Health Alliance Medicare PPO Plan
Provider Directory
This directory provides a list of Health Alliance Medicare PPO network providers.
This directory is for beneficiaries in Adams, Brown, Bureau, Cass, Champaign, Christian, Clark,
Coles, Crawford, Cumberland, DeWitt, Douglas, Edgar, Effingham, Kankakee, Knox, Ford,
Hancock, Iroquois, Jasper, Livingston, Logan, Macon, Macoupin, Marshall, Mason, McDonough,
McLean, Menard, Montgomery, Morgan, Moultrie, Peoria, Piatt, Pike, Putnam, Sangamon,
Schuyler, Scott, Stark, Tazewell, Vermilion and Woodford counties in Illinois.
This directory is current as of September 1, 2013. Some network providers may have
been added or removed from our network after this directory was printed. We do not
guarantee that each provider is still accepting new members. To get the most up-to-date
information about Health Alliance Medicare PPO network providers in your area, you can visit
HealthAllianceMedicare.org or call our Health Alliance Medicare Services Department at
1-800-965-4022, Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users should call 711 or
1-800-526-0844 (Illinois Relay).
Health Alliance Medicare is a PPO plan with a Medicare contract. Enrollment in Health Alliance
Medicare depends on contract renewal.
1-800-965-4022
TTY/TDD 711 or 1-800-526-0844 (Illinois Relay)
HealthAllianceMedicare.org
cps-ILMedPPOproviderdirectory-0713
Y1417_14_10140
Accepted
Section 1 – Introduction
This directory provides a list of Health Alliance Medicare PPO network providers. To get detailed
information about your health care coverage, please see your Evidence of Coverage.
The “network providers” listed in this directory have agreed to provide you with your health care
coverage. You may go to any of our network providers who are listed in this directory. However, some
services may require a referral. If you have been going to one network provider, you are not required to
continue going to that same provider. In some cases, you may get covered services from non-network
providers. If you have any questions about whether we will pay for any medical service or care that you
are considering, you have the right to ask us whether we will cover it before you get the service or care.
If you receive care from a non-network provider and receive a bill from that provider, you should not
pay it. Instead, please submit it to Health Alliance Medicare so we can determine what, if any, of the fees
you actually must pay.
If you are using an out-of-network provider for Emergency Care, Urgently Needed Care or out-of-area
dialysis, you may not have to pay a higher cost-sharing amount.
If you have a medical emergency:
•
•
Get help as quickly as possible. Call 911 for help or go to the nearest emergency room, Hospital
or urgent care center. Call for an ambulance if you need it. You do not need to get approval or a
referral first.
As soon as possible, make sure to tell Health Alliance Medicare about your emergency. We
need to follow up on your Emergency Care. You or someone else should call to tell us about your
Emergency Care, usually within 48 hours.
Emergency and urgent services care can always be obtained in or out of the service area from the nearest
available provider. If you obtain routine care from out-of-network providers, it may cost more than if
you went to an in-network provider.
What is the service area for Health Alliance Medicare PPO?
The counties in our service area are listed below. Adams, Brown, Bureau, Cass, Champaign, Christian,
Clark, Coles, Crawford, Cumberland, DeWitt, Douglas, Edgar, Effingham, Ford, Hancock, Iroquois,
Jasper, Livingston, Kankakee, Knox, Logan, Macon, Macoupin, Marshall, Mason, McDonough,
McLean, Menard, Montgomery, Morgan, Moultrie, Peoria, Piatt, Pike, Putnam, Sangamon, Schuyler,
Scott, Stark, Tazewell, Vermilion and Woodford counties in Illinois.
How do you find Health Alliance Medicare PPO providers in your area?
This directory is organized by category (Primary Care Physicians, Specialty Care, etc.) and then
alphabetically by city. Or, you can use the index that begins on page 519 to find an alphabetical listing of
all providers.
If you have questions about Health Alliance Medicare PPO or require assistance in selecting a PCP,
please call our Member Services Department at 1-800-965-4022, Monday through Friday, 8 a.m. to
8 p.m. TTY\TDD users should call 711 or 1-800-526-0844 (Illinois Relay). Or, visit
HealthAllianceMedicare.org.
i
ANNA, IL
ASSUMPTION, IL
Primary Care Physicians
6HFWLRQ±/LVWRI1HWZRUN3URYLGHUV
Midlevel providers (including nurse practitioners and physician assistants) cannot be selected as Primary Care
Physicians. However, you may use the services of a midlevel provider by selecting his or her supervising physician
as your designated Primary Care Physician. Midlevel providers are indicated by italics.
ANNA, IL
FAMILY PRACTICE
HUNTER-REACH, PAMELA,
MD
GENDER: F
PROVIDER #: 180124
NPI #: 1942208988
HUNTER REACH FAMILY
MEDICINE LLC
98 PEACH RIDGE RD
ANNA, IL 62906
PHONE: (618) 614-1400
E-PRESCRIBE: NO
ARCOLA, IL
FAMILY PRACTICE
BIGGS, ROBERT, MD
GENDER: M
PROVIDER #: 247111
NPI #: 1699094995
SARAH BUSH LINCOLN
HEALTH CENTER
241 W SPRINGFIELD RD
ARCOLA, IL 61910
PHONE: (217) 268-4444
E-PRESCRIBE: NO
WADE, VIRGINIA A., MD
GENDER: F
PROVIDER #: 047861
NPI #: 1720012024
600 E COUNTY RD 300 N
ARCOLA, IL 61910
PHONE: (217) 268-5008
E-PRESCRIBE: NO
1
GENERAL PRACTICE
CLIMACO, RAMON U., MD
GENDER: M
PROVIDER #: 006108
NPI #: 1932195906
120 S LOCUST
ARCOLA, IL 61910
PHONE: (217) 268-4323
E-PRESCRIBE: NO
ARTHUR, IL
FAMILY PRACTICE
HARTMAN, PATRICK, MD
GENDER: M
PROVIDER #: 053300
NPI #: 1861508160
SBL ARTHUR CLINIC
211 S WALNUT
ARTHUR, IL 61911
PHONE: (217) 543-3444
E-PRESCRIBE: NO
PHU, LIZA A., MD
GENDER: F
PROVIDER #: 207843
NPI #: 1174758908
650 W COLUMBIA
ARTHUR, IL 61911
PHONE: (217) 543-3869
E-PRESCRIBE: NO
WILLIAMS, SHERRY M., MD
GENDER: F
PROVIDER #: 202910
NPI #: 1104137140
ARTHUR MEDICAL CENTER
650 W COLUMBIA
ARTHUR, IL 61911
PHONE: (217) 543-3869
E-PRESCRIBE: NO
ASSUMPTION, IL
FAMILY PRACTICE
CUNNINGTON, WALTER H.,
MD
GENDER: M
PROVIDER #: 133335
NPI #: 1811024508
COMMUNITY MEDICAL
CLINIC OF ASSUMPTION
118 N WALNUT
ASSUMPTION, IL 62510
PHONE: (217) 226-3133
E-PRESCRIBE: NO
KOCHER, JARED J., MD
GENDER: M
PROVIDER #: 119163
NPI #: 1346299724
COMMUNITY MEDICAL
CLINIC OF ASSUMPTION
118 N WALNUT
ASSUMPTION, IL 62510
PHONE: (217) 226-3133
E-PRESCRIBE: NO
TEODORO, CATHERINE D.,
MD
GENDER: F
PROVIDER #: 225034
NPI #: 1720373574
COMMUNITY MEDICAL
CLINIC
118 N WALNUT
ASSUMPTION, IL 62510
PHONE: (217) 226-3133
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
ASTORIA, IL
BARRY, IL
ASTORIA, IL
FAMILY PRACTICE
FORESTIER, LINDA K., MD
GENDER: F
PROVIDER #: 178154
NPI #: 1144339730
COMMUNITY MEDICAL
CLINIC
135 W BROADWAY
ASTORIA, IL 61501
PHONE: (309) 323-2926
E-PRESCRIBE: NO
WORNYO, JAMES D., MD
GENDER: M
PROVIDER #: 192999
NPI #: 1174790042
COMMUNITY MEDICAL
CLINIC
135 W BROADWAY
ASTORIA, IL 61501
PHONE: (309) 323-2926
E-PRESCRIBE: NO
ATLANTA, IL
GENERAL PRACTICE
ROSSI, ALFRED N., MD
GENDER: M
PROVIDER #: 005719
NPI #: 1033157292
ATLANTA DOCTORS OFFICE
108 SW ARCH ST
ATLANTA, IL 61723
PHONE: (217) 648-5151
E-PRESCRIBE: NO
ROSSI, MATTHEW B., MD
GENDER: M
PROVIDER #: 007408
NPI #: 1205874310
ATLANTA DOCTORS OFFICE
108 SW ARCH ST
ATLANTA, IL 61723
PHONE: (217) 648-5151
E-PRESCRIBE: NO
Primary Care Physicians
ROSSI, PHILLIP J., MD
GENDER: M
PROVIDER #: 010983
NPI #: 1114965225
ATLANTA DOCTORS OFFICE
108 SW ARCH ST
ATLANTA, IL 61723
PHONE:
E-PRESCRIBE: NO
ATWOOD, IL
FAMILY PRACTICE
GONG, CHUNLING, MD
GENDER: F
PROVIDER #: 172231
NPI #: 1952572661
ATWOOD RURAL HEALTH
CLINIC
108 S MAIN ST
ATWOOD, IL 61913
PHONE: (217) 578-3814
E-PRESCRIBE: NO
MANINT, JAMES E., DO
GENDER: M
PROVIDER #: 002832
NPI #: 1376534420
ATWOOD RURAL HEALTH
CLINIC
108 S MAIN ST
ATWOOD, IL 61913
PHONE: (217) 578-3814
E-PRESCRIBE: NO
AUBURN, IL
GENERAL PRACTICE
WEISGERBER, GLEN A., MD
GENDER: M
PROVIDER #: 008482
NPI #: 1760450134
AUBURN MEDICAL CLINIC
100 S 5TH ST
AUBURN, IL 62615
PHONE: (217) 438-6175
E-PRESCRIBE: NO
AVON, IL
GENERAL PRACTICE
MEHTA, SHRIKANT A., MD
GENDER: M
PROVIDER #: 003043
NPI #: 1346358199
SAUNDERS CLINIC
1800 23RD AVE
AVON, IL 61415
PHONE: (309) 465-3129
E-PRESCRIBE: NO
BARRY, IL
ADULT/INTERNAL
MEDICINE
RAIF, KORHAN B., MD
GENDER: M
PROVIDER #: 030138
NPI #: 1184697476
QUINCY MEDICAL GROUP
868 MORTIMER
BARRY, IL 62312
PHONE: (217) 335-2343
E-PRESCRIBE: NO
PEDIATRICS
RAIF, AYCA O., MD
GENDER: F
PROVIDER #: 030100
NPI #: 1376516658
QUINCY MEDICAL GROUP
868 MORTIMER
BARRY, IL 62312
PHONE: (217) 335-2343
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
2
BARTONVILLE, IL
BEARDSTOWN, IL
Primary Care Physicians
BARTONVILLE, IL
ADULT/INTERNAL
MEDICINE
CRNKOVICH, DENNIS J., MD
GENDER: M
PROVIDER #: 091102
NPI #: 1831164409
PROCTOR MEDICAL GROUP
1506 W GARFIELD AVE
BARTONVILLE, IL 61607
PHONE: (309) 697-2416
ESTEP, PATRICIA J., APN;
PROVIDER #: 214206
E-PRESCRIBE: NO
JUJJAVARAPU, VIJAYA L.,
MD
GENDER: F
PROVIDER #: 057719
NPI #: 1750356226
PROCTOR MEDICAL GROUP
1506 W GARFIELD AVE
BARTONVILLE, IL 61607
PHONE: (309) 697-2416
ESTEP, PATRICIA J., APN;
PROVIDER #: 214206
E-PRESCRIBE: NO
FAMILY PRACTICE
HICOK, WILLIAM C., MD
GENDER: M
PROVIDER #: 039014
NPI #: 1457326944
PROCTOR MEDICAL GROUP
1506 W GARFIELD AVE
BARTONVILLE, IL 61607
PHONE: (309) 697-2416
ESTEP, PATRICIA J., APN;
PROVIDER #: 214206
E-PRESCRIBE: NO
3
POPP, RICHARD J., MD
GENDER: M
PROVIDER #: 010782
NPI #: 1194790675
PROCTOR MEDICAL GROUP
1506 W GARFIELD AVE
BARTONVILLE, IL 61607
PHONE: (309) 697-2416
E-PRESCRIBE: NO
BEARDSTOWN, IL
FAMILY PRACTICE
BURGE, SUSAN J., DO
GENDER: F
PROVIDER #: 210300
NPI #: 1386848042
111 S STATE ST
BEARDSTOWN, IL 62618
PHONE: (217) 232-9703
E-PRESCRIBE: YES
PHYSICIANS GROUP
ASSOCIATES
111 S STATE ST
BEARDSTOWN, IL 62618
PHONE: (217) 323-9703
E-PRESCRIBE: YES
FORESTIER, LINDA K., MD
GENDER: F
PROVIDER #: 178154
NPI #: 1144339730
ELMER HUGH TAYLOR
CLINIC
100 W 15TH ST
BEARDSTOWN, IL 62618
PHONE: (217) 323-2245
E-PRESCRIBE: NO
SANCHEZ, DOMINIQUE F.,
DO
GENDER: F
PROVIDER #: 215990
NPI #: 1861654857
CASS COUNTY HEALTH
CLINIC
8590 ST LUKES DR
BEARDSTOWN, IL 62618
PHONE: (217) 323-2242
E-PRESCRIBE: YES
TAILLEFER, MARGUERITE S.,
MD
GENDER: F
PROVIDER #: 217417
NPI #: 1588978241
ELMER HUGH TAYLOR
CLINIC
100 W 15TH ST
BEARDSTOWN, IL 62618
PHONE: (217) 323-2445
E-PRESCRIBE: NO
WORNYO, JAMES D., MD
GENDER: M
PROVIDER #: 192999
NPI #: 1174790042
ELMER HUGH TAYLOR
CLINIC
100 W 15TH ST
BEARDSTOWN, IL 62618
PHONE: (217) 323-2245
E-PRESCRIBE: NO
WYNN, MARY, MD
GENDER: F
PROVIDER #: 171644
NPI #: 1356310486
CASS COUNTY HEALTH
CLINIC
8590 ST LUKES DR
BEARDSTOWN, IL 62618
PHONE: (217) 323-2242
BLESSMAN, DONNA, FNP;
PROVIDER #: 172858
STOCKER, KATHLEEN, APN;
PROVIDER #: 172856
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BEMENT, IL
BLOOMINGTON, IL
BEMENT, IL
ADULT/INTERNAL
MEDICINE
MANDHAN, NARAIN D., MD
GENDER: M
PROVIDER #: 185109
NPI #: 1730170655
BEMENT HEALTHCARE
CENTER
601 N MORGAN
BEMENT, IL 61813
PHONE:
E-PRESCRIBE: NO
FAMILY PRACTICE
MANINT, JAMES E., DO
GENDER: M
PROVIDER #: 002832
NPI #: 1376534420
BEMENT HEALTH CARE
CENTER
601 N MORGAN
BEMENT, IL 61813
PHONE: (217) 678-2191
E-PRESCRIBE: NO
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 222916
NPI #: 1922235944
BEMENT HEALTHCARE
CENTER
601 N MORGAN
BEMENT, IL 61813
PHONE:
E-PRESCRIBE: NO
Primary Care Physicians
BENLD, IL
FAMILY PRACTICE
POOS, JOSHUA D., MD
GENDER: M
PROVIDER #: 162610
NPI #: 1134142540
COMMUNITY FAMILY
PRACTICE
311 E CENTRAL AVE
BENLD, IL 62009
PHONE: (217) 835-4334
E-PRESCRIBE: NO
BLOOMINGDALE, IN
FAMILY PRACTICE
BEACHY, ERIC D., MD
GENDER: M
PROVIDER #: 239781
NPI #: 1881652188
VERMILLION-PARKE
COMMUNITY HEALTH
CENTER
201 W ACADEMY ST
BLOOMINGDALE, IN 47832
PHONE: (765) 498-9000
E-PRESCRIBE: NO
BLOOMINGTON, IL
ADULT/INTERNAL
MEDICINE
ABADEER, PETER S., DO
GENDER: M
PROVIDER #: 107004
NPI #: 1760469522
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
BERCK, LILLA, MD
GENDER: F
PROVIDER #: 134887
NPI #: 1396946125
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
CHU, GUOXIANG, MD
GENDER: M
PROVIDER #: 224708
NPI #: 1295946580
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
COCHRAN, MICHAEL, MD
GENDER: M
PROVIDER #: 007301
NPI #: 1831176692
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
DEOSKAR, UDAY L., MD
GENDER: M
PROVIDER #: 070445
NPI #: 1386733145
SENIOR HEALTH &
GERIATRICS OF CENTRAL
ILLINOIS
2103 E WASHINGTON ST
SUITE 2C
BLOOMINGTON, IL 61701
PHONE: (309) 663-5810
ROOP, JAYCIE N., APN;
PROVIDER #: 195083
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
4
Primary Care Physicians
DUNCAN, ERIC D., MD
GENDER: M
PROVIDER #: 000042
NPI #: 1841219763
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
KOTT, KATHRYN B., APN;
PROVIDER #: 209877
LANCE, KATHLEEN M., APN;
PROVIDER #: 209091
ROTH, CAROLYN, NP;
PROVIDER #: 022398
E-PRESCRIBE: NO
FARINAS, ERIC J., MD
GENDER: M
PROVIDER #: 078585
NPI #: 1841277613
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
GALUE, GUSTAVO A., MD
GENDER: M
PROVIDER #: 146850
NPI #: 1295903359
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
GRABHER, LYNN M., MD
GENDER: F
PROVIDER #: 172943
NPI #: 1871645622
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
5
HALPERIN, IRA L., DO
GENDER: M
PROVIDER #: 032944
NPI #: 1548352107
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-5361
E-PRESCRIBE: NO
HANCOCK, JAMES B., MD
GENDER: M
PROVIDER #: 106556
NPI #: 1235116088
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
BLOOMINGTON, IL
BLOOMINGTON, IL
KANTAMNENI, ANURADHA,
MD
GENDER: F
PROVIDER #: 096577
NPI #: 1447283015
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
KIM, DANIELLE F., DO
GENDER: F
PROVIDER #: 181966
NPI #: 1770592487
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
E-PRESCRIBE: NO
HOSCHEK, JEFFREY C., MD
GENDER: M
PROVIDER #: 152717
NPI #: 1376641217
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
KINDRED, STEPHEN L., MD
GENDER: M
PROVIDER #: 007306
NPI #: 1720065584
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
JANI, JAYDEV Y., MD
GENDER: M
PROVIDER #: 151627
NPI #: 1851559942
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-5361
CARR, ABBI D., APN;
PROVIDER #: 209082
E-PRESCRIBE: NO
KLAUSS, SVEN, MD
GENDER: M
PROVIDER #: 078597
NPI #: 1619953486
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BLOOMINGTON, IL
BLOOMINGTON, IL
Primary Care Physicians
KNEEZEL, LAWRENCE D., MD
GENDER: M
PROVIDER #: 000014
NPI #: 1336174580
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
ROTH, CAROLYN, NP;
PROVIDER #: 022398
E-PRESCRIBE: NO
POAG II, JOHN L., MD
GENDER: M
PROVIDER #: 078592
NPI #: 1770569550
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
LAMB, CATHERINE, MD
GENDER: F
PROVIDER #: 136325
NPI #: 1285842666
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-5361
E-PRESCRIBE: NO
POGUE, LUCAS C., MD
GENDER: M
PROVIDER #: 078595
NPI #: 1033195847
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
MCLAIN, SCOTT W., MD
GENDER: M
PROVIDER #: 248542
NPI #: 1669463436
OSF MEDICAL GROUPBLOOMINGTON INTERNAL
MEDICINE
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-5361
E-PRESCRIBE: NO
PEDERSEN, PAUL E., DO
GENDER: M
PROVIDER #: 008001
NPI #: 1053403675
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-5361
NORRIS, PAMELA J., APN;
PROVIDER #: 074338
E-PRESCRIBE: NO
RAY, WILLIAM J., MD
GENDER: M
PROVIDER #: 007311
NPI #: 1689672859
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
SWANSON, JAMES E., MD
GENDER: M
PROVIDER #: 007314
NPI #: 1538146394
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
VALENTINE, BLAIR O., MD
GENDER:
PROVIDER #: 071884
NPI #: 1588756134
OSF MEDICAL GROUP
302 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-5361
E-PRESCRIBE: NO
WEMLINGER, LORI C., MD
GENDER: F
PROVIDER #: 000056
NPI #: 1902906381
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
ROTH, CAROLYN, NP;
PROVIDER #: 022398
E-PRESCRIBE: NO
FAMILY PRACTICE
BELGRAVE, STEPHEN J., MD
GENDER: M
PROVIDER #: 000672
NPI #: 1114951357
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
FURNACE, PATRICIA, NP;
PROVIDER #: 000483
E-PRESCRIBE: NO
BIRGE, KENNETH, MD
GENDER: M
PROVIDER #: 004787
NPI #: 1194896720
SUMMITT FAMILY MEDICAL
CENTER
902 N HERSHEY RD
BLOOMINGTON, IL 61704
PHONE: (309) 662-6880
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
6
Primary Care Physicians
BRAUN, DAVID A., MD
GENDER: M
PROVIDER #: 181517
NPI #: 1568422806
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
GINNETTI, RICHARD A., MD
GENDER: M
PROVIDER #: 006881
NPI #: 1336231836
OSF MEDICAL GROUP
308 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-5050
E-PRESCRIBE: NO
CARMODY, SUSAN, MD
GENDER: F
PROVIDER #: 242489
NPI #: 1841390481
OSF MEDICAL GROUP
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE:
E-PRESCRIBE: NO
CASH, JASON W., MD
GENDER: M
PROVIDER #: 169989
NPI #: 1063593382
OSF COMMUNITY
PRENATAL CLINIC
502 S MORRIS AVE SUITE B
BLOOMINGTON, IL 61701
PHONE: (309) 829-6407
E-PRESCRIBE: NO
CIPOLLA, ROBERTO, MD
GENDER: M
PROVIDER #: 237605
NPI #: 1649370271
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
7
KENNEY, TOM J., MD
GENDER: M
PROVIDER #: 073321
NPI #: 1710070057
OSF MEDICAL GROUP
1405 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 661-2400
E-PRESCRIBE: NO
308 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-5050
E-PRESCRIBE: NO
LAMONT, TYLER A., DO
GENDER: M
PROVIDER #: 226382
NPI #: 1679673222
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
MAERE, JANINE M., MD
GENDER: F
PROVIDER #: 179232
NPI #: 1891894622
OSF MEDICAL GROUP
1001 N MITSUBISHI
MOTORWAY
BLOOMINGTON, IL 61705
PHONE: (309) 828-0806
E-PRESCRIBE: NO
1405 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 661-2400
E-PRESCRIBE: NO
BLOOMINGTON, IL
BLOOMINGTON, IL
MARLEY, DANIEL S., MD
GENDER: M
PROVIDER #: 108737
NPI #: 1154348969
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
MEHTA, SHILPA I., MD
GENDER:
PROVIDER #: 098186
NPI #: 1174616411
OSF MEDICAL GROUP
1405 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 661-2400
E-PRESCRIBE: NO
MOORE, SAM A., DO
GENDER: M
PROVIDER #: 087708
NPI #: 1972516797
OSF CENTER FOR HEALTH
AT NORD FARMSPROMPTCARE
1001 N MITSUBISHI
MOTORWAY
BLOOMINGTON, IL 61704
PHONE: (309) 828-0806
E-PRESCRIBE: NO
OSF ST JOSEPH
PROMPTCARE
1505 EASTLAND DR SUITE
1100
BLOOMINGTON, IL 61701
PHONE: (309) 663-2100
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BLOOMINGTON, IL
BLOOMINGTON, IL
MOY, CALVIN, MD
GENDER: M
PROVIDER #: 239101
NPI #: 1154558732
OSF MEDICAL GROUPCOLLEGE AVE
PROMPTCARE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
NASEER, JIBRAN, MD
GENDER: M
PROVIDER #: 202723
NPI #: 1821261892
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
NEIL, WILLIAM L., MD
GENDER: M
PROVIDER #: 000654
NPI #: 1639286131
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
FURNACE, PATRICIA, NP;
PROVIDER #: 000483
E-PRESCRIBE: NO
NORD, PAUL F., MD
GENDER:
PROVIDER #: 006671
NPI #: 1346333689
OSF MEDICAL GROUP
308 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-5050
E-PRESCRIBE: NO
Primary Care Physicians
OSBORNE, CHAD S., MD
GENDER: M
PROVIDER #: 030464
NPI #: 1235249921
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
SHANMUGAM, RAJU M., MD
GENDER: M
PROVIDER #: 228277
NPI #: 1043448111
ADVOCATE MEDICAL
GROUP
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 556-7556
E-PRESCRIBE: NO
PILCHER, STEPHEN C., MD
GENDER: M
PROVIDER #: 178680
NPI #: 1265454607
1404 EASTLAND DR SUITE
104
BLOOMINGTON, IL 61701
PHONE: (309) 663-7642
E-PRESCRIBE: NO
SPANIOL, JACK P., MD
GENDER: M
PROVIDER #: 118560
NPI #: 1356379184
OSF MEDICAL GROUP
308 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-5050
E-PRESCRIBE: NO
ROYYURU, SASIKALA D., MD
GENDER: F
PROVIDER #: 226914
NPI #: 1982800876
ADVOCATE MEDICAL
GROUP
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 556-7337
E-PRESCRIBE: NO
STEVENS, JENNIFER E., MD
GENDER: F
PROVIDER #: 239592
NPI #: 1043412893
OSF CENTER FOR HEALTH
AT NORD FARMSPROMPTCARE
1001 N MITSUBISHI
MOTORWAY
BLOOMINGTON, IL 61704
PHONE: (309) 828-0806
E-PRESCRIBE: NO
SHANKS, LACIE R., MD
GENDER: F
PROVIDER #: 151452
NPI #: 1619189859
OSF MEDICAL GROUP
1405 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 661-2400
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
PROMPTCARE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
OSF PROMPTCARE
1505 EASTLAND DR SUITE
1100
BLOOMINGTON, IL 61701
PHONE: (309) 663-2100
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
8
Primary Care Physicians
SYEDA, QAMER F., MD
GENDER: F
PROVIDER #: 226675
NPI #: 1588892509
ADVOCATE MEDICAL
GROUP
3024 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 556-7337
E-PRESCRIBE: NO
WOODS, MICHAEL J., MD
GENDER: M
PROVIDER #: 000674
NPI #: 1871698761
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
FURNACE, PATRICIA, NP;
PROVIDER #: 000483
E-PRESCRIBE: NO
PEDIATRICS
BANDY, JOHN R., MD
GENDER: M
PROVIDER #: 017778
NPI #: 1801844063
BLOOMINGTON PEDIATRICS
& ALLERGY
306 SAINT JOSEPH DRIVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
BOE, ERIK P., MD
GENDER: M
PROVIDER #: 018008
NPI #: 1942268271
BLOOMINGTON PEDIATRICS
& ALLERGY
306 SAINT JOSEPH DRIVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
9
BLOOMINGTON, IL
BLOOMINGTON, IL
DEWEY, JODIE A., MD
GENDER: F
PROVIDER #: 009692
NPI #: 1275559270
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
BRAUN, KRISTEN A., NP;
PROVIDER #: 007424
E-PRESCRIBE: NO
HOSCHEK, JEFFREY C., MD
GENDER: M
PROVIDER #: 152717
NPI #: 1376641217
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
EMM, BRIAN A., MD
GENDER: M
PROVIDER #: 119839
NPI #: 1043315021
BLOOMINGTON PEDIATRICS
& ALLERGY
306 SAINT JOSEPH DRIVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
KNOLL, DEANNA M., DO
GENDER: F
PROVIDER #: 086028
NPI #: 1629026398
BLOOMINGTON PEDIATRICS
& ALLERGY
306 SAINT JOSEPH DRIVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
FARINAS, ERIC J., MD
GENDER: M
PROVIDER #: 078585
NPI #: 1841277613
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
MARSHALL, KIMBERLY P.,
MD
GENDER: F
PROVIDER #: 177468
NPI #: 1255353603
BLOOMINGTON PEDIATRICS
& ALLERGY
306 SAINT JOSEPH DRIVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
HANCOCK, JAMES B., MD
GENDER: M
PROVIDER #: 106556
NPI #: 1235116088
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
MILLIGAN, DAVID E., MD
GENDER: M
PROVIDER #: 224791
NPI #: 1902131014
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BLOOMINGTON, IL
BOURBONNAIS, IL
Primary Care Physicians
PEGRAM, LORI L., MD
GENDER: F
PROVIDER #: 000567
NPI #: 1215947171
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
BRAUN, KRISTEN A., NP;
PROVIDER #: 007424
E-PRESCRIBE: NO
TRAINOR, STEPHEN P., MD
GENDER: M
PROVIDER #: 000569
NPI #: 1144331828
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
BRAUN, KRISTEN A., NP;
PROVIDER #: 007424
E-PRESCRIBE: NO
POGUE, LUCAS C., MD
GENDER: M
PROVIDER #: 078595
NPI #: 1033195847
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
WILSON, DENISE D., CNP;
PROVIDER #: 062426
E-PRESCRIBE: NO
WEAVER, BARRY C., MD
GENDER: M
PROVIDER #: 002245
NPI #: 1609824242
BLOOMINGTON PEDIATRIC
& ALLERGY LTD
306 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
ROSA, MARIA R., MD
GENDER: F
PROVIDER #: 071605
NPI #: 1992804793
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
TOOHILL, KAYE H., MD
GENDER: F
PROVIDER #: 119816
NPI #: 1316905805
BLOOMINGTON PEDIATRICS
& ALLERGY LTD
306 SAINT JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
ZIMMERMAN, JAMES D., MD
GENDER: M
PROVIDER #: 001774
NPI #: 1891753620
BLOOMINGTON PEDIATRIC
& ALLERGY LTD
306 ST JOSEPH DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
BLUE MOUND, IL
FAMILY PRACTICE
BOCK, JAMES, MD
GENDER: M
PROVIDER #: 157369
NPI #: 1285643825
ST MARYS FAMILY
MEDICINE
113 E SIEBERG
BLUE MOUND, IL 62513
PHONE: (217) 692-2151
E-PRESCRIBE: NO
BOLINGBROOK, IL
ADULT/INTERNAL
MEDICINE
KOTA, SRINIVAS C., MD
GENDER: M
PROVIDER #: 080582
NPI #: 1659481562
726 S WEBER RD
BOLINGBROOK, IL 60490
PHONE: (630) 378-9785
E-PRESCRIBE: NO
PEDIATRICS
DECKER, HEATHER A., MD
GENDER: F
PROVIDER #: 225572
NPI #: 1336114529
PROVENA MEDICAL GROUP
1000 REMINGTON BLVD
SUITE 100
BOLINGBROOK, IL 60440
PHONE: (630) 914-2417
E-PRESCRIBE: NO
BOURBONNAIS, IL
ADULT/INTERNAL
MEDICINE
CHANDAN, NARESH C., DO
GENDER: M
PROVIDER #: 175000
NPI #: 1811094550
ALLIANCE INTERNAL
MEDICINE SC
370 LARRY POWER RD SUITE
2
BOURBONNAIS, IL 60914
PHONE: (815) 523-7020
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
10
Primary Care Physicians
HUSSAINI, ASIMA K., MD
GENDER: F
PROVIDER #: 156446
NPI #: 1437110970
RIVERSIDE PRIMARY CARE
ASSOCIATES
400 RIVERSIDE DR SUITE
2800
BOURBONNAIS, IL 60914
PHONE: (815) 935-1100
REDDICK, DENA K., FNPC;
PROVIDER #: 195029
E-PRESCRIBE: NO
MOPARTHI, VENKATA, MD
GENDER: M
PROVIDER #: 099434
NPI #: 1699797548
PROVENA MEDICAL GROUP
656 N CONVENT SUITE C
BOURBONNAIS, IL 60914
PHONE: (815) 936-5167
E-PRESCRIBE: NO
MOSS, KEITH, MD
GENDER: M
PROVIDER #: 244026
NPI #: 1588601819
RMG INTERNAL MED
300 RIVERSIDE SUITE 2400
BOURBONNAIS, IL 60914
PHONE: (815) 935-2784
E-PRESCRIBE: YES
OMOTOSHO, WURAOLA I.,
MD
GENDER: F
PROVIDER #: 184428
NPI #: 1427222884
PROVENA SERVICE
CORPORATION
656 N CONVENT SUITE C
BOURBONNAIS, IL 60914
PHONE: (815) 936-5167
E-PRESCRIBE: NO
11
OO, SAW, MD
GENDER: F
PROVIDER #: 170735
NPI #: 1093813156
ALLIANCE INTERNAL
MEDICINE SC
370 LARRY POWER RD SUITE
2
BOURBONNAIS, IL 60914
PHONE: (815) 523-7020
E-PRESCRIBE: NO
THOMAS, ABRAHAM, MD
GENDER: M
PROVIDER #: 089063
NPI #: 1063423655
PROVENA MEDICAL GROUP
656 N COVENANT SUITE B
BOURBONNAIS, IL 60914
PHONE: (815) 936-5167
E-PRESCRIBE: NO
VILLEGAS, JOEL P., MD
GENDER: M
PROVIDER #: 186983
NPI #: 1518063205
ALLIANCE INTERNAL
MEDICINE SC
370 LARRY POWER RD SUITE
2
BOURBONNAIS, IL 60914
PHONE: (815) 741-7590
E-PRESCRIBE: NO
YALAMANCHILI, SARAT P.,
MD
GENDER: M
PROVIDER #: 063144
NPI #: 1194722942
SARAT P YALAMANCHILI
MD
1521 N CONVENT ST SUITE
100
BOURBONNAIS, IL 60914
PHONE: (815) 937-4500
E-PRESCRIBE: NO
BOURBONNAIS, IL
BOURBONNAIS, IL
FAMILY PRACTICE
DOWNING, RASHIDA M., MD
GENDER: F
PROVIDER #: 208863
NPI #: 1750536645
RIVERSIDE PRIMARY CARE
ASSOCIATES
400 RIVERSIDE DR SUITE
2800
BOURBONNAIS, IL 60914
PHONE: (815) 935-1100
E-PRESCRIBE: NO
GOODMAN, JORDAN A., MD
GENDER:
PROVIDER #: 132922
NPI #: 1538244389
PROVENA MEDICAL GROUP
656 N CONVENT SUITE B
BOURBONNAIS, IL 60914
PHONE: (815) 936-5186
E-PRESCRIBE: NO
SUHAIL, JAWARIA T., MD
GENDER: F
PROVIDER #: 230311
NPI #: 1699066084
RIVERSIDE PRIMARY CARE
ASSOCIATES
400 RIVERSIDE DR SUITE
2800
BOURBONNAIS, IL 60914
PHONE: (815) 935-1100
E-PRESCRIBE: NO
WAHEED, HARRIS, MD
GENDER: M
PROVIDER #: 207122
NPI #: 1164511580
FIRST CARE FAMILY CLINIC
581 WILLIAM LATHAM DR
SUITE 102
BOURBONNAIS, IL 60914
PHONE: (815) 802-0000
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BOURBONNAIS, IL
BOURBONNAIS, IL
ZAHEER PEDIATRIC
ASSOCIATES
581 WILLIAM LATHAM DR
SUITE 101
BOURBONNAIS, IL 60914
PHONE: (815) 802-0022
E-PRESCRIBE: YES
WOITAS, MEGAN P., DO
GENDER: F
PROVIDER #: 207114
NPI #: 1801091392
FIRST CARE FAMILY CLINIC
581 WILLIAM LATHAM DR
SUITE 102
BOURBONNAIS, IL 60914
PHONE: (815) 802-0000
E-PRESCRIBE: YES
WOITAS, MEGAN, DO
GENDER: F
PROVIDER #: 211783
NPI #: 1801091392
ZAHEER PEDIATRIC
ASSOCIATES
581 WILLIAM LATHAM DR
SUITE 101
BOURBONNAIS, IL 60914
PHONE: (815) 802-0022
E-PRESCRIBE: YES
PEDIATRICS
BATISH, NAINA, MD
GENDER: F
PROVIDER #: 099729
NPI #: 1063425296
ABC PEDIATRICS OF
KANKAKEE COUNTY SC
370 LARRY POWER RD SUITE
1
BOURBONNAIS, IL 60914
PHONE: (815) 937-3515
E-PRESCRIBE: NO
Primary Care Physicians
GARCIA, MARIA L., MD
GENDER: F
PROVIDER #: 110659
NPI #: 1487667614
ABC PEDIATRICS OF
KANKAKEE COUNTY SC
370 LARRY POWER RD SUITE
1
BOURBONNAIS, IL 60914
PHONE: (815) 937-3515
E-PRESCRIBE: NO
OO, MYINT, MD
GENDER: M
PROVIDER #: 083190
NPI #: 1215940143
ABC PEDIATRICS OF
KANKAKEE COUNTY SC
370 LARRY POWER RD SUITE
1
BOURBONNAIS, IL 60914
PHONE: (815) 937-3515
E-PRESCRIBE: NO
KIM, YOU S., MD
GENDER: F
PROVIDER #: 005269
NPI #: 1225041445
ABC PEDIATRICS OF
KANKAKEE COUNTY SC
370 LARRY POWER RD SUITE
1
BOURBONNAIS, IL 60914
PHONE: (815) 937-3515
E-PRESCRIBE: NO
STERLING, LEIGH E., DO
GENDER: F
PROVIDER #: 184711
NPI #: 1326225954
ZAHEER PEDIATRIC
ASSOCIATES
581 WILLIAM LATHAM DR
SUITE 101
BOURBONNAIS, IL 60914
PHONE: (815) 802-0022
E-PRESCRIBE: NO
LEAHY-AUER, JOANNE M.,
MD
GENDER: F
PROVIDER #: 054745
NPI #: 1548369317
RIVERSIDE MEDICAL
CENTER OF BOURBONNAIS
338 LARRY POWER RD
BOURBONNAIS, IL 60914
PHONE: (815) 935-2991
E-PRESCRIBE: NO
ZAHEER, SAADIA, MD
GENDER: F
PROVIDER #: 186459
NPI #: 1629178264
ZAHEER PEDIATRIC
ASSOCIATES
581 WILLIAM LATHAM DR
SUITE 101
BOURBONNAIS, IL 60914
PHONE: (815) 802-0022
E-PRESCRIBE: NO
MCBRIDE, DOREENA M., MD
GENDER: F
PROVIDER #: 170971
NPI #: 1801830799
PEDICLINIC PC
461 BROWN BLVD
BOURBONNAIS, IL 60914
PHONE: (815) 933-5700
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
12
Primary Care Physicians
BREITWEISER, DAVID A., MD
GENDER: M
PROVIDER #: 122563
NPI #: 1194715854
PROVIDENCE MEDICAL
GROUP
1214 EAST NATIONAL
AVENUE SUITE 100
BRAZIL, IN 47834
PHONE: (812) 238-1730
E-PRESCRIBE: NO
BOWEN, IL
FAMILY PRACTICE
HOLDEN, MICHAEL D., MD
GENDER: M
PROVIDER #: 158906
NPI #: 1558366088
MEMORIAL MEDICAL
CLINICS
209 E 5TH STREET PO BOX
105
BOWEN, IL 62316
PHONE: (217) 842-5211
E-PRESCRIBE: NO
GENERAL PRACTICE
MCKENNEY, EDWARD F., DO
GENDER: M
PROVIDER #: 044066
NPI #: 1457334591
MEMORIAL MEDICAL
CLINICS
209 E 5TH STREET PO BOX
105
BOWEN, IL 62316
PHONE: (217) 842-5211
LEON, JEFF A., PA-C;
PROVIDER #: 034004
E-PRESCRIBE: NO
BRAZIL, IN
FAMILY PRACTICE
BOULOS, DANY, MD
GENDER: M
PROVIDER #: 204671
NPI #: 1780830703
PROVIDENCE MEDICAL
GROUP
1207 E NATIONAL AVE
BRAZIL, IN 47834
PHONE: (812) 446-2551
E-PRESCRIBE: NO
13
FRENCH, CHARLES R., MD
GENDER: M
PROVIDER #: 154770
NPI #: 1578537957
PROVIDENCE MEDICAL
GROUP
1207 E NATIONAL AVENUE
BRAZIL, IN 47834
PHONE: (812) 446-2551
E-PRESCRIBE: NO
JOHNSON, CRAIG A., MD
GENDER: M
PROVIDER #: 154359
NPI #: 1295725851
PROVIDENCE MEDICAL
GROUP
1214 EAST NATIONAL
AVENUE SUITE 100
BRAZIL, IN 47834
PHONE: (812) 238-1730
E-PRESCRIBE: NO
ZWERNER, FRANK A., DO
GENDER: M
PROVIDER #: 205826
NPI #: 1821254269
PROVIDENCE MEDICAL
GROUP
1214 E NATIONAL AVE SUITE
100
BRAZIL, IN 47834
PHONE: (812) 238-1730
E-PRESCRIBE: NO
BOWEN, IL
BYRON, IL
BRIMFIELD, IL
FAMILY PRACTICE
BEVILL, ROBERT S., MD
GENDER: M
PROVIDER #: 008402
NPI #: 1700886280
EAGLE FAMILY MEDICINE
111 E KNOXVILLE AVE
BRIMFIELD, IL 61517
PHONE: (309) 446-3305
E-PRESCRIBE: NO
BUSHNELL, IL
FAMILY PRACTICE
ARNOLD, JOHN M., MD
GENDER: M
PROVIDER #: 014509
NPI #: 1154327526
BUSHNELL FAMILY
PRACTICE
155 W HAIL ST
BUSHNELL, IL 61422
PHONE: (309) 772-9444
ADAMS, SUSAN E., APN;
PROVIDER #: 108211
E-PRESCRIBE: NO
BYRON, IL
FAMILY PRACTICE
MYERS, RACHEL N., MD
GENDER: F
PROVIDER #: 248529
NPI #: 1013149889
OSF MEDICAL GROUPBYRON
109 N FRANKLIN ST
BYRON, IL 61010
PHONE: (815) 395-4542
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CANTON, IL
CANTON, IL
CANTON, IL
ADULT/INTERNAL
MEDICINE
KROCK, KENNETH, MD
GENDER: M
PROVIDER #: 013495
NPI #: 1699883868
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
MCCARTHY, JOHN M., MD
GENDER: M
PROVIDER #: 133265
NPI #: 1033327069
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
PHILLIPS, BENJAMIN W., MD
GENDER: M
PROVIDER #: 133274
NPI #: 1275678021
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
ADAMS, SUSAN E., CNP;
PROVIDER #: 154523
E-PRESCRIBE: NO
SMITH, JIMMIE, MD
GENDER: M
PROVIDER #: 014146
NPI #: 1194834937
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
AGARWAL, DEVASHISH, MD
GENDER:
PROVIDER #: 225126
NPI #: 1841382298
GRAHAM HOSPITAL
ASSOCIATION
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 647-5240
E-PRESCRIBE: NO
BOWERS, JOSHUA D., MD
GENDER: M
PROVIDER #: 167250
NPI #: 1194947002
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (307) 647-0201
E-PRESCRIBE: NO
DAY, JOHN H., MD
GENDER: M
PROVIDER #: 117182
NPI #: 1376651802
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
HOLTHAUS, SUZANNE E., MD
GENDER: F
PROVIDER #: 062751
NPI #: 1174631337
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
RENICK, PATRICK B., MD
GENDER: M
PROVIDER #: 151022
NPI #: 1760604193
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
SAVEGNAGO, A KURT, MD
GENDER: M
PROVIDER #: 013497
NPI #: 1003924085
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
PEDIATRICS
KROCK, KENNETH, MD
GENDER: M
PROVIDER #: 013495
NPI #: 1699883868
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
MCCARTHY, JOHN M., MD
GENDER: M
PROVIDER #: 133265
NPI #: 1033327069
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
LANSER, TODD A., MD
GENDER: M
PROVIDER #: 166967
NPI #: 1376765891
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
14
CANTON, IL
CARMI, IL
Primary Care Physicians
PHILLIPS, BENJAMIN W., MD
GENDER: M
PROVIDER #: 133274
NPI #: 1275678021
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
ADAMS, SUSAN E., CNP;
PROVIDER #: 154523
E-PRESCRIBE: NO
WELL, MARCI, MD
GENDER: F
PROVIDER #: 049801
NPI #: 1821107699
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
CARBONDALE, IL
FAMILY PRACTICE
SALEM, ANAD, MD
GENDER: M
PROVIDER #: 031261
NPI #: 1659366839
207 W JACKSON
CARBONDALE, IL 62901
PHONE: (618) 457-2963
E-PRESCRIBE: YES
15
CARLINVILLE, IL
ADULT/INTERNAL
MEDICINE
CHOPRA, KAMAL K., MD
GENDER: M
PROVIDER #: 008537
NPI #: 1598762262
CARLINVILLE MEDICAL
CLINIC
604 N BROAD STREET
CARLINVILLE, IL 62626
PHONE: (217) 854-9411
DE WITT, NATHAN A., PA;
PROVIDER #: 103380
GUIDISH, CATHY L., FNP;
PROVIDER #: 119668
NORRIS, ARLENE, PA-C;
PROVIDER #: 081057
E-PRESCRIBE: NO
LAWS, GREGG L., MD
GENDER: M
PROVIDER #: 008526
NPI #: 1861598534
1115 MORGAN
CARLINVILLE, IL 62626
PHONE: (217) 854-4552
E-PRESCRIBE: NO
OBRIEN, ELIZABETH E., MD
GENDER: F
PROVIDER #: 151137
NPI #: 1881650570
SPRINGFIELD CLINIC
101 MCCASLAND AVE
CARLINVILLE, IL 62626
PHONE: (217) 854-5099
JAVENS, HANNAH J., PA-C;
PROVIDER #: 210674
E-PRESCRIBE: YES
FAMILY PRACTICE
EMMERICH, KATE M., MD
GENDER: F
PROVIDER #: 189130
NPI #: 1477735397
CARLINVILLE AREA
HOSPITAL ASSOCIATION
20733 NORTH BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3141
E-PRESCRIBE: NO
PEDIATRICS
FLEISCHER, JULIE A., MD
GENDER: F
PROVIDER #: 069906
NPI #: 1679500292
SPRINGFIELD CLINIC LLP
101 MCCAUSLAND
CARLINVILLE, IL 62626
PHONE: (217) 854-5099
VOLLMER, LARA, NP;
PROVIDER #: 062226
YODER, HOLLIE A., NP;
PROVIDER #: 133307
E-PRESCRIBE: YES
CARMI, IL
FAMILY PRACTICE
BOREN, PHILLIP D., MD
GENDER: M
PROVIDER #: 057337
NPI #: 1750453841
DOCTORS CLINIC
106 APRIL AVE
CARMI, IL 62821
PHONE: (618) 382-4193
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CARMI, IL
CARTHAGE, IL
GENERAL PRACTICE
SAQIB, ZAHID, MD
GENDER: M
PROVIDER #: 004783
NPI #: 1710063292
DOCTORS CLINIC
402 S PLUM ST
CARMI, IL 62821
PHONE: (618) 382-4193
E-PRESCRIBE: NO
CARPENTERSVILLE, IL
FAMILY PRACTICE
JOSEPH, JINCY K., MD
GENDER: F
PROVIDER #: 180178
NPI #: 1720009228
2201 RANDALL RD
CARPENTERSVILLE, IL 60110
PHONE: (847) 551-1589
E-PRESCRIBE: NO
PEDIATRICS
MAW, THIDA, MD
GENDER: F
PROVIDER #: 189862
NPI #: 1114927191
2201 RANDALL ROAD
CARPENTERSVILLE, IL 60110
PHONE: (847) 428-1179
E-PRESCRIBE: NO
Primary Care Physicians
CARTERVILLE, IL
FAMILY PRACTICE
BROWN, DOUGLAS, DO
GENDER: M
PROVIDER #: 182629
NPI #: 1033364674
BROWNS FAMILY MEDICINE
LLC
209 W COMMERCIAL SUITE
H
CARTERVILLE, IL 62918
PHONE: (618) 985-9559
E-PRESCRIBE: NO
CARTHAGE, IL
ADULT/INTERNAL
MEDICINE
WESP, AARON G., MD
GENDER: M
PROVIDER #: 233662
NPI #: 1831169788
WOMEN & FAMILY
MEDICAL GROUP
403 S ADAMS ST SUITE 239
CARTHAGE, IL 62321
PHONE: (217) 357-0617
E-PRESCRIBE: NO
FAMILY PRACTICE
ALT, SUZANNE E., DO
GENDER: F
PROVIDER #: 206489
NPI #: 1811995566
WOMEN & FAMILY
MEDICAL GROUP
403 S ADAMS ST SUITE 239
CARTHAGE, IL 62321
PHONE: (217) 357-0617
E-PRESCRIBE: YES
BELL, CARL T., MD
GENDER: M
PROVIDER #: 199143
NPI #: 1013929090
MEMORIAL HOSPITAL
1454 N COUNTY RD 2050
CARTHAGE, IL 62321-3551
PHONE: (217) 357-8562
E-PRESCRIBE: NO
MIDWEST FAMILY MEDICAL
CARE
630 LOCUST ST
CARTHAGE, IL 62321
PHONE: (217) 357-2173
E-PRESCRIBE: NO
BURGE, SUSAN J., DO
GENDER: F
PROVIDER #: 222919
NPI #: 1386848042
WOMEN & FAMILY
MEDICAL GROUP
403 S ADAMS ST SUITE 239
CARTHAGE, IL 62321
PHONE: (217) 357-0617
E-PRESCRIBE: NO
DAVIS, KURTIS W., MD
GENDER: M
PROVIDER #: 204537
NPI #: 1639335193
MIDWEST FAMILY MEDICAL
CARE
630 LOCUST ST
CARTHAGE, IL 62321
PHONE: (217) 357-2173
E-PRESCRIBE: NO
WOMEN & FAMILY
MEDICAL GROUP
403 S ADAMS ST SUITE 239
CARTHAGE, IL 62321
PHONE: (217) 357-0617
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
16
CARTHAGE, IL
CHAMPAIGN, IL
Primary Care Physicians
HEIGHTON, DOUGLAS A., MD
GENDER: M
PROVIDER #: 174769
NPI #: 1184661076
MEMORIAL MEDICAL
CLINICS
630 LOCUST ST
CARTHAGE, IL 62321
PHONE: (217) 357-2173
E-PRESCRIBE: NO
HOLDEN, MICHAEL D., MD
GENDER: M
PROVIDER #: 158906
NPI #: 1558366088
MEMORIAL HOSPITAL
1454 N COUNTY RD 2050
CARTHAGE, IL 62321
PHONE: (217) 357-3131
E-PRESCRIBE: NO
SMITH, LIONEL J., MD
GENDER: M
PROVIDER #: 223678
NPI #: 1386617249
HANCOCK CO HEALTH DEPT
671 WABASH AVE
CARTHAGE, IL 62321
PHONE: (217) 357-2171
E-PRESCRIBE: NO
GENERAL PRACTICE
EDDINGFIELD, CHARLES F.,
MD
GENDER: M
PROVIDER #: 157353
NPI #: 1407041270
HANCOCK CO HEALTH DEPT
671 W WABASH AVE
CARTHAGE, IL 62321
PHONE: (217) 357-2171
E-PRESCRIBE: NO
17
CAYUGA, IN
FAMILY PRACTICE
BEACHY, ERIC D., MD
GENDER: M
PROVIDER #: 239781
NPI #: 1881652188
VERMILLION-PARKE
COMMUNITY HEALTH
CENTER
114 N DIVISION ST
CAYUGA, IN 47928
PHONE:
E-PRESCRIBE: NO
BROCK, GREGORY K., DO
GENDER: M
PROVIDER #: 210516
NPI #: 1952374779
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928
PHONE: (765) 492-9042
E-PRESCRIBE: NO
BUECHLER, JAMES R., MD
GENDER: M
PROVIDER #: 210488
NPI #: 1104817758
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928
PHONE: (765) 492-9042
E-PRESCRIBE: NO
CARDIN, RACHEL, MD
GENDER: F
PROVIDER #: 245760
NPI #: 1790914380
VERMILLION PARKE
COMMUNITY HEALTH
CENTERS
114 N DIVISION
CAYUGA, IN 47928
PHONE:
E-PRESCRIBE: YES
CHAPPELL, ELAINE M., MD
GENDER: F
PROVIDER #: 216079
NPI #: 1326204769
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928
PHONE: (765) 492-9042
E-PRESCRIBE: YES
EHRESMAN, ROBERT M., MD
GENDER: M
PROVIDER #: 209493
NPI #: 1639335086
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928
PHONE: (765) 492-9042
E-PRESCRIBE: NO
VALERA, LAURIE J., MD
GENDER: F
PROVIDER #: 190608
NPI #: 1790941086
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928
PHONE: (765) 492-9042
E-PRESCRIBE: NO
CHAMPAIGN, IL
ADULT/INTERNAL
MEDICINE
BARTLETT, ANDREW, DO
GENDER: M
PROVIDER #: 091819
NPI #: 1073520516
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CHAMPAIGN, IL
CHAMPAIGN, IL
CINNAMON, SCOTT R., MD
GENDER: M
PROVIDER #: 047465
NPI #: 1851326755
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
MATHEWS, BETH L., NP;
PROVIDER #: 178024
E-PRESCRIBE: YES
Primary Care Physicians
HSU-LUMETTA, JENNIE C.,
MD
GENDER: F
PROVIDER #: 085865
NPI #: 1811929219
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
SCHUCHART, CHARLOTTE
L., MD
GENDER: F
PROVIDER #: 100310
NPI #: 1659389393
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-8000
E-PRESCRIBE: YES
COLLINS, KATHLEEN L., MD
GENDER: F
PROVIDER #: 091616
NPI #: 1962419432
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
MANDHAN, NARAIN D., MD
GENDER: M
PROVIDER #: 185109
NPI #: 1730170655
HEARTLAND HOME
HEALTHCARE
309 E SPRINGFIELD AVE
CHAMPAIGN, IL 61820
PHONE:
E-PRESCRIBE: NO
SEHY, J TIMOTHY, MD
GENDER: M
PROVIDER #: 091666
NPI #: 1548278229
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
HABIB, IHSAN, MD
GENDER: M
PROVIDER #: 229515
NPI #: 1609958032
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-5434
E-PRESCRIBE: NO
PATEL, MAHINDRA D., MD
GENDER: M
PROVIDER #: 006780
NPI #: 1841263258
410 E UNIVERSITY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 355-8880
E-PRESCRIBE: NO
HAMMOUD, IHAB, MD
GENDER: M
PROVIDER #: 181226
NPI #: 1538378617
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
HO, DANG D., MD
GENDER: M
PROVIDER #: 091640
NPI #: 1669489217
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
QATTASH, ISMAIL, MD
GENDER: M
PROVIDER #: 150677
NPI #: 1538329982
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
RAMAN, KAVITHA, MD
GENDER: F
PROVIDER #: 109082
NPI #: 1699797555
PROVENA MEDICAL GROUP
410 E UNIVERSITY AVE
SUITE 200
CHAMPAIGN, IL 61820
PHONE: (217) 352-9755
E-PRESCRIBE: NO
SHANMUGHAM, ANURADHA,
MD
GENDER: F
PROVIDER #: 135811
NPI #: 1992827299
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-8000
E-PRESCRIBE: YES
SPERKA, GRETCHEN B., DO
GENDER: F
PROVIDER #: 085880
NPI #: 1518067743
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
SUNDARAM, SUMUK, MD
GENDER: M
PROVIDER #: 091668
NPI #: 1275542912
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-8000
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
18
Primary Care Physicians
WALKER, NATHAN R., MD
GENDER: M
PROVIDER #: 109269
NPI #: 1629087325
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-1200
E-PRESCRIBE: YES
WELCH, JANET W., MD
GENDER: F
PROVIDER #: 009865
NPI #: 1891898110
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
WILSON, PAUL R., MD
GENDER: M
PROVIDER #: 000026
NPI #: 1710084124
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6207
E-PRESCRIBE: YES
ZABANEH, SAMI, MD
GENDER: M
PROVIDER #: 091839
NPI #: 1548279110
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
FAMILY PRACTICE
ANTONSEN, INGRID C., MD
GENDER: F
PROVIDER #: 091696
NPI #: 1508870601
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6107
E-PRESCRIBE: YES
19
ANUKWU, LINUS, MD
GENDER: M
PROVIDER #: 172297
NPI #: 1144242090
BAYVIEW FAMILY CLINIC
LTD
805 W SPRINGFIELD AVE
CHAMPAIGN, IL 61820
PHONE: (217) 356-3400
E-PRESCRIBE: NO
BAISA, MARIA LENNIE Q., MD
GENDER: F
PROVIDER #: 091869
NPI #: 1326154188
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
BEITEL, JOYCE W., MD
GENDER: F
PROVIDER #: 000659
NPI #: 1639109879
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6201
PARRETT, LAURA, NP;
PROVIDER #: 000701
ZUKOSKY, MARCIA, NP;
PROVIDER #: 000506
E-PRESCRIBE: YES
BRUNNER, DAWN C., MD
GENDER: F
PROVIDER #: 225404
NPI #: 1063643187
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-6104
E-PRESCRIBE: NO
CHAMPAIGN, IL
CHAMPAIGN, IL
FONS, DOMINIQUE K., MD
GENDER: F
PROVIDER #: 202201
NPI #: 1134391881
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6201
E-PRESCRIBE: YES
HOFFMAN II, JOHN R., MD
GENDER: M
PROVIDER #: 220138
NPI #: 1760480396
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6107
E-PRESCRIBE: YES
JAMMA, KIRANMAI, MD
GENDER: F
PROVIDER #: 095226
NPI #: 1053328609
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6104
E-PRESCRIBE: YES
KANG, JOY H., DO
GENDER: F
PROVIDER #: 222044
NPI #: 1063723112
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6203
E-PRESCRIBE: YES
KIM, JANE C., MD
GENDER: F
PROVIDER #: 151480
NPI #: 1356511166
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6201
BANGERT, JODI L., PA;
PROVIDER #: 206000
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CHAMPAIGN, IL
CHAMPAIGN, IL
MCCOY, DAWN K., MD
GENDER: F
PROVIDER #: 095770
NPI #: 1356365779
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6201
PARRETT, LAURA, NP;
PROVIDER #: 000701
ZUKOSKY, MARCIA, NP;
PROVIDER #: 000506
E-PRESCRIBE: YES
MEGEFF, RANDALL A., MD
GENDER: M
PROVIDER #: 031712
NPI #: 1083663918
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6107
E-PRESCRIBE: YES
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 222916
NPI #: 1922235944
HEARTLAND HOME
HEALTHCARE
309 E SPRINGFIELD AVE
CHAMPAIGN, IL 61820
PHONE:
E-PRESCRIBE: NO
TROIANO, CYNTHIA M., DO
GENDER: F
PROVIDER #: 095241
NPI #: 1366450520
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-6104
E-PRESCRIBE: YES
Primary Care Physicians
UZODIKE, ONA, MD
GENDER: F
PROVIDER #: 109274
NPI #: 1447269113
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
BOLTON, SUSAN, MD
GENDER: F
PROVIDER #: 113679
NPI #: 1336156884
CHRISTIE CLINIC
1801 WINDSOR RD
CHAMPAIGN, IL 61822
PHONE:
E-PRESCRIBE: YES
YANG, TINA Y., DO
GENDER: F
PROVIDER #: 204235
NPI #: 1457590408
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 365-6200
E-PRESCRIBE: YES
HAUFFE, JAMES E., MD
GENDER: M
PROVIDER #: 000568
NPI #: 1396752952
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6202
E-PRESCRIBE: YES
FAMILY PRACTICE OB
KEELEY, JOSEPH, MD
GENDER: M
PROVIDER #: 192709
NPI #: 1093752370
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-1200
E-PRESCRIBE: YES
BEITEL, JOYCE W., MD
GENDER: F
PROVIDER #: 000659
NPI #: 1639109879
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6201
PARRETT, LAURA, NP;
PROVIDER #: 000701
ZUKOSKY, MARCIA, NP;
PROVIDER #: 000506
E-PRESCRIBE: YES
PEDIATRICS
BASILIOS, FATHY, MD
GENDER: M
PROVIDER #: 091868
NPI #: 1992710420
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
MARANON, M LOUISA, MD
GENDER: F
PROVIDER #: 091647
NPI #: 1588674105
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
MUSSELMAN, MARK S., MD
GENDER: M
PROVIDER #: 068604
NPI #: 1336256825
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61821
PHONE: (217) 365-6200
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
20
CHAMPAIGN, IL
CHARLESTON, IL
Primary Care Physicians
PALAZZOLO, MICHAEL, MD
GENDER: M
PROVIDER #: 091833
NPI #: 1427065028
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
PORTER, MYISHA Z., MD
GENDER: F
PROVIDER #: 150678
NPI #: 1093975443
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61820
PHONE: (217) 366-1257
E-PRESCRIBE: NO
CHANNAHON, IL
FAMILY PRACTICE
JEGAN-MOHAN,
JANANDANA K., MD
GENDER: F
PROVIDER #: 178973
NPI #: 1942468145
PROVENA MEDICAL GROUP
27025 W EAMES ST
CHANNAHON, IL 60410
PHONE: (815) 467-1988
E-PRESCRIBE: NO
CHARLESTON, IL
FAMILY PRACTICE
SEE, PAULETTE M., MD
GENDER: F
PROVIDER #: 084239
NPI #: 1962419507
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6202
E-PRESCRIBE: YES
STRIEGEL, JANE E., MD
GENDER: F
PROVIDER #: 000505
NPI #: 1427169127
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6200
E-PRESCRIBE: YES
ALVARADO, JOAN, MD
GENDER: F
PROVIDER #: 246976
NPI #: 1033430624
CHARLESTON FAMILY
PRACTICE
116 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-7700
E-PRESCRIBE: NO
BAJAJ, ARUN, MD
GENDER: M
PROVIDER #: 003987
NPI #: 1841252087
735 18TH ST
CHARLESTON, IL 61920
PHONE: (217) 345-6582
E-PRESCRIBE: NO
DORNER, MATTHEW J., MD
GENDER: M
PROVIDER #: 192649
NPI #: 1528176880
CHARLESTON FAMILY
PRACTICE
116 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-7700
E-PRESCRIBE: NO
21
EMENECKER, MARK, DO
GENDER: M
PROVIDER #: 072301
NPI #: 1285740571
SBL CHARLESTON FAMILY
PRACTICE
116 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-7700
E-PRESCRIBE: NO
JERABEK, JASON B., DO
GENDER: M
PROVIDER #: 241071
NPI #: 1396853008
BELLA HEALTH AND
WELLNESS LLC
100 DEERPATH RD
CHARLESTON, IL 61920
PHONE: (217) 355-8346
E-PRESCRIBE: NO
MARTINEZ, JAIME, MD
GENDER: M
PROVIDER #: 248888
NPI #: 1962713909
SBL PRAIRIE FAMILY
PRACTICE
2040 LINCOLN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-2030
E-PRESCRIBE: NO
PEDIATRICS
STOLTZ, DAVID, MD
GENDER: M
PROVIDER #: 108923
NPI #: 1578674420
SBL CHARLESTON FAMILY
PRACTICE
116 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-7700
FULTON, PATRICIA, APN;
PROVIDER #: 159947
WOODARD, MICHELE, APN;
PROVIDER #: 123343
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CHATHAM, IL
CHATSWORTH, IL
CHATHAM, IL
FAMILY PRACTICE
CRABTREE, CATHERINE, MD
GENDER: F
PROVIDER #: 189966
NPI #: 1336168699
CHATHAM FAMILY
PRACTICE
345 N MAIN ST
CHATHAM, IL 62629
PHONE: (217) 483-3333
E-PRESCRIBE: NO
CRABTREE, JAMES T., MD
GENDER: M
PROVIDER #: 189964
NPI #: 1538188818
CHATHAM FAMILY
PRACTICE
345 N MAIN ST
CHATHAM, IL 62629
PHONE: (217) 483-3333
E-PRESCRIBE: NO
MOSQUERA, GUSTAVO, MD
GENDER: M
PROVIDER #: 190685
NPI #: 1033395629
FAMILY MEDICAL CENTER
OF CHATHAM LLC
101 E PLUMMER RD
CHATHAM, IL 62629
PHONE: (217) 483-3487
E-PRESCRIBE: NO
ROLLET, JOHN C., MD
GENDER: M
PROVIDER #: 189969
NPI #: 1932119112
CHATHAM FAMILY
PRACTICE
345 N MAIN ST
CHATHAM, IL 62629
PHONE: (217) 483-3333
E-PRESCRIBE: NO
Primary Care Physicians
SCHEIBLER-VENTRESS,
CHRISTINA L., MD
GENDER: F
PROVIDER #: 119047
NPI #: 1831148022
FAMILY MEDICAL CENTER
OF CHATHAM LLC
101 E PLUMMER RD
CHATHAM, IL 62629
PHONE: (217) 483-3487
E-PRESCRIBE: NO
SHEEDY, MICHAEL, MD
GENDER: M
PROVIDER #: 041063
NPI #: 1790758894
FAMILY MEDICAL CENTER
OF CHATHAM LLC
101 E PLUMMER
CHATHAM, IL 62629
PHONE: (217) 483-3487
E-PRESCRIBE: NO
SUCHOMSKI, GERALD, MD
GENDER: M
PROVIDER #: 042838
NPI #: 1538133350
FAMILY MEDICAL CENTER
OF CHATHAM LLC
101 E PLUMMER RD
CHATHAM, IL 62629
PHONE: (217) 483-3487
E-PRESCRIBE: NO
WILLIAMS, DORIS M., MD
GENDER: F
PROVIDER #: 193613
NPI #: 1891966792
CHATHAM FAMILY
PRACTICE
345 N MAIN ST
CHATHAM, IL 62629
PHONE: (217) 483-3333
E-PRESCRIBE: NO
CHATSWORTH, IL
ADULT/INTERNAL
MEDICINE
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
416 E LOCUST ST
CHATSWORTH, IL 60921
PHONE: (815) 635-3177
E-PRESCRIBE: NO
FAMILY PRACTICE
STEVENS, JENNIFER E., MD
GENDER: F
PROVIDER #: 182380
NPI #: 1043412893
OSF MEDICAL GROUP
416 E LOCUST ST
CHATSWORTH, IL 60921
PHONE: (815) 635-3177
E-PRESCRIBE: NO
PEDIATRICS
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
416 E LOCUST ST
CHATSWORTH, IL 60921
PHONE: (815) 635-3177
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
22
CHEBANSE, IL
CHILLICOTHE, IL
Primary Care Physicians
CHEBANSE, IL
ADULT/INTERNAL
MEDICINE
PENNEPALLI, RAJENDRA S.,
MD
GENDER: M
PROVIDER #: 005317
NPI #: 1154371193
125 W 1ST NORTH ST
CHEBANSE, IL 60922
PHONE: (815) 697-2323
E-PRESCRIBE: NO
CHENOA, IL
ADULT/INTERNAL
MEDICINE
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
918 E LINCOLN ST
CHENOA, IL 61726
PHONE: (815) 945-2261
E-PRESCRIBE: NO
FAMILY PRACTICE
LAU, DANIEL S., MD
GENDER: M
PROVIDER #: 206357
NPI #: 1720398480
OSF MEDICAL GROUP
918 E LINCOLN ST
CHENOA, IL 61726
PHONE: (815) 945-2261
E-PRESCRIBE: NO
23
NORRIS, STEVEN S., MD
GENDER: M
PROVIDER #: 077629
NPI #: 1316988934
OSF MEDICAL GROUP
918 E LINCOLN ST
CHENOA, IL 61726
PHONE: (815) 945-2261
E-PRESCRIBE: NO
NULTY, WILLIAM G., MD
GENDER: M
PROVIDER #: 052671
NPI #: 1639148356
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
PEDIATRICS
RIECH, ROBERT R., MD
GENDER: M
PROVIDER #: 160893
NPI #: 1437225935
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
918 E LINCOLN ST
CHENOA, IL 61726
PHONE: (815) 945-2261
E-PRESCRIBE: NO
CHILLICOTHE, IL
ADULT/INTERNAL
MEDICINE
HOUSER, JOHN W., MD
GENDER: M
PROVIDER #: 071241
NPI #: 1417038852
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
NAU, CHRISTOPHER W., MD
GENDER: M
PROVIDER #: 202694
NPI #: 1104023092
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
FAMILY PRACTICE
ANGLETON, PAUL M., MD
GENDER: M
PROVIDER #: 120841
NPI #: 1043242001
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
LAWLESS, TIMOTHY J., MD
GENDER: M
PROVIDER #: 057536
NPI #: 1982679569
PROCTOR MEDICAL GROUPCHILICOTHE FAMILY
PRACTICE
210 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 274-2108
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CHILLICOTHE, IL
CLAY CITY, IN
PEDIATRICS
NAU, CHRISTOPHER W., MD
GENDER: M
PROVIDER #: 202694
NPI #: 1104023092
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
NULTY, WILLIAM G., MD
GENDER: M
PROVIDER #: 052671
NPI #: 1639148356
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
RIECH, ROBERT R., MD
GENDER: M
PROVIDER #: 160893
NPI #: 1437225935
OSF MEDICAL GROUP
319 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 673-6464
E-PRESCRIBE: NO
CISSNA PARK, IL
FAMILY PRACTICE
COLBERT, JAY R., DO
GENDER: M
PROVIDER #: 132466
NPI #: 1437379021
CISSNA PARK MEDICAL
CLINIC
141 W GARFIELD AVE
CISSNA PARK, IL 60924
PHONE: (815) 457-2146
ARMSTRONG, PAMELA, NP;
PROVIDER #: 170602
E-PRESCRIBE: NO
Primary Care Physicians
CLAY CITY, IN
FAMILY PRACTICE
ALVEY III, THURMAN, DO
GENDER: M
PROVIDER #: 120901
NPI #: 1942231444
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
BALDWIN, RONALD F., MD
GENDER: M
PROVIDER #: 157444
NPI #: 1912118928
CLAY CITY FOR FAMILY
MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
WATTS, KELLY A., NP;
PROVIDER #: 108776
E-PRESCRIBE: YES
BEACHY, ERIC D., MD
GENDER: M
PROVIDER #: 114574
NPI #: 1881652188
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
BUECHLER, JAMES R., MD
GENDER: M
PROVIDER #: 064944
NPI #: 1104817758
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
DALUGA, PAUL L., MD
GENDER: M
PROVIDER #: 030893
NPI #: 1700877362
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
DRAKE, MELODY J., MD
GENDER: F
PROVIDER #: 116962
NPI #: 1386635944
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
FITZGERALD, GARY A., MD
GENDER: M
PROVIDER #: 036577
NPI #: 1467443838
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANDFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
GALE, BING W., MD
GENDER: M
PROVIDER #: 106654
NPI #: 1396736039
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
24
Primary Care Physicians
KELLAR, DANIEL P., MD
GENDER: M
PROVIDER #: 031853
NPI #: 1467443119
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
SHARMA, PUJA, MD
GENDER:
PROVIDER #: 228220
NPI #: 1427287010
UNION HOSPITAL
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
MARCIANO, PATRICIA N., MD
GENDER: F
PROVIDER #: 173978
NPI #: 1053398578
UNION HOSPITAL INC
315 LANKFORD ST
CLAY CITY, IN 47841-1008
PHONE: (812) 939-2126
E-PRESCRIBE: NO
STEVENS, RANDALL L., MD
GENDER: M
PROVIDER #: 144190
NPI #: 1225029481
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: YES
MCCALISTER, ELIZABETH A.,
MD
GENDER: F
PROVIDER #: 213764
NPI #: 1710092689
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
TURNER, JAMES, DO
GENDER: M
PROVIDER #: 009064
NPI #: 1245221522
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
MCDONALD, STEVEN A., MD
GENDER: M
PROVIDER #: 009928
NPI #: 1578537056
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
25
VALERA, LAURIE J., MD
GENDER: F
PROVIDER #: 171772
NPI #: 1790941086
UNION HOSPITAL INC
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
CLAY CITY, IN
CLIFTON, IL
VEGAS, TOMAS C., MD
GENDER: M
PROVIDER #: 142477
NPI #: 1629277306
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
WALTZ, STEVEN G., MD
GENDER: M
PROVIDER #: 018057
NPI #: 1710978333
CLAY CITY CNETER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
WILSON, WILLIAM E., MD
GENDER: M
PROVIDER #: 142479
NPI #: 1508857764
CLAY CITY CENTER FOR
FAMILY MEDICINE
315 LANKFORD ST
CLAY CITY, IN 47841
PHONE: (812) 939-2126
E-PRESCRIBE: NO
CLIFTON, IL
ADULT/INTERNAL
MEDICINE
MOPARTHI, VENKATA, MD
GENDER: M
PROVIDER #: 099434
NPI #: 1699797548
PROVENA MEDICAL GROUP
335 E SIXTH AVE
CLIFTON, IL 60927
PHONE: (815) 694-2044
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CLIFTON, IL
CLINTON, IN
OMOTOSHO, WURAOLA I.,
MD
GENDER: F
PROVIDER #: 184428
NPI #: 1427222884
PROVENA MEDICAL GROUP
335 E SIXTH AVE
CLIFTON, IL 60927
PHONE:
E-PRESCRIBE: NO
THOMAS, ABRAHAM, MD
GENDER: M
PROVIDER #: 089063
NPI #: 1063423655
PROVENA MEDICAL GROUP
335 E SIXTH AVE
CLIFTON, IL 60927
PHONE: (815) 694-2044
VEASEY, REBECCA E., PA-C;
PROVIDER #: 102478
E-PRESCRIBE: NO
GENERAL PRACTICE
DEVAS-GUNAWARDHANE,
TED, MD
GENDER: M
PROVIDER #: 004002
NPI #: 1235148693
THE FAMILY MEDICAL
CENTER OF CLIFTON
102 COMMERCE DR
CLIFTON, IL 60927
PHONE: (815) 694-2381
E-PRESCRIBE: NO
PEDIATRICS
DEVAS-GUNAWARDHANE,
PADHMINI, MD
GENDER: F
PROVIDER #: 004001
NPI #: 1982613352
THE FAMILY MEDICAL
CENTER OF CLIFTON
102 COMMERCE DR
CLIFTON, IL 60927
PHONE: (815) 694-2381
E-PRESCRIBE: NO
Primary Care Physicians
CLINTON, IL
ADULT/INTERNAL
MEDICINE
KUREISHY, FARRUKH, MD
GENDER: M
PROVIDER #: 056153
NPI #: 1619950060
CLINTON INTERNAL
MEDICINE LLC
40 CLINTON PLAZA
CLINTON, IL 61727
PHONE: (217) 935-7600
E-PRESCRIBE: NO
WILLIAMS, BRIT M., MD
GENDER: M
PROVIDER #: 140841
NPI #: 1780667816
RURAL HEALTH CENTER
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 937-5284
E-PRESCRIBE: NO
FAMILY PRACTICE
CLAY, LAURA B., DO
GENDER: F
PROVIDER #: 152445
NPI #: 1649284787
OSF MEDICAL GROUP
1231 KLEEMANN DR
CLINTON, IL 61727
PHONE: (217) 935-5022
E-PRESCRIBE: NO
DOWDEN, LAWRENCE M.,
MD
GENDER: M
PROVIDER #: 034481
NPI #: 1740380385
OSF MEDICAL GROUP
1231 KLEEMANN DR
CLINTON, IL 61727
PHONE: (217) 935-5022
E-PRESCRIBE: NO
RAUCH, DAREN J., MD
GENDER: M
PROVIDER #: 134195
NPI #: 1174544407
OSF MEDICAL GROUP
1231 KLEEMANN DR
CLINTON, IL 61727
PHONE: (217) 935-5022
E-PRESCRIBE: NO
GENERAL PRACTICE
CIPOLLA, ROBERT P., MD
GENDER: M
PROVIDER #: 002773
NPI #: 1649370271
OSF MEDICAL GROUP
1231 KLEEMANN DR
CLINTON, IL 61727
PHONE: (217) 935-5022
E-PRESCRIBE: NO
PEDIATRICS
SCERBA, TRICIA L., MD
GENDER: F
PROVIDER #: 089084
NPI #: 1467534065
RURAL HEALTH CENTER
