BCH Cumulative Active Providers - Blue Cross and Blue Shield of

Transcription

BCH Cumulative Active Providers (08/01/1991 - 10/10/2016)
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
096553973
AAKALU
VINAY
K
PSP
OPHTHALMOLOGY
UNIV OF IL MEDICAL SERVICE PLAN
3/26/2012
8/16/2013
982694330
AARONSON
RICHARD
PSP
GASTROENTEROLOGY
PRONGER SMITH MEDICAL CARE LLP
4/15/2013
1/10/2013
982694330
AARONSON
RICHARD
PSP
GASTROENTEROLOGY
SPECIALTY PHYSICIANS OF IL LLC
2/24/2003
1/10/2013
260262976
ABADI
PAMELA
T
PCP
INTERNAL MEDICINE
MAGDELINE RIEMENSCH PA
9/20/2012
5/27/2015
048965200
ABARIOTIS
NICOLAOS
G
PSP
CARDIOVASCULAR DISEASE
DEV MEDICAL ASSOCIATES S C
1/31/2001
6/20/2014
741019942
ABATE
KELLY
L
PSP
DERMATOLOGY
KELLY L ABATE MD
2/26/2013
11/18/2013
515588744
ABBASIAN
JAVANEH
PSP
OPHTHALMOLOGY
8/8/2012
2/3/2016
194638289
ABBASIAN
TAHMINEH
PCS
PEDIATRIC
DUPAGE MEDICAL GROUP
3/3/1993
6/10/2010
840428402
ABBASY
SHAMEEM
PCS
OBSTETRICS-GYNECOLOGY
SWEDISH COVENANT MGMT SVCS INC
9/28/2010
5/15/2013
991717135
ABBOUD
MAHA
PSP
ENDOCRINOLOGY
DIABETES OSTEOPOROSIS OBESITY INC
4/30/2003
10/17/2008
991717135
ABBOUD
MAHA
PSP
ENDOCRINOLOGY
ELMHURST MEMORIAL HEALTHCARE
7/1/2011
10/17/2008
944574655
ABBOUD
WOROOD
PSP
MEDICAL ONCOLOGY
JOLIET ONCOLOGY HEMATOLOGY
1/9/2007
3/25/2009
903322367
ABDEL HADI
MAZEN
PSP
PULMONARY DISEASES
MARGO M WOLF DO
9/1/2012
4/12/2012
903322367
ABDEL HADI
MAZEN
PSP
PULMONARY DISEASES
MIDWEST RESPIRATORY LTD
2/5/2008
4/12/2012
345414479
ABDEL JALIL
SUHAIR
S
PSP
RHEUMATOLOGY
YOUSEF DARWISH M D P C
6/25/2003
4/12/2012
345414479
ABDEL JALIL
SUHAIR
S
PSP
RHEUMATOLOGY
YOUSEF DARWISH M D P C
6/25/2003
345414479
ABDEL JALIL
SUHAIR
S
PSP
RHEUMATOLOGY
RESURRECTION FAMILY MED CENTER
3/1/2014
345414479
ABDEL JALIL
SUHAIR
S
PSP
RHEUMATOLOGY
3/1/2014
437945972
ABDELHADY
KHALED
M
PSP
THORACIC SURGERY
UNIV OF IL DEPT OF SURGERY
8/24/2011
903408175
ABDELSALAM
AHMED
PSP
OPHTHALMOLOGY
CHICAGOLAND RETINAL CNSLT LLC
3/22/2004
A
4/12/2012
11/19/2010
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
412157385
ABDELSALAM
HOSSAM
H
PSP
CHILD NEUROLOGY
ALEXIAN BROTHERS MEDICAL GROUP
8/1/2010
6/11/2014
412157385
ABDELSALAM
HOSSAM
H
PSP
CHILD NEUROLOGY
SIU PHYSICIANS AND SURGEONS
4/16/2008
6/11/2014
512791621
ABDERHOLDEN
GUY
R
PCP
FAMILY PRACTICE
ORCHARD MEDICAL CENTER S C
5/26/1993
1/15/2010
762286766
ABDULMASSIH
ABDULMASSIH
PCS
FAMILY PRACTICE
FAMILY DOCTOR FAMILY HLTHCARE
8/29/2001
12/30/2015
332219596
ABDUR RAHMAN IDRIES
PCS
WAUKEGAN CLINIC CORPORATION
2/13/2013
6/18/2014
347989441
ABELLA
DENNIS
PCP
INTERNAL MEDICINE
ELK GROVE MEDICAL ASSOCS S C
7/7/2014
385922114
ABOYEJI
OLUFEMI
O
PSP
INTERNAL MEDICINE
CHICAGOLAND INFECTIOUS DISEASE PC
6/3/2014
385922114
ABOYEJI
OLUFEMI
O
PSP
INTERNAL MEDICINE
INFECTIOUS DISEASE SPECIALISTS
12/10/2010
393780867
ABRAHAM
ALIN
K
PCP
INTERNAL MEDICINE
CENTRAL DUPAGE PHYSICIANS GROUP
10/9/2009
3/10/2015
399818517
ABRAHAM
EDWARD
PSP
ORTHOPEDIC SURGERY
FIELD MEDICAL GROUP
10/30/1999
11/19/2010
451138607
ABRAHAM
GIFTY
PSP
OCCUPATIONAL THERAPY
EASTER SEALS DUPAGE
7/3/2012
242336879
ABRAHAM
JOSEPH
PCP
INTERNAL MEDICINE
MERCY HOSPITAL MEDICAL CNTR
3/19/2010
6/18/2014
074487343
ABRAHAM
MONI
PCP
INTERNAL MEDICINE
3/19/2010
5/17/2013
883268262
ABRAHAM
SAJU
PSP
NEUROLOGY
NORTHWEST COMMUNITY HEALTH SVCS
1/1/2014
6/5/2014
626564748
ABRAMS
BARRY
PCP
PEDIATRIC
DREYER MEDICAL GROUP LTD
5/18/2009
10/15/2010
028775151
ABTAHI
MOHAMMAD
PCP
PEDIATRIC
MOHAMMAD ABTAHI M D
6/13/1994
3/20/2009
783250022
ABU NIJMEH
NADIA
A
PCP
PEDIATRIC
ASSOCIATED PEDS FOX VALLEY S C
10/31/2001
2/20/2008
361048461
ABU SHANAB
RASHID
A
PSP
CHIROPRACTIC
INTEGRATIVE HEALTH ASSOCIATES
9/19/2012
2/5/2014
361048461
ABU SHANAB
RASHID
A
PSP
CHIROPRACTIC
RASHID ABU SHANAB P C
6/26/2012
2/5/2014
731916344
ABUSHAER
MUHAMMAD
PCP
INTERNAL MEDICINE
BLUE ISLAND HBP MEDICAL GROUP LLC
4/26/2013
2/5/2014
J
J
PRIMEID
Last Name
First Name
731916344
ABUSHAER
MUHAMMAD
417867838
ACCARDO
KRISTEN
337683598
ACHARYA
337683598
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
PCP
INTERNAL MEDICINE
SOUTHWEST PHYSICIAN ASSOC S C
9/8/2014
2/5/2014
A
PSP
CHIROPRACTIC
KRISTEN A ACCARDO DC
4/14/2014
VASANT
R
PCS
PARTNERS IN WOMENS HEALTH
12/1/2010
9/30/2013
ACHARYA
VASANT
R
PCS
WEST SUBURBAN HOSPITAL
3/7/2008
9/30/2013
337683598
ACHARYA
VASANT
R
PCS
PARTNERS IN WOMENS HEALTH 2 LLC
12/1/2010
9/30/2013
346838507
ACKERMANN
EVELYN
PSP
OPHTHALMOLOGY
OPHTHALMOLOGY ASSOCIATES LTD
4/27/2005
12/17/2010
806699631
ADAJAR
MARC
A
PSP
GENERAL SURGERY
S T SURGICAL CONSULTANTS
6/2/2011
806699631
ADAJAR
MARC
A
PSP
GENERAL SURGERY
THOREK HOSPITAL AND MEDICAL CNTR
1/1/2014
191930334
ADAMCZYK
CHARLES
JOSE PCS
MACNEAL PHYSICIANS GROUP LLC
1/1/2008
1/9/2008
673316261
ADAMS
BETH
ANN PSP
DERMATOLOGY
A AND G DERMATOLOGY
5/28/2014
5/6/2015
502898502
ADAMS
GREGORY
C
PCP
FAMILY PRACTICE
FAMILY PHYSICIANS OF WHEATON
10/17/2012
2/28/2013
725907856
ADELI
DONALD
R
PCS
3/31/2004
6/10/2010
739078842
ADELSTEIN
STEVEN
T
PSP
PODIATRY
FREDERICK M WEIL D P M
6/15/2006
5/21/2010
739078842
ADELSTEIN
STEVEN
T
PSP
PODIATRY
STEVEN T ADELSTEIN D P M LTD
6/29/2005
5/21/2010
122815252
ADEN
MARILYN
S
PSP
INTERNAL MEDICINE
8/13/2014
9/18/2009
122815252
ADEN
MARILYN
S
PCP
INTERNAL MEDICINE
2/1/2014
9/18/2009
122815252
ADEN
MARILYN
S
PCP
INTERNAL MEDICINE
SAGE MEDICAL GROUP S C
9/26/2006
9/18/2009
500697928
ADENWALLA
MOHAMED
K
PSP
OPHTHALMOLOGY
RETINA ASSOCIATES LTD
1/12/2007
12/18/2009
500697928
ADENWALLA
MOHAMED
K
PSP
OPHTHALMOLOGY
10/2/2007
12/18/2009
566938680
ADIL
MOHAMMED
M
PCP
PEDIATRIC
ADIL PEDIATRICS INC
6/15/2004
8/5/2015
091006196
ADLER
DOUGLAS
R
PSP
GASTROENTEROLOGY
PHYSICIANS OF THE NORTH SHORE
6/19/2003
3/20/2009
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
555803748
ADRIAN
BRIAN
A
PCP
FAMILY PRACTICE
RUSH COPLEY MEDICAL GROUP
411608670
AFFINITO
JOHN
PCP
FAMILY PRACTICE
991054126
AFTAB
NOZAINA
PSP
INTERNAL MEDICINE
6/1/2012
027739082
AGARWAL
ANJU
PSP
INTERNAL MEDICINE
6/21/2011
3/8/2012
804833946
AGARWAL
MAHESH
K
PSP
PULMONARY DISEASES
MAHESH K AGARWAL M D S C
1/30/2006
9/4/2013
938701009
AGARWAL
RAHUL
K
PSP
INTERNAL MEDICINE
PROVENA SERVICE CORPORATION
2/12/2013
044144634
AGARWAL
SHELLY
PCS
9/7/2012
6/18/2014
194138321
AGARWALA
BROJENDRA
N
PSP
PEDIATRIC CARDIOLOGY
10/17/2005
1/11/2013
194138321
AGARWALA
BROJENDRA
N
PSP
LAGRANGE MEM HOSPITAL CARDIO
6/12/2007
1/11/2013
911974488
AGGARWAL
ANSHUL
PSP
ALEXIAN BROTHERS SPECIALTY GROUP
9/1/2014
811776539
AGGARWAL
ASHISH
PSP
INTERNAL MEDICINE
PULMONARY CRITICAL CARE SLEEP
2/27/2014
842123879
AGGARWAL
HEM
PCP
FAMILY PRACTICE
SUGAR GROVE HEALTH CENTER
3/9/2009
4/11/2013
563864737
AGGARWAL
NEELUM
PSP
NEUROLOGY
CHANDRA DIAGNOSTIC CARDIOLOGY LTD
10/21/2011
3/30/2015
739129448
AGGARWAL
NIDHI
PSP
INTERNAL MEDICINE
U I C INTERNAL MEDICINE ASSOC
9/16/2011
5/9/2012
897633707
AGHA
AHMAD
JIHADPSP
PULMONARY DISEASES
AGHA MEDICAL INC
4/25/2011
6/19/2014
619152756
AGHA
ARIF
HUMAPSP
UROLOGY
OAKBROOK UROLOGY LTD
7/24/2014
170900378
AGHA
CAROLINE
PSP
NEUROLOGY
8/1/2014
112907584
AGHA
RANIA
PSP
DERMATOLOGY
SUMMIT DERMATOLOGY AND AESTHETIC
2/8/2011
4/8/2013
217440696
AGOSTINO
GUY
J
PCP
FAMILY PRACTICE
WILLIAM H GROS M D S C
8/10/2007
7/5/2011
217440696
AGOSTINO
GUY
J
PCP
FAMILY PRACTICE
7/1/2011
7/5/2011
K
T
Appt Date
ReAppt Date
7/2/2012
10/10/2012
2/20/2014
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
151838301
AGRAWAL
HARI
K
PSP
676307835
AGRAWAL
REKHA
024964090
AGRAWAL
RISHI
055713168
AGRUSS
273414399
Appt Date
ReAppt Date
PHYSICAL MEDICINE & REHAB HARI K AGRAWAL M D S C
5/11/2011
6/2/2015
PSP
PEDIATRIC NEPHROLOGY
LOYOLA UNIVERSITY MEDICAL CENTER
10/1/1996
6/14/2012
K
PCP
PEDIATRIC
PEDIATRIC FACULTY FOUND INC
11/6/2009
NEIL
S
PSP
1/1/1996
3/19/2010
AGUIAR
DAVID
J
PCS
DUKANE OB GYNE INC
4/25/2001
11/25/2013
785557860
AGUILAR
FRANCISCO
G
PSP
11/1/2010
7/7/2011
785557860
AGUILAR
FRANCISCO
G
PSP
ADVENTIST HEALTH PARTNERS INC
10/12/2010
7/7/2011
391724474
AHDAB
TAREK
M
PSP
ADVANCED CARDIOVASCULAR SPCLSTS
5/1/2012
12/28/2015
634913048
AHLIN
KALEE
A
PCS
10/1/2009
5/27/2011
557821667
AHMAD
AFZAL
PSP
OPHTHALMOLOGY
MIDWEST EYE CENTER S C
6/30/1999
1/15/2010
293942426
AHMAD
AMJAD
PSP
OPHTHALMOLOGY
AMJAD Z AHMAD M D S C
1/27/2009
9/29/2004
293942426
AHMAD
AMJAD
PSP
OPHTHALMOLOGY
RONALD S WEISS M D S C
8/1/2007
9/29/2004
366248632
AHMAD
FAHEEM
PSP
SOUTH SUBURBAN CARDIOLOGY ASSOC
3/29/2012
3/19/2010
602506759
AHMAD
IJAZ
PCP
INTERNAL MEDICINE
IARI INCORPORATED
1/9/2012
4/25/2014
401685914
AHMAD
NASIR
PCS
INTERNAL MEDICINE
ELGIN NEPHROLOGY ASSOCIATES
8/1/1991
9/24/2012
370995509
AHMAD
TANVEER
PCP
INTERNAL MEDICINE
TANVEER AHMAD M D P C
11/11/2011
2/5/2014
550836695
AHMAD
ZUBAIR
PSP
PULMONARY DISEASES
10/29/2003
5/21/2010
190096766
AHMADIAN
JENNIFER
PSP
NEUROLOGY
12/17/2003
3/15/2012
079872239
AHMED
AZIZ
PSP
GLEN OAKS CARDIOLOGY
3/30/2012
7/21/2016
690386036
AHMED
FAROOQ
M
PCP
FAMILY PRACTICE
SOUTHWEST MEDICAL GROUP LTD
5/10/2012
3/30/2015
101811121
AHMED
IRAM
A
PCP
INTERNAL MEDICINE
PRIMARY CARE SERVICES SC
9/28/2010
4/12/2012
L
Contract Name
PRIMEID
Last Name
First Name
913075031
AHMED
IRMA
967198076
AHMED
MISBAH
180787898
AHMED
180787898
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
PSP
OPHTHALMOLOGY
RETINA MACULA SPECIALISTS P C
12/13/2007
2/20/2009
UDDINPCP
HEMATOLOGY-ONCOLOGY
MISBAH UDDIN AHMED M D S C
6/29/2005
3/30/2015
MOHAMMED
SHUJ PSP
NEPHROLOGY
ADVANCED RENAL CARE LTD
1/29/2010
5/21/2010
AHMED
MOHAMMED
SHUJ PSP
NEPHROLOGY
2/1/2013
5/21/2010
399453510
AHMED
NAFEES
U
PCS
NAFEES U AHMED MD
1/1/1996
6/5/2014
399453510
AHMED
NAFEES
U
PCS
NAFEES U AHMED MD
5/28/2008
6/5/2014
532716111
AHMED
NAILA
PSP
NEPHROLOGY
NORTHEAST NEPHROLOGY CONSLTNTS
8/1/2008
6/12/2014
893444400
AHMED
NASREEN
FATIMPCP
PEDIATRIC
3/10/2014
4/10/2015
333883424
AHMED
NAZNEEN
PCP
INTERNAL MEDICINE
ELGIN MEDICAL ASSOCIATES S C
2/6/2013
2/9/2015
333883424
AHMED
NAZNEEN
PCP
INTERNAL MEDICINE
6/9/2011
2/9/2015
776783902
AHMED
NAZNEEN
S
PSP
GASTROENTEROLOGY
GASTRO CNSLTS LIBERTYVILLE LTD
2/23/2009
8/20/2010
742785745
AHMED
NOORUZSABHA
S
PSP
INFECTIOUS DISEASES
F I T MANAGEMENT INC
1/29/2003
5/20/2011
119642268
AHMED
SABA
Y
PSP
RHEUMATOLOGY
PRAIRIE RHEUMATOLOGY ASSOC S C
5/1/2006
3/3/2016
334279527
AHMED
TARIQ
PSP
CHIROPRACTIC
ILLINOIS PHYSICAL MEDICINE GROUP
12/29/2011
5/7/2014
334279527
AHMED
TARIQ
PSP
CHIROPRACTIC
ROSELLE CHIROPRACTIC
2/23/2009
5/7/2014
380081576
AHMED
VASIA
PSP
MEDICAL ONCOLOGY
ALPHA MED PHYSICIANS GROUP LLC
5/1/2009
4/17/2009
439331512
AHMED
ZAFAR
PCP
INTERNAL MEDICINE
METRO INFECTIOUS DISEASE
4/14/2003
3/19/2010
439331512
AHMED
ZAFAR
PCP
INTERNAL MEDICINE
METRO PRIMARY CARE ASSOCIATES LLC
1/24/2014
3/19/2010
835181951
AHMED
ZIAUDDIN
PCP
INTERNAL MEDICINE
RESURRECTION SERVICES
11/29/2000
3/10/2015
125260323
AHN
CHARLES
SOONPSP
OPHTHALMOLOGY
3/5/2008
A
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
818190006
AHN
HELEN
C
PSP
UROLOGY
UNITED SHOCKWAVE SERVICES LTD
6/21/2007
3/10/2015
818190006
AHN
HELEN
C
PSP
UROLOGY
NORTHWEST UNITED UROLOGY L L C
8/11/2010
3/10/2015
600104531
AHN
JONATHAN
JUYU PCP
PEDIATRIC
ADVANCED PEDIATRIC AND NEO MED SC
10/21/2011
10/10/2012
600104531
AHN
JONATHAN
JUYU PCP
PEDIATRIC
SEED PEDIATRICS S C
4/1/2013
10/10/2012
640337808
AHN
MARY
PSP
GENERAL SURGERY
WEST SUBURBAN SURG ASSOCS LTD
12/2/2011
11/25/2013
612574746
AHN
PHILLIP
PCP
FAMILY PRACTICE
9/1/2004
6/18/2015
529689691
AHOMKA LINDSAYDINAH
PCP
FAMILY PRACTICE
1/1/2009
402788667
AHRANJANI
MATTHEW
M
PCS
1/1/2012
11/25/2013
402788667
AHRANJANI
MATTHEW
M
PCS
M AND A OB GYN ASSOCIATES S C
9/23/2001
11/25/2013
402788667
AHRANJANI
MATTHEW
M
PCS
SAINT JOSEPH HOSPITAL
1/1/2014
11/25/2013
736969942
AHRENS
STACI
R
PSP
CHIROPRACTIC
ACTIVE WELLNESS LLC
2/13/2014
8/3/2015
454880543
AHSAN
AZEEM
M
PCP
FAMILY PRACTICE
M M AHSAN S C
12/17/2003
4/20/2012
675968619
AHSAN
MARYAM
PSP
CHIROPRACTIC
CHIRO ONE WELLNESS CTR OF ADDISON
10/25/2013
6/11/2015
756927909
AHUJA
AKASH
PSP
NEPHROLOGY
SOUTHWEST NEPHROLOGY ASSOCS
1/26/2005
3/19/2010
388370507
AHUJA
JAGBIR
KUMAPSP
GASTROENTEROLOGY
SPECIALISTS IN GASTROENTEROLOGY
1/7/1999
5/20/2011
538555751
AHUJA
SATYA
P
PSP
NEPHROLOGY
ASSOCIATES IN NEPHROLOGY S C
6/20/2013
642997696
AI GIANG
QUOC
TO
PSP
CHIROPRACTIC
PHYSICAL MEDICINE ASSOCIATES
4/28/2014
903731059
AIELLO
EUGENE
A
PSP
CHIROPRACTIC
ADVANCED CHIROPRACTIC CARE
1/1/2005
8/19/2015
091002211
AIJAZ
MAIMOONA
S
PCP
INTERNAL MEDICINE
MAIMOONA S AIJAZ M D S C
8/30/2006
2/5/2014
400997512
AJMANI
HARPINDER
S
PSP
RHEUMATOLOGY
HARPINDER S AJMANI MD
6/30/1999
7/11/2014
S
PRIMEID
Last Name
First Name
784351008
AJMERE
KISHOR
981698145
AJMERE
NIRAJ
981698145
AJMERE
000843736
MI
Prov Type
Specialty
Contract Name
PSP
INTERNAL MEDICINE
KISHOR AJMERE M D LTD
7/28/2014
K
PSP
GASTROENTEROLOGY
GASTROENTEROLOGY GROUP PRACTICE
7/21/2008
6/30/2015
NIRAJ
K
PSP
GASTROENTEROLOGY
G I HEALTH ASSOCIATES LLC
10/1/2013
6/30/2015
AKALIS
NINA
E
PCP
PEDIATRIC
CENTRO DE SALUD ESPERANZA
11/6/2013
1/22/2015
336996282
AKBAR
MUHAMMAD
S
PSP
SHIFA CARDIOLOGY CONSULTANTS
1/1/2014
4/10/2015
249859529
AKBAR
SAMREEN
PCS
UP TO DATE HEALTHCARE FOR WOMEN
12/1/2012
350494458
AKBARI
FAISAL
A
PSP
INTERNAL MEDICINE
EDWARD HEALTH VENTURES
8/19/2011
3/16/2016
950372906
AKHAL
MALEK
HUSSPCP
FAMILY PRACTICE
2/9/2009
6/4/2013
325101084
AKHAND
MANJU
PCP
PEDIATRIC
ACCESS PEDIATRICS LTD
1/1/2008
184951314
AKHTAR
MATHEENA
PCP
PEDIATRIC
MARGO M WOLF DO
11/11/1991
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3/15/2000
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722303842
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MI
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MI
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7/1/2009
7/31/2013
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2/5/2002
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676991777
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5/1/2008
12/16/2015
009697130
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7/1/2012
12/16/2015
611252837
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5/7/2012
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10/5/2011
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1/28/2004
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2/28/2014
1/5/2016
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12/1/2007
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1/1/1996
12/18/2009
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3/30/2005
5/27/2011
993086143
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1/1/2005
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1/1/2005
3/10/2014
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MI
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3/14/2016
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8/28/2002
12/31/2013
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1/1/2014
5/28/2008
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5/20/2008
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4/24/2002
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6/21/2007
4/16/2012
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5/20/2014
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5/1/2007
3/10/2015
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8/1/1991
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3/16/2011
11/20/2009
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4/16/2012
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8/10/2009
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TENNENBAUM AND ANSTADT LTD
6/30/1999
8/16/2013
INTERNAL MEDICINE
FRANCISCAN MEDICAL SPECIALISTS
10/1/2012
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2/5/2008
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8/22/2013
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8/20/2014
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3/1/2011
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CHICAGO WOMENS HEALTH LTD
7/9/2014
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7/1/2007
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12/1/2004
5/20/2011
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5/21/2010
2/17/2015
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9/28/2009
6/16/2014
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11/19/2003
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11/19/2003
5/5/2016
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1/22/2014
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10/6/1999
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3/22/2013
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10/8/2008
3/19/2010
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10/17/2012
3/10/2015
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Contract Name
Appt Date
ReAppt Date
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AVA WOMENS HEALTH ASSOCIATES
1/18/2006
6/24/2013
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INTERNAL MEDICINE
10/31/2013
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SWATHI AREKAPUDI M D LLC
2/15/2012
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8/21/2014
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8/21/2014
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8/3/2011
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9/19/2002
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SOUTHLAND ORTHOPEDICS LTD
3/1/2010
3/19/2010
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7/1/2014
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12/18/2009
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MI
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12/6/2007
2/19/2010
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4/12/2007
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8/15/2011
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NEPHROLOGY
8/1/2012
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12/18/2009
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12/3/2012
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6/20/2001
3/30/2016
650402773
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4/16/2010
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8/17/2012
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4/8/1998
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299364427
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10/25/2010
3/19/2010
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12/19/2013
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5/17/2013
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9/20/1991
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12/13/2013
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HEMATOLOGY AND ONCOLOGLITTLE CO AFFILIATED PHYSICIAN
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8/1/2014
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7/8/2014
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2/26/2013
1/6/2014
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4/25/2001
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7/16/2004
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MI
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MI
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2/10/2005
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2/18/2011
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MI
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077604207
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1/24/2014
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3/19/2010
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MI
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10/4/2004
3/19/2010
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4/10/2007
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9/13/2000
2/13/2012
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MI
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10/13/2011
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6/17/2008
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MI
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Specialty
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MI
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MI
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First Name
MI
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Specialty
Contract Name
Appt Date
ReAppt Date
521985205
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GASTROENTEROLOGY
11/4/2010
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10/10/2006
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PEDIATRIC ENDOCRINOLOGY TSEGHAI BERHE MD
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8/19/2013
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6/30/1999
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1/31/2014
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MI
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Specialty
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ReAppt Date
232430376
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1/25/2016
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GASTROENTEROLOGY
1/1/2014
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6/18/2014
865500407
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6/17/2013
323338935
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11/25/2013
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1/1/1996
11/20/2009
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9/1/2004
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EVERGREEN MEDICAL LTD
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4/24/2014
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1/9/2012
10/28/2013
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3/31/2004
4/17/2009
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1/1/2005
2/24/2016
937853058
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PODIATRY
5/1/2013
10/18/2013
974795458
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NEPHROLOGY
10/17/2006
3/19/2010
841901980
CHIU
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SW AESTHETICS AND BODY SCULP LLC
9/20/2010
2/27/2014
841901980
CHIU
EUGENE
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SOUTHWEST CARDIOVASCULAR CNSLTS
3/29/2006
2/27/2014
841901980
CHIU
EUGENE
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YOUR MEDICOS S C
10/4/2011
2/27/2014
841901980
CHIU
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CARDIOLOGY ASSOCS NORTHERN IL
11/2/2011
2/27/2014
546320876
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HEMATOLOGY-ONCOLOGY
4/30/2013
12/31/2013
522693622
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INTERNAL MEDICINE
3/15/2000
2/9/2012
620834777
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RADIATION ONCOLOGY
UNIV OF IL DEPT OF RAD ONCLGY
4/12/2007
6/28/2006
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1/17/2014
4/24/2014
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5/1/2014
9/7/2012
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1/1/2012
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129130445
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11/17/2012
129130445
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9/13/2012
703460889
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CHIROPRACTIC
4/20/2006
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DELANY CHIROPRACTIC CENTER
7/24/2015
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
703460889
CHOE
MICHAEL
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CHIROPRACTIC
MICHAEL H CHOE DC
4/20/2006
7/24/2015
031027141
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THORACIC SURGERY
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1/1/1996
11/18/2009
997294122
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MARK
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GENERAL SURGERY
SUBURBAN METABOLIC INSTITUTE LLC
12/27/2010
997294122
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GENERAL SURGERY
SUBURBAN SURGICAL ASSOCIATES LTD
8/10/2009
567500895
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NORTHWEST FAMILY MEDICINE INC
1/1/2011
11/9/2015
458622204
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JOHN
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3/1/2007
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12/17/2003
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7/30/2013
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7/20/2009
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11/6/2007
1/3/2014
724659925
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RADIATION ONCOLOGY
DREYER MEDICAL CLINIC INC
2/21/2012
724659925
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RADIATION ONCOLOGY
RADIATION ONCOLOGY OF CHICAGO S C
11/8/2013
651052781
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GENERAL SURGERY
THOMAS J CHORBA MD
8/29/2001
12/10/2015
382143962
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PEDIATRIC
