LORI A.,
MD
GENDER: F
PROVIDER #: 130329
NPI #: 1639165285
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) 384-7222
E-PRESCRIBE: NO
CILIBERTO, MICHAEL A.,
MD
GENDER: M
PROVIDER #: 255818
NPI #: 1043418809
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
PEDIATRICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE:
E-PRESCRIBE: NO
D'ALESSANDRO, DONNA
M., MD
GENDER: F
PROVIDER #: 130360
NPI #: 1396730248
E-PRESCRIBE: NO
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
186
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
IOWA CITY, IA
IOWA CITY, IA
JETTON, JENNIFER G.,
MD
GENDER: F
PROVIDER #: 183600
NPI #: 1588985261
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
PEDIATRIC
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
KAMATH, APARNA S., MD
GENDER: F
PROVIDER #: 161312
NPI #: 1275735805
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
INTERNA
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
KINZER, SAMUEL E., MD
GENDER: M
PROVIDER #: 130562
NPI #: 1417942350
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
LAREW, MARY S., MD
GENDER: F
PROVIDER #: 130686
NPI #: 1376539601
E-PRESCRIBE: NO
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.
186
IOWA CITY, IA
IOWA CITY, IA
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
LAROCHE, HELENA H.,
MD
GENDER: F
PROVIDER #: 130708
NPI #: 1700896628
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7444
E-PRESCRIBE: NO
LINK, ELLEN A., MD
GENDER: F
PROVIDER #: 131227
NPI #: 1114913878
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
MARKS, JESSIE E., MD
GENDER: F
PROVIDER #: 222459
NPI #: 1912134339
E-PRESCRIBE: NO
UI FAMILY CARE-SEIC
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
Primary Care Physicians
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
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
PEDIATRICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
MCCARTHY, PATRICK J.,
MD
GENDER: M
PROVIDER #: 301337
NPI #: 1699031260
E-PRESCRIBE: NO
UIHC DEPARTMENT OF
PEDIATRICS PFP
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
MILLER, DAYNA J., MD
GENDER: F
PROVIDER #: 206875
NPI #: 1487859997
E-PRESCRIBE: NO
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
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
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
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
OETTING, MARGUERITE
H., MD
GENDER: F
PROVIDER #: 144852
NPI #: 1073529384
E-PRESCRIBE: NO
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.
187
Primary Care Physicians
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
UI FAMILY CARE
SOUTHEAST IOWA CITY
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
ORAL, RESMIYE, MD
GENDER: F
PROVIDER #: 130660
NPI #: 1417944521
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
PETERSON, ANDREW R.,
MD
GENDER: M
PROVIDER #: 186642
NPI #: 1528023504
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
188
PRICE, NATHAN B., MD
GENDER: M
PROVIDER #: 254202
NPI #: 1275709586
E-PRESCRIBE: NO
UIHC DIVISION OF
PEDIATRIC INFECTIOUS
DISEASES
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2229
E-PRESCRIBE: NO
SHY, ROSEMARY R., MD
GENDER: F
PROVIDER #: 216351
NPI #: 1841238946
E-PRESCRIBE: NO
UI FAMILY CARE-SEIC
1130 SCOTT BLVD
IOWA CITY, IA 52246
PHONE: (319) 339-7472
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/
PEDIATRIC
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 384-7333
E-PRESCRIBE: NO
IOWA CITY, IA
IOWA CITY, IA
SULLIVAN, SHANNON J.,
MD
GENDER: F
PROVIDER #: 131922
NPI #: 1093702755
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
VIGIL, GRETCHEN E., MD
GENDER: F
PROVIDER #: 131647
NPI #: 1407842735
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
WALDRON, DEBRA B., MD
GENDER: F
PROVIDER #: 152920
NPI #: 1215932074
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-1469
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
188
JACKSONVILLE, IL
JACKSONVILLE, IL
JACKSONVILLE, IL
ADULT/INTERNAL
MEDICINE
COULTAS, DAVID D., MD
GENDER: M
PROVIDER #: 026904
NPI #: 1902804495
E-PRESCRIBE: NO
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
CARRIGAN, STEPHANIE J.,
APN; PROVIDER #: 126554
E-PRESCRIBE: NO
DANG, NAVNEET S., MD
GENDER: M
PROVIDER #: 254132
NPI #: 1316228869
E-PRESCRIBE: NO
COGENT HEALTHCARE OF
IL LLC
1600 W WALNUT ST
JACKSONVILLE, IL 62650
PHONE:
E-PRESCRIBE: NO
ELADASARI, BABU R., MD
GENDER: M
PROVIDER #: 184254
NPI #: 1356393300
E-PRESCRIBE: NO
PASSAVANT PHYSICIANS
GROUP
559 N WESTGATE AVE
JACKSONVILLE, IL 62650
PHONE: (217) 243-5474
E-PRESCRIBE: NO
Primary Care Physicians
GRIFFIN, ANTHONY M.,
MD
GENDER: M
PROVIDER #: 191788
NPI #: 1770558603
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
COLEN, MICHELLE R., MD
GENDER: F
PROVIDER #: 151255
NPI #: 1336138122
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
189
Primary Care Physicians
MONTGOMERY,
BENJAMIN E., MD
GENDER: M
PROVIDER #: 169866
NPI #: 1083609747
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
WYATT, KIM E., MD
GENDER: F
PROVIDER #: 120829
NPI #: 1487609640
E-PRESCRIBE: NO
SPRINGFIELD CLINIC LLP
15 FOUNDERS LANE
JACKSONVILLE, IL 626503918
PHONE: (217) 291-1041
E-PRESCRIBE: NO
190
PEDIATRICS
TAYLOR, JANE K., MD
GENDER: F
PROVIDER #: 202702
NPI #: 1588827588
E-PRESCRIBE: NO
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
DIZON, LEONCIO, MD
GENDER: M
PROVIDER #: 028474
NPI #: 1114982352
E-PRESCRIBE: NO
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
JACKSONVILLE, IL
JOHNSTON CITY, IL
JOHNSTON CITY, IL
ADULT/INTERNAL
MEDICINE
JAVED, KHALID, MD
GENDER: M
PROVIDER #: 033305
NPI #: 1174529663
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
JOHNSTON CITY
COMMUNITY HEALTH
CENTER
14410 RT 37
JOHNSTON CITY, IL 62951
PHONE: (618) 983-6911
YOUNGBLOOD, NATASHA,
ARNP; PROVIDER #: 269135
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
190
JOLIET, IL
JOLIET, IL
JOLIET, IL
ADULT/INTERNAL
MEDICINE
AIJAZ, MAIMOONA, MD
GENDER: F
PROVIDER #: 188257
NPI #: 1679518518
E-PRESCRIBE: NO
1717 GLENWOOD AVE
JOLIET, IL 60435
PHONE: (815) 274-2828
E-PRESCRIBE: NO
CHAUHAN, KEYUR M., MD
GENDER: M
PROVIDER #: 232662
NPI #: 1124261748
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
333 MADISON ST
JOLIET, IL 60435
PHONE: (815) 725-7133
E-PRESCRIBE: NO
Primary Care Physicians
SHAH, NIRAJ Y., MD
GENDER: F
PROVIDER #: 265720
NPI #: 1215248067
E-PRESCRIBE: NO
PRIMARY CARE OF JOLIET
2025 S CHICAGO ST
JOLIET, IL 60436
PHONE: (815) 726-2200
E-PRESCRIBE: NO
SHAH, YATIN M., MD
GENDER: M
PROVIDER #: 041205
NPI #: 1235108911
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
WUNDERLICH MD SC
310 N HAMMES SUITE 101
JOLIET, IL 60435
PHONE: (815) 741-4445
E-PRESCRIBE: NO
FAMILY PRACTICE
DOYLE, TIMOTHY W., DO
GENDER: M
PROVIDER #: 210600
NPI #: 1548376510
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
FAMILY MEDICAL GROUP
SC
330 N MADISON ST SUITE 104
JOLIET, IL 60435
PHONE: (815) 725-3440
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
191
JOLIET, IL
JOLIET, IL
Primary Care Physicians
LATIF, MARIA R., MD
GENDER: F
PROVIDER #: 196449
NPI #: 1063620607
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
192
QADRI, MUNEEB M., MD
GENDER:
PROVIDER #: 288173
NPI #: 1972815033
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
WUNDERLICH MD SC
2000 GLENWOOD AVE STE
107
JOLIET, IL 60435
PHONE: (815) 714-4445
E-PRESCRIBE: NO
WASZAK, MICHAEL L., MD
GENDER: M
PROVIDER #: 085578
NPI #: 1215971809
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
L CLAUDE ASCHINBERG MD
LTD
114 BARNEY DR
JOLIET, IL 60435
PHONE: (815) 729-0521
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
192
JOLIET, IL
KANKAKEE, IL
GOPI, SHANTHI R., MD
GENDER: F
PROVIDER #: 200971
NPI #: 1821012410
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
JOLIET PEDIATRICS &
FAMILY CARE LTD
831 N LARKIN AVE
JOLIET, IL 60435
PHONE: (815) 741-8888
E-PRESCRIBE: NO
Primary Care Physicians
SETLUR, USHA, MD
GENDER: F
PROVIDER #: 173923
NPI #: 1679533467
E-PRESCRIBE: NO
210 N HAMMES AVE SUITE
201
JOLIET, IL 60435
PHONE: (815) 741-8088
E-PRESCRIBE: NO
KANKAKEE, IL
ADULT/INTERNAL
MEDICINE
ALI, SYEDA F., MD
GENDER:
PROVIDER #: 280621
NPI #: 1861770679
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
APPLEWHITE, TERRILL,
MD
GENDER: M
PROVIDER #: 125011
NPI #: 1205910114
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PRESENCE MEDICAL GROUP
500 W COURT ST
KANKAKEE, IL 60901
PHONE: (815) 937-2400
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
193
Primary Care Physicians
CHANDAN, NARESH, DO
GENDER:
PROVIDER #: 033633
NPI #: 1811094550
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
194
KANKAKEE, IL
KANKAKEE, IL
DIDWANIA, SURESH, MD
GENDER: M
PROVIDER #: 117790
NPI #: 1093777880
E-PRESCRIBE: YES
INTERNAL MEDICINE
SPECIALISTS
555 W COURT ST STE 400
KANKAKEE, IL 60901
PHONE: (815) 932-4614
E-PRESCRIBE: YES
MOSS, KEITH, MD
GENDER: M
PROVIDER #: 244026
NPI #: 1588601819
E-PRESCRIBE: YES
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: YES
FAROOQI, SADAF A., MD
GENDER:
PROVIDER #: 277901
NPI #: 1366739013
E-PRESCRIBE: NO
PRESENCE MEDICAL GROUP
500 W COURT ST
KANKAKEE, IL 60901
PHONE: (815) 937-2400
E-PRESCRIBE: NO
PATEL, VALLABH N., MD
GENDER: M
PROVIDER #: 130849
NPI #: 1750344214
E-PRESCRIBE: YES
INTERNAL MEDICINE
SPECIALISTS OF KANKAKEE
555 W COURT ST 400
KANKAKEE, IL 60901
PHONE: (815) 932-4614
E-PRESCRIBE: YES
HUSSAINI, ASIMA K., MD
GENDER: F
PROVIDER #: 156446
NPI #: 1437110970
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
PATEL, VIKAS K., MD
GENDER: M
PROVIDER #: 278654
NPI #: 1235349598
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
194
KANKAKEE, IL
KANKAKEE, IL
PYLE, NATHAN, DO
GENDER: M
PROVIDER #: 288332
NPI #: 1174821540
E-PRESCRIBE: NO
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
WROBLEWSKI, THOMAS,
MD
GENDER: M
PROVIDER #: 244870
NPI #: 1891833612
E-PRESCRIBE: YES
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
Primary Care Physicians
FAMILY PRACTICE
AKINTILO, OLATUNJI R.,
MD
GENDER: M
PROVIDER #: 190101
NPI #: 1760485007
E-PRESCRIBE: NO
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
JAMERSON, KEYOMA D., APN;
PROVIDER #: 301653
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
CHANDAN, RITU, DO
GENDER: M
PROVIDER #: 280846
NPI #: 1710061650
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
PRESENCE MEDICAL GROUP
500 W COURT ST
KANKAKEE, IL 60901
PHONE: (815) 937-2400
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
195
Primary Care Physicians
KOLLA, RAJASEKHAR,
MD
GENDER: M
PROVIDER #: 120883
NPI #: 1720160179
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
196
POWELL, JENNIFER M.,
MD
GENDER: F
PROVIDER #: 238069
NPI #: 1124131966
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
KANKAKEE, IL
KANKAKEE, IL
ISKANDER, SAFWAT G.,
MD
GENDER: M
PROVIDER #: 089072
NPI #: 1194781112
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
MCCUISTON JR,
STONEWALL, MD
GENDER: M
PROVIDER #: 064795
NPI #: 1720072143
E-PRESCRIBE: YES
MED-PEDS ASSOCIATES PC
375 N WALL ST STE P520
KANKAKEE, IL 60901
PHONE: (815) 933-0194
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
196
KANKAKEE, IL
KEWANEE, IL
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
KANSAS FAMILY MEDICAL
CENTER
104 E BUENA VISTA
KANSAS, IL 61933
PHONE: (217) 948-5905
E-PRESCRIBE: NO
Primary Care Physicians
KENTLAND, IN
ADULT/INTERNAL
MEDICINE
FLORIDO, GONZALO, MD
GENDER: M
PROVIDER #: 007020
NPI #: 1063552990
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
IMH KENTLAND CLINIC
303 N SEVENTH
KENTLAND, IN 47951
PHONE: (219) 474-5464
E-PRESCRIBE: NO
KEOKUK, IA
ADULT/INTERNAL
MEDICINE
NEEKHRA, ANEESH, MD
GENDER: M
PROVIDER #: 248825
NPI #: 1134384548
E-PRESCRIBE: NO
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
1425 MORGAN ST
KEOKUK, IA 52632
PHONE: (319) 754-4400
E-PRESCRIBE: NO
FAMILY PRACTICE
HOLSINGER, JAMES F.,
MD
GENDER: M
PROVIDER #: 086395
NPI #: 1760566327
E-PRESCRIBE: NO
1603 MORGAN ST SUITE 3
KEOKUK, IA 52632
PHONE: (319) 524-4300
E-PRESCRIBE: NO
SCHULTE, WILLIAM J.,
MD
GENDER: M
PROVIDER #: 033248
NPI #: 1669451308
E-PRESCRIBE: YES
1603 MORGAN ST
KEOKUK, IA 52632
PHONE: (319) 524-7444
E-PRESCRIBE: YES
KEWANEE, IL
ADULT/INTERNAL
MEDICINE
CASTATOR, JASON A., MD
GENDER: M
PROVIDER #: 294054
NPI #:
E-PRESCRIBE: NO
OSF SAINT LUKE MEDICAL
CENTER
1051 W SOUTH STREET
KEWANEE, IL 61443
PHONE: (309) 853-3361
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
197
Primary Care Physicians
KEWANEE, IL
KEWANEE, IL
LINDBOM, JAMES S., MD
GENDER: M
PROVIDER #: 053560
NPI #: 1740205954
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF SAINT LUKE MEDICAL
CENTER
1051 W SOUTH ST
KEWANEE, IL 61443
PHONE: (309) 852-7500
E-PRESCRIBE: NO
RARDIN, SEAN M., MD
GENDER: M
PROVIDER #: 273880
NPI #: 1225020076
E-PRESCRIBE: NO
OSF SAINT LUKE MEDICAL
CENTER
1051 W SOUTH STREET
KEWANEE, IL 61443
PHONE: (309) 853-3361
E-PRESCRIBE: NO
LINDBOM, JAMES, MD
GENDER: M
PROVIDER #: 120070
NPI #: 1740205954
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
SAMUEL, ELDON M., MD
GENDER: M
PROVIDER #: 169310
NPI #: 1427149210
E-PRESCRIBE: NO
KEWANEE FAMILY HEALTH
CLINIC
1051 W SOUTH ST
KEWANEE, IL 61443
PHONE: (309) 852-7500
E-PRESCRIBE: NO
NAHA, KAKAN K., MD
GENDER: M
PROVIDER #: 267738
NPI #: 1881609675
E-PRESCRIBE: NO
OSF SAINT LUKE MEDICAL
CENTER
1051 W SOUTH ST
KEWANEE, IL 61443
PHONE: (309) 853-3361
E-PRESCRIBE: NO
FAMILY PRACTICE
AHEARN, MICHAEL A., MD
GENDER: M
PROVIDER #: 084900
NPI #: 1184687717
E-PRESCRIBE: NO
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
198
PRATT, TIMOTHY A., MD
GENDER: M
PROVIDER #: 280149
NPI #: 1073719357
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
REGIONAL HEALTH
PARTNERS
1258 W SOUTH ST SUITE 2
KEWANEE, IL 61443
PHONE: (309) 853-3677
E-PRESCRIBE: NO
SATKAUSKAS,
REMIGIJUS, MD
GENDER: M
PROVIDER #: 092940
NPI #: 1760430524
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
198
KEWANEE, IL
LACON, IL
SHAH, SAIF U., MD
GENDER: M
PROVIDER #: 273874
NPI #: 1396914065
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
REGIONAL HEALTH
PARTNERS
1258 W SOUTH ST SUITE 2
KEWANEE, IL 61443
PHONE: (309) 853-3677
E-PRESCRIBE: NO
KNOXVILLE, IL
FAMILY PRACTICE
DEYOUNG, MARK B., MD
GENDER: M
PROVIDER #: 081957
NPI #: 1306845045
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
104 S BROAD ST
KNOXVILLE, IL 61448
PHONE: (309) 289-2335
E-PRESCRIBE: NO
Primary Care Physicians
KUTTAWA, KY
LA SALLE, IL
FAMILY PRACTICE
FAMILY PRACTICE
WILDER, DEBRA L., MD
GENDER: F
PROVIDER #: 297508
NPI #: 1174513915
E-PRESCRIBE: NO
KUTTAWA CLINIC PLLC
91 CEDAR STREET
KUTTAWA, KY 42055
PHONE: (270) 388-7380
E-PRESCRIBE: NO
CALDERON, RICARDO J.,
MD
GENDER: M
PROVIDER #: 020199
NPI #: 1194886226
E-PRESCRIBE: YES
128 BUCKLIN ST
LA SALLE, IL 61301
PHONE: (815) 220-7170
E-PRESCRIBE: YES
LA HARPE, IL
ADULT/INTERNAL
MEDICINE
MILLER, DAVID L., DO
GENDER: M
PROVIDER #: 182536
NPI #: 1861497612
E-PRESCRIBE: NO
FAMILY RURAL HEALTH OF
LA HARPE
501 E MAIN
LA HARPE, IL 61450
PHONE: (217) 659-3844
E-PRESCRIBE: NO
FAMILY PRACTICE
DAVIS, KURTIS W., MD
GENDER: M
PROVIDER #: 233574
NPI #: 1639335193
E-PRESCRIBE: YES
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
FESS, KARA O., MD
GENDER: F
PROVIDER #: 092321
NPI #: 1700843950
E-PRESCRIBE: NO
HYGIENIC INSTITUTE
2970 CHARTERS ST
LA SALLE, IL 61301
PHONE: (815) 223-0196
CRIST, MARY FRANCES, APN;
PROVIDER #: 201110
E-PRESCRIBE: NO
LACON, IL
FAMILY PRACTICE
CUANY, MARIANNA, MD
GENDER: F
PROVIDER #: 008443
NPI #: 1154335107
E-PRESCRIBE: NO
METHODIST MEDICAL
GROUP AT LACON
1112 E FIFTH ST
LACON, IL 61540
PHONE: (309) 246-2676
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
199
LACON, IL
LE CLAIRE, IA
Primary Care Physicians
GRIEBEL, CRAIG P., MD
GENDER: M
PROVIDER #: 075506
NPI #: 1740294347
E-PRESCRIBE: NO
METHODIST MEDICAL
GROUP AT LACON
1112 E FIFTH ST
LACON, IL 61540
PHONE: (309) 246-2676
E-PRESCRIBE: NO
LANARK, IL
FAMILY PRACTICE
REESE, DAVID, MD
GENDER: M
PROVIDER #: 059260
NPI #: 1255307468
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER
602 W OLYMPIC DR
LANARK, IL 61046
PHONE: (815) 493-2831
E-PRESCRIBE: NO
LAKE FOREST, IL
ADULT/INTERNAL
MEDICINE
HALL, JAMES L., MD
GENDER: M
PROVIDER #: 238735
NPI #: 1649263153
E-PRESCRIBE: NO
800 N WESTMORELAND RD
#102
LAKE FOREST, IL 60045
PHONE: (847) 735-8550
E-PRESCRIBE: NO
OOSTERBAAN, RACHEL
D., MD
GENDER: F
PROVIDER #: 278746
NPI #: 1588690986
E-PRESCRIBE: NO
#201
800 N WESTMORELAND RD
LAKE FOREST, IL 60045
PHONE: (847) 926-0106
E-PRESCRIBE: NO
ZALLIK, NED I., MD
GENDER: M
PROVIDER #: 278747
NPI #: 1760477889
E-PRESCRIBE: NO
#201
800 N WESTMORELAND RD
LAKE FOREST, IL 60045
PHONE: (847) 926-0106
E-PRESCRIBE: NO
200
LAWRENCEVILLE, IL
ADULT/INTERNAL
MEDICINE
CLAGETT, CHARLES B.,
MD
GENDER: M
PROVIDER #: 283559
NPI #: 1467421545
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
RACHEL WINTERS
2111 LEXINGTON AVE STE 3
LAWRENCEVILLE, IL 62439
PHONE: (618) 943-6202
E-PRESCRIBE: NO
LE CLAIRE, IA
FAMILY PRACTICE
SMITH, CHARLES A., DO
GENDER: M
PROVIDER #: 049407
NPI #: 1861498669
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
200
LE ROY, IL
LENA, IL
Primary Care Physicians
LE ROY, IL
LEMONT, IL
FAMILY PRACTICE
FAMILY PRACTICE
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
911 S CHESTNUT
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
SCIUBISZ, MARTA H., MD
GENDER: F
PROVIDER #: 278278
NPI #: 1922394808
E-PRESCRIBE: NO
PRESENCE MEDICAL GROUP
15947 127TH ST SUITE B
LEMONT, IL 60439
PHONE: (630) 243-6300
E-PRESCRIBE: NO
KUBE, BRENDA A., MD
GENDER: F
PROVIDER #: 083676
NPI #: 1386660355
E-PRESCRIBE: NO
LE ROY FAMILY MEDICINE
911 S CHESTNUT ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
LENA, IL
MITCHELL, PHILIP, MD
GENDER: M
PROVIDER #: 028458
NPI #: 1508839895
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
911 S CHESTNUT ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
GILL, SIMRUN K., MD
GENDER: F
PROVIDER #: 204752
NPI #: 1740468800
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MONROE CLINIC-LENA
214 N SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
FAMILY PRACTICE
ANUMU, ELISABETH A.,
MD
GENDER: F
PROVIDER #: 204736
NPI #: 1215185715
E-PRESCRIBE: NO
MONROE CLINIC-LENA
214 N SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
GERBICK, BARBARA J.,
MD
GENDER: F
PROVIDER #: 128438
NPI #: 1326197468
E-PRESCRIBE: NO
MONROE CLINIC-LENA
214 N SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
TAWFIK, SHOKRY S., MD
GENDER: M
PROVIDER #: 088261
NPI #: 1013983436
E-PRESCRIBE: YES
FHN FAMILY HEALTHCARE
CENTER
160 W MAIN ST
LENA, IL 61048
PHONE: (815) 369-3300
E-PRESCRIBE: YES
PEDIATRICS
DUEMLER, BRUCE K., MD
GENDER: M
PROVIDER #: 058040
NPI #: 1619041084
E-PRESCRIBE: NO
MONROE CLINIC-LENA
214 SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
201
Primary Care Physicians
LEWISTOWN, IL
LEXINGTON, IL
FAMILY PRACTICE
FAMILY PRACTICE
BOWERS, JOSHUA D., MD
GENDER: M
PROVIDER #: 167250
NPI #: 1194947002
E-PRESCRIBE: NO
GRAHAM MEDICAL GROUP
408 S MAIN ST
LEWISTOWN, IL 61542
PHONE: (309) 547-9700
GORHAM, BECKY L.;
PROVIDER #: 148869
E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
307 W MAIN
LEXINGTON, IL 61753
PHONE: (309) 365-8608
E-PRESCRIBE: NO
ROUDEBUSH, ANDREW,
DO
GENDER: M
PROVIDER #: 279154
NPI #: 1376540559
E-PRESCRIBE: YES
GRAHAM MEDICAL GROUP
408 S MAIN ST
LEWISTOWN, IL 61542
PHONE: (309) 547-9700
E-PRESCRIBE: YES
PEDIATRICS
WELL, MARCI, MD
GENDER: F
PROVIDER #: 049801
NPI #: 1821107699
E-PRESCRIBE: NO
GRAHAM MEDICAL GROUP
2001 N MAIN ST
LEWISTOWN, IL 61542
PHONE: (309) 647-0201
E-PRESCRIBE: NO
202
HAKES, PAUL E., MD
GENDER: M
PROVIDER #: 004325
NPI #: 1750315602
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
307 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 365-8608
E-PRESCRIBE: NO
LEWISTOWN, IL
LIBERTYVILLE, IL
STEFFEN, SAMUEL E., MD
GENDER: M
PROVIDER #: 093898
NPI #: 1790704435
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
307 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 365-8608
TYNER, JEAN MARIE, NP;
PROVIDER #: 137005
E-PRESCRIBE: NO
LIBERTYVILLE, IL
ADULT/INTERNAL
MEDICINE
KASKEL, LARRY S., MD
GENDER: M
PROVIDER #: 270143
NPI #: 1285620484
E-PRESCRIBE: NO
1800 HOLLISTER DR #102
LIBERTYVILLE, IL 60048
PHONE: (847) 680-3666
E-PRESCRIBE: NO
MCLAIN, MONIKA, MD
GENDER: F
PROVIDER #: 275889
NPI #: 1376539718
E-PRESCRIBE: NO
1800 HOLLISTER DR #102
LIBERTYVILLE, IL 60048
PHONE: (847) 680-3666
E-PRESCRIBE: NO
FAMILY PRACTICE
NEWMAN, LISA A., MD
GENDER: F
PROVIDER #: 278717
NPI #: 1093701294
E-PRESCRIBE: NO
1800 HOLLISTER DR #102
LIBERTYVILLE, IL 60048
PHONE: (847) 680-3666
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
202
LINCOLN, IL
LINCOLN, IL
LINCOLN, IL
ADULT/INTERNAL
MEDICINE
COX, MELISSA, MD
GENDER: F
PROVIDER #: 068917
NPI #: 1871699603
E-PRESCRIBE: NO
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
FAMILY PRACTICE
BIVIN, RICHARD E., MD
GENDER: M
PROVIDER #: 069652
NPI #: 1386641033
E-PRESCRIBE: NO
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
Primary Care Physicians
CARROLL, DENNIS M., MD
GENDER: M
PROVIDER #: 007519
NPI #: 1396838835
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
LAYA, MARIA F., MD
GENDER: F
PROVIDER #: 020928
NPI #: 1265428015
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
203
Primary Care Physicians
WAHAB, AMIR JOHN, MD
GENDER: M
PROVIDER #: 032754
NPI #: 1881669158
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
204
LINCOLNWOOD, IL
LINCOLN, IL
LOUISIANA, MO
LOCKPORT, IL
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
GILLAN, M AMIN, MD
GENDER: M
PROVIDER #: 269095
NPI #: 1316984305
E-PRESCRIBE: NO
PMG NORTHSHORE
LINCOLNWOOD
7380 N LINCOLN AVE
LINCOLNWOOD, IL 60712
PHONE: (847) 568-7400
E-PRESCRIBE: NO
ANWAR, MUHAMMED
UMAIR, MD
GENDER: M
PROVIDER #: 087278
NPI #: 1568485084
E-PRESCRIBE: NO
ANWAR MED CENTER OF
SOUTHWEST SUBURB SC
300 READ ST SUITE B
LOCKPORT, IL 60441
PHONE: (815) 834-1903
E-PRESCRIBE: NO
MASSEL, BRUCE, MD
GENDER: M
PROVIDER #: 269102
NPI #: 1669419412
E-PRESCRIBE: NO
PMG NORTHSHORE
LINCOLNWOOD
7380 N LINCOLN AVE
LINCOLNWOOD, IL 60712
PHONE: (847) 568-7400
E-PRESCRIBE: NO
FAMILY PRACTICE
NINAN, REJI, MD
GENDER: M
PROVIDER #: 227202
NPI #: 1144486721
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP LINCOLNWOOD
6540 NORTH LINCOLN AVE
LINCOLNWOOD, IL 60712
PHONE: (847) 779-7700
E-PRESCRIBE: NO
FAMILY PRACTICE
KUNCHALA, VINITHA, MD
GENDER: F
PROVIDER #: 260147
NPI #: 1477756732
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
HANNIBAL REGIONAL
MEDICAL GROUP
211 S 3RD T
LOUISIANA, MO 63353
PHONE: (573) 754-5555
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
204
LOVES PARK, IL
MACOMB, IL
LOVES PARK, IL
ADULT/INTERNAL
MEDICINE
PETERSON, KENNETH R.,
MD
GENDER: M
PROVIDER #: 223880
NPI #: 1912017104
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
7702 N ALPINE RD
LOVES PARK, IL 61111
PHONE: (815) 971-2000
E-PRESCRIBE: NO
FAMILY PRACTICE
TASHAKORI, MAHTAB,
MD
GENDER: F
PROVIDER #: 172909
NPI #: 1508895780
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
PEDIATRICS
ORTEGA, ROMULO, MD
GENDER:
PROVIDER #: 223961
NPI #: 1194835389
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
7702 N ALPINE RD
LOVES PARK, IL 61111
PHONE: (815) 971-2000
E-PRESCRIBE: NO
Primary Care Physicians
ZIMMERMAN, CHRISTINE
L., MD
GENDER: F
PROVIDER #: 220803
NPI #: 1649335472
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
LAMOINE VALLEY CLINIC
5 DOCTORS LANE
MACOMB, IL 61455
PHONE:
E-PRESCRIBE: NO
FLORES, NOEL L., MD
GENDER: M
PROVIDER #: 132755
NPI #: 1316921000
E-PRESCRIBE: NO
MACOMB INTERNAL
MEDICINE
515 E GRANT ST SUITE 111
MACOMB, IL 61455
PHONE: (309) 837-9926
E-PRESCRIBE: NO
GREATHOUSE, DAVID J.,
DO
GENDER: M
PROVIDER #: 014521
NPI #: 1720071129
E-PRESCRIBE: NO
LAMOINE VALLEY CLINIC
FIVE DOCTORS LN
MACOMB, IL 61455
PHONE: (309) 836-3387
E-PRESCRIBE: NO
GREATHOUSE, DAVID, DO
GENDER: M
PROVIDER #: 156388
NPI #: 1720071129
E-PRESCRIBE: NO
MCDONOUGH DISTRICT
HOSPITAL
525 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 833-4101
E-PRESCRIBE: NO
HARRISON, HEATHER,
MD
GENDER: F
PROVIDER #: 256692
NPI #: 1497929798
E-PRESCRIBE: NO
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
JALIL, YOUSAF, MD
GENDER: M
PROVIDER #: 212796
NPI #: 1629384136
E-PRESCRIBE: NO
MACOMB INTERNAL
MEDICINE
515 E GRANT ST SUITE 111
MACOMB, IL 61455
PHONE: (309) 837-9926
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
205
Primary Care Physicians
KARKARE, SUJATA A.,
MD
GENDER: F
PROVIDER #: 218650
NPI #: 1164430161
E-PRESCRIBE: NO
MACOMB INTERNAL
MEDICINE
515 E GRANT ST STE 112
MACOMB, IL 61455
PHONE: (309) 837-2414
E-PRESCRIBE: NO
FAMILY PRACTICE
ARNOLD, JOHN M., MD
GENDER: M
PROVIDER #: 098418
NPI #: 1154327526
E-PRESCRIBE: NO
MCDONOUGH DISTRICT
HOSPITAL
525 E GRANT
MACOMB, IL 61455
PHONE: (309) 833-4101
E-PRESCRIBE: NO
MILLER, DAVID L., DO
GENDER: M
PROVIDER #: 067033
NPI #: 1861497612
E-PRESCRIBE: NO
MEDICAL GROUP OF
MACOMB LLC
505 E GRANT ST SUITE 103
MACOMB, IL 61455
PHONE: (309) 833-3536
E-PRESCRIBE: NO
NEEKHRA, ANEESH, MD
GENDER: M
PROVIDER #: 248825
NPI #: 1134384548
E-PRESCRIBE: NO
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
402 S ADAMS ST
MACOMB, IL 61455
PHONE: (319) 754-4400
E-PRESCRIBE: NO
REEM, DAVID W., MD
GENDER: M
PROVIDER #: 156504
NPI #: 1336124668
E-PRESCRIBE: NO
MACOMB INTERNAL
MEDICINE
515 E GRANT ST SUITE 111
MACOMB, IL 61455
PHONE: (309) 837-9926
E-PRESCRIBE: NO
206
FARR, CURTIS C., MD
GENDER: M
PROVIDER #: 023406
NPI #: 1700861937
E-PRESCRIBE: NO
SPRINGFIELD CLINICMACOMB
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
LI, XIAOLU (SHERRY), MD
GENDER: F
PROVIDER #: 049467
NPI #: 1396810644
E-PRESCRIBE: NO
WESTERN ILLINOIS
MEDICAL GROUP
909 E GRANT ST SUITE A
MACOMB, IL 61455
PHONE: (309) 837-2000
E-PRESCRIBE: NO
ONEILL, CHARLES J., MD
GENDER: M
PROVIDER #: 014513
NPI #: 1881673226
E-PRESCRIBE: NO
SPRINGFIELD CLINICMACOMB
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
MACOMB, IL
MACOMB, IL
REEVES, MICHELLE R.,
MD
GENDER: F
PROVIDER #: 068487
NPI #: 1518942754
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
206
MACOMB, IL
MADISONVILLE, KY
Primary Care Physicians
FAMILY PRACTICE OB
PEDIATRICS
FARR, CURTIS C., MD
GENDER: M
PROVIDER #: 023406
NPI #: 1700861937
E-PRESCRIBE: NO
SPRINGFIELD CLINICMACOMB
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
BALBORT, LIBERTY A.,
MD
GENDER: F
PROVIDER #: 223246
NPI #: 1356597090
E-PRESCRIBE: NO
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
ONEILL, CHARLES J., MD
GENDER: M
PROVIDER #: 014513
NPI #: 1881673226
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SPRINGFIELD CLINICMACOMB
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
HARRISON, HEATHER,
MD
GENDER: F
PROVIDER #: 256692
NPI #: 1497929798
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MEDICAL GROUP OF
MACOMB LLC
505 E GRANT ST SUITE 103
MACOMB, IL 61455
PHONE: (309) 833-3536
E-PRESCRIBE: NO
MADISONVILLE, KY
ADULT/INTERNAL
MEDICINE
ADAMS-KRUEGER,
ANDREA, MD
GENDER: F
PROVIDER #: 297359
NPI #: 1902037021
E-PRESCRIBE: NO
THMS-ST JOSEPH MC LLC
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE:
E-PRESCRIBE: NO
BANDY, ERIC L., MD
GENDER: M
PROVIDER #: 297126
NPI #: 1881695815
E-PRESCRIBE: NO
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
BAUER, RICHARD C., MD
GENDER: M
PROVIDER #: 297136
NPI #: 1770689960
E-PRESCRIBE: NO
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.
207
Primary Care Physicians
HARDISON, BARRY G., MD
GENDER: M
PROVIDER #: 297145
NPI #: 1225039258
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
POPESCU, TUDOR, MD
GENDER: M
PROVIDER #: 297376
NPI #: 1356448005
E-PRESCRIBE: NO
THMS-ST JOSEPH MC LLC
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE:
E-PRESCRIBE: NO
WILLIAMS, KEVIN L., MD
GENDER: M
PROVIDER #: 297385
NPI #: 1316978034
E-PRESCRIBE: NO
THMS-ST JOSEPH MC LLC
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE:
E-PRESCRIBE: NO
208
FAMILY PRACTICE
AHMED, ABDUL, MD
GENDER: M
PROVIDER #: 296963
NPI #: 1336376086
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
EMERGENCY SERVICES OF
VIRGINIA PC
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE:
E-PRESCRIBE: NO
CHANEY, BRIAN, MD
GENDER: M
PROVIDER #: 296986
NPI #: 1124029160
E-PRESCRIBE: NO
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
MADISONVILLE, KY
MADISONVILLE, KY
CHAPPELL, KRISTY G.,
MD
GENDER: F
PROVIDER #: 297059
NPI #: 1073514030
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
GOODALE, DIANNE L., MD
GENDER: F
PROVIDER #: 297082
NPI #: 1497851562
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
208
MADISONVILLE, KY
MADISONVILLE, KY
HANKE, FORREST A., MD
GENDER: M
PROVIDER #: 297090
NPI #: 1295831279
E-PRESCRIBE: NO
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
HARGROVE, KENNETH R.,
MD
GENDER: M
PROVIDER #: 297092
NPI #: 1467413047
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
EMERGENCY SERVICES OF
VIRGINIA PC
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE:
E-PRESCRIBE: NO
JONES, KENT E., MD
GENDER: M
PROVIDER #: 297095
NPI #: 1780780783
E-PRESCRIBE: NO
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
Primary Care Physicians
MCCLURE, WILLIAM T.,
MD
GENDER: M
PROVIDER #: 297101
NPI #: 1548218456
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
TAWWAB, FAISAL, MD
GENDER: M
PROVIDER #: 297110
NPI #: 1285927277
E-PRESCRIBE: NO
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
PEDIATRICS
FLOYD, JAN H., MD
GENDER: F
PROVIDER #: 297325
NPI #: 1326070699
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
WOODS, AUBAINE M., MD
GENDER: F
PROVIDER #: 297327
NPI #: 1184771057
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
MAHOMET, IL
ADULT/INTERNAL
MEDICINE
SATHER, CARL A., MD
GENDER: M
PROVIDER #: 198681
NPI #: 1174733034
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
HUSMANN, JEAN H., PA-C;
PROVIDER #: 016963
E-PRESCRIBE: YES
210
MADDEN, JESSICA D., MD
GENDER: F
PROVIDER #: 222831
NPI #: 1861627499
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CHRISTIE CLINIC
1001 COMMERCIAL DR
MAHOMET, IL 61853
PHONE: (217) 586-6600
E-PRESCRIBE: YES
MAHOMET, IL
MAHOMET, IL
SCHAAP, PAUL A., MD
GENDER: M
PROVIDER #: 000146
NPI #: 1467548248
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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.
210
MANNING, IA
MARION, IL
MANNING, IA
ADULT/INTERNAL
MEDICINE
NEEKHRA, ANEESH, MD
GENDER: M
PROVIDER #: 248825
NPI #: 1134384548
E-PRESCRIBE: NO
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
527 E GRANT ST
MANNING, IA 51455
PHONE: (319) 754-4400
E-PRESCRIBE: NO
MANTENO, IL
ADULT/INTERNAL
MEDICINE
HYRE, MICHAEL C., MD
GENDER: M
PROVIDER #: 186217
NPI #: 1083713978
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
CENTER
395 N LOCUST
MANTENO, IL 60950
PHONE: (815) 468-6870
E-PRESCRIBE: NO
FAMILY PRACTICE
REBADIO SY, RHODORA
A., MD
GENDER: F
PROVIDER #: 178950
NPI #: 1710085535
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
501 S LOCUST ST
MANTENO, IL 60950
PHONE: (815) 468-6737
E-PRESCRIBE: NO
Primary Care Physicians
PEDIATRICS
JONAS, ROY E., MD
GENDER: M
PROVIDER #: 071122
NPI #: 1760582316
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
CENTER
395 N LOCUST
MANTENO, IL 60950
PHONE: (815) 468-6870
E-PRESCRIBE: NO
MAQUOKETA, IA
FAMILY PRACTICE
CHELLI, NAOMI, MD
GENDER: F
PROVIDER #: 265283
NPI #: 1609840834
E-PRESCRIBE: NO
JACKSON CO REGIONAL
HEALTH CENTER
700 W GROVE
MAQUOKETA, IA 52060
PHONE: (563) 652-2474
E-PRESCRIBE: NO
MARION, IL
ADULT/INTERNAL
MEDICINE
LAKHDHIR, AMIN A., MD
GENDER: M
PROVIDER #: 246086
NPI #: 1356321970
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
1129 N CARBON ST
MARION, IL 62959
PHONE: (618) 993-0002
E-PRESCRIBE: NO
LAWLER, MICHAEL P., MD
GENDER: M
PROVIDER #: 169714
NPI #: 1629203708
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SOUTHERN ILLINOIS
MEDICAL CARE
ASSOCIATES LLC
3331 W DEYOUNG ST SUITE
305
MARION, IL 62959-5898
PHONE: (618) 993-0013
E-PRESCRIBE: NO
MOHR, CLINTON J., MD
GENDER: M
PROVIDER #: 245959
NPI #: 1356427736
E-PRESCRIBE: YES
SOUTHERN ILLINOIS
MEDICAL CARE
ASSOCIATES LLC
3331 W DEYOUNG ST SUITE
305
MARION, IL 62959-5898
PHONE: (618) 993-0013
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
211
Primary Care Physicians
POSTIGO-ALARCON,
RICARDO, MD
GENDER: M
PROVIDER #: 254853
NPI #: 1902060155
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
BRYANT, JODI L., MD
GENDER: F
PROVIDER #: 076976
NPI #: 1508848284
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
3106 OUTER DR
MARION, IL 62959
PHONE: (618) 997-4332
BOYD, PEGGY M., CNP;
PROVIDER #: 247138
E-PRESCRIBE: NO
212
MARION, IL
MARION, IL
KENNEDY, NICOLE, MD
GENDER: F
PROVIDER #: 253775
NPI #: 1780902486
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
HEARTLAND FAMILY
MEDICINE
3331 W DEYOUNG ST SUITE
309
MARION, IL 62959
PHONE: (618) 998-7155
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
212
MARION, IL
MARSEILLES, IL
PEDIATRICS
CHEDIAK, RONALD, MD
GENDER: M
PROVIDER #: 082832
NPI #: 1184627861
E-PRESCRIBE: NO
CHEDIAK PEDIATRICS
3331 W DEYOUNG SUITE 207
MARION, IL 62959
PHONE: (618) 993-1421
E-PRESCRIBE: NO
MARION, KY
FAMILY PRACTICE
BROWN, ERIC
GENDER: M
PROVIDER #: 225106
NPI #: 1134235419
E-PRESCRIBE: NO
CRITTENDEN MEDICAL
SYSTEMS ER PHYSICIANS
520 WEST GUM STREET
MARION, KY 42064
PHONE: (270) 965-1042
E-PRESCRIBE: NO
CRAWFORD, SARAH E.,
DO
GENDER: F
PROVIDER #: 270128
NPI #: 1891929824
E-PRESCRIBE: NO
CRITTENDEN MEDICAL
SYSTEMS ER PHYSICIANS
520 WEST GUM STREET
MARION, KY 42064
PHONE: (270) 965-1042
E-PRESCRIBE: NO
Primary Care Physicians
MADDUX, JONATHAN P.,
MD
GENDER: M
PROVIDER #: 212506
NPI #: 1417194689
E-PRESCRIBE: NO
FAMILY PRACTICE CLINIC
PSC
518 W GUM ST
MARION, KY 42064
PHONE: (270) 965-5238
E-PRESCRIBE: NO
RATLEY, AMY J., DO
GENDER: F
PROVIDER #: 150064
NPI #: 1538177688
E-PRESCRIBE: NO
CRITTENDEN MEDICAL
SYSTEMS ER PHYSICIANS
520 WEST GUM STREET
MARION, KY 42064
PHONE: (270) 965-1042
E-PRESCRIBE: NO
STARKEY, ANTHONY D.,
MD
GENDER: M
PROVIDER #: 297277
NPI #: 1801896196
E-PRESCRIBE: NO
789 CHAPEL HILL RD
MARION, KY 42064
PHONE: (270) 965-2005
E-PRESCRIBE: NO
MAROA, IL
FAMILY PRACTICE
MILLER, TIMOTHY A., MD
GENDER: M
PROVIDER #: 031109
NPI #: 1588621205
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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.
213
MARTINSVILLE, IL
MATTOON, IL
Primary Care Physicians
MARTINSVILLE, IL
MASON CITY, IL
FAMILY PRACTICE
FAMILY PRACTICE
DAVIS, DAVID, MD
GENDER: M
PROVIDER #: 006686
NPI #: 1053302240
E-PRESCRIBE: NO
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
BITNER, BETHANY L., MD
GENDER: F
PROVIDER #: 228551
NPI #: 1316173164
E-PRESCRIBE: YES
MASON CITY MEDICAL
ASSOCIATES
122 E ELM
MASON CITY, IL 62664
PHONE: (217) 482-3400
E-PRESCRIBE: YES
RICHARDS, JOHN J., MD
GENDER: M
PROVIDER #: 169168
NPI #: 1215193651
E-PRESCRIBE: NO
CLARK COUNTY FAMILY
MEDICINE
890 RIDGELAWN RD
MARTINSVILLE, IL 62442
PHONE: (217) 382-4191
E-PRESCRIBE: NO
MARYVILLE, IL
FAMILY PRACTICE
MALENCH, PETER B., MD
GENDER: M
PROVIDER #: 108468
NPI #: 1760465165
E-PRESCRIBE: NO
MALENCH & MALENCH MDS
10 PROFESSIONAL PARK DR
MARYVILLE, IL 62062
PHONE: (618) 288-7244
E-PRESCRIBE: NO
214
SCHULTZ, BRUCE W., MD
GENDER: M
PROVIDER #: 090450
NPI #: 1356307433
E-PRESCRIBE: NO
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
CAMDEN, TIMOTHY H.,
MD
GENDER: M
PROVIDER #: 083391
NPI #: 1659323327
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
2512 HURST DR
MATTOON, IL 61938
PHONE: (217) 258-5900
PAINTON, KARA, NP;
PROVIDER #: 113232
E-PRESCRIBE: YES
CAMDEN, TIMOTHY, MD
GENDER: M
PROVIDER #: 280946
NPI #: 1659323327
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
SBL PHYSICIAN BILLING
1000 HEALTH CTR DRIVE
MATTOON, IL 61938
PHONE:
E-PRESCRIBE: NO
GOOD, ROBERT G., DO
GENDER: M
PROVIDER #: 280925
NPI #: 1639122922
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
214
MATTOON, IL
MATTOON, IL
JAMIS, ROEL CONRAD E.,
MD
GENDER: M
PROVIDER #: 280944
NPI #: 1033419429
E-PRESCRIBE: YES
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
JOAG, KIRAN, MD
GENDER: M
PROVIDER #: 004144
NPI #: 1013023258
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
THE SBL HEART CENTER
1000 HEALTH CENTER DR
SUITE 107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
Primary Care Physicians
QATTASH, ISMAIL, MD
GENDER: M
PROVIDER #: 150677
NPI #: 1538329982
E-PRESCRIBE: YES
CHRISTIE CLINIC
105 B PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 345-3000
E-PRESCRIBE: YES
YAGNESH, DAVE, MD
GENDER: M
PROVIDER #: 271586
NPI #: 1295815645
E-PRESCRIBE: NO
SBL MEDICAL CENTER
1000 HEALTH CENTER DR
MATTOON, IL 61938
PHONE: (217) 238-4325
E-PRESCRIBE: NO
THAMEEM, DANISH, MD
GENDER: M
PROVIDER #: 285719
NPI #: 1821035106
E-PRESCRIBE: NO
SBL HEALTH CENTER
1000 HEALTH CENTER DR
SUITE 107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
FAMILY PRACTICE
VASSAY, JULIAN, MD
GENDER: M
PROVIDER #: 030247
NPI #: 1003922782
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SBL INTERNAL MEDICINE
101 PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 849-3151
E-PRESCRIBE: NO
BALLENGEE, MELISSA A.,
MD
GENDER: F
PROVIDER #: 280958
NPI #: 1093093296
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
SBL MEDICAL CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
215
Primary Care Physicians
BRAZILL, KEVIN P., DO
GENDER: M
PROVIDER #: 299508
NPI #: 1003132788
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
CASTLE, CARL, MD
GENDER: M
PROVIDER #: 063758
NPI #: 1255306767
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5920
E-PRESCRIBE: YES
CATT, LUCAS L., MD
GENDER: M
PROVIDER #: 164037
NPI #: 1912174970
E-PRESCRIBE: NO
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
216
DETERS, GREGORY, MD
GENDER: M
PROVIDER #: 050449
NPI #: 1497861702
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SBL HEALTH CENTER
1000 HEALTH CENTER DR
MATTOON, IL 61938
PHONE:
E-PRESCRIBE: NO
MATTOON, IL
MATTOON, IL
KREMER, MARLENE, MD
GENDER: F
PROVIDER #: 050701
NPI #: 1831205749
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
MACKE, STEVEN, MD
GENDER: M
PROVIDER #: 166751
NPI #: 1609867373
E-PRESCRIBE: YES
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.
216
MATTOON, IL
MATTOON, IL
Primary Care Physicians
MANTELL, SUSAN K., MD
GENDER: F
PROVIDER #: 287215
NPI #: 1881651461
E-PRESCRIBE: NO
SBL FAMILY MEDICAL
CENTER
1000 MEDICAL CENTER DR
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
NEKKANTI, NARESH, MD
GENDER: M
PROVIDER #: 280941
NPI #: 1366762759
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
200 LERNA ROAD SOUTH
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
MARTINEZ, JAIME, MD
GENDER: M
PROVIDER #: 248888
NPI #: 1962713909
E-PRESCRIBE: NO
SBL PRAIRIE FAMILY
PRACTICE
1005 HEALTH CENTER DR
SUITE 103
MATTOON, IL 61938
PHONE: (217) 258-2581
E-PRESCRIBE: NO
NEWTON, MATTHEW H.,
DO
GENDER: M
PROVIDER #: 272569
NPI #: 1831329531
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5920
E-PRESCRIBE: YES
2512 HURST DR
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
RANCHERO, BERNIE C.,
MD
GENDER: M
PROVIDER #: 210303
NPI #: 1568656445
E-PRESCRIBE: NO
RANCHERO CLINIC
1004 HEALTH CENTER DR
SUITE 210
MATTOON, IL 61938
PHONE: (217) 238-4961
E-PRESCRIBE: NO
MIKEL, GARY, MD
GENDER: M
PROVIDER #: 042299
NPI #: 1962518746
E-PRESCRIBE: NO
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
NEWTON, MATTHEW, DO
GENDER: M
PROVIDER #: 280927
NPI #: 1831329531
E-PRESCRIBE: YES
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
WALK IN CLINIC OF SARAH
BUSH LINCOLN
144 DETTRO DR
MATTOON, IL 61938
PHONE: (217) 238-3000
E-PRESCRIBE: NO
RUBUSH, AMANDA, MD
GENDER: F
PROVIDER #: 299654
NPI #: 1447513148
E-PRESCRIBE: YES
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
217
Primary Care Physicians
THAIN, ROBERT, MD
GENDER: M
PROVIDER #: 241842
NPI #: 1285737213
E-PRESCRIBE: NO
SBL FAMILY PRACTICE
CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
PEDIATRICS
WOCHNER, ROBERT J.,
MD
GENDER: M
PROVIDER #: 001942
NPI #: 1164538864
E-PRESCRIBE: NO
PRAIRIE FAMILY PRACTICE
PRAIRIE PAVILION I SUITE
103 1005 HEALTH CENTER
DR
MATTOON, IL 61938
PHONE: (217) 348-2525
E-PRESCRIBE: NO
GENERAL PRACTICE
JOHNSON, CARL R., MD
GENDER: M
PROVIDER #: 004355
NPI #: 1275525701
E-PRESCRIBE: YES
500 HEALTH CENTER DR
SUITE 206
MATTOON, IL 61938
PHONE: (217) 258-4080
E-PRESCRIBE: YES
218
CAMDEN, TIMOTHY H.,
MD
GENDER: M
PROVIDER #: 083391
NPI #: 1659323327
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
2512 HURST DR
MATTOON, IL 61938
PHONE: (217) 258-5900
PAINTON, KARA, NP;
PROVIDER #: 113232
E-PRESCRIBE: YES
KNOX, DAVID R., MD
GENDER: M
PROVIDER #: 280949
NPI #: 1033222625
E-PRESCRIBE: YES
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
LEIFHEIT, AMY J., MD
GENDER: F
PROVIDER #: 191681
NPI #: 1376707687
E-PRESCRIBE: NO
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
MATTOON, IL
MATTOON, IL
NWOSU, MARJORIE, MD
GENDER: F
PROVIDER #: 274139
NPI #: 1932164951
E-PRESCRIBE: NO
SBL HEALTH CENTER
200 RICHMOND AVE E
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
SEWELL, SHANA, DO
GENDER: F
PROVIDER #: 273149
NPI #: 1386611663
E-PRESCRIBE: NO
SBL PEDIATRIC CLINIC
1005 HEALTH CENTER DR
SUITE 100
MATTOON, IL 61938
PHONE: (217) 258-4006
E-PRESCRIBE: NO
SNOWDEN, IVAN
THOMAS, MD
GENDER: M
PROVIDER #: 004045
NPI #: 1720194483
E-PRESCRIBE: NO
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.
218
MAYFIELD, KY
MAZON, IL
MAYFIELD, KY
ADULT/INTERNAL
MEDICINE
WOODS, TANYA M., MD
GENDER: F
PROVIDER #: 296886
NPI #: 1679576342
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PINELAKE PHYSICIAN
PRACTICE LLC
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
PHONE: (270) 251-4080
E-PRESCRIBE: NO
Primary Care Physicians
JONES, DALE E., MD
GENDER: M
PROVIDER #: 096836
NPI #: 1750335923
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
110 S 9TH ST
MAYFIELD, KY 42066
PHONE: (270) 247-7795
E-PRESCRIBE: NO
WILLIAMS, WAYNE E., MD
GENDER: M
PROVIDER #: 297283
NPI #: 1366544827
E-PRESCRIBE: NO
110 S 9TH ST
MAYFIELD, KY 42066
PHONE: (270) 247-7795
E-PRESCRIBE: NO
PEDIATRICS
HUSSAIN, ABID, MD
GENDER: M
PROVIDER #: 260270
NPI #: 1164620340
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
219
Primary Care Physicians
KRECKMAN, JOHN F., MD
GENDER: M
PROVIDER #: 287982
NPI #: 1124126909
E-PRESCRIBE: NO
OSF SAINT PAUL MEDICAL
CENTER
1401 E 12TH ST
MENDOTA, IL 61342
PHONE: (815) 539-7461
E-PRESCRIBE: NO
MCLEANSBORO, IL
FAMILY PRACTICE
PALEPU, SAI, MD
GENDER: M
PROVIDER #: 257038
NPI #: 1558673152
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
FAMILY PRACTICE
CHINN, MARY M., MD
GENDER: F
PROVIDER #: 030823
NPI #: 1750302253
E-PRESCRIBE: NO
OSF MEDICAL GROUP
1404 WASHINGTON ST
MENDOTA, IL 61342
PHONE: (815) 538-1825
BATTLES, JANE R., APN;
PROVIDER #: 256295
E-PRESCRIBE: NO
220
LOPEZ, LEONARDO, MD
GENDER: M
PROVIDER #: 059553
NPI #: 1376643007
E-PRESCRIBE: NO
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
MATHEIS-SOLIMAN, AMY
M., DO
GENDER: F
PROVIDER #: 135047
NPI #: 1376566539
E-PRESCRIBE: NO
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
MCLEANSBORO, IL
METAMORA, IL
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
E-PRESCRIBE: NO
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
METAMORA, IL
ADULT/INTERNAL
MEDICINE
OBRIEN, DANIEL E., MD
GENDER: M
PROVIDER #: 182767
NPI #: 1275741829
E-PRESCRIBE: NO
OSF MEDICAL GROUP
928 W MOUNT VERNON
METAMORA, IL 61548
PHONE: (309) 367-2227
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
220
METAMORA, IL
MILAN, IL
FAMILY PRACTICE
LINDSTROM, STEPHANIE
M., MD
GENDER: F
PROVIDER #: 071728
NPI #: 1811903073
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
928 W MOUNT VERNON
METAMORA, IL 61548
PHONE: (309) 367-2227
E-PRESCRIBE: NO
Primary Care Physicians
METROPOLIS, IL
ADULT/INTERNAL
MEDICINE
BEJGUM, PAVAN, MD
GENDER: M
PROVIDER #: 202037
NPI #: 1437469343
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
BHARAT K PATEL MD
12 HOSPITAL DRIVE
METROPOLIS, IL 62960
PHONE: (618) 524-2182
E-PRESCRIBE: NO
STATON, THOMAS W., MD
GENDER: M
PROVIDER #: 056987
NPI #: 1306825500
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
1006 BUTLER ST
METROPOLIS, IL 62960
PHONE: (618) 524-9232
E-PRESCRIBE: NO
MILAN, IL
FAMILY PRACTICE
OLIVER, RANDY E., MD
GENDER: M
PROVIDER #: 056986
NPI #: 1245219443
E-PRESCRIBE: NO
FAMILY PHYSICIANS
CENTER
1203 W 10TH ST
METROPOLIS, IL 62960
PHONE: (618) 524-3795
E-PRESCRIBE: NO
FAMILY PRACTICE
JOHNSON, JOHN T., DO
GENDER: M
PROVIDER #: 213599
NPI #: 1598759284
E-PRESCRIBE: NO
MILAN MEDICAL GROUP
LTD
1929 E 10TH AVE
MILAN, IL 61264
PHONE: (309) 787-2600
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
221
MILFORD, IL
MINOOKA, IL
Primary Care Physicians
REYES, CRISANTO M., MD
GENDER: M
PROVIDER #: 096136
NPI #: 1154461978
E-PRESCRIBE: NO
IMH MILFORD CLINIC
207 N AXTEL ST
MILFORD, IL 60953
PHONE: (815) 889-4241
E-PRESCRIBE: NO
MILFORD, IL
ADULT/INTERNAL
MEDICINE
ALFORD, RODNEY, MD
GENDER: M
PROVIDER #: 299265
NPI #: 1427128909
E-PRESCRIBE: NO
IMH MILFORD CLINIC
34 E JONES ST
MILFORD, IL 60953
PHONE: (815) 889-4241
E-PRESCRIBE: NO
FAMILY PRACTICE
AJAKAIYE, MICHAEL, MD
GENDER: M
PROVIDER #: 281890
NPI #: 1831346980
E-PRESCRIBE: YES
34 E JONES ST
MILFORD, IL 60953
PHONE: (815) 889-4241
E-PRESCRIBE: YES
DODIA, NARAN P., MD
GENDER: M
PROVIDER #: 079271
NPI #: 1154401974
E-PRESCRIBE: NO
IMH MILFORD CLINIC
34 E JONES ST
MILFORD, IL 60953
PHONE: (815) 889-4241
E-PRESCRIBE: NO
MINONK, IL
FLORIDO, GONZALO, MD
GENDER: M
PROVIDER #: 007020
NPI #: 1063552990
E-PRESCRIBE: NO
IMH MILFORD CLINIC
207 N AXTEL ST
MILFORD, IL 60953
PHONE: (815) 889-4241
E-PRESCRIBE: NO
HALLORAN, THOMAS J.,
MD
GENDER: M
PROVIDER #: 000050
NPI #: 1588696785
E-PRESCRIBE: YES
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
322 N CHICAGO ST
MILFORD, IL 60953
PHONE: (815) 889-4011
E-PRESCRIBE: YES
222
ADULT/INTERNAL
MEDICINE
WHITE, JESSICA L., MD
GENDER: F
PROVIDER #: 224721
NPI #: 1902048986
E-PRESCRIBE: NO
OSF MEDICAL GROUP
120 E 7TH ST
MINONK, IL 61760
PHONE: (309) 432-2515
E-PRESCRIBE: NO
FAMILY PRACTICE
MOY, CALVIN, MD
GENDER: M
PROVIDER #: 224829
NPI #: 1154558732
E-PRESCRIBE: NO
OSF MEDICAL GROUP
120 E 7TH ST
MINONK, IL 61760
PHONE: (309) 432-2515
E-PRESCRIBE: NO
MINOOKA, IL
ADULT/INTERNAL
MEDICINE
KHAN, AFTAB, MD
GENDER: M
PROVIDER #: 047850
NPI #: 1720073729
E-PRESCRIBE: NO
LIBERTY MEDICAL CENTER
603 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 521-1010
E-PRESCRIBE: NO
FAMILY PRACTICE
MCVAY, MARK A., DO
GENDER: M
PROVIDER #: 177186
NPI #: 1366541484
E-PRESCRIBE: YES
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
222
MINOOKA, IL
MOLINE, IL
SAFDAR, SAIMA, MD
GENDER: F
PROVIDER #: 208118
NPI #: 1336449214
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
LIBERTY MEDICAL CENTER
603 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 521-1010
E-PRESCRIBE: NO
MOLINE, IL
ADULT/INTERNAL
MEDICINE
ADE, DAVID T., MD
GENDER: M
PROVIDER #: 021034
NPI #: 1972589042
E-PRESCRIBE: NO
550 30TH AVE SUITE 12
MOLINE, IL 61265
PHONE: (309) 762-5513
E-PRESCRIBE: NO
ADE, THOMAS D., MD
GENDER: M
PROVIDER #: 027926
NPI #: 1568448884
E-PRESCRIBE: NO
550 30TH AVE SUITE 12
MOLINE, IL 61265
PHONE: (309) 762-5513
BEDNAR, EMILY, ARNP;
PROVIDER #: 156251
E-PRESCRIBE: NO
Primary Care Physicians
AHMAD, ANIS, MD
GENDER: M
PROVIDER #: 092879
NPI #: 1174511661
E-PRESCRIBE: NO
3061 7TH ST SUITE A
MOLINE, IL 61265
PHONE: (309) 762-6161
E-PRESCRIBE: NO
CADY, BRIAN T., MD
GENDER: M
PROVIDER #: 034239
NPI #: 1083619134
E-PRESCRIBE: NO
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
CASTRO, REYNALDO M.,
MD
GENDER: M
PROVIDER #: 050708
NPI #: 1477539799
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
TRINITY HEALTH
PARTNERS
525 VALLEY VIEW DR
MOLINE, IL 61265
PHONE: (309) 762-9869
E-PRESCRIBE: NO
CUNNINGHAM, PATRICK
C., MD
GENDER: M
PROVIDER #: 034788
NPI #: 1548265556
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
615 VALLEY VIEW DR SUITE
204
MOLINE, IL 61265
PHONE: (309) 764-4500
E-PRESCRIBE: NO
DAVIES, JOHN J., MD
GENDER: M
PROVIDER #: 069922
NPI #: 1437123064
E-PRESCRIBE: YES
7TH STREET INTERNAL
MEDICINE
600 JOHN DEERE RD SUITE
404
MOLINE, IL 61265
PHONE: (309) 779-3627
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
MEDICAL ARTS
ASSOCIATES
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4240
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
223
Primary Care Physicians
HAQUE, SYED M., MD
GENDER: M
PROVIDER #: 072992
NPI #: 1720072960
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
MOLINE
1106 4TH AVENUE
MOLINE, IL 61265
PHONE: (563) 327-2000
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
E-PRESCRIBE: NO
KEEVEN, LEONARD J., MD
GENDER: M
PROVIDER #: 117740
NPI #: 1750347035
E-PRESCRIBE: YES
UNITYPOINT CLINICINTERNAL MEDICINE
MOLINE
600 JOHN DEERE RD SUITE
401
MOLINE, IL 61265
PHONE: (309) 779-3627
E-PRESCRIBE: YES
HASSAN, SYED, MD
GENDER: M
PROVIDER #: 104474
NPI #: 1104810886
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
MOLINE
1106 4TH AVENUE
MOLINE, IL 61265
PHONE: (563) 327-2000
CACCAMO, JOSEPH, PA-C;
PROVIDER #; 113185
E-PRESCRIBE: NO
KHALAFALLAH, AHMED,
MD
GENDER: M
PROVIDER #: 026710
NPI #: 1366412934
E-PRESCRIBE: NO
MEDICAL ARTS
ASSOCIATES
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4215
E-PRESCRIBE: NO
HORANI, HANI, MD
GENDER: M
PROVIDER #: 135250
NPI #: 1437237542
E-PRESCRIBE: NO
MEDICAL ARTS
ASSOCIATES
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4220
E-PRESCRIBE: NO
MALLIK, NAMRATA, MD
GENDER: F
PROVIDER #: 216724
NPI #: 1750543179
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3900 28TH AVE DR SUITE 200
MOLINE, IL 61265
PHONE: (309) 582-3789
E-PRESCRIBE: NO
224
MOLINE, IL
MOLINE, IL
OKBA, AHMED F., MD
GENDER: F
PROVIDER #: 107424
NPI #: 1538139100
E-PRESCRIBE: NO
MEDICAL ARTS
ASSOCIATES
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4210
E-PRESCRIBE: NO
OLUTADE, TOYOSI T., MD
GENDER: M
PROVIDER #: 207354
NPI #: 1417111311
E-PRESCRIBE: NO
TRINITY 7TH STREET
INTERNAL MEDICINE
600 JOHN DEERE RD SUITE
401
MOLINE, IL 61265
PHONE: (309) 779-3627
E-PRESCRIBE: NO
PANCHOLI, SANJAY S.,
DO
GENDER: M
PROVIDER #: 195787
NPI #: 1780894816
E-PRESCRIBE: NO
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.