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 937-5284
E-PRESCRIBE: NO
CLINTON, IN
FAMILY PRACTICE
BROCK, GREGORY K., DO
GENDER: M
PROVIDER #: 210516
NPI #: 1952374779
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842
PHONE: (765) 828-1003
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
26
Primary Care Physicians
BUECHLER, JAMES R., MD
GENDER: M
PROVIDER #: 210488
NPI #: 1104817758
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842
PHONE: (765) 828-1003
E-PRESCRIBE: NO
GALE, BING W., MD
GENDER: M
PROVIDER #: 106654
NPI #: 1396736039
WEST CENTRAL FAMILY
MEDICINE
777 S MAIN ST SUITE 300
CLINTON, IN 47842
PHONE: (765) 832-1570
E-PRESCRIBE: YES
VALERA, LAURIE J., MD
GENDER: F
PROVIDER #: 171772
NPI #: 1790941086
UNION HOSPITAL INC
801 S MAIN ST
CLINTON, IN 47842
PHONE: (765) 832-1234
E-PRESCRIBE: NO
CARDIN, RACHEL, MD
GENDER: F
PROVIDER #: 245760
NPI #: 1790914380
VERMILLION PARKE
COMMUNITY HEALTH
CENTERS
777 S MAIN ST SUITE 100
CLINTON, IN 47842
PHONE: (765) 828-1003
E-PRESCRIBE: YES
CHAPPELL, ELAINE M., MD
GENDER: F
PROVIDER #: 216079
NPI #: 1326204769
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842
PHONE: (765) 828-1003
E-PRESCRIBE: YES
EHRESMAN, ROBERT M., MD
GENDER: M
PROVIDER #: 209493
NPI #: 1639335086
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842
PHONE: (765) 828-1003
E-PRESCRIBE: NO
27
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842
PHONE: (765) 828-1003
HALL, NICOLE S., NP;
PROVIDER #: 220100
E-PRESCRIBE: NO
VEGAS, TOMAS C., MD
GENDER: M
PROVIDER #: 142477
NPI #: 1629277306
UNION HOSPITAL INC
700 S MAIN ST
CLINTON, IN 47842-1357
PHONE: (765) 832-1357
E-PRESCRIBE: NO
CLINTON, IN
COAL CITY, IL
GENERAL PRACTICE
STEVENS, JOHN A., MD
GENDER: M
PROVIDER #: 064625
NPI #: 1972594596
WEST CENTRAL FAMILY
MEDICINE
777 S MAIN ST SUITE 300
CLINTON, IN 47842
PHONE: (765) 832-1570
E-PRESCRIBE: NO
COAL CITY, IL
ADULT/INTERNAL
MEDICINE
ANALYTIS, SPYRO D., MD
GENDER: M
PROVIDER #: 020444
NPI #: 1407953441
460 N BROADWAY ST
COAL CITY, IL 60416
PHONE: (815) 634-4099
E-PRESCRIBE: NO
DEEPANKAR, RAHUL, MD
GENDER: M
PROVIDER #: 194329
NPI #: 1376503045
RIVERSIDE MEDICAL
CENTER OF COAL CITY
5775 EAST STATE ROUTE 113
COAL CITY, IL 60416
PHONE: (815) 634-0100
E-PRESCRIBE: NO
KHAN, AFTAB, MD
GENDER: M
PROVIDER #: 207554
NPI #: 1720073729
LIBERTY MEDICAL CENTER
4 E NORTH ST
COAL CITY, IL 60416
PHONE: (815) 942-8080
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
COAL CITY, IL
COVINGTON, IN
Primary Care Physicians
KUCINSKI, LAURA J., DO
GENDER: F
PROVIDER #: 241169
NPI #: 1093010126
KUCINSKI MEDICAL LTD
400 N BROADWAY ST
COAL CITY, IL 60416
PHONE: (815) 634-8030
E-PRESCRIBE: NO
SAFDAR, SAIMA, MD
GENDER: F
PROVIDER #: 208669
NPI #: 1336449214
LIBERTY MEDICAL CENTER
4 E NORTH ST
COAL CITY, IL 60416
PHONE: (815) 942-8080
E-PRESCRIBE: NO
FAMILY PRACTICE
PEDIATRICS
JURAK, DANIEL M., DO
GENDER: M
PROVIDER #: 020496
NPI #: 1912919259
FAMILY PHYSICIANS OF
COAL CITY
935 E DIVISION ST
COAL CITY, IL 60416
PHONE: (815) 634-8447
E-PRESCRIBE: NO
KAPRAL, JANE L., MD
GENDER: F
PROVIDER #: 154835
NPI #: 1033221767
RIVERSIDE MEDICAL
CENTER OF COAL CITY
5775 EAST STATE ROUTE 113
COAL CITY, IL 60416
PHONE: (815) 634-0100
E-PRESCRIBE: NO
LANGCAUON, HAZEL J., MD
GENDER: F
PROVIDER #: 211293
NPI #: 1922386374
RIVERSIDE MEDICAL
CENTER
5775 E STATE HIGHWAY 113
COAL CITY, IL 60416
PHONE: (815) 634-0100
E-PRESCRIBE: NO
NGUYEN, HUNG, DO
GENDER: M
PROVIDER #: 064803
NPI #: 1588688832
PROVENA MEDICAL GROUP
410 N BROADWAY ST
COAL CITY, IL 60416
PHONE: (815) 634-4545
E-PRESCRIBE: NO
COLFAX, IL
ADULT/INTERNAL
MEDICINE
DEOSKAR, UDAY L., MD
GENDER: M
PROVIDER #: 070445
NPI #: 1386733145
HERITAGE MANOR
402 S HARRISON ST
COLFAX, IL 61728
PHONE: (309) 723-2591
E-PRESCRIBE: NO
COULTERVILLE, IL
FAMILY PRACTICE
BECKEMEYER, SHAWN, MD
GENDER: F
PROVIDER #: 048692
NPI #: 1023075264
COULTERVILLE MEDICAL
CLINIC
203 E GRANT
COULTERVILLE, IL 62237
PHONE: (618) 758-2331
COOK, CANDACE, CFNP;
PROVIDER #: 127611
E-PRESCRIBE: NO
JAMES JR, FRANKLIN, MD
GENDER: M
PROVIDER #: 063400
NPI #: 1659338713
COULTERVILLE MEDICAL
CLINIC
203 E GRANT
COULTERVILLE, IL 62237
PHONE: (618) 758-2331
E-PRESCRIBE: NO
COVINGTON, IN
ADULT/INTERNAL
MEDICINE
MALHOTRA, BIKRAMJIT, MD
GENDER: M
PROVIDER #: 040585
NPI #: 1942243472
DANVILLE POLYCLINIC LTD
416 UNION ST
COVINGTON, IN 47932
PHONE: (765) 793-2122
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
28
COVINGTON, IN
CULLOM, IL
Primary Care Physicians
PATEL, KEVAL D., MD
GENDER: M
PROVIDER #: 031778
NPI #: 1447291182
DANVILLE POLYCLINIC
416 UNION ST
COVINGTON, IN 47932
PHONE: (765) 793-2122
E-PRESCRIBE: NO
CREST HILL, IL
PEDIATRICS
PEDIATRICS
STAMPLEY, ANDREA G., MD
GENDER: F
PROVIDER #: 138996
NPI #: 1225102148
2224 WEBER RD
CREST HILL, IL 60403
PHONE: (815) 725-1600
E-PRESCRIBE: NO
MCCARTHY, JOHN M., MD
GENDER: M
PROVIDER #: 133265
NPI #: 1033327069
GRAHAM MEDICAL GROUP
114 S 4TH ST
CUBA, IL 61427
PHONE: (309) 785-5156
E-PRESCRIBE: NO
CREVE COEUR, IL
ADULT/INTERNAL
MEDICINE
FAMILY PRACTICE
ALVI, FARHANA P., MD
GENDER: F
PROVIDER #: 169061
NPI #: 1568451276
ALLIANCE HEALTH
2208 WEBER RD UNIT A
CREST HILL, IL 60403
PHONE: (815) 741-7590
E-PRESCRIBE: NO
BRUNE, DANIEL H., MD
GENDER: M
PROVIDER #: 010785
NPI #: 1982896551
CREVE COEUR FAMILY
PHYSICIANS
120 WAGNER DR
CREVE COEUR, IL 61610
PHONE: (309) 699-6921
E-PRESCRIBE: NO
PETHKAR, SANJAY, MD
GENDER: M
PROVIDER #: 041167
NPI #: 1134181829
ALLIANCE HEALTH
1421 ESSINGTON RD
CREST HILL, IL 60435
PHONE:
E-PRESCRIBE: NO
CUBA, IL
ADULT/INTERNAL
MEDICINE
FAMILY PRACTICE
KANTAR, MOUHANNAD, MD
GENDER: M
PROVIDER #: 221789
NPI #: 1710127576
PROVENA MEDICAL GROUP
16151 WEBER RD SUITE 101
CREST HILL, IL 60403
PHONE: (815) 773-7827
E-PRESCRIBE: NO
29
MCCARTHY, JOHN M., MD
GENDER: M
PROVIDER #: 133265
NPI #: 1033327069
GRAHAM MEDICAL GROUP
114 S 4TH ST
CUBA, IL 61427
PHONE: (309) 785-5156
E-PRESCRIBE: NO
CULLOM, IL
ADULT/INTERNAL
MEDICINE
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
105 W HACK ST
CULLOM, IL 60929
PHONE: (815) 689-2126
E-PRESCRIBE: NO
FAMILY PRACTICE
MOY, CALVIN, MD
GENDER: M
PROVIDER #: 224829
NPI #: 1154558732
OSF MEDICAL GROUP
105 W HACK ST
CULLOM, IL 60929
PHONE: (815) 689-2126
E-PRESCRIBE: NO
MOY, LACEY D., MD
GENDER: F
PROVIDER #: 224830
NPI #: 1013144021
OSF MEDICAL GROUP
105 W HACK ST
CULLOM, IL 60929
PHONE: (815) 689-2126
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CULLOM, IL
DANVILLE, IL
PEDIATRICS
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
105 W HACK ST
CULLOM, IL 60929
PHONE: (815) 689-2126
E-PRESCRIBE: NO
DANVILLE, IL
ADULT/INTERNAL
MEDICINE
GOTARDO, CARLOS F., MD
GENDER: M
PROVIDER #: 007215
NPI #: 1285674564
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4732
E-PRESCRIBE: NO
HALLORAN, THOMAS J., MD
GENDER: M
PROVIDER #: 000050
NPI #: 1588696785
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
KIENAST, CHERYL, NP;
PROVIDER #: 082246
LONG, JACQUELINE A., NP;
PROVIDER #: 216679
E-PRESCRIBE: YES
MALHOTRA, BIKRAMJIT, MD
GENDER: M
PROVIDER #: 040585
NPI #: 1942243472
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4748
E-PRESCRIBE: NO
Primary Care Physicians
MUSHTAQ, MUHAMMAD, MD
GENDER: M
PROVIDER #: 001411
NPI #: 1851460380
701 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-1100
E-PRESCRIBE: NO
PARUCHURI, SURENDRA P.,
MD
GENDER:
PROVIDER #: 050050
NPI #: 1902847437
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832-4360
PHONE: (217) 477-4730
E-PRESCRIBE: NO
PATEL, KEVAL D., MD
GENDER: M
PROVIDER #: 031778
NPI #: 1447291182
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832-4360
PHONE: (217) 477-4738
E-PRESCRIBE: NO
RAVAEE, MANOUCHER, MD
GENDER: M
PROVIDER #: 003100
NPI #: 1972610491
733 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 442-3268
E-PRESCRIBE: NO
SADIQ, RAJA IRFAN, MD
GENDER: M
PROVIDER #: 182447
NPI #: 1316142755
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE:
E-PRESCRIBE: NO
SEKAR, VENKAT E., MD
GENDER: M
PROVIDER #: 002764
NPI #: 1114974441
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4772
E-PRESCRIBE: NO
SODHI, BRIJNANDAN S., MD
GENDER: M
PROVIDER #: 002055
NPI #: 1700879178
SODHI MEDICAL SERVICES
1010 W CLAY ST
DANVILLE, IL 61832
PHONE: (217) 431-7200
MARTINDILL, GREGORY L.,
PA-C; PROVIDER #: 057172
SHELBY, JILL E., CNP;
PROVIDER #: 151399
E-PRESCRIBE: NO
FAMILY PRACTICE
BROADERS, KAREN M., MD
GENDER: F
PROVIDER #: 048103
NPI #: 1699703777
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7850
OSAZE, EBUN, PA; PROVIDER
#: 072109
E-PRESCRIBE: YES
DEBOER, JAMES E., MD
GENDER: M
PROVIDER #: 000150
NPI #: 1801821558
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7850
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
30
Primary Care Physicians
DIOKNO, RAFAEL M., MD
GENDER: M
PROVIDER #: 007214
NPI #: 1801843404
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4728
E-PRESCRIBE: NO
GILBERT, JEANELLE, DO
GENDER: F
PROVIDER #: 167177
NPI #: 1043480874
CHRISTIE CLINIC
405 N SHERIDAN ST
DANVILLE, IL 61832
PHONE: (217) 431-6330
E-PRESCRIBE: YES
GINDI, GEORGE R., MD
GENDER: M
PROVIDER #: 015566
NPI #: 1477503472
FAMILY PRACTICE
MEDICAL CENTER LTD
511 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-2025
OLIVIER, GEORGE F., PA-C;
PROVIDER #: 119057
E-PRESCRIBE: NO
GINDI, MARY Y., MD
GENDER: F
PROVIDER #: 060657
NPI #: 1417907031
FAMILY PRACTICE
MEDICAL CENTER LTD
511 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-2025
OLIVIER, GEORGE F., PA-C;
PROVIDER #: 119057
E-PRESCRIBE: NO
31
HORNER, TIMOTHY, MD
GENDER: M
PROVIDER #: 121759
NPI #: 1336246800
CHRISTIE CLINIC
3545 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 442-8611
KINNEY, TERESA; PROVIDER
#: 190013
E-PRESCRIBE: YES
JABINES-STEWART,
HAYDEE, MD
GENDER: F
PROVIDER #: 186758
NPI #: 1558359240
CHRISTIE CLINIC
3545 N VERMILLION
DANVILLE, IL 61832
PHONE: (217) 442-8611
E-PRESCRIBE: YES
MCFADDEN, JEFFREY A., DO
GENDER: M
PROVIDER #: 068501
NPI #: 1487678652
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
PETERS, ELEANOR K., MD
GENDER: F
PROVIDER #: 102482
NPI #: 1942217542
CHRISTIE CLINIC
3545 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 442-8611
MARTIN, JOLENA, PA-C;
PROVIDER #: 120059
E-PRESCRIBE: YES
DANVILLE, IL
DANVILLE, IL
SADIQ, NAVEED I., MD
GENDER: M
PROVIDER #: 181481
NPI #: 1821064213
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE:
E-PRESCRIBE: NO
SADIQ, RAJA A., MD
GENDER: M
PROVIDER #: 181467
NPI #: 1255488896
DANVILLE POLYCLINIC LTD
735 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 443-9100
E-PRESCRIBE: NO
SHEIKH, RAHAT H., MD
GENDER: M
PROVIDER #: 240892
NPI #: 1750488771
CHRISTIE CLINIC
3545 N VERMILLION ST
DANVILLE, IL 61832
PHONE: (217) 442-8611
E-PRESCRIBE: NO
YE, LU, MD
GENDER: F
PROVIDER #: 212853
NPI #: 1619130317
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7850
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
DANVILLE, IL
DECATUR, IL
FAMILY PRACTICE OB
BROADERS, KAREN M., MD
GENDER: F
PROVIDER #: 048103
NPI #: 1699703777
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7850
OSAZE, EBUN, PA; PROVIDER
#: 072109
E-PRESCRIBE: YES
PEDIATRICS
HOWARD, MONIQUE M., MD
GENDER: F
PROVIDER #: 237881
NPI #: 1346243326
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
JELIAZKOVA, ZLATKA K., MD
GENDER: F
PROVIDER #: 197393
NPI #: 1346403060
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4714
E-PRESCRIBE: NO
MAES, HOLLY, MD
GENDER: F
PROVIDER #: 218732
NPI #: 1548285612
737 NORTH LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 422-0433
E-PRESCRIBE: NO
Primary Care Physicians
REDDY, PADMASHREE, MD
GENDER: M
PROVIDER #: 007229
NPI #: 1912948282
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4716
E-PRESCRIBE: NO
ROBERTS, DANICE B., MD
GENDER: F
PROVIDER #: 182304
NPI #: 1215199203
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
ROWE, CAROL J., MD
GENDER: F
PROVIDER #: 167134
NPI #: 1922074764
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
DECATUR, IL
ADULT/INTERNAL
MEDICINE
AHMAD, AHMAD H., MD
GENDER: M
PROVIDER #: 087218
NPI #: 1053397018
LAKESHORE MEDICAL
OFFICE BUILDING
1770 E LAKE SHORE DR
SUITE 201
DECATUR, IL 62521
PHONE: (217) 428-7921
E-PRESCRIBE: NO
ATLURI, HIMA S., MD
GENDER: F
PROVIDER #: 064171
NPI #: 1609866052
DECATUR MEMORIAL
HOSPITAL
2300 N EDWARDS ST
DECATUR, IL 62526
PHONE: (217) 876-8121
E-PRESCRIBE: NO
ST MARYS HOSPITAL
1800 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 464-2966
E-PRESCRIBE: NO
BAUMBERGER, DAVID W.,
MD
GENDER: M
PROVIDER #: 008871
NPI #: 1043277064
INTERNAL MEDICINE
ASSOCIATES OF DECATUR
304 W HAY ST SUITE 312
DECATUR, IL 62526
PHONE: (217) 876-5621
E-PRESCRIBE: YES
DAWOOD, MOHAMMED, MD
GENDER: M
PROVIDER #: 101421
NPI #: 1174589576
441 W HAY ST
DECATUR, IL 62526
PHONE: (217) 876-6860
E-PRESCRIBE: YES
DUNCAN, GEORGE, MD
GENDER: M
PROVIDER #: 034285
NPI #: 1407871882
ST MARYS ADULT AND
GERIATRIC MEDICINE
1770 E LAKESHORE DR
SUITE 307
DECATUR, IL 62521
PHONE: (217) 428-1500
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
32
Primary Care Physicians
ELRAKHAWY, AHMED T., MD
GENDER: M
PROVIDER #: 132616
NPI #: 1306838503
DHM EXPRESS CARE EAST
4455 US ROUTE 36 EAST
DECATUR, IL 62521
PHONE: (217) 876-5940
E-PRESCRIBE: YES
DMH EXPRESS CARE NORTH
3131 N WATER ST
DECATUR, IL 62526
PHONE: (217) 876-5320
E-PRESCRIBE: YES
INTERNAL MEDICINE
ASSOCIATES
304 W HAY ST SUITE 312
DECATUR, IL 62526
PHONE: (217) 876-5600
E-PRESCRIBE: YES
JATOI, NAEEMUDDIN, MD
GENDER: M
PROVIDER #: 144383
NPI #: 1922070333
HOSPITALIST PROGRAM ST
MARYS DECATUR
1800 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 464-5811
SHEEHY III, GERALD J., PA;
PROVIDER #: 196302
E-PRESCRIBE: NO
ST MARYS ADULT AND
GERIATRIC MEDICINE
1750 E LAKESHORE DR
SUITE 100
DECATUR, IL 62521
PHONE: (217) 475-2880
E-PRESCRIBE: NO
FIOR, CARLOS G., MD
GENDER: M
PROVIDER #: 011163
NPI #: 1336237296
HSHS MEDICAL GROUP
INTERNAL MEDICINENORTH DECATUR
2965 N MAIN ST SUITE E
DECATUR, IL 62526-4392
PHONE: (217) 875-9775
E-PRESCRIBE: NO
ST MARYS ADULT AND
GERIATRIC MEDICINE
2981 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9775
E-PRESCRIBE: NO
FRANKLIN, WILLIAM B., MD
GENDER: M
PROVIDER #: 008870
NPI #: 1407813389
INTERNAL MEDICINE
ASSOCIATES OF DECATUR
304 W HAY ST SUITE 312
DECATUR, IL 62526
PHONE: (217) 876-5623
E-PRESCRIBE: NO
33
HASNAIN, MOHAMMAD, MD
GENDER: M
PROVIDER #: 050277
NPI #: 1093772998
441 W HAY ST
DECATUR, IL 62526
PHONE: (217) 876-6860
E-PRESCRIBE: YES
DECATUR, IL
DECATUR, IL
PATEL, DHIRENDRA K., MD
GENDER: M
PROVIDER #: 002682
NPI #: 1306837471
ST MARYS ADULT &
GERATRIC MEDICINE
2981 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9775
E-PRESCRIBE: NO
SALIK, SYED Z., MD
GENDER: M
PROVIDER #: 171971
NPI #: 1265408694
SUITE 340
1900 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 791-6703
E-PRESCRIBE: NO
SMITH, KEITH R., MD
GENDER: M
PROVIDER #: 008868
NPI #: 1659338309
304 W HAY ST SUITE 312
DECATUR, IL 62526
PHONE: (217) 876-5624
E-PRESCRIBE: NO
KHAN, MUHAMMAD N., MD
GENDER: M
PROVIDER #: 060932
NPI #: 1598767493
MIDWEST INTERNAL
MEDICINE OF DECATUR
2975 N WATER ST
DECATUR, IL 62526
PHONE: (217) 875-3810
E-PRESCRIBE: NO
TOTEL, GREGORY L., MD
GENDER: M
PROVIDER #: 017514
NPI #: 1558470690
1 MEMORIAL DR SUITE 201
DECATUR, IL 62526
PHONE: (217) 875-1090
E-PRESCRIBE: NO
NEWLIN, JOHN W., MD
GENDER: M
PROVIDER #: 004400
NPI #: 1528159688
WEST HAY MEDICAL
CENTER
302 W HAY ST SUITE 130
DECATUR, IL 62526
PHONE: (217) 872-8100
E-PRESCRIBE: NO
ALLEGA, ROHN S., MD
GENDER: M
PROVIDER #: 133426
NPI #: 1316003098
DMH EXPRESS CARE EAST
4455 US RTE 36 EAST
DECATUR, IL 62521
PHONE: (217) 876-5940
E-PRESCRIBE: NO
FAMILY PRACTICE
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
DECATUR, IL
DECATUR, IL
DMH EXPRESS CARE NORTH
3131 N WATER ST
DECATUR, IL 62526
PHONE: (217) 876-5320
WRIGHT, JAMES V., PA-C;
PROVIDER #: 165393
E-PRESCRIBE: NO
ARGUELLES, CESAR S., MD
GENDER: M
PROVIDER #: 042464
NPI #: 1518944248
SIU PHYSICIANS &
SURGEONS
250 W KENWOOD AVE
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
BAIRSETTY, ADARSH R., MD
GENDER: M
PROVIDER #: 180386
NPI #: 1285856278
ADARSH R BAIRSETTY MD
550 SOUTHLAND DR SUITE 1
DECATUR, IL 62521
PHONE: (217) 422-0311
E-PRESCRIBE: NO
BAJWA, ALI M., MD
GENDER: M
PROVIDER #: 224806
NPI #: 1659536852
DMH EXPRESS CARE EAST
4455 US ROUTE 36 EAST
DECATUR, IL 62521
PHONE: (217) 876-5940
E-PRESCRIBE: NO
DMH EXPRESS CARE NORTH
3131 N WATER ST
DECATUR, IL 62526
PHONE: (217) 876-5320
E-PRESCRIBE: NO
Primary Care Physicians
BARNES, RONALD L., MD
GENDER: M
PROVIDER #: 079575
NPI #: 1962469981
DMH URGENT CARE
2120 N 27TH ST
DECATUR, IL 62526
PHONE: (217) 876-4940
E-PRESCRIBE: NO
DOCTORS FAMILY
PRACTICE
2975 N WATER ST
DECATUR, IL 62526
PHONE: (217) 876-5320
E-PRESCRIBE: NO
SHORE/DMH CORPORATE
HEALTH
2122 N 27TH ST
DECATUR, IL 62526
PHONE: (217) 423-3100
E-PRESCRIBE: NO
BILYEU, SCOTT M., MD
GENDER: M
PROVIDER #: 200416
NPI #: 1053516971
HSHS MEDICAL GROUP
FAMILY AND SPORTS
MEDICINE
1900 E LAKE SHORE DR
SUITE 210
DECATUR, IL 62521-3861
PHONE: (217) 464-1030
E-PRESCRIBE: NO
BOCK, JAMES, MD
GENDER: M
PROVIDER #: 157369
NPI #: 1285643825
HSHS MEDICAL GROUP
2965 N MAIN ST SUITE F
DECATUR, IL 62526
PHONE: (217) 875-7847
E-PRESCRIBE: NO
ST MARYS FAMILY
MEDICINE
1770 E LAKE SHORE DR
SUITE 207
DECATUR, IL 62521
PHONE: (217) 429-9700
E-PRESCRIBE: NO
BRACO, ROBERT J., MD
GENDER: M
PROVIDER #: 176785
NPI #: 1548278583
2120 N 27TH ST
DECATUR, IL 62526
PHONE: (217) 423-6485
E-PRESCRIBE: NO
3131 N WATER ST
DECATUR, IL 62526
PHONE: (217) 876-5320
E-PRESCRIBE: NO
BRADLEY, JOHN G., MD
GENDER: M
PROVIDER #: 021092
NPI #: 1508843236
SIU PHYSICIANS &
SURGEONS
250 W KENWOOD AVE
DECATUR, IL 62526
PHONE: (217) 872-3800
LAW, LAURA E., PA;
PROVIDER #: 118113
E-PRESCRIBE: NO
BROWN, CRAIG E., MD
GENDER: M
PROVIDER #: 162930
NPI #: 1053315812
DMH EXPRESS CARE EAST
4455 E STATE RTE 36
DECATUR, IL 62521
PHONE: (217) 876-5940
E-PRESCRIBE: NO
DMH EXPRESS CARE NORTH
3131 N WATER ST
DECATUR, IL 62526
PHONE: (217) 876-5320
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
34
Primary Care Physicians
CAVANAGH, PATRICK J., MD
GENDER: M
PROVIDER #: 042195
NPI #: 1669439584
550 SOUTHLAND DR
DECATUR, IL 62521
PHONE: (217) 425-9264
E-PRESCRIBE: YES
GOWDAR, PRASANNA S., MD
GENDER: M
PROVIDER #: 008953
NPI #: 1316023559
741 W PERSHING RD
DECATUR, IL 62526
PHONE: (217) 876-7200
E-PRESCRIBE: NO
COVAULT, JOAN M., DO
GENDER: F
PROVIDER #: 222331
NPI #: 1346346236
HSHS MEDICAL GROUP
2965 N MAIN ST SUITE F
DECATUR, IL 62526
PHONE: (217) 875-7847
E-PRESCRIBE: NO
GREGORY, DAVID C., MD
GENDER: M
PROVIDER #: 217604
NPI #: 1871599522
CORNERSTONE FAMILY
MEDICAL CENTER
415 E ASH SUITE A
DECATUR, IL 62526
PHONE: (217) 791-5760
E-PRESCRIBE: YES
DI MONDO, JOHN P., MD
GENDER: M
PROVIDER #: 095419
NPI #: 1518050095
SPRINGFIELD CLINIC
1770 E LAKE SHORE DR
SUITE 105
DECATUR, IL 62521
PHONE: (217) 428-3424
CONLIN, JESSICA A., CFNP;
PROVIDER #: 211430
NORTON, JENNIFER A., NP;
PROVIDER #: 118299
E-PRESCRIBE: YES
ELLINGTON, CHARLES R.,
MD
GENDER: M
PROVIDER #: 114586
NPI #: 1407833130
SIU PHYSICIANS &
SURGEONS
250 W KENWOOD AVE
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
35
GUNDA, ARUN, MD
GENDER: M
PROVIDER #: 184134
NPI #: 1649325895
3131 N WATER ST
DECATUR, IL 62526
PHONE: (217) 876-5320
E-PRESCRIBE: NO
DMH EXPRESS CARE EAST
4455 US RTE 36 EAST
DECATUR, IL 62521
PHONE: (217) 876-5940
E-PRESCRIBE: NO
RETAIL EAST
4625 E MARYLAND AVE
DECATUR, IL 62521
PHONE: (217) 876-5520
E-PRESCRIBE: NO
DECATUR, IL
DECATUR, IL
HANNEKEN, KIMBERLY, MD
GENDER: F
PROVIDER #: 173325
NPI #: 1215047782
ST MARYS FAMILY
MEDICINE
1770 E LAKE SHORE DR
SUITE 207
DECATUR, IL 62521
PHONE: (217) 429-9700
E-PRESCRIBE: NO
ST MARYS FAMILY
MEDICINE-LAKE SHORE
1750 E LAKE SHORE DR
SUITE 300
DECATUR, IL 62521
PHONE: (217) 429-9700
E-PRESCRIBE: NO
HEIM, DENNIS, MD
GENDER: M
PROVIDER #: 032410
NPI #: 1891891636
SPRINGFIELD CLINIC
1770 E LAKE SHORE DR
SUITE 105
DECATUR, IL 62521
PHONE: (217) 428-3424
CONLIN, JESSICA A., CFNP;
PROVIDER #: 211430
FEDOR, JAYNE K., PA-C;
PROVIDER #: 077314
NORTON, JENNIFER A., NP;
PROVIDER #: 118299
E-PRESCRIBE: YES
RETAIL NORTH
4224 N PROSPECT
DECATUR, IL 62526
PHONE: (217) 876-5530
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
DECATUR, IL
DECATUR, IL
HEIMBRECHT, KURT, MD
GENDER: M
PROVIDER #: 060668
NPI #: 1497851232
SPRINGFIELD CLINIC
1770 E LAKE SHORE DR
SUITE 105
DECATUR, IL 62521
PHONE: (217) 428-3424
CONLIN, JESSICA A., CFNP;
PROVIDER #: 211430
FEDOR, JAYNE K., PA-C;
PROVIDER #: 077314
NORTON, JENNIFER A., NP;
PROVIDER #: 118299
E-PRESCRIBE: YES
JONES, DAVID A., MD
GENDER: M
PROVIDER #: 070550
NPI #: 1942292412
FAMILY PRACTICE
MEDICAL CENTER
1770 E LAKE SHORE DR
SUITE 305
DECATUR, IL 62521
PHONE: (217) 424-9193
E-PRESCRIBE: NO
JUNKER, JESSIE A., MD
GENDER: F
PROVIDER #: 122770
NPI #: 1205828084
SIU PHSYICIANS &
SURGEONS
250 W KENWOOD AVE
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
KLEIN, SUSAN M., MD
GENDER: F
PROVIDER #: 042460
NPI #: 1558348268
SIU PHSYICIANS &
SURGEONS
250 W KENWOOD AVE
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
Primary Care Physicians
KONDA, SUDHAKAR R., MD
GENDER: M
PROVIDER #: 184008
NPI #: 1376737346
DECATUR MEMORIAL
HOSPITAL
2220 N MONROE ST
DECATUR, IL 62526
PHONE: (217) 876-6330
E-PRESCRIBE: NO
MARSCHNER, CYNTHIA C.,
DO
GENDER: F
PROVIDER #: 079953
NPI #: 1194721571
4775 E MARYLAND ST SUITE
B
DECATUR, IL 62521
PHONE: (217) 864-3737
E-PRESCRIBE: YES
MCCORMACK, ANTHONY T.,
MD
GENDER: M
PROVIDER #: 008948
NPI #: 1154388791
ANTHONY T MCCORMACK
MD
102 W KENWOOD SUITE 130
DECATUR, IL 62526
PHONE: (217) 876-6350
E-PRESCRIBE: NO
MULTANI, KIRANPREET K.,
DO
GENDER: F
PROVIDER #: 222316
NPI #: 1316123953
HSHS MEDICAL GROUP
2965 N MAIN ST SUITE F
DECATUR, IL 62526
PHONE: (217) 875-7847
E-PRESCRIBE: YES
MULTANI, SUKHWINDER S.,
MD
GENDER: M
PROVIDER #: 240337
NPI #: 1518176601
UNIVERSAL WALK-IN
URGENT CARE LLC
3767 US ROUTE 36 EAST
DECATUR, IL 62521
PHONE: (217) 330-6153
E-PRESCRIBE: NO
MUNESES, MARLON T., MD
GENDER: M
PROVIDER #: 042463
NPI #: 1265422067
ST MARYS FAMILY
MEDICINE
1770 E LAKE SHORE DR
SUITE 207
DECATUR, IL 62521
PHONE: (217) 429-9700
E-PRESCRIBE: NO
ST MARYS FAMILY
MEDICINE-LAKE SHORE
1750 E LAKE SHORE DR
SUITE 300
DECATUR, IL 62521
PHONE: (217) 429-9700
E-PRESCRIBE: NO
OLIGSCHLAEGER, DAVID M.,
DO
GENDER: M
PROVIDER #: 069620
NPI #: 1851383418
SIU DECATUR FAMILY
PRACTICE
250 W KENWOOD AVE
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
36
DECATUR, IL
DECATUR, IL
Primary Care Physicians
PABALATE, ROBERTO G., MD
GENDER: M
PROVIDER #: 203189
NPI #: 1528221504
DMH EXPRESS CARE EAST
4455 US RTE 36 EAST
DECATUR, IL 62521
PHONE: (217) 876-5940
E-PRESCRIBE: NO
DMH EXPRESS CARE NORTH
3131 N WATER ST
DECATUR, IL 62526
PHONE: (217) 876-5320
E-PRESCRIBE: NO
DMH WALMART RETAIL
EAST
4625 E MARYLAND AVE
DECATUR, IL 62521
PHONE: (217) 876-5520
E-PRESCRIBE: NO
DMH WALMART RETAIL
NORTH
4224 N PROSPECT DR
DECATUR, IL 62526
PHONE: (217) 876-5530
E-PRESCRIBE: NO
NORTH MONROE FAMILY
MEDICINE
2220 N MONROE ST SUITE
104
DECATUR, IL 62526
PHONE: (217) 876-6330
E-PRESCRIBE: NO
PHU, LIZA A., MD
GENDER: F
PROVIDER #: 207843
NPI #: 1174758908
4775 E MARYLAND ST SUITE
A
DECATUR, IL 62521
PHONE: (217) 864-3737
E-PRESCRIBE: NO
37
RADEMACHER, DENNIS J.,
MD
GENDER: M
PROVIDER #: 027914
NPI #: 1679673354
SPRINGFIELD CLINIC
1770 E LAKE SHORE DR
SUITE 105
DECATUR, IL 62521
PHONE: (217) 428-3424
CONLIN, JESSICA A., CFNP;
PROVIDER #: 211430
FEDOR, JAYNE K., PA-C;
PROVIDER #: 077314
NORTON, JENNIFER A., NP;
PROVIDER #: 118299
E-PRESCRIBE: YES
RAY, DANA M., MD
GENDER: F
PROVIDER #: 127121
NPI #: 1225051071
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
AHAMED, AYAZ, PA-C;
PROVIDER #: 217823
MCPHERRON, PHYLLIS H.,
ARNP; PROVIDER #: 179847
OESTREICH, DEBRA J., ARNP;
PROVIDER #: 135434
REQUARTH, CONNIE H.,
ARNP; PROVIDER #: 217860
SMITH, LISA K., ARNP;
PROVIDER #: 092580
SULLIVAN, JESSICA M., ARNP;
PROVIDER #: 196423
E-PRESCRIBE: NO
SCOTT, MARK D., MD
GENDER: M
PROVIDER #: 005013
NPI #: 1598867707
SIU PHYSICIANS &
SURGEONS
250 W KENWOOD AVE
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
WALL, MICHAEL M., MD
GENDER: M
PROVIDER #: 051815
NPI #: 1093772311
SIU PHYSICIANS &
SURGEONS INC
205 W KENWOOD AVE
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
GENERAL PRACTICE
FABRIQUE, KEITH L., MD
GENDER: M
PROVIDER #: 203283
NPI #: 1225196710
HSHS MEDICAL GROUP
1750 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 464-1440
E-PRESCRIBE: NO
PEDIATRICS
BEEDE, HOWARD E., MD
GENDER: M
PROVIDER #: 004280
NPI #: 1205892478
2 MEMORIAL DR SUITE 204
DECATUR, IL 62526
PHONE: (217) 872-1040
E-PRESCRIBE: NO
BOWLES, COLLEEN M., DO
GENDER: F
PROVIDER #: 185303
NPI #: 1134348865
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
DECATUR, IL
DELAVAN, IL
BRANHAM, CHRISTINA M.,
MD
GENDER: F
PROVIDER #: 108692
NPI #: 1124001391
2220 N MONROE ST
DECATUR, IL 62526
PHONE: (217) 423-7337
E-PRESCRIBE: NO
BUCKNOR, YETUNDE O., DO
GENDER: F
PROVIDER #: 051684
NPI #: 1043320815
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
CHANDRA, VINEETA, MD
GENDER: F
PROVIDER #: 104333
NPI #: 1356316541
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
GOWDAR, KUSUMA, MD
GENDER: F
PROVIDER #: 008955
NPI #: 1669541728
741 W PERSHING RD
DECATUR, IL 62526
PHONE: (217) 876-7200
E-PRESCRIBE: NO
Primary Care Physicians
PATEL, SAMIR A., DO
GENDER: M
PROVIDER #: 042129
NPI #: 1992704332
ST MARYS KARE4KIDS
PEDIATRIC MEDICINE
1900 E LAKE SHORE DR
SUITE 330
DECATUR, IL 62521
PHONE: (217) 423-2889
KINDRED JOHNSON, AMY L.,
APN; PROVIDER #: 160140
PIETRZAK, LINDA S., NP;
PROVIDER #: 185245
E-PRESCRIBE: NO
PATTERSON, JANET L., MD
GENDER: F
PROVIDER #: 043752
NPI #: 1497720411
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
THOMSON, MARGARET M.,
MD
GENDER: F
PROVIDER #: 192962
NPI #: 1033177183
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
YOCKEY, SANDRA L., MD
GENDER: F
PROVIDER #: 136751
NPI #: 1427132190
COMMUNITY HEALTH
IMPROVEMENT CENTER
2905 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9117
E-PRESCRIBE: NO
DEKALB, IL
PEDIATRICS
GOSWAMI, UMESH P., MD
GENDER: M
PROVIDER #: 022625
NPI #: 1669466801
625 E BETHANY RD SUITE 3
DEKALB, IL 60115
PHONE: (815) 758-5100
E-PRESCRIBE: NO
MORKER, MAYURI, MD
GENDER: F
PROVIDER #: 212752
NPI #: 1598059982
UMESH GOSWAMI MD
625 E BETHANY RD SUITE 3
DEKALB, IL 60115
PHONE: (815) 758-5100
E-PRESCRIBE: YES
DELAVAN, IL
GENERAL PRACTICE
ROSSI, ALFRED N., MD
GENDER: M
PROVIDER #: 005719
NPI #: 1033157292
DELEVAN DOCTORS OFFICE
115 EAST FOURTH STREET
DELAVAN, IL 61734
PHONE: (309) 244-8311
E-PRESCRIBE: NO
ROSSI, MATTHEW B., MD
GENDER: M
PROVIDER #: 007408
NPI #: 1205874310
DELEVAN DOCTORS OFFICE
115 E FOURTH ST
DELAVAN, IL 61734
PHONE: (309) 244-8311
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
38
DELAVAN, IL
EAST PEORIA, IL
Primary Care Physicians
ROSSI, PHILLIP J., MD
GENDER: M
PROVIDER #: 010983
NPI #: 1114965225
DELEVAN DOCTORS OFFICE
115 E FOURTH ST
DELAVAN, IL 61734
PHONE:
E-PRESCRIBE: NO
DWIGHT, IL
ADULT/INTERNAL
MEDICINE
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
105 JOHN ST
DWIGHT, IL 60420
PHONE: (815) 584-3343
E-PRESCRIBE: NO
FAMILY PRACTICE
CICHON, MICHAEL C., DO
GENDER: M
PROVIDER #: 002084
NPI #: 1902877095
COMMUNITY MEDICAL
CENTER
103 JOHN ST
DWIGHT, IL 60420
PHONE: (815) 584-3051
E-PRESCRIBE: NO
SWINK, TRAVIS W., DO
GENDER: M
PROVIDER #: 070062
NPI #: 1619060977
OSF MEDICAL GROUP
105 JOHN ST
DWIGHT, IL 60420
PHONE: (815) 584-3343
E-PRESCRIBE: NO
39
PEDIATRICS
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
105 JOHN ST
DWIGHT, IL 60420
PHONE: (815) 584-3343
E-PRESCRIBE: NO
EAST PEORIA, IL
ADULT/INTERNAL
MEDICINE
ANTONY, NEDUVELIL A., MD
GENDER:
PROVIDER #: 016141
NPI #: 1134212251
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
SIDLER, G GENE, MD
GENDER: M
PROVIDER #: 057275
NPI #: 1396844932
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
JAVED, MAHWESH, MD
GENDER: F
PROVIDER #: 217800
NPI #: 1710149224
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
MONTEFOLKA, MARK P., MD
GENDER: M
PROVIDER #: 103596
NPI #: 1114026754
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
MUSAITIF, ZIAD A., DO
GENDER: M
PROVIDER #: 062698
NPI #: 1316909328
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
FAMILY PRACTICE
PATEL, JUMUNA, MD
GENDER: F
PROVIDER #: 113913
NPI #: 1033200928
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
HARMS, JAY S., MD
GENDER: M
PROVIDER #: 051654
NPI #: 1518075282
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
POPP, RICHARD J., MD
GENDER: M
PROVIDER #: 010782
NPI #: 1194790675
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
EAST PEORIA, IL
EFFINGHAM, IL
PRITZKER, EDWARD B., MD
GENDER: M
PROVIDER #: 008440
NPI #: 1588763122
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
SAMUEL, ELDON M., MD
GENDER: M
PROVIDER #: 111572
NPI #: 1427149210
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
SIAL, MUHAMMED I., MD
GENDER: M
PROVIDER #: 100173
NPI #: 1447212469
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
STETTER, MATTHEW, DO
GENDER: M
PROVIDER #: 059603
NPI #: 1205935848
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
SUMNER, RONALD E., MD
GENDER: M
PROVIDER #: 077488
NPI #: 1710078563
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
Primary Care Physicians
WEGMAN, CHERYL L., MD
GENDER: F
PROVIDER #: 214580
NPI #: 1174590889
PROCTOR FIRST CARE
2535 E WASHINGTON ST
EAST PEORIA, IL 61611
PHONE: (309) 694-6464
E-PRESCRIBE: NO
EFFINGHAM, IL
ADULT/INTERNAL
MEDICINE
ALZAHABI, BASHAR, MD
GENDER: M
PROVIDER #: 042835
NPI #: 1467448456
900 W TEMPLE AVE SUITE
103
EFFINGHAM, IL 62401
PHONE: (217) 347-5000
NIEMEYER, WILLIAM H., PA;
PROVIDER #: 087263
E-PRESCRIBE: NO
ARORA, ARVINDER K., MD
GENDER: F
PROVIDER #: 161900
NPI #: 1740294370
NARINDER S ARORA MD SC
407 N MULBERRY ST
EFFINGHAM, IL 62401
PHONE: (217) 347-0768
E-PRESCRIBE: NO
FAMILY PRACTICE
OLTMAN, PAUL D., MD
GENDER: M
PROVIDER #: 068496
NPI #: 1942208087
EFFINGHAM MEDICAL
CENTER
900 W TEMPLE SUITE 204
EFFINGHAM, IL 62401
PHONE: (217) 347-7776
E-PRESCRIBE: NO
GENERAL PRACTICE
KOHLI, NAEEM M., MD
GENDER: M
PROVIDER #: 010003
NPI #: 1528158599
KOHLI NEUROLOGY AND
SLEEP CENTER
500 N MAPLE
EFFINGHAM, IL 62401
PHONE: (217) 342-7034
E-PRESCRIBE: NO
PEDIATRICS
BEEDE, HOWARD E., MD
GENDER: M
PROVIDER #: 004280
NPI #: 1205892478
901 MEDICAL PARK RD
SUITE 101
EFFINGHAM, IL 62401
PHONE: (217) 347-1027
E-PRESCRIBE: NO
ARORA, NARINDER S., MD
GENDER: M
PROVIDER #: 002772
NPI #: 1477576924
401 N MULBERRY ST
EFFINGHAM, IL 62401
PHONE: (217) 347-0768
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
40
Primary Care Physicians
EL PASO, IL
ADULT/INTERNAL
MEDICINE
HALPERIN, CAROLINE, DO
GENDER: F
PROVIDER #: 120776
NPI #: 1912928805
CROSSROADS MEDICAL
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
JANI, JAYDEV Y., MD
GENDER: M
PROVIDER #: 151627
NPI #: 1851559942
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
FAMILY PRACTICE
CASH, JASON W., MD
GENDER: M
PROVIDER #: 169989
NPI #: 1063593382
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
CROWE, ALEX, MD
GENDER: M
PROVIDER #: 016591
NPI #: 1235157066
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
41
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
DOWDEN, LAWRENCE M.,
MD
GENDER: M
PROVIDER #: 034481
NPI #: 1740380385
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
GINNETTI, RICHARD A., MD
GENDER: M
PROVIDER #: 006881
NPI #: 1336231836
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
HAKES, PAUL E., MD
GENDER: M
PROVIDER #: 004325
NPI #: 1750315602
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
BANKSTON, KIMBERLY, FNP;
PROVIDER #: 074152
FISCHER, DEBRA L., APN;
PROVIDER #: 206358
TYNER, JEAN MARIE, NP;
PROVIDER #: 137005
E-PRESCRIBE: NO
EL PASO, IL
EL PASO, IL
INGALSBE, STEVEN C., MD
GENDER: M
PROVIDER #: 007304
NPI #: 1962428128
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
BANKSTON, KIMBERLY, FNP;
PROVIDER #: 074152
FISCHER, DEBRA L., APN;
PROVIDER #: 206358
TYNER, JEAN MARIE, NP;
PROVIDER #: 137005
E-PRESCRIBE: NO
MAERE, JANINE M., MD
GENDER: F
PROVIDER #: 179232
NPI #: 1891894622
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
MEHTA, SHILPA I., MD
GENDER:
PROVIDER #: 098186
NPI #: 1174616411
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
MOORE, SAM A., DO
GENDER: M
PROVIDER #: 087708
NPI #: 1972516797
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
EL PASO, IL
ELGIN, IL
MUSTARD, MICHAEL R., MD
GENDER: M
PROVIDER #: 184070
NPI #: 1295826675
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
ORWIG, STACY C., MD
GENDER: F
PROVIDER #: 185662
NPI #: 1982826384
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
SHANKS, LACIE R., MD
GENDER: F
PROVIDER #: 151452
NPI #: 1619189859
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
Primary Care Physicians
SHEPPARD, SUSAN J., MD
GENDER: F
PROVIDER #: 054077
NPI #: 1598857278
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
STEFFEN, SAMUEL E., MD
GENDER: M
PROVIDER #: 093898
NPI #: 1790704435
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
FISCHER, DEBRA L., APN;
PROVIDER #: 206358
TYNER, JEAN MARIE, NP;
PROVIDER #: 137005
E-PRESCRIBE: NO
STEVENS, JENNIFER E., MD
GENDER: F
PROVIDER #: 239592
NPI #: 1043412893
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
WOODS, MICHAEL J., MD
GENDER: M
PROVIDER #: 235613
NPI #: 1871698761
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
GENERAL PRACTICE
CIPOLLA, ROBERT P., MD
GENDER: M
PROVIDER #: 002773
NPI #: 1649370271
OSF PROMPTCARE
100 DELANEY DR
EL PASO, IL 61738
PHONE: (309) 527-2260
E-PRESCRIBE: NO
ELGIN, IL
ADULT/INTERNAL
MEDICINE
AHMED, NAZNEEN, MD
GENDER: F
PROVIDER #: 200939
NPI #: 1215926621
PROVENA MEDICAL GROUP
1975 LIN LOR LANE SUITE
205
ELGIN, IL 60123
PHONE: (847) 742-4488
E-PRESCRIBE: NO
DAUDI, SHAZIA S., MD
GENDER: F
PROVIDER #: 179795
NPI #: 1235137928
FIDAI MEDICAL GROUP
1710 N RANDALL RD SUITE
380
ELGIN, IL 60123
PHONE: (847) 741-9800
E-PRESCRIBE: NO
FIDAI, GULZAR S., MD
GENDER: F
PROVIDER #: 089032
NPI #: 1851398218
FIDAI MEDICAL GROUP
1710 N RANDALL RD SUITE
380
ELGIN, IL 60123
PHONE: (847) 741-9800
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
42
Primary Care Physicians
GEPHART, ANANDITA G., MD
GENDER: F
PROVIDER #: 086130
NPI #: 1790709343
PROVENA MEDICAL GROUP
1975 LIN LOR LANE SUITE
205
ELGIN, IL 60123
PHONE: (847) 742-4488
E-PRESCRIBE: NO
SUSARLA, VISWANATHAM,
MD
GENDER: M
PROVIDER #: 180824
NPI #: 1922014315
V SUSARLA MD SC
860 SUMMIT ST SUITE 123
ELGIN, IL 60120
PHONE: (847) 741-0026
E-PRESCRIBE: NO
GOEL, ARCHANA, MD
GENDER: F
PROVIDER #: 141829
NPI #: 1063529832
HERITAGE PRIMARY CARE
SC
1435 N RANDALL RD SUITE
210
ELGIN, IL 60123
PHONE: (847) 488-9589
E-PRESCRIBE: NO
WIN, THAN, MD
GENDER: M
PROVIDER #: 180393
NPI #: 1427098581
1975 LIN LOR LN
SUITE 285
ELGIN, IL 60123
PHONE: (847) 608-7542
E-PRESCRIBE: NO
LIPOV, SERGEI G., MD
GENDER: M
PROVIDER #: 068593
NPI #: 1982634127
1975 LIN LOR LN SUITE 285
ELGIN, IL 60123
PHONE: (847) 608-7542
E-PRESCRIBE: NO
COLIN, VICTOR H., MD
GENDER: M
PROVIDER #: 182995
NPI #: 1659369163
ELGIN FAMILY PHYSICIANS
SC
1435 RANDALL RD SUITE 301
ELGIN, IL 60123
PHONE: (847) 888-3661
E-PRESCRIBE: NO
915 CENTER ST SUITE 3000
ELGIN, IL 60120
PHONE: (847) 888-3661
E-PRESCRIBE: NO
OLIVEROS, DESIREE F., MD
GENDER: F
PROVIDER #: 188909
NPI #: 1205846128
PROVENA MEDICAL GROUP
NEW LENOX
1975 LIN LOR LN SUITE 295
ELGIN, IL 60123
PHONE: (847) 622-2086
E-PRESCRIBE: NO
43
FAMILY PRACTICE
FLORENTINO, POCHOLO S.,
MD
GENDER: M
PROVIDER #: 062722
NPI #: 1649359969
ELGIN CARE CENTER
530 N MCLEAN BLVD
ELGIN, IL 60123
PHONE: (847) 695-4800
E-PRESCRIBE: NO
ELGIN, IL
ELGIN, IL
GUPTA, VANITA, MD
GENDER: F
PROVIDER #: 111567
NPI #: 1760583629
ELGIN FAMILY PHYSICIANS
SC
1435 RANDALL RD SUITE 301
ELGIN, IL 60123
PHONE: (847) 888-3661
E-PRESCRIBE: NO
915 CENTER ST SUITE 3000
ELGIN, IL 60120
PHONE: (847) 888-3661
E-PRESCRIBE: NO
MUELLER, CHRISTINE M., MD
GENDER: F
PROVIDER #: 180417
NPI #: 1215925722
ELGIN FAMILY PHYSICIANS
SC
1435 RANDALL RD SUITE 301
ELGIN, IL 60123
PHONE: (847) 888-3661
E-PRESCRIBE: NO
915 CENTER ST SUITE 3000
ELGIN, IL 60120
PHONE: (847) 888-3661
E-PRESCRIBE: NO
POULOS, DOROTHEA, MD
GENDER: F
PROVIDER #: 180827
NPI #: 1003804519
ELGIN FAMILY PHYSICIANS
SC
1435 RANDALL RD SUITE 301
ELGIN, IL 60123
PHONE: (847) 888-3661
E-PRESCRIBE: NO
915 CENTER ST SUITE 3000
ELGIN, IL 60120
PHONE: (847) 888-3661
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
ELGIN, IL
EUREKA, IL
SUSARLA, SAVITHA, DO
GENDER: F
PROVIDER #: 181015
NPI #: 1518976323
V SUSARLA MD SC
860 SUMMIT ST SUITE 123
ELGIN, IL 60120
PHONE: (847) 741-0026
E-PRESCRIBE: NO
PEDIATRICS
FANG, HENRY Y., MD
GENDER: M
PROVIDER #: 017749
NPI #: 1598850646
1590 WEATHERSTONE LANE
SUITE 7
ELGIN, IL 60123
PHONE: (847) 695-8558
E-PRESCRIBE: NO
YUEN, MICHAEL H., MD
GENDER: M
PROVIDER #: 043115
NPI #: 1144326687
1590 WEATHERSTONE LANE
SUITE 7
ELGIN, IL 60123
PHONE: (847) 695-8558
E-PRESCRIBE: NO
ELMWOOD, IL
FAMILY PRACTICE
BAYLOR, MARK C., MD
GENDER: M
PROVIDER #: 001414
NPI #: 1740256700
120 W MAIN ST
ELMWOOD, IL 61529
PHONE: (309) 742-2921
E-PRESCRIBE: NO
Primary Care Physicians
EUREKA, IL
ADULT/INTERNAL
MEDICINE
HALPERIN, CAROLINE, DO
GENDER: F
PROVIDER #: 120776
NPI #: 1912928805
TOWN & COUNTRY
105 S MAJOR
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
FAMILY PRACTICE
CROWE, ALEX, MD
GENDER: M
PROVIDER #: 016591
NPI #: 1235157066
ADVOCATE MEDICAL
GROUP
105 S MAJOR
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
FOGO, SHANE C., MD
GENDER: M
PROVIDER #: 102295
NPI #: 1063446318
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
HUGHES, CHRISTOPHER R.,
MD
GENDER: M
PROVIDER #: 068435
NPI #: 1235158924
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
JONES, STEVEN, MD
GENDER: M
PROVIDER #: 007305
NPI #: 1942228101
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
JENKINS, SHERYL D., CNP;
PROVIDER #: 030360
E-PRESCRIBE: NO
MILLER, DAVID L., MD
GENDER: M
PROVIDER #: 007309
NPI #: 1437178415
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
MROCZKO, MARK, MD
GENDER: M
PROVIDER #: 122386
NPI #: 1528089885
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
44
Primary Care Physicians
EUREKA, IL
FAIRBURY, IL
MUSTARD, MICHAEL R., MD
GENDER: M
PROVIDER #: 184070
NPI #: 1295826675
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
HALPERIN, CAROLINE, DO
GENDER: F
PROVIDER #: 120776
NPI #: 1912928805
FAIRBURY MEDICAL
ASSOCIATES
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (309) 692-2305
E-PRESCRIBE: NO
ORWIG, STACY C., MD
GENDER: F
PROVIDER #: 185662
NPI #: 1982826384
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
ORWIG, STACY C., MD
GENDER: F
PROVIDER #: 185662
NPI #: 1982826384
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
FAMILY PRACTICE
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
FAIRBURY, IL
ADULT/INTERNAL
MEDICINE
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
106 S FIRST ST
FAIRBURY, IL 61739
PHONE: (815) 692-2833
E-PRESCRIBE: NO
45
CROWE, ALEX, MD
GENDER: M
PROVIDER #: 016591
NPI #: 1235157066
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (309) 692-2305
E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
MUSTARD, MICHAEL R., MD
GENDER: M
PROVIDER #: 184070
NPI #: 1295826675
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
SMITH, BONNIE J., MD
GENDER: F
PROVIDER #: 071354
NPI #: 1306865084
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
KINCINAS, JOHN F., PA;
PROVIDER #: 089278
E-PRESCRIBE: NO
STEVENS, JENNIFER E., MD
GENDER: F
PROVIDER #: 182380
NPI #: 1043412893
OSF MEDICAL GROUP
106 S FIRST ST
FAIRBURY, IL 61739
PHONE: (815) 692-2308
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
FAIRBURY, IL
FLANAGAN, IL
WENGER, RACHEL M., MD
GENDER: F
PROVIDER #: 185804
NPI #: 1649436098
FAMILY HEALTHCARE OF
FAIRBURY
401 S CLAY ST
FAIRBURY, IL 61739
PHONE: (815) 692-1150
E-PRESCRIBE: NO
PEDIATRICS
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
106 S FIRST ST
FAIRBURY, IL 61739
PHONE: (815) 692-2833
E-PRESCRIBE: NO
FARMER CITY, IL
FAMILY PRACTICE
Primary Care Physicians
FARMINGTON, IL
ADULT/INTERNAL
MEDICINE
CHAMBERLIN, JASON G., DO
GENDER: M
PROVIDER #: 069684
NPI #: 1831207349
GRAHAM MEDICAL GROUP
601 E FORT ST
FARMINGTON, IL 61531
PHONE: (309) 245-2406
E-PRESCRIBE: NO
FAMILY PRACTICE
LANSER, TODD A., MD
GENDER: M
PROVIDER #: 166967
NPI #: 1376765891
GRAHAM MEDICAL GROUP
601 E FORT ST
FARMINGTON, IL 61531
PHONE: (309) 124-2406
E-PRESCRIBE: NO
RAY, DARRIN M., MD
GENDER: M
PROVIDER #: 161876
NPI #: 1679785778
THE FAMILY HEALTH
CLINIC OF FARMER CITY
1230 GEORGE ROCK DR
FARMER CITY, IL 61842
PHONE: (309) 928-9192
E-PRESCRIBE: YES
PEDIATRICS
GENERAL PRACTICE
WELL, MARCI, MD
GENDER: F
PROVIDER #: 049801
NPI #: 1821107699
GRAHAM MEDICAL GROUP
141 E VERNON ST
FARMINGTON, IL 61531
PHONE: (309) 245-2406
E-PRESCRIBE: NO
CASTROVILLO, GEORGE, MD
GENDER: M
PROVIDER #: 003995
NPI #: 1295763043
109 S MAIN
FARMER CITY, IL 61842
PHONE: (309) 928-2131
E-PRESCRIBE: NO
CHAMBERLIN, JASON G., DO
GENDER: M
PROVIDER #: 069684
NPI #: 1831207349
GRAHAM MEDICAL GROUP
601 E FORT ST
FARMINGTON, IL 61531
PHONE: (309) 245-2406
E-PRESCRIBE: NO
601 E FORT ST
FARMINGTON, IL 61531
PHONE: (309) 245-2406
E-PRESCRIBE: NO
FISHER, IL
FAMILY PRACTICE
HAGAN, DAVID J., MD
GENDER: M
PROVIDER #: 050892
NPI #: 1467433557
FISHER FAMILY PRACTICE
CENTER
104 S THIRD ST
FISHER, IL 61843
PHONE: (217) 897-1692
E-PRESCRIBE: YES
FLANAGAN, IL
ADULT/INTERNAL
MEDICINE
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
103 W SOUTH ST
FLANAGAN, IL 61740
PHONE: (815) 796-4591
E-PRESCRIBE: NO
FAMILY PRACTICE
STALTER, LARRY P., MD
GENDER:
PROVIDER #: 002836
NPI #: 1992898258
OSF MEDICAL GROUP
103 W SOUTH ST
FLANAGAN, IL 61740
PHONE: (815) 796-4591
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
46
FLANAGAN, IL
GALVA, IL
Primary Care Physicians
PEDIATRICS
FRANKFORT, IL
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
103 W SOUTH ST
FLANAGAN, IL 61740
PHONE: (815) 796-4591
E-PRESCRIBE: NO
FAMILY PRACTICE
GARCIA-BEACH, SYLVIA, MD
GENDER: F
PROVIDER #: 212468
NPI #: 1598876583
PROVENA MEDICAL GROUP
10289 W LINCOLN HIGHWAY
FRANKFORT, IL 60423
PHONE: (815) 464-9655
E-PRESCRIBE: NO
FORREST, IL
FAMILY PRACTICE
AUSTMAN, KATHERINE M.,
MD
GENDER: F
PROVIDER #: 098058
NPI #: 1396739462
PRAIRIE FAMILY MEDICINE
& OBSTETRICS
122 E WABASH AVE
FORREST, IL 61741
PHONE: (815) 657-8707
E-PRESCRIBE: NO
BREWER, BENJAMIN E., MD
GENDER: M
PROVIDER #: 050891
NPI #: 1184618258
PRAIRIE FAMILY MEDICINE
& OBSTETRICS
122 E WABASH AVE
FORREST, IL 61741
PHONE: (815) 657-8707
E-PRESCRIBE: YES
FREEPORT, IL
FAMILY PRACTICE
ANDERSON, ERIC K., MD
GENDER: M
PROVIDER #: 182027
NPI #: 1184645616
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
HERNANDEZ, KATHERINE A.,
MD
GENDER: F
PROVIDER #: 225862
NPI #: 1396906749
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 232-1406
E-PRESCRIBE: NO
MUISE, MICHAEL J., MD
GENDER: M
PROVIDER #: 134364
NPI #: 1659481844
MONROE CLINIC FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
47
PEDIATRICS
JOHNSON, AMY L., MD
GENDER: F
PROVIDER #: 049969
NPI #: 1619998242
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
MILLER, ANGELA C., MD
GENDER: F
PROVIDER #: 056697
NPI #: 1285738757
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
GALATIA, IL
FAMILY PRACTICE
ALEXANDER, JAMES O., MD
GENDER: M
PROVIDER #: 033074
NPI #: 1114094851
GALATIA PRIMARY CARE
124 E MAIN
GALATIA, IL 62935
PHONE: (618) 268-4083
E-PRESCRIBE: NO
GALVA, IL
FAMILY PRACTICE
RAMOS, JULIO A., MD
GENDER: M
PROVIDER #: 142325
NPI #: 1982629044
REGIONAL HEALTH
PARTNERS
336 FRONT ST
GALVA, IL 61434
PHONE: (309) 932-3101
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
GALVA, IL
GIBSON CITY, IL
SATKAUSKAS, REMI, MD
GENDER: M
PROVIDER #: 092940
NPI #: 1760430524
REGIONAL HEALTH
PARTNERS
336 FRONT ST
GALVA, IL 61434
PHONE: (309) 932-3101
BROKAW, JENNIFER, FNP;
PROVIDER #: 089415
E-PRESCRIBE: NO
SNIDER, CRYSTAL, MD
GENDER: F
PROVIDER #: 153721
NPI #: 1700098845
REGIONAL HEALTH
PARTNERS
336 FRONT ST
GALVA, IL 61434
PHONE: (309) 932-3101
E-PRESCRIBE: NO
GENOA, IL
FAMILY PRACTICE
WEIS, CHRISTINE R., MD
GENDER: F
PROVIDER #: 211369
NPI #: 1841451549
KISHWAUKEE PHYSICIAN
GROUP INC
599 PEARSON DR
GENOA, IL 60135
PHONE: (815) 784-2100
E-PRESCRIBE: NO
Primary Care Physicians
GEORGETOWN, IL
FAMILY PRACTICE
GINDI, GEORGE R., MD
GENDER: M
PROVIDER #: 015566
NPI #: 1477503472
FAMILY PRACTICE
MEDICAL CENTER LTD
302 N MAIN ST
GEORGETOWN, IL 61846
PHONE: (217) 662-2282
MCGUIRE, MARY, APN;
PROVIDER #: 092625
E-PRESCRIBE: NO
GINDI, MARY Y., MD
GENDER: F
PROVIDER #: 060657
NPI #: 1417907031
FAMILY PRACTICE
MEDICAL CENTER LTD
302 N MAIN ST
GEORGETOWN, IL 61846
PHONE: (217) 662-2282
MCGUIRE, MARY, APN;
PROVIDER #: 092625
E-PRESCRIBE: NO
GIBSON CITY, IL
ADULT/INTERNAL
MEDICINE
NELSON, NEIL R., MD
GENDER: M
PROVIDER #: 011177
NPI #: 1386637106
#8 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-8580
RICHMOND, ANNE-MARIE R.,
PA; PROVIDER #: 079774
E-PRESCRIBE: NO
FAMILY PRACTICE
AUSTMAN, KATHERINE M.,
MD
GENDER: F
PROVIDER #: 098058
NPI #: 1396739462
GIBSON AREA HOSPITAL
7 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-5500
E-PRESCRIBE: NO
DELOST, GREGORY J., MD
GENDER: M
PROVIDER #: 043508
NPI #: 1992864672
FAMILY HEALTHCARE OF
GIBSON CITY
#3 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4030
E-PRESCRIBE: YES
HAGAN, DAVID J., MD
GENDER: M
PROVIDER #: 050892
NPI #: 1467433557
GIBSON CITY CLINIC
222 N SANGAMON AVE
GIBSON CITY, IL 60936
PHONE: (217) 784-8148
E-PRESCRIBE: YES
RAY, BERNADETTE M., MD
GENDER: F
PROVIDER #: 156869
NPI #: 1164634267
FAMILY HEALTHCARE OF
GIBSON CITY
#3 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4030
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
48
GIBSON CITY, IL
GOLDEN, IL
Primary Care Physicians
SPANGLER, MARK, MD
GENDER: M
PROVIDER #: 043507
NPI #: 1336208347
FAMILY HEALTHCARE OF
GIBSON CITY
#3 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4030
E-PRESCRIBE: NO
GILMAN, IL
ADULT/INTERNAL
MEDICINE
DODIA, NARAN P., MD
GENDER: M
PROVIDER #: 004004
NPI #: 1154401974
121 E CRESCENT ST
GILMAN, IL 60938
PHONE: (815) 265-4628
E-PRESCRIBE: NO
FAMILY PRACTICE OB
DELOST, GREGORY J., MD
GENDER: M
PROVIDER #: 043508
NPI #: 1992864672
FAMILY HEALTHCARE OF
GIBSON CITY
#3 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4030
E-PRESCRIBE: YES
REYES, CRISANTO M., MD
GENDER: M
PROVIDER #: 096136
NPI #: 1154461978
IMH GILMAN CLINIC
508 E CRESCENT ST
GILMAN, IL 60938
PHONE: (815) 265-8889
E-PRESCRIBE: NO
PEDIATRICS
GILLESPIE, IL
PEDIATRICS
POLO, THERESE L., MD
GENDER: F
PROVIDER #: 105964
NPI #: 1215088000
807 BROADWAY ST
GILLESPIE, IL 62033
PHONE: (217) 839-3900
SOBCZAK, BERNADETTE K.,
APN; PROVIDER #: 162839
E-PRESCRIBE: NO
FONTANILLA, ANGELITA, MD
GENDER: F
PROVIDER #: 192480
NPI #: 1114076080
IMH GILMAN CLINIC
508 E CRESCENT ST
GILMAN, IL 60938
PHONE: (815) 265-8889
E-PRESCRIBE: NO
GIRARD, IL
ADULT/INTERNAL
MEDICINE
CHOPRA, KAMAL K., MD
GENDER: M
PROVIDER #: 008537
NPI #: 1598762262
GIRARD FAMILY MEDICAL
125 S SECOND ST
GIRARD, IL 62640
PHONE: (217) 627-3350
E-PRESCRIBE: NO
49
GLASFORD, IL
FAMILY PRACTICE
BAYLOR, MARK C., MD
GENDER: M
PROVIDER #: 001414
NPI #: 1740256700
201 E MAIN ST
GLASFORD, IL 61533
PHONE: (309) 245-4007
E-PRESCRIBE: NO
GOLDEN, IL
FAMILY PRACTICE
MACKRIDES, PAULA S., DO
GENDER: F
PROVIDER #: 099892
NPI #: 1316924087
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
MULLER, MERLE H., MD
GENDER: M
PROVIDER #: 200424
NPI #: 1891770350
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
PHILLIPS, DEBRA, MD
GENDER: F
PROVIDER #: 014474
NPI #: 1467439075
EAST ADAMS RURAL
HEALTH CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
GOLDEN, IL
HARRISBURG, IL
VON FANGE, TIMOTHY J., MD
GENDER: M
PROVIDER #: 154122
NPI #: 1154461739
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
WHITE, DONNA, MD
GENDER: F
PROVIDER #: 026122
NPI #: 1679550289
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
GRANVILLE, IL
FAMILY PRACTICE
BAILEY, SHAWN E., MD
GENDER: M
PROVIDER #: 031412
NPI #: 1447363585
ST MARGARETS HEALTH
GRANVILLE CLINIC
309 S MCCOY ST
GRANVILLE, IL 61326
PHONE: (815) 339-6245
E-PRESCRIBE: NO
GRIVETTI, DAMIAN W., MD
GENDER: M
PROVIDER #: 085841
NPI #: 1518970847
ST MARGARETS HEALTH
GRANVILLE CLINIC
309 S MCCOY ST
GRANVILLE, IL 61326
PHONE: (815) 339-6245
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE OB
BAILEY, SHAWN E., MD
GENDER: M
PROVIDER #: 031412
NPI #: 1447363585
ST MARGARETS HEALTH
GRANVILLE CLINIC
309 S MCCOY ST
GRANVILLE, IL 61326
PHONE: (815) 339-6245
E-PRESCRIBE: NO
HAMILTON, IL
GENERAL PRACTICE
MCKENNEY, EDWARD F., DO
GENDER: M
PROVIDER #: 023236
NPI #: 1457334591
1471 KEOKUK ST
HAMILTON, IL 62341
PHONE: (217) 847-3383
E-PRESCRIBE: NO
HAMPSHIRE, IL
FAMILY PRACTICE
ALI, MUHAMMAD, MD
GENDER: M
PROVIDER #: 179434
NPI #: 1932201712
PROVENA MEDICAL GROUP
895 S STATE ST SUITE 201
HAMPSHIRE, IL 60140
PHONE: (847) 683-7099
E-PRESCRIBE: NO
HARRISBURG, IL
FAMILY PRACTICE
ALEXANDER, JAMES O., MD
GENDER: M
PROVIDER #: 033074
NPI #: 1114094851
ALEXANDER FAMILY
PRACTICE
411 W POPLAR
HARRISBURG, IL 62946
PHONE: (618) 252-0411
EVERSMANN, ELIZABETH,
ARNP; PROVIDER #: 228135
E-PRESCRIBE: NO
EWELL, KIMBALL, MD
GENDER: M
PROVIDER #: 217278
NPI #: 1457303943
THE CLINIC AT WALMART
710 S COMMERCIAL ST
HARRISBURG, IL 62946
PHONE: (618) 253-7671
E-PRESCRIBE: NO
MILLER, ANDREA K., MD
GENDER: F
PROVIDER #: 211750
NPI #: 1750333241
THE CLINIC AT WALMART
710 S COMMERCIAL ST
HARRISBURG, IL 62946
PHONE: (618) 253-7671
FRANKLIN, STEPHANIE, CNP;
PROVIDER #: 217251
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
50
HAVANA, IL
HERSCHER, IL
Primary Care Physicians
HAVANA, IL
ADULT/INTERNAL
MEDICINE
YETTER, TAD A., MD
GENDER: M
PROVIDER #: 009446
NPI #: 1245296979
HAVANA MEDICAL
ASSOCIATES RURAL
HEALTH
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 543-8564
KIRCHNER, MARSHA R., FNP;
PROVIDER #: 134649
NOLL, CYNTHIA C., CFNP;
PROVIDER #: 073746
TURNER, SHERIE L., PA-C;
PROVIDER #: 029708
E-PRESCRIBE: NO
FAMILY PRACTICE
BITNER, BETHANY L., MD
GENDER: F
PROVIDER #: 228551
NPI #: 1316173164
HAVANA MEDICAL
ASSOCIATES
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 543-6600
E-PRESCRIBE: YES
PEDIATRICS
WAGONER, RICHARD W., MD
GENDER: M
PROVIDER #: 070921
NPI #: 1861458952
HAVANA MEDICAL
ASSOCIATES RURAL
HEALTH
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 543-8564
KIRCHNER, MARSHA R., FNP;
PROVIDER #: 134649
NOLL, CYNTHIA C., CFNP;
PROVIDER #: 073746
TURNER, SHERIE L., PA-C;
PROVIDER #: 029708
E-PRESCRIBE: NO
HENRY, IL
MARKLEY, MICHAEL, MD
GENDER: M
PROVIDER #: 115617
NPI #: 1740246834
HAVANA MEDICAL
ASSOCIATES RURAL
HEALTH
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 543-8564
KIRCHNER, MARSHA R., FNP;
PROVIDER #: 134649
E-PRESCRIBE: NO
51
SCHULTZ, BRUCE W., MD
GENDER: M
PROVIDER #: 090450
NPI #: 1356307433
HAVANA MEDICAL
ASSOCIATES RURAL
HEALTH
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 543-8564
KIRCHNER, MARSHA R., FNP;
PROVIDER #: 134649
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
TUN, THAW, MD
GENDER: M
PROVIDER #: 019463
NPI #: 1326142902
ST MARGARETS HEALTH
HENRY CLINIC
528 EDWARDS ST
HENRY, IL 61537
PHONE: (309) 364-3088
E-PRESCRIBE: NO
HERRIN, IL
FAMILY PRACTICE
HAYS, WILLIAM F., MD
GENDER: M
PROVIDER #: 010668
NPI #: 1083728000
3305 LOGAN DR
HERRIN, IL 62948
PHONE: (618) 997-4444
E-PRESCRIBE: NO
HERSCHER, IL
FAMILY PRACTICE
ARANAS, MELCHOR-PAULO,
MD
GENDER: M
PROVIDER #: 230885
NPI #: 1376775205
THE MEDICAL GROUP OF
KANKAKEE COUNTY
692 N MAPLE ST
HERSCHER, IL 60941
PHONE: (815) 426-2020
E-PRESCRIBE: YES
DAYHOFF JR, CLYDE W., DO
GENDER: M
PROVIDER #: 072102
NPI #: 1255417382
THE MEDICAL GROUP OF
KANKAKEE COUNTY
692 N MAPLE ST
HERSCHER, IL 60941
PHONE: (815) 426-2020
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
HERSCHER, IL
HOMER, IL
Primary Care Physicians
LONG, JEFFERY D., MD
GENDER: M
PROVIDER #: 072484
NPI #: 1932284700
THE MEDICAL GROUP OF
KANKAKEE COUNTY
692 N MAPLE ST
HERSCHER, IL 60941
PHONE: (815) 426-2020
CHRISTENSON, JENNIFER C.,
PA-C; PROVIDER #: 208632
PATTERSON, KRISTY L., PA-C;
PROVIDER #: 208615
E-PRESCRIBE: NO
PEDIATRICS
ZAIDI, HASHIM R., MD
GENDER: M
PROVIDER #: 140892
NPI #: 1821005448
THE MEDICAL GROUP OF
KANKAKEE COUNTY
692 N MAPLE ST
HERSCHER, IL 60941
PHONE: (815) 426-2020
CHRISTENSON, JENNIFER C.,
PA-C; PROVIDER #: 208632
PATTERSON, KRISTY L., PA-C;
PROVIDER #: 208615
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
HEYWORTH, IL
FAMILY PRACTICE
CLAY, LAURA B., DO
GENDER: F
PROVIDER #: 152445
NPI #: 1649284787
OSF MEDICAL GROUP
801 FOX RUN
HEYWORTH, IL 61745
PHONE: (309) 473-2069
E-PRESCRIBE: NO
MILLIGAN, DAVID E., MD
GENDER: M
PROVIDER #: 233914
NPI #: 1902131014
OSF MEDICAL GROUP
801 FOX RUN
HEYWORTH, IL 61745
PHONE: (309) 473-2069
E-PRESCRIBE: NO
HILLSBORO, IL
MULCH, BARBARA A., MD
GENDER: F
PROVIDER #: 008095
NPI #: 1023118791
SPRINGFIELD CLINICHILLSBORO
1250 E TREMONT EAST BLDG
HILLSBORO, IL 62049
PHONE: (217) 532-6911
E-PRESCRIBE: YES
FAMILY PRACTICE
BYERS, DOUGLAS M., MD
GENDER: M
PROVIDER #: 008060
NPI #: 1891805099
SPRINGFIELD CLINICHILLSBORO
1250 E TREMONT EAST BLDG
HILLSBORO, IL 62049
PHONE: (217) 532-6911
E-PRESCRIBE: YES
CADY, BENJAMIN W., MD
GENDER: M
PROVIDER #: 224139
NPI #: 1487899662
SPRINGFIELD CLINIC LLP
1280 E TREMONT ST
HILLSBORO, IL 62049
PHONE: (217) 535-6911
E-PRESCRIBE: NO
CADY, BRIAN J., MD
GENDER: M
PROVIDER #: 159935
NPI #: 1811908775
SPRINGFIELD CLINICHILLSBORO
1280 E TREMONT WEST
BLDG
HILLSBORO, IL 62049
PHONE: (217) 532-2320
E-PRESCRIBE: YES
MCFARLIN, ROGER C., MD
GENDER: M
PROVIDER #: 235140
NPI #: 1417927658
HSHS MEDICAL GROUP
400 ROUNTREE ST
HILLSBORO, IL 62049
PHONE: (217) 532-9471
LIPE, SHILOH M., PA-C;
PROVIDER #: 235562
E-PRESCRIBE: YES
MULCH JR, ROBERT F., MD
GENDER: M
PROVIDER #: 008096
NPI #: 1578663241
SPRINGFIELD CLINICHILLSBORO
1250 E TREMONT EAST BLDG
HILLSBORO, IL 62049
PHONE: (217) 532-6911
E-PRESCRIBE: YES
HOMER, IL
ADULT/INTERNAL
MEDICINE
PATEL, MAHINDRA D., MD
GENDER: M
PROVIDER #: 006780
NPI #: 1841263258
210 N MAIN ST
HOMER, IL 61849
PHONE: (217) 896-2491
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
52
HOOPESTON, IL
HOPKINS PARK, IL
Primary Care Physicians
HOOPESTON, IL
HOPEDALE, IL
FAMILY PRACTICE
ADULT/INTERNAL
MEDICINE
BARK, GEORGE A., MD
GENDER: M
PROVIDER #: 195800
NPI #: 1487665071
FAMILY HEALTHCARE OF
HOOPESTON
837 E ORANGE
HOOPESTON, IL 60942
PHONE: (217) 283-5530
E-PRESCRIBE: NO
COLBERT, JAY R., DO
GENDER: M
PROVIDER #: 132466
NPI #: 1437379021
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: NO
RAY, DARRIN M., MD
GENDER: M
PROVIDER #: 161876
NPI #: 1679785778
FAMILY HEALTHCARE OF
HOOPESTON
837 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5530
E-PRESCRIBE: YES
SMITH, LAURA, MD
GENDER: F
PROVIDER #: 229273
NPI #: 1750518775
FAMILY HEALTHCARE OF
HOOPESTON
837 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5530
E-PRESCRIBE: NO
53
BAUMGARTNER, WILLIAM
W., MD
GENDER: M
PROVIDER #: 005029
NPI #: 1568400679
MEDICAL ARTS PHYSICIANS
OFFICE
107 TREMONT ST
HOPEDALE, IL 61747
PHONE: (309) 449-3311
E-PRESCRIBE: NO
FAMILY PRACTICE
CAFFERY, DENNIS R., MD
GENDER: M
PROVIDER #: 013473
NPI #: 1295825594
OSF MEDICAL GROUP
143 FORD AVE
HOPEDALE, IL 61747
PHONE: (309) 449-3336
E-PRESCRIBE: NO
GENERAL PRACTICE
ROSSI, ALFRED N., MD
GENDER: M
PROVIDER #: 005719
NPI #: 1033157292
HOPEDALE MEDICAL
COMPLEX
107 TREMONT ST
HOPEDALE, IL 61747
PHONE: (309) 449-4390
E-PRESCRIBE: NO
ROSSI, MATTHEW B., MD
GENDER: M
PROVIDER #: 007408
NPI #: 1205874310
MEDICAL ARTS PHYSICIANS
OFFICE
107 TREMONT ST
HOPEDALE, IL 61747
PHONE: (309) 449-4338
E-PRESCRIBE: NO
ROSSI, PHILLIP J., MD
GENDER: M
PROVIDER #: 010983
NPI #: 1114965225
HOPEDALE MEDICAL
COMPLEX
107 TREMONT ST
HOPEDALE, IL 61747
PHONE: (309) 449-3321
E-PRESCRIBE: NO
HOPKINS PARK, IL
PEDIATRICS
ALFORD, RODNEY S., MD
GENDER: M
PROVIDER #: 101964
NPI #: 1427128909
PEMBROKE COMMUNITY
HEALTH CENTER RHC
3400 S MAIN ST
HOPKINS PARK, IL 60944
PHONE: (815) 944-5545
E-PRESCRIBE: NO
MCCUISTON JR,
STONEWALL, MD
GENDER: M
PROVIDER #: 050993
NPI #: 1720072143
PEMBROKE COMMUNITY
HEALTH CENTER
3400 S MAIN ST
HOPKINS PARK, IL 60944
PHONE: (815) 944-5545
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
JACKSONVILLE, IL
JACKSONVILLE, IL
JACKSONVILLE, IL
ADULT/INTERNAL
MEDICINE
COULTAS, DAVID D., MD
GENDER: M
PROVIDER #: 026904
NPI #: 1902804495
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
E-PRESCRIBE: NO
ELADASARI, BABU R., MD
GENDER: M
PROVIDER #: 184254
NPI #: 1356393300
PASSAVANT PHYSICIANS
GROUP
559 N WESTGATE AVE
JACKSONVILLE, IL 62650
PHONE: (217) 243-5474
E-PRESCRIBE: NO
GERBERDING, ALLEN G., MD
GENDER: M
PROVIDER #: 194898
NPI #: 1558333633
HSHS MEDICAL GROUP
FAMILY MEDICINEJACKSONVILLE
1515 W WALNUT
JACKSONVILLE, IL 62650
PHONE: (217) 243-6454
E-PRESCRIBE: NO
GRIFFIN, ANTHONY M., MD
GENDER: M
PROVIDER #: 191788
NPI #: 1770558603
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
CUNNINGHAM, ABBY L.,
ARNP; PROVIDER #: 218844