8/11/2008
10/16/2009
214011328
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7/18/2005
8/7/2009
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12/16/2010
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7/30/2003
8/7/2009
485218836
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4/15/2011
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THORACIC SURGERY
MIDWEST VASCULAR AND THORACIC
1/1/1996
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12/18/2009
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First Name
906510037
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625488757
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ALAN
912216172
CHOW
JERRY
202570312
CHOW
MAY
575715686
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903853287
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
PCP
INTERNAL MEDICINE
INTERNAL MED AND FAMILY PHYS SC
P
PSP
12/22/2011
4/16/2010
Y
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OPHTHALMOLOGY
ALAN Y CHOW MD
11/13/1996
2/5/2014
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HAND SURGERY
HAND THERAPY DIVISION LTD
9/18/2012
2/14/2014
J
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DERMATOLOGY
2/24/2003
2/14/2014
MAY
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NEPHROLOGY
2/25/2004
4/16/2010
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JAJEH AND KOCH S C
10/3/2006
11/20/2009
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PEDIATRIC
10/1/2012
11/27/2013
488574601
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PEDIATRIC
5/12/2008
8/18/2011
804063020
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DANNY
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INTERNAL MEDICINE
1/30/2002
9/17/2015
938701084
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ORTHOPEDIC SURGERY
5/21/1997
2/14/2014
760563902
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1/18/1995
3/7/2013
295550140
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11/6/2009
10/28/2013
882341986
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6/21/2007
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611388818
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PEDIATRIC
10/30/2002
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8/3/2010
3/28/2013
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6/17/2014
7/7/2014
325276434
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FAMILY PRACTICE
8/29/2014
692909932
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A
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INTERNAL MEDICINE
DEERPATH PHYSICIANS GROUP LTD
6/19/2006
7/1/2014
8/6/2012
PRIMEID
Last Name
913545005
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
CHRISTOPOULOS GEORGE
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INTERNAL MEDICINE
LINCOLNA INTERNAL MEDICINE LTD
8/1/1991
11/6/2009
921755922
CHRISTOPOULOS NIKOS
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GASTROENTEROLOGY
5/1/2012
6/5/2014
921755922
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GASTROENTEROLOGY
5/30/2007
6/5/2014
921755922
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GASTROENTEROLOGY
U OF I HOSPITAL
5/30/2007
6/5/2014
281134420
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INTERNAL MEDICINE
THEODORE CHRISTOU MD
8/1/1991
6/15/2013
455794548
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GEORGE
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INTERNAL MEDICINE
CHRISTY CARDIOLOGY LTD
7/6/2009
12/18/2009
388350497
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3/3/1993
2/19/2010
410185513
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12/4/2002
12/18/2009
410185513
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WOMENS CARE GROUP
6/14/2000
12/18/2009
916478014
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OPHTHALMOLOGY
1/1/2014
7/17/2009
218844215
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INTERNAL MEDICINE
9/22/2008
4/17/2009
797286914
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GASTROENTEROLOGY
SUMMIT DIGEST AND LIVER DISEASE
10/27/2012
251160382
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11/1/2010
5/20/2009
913330052
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ALLERGY-IMMUNOLOGY
SUSAN CHUA APOLINARIO MD
9/24/2003
9/17/2010
198068335
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INTERNAL MEDICINE
NIRAV P CHUDGAR M D S C
10/17/2006
4/16/2010
054688334
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ORTHOPEDIC SURGERY
7/5/2011
10/18/2012
210415355
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ALLERGY-IMMUNOLOGY
SALMON GOLDBERG DAVID CHUDWIN SC
8/30/2006
5/21/2010
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
588484741
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RAKESH
K
PCP
INTERNAL MEDICINE
RAKESH K CHUGH MD
10/25/2000
5/29/2013
489707633
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INTERNAL MEDICINE
YONG C CHUN MD
8/1/1991
2/5/2014
434604551
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INFECTIOUS DISEASES
8/9/2000
11/20/2009
177112195
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HEMATOLOGY
3/30/2011
146071270
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GASTROENTEROLOGY
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1/1/1996
1/9/2015
531995112
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UROLOGY
1/1/2013
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2/27/2014
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1/30/2006
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12/17/2003
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608098963
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CARDIOLOGY INTERNAL MED CNSLTS
4/30/2003
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1/1/2000
12/18/2009
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3/3/2005
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1/1/2014
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2/19/2010
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9/6/2006
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HEMATOLOGY-ONCOLOGY
10/1/2012
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6/30/1999
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8/1/2012
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1/1/2008
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9/7/1999
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6/21/2007
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Contract Name
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FAMILY PRACTICE
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8/4/2014
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HEMATOLOGY-ONCOLOGY
BASSAM F MATAR M D S C
2/13/2013
3/16/2016
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ORTHOPEDIC SURGERY
1/1/1996
8/22/2013
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PODIATRY
KELLY A OMSBERG PA
6/19/2006
6/19/2014
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CHIROPRACTIC
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11/15/2011
2/12/2014
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PEDIATRIC
KIDS FIRST PEDIATRICS LTD
9/19/2011
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3/30/2012
5/21/2010
123359209
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6/30/1999
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10/1/2006
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12/31/2007
12/19/2013
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1/1/1996
11/10/2014
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VASCULAR SURGERY
ELIZABETH T CLARK MD
6/19/2014
11/10/2014
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GASTROENTEROLOGY
11/28/2007
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1/1/2005
3/30/2015
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1/26/2005
2/18/2014
570515672
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MICHAEL
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INTERNAL MEDICINE
2/23/2000
12/31/2013
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9/24/2003
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5/1/2012
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931507522
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1/13/2011
1/25/2012
931507522
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GENERAL SURGERY
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8/4/2012
1/25/2012
123395263
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RICHARD
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INTERNAL MEDICINE
TALCOTT INT MED AND CARDIOLOGY
12/9/1992
5/17/2013
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ReAppt Date
PRIMEID
Last Name
First Name
118957241
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STANLEY
382551315
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MI
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Specialty
Contract Name
Appt Date
ReAppt Date
PSP
12/22/2011
8/21/2009
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FAMILY CHRISTIAN HEALTH CENTER
9/19/2011
8/18/2011
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10/1/2013
4/10/2015
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6/29/2005
4/10/2015
367056491
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8/14/1996
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10/10/2012
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166268922
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5/11/2011
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836031662
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CERTIFIED NURSE PRACTITIO NATURAL HEALTH CHIRO AND WELLNESS
10/7/2013
12/28/2015
469460611
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1/1/2005
3/28/2013
561600756
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2/15/2012
3/30/2015
314882338
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INTERNAL MEDICINE
4/12/2000
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430979540
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NEPHROLOGY
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3/10/1999
3/19/2010
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2/1/2014
11/29/2012
074733196
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PEDIATRIC
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1/31/2001
1/23/2013
826585209
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9/7/2012
1/5/2016
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1/1/2005
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10/12/2012
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028782178
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CHIROPRACTIC
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8/18/2008
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713092827
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INTERNAL MEDICINE
11/30/1994
6/3/2008
908256407
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INTERNAL MEDICINE
11/16/2005
4/16/2015
M
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
901018013
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A
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OTOLARYNGOLOGY
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2/1/2007
11/20/2009
989764644
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PULMONARY DISEASES
9/29/2004
11/20/2009
607838728
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CARDIOMEDICAL ASSOCIATES LTD
1/1/1996
4/29/2016
340164433
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1/1/1997
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1/1/2007
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226931700
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THORACIC CARDIOVASCULAR CARDIOTHORACIC VAS SURG ASSOCS
8/5/2013
280151406
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MARGO M WOLF DO
2/7/2006
2/27/2015
720170814
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3/27/2002
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755627881
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INTERNAL MEDICINE
9/1/2010
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755627881
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INTERNAL MEDICINE
8/1/2009
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194163011
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4/3/2014
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194163011
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2/26/2014
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7/27/2009
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4/27/2011
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8/28/2012
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3/10/2014
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6/26/2002
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3/30/2015
8/13/2015
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
171348236
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PCP
CHIROPRACTIC
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12/8/2008
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11/6/2009
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10/14/2013
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1/1/2005
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7/24/2014
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10/19/2007
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1/18/2012
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1/1/1996
9/10/2015
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4/8/2011
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3/25/2014
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6/14/2005
2/3/2010
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10/1/2006
4/4/2013
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5/19/2004
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GENERAL SURGERY
1/1/1996
6/16/2014
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EDWIN
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2/3/1999
3/28/2007
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6/1/1993
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10/1/2009
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1/1/1996
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2/5/2007
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9/24/2003
8/31/2011
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3/31/1993
4/4/2013
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MI
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12/22/2011
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11/6/2009
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6/10/1998
12/28/2015
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6/2/2008
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10/18/2012
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10/31/2011
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1/1/1996
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6/28/1995
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11/20/2002
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3/22/2012
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10/31/2001
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10/15/2012
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9/11/2012
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3/1/2012
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5/29/2002
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9/6/1999
3/31/2014
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6/27/2011
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133175953
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10/18/2010
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1/1/2012
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MI
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9/21/2011
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7/28/2004
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5/18/2009
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11/28/2011
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6/15/2007
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8/10/2014
6/11/2015
694044822
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6/23/1999
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11/1/2006
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11/30/2007
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4/27/2009
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5/20/2008
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6/30/1999
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4/27/2005
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3/31/2004
11/20/2009
382711722
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1/17/2008
3/28/2016
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11/28/2012
379665437
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9/15/2008
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GENERAL SURGERY
6/6/2012
4/16/2010
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4/9/2014
2/18/2016
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Contract Name
4/10/2015
PRIMEID
Last Name
First Name
MI
035920493
DEVER
DANIELLE
768908858
DEWHITE
313866044
Specialty
Contract Name
Appt Date
ReAppt Date
STAC PSP
CHIROPRACTIC
MILLENNIUM PARK MEDICAL CENTER
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2/18/2016
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2/25/2004
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8/10/2009
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9/18/2006
2/19/2010
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ENDOCRINOLOGY
7/16/2009
4/24/2014
170867532
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NEPHROLOGY
6/19/2006
9/4/2013
102991255
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6/1/2003
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6/22/2007
11/20/2009
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3/13/2012
5/15/2015
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5/14/2014
8/5/2015
137627273
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4/13/2009
5/19/2015
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2/5/2010
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191810394
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9/22/2003
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1/1/2014
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10/11/2012
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2/13/2006
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8/7/2014
957651620
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GASTROENTEROLOGY
3/1/2014
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6/12/2007
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10/25/2000
3/31/2011
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A
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4/8/2015
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
432177555
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A
PCP
PEDIATRIC
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11/13/1996
3/28/2016
175948179
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INTERNAL MEDICINE
8/1/2014
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INTERNAL MEDICINE
1/1/2014
634782354
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1/12/2009
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11/6/2013
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10/16/2009
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10/16/2009
2/19/2010
857438279
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3/11/2008
10/26/2012
857438279
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2/1/2013
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5/1/2009
10/26/2012
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11/8/2013
10/26/2012
919829057
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1/1/2005
3/19/2015
400328513
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7/28/2005
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1/2/2013
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10/30/2008
10/17/2008
380439522
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5/13/2010
12/19/2012
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12/8/1999
4/25/2001
363073087
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3/18/2014
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11/11/2008
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426795530
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970010324
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391783482
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Contract Name
Appt Date
ReAppt Date
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6/30/1999
4/16/2010
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10/3/2013
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1/1/2005
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12/28/2005
10/13/2011
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7/19/2012
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3/12/2013
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11/24/2009
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4/13/2011
2/18/2014
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9/1/2004
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6/30/1999
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7/14/2003
9/24/2014
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GENERAL SURGERY
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1/1/1996
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9/12/2011
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6/29/2012
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2/1/2011
3/16/2012
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12/22/2011
5/21/2010
063034176
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12/17/2003
12/2/2013
648683757
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9/12/2004
7/16/2010
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INTERNAL MEDICINE
5/1/2013
12/28/2015
831933948
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9/8/2010
12/28/2015
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MI
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111847259
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5/15/2013
4/15/2014
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9/24/2014
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8/23/2013
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4/5/2010
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8/7/2007
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8/22/2006
10/8/2012
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4/13/1993
1/15/2010
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6/19/2014
4/5/2016
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6/30/1999
4/16/2010
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326781011
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11/15/2010
12/26/2013
834090939
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1/16/2009
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11/1/2011
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3/1/2012
6/15/2013
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2/22/2012
6/15/2013
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First Name
MI
695787830
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370898521
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587516814
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Contract Name
Appt Date
ReAppt Date
FRAN PSP
PLASTIC SURGERY
1/27/2009
12/31/2015
BEN
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GASTROENTEROLOGY
11/2/2011
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10/31/2007
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1/1/2005
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10/30/2002
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8/15/2012
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PEDIATRIC
3/28/2001
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7/14/1999
5/14/2014
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10/31/2001
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11/13/1996
3/19/2010
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9/17/2015
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MI
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Specialty
Contract Name
122721235
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8/13/2014
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1/1/2014
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1/26/2005
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9/18/2014