224
MOLINE, IL
MOLINE, IL
PAREIGIS, ALEX J., MD
GENDER: M
PROVIDER #: 051790
NPI #: 1184603953
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MEDICAL ARTS
ASSOCIATES
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4200
E-PRESCRIBE: NO
Primary Care Physicians
SATTI, VINAY V., MD
GENDER: M
PROVIDER #: 170479
NPI #: 1629099726
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
MOLINE
1106 4TH AVENUE
MOLINE, IL 61265
PHONE: (563) 327-2000
CACCAMO, JOSEPH, PA-C;
PROVIDER #; 113185
E-PRESCRIBE: NO
WARDLOW, JEAN E., MD
GENDER: F
PROVIDER #: 156745
NPI #: 1316984313
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3900 28TH AVE DR SUITE 200
MOLINE, IL 61265
PHONE: (309) 582-3789
E-PRESCRIBE: NO
FAMILY PRACTICE
ALLA, HIMABINDU, MD
GENDER: F
PROVIDER #: 139332
NPI #: 1194780049
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
APPEL, MIKKA M., MD
GENDER: F
PROVIDER #: 090042
NPI #: 1275505505
E-PRESCRIBE: NO
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
BODE, DAWN M., MD
GENDER: F
PROVIDER #: 048510
NPI #: 1619972999
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3900 28TH AVE DR SUITE 200
MOLINE, IL 61265
PHONE: (309) 582-3789
E-PRESCRIBE: NO
POGUE, CHARLES G., MD
GENDER: M
PROVIDER #: 020116
NPI #: 1912995697
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3900 28TH AVE SUITE 200
MOLINE, IL 61265
PHONE: (309) 582-3789
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
225
Primary Care Physicians
BOLLAERT, MICHAEL J.,
MD
GENDER: M
PROVIDER #: 256994
NPI #: 1487975066
E-PRESCRIBE: NO
UNITYPOINT CLINIC
EXPRESS CARE-JOHN DEERE
RD
5401 44TH AVE DR SUITE 100
MOLINE, IL 61265
PHONE: (309) 779-5670
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
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
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3900 28TH AVE DR SUITE 200
MOLINE, IL 61265
PHONE: (309) 582-3789
E-PRESCRIBE: NO
226
CABRERA, JASMIN E., MD
GENDER: F
PROVIDER #: 149545
NPI #: 1003086364
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MEDICAL ARTS ASSOC
600 JOHN DEERE RD #200
MOLINE, IL 61265
PHONE:
E-PRESCRIBE: NO
CARDOTT, RANDEL, MD
GENDER: M
PROVIDER #: 023629
NPI #: 1295704674
E-PRESCRIBE: NO
GENESIS CONVENIENT
CARE CLINIC
2350 41ST ST
MOLINE, IL 61265
PHONE: (309) 764-1880
E-PRESCRIBE: NO
CHICKRIS, NICOLE M., MD
GENDER: F
PROVIDER #: 257032
NPI #: 1922329507
E-PRESCRIBE: NO
UNITYPOINT CLINICEXPRESS CARE-JOHN DEERE
RD
5401 44TH AVE DR SUITE 100
MOLINE, IL 61265
PHONE: (309) 779-5670
E-PRESCRIBE: NO
MOLINE, IL
MOLINE, IL
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
GEICK, LYNN B., MD
GENDER: M
PROVIDER #: 075390
NPI #: 1326010299
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3900 28TH AVE DR SUITE 120
MOLINE, IL 61265
PHONE: (309) 582-3789
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
226
MOLINE, IL
MOLINE, IL
Primary Care Physicians
HAJI-ABDIRAHMAN,
HASSAN, MD
GENDER: M
PROVIDER #: 227583
NPI #: 1972735785
E-PRESCRIBE: YES
COMMUNITY HEALTH CARE
1106 4TH AVE
MOLINE, IL 61265
PHONE: (563) 327-2000
E-PRESCRIBE: YES
KUKHAR, NATALIYA, MD
GENDER: F
PROVIDER #: 207735
NPI #: 1780868604
E-PRESCRIBE: NO
TRINITY HEALTH
PARTNERS
525 VALLEY VIEW DR
MOLINE, IL 61265
PHONE: (309) 762-9869
E-PRESCRIBE: NO
ILTIS, MARK, MD
GENDER: M
PROVIDER #: 108964
NPI #: 1659369353
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3900 28TH AVE SUITE 200
MOLINE, IL 61265
PHONE:
E-PRESCRIBE: NO
KUMAR, MUKESH, MD
GENDER:
PROVIDER #: 227592
NPI #: 1164756920
E-PRESCRIBE: YES
COMMUNITY HEALTH CARE
1106 4TH AVE
MOLINE, IL 61265
PHONE: (563) 327-2000
E-PRESCRIBE: YES
JENKINS, JULIA C., DO
GENDER: F
PROVIDER #: 195069
NPI #: 1346201316
E-PRESCRIBE: NO
TRINITY HEALTH
PARTNERS
525 VALLEY VIEW DR
MOLINE, IL 61265
PHONE: (309) 762-9869
E-PRESCRIBE: NO
LETNEY, TODD L., MD
GENDER: M
PROVIDER #: 055007
NPI #: 1295709657
E-PRESCRIBE: NO
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
KANE, FRANCIS L., MD
GENDER: M
PROVIDER #: 055003
NPI #: 1750353744
E-PRESCRIBE: NO
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
LINDLEY, JAMES A., MD
GENDER: M
PROVIDER #: 224531
NPI #: 1528064052
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
TRINITY HEALTH
PARTNERS
525 VALLEY VIEW DR
MOLINE, IL 61265
PHONE: (309) 762-9869
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
HYBRID MEDICAL GROUP
3061 7TH ST SUITE B
MOLINE, IL 61265
PHONE: (309) 200-0212
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
227
MOLINE, IL
MOLINE, IL
Primary Care Physicians
SHAIKH, DAANISH K., MD
GENDER: M
PROVIDER #: 284339
NPI #: 1902105588
E-PRESCRIBE: YES
JOHN DEER MEDICAL
GROUP
4101 JOHN DEER RD
MOLINE, IL 61265
PHONE: (309) 757-1905
E-PRESCRIBE: YES
TERRONEZ, JARED A., MD
GENDER: M
PROVIDER #: 201375
NPI #: 1497990667
E-PRESCRIBE: NO
JOHN DEERE MEDICAL
GROUP OF THE QUAD CITIES
4101 JOHN DEERE RD
MOLINE, IL 61265
PHONE: (309) 765-1600
E-PRESCRIBE: NO
SHNURMAN, BENJAMIN
Z., DO
GENDER: M
PROVIDER #: 042345
NPI #: 1720060460
E-PRESCRIBE: NO
615 35TH AVE
MOLINE, IL 61265
PHONE: (309) 762-0476
E-PRESCRIBE: NO
WANG, PAUL, MD
GENDER: M
PROVIDER #: 060636
NPI #: 1508839481
E-PRESCRIBE: YES
UNITYPOINT CLINICEXPRESS CARE-MOLINE
106 19TH AVE STE 103
MOLINE, IL 61265
PHONE: (309) 779-7050
E-PRESCRIBE: YES
SPRENGELMEYER,
MICHELLE M., MD
GENDER: F
PROVIDER #: 162492
NPI #: 1326018524
E-PRESCRIBE: NO
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
TEMMERMAN, JOAN C.,
MD
GENDER: F
PROVIDER #: 260471
NPI #: 1710984158
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3800 29TH AVENUE DR SUITE
200
MOLINE, IL 61265
PHONE: (309) 281-6000
E-PRESCRIBE: NO
228
WENCK, TODD, MD
GENDER: M
PROVIDER #: 087306
NPI #: 1750353595
E-PRESCRIBE: NO
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
GENERAL PRACTICE
CAJIGAL, ARTEMIO L., MD
GENDER: M
PROVIDER #: 020328
NPI #: 1609871540
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
FRANKLIN PEDIATRICS SC
4376 7TH ST
MOLINE, IL 61265
PHONE: (309) 762-0777
E-PRESCRIBE: NO
HERR, THOMAS J., MD
GENDER: M
PROVIDER #: 077668
NPI #: 1295795326
E-PRESCRIBE: NO
PEDIATRIC GROUP
ASSOCIATES SC
1625 AVENUE OF THE CITIES
MOLINE, IL 61265
PHONE: (309) 797-5437
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
228
MOLINE, IL
MOMENCE, IL
KHAN, NAFEES, MD
GENDER: M
PROVIDER #: 109963
NPI #: 1548255243
E-PRESCRIBE: NO
FRANKLIN PEDIATRICS SC
4376 7TH ST
MOLINE, IL 61265
PHONE: (309) 762-0777
E-PRESCRIBE: NO
KHOURY, SANDRA J., MD
GENDER: F
PROVIDER #: 077669
NPI #: 1831159342
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
MOLINE
1106 4TH AVE
MOLINE, IL 61265
PHONE: (563) 327-2000
E-PRESCRIBE: NO
KUKREJA, GAUTAM, MD
GENDER: M
PROVIDER #: 184580
NPI #: 1205151198
E-PRESCRIBE: NO
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
MOEN, CHRISTOPHER S.,
MD
GENDER: M
PROVIDER #: 007039
NPI #: 1942260070
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PEDIATRIC GROUP
ASSOCIATES SC
1625 AVENUE OF THE CITIES
MOLINE, IL 61265
PHONE: (309) 797-5437
E-PRESCRIBE: NO
OZAKI, LINDA S., MD
GENDER: F
PROVIDER #: 065338
NPI #: 1053305003
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
MOLINE
1106 4TH AVENUE
MOLINE, IL 61265
PHONE: (563) 327-2000
BLOOMINGER, MARY JO, PA;
PROVIDER #: 079422
E-PRESCRIBE: NO
SCHOTT, MICHAEL J., MD
GENDER:
PROVIDER #: 278203
NPI #: 1033179544
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GENESIS CONVENIENT
CARE-IL
2350 41ST ST
MOLINE, IL 61265
PHONE: (309) 764-1880
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
3900 28TH AVE SUITE 200
MOLINE, IL 61265
PHONE: (309) 281-6000
E-PRESCRIBE: NO
WALTER, ANDREW W., MD
GENDER: M
PROVIDER #: 158958
NPI #: 1154382034
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
CENTER OF MOMENCE
3761 N ROUTE 1-17
MOMENCE, IL 60954
PHONE: (815) 472-3923
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
229
Primary Care Physicians
MONEE, IL
FAMILY PRACTICE
PHILIP-KULI, JULIA, MD
GENDER:
PROVIDER #: 264815
NPI #: 1417262031
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
GROUP
25711 S EGYPTIAN TRAIL
MONEE, IL 60449
PHONE: (708) 534-7523
E-PRESCRIBE: NO
MONMOUTH, IL
ADULT/INTERNAL
MEDICINE
BASILICO, LEOPOLDO M.,
MD
GENDER: M
PROVIDER #: 265495
NPI #: 1538480603
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF HOLY FAMILY CLINIC
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-3141
E-PRESCRIBE: NO
230
MEDRANO, RUBEN A., MD
GENDER: M
PROVIDER #: 066675
NPI #: 1073509683
E-PRESCRIBE: NO
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
RATTANSI, SAJJAD A.,
MD
GENDER: M
PROVIDER #: 265488
NPI #: 1821202524
E-PRESCRIBE: NO
OSF HOLY FAMILY
MEDICAL CENTER
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-3141
E-PRESCRIBE: NO
ROYEEN, ABDUL W., MD
GENDER: M
PROVIDER #: 201037
NPI #: 1821227976
E-PRESCRIBE: NO
OSF HOLY FAMILY CLINICS
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-1414
E-PRESCRIBE: NO
MONEE, IL
MONMOUTH, IL
FAMILY PRACTICE
BATTENBURG, JAMES R.,
MD
GENDER: M
PROVIDER #: 100996
NPI #: 1851387443
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
COTTAGE MONMOUTH
CLINIC
2 AMERICINN WAY
MONMOUTH, IL 61462
PHONE: (309) 734-0100
E-PRESCRIBE: NO
JNANANAND,
NAYANTARA, MD
GENDER: F
PROVIDER #: 178688
NPI #: 1013128925
E-PRESCRIBE: NO
OSF HOLY FAMILY CLINICS
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-1414
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
230
MONMOUTH, IL
MONTICELLO, IL
KATCHEN, DEBRA, MD
GENDER: F
PROVIDER #: 163701
NPI #: 1427057942
E-PRESCRIBE: NO
COTTAGE MONMOUTH
CLINIC
2 AMERICINN WAY SUITE B
MONMOUTH, IL 61462
PHONE: (309) 734-0100
E-PRESCRIBE: NO
LASALA, FRANK T., MD
GENDER: M
PROVIDER #: 119538
NPI #: 1538116975
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
Primary Care Physicians
MONROE CITY, MO
FAMILY PRACTICE
YAGER, RODNEY L., DO
GENDER: M
PROVIDER #: 126168
NPI #: 1851321202
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ON CALL MEDICAL
1851 DOUGLAS BLVD
MONTGOMERY, IL 60538
PHONE: (630) 844-9900
E-PRESCRIBE: NO
MONTICELLO, IL
PEDIATRICS
ADULT/INTERNAL
MEDICINE
WEIDMAN, MATTHEW J.,
MD
GENDER: M
PROVIDER #: 158313
NPI #: 1134226145
E-PRESCRIBE: NO
OSF HOLY FAMILY CLINICS
1000 W HARLEM AVE
MONMOUTH, IL 61462
PHONE: (309) 734-1414
E-PRESCRIBE: NO
FARASAT, MORTEZA, MD
GENDER: M
PROVIDER #: 239025
NPI #: 1891849105
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
CHRISTIE CLINIC
107 W AMIN ST
MONTICELLO, IL 61856
PHONE: (217) 762-3352
E-PRESCRIBE: YES
FAMILY PRACTICE
ELLIS, DOUGLAS R., MD
GENDER: M
PROVIDER #: 235919
NPI #: 1992790786
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
E-PRESCRIBE: YES
GLASCOCK, BRANDY, MD
GENDER: F
PROVIDER #: 249950
NPI #: 1578884995
E-PRESCRIBE: YES
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
231
Primary Care Physicians
LANKER, WILLIAM K., MD
GENDER: M
PROVIDER #: 000664
NPI #: 1568429009
E-PRESCRIBE: YES
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
MANINT, JAMES E., DO
GENDER: M
PROVIDER #: 002832
NPI #: 1376534420
E-PRESCRIBE: NO
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: NO
MARTY, ANN C., MD
GENDER: F
PROVIDER #: 000153
NPI #: 1215958905
E-PRESCRIBE: YES
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
232
SAMS, JACOB, MD
GENDER: M
PROVIDER #: 264065
NPI #: 1730340498
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
MONTICELLO, IL
MONTICELLO, IL
FAMILY PRACTICE OB
LANKER, WILLIAM K., MD
GENDER: M
PROVIDER #: 000664
NPI #: 1568429009
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CHRISTIE CLINIC
107 W MAIN ST
MONTICELLO, IL 61856
PHONE: (217) 762-3352
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
232
MORGANFIELD, KY
MORRIS, IL
MORGANFIELD, KY
FAMILY PRACTICE
RIGAUX, ARMAND J., MD
GENDER: M
PROVIDER #: 288152
NPI #: 1104929322
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MEDICAL OFFICE OF
MORRIS
114 W WAVERLY ST
MORRIS, IL 60450
PHONE: (815) 941-1580
E-PRESCRIBE: NO
Primary Care Physicians
COMFORT, CHARLES D.,
MD
GENDER: M
PROVIDER #: 020482
NPI #: 1861484321
E-PRESCRIBE: NO
COMFORT MEDICAL
1345 N EDWARDS ST
MORRIS, IL 60450
PHONE: (815) 942-1421
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
TRATT CLINIC SC
219 BEDFORD RD
MORRIS, IL 60450
PHONE: (815) 942-3000
E-PRESCRIBE: NO
JONES, JENNIFER L., MD
GENDER: F
PROVIDER #: 069192
NPI #: 1477510717
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
CROSSROADS COUNSELING
SERVICES LLC
1802 N DIVISION ST STE 509
MORRIS, IL 60450
PHONE: (815) 941-3882
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
233
MORRIS, IL
MORTON, IL
Primary Care Physicians
SAFDAR, SAIMA, MD
GENDER: F
PROVIDER #: 208118
NPI #: 1336449214
E-PRESCRIBE: NO
LIBERTY MEDICAL CENTER
1368 LIBERTY ST
MORRIS, IL 60450
PHONE: (815) 942-8080
E-PRESCRIBE: NO
SALEEM, RAJA, MD
GENDER:
PROVIDER #: 213655
NPI #: 1083829105
E-PRESCRIBE: YES
1345 N EDWARDS ST
MORRIS, IL 60450
PHONE: (815) 448-2423
E-PRESCRIBE: YES
MORTON GROVE, IL
ADULT/INTERNAL
MEDICINE
SYED, HASSNAIN, MD
GENDER:
PROVIDER #: 269933
NPI #: 1669798542
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
JOHNSON PEDIATRICS
320 LIBERTY ST
MORRIS, IL 60450
PHONE: (815) 942-5335
E-PRESCRIBE: NO
234
KIJEK, BARBARA G., MD
GENDER: F
PROVIDER #: 029910
NPI #: 1508822149
E-PRESCRIBE: NO
1802 N DIVISION ST SUITE
303
MORRIS, IL 60450
PHONE: (815) 741-7590
E-PRESCRIBE: NO
BUCKMAN, JEFFREY, MD
GENDER: M
PROVIDER #: 267786
NPI #: 1760597710
E-PRESCRIBE: NO
PMG JEFFREY BUCKMAN
MD/ALLAN SUTOW MD
5747 DEMPSTER ST SUITE
300
MORTON GROVE, IL 60053
PHONE: (847) 324-8700
E-PRESCRIBE: NO
MORTON, IL
ADULT/INTERNAL
MEDICINE
MARSHALL, DOUGLAS,
MD
GENDER: M
PROVIDER #: 091360
NPI #: 1477569499
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
BERATIO, CATHERINE R.,
MD
GENDER: F
PROVIDER #: 224725
NPI #: 1629200753
E-PRESCRIBE: NO
OSF MEDICAL GROUP
435 MAXINE DR SUITE 3 & 4
MORTON, IL 61550
PHONE: (309) 266-5405
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
234
MORTON, IL
MORTON, IL
CARRIGAN, MARC D., MD
GENDER: M
PROVIDER #: 223542
NPI #: 1225295223
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
Primary Care Physicians
DOBBINS, LEAH E., MD
GENDER:
PROVIDER #: 300150
NPI #: 1871873745
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
GRIEBEL, CRAIG, MD
GENDER: M
PROVIDER #: 292965
NPI #: 1740294347
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
235
Primary Care Physicians
JAVED, MAHWESH, MD
GENDER: M
PROVIDER #: 199791
NPI #: 1710149224
E-PRESCRIBE: NO
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
JOHNSON,
CHRISTOPHER R., MD
GENDER: M
PROVIDER #: 248547
NPI #: 1043445869
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
KOCH FAMILY MEDICINE SC
411 MAXINE DR
MORTON, IL 61550
PHONE: (309) 263-2411
GILLES, ANGELA J., FNP;
PROVIDER #: 098055
E-PRESCRIBE: NO
MAKSIMOVIC, DEJAN, DO
GENDER: M
PROVIDER #: 292989
NPI #: 1891992269
E-PRESCRIBE: NO
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
236
MCMILLIN, MATTHEW,
MD
GENDER: M
PROVIDER #: 048253
NPI #: 1528021987
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
MORTON, IL
MORTON, IL
PATEL, JUMUNA, MD
GENDER: F
PROVIDER #: 113913
NPI #: 1033200928
E-PRESCRIBE: NO
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
RUBUSH, AMANDA, MD
GENDER: F
PROVIDER #: 294417
NPI #: 1447513148
E-PRESCRIBE: NO
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
SAMUEL, ELDON M., MD
GENDER: M
PROVIDER #: 111572
NPI #: 1427149210
E-PRESCRIBE: NO
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 275530
NPI #: 1922235944
E-PRESCRIBE: NO
PROCTOR FIRST CARE
621 W JACKSON
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.
236
MORTON, IL
MORTON, IL
Primary Care Physicians
SHEPHERDSON, JOHN D.,
DO
GENDER: M
PROVIDER #: 058746
NPI #: 1164535910
E-PRESCRIBE: NO
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
TONOZZI-KINZINGER,
JESSICA A., MD
GENDER: F
PROVIDER #: 273207
NPI #: 1447424791
E-PRESCRIBE: NO
OSF MEDICAL GROUP
435 MAXINE DR SUITE 3&4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
SIAL, MUHAMMED I., MD
GENDER: M
PROVIDER #: 100173
NPI #: 1447212469
E-PRESCRIBE: NO
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
WILLIAMS, TIMOTHY J.,
MD
GENDER: M
PROVIDER #: 275550
NPI #: 1508893595
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
PEDIATRICS
BEATY, SHAD D., MD
GENDER:
PROVIDER #: 081377
NPI #: 1538241591
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
WIRTH, JILL, MD
GENDER: F
PROVIDER #: 168782
NPI #: 1003028150
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
WRIGHT, AMANDA, DO
GENDER: F
PROVIDER #: 171472
NPI #: 1942404884
E-PRESCRIBE: NO
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
KNIGHT, MATTHEW E.,
MD
GENDER: M
PROVIDER #: 052157
NPI #: 1346322310
E-PRESCRIBE: NO
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
LUNDY, MOLLY K., MD
GENDER: F
PROVIDER #: 255688
NPI #: 1124349089
E-PRESCRIBE: NO
OSF MEDICAL GROUP
432 MAXINE DRIVE SUITES 3
&4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
MOUNT MORRIS, IL
PRADHAN, SUSHMA R.,
MD
GENDER: F
PROVIDER #: 179132
NPI #: 1922185545
E-PRESCRIBE: NO
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
FAMILY PRACTICE
SIERRA, REBECCA A., MD
GENDER: F
PROVIDER #: 222767
NPI #: 1417186420
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST AT MORTON
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 263-9124
E-PRESCRIBE: NO
PLESCIA, JOHN H., MD
GENDER: M
PROVIDER #: 227783
NPI #: 1366671463
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
MOWEAQUA FAMILY
PRACTICE
620 N PUTNAM ST
MOWEAQUA, IL 62550
PHONE: (217) 768-3884
E-PRESCRIBE: YES
MORTON, IL
MT CARROLL, IL
BILYEU, ALISON
GENDER: F
PROVIDER #: 134756
NPI #: 1568474823
E-PRESCRIBE: YES
MOWEAQUA FAMILY
PRACTICE
620 N PUTNAM ST
MOWEAQUA, IL 62550
PHONE: (217) 768-3884
E-PRESCRIBE: YES
BILYEU, THOMAS M., MD
GENDER: M
PROVIDER #: 008962
NPI #: 1215936562
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER
1120 HALTHCARE DR
MT CARROLL, IL 61053
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
238
MT CARROLL, IL
MT VERNON, IL
MILLER, SHELLY A., MD
GENDER: F
PROVIDER #: 301203
NPI #: 1235387325
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER
1120 HEALTHCARE DR
MT CARROLL, IL 61053
PHONE: (815) 244-4181
E-PRESCRIBE: NO
MT PROSPECT, IL
FAMILY PRACTICE
INDYK, SABRINA A., MD
GENDER: F
PROVIDER #: 231523
NPI #: 1124256136
E-PRESCRIBE: NO
MT PROSPECT FAMILY MED
601 W CENTRAL RD
MT PROSPECT, IL 60056
PHONE: (630) 914-2417
E-PRESCRIBE: NO
Primary Care Physicians
MT VERNON, IL
ADULT/INTERNAL
MEDICINE
HUFFSTUTLER, WILLIAM
DEAN, MD
GENDER: M
PROVIDER #: 061888
NPI #: 1578513420
E-PRESCRIBE: NO
4101 N WATERTOWER
MT VERNON, IL 62864
PHONE: (618) 244-4313
E-PRESCRIBE: NO
PARKS, ROBERT J., MD
GENDER: M
PROVIDER #: 126456
NPI #: 1356380497
E-PRESCRIBE: NO
CROSSROADS FAMILY
MEDICINE OF MT VERNON
3505 BROADWAY ST
MT VERNON, IL 62864
PHONE: (618) 242-1397
BURWELL, MICHELLE, PA;
PROVIDER #: 158099
HOLMAN, DEBBIE L., ARNP;
PROVIDER #: 124422
E-PRESCRIBE: NO
KELLEY, DAVID A., MD
GENDER: M
PROVIDER #: 042298
NPI #: 1770535346
E-PRESCRIBE: NO
4101 N WATERTOWER
MT VERNON, IL 62864
PHONE: (618) 244-4313
LAMPLEY, JULIE A., PA;
PROVIDER #: 187358
RECTOR, ANGEL, FNP;
PROVIDER #: 163296
E-PRESCRIBE: NO
PARKS, ROBERT, MD
GENDER: M
PROVIDER #: 254906
NPI #: 1356380497
E-PRESCRIBE: NO
CROSSROADS FAMILY
MEDICINE OF MT VERNON
3505 BROADWAY
MT VERNON, IL 62864
PHONE: (618) 242-1397
E-PRESCRIBE: NO
NEELY, MEGAN J., MD
GENDER: F
PROVIDER #: 259247
NPI #: 1528233681
E-PRESCRIBE: NO
CROSSROADS FAMILY
MEDICINE OF MT VERNON
3505 BROADWAY
MT VERNON, IL 62864
PHONE: (618) 242-1397
E-PRESCRIBE: NO
COX, ELIZABETH D., MD
GENDER: F
PROVIDER #: 168562
NPI #: 1801806039
E-PRESCRIBE: NO
716 SALEM RD
MT VERNON, IL 62864
PHONE: (618) 204-5891
E-PRESCRIBE: NO
FAMILY PRACTICE
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
239
Primary Care Physicians
WARNER, TRICIA K., MD
GENDER: F
PROVIDER #: 259248
NPI #: 1326029158
E-PRESCRIBE: NO
CROSSROADS FAMILY
MEDICINE OF MT VERNON
3505 BROADWAY
MT VERNON, IL 62864
PHONE: (618) 242-1397
E-PRESCRIBE: NO
CROSSROADS PHYSICIAN
CORP
209 CROSSROADS PL SUITE
120
MT VERNON, IL 62864
PHONE: (618) 244-6222
LOCEY, SHERRY, PA;
PROVIDER #: 155778
LOCEY, SHERRY C., PA;
PROVIDER #: 254263
E-PRESCRIBE: NO
PEDIATRICS
JAVED, DURRI S., MD
GENDER: F
PROVIDER #: 027659
NPI #: 1275510604
E-PRESCRIBE: NO
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
240
JONES, JED W., DO
GENDER: M
PROVIDER #: 203676
NPI #: 1740287226
E-PRESCRIBE: NO
MT VERNON COMMUNITY
HEALTH CENTER
2920 VETERANS MEMORIAL
DR
MT VERNON, IL 62864
PHONE: (618) 244-6544
E-PRESCRIBE: NO
NWOSU, MARJORIE M.,
MD
GENDER: F
PROVIDER #: 259249
NPI #: 1932164951
E-PRESCRIBE: NO
CROSSROADS FAMILY
MEDICINE OF MT VERNON
3505 BROADWAY
MT VERNON, IL 62864
PHONE: (618) 242-1397
E-PRESCRIBE: NO
MT VERNON, IN
FAMILY PRACTICE
SUTTON, WILLIAM E., MD
GENDER: M
PROVIDER #: 183342
NPI #: 1902879109
E-PRESCRIBE: NO
DEACONESS CLINIC INC
813 E 4TH ST SUITE A
MT VERNON, IN 47620
PHONE: (812) 838-2139
E-PRESCRIBE: NO
MT VERNON, IL
MURPHYSBORO, IL
MT ZION, IL
FAMILY PRACTICE
COSTERISAN, DENNIS D.,
DO
GENDER: M
PROVIDER #: 014430
NPI #: 1578565701
E-PRESCRIBE: NO
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
MURPHYSBORO, IL
ADULT/INTERNAL
MEDICINE
HIGGINS, KELLY C., MD
GENDER: F
PROVIDER #: 266602
NPI #: 1356337133
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
801 N 14TH ST
MURPHYSBORO, IL 62966
PHONE: (618) 687-2319
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
240
MURPHYSBORO, IL
MURPHYSBORO, IL
BLAISE, DALE W., MD
GENDER: M
PROVIDER #: 027020
NPI #: 1770557472
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
Primary Care Physicians
KUPFERER, THOMAS W.,
DO
GENDER: M
PROVIDER #: 027368
NPI #: 1437147089
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MURPHYSBORO HEALTH
CENTER
7 S HOSPITAL DR
MURPHYSBORO, IL 62966
PHONE: (618) 687-3418
ELLIS, CHERYL A., APN;
PROVIDER #: 161401
E-PRESCRIBE: NO
FAMILY PRACTICE OB
FADDEN, CLARE, MD
GENDER: F
PROVIDER #: 095547
NPI #: 1932146271
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
241
Primary Care Physicians
MURRAY, KY
ADULT/INTERNAL
MEDICINE
CLARK, HOLLIS J., MD
GENDER: M
PROVIDER #: 097397
NPI #: 1790766178
E-PRESCRIBE: NO
PRIMARY CARE MEDICAL
CENTER
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
KELLY, PATRICK S., MD
GENDER: M
PROVIDER #: 097403
NPI #: 1598747396
E-PRESCRIBE: NO
PRIMARY CARE MEDICAL
CENTER
300 S 8TH ST SUITE 480W
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
MILLER, DAN M., MD
GENDER: M
PROVIDER #: 297486
NPI #: 1336142496
E-PRESCRIBE: NO
DR DAN M MILLER PLLC
312 SOUTH 8TH STREET
MURRAY, KY 42071
PHONE: (270) 753-2395
E-PRESCRIBE: NO
242
O'DELL, NICHOLAS C., MD
GENDER: M
PROVIDER #: 297309
NPI #: 1881987329
E-PRESCRIBE: NO
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
FAMILY PRACTICE
MURRAY, KY
MURRAY, KY
CROUCH, RICHARD H.,
MD
GENDER: M
PROVIDER #: 297311
NPI #: 1588620405
E-PRESCRIBE: NO
MURRAY CALLOWAY
COUNTY PUBLIC HOSP CORP
DBA MURRAY
300 S 8TH ST STE 480W
MURRAY, KY 42071
PHONE: (270) 762-1782
E-PRESCRIBE: NO
ADAMS, T MICHAEL, MD
GENDER: M
PROVIDER #: 096858
NPI #: 1720069479
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MURRAY CALLOWAY
COUNTY PUBLIC HOSP CORP
DBA MURRAY
300 S 8TH ST STE 480W
MURRAY, KY 42071
PHONE: (270) 762-1782
E-PRESCRIBE: NO
BUTLER, DANIEL F., MD
GENDER: M
PROVIDER #: 096861
NPI #: 1619958097
E-PRESCRIBE: NO
PRIMARY CARE MEDICAL
CENTER
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
GUPTON, EMILY T., DO
GENDER: F
PROVIDER #: 186809
NPI #: 1174744817
E-PRESCRIBE: NO
PRIMARY CARE MEDICAL
CENTER
1000 SOUTH 12TH STREET
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
HEFFLEY, SUSAN M., MD
GENDER: F
PROVIDER #: 198659
NPI #: 1417007642
E-PRESCRIBE: NO
PRIMARY CARE MEDICAL
CTR
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
242
MURRAY, KY
MUSCATINE, IA
Primary Care Physicians
HUGHES, ROBERT C., MD
GENDER: M
PROVIDER #: 096898
NPI #: 1326029786
E-PRESCRIBE: NO
PRIMARY CARE MEDICAL
CENTER
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
BURCH, KIMBERLY A., MD
GENDER: F
PROVIDER #: 097617
NPI #: 1972585065
E-PRESCRIBE: NO
PRIMARY CARE MEDICAL
CENTER
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
ROBINSON, WILLIAM E.,
MD
GENDER: M
PROVIDER #: 268455
NPI #: 1811166705
E-PRESCRIBE: NO
MURRAY CALLOWAY
COUNTY PUBLIC HOSP CORP
DBA MURRAY
300 S 8TH ST STE 480W
MURRAY, KY 42071
PHONE: (270) 753-0704
E-PRESCRIBE: NO
HUGHES, JOYCE F., MD
GENDER: F
PROVIDER #: 033795
NPI #: 1326029067
E-PRESCRIBE: NO
PRIMARY CARE MEDICAL
CTR
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
PEDIATRICS
AUSTIN, CLEGG F., MD
GENDER: M
PROVIDER #: 296952
NPI #: 1235130667
E-PRESCRIBE: NO
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
MILO, JACKIE, MD
GENDER: F
PROVIDER #: 294474
NPI #: 1851699896
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9508
E-PRESCRIBE: NO
COOLEY, LINDA M., MD
GENDER: F
PROVIDER #: 221562
NPI #: 1760410161
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
TRINITY 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.
243
Primary Care Physicians
HERNDON, ERIN K., MD
GENDER: F
PROVIDER #: 273046
NPI #: 1942294483
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
244
MUSCATINE, IA
MUSCATINE, IA
ROEDER, SUSAN L., MD
GENDER: F
PROVIDER #: 259941
NPI #: 1487615340
E-PRESCRIBE: NO
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9508
E-PRESCRIBE: NO
SPENGLER, ERIN K., MD
GENDER: F
PROVIDER #: 259939
NPI #: 1568698579
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNITYPOINT CLINIC
INTERNAL MEDICINEMULBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4111
E-PRESCRIBE: NO
WEISS, ROBERT F., MD
GENDER: M
PROVIDER #: 157582
NPI #: 1205813912
E-PRESCRIBE: NO
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
SMITH, MELINDA A., MD
GENDER: F
PROVIDER #: 186009
NPI #: 1649257254
E-PRESCRIBE: NO
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
FAMILY PRACTICE
ALLEN, RHEA J., MD
GENDER: F
PROVIDER #: 230497
NPI #: 1366429177
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
244
MUSCATINE, IA
MUSCATINE, IA
BUCHKINA, JULIE R., MD
GENDER: F
PROVIDER #: 224834
NPI #: 1790939288
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNITYPOINT CLINIC
EXPRESS CARE AT NORTH
PORT
3426 NORTH PORT DR #200
MUSCATINE, IA 52761
PHONE: (563) 264-9508
E-PRESCRIBE: NO
FARRELL, ANGELA T., MD
GENDER: F
PROVIDER #: 257961
NPI #: 1871814194
E-PRESCRIBE: NO
UI HEALTH CAREMUSCATINE
3465 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 263-0339
E-PRESCRIBE: NO
Primary Care Physicians
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
TRINITY MEDICAL CENTER
MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
HOSTETLER, COLETTE,
MD
GENDER: F
PROVIDER #: 118136
NPI #: 1477530129
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
KASPER, RICHARD B., MD
GENDER: M
PROVIDER #: 061162
NPI #: 1639167307
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
MEYER, JOHN K., DO
GENDER: M
PROVIDER #: 122665
NPI #: 1467435834
E-PRESCRIBE: NO
TRINITY 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.
245
Primary Care Physicians
MILLER, HAROLD W., MD
GENDER: M
PROVIDER #: 034791
NPI #: 1417953563
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNITYPOINT CLINIC/
INTERNAL MEDICINE AT
MULBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4111
E-PRESCRIBE: NO
246
SARKAR, SHRIMA E., MD
GENDER: F
PROVIDER #: 103230
NPI #: 1033196811
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4112
E-PRESCRIBE: NO
SOJKA, MATTHEW L., MD
GENDER: M
PROVIDER #: 080667
NPI #: 1659358471
E-PRESCRIBE: NO
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
MUSCATINE, IA
MUSCATINE, IA
WANG, PAUL, MD
GENDER: M
PROVIDER #: 060636
NPI #: 1508839481
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNITYPOINT HEALTH
TRINITY MUSCATINE
EMERGENCY DEPT
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9508
E-PRESCRIBE: NO
SORENSEN, STEPHEN M.,
MD
GENDER: M
PROVIDER #: 158894
NPI #: 1881647071
E-PRESCRIBE: NO
TRINITY 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.
246
MUSCATINE, IA
NAPERVILLE, IL
PEDIATRICS
ANDERSON, ROBERT F.,
MD
GENDER: M
PROVIDER #: 034783
NPI #: 1932104858
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4112
E-PRESCRIBE: NO
MUELLER, REBECCA M.,
MD
GENDER: F
PROVIDER #: 202424
NPI #: 1902048580
E-PRESCRIBE: NO
UNITYPOINT CLINIC/
PEDIATRICS AT MULBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4115
E-PRESCRIBE: NO
NATH, HIMADRI, MD
GENDER: M
PROVIDER #: 221484
NPI #: 1205101714
E-PRESCRIBE: NO
UNITYPOINT CLINIC/
PEDIATRICS AT MULBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4115
E-PRESCRIBE: NO
Primary Care Physicians
SMITH, MELINDA A., MD
GENDER: F
PROVIDER #: 186009
NPI #: 1649257254
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 264-9100
E-PRESCRIBE: NO
NAPERVILLE, IL
ADULT/INTERNAL
MEDICINE
ABRAHAM, ALIN K., MD
GENDER: F
PROVIDER #: 171586
NPI #: 1316101181
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
636 RAYMOND DR SUITE 200
NAPERVILLE, IL 60563-9790
PHONE: (630) 355-5302
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
247
Primary Care Physicians
NASHVILLE, IL
ADULT/INTERNAL
MEDICINE
SIDDIQUI, MOHAMMED Z.,
MD
GENDER: M
PROVIDER #: 076751
NPI #: 1730115973
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
WASHINGTON COUNTY
HOSPITAL
705 S GRAND AVE
NASHVILLE, IL 62263
PHONE: (618) 327-2225
AHOLT, RACHEL B., FNP;
PROVIDER #: 161060
E-PRESCRIBE: NO
FEWELL, GINGER A., MD
GENDER: F
PROVIDER #: 273120
NPI #: 1619263647
E-PRESCRIBE: YES
WASHINGTON COUNTY
HOSPITAL
705 S GRAND AVE
NASHVILLE, IL 62263
PHONE: (618) 327-8236
E-PRESCRIBE: YES
248
SHAH, NIRAJ, MD
GENDER: M
PROVIDER #: 272368
NPI #: 1134440969
E-PRESCRIBE: YES
PC ASSOCIATES LLC
1245 S MILL ST
NASHVILLE, IL 62263
PHONE: (618) 327-8119
E-PRESCRIBE: YES
WARNER, TRICIA K., MD
GENDER: F
PROVIDER #: 152719
NPI #: 1326029158
E-PRESCRIBE: NO
CROSSROADS PHYSICIAN
CORP
1472 W ST LOUIS ST
NASHVILLE, IL 62263
PHONE: (618) 327-9333
LOCEY, SHERRY, PA;
PROVIDER #: 155778
LOCEY, SHERRY C., PA;
PROVIDER #: 254263
SCHRAMKE, KIMBERLY S.,
FNP; PROVIDER #; 296752
E-PRESCRIBE: NO
NEW LENOX, IL
ADULT/INTERNAL
MEDICINE
ARLA-POLAVARAPU,
LATHA P., DO
GENDER: F
PROVIDER #: 179436
NPI #: 1578548921
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
410 E LINCOLN HIGHWAY
SUITE 251
NEW LENOX, IL 60451
PHONE: (815) 485-2541
E-PRESCRIBE: NO
NASHVILLE, IL
NEW LENOX, IL
FAMILY PRACTICE
ANSARI, MUHAMMAD, MD
GENDER: M
PROVIDER #: 273996
NPI #: 1770787673
E-PRESCRIBE: NO
PMG NEW LENOX FAMILY
PRACTICE
410 E LINCOLN HIGHWAY
NEW LENOX, IL 60451
PHONE: (815) 485-2541
E-PRESCRIBE: NO
CALIMAG, DAVID M., DO
GENDER: M
PROVIDER #: 176156
NPI #: 1922112184
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
NEW LENOX IMMEDIATE
CARE
410 E LINCOLN HWY
NEW LENOX, IL 60451
PHONE: (815) 462-5566
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
248
NEW LENOX, IL
NEWBURGH, IN
WHYTE, STEPHANIE C.,
MD
GENDER: F
PROVIDER #: 265735
NPI #: 1710116546
E-PRESCRIBE: NO
PRESENCE MEDICAL GROUP
410 E LINCOLN HIGHWAY
#251
NEW LENOX, IL 60451
PHONE: (815) 485-2541
E-PRESCRIBE: NO
PEDIATRICS
DECKER, HEATHER A.,
MD
GENDER: F
PROVIDER #: 225572
NPI #: 1336114529
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
188 W ILLINOIS HIGHWAY
NEW LENOX, IL 60451
PHONE: (815) 463-0951
E-PRESCRIBE: NO
Primary Care Physicians
NEWARK, IL
ADULT/INTERNAL
MEDICINE
FLATT, LLOYD M., MD
GENDER: M
PROVIDER #: 032392
NPI #: 1295713766
E-PRESCRIBE: YES
NEWARK HEALTHCARE
CENTER
FIVE NORTH JOHNSON
NEWARK, IL 60541
PHONE: (815) 695-5042
E-PRESCRIBE: YES
NEWBURGH, IN
ADULT/INTERNAL
MEDICINE
ALLAW, MOHAMMED A.,
MD
GENDER: M
PROVIDER #: 152121
NPI #: 1336142728
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4015 GATEWAY BLVD 3RD
FL
NEWBURGH, IN 47630
PHONE: (812) 858-6244
E-PRESCRIBE: NO
BENNETT, CHRISTINA,
MD
GENDER: F
PROVIDER #: 278274
NPI #: 1194092668
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
DIDITA, EMANUEL, MD
GENDER: M
PROVIDER #: 238928
NPI #: 1174752109
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
IQBAL, KASHIF Z., MD
GENDER: F
PROVIDER #: 152991
NPI #: 1942376074
E-PRESCRIBE: NO
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
PARKAR, TABASSUM I.,
MD
GENDER: F
PROVIDER #: 153328
NPI #: 1205015898
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
JUDY, LAWRENCE A., MD
GENDER: M
PROVIDER #: 152992
NPI #: 1427125129
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
250
NEFF, WARD M., MD
GENDER: M
PROVIDER #: 152823
NPI #: 1588667968
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4015 GATEWAY BLVD 3RD
FL
NEWBURGH, IN 47630
PHONE: (812) 858-6244
E-PRESCRIBE: NO
RUSCHE, ROBERT, MD
GENDER: M
PROVIDER #: 205774
NPI #: 1437152808
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
SCHEINOST, MICHAEL E.,
DO
GENDER: M
PROVIDER #: 180755
NPI #: 1336119593
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
NEWBURGH, IN
NEWBURGH, IN
SCHEU, BRADLEY B., DO
GENDER: M
PROVIDER #: 274868
NPI #: 1427345099
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
SIAGE, YOUSSEF, MD
GENDER: M
PROVIDER #: 153085
NPI #: 1346386190
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9372
E-PRESCRIBE: NO
STROUSE, LESLIE S., MD
GENDER: F
PROVIDER #: 260300
NPI #: 1881601599
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4015 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE:
E-PRESCRIBE: NO
THIENEMAN JR, ANDREW
C., MD
GENDER: M
PROVIDER #: 153142
NPI #: 1881762060
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9372
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
250
NEWBURGH, IN
NEWBURGH, IN
Primary Care Physicians
VIX, VERNON A., MD
GENDER: M
PROVIDER #: 153135
NPI #: 1144388349
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 474-7123
E-PRESCRIBE: NO
CONWAY, MARK F., MD
GENDER: M
PROVIDER #: 073468
NPI #: 1174690374
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9372
E-PRESCRIBE: NO
DEWEESE, ANGELA S., MD
GENDER: F
PROVIDER #: 153061
NPI #: 1679641161
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 429-1818
E-PRESCRIBE: NO
YOUSEF, BASSAM, MD
GENDER: M
PROVIDER #: 203008
NPI #: 1598745184
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
CORDTS, SCOTT M., MD
GENDER: M
PROVIDER #: 167729
NPI #: 1023095262
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
GALEN, RENE M., MD
GENDER: F
PROVIDER #: 086322
NPI #: 1013083187
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9700
E-PRESCRIBE: NO
FAMILY PRACTICE
DALESSANDRI, ANNE, MD
GENDER: F
PROVIDER #: 137961
NPI #: 1891813234
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4015 GATEWAY BLVD STE
3000
NEWBURGH, IN 47630
PHONE: (812) 858-9400
E-PRESCRIBE: NO
DAVISON, JAMIE L., MD
GENDER: F
PROVIDER #: 201535
NPI #: 1235391491
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
GREER, DAVID B., MD
GENDER: M
PROVIDER #: 065611
NPI #: 1508869900
E-PRESCRIBE: NO
DEACONESS CLINIC INC
10455 ORTHOPAEDIC DR
NEWBURGH, IN 47630
PHONE: (812) 858-2100
E-PRESCRIBE: NO
BLEVINS, MIRANDA E.,
MD
GENDER: F
PROVIDER #: 245006
NPI #: 1962630574
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 386-6650
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
251
Primary Care Physicians
GROSSMAN, DARLA R.,
MD
GENDER: F
PROVIDER #: 153055
NPI #: 1568538650
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 429-1818
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
GUTMANN JR, JAMES E.,
MD
GENDER: M
PROVIDER #: 153059
NPI #: 1790851897
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9565
E-PRESCRIBE: NO
HALL, JON M., MD
GENDER: M
PROVIDER #: 070167
NPI #: 1184723975
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4015 GATEWAY BLVD 3RD
FLOOR
NEWBURGH, IN 47630
PHONE: (812) 858-9400
E-PRESCRIBE: NO
KANG SMITH, JUNG W.,
MD
GENDER: F
PROVIDER #: 263838
NPI #: 1770842460
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
252
KINCAID, RICHARD W.,
MD
GENDER: M
PROVIDER #: 153056
NPI #: 1144397860
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 429-1818
E-PRESCRIBE: NO
NEWBURGH, IN
NEWBURGH, IN
LINK, CHAD E., MD
GENDER: M
PROVIDER #: 201533
NPI #: 1609038868
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
LODICO, PETER J., MD
GENDER: M
PROVIDER #: 219543
NPI #: 1225011828
E-PRESCRIBE: NO
DEACONESS CLINIC INC
10455 ORTHOPAEDIC DR
NEWBURGH, IN 47630
PHONE: (812) 858-2100
E-PRESCRIBE: NO
KOCHER, JARED J., MD
GENDER: M
PROVIDER #: 231357
NPI #: 1346299724
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
MARTIN, SUSAN M., MD
GENDER: F
PROVIDER #: 073528
NPI #: 1184791618
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 649-5061
E-PRESCRIBE: NO
KRAJEC, EMILY B., DO
GENDER: F
PROVIDER #: 259938
NPI #: 1700198520
E-PRESCRIBE: NO
DEACONESS CLINIC INC
10455 ORTHOPAEDIC DR
NEWBURGH, IN 47630
PHONE: (812) 858-2100
E-PRESCRIBE: NO
MYERS, MICHAEL T., MD
GENDER: M
PROVIDER #: 077405
NPI #: 1275600371
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9565
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
252
NEWBURGH, IN
NEWBURGH, IN
PAGE, DAVID M., MD
GENDER: M
PROVIDER #: 084763
NPI #: 1598768848
E-PRESCRIBE: NO
DEACONESS CLINIC INC
10455 ORTHOPAEDIC DR
NEWBURGH, IN 47630
PHONE: (812) 858-2100
E-PRESCRIBE: NO
POTTANAT, JANCY G.,
MD
GENDER: F
PROVIDER #: 153000
NPI #: 1760550800
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 853-7391
E-PRESCRIBE: NO
ROBINSON, LAYNE D., MD
GENDER: M
PROVIDER #: 153051
NPI #: 1386712941
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 426-9700
E-PRESCRIBE: NO
SIMONEAUX, JENNIFER
D., MD
GENDER: F
PROVIDER #: 153060
NPI #: 1700880036
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4015 GATEWAY BLVD 3RD
FL
NEWBURGH, IN 47630
PHONE: (812) 858-9400
E-PRESCRIBE: NO
Primary Care Physicians
STOLTZ, RUSTON L., MD
GENDER: M
PROVIDER #: 059527
NPI #: 1023011418
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
WALLISCH, FREDERICK
H., MD
GENDER: M
PROVIDER #: 153130
NPI #: 1528027950
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 429-1818
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
253
Primary Care Physicians
FARMER, RACHEL, MD
GENDER: F
PROVIDER #: 256390
NPI #: 1699822569
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
254
JUSTAK, JENELLE L., DO
GENDER: F
PROVIDER #: 087064
NPI #: 1356344766
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 450-7338
E-PRESCRIBE: NO
NEWBURGH, IN
NEWBURGH, IN
MONEM, GAMEL F., MD
GENDER: M
PROVIDER #: 156210
NPI #: 1568551042
E-PRESCRIBE: NO
DEACONESS CARE GROUP
4011 GATEWAY BLVD
FOURTH FLOOR
NEWBURGH, IN 47630
PHONE: (812) 842-3880
E-PRESCRIBE: NO
PHILLIPS, BARRY S., MD
GENDER: M
PROVIDER #: 153044
NPI #: 1124021571
E-PRESCRIBE: NO
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
PORTER, JAMES R., MD
GENDER: M
PROVIDER #: 065645
NPI #: 1184643694
E-PRESCRIBE: NO
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.
254
NEWBURGH, IN
NOKOMIS, IL
ROGERS, PAMELA J., MD
GENDER: F
PROVIDER #: 153013
NPI #: 1891760419
E-PRESCRIBE: NO
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
SHELTON, DARREL, MD
GENDER: M
PROVIDER #: 153086
NPI #: 1518035856
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4233 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 479-6909
E-PRESCRIBE: NO
WEYER, GURPREET B.,
MD
GENDER: F
PROVIDER #: 224936
NPI #: 1801098025
E-PRESCRIBE: NO
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
Primary Care Physicians
WILLIAMS, BRUCE P., MD
GENDER: M
PROVIDER #: 065854
NPI #: 1174734602
E-PRESCRIBE: NO
DEACONESS CLINIC INC
4133 GATEWAY BLVD 2ND
FL
NEWBURGH, IN 47630
PHONE: (812) 853-5671
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
NOKOMIS, IL
FAMILY PRACTICE
CUNNINGTON, WALTER
H., MD
GENDER: M
PROVIDER #: 133335
NPI #: 1811024508
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
NOKOMIS MEDICAL GROUP
107 W STATE ST
NOKOMIS, IL 62075
PHONE: (217) 562-2143
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
255
NOKOMIS, IL
NORMAL, IL
Primary Care Physicians
TEODORO, CATHERINE
D., MD
GENDER: F
PROVIDER #: 225034
NPI #: 1720373574
E-PRESCRIBE: YES
COMMUNITY MEDICAL
CLINIC
120 S CEDAR
NOKOMIS, IL 62075
PHONE: (217) 562-2544
E-PRESCRIBE: YES
NORMAL, IL
ADULT/INTERNAL
MEDICINE
GENERAL PRACTICE
DYCOCO, VIRGILIO M.,
MD
GENDER: M
PROVIDER #: 006563
NPI #: 1528137403
E-PRESCRIBE: NO
NOKOMIS MEDICAL GROUP
107 W STATE ST
NOKOMIS, IL 62075
PHONE: (217) 562-2143
E-PRESCRIBE: NO
QUIZON, DEOGRACIAS F.,
MD
GENDER: M
PROVIDER #: 014784
NPI #: 1437228319
E-PRESCRIBE: NO
NOKOMIS MEDICAL GROUP
107 W STATE ST
NOKOMIS, IL 62075
PHONE: (217) 562-2143
E-PRESCRIBE: NO
256
PANOPIO, PHOEBE B., MD
GENDER: F
PROVIDER #: 087906
NPI #: 1710070289
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
COGENT HEALTHCARE OF
ILLINOIS LLC
1304 FRANKLIN AVE SUITE
380
NORMAL, IL 61761
PHONE: (309) 268-3589
E-PRESCRIBE: NO
FAMILY PRACTICE
BUFFEY, TIMOTHY J., DO
GENDER: M
PROVIDER #: 152701
NPI #: 1164422663
E-PRESCRIBE: NO
ADVOCATE BROMENN
FAMILY HEALTH CLINIC
1300 FRANKLIN AVE SUITE
100
NORMAL, IL 61761
PHONE: (309) 268-3791
E-PRESCRIBE: NO
ADVOCATE BROMENN
HOSPITALISTS
1300 FRANKLIN AVE SUITE
380
NORMAL, IL 61761
PHONE: (309) 268-3590
E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
E-PRESCRIBE: NO
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.