E-PRESCRIBE: NO
Primary Care Physicians
KOZMA, JOSEPH J., MD
GENDER: M
PROVIDER #: 011036
NPI #: 1194895979
1440 W WALNUT
JACKSONVILLE, IL 62650
PHONE: (217) 243-5425
E-PRESCRIBE: NO
PRABHAKAR,
CHANDUPATLA, MD
GENDER: M
PROVIDER #: 008888
NPI #: 1720197346
PASSAVANT INTERNAL
MEDICINE
559 N WESTGATE
JACKSONVILLE, IL 62650
PHONE: (217) 243-5474
HOOVER, SONDRA S., APN;
PROVIDER #: 178775
E-PRESCRIBE: NO
FAMILY PRACTICE
BOHAN, JAMES A., MD
GENDER: M
PROVIDER #: 168834
NPI #: 1295733830
MORGAN COUNTY HEALTH
DEPARTMENT
345 W STATE ST
JACKSONVILLE, IL 62650
PHONE: (217) 245-5111
E-PRESCRIBE: NO
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
E-PRESCRIBE: NO
COLEN, MICHELLE R., MD
GENDER: F
PROVIDER #: 151255
NPI #: 1336138122
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
E-PRESCRIBE: NO
FRY, SHAWN M., MD
GENDER: F
PROVIDER #: 083071
NPI #: 1659467793
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
KING, MICHAEL, PA;
PROVIDER #: 097262
PIPER, JANE E., FNP;
PROVIDER #: 218580
E-PRESCRIBE: YES
HALE, MARSHALL T., MD
GENDER: M
PROVIDER #: 008543
NPI #: 1245226372
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
CUNNINGHAM, ABBY L.,
ARNP; PROVIDER #: 218844
E-PRESCRIBE: NO
MALCOTT, JOHN L., MD
GENDER: M
PROVIDER #: 068502
NPI #: 1134227135
SPRINGFIELD CLINIC LLP
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
54
Primary Care Physicians
MONTGOMERY, BENJAMIN
E., MD
GENDER: M
PROVIDER #: 169866
NPI #: 1083609747
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
E-PRESCRIBE: NO
BHAMIDIPATI, PRASANTA,
MD
GENDER: F
PROVIDER #: 192396
NPI #: 1851601462
HSHS MEDICAL GROUP
FAMILY MEDICINE
1515 W WALNUT SUITE 2
JACKSONVILLE, IL 62650
PHONE: (217) 243-6454
E-PRESCRIBE: NO
PETERSON, JOHN A., MD
GENDER: M
PROVIDER #: 168860
NPI #: 1164495941
MORGAN COUNTY HEALTH
DEPARTMENT
345 W STATE ST
JACKSONVILLE, IL 62650
PHONE: (217) 245-5111
E-PRESCRIBE: NO
JOHNSTON, GRETCHEN S.,
MD
GENDER: F
PROVIDER #: 136581
NPI #: 1184795940
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
BEARD, LACY B., ARNP;
PROVIDER #: 219290
E-PRESCRIBE: NO
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
LIETZ, DIANE M., FNPC;
PROVIDER #: 243865
E-PRESCRIBE: NO
PEDIATRICS
BASNET, EKTA, MD
GENDER: F
PROVIDER #: 228672
NPI #: 1265667117
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
E-PRESCRIBE: NO
55
LILLPOP, STEVEN T., MD
GENDER: M
PROVIDER #: 009154
NPI #: 1851387609
MPS JACKSONVILLE
1500 FOUNDERS LANE SUITE
100
JACKSONVILLE, IL 62650
PHONE: (217) 243-0300
BEARD, LACY B., ARNP;
PROVIDER #: 219290
WHITEHEAD, SHANA, PA-C;
PROVIDER #: 078870
E-PRESCRIBE: NO
JACKSONVILLE, IL
JOLIET, IL
TAYLOR, JANE K., MD
GENDER: F
PROVIDER #: 202702
NPI #: 1588827588
HSHS MEDICAL GROUP
FAMILY MEDICINEJACKSONVILLE
1515 W WALNUT SUITE 2
JACKSONVILLE, IL 62650
PHONE: (217) 243-6454
E-PRESCRIBE: NO
JOLIET, IL
ADULT/INTERNAL
MEDICINE
AIJAZ, MAIMOONA, MD
GENDER: F
PROVIDER #: 188257
NPI #: 1679518518
1717 GLENWOOD AVE
JOLIET, IL 60435
PHONE: (815) 274-2828
E-PRESCRIBE: NO
CHAKRABARTI,
SUDARSANA, MD
GENDER: F
PROVIDER #: 201946
NPI #: 1104096940
WUNDERLICH MD SC
310 N HAMMES SUITE 101
JOLIET, IL 60435
PHONE:
E-PRESCRIBE: NO
CHAUHAN, KEYUR M., MD
GENDER: M
PROVIDER #: 232662
NPI #: 1124261748
WUNDERLICH MD SC
310 N HAMMES SUITE 101
JOLIET, IL 60435
PHONE: (815) 741-4445
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
JOLIET, IL
JOLIET, IL
JOUDEH, MOHANAD, MD
GENDER: M
PROVIDER #: 229893
NPI #: 1659546414
PROVENA MEDICAL GROUP
333 MADISON ST
JOLIET, IL 60435
PHONE: (815) 725-7133
E-PRESCRIBE: NO
SHAH, YATIN M., MD
GENDER: M
PROVIDER #: 041205
NPI #: 1235108911
PRIMARY CARE OF JOLIET
2025 S CHICAGO ST
JOLIET, IL 60436
PHONE: (815) 726-2200
DRUHE, JODY L., ARNP;
PROVIDER #: 245145
HUSHAW, LINDA L., ARNP;
PROVIDER #: 245194
MANCKE, VICTORIA L., CFNP;
PROVIDER #: 195053
E-PRESCRIBE: NO
TRAGER, GARY M., MD
GENDER: M
PROVIDER #: 037798
NPI #: 1982646535
FAMILY MEDICAL GROUP
SC
330 N MADISON ST SUITE 104
JOLIET, IL 60435
PHONE: (815) 725-3440
E-PRESCRIBE: NO
WUNDERLICH, ANDREW W.,
MD
GENDER: M
PROVIDER #: 118185
NPI #: 1275528341
WUNDERLICH MD SC
310 N HAMMES SUITE 101
JOLIET, IL 60435
PHONE: (815) 741-4445
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
DOYLE, TIMOTHY W., DO
GENDER: M
PROVIDER #: 210600
NPI #: 1548376510
WUNDERLICH MD SC
310 N HAMMES AVE SUITE
101
JOLIET, IL 60435
PHONE: (815) 741-4445
E-PRESCRIBE: NO
KRAVETS, SERGEI A., DO
GENDER: M
PROVIDER #: 182411
NPI #: 1386686012
FAMILY MEDICAL GROUP
SC
330 N MADISON ST SUITE 104
JOLIET, IL 60435
PHONE: (815) 725-3440
E-PRESCRIBE: NO
SHIVELY, KARLA R., DO
GENDER: F
PROVIDER #: 110156
NPI #: 1871535450
FAMILY MEDICAL GROUP
SC
330 N MADISON ST SUITE 104
JOLIET, IL 60435
PHONE: (815) 725-3440
E-PRESCRIBE: NO
WASZAK, MICHAEL L., MD
GENDER: M
PROVIDER #: 085578
NPI #: 1215971809
FAMILY MEDICAL GROUP
SC
330 N MADISON ST SUITE 104
JOLIET, IL 60435
PHONE: (815) 725-3440
E-PRESCRIBE: NO
GENERAL PRACTICE
LATIF, MARIA R., MD
GENDER: F
PROVIDER #: 196449
NPI #: 1063620607
INTERNAL MEDICINE &
FAMILY PHYSICIANS SC
1051 ESSINGTON RD SUITE
290
JOLIET, IL 60435
PHONE: (815) 773-0099
E-PRESCRIBE: NO
AJMERE, KISHOR G., MD
GENDER: M
PROVIDER #: 041213
NPI #: 1144239369
KISHOR AJMERE MD LTD
2435 GLENWOOD AVE SUITE
110
JOLIET, IL 60435
PHONE: (815) 744-6005
E-PRESCRIBE: NO
MCVAY, MARK A., DO
GENDER: M
PROVIDER #: 177186
NPI #: 1366541484
CROSSROADS COUNSELING
SERVICES LLC
3077 W JEFFERSON ST SUITE
108
JOLIET, IL 60435
PHONE: (815) 941-3882
E-PRESCRIBE: YES
PEDIATRICS
ALCALA, GILDA M., MD
GENDER: F
PROVIDER #: 108122
NPI #: 1972591188
PROVENA MEDICAL GROUP
301 N SPRINGFIELD AVE
SUITE 4
JOLIET, IL 60435
PHONE: (815) 725-0007
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
56
JOLIET, IL
KANKAKEE, IL
Primary Care Physicians
BELICENA, JONETTE P., MD
GENDER: F
PROVIDER #: 084671
NPI #: 1134117344
PROVENA MEDICAL GROUP
301 N SPRINGFIELD AVE
JOLIET, IL 60435
PHONE: (815) 725-0007
E-PRESCRIBE: NO
SETLUR, USHA, MD
GENDER: F
PROVIDER #: 173923
NPI #: 1679533467
210 N HAMMES AVE SUITE
201
JOLIET, IL 60435
PHONE: (815) 741-8088
E-PRESCRIBE: NO
GOPI, SHANTHI R., MD
GENDER: F
PROVIDER #: 200971
NPI #: 1821012410
CITY CENTER HEALTHCARE
300 N OTTAWA ST
JOLIET, IL 60432
PHONE: (815) 726-0311
E-PRESCRIBE: NO
WIBISONO, BERNADETA L.,
MD
GENDER: F
PROVIDER #: 212715
NPI #: 1003143504
JOLIET PEDIATRICS &
FAMILY CARE LTD
831 N LARKIN AVE
JOLIET, IL 60435
PHONE: (815) 741-8888
E-PRESCRIBE: NO
JABER, NABIL, MD
GENDER: M
PROVIDER #: 058185
NPI #: 1679649388
DR JABER PEDATRICS PC
1106 N LARKIN AVE
JOLIET, IL 60435
PHONE: (815) 725-6226
E-PRESCRIBE: NO
NIAZI, SHERAHSAN K., MD
GENDER: M
PROVIDER #: 078149
NPI #: 1902972516
JOLIET PEDIATRICS &
FAMILY CARE LTD
831 N LARKIN AVE
JOLIET, IL 60435
PHONE: (815) 741-8888
E-PRESCRIBE: NO
ONAGAN, MARIA I., MD
GENDER: F
PROVIDER #: 220711
NPI #: 1689871212
JOLIET PEDIATRICS &
FAMILY CARE LTD
831 N LARKIN AVE
JOLIET, IL 60435
PHONE: (815) 741-8888
E-PRESCRIBE: NO
57
KANKAKEE, IL
ADULT/INTERNAL
MEDICINE
DAVULURI, SRIKANTH, MD
GENDER: M
PROVIDER #: 210682
NPI #: 1205034998
RIVERSIDE HEALTH
SYSTEMS
500 N WALL ST SUITE 100
KANKAKEE, IL 60901
PHONE: (815) 933-2557
E-PRESCRIBE: NO
DEEPANKAR, RAHUL, MD
GENDER: M
PROVIDER #: 194329
NPI #: 1376503045
LAUREN HANA MD
375 N WALL ST SUITE P610
KANKAKEE, IL 60901
PHONE: (815) 939-9394
E-PRESCRIBE: NO
HANA, LAUREN M., MD
GENDER: F
PROVIDER #: 132208
NPI #: 1477650141
RIVERSIDE HEALTH
SYSTEMS
375 N WALL ST SUITE P610
KANKAKEE, IL 60901
PHONE: (815) 939-9394
E-PRESCRIBE: NO
WROBLEWSKI, THOMAS, MD
GENDER: M
PROVIDER #: 244870
NPI #: 1891833612
RMG INTERNAL MEDICINE
401 N WALL ST SUITE 102
KANKAKEE, IL 60901
PHONE: (815) 937-4404
E-PRESCRIBE: YES
FAMILY PRACTICE
AKINTILO, OLATUNJI R., MD
GENDER: M
PROVIDER #: 190101
NPI #: 1760485007
1 DEERBORN SQUARE SUITE
600
KANKAKEE, IL 60901
PHONE: (815) 304-5106
E-PRESCRIBE: NO
KOLLA, RAJASEKHAR, MD
GENDER: M
PROVIDER #: 120883
NPI #: 1720160179
PROVENA MEDICAL GROUP
455 W COURT ST SUITE 102
KANKAKEE, IL 60901
PHONE: (815) 937-8744
BECKMAN, SHONNA C., PA-C;
PROVIDER #: 238076
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
KANKAKEE, IL
LA HARPE, IL
WU, SIMON K., MD
GENDER: M
PROVIDER #: 092926
NPI #: 1407044241
401 N WALL SUITE 101
KANKAKEE, IL 60901
PHONE: (815) 933-1664
E-PRESCRIBE: NO
PEDIATRICS
ALFORD, RODNEY S., MD
GENDER: M
PROVIDER #: 101964
NPI #: 1427128909
RIVERSIDE COMMUNITY
HEALTH NETWORK
401 N WALL ST SUITE 206
KANKAKEE, IL 60901
PHONE: (815) 937-2044
E-PRESCRIBE: NO
GUPTA, ANUJA, MD
GENDER: F
PROVIDER #: 166764
NPI #: 1013938257
RIVERSIDE CARDIAC
SPECIALISTS
500 N WALL ST SUITE 100
KANKAKEE, IL 60901
PHONE: (815) 933-2557
E-PRESCRIBE: NO
KANSAS, IL
GENERAL PRACTICE
AKERMAN, MICHAEL B., MD
GENDER: M
PROVIDER #: 011041
NPI #: 1356421473
KANSAS FAMILY MEDICAL
CENTER
104 E BUENA VISTA
KANSAS, IL 61933
PHONE: (217) 948-5905
E-PRESCRIBE: NO
Primary Care Physicians
KENTLAND, IN
ADULT/INTERNAL
MEDICINE
FLORIDO, GONZALO, MD
GENDER: M
PROVIDER #: 007020
NPI #: 1063552990
IMH KENTLAND CLINIC
303 N SEVENTH ST
KENTLAND, IN 47951
PHONE: (219) 474-5464
MORGAN, DEBORAH L., APN;
PROVIDER #: 144509
E-PRESCRIBE: NO
REYES, CRISANTO M., MD
GENDER: M
PROVIDER #: 096136
NPI #: 1154461978
IMH KENTLAND CLINIC
303 N SEVENTH
KENTLAND, IN 47951
PHONE: (219) 474-5464
E-PRESCRIBE: NO
KNOXVILLE, IL
ADULT/INTERNAL
MEDICINE
MASLAK, JOSEPH W., MD
GENDER: M
PROVIDER #: 053216
NPI #: 1497754022
KNOXVILLE CLINIC
904 E MAIN ST
KNOXVILLE, IL 61448
PHONE: (309) 289-2341
E-PRESCRIBE: NO
VALENTIN, JEANETTE, MD
GENDER: F
PROVIDER #: 049768
NPI #: 1952300485
KNOXVILLE CLINIC
904 E MAIN ST
KNOXVILLE, IL 61448
PHONE: (309) 289-2341
E-PRESCRIBE: NO
FAMILY PRACTICE
DEYOUNG, MARK B., MD
GENDER: M
PROVIDER #: 081957
NPI #: 1306845045
KNOXVILLE CLINIC
904 E MAIN ST
KNOXVILLE, IL 61448
PHONE: (309) 289-2341
E-PRESCRIBE: NO
GRADY, CLYDE M., MD
GENDER: M
PROVIDER #: 052173
NPI #: 1851484075
OSF MEDICAL GROUP
104 S BROAD ST
KNOXVILLE, IL 61448
PHONE: (309) 289-2335
E-PRESCRIBE: NO
LA HARPE, IL
FAMILY PRACTICE
DAVIS, KURTIS W., MD
GENDER: M
PROVIDER #: 233574
NPI #: 1639335193
FAMILY RURAL HEALTH OF
LA HARPE
501 E MAIN
LA HARPE, IL 61450
PHONE: (217) 659-3844
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
58
LE ROY, IL
LENA, IL
Primary Care Physicians
LE ROY, IL
ADULT/INTERNAL
MEDICINE
HALPERIN, CAROLINE, DO
GENDER: F
PROVIDER #: 120776
NPI #: 1912928805
LE ROY FAMILY MEDICINE
911 S CHESTNUT
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
FAMILY PRACTICE
CROWE, ALEX, MD
GENDER: M
PROVIDER #: 016591
NPI #: 1235157066
ADVOCATE MEDICAL
GROUP
911 S CHESTNUT
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
LE, DANIEL, MD
GENDER: M
PROVIDER #: 067879
NPI #: 1972524676
MONROE CLINIC-LENA
214 N SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
ORWIG, STACY C., MD
GENDER: F
PROVIDER #: 185662
NPI #: 1982826384
ADVOCATE MEDICAL
GROUP
911 S CHESTNUT ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
ANUMU, ELISABETH A., MD
GENDER: F
PROVIDER #: 204736
NPI #: 1215185715
MONROE CLINIC-LENA
214 N SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
911 S CHESTNUT ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
911 S CHESTNUT
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
LENA, IL
ADULT/INTERNAL
MEDICINE
KUBE, BRENDA A., MD
GENDER: F
PROVIDER #: 083676
NPI #: 1386660355
LE ROY FAMILY MEDICINE
911 S CHESTNUT ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
59
MUSTARD, MICHAEL R., MD
GENDER: M
PROVIDER #: 184070
NPI #: 1295826675
ADVOCATE MEDCIAL
GROUP
911 S CHESTNUT
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
GILL, SIMRUN K., MD
GENDER: F
PROVIDER #: 204752
NPI #: 1740468800
MONROE CLINIC - LENA
214 N SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
FAMILY PRACTICE
KEPNER, BARBARA J., MD
GENDER: F
PROVIDER #: 128438
NPI #: 1326197468
MONROE CLINIC-LENA
214 N SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
PEDIATRICS
DUEMLER, BRUCE K., MD
GENDER: M
PROVIDER #: 058040
NPI #: 1619041084
MONROE CLINIC-LENA
214 SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
LEWISTOWN, IL
LEXINGTON, IL
LEWISTOWN, IL
FAMILY PRACTICE
BOWERS, JOSHUA D., MD
GENDER: M
PROVIDER #: 167250
NPI #: 1194947002
GRAHAM MEDICAL GROUP
2001 N MAIN ST
LEWISTOWN, IL 61542
PHONE: (309) 547-9700
E-PRESCRIBE: NO
PEDIATRICS
WELL, MARCI, MD
GENDER: F
PROVIDER #: 049801
NPI #: 1821107699
GRAHAM MEDICAL GROUP
2001 N MAIN ST
LEWISTOWN, IL 61542
PHONE: (309) 647-0201
E-PRESCRIBE: NO
LEXINGTON, IL
ADULT/INTERNAL
MEDICINE
HALPERIN, CAROLINE, DO
GENDER: F
PROVIDER #: 120776
NPI #: 1912928805
CROSSROADS MEDICAL
128 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 527-4900
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
CROWE, ALEX, MD
GENDER: M
PROVIDER #: 016591
NPI #: 1235157066
ADVOCATE MEDICAL
GROUP
128 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 527-4900
E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
307 W MAIN
LEXINGTON, IL 61753
PHONE: (309) 365-8608
E-PRESCRIBE: NO
HAKES, PAUL E., MD
GENDER: M
PROVIDER #: 004325
NPI #: 1750315602
ADVOCATE MEDICAL
GROUP
307 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 365-8608
E-PRESCRIBE: NO
INGALSBE, STEVEN C., MD
GENDER: M
PROVIDER #: 007304
NPI #: 1962428128
ADVOCATE MEDICAL
GROUP
307 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 365-8608
E-PRESCRIBE: NO
MUSTARD, MICHAEL R., MD
GENDER: M
PROVIDER #: 184070
NPI #: 1295826675
ADVOCATE MEDICAL
GROUP
307 W MAIN
LEXINGTON, IL 61753
PHONE: (309) 365-8608
E-PRESCRIBE: NO
ORWIG, STACY C., MD
GENDER: F
PROVIDER #: 185662
NPI #: 1982826384
ADVOCATE MEDICAL
GROUP
307 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 365-8608
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
307 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 365-8608
E-PRESCRIBE: NO
STEFFEN, SAMUEL E., MD
GENDER: M
PROVIDER #: 093898
NPI #: 1790704435
ADVOCATE MEDICAL
GROUP
307 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 365-8608
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
60
Primary Care Physicians
LINCOLN, IL
ADULT/INTERNAL
MEDICINE
COX, MELISSA, MD
GENDER: F
PROVIDER #: 068917
NPI #: 1871699603
SPRINGFIELD CLINIC
100 STAHLHUT DR
LINCOLN, IL 62656
PHONE: (217) 735-9555
KAESEBIER, ASHLEY J., FNPC;
PROVIDER #: 168570
REXROAD, MARIA E., APN;
PROVIDER #: 023231
E-PRESCRIBE: NO
FAMILY PRACTICE
BIVIN, RICHARD E., MD
GENDER: M
PROVIDER #: 069652
NPI #: 1386641033
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
MENDEZ, SUE MARIE S., NP;
PROVIDER #: 126546
MURPHY, ROSEMARIE, NP;
PROVIDER #: 049849
TUCHOLKE, KATHLEEN E.,
FNP; PROVIDER #: 154792
E-PRESCRIBE: NO
CARROLL, DENNIS M., MD
GENDER: M
PROVIDER #: 007519
NPI #: 1396838835
SPRINGFIELD CLINIC
100 STAHLHUT DR
LINCOLN, IL 62656
PHONE: (217) 735-9555
DRAPER, SHARON L., NP;
PROVIDER #: 131153
E-PRESCRIBE: NO
61
KASA, PAUL R., MD
GENDER: M
PROVIDER #: 008519
NPI #: 1598751554
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
MURPHY, ROSEMARIE, NP;
PROVIDER #: 049849
TUCHOLKE, KATHLEEN E.,
FNP; PROVIDER #: 154792
E-PRESCRIBE: NO
LAYA, MARIA F., MD
GENDER: F
PROVIDER #: 020928
NPI #: 1265428015
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
MURPHY, ROSEMARIE, NP;
PROVIDER #: 049849
E-PRESCRIBE: NO
MIZEUR, TRACY A., MD
GENDER: F
PROVIDER #: 108193
NPI #: 1467427716
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: NO
LINCOLN, IL
LINCOLN, IL
RIVERA, CHRISTOPHER E.,
MD
GENDER: M
PROVIDER #: 201934
NPI #: 1326200080
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
TUCHOLKE, KATHLEEN E.,
FNP; PROVIDER #: 154792
E-PRESCRIBE: NO
WAHAB, AMIR JOHN, MD
GENDER: M
PROVIDER #: 032754
NPI #: 1881669158
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
MURPHY, ROSEMARIE, NP;
PROVIDER #: 049849
TUCHOLKE, KATHLEEN E.,
FNP; PROVIDER #: 154792
E-PRESCRIBE: NO
ZWILLING, THOMAS J., MD
GENDER: M
PROVIDER #: 008515
NPI #: 1427023704
FAMILY MEDICAL CENTER
OF LINCOLN LLC
515 N COLLEGE
LINCOLN, IL 62656
PHONE: (217) 732-9681
MURPHY, ROSEMARIE, NP;
PROVIDER #: 049849
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
LINCOLN, IL
MACOMB, IL
PEDIATRICS
COX, MELISSA, MD
GENDER: F
PROVIDER #: 068917
NPI #: 1871699603
SPRINGFIELD CLINIC
100 STAHLHUT DR
LINCOLN, IL 62656
PHONE: (217) 735-9555
KAESEBIER, ASHLEY J., FNPC;
PROVIDER #: 168570
REXROAD, MARIA E., APN;
PROVIDER #: 023231
E-PRESCRIBE: NO
LOCKPORT, IL
ADULT/INTERNAL
MEDICINE
ANWAR, MUHAMMED UMAIR,
MD
GENDER: M
PROVIDER #: 087278
NPI #: 1568485084
ANWAR MED CENTER OF
SOUTHWEST SUBURB SC
300 READ ST SUITE B
LOCKPORT, IL 60441
PHONE: (815) 834-1903
E-PRESCRIBE: NO
FAMILY PRACTICE
KARCAVICH, JOSEPH P., MD
GENDER: M
PROVIDER #: 143078
NPI #: 1659377844
PROVENA MEDICAL GROUP
300 READ ST SUITE B
LOCKPORT, IL 60441
PHONE: (815) 836-8656
E-PRESCRIBE: NO
Primary Care Physicians
MACKINAW, IL
GENERAL PRACTICE
ROSSI, MATTHEW B., MD
GENDER: M
PROVIDER #: 007408
NPI #: 1205874310
MACKINAW DOCTORS
OFFICE
407 S ORCHARD ST
MACKINAW, IL 61755
PHONE: (309) 359-3711
E-PRESCRIBE: NO
ROSSI, PHILLIP J., MD
GENDER: M
PROVIDER #: 010983
NPI #: 1114965225
MACKINAW DOCTORS
OFFICE
407 S ORCHARD ST
MACKINAW, IL 61755
PHONE:
E-PRESCRIBE: NO
GREATHOUSE, DAVID J., DO
GENDER: M
PROVIDER #: 014521
NPI #: 1720071129
LAMOINE VALLEY CLINIC
FIVE DOCTORS LN
MACOMB, IL 61455
PHONE: (309) 836-3387
E-PRESCRIBE: NO
GREATHOUSE, DAVID, DO
GENDER: M
PROVIDER #: 156388
NPI #: 1720071129
MCDONOUGH DISTRICT
HOSPITAL
525 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 833-4101
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
JALIL, YOUSAF, MD
GENDER: M
PROVIDER #: 212796
NPI #: 1629384136
MACOMB INTERNAL
MEDICINE
515 E GRANT ST SUITE 111
MACOMB, IL 61455
PHONE: (309) 837-9926
E-PRESCRIBE: NO
FLORES, NOEL L., MD
GENDER: M
PROVIDER #: 132755
NPI #: 1316921000
MACOMB INTERNAL
MEDICINE
515 E GRANT ST SUITE 111
MACOMB, IL 61455
PHONE: (309) 837-9926
E-PRESCRIBE: NO
KARKARE, SUJATA A., MD
GENDER: F
PROVIDER #: 218650
NPI #: 1164430161
MACOMB INTERNAL
MEDICINE
515 E GRANT ST STE 112
MACOMB, IL 61455
PHONE: (309) 837-2414
E-PRESCRIBE: NO
MACOMB, IL
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
62
Primary Care Physicians
MILLER, DAVID L., DO
GENDER: M
PROVIDER #: 067033
NPI #: 1861497612
MEDICAL GROUP OF
MACOMB LLC
505 E GRANT ST SUITE 103
MACOMB, IL 61455
PHONE: (309) 833-3536
E-PRESCRIBE: NO
DHILLON, SUKHDIP S., MD
GENDER: M
PROVIDER #: 187838
NPI #: 1932359551
MCDONOUGH MEDICAL
GROUP
505 E GRANT ST SUITE 202
MACOMB, IL 61455
PHONE: (309) 833-1729
E-PRESCRIBE: NO
NEEKHRA, ANEESH, MD
GENDER: M
PROVIDER #: 248825
NPI #: 1134384548
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
402 S ADAMS ST
MACOMB, IL 61455
PHONE: (319) 754-4400
E-PRESCRIBE: NO
FARR, CURTIS C., MD
GENDER: M
PROVIDER #: 023406
NPI #: 1700861937
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
REEM, DAVID W., MD
GENDER: M
PROVIDER #: 156504
NPI #: 1336124668
MACOMB INTERNAL
MEDICINE
515 E GRANT ST SUITE 111
MACOMB, IL 61455
PHONE: (309) 837-9926
E-PRESCRIBE: NO
FAMILY PRACTICE
ALBOUSHI, HANI, MD
GENDER: M
PROVIDER #: 200911
NPI #: 1669624813
MCDONOUGH DISTRICT
HOSPITAL
505 E GRANT ST SUITE 202
MACOMB, IL 61455
PHONE: (309) 836-3091
E-PRESCRIBE: NO
63
LI, XIAOLU (SHERRY), MD
GENDER: F
PROVIDER #: 049467
NPI #: 1396810644
WESTERN ILLINOIS
MEDICAL GROUP
909 E GRANT ST SUITE A
MACOMB, IL 61455
PHONE: (309) 837-2000
E-PRESCRIBE: NO
ONEILL, CHARLES J., MD
GENDER: M
PROVIDER #: 014513
NPI #: 1881673226
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
MACOMB, IL
MACOMB, IL
REEVES, MICHELLE R., MD
GENDER: F
PROVIDER #: 068487
NPI #: 1518942754
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
POUNDERS, MELISSA L., NP;
PROVIDER #: 221315
E-PRESCRIBE: NO
STORTZUM, CHRISTOPHER
D., MD
GENDER: M
PROVIDER #: 107971
NPI #: 1124003843
FAMILY PRACTICE
ASSOCIATES
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
STORTZUM, CHRISTOPHER,
MD
GENDER: M
PROVIDER #: 150201
NPI #: 1124003843
MCDONOUGH DISTRICT
HOSPI
525 E GRANT
MACOMB, IL 61455
PHONE: (309) 833-4101
E-PRESCRIBE: NO
WASCHULL, AMY S., MD
GENDER: F
PROVIDER #: 133973
NPI #: 1639264625
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
MACOMB, IL
MAHOMET, IL
Primary Care Physicians
WATERS, MICHAEL L., MD
GENDER: M
PROVIDER #: 049233
NPI #: 1477536993
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
WASCHULL, AMY S., MD
GENDER: F
PROVIDER #: 133973
NPI #: 1639264625
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
FAMILY PRACTICE OB
WATERS, MICHAEL L., MD
GENDER: M
PROVIDER #: 049233
NPI #: 1477536993
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
FARR, CURTIS C., MD
GENDER: M
PROVIDER #: 023406
NPI #: 1700861937
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
ONEILL, CHARLES J., MD
GENDER: M
PROVIDER #: 014513
NPI #: 1881673226
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
REEVES, MICHELLE R., MD
GENDER: F
PROVIDER #: 068487
NPI #: 1518942754
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
POUNDERS, MELISSA L., NP;
PROVIDER #: 221315
E-PRESCRIBE: NO
PEDIATRICS
BALBORT, LIBERTY A., MD
GENDER: F
PROVIDER #: 223246
NPI #: 1356597090
MCDONOUGH DISTRICT
HOSPITAL PEDIATRICS
505 E GRANT ST SUITE 202
MACOMB, IL 61455
PHONE: (309) 833-1729
E-PRESCRIBE: NO
LIN, AN-SHIH, MD
GENDER: M
PROVIDER #: 014527
NPI #: 1194763458
505 E GRANT ST SUITE 201
MACOMB, IL 61455
PHONE: (309) 833-3068
E-PRESCRIBE: NO
LOCKARD, MARY KATHLEEN,
MD
GENDER: F
PROVIDER #: 095260
NPI #: 1679571152
MEDICAL GROUP OF
MACOMB LLC
505 E GRANT ST SUITE 103
MACOMB, IL 61455
PHONE: (309) 833-3536
E-PRESCRIBE: NO
MAHOMET, IL
ADULT/INTERNAL
MEDICINE
SATHER, CARL A., MD
GENDER: M
PROVIDER #: 198681
NPI #: 1174733034
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
E-PRESCRIBE: YES
FAMILY PRACTICE
BUCHANAN, CHARLES R.,
MD
GENDER: M
PROVIDER #: 091820
NPI #: 1184631632
CHRISTIE CLINIC
1001 COMMERCIAL DR
MAHOMET, IL 61853
PHONE: (217) 586-6600
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
64
Primary Care Physicians
HENRICHS, CHRISTINE E.,
MD
GENDER: F
PROVIDER #: 093453
NPI #: 1619908662
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
HUSMANN, JEAN H., PA-C;
PROVIDER #: 016963
E-PRESCRIBE: YES
MADDEN, JESSICA D., MD
GENDER: F
PROVIDER #: 222831
NPI #: 1861627499
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
E-PRESCRIBE: YES
NELSON, CHRISTOPHER D.,
MD
GENDER: M
PROVIDER #: 107462
NPI #: 1083669519
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
E-PRESCRIBE: YES
SAMUEL-PARKS, CARLA, MD
GENDER: F
PROVIDER #: 170575
NPI #: 1326245655
CHRISTIE CLINIC
1001 COMMERCIAL DR
MAHOMET, IL 61853
PHONE: (217) 586-6600
E-PRESCRIBE: YES
65
SCHAAP, PAUL A., MD
GENDER: M
PROVIDER #: 000146
NPI #: 1467548248
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
HUSMANN, JEAN H., PA-C;
PROVIDER #: 016963
E-PRESCRIBE: YES
SINGLETON, DEBORAH S.,
MD
GENDER: F
PROVIDER #: 023405
NPI #: 1639279839
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
E-PRESCRIBE: YES
WEBB, DAVID K., MD
GENDER: M
PROVIDER #: 000679
NPI #: 1619075017
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
HUSMANN, JEAN H., PA-C;
PROVIDER #: 016963
E-PRESCRIBE: YES
PEDIATRICS
SATHER, CARL A., MD
GENDER: M
PROVIDER #: 198681
NPI #: 1174733034
CARLE PHYSICIAN GROUP
1001 HEATHER DR
MAHOMET, IL 61853
PHONE: (217) 586-8400
E-PRESCRIBE: YES
MAHOMET, IL
MANTENO, IL
MANITO, IL
GENERAL PRACTICE
ROSSI, ALFRED N., MD
GENDER: M
PROVIDER #: 005719
NPI #: 1033157292
MANITO DOCTORS OFFICE
101 E MASON ST
MANITO, IL 61546
PHONE: (309) 968-6144
E-PRESCRIBE: NO
MANTENO, IL
FAMILY PRACTICE
HARRIS, JULIA R., MD
GENDER: F
PROVIDER #: 106352
NPI #: 1619152014
RIVERSIDE HEALTH
SYSTEMS
395 N LOCUST
MANTENO, IL 60950
PHONE: (815) 468-6870
E-PRESCRIBE: NO
REBADIO SY, RHODORA A.,
MD
GENDER: F
PROVIDER #: 178950
NPI #: 1710085535
PROVENA MEDICAL GROUP
501 S LOCUST ST
MANTENO, IL 60950
PHONE: (815) 468-6737
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
MARION, IL
MARTINSVILLE, IL
MARION, IL
Primary Care Physicians
MARSHALL, IL
FAMILY PRACTICE
FAMILY PRACTICE
ALEXANDER, JAMES O., MD
GENDER: M
PROVIDER #: 033074
NPI #: 1114094851
ALEXANDER FAMILY
PRACTICE
3106 OUTER DR SUITE 200
MARION, IL 62959
PHONE: (618) 997-4332
E-PRESCRIBE: NO
JAMES, AMY C., MD
GENDER: F
PROVIDER #: 120308
NPI #: 1972549426
UNION HOSPITAL INC
408 N 2ND ST
MARSHALL, IL 62441
PHONE: (217) 826-2361
E-PRESCRIBE: YES
MAROA, IL
FAMILY PRACTICE
MILLER, TIMOTHY A., MD
GENDER: M
PROVIDER #: 031109
NPI #: 1588621205
114 E MAIN ST
MAROA, IL 61756
PHONE: (217) 794-5472
E-PRESCRIBE: NO
MARSEILLES, IL
PEDIATRICS
WATERS, MICHELLE, MD
GENDER: F
PROVIDER #: 201081
NPI #: 1336445121
OTTAWA REGIONAL
MEDICAL CENTER
102 11TH ST
MARSEILLES, IL 61341
PHONE: (815) 795-5400
E-PRESCRIBE: NO
MATTAS, DENISE P., MD
GENDER: F
PROVIDER #: 186083
NPI #: 1659313989
CORK FAMILY MEDICINE
410 NORTH 2ND ST
MARSHALL, IL 62441
PHONE: (812) 238-7783
E-PRESCRIBE: NO
MCCALISTER, ELIZABETH A.,
MD
GENDER: F
PROVIDER #: 213764
NPI #: 1710092689
UNION HOSPITAL INC
408 N 2ND ST
MARSHALL, IL 62441
PHONE: (217) 826-2361
E-PRESCRIBE: NO
PINE MATTAS, DENISE P., MD
GENDER: F
PROVIDER #: 142272
NPI #: 1659313989
UNION HOSPITAL INC
408 N 2ND ST
MARSHALL, IL 62441
PHONE: (217) 826-2361
E-PRESCRIBE: NO
TURNER, JAMES, DO
GENDER: M
PROVIDER #: 009064
NPI #: 1245221522
UNION HOSPITAL INC
408 N 2ND ST
MARSHALL, IL 62441
PHONE: (217) 826-2361
E-PRESCRIBE: NO
MARTINSVILLE, IL
FAMILY PRACTICE
DAVIS, DAVID, MD
GENDER: M
PROVIDER #: 006686
NPI #: 1053302240
CLARK COUNTY FAMILY
MEDICINE
890 RIDGELAWN RD
MARTINSVILLE, IL 62442
PHONE: (217) 382-4191
HERSHFIELD, THERESA M.,
CNP; PROVIDER #: 074326
MORRISON, RACHEL K., PA-C;
PROVIDER #: 118328
E-PRESCRIBE: NO
RICHARDS, JOHN J., MD
GENDER: M
PROVIDER #: 169168
NPI #: 1215193651
CLARK COUNTY FAMILY
MEDICINE
890 RIDGELAWN RD
MARTINSVILLE, IL 62442
PHONE: (217) 382-4191
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
66
MASON CITY, IL
MATTOON, IL
Primary Care Physicians
MASON CITY, IL
FAMILY PRACTICE
BITNER, BETHANY L., MD
GENDER: F
PROVIDER #: 228551
NPI #: 1316173164
MASON CITY MEDICAL
ASSOCIATES
122 E ELM
MASON CITY, IL 62664
PHONE:
E-PRESCRIBE: YES
MARKLEY, MICHAEL, MD
GENDER: M
PROVIDER #: 115617
NPI #: 1740246834
MASON CITY MEDICAL
ASSOCIATES RURAL
HEALTH
100 N MAIN ST
MASON CITY, IL 62664
PHONE: (309) 543-8564
E-PRESCRIBE: NO
SCHULTZ, BRUCE W., MD
GENDER: M
PROVIDER #: 090450
NPI #: 1356307433
MASON CITY MEDICAL
ASSOCIATES RURAL
HEALTH
100 N MAIN ST
MASON CITY, IL 62664
PHONE: (309) 543-8564
E-PRESCRIBE: NO
MATTOON, IL
ADULT/INTERNAL
MEDICINE
CAMDEN, TIMOTHY H., MD
GENDER: M
PROVIDER #: 099666
NPI #: 1659323327
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
GOOD, ROBERT G., DO
GENDER: M
PROVIDER #: 099668
NPI #: 1639122922
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
BAKER, JANET L., NP;
PROVIDER #: 099691
E-PRESCRIBE: NO
HULL, SAM F., MD
GENDER: M
PROVIDER #: 225334
NPI #: 1053319277
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5920
E-PRESCRIBE: NO
JOAG, KIRAN, MD
GENDER: M
PROVIDER #: 004144
NPI #: 1013023258
SBL FAMILY PRACTICE
CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7400
E-PRESCRIBE: NO
67
KATSAMAKIS,
CONSTANTINE D., DO
GENDER: M
PROVIDER #: 202779
NPI #: 1407906100
SBL MEDICAL OFFICE
PAVILION
500 HEALTH CENTER DR
SUITE 107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
QATTASH, ISMAIL, MD
GENDER: M
PROVIDER #: 150677
NPI #: 1538329982
CHRISTIE CLINIC
105 B PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 345-3000
E-PRESCRIBE: YES
ROWLAND, KENDRITH M.,
MD
GENDER: M
PROVIDER #: 224709
NPI #: 1407955206
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
VASSEY, JULIAN, MD
GENDER: M
PROVIDER #: 030247
NPI #: 1003922782
SBL INTERNAL MEDICINE
101 PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 258-2110
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
MATTOON, IL
MATTOON, IL
WINOGRAD, DAVID, DO
GENDER: M
PROVIDER #: 066193
NPI #: 1144337767
SBL INTERNAL MEDICINE
101 PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 849-3151
E-PRESCRIBE: NO
FAMILY PRACTICE
BEITEL, JOYCE W., MD
GENDER: F
PROVIDER #: 203838
NPI #: 1639109879
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
CATT, LUCAS L., MD
GENDER: M
PROVIDER #: 164037
NPI #: 1912174970
PRAIRIE FAMILY PRACTICE
PRAIRIE PAVILION I SUITE
103 1005 HEALTH CENTER
DR
MATTOON, IL 61938
PHONE: (217) 348-2525
MONTGOMERY, PATRICIA,
PA-C; PROVIDER #: 054487
E-PRESCRIBE: NO
DETERS, GREGORY, MD
GENDER: M
PROVIDER #: 050449
NPI #: 1497861702
SBL FAMILY MEDICAL
CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
Primary Care Physicians
JERABEK, JASON B., DO
GENDER: M
PROVIDER #: 241071
NPI #: 1396853008
BELLA FAMILY HEALTH &
WELLNESS
10555 MATTOON RD
MATTOON, IL 61938
PHONE: (217) 355-8346
E-PRESCRIBE: NO
LIANG, CHARLES, DO
GENDER: M
PROVIDER #: 240601
NPI #: 1275553216
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
KIM, JANE C., MD
GENDER: F
PROVIDER #: 245418
NPI #: 1356511166
CARLE FOUNDATION
PHYSICIANS SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
LYSTILA, AJA, MD
GENDER:
PROVIDER #: 146249
NPI #: 1215159744
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
KIRBY, KEVIN, MD
GENDER: M
PROVIDER #: 240582
NPI #: 1972528255
CARLE FOUNDATION
PHYSICIANS SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
MARTINEZ, JAIME, MD
GENDER: M
PROVIDER #: 248888
NPI #: 1962713909
SBL PRAIRIE FAMILY
PRACTICE
1005 HEALTH CENTER DR
SUITE 103
MATTOON, IL 61938
PHONE: (217) 258-2581
E-PRESCRIBE: NO
KREMER, MARLENE, MD
GENDER: F
PROVIDER #: 050701
NPI #: 1831205749
SBL FAMILY PRACTICE
CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7000
LIDY, JUDITH, APN;
PROVIDER #: 115007
E-PRESCRIBE: NO
MENEELY, TIMOTHY, DO
GENDER: M
PROVIDER #: 233816
NPI #: 1629178181
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
68
MATTOON, IL
MATTOON, IL
Primary Care Physicians
MIKEL, GARY, MD
GENDER: M
PROVIDER #: 042299
NPI #: 1962518746
SBL FAMILY MEDICAL
CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
NOMMENSEN, MICHAEL J.,
MD
GENDER: M
PROVIDER #: 245329
NPI #: 1831105808
CARLE PHYSICIAN GROUP
200 LERNA ROAD SOUTH
MATTOON, IL 61938-9388
PHONE: (217) 258-5900
E-PRESCRIBE: YES
SATHISH, PERUMAL, MD
GENDER: M
PROVIDER #: 240590
NPI #: 1659583938
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
THAIN, ROBERT, MD
GENDER: M
PROVIDER #: 241842
NPI #: 1285737213
SBL FAMILY PRACTICE
CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
69
WOCHNER, ROBERT J., MD
GENDER: M
PROVIDER #: 001942
NPI #: 1164538864
PRAIRIE FAMILY PRACTICE
PRAIRIE PAVILION I SUITE
103 1005 HEALTH CENTER
DR
MATTOON, IL 61938
PHONE: (217) 348-2525
E-PRESCRIBE: NO
PEDIATRICS
FAMILY PRACTICE OB
KNOX, DAVID R., MD
GENDER: M
PROVIDER #: 099672
NPI #: 1033222625
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
BEITEL, JOYCE W., MD
GENDER: F
PROVIDER #: 203838
NPI #: 1639109879
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
GENERAL PRACTICE
JOHNSON, CARL R., MD
GENDER: M
PROVIDER #: 004355
NPI #: 1275525701
500 HEALTH CENTER DR
SUITE 206
MATTOON, IL 61938
PHONE: (217) 258-4080
E-PRESCRIBE: YES
PO BOX 372
MATTOON, IL 61938
PHONE: (217) 258-4080
E-PRESCRIBE: YES
CAMDEN, TIMOTHY H., MD
GENDER: M
PROVIDER #: 099666
NPI #: 1659323327
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5960
E-PRESCRIBE: YES
KRAMER, KEVIN E., MD
GENDER: M
PROVIDER #: 015466
NPI #: 1487617031
SBL PEDIATRIC CLINIC
PRAIRIE PAVILION 1 SUITE
100 1005 HEALTH CENTER
MATTOON, IL 61938
PHONE: (217) 348-2525
E-PRESCRIBE: NO
LEIFHEIT, AMY J., MD
GENDER: F
PROVIDER #: 191681
NPI #: 1376707687
SBL PEDIATRIC CLINIC
PRAIRIE PAVILION I SUITE
100 1005 HEALTH CENTER
DR
MATTOON, IL 61938
PHONE: (217) 348-2525
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
MATTOON, IL
MINONK, IL
SNOWDEN, IVAN THOMAS,
MD
GENDER: M
PROVIDER #: 004045
NPI #: 1720194483
SBL PEDIATRICS
PRAIRIE PAVILION I SUITE
100 1005 HEALTH CENTER
DR
MATTOON, IL 61938
PHONE: (217) 348-2525
COPE, NOELLE R., APN;
PROVIDER #: 050263
E-PRESCRIBE: NO
MAZON, IL
ADULT/INTERNAL
MEDICINE
COMFORT, CHARLES D., MD
GENDER: M
PROVIDER #: 020482
NPI #: 1861484321
MAZON MEDICAL CENTER
522 DEPOT ST
MAZON, IL 60444
PHONE: (815) 448-2423
EGIZIO, BRANDI R., PA-C;
PROVIDER #: 144981
E-PRESCRIBE: NO
METAMORA, IL
ADULT/INTERNAL
MEDICINE
OBRIEN, DANIEL E., MD
GENDER: M
PROVIDER #: 186033
NPI #: 1275741829
928 W MT VERNON
METAMORA, IL 61548
PHONE: (309) 367-2321
E-PRESCRIBE: NO
Primary Care Physicians
MILFORD, IL
ADULT/INTERNAL
MEDICINE
FLORIDO, GONZALO, MD
GENDER: M
PROVIDER #: 007020
NPI #: 1063552990
IMH MILFORD CLINIC
207 N AXTEL ST
MILFORD, IL 60953
PHONE: (815) 889-4241
E-PRESCRIBE: NO
REYES, CRISANTO M., MD
GENDER: M
PROVIDER #: 096136
NPI #: 1154461978
IMH MILFORD CLINIC
207 N AXTEL ST
MILFORD, IL 60953
PHONE: (815) 889-4241
E-PRESCRIBE: NO
MINONK, IL
ADULT/INTERNAL
MEDICINE
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
120 E 7TH ST
MINONK, IL 61760
PHONE: (309) 432-2515
E-PRESCRIBE: NO
WHITE, JESSICA L., MD
GENDER: F
PROVIDER #: 224721
NPI #: 1902048986
OSF MEDICAL GROUP
120 E 7TH ST
MINONK, IL 61760
PHONE: (309) 432-2515
E-PRESCRIBE: NO
FAMILY PRACTICE
HOLT, NATHAN P., MD
GENDER:
PROVIDER #: 169027
NPI #: 1518127950
OSF MEDICAL GROUP
120 E 7TH ST
MINONK, IL 61760
PHONE: (309) 432-2515
E-PRESCRIBE: NO
NORRIS, STEVEN S., MD
GENDER: M
PROVIDER #: 077629
NPI #: 1316988934
OSF MEDICAL GROUP
120 E 7TH ST
MINONK, IL 61760
PHONE: (309) 432-2515
E-PRESCRIBE: NO
PODZAMSKY, JOHN E., DO
GENDER: M
PROVIDER #: 006405
NPI #: 1225013840
OSF MEDICAL GROUP
120 E 7TH ST
MINONK, IL 61760
PHONE: (309) 432-2441
E-PRESCRIBE: NO
200 E 6TH ST
MINONK, IL 61760
PHONE: (309) 432-2441
E-PRESCRIBE: NO
PEDIATRICS
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
120 E 7TH ST
MINONK, IL 61760
PHONE: (309) 432-2515
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
70
MINOOKA, IL
MONTICELLO, IL
Primary Care Physicians
MINOOKA, IL
MOMENCE, IL
ADULT/INTERNAL
MEDICINE
FAMILY PRACTICE
KHAN, AFTAB, MD
GENDER: M
PROVIDER #: 047850
NPI #: 1720073729
LIBERTY MEDICAL CENTER
603 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 521-1010
E-PRESCRIBE: NO
FAMILY PRACTICE
MCVAY, MARK A., DO
GENDER: M
PROVIDER #: 177186
NPI #: 1366541484
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: YES
SAFDAR, SAIMA, MD
GENDER: F
PROVIDER #: 208118
NPI #: 1336449214
LIBERTY MEDICAL CENTER
603 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 521-1010
E-PRESCRIBE: NO
SYED, HASSNAIN S., MD
GENDER: M
PROVIDER #: 186955
NPI #: 1669798542
LIBERTY MEDICAL CENTER
603 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 521-1010
E-PRESCRIBE: NO
71
KAMBOJ, YUVRAJ, MD
GENDER: M
PROVIDER #: 191321
NPI #: 1528237930
RIVERSIDE MEDICAL
CENTER OF MOMENCE
3761 N STATE ROUTE 117
MOMENCE, IL 60954
PHONE: (815) 472-3923
E-PRESCRIBE: NO
POWELL, JENNIFER M., MD
GENDER: F
PROVIDER #: 238069
NPI #: 1124131966
RIVERSIDE MEDICAL
CENTER OF MOMENCE
3761 N ROUTE 1-17
MOMENCE, IL 60954
PHONE: (815) 472-3923
E-PRESCRIBE: NO
MONTICELLO, IL
ADULT/INTERNAL
MEDICINE
FARASAT, MORTEZA, MD
GENDER: M
PROVIDER #: 239025
NPI #: 1891849105
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
MUHAMMAD, SAAD, MD
GENDER: M
PROVIDER #: 239024
NPI #: 1417188418
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
SOMA, VIKAS R., MD
GENDER: M
PROVIDER #: 245469
NPI #: 1326095894
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
FAMILY PRACTICE
ELLIS, DOUGLAS R., MD
GENDER: M
PROVIDER #: 235919
NPI #: 1992790786
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
E-PRESCRIBE: YES
GONG, CHUNLING, MD
GENDER: F
PROVIDER #: 172231
NPI #: 1952572661
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
LANKER, WILLIAM K., MD
GENDER: M
PROVIDER #: 000664
NPI #: 1568429009
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
MONTICELLO, IL
MORTON, IL
MANINT, JAMES E., DO
GENDER: M
PROVIDER #: 002832
NPI #: 1376534420
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
MARTY, ANN C., MD
GENDER: F
PROVIDER #: 000153
NPI #: 1215958905
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
BARRE, CHRISTY, NP;
PROVIDER #: 009608
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: YES
SAWLAW, JOSHUA E., MD
GENDER: M
PROVIDER #: 222916
NPI #: 1922235944
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
SPARENBERG, STEVEN, DO
GENDER: M
PROVIDER #: 068602
NPI #: 1386744506
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
PEARMAN, JENNIFER ANN,
PA; PROVIDER #: 154247
E-PRESCRIBE: YES
Primary Care Physicians
FAMILY PRACTICE OB
LANKER, WILLIAM K., MD
GENDER: M
PROVIDER #: 000664
NPI #: 1568429009
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: YES
MARTY, ANN C., MD
GENDER: F
PROVIDER #: 000153
NPI #: 1215958905
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
BARRE, CHRISTY, NP;
PROVIDER #: 009608
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: YES
MORTON, IL
ADULT/INTERNAL
MEDICINE
MARSHALL, DOUGLAS, MD
GENDER: M
PROVIDER #: 091360
NPI #: 1477569499
MARSHALL INTERNAL
MEDICINE SC
110 N MAIN ST
MORTON, IL 61550
PHONE: (309) 266-8900
E-PRESCRIBE: NO
PANCHOLI, SANJAY S., DO
GENDER:
PROVIDER #: 160866
NPI #: 1780894816
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
SIDLER, G GENE, MD
GENDER: M
PROVIDER #: 057275
NPI #: 1396844932
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
TAKATA ROSSI, JANICE L.,
MD
GENDER: F
PROVIDER #: 076565
NPI #: 1417144577
MORTON MEDICAL CENTER
1600 S FOURTH AVE SUITE
140
MORTON, IL 61550
PHONE: (309) 263-6154
E-PRESCRIBE: NO
FAMILY PRACTICE
BERATIO, CATHERINE R., MD
GENDER: F
PROVIDER #: 224725
NPI #: 1629200753
OSF MEDICAL GROUP
435 MAXINE DR SUITE 3 & 4
MORTON, IL 61550
PHONE: (309) 266-5405
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
72
Primary Care Physicians
MORTON, IL
MORTON, IL
FORD, KIMBERLY Y., DO
GENDER: F
PROVIDER #: 185057
NPI #: 1275724866
KOCH FAMILY MEDICINE SC
411 MAXINE DR
MORTON, IL 61550
PHONE: (309) 263-2411
E-PRESCRIBE: NO
LEMMERT, DAWN R., MD
GENDER: F
PROVIDER #: 201611
NPI #: 1891888145
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
MUSAITIF, ZIAD A., DO
GENDER: M
PROVIDER #: 062698
NPI #: 1316909328
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
HARMS, JAY S., MD
GENDER: M
PROVIDER #: 051654
NPI #: 1518075282
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
LINK, GREG A., DO
GENDER: M
PROVIDER #: 160479
NPI #: 1871692798
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
BABCOCK, MALINDA M., APN;
PROVIDER #: 209857
E-PRESCRIBE: NO
ORTIZ-MELVIN, REBECCA E.,
DO
GENDER: F
PROVIDER #: 166733
NPI #: 1609079409
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
JOHNSON, CHRISTOPHER
R., MD
GENDER: M
PROVIDER #: 248547
NPI #: 1043445869
OSF MEDICAL GROUPMORTON
435 MAXINE DR SUITE 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
KOCH, STANLEY, MD
GENDER: M
PROVIDER #: 008623
NPI #: 1467436436
KOCH FAMILY MEDICINE SC
411 MAXINE DR
MORTON, IL 61550
PHONE: (309) 263-2411
GILLES, ANGELA J., FNP;
PROVIDER #: 098055
E-PRESCRIBE: NO
73
MARTIN-DEL-CAMPO,
HENRY, MD
GENDER: M
PROVIDER #: 049265
NPI #: 1457441743
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
MONTEFOLKA, MARK P., MD
GENDER: M
PROVIDER #: 103596
NPI #: 1114026754
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
PATEL, JUMUNA, MD
GENDER: F
PROVIDER #: 113913
NPI #: 1033200928
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
POPP, RICHARD J., MD
GENDER: M
PROVIDER #: 010782
NPI #: 1194790675
PROCTOR FIRST CARE
621 W JACKSON
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
PRITZKER, EDWARD B., MD
GENDER: M
PROVIDER #: 008440
NPI #: 1588763122
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
MORTON, IL
MOWEAQUA, IL
Primary Care Physicians
SAMUEL, ELDON M., MD
GENDER: M
PROVIDER #: 111572
NPI #: 1427149210
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
VAN ZANT, ROBERTA L., DO
GENDER: F
PROVIDER #: 208457
NPI #: 1497762587
KOCH FAMILY MEDICINE SC
411 MAXINE DR
MORTON, IL 61550
PHONE: (309) 263-2411
E-PRESCRIBE: NO
LUCE, RONALD A., MD
GENDER: M
PROVIDER #: 031673
NPI #: 1487736450
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
SIAL, MUHAMMED I., MD
GENDER: M
PROVIDER #: 100173
NPI #: 1447212469
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
PEDIATRICS
PHILLIPS, LISA M., MD
GENDER: F
PROVIDER #: 160890
NPI #: 1720159577
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
SPENCER, ROBIN L., MD
GENDER: F
PROVIDER #: 160899
NPI #: 1770511289
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
STETTER, MATTHEW, DO
GENDER: M
PROVIDER #: 059603
NPI #: 1205935848
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
SUMNER, RONALD E., MD
GENDER: M
PROVIDER #: 077488
NPI #: 1710078563
PROCTOR FIRST CARE
621 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 263-4343
E-PRESCRIBE: NO
BAKER, DONALD O., MD
GENDER: M
PROVIDER #: 160837
NPI #: 1457433492
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
BEATY, SHAD D., MD
GENDER:
PROVIDER #: 081377
NPI #: 1538241591
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
CROSS, DAVID T., MD
GENDER: M
PROVIDER #: 134872
NPI #: 1831301282
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
KNIGHT, MATTHEW E., MD
GENDER: M
PROVIDER #: 052157
NPI #: 1346322310
OSF MEDICAL GROUP
435 MAXINE DR SUITES 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
SIERRA, REBECCA A., MD
GENDER: F
PROVIDER #: 222767
NPI #: 1417186420
OSF MEDICAL GROUP
435 MAXINE DR SUITE 3 & 4
MORTON, IL 61550
PHONE: (309) 263-2424
E-PRESCRIBE: NO
MOWEAQUA, IL
FAMILY PRACTICE
BILYEU, ALAN D., MD
GENDER: M
PROVIDER #: 008961
NPI #: 1417956798
MOWEAQUA FAMILY
PRACTICE
620 N PUTNAM ST
MOWEAQUA, IL 62550
PHONE: (217) 768-3884
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
74
MOWEAQUA, IL
MT ZION, IL
Primary Care Physicians
BILYEU, ALISON
GENDER: F
PROVIDER #: 134756
NPI #: 1568474823
MOWEAQUA FAMILY
PRACTICE
620 N PUTNAM ST
MOWEAQUA, IL 62550
PHONE: (217) 768-3884
E-PRESCRIBE: YES
MT STERLING, IL
FAMILY PRACTICE
SCHROEDER, JENNIFER S.,
MD
GENDER: F
PROVIDER #: 112726
NPI #: 1003889957
QUINCY MEDICAL GROUP
521 E MAIN
MT STERLING, IL 62353
PHONE: (217) 773-3963
JAMISON, JEAN A., CNP;
PROVIDER #: 115245
E-PRESCRIBE: NO
BILYEU, SCOTT M., MD
GENDER: M
PROVIDER #: 200416
NPI #: 1053516971
HSHS MEDICAL GROUP
FAMILY AND SPORTS
MEDICINE
620 N PUTNAM ST SUITE B
MOWEAQUA, IL 62550
PHONE: (217) 768-3884
E-PRESCRIBE: NO
WAHEED, KHALID, MD
GENDER: M
PROVIDER #: 162068
NPI #: 1467638932
QUINCY MEDCIAL GROUP
521 E MAIN
MT STERLING, IL 62353
PHONE: (217) 773-3963
E-PRESCRIBE: NO
MOWEAQUA FAMILY
PRACTICE CENTER
620 N PUTNAM
MOWEAQUA, IL 62550
PHONE: (217) 768-3884
E-PRESCRIBE: NO
MT ZION, IL
BILYEU, THOMAS M., MD
GENDER: M
PROVIDER #: 008962
NPI #: 1215936562
MOWEAQUA FAMILY
PRACTICE
620 N PUTNAM ST
MOWEAQUA, IL 62550-9466
PHONE: (217) 768-3884
E-PRESCRIBE: YES
75
FAMILY PRACTICE
BALLARD, BROOKE N., MD
GENDER: F
PROVIDER #: 110524
NPI #: 1053310557
MT ZION FAMILY CARE
CENTER
1200 N STATE HWY 121
MT ZION, IL 62549
PHONE: (217) 864-5531
E-PRESCRIBE: NO
BILYEU, SCOTT M., MD
GENDER: M
PROVIDER #: 200416
NPI #: 1053516971
MT ZION FAMILY CARE
CENTER
1200 N STATE HIGHWAY 121
MT ZION, IL 62549-1224
PHONE: (217) 864-5531
E-PRESCRIBE: NO
COSTERISAN, DENNIS D., DO
GENDER: M
PROVIDER #: 014430
NPI #: 1578565701
MT ZION FAMILY CARE
CENTER
1200 N STATE HWY 121
MT ZION, IL 62549
PHONE: (217) 864-5531
AUTON, JULIE K., NP;
PROVIDER #: 181757
E-PRESCRIBE: NO
COVAULT, JOAN M., DO
GENDER: F
PROVIDER #: 222331
NPI #: 1346346236
MT ZION FAMILY CARE
CENTER
1200 N STATE HIGHWAY 121
MT ZION, IL 62549-1224
PHONE: (217) 864-5531
E-PRESCRIBE: NO
SMITH, DANIEL B., MD
GENDER: M
PROVIDER #: 014431
NPI #: 1699779538
MT ZION FAMILY CARE
CENTER
1200 N STATE HWY 121
MT ZION, IL 62549
PHONE: (217) 864-5531
AUTON, JULIE K., NP;
PROVIDER #: 181757
HIGGINS, MORGAN L., PA-C;
PROVIDER #: 213265
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
NASHVILLE, IL
NEW LENOX, IL
NASHVILLE, IL
FAMILY PRACTICE
COY, THOMAS J., DO
GENDER: M
PROVIDER #: 188237
NPI #: 1982690517
FAMILY PHYSICIANS OF
SOUTHERN ILLINOIS
1245 S MILL ST
NASHVILLE, IL 62263
PHONE: (618) 327-8119
AULD, DEBORAH, PA-C;
PROVIDER #: 191028
GLAUBER, WALTER R., ARNP;
PROVIDER #: 147236
E-PRESCRIBE: NO
GOFORTH, GARY A., DO
GENDER: M
PROVIDER #: 210218
NPI #: 1114913746
FAMILY PHYSICIANS OF
SOUTHERN ILLINOIS
1245 S MILL ST
NASHVILLE, IL 62263
PHONE: (618) 327-8119
AULD, DEBORAH, PA-C;
PROVIDER #: 191028
GLAUBER, WALTER R., ARNP;
PROVIDER #: 147236
E-PRESCRIBE: NO
NAUVOO, IL
FAMILY PRACTICE
BURGE, SUSAN J., DO
GENDER: F
PROVIDER #: 222919
NPI #: 1386848042
MEMORIAL MEDICAL
CLINICS
1370 MULLHOLLAND
NAUVOO, IL 62354
PHONE: (217) 453-2402
E-PRESCRIBE: NO
Primary Care Physicians
HOLDEN, MICHAEL D., MD
GENDER: M
PROVIDER #: 158906
NPI #: 1558366088
MEMORIAL MEDICAL
CLINICS
1375 MULHOLLAND PO BOX
367
NAUVOO, IL 62354
PHONE: (217) 453-6802
E-PRESCRIBE: NO
NEOGA, IL
FAMILY PRACTICE
VANDEVEER, JANICE, MD
GENDER: F
PROVIDER #: 203280
NPI #: 1861654675
SBL NEOGA CLINIC
650 OAK AVE
NEOGA, IL 62447
PHONE: (217) 895-2222
BOEHM, IVEN, PA-C;
PROVIDER #: 118863
E-PRESCRIBE: NO
NEW LENOX, IL
ADULT/INTERNAL
MEDICINE
ARLA-POLAVARAPU, LATHA
P., DO
GENDER: F
PROVIDER #: 179436
NPI #: 1578548921
PROVENA MEDICAL GROUP
410 E LINCOLN HIGHWAY
SUITE 251
NEW LENOX, IL 60451
PHONE: (815) 485-2541
E-PRESCRIBE: NO
FAMILY PRACTICE
COHEN-LEWE, ADAM S., DO
GENDER: M
PROVIDER #: 225680
NPI #: 1831362946
PROVENA MEDICAL GROUP
410 E LINCOLN HIGHWAY
251
NEW LENOX, IL 60451
PHONE: (815) 485-2541
E-PRESCRIBE: NO
HINES-MAYS, CRYSTAL D.,
MD
GENDER: F
PROVIDER #: 228631
NPI #: 1154348951
PROVENA MEDICAL GROUP
410 E LINCOLN HIGHWAY
SUITE 251
NEW LENOX, IL 60451
PHONE: (815) 485-2541
E-PRESCRIBE: NO
PEDIATRICS
DECKER, HEATHER A., MD
GENDER: F
PROVIDER #: 225572
NPI #: 1336114529
PROVENA MEDICAL GROUP
188 W ILLINOIS HIGHWAY
NEW LENOX, IL 60451
PHONE:
E-PRESCRIBE: NO
PATTERSON, LEE V., MD
GENDER: M
PROVIDER #: 179797
NPI #: 1700905981
PROVENA MEDICAL GROUP
188 W ILLINOIS HIGHWAY
NEW LENOX, IL 60451
PHONE: (815) 463-0951
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
76
NOKOMIS, IL
NORMAL, IL
Primary Care Physicians
NOKOMIS, IL
FAMILY PRACTICE
CUNNINGTON, WALTER H.,
MD
GENDER: M
PROVIDER #: 133335
NPI #: 1811024508
COMMUNITY MEDICAL
CLINIC OF NAKOMIS
120 S CEDAR
NOKOMIS, IL 62075
PHONE: (217) 562-2544
E-PRESCRIBE: NO
DYCOCO, GLORIA, MD
GENDER: F
PROVIDER #: 018388
NPI #: 1598837999
NOKOMIS MEDICAL GROUP
107 W STATE ST
NOKOMIS, IL 62075
PHONE: (217) 562-2143
E-PRESCRIBE: NO
TEODORO, CATHERINE D.,
MD
GENDER: F
PROVIDER #: 225034
NPI #: 1720373574
COMMUNITY MEDICAL
CLINIC
120 S CEDAR
NOKOMIS, IL 62075
PHONE: (217) 562-2544
E-PRESCRIBE: YES
QUIZON, DEOGRACIAS F.,
MD
GENDER: M
PROVIDER #: 014784
NPI #: 1437228319
NOKOMIS MEDICAL GROUP
107 W STATE ST
NOKOMIS, IL 62075
PHONE: (217) 562-2143
E-PRESCRIBE: NO
NORMAL, IL
ADULT/INTERNAL
MEDICINE
BURR, JOHN, MD
GENDER: M
PROVIDER #: 240838
NPI #: 1770535940
ADVOCATE BROMENN
MEDICAL CENTER
1304 FRANKLIN AVE
NORMAL, IL 61761
PHONE: (309) 268-5717
E-PRESCRIBE: NO
GENERAL PRACTICE
DYCOCO, VIRGILIO M., MD
GENDER: M
PROVIDER #: 006563
NPI #: 1528137403
NOKOMIS MEDICAL GROUP
107 W STATE ST
NOKOMIS, IL 62075
PHONE: (217) 562-2143
E-PRESCRIBE: NO
77
FABI, ERNESTO N., MD
GENDER: M
PROVIDER #: 010628
NPI #: 1851460737
NOKOMIS MEDICAL GROUP
107 W STATE ST
NOKOMIS, IL 62075
PHONE: (217) 562-2143
E-PRESCRIBE: NO
FAVILA, MARLITO P., MD
GENDER: M
PROVIDER #: 094716
NPI #: 1114945912
ADVOCATE BROMENN
FAMILY HEALTH CLINIC
1300 FRANKLIN AVE SUITE
100
NORMAL, IL 61761
PHONE: (309) 268-3761
E-PRESCRIBE: NO
ADVOCATE WOUND
HEALING CENTER
1302 FRANKLIN AVE LL OF
THE MED OFFICE BLDG
NORMAL, IL 61761
PHONE: (309) 268-2920
E-PRESCRIBE: NO
HALPERIN, CAROLINE, DO
GENDER: F
PROVIDER #: 120776
NPI #: 1912928805
CENTER FOR WOUND
HEALING & HYPERBARIC
MEDICINE
1302 FRANKLIN AVE MOB LL
NORMAL, IL 61761
PHONE: (309) 268-2920
E-PRESCRIBE: NO
HEALTHPOINT
1437 E COLLEGE AVE
NORMAL, IL 61761
PHONE: (309) 454-4411
E-PRESCRIBE: NO
SUGAR CREEK MEDICAL
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
HALPERIN, IRA L., DO
GENDER: M
PROVIDER #: 032944
NPI #: 1548352107
OSF WOUND CARE CLINIC
2200 FORT JESSE RD SUITE
220
NORMAL, IL 61761
PHONE: (309) 661-6230
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
NORMAL, IL
NORMAL, IL
PANOPIO, PHOEBE B., MD
GENDER: F
PROVIDER #: 087906
NPI #: 1710070289
AMBULATORY MEDICAL
ASSOCIATES
2010 JACOBSSEN DR
NORMAL, IL 61761
PHONE: (309) 888-4009
E-PRESCRIBE: NO
YAMBAY VALIENTE, LIZA C.,
MD
GENDER: F
PROVIDER #: 248099
NPI #: 1881840080
AMG/AHHC BROMENN
1302 FRANKLIN AVE SUITE
2100
NORMAL, IL 61761
PHONE:
E-PRESCRIBE: NO
FAMILY PRACTICE
AKWA, KARLA R., MD
GENDER: F
PROVIDER #: 153891
NPI #: 1225059413
INTEGRATIVE HEALTH FOR
WOMEN
1300 FRANKLIN AVE SUITE
181
NORMAL, IL 61761
PHONE: (309) 268-2640
E-PRESCRIBE: NO
CARRINGTON, SCOTT L., MD
GENDER: M
PROVIDER #: 119823
NPI #: 1164513719
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
Primary Care Physicians
CROWE, ALEX, MD
GENDER: M
PROVIDER #: 016591
NPI #: 1235157066
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE MOB LL
NORMAL, IL 61761
PHONE: (309) 268-2920
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1437 E COLLEGE AVE
NORMAL, IL 61761
PHONE: (309) 454-4411
E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE LL OF
THE MED OFFICE BLDG
NORMAL, IL 61761
PHONE: (309) 451-2920
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1437 E COLLEGE AVE
NORMAL, IL 61761
PHONE: (309) 454-4411
E-PRESCRIBE: NO
DOWDEN, LAWRENCE M.,
MD
GENDER: M
PROVIDER #: 145181
NPI #: 1740380385
OSF PROMPTCARE
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6280
E-PRESCRIBE: NO
HAUTER, MARCIA, MD
GENDER: F
PROVIDER #: 068806
NPI #: 1548288327
SUGAR CREEK MEDICAL
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
JANI, JYOTIR H., MD
GENDER: M
PROVIDER #: 086122
NPI #: 1790877835
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
LIU, JOSEPH H., MD
GENDER: M
PROVIDER #: 107949
NPI #: 1669564738
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
78
Primary Care Physicians
MADUGULA, MADHAVI, MD
GENDER:
PROVIDER #: 154798
NPI #: 1144266065
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
NASEER, JIBRAN, MD
GENDER: M
PROVIDER #: 226420
NPI #: 1821261892
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
MOORE, SAM A., DO
GENDER: M
PROVIDER #: 087708
NPI #: 1972516797
OSF PROMPTCARE
2200 FT JESSE RD SUITE 110
NORMAL, IL 61761
PHONE: (309) 661-6280
E-PRESCRIBE: NO
ORWIG, STACY C., MD
GENDER: F
PROVIDER #: 185662
NPI #: 1982826384
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE LL OF
THE MED OFFICE BLDG
NORMAL, IL 61761
PHONE: (309) 451-2920
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1437 E COLLEGE AVE
NORMAL, IL 61761
PHONE: (309) 454-4411
E-PRESCRIBE: NO
MUSTARD, MICHAEL R., MD
GENDER: M
PROVIDER #: 184070
NPI #: 1295826675
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 451-2920
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1437 E COLLEGE AVE
NORMAL, IL 61761
PHONE: (309) 268-2490
E-PRESCRIBE: NO
79
PETERS, CARL N., MD
GENDER: M
PROVIDER #: 072614
NPI #: 1053403915
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
NORMAL, IL
NORMAL, IL
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE LL OF
THE MED OFFICE BLDG
NORMAL, IL 61761
PHONE: (309) 451-2920
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1437 E COLLEGE AVE
NORMAL, IL 61761
PHONE: (309) 454-4411
E-PRESCRIBE: NO
SHEPPARD, SUSAN J., MD
GENDER: F
PROVIDER #: 054077
NPI #: 1598857278
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
STEVENS, JENNIFER E., MD
GENDER: F
PROVIDER #: 239592
NPI #: 1043412893
OSF PROMPTCARE
2200 FORT JESSE RD SUITE
100
NORMAL, IL 61761
PHONE: (309) 661-6280
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
NORMAL, IL
OSWEGO, IL
VALES, JAMES S., MD
GENDER: M
PROVIDER #: 137076
NPI #: 1083724405
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
WELCH, ELAINE R., MD
GENDER: F
PROVIDER #: 186065
NPI #: 1922206929
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
110
NORMAL, IL 61761
PHONE: (309) 661-6290
E-PRESCRIBE: NO
PEDIATRICS
EBREO, ADAM, DO
GENDER: M
PROVIDER #: 133819
NPI #: 1225144553
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
KANE, ANDREA M., MD
GENDER: F
PROVIDER #: 147935
NPI #: 1285804724
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2770
E-PRESCRIBE: NO
Primary Care Physicians
TILLMAN, ANITA, MD
GENDER: F
PROVIDER #: 076746
NPI #: 1821016502
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2770
E-PRESCRIBE: NO
TRAEGER, AARON R., MD
GENDER: M
PROVIDER #: 181861
NPI #: 1083890156
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2770
E-PRESCRIBE: NO
OKAWVILLE, IL
FAMILY PRACTICE
GOFORTH, GARY A., DO
GENDER: M
PROVIDER #: 210218
NPI #: 1114913746
FAMILY PHYSICIANS OF
SOUTHERN ILLINOIS
205 EAST BELLEVILLE ST
OKAWVILLE, IL 62271
PHONE: (618) 327-8119
E-PRESCRIBE: NO
ONARGA, IL
FAMILY PRACTICE
BREWER, BENJAMIN E., MD
GENDER: M
PROVIDER #: 109044
NPI #: 1184618258
THE ONARGA CLINIC
109 N CHESTNUT
ONARGA, IL 60955
PHONE: (815) 268-4840
E-PRESCRIBE: YES
OGLESBY, IL
ADULT/INTERNAL
MEDICINE
INCIONG, RAMON B., MD
GENDER: M
PROVIDER #: 019515
NPI #: 1891707998
ST MARGARETS HEALTH
OGLESBY CLINIC
402 WALNUT ST
OGLESBY, IL 61348
PHONE: (815) 883-3241
E-PRESCRIBE: NO
OSWEGO, IL
FAMILY PRACTICE
SHETH, MANSI C., DO
GENDER: F
PROVIDER #: 244946
NPI #: 1669600870
DREYER CLINIC OSWEGO
80 TEMPLETON DR
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
80
Primary Care Physicians
SPANIK, CARLI T., MD
GENDER: F
PROVIDER #: 208036
NPI #: 1740446392
DREYER CLINIC-OSWEGO
80 TEMPLETON DRIVE
OSWEGO, IL 60543
PHONE: (630) 554-3456
E-PRESCRIBE: NO
CUNNINGTON, WALTER H.,
MD
GENDER: M
PROVIDER #: 133335
NPI #: 1811024508
COMMUNITY MEDICAL
CLINIC OF PANA
101 E 9TH ST SUITE 105
PANA, IL 62557
PHONE: (217) 562-2544
ANKLAM, DEBRA, CNP;
PROVIDER #: 172570
E-PRESCRIBE: NO
PANA, IL
ADULT/INTERNAL
MEDICINE
PRABHU, MANJESHWAR, MD
GENDER: M
PROVIDER #: 008667
NPI #: 1770683450
SPRINGFIELD CLINIC
101 E 9TH ST
PANA, IL 62557
PHONE: (217) 562-2131
E-PRESCRIBE: NO
FAMILY PRACTICE
CUNNINGTON, LAURIE E.,
MD
GENDER: F
PROVIDER #: 134371
NPI #: 1114056363
COMMUNITY MEDICAL
CLINIC OF PANA
101 E 9TH ST SUITE 105
PANA, IL 62557
PHONE: (217) 562-2544
ANKLAM, DEBRA, CNP;
PROVIDER #: 172570
E-PRESCRIBE: NO
81
DYCOCO, GLORIA, MD
GENDER: F
PROVIDER #: 018388
NPI #: 1598837999
PANA MEDICAL GROUP LLC
217 S LOCUST
PANA, IL 62557
PHONE: (217) 562-2143
E-PRESCRIBE: NO
KOCHER, JARED J., MD
GENDER: M
PROVIDER #: 119163
NPI #: 1346299724
COMMUNITY MEDICAL
CLINIC OF PANA
101 E 9TH ST SUITE 105
PANA, IL 62557
PHONE: (217) 562-2544
ANKLAM, DEBRA, CNP;
PROVIDER #: 172570
E-PRESCRIBE: NO
TEODORO, CATHERINE D.,
MD
GENDER: F
PROVIDER #: 225034
NPI #: 1720373574
COMMUNITY MEDICAL
CLINIC
101 E 9TH ST
PANA, IL 62557
PHONE: (217) 562-2544
E-PRESCRIBE: YES
OSWEGO, IL
PARIS, IL
GENERAL PRACTICE
DYCOCO, VIRGILIO M., MD
GENDER: M
PROVIDER #: 006563
NPI #: 1528137403
PANA MEDICAL GROUP LLC
217 S LOCUST
PANA, IL 62557
PHONE: (217) 562-2143
E-PRESCRIBE: NO
FABI, ERNESTO N., MD
GENDER: M
PROVIDER #: 010628
NPI #: 1851460737
PANA MEDICAL GROUP LLC
217 S LOCUST
PANA, IL 62557
PHONE: (217) 562-2143
E-PRESCRIBE: NO
QUIZON, DEOGRACIAS F.,
MD
GENDER: M
PROVIDER #: 014784
NPI #: 1437228319
PANA MEDICAL GROUP LLC
217 S LOCUST
PANA, IL 62557
PHONE: (217) 562-2143
E-PRESCRIBE: NO
PARIS, IL
ADULT/INTERNAL
MEDICINE
SUTTON, REID, MD
GENDER: M
PROVIDER #: 004047
NPI #: 1205916236
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PARIS, IL
PEKIN, IL
FAMILY PRACTICE
MACKE, STEVEN, MD
GENDER: M
PROVIDER #: 243295
NPI #: 1609867373
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8911
E-PRESCRIBE: NO
PHIPPS, LELAND, MD
GENDER: M
PROVIDER #: 004076
NPI #: 1902969579
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
ARP, SUSAN, CNP; PROVIDER
#: 026870
PITTS, JAMES D., PA-C;
PROVIDER #: 209933
ROARK, MICHELLE, CNP;
PROVIDER #: 010529
E-PRESCRIBE: NO
GENERAL PRACTICE
AKERMAN, MICHAEL B., MD
GENDER: M
PROVIDER #: 011041
NPI #: 1356421473
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
ARP, SUSAN, CNP; PROVIDER
#: 026870
ROARK, MICHELLE, CNP;
PROVIDER #: 010529
E-PRESCRIBE: NO
Primary Care Physicians
PAXTON, IL
FAMILY PRACTICE
BARK, GEORGE A., MD
GENDER: M
PROVIDER #: 195800
NPI #: 1487665071
PAXTON CLINIC
227 N MARKET ST
PAXTON, IL 60957
PHONE: (217) 379-4864
E-PRESCRIBE: NO
FOELLNER, RICHARD P., DO
GENDER: M
PROVIDER #: 007767
NPI #: 1487659074
THE PAXTON CLINIC
227 N MARKET ST
PAXTON, IL 60957
PHONE: (217) 379-4864
OAKLEY, LISA, FNP;
PROVIDER #: 074339
E-PRESCRIBE: YES
HENRICHS, JEREMY W., MD
GENDER: M
PROVIDER #: 100925
NPI #: 1154326759
THE PAXTON CLINIC
227 N MARKET ST
PAXTON, IL 60957
PHONE: (217) 379-4864
E-PRESCRIBE: YES
RAY, BERNADETTE M., MD
GENDER: F
PROVIDER #: 156869
NPI #: 1164634267
THE PAXTON CLINIC
227 N MARKET ST
PAXTON, IL 60957
PHONE: (217) 379-4864
E-PRESCRIBE: NO
RAY, DARRIN M., MD
GENDER: M
PROVIDER #: 161876
NPI #: 1679785778
227 N MARKET ST
PAXTON, IL 60957
PHONE: (217) 379-4864
E-PRESCRIBE: YES
PEKIN, IL
ADULT/INTERNAL
MEDICINE
AHMED, SAROSH, MD
GENDER: F
PROVIDER #: 169204
NPI #: 1295994606
FAMILY HEALTH CENTER
OF PEKIN