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6/30/1999
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9/24/2003
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11/25/2013
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5/16/2013
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3/1/2009
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6/18/2014
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10/9/2009
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10/27/2011
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10/12/2012
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4/20/2007
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12/6/2012
1/15/2010
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PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
142115231
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INTERNAL MEDICINE
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1/15/2010
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5/12/2011
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6/6/2012
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200682322
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GENERAL SURGERY
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12/5/2006
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9/8/2006
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7/5/2011
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2/1/2014
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6/24/2011
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8/10/2009
10/17/2012
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6/30/2004
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5/7/2013
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Last Name
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MI
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Specialty
Contract Name
Appt Date
ReAppt Date
400060541
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HEMATOLOGY
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6/29/2005
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1/26/2005
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RPW OBSTETRICS AND GYNECOLOGY
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CATHERINE
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PEDIATRIC
11/29/2000
7/16/2010
731517835
FITZSIMONS
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ALLERGY-IMMUNOLOGY
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ALLERGY-IMMUNOLOGY
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11/6/2009
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190992733
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JOSE PSP
ALLERGY-IMMUNOLOGY
7/9/2004
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SHELLY
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PEDIATRIC
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TRANSPLANT HEPATOLOGY
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356743453
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INTERNAL MEDICINE
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UROLOGY
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871799992
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UROLOGY
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UROLOGY
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558019640
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INTERNAL MEDICINE
1/13/1999
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525579660
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CHIROPRACTIC
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525579660
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PEDIATRIC
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2/15/2013
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INTERNAL MEDICINE
11/1/2012
6/11/2014
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MI
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448486576
FLOOD
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PODIATRY
GLOBAL CARE S C
12/13/2007
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GALILEE MEDICAL CENTER S C
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9/28/2005
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474071796
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FAMILY PRACTICE
8/16/2006
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2/7/2014
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G
PSP
1/31/2012
5/21/2010
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
074810211
FURLIN
JOSEPH
J
PCS
JOSEPH J FURLIN MD
4/24/2002
1/25/2016
074810211
FURLIN
JOSEPH
J
PCS
JOSEPH J FURLIN MD S C
3/18/2013
1/25/2016
896149644
FURLONG
DENISE
PCS
2/7/2014
12/18/2009
683507493
FURMANOV
SERGEY
PSP
INTERNAL MEDICINE
3/13/2014
9/27/2015
908353067
GABR
WALEED
A
PSP
CHIROPRACTIC
AL SHIFA HEALTH CARE
6/25/2008
3/16/2015
415694582
GABRIEL
DANTE
P
PCP
PEDIATRIC
DANTE P GABRIEL M D S C
5/15/2000
3/31/2014
006974191
GABRIEL
ERIC
PCP
INTERNAL MEDICINE
4/16/2010
163634773
GABZDYL
ELIZABETH
M
PCS
5/15/2012
1/10/2014
070469197
GADDE
HARI
P
PSP
PULMONARY DISEASES
HARI P GADDE MD
8/18/2014
12/16/2015
253376360
GADRINAB
NELCAR
M
PSP
UROLOGY
NELCAR M GADRINAB MD
1/1/1996
1/15/2010
253376360
GADRINAB
NELCAR
M
PSP
UROLOGY
NELCAR GADRINAB M D
1/1/1996
1/15/2010
486027556
GADSON
VIDHI
S
PCS
10/8/2012
907028725
GAFFUD
MICHAEL
J
PSP
GENERAL SURGERY
1/30/2012
187654278
GAGER
ROSEANN
M
PCP
FAMILY PRACTICE
WOMENS DOC OF ELGIN S C
2/12/2013
704659832
GAGNON
MARK
J
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PODIATRY
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2/2/2012
3/31/2014
704659832
GAGNON
MARK
J
PSP
PODIATRY
2/26/2014
3/31/2014
757900986
GAIHA
VISHNU
D
PSP
SWEDISH COVENANT HOSP HSE CALL
1/29/1999
1/21/2014
757900986
GAIHA
VISHNU
D
PSP
VISHNU D GAIHA M D S C
9/1/2004
1/21/2014
851833001
GAINEY
RICHARD
JOSE PCP
INTERNAL MEDICINE
3/15/2012
662934857
GAL
KRYSTYNA
PSP
OTOLARYNGOLOGY
2/18/2014
6/11/2014
035114657
GALANOPOULOS ALISON
PSP
PEDIATRIC
HINSDALE HOSPITAL PEDIATRIC SRVCS
3/17/2008
4/29/2009
C
PRIMEID
Last Name
843894453
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
GALANOPOULOS NICHOLAS
S
PSP
RADIATION ONCOLOGY
8/14/2012
3/7/2013
843894453
GALANOPOULOS NICHOLAS
S
PSP
RADIATION ONCOLOGY
NUCLEAR ONCOLOGY S C
5/7/2013
3/7/2013
042691173
GALANTER
NOREEN
PCP
INTERNAL MEDICINE
9/1/2010
3/16/2015
013038139
GALANTER
WILLIAM
PCP
INTERNAL MEDICINE
U OF I HOSPITAL
8/14/2007
10/8/2012
995513798
GALASSO
JOHN
M
PSP
OPHTHALMOLOGY
3/13/2014
8/20/2010
995513798
GALASSO
JOHN
M
PSP
OPHTHALMOLOGY
7/27/2009
8/20/2010
987062114
GALIANO
JAIME
A
PCP
FAMILY PRACTICE
JAIME A GALIANO M D S C LTD
6/22/2007
2/18/2014
587223211
GALICIA
HAZEL
ANN PCP
PEDIATRIC
1/6/2014
419849554
GALINSKY
DENNIS
L
PSP
THERAPEUTIC RADIOLOGY
10/1/2004
6/4/2009
419849554
GALINSKY
DENNIS
L
PSP
6/2/2008
6/4/2009
419849554
GALINSKY
DENNIS
L
PSP
ROSA OF NRTHN IL DUPAGE ONCLG CTR
8/26/2008
6/4/2009
479769608
GALIZIA
CELESTE
M
PCP
FAMILY PRACTICE
GLOBAL CARE S C
3/14/2003
2/21/2014
574033050
GALLA PAGADALAARUNA
PCP
FAMILY PRACTICE
9/20/2013
5/11/2012
446107583
GALLAGHER
THOMAS
PCP
INTERNAL MEDICINE
1/12/2000
3/16/2012
489655132
GALLANOSA
ARVIN
PSP
7/24/2014
345407327
GALLO
CARLO
PSP
CHIROPRACTIC
FAMILY HLTH AND WELLNESS CLNC S C
1/9/2012
5/14/2014
345407327
GALLO
CARLO
PSP
CHIROPRACTIC
CARLO GALLO DC
1/9/2012
5/14/2014
196417317
GALLUP
RICHARD
PCP
FAMILY PRACTICE
GALLUP FAMILY PRACTICE LTD
1/1/2010
3/20/2009
879340014
GALPERIN
MIKHAIL
PCP
FAMILY PRACTICE
M GALPERIN T GALPERIN M D P C
9/8/2009
4/4/2016
056108211
GALPERIN
TATYANA
PCP
FAMILY PRACTICE
M GALPERIN T GALPERIN M D P C
9/8/2009
6/30/2015
J
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
708471829
GAMBLA
GREGORY
R
PSP
GASTROENTEROLOGY
6/1/2010
2/11/2011
942413274
GAMEZ
CARLA
PSP
PODIATRY
6/2/2007
4/7/2016
016727007
GAMI
APOOR
S
PSP
12/22/2011
5/21/2010
016727007
GAMI
APOOR
S
PSP
1/9/2009
5/21/2010
667622926
GANDHI
ANITA
M
PCS
1/8/2010
667622926
GANDHI
ANITA
M
PSP
4/18/2011
710924810
GANDHI
ASHA
PCS
ASHA GANDHI M D S C
1/10/2008
11/20/2009
666859115
GANDHI
BHAVESH
PSP
GERIATRIC MEDICINE
5/24/2011
2/25/2014
786895919
GANDHI
HARIVADAN
K
PCP
PEDIATRIC
HARIVADAN K GANDHI MD
12/3/2008
1/16/2009
786895919
GANDHI
HARIVADAN
K
PCP
PEDIATRIC
HARIVADAN K GANDHI MD
3/3/1993
1/16/2009
056596621
GANDHI
HETAL
A
PSP
11/6/2009
11/19/2010
056596621
GANDHI
HETAL
A
PSP
BARRINGTON CARDIOLOGY S C
2/1/2012
11/19/2010
958608087
GANDHI
KIRAN
PSP
PHYSICAL MEDICINE & REHAB HARI K AGRAWAL M D S C
924993181
GANDHI
NEELAM
PCS
12/17/2003
5/20/2011
692353367
GANDHI
PRILI
PCP
FAMILY PRACTICE
OAKTON MEDICAL ASSOCIATES
2/12/2014
4/15/2014
100569623
GANDHI
SANJAY
PSP
GYNECOLOGY
NORTH SHORE UROGYNECOLOGY LTD
9/29/2004
3/29/2013
866217009
GANESAN
DHANA
PCP
INTERNAL MEDICINE
DHANALAKSHMI P GANESAN M D S C
9/8/2014
9/27/2015
694250817
GANJU
SHIBAN
PSP
GASTROENTEROLOGY
SHIBAN GANJU M D
6/26/2002
4/16/2010
434920969
GANS
CHRISTOPHER
PAUL PCP
INTERNAL MEDICINE
7/30/2013
3/30/2015
319971449
GAONKAR
TUSHAR
R
PCP
FAMILY PRACTICE
12/8/2008
3/19/2010
778430944
GARAPATI
AMAR
B
PSP
PULMONARY DISEASES
2/23/2005
4/20/2012
R
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3/7/2013
PRIMEID
Last Name
First Name
441972506
GARAPATI
RAJEEV
157841284
GARB
JEFFREY
949283085
GARBOLSKI
JEAN
690853808
GARCIA
BERNARDINO
918540037
GARCIA
JUDITH
654806355
GARCIA
624518635
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
PSP
ORTHOPEDIC SURGERY
1/1/2007
8/20/2010
INTERNAL MEDICINE
DRS J GARB AND K MCGUIRE LTD
8/1/1991
3/28/2013
PCP
FAMILY PRACTICE
DR JEAN GARBOLSKI AND ASSOCIATES
7/1/2010
5/11/2012
PCP
FAMILY PRACTICE
GARCIA LIFE PARTNERS LTD
5/9/2002
11/26/2003
A
PCP
PEDIATRIC
5/10/2000
3/20/2009
LUIS
F
PSP
MATERNAL-FETAL MEDICINE MERCY HOSPITAL MEDICAL CNTR
7/21/2012
3/28/2016
GARCIA
LUIS
T
PCP
FAMILY PRACTICE
1/1/2014
10/18/2013
624518635
GARCIA
LUIS
T
PCP
FAMILY PRACTICE
1/26/2005
10/18/2013
731426884
GARCIA
MARIA
LUISAPCP
PEDIATRIC
YOU S KIM M D AND ASSOCIATES
4/13/2009
2/20/2014
186382416
GARCIA
OMAR
PSP
OCCUPATIONAL MEDICINE
FINLAY OCCUPATIONAL HEALTH LLC
9/18/2012
2/1/2013
186382416
GARCIA
OMAR
PSP
HEALTHY CONNECTION PHYSICAL
9/8/2014
2/1/2013
186382416
GARCIA
OMAR
PSP
GRAND MEDICAL CLINIC INC
11/14/2012
2/1/2013
186382416
GARCIA
OMAR
PSP
9/18/2012
2/1/2013
322571842
GARCIA ALVAREZ ESPERANZA
PSP
3/30/2005
2/19/2010
322571842
PSP
PEDIATRIC GASTROENTEROLOLOYOLA UNIVERSITY MEDICAL CENTER
1/1/2009
2/19/2010
322571842
PSP
9/21/2009
2/19/2010
524237642
GARCIA BEACH
SYLVIA
PCP
FAMILY PRACTICE
12/18/2011
3/8/2013
407121530
GARCIA BUDER
SOFIA
PSP
ENDOCRINOLOGY
SOFIA GARCIA BUDER M D S C
9/3/2002
12/18/2009
604729800
GARCIA SAYAN R ENRIQUE
PSP
11/8/2012
12/3/2015
LOUISPCP
D
PRIMEID
Last Name
First Name
810427861
GARCIA VALENZUENRIQUE
502503506
GARCIA-BEDOYA OLGA
502503506
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
PSP
OPHTHALMOLOGY
5/15/2006
3/20/2009
L
PCP
INTERNAL MEDICINE
3/8/2008
3/28/2013
GARCIA-BEDOYA OLGA
L
PCP
INTERNAL MEDICINE
U OF I HOSPITAL
5/8/2008
3/28/2013
382559928
GARD
ANDREW
B
PSP
CHIROPRACTIC
NOVA PAIN SPINAL CARE LLC
7/13/2009
7/7/2015
149630273
GARDEN
JEROME
M
PSP
DERMATOLOGY
PHYSICIANS LASER AND DERMATOLOGY
9/13/2000
5/21/2010
325188449
GARDNER
CRAIG
ANESTHESIOLOGY
10/1/1996
071700186
GARDNER
JUDY
PSP
SPEECH PATHOLOGY
EASTER SEALS DUPAGE
10/1/2007
503419624
GARELICK
DAVID
PSP
ORTHOPEDIC SURGERY
6/23/2014
12/19/2013
390530522
GARFINKLE
CARL
PSP
OPHTHALMOLOGY
NORTHWEST EYE PHYSICIANS LTD
1/8/2008
2/5/2016
827023532
GARG
ASHWANI
K
PCP
FAMILY PRACTICE
PERSONAL FAMILY MEDICINE
12/1/2004
6/24/2013
097241248
GARG
NARENDRA
K
PCP
INTERNAL MEDICINE
NARENDRA K GARG M D
10/12/2005
7/2/2013
932712299
GARG
RACHNA
PCP
INTERNAL MEDICINE
10/30/2013
6/11/2014
932712299
GARG
RACHNA
PSP
INTERNAL MEDICINE
8/15/2011
6/11/2014
932712299
GARG
RACHNA
PCP
INTERNAL MEDICINE
8/15/2011
6/11/2014
410712418
GARGANERA
DAN ANTHONY
PSP
INFECTIOUS DISEASES
9/24/2007
5/23/2014
054788179
GARINO
JOHN
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ANESTHESIOLOGY
SUBURBAN ANESTHESIOLOGISTS S C
10/1/1996
447410839
GARN
CHRISTOPHER
A
PSP
CHIROPRACTIC
AMG PHYSICAL REHABILITATION LLC
4/2/2012
437972214
GARNER
ANDREW
PSP
CHIROPRACTIC
LOCKPORT CHIROPRACTIC CENTER LTD
1/21/2014
523086110
GAROFOLA
CHAD
MICHAPSP
CHIROPRACTIC
BUCKTOWN CHIRO HEALTH CENTER S C
5/19/2014
H
3/14/2016
PRIMEID
Last Name
First Name
511143642
GAROON
001951136
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
IRA
PSP
OPHTHALMOLOGY
CENTER FOR VITREO RETINAL DIS
6/30/1999
3/20/2009
GARRARD
JEFFREY
PSP
PODIATRY
JEFFREY GARRARD DPM
1/1/2005
12/9/2015
272264390
GARRETSON
SANDRA
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PCP
INTERNAL MEDICINE
GARRETSON HOMA AND KIM M D
3/26/2003
12/6/2013
363188506
GARRITY
THOMAS
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PSP
OTOLARYNGOLOGY
NORTHWEST ENT ASSOCS S C
10/7/2001
12/10/2015
508883661
GARTLAN
MICHAEL
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PSP
OTOLARYNGOLOGY
6/30/1999
11/2/2012
690347826
GARVEY
DANIEL
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PSP
UROLOGY
6/21/2007
10/19/2012
690347826
GARVEY
DANIEL
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PSP
UROLOGY
1/1/2008
10/19/2012
435361578
GASBARRO
DAVID
N
PSP
PODIATRY
DAVID N GASBARRO DPM
4/24/2007
10/18/2013
475691603
GASIOR
ROBERT
M
PSP
THORACIC SURGERY
4/2/2013
9/17/2013
475700590
GASTON
DARRIEN
L
PSP
GASTROENTEROLOGY
METROPOLITAN GASTROENTEROLOGY CNS
10/29/2003
12/19/2008
590770714
GASTWIRTH
BART
PSP
PODIATRY
BART GASTWIRTH DPM
5/8/2006
11/19/2010
570707704
GATTO
NICHOLAS
J
PSP
CHIROPRACTIC
NICHOLAS GATTO DC
1/1/2005
5/10/2013
747220258
GATZA
JOSEPH
J
PSP
CHIROPRACTIC
JOSEPH J GATZA DC
4/15/2013
2/27/2014
056667060
GAUNT
AMY
K
PCS
3/17/2008
7/7/2014
784645904
GAUTHIER
DANIEL
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PSP
MATERNAL-FETAL MEDICINE HINSDALE HOSPITAL PHYSICIAN
9/24/2007
10/8/2012
523575973
GAUTHIER
GEORGE
W
PSP
CHIROPRACTIC
GAUTHIER HEALTH CARE AND CHIRO
11/10/2008
5/2/2015
084819219
GAVANI
UMA
D
PSP
ALLERGY-IMMUNOLOGY
UMA D GAVANI MD
6/30/1999
11/20/2009
620999794
GAVIN
KEVIN
S
PSP
PODIATRY
2/26/2014
3/31/2014
711730367
GAVINO
MICHAEL
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PCS
1/1/2008
4/2/2008
551493664
GAVINO
WAYNE
R
PSP
NEUROLOGY
FOX VALLEY NEUROLOGY P C
1/26/2009
9/24/2012
749308869
GAVRILOVICI
ANA
D
PCP
FAMILY PRACTICE
ANA D GAVRILOVICI MD
11/21/2000
7/18/2016
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
140842252
GAVRON
JOSEPH
P
PSP
OTOLARYNGOLOGY
SOUTHWEST HEAD AND NECK ASSOCS
6/30/1999
12/27/2013
385947520
GAWO
YACOB
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PSP
FAMILY PRACTICE
4/30/2012
6/11/2015
779433903
GAWRYSZ
MAREK
PCP
FAMILY PRACTICE
MAREK GAWRYSZ MD
6/7/2011
4/29/2015
779433903
GAWRYSZ
MAREK
PCP
FAMILY PRACTICE
FIRST AID CLINIC
6/7/2011
4/29/2015
015419441
GAYNIER
JEREMY
PSP
CHIROPRACTIC
ADVANCED PHY MED AND REHAB
9/1/2013
170487301
GAYNOR
ELLEN
PSP
MEDICAL ONCOLOGY
10/1/1996
12/27/2013
202023591
GEANNOPOULOS CHRIS
J
PSP
1/1/1996
3/21/2012
588631401
GEBHARDT
JOANNA
B
PSP
OPTOMETRY
3/12/2013
321297443
GEC
ANGELO
PSP
CHIROPRACTIC
LIFE BALANCE CHIRO AND REHAB INC
9/16/2014
322819327
GEGENHEIMER
ALAN
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PSP
ORTHOPEDIC SURGERY
ADULT AND PEDIATRIC ORTHO S C
3/4/2014
529263934
GEHLMANN
LOUISA
K
PSP
DERMATOLOGY
LOUISA K GEHLMANN M D S C
6/30/1999
3/31/2014
717385950
GEIGER
JAMES
E
PSP
PODIATRY
JAMES E GEIGER JR PROF CORP
7/20/2007
5/25/2012
192965403
GEIPEL
CARL
PSP
CHIROPRACTIC
CARL GEIPEL D C P C
5/12/2008
7/7/2014
718950385
GEISSLER
KYLE
PCP
FAMILY PRACTICE
11/26/2013
072903241
GEITTMANN
PETER
B
PCS
1/1/1993
12/10/2015
257002388
GELDNER
PETER
D
PSP
PLASTIC SURGERY
PETER D GELDNER M D S C
2/25/2004
11/19/2010
909166459
GELESKE
TIMOTHY
PCP
PEDIATRIC
1/24/1994
4/13/2016
682264805
GELLER
STEVEN
M
PSP
PULMONARY DISEASES
NORTHSHORE LUNG SPECIALIST S C
6/30/1999
3/20/2009
682264805
GELLER
STEVEN
M
PSP
PULMONARY DISEASES
6/3/2011
3/20/2009
089459222
GELSOMINO
STEVEN
L
PCS
PODIATRY
STEVEN L GELSOMINO DPM
3/11/2008
5/13/2010
089459222
GELSOMINO
STEVEN
L
PSP
PODIATRY
4/3/2013
5/13/2010
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
089459222
GELSOMINO
STEVEN
L
PSP
PODIATRY
2/26/2014
5/13/2010
089459222
GELSOMINO
STEVEN
L
PSP
PODIATRY
3/11/2008
5/13/2010
750851943
GENDLEMAN
MARK
D
PSP
DERMATOLOGY
MARK D GENDLEMAN MD
6/1/2006
12/27/2013
016680320
GEOHAS
JEFFREY
G
PCP
INTERNAL MEDICINE
JEFFREY G GEOHAS MD
10/22/2007
8/13/2015
016680320
GEOHAS
JEFFREY
G
PCP
INTERNAL MEDICINE
EVANSTON PREMIER HEALTHCARE
5/18/2012
8/13/2015
401020025
GEORGE
CHRISTOPHER
M
PSP
MEDICAL ONCOLOGY
12/15/2011
3/4/2014
545928324
GEORGE
JOE
M
PSP
PODIATRY
MK ORTHOPAEDICS SURGERY AND REHAB
5/11/2009
12/27/2013
245576360
GEORGE
LAUREL
H
PCP
PEDIATRIC
1/31/2001
12/6/2013
073003235
GEORGE
MARY
K
PCP
INTERNAL MEDICINE
PERSONALIZED WELLNESS INTERNAL M
3/13/2013
11/6/2013
842612652
GEORGE
NAJAT
SHAB PCP
FAMILY PRACTICE
SKOKIE FAMILY CLINIC P C
4/29/2011
1/10/2016
477942558
GEORGE
NINA
PSP
INTERNAL MEDICINE
8/1/2014
349364492
GEPHART
ANANDITA
PCP
INTERNAL MEDICINE
ELGIN MEDICAL ASSOCIATES S C
2/6/2013
9/25/2013
349364492
GEPHART
ANANDITA
PCP
INTERNAL MEDICINE
2/2/2012
9/25/2013
156498280
GEPHART
TODD
ALLENPCP
INTERNAL MEDICINE
1/1/1996
3/31/2011
745662900
GERARD
DAVID
PSP
GASTROENTEROLOGY
GASTROENTEROLOGY SERVICES LTD
1/1/1996
745662900
GERARD
DAVID
PSP
GASTROENTEROLOGY
1/1/1996
5/21/2010
823093944
GERBER
BRIAN
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PSP
UROLOGY
6/21/2007
7/29/2011
823093944
GERBER
BRIAN
S
PSP
UROLOGY
UROLOGY CARE CENTER S C
7/25/2001
7/29/2011
367203493
GERBER
GAIL
S
PCS
7/15/1995
8/21/2009
946295103
GERBER
ROBERT
M
PSP
PODIATRY
ROBERT M GERBER DPM
4/27/2005
8/31/2015
766428875
GERDISCH
MARC
PSP
1/1/1996
5/21/2010
PRIMEID
Last Name
First Name
219461755
GERDOV
810618525
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
LEO
PSP
CHIROPRACTIC
DUPAGE HEALTHCARE LTD
4/5/2013
GERDOV
LEO
PSP
CHIROPRACTIC
LEO GERDOV DC
4/26/2013
2/27/2014
810618525
GERDOV
LEO
PSP
CHIROPRACTIC
ADVANCED HEALTHCARE ASSOCS S C
1/23/2012
2/27/2014
810618525
GERDOV
LEO
PSP
CHIROPRACTIC
3/1/2014
2/27/2014
107911240
GERGOVICH
MICHAEL
PSP
CHIROPRACTIC
GERGOVICH FAMILY CHIROPRACTIC LLC
1/29/2013
1/16/2014
365329594
GERITANO
KELLY
L
PSP
CHIROPRACTIC
COMPLETE WELLNESS CENTER S C
1/1/2005
12/9/2015
457390589
GERMAIN
GEORGES
B
PCP
PEDIATRIC
GEORGES B GERMAIN MD
8/1/1991
1/10/2016
457390589
GERMAIN
GEORGES
B
PCP
PEDIATRIC
GEORGES B GERMAIN MD
3/12/2007
1/10/2016
206301315
GERMINO
F
WILFOPCP
INTERNAL MEDICINE
8/2/2001
12/18/2009
743896874
GERMINO
KEVIN
PCP
PEDIATRIC
8/2/2001
10/17/2008
961788316
GERSTEIN
CRAIG
H
PSP
OPHTHALMOLOGY
GERSTEIN EYE INSTITUTE
3/7/2011
11/19/2010
466487600
GERSTEIN
MELVYN
A
PSP
OPHTHALMOLOGY
GERSTEIN EYE INSTITUTE
4/15/2011
038256805
GERWIG
DANIEL
J
PSP
CHIROPRACTIC
ABSOLUTE HEALTHCARE CHIROPRACTIC
4/18/2007
101221227
GETCH
CHRISTOPHER
C
PSP
1/8/2010
190833309
GHABRA
MOHAMMED
B
PSP
NEUROLOGY
3/1/2014
9/27/2015
200769326
GHAEY
KAMALA
A
PCP
PEDIATRIC
KIDZ HEALTH P C
10/1/2003
11/20/2009
097364223
GHANAYEM
ALEXANDER
PSP
ORTHOPEDIC SURGERY
3/15/2000
8/17/2012
849505147
GHANI
AMBEREEN
PCP
FAMILY PRACTICE
R K MEDICAL CENTER LTD
1/10/2014
3/10/2015
273887393
GHANI
EHTESHAM
J
PCP
INTERNAL MEDICINE
EHTESHAM J GHANI M D S C
9/8/2003
3/21/2014
777711098
GHANI
MOHAMMAD
TK
PSP
PEDIATRIC
ALLERGY AND CL IMMUNOLOGY CNTR
1/16/2000
3/4/2009
2/18/2016
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
777711098
GHANI
MOHAMMAD
TK
PSP
PEDIATRIC
MIDWEST ASTHMA AND ALLERGY INC
7/1/2011
3/4/2009
967823091
GHAZANFARI
KEIKHOSROW
PSP
GASTROENTEROLOGY
GHAZANFARI AND OLIVERA GASTRO LTD
1/1/2009
11/20/2009
967823091
GHAZANFARI
KEIKHOSROW
PSP
GASTROENTEROLOGY
7/1/2011
11/20/2009
879140803
GHEJJI
NEETHA
PCP
FAMILY PRACTICE
MIDWEST HEALTH CENTER
12/23/2011
6/15/2013
426161418
GHELANI
KALPESH
M
CHIROPRACTIC
1/1/2005
6/30/2015
426161418
GHELANI
KALPESH
M
PSP
CHIROPRACTIC
1/1/2005
6/30/2015
555518683
GHIA
NIRALI
J
PCS
1/31/2001
3/2/2010
830766946
GHODSIZADEH
EBRAHIM
PCP
FAMILY PRACTICE
EBRAHIM GHODSIZADEH MD
2/9/2000
3/31/2014
735490566
GHORBANIAN
SARAH
PSP
CHIROPRACTIC
SARAH GHORBANIAN DC PC
6/27/2014
103485120
GHORESHI
YASHAR
PSP
CHIROPRACTIC
ILL SPINE AND DISC INSTITUTE
11/13/2013
103485120
GHORESHI
YASHAR
PSP
CHIROPRACTIC
11/13/2013
103485120
GHORESHI
YASHAR
PSP
CHIROPRACTIC
9/18/2014
207469335
GHOSH
GEETI
PCP
PEDIATRIC
GEETI GHOSH MD
7/1/2002
3/28/2013
221643443
GHOUSE
FARAH
S
PCP
INTERNAL MEDICINE
5/16/2011
2/19/2010
798645914
GHOUSE
FOWZIA
S
PCP
FAMILY PRACTICE
3/1/2014
6/11/2014
798645914
GHOUSE
FOWZIA
S
PCP
FAMILY PRACTICE
CRESCENT PRIMARY CARE PHYS P C
4/25/2001
6/11/2014
447607571
GHUMRA
MOHAMED
K
PSP
NEUROLOGY
ACCESS NEUROCARE P C
6/16/1999
10/16/2012
925813088
GHUNEIM
RONNIE
G
PCP
INTERNAL MEDICINE
8/1/2011
1/11/2013
715992046
GIACOMI
MARK
E
PCP
FAMILY PRACTICE
9/26/2011
6/26/2013
305025434
GIANFRANCISCO JAMES
A
PSP
JAMES A GIANFRANCISCO M D LTD
6/30/1999
6/19/2015
244439854
GIANNOTTI
D
PSP
SURGERY
TIM HEILIZER S C CORP
1/1/2014
7/7/2014
GIOVANNI
E
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
115913532
GIANNOULIAS
CHRISTOS
S
PSP
ORTHOPEDIC SURGERY
G AND T ORTHO AND SPORTS MEDICINE
11/16/2005
251383420
GIANOPOULOS
JOHN
GEORPSP
175329386
GIBBONS
MATTHEW
397852519
GIBBS
GEORGE
397852519
GIBBS
281480413
ReAppt Date
MATERNAL-FETAL MEDICINE LOYOLA UNIVERSITY MEDICAL CENTER
10/1/1996
3/19/2010
PSP
CLINICAL PSYCHOLOGY
SAVAGE AND TAYLOR PSYCHOLOGICAL
9/5/2012
G
PSP
8/1/2010
12/17/2003
GEORGE
G
PSP
6/12/2007
12/17/2003
GIBLIN
JAMES
G
PSP
UROLOGY
6/21/2007
8/6/2012
327916691
GIBSON
JONATHAN
PCP
FAMILY PRACTICE
8/4/2014
12/9/2015
580111724
GIBSON
LAURENCE
F
PSP
GENERAL SURGERY
LAKE COUNTY SURGEONS PC
4/28/2004
11/20/2009
595000481
GIBSON
MELINDA
E
PSP
1/1/2014
1/2/2014
116106107
GIBSON
TAMAJAH
PCP
FAMILY PRACTICE
2/9/2009
9/2/2015
980428112
GIDCUMB
DAVID
A
PSP
CHIROPRACTIC
DAVID A GIDCUMB DC
1/1/2005
11/24/2015
341780508
GIEBELHAUSEN
ERIC
A
PCS
OPHTHALMOLOGY
ERIC A GIEBELHAUSEN MD
5/25/1999
1/5/2016
545121661
GIESER
DAVID
K
PSP
OPHTHALMOLOGY
1/13/1999
9/17/2013
758753867
GIESER
JON
P
PSP
OPHTHALMOLOGY
4/11/2007
9/16/2009
758753867
GIESER
JON
P
PSP
OPHTHALMOLOGY
1/1/1997
9/16/2009
077688193
GIESER
RICHARD
G
PSP
OPHTHALMOLOGY
11/1/1999
5/20/2009
943740094
GIESER
STEPHEN
C
PSP
OPHTHALMOLOGY
6/30/1999
3/18/2013
256224387
GIGEA
MARIANA
R
PCP
PEDIATRIC
MARIANA R GIGEA M D P C
10/1/1998
12/18/2009
672517785
GIGER
CHARLES
C
PCP
INTERNAL MEDICINE
ELMHURST MEDICAL PHYSICIANS S C
7/18/1999
3/4/2008
756020244
GILDEN
JANICE
PSP
ENDOCRINOLOGY
1/1/2014
8/19/2015
342243432
GILL
INDERJIT
PSP
DERMATOLOGY
3/12/2014
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
714467423
GILL
KULJEET
K
PSP
SLEEP MEDICINE
6/24/2008
12/28/2015
006174136
GILL
MICHAEL
PCP
INTERNAL MEDICINE
1/30/2002
3/8/2012
236522629
GILL
POONAM
J
PCP
INTERNAL MEDICINE
6/15/2011
023930136
GILL
SANTOSH
K
PSP
11/1/2010
12/12/2007
844384965
GILL
SUKHJIT
S
PSP
SUKHJIT S GILL M D S C
1/1/1996
9/18/2009
977314104
GILLAN
MOHAMMAD
AMIN PCP
INTERNAL MEDICINE
7/1/2012
9/12/2014
977314104
GILLAN
MOHAMMAD
AMIN PCP
INTERNAL MEDICINE
NORTH SHORE MEDICAL GROUP S C
9/1/1993
9/12/2014
232086341
GILLARD
WILLIAM
PCP
FAMILY PRACTICE
3/30/2005
5/22/2013
731572756
GILLEON
CHERIE
RENEPCP
FAMILY PRACTICE
MIDWEST FAMILY WELLNESS INC
9/1/2011
254748365
GILLIGAN
WILLIAM
J
ORTHOPEDIC SURGERY
1/1/1996
11/29/2006
254748365
GILLIGAN
WILLIAM
J
PSP
ORTHOPEDIC SURGERY
2/24/2005
11/29/2006
576390033
GILLIS
MARK
PCP
FAMILY PRACTICE
2/5/2001
6/20/2012
538395668
GILMAN
ALAN
DAVIDPSP
HEMATOLOGY-ONCOLOGY
2/1/2011
9/4/2009
404517544
GINDE
JAYANT
V
PSP
RADIOLOGY
INTERCOMMUNITY RADIATION ONCLG
5/10/2000
1/31/2013
083824224
GINSBURG
BETH
E
PSP
PULMONARY DISEASES
10/22/2007
11/20/2009
516857623
GIOIA
ANTHONY
V
PSP
CHIROPRACTIC
ANTHONY V GIOIA DC
1/1/2005
1/21/2014
615195384
GIORDANO
CARRIE
M
PCS
RMG WOMEN FIRST
1/13/2012
12/6/2013
453583757
GIORDANO
JOSEPH
A
PCP
FAMILY PRACTICE
11/1/2009
3/14/2016
402060946
GIOVANIS
EMMANUEL
ANGEPSP
CHIROPRACTIC
COMPLETE CHICAGO CHIRO SPORTS MED
5/8/2014
11/25/2013
402060946
GIOVANIS
EMMANUEL
ANGEPSP
CHIROPRACTIC
BODY SOLUTIONS CHIROPRATIC REHAB
1/1/2005
11/25/2013
050791844
GIRALDO
ANDRES
A
INTERNAL MEDICINE
NORA MEDICAL GROUP S C
12/18/2002
3/10/2014
PCP
PRIMEID
Last Name
First Name
617822757
GIRDHAR
140459269
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
KIRAN
PSP
ALLERGY-IMMUNOLOGY
HINSDALE ALLERGY AND ASTHMA CNTR
12/6/2006
1/29/2016
GIRGIS
SAMUEL
PSP
OTOLARYNGOLOGY
DRS GIRGIS AND ASSOCIATES S C
6/30/1999
3/4/2014
366545564
GIRGIS
YOUSRY
GABRPCP
INTERNAL MEDICINE
TRIPLE S MEDICAL CARE S C
2/13/2013
366545564
GIRGIS
YOUSRY
GABRPSP
INTERNAL MEDICINE
6/8/2014
622364764
GIRI
KUNDAN
B
PCP
PEDIATRIC
KUNDAN B GIRI M D S C
8/1/1991
11/24/2015
914285898
GIRI
MINAL
PCP
PEDIATRIC
KUNDAN B GIRI M D S C
11/5/2010
9/25/2013
579812609