256
NORMAL, IL
NORMAL, IL
HAKES, PAUL E., MD
GENDER: M
PROVIDER #: 288575
NPI #: 1750315602
E-PRESCRIBE: NO
OSF PROMPTCARE
2200 FORT JESSE RD SUITE
100
NORMAL, IL 61761
PHONE: (309) 661-6280
E-PRESCRIBE: NO
JANI, JYOTIR H., MD
GENDER: M
PROVIDER #: 086122
NPI #: 1790877835
E-PRESCRIBE: NO
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
JIBAWI, AHMAD, MD
GENDER: M
PROVIDER #: 254415
NPI #: 1346551892
E-PRESCRIBE: NO
COGENT HEALTHCARE OF
IL LLC
1304 FRANKLIN AVE
NORMAL, IL 61761
PHONE: (309) 268-3589
E-PRESCRIBE: NO
KETTERING, TODD, MD
GENDER: M
PROVIDER #: 166336
NPI #: 1972619526
E-PRESCRIBE: NO
ADVOCATE BROMENN
FAMILY HEALTH CLINIC
1300 FRANKLIN AVE SUITE
100
NORMAL, IL 61761
PHONE: (309) 268-3791
E-PRESCRIBE: NO
Primary Care Physicians
ADVOCATE BROMENN
HOSPITALISTS
1300 FRANKLIN AVE SUITE
250
NORMAL, IL 61761
PHONE: (309) 268-5052
E-PRESCRIBE: NO
1300 FRANKLIN AVE SUITE
380
NORMAL, IL 61761
PHONE: (309) 268-3590
E-PRESCRIBE: NO
LIU, JOSEPH H., MD
GENDER: M
PROVIDER #: 107949
NPI #: 1669564738
E-PRESCRIBE: NO
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
MADUGULA, MADHAVI,
MD
GENDER:
PROVIDER #: 154798
NPI #: 1144266065
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
1437 E COLLEGE AVE
NORMAL, IL 61761
PHONE: (309) 454-4411
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP SUGAR CREEK
PRIMARY CARE
1302 FRANKLIN AVE STE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
MOY, SHARON L., DO
GENDER: F
PROVIDER #: 273008
NPI #: 1013291715
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP SUGAR CREEK
PRIMARY CARE
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
NASEER, JIBRAN, MD
GENDER: M
PROVIDER #: 226420
NPI #: 1821261892
E-PRESCRIBE: NO
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE LL OF
THE MED OFFICE BLDG
NORMAL, IL 61761
PHONE: (309) 451-2920
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
257
NORMAL, IL
NORMAL, IL
Primary Care Physicians
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
RHODEN, CARL RAY, MD
GENDER: M
PROVIDER #: 258428
NPI #: 1992026579
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP URGENT CARE/
OCCUPATIONAL
1437 E COLLEGE AVE
NORMAL, IL 61761
PHONE: (309) 454-4411
E-PRESCRIBE: NO
258
SHEPPARD, SUSAN J., MD
GENDER: F
PROVIDER #: 054077
NPI #: 1598857278
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF PROMPTCARE
2200 FORT JESSE RD SUITE
100
NORMAL, IL 61761
PHONE: (309) 661-6280
E-PRESCRIBE: NO
VALES, JAMES S., MD
GENDER: M
PROVIDER #: 137076
NPI #: 1083724405
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
258
NORMAL, IL
NORTH LIBERTY, IA
TRAEGER, AARON R., MD
GENDER: M
PROVIDER #: 181861
NPI #: 1083890156
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DREYER CLINIC-NORTH
AURORA
82 MILLER DR SUITE 102
NORTH AURORA, IL 60542
PHONE: (630) 897-6044
E-PRESCRIBE: NO
Primary Care Physicians
NORTH LIBERTY, IA
ADOLESCENT MEDICINE
STIER, AMY C., MD
GENDER: F
PROVIDER #: 131907
NPI #: 1447290770
E-PRESCRIBE: NO
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
FAMILY PRACTICE
CAPIZZANO, JUANA N.,
MD
GENDER: F
PROVIDER #: 290100
NPI #: 1881910628
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
QUICK CARE-NORTH
LIBERTY
720 PACHA PARKWAY SUITE
1
NORTH LIBERTY, IA 52317
PHONE: (319) 384-8801
E-PRESCRIBE: NO
UI HEALTH CARE-NORTH
LIBERTY
3 LIONS DR
NORTH LIBERTY, IA 52317
PHONE: (319) 467-5050
E-PRESCRIBE: NO
HOTH, PETER L., MD
GENDER: M
PROVIDER #: 238890
NPI #: 1912931676
E-PRESCRIBE: NO
UI HEALTH CARE-NORTH
LIBERTY
3 LIONS DR
NORTH LIBERTY, IA 52317
PHONE: (319) 467-5050
E-PRESCRIBE: NO
PEDIATRICS
BEHUNIN, KATIE J B., DO
GENDER: F
PROVIDER #: 290217
NPI #: 1265725774
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
BENSON, REBECCA J., MD
GENDER: F
PROVIDER #: 182686
NPI #: 1023213030
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
260
CHRISTENSEN, LORI A.,
MD
GENDER: F
PROVIDER #: 130329
NPI #: 1639165285
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
NORTH LIBERTY, IA
NORTH LIBERTY, IA
FISHBANE-GORDON,
MEREDITH L., MD
GENDER: F
PROVIDER #: 288985
NPI #: 1417165614
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
260
NORTH LIBERTY, IA
NORTH LIBERTY, IA
UNIVERSITY OF IOWA
CHILDRENS HOSPITAL GEN
PEDIATRI
1765 LININGER LANE
NORTH LIBERTY, IA 52317
PHONE: (319) 467-7888
E-PRESCRIBE: NO
MARKS, JESSIE E., MD
GENDER: F
PROVIDER #: 222459
NPI #: 1912134339
E-PRESCRIBE: NO
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
MILLER, DAYNA J., MD
GENDER: F
PROVIDER #: 206875
NPI #: 1487859997
E-PRESCRIBE: NO
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
Primary Care Physicians
MOONJELY, ANITA J., MD
GENDER: F
PROVIDER #: 144292
NPI #: 1649255035
E-PRESCRIBE: NO
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
MURPH, JODY R., MD
GENDER: F
PROVIDER #: 131450
NPI #: 1851381560
E-PRESCRIBE: NO
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
OETTING, MARGUERITE
H., MD
GENDER: F
PROVIDER #: 144852
NPI #: 1073529384
E-PRESCRIBE: NO
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
PHILLIPS, GEORGE C., MD
GENDER: M
PROVIDER #: 131514
NPI #: 1013902709
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
261
NORTH LIBERTY, IA
OAKLAND CITY, IN
Primary Care Physicians
SHY, ROSEMARY R., MD
GENDER: F
PROVIDER #: 216351
NPI #: 1841238946
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
262
VIGIL, GRETCHEN E., MD
GENDER: F
PROVIDER #: 131647
NPI #: 1407842735
E-PRESCRIBE: NO
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
O'FALLON, IL
FAMILY PRACTICE
BUCHNER, JULIE, MD
GENDER: F
PROVIDER #: 199156
NPI #: 1336330158
E-PRESCRIBE: NO
PC ASSOCIATES LLC
310 N SEVEN HILLS RD
O'FALLON, IL 62269
PHONE: (618) 624-6181
E-PRESCRIBE: NO
HENRY, KAITLIN, MD
GENDER: F
PROVIDER #: 270454
NPI #: 1003136276
E-PRESCRIBE: NO
PC ASSOCIATES
310 N SEVEN HILLS RD
O'FALLON, IL 62269
PHONE:
E-PRESCRIBE: NO
MORRISON, SCOTT F., MD
GENDER: M
PROVIDER #: 205536
NPI #: 1508858713
E-PRESCRIBE: NO
PC ASSOCIATES LLC
310 N SEVEN HILLS RD
O'FALLON, IL 62269
PHONE: (618) 624-6181
E-PRESCRIBE: NO
SZALKOWSKI, JENNIFER,
MD
GENDER: F
PROVIDER #: 289156
NPI #: 1275524290
E-PRESCRIBE: NO
PC ASSOCIATES LLC
310 N SEVEN HILLS ROAD
O'FALLON, IL 62269
PHONE: (618) 624-6181
E-PRESCRIBE: NO
OAKLAND CITY, IN
ADULT/INTERNAL
MEDICINE
ETHERTON, STEVEN W.,
DO
GENDER: M
PROVIDER #: 134499
NPI #: 1407951734
E-PRESCRIBE: NO
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.
262
OAKLAND CITY, IN
ONARGA, IL
GEHLHAUSEN, TERRY C.,
DO
GENDER: M
PROVIDER #: 049484
NPI #: 1861479743
E-PRESCRIBE: NO
DEACONESS CLINIC INC
1204 WILLIAMS ST
OAKLAND CITY, IN 47660
PHONE: (812) 749-6187
E-PRESCRIBE: NO
HEICHELBECH, HOLLY L.,
DO
GENDER: F
PROVIDER #: 167740
NPI #: 1538204367
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ST MARGARETS HEALTH
OGLESBY CLINIC
402 WALNUT ST
OGLESBY, IL 61348
PHONE: (815) 883-3241
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
DEBOER, KELLY L., MD
GENDER: F
PROVIDER #: 207288
NPI #: 1023070257
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
IVCH MEDICAL GROUP
520 W WALNUT
OGLESBY, IL 61348
PHONE: (815) 883-3588
E-PRESCRIBE: NO
OLNEY, IL
FAMILY PRACTICE
800 E LOCUST ST
OLNEY, IL 62450
PHONE: (618) 395-1944
E-PRESCRIBE: YES
OLYMPIA FIELDS, IL
ADULT/INTERNAL
MEDICINE
SINGH, NAVNEET, MD
GENDER:
PROVIDER #: 301962
NPI #: 1194783217
E-PRESCRIBE: NO
INT MED OLYMPIA FIELDS
4001 VOLLMER RD
OLYMPIA FIELDS, IL 604613168
PHONE:
E-PRESCRIBE: NO
ONARGA, IL
FAMILY PRACTICE
ATWOOD, BRIAN L., MD
GENDER: M
PROVIDER #: 095145
NPI #: 1235182809
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
RMH PROFESSIONAL
SERVICES
1200 NORTH EAST STREET
OLNEY, IL 62450
PHONE: (618) 395-7340
E-PRESCRIBE: YES
LANOUE, DOUGLAS A.,
MD
GENDER: M
PROVIDER #: 263959
NPI #: 1700032646
E-PRESCRIBE: NO
THE ONARGA CLINIC
109 N CHESTNUT
ONARGA, IL 60955
PHONE: (815) 268-4840
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
263
ORANGEVILLE, IL
OSWEGO, IL
Primary Care Physicians
ORANGEVILLE, IL
FAMILY PRACTICE
SCHLEICH, JEFFREY, MD
GENDER: M
PROVIDER #: 098528
NPI #: 1215900519
E-PRESCRIBE: YES
FHN FAMILY HEALTHCARE
CENTER
101 W MAIN ST
ORANGEVILLE, IL 61060
PHONE: (815) 989-3100
E-PRESCRIBE: YES
OREGON, IL
FAMILY PRACTICE
BANDERA, ROBERT M.,
MD
GENDER: M
PROVIDER #: 076539
NPI #: 1134199458
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
KSB MEDICAL GROUP
1307 W WASHINGTON ST
OREGON, IL 61061
PHONE: (815) 732-3151
GUSSE, COLLINE N., PA-C;
PROVIDER #: 069060
E-PRESCRIBE: YES
264
RECKAMP, GREGORY D.,
MD
GENDER: M
PROVIDER #: 040926
NPI #: 1649248543
E-PRESCRIBE: YES
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
FAMILY PRACTICE
MCCAW, MAXHN H., DO
GENDER: M
PROVIDER #: 107113
NPI #: 1275511305
E-PRESCRIBE: NO
415 11TH AVE
ORION, IL 61273
PHONE: (309) 526-3111
E-PRESCRIBE: NO
OSWEGO, IL
ADULT/INTERNAL
MEDICINE
DEOL, KIRANJIT K., MD
GENDER: F
PROVIDER #: 232316
NPI #: 1841486198
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DREYER CLINIC-OSWEGO
80 TEMPLETON DRIVE
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.
264
OSWEGO, IL
OTTAWA, IL
Primary Care Physicians
HOULAHAN, ROY F., MD
GENDER: M
PROVIDER #: 095483
NPI #: 1720011752
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
80 TEMPLETON DRIVE
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
KAMPMAN, BRIDGET A.,
MD
GENDER: F
PROVIDER #: 225468
NPI #: 1922237023
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DREYER CLINIC-OSWEGO
80 TEMPLETON DRIVE
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
OTTAWA, IL
KELLY, RICHARD P., DO
GENDER: M
PROVIDER #: 205756
NPI #: 1831118264
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DREYER CLINIC-OSWEGO
80 TEMPLETON DR
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
WEBER, HEATHER H., MD
GENDER: F
PROVIDER #: 205754
NPI #: 1831319748
E-PRESCRIBE: NO
DREYER CLINIC-OSWEGO
80 TEMPLETON DR
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
PEDIATRICS
CHORVAT, KAREN J., MD
GENDER: F
PROVIDER #: 205717
NPI #: 1245402932
E-PRESCRIBE: NO
DREYER CLINIC OSWEGO
80 TEMPLETON DR
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
CABALFIN, CYNTHIA L.,
MD
GENDER: F
PROVIDER #: 115275
NPI #: 1497708382
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
265
Primary Care Physicians
GUERRERO, RAUL V., MD
GENDER: M
PROVIDER #: 129444
NPI #: 1053307660
E-PRESCRIBE: NO
OTTAWA REGIONAL
MEDICAL CENTER
1050 E NORRIS DR SUITE 2B
OTTAWA, IL 61350
PHONE: (815) 433-2606
E-PRESCRIBE: NO
MAGUIRE, ROBERT B., MD
GENDER: M
PROVIDER #: 013148
NPI #: 1174571673
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
OTTAWA REGIONAL
MEDICAL GROUP
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: YES
FAMILY PRACTICE
BHURGRI, JASMINE N.,
MD
GENDER: F
PROVIDER #: 098800
NPI #: 1821046186
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
1129 COLUMBUS ST
OTTAWA, IL 61350
PHONE: (815) 434-2048
E-PRESCRIBE: NO
266
OTTAWA, IL
OTTAWA, IL
OSF MEDICAL GROUP
1209 STARFIRE DR SUITE 3
OTTAWA, IL 61350
PHONE: (815) 434-2048
E-PRESCRIBE: NO
MCVAY, MARK A., DO
GENDER: M
PROVIDER #: 012189
NPI #: 1366541484
E-PRESCRIBE: NO
112 W CENTER ST
OTTAWA, IL 61350
PHONE: (815) 434-3414
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
LIBERTY MEDICAL CENTER
827 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 434-7204
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
266
OTTAWA, IL
PADUCAH, KY
TREMB, RYAN J., DO
GENDER: M
PROVIDER #: 288640
NPI #: 1568638989
E-PRESCRIBE: NO
OSF MEDICAL GROUP
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE OB
MAMTANI, PUSHPA K.,
MD
GENDER: F
PROVIDER #: 279764
NPI #: 1376527168
E-PRESCRIBE: NO
OTTAWA REGIONAL
MEDICAL CENTER
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: NO
DUMITRESCU, ADRIANA
P., MD
GENDER: F
PROVIDER #: 096534
NPI #: 1376591933
E-PRESCRIBE: YES
OTTAWA REGIONAL
MEDICAL CENTER
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: YES
MARCHINI, ALEJANDRO,
MD
GENDER: M
PROVIDER #: 277639
NPI #: 1740326719
E-PRESCRIBE: NO
OTTAWA REGIONAL
MEDICAL CENTER INC
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: NO
PEDIATRICS
ST CLAIR, PAMELA, MD
GENDER: F
PROVIDER #: 131703
NPI #: 1467575332
E-PRESCRIBE: NO
OTTAWA REGIONAL
MEDICAL CENTER
1614 E NORRIS DR
OTTAWA, IL 61350
PHONE: (815) 433-1010
E-PRESCRIBE: NO
CURTIS, BRIAN S., MD
GENDER: M
PROVIDER #: 258765
NPI #: 1730272964
E-PRESCRIBE: NO
OTTAWA REGIONAL
MEDICAL CENTER INC
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
E-PRESCRIBE: NO
THMS-ST JOSEPH MC LLC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
BASSI, JOSEPH A., MD
GENDER: M
PROVIDER #: 097418
NPI #: 1053306282
E-PRESCRIBE: NO
FOUR RIVERS INTERNAL
MEDICINE PLLC
3131 PARISA DR
PADUCAH, KY 42001
PHONE: (270) 444-8000
E-PRESCRIBE: NO
BOWMAN-STROUD,
CYNTHIA A., MD
GENDER: F
PROVIDER #: 148792
NPI #: 1912045527
E-PRESCRIBE: YES
JPMA PSC DBA PADUCAH
FAMILY MEDICINE
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4270
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
267
Primary Care Physicians
BUTLER, DANNY N., MD
GENDER: M
PROVIDER #: 037607
NPI #: 1003999251
E-PRESCRIBE: NO
DR BUTLER & ASSOCIATES
PLLC
2603 KENTUCKY AVE SUITE
303
PADUCAH, KY 42003
PHONE: (270) 443-2900
E-PRESCRIBE: NO
FISCHER, MAE, MD
GENDER: F
PROVIDER #: 097424
NPI #: 1518036177
E-PRESCRIBE: YES
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: YES
FRAZINE, RYAN C., MD
GENDER: M
PROVIDER #: 274310
NPI #: 1548339070
E-PRESCRIBE: NO
ADVANCED INTERNAL
MEDICINE PLLC
2605 KENTUCKY AVE
PADUCAH, KY 42003
PHONE: (270) 366-7650
E-PRESCRIBE: NO
HALL, ALICE R., MD
GENDER: F
PROVIDER #: 297372
NPI #: 1033105879
E-PRESCRIBE: NO
THMS-ST JOSEPH MC LLC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
268
HANCOCK, JOHN C., DO
GENDER: M
PROVIDER #: 296899
NPI #: 1790930352
E-PRESCRIBE: NO
THMS-ST JOSEPH MC LLC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
LEA, BRIAN A., MD
GENDER: M
PROVIDER #: 288249
NPI #: 1962665364
E-PRESCRIBE: NO
BAPTIST HEALTH MEDICAL
GROUP
2601 KENTUCKY AVENUE
SUITE 301
PADUCAH, KY 42003
PHONE: (270) 575-3113
E-PRESCRIBE: NO
LEBUHN, CARL B., MD
GENDER: M
PROVIDER #: 071469
NPI #: 1700880309
E-PRESCRIBE: NO
INFECTIOUS DISEASE
ASSOCIATES PLLC
2601 KENTUCKY AVE STE
404
PADUCAH, KY 42003
PHONE: (270) 444-9889
E-PRESCRIBE: NO
LEBUHN, POLLY J., MD
GENDER: F
PROVIDER #: 097428
NPI #: 1417026949
E-PRESCRIBE: NO
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: NO
PADUCAH, KY
PADUCAH, KY
LONG JR, JAMES H., MD
GENDER: M
PROVIDER #: 097434
NPI #: 1881763100
E-PRESCRIBE: YES
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: YES
LORCH, JASON R., DO
GENDER: M
PROVIDER #: 097437
NPI #: 1649265109
E-PRESCRIBE: NO
FOUR RIVERS INTERNAL
MEDICINE PLLC
3131 PARISA DRIVE
PADUCAH, KY 42001
PHONE: (270) 444-8000
E-PRESCRIBE: NO
MABRY, ROBERT T., MD
GENDER: M
PROVIDER #: 297462
NPI #: 1043213820
E-PRESCRIBE: NO
EMERGENCY SERVICES OF
VIRGINIA PC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
MCCULLOUGH,
NANNETTE L., MD
GENDER: F
PROVIDER #: 297464
NPI #: 1972663201
E-PRESCRIBE: NO
EMERGENCY SERVICES OF
VIRGINIA PC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
268
PADUCAH, KY
PADUCAH, KY
Primary Care Physicians
MEALS, LEE T., MD
GENDER: F
PROVIDER #: 297503
NPI #: 1578622379
E-PRESCRIBE: NO
MEALS & TOLAR
IMPAIRMENT SPECIALIST
DBA PREMIER PR
150 BRETT CHASE SUITE B
PADUCAH, KY 42003
PHONE: (270) 554-4820
E-PRESCRIBE: NO
PURVIS, MELISSA L., MD
GENDER: F
PROVIDER #: 187019
NPI #: 1710144746
E-PRESCRIBE: NO
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: NO
MEEKS, VAN T., MD
GENDER: F
PROVIDER #: 261106
NPI #: 1255574984
E-PRESCRIBE: NO
TOTAL LIFE CARE
2850 LONE OAK RD STE 4
PADUCAH, KY 42003-8043
PHONE:
E-PRESCRIBE: NO
SAYYAD, TARIQ, MD
GENDER: M
PROVIDER #: 297468
NPI #: 1265481915
E-PRESCRIBE: NO
EMERGENCY SERVICES OF
VIRGINIA PC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
TOLAR, RHEANEL A., MD
GENDER: F
PROVIDER #: 297507
NPI #: 1427117225
E-PRESCRIBE: NO
MEALS & TOLAR
IMPAIRMENT SPECIALIST
DBA PREMIER PR
150 BRETT CHASE SUITE B
PADUCAH, KY 42003
PHONE: (270) 554-4820
E-PRESCRIBE: NO
SIVA, NIRANJAN, MD
GENDER: M
PROVIDER #: 120635
NPI #: 1154330157
E-PRESCRIBE: NO
NEUROLOGY GROUP OF
PADUCAH PLLC
2603 KENTUCKY AVENUE
SUITE 402
PADUCAH, KY 42003
PHONE: (270) 443-2830
E-PRESCRIBE: NO
WALLACE, JESSE, MD
GENDER: M
PROVIDER #: 097454
NPI #: 1568531416
E-PRESCRIBE: NO
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: NO
SMITH, RICHARD D., MD
GENDER: M
PROVIDER #: 090426
NPI #: 1710056676
E-PRESCRIBE: NO
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: NO
WILSON, RICHARD S., MD
GENDER: M
PROVIDER #: 145314
NPI #: 1952508715
E-PRESCRIBE: NO
PADUCAH PRIMARY CARE
PSC
4620 VILLAGE SQUARE DR
PADUCAH, KY 42001
PHONE: (270) 442-8575
E-PRESCRIBE: NO
PITTARD, JOSEPH M., MD
GENDER: M
PROVIDER #: 097441
NPI #: 1629147574
E-PRESCRIBE: YES
JPMA DBA INTERNAL
MEDICINE GROUP
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4200
E-PRESCRIBE: YES
PUERTOLLANO, GLENN
R., MD
GENDER: M
PROVIDER #: 297380
NPI #: 1679544381
E-PRESCRIBE: NO
THMS-ST JOSEPH MC LLC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
THOMPSON, BENJAMIN
H., MD
GENDER: M
PROVIDER #: 297384
NPI #: 1043413131
E-PRESCRIBE: NO
THMS-ST JOSEPH MC LLC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
269
Primary Care Physicians
WILSON, RONALD L., MD
GENDER: M
PROVIDER #: 048684
NPI #: 1376511063
E-PRESCRIBE: NO
PADUCAH PRIMARY CARE
PSC
4620 VILLAGE SQUARE DR
PADUCAH, KY 42001
PHONE: (270) 442-8575
E-PRESCRIBE: NO
FAMILY PRACTICE
BANISTER, KAREN C., MD
GENDER: F
PROVIDER #: 297493
NPI #: 1730248535
E-PRESCRIBE: NO
MEALS & TOLAR
IMPAIRMENT SPECIALIST
DBA PREMIER PR
150 BRETT CHASE SUITE B
PADUCAH, KY 42003
PHONE: (270) 554-4820
E-PRESCRIBE: NO
CONYER, WILLIAM R., MD
GENDER: M
PROVIDER #: 297068
NPI #: 1366409088
E-PRESCRIBE: NO
BAPTIST HEALTH MEDICAL
GROUP
2601 KENTUCKY AVENUE
SUITE 103
PADUCAH, KY 42003
PHONE: (270) 415-4860
E-PRESCRIBE: NO
COOK, KENNETH G., MD
GENDER: M
PROVIDER #: 043933
NPI #: 1720169501
E-PRESCRIBE: NO
225 MEDICAL CENTER DR
STE 208C
PADUCAH, KY 42003
PHONE: (502) 441-4144
E-PRESCRIBE: NO
270
DALLAS, ERIKA D., MD
GENDER: F
PROVIDER #: 130732
NPI #: 1366518060
E-PRESCRIBE: NO
DALLAS MEDICAL FAMILY
PRACTICE AND WALK-IN
CLINIC
4630 VILLAGE SQUARE
DRIVE SUITE 102
PADUCAH, KY 42001
PHONE: (270) 444-9934
E-PRESCRIBE: NO
EICKHOLZ, JAMES N., MD
GENDER: M
PROVIDER #: 064311
NPI #: 1831120930
E-PRESCRIBE: NO
546 LONE OAK RD
PADUCAH, KY 42003
PHONE: (270) 441-4850
E-PRESCRIBE: NO
GRAVES, KEVIN A., DO
GENDER: M
PROVIDER #: 270392
NPI #: 1164765582
E-PRESCRIBE: NO
DALLAS MEDICAL FAMILY
PRACTICE AND WALK IN
CLINIC
4630 VILLAGE SQUARE
DRIVE SUITE 102
PADUCAH, KY 42001
PHONE: (270) 444-9934
E-PRESCRIBE: NO
HORN, FRANCES M., DO
GENDER: F
PROVIDER #: 296896
NPI #: 1154313120
E-PRESCRIBE: NO
THMS-ST JOSEPH MC LLC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
PADUCAH, KY
PADUCAH, KY
LESLIE, DARRELL B., MD
GENDER: M
PROVIDER #: 145248
NPI #: 1588741755
E-PRESCRIBE: YES
JPMA PSC DBA PADUCAH
FAMILY MEDICINE
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4270
E-PRESCRIBE: YES
LESLIE, SHANNA M., MD
GENDER: F
PROVIDER #: 143670
NPI #: 1730278920
E-PRESCRIBE: YES
JPMA PSC DBA PADUCAH
FAMILY MEDICINE
225 MEDICAL CENTER DR
STE 201
PADUCAH, KY 42003
PHONE: (270) 441-4270
E-PRESCRIBE: YES
MARTIN, ARIBBE A., MD
GENDER: F
PROVIDER #: 096956
NPI #: 1437210499
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
270
PADUCAH, KY
PADUCAH, KY
OBRYAN, JOSEPH M., MD
GENDER: M
PROVIDER #: 166199
NPI #: 1770570400
E-PRESCRIBE: NO
OBRYAN FAMILY MEDICINE
5120 VILLAGE SQUARE DR
PADUCAH, KY 42001
PHONE: (270) 442-0240
E-PRESCRIBE: NO
RINEY, JEFFREY L., MD
GENDER: M
PROVIDER #: 067161
NPI #: 1669495552
E-PRESCRIBE: NO
SUITE 209B
225 MEDICAL CENTER DR
PADUCAH, KY 42003
PHONE: (270) 441-4610
E-PRESCRIBE: NO
RUXER, JENA T., MD
GENDER: F
PROVIDER #: 297355
NPI #: 1538470224
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
BAPTIST HEALTH MEDICAL
GROUP
2601 KENTUCKY AVENUE
SUITE 103
PADUCAH, KY 42003
PHONE: (270) 415-4860
E-PRESCRIBE: NO
Primary Care Physicians
TURNBO, JAMES K., MD
GENDER: M
PROVIDER #: 096963
NPI #: 1750483822
E-PRESCRIBE: NO
546 LONE OAK RD
PADUCAH, KY 42001
PHONE: (270) 441-4777
E-PRESCRIBE: NO
WALTERS, JONATHAN E.,
MD
GENDER: M
PROVIDER #: 238556
NPI #: 1427286038
E-PRESCRIBE: NO
DALLAS MEDICAL FAMILY
PRACTICE AND WALK-IN
CLINIC
4630 VILLAGE SQUARE
DRIVE SUITE 102
PADUCAH, KY 42001
PHONE: (270) 444-9934
E-PRESCRIBE: NO
WELLS, ALLAN G., MD
GENDER: M
PROVIDER #: 297455
NPI #: 1902969074
E-PRESCRIBE: NO
EMERGENCY SERVICES OF
VIRGINIA PC
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
PHONE:
E-PRESCRIBE: NO
WIGGINS, JOSEPH D., MD
GENDER: M
PROVIDER #: 096966
NPI #: 1992763254
E-PRESCRIBE: NO
657 LONE OAK RD STE 1
PADUCAH, KY 42003
PHONE: (270) 443-4430
E-PRESCRIBE: NO
GENERAL PRACTICE
MCDONALD, SEAN P., MD
GENDER: M
PROVIDER #: 296900
NPI #: 1548250129
E-PRESCRIBE: NO
LONE OAK CHIROPRACTIC
PSC
125 AUGUSTA AVE STE D
PADUCAH, KY 42003
PHONE: (270) 554-5114
E-PRESCRIBE: NO
PEDIATRICS
BOWMAN-STROUD,
CYNTHIA A., MD
GENDER: F
PROVIDER #: 148792
NPI #: 1912045527
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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.
271
Primary Care Physicians
CECIL JR, JOHN T., MD
GENDER: M
PROVIDER #: 231122
NPI #: 1821168154
E-PRESCRIBE: NO
CECIL CLINIC
5158 VILLAGE SQUARE DR
PADUCAH, KY 42001
PHONE: (270) 575-1010
E-PRESCRIBE: NO
MASON, KAYLA G., MD
GENDER: F
PROVIDER #: 097621
NPI #: 1336135961
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PEDIATRIC GROUP OF
PADUCAH PSC
2605 KENTUCKY AVE STE
501 DOB #3
PADUCAH, KY 42003
PHONE: (270) 443-7534
E-PRESCRIBE: NO
MEEKS, VAN T., MD
GENDER: F
PROVIDER #: 261106
NPI #: 1255574984
E-PRESCRIBE: NO
TOTAL LIFE CARE
2850 LONE OAK RD STE 4
PADUCAH, KY 42003-8043
PHONE:
E-PRESCRIBE: NO
272
MUDD, JEFFREY M., MD
GENDER: M
PROVIDER #: 097690
NPI #: 1518952480
E-PRESCRIBE: NO
PEDIATRIC GROUP OF
PADUCAH PSC
2605 KENTUCKY AVE STE
501 DOB #3
PADUCAH, KY 42003
PHONE: (270) 443-7534
E-PRESCRIBE: NO
ROACH, JOHN M., MD
GENDER: M
PROVIDER #: 277494
NPI #: 1164425831
E-PRESCRIBE: NO
BLUEGRASS PEDIATRICS
LLC
4645 VILLAGE SQUARE
DRIVE SUITE C
PADUCAH, KY 42001
PHONE: (270) 366-0960
E-PRESCRIBE: NO
SCHELL, DAVID H., MD
GENDER: M
PROVIDER #: 097691
NPI #: 1649266271
E-PRESCRIBE: NO
PEDIATRIC GROUP OF
PADUCAH PSC
2605 KENTUCKY AVE STE
501 DOB #3
PADUCAH, KY 42003
PHONE: (270) 443-7534
E-PRESCRIBE: NO
PADUCAH, KY
PANA, IL
PALMYRA, MO
FAMILY PRACTICE
KNORR, DAVID J., DO
GENDER: M
PROVIDER #: 085187
NPI #: 1255310850
E-PRESCRIBE: NO
HANNIBAL CLINIC
OPERATIONS LLC
1811 S MAIN
PALMYRA, MO 63461
PHONE: (573) 769-2231
E-PRESCRIBE: NO
PONTIUS, GINA M., MD
GENDER: F
PROVIDER #: 209747
NPI #: 1871793257
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SPRINGFIELD CLINIC
101 E 9TH ST
PANA, IL 62557
PHONE: (217) 562-2131
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
272
PANA, IL
PARIS, IL
FAMILY PRACTICE
CUNNINGTON, LAURIE E.,
MD
GENDER: F
PROVIDER #: 134371
NPI #: 1114056363
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PANA MEDICAL GROUP LLC
217 S LOCUST
PANA, IL 62557
PHONE: (217) 562-2143
E-PRESCRIBE: NO
Primary Care Physicians
MUNESES, MARLON, MD
GENDER: M
PROVIDER #: 252732
NPI #: 1265422067
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
COMMUNITY MEDICAL
CLINIC
101 E 9TH ST
PANA, IL 62557
PHONE: (217) 562-2544
E-PRESCRIBE: YES
GENERAL PRACTICE
DYCOCO, VIRGILIO M.,
MD
GENDER: M
PROVIDER #: 006563
NPI #: 1528137403
E-PRESCRIBE: NO
PANA MEDICAL GROUP LLC
217 S LOCUST
PANA, IL 62557
PHONE: (217) 562-2143
E-PRESCRIBE: NO
PARIS, IL
ADULT/INTERNAL
MEDICINE
KUHN, WILLIAM A., MD
GENDER: M
PROVIDER #: 004384
NPI #: 1942202007
E-PRESCRIBE: NO
640 E COURT ST
PARIS, IL 61944
PHONE: (217) 463-3326
E-PRESCRIBE: NO
SUTTON, REID, MD
GENDER: M
PROVIDER #: 004047
NPI #: 1205916236
E-PRESCRIBE: NO
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
E-PRESCRIBE: NO
FAMILY PRACTICE
MACKE, STEVEN, MD
GENDER: M
PROVIDER #: 243295
NPI #: 1609867373
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PANA MEDICAL GROUP LLC
217 S LOCUST
PANA, IL 62557
PHONE: (217) 562-2143
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
273
Primary Care Physicians
MOTWANI, HARESH K.,
MD
GENDER: M
PROVIDER #: 301233
NPI #: 1598841025
E-PRESCRIBE: NO
PARIS COMMUNITY
HOSPITAL
721 E COURT ST
PARIS, IL 61944-2420
PHONE:
E-PRESCRIBE: NO
GENERAL PRACTICE
PHIPPS, LELAND, MD
GENDER: M
PROVIDER #: 004076
NPI #: 1902969579
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
E-PRESCRIBE: YES
274
AKERMAN, MICHAEL B.,
MD
GENDER: M
PROVIDER #: 011041
NPI #: 1356421473
E-PRESCRIBE: NO
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
GUINTO, MAKERTO, MD
GENDER: M
PROVIDER #: 255989
NPI #: 1689776593
E-PRESCRIBE: NO
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
PARIS, IL
PARK RIDGE, IL
PARK RIDGE, IL
ADULT/INTERNAL
MEDICINE
ASIMACOPOULOS,
VOULA, MD
GENDER:
PROVIDER #: 267744
NPI #: 1114920824
E-PRESCRIBE: NO
PMG PARK RIDGE
205 S NORTHWEST HWY
SUITE 130
PARK RIDGE, IL 60068-5802
PHONE: (847) 292-5200
E-PRESCRIBE: NO
PMG PARK RIDGE INTERNAL
MED SOUTH
132 S PROSPECT AVE
PARK RIDGE, IL 60068
PHONE: (847) 292-5200
E-PRESCRIBE: NO
FAMILY PRACTICE
ANTOO, ELIZABETH A.,
MD
GENDER: F
PROVIDER #: 300828
NPI #: 1760422240
E-PRESCRIBE: NO
LUTHERAN GENERALEMPLOYEE HEALTH
1775 DEMPSTER
PARK RIDGE, IL 60068
PHONE: (847) 723-2178
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
274
PARK RIDGE, IL
PEKIN, IL
EVANS, JOHN C., MD
GENDER: M
PROVIDER #: 235558
NPI #: 1003964156
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
COMPREHENSIVE
HEALTHCARE
1021 COURT ST SUITE B
PEKIN, IL 61554
PHONE: (309) 349-3175
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
275
Primary Care Physicians
PEKIN, IL
PEKIN, IL
DU, LIHUA, MD
GENDER: F
PROVIDER #: 288235
NPI #: 1215198320
E-PRESCRIBE: NO
PROHEALTH PRIMARY
CARE
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
E-PRESCRIBE: NO
VON BUN, FRIEDRICH J.,
MD
GENDER: M
PROVIDER #: 010760
NPI #: 1760489306
E-PRESCRIBE: NO
PEKIN PULMONARY CLINIC
1327 EXECUTIVE COURT
PEKIN, IL 61554
PHONE: (309) 353-5864
E-PRESCRIBE: NO
DAWALIBI, ANTOINE J.,
DO
GENDER: M
PROVIDER #: 040290
NPI #: 1982618930
E-PRESCRIBE: NO
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
HONAN, MICHAEL P., MD
GENDER: M
PROVIDER #: 229519
NPI #: 1255424750
E-PRESCRIBE: YES
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
FAMILY PRACTICE
DUENSING, WILLIAM, DO
GENDER: M
PROVIDER #: 210918
NPI #: 1982673190
E-PRESCRIBE: YES
MILLER FAMILY MEDICINE
SC
1503 VALLE VISTA BLVD
PEKIN, IL 61554
PHONE: (309) 353-6225
E-PRESCRIBE: YES
LINDELL, JOHN R., MD
GENDER: M
PROVIDER #: 004584
NPI #: 1548212517
E-PRESCRIBE: NO
PROHEALTH PRIMARY
CARE
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
ROBISON, KIRK B., PA-C;
PROVIDER #: 084014
E-PRESCRIBE: NO
BOYER, AARON T., MD
GENDER: M
PROVIDER #: 166814
NPI #: 1104811058
E-PRESCRIBE: NO
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
276
AGARWAL, DEVASHISH,
MD
GENDER: M
PROVIDER #: 162927
NPI #: 1841382298
E-PRESCRIBE: NO
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
CUANY, MARIANNA, MD
GENDER: F
PROVIDER #: 008443
NPI #: 1154335107
E-PRESCRIBE: NO
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
FISHER II, CURTIS W., DO
GENDER: M
PROVIDER #: 081959
NPI #: 1710941331
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
276
PEKIN, IL
PEKIN, IL
Primary Care Physicians
JAVED, MAHWESH, MD
GENDER: M
PROVIDER #: 199791
NPI #: 1710149224
E-PRESCRIBE: NO
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
LIZER, ROBERT A., DO
GENDER: M
PROVIDER #: 297527
NPI #: 1184624280
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROHEALTH FAMILY
MEDICINE
600 S 13TH ST SUITE I
PEKIN, IL 61554
PHONE: (309) 346-1102
E-PRESCRIBE: NO
MCMILLIN, MATTHEW,
MD
GENDER: M
PROVIDER #: 048253
NPI #: 1528021987
E-PRESCRIBE: NO
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
PROHEALTH PRIMARY
CARE
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
E-PRESCRIBE: NO
KHAN, MOHAMMED M.,
MD
GENDER: M
PROVIDER #: 238609
NPI #: 1679703797
E-PRESCRIBE: YES
FAMILY HEALTH CENTER
OF PEKIN
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
E-PRESCRIBE: YES
MILLER, KEVIN E., DO
GENDER: M
PROVIDER #: 154610
NPI #: 1770589012
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
SISON JR, GENEROSO N.,
MD
GENDER: M
PROVIDER #: 156548
NPI #: 1609085273
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
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.
277
Primary Care Physicians
WIRTH, JILL, MD
GENDER: F
PROVIDER #: 168782
NPI #: 1003028150
E-PRESCRIBE: NO
METHODIST AT PEKIN
1800 BROADWAY
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
PEMBROKE TOWNSH, IL
ADULT/INTERNAL
MEDICINE
PEDIATRICS
BOWMAN, REGINALD, DO
GENDER: M
PROVIDER #: 203021
NPI #: 1316101892
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROHEALTH PEDIATRICS
3212 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-0902
E-PRESCRIBE: NO
PEORIA HEIGHTS, IL
ADULT/INTERNAL
MEDICINE
SIDLER, G GENE, MD
GENDER: M
PROVIDER #: 057275
NPI #: 1396844932
E-PRESCRIBE: NO
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
SWITZER-HUNTER, ERIKA
L., MD
GENDER: F
PROVIDER #: 100831
NPI #: 1891749198
E-PRESCRIBE: NO
PROHEALTH PEDIATRICS
3223 GRIFFIN AVE
PEKIN, IL 61554
PHONE: (309) 353-1822
OBERLE, BUFFI S., NP;
PROVIDER #: 166305
E-PRESCRIBE: NO
278
ALFORD, RODNEY, MD
GENDER: M
PROVIDER #: 005309
NPI #: 1427128909
E-PRESCRIBE: YES
PEMBROKE RURAL HEALTH
CLINIC
3400 S MAIN
PEMBROKE TOWNSH, IL
60958
PHONE: (815) 944-5545
E-PRESCRIBE: YES
FAMILY PRACTICE
AUSFAHL, JAMES D., MD
GENDER: M
PROVIDER #: 016137
NPI #: 1518058619
E-PRESCRIBE: NO
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
PEKIN, IL
PEORIA HEIGHTS, IL
COON, JOHN J., MD
GENDER: M
PROVIDER #: 292969
NPI #: 1437163540
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
278
PEORIA HEIGHTS, IL
PEORIA HEIGHTS, IL
Primary Care Physicians
GRIEBEL, CRAIG, MD
GENDER: M
PROVIDER #: 292965
NPI #: 1740294347
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
SAMUEL, ELDON M., MD
GENDER: M
PROVIDER #: 111572
NPI #: 1427149210
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
XIE, YANG, MD
GENDER: M
PROVIDER #: 133526
NPI #: 1346257128
E-PRESCRIBE: NO
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.
279
Primary Care Physicians
PEORIA, IL
ADULT/INTERNAL
MEDICINE
ADAMS, JAMES K., MD
GENDER: M
PROVIDER #: 043590
NPI #: 1275613689
E-PRESCRIBE: NO
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
AGARWAL, ANITA, MD
GENDER: F
PROVIDER #: 160695
NPI #: 1649293226
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
280
ASAM-JENSEN, TERESA,
MD
GENDER: F
PROVIDER #: 203160
NPI #: 1487851184
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
BANSAL, SAURABH K.,
MD
GENDER: M
PROVIDER #: 270186
NPI #: 1942451885
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
BOSTWICK, BRIAN, MD
GENDER: M
PROVIDER #: 276116
NPI #: 1891768636
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC
320 ARMSTRONG AVE
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
CAMACHO, BENITO, MD
GENDER: M
PROVIDER #: 266328
NPI #: 1477634285
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
320 W ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
CHAVALI, MALINI, MD
GENDER:
PROVIDER #: 080370
NPI #: 1245311778
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
COHEN, BRIAN D., MD
GENDER: M
PROVIDER #: 008412
NPI #: 1710991856
E-PRESCRIBE: NO
METHODIST MEDICAL
GROUP AT SOUTH
JEFFERSON
2127 SW JEFFERSON ST
PEORIA, IL 61605
PHONE: (309) 674-4812
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
280
PEORIA, IL
PEORIA, IL
COLE, SUSAN J., MD
GENDER: F
PROVIDER #: 146340
NPI #: 1144313388
E-PRESCRIBE: YES
SUSAN J COLE MD &
ASSOCIATES
5401 N KNOXVILLE AVE
SUITE 105
PEORIA, IL 61614
PHONE: (309) 691-2311
E-PRESCRIBE: YES
CONNER-GARCIA,
THEMBI, MD
GENDER:
PROVIDER #: 272092
NPI #: 1629092226
E-PRESCRIBE: YES
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: YES
DAVIS, RACHAEL P., MD
GENDER: F
PROVIDER #: 269810
NPI #: 1902110265
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC
320 W ARMSTRONG
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
EICHINGER, KATHLEEN
R., MD
GENDER: F
PROVIDER #: 273799
NPI #: 1902127657
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
Primary Care Physicians
GARCIA, RAMON, MD
GENDER: M
PROVIDER #: 116082
NPI #: 1710928700
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-8108
E-PRESCRIBE: NO
HIGGS, CRAIG L., MD
GENDER: M
PROVIDER #: 146541
NPI #: 1649488925
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 105
PEORIA, IL 61603
PHONE: (309) 655-7888
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
281
Primary Care Physicians
HIPPLER, STEPHEN E.,
MD
GENDER: M
PROVIDER #: 050877
NPI #: 1659451060
E-PRESCRIBE: NO
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
KHAN, FARHANA A., MD
GENDER: F
PROVIDER #: 280072
NPI #: 1215184353
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROCTOR MEDICAL GROUP
INTERNAL MEDICINE
5401 N KNOXVILLE AVE
SUITE 207
PEORIA, IL 61614
PHONE: (309) 693-2020
E-PRESCRIBE: NO
KNIGHT, REBECCA A., MD
GENDER: F
PROVIDER #: 057906
NPI #: 1437261047
E-PRESCRIBE: NO
THE KNIGHT CENTER FOR
INTEGRATED HEALTH
5401 N KNOXVILLE AVE
SUITE 104
PEORIA, IL 61614
PHONE: (309) 692-0123
E-PRESCRIBE: NO
JOHNSON, DAVID M., MD
GENDER: M
PROVIDER #: 192227
NPI #: 1235133935
E-PRESCRIBE: NO
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 105
PEORIA, IL 61603
PHONE: (309) 655-7888
E-PRESCRIBE: NO
KOURI, THOMAS F., MD
GENDER: M
PROVIDER #: 070927
NPI #: 1568412773
E-PRESCRIBE: NO
PROCTOR MEDICAL GROUP
INTERNAL MEDICINE
5401 N KNOXVILLE AVE
SUITE 204
PEORIA, IL 61614
PHONE: (309) 683-1200
E-PRESCRIBE: NO
KHAISER, SHIRAZ A., MD
GENDER:
PROVIDER #: 275036
NPI #: 1568681740
E-PRESCRIBE: NO
ILLINOIS
GASTROENTEROLOGY
INSTITUTE
1001 MAIN ST SUITE 500A
PEORIA, IL 61606
PHONE: (309) 672-4980
E-PRESCRIBE: NO
MCCREA, RANDOLPH L.,
MD
GENDER: M
PROVIDER #: 050139
NPI #: 1891885182
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
282
PEORIA, IL
PEORIA, IL
MCSHANE, GERALD J.,
MD
GENDER: M
PROVIDER #: 051670
NPI #: 1669553012
E-PRESCRIBE: NO
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
MEISTER, ROBERT A., MD
GENDER: M
PROVIDER #: 008390
NPI #: 1114992229
E-PRESCRIBE: NO
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE
SUITE 204
PEORIA, IL 61614
PHONE: (309) 683-1200
E-PRESCRIBE: NO
MILLER, BARRY L., MD
GENDER: M
PROVIDER #: 062681
NPI #: 1891885190
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
282
PEORIA, IL
PEORIA, IL
MISCHLER, MATTHEW,
MD
GENDER: M
PROVIDER #: 158639
NPI #: 1174747885
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-6428
E-PRESCRIBE: NO
MULCAHEY, KATHRYN A.,
MD
GENDER: F
PROVIDER #: 112130
NPI #: 1568542975
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
Primary Care Physicians
PERVEEN, SANA, MD
GENDER: F
PROVIDER #: 293035
NPI #: 1679853618
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-2250
E-PRESCRIBE: NO
ROHDE, JAY T., MD
GENDER: M
PROVIDER #: 273145
NPI #: 1457671745
E-PRESCRIBE: NO
OSF MEDICAL GROUP
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (888) 627-5673
E-PRESCRIBE: NO
PISOH, WATCOUNNCHINDA E., MD
GENDER: M
PROVIDER #: 296728
NPI #: 1568759512
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5105 GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 308-5900
E-PRESCRIBE: NO
RUFUS JR, EDWARD A.,
MD
GENDER: M
PROVIDER #: 021404
NPI #: 1871597450
E-PRESCRIBE: NO
5401 N KNOXVILLE AVE
SUITE 306
PEORIA, IL 61614
PHONE: (309) 691-7890
E-PRESCRIBE: NO
RISK, ANNE C., MD
GENDER: F
PROVIDER #: 227938
NPI #: 1871754309
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
RODENBERG, DAVID A.,
MD
GENDER: M
PROVIDER #: 050033
NPI #: 1417038860
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROCTOR SPECIALTY
SERVICES
5401 KNOXVILLE AVE SUITE
418
PEORIA, IL 61614
PHONE: (309) 671-8231
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
283
Primary Care Physicians
SHALLAT, JOHN S., MD
GENDER: M
PROVIDER #: 112740
NPI #: 1942381306
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
STAPEL, MARY E., MD
GENDER: F
PROVIDER #: 252608
NPI #: 1891922571
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
SHANE, STEPHAN W., MD
GENDER: M
PROVIDER #: 052594
NPI #: 1447332424
E-PRESCRIBE: NO
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUTIE 105
PEORIA, IL 61603
PHONE: (309) 655-7888
E-PRESCRIBE: NO
SIDLER, G GENE, MD
GENDER: M
PROVIDER #: 057275
NPI #: 1396844932
E-PRESCRIBE: NO
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
SMITH, TERRY E., MD
GENDER: M
PROVIDER #: 041992
NPI #: 1861582165
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
284
VAZQUEZ-MELENDEZ,
ELSA L., MD
GENDER: F
PROVIDER #: 195446
NPI #: 1356542864
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
WEIGLEY, NASIM, MD
GENDER: F
PROVIDER #: 280484
NPI #: 1992090815
E-PRESCRIBE: NO
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
PEORIA, IL
PEORIA, IL
YADAV, MANAJYOTI, MD
GENDER: M
PROVIDER #: 237986
NPI #: 1932470044
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
530 N GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-3292
E-PRESCRIBE: NO
FAMILY PRACTICE
ADAMS, ROBERT B., MD
GENDER: M
PROVIDER #: 064713
NPI #: 1184646317
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
284
PEORIA, IL
PEORIA, IL
ALI, SYED M., MD
GENDER: M
PROVIDER #: 005342
NPI #: 1700805439
E-PRESCRIBE: NO
GLEN AVENUE FAMILY
PRACTICE
4930 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 691-3707
E-PRESCRIBE: NO
ANDREWS, MELANIE L.,
MD
GENDER: F
PROVIDER #: 296146
NPI #: 1023339603
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
LEMAN, SANDRA, PA;
PROVIDER #: 131172
E-PRESCRIBE: NO
Primary Care Physicians
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
BEVILL, ROBERT S., MD
GENDER: M
PROVIDER #: 008402
NPI #: 1700886280
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
285
Primary Care Physicians
CARRIGAN, MARC, MD
GENDER: M
PROVIDER #: 276063
NPI #: 1225295223
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC AT CARVER
711 W JOHN H GWYNN JR
AVE
PEORIA, IL 61605
PHONE: (309) 672-5650
E-PRESCRIBE: NO
CHAMBERS-DAMM,
KRISTEN A., MD
GENDER: F
PROVIDER #: 224705
NPI #: 1447485693
E-PRESCRIBE: NO
OSF MEDICAL GROUP
8600 N ROUTE 91 SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
CHAMBERS-DAMM,
KRISTEN, MD
GENDER: F
PROVIDER #: 279483
NPI #: 1447485693
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
CLAY, LISA R., MD
GENDER: F
PROVIDER #: 184528
NPI #: 1124228010
E-PRESCRIBE: NO
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
286
CONKLIN, DARREN J., MD
GENDER: M
PROVIDER #: 135149
NPI #: 1255451803
E-PRESCRIBE: NO
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
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
COON, JOHN, MD
GENDER: M
PROVIDER #: 292956
NPI #: 1437163540
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
CORSO, KRISTINA, MD
GENDER: F
PROVIDER #: 275338
NPI #: 1275829038
E-PRESCRIBE: NO
UNITYPOINT CLINIC
FAMILY MEDICINE AT
PRAIRIE POI
9010 N ALLEN RD SUITE J
PEORIA, IL 61615
PHONE: (309) 495-8500
E-PRESCRIBE: NO
COSTERISAN, AARON D.,
MD
GENDER: M
PROVIDER #: 292975
NPI #: 1396975736
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
COSTERISAN, AARON, MD
GENDER: M
PROVIDER #: 255724
NPI #: 1396975736
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.
286
PEORIA, IL
PEORIA, IL
CUANY, MARIANNA, MD
GENDER: F
PROVIDER #: 008443
NPI #: 1154335107
E-PRESCRIBE: NO
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9100
E-PRESCRIBE: NO
CUSACK, ANDREW J., DO
GENDER: M
PROVIDER #: 298181
NPI #: 1578827523
E-PRESCRIBE: NO
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE
SUITE 400
PEORIA, IL 61614
PHONE: (309) 689-0909
E-PRESCRIBE: NO
CUSACK, ANDREW, DO
GENDER: M
PROVIDER #: 298797
NPI #: 1578827523
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST MEDICAL
GROUP AT PEARTREE
6831 PEAR TREE LANE
PEORIA, IL 61615
PHONE: (309) 691-1250
E-PRESCRIBE: NO
Primary Care Physicians
DHALIWAL, GURPAWAN,
MD
GENDER:
PROVIDER #: 267004
NPI #: 1871889816
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
FORD, KIMBERLY, DO
GENDER: F
PROVIDER #: 173981
NPI #: 1275724866
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
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) 685-0172
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
287
Primary Care Physicians
GOLEMON, JOAN, MD
GENDER: F
PROVIDER #: 008625
NPI #: 1710991633
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
HIRSCH, BETH, NP;
PROVIDER #: 158489
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
GOLEMON, THOMAS B.,
MD
GENDER: M
PROVIDER #: 008424
NPI #: 1619981370
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
288
GRIEBEL, CRAIG, MD
GENDER: M
PROVIDER #: 292965
NPI #: 1740294347
E-PRESCRIBE: NO
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
GROSS, HENRY R., MD
GENDER: M
PROVIDER #: 020420
NPI #: 1023190337
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
HARMS, JAY S., MD
GENDER: M
PROVIDER #: 051654
NPI #: 1518075282
E-PRESCRIBE: NO
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
HEARTLAND AT CARVER
GENDER:
PROVIDER #: 153148
NPI #: 1336193861
E-PRESCRIBE: NO
711 W GWYNN JR AVE
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
HEARTLAND AT E BLUFF
GENDER:
PROVIDER #: 153148
NPI #: 1336193861
E-PRESCRIBE: NO
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
HEARTLAND AT GARDEN
GENDER:
PROVIDER #: 153148
NPI #: 1336193861
E-PRESCRIBE: NO
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
HEARTLAND COMM
HEALTH CLINIC AT
HUMAN SERVICE CTR
GENDER:
PROVIDER #: 153148
NPI #: 1336193861
E-PRESCRIBE: NO
228 NE JEFFERSON AVE
PEORIA, IL 61603
PHONE: (309) 671-8000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
288
PEORIA, IL
PEORIA, IL
HENSOLD, JAMES F., MD
GENDER: M
PROVIDER #: 224612
NPI #: 1013011394
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
DAVIS, AMY, CNP; PROVIDER
#: 161344
E-PRESCRIBE: NO
HINCKS, KERRY L., DO
GENDER: M
PROVIDER #: 134902
NPI #: 1104847458
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4809
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
Primary Care Physicians
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
JAVED, MAHWESH, MD
GENDER: M
PROVIDER #: 199791
NPI #: 1710149224
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
JONGERIUS, N MICHAEL,
MD
GENDER: M
PROVIDER #: 154240
NPI #: 1235144056
E-PRESCRIBE: NO
JUNCTION MEDICAL SC
5016 N UNIVERSITY ST
SUITE 107
PEORIA, IL 61614
PHONE: (309) 740-4232
E-PRESCRIBE: NO
KHAN, TAARIQ, MD
GENDER: M
PROVIDER #: 275266
NPI #: 1437445202
E-PRESCRIBE: NO
UNITYPOINT CLINICFAMILY CLINIC AT
METHODIST NORTH
2338 W VAN WINKLE WAY
SUITE 3300
PEORIA, IL 61615
PHONE: (309) 693-2020
E-PRESCRIBE: NO
KIM-KUPFER, CAROLINE,
MD
GENDER: F
PROVIDER #: 195723
NPI #: 1083643480
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
289
Primary Care Physicians
KNEPP, GARY L., DO
GENDER: M
PROVIDER #: 200487
NPI #: 1275576514
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE
SUITE 400
PEORIA, IL 61614
PHONE: (309) 689-0909
E-PRESCRIBE: NO
KNEPP, KEITH, MD
GENDER: M
PROVIDER #: 102307
NPI #: 1982623666
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
KOSCICA, SARAH, MD
GENDER: F
PROVIDER #: 268716
NPI #: 1003814625
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
LAGOSKI, CHARLES W.,
DO
GENDER: M
PROVIDER #: 182246
NPI #: 1164479424
E-PRESCRIBE: NO
METHODIST CENTER FOR
SENIOR HEALTH
900 MAIN ST SUITE 100
PEORIA, IL 61602
PHONE: (309) 672-4908
E-PRESCRIBE: NO
290
LAWLESS, TIMOTHY J.,
MD
GENDER: M
PROVIDER #: 057536
NPI #: 1982679569
E-PRESCRIBE: NO
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE STE
204
PEORIA, IL 61614
PHONE: (309) 683-1200
E-PRESCRIBE: NO
LEMAN, JEFFREY, MD
GENDER: M
PROVIDER #: 171303
NPI #: 1134357056
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
LEMMERT, DAWN R., MD
GENDER: F
PROVIDER #: 088648
NPI #: 1891888145
E-PRESCRIBE: NO
OSF MEDICAL GROUP NURSING HOME SERVICES
5114 N GLEN PARK PLACE
PEORIA, IL 61614-4686
PHONE: (309) 683-8108
E-PRESCRIBE: NO
LIDVALL, JOHN, MD
GENDER: M
PROVIDER #: 253037
NPI #: 1376856559
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
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.
290
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
MCMILLIN, MATTHEW,
MD
GENDER: M
PROVIDER #: 048253
NPI #: 1528021987
E-PRESCRIBE: NO
METHODIST MEDICAL
GROUP AT PEARTREE
6831 PEAR TREE LANE
PEORIA, IL 61615
PHONE: (309) 691-1250
E-PRESCRIBE: NO
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
Primary Care Physicians
MILLER, GLENN D., MD
GENDER: M
PROVIDER #: 028606
NPI #: 1407862022
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
MONTEFOLKA, MARK P.,
MD
GENDER: M
PROVIDER #: 103596
NPI #: 1114026754
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
291
Primary Care Physicians
MUGO, LEAH, MD
GENDER: F
PROVIDER #: 228936
NPI #: 1679700694
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
MUSAITIF, ZIAD A., DO
GENDER: M
PROVIDER #: 062698
NPI #: 1316909328
E-PRESCRIBE: NO
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 893-3030
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
MURARI, PALLAVI, MD
GENDER: F
PROVIDER #: 301521
NPI #: 1245585322
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST STE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
292
NA'ALLAH, RAHMAT O.,
MD
GENDER: F
PROVIDER #: 168911
NPI #: 1730200791
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
NA'ALLAH, RAHMAT, MD
GENDER: F
PROVIDER #: 186480
NPI #: 1730200791
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
OLIVER-PAYNE, ROXIE N.,
MD
GENDER: F
PROVIDER #: 288423
NPI #: 1376864959
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC
711 W JOHN GWYNN JR AVE
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
PATEL, AMISH V., MD
GENDER: M
PROVIDER #: 242452
NPI #: 1932384955
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
PEREZ JR, PABLO E., MD
GENDER: M
PROVIDER #: 150716
NPI #: 1578658993
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.
292
PEORIA, IL
PEORIA, IL
Primary Care Physicians
QADRI, MUNEEB, MD
GENDER: M
PROVIDER #: 254224
NPI #: 1972815033
E-PRESCRIBE: NO
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 692-9110
E-PRESCRIBE: NO
RENICK, PATRICK, MD
GENDER: M
PROVIDER #: 161897
NPI #: 1760604193
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
SAN GERMAN, HENRY A.,
MD
GENDER: M
PROVIDER #: 298460
NPI #: 1205928397
E-PRESCRIBE: NO
OSF MEDICAL GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: NO
QUINOINES, JOHN M., DO
GENDER: M
PROVIDER #: 294933
NPI #: 1063520021
E-PRESCRIBE: NO
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE STE
400
PEORIA, IL 61614
PHONE: (309) 689-0909
E-PRESCRIBE: NO
RUBUSH, AMANDA, MD
GENDER: F
PROVIDER #: 295707
NPI #: 1447513148
E-PRESCRIBE: NO
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
SAN GERMAN, HENRY S.,
MD
GENDER: M
PROVIDER #: 010762
NPI #: 1205928397
E-PRESCRIBE: YES
CARDINAL MEDICAL
GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: YES
RAMIREZ, SARAH I., MD
GENDER: F
PROVIDER #: 283616
NPI #: 1326339151
E-PRESCRIBE: NO
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
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
SAMUEL, ELDON M., MD
GENDER: M
PROVIDER #: 111572
NPI #: 1427149210
E-PRESCRIBE: NO
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 275530
NPI #: 1922235944
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
293
Primary Care Physicians
SHOTICK JR, GEORGE K.,
MD
GENDER: M
PROVIDER #: 190106
NPI #: 1104941657
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
SIAL, MUHAMMED I., MD
GENDER: M
PROVIDER #: 100173
NPI #: 1447212469
E-PRESCRIBE: NO
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
STETTER, MATTHEW,
DMD
GENDER: M
PROVIDER #: 103981
NPI #: 1205935848
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
294
STONER, GREGG, MD
GENDER: M
PROVIDER #: 008442
NPI #: 1467546218
E-PRESCRIBE: NO
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
PEORIA, IL
PEORIA, IL
TRACHTENBARG, DAVID,
MD
GENDER: M
PROVIDER #: 008428
NPI #: 1952318719
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 N MAIN ST
PEORIA, IL 61603
PHONE: (309) 672-5955
E-PRESCRIBE: NO
METHODIST MEDPOINTE AT
PEORIA
8914 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 691-9110
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
294
PEORIA, IL
PEORIA, IL
WEGMAN, CHERYL L., MD
GENDER: F
PROVIDER #: 289885
NPI #: 1174590889
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
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
Primary Care Physicians
WIRTH, JILL, MD
GENDER: F
PROVIDER #: 168782
NPI #: 1003028150
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST FAMILY
MEDICAL CENTER
815 MAIN ST SUITE A
PEORIA, IL 61602
PHONE: (309) 672-4977
E-PRESCRIBE: NO
XIE, YANG, MD
GENDER: M
PROVIDER #: 123374
NPI #: 1346257128
E-PRESCRIBE: NO
PEORIA INTEGRATIVE
MEDICAL CENTER LTD
4930 N EXECUTIVE DR SUITE
A
PEORIA, IL 61614
PHONE: (309) 683-6002
E-PRESCRIBE: NO
GENERAL PRACTICE
LIANG, JEFFREY Y., MD
GENDER: M
PROVIDER #: 192573
NPI #: 1679540330
E-PRESCRIBE: NO
METHODIST MEDICAL
GROUP AT DUNLAP
10322 N JULIET COURT
PEORIA, IL 61615
PHONE: (309) 243-8598
E-PRESCRIBE: NO
PEDIATRICS
AKERELE, DAVID O., MD
GENDER: M
PROVIDER #: 217396
NPI #: 1073887527
E-PRESCRIBE: NO
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.