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
E-PRESCRIBE: NO
AMANULLAH, JAMALUDDIN
F., MD
GENDER: M
PROVIDER #: 219864
NPI #: 1184673147
COMPREHENSIVE
HEALTHCARE PC
2401 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 349-3175
E-PRESCRIBE: YES
HONAN, MICHAEL P., MD
GENDER: M
PROVIDER #: 229519
NPI #: 1255424750
INTERNAL MEDICINE
ASSOCIATES OF PEKIN
600 S 13TH ST SUITE E
PEKIN, IL 61554
PHONE: (309) 353-0473
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
82
PEKIN, IL
PEKIN, IL
Primary Care Physicians
LINDELL, JOHN R., MD
GENDER: M
PROVIDER #: 004584
NPI #: 1548212517
FAMILY HEALTH CENTER
OF PEKIN
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
ROBISON, KIRK B., PA-C;
PROVIDER #: 084014
E-PRESCRIBE: NO
KABATAY-LEE HO, MARIA T.,
MD
GENDER: F
PROVIDER #: 088922
NPI #: 1174560353
PARK COURT FAMILY
PRACTICE
600 S 13TH ST SUITE I
PEKIN, IL 61554
PHONE: (309) 346-1102
E-PRESCRIBE: NO
VON BUN, FRIEDRICH J., MD
GENDER: M
PROVIDER #: 010760
NPI #: 1760489306
PEKIN PULMONARY CLINIC
1327 EXECUTIVE COURT
PEKIN, IL 61554
PHONE: (309) 353-5864
E-PRESCRIBE: NO
FAMILY PRACTICE
DUENSING, WILLIAM, DO
GENDER: M
PROVIDER #: 210918
NPI #: 1982673190
MILLER FAMILY MEDICINE
SC
1503 VALLE VISTA BLVD
PEKIN, IL 61554
PHONE: (309) 353-6225
E-PRESCRIBE: YES
FISHER II, CURTIS W., DO
GENDER: M
PROVIDER #: 081959
NPI #: 1710941331
PEKIN FAMILY PRACTICE
2355 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 347-2700
E-PRESCRIBE: NO
83
KHAN, MOHAMMED M., MD
GENDER: M
PROVIDER #: 238609
NPI #: 1679703797
FAMILY HEALTH CENTER
OF PEKIN
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
E-PRESCRIBE: YES
MILLER, KEVIN E., DO
GENDER: M
PROVIDER #: 154610
NPI #: 1770589012
MILLER FAMILY MEDICINE
SC
1503 VALLE VISTA BLVD
PEKIN, IL 61554
PHONE: (309) 353-6225
E-PRESCRIBE: NO
MULTANI, SUKHWINDER S.,
MD
GENDER: M
PROVIDER #: 168541
NPI #: 1518176601
FAMILY HEALTH CENTER
OF PEKIN
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 353-6301
E-PRESCRIBE: NO
SISON JR, GENEROSO N.,
MD
GENDER: M
PROVIDER #: 156548
NPI #: 1609085273
PROHEALTH FAMILY
MEDICINE
600 S 13TH ST SUITE I
PEKIN, IL 61554
PHONE: (309) 346-1102
HARTMAN, JESSICA, APN;
PROVIDER #: 233666
E-PRESCRIBE: NO
SUMER, VOLKAN, DO
GENDER: M
PROVIDER #: 048335
NPI #: 1730185125
ILLINOIS CENTERS FOR
PAIN & REHAB SC
1491 VALLEY VISTA BLVD
PEKIN, IL 61554
PHONE: (309) 347-4277
E-PRESCRIBE: NO
PEDIATRICS
BOWMAN, REGINALD, DO
GENDER: M
PROVIDER #: 203021
NPI #: 1316101892
PEKIN PEDIATRIC CENTER
600 S 13TH ST SUITE A
PEKIN, IL 61554
PHONE: (309) 347-2191
E-PRESCRIBE: NO
KHAN, MOHAMMED A., MD
GENDER: M
PROVIDER #: 168542
NPI #: 1396953485
PROHEALTH PEDIATRICS
3223 GRIFFIN AVE
PEKIN, IL 61554
PHONE: (309) 353-1822
OBERLE, BUFFI S., NP;
PROVIDER #: 166305
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEKIN, IL
PEORIA HEIGHTS, IL
SWITZER-HUNTER, ERIKA L.,
MD
GENDER: F
PROVIDER #: 100831
NPI #: 1891749198
PROHEALTH PEDIATRICS
3223 GRIFFIN AVE
PEKIN, IL 61554
PHONE: (309) 353-1822
OBERLE, BUFFI S., NP;
PROVIDER #: 166305
E-PRESCRIBE: NO
PEORIA HEIGHTS, IL
ADULT/INTERNAL
MEDICINE
SIDLER, G GENE, MD
GENDER: M
PROVIDER #: 057275
NPI #: 1396844932
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
FAMILY PRACTICE
AUSFAHL, JAMES D., MD
GENDER: M
PROVIDER #: 016137
NPI #: 1518058619
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
HARMS, JAY S., MD
GENDER: M
PROVIDER #: 051654
NPI #: 1518075282
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
Primary Care Physicians
MONTEFOLKA, MARK P., MD
GENDER: M
PROVIDER #: 103596
NPI #: 1114026754
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
SAMUEL, ELDON M., MD
GENDER: M
PROVIDER #: 111572
NPI #: 1427149210
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
MUSAITIF, ZIAD A., DO
GENDER: M
PROVIDER #: 062698
NPI #: 1316909328
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
SIAL, MUHAMMED I., MD
GENDER: M
PROVIDER #: 100173
NPI #: 1447212469
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
PATEL, JUMUNA, MD
GENDER: F
PROVIDER #: 113913
NPI #: 1033200928
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
STETTER, MATTHEW, DO
GENDER: M
PROVIDER #: 059603
NPI #: 1205935848
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
POPP, RICHARD J., MD
GENDER: M
PROVIDER #: 010782
NPI #: 1194790675
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
SUMNER, RONALD E., MD
GENDER: M
PROVIDER #: 077488
NPI #: 1710078563
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
PRITZKER, EDWARD B., MD
GENDER: M
PROVIDER #: 008440
NPI #: 1588763122
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
XIE, YANG, MD
GENDER: M
PROVIDER #: 133526
NPI #: 1346257128
PROCTOR FIRST CARE
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL 61616
PHONE: (309) 685-4411
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
84
Primary Care Physicians
PEORIA, IL
ADOLESCENT MEDICINE
HORNDASCH, RICHARD, MD
GENDER: M
PROVIDER #: 026199
NPI #: 1134198856
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 655-3863
E-PRESCRIBE: NO
ADULT/INTERNAL
MEDICINE
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
BAMAN, TIMIR S., MD
GENDER: M
PROVIDER #: 197469
NPI #: 1831230812
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
ADAMS, JAMES K., MD
GENDER: M
PROVIDER #: 043590
NPI #: 1275613689
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
BLAIN, TIMOTHY A., MD
GENDER: M
PROVIDER #: 084086
NPI #: 1558451849
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
AGARWAL, ANITA, MD
GENDER: F
PROVIDER #: 160695
NPI #: 1649293226
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
AGARWAL, NARESH K., MD
GENDER:
PROVIDER #: 160836
NPI #: 1538134960
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
85
ASAM, TERESA, MD
GENDER: F
PROVIDER #: 203160
NPI #: 1487851184
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
CHAVALI, MALINI, MD
GENDER:
PROVIDER #: 080370
NPI #: 1245311778
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
COLE, SUSAN J., MD
GENDER: F
PROVIDER #: 146340
NPI #: 1144313388
SUSAN J COLE MD &
ASSOCIATES
5401 N KNOXVILLE AVE
SUITE 105
PEORIA, IL 61614
PHONE: (309) 691-2311
E-PRESCRIBE: YES
COTTER, JOHN G., MD
GENDER: M
PROVIDER #: 212473
NPI #: 1245331321
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-6428
E-PRESCRIBE: NO
FARRELL, JOHN J., MD
GENDER: M
PROVIDER #: 101662
NPI #: 1043284649
OSF MEDICAL GROUP
723 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 624-8749
E-PRESCRIBE: NO
GAJULA, SONIA, MD
GENDER: F
PROVIDER #: 209058
NPI #: 1417055989
OSF MEDICAL GROUP
5105 GLEN PARK PLACE RD
PEORIA, IL 61614
PHONE: (309) 683-8383
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
Primary Care Physicians
GRAVLIN, DEAN A., MD
GENDER: M
PROVIDER #: 192150
NPI #: 1053315861
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 105
PEORIA, IL 61603
PHONE: (309) 655-7888
E-PRESCRIBE: NO
HINZ, ANNE E., MD
GENDER: F
PROVIDER #: 192185
NPI #: 1578750212
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 105
PEORIA, IL 61603
PHONE: (309) 655-7888
E-PRESCRIBE: NO
JOHNSON, DAVID M., MD
GENDER: M
PROVIDER #: 192227
NPI #: 1235133935
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 105
PEORIA, IL 61603
PHONE: (309) 655-7888
E-PRESCRIBE: NO
GULLEY, R MICHAEL, MD
GENDER: M
PROVIDER #: 160848
NPI #: 1316028855
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
HIPPLER, STEPHEN E., MD
GENDER: M
PROVIDER #: 050877
NPI #: 1659451060
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
HERSHKOWITZ, JEFFERY D.,
DO
GENDER: M
PROVIDER #: 244213
NPI #: 1922101104
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-8108
E-PRESCRIBE: NO
JAGER, MATTHEW D., DO
GENDER: M
PROVIDER #: 195226
NPI #: 1356544472
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
KNIGHT, REBECCA A., MD
GENDER: F
PROVIDER #: 057906
NPI #: 1437261047
THE KNIGHT CENTER FOR
INTEGRATED HEALTH
5401 N KNOXVILLE AVE
SUITE 104
PEORIA, IL 61614
PHONE: (309) 692-0123
E-PRESCRIBE: NO
HIGGS, CRAIG L., MD
GENDER: M
PROVIDER #: 146541
NPI #: 1649488925
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
JAGER, MATTHEW, DO
GENDER: M
PROVIDER #: 188477
NPI #: 1356544472
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-6428
E-PRESCRIBE: NO
KOURI, THOMAS F., MD
GENDER: M
PROVIDER #: 070927
NPI #: 1568412773
5401 N KNOXVILLE AVE
SUITE 204
PEORIA, IL 61614
PHONE: (309) 689-9088
E-PRESCRIBE: NO
LEE, SHAO-TSENG, MD
GENDER:
PROVIDER #: 048854
NPI #: 1225108855
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8108
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
86
Primary Care Physicians
LINDAHL, LARRY S., MD
GENDER: M
PROVIDER #: 006773
NPI #: 1770681629
OSF MEDICAL GROUPINSTITUTE ON AGING
8600 NORTH ROUTE 91 SUITE
130
PEORIA, IL 61615
PHONE: (309) 683-5058
E-PRESCRIBE: NO
MCCREA, RANDOLPH L., MD
GENDER: M
PROVIDER #: 050139
NPI #: 1891885182
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
MCMANUS, DENNIS Q., MD
GENDER: M
PROVIDER #: 160988
NPI #: 1861473076
OSF MEDICAL GROUP
INSTITUTE ON AGING
8600 NORTH ROUTE 91 SUITE
130
PEORIA, IL 61615
PHONE: (309) 683-5058
E-PRESCRIBE: NO
MCSHANE, GERALD J., MD
GENDER: M
PROVIDER #: 051670
NPI #: 1669553012
OSF HOSPITAL FOLLOW-UP
CLINIC
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 683-9471
E-PRESCRIBE: NO
87
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
OSF MEDICAL GROUP-GLEN
PARK INTERNAL MEDICINE
5114 N GLEN PARK PL
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
OSF MEDICAL GROUPPEDIATRIC AFTER HOURS
CLINIC
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (888) 627-5673
E-PRESCRIBE: NO
MEISTER, ROBERT A., MD
GENDER: M
PROVIDER #: 008390
NPI #: 1114992229
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE
SUITE 204
PEORIA, IL 61614
PHONE: (309) 683-1200
E-PRESCRIBE: NO
MILLER, BARRY L., MD
GENDER: M
PROVIDER #: 062681
NPI #: 1891885190
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
MISCHLER, MATTHEW, MD
GENDER: M
PROVIDER #: 158639
NPI #: 1174747885
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-6428
E-PRESCRIBE: NO
MOBERG, KIRK D., MD
GENDER: M
PROVIDER #: 242942
NPI #: 1235153677
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE
SUITE 204
PEORIA, IL 61614
PHONE: (309) 691-0365
E-PRESCRIBE: NO
MULCAHEY, KATHRYN A., MD
GENDER: F
PROVIDER #: 112130
NPI #: 1568542975
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
BURGENER, TERRI N., ARNP;
PROVIDER #: 215899
E-PRESCRIBE: NO
NGUYEN, KATHY N., MD
GENDER: F
PROVIDER #: 134873
NPI #: 1730207317
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
NULTY, WILLIAM G., MD
GENDER: M
PROVIDER #: 052671
NPI #: 1639148356
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
PAPROCKI, ALEXANDRA A.,
MD
GENDER: F
PROVIDER #: 222798
NPI #: 1720242605
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
RAMSAHAI, SHWETA, MD
GENDER: F
PROVIDER #: 209706
NPI #: 1003075128
OSF MEDICAL GROUP
723 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 624-8749
E-PRESCRIBE: NO
RISK, ANNE C., MD
GENDER: F
PROVIDER #: 227938
NPI #: 1871754309
OSF MEDICAL GROUP-GLEN
PARK
5114 N GLEN PARK PL
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
Primary Care Physicians
RODENBERG, DAVID A., MD
GENDER: M
PROVIDER #: 050033
NPI #: 1417038860
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
OSF MEDICAL GROUPADULT AFTER HOURS
CLINIC
5114 GLEN PARK PL
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
OSF MEDICAL GROUP-GLEN
PARK INTERNAL MEDICINE
5114 N GLEN PARK PL
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
RUFUS JR, EDWARD A., MD
GENDER: M
PROVIDER #: 021404
NPI #: 1871597450
5401 N KNOXVILLE AVE
SUITE 306
PEORIA, IL 61614
PHONE: (309) 691-7890
E-PRESCRIBE: NO
SABHARWAL, ANITA, MD
GENDER: F
PROVIDER #: 034333
NPI #: 1407829609
NORTH PEORIA INTERNAL
MEDICINE SC
5401 N KNOXVILLE AVE
SUITE 207
PEORIA, IL 61614
PHONE: (309) 692-0400
ROSS, JEANNA M., APN;
PROVIDER #: 196240
E-PRESCRIBE: NO
SALAZAR, VIVIAN W., MD
GENDER: F
PROVIDER #: 069553
NPI #: 1184704595
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
SEBASTIAN, GEOFFREY R.,
MD
GENDER: M
PROVIDER #: 188456
NPI #: 1114991163
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 105
PEORIA, IL 61603
PHONE: (309) 655-7888
E-PRESCRIBE: NO
SHALLAT, JOHN S., MD
GENDER: M
PROVIDER #: 112740
NPI #: 1942381306
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8100
E-PRESCRIBE: NO
SIDLER, G GENE, MD
GENDER: M
PROVIDER #: 057275
NPI #: 1396844932
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
88
Primary Care Physicians
SMITH, TERRY E., MD
GENDER:
PROVIDER #: 041992
NPI #: 1861582165
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
YADAV, MANAJYOTI, MD
GENDER: M
PROVIDER #: 237986
NPI #: 1932470044
U OF I COLLEGE OF
MEDICINE
530 N GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-3292
E-PRESCRIBE: NO
TIMM, ANGELA L., MD
GENDER: F
PROVIDER #: 169051
NPI #: 1821291287
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
YANG, HONGMEI, MD
GENDER: M
PROVIDER #: 233576
NPI #: 1083840698
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 105
PEORIA, IL 61603
PHONE: (309) 655-7888
E-PRESCRIBE: NO
VAZQUEZ-MELENDEZ, ELSA
L., MD
GENDER: F
PROVIDER #: 195446
NPI #: 1356542864
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
FAMILY PRACTICE
WILKE, LESLIE D., DO
GENDER: F
PROVIDER #: 194887
NPI #: 1548460744
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
89
AGARWAL, DEVASHISH, MD
GENDER: M
PROVIDER #: 134883
NPI #: 1841382298
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC AT CARVER
711 W JOHN H GWYNN JR
AVE
PEORIA, IL 61605
PHONE: (309) 672-5650
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC AT EAST
BLUFF
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 681-4606
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
BARNETT, JAMES W., MD
GENDER: M
PROVIDER #: 132039
NPI #: 1730103722
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
LEMAN, SANDRA, PA;
PROVIDER #: 131172
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC AT EAST
BLUFF
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 681-4606
E-PRESCRIBE: NO
BEVILL, ROBERT S., MD
GENDER: M
PROVIDER #: 008402
NPI #: 1700886280
EAGLE FAMILY MEDICINE
2809 W WILLOW KNOLLS
SUITE C
PEORIA, IL 61614
PHONE: (309) 692-6604
ESTEP, PATRICIA J., APN;
PROVIDER #: 086784
E-PRESCRIBE: NO
BHATIA, PREM, MD
GENDER: F
PROVIDER #: 016142
NPI #: 1720179773
PROCTOR FIRST CARE
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
CADET-SAINTILUS, KAREN,
MD
GENDER: F
PROVIDER #: 158054
NPI #: 1003936766
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
CANTY, MARK D., MD
GENDER: M
PROVIDER #: 055709
NPI #: 1962573626
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8108
E-PRESCRIBE: NO
CARLSON, WADE D., MD
GENDER: M
PROVIDER #: 227892
NPI #: 1275557498
OSF PROMPTCARE
5114 N GLEN PARK PL
PEORIA, IL 61614
PHONE: (309) 683-2412
E-PRESCRIBE: NO
CHAMBERS-DAMM, KRISTEN
A., MD
GENDER: F
PROVIDER #: 224705
NPI #: 1447485693
OSF MEDICAL GROUP
8600 N ROUTE 91 SUITE 130
PEORIA, IL 61615
PHONE: (309) 683-5050
E-PRESCRIBE: NO
Primary Care Physicians
CLEMENTZ, GREGORY L., MD
GENDER: M
PROVIDER #: 040395
NPI #: 1174605505
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
GRIEBEL, CRAIG P., MD
GENDER: M
PROVIDER #: 115785
NPI #: 1740294347
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
FORD, KIMBERLY, DO
GENDER: F
PROVIDER #: 173981
NPI #: 1275724866
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
GROSS, HENRY R., MD
GENDER: M
PROVIDER #: 020420
NPI #: 1023190337
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
GILBERT, GEORGE C., MD
GENDER: M
PROVIDER #: 008444
NPI #: 1215021100
SAMARITAN FAMILY
MEDICAL SERVICES PC
5401 N KNOXVILLE AVE
SUITE 215
PEORIA, IL 61614
PHONE: (309) 689-0044
BECKER, BARBARA A., CNP;
PROVIDER #: 210732
E-PRESCRIBE: NO
HARMS, JAY S., MD
GENDER: M
PROVIDER #: 051654
NPI #: 1518075282
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
GOLEMON, THOMAS B., MD
GENDER: M
PROVIDER #: 115790
NPI #: 1619981370
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
HINCKS, KERRY L., DO
GENDER: M
PROVIDER #: 134902
NPI #: 1104847458
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
90
Primary Care Physicians
JACQUES, RENALDO A., MD
GENDER: M
PROVIDER #: 161991
NPI #: 1477528974
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC AT EAST
BLUFF
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 681-4606
E-PRESCRIBE: NO
JOHNSON, LESLIE E., MD
GENDER: M
PROVIDER #: 010761
NPI #: 1336111897
CARDINAL MEDICAL
GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: YES
LAHOOD, TIMOTHY, MD
GENDER: M
PROVIDER #: 020269
NPI #: 1245223130
MIDWEST FAMILY MEDICAL
5401 N KNOXVILLE AVE
SUITE 400
PEORIA, IL 61614
PHONE: (309) 689-0909
SHAY, KIM M., NP; PROVIDER
#: 212124
E-PRESCRIBE: NO
LIZER, ROBERT A., DO
GENDER: M
PROVIDER #: 026848
NPI #: 1184624280
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: NO
JONGERIUS, N MICHAEL, MD
GENDER: M
PROVIDER #: 154240
NPI #: 1235144056
JUNCTION MEDICAL SC
5016 N UNIVERSITY ST
SUITE 107
PEORIA, IL 61614
PHONE: (309) 740-4232
E-PRESCRIBE: NO
KIM-KUPFER, CAROLINE, MD
GENDER: F
PROVIDER #: 195723
NPI #: 1083643480
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
91
HEARTLAND COMMUNITY
HEALTH CLINIC AT EAST
BLUFF
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
MONTEFOLKA, MARK P., MD
GENDER: M
PROVIDER #: 103596
NPI #: 1114026754
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
MOSKOP, GREGORY T., MD
GENDER: M
PROVIDER #: 157529
NPI #: 1033161054
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
MUNGEE, MEGHA, MD
GENDER: F
PROVIDER #: 160862
NPI #: 1760670913
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
MUSAITIF, ZIAD A., DO
GENDER: M
PROVIDER #: 062698
NPI #: 1316909328
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 893-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
NA'ALLAH, RAHMAT, MD
GENDER: F
PROVIDER #: 186480
NPI #: 1730200791
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
OLORIEGBE, FATIMAH A.,
MD
GENDER: F
PROVIDER #: 185892
NPI #: 1760672554
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
ORTIZ-MELVIN, REBECCA E.,
DO
GENDER: F
PROVIDER #: 166733
NPI #: 1609079409
OSF MEDICAL GROUPPEDIATRIC AFTER HOURS
CLINIC
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (888) 627-5673
E-PRESCRIBE: NO
PATEL, JUMUNA, MD
GENDER: F
PROVIDER #: 113913
NPI #: 1033200928
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
POPP, RICHARD J., MD
GENDER: M
PROVIDER #: 232812
NPI #: 1194790675
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
Primary Care Physicians
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
PRITZKER, EDWARD B., MD
GENDER: M
PROVIDER #: 008440
NPI #: 1588763122
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
SAMUEL, ELDON M., MD
GENDER: M
PROVIDER #: 111572
NPI #: 1427149210
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
SAN GERMAN, HENRY S., MD
GENDER: M
PROVIDER #: 010762
NPI #: 1205928397
CARDINAL MEDICAL
GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: YES
SHOTICK JR, GEORGE K., MD
GENDER: M
PROVIDER #: 190106
NPI #: 1104941657
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
SIAL, MUHAMMED I., MD
GENDER: M
PROVIDER #: 100173
NPI #: 1447212469
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
SPRINGER, DAVID G., MD
GENDER: M
PROVIDER #: 119993
NPI #: 1205931318
HEARTLAND COMMUNITY
HEALTH CLINIC AT CARVER
711 W JOHN H GWYNN JR
AVE
PEORIA, IL 61605
PHONE: (309) 672-5650
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC AT EAST
BLUFF
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 681-4606
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
92
PEORIA, IL
PEORIA, IL
Primary Care Physicians
STETTER, MATTHEW, DO
GENDER: M
PROVIDER #: 059603
NPI #: 1205935848
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
9118 N LINDBERGH DR
PEORIA, IL 61615
PHONE: (309) 693-3993
E-PRESCRIBE: NO
STONER, GREGG, MD
GENDER: M
PROVIDER #: 008442
NPI #: 1467546218
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
LACCI, KATHLEEN, PA;
PROVIDER #: 178705
LEMAN, SANDRA, PA;
PROVIDER #: 131172
LEONARDI, DENISE, CNP;
PROVIDER #: 115795
RAY, JANET, FNP; PROVIDER
#: 115806
E-PRESCRIBE: NO
HEARTLAND COMMUNITY
HEALTH CLINIC AT EAST
BLUFF
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 681-4606
E-PRESCRIBE: NO
SUMNER, RONALD E., MD
GENDER: M
PROVIDER #: 077488
NPI #: 1710078563
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
93
VILATTE, ALAIN W., MD
GENDER: M
PROVIDER #: 076551
NPI #: 1417039736
OSF MEDICAL GROUP
5111 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5700
E-PRESCRIBE: NO
WILLIAMS, LASHUNDA D.,
MD
GENDER: F
PROVIDER #: 134717
NPI #: 1629194089
PROCTOR FIRST CARE
3915 W BARRING TRACE
PEORIA, IL 61615
PHONE: (309) 689-3030
E-PRESCRIBE: NO
WYNN, KELVIN E., MD
GENDER: M
PROVIDER #: 165357
NPI #: 1104928639
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
XIE, YANG, MD
GENDER: M
PROVIDER #: 123374
NPI #: 1346257128
PEORIA INTEGRATIVE
MEDICAL CENTER LTD
4930 N EXECUTIVE DR SUITE
A
PEORIA, IL 61614
PHONE: (309) 683-6002
E-PRESCRIBE: NO
GENERAL PRACTICE
ALI, SYED M., MD
GENDER: M
PROVIDER #: 005342
NPI #: 1700805439
GLEN AVENUE FAMILY
PRACTICE
4930 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 691-3707
E-PRESCRIBE: NO
PEDIATRICS
AGUIRRE-CASTANEDA,
ROXANA L., MD
GENDER: F
PROVIDER #: 201612
NPI #: 1871755298
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
AL-RAHAWAN, MOHAMAD
M., MD
GENDER: M
PROVIDER #: 148350
NPI #: 1750316923
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 624-4945
E-PRESCRIBE: NO
ALBARO, CECILIA A., MD
GENDER: F
PROVIDER #: 248567
NPI #: 1497879290
CHILDRENS HOSPITAL OF
ILLINOIS MEDICAL GROUP
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
Primary Care Physicians
ALNATOUR, MOURAD, MD
GENDER:
PROVIDER #: 129805
NPI #: 1891734257
OSF MEDICAL GROUPPEDIATRIC AFTER HOURS
CLINIC
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-7951
E-PRESCRIBE: NO
BENSON, JEFFREY C., MD
GENDER: M
PROVIDER #: 210817
NPI #: 1851342208
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
CHRISTISON, AMY, MD
GENDER: F
PROVIDER #: 212512
NPI #: 1720029267
U OF I COLLEGE OF
MEDICINE
221 NE GLEN OAK AVE 7
WEST STE 401
PEORIA, IL 61603
PHONE: (309) 672-5522
E-PRESCRIBE: NO
AMLANI, AARTI, MD
GENDER: F
PROVIDER #: 224747
NPI #: 1730317454
OSF MEDICAL GROUPPEDIATRIC AFTER HOURS
CLINIC
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (888) 627-5673
E-PRESCRIBE: NO
BLAIN, TIMOTHY A., MD
GENDER: M
PROVIDER #: 084086
NPI #: 1558451849
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
DEPPERMANN, MARTE L.,
MD
GENDER: F
PROVIDER #: 188924
NPI #: 1962602979
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9680
E-PRESCRIBE: NO
ASAM, TERESA, MD
GENDER: F
PROVIDER #: 203160
NPI #: 1487851184
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
BECKER, JASON E., MD
GENDER: M
PROVIDER #: 136432
NPI #: 1922215920
OSF MEDICAL GROUP
2900 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-3616
E-PRESCRIBE: NO
BUEHLER, CHRISTINE J., MD
GENDER: F
PROVIDER #: 077570
NPI #: 1902906571
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
CHATRATH, UMESH, MD
GENDER:
PROVIDER #: 031655
NPI #: 1659336030
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9680
AUER, NANCY A., NP;
PROVIDER #: 084276
E-PRESCRIBE: NO
DESHPANDE, BENALI G., MD
GENDER: F
PROVIDER #: 150476
NPI #: 1841489929
OSF MEDICAL GROUP
2900 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-3616
E-PRESCRIBE: NO
FLORES, JOSEU A., MD
GENDER: M
PROVIDER #: 224448
NPI #: 1306108105
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
94
Primary Care Physicians
GADEA LOPEZ, MERCEDES,
MD
GENDER: F
PROVIDER #: 226361
NPI #: 1750693867
OSF MEDICAL GROUPPEDIATRIC AFTER HOURS
CLINIC
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (888) 627-5673
E-PRESCRIBE: NO
GALBREATH, JOHN P., MD
GENDER: M
PROVIDER #: 052526
NPI #: 1285724583
OSF MEDICAL GROUP
2900 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-3616
E-PRESCRIBE: NO
GORDILLO PEREZ,
ROBERTO, MD
GENDER: M
PROVIDER #: 197038
NPI #: 1407084759
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 655-4242
E-PRESCRIBE: NO
HARRIS, JEANNE A., MD
GENDER: F
PROVIDER #: 064781
NPI #: 1295825586
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
95
HARVEY, MARY A., MD
GENDER: F
PROVIDER #: 143169
NPI #: 1215037890
CARDINAL MEDICAL
GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: YES
HO, TERRY A., MD
GENDER: M
PROVIDER #: 166693
NPI #: 1104027572
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
HORNDASCH, RICHARD, MD
GENDER: M
PROVIDER #: 026199
NPI #: 1134198856
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 655-3863
E-PRESCRIBE: NO
KANG, IAN K., MD
GENDER: M
PROVIDER #: 217799
NPI #: 1699856450
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
KENDHARI, HARLEENA K.,
MD
GENDER: F
PROVIDER #: 212475
NPI #: 1265629760
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9594
E-PRESCRIBE: NO
KIM, JI YEON, MD
GENDER: F
PROVIDER #: 200883
NPI #: 1922206135
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9680
E-PRESCRIBE: NO
KNEPP, MARC D., MD
GENDER: M
PROVIDER #: 224828
NPI #: 1568686277
OSF CONGENITAL HEART
CENTER
420 NE GLEN OAK AVE
SUTIE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
LAPKE, JALAYNE, MD
GENDER:
PROVIDER #: 031658
NPI #: 1508837758
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9680
AUER, NANCY A., NP;
PROVIDER #: 084276
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
MAJCINA, KATHY A., MD
GENDER: F
PROVIDER #: 160855
NPI #: 1164437729
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
MCCARTHY, HEATHER, DO
GENDER: F
PROVIDER #: 053675
NPI #: 1306819289
CARDINAL MEDICAL
GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: YES
MCLAUCHLAN, HEATHER,
MD
GENDER: F
PROVIDER #: 086200
NPI #: 1356319479
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9680
E-PRESCRIBE: NO
MENESES PAZ, JUAN C., MD
GENDER: M
PROVIDER #: 226063
NPI #: 1215154943
U OF I MEDICAL SERVICE
PLAN
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-2250
E-PRESCRIBE: NO
Primary Care Physicians
MULLETT, CHRISTOPHER T.,
DO
GENDER: M
PROVIDER #: 202397
NPI #: 1306806518
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
NEESE, ALLEN L., MD
GENDER: M
PROVIDER #: 010780
NPI #: 1841261872
CARDINAL MEDICAL
GROUP
6339 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 693-3315
E-PRESCRIBE: YES
NULTY, WILLIAM G., MD
GENDER: M
PROVIDER #: 052671
NPI #: 1639148356
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
NULTY, WILLIAM, MD
GENDER: M
PROVIDER #: 101542
NPI #: 1639148356
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-3863
E-PRESCRIBE: NO
OLIPHANT, CHRISTY A., MD
GENDER: F
PROVIDER #: 137535
NPI #: 1184836561
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
PALMER HILL, SIDNEY A., MD
GENDER: F
PROVIDER #: 239117
NPI #: 1447411509
OSF MEDICAL GROUPNEWBORN HOSPITALIST
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 624-8818
E-PRESCRIBE: NO
OSF SISTERS COMMUNITY
HEALTH CARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
PAPROCKI, ALEXANDRA A.,
MD
GENDER: F
PROVIDER #: 222798
NPI #: 1720242605
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
PERKS, CHRISTINE, MD
GENDER: F
PROVIDER #: 097261
NPI #: 1033383070
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
96
Primary Care Physicians
PEORIA, IL
PEOTONE, IL
PETRAK, CHANNING, MD
GENDER: M
PROVIDER #: 086138
NPI #: 1952370538
U OF I COLLEGE OF
MEDICINE
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9594
E-PRESCRIBE: NO
SHALLAT, SHELLY S., MD
GENDER: F
PROVIDER #: 107245
NPI #: 1184706988
OSF SISTERS COMMUNITY
HEALTH CARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
VAZQUEZ-MELENDEZ, ELSA
L., MD
GENDER: F
PROVIDER #: 195446
NPI #: 1356542864
OSF MEDICAL GROUP
5101 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 677-0700
E-PRESCRIBE: NO
RISK, ANNE C., MD
GENDER: F
PROVIDER #: 227938
NPI #: 1871754309
OSF MEDICAL GROUP-GLEN
PARK
5114 N GLEN PARK PL
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
SIMENAUER, LORI E., MD
GENDER: F
PROVIDER #: 160898
NPI #: 1780670794
OSF MEDICAL GROUP
5401 N KNOXVILLE AVE
SUITE 104
PEORIA, IL 61614
PHONE: (309) 692-1496
E-PRESCRIBE: NO
VAZQUEZ-MELENDEZ, ELSA,
MD
GENDER: F
PROVIDER #: 159694
NPI #: 1356542864
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 671-3000
E-PRESCRIBE: NO
SANTORINEOS, DIANE J., DO
GENDER: F
PROVIDER #: 117367
NPI #: 1518991066
OSF MEDICAL GROUP
8600 N STATE ROUTE 91
SUITE 200
PEORIA, IL 61615
PHONE: (309) 692-1030
E-PRESCRIBE: NO
SCHULTZ, MARY DRAEGER,
MD
GENDER: F
PROVIDER #: 159998
NPI #: 1730289224
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
97
OSF MEDICAL GROUPPEDIATRIC AFTER HOURS
CLINIC
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (888) 627-5673
E-PRESCRIBE: NO
TIMM, ANGELA L., MD
GENDER: F
PROVIDER #: 169051
NPI #: 1821291287
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 683-5600
E-PRESCRIBE: NO
PEOTONE, IL
ADULT/INTERNAL
MEDICINE
HYRE, MICHAEL C., MD
GENDER: M
PROVIDER #: 186217
NPI #: 1083713978
RIVERSIDE MEDICAL
CENTER OF PEOTONE
611 DIVISION ST
PEOTONE, IL 60468
PHONE: (708) 258-9058
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEOTONE, IL
PITTSFIELD, IL
PEDIATRICS
JONAS, ROY E., MD
GENDER: M
PROVIDER #: 071122
NPI #: 1760582316
RIVERSIDE MEDICAL
CENTER OF PEOTONE
611 DIVISION ST
PEOTONE, IL 60468
PHONE: (708) 258-9058
E-PRESCRIBE: NO
PETERSBURG, IL
FAMILY PRACTICE
BILYEU, JOE A., MD
GENDER: M
PROVIDER #: 166012
NPI #: 1023230968
MENARD MEDICAL CENTER
1 CENTRE DR
PETERSBURG, IL 62675
PHONE: (217) 632-7761
FESEN, TERESA A., FNP;
PROVIDER #: 233808
E-PRESCRIBE: NO
TELLEZ, MAOXIIM N., MD
GENDER: F
PROVIDER #: 133655
NPI #: 1740311349
MENARD MEDICAL CENTER
LLC
1 CENTRE DR
PETERSBURG, IL 62675
PHONE: (217) 632-7761
E-PRESCRIBE: NO
THOMPSON, VALERIE S., MD
GENDER: F
PROVIDER #: 120708
NPI #: 1508954926
MENARD MEDICAL CENTER
LLC
1 CENTRE DR
PETERSBURG, IL 62675
PHONE: (217) 632-7761
E-PRESCRIBE: NO
Primary Care Physicians
PHILO, IL
FAMILY PRACTICE
MANTELL, SUSAN K., MD
GENDER: F
PROVIDER #: 121371
NPI #: 1881651461
CENTER FOR YOUR HEALTH
LTD
501 N LINCOLN STREET
PHILO, IL 61864
PHONE: (217) 684-2419
E-PRESCRIBE: NO
PITTSFIELD, IL
FAMILY PRACTICE
DEAN, AMELIA, MD
GENDER: F
PROVIDER #: 061887
NPI #: 1013980200
QUINCY MEDICAL GROUP
320 N MADISON
PITTSFIELD, IL 62363
PHONE: (217) 285-9601
E-PRESCRIBE: NO
DEL ROSARIO, JOSE C., MD
GENDER: M
PROVIDER #: 109090
NPI #: 1952409864
ILLINI COMMUNITY
HOSPITAL
640 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (217) 285-2113
E-PRESCRIBE: NO
ILLINI COMMUNITY
HOSPITAL RURAL HEALTH
CLINIC
321 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (217) 285-9447
MILLER, JILL A., APN;
PROVIDER #: 109654
E-PRESCRIBE: NO
HIBBERT, PAUL A., MD
GENDER: M
PROVIDER #: 167930
NPI #: 1093961468
QUINCY MEDICAL GROUP
320 N MADISON
PITTSFIELD, IL 62363
PHONE: (217) 285-9601
E-PRESCRIBE: NO
JOHNSON, RONALD L., MD
GENDER: M
PROVIDER #: 021274
NPI #: 1255331229
QUINCY MEDICAL GROUP
320 N MADISON
PITTSFIELD, IL 62363
PHONE: (217) 285-9601
E-PRESCRIBE: NO
LOCKHART, DAVID W., MD
GENDER: M
PROVIDER #: 175377
NPI #: 1619985827
ILLINI COMMUNITY
HOSPITAL RURAL HEALTH
CLINIC
321 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (217) 285-9447
E-PRESCRIBE: YES
WAGONER, CHRISTOPHER,
MD
GENDER: M
PROVIDER #: 184863
NPI #: 1750583506
ILLINI COMMUNITY
HOSPITAL RURAL HEALTH
CLINIC
321 W WASHINGTON ST
PITTSFIELD, IL 62363
PHONE: (217) 285-9447
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
98
PITTSFIELD, IL
PONTIAC, IL
Primary Care Physicians
GENERAL PRACTICE
PLANO, IL
ANSARI, SHEHNAZ, MD
GENDER: F
PROVIDER #: 022249
NPI #: 1508858283
623 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (217) 285-4414
E-PRESCRIBE: NO
FAMILY PRACTICE
PEDIATRICS
RAIF, AYCA O., MD
GENDER: F
PROVIDER #: 030100
NPI #: 1376516658
QUINCY MEDICAL GROUP
320 N MADISON
PITTSFIELD, IL 62363
PHONE: (217) 285-9601
DIMOVITZ, MARIAN C., CPNP;
PROVIDER #: 210150
E-PRESCRIBE: NO
PLAINFIELD, IL
ADULT/INTERNAL
MEDICINE
PETHKAR, SANJAY, MD
GENDER: M
PROVIDER #: 041167
NPI #: 1134181829
ALLIANCE HEALTH
13415 S ROUTE 59
PLAINFIELD, IL 60544
PHONE: (815) 741-7590
E-PRESCRIBE: NO
PLEASANT HILL, IL
ADULT/INTERNAL
MEDICINE
RAIF, KORHAN B., MD
GENDER: M
PROVIDER #: 030138
NPI #: 1184697476
QUINCY MEDICAL GROUP
405 E STATE ST
PLEASANT HILL, IL 62366
PHONE: (217) 734-2337
HOLMAN, RUTH A., CNP;
PROVIDER #: 060510
E-PRESCRIBE: NO
PONTIAC, IL
ADULT/INTERNAL
MEDICINE
FAMILY PRACTICE
TURK, FARAH R., MD
GENDER: F
PROVIDER #: 182764
NPI #: 1366453839
ALLIANCE HEALTH
13550 S ROUTE 30 SUITE 100
PLAINFIELD, IL 60544
PHONE: (815) 741-7590
E-PRESCRIBE: NO
99
ALI, SYEDA, MD
GENDER:
PROVIDER #: 231498
NPI #: 1265732176
KISHWAUKEE PHYSICIANS
GROUP
11000 E RT 34 SUITE 2
PLANO, IL 60545
PHONE: (630) 552-9830
E-PRESCRIBE: YES
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
E-PRESCRIBE: NO
2500 W REYNOLDS ST SUITE
205
PONTIAC, IL 61764
PHONE: (815) 842-3633
E-PRESCRIBE: NO
PATEL, MUKESH V., MD
GENDER:
PROVIDER #: 119833
NPI #: 1780602946
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
203
PONTIAC, IL 61764
PHONE: (815) 844-5115
E-PRESCRIBE: NO
RINKER, JOHN M., MD
GENDER: M
PROVIDER #: 226351
NPI #: 1316173636
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
203
PONTIAC, IL 61764
PHONE: (815) 844-5115
E-PRESCRIBE: NO
WHITE, JESSICA L., MD
GENDER: F
PROVIDER #: 224721
NPI #: 1902048986
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
203
PONTIAC, IL 61764
PHONE: (815) 844-5115
E-PRESCRIBE: NO
FAMILY PRACTICE
CROWE, ALEX, MD
GENDER: M
PROVIDER #: 016591
NPI #: 1235157066
ADVOCATE MEDICAL
GROUP
1504 C W RENOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-2893
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PONTIAC, IL
PONTIAC, IL
DOWDEN, LAWRENCE M.,
MD
GENDER: M
PROVIDER #: 145181
NPI #: 1740380385
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
205
PONTIAC, IL 61764
PHONE: (815) 842-3633
E-PRESCRIBE: NO
FERNANDEZ, ANGELITO J.,
MD
GENDER:
PROVIDER #: 052172
NPI #: 1700966116
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
E-PRESCRIBE: NO
HOLT, NATHAN P., MD
GENDER:
PROVIDER #: 169027
NPI #: 1518127950
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
205
PONTIAC, IL 61764
PHONE: (815) 844-3633
DANIELSON, ANGELA B., PAC; PROVIDER #: 160732
E-PRESCRIBE: NO
LAU, DANIEL S., MD
GENDER: M
PROVIDER #: 206357
NPI #: 1720398480
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
205
PONTIAC, IL 61764
PHONE: (815) 844-3633
E-PRESCRIBE: NO
Primary Care Physicians
LEMMERT, DAWN R., MD
GENDER: F
PROVIDER #: 088648
NPI #: 1891888145
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
205
PONTIAC, IL 61764
PHONE: (815) 842-3633
E-PRESCRIBE: NO
ORWIG, STACY C., MD
GENDER: F
PROVIDER #: 185662
NPI #: 1982826384
ADVOCATE MEDICAL
GROUP
1504 C W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-2893
E-PRESCRIBE: NO
MOY, CALVIN, MD
GENDER: M
PROVIDER #: 224829
NPI #: 1154558732
OSF PROMPTCARE
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-2828
E-PRESCRIBE: NO
PROEHL, REBECCA A., MD
GENDER: F
PROVIDER #: 112368
NPI #: 1427141787
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
E-PRESCRIBE: NO
2500 W REYNOLDS ST SUITE
203
PONTIAC, IL 61764
PHONE: (815) 844-2001
E-PRESCRIBE: NO
MOY, LACEY D., MD
GENDER: F
PROVIDER #: 224830
NPI #: 1013144021
OSF PROMPT CARE
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-2828
E-PRESCRIBE: NO
MURPHY, THOMAS C., MD
GENDER: M
PROVIDER #: 202744
NPI #: 1104087394
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
E-PRESCRIBE: NO
NORRIS, STEVEN S., MD
GENDER: M
PROVIDER #: 077629
NPI #: 1316988934
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
205
PONTIAC, IL 61764
PHONE: (815) 842-3633
E-PRESCRIBE: NO
OSF PROMPTCARE
2500 W REYNOLDS ST SUITE
105
PONTIAC, IL 61764
PHONE: (815) 842-8501
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
1504 C W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-2893
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
100
PONTIAC, IL
PRINCETON, IL
Primary Care Physicians
MCCAIG, MISTY C., MD
GENDER: F
PROVIDER #: 160046
NPI #: 1194947663
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
107
PONTIAC, IL 61764
PHONE: (815) 844-6551
E-PRESCRIBE: NO
RINKER, JOHN W., DO
GENDER: M
PROVIDER #: 005311
NPI #: 1255449393
1515 W REYNOLDS ST
PONTIAC, IL 61764-9673
PHONE: (815) 842-3381
E-PRESCRIBE: NO
SCHWEIZER, HEATHER D.,
MD
GENDER: F
PROVIDER #: 109519
NPI #: 1578656831
OSF MEDICAL GROUP
918 E LINCOLN ST
PONTIAC, IL 61764
PHONE: (815) 945-2261
E-PRESCRIBE: NO
PROEHL, REBECCA A., MD
GENDER: F
PROVIDER #: 112368
NPI #: 1427141787
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
E-PRESCRIBE: NO
2500 W REYNOLDS ST SUITE
203
PONTIAC, IL 61764
PHONE: (815) 844-2001
E-PRESCRIBE: NO
GENERAL PRACTICE
PURNELL, JOHN C., MD
GENDER: M
PROVIDER #: 002599
NPI #: 1750579660
401 E WATER
PONTIAC, IL 61764
PHONE: (815) 842-1166
E-PRESCRIBE: NO
OSF PROMPTCARE
2500 W REYNOLDS ST SUITE
105
PONTIAC, IL 61764
PHONE: (815) 842-8501
E-PRESCRIBE: NO
PEDIATRICS
DENNIS, CHARLES A., MD
GENDER: M
PROVIDER #: 175733
NPI #: 1851326508
OSF MEDICAL GROUP
1506 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-6123
E-PRESCRIBE: NO
2500 W REYNOLDS ST SUITE
205
PONTIAC, IL 61764
PHONE: (815) 842-3633
E-PRESCRIBE: NO
101
PRINCETON, IL
ADULT/INTERNAL
MEDICINE
PATEL, KETAN R., MD
GENDER: M
PROVIDER #: 016522
NPI #: 1114910528
530 PARK AVE EAST SUITE
101
PRINCETON, IL 61356
PHONE: (815) 872-1221
E-PRESCRIBE: NO
FAMILY PRACTICE
DAVIS, GREGG E., MD
GENDER: M
PROVIDER #: 061719
NPI #: 1306887674
GREGG E DAVIS MD LTD
204 PARK AVE EAST
PRINCETON, IL 61356
PHONE: (815) 879-3212
E-PRESCRIBE: NO
FABER, ARNOLD L., MD
GENDER: M
PROVIDER #: 004337
NPI #: 1295776565
PRINCETON FAMILY
PHYSICIANS
530 PARK AVE EAST SUITE
303
PRINCETON, IL 61356
PHONE: (815) 875-4531
E-PRESCRIBE: NO
FABER, MARTIN F., MD
GENDER: M
PROVIDER #: 064098
NPI #: 1750487666
PRINCETON FAMILY
PHYSICIANS
530 PARK AVE EAST SUITE
303
PRINCETON, IL 61356
PHONE: (815) 875-4531
E-PRESCRIBE: NO
MESTAN, ROBERT E., MD
GENDER: M
PROVIDER #: 073776
NPI #: 1659312924
PRINCETON FAMILY
PHYSICIANS
530 PARK AVE EAST SUITE
303
PRINCETON, IL 61356
PHONE: (815) 875-4531
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PRINCETON, IL
QUINCY, IL
TAYLOR, JENNIFER J., MD
GENDER: F
PROVIDER #: 141053
NPI #: 1598968893
PRINCETON FAMILY
PHYSICIANS
530 PARK AVE EAST SUITE
303
PRINCETON, IL 61356
PHONE: (815) 875-4531
E-PRESCRIBE: NO
GENERAL PRACTICE
ASCANO, MANUEL R., MD
GENDER: M
PROVIDER #: 057196
NPI #: 1598712218
ASCANO MEDICAL CLINIC
400 N MAIN ST SUITE 1
PRINCETON, IL 61356
PHONE: (815) 875-2323
E-PRESCRIBE: NO
QUINCY, IL
ADULT/INTERNAL
MEDICINE
ANDREWS, GREGORY R., MD
GENDER: M
PROVIDER #: 008246
NPI #: 1861470387
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
EFFLAND, LORI A., APN;
PROVIDER #: 101637
E-PRESCRIBE: NO
CHBEIR, ELIE A., MD
GENDER: M
PROVIDER #: 166859
NPI #: 1063553303
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
Primary Care Physicians
EVANS, DAN H., MD
GENDER: M
PROVIDER #: 008264
NPI #: 1730152273
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
GHANEKAR, HRISHIKESH P.,
MD
GENDER: M
PROVIDER #: 118069
NPI #: 1629041686
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
IQBAL, ROBINA, MD
GENDER: F
PROVIDER #: 224487
NPI #: 1760788376
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 201
QUINCY, IL 62301
PHONE: (221) 722-3840
E-PRESCRIBE: NO
KIM, LOUIS Y., MD
GENDER: M
PROVIDER #: 070212
NPI #: 1467425405
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
LEIMBACH, KURT L., MD
GENDER: M
PROVIDER #: 008280
NPI #: 1982677373
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
NASSERY, MANOOCHER, MD
GENDER: M
PROVIDER #: 008284
NPI #: 1396718797
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
STUMPF, ELIZABETH J., APN;
PROVIDER #: 113510
E-PRESCRIBE: NO
PATEL, PRAVINCHANDRA,
MD
GENDER: M
PROVIDER #: 018849
NPI #: 1548233448
QUINCY MEDICAL GROUP
801-803 BROADWAY
QUINCY, IL 62301
PHONE: (217) 223-9333
E-PRESCRIBE: NO
REICH, ABBY M., MD
GENDER: F
PROVIDER #: 133885
NPI #: 1700966124
BLESSING PHYSICIAN
SERVICES
927 BROADWAY
QUINCY, IL 62301
PHONE: (217) 223-8914
E-PRESCRIBE: YES
REYBURN, ADAM M., MD
GENDER: M
PROVIDER #: 166854
NPI #: 1396710042
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
102
Primary Care Physicians
QUINCY, IL
QUINCY, IL
SAEED, MUSAB U., MD
GENDER: M
PROVIDER #: 129515
NPI #: 1427192384
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
ASBURY, KATHY B., MD
GENDER: F
PROVIDER #: 216207
NPI #: 1891781613
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
FRAZIER, ELDON, MD
GENDER: M
PROVIDER #: 101845
NPI #: 1821061375
QUINCY MEDCIAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
SCOTT, JOHN K., MD
GENDER: M
PROVIDER #: 008294
NPI #: 1356314207
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
BATRA, DIVYA, MD
GENDER: F
PROVIDER #: 156038
NPI #: 1780896381
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
FAMILY PRACTICE
BETH, TIMOTHI J., DO
GENDER: M
PROVIDER #: 039278
NPI #: 1629083431
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: YES
GINOS, STEVEN R., MD
GENDER: M
PROVIDER #: 019180
NPI #: 1740298942
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 223-8400
WILLIAMS, RUTH L., PA-C;
PROVIDER #: 244839
E-PRESCRIBE: YES
ALLEN, TAWNY, DO
GENDER: F
PROVIDER #: 008307
NPI #: 1255319844
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
ALTMAN, DANA, DO
GENDER: F
PROVIDER #: 061863
NPI #: 1043298532
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
ARNDT, DAVID F., MD
GENDER: M
PROVIDER #: 008247
NPI #: 1407834716
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
103
DAVIS, LARRY J., MD
GENDER: M
PROVIDER #: 008256
NPI #: 1164495347
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
ELING, MICHAEL J., MD
GENDER: M
PROVIDER #: 026605
NPI #: 1376516476
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
JACOBS, TIMOTHY, MD
GENDER: M
PROVIDER #: 016060
NPI #: 1063485191
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
KIMBER, SCOTT, MD
GENDER: M
PROVIDER #: 101836
NPI #: 1548233927
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
QUINCY, IL
QUINCY, IL
Primary Care Physicians
KIRKPATRICK, MICHAEL, MD
GENDER: M
PROVIDER #: 065475
NPI #: 1871517862
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 228-2230
E-PRESCRIBE: YES
MOHIUDDIN, SHAHAB, MD
GENDER: M
PROVIDER #: 225336
NPI #: 1255568853
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 228-2080
E-PRESCRIBE: NO
PERRY, CRYSTAL L., MD
GENDER: F
PROVIDER #: 048586
NPI #: 1689682528
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: YES
LOCKHART, DAVID W., MD
GENDER: M
PROVIDER #: 019181
NPI #: 1619985827
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: YES
MOORE, TAYLOR J., DO
GENDER: M
PROVIDER #: 242066
NPI #: 1033420690
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
REAL, LANCE D., DO
GENDER: M
PROVIDER #: 166856
NPI #: 1497733091
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
LOVE, KREG J., DO
GENDER: M
PROVIDER #: 167090
NPI #: 1710123575
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
MULLER, MERLE H., MD
GENDER: M
PROVIDER #: 199790
NPI #: 1891770350
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 101
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: NO
REYBURN, STEPHANIE A.,
MD
GENDER: F
PROVIDER #: 166848
NPI #: 1134140247
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
MILLER, THOMAS H., MD
GENDER: M
PROVIDER #: 240192
NPI #: 1912984527
FAMILY PLANNING INC
636 HAMPSHIRE ST SUITE
201
QUINCY, IL 62301
PHONE: (217) 224-6877
E-PRESCRIBE: NO
NOBLE, RICHARD K., MD
GENDER: M
PROVIDER #: 010694
NPI #: 1366415671
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
PETERSON, JANE A., CNP;
PROVIDER #: 022224
E-PRESCRIBE: NO
RICHARDSON, ALAN D., MD
GENDER: M
PROVIDER #: 140248
NPI #: 1922114750
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 201
QUINCY, IL 62301
PHONE: (217) 222-9913
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
104
Primary Care Physicians
SAADE, JAWAD, MD
GENDER: M
PROVIDER #: 206708
NPI #: 1194987453
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 244-6423
E-PRESCRIBE: NO
SEAMAN, NATHAN P., DO
GENDER: M
PROVIDER #: 166098
NPI #: 1447450952
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: YES
WALLACE, ERNEST M., MD
GENDER: M
PROVIDER #: 104393
NPI #: 1871566653
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
COLLINS, KATHERINE I., MD
GENDER: F
PROVIDER #: 230142
NPI #: 1730373895
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
YANKEY, RACHEL D., MD
GENDER: F
PROVIDER #: 230143
NPI #: 1770576209
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: NO
GO, DENNIS E., MD
GENDER: M
PROVIDER #: 008267
NPI #: 1164495610
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
GRIGSBY, SUE C., CNP;
PROVIDER #: 015872
E-PRESCRIBE: NO
SHARP, JASON E., MD
GENDER: M
PROVIDER #: 134310
NPI #: 1366470510
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 120
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: YES
GENERAL PRACTICE
VON FANGE, TIMOTHY J., MD
GENDER: M
PROVIDER #: 153162
NPI #: 1154461739
SPORTS & OCCUPATION
MEDICINE
927 BROADWAY ST
QUINCY, IL 62301
PHONE: (217) 224-8933
E-PRESCRIBE: NO
PEDIATRICS
105
QUINCY, IL
QUINCY, IL
HUANG, LI, MD
GENDER: M
PROVIDER #: 013785
NPI #: 1215951488
729 BROADWAY
QUINCY, IL 62301
PHONE: (217) 228-0252
E-PRESCRIBE: NO
BAUSTIAN, LORETTA A., DO
GENDER: F
PROVIDER #: 110598
NPI #: 1538153408
BLESSING PHYSICIANS
SERVICES
927 BROADWAY SUITE 300
QUINCY, IL 62301
PHONE: (217) 228-2230
E-PRESCRIBE: NO
MINNICK, LARRY C., MD
GENDER: M
PROVIDER #: 023919
NPI #: 1952374902
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
BATLEY, CHAKA K., CNP;
PROVIDER #: 207752
CAMPBELL, BECKY L., CNP;
PROVIDER #: 038718
E-PRESCRIBE: NO
RAAD, PIERRE E., MD
GENDER: M
PROVIDER #: 118215
NPI #: 1407877418
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 300
QUINCY, IL 62305
PHONE: (217) 228-2230
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
QUINCY, IL
RIVERTON, IL
SCHLEPPHORST, RICHARD
F., MD
GENDER: M
PROVIDER #: 008288
NPI #: 1407829708
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
Primary Care Physicians
FRANZEN, THOMAS L., MD
GENDER: M
PROVIDER #: 026213
NPI #: 1609895499
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
E-PRESCRIBE: YES
TOLBERT, CHARONE, MD
GENDER: F
PROVIDER #: 245306
NPI #: 1033386461
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 300
QUINCY, IL 62301
PHONE: (217) 224-6423
E-PRESCRIBE: NO
KAPLAN, BRUCE W., MD
GENDER: M
PROVIDER #: 000675
NPI #: 1790700110
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
JAHANBIGLAR, NASER, PA;
PROVIDER #: 046816
E-PRESCRIBE: YES
TORRE-HILOTIN, TEMOTEA,
MD
GENDER: F
PROVIDER #: 154171
NPI #: 1972530830
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
KRAMER, FRANCES K., MD
GENDER: F
PROVIDER #: 000148
NPI #: 1306865605
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
E-PRESCRIBE: YES
RANTOUL, IL
FAMILY PRACTICE
ARCHEY, JOANN, MD
GENDER: F
PROVIDER #: 092396
NPI #: 1104831627
CHRISTIE CLINIC
209 W BORMAN AVE
RANTOUL, IL 61866
PHONE: (217) 892-9671
E-PRESCRIBE: YES
RUDAWSKI, STEPHEN M., DO
GENDER: M
PROVIDER #: 119484
NPI #: 1053403055
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
E-PRESCRIBE: YES
SLOCUM, ERICH, DO
GENDER: M
PROVIDER #: 249250
NPI #: 1356625362
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
E-PRESCRIBE: YES
FAMILY PRACTICE OB
FRANZEN, THOMAS L., MD
GENDER: M
PROVIDER #: 026213
NPI #: 1609895499
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
E-PRESCRIBE: YES
RILEY, IN
FAMILY PRACTICE
SCHULD, MARK J., MD
GENDER: M
PROVIDER #: 047705
NPI #: 1023014479
UNION HOSPITAL INC
7500 STATE RD 46
RILEY, IN 47871
PHONE: (812) 894-2304
E-PRESCRIBE: NO
RIVERTON, IL
ADULT/INTERNAL
MEDICINE
SAGINS, KENNETH R., MD
GENDER: M
PROVIDER #: 027202
NPI #: 1275633968
SPRINGFIELD CLINIC
RIVERTON
1275 N 7TH ST
RIVERTON, IL 62561
PHONE: (217) 528-7541
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
106
Primary Care Physicians
PEDIATRICS
SAGINS, KENNETH R., MD
GENDER: M
PROVIDER #: 027202
NPI #: 1275633968
SPRINGFIELD CLINIC
RIVERTON
1275 N 7TH ST
RIVERTON, IL 62561
PHONE: (217) 528-7541
E-PRESCRIBE: NO
ROANOKE, IL
ADULT/INTERNAL
MEDICINE
HALPERIN, CAROLINE, DO
GENDER: F
PROVIDER #: 120776
NPI #: 1912928805
TOWN & COUNTRY
415 W FRONT
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
FAMILY PRACTICE
CROWE, ALEX, MD
GENDER: M
PROVIDER #: 016591
NPI #: 1235157066
ADVOCATE MEDICAL
GROUP
415 W FRONT
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
DJAGARIAN, ARTUR, MD
GENDER: M
PROVIDER #: 173513
NPI #: 1598971137
ADVOCATE MEDICAL
GROUP
415 W FRONT
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
107
RIVERTON, IL
ROANOKE, IL
FOGO, SHANE C., MD
GENDER: M
PROVIDER #: 102295
NPI #: 1063446318
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
MROCZKO, MARK, MD
GENDER: M
PROVIDER #: 122386
NPI #: 1528089885
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
HUGHES, CHRISTOPHER R.,
MD
GENDER: M
PROVIDER #: 068435
NPI #: 1235158924
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
MUSTARD, MICHAEL R., MD
GENDER: M
PROVIDER #: 184070
NPI #: 1295826675
ADVOCATE MEDICAL
GROUP
415 W FRONT
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
JONES, STEVEN, MD
GENDER: M
PROVIDER #: 007305
NPI #: 1942228101
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
MILLER, DAVID L., MD
GENDER: M
PROVIDER #: 007309
NPI #: 1437178415
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
ORWIG, STACY C., MD
GENDER: F
PROVIDER #: 185662
NPI #: 1982826384
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
STEFFEN, SAMUEL E., MD
GENDER: M
PROVIDER #: 093898
NPI #: 1790704435
ADVOCATE MEDICAL
GROUP
415 W FRONT
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
ROANOKE, IL
ROME, IL
STOECKER, BRAD A., MD
GENDER: M
PROVIDER #: 134493
NPI #: 1508887860
OSF MEDICAL GROUP
401 N MAIN ST
ROANOKE, IL 61561
PHONE: (309) 923-2661
E-PRESCRIBE: NO
ROCHESTER, IL
ADULT/INTERNAL
MEDICINE
GOODMAN, ELI G., MD
GENDER: M
PROVIDER #: 169162
NPI #: 1053405589
SPRINGFIELD PRIORITY
CARE
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
JURANEK, ROBERT H., MD
GENDER: M
PROVIDER #: 008556
NPI #: 1336236264
SPRINGFIELD PRIORITY
CARE
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
TOWNSEND, WINSTON J.,
MD
GENDER: M
PROVIDER #: 043999
NPI #: 1003889411
SPRINGFIELD PRIORITY
CARE
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
Primary Care Physicians
YU, WILLIAM, MD
GENDER: M
PROVIDER #: 008558
NPI #: 1003903931
SPRINGFIELD PRIORITY
CARE
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
FAMILY PRACTICE
BODDU, LAVANYA, MD
GENDER: F
PROVIDER #: 158194
NPI #: 1851503833
SPRINGFIELD PRIORITY
CARE
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
MULKANOOR, SHALINI, MD
GENDER: F
PROVIDER #: 202751
NPI #: 1447558390
SPRINGFIELD PRIORITY
CARE
400 SATTLEY ST
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
WIDICUS, DIANA T., MD
GENDER: F
PROVIDER #: 003147
NPI #: 1851471072
SPRINGFIELD PRIORITY
CARE
400 SATTLEY DR
ROCHESTER, IL 62563
PHONE: (217) 789-1403
E-PRESCRIBE: NO
ROCKVILLE, IN
FAMILY PRACTICE
WALTZ, STEVEN G., MD
GENDER: M
PROVIDER #: 018057
NPI #: 1710978333
UNION HOSPITAL INC
727 N LINCOLN RD
ROCKVILLE, IN 47872
PHONE: (765) 569-1123
E-PRESCRIBE: NO
ROME, IL
FAMILY PRACTICE
ORWIG, STACY C., MD
GENDER: F
PROVIDER #: 185662
NPI #: 1982826384
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROME, IL 61562
PHONE: (309) 923-7456
E-PRESCRIBE: NO
RANJAN, SUMIT, MD
GENDER: M
PROVIDER #: 185156
NPI #: 1578786943
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROME, IL 61562
PHONE: (309) 923-7456
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
108
Primary Care Physicians
SARAH D CULBERTSON
MEMORIAL HOSPITAL
238 S CONGRESS
RUSHVILLE, IL 62681
PHONE: (217) 322-4321
E-PRESCRIBE: NO
ROSSVILLE, IL
FAMILY PRACTICE
COLBERT, JAY R., DO
GENDER: M
PROVIDER #: 132466
NPI #: 1437379021
ROSSVILLE MEDICAL
CENTER
619 N CHICAGO ST
ROSSVILLE, IL 60963
PHONE: (217) 748-4141
E-PRESCRIBE: NO
TAILLEFER, MARGUERITE S.,
MD
GENDER: F
PROVIDER #: 196180
NPI #: 1588978241
HSHS MEDICAL GROUP
FAMILY MEDICINE
RUSHVILLE
225 S CONGRESS ST
RUSHVILLE, IL 62681
PHONE: (217) 322-3529
E-PRESCRIBE: NO
RUSHVILLE, IL
ADULT/INTERNAL
MEDICINE
TOWNSEND, WINSTON J.,
MD
GENDER: M
PROVIDER #: 043999
NPI #: 1003889411
RUSHVILLE RURAL HEALTH
225 E CONGRESS
RUSHVILLE, IL 62681
PHONE: (217) 322-3529
HUBER-BARTLETT, SUE, PA;
PROVIDER #: 180657
E-PRESCRIBE: NO
FAMILY PRACTICE
FORESTIER, LINDA K., MD
GENDER: F
PROVIDER #: 178154
NPI #: 1144339730
RUSHVILLE FAMILY
PRACTICE
233 S CONGRESS
RUSHVILLE, IL 62681
PHONE: (217) 322-3345
E-PRESCRIBE: NO
109
WORNYO, JAMES D., MD
GENDER: M
PROVIDER #: 192999
NPI #: 1174790042
RUSHVILLE FAMILY
PRACTICE CLINIC
233 S CONGRESS
RUSHVILLE, IL 62681
PHONE: (217) 322-3345
E-PRESCRIBE: NO
SARAH D CULBERTSON
MEMORIAL HOSPITAL
238 S CONGRESS
RUSHVILLE, IL 62681
PHONE: (217) 322-4321
E-PRESCRIBE: NO
ROSSVILLE, IL
SANDWICH, IL
SANDWICH, IL
FAMILY PRACTICE
BROEKHUIZEN, JAMIE C., DO
GENDER: F
PROVIDER #: 220148
NPI #: 1033312442
KISHWAUKEE PHYSICIAN
GROUP INC
1310 N MAIN ST SUITE 200
SANDWICH, IL 60548
PHONE: (815) 786-9988
E-PRESCRIBE: NO
DELA CRUZ, MAUREEN O.,
MD
GENDER: F
PROVIDER #: 221779
NPI #: 1467767566
KISHWAUKEE PHYSICIAN
GROUP INC
1310 N MAIN ST SUITE 208
SANDWICH, IL 60548
PHONE: (815) 786-3770
E-PRESCRIBE: NO
ENGLEHART, ERIK D., MD
GENDER: M
PROVIDER #: 208102
NPI #: 1679581367
KISHWAUKEE PHYSICIAN
GROUP INC
1310 N MAIN ST SUITE 200
SANDWICH, IL 60548
PHONE: (815) 786-9988
E-PRESCRIBE: NO
224 E RAILROAD ST
SANDWICH, IL 60548
PHONE: (815) 786-7150
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SENECA, IL
SPARTA, IL
SENECA, IL
Primary Care Physicians
SHELBYVILLE, IL
SHOREWOOD, IL
FAMILY PRACTICE
FAMILY PRACTICE
FAMILY PRACTICE
HOLLOWAY, LIANNE, MD
GENDER: F
PROVIDER #: 188488
NPI #: 1619000932
271 N MAIN ST
SENECA, IL 61360
PHONE: (815) 357-8511
E-PRESCRIBE: NO
BOWERS, DORIS A., MD
GENDER: F
PROVIDER #: 163937
NPI #: 1275525990
207 S PINE
SHELBYVILLE, IL 62565
PHONE: (217) 774-4305
E-PRESCRIBE: NO
BENIG, VINCENT R., MD
GENDER: M
PROVIDER #: 182759
NPI #: 1487609772
ALLIANCE HEALTH
1144 W JEFFERSON ST SUITE
200
SHOREWOOD, IL 60404
PHONE: (815) 741-7590
E-PRESCRIBE: NO
SHEFFIELD, IL
FAMILY PRACTICE
CERNOVICH, RICK S., MD
GENDER: M
PROVIDER #: 021719
NPI #: 1508824723
SHEFFIELD FAMILY
MEDICAL CENTER
113 S MAIN ST
SHEFFIELD, IL 61361
PHONE: (815) 454-2811
E-PRESCRIBE: NO
PRATT, TIMOTHY A., MD
GENDER: M
PROVIDER #: 184875
NPI #: 1073719357
SHEFFIELD FAMILY
MEDICAL CENTER
113 S MAIN ST
SHEFFIELD, IL 61361
PHONE: (815) 454-2811
E-PRESCRIBE: NO
OLIGSCHLAEGER, DAVID M.,
DO
GENDER: M
PROVIDER #: 051019
NPI #: 1851383418
DAVID OLIGSCHLAEGER DO
LLC
207 S PINE SUITE F
SHELBYVILLE, IL 62565
PHONE: (217) 774-7883
E-PRESCRIBE: NO
GENERAL PRACTICE
DAUZ, URBANO A., MD
GENDER: M
PROVIDER #: 032062
NPI #: 1962435669
DAUZ & DAUZ, MDS, SC
207 S PINE ST SUITE 6
SHELBYVILLE, IL 62565
PHONE: (217) 774-5508
E-PRESCRIBE: NO
SHERMAN, IL
FAMILY PRACTICE
DRAPIZA, LETICIA, MD
GENDER: F
PROVIDER #: 026854
NPI #: 1609963214
SPRINGFIELD CLINIC
400 ST JOHNS DR
SHERMAN, IL 62684
PHONE: (217) 525-4150
E-PRESCRIBE: YES
PEDIATRICS
JERCINOVIC, SPOMENKA,
MD
GENDER: F
PROVIDER #: 041146
NPI #: 1689637555
JERCINOVIC PEDIATRICS
611 W JEFFERSON ST
SHOREWOOD, IL 60431
PHONE: (815) 729-1144
E-PRESCRIBE: NO
SPARTA, IL
FAMILY PRACTICE
CHUNG, DAVID T., MD
GENDER: M
PROVIDER #: 068537
NPI #: 1417914557
FAMILY HEALTH CENTRE
207A S BURNS
SPARTA, IL 62286
PHONE: (618) 443-3084
MILES, MICHON M., APRN;
PROVIDER #: 203699
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
110
Primary Care Physicians
COULTER, RUSSELL E., MD
GENDER: M
PROVIDER #: 047165
NPI #: 1548227606
FAMILY HEALTH CENTRE
207A S BURNS
SPARTA, IL 62286
PHONE: (618) 443-3084
MILES, MICHON M., APRN;
PROVIDER #: 203699
E-PRESCRIBE: NO
SALARDA, ELVIRA S., MD
GENDER: F
PROVIDER #: 028373
NPI #: 1114984283
BRADBURY RURAL HEALTH
CLINIC
211 S BURNS
SPARTA, IL 62286
PHONE: (618) 443-4889
E-PRESCRIBE: NO
SPARTA MEDICAL OFFICE
215A S BURNS
SPARTA, IL 62286
PHONE: (618) 443-3084
E-PRESCRIBE: NO
SPRING VALLEY, IL
ADULT/INTERNAL
MEDICINE
LUKANCIC, LOUIS R., MD
GENDER: M
PROVIDER #: 019513
NPI #: 1326153651
ST MARGARETS HEALTH
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-1595
E-PRESCRIBE: NO
111
SPARTA, IL
SPRING VALLEY, IL
MORROW, MICHAEL S., MD
GENDER: M
PROVIDER #: 073812
NPI #: 1013920420
ST MARGARETS HEALTH
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2366
E-PRESCRIBE: NO
NORRIS, NICOLE E., MD
GENDER: F
PROVIDER #: 097129
NPI #: 1689679599
ST MARGARETS FAMILY
HEALTH CLINIC
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 663-5981
E-PRESCRIBE: YES
MORROW, ROBERT W., MD
GENDER: M
PROVIDER #: 063399
NPI #: 1295747137
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2365
E-PRESCRIBE: NO
600 E FIRST ST 2ND FLR
SPRING VALLEY, IL 61362
PHONE: (815) 663-2811