GIRI
VISVANATHA
V
PSP
PULMONARY DISEASES
1/1/2014
3/28/2016
579812609
GIRI
VISVANATHA
V
PSP
PULMONARY DISEASES
VISVANATHA V GIRI M D
4/28/2004
3/28/2016
237675241
GIRICZ
WILLIAM
PCP
FAMILY PRACTICE
1/26/2009
5/9/2014
573812720
GIST
MORRIS
JOSE PSP
UROLOGY
1/1/2014
131735311
GITELIS
MICHAEL
PSP
ORTHOPEDIC SURGERY
1/1/1996
5/20/2011
447977552
GITTLER
MICHELLE
S
PSP
PHYSICAL MEDICINE & REHAB MT SINAI MEDICAL GROUP INT MED
7/25/2012
9/17/2013
447977552
GITTLER
MICHELLE
S
PSP
1/7/2008
9/17/2013
392392791
GIVEN
GREGORY
PSP
PHYSICAL THERAPY
REHABILITATION SERVICES NETWORK
4/29/2008
037228164
GLADDIN
STEPHEN
F
PSP
4/6/2009
3/1/2012
037228164
GLADDIN
STEPHEN
F
PCS
COMPLETE HEALTHCARE FOR WOMEN S C
4/9/2010
3/1/2012
091637849
GLANTSMAN
BELA
PCP
FAMILY PRACTICE
CORDIAL MEDICAL CENTER S C
6/23/2011
6/18/2015
210986379
GLAS
BEVERLY
C
PCP
FAMILY PRACTICE
3/24/2009
12/14/2009
309068426
GLAS
RONALD
J
PCP
FAMILY PRACTICE
11/1/2009
12/19/2013
PRIMEID
Last Name
First Name
910789027
GLASSENBERG
910789027
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
MYRON
PSP
NEUROLOGY
MYRON GLASSENBERG M D
7/5/2005
12/19/2007
GLASSENBERG
MYRON
PSP
NEUROLOGY
1/1/2013
12/19/2007
921487173
GLASSMAN
ALAN
D
PCP
INTERNAL MEDICINE
VILLA MEDICAL ARTS
5/15/2006
5/6/2008
832263523
GLAUS
BRIAN
L
PSP
CHIROPRACTIC
LAKE ZURICH WELLNESS GROUP
12/30/2013
6/18/2015
832263523
GLAUS
BRIAN
L
PSP
CHIROPRACTIC
TOTAL HEALTHCARE INC
8/20/2012
6/18/2015
832263523
GLAUS
BRIAN
L
PSP
CHIROPRACTIC
LIBERTYVILLE WELLNESS GROUP INC
10/17/2011
6/18/2015
832263523
GLAUS
BRIAN
L
PSP
CHIROPRACTIC
GLAUS ENTERPRISES
11/6/2009
6/18/2015
801893960
GLAVIN
MICHAEL
J
PSP
OPHTHALMOLOGY
MICHAEL J GLAVIN MD
12/18/1996
6/26/2013
928621371
GLAWS
WALTER
REID PSP
GASTROENTEROLOGY
6/1/2010
11/20/2009
736129854
GLAZER
SCOTT
D
PSP
DERMATOLOGY
4/8/1998
8/17/2012
887761993
GLEASON
THOMAS
F
PSP
ORTHOPEDIC SURGERY
1/1/2007
7/17/2009
948118051
GLEIXNER
PAUL
H
PCS
RMG WOMEN FIRST
1/13/2012
4/22/2015
467828749
GLENN
ANDREW
PSP
CHIROPRACTIC
ADVANCED PHYSICAL MED ST CHARLES
6/23/2011
4/22/2015
842694846
GLENN
DAVID
AI
PSP
CHIROPRACTIC
DAVID A GLENN DC
10/22/2009
12/3/2015
103570254
GLESENER
MARK
J
PSP
CHIROPRACTIC
GLESENER CHIROPRACTOR CENTER INC
4/7/2011
676533804
GLICK
BARRY
PCP
INTERNAL MEDICINE
2/9/2009
9/26/2012
108685237
GLICKMAN
MICHAEL
E
PCP
INTERNAL MEDICINE
9/1/2010
2/8/2016
701418092
GLOVER
JENNIFER
R
PSP
GENERAL SURGERY
VHS OF ILLINOIS INC
10/4/2010
460495197
GLUECK
JENNIFER
S
PSP
INTERNAL MEDICINE
GLUECK MD LLC
3/10/2014
403286541
GLUSKIN
LAWRENCE
E
PSP
GASTROENTEROLOGY
LAWRENCE E GLUSKIN M D S C
1/1/1996
3/19/2015
157846307
GLYNN
MARK
D
PSP
CHIROPRACTIC
SPORTCO REHABILITATION SC
3/5/2010
5/13/2016
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
492946538
GNATZ
STEVE
M
PSP
492946538
GNATZ
STEVE
M
152843523
GOCKE
SEAN
667565716
GODAMBE
025850147
Contract Name
Appt Date
ReAppt Date
9/8/2014
9/27/2015
PSP
4/29/2008
9/27/2015
P
PSP
PODIATRY
7/17/2009
4/4/2016
SONIA
S
PSP
INTERNAL MEDICINE
9/16/2011
12/26/2013
GODELLAS
CONSTANTINE
V
PSP
GENERAL SURGERY
7/27/2009
5/23/2014
052635230
GODO
JASON
P
PSP
CHIROPRACTIC
JASON P GODO DC
1/1/2005
5/2/2014
842692392
GODWIN
PATRICK
O
PSP
INTERNAL MEDICINE
MEDICAL SURG ASSOCS PK RIDGE
8/13/2014
11/24/2015
842692392
GODWIN
PATRICK
O
PSP
INTERNAL MEDICINE
1/1/2014
11/24/2015
545442674
GOEL
RAM
L
PSP
GASTROENTEROLOGY
RAM L GOEL MD
8/3/2009
4/7/2016
042018152
GOEL
SMRITI
PCP
INTERNAL MEDICINE
SMRITI GOEL M D S C
8/7/2007
5/19/2014
125809271
GOELZ
BRIAN
D
CHIROPRACTIC
ARMITAGE CHIRO AND WELLNESS CNTR
1/1/2005
1/16/2016
125809271
GOELZ
BRIAN
D
PSP
CHIROPRACTIC
ARMITAGE CHIRO AND WELLNESS CNTR
1/1/2005
1/16/2016
325704320
GOERSCHLER
KYLE
S
PSP
CHIROPRACTIC
INERTIA HEALTH CENTER S C
11/15/2011
5/15/2015
255255388
GOGONEATA
ELENA
PSP
RHEUMATOLOGY
RHEUMATOLOGY SERVICES LTD
9/1/2004
5/20/2011
195692780
GOKHALE
RAHUL
R
PSP
ORTHOPEDIC SURGERY
6/29/2010
5/20/2011
195692780
GOKHALE
RAHUL
R
PSP
ORTHOPEDIC SURGERY
12/18/2007
5/20/2011
195692780
GOKHALE
RAHUL
R
PSP
ORTHOPEDIC SURGERY
7/1/2013
5/20/2011
054946206
GOLAN
ELCHANAN
PCP
PEDIATRIC
PEDIATRICS HEALTH CARE ASSOCS
9/20/1991
8/25/2010
271814122
GOLAND
BELLA
PCP
INTERNAL MEDICINE
BELLA GOLAND M D S C
3/15/2004
12/27/2013
209066328
GOLDBERG
BENJAMIN
A
PSP
ORTHOPEDIC SURGERY
UNIV OF IL DEPT OF ORTHOPEDICS
9/24/2003
10/21/2005
209066328
GOLDBERG
BENJAMIN
A
PSP
ORTHOPEDIC SURGERY
WEISS PHYSICIANS
10/7/2009
10/21/2005
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
086784212
GOLDBERG
BRUCE
J
PSP
ORTHOPEDIC SURGERY
BRUCE J GOLDBERG M D S C
10/29/2003
4/27/2015
037977172
GOLDBERG
IAN
J
PSP
1/1/1996
11/6/2012
986159128
GOLDBERG
JULIE
S
PSP
DERMATOLOGY
JULIE S GOLDBERG M D S C
7/13/2009
6/19/2014
823910761
GOLDBERG
MARLYN
F
PSP
OPHTHALMOLOGY
RETINA INSTITUTE OF IL P C
6/26/2009
12/4/2006
738681880
GOLDBERG
MARNI
H
PCP
INTERNAL MEDICINE
MARNI HOPE GOLDBERG M D S C
1/30/2002
12/27/2013
297430422
GOLDEN
MARK
I
PSP
OPHTHALMOLOGY
DOCTORS FOR VISUAL FREEDOM
2/23/2009
9/25/2013
847789019
GOLDENBERG
BRUCE
D
PCP
INTERNAL MEDICINE
2/1/2014
4/17/2009
847789019
GOLDENBERG
BRUCE
D
PCP
INTERNAL MEDICINE
1/1/1995
4/17/2009
415745532
GOLDFAIN
VALERIE
PCS
WESTWOOD OB GYNE LTD
2/13/2003
4/6/2016
733688881
GOLDFLIES
MITCHELL
L
PSP
ORTHOPEDIC SURGERY
MITCHELL GOLDFLIES M D
1/1/1996
6/18/2015
215475348
GOLDIN
HARRY
M
PSP
DERMATOLOGY
HARRY M GOLDIN MD
6/10/1998
6/20/2013
516381832
GOLDKIND
ADAM
D
PSP
PODIATRY
7/19/2011
5/16/2012
842172814
GOLDMAN
CYNTHIA
A
PCP
INTERNAL MEDICINE
CYNTHIA GOLDMAN S C
9/1/2009
4/4/2016
178524367
GOLDMAN
ROBERT
M
PSP
RHEUMATOLOGY
5/4/2012
3/30/2015
560830748
GOLDSBOROUGH KATY
H
PSP
HEMATOLOGY
958217083
GOLDSTEIN
DANIEL
L
PCP
INTERNAL MEDICINE
8/1/1991
12/23/2010
695403187
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11/15/2011
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4/8/2003
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12/3/2015
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MI
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5/18/2000
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Contract Name
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12/23/2010
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191096599
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MI
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6/30/1999
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MI
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MI
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MI
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9/1/2004
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6/29/2005
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8/10/2009
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MI
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Contract Name
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MI
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MEDICAL ONCOLOGY
5/1/2009
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109129113
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5/22/2014
3/10/2016
146178310
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8/7/2014
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10/14/1998
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8/13/2014
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8/13/2014
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4/29/2014
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1/1/2014
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522277627
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8/15/2011
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10/29/2003
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1/1/1996
4/2/2015
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2/26/2014
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602662766
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6/2/2010
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2/25/2004
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3/30/2005
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10/13/2008
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6/19/2014
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6/28/2013
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310951434
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8/31/2005
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1/4/2013
1/5/2016
9/10/2015
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First Name
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Specialty
Contract Name
Appt Date
ReAppt Date
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10/31/2001
8/18/2011
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12/4/2012
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4/28/2014
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10/9/2009
108306254
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7/24/2012
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9/20/2010
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2/14/2008
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9/26/2001
2/22/2011
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2/23/2012
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992168119
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8/18/2008
146208268
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3/16/2009
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6/20/2008
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7/18/2013
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9/17/2008
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First Name
MI
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Contract Name
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5/25/2011
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10/29/2003
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3/12/2012
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7/29/2014
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3/29/2013
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3/29/2013
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633204761
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Specialty
PSP
Appt Date
ReAppt Date
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5/8/2007
3/29/2013
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11/1/2009
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5/15/2006
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7/3/2006
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6/1/2012
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3/24/2003
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3/1/2012
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8/13/2014
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11/30/2011
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3/4/2014
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7/9/2007
1/15/2010
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4/24/2014
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2/14/2013
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4/24/2007
12/31/2013
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First Name
MI
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Specialty
Contract Name
Appt Date
ReAppt Date
668841509
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6/17/2014
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6/1/2014
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172790385
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12/18/2009
132386250
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10/1/1996
3/31/2011
324047006
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11/16/2005
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7/28/2008
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7/28/2008
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8/14/2007
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397597919
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9/28/2005
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324353768
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7/1/2014
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324353768
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4/6/2009
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4/6/2009
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2/22/2012
1/20/2015
090439863
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4/1/2014
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12/16/1998
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11/6/2009
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9/24/2003
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1/1/2005
6/30/2015
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MI
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Specialty
Contract Name
Appt Date
ReAppt Date
611798737
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3/27/2002
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193992328
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3/22/2012
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MI
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MI
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9/7/2011
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1/1/2005
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6/25/2014
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12/7/2011
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4/20/2011
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Contract Name
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ReAppt Date
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NEUROLOGY
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8/22/2006
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MI
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Contract Name
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519047613
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MI
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MI
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11/1/2010
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MI
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489545492
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2/7/2012
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MI
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176284629
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CHIROPRACTIC
2/21/2012
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10/30/2002
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2/11/2008
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3/24/2005
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7/27/2009
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9/23/2010
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8/8/2011
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5/25/2011
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081932253
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9/28/2010
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4/5/2010
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4/1/2014
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3/12/2012
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9/8/2014
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9/30/2010
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MI
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Contract Name
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INTERNAL MEDICINE
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ORTHOPEDIC SURGERY
1/16/2006
6/20/2013
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
414542294
KOMAROV
ALEKSANDR
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PSP
PODIATRY
11/22/2013
3/28/2016
414542294
KOMAROV
ALEKSANDR
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PSP
PODIATRY
12/3/2012
3/28/2016
921558810
KOMINIAREK
MICHELLE
A
PSP
4/20/2009
9/27/2015
839004986
KOMNICK
KEITH
L
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ORTHOPEDIC SURGERY
12/18/2000
2/19/2010
839004986
KOMNICK
KEITH
L
PSP
ORTHOPEDIC SURGERY
4/4/1999
2/19/2010
839004986
KOMNICK
KEITH
L
PSP
ORTHOPEDIC SURGERY
CENTER FOR SPORTS ORTHOPAEDICS
4/1/2013
2/19/2010
999036176
KOMUTANON
KAJORNDEJ
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ALLERGY-IMMUNOLOGY
KAJORNDEJ KOMUNTANON M D S C
6/30/1999
8/26/2015
491174868
KONANAHALLI
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PSP
DERMATOLOGY
12/8/2008
8/29/2013
628634773
KONARZEWSKA
HANNA
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PSP
NORTHWEST CARDIOVASCULAR CENTER
8/30/2012
3/31/2014
724535820
KONDOS
GEORGE
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U OF I HOSPITAL
7/31/2002
11/6/2015
724535820
KONDOS
GEORGE
THEOPSP
7/31/2002
11/6/2015
569983676
KONERU
PRAFULLA
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PRAFULLA K KONERU M D S C
4/27/2011
12/6/2013
721135836
KONICEK
FRANK
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GASTROENTEROLOGY
GASTROENTEROLOGY ASSOCS S C
1/1/1996
11/20/2009
721135836
KONICEK
FRANK
J
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GASTROENTEROLOGY
GASTROENTEROLOGY ASSOCS S C
1/1/1996
179913277
KONIECZNY
MARK
A
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PODIATRY
MARK A KONIECZNY DPM
4/15/2013
3/18/2015
179913277
KONIECZNY
MARK
A
PSP
PODIATRY
2/26/2014
3/18/2015
665726813
KONTOS
GWENN
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PSP
PHYSICAL THERAPY
MIDWEST REHABILITATION GROUP
8/20/2012
769099479
KOO
KEVIN
PCP
FAMILY PRACTICE
8/30/2012
5/20/2013
938832095
KOOIKER
PHILIP
D
PSP
OTOLARYNGOLOGY
1/1/1997
10/17/2008
938832095
KOOIKER
PHILIP
D
PSP
OTOLARYNGOLOGY
1/1/1997
10/17/2008
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
272720409
KOOP
JAMES
F
PCP
INTERNAL MEDICINE
JAMES F KOPP MD LLC
7/1/2011
6/21/2013
002860133
KOOPERMAN
STEVEN
A
PCS
1/1/1993
3/30/2015
582963704
KOPPULA
SAMYUKTA
PSP
ALLERGY-IMMUNOLOGY
PRANA CNTR FOR ASTHMA ALLERGY LLC
5/18/2009
1/10/2016
786480138
KORCEK
ANDREW
S
PSP
PULMONARY DISEASES
7/28/2004
3/12/2010
913319062
KORENBLIT
ALLEN
D
PSP
PEDIATRIC HEMATOLOGY-ONCU OF I MED SERV PLAN PEDIATRICS
11/16/2005
7/11/2003
987278104
KOREY
MICHAEL
S
PSP
OPHTHALMOLOGY
CHICAGO EYE INSTITUTE
10/31/2001
11/19/2010
106202807
KORNFELD
BENJAMIN
D
PSP
PEDIATRIC
8/15/2014
365550488
KORTAN
DAVID
M
PSP
CHIROPRACTIC
DAVID M KORTAN DC
1/1/2005
12/16/2015
873757007
KORTAN
RICHARD
ROBEPSP
CHIROPRACTIC
RICHARD R KORTAN DC
1/1/2005
12/1/2015
351191541
KORWITTS
VICTOR
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12/26/2013
1/25/2016
124074373
KORZEN
CAROL
LYNN PCS
5/21/2007
8/6/2012
124074373
KORZEN
CAROL
LYNN PSP
4/1/2014
8/6/2012
974803096
KOSIK
MICHELLE
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PSP
GENERAL SURGERY
10/28/2005
6/20/2013
427951535
KOSINSKI
LAWRENCE
R
PSP
GASTROENTEROLOGY
6/1/2010
6/20/2013
222473326
KOSSORIS
JENNIFER
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PCS
RPW OBSTETRICS AND GYNECOLOGY
729737854
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KATHERINE
PCP
INTERNAL MEDICINE
9/1/2010
3/31/2014
992005189
KOTHARI
ISHA
PSP
9/18/2014
6/11/2015
064108203
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DIMITRIOS
PSP
PODIATRY
DIMITRIOS KOTSOPULOS DPM PC
5/8/2007
1/25/2016
726372356
KOUCHIS
NICK
PCP
FAMILY PRACTICE
NICK S KOUCHIS MD
3/15/2004
12/28/2015
542685909
KOULOUMBERIS PELAGIA
PSP
PROVENA HOSPITALS
1/1/2014
4/29/2015
101769225
KOUTSKY
PSP
ORTHOPEDIC SURGERY
ELMHURST ORTHOPAEDICS SC
1/31/2001
4/1/2008
KEVIN
Y
S
M
PSP
10/13/2008
PRIMEID
Last Name
First Name
MI
533033343
KOUVELIS
KATHERINE
589930714
KOVACH
589930714
Specialty
Contract Name
Appt Date
ReAppt Date
FACK PSP
GENERAL SURGERY
12/18/2007
4/16/2010
KEVIN
J
PSP
OPHTHALMOLOGY
KOVACH EYE INSTITUTE LTD
7/1/2005
9/29/2015
KOVACH
KEVIN
J
PSP
OPHTHALMOLOGY
VILLAGE EYE PHYSICIANS LTD
10/19/2010
9/29/2015
926440314
KOVAR
STEVEN
M
PCP
PEDIATRIC
9/1/2006
6/11/2014
056036184
KOVELESKI
JULES
T
PSP
NEUROLOGY
1/1/2014
12/30/2010
185151129
KOVITZ
KEVIN
L
PSP
PULMONARY DISEASES
7/20/2007
3/21/2016
739553866
KOWALCZYK
MARIAN
J
PCP
FAMILY PRACTICE
9/2/2014
9/27/2015
739553866
KOWALCZYK
MARIAN
J
PCP
FAMILY PRACTICE
MARIAN J KOWALCZYK MD
9/2/2014
9/27/2015
117614257
KOWALSKI
JOHN
O
PCP
PEDIATRIC
JOHN O KOWALSKI MD
10/31/2001
2/9/2015
499465110
KOWASZ MCKIM MELISSA
R
PSP
CHIROPRACTIC
CENTER FOR PHYSICAL HEALTH LTD
6/29/2005
10/15/2012
499465110
KOWASZ MCKIM MELISSA
R
PSP
CHIROPRACTIC
MCKIM FAMILY CHIROPRACTIC S C
8/31/2005
10/15/2012
948451181
KOYA
DOLAR
R
PSP
DERMATOLOGY
DOLAR KOYA MDSC
2/13/2013
1/5/2016
948451181
KOYA
DOLAR
R
PSP
DERMATOLOGY
DOLAR KOYA M D S C
2/1/2013
1/5/2016
508409624
KOZENY
GREGORY
A
PSP
NEPHROLOGY
1/1/2004
1/27/2014
998645120
KOZENY
KEITH
PSP
DERMATOLOGY
6/10/1998
9/30/2015
612999705
KOZIOL
JEFFREY
PSP
OPHTHALMOLOGY
KOZIOL THOMS EYE ASSOCIATES
9/8/1999
3/31/2014
301420140
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MARIUSZ
PCS
MARIUSZ T KOZIOL M D LLC
4/29/2008
6/19/2015
301420140
KOZIOL
MARIUSZ
PCS
2/11/2013
6/19/2015
284305930
KOZLOFF
MARK
F
PSP
HEMATOLOGY-ONCOLOGY
MONROE MEDICAL ASSOCIATES S C P C
1/1/2011
3/13/2014
284305930
KOZLOFF
MARK
F
PSP
HEMATOLOGY-ONCOLOGY
3/1/2013
3/13/2014
463987164
KOZLOVA
OLGA
PSP
NEUROLOGY
8/18/2014
10/15/2015
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Prov Type
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
332001886
KPARKER
ASHAY
V
PSP
UROLOGY
KHANDEPARKER S C
8/10/2009
332001886
KPARKER
ASHAY
V
PSP
UROLOGY
UNIVERSITY OF IL DEPT OF UROLOGY
10/27/2009
145555973
KRACKER
DAVID
J
PSP
NEPHROLOGY
8/28/2002
234399020
KRAEMER
LIANNE
PSP
SPEECH PATHOLOGY
EASTER SEALS DUPAGE
10/25/2007
371847915
KRAESSIG
DANIELLE
PCS
11/10/2008
9/2/2015
706496229
KRAFT
BERTRAM
PSP
OPHTHALMOLOGY
BERTRAM KRAFT M D S C
1/14/2011
7/2/2013
029839137
KRAMAN
DAVID
J
PCP
INTERNAL MEDICINE
7/1/2010
7/3/2007
393327536
KRAMER
ANDREA
S
PSP
ORTHOPEDIC SURGERY
1/1/2007
7/16/2010
416980508
KRAMER
ANDREW
J
PSP
GENERAL SURGERY
SURGERY GROUP S C
1/1/1996
11/14/2007
671141826
KRAMER
CLARK
E
PSP
PEDIATRIC
10/1/2012
1/27/2014
952819068
KRAMER
JEFFREY
NEUROLOGY
JEFFERY KRAMER M D S C
6/15/2007
5/23/2013
208438327
KRAMER
KAREN
LYNN PCS
4/6/2012
5/27/2015
303461447
KRAMPAC
BARBARA
A
SPEECH PATHOLOGY
EASTER SEALS DUPAGE
10/25/2007
618017079
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STEPHEN
JAME PSP
OTOLARYNGOLOGY
8/12/2014
9/29/2015
240766541
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ANDREA
ANN PCP
INTERNAL MEDICINE
ANDREA A KRASINSKI MD
8/1/1991
4/16/2015
759907892
KRATES
STEPHEN
G
PSP
OPHTHALMOLOGY
KRATES EYE CENTERS
1/1/1997
6/18/2014
467214676
KRAUS
ALEXIS
M
PSP
CHIROPRACTIC
LANDGREBE CHIROPRACTIC P C
2/9/2009
2/27/2014
726208213
KRAUSS
DANIEL
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PSP
8/1/2010
12/18/2009
726208213
KRAUSS
DANIEL
E
PSP
6/12/2007
12/18/2009
675045830
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FAMILY PRACTICE
4/8/1998
3/31/2014
750793677
KRAVIS
DEAN
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INTERNAL MEDICINE
ENDOCRINE MEDICAL SPECIALISTS
9/26/2000
12/31/2015
PSP
Appt Date
ReAppt Date
2/9/2012
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
244493363
KREBS
DOUGLAS
R
PSP
CHIROPRACTIC
DOUGLAS R KREBS DC
1/1/2005
12/31/2013
244493363
KREBS
DOUGLAS
R
PSP
CHIROPRACTIC
ADVANTAGE HEALTH AND WELLNESS PC
2/11/2014
12/31/2013
797517915
KREILING
KAREN
M
PCP
PEDIATRIC
2/28/2001
1/10/2016
526160655
KRENGEL
SAMUEL
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PSP
UROLOGY
11/3/2010
9/4/2013
526160655
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SAMUEL
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PSP
UROLOGY
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10/1/2009
9/4/2013
526160655
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UROLOGY
1/1/1996
9/4/2013
835120905
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ANDREW
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PEDIATRIC
1/1/2014
475044595
KRESCA
LINDA
J
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OPHTHALMOLOGY
LINDA J KRESCA MD
6/30/1999
952216239
KRESS
TAMI
L
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PHYSICAL THERAPY
TOTAL REHAB P C
6/18/2010
498939230
KRETSCHMAR
KEITH
A
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CHIROPRACTIC
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3/29/2012
4/25/2014
703041846
KRISHNA
MEENA
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PCP
INTERNAL MEDICINE
PRIMARY CARE SERVICES SC
3/24/2012
6/12/2014
729050426
KRISHNAN
JERRY
A
PSP
PULMONARY DISEASES
4/1/2014
6/28/2010
745381864
KRITSAS
JOHN
JAME PSP
UROLOGY
1/1/2008
9/4/2013
745381864
KRITSAS
JOHN
JAME PSP
UROLOGY
1/1/1996
9/4/2013
745381864
KRITSAS
JOHN
JAME PSP
UROLOGY
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10/1/2009
9/4/2013
688049846