295
Primary Care Physicians
PEORIA, IL
PEORIA, IL
AL-SAYYED, BAN H., MD
GENDER: F
PROVIDER #: 289684
NPI #: 1811940497
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9594
E-PRESCRIBE: NO
ASAM-JENSEN, TERESA,
MD
GENDER: F
PROVIDER #: 203160
NPI #: 1487851184
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
CHATRATH, UMESH, MD
GENDER:
PROVIDER #: 031655
NPI #: 1659336030
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9680
E-PRESCRIBE: NO
ALBARO, CECILIA A., MD
GENDER: F
PROVIDER #: 248567
NPI #: 1497879290
E-PRESCRIBE: NO
CHILDRENS HOSPITAL OF
ILLINOIS MEDICAL GROUP
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
BECKER, JASON E., MD
GENDER: M
PROVIDER #: 136432
NPI #: 1922215920
E-PRESCRIBE: NO
OSF MEDICAL GROUP
2900 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-3616
E-PRESCRIBE: NO
CHRISTISON, AMY, MD
GENDER: F
PROVIDER #: 008433
NPI #: 1720029267
E-PRESCRIBE: NO
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
ALNATOUR, MOURAD, MD
GENDER: M
PROVIDER #: 116691
NPI #: 1891734257
E-PRESCRIBE: NO
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
296
BLASCYK, DANIEL A., MD
GENDER: M
PROVIDER #: 298205
NPI #: 1720248636
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
296
PEORIA, IL
PEORIA, IL
DEPPERMANN, MARTE L.,
MD
GENDER: F
PROVIDER #: 188924
NPI #: 1962602979
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
GALBREATH, JOHN P.,
MD
GENDER: M
PROVIDER #: 052526
NPI #: 1285724583
E-PRESCRIBE: NO
OSF MEDICAL GROUP
2900 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-3616
E-PRESCRIBE: NO
Primary Care Physicians
HALPERIN, THOMAS E.,
MD
GENDER: M
PROVIDER #: 008435
NPI #: 1689615163
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
HARVEY, MARY A., MD
GENDER: F
PROVIDER #: 143169
NPI #: 1215037890
E-PRESCRIBE: YES
CARDINAL MEDICAL
GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: YES
HO, TERRY A., MD
GENDER: M
PROVIDER #: 166693
NPI #: 1104027572
E-PRESCRIBE: NO
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
ISMAIL, SHUROUK I., MD
GENDER: F
PROVIDER #: 151895
NPI #: 1528214129
E-PRESCRIBE: NO
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
E-PRESCRIBE: NO
KENDHARI, HARLEENA
K., MD
GENDER: F
PROVIDER #: 212475
NPI #: 1265629760
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF CONGENITAL HEART
CENTER
420 NE GLEN OAK AVE
SUTIE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
297
Primary Care Physicians
KONSTANTELOS,
CHRISTOS, DO
GENDER: M
PROVIDER #: 231106
NPI #: 1114970936
E-PRESCRIBE: NO
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
E-PRESCRIBE: NO
LAPKE, JALAYNE, MD
GENDER:
PROVIDER #: 031658
NPI #: 1508837758
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9680
E-PRESCRIBE: NO
LUNDY, MOLLY K., MD
GENDER: F
PROVIDER #: 255688
NPI #: 1124349089
E-PRESCRIBE: NO
OSF MEDICAL GROUP
PEDIATRIC AFTER HOURS
CLINIC
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (888) 627-5673
E-PRESCRIBE: NO
298
MAINI, ANUJA, MD
GENDER: F
PROVIDER #: 101008
NPI #: 1649285206
E-PRESCRIBE: NO
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
MAJCINA, KATHY A., MD
GENDER: F
PROVIDER #: 160855
NPI #: 1164437729
E-PRESCRIBE: NO
OSF MEDICAL GROUPPEDIATRICS AFTER HOURS
530 N E GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-7951
E-PRESCRIBE: NO
MCCARTHY, HEATHER L.,
DO
GENDER: F
PROVIDER #: 298455
NPI #: 1306819289
E-PRESCRIBE: NO
OSF MEDICAL GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
MCCARTHY, HEATHER,
DO
GENDER: F
PROVIDER #: 053675
NPI #: 1306819289
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
NEESE, ALLEN L., MD
GENDER: M
PROVIDER #: 010780
NPI #: 1841261872
E-PRESCRIBE: YES
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.
298
PEORIA, IL
PEORIA, IL
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
PATTERSON, JANET, MD
GENDER: F
PROVIDER #: 256050
NPI #: 1497720411
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
507 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 681-6960
E-PRESCRIBE: NO
Primary Care Physicians
PETRAK, CHANNING, MD
GENDER: M
PROVIDER #: 086138
NPI #: 1952370538
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9594
E-PRESCRIBE: NO
ROHDE, JAY, MD
GENDER: M
PROVIDER #: 281469
NPI #: 1457671745
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC
320 E ARMSTRONG
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
PHILBIN, NORA B., DO
GENDER: F
PROVIDER #: 254718
NPI #: 1548561392
E-PRESCRIBE: NO
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
E-PRESCRIBE: NO
ROSE, ELIZABETH A., MD
GENDER: F
PROVIDER #: 273162
NPI #: 1205123734
E-PRESCRIBE: NO
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
PRADHAN, SUSHMA R.,
MD
GENDER: F
PROVIDER #: 179132
NPI #: 1922185545
E-PRESCRIBE: NO
METHODIST AT ALLEN
ROAD-PEDIATRICS
2338 W VAN WINKLE WAY
SUITE 2200
PEORIA, IL 61615
PHONE: (309) 692-6088
E-PRESCRIBE: NO
RISK, ANNE C., MD
GENDER: F
PROVIDER #: 227938
NPI #: 1871754309
E-PRESCRIBE: NO
OSF MEDICAL GROUP-GLEN
PARK
5114 N GLEN PARK PL
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
ROSE, ELIZABETH, MD
GENDER: F
PROVIDER #: 283600
NPI #: 1205123734
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC
320 E ARMSTRONG
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
SANTORINEOS, DIANE J.,
DO
GENDER: F
PROVIDER #: 117367
NPI #: 1518991066
E-PRESCRIBE: NO
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
299
Primary Care Physicians
SHALLAT, SHELLY, MD
GENDER: F
PROVIDER #: 268096
NPI #: 1184706988
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
STURDAVANT, ADAM C.,
MD
GENDER: M
PROVIDER #: 278147
NPI #: 1720375520
E-PRESCRIBE: NO
OSF MEDICAL GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: NO
300
STURDAVANT, ADAM, MD
GENDER: M
PROVIDER #: 285150
NPI #: 1720375520
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
VAZQUEZ-MELENDEZ,
ELSA L., MD
GENDER: F
PROVIDER #: 195446
NPI #: 1356542864
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
300
PEOTONE, IL
PERU, IL
PEOTONE, IL
ADULT/INTERNAL
MEDICINE
HYRE, MICHAEL C., MD
GENDER: M
PROVIDER #: 186217
NPI #: 1083713978
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
ILLINOIS VALLEY
COMMUNITY HOSPITAL
925 WEST ST
PERU, IL 61354
PHONE: (815) 780-3696
E-PRESCRIBE: YES
Primary Care Physicians
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ST MARGARETS MIDTOWN
HEALTH CENTER
1650 MIDTOWN ROAD
PERU, IL 61354
PHONE: (815) 223-0203
SHIN, KRISTIE, PA-C;
PROVIDER #: 170778
E-PRESCRIBE: NO
LEIFHEIT, JOEL S., MD
GENDER: M
PROVIDER #: 221643
NPI #: 1871696229
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ST MARGARETS MIDTOWN
HEALTH CENTER
1650 MIDTOWN ROAD
PERU, IL 61354
PHONE: (815) 223-2807
LOPEZ, CARRIE, PA;
PROVIDER #: 163016
E-PRESCRIBE: NO
DEBOER, KELLY L., MD
GENDER: F
PROVIDER #: 207288
NPI #: 1023070257
E-PRESCRIBE: NO
ILLINOIS VALLEY
COMMUNITY HOSPITAL
925 WEST ST
PERU, IL 61354
PHONE: (815) 780-3696
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
301
Primary Care Physicians
SAFDAR, SAIMA, MD
GENDER: F
PROVIDER #: 256376
NPI #: 1336449214
E-PRESCRIBE: NO
ILLINOIS VALLEY FAMILY
MEDICINE
1305 6TH ST
PERU, IL 61354
PHONE: (815) 223-4273
E-PRESCRIBE: NO
TWANOW, RICHARD, MD
GENDER: M
PROVIDER #: 019464
NPI #: 1366558199
E-PRESCRIBE: NO
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
VASQUEZ, MICHELLE L.,
MD
GENDER: F
PROVIDER #: 191640
NPI #: 1164629531
E-PRESCRIBE: NO
FAMILY MEDICINE CLINIC
920 WEST ST SUITE 216
PERU, IL 61354
PHONE: (815) 220-0898
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
302
PERU, IL
PETERSBURG, IL
FAMILY PRACTICE OB
PEDIATRICS
BAILEY, SHAWN E., MD
GENDER: M
PROVIDER #: 031412
NPI #: 1447363585
E-PRESCRIBE: NO
ST MARGARETS MIDTOWN
HEALTH CENTER
1650 MIDTOWN ROAD
PERU, IL 61354
PHONE: (815) 223-2807
LOPEZ, CARRIE, PA;
PROVIDER #: 163016
E-PRESCRIBE: NO
FERNANDEZ, MARK A.,
MD
GENDER: M
PROVIDER #: 023119
NPI #: 1033114939
E-PRESCRIBE: NO
IVCH MEDICAL GROUP/
PERU PRIMARY CARE
CLINIC
920 WEST ST BUILDING B
PERU, IL 61354
PHONE: (815) 223-9214
E-PRESCRIBE: NO
GENERAL PRACTICE
GOEL, NEELAM, MD
GENDER: F
PROVIDER #: 020933
NPI #: 1457360828
E-PRESCRIBE: NO
920 WEST ST BLDG A SUITE
116
PERU, IL 61354
PHONE: (815) 223-6222
E-PRESCRIBE: NO
BERNAL, ALEJANDRO,
MD
GENDER: M
PROVIDER #: 019512
NPI #: 1346253630
E-PRESCRIBE: NO
ST MARGARETS MIDTOWN
HEALTH CENTER
1650 MIDTOWN ROAD
PERU, IL 61354
PHONE: (815) 223-2645
ALVARADO, ANGELLA, APN;
PROVIDER #: 286673
E-PRESCRIBE: NO
CURRY, THOMAS M., MD
GENDER: M
PROVIDER #: 030384
NPI #:
E-PRESCRIBE: NO
920 WEST ST BLDG A SUITE
214
PERU, IL 61354
PHONE: (815) 223-0207
E-PRESCRIBE: NO
PETERSBURG, IL
FAMILY PRACTICE
BILYEU, JOE A., MD
GENDER: M
PROVIDER #: 166012
NPI #: 1023230968
E-PRESCRIBE: NO
MENARD MEDICAL CENTER
1 CENTRE DR
PETERSBURG, IL 62675
PHONE: (217) 632-7761
FESEN, TERESA A., FNP;
PROVIDER #: 233808
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
302
PETERSBURG, IL
PINCKNEYVILLE, IL
TELLEZ, MAOXIIM N., MD
GENDER: F
PROVIDER #: 133655
NPI #: 1740311349
E-PRESCRIBE: NO
MENARD MEDICAL CENTER
LLC
1 CENTRE DR
PETERSBURG, IL 62675
PHONE: (217) 632-7761
FESEN, TERESA A., FNP;
PROVIDER #: 233808
E-PRESCRIBE: NO
PETERSBURG, IN
FAMILY PRACTICE
GROW, NATHANIAL D.,
MD
GENDER: M
PROVIDER #: 065615
NPI #: 1912900291
E-PRESCRIBE: NO
DEACONESS CLINIC INC
106 W PIKE AVE
PETERSBURG, IN 47567
PHONE: (812) 354-1052
E-PRESCRIBE: NO
KEEPES, GARY J., MD
GENDER: M
PROVIDER #: 065679
NPI #: 1104829480
E-PRESCRIBE: NO
DEACONESS CLINIC INC
106 W PIKE AVE
PETERSBURG, IN 47567
PHONE: (812) 354-1052
COLEMAN, KELLY, CNP;
PROVIDER #: 073864
E-PRESCRIBE: NO
Primary Care Physicians
WEISMAN, ERRIN, DO
GENDER: F
PROVIDER #: 280145
NPI #: 1235425299
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CENTER FOR YOUR HEALTH
LTD
501 N LINCOLN STREET
PHILO, IL 61864
PHONE: (217) 684-2419
E-PRESCRIBE: NO
PINCKNEYVILLE, IL
ADULT/INTERNAL
MEDICINE
REYES, CHRISTOPHER D.,
MD
GENDER: M
PROVIDER #: 051108
NPI #: 1407828940
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MEDICAL ARTS SC
13 N WALNUT ST
PINCKNEYVILLE, IL 62274
PHONE: (618) 357-2147
E-PRESCRIBE: NO
FOZARD, GREGG J., MD
GENDER: M
PROVIDER #: 034761
NPI #: 1689646127
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
303
Primary Care Physicians
PITTSFIELD, IL
PLAINFIELD, IL
FAMILY PRACTICE
LOCKHART, DAVID W., MD
GENDER: M
PROVIDER #: 175377
NPI #: 1619985827
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
304
ADULT/INTERNAL
MEDICINE
DEOL, KIRANJIT K., MD
GENDER: F
PROVIDER #: 232316
NPI #: 1841486198
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PRESENCE MEDICAL GROUP
7000 CANTON FARM RD
PLAINFIELD, IL 60544
PHONE: (815) 577-2929
E-PRESCRIBE: NO
PITTSFIELD, IL
PLAINFIELD, IL
JAYESINGHE, VIPULI E.,
MD
GENDER: F
PROVIDER #: 276123
NPI #: 1265673701
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ALLIANCE HEALTH
13550 S ROUTE 30 SUITE 100
PLAINFIELD, IL 60544
PHONE: (815) 741-7590
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
304
PLAINFIELD, IL
PONTIAC, IL
GENERAL PRACTICE
SAMARAWEERA, MOHIN
T., MD
GENDER:
PROVIDER #: 298889
NPI #: 1295896173
E-PRESCRIBE: NO
PMG FP PLAINFIELD
24016 MAIN ST
PLAINFIELD, IL 60544
PHONE: (815) 436-7303
E-PRESCRIBE: NO
PLANO, IL
FAMILY PRACTICE
ALAM, HUMA, MD
GENDER: F
PROVIDER #: 290360
NPI #: 1639362544
E-PRESCRIBE: NO
PRIME HEALTHCARE
SERVICES
1200 W SOUTH ST
PLANO, IL 60545
PHONE: (630) 301-1886
E-PRESCRIBE: NO
ALAM, SAROOR, MD
GENDER:
PROVIDER #: 136181
NPI #: 1013064138
E-PRESCRIBE: NO
PRIME HEALTHCARE
SERVICES
1200 W SOUTH ST
PLANO, IL 60545
PHONE: (630) 301-1886
E-PRESCRIBE: NO
Primary Care Physicians
ALI, SYEDA, MD
GENDER:
PROVIDER #: 231498
NPI #: 1265732176
E-PRESCRIBE: YES
KISHWAUKEE PHYSICIANS
GROUP
11000 E RT 34 SUITE 2
PLANO, IL 60545
PHONE: (815) 786-3770
E-PRESCRIBE: YES
POLO, IL
ADULT/INTERNAL
MEDICINE
WOLLSTADT, LOYD, MD
GENDER: M
PROVIDER #: 209519
NPI #: 1356332498
E-PRESCRIBE: NO
KSB MEDICAL GROUP
1107 S DIVISION AVE
POLO, IL 61064
PHONE: (815) 946-3453
E-PRESCRIBE: NO
FAMILY PRACTICE
RAVEN, RISHA, MD
GENDER: F
PROVIDER #: 059822
NPI #: 1487622379
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
203
PONTIAC, IL 61764
PHONE: (815) 844-5115
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
305
Primary Care Physicians
WHITE, JESSICA L., MD
GENDER: F
PROVIDER #: 224721
NPI #: 1902048986
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
E-PRESCRIBE: NO
LAU, DANIEL S., MD
GENDER: M
PROVIDER #: 206357
NPI #: 1720398480
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
1504C W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-2893
E-PRESCRIBE: NO
306
MOY, CALVIN, MD
GENDER: M
PROVIDER #: 224829
NPI #: 1154558732
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
E-PRESCRIBE: NO
PROEHL, REBECCA A., MD
GENDER: F
PROVIDER #: 112368
NPI #: 1427141787
E-PRESCRIBE: NO
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
CATHCART, JULIA E., PA;
PROVIDER #: 188297
E-PRESCRIBE: NO
PONTIAC, IL
PONTIAC, IL
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
918 E LINCOLN ST
PONTIAC, IL 61764
PHONE: (815) 945-2261
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
306
PONTIAC, IL
PRINCETON, IN
GENERAL PRACTICE
PURNELL, JOHN C., MD
GENDER: M
PROVIDER #: 002599
NPI #: 1750579660
E-PRESCRIBE: NO
401 E WATER
PONTIAC, IL 61764
PHONE: (815) 842-1166
E-PRESCRIBE: NO
PEDIATRICS
PROEHL, REBECCA A., MD
GENDER: F
PROVIDER #: 112368
NPI #: 1427141787
E-PRESCRIBE: NO
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
Primary Care Physicians
PRINCETON, IL
FAMILY PRACTICE
CERNOVICH, RICK S., MD
GENDER: M
PROVIDER #: 280147
NPI #: 1508824723
E-PRESCRIBE: NO
OSF MEDICAL GROUP
530 PARK AVE E SUITE 203
PRINCETON, IL 61356
PHONE: (815) 454-2811
E-PRESCRIBE: NO
PRINCETON, IN
ADULT/INTERNAL
MEDICINE
PATEL, RAMESH P., MD
GENDER: M
PROVIDER #: 153046
NPI #: 1093718363
E-PRESCRIBE: NO
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
FAMILY PRACTICE
BOND, ROBERT D., MD
GENDER: M
PROVIDER #: 065598
NPI #: 1386710614
E-PRESCRIBE: NO
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
DAVIDSON, THOMAS W.,
MD
GENDER: M
PROVIDER #: 153242
NPI #: 1336141548
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEACONESS CLINIC INC
685 S VAIL ST
PRINCETON, IN 47670
PHONE: (812) 386-6650
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
307
PRINCETON, KY
QUINCY, IL
Primary Care Physicians
PRINCETON, KY
PRINCEVILLE, IL
FAMILY PRACTICE
FAMILY PRACTICE
CASH, RALPH L., MD
GENDER: M
PROVIDER #: 297400
NPI #: 1083710206
E-PRESCRIBE: NO
CASH FAMILY PRACTICE
PLLC
302 MICBETH DRIVE
PRINCETON, KY 42445
PHONE: (270) 365-1225
E-PRESCRIBE: NO
SCHUPBACH, JOSHUA J.,
MD
GENDER: M
PROVIDER #: 097887
NPI #: 1447267711
E-PRESCRIBE: NO
METHODIST MEDICAL
GROUP AT PRINCEVILLE
223 E MAIN ST
PRINCEVILLE, IL 61559
PHONE: (309) 385-4371
E-PRESCRIBE: NO
PERRY, JAMI T., MD
GENDER: F
PROVIDER #: 297452
NPI #: 1710050729
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
1100 S JEFFERSON ST
PRINCETON, KY 42445
PHONE: (270) 365-3343
E-PRESCRIBE: NO
308
QUINCY, IL
ADULT/INTERNAL
MEDICINE
REICH, ABBY M., MD
GENDER: F
PROVIDER #: 133885
NPI #: 1700966124
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
SIU QUINCY FAMILY
PRACTICE
612 N 11TH STREET
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: YES
DIXON, WILLIAM D., MD
GENDER: M
PROVIDER #: 265637
NPI #: 1740299759
E-PRESCRIBE: NO
SIU QUINCY FAMILY
PRACTICE
612 N 11TH ST
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: NO
GINOS, STEVEN R., MD
GENDER: M
PROVIDER #: 019180
NPI #: 1740298942
E-PRESCRIBE: YES
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 223-8400
WILLIAMS, RUTH L., PA-C;
PROVIDER #: 244839
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
308
QUINCY, IL
QUINCY, IL
IQBAL, OWAIS M., MD
GENDER:
PROVIDER #: 258848
NPI #: 1184911695
E-PRESCRIBE: NO
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
KIRKPATRICK, MICHAEL,
MD
GENDER: M
PROVIDER #: 065475
NPI #: 1871517862
E-PRESCRIBE: YES
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 228-2230
E-PRESCRIBE: YES
LOCKHART, DAVID W., MD
GENDER: M
PROVIDER #: 019181
NPI #: 1619985827
E-PRESCRIBE: YES
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
Primary Care Physicians
MACKRIDES, PAULA, DO
GENDER: F
PROVIDER #: 095019
NPI #: 1316924087
E-PRESCRIBE: NO
SIU QUINCY FAMILY
PRACTICE
612 N 11TH STREET
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: NO
OTT, TIMOTHY T., DO
GENDER: M
PROVIDER #: 186953
NPI #: 1558463505
E-PRESCRIBE: NO
SUI QUINCY FAMILY
PRACTICE
612 N 11TH STREET
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: NO
MILLER, THOMAS, MD
GENDER: M
PROVIDER #: 016229
NPI #: 1912984527
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: YES
MULLER, MERLE H., MD
GENDER: M
PROVIDER #: 199790
NPI #: 1891770350
E-PRESCRIBE: NO
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
RICHARDSON, ALAN D.,
MD
GENDER: M
PROVIDER #: 140248
NPI #: 1922114750
E-PRESCRIBE: YES
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 201
QUINCY, IL 62301
PHONE: (217) 222-9913
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
309
QUINCY, IL
RANTOUL, IL
Primary Care Physicians
SHARP, JASON E., MD
GENDER: M
PROVIDER #: 134310
NPI #: 1366470510
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
SIU QUINCY FAMILY
PRACTICE
612 N 11TH STREET
QUINCY, IL 62301
PHONE: (217) 224-9484
E-PRESCRIBE: NO
FAMILY PRACTICE
MUNESES, MARLON, MD
GENDER: M
PROVIDER #: 252732
NPI #: 1265422067
E-PRESCRIBE: YES
COMMUNITY MEDICAL
CLINIC OF RAMSEY
715 S SUPERIOR
RAMSEY, IL 62080
PHONE: (618) 423-2412
E-PRESCRIBE: YES
RANTOUL, IL
FAMILY PRACTICE
PEDIATRICS
BAUSTIAN, LORETTA A.,
DO
GENDER: F
PROVIDER #: 110598
NPI #: 1538153408
E-PRESCRIBE: NO
BLESSING PHYSICIANS
SERVICES
927 BROADWAY SUITE 300
QUINCY, IL 62301
PHONE: (217) 228-2230
E-PRESCRIBE: NO
RAAD, PIERRE E., MD
GENDER: M
PROVIDER #: 118215
NPI #: 1407877418
E-PRESCRIBE: NO
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 300
QUINCY, IL 62305
PHONE: (217) 228-2230
E-PRESCRIBE: NO
310
RAMSEY, IL
ARCHEY, JOANN, MD
GENDER: F
PROVIDER #: 092396
NPI #: 1104831627
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
CHRISTIE CLINIC
209 W BORMAN AVE
RANTOUL, IL 61866
PHONE: (217) 366-1200
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
310
RANTOUL, IL
RED BUD, IL
SLOCUM, ERICH, DO
GENDER: M
PROVIDER #: 249250
NPI #: 1356625362
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
E-PRESCRIBE: YES
FAMILY PRACTICE OB
FRANZEN, THOMAS L.,
MD
GENDER: M
PROVIDER #: 026213
NPI #: 1609895499
E-PRESCRIBE: YES
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
Primary Care Physicians
RED BUD, IL
ADULT/INTERNAL
MEDICINE
BIRNER, NANCY P., MD
GENDER: F
PROVIDER #: 087829
NPI #: 1043214778
E-PRESCRIBE: NO
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
ROHLFING, AMY L., MD
GENDER: F
PROVIDER #: 108534
NPI #: 1255335188
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
824 LOCUST ST
RED BUD, IL 62278
PHONE: (618) 282-6656
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
311
RED BUD, IL
ROANOKE, IL
Primary Care Physicians
PEDIATRICS
BIRNER, NANCY P., MD
GENDER: F
PROVIDER #: 087829
NPI #: 1043214778
E-PRESCRIBE: NO
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
RIVERSIDE, IA
FAMILY PRACTICE
CAPIZZANO, JUANA N.,
MD
GENDER: F
PROVIDER #: 290100
NPI #: 1881910628
E-PRESCRIBE: NO
UI HEALTHCARE RIVER
CROSSING
3056 RIVER CROSSING CT
RIVERSIDE, IA 52327
PHONE: (319) 467-8355
E-PRESCRIBE: NO
RIVERTON, IL
ADULT/INTERNAL
MEDICINE
SAGINS, KENNETH R., MD
GENDER: M
PROVIDER #: 027202
NPI #: 1275633968
E-PRESCRIBE: NO
SPRINGFIELD CLINIC
RIVERTON
1275 N 7TH ST
RIVERTON, IL 62561
PHONE: (217) 528-7541
E-PRESCRIBE: NO
PEDIATRICS
CRAMER, ELIZABETH S.,
MD
GENDER: F
PROVIDER #: 225768
NPI #: 1386870483
E-PRESCRIBE: NO
UI HEALTHCARE RIVER
CROSSING
3056 RIVER CROSSING
COURT
RIVERSIDE, IA 52327
PHONE: (319) 467-8355
E-PRESCRIBE: NO
312
FARRELL, ANGELA T., MD
GENDER: F
PROVIDER #: 257961
NPI #: 1871814194
E-PRESCRIBE: NO
UI HEALTH CARE-RIVER
CROSSING
3056 RIVER CROSSING
COURT
RIVERSIDE, IA 52327
PHONE: (319) 467-8351
E-PRESCRIBE: NO
SAGINS, KENNETH R., MD
GENDER: M
PROVIDER #: 027202
NPI #: 1275633968
E-PRESCRIBE: NO
SPRINGFIELD CLINIC
RIVERTON
1275 N 7TH ST
RIVERTON, IL 62561
PHONE: (217) 528-7541
E-PRESCRIBE: NO
ROANOKE, IL
FAMILY PRACTICE
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
415 W FRONT
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
FOGO, SHANE C., MD
GENDER: M
PROVIDER #: 102295
NPI #: 1063446318
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
312
ROANOKE, IL
ROCHELLE, IL
Primary Care Physicians
JONES, STEVEN, MD
GENDER: M
PROVIDER #: 007305
NPI #: 1942228101
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
MILLER, DAVID L., MD
GENDER: M
PROVIDER #: 007309
NPI #: 1437178415
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
415 W FRONT
ROANOKE, IL 61561
PHONE: (309) 923-7456
FISCHER, DEBRA L., APN;
PROVIDER #: 206358
E-PRESCRIBE: NO
MITCHELL, PHILIP, MD
GENDER: M
PROVIDER #: 028458
NPI #: 1508839895
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
STOECKER, BRAD A., MD
GENDER: M
PROVIDER #: 134493
NPI #: 1508887860
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ROCHELLE COMMUNITY
HOSPITAL
900 N SECOND ST
ROCHELLE, IL 61068
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
313
Primary Care Physicians
POPP, JASON C., MD
GENDER: M
PROVIDER #: 072817
NPI #: 1003993148
E-PRESCRIBE: NO
ROCHELLE COMMUNITY
HOSPITAL
900 N SECOND ST
ROCHELLE, IL 61068
PHONE:
ZOELLER, LUCINDA, APN;
PROVIDER #: 275418
E-PRESCRIBE: NO
ROCHESTER, IL
ADULT/INTERNAL
MEDICINE
PRATHIPATI, SUSHMITA
N., MD
GENDER: F
PROVIDER #: 257836
NPI #: 1740581776
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ROCHELLE PROFESSIONAL
BLDG
915 CARON RD
ROCHELLE, IL 61068
PHONE: (815) 562-4014
E-PRESCRIBE: NO
314
JURANEK, ROBERT H.,
MD
GENDER: M
PROVIDER #: 008556
NPI #: 1336236264
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
ROCHELLE, IL
ROCHESTER, IL
FAMILY PRACTICE
BODDU, LAVANYA, MD
GENDER: F
PROVIDER #: 158194
NPI #: 1851503833
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
300 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
MULKANOOR, SHALINI,
MD
GENDER: F
PROVIDER #: 202751
NPI #: 1447558390
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
300 SATTLEY ST
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
OMAR, BIBI W., MD
GENDER: F
PROVIDER #: 266908
NPI #: 1275755001
E-PRESCRIBE: NO
HSHS MEDICAL GROUP INC
300 SATTLEY ST
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
314
ROCHESTER, IL
ROCK ISLAND, IL
WIDICUS, DIANA T., MD
GENDER: F
PROVIDER #: 003147
NPI #: 1851471072
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
ROCK FALLS, IL
ADULT/INTERNAL
MEDICINE
DORMAN, ROBERT J., DO
GENDER: M
PROVIDER #: 132610
NPI #: 1184714271
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
WHITESIDE COUNTY
COMMUNITY HEALTH
CLINIC
1300 W 2ND ST
ROCK FALLS, IL 61071
PHONE: (815) 626-2230
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
BOWMAN, JUDITH E., MD
GENDER: F
PROVIDER #: 212529
NPI #: 1326023037
E-PRESCRIBE: NO
WHITESIDE COUNTY
COMMUNITY HEALTH
CLINIC
1300 W 2ND ST
ROCK FALLS, IL 61071
PHONE: (815) 626-2230
E-PRESCRIBE: NO
GUTHRIE, KELLEY J., MD
GENDER: F
PROVIDER #: 269887
NPI #: 1013005313
E-PRESCRIBE: NO
WHITESIDE COUNTY
COMMUNITY HEALTH
CLINIC
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
E-PRESCRIBE: NO
WHITE COUNTY HEALTH
DEPARTMENT
1300 W 2ND ST
ROCK FALLS, IL 61071
PHONE: (815) 626-2231
E-PRESCRIBE: NO
ROCK ISLAND, IL
ADULT/INTERNAL
MEDICINE
FLOWERS, ROBERT A.,
MD
GENDER: M
PROVIDER #: 020112
NPI #: 1992709703
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
315
Primary Care Physicians
HASSAN, SYED, MD
GENDER: M
PROVIDER #: 104474
NPI #: 1104810886
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
TRINITY HOSPITALIST
PROGRAM
2701 17TH ST
ROCK ISLAND, IL 61201
PHONE: (309) 779-3101
E-PRESCRIBE: NO
316
PANCHOLI, SANJAY S.,
DO
GENDER: M
PROVIDER #: 195787
NPI #: 1780894816
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
INC
2750 11TH ST
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
ROWE, AMANDA S., CNP;
PROVIDER #: 206156
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
ROBERT YOUNG CENTER
2200 3RD AVE
ROCK ISLAND, IL 61201
PHONE: (563) 336-3000
E-PRESCRIBE: NO
RAVINDRAN, BHANU, MD
GENDER:
PROVIDER #: 237192
NPI #: 1336484013
E-PRESCRIBE: NO
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
ROCK ISLAND, IL
ROCK ISLAND, IL
RAY, STEVEN A., MD
GENDER: M
PROVIDER #: 020379
NPI #: 1780680736
E-PRESCRIBE: NO
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
SATTI, VINAY V., MD
GENDER: M
PROVIDER #: 170479
NPI #: 1629099726
E-PRESCRIBE: NO
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
SMITH, MARK W., MD
GENDER:
PROVIDER #: 297884
NPI #: 1326111790
E-PRESCRIBE: NO
TRINITY ROCK ISLAND
2701 17TH ST
ROCK ISLAND, IL 61201-5393
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
316
ROCK ISLAND, IL
ROCK ISLAND, IL
Primary Care Physicians
WESTON, PATRICK S., MD
GENDER: M
PROVIDER #: 261593
NPI #: 1306813423
E-PRESCRIBE: NO
TRINITY MEDICAL CENTER
2701 17TH ST
ROCK ISLAND, IL 61201
PHONE:
E-PRESCRIBE: NO
JIT, SIMRAN, MD
GENDER:
PROVIDER #: 228478
NPI #: 1336473198
E-PRESCRIBE: YES
COMMUNITY HEALTH CARE
2750 11TH ST
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
E-PRESCRIBE: YES
FAMILY PRACTICE
JONES, BRUCE, MD
GENDER: M
PROVIDER #: 093411
NPI #: 1902869548
E-PRESCRIBE: NO
3635 14TH AVE
ROCK ISLAND, IL 61201
PHONE: (309) 788-6244
E-PRESCRIBE: NO
GANNON, DAVID L., MD
GENDER: M
PROVIDER #: 020350
NPI #: 1003886128
E-PRESCRIBE: NO
2550 24TH ST
ROCK ISLAND, IL 61201
PHONE: (309) 793-4223
E-PRESCRIBE: NO
HAJI-ABDIRAHMAN,
HASSAN, MD
GENDER: M
PROVIDER #: 227583
NPI #: 1972735785
E-PRESCRIBE: YES
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
KHAN, MOHSIN A., MD
GENDER: M
PROVIDER #: 176033
NPI #: 1073712683
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
COMMUNITY HEALTH CARE
2750 11TH ST
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
E-PRESCRIBE: YES
MENGANG, JOELLE M.,
MD
GENDER: F
PROVIDER #: 254678
NPI #: 1629389184
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
KSB MEDICAL GROUP
102 S HENNEPIN AVE
ROCK ISLAND, IL 61201
PHONE: (815) 288-7711
E-PRESCRIBE: NO
TEMMERMAN, JOAN C.,
MD
GENDER: F
PROVIDER #: 260471
NPI #: 1710984158
E-PRESCRIBE: NO
GENESIS HEALTH SYSTEM
2560 24TH ST SUITE 202
ROCK ISLAND, IL 61201
PHONE: (309) 786-3395
E-PRESCRIBE: NO
ROBERT YOUNG CENTER
2200 3RD AVE
ROCK ISLAND, IL 61201
PHONE: (309) 779-3086
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
317
Primary Care Physicians
PEDIATRICS
HARTMAN, SARAH L., DO
GENDER: F
PROVIDER #: 282904
NPI #: 1568759520
E-PRESCRIBE: NO
COMMUNITY HEALTH CARE
INC
2750 11TH ST
ROCK ISLAND, IL 61201
PHONE: (563) 336-3000
E-PRESCRIBE: NO
KUKREJA, DEEPNA, MD
GENDER: F
PROVIDER #: 209042
NPI #: 1194017913
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 ST
ROCK ISLAND, IL 61201
PHONE: (563) 327-2100
E-PRESCRIBE: NO
KUKREJA, GAUTAM, MD
GENDER: M
PROVIDER #: 184580
NPI #: 1205151198
E-PRESCRIBE: NO
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
318
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
E-PRESCRIBE: NO
TRINITY MEDICAL CENTER
2701 17TH ST
ROCK ISLAND, IL 61201
PHONE: (309) 779-3045
E-PRESCRIBE: NO
OZAKI, LINDA S., MD
GENDER: F
PROVIDER #: 065338
NPI #: 1053305003
E-PRESCRIBE: NO
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
ROCK ISLAND, IL
ROCKFORD, IL
ROCKFORD, IL
ADULT/INTERNAL
MEDICINE
BARI, HUMAIRA J., MD
GENDER:
PROVIDER #: 126711
NPI #: 1497845135
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
BREFELD, THOMAS J., MD
GENDER: M
PROVIDER #: 103001
NPI #: 1699885871
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
COATES, AARON G., MD
GENDER: M
PROVIDER #: 191719
NPI #: 1871603050
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
318
ROCKFORD, IL
ROCKFORD, IL
DEVENNEY, PHILIPPA M.,
MD
GENDER: F
PROVIDER #: 271064
NPI #: 1518189083
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
DONTARAJU, VENKATA
S., MD
GENDER: M
PROVIDER #: 240736
NPI #: 1821241084
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
7702 N ALPINE RD
ROCKFORD, IL 61111
PHONE: (815) 971-2000
E-PRESCRIBE: NO
Primary Care Physicians
HAHNEL, ROBERT P., MD
GENDER: M
PROVIDER #: 093998
NPI #: 1861502056
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MCHUGH, HUGH T., MD
GENDER:
PROVIDER #: 022380
NPI #: 1578673760
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
HYDER, AHTESHAM, MD
GENDER: M
PROVIDER #: 151446
NPI #: 1740207505
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
MITCHELL, DAVID R., MD
GENDER:
PROVIDER #: 070790
NPI #: 1013027200
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
IVAN, AURELIAN, MD
GENDER:
PROVIDER #: 223430
NPI #: 1841467743
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MONKEMEYER, JON, MD
GENDER: M
PROVIDER #: 092242
NPI #: 1114087731
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MATHEW, MAXINE A., MD
GENDER: F
PROVIDER #: 272070
NPI #: 1578792511
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MUHAMMAD, TRACY L.,
MD
GENDER:
PROVIDER #: 223486
NPI #: 1033161435
E-PRESCRIBE: NO
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
NAEEM, SAIMA, MD
GENDER:
PROVIDER #: 153681
NPI #: 1164478616
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
OLIN, ANNETTE, MD
GENDER: F
PROVIDER #: 223441
NPI #: 1053323881
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
PAK, CHONG H., MD
GENDER:
PROVIDER #: 118329
NPI #: 1003926296
E-PRESCRIBE: NO
ROCKFORD HEALTH
SOLUTIONS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
320
RACANELLI, VINCENT J.,
DO
GENDER: M
PROVIDER #: 135431
NPI #: 1730299926
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
RASKIN, LEONID, MD
GENDER: M
PROVIDER #: 112388
NPI #: 1558471748
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-4026
E-PRESCRIBE: NO
ROGERS, CRAIG B., MD
GENDER: M
PROVIDER #: 073289
NPI #: 1548370737
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2350 N ROCKTON AVE SUITE
302
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
ROCKFORD, IL
ROCKFORD, IL
SIDDIQUI, NADEEM A., MD
GENDER:
PROVIDER #: 116230
NPI #: 1447360631
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
SYED, MALIHA, MD
GENDER:
PROVIDER #: 132531
NPI #: 1043230303
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
320
ROCKFORD, IL
ROCKFORD, IL
YUSAF, OMER, MD
GENDER: M
PROVIDER #: 171559
NPI #: 1669585956
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
ANSARI, MOHAMMED, MD
GENDER:
PROVIDER #: 200494
NPI #: 1649492620
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
Primary Care Physicians
BORCHARDT, ROBIN F.,
MD
GENDER: M
PROVIDER #: 221618
NPI #: 1992734297
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
DELADISMA, MARCONI,
MD
GENDER: M
PROVIDER #: 262776
NPI #: 1477597342
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
321
Primary Care Physicians
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
ECKBURG, JOSEPH, MD
GENDER: M
PROVIDER #: 260840
NPI #: 1154492312
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
GUENEV, PERKA, MD
GENDER:
PROVIDER #: 223414
NPI #: 1205934254
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
322
HERMAN, LUKE, MD
GENDER: M
PROVIDER #: 204348
NPI #: 1457509150
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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, 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
KAUR, AMANDEEP, MD
GENDER: M
PROVIDER #: 278146
NPI #: 1184875072
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
322
ROCKFORD, IL
ROCKFORD, IL
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
KING, MITCHELL S., MD
GENDER: M
PROVIDER #: 109091
NPI #: 1225038276
E-PRESCRIBE: NO
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
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
E-PRESCRIBE: NO
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
LEE, KENTON, MD
GENDER: M
PROVIDER #: 019581
NPI #: 1366426397
E-PRESCRIBE: NO
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
LOPEZ, CASSANDRA M.,
MD
GENDER: F
PROVIDER #: 286032
NPI #: 1619125317
E-PRESCRIBE: NO
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
323
Primary Care Physicians
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
MCDONALD, BRYAN A.,
MD
GENDER: M
PROVIDER #: 126238
NPI #: 1669582854
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2300 ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
NICOLOSI, FRANK J., MD
GENDER: M
PROVIDER #: 135675
NPI #: 1477663664
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
324
NIKA, VASIL, MD
GENDER: M
PROVIDER #: 077628
NPI #: 1811987886
E-PRESCRIBE: NO
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
ROCKFORD, IL
ROCKFORD, IL
PLESCIA, JOHN, MD
GENDER: M
PROVIDER #: 237860
NPI #: 1366671463
E-PRESCRIBE: NO
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
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
NOWAK, MAGDALENA,
MD
GENDER: F
PROVIDER #: 223416
NPI #: 1740439215
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
POCOCK, DAVID G., MD
GENDER: M
PROVIDER #: 084617
NPI #: 1447240445
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
324
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
POLIZZOTTO, MICHAEL
J., MD
GENDER: M
PROVIDER #: 107575
NPI #: 1871595371
E-PRESCRIBE: NO
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
ROHRBACHER, MELISSA,
MD
GENDER:
PROVIDER #: 223417
NPI #: 1649349564
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
ROSS, JOSEPH E., MD
GENDER: M
PROVIDER #: 286073
NPI #: 1487682977
E-PRESCRIBE: NO
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
ROYCE, JEFFERY S., MD
GENDER: M
PROVIDER #: 281607
NPI #: 1619910635
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
325
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
SAJJADI OSKOUEI,
SEYYED A., MD
GENDER: M
PROVIDER #: 252574
NPI #: 1912136896
E-PRESCRIBE: NO
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
326
SAPYING, ATISAK, MD
GENDER: M
PROVIDER #: 008802
NPI #: 1982694980
E-PRESCRIBE: NO
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
ROCKFORD, IL
ROCKFORD, IL
SHARKEY, CARRIE, MD
GENDER: F
PROVIDER #: 030512
NPI #: 1295725323
E-PRESCRIBE: NO
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
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
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
SCHERMER, IAN H., MD
GENDER:
PROVIDER #: 193208
NPI #: 1992815187
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
SCHROEDER, PAUL, MD
GENDER: M
PROVIDER #: 223420
NPI #: 1578623195
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
PHONE: (815) 971-2000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
SHRESTHA, PATRICIA A.,
MD
GENDER: F
PROVIDER #: 286033
NPI #: 1720382088
E-PRESCRIBE: NO
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
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
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
E-PRESCRIBE: NO
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
Primary Care Physicians
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
SOUFAN, BASSAM, MD
GENDER:
PROVIDER #: 033961
NPI #: 1356451546
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
WASHINGTON, CHARLES
M., MD
GENDER: M
PROVIDER #: 186721
NPI #: 1518077700
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
327
Primary Care Physicians
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
WILLIAMS, FARION R., MD
GENDER: M
PROVIDER #: 071143
NPI #: 1568446516
E-PRESCRIBE: NO
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
PEDIATRICS
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
E-PRESCRIBE: NO
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
328
THE WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
BAPTIST, ERROL C., MD
GENDER: M
PROVIDER #: 008772
NPI #: 1043233471
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
ROCKFORD, IL
ROCKFORD, IL
BHATEJA, MANIKA, MD
GENDER: F
PROVIDER #: 281535
NPI #: 1902035777
E-PRESCRIBE: NO
UIC WOMEN & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
DAVIS, RAYMOND A., MD
GENDER: M
PROVIDER #: 193612
NPI #: 1417067604
E-PRESCRIBE: NO
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
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.
328
ROCKFORD, IL
ROCKFORD, IL
Primary Care Physicians
GONZALEZ, ISABEL A.,
MD
GENDER: F
PROVIDER #: 110436
NPI #: 1225148414
E-PRESCRIBE: NO
RMH PEDIATRIC
HOSPITALISTS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
KNEPP, MARC D., MD
GENDER: M
PROVIDER #: 289597
NPI #: 1568686277
E-PRESCRIBE: NO
OSF CHILDRENS MEDICAL
GROUP-CONGENITAL
HEART CENTE
5701 STRATHMOOR DR
ROCKFORD, IL 61107
PHONE: (815) 227-5600
E-PRESCRIBE: NO
HORNBACH, MARK, MD
GENDER: M
PROVIDER #: 024347
NPI #: 1194829515
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
LESNIK, JOSEPH J., MD
GENDER: M
PROVIDER #: 224149
NPI #: 1861470262
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
HUTT, WILLIAM D., MD
GENDER: M
PROVIDER #: 065571
NPI #: 1942310131
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MARTINEZ, MARIA C., MD
GENDER: F
PROVIDER #: 108783
NPI #: 1841300035
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
5970 CHUCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
KASKAVAGE, JILLIAN R.,
MD
GENDER: F
PROVIDER #: 298656
NPI #: 1063788149
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
OMENGAN, IGNACIO U.,
MD
GENDER: M
PROVIDER #: 053696
NPI #: 1912911785
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
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.
329
Primary Care Physicians
PHELAN, KAREN, MD
GENDER: F
PROVIDER #: 297814
NPI #: 1801871017
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2780 MCFARLAND ROAD
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
RHODES, SHARON K., MD
GENDER: F
PROVIDER #: 223941
NPI #: 1093825283
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
POTTS, MICHAEL J., MD
GENDER: M
PROVIDER #: 008720
NPI #: 1881679090
E-PRESCRIBE: NO
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
RODRIGUEZ, ANGELA M.,
MD
GENDER: F
PROVIDER #: 063382
NPI #: 1639289820
E-PRESCRIBE: NO
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
SHAH, ARUNA, MD
GENDER: F
PROVIDER #: 010077
NPI #: 1225138142
E-PRESCRIBE: NO
PEDIATRICS &
ADOLESCENT MEDICINE
419 N MULFORD RD SUITE 1
ROCKFORD, IL 61107
PHONE: (815) 229-9095
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
2780 MCFARLAND ROAD
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
THE WOMENS & CHILDRENS
HEALTH CENTER
2780 MCFARLAND RD
ROCKFORD, IL 61107
PHONE: (815) 637-0000
E-PRESCRIBE: NO
ROCKFORD, IL
ROCKTON, IL
ROCKPORT, IN
FAMILY PRACTICE
MARTIN, SUSAN M., MD
GENDER: F
PROVIDER #: 073528
NPI #: 1184791618
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
330
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
330
ROCKTON, IL
ROCKTON, IL
Primary Care Physicians
IRONSIDE, MARY J., MD
GENDER: F
PROVIDER #: 281594
NPI #: 1275579658
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
KAUR, AMANDEEP, MD
GENDER: M
PROVIDER #: 278146
NPI #: 1184875072
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
POLIZZOTTO, MICHAEL
J., MD
GENDER: M
PROVIDER #: 107575
NPI #: 1871595371
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
NIKA, VASIL, MD
GENDER: M
PROVIDER #: 077628
NPI #: 1811987886
E-PRESCRIBE: NO
UNIVERSITY 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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UNIVERSITY PRIMARY
CARE CLINIC/ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 624-2644
E-PRESCRIBE: NO
KNABE, BRIAN, MD
GENDER: M
PROVIDER #: 141981
NPI #: 1437192408
E-PRESCRIBE: NO
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.
331
ROCKTON, IL
ROCKTON, IL
Primary Care Physicians
ROYCE, JEFFERY S., MD
GENDER: M
PROVIDER #: 281607
NPI #: 1619910635
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
SIMMONS, MARY D., MD
GENDER: F
PROVIDER #: 282746
NPI #: 1457373946
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
332
WOLLSTADT, LOYD, MD
GENDER: M
PROVIDER #: 010897
NPI #: 1356332498
E-PRESCRIBE: NO
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
PEDIATRICS
DAVIS, RAYMOND A., MD
GENDER: M
PROVIDER #: 193612
NPI #: 1417067604
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
332
ROME, IL
ROSCOE, IL
ROME, IL
FAMILY PRACTICE
ORWIG, STACY C., MD
GENDER: F
PROVIDER #: 185662
NPI #: 1982826384
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROME, IL 61562
PHONE: (309) 923-7456
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROME, IL 61562
PHONE: (309) 923-7456
E-PRESCRIBE: NO
ROODHOUSE, IL
FAMILY PRACTICE
ADAMS, AUGUST G., MD
GENDER: M
PROVIDER #: 071511
NPI #: 1992803985
E-PRESCRIBE: NO
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
Primary Care Physicians
FRY, SHAWN M., MD
GENDER: F
PROVIDER #: 294840
NPI #: 1659467793
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
RURAL HEALTH CENTER OF
ROODHOUSE
132 W LORTON ST
ROODHOUSE, IL 62082
PHONE: (217) 589-4629
E-PRESCRIBE: NO
FEDERALLY QUALIFIED
HEALTH CENTER
RURAL HEALTH CENTER
OF ROODHOUSE
GENDER:
PROVIDER #: 203102
NPI #: 1144313180
E-PRESCRIBE: NO
132 W LORTON ST
ROODHOUSE, IL 62082
PHONE: (217) 589-4629
E-PRESCRIBE: NO
ROSCOE, IL
ADULT/INTERNAL
MEDICINE
HANSEN, DAVID L., MD
GENDER: M
PROVIDER #: 151236
NPI #: 1689784878
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
PHONE: (815) 971-2000
E-PRESCRIBE: NO
PEDIATRICS
PETERSON, BRUCE P., MD
GENDER: M
PROVIDER #: 146956
NPI #: 1821108010
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
PHONE: (815) 971-2000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
333
Primary Care Physicians
TAYLOR, JANE K., MD
GENDER: F
PROVIDER #: 274049
NPI #: 1588827588
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
5000 PRAIRIE ROSE RD
ROSCOE, IL 61073
PHONE: (815) 971-2000
E-PRESCRIBE: NO
SUNGA, MARCOS N., MD
GENDER: M
PROVIDER #: 045999
NPI #: 1255331625
E-PRESCRIBE: NO
HARDIN COUNTY GENERAL
HOSPITAL CLINIC
6 FERRELL ROAD
ROSICLARE, IL 62982
PHONE: (618) 285-6634
E-PRESCRIBE: NO
PEDIATRICS
ROSEVILLE, IL
BHASKAR,
SADASHIVAIAH, MD
GENDER: M
PROVIDER #: 220337
NPI #: 1417002098
E-PRESCRIBE: NO
HARDIN COUNTY GENERAL
HOSPITAL CLINIC
6 FERRELL ROAD
ROSICLARE, IL 62982
PHONE: (618) 285-6634
E-PRESCRIBE: NO
FAMILY PRACTICE
LEONARD, RONALD K.,
MD
GENDER: M
PROVIDER #: 042019
NPI #: 1760562177
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
HARDIN COUNTY GENERAL
HOSPITAL CLINIC
6 FERRELL ROAD
ROSICLARE, IL 62982
PHONE: (618) 285-6634
E-PRESCRIBE: NO
334
REDDY, PRADEEP G., MD
GENDER:
PROVIDER #: 226593
NPI #: 1649384892
E-PRESCRIBE: NO
HARDIN COUNTY GENERAL
HOSPITAL CLINIC
6 FERRELL ROAD
ROSICLARE, IL 62982
PHONE: (618) 285-6634
E-PRESCRIBE: NO
ROSCOE, IL
RUSHVILLE, IL
ROSSVILLE, IL
FAMILY PRACTICE
COLBERT, JAY R., DO
GENDER: M
PROVIDER #: 132466
NPI #: 1437379021
E-PRESCRIBE: NO
ROSSVILLE MEDICAL
CENTER
619 N CHICAGO ST
ROSSVILLE, IL 60963
PHONE: (217) 748-4141
E-PRESCRIBE: NO
RUSHVILLE, IL
FAMILY PRACTICE
BITAR, GERARD G., MD
GENDER: M
PROVIDER #: 191078
NPI #: 1821222100
E-PRESCRIBE: NO
HSHS MEDICAL GROUP
108 RODEWALD DR
RUSHVILLE, IL 62681
PHONE: (217) 322-3529
E-PRESCRIBE: NO
SCHROEDER, JENNIFER,
MD
GENDER: F
PROVIDER #: 257200
NPI #: 1003889957
E-PRESCRIBE: NO
SARAH D CULBERTSON
MEMORIAL
238 SOUTH CONGRESS
RUSHVILLE, IL 62681
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
334
SALEM, IL
SAVOY, IL
Primary Care Physicians
SALEM, IL
SALEM, KY
ADULT/INTERNAL
MEDICINE
FAMILY PRACTICE
JHA, GAUTAM, MD
GENDER: M
PROVIDER #: 226215
NPI #: 1447314737
E-PRESCRIBE: NO
SALEM FAMILY HEALTH
CENTER
1250 W WHITTAKER
SALEM, IL 62881
PHONE: (618) 548-3740
E-PRESCRIBE: NO
SHROFF, RAJENDRA R.,
MD
GENDER: M
PROVIDER #: 164386
NPI #: 1245259274
E-PRESCRIBE: NO
SALEM FAMILY HEALTH
CENTER
1250 W WHITTAKER
SALEM, IL 62881
PHONE: (618) 548-3740
E-PRESCRIBE: NO
FAMILY PRACTICE
ZAHOOR, MAHVISH, MD
GENDER: F
PROVIDER #: 111532
NPI #: 1316909021
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CRITTENDEN HEALTH
SYSTEM SYSTEMS INC DBA
BURKHART
117 EAST MAIN STREET
SALEM, KY 42078
PHONE: (270) 988-3839
E-PRESCRIBE: NO
WALLER, CHARLES, MD
GENDER:
PROVIDER #: 047654
NPI #: 1306841341
E-PRESCRIBE: NO
LIVINGSTON HOSPITAL AND
HEALTHCARE SERVICES
INC
131 HOSPITAL DRIVE
SALEM, KY 42078
PHONE: (270) 988-7256
E-PRESCRIBE: NO
SANDWICH, IL
ENGLEHART, ERIK D., MD
GENDER: M
PROVIDER #: 208102
NPI #: 1679581367
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER
2107 CHICAGO AVE
SAVANNA, IL 61074
PHONE: (815) 273-3323
E-PRESCRIBE: NO
SAVOY, IL
FAMILY PRACTICE
DELA CRUZ, MAUREEN
O., MD
GENDER: F
PROVIDER #: 221779
NPI #: 1467767566
E-PRESCRIBE: NO
KISHWAUKEE PHYSICIAN
GROUP INC
1310 N MAIN ST SUITE 208
SANDWICH, IL 60548
PHONE: (630) 552-9830
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
WALKER, NATHAN R., MD
GENDER: M
PROVIDER #: 109269
NPI #: 1629087325
E-PRESCRIBE: YES
CHRISTIE CLINIC
501 N DUNLAP ST
SAVOY, IL 61870
PHONE: (217) 366-5434
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
335
SAVOY, IL
SHAWNEETOWN, IL
Primary Care Physicians
PEDIATRICS
PEDIATRICS
PALAZZOLO, MICHAEL,
MD
GENDER: M
PROVIDER #: 091833
NPI #: 1427065028
E-PRESCRIBE: YES
CHRISTIE CLINIC
507 N DUNLAP
SAVOY, IL 61874
PHONE: (217) 366-2660
E-PRESCRIBE: YES
HOWD, DANA J., MD
GENDER: F
PROVIDER #: 020494
NPI #: 1225083736
E-PRESCRIBE: NO
HOWD MEDICAL LLC
271 N MAIN ST
SENECA, IL 61360
PHONE: (815) 357-8511
E-PRESCRIBE: NO
SESSER, IL
SENECA, IL
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
HOWD, DANA J., MD
GENDER: F
PROVIDER #: 020494
NPI #: 1225083736
E-PRESCRIBE: NO
HOWD MEDICAL LLC
271 N MAIN ST
SENECA, IL 61360
PHONE: (815) 357-8511
E-PRESCRIBE: NO
BEE, LEE P., DO
GENDER: M
PROVIDER #: 249481
NPI #: 1669429908
E-PRESCRIBE: YES
SOUTHERN ILLINOIS
MEDICAL SPECIALISTS LLC
107 W FRANKLIN ST
SESSER, IL 62884
PHONE: (618) 625-2105
E-PRESCRIBE: YES
FAMILY PRACTICE
FAMILY PRACTICE
HOLLOWAY, LIANNE, MD
GENDER: F
PROVIDER #: 188488
NPI #: 1619000932
E-PRESCRIBE: NO
271 N MAIN ST
SENECA, IL 61360
PHONE: (815) 357-8511
E-PRESCRIBE: NO
NANNI, FREDERICA J., MD
GENDER: F
PROVIDER #: 168507
NPI #: 1275570889
E-PRESCRIBE: NO
SESSER COMMUNITY
HEALTH CENTER
6294 STATE HIGHWAY 154
SESSER, IL 62884
PHONE: (618) 625-6979
E-PRESCRIBE: NO
336
SHABBONA, IL
ADULT/INTERNAL
MEDICINE
KHAN, GHORI, MD
GENDER: M
PROVIDER #: 111043
NPI #: 1326072042
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SHAWNEETOWN
COMMUNITY HEALTH
CENTER
9525 GOLD HILL RD
SHAWNEETOWN, IL 62984
PHONE: (618) 269-3815
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
336
SHEFFIELD, IL
SHERMAN, IL
SHEFFIELD, IL
FAMILY PRACTICE
CERNOVICH, RICK S., MD
GENDER: M
PROVIDER #: 280147
NPI #: 1508824723
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SHELBY MEMORIAL
HOSPITAL
200 S CEDAR ST
SHELBYVILLE, IL 62565
PHONE: (217) 774-4400
DOYLE, HANNAH, PA-C;
PROVIDER #: 196389
E-PRESCRIBE: NO
Primary Care Physicians
BOKKA, JAGAN M., MD
GENDER: M
PROVIDER #: 202418
NPI #: 1124274063
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
GENERAL PRACTICE
DAUZ, URBANO A., MD
GENDER: M
PROVIDER #: 032062
NPI #: 1962435669
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SPRINGFIELD CLINIC
SHERMAN
400 ST JOHNS DR
SHERMAN, IL 62684
PHONE: (217) 528-7541
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
337
SHERMAN, IL
SILVIS, IL
Primary Care Physicians
FAMILY PRACTICE
PEDIATRICS
GENERAL PRACTICE
KELLENBERGER, BRYAN,
MD
GENDER: M
PROVIDER #: 285904
NPI #: 1275733073
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
JERCINOVIC PEDIATRICS
611 W JEFFERSON ST
SHOREWOOD, IL 60431
PHONE: (815) 729-1144
E-PRESCRIBE: NO
VITHESPONGSE,
PRIDIPONGSE, MD
GENDER: M
PROVIDER #: 275452
NPI #: 1144223470
E-PRESCRIBE: NO
KEOKUK COUNTY HEALTH
CENTER
23019 HWY 149
SIGOURNEY, IA 52591
PHONE: (641) 622-1170
E-PRESCRIBE: NO
PEDIATRICS
SAGINS, KENNETH R., MD
GENDER: M
PROVIDER #: 027202
NPI #: 1275633968
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ALLIANCE HEALTH
1144 W JEFFERSON ST SUITE
200
SHOREWOOD, IL 60404
PHONE: (815) 741-7590
E-PRESCRIBE: NO
338
SIGOURNEY, IA
FAMILY PRACTICE
CAPIZZANO, JUANA N.,
MD
GENDER: F
PROVIDER #: 290100
NPI #: 1881910628
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
UI HEALTH CARESIGOURNEY
1314 S STUART ST
SIGOURNEY, IA 52591
PHONE: (641) 622-3840
E-PRESCRIBE: NO
PEDIATRICS
GRAEFF, MARY LOU, MD
GENDER: F
PROVIDER #: 272742
NPI #: 1396738902
E-PRESCRIBE: NO
KEOKUK COUNTY HEALTH
CENTER
23019 HWY 149
SIGOURNEY, IA 52591
PHONE: (641) 622-1170
E-PRESCRIBE: NO
SILVIS, IL
ADULT/INTERNAL
MEDICINE
DADHANIYA,
NAVINCHANDRA, MD
GENDER: M
PROVIDER #: 020224
NPI #: 1528058807
E-PRESCRIBE: YES
903 ILLINI DR
SILVIS, IL 61282
PHONE: (309) 792-2100
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
338
SILVIS, IL
SILVIS, IL
POGUE, CHARLES G., MD
GENDER: M
PROVIDER #: 020116
NPI #: 1912995697
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
855 ILLINI DR SUITE 300
SILVIS, IL 61282
PHONE: (309) 281-2040
E-PRESCRIBE: NO
SINGH, DHARAMVEER,
MD
GENDER: M
PROVIDER #: 207498
NPI #: 1972703858
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
855 ILLINI DR SUITE 300
SILVIS, IL 61282
PHONE: (309) 281-2070
E-PRESCRIBE: NO
FAMILY PRACTICE
BULL, JAMES A., MD
GENDER: M
PROVIDER #: 020345
NPI #: 1588669634
E-PRESCRIBE: NO
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
Primary Care Physicians
CARROLL JR, J F KELLY,
MD
GENDER: M
PROVIDER #: 020346
NPI #: 1437154507
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
339
SILVIS, IL
SOUTH BELOIT, IL
Primary Care Physicians
LINDLEY, JAMES A., MD
GENDER: M
PROVIDER #: 020353
NPI #: 1528064052
E-PRESCRIBE: NO
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
SKOKIE, IL
ADULT/INTERNAL
MEDICINE
ANBERBER, SISSAY A.,
MD
GENDER: M
PROVIDER #: 149735
NPI #: 1467613638
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1504 10TH ST
SILVIS, IL 61282
PHONE: (309) 792-6350
E-PRESCRIBE: NO
OLSON, JEFFREY A., MD
GENDER: M
PROVIDER #: 227948
NPI #: 1952374795
E-PRESCRIBE: NO
4905 OLD ORCHARD CTR
SKOKIE, IL 60077
PHONE:
E-PRESCRIBE: NO
WOLF, ROBERT J., MD
GENDER: M
PROVIDER #: 278775
NPI #: 1376566034
E-PRESCRIBE: NO
10024 SKOKIE BLVD #304
SKOKIE, IL 60077
PHONE: (847) 677-8577
E-PRESCRIBE: NO
BAYNESAGN,
WOLDEGABRIEL A., MD
GENDER: M
PROVIDER #: 230891
NPI #: 1801192406
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1504 10TH ST
SILVIS, IL 61282
PHONE: (309) 281-2350
E-PRESCRIBE: NO
SMITHLAND, KY
FAMILY PRACTICE
TRUONG, KHAI C., MD
GENDER: M
PROVIDER #: 296938
NPI #: 1003892548
E-PRESCRIBE: NO
TRI-RIVERS HEALTHCARE
PLLC
205 E ADAIR ST
SMITHLAND, KY 42081
PHONE: (270) 988-3298
E-PRESCRIBE: NO
SMITHTON, IL
FAMILY PRACTICE
SCHENEWERK,
CHRISTOPHER, MD
GENDER: M
PROVIDER #: 101426
NPI #: 1154328722
E-PRESCRIBE: NO
PC ASSOCIATES LLC
4017 ILLINOIS STATE ROUTE
159 SUITE 101
SMITHTON, IL 62285-1702
PHONE: (618) 257-2875
E-PRESCRIBE: NO
SOUTH BELOIT, IL
FAMILY PRACTICE
METCALF, PETER J., MD
GENDER: M
PROVIDER #: 020273
NPI #: 1811993306
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1504 10TH ST
SILVIS, IL 61282
PHONE: (309) 281-2350
E-PRESCRIBE: NO
340
TUAZON, PAULITO D., MD
GENDER: M
PROVIDER #: 020304
NPI #: 1477559391
E-PRESCRIBE: NO
GENESIS HEALTH GROUP
1504 10TH ST
SILVIS, IL 61282
PHONE: (309) 792-6350
E-PRESCRIBE: NO
DUDAS, ANDRZEJ M., DO
GENDER: M
PROVIDER #: 202735
NPI #: 1609037308
E-PRESCRIBE: NO
UNIVERSITY CLINIC AT
SOUTH BELOIT
245 PRAIRIE HILL RD
SOUTH BELOIT, IL 61080
PHONE: (815) 389-9252
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
340
SOUTH BELOIT, IL
SPARTA, IL
840 BLACKHAWK BLVD
SOUTH BELOIT, IL 61080
PHONE: (815) 398-7573
E-PRESCRIBE: NO
KAUR, AMANDEEP, MD
GENDER: M
PROVIDER #: 278146
NPI #: 1184875072
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
2000 MCDONALD RD SUITE
220
SOUTH ELGIN, IL 60177
PHONE: (847) 468-1206
E-PRESCRIBE: NO
Primary Care Physicians
LANGMAN, ROBERT E.,
DO
GENDER: M
PROVIDER #: 235866
NPI #: 1164592432
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
552 RANDALL RD
SOUTH ELGIN, IL 60177-3315
PHONE: (630) 315-6790
E-PRESCRIBE: NO
SOUTH HOLLAND, IL
FAMILY PRACTICE
BRANTA, JEFFREY W., DO
GENDER: M
PROVIDER #: 300844
NPI #: 1083933261
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP SOUTH HOLLAND
100 WEST 162ND ST
SOUTH HOLLAND, IL 60473
PHONE: (708) 730-2200
E-PRESCRIBE: NO
SPARTA, IL
FAMILY PRACTICE
CHUNG, DAVID T., MD
GENDER: M
PROVIDER #: 068537
NPI #: 1417914557
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
SALARDA, ELVIRA S., MD
GENDER: F
PROVIDER #: 028373
NPI #: 1114984283
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
BRADBURY RURAL HEALTH
CLINIC
211 S BURNS AVE
SPARTA, IL 62286
PHONE: (618) 443-4889
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
341
Primary Care Physicians
MORROW, ROBERT W.,
MD
GENDER: M
PROVIDER #: 063399
NPI #: 1295747137
E-PRESCRIBE: NO
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
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
SPRING VALLEY, IL
ADULT/INTERNAL
MEDICINE
LUKANCIC, LOUIS R., MD
GENDER: M
PROVIDER #: 019513
NPI #: 1326153651
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ST MARGARETS HEALTH
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2366
E-PRESCRIBE: NO
342
TUN, THAW, MD
GENDER: M
PROVIDER #: 019463
NPI #: 1326142902
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
ST MARGARETS FAMILY
HEALTH CLINIC
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 663-5981
E-PRESCRIBE: YES
SPARTA, IL
SPRING VALLEY, IL
SCHLAGHECK, DAVID, MD
GENDER: M
PROVIDER #: 034636
NPI #: 1336255157
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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.