E-PRESCRIBE: NO
SCHLAGHECK, DAVID, MD
GENDER: M
PROVIDER #: 034636
NPI #: 1336255157
ST MARGARETS HEALTH
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2367
E-PRESCRIBE: NO
TUN, THAW, MD
GENDER: M
PROVIDER #: 019463
NPI #: 1326142902
ST MARGARETS HEALTH
SPRING VALLEY CLINIC
1302 N GREENWOOD ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-4308
E-PRESCRIBE: NO
FAMILY PRACTICE
GRIVETTI, DAMIAN W., MD
GENDER: M
PROVIDER #: 085841
NPI #: 1518970847
ST MARGARETS HEALTH
SPRING VALLEY CLINIC
1302 N GREENWOOD ST
SPRING VALLEY, IL 61362
PHONE: (815) 663-5511
E-PRESCRIBE: NO
TWANOW, RICHARD, MD
GENDER: M
PROVIDER #: 019464
NPI #: 1366558199
ST MARGARETS HEALTH
SPRING VALLEY CLINIC
1302 N GREENWOOD ST
SPRING VALLEY, IL 61362
PHONE: (815) 663-5511
E-PRESCRIBE: NO
FAMILY PRACTICE OB
SCHLAGHECK, DAVID, MD
GENDER: M
PROVIDER #: 034636
NPI #: 1336255157
ST MARGARETS HEALTH
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2367
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRING VALLEY, IL
SPRINGFIELD, IL
PEDIATRICS
GOEL, NEELAM, MD
GENDER: F
PROVIDER #: 020933
NPI #: 1457360828
600 E FIRST ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-5555
E-PRESCRIBE: NO
LUKANCIC, LOUIS R., MD
GENDER: M
PROVIDER #: 019513
NPI #: 1326153651
ST MARGARETS HEALTH
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-1595
E-PRESCRIBE: NO
MORROW, ROBERT W., MD
GENDER: M
PROVIDER #: 063399
NPI #: 1295747137
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2365
E-PRESCRIBE: NO
600 E FIRST ST 2ND FLR
SPRING VALLEY, IL 61362
PHONE: (815) 663-2811
E-PRESCRIBE: NO
VALENCIA, ROSEMARY B.,
MD
GENDER: F
PROVIDER #: 005158
NPI #: 1649285362
600 E FIRST ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2630
E-PRESCRIBE: NO
Primary Care Physicians
SPRINGFIELD, IL
ADULT/INTERNAL
MEDICINE
ASGHAR, MUHAMMED F., MD
GENDER: M
PROVIDER #: 184179
NPI #: 1447416342
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
BLEYER, JOHN E., MD
GENDER: M
PROVIDER #: 044783
NPI #: 1538166467
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704
PHONE: (217) 862-0800
E-PRESCRIBE: NO
BLEYER, LORIE A., MD
GENDER: F
PROVIDER #: 044784
NPI #: 1952308884
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
BOTTUM, KATHLEEN M., MD
GENDER: F
PROVIDER #: 079068
NPI #: 1124003025
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
BOWERS, STEVEN R., MD
GENDER: M
PROVIDER #: 044785
NPI #: 1093713562
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
BURNS, GEORGE M., MD
GENDER: M
PROVIDER #: 010479
NPI #: 1710957659
CAPITOL HEALTHCARE
MEDICAL ASSOCIATES LLC
2603 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-0307
E-PRESCRIBE: NO
BUSSING, ROBERT C., MD
GENDER: M
PROVIDER #: 051673
NPI #: 1699751354
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
CHALASANI, PRATIMA, MD
GENDER: F
PROVIDER #: 228116
NPI #: 1477782522
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
112
Primary Care Physicians
CHANDRA, ALPANA, MD
GENDER: F
PROVIDER #: 238420
NPI #: 1033212923
HSHS MEDICAL GROUP INC
543 MILLER ST
SPRINGFIELD, IL 62702-4978
PHONE: (217) 522-5569
E-PRESCRIBE: YES
800 E CARPENTER ST
SPRINGFIELD, IL 62769
PHONE: (217) 544-6464
E-PRESCRIBE: YES
COMERFORD, MICHAEL V.,
MD
GENDER: M
PROVIDER #: 044786
NPI #: 1497753974
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
CONSTANCE, ERIK, MD
GENDER: M
PROVIDER #: 062867
NPI #: 1427033497
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-3880
E-PRESCRIBE: NO
CRAMER, ROBERT F., MD
GENDER: M
PROVIDER #: 008548
NPI #: 1366451791
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
113
SPRINGFIELD, IL
SPRINGFIELD, IL
CUMPA, EDGARD A., MD
GENDER: M
PROVIDER #: 132609
NPI #: 1497743488
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
GAUEN, RALPH E., MD
GENDER: M
PROVIDER #: 099927
NPI #: 1942219324
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
DEVANNA, SWAPNA, MD
GENDER: F
PROVIDER #: 229898
NPI #: 1730317827
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
GOODMAN, ELI G., MD
GENDER: M
PROVIDER #: 169162
NPI #: 1053405589
LEWIS MEMORIAL
CHRISTIAN VILLAGE
3500 W WASHINGTON
SPRINGFIELD, IL 62711
PHONE: (217) 793-4062
E-PRESCRIBE: NO
DRAKE, TIMOTHY G., MD
GENDER: M
PROVIDER #: 040222
NPI #: 1679679658
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
AMIDON, LAURA, NP;
PROVIDER #: 060237
E-PRESCRIBE: YES
FLORENCE, NICOLE A., MD
GENDER: F
PROVIDER #: 061200
NPI #: 1811983851
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
PRIORITY CARE ST JOHNS
HEALTH CENTER
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE:
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
3631 S 6TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
HANSEN, MARK E., MD
GENDER: M
PROVIDER #: 028524
NPI #: 1861488801
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
HARNEY, ALFRED N., MD
GENDER: M
PROVIDER #: 008550
NPI #: 1972512374
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
Primary Care Physicians
HOLDER, LARRY W., MD
GENDER: M
PROVIDER #: 239321
NPI #: 1417914326
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
JABEEN, SAYEEDA A., MD
GENDER: F
PROVIDER #: 132965
NPI #: 1891882601
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-3880
E-PRESCRIBE: NO
HINGLE, SUSAN T., MD
GENDER: F
PROVIDER #: 060086
NPI #: 1124003124
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
E-PRESCRIBE: NO
JAYARMAIAH, POORNIMA,
MD
GENDER: F
PROVIDER #: 185627
NPI #: 1174784086
HSHS MEDICAL GROUP INC
2501 CHATHAM RD SUITE
300
SPRINGFIELD, IL 62704
PHONE: (217) 787-8870
E-PRESCRIBE: NO
HLAFKA, MARTHA L., MD
GENDER: F
PROVIDER #: 247018
NPI #: 1215162102
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
JOHNSTON, CHAD R., MD
GENDER: M
PROVIDER #: 237604
NPI #: 1538239520
CAPITOL HEALTHCARE
MEDICAL ASSOCIATES
2603 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-0307
E-PRESCRIBE: NO
JURANEK, ROBERT H., MD
GENDER: M
PROVIDER #: 008556
NPI #: 1336236264
HERITAGE MANOR
NURSING HOME
900 N RUTHLEDGE ST
SPRINGFIELD, IL 62702
PHONE: (217) 789-0930
E-PRESCRIBE: NO
LEWIS MEMORIAL
CHRISTIAN HOSPITAL
3500 W WASHINGTON
SPRINGFIELD, IL 62711
PHONE: (217) 793-4062
E-PRESCRIBE: NO
MEMORIAL HOME HEALTH
701 N FIRST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3000
E-PRESCRIBE: NO
MEMORIAL MEDICAL
CENTER
701 N FIRST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3000
E-PRESCRIBE: NO
PRIORITY CARE ST JOHNS
HEALTH CENTER
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE:
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
3631 S 6TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
114
Primary Care Physicians
SPRINGFIELD PRIORITY
CARE ATTN PRACTICE
MANAGER
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
ST JOHNS HOSPITAL
800 E CARPENTER
SPRINGFIELD, IL 62769
PHONE: (217) 544-6464
E-PRESCRIBE: NO
KIM, SOO AH, MD
GENDER: F
PROVIDER #: 222961
NPI #: 1851529929
CAPITOL HEALTHCARE
MEDICAL ASSOCIATES LLC
2603 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-0307
E-PRESCRIBE: NO
KOVACH, REGINA, MD
GENDER: F
PROVIDER #: 079073
NPI #: 1164407169
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
KWONG, HELEN D., MD
GENDER: F
PROVIDER #: 230082
NPI #: 1346357886
ST JOHNS HEALTH CENTER
AT PANTHER CREEK
2801 MATHERS RD
SPRINGFIELD, IL 62711
PHONE: (217) 789-3600
E-PRESCRIBE: NO
115
SPRINGFIELD, IL
SPRINGFIELD, IL
LAFATA, JAMES
GENDER: M
PROVIDER #: 091117
NPI #: 1407866270
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
MULLENDORE, MARK, MD
GENDER: M
PROVIDER #: 054501
NPI #: 1275543910
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
LYTCHAKOV, VLADIMIR A.,
MD
GENDER: M
PROVIDER #: 150901
NPI #: 1184617201
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
NAWOOR, A RAHMON, MD
GENDER: F
PROVIDER #: 053751
NPI #: 1154331684
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
MAURER, JOSEPH J., MD
GENDER: M
PROVIDER #: 110132
NPI #: 1265442883
PHYSICIANS GROUP
ASSOCIATES
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
NENABER, MICHAEL E., MD
GENDER: M
PROVIDER #: 184744
NPI #: 1497765093
HSHS MEDICAL GROUP INC
2801 MATHERS RD
SPRINGFIELD, IL 62711
PHONE:
E-PRESCRIBE: NO
MCAFEE, CATHY L., MD
GENDER: F
PROVIDER #: 153951
NPI #: 1154579308
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
PAPIREDDY, MURALIDHAR
R., MD
GENDER: M
PROVIDER #: 186817
NPI #: 1902136914
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0812
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
PITTMAN, DAVID D., MD
GENDER: M
PROVIDER #: 180758
NPI #: 1124052030
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
PRASAD, NENI, MD
GENDER:
PROVIDER #: 053701
NPI #: 1730199829
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
RAMADUGU, RAJEEV, MD
GENDER: M
PROVIDER #: 233872
NPI #: 1235243379
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
REA, JOANNA R., MD
GENDER: F
PROVIDER #: 224548
NPI #: 1487631974
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
Primary Care Physicians
ROBINSON, ROBERT L., MD
GENDER: M
PROVIDER #: 088063
NPI #: 1306833843
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0812
E-PRESCRIBE: NO
ROSS II, STEWART D., MD
GENDER: M
PROVIDER #: 189420
NPI #: 1437196599
HSHS MEDICAL GROUP
PRIMARY CARE
2524 FARRAGUT DR SUITE B
SPRINGFIELD, IL 62704
PHONE: (217) 726-8820
E-PRESCRIBE: NO
RULL, GARY, MD
GENDER: M
PROVIDER #: 078680
NPI #: 1154306017
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-3880
E-PRESCRIBE: NO
SALAZAR, LAURA Y., MD
GENDER: F
PROVIDER #: 186249
NPI #: 1336333228
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
SANDERCOCK, DAVID B., MD
GENDER: M
PROVIDER #: 061220
NPI #: 1770556565
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
SAUNDERS, MARY A., MD
GENDER: F
PROVIDER #: 011726
NPI #: 1255301107
CAPITOL HEALTHCARE
MEDICAL ASSOCIATES LLC
2603 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-0307
E-PRESCRIBE: NO
SHULL, GARY G., MD
GENDER: M
PROVIDER #: 008112
NPI #: 1326148016
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
AMIDON, LAURA, NP;
PROVIDER #: 060237
E-PRESCRIBE: YES
STEWARD, DAVID, MD
GENDER: M
PROVIDER #: 040335
NPI #: 1104801075
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
BAKER, JENNIFER A., CNP;
PROVIDER #: 122222
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
116
Primary Care Physicians
TABASSUM, VAJEEHA, MD
GENDER: F
PROVIDER #: 189516
NPI #: 1699951582
SIU PHYSICIANS &
SURGEONS
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-3880
E-PRESCRIBE: NO
TODD, CHRISTINE, MD
GENDER: F
PROVIDER #: 063297
NPI #: 1861477747
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
TOWNSEND, WINSTON J.,
MD
GENDER: M
PROVIDER #: 043999
NPI #: 1003889411
PRIORITY CARE ST JOHNS
HEALTH CENTER
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE: (217) 789-1403
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
3631 S 6TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
117
SPRINGFIELD PRIORITY
CARE ATTN PRACTICE
MANAGER
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
BUSS, KRISTIN R., PA-C;
PROVIDER #: 212044
ELY, MARY E., FNP;
PROVIDER #: 176114
E-PRESCRIBE: NO
TSANG, CELINA C., MD
GENDER: F
PROVIDER #: 055218
NPI #: 1447260344
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
VASCONCELLES, CARA E.,
MD
GENDER: F
PROVIDER #: 044787
NPI #: 1114992658
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
VENIGALLA, PRAMILA R., MD
GENDER: F
PROVIDER #: 073284
NPI #: 1093815680
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
VARGAS, OMAR A., MD
GENDER: M
PROVIDER #: 197459
NPI #: 1639390388
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
VERMA, AKSHRA, MD
GENDER: F
PROVIDER #: 185824
NPI #: 1043480304
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
VARNEY, ANDREW, MD
GENDER: M
PROVIDER #: 049197
NPI #: 1467437343
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
BLESSMAN, DONNA J., FNP;
PROVIDER #: 133769
E-PRESCRIBE: NO
WHITE, NEVILLE, MD
GENDER: M
PROVIDER #: 008119
NPI #: 1861589103
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
YU, SIEGFRIED W B W., MD
GENDER: M
PROVIDER #: 185261
NPI #: 1386842565
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
YU, WILLIAM, MD
GENDER: M
PROVIDER #: 008558
NPI #: 1003903931
HSHS MEDICAL GROUP INC
2801 MATHERS RD
SPRINGFIELD, IL 62711
PHONE: (217) 789-3600
E-PRESCRIBE: NO
PRIORITY CARE ST JOHNS
HEALTH CENTER
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE: (217) 789-1403
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
3631 S 6TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
ALBERS, JANET, MD
GENDER: F
PROVIDER #: 032830
NPI #: 1023006913
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
ETHERTON, AIRN A., FNPC;
PROVIDER #: 163852
HANNA, BECKY J., PA-C;
PROVIDER #: 069526
LEDBETTER, CYNTHIA A.,
CFNP; PROVIDER #: 052150
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
ALBRACHT, BRYAN J., DO
GENDER: M
PROVIDER #: 020836
NPI #: 1568572931
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
COWELL, MARISSA M., PA-C;
PROVIDER #: 075433
MILNES, JILL L., PA;
PROVIDER #: 110851
E-PRESCRIBE: YES
ALDRIDGE, TRACY A., MD
GENDER: F
PROVIDER #: 069137
NPI #: 1154310027
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
SIMS, ZACHARY B., PA-C;
PROVIDER #: 146253
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
BARNHART, AMBER J., MD
GENDER: F
PROVIDER #: 021096
NPI #: 1215926183
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
BHUGRA, MUDITA, MD
GENDER: F
PROVIDER #: 230144
NPI #: 1033347216
MEMORIAL MEDICAL
CENTER
701 N FIRST
SPRINGFIELD, IL 62781
PHONE:
E-PRESCRIBE: NO
BILYEU, SCOTT M., MD
GENDER: M
PROVIDER #: 200416
NPI #: 1053516971
DOREEN BOEHME HSHS
MEDICAL GROUP
3215 EXECUTIVE PARK DR
4TH FLOOR
SPRINGFIELD, IL 62703
PHONE: (217) 523-5411
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
118
Primary Care Physicians
BITAR, GERARD G., MD
GENDER: M
PROVIDER #: 191078
NPI #: 1821222100
PRIORITY CARE ST JOHNS
HEALTH CENTER
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE:
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
2329 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
BLAND, GEOFFREY A., MD
GENDER: M
PROVIDER #: 008053
NPI #: 1629188958
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
HARPER, CAROL M., PA;
PROVIDER #: 042249
E-PRESCRIBE: YES
BODDU, LAVANYA, MD
GENDER: F
PROVIDER #: 158194
NPI #: 1851503833
PRIORITY CARE ST JOHNS
HEALTH CENTER
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE:
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
3631 S 6TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 789-1825
E-PRESCRIBE: NO
119
SPRINGFIELD PRIORITY
CARE ATTN PRACTICE
MANAGER
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
BRENHAM, CAREYANA M.,
MD
GENDER: F
PROVIDER #: 082376
NPI #: 1568451946
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
BREWER, MICHAEL, MD
GENDER: M
PROVIDER #: 008056
NPI #: 1588774756
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
HENDRICKS, JENNIFER A.,
NP; PROVIDER #: 097269
HUDGINS-BREWER, SANDRA,
FNP; PROVIDER #: 008560
E-PRESCRIBE: YES
BURGE, SUSAN J., DO
GENDER: F
PROVIDER #: 241832
NPI #: 1386848042
PHYSICIANS GROUP
ASSOCIATES
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: YES
SPRINGFIELD, IL
SPRINGFIELD, IL
DRAPIZA, LETICIA, MD
GENDER: F
PROVIDER #: 030468
NPI #:
SIU PHYSICIANS &
SURGEONS
701 N WALNUT ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8137
E-PRESCRIBE: NO
DYNDA, MICHAL, MD
GENDER: M
PROVIDER #: 186488
NPI #: 1578749164
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
ELLISON, JOSHUA R., MD
GENDER: M
PROVIDER #: 166828
NPI #: 1972716033
NORTH DIRKSEN MEDICAL
ASSOCIATES LLC
3220 ATLANTA ST
SPRINGFIELD, IL 62707
PHONE: (217) 588-7400
E-PRESCRIBE: NO
EWART, ROBERT M., MD
GENDER: M
PROVIDER #: 021446
NPI #: 1790774172
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
GLEASON, CHRISTOPHER,
MD
GENDER: M
PROVIDER #: 048442
NPI #: 1649269887
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 523-1848
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
GRAHAM, DAVID B., MD
GENDER: M
PROVIDER #: 147082
NPI #: 1386759264
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
HIGUCHI, MASAYA, MD
GENDER: M
PROVIDER #: 226268
NPI #: 1457544892
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
Primary Care Physicians
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
KOZAK, STEFAN P., MD
GENDER: M
PROVIDER #: 008085
NPI #: 1265530596
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
LANZOTTI, DANIEL E., MD
GENDER: M
PROVIDER #: 008090
NPI #: 1154429330
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
ESSLINGER, CONSTANCE L.,
FNP; PROVIDER #: 030734
HAZARD, MINDY L., NP;
PROVIDER #: 117745
E-PRESCRIBE: NO
LAUSEN, HARALD, DO
GENDER: M
PROVIDER #: 137464
NPI #: 1396878674
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
LEE, JOHN K., MD
GENDER: M
PROVIDER #: 228928
NPI #: 1952566184
CAPITOL HEALTHCARE
MEDICAL ASSOCIATES
2603 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-0307
E-PRESCRIBE: NO
SOUTH SIXTH MEDICAL
ASSOCIATES LLC
2950 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 588-7450
E-PRESCRIBE: NO
LEWIS, STEVEN J., MD
GENDER: M
PROVIDER #: 135575
NPI #: 1598763880
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
LOESEL, LAURA L., MD
GENDER: F
PROVIDER #: 198591
NPI #: 1295827566
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
120
Primary Care Physicians
LOPP, LAURI F., MD
GENDER: F
PROVIDER #: 120504
NPI #: 1831189539
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
MORTON, SCOTT, MD
GENDER: M
PROVIDER #: 008094
NPI #: 1407956170
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
ESSLINGER, CONSTANCE L.,
FNP; PROVIDER #: 030734
HENDRICKS, JENNIFER A.,
NP; PROVIDER #: 097269
MERRILL, BRENDA K., FNP;
PROVIDER #: 070191
E-PRESCRIBE: NO
MCKAY, MARK T., MD
GENDER: M
PROVIDER #: 027204
NPI #: 1013015031
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
COWELL, MARISSA M., PA-C;
PROVIDER #: 075433
MILNES, JILL L., PA;
PROVIDER #: 110851
E-PRESCRIBE: YES
MULKANOOR, SHALINI, MD
GENDER: F
PROVIDER #: 202751
NPI #: 1447558390
SPRINGFIELD PRIORITY
CARE
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE: (217) 789-1403
E-PRESCRIBE: NO
2329 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
MIROCHA, NICHOLE J., DO
GENDER: F
PROVIDER #: 133981
NPI #: 1457573388
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
121
SPRINGFIELD PRIORITY
CARE ATTN PRACTICE
MANAGER
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
OBRIEN, DANIEL K., MD
GENDER: M
PROVIDER #: 010730
NPI #: 1356351811
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
MORPHEW, SUZANNE, NP;
PROVIDER #: 174783
E-PRESCRIBE: NO
PHILLIPS, PAUL W., MD
GENDER: M
PROVIDER #: 166050
NPI #: 1386850071
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
RAHMAN, RACHEL L., MD
GENDER: F
PROVIDER #: 223001
NPI #: 1568425353
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
RICHARDS, JENNIFER E., MD
GENDER: F
PROVIDER #: 068918
NPI #: 1013017797
SPRINGFIELD CLINIC
1100 CENTRE WEST DR
SPRINGFIELD, IL 62704
PHONE: (217) 793-9960
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
Primary Care Physicians
SAPETTI, LARRY, MD
GENDER: M
PROVIDER #: 121987
NPI #: 1811929177
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
E-PRESCRIBE: YES
THOMPSON, VALERIE S., MD
GENDER: F
PROVIDER #: 238199
NPI #: 1508954926
HSHS MEDICAL GROUP
2524 FARRAGUT DR SUITE B
SPRINGFIELD, IL 62704
PHONE: (217) 726-8820
E-PRESCRIBE: NO
SCHOENBURG, KIM Y., MD
GENDER: F
PROVIDER #: 008111
NPI #: 1164522850
SPRINGFIELD CLINIC
1100 CENTRE WEST DR
SPRINGFIELD, IL 62704
PHONE: (217) 793-9960
E-PRESCRIBE: YES
VILLAFUERTE, LYDIA S., MD
GENDER: F
PROVIDER #: 166842
NPI #: 1548249469
SOUTH SIXTH MEDICAL
ASSOCIATES LLC
2950 S SIXTH ST
SPRINGFIELD, IL 62703
PHONE: (217) 588-7450
E-PRESCRIBE: YES
STEGEMAN, JAMES R., MD
GENDER: M
PROVIDER #: 008113
NPI #: 1205936895
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
STEPHENS, TERESA L., CNP;
PROVIDER #: 066225
E-PRESCRIBE: YES
THOMAS, CYNTHIA, MD
GENDER: F
PROVIDER #: 038971
NPI #: 1447249875
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
WAHAB-SILAS, SAIRA, MD
GENDER: F
PROVIDER #: 069199
NPI #: 1770501595
PRIORITY CARE ST JOHNS
HEALTH CENTER
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE: (217) 789-1403
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE ATTN PRACTICE
MANAGER
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
WELLS, TABATHA SELINA,
MD
GENDER: F
PROVIDER #: 229389
NPI #: 1992933923
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
WESTERN, JENNIFER, MD
GENDER: F
PROVIDER #: 008983
NPI #: 1407957475
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
WESTERN, RANDY, MD
GENDER: M
PROVIDER #: 008984
NPI #: 1760424584
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
WIDICUS, DIANA T., MD
GENDER: F
PROVIDER #: 003147
NPI #: 1851471072
SPRINGFIELD PRIORITY
CARE
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE: (217) 789-1403
E-PRESCRIBE: NO
3631 S 6TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 789-1403
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
122
Primary Care Physicians
SPRINGFIELD PRIORITY
CARE-ATTN PRACTICE
MANAGER
1836 S MACARTHUR BLVD
SPRINGFIELD, IL 62704
PHONE: (217) 789-1403
E-PRESCRIBE: NO
YAFFE, STUART A., MD
GENDER: M
PROVIDER #: 008123
NPI #: 1992806988
SPRINGFIELD CLINIC
1100 CENTRE WEST DR
SPRINGFIELD, IL 62704
PHONE: (217) 793-9960
E-PRESCRIBE: YES
YAP, DENNIS D., MD
GENDER: M
PROVIDER #: 195269
NPI #: 1508967597
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
PEDIATRICS
BATTERMAN, CRAIG E., MD
GENDER: M
PROVIDER #: 069806
NPI #: 1134101769
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-4238
E-PRESCRIBE: NO
123
BENNETT, GREGORY, MD
GENDER: M
PROVIDER #: 048421
NPI #: 1881677052
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-7732
E-PRESCRIBE: NO
BHAMIDIPATI, PRASANTA,
MD
GENDER: F
PROVIDER #: 192396
NPI #: 1851601462
HSHS MEDICAL GROUP
PEDIATRICS-PRAIRIE
CROSSING
4337 CONESTOGA DR
SPRINGFIELD, IL 62711
PHONE: (217) 789-3600
E-PRESCRIBE: NO
SPRINGFIELD PRIORITY
CARE
1100 E LINCOLNSHIRE BLVD
SUITE 200
SPRINGFIELD, IL 62703
PHONE: (217) 789-1403
E-PRESCRIBE: NO
SPRINGFIELD PRIORTY
CARE
3631 6TH ST
SPRINGFIELD, IL 62704
PHONE: (217) 789-1411
E-PRESCRIBE: NO
BLEYER, JOHN E., MD
GENDER: M
PROVIDER #: 044783
NPI #: 1538166467
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704
PHONE: (217) 862-0800
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
BLEYER, LORIE A., MD
GENDER: F
PROVIDER #: 044784
NPI #: 1952308884
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
BOWERS, STEVEN R., MD
GENDER: M
PROVIDER #: 044785
NPI #: 1093713562
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
BUNTAIN, WILLIAM L., MD
GENDER: M
PROVIDER #: 240073
NPI #: 1700902608
HSHS MEDICAL GROUP
800 E CARPENTER
SPRINGFIELD, IL 62769
PHONE: (217) 544-6464
E-PRESCRIBE: NO
CASTALDO, RAYMOND L.,
MD
GENDER: M
PROVIDER #: 008061
NPI #: 1568558484
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
COMERFORD, MICHAEL V.,
MD
GENDER: M
PROVIDER #: 044786
NPI #: 1497753974
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
DELA CRUZ, MARTHE K., MD
GENDER: F
PROVIDER #: 169164
NPI #: 1326257098
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-4238
E-PRESCRIBE: NO
DOLAN, VIRGINIA M., MD
GENDER: F
PROVIDER #: 009848
NPI #: 1912905415
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
EHRLICH, CHRISTOPHER B.,
MD
GENDER: M
PROVIDER #: 094238
NPI #: 1134213820
SPRINGFIELD CLINIC
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 787-9424
E-PRESCRIBE: YES
Primary Care Physicians
FLORENCE, NICOLE A., MD
GENDER: F
PROVIDER #: 061200
NPI #: 1811983851
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
JOHN, TEENA, MD
GENDER: F
PROVIDER #: 166896
NPI #: 1437371010
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
GILLISON, CLAUDINE T., MD
GENDER: F
PROVIDER #: 182717
NPI #: 1013126317
SPRINGFIELD CLINIC
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
E-PRESCRIBE: NO
JONES, TERRY L., MD
GENDER: M
PROVIDER #: 008080
NPI #: 1265530612
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
KLUNICK, VALERIE A., CPNP;
PROVIDER #: 061675
YOUNKER, ANGELA G., CNP;
PROVIDER #: 183057
E-PRESCRIBE: YES
GREEN, REBECCA P., MD
GENDER: F
PROVIDER #: 199485
NPI #: 1750308201
SPRINGFIELD CLINIC LLP
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
PERRYMAN, MARY E., ARNP;
PROVIDER #: 217215
E-PRESCRIBE: NO
JOHN, ASHISH, MD
GENDER: M
PROVIDER #: 166898
NPI #: 1346452174
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
KINK, LYNN M., MD
GENDER: F
PROVIDER #: 180746
NPI #: 1225255847
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 4W64
SPRINGFIELD, IL 62701
PHONE: (217) 545-0003
E-PRESCRIBE: NO
LEE, CYNTHIA J., MD
GENDER: F
PROVIDER #: 181423
NPI #: 1649283383
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
124
Primary Care Physicians
LOWER, TRACY, MD
GENDER: M
PROVIDER #: 019246
NPI #: 1023090578
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (214) 545-0003
E-PRESCRIBE: NO
PHILLIPS, MISTY M.
GENDER: F
PROVIDER #: 132082
NPI #: 1053461657
SPRINGFIELD CLINIC
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
E-PRESCRIBE: YES
MILBRANDT, TRACY P.
GENDER: F
PROVIDER #: 109485
NPI #: 1063494516
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-7732
E-PRESCRIBE: NO
PUCZYNSKI, MARK STANLEY
S., MD
GENDER: F
PROVIDER #: 116963
NPI #: 1477535946
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-4238
E-PRESCRIBE: NO
MINER, MICHELLE M., MD
GENDER: F
PROVIDER #: 076725
NPI #: 1285617456
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-4238
E-PRESCRIBE: NO
SANDERCOCK, DAVID B., MD
GENDER: M
PROVIDER #: 061220
NPI #: 1770556565
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
MURRAY, BARBARA L.
GENDER: F
PROVIDER #: 131825
NPI #: 1376679472
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
125
SAVAGE, VERONICA G., MD
GENDER: F
PROVIDER #: 014791
NPI #: 1447350137
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
E-PRESCRIBE: YES
SPRINGFIELD, IL
SPRINGFIELD, IL
SHAFI, ANWAR, MD
GENDER: M
PROVIDER #: 158056
NPI #: 1487809448
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-0702
E-PRESCRIBE: NO
STEH, BETH A., MD
GENDER: F
PROVIDER #: 009849
NPI #: 1669572251
SPRINGFIELD CLINIC
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE: (217) 787-0727
E-PRESCRIBE: YES
TAYLOR, JANE K., MD
GENDER: F
PROVIDER #: 202702
NPI #: 1588827588
HSHS MEDICAL GROUP
PEDIATRICS-PRAIRIE
CROSSING
4337 CONESTOGA DR
SPRINGFIELD, IL 62711
PHONE: (217) 789-3620
E-PRESCRIBE: NO
UNAL, SHEREF H., MD
GENDER: M
PROVIDER #: 136841
NPI #: 1730297607
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-8000
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SULLIVAN, IL
VARGAS, LAURA B., MD
GENDER: F
PROVIDER #: 190944
NPI #: 1679736219
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 4W16
SPRINGFIELD, IL 62794
PHONE: (800) 331-2229
E-PRESCRIBE: NO
VASCONCELLES, CARA E.,
MD
GENDER: F
PROVIDER #: 044787
NPI #: 1114992658
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
VLAHOS, KORINE, MD
GENDER: F
PROVIDER #: 050433
NPI #: 1720053267
KOKE MILL MEDICAL
ASSOCIATES LLC
3132 OLD JACKSONVILLE RD
SUITE 200 & 210
SPRINGFIELD, IL 62704-6487
PHONE: (217) 862-0800
E-PRESCRIBE: NO
WALLACE, STEPHEN E., MD
GENDER: M
PROVIDER #: 008860
NPI #: 1548360134
SPRINGFIELD CLINIC
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 787-9424
FRICKE, PENNY S., FNP;
PROVIDER #: 158258
E-PRESCRIBE: YES
Primary Care Physicians
WOJTOWICZ, STEPHANIE,
MD
GENDER: F
PROVIDER #: 048417
NPI #: 1003917089
SPRINGFIELD CLINIC
2532 FARRAGUT DR
SPRINGFIELD, IL 62704
PHONE: (217) 787-9424
FRICKE, PENNY S., FNP;
PROVIDER #: 158258
E-PRESCRIBE: YES
FAMILY PRACTICE
POOS, JOSHUA D., MD
GENDER: M
PROVIDER #: 162610
NPI #: 1134142540
COMMUNITY FAMILY
PRACTICE
325 N CALDWELL ST
STAUNTON, IL 62088
PHONE: (618) 635-4333
E-PRESCRIBE: NO
STEELEVILLE, IL
ST JOSEPH, IL
FAMILY PRACTICE
FAMILY PRACTICE
PAUL, ALINA, MD
GENDER: F
PROVIDER #: 124938
NPI #: 1225182702
PROVENA MEDICAL GROUP
226 E LINCOLN
ST JOSEPH, IL 61873
PHONE: (217) 469-8270
E-PRESCRIBE: NO
PREUSS, MARK D., MD
GENDER: M
PROVIDER #: 047169
NPI #: 1952368110
STEELEVILLE CLINIC
NINE WESTWOOD DR
STEELEVILLE, IL 62288
PHONE: (618) 965-3466
CHAMNESS, KAREN J., PA-C;
PROVIDER #: 073739
E-PRESCRIBE: NO
STAUNTON, IL
ADULT/INTERNAL
MEDICINE
CHANDRA, ALPANA, MD
GENDER: F
PROVIDER #: 238420
NPI #: 1033212923
HSHS MEDICAL GROUP INC
400 N CALDWELL ST
STAUNTON, IL 62088-1499
PHONE: (618) 635-4241
E-PRESCRIBE: YES
SULLIVAN, IL
ADULT/INTERNAL
MEDICINE
BUKHARI, FAISAL, MD
GENDER: M
PROVIDER #: 033815
NPI #: 1376545509
SULLIVAN FAMILY CARE
CENTER
TWO W ADAMS ST
SULLIVAN, IL 61951
PHONE: (217) 728-7353
MILLER, KIM L., ARNP;
PROVIDER #: 089263
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
126
SULLIVAN, IL
TAYLORVILLE, IL
Primary Care Physicians
FAMILY PRACTICE
HARTMAN, PATRICK, MD
GENDER: M
PROVIDER #: 053300
NPI #: 1861508160
SBL SULLIVAN CLINIC
7 HAWTHORNE LN
SULLIVAN, IL 61951
PHONE: (217) 728-8441
E-PRESCRIBE: NO
ALLEGA, ROHN S., MD
GENDER: M
PROVIDER #: 133426
NPI #: 1316003098
ROHN S ALLEGA MD
FAMILY PRACTICE
1220 W JACKSON ST
SULLIVAN, IL 61951
PHONE: (217) 728-2042
E-PRESCRIBE: NO
FAMILY PRACTICE OB
COSTERISAN, DENNIS D., DO
GENDER: M
PROVIDER #: 006574
NPI #: 1578565701
SULLIVAN FAMILY CARE
2 W ADAMS
SULLIVAN, IL 61951
PHONE: (217) 728-8329
STEWART, JOYA D., APN;
PROVIDER #: 223299
E-PRESCRIBE: NO
DORNER, MATTHEW J., MD
GENDER: M
PROVIDER #: 192649
NPI #: 1528176880
SBL SULLIVAN CLINIC
7 HAWTHORNE LANE
SULLIVAN, IL 61951
PHONE: (217) 728-8441
MUNCH, TAMMY, PA-C;
PROVIDER #: 137788
E-PRESCRIBE: NO
DUST, GLEN, MD
GENDER: M
PROVIDER #: 004005
NPI #: 1477555738
SULLIVAN FAMILY CARE
CENTER
2 W ADAMS ST
SULLIVAN, IL 61951
PHONE: (217) 728-7353
CLAYTON, JACQUELINE R.,
APRN; PROVIDER #: 131335
E-PRESCRIBE: NO
127
COSTERISAN, DENNIS D., DO
GENDER: M
PROVIDER #: 006574
NPI #: 1578565701
SULLIVAN FAMILY CARE
2 W ADAMS
SULLIVAN, IL 61951
PHONE: (217) 728-8329
STEWART, JOYA D., APN;
PROVIDER #: 223299
E-PRESCRIBE: NO
TABLE GROVE, IL
ADULT/INTERNAL
MEDICINE
TOWNSEND, WINSTON J.,
MD
GENDER: M
PROVIDER #: 043999
NPI #: 1003889411
HSHS MEDICAL GROUP DBA
FAMILY MEDICINE OF
TABLE GR
130 N BROADWAY ST
TABLE GROVE, IL 61482
PHONE: (612) 227-4171
FAWCETT, GRETCHEN W., PAC; PROVIDER #: 180621
E-PRESCRIBE: NO
FAMILY PRACTICE
TAILLEFER, MARGUERITE S.,
MD
GENDER: F
PROVIDER #: 196180
NPI #: 1588978241
HSHS MEDICAL GROUP
TABLE GROVE
130 N BROADWAY ST
TABLE GROVE, IL 61482
PHONE: (309) 758-5070
E-PRESCRIBE: NO
TAYLORVILLE, IL
ADULT/INTERNAL
MEDICINE
DEL VALLE, RICHARD K., MD
GENDER: M
PROVIDER #: 008670
NPI #: 1932290384
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-4939
BRUMMET, SANDRA J., NP;
PROVIDER #: 109503
E-PRESCRIBE: NO
GILL, PAVINDERPAL S., MD
GENDER: M
PROVIDER #: 008510
NPI #: 1245336148
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
MANSON, KAREN, FNP;
PROVIDER #: 049851
SCHNEIDER, PATRICIA A.,
FNPC; PROVIDER #: 150783
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
TAYLORVILLE, IL
TERRE HAUTE, IN
MCCLINTOCK, ROGER, MD
GENDER: M
PROVIDER #: 016533
NPI #: 1043318066
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
SCHNEIDER, PATRICIA A.,
FNPC; PROVIDER #: 150783
E-PRESCRIBE: YES
PRABHU, MANJESHWAR, MD
GENDER: M
PROVIDER #: 008667
NPI #: 1770683450
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-4939
BRUMMET, SANDRA J., NP;
PROVIDER #: 109503
E-PRESCRIBE: NO
FAMILY PRACTICE
KIEL, DAVID J., MD
GENDER: M
PROVIDER #: 008511
NPI #: 1447358726
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
CURRIE, REBECCA L., CNP;
PROVIDER #: 078928
E-PRESCRIBE: YES
MILICEVIC, DRAGICIA N., MD
GENDER: F
PROVIDER #: 225461
NPI #: 1245344357
SPRINGFIELD CLINIC LLP
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
E-PRESCRIBE: NO
Primary Care Physicians
PEDIATRICS
FREIJ, YASER B., MD
GENDER: M
PROVIDER #: 008507
NPI #: 1104919836
SPRINGFIELD CLINIC
115 E PLEASANT ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
TURNER, KIMBERLY V., FNP;
PROVIDER #: 133632
E-PRESCRIBE: NO
KALLADA, SAHLA, MD
GENDER: F
PROVIDER #: 167446
NPI #: 1891976072
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
E-PRESCRIBE: NO
MCCLINTOCK, ROGER, MD
GENDER: M
PROVIDER #: 016533
NPI #: 1043318066
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
SCHNEIDER, PATRICIA A.,
FNPC; PROVIDER #: 150783
E-PRESCRIBE: YES
TERRE HAUTE, IN
ADULT/INTERNAL
MEDICINE
ELIAS, JOEL N., MD
GENDER: M
PROVIDER #: 154769
NPI #: 1497808893
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE P
TERRE HAUTE, IN 47802
PHONE: (812) 232-0921
E-PRESCRIBE: NO
JANICKI, DAVID J., MD
GENDER: M
PROVIDER #: 004611
NPI #: 1336113638
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE D
TERRE HAUTE, IN 47802
PHONE: (812) 238-5665
E-PRESCRIBE: NO
KODURU, RAVI K., MD
GENDER: M
PROVIDER #: 203374
NPI #: 1265521058
UNION HOSPITAL INC
1332 N 7TH ST
TERRE HAUTE, IN 47807
PHONE: (812) 478-8888
E-PRESCRIBE: NO
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7000
E-PRESCRIBE: NO
601 SURGERY CENTER DR
TERRE HAUTE, IN 47802
PHONE: (812) 235-1200
E-PRESCRIBE: NO
KOJ, IMAD G., MD
GENDER: M
PROVIDER #: 114357
NPI #: 1073503207
PROVIDENCE MEDICAL
GROUP
3903 S 7TH ST SUITE 2E
TERRE HAUTE, IN 47802
PHONE: (812) 235-7370
E-PRESCRIBE: NO
MARDINI, ANTWAN M., MD
GENDER: M
PROVIDER #: 109292
NPI #: 1982678470
PROVIDENCE MEDICAL
GROUP
1530 N 7TH ST SUITE 111
TERRE HAUTE, IN 47807
PHONE: (812) 232-9663
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
128
Primary Care Physicians
OOMMEN, KOSHY, MD
GENDER: M
PROVIDER #: 203332
NPI #: 1497844278
UNION HOSPITAL INC
1332 N 7TH ST
TERRE HAUTE, IN 47807
PHONE: (812) 478-8888
E-PRESCRIBE: NO
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7000
E-PRESCRIBE: NO
601 SURGERY CENTER DR
TERRE HAUTE, IN 47802
PHONE: (812) 235-1200
E-PRESCRIBE: NO
SHAH, DIPEN V., MD
GENDER: M
PROVIDER #: 203392
NPI #: 1093804874
UNION HOSPITAL INC
1332 N 7TH ST
TERRE HAUTE, IN 47807
PHONE: (812) 478-8888
E-PRESCRIBE: NO
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7000
E-PRESCRIBE: NO
601 SURGERY CENTER DR
TERRE HAUTE, IN 47802
PHONE: (812) 235-1200
E-PRESCRIBE: NO
PITTMAN, LYNN A., MD
GENDER: F
PROVIDER #: 154805
NPI #: 1609840040
PROVIDENCE MEDICAL
GROUP
3560 SOUTH 4TH STREET
TERRE HAUTE, IN 47802
PHONE: (812) 237-9455
E-PRESCRIBE: NO
STOCKRAHM, JON L., DO
GENDER: M
PROVIDER #: 178020
NPI #: 1962409466
UNION HOSPITAL INC
1600 E SPRINGHILL RD
TERRE HAUTE, IN 47802
PHONE: (812) 235-7252
E-PRESCRIBE: NO
REDDY, VUPPALA V., MD
GENDER: M
PROVIDER #: 048743
NPI #: 1174612931
UNION HOSPITAL INC
1332 N 7TH ST
TERRE HAUTE, IN 47807
PHONE: (812) 478-8888
E-PRESCRIBE: NO
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7000
E-PRESCRIBE: NO
601 SURGERY CENTER DR
TERRE HAUTE, IN 47802
PHONE: (812) 235-1200
E-PRESCRIBE: NO
129
FAMILY PRACTICE
ABDAYEM, JOSEPH Y., MD
GENDER: M
PROVIDER #: 195835
NPI #: 1134375157
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE A
TERRE HAUTE, IN 47802
PHONE: (812) 232-5936
E-PRESCRIBE: NO
ALVEY III, THURMAN, DO
GENDER: M
PROVIDER #: 120901
NPI #: 1942231444
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
TERRE HAUTE, IN
TERRE HAUTE, IN
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: NO
BALDWIN, RONALD F., MD
GENDER: M
PROVIDER #: 157444
NPI #: 1912118928
MATERNAL HEALTH CLINIC
1801 N 6TH SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 299-8280
E-PRESCRIBE: YES
UNION HOSPITAL
1513 N SIXTH AND ONE HALF
ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: YES
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: YES
BEACHY, ERIC D., MD
GENDER: M
PROVIDER #: 114574
NPI #: 1881652188
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
BROWNE, GEORGE O., PA;
PROVIDER #: 142519
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
TERRE HAUTE, IN
TERRE HAUTE, IN
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: NO
BOULOS, DANY, MD
GENDER: M
PROVIDER #: 204671
NPI #: 1780830703
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE A
TERRE HAUTE, IN 47802
PHONE: (812) 238-1730
E-PRESCRIBE: NO
BOURGASSER, GENE A., MD
GENDER: F
PROVIDER #: 209291
NPI #: 1871596064
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
BRUCKEN, DARREN C., MD
GENDER: M
PROVIDER #: 117595
NPI #: 1235102062
PROVIDENCE MEDICAL
GROUP
1624 E SPRINGHILL DR
TERRE HAUTE, IN 47802
PHONE: (812) 299-8280
E-PRESCRIBE: NO
2723 S 7TH ST SUITE C
TERRE HAUTE, IN 47802
PHONE:
E-PRESCRIBE: NO
Primary Care Physicians
BUECHLER, JAMES R., MD
GENDER: M
PROVIDER #: 064944
NPI #: 1104817758
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: NO
CONWELL, CARL F., MD
GENDER: M
PROVIDER #: 214618
NPI #: 1952304123
UNION HOSPITAL INC
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 268-7631
E-PRESCRIBE: NO
DALUGA, PAUL L., MD
GENDER: M
PROVIDER #: 030893
NPI #: 1700877362
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
BROWNE, GEORGE O., PA;
PROVIDER #: 142519
DEGROOTE, DANIELLE L., NP;
PROVIDER #: 205827
E-PRESCRIBE: NO
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: NO
DRAKE, MELODY J., MD
GENDER: F
PROVIDER #: 116962
NPI #: 1386635944
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: NO
DUPRE, ERNEST S., MD
GENDER: M
PROVIDER #: 214586
NPI #: 1992708192
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
130
Primary Care Physicians
UNION HOSPITAL INC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7631
E-PRESCRIBE: NO
EPPLIN, EUGENE H., MD
GENDER: M
PROVIDER #: 209569
NPI #: 1528174182
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
FITZGERALD, GARY A., MD
GENDER: M
PROVIDER #: 036577
NPI #: 1467443838
1530 N 7TH ST SUITE 104
TERRE HAUTE, IN 47807
PHONE: (260) 399-3777
E-PRESCRIBE: NO
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: NO
GALE, BING W., MD
GENDER: M
PROVIDER #: 106654
NPI #: 1396736039
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: YES
131
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: YES
INGEBRIGTSEN, JANIS C.,
MD
GENDER: F
PROVIDER #: 130736
NPI #: 1609867357
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: YES
UNION HOSPITAL
INCORPORATED
1530 N 7TH ST SUITE 110
TERRE HAUTE, IN 47807
PHONE: (812) 238-7878
E-PRESCRIBE: YES
JAMES, AMY C., MD
GENDER: F
PROVIDER #: 120308
NPI #: 1972549426
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: YES
KELLAR, DANIEL P., MD
GENDER: M
PROVIDER #: 031853
NPI #: 1467443119
5500 S US HWY 41 SUITE 1
TERRE HAUTE, IN 47802
PHONE: (812) 238-7791
E-PRESCRIBE: NO
TERRE HAUTE, IN
TERRE HAUTE, IN
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: NO
LOVEALL, HAROLD P., MD
GENDER: M
PROVIDER #: 130604
NPI #: 1962476440
PROVIDENCE MEDICAL
GROUP
1233 MAPLE AVENUE
TERRE HAUTE, IN 47804
PHONE: (812) 232-5936
E-PRESCRIBE: NO
MARCIANO, PATRICIA N., MD
GENDER: F
PROVIDER #: 173978
NPI #: 1053398578
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
UNION HOSPITAL INC
1606 N 7TH ST
TERRE HAUTE, IN 47804-2706
PHONE: (812) 238-7000
E-PRESCRIBE: NO
UNION HOSPITAL-FAMILY
MEDICAL CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (260) 399-3777
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
TERRE HAUTE, IN
TERRE HAUTE, IN
MCCALISTER, ELIZABETH A.,
MD
GENDER: F
PROVIDER #: 213764
NPI #: 1710092689
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
UNION HOSPITAL INC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7631
E-PRESCRIBE: NO
MCDONALD, STEVEN A., MD
GENDER: M
PROVIDER #: 009928
NPI #: 1578537056
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
FAMILY MEDICINE EAST
4001 WABASH AVE
TERRE HAUTE, IN 47803
PHONE: (812) 877-0506
HUTCHINSON, KAY T., NP;
PROVIDER #: 132863
E-PRESCRIBE: NO
PROVIDENCE MEDICAL
GROUP
4949 E POPLAR ST
TERRE HAUTE, IN 47802
PHONE: (812) 877-0506
E-PRESCRIBE: NO
MORROW, ALOHNA L., MD
GENDER: F
PROVIDER #: 154753
NPI #: 1790763027
PROVIDENCE MEDICAL
GROUP
4949 E POPLAR DR
TERRE HAUTE, IN 47803
PHONE: (812) 877-0506
E-PRESCRIBE: NO
Primary Care Physicians
STEVENS, RANDALL L., MD
GENDER: M
PROVIDER #: 144190
NPI #: 1225029481
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
FIELDS, BETH R., FNP;
PROVIDER #: 144665
E-PRESCRIBE: YES
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: YES
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: YES
TURNER, JAMES, DO
GENDER: M
PROVIDER #: 009064
NPI #: 1245221522
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
BATTISTA, BARBARA, PA;
PROVIDER #: 144507
E-PRESCRIBE: NO
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: NO
VALERA, LAURIE J., MD
GENDER: F
PROVIDER #: 171772
NPI #: 1790941086
UNION HOSPITAL FAMILY
MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (260) 399-3777
E-PRESCRIBE: NO
VEGAS, TOMAS C., MD
GENDER: M
PROVIDER #: 142477
NPI #: 1629277306
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7301
E-PRESCRIBE: NO
FAMILY MEDICINE EAST
4001 WABASH AVE
TERRE HAUTE, IN 47803-1647
PHONE: (812) 238-7711
E-PRESCRIBE: NO
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
UNION HOSPITAL HEALTH
CHECK
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: NO
WALTZ, STEVEN G., MD
GENDER: M
PROVIDER #: 018057
NPI #: 1710978333
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
132
TERRE HAUTE, IN
TREMONT, IL
Primary Care Physicians
FAMILY MEDICINE EAST
4001 WABASH AVE
TERRE HAUTE, IN 47803
PHONE: (812) 238-7711
E-PRESCRIBE: NO
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
GENERAL PRACTICE
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: NO
WILSON, WILLIAM E., MD
GENDER: M
PROVIDER #: 142479
NPI #: 1508857764
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: NO
133
ZWERNER, FRANK A., DO
GENDER: M
PROVIDER #: 205826
NPI #: 1821254269
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST
TERRE HAUTE, IN 47802
PHONE: (812) 238-1730
E-PRESCRIBE: NO
BUTLER, RICHARD A., MD
GENDER: M
PROVIDER #: 211323
NPI #: 1326113598
UNION HOSPITAL INC
5500 S US HIGHWAY 41
SUITE 1
TERRE HAUTE, IN 47802
PHONE: (812) 238-7791
E-PRESCRIBE: NO
STEVENS, JOHN A., MD
GENDER: M
PROVIDER #: 064625
NPI #: 1972594596
FAMILY MEDICINE EAST
4001 WABASH AVE
TERRE HAUTE, IN 47803-1647
PHONE: (812) 238-7711
E-PRESCRIBE: NO
TILTON, IL
FAMILY PRACTICE
KARINATTU, JOSEPH, MD
GENDER: M
PROVIDER #: 010605
NPI #: 1861410011
100 E FIFTH ST
TILTON, IL 61833
PHONE: (217) 443-5480
E-PRESCRIBE: YES
TOLUCA, IL
FAMILY PRACTICE
RICCA, GLEN L., MD
GENDER: M
PROVIDER #: 021944
NPI #: 1730134073
ASTA CARE
101 E VIA GHIGLIERI
TOLUCA, IL 61369
PHONE:
E-PRESCRIBE: NO
WARGO, MARK A., MD
GENDER: M
PROVIDER #: 049165
NPI #: 1457304156
ASTA CARE
101 E VIA GHIGLIERI
TOLUCA, IL 61369
PHONE:
E-PRESCRIBE: NO
TREMONT, IL
FAMILY PRACTICE
BAER, JOHN D., MD
GENDER: M
PROVIDER #: 010775
NPI #: 1255331773
TREMONT MEDICAL CLINIC
105 S LOCUST ST
TREMONT, IL 61568
PHONE: (309) 925-2961
E-PRESCRIBE: NO
KELLENBERGER, BRYAN, MD
GENDER: M
PROVIDER #: 184663
NPI #: 1275733073
TREMONT MEDICAL CLINIC
105 S LOCUST ST
TREMONT, IL 61568
PHONE: (309) 925-2961
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
TREMONT, IL
URBANA, IL
KRALL, DIANE C., MD
GENDER: F
PROVIDER #: 108547
NPI #: 1144215708
TREMONT MEDICAL CLINIC
105 S LOCUST ST
TREMONT, IL 61568
PHONE: (309) 925-2961
E-PRESCRIBE: NO
LOVELL, JOHN, MD
GENDER: M
PROVIDER #: 010776
NPI #: 1366442881
TREMONT MEDICAL CLINIC
105 S LOCUST ST
TREMONT, IL 61568
PHONE: (309) 925-2961
OHNESORGE, AMANDA J., PA;
PROVIDER #: 203247
E-PRESCRIBE: NO
TUSCOLA, IL
ADULT/INTERNAL
MEDICINE
LEE, ISSAC, MD
GENDER: M
PROVIDER #: 162773
NPI #: 1528260908
CHRISTIE CLINIC
300 N MAIN ST
TUSCOLA, IL 61953
PHONE: (217) 253-9258
E-PRESCRIBE: YES
SNOWDEN, RICHARD M., MD
GENDER: M
PROVIDER #: 171517
NPI #: 1407962160
CHRISTIE CLINIC
300 N MAIN ST
TUSCOLA, IL 61953
PHONE: (217) 366-1200
E-PRESCRIBE: YES
Primary Care Physicians
FAMILY PRACTICE
PEDIATRICS
JALIPARTHI,
SWARNALATHA, MD
GENDER: M
PROVIDER #: 120840
NPI #: 1487892865
CARLE PHYSICIAN GROUP
301 E SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: YES
LEE, ISSAC, MD
GENDER: M
PROVIDER #: 162773
NPI #: 1528260908
CHRISTIE CLINIC
300 N MAIN ST
TUSCOLA, IL 61953
PHONE: (217) 253-9258
E-PRESCRIBE: YES
PARK, GRACE, MD
GENDER: F
PROVIDER #: 106349
NPI #: 1619147592
CARLE PHYSICIAN GROUP
301 W SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: YES
ROBERTS, NATHAN L., MD
GENDER: M
PROVIDER #: 068728
NPI #: 1225089626
CARLE PHYSICIAN GROUP
301 SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: YES
SALMONS, SALLY J., MD
GENDER: F
PROVIDER #: 106418
NPI #: 1295834901
CARLE PHYSICIAN GROUP
301 SOUTHLINE RD
TUSCOLA, IL 61953
PHONE: (217) 253-5231
E-PRESCRIBE: YES
URBANA, IL
ADULT/INTERNAL
MEDICINE
JOHNSON, PHILIP B., MD
GENDER: M
PROVIDER #: 000232
NPI #: 1710902127
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
KALA, NOLEEN V., MD
GENDER: F
PROVIDER #: 079290
NPI #: 1578596276
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
KALIANI, NEELU J., MD
GENDER:
PROVIDER #: 108553
NPI #: 1568495166
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
134
Primary Care Physicians
MUTHEKEPALLI, SUDHA R.,
MD
GENDER: F
PROVIDER #: 076764
NPI #: 1437262631
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
PETER, SUMA P., MD
GENDER: F
PROVIDER #: 040407
NPI #: 1730199944
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
SARAVANAN, PATHANJALI,
MD
GENDER: M
PROVIDER #: 183968
NPI #: 1639284862
CHRISTIE CLINIC
1400 W PARK
URBANA, IL 61801
PHONE: (217) 366-1200
E-PRESCRIBE: YES
STOLL, JOHN F., MD
GENDER: M
PROVIDER #: 000052
NPI #: 1295835429
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
KALE, PETER J., NP;
PROVIDER #: 000480
E-PRESCRIBE: YES
135
URBANA, IL
URBANA, IL
YEKKIRALA, LALITHA, MD
GENDER: F
PROVIDER #: 183969
NPI #: 1235240540
CHRISTIE CLINIC
1400 W PARK
URBANA, IL 61801
PHONE: (217) 366-1200
E-PRESCRIBE: YES
MENEELY, TIMOTHY S., DO
GENDER: M
PROVIDER #: 007956
NPI #: 1629178181
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
FAMILY PRACTICE
RAFFERTY, CARLA M., MD
GENDER: F
PROVIDER #: 195937
NPI #: 1578719316
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
CESNJAJ, MIRJANA, MD
GENDER: F
PROVIDER #: 148222
NPI #: 1750553814
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3170
E-PRESCRIBE: YES
GOPAL, BHARAT, MD
GENDER: M
PROVIDER #: 076190
NPI #: 1336168574
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3170
E-PRESCRIBE: YES
KIM, KEVIN S., DO
GENDER: M
PROVIDER #: 196016
NPI #: 1962634519
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
LEE, DANIEL J., DO
GENDER: M
PROVIDER #: 150676
NPI #: 1568637189
CHRISTIE CLINIC
1710 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 344-9440
E-PRESCRIBE: YES
SWEARINGEN, JEFFREY V.,
MD
GENDER: M
PROVIDER #: 000677
NPI #: 1689785305
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3170
E-PRESCRIBE: YES
WAGNER, CHRISTIAN E., MD
GENDER: M
PROVIDER #: 019848
NPI #: 1063514123
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
WHITEHILL, DAVID L., MD
GENDER: M
PROVIDER #: 000658
NPI #: 1366542763
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
URBANA, IL
URBANA, IL
WU, STANLEY S., MD
GENDER: M
PROVIDER #: 106661
NPI #: 1700981727
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 326-1330
E-PRESCRIBE: YES
FAMILY PRACTICE OB
SWEARINGEN, JEFFREY V.,
MD
GENDER: M
PROVIDER #: 000677
NPI #: 1689785305
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3170
E-PRESCRIBE: YES
WHITEHILL, DAVID L., MD
GENDER: M
PROVIDER #: 000658
NPI #: 1366542763
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
GENERAL PRACTICE
HAMPTON, SIMONE R., MD
GENDER: F
PROVIDER #: 135588
NPI #: 1033184247
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3170
E-PRESCRIBE: YES
Primary Care Physicians
PEDIATRICS
ABBASI, ISMAIL, MD
GENDER: M
PROVIDER #: 245321
NPI #: 1427035989
CARLE PHYSICIAN GROUP
611 W PARK STREET
URBANA, IL 61801-2500
PHONE: (217) 383-3266
E-PRESCRIBE: YES
BECK, DONNA T., MD
GENDER: F
PROVIDER #: 000571
NPI #: 1255365797
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
MOHR, JANET F., CNP;
PROVIDER #: 010013
E-PRESCRIBE: YES
HELTON, RACHEL L., MD
GENDER: F
PROVIDER #: 131188
NPI #: 1669671079
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
E-PRESCRIBE: YES
HILL, MALCOLM C., MD
GENDER: M
PROVIDER #: 000491
NPI #: 1043235112
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
MOHR, JANET F., CNP;
PROVIDER #: 010013
E-PRESCRIBE: YES
BUETOW, M KATHLEEN, MD
GENDER: F
PROVIDER #: 000518
NPI #: 1245267780
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
E-PRESCRIBE: YES
MELVIN, TYRONE R., MD
GENDER: M
PROVIDER #: 000499
NPI #: 1194745919
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
MOHR, JANET F., CNP;
PROVIDER #: 010013
E-PRESCRIBE: YES
DAVISON, DONALD F., MD
GENDER: M
PROVIDER #: 000557
NPI #: 1780629485
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3100
E-PRESCRIBE: YES
SCHUSTER, JOHN, MD
GENDER: M
PROVIDER #: 099142
NPI #: 1245201607
CHRISTIE CLINIC
1710 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 344-9440
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
136
URBANA, IL
WASHINGTON, IL
Primary Care Physicians
STEPHENS, FRANK J., MD
GENDER: M
PROVIDER #: 005189
NPI #: 1871693002
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
MOHR, JANET F., CNP;
PROVIDER #: 010013
E-PRESCRIBE: YES
SUM, ADA C., MD
GENDER: F
PROVIDER #: 203794
NPI #: 1962667030
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
E-PRESCRIBE: YES
TRIPATHY, NEENA, MD
GENDER: F
PROVIDER #: 068597
NPI #: 1700997301
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9700
MOHR, JANET F., CNP;
PROVIDER #: 010013
E-PRESCRIBE: YES
VIRDEN, IL
ADULT/INTERNAL
MEDICINE
CHAPA, VITTAL V., MD
GENDER: M
PROVIDER #: 008544
NPI #: 1003805151
138 E DEAN ST
VIRDEN, IL 62690
PHONE: (217) 965-5481
E-PRESCRIBE: NO
137
VIRGINIA, IL
FAMILY PRACTICE
SANCHEZ, DOMINIQUE F.,
DO
GENDER: F
PROVIDER #: 215990
NPI #: 1861654857
CASS COUNTY HEALTH
CLINIC
331 S MAIN ST
VIRGINIA, IL 62691
PHONE: (217) 452-3057
E-PRESCRIBE: YES
WYNN, MARY, MD
GENDER: F
PROVIDER #: 171644
NPI #: 1356310486
CASS COUNTY HEALTH
CLINIC
331 S MAIN ST
VIRGINIA, IL 62691
PHONE: (217) 452-3057
BEAVERS, LAURIE, FNP;
PROVIDER #: 172866
BLESSMAN, DONNA, FNP;
PROVIDER #: 172862
STOCKER, KATHLEEN, APN;
PROVIDER #: 172850
E-PRESCRIBE: NO
WARSAW, IL
FAMILY PRACTICE
SMITH, LIONEL J., MD
GENDER: M
PROVIDER #: 053381
NPI #: 1386617249
HAMILTON WARSAW
CLINIC
1102 N COUNTY RD 700
WARSAW, IL 62379
PHONE: (217) 256-4100
E-PRESCRIBE: NO
WASHINGTON, IL
ADULT/INTERNAL
MEDICINE
ALONSO, LYNESSA A., DO
GENDER: F
PROVIDER #: 182340
NPI #: 1679665020
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
BOLEY, CHARLES K., MD
GENDER: M
PROVIDER #: 154234
NPI #: 1912126640
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
RINGENBERG, ALYSE C., APN;
PROVIDER #: 209901
E-PRESCRIBE: NO
GORMAN, MATTHEW J., DO
GENDER: M
PROVIDER #: 094199
NPI #: 1427130392
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
JOSEPH, SARAH A., MD
GENDER: F
PROVIDER #: 204224
NPI #: 1881974541
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
WASHINGTON, IL
WASHINGTON, IL
MILLER, RHETT L., MD
GENDER: M
PROVIDER #: 084572
NPI #: 1871675645
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
FAMILY PRACTICE
CUTINELLO JR, ANTHONY J.,
DO
GENDER: M
PROVIDER #: 126822
NPI #: 1669422333
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
KINSINGER, LEE T., MD
GENDER: M
PROVIDER #: 007322
NPI #: 1417983487
ILLINI FAMILY MEDICINE
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 444-3627
AHRENS, GERILYN, PA-C;
PROVIDER #: 117657
SCHERTZ, JILL E., PA-C;
PROVIDER #: 047978
WILLIAMS, TIFFANI L., PA-C;
PROVIDER #: 203062
E-PRESCRIBE: NO
Primary Care Physicians
KINSINGER, PAUL A., MD
GENDER: M
PROVIDER #: 003496
NPI #: 1912933938
ILLINI FAMILY MEDICINE
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 444-3627
AHRENS, GERILYN, PA-C;
PROVIDER #: 117657
SCHERTZ, JILL E., PA-C;
PROVIDER #: 047978
E-PRESCRIBE: NO
PIERS, SHAWN E., MD
GENDER: M
PROVIDER #: 051249
NPI #: 1720160500
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
PEDIATRICS
ALONSO, LYNESSA A., DO
GENDER: F
PROVIDER #: 182340
NPI #: 1679665020
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
BOLEY, CHARLES K., MD
GENDER: M
PROVIDER #: 154234
NPI #: 1912126640
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
RINGENBERG, ALYSE C., APN;
PROVIDER #: 209901
E-PRESCRIBE: NO
BYLER, JON D., MD
GENDER: M
PROVIDER #: 006908
NPI #: 1093897985
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
CARLSON, SCOTT D., MD
GENDER: M
PROVIDER #: 006251
NPI #: 1386726255
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
GORMAN, MATTHEW J., DO
GENDER: M
PROVIDER #: 094199
NPI #: 1427130392
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
JOSEPH, SARAH A., MD
GENDER: F
PROVIDER #: 204224
NPI #: 1881974541
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
138
Primary Care Physicians
WASHINGTON, IL
WATSEKA, IL
PEQUETTE, TROY E., MD
GENDER: M
PROVIDER #: 050715
NPI #: 1184714487
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
FERNANDEZ, EMILY, MD
GENDER: F
PROVIDER #: 189699
NPI #: 1447443627
IMH MULTISPECIALTY
PHYSICIANS
200 LAIRD LANE
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
ZUMWALT, PHILIP F., MD
GENDER: M
PROVIDER #: 004058
NPI #: 1629066170
WATSEKA FAMILY
PRACTICE
125 S FOURTH ST
WATSEKA, IL 60970
PHONE: (815) 432-5408
E-PRESCRIBE: YES
SHALLAT, SHELLY S., MD
GENDER: F
PROVIDER #: 107245
NPI #: 1184706988
OSF MEDICAL GROUP
10 SAINT CLARE COURT
SUITE 100
WASHINGTON, IL 61571
PHONE: (309) 886-4000
E-PRESCRIBE: NO
LANOUE, DOUG, MD
GENDER: M
PROVIDER #: 231578
NPI #: 1700032646
IMH WATSEKA
200 LAIRD LANE
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
FAMILY PRACTICE OB
MCCARTHY, WILLIAM D., MD
GENDER: M
PROVIDER #: 178416
NPI #: 1902836414
845 S 4TH ST
WATSEKA, IL 60970
PHONE: (815) 432-2461
E-PRESCRIBE: NO
WATSEKA, IL
ADULT/INTERNAL
MEDICINE
TANLIM, ALBERT C., MD
GENDER: M
PROVIDER #: 093859
NPI #: 1659342665
ROBERTS CLINIC
845 S FOURTH ST
WATSEKA, IL 60970
PHONE: (815) 432-2461
E-PRESCRIBE: NO
ROBERTS CLINIC
425 S 4TH ST
WATSEKA, IL 60970
PHONE: (815) 432-2461
E-PRESCRIBE: NO
FAMILY PRACTICE
CARPENTER, KRISTINE, MD
GENDER: F
PROVIDER #: 229425
NPI #: 1215198189
IROQUOIS MEMORIAL
200 LAIRD LN
WATSEKA, IL 60970
PHONE:
E-PRESCRIBE: NO
139
TORRES, TERESITA, MD
GENDER: F
PROVIDER #: 220283
NPI #: 1639138324
ROBERTS CLINIC
425 S 4TH ST
WATSEKA, IL 60970
PHONE: (815) 432-2461
E-PRESCRIBE: NO
FERNANDEZ, EMILY, MD
GENDER: F
PROVIDER #: 189699
NPI #: 1447443627
IMH MULTISPECIALTY
PHYSICIANS
200 LAIRD LANE
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
ZUMWALT, PHILIP F., MD
GENDER: M
PROVIDER #: 004058
NPI #: 1629066170
WATSEKA FAMILY
PRACTICE
125 S FOURTH ST
WATSEKA, IL 60970
PHONE: (815) 432-5408
E-PRESCRIBE: YES
PEDIATRICS
FONTANILLA, ANGELITA, MD
GENDER: F
PROVIDER #: 192480
NPI #: 1114076080
IMH WATSEKA
200 LAIRD LANE
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
WENONA, IL
WYOMING, IL
WENONA, IL
FAMILY PRACTICE
SUHAIL, JAWARIA, MD
GENDER: F
PROVIDER #: 245898
NPI #: 1699066084
HSHS MEDICAL GROUP
516 S CHESTNUT ST
WENONA, IL 61377
PHONE:
E-PRESCRIBE: NO
WEST SALEM, IL
FAMILY PRACTICE
GARRETT, HARRY T., DO
GENDER: M
PROVIDER #: 034190
NPI #: 1871589515
100 S MAIN ST
WEST SALEM, IL 62476
PHONE: (618) 456-3727
GREATHOUSE, GAIL M., FNP;
PROVIDER #: 073667
E-PRESCRIBE: YES
WILMINGTON, IL
ADULT/INTERNAL
MEDICINE
CHATRATH, SANJAY, DO
GENDER: M
PROVIDER #: 043585
NPI #: 1861591711
RIVERSIDE MEDICAL
CENTER OF WILMINGTON
105 N FIRST ST
WILMINGTON, IL 60481
PHONE: (815) 476-5210
E-PRESCRIBE: NO
Primary Care Physicians
FAMILY PRACTICE
MACEREN, RAYMOND G., MD
GENDER: M
PROVIDER #: 186677
NPI #: 1891706503
RIVERSIDE MEDICAL
CENTER OF WILMINGTON
105 S FIRST ST
WILMINGTON, IL 60481
PHONE: (815) 476-5210
E-PRESCRIBE: NO
WINCHESTER, IL
FAMILY PRACTICE
JOHNSON, RONALD L., MD
GENDER: M
PROVIDER #: 021274
NPI #: 1255331229
QUINCY MEDICAL GROUP
231 W CHERRY ST
WINCHESTER, IL 62694
PHONE: (217) 742-3117
RAY, DANITA J., PA-C;
PROVIDER #: 049902
E-PRESCRIBE: NO
WYOMING, IL
FAMILY PRACTICE
JEFFRIES, KEVIN, MD
GENDER: M
PROVIDER #: 090978
NPI #: 1871541615
REGIONAL HEALTH
PARTNERS
101 S GALENA AVE
WYOMING, IL 61491
PHONE: (309) 695-6448
E-PRESCRIBE: NO
RAMOS, JULIO A., MD
GENDER: M
PROVIDER #: 142325
NPI #: 1982629044
REGIONAL HEALTH
PARTNERS
101 S GALENA AVE
WYOMING, IL 61491
PHONE: (309) 695-6448
E-PRESCRIBE: NO
SATKAUSKAS, REMI, MD
GENDER: M
PROVIDER #: 092940
NPI #: 1760430524
REGIONAL HEALTH
PARTNERS
101 S GALENA AVE
WYOMING, IL 61491
PHONE: (309) 695-6448
MARTIN, KATHLEEN, FNP;
PROVIDER #: 096592
E-PRESCRIBE: NO
SNIDER, CRYSTAL, MD
GENDER: F
PROVIDER #: 153721
NPI #: 1700098845
REGIONAL HEALTH
PARTNERS
101 S GALENA
WYOMING, IL 61491
PHONE: (309) 695-6448
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
140
Obstetrics/Gynecology
Care Providers
AURORA, IL
BLOOMINGTON, IL
Family Practice Physicians listed in this section may be selected to provide primary care or uncomplicated
obstetrical care. Midlevel providers are indicated by italics.