KROCK
ANDREW
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PCP
INTERNAL MEDICINE
5/7/2010
064566194
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BOHDAN
J
PSP
GENERAL SURGERY
AKI AND KROCZEK SURGICAL ASSOCS
12/11/2009
4/29/2009
367030480
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INTERNAL MEDICINE
11/1/2011
9/28/2012
110879629
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WOMEN FOR WOMEN OB GYN SC
1/1/2007
11/19/2015
999386128
KRON
THOMAS
PSP
OTOLARYNGOLOGY
6/30/1999
2/16/2012
653158600
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JEFFREY
PSP
NEPHROLOGY
6/9/2011
7/2/2013
E
J
4/22/2015
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
653158600
KROPP
JEFFREY
J
PSP
NEPHROLOGY
9/8/2008
7/2/2013
162022320
KROUSE
RICHARD
A
PCP
INTERNAL MEDICINE
3/16/2014
12/14/2009
162022320
KROUSE
RICHARD
A
PSP
INTERNAL MEDICINE
1/6/2004
12/14/2009
285150419
KRUDWIG
AMY
L
PSP
SPEECH PATHOLOGY
THERAPY CARE LTD
3/22/2012
773707903
KRUEGER
DAVID
S
PSP
CHIROPRACTIC
ACTIVE HEALTH CHIRO CLINIC INC
3/3/2014
332124060
KRUNIC
ALEKSANDAR
L
PSP
DERMATOLOGY
ALEKSANDAR KRUNIC M D S C
2/3/2009
035862185
KRUSE
RALPH
A
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CHIROPRACTIC
CHIROPRACTIC CARE LTD
3/1/2006
4/26/2016
892800537
KRUSE
TIMOTHY
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PSP
PODIATRY
EVANSTON PODIATRY CENTER LLC
9/19/2006
11/20/2009
892800537
KRUSE
TIMOTHY
S
PSP
PODIATRY
GOLD COAST PODIATRY LLC
9/19/2006
11/20/2009
892800537
KRUSE
TIMOTHY
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PSP
PODIATRY
LAKE SHORE PODIATRY CENTER LLC
9/19/2006
11/20/2009
892800537
KRUSE
TIMOTHY
S
PSP
PODIATRY
NORTHSIDE FOOT & ANKLE PC
2/27/2014
11/20/2009
363631509
KRZYZEWSKI
ROBERT
J
PSP
CHIROPRACTIC
ROBERT J KRZYZEWSKI DC
10/10/2133
7/13/2015
001743081
KSIAZEK
JEFFREY
MICHAPSP
OTOLARYNGOLOGY
8/29/2013
10/15/2015
012946153
KU
LI
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CHIROPRACTIC
LAUREL HEALTH CENTER INC
1/1/2005
8/29/2013
503497654
KUBIK
CHRISTOPHER
PCP
FAMILY PRACTICE
CHRISTOPHER KUBIK MD
3/13/2014
726707869
KUCERA
JOSEPH
PSP
UROLOGY
1/1/2008
042499370
KUCHIPUDI
SANDESH
PCP
INTERNAL MEDICINE
BROOK PARK MEDICAL ASSOCIATES S C
8/23/2013
937881089
KUDCHADKER
SHASHIKANT
M
PCP
PEDIATRIC
NAPERVILLE PEDIATRIC ASSOCS
8/17/2011
8/21/2015
038119647
KUDER
MIROSLAWA
A
PCP
FAMILY PRACTICE
U K FAMILY PRACTICE S C
3/31/2011
6/15/2013
838483970
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CHRISTOPHER
JOHN PSP
CHIROPRACTIC
ILLINOIS SPINAL AND SPORTS REHAB
12/6/2013
2/12/2016
626941051
KUEFNER
GEORGE
C
INTERNAL MEDICINE
GEORGE C KUEFNER MD
6/23/2014
1/29/2016
PCP
12/30/2015
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
373964376
KUESIS
DANIEL
T
PSP
ORTHOPEDIC SURGERY
3/14/2008
10/15/2012
256353310
KUHL
AMY
M
PSP
3/12/2010
8/19/2015
256353310
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M
PCP
3/12/2010
8/19/2015
895778018
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5/10/2000
8/3/2011
895778018
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FAMILY PRACTICE
MIDWEST CONCUSSION SPORTS MED CTR
7/2/2012
8/3/2011
462144615
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CHIROPRACTIC
INTEGRATED HEALTH S C
3/30/2005
8/29/2013
885335995
KUKREJA
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ENDOCRINOLOGY
4/1/2014
9/24/2012
885335995
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ENDOCRINOLOGY
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9/1/2004
9/24/2012
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9/13/2000
5/29/2012
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6/1/2009
12/30/2015
623151745
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JEFFREY
J
PSP
ALLERGY-IMMUNOLOGY
10/22/2007
3/3/2009
569426438
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ANNA
M
PCP
FAMILY PRACTICE
9/21/2011
3/30/2015
405903886
KULKARNI
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PSP
INFECTIOUS DISEASES
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4/18/2007
10/16/2009
036368152
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11/29/2000
9/7/2012
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FOX VALLEY COMPREHENSIVE WOMEN
11/29/2000
10/10/2013
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PCS
10/1/2014
10/10/2013
461480020
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INTERNAL MEDICINE
ARUN KUMAR M D S C
3/23/2006
7/17/2009
884243022
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INTERNAL MEDICINE
7/1/2010
3/15/2012
884243022
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INTERNAL MEDICINE
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4/16/1997
3/15/2012
347732442
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ASHOK
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FAMILY PRACTICE
12/1/1991
3/19/2010
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First Name
032721880
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ASHWIN
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461663360
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593675724
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SAMIR
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713222853
MI
Prov Type
Specialty
Contract Name
PCP
FAMILY PRACTICE
5/11/2011
PCP
INTERNAL MEDICINE
6/30/2004
2/11/2011
PSP
UROLOGY
1/1/2008
11/20/2009
PEDIATRIC ALLERGY-IMMUNO U OF I MED SERV PLAN PEDIATRICS
11/13/2012
7/7/2014
PCP
PEDIATRIC
2/24/2003
7/1/2015
PSP
CHIROPRACTIC
CHIRO ONE WELN CTR OF OAK LWN LLC
1/1/2014
11/16/2015
T
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NEPHROLOGY
6/9/2011
6/18/2010
SAMIR
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PSP
NEPHROLOGY
11/19/2003
6/18/2010
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2/18/2004
2/19/2010
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4/17/2009
905677070
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10/16/2009
562370679
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4/12/2007
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12/1/2006
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041968176
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VIJAY
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PSP
7/14/2009
8/21/2009
587275707
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INTERNAL MEDICINE
YOGINDER KUMAR MD
10/14/1998
11/20/2009
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MI
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12/29/2011
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5/5/2014
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MI
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Contract Name
Appt Date
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890122018
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6/30/1999
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MI
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3/13/2007
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1/28/1998
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7/1/2014
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MI
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325776455
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ReAppt Date
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11/1/2009
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MI
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Specialty
Contract Name
Appt Date
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840083057
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3/13/2009
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12/13/2010
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MI
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Specialty
Contract Name
Appt Date
ReAppt Date
947723096
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039255296
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12/16/1998
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MI
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Specialty
Contract Name
Appt Date
ReAppt Date
183027325
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9/13/2000
11/20/2009
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12/27/2006
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4/1/2005
2/19/2010
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11/13/1996
8/31/2015
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9/1/2009
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8/11/2011
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1/1/2005
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1/1/1996
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6/19/2008
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10/1/2011
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MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
940999059
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PAUL
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FAMILY PRACTICE
11/10/2008
3/13/2014
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5/15/2013
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8/1/2014
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10/13/2014
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6/12/2014
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5/15/2013
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9/30/2003
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6/19/2006
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4/12/2000
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3/22/2012
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5/15/2006
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2/17/1992
1/25/2012
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MARY
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10/13/2008
1/2/2014
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First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
893775999
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JOHN
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PSP
ORTHOPEDIC SURGERY
6/30/2004
5/20/2011
232730540
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UROLOGY
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7/21/2008
3/10/2015
232730540
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UROLOGY
7/15/2011
3/10/2015
429052460
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DERMATOLOGY
2/5/2008
4/26/2016
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11/1/2002
11/20/2009
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4/1/2014
10/28/2013
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2/2/2012
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8/29/2011
224076376
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1/1/2005
3/10/2014
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1/1/1997
2/20/2009
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2/5/2008
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2/5/2002
2/10/2011
193833805
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INTERNAL MEDICINE
8/1/2014
9/27/2015
193833805
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INTERNAL MEDICINE
1/1/2014
9/27/2015
854853995
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8/9/2000
12/16/2015
340939478
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ROBERT
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5/30/2001
11/9/2015
340939478
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ROBERT
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OPHTHALMOLOGY
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8/1/2012
11/9/2015
438150573
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THOMAS
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PODIATRY
2/26/2014
6/18/2015
438150573
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THOMAS
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PODIATRY
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3/21/2013
6/18/2015
151861089
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PODIATRY
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2/24/2011
9/27/2015
832938304
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PCP
INTERNAL MEDICINE
4/2/2014
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
910322044
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PODIATRY
BOLINGBROOK FOOT SPECIALISTS LTD
8/7/2007
1/2/2014
612989731
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INTERNAL MEDICINE
3/1/2012
612989731
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INTERNAL MEDICINE
3/2/2011
810831971
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12/12/2013
4/11/2014
100679740
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4/17/2013
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2/29/2012
10/28/2013
632660750
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8/21/2014
10/28/2013
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3/12/2014
6/19/2014
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12/17/2003
3/14/2016
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12/17/2003
3/14/2016
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8/6/2005
6/18/2010
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INTERNAL MEDICINE
12/21/2011
7/7/2014
553360666
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INTERNAL MEDICINE
CHITRA S MADHAVAN MD
1/1/1996
9/19/2007
818837663
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INTERNAL MEDICINE
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7/22/2013
678577821
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2/1/1999
11/15/2012
038811121
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INTERNAL MEDICINE
3/5/2008
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196112646
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GENERAL SURGERY
1/9/2007
10/28/2013
655399804
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PODIATRY
9/14/2009
3/28/2016
409112068
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3/1/2009
3/19/2015
416002157
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MICHAEL
JACO PCP
FAMILY PRACTICE
SPERO MEDICAL LLC
2/2/2012
11/16/2015
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Last Name
First Name
MI
Prov Type
Specialty
467566910
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PSP
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ReAppt Date
11/18/2010
2/21/2014
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3/21/2014
PCS
INTERNAL MEDICINE
MAHAFZAH MEDICAL CENTER
8/11/2005
11/21/2008
528184685
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CARDIAC ARRHYTHMIA SERVICES LTD
6/28/2006
12/19/2013
893074026
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PEDIATRIC
6/6/2011
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9/1/2005
6/26/2013
343172620
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2/10/2009
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4/20/2009
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315685486
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3/1/2011
3/1/2011
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10/15/2011
3/1/2011
456579593
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12/4/2007
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8/27/2003
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1/1/2012
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12/18/2002
1/2/2014
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3/28/2001
4/14/2016
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5/30/2007
10/28/2013
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8/20/2007
10/28/2013
482539012
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2/13/2007
10/31/2013
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12/14/2009
PRIMEID
Last Name
First Name
MI
482539012
MAJMUNDAR
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823535936
MAJMUNDAR
047469184
Specialty
Contract Name
Appt Date
ReAppt Date
ROHITPSP
ALLERGY-IMMUNOLOGY
12/12/2008
10/31/2013
MIHIR
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GASTROENTEROLOGY
1/1/2009
12/18/2009
MAJOR
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CHIROPRACTIC
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2/26/2013
8/26/2016
203647339
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FAMILY PRACTICE
METROPOLITAN FAMILY CARE
7/20/2012
10/31/2013
249628733
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ORTHOPEDIC SURGERY
6/5/2013
256507109
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ORTHOPEDIC SURGERY
KELLY A OMSBERG PA
4/8/2008
7/10/2015
792673908
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FOSTER MEDICAL CENTER
8/1/1991
9/18/2009
934679052
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FOSTER MEDICAL CENTER
12/20/2007
11/19/2010
842511167
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INTERNAL MEDICINE
10/19/2012
761432832
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6/26/2012
453820033
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CHIROPRACTIC
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8/29/2014
058673862
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GENERAL SURGERY
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6/25/2014
161088123
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INTERNAL MEDICINE
10/1/2012
503464631
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PSP
1/1/1996
6/18/2010
647041586
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HEMATOLOGY-ONCOLOGY
2/1/2012
10/9/2009
924759844
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VARUN
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OPHTHALMOLOGY
12/1/2014
6/26/2013
762234880
MALICAY
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A
PCP
INTERNAL MEDICINE
MANUEL A MALICAY MD
8/1/1991
8/21/2009
848414605
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INTERNAL MEDICINE
3/26/2013
215091979
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PEDIATRIC
1/1/2014
430017558
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PEDIATRIC
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3/7/2000
K
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3/4/2014
2/5/2016
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
399401447
MALKANI
MANJARI
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PSP
RHEUMATOLOGY
8/6/2012
12/13/2010
463762185
MALKANI
SUNIL
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INTERNAL MEDICINE
4/18/2007
10/16/2009
237381389
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INTERNAL MEDICINE
1/1/1996
5/2/2015
532532535
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FAMILY PRACTICE
MAREK A MALKO MD
8/15/2010
1/20/2016
385386328
MALLINGER
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PCP
INTERNAL MEDICINE
8/15/2014
842627578
MALLOY
MARY
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INTERNAL MEDICINE
8/1/1991
3/3/2009
514208593
MALONE
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10/28/2013
6/11/2014
398114419
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MICHAEL
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FAMILY PRACTICE
7/12/2014
2/25/2014
195591467
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CHIROPRACTIC
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6/19/2012
12/26/2013
138564876
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6/26/2012
4/7/2016
496862685
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FAMILY PRACTICE
KATHLEEN H MALOUL M D P C
9/1/2004
9/27/2015
323294448
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UROLOGY
1/1/2013
12/6/2013
323294448
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UROLOGY
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9/14/2009
12/6/2013
323294448
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UROLOGY
1/3/2012
12/6/2013
225462950
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INTERNAL MEDICINE
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1/23/2014
4/1/2010
225462950
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INTERNAL MEDICINE
4/1/2014
4/1/2010
225462950
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9/8/2008
4/1/2010
743340853
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M P M FAMILY HEALTH
7/1/2007
3/5/2010
452549574
MANALAC
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INTERNAL MEDICINE
ANTILLAS FAMILY MEDICAL CENTER
8/31/1993
1/1/2016
414789561
MANALO
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PCP
INTERNAL MEDICINE
3/23/2011
1/2/2014
827553979
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BOB
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PCS
INTERNAL MEDICINE
8/24/1994
5/20/2009
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
382603615
MANATT
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PCP
INTERNAL MEDICINE
BOULEVARD MED ASSOCIATES S C
8/5/2004
7/20/2012
939965637
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UROLOGY
2/5/2008
5/31/2012
939965637
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UROLOGY
1/1/2013
5/31/2012
433660290
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2/16/2009
5/8/2013
375059696
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DERMATOLOGY
1/8/2010
867934437
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DERMATOLOGY
10/16/2009
7/16/2010
462141599
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INTERNAL MEDICINE
1/1/2014
8/26/2015
462141599
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1/1/2014
8/26/2015
560817701
MANECKE
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UROLOGY
7/1/2012
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560817701
MANECKE
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UROLOGY
1/1/2008
6/1/2016
560817701
MANECKE
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UROLOGY
1/1/2013
6/1/2016
830487964
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GENERAL SURGERY
12/8/2008
5/27/2011
883272020
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GENERAL SURGERY
1/1/1997
6/10/2015
491936602
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INTERNAL MEDICINE
HOWARD S MANGURTEN M D S C
3/17/2014
7/1/2015
032047118
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MICHAEL
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INTERNAL MEDICINE
8/1/1991
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607791534
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4/25/2007
607791534
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12/11/2013
722568484
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9/15/2008
4/29/2015
635027872
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11/25/2013
3/31/2014
420781902
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9/8/2010
6/19/2014
916453023
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6/30/1999
11/21/2008
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
285569412
MANN
JEROME
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PSP
PODIATRY
JEROME A MANN DPM
7/17/2006
9/20/2012
480076602
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6/30/1999
6/11/2014
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9/12/2011
3/28/2013
856987000
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10/29/2010
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12/15/1993
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307972521
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11/1/2011
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4/5/1993
12/3/2015
065172172
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1/1/2004
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6/10/2013
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9/30/2011
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5/8/2007
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INTERNAL MEDICINE
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MI
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1/27/2010
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MI
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MI
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981969954
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4/5/2010
5/7/2014
302078430
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9/17/2014
3/7/2013
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1/1/1996
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2/25/2008
5/1/2013
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498367613
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MONICA
437525608
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877552567
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Specialty
Contract Name
Appt Date
PSP
PULMONARY DISEASES
1/12/2012
A
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WOMAN TO WOMAN HEALTHCARE
6/17/2005