342
SPRING VALLEY, IL
SPRINGFIELD, IL
FAMILY PRACTICE OB
SCHLAGHECK, DAVID, MD
GENDER: M
PROVIDER #: 034636
NPI #: 1336255157
E-PRESCRIBE: NO
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
GOEL, NEELAM, MD
GENDER: F
PROVIDER #: 020933
NPI #: 1457360828
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2365
E-PRESCRIBE: NO
Primary Care Physicians
600 E FIRST ST 2ND FLR
SPRING VALLEY, IL 61362
PHONE: (815) 663-2811
E-PRESCRIBE: NO
VALENCIA, ROSEMARY
B., MD
GENDER: F
PROVIDER #: 005158
NPI #: 1649285362
E-PRESCRIBE: NO
600 E FIRST ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2630
E-PRESCRIBE: NO
SPRINGFIELD, IL
ADULT/INTERNAL
MEDICINE
AMIN SHEHATA, ALFRED
L., MD
GENDER: M
PROVIDER #: 252565
NPI #: 1144538430
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
AW, DIANE H., MD
GENDER: F
PROVIDER #: 253837
NPI #: 1053632844
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1700
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
343
Primary Care Physicians
BOWERS, STEVEN R., MD
GENDER: M
PROVIDER #: 044785
NPI #: 1093713562
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CAPITOL HEALTHCARE
MEDICAL ASSOCIATES LLC
2603 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-0307
DAMBACHER, MARY, NP;
PROVIDER #: 280847
E-PRESCRIBE: NO
BUSSING, ROBERT C., MD
GENDER: M
PROVIDER #: 051673
NPI #: 1699751354
E-PRESCRIBE: NO
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
344
CAGA-ANAN, REXANNE
L., MD
GENDER: F
PROVIDER #: 276649
NPI #: 1386933877
E-PRESCRIBE: NO
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
CHODASH, HOWARD B.,
MD
GENDER: M
PROVIDER #: 283916
NPI #: 1295720027
E-PRESCRIBE: YES
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-9722
E-PRESCRIBE: YES
COMERFORD, MICHAEL
V., MD
GENDER: M
PROVIDER #: 044786
NPI #: 1497753974
E-PRESCRIBE: NO
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
COUGHLIN, WILLIAM N.,
MD
GENDER: M
PROVIDER #: 083845
NPI #: 1376542266
E-PRESCRIBE: YES
2524 FARRAGUT DRIVE
SPRINGFIELD, IL 62704
PHONE: (217) 726-9020
E-PRESCRIBE: YES
CRAMER, ROBERT, MD
GENDER: M
PROVIDER #: 283750
NPI #: 1366451791
E-PRESCRIBE: YES
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-9722
E-PRESCRIBE: YES
FLORENCE, NICOLE A.,
MD
GENDER: F
PROVIDER #: 061200
NPI #: 1811983851
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
344
SPRINGFIELD, IL
SPRINGFIELD, IL
HANSEN, MARK E., MD
GENDER: M
PROVIDER #: 028524
NPI #: 1861488801
E-PRESCRIBE: NO
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
HARNEY, ALFRED N., MD
GENDER: M
PROVIDER #: 283778
NPI #: 1972512374
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1700
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
E-PRESCRIBE: NO
Primary Care Physicians
HLAFKA, MARTHA L., MD
GENDER: F
PROVIDER #: 247018
NPI #: 1215162102
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
JOHNSTON, CHAD R., MD
GENDER: M
PROVIDER #: 237604
NPI #: 1538239520
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
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
KOVACH, REGINA, MD
GENDER: F
PROVIDER #: 079073
NPI #: 1164407169
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
345
Primary Care Physicians
KWONG, HELEN D., MD
GENDER: F
PROVIDER #: 230082
NPI #: 1346357886
E-PRESCRIBE: NO
ST JOHNS HEALTH CENTER
AT PANTHER CREEK
2801 MATHERS RD
SPRINGFIELD, IL 62711
PHONE: (217) 789-3600
E-PRESCRIBE: NO
LAFATA, JAMES M., MD
GENDER: M
PROVIDER #: 284089
NPI #: 1407866270
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
MAURER, JOSEPH J., MD
GENDER: M
PROVIDER #: 283829
NPI #: 1265442883
E-PRESCRIBE: YES
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-9722
E-PRESCRIBE: YES
346
SPRINGFIELD, IL
SPRINGFIELD, IL
MCAFEE, CATHY L., MD
GENDER: F
PROVIDER #: 153951
NPI #: 1154579308
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
ONGUTI, SHARON K., MD
GENDER: F
PROVIDER #: 277733
NPI #: 1427341866
E-PRESCRIBE: NO
SIU HEALTHCARE
751 N RUTLEDGE STE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
MUSINIPALLY, SUNIL, MD
GENDER: M
PROVIDER #: 263618
NPI #: 1497965065
E-PRESCRIBE: NO
HSHS MEDICAL GROUP INC
800 E CARPENTER ST
SPRINGFIELD, IL 62769
PHONE: (217) 544-6464
E-PRESCRIBE: NO
PAPIREDDY,
MURALIDHAR R., MD
GENDER: M
PROVIDER #: 186817
NPI #: 1902136914
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0812
E-PRESCRIBE: NO
NALLALA, DEEPIKA R.
GENDER: F
PROVIDER #: 256415
NPI #: 1851609739
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
HSHS MEDICAL GROUP INC
2801 MATHERS RD
SPRINGFIELD, IL 62711
PHONE: (217) 789-3600
E-PRESCRIBE: NO
PISOH, WATCOUNNCHINDA E., MD
GENDER: M
PROVIDER #: 283752
NPI #: 1568759512
E-PRESCRIBE: NO
SIU HEALTHCARE
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
PITTMAN, DAVID D., MD
GENDER: M
PROVIDER #: 180758
NPI #: 1124052030
E-PRESCRIBE: NO
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
346
SPRINGFIELD, IL
SPRINGFIELD, IL
PRASAD, PINNAMANENI,
MD
GENDER:
PROVIDER #: 283832
NPI #: 1730199829
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0812
E-PRESCRIBE: NO
RULL, GARY, MD
GENDER: M
PROVIDER #: 078680
NPI #: 1154306017
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-3880
E-PRESCRIBE: NO
Primary Care Physicians
RUSSO, MARINA, MD
GENDER: F
PROVIDER #: 283895
NPI #: 1174510978
E-PRESCRIBE: YES
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
SALAZAR, LAURA Y., MD
GENDER: F
PROVIDER #: 186249
NPI #: 1336333228
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
SAUNDERS, MARY A., MD
GENDER: F
PROVIDER #: 011726
NPI #: 1255301107
E-PRESCRIBE: NO
CAPITOL HEALTHCARE
MEDICAL ASSOCIATES LLC
2603 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-0307
E-PRESCRIBE: NO
SHULL, GARY G., MD
GENDER: M
PROVIDER #: 008112
NPI #: 1326148016
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
AMIDON, LAURA, NP;
PROVIDER #: 060237
E-PRESCRIBE: YES
STEWARD, DAVID, MD
GENDER: M
PROVIDER #: 040335
NPI #: 1104801075
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
347
Primary Care Physicians
TODD, CHRISTINE, MD
GENDER: F
PROVIDER #: 063297
NPI #: 1861477747
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
TSANG, CELINA C., MD
GENDER: F
PROVIDER #: 283796
NPI #: 1447260344
E-PRESCRIBE: YES
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE: (217) 698-9722
E-PRESCRIBE: YES
TOWNSEND, WINSTON J.,
MD
GENDER: M
PROVIDER #: 043999
NPI #: 1003889411
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
ELY, MARY E., FNP;
PROVIDER #: 176114
E-PRESCRIBE: NO
VARGAS, OMAR A., MD
GENDER: M
PROVIDER #: 197459
NPI #: 1639390388
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1700
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
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
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
348
VARNEY, ANDREW, MD
GENDER: M
PROVIDER #: 049197
NPI #: 1467437343
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
BLESSMAN, DONNA J., FNP;
PROVIDER #: 133769
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
VASCONCELLES, CARA
E., MD
GENDER: F
PROVIDER #: 044787
NPI #: 1114992658
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
KOKE MILL MEDICAL
CENTER
3132 OLD JACKSONVILLE RD
SUITE 200
SPRINGFIELD, IL 62794
PHONE: (217) 862-0800
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
348
SPRINGFIELD, IL
SPRINGFIELD, IL
WHITE, NEVILLE, MD
GENDER: M
PROVIDER #: 008119
NPI #: 1861589103
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
YU, WILLIAM, MD
GENDER: M
PROVIDER #: 008558
NPI #: 1003903931
E-PRESCRIBE: NO
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
Primary Care Physicians
FAMILY PRACTICE
ALBERS, JANET, MD
GENDER: F
PROVIDER #: 032830
NPI #: 1023006913
E-PRESCRIBE: NO
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
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
AVILA, AMBER N., MD
GENDER: F
PROVIDER #: 255526
NPI #: 1295056737
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SOUTHERN ILLINOIS
UNIVERSITY
520 N 4TH ST
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
BARNHART, AMBER J.,
MD
GENDER: F
PROVIDER #: 021096
NPI #: 1215926183
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
HSHS MEDICAL GROUP INC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
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
2329 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
350
BLAND, GEOFFREY A., MD
GENDER: M
PROVIDER #: 008053
NPI #: 1629188958
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
SPRINGFIELD PRIORITY
CARE ATTN PRACTICE
MANAGER
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
BRENHAM, CAREYANA
M., MD
GENDER: F
PROVIDER #: 082376
NPI #: 1568451946
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
350
SPRINGFIELD, IL
SPRINGFIELD, IL
CENTRAL COUNTIES
HEALTH CENTERS INC
GENDER:
PROVIDER #: 156173
NPI #: 1861480709
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
EL-AMIN, WENDI R., MD
GENDER: F
PROVIDER #: 271073
NPI #: 1033239496
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
HIGUCHI, MASAYA, MD
GENDER: M
PROVIDER #: 226268
NPI #: 1457544892
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
HSHS MEDICAL GROUP
11110
2901 OLD JACKSONVILLE RD
SUITE A
SPRINGFIELD, IL 62704-7437
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
351
Primary Care Physicians
KOZAK, STEFAN P., MD
GENDER: M
PROVIDER #: 008085
NPI #: 1265530596
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
GARNER, DEBRA S., NP;
PROVIDER #: 112575
E-PRESCRIBE: YES
KRECKMAN, JOHN F., MD
GENDER: M
PROVIDER #: 295487
NPI #: 1124126909
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
352
SPRINGFIELD, IL
SPRINGFIELD, IL
LAUSEN, HARALD, DO
GENDER: M
PROVIDER #: 137464
NPI #: 1396878674
E-PRESCRIBE: NO
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
LOPP, LAURI F., MD
GENDER: F
PROVIDER #: 120504
NPI #: 1831189539
E-PRESCRIBE: NO
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
LEE, JOHN K., MD
GENDER: M
PROVIDER #: 201954
NPI #: 1952566184
E-PRESCRIBE: NO
SOUTH SIXTH MEDICAL
ASSOCIATES LLC
2950 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 588-7450
E-PRESCRIBE: NO
MCKAY, MARK T., MD
GENDER: M
PROVIDER #: 027204
NPI #: 1013015031
E-PRESCRIBE: YES
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
LEWIS, STEVEN J., MD
GENDER: M
PROVIDER #: 135575
NPI #: 1598763880
E-PRESCRIBE: NO
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
GARNER, DEBRA S., NP;
PROVIDER #: 112575
E-PRESCRIBE: NO
MIROCHA, NICHOLE J.,
DO
GENDER: F
PROVIDER #: 133981
NPI #: 1457573388
E-PRESCRIBE: NO
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.
352
SPRINGFIELD, IL
SPRINGFIELD, IL
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
Primary Care Physicians
SPRINGFIELD PRIORITY
CARE ATTN PRACTICE
MANAGER
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
OBRIEN, DANIEL K., MD
GENDER: M
PROVIDER #: 283883
NPI #: 1356351811
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
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
E-PRESCRIBE: NO
SPRINGFIELD CLINIC
1100 CENTRE WEST DR
SPRINGFIELD, IL 62704
PHONE: (217) 793-9960
WITMER, JAMEY L., FNP;
PROVIDER #: 239032
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
353
Primary Care Physicians
ROTONDO, ERICA A., MD
GENDER: F
PROVIDER #: 278152
NPI #: 1447484977
E-PRESCRIBE: NO
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
THOMAS, CYNTHIA, MD
GENDER: F
PROVIDER #: 038971
NPI #: 1447249875
E-PRESCRIBE: NO
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
SAPETTI, LARRY, MD
GENDER: M
PROVIDER #: 121987
NPI #: 1811929177
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
1100 CENTRE WEST DR
SPRINGFIELD, IL 62704
PHONE: (217) 793-9960
HERZBERGER, ROSEMARY L.,
CFNP; PROVIDER #: 188345
E-PRESCRIBE: YES
354
STEGEMAN, JAMES R.,
MD
GENDER: M
PROVIDER #: 008113
NPI #: 1205936895
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
STEPHENS, TERESA L., CNP;
PROVIDER #: 066225
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
HSHS MEDICAL GROUP
2901 OLD JACKSONVILLE
ROAD SUITE B4
SPRINGFIELD, IL 62704
PHONE: (217) 241-3586
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
VILLAFUERTE, LYDIA S.,
MD
GENDER: F
PROVIDER #: 166842
NPI #: 1548249469
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
WESTERN, JENNIFER, MD
GENDER: F
PROVIDER #: 008983
NPI #: 1407957475
E-PRESCRIBE: YES
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.
354
SPRINGFIELD, IL
SPRINGFIELD, IL
WESTERN, RANDY, MD
GENDER: M
PROVIDER #: 008984
NPI #: 1760424584
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
GARNER, DEBRA S., NP;
PROVIDER #: 112575
E-PRESCRIBE: YES
WIDICUS, DIANA T., MD
GENDER: F
PROVIDER #: 003147
NPI #: 1851471072
E-PRESCRIBE: NO
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
YAFFE, STUART A., MD
GENDER: M
PROVIDER #: 008123
NPI #: 1992806988
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
1100 CENTRE WEST DR
SPRINGFIELD, IL 62704
PHONE: (217) 793-9960
E-PRESCRIBE: YES
Primary Care Physicians
YAP, DENNIS, MD
GENDER: M
PROVIDER #: 252886
NPI #: 1508967597
E-PRESCRIBE: YES
YAP FAMILY PRACTICE LTD
2979 LINDBERGH BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 652-2416
E-PRESCRIBE: YES
FEDERALLY QUALIFIED
HEALTH CENTER
CENTRAL COUNTIES
HEALTH CENTERS INC
GENDER:
PROVIDER #: 156173
NPI #: 1861480709
E-PRESCRIBE: NO
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
PEDIATRICS
BATTERMAN, CRAIG E.,
MD
GENDER: M
PROVIDER #: 069806
NPI #: 1134101769
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST SUITE PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-7732
E-PRESCRIBE: NO
BHANDARI, PURVI P., MD
GENDER:
PROVIDER #: 259922
NPI #: 1649436809
E-PRESCRIBE: NO
SPRINGFIELD CLINIC LLP
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
E-PRESCRIBE: NO
BLEYER, JOHN E., MD
GENDER: M
PROVIDER #: 044783
NPI #: 1538166467
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
355
Primary Care Physicians
BLEYER, LORIE A., MD
GENDER: F
PROVIDER #: 044784
NPI #: 1952308884
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
CASTALDO, RAYMOND L.,
MD
GENDER: M
PROVIDER #: 008061
NPI #: 1568558484
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
E-PRESCRIBE: YES
356
SPRINGFIELD, IL
SPRINGFIELD, IL
COMERFORD, MICHAEL
V., MD
GENDER: M
PROVIDER #: 044786
NPI #: 1497753974
E-PRESCRIBE: NO
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
EHRLICH, CHRISTOPHER
B., MD
GENDER: M
PROVIDER #: 094238
NPI #: 1134213820
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 787-9424
PURSEGLOVE, TRACY A.,
CPNP; PROVIDER #: 061810
E-PRESCRIBE: YES
DELA CRUZ, MARTHE K.,
MD
GENDER: F
PROVIDER #: 169164
NPI #: 1326257098
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST SUITE PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-4238
E-PRESCRIBE: NO
FLORENCE, NICOLE A.,
MD
GENDER: F
PROVIDER #: 061200
NPI #: 1811983851
E-PRESCRIBE: NO
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
DOLAN, VIRGINIA M., MD
GENDER: F
PROVIDER #: 009848
NPI #: 1912905415
E-PRESCRIBE: NO
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
GILLISON, CLAUDINE T.,
MD
GENDER: F
PROVIDER #: 182717
NPI #: 1013126317
E-PRESCRIBE: NO
SPRINGFIELD CLINIC
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
356
SPRINGFIELD, IL
SPRINGFIELD, IL
JOHN, ASHISH, MD
GENDER: M
PROVIDER #: 166898
NPI #: 1346452174
E-PRESCRIBE: NO
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
JOHN, TEENA, MD
GENDER: F
PROVIDER #: 166896
NPI #: 1437371010
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
Primary Care Physicians
KINK, LYNN M., MD
GENDER: F
PROVIDER #: 180746
NPI #: 1225255847
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST SUITE PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-7732
E-PRESCRIBE: NO
MINER, MICHELLE M., MD
GENDER: F
PROVIDER #: 076725
NPI #: 1285617456
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
357
Primary Care Physicians
SANDERCOCK, DAVID B.,
MD
GENDER: M
PROVIDER #: 061220
NPI #: 1770556565
E-PRESCRIBE: NO
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
SAVAGE, VERONICA G.,
MD
GENDER: F
PROVIDER #: 014791
NPI #: 1447350137
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
E-PRESCRIBE: YES
STEH, BETH A., MD
GENDER: F
PROVIDER #: 009849
NPI #: 1669572251
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
E-PRESCRIBE: YES
TAYLOR, JANE K., MD
GENDER: F
PROVIDER #: 202702
NPI #: 1588827588
E-PRESCRIBE: NO
HSHS MEDICAL GROUP
PEDIATRICS-PRAIRIE
CROSSING
4337 CONESTOGA DR
SPRINGFIELD, IL 62711
PHONE: (217) 789-3620
E-PRESCRIBE: NO
358
UNAL, SHEREF H., MD
GENDER: M
PROVIDER #: 136841
NPI #: 1730297607
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-8000
E-PRESCRIBE: NO
VASCONCELLES, CARA
E., MD
GENDER: F
PROVIDER #: 044787
NPI #: 1114992658
E-PRESCRIBE: NO
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
VLAHOS, KORINE, MD
GENDER: F
PROVIDER #: 050433
NPI #: 1720053267
E-PRESCRIBE: NO
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
SPRINGFIELD, IL
ST CHARLES, IL
ST CHARLES, IL
ADULT/INTERNAL
MEDICINE
CATCHING, KAREN C., MD
GENDER: F
PROVIDER #: 270263
NPI #: 1336219682
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD
ST CHARLES, IL 60174
PHONE: (630) 208-3200
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
358
ST CHARLES, IL
ST CHARLES, IL
VAN ROEKEL, VIVIAN, MD
GENDER: F
PROVIDER #: 269132
NPI #: 1487657524
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD SUITE 101
ST CHARLES, IL 60174-5799
PHONE: (630) 513-8275
E-PRESCRIBE: NO
Primary Care Physicians
HEREDIA, ELIZABETH A.,
MD
GENDER: F
PROVIDER #: 107453
NPI #: 1194755843
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD STE 200
ST CHARLES, IL 60174-5799
PHONE: (630) 377-7900
E-PRESCRIBE: NO
KWIATKOWSKI,
MADELINE C., DO
GENDER: F
PROVIDER #: 253700
NPI #: 1245319979
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD SUITE 200
ST CHARLES, IL 60174-5799
PHONE: (630) 377-7900
E-PRESCRIBE: NO
PEDIATRICS
HOLGADO-COCJIN,
MARIA, MD
GENDER: F
PROVIDER #: 256337
NPI #: 1164407508
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD
ST CHARLES, IL 60174-5799
PHONE: (630) 797-4255
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
359
ST CHARLES, IL
STEELEVILLE, IL
Primary Care Physicians
SMITH, SARAH E., MD
GENDER: F
PROVIDER #: 256319
NPI #: 1275796260
E-PRESCRIBE: NO
DREYER CLINIC-ST
CHARLES
3310 W MAIN ST SUITE 200
ST CHARLES, IL 60175
PHONE: (630) 897-6044
E-PRESCRIBE: NO
STAUNTON, IL
FAMILY PRACTICE
POOS, JOSHUA D., MD
GENDER: M
PROVIDER #: 162610
NPI #: 1134142540
E-PRESCRIBE: NO
COMMUNITY FAMILY
PRACTICE
325 N CALDWELL ST
STAUNTON, IL 62088
PHONE: (618) 635-4333
E-PRESCRIBE: NO
SWEENEY-GOTSCH,
BRIDGET M., MD
GENDER: F
PROVIDER #: 256572
NPI #: 1932339132
E-PRESCRIBE: NO
DREYER CLINIC ST
CHARLES
3310 W MAIN ST SUITE 200
ST CHARLES, IL 60175
PHONE: (630) 897-6044
E-PRESCRIBE: NO
STEELEVILLE, IL
ADULT/INTERNAL
MEDICINE
TAPAS, NICHOLAS J., MD
GENDER: M
PROVIDER #: 269205
NPI #: 1730144171
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
2900 FOXFIELD RD SUITE 202
ST CHARLES, IL 60174-5799
PHONE: (630) 797-4255
E-PRESCRIBE: NO
360
FEINERMAN, ADRIAN D.,
MD
GENDER: M
PROVIDER #: 105069
NPI #: 1568484590
E-PRESCRIBE: NO
FEINERMAN FAMILY
PRACTICE
501 W ILLINOIS ST
STEELEVILLE, IL 62288
PHONE: (618) 965-9266
E-PRESCRIBE: NO
FAMILY PRACTICE
KRIEG, JAMES R., MD
GENDER: M
PROVIDER #: 036081
NPI #: 1851402390
E-PRESCRIBE: NO
STEELEVILLE FAMILY
PRACTICE
602 W SHAWNEETOWN
TRAIL
STEELEVILLE, IL 62288
PHONE: (618) 965-3382
ALBERTINI, ANGELA M., PA-C;
PROVIDER #: 172577
E-PRESCRIBE: NO
LOWRY-ROHLFING, LISA
A., MD
GENDER: F
PROVIDER #: 035316
NPI #: 1386755973
E-PRESCRIBE: NO
STEELEVILLE FAMILY
PRACTICE
602 W SHAWNEETOWN
TRAIL
STEELEVILLE, IL 62288
PHONE: (618) 965-3382
BLECHLE, VALERIE, FNP;
PROVIDER #: 272783
E-PRESCRIBE: NO
MOLNAR, JOSEPH P., DO
GENDER: M
PROVIDER #: 221046
NPI #: 1306881412
E-PRESCRIBE: YES
STEELEVILLE FAMILY
PRACTICE
602 W SHAWNEETOWN
TRAIL
STEELEVILLE, IL 62288
PHONE: (618) 965-3382
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
360
STEELEVILLE, IL
STREATOR, IL
PLATT, STEPHEN M., MD
GENDER: M
PROVIDER #: 035317
NPI #: 1720053077
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
STEELEVILLE CLINIC
9 WESTWOOD DR
STEELEVILLE, IL 62288
PHONE: (618) 965-3466
E-PRESCRIBE: YES
Primary Care Physicians
STEWARDSON, IL
ADULT/INTERNAL
MEDICINE
KOWALSKI, DAVID J., MD
GENDER: M
PROVIDER #: 055355
NPI #: 1538194600
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
MARSHALL CLINIC
EFFINGHAM, SC
405 S PINE ST
STEWARDSON, IL 62463
PHONE: (217) 682-3373
BUSHUR, VICKIE S., APN;
PROVIDER #: 191652
E-PRESCRIBE: YES
STOCKTON, IL
FAMILY PRACTICE
CLEARY, MARTIN, MD
GENDER: M
PROVIDER #: 079106
NPI #: 1104890482
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
2377 N BLOOMINGTON ST
STE B
STREATOR, IL 61364-1307
PHONE: (815) 673-2441
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
361
Primary Care Physicians
KARKERA, DAMODARA,
MD
GENDER: M
PROVIDER #: 020179
NPI #: 1225090434
E-PRESCRIBE: NO
104 W SIXTH ST SUITE 302
STREATOR, IL 61364
PHONE: (815) 673-1565
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
MIKEWORTH, JAMES B.,
MD
GENDER: M
PROVIDER #: 252545
NPI #: 1790927309
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
104 E BRIDGE ST
STREATOR, IL 61364
PHONE: (815) 672-0567
E-PRESCRIBE: NO
FAMILY PRACTICE
RICCA, GLEN L., MD
GENDER: M
PROVIDER #: 021944
NPI #: 1730134073
E-PRESCRIBE: NO
CAMELOT TERRACE
516 W FRENCH ST
STREATOR, IL 61364
PHONE: (815) 672-2600
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
362
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
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
E-PRESCRIBE: NO
CAMELOT TERRACE
516 W FRENCH ST
STREATOR, IL 61364
PHONE: (815) 672-2600
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
STREATOR, IL
STREATOR, IL
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
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
362
SUGAR GROVE, IL
SYCAMORE, IL
SUGAR GROVE, IL
Primary Care Physicians
SULLIVAN, IL
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
VUONG, KELLY, MD
GENDER: F
PROVIDER #: 227063
NPI #: 1073511135
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
414 DIVISION ST
SUGAR GROVE, IL 60554-5109
PHONE: (630) 315-1010
E-PRESCRIBE: NO
BUKHARI, FAISAL, MD
GENDER: M
PROVIDER #: 033815
NPI #: 1376545509
E-PRESCRIBE: NO
SULLIVAN FAMILY CARE
CENTER
TWO W ADAMS ST
SULLIVAN, IL 61951
PHONE: (217) 728-7353
MILLER, KIM L., ARNP;
PROVIDER #: 089263
E-PRESCRIBE: NO
PEDIATRICS
SCHULMAN, DANIEL J.,
MD
GENDER: M
PROVIDER #: 269265
NPI #: 1871507541
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
414 DIVISION ST
SUGAR GROVE, IL 60554-5109
PHONE: (630) 315-1010
E-PRESCRIBE: NO
FAMILY PRACTICE
DORNER, MATTHEW J.,
MD
GENDER: M
PROVIDER #: 192649
NPI #: 1528176880
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SULLIVAN FAMILY CARE
CENTER
2 W ADAMS ST
SULLIVAN, IL 61951
PHONE: (217) 728-7353
CLAYTON, JACQUELINE R.,
APRN; PROVIDER #: 131335
E-PRESCRIBE: NO
HARTMAN, PATRICK, MD
GENDER: M
PROVIDER #: 053300
NPI #: 1861508160
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SUDHAKAR KONDA MD
FAMILY MEDICINE
1220 W JACKSON ST
SULLIVAN, IL 61951
PHONE: (217) 728-2042
E-PRESCRIBE: NO
SYCAMORE, IL
ADULT/INTERNAL
MEDICINE
AHMAD, SHAKEEL, MD
GENDER: M
PROVIDER #: 065881
NPI #: 1891704029
E-PRESCRIBE: NO
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
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.
363
Primary Care Physicians
HAAB, ROGER L., MD
GENDER: M
PROVIDER #: 008454
NPI #: 1386653517
E-PRESCRIBE: NO
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
KHAN, GHORI, MD
GENDER: M
PROVIDER #: 111043
NPI #: 1326072042
E-PRESCRIBE: YES
KISHWAUKEE INTERNISTS
SC
2535 W BETHANY RD SUITE
201
SYCAMORE, IL 60178
PHONE: (815) 754-0300
E-PRESCRIBE: YES
MORKER, BHAGAVATLAL
A., MD
GENDER:
PROVIDER #: 290443
NPI #: 1871505917
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
364
PATEL, RAKESHKUMAR
K., MD
GENDER:
PROVIDER #: 290427
NPI #: 1437168671
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
DEKALB CLINIC
1850 GATEWAY DR
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
THAKKAR, DHAVAL, MD
GENDER: M
PROVIDER #: 062767
NPI #: 1720090871
E-PRESCRIBE: NO
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
SYCAMORE, IL
SYCAMORE, IL
FAMILY PRACTICE
ALLEN, JAMISON D., DO
GENDER: M
PROVIDER #: 105156
NPI #: 1184614760
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
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.
364
SYCAMORE, IL
TAYLORVILLE, IL
PEDIATRICS
COOK, SUZANNE R., MD
GENDER: F
PROVIDER #: 008450
NPI #: 1134138365
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
Primary Care Physicians
TABLE GROVE, IL
TAYLORVILLE, IL
ADULT/INTERNAL
MEDICINE
ADULT/INTERNAL
MEDICINE
TOWNSEND, WINSTON J.,
MD
GENDER: M
PROVIDER #: 043999
NPI #: 1003889411
E-PRESCRIBE: NO
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
DELVALLE, RICHARD K.,
MD
GENDER: M
PROVIDER #: 008670
NPI #: 1932290384
E-PRESCRIBE: NO
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-4939
BRUMMET, SANDRA J., NP;
PROVIDER #: 109503
E-PRESCRIBE: NO
FAMILY PRACTICE
BITAR, GERARD G., MD
GENDER: M
PROVIDER #: 191078
NPI #: 1821222100
E-PRESCRIBE: NO
HSHS MEDICAL GROUP
130 N BROADWAY ST
TABLE GROVE, IL 61482
PHONE: (309) 758-5070
E-PRESCRIBE: NO
GILL, PAVINDERPAL S.,
MD
GENDER: M
PROVIDER #: 008510
NPI #: 1245336148
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
365
Primary Care Physicians
PRABHU, MANJESHWAR,
MD
GENDER: M
PROVIDER #: 008667
NPI #: 1770683450
E-PRESCRIBE: NO
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-4939
BRUMMET, SANDRA J., NP;
PROVIDER #: 109503
E-PRESCRIBE: NO
GENERAL PRACTICE
FAMILY PRACTICE
DELUKA, JENNIFER M.,
MD
GENDER: F
PROVIDER #: 253138
NPI #: 1740591619
E-PRESCRIBE: NO
SPRINGFIELD CLINIC LLP
600 N MAIN
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: NO
KIEL, DAVID J., MD
GENDER: M
PROVIDER #: 008511
NPI #: 1447358726
E-PRESCRIBE: YES
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
MILICEVIC, DRAGICIA N.,
MD
GENDER: F
PROVIDER #: 225461
NPI #: 1245344357
E-PRESCRIBE: NO
SPRINGFIELD CLINIC LLP
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
E-PRESCRIBE: NO
366
CHEN, HWA L., MD
GENDER: M
PROVIDER #: 068582
NPI #: 1104854918
E-PRESCRIBE: NO
CC MEDICAL CLINIC
1141 N CHENEY ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-7477
E-PRESCRIBE: NO
PEDIATRICS
FREIJ, YASER B., MD
GENDER: M
PROVIDER #: 008507
NPI #: 1104919836
E-PRESCRIBE: NO
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
TAYLORVILLE, IL
TEUTOPOLIS, IL
MCCLINTOCK, ROGER,
MD
GENDER: M
PROVIDER #: 016533
NPI #: 1043318066
E-PRESCRIBE: YES
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
TEUTOPOLIS, IL
FAMILY PRACTICE
BLOEMER, ERIC A., MD
GENDER: M
PROVIDER #: 223295
NPI #: 1073742664
E-PRESCRIBE: YES
MID ILLINOIS MEDICAL
CARE ASSOC
206 N PEARL ST
TEUTOPOLIS, IL 62467
PHONE: (217) 857-6481
E-PRESCRIBE: YES
MERKEL, JOHN U., MD
GENDER: M
PROVIDER #: 054835
NPI #: 1972563500
E-PRESCRIBE: NO
MID ILLINOIS MEDICAL
CARE
206 N PEARL
TEUTOPOLIS, IL 62467
PHONE: (217) 857-6481
KRUGER, MARCIE N., CNP;
PROVIDER #: 070987
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
366
TEUTOPOLIS, IL
TROY, IL
RUNDE, CHARLES W., MD
GENDER: M
PROVIDER #: 002589
NPI #: 1760442214
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
100 E FIFTH ST
TILTON, IL 61833
PHONE: (217) 443-5480
E-PRESCRIBE: YES
TOLUCA, IL
FAMILY PRACTICE
RICCA, GLEN L., MD
GENDER: M
PROVIDER #: 021944
NPI #: 1730134073
E-PRESCRIBE: NO
ASTA CARE
101 E VIA GHIGLIERI
TOLUCA, IL 61369
PHONE: (815) 452-2367
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
Primary Care Physicians
WARGO, MARK A., MD
GENDER: M
PROVIDER #: 049165
NPI #: 1457304156
E-PRESCRIBE: NO
ASTA CARE
101 E VIA GHIGLIERI
TOLUCA, IL 61369
PHONE: (815) 452-2367
LUCKEY, JOAN M., FNP;
PROVIDER #: 143545
E-PRESCRIBE: NO
TREMONT, IL
LOVELL, JOHN, MD
GENDER: M
PROVIDER #: 010776
NPI #: 1366442881
E-PRESCRIBE: NO
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
TROY, IL
FAMILY PRACTICE
BAER, JOHN D., MD
GENDER: M
PROVIDER #: 010775
NPI #: 1255331773
E-PRESCRIBE: NO
TREMONT MEDICAL CLINIC
105 S LOCUST ST
TREMONT, IL 61568
PHONE: (309) 925-2961
BURKS, TERESA L., APN;
PROVIDER #: 073081
E-PRESCRIBE: NO
FAMILY PRACTICE
KRALL, DIANE C., MD
GENDER: F
PROVIDER #: 108547
NPI #: 1144215708
E-PRESCRIBE: NO
TREMONT MEDICAL CLINIC
105 S LOCUST ST
TREMONT, IL 61568
PHONE: (309) 925-2961
BURKS, TERESA L., APN;
PROVIDER #: 073081
E-PRESCRIBE: NO
LOPATIN, ERIC D., MD
GENDER: M
PROVIDER #: 103604
NPI #: 1356381271
E-PRESCRIBE: NO
LOPATIN AND ASSOCIATES
301 EDWARDSVILLE ROAD
TROY, IL 62294
PHONE: (618) 667-7057
E-PRESCRIBE: NO
BROSS, DEBORAH L., MD
GENDER: F
PROVIDER #: 103955
NPI #: 1487692430
E-PRESCRIBE: YES
LOPATIN AND ASSOCIATES
301 EDWARDSVILLE ROAD
TROY, IL 62294
PHONE: (618) 667-7057
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
367
TUSCOLA, IL
TUSCOLA, IL
Primary Care Physicians
LI, DANDAN, MD
GENDER:
PROVIDER #: 281530
NPI #: 1720366917
E-PRESCRIBE: YES
CARLE AT TUSCOLA
301 W SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: YES
TUSCOLA, IL
ADULT/INTERNAL
MEDICINE
GARG, ANUJ, MD
GENDER: M
PROVIDER #: 257849
NPI #: 1679585905
E-PRESCRIBE: NO
CARLE AT TUSCOLA
301 E SOUTHLINE RD
TUSCOLA, IL 61953-2014
PHONE: (217) 253-5231
E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP
301 W SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: YES
LEE, ISSAC, MD
GENDER: M
PROVIDER #: 162773
NPI #: 1528260908
E-PRESCRIBE: YES
CHRISTIE CLINIC
300 N MAIN ST
TUSCOLA, IL 61953
PHONE: (217) 253-9258
KILPATRICK, WILLIAM E.,
APN; PROVIDER #: 110778
E-PRESCRIBE: YES
PARK, GRACE, MD
GENDER: F
PROVIDER #: 281528
NPI #: 1619147592
E-PRESCRIBE: YES
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
FAMILY PRACTICE
JALIPARTHI,
SWARNALATHA, MD
GENDER: F
PROVIDER #: 281529
NPI #: 1487892865
E-PRESCRIBE: YES
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
368
PERUMAL, SATHISH, MD
GENDER: M
PROVIDER #: 280869
NPI #: 1659583938
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
CARLE AT TUSCOLA
301 E SOUTHLINE RD
TUSCOLA, IL 61953-2014
PHONE: (217) 253-5231
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
368
TUSCOLA, IL
URBANA, IL
LEE, ISSAC, MD
GENDER: M
PROVIDER #: 162773
NPI #: 1528260908
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
611 W PARK
URBANA, IL 61801
PHONE: (217) 383-3270
E-PRESCRIBE: YES
Primary Care Physicians
JOHNSON, PHILIP B., MD
GENDER: M
PROVIDER #: 000232
NPI #: 1710902127
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
MBANG, PAMELA A., MD
GENDER: F
PROVIDER #: 285875
NPI #: 1699968347
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3313
E-PRESCRIBE: YES
KALA, NOLEEN V., MD
GENDER: F
PROVIDER #: 079290
NPI #: 1578596276
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
PETER, SUMA P., MD
GENDER: F
PROVIDER #: 040407
NPI #: 1730199944
E-PRESCRIBE: YES
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
KAUFMANN, BRENT R.,
MD
GENDER: M
PROVIDER #: 298932
NPI #: 1053549121
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3311
E-PRESCRIBE: YES
MAJDIZADEH, SHIRIN,
MD
GENDER:
PROVIDER #: 298999
NPI #: 1700135126
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3130
E-PRESCRIBE: YES
STOLL, JOHN F., MD
GENDER: M
PROVIDER #: 000052
NPI #: 1295835429
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
KALE, PETER J., NP;
PROVIDER #: 000480
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
369
Primary Care Physicians
FAMILY PRACTICE
AVERY, KATHERINE A.,
MD
GENDER:
PROVIDER #: 298187
NPI #: 1104112333
E-PRESCRIBE: YES
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
E-PRESCRIBE: NO
COMMUNITY RESOURCE
CENTER
1400 W PARK
URBANA, IL 61801
PHONE: (317) 337-2000
E-PRESCRIBE: NO
CARPENTER, KRISTINE,
MD
GENDER: F
PROVIDER #: 284203
NPI #: 1215198189
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
370
FONS, DOMINIQUE K., MD
GENDER: F
PROVIDER #: 202201
NPI #: 1134391881
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 586-8400
E-PRESCRIBE: YES
HUSSAIN, FAROOQ M.,
MD
GENDER: M
PROVIDER #: 281296
NPI #: 1942509369
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
URBANA, IL
URBANA, IL
JABBOUR, JEROME A.,
MD
GENDER: M
PROVIDER #: 274243
NPI #: 1255325676
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR
URBANA, IL 61802-9566
PHONE: (217) 255-9670
E-PRESCRIBE: YES
KIM, KEVIN S., DO
GENDER: M
PROVIDER #: 196016
NPI #: 1962634519
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3130
E-PRESCRIBE: YES
LEE, DANIEL J., DO
GENDER: M
PROVIDER #: 150676
NPI #: 1568637189
E-PRESCRIBE: YES
CHRISTIE CLINIC
1710 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 344-9440
CRAIG, MEGHAN, PA;
PROVIDER #: 153947
E-PRESCRIBE: YES
MASON, BRANDYN W., DO
GENDER:
PROVIDER #: 298193
NPI #: 1205197613
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9670
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
370
URBANA, IL
URBANA, IL
Primary Care Physicians
MENEELY, TIMOTHY S.,
DO
GENDER: M
PROVIDER #: 007956
NPI #: 1629178181
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
MOHAMMED, ASLAM A.,
MD
GENDER: M
PROVIDER #: 293194
NPI #: 1205156940
E-PRESCRIBE: YES
CARLE PHYSICIANS GROUP
1818 W WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
SWEARINGEN, JEFFREY
V., MD
GENDER: M
PROVIDER #: 000677
NPI #: 1689785305
E-PRESCRIBE: YES
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
NEKKANTI, NARESH, MD
GENDER: M
PROVIDER #: 257553
NPI #: 1366762759
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE:
E-PRESCRIBE: YES
RAFFERTY, CARLA M., MD
GENDER: F
PROVIDER #: 195937
NPI #: 1578719316
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
WAGNER, CHRISTIAN E.,
MD
GENDER: M
PROVIDER #: 019848
NPI #: 1063514123
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
WU, STANLEY S., MD
GENDER: M
PROVIDER #: 106661
NPI #: 1700981727
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
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.
371
Primary Care Physicians
GENERAL PRACTICE
HAMPTON, SIMONE R.,
MD
GENDER: F
PROVIDER #: 135588
NPI #: 1033184247
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3170
E-PRESCRIBE: YES
GERIATRICS PCP
GHULYANI, SHUKTI, MD
GENDER: F
PROVIDER #: 121949
NPI #: 1225203805
E-PRESCRIBE: YES
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
BECK, DONNA T., MD
GENDER: F
PROVIDER #: 000571
NPI #: 1255365797
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
MOHR, JANET F., CNP;
PROVIDER #: 010013
E-PRESCRIBE: YES
372
URBANA, IL
URBANA, IL
BUETOW, M KATHLEEN,
MD
GENDER: F
PROVIDER #: 000518
NPI #: 1245267780
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
E-PRESCRIBE: YES
SCHROEDER, STEFANIE
A., DO
GENDER: F
PROVIDER #: 300420
NPI #: 1578828836
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9670
E-PRESCRIBE: YES
FULLAN, SEAN P., MD
GENDER: M
PROVIDER #: 252656
NPI #: 1669791166
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9655
E-PRESCRIBE: YES
SCHUSTER, JOHN, MD
GENDER: M
PROVIDER #: 099142
NPI #: 1245201607
E-PRESCRIBE: YES
CHRISTIE CLINIC
1710 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 344-9440
E-PRESCRIBE: YES
HILL, MALCOLM C., MD
GENDER: M
PROVIDER #: 000491
NPI #: 1043235112
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
MOHR, JANET F., CNP;
PROVIDER #: 010013
E-PRESCRIBE: YES
STEPHENS, FRANK J., MD
GENDER: M
PROVIDER #: 005189
NPI #: 1871693002
E-PRESCRIBE: YES
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
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-4700
E-PRESCRIBE: YES
SUM, ADA C., MD
GENDER: F
PROVIDER #: 203794
NPI #: 1962667030
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
372
URBANA, IL
WARREN, IL
TRIPATHY, NEENA, MD
GENDER: F
PROVIDER #: 068597
NPI #: 1700997301
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
MOHR, JANET F., CNP;
PROVIDER #: 010013
E-PRESCRIBE: YES
YOUAKIM, JON P., MD
GENDER: M
PROVIDER #: 299764
NPI #: 1205190071
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR GROUP
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
ZIEMER, ANNA L., MD
GENDER: F
PROVIDER #: 300513
NPI #: 1376805077
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9670
E-PRESCRIBE: YES
VANDALIA, IL
FAMILY PRACTICE
DOSSETT, BRIAN W., MD
GENDER:
PROVIDER #: 021349
NPI #: 1366490815
E-PRESCRIBE: NO
1029 NORTH EIGHTH STREET
VANDALIA, IL 62471
PHONE: (618) 283-4469
E-PRESCRIBE: NO
Primary Care Physicians
VIENNA, IL
GENERAL PRACTICE
AITI, TAMER, MD
GENDER: M
PROVIDER #: 223679
NPI #: 1801043864
E-PRESCRIBE: NO
ANNA CLINIC CORP
803 NORTH 1ST ST
VIENNA, IL 62995-1544
PHONE: (618) 833-2872
E-PRESCRIBE: NO
VIRDEN, IL
ADULT/INTERNAL
MEDICINE
CHAPA, VITTAL V., MD
GENDER: M
PROVIDER #: 008544
NPI #: 1003805151
E-PRESCRIBE: NO
138 E DEAN ST
VIRDEN, IL 62690
PHONE: (217) 965-5481
E-PRESCRIBE: NO
VIRGINIA, IL
FAMILY PRACTICE
CHOUDHARY, BHAVNA,
MD
GENDER: F
PROVIDER #: 277872
NPI #: 1902184708
E-PRESCRIBE: YES
CASS COUNTY HEALTH
CLINIC
331 SOUTH MAIN
VIRGINIA, IL 62691
PHONE: (217) 452-3057
E-PRESCRIBE: YES
SANCHEZ, DOMINIQUE F.,
DO
GENDER: F
PROVIDER #: 215990
NPI #: 1861654857
E-PRESCRIBE: YES
CASS COUNTY HEALTH
CLINIC
331 S MAIN ST
VIRGINIA, IL 62691
PHONE: (217) 452-3057
E-PRESCRIBE: YES
WARREN, IL
ADULT/INTERNAL
MEDICINE
MILLER, SHELLY A., MD
GENDER: F
PROVIDER #: 301203
NPI #: 1235387325
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
606 TISDELL AVE
WARREN, IL 61087
PHONE: (815) 745-2644
E-PRESCRIBE: NO
FAMILY PRACTICE
CLEARY, MARTIN, MD
GENDER: M
PROVIDER #: 079106
NPI #: 1104890482
E-PRESCRIBE: NO
FHN FAMILY HEALTHCARE
CENTER
606 TISDELL AVE
WARREN, IL 61087
PHONE: (815) 745-2644
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
373
Primary Care Physicians
MCFADDEN, MICHAEL,
MD
GENDER: M
PROVIDER #: 098352
NPI #: 1154394484
E-PRESCRIBE: YES
FHN HEALTHCARE CENTER
606 TISDELL AVE
WARREN, IL 61087
PHONE:
E-PRESCRIBE: YES
GORMAN, MATTHEW J.,
DO
GENDER: M
PROVIDER #: 094199
NPI #: 1427130392
E-PRESCRIBE: NO
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
WASHINGTON, IL
JOSEPH, SARAH A., MD
GENDER: F
PROVIDER #: 204224
NPI #: 1881974541
E-PRESCRIBE: NO
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
ADULT/INTERNAL
MEDICINE
ALONSO, LYNESSA A., DO
GENDER: F
PROVIDER #: 182340
NPI #: 1679665020
E-PRESCRIBE: NO
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
BOLEY, CHARLES K., MD
GENDER: M
PROVIDER #: 154234
NPI #: 1912126640
E-PRESCRIBE: NO
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
374
MILLER, RHETT L., MD
GENDER: M
PROVIDER #: 084572
NPI #: 1871675645
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
WARREN, IL
WASHINGTON, IL
FAMILY PRACTICE
CUTINELLO JR,
ANTHONY J., DO
GENDER: M
PROVIDER #: 126822
NPI #: 1669422333
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
374
WASHINGTON, IL
WASHINGTON, IL
KINSINGER, PAUL A., MD
GENDER: M
PROVIDER #: 003496
NPI #: 1912933938
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
METHODIST MEDICAL
GROUP WASHINGTON
1201 N CUMMINGS LN
WASHINGTON, IL 61571
PHONE: (309) 444-2090
E-PRESCRIBE: NO
Primary Care Physicians
PEDIATRICS
ALONSO, LYNESSA A., DO
GENDER: F
PROVIDER #: 182340
NPI #: 1679665020
E-PRESCRIBE: NO
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
BOLEY, CHARLES K., MD
GENDER: M
PROVIDER #: 154234
NPI #: 1912126640
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
MILLER, RHETT L., MD
GENDER: M
PROVIDER #: 084572
NPI #: 1871675645
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
375
WASHINGTON, IL
WATSEKA, IL
Primary Care Physicians
SHALLAT, SHELLY S., MD
GENDER: F
PROVIDER #: 107245
NPI #: 1184706988
E-PRESCRIBE: NO
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
WATERLOO, IA
ADULT/INTERNAL
MEDICINE
AMJADI, HAMID, DO
GENDER: M
PROVIDER #: 262757
NPI #: 1700861333
E-PRESCRIBE: NO
IOWA ADULT MEDICAL
CLINIC LLC
3471 PHEASANT LN
WATERLOO, IA 50701
PHONE: (319) 233-3611
E-PRESCRIBE: NO
FAMILY PRACTICE
MAHTANI, ANDREW V.,
MD
GENDER: M
PROVIDER #: 186718
NPI #: 1659579613
E-PRESCRIBE: NO
RED BUD CLINIC
CORPORATION
509 HAMACHER ST SUITE
102
WATERLOO, IL 62298
PHONE: (618) 939-3939
E-PRESCRIBE: NO
WATERMAN, IL
FAMILY PRACTICE
BOGDANIC, VINKO M., MD
GENDER: M
PROVIDER #: 256401
NPI #: 1932184249
E-PRESCRIBE: NO
IOWA ADULT MEDICAL
CLINIC LLC
3471 PHEASANT LN
WATERLOO, IA 50701
PHONE: (319) 233-3611
E-PRESCRIBE: NO
376
WATERLOO, IL
ENGLEHART, ERIK D., MD
GENDER: M
PROVIDER #: 208102
NPI #: 1679581367
E-PRESCRIBE: NO
KISHWAUKEE PHYSICIAN
GROUP INC
10003 US ROUTE 30
WATERMAN, IL 60556
PHONE: (815) 786-7150
E-PRESCRIBE: NO
WATSEKA, IL
ADULT/INTERNAL
MEDICINE
ALFORD, RODNEY, MD
GENDER: M
PROVIDER #: 299265
NPI #: 1427128909
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
IMH MULTISPECIALTY
PHYSICIANS
200 LAIRD LN
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
376
WATSEKA, IL
WATSEKA, IL
TANLIM, ALBERT C., MD
GENDER: M
PROVIDER #: 093859
NPI #: 1659342665
E-PRESCRIBE: NO
CARLE AT WATSEKA
1490 E WALNUT ST STE C
WATSEKA, IL 60970
PHONE: (815) 432-8200
E-PRESCRIBE: NO
FAMILY PRACTICE
AJAKAIYE, MICHAEL, MD
GENDER: M
PROVIDER #: 281890
NPI #: 1831346980
E-PRESCRIBE: YES
IMH MULTISPECIALTY
PHYSICIANS
200 LAIRD LANE
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: YES
CARPENTER, KRISTINE,
MD
GENDER: F
PROVIDER #: 229425
NPI #: 1215198189
E-PRESCRIBE: NO
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
Primary Care Physicians
LANOUE, DOUGLAS A.,
MD
GENDER: M
PROVIDER #: 231578
NPI #: 1700032646
E-PRESCRIBE: NO
IMH WATSEKA
200 LAIRD LANE
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
TORRES, TERESITA G.,
MD
GENDER: F
PROVIDER #: 274564
NPI #: 1639138324
E-PRESCRIBE: NO
IMH-WATSEKA
200 LAIRD LN
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
MCCARTHY, WILLIAM D.,
MD
GENDER: M
PROVIDER #: 178416
NPI #: 1902836414
E-PRESCRIBE: NO
CARLE AT WATSEKA
1490 E WALNUT ST STE C
WATSEKA, IL 60970
PHONE: (815) 432-8200
E-PRESCRIBE: NO
YU, JACQUELINE, MD
GENDER: F
PROVIDER #: 272016
NPI #: 1821274515
E-PRESCRIBE: YES
CARLE AT WATSEKA
1490 E WALNUT ST STE C
WATSEKA, IL 60970
PHONE: (815) 432-8200
E-PRESCRIBE: YES
POWELL, JENNIFER M.,
MD
GENDER: F
PROVIDER #: 238069
NPI #: 1124131966
E-PRESCRIBE: NO
RIVERSIDE MEDICAL
CENTER
1490 E WALNUT ST STE A
WATSEKA, IL 60970
PHONE: (815) 432-0250
E-PRESCRIBE: NO
PUROHIT, MEENA, MD
GENDER:
PROVIDER #: 294170
NPI #: 1235529660
E-PRESCRIBE: YES
CARLE HOOPESTON
REGIONAL HEALTH CENTER
845 S 4TH ST
WATSEKA, IL 60970
PHONE: (815) 432-2461
E-PRESCRIBE: YES
ZUMWALT, PHILIP F., MD
GENDER: M
PROVIDER #: 004058
NPI #: 1629066170
E-PRESCRIBE: YES
WATSEKA FAMILY
PRACTICE
125 S FOURTH ST
WATSEKA, IL 60970
PHONE: (815) 432-5408
E-PRESCRIBE: YES
FAMILY PRACTICE OB
ZUMWALT, PHILIP F., MD
GENDER: M
PROVIDER #: 004058
NPI #: 1629066170
E-PRESCRIBE: YES
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.