AURORA, IL
OBSTETRICS/
GYNECOLOGY
BARON-KUHN, ELIZABETH
A., MD
GENDER: F
PROVIDER #: 086879
NPI #: 1740288737
PROVENA MEDICAL GROUP
1315 N HIGHLAND AVE
SUITE 204
AURORA, IL 60506
PHONE: (630) 801-5600
E-PRESCRIBE: NO
OLABI, NIZAR, DO
GENDER: M
PROVIDER #: 195795
NPI #: 1023004504
PROVENA MEDICAL GROUPNEW LENOX
1315 N HIGHLAND SUITE 204
AURORA, IL 60506
PHONE: (630) 801-5600
E-PRESCRIBE: NO
ORONSAYE, OSARETIN L.,
MD
GENDER: M
PROVIDER #: 188797
NPI #: 1093701575
PROVENA MEDICAL GROUPNEW LENOX
1315 N HIGHLAND SUITE 204
AURORA, IL 60506
PHONE: (630) 801-5600
E-PRESCRIBE: NO
141
SADIKOVIC, AZRA, MD
GENDER:
PROVIDER #: 235220
NPI #: 1487821468
PROVENA MEDICAL GROUP
1315 HIGHLAND SUITE 204
AURORA, IL 60506
PHONE: (630) 801-5600
E-PRESCRIBE: NO
DUTTA, SARAH, MD
GENDER: F
PROVIDER #: 106613
NPI #: 1083648240
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
BLOOMINGTON, IL
EMM, LISA R., MD
GENDER: F
PROVIDER #: 153137
NPI #: 1386665966
CONTEMPORARY
OBSTETRICS &
GYNECOLOGY PC
2304 STERN DR
BLOOMINGTON, IL 61704
PHONE: (309) 663-0411
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
DAMERON, JENNIFER S., MD
GENDER: F
PROVIDER #: 101079
NPI #: 1679685879
DR WEAVER & ASSOCIATES
326 FAIRWAY DR
BLOOMINGTON, IL 61701
PHONE: (309) 451-9595
E-PRESCRIBE: NO
DUDLEY, HEATHER L., MD
GENDER: F
PROVIDER #: 107752
NPI #: 1356320592
CONTEMPORARY
OBSTETRICS &
GYNECOLOGY PC
2304 STERN DR
BLOOMINGTON, IL 61704
PHONE: (309) 663-0411
DEFFENBAUGH, JACKIE L.,
CNP; PROVIDER #: 074225
NEUMANN, MARGARET, APN;
PROVIDER #: 141634
E-PRESCRIBE: NO
OSF COMMUNITY
PRENATAL CLINIC
502 S MORRIS AVE SUITE B
BLOOMINGTON, IL 61701
PHONE: (309) 829-6407
E-PRESCRIBE: NO
OSF MEDICAL GROUP
107 REGENCY DR SUITE 3
BLOOMINGTON, IL 61701
PHONE: (309) 663-9334
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
BLOOMINGTON, IL
BOURBONNAIS, IL
FULK, NONA P., MD
GENDER:
PROVIDER #: 152450
NPI #: 1619974227
OSF COMMUNITY
PRENATAL CLINIC
502 S MORRIS AVE SUITE B
BLOOMINGTON, IL 61701
PHONE: (309) 829-6407
E-PRESCRIBE: NO
KOSSLER, KARLA R., MD
GENDER: F
PROVIDER #: 204182
NPI #: 1780876961
SHARON R WEAVER MD SC
326 FAIRWAY DR
BLOOMINGTON, IL 61701
PHONE: (309) 451-9595
E-PRESCRIBE: NO
NORD, DANIEL A., MD
GENDER: M
PROVIDER #: 002606
NPI #: 1336144955
NORD & WELLMAN
OBSTETRICS/GYNECOLOGY
1505 EASTLAND DR SUITE
230
BLOOMINGTON, IL 61701
PHONE: (309) 663-8888
E-PRESCRIBE: NO
NYI, SHAI S., MD
GENDER: M
PROVIDER #: 173982
NPI #: 1073606323
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
OGUNLEYE, BAMIDELE A.,
MD
GENDER: M
PROVIDER #: 229224
NPI #: 1831209584
ADVANCED WOMENS
HEALTHCARE SC
2111 E OAKLAND SUITE B
BLOOMINGTON, IL 61704
PHONE:
E-PRESCRIBE: NO
SANTIAGO, JOSEPH A., MD
GENDER: M
PROVIDER #: 225542
NPI #: 1831185487
OBSTETRICS &
GYNECOLOGY CARE ASSOC
1505 EASTLAND DR SUITE
500
BLOOMINGTON, IL 61701
PHONE: (309) 662-2273
E-PRESCRIBE: NO
OBSTETRICS AND
GYNECOLOGY CARE
ASSOCIATES SC
1505 EASTLAND DR SUITE
500
BLOOMINGTON, IL 61701
PHONE: (309) 454-1250
HAMANN, JOLENE M., CNM;
PROVIDER #: 211553
E-PRESCRIBE: NO
SLOTKY, BARRY, MD
GENDER: M
PROVIDER #: 002774
NPI #: 1932194834
BARRY SLOTKY MD SC
107 N REGENCY DR SUITE 3
BLOOMINGTON, IL 61701
PHONE: (309) 663-6338
E-PRESCRIBE: NO
WEAVER, SHARON R., MD
GENDER: F
PROVIDER #: 004053
NPI #: 1215049416
DR WEAVER & ASSOCIATES
326 FAIRWAY DR
BLOOMINGTON, IL 61701
PHONE: (309) 451-9595
E-PRESCRIBE: NO
WELLMAN, RICHARD W., MD
GENDER: M
PROVIDER #: 017332
NPI #: 1184629701
NORD & WELLMAN
OBSTETRICS/GYNECOLOGY
1505 EASTLAND DR SUITE
230
BLOOMINGTON, IL 61701
PHONE: (309) 663-8888
E-PRESCRIBE: NO
BOURBONNAIS, IL
OBSTETRICS/
GYNECOLOGY
ANDREWS, LIZY, MD
GENDER: F
PROVIDER #: 223292
NPI #: 1831218577
RIVERSIDE MEDICAL
CENTER OF BOURBONNAIS
338 LARRY POWER RD
BOURBONNAIS, IL 60914
PHONE: (815) 935-2991
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
142
Obstetrics/Gynecology
Care Providers
BRAZIL, IN
OBSTETRICS/
GYNECOLOGY
BREITWEISER, DAVID A., MD
GENDER: M
PROVIDER #: 122563
NPI #: 1194715854
PROVIDENCE MEDICAL
GROUP
1214 EAST NATIONAL
AVENUE SUITE 100
BRAZIL, IN 47834
PHONE: (812) 238-1730
E-PRESCRIBE: NO
CANTON, IL
OBSTETRICS/
GYNECOLOGY
LOWE, JASON W., MD
GENDER: M
PROVIDER #: 086174
NPI #: 1790792505
WOMENS HEALTH
INSTITUTE LTD
2076 N MAIN ST
CANTON, IL 61520
PHONE: (309) 671-5100
E-PRESCRIBE: YES
STEUTERMANN, DAVID D.,
MD
GENDER: M
PROVIDER #: 023700
NPI #: 1336258185
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
CARTHAGE, IL
OBSTETRICS/
GYNECOLOGY
JONES, CHRISTOPHER M.,
MD
GENDER: M
PROVIDER #: 111573
NPI #: 1033159363
WOMEN & FAMILY
MEDICAL GROUP
403 S ADAMS ST SUITE 239
CARTHAGE, IL 62321
PHONE: (217) 357-0617
BROOKS-FRITZ, LILA, CNM;
PROVIDER #: 054552
E-PRESCRIBE: NO
CHAMPAIGN, IL
QIAO, JING, MD
GENDER: F
PROVIDER #: 186407
NPI #: 1285887711
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
143
BRAZIL, IN
CHAMPAIGN, IL
FAMILY PRACTICE OB
BEITEL, JOYCE W., MD
GENDER: F
PROVIDER #: 000659
NPI #: 1639109879
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6201
PARRETT, LAURA, NP;
PROVIDER #: 000701
ZUKOSKY, MARCIA, NP;
PROVIDER #: 000506
E-PRESCRIBE: YES
GYNECOLOGY
DABROWSKI, MELINDA, MD
GENDER: F
PROVIDER #: 000212
NPI #: 1124053848
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6201
E-PRESCRIBE: YES
SPAIN, MARTA T., MD
GENDER: F
PROVIDER #: 205078
NPI #: 1326009705
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6201
KOCH, DIANE, NP; PROVIDER
#: 000225
E-PRESCRIBE: YES
OBSTETRICS/
GYNECOLOGY
FRANCIS, CHRISTINA M., MD
GENDER: F
PROVIDER #: 203308
NPI #: 1659542074
CHRISTIE CLINIC
ASSOCIATION
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1255
E-PRESCRIBE: YES
HAUG, KEITH R., MD
GENDER: M
PROVIDER #: 091637
NPI #: 1023024650
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
SCHEIDING, KATHRYN, APN;
PROVIDER #: 207780
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
CHAMPAIGN, IL
DANVILLE, IL
HELFER, TAMARA, MD
GENDER: F
PROVIDER #: 115926
NPI #: 1932102969
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1255
E-PRESCRIBE: YES
KING, KIEYA, MD
GENDER: F
PROVIDER #: 118103
NPI #: 1801810197
CHRISTIE CLINIC
100 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1304
E-PRESCRIBE: YES
MCGREGOR, CANDACE, MD
GENDER: F
PROVIDER #: 166989
NPI #: 1205007721
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
SMITH, MICHAEL A., MD
GENDER: M
PROVIDER #: 110706
NPI #: 1952319667
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
TRUPIN, SUZANNE R., MD
GENDER: F
PROVIDER #: 006741
NPI #: 1750374807
WOMENS HEALTH
PRACTICE
2125 S NEIL ST
CHAMPAIGN, IL 61820
PHONE: (217) 356-3736
E-PRESCRIBE: YES
YOUNG, SARAH B., MD
GENDER: F
PROVIDER #: 134175
NPI #: 1477630523
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1255
E-PRESCRIBE: YES
CHARLESTON, IL
OBSTETRICS/
GYNECOLOGY
HORVAT, MARIA, MD
GENDER: F
PROVIDER #: 007861
NPI #: 1932109121
100 DEERPATH RD
CHARLESTON, IL 61920
PHONE: (217) 345-2727
E-PRESCRIBE: NO
HOUSEWORTH, WILLIAM H.,
MD
GENDER: M
PROVIDER #: 004295
NPI #: 1841311735
102 W BUCHANAN AVE
CHARLESTON, IL 61920
PHONE: (217) 345-3830
E-PRESCRIBE: NO
CLINTON, IN
OBSTETRICS/
GYNECOLOGY
SAKBUN, VANNARA, MD
GENDER:
PROVIDER #: 214205
NPI #: 1558335893
WEST CENTRAL COMM
HOSP
801 S MAIN ST
CLINTON, IN 47842
PHONE: (812) 299-1723
E-PRESCRIBE: NO
DANVILLE, IL
FAMILY PRACTICE OB
BROADERS, KAREN M., MD
GENDER: F
PROVIDER #: 048103
NPI #: 1699703777
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7850
OSAZE, EBUN, PA; PROVIDER
#: 072109
E-PRESCRIBE: YES
OBSTETRICS/
GYNECOLOGY
HSIEH, HUAN JANE, MD
GENDER: F
PROVIDER #: 002273
NPI #: 1316993496
DANVILLE POLYCLINIC LTD
707 NORTH LOGAN AVE
DANVILLE, IL 61832-4360
PHONE: (217) 477-4718
E-PRESCRIBE: NO
IBRAHIM, NASRELDIN M., MD
GENDER: M
PROVIDER #: 168510
NPI #: 1750572053
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
KAPLAN, GLENDA, MD
GENDER: F
PROVIDER #: 169331
NPI #: 1558465765
CHRISTIE CLINIC
800 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 366-1200
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
144
Obstetrics/Gynecology
Care Providers
RAJJOUB, MOHANNAD, MD
GENDER: M
PROVIDER #: 224833
NPI #: 1255659587
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 446-6410
E-PRESCRIBE: NO
SHAH, MANISHA C., MD
GENDER: F
PROVIDER #: 190590
NPI #: 1306154984
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 446-6410
E-PRESCRIBE: NO
SHMILA, KARIMA M., MD
GENDER: F
PROVIDER #: 183508
NPI #: 1053525345
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
YOUNG, TERENCE, MD
GENDER:
PROVIDER #: 218023
NPI #: 1639274491
CHRISTIE CLINIC
800 N LOGAN AVE
DANVILLE, IL 61832
PHONE:
E-PRESCRIBE: NO
145
DANVILLE, IL
DECATUR, IL
DECATUR, IL
OBSTETRICS/
GYNECOLOGY
AMIEWALAN, ANTHONY O.,
MD
GENDER: M
PROVIDER #: 098063
NPI #: 1669486668
VIVIAN WOMENS CENTER
INC
1750 E LAKE SHORE DR
SUITE 320
DECATUR, IL 62521
PHONE: (217) 422-0560
E-PRESCRIBE: NO
ANTHONY, ROBERT R., MD
GENDER: M
PROVIDER #: 214210
NPI #: 1598892309
VITA CENTER FOR WOMEN
ONE MEMORIAL DR SUITE
300
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: NO
BYRKIT, GRETCHEN L., MD
GENDER: F
PROVIDER #: 064379
NPI #: 1104800044
WOMEN'S HEALTH CARE
SPECIALISTS OF DECATUR
LLC
ONE MEMORIAL DR SUITE
216
DECATUR, IL 62526
PHONE: (217) 875-5574
E-PRESCRIBE: NO
HANNA, ADEL S., MD
GENDER: M
PROVIDER #: 090966
NPI #: 1265418982
LAKE SHORE OB/GYN OF
DECATUR SC
1770 E LAKE SHORE DR
SUITE 303
DECATUR, IL 62521
PHONE: (217) 429-4119
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
250 W KENWOOD
DECATUR, IL 62526
PHONE: (217) 872-3800
E-PRESCRIBE: NO
KELLER, JAY S., MD
GENDER: M
PROVIDER #: 218393
NPI #: 1790760544
VITA CENTER FOR WOMEN
2 MEMORIAL DR STE 305
DECATUR, IL 62526
PHONE: (217) 876-8370
E-PRESCRIBE: NO
ONE MEMORIAL DR SUITE
300
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: NO
MORISETTY, VIDYA SAGAR
RAO, MD
GENDER: M
PROVIDER #: 050982
NPI #: 1265549174
MIDWEST OB/GYN &
INFERTILITY CENTER
675 E SNYDER DRIVE
DECATUR, IL 62526
PHONE: (217) 875-1886
GROMLEY, DEBRA R., NP;
PROVIDER #: 078169
WENDELL, MELISSA K., CNM;
PROVIDER #: 243088
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
DECATUR, IL
FAIRBURY, IL
PFEIFFER, JEFFREY S., MD
GENDER: M
PROVIDER #: 069444
NPI #: 1134103070
VITA CENTER FOR WOMEN
LLC
ONE MEMORIAL DRIVE
SUITE 300
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: NO
WALTON, LAUREL A., DO
GENDER: F
PROVIDER #: 039262
NPI #: 1508892530
LAUREL A WALTON DO
1770 LAKESHORE DR SUITE
309
DECATUR, IL 62521
PHONE: (217) 422-9740
E-PRESCRIBE: NO
ROMINGER, DERIN S., MD
GENDER: M
PROVIDER #: 009170
NPI #: 1821072760
WOMEN'S HEALTH CARE
SPECIALISTS OF DECATUR
LLC
ONE MEMORIAL DR SUITE
216
DECATUR, IL 62526
PHONE: (217) 875-5574
E-PRESCRIBE: NO
EFFINGHAM, IL
STEPANIAN, MARSHALL W.,
MD
GENDER: M
PROVIDER #: 209732
NPI #: 1528061678
VITA CENTER FOR WOMEN
LLC
ONE MEMORIAL DR SUITE
300
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: NO
TSUDA, ROY, MD
GENDER: M
PROVIDER #: 009168
NPI #: 1285610519
VITA CENTER FOR WOMEN
LLC
ONE MEMORIAL DRIVE
SUITE 300
DECATUR, IL 62526
PHONE: (217) 872-2400
E-PRESCRIBE: NO
GYNECOLOGY
WHIGHTSEL, JEFFREY, MD
GENDER: M
PROVIDER #: 010523
NPI #: 1023004439
EFFINGHAM OB/GYN
ASSOCIATES
912 N HENRIETTA ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3337
SUCKOW, NICHOLE S., PA-C;
PROVIDER #: 124549
TURNER, KIMBERLY, FNP;
PROVIDER #: 050966
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
DUST, JENNIFER H., MD
GENDER: F
PROVIDER #: 202441
NPI #: 1255537197
EFFINGHAM OB/GYN
ASSOCIATES
912 N HENRIETTA ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3337
E-PRESCRIBE: NO
HALLER, KELLY H., MD
GENDER: F
PROVIDER #: 074502
NPI #: 1871589382
EFFINGHAM OB/GYN
ASSOCIATES
912 N HENRIETTA ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3337
SUCKOW, NICHOLE S., PA-C;
PROVIDER #: 124549
TURNER, KIMBERLY, FNP;
PROVIDER #: 050966
E-PRESCRIBE: NO
SCHULTHEIS, MICHAEL S.,
MD
GENDER: M
PROVIDER #: 097558
NPI #: 1194711507
EFFINGHAM OB/GYN
ASSOCIATES
912 N HENRIETTA ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3337
SUCKOW, NICHOLE S., PA-C;
PROVIDER #: 124549
E-PRESCRIBE: NO
FAIRBURY, IL
OBSTETRICS/
GYNECOLOGY
INGRAM, SHARON T., MD
GENDER: F
PROVIDER #: 119842
NPI #: 1124046214
OSF MEDICAL GROUP
106 S FIRST ST
FAIRBURY, IL 61739
PHONE: (815) 692-2833
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
146
Obstetrics/Gynecology
Care Providers
NYI, SHAI S., MD
GENDER:
PROVIDER #: 023553
NPI #: 1073606323
OSF MEDICAL GROUP
106 S FIRST ST
FAIRBURY, IL 61739
PHONE: (815) 692-2833
E-PRESCRIBE: NO
GIBSON CITY, IL
FAMILY PRACTICE OB
DELOST, GREGORY J., MD
GENDER: M
PROVIDER #: 043508
NPI #: 1992864672
FAMILY HEALTHCARE OF
GIBSON CITY
#3 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4030
E-PRESCRIBE: YES
FREEPORT, IL
OBSTETRICS/
GYNECOLOGY
MARTIN, KEITH R., MD
GENDER: M
PROVIDER #: 144336
NPI #: 1801007190
MONROE CLINICHIGHLAND WOMENS CARE
3103 W KUNKLE BLVD
FREEPORT, IL 61032
PHONE: (815) 233-0999
E-PRESCRIBE: NO
TURNER-TOWNSEND,
ALYSIA
GENDER: F
PROVIDER #: 205769
NPI #: 1487611034
MONROE CLINICHIGHLAND WOMENS CARE
3103 W KUNKLE BLVD
FREEPORT, IL 61032
PHONE: (815) 233-0999
E-PRESCRIBE: NO
147
FAIRBURY, IL
JACKSONVILLE, IL
GRANVILLE, IL
FAMILY PRACTICE OB
BAILEY, SHAWN E., MD
GENDER: M
PROVIDER #: 031412
NPI #: 1447363585
ST MARGARETS HEALTH
GRANVILLE CLINIC
309 S MCCOY ST
GRANVILLE, IL 61326
PHONE: (815) 339-6245
E-PRESCRIBE: NO
HOOPESTON, IL
OBSTETRICS/
GYNECOLOGY
AMANZE, ADANNA C., MD
GENDER: F
PROVIDER #: 203024
NPI #: 1871516294
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: NO
SMIGAJ, DIANA, MD
GENDER: F
PROVIDER #: 248988
NPI #: 1629148408
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: NO
JACKSONVILLE, IL
OBSTETRICS/
GYNECOLOGY
AUDET, GUY, MD
GENDER: M
PROVIDER #: 035099
NPI #: 1801805122
WOMENS HEALTH CENTER
OF WEST CENTRAL ILLINOIS
1600 W WALNUT
JACKSONVILLE, IL 62650
PHONE: (217) 243-5584
E-PRESCRIBE: NO
HRYNEWYCH, ALEXANDER
M., MD
GENDER: M
PROVIDER #: 207995
NPI #: 1780726430
WOMENS HEALTH CENTER
OF WEST CENTRAL ILLINOIS
1600 W WALNUT ST
JACKSONVILLE, IL 62650
PHONE: (217) 243-8455
E-PRESCRIBE: NO
OLEJNIK, JEFFREY L., MD
GENDER: M
PROVIDER #: 086246
NPI #: 1598727620
FOCUS ON WOMENS
HEALTH
1600 W WALNUT
JACKSONVILLE, IL 62650
PHONE: (217) 243-5930
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
JACKSONVILLE, IL
LINCOLN, IL
TRACE, PETER A., MD
GENDER: M
PROVIDER #: 010986
NPI #: 1346224052
WOMENS HEALTH CENTER
OF WEST CENTRAL ILLINOIS
1600 W WALNUT
JACKSONVILLE, IL 62650
PHONE: (217) 243-8455
E-PRESCRIBE: NO
JOLIET, IL
OBSTETRICS/
GYNECOLOGY
KHATER, AMIN M., MD
GENDER: M
PROVIDER #: 043692
NPI #: 1063572584
WILL COUNTY OB-GYN LTD
1114 N LARKIN AVE
JOLIET, IL 60435
PHONE: (815) 725-6188
E-PRESCRIBE: NO
KHATER, RUSSELL I., MD
GENDER: M
PROVIDER #: 043694
NPI #: 1306904131
WILL COUNTY OB-GYN LTD
1114 N LARKIN AVE
JOLIET, IL 60435
PHONE: (815) 725-6188
E-PRESCRIBE: NO
MERHI, NAHLA O., MD
GENDER: F
PROVIDER #: 146377
NPI #: 1104928498
SUBURBAN GYNECOLOGY
LLC
301 N MADISON SUITE 307
JOLIET, IL 60432
PHONE:
E-PRESCRIBE: NO
KANKAKEE, IL
OBSTETRICS/
GYNECOLOGY
BRAY, KENNETH L., MD
GENDER: M
PROVIDER #: 244438
NPI #: 1740295161
PROVENA MEDICAL GROUP
555 W COURT ST SUITE 214
KANKAKEE, IL 60901
PHONE: (815) 937-8741
E-PRESCRIBE: NO
HAILE, DEGAULLE G., MD
GENDER: M
PROVIDER #: 207096
NPI #: 1881782506
PRAIRIEVIEW GYN LLC
555 W COURT ST
KANKAKEE, IL 60901
PHONE: (815) 935-1315
E-PRESCRIBE: NO
PROVENA MEDICAL GROUP
555 W COURT ST SUITE 214
KANKAKEE, IL 60901
PHONE: (815) 937-8741
E-PRESCRIBE: NO
RAMAKRISHNA, RENUKA J.,
MD
GENDER: F
PROVIDER #: 005260
NPI #: 1548214711
RIVERVIEW OB/GYN LTD
400 N WALL STREET SUITE
403
KANKAKEE, IL 60901
PHONE: (815) 933-2231
E-PRESCRIBE: NO
YALAMANCHILI, SAROJA,
MD
GENDER: F
PROVIDER #: 071602
NPI #: 1124077326
RIVERVIEW OB/GYN LTD
400 N WALL STREET SUITE
403
KANKAKEE, IL 60901
PHONE: (815) 933-2231
E-PRESCRIBE: NO
LENA, IL
OBSTETRICS/
GYNECOLOGY
MARTIN, KEITH R., MD
GENDER: M
PROVIDER #: 144336
NPI #: 1801007190
MONROE CLINIC-LENA
214 N SCHUYLER ST
LENA, IL 61048
PHONE: (815) 369-4541
E-PRESCRIBE: NO
LINCOLN, IL
OBSTETRICS/
GYNECOLOGY
GREEN-MORROW, KRISTEN,
MD
GENDER: F
PROVIDER #: 069170
NPI #: 1235235052
SPRINGFIELD CLINIC
100 STAHLHUT DR
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
148
Obstetrics/Gynecology
Care Providers
SIELAFF, DON, MD
GENDER: M
PROVIDER #: 008911
NPI #: 1144320839
SPRINGFIELD CLINIC
311 EIGHTH ST
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: NO
REEVES, MICHELLE R., MD
GENDER: F
PROVIDER #: 068487
NPI #: 1518942754
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
POUNDERS, MELISSA L., NP;
PROVIDER #: 221315
E-PRESCRIBE: NO
MACOMB, IL
FAMILY PRACTICE OB
FARR, CURTIS C., MD
GENDER: M
PROVIDER #: 023406
NPI #: 1700861937
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
ONEILL, CHARLES J., MD
GENDER: M
PROVIDER #: 014513
NPI #: 1881673226
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
WASCHULL, AMY S., MD
GENDER: F
PROVIDER #: 133973
NPI #: 1639264625
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
WATERS, MICHAEL L., MD
GENDER: M
PROVIDER #: 049233
NPI #: 1477536993
FAMILY PRACTICE
ASSOCIATES OF MACOMB
LTD
505 E GRANT ST SUITE 110
MACOMB, IL 61455
PHONE: (309) 833-1733
E-PRESCRIBE: NO
LINCOLN, IL
MATTOON, IL
OBSTETRICS/
GYNECOLOGY
ECKMAN, TROY, MD
GENDER: M
PROVIDER #: 059558
NPI #: 1073518304
WOMENS HEALTH CENTER
OF MACOMB INC
505 E GRANT ST SUITE 102
MACOMB, IL 61455
PHONE: (309) 833-5959
MUDLOFF, SYBIL J., APN;
PROVIDER #: 182430
THOMPSON, MARY, CNM;
PROVIDER #: 195282
E-PRESCRIBE: NO
MAHOMET, IL
OBSTETRICS/
GYNECOLOGY
MCGREGOR, CANDACE, MD
GENDER: F
PROVIDER #: 166989
NPI #: 1205007721
CHRISTIE CLINIC
1001 COMMERCIAL DR
MAHOMET, IL 61853
PHONE: (217) 856-6600
E-PRESCRIBE: YES
MATTOON, IL
FAMILY PRACTICE OB
BEITEL, JOYCE W., MD
GENDER: F
PROVIDER #: 203838
NPI #: 1639109879
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
149
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
MATTOON, IL
MONTICELLO, IL
GYNECOLOGY
LEVECK, KATHLEEN T., MD
GENDER: F
PROVIDER #: 099678
NPI #: 1679688196
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
ESKER, KRISTI S., NP;
PROVIDER #: 138349
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
BENSON, MICHAEL, DO
GENDER: M
PROVIDER #: 051300
NPI #: 1790891133
SBL WOMENS HEALTHCARE
500 HEALTH CENTER DR
SUITE 201
MATTOON, IL 61938
PHONE: (217) 258-4030
E-PRESCRIBE: NO
FLEMING, MELVIN A., MD
GENDER: M
PROVIDER #: 221151
NPI #: 1134235823
SARAH BUSH LINCOLN
HEALTH CENTER
500 HEALTH CENTER DR
SUITE 201
MATTOON, IL 61938
PHONE: (217) 258-4030
E-PRESCRIBE: NO
HORVAT, MARIA C., MD
GENDER: F
PROVIDER #: 225296
NPI #: 1932109121
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
MEYER, SCOTT E., MD
GENDER: M
PROVIDER #: 149253
NPI #: 1306017751
SBL WOMENS HEALTHCARE
500 HEALTH CENTER DR
SUITE 201
MATTOON, IL 61938
PHONE: (217) 258-4030
E-PRESCRIBE: NO
MILLER, RICK, DO
GENDER: M
PROVIDER #: 006598
NPI #: 1033225826
SBL WOMENS HEALTHCARE
500 HEALTH CENTER DR
SUITE 201
MATTOON, IL 61938
PHONE: (217) 258-4030
WOCHNER, NICOLE, APN;
PROVIDER #: 102775
E-PRESCRIBE: NO
MINOOKA, IL
OBSTETRICS/
GYNECOLOGY
SETRINI-BEST, LETICIA R.,
MD
GENDER: F
PROVIDER #: 111341
NPI #: 1235113812
TOUSSAINT OBSTETRICS &
GYNECOLOGY PC
201 S WABENA AVE
MINOOKA, IL 60447
PHONE: (815) 521-4600
E-PRESCRIBE: NO
TOUSSAINT, DOUGLAS, DO
GENDER: M
PROVIDER #: 022113
NPI #: 1710984901
TOUSSAINT OBSTETRICS &
GYNECOLOGY PC
201 S WABENA AVE
MINOOKA, IL 60447
PHONE: (815) 521-4600
E-PRESCRIBE: NO
MONEE, IL
OBSTETRICS/
GYNECOLOGY
SREEDEVI, MINI, MD
GENDER: F
PROVIDER #: 228288
NPI #: 1184930331
RIVERSIDE IMMEDIATE
CARE & CORP HEALTH
25711 S EGYPTIAN TRL
MONEE, IL 60449
PHONE: (708) 534-7523
E-PRESCRIBE: NO
MONTICELLO, IL
FAMILY PRACTICE OB
LANKER, WILLIAM K., MD
GENDER: M
PROVIDER #: 000664
NPI #: 1568429009
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
150
Obstetrics/Gynecology
Care Providers
MARTY, ANN C., MD
GENDER: F
PROVIDER #: 000153
NPI #: 1215958905
CARLE PHYSICIAN GROUP
1002 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2518
BARRE, CHRISTY, NP;
PROVIDER #: 009608
MCFARLIN, DANNY L., PA;
PROVIDER #: 127751
E-PRESCRIBE: YES
OBSTETRICS/
GYNECOLOGY
FREDERIKSEN, MARILYNN
C., MD
GENDER: F
PROVIDER #: 239300
NPI #: 1811996796
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
SHUMWAY, JOSEPH B., MD
GENDER: M
PROVIDER #: 239303
NPI #: 1932125242
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
151
MONTICELLO, IL
NORMAL, IL
MORTON, IL
OBSTETRICS/
GYNECOLOGY
MUELLER, JOHN, MD
GENDER: M
PROVIDER #: 004797
NPI #: 1730144650
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
435 MAXINE DR SUITE 5
MORTON, IL 61550
PHONE: (309) 692-2025
E-PRESCRIBE: NO
THOMPSON, STEPHEN C.,
MD
GENDER: M
PROVIDER #: 010769
NPI #: 1720039738
STEPHEN C THOMPSON MD
SC
435 MAXINE DR SUITE 5
MORTON, IL 61550
PHONE: (309) 263-2229
E-PRESCRIBE: NO
NEW LENOX, IL
OBSTETRICS/
GYNECOLOGY
MERHI, NAHLA O., MD
GENDER: F
PROVIDER #: 146377
NPI #: 1104928498
NEW LENOX WOMENS
CENTER
410 E LINCOLN HIGHWAY
NEW LENOX, IL 60451
PHONE: (815) 462-5566
E-PRESCRIBE: NO
SUBURBAN GYNECOLOGY
LLC
1890 SILVER CROSS BLVD
SUITE 375
NEW LENOX, IL 60451
PHONE: (815) 717-8727
E-PRESCRIBE: NO
NORMAL, IL
OBSTETRICS/
GYNECOLOGY
DAMERON, JENNIFER S., MD
GENDER: F
PROVIDER #: 101079
NPI #: 1679685879
DR WEAVER & ASSOCIATES
1302 FRANKLIN AVE SUITE
3400
NORMAL, IL 61761
PHONE: (309) 451-9595
E-PRESCRIBE: NO
FULK, NONA, MD
GENDER: F
PROVIDER #: 170876
NPI #: 1619974227
NONA FULK MD SC
1300 FRANKLIN AVE SUITE
360
NORMAL, IL 61761
PHONE: (309) 808-0940
E-PRESCRIBE: NO
GALVAN, JEFFREY J., MD
GENDER: M
PROVIDER #: 146243
NPI #: 1689693475
GALVAN OB/GYN &
ASSOCIATES LLC
1300 FRANKLIN AVE SUITE
330
NORMAL, IL 61761
PHONE: (309) 454-7400
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
NORMAL, IL
PEKIN, IL
GRATKINS, LAWRENCE V.,
MD
GENDER: M
PROVIDER #: 079276
NPI #: 1912003013
OBSTETRICS &
GYNECOLOGY II LTD
1302 FRANKLIN AVE SUITE
2800
NORMAL, IL 61761
PHONE: (309) 454-1074
E-PRESCRIBE: NO
HATFIELD DALTON, RACHEL
M., DO
GENDER: F
PROVIDER #: 206362
NPI #: 1235360199
HAROLD A NORD OB/GYN
SC
1302 FRANKLIN AVE SUITE
3000
NORMAL, IL 61761
PHONE: (309) 454-3456
E-PRESCRIBE: NO
NORD, HAROLD A., MD
GENDER: M
PROVIDER #: 004750
NPI #: 1548206519
HAROLD NORD OB/GYN SC
1302 FRANKLIN AVE SUITE
3000
NORMAL, IL 61761
PHONE: (309) 454-3456
KLEIN, ANGELA, APN;
PROVIDER #: 152067
E-PRESCRIBE: YES
RISTIC, PATRICIA I., MD
GENDER: F
PROVIDER #: 104712
NPI #: 1669506812
OBSTETRICS &
GYNECOLOGY II LTD
1302 FRANKLIN AVE SUITE
2800
NORMAL, IL 61761
PHONE: (309) 454-1074
E-PRESCRIBE: NO
SVIENTEK, SUSAN JEAN, MD
GENDER: F
PROVIDER #: 232023
NPI #: 1023120227
SUSAN SVIENTEK MD SC
WOMEN FOR WOMEN
1302 FRANKLIN AVE SUITE
2200
NORMAL, IL 61761
PHONE: (309) 888-9900
E-PRESCRIBE: NO
THORNTON, SHERRI-LEE,
MD
GENDER: F
PROVIDER #: 056354
NPI #: 1770695975
WOMEN FOR WOMEN
1302 FRANKLIN AVE SUITE
2200
NORMAL, IL 61761
PHONE: (309) 888-9900
E-PRESCRIBE: NO
PARIS, IL
OBSTETRICS/
GYNECOLOGY
BENSON, MICHAEL, DO
GENDER: M
PROVIDER #: 051300
NPI #: 1790891133
PARIS COMMUNITY
HOSPITAL
721 E COURT ST
PARIS, IL 61944
PHONE:
E-PRESCRIBE: NO
PEKIN, IL
OBSTETRICS/
GYNECOLOGY
BRINKMAN-MOSIMAN,
LESLEY E., MD
GENDER: F
PROVIDER #: 010754
NPI #: 1649340019
THE WOMENS CENTER FOR
HEALTH
2401 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 478-1700
KROENLEIN, KRISTI S., NP;
PROVIDER #: 163892
E-PRESCRIBE: NO
HARRINGTON, DOUGLAS C.,
MD
GENDER: M
PROVIDER #: 010755
NPI #: 1598736837
HARRINGTON OBSTETRICS
& GYNECOLOGY
2709 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 353-3330
E-PRESCRIBE: NO
REINERTSON, ERIC, MD
GENDER: M
PROVIDER #: 244517
NPI #: 1497825863
PREMIER OB/GYN
2401 BROADWAY LOWER
LEVEL
PEKIN, IL 61554
PHONE: (309) 620-9980
E-PRESCRIBE: YES
THE WOMENS CENTER FOR
HEALTH
2401 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 478-1700
KROENLEIN, KRISTI S., NP;
PROVIDER #: 163892
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
152
Obstetrics/Gynecology
Care Providers
ANNE, VASANATHA L., MD
GENDER: F
PROVIDER #: 193821
NPI #: 1578870846
JODY L KELLY MD &
ASSOCIATES LLC
2901 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-7010
E-PRESCRIBE: NO
5401 N KNOXVILLE AVE
SUITE 300
PEORIA, IL 61614
PHONE: (309) 688-7010
E-PRESCRIBE: NO
PEORIA, IL
GYNECOLOGY
COURI, MICHELE A., MD
GENDER: F
PROVIDER #: 082784
NPI #: 1861471583
COURI CENTER FOR
GYNECOLOGY AND
INTEGRATIVE WOME
6708 N KNOXVILLE AVE
SUITE 1
PEORIA, IL 61614
PHONE: (309) 692-6838
LANG, SUSAN, CNM;
PROVIDER #: 097968
POLANIN, TERRYL A., APN;
PROVIDER #: 196147
E-PRESCRIBE: NO
SHAY, SANIT S., MD
GENDER: M
PROVIDER #: 001779
NPI #: 1871642041
1201 N NORTH ST SUITE 201
PEORIA, IL 61606
PHONE: (309) 671-2340
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
ALI, MAQBOOL, MD
GENDER: F
PROVIDER #: 010796
NPI #: 1801874565
GREATER PEORIA OB/GYN
CORPORATION
4930 N EXECUTIVE DR
PEORIA, IL 61614
PHONE: (309) 671-8749
E-PRESCRIBE: NO
153
PEORIA, IL
PEORIA, IL
BIRKHOLZ, JILL A., MD
GENDER: F
PROVIDER #: 049765
NPI #: 1144233495
EDWARD C LUAN MD SC
7620 N UNIVERSITY ST
SUITE 108
PEORIA, IL 61614
PHONE: (309) 692-5600
E-PRESCRIBE: NO
BOCHANTIN, TRACY A., MD
GENDER: F
PROVIDER #: 066741
NPI #: 1336255009
BOCHANTIN OBSTETRICS &
GYNECOLOGY SERVICES
LTD
5401 N KNOXVILLE AVE
SUITE 308
PEORIA, IL 61614
PHONE: (309) 692-5100
NALL, BARBARA J., APN;
PROVIDER #: 161910
E-PRESCRIBE: NO
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
BOYD JR, WILLIAM M., DO
GENDER: M
PROVIDER #: 008992
NPI #: 1770581456
BOYD OBSTETRICS &
GYNECOLOGY SC
900 E MAIN ST SUITE 660
PEORIA, IL 61602
PHONE: (309) 687-4230
CHEEK, KIMBERLY, NP;
PROVIDER #: 175848
GOFF, DANA H., CNM;
PROVIDER #: 070312
REEVES, SONIA, CNM;
PROVIDER #: 070351
E-PRESCRIBE: NO
BYLER DANN, REBECCA J.,
MD
GENDER: F
PROVIDER #: 176437
NPI #: 1114126364
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: NO
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
BYLER DANN, REBECCA, MD
GENDER: F
PROVIDER #: 173086
NPI #: 1114126364
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-6892
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
PEORIA, IL
PEORIA, IL
CATT, SUSAN, MD
GENDER: F
PROVIDER #: 237487
NPI #: 1326200585
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
5114 N GLEN PARK PLACE
SUITE 330
PEORIA, IL 61614
PHONE: (309) 692-2025
E-PRESCRIBE: NO
COTTER, THUSITHA, MD
GENDER: F
PROVIDER #: 221929
NPI #: 1649477555
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-6892
E-PRESCRIBE: NO
CROLAND, JOSHUA A., MD
GENDER: M
PROVIDER #: 108742
NPI #: 1215916093
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 692-2025
E-PRESCRIBE: NO
8600 N STATE ROUTE 91
SUITE 330
PEORIA, IL 61615
PHONE: (309) 692-2025
LYNCH, JENNIFER, APN;
PROVIDER #: 150699
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-6892
E-PRESCRIBE: NO
CYR, RONALD R., MD
GENDER: M
PROVIDER #: 160924
NPI #: 1487747697
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
FUCHS, ESTHER, MD
GENDER: F
PROVIDER #: 212471
NPI #: 1255572723
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
2321 N WISCONSIN AVE
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-6892
E-PRESCRIBE: NO
GARCIA, XOCHITL L., MD
GENDER: F
PROVIDER #: 205773
NPI #: 1881893212
JODY L KELLY MD &
ASSOCIATES LLC
2901 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-7010
E-PRESCRIBE: NO
5401 N KNOXVILLE AVE
SUITE 300
PEORIA, IL 61614
PHONE: (309) 688-7010
E-PRESCRIBE: NO
GIBSON, JACK M., MD
GENDER: M
PROVIDER #: 008994
NPI #: 1346235777
900 MAIN ST SUITE 280
PEORIA, IL 61602
PHONE: (309) 671-2570
E-PRESCRIBE: NO
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
HARRINGTON, DOUGLAS C.,
MD
GENDER: M
PROVIDER #: 010755
NPI #: 1598736837
HARRINGTON OBSTETRICS
& GYNECOLOGY
120 NE GLEN OAK AVE
SUITE 207
PEORIA, IL 61603
PHONE: (309) 673-4471
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
154
Obstetrics/Gynecology
Care Providers
KELLY, JODY L., MD
GENDER: F
PROVIDER #: 093801
NPI #: 1932107208
JODY L KELLY MD &
ASSOCIATES LLC
2901 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 688-7010
EETEN, ALISON B., CNM;
PROVIDER #: 167702
SPHAR, SUSAN B., CNM;
PROVIDER #: 070354
E-PRESCRIBE: NO
5401 N KNOXVILLE AVE
SUITE 300
PEORIA, IL 61614
PHONE: (309) 688-7010
E-PRESCRIBE: NO
KINDRED, DAVID H., MD
GENDER: M
PROVIDER #: 008996
NPI #: 1508953258
KINDRED LLC
2806 N KNOXVILLE AVE
PEORIA, IL 61604
PHONE: (309) 687-6500
HARTENBOWER, CHERYL,
CNM; PROVIDER #: 131176
TISDALE, MARY, CNM;
PROVIDER #: 177482
E-PRESCRIBE: NO
LEE, THOMAS G., DO
GENDER: M
PROVIDER #: 023867
NPI #: 1407876519
LEE OBSTETRICS &
GYNECOLOGY SC
6915 N KNOXVILLE AVE
SUITE 1
PEORIA, IL 61614
PHONE: (309) 691-1259
E-PRESCRIBE: NO
155
PEORIA, IL
PEORIA, IL
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-6892
E-PRESCRIBE: NO
LEVASSEUR, ANTOINETTE,
MD
GENDER: F
PROVIDER #: 009027
NPI #: 1144291055
NORTH PEORIA WOMENS
HEALTH & OB/GYN
5401 N KNOXVILLE AVE
SUITE 208
PEORIA, IL 61614
PHONE: (309) 692-7400
E-PRESCRIBE: NO
LOCOCO, SALVATORE J., MD
GENDER: M
PROVIDER #: 193317
NPI #: 1831104645
HEARTLAND COMMUNITY
HEALTH CLINIC AT EAST
BLUFF
2321 N WISCONSIN AVE
PEORIA, IL 61603
PHONE: (309) 680-7600
E-PRESCRIBE: NO
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: NO
LOCOCO, SALVATORE, MD
GENDER: M
PROVIDER #: 173059
NPI #: 1831104645
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-3024
E-PRESCRIBE: NO
LOWE, JASON W., MD
GENDER: M
PROVIDER #: 086174
NPI #: 1790792505
WOMENS HEALTH
INSTITUTE LTD
7309 N KNOXVILLE AVE
SUITE 300
PEORIA, IL 61614
PHONE: (309) 671-5100
E-PRESCRIBE: YES
LUAN, EDWARD C., MD
GENDER: M
PROVIDER #: 084167
NPI #: 1770596124
EDWARD C LUAN MD SC
7620 N UNIVERSITY ST
SUITE 108
PEORIA, IL 61614
PHONE: (309) 692-5600
E-PRESCRIBE: NO
MA, LINDSEY A., MD
GENDER: M
PROVIDER #: 010768
NPI #: 1285688820
PEORIA WOMENS HEALTH
5401 N KNOXVILLE AVE
SUITE 109
PEORIA, IL 61614
PHONE: (309) 692-2805
E-PRESCRIBE: NO
MUELLER, JOHN C., MD
GENDER: M
PROVIDER #: 220357
NPI #: 1730144650
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
PEORIA, IL
PEORIA, IL
MUELLER, JOHN, MD
GENDER: M
PROVIDER #: 004797
NPI #: 1730144650
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 692-2025
E-PRESCRIBE: NO
8600 N STATE ROUTE 91
SUITE 330
PEORIA, IL 61615
PHONE: (309) 692-2025
LYNCH, JENNIFER, APN;
PROVIDER #: 150699
E-PRESCRIBE: NO
OLT, TAMARA, MD
GENDER: F
PROVIDER #: 038638
NPI #: 1104870708
PEORIA WOMENS HEALTH
5401 N KNOXVILLE AVE
SUITE 109
PEORIA, IL 61614
PHONE: (309) 692-2805
BRENENSTALL, DONNA J.,
APN; PROVIDER #: 212565
E-PRESCRIBE: NO
OVERCASH, LARRY F., MD
GENDER: M
PROVIDER #: 009022
NPI #: 1639136484
WOMENS HEALTH
INSTITUTE LTD
7309 N KNOXVILLE AVE
SUITE 300
PEORIA, IL 61614-2085
PHONE: (309) 671-5100
E-PRESCRIBE: YES
SAAD, EDWARD, MD
GENDER: M
PROVIDER #: 083428
NPI #: 1891764908
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-6892
E-PRESCRIBE: NO
STALLING, JILLIAN C., MD
GENDER: F
PROVIDER #: 212816
NPI #: 1659593507
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 692-2025
E-PRESCRIBE: NO
8600 N STATE ROUTE 91
SUITE 330
PEORIA, IL 61615
PHONE: (309) 692-2025
E-PRESCRIBE: NO
SWINGLER, JAMES L., MD
GENDER: M
PROVIDER #: 009037
NPI #: 1982612982
GYNECOLOGY &
OBSTETRICS SC
7501 N UNIVERSITY ST
SUITE 109
PEORIA, IL 61614
PHONE: (309) 692-0072
MOODIE, JODY; PROVIDER #:
049692
E-PRESCRIBE: NO
TEVERBAUGH, LORI A., MD
GENDER: F
PROVIDER #: 220387
NPI #: 1427037209
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 692-2025
E-PRESCRIBE: NO
8600 N STATE ROUTE 91
SUITE 330
PEORIA, IL 61615
PHONE: (309) 692-2025
LYNCH, JENNIFER, APN;
PROVIDER #: 150699
E-PRESCRIBE: NO
THOMPSON, STEPHEN C.,
MD
GENDER: M
PROVIDER #: 010769
NPI #: 1720039738
STEPHEN C THOMPSON MD
SC
5401 N KNOXVILLE AVE
SUITE 119
PEORIA, IL 61614
PHONE: (309) 692-1700
E-PRESCRIBE: NO
WAGERS, DIEDRE A., MD
GENDER: F
PROVIDER #: 229399
NPI #: 1124289277
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-6892
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
156
Obstetrics/Gynecology
Care Providers
PLAINFIELD, IL
PLAINFIELD, IL
QUINCY, IL
PRINCETON, IL
GYNECOLOGY
OBSTETRICS/
GYNECOLOGY
KIJEK, MARK A., MD
GENDER: M
PROVIDER #: 020489
NPI #: 1659336519
23959 RENWICK RD
PLAINFIELD, IL 60544
PHONE:
E-PRESCRIBE: NO
LAVAVEJ, SRIPEN, MD
GENDER: F
PROVIDER #: 014436
NPI #: 1386608099
530 PARK AVE EAST SUITE
202
PRINCETON, IL 61356
PHONE: (815) 875-4428
REIDNER, ANGELA G., CNM;
PROVIDER #: 089086
E-PRESCRIBE: NO
PONTIAC, IL
OBSTETRICS/
GYNECOLOGY
INGRAM, SHARON T., MD
GENDER: F
PROVIDER #: 119842
NPI #: 1124046214
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
212
PONTIAC, IL 61764
PHONE: (815) 842-3567
E-PRESCRIBE: NO
NYI, SHAI S., MD
GENDER:
PROVIDER #: 023553
NPI #: 1073606323
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
212
PONTIAC, IL 61764
PHONE: (815) 842-3567
E-PRESCRIBE: NO
QUINCY, IL
OBSTETRICS/
GYNECOLOGY
DIETRICH, GINA L., DO
GENDER: F
PROVIDER #: 077595
NPI #: 1184648974
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 220
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: NO
FAMILY PLANNING INC
636 HAMPSHIRE ST SUITE
201
QUINCY, IL 62301
PHONE: (217) 224-6877
E-PRESCRIBE: NO
DURESKA, PETER M., MD
GENDER: M
PROVIDER #: 008261
NPI #: 1396718821
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
157
HENSLEY, MARK, MD
GENDER: M
PROVIDER #: 183211
NPI #: 1609070630
BLESSING WOMENS
CENTER
927 BROADWAY SUITE 220
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: NO
KAGUMBA, ADA A., MD
GENDER: F
PROVIDER #: 076566
NPI #: 1356314728
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
MERO, TANYA M., MD
GENDER: F
PROVIDER #: 096576
NPI #: 1669445052
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
OATEY, MARY E., DO
GENDER: F
PROVIDER #: 146045
NPI #: 1366404295
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 220
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: NO
WOODARD, DEBORAH S., MD
GENDER: F
PROVIDER #: 138589
NPI #: 1740204528
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
RANTOUL, IL
SPRING VALLEY, IL
RANTOUL, IL
FAMILY PRACTICE OB
FRANZEN, THOMAS L., MD
GENDER: M
PROVIDER #: 026213
NPI #: 1609895499
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
E-PRESCRIBE: YES
SPARTA, IL
OBSTETRICS/
GYNECOLOGY
BEYER-NOLEN, ELISABETH,
MD
GENDER: F
PROVIDER #: 168858
NPI #: 1306853684
QUALITY HEALTHCARE
CLINIC
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: NO
BOYD, EMILY B., MD
GENDER: F
PROVIDER #: 188814
NPI #: 1730257924
QUALITY HEALTHCARE
CLINIC
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: NO
CARSON, DEBRA, DO
GENDER: F
PROVIDER #: 216828
NPI #: 1043410392
WOMENS HEALTHCARE
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: NO
COVLIN, MICHAEL A., MD
GENDER: M
PROVIDER #: 166971
NPI #: 1780641852
QUALITY HEALTHCARE
CLINIC
1300 N MARKET
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: NO
JOYNER, SCOTT, DO
GENDER: M
PROVIDER #: 172519
NPI #: 1720018617
QUALITY HEALTHCARE
CLINIC
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: NO
PLETT, JAMIE L., MD
GENDER: F
PROVIDER #: 221971
NPI #: 1033412531
WOMENS HEALTHCARE
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-4138
E-PRESCRIBE: YES
SCHIFANO, MICHAEL J., MD
GENDER: M
PROVIDER #: 166969
NPI #: 1679507818
QUALITY HEALTHCARE
CLINIC
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-4138
OBERNUEFEMANN, SYLVIA,
CNM; PROVIDER #: 248324
E-PRESCRIBE: NO
SPRING VALLEY, IL
FAMILY PRACTICE OB
SCHLAGHECK, DAVID, MD
GENDER: M
PROVIDER #: 034636
NPI #: 1336255157
ST MARGARETS HEALTH
FAMILY HEALTH CENTER
415 E SECOND ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-2367
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
MASCHMANN, JENNIFER L.,
MD
GENDER: F
PROVIDER #: 085137
NPI #: 1023021433
ST MARGARETS HOSPITAL
600 E FIRST ST
SPRING VALLEY, IL 61362
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
158
Obstetrics/Gynecology
Care Providers
ORTEZA, NORAH W., MD
GENDER: F
PROVIDER #: 085138
NPI #: 1619082948
ST MARGARETS HEALTH
WOMENS HEALTH CLINIC
600 E FIRST ST HAZEL
MARIA BOYLE SECOND
FLOOR
SPRING VALLEY, IL 61362
PHONE: (815) 663-2300
CHRISTENSEN, CATHERINE,
PA-C; PROVIDER #: 074214
E-PRESCRIBE: NO
WHATCOTT, CRAIG R., MD
GENDER: M
PROVIDER #: 032192
NPI #: 1598871329
ST MARGARETS HEALTH
WOMENS HEALTH CLINIC
600 E FIRST ST HAZEL
MARIA BOYLE SECOND
FLOOR
SPRING VALLEY, IL 61362
PHONE: (815) 663-2300
CHRISTENSEN, CATHERINE,
PA-C; PROVIDER #: 074214
E-PRESCRIBE: NO
SPRINGFIELD, IL
GYNECOLOGY
ARBUTHNOT, JANE R., MD
GENDER: F
PROVIDER #: 098742
NPI #: 1760489587
WOMENS HEALTHCARE LLC
747 N RUTLEDGE ST BAYLIS
BLDG 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 757-7932
E-PRESCRIBE: NO
159
OBSTETRICS/
GYNECOLOGY
AMIN, NEHA N., MD
GENDER: F
PROVIDER #: 040275
NPI #: 1619974532
WOMENS HEALTHCARE LLC
747 N RUTLEDGE BAYLIS
BLDG 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 757-7932
KELLEY, PAMELA S., CNP;
PROVIDER #: 137935
E-PRESCRIBE: NO
BEAL, HEATHER, MD
GENDER: F
PROVIDER #: 116731
NPI #: 1912940545
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
HICKMAN, ROBIN J., FNPC;
PROVIDER #: 148990
E-PRESCRIBE: YES
SPRING VALLEY, IL
SPRINGFIELD, IL
BRARD, LAURENT, MD
GENDER: M
PROVIDER #: 200223
NPI #: 1346278041
SIU PHYS & SURG SIMMONS
CANCER INSTITUTE
315 W CARPENTER 1ST
FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-1322
E-PRESCRIBE: NO
SIU PHYS & SURG-SIMMONS
CANCER INSTITUTE
315 W CARPENTER 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 545-5117
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
415 N 9TH ST STE 6W100
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
BENNETT, TARA Z., MD
GENDER: F
PROVIDER #: 008876
NPI #: 1194713024
SPRINGFIELD CLINIC
350 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 525-0210
E-PRESCRIBE: NO
BROWN, CHERYL L., MD
GENDER: F
PROVIDER #: 084242
NPI #: 1548372097
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
HICKMAN, ROBIN J., FNPC;
PROVIDER #: 148990
E-PRESCRIBE: YES
BRADLEY, E MICHAEL, MD
GENDER: M
PROVIDER #: 008479
NPI #: 1497744171
SPRINGFIELD CLINIC
350 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 525-0210
E-PRESCRIBE: NO
CHAPMAN, DAVID C., MD
GENDER: M
PROVIDER #: 008478
NPI #: 1164410163
SPRINGFIELD CLINIC
350 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 525-0210
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
SPRINGFIELD, IL
SPRINGFIELD, IL
DIGNAN-MOORE, LESLIE A.,
MD
GENDER: F
PROVIDER #: 167075
NPI #: 1831311836
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
EDEN, RICHARD T., MD
GENDER: M
PROVIDER #: 133962
NPI #: 1477589992
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
DITMAN, MARY BETH, FNPC;
PROVIDER #: 162844
E-PRESCRIBE: YES
ERICSSON, KRISTINA R., MD
GENDER: F
PROVIDER #: 202653
NPI #: 1366640658
SIU PHYSICIANS &
SURGEONS INC
415 N 9TH ST SUITE 6W100
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
ERTMOED, ERNEST E., MD
GENDER: M
PROVIDER #: 008065
NPI #: 1710073382
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
DITMAN, MARY BETH, FNPC;
PROVIDER #: 162844
WEIDLER, CAROL, NP;
PROVIDER #: 054409
E-PRESCRIBE: YES
FERRILL, ALYCE F., MD
GENDER: F
PROVIDER #: 098154
NPI #: 1740279439
SPRINGFIELD CLINIC
350 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 525-0210
E-PRESCRIBE: NO
HANY, LUCINDA A., MD
GENDER: F
PROVIDER #: 133060
NPI #: 1063535029
SPRINGFIELD CLINIC
350 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 525-0210
E-PRESCRIBE: NO
GARZA-CAVAZOS, ARTURO,
MD
GENDER: M
PROVIDER #: 189924
NPI #: 1336456367
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-5117
E-PRESCRIBE: NO
HIGH, AMY K., MD
GENDER: F
PROVIDER #: 185048
NPI #: 1780890913
WOMENS HEALTHCARE LLC
747 N RUTLEDGE BAYLIS
BLDG 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 757-7932
E-PRESCRIBE: NO
GILDNER, JAMES L., MD
GENDER: M
PROVIDER #: 008529
NPI #: 1477549590
WOMENS HEALTHCARE LLC
747 N RUTLEDGE ST BAYLIS
BLDG 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 757-7932
E-PRESCRIBE: NO
HILD-MOSLEY, KATHERINE
A., MD
GENDER: F
PROVIDER #: 109551
NPI #: 1932180981
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
HALL, AMY E., MD
GENDER: F
PROVIDER #: 048440
NPI #: 1508855479
SPRINGFIELD CLINIC
350 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 525-0210
E-PRESCRIBE: NO
HUDEC, JOHN G., MD
GENDER: M
PROVIDER #: 023645
NPI #: 1992791032
WOMENS HEALTHCARE LLC
747 N RUTLEDGE ST BAYLIS
BLDG 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 757-7932
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
160
Obstetrics/Gynecology
Care Providers
HUSTON, CHAD A., MD
GENDER: M
PROVIDER #: 023438
NPI #: 1477534428
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
KLEIN, TAMMIE A., MD
GENDER: F
PROVIDER #: 008082
NPI #: 1366543464
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
HICKMAN, ROBIN J., FNPC;
PROVIDER #: 148990
E-PRESCRIBE: YES
NELSON, ERICA, MD
GENDER: F
PROVIDER #: 049668
NPI #: 1447231493
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
OH, B ROCK, MD
GENDER: M
PROVIDER #: 066304
NPI #: 1174504153
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
161
PUTMAN, WILLIAM D., MD
GENDER: M
PROVIDER #: 008104
NPI #: 1386737237
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (517) 528-7541
DITMAN, MARY BETH, FNPC;
PROVIDER #: 162844
WEIDLER, CAROL, NP;
PROVIDER #: 054409
E-PRESCRIBE: YES
QUINN, TONI M., MD
GENDER: F
PROVIDER #: 083373
NPI #: 1528151487
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
DITMAN, MARY BETH, FNPC;
PROVIDER #: 162844
E-PRESCRIBE: YES
RETTIG, ANGELIQUE S., MD
GENDER: F
PROVIDER #: 040122
NPI #: 1649268509
SPRINGFIELD CLINIC
350 W CARPENTER ST
SPRINGFIELD, IL 62706
PHONE: (217) 525-0210
E-PRESCRIBE: NO
RODRIGO, GILBERTO, MD
GENDER: M
PROVIDER #: 169974
NPI #: 1568653608
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
RUNDLE, PAMELA J., MD
GENDER: F
PROVIDER #: 075680
NPI #: 1144313008
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
SAINT, JOHN G., MD
GENDER: M
PROVIDER #: 008486
NPI #: 1407837065
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
SIDDIQUE, SOHAIL A., MD
GENDER: M
PROVIDER #: 164760
NPI #: 1992770101
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST PAV 4B
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
STEHLING, DUSTIN J., MD
GENDER: M
PROVIDER #: 224140
NPI #: 1033371125
SPRINGFIELD CLINIC LLP
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
SPRINGFIELD, IL
TERRE HAUTE, IN
STONE, ERIN M., MD
GENDER: F
PROVIDER #: 133059
NPI #: 1760505721
SPRINGFIELD CLINIC
350 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 525-0210
E-PRESCRIBE: NO
SWEETLAND, DONNA J., MD
GENDER: F
PROVIDER #: 014792
NPI #: 1740374909
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
KILLAM, BETH A., CNM;
PROVIDER #: 182626
E-PRESCRIBE: YES
VISNESKY, PATRICIA M., MD
GENDER: F
PROVIDER #: 008530
NPI #: 1770558942
WOMENS HEALTHCARE LLC
747 N RUTLEDGE ST BAYLIS
BLDG 2ND FL
SPRINGFIELD, IL 62794
PHONE: (217) 757-7932
E-PRESCRIBE: NO
YOUNKIN, CASEY C., MD
GENDER: M
PROVIDER #: 008487
NPI #: 1659352656
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
ZEINO, MHD YAHIA, MD
GENDER: M
PROVIDER #: 166345
NPI #: 1528271673
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
ZINZILIETA, J M., MD
GENDER: M
PROVIDER #: 008126
NPI #: 1366539165
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
KILLAM, BETH A., CNM;
PROVIDER #: 182626
E-PRESCRIBE: YES
SULLIVAN, IL
FAMILY PRACTICE OB
COSTERISAN, DENNIS D., DO
GENDER: M
PROVIDER #: 006574
NPI #: 1578565701
SULLIVAN FAMILY CARE
2 W ADAMS
SULLIVAN, IL 61951
PHONE: (217) 728-8329
STEWART, JOYA D., APN;
PROVIDER #: 223299
E-PRESCRIBE: NO
TAYLORVILLE, IL
OBSTETRICS/
GYNECOLOGY
QUINN, TONI M., MD
GENDER: F
PROVIDER #: 083373
NPI #: 1528151487
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
TERRE HAUTE, IN
OBSTETRICS/
GYNECOLOGY
COUTINHO, KATHLEEN D.,
MD
GENDER: F
PROVIDER #: 165604
NPI #: 1528174141
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: YES
UNION HOSPITAL INC DBA
MATERNAL HEALTH CLINIC
1801 NORTH SIXTH ST SUITE
200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7631
E-PRESCRIBE: YES
LALOUCHE, ROBERT C., MD
GENDER: M
PROVIDER #: 209684
NPI #: 1205944238
FAMILY MEDICINE CENTER
1513 N 6 1/2 ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7631
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
162
Obstetrics/Gynecology
Care Providers
MITRE, ISAAC N., MD
GENDER: M
PROVIDER #: 216346
NPI #: 1093894057
PROVIDENCE MEDICAL
GROUP
1530 N 7TH ST SUITE 109
TERRE HAUTE, IN 47807
PHONE: (812) 237-1730
E-PRESCRIBE: YES
MATERNAL HEALTH CLINIC
1801 N 6TH ST SUITE 200
TERRE HAUTE, IN 47804
PHONE: (812) 238-7301
E-PRESCRIBE: NO
UNION HOSPITAL
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7783
E-PRESCRIBE: NO
NOUR, MAGDY, MD
GENDER:
PROVIDER #: 101701
NPI #: 1457353781
PROVIDENCE MEDICAL
GROUP
1530 N 7TH ST SUITE 109
TERRE HAUTE, IN 47804
PHONE: (812) 237-1730
E-PRESCRIBE: NO
UNION HOSPITAL
HEALTHCHECK AFTER
HOURS CLINIC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE:
E-PRESCRIBE: NO
TUSCOLA, IL
SAKBUN, VANNARA, MD
GENDER:
PROVIDER #: 214205
NPI #: 1558335893
UNION HOSPITAL INC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 299-1723
E-PRESCRIBE: NO
3901 S 7TH ST
TERRE HAUTE, IN 47802
PHONE: (812) 299-1723
E-PRESCRIBE: NO
611 E SPRINGHILL DR
TERRE HAUTE, IN 47802
PHONE: (812) 238-7783
E-PRESCRIBE: NO
OBSTETRICS/
GYNECOLOGY
YOUNG, SARAH B., MD
GENDER: F
PROVIDER #: 134175
NPI #: 1477630523
CHRISTIE CLINIC
704 N MAIN
TUSCOLA, IL 61953
PHONE: (217) 366-1200
E-PRESCRIBE: YES
URBANA, IL
FAMILY PRACTICE OB
YEAGLEY, THOMAS J., MD
GENDER: M
PROVIDER #: 183416
NPI #: 1558471896
FAMILY MEDICINE CENTER
1513 N 6 1/2 ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7631
E-PRESCRIBE: NO
163
TERRE HAUTE, IN
URBANA, IL
SWEARINGEN, JEFFREY V.,
MD
GENDER: M
PROVIDER #: 000677
NPI #: 1689785305
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3170
E-PRESCRIBE: YES
WHITEHILL, DAVID L., MD
GENDER: M
PROVIDER #: 000658
NPI #: 1366542763
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9500
E-PRESCRIBE: YES
OBSTETRICS/
GYNECOLOGY
CARLSON, NANCY J., MD
GENDER: F
PROVIDER #: 245324
NPI #: 1326158502
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVENUE
URBANA, IL 61801-2530
PHONE: (217) 383-4930
E-PRESCRIBE: YES
DILLARD, TIFFANI E., MD
GENDER: F
PROVIDER #: 069431
NPI #: 1871695684
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3140
GRAFTON, VANESSA J., CNM;
PROVIDER #: 174543
HUDSON, AUBREY N., PA;
PROVIDER #: 151498
LAKE, JERI, CNM; PROVIDER
#: 000501
SMITH, KATHY L., NP;
PROVIDER #: 000224
SOLIS, ELLEN, CNM;
PROVIDER #: 131989
SPOONER, RAY, CNM;
PROVIDER #: 033577
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
Obstetrics/Gynecology
Care Providers
URBANA, IL
URBANA, IL
FAY, NANCY E., MD
GENDER: F
PROVIDER #: 000204
NPI #: 1215956099
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9500
DALBEY, THERESA M., PA;
PROVIDER #: 191867
MAJERS, TERESA L., CNP;
PROVIDER #: 000221
E-PRESCRIBE: YES
FULFER, JAMIE L., MD
GENDER:
PROVIDER #: 165863
NPI #: 1093802001
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
611 W PARK ST
URBANA, IL 61801
PHONE:
E-PRESCRIBE: NO
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3140
HUDSON, AUBREY N., PA;
PROVIDER #: 151498
E-PRESCRIBE: YES
GALLOWAY, KEVIN L., DO
GENDER: M
PROVIDER #: 195130
NPI #: 1073507547
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3140
E-PRESCRIBE: YES
GOODWINE-WOZNIAK,
NANCY, MD
GENDER: F
PROVIDER #: 094513
NPI #: 1700805942
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3140
HUDSON, AUBREY N., PA;
PROVIDER #: 151498
LAKE, JERI, CNM; PROVIDER
#: 000501
SMITH, KATHY L., NP;
PROVIDER #: 000224
SOLIS, ELLEN, CNM;
PROVIDER #: 131989
SPOONER, RAY, CNM;
PROVIDER #: 033577
E-PRESCRIBE: YES
MESEROW, JAMES A., MD
GENDER: M
PROVIDER #: 216342
NPI #: 1609818657
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3140
E-PRESCRIBE: YES
HENNESY, MICHAEL S., MD
GENDER: M
PROVIDER #: 232568
NPI #: 1932194016
CARLE FOUNDATION
HOSPITAL
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3311
E-PRESCRIBE: YES
SCHMITZ, ANNA L., MD
GENDER: F
PROVIDER #: 210812
NPI #: 1073720157
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3140
E-PRESCRIBE: YES
ROBINSON, CHRISTOPHER,
MD
GENDER: M
PROVIDER #: 176314
NPI #: 1750353355
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-4930
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3140
E-PRESCRIBE: YES
HORVAT, MARIA C., MD
GENDER: F
PROVIDER #: 223137
NPI #: 1932109121
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9600
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
164
Obstetrics/Gynecology
Care Providers
SHEPHERD, JAMES L., MD
GENDER: M
PROVIDER #: 000206
NPI #: 1821198094
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3140
HUDSON, AUBREY N., PA;
PROVIDER #: 151498
LAKE, JERI, CNM; PROVIDER
#: 000501
MURDOCH, PATRICIA W., NP;
PROVIDER #: 201370
SMITH, KATHY L., NP;
PROVIDER #: 000224
SOLIS, ELLEN, CNM;
PROVIDER #: 131989
SPOONER, RAY, CNM;
PROVIDER #: 033577
E-PRESCRIBE: YES
SKANNAL, DEBORAH G., MD
GENDER: F
PROVIDER #: 212662
NPI #: 1881678308
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3140
E-PRESCRIBE: YES
WAGNER, REBECCA A., MD
GENDER: F
PROVIDER #: 000209
NPI #: 1023110186
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 326-0390
LAKE, JERI, CNM; PROVIDER
#: 000501
SMITH, KATHY L., NP;
PROVIDER #: 000224
SOLIS, ELLEN, CNM;
PROVIDER #: 131989
SPOONER, RAY, CNM;
PROVIDER #: 033577
E-PRESCRIBE: YES
165
URBANA, IL
WATSEKA, IL
WEISBAUM, JON S., DO
GENDER: M
PROVIDER #: 017291
NPI #: 1538262845
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3140
HUDSON, AUBREY N., PA;
PROVIDER #: 151498
LAKE, JERI, CNM; PROVIDER
#: 000501
SMITH, KATHY L., NP;
PROVIDER #: 000224
SOLIS, ELLEN, CNM;
PROVIDER #: 131989
SPOONER, RAY, CNM;
PROVIDER #: 033577
E-PRESCRIBE: YES
WASHINGTON, IL
OBSTETRICS/
GYNECOLOGY
WATSEKA, IL
FAMILY PRACTICE OB
FERNANDEZ, EMILY, MD
GENDER: F
PROVIDER #: 189699
NPI #: 1447443627
IMH MULTISPECIALTY
PHYSICIANS
200 LAIRD LANE
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
ZUMWALT, PHILIP F., MD
GENDER: M
PROVIDER #: 004058
NPI #: 1629066170
WATSEKA FAMILY
PRACTICE
125 S FOURTH ST
WATSEKA, IL 60970
PHONE: (815) 432-5408
E-PRESCRIBE: YES
TEVERBAUGH, LORI A., MD
GENDER: F
PROVIDER #: 084967
NPI #: 1427037209
TEVERBAUGH CROLAND &
MUELLER OB/GYN &
ASSOCIATES
10 ST CLAIRE COURT SUITE
120
WASHINGTON, IL 61571
PHONE: (309) 692-2025
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
ALEDO, IL
BLOOMINGTON, IL
ALEDO, IL
OPTOMETRY
ARBET, TIMOTHY, OD
GENDER: M
NPI #:1508859265
MERCER COUNTY FAMILY
EYECARE
106 S COLLEGE AVE
ALEDO, IL 61231
PHONE: (309) 582-2421
DISTIN, GARY D., OD
GENDER: M
NPI #:1477548287
DRS DISTIN & DOYLE
2108 SE THIRD ST
ALEDO, IL 61231
PHONE: (309) 582-5673
DOYLE, DANIEL R., OD
GENDER: M
NPI #:1033104757
DRS DISTIN & DOYLE
2108 SE THIRD ST
ALEDO, IL 61231
PHONE: (309) 582-5673
HAYS, JILL K., OD
GENDER: F
NPI #:1932192697
MERCER COUNTY FAMILY
EYECARE
106 S COLLEGE AVE
ALEDO, IL 61231
PHONE: (309) 582-2421
LEAR, CHRISTOPHER, OD
GENDER: M
NPI #:1225021983
MERCER COUNTY FAMILY
EYECARE
106 S COLLEGE AVE
ALEDO, IL 61231
PHONE: (309) 582-2421
Optometry Care Providers
NORDQUIST, JOSEPH J., OD
GENDER: M
NPI #:1790778454
MERCER COUNTY FAMILY
EYECARE
106 S COLLEGE AVE
ALEDO, IL 61231
PHONE: (309) 582-2421
BRTVA, DENNIS M., OD
GENDER: M
NPI #:1215909056
DR DENNIS M BRTVA &
ASSOCIATES
2109 N VETERANS PKWY
SUITE 2
BLOOMINGTON, IL 61704
PHONE: (309) 663-2211
BENLD, IL
CLARK, KRISTEN N., OD
GENDER: F
NPI #:1306134317
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
OPTOMETRY
HEDDINGHAUS, SHAWNA L.,
OD
GENDER: F
NPI #:1811982515
FIRESIDE EYE CARE PC
600 S 8TH ST
BENLD, IL 62009
PHONE: (217) 835-7724
BLOOMINGTON, IL
OPTOMETRY
BACKUS, ANDREW W., OD
GENDER: M
NPI #:1336131259
BLOOMINGTON FAMILY
EYE CARE CENTER
2203 E WASHINGTON ST
BLOOMINGTON, IL 61701
PHONE: (309) 663-0303
6 HEARTLAND DR SUITE C
BLOOMINGTON, IL 61701
PHONE: (309) 663-0303
BEREKETAB, ELILTA, OD
GENDER: F
NPI #:1598712002
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
COUILLARD, JOHN F., OD
GENDER: M
NPI #:1053404780
EYECARE ASSOCIATES
2103 E WASHINGTON SUITE
1D
BLOOMINGTON, IL 61704
PHONE: (309) 662-2277
IMES, DAVID R., OD
GENDER: M
NPI #:1881744894
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
JENSEN, STEVEN T., OD
GENDER: M
NPI #:1942587589
DENNIS M BRTVA &
ASSOCIATES
2109 VETERANS PARKWAY
SUITE 2
BLOOMINGTON, IL 61704
PHONE: (309) 663-2211
166
Optometry Care Providers
KENNETT, ROBERT F., OD
GENDER: M
NPI #:1750454443
EYE CARE ASSOCIATES
2103 E WASHINGTON SUITE
1D
BLOOMINGTON, IL 61704
PHONE: (309) 662-2277
KLEIN, DREW, OD
GENDER: M
NPI #:1710039003
BNL EYECARE INC
2225 W MARKET ST
BLOOMINGTON, IL 61704
PHONE: (309) 829-0636
KOEHLER, SHAWN M., OD
GENDER: M
NPI #:1336180876
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
MAHAFFEY, LINDA, OD
GENDER: F
NPI #:1629004767
BOND EYE ASSOCIATES
1228 N TOWANDA AVE
BLOOMINGTON, IL 61701
PHONE: (309) 647-3937
MAHAFFEY, THOMAS I., OD
GENDER: M
NPI #:1669401139
ALLIANCE OPTICAL
1228 N TOWANDA
BLOOMINGTON, IL 61701
PHONE: (309) 828-7723
BOND EYE ASSOCIATES
1228 N TOWANDA AVE
BLOOMINGTON, IL 61701
PHONE: (309) 647-3937
167
MAYGINNES, KYLE D., OD
GENDER: M
NPI #:1700867652
DR DENNIS M BRTVA &
ASSOCIATES
2109 N VETERANS PKWY
SUITE 2
BLOOMINGTON, IL 61704
PHONE: (309) 663-2211
MOVIC, WILSON W., OD
GENDER: M
NPI #:1194730648
EYE CARE ASSOCIATES
2103 E WASHINGTON SUITE
1D
BLOOMINGTON, IL 61704
PHONE: (309) 662-2277
NORELL, ERIC, OD
GENDER: M
NPI #:1902961824
DR DENNIS M BRTVA &
ASSOCIATES
2109 N VETERANS PKWY
SUITE 2
BLOOMINGTON, IL 61704
PHONE: (309) 663-2211
TALLIS, JAY E., OD
GENDER: M
NPI #:1083627830
AMERICAN VISION CENTER
915 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 827-8434
VIZE, KATHLEEN L., OD
GENDER: F
NPI #:1952406787
DR DENNIS M BRTVA &
ASSOCIATES
2109 N VETERANS PKWY
SUITE 2
BLOOMINGTON, IL 61704
PHONE: (309) 663-2211
BLOOMINGTON, IL
BOURBONNAIS, IL
WETZLER, CHRISTOPHER J.,
OD
GENDER: M
NPI #:1346235124
DR DENNIS M BRTVA &
ASSOCIATES
2109 N VETERANS PKWY
SUITE 2
BLOOMINGTON, IL 61704
PHONE: (309) 663-2211
BOURBONNAIS, IL
OPTOMETRY
LOCONTE, DONALD D., OD
GENDER: M
NPI #:1003924945
FISHER SWALE NICHOLSON
EYE CENTER
352 BROWN BLVD
BOURBONNAIS, IL 60914
PHONE: (815) 932-2020
NICHOLSON, MATTHEW C.,
OD
GENDER: M
NPI #:1992713309
FISHER SWALE NICHOLSON
EYE CENTER
352 BROWN BLVD
BOURBONNAIS, IL 60914
PHONE: (815) 932-2020
PIETRZYK, JEFFREY M., OD
GENDER: M
NPI #:1902880057
FISHER SWALE NICHOLSON
EYE CENTER
352 BROWN BLVD
BOURBONNAIS, IL 60914
PHONE: (815) 932-2020
BRIGHTON, IL
CANTON, IL
BRIGHTON, IL
OPTOMETRY
BACHMAN, DENA L., OD
GENDER: F
NPI #:1285695585
SOUTHWESTERN EYE CARE
101 N MAPLE ST
BRIGHTON, IL 62012
PHONE: (618) 372-7000
JONES III, LEWIS F., OD
GENDER: M
NPI #:1942261698
SOUTHWESTERN EYE CARE
101 N MAPLE ST
BRIGHTON, IL 62012
PHONE: (618) 372-7000
CANTON, IL
OPTOMETRY
ATKINS, CHARLES, OD
GENDER: M
NPI #:1154318749
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
BOBELL, ROBERT C., OD
GENDER: M
NPI #:1104935923
PROGRESSIVE VISION
CENTER LTD
42 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-2020
BUCZKO, MATTHEW, OD
GENDER: M
NPI #:1245271840
PROGRESSIVE VISION
CENTER LTD
42 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-2020
Optometry Care Providers
CROLAND, ROGER, OD
GENDER: M
NPI #:1144256652
BOND EYE ASSOCIATES
45 E SIDE SQUARE
CANTON, IL 61520
PHONE: (309) 647-3937
KEITH, JEREMY D., OD
GENDER: M
NPI #:1578875167
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
FARLIK, JAMES A., OD
GENDER: M
NPI #:1184631699
SPOON RIVER OPTICAL
130 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-3396
KIRK, KARLA Y., OD
GENDER: F
NPI #:1730290347
BARD OPTICAL
127 N MAIN
CANTON, IL 61520
PHONE: (309) 647-0366
GABLER, DANIELLE M., OD
GENDER: F
NPI #:1699087361
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
KWAN, KATHERINE, OD
GENDER: F
NPI #:1619109329
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
HAHN, MARK D., OD
GENDER: M
NPI #:1528055969
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
PATEL, TEJAL, OD
GENDER: F
NPI #:1134116585
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 672-0366
HENSON, BRIAN D., OD
GENDER: M
NPI #:1184782112
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
PATEL-GARUD, RACHANA,
OD
GENDER: F
NPI #:1629148804
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
JACKSON, JOSEPH B., OD
GENDER: M
NPI #:1649352691
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
PELFREY-JONES, SANDRA
R., OD
GENDER: F
NPI #:1770589244
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
168
CANTON, IL
CARTHAGE, IL
Optometry Care Providers
PETERSON, LELAND D., OD
GENDER: M
NPI #:1962608836
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
SONNENBURG, DAVID P., OD
GENDER: M
NPI #:1760797120
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
RADTKE, ELIZABETH, OD
GENDER: F
NPI #:1619256013
BARD OPTICAL
127 N MAIN
CANTON, IL 61520
PHONE: (309) 647-0366
SUTTLE, CARRIE A., OD
GENDER: F
NPI #:1821323585
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
RICHMOND, RONALD L., OD
GENDER: M
NPI #:1184611766
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
TWENHAFEL, STACY A., OD
GENDER: F
NPI #:1407901051
BARD OPTICAL
127 N MAIN
CANTON, IL 61520
PHONE: (309) 647-0366
SCHAIDLE, KENNETH A., OD
GENDER: M
NPI #:1639166226
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
VASILNEK, NICOLE M., OD
GENDER: F
NPI #:1790072924
BARD OPTICAL
127 N MAIN
CANTON, IL 61520
PHONE: (309) 647-0366
SCHMIDT, ROBERT, OD
GENDER: M
NPI #:1275520850
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
SHELLEY, TIMOTHY D., OD
GENDER: M
NPI #:1699762047
BARD OPTICAL
127 N MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0366
169
CARLINVILLE, IL
OPTOMETRY
GOODMAN-THOMAS, KATIE
M., OD
GENDER: F
NPI #:1518241637
EYECARE OF CARLINVILLE
PC
300 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-7611
HEDRICK, KEITH, OD
GENDER: M
NPI #:1013914571
615 N BROAD
CARLINVILLE, IL 62626
PHONE: (217) 854-3173
JANSSEN, ALICIA U., OD
GENDER: F
NPI #:1831487610
CENTRAL ILLINOIS
OPTOMETRY ASSOCIATES
LTD
615 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3173
LAPP, JOHN, OD
GENDER: M
NPI #:1669574562
EYECARE OF CARLINVILLE
PC
300 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-7611
RUBRICH, KAREN, OD
GENDER: F
NPI #:1871590331
615 N BROAD
CARLINVILLE, IL 62626
PHONE: (217) 854-3173
CARTHAGE, IL
OPTOMETRY
BOCKHOLD, DINITA, OD
GENDER: F
NPI #:1831486901
SUPERIOR PERFORMANCE
EYECARE SPECIALISTS INC
514 WABASH AVE
CARTHAGE, IL 62321
PHONE:
HAYDEN, DANIEL L., OD
GENDER: M
NPI #:1821047994
SUPERIOR PERFORMANCE
EYECARE SPECIALISTS INC
514 WABASH AVE
CARTHAGE, IL 62321
PHONE: (217) 357-9750
CASEY, IL
CHAMPAIGN, IL
CASEY, IL
OPTOMETRY
NIEBRUGGE, PATRICK, OD
GENDER: M
NPI #:1831228600
1279 E US HWY 40
CASEY, IL 62420
PHONE: (217) 932-2310
CHAMPAIGN, IL
OPTOMETRY
ATKINS, CHARLES, OD
GENDER: M
NPI #:1154318749
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
BURGWALD, ERIK, OD
GENDER: M
NPI #:1689644684
JONES OPTICAL
1711 S NEIL
CHAMPAIGN, IL 61820
PHONE: (217) 359-2390
GABLER, DANIELLE M., OD
GENDER: F
NPI #:1699087361
BARD OPTICAL
907 MARKETVIEW DR
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
HAHN, MARK D., OD
GENDER: M
NPI #:1528055969
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
Optometry Care Providers
HENSON, BRIAN D., OD
GENDER: M
NPI #:1184782112
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
PATEL, TEJAL, OD
GENDER: F
NPI #:1134116585
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
JACKSON, JOSEPH B., OD
GENDER: M
NPI #:1649352691
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
PATEL-GARUD, RACHANA,
OD
GENDER: F
NPI #:1629148804
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
KEITH, JEREMY D., OD
GENDER: M
NPI #:1578875167
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
KIRK, KARLA Y., OD
GENDER: F
NPI #:1730290347
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
KWAN, KATHERINE, OD
GENDER: F
NPI #:1619109329
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
MOORE, EVELYN M., OD
GENDER:
NPI #:1497826655
ROUND BARN CENTRE
501 B S MATTIS AVENUE
CHAMPAIGN, IL 61821
PHONE: (217) 351-4106
PELFREY-JONES, SANDRA
R., OD
GENDER: F
NPI #:1770589244
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
PETERSON, LELAND D., OD
GENDER: M
NPI #:1962608836
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
RADTKE, ELIZABETH, OD
GENDER: F
NPI #:1619256013
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
170
CHAMPAIGN, IL
DANVILLE, IL
Optometry Care Providers
RICHMOND, RONALD L., OD
GENDER: M
NPI #:1184611766
BARD OPTICAL
907 MARKETVIEW DR
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
SCHAIDLE, KENNETH A., OD
GENDER: M
NPI #:1639166226
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
SCHMIDT, ROBERT, OD
GENDER: M
NPI #:1275520850
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
SHELLEY, TIMOTHY D., OD
GENDER: M
NPI #:1699762047
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
SONNENBURG, DAVID P., OD
GENDER: M
NPI #:1760797120
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
SUTTLE, CARRIE A., OD
GENDER: F
NPI #:1821323585
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
171
TWENHAFEL, STACY A., OD
GENDER: F
NPI #:1407901051
BARD OPTICAL