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A
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8/9/2013
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2/11/2005
12/27/2006
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1/1/2012
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10/31/2013
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10/19/2012
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10/19/2012
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5/12/2008
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10/25/2006
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10/30/2002
4/13/2011
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6/1/2013
10/31/2007
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MI
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4/23/2001
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12/16/2005
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1/28/2004
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MI
709250634
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561852673
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645470794
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11/24/2008
1/15/2014
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12/1/1991
12/13/2010
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8/1/1991
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1/18/2007
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1/1/1996
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2/1/2014
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8/18/2008
10/20/2010
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MI
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Contract Name
Appt Date
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175886318
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3/9/2009
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1/1/2014
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11/30/2010
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ReAppt Date
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2/28/2012
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INTERNAL MEDICINE
10/1/2012
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3/15/2000
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4/1/2014
11/25/2013
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11/5/2013
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6/11/2003
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MI
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11/26/2013
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4/27/2015
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MI
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NEUROLOGY
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INTERNAL MEDICINE
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NEUROLOGY
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NEUROLOGY
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PEDIATRIC
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10/7/2001
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6/15/2012
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GENERAL SURGERY
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INTERNAL MEDICINE
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GENERAL SURGERY
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MI
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MI
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1/1/1996
4/10/2015
299875450
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MI
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1/29/2003
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10/3/2000
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12/1/2007
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1/14/2010
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801248928
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10/1/1996
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First Name
MI
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4/12/2007
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6/20/2008
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GENERAL SURGERY
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2/9/2000
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199925921
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3/30/2012
199925921
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9/22/2011
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3/17/2008
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11/1/2009
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6/30/1999
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6/9/2014
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3/24/2009
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9/5/2012
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7/5/2011
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PEDIATRIC
8/13/1997
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10/31/1999
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7/25/2013
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MI
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Specialty
Contract Name
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ReAppt Date
116254207
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NATHANIEL
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FAMILY PRACTICE
5/29/2002
12/4/2007
268203764
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1/28/2004
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10/6/2006
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11/24/2001
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7/27/2011
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8/11/2010
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6/21/2007
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12/8/1999
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8/1/2005
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1/1/2007
7/5/2011
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MI
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9/21/2009
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5/15/2009
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6/1/2012
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12/15/2010
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MI
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552155665
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Contract Name
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ALLERGY-IMMUNOLOGY
10/29/1999
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2/5/2008
5/27/2011
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UROLOGY
2/11/2008
1/3/2014
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7/2/2012
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8/17/2009
3/19/2015
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12/14/2015
10/10/2013
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MI
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Contract Name
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324911427
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ReAppt Date
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MI
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REPRODUCTIVE ENDOCRINOLREPRODUCTIVE MEDICINE INSTITUTE
4/1/2014
1/10/2016
618977751
RANDAZZO
RANDALL
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UROLOGY
WOODFIELD UROLOGY
12/21/2010
4/16/2015
618977751
RANDAZZO
RANDALL
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PSP
UROLOGY
1/1/2008
4/16/2015
S
PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
618977751
RANDAZZO
RANDALL
F
PSP
UROLOGY
1/1/2013
4/16/2015
366008501
RANDOLPH
CHRISTOPHER
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NEUROLOGY
5/22/2013
618863743
RANGINANI
ANIL
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6/20/2001
6/20/2013
120808248
RANGSITHIENCHAPISIT
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PEDIATRIC ALLERGY-IMMUNO ANGSPATT PISIT M D S C
9/9/1998
4/16/2010
983712110
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PETER
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GENERAL SURGERY
7/14/1999
4/13/2011
275986328
RAO
MADHAV
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NEPHROLOGY
9/8/2008
9/18/2009
691864820
RAO
MADHAVI
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INTERNAL MEDICINE
GLOBAL CARE S C
11/24/2009
5/20/2011
377140381
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NOEL
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4/14/2008
6/18/2010
998628123
RAO
ROBERT
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GENERAL SURGERY
9/5/2006
8/3/2015
545494592
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SANJAY
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OPHTHALMOLOGY
SR CORNEA CONSULTANTS SC
9/7/2007
11/19/2010
545494592
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OPHTHALMOLOGY
WEISS PHYSICIANS
9/5/2012
11/19/2010
000624936
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INTERNAL MEDICINE
2/6/2013
027215044
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SHESH
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INTERNAL MEDICINE
1/1/2014
7/1/2015
027215044
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SHESH
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INTERNAL MEDICINE
9/12/2012
7/1/2015
759380887
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SUBBA
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THORACIC SURGERY
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8/17/2009
5/20/2011
500183623
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MEDICAL ONCOLOGY
5/1/2009
12/27/2013
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10/5/2004
7/5/2011
881001090
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NEPHROLOGY
3/10/1999
5/15/2009
478797611
RAPACZ
RAYMOND
J
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8/1/2010
7/14/2011
478797611
RAPACZ
RAYMOND
J
PSP
6/12/2007
7/14/2011
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PRIMEID
Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
154972444
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BARRY
A
PCP
INTERNAL MEDICINE
BARRY RAPAPORT M D
8/1/1991
3/31/2014
283702408
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JOHN
J
PSP
4/7/2014
817001793
RAPOPORT
ARKADY
B
PSP
CLINICAL AND INTERVENTIONAL
9/13/2005
4/22/2011
743774516
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SEAN
M
PCP
FAMILY PRACTICE
SEAN M RARDIN MD
8/1/2010
1/25/2012
743774516
RARDIN
SEAN
M
PCP
FAMILY PRACTICE
1/16/2009
1/25/2012
356679493
RASAMIMARI
PHORNPHAT
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9/26/2006
4/10/2015
717348901
RASHID
LAYAL
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CHIROPRACTIC
YOUR MEDICOS S C
2/28/2011
2/25/2014
717348901
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LAYAL
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CHIROPRACTIC
MAXIMUM REHABILITATION SERVS
3/9/2009
2/25/2014
445658705
RASHID
MICHAEL
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UROLOGY
6/21/2007
1/2/2013
445658705
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MICHAEL
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UROLOGY
1/1/2008
1/2/2013
444524939
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PULMONARY DISEASES
588262753
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WILLIAM
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CHIROPRACTIC
WILLIAM D RASMUSSEN DC
1/1/2005
2/11/2016
381783112
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MARK
J
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FAMILY PRACTICE
9/21/2009
6/12/2014
445758693
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CHANDRA
B
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INTERNAL MEDICINE
CHANDRA B RATHOD MD
8/1/1991
9/29/2015
716155710
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EDWARD
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PODIATRY
BRUCE W SMIT D P M LTD
7/24/2009
5/28/2014
240691395
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CHIROPRACTIC
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4/27/2005
3/19/2015
213624272
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NEPHROLOGY
12/4/2007
11/6/2015
213624272
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ANIS
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NEPHROLOGY
2/1/2013
11/6/2015
213624272
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ANIS
A
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NEPHROLOGY
1/12/2010
11/6/2015
767638899
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RICHARD
W
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PHYSICAL THERAPY
MIDWEST REHABILITATION GROUP
8/13/2008
10/13/2008
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Last Name
First Name
MI
645809075
RAVAGE
ZAC
747861924
RAVAL
947490057
Specialty
Contract Name
Appt Date
ReAppt Date
BRENPSP
OPHTHALMOLOGY
12/1/2008
9/11/2009
DEENA
G
PCP
INTERNAL MEDICINE
3/13/2012
RAVANAM
ARUNA
J
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ENDOCRINOLOGY
1/1/2014
750666221
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SRINIVAS
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NUCLEAR MEDICINE
7 HILLS HEALTHCARE CENTER
6/17/2014
868497006
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INTERNAL MEDICINE
RAVI MEDICAL GROUP
2/27/2006
170450627
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2/12/2014
288855082
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CHIROPRACTIC
HEALTH ON EARTH OF NAPERVILLE LLC
7/9/2014
3/14/2016
576895142
RAWDA
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PEDIATRIC
PEDIATRICS ON DEMAND INC
8/1/2009
12/18/2009
215836345
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ORTHOPEDIC SURGERY
BERWYN ORTHOPAEDIC SURGERY LTD
5/21/1997
2/4/2009
404695585
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5/30/2001
6/5/2014
404695585
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4/1/2011
6/5/2014
397728537
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RAJU
B
PSP
NEPHROLOGY
1/1/2009
3/18/2015
311573417
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PCP
PEDIATRIC
1/1/2008
12/2/2009
311573417
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PEDIATRIC
VHS OF ILLINOIS INC
7/31/2002
12/2/2009
053166186
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PEDIATRIC
AVTAR K RAZDAN MD
5/21/1997
9/27/2015
249535854
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F
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CHIROPRACTIC
HANDS THAT HEAL CHIROPRACTIC LLC
10/16/2013
4/24/2014
042841531
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CHIROPRACTIC
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6/11/2014
042841531
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JEFFREY
J
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CHIROPRACTIC
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7/30/2013
636869756
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LISA
K
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PODIATRY
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6/12/2007
3/30/2016
636869756
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LISA
K
PSP
PODIATRY
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6/12/2007
3/30/2016
V
A
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5/21/2010
PRIMEID
Last Name
First Name
026835146
REDA
JOSEPH
998390307
REDDY
ANITA
998390307
REDDY
699811725
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
PCP
FAMILY PRACTICE
WESTERN SPRINGS FAM PRAC CNTR
8/1/1991
3/18/2013
K
PSP
11/30/2011
1/13/2012
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PSP
PHYSICAL MEDICINE & REHAB RESURRECTION FAMILY MED CENTER
1/1/2014
1/13/2012
REDDY
ARATI
A
PSP
ENDOCRINOLOGY
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8/24/2009
1/9/2015
607832757
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CARDIOVASCULAR MEDICINE P C
1/1/2014
607832757
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BOUYELLA
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1/1/2014
837499201
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GEETHA M REDDY S C
6/25/2003
10/15/2010
026793766
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M
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DERMATOLOGY
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5/31/2006
2/29/2016
019571161
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N
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ORTHOPEDIC SURGERY
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3/1/2010
5/15/2009
019571161
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ORTHOPEDIC SURGERY
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9/19/2002
5/15/2009
591019785
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C
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NEPHROLOGY
12/1/2008
5/21/2010
591019785
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C
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NEPHROLOGY
6/9/2011
5/21/2010
144298385
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N
PSP
INTERNAL MEDICINE
6/24/2008
3/31/2011
726589894
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INTERNAL MEDICINE
CARDIOVASCULAR CARE ASSOCS S C
11/4/2011
4/26/2016
475318593
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PEDIATRIC
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3/13/1999
3/29/2013
093158245
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6/1/2004
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093158245
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RADIATION ONCOLOGY
5/19/2004
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480295599
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RADIATION ONCOLOGY
4/1/1996
9/4/2009
787966945
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1/1/2014
4/1/2014
787966945
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INTERVENTIONAL CARDIOLOGUNITY POINT HEALTH TRINITY
1/1/2014
4/1/2014
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
143333220
REDDY
SRINIVAS
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PSP
9/25/2002
9/4/2009
143333220
REDDY
SRINIVAS
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PSP
1/1/2013
9/4/2009
258803371
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1/31/2001
6/18/2010
258803371
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PSP
1/31/2012
6/18/2010
532605769
REDINGER
DARRIN
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CHIROPRACTIC
ILLINOIS SPINAL CARE LTD
4/29/2008
3/26/2014
773163882
REDLEAF
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OTOLARYNGOLOGY
11/30/2007
6/28/2013
793832939
REDONDO
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PCP
FAMILY PRACTICE
ENRIQUE REDONDO MD
9/13/2000
7/13/2015
156074154
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KATE
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CERTIFIED NURSE PRACTITIO PEDIATRIC FACULTY FOUND INC
2/11/2013
088908246
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3/21/2014
088908246
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3/21/2014
881205296
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PHILIP
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CHIROPRACTIC
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8/11/2009
12/16/2015
139340721
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CHIROPRACTIC
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6/2/2014
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127161312
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ORTHOPEDIC SURGERY
9/15/2008
3/7/2012
588565706
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ORTHOPEDIC SURGERY
7/2/2007
6/30/2015
810401969
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1/1/2005
4/30/2008
593403711
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INTERNAL MEDICINE
1/14/2010
5/27/2011
944432076
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ORTHOPEDIC SURGERY
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7/24/2003
1/5/2016
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INFECTIOUS DISEASES
5/1/2010
4/18/2008
490182022
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4/1/2014
9/17/2015
046281168
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INTERNAL MEDICINE
7/1/2010
10/15/2015
039433192
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1/1/2005
12/30/2015
I
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
983154137
REICH
ALAN
M
PSP
ENDOCRINOLOGY
ALAN M REICH M D
9/24/2003
3/21/2014
150051289
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J
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PEDIATRIC
1/15/2008
3/29/2013
110027931
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4/29/2008
6/14/2012
110027931
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5/1/2012
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407292524
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4/10/2007
10/16/2009
510400631
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INTERNAL MEDICINE
3/27/2012
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253904377
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6/18/2010
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9/18/2014
618566746
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6/30/1999
11/19/2015
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2/5/2008
11/16/2015
883827014
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9/9/1998
3/19/2010
919835256
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8/18/2008
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402198607
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1/1/2014
436162563
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1/1/1996
6/19/2009
102080235
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CHIROPRACTIC
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3/27/2007
6/2/2015
116916253
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3/16/2006
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12/10/2012
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088250424
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INTERNAL MEDICINE
2/5/2010
10/30/2012
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
325442534
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A
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FAMILY PRACTICE
AMANDO A RENIVA MD
5/25/2005
9/18/2009
429747599
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CHIROPRACTIC
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11/6/2007
3/30/2015
027530152
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INTERNAL MEDICINE
1/15/2008
972867124
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2/9/2012
4/2/2015
777291919
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2/6/1999
5/21/2010
376044501
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OPHTHALMOLOGY
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12/10/2003
8/21/2009
048986168
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6/15/2013
048986168
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10/1/2013
480057633
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6/19/2009
12/16/2015
301956430
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1/1/2014
9/1/2010
097656827
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5/12/2008
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354237959
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10/20/2008
3/7/2013
195899331
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2/27/2002
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9/9/2009
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1/24/2014
3/19/2010
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9/9/2009
3/19/2010
750277071
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1/16/2006
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653251783
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11/13/1996
3/30/2015
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8/1/1991
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9/15/2008
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11/6/2007
11/24/2015
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
041376359
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OPHTHALMOLOGY
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3/5/2014
719846838
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1/1/1996
3/31/2014
719846838
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9/1/2011
3/31/2014
212272335
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INTERNAL MEDICINE
7/9/1997
3/10/2016
287510399