377
Primary Care Physicians
PEDIATRICS
FAMILY PRACTICE
FONTANILLA, ANGELITA,
MD
GENDER: F
PROVIDER #: 192480
NPI #: 1114076080
E-PRESCRIBE: NO
IMH WATSEKA
200 LAIRD LANE
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
WARNER, TRICIA K., MD
GENDER: F
PROVIDER #: 259248
NPI #: 1326029158
E-PRESCRIBE: NO
CROSSROADS FAMILY
MEDICINE OF WAYNE CITY
1209 W ROBINSON
WAYNE CITY, IL 62895
PHONE: (618) 895-2050
E-PRESCRIBE: NO
1501 W ROBINSON
WAYNE CITY, IL 62895-0372
PHONE: (618) 895-2050
LOCEY, SHERRY, PA;
PROVIDER #: 155778
LOCEY, SHERRY C., PA;
PROVIDER #: 254263
E-PRESCRIBE: NO
WAYNE CITY, IL
ADULT/INTERNAL
MEDICINE
NEELY, MEGAN J., MD
GENDER: F
PROVIDER #: 259247
NPI #: 1528233681
E-PRESCRIBE: NO
CROSSROADS FAMILY
MEDICINE OF WAYNE CITY
1209 W ROBINSON
WAYNE CITY, IL 62895
PHONE: (618) 895-2050
E-PRESCRIBE: NO
PARKS, ROBERT, MD
GENDER: M
PROVIDER #: 254906
NPI #: 1356380497
E-PRESCRIBE: NO
CROSSROADS FAMILY
MEDICINE OF WAYNE CITY
1209 W ROBINSON
WAYNE CITY, IL 62895
PHONE: (618) 895-2050
E-PRESCRIBE: NO
378
PEDIATRICS
NWOSU, MARJORIE M.,
MD
GENDER: F
PROVIDER #: 259249
NPI #: 1932164951
E-PRESCRIBE: NO
CROSSROADS FAMILY
MEDICINE OF WAYNE CITY
1209 W ROBINSON
WAYNE CITY, IL 62895
PHONE: (618) 895-2050
E-PRESCRIBE: NO
WATSEKA, IL
WEST BURLINGTON, IA
WENONA, IL
FAMILY PRACTICE
BAZ, SAMUEL T., MD
GENDER: M
PROVIDER #: 017560
NPI #: 1689624470
E-PRESCRIBE: NO
WENONA HEALTH CENTER
516 S CHESTNUT ST
WENONA, IL 61377
PHONE: (815) 853-4402
ROGERS, BETH A., CNP;
PROVIDER #: 089525
E-PRESCRIBE: NO
WEST BURLINGTON, IA
ADULT/INTERNAL
MEDICINE
NEEKHRA, ANEESH, MD
GENDER: M
PROVIDER #: 248825
NPI #: 1134384548
E-PRESCRIBE: NO
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
1225 S GEAR AVE SUITE 153
WEST BURLINGTON, IA
52655
PHONE: (319) 754-4400
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
378
WEST FRANKFORT, IL
WHEATON, IL
WEST FRANKFORT, IL
FAMILY PRACTICE
BRYANT, JODI L., MD
GENDER: F
PROVIDER #: 076976
NPI #: 1508848284
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
SOUTHERN ILLINOIS
MEDICAL CARE
406 W ST LOUIS ST
WEST FRANKFORT, IL 62896
PHONE: (618) 937-6300
E-PRESCRIBE: NO
Primary Care Physicians
MORTHLAND, TIMOTHY
E., MD
GENDER: M
PROVIDER #: 257336
NPI #: 1255375515
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
MORTHLAND COLLEGE
HEALTH SERVICES
309 W ST LOUIS ST SUITE B
WEST FRANKFORT, IL 62896
PHONE:
E-PRESCRIBE: NO
WEST SALEM, IL
FAMILY PRACTICE
GARRETT, HARRY T., DO
GENDER: M
PROVIDER #: 034190
NPI #: 1871589515
E-PRESCRIBE: YES
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
WHEATON, IL
ADULT/INTERNAL
MEDICINE
AMBLER, DOUGLAS, MD
GENDER: M
PROVIDER #: 182636
NPI #: 1154343689
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
7 BLANCHARD CIR SUITE
206
WHEATON, IL 60189-2037
PHONE: (630) 653-0848
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
379
Primary Care Physicians
TEBEAU, CHRISTOPHER
M., MD
GENDER: M
PROVIDER #: 136620
NPI #: 1427070986
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
7 BLANCHARD CIR SUITE
206
WHEATON, IL 60189-2037
PHONE: (630) 653-0848
E-PRESCRIBE: NO
FAMILY PRACTICE
CORCORAN, MARIE E., DO
GENDER: F
PROVIDER #: 203802
NPI #: 1386759710
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
1800 N MAIN ST SECOND
FLOOR
WHEATON, IL 60187-3112
PHONE: (630) 614-4960
E-PRESCRIBE: NO
380
LARSEN, JANE E., MD
GENDER: F
PROVIDER #: 269963
NPI #: 1043536428
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
7 BLANCHARD CIR STE 200
WHEATON, IL 60189-2037
PHONE: (630) 510-9009
E-PRESCRIBE: NO
OSWALD, LAURA A., DO
GENDER: F
PROVIDER #: 163559
NPI #: 1164453601
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
7 BLANCHARD CIR SUITE
200
WHEATON, IL 60189-2037
PHONE: (630) 510-9009
E-PRESCRIBE: NO
RICHARDSON, AUDREY
C., MD
GENDER: F
PROVIDER #: 269392
NPI #: 1326031196
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
7 BLANCHARD CIR
WHEATON, IL 60189
PHONE: (630) 510-9009
E-PRESCRIBE: NO
WHEATON, IL
WHEATON, IL
SEYMOUR, JAY, MD
GENDER: M
PROVIDER #: 265645
NPI #: 1174545669
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
2001 GARY AVE
WHEATON, IL 60187-3055
PHONE: (630) 653-5115
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
380
WHITE HALL, IL
WILMETTE, IL
WHITE HALL, IL
FAMILY PRACTICE
ADAMS, AUGUST G., MD
GENDER: M
PROVIDER #: 071511
NPI #: 1992803985
E-PRESCRIBE: NO
GREENE COUNTY RURAL
HEALTH CENTER
116A MAIN ST
WHITE HALL, IL 62092
PHONE: (217) 374-2188
E-PRESCRIBE: NO
FRY, SHAWN M., MD
GENDER: F
PROVIDER #: 294840
NPI #: 1659467793
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
GREENE COUNTY RURAL
HEALTH CENTER
116A MAIN ST
WHITE HALL, IL 62092
PHONE: (217) 374-2188
E-PRESCRIBE: NO
Primary Care Physicians
FEDERALLY QUALIFIED
HEALTH CENTER
GREENE COUNTY RURAL
HEALTH CENTER
GENDER:
PROVIDER #: 022181
NPI #: 1366535304
E-PRESCRIBE: NO
116A MAIN ST
WHITE HALL, IL 62092
PHONE: (217) 374-2188
E-PRESCRIBE: NO
WILLIAMSFIELD, IL
FAMILY PRACTICE
LEONARD, RONALD K.,
MD
GENDER: M
PROVIDER #: 042019
NPI #: 1760562177
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PMG NORTHSHOREPATRIOT
1625 SHERIDAN RD
WILMETTE, IL 60091
PHONE: (841) 251-1500
E-PRESCRIBE: NO
MAKS, JONATHAN H., MD
GENDER: M
PROVIDER #: 252378
NPI #: 1720033160
E-PRESCRIBE: NO
PMG NORTHSHOREPATRIOT
1625 SHERIDAN RD
WILMETTE, IL 60091
PHONE: (847) 251-2191
E-PRESCRIBE: NO
SINGH, BHUPINDER, MD
GENDER:
PROVIDER #: 256807
NPI #: 1932250446
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
PMG NORTHSHOREPATRIOT
1625 SHERIDAN RD
WILMETTE, IL 60091
PHONE: (847) 251-2191
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
381
WILMINGTON, IL
WINFIELD, IL
Primary Care Physicians
WILMINGTON, IL
WILTON, IA
ADULT/INTERNAL
MEDICINE
FAMILY PRACTICE
CHATRATH, SANJAY, DO
GENDER: M
PROVIDER #: 043585
NPI #: 1861591711
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
382
SCHMIEG, ASHLEY, DO
GENDER: F
PROVIDER #: 260581
NPI #: 1033196498
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
25 NORTH WINFIELD RD
WINFIELD, IL 60190
PHONE: (321) 243-4244
E-PRESCRIBE: NO
ROBB-RAREY, CANDICE
R., DO
GENDER: F
PROVIDER #: 229868
NPI #: 1235372996
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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.
382
WINFIELD, IL
WINFIELD, IL
CARSTEN, JAMES, MD
GENDER: M
PROVIDER #: 204464
NPI #: 1194756023
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD SUITE 501
WINFIELD, IL 60190-1295
PHONE: (630) 260-0600
E-PRESCRIBE: NO
Primary Care Physicians
JOHNSON, JEFFREY T.,
DO
GENDER: M
PROVIDER #: 224145
NPI #: 1689786352
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD STE 501
WINFIELD, IL 60190-1295
PHONE: (630) 260-0600
E-PRESCRIBE: NO
PEDIATRICS
JAO, MICHELLE, MD
GENDER: F
PROVIDER #: 269515
NPI #: 1083632947
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD
WINFIELD, IL 60190-1295
PHONE: (630) 260-0600
E-PRESCRIBE: NO
ZIMMERMAN, RAYMOND
J., MD
GENDER: M
PROVIDER #: 269070
NPI #: 1386602100
E-PRESCRIBE: NO
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD STE 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.
383
WINNEBAGO, IL
WYOMING, IL
Primary Care Physicians
WINNEBAGO, IL
FAMILY PRACTICE
MICHALSEN, BRIAN T.,
DO
GENDER: M
PROVIDER #: 232954
NPI #: 1548426158
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
102 LANDMARK DR
WINNEBAGO, IL 61088
PHONE: (815) 971-2000
E-PRESCRIBE: NO
RUDOLPH, HAHN T., DO
GENDER:
PROVIDER #: 076307
NPI #: 1275643462
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
ROCKFORD HEALTH
PHYSICIANS
102 LANDMARK DR
WINNEBAGO, IL 61088
PHONE: (815) 971-2000
E-PRESCRIBE: NO
384
WINNETKA, IL
ADULT/INTERNAL
MEDICINE
MANDZIJ, ROMAN W., MD
GENDER: M
PROVIDER #: 263895
NPI #: 1841239902
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
RMG NSMG IM WINNETKA
525 WINNETKA RD
WINNETKA, IL 60093
PHONE: (847) 501-4060
E-PRESCRIBE: NO
WYOMING, IL
FAMILY PRACTICE
JEFFRIES, KEVIN, MD
GENDER: M
PROVIDER #: 090978
NPI #: 1871541615
E-PRESCRIBE: NO
REGIONAL HEALTH
PARTNERS
101 S GALENA AVE
WYOMING, IL 61491
PHONE: (309) 695-6448
HARKER, TAMI L., CNP;
PROVIDER #: 111142
E-PRESCRIBE: NO
RAMOS, JULIO A., MD
GENDER: M
PROVIDER #: 142325
NPI #: 1982629044
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
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
E-PRESCRIBE: NO
REGIONAL HEALTH
PARTNERS
101 S GALENA
WYOMING, IL 61491
PHONE: (309) 695-6448
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
384
YORKVILLE, IL
ZEIGLER, IL
YORKVILLE, IL
ADULT/INTERNAL
MEDICINE
SAPYTA, STEVEN J., MD
GENDER: M
PROVIDER #: 093995
NPI #: 1518071323
E-PRESCRIBE: NO
DREYER CLINICYORKVILLE
1500 SYCAMORE RD STE
1000
YORKVILLE, IL 60560
PHONE: (630) 553-4470
E-PRESCRIBE: NO
Primary Care Physicians
ZEIGLER, IL
NURSE PRACTITIONER
HOLMAN, DEBBIE L., NP
GENDER: F
PROVIDER #: 299006
NPI #: 1073547717
E-PRESCRIBE: NO
29 CIRCLE
ZEIGLER, IL 62999
PHONE: (618) 923-4310
E-PRESCRIBE: NO
FAMILY PRACTICE
DORMAN, DOUGLAS G.,
MD
GENDER: M
PROVIDER #: 100805
NPI #: 1891711958
E-PRESCRIBE: NO
DREYER CLINICYORKVILLE
1500 SYCAMORE RD STE
1000
YORKVILLE, IL 60560
PHONE: (630) 553-4470
E-PRESCRIBE: NO
PEDIATRICS
DANTZER, MICHAEL R.,
MD
GENDER: M
PROVIDER #: 081976
NPI #: 1124044474
E-PRESCRIBE: NO
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.
385
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.
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
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
ANKENY, IA
OBSTETRICS/
GYNECOLOGY
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
386
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.
Obstetrics/Gynecology
Care Providers
ANKENY, IA
AURORA, IL
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
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
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.
387
Obstetrics/Gynecology
Care Providers
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
388
AURORA, IL
BELLEVILLE, IL
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.
Obstetrics/Gynecology
Care Providers
BELVIDERE, IL
BETTENDORF, IA
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
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.
389
Obstetrics/Gynecology
Care Providers
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
390
BETTENDORF, IA
BLOOMINGTON, IL
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.
Obstetrics/Gynecology
Care Providers
BLOOMINGTON, IL
CANTON, IL
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
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
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
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
BOURBONNAIS, IL
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
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
391
Obstetrics/Gynecology
Care Providers
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
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
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
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
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
392
CARBONDALE, IL
CAROL STREAM, IL
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
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
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
CARTHAGE, IL
CHAMPAIGN, IL
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
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
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
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
OBSTETRICS/
GYNECOLOGY
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
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
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
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
393
Obstetrics/Gynecology
Care Providers
CHANNAHON, IL
CHANNAHON, IL
CHICAGO, IL
CHICAGO, IL
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
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
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
394
AUGER, MELISSA M., MD
GENDER: F
PROVIDER #: 271105
NPI #: 1043411689
680 N LAKE SHORE DRIVE
#810
CHICAGO, IL 60611
PHONE: (312) 926-8811
E-PRESCRIBE: NO
BOLDEN, JANELLE R., MD
GENDER: F
PROVIDER #: 279686
NPI #: 1780892851
250 E SUPERIOR
CHICAGO, IL 60611
PHONE:
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7542
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
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
CATANZARITE, TATIANA
L., MD
GENDER: F
PROVIDER #: 274103
NPI #: 1952612178
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7269
E-PRESCRIBE: NO
CHAUDHARI, ANGELA,
MD
GENDER: F
PROVIDER #: 220737
NPI #: 1275596959
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7382
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CHICAGO, IL
CHICAGO, IL
Obstetrics/Gynecology
Care Providers
CHEN, CATHERINE T., MD
GENDER: F
PROVIDER #: 279782
NPI #: 1013956630
#810
680 N LAKE SHORE DRIVE
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
GARCIA, PATRICIA M., MD
GENDER: F
PROVIDER #: 093068
NPI #: 1639284946
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7542
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
COHEN, LEEBER S., MD
GENDER: M
PROVIDER #: 086531
NPI #: 1346257961
GALTER 14-200
675 N ST CLAIR
CHICAGO, IL 60611
PHONE: (312) 695-8095
E-PRESCRIBE: NO
GARVEY, TIMOTHY S., MD
GENDER: M
PROVIDER #: 279786
NPI #: 1811930753
680 N LAKE SHORE DR #810
CHICAGO, IL 60611
PHONE: (312) 926-8811
E-PRESCRIBE: NO
GOLDSMITH, SUSAN L.,
MD
GENDER: F
PROVIDER #: 224891
NPI #: 1932372984
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7382
E-PRESCRIBE: NO
CONFINO, EDMOND, MD
GENDER: M
PROVIDER #: 074892
NPI #: 1083650543
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7269
E-PRESCRIBE: NO
DUNGAN, JEFFREY S., MD
GENDER: M
PROVIDER #: 159151
NPI #: 1790795979
GALTER 14-200
675 N ST CLAIR
CHICAGO, IL 60611
PHONE: (312) 472-4151
E-PRESCRIBE: NO
FOLEY, BRIAN P., MD
GENDER: M
PROVIDER #: 276351
NPI #: 1336168087
680 N LAKE SHORE DRIVE
#810
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
GASTON JR, LUTHER L.,
MD
GENDER: M
PROVIDER #: 300871
NPI #: 1497708234
ADVOCATE MEDICAL
GROUP GREENWOOD ON
87TH
1111 EAST 87TH ST STE 900A
CHICAGO, IL 60619
PHONE: (312) 268-6600
E-PRESCRIBE: NO
GERBER, SUSAN E., MD
GENDER: F
PROVIDER #: 092460
NPI #: 1679504179
675 N ST CLAIR 14-200
CHICAGO, IL 60611
PHONE: (312) 695-7542
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
GOSSETT, DANA R., MD
GENDER: F
PROVIDER #: 199063
NPI #: 1467459099
250 E SUPERIOR
CHICAGO, IL 60611
PHONE:
E-PRESCRIBE: NO
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7382
E-PRESCRIBE: NO
GROBMAN, WILLIAM A.,
MD
GENDER: M
PROVIDER #: 091340
NPI #: 1508895129
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7542
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
395
Obstetrics/Gynecology
Care Providers
HAMMOND, CASSING, MD
GENDER: M
PROVIDER #: 256586
NPI #: 1447260112
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7382
E-PRESCRIBE: NO
HARDY, LORI L., MD
GENDER: F
PROVIDER #: 279824
NPI #: 1558313221
#810
680 N LAKE SHORE DRIVE
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
KILEY, JESSICA W., MD
GENDER: F
PROVIDER #: 192268
NPI #: 1306018742
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7382
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
LEWICKY-GAUPP,
CHRISTINA E., MD
GENDER: F
PROVIDER #: 223288
NPI #: 1194844019
ARKES 950
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-4747
E-PRESCRIBE: NO
JOHNSON, LISA L., MD
GENDER: F
PROVIDER #: 194936
NPI #: 1629069919
ARKES 950
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-4747
E-PRESCRIBE: NO
KEENE, MELISSA A., MD
GENDER: F
PROVIDER #: 279826
NPI #: 1902117047
GALTER 14-200
675 N ST CLAIR
CHICAGO, IL 60611
PHONE: (312) 695-7382
E-PRESCRIBE: NO
396
KENTON, KIMBERLY S.,
MD
GENDER: F
PROVIDER #: 279371
NPI #: 1629042759
ARKES 950
676 N SAINT CLAIR
CHICAGO, IL 60611
PHONE: (312) 926-4747
E-PRESCRIBE: NO
LIEM, JENNY, DO
GENDER: F
PROVIDER #: 279829
NPI #: 1386895266
#810
680 N LAKE SHORE DRIVE
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
LIN, ALEXANDER L., MD
GENDER: M
PROVIDER #: 279831
NPI #: 1649208323
#810
680 N LAKE SHORE DRIVE
CHICAGO, IL 60611
PHONE: (312) 926-8811
E-PRESCRIBE: NO
CHICAGO, IL
CHICAGO, IL
LOCHER, STEPHEN R., MD
GENDER:
PROVIDER #: 292824
NPI #: 1679582076
OB MIDWIVES IMMC
3048 N WILTON 3 FLOOR
CHICAGO, IL 60657
PHONE:
E-PRESCRIBE: NO
LORE, MARY BETH, MD
GENDER: F
PROVIDER #: 191551
NPI #: 1063441988
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7382
E-PRESCRIBE: NO
MCKNIGHT, TACOMA, MD
GENDER: F
PROVIDER #: 219704
NPI #: 1033148747
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7382
E-PRESCRIBE: NO
NW MEDICAL FACULTY
38205 EAGLE WAY
CHICAGO, IL 60678
PHONE:
E-PRESCRIBE: NO
MCNAIR, ROBBYE D., MD
GENDER: F
PROVIDER #: 279842
NPI #: 1881612984
#810
680 N LAKE SHORE DRIVE
CHICAGO, IL 60611
PHONE: (312) 926-8811
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CHICAGO, IL
CHICAGO, IL
Obstetrics/Gynecology
Care Providers
MILLER, EMILY S., MD
GENDER: F
PROVIDER #: 279667
NPI #: 1922290600
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7542
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
MOSES, SCOTT, MD
GENDER: M
PROVIDER #: 268316
NPI #: 1306875653
680 N LAKE SHORE DRIVE
#810
CHICAGO, IL 60611
PHONE: (312) 926-8811
E-PRESCRIBE: NO
RAHMAN, SAMEENA A.,
MD
GENDER: F
PROVIDER #: 279846
NPI #: 1093896573
#810
680 N LAKE SHORE DRIVE
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
NELSON, LATASHA D., MD
GENDER: F
PROVIDER #: 194245
NPI #: 1841460862
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7542
E-PRESCRIBE: NO
PEACEMAN, ALAN M., MD
GENDER: M
PROVIDER #: 279696
NPI #: 1851308654
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7542
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
RAJAN, PRIYA V., MD
GENDER: F
PROVIDER #: 192269
NPI #: 1528136843
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7542
E-PRESCRIBE: NO
REDDY, SRIDEVI K., MD
GENDER: F
PROVIDER #: 279761
NPI #: 1154397545
250 E SUPERIOR
CHICAGO, IL 60611
PHONE:
E-PRESCRIBE: NO
680 N LAKE SHORE DRIVE
#810
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
REID III, VIRGIL C., MD
GENDER: M
PROVIDER #: 279779
NPI #: 1881704492
#1317
680 N LAKE SHORE DRIVE
CHICAGO, IL 60611
PHONE: (312) 926-7700
E-PRESCRIBE: NO
1701 W SUPERIOR
CHICAGO, IL 60622
PHONE: (312) 666-3494
E-PRESCRIBE: NO
ROJAS, DAVID A., MD
GENDER: M
PROVIDER #: 300869
NPI #: 1205085446
ADVOCATE MEDICAL
GROUP WILTON
3048 NORTH WILTON AVE
CHICAGO, IL 60657
PHONE: (773) 296-5420
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
SHAHABI, SHOHREH, MD
GENDER:
PROVIDER #: 298031
NPI #: 1205916764
NORTHWESTERN MEM
HOSPITA
250 E SUPERIOR ST
CHICAGO, IL 60611-2914
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
397
Obstetrics/Gynecology
Care Providers
SHULMAN, LEE P., MD
GENDER: M
PROVIDER #: 115984
NPI #: 1164447413
GALTER 14-200
675 N ST CLAIR
CHICAGO, IL 60611
PHONE: (312) 472-4151
E-PRESCRIBE: NO
STOCK, LAURA K., MD
GENDER: F
PROVIDER #: 279857
NPI #: 1407018682
#810
680 N LAKE SHORE DRIVE
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
SIMON, MELISSA A., MD
GENDER: F
PROVIDER #: 279852
NPI #: 1861580383
#1317
680 N LAKE SHORE DRIVE
CHICAGO, IL 60611
PHONE: (312) 926-7700
E-PRESCRIBE: NO
SU, EMILY J., MD
GENDER: F
PROVIDER #: 279720
NPI #: 1538372701
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7542
E-PRESCRIBE: NO
SOCOL, MICHAEL L., MD
GENDER: M
PROVIDER #: 095617
NPI #: 1104833219
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7542
E-PRESCRIBE: NO
TAMURA, RALPH K., MD
GENDER: M
PROVIDER #: 052012
NPI #: 1861418691
250 E SUPERIOR PRENTICE
5TH FL
CHICAGO, IL 60611
PHONE: (312) 472-4156
E-PRESCRIBE: NO
STARR, ANN E., MD
GENDER: F
PROVIDER #: 279853
NPI #: 1467477117
#810
680 N LAKE SHORE DRIVE
CHICAGO, IL 60611
PHONE: (312) 926-8811
E-PRESCRIBE: NO
TSAI, SUSAN C., MD
GENDER: F
PROVIDER #: 199716
NPI #: 1962459776
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7382
E-PRESCRIBE: NO
STIKA, CATHERINE S., MD
GENDER: F
PROVIDER #: 250613
NPI #: 1952318743
680 N LAKE SHORE DRIVE
#810
CHICAGO, IL 60611
PHONE: (312) 926-3627
E-PRESCRIBE: NO
YOU, WHITNEY B., MD
GENDER: F
PROVIDER #: 279681
NPI #: 1609831478
675 N ST CLAIR GALTER 14200
CHICAGO, IL 60611
PHONE: (312) 695-7269
E-PRESCRIBE: NO
398
CHICAGO, IL
CLINTON, IL
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
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
Obstetrics/Gynecology
Care Providers
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
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
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
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
399
Obstetrics/Gynecology
Care Providers
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
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
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
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
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
400
CLIVE, IA
CLIVE, IA
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
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
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
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
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
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
CLIVE, IA
CORALVILLE, IA
Obstetrics/Gynecology
Care Providers
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
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
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
CORALVILLE, IA
OBSTETRICS/
GYNECOLOGY
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
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
401
Obstetrics/Gynecology
Care Providers
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
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
402
CORALVILLE, IA
DANVILLE, IL
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
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
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
OBSTETRICS/
GYNECOLOGY
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
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
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
DANVILLE, IL
DAVENPORT, IA
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
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
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
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
YOUNG, TERENCE, MD
GENDER:
PROVIDER #: 218023
NPI #: 1639274491
CHRISTIE CLINIC
800 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 431-8930
E-PRESCRIBE: NO
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
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
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
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
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
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
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
OBSTETRICS/
GYNECOLOGY
CARAMAN, IURIE, MD
GENDER: M
PROVIDER #: 252618
NPI #: 1821237660
GENESIS EAST
1227 E RUSHOLME
DAVENPORT, IA 52803-2459
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
403
Obstetrics/Gynecology
Care Providers
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
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
DAVENPORT, IA
DECATUR, IL
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
404
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
DECATUR, IL
DECATUR, IL
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
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
405
Obstetrics/Gynecology
Care Providers
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
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
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
406
DECATUR, IL
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
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
DES MOINES, IA
ELGIN, IL
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
EFFINGHAM, IL
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
ELGIN, IL
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
HUSSAIN, MUNAWAR, MD
GENDER: M
PROVIDER #: 020272
NPI #: 1356316517
4500 KENNEDY DR
EAST MOLINE, IL 61244
PHONE: (309) 796-2777
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
407
Obstetrics/Gynecology
Care Providers
ERIE, IL
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
EVANSTON, IL
OBSTETRICS/
GYNECOLOGY
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
408
ERIE, IL
FREEPORT, IL
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
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
FAIRBURY, IL
ISAWI, 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
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
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
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
FREEPORT, IL
GENESEO, IL
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
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 #: 1275710477
COTTAGE OB/GYN
SERVICES
834 SEMINARY ST SUITE 402
GALESBURG, IL 61401
PHONE: (309) 343-5117
E-PRESCRIBE: NO
CECIL, JAMES, DO
GENDER: M
PROVIDER #: 209153
NPI #: 1700881471
COTTAGE GYNECOLOGIC
CARE
834 N SEMINARY ST SUITE
501
GALESBURG, IL 61401
PHONE: (309) 343-3303
E-PRESCRIBE: NO
Obstetrics/Gynecology
Care Providers
FOX, SAMUEL D., MD
GENDER: M
PROVIDER #: 203837
NPI #: 1881891240
OSF GALESBURG CLINIC
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
E-PRESCRIBE: NO
GARLAND, LORRAINE A.,
MD
GENDER: F
PROVIDER #: 226600
NPI #: 1225290083
COTTAGE GYNECOLOGIC
CARE
834 N SEMINARY ST SUITE
501
GALESBURG, IL 61401
PHONE: (309) 343-3303
E-PRESCRIBE: NO
PIPER, DANIEL, MD
GENDER: M
PROVIDER #: 282443
NPI #: 1487648317
COTTAGE OB/GYN
SERVICES
834 SEMINARY ST SUITE 402
GALESBURG, IL 61401
PHONE: (309) 343-5117
E-PRESCRIBE: NO
SHAW, KATHLEEN M., MD
GENDER: F
PROVIDER #: 067788
NPI #: 1326149162
OSF GALESBURG CLINIC
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
E-PRESCRIBE: NO
STRUNIN, VLADIMAR M.,
MD
GENDER: M
PROVIDER #: 193236
NPI #: 1104002690
OSF GALESBURG CLINIC
3315 N SEMINARY ST
GALESBURG, IL 61401
PHONE: (309) 344-1000
E-PRESCRIBE: NO
WEST, TOMMY L., MD
GENDER: M
PROVIDER #: 246612
NPI #: 1952362055
KNOX COMMUNITY
HEALTH CENTER
1361 W FREMONT
GALESBURG, IL 61401
PHONE: (309) 344-2225
E-PRESCRIBE: NO
WEST, TOMMY, MD
GENDER: M
PROVIDER #: 044223
NPI #: 1952362055
COTTAGE GYNECOLOGIC
CARE
834 N SEMINARY ST SUITE
501
GALESBURG, IL 61401
PHONE: (309) 343-3303
E-PRESCRIBE: NO
GENESEO, IL
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
409
Obstetrics/Gynecology
Care Providers
OBSTETRICS/
GYNECOLOGY
LANG, DAVID, MD
GENDER: M
PROVIDER #: 208340
NPI #: 1619167194
HAMMOND HENRY
HOSPITAL
600 N COLLEGE AVE
GENESEO, IL 61254
PHONE: (309) 944-1275
E-PRESCRIBE: NO
GENEVA, IL
OBSTETRICS/
GYNECOLOGY
CARROLL, ELAINE, MD
GENDER: F
PROVIDER #: 224224
NPI #: 1598739492
CADENCE PHYSICIAN
GROUP
302 RANDALL RD
GENEVA, IL 60134-4213
PHONE: (630) 933-6091
E-PRESCRIBE: NO
DING, DAVID D., MD
GENDER: M
PROVIDER #: 270240
NPI #: 1598938672
CADENCE PHYSICIAN
GROUP
302 RANDALL RD
GENEVA, IL 60134-4213
PHONE: (630) 933-8300
E-PRESCRIBE: NO
410
FESENMYER, LYNN A.,
MD
GENDER: F
PROVIDER #: 231974
NPI #: 1518978865
CADENCE PHYSICIAN
GROUP
351 DELNOR DR
GENEVA, IL 60434-4234
PHONE: (630) 208-0784
E-PRESCRIBE: NO
HAY, DEBORAH L., MD
GENDER: F
PROVIDER #: 239638
NPI #: 1235140492
CADENCE PHYSICIAN
GROUP
351 DELNOR DR SUITE 100
GENEVA, IL 60134-4220
PHONE: (630) 208-0784
E-PRESCRIBE: NO
LARRY, MICHAEL G., MD
GENDER: M
PROVIDER #: 264327
NPI #: 1164433348
CADENCE PHYSICIAN
GROUP
351 DELNOR DR
GENEVA, IL 60134-4220
PHONE: (630) 208-0784
E-PRESCRIBE: NO
MACEK, KENNETH R., MD
GENDER: M
PROVIDER #: 231520
NPI #: 1902028293
CADENCE PHYSICIAN
GROUP
351 DELNOR DR
GENEVA, IL 60434-4234
PHONE: (630) 208-0784
E-PRESCRIBE: NO
GENESEO, IL
GIBSON CITY, IL
PERRY, LATOYA J., MD
GENDER: F
PROVIDER #: 269499
NPI #: 1629255880
CADENCE PHYSICIAN
GROUP
300 DELNOR RD
GENEVA, IL 60134-4220
PHONE: (630) 933-4057
E-PRESCRIBE: NO
RUSSO, LUCILLE R., MD
GENDER: F
PROVIDER #: 245631
NPI #: 1730190927
CADENCE PHYSICIAN
GROUP
351 DELOR DR
GENEVA, IL 60134-4220
PHONE: (630) 208-0784
E-PRESCRIBE: NO
GIBSON CITY, IL
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
GLEN CARBON, IL
GREENVILLE, IL
GLEN CARBON, IL
GLENVIEW, IL
OBSTETRICS/
GYNECOLOGY
OBSTETRICS/
GYNECOLOGY
ROYKHMAN,
MARGARITA, MD
GENDER: F
PROVIDER #: 245859
NPI #: 1194988501
GRANITE CITY CLINIC CORP
2246 S STATE ROUTE 157
SUITE 100
GLEN CARBON, IL 62034-1717
PHONE:
E-PRESCRIBE: NO
LEWICKY-GAUPP,
CHRISTINA E., MD
GENDER: F
PROVIDER #: 223288
NPI #: 1194844019
2701 PATRIOT BLVD
GLENVIEW, IL 60026-8039
PHONE: (847) 724-4536
E-PRESCRIBE: NO
SCHARFF, KEVIN M., MD
GENDER: M
PROVIDER #: 111013
NPI #: 1780637553
GRANITE CITY CLINIC CORP
2246 S STATE ROUTE 157
SUITE 100
GLEN CARBON, IL 62034-1717
PHONE:
E-PRESCRIBE: NO
GLEN ELLYN, IL
OBSTETRICS/
GYNECOLOGY
MARSH, RAMONA C., MD
GENDER: F
PROVIDER #: 269895
NPI #: 1821109877
CADENCE PHYSICIAN
GROUP
885 ROOSEVELT RD
GLEN ELLYN, IL 60137-6141
PHONE: (630) 315-6500
E-PRESCRIBE: NO
GRANVILLE, IL
FAMILY PRACTICE OB
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, IL
GREENVILLE, IL
OBSTETRICS/
GYNECOLOGY
OBSTETRICS/
GYNECOLOGY
HURFORD, DENNIS M., MD
GENDER: M
PROVIDER #: 039405
NPI #: 1497708259
GRANITE CITY CLINIC CORP
2044 MADISON AVE SUITE G2
GRANITE CITY, IL 62040
PHONE:
E-PRESCRIBE: NO
SCHULTHEIS, MICHAEL
D., MD
GENDER: M
PROVIDER #: 284389
NPI #: 1194711507
GREENVILLE REGIONAL
HOSPITAL
200 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-1230
E-PRESCRIBE: NO
KHAN, FARESSA G., MD
GENDER: F
PROVIDER #: 290802
NPI #: 1790702322
GRANITE CITY CLINIC CORP
2100 MADISON AVE
GRANITE CITY, IL 62040-4701
PHONE:
E-PRESCRIBE: NO
GRH MEDICAL GROUP
150 HEALTHCARE DR
GREENVILLE, IL 62246
PHONE: (618) 664-9830
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
411
Obstetrics/Gynecology
Care Providers
WALLEY, LYNN J., MD
GENDER: M
PROVIDER #: 050324
NPI #: 1932188497
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DRIVE
HANNIBAL, MO 63401
PHONE: (573) 231-3706
E-PRESCRIBE: NO
HANNIBAL, MO
OBSTETRICS/
GYNECOLOGY
AHLUM, SANDRA J., MD
GENDER: F
PROVIDER #: 050922
NPI #: 1427037183
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DRIVE
HANNIBAL, MO 63401
PHONE: (573) 231-3108
E-PRESCRIBE: NO
HARRISBURG, IL
OBSTETRICS/
GYNECOLOGY
BENNETT, JOHN R., MD
GENDER: M
PROVIDER #: 062763
NPI #: 1457330128
HANNIBAL CLINIC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 221-5250
E-PRESCRIBE: NO
GATES, DOUGLAS L., MD
GENDER: M
PROVIDER #: 027521
NPI #: 1952406639
NEW HORIZONS OB/GYN
117 E CLARK ST
HARRISBURG, IL 62946
PHONE: (618) 252-8625
E-PRESCRIBE: NO
MAPLE, LAURA D., MD
GENDER: F
PROVIDER #: 119885
NPI #: 1740269307
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DRIVE
HANNIBAL, MO 63401
PHONE: (573) 231-3788
E-PRESCRIBE: NO
HERRIN, IL
OBSTETRICS/
GYNECOLOGY
VIEHMANN, JULIE J., DO
GENDER: F
PROVIDER #: 230368
NPI #: 1457512089
HANNIBAL CLINIC
OPERATIONS LLC
100 MEDICAL DR
HANNIBAL, MO 63401
PHONE: (573) 231-3880
E-PRESCRIBE: NO
412
HANNIBAL, MO
HOOPESTON, IL
CRUZ, PAUL J., MD
GENDER: M
PROVIDER #: 027163
NPI #: 1619956935
REA CLINIC
3303 LOGAN DR
HERRIN, IL 62948
PHONE: (618) 993-5767
E-PRESCRIBE: NO
HOOPESTON, IL
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
OBSTETRICS/
GYNECOLOGY
BURNS, LAVIAS, MD
GENDER:
PROVIDER #: 265816
NPI #: 1164518205
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.
Obstetrics/Gynecology
Care Providers
HOOPESTON, IL
IOWA CITY, IA
DILLARD, TIFFANI, MD
GENDER: F
PROVIDER #: 266915
NPI #: 1871695684
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
GALLOWAY, KEVIN, DO
GENDER: M
PROVIDER #: 266495
NPI #: 1073507547
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL DBA
CARLE HO
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
GOODWINE-WOZNIAK,
NANCY, MD
GENDER: F
PROVIDER #: 266910
NPI #: 1700805942
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL DBA
CARLE HO
701 E ORAGNE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
HENNESY, MICHAEL, MD
GENDER: M
PROVIDER #: 266912
NPI #: 1932194016
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
SCHMITZ, ANNA, MD
GENDER: F
PROVIDER #: 266913
NPI #: 1073720157
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL DBA
CARLE HO
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
SHEPHERD, JAMES, MD
GENDER: M
PROVIDER #: 266914
NPI #: 1821198094
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL DBA
CARLE HO
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: YES
HOPEDALE, IL
OBSTETRICS/
GYNECOLOGY
OGUNLEYE, BAMIDELE
A., MD
GENDER: M
PROVIDER #: 229224
NPI #: 1831209584
ADVANCED WOMENS
HEALTHCRE SC
107 TREMONT DR
HOPEDALE, IL 61747
PHONE: (309) 808-3068
E-PRESCRIBE: NO
IOWA CITY, IA
OBSTETRICS/
GYNECOLOGY
ANAYA, HEATHER, DO
GENDER: F
PROVIDER #: 287012
NPI #: 1285890855
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE:
E-PRESCRIBE: NO
BETZ, ALEXANDRIA M.,
DO
GENDER: F
PROVIDER #: 301312
NPI #: 1538458377
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
BOLGER, HOLLY-MARIE,
DO
GENDER: F
PROVIDER #: 203930
NPI #: 1972709814
UNIVERSITY OF IOWA
HOSPITALS & CLINICS-OB/
GYN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
BOWDLER, NOELLE C.,
MD
GENDER: F
PROVIDER #: 130033
NPI #: 1396732160
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
413
Obstetrics/Gynecology
Care Providers
BRADLEY, CATHERINE S.,
MD
GENDER: F
PROVIDER #: 130037
NPI #: 1225022486
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
COOKINGHAM, LISA M.,
MD
GENDER: F
PROVIDER #: 249625
NPI #: 1134383128
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
COYNE, LAUREN E., MD
GENDER: F
PROVIDER #: 301409
NPI #: 1063724979
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
ELSON, MARY GRACE, MD
GENDER: F
PROVIDER #: 129841
NPI #: 1932193133
UI FAMILY CARE SEIC
1130 SCOTT BLVD
IOWA CITY, IA 52240
PHONE: (319) 339-7472
E-PRESCRIBE: NO
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
414
EPPSTEINER, ERIN E., MD
GENDER: F
PROVIDER #: 249594
NPI #: 1922234517
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
FRICKE, ERIN M., MD
GENDER: F
PROVIDER #: 293466
NPI #: 1003128471
UIHC DEPARTMENT OF
OBSTETRICS AND
GYNECOLOGY
200 HAWKINS DRIVE
IOWA CITY, IA 52242-1009
PHONE: (319) 356-2294
E-PRESCRIBE: NO
GELLHAUS, THOMAS M.,
MD
GENDER: M
PROVIDER #: 183638
NPI #: 1518931062
UNIVERSITY OF IOWA
HOSPITALS & CLINICS-OB/
GYN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
GENADRY, RENE, MD
GENDER: M
PROVIDER #: 227241
NPI #: 1962412023
UNIVERSITY OF IOWA
HOSPITALS & CLINICS/OBGYN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
IOWA CITY, IA
IOWA CITY, IA
GONZALEZ-BOSQUET,
JESUS, MD
GENDER: M
PROVIDER #: 271742
NPI #: 1427023175
UIHC DEPARTMENT OF
OBSTETRICS AND
GYNECOLOGY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
GREINER, ANDREA L., MD
GENDER: F
PROVIDER #: 155224
NPI #: 1427016716
UNIVERSITY OF IOWA
HOSPITAL & CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
HARDY-FAIRBANKS,
ABBEY J., MD
GENDER: F
PROVIDER #: 183594
NPI #: 1619073988
UNIVERSITY OF IOWA
HOSPITALS & CLINICS-OB/
GYN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
HUNTER, STEPHEN K.,
MD
GENDER: M
PROVIDER #: 131052
NPI #: 1790779866
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
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
KAPFHAMER, JOSHUA D.,
MD
GENDER: M
PROVIDER #: 290294
NPI #: 1073755757
UIHC DEPARTMENT OF
OBSTETRICS AND
GYNECOLOGY
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
KOLDER, VERONIKA E B,
MD
GENDER: F
PROVIDER #: 144230
NPI #: 1427047547
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
KRESOWIK, JESSICA D.,
MD
GENDER: F
PROVIDER #: 183682
NPI #: 1801006242
UNIVERSITY OF IOWA
HOSPITALS & CLINICS-OB/
GYN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
LESLIE, KIMBERLY K., MD
GENDER: F
PROVIDER #: 165784
NPI #: 1477560423
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
OB-GYN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
Obstetrics/Gynecology
Care Providers
LI, CHAO, MD
GENDER: M
PROVIDER #: 222449
NPI #: 1194981126
UNIVERSITY OF IOWA
HOSPITALS & CLINICS-OB/
GYN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
MEJIA SOUNHEIN,
RACHEL B., MD
GENDER: F
PROVIDER #: 249780
NPI #: 1336374768
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
MAASSEN, RACHEL A.,
MD
GENDER: F
PROVIDER #: 131233
NPI #: 1770535593
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
MUNCH, ERIKA M., MD
GENDER: F
PROVIDER #: 249777
NPI #: 1093078966
UIHC DEPARTMENT OF
OBSTETRICS AND
GYNECOLOGY
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
MAZUR, EUGENIA, MD
GENDER: F
PROVIDER #: 199992
NPI #: 1407147911
UNIVERSITY OF IOWA
HOSPITALS & CLINICS OB/
GYN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
NIEBYL, JENNIFER R., MD
GENDER: F
PROVIDER #: 130627
NPI #: 1538153739
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
MEADOWS, JILL L., MD
GENDER: F
PROVIDER #: 131642
NPI #: 1841284031
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
NUANGCHAMNONG,
NINA, MD
GENDER: F
PROVIDER #: 237319
NPI #: 1326207572
UIHC-DEPARTMENT OF
OBGYN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
415
Obstetrics/Gynecology
Care Providers
PICCONI, JASON L., MD
GENDER: M
PROVIDER #: 203352
NPI #: 1588871859
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS/
OB-GYN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
REYES, HENRY EDWARD
D., MD
GENDER: M
PROVIDER #: 224619
NPI #: 1144456880
UNIVERSITY OF IOWA
HOSPITALS & CLINICS-OB/
GYN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
RYAN, GINNY L., MD
GENDER: F
PROVIDER #: 130912
NPI #: 1285624981
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
SANTILLAN, MARK K., MD
GENDER: M
PROVIDER #: 144324
NPI #: 1114137668
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
416
STEINES WAGEMESTER,
JENNIFER C., MD
GENDER: F
PROVIDER #: 222452
NPI #: 1467613091
UNIVERSITY OF IOWA
HOSPITALS & CLINICS-OB/
GYN
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
STEPHAN, JEAN-MARIE,
MD
GENDER: M
PROVIDER #: 290425
NPI #: 1316147192
UIHC DEPARTMENT OF
OBSTETRICS AND
GYNECOLOGY
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
STOCKDALE, COLLEEN
M., MD
GENDER: F
PROVIDER #: 130549
NPI #: 1841287604
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
SWANSON, JENA J., MD
GENDER: F
PROVIDER #: 290442
NPI #: 1326275140
UNIVERSITY OF IOWA
HOSPITALS AND CLINICS
200 HAWKINS DRIVE
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
IOWA CITY, IA
JACKSONVILLE, IL
WARD, KELLY K., MD
GENDER: F
PROVIDER #: 131668
NPI #: 1790774818
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
YANKOWITZ, JEROME,
MD
GENDER: M
PROVIDER #: 131857
NPI #: 1336133594
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
ZLATNIK, FRANK J., MD
GENDER: M
PROVIDER #: 129333
NPI #: 1306830591
UNIVERSITY OF IOWA
HOSPITAL AND CLINICS
200 HAWKINS DR
IOWA CITY, IA 52242
PHONE: (319) 356-2294
E-PRESCRIBE: NO
JACKSONVILLE, IL
OBSTETRICS/
GYNECOLOGY
HRYNEWYCH,
ALEXANDER M., MD
GENDER: M
PROVIDER #: 207995
NPI #: 1780726430
WOMENS HEALTH CENTER
OF WEST CENTRAL ILLINOIS
1600 W WALNUT ST
JACKSONVILLE, IL 62650
PHONE: (217) 243-8455
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
JACKSONVILLE, IL
KANKAKEE, IL
OLEJNIK, JEFFREY L., MD
GENDER: M
PROVIDER #: 254172
NPI #: 1598727620
PASSAVANT PHYSICIAN
ASSOCIATION
1600 W WALNUT
JACKSONVILLE, IL 62650
PHONE: (217) 479-5769
E-PRESCRIBE: NO
WOMENS HEALTH CENTER
OF WEST CENTRAL ILLINOIS
1600 W WALNUT ST
JACKSONVILLE, IL 62650
PHONE: (217) 243-8455
E-PRESCRIBE: NO
TRACE, PETER A., MD
GENDER: M
PROVIDER #: 010986
NPI #: 1346224052
WOMENS HEALTH CENTER
OF WEST CENTRAL ILLINOIS
1600 W WALNUT
JACKSONVILLE, IL 62650
PHONE: (217) 243-8455
E-PRESCRIBE: NO
VERMA, NEELAM, MD
GENDER: F
PROVIDER #: 266030
NPI #: 1255520532
WOMENS HEALTH CENTER
OF WEST CENTRAL ILLINOIS
1600 W WALNUT ST
JACKSONVILLE, IL 62650
PHONE: (217) 243-8455
E-PRESCRIBE: NO
JERSEYVILLE, IL
KANKAKEE, IL
OBSTETRICS/
GYNECOLOGY
OBSTETRICS/
GYNECOLOGY
KISABETH, TIM C., MD
GENDER: M
PROVIDER #: 207680
NPI #: 1851384796
JCH MEDICAL GROUPJERSEYVILLE
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
PHONE: (618) 498-2101
E-PRESCRIBE: NO
ANDREWS, LIZY, MD
GENDER: F
PROVIDER #: 223292
NPI #: 1831218577
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
JOLIET, IL
OBSTETRICS/
GYNECOLOGY
KHATER, RUSSELL I., MD
GENDER: M
PROVIDER #: 043694
NPI #: 1306904131
WILL COUNTY OB-GYN LTD
1114 N LARKIN AVE
JOLIET, IL 60435
PHONE: (815) 725-6188
E-PRESCRIBE: NO
MERHI, NAHLA O., MD
GENDER: F
PROVIDER #: 146377
NPI #: 1104928498
SUBURBAN GYNECOLOGY
LLC
301 N MADISON SUITE 307
JOLIET, IL 60432
PHONE: (815) 717-8727
E-PRESCRIBE: NO
BRAY, KENNETH L., MD
GENDER: M
PROVIDER #: 244438
NPI #: 1740295161
PROVENA MEDICAL GROUP
555 W COURT ST SUITE 214
KANKAKEE, IL 60901
PHONE: (815) 937-8741
E-PRESCRIBE: NO
HAILE, DEGAULLE G., MD
GENDER: M
PROVIDER #: 207096
NPI #: 1881782506
PRAIRIEVIEW GYN LLC
555 W COURT ST
KANKAKEE, IL 60901
PHONE: (815) 935-1315
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
555 W COURT ST SUITE 214
KANKAKEE, IL 60901
PHONE: (815) 937-8741
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
417
Obstetrics/Gynecology
Care Providers
RAMAKRISHNA, RENUKA
J., MD
GENDER: F
PROVIDER #: 005260
NPI #: 1548214711
RENUKA RAMAKRISHNA
MD SC
400 N WALL STREET SUITE
403
KANKAKEE, IL 60901
PHONE: (815) 936-7122
E-PRESCRIBE: NO
SREEDEVI, MINI, MD
GENDER: F
PROVIDER #: 228288
NPI #: 1184930331
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
YALAMANCHILI, SAROJA,
MD
GENDER:
PROVIDER #: 289850
NPI #: 1124077326
RIVERSIDE MEDICAL
GROUP WOMENS WELLNESS
401 N WALL ST STE 206
KANKAKEE, IL 60901
PHONE: (815) 935-5433
E-PRESCRIBE: NO
LAKE FOREST, IL
OBSTETRICS/
GYNECOLOGY
COLEGROVE, TANNER L.,
MD
GENDER: F
PROVIDER #: 279748
NPI #: 1003941113
600 N WESTMORELAND RD
LAKE FOREST, IL 60045
PHONE: (847) 535-6343
E-PRESCRIBE: NO
418
DOLLING, KRISTIN A., MD
GENDER: F
PROVIDER #: 279750
NPI #: 1174557524
660 N WESTMORELAND RD
LAKE FOREST, IL 60045-9989
PHONE: (847) 535-6343
E-PRESCRIBE: NO
HELBING, MICHELE M.,
MD
GENDER: F
PROVIDER #: 279757
NPI #: 1386752103
660 N WESTMORELAND RD
LAKE FOREST, IL 60045-9989
PHONE: (847) 535-6343
E-PRESCRIBE: NO
MANCUSO, SHAYNA A.,
DO
GENDER: F
PROVIDER #: 279759
NPI #: 1558394510
660 N WESTMORELAND RD
LAKE FOREST, IL 60045-9989
PHONE: (312) 926-3627
E-PRESCRIBE: NO
MILLER, EMILY S., MD
GENDER: F
PROVIDER #: 279667
NPI #: 1922290600
660 N WESTMORELAND RD
#302
LAKE FOREST, IL 60045
PHONE: (847) 615-2229
E-PRESCRIBE: NO
NELSON, LATASHA D., MD
GENDER: F
PROVIDER #: 194245
NPI #: 1841460862
800 N WESTMORELAND RD
#102
LAKE FOREST, IL 60045
PHONE: (847) 735-8550
E-PRESCRIBE: NO
KANKAKEE, IL
LAWRENCEVILLE, IL
RAJAN, PRIYA V., MD
GENDER: F
PROVIDER #: 192269
NPI #: 1528136843
800 N WESTMORELAND RD
#102