907 MARKETVIEW DR SUITE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
VASILNEK, NICOLE M., OD
GENDER: F
NPI #:1790072924
BARD OPTICAL
907 MARKETVIEW DR SUTIE
15
CHAMPAIGN, IL 61822
PHONE: (217) 351-8822
CHARLESTON, IL
OPTOMETRY
CLARKE, SCOTT A., OD
GENDER: M
NPI #:1336209055
CENTRAL ILLINOIS VISION
ASSOCIATES
838 W LINCOLN AVE
CHARLESTON, IL 61920
PHONE: (217) 348-0800
CHILLICOTHE, IL
OPTOMETRY
GEISER, JOHN J., OD
GENDER: M
NPI #:1578580189
CHILLICOTHE EYE CLINIC
420 N FOURTH ST SUITE C
CHILLICOTHE, IL 61523
PHONE: (309) 274-5411
SARVER, LORI A., OD
GENDER: F
NPI #:1598720724
VILLAGE EYE CARE
937 N SECOND ST
CHILLICOTHE, IL 61523
PHONE: (309) 274-6404
CLINTON, IL
OPTOMETRY
GORDON, DONALD R., OD
GENDER: M
NPI #:1295741288
125 W MAIN ST
CLINTON, IL 61727
PHONE: (217) 935-9451
DUZAN, DARCY L., OD
GENDER: F
NPI #:1508886078
LIFETIME EYE CARE
1700 18TH ST
CHARLESTON, IL 61920
PHONE: (217) 344-6600
WOLLENBERG, LYNN A., OD
GENDER: F
NPI #:1679514038
700 N SIDE SQUARE
CLINTON, IL 61727
PHONE: (217) 935-6309
ESAREY, MARK D., OD
GENDER: M
NPI #:1548267099
LIFETIME EYE CARE
1700 18TH ST
CHARLESTON, IL 61920
PHONE: (217) 345-6600
DANVILLE, IL
OPTOMETRY
BEREKETAB, ELILTA, OD
GENDER: F
NPI #:1598712002
GAILEY EYE CLINIC
47 E LIBERTY LANE
DANVILLE, IL 61832
PHONE: (217) 446-3937
DANVILLE, IL
DECATUR, IL
BROTHERS, JOHN E., OD
GENDER: M
NPI #:1104899053
CHITTICK FAMILY EYE
CARE
1104 N VERMILLION
DANVILLE, IL 61832
PHONE: (217) 442-2631
CLARK, KRISTEN N., OD
GENDER: F
NPI #:1306134317
GAILEY EYE CLINIC
47 E LIBERTY LANE
DANVILLE, IL 61834
PHONE: (217) 446-3937
CLARKE, SCOTT A., OD
GENDER: M
NPI #:1336209055
ILLINOIS EXPRESS
EYECARE
2807 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 446-5554
GRIDER, D ROBERT, OD
GENDER: M
NPI #:1407904790
ILLINOIS EXPRESS
EYECARE
2807 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 446-5554
HARRIS, BERRY A., OD
GENDER: M
NPI #:1437200516
ILLINOIS EXPRESS
EYECARE
2807 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 446-5554
HOPKINS, BRYAN J., OD
GENDER: M
NPI #:1346528569
CHITTICK FAMILY EYE
CARE
1104 N VERMILLION
DANVILLE, IL 61832
PHONE: (217) 442-2631
Optometry Care Providers
IMES, DAVID R., OD
GENDER: M
NPI #:1881744894
GAILEY EYE CLINIC
47 E LIBERTY LANE
DANVILLE, IL 61832
PHONE: (217) 446-3937
KALIA, MONICA, OD
GENDER: F
NPI #:1598076895
DILLMAN EYE CLINIC
600 N LOGAN
DANVILLE, IL 61832
PHONE: (217) 443-2244
KELLEY, JAMES B., OD
GENDER: M
NPI #:1073590592
CHITTICK FAMILY EYE
CARE
1104 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 442-2631
KOEHLER, SHAWN M., OD
GENDER: M
NPI #:1336180876
GAILEY EYE CLINIC
47 E LIBERTY LANE
DANVILLE, IL 61832
PHONE: (217) 446-3937
LEON, STEVE A., OD
GENDER: M
NPI #:1134182025
CHITTICK FAMILY EYE
CARE
1104 N VERMILLION
DANVILLE, IL 61832
PHONE: (217) 442-2631
LOHRBERG, JAMES D., OD
GENDER: M
NPI #:1821013582
CHITTICK FAMILY EYE
CARE
1104 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 442-2631
MALLADY, SHAWN P., OD
GENDER: M
NPI #:1891772331
CHITTICK FAMILY EYE
CARE
1104 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 442-2631
OSHIRO-JOHNSON, CHERIE
A., OD
GENDER: F
NPI #:1790762144
CHITTICK FAMILY EYE
CARE
1104 N VERMILLION
DANVILLE, IL 61832
PHONE: (217) 442-2631
PELLEGRINI, MARK A., OD
GENDER: M
NPI #:1720065246
CHITTICK FAMILY EYE
CARE
1104 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 442-2631
SERFOSS, RONALD, OD
GENDER: M
NPI #:1790762243
CHITTICK FAMILY EYE
CARE
1104 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 442-2631
DECATUR, IL
OPTOMETRY
ATKINS, CHARLES, OD
GENDER: M
NPI #:1154318749
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
172
Optometry Care Providers
BLACKMAN, GARY L., OD
GENDER: M
NPI #:1699778456
CENTRAL ILLINOIS VISION
CENTER
2442 NW ROUTE 121
DECATUR, IL 62526
PHONE: (217) 233-3101
BOYD, JAMISON T., OD
GENDER: M
NPI #:1326008137
CENTER FOR SIGHT
CENTRAL ILLINOIS
304 W HAY ST SUITE 311
DECATUR, IL 62526
PHONE: (217) 877-5050
BRADLEY, JONATHAN R., OD
GENDER: M
NPI #:1033371729
CENTRAL ILLINOIS VISION
CENTER
2442 NW ROUTE 121
DECATUR, IL 62526
PHONE: (217) 233-3101
4837 EAST ROUTE 36
DECATUR, IL 62521
PHONE: (217) 864-1362
CROUCH, NATHAN A., OD
GENDER: M
NPI #:1750386215
CENTRAL ILLINOIS VISION
CENTER
2442 STATE ROUTE 121 NW
DECATUR, IL 62526
PHONE: (217) 233-3101
NATHAN A CROUCH OD
4837 ROUTE 36
DECATUR, IL 62521
PHONE: (217) 864-1362
CYCOTTE, KAREN S., OD
GENDER: F
NPI #:1528055118
CENTRAL ILLINOIS VISION
CENTER
2442 STATE ROUTE 121 NW
DECATUR, IL 62526
PHONE: (217) 233-3101
173
4837 E ROUTE 36
DECATUR, IL 62521
PHONE: (217) 864-1362
DAVIS, JAMES E., OD
GENDER: M
NPI #:1366492357
3411 N WOODFORD
DECATUR, IL 62526
PHONE: (217) 877-0312
DIECKOW, NATHAN C., OD
GENDER: M
NPI #:1841423753
CENTRAL ILLINOIS VISION
CENTER
2442 STATE ROUTE 121 NW
DECATUR, IL 62526
PHONE: (217) 233-3101
4837 E ROUTE 36
DECATUR, IL 62521
PHONE: (217) 864-1362
GABLER, DANIELLE M., OD
GENDER: F
NPI #:1699087361
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
GRANT, BRADLEY, OD
GENDER: M
NPI #:1386836518
GAILEY EYE CLINIC
646 W PERSHING RD
DECATUR, IL 62526
PHONE:
GRAY JR, GARY G., OD
GENDER: M
NPI #:1275603672
DECATUR VISION SOURCE
2490 N WATER ST SUITE 16
DECATUR, IL 62526
PHONE: (217) 875-4646
DECATUR, IL
DECATUR, IL
HAHN, MARK D., OD
GENDER: M
NPI #:1528055969
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
HENSON, BRIAN D., OD
GENDER: M
NPI #:1184782112
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
HERRMANN, TYSON J., OD
GENDER: M
NPI #:1427099951
CENTER FOR SIGHT OF
CENTRAL IL
304 W HAY ST SUITE 311
DECATUR, IL 62526
PHONE: (217) 877-5050
JACKSON, JOSEPH B., OD
GENDER: M
NPI #:1649352691
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
KEITH, JEREMY D., OD
GENDER: M
NPI #:1578875167
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
KIRK, KARLA Y., OD
GENDER: F
NPI #:1730290347
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
DECATUR, IL
DECATUR, IL
KWAN, KATHERINE, OD
GENDER: F
NPI #:1619109329
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
MILLER, DAVID W., OD
GENDER: M
NPI #:1477540318
2475 N MONROE ST
DECATUR, IL 62526
PHONE: (217) 875-5900
MURPHY, C MICHAEL, OD
GENDER: M
NPI #:1184611238
2475 N MONROE ST
DECATUR, IL 62526
PHONE: (217) 875-5900
OBERREITER, ANGELA M.,
OD
GENDER: F
NPI #:1437217460
GAILEY EYE CLINIC
646 W PERSHING RD
DECATUR, IL 62526
PHONE: (217) 875-0300
PATEL, TEJAL, OD
GENDER: F
NPI #:1134116585
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
PATEL-GARUD, RACHANA,
OD
GENDER: F
NPI #:1629148804
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
Optometry Care Providers
PELFREY-JONES, SANDRA
R., OD
GENDER: F
NPI #:1770589244
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
PETERSON, LELAND D., OD
GENDER: M
NPI #:1962608836
BARD OPTICAL
331 W 1ST ST
DECATUR, IL 62521
PHONE: (217) 422-3881
RADTKE, ELIZABETH, OD
GENDER: F
NPI #:1619256013
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
RICHMOND, RONALD L., OD
GENDER: M
NPI #:1184611766
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
SARMIENTO, MARC C., OD
GENDER: M
NPI #:1932116449
MARC VISION CARE LTD
2705 N WATER ST UNIT C
DECATUR, IL 62526
PHONE: (217) 875-7877
SCHAIDLE, KENNETH A., OD
GENDER: M
NPI #:1639166226
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
SCHMIDT, ROBERT, OD
GENDER: M
NPI #:1275520850
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
SHELLEY, TIMOTHY D., OD
GENDER: M
NPI #:1699762047
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
SONNENBURG, DAVID P., OD
GENDER: M
NPI #:1760797120
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
STAUDER, MICHAEL, OD
GENDER: M
NPI #:1053462739
2980 N MAIN ST SUITE 1
DECATUR, IL 62526
PHONE: (217) 872-7200
SUTTLE, CARRIE A., OD
GENDER: F
NPI #:1821323585
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
TWENHAFEL, STACY A., OD
GENDER: F
NPI #:1407901051
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
174
Optometry Care Providers
VASILNEK, NICOLE M., OD
GENDER: F
NPI #:1790072924
BARD OPTICAL
331 W 1ST DR
DECATUR, IL 62521
PHONE: (217) 422-3881
EAST PEORIA, IL
OPTOMETRY
ATKINS, CHARLES, OD
GENDER: M
NPI #:1154318749
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 672-2273
GABLER, DANIELLE M., OD
GENDER: F
NPI #:1699087361
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
HAHN, MARK D., OD
GENDER: M
NPI #:1528055969
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
HENSON, BRIAN D., OD
GENDER: M
NPI #:1184782112
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
JACKSON, JOSEPH B., OD
GENDER: M
NPI #:1649352691
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
175
KEITH, JEREMY D., OD
GENDER: M
NPI #:1578875167
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
KIRK, KARLA Y., OD
GENDER: F
NPI #:1730290347
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
KWAN, KATHERINE, OD
GENDER: F
NPI #:1619109329
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
MORGRET, DAVID, OD
GENDER: M
NPI #:1922109172
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 672-2273
PATEL, TEJAL, OD
GENDER: F
NPI #:1134116585
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
PATEL-GARUD, RACHANA,
OD
GENDER: F
NPI #:1629148804
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
DECATUR, IL
EAST PEORIA, IL
PELFREY-JONES, SANDRA
R., OD
GENDER: F
NPI #:1770589244
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
PETERSON, LELAND D., OD
GENDER: M
NPI #:1962608836
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
RADTKE, ELIZABETH, OD
GENDER: F
NPI #:1619256013
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
RICHMOND, RONALD L., OD
GENDER: M
NPI #:1184611766
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
SCHAIDLE, KENNETH A., OD
GENDER: M
NPI #:1639166226
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
SCHMIDT, ROBERT, OD
GENDER: M
NPI #:1275520850
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
EAST PEORIA, IL
GIBSON CITY, IL
SHELLEY, TIMOTHY D., OD
GENDER: M
NPI #:1699762047
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
SONNENBURG, DAVID P., OD
GENDER: M
NPI #:1760797120
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
SUTTLE, CARRIE A., OD
GENDER: F
NPI #:1821323585
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
TWENHAFEL, STACY A., OD
GENDER: F
NPI #:1407901051
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
VASILNEK, NICOLE M., OD
GENDER: F
NPI #:1790072924
BARD OPTICAL
416 RIVERSIDE DR
EAST PEORIA, IL 61611
PHONE: (309) 694-2273
EVANSVILLE, IN
OPTOMETRY
RYAN, EMILY K., OD
GENDER: F
NPI #:1407842784
IMAGE EYE CARE PC
5600 E VIRGINIA ST SUITE A
EVANSVILLE, IN 47715
PHONE: (812) 477-6243
Optometry Care Providers
FAIRBURY, IL
GENEVA, IL
OPTOMETRY
OPTOMETRY
COADY, ROBIN S., OD
GENDER: F
NPI #:1780687632
FAIRBURY VISION CENTER
2 ASPEN CT
FAIRBURY, IL 61739
PHONE: (815) 692-2415
SHELUS, ELIZABETH J., OD
GENDER: F
NPI #:1598052326
THIRD STREET EYECARE
500 S 3RD ST SUITE 105
GENEVA, IL 60134
PHONE: (630) 232-7800
RADFORD, SASHA L., OD
GENDER: F
NPI #:1124009162
FAIRBURY VISION CENTER
2 ASPEN COURT
FAIRBURY, IL 61739
PHONE: (815) 692-2415
GIBSON CITY, IL
OPTOMETRY
OPTOMETRY
BEREKETAB, ELILTA, OD
GENDER: F
NPI #:1598712002
GAILEY EYE CLINIC
220 E FIRST ST
GIBSON CITY, IL 60936
PHONE: (217) 784-8442
FRASER, MICHEL ANN E., OD
GENDER: F
NPI #:1437134509
FREEPORT EYE CARE
1110 S PARK BLVD
FREEPORT, IL 61032
PHONE: (815) 232-1105
CLARK, KRISTEN N., OD
GENDER: F
NPI #:1306134317
GAILEY EYE CLINIC
220 E FIRST ST
GIBSON CITY, IL 60936
PHONE: (217) 784-8442
JAMES, JEFFREY J., OD
GENDER: M
NPI #:1184682635
FREEPORT EYE CARE
1110 S PARK BLVD
FREEPORT, IL 61032
PHONE: (815) 232-1105
HEYMAN, DIANE, OD
GENDER: F
NPI #:1013923663
HEYMAN & HEYMAN
220 E FIRST ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4912
FREEPORT, IL
IMES, DAVID R., OD
GENDER: M
NPI #:1881744894
GAILEY EYE CLINIC
220 E FIRST ST
GIBSON CITY, IL 60936
PHONE: (217) 784-8442
176
GIBSON CITY, IL
HOOPESTON, IL
Optometry Care Providers
KOEHLER, SHAWN M., OD
GENDER: M
NPI #:1336180876
GAILEY EYE CLINIC
220 E FIRST ST
GIBSON CITY, IL 60936
PHONE: (217) 784-8442
LEWIS, JEWEL, OD
GENDER: F
NPI #:1386696078
HEYMAN & HEYMAN
220 E FIRST ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4912
GIRARD, IL
OPTOMETRY
WALLER, JENNIFER M., OD
GENDER: F
NPI #:1861440612
PRAIRIE EYE CENTER LTD
130 W CENTER
GIRARD, IL 62640
PHONE:
HERRIN, IL
OPTOMETRY
RUDOLPH, CHASE A., OD
GENDER: M
NPI #:1457663809
COMPLETE FAMILY
EYECARE INC
2813 S PARK AVE
HERRIN, IL 62948
PHONE: (618) 942-5465
177
HILLSBORO, IL
OPTOMETRY
JOHNSON, DOUGLAS W., OD
GENDER: M
NPI #:1356304794
FAMILY EYE CARE
ASSOCIATES
675 SCHOOL ST
HILLSBORO, IL 62049
PHONE: (217) 532-5044
JOHNSON, ERIC M., OD
GENDER: M
NPI #:1629365531
FAMILY EYE CARE
ASSOCIATES
675 SCHOOL ST
HILLSBORO, IL 62049
PHONE: (217) 532-5044
SAWYER, SCOTT M., OD
GENDER: M
NPI #:1942263355
FAMILY EYE CARE
ASSOCIATES
675 SCHOOL ST
HILLSBORO, IL 62049
PHONE: (217) 532-5044
HOPKINS, BRYAN J., OD
GENDER: M
NPI #:1346528569
CHITTICK FAMILY EYE
CARE
851 E ORANGE
HOOPESTON, IL 60942
PHONE: (217) 283-7611
KELLEY, JAMES B., OD
GENDER: M
NPI #:1073590592
CHITTICK FAMILY EYE
CARE
851 E ORANGE
HOOPESTON, IL 60942
PHONE: (217) 283-7611
LEON, STEVE A., OD
GENDER: M
NPI #:1134182025
CHITTICK FAMILY EYE
CARE
851 E ORANGE
HOOPESTON, IL 60942
PHONE: (217) 283-7611
OPTOMETRY
LOHRBERG, JAMES D., OD
GENDER: M
NPI #:1821013582
CHITTICK FAMILY EYE
CARE
851 E ORANGE
HOOPESTON, IL 60942
PHONE: (217) 283-7611
BROTHERS, JOHN E., OD
GENDER: M
NPI #:1104899053
CHITTICK FAMILY EYE
CARE
851 E ORANGE
HOOPESTON, IL 60942
PHONE: (217) 283-7611
MALLADY, SHAWN P., OD
GENDER: M
NPI #:1891772331
CHITTICK FAMILY EYE
CARE
851 E ORANGE
HOOPESTON, IL 60942
PHONE: (217) 283-7611
HOOPESTON, IL
HOOPESTON, IL
LINCOLN, IL
OSHIRO-JOHNSON, CHERIE
A., OD
GENDER: F
NPI #:1790762144
CHITTICK FAMILY EYE
CARE
851 E ORANGE
HOOPESTON, IL 60942
PHONE: (217) 283-7611
PELLEGRINI, MARK A., OD
GENDER: M
NPI #:1720065246
CHITTICK FAMILY EYE
CARE
851 E ORANGE
HOOPESTON, IL 60942
PHONE: (217) 283-7611
SERFOSS, RONALD, OD
GENDER: M
NPI #:1790762243
CHITTICK FAMILY EYE
CARE
851 E ORANGE
HOOPESTON, IL 60942
PHONE: (217) 283-7611
JACKSONVILLE, IL
OPTOMETRY
KROHN, AUSTIN C., OD
GENDER: M
NPI #:1962678268
INTERNATIONAL EYECARE
CENTER INC
1689 W MORTON AVE
JACKSONVILLE, IL 626502717
PHONE: (217) 245-8800
LEAHY, TIMOTHY J., OD
GENDER: M
NPI #:1629027958
INTERNATIONAL EYECARE
CENTER INC
1689 W MORTON AVE
JACKSONVILLE, IL 626502717
PHONE: (217) 245-8800
Optometry Care Providers
MCDOWELL, JASON E., OD
GENDER: M
NPI #:1215986393
INTERNATIONAL EYECARE
CENTER INC
1689 W MORTON AVE
JACKSONVILLE, IL 62650
PHONE: (217) 245-8800
THOELE, JONATHON P., OD
GENDER: M
NPI #:1114282548
INTERNATIONAL EYECARE
CENTER INC
1689 W MORTON AVE
JACKSONVILLE, IL 626502717
PHONE: (217) 245-8800
THOELE, RYAN, OD
GENDER: M
NPI #:1700144029
INTERNATIONAL EYECARE
CENTER INC
1689 W MORTON AVE
JACKSONVILLE, IL 626502717
PHONE: (217) 245-8800
LACON, IL
OPTOMETRY
GEISER, JOHN J., OD
GENDER: M
NPI #:1578580189
LACON EYE CLINIC
114 FIFTH ST SUITE 1
LACON, IL 61540
PHONE: (309) 246-8177
LE ROY, IL
OPTOMETRY
COUILLARD, JOHN F., OD
GENDER: M
NPI #:1053404780
102 E CENTER
LE ROY, IL 61752
PHONE: (309) 962-9419
JOHN COUILLARD OD
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-9419
LINCOLN, IL
OPTOMETRY
DIECKOW, NATHAN C., OD
GENDER: M
NPI #:1841423753
NOBBE EYE CARE CENTER
LLC
1400 WOODLAWN RD
LINCOLN, IL 62656
PHONE: (217) 735-2020
MONTGOMERY, JEFFREY E.,
OD
GENDER: M
NPI #:1760431019
PRAIRIE EYE CENTER LTD
518 BROADWAY
LINCOLN, IL 62656
PHONE:
MOUSHON, GAYLAN W., OD
GENDER: M
NPI #:1548395049
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
NOBBE, RAYMOND T., OD
GENDER: M
NPI #:1477561793
NOBBE EYE CARE CENTER
LLC
1400 WOODLAWN RD
LINCOLN, IL 62656
PHONE: (217) 735-2020
RABE, DENNIS, OD
GENDER: M
NPI #:1710980560
ADVANCED EYECARE
623 PULASKI ST
LINCOLN, IL 62656
PHONE: (217) 732-9606
178
LINCOLN, IL
MATTOON, IL
Optometry Care Providers
SMOTHERS-CHAMPLEY,
DEBRA S., OD
GENDER: F
NPI #:1144223983
ADVANCED EYECARE
623 PULASKI ST
LINCOLN, IL 62656
PHONE: (217) 732-9606
LITCHFIELD, IL
OPTOMETRY
JOHNSON, ERIC M., OD
GENDER: M
NPI #:1629365531
FAMILY EYE CARE
ASSOCIATES
510 W UNION AVE
LITCHFIELD, IL 62056
PHONE: (217) 324-3317
SHULTZ, SABRINA M., OD
GENDER: F
NPI #:1316086580
FAMILY EYE CARE
ASSOCIATION
510 W UNION AVE
LITCHFIELD, IL 62056
PHONE: (217) 324-3317
MACOMB, IL
OPTOMETRY
BENGTSON, TIM, OD
GENDER: M
NPI #:1891989919
PROFESSIONAL EYECARE
CENTER
820 E JACKSON ST
MACOMB, IL 61455
PHONE: (309) 833-4242
179
BOTTS, ERIC K., OD
GENDER: M
NPI #:1457301368
DR ERIC BOTTS &
ASSOCIATES
1730 E JACKSON
MACOMB, IL 61455
PHONE: (309) 836-3373
CROSBY, GARY R., OD
GENDER: M
NPI #:1124134747
PROFESSIONAL EYECARE
CENTER
820 E JACKSON ST
MACOMB, IL 61455
PHONE: (309) 833-4242
JANI, SUBHASH N., OD
GENDER: M
NPI #:1518908177
WAL-MART VISION CENTER
1730 E JACKSON
MACOMB, IL 61455
PHONE: (309) 836-3373
SKADAHL-KURT, ELISA J.,
OD
GENDER: F
NPI #:1568619898
DR ERIC BOTTS &
ASSOCIATES
1730 E JACKSON
MACOMB, IL 61455
PHONE: (309) 836-3373
WILLIAMS, TIMOTHY L., OD
GENDER: M
NPI #:1336297662
MCDONOUGH EYE
ASSOCIATES
505 E GRANT SUITE 206
MACOMB, IL 61455
PHONE: (309) 837-5451
MANHATTAN, IL
OPTOMETRY
PIETRZYK, JEFF, OD
GENDER: M
NPI #:1902880057
ILLINOIS EYE ASSOCIATES
LTD
530 W NORTH ST SUITE 107
MANHATTAN, IL 60442
PHONE: (815) 932-2020
MARSHALL, IL
OPTOMETRY
WEGNER, DAVID, OD
GENDER: M
NPI #:1265518765
CHITTICK EYE CARE
410 N SECOND ST
MARSHALL, IL 62441
PHONE: (217) 826-2361
MATTOON, IL
OPTOMETRY
FLEMING, RODNEY, OD
GENDER: M
NPI #:1841296985
1601 LAFAYETTE AVE
MATTOON, IL 61938
PHONE: (217) 234-3648
GOLDSTEIN, JAMES R., OD
GENDER: M
NPI #:1700874922
JR GOLD INC
1120 LAKELAND BLVD
SUITE 1
MATTOON, IL 61938
PHONE: (217) 258-8466
MONTICELLO, IL
NORMAL, IL
MONTICELLO, IL
Optometry Care Providers
MT STERLING, IL
OPTOMETRY
OPTOMETRY
JOHNSON, CURTIS E., OD
GENDER: M
NPI #:1184774820
ILLINI EYECARE
102 S CHARTER
MONTICELLO, IL 61856
PHONE: (217) 762-2551
BOCKHOLD, DINITA, OD
GENDER: F
NPI #:1831486901
SUPERIOR PERFORMANCE
EYECARE SPECIALISTS INC
110 W MAIN
MT STERLING, IL 62353
PHONE:
MORRISON, IL
OPTOMETRY
JENNINGS, DAVID C., OD
GENDER: M
NPI #:1538277173
201 E MARKET ST
MORRISON, IL 61270
PHONE: (815) 772-7455
YAKLICH, BRADLEY R., OD
GENDER: M
NPI #:1356629471
DAVID C JENNINGS PC
201 E MARKET ST
MORRISON, IL 61270
PHONE: (815) 772-7455
MORTON, IL
OPTOMETRY
FEATHER, SUE A., OD
GENDER: F
NPI #:1487779658
FOCUS ON EYES
829 W JACKSON PLAZA
MORTON, IL 61550
PHONE: (309) 266-8881
SOMMER, BRIAN C., OD
GENDER: M
NPI #:1003986522
VINTAGE OPTICAL
417 W JEFFERSON ST
MORTON, IL 61550
PHONE: (309) 263-8611
CHEVALIER, KRISTIE, OD
GENDER: F
NPI #:1710936885
INTERNATIONAL EYECARE
CENTER INC
105 W MAIN ST
MT STERLING, IL 62353-1223
PHONE: (217) 773-3055
THOELE, JONATHON P., OD
GENDER: M
NPI #:1114282548
INTERNATIONAL EYECARE
CENTER INC
105 W MAIN ST
MT STERLING, IL 62353-1223
PHONE: (217) 773-3055
THOELE, RYAN, OD
GENDER: M
NPI #:1700144029
INTERNATIONAL EYECARE
CENTER INC
105 W MAIN ST
MT STERLING, IL 62353-1223
PHONE: (217) 773-3055
NORMAL, IL
OPTOMETRY
KROHN, AUSTIN C., OD
GENDER: M
NPI #:1962678268
INTERNATIONAL EYECARE
CENTER INC
105 W MAIN ST
MT STERLING, IL 62353-1223
PHONE: (217) 773-3055
ATKINS, CHARLES, OD
GENDER: M
NPI #:1154318749
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
MCDOUGALL, JOHN H., OD
GENDER: M
NPI #:1780633008
INTERNATIONAL EYECARE
CENTER INC
105 W MAIN ST
MT STERLING, IL 62353-1223
PHONE: (217) 773-3055
DUNN, JASON A., OD
GENDER: M
NPI #:1346538154
MCLEAN COUNTY EYECARE
CENTER
1607 VISA DR SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2472
MCDOWELL, JASON E., OD
GENDER: M
NPI #:1215986393
INTERNATIONAL EYECARE
CENTER INC
105 W MAIN ST
MT STERLING, IL 62353
PHONE: (217) 773-3055
GABLER, DANIELLE M., OD
GENDER: F
NPI #:1699087361
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
180
Optometry Care Providers
HAHN, MARK D., OD
GENDER: M
NPI #:1528055969
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
KIRK, KARLA Y., OD
GENDER: F
NPI #:1730290347
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
HENSON, BRIAN D., OD
GENDER: M
NPI #:1184782112
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
KWAN, KATHERINE, OD
GENDER: F
NPI #:1619109329
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
HUETTEMANN, JEFFREY A.,
OD
GENDER: M
NPI #:1679644496
MCLEAN COUNTY EYE
CENTER
1607 VISA DR SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2472
LANDESS, DAVID K., OD
GENDER: M
NPI #:1831260645
MCLEAN COUNTY EYE
CENTER
1607 VISA DR SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2472
JACKSON, JOSEPH B., OD
GENDER: M
NPI #:1649352691
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
KEITH, JEREMY D., OD
GENDER: M
NPI #:1578875167
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
181
MURFIN, JOHNNIE G., OD
GENDER: M
NPI #:1871684035
WALMART VISION CENTER
300 N GREENBRIAR DR
NORMAL, IL 61761
PHONE: (309) 451-1500
NORELL, ERIC, OD
GENDER: M
NPI #:1902961824
RIEGER EYECARE LTD
407 KAYS DR SUITE A
NORMAL, IL 61761
PHONE: (309) 454-1010
PATEL, TEJAL, OD
GENDER: F
NPI #:1134116585
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
NORMAL, IL
NORMAL, IL
PATEL-GARUD, RACHANA,
OD
GENDER: F
NPI #:1629148804
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
PELFREY-JONES, SANDRA
R., OD
GENDER: F
NPI #:1770589244
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
PETERSON, LELAND D., OD
GENDER: M
NPI #:1962608836
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
RADTKE, ELIZABETH, OD
GENDER: F
NPI #:1619256013
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
RICHMOND, RONALD L., OD
GENDER: M
NPI #:1184611766
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
NORMAL, IL
PAXTON, IL
RIEGER, MARY TERESA, OD
GENDER: F
NPI #:1770572620
RIEGER EYECARE LTD
407 KAYS DR SUITE A
NORMAL, IL 61761
PHONE: (309) 454-1010
SCHAIDLE, KENNETH A., OD
GENDER: M
NPI #:1639166226
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
Optometry Care Providers
SUTTLE, CARRIE A., OD
GENDER: F
NPI #:1821323585
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
TWENHAFEL, STACY A., OD
GENDER: F
NPI #:1407901051
BARD OPTICAL
1700-4 PKWY PLAZA DR
NORMAL, IL 61761
PHONE: (309) 454-2233
SCHMIDT, ROBERT, OD
GENDER: M
NPI #:1275520850
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
VASILNEK, NICOLE M., OD
GENDER: F
NPI #:1790072924
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
SHELLEY, TIMOTHY D., OD
GENDER: M
NPI #:1699762047
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
WILLENBRING, MICHELLE R.,
OD
GENDER: F
NPI #:1679517353
RIEGER EYECARE LTD
407 KAYS DR SUITE A
NORMAL, IL 61761
PHONE: (309) 454-1010
SONNENBURG, DAVID P., OD
GENDER: M
NPI #:1760797120
BARD OPTICAL
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
1700 PARKWAY PLAZA DR
SUITE 4
NORMAL, IL 61761
PHONE: (309) 454-2233
ONARGA, IL
OPTOMETRY
HEYMAN, FLAVEL, OD
GENDER: M
NPI #:1144281411
HEYMAN & HEYMAN
109 N CHESTNUT
ONARGA, IL 60955
PHONE: (815) 268-4222
LEWIS, JEWEL, OD
GENDER: F
NPI #:1386696078
HEYMAN & HEYMAN
109 N CHESTNUT
ONARGA, IL 60955
PHONE: (815) 268-4222
PARIS, IL
OPTOMETRY
RHOADS, AARON G., OD
GENDER: M
NPI #:1538236138
CHITTICK FAMILY EYE
CARE
112 S MAIN ST
PARIS, IL 61944
PHONE: (217) 465-6461
WEGNER, DAVID, OD
GENDER: M
NPI #:1265518765
CHITTICK FAMILY EYE
CARE
112 S MAIN ST
PARIS, IL 61944
PHONE: (217) 465-6461
PAXTON, IL
OPTOMETRY
HEYMAN, DIANE, OD
GENDER: F
NPI #:1013923663
HEYMAN & HEYMAN
145 W CENTER
PAXTON, IL 60957
PHONE: (217) 379-3121
HEYMAN, FLAVEL, OD
GENDER: M
NPI #:1144281411
HEYMAN & HEYMAN
145 W CENTER
PAXTON, IL 60957
PHONE: (217) 379-3121
182
Optometry Care Providers
LEWIS, JEWEL, OD
GENDER: F
NPI #:1386696078
HEYMAN & HEYMAN
145 W CENTER ST
PAXTON, IL 60957
PHONE: (217) 379-3121
PEKIN, IL
OPTOMETRY
ATKINS, CHARLES, OD
GENDER: M
NPI #:1154318749
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
BEREKETAB, ELILTA, OD
GENDER: F
NPI #:1598712002
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
CLARK, KRISTEN N., OD
GENDER: F
NPI #:1306134317
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
FISH, WILLIAM E., OD
GENDER: M
NPI #:1922090331
THE HEYDE EYE CENTER
111 N FOURTH ST
PEKIN, IL 61554
PHONE: (309) 346-1234
GABLER, DANIELLE M., OD
GENDER: F
NPI #:1699087361
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
183
PAXTON, IL
PEKIN, IL
HAHN, MARK D., OD
GENDER: M
NPI #:1528055969
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
JUDGE, QUINN L., OD
GENDER: F
NPI #:1205065620
BOND EYE ASSOCIATES
725 S 14TH ST
PEKIN, IL 61554
PHONE: (309) 353-6660
HENLINE, JEFFREY R., OD
GENDER: M
NPI #:1275526790
THE HEYDE EYE CENTER
111 N FOURTH ST
PEKIN, IL 61554
PHONE: (309) 346-1234
KEITH, JEREMY D., OD
GENDER: M
NPI #:1578875167
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
HENSON, BRIAN D., OD
GENDER: M
NPI #:1184782112
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
KIRK, KARLA Y., OD
GENDER: F
NPI #:1730290347
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
IMES, DAVID R., OD
GENDER: M
NPI #:1881744894
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
KOEHLER, SHAWN M., OD
GENDER: M
NPI #:1336180876
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
JACKSON, JOSEPH B., OD
GENDER: M
NPI #:1649352691
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
KWAN, KATHERINE, OD
GENDER: F
NPI #:1619109329
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
JOHNSON, BRENDON J., OD
GENDER: M
NPI #:1194774174
BRENDON J JOHNSON OD
2611 BROADWAT ST
PEKIN, IL 61554
PHONE: (309) 347-5989
MAHAFFEY, LINDA, OD
GENDER: F
NPI #:1629004767
BOND EYE ASSOCIATES
725 S 14TH ST
PEKIN, IL 61554
PHONE: (309) 353-6660
PEKIN, IL
PEORIA, IL
MAHAFFEY, THOMAS I., OD
GENDER: M
NPI #:1669401139
BOND EYE ASSOCIATES
725 S 14TH ST
PEKIN, IL 61554
PHONE: (309) 353-6660
MCEWAN, ROBERT B., OD
GENDER: M
NPI #:1053328401
3320 VETERANS DR
PEKIN, IL 61554
PHONE: (309) 353-4220
MORGRET, DAVID, OD
GENDER: M
NPI #:1922109172
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
OBERREITER, ANGELA M.,
OD
GENDER: F
NPI #:1437217460
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
PATEL, TEJAL, OD
GENDER: F
NPI #:1134116585
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
PATEL-GARUD, RACHANA,
OD
GENDER: F
NPI #:1629148804
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
Optometry Care Providers
PELFREY-JONES, SANDRA
R., OD
GENDER: F
NPI #:1770589244
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
PETERSON, LELAND D., OD
GENDER: M
NPI #:1962608836
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
RADTKE, ELIZABETH, OD
GENDER: F
NPI #:1619256013
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
RICHMOND, RONALD L., OD
GENDER: M
NPI #:1184611766
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
SCHAIDLE, KENNETH A., OD
GENDER: M
NPI #:1639166226
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
SCHMIDT, ROBERT, OD
GENDER: M
NPI #:1275520850
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
SHELLEY, TIMOTHY D., OD
GENDER: M
NPI #:1699762047
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
SONNENBURG, DAVID P., OD
GENDER: M
NPI #:1760797120
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
SUTTLE, CARRIE A., OD
GENDER: F
NPI #:1821323585
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
TWENHAFEL, STACY A., OD
GENDER: F
NPI #:1407901051
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
VASILNEK, NICOLE M., OD
GENDER: F
NPI #:1790072924
BARD OPTICAL
3287 COURT ST
PEKIN, IL 61554
PHONE: (309) 353-9313
PEORIA, IL
OPTOMETRY
ANDERSON, THOMAS E., OD
GENDER: M
NPI #:1023104437
SAMS CLUB OPTICAL
4100 W WILLOW KNOLLS RD
PEORIA, IL 61615
PHONE: (309) 691-6835
184
Optometry Care Providers
ATKINS, CHARLES, OD
GENDER: M
NPI #:1154318749
BARD OPTICAL
1200 W MAIN ST
PEORIA, IL 61601
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
BIXBY, KREY A., OD
GENDER: M
NPI #:1134225402
THE BIXBY EYE CENTER
6807 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 692-0000
BRTVA, DENNIS M., OD
GENDER: M
NPI #:1215909056
DR DENNIS M BRTVA &
ASSOCIATES
801 W LAKE AVE 300
EVERGREEN SQ
PEORIA, IL 61614
PHONE: (309) 686-0763
BUEHLER, DONALD L., OD
GENDER: M
NPI #:1083601637
ILLINOIS EYE CENTER
8921 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-2400
BURKE, MARK, OD
GENDER: M
NPI #:1811299324
STANTON OPTICAL
2415 W GLEN AVE
PEORIA, IL 61614
PHONE: (309) 966-1236
185
CLARK, KRISTEN N., OD
GENDER: F
NPI #:1306134317
GAILEY EYE CLINIC
4927 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 692-8460
CROCKER-WILSON, ROBIN,
OD
GENDER: F
NPI #:1912993544
WILSON EYE CARE CENTER
LTD
2000 W PIONEER PKWY
SUITE 23
PEORIA, IL 61615
PHONE: (309) 690-3336
CROLAND, ROGER, OD
GENDER: M
NPI #:1144256652
BOND EYE ASSOCIATES
6800 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 692-2020
CROW, JACQUELINE A., OD
GENDER: F
NPI #:1528298684
ILLINOIS EYE CENTER
8921 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-2400
CUNDIFF, TIMOTHY G., OD
GENDER: M
NPI #:1912169962
VISION CARE CENTER
4900 N GLEN PARK PLACE
SUITE C
PEORIA, IL 61614
PHONE: (309) 691-4500
FISH, WILLIAM E., OD
GENDER: M
NPI #:1922090331
THE HEYDE EYE CENTER
400 ST MARKS COURT
PEORIA, IL 61603
PHONE: (309) 674-1234
PEORIA, IL
PEORIA, IL
FITCH, ROGER W., OD
GENDER: M
NPI #:1306837307
VISION CARE CENTER
4900 N GLEN PARK PLACE
SUITE C
PEORIA, IL 61614
PHONE: (309) 676-2575
GABLER, DANIELLE M., OD
GENDER: F
NPI #:1699087361
BARD OPTICAL
1200 W MAIN ST SUITE 21
PEORIA, IL 61601
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
GYSIN, JOHN P., OD
GENDER: M
NPI #:1598757304
5901 N PROSPECT RD SUITE
11
PEORIA, IL 61614
PHONE: (309) 692-2525
HAHN, MARK D., OD
GENDER: M
NPI #:1528055969
BARD OPTICAL
1200 W MAIN ST
PEORIA, IL 61601
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
HENLINE, JEFFREY R., OD
GENDER: M
NPI #:1275526790
THE HEYDE EYE CENTER
400 ST MARKS COURT
PEORIA, IL 61603
PHONE: (309) 674-1234
PEORIA, IL
PEORIA, IL
HENSON, BRIAN D., OD
GENDER: M
NPI #:1184782112
BARD OPTICAL
1200 W MAIN ST SUITE 21
PEORIA, IL 61601
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE
PEORIA, IL 61615
PHONE: (309) 691-1320
IMES, DAVID R., OD
GENDER: M
NPI #:1881744894
GAILEY EYE CLINIC
4927 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 692-8460
JACKSON, JOSEPH B., OD
GENDER: M
NPI #:1649352691
BARD OPTICAL
1200 W MAIN ST
PEORIA, IL 61601
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
JENSEN, STEVEN T., OD
GENDER: M
NPI #:1942587589
DENNIS M BRTVA &
ASSOCIATES
801 WEST LAKE AVE #300
PEORIA, IL 61614
PHONE: (309) 686-0763
KEITH, JEREMY D., OD
GENDER: M
NPI #:1578875167
BARD OPTICAL
1200 W MAIN ST
PEORIA, IL 61601
PHONE: (309) 672-2273
Optometry Care Providers
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRARIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
KERN, RICHARD C., OD
GENDER: M
NPI #:1497812242
KERN OPTOMETRIC
ASSOCIATES PC
4408 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 682-6214
KIRCHGESSNER, THOMAS
C., OD
GENDER: M
NPI #:1518954163
ILLINOIS EYE CENTER
8921 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-2400
KIRK, KARLA Y., OD
GENDER: F
NPI #:1730290347
BARD OPTICAL
1200 W MAIN ST SUITE 21
PEORIA, IL 61606
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
KOEHLER, SHAWN M., OD
GENDER: M
NPI #:1336180876
GAILEY EYE CLINIC
4927 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 692-8460
KWAN, KATHERINE, OD
GENDER: F
NPI #:1619109329
BARD OPTICAL
1200 W MAIN ST SUITE 21
PEORIA, IL 61601
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
MAYGINNES, KYLE D., OD
GENDER: M
NPI #:1700867652
DR DENNIS M BRTVA &
ASSOCIATES
801 W LAKE AVE 300
EVERGREEN SQ
PEORIA, IL 61614
PHONE: (309) 686-0763
MORGRET, DAVID, OD
GENDER: M
NPI #:1922109172
BARD OPTICAL
1200 W MAIN #21
PEORIA, IL 61606
PHONE: (309) 672-2273
OTT, BARBARA, OD
GENDER: F
NPI #:1851342588
BOND EYE ASSOCIATES
6800 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 692-2020
PATEL, TEJAL, OD
GENDER: F
NPI #:1134116585
BARD OPTICAL
1200 W MAIN ST
PEORIA, IL 61601
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
186
Optometry Care Providers
7715 GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
PATEL-GARUD, RACHANA,
OD
GENDER: F
NPI #:1629148804
BARD OPTICAL
1200 W MAIN ST
PEORIA, IL 61601
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
PELFREY-JONES, SANDRA
R., OD
GENDER: F
NPI #:1770589244
BARD OPTICAL
1200 W MAIN ST SUITE 21
PEORIA, IL 61601
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
PETERSON, LELAND D., OD
GENDER: M
NPI #:1962608836
BARD OPTICAL
1200 W MAIN ST SUITE 21
PEORIA, IL 61601
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
187
RADTKE, ELIZABETH, OD
GENDER: F
NPI #:1619256013
BARD OPTICAL
1200 W MAIN ST SUTIE 21
PEORIA, IL 61606
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
RICHMOND, RONALD L., OD
GENDER: M
NPI #:1184611766
BARD OPTICAL
1200 W MAIN ST
PEORIA, IL 61601
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
SCHAIDLE, KENNETH A., OD
GENDER: M
NPI #:1639166226
BARD OPTICAL
1200 W MAIN ST
PEORIA, IL 61601
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
SCHMIDT, ROBERT, OD
GENDER: M
NPI #:1275520850
BARD OPTICAL
1200 W MAIN ST
PEORIA, IL 61606
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
PEORIA, IL
PEORIA, IL
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
SHELLEY, TIMOTHY D., OD
GENDER: M
NPI #:1699762047
BARD OPTICAL
1200 W MAIN ST
PEORIA, IL 61606
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
SONNENBURG, DAVID P., OD
GENDER: M
NPI #:1760797120
BARD OPTICAL
1200 W MAIN ST SUITE 21
PEORIA, IL 61606
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
SUTTLE, CARRIE A., OD
GENDER: F
NPI #:1821323585
BARD OPTICAL
1200 W MAIN ST SUITE 21
PEORIA, IL 61606
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
PEORIA, IL
PONTIAC, IL
TWENHAFEL, STACY A., OD
GENDER: F
NPI #:1407901051
BARD OPTICAL
1200 W MAIN ST SUITE 21
PEORIA, IL 61606
PHONE: (309) 672-2273
4620 N UNIVERSITY
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
8309 N KNOXVILLE AVE
PEORIA, IL 61615
PHONE: (309) 693-9540
VASILNEK, NICOLE M., OD
GENDER: F
NPI #:1790072924
BARD OPTICAL
1200 W MAIN ST
PEORIA, IL 61606
PHONE: (309) 672-2273
4620 N UNIVERSITY ST
PEORIA, IL 61614
PHONE: (309) 692-8222
7715 N GRAND PRAIRIE DR
PEORIA, IL 61615
PHONE: (309) 691-1320
WETZLER, CHRISTOPHER J.,
OD
GENDER: M
NPI #:1346235124
DR DENNIS M BRTVA &
ASSOCIATES
801 W LAKE AVE 300
EVERGREEN SQ
PEORIA, IL 61614
PHONE: (309) 686-0763
WILSON, JAMES P., OD
GENDER: M
NPI #:1952330425
WILSON EYE CARE CENTER
LTD
2000 W PIONEER PKWY
SUITE 23
PEORIA, IL 61615
PHONE: (309) 690-3336
Optometry Care Providers
PITTSFIELD, IL
OPTOMETRY
BRAND, RONALD A., OD
GENDER: M
NPI #:1164471462
INTERNATIONAL EYECARE
CENTER INC
201 N MADISON ST
PITTSFIELD, IL 62363-1447
PHONE: (217) 285-4800
CHEVALIER, KRISTIE, OD
GENDER: F
NPI #:1710936885
INTERNATIONAL EYECARE
CENTER INC
201 N MADISON ST
PITTSFIELD, IL 62363-1447
PHONE: (217) 285-4800
KROHN, AUSTIN C., OD
GENDER: M
NPI #:1962678268
INTERNATIONAL EYECARE
CENTER INC
201 N MADISON ST
PITTSFIELD, IL 62363-1447
PHONE: (217) 285-4800
LEAHY, TIMOTHY J., OD
GENDER: M
NPI #:1629027958
INTERNATIONAL EYECARE
CENTER INC
201 N MADISON ST
PITTSFIELD, IL 62363-1447
PHONE: (217) 285-4800
MCDOUGALL, JOHN H., OD
GENDER: M
NPI #:1780633008
INTERNATIONAL EYECARE
CENTER INC
201 N MADISON ST
PITTSFIELD, IL 62363-1447
PHONE: (217) 285-4800
MCDOWELL, JASON E., OD
GENDER: M
NPI #:1215986393
INTERNATIONAL EYECARE
CENTER INC
201 N MADISON ST
PITTSFIELD, IL 62363
PHONE: (217) 285-4800
MUELLER, KENNETH R., OD
GENDER: M
NPI #:1013966076
INTERNATIONAL EYECARE
CENTER INC
201 N MADISON ST
PITTSFIELD, IL 62363-1447
PHONE: (217) 285-4800
THOELE, JONATHON P., OD
GENDER: M
NPI #:1114282548
INTERNATIONAL EYECARE
CENTER INC
201 N MADISON ST
PITTSFIELD, IL 62363-1447
PHONE: (217) 285-4800
THOELE, RYAN, OD
GENDER: M
NPI #:1700144029
INTERNATIONAL EYECARE
CENTER INC
201 N MADISON ST
PITTSFIELD, IL 62363-1447
PHONE: (217) 285-4800
PONTIAC, IL
OPTOMETRY
BEREKETAB, ELILTA, OD
GENDER: F
NPI #:1598712002
GAILEY EYE CLINIC
1512 W REYNOLDS SUITE C
PONTIAC, IL 61764
PHONE: (815) 842-3306
188
PONTIAC, IL
QUINCY, IL
Optometry Care Providers
CLARK, KRISTEN N., OD
GENDER: F
NPI #:1306134317
GAILEY EYE CLINIC
1512 W REYNOLDS SUITE C
PONTIAC, IL 61764
PHONE: (815) 842-3306
IMES, DAVID R., OD
GENDER: M
NPI #:1881744894
GAILEY EYE CLINIC
1512 W REYNOLDS SUITE C
PONTIAC, IL 61764
PHONE: (815) 842-3306
KOEHLER, SHAWN M., OD
GENDER: M
NPI #:1336180876
GAILEY EYE CLINIC
1512 W REYNOLDS SUITE C
PONTIAC, IL 61764
PHONE: (815) 842-3306
PETTIT, REID A., OD
GENDER: M
NPI #:1326047531
FAMILY EYE CARE OF
PONTIAC LLC
320 N LADD ST
PONTIAC, IL 61764
PHONE: (815) 842-4304
RADFORD, SASHA L., OD
GENDER: F
NPI #:1124009162
FAMILY EYE CARE
320 N LADD
PONTIAC, IL 61764
PHONE: (815) 842-4304
FAMILY EYE CARE OF
PONTIAC LLC
320 N LADD ST
PONTIAC, IL 61764
PHONE: (815) 842-4304
189
STOLLER, BRYAN M., OD
GENDER: M
NPI #:1316946338
FAMILY EYE CARE OF
PONTIAC LLC
320 N LADD ST
PONTIAC, IL 61764
PHONE: (815) 842-4304
BRAND, RONALD A., OD
GENDER: M
NPI #:1164471462
INTERNATIONAL EYECARE
CENTER INC
2445 BROADWAY ST
QUINCY, IL 62301-3257
PHONE: (217) 222-8800
TWENHAFEL, STACY A., OD
GENDER: F
NPI #:1407901051
BARD OPTICAL
1712 W REYNOLDS RD
PONTIAC, IL 61764
PHONE: (815) 419-2019
CARLSON, KURTIS M., OD
GENDER: M
NPI #:1104930601
20/20 EYECARE INC
1704 BROADWAY
QUINCY, IL 62301
PHONE: (217) 222-2020
WATSON, DOUGLAS R., OD
GENDER: M
NPI #:1760471908
WATSON VISION CENTER
301 W MADISON ST
PONTIAC, IL 61764
PHONE: (815) 844-2015
CHEVALIER, KRISTIE, OD
GENDER: F
NPI #:1710936885
INTERNATIONAL EYECARE
CENTER INC
2445 BROADWAY ST
QUINCY, IL 62301-3257
PHONE: (217) 222-8800
QUINCY, IL
OPTOMETRY
BECKER, KEVIN, OD
GENDER: M
NPI #:1700859360
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
BOCKHOLD, DINITA, OD
GENDER: F
NPI #:1831486901
SUPERIOR PERFORMANCE
EYECARE SPECIALISTS INC
195 S 36TH ST
QUINCY, IL 62301
PHONE: (217) 224-7732
GIANFRIDDO, RAYMOND J.,
OD
GENDER: M
NPI #:1760425631
3236 BROADWAY
QUINCY, IL 62301
PHONE: (217) 228-2060
HAYDEN, DANIEL L., OD
GENDER: M
NPI #:1821047994
SUPERIOR PERFORMANCE
EYECARE SPECIALISTS INC
195 S 36TH ST
QUINCY, IL 62301
PHONE: (217) 224-7732
KROHN, AUSTIN C., OD
GENDER: M
NPI #:1962678268
INTERNATIONAL EYECARE
CENTER INC
2445 BROADWAY ST
QUINCY, IL 62301-3257
PHONE: (217) 222-8800
QUINCY, IL
RANTOUL, IL
KVITLE, KIRK D., OD
GENDER: M
NPI #:1609948777
FAMILY EYECARE &
CONTACT LENS CENTER
LLC
3325 MAINE ST SUITE 1
QUINCY, IL 62301-4438
PHONE: (217) 231-3937
LEAHY, TIMOTHY J., OD
GENDER: M
NPI #:1629027958
INTERNATIONAL EYECARE
CENTER INC
2445 BROADWAY ST
QUINCY, IL 62301-3257
PHONE: (217) 222-8800
LEYENDECKERS, MERVI, OD
GENDER: F
NPI #:1083711642
BROADWAY VISION
CENTER
926 BROADWAY
QUINCY, IL 62301
PHONE: (217) 222-6888
MCDOUGALL, JOHN H., OD
GENDER: M
NPI #:1780633008
INTERNATIONAL EYECARE
CENTER INC
2445 BROADWAY ST
QUINCY, IL 62301-3257
PHONE: (217) 222-8800
MCDOWELL, JASON E., OD
GENDER: M
NPI #:1215986393
INTERNATIONAL EYECARE
CENTER INC
2445 BROADWAY ST
QUINCY, IL 62301
PHONE: (217) 222-8800
Optometry Care Providers
MUELLER, KENNETH R., OD
GENDER: M
NPI #:1013966076
INTERNATIONAL EYECARE
CENTER INC
2445 BROADWAY
QUINCY, IL 62301-3257
PHONE: (217) 222-8800
KELLEY, JAMES B., OD
GENDER: M
NPI #:1073590592
CHITTICK FAMILY EYE
CARE
1291 E GROVE ST
RANTOUL, IL 61866
PHONE: (217) 892-2727
THOELE, JONATHON P., OD
GENDER: M
NPI #:1114282548
INTERNATIONAL EYECARE
CENTER INC
2445 BROADWAY ST
QUINCY, IL 62301-3257
PHONE: (217) 222-8800
KRUGER, DAVID P., OD
GENDER: M
NPI #:1063524775
WALMART VISION CENTER
845 BROADMEADOW RD
RANTOUL, IL 61866
PHONE: (217) 892-5095
THOELE, RYAN, OD
GENDER: M
NPI #:1700144029
INTERNATIONAL EYECARE
CENTER INC
2445 BROADWAY ST
QUINCY, IL 62301-3257
PHONE: (217) 222-8800
RANTOUL, IL
OPTOMETRY
BROTHERS, JOHN E., OD
GENDER: M
NPI #:1104899053
CHITTICK FAMILY EYE
CARE
1291 E GROVE ST
RANTOUL, IL 61866
PHONE: (217) 892-2727
HOPKINS, BRYAN J., OD
GENDER: M
NPI #:1346528569
CHITTICK FAMILY EYE
CARE
1291 E GROVE ST
RANTOUL, IL 61866
PHONE: (217) 892-2727
LEON, STEVE A., OD
GENDER: M
NPI #:1134182025
CHITTICK FAMILY EYE
CARE
1291 E GROVE ST
RANTOUL, IL 61866
PHONE: (217) 892-2727
LOHRBERG, JAMES D., OD
GENDER: M
NPI #:1821013582
CHITTICK FAMILY EYE
CARE
1291 E GROVE ST
RANTOUL, IL 61866
PHONE: (217) 892-2727
MALLADY, SHAWN P., OD
GENDER: M
NPI #:1891772331
CHITTICK FAMILY EYE
CARE
1291 E GROVE ST
RANTOUL, IL 61866
PHONE: (217) 892-2727
190
RANTOUL, IL
SPRING VALLEY, IL
Optometry Care Providers
OSHIRO-JOHNSON, CHERIE
A., OD
GENDER: F
NPI #:1790762144
CHITTICK FAMILY EYE
CARE
1291 E GROVE ST
RANTOUL, IL 61866
PHONE: (217) 892-2727
PELLEGRINI, MARK A., OD
GENDER: M
NPI #:1720065246
CHITTICK FAMILY EYE
CARE
1291 E GROVE ST
RANTOUL, IL 61866
PHONE: (217) 892-2727
SERFOSS, RONALD, OD
GENDER: M
NPI #:1790762243
CHITTICK FAMILY EYE
CARE
1291 E GROVE ST
RANTOUL, IL 61866
PHONE: (217) 892-2727
ROBINSON, IL
OPTOMETRY
BEDWELL, WILLIAM H., OD
GENDER: M
NPI #:1609877661
905 W MEFFORD ST
ROBINSON, IL 62454
PHONE: (618) 544-3525
WIETIES, TAMMY L., OD
GENDER: F
NPI #:1467453993
WILLIAM H BEDWELL OD
905 W MEFFORD ST
ROBINSON, IL 62454
PHONE: (618) 544-3525
191
ROCHELLE, IL
SPRING VALLEY, IL
OPTOMETRY
OPTOMETRY
MLSNA, REID E., OD
GENDER: M
NPI #:1174694343
THE ROCHELLE EYE CARE
CENTER
719 LINCOLN AVE
ROCHELLE, IL 61068
PHONE: (815) 562-6175
BLANCO, JEFFREY J., OD
GENDER: M
NPI #:1952454191
BLANCO KAYS EYECARE
LLC
200 W DAKOTA ST
SPRING VALLEY, IL 61362
PHONE: (815) 663-8281
ROMEOVILLE, IL
OPTOMETRY
BHAR, NINA, OD
GENDER: F
NPI #:1043373939
NAYON EYE CENTER
388 S WEBER RD
ROMEOVILLE, IL 60446
PHONE: (815) 609-6300
SAVOY, IL
OPTOMETRY
BROTHERS, JOHN E., OD
GENDER: M
NPI #:1104899053
CHITTICK FAMILY EYE
CARE
8 DUNLAP CT
SAVOY, IL 61874
PHONE: (217) 398-2020
LEON, STEVE A., OD
GENDER: M
NPI #:1134182025
CHITTICK FAMILY EYE
CARE
8 DUNLAP CT
SAVOY, IL 61874
PHONE: (217) 398-2020
KAYS, RYAN H., OD
GENDER: M
NPI #:1578640744
BLANCO KAYS EYECARE
LLC
200 W DAKOTA ST
SPRING VALLEY, IL 61362
PHONE: (815) 663-8281
KLEIN, KELLY L., OD
GENDER: F
NPI #:1376775262
EYESITE ILLINOIS VALLEY
LLC
215 RICHARD A MAUTINO
DR
SPRING VALLEY, IL 61362
PHONE: (815) 664-5331
KUNKEL, BETH A., OD
GENDER: F
NPI #:1912050527
EYESITE ILLINOIS VALLEY
LLC
215 RICHARD A MAUTINO
DR
SPRING VALLEY, IL 61362
PHONE: (815) 664-5331
KUNKEL, KENT A., OD
GENDER: M
NPI #:1134272842
EYESITE ILLINOIS VALLEY
LLC
215 RICHARD A MAUTINO
DR
SPRING VALLEY, IL 61362
PHONE: (815) 664-5331
SPRINGFIELD, IL
SPRINGFIELD, IL
SPRINGFIELD, IL
OPTOMETRY
BLOMBERG, SCOTT, OD
GENDER: M
NPI #:1033161732
SPRINGFIELD VISION CARE
ASSOCIATES
2741 PRAIRIE CROSSING DR
SPRINGFIELD, IL 62711
PHONE: (217) 528-3233
SPRINGFIELD VISION CARE
ASSOCIATION
121 N GRAND AVE WEST
SPRINGFIELD, IL 62702
PHONE: (217) 528-3233
BLUMTHAL, ROBERT J., OD
GENDER: M
NPI #:1578568077
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
Optometry Care Providers
VISION CARE ASSOCIATES
121 N GRAND AVE
SPRINGFIELD, IL 62702
PHONE: (217) 528-3233
HENDERSON, D WADE, OD
GENDER: M
NPI #:1578624573
HENDERSON EYE CENTER
3330 GINGER CREEK DR
SUITE C
SPRINGFIELD, IL 62711
PHONE: (217) 698-9477
HILL, SHAUN S., OD
GENDER: M
NPI #:1790886521
SPRINGFIELD VISION CARE
ASSOCIATES
2741 PRAIRIE CROSSING DR
SPRINGFIELD, IL 62711
PHONE: (217) 528-3233
VISION CARE ASSOCIATES
121 N GRAND AVE WEST
SPRINGFIELD, IL 62702
PHONE: (217) 528-3233
BRUCE, MICHAEL J., OD
GENDER: M
NPI #:1568481919
SPRINGFIELD VISION CARE
ASSOCIATES
2741 PRAIRIE CROSSING DR
SPRINGFIELD, IL 62711
PHONE: (217) 528-3233
HOLLAND, DAVID, OD
GENDER: M
NPI #:1326067752
SPRINGFIELD VISION CARE
ASSOCIATES
2741 PRAIRIE CROSSING DR
SPRINGFIELD, IL 62711
PHONE: (217) 528-3233
VISION CARE ASSOCIATES
121 N GRAND AVE
SPRINGFIELD, IL 62702
PHONE: (217) 528-3233
VISION CARE ASSOCIATES
121 N GRAND AVE
SPRINGFIELD, IL 62702
PHONE: (217) 528-3233
CLARK, ANDREW T., OD
GENDER: M
NPI #:1164447272
SPRINGFIELD VISION CARE
ASSOCIATES
2741 PRAIRIE CROSSING DR
SPRINGFIELD, IL 62711
PHONE: (217) 528-3233
JOHNSON, KEVIN L., OD
GENDER: M
NPI #:1922236264
HENDERSON EYE CENTER
3330 GINGER CREEK DR
SUITE C
SPRINGFIELD, IL 62711
PHONE: (217) 698-9477
JONES, W ERIC, OD
GENDER: M
NPI #:1528030095
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
KRAGER, KIM, OD
GENDER: F
NPI #:
EYE SHOPPE
1937 W ILES
SPRINGFIELD, IL 62704
PHONE: (217) 726-1299
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
KYSER, MARCY K., OD
GENDER: F
NPI #:1851529309
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
LOHRBERG, JAMES D., OD
GENDER: M
NPI #:1821013582
HENDERSON EYE CENTER
3330 GINGER CREEK DR
SUITE C
SPRINGFIELD, IL 62711
PHONE: (217) 698-9477
MACK, HARVEY G., OD
GENDER: M
NPI #:1386692630
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
192
Optometry Care Providers
MONTGOMERY, JEFFREY E.,
OD
GENDER: M
NPI #:1760431019
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
MOORE, BRIAN, OD
GENDER: M
NPI #:1033420575
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
MOORE, CHELSEY, OD
GENDER: F
NPI #:1235440777
SPRINGFIELD-PRAIRIE EYE
CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
MOUSHON, GAYLAN W., OD
GENDER: M
NPI #:1548395049
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
NOAKES, NATHAN L., OD
GENDER: M
NPI #:1437314200
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
OTTINO, JONATHAN L., OD
GENDER: M
NPI #:1619056629
SPRINGFIELD VISION CARE
ASSOCIATES
121 N GRAND AVE W
SPRINGFIELD, IL 62702
PHONE: (217) 528-3233
193
2741 PRAIRIE CROSSING DR
SPRINGFIELD, IL 62711
PHONE: (217) 528-3233
SABETTI, JOSEPH A., OD
GENDER: M
NPI #:1316997182
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
SWETLISHNOFF, DALE J., MD
GENDER: M
NPI #:1649233057
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
VALENTI, ROBIN B., OD
GENDER: F
NPI #:1780677377
EYE SHOPPE
1937 W ISLES
SPRINGFIELD, IL 62704
PHONE:
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
VITS, DARRIN G., OD
GENDER: M
NPI #:1164502001
EYE SHOPPE
1937 W ILES
SPRINGFIELD, IL 62704
PHONE: (217) 726-1299
SPRINGFIELD CLINIC LLP
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
SPRINGFIELD CLINIC
OPTICAL CENTER WEST
1937 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 726-1299
SPRINGFIELD, IL
STERLING, IL
WALLER, JENNIFER M., OD
GENDER: F
NPI #:1861440612
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
WILKISON, THOMAS A., OD
GENDER: M
NPI #:1164561338
SPRINGFIELD CLINIC
1937 W ILES
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
SPRINGFIELD CLINIC LLP
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
STAUNTON, IL
OPTOMETRY
MOORE, STEVEN W., OD
GENDER: M
NPI #:1730154709
TAYLORVILLE VISION
CENTER
207 W MAIN
STAUNTON, IL 62088
PHONE: (618) 635-2424
STERLING, IL
OPTOMETRY
ATKINS, CHARLES, OD
GENDER: M
NPI #:1154318749
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
STERLING, IL
STERLING, IL
Optometry Care Providers
GABLER, DANIELLE M., OD
GENDER: F
NPI #:1699087361
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
KWAN, KATHERINE, OD
GENDER: F
NPI #:1619109329
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
RICHMOND, RONALD L., OD
GENDER: M
NPI #:1184611766
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
HAHN, MARK D., OD
GENDER: M
NPI #:1528055969
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
PATEL, TEJAL, OD
GENDER: F
NPI #:1134116585
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
SCHAIDLE, KENNETH A., OD
GENDER: M
NPI #:1639166226
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
HENSON, BRIAN D., OD
GENDER: M
NPI #:1184782112
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
PATEL-GARUD, RACHANA,
OD
GENDER: F
NPI #:1629148804
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
SCHMIDT, ROBERT, OD
GENDER: M
NPI #:1275520850
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
JACKSON, JOSEPH B., OD
GENDER: M
NPI #:1649352691
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (309) 693-9540
KEITH, JEREMY D., OD
GENDER: M
NPI #:1578875167
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
KIRK, KARLA Y., OD
GENDER: F
NPI #:1730290347
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
PELFREY-JONES, SANDRA
R., OD
GENDER: F
NPI #:1770589244
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
PETERSON, LELAND D., OD
GENDER: M
NPI #:1962608836
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
RADTKE, ELIZABETH, OD
GENDER: F
NPI #:1619256013
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
SHELLEY, TIMOTHY D., OD
GENDER: M
NPI #:1699762047
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
SONNENBURG, DAVID P., OD
GENDER: M
NPI #:1760797120
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
SUTTLE, CARRIE A., OD
GENDER: F
NPI #:1821323585
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (309) 693-9540
194
STERLING, IL
URBANA, IL
Optometry Care Providers
TWENHAFEL, STACY A., OD
GENDER: F
NPI #:1407901051
BARD OPTICAL
3215 E LINCOLN WAY
STERLING, IL 61081
PHONE: (815) 626-6006
VASILNEK, NICOLE M., OD
GENDER: F
NPI #:1790072924
BARD OPTICAL
3215 E LINCOLNWAY
STERLING, IL 61081
PHONE: (815) 626-6006
SULLIVAN, IL
OPTOMETRY
BEST, THOMAS, OD
GENDER: M
NPI #:1275694960
SULLIVAN EYECARE CLINIC
108 E HARRISON ST
SULLIVAN, IL 61951
PHONE:
BOYD, JAMISON T., OD
GENDER: M
NPI #:1326008137
SULLIVAN EYECARE CLINIC
108 E HARRISON ST
SULLIVAN, IL 61951
PHONE:
JANSSEN, ALICIA U., OD
GENDER: F
NPI #:1831487610
CENTRAL ILLINOIS
OPTOMETRY ASSOCIATES
LTD
900 SPRINGFIELD RD
TAYLORVILLE, IL 62568
PHONE: (217) 824-4991
MOORE, STEVEN W., OD
GENDER: M
NPI #:1730154709
TAYLORVILLE VISION
CENTER
108 S MAIN
TAYLORVILLE, IL 62568
PHONE: (217) 287-2020
RABE, DENNIS, OD
GENDER: M
NPI #:1710980560
CENTRAL ILLINOIS
OPTOMETRY
900 SPRINGFIELD RD
TAYLORVILLE, IL 62568
PHONE: (217) 824-4991
SMOTHERS-CHAMPLEY,
DEBRA S., OD
GENDER: F
NPI #:1144223983
CENTRAL ILLINOIS
OPTOMETRY
900 SPRINGFIELD RD
TAYLORVILLE, IL 62568
PHONE: (217) 824-4991
TAYLORVILLE, IL
OPTOMETRY
BLACKMAN, GARY, OD
GENDER: M
NPI #:1699778456
CENTRAL ILLINOIS
OPTOMETRY
900 SPRINGFIELD RD
TAYLORVILLE, IL 62568
PHONE: (217) 824-4991
195
TUSCOLA, IL
OPTOMETRY
BEST, THOMAS, OD
GENDER: M
NPI #:1275694960
TUSCOLA EYE CARE
CENTER
902 S COURT ST SUITE 1
TUSCOLA, IL 61953
PHONE: (217) 253-2220
BOYD, JAMISON T., OD
GENDER: M
NPI #:1326008137
TUSCOLA EYE CARE
CENTER
902 S COURT ST SUITE 1
TUSCOLA, IL 61953
PHONE: (217) 253-2220
URBANA, IL
OPTOMETRY
ELLIS, DAVID H., OD
GENDER: M
NPI #:1144322967
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3150
JOHNSON, DAVID A., OD
GENDER: M
NPI #:1386669075
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3150
OHL, D S., OD
GENDER: M
NPI #:1366551541
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3150
OSHIRO-JOHNSON, CHERIE
A., OD
GENDER: F
NPI #:1790762144
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3150
URBANA, IL
WASHINGTON, IL
WILLIAMS, JOHN M., OD
GENDER: M
NPI #:1790880714
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3150
VILLA GROVE, IL
OPTOMETRY
LEON, STEVE A., OD
GENDER: M
NPI #:1134182025
LEON OPTOMETRIC CLINIC
10 W ADAMS PO BOX 200
VILLA GROVE, IL 61956
PHONE: (217) 832-2111
VIRDEN, IL
OPTOMETRY
HEDRICK, KEITH, OD
GENDER: M
NPI #:1013914571
119 N SPRINGFIELD
VIRDEN, IL 62690
PHONE: (217) 965-3306
JANSSEN, ALICIA U., OD
GENDER: F
NPI #:1831487610
ADVANCED EYECARE OF
VIRDEN
119 N SPRINGFIELD
VIRDEN, IL 62690
PHONE: (800) 248-1170
RABE, DENNIS, OD
GENDER: M
NPI #:1710980560
ADVANCED EYECARE
119 N SPRINGFIELD
VIRDEN, IL 62690
PHONE: (800) 248-1170
Optometry Care Providers
RUBRICH, KAREN, OD
GENDER: F
NPI #:1871590331
119 N SPRINGFIELD
VIRDEN, IL 62690
PHONE: (217) 965-3306
WASHINGTON, IL
OPTOMETRY
ATKINS, CHARLES, OD
GENDER: M
NPI #:1154318749
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
FUNK, TODD E., OD
GENDER: M
NPI #:1013914068
TRI-COUNTY EYE CLINIC
100 HILLCREST DR SUITE B
WASHINGTON, IL 61571
PHONE: (309) 444-5188
GABLER, DANIELLE M., OD
GENDER: F
NPI #:1699087361
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 691-1320
HAHN, MARK D., OD
GENDER: M
NPI #:1528055969
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
HENSON, BRIAN D., OD
GENDER: M
NPI #:1184782112
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 691-1320
JACKSON, JOSEPH B., OD
GENDER: M
NPI #:1649352691
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
JENSEN, STEVEN T., OD
GENDER: M
NPI #:1942587589
EYECARE FOCUS
93 EASTGATE DR
WASHINGTON, IL 61571
PHONE: (309) 698-2020
KEITH, JEREMY D., OD
GENDER: M
NPI #:1578875167
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
KIRK, KARLA Y., OD
GENDER: F
NPI #:1730290347
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
KWAN, KATHERINE, OD
GENDER: F
NPI #:1619109329
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 691-1320
PATEL, TEJAL, OD
GENDER: F
NPI #:1134116585
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
196
Optometry Care Providers
PATEL-GARUD, RACHANA,
OD
GENDER: F
NPI #:1629148804
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
PELFREY-JONES, SANDRA
R., OD
GENDER: F
NPI #:1770589244
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 691-1320
PETERSON, LELAND D., OD
GENDER: M
NPI #:1962608836
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 691-1320
POTTER, J ALLEN, OD
GENDER: M
NPI #:1467454496
EYECARE FOCUS
93 EASTGATE DR
WASHINGTON, IL 61571
PHONE: (309) 698-2020
RADTKE, ELIZABETH, OD
GENDER: F
NPI #:1619256013
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
RICHMOND, RONALD L., OD
GENDER: M
NPI #:1184611766
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
197
WASHINGTON, IL
WATSEKA, IL
SCHAIDLE, KENNETH A., OD
GENDER: M
NPI #:1639166226
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
TWENHAFEL, STACY A., OD
GENDER: F
NPI #:1407901051
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
SCHMIDT, ROBERT, OD
GENDER: M
NPI #:1275520850
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
VASILNEK, NICOLE M., OD
GENDER: F
NPI #:1790072924
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
SHELLEY, TIMOTHY D., OD
GENDER: M
NPI #:1699762047
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
SONNENBURG, DAVID P., OD
GENDER: M
NPI #:1760797120
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 444-2277
SUTTLE, CARRIE A., OD
GENDER: F
NPI #:1821323585
BARD OPTICAL
8 CHERRY TREE CENTER
WASHINGTON, IL 61571
PHONE: (309) 691-1320
THOMAS, TINA R., OD
GENDER: F
NPI #:1285633693
THOMAS EYE CARE
1009 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 444-8811
WATSEKA, IL
OPTOMETRY
BEREKETAB, ELILTA, OD
GENDER: F
NPI #:1598712002
GAILEY EYE CLINIC
123 N EIGHTH ST
WATSEKA, IL 60970
PHONE: (815) 432-2020
CLARK, KRISTEN N., OD
GENDER: F
NPI #:1306134317
GAILEY EYE CLINIC
123 N EIGHTH ST
WATSEKA, IL 60970
PHONE: (815) 432-2020
IMES, DAVID R., OD
GENDER: M
NPI #:1881744894
GAILEY EYE CLINIC
123 N EIGHTH ST
WATSEKA, IL 60970
PHONE: (815) 432-2020
KOEHLER, SHAWN M., OD
GENDER: M
NPI #:1336180876
GAILEY EYE CLINIC
123 N EIGHTH ST
WATSEKA, IL 60970
PHONE: (815) 432-2020
ALEDO, IL
BARTONVILLE, IL
ALEDO, IL
Specialty Care Providers
ASTORIA, IL
GENERAL SURGERY
GENERAL SURGERY
RATTANANONT, PRASOP,
MD
GENDER: M
NPI #: 1154326072
MEDICAL ASSOCIATES
CLINIC
1007 NW 3RD ST
ALEDO, IL 61231
PHONE: (309) 582-3789
E-PRESCRIBE: NO
KANTHILAL, SEMBU K., MD
GENDER: M
NPI #: 1619922143
COMMUNITY MEDICAL
CLINIC
135 BROADWAY
ASTORIA, IL 61501
PHONE: (309) 329-2926
E-PRESCRIBE: NO
ORTHOPAEDICS
GERNANT, MICHAEL L., MD
GENDER: M
NPI #: 1740274240
GALESBURG ORTHOPEDIC
SERVICES
409 N W 9TH AVE
ALEDO, IL 61231
PHONE: (309) 342-0194
E-PRESCRIBE: NO
ARTHUR, IL
SPORTS MEDICINE
HARTMAN, PATRICK, MD
GENDER: M
NPI #: 1861508160
SBL ARTHUR CLINIC
211 S WALNUT
ARTHUR, IL 61911
PHONE: (217) 543-3444
E-PRESCRIBE: NO
AURORA, IL
INFECTIOUS DISEASES
HUSTON, MARCIA J., MD
GENDER: F
NPI #: 1942234984
OPEN DOOR CLINIC
157 S LINCOLN AVE SUITE K
AURORA, IL 60505
PHONE:
E-PRESCRIBE: NO
NEUROSURGERY
NIMMAGADDA, ANITHA, MD
GENDER: F
NPI #: 1558686964
PROVENA MEDICAL GROUP
1315 N HIGHLAND AVE
SUITE 201
AURORA, IL 60506
PHONE: (630) 906-7176
E-PRESCRIBE: NO
VELIMIROVIC, BRATISLAV
M., MD
GENDER: M
NPI #: 1477533081
PROVENA SERVICE
CORPORATION
1315 N HIGHLAND SUITE 201
AURORA, IL 60506
PHONE:
E-PRESCRIBE: NO
OCCUPATIONAL MEDICINE
WOODWARD, CHARLES G.,
MD
GENDER: M
NPI #: 1598987463
PROVENA MEDICAL GROUP
1320 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8159
E-PRESCRIBE: NO
PAIN MANAGEMENT
BATHINA, RAMESH, MD
GENDER: M
NPI #: 1417060146
AURORA PAIN CLINIC LTD
1315 N HIGHLAND AVE
SUITE 105
AURORA, IL 60506
PHONE: (630) 947-9957
E-PRESCRIBE: NO
PHYSICAL MEDICINE/
REHABILITATION
WOODWARD, CHARLES G.,
MD
GENDER: M
NPI #: 1598987463
PROVENA MEDICAL GROUP
1320 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-8159
E-PRESCRIBE: NO
BARTONVILLE, IL
GENERAL SURGERY
REID, W SCOTT, DO
GENDER: M
NPI #: 1932180387
MID ILLINI SURGICAL
ASSOCIATES
1506 W GARFIELD AVE
BARTONVILLE, IL 61607
PHONE: (309) 697-2416
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
198
BARTONVILLE, IL
BLOOMINGTON, IL
Specialty Care Providers
PODIATRY
EVANS, GRETCHEN M., DPM
GENDER: F
NPI #: 1477504710
RUSKUSKY FOOT & ANKLE
CLINIC
1506 W GARFIELD AVE
BARTONVILLE, IL 61607
PHONE: (309) 694-7585
E-PRESCRIBE: NO
RUSKUSKY, JEFFREY R.,
DPM
GENDER: M
NPI #: 1639129851
RUSKUSKY FOOT & ANKLE
CLINIC
1506 W GARFIELD AVE
BARTONVILLE, IL 61607
PHONE: (309) 694-7585
E-PRESCRIBE: NO
BEARDSTOWN, IL
ALLERGY/IMMUNOLOGY
CULP, JEFFREY A., MD
GENDER: M
NPI #: 1023156734
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
ULBRICH, MARK S., MD
GENDER: M
NPI #: 1578511390
BLOOMINGTON PEDIATRICS
& ALLERGY
306 SAINT JOSEPH DRIVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-0504
E-PRESCRIBE: NO
CARDIOLOGY
GENERAL SURGERY
KANTHILAL, SEMBU K., MD
GENDER: M
NPI #: 1619922143
ELMER HUGH TAYLOR
CLINIC
100 W 15TH ST
BEARDSTOWN, IL 62618
PHONE: (217) 323-2245
E-PRESCRIBE: NO
OPHTHALMOLOGY
SUTTON, DAVID P., MD
GENDER: M
NPI #: 1508826918
PRAIRIE EYE CENTER LTD
106 E MAIN
BEARDSTOWN, IL 62618
PHONE:
E-PRESCRIBE: NO
199
BLOOMINGTON, IL
AGARWAL, YOGESH K., MD
GENDER: M
NPI #: 1336142017
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
BEST, DAVID G., MD
GENDER: M
NPI #: 1447284989
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
CHU, ALFRED A., MD
GENDER: M
NPI #: 1922181916
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
CHU, GUOXIANG, MD
GENDER: M
NPI #: 1295946580
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
CRAWFORD, ROBERT D., MD
GENDER: M
NPI #: 1336179449
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 665-5800
E-PRESCRIBE: NO
GOLDBERG, STEVEN E., MD
GENDER: M
NPI #: 1316937725
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
GUMM, DARREL C., MD
GENDER: M
NPI #: 1669406054
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 665-5800
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BLOOMINGTON, IL
BLOOMINGTON, IL
HSU, MARK, MD
GENDER: M
NPI #: 1376573428
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 665-5800
E-PRESCRIBE: NO
MALIK, MUHAMMAD, MD
GENDER: M
NPI #: 1447284864
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 665-5800
E-PRESCRIBE: NO
MCELROY, DONALD B., MD
GENDER: M
NPI #: 1598799926
HEARTCARE MIDWEST SC
1505 EASTLAND DR STE 110
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 665-5800
E-PRESCRIBE: NO
MIKHAIL-WASSEF, MAHA,
MD
GENDER: F
NPI #: 1063511095
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
Specialty Care Providers
MURPHY, PATRICK B., MD
GENDER: M
NPI #: 1497703367
CARDIVASCULAR HEALTH
SPECIALISTS
1505 EASTLAND DR SUITE
1400
BLOOMINGTON, IL 617013534
PHONE: (309) 825-6252
E-PRESCRIBE: NO
NOVAK, WILLIAM V., MD
GENDER: M
NPI #: 1740367895
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
110
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
PERINCHERY, ANITHA M.,
MD
GENDER: F
NPI #: 1740292564
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
RABJOHNS, RONALD R., MD
GENDER: M
NPI #: 1972533925
HEARTCARE MIDWEST SC
1505 EASTLAND DR STE 110
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 665-5800
E-PRESCRIBE: NO
RASHID, JOHN F., MD
GENDER: M
NPI #: 1386674349
HEARTCARE MIDWEST SC
1505 EASTLAND DR STE 110
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 665-5800
E-PRESCRIBE: NO
SCHMIDT, PAUL, MD
GENDER: M
NPI #: 1023048089
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 665-5800
E-PRESCRIBE: NO
STANCU, MIHAELA M., MD
GENDER: F
NPI #: 1689877136
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
330
BLOOMINGTON, IL 61701
PHONE: (309) 663-9800
E-PRESCRIBE: NO
CARDIOTHORACIC
SURGERY
VANLE, JESSE L., MD
GENDER: M
NPI #: 1366435224
HEARTCARE MIDWEST SC
1505 EASTLAND DR STE 210
BLOOMINGTON, IL 61701
PHONE: (309) 662-5506
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
200
Specialty Care Providers
BLOOMINGTON, IL
BLOOMINGTON, IL
DERMATOLOGY
GASTROENTEROLOGY
GENERAL SURGERY
LEONE, DOUGLAS M., MD
GENDER: M
NPI #: 1255523296
DERMATOLOGY & MOHS
SURGERY INSTITUTE LTD
3024 E EMPIRE ST STE E
BLOOMINGTON, IL 61704
PHONE: (309) 451-3376
E-PRESCRIBE: NO
KHOKHAR, OMAR S., MD
GENDER: M
NPI #: 1386865244
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
TAULBEE, KENT S., MD
GENDER: M
NPI #: 1366442444
2418 E LINCOLN
BLOOMINGTON, IL 61701
PHONE: (309) 663-6386
E-PRESCRIBE: NO
ENDOCRINOLOGY
LEAK, BENJAMIN J., MD
GENDER: M
NPI #: 1043248867