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2/1/2012
3/20/2009
912002065
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3/6/2014
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574457823
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12/21/2010
12/23/2010
878838023
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2/23/2011
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809701932
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INTERNAL MEDICINE
8/15/2012
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12/13/2006
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6/1/2009
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1/30/2002
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6/1/2012
10/31/2012
375730526
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8/1/1991
6/29/2012
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MI
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10/15/2012
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MI
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MI
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8/9/2002
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INTERNAL MEDICINE
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10/30/2002
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INTERNAL MEDICINE
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3/30/2015
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MI
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11/26/2012
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MI
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Contract Name
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3/2/2012
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MI
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Contract Name
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NEPHROLOGY
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3/31/2014
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11/14/2007
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10/30/2002
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NEPHROLOGY
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11/1/2006
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4/1/2014
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634526748
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MI
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Specialty
Contract Name
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ReAppt Date
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INTERNAL MEDICINE
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3/28/2013
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2/13/2001
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12/13/2010
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12/10/2012
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3/13/2014
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3/13/2014
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5/3/2013
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MI
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CHIROPRACTIC
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3/26/2014
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ORTHOPEDIC SURGERY
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MI
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ORTHOPEDIC SURGERY
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PULMONARY DISEASES
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4/4/2011
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3/31/2014
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INTERNAL MEDICINE
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PHYSICAL MEDICINE & REHAB MARGO M WOLF DO
11/6/2009
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8/29/2012
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3/24/2011
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2/2/2004
7/17/2009
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1/7/2008
12/18/2009
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NEUROLOGY
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INTERNAL MEDICINE
3/7/2014
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INTERNAL MEDICINE
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11/11/2013
833058059
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PEDIATRIC
10/1/2001
9/26/2011
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First Name
MI
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OPHTHALMOLOGY
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3/7/2012
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3/30/2016
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12/3/2012
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PEDIATRIC
6/27/2011
084693755
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INTERNAL MEDICINE
8/30/2011
10/31/2012
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INTERNAL MEDICINE
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HEMATOLOGY-ONCOLOGY
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ORTHOPEDIC SURGERY
11/6/2014
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4/4/2016
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3/4/2008
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9/17/2012
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9/17/2012
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INTERNAL MEDICINE
9/1/2013
3/8/2013
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GASTROENTEROLOGY
12/27/2006
5/13/2014
540355657
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NEUROLOGY
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11/8/2012
3/30/2015
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First Name
MI
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516559163
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CHIROPRACTIC
LIFEWAVE INSTITUTE LLC
7/31/2012
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INTERNAL MEDICINE
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8/29/2001
3/10/2015
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Last Name
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103750108
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MI
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Specialty
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CHIROPRACTIC
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INTERNAL MEDICINE
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6/12/2013
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INTERNAL MEDICINE
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6/1/2011
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1/1/1996
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193533307
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12/1/2006
10/15/2010
693443826
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9/10/2012
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9/25/2002
4/22/2011
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MI
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Contract Name
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RADIATION ONCOLOGY
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3/16/2015
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1/1/2005
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189307331
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7/1/2012
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9/8/2011
10/31/2013
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7/1/2008
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10/25/2011
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2/21/2012
3/3/2016
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9/28/2016
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GENERAL SURGERY
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MI
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823924026
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PEDIATRIC HEMATOLOGY-ONCMT SINAI MEDICAL GROUP INT MED
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9/21/2012
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8/2/2012
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6/15/2013
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10/15/2010
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5/12/2011
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3/15/1994
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10/1/2013
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1/1/2014
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101717030
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YUHANG SHEK MD
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12/31/2013
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MI
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2/15/2013
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MI
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10/21/2010
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PEDIATRIC
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3/9/2009
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12/1/1991
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MI
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4/8/1998
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MI
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3/29/2012
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4/3/2014
789574561
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1/1/2013
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2/20/2002
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10/1/1996
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6/19/2006
12/23/2013
273136924
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4/30/2003
6/27/2007
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9/8/2008
1/2/2014
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INTERNAL MEDICINE
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8/1/1998
4/1/2008
658430781
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GASTROENTEROLOGY
ASSOCS IN DIGESTIVE DISEASES
1/1/1996
8/21/2009
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5/11/2011
9/27/2015
599958742
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8/1/1991
6/12/2014
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3/30/2011
899190058
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1/1/1996
11/8/2013
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12/8/2008
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11/19/2010
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First Name
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329450373
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Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
ASHISH
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CHIROPRACTIC
10/10/2012
9/30/2015
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VITHIDA
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10/10/2008
11/20/2009
873519987
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9/22/2006
4/26/2016
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1/17/2014
2/12/2014
357436554
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JASON
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HEMATOLOGY-ONCOLOGY
9/6/2006
5/23/2012
934183025
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7/1/2014
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9/13/2000
9/27/2015
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7/18/2006
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DMITRY SUKENIK MD
6/26/2002
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PEDIATRIC
11/7/2012
3/21/2014
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7/25/2001
11/21/2008
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9/1/2004
6/30/2015
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8/1/1991
2/19/2010
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DERMATOLOGY
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6/18/2014
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GENERAL SURGERY
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4/11/2001
2/19/2010
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CHRISTOPHER
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6/19/2009
11/12/2013
631344742
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JAMES
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1/1/2014
11/12/2013
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6/30/1999
3/31/2014
057172388
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1/1/2009
10/15/2010
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First Name
MI
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MARY
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Contract Name
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ReAppt Date
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INTERNAL MEDICINE
MARY LYNN SULLIVAN MD PC
9/1/2004
2/27/2008
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CHIROPRACTIC
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4/16/2010
5/19/2015
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RYAN
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GENERAL SURGERY
12/20/2011
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INTERNAL MEDICINE
1/1/2010
3/16/2012
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3/29/2006
3/10/2014
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9/20/2010
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1/29/1997
3/10/2014
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11/23/2006
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6/8/2010
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11/4/2003
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10/22/2007
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4/6/2009
12/30/2010
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1/1/2007
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GASTROENTEROLOGY
6/1/2010
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6/1/2010
11/8/2012
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1/1/1996
11/21/2008
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UROLOGY
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UROLOGY
12/18/2012
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INTERNAL MEDICINE
8/5/2014
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1/12/2007
1/3/2014
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1/2/2014
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MI
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738040859
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SOUTH SUB CARDIOLOGY LTD
1/1/1996
1/2/2014
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9/1/2004
1/6/2014
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6/11/2014
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INTERNAL MEDICINE
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4/20/2009
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PULMONARY DISEASES
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1/26/2005
12/18/2009
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INTERNAL MEDICINE
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1/1/2009
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INTERNAL MEDICINE
1/1/2014
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2/16/2012
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6/19/2006
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1/1/1996
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1/1/2014
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10/15/2013
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INTERNAL MEDICINE
10/1/2013
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8/8/2011
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6/16/2008
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8/1/1991
1/6/2014
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419527540
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Contract Name
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INTERNAL MEDICINE
1/3/2012
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INTERNAL MEDICINE
12/19/2011
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3/3/2016
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7/14/1999
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INTERNAL MEDICINE
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1/31/2001
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12/28/2005
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10/13/2006
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RHEUMATOLOGY
4/1/2014
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2/1/2014
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6/30/1999
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HOWARD E SWEENEY MD
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12/11/2012
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GASTROENTEROLOGY
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6/15/2012
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8/8/2011
3/28/2013
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PEDIATRIC
1/1/2014
3/28/2013
11/6/2013
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Last Name
First Name
MI
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Specialty
Contract Name
Appt Date
ReAppt Date
546248631
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FAMILY PRACTICE
ADVENTIST HEALTH INC
7/20/2011
4/9/2014
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4/4/2014
7/24/2015
880947494
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VALERIE
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12/15/2008
6/15/2013
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UROLOGY
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INTERNAL MEDICINE
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INTERNAL MEDICINE
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INTERNAL MEDICINE
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944067420
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3/10/2015
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First Name
MI
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Contract Name
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UROLOGY
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3/10/2015
618408746
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JAMES
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UROLOGY
4/24/2007
3/10/2015
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1/23/2012
9/17/2015
887052012
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1/6/2010
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535211671
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11/16/2005
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3/16/2006
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727491840
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12/30/2010
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12/16/2015
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MI
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CHIROPRACTIC
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MI
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5/9/2012
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5/8/2014
3/14/2016
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4/20/2011
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8/22/2006
2/14/2014
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7/28/2014
3/28/2016
838595992
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6/25/1999
3/21/2014
591991132
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CHIROPRACTIC
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5/8/2007
6/10/2013
975818214
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1/1/2008
11/19/2010
961230320
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6/16/2008
2/9/2015
904715120
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11/16/2001
1/5/2016
417280561
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FAMILY PRACTICE
2/26/2003
1/20/2010
757831672
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10/22/2012
12/19/2013
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2/1/2003
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11/1/2009
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6/26/2002
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3/3/2011
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1/1/2005
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11/8/2010
3/21/2014
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10/31/2001
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11/1/1999
12/23/2013
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10/18/2011
2/21/2012
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MI
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ReAppt Date
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4/1/2014
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6/30/2004
12/1/2015
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MI
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10/22/2009
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12/1/2004
5/5/2011
329262235
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J
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6/2/2006
301818332
VASTOLA LEWAN BONNIE
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8/24/2009
838693970
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9/29/2004
303306660
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10/12/2012
054997178
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4/12/2000
654100316
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3/1/2012
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3/29/2013
6/15/2012
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Last Name
First Name
654100316
VAZQUEZ SCOTT MARIA
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841140194
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258501400
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343237038
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287098417
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Contract Name
Appt Date
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FAMILY PRACTICE
11/29/2011
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INTERNAL MEDICINE
GLOBAL CARE S C
8/18/2008
11/19/2010
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10/8/2008
12/9/2015
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FAMILY PRACTICE
8/5/2004
5/15/2009
MICHAEL
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CHIROPRACTIC
4/13/2011
3/30/2015
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3/9/2009
2/3/2010
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1/1/2005
6/28/2013
996680118
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2/26/2014
9/27/2015
770053817
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PULMONARY DISEASES
8/1/2006
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770053817
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2/10/2009
12/19/2008
502191627
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INTERNAL MEDICINE
6/26/2012
7/13/2015
622019844
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9/8/2009
9/28/2012
264874409
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2/5/2013
12/31/2013
634990627
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INTERNAL MEDICINE
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5/18/2007
2/17/2012
979040106
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2/10/2011
4/17/2009
635434269
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1/1/1996
12/13/2010
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10/20/2006
11/2/2012
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4/8/1998
11/2/2012
718151638
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INTERNAL MEDICINE
6/12/2007
10/29/2015
187291342
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6/26/2002
12/19/2008
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
844926001
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PCP
INTERNAL MEDICINE
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10/30/2002
3/28/2013
050334717
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OTOLARYNGOLOGY
12/17/2009
12/20/2013
105765625
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8/6/2013
105765625
VENTURA
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8/6/2013
105765625
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8/6/2013
126592244
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NEPHROLOGY
1/28/2004