LAKE FOREST, IL 60045
PHONE: (847) 735-8550
E-PRESCRIBE: NO
SLAW, STUART A., MD
GENDER: M
PROVIDER #: 279760
NPI #: 1700821154
660 N WESTMORELAND RD
LAKE FOREST, IL 60045-9989
PHONE: (847) 535-6343
E-PRESCRIBE: NO
YOU, WHITNEY B., MD
GENDER: F
PROVIDER #: 279681
NPI #: 1609831478
660 N WESTMORELAND RD
#302
LAKE FOREST, IL 60045
PHONE: (847) 615-2229
E-PRESCRIBE: NO
LAWRENCEVILLE, IL
OBSTETRICS/
GYNECOLOGY
ATIENZA, DENNIS U., DO
GENDER: M
PROVIDER #: 166411
NPI #: 1225038235
LCMH PRIMARY CARE
CLINIC
2111 LEXINGTON AVE SUITE
1
LAWRENCEVILLE, IL 62439
PHONE: (618) 943-6458
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
LAWRENCEVILLE, IL
MACOMB, IL
WALSH, ROBERT T., DO
GENDER: M
PROVIDER #: 166413
NPI #: 1225028202
LAWRENCE COUNTY
MEMORIAL HOSPITAL
PRIMARY CARE C
2111 LEXINGTON AVE SUITE
1
LAWRENCEVILLE, IL 62439
PHONE: (618) 943-6458
E-PRESCRIBE: NO
LENA, IL
OBSTETRICS/
GYNECOLOGY
MARTIN, KEITH R., MD
GENDER: M
PROVIDER #: 144336
NPI #: 1801007190
MONROE CLINIC-LENA
214 N SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
LINCOLN, IL
OBSTETRICS/
GYNECOLOGY
GREEN, KRISTEN, MD
GENDER: F
PROVIDER #: 069170
NPI #: 1235235052
SPRINGFIELD CLINIC
100 STAHLHUT DR
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: NO
SIELAFF, DON, MD
GENDER: M
PROVIDER #: 008911
NPI #: 1144320839
SPRINGFIELD CLINIC
100 STAHLHUT DR
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: NO
MACHESNEY PARK, IL
OBSTETRICS/
GYNECOLOGY
HOLBROOK, JODI L., MD
GENDER: F
PROVIDER #: 036272
NPI #: 1932138807
CORNERSTONE CLINIC LTD
9721 N ALPINE RD
MACHESNEY PARK, IL 61115
PHONE: (815) 484-6300
E-PRESCRIBE: NO
MACOMB, IL
FAMILY PRACTICE OB
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
OBSTETRICS/
GYNECOLOGY
ECKMAN, TROY, MD
GENDER: M
PROVIDER #: 059558
NPI #: 1073518304
WOMENS HEALTH CENTER
OF MACOMB INC
505 E GRANT ST SUITE 102
MACOMB, IL 61455
PHONE: (309) 833-5959
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
419
Obstetrics/Gynecology
Care Providers
MADISONVILLE, KY
MADISONVILLE, KY
MARYVILLE, IL
MARION, IL
OBSTETRICS/
GYNECOLOGY
OBSTETRICS/
GYNECOLOGY
LITTLEHALE, MARK J.,
MD
GENDER: M
PROVIDER #: 298506
NPI #: 1174544514
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
SAYAVONG, PATRICK, DO
GENDER: M
PROVIDER #: 027839
NPI #: 1346320124
MARION OBSTETRICS &
GYNECOLOGY LTD
3331 W DEYOUNG ST SUITE
201
MARION, IL 62959
PHONE: (618) 998-9888
E-PRESCRIBE: NO
RICKETTS, HEATHER R.,
MD
GENDER: F
PROVIDER #: 298521
NPI #: 1457369043
BAPTIST HEALTH MEDICAL
GROUP
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
PHONE: (270) 824-3682
E-PRESCRIBE: NO
MAHOMET, IL
OBSTETRICS/
GYNECOLOGY
MCGREGOR, CANDACE,
MD
GENDER: F
PROVIDER #: 166989
NPI #: 1205007721
CHRISTIE CLINIC
1001 COMMERCIAL DR
MAHOMET, IL 61853
PHONE: (217) 856-6600
E-PRESCRIBE: YES
420
MARSEILLES, IL
OBSTETRICS/
GYNECOLOGY
MURASKAS, ERIK K., MD
GENDER: M
PROVIDER #: 252345
NPI #: 1609840750
MORRIS HOSPITAL &
HEALTHCARE CENTERS
580 SYCAMORE ST
MARSEILLES, IL 61341
PHONE: (815) 795-2122
E-PRESCRIBE: YES
MARYVILLE, IL
GYNECOLOGY
MIDKIFF, CHRISTINA L.,
MD
GENDER: F
PROVIDER #: 135184
NPI #: 1306825856
2023 VADALABENE DR STE
200
MARYVILLE, IL 62062
PHONE:
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
CAHILL, ALISON G., MD
GENDER: F
PROVIDER #: 291905
NPI #: 1679788038
CHILDRENS SPECIALTY
CARE
2016 VADALABENE DR
MARYVILLE, IL 62062
PHONE: (314) 454-8181
E-PRESCRIBE: NO
DALLA RIVA, JAMES J.,
MD
GENDER:
PROVIDER #: 022789
NPI #: 1215040415
6812 STATE ROUTE 162 STE
301
MARYVILLE, IL 62062
PHONE: (618) 288-2970
E-PRESCRIBE: NO
DICKE, JEFFREY M., MD
GENDER: M
PROVIDER #: 291900
NPI #: 1982622437
CHILDRENS SPECIALTY
CARE
2016 VADALABENE DR
MARYVILLE, IL 62062
PHONE: (314) 454-8181
E-PRESCRIBE: NO
GINGRICH, TINA M., MD
GENDER: F
PROVIDER #: 022974
NPI #: 1063472801
2016 VADALABENE
MARYVILLE, IL 62062
PHONE: (618) 288-2970
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
MARYVILLE, IL
MATTOON, IL
GOETZINGER,
KATHERINE R., MD
GENDER: F
PROVIDER #: 291894
NPI #: 1174568935
CHILDRENS SPECIALTY
CARE
2016 VADALABENE DR
MARYVILLE, IL 62062
PHONE: (314) 454-8181
E-PRESCRIBE: NO
HULSEN, THOMAS, MD
GENDER: M
PROVIDER #: 099847
NPI #: 1417060542
JAMES J DALLARIVA MD PC
6812 STATE ROUTE 162 STE
301
MARYVILLE, IL 62062
PHONE: (618) 283-5699
E-PRESCRIBE: NO
OWENS, MARKEL L., MD
GENDER: M
PROVIDER #: 173516
NPI #: 1659572451
CHRISTINA L MIDKIFF MD
SC
2023 VADAKABENE DRIVE
MARYVILLE, IL 62062
PHONE: (618) 288-7408
E-PRESCRIBE: NO
RAMPERSAD, ROXANE M.,
MD
GENDER: F
PROVIDER #: 291883
NPI #: 1104031822
CHILDRENS SPECIALTY
CARE
2016 VADALABENE DR
MARYVILLE, IL 62062
PHONE: (314) 454-8181
E-PRESCRIBE: NO
RUSSELL, SHARMAN, MD
GENDER:
PROVIDER #: 279038
NPI #: 1780909705
TINA MF GINGRICH MD PC
2016 VADALABENE DRIVE
MARYVILLE, IL 62062
PHONE:
E-PRESCRIBE: NO
SANFORD, KIMBERLY, MD
GENDER: F
PROVIDER #: 205375
NPI #: 1255520458
TINA MF GINGRICH MD PC
2016 VADALABENE DRIVE
MARYVILLE, IL 62062
PHONE:
E-PRESCRIBE: NO
SHANKS, ANTHONY L.,
MD
GENDER: M
PROVIDER #: 291878
NPI #: 1871619825
CHILDRENS SPECIALTY
CARE
2016 VADALABENE DR
MARYVILLE, IL 62062-6901
PHONE: (314) 454-8181
E-PRESCRIBE: NO
STOUT, MOLLY J., MD
GENDER: F
PROVIDER #: 291849
NPI #: 1881867588
ST LOUIS CHILDRENS
SPECIALTY CARE
2016 VADALABENE DR
MARYVILLE, IL 62062
PHONE: (314) 454-8181
E-PRESCRIBE: NO
THATCH, URSULA L., MD
GENDER: F
PROVIDER #: 092429
NPI #: 1659423085
PROGRESSIVE
HEALTHCARE FOR WOMEN
6812 SR 162 STE 121
MARYVILLE, IL 62062
PHONE: (618) 288-0080
E-PRESCRIBE: NO
MATTOON, IL
OBSTETRICS/
GYNECOLOGY
BENSON, MICHAEL, DO
GENDER: M
PROVIDER #: 051300
NPI #: 1790891133
SBL WOMENS HEALTHCARE
1000 HEALTH CENTER DR
SUITE 201
MATTOON, IL 61938
PHONE: (217) 258-4030
E-PRESCRIBE: NO
FLEMING, MELVIN A., MD
GENDER: M
PROVIDER #: 221151
NPI #: 1134235823
SBL WOMENS HEALTHCARE
1000 HEALTH CENTER DR
SUITE 201
MATTOON, IL 61938
PHONE: (217) 258-4030
E-PRESCRIBE: NO
KEHL, RALPH J., MD
GENDER: M
PROVIDER #: 203030
NPI #: 1851316129
CARLE MATTOON ON
HURST
2512 HURST DR
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
421
Obstetrics/Gynecology
Care Providers
MEYER, SCOTT E., MD
GENDER: M
PROVIDER #: 149253
NPI #: 1306017751
SBL WOMENS HEALTHCARE
1000 HEALTH CENTER DR
SUITE 201
MATTOON, IL 61938
PHONE: (217) 258-4030
E-PRESCRIBE: NO
MILLER, RICK, DO
GENDER: M
PROVIDER #: 006598
NPI #: 1033225826
SBL WOMENS HEALTHCARE
1000 HEALTH CENTER DR
SUITE 201
MATTOON, IL 61938
PHONE: (217) 258-4030
E-PRESCRIBE: NO
MAYFIELD, KY
OBSTETRICS/
GYNECOLOGY
CHRISTENSEN, ALAN L.,
MD
GENDER: M
PROVIDER #: 298692
NPI #: 1194720250
ALAN L CHRISTENSEN MD
PSC
1111 MEDICAL CENTER
CIRCLE
MAYFIELD, KY 42066
PHONE: (270) 251-4556
E-PRESCRIBE: NO
422
MATTOON, IL
METROPOLIS, IL
WYNSTRA, JONATHAN A.,
MD
GENDER: M
PROVIDER #: 298145
NPI #: 1235132960
WYNSTRA WOMENS
HEALTH DBA DR JONATHAN
WYNSTRA
1111 MEDICAL CENTER
CIRCLE
MAYFIELD, KY 42066
PHONE: (270) 251-4543
E-PRESCRIBE: NO
MENDOTA, IL
GYNECOLOGY
SALVANI, REBECCA C.,
MD
GENDER: F
PROVIDER #: 231878
NPI #: 1801982327
OSF MEDICAL GROUP
1401 E 12TH ST
MENDOTA, IL 61342
PHONE: (815) 539-1422
E-PRESCRIBE: NO
1405 E 12TH ST SUITE 200
MENDOTA, IL 61342
PHONE: (815) 539-1710
E-PRESCRIBE: NO
METROPOLIS, IL
OBSTETRICS/
GYNECOLOGY
BEYER-NOLEN,
ELISABETH G., MD
GENDER: F
PROVIDER #: 163737
NPI #: 1306853684
MASSAC MEMORIAL
MEDICAL CLINIC
28 CHICK ST
METROPOLIS, IL 62960
PHONE: (618) 524-3572
E-PRESCRIBE: NO
JOYNER, SCOTT A., DO
GENDER: M
PROVIDER #: 163780
NPI #: 1720018617
MASSAC MEMORIAL
MEDICAL CLINIC
28 CHICK ST
METROPOLIS, IL 62960
PHONE: (618) 524-3572
E-PRESCRIBE: NO
SCHIFANO, MICHAEL J.,
DO
GENDER: M
PROVIDER #: 163753
NPI #: 1679507818
MASSAC MEMORIAL
MEDICAL CLINIC
28 CHICK ST
METROPOLIS, IL 62960
PHONE: (618) 524-3572
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
MINOOKA, IL
MOLINE, IL
MINOOKA, IL
OBSTETRICS/
GYNECOLOGY
TOUSSAINT, DOUGLAS,
DO
GENDER: M
PROVIDER #: 022113
NPI #: 1710984901
TOUSSAINT OBSTETRICS &
GYNECOLOGY PC
201 S WABENA AVE
MINOOKA, IL 60447
PHONE: (815) 521-4600
E-PRESCRIBE: NO
MOLINE, IL
OBSTETRICS/
GYNECOLOGY
BARRON, PATRICIA E.,
MD
GENDER: F
PROVIDER #: 035510
NPI #: 1487634820
ROCK VALLEY OBSTETRICS
& GYNECOLOGY
4300 7TH ST
MOLINE, IL 61265
PHONE: (309) 762-9800
E-PRESCRIBE: NO
CATLIN HOLLAND, SHERI
L., MD
GENDER: F
PROVIDER #: 086374
NPI #: 1588644835
ROCK VALLEY OBSTETRICS
& GYNECOLOGY
4300 7TH ST
MOLINE, IL 61265
PHONE: (309) 762-9800
E-PRESCRIBE: NO
Obstetrics/Gynecology
Care Providers
FAIDLEY, CHERYL K., MD
GENDER: F
PROVIDER #: 035509
NPI #: 1194705442
ROCK VALLEY OBSTETRICS
& GYNECOLOGY
4300 SEVENTH ST
MOLINE, IL 61265
PHONE: (309) 762-9800
E-PRESCRIBE: NO
LENO, JOHN H., MD
GENDER: M
PROVIDER #: 075851
NPI #: 1043216286
600 JOHN DEERE RD SUITE
308
MOLINE, IL 61265
PHONE: (309) 779-4550
E-PRESCRIBE: NO
FREED, RHONDA, MD
GENDER: F
PROVIDER #: 089996
NPI #: 1902879588
GENERATIONS WOMENS
HEALTH
612 35TH AVE
MOLINE, IL 61265
PHONE: (309) 764-1133
E-PRESCRIBE: YES
MAURUS, JEFFREY, MD
GENDER: M
PROVIDER #: 035844
NPI #: 1750352951
MEDICAL ARTS
ASSOCIATES
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4200
E-PRESCRIBE: NO
GIAMMETTA, DIANNE L.,
MD
GENDER: F
PROVIDER #: 034099
NPI #: 1639149206
MEDICAL ARTS
ASSOCIATES
600 JOHN DEERE RD SUITE
101
MOLINE, IL 61265
PHONE: (309) 779-4275
E-PRESCRIBE: NO
PAGADALA, PADMAVATHI
V., MD
GENDER: F
PROVIDER #: 047245
NPI #: 1174683544
GENERATIONS WOMENS
HEALTH
612 35TH AVE
MOLINE, IL 61265
PHONE: (309) 764-6767
E-PRESCRIBE: NO
HINZMAN, JUSTIN M., MD
GENDER: M
PROVIDER #: 301726
NPI #: 1770870222
MEDICAL ARTS
ASSOCIATES LTD
600 JOHN DEERE RD STE 200
MOLINE, IL 61265-6897
PHONE: (309) 779-4200
E-PRESCRIBE: NO
POLASCHEK, KARLA A.,
MD
GENDER: F
PROVIDER #: 056584
NPI #: 1154391720
MEDICAL ARTS
ASSOCIATES LTD
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265-6897
PHONE: (309) 779-4200
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
423
Obstetrics/Gynecology
Care Providers
RACCONE, NANCY L., MD
GENDER: F
PROVIDER #: 111330
NPI #: 1992728851
ROCK VALLEY OBSTETRICS
& GYNECOLOGY
4300 7TH ST
MOLINE, IL 61265
PHONE: (309) 762-9800
E-PRESCRIBE: NO
SAMMARCO, MICHAEL J.,
MD
GENDER: M
PROVIDER #: 300038
NPI #: 1609878420
UNITY POINT HEALTH TRINI
500 JOHN DEERE RD
MOLINE, IL 61265-6892
PHONE:
E-PRESCRIBE: NO
TEMPLE, ELIZABETH, MD
GENDER: F
PROVIDER #: 093451
NPI #: 1053390302
616 35TH AVE #4
MOLINE, IL 61265
PHONE: (309) 797-3500
E-PRESCRIBE: NO
TJARKS, MARY R., MD
GENDER: F
PROVIDER #: 189408
NPI #: 1255369641
MEDICAL ARTS
ASSOCIATES LTD
600 JOHN DEERE RD SUITE
200
MOLINE, IL 61265
PHONE: (309) 779-4200
E-PRESCRIBE: NO
ROCK VALLEY OBSTETRICS
& GYNECOLOGY
4300 7TH ST
MOLINE, IL 61265
PHONE: (309) 762-9800
E-PRESCRIBE: NO
424
MOLINE, IL
MORRIS, IL
YAZEJI, MAY, MD
GENDER: F
PROVIDER #: 257732
NPI #: 1881802536
CONTEMPORARY OBGYN
WOMENS CARE CENTER LLC
4322 7TH ST
MOLINE, IL 61265
PHONE: (309) 517-6222
E-PRESCRIBE: NO
MONEE, IL
OBSTETRICS/
GYNECOLOGY
SREEDEVI, MINI, MD
GENDER: F
PROVIDER #: 228288
NPI #: 1184930331
RIVERSIDE IMMEDIATE
CARE & CORP HEALTH
25711 S EGYPTIAN TRL
MONEE, IL 60449
PHONE: (708) 534-7523
E-PRESCRIBE: NO
MONTICELLO, IL
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
OBSTETRICS/
GYNECOLOGY
SHUMWAY, JOSEPH B.,
MD
GENDER: M
PROVIDER #: 239303
NPI #: 1932125242
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
MORRIS, IL
GYNECOLOGY
KIJEK, MARK A., MD
GENDER: M
PROVIDER #: 020489
NPI #: 1659336519
1802 N DIVISION ST SUITE
303
MORRIS, IL 60450
PHONE: (815) 942-1203
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
MORRIS, IL
MT VERNON, IL
ROTH, JOHN B., MD
GENDER: M
PROVIDER #: 020436
NPI #: 1447396361
MORRIS MEDICAL CENTER
107 W JEFFERSON
MORRIS, IL 60450
PHONE: (815) 942-0683
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
OCHOA, VICTORIA A., DO
GENDER: F
PROVIDER #: 262168
NPI #: 1396907606
MORRIS HOSPITAL
237 W WAVERLY ST
MORRIS, IL 60450
PHONE: (815) 941-0441
E-PRESCRIBE: YES
SETRINI-BEST, LETICIA
R., MD
GENDER: F
PROVIDER #: 262683
NPI #: 1235113812
MORRIS HOSPITAL AND
HEALTHCARE CENTERS
237 W WAVERLY ST
MORRIS, IL 60450
PHONE: (815) 941-0441
E-PRESCRIBE: YES
TOUSSAINT, DOUGLAS
N., DO
GENDER: M
PROVIDER #: 262145
NPI #: 1710984901
MORRIS HOSPITAL OB/GYN
237 W WAVERLY ST
MORRIS, IL 60450-1692
PHONE: (815) 941-0441
E-PRESCRIBE: NO
TOUSSAINT, DOUGLAS,
DO
GENDER: M
PROVIDER #: 022113
NPI #: 1710984901
TOUSSAINT OBSTETRICS &
GYNECOLOGY PC
237 W WAVERLY ST
MORRIS, IL 60450
PHONE: (815) 941-0441
E-PRESCRIBE: NO
MORTON, IL
OBSTETRICS/
GYNECOLOGY
MUELLER, JOHN, MD
GENDER: M
PROVIDER #: 004797
NPI #: 1730144650
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
435 MAXINE DR SUITE 5
MORTON, IL 61550
PHONE: (309) 692-2025
E-PRESCRIBE: NO
THOMPSON, STEPHEN C.,
MD
GENDER: M
PROVIDER #: 010769
NPI #: 1720039738
STEPHEN C THOMPSON MD
SC
435 MAXINE DR SUITE 5
MORTON, IL 61550
PHONE: (309) 263-2229
E-PRESCRIBE: NO
MT VERNON, IL
OBSTETRICS/
GYNECOLOGY
CAHILL, ALISON G., MD
GENDER: F
PROVIDER #: 291905
NPI #: 1679788038
CHILDRENS SPECIALTY
CARE
3130 VETERANS MEMORIAL
DR
MT VERNON, IL 62864
PHONE: (314) 454-8181
E-PRESCRIBE: NO
DICKE, JEFFREY M., MD
GENDER: M
PROVIDER #: 291900
NPI #: 1982622437
CHILDRENS SPECIALTY
CARE
3130 VETERANS MEMORIAL
DR
MT VERNON, IL 62864
PHONE: (314) 454-8181
E-PRESCRIBE: NO
GOETZINGER,
KATHERINE R., MD
GENDER: F
PROVIDER #: 291894
NPI #: 1174568935
CHILDRENS SPECIALTY
CARE
3130 VETERANS MEMORIAL
DR
MT VERNON, IL 62864
PHONE: (314) 454-8181
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
425
Obstetrics/Gynecology
Care Providers
RAMPERSAD, ROXANE M.,
MD
GENDER: F
PROVIDER #: 291883
NPI #: 1104031822
CHILDRENS SPECIALTY
CARE
3130 VETERANS MEMORIAL
DR
MT VERNON, IL 62864
PHONE: (314) 454-8181
E-PRESCRIBE: NO
SHANKS, ANTHONY L.,
MD
GENDER: M
PROVIDER #: 291878
NPI #: 1871619825
CHILDRENS SPECIALTY
CARE
3130 VETERANS MEMORIAL
DR
MT VERNON, IL 62864
PHONE: (314) 454-8181
E-PRESCRIBE: NO
STOUT, MOLLY J., MD
GENDER: F
PROVIDER #: 291849
NPI #: 1881867588
ST LOUIS CHILDRENS
SPECIALTY CARE
3130 VETERANS MEMORIAL
DR
MT VERNON, IL 62864
PHONE:
E-PRESCRIBE: NO
MT VERNON, IL
MURRAY, KY
MURPHYSBORO, IL
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
MURRAY, KY
OBSTETRICS/
GYNECOLOGY
COOK, CHARLES E., MD
GENDER: M
PROVIDER #: 237032
NPI #: 1871597203
MURRAY WOMANS CLINIC
PLLC
305 SOUTH 8TH STREET
MURRAY, KY 42071
PHONE: (270) 753-9300
E-PRESCRIBE: NO
DEETER, DAWN N., MD
GENDER: F
PROVIDER #: 137009
NPI #: 1154326502
MURRAY WOMANS CLINIC
PLLC
305 S 8TH ST
MURRAY, KY 42071
PHONE: (270) 753-9300
E-PRESCRIBE: NO
GREEN, THOMAS, MD
GENDER: M
PROVIDER #: 182750
NPI #: 1821093030
MURRAY WOMANS CLINIC
PLLC
305 SOUTH 8TH STREET
MURRAY, KY 42071
PHONE: (270) 753-9300
E-PRESCRIBE: NO
HUTCHISON, STEPHANIE
L., MD
GENDER: F
PROVIDER #: 286680
NPI #: 1750544185
MURRAY WOMANS CLINIC
PLLC
305 S 8TH ST
MURRAY, KY 42071
PHONE: (270) 753-9300
E-PRESCRIBE: NO
426
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
MURRAY, KY
NEWBURGH, IN
PRICE, MATTHEW E., MD
GENDER: M
PROVIDER #: 218222
NPI #: 1528118551
PRIMARY CARE MEDICAL
CENTER
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
TURLEY, KARLA R., MD
GENDER: F
PROVIDER #: 297965
NPI #: 1316147366
PRIMARY CARE MEDICAL
CENTER
1000 S 12TH ST
MURRAY, KY 42071
PHONE: (270) 759-9200
E-PRESCRIBE: NO
MUSCATINE, IA
GYNECOLOGY
JABBARI, GHOLAM H., MD
GENDER: M
PROVIDER #: 177686
NPI #: 1801867957
GENESIS HEALTH GROUP
MUSCATINE
2104 CEDARWOOD SUITE 200
MUSCATINE, IA 52761
PHONE: (563) 263-4848
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
BERESNEV, ANNA, MD
GENDER: F
PROVIDER #: 157575
NPI #: 1144403775
TRINITY MUSCATINE
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4112
E-PRESCRIBE: NO
JABBARI, GHOLAM, MD
GENDER: M
PROVIDER #: 115248
NPI #: 1801867957
MUSCATINE WOMENS
HEALTH
2104 CEDARWOOD DR SUITE
201
MUSCATINE, IA 52761
PHONE: (563) 263-4848
E-PRESCRIBE: NO
STURTEVANT, HEIDI A.,
MD
GENDER: F
PROVIDER #: 157583
NPI #: 1154336683
UNITYPOINT CLINIC/OBGYN
AT MULBERRY
1518 MULBERRY AVE
MUSCATINE, IA 52761
PHONE: (563) 262-4113
E-PRESCRIBE: NO
NEW LENOX, IL
OBSTETRICS/
GYNECOLOGY
MERHI, NAHLA O., MD
GENDER: F
PROVIDER #: 146377
NPI #: 1104928498
NEW LENOX WOMENS
CENTER
410 E LINCOLN HIGHWAY
NEW LENOX, IL 60451
PHONE: (815) 462-5566
E-PRESCRIBE: NO
SUBURBAN GYNECOLOGY
LLC
1890 SILVER CROSS BLVD
SUITE 375
NEW LENOX, IL 60451
PHONE: (815) 717-8727
E-PRESCRIBE: NO
NEWBURGH, IN
OBSTETRICS/
GYNECOLOGY
BROWN, TERESA M., MD
GENDER: F
PROVIDER #: 213625
NPI #: 1972509115
THE WOMENS HOSPITAL
PROVIDER SERVICES
4199 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 842-4200
E-PRESCRIBE: NO
CONTRERAS,
KARENROSE R., MD
GENDER: F
PROVIDER #: 226632
NPI #: 1225296247
TRI-STATE PERINATOLOGY
4199 GATEWAY BLVD SUITE
3100
NEWBURGH, IN 47630
PHONE: (812) 842-4550
E-PRESCRIBE: NO
FITZPATRICK, CLAYTON
B., MD
GENDER: M
PROVIDER #: 156188
NPI #: 1629011424
TRI-STATE PERINATOLOGY
4199 GATEWAY BLVD SUITE
3100
NEWBURGH, IN 47630
PHONE: (812) 858-4620
E-PRESCRIBE: NO
HERRON, MARIA C., MD
GENDER: F
PROVIDER #: 215473
NPI #: 1831189919
THE WOMENS HOSPITAL
PROVIDER SERVICES
4199 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 842-4200
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
427
Obstetrics/Gynecology
Care Providers
PODRASKY, DAVID F., MD
GENDER: M
PROVIDER #: 218856
NPI #: 1073624425
THE WOMENS HOSPITAL
PROVIDER SERVICES
4199 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 842-4200
E-PRESCRIBE: NO
FULK, NONA, MD
GENDER: F
PROVIDER #: 170876
NPI #: 1619974227
NONA FULK MD SC
1300 FRANKLIN AVE SUITE
360
NORMAL, IL 61761
PHONE: (309) 808-0940
E-PRESCRIBE: NO
SHACKLEFORD, DONALD
E., MD
GENDER: M
PROVIDER #: 286583
NPI #: 1871596486
THE WOMEN'S HOSPITAL
PROVIDER SERVICES
4199 GATEWAY BLVD
NEWBURGH, IN 47630
PHONE: (812) 842-4200
E-PRESCRIBE: NO
GALVAN, JEFFREY J., MD
GENDER: M
PROVIDER #: 146243
NPI #: 1689693475
GALVAN OB/GYN &
ASSOCIATES LLC
1300 FRANKLIN AVE SUITE
330
NORMAL, IL 61761
PHONE: (309) 454-7400
E-PRESCRIBE: NO
NORMAL, IL
OBSTETRICS/
GYNECOLOGY
DAMERON, JENNIFER S.,
MD
GENDER: F
PROVIDER #: 101079
NPI #: 1679685879
DR WEAVER & ASSOCIATES
1302 FRANKLIN AVE SUITE
3400
NORMAL, IL 61761
PHONE: (309) 451-9595
E-PRESCRIBE: NO
DUDLEY, HEATHER L., MD
GENDER: F
PROVIDER #: 107752
NPI #: 1356320592
BLM NORMAL SURGI
CENTER
2100 FT JESSE RD
NORMAL, IL 61761-9370
PHONE:
E-PRESCRIBE: NO
428
GRATKINS, LAWRENCE
V., MD
GENDER: M
PROVIDER #: 079276
NPI #: 1912003013
OBSTETRICS AND
GYNECOLOGY II LTD
1300 FRANKLIN AVE STE 270
NORMAL, IL 61761
PHONE: (309) 454-1074
E-PRESCRIBE: NO
HAAS, ELLEN T., MD
GENDER: F
PROVIDER #: 253791
NPI #: 1124256854
WOMEN FOR WOMEN
1302 FRANKLIN AVE SUITE
2200
NORMAL, IL 61761
PHONE: (309) 888-9900
E-PRESCRIBE: NO
NEWBURGH, IN
NORMAL, IL
HAAS, ELLEN, MD
GENDER: F
PROVIDER #: 269238
NPI #: 1124256854
PREMIER MEDICAL GROUP
1302 FRANKLIN AVE SUITE
2200
NORMAL, IL 61761
PHONE: (309) 454-5900
E-PRESCRIBE: NO
2200 JACOBSSEN DR STE B
NORMAL, IL 61761
PHONE: (309) 451-1123
E-PRESCRIBE: NO
HATFIELD DALTON,
RACHEL M., DO
GENDER: F
PROVIDER #: 206362
NPI #: 1235360199
HAROLD NORD OB/GYN SC
1302 FRANKLIN AVE SUITE
2800
NORMAL, IL 61761
PHONE: (309) 454-3456
E-PRESCRIBE: NO
NORD, HAROLD A., MD
GENDER: M
PROVIDER #: 004750
NPI #: 1548206519
HAROLD NORD OB/GYN SC
1302 FRANKLIN AVE SUITE
2800
NORMAL, IL 61761
PHONE: (309) 454-3456
E-PRESCRIBE: YES
RISTIC, PATRICIA I., MD
GENDER: F
PROVIDER #: 104712
NPI #: 1669506812
OBSTETRICS AND
GYNECOLOGY II LTD
1300 FRANKLIN AVE STE 270
NORMAL, IL 61761
PHONE: (309) 454-1074
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
NORMAL, IL
O'FALLON, IL
SVIENTEK, SUSAN JEAN,
MD
GENDER: F
PROVIDER #: 232023
NPI #: 1023120227
WOMEN FOR WOMEN
1302 FRANKLIN AVE SUITE
2200
NORMAL, IL 61761-6500
PHONE: (309) 888-9900
E-PRESCRIBE: NO
THORNTON, SHERRI-LEE,
MD
GENDER: F
PROVIDER #: 056354
NPI #: 1770695975
WOMEN FOR WOMEN
1302 FRANKLIN AVE SUITE
2200
NORMAL, IL 61761
PHONE: (309) 888-9900
E-PRESCRIBE: NO
NORTH AURORA, IL
OBSTETRICS/
GYNECOLOGY
ELGAR, CORISSA J., MD
GENDER: F
PROVIDER #: 255365
NPI #: 1306162458
DRYER CLINIC NORTH
AURORA
82 MILLER DR SUITE 102
NORTH AURORA, IL 60542
PHONE: (630) 897-6044
E-PRESCRIBE: NO
HARMON, KIM M., MD
GENDER: F
PROVIDER #: 256095
NPI #: 1932188299
DREYER CLINIC NORTH
AURORA
82 MILLER DR SUITE 102
NORTH AURORA, IL 60542
PHONE: (630) 897-6044
E-PRESCRIBE: NO
MILLS, CAROLYN J., MD
GENDER: F
PROVIDER #: 256349
NPI #: 1548354731
DREYER CLINIC-NORTH
AURORA
82 MILLER DR SUITE 102
NORTH AURORA, IL 60542
PHONE: (630) 897-6044
E-PRESCRIBE: NO
PATEL, DIPTI M., MD
GENDER: F
PROVIDER #: 182591
NPI #: 1639385651
DREYER CLINIC WEST
AURORA
82 MILLER DR
NORTH AURORA, IL 60542
PHONE: (630) 897-6044
E-PRESCRIBE: NO
SIMKINS, KELLY C., MD
GENDER: F
PROVIDER #: 256348
NPI #: 1184860595
DREYER CLINIC-NORTH
AURORA
82 MILLER DR SUITE 102
NORTH AURORA, IL 60542
PHONE: (630) 897-6044
E-PRESCRIBE: NO
NORTH LIBERTY, IA
OBSTETRICS/
GYNECOLOGY
ELSON, MARY GRACE, MD
GENDER: F
PROVIDER #: 129841
NPI #: 1932193133
UI FAMILY CARE NORTH
LIBERTY
3 LIONS DR
NORTH LIBERTY, IA 52317
PHONE: (319) 626-5680
E-PRESCRIBE: NO
NORTHBROOK, IL
OBSTETRICS/
GYNECOLOGY
DUNGAN, JEFFREY S., MD
GENDER: M
PROVIDER #: 159151
NPI #: 1790795979
2910 MACARTHUR BLVD
NORTHBROOK, IL 60062
PHONE: (773) 472-4900
E-PRESCRIBE: NO
SHULMAN, LEE P., MD
GENDER: M
PROVIDER #: 115984
NPI #: 1164447413
2910 MACARTHUR BLVD
NORTHBROOK, IL 60062
PHONE: (773) 472-4900
E-PRESCRIBE: NO
O'FALLON, IL
OBSTETRICS/
GYNECOLOGY
TISSIER, BRADLEY J., MD
GENDER: M
PROVIDER #: 107034
NPI #: 1871673491
OB GYN CARE LLC
1512 N GREENMOUNT RD
STE 107
O'FALLON, IL 62269
PHONE: (618) 628-1717
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
429
Obstetrics/Gynecology
Care Providers
OLNEY, IL
GYNECOLOGY
HATTEN, DON F., MD
GENDER: M
PROVIDER #: 068434
NPI #: 1265546204
1200 N EAST ST
OLNEY, IL 62450
PHONE: (618) 395-5222
E-PRESCRIBE: NO
RMH PROFESSIONAL
SERVICES
800 E LOCUST ST
OLNEY, IL 62450
PHONE: (618) 395-7340
E-PRESCRIBE: NO
OSWEGO, IL
OBSTETRICS/
GYNECOLOGY
GANDHI, ANITA M., MD
GENDER: F
PROVIDER #: 173503
NPI #: 1659380277
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
430
OLNEY, IL
PADUCAH, KY
RAO, CHANDRIKA S., MD
GENDER: F
PROVIDER #: 280029
NPI #: 1356638019
DREYER MEDICAL GROUP
LTD
80 TEMPLETON DR
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
OTTAWA, IL
VYAS, HARSHAVADAN J.,
MD
GENDER: M
PROVIDER #: 013264
NPI #: 1841391950
1013 CLINTON
OTTAWA, IL 61350
PHONE: (815) 433-3331
E-PRESCRIBE: NO
PADUCAH, KY
FAMILY PRACTICE OB
OBSTETRICS/
GYNECOLOGY
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
ANUNCIATO, KELLY, DO
GENDER: F
PROVIDER #: 085388
NPI #: 1760465926
KELLY ANUNCIATO DO
2605 KENTUCKY AVE SUITE
502 DOB #3
PADUCAH, KY 42003
PHONE: (270) 444-6274
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
SETRINI-BEST, LETICIA
R., MD
GENDER: F
PROVIDER #: 262683
NPI #: 1235113812
MORRIS HOSPITAL AND
HEALTHCARE CENTERS
1300 STARFIRE DR SUITE A
OTTAWA, IL 61350
PHONE: (815) 434-0811
E-PRESCRIBE: YES
CARDENAS, JORGE M.,
MD
GENDER: M
PROVIDER #: 097567
NPI #: 1093702128
PADUCAH WOMENS CLINIC
PSC
2311 KENTUCKY AVE
PADUCAH, KY 42002
PHONE: (270) 443-8425
E-PRESCRIBE: NO
ENGLAND, GARY T., MD
GENDER: M
PROVIDER #: 084717
NPI #: 1760553754
2603 KENTUCKY AVE SUITE
101
PADUCAH, KY 42003
PHONE: (270) 442-5102
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
PADUCAH, KY
PEKIN, IL
HODGES, PAMELA S., MD
GENDER: F
PROVIDER #: 097576
NPI #: 1396734448
PAMELA S HODGES MD PSC
2605 KENTUCKY AVENUE
SUITE 304
PADUCAH, KY 42003
PHONE: (270) 575-4555
E-PRESCRIBE: NO
MUELLER, SUSAN K., MD
GENDER: F
PROVIDER #: 109440
NPI #: 1003831652
CONTEMPORARY OB-GYN
OF WESTERN KY PSC
2605 KENTUCKY AVE DOB #3
PADUCAH, KY 42003
PHONE: (270) 444-9199
E-PRESCRIBE: NO
SAVELLS, AMBER D., MD
GENDER: F
PROVIDER #: 286567
NPI #: 1821232273
BAPTIST HEALTH MEDICAL
GROUP
2603 KENTUCKY AVENUE
SUITE 201
PADUCAH, KY 42003
PHONE: (270) 443-1220
E-PRESCRIBE: NO
TOLAR, STEWART B., MD
GENDER: M
PROVIDER #: 286681
NPI #: 1811984941
BAPTIST HEALTH MEDICAL
GROUP
2603 KENTUCKY AVENUE
SUITE 201
PADUCAH, KY 42003
PHONE: (270) 443-1220
E-PRESCRIBE: NO
PARIS, IL
PEKIN, IL
OBSTETRICS/
GYNECOLOGY
OBSTETRICS/
GYNECOLOGY
BENSON, MICHAEL, DO
GENDER: M
PROVIDER #: 051300
NPI #: 1790891133
PARIS COMMUNITY
HOSPITAL
721 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-4141
E-PRESCRIBE: NO
BRINKMAN-MOSIMAN,
LESLEY E., MD
GENDER: F
PROVIDER #: 010754
NPI #: 1649340019
THE WOMENS CENTER FOR
HEALTH
2401 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 478-1700
E-PRESCRIBE: NO
MENCHACA, ARTURO T.,
MD
GENDER:
PROVIDER #: 283540
NPI #: 1861516023
FAMILY MEDICAL CENTERPARIS
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
E-PRESCRIBE: YES
PARK RIDGE, IL
OBSTETRICS/
GYNECOLOGY
SCHRIEFER PHILBRICK,
JULIE, DO
GENDER: F
PROVIDER #: 294968
NPI #: 1043445778
PRESENCE AMBULATORY
SERVCIES
205 S NORTHWEST
HIGHWAY
PARK RIDGE, IL 60068
PHONE: (847) 292-5200
E-PRESCRIBE: NO
HARRINGTON, DOUGLAS
C., MD
GENDER: M
PROVIDER #: 010755
NPI #: 1598736837
HARRINGTON OBSTETRICS
& GYNECOLOGY
2709 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 353-3330
E-PRESCRIBE: NO
REINERTSON, ERIC, MD
GENDER: M
PROVIDER #: 244517
NPI #: 1497825863
PREMIER OB/GYN
2401 BROADWAY LOWER
LEVEL
PEKIN, IL 61554
PHONE: (309) 620-9980
LOCK, SUSAN, CNM;
PROVIDER #: 301006
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
431
Obstetrics/Gynecology
Care Providers
PEORIA, IL
GYNECOLOGY
COURI, MICHELE A., MD
GENDER: F
PROVIDER #: 082784
NPI #: 1861471583
COURI CENTER FOR
GYNECOLOGY AND
INTEGRATIVE WOMEN
6708 N KNOXVILLE AVE
SUITE 1
PEORIA, IL 61614
PHONE: (309) 692-6838
E-PRESCRIBE: NO
SHAY, SANIT S., MD
GENDER: M
PROVIDER #: 001779
NPI #: 1871642041
1201 N NORTH ST SUITE 201
PEORIA, IL 61606
PHONE: (309) 671-2340
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
AMBROSE, STEVEN, MD
GENDER: M
PROVIDER #: 298849
NPI #: 1558379024
METHODIST MEDICAL
GROUP PERINATOLOGY
221 NE GLEN OAK AVE
PEORIA, IL 61636
PHONE: (309) 672-4144
E-PRESCRIBE: NO
432
ANNE, VASANATHA L.,
MD
GENDER: F
PROVIDER #: 193821
NPI #: 1578870846
JODY L KELLY MD &
ASSOCIATES LLC
2901 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-7010
E-PRESCRIBE: NO
5401 N KNOXVILLE AVE
SUITE 300
PEORIA, IL 61614
PHONE: (309) 688-7010
E-PRESCRIBE: NO
BIRKHOLZ, JILL A., MD
GENDER: F
PROVIDER #: 049765
NPI #: 1144233495
EDWARD C LUAN MD SC
7620 N UNIVERSITY ST
SUITE 108
PEORIA, IL 61614
PHONE: (309) 692-5600
E-PRESCRIBE: NO
BOCHANTIN, TRACY A.,
MD
GENDER: F
PROVIDER #: 066741
NPI #: 1336255009
BOCHANTIN OBSTETRICS &
GYNECOLOGY SERVICES
LTD
5401 N KNOXVILLE AVE
SUITE 308
PEORIA, IL 61614
PHONE: (309) 692-5100
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
BOYD JR, WILLIAM M., DO
GENDER: M
PROVIDER #: 008992
NPI #: 1770581456
BOYD OBSTETRICS &
GYNECOLOGY SC
900 E MAIN ST SUITE 660
PEORIA, IL 61602
PHONE: (309) 687-4230
E-PRESCRIBE: NO
BYLER DANN, REBECCA
J., MD
GENDER: F
PROVIDER #: 298697
NPI #: 1114126364
HEARTLAND COMMUNITY
HEALTH CLINIC
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: NO
CARLSON, NANCY J., MD
GENDER: F
PROVIDER #: 285604
NPI #: 1326158502
METHODIST MEDICAL
GROUP PERINATOLOGY
221 NE GLEN OAK AVE
PEORIA, IL 61636
PHONE: (309) 672-4144
E-PRESCRIBE: NO
CATT, SUSAN, MD
GENDER: F
PROVIDER #: 264536
NPI #: 1326200585
AFFINITY WOMENS HEALTH
CARE SC
5401 N KNOXVILLE AVE
SUITE 114
PEORIA, IL 61614
PHONE: (309) 966-3862
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
PEORIA, IL
PEORIA, IL
COTTER, THUSITHA, MD
GENDER: F
PROVIDER #: 220700
NPI #: 1649477555
HEARTLAND COMMUNITY
HEALTH CLINIC AT EAST
BLUFF
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 681-4606
E-PRESCRIBE: NO
CROLAND, JOSHUA A.,
MD
GENDER: M
PROVIDER #: 108742
NPI #: 1215916093
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 692-2025
E-PRESCRIBE: NO
8600 N STATE ROUTE 91
SUITE 330
PEORIA, IL 61615
PHONE: (309) 692-2025
E-PRESCRIBE: NO
CROLAND, JOSHUA, MD
GENDER: M
PROVIDER #: 227140
NPI #: 1215916093
HEARTLAND COMMUNITY
HEALTH CLINIC
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: YES
FUCHS, ESTHER, MD
GENDER: F
PROVIDER #: 212471
NPI #: 1255572723
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
2321 N WISCONSIN AVE
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
GARCIA, XOCHITL, MD
GENDER:
PROVIDER #: 257419
NPI #: 1881893212
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
5114 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 692-2025
E-PRESCRIBE: NO
GIBSON, JACK M., MD
GENDER: M
PROVIDER #: 008994
NPI #: 1346235777
900 MAIN ST SUITE 280
PEORIA, IL 61602
PHONE: (309) 671-2570
E-PRESCRIBE: NO
GIBSON, JACK, MD
GENDER: M
PROVIDER #: 273314
NPI #: 1346235777
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
GRACZYKOWSKI, JACEK
W., MD
GENDER: M
PROVIDER #: 283483
NPI #: 1881728129
HEARTLAND COMMUNITY
HEALTH
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
GUALANDRI, KATIE, DO
GENDER: F
PROVIDER #: 283617
NPI #: 1245464122
JODY L KELLY MD &
ASSOCIATES
2901 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-7010
E-PRESCRIBE: YES
HARRINGTON, DOUGLAS
C., MD
GENDER: M
PROVIDER #: 010755
NPI #: 1598736837
HARRINGTON OBSTETRICS
& GYNECOLOGY
120 NE GLEN OAK AVE
SUITE 207
PEORIA, IL 61603
PHONE: (309) 673-4471
E-PRESCRIBE: NO
KELLY, JODY L., MD
GENDER: F
PROVIDER #: 093801
NPI #: 1932107208
JODY L KELLY MD &
ASSOCIATES LLC
2901 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-7010
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
433
Obstetrics/Gynecology
Care Providers
5401 N KNOXVILLE AVE
SUITE 300
PEORIA, IL 61614
PHONE: (309) 688-7010
E-PRESCRIBE: NO
KINDRED, DAVID H., MD
GENDER: M
PROVIDER #: 008996
NPI #: 1508953258
KINDRED LLC
2806 N KNOXVILLE AVE
PEORIA, IL 61604
PHONE: (309) 687-6500
E-PRESCRIBE: NO
KINDRED, DAVID, MD
GENDER: M
PROVIDER #: 244168
NPI #: 1508953258
DAVID KINDRED
INTEGRATED MEDICINE
2806 N KNOXVILLE AVE
SUITE C
PEORIA, IL 61604
PHONE: (309) 270-1858
E-PRESCRIBE: NO
LADANYI, ANDRAS
GENDER: M
PROVIDER #: 276663
NPI #: 1467784504
ILLINOIS CANCERCARE
8904 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: NO
LEE, THOMAS G., DO
GENDER: M
PROVIDER #: 023867
NPI #: 1407876519
LEE OBSTETRICS &
GYNECOLOGY SC
6915 N KNOXVILLE AVE
SUITE 1
PEORIA, IL 61614
PHONE: (309) 691-1259
E-PRESCRIBE: NO
434
LOCOCO, SALVATORE J.,
MD
GENDER: M
PROVIDER #: 193317
NPI #: 1831104645
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 681-7602
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC AT EAST
BLUFF
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: NO
LOWE, JASON W., MD
GENDER: M
PROVIDER #: 292060
NPI #: 1790792505
BOYD OBSTETRICS &
GYNECOLOGY SC
900 E MAIN ST SUITE 660
PEORIA, IL 61602
PHONE: (309) 687-4230
E-PRESCRIBE: NO
LOWE, JASON, MD
GENDER: M
PROVIDER #: 132687
NPI #: 1790792505
PEORIA OBSTETRICS AND
GYNECOLOGY OF CENTRAL
IL
900 MAIN ST SUITE 660
PEORIA, IL 61602
PHONE: (309) 687-4230
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
LUAN, EDWARD C., MD
GENDER: M
PROVIDER #: 084167
NPI #: 1770596124
EDWARD C LUAN MD SC
7620 N UNIVERSITY ST
SUITE 108
PEORIA, IL 61614
PHONE: (309) 692-5600
E-PRESCRIBE: NO
MA, LINDSEY A., MD
GENDER: M
PROVIDER #: 010768
NPI #: 1285688820
PEORIA WOMENS HEALTH
5401 N KNOXVILLE AVE
SUITE 109
PEORIA, IL 61614
PHONE: (309) 692-2805
E-PRESCRIBE: NO
MUELLER, JOHN, MD
GENDER: M
PROVIDER #: 004797
NPI #: 1730144650
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 692-2025
E-PRESCRIBE: NO
8600 N STATE ROUTE 91
SUITE 330
PEORIA, IL 61615
PHONE: (309) 692-2025
E-PRESCRIBE: NO
OLT, TAMARA, MD
GENDER: F
PROVIDER #: 038638
NPI #: 1104870708
PEORIA WOMENS HEALTH
5401 N KNOXVILLE AVE
SUITE 109
PEORIA, IL 61614
PHONE: (309) 692-2805
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
PEORIA, IL
PERU, IL
OVERCASH, LARRY F., MD
GENDER: M
PROVIDER #: 009022
NPI #: 1639136484
WOMENS HEALTH
INSTITUTE LTD
7309 N KNOXVILLE AVE
SUITE 300
PEORIA, IL 61614-2085
PHONE: (309) 671-5100
E-PRESCRIBE: YES
SWINGLER, JAMES L., MD
GENDER: M
PROVIDER #: 009037
NPI #: 1982612982
GYNECOLOGY &
OBSTETRICS SC
7501 N UNIVERSITY ST
SUITE 109
PEORIA, IL 61614
PHONE: (309) 692-0072
E-PRESCRIBE: NO
SALDANA-GAUTIER, LUIS
R., MD
GENDER: M
PROVIDER #: 285618
NPI #: 1891729695
METHODIST MEDICAL
CENTER
221 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 672-4144
E-PRESCRIBE: NO
TEVERBAUGH, LORI A.,
MD
GENDER: F
PROVIDER #: 084967
NPI #: 1427037209
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 692-2025
E-PRESCRIBE: NO
METHODIST MEDICAL
GROUP PERINATOLOGY
221 NE GLEN OAK AVE
PEORIA, IL 61636
PHONE: (309) 672-4144
E-PRESCRIBE: NO
STALLING, JILLIAN C.,
MD
GENDER: F
PROVIDER #: 212816
NPI #: 1659593507
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 692-2025
E-PRESCRIBE: NO
8600 N STATE ROUTE 91
SUITE 330
PEORIA, IL 61615
PHONE: (309) 692-2025
E-PRESCRIBE: NO
8600 N STATE ROUTE 91
SUITE 330
PEORIA, IL 61615
PHONE: (309) 692-2025
E-PRESCRIBE: NO
THOMPSON, STEPHEN C.,
MD
GENDER: M
PROVIDER #: 281905
NPI #: 1720039738
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
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
STEPHEN C THOMPSON MD
SC
5401 N KNOXVILLE AVE
SUITE 119
PEORIA, IL 61614
PHONE: (309) 692-1700
E-PRESCRIBE: NO
PERU, IL
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
228 NE JEFFERSON
PEORIA, IL 61602
PHONE: (309) 671-8000
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
435
Obstetrics/Gynecology
Care Providers
OBSTETRICS/
GYNECOLOGY
PLAINFIELD, IL
BOGARD, SHYRLENA L.,
MD
GENDER: F
PROVIDER #: 185683
NPI #: 1467615898
WOMENS HEALTH CARE
CENTER
920 WEST ST BLDG B
PERU, IL 61354
PHONE: (815) 223-2944
E-PRESCRIBE: NO
EDWARDS, JEFFREY, MD
GENDER: M
PROVIDER #: 260167
NPI #: 1013915958
IVCH MEDICAL GROUP/
WOMENS HEALTH CARE
CENTER
920 W ST BLDG B
PERU, IL 61354
PHONE: (815) 223-2944
E-PRESCRIBE: NO
KHAN, MITCHELL A., DO
GENDER: M
PROVIDER #: 295039
NPI #: 1407075021
IVCH MEDICAL GROUP/
WOMENS HEALTH CARE
CENTER
920 W ST BLDG B
PERU, IL 61354
PHONE: (815) 223-2944
E-PRESCRIBE: NO
KLEMCZAK, DENISE L.,
DO
GENDER: F
PROVIDER #: 134848
NPI #: 1033312723
WOMENS HEALTH CARE
CENTER
920 WEST ST BLDG B
PERU, IL 61354
PHONE: (815) 223-2944
E-PRESCRIBE: YES
436
PERU, IL
PONTIAC, IL
GYNECOLOGY
KIJEK, MARK A., MD
GENDER: M
PROVIDER #: 020489
NPI #: 1659336519
23959 RENWICK RD
PLAINFIELD, IL 60544
PHONE: (815) 942-1203
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
CASSIDY, BRETT J., MD
GENDER: M
PROVIDER #: 227656
NPI #: 1649256975
AISHLING OB &
GYNECOLOGY
15905 S FREDERICK ST SUITE
109
PLAINFIELD, IL 60586
PHONE: (815) 577-2840
E-PRESCRIBE: NO
HAWKINS, JAMES N., DO
GENDER: M
PROVIDER #: 079105
NPI #: 1558421875
AISHLING OB &
GYNECOLOGY
15905 S FREDERICK ST SUITE
109
PLAINFIELD, IL 60586
PHONE: (815) 577-2840
E-PRESCRIBE: NO
PALKO, JILL M., MD
GENDER: F
PROVIDER #: 278644
NPI #: 1093033011
AISHLING OB &
GYNECOLOGY
5905 W FREDERICK ST SUITE
109
PLAINFIELD, IL 60586
PHONE: (815) 577-2840
E-PRESCRIBE: YES
PLEASANT HILL, IA
OBSTETRICS/
GYNECOLOGY
BOEHNKE, CAROLINE A.,
MD
GENDER: F
PROVIDER #: 232827
NPI #: 1104171743
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
5900 E UNIVERSITY SUITE
301
PLEASANT HILL, IA 50327
PHONE:
E-PRESCRIBE: YES
PONTIAC, IL
OBSTETRICS/
GYNECOLOGY
ADESIDA, PATIENCE, MD
GENDER: F
PROVIDER #: 256932
NPI #: 1548377559
OSF MEDICAL GROUP
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-3567
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
PONTIAC, IL
RED BUD, IL
NYI, SHAI S., MD
GENDER:
PROVIDER #: 023553
NPI #: 1073606323
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
212
PONTIAC, IL 61764
PHONE: (815) 842-3567
E-PRESCRIBE: NO
ZOTZ, JARED K., MD
GENDER: M
PROVIDER #: 291209
NPI #: 1093956815
OSF MEDICAL GROUP
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-3567
E-PRESCRIBE: NO
PRINCETON, IL
OBSTETRICS/
GYNECOLOGY
LAVAVEJ, SRIPEN, MD
GENDER: F
PROVIDER #: 014436
NPI #: 1386608099
530 PARK AVE EAST SUITE
202
PRINCETON, IL 61356
PHONE: (815) 875-4428
E-PRESCRIBE: NO
ST MARGARETS
OBSTETRICS &
GYNECOLOGY CENTER
530 PARK AVENUE EAST
PRINCETON, IL 61356
PHONE: (815) 875-4428
E-PRESCRIBE: NO
NARINEDHAT, RALPH, MD
GENDER: M
PROVIDER #: 296790
NPI #: 1922248400
ST MARGARETS HOSPITAL
530 PARK AVE SUITE 202
PRINCETON, IL 61356
PHONE: (815) 875-4428
E-PRESCRIBE: NO
OATEY, MARY E., DO
GENDER: F
PROVIDER #: 146045
NPI #: 1366404295
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 220
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: NO
QUINCY, IL
OBSTETRICS/
GYNECOLOGY
DIETRICH, GINA L., DO
GENDER: F
PROVIDER #: 077595
NPI #: 1184648974
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 220
QUINCY, IL 62301
PHONE: (217) 223-8400
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
HENSLEY, MARK, MD
GENDER: M
PROVIDER #: 183211
NPI #: 1609070630
BLESSING WOMENS
CENTER
927 BROADWAY SUITE 220
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: NO
RANTOUL, IL
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
GYNECOLOGY
SKELLY, STEPHANIE E.,
MD
GENDER: F
PROVIDER #: 073041
NPI #: 1649274382
STEPHANIE SKELLY MD
415 W SOUTH 4TH ST
RED BUD, IL 62278
PHONE: (618) 282-7725
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
437
Obstetrics/Gynecology
Care Providers
PARKVIEW MEDICAL
SERVICES
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2726
E-PRESCRIBE: NO
ROCK ISLAND, IL
OBSTETRICS/
GYNECOLOGY
BANAS, JOHN S., MD
GENDER: M
PROVIDER #: 020109
NPI #: 1114910353
TRINITY OB/GYN-ROCK
ISLAND
2570 24TH ST SUITE 122
ROCK ISLAND, IL 61201
PHONE: (309) 779-3868
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
OBSTETRICS/
GYNECOLOGY
ALQARA, FARES M., MD
GENDER: M
PROVIDER #: 283467
NPI #: 1124271978
OSF MEDICAL GROUP
6030 GARRETT LANE
ROCKFORD, IL 61107
PHONE: (815) 226-1172
E-PRESCRIBE: NO
ABDUL-KHALEK, RANA,
MD
GENDER: F
PROVIDER #: 201585
NPI #: 1275768087
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: (815) 971-2000
E-PRESCRIBE: NO
ALKHABBAZ, ANTOUN,
MD
GENDER: M
PROVIDER #: 281596
NPI #: 1992797260
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
438
BHATTACHARYA,
SUMOULINDRA T., MD
GENDER: M
PROVIDER #: 111543
NPI #: 1306906920
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: (815) 971-2000
E-PRESCRIBE: NO
ROCK ISLAND, IL
ROCKFORD, IL
BRIGGS, RODNEY G., MD
GENDER: M
PROVIDER #: 112925
NPI #: 1962604181
ROCKFORD MEMORIAL
HOSPITAL
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
CORDOBA, MARCOS I.,
MD
GENDER: M
PROVIDER #: 274000
NPI #: 1003084286
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
DAVIS, LISA A., MD
GENDER: F
PROVIDER #: 299448
NPI #: 1861462616
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
DURKEE, TIMOTHY, MD
GENDER: M
PROVIDER #: 136512
NPI #: 1780682393
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
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
ENNEN, CHRISTOPHER,
MD
GENDER: M
PROVIDER #: 263054
NPI #: 1407836646
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
GILES, HARLAN R., MD
GENDER: M
PROVIDER #: 268433
NPI #: 1346210226
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
GRANZEIER, GREGORY
S., MD
GENDER: M
PROVIDER #: 102601
NPI #: 1134239320
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
HARB, TAREK S., MD
GENDER: M
PROVIDER #: 286246
NPI #: 1598701088
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
HOLDEN, JOHN, MD
GENDER: M
PROVIDER #: 070083
NPI #: 1992856892
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
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
UNIV WOMEN & CHILD
HEALTH
2780 MCFARLAN RD
ROCKFORD, IL 61107
PHONE: (815) 229-1700
E-PRESCRIBE: NO
HIGGINS, PHILLIP A D.,
MD
GENDER: M
PROVIDER #: 102152
NPI #: 1306956594
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: (815) 971-2000
E-PRESCRIBE: NO
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
HOLLMAN, CHARLES B.,
MD
GENDER: M
PROVIDER #: 258707
NPI #: 1902908932
OSF MEDICAL GROUP
6030 GARRETT LANE
ROCKFORD, IL 61107
PHONE: (815) 226-1172
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
439
Obstetrics/Gynecology
Care Providers
KANAAN, CAMILLE, MD
GENDER: F
PROVIDER #: 250108
NPI #: 1396738365
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MEDERICH, LINDSEY, MD
GENDER: F
PROVIDER #: 249988
NPI #: 1588900203
ROCKFORD HEALTH
PHYSICIANS
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
MALONE, LISA M., MD
GENDER: F
PROVIDER #: 281598
NPI #: 1588647523
ADVANCED REPRODUCTIVE
CENTER
435 N MULFORD RD SUITE 9
ROCKFORD, IL 61107
PHONE: (815) 229-1726
E-PRESCRIBE: NO
PATEL, RUPESH, DO
GENDER: M
PROVIDER #: 134552
NPI #: 1568557692
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
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
440
PLATT, JULIE S., MD
GENDER: F
PROVIDER #: 213487
NPI #: 1467488734
ROCKFORD MEMORIAL
HOSPITAL
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
RANDEREE, RASHIDA, DO
GENDER: F
PROVIDER #: 289409
NPI #: 1134329063
OSF MEDICAL GROUP OB/
GYN GARRETT LANE
6030 GARRETT LANE
ROCKFORD, IL 61107
PHONE: (815) 226-1172
E-PRESCRIBE: NO
ROCKFORD, IL
ROCKFORD, IL
ROBINSON, ROYLAND,
MD
GENDER: M
PROVIDER #: 283862
NPI #: 1740464882
ROCKFORD HEALTH
PHYSICIANS
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-2000
E-PRESCRIBE: NO
ROGERS, DENNIE T., MD
GENDER: M
PROVIDER #: 188590
NPI #: 1952509473
ROCKFORD MEMORIAL
HOSPITAL
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
SCHLEICHER, BETH A.,
MD
GENDER: F
PROVIDER #: 281615
NPI #: 1356646673
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.
Obstetrics/Gynecology
Care Providers
ROCKFORD, IL
ROCKTON, IL
UNIVERSITY FAMILY
HEALTH CENTER
1221 E STATE ST
ROCKFORD, IL 61104
PHONE: (815) 972-1000
E-PRESCRIBE: NO
SCOTT, SARAH B., MD
GENDER: F
PROVIDER #: 258764
NPI #: 1225247760
OSF MEDICAL GROUP
6030 GARRETT LANE
ROCKFORD, IL 61107
PHONE: (815) 226-1172
E-PRESCRIBE: NO
STEWART, JOSEPH M.,
MD
GENDER: M
PROVIDER #: 258760
NPI #: 1932204484
OSF MEDICAL GROUP
6030 GARRETT LANE
ROCKFORD, IL 61107
PHONE: (815) 226-1172
E-PRESCRIBE: NO
TOUSSAINT, THOMAS,
MD
GENDER: M
PROVIDER #: 259837
NPI #: 1255625091
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
THE WOMENS CENTER AT
ROCKFORD HEALTH
SYSTEM
7180 SPRING BROOK RD
ROCKFORD, IL 61114
PHONE: (815) 971-2299
E-PRESCRIBE: NO
WANG, JEANNIE, MD
GENDER: F
PROVIDER #: 081078
NPI #: 1487714002
ROCKFORD HEALTH
PHYSICIANS
2300 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
DURKEE, TIMOTHY, MD
GENDER: M
PROVIDER #: 136512
NPI #: 1780682393
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
PHONE: (815) 971-2000
E-PRESCRIBE: NO
HARB, TAREK S., MD
GENDER: M
PROVIDER #: 286246
NPI #: 1598701088
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
YANG, LEE C., DO
GENDER: M
PROVIDER #: 223940
NPI #: 1548203615
ROCKFORD MEMORIAL
HOSPITAL
2400 N ROCKTON AVE
ROCKFORD, IL 61103
PHONE: (815) 971-5000
E-PRESCRIBE: NO
ROCKTON, IL
OBSTETRICS/
GYNECOLOGY
ALKHABBAZ, ANTOUN,
MD
GENDER: M
PROVIDER #: 281596
NPI #: 1992797260
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
HOLDEN, JOHN, MD
GENDER: M
PROVIDER #: 070083
NPI #: 1992856892
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
MALONE, LISA M., MD
GENDER: F
PROVIDER #: 281598
NPI #: 1588647523
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.
441
Obstetrics/Gynecology
Care Providers
SCHLEICHER, BETH A.,
MD
GENDER: F
PROVIDER #: 281615
NPI #: 1356646673
UIC PRIMARY CARE CLINIC
ROCKTON
1511 BLACKHAWK BLVD
ROCKTON, IL 61072
PHONE: (815) 395-5879
E-PRESCRIBE: NO
ROSCOE, IL
OBSTETRICS/
GYNECOLOGY
ABDUL-KHALEK, RANA,
MD
GENDER: F
PROVIDER #: 201585
NPI #: 1275768087
ROCKFORD HEALTH
PHYSICIANS
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
PHONE: (815) 971-2000
E-PRESCRIBE: NO
GRANZEIER, GREGORY
S., MD
GENDER: M
PROVIDER #: 102601
NPI #: 1134239320
ROCKFORD HEALTH
PHYSICIANS
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
PHONE: (815) 971-2000
E-PRESCRIBE: NO
442
ROCKTON, IL
SILVIS, IL
SANDWICH, IL
OBSTETRICS/
GYNECOLOGY
CASSIDY, BRETT J., MD
GENDER: M
PROVIDER #: 227656
NPI #: 1649256975
AISHLING OB &
GYNECOLOGY
831 E SANDHURST DR
SANDWICH, IL 60548
PHONE: (815) 786-1088
E-PRESCRIBE: NO
HAWKINS, JAMES N., DO
GENDER: M
PROVIDER #: 079105
NPI #: 1558421875
AISHLING OB &
GYNECOLOGY
831 E SANDHURST DR
SANDWICH, IL 60548
PHONE: (815) 786-1088
E-PRESCRIBE: NO
PALKO, JILL M., MD
GENDER: F
PROVIDER #: 278644
NPI #: 1093033011
AISHLING OB &
GYNECOLOGY
831 E SANDHURST DR
SANDWICH, IL 60548
PHONE: (815) 786-1088
E-PRESCRIBE: YES
SILVIS, IL
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
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
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
SILVIS, IL
SPRING VALLEY, IL
OBSTETRICS/
GYNECOLOGY
CARAMAN, IURIE, MD
GENDER: M
PROVIDER #: 252618
NPI #: 1821237660
GENESIS HEALTH SYSTEM
855 ILLINI DR SUITE 408
SILVIS, IL 61282
PHONE: (309) 281-2140
E-PRESCRIBE: NO
KUYAKANON, W, MD
GENDER: M
PROVIDER #: 020243
NPI #: 1740260736
855 ILLINI DR SUITE 400
SILVIS, IL 61282
PHONE: (309) 792-4228
E-PRESCRIBE: NO
ROGERS, EDIE M., DO
GENDER: F
PROVIDER #: 115588
NPI #: 1881663656
GENESIS HEALTH GROUP
855 ILLINI DR SUITE 408
SILVIS, IL 61282
PHONE: (309) 281-2140
E-PRESCRIBE: NO
SPARTA, IL
OBSTETRICS/
GYNECOLOGY
BEYER-NOLEN,
ELISABETH, MD
GENDER: F
PROVIDER #: 168858
NPI #: 1306853684
QUALITY HEALTHCARE
CLINIC
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: NO
BOYD, EMILY B., MD
GENDER: F
PROVIDER #: 188814
NPI #: 1730257924
QUALITY HEALTHCARE
CLINIC
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: NO
JOYNER, SCOTT, DO
GENDER: M
PROVIDER #: 172519
NPI #: 1720018617
QUALITY HEALTHCARE
CLINIC
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: NO
CARSON, DEBRA, DO
GENDER: F
PROVIDER #: 216828
NPI #: 1043410392
WOMENS HEALTHCARE
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: NO
PLETT, JAMIE L., MD
GENDER: F
PROVIDER #: 221971
NPI #: 1033412531
WOMENS HEALTHCARE
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: YES
CARTER, KIMBERLY D.,
DO
GENDER: F
PROVIDER #: 246498
NPI #: 1891916847
WOMENS HEALTHCARE
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: NO
SCHIFANO, MICHAEL J.,
MD
GENDER: M
PROVIDER #: 166969
NPI #: 1679507818
QUALITY HEALTHCARE
CLINIC
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: NO
COVLIN, MICHAEL A., MD
GENDER: M
PROVIDER #: 166971
NPI #: 1780641852
QUALITY HEALTHCARE
CLINIC
1300 N MARKET
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: NO
SPRING VALLEY, IL
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
443
Obstetrics/Gynecology
Care Providers
OBSTETRICS/
GYNECOLOGY
SPRING VALLEY, IL
SPRINGFIELD, IL
SPRINGFIELD, IL
MASCHMANN, JENNIFER
L., MD
GENDER: F
PROVIDER #: 085137
NPI #: 1023021433
ST MARGARETS HOSPITAL
600 E FIRST ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-5367
E-PRESCRIBE: NO
ORTEZA, NORAH W., MD
GENDER: F
PROVIDER #: 085138
NPI #: 1619082948
ST MARGARETS HEALTH
WOMENS HEALTH CLINIC
600 E FIRST ST HAZEL
MARIA BOYLE SECOND
FLOOR
SPRING VALLEY, IL 61362
PHONE: (815) 663-2300
E-PRESCRIBE: NO
WHATCOTT, CRAIG R., MD
GENDER: M
PROVIDER #: 032192
NPI #: 1598871329
ST MARGARETS HEALTH
WOMENS HEALTH CLINIC
600 E FIRST ST HAZEL
MARIA BOYLE SECOND
FLOOR
SPRING VALLEY, IL 61362
PHONE: (815) 663-2300
E-PRESCRIBE: NO
GYNECOLOGY
ARBUTHNOT, JANE R.,
MD
GENDER: F
PROVIDER #: 098742
NPI #: 1760489587
WOMENS HEALTHCARE LLC
747 N RUTLEDGE ST BAYLIS
BLDG 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 757-7932
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
AMIN, NEHA N., MD
GENDER: F
PROVIDER #: 040275
NPI #: 1619974532
WOMENS HEALTHCARE LLC
747 N RUTLEDGE ST BAYLIS
BLDG 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 757-7932
E-PRESCRIBE: NO
BEAL, HEATHER, MD
GENDER: F
PROVIDER #: 116731
NPI #: 1912940545
SPRINGFIELD CLINIC
900 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
BENNETT, TARA Z., MD
GENDER: F
PROVIDER #: 008876
NPI #: 1194713024
SPRINGFIELD CLINIC LLC
900 N 1ST ST
SPRINGFIELD, IL 62702-3749
PHONE: (217) 528-7541
E-PRESCRIBE: NO
444
BRADLEY, E MICHAEL,
MD
GENDER: M
PROVIDER #: 008479
NPI #: 1497744171
SPRINGFIELD CLINIC LLC
900 N 1ST ST
SPRINGFIELD, IL 62702-3749
PHONE: (217) 528-7541
E-PRESCRIBE: NO
BRARD, LAURENT, MD
GENDER: M
PROVIDER #: 200223
NPI #: 1346278041
SIU PHYS & SURG SIMMONS
CANCER INSTITUTE
315 W CARPENTER 1ST
FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-1322
E-PRESCRIBE: NO
SIU PHYS & SURG-SIMMONS
CANCER INSTITUTE
315 W CARPENTER 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 545-5117
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
415 N 9TH ST STE 6W100
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
BROWN, CHERYL L., MD
GENDER: F
PROVIDER #: 084242
NPI #: 1548372097
SPRINGFIELD CLINIC
900 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
Obstetrics/Gynecology
Care Providers
CHAPMAN, DAVID C., MD
GENDER: M
PROVIDER #: 008478
NPI #: 1164410163
SPRINGFIELD CLINIC LLC
900 N 1ST ST
SPRINGFIELD, IL 62702-3749
PHONE: (217) 528-7541
E-PRESCRIBE: NO
ERTMOED, ERNEST E., MD
GENDER: M
PROVIDER #: 008065
NPI #: 1710073382
SPRINGFIELD CLINIC
900 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
HALL, AMY E., MD
GENDER: F
PROVIDER #: 048440
NPI #: 1508855479
SPRINGFIELD CLINIC LLC
900 N 1ST ST
SPRINGFIELD, IL 62702-3749
PHONE: (217) 528-7541
E-PRESCRIBE: NO
DIGNAN-MOORE, LESLIE
A., MD
GENDER: F
PROVIDER #: 167075
NPI #: 1831311836
SPRINGFIELD CLINIC
900 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
FERRILL, ALYCE F., MD
GENDER: F
PROVIDER #: 098154
NPI #: 1740279439
SPRINGFIELD CLINIC LLC
900 N 1ST ST
SPRINGFIELD, IL 62702-3749
PHONE: (217) 528-7541
E-PRESCRIBE: NO
HANY, LUCINDA A., MD
GENDER: F
PROVIDER #: 133060
NPI #: 1063535029
SPRINGFIELD CLINIC LLC
900 N 1ST ST
SPRINGFIELD, IL 62702-3749
PHONE: (217) 528-7541
E-PRESCRIBE: NO
GARZA-CAVAZOS,
ARTURO, MD
GENDER: M
PROVIDER #: 189924
NPI #: 1336456367
SIU HEALTHCARE OBGYN
DEPT
1100 E LINCOLNSHIRE SUITE
200
SPRINGFIELD, IL 62703
PHONE: (217) 545-8000
E-PRESCRIBE: NO
HENRY, JILLIAN A., MD
GENDER: F
PROVIDER #: 299055
NPI #: 1003102773
MPS-WOMENS
HEALTHCARE
747 N RUTLEDGE 2ND
FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 757-7932
E-PRESCRIBE: NO
EDEN, RICHARD T., MD
GENDER: M
PROVIDER #: 133962
NPI #: 1477589992
SPRINGFIELD CLINIC
900 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
ERICSSON, KRISTINA R.,
MD
GENDER: F
PROVIDER #: 202653
NPI #: 1366640658
SIU HEALTHCARE OBGYN
DEPT
1100 E LINCOLNSHIRE SUITE
200
SPRINGFIELD, IL 62703
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
415 N 9TH ST SUITE 6W100
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 6W100
SPRINGFIELD, IL 62702
PHONE: (217) 545-5117
E-PRESCRIBE: NO
GILDNER, JAMES L., MD
GENDER: M
PROVIDER #: 008529
NPI #: 1477549590
WOMENS HEALTHCARE LLC
747 N RUTLEDGE ST BAYLIS
BLDG 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 757-7932
E-PRESCRIBE: NO
HIGH, AMY K., MD
GENDER: F
PROVIDER #: 185048
NPI #: 1780890913
WOMENS HEALTHCARE LLC
747 N RUTLEDGE BAYLIS
BLDG 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 757-7932
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
445
Obstetrics/Gynecology
Care Providers
HILD-MOSLEY,
KATHERINE A., MD
GENDER: F
PROVIDER #: 109551
NPI #: 1932180981
SIU HEALTHCARE OBGYN
DEPT
1100 E LINCOLNSHIRE SUITE
200
SPRINGFIELD, IL 62703
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 6W100
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
HUDEC, JOHN G., MD
GENDER: M
PROVIDER #: 023645
NPI #: 1992791032
WOMENS HEALTHCARE LLC
747 N RUTLEDGE ST BAYLIS
BLDG 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 757-7932
E-PRESCRIBE: NO
HUSTON, CHAD A., MD
GENDER: M
PROVIDER #: 023438
NPI #: 1477534428
SIU HEALTHCARE OBGYN
DEPT
1100 E LINCOLNSHIRE SUITE
200
SPRINGFIELD, IL 62703
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 6W100
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
446
SPRINGFIELD, IL
SPRINGFIELD, IL
KLEIN, TAMMIE A., MD
GENDER: F
PROVIDER #: 008082
NPI #: 1366543464
SPRINGFIELD CLINIC
900 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
QUINN, TONI M., MD
GENDER: F
PROVIDER #: 083373
NPI #: 1528151487
SPRINGFIELD CLINIC
900 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
NELSON, ERICA, MD
GENDER: F
PROVIDER #: 049668
NPI #: 1447231493
SIU HEALTHCARE OBGYN
DEPT
1100 E LINCOLNSHIRE SUITE
200
SPRINGFIELD, IL 62703
PHONE: (217) 545-8000
E-PRESCRIBE: NO
RETTIG, ANGELIQUE S.,
MD
GENDER: F
PROVIDER #: 040122
NPI #: 1649268509
SPRINGFIELD CLINIC LLC
900 N 1ST ST
SPRINGFIELD, IL 62702-3749
PHONE: (217) 528-7541
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 6W100
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
O'BRIEN, AMANDA M., MD
GENDER: F
PROVIDER #: 255339
NPI #: 1184852162
WOMENS HEALTHCARE LLC
747 N RUTLEDGE 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 757-7932
E-PRESCRIBE: NO
PUTMAN, WILLIAM D., MD
GENDER: M
PROVIDER #: 008104
NPI #: 1386737237
SPRINGFIELD CLINIC
900 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
RINABERGER, ALISON C.,
MD
GENDER: F
PROVIDER #: 274056
NPI #: 1821309790
SPRINGFIELD CLINIC
900 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
RODRIGO, GILBERTO, MD
GENDER: M
PROVIDER #: 169974
NPI #: 1568653608
SIU HEALTHCARE OBGYN
DEPT
1100 E LINCOLNSHIRE SUITE
200
SPRINGFIELD, IL 62703
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 6W100
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
Obstetrics/Gynecology
Care Providers
RUNDLE, PAMELA J., MD
GENDER: F
PROVIDER #: 075680
NPI #: 1144313008
SPRINGFIELD CLINIC
900 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
STEHLING, DUSTIN J., MD
GENDER: M
PROVIDER #: 224140
NPI #: 1033371125
SPRINGFIELD CLINIC
900 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
SEMAAN, ASSAAD Y., MD
GENDER: M
PROVIDER #: 255545
NPI #: 1841457975
SIU PHYSICIANS &
SURGEONS
415 N 9TH SUITE 6W100
SPRINGFIELD, IL 62794
PHONE: (217) 545-8000
E-PRESCRIBE: NO
STONE, ERIN M., MD
GENDER: F
PROVIDER #: 133059
NPI #: 1760505721
SPRINGFIELD CLINIC LLC
900 N 1ST ST
SPRINGFIELD, IL 62702-3749
PHONE: (217) 528-7541
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
315 W CARPENTER 1ST FL
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIDDIQUE, SOHAIL A., MD
GENDER: M
PROVIDER #: 164760
NPI #: 1992770101
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST STE 6W100
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST PAV 4B
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
SWEETLAND, DONNA J.,
MD
GENDER: F
PROVIDER #: 014792
NPI #: 1740374909
SPRINGFIELD CLINIC
900 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
TAYLOR, FUNMINIYI A.,
MD
GENDER: F
PROVIDER #: 286812
NPI #: 1588649321
SIU HEALTHCARE
415 N 9TH ST STE 6W100
SPRINGFIELD, IL 62701
PHONE: (217) 545-8000
E-PRESCRIBE: NO
VISNESKY, PATRICIA M.,
MD
GENDER: F
PROVIDER #: 008530
NPI #: 1770558942
WOMENS HEALTHCARE LLC
747 N RUTLEDGE ST BAYLIS
BLDG 2ND FL
SPRINGFIELD, IL 62794
PHONE: (217) 757-7932
E-PRESCRIBE: NO
YOUNKIN, CASEY C., MD
GENDER: M
PROVIDER #: 008487
NPI #: 1659352656
SIU HEALTHCARE OBGYN
DEPT
1100 E LINCOLNSHIRE SUITE
200
SPRINGFIELD, IL 62703
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
ZEINO, MHD YAHIA, MD
GENDER: M
PROVIDER #: 166345
NPI #: 1528271673
SIU HEALTHCARE OBGYN
DEPT
1100 E LINCOLNSHIRE SUITE
200
SPRINGFIELD, IL 62703
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 6W100
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
447
Obstetrics/Gynecology
Care Providers
ZINZILIETA, J M., MD
GENDER: M
PROVIDER #: 008126
NPI #: 1366539165
SPRINGFIELD CLINIC
900 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
NEWMAN, EDWARD M.,
MD
GENDER: M
PROVIDER #: 256341
NPI #: 1053304741
DREYER CLINIC-ST
CHARLES
3310 W MAIN ST SUITE 200
ST CHARLES, IL 60175
PHONE: (630) 897-6044
E-PRESCRIBE: NO
ST CHARLES, IL
OBSTETRICS/
GYNECOLOGY
ELGAR, CORISSA J., MD
GENDER: F
PROVIDER #: 255365
NPI #: 1306162458
DREYER CLINIC ST
CHARLES
3310 W MAIN ST SUITE 200
ST CHARLES, IL 60175
PHONE: (630) 897-6044
E-PRESCRIBE: NO
HARMON, KIM M., MD
GENDER: F
PROVIDER #: 256095
NPI #: 1932188299
DREYER CLINIC ST
CHARLES
3310 W MAIN ST SUITE 200
ST CHARLES, IL 60175
PHONE: (630) 897-6044
E-PRESCRIBE: NO
MILLS, CAROLYN J., MD
GENDER: F
PROVIDER #: 256349
NPI #: 1548354731
DREYER CLINIC-ST
CHARLES
3310 W MAIN ST SUITE 200
ST CHARLES, IL 60175
PHONE: (630) 897-6044
E-PRESCRIBE: NO
448
PATEL, DIPTI M., MD
GENDER: F
PROVIDER #: 182591
NPI #: 1639385651
DREYER CLINIC-ST
CHARLES
3310 W MAIN ST SUITE 200
ST CHARLES, IL 60175
PHONE: (630) 897-6044
E-PRESCRIBE: NO
ROCHE, NATALIE K., MD
GENDER: F
PROVIDER #: 256270
NPI #: 1710906235
DREYER CLINIC ST
CHARLES
3310 W MAIN ST STE 200
ST CHARLES, IL 60175
PHONE: (630) 897-6044
E-PRESCRIBE: NO
SIMKINS, KELLY C., MD
GENDER: F
PROVIDER #: 256348
NPI #: 1184860595
DREYER CLINIC-ST
CHARLES
3310 W MAIN ST SUITE 200
ST CHARLES, IL 60175
PHONE: (630) 897-6044
E-PRESCRIBE: NO
SPRINGFIELD, IL
SWANSEA, IL
STREATOR, IL
OBSTETRICS/
GYNECOLOGY
CHEN, CHAOMING, MD
GENDER: M
PROVIDER #: 041424
NPI #: 1548291057
CARL MATTIODA &
CHOAMING
104 SIXTH ST SUITE 300
STREATOR, IL 61364
PHONE: (815) 673-4363
E-PRESCRIBE: NO
MATTIODA, CARL P., MD
GENDER: M
PROVIDER #: 041425
NPI #: 1306871181
CARL MATTIODA &
CHOAMING
104 SIXTH ST SUITE 300
STREATOR, IL 61364
PHONE: (815) 673-4363
E-PRESCRIBE: NO
SWANSEA, IL
OBSTETRICS/
GYNECOLOGY
WOOL, ELLIOT, MD
GENDER: M
PROVIDER #: 026952
NPI #: 1043302011
SPECIALISTS IN OB/GYN
LTD
6 PARK PLACE
SWANSEA, IL 62226
PHONE: (618) 233-7711
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
SYCAMORE, IL
URBANA, IL
SYCAMORE, IL
OBSTETRICS/
GYNECOLOGY
DUBRICK, PAUL A., MD
GENDER: M
PROVIDER #: 113484
NPI #: 1558345637
PRAIRIE POINT OBSTETRICS
& GYNECOLOGY LTD
1675 BETHANY RD SUITE C
SYCAMORE, IL 60178
PHONE: (815) 899-8080
E-PRESCRIBE: NO
HOBSON, PAULA M., MD
GENDER:
PROVIDER #: 290416
NPI #: 1821215971
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
JOHNSON-EDOKPAYI,
OLUWAKEMI, MD
GENDER:
PROVIDER #: 290451
NPI #: 1992939805
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 758-8671
E-PRESCRIBE: NO
KRUSKOL, BRYAN M., DO
GENDER: M
PROVIDER #: 113447
NPI #: 1497739569
PRAIRIE POINT OBSTETRICS
& GYNECOLOGY LTD
1675 BETHANY RD SUITE C
SYCAMORE, IL 60178
PHONE: (815) 899-8080
E-PRESCRIBE: NO
RANA, SAIRA P., MD
GENDER: F
PROVIDER #: 261294
NPI #: 1891875183
NEW BEGINNINGS
OBSTETRICS &
GYNECOLOGY INC
2127 MIDLANDS CT #204
SYCAMORE, IL 60178
PHONE: (815) 517-1667
E-PRESCRIBE: YES
SUI, DAVID, MD
GENDER:
PROVIDER #: 290437
NPI #: 1477565521
KISHHEALTH PHYSICIANS
GROUP - DEKALB
1850 GATEWAY DRIVE
SYCAMORE, IL 60178
PHONE: (815) 899-1103
E-PRESCRIBE: NO
WIEPERT, NICHOLE E.,
MD
GENDER: F
PROVIDER #: 255612
NPI #: 1871735290
PRAIRIE POINT OB/GYN
1675 BETHANY RD SUITE C
SYCAMORE, IL 60178
PHONE: (815) 899-8080
E-PRESCRIBE: YES
TAYLORVILLE, IL
OBSTETRICS/
GYNECOLOGY
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
QUINN, TONI M., MD
GENDER: F
PROVIDER #: 083373
NPI #: 1528151487
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
TUSCOLA, IL
OBSTETRICS/
GYNECOLOGY
YOUNG, SARAH B., MD
GENDER: F
PROVIDER #: 134175
NPI #: 1477630523
CHRISTIE CLINIC
704 N MAIN
TUSCOLA, IL 61953
PHONE: (217) 366-1200
E-PRESCRIBE: YES
URBANA, IL
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
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
449
Obstetrics/Gynecology
Care Providers
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
GYNECOLOGY
DABROWSKI, MELINDA,
MD
GENDER: F
PROVIDER #: 000212
NPI #: 1124053848
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3140
E-PRESCRIBE: YES
OBSTETRICS/
GYNECOLOGY
CARLSON, NANCY J., MD
GENDER: F
PROVIDER #: 245324
NPI #: 1326158502
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVENUE
URBANA, IL 61801-2530
PHONE: (217) 383-4930
E-PRESCRIBE: YES
CHRISTENSEN,
FRANKLYN C., MD
GENDER: M
PROVIDER #: 264474
NPI #: 1366454316
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-6888
E-PRESCRIBE: YES
450
COOPER-MORPHEW,
SUSAN, MD
GENDER: F
PROVIDER #: 256346
NPI #: 1629206164
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-6888
E-PRESCRIBE: YES
DILLARD, TIFFANI E., MD
GENDER: F
PROVIDER #: 069431
NPI #: 1871695684
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-6888
E-PRESCRIBE: YES
FAY, NANCY E., MD
GENDER: F
PROVIDER #: 000204
NPI #: 1215956099
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
FULFER, JAMIE L., MD
GENDER:
PROVIDER #: 148133
NPI #: 1093802001
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-6888
E-PRESCRIBE: YES
GALLOWAY, KEVIN L., DO
GENDER: M
PROVIDER #: 195130
NPI #: 1073507547
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-6888
E-PRESCRIBE: YES
URBANA, IL
URBANA, IL
GOODWINE-WOZNIAK,
NANCY, MD
GENDER: F
PROVIDER #: 094513
NPI #: 1700805942
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-6888
NIXON, JAMIE J., NP;
PROVIDER #: 294141
E-PRESCRIBE: YES
HENNESY, MICHAEL S.,
MD
GENDER: M
PROVIDER #: 226137
NPI #: 1932194016
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3140
E-PRESCRIBE: YES
JOHNSON, JEREMY S.,
MD
GENDER: M
PROVIDER #: 290827
NPI #: 1548249097
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3140
E-PRESCRIBE: YES
MANDEL, DANIEL C., MD
GENDER: M
PROVIDER #: 276292
NPI #: 1932300357
CARLE PHYSICIAN GROUP
611 W PARK AVE
URBANA, IL 61801
PHONE: (217) 383-6888
E-PRESCRIBE: YES
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
URBANA, IL
WARRENVILLE, IL
MESEROW, JAMES A., MD
GENDER: M
PROVIDER #: 216342
NPI #: 1609818657
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3140
E-PRESCRIBE: YES
MORRISON, DANA C., MD
GENDER:
PROVIDER #: 299757
NPI #: 1801184874
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3170
E-PRESCRIBE: YES
ROBINSON,
CHRISTOPHER, MD
GENDER: M
PROVIDER #: 176314
NPI #: 1750353355
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3311
E-PRESCRIBE: YES
SCHMITZ, ANNA L., MD
GENDER: F
PROVIDER #: 210812
NPI #: 1073720157
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3311
E-PRESCRIBE: YES
SHEPHERD, JAMES L., MD
GENDER: M
PROVIDER #: 000206
NPI #: 1821198094
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3311
E-PRESCRIBE: YES
SKANNAL, DEBORAH G.,
MD
GENDER: F
PROVIDER #: 212662
NPI #: 1881678308
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3311
E-PRESCRIBE: YES
WAGNER, REBECCA A.,
MD
GENDER: F
PROVIDER #: 000209
NPI #: 1023110186
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
WEISBAUM, JON S., DO
GENDER: M
PROVIDER #: 017291
NPI #: 1538262845
CARLE PHYSICIAN GROUP
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3311
E-PRESCRIBE: YES
WARRENVILLE, IL
OBSTETRICS/
GYNECOLOGY
BOWLES, JAMES M., MD
GENDER: M
PROVIDER #: 232168
NPI #: 1457362774
CADENCE PHYSICIAN
GROUP
28375 DAVIS PARKWAY
WARRENVILLE, IL 605553030
PHONE: (630) 653-4240
E-PRESCRIBE: NO
FESENMYER, LYNN A.,
MD
GENDER: F
PROVIDER #: 231974
NPI #: 1518978865
CADENCE PHYSICIAN
GROUP
28375 DAVIS PARKWAY
WARRENVILLE, IL 605553030
PHONE: (630) 653-4240
E-PRESCRIBE: NO
HAY, DEBORAH L., MD
GENDER: F
PROVIDER #: 239638
NPI #: 1235140492
CADENCE PHYSICIAN
GROUP
28375 DAVIS PKWY
WARRENVILLE, IL 605553030
PHONE: (630) 653-4240
E-PRESCRIBE: NO
LARRY, MICHAEL G., MD
GENDER: M
PROVIDER #: 264327
NPI #: 1164433348
CADENCE PHYSICIAN
GROUP
28375 DAVIS PARKWAY
WARRENVILLE, IL 605553030
PHONE: (630) 653-4240
E-PRESCRIBE: NO
MACEK, KENNETH R., MD
GENDER: M
PROVIDER #: 231520
NPI #: 1902028293
CADENCE PHYSICIAN
GROUP
28375 DAVIS PARKWAY
WARRENVILLE, IL 605553030
PHONE: (630) 653-4240
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
451
Obstetrics/Gynecology
Care Providers
RUSSO, LUCILLE R., MD
GENDER: F
PROVIDER #: 245631
NPI #: 1730190927
CADENCE PHYSICIAN
GROUP
28375 DAVIS PARKWAY
WARRENVILLE, IL 605553030
PHONE: (630) 653-4240
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
KIM, JUN D., DO
GENDER:
PROVIDER #: 277878
NPI #: 1336411610
IMH MULTISPECIALTY
PHYSICIANS
200 LAIRD LN
WATSEKA, IL 60970
PHONE: (815) 432-0741
E-PRESCRIBE: YES
WASHINGTON, IL
OBSTETRICS/
GYNECOLOGY
TEVERBAUGH, LORI A.,
MD
GENDER: F
PROVIDER #: 084967
NPI #: 1427037209
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
10 ST CLAIRE COURT SUITE
120
WASHINGTON, IL 61571
PHONE: (309) 692-2025
E-PRESCRIBE: NO
WATSEKA, IL
FAMILY PRACTICE OB
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
452
625 S FIFTH ST
WATSEKA, IL 60970
PHONE: (815) 432-0741
E-PRESCRIBE: YES
WEST DES MOINES, IA
OBSTETRICS/
GYNECOLOGY
BOEHNKE, CAROLINE A.,
MD
GENDER: F
PROVIDER #: 232827
NPI #: 1104171743
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
5901 WESTERN PARKWAY
SUITE 260
WEST DES MOINES, IA 50266
PHONE: (515) 327-5470
E-PRESCRIBE: YES
CHANG, EMILY, DO
GENDER: F
PROVIDER #: 257020
NPI #: 1003011560
OB/GYN ASSOC OF DES
MOINES
5901 WESTOWN PARKWAY
SUITE 260
WEST DES MOINES, IA 50266
PHONE:
E-PRESCRIBE: YES
WARRENVILLE, IL
WEST DES MOINES, IA
DASSANAYAKE, TAMARA
M., MD
GENDER:
PROVIDER #: 105545
NPI #: 1487752622
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
5901 WESTERN PARKWAY
SUITE 260
WEST DES MOINES, IA 50266
PHONE: (515) 327-5470
E-PRESCRIBE: NO
DORNBIER, DENNIS P.,
DO
GENDER: M
PROVIDER #: 041925
NPI #: 1306944525
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
5901 WESTERN PARKWAY
SUITE 260
WEST DES MOINES, IA 50266
PHONE: (515) 327-5470
E-PRESCRIBE: NO
FAGERLAND, JEFFREY J.,
DO
GENDER: M
PROVIDER #: 112953
NPI #: 1811095045
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
5901 WESTERN PARKWAY
SUITE 260
WEST DES MOINES, IA 50266
PHONE: (515) 327-5470
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
WEST DES MOINES, IA
YORKVILLE, IL
FELTZ, STEPHEN M., MD
GENDER: M
PROVIDER #: 055970
NPI #: 1417055641
OBSTETRICAL &
GYNECOLOGICAL
ASSOCIATES
5901 WESTERN PARKWAY
SUITE 260
WEST DES MOINES, IA 50266
PHONE: (515) 327-5470
E-PRESCRIBE: NO
MUNRO, BERNARD J., MD
GENDER: M
PROVIDER #: 043584
NPI #: 1982684759
CENTRAL IOWA OB/GYN
SPECIALISTS PLC
2501 WESTOWN PARKWAY
SUITE 1101
WEST DES MOINES, IA 50266
PHONE: (515) 267-8300
E-PRESCRIBE: NO
TURNER, FRANCESCA M.,
DO
GENDER: F
PROVIDER #: 133955
NPI #: 1801805304
OBSTETRICS &
GYNECOLOGICAL
ASSOCIATES PC
5901 WESTOWN PKWY SUITE
260
WEST DES MOINES, IA 50266
PHONE: (515) 327-0470
E-PRESCRIBE: NO
WEST FRANKFORT, IL
OBSTETRICS/
GYNECOLOGY
SAYAVONG, PATRICK, DO
GENDER: M
PROVIDER #: 027839
NPI #: 1346320124
MARION OBSTETRICS &
GYNECOLOGY LTD
215 N LOGAN SUITE A
WEST FRANKFORT, IL 62896
PHONE: (618) 937-2939
E-PRESCRIBE: NO
WINFIELD, IL
OBSTETRICS/
GYNECOLOGY
CARROLL, ELAINE, MD
GENDER: F
PROVIDER #: 224224
NPI #: 1598739492
CADENCE PHYSICIAN
GROUP
25 NORTH WINFIELD RD
SUITE 419
WINFIELD, IL 60190
PHONE: (630) 933-6091
E-PRESCRIBE: NO
DING, DAVID D., MD
GENDER: M
PROVIDER #: 270240
NPI #: 1598938672
CADENCE PHYSICIAN
GROUP
25 N WINFIELD RD
WINFIELD, IL 60190-1295
PHONE: (630) 933-6091
E-PRESCRIBE: NO
HUSSEY, KEVIN, MD
GENDER: M
PROVIDER #: 220819
NPI #: 1437160603
WINFIELD OFFICE DUP GYN
1N121 COUNTY FARM RD
STE 100
WINFIELD, IL 60190
PHONE: (630) 653-1500
E-PRESCRIBE: NO
YORKVILLE, IL
OBSTETRICS/
GYNECOLOGY
CASSIDY, BRETT J., MD
GENDER: M
PROVIDER #: 227656
NPI #: 1649256975
AISHLING OB &
GYNECOLOGY
654 W VETERANS PKWY
SUITE A
YORKVILLE, IL 60560
PHONE: (630) 553-3588
E-PRESCRIBE: NO
HAWKINS, JAMES N., DO
GENDER: M
PROVIDER #: 079105
NPI #: 1558421875
AISHLING OB &
GYNECOLOGY
654 W VETERANS PKWY
SUITE A
YORKVILLE, IL 60560
PHONE: (630) 553-3588
E-PRESCRIBE: NO
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
453
Obstetrics/Gynecology
Care Providers
YORKVILLE, IL
YORKVILLE, IL
PALKO, JILL M., MD
GENDER: F
PROVIDER #: 278644
NPI #: 1093033011
AISHLING OB &
GYNECOLOGY
654 W VETERANS PKWY
SUITE A
YORKVILLE, IL 60560
PHONE: (630) 553-3588
E-PRESCRIBE: YES
454
* Restricted panel. Please contact Medicare Services at the number on the back
of your ID card.
ALBIA, IA
ANNA, IL
ALBIA, IA
OPTOMETRY
MORELAND, ROBERT P.,
OD
GENDER: M
NPI #:
WOLFE EYE CLINIC
101 BENTON AVE E
ALBIA, IA 52531
PHONE:
ALEDO, IL
OPTOMETRY
ARBET, TIMOTHY, OD
GENDER: M
NPI #:
MERCER COUNTY FAMILY
EYECARE
106 S COLLEGE AVE
ALEDO, IL 61231
PHONE: (309) 582-2421
DISTIN, GARY D., OD
GENDER: M
NPI #:
DRS DISTIN & DOYLE
2108 SE THIRD ST
ALEDO, IL 61231
PHONE: (309) 582-5673
DOYLE, DANIEL R., OD
GENDER: M
NPI #:
DRS DISTIN & DOYLE
2108 SE THIRD ST
ALEDO, IL 61231
PHONE: (309) 582-5673
HAYS, JILL K., OD
GENDER: F
NPI #:
MERCER COUNTY FAMILY
EYECARE
106 S COLLEGE AVE
ALEDO, IL 61231
PHONE: (309) 582-2421
Optometry Care Providers
LEAR, CHRISTOPHER, OD
GENDER: M
NPI #:
MERCER COUNTY FAMILY
EYECARE
106 S COLLEGE AVE
ALEDO, IL 61231
PHONE: (309) 582-2421
NORDQUIST, JOSEPH J.,
OD
GENDER: M
NPI #:
MERCER COUNTY FAMILY
EYECARE
106 S COLLEGE AVE
ALEDO, IL 61231
PHONE: (309) 582-2421
AMES, IA
OPTOMETRY
BOWER, CORY L., OD
GENDER: M
NPI #:
WOLFE CLINIC PC
2020 PHILADELPHIA ST
AMES, IA 50010
PHONE: (515) 233-0299
GIDEL, CHAD A., OD
GENDER: M
NPI #:
WOLFE CLINIC PC
2020 PHILADELPHIA ST
AMES, IA 50010
PHONE: (515) 233-0299
GIMBEL, DENISE C., OD
GENDER: F
NPI #:
WOLFE CLINIC PC
2020 PHILADELPHIA ST
AMES, IA 50010
PHONE: (515) 233-0299
HOLMES, MARK G., OD
GENDER: M
NPI #:
WOLFE CLINIC PC
2020 PHILADELPHIA ST
AMES, IA 50010
PHONE: (800) 542-7956
MENDOZA, MYRA N., OD
GENDER: F
NPI #:
2020 PHILADELPHIA ST
AMES, IA 50010
PHONE: (515) 233-0299
SCHULTE, JUSTIN M., OD
GENDER: M
NPI #:
WOLFE CLINIC PC
2020 PHILADELPHIA ST
AMES, IA 50010
PHONE: (515) 232-2532
ANKENY, IA
OPTOMETRY
ROMSDAHL, ERIC M., OD
GENDER: M
NPI #:
CHILD AND FAMILY VISION
CENTER
2525 N ANKENY BLVD
ANKENY, IA 50023
PHONE: (515) 964-7541
ANNA, IL
OPTOMETRY
CRABTREE, TREVOR R.,
OD
GENDER: M
NPI #:
JACOBS & CRABTREE
316 S MAIN ST
ANNA, IL 62906
PHONE: (618) 833-3777
455
ANNA, IL
BENTON, IL
Optometry Care Providers
JACOBS, PAUL C., OD
GENDER: M
NPI #:
JACOBS & CRABTREE
316 S MAIN ST
ANNA, IL 62906
PHONE: (618) 833-3777
KIPPENBROCK, ROBERT,
OD
GENDER: M
NPI #:
MARION EYE CENTERS
165 PLAZA DR
ANNA, IL 62906
PHONE: (618) 833-8359
MERRIMAN, CELISHA, OD
GENDER: F
NPI #:
JACOBS & CRABTREE
316 S MAIN ST
ANNA, IL 62906
PHONE: (618) 833-3777
TYHURST, KEITH, OD
GENDER: M
NPI #:
MARION EYE CENTER
165 PLAZA DR
ANNA, IL 62906
PHONE: (618) 833-8359
AURORA, IL
OPTOMETRY
ANDERSON, DIANNE M.,
MD
GENDER: F
NPI #:
DREYER MEDICAL GROUP
LTD
4100 HEALTHWAY DR
AURORA, IL 60504
PHONE: (630) 851-3105
456
HEINISCH, EDWARD J.,
DO
GENDER: M
NPI #:
DREYER MEDICAL GROUP
1221 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8700
BEARDSTOWN, IL
OPTOMETRY
HEIDEMAN, ELIZABETH,
OD
GENDER: F
NPI #:
BEARDSTOWN PRAIRIE EYE
CLINIC
106 E MAIN ST
BEARDSTOWN, IL 62618
PHONE: (217) 323-1146
BELLEVILLE, IL
OPTOMETRY
BUSH, JOHN F., OD
GENDER: M
NPI #:
QUANTUM VISION CENTERS
111 W LINCOLN ST
BELLEVILLE, IL 62226
PHONE: (618) 234-1774
BUSH, JOHN, OD
GENDER: M
NPI #:
QUANTUM VISION CENTERS
111 W LINCOLN ST
BELLEVILLE, IL 62226
PHONE: (618) 234-1774
BENLD, IL
OPTOMETRY
HEDDINGHAUS, SHAWNA
L., OD
GENDER: F
NPI #:
FIRESIDE EYE CARE PC
600 S 8TH ST
BENLD, IL 62009
PHONE: (217) 835-7724
BENTON, IL
OPTOMETRY
SCHWENGEL, EMILY, OD
GENDER: F
NPI #:
MARION EYE CENTERS
1102 N MAIN
BENTON, IL 62812
PHONE: (618) 439-2020
SNEDDON, SHEILA A., OD
GENDER: F
NPI #:
MARION EYE CENTERS
1102 N MAIN
BENTON, IL 62812
PHONE: (618) 439-2020
SPENCER, DAVID K., OD
GENDER: M
NPI #:
EYE CARE ASSOCIATES
711 N MAIN ST
BENTON, IL 62812
PHONE: (618) 439-7256
SPENCER, DONNA S., OD
GENDER: F
NPI #:
EYE CARE ASSOCIATES
711 N MAIN ST
BENTON, IL 62812
PHONE: (618) 439-7256
BENTON, IL
BLOOMINGTON, IL
WEINBAUER, ERIC R., OD
GENDER: M
NPI #:
MARION EYE CENTER
1102 N MAIN
BENTON, IL 62812
PHONE: (618) 439-2020
WILLIAMS, BROOKE, OD
GENDER: F
NPI #:
MARION EYE CENTER
1102 N MAIN
BENTON, IL 62812
PHONE: (618) 439-2020
BENTON, KY
OPTOMETRY
ELLIS, JOE E., OD
GENDER: M
NPI #:
JOE ELLIS OD PSC DBA
EYECARE ASSOC OF
KENTUCKY
109 W 5TH
BENTON, KY 42025
PHONE: (270) 527-7421
HAYES, MICHAEL L., OD
GENDER: M
NPI #:
310 W 5TH
BENTON, KY 42025
PHONE: (270) 527-9983
LYLES, AARON J., OD
GENDER:
NPI #:
JOE E ELLIS OD PSC DBA
EYECARE ASSOC OF
KENTUCKY
109 W 5TH
BENTON, KY 42025
PHONE: (270) 527-7421
Optometry Care Providers
VAN HORN, LAUREL L.,
OD
GENDER: F
NPI #:
EYECARE ASSOCIATES OF
KY
109 W 5TH ST
BENTON, KY 42025
PHONE: (270) 527-7421
BETTENDORF, IA
OPTOMETRY
BARTELS, WILLIAM Z., OD
GENDER: M
NPI #:
EYE SURGEONS
ASSOCIATES PC
777 TANGLEFOOT LANE
BETTENDORF, IA 52722
PHONE: (563) 323-2020
HANSEL, BRIAN, OD
GENDER: M
NPI #:
EYE SURGEONS
ASSOCIATES
2395 TECH DR SUITE 6
BETTENDORF, IA 52722
PHONE:
KLUVER, CHAD R., OD
GENDER: M
NPI #:
EYE SURGEONS
ASSOCIATES PC
777 TANGLEFOOT LANE
BETTENDORF, IA 52722
PHONE: (563) 323-2020
SCHOLZ, CHRIS M., OD
GENDER: M
NPI #:
VISION CENTER PC
301 CEDAR STREET
BETTENDORF, IA 52722
PHONE: (563) 886-2020
BLOOMINGDALE, IL
OPTOMETRY
KOPKE, CAROL, OD
GENDER:
NPI #:
OPTICA EYE CENTER
ASSOCIATES
366 W ARMY TRAIL RD
SUITE 310B
BLOOMINGDALE, IL 60108
PHONE: (630) 893-1450
RAMIREZ, ALEJANDRO J.,
OD
GENDER:
NPI #:
OPTICA EYE CENTER
ASSOCI
366 W ARMY TRAIL RD 310B
BLOOMINGDALE, IL 60108
PHONE: (630) 893-1450
BLOOMINGTON, IL
OPTOMETRY
BACKUS, ANDREW W., OD
GENDER: M
NPI #:
BLOOMINGTON FAMILY
EYE CARE CENTER
2203 E WASHINGTON ST
BLOOMINGTON, IL 61701
PHONE: (309) 663-0303
6 HEARTLAND DR SUITE C
BLOOMINGTON, IL 61701
PHONE: (309) 663-0303
BRTVA, DENNIS M., OD
GENDER: M
NPI #:
DR DENNIS M BRTVA &
ASSOCIATES
2109 N VETERANS PKWY
SUITE 2
BLOOMINGTON, IL 61704
PHONE: (309) 663-2211
457
Optometry Care Providers
CLARK, KRISTEN N., OD
GENDER: F
NPI #:
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
COUILLARD, JOHN F., OD
GENDER: M
NPI #:
EYECARE ASSOCIATES
2103 E WASHINGTON SUITE
1D
BLOOMINGTON, IL 61704
PHONE: (309) 662-2277
GRANT, BRADLEY, OD
GENDER: M
NPI #:
GAILEY EYE CLINIC
1008 N MAIN STREET
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
JENSEN, STEVEN T., OD
GENDER: M
NPI #:
DENNIS M BRTVA &
ASSOCIATES
2109 VETERANS PARKWAY
SUITE 2
BLOOMINGTON, IL 61704
PHONE: (309) 663-2211
KLEIN, DREW, OD
GENDER: M
NPI #:
BNL EYECARE INC
2225 W MARKET ST
BLOOMINGTON, IL 61704
PHONE: (309) 829-0636
MAHAFFEY, THOMAS I.,
OD
GENDER: M
NPI #:
ALLIANCE OPTICAL
1228 N TOWANDA
BLOOMINGTON, IL 61701
PHONE: (309) 828-7723
458
BOND EYE ASSOCIATES
1228 N TOWANDA AVE
BLOOMINGTON, IL 61701
PHONE: (309) 647-3937
BLOOMINGTON, IL
BREESE, IL
BOURBONNAIS, IL
OPTOMETRY
MOVIC, WILSON W., OD
GENDER: M
NPI #:
EYE CARE ASSOCIATES
2103 E WASHINGTON SUITE
1D
BLOOMINGTON, IL 61704
PHONE: (309) 662-2277
LOCONTE, DONALD D., OD
GENDER: M
NPI #:
FISHER SWALE NICHOLSON
EYE CENTER
352 BROWN BLVD
BOURBONNAIS, IL 60914
PHONE: (815) 932-2020
TALLIS, JAY E., OD
GENDER: M
NPI #:
AMERICAN VISION CENTER
915 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 827-8434
NICHOLSON, MATTHEW
C., OD
GENDER: M
NPI #:
FISHER SWALE NICHOLSON
EYE CENTER
352 BROWN BLVD
BOURBONNAIS, IL 60914
PHONE: (815) 932-2020
VIZE, KATHLEEN L., OD
GENDER: F
NPI #:
DR DENNIS M BRTVA &
ASSOCIATES
2109 N VETERANS PKWY
SUITE 2
BLOOMINGTON, IL 61704
PHONE: (309) 663-2211
WETZLER, CHRISTOPHER
J., OD
GENDER: M
NPI #:
DR DENNIS M BRTVA &
ASSOCIATES
2109 N VETERANS PKWY
SUITE 2
BLOOMINGTON, IL 61704
PHONE: (309) 663-2211
PIETRZYK, JEFFREY M.,
OD
GENDER: M
NPI #:
FISHER SWALE NICHOLSON
EYE CENTER
352 BROWN BLVD
BOURBONNAIS, IL 60914
PHONE: (815) 932-2020
BREESE, IL
OPTOMETRY
JOHNSON, TROY W., OD
GENDER: M
NPI #:
QUANTUM VISION CENTERS
103 CLINTONIAN PL
BREESE, IL 62230
PHONE: (618) 526-7447
BREESE, IL
BYRON, IL
JOHNSON, TROY, OD
GENDER: M
NPI #:
QUANTUM VISION CENTERS
103 CLINTONIAN PL
BREESE, IL 62230
PHONE: (618) 526-7447
RIVERA-KUNZ,
KATHLEEN, OD
GENDER: F
NPI #:
QUANTUM VISION CENTERS
103 CLINTONIAN PL
BREESE, IL 62230
PHONE: (618) 526-7447
WOLF, DANIEL A., OD
GENDER: M
NPI #:
QUANTUM VISION CENTERS
103 CLINTONIAN PL
BREESE, IL 62230
PHONE: (618) 526-7447
WOLF, DANIEL, OD
GENDER: M
NPI #:
QUANTUM VISION CENTERS
103 CLINTONIAN PL
BREESE, IL 62230
PHONE: (618) 526-7447
BRIGHTON, IL
OPTOMETRY
BACHMAN, DENA L., OD
GENDER: F
NPI #:
SOUTHWESTERN EYE CARE
101 N MAPLE ST
BRIGHTON, IL 62012
PHONE: (618) 372-7000
JONES III, LEWIS F., OD
GENDER: M
NPI #:
SOUTHWESTERN EYE CARE
101 N MAPLE ST
BRIGHTON, IL 62012
PHONE: (618) 372-7000
Optometry Care Providers
BURLINGTON, IA
OPTOMETRY
BRAND, RONALD A., OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
580 S ROOSEVELT AVE
BURLINGTON, IA 52601-1666
PHONE: (319) 753-0437
JOHNSON, THOMAS N.,
OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
580 S ROOSEVELT AVE
BURLINGTON, IA 52601
PHONE:
THOELE, JONATHON P.,
OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
580 S ROOSEVELT AVE
BURLINGTON, IA 52601-1666
PHONE: (319) 753-0437
VOGELPOHL, DEREK P.,
OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
580 S ROOSEVELT AVE
BURLINGTON, IA 52601
PHONE: (319) 753-0437
BYRON, IL
MCDOUGALL, JOHN H.,
OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
580 S ROOSEVELT AVE
BURLINGTON, IA 52601-1666
PHONE: (319) 753-0437
OPTOMETRY
MCDOWELL, JASON E.,
OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
580 S ROOSEVELT AVE
BURLINGTON, IA 52601-1666
PHONE: (319) 753-0437
NAKAJIMA, TOSHIO, OD
GENDER:
NPI #:
EYECARE DIMENSIONS
134 E BLACKHAWK
BYRON, IL 61010
PHONE: (815) 234-2020
MCMANIS, DAVID L., OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
580 S ROOSEVELT AVE
BURLINGTON, IA 52601
PHONE: (319) 753-0437
KENNEDY, MICHAEL G.,
OD
GENDER: M
NPI #:
EYE CARE DIMENSIONS
134 E BLACKHAWK
BYRON, IL 61010
PHONE: (815) 234-2020
PENNER, SUSAN M., OD
GENDER: F
NPI #:
EYECARE DIMENSIONS
134 E BLACKHAWK DR
BYRON, IL 61010
PHONE: (815) 234-2020
459
Optometry Care Providers
PETROCZKY, ELLEN, OD
GENDER: F
NPI #:
EYE CARE DIMENSIONS
134 E BLACKHAWK DR
BYRON, IL 61010
PHONE: (815) 234-2020
CADIZ, KY
OPTOMETRY
SUTHERLAND, SCOTT B.,
OD
GENDER: M
NPI #:
304 MAIN ST
CADIZ, KY 42211
PHONE: (270) 522-3263
ATKINS, CHARLES, OD
GENDER: M
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
BOBELL, ROBERT C., OD
GENDER: M
NPI #:
PROGRESSIVE VISION
CENTER LTD
42 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-2020
OPTOMETRY
BUCZKO, MATTHEW, OD
GENDER: M
NPI #:
PROGRESSIVE VISION
CENTER LTD
42 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-2020
LEONARD, BEN, OD
GENDER: M
NPI #:
LEONARD EYE CARE PLLC
43 INDUSTRIAL PKWY
CALVERT CITY, KY 42029
PHONE: (270) 395-8331
CROLAND, ROGER, OD
GENDER: M
NPI #:
BOND EYE ASSOCIATES
45 E SIDE SQUARE
CANTON, IL 61520
PHONE: (309) 647-3937
CALVERT CITY, KY
CANTON, IL
OPTOMETRY
ALDERMAN, KAITLIN, OD
GENDER: F
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
460
EILENFELDT, PAMELA J.,
OD
GENDER: F
NPI #:
BARD OPITCAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
FARLIK, JAMES A., OD
GENDER: M
NPI #:
SPOON RIVER OPTICAL
130 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-3396
BYRON, IL
CANTON, IL
GABLER, DANIELLE M.,
OD
GENDER: F
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
GOODALE, TERRY, MD
GENDER: M
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
HAHN, MARK D., OD
GENDER: M
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
HAIDER, JAWAD, OD
GENDER: M
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
HENSON, BRIAN D., OD
GENDER: M
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
JACKSON, JOSEPH B., OD
GENDER: M
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
CANTON, IL
CARBONDALE, IL
JENSEN, NICOLE M., OD
GENDER: F
NPI #:
BARD OPTICAL
127 N MAIN
CANTON, IL 61520
PHONE: (309) 647-0366
MORGRET, DAVID, OD
GENDER: M
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
PATEL, TEJAL, OD
GENDER: F
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 672-0366
PELFREY-JONES,
SANDRA R., OD
GENDER: F
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
PETERSON, LELAND D.,
OD
GENDER: M
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
RADTKE, ELIZABETH, OD
GENDER: F
NPI #:
BARD OPTICAL
127 N MAIN
CANTON, IL 61520
PHONE: (309) 647-0366
Optometry Care Providers
RICHMOND, RONALD L.,
OD
GENDER: M
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
RIMKUS, JOHN J., OD
GENDER: M
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
SCHAIDLE, KENNETH A.,
OD
GENDER: M
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
SCHMIDT, ROBERT, OD
GENDER: M
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
SHELLEY, TIMOTHY D.,
OD
GENDER: M
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
TWENHAFEL, STACY A.,
OD
GENDER: F
NPI #:
BARD OPTICAL
127 N MAIN
CANTON, IL 61520
PHONE: (309) 647-0366
WILLINGHAM, VICTORIA,
OD
GENDER: F
NPI #:
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
CARBONDALE, IL
OPTOMETRY
BRADFORD, TYLER, OD
GENDER: M
NPI #:
MARION EYE CENTERS
1001 BEADLE
CARBONDALE, IL 62901
PHONE: (618) 549-2282
CRABTREE, TREVOR R.,
OD
GENDER: M
NPI #:
JACOBS & CRABTREE
1001 BEADLE DR SUITE 40
CARBONDALE, IL 62901
PHONE: (618) 529-4817
FIX, WILLIAM D., OD
GENDER: M
NPI #:
MARION EYE CENTERS
1001 BEADLE DR
CARBONDALE, IL 62901
PHONE: (800) 344-7058
JACOBS, PAUL C., OD
GENDER: M
NPI #:
JACOBS & CRABTREE
1001 BEADLE DR SUITE 40
CARBONDALE, IL 62901
PHONE: (618) 529-4817
461
Optometry Care Providers
KALAHER, MICHAEL L.,
OD
GENDER: M
NPI #:
MARION EYE CENTERS
1001 BEADLE DR
CARBONDALE, IL 62901
PHONE: (618) 549-2282
KIPPENBROCK, ROBERT,
OD
GENDER: M
NPI #:
MARION EYE CENTERS
1001 BEADLE DR
CARBONDALE, IL 62901
PHONE: (618) 549-2282
LOCHHEAD, CHRISTINE
J., OD
GENDER: F
NPI #:
MARION EYE CENTERS LTD
1001 BEADLE
CARBONDALE, IL 62901
PHONE: (618) 549-2282
374 E GRAND AVE BLDG 269
RM 140A
CARBONDALE, IL 62901
PHONE: (618) 549-0615
MERRIMAN, CELISHA, OD
GENDER: F
NPI #:
JACOBS & CRABTREE
1001 BEADLE DR #40
CARBONDALE, IL 62901
PHONE: (618) 529-4817
MOORE, MEGAN, OD
GENDER: F
NPI #:
MARION EYE CENTER
1001 BEADLE DR
CARBONDALE, IL 62901
PHONE: (618) 549-2282
462
SCHWENGEL, EMILY, OD
GENDER: F
NPI #:
MARION EYE CENTERS
1001 BEADLE
CARBONDALE, IL 62901
PHONE: (618) 549-2282
TYHURST, KEITH, OD
GENDER: M
NPI #:
MARION EYE CENTERS
1001 BEADLE
CARBONDALE, IL 62901
PHONE: (618) 549-2282
WEINBAUER, ERIC R., OD
GENDER: M
NPI #:
MARION EYE CENTERS &
OPTICAL
1001 BEADLE DR
CARBONDALE, IL 62901
PHONE: (618) 549-2282
WILLIAMS, BROOKE, OD
GENDER: F
NPI #:
MARION EYE CENTER
1001 BEADLE
CARBONDALE, IL 62901
PHONE: (618) 589-2282
CARLINVILLE, IL
OPTOMETRY
GOODMAN-THOMAS,
KATIE M., OD
GENDER: F
NPI #:
EYECARE OF CARLINVILLE
PC
300 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-7611
CARBONDALE, IL
CARLYLE, IL
JANSSEN, ALICIA U., OD
GENDER: F
NPI #:
CENTRAL ILLINOIS
OPTOMETRY ASSOCIATES
LTD
615 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3173
LAPP, JOHN, OD
GENDER: M
NPI #:
EYECARE OF CARLINVILLE
PC
300 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-7611
REID, JONATHAN P., OD
GENDER: M
NPI #:
ADVANCED EYECARE OF
CARLINVILLE
615 N BROAD
CARLINVILLE, IL 62626
PHONE: (217) 854-3173
RUBRICH, KAREN, OD
GENDER: F
NPI #:
CENTRAL ILLINOIS
OPTOMETRY
615 N BROAD
CARLINVILLE, IL 62626
PHONE: (217) 854-3173
CARLYLE, IL
OPTOMETRY
BRASEL, MICAH, OD
GENDER: F
NPI #:
MARION EYE CENTER
1950 FRANKLIN
CARLYLE, IL 62231
PHONE: (618) 594-2220
CARLYLE, IL
CARTERVILLE, IL
HOCKING-AYERS, ERIN,
OD
GENDER: F
NPI #:
MARION EYE CENTERS LTD
1950 FRANKLIN
CARLYLE, IL 62231
PHONE: (618) 594-2220
JOHNSON, TROY W., OD
GENDER: M
NPI #:
QUANTUM VISION CENTERS
991 FAIRFAX
CARLYLE, IL 62231
PHONE: (618) 594-2663
JOHNSON, TROY, OD
GENDER: M
NPI #:
QUANTUM VISION CENTERS
991 FAIRFAX
CARLYLE, IL 62231
PHONE: (618) 594-2663
RADDATZ, MAUREEN J.,
OD
GENDER: F
NPI #:
MARION EYE CENTERS
1950 FRANKLIN
CARLYLE, IL 62231
PHONE: (618) 594-2200
RITZHEIMER, AMY, OD
GENDER: F
NPI #:
MARION EYE CENTERS LTD
1950 FRANKLIN
CARLYLE, IL 62231
PHONE: (618) 594-2220
RIVERA-KUNZ,
KATHLEEN, OD
GENDER: F
NPI #:
QUANTUM VISION CENTERS
991 FAIRFAX
CARLYLE, IL 62231
PHONE: (618) 594-2663
Optometry Care Providers
CARMI, IL
OPTOMETRY
BOCHNER, DIRK, OD
GENDER: M
NPI #:
MARION EYE CENTER
1201 W MAIN ST
CARMI, IL 62821
PHONE: (618) 384-5112
HALL, DEBRA, OD
GENDER: F
NPI #:
MARION EYE CENTERS
1201 W MAIN ST
CARMI, IL 62821
PHONE: (618) 384-5112
MOORE, MEGAN, OD
GENDER: F
NPI #:
MARION EYE CENTER
1201 W MAIN
CARMI, IL 62821
PHONE: (618) 384-5112
RADDATZ, MAUREEN J.,
OD
GENDER: F
NPI #:
MARION EYE CENTERS
1201 W MAIN
CARMI, IL 62821
PHONE: (618) 382-3500
TAYLOR, CLINT T., OD
GENDER: M
NPI #:
TAYLOR EYE CARE
304 S CHURCH ST
CARMI, IL 62821
PHONE: (618) 382-4683
VERBECK, CHRISTINE,
OD
GENDER: F
NPI #:
MARION EYE CENTER LTD
1201 W MAIN ST
CARMI, IL 62821
PHONE: (618) 384-5112
WILLIAMS, BROOKE, OD
GENDER: F
NPI #:
MARION EYE CENTER
1201 W MAIN ST
CARMI, IL 62821
PHONE: (618) 384-5112
CARTERVILLE, IL
OPTOMETRY
HUTCHINSON, BRENDA
C., OD
GENDER: F
NPI #:
MARION EYE CENTERS
404 E PLAZA DR
CARTERVILLE, IL 62918
PHONE: (618) 985-9983
LOCHHEAD, CHRISTINE
J., OD
GENDER: F
NPI #:
MARION EYE CENTERS LTD
404 E PLAZA
CARTERVILLE, IL 62918
PHONE: (618) 985-9983
SCHWENGEL, EMILY, OD
GENDER: F
NPI #:
MARION EYE CENTERS
404 E PLAZA DR
CARTERVILLE, IL 62918
PHONE: (618) 985-9983
463
Optometry Care Providers
WESTELL, BETH A., OD
GENDER: F
NPI #:
MARION EYE CENTER
404 E PLAZA DR
CARTERVILLE, IL 62918
PHONE: (618) 985-9983
WILLIAMS, BROOKE, OD
GENDER: F
NPI #:
MARION EYE CENTER
404 E PLAZA DRIVE
CARTERVILLE, IL 62918
PHONE: (618) 985-9983
CARTHAGE, IL
OPTOMETRY
BOCKHOLD, DINITA, OD
GENDER: F
NPI #:
SUPERIOR PERFORMANCE
EYECARE SPECIALISTS INC
514 WABASH AVE
CARTHAGE, IL 62321
PHONE: (217) 357-9750
HAYDEN, DANIEL L., OD
GENDER: M
NPI #:
SUPERIOR PERFORMANCE
EYECARE SPECIALISTS INC
514 WABASH AVE
CARTHAGE, IL 62321
PHONE: (217) 357-9750
CASEY, IL
OPTOMETRY
NIEBRUGGE, PATRICK,
OD
GENDER: M
NPI #:
1279 E US HWY 40
CASEY, IL 62420
PHONE: (217) 932-2310
464
CENTERVILLE, IA
OPTOMETRY
BELL, LUCAS J., OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
125 N 13TH ST
CENTERVILLE, IA 52544
PHONE: (641) 437-4099
BRAND, RONALD A., OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
125 N 13TH ST
CENTERVILLE, IA 52544
PHONE: (641) 437-4099
JOHNSON, THOMAS N.,
OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
125 N 13TH ST
CENTERVILLE, IA 52544
PHONE: (641) 437-4099
MCDOUGALL, JOHN H.,
OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
125 N 13TH ST
CENTERVILLE, IA 52544
PHONE: (641) 437-4099
MCDOWELL, JASON E.,
OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
125 N 13TH ST
CENTERVILLE, IA 52544
PHONE: (641) 437-4099
CARTERVILLE, IL
CENTRALIA, IL
MCMANIS, DAVID L., OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
125 N 13TH ST
CENTERVILLE, IA 52544
PHONE: (641) 437-4099
THOELE, JONATHON P.,
OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
125 N 13TH ST
CENTERVILLE, IA 52544
PHONE: (641) 437-4099
VOGELPOHL, DEREK P.,
OD
GENDER: M
NPI #:
INTERNATIONAL EYECARE
CENTER INC
125 N 13TH ST
CENTERVILLE, IA 52544-1705
PHONE: (641) 437-4099
CENTRALIA, IL
OPTOMETRY
BRASEL, MICAH, OD
GENDER: F
NPI #:
MARION EYE CENTER
899 MCCORD
CENTRALIA, IL 62801
PHONE: (618) 532-1997
HENDRICKS, JULIE B., OD
GENDER: F
NPI #:
QUANTUM VISION CENTERS
408 W SECOND ST
CENTRALIA, IL 62801
PHONE: (618) 532-5531
CENTRALIA, IL
CHAMPAIGN, IL
HENDRICKS, JULIE, OD
GENDER: F
NPI #:
QUANTUM VISION CENTERS
408 W SECOND ST
CENTRALIA, IL 62801
PHONE: (618) 532-5531
HOCKING-AYERS, ERIN,
OD
GENDER: F
NPI #:
MARION EYE CENTER
899 E MCCORD
CENTRALIA, IL 62801
PHONE: (618) 532-1997
JOHNSON, TROY W., OD
GENDER: M
NPI #:
QUANTUM VISION CENTERS
408 W SECOND ST
CENTRALIA, IL 62801
PHONE: (618) 532-5531
JOHNSON, TROY, OD
GENDER: M
NPI #:
QUANTUM VISION CENTERS
408 W SECOND ST
CENTRALIA, IL 62801
PHONE: (618) 532-5531
JONES III, LEWIS F., OD
GENDER: M
NPI #:
MARION EYE CENTERS LTD
899 E MCCORD
CENTRALIA, IL 62801
PHONE: (618) 532-1997
MOORE, MEGAN, OD
GENDER: F
NPI #:
MARION EYE CENTERS
899 E MCCORD
CENTRALIA, IL 62801
PHONE: (618) 532-1997
Optometry Care Providers
RADDATZ, MAUREEN J.,
OD
GENDER: F
NPI #:
MARION EYE CENTERS
899 E MCCORD
CENTRALIA, IL 62801
PHONE: (618) 532-1997
RITZHEIMER, AMY, OD
GENDER: F
NPI #:
MARION EYE CENTERS LTD
899 E MCCORD
CENTRALIA, IL 62801
PHONE: (618) 532-1997
RIVERA-KUNZ,
KATHLEEN, OD
GENDER: F
NPI #:
QUANTUM VISION CENTERS
408 W SECOND ST
CENTRALIA, IL 62801
PHONE: (618) 532-5531
SMITH, STEFAN, OD
GENDER: M
NPI #:
QUANTUM VISION CENTERS
408 W SECOND ST
CENTRALIA, IL 62801
PHONE: (618) 532-5531
SNEDDON, GEOFFREY,
OD
GENDER: M
NPI #:
MARION EYE CENTERS
899 E MCCORD
CENTRALIA, IL 62801
PHONE: (618) 532-1997
SNEDDON, SHEILA A., OD
GENDER: F
NPI #:
MARION EYE CENTERS
899 E MCCORD
CENTRALIA, IL 62801
PHONE: (618) 532-1997
WOLF, DANIEL A., OD
GENDER: M
NPI #:
QUANTUM VISION CENTERS
408 W SECOND ST
CENTRALIA, IL 62801
PHONE: (618) 532-5531
WOLF, DANIEL, OD
GENDER: M
NPI #:
QUANTUM VISION CENTERS
408 W SECOND ST
CENTRALIA, IL 62801
PHONE: (618) 532-5531
CHAMPAIGN, IL
OPTOMETRY
ATKINS, CHARLES, OD
GENDER: M
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
EILENFELDT, PAMELA J.,
OD
GENDER: F
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
GABLER, DANIELLE M.,
OD
GENDER: F
NPI #:
BARD OPTICAL
907 MARKETVIEW DR
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
465
Optometry Care Providers
CHAMPAIGN, IL
CHAMPAIGN, IL
HAHN, MARK D., OD
GENDER: M
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
MALEE, THOMAS P., OD
GENDER: M
NPI #:
FRANCES NELSON HEALTH
CENTER
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
PHONE: (217) 356-1558
RADTKE, ELIZABETH, OD
GENDER: F
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
HAIDER, JAWAD, OD
GENDER: M
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
MORGRET, DAVID, OD
GENDER: M
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
RICHMOND, RONALD L.,
OD
GENDER: M
NPI #:
BARD OPTICAL
907 MARKETVIEW DR
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
HENSON, BRIAN D., OD
GENDER: M
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
PATEL, TEJAL, OD
GENDER: F
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
JACKSON, JOSEPH B., OD
GENDER: M
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
PELFREY-JONES,
SANDRA R., OD
GENDER: F
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
SCHAIDLE, KENNETH A.,
OD
GENDER: M
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
JENSEN, NICOLE M., OD
GENDER: F
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUTIE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
466
PETERSON, LELAND D.,
OD
GENDER: M
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
SCHMIDT, ROBERT, OD
GENDER: M
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
SHELLEY, TIMOTHY D.,
OD
GENDER: M
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
CHAMPAIGN, IL
CHICAGO, IL
TWENHAFEL, STACY A.,
OD
GENDER: F
NPI #:
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
CHARLESTON, IL
OPTOMETRY
CLARKE, SCOTT A., OD
GENDER: M
NPI #:
CENTRAL ILLINOIS VISION
ASSOCIATES
838 W LINCOLN AVE
CHARLESTON, IL 61920
PHONE: (217) 348-0800
DUZAN, DARCY L., OD
GENDER: F
NPI #:
LIFETIME EYE CARE
1700 18TH ST
CHARLESTON, IL 61920
PHONE: (217) 344-6600
ESAREY, MARK D., OD
GENDER: M
NPI #:
LIFETIME EYE CARE
1700 18TH ST
CHARLESTON, IL 61920
PHONE: (217) 345-6600
CHESTER, IL
OPTOMETRY
BRADFORD, TYLER, OD
GENDER: M
NPI #:
MARION EYE CENTERS
203 VAN ZANT
CHESTER, IL 62233
PHONE: (618) 826-5413
Optometry Care Providers
HAGER, LISA, OD
GENDER: F
NPI #:
MARION EYE CENTERS
203 VAN ZANT
CHESTER, IL 62233
PHONE: (618) 826-5413
9137 S COMMERCIAL AVE
CHICAGO, IL 60617
PHONE: (773) 762-5662
OPTOMETRY
GUZIK, STEPHEN P., OD
GENDER: M
NPI #:
TROPICAL OPTICAL
23624 W 26TH
CHICAGO, IL 60623
PHONE: (773) 762-5662
2767 N MILWAUKEE AVE
CHICAGO, IL 60647
PHONE: (773) 762-5662
3213 W 47TH PLACE
CHICAGO, IL 60632
PHONE: (773) 762-5662
9137 S COMMERCIAL AVE
CHICAGO, IL 60617