3/18/2014
918412029
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GASTROENTEROLOGY
4/12/2007
11/15/2010
354521553
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CHIROPRACTIC
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8/29/2011
12/23/2013
877645319
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INTERNAL MEDICINE
8/24/2012
6/26/2012
003649941
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3/1/2012
10/15/2015
003649941
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2/8/2012
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12/1/2004
4/27/2011
752060411
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12/28/2011
493645635
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INTERNAL MEDICINE
7/21/2014
9/12/2012
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INTERNAL MEDICINE
10/29/2003
7/6/2009
840686651
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9/8/2009
3/16/2012
669857836
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1/31/2001
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4/9/2004
1/16/2016
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8/1/2014
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676677732
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543041250
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12/31/2015
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3/5/2008
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5/25/2005
2/21/2013
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GASTROENTEROLOGY
4/24/2002
4/2/2015
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1/25/2012
2/26/2013
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11/10/2006
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8/11/2008
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2/2/1998
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4/12/2000
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11/3/2014
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6/23/2010
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1/1/2014
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10/3/2006
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659105172
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4/1/2014
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6/1/2014
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1/8/2014
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901618996
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345396466
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ReAppt Date
6/15/2013
10/18/2012
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2/25/2004
3/31/2014
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CHIROPRACTIC
11/1/2009
6/16/2014
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1/1/2014
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1/12/2006
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6/12/2013
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12/16/2010
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GENERAL SURGERY
1/1/2013
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INTERNAL MEDICINE
6/1/2009
12/23/2013
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1/1/2005
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2/19/2010
12/23/2010
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4/25/2011
11/25/2013
993256050
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INTERNAL MEDICINE
9/5/2006
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INTERNAL MEDICINE
10/27/2004
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3/30/2012
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3/25/2009
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MI
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Contract Name
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6/28/2007
850527976
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3/11/2008
12/11/2012
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3/13/2007
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4/16/2008
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3/16/2012
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8/11/2008
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10/6/1999
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7/11/2011
038641516
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11/4/2011
12/10/2012
417120547
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1/1/1996
3/16/2015
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1/30/2006
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6/30/1999
6/19/2014
947209075
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4/13/2009
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7/20/2005
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847141701
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8/22/2008
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600807665
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9/20/2012
2/29/2016
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Contract Name
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2/4/2013
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1/1/1996
11/25/2013
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12/22/2011
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10/1/2006
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4/16/1997
3/30/2016
832894290
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8/13/2014
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6/12/2007
2/29/2016
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10/21/2011
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10/21/2011
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6/30/2004
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3/23/2009
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6/8/2009
7/17/2009
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12/19/2008
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12/6/2010
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388331530
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11/20/2002
8/15/2008
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4/9/2004
7/2/2013
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STEVEN
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MI
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Specialty
Contract Name
Appt Date
ReAppt Date
PSP
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GREGS GREATER CHICAGO CHIRO LLC
6/16/2009
1/22/2015
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CHIROPRACTIC
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3/19/2010
8/3/2015
MARYBETH
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12/20/2012
3/30/2015
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1/12/2009
3/30/2015
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12/20/2013
833490481
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12/20/2013
833490481
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12/20/2013
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2/11/2014
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5/7/2014
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5/16/2011
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11/3/2009
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2/15/2012
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2/24/2003
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ANTHONY M AURIEMMA M D S C
8/7/2014
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1/1/2014
3/30/2016
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MI
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Specialty
Contract Name
Appt Date
ReAppt Date
031004161
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12/22/2011
5/21/2010
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1/1/2011
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2/26/2013
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8/1/2011
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8/11/2008
4/1/2010
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3/30/2005
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1/1/2005
2/11/2016
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12/11/2013
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12/11/2013
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Last Name
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MI
Prov Type
Specialty
Contract Name
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566877684
WANG
GRACE
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PCS
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2/20/2008
300042371
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JOE
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2/12/2010
4/13/2016
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12/19/2008
284696749
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12/4/2013
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12/3/2013
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12/23/2013
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12/4/2013
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12/18/2013
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12/13/2013
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12/19/2013
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12/19/2013
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12/18/2013
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12/11/2013
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12/20/2013
926978105
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12/18/2013
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12/23/2013
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12/19/2013
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12/23/2013
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12/20/2013
926978105
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12/23/2013
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926978105
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Prov Type
Specialty
Contract Name
Appt Date
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12/10/2013
WANG
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12/12/2013
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12/19/2013
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12/20/2013
926978105
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12/3/2013
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12/18/2013
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12/23/2013
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12/18/2013
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10/31/2013
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PRIMEID
Last Name
First Name
926978105
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926978105
MI
Prov Type
Specialty
Contract Name
Appt Date
ReAppt Date
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12/12/2013
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12/12/2013
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10/23/2013
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12/11/2013
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12/19/2013
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4/26/2016
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4/14/2016
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4/16/2015
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1/1/2005
6/19/2014
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MI
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3/10/2014
144517872
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INTERNAL MEDICINE
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269362866
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3/21/2013
522152605
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7/28/2004
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1/1/2005
7/30/2014
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10/1/2007
3/19/2010
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MI
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11/5/2013
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10/12/2012
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656331340
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501146641
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1/31/2011
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6/27/2006
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3/26/2014
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MI
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6/28/2013
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ALLEN D BLOOM M D LLC
10/24/2008
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12/22/2011
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11/4/2002
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6/26/2002
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12/12/2005
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5/15/2013
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10/31/2012
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1/22/2007
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1/9/2008
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6/30/2015
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3/4/2014
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437052633
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6/21/2007
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1/1/2007
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3/18/2013
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2/1/2009
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605041826
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8/1/2010
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UROLOGY
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Last Name
First Name
MI
Prov Type
Specialty
Contract Name
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804125924
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PEDIATRIC
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1/15/2010
138099244
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5/1/2009
12/16/2010
381586501
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4/8/2014
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3/30/2012
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1/30/2002
3/4/2014
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6/15/2007
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1/1/2005
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028405475
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2/18/2013
033536147
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5/20/2008
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7/20/2011
866010027
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9/24/2014
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4/27/2005
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12/19/2012
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First Name
MI
Prov Type
Specialty
Contract Name
234556359
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7/15/2014
234556359
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324255468
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OTOLARYNGOLOGY
2/1/2013
3/31/2014
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9/10/2013
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10/2/2007
6/28/2013
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6/30/1999
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5/7/2010
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3/19/2012
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11/1/2009
3/3/2011
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7/11/2014
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4/1/2014
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5/14/2012
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4/14/2008
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7/28/2011
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MI
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382587514
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INFECTIOUS DISEASES
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12/30/2010
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7/1/2011
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3/31/2014
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7/2/2014
5/13/2016
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7/1/2014
11/25/2013
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9/1/2012
4/4/2016
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10/17/2011
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3/13/2012
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12/17/2009
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3/24/2008
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2/11/2008
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1/1/1997
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9/21/2009
8/10/2007
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6/6/2014
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1/1/2012
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633717781
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037393238
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Contract Name
Appt Date
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7/17/2015
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11/28/2012
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12/28/2006
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1/1/2009
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8/15/2006
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HEMATOLOGY-ONCOLOGY
12/19/2011
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9/21/2005
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861901998
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444483548
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444483548
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Contract Name
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PLASTIC SURGERY
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6/10/2010
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CHIROPRACTIC
BODY WORKS HEALTH AND WELLNESS LL
1/24/2013
8/30/2013
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8/31/2005
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11/28/2001
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PEDIATRIC
3/1/2008
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177828340
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NEPHROLOGY
ELGIN CLINIC LTD
5/4/2001
6/19/2009
714862023
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HEMATOLOGY
7/1/2014
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DERMATOLOGY
4/12/2006
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DERMATOLOGY
4/12/2006
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8/28/2002
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10/19/2010
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4/29/2008
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NEURALWATCH NEW JERSEY LLC
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MI
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598686699
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NEUROLOGY
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9/27/2011
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9/27/2011
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9/27/2011
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5/27/2011
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10/17/2006
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MI
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202379359
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7/6/2009
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6/30/2013
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9/1/2011
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12/28/2005
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4/1/2014
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3/5/2008
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10/31/2001
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7/1/2013
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MI
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612156818
ZEIDMAN
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NEUROLOGY
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612156818
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NEUROLOGY
11/6/2009
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469680619
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PEDIATRIC ENDOCRINOLOGY ACADEMIC ENDOCRINE METABO NUTR
12/18/2002
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PEDIATRIC ENDOCRINOLOGY ACCESS COMMUNITY HEALTH NETWORK
9/2/2009
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1/25/2007
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697222947
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CHIROPRACTIC
INTERNATIONAL INSTITUTE OF HEALTH
5/14/2014
656940112
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INTERNAL MEDICINE
PEACE MEDICAL GROUP INC
2/19/2010
553312144
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7/1/2011
408192496
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2/5/2007
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12/16/2010
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9/2/2010
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197142344
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INTERNAL MEDICINE
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11/19/2012
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11/24/2010
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941128181
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941128181
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LI
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NEUROLOGY
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3/30/2015
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NEUROLOGY
5/27/2014
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NEUROLOGY
7/10/2014
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6/18/2013
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931319914
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6/23/2014
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INTERNAL MEDICINE
8/11/2011
6/15/2012
100041335
ZIMMERMAN
ROBERT
D
PSP
UROLOGY
6/21/2007
9/27/2006
100041335
ZIMMERMAN
ROBERT
D
PSP
UROLOGY
WEST SUBURBAN UROLOGY
1/1/1996
9/27/2006
632597724
ZIMMERMAN
SCOTT
A
PSP
PODIATRY
SCOTT A ZIMMERMAN D P M LTD
1/1/2005
10/18/2013
632597724
ZIMMERMAN
SCOTT
A
PSP
PODIATRY
WALKS
7/9/2014
10/18/2013
775935726
ZIMMERMANN
RONALD
ANTH PSP
INTERNAL MEDICINE
10/5/2011
344360457
ZINDRICK
MICHAEL
R
ORTHOPEDIC SURGERY
1/1/1996
L
A
PSP
6/24/2013
PRIMEID
Last Name
First Name
MI
344360457
ZINDRICK
MICHAEL
R
306465457
ZINGER
EDUARD
A
911665023
ZLIOBA
264412384
Specialty
Contract Name
Appt Date
ReAppt Date
ORTHOPEDIC SURGERY
1/1/1996
6/24/2013
PCP
INTERNAL MEDICINE
ZINGER MEDICAL OFFICES S C
7/9/2007
3/10/2015
ARAS
PSP
OPHTHALMOLOGY
ASSOCIATED OPHTHALMOLOGISTS
11/1/1999
4/27/2015
ZNAJDA
LAURA
PSP
PHYSICAL THERAPY
EASTER SEALS DUPAGE
10/1/2007
516709704
ZOBOSKI
ROBERT
J
PSP
CHIROPRACTIC
ROBERT J ZOBOSKI DC
1/1/2005
3/30/2015
673548781
ZOFAKIS
ARGIRO
G
PCP
INTERNAL MEDICINE
ARGIRO ZOFAKIS LTD
3/27/2002
11/25/2013
043692983
ZOFAKIS
TINA
PCP
INTERNAL MEDICINE
ARGIRO ZOFAKIS LTD
12/10/2010
10/4/2013
721256895
ZOLDAN
JACK
PCP
INTERNAL MEDICINE
JACK ZOLDAN M D LTD
8/1/1991
12/23/2013
744474157
ZOLLER
DEBORAH
PCP
PEDIATRIC
4/30/2003
4/2/2015
770645337
ZOMAYA
NANCY
PSP
PODIATRY
NANCY ZOMAYA DPM
1/25/2013
9/29/2015
935415232
ZUBAIR
SHARIF
PSP
GASTROENTEROLOGY
8/29/2006
6/30/2015
185205313
ZUCKERMAN
JODI
D
PSP
OTOLARYNGOLOGY
NORTH SHORE E N T
11/13/2009
5/23/2012
499241704
ZUEHLKE
DALE
A
PSP
CHIROPRACTIC
DALE A ZUEHLKE DC
2/13/2012
9/17/2015
434229569
ZUELKE
DAVID
S
PSP
CHIROPRACTIC
ABUNDANT LIFE CHIROPRACTIC
1/12/2009
7/7/2014
808285961
ZUMERCHIK
DAVID
L
PSP
UROLOGY
SOUTHWEST UROLOGY ASSOCIATES
3/11/1998
4/26/2016
808285961
ZUMERCHIK
DAVID
L
PSP
UROLOGY
1/1/2008
4/26/2016
808285961
ZUMERCHIK
DAVID
L
PSP
UROLOGY
URO PARTNERS LLC
10/1/2009
4/26/2016
845676948
ZYGMUNT
KENNETH
H
PSP
PODIATRY
UNIVERSITY FOOT SPECIALISTS LTD
6/1/2009
9/27/2006
845676948
ZYGMUNT
KENNETH
H
PSP
PODIATRY
UNIVERSITY FOOT ANKLE SPEC LTD
3/6/2008
9/27/2006
C
Prov Type

BCH Cumulative Active Providers - Blue Cross and Blue Shield of

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