KULB, CHALIAN & LEAK
UROLOGY
1401 EASTLAND DR SUITE B
BLOOMINGTON, IL 61701
PHONE: (309) 663-9424
E-PRESCRIBE: NO
ESCH, JOHN S., MD
GENDER: M
NPI #: 1558393124
ESCH WIELAND & NAOUR
LLC
1505 EASTLAND DR SUITE
2300
BLOOMINGTON, IL 61701
PHONE: (309) 662-9022
E-PRESCRIBE: NO
KUMAR, VIJAY, MD
GENDER: M
NPI #: 1992858617
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
POTTER, JON W., MD
GENDER: M
NPI #: 1093785180
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
FACIAL PLASTIC AND
RECONSTRUCTIVE
SURGERY
RZEPCZYNSKI, DAVID G., MD
GENDER: M
NPI #: 1497862817
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
AMBLE, FINN R., MD
GENDER: M
NPI #: 1063442457
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
201
HOLT, TRAVIS A., MD
GENDER: M
NPI #: 1932320819
OSF MEDICAL GROUPCOLLEGE AVE
1505 EASTLAND DR SUITE
2300
BLOOMINGTON, IL 61701
PHONE: (309) 662-9022
E-PRESCRIBE: NO
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
HSU, JOHN W., MD
GENDER: M
NPI #: 1043439748
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: YES
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BLOOMINGTON, IL
BLOOMINGTON, IL
Specialty Care Providers
NAOUR, DAVID H., MD
GENDER: M
NPI #: 1174552228
INTEGRATED SURGICAL
SPECIALISTS LLC
1505 EASTLAND DR SUITE
2300
BLOOMINGTON, IL 61701
PHONE: (309) 662-9022
E-PRESCRIBE: NO
WIELAND, JOHN M., MD
GENDER: M
NPI #: 1790717387
INTEGRATED SURGICAL
SPECIALISTS LLC
1505 EASTLAND DR SUITE
2300
BLOOMINGTON, IL 61701
PHONE: (309) 662-9022
E-PRESCRIBE: NO
OCONNOR, TIMOTHY P., MD
GENDER: M
NPI #: 1710974597
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
YOUNG, MICHEAL S., MD
GENDER: M
NPI #: 1033214994
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
RAINES, LAWRENCE A., MD
GENDER: M
NPI #: 1487747481
SURGICAL ASSOCIATES OF
BLOOMINGTON
1404 EASTLAND DR SUITE
104
BLOOMINGTON, IL 61701
PHONE: (309) 663-4351
E-PRESCRIBE: NO
GERIATRICS
WIDERBORG, KATHERINE,
MD
GENDER: F
NPI #: 1588757579
INTEGRATED SURGICAL
SPECIALISTS LLC
1505 EASTLAND DR SUITE
2300
BLOOMINGTON, IL 61701
PHONE: (309) 662-9022
E-PRESCRIBE: NO
DEOSKAR, UDAY L., MD
GENDER: M
NPI #: 1386733145
SENIOR HEALTH &
GERIATRICS OF CENTRAL
ILLINOIS
2103 E WASHINGTON ST
SUITE 2C
BLOOMINGTON, IL 61701
PHONE: (309) 663-5810
E-PRESCRIBE: NO
HEMATOLOGY
VUKOV, ALLEN M., MD
GENDER: M
NPI #: 1396744611
ILLINOIS CANCERCARE
1505 EASTLAND DR SUITE
110
BLOOMINGTON, IL 61701
PHONE: (309) 662-2102
E-PRESCRIBE: YES
HEMATOLOGY/ONCOLOGY
GERSTNER, GREGORY J., MD
GENDER: M
NPI #: 1629288659
ILLINOIS CANCERCARE
1505 EASTLAND DR #LL1400
BLOOMINGTON, IL 61701
PHONE: (309) 662-2102
E-PRESCRIBE: YES
1505 EASTLAND DR SUITE
110
BLOOMINGTON, IL 61701
PHONE: (309) 661-9400
E-PRESCRIBE: YES
GOMEZ, PATRICK L., MD
GENDER: M
NPI #: 1972640134
ILLINOIS CANCERCARE
1505 EASTLAND DR SUITE
LL1400
BLOOMINGTON, IL 61701
PHONE: (309) 662-2102
E-PRESCRIBE: YES
KNOST, JAMES A., MD
GENDER: M
NPI #: 1245239565
ILLINOIS CANCERCARE
1505 EASTLAND DR SUITE
110
BLOOMINGTON, IL 61701
PHONE: (309) 662-2102
E-PRESCRIBE: YES
INTENSIVE CARE/CRITICAL
CARE
DODDA, VENKATA R., MD
GENDER: M
NPI #: 1013194042
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
202
Specialty Care Providers
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
NEPHROLOGY
ALONSO, ALEXANDER J., MD
GENDER: M
NPI #: 1124152707
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
BRUHA, ROBERT, MD
GENDER: M
NPI #: 1043340367
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R.,
MD
GENDER: F
NPI #: 1447328828
RENCALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: YES
DREYER, PAUL T., MD
GENDER: M
NPI #: 1194855528
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
HORINEK, ANTHONY R., MD
GENDER: M
NPI #: 1609907195
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
203
JAMES, GORDON W., MD
GENDER: M
NPI #: 1124158431
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
PFLEDERER, BENJAMIN R.,
MD
GENDER: M
NPI #: 1306976964
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
BLOOMINGTON, IL
BLOOMINGTON, IL
PFLEDERER, TIMOTHY A.,
MD
GENDER: M
NPI #: 1154451573
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
ROSBOROUGH, DAVID C.,
MD
GENDER: M
NPI #: 1619007275
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
SADER, SAMER B., MD
GENDER: M
NPI #: 1831220318
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
SHRISHRIMAL, KUMARPAL
C., MD
GENDER: M
NPI #: 1023217551
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BLOOMINGTON, IL
BLOOMINGTON, IL
Specialty Care Providers
SPARROW, ROBERT T., MD
GENDER: M
NPI #: 1134259781
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
HAYDEN, CURTIS J., MD
GENDER: M
NPI #: 1760588248
MCLEAN COUNTY
NEUROLOGY
2204 EASTLAND DR
BLOOMINGTON, IL 61704
PHONE: (309) 662-9461
E-PRESCRIBE: NO
SEIBLY, JASON M., DO
GENDER: M
NPI #: 1972789238
DIAGNOSTIC NEURO
TECHNOLOGY LLC
1015 S MERCER AVE
BLOOMINGTON, IL 61702
PHONE: (309) 663-0463
E-PRESCRIBE: NO
SRINIVASAN,
PARTHASARATHY, MD
GENDER: M
NPI #: 1134199359
RENALCARE ASSOCIATES
1404 EASTLAND DR SUITE
103
BLOOMINGTON, IL 61701
PHONE: (309) 663-4766
E-PRESCRIBE: NO
LASHER, RICK, MD
GENDER: M
NPI #: 1972635803
NEUROLOGY ASSOCIATES
1015 S MERCER AVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-7500
E-PRESCRIBE: NO
NEURORADIOLOGY
NEUROLOGY
DAVID, EFRAIM P., MD
GENDER: M
NPI #: 1730120411
OSF NEUROLOGY
2204 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-9461
E-PRESCRIBE: NO
DICK JR, HERMAN J., MD
GENDER: M
NPI #: 1891891370
MCLEAN COUNTY
NEUROLOGY
2204 EASTLAND DR
BLOOMINGTON, IL 61704
PHONE: (309) 662-9461
E-PRESCRIBE: NO
DICK, HERMAN J., MD
GENDER: M
NPI #: 1891891370
MCLEAN COUNTY
NEUROLOGY
2204 EASTLAND DR
BLOOMINGTON, IL 61704
PHONE: (309) 662-9461
E-PRESCRIBE: NO
LI, FANG, MD
GENDER: F
NPI #: 1356447841
MCLEAN COUNTY
NEUROLOGY
2204 EASTLAND DR
BLOOMINGTON, IL 61704
PHONE: (309) 662-9461
E-PRESCRIBE: NO
PEGG, EDWARD W., MD
GENDER: M
NPI #: 1043392160
1505 EASTLAND DR SUITE
2400
BLOOMINGTON, IL 61701
PHONE: (309) 661-7344
E-PRESCRIBE: NO
RAINO, WILLIAM H., MD
GENDER: M
NPI #: 1386738375
OSF MEDICAL GROUP
2204 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-9461
E-PRESCRIBE: NO
MANNESS, WAYNE K., MD
GENDER: M
NPI #: 1710936497
ADVOCATE CENTRAL
ILLINOIS
NEURORADIOLOGY LTD
1401 EASTLAND DR SUITE C
BLOOMINGTON, IL 61701
PHONE: (309) 661-3355
E-PRESCRIBE: NO
1709 JUMER DR SUITE B
BLOOMINGTON, IL 61704
PHONE: (309) 268-3444
E-PRESCRIBE: NO
MANNESS, WAYNE, MD
GENDER: M
NPI #: 1710936497
ADVOCATE CENTRAL
ILLINOIS
NEURORADIOLOGY LTD
1709 JUMER DR SUITE B
BLOOMINGTON, IL 61704
PHONE: (309) 268-3444
E-PRESCRIBE: NO
NEUROSURGERY
NARDONE, EMILIO M., MD
GENDER: M
NPI #: 1538195920
CENTRAL ILLINOIS
NEUROHEALTH SCIENCES
1015 S MERCER AVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-7500
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
204
Specialty Care Providers
SEIBLY, JASON M., DO
GENDER: M
NPI #: 1972789238
CENTRAL ILLINOIS
NEUROHEALTH SCIENCES
1015 S MERCER AVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-7500
E-PRESCRIBE: NO
SUTTER, THOMAS, DO
GENDER: M
NPI #: 1972614683
AMG OCCUPATIONAL
HEALTH CENTRAL
3024 E EMPIRE
BLOOMINGTON, IL 61704
PHONE:
E-PRESCRIBE: NO
STROINK, ANN R., MD
GENDER: F
NPI #: 1548290158
CENTRAL ILLINOIS
NEUROHEALTH SCIENCES
1015 S MERCER AVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-7500
E-PRESCRIBE: NO
ONCOLOGY
OCCUPATIONAL MEDICINE
PRAGER, DIANE J., MD
GENDER: F
NPI #: 1003883562
ILLINOIS CANCERCARE
1505 EASTLAND DR SUITE
110
BLOOMINGTON, IL 61701
PHONE: (309) 662-2102
E-PRESCRIBE: YES
CHOW, MARY Y., MD
GENDER: F
NPI #: 1609896380
OSF ST JOSEPH MEDICAL
CENTER
1505 EASTLAND DR SUITE
1000
BLOOMINGTON, IL 61701
PHONE: (309) 661-6270
E-PRESCRIBE: NO
OPHTHALMOLOGY
MATHERS III, LESLIE E., MD
GENDER: M
NPI #: 1487675161
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
APTE, DIPALI, MD
GENDER: F
NPI #: 1528145455
GAILEY EYE CLINIC LTD
1008 N MAIN ST
BLOOMINGTON, IL 61702
PHONE: (800) 325-7706
E-PRESCRIBE: YES
205
APRAHAMIAN, ARA D., MD
GENDER: M
NPI #: 1528015013
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
E-PRESCRIBE: NO
BARBA, KENNETH R., MD
GENDER: M
NPI #: 1265473706
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
E-PRESCRIBE: NO
BLOOMINGTON, IL
BLOOMINGTON, IL
BHATIA, SUMIT P., MD
GENDER: M
NPI #: 1780670596
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
E-PRESCRIBE: NO
2501 E COLLEGE AVE SUITE
B
BLOOMINGTON, IL 61704
PHONE: (800) 325-7706
E-PRESCRIBE: NO
BROWNSTONE, DANIEL D.,
MD
GENDER: M
NPI #: 1942204599
EYE SURGICAL ASSOCIATES
SC
1505 EASTLAND DR SUITE
2200
BLOOMINGTON, IL 61701
PHONE: (309) 662-7700
E-PRESCRIBE: NO
CROCKETT, CATHERINE J.,
MD
GENDER: F
NPI #: 1295739746
EYE SURGICAL ASSOCIATES
SC
1505 EASTLAND DR SUITE
2200
BLOOMINGTON, IL 61701
PHONE: (309) 662-7700
E-PRESCRIBE: NO
HALPERIN, GREGORY I., MD
GENDER: M
NPI #: 1760423206
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BLOOMINGTON, IL
BLOOMINGTON, IL
Specialty Care Providers
HARMAN, JOSEPH G., MD
GENDER: M
NPI #: 1942241484
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
E-PRESCRIBE: NO
OESTER, ALAN E., MD
GENDER: M
NPI #: 1750503819
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
E-PRESCRIBE: NO
KHODADADEH, SARAH, MD
GENDER: F
NPI #: 1467642371
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
E-PRESCRIBE: NO
PINTER, SCOTT M., MD
GENDER: M
NPI #: 1174527626
EYE SURGICAL ASSOCIATES
SC
1505 EASTLAND DR SUITE
2200
BLOOMINGTON, IL 61701
PHONE: (309) 662-7700
E-PRESCRIBE: NO
KNUPP, JAMES A., MD
GENDER: M
NPI #: 1548211774
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
E-PRESCRIBE: NO
KRISTAL, LIBBY K., MD
GENDER: F
NPI #: 1326240144
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
E-PRESCRIBE: NO
LEE, ROBERT M., MD
GENDER: M
NPI #: 1699716118
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
E-PRESCRIBE: NO
QURAISHI, SABA, MD
GENDER: F
NPI #: 1801005384
BOND EYE ASSOCIATES
1228 N TOWANDA AVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-3937
E-PRESCRIBE: NO
RIGSBY, JESSE H., MD
GENDER: M
NPI #: 1447253646
GAILEY EYE CLINIC
1008 N MAIN ST
BLOOMINGTON, IL 61701
PHONE: (309) 829-5311
E-PRESCRIBE: NO
CHOKSHI, NIKHIL K., MD
GENDER: M
NPI #: 1942413018
MCLEAN COUNTY
ORTHOPEDICS
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-6461
E-PRESCRIBE: NO
DANGLES, CHRIS J., MD
GENDER: M
NPI #: 1669403077
ORTHOPEDICS & SPORTS
ENHANCEMENT CENTER
2406 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-9300
E-PRESCRIBE: NO
DUSTMAN, J ANTHONY, MD
GENDER: M
NPI #: 1760498497
ORTHOPEDIC & SPORTS
ENHANCEMENT CENTER
2406 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-9300
E-PRESCRIBE: NO
ORTHOPAEDICS
HANSON, MARK, MD
GENDER: M
NPI #: 1548276256
MCLEAN COUNTY
ORTHOPEDICS
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-6461
E-PRESCRIBE: NO
ATWATER, JOHN G., MD
GENDER: M
NPI #: 1932115656
MCLEAN COUNTY
ORTHOPEDICS
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-6461
E-PRESCRIBE: NO
KELLER, BRETT L., DO
GENDER: M
NPI #: 1407870876
CENTRAL ILLINOIS
ORTHOPEDIC SURGERY
1505 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-2278
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
206
Specialty Care Providers
808 ELDORADO RD SUITE 2W
BLOOMINGTON, IL 61704
PHONE: (309) 665-0232
E-PRESCRIBE: NO
NEWCOMER, JOSEPH, MD
GENDER: M
NPI #: 1285633420
MCLEAN COUNTY
ORTHOPEDICS
2502 E EMPIRE ST
BLOOMINGTON, IL 617043738
PHONE: (309) 663-6461
E-PRESCRIBE: NO
NORD, LAWRENCE A., MD
GENDER: M
NPI #: 1649290461
CENTRAL ILLINOIS
ORTHOPEDIC SURGERY
1505 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-2278
E-PRESCRIBE: NO
808 ELDORADO RD
BLOOMINGTON, IL 61704
PHONE: (309) 662-2278
E-PRESCRIBE: NO
NORRIS, JOSEPH, MD
GENDER: M
NPI #: 1285847939
MCLEAN COUNTY
ORTHOPEDICS
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-6461
E-PRESCRIBE: NO
ORTHOPEDIC & SPORTS
ENHANCEMENT CENTER
2406 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-9300
E-PRESCRIBE: NO
207
NOVOTNY, JOSEPH A., MD
GENDER: M
NPI #: 1881601144
MCLEAN COUNTY
ORTHOPEDICS
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-6461
E-PRESCRIBE: NO
OAKEY, JEROME W., MD
GENDER: M
NPI #: 1679580062
MCLEAN COUNTY
ORTHOPEDICS
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-6461
E-PRESCRIBE: NO
SEIDL, ROBERT K., MD
GENDER: M
NPI #: 1215046313
ORTHOPEDIC & SPORTS
ENHANCEMENT CENTER
2406 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-9300
E-PRESCRIBE: NO
WINGATE, JEFFREY K., MD
GENDER: M
NPI #: 1235117524
ORTHOPEDIC & SPORTS
ENHANCEMENT CENTER
2406 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-9300
E-PRESCRIBE: NO
OTOLARYNGOLOGY
LEE, DENNIS, MD
GENDER: M
NPI #: 1760543615
107 N REGENCY DR
BLOOMINGTON, IL 61701
PHONE: (309) 662-4411
E-PRESCRIBE: NO
BLOOMINGTON, IL
BLOOMINGTON, IL
RUSSELL, ROBERT T., MD
GENDER: M
NPI #: 1992813174
BLOOMINGTON NORMAL
EAR NOSE THROAT
1404 EASTLAND DR SUITE
209
BLOOMINGTON, IL 61701
PHONE: (309) 662-3277
E-PRESCRIBE: NO
OTORHINOLARYNGOLOGY/
HEAD AND NECK SURGERY
AMBLE, FINN R., MD
GENDER: M
NPI #: 1063442457
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
PAIN MANAGEMENT
BENYAMIN, RAMSIN, MD
GENDER: M
NPI #: 1215924410
MILLENNIUM PAIN CENTER
1015 S MERCER AVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-4321
E-PRESCRIBE: NO
BROADNAX, JOHN, MD
GENDER: M
NPI #: 1457409104
MILLENNIUM PAIN CENTER
1015 S MERCER AVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-4321
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BLOOMINGTON, IL
BLOOMINGTON, IL
HENRY, KEVIN M., MD
GENDER: M
NPI #: 1063490183
HEALTHCARE SOLUTIONS
OF BLOOMINGTON
11 CURRENCY DR SUITE 201
BLOOMINGTON, IL 61704
PHONE: (309) 665-0777
E-PRESCRIBE: NO
LI, JI, MD
GENDER: M
NPI #: 1558347310
APPLIED PAIN INSTITUTE
LLC
1015 S MERCER AVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-0088
E-PRESCRIBE: NO
REHMAN, ATIQ U., MD
GENDER: M
NPI #: 1457373730
MILLENNIUM PAIN CENTER
1015 S MERCER AVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-4321
E-PRESCRIBE: NO
TAIMOORAZY, BENJAMIN,
MD
GENDER: M
NPI #: 1134225790
GUARDIAN HEADACHE &
PAIN MANAGEMENT
INSTITUTE
2203 EASTLAND DR SUITE 7
BLOOMINGTON, IL 61704
PHONE: (309) 808-1700
E-PRESCRIBE: NO
VALLEJO, RICARDO, MD
GENDER: M
NPI #: 1669469706
MILLENNIUM PAIN CENTER
1015 S MERCER AVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-4321
E-PRESCRIBE: NO
Specialty Care Providers
PEDIATRIC DEVELOPMENT
MORTON, CHARLES T., MD
GENDER: M
NPI #: 1548281082
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
PEDIATRIC
GASTROENTEROLOGY
WANG, MU, MD
GENDER: M
NPI #: 1194799684
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
PEDIATRIC NEUROLOGY
KENNEDY, GAIL L., MD
GENDER: F
NPI #: 1457376725
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
PEDIATRIC PULMONOLOGY
DAVISON, DONALD F., MD
GENDER: M
NPI #: 1780629485
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
PHYSICAL MEDICINE/
REHABILITATION
BLOOMINGTON
REHABILITATION
ASSOCIATES
GENDER:
NPI #: 1619994431
1015 S MERCER AVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-7500
E-PRESCRIBE: NO
CARMICHAEL, CRAIG, MD
GENDER: M
NPI #: 1497761100
MCLEAN COUNTY
ORTHOPEDICS
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-6461
E-PRESCRIBE: NO
HEUM-JHEE, WON, MD
GENDER: M
NPI #:
CENTRAL ILLINOIS
NEUROHEALTH SCIENCES
1015 S MERCER AVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-7500
E-PRESCRIBE: NO
JHEE, WON H., MD
GENDER: M
NPI #: 1861411027
BLOOMINGTON
REHABILITATION
ASSOCIATES
1015 S MERCER AVE
BLOOMINGTON, IL 61701
PHONE: (309) 662-7500
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
208
Specialty Care Providers
RINK, CHRISTOPHER J., DO
GENDER: M
NPI #: 1063521169
OSF MEDICAL GROUP
COLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
PODIATRY
LOCKWOOD, MELISSA J.,
DPM
GENDER: F
NPI #: 1669664595
HEARTLAND FOOT AND
ANKLE ASSOCIATES PC
10 HEARTLAND DR SUITE B
BLOOMINGTON, IL 61704
PHONE: (309) 661-9975
E-PRESCRIBE: NO
ALLEN, OTIS, MD
GENDER: M
NPI #: 1306847900
1215 HOLIDAY LN
BLOOMINGTON, IL 61704
PHONE: (309) 827-3881
E-PRESCRIBE: NO
BROCK, KIRK, DPM
GENDER: M
NPI #: 1235240250
MIDSTATE PODIATRY
ASSOCIATES LTD
2708 MCGRAW DR
BLOOMINGTON, IL 61704
PHONE: (309) 663-2306
E-PRESCRIBE: NO
PAUL, GERALD W., DPM
GENDER: M
NPI #: 1790791416
MCLEAN COUNTY
ORTHOPEDICS
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-6461
E-PRESCRIBE: NO
HOLT, PAIGE B., MD
GENDER: F
NPI #: 1821026519
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
HADDEN, HAROLD, DPM
GENDER: M
NPI #: 1396766432
MIDSTATE PODIATRY
ASSOCIATES LTD
2708 MCGRAW DR
BLOOMINGTON, IL 61704
PHONE: (309) 663-2306
E-PRESCRIBE: NO
PAUL, GERALD, DPM
GENDER: M
NPI #: 1790791416
ORTHOPEDIC & SPORTS
ENHANCEMENT CENTER
2406 E EMPIRE
BLOOMINGTON, IL 61704
PHONE: (309) 663-9300
E-PRESCRIBE: NO
HAMM, BRIAN L., DPM
GENDER: M
NPI #: 1235101619
MCLEAN COUNTY
ORTHOPEDICS
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-6461
E-PRESCRIBE: NO
SETTER, JOSEPH R., DPM
GENDER: M
NPI #: 1215048202
MIDSTATE PODIATRY
ASSOCIATES LTD
2708 MCGRAW DR
BLOOMINGTON, IL 61704
PHONE: (309) 663-2306
E-PRESCRIBE: NO
LEONARD, W MARC, DPM
GENDER: M
NPI #: 1710098652
MIDSTATE PODIATRY
ASSOCIATES LTD
2708 MCGRAW DR
BLOOMINGTON, IL 61704
PHONE: (309) 663-2306
E-PRESCRIBE: NO
SNOEYINK, TODD C., DPM
GENDER: M
NPI #: 1811097033
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE
SURGERY
OSF MEDICAL GROUPCOLLEGE AVENUE PLASTIC
SURGERY
2502 E EMPIRE SUITE C
BLOOMINGTON, IL 61704
PHONE: (309) 664-4444
E-PRESCRIBE: NO
RANDOLPH, LAURA C., MD
GENDER: F
NPI #: 1710906557
LAURA C RANDOLPH MD SC
2502 E EMPIRE ST SUITE C
BLOOMINGTON, IL 61704
PHONE: (309) 664-6222
E-PRESCRIBE: NO
209
TATTINI, CHAD D., MD
GENDER: M
NPI #: 1992721005
CHAD D TATTINI MD LLC
2502 E EMPIRE ST SUITE C
BLOOMINGTON, IL 61704
PHONE: (309) 664-1007
E-PRESCRIBE: NO
BLOOMINGTON, IL
BLOOMINGTON, IL
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BLOOMINGTON, IL
BLOOMINGTON, IL
PULMONOLOGY
BOBAT, ISMAIL A., MD
GENDER: M
NPI #: 1750310553
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
MIDWEST CENTER FOR
SLEEP MEDICINE LLC
1709 JUMER DR
BLOOMINGTON, IL 61704
PHONE: (309) 662-9997
E-PRESCRIBE: NO
CHITTIVELU,
SUBRAMANYAM, MD
GENDER: M
NPI #: 1932195880
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
DODDA, VENKATA R., MD
GENDER: M
NPI #: 1013194042
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
Specialty Care Providers
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
HADID, WALID, MD
GENDER: M
NPI #: 1871549816
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
JAVAID, KAMRAN, MD
GENDER: M
NPI #: 1306030648
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
JON, MICHAEL C., MD
GENDER: M
NPI #: 1437244555
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
KASHYAP, RAVINDRA, MD
GENDER: M
NPI #: 1437145273
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
KOH, DAVID, MD
GENDER: M
NPI #: 1154361038
MIDWEST CENTER FOR
SLEEP MEDICINE LLC
1709 JUMER DR
BLOOMINGTON, IL 61704
PHONE: (309) 662-9997
E-PRESCRIBE: NO
MCVAY, BRYAN P., MD
GENDER: M
NPI #: 1073714176
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
MICHEL, JON C., MD
GENDER: M
NPI #: 1437244555
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
210
Specialty Care Providers
PATEL, SAURIN G., MD
GENDER: M
NPI #: 1336182880
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
TANEJA, DEEPAK, MD
GENDER: M
NPI #: 1841492394
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
TILLIS, WILLIAM P., MD
GENDER: M
NPI #: 1669468377
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
211
BLOOMINGTON, IL
BLOOMINGTON, IL
ZACHRIA, ANTHONY, MD
GENDER: M
NPI #: 1366542300
MIDWEST CENTER FOR
SLEEP MEDICINE LLC
1709 JUMER DR
BLOOMINGTON, IL 61704
PHONE: (309) 662-9997
E-PRESCRIBE: NO
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
MIDWEST CENTER FOR
SLEEP MEDICINE LLC
1709 JUMER DR
BLOOMINGTON, IL 61704
PHONE: (309) 662-9997
E-PRESCRIBE: NO
RHEUMATOLOGY
KOH, DAVID, MD
GENDER: M
NPI #: 1154361038
MIDWEST CENTER FOR
SLEEP MEDICINE LLC
1709 JUMER DR
BLOOMINGTON, IL 61704
PHONE: (309) 662-9997
E-PRESCRIBE: NO
RADDEN, GENENE P., MD
GENDER: F
NPI #: 1710917422
OSF MEDICAL GROUP
1505 EASTLAND DR SUITE
340
BLOOMINGTON, IL 61701
PHONE: (309) 665-4729
E-PRESCRIBE: NO
WONG, KATY K., MD
GENDER: F
NPI #: 1942286760
MEDICAL HILLS
INTERNISTS
1401 EASTLAND DR
BLOOMINGTON, IL 61701
PHONE: (309) 663-8311
E-PRESCRIBE: NO
SLEEP MEDICINE
BOBAT, ISMAIL A., MD
GENDER: M
NPI #: 1750310553
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
LI, FANG, MD
GENDER: F
NPI #: 1356447841
MCLEAN COUNTY
NEUROLOGY
2204 EASTLAND DR
BLOOMINGTON, IL 61704
PHONE: (309) 662-9461
E-PRESCRIBE: NO
MICHEL, JON C., MD
GENDER: M
NPI #: 1437244555
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BLOOMINGTON, IL
BLOOMINGTON, IL
PATEL, SAURIN G., MD
GENDER: M
NPI #: 1336182880
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
VERMA, KANINIKA, MD
GENDER: F
NPI #: 1265503429
OSF CRITICAL CARE
PULMONARY & SLEEP
MEDICINE
1505 EASTLAND DR SUITE
320
BLOOMINGTON, IL 61701
PHONE: (309) 661-2368
E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MD
GENDER: M
NPI #: 1366542300
MIDWEST CENTER FOR
SLEEP MEDICINE LLC
1709 JUMER DR
BLOOMINGTON, IL 61704
PHONE: (309) 662-9997
E-PRESCRIBE: NO
SPORTS MEDICINE
DUHIG, THOMAS J., MD
GENDER: M
NPI #: 1740448745
ORTHOPEDIC & SPORTS
ENHANCEMENT CENTER
2406 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-9300
E-PRESCRIBE: NO
Specialty Care Providers
ORTHOPEDIC & SPORTS
ENHANCEMENT CENTER
LLC
2406 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-9300
E-PRESCRIBE: NO
NORRIS, JOSEPH, MD
GENDER: M
NPI #: 1285847939
MCLEAN COUNTY
ORTHOPEDICS
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-6461
E-PRESCRIBE: NO
THORACIC SURGERY
SMITH, GLEN B., MD
GENDER: M
NPI #: 1326031105
HEARTCARE MIDWEST SC
1505 EASTLAND DR SUITE
210
BLOOMINGTON, IL 61701
PHONE: (309) 662-5506
E-PRESCRIBE: NO
UROLOGY
CHALIAN, VICKEN S., MD
GENDER: M
NPI #: 1871529594
PREMIER MEDICAL GROUPKULB,CHALIAN & LEAK
UROLOGY
1401 EASTLAND DR SUITE B
BLOOMINGTON, IL 61701
PHONE: (309) 663-9424
E-PRESCRIBE: NO
GRAMPSAS, SAMUEL A., MD
GENDER: M
NPI #: 1386618833
OSF MEDICAL GROUP
1414 WOODBINE RD
BLOOMINGTON, IL 61704
PHONE: (309) 661-9999
E-PRESCRIBE: NO
KULB, THOMAS, MD
GENDER: M
NPI #: 1770511594
PREMIER MEDICAL GROUPKULB,CHALIAN & LEAK
UROLOGY
1401 EASTLAND DR STE B
BLOOMINGTON, IL 61701
PHONE: (309) 663-9424
E-PRESCRIBE: NO
LANGE, DANIEL P., MD
GENDER: M
NPI #: 1972522720
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
MORGAN, SCOTT C., MD
GENDER: M
NPI #: 1679547947
OSF MEDICAL GROUP
1414 WOODBINE RD
BLOOMINGTON, IL 61704
PHONE: (309) 661-9999
E-PRESCRIBE: NO
REID, CHURPHENA A., MD
GENDER: F
NPI #: 1548297252
CHILDRENS HOSPITAL OF
IL-PEDIATRIC UROLOGY
2404 EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 495-0282
E-PRESCRIBE: NO
RHEE, BENJAMIN K., MD
GENDER: M
NPI #: 1922041938
CHILDRENS HOSPITAL OF
IL-PEDIATRIC UROLOGY
2404 EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 495-0282
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
212
BLOOMINGTON, IL
BOURBONNAIS, IL
Specialty Care Providers
ORTHOPAEDICS
TOLENTINO, MARIANO V.,
MD
GENDER: M
NPI #: 1356315626
OSF MEDICAL GROUP
1414 WOODBINE RD
BLOOMINGTON, IL 61704
PHONE: (309) 661-9999
E-PRESCRIBE: NO
PULLURU, RAGHU R., MD
GENDER: M
NPI #: 1447269915
REZIN ORTHOPEDICS &
SPORTS MEDICINE
329 REMINGTON BLVD
SUITE 130
BOLINGBROOK, IL 60440
PHONE: (815) 942-4875
E-PRESCRIBE: NO
BOLINGBROOK, IL
ALLERGY/IMMUNOLOGY
AKHTAR, NAVEED, MD
GENDER: M
NPI #: 1912997933
ADVANCED ALLERGY &
ASTHMA CLINIC SC
402 W BOUGHTON RD SUITE
F
BOLINGBROOK, IL 60440
PHONE: (630) 378-4014
E-PRESCRIBE: NO
INFECTIOUS DISEASES
OWAISI, ANJUM S., MD
GENDER: F
NPI #: 1942341409
METRO INFECTIOUS
DISEASE CONSULTANTS
LLC
396 REMINGTON BLVD
SUITE 330
BOLINGBROOK, IL 60440
PHONE: (630) 754-4310
E-PRESCRIBE: NO
OPHTHALMOLOGY
PHILLIPS, BRYAN J., MD
GENDER: M
NPI #: 1114923497
718 S WEBER RD
BOLINGBROOK, IL 60440
PHONE: (630) 378-4799
E-PRESCRIBE: NO
213
SAUER, PAUL A., MD
GENDER: M
NPI #: 1902914401
REZIN ORTHOPEDICS &
SPORTS MEDICINE
329 REMINGTON BLVD
SUITE 130
BOLINGBROOK, IL 60440
PHONE: (815) 942-4875
E-PRESCRIBE: NO
BOURBONNAIS, IL
ALLERGY/IMMUNOLOGY
CHUDWIN, DAVID S., MD
GENDER: M
NPI #: 1669472262
ALLERGY & ASTHMA
ASSOCIATES
475 BROWN BLVD SUITE 104
BOURBONNAIS, IL 60914
PHONE: (845) 933-5092
E-PRESCRIBE: NO
LAWSON, JOHN K., MD
GENDER: M
NPI #: 1689864357
ALLERGY & ASTHMA
ASSOCIATES
475 BROWN BLVD SUITE 104
BOURBONNAIS, IL 60914
PHONE: (815) 933-5092
E-PRESCRIBE: NO
OLIFF, IRMA M., MD
GENDER: F
NPI #: 1811976475
ALLERGY & ASTHMA
ASSOCIATES
475 BROWN BLVD SUITE 104
BOURBONNAIS, IL 60914
PHONE: (815) 933-5092
E-PRESCRIBE: NO
SONENTHAL, KATHY R., MD
GENDER: F
NPI #: 1265452940
ALLERGY & ASTHMA
ASSOCIATES
475 BROWN BLVD SUITE 104
BOURBONNAIS, IL 60914
PHONE: (815) 933-5092
E-PRESCRIBE: NO
CARDIOLOGY
WIX JR, HERSHEL L., MD
GENDER: M
NPI #: 1962457101
TALLGRASS CARDIOLOGY
SERVICES
475 BROWN BLVD SUITE 103
BOURBONNAIS, IL 60914
PHONE: (815) 937-9370
E-PRESCRIBE: NO
DERMATOLOGY
BAUER, KIMBERLY A., MD
GENDER: F
NPI #: 1295946473
DERMATOLOGY & PLASTIC
SURGERY ASSOCIATES PC
300 RIVERSIDE DR SUITE
2600
BOURBONNAIS, IL 60914
PHONE: (815) 744-8554
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BOURBONNAIS, IL
BOURBONNAIS, IL
Specialty Care Providers
LAPINSKI, PAULA, MD
GENDER: F
NPI #: 1437262482
DERMATOLOGY & PLASTIC
SURGERY ASSOCIATES SC
300 RIVERSIDE DR SUITE
2600
BOURBONNAIS, IL 60914
PHONE: (815) 744-8554
E-PRESCRIBE: NO
BOKHARI, SYED S., MD
GENDER: M
NPI #: 1710984224
DIGESTIVE DISEASES
CONSULTANTS OF
KANKAKEE
1615 N CONVENT ST
BOURBONNAIS, IL 60914
PHONE: (815) 937-5200
E-PRESCRIBE: YES
ENDOCRINOLOGY
ERRAMPALLI, DANIEL, MD
GENDER: M
NPI #: 1689662975
DIGESTIVE DISEASES
CONSULTANTS OF
KANKAKEE
1615 N CONVENT ST
BOURBONNAIS, IL 60914
PHONE: (815) 937-5200
E-PRESCRIBE: YES
OCONNOR, MAUREEN
MORGAN, MD
GENDER: F
NPI #: 1558460337
RIVERSIDE MEDICAL
CENTER OF BOURBONNAIS
338 LARRY POWER RD
BOURBONNAIS, IL 60914
PHONE: (815) 935-2991
E-PRESCRIBE: NO
RAVANAM, ARUNA J., MD
GENDER: F
NPI #: 1487875126
PROVENA MEDICAL GROUP
658 N CONVENT SUITE A
BOURBONNAIS, IL 60914
PHONE: (815) 937-2155
E-PRESCRIBE: NO
GASTROENTEROLOGY
BHARGAVA, NIKHIL, DO
GENDER: M
NPI #: 1568649382
DIGESTIVE DISEASES
CONSULTANTS
1615 N CONVENT ST
BOURBONNAIS, IL 60914
PHONE: (815) 937-5200
E-PRESCRIBE: NO
JURKOVIC, EDWARD, DO
GENDER: M
NPI #: 1558360842
DIGESTIVE DISEASES
CONSULTANTS OF
KANKAKEE
1615 N CONVENT ST
BOURBONNAIS, IL 60914
PHONE: (815) 937-5200
E-PRESCRIBE: NO
OCONNOR, THOMAS L., MD
GENDER: M
NPI #: 1760470033
DIGESTIVE DISEASES
CONSULTANTS OF
KANKAKEE
1615 N CONVENT ST
BOURBONNAIS, IL 60914
PHONE: (815) 937-5200
E-PRESCRIBE: NO
SASSO, BRIAN, DO
GENDER: M
NPI #: 1558460022
DIGESTIVE DISEASES
CONSULTANTS
1615 N COVENT ST SUITE 1
BOURBONNAIS, IL 60914
PHONE: (815) 937-5200
E-PRESCRIBE: NO
SUTHERLAND, DAVID B., MD
GENDER: M
NPI #: 1619976909
DIGESTIVE DISEASES
CONSULTANTS OF
KANKAKEE
1615 N CONVENT ST
BOURBONNAIS, IL 60914
PHONE: (815) 937-5200
E-PRESCRIBE: NO
GENERAL SURGERY
SALERNO, GIOVANNI M., MD
GENDER: M
NPI #: 1942242698
GIOVANNI M SALERNO MD
PC
461 BROWN BLVD
BOURBONNAIS, IL 60914
PHONE: (815) 933-7900
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
GUNDALA, SRILATA, MD
GENDER: F
NPI #: 1467646141
LUDAG LLC
100 PROVENA WAY SUITE
102
BOURBONNAIS, IL 60914
PHONE: (815) 937-2460
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
214
Specialty Care Providers
ROSTAPSHOV, VICTOR M.,
MD
GENDER: M
NPI #: 1548315435
PROVENA ST MARYS
CANCER CENTER
100 PROVENA WAY SUITE
103
BOURBONNAIS, IL 60914
PHONE: (815) 937-8780
E-PRESCRIBE: NO
SWALE, JEROME A., MD
GENDER: M
NPI #: 1669480844
FISHER SWALE NICHOLSON
EYE CENTER
352 BROWN BLVD
BOURBONNAIS, IL 60914
PHONE: (815) 932-2020
E-PRESCRIBE: NO
NEPHROLOGY
LOMBARDO, CHRISTOPHER
P., MD
GENDER: M
NPI #: 1639111404
RIVERSIDE MEDICAL PLAZA
300 RIVERSIDE DR SUITE
2100
BOURBONNAIS, IL 60914
PHONE: (815) 932-2541
E-PRESCRIBE: NO
OTOLARYNGOLOGY
HASHMI, NASHIB, MD
GENDER: M
NPI #: 1629194543
KANKAKEE COUNTY
DIALYSIS CENTER
581 WILLIAM LATHAM DR
BOURBONNAIS, IL 60914
PHONE:
E-PRESCRIBE: YES
OPHTHALMOLOGY
PLASTIC RECONSTRUCTIVE
SURGERY
BURNS, STEVEN J., MD
GENDER: M
NPI #: 1831150465
EYE PHYSICIANS OF
KANKAKEE
372 LARRY POWER RD SUITE
1
BOURBONNAIS, IL 60914
PHONE: (815) 933-5202
E-PRESCRIBE: YES
RIOS, JOSE, MD
GENDER: M
NPI #: 1699888644
DERMATOLOGY & PLASTIC
SURGERY ASSOCIATES SC
300 RIVERSIDE DR SUITE
2600
BOURBONNAIS, IL 60914
PHONE:
E-PRESCRIBE: NO
FISHER, MARC L., MD
GENDER: M
NPI #: 1780692905
FISHER SWALE NICHOLSON
EYE CENTER
352 BROWN BLVD
BOURBONNAIS, IL 60914
PHONE: (815) 932-2020
E-PRESCRIBE: NO
WILLIAMS, STEVEN D., MD
GENDER: M
NPI #: 1255426169
RIVERSIDE HEALTH
SYSTEMS
300 RIVERSIDE DR SUITE
2500
BOURBONNAIS, IL 60914
PHONE: (815) 939-7141
E-PRESCRIBE: NO
215
BOURBONNAIS, IL
BOURBONNAIS, IL
PODIATRY
BENOIT, DANIEL N., DPM
GENDER: M
NPI #: 1124016100
ASSOCIATED FOOT AND
ANKLE CLINICS
11 BRIARCLIFF
PROFESSIONAL CENTER
BOURBONNAIS, IL 60914
PHONE: (815) 933-7077
E-PRESCRIBE: NO
WIESCH, AMY L., DPM
GENDER: F
NPI #: 1396733549
ASSOCIATED FOOT AND
ANKLE CLINICS
11 BRIARCLIFF
PROFESSIONAL CENTER
BOURBONNAIS, IL 60914
PHONE: (815) 933-7077
E-PRESCRIBE: NO
WITT, CHARLES S., DPM
GENDER: M
NPI #: 1265420418
ASSOCIATED FOOT AND
ANKLE CLINICS
11 BRIARCLIFF
PROFESSIONAL CENTER
BOURBONNAIS, IL 60914
PHONE: (815) 933-7077
E-PRESCRIBE: NO
PULMONOLOGY
ABRAHAM, RAJU Z., MD
GENDER: M
NPI #: 1003830852
PULMONARY & CRITICAL
CARE ASSOCIATES
19 HERITAGE PLAZA
BOURBONNAIS, IL 60914
PHONE: (815) 933-3814
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
BOURBONNAIS, IL
BRAZIL, IN
ARONSON, ROBERT, MD
GENDER: M
NPI #: 1598824039
656 N COVENENT ST
BOURBONNAIS, IL 609141391
PHONE: (855) 983-6060
E-PRESCRIBE: NO
COOLIDGE, BRADLEY S., MD
GENDER: M
NPI #: 1700986460
656 N COVENENT ST
BOURBONNAIS, IL 609141391
PHONE: (855) 983-6060
E-PRESCRIBE: NO
KUTTY, AHAMED V., MD
GENDER: M
NPI #: 1881624054
PULMONARY & CRITICAL
CARE
19 HERITAGE PLAZA
BOURBONNAIS, IL 60914
PHONE: (815) 933-3814
E-PRESCRIBE: NO
SUNDARAM, RAVI K., DO
GENDER: M
NPI #: 1811040595
PRAIRIE STATE
PULMONARY & SLEEP
CONSULTANT
656 N CONVENT ST
BOURBONNAIS, IL 60914
PHONE: (855) 983-6060
E-PRESCRIBE: NO
RADIATION ONCOLOGY
COON, ALAN B., MD
GENDER: M
NPI #: 1245496025
AFFILIATED CANCER
SPECIALISTS
200 RIVERSIDE DR
BOURBONNAIS, IL 60914
PHONE: (815) 929-0010
E-PRESCRIBE: NO
Specialty Care Providers
GRIFFIN, VIVIAN D., MD
GENDER: F
NPI #: 1801898614
CANCER TREATMENT
GROUP
100 PROVENA WAY SUITE
102
BOURBONNAIS, IL 60914
PHONE: (815) 937-2460
E-PRESCRIBE: NO
NARASIMHAN, GEETHA, MD
GENDER:
NPI #: 1427185172
AFFILIATED CANCER
SPECIALISTS
200 RIVERSIDE DR
BOURBONNAIS, IL 60914
PHONE: (815) 929-0010
E-PRESCRIBE: NO
SHAH, MIR J., MD
GENDER: M
NPI #: 1720035009
AFFILIATED CANCER
SPECIALISTS
200 RIVERSIDE DR
BOURBONNAIS, IL 60914
PHONE:
E-PRESCRIBE: NO
WOODBURN, ROBERT T., MD
GENDER: M
NPI #: 1407848849
CANCER TREATMENT
GROUP
100 PROVENA WAY SUITE
102
BOURBONNAIS, IL 60914
PHONE: (815) 937-2460
E-PRESCRIBE: NO
SLEEP MEDICINE
ABRAHAM, RAJU Z., MD
GENDER: M
NPI #: 1003830852
PULMONARY & CRITICAL
CARE ASSOCIATES
19 HERITAGE PLAZA
BOURBONNAIS, IL 60914
PHONE: (815) 933-3814
E-PRESCRIBE: NO
SUNDARAM, RAVI K., DO
GENDER: M
NPI #: 1811040595
PRAIRIE STATE
PULMONARY & SLEEP
CONSULTANT
656 N CONVENT ST
BOURBONNAIS, IL 60914
PHONE: (855) 983-6060
E-PRESCRIBE: NO
BRAIDWOOD, IL
PODIATRY
LEONARD, W MARC, DPM
GENDER: M
NPI #: 1710098652
COMPREHENSIVE FOOT &
ANKLE CLINIC
465 E REED ST
BRAIDWOOD, IL 60408
PHONE: (309) 212-3066
E-PRESCRIBE: NO
BRAZIL, IN
CARDIOLOGY
OEHLER, ROBERT C., MD
GENDER: M
NPI #: 1891769667
PROVIDENCE MEDICAL
GROUP
725 S FOREST AVE
BRAZIL, IN 47834
PHONE: (812) 238-1730
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
216
Specialty Care Providers
CANTON, IL
CARDIOLOGY
BRODY, ANTHONY D., MD
GENDER: M
NPI #: 1104856210
GRAHAM HOSPITAL
ASSOCIATION
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 647-5240
E-PRESCRIBE: NO
GUMM, DARREL C., MD
GENDER: M
NPI #: 1669406054
HEARTCARE MIDWEST SC
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 647-5240
E-PRESCRIBE: NO
HSU, MARK, MD
GENDER: M
NPI #: 1376573428
HEARTCARE MIDWEST SC
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 647-5240
E-PRESCRIBE: NO
MCELROY, DONALD B., MD
GENDER: M
NPI #: 1598799926
HEARTCARE MIDWEST SC
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 647-5240
E-PRESCRIBE: NO
GOWDA, RAMAYYA, MD
GENDER: M
NPI #: 1255449484
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
PERINCHERY, ANITHA M.,
MD
GENDER: F
NPI #: 1740292564
HEARTCARE MIDWEST SC
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 647-5240
E-PRESCRIBE: NO
HSU, JOHN W., MD
GENDER: M
NPI #: 1043439748
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: YES
COLON/RECTAL SURGERY
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
BONELLO, JULIUS P., MD
GENDER: M
NPI #: 1093751257
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
GENERAL SURGERY
JACKSON, MARK D., MD
GENDER: M
NPI #: 1952331019
HEARTCARE MIDWEST SC
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 647-5240
E-PRESCRIBE: NO
CRAWFORD, DAVID, MD
GENDER: M
NPI #: 1306874128
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
MALIK, MUHAMMAD, MD
GENDER: M
NPI #: 1447284864
HEARTCARE MIDWEST SC
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 647-5240
E-PRESCRIBE: NO
DEBORD, JAMES R., MD
GENDER: M
NPI #: 1649206533
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
217
CANTON, IL
CANTON, IL
OCONNOR, TIMOTHY P., MD
GENDER: M
NPI #: 1710974597
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PAULSEN, JOHN K., MD
GENDER: M
NPI #: 1174552681
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CANTON, IL
CANTON, IL
ROSSI, THOMAS, MD
GENDER: M
NPI #: 1851320238
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
TSORAIDES, STEVEN S., MD
GENDER: M
NPI #: 1760689764
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
HEMATOLOGY
WESLY, OSVALDO, MD
GENDER: M
NPI #: 1356441943
GRAHAM HOSPITAL
210 W WALNUT ST SUITE 102
CANTON, IL 61520
PHONE: (309) 688-1345
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
FISHKIN, PAUL A., MD
GENDER: M
NPI #: 1063411379
ILLINOIS CANCERCARE
210 W WALNUT ST
CANTON, IL 61520
PHONE: (209) 647-5240
E-PRESCRIBE: YES
NEPHROLOGY
ALONSO, ALEXANDER J., MD
GENDER: M
NPI #: 1124152707
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
Specialty Care Providers
BRUHA, ROBERT, MD
GENDER: M
NPI #: 1043340367
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
DREYER, PAUL T., MD
GENDER: M
NPI #: 1194855528
RENALCARE ASSOCIATES
210 W WALNUT ST THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R.,
MD
GENDER: F
NPI #: 1447328828
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: YES
RENALCARE CANTON
210 W WALNUT ST THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
HORINEK, ANTHONY R., MD
GENDER: M
NPI #: 1609907195
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
JAMES, GORDON W., MD
GENDER: M
NPI #: 1124158431
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PFLEDERER, BENJAMIN R.,
MD
GENDER: M
NPI #: 1306976964
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (390) 676-8123
E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A.,
MD
GENDER: M
NPI #: 1154451573
RENALCARE ASSOCIATES
201 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
218
Specialty Care Providers
CANTON, IL
CANTON, IL
ROSBOROUGH, DAVID C.,
MD
GENDER: M
NPI #: 1619007275
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
NEUROLOGY
OTOLARYNGOLOGY
BLUME, GREGORY M., MD
GENDER: M
NPI #: 1326146994
INI NEUROLOGY GROUP
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 647-5247
E-PRESCRIBE: NO
URETZKY, IRA, MD
GENDER: M
NPI #: 1013916428
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
SADER, SAMER B., MD
GENDER: M
NPI #: 1831220318
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
OPHTHALMOLOGY
PHYSICAL MEDICINE/
REHABILITATION
SHRISHRIMAL, KUMARPAL
C., MD
GENDER: M
NPI #: 1023217551
RENALCARE ASSOCIATES
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SPARROW, ROBERT T., MD
GENDER: M
NPI #: 1134259781
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SRINIVASAN,
PARTHASARATHY, MD
GENDER: M
NPI #: 1134199359
RENALCARE ASSOCIATES
210 W WALNUT THIRD
FLOOR
CANTON, IL 61520
PHONE: (309) 676-8123
E-PRESCRIBE: NO
219
MEHTA, JAY, MD
GENDER: M
NPI #: 1417905456
BOND EYE ASSOCIATES
45 E SIDE SQUARE
CANTON, IL 61520
PHONE: (309) 647-3937
E-PRESCRIBE: NO
QURAISHI, SABA, MD
GENDER: F
NPI #: 1801005384
BOND EYE ASSOCIATES
45 E SIDE SQUARE
CANTON, IL 61520
PHONE: (309) 647-3937
E-PRESCRIBE: NO
ORTHOPAEDICS
BARNHART, BRETT M., MD
GENDER: M
NPI #: 1487762035
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
GERNANT, MICHAEL L., MD
GENDER: M
NPI #: 1740274240
GALESBURG ORTHOPEDIC
SERVICES
175 S MAIN ST
CANTON, IL 61520
PHONE: (309) 342-0194
E-PRESCRIBE: NO
LI, YIBING, MD
GENDER: F
NPI #: 1013923929
GRAHAM HOSPITAL
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 688-2767
E-PRESCRIBE: NO
SNYDER, LISA, MD
GENDER: F
NPI #: 1790715092
INSTITUTE OF PHYSICAL
MEDICINE & REHAB/IPMR
210 W CANTON ST
CANTON, IL 61520
PHONE: (309) 692-8110
E-PRESCRIBE: NO
SUREKA, OMPRAKASH, MD
GENDER: M
NPI #: 1518902469
INSTITUTE OF PHYSICAL
MEDICINE & REHAB/IPMR
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 692-8110
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CANTON, IL
CARLINVILLE, IL
PODIATRY
DECEANNE, ANTHONY V.,
DPM
GENDER: M
NPI #: 1083613293
ACPM PODIATRY GROUP
LTD
111 S MAIN ST
CANTON, IL 61520
PHONE: (309) 691-3664
E-PRESCRIBE: NO
PARRY, BRENT, DPM
GENDER: M
NPI #: 1891794004
ACPM PODIATRY GROUP
LTD
111 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-3664
E-PRESCRIBE: NO
WARD, CURTIS L., DPM
GENDER: M
NPI #: 1114926748
ACPM PODIATRY GROUP
LTD
111 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-3664
E-PRESCRIBE: NO
UROLOGY
COLOMBO, GIOVANNI, MD
GENDER: M
NPI #: 1679537831
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
DRINIS, SOPHIA, MD
GENDER: F
NPI #: 1932175924
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
Specialty Care Providers
RICHIER, JOHN, MD
GENDER: M
NPI #: 1437116324
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
SABHARWAL, SARAT, MD
GENDER: M
NPI #: 1114983392
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
VASCULAR SURGERY
DEBORD, JAMES R., MD
GENDER: M
NPI #: 1649206533
GRAHAM MEDICAL GROUP
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 647-0201
E-PRESCRIBE: NO
HUSSAIN, SYED, MD
GENDER: M
NPI #: 1245264324
HEARTCARE MIDWEST SC
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 647-5240
E-PRESCRIBE: NO
CARBONDALE, IL
DERMATOLOGY
CHAUDHRY, ANUP, MD
GENDER: M
NPI #: 1700843570
REVIVE SKIN INSTITUTE
LLC
1175 CEDAR COURT
CARBONDALE, IL 62901
PHONE: (618) 549-0300
E-PRESCRIBE: NO
HEMATOLOGY
WESLY, OSVALDO, MD
GENDER: M
NPI #: 1356441943
SOUTHERN IL
RESPIRATORY DISEASE
CLINIC
1335 CEDAR COURT
CARBONDALE, IL 62901
PHONE: (309) 688-1345
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
RAO, SUJATHA A., MD
GENDER: F
NPI #: 1356420368
HEM-ONC CARE
1390 HOPE DR
CARBONDALE, IL 62901
PHONE: (618) 529-0120
E-PRESCRIBE: NO
CARLINVILLE, IL
ALLERGY/IMMUNOLOGY
SIRI, DAREEN D., MD
GENDER: F
NPI #: 1730272998
SPRINGFIELD CLINIC
20733 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3141
E-PRESCRIBE: YES
CARDIOLOGY
YAKEL, DONALD L., MD
GENDER: M
NPI #: 1568559359
CARLINVILLE FAMILY
PRACTICE
15574 ROUTE 108
CARLINVILLE, IL 62626
PHONE: (217) 854-4319
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
220
CARLINVILLE, IL
CARTHAGE, IL
Specialty Care Providers
DERMATOLOGY
ORTHOPAEDICS
CLAMAN, CASSANDRA C.,
MD
GENDER: F
NPI #: 1356380281
SPRINGFIELD CLINIC
20733 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3141
E-PRESCRIBE: NO
WOLTERS, BRETT W., MD
GENDER: M
NPI #: 1235177023
SPRINGFIELD CLINIC
20733 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3141
E-PRESCRIBE: YES
RHEUMATOLOGY
GENERAL SURGERY
GUTHRIE, JASON P., MD
GENDER: M
NPI #: 1437299682
SPRINGFIELD CLINIC
20733 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3141
E-PRESCRIBE: YES
ANDERSEN, JON E., DO
GENDER: M
NPI #: 1841304888
CARLINVILLE AREA
HOSPITAL
1115 E MORGAN ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3891
E-PRESCRIBE: NO
UROLOGY
HEMATOLOGY/ONCOLOGY
GIANNONE, LEONARD, MD
GENDER: M
NPI #: 1245297571
SPRINGFIELD CLINIC
20733 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3141
E-PRESCRIBE: NO
NEUROLOGY
BECKER, CECILE F., MD
GENDER: F
NPI #: 1750493540
SPRINGFIELD CLINIC
20733 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3141
E-PRESCRIBE: YES
221
SEVERINO, WILLIAM C., MD
GENDER: M
NPI #: 1659464493
SPRINGFIELD CLINIC
20733 N BROAD ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3141
E-PRESCRIBE: YES
CARTHAGE, IL
GENERAL SURGERY
CAROPRESO, PHILLIP R., MD
GENDER: M
NPI #: 1851331185
MEMORIAL HOSPITAL
402 S ADAMS ST
CARTHAGE, IL 62321
PHONE: (217) 351-3131
E-PRESCRIBE: NO
MEMORIAL MEDICAL
CLINICS
630 LOCUST ST
CARTHAGE, IL 62321
PHONE: (217) 357-2173
E-PRESCRIBE: NO
NEUROLOGY
DHUNA, ANIL, MD
GENDER: M
NPI #: 1912019118
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
402 S ADAMS ST
CARTHAGE, IL 62321
PHONE: (319) 754-4400
E-PRESCRIBE: NO
ONCOLOGY
VEEDER, MICHAEL H., MD
GENDER: M
NPI #: 1568463305
ILLINOIS CANCERCARE
150 S ADAMS ST
CARTHAGE, IL 62321
PHONE: (217) 357-3131
E-PRESCRIBE: YES
ORTHOPAEDICS
WHEELER, RONALD, MD
GENDER: M
NPI #: 1053328831
MEMORIAL HOSPITAL
SOUTH ADAMS ST
CARTHAGE, IL 62321
PHONE: (217) 357-2173
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CARTHAGE, IL
CHAMPAIGN, IL
PODIATRY
FREEL, DOUGLAS J., DPM
GENDER: M
NPI #: 1184614653
MIDWEST FOOT & ANKLE
SPECIALISTS
402 S ADAMS
CARTHAGE, IL 62321
PHONE: (217) 223-3668
E-PRESCRIBE: NO
HANZEL, DUANE, DPM
GENDER: M
NPI #: 1467442251
MIDWEST FOOT & ANKLE
SPECIALISTS
402 S ADAMS
CARTHAGE, IL 62321
PHONE: (217) 223-3668
E-PRESCRIBE: NO
CENTRALIA, IL
GENERAL SURGERY
MURFIN, MARK A., MD
GENDER: M
NPI #: 1124029509
1063 MARTIN LUTHER KING
DR
CENTRALIA, IL 62801
PHONE: (618) 532-4004
E-PRESCRIBE: NO
CHAMPAIGN, IL
ALLERGY/IMMUNOLOGY
ZECH, JOHN R., MD
GENDER: M
NPI #: 1639277346
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3450
E-PRESCRIBE: YES
Specialty Care Providers
CARDIAC
ELECTROPHYSIOLOGY
KOCHERIL, ABRAHAM, MD
GENDER: M
NPI #: 1639194541
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
RAJAGURU, SUBBIAH, MD
GENDER: M
NPI #: 1366450678
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-5434
E-PRESCRIBE: YES
CARDIOLOGY
ATHERTON, LAWRENCE, MD
GENDER: M
NPI #: 1124033642
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
SUTTON, JOSEPH M., MD
GENDER: M
NPI #: 1013926765
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1285
E-PRESCRIBE: YES
THOPIAH, PRAKASH, MD
GENDER:
NPI #: 1033205208
410 E UNIVERSITY AVE
CHAMPAIGN, IL 61820-3827
PHONE: (217) 351-7788
E-PRESCRIBE: NO
CHRISTIE CLINIC
401 E UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 351-7788
E-PRESCRIBE: NO
WINGO, MICHAEL W., MD
GENDER: M
NPI #: 1568471118
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
DERMATOLOGY
FAHRNER, LESTER J., MD
GENDER: M
NPI #: 1811903677
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
NEITZEL, CRAIG D., MD
GENDER: M
NPI #: 1275640617
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6204
E-PRESCRIBE: YES
YOUSE, JEREMY, MD
GENDER: M
NPI #: 1538289012
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
222
Specialty Care Providers
ENDOCRINOLOGY
GASTROENTEROLOGY
DAVE, SHRUTI M., MD
GENDER:
NPI #: 1558387217
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3490
E-PRESCRIBE: YES
HAMMOUD, IHAB, MD
GENDER: M
NPI #: 1538378617
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
ONYEMERE, KINGSLEY U.,
MD
GENDER:
NPI #: 1790798015
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3490
E-PRESCRIBE: YES
NUGENT, CLAUDIA E., MD
GENDER: F
NPI #: 1629085212
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
STOKES, JOHN, MD
GENDER: M
NPI #: 1376551085
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
RAMKUMAR, DAVENDRA, MD
GENDER: M
NPI #: 1063420370
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
SUBBIAH, SATHYA, MD
GENDER: F
NPI #: 1033128764
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-5434
E-PRESCRIBE: YES
GENERAL SURGERY
WILSON, KATHRYN A., MD
GENDER: F
NPI #: 1598860512
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE:
E-PRESCRIBE: YES
223
PATEL, NALIN, MD
GENDER: M
NPI #: 1467403535
410 E UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 352-2881
E-PRESCRIBE: NO
FEINBERG, SAMUEL J., MD
GENDER: M
NPI #: 1952318222
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
CHAMPAIGN, IL
CHAMPAIGN, IL
HAYNES, FREDERICK P., MD
GENDER: M
NPI #: 1861409013
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
JONES, DOUGLAS, MD
GENDER: M
NPI #: 1649287210
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
MCALLASTER, JASON, DO
GENDER: M
NPI #: 1306874466
BELLA MEDICAL CENTER
1809 S NEIL ST
CHAMPAIGN, IL 61820
PHONE: (217) 355-8346
E-PRESCRIBE: NO
BELLA VEIN MEDICAL SPA
2502 GALEN DR SUITE 101
CHAMPAIGN, IL 61821
PHONE: (217) 355-8346
E-PRESCRIBE: NO
ROHRSCHEIB, SIDNEY, MD
GENDER: M
NPI #: 1073580122
ILLINOIS BARIATRIC
CENTER
1002 W INTERSTATE DR
CHAMPAIGN, IL 61822
PHONE: (217) 693-5700
E-PRESCRIBE: NO
THOMPSON JR, H REED, MD
GENDER: M
NPI #: 1083753214
413 E UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 359-9601
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CHAMPAIGN, IL
CHAMPAIGN, IL
INFECTIOUS DISEASES
SALIK, SYED, MD
GENDER:
NPI #: 1265408694
809 WEST CHURCH STREET
CHAMPAIGN, IL 61820
PHONE:
E-PRESCRIBE: NO
INFERTILITY/
REPRODUCTIVE
ENDOCRINOLOGY
REUTER, LAURA M., MD
GENDER: F
NPI #: 1124036132
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61822
PHONE: (217) 366-8130
E-PRESCRIBE: YES
NEPHROLOGY
QATTASH, ISMAIL, MD
GENDER: M
NPI #: 1538329982
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
NEUROLOGY
HABIB, AAMER, MD
GENDER: M
NPI #: 1922128560
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: NO
Specialty Care Providers
HELFRICH, JOHN S., MD
GENDER: M
NPI #: 1841207099
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
RISKIN, BARRY, MD
GENDER: M
NPI #: 1326233271
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
SADIQ, SCHEIKH M., MD
GENDER: M
NPI #: 1164474102
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
SHYU, CHARLES C., MD
GENDER: M
NPI #: 1699939694
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
WANG, MING T., MD
GENDER: M
NPI #: 1265442636
UNIVERSITY NEUROLOGY
ASSOCIATE
407 E UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 403-1840
E-PRESCRIBE: NO
NEUROPSYCHOLOGY
MENARD, CHRISTOPHER L.,
PSYD
GENDER: M
NPI #: 1033359278
PSYCHOLOGICAL SERVICES
CENTER
505 E GREEN 3RD FLOOR
CHAMPAIGN, IL 61820
PHONE: (217) 333-0041
E-PRESCRIBE: NO
OCCUPATIONAL MEDICINE
FLETCHER, DAVID, MD
GENDER: M
NPI #: 1639243868
SAFEWORKS ILLINOIS
OCCUPATIONAL HEALTH
SERVICES
1806 N MARKET ST
CHAMPAIGN, IL 61822
PHONE: (217) 356-6150
E-PRESCRIBE: NO
ONCOLOGY
CHAUDHRY, SOHAIL A., MD
GENDER: M
NPI #: 1245247717
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
EIKRAM, MOHAMMED, MD
GENDER: M
NPI #: 1134135973
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
224
Specialty Care Providers
OPHTHALMOLOGY
ORAL/MAXILLOFACIAL
SURGERY
BULL, DOUGLAS S., MD
GENDER: M
NPI #: 1083621544
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
GANDHI, AASHISH, MD
GENDER: M
NPI #: 1518989847
RETINA OF ILLINOIS
2902 CROSSING CT SUITE E
CHAMPAIGN, IL 61822
PHONE: (217) 531-9788
E-PRESCRIBE: NO
KRESCA, JAMES R., MD
GENDER: M
NPI #: 1073694303
THE EYE CENTER
2151 S NEIL ST
CHAMPAIGN, IL 61820-7593
PHONE:
E-PRESCRIBE: NO
SAYEGH, SAMIR I., MD
GENDER: M
NPI #: 1104918176
THE EYE CENTER
2151 S NEIL ST
CHAMPAIGN, IL 61820-7593
PHONE: (217) 352-2020
E-PRESCRIBE: NO
SCHMIDT, CHRIS W., MD
GENDER: M
NPI #: 1154339430
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
225
BAILEY, JONATHAN S., DMD
GENDER: M
NPI #: 1366476947
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3280
E-PRESCRIBE: YES
ESCOBAR, VICTOR, DDS
GENDER: M
NPI #: 1750397501
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
SABOL, STEPHEN R., DDS
GENDER: M
NPI #: 1104925908
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3280
E-PRESCRIBE: YES
ORTHOPAEDICS
DETHMERS, DANIEL A., MD
GENDER: M
NPI #: 1356393060
CHRISTIE CLINIC
2110 FOX DR
CHAMPAIGN, IL 61820
PHONE: (217) 366-1237
E-PRESCRIBE: NO
JOHNSON, CLIFFORD B., MD
GENDER: M
NPI #: 1578585725
CARLE PHYSICIAN GROUP
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3260
E-PRESCRIBE: YES
CHAMPAIGN, IL
CHAMPAIGN, IL
KAWAKITA, ERICK M., MD
GENDER: M
NPI #: 1861692394
CARLE PHYSICIAN GROUP
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3260
E-PRESCRIBE: YES
LOVE, SHAWN L., MD
GENDER: F
NPI #: 1538175369
CHRISTIE CLINIC
2110 FOX DR STE B
CHAMPAIGN, IL 61820
PHONE: (217) 366-1237
E-PRESCRIBE: YES
LOW, JEFFREY M., MD
GENDER: M
NPI #: 1407884141
CARLE PHYSICIAN GROUP
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3260
E-PRESCRIBE: YES
MORAN, MICHAEL C., MD
GENDER: M
NPI #: 1073565784
CARLE PHYSICIAN GROUP
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3260
E-PRESCRIBE: YES
PALERMO, MARK E., DO
GENDER: M
NPI #: 1437352960
CARLE PHYSICIAN GROUP
1802 S MATTIS AVE
CHAMPAIGN, IL 61822
PHONE: (217) 383-3260
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CHAMPAIGN, IL
CHAMPAIGN, IL
Specialty Care Providers
SOBESKI, JAMES K., MD
GENDER: M
NPI #: 1982704102
CARLE PHYSICIAN GROUP
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3260
E-PRESCRIBE: YES
KURAMOTO, ROBERT K., MD
GENDER: M
NPI #: 1043227598
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
RAUTHER, SHABEERA, MD
GENDER: F
NPI #: 1881807642
CARLE PHYSICIAN GROUP
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
PHONE: (217) 326-1330
E-PRESCRIBE: YES
WILLIAMS, DENIS, MD
GENDER: M
NPI #: 1750552881
CHRISTIE CLINIC
2110 FOX DR
CHAMPAIGN, IL 61820
PHONE: (217) 366-1237
E-PRESCRIBE: NO
LIPPS, HENRY, DO
GENDER: M
NPI #: 1194732412
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
THATCHER, STEVEN W., MD
GENDER: M
NPI #: 1699783969
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-7450
E-PRESCRIBE: YES
ZEMAN, DAVID R., MD
GENDER: M
NPI #: 1447327036
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
1802 S MATTIS AVE
CHAMPAIGN, IL 61821-5923
PHONE: (217) 383-3260
E-PRESCRIBE: YES
YOUNGERMAN, WILLIAM, MD
GENDER: M
NPI #: 1528077195
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 336-1200
E-PRESCRIBE: YES
PEDIATRIC DEVELOPMENT
CARLE PHYSICIAN GROUP
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3260
E-PRESCRIBE: YES
OTOLARYNGOLOGY
DATE, AMIT S., MD
GENDER: M
NPI #: 1831311984
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1243
E-PRESCRIBE: NO
PAIN MANAGEMENT
JUNG, HYUNCHUL, MD
GENDER: M
NPI #: 1255310629
CARLE PHYSICIAN GROUP
1802 S MATTIS
CHAMPAIGN, IL 61821
PHONE: (217) 326-1330
E-PRESCRIBE: YES
KING, STUART C., MD
GENDER: M
NPI #: 1790764462
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
MORTON, CHARLES T., MD
GENDER: M
NPI #: 1548281082
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6202
E-PRESCRIBE: YES
PEDIATRIC NEPHROLOGY
STRIEGEL, JANE E., MD
GENDER: F
NPI #: 1427169127
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6200
E-PRESCRIBE: YES
PLASTIC RECONSTRUCTIVE
SURGERY
DECAMARA, DONNA L., MD
GENDER: F
NPI #: 1043241425
CARLE PHYSICIAN GROUP
1702 S MATTIS AVE
CHAMPAIGN, IL 61821
PHONE: (217) 326-2000
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
226
Specialty Care Providers
CHAMPAIGN, IL
CHAMPAIGN, IL
LI, PAUL K., MD
GENDER: M
NPI #: 1801907431
CARLE PHYSICIAN GROUP
1702 S MATTIS AVE
CHAMPAIGN, IL 61821
PHONE: (217) 326-2000
E-PRESCRIBE: YES
LOGSDON, PHILLIP K., DPM
GENDER: M
NPI #: 1043230089
CARLE PHYSICIAN GROUP
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3260
E-PRESCRIBE: YES
THAMEEM, DANISH, MD
GENDER: M
NPI #: 1821035106
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
PODIATRY
BORN, ROBERT J., DPM
GENDER: M
NPI #: 1134170590
CARLE PHYSICIAN GROUP
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3260
E-PRESCRIBE: YES
MUSCATELLA, MICHAEL,
DPM
GENDER: M
NPI #: 1578667515
FAMILY FOOT & ANKLE
CENTER
3125 VILLAGE OFFICE PL
CHAMPAIGN, IL 61822
PHONE: (217) 398-3338
E-PRESCRIBE: NO
TOPOLOSKY, MAURY K., MD
GENDER: M
NPI #: 1396753679
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
EICKMEIER, KIMBERLY, DPM
GENDER: F
NPI #: 1811903651
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-8000
E-PRESCRIBE: YES
PIERCE, WILLIAM, DPM
GENDER: M
NPI #: 1063420461
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61821
PHONE: (217) 366-1200
E-PRESCRIBE: YES
SHULTZ, GARY L., DO
GENDER: M
NPI #: 1538177241
CHRISTIE CLINIC
109 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-5180
E-PRESCRIBE: YES
GRAMBART, SEAN T., DPM
GENDER: M
NPI #: 1134148307
CARLE PHYSICIAN GROUP
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3260
E-PRESCRIBE: YES
SPIZZIRRI, SARAH, DPM
GENDER: F
NPI #: 1063566727
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-8000
E-PRESCRIBE: YES
RHEUMATOLOGY
KLUESNER, ANDREW, DPM
GENDER: M
NPI #: 1184889578
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61822
PHONE: (217) 366-8000
E-PRESCRIBE: YES
PULMONOLOGY
KOHLI, MANOJ, MD
GENDER: M
NPI #: 1215948146
CHRISTIE CLINIC
1801 W WINDSOR RD
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
SHEIKH, SALMAN Q., MD
GENDER:
NPI #: 1396753083
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
MUNOZ, ALBERTO J., MD
GENDER: M
NPI #: 1447367081
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
227
RADIATION ONCOLOGY
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CHAMPAIGN, IL
CHARLESTON, IL
RASHEED, MEHMOODUR,
MD
GENDER: M
NPI #: 1215978473
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3131
E-PRESCRIBE: YES
SESSIONS, NATALIE R., DO
GENDER: F
NPI #: 1992997175
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3131
E-PRESCRIBE: YES
SLEEP MEDICINE
SHEIKH, SALMAN Q., MD
GENDER:
NPI #: 1396753083
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
UROLOGY
HELFER, ERIC, MD
GENDER: M
NPI #: 1518064062
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1304
E-PRESCRIBE: YES
REGAN, JOHN S., MD
GENDER: M
NPI #: 1588672802
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
Specialty Care Providers
ZALAR JR, JOSEPH A., MD
GENDER: M
NPI #: 1942219522
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 336-1200
E-PRESCRIBE: YES
CHARLESTON, IL
DERMATOLOGY
PATEL, HARIKRISHNA P., MD
GENDER: M
NPI #: 1891805792
506 W LINCOLN AVE
CHARLESTON, IL 61920
PHONE: (217) 348-8727
E-PRESCRIBE: NO
GENERAL SURGERY
MCALLASTER, JASON, DO
GENDER: M
NPI #: 1306874466
BELLA FAMILY HEALTH &
WELLNESS
100 DEERPATH
CHARLESTON, IL 61920
PHONE: (217) 345-8346
E-PRESCRIBE: NO
BELLA VEIN MEDICAL SPA
100 DEERPATH RD
CHARLESTON, IL 61920
PHONE: (217) 355-8346
E-PRESCRIBE: NO
OPHTHALMOLOGY
PINE, RYAN, MD
GENDER: M
NPI #: 1255599452
ADVANCED
OPHTHALMOLOGY
1605 REYNOLDS DR
CHARLESTON, IL 61920
PHONE: (217) 348-0221
E-PRESCRIBE: YES
SCHUBERT, WILLIAM G., MD
GENDER: M
NPI #: 1558441154
1605 REYNOLDS DR
CHARLESTON, IL 61920
PHONE: (217) 348-0221
E-PRESCRIBE: YES
ORTHOPAEDICS
KOHLMANN, JAMES, MD
GENDER: M
NPI #: 1588663272
100 DEERPATH RD
CHARLESTON, IL 61920
PHONE: (217) 345-2727
E-PRESCRIBE: NO
PODIATRY
BORREGGINE, JOSEPH S.,
DPM
GENDER: M
NPI #: 1114921483
TOUCHING GROUND
PODIATRY
2111 18TH ST
CHARLESTON, IL 61920
PHONE: (217) 348-0888
E-PRESCRIBE: YES
DERANIAN, MARCUS S., MD
GENDER: M
NPI #: 1952367351
1700 18TH ST
CHARLESTON, IL 61920
PHONE: (217) 345-6600
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
228
Specialty Care Providers
CHILLICOTHE, IL
PODIATRY
HOELLE, GARY W., DPM
GENDER: M
NPI #: 1538124359
VALLEY MEDICAL CENTER
210 N FOURTH ST
CHILLICOTHE, IL 61523
PHONE: (309) 274-2795
E-PRESCRIBE: NO
CHRISMAN, IL
GENERAL SURGERY
NADEAU, JOHN P., DO
GENDER: M
NPI #: 1366623548
FAMILY MEDICAL CENTERCHRISMAN
112 W MADISON ST
CHRISMAN, IL 61924
PHONE:
E-PRESCRIBE: NO
CLINTON, IL
CARDIOLOGY
BRAASTAD, ROBERT A., MD
GENDER: M
NPI #: 1487619573
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
229
CHILLICOTHE, IL
CLINTON, IL
GANDHI, SIDDHARTH J., MD
GENDER: M
NPI #: 1831226042
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
TUMILTY, BETH L., DO
GENDER: F
NPI #: 1033159959
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
JARZABKOWSKI, DORY, DO
GENDER: F
NPI #: 1083651939
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
WERAARCHAKUL, WITOON,
MD
GENDER: M
NPI #: 1366494544
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
MCCRISKIN, JAMES, DO
GENDER: M
NPI #: 1700826617
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
SHAH, SAMIR H., MD
GENDER: M
NPI #: 1720028632
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
TEMIYASATHIT, THANOM,
MD
GENDER: M
NPI #: 1023041175
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
DERMATOLOGY
LEONE, DOUGLAS M., MD
GENDER: M
NPI #: 1255523296
DERMATOLOGY & MOHS
SURGERY INSTITUTE LTD
422 WHITE ST
CLINTON, IL 61727
PHONE: (217) 937-5279
E-PRESCRIBE: NO
GENERAL SURGERY
ROHRSCHEIB, SIDNEY P.,
MD
GENDER: M
NPI #: 1073580122
RURAL HEALTH CLINIC
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 937-5284
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
CLINTON, IL
CLINTON, IN
ROHRSCHEIB, SIDNEY, MD
GENDER: M
NPI #: 1073580122
803 ILLINI DR
CLINTON, IL 61727
PHONE: (217) 935-7037
E-PRESCRIBE: NO
NEUROLOGY
LI, FANG, MD
GENDER: F
NPI #: 1356447841
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
OPHTHALMOLOGY
DERANIAN, MARCUS S., MD
GENDER: M
NPI #: 1952367351
DR JOHN WARNER
HOSPITAL CLINIC
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 937-5279
E-PRESCRIBE: YES
PODIATRY
MARROCHELLO, VERONICA
S., DPM
GENDER: F
NPI #: 1326050378
CORTESE FOOT & ANKLE
CLINIC PC
422 W WHITE
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
Specialty Care Providers
PULMONOLOGY
SLEEP MEDICINE
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
CHU, CHAE O., MD
GENDER: M
NPI #: 1043250954
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
LI, FANG, MD
GENDER: F
NPI #: 1356447841
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MD
GENDER: M
NPI #: 1366542300
ADVOCATE MEDICAL
GROUP
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 935-9571
E-PRESCRIBE: NO
CLINTON, IN
NEUROSURGERY
STEPHANIAN, ERICK, MD
GENDER: M
NPI #: 1730106410
WEST CENTRAL COMM
HOSP
801 S MAIN ST
CLINTON, IN 47842
PHONE: (765) 832-1234
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
230
COLFAX, IL
DANVILLE, IL
Specialty Care Providers
NEUROLOGY
COLFAX, IL
FEHR, MARK L., MD
GENDER: M
NPI #: 1275781338
CENTER FOR
NEUROLOGICAL DISEASES
2222 WEBER RD
CREST HILL, IL 60403
PHONE: (815) 741-9719
E-PRESCRIBE: NO
GERIATRICS
DEOSKAR, UDAY L., MD
GENDER: M
NPI #: 1386733145
HERITAGE MANOR
402 S HARRISON ST
COLFAX, IL 61728
PHONE: (309) 723-2591
E-PRESCRIBE: NO
KANNAN, SREEPATHY, MD
GENDER: M
NPI #: 1295793529
CENTER FOR
NEUROLOGICAL DISEASES
2222 WEBER RD
CREST HILL, IL 60403
PHONE: (815) 741-9719
E-PRESCRIBE: NO
COVINGTON, IN
INFECTIOUS DISEASES
PATEL, KEVAL D., MD
GENDER: M
NPI #: 1447291182
DANVILLE POLYCLINIC
416 UNION ST
COVINGTON, IN 47932
PHONE: (765) 793-2122
E-PRESCRIBE: NO
NADKARNI, NITIN, MD
GENDER: M
NPI #: 1841262961
CENTER FOR
NEUROLOGICAL DISEASES
2222 WEBER RD
CREST HILL, IL 60403
PHONE: (815) 741-9719
E-PRESCRIBE: NO
CREST HILL, IL
GERIATRICS
GANDHI, BHAVESH R., MD
GENDER: M
NPI #: 1417994013
PROVENA MEDICAL GROUP
16151 WEBER RD SUITE 101
CREST HILL, IL 60403
PHONE: (815) 773-7827
E-PRESCRIBE: NO
PATEL, SOHAL K., MD
GENDER: M
NPI #: 1588821649
CENTER FOR
NEUROLOGICAL DISEASES
2222 WEBER ROAD
CREST HILL, IL 60403
PHONE: (815) 741-9719
E-PRESCRIBE: NO
DANVILLE, IL
ALLERGY/IMMUNOLOGY
ZECH, JOHN R., MD
GENDER: M
NPI #: 1639277346
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7600
E-PRESCRIBE: YES
CARDIOLOGY
BRASCH, ANDREA V., MD
GENDER: F
NPI #: 1740353457
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 431-7850
E-PRESCRIBE: YES
FABRIZIO, JOSEPH M., MD
GENDER:
NPI #: 1922055698
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832-4360
PHONE: (217) 477-4774
E-PRESCRIBE: NO
MOKRAOUI, MALEC A., MD
GENDER: M
NPI #: 1215949656
CARLE PHYSICIAN GROUP
2300 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 431-7601
E-PRESCRIBE: YES
PATEL, BHASKAR N., MD
GENDER:
NPI #: 1588607014
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832-4360
PHONE: (217) 477-4773
E-PRESCRIBE: NO
231
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
DANVILLE, IL
DANVILLE, IL
SANCHEZ-TORRES,
REINALDO J., MD
GENDER: M
NPI #: 1467468553
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 431-7850
E-PRESCRIBE: YES
DERMATOLOGY
PATEL, HARIKRISHNA P., MD
GENDER: M
NPI #: 1891805792
701 W FAIRCHILD SUITE C
DANVILLE, IL 61832
PHONE: (217) 442-0400
E-PRESCRIBE: NO
PATEL, HARIKRISHNA, MD
GENDER:
NPI #: 1891805792
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4774
E-PRESCRIBE: NO
GASTROENTEROLOGY
SEKAR, VENKAT E., MD
GENDER: M
NPI #: 1114974441
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4772
E-PRESCRIBE: NO
GENERAL SURGERY
BOWEN, WILLIAM J., MD
GENDER: M
NPI #: 1225019508
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 447-6410
E-PRESCRIBE: NO
Specialty Care Providers
KAKARLA, VENKATA R., MD
GENDER: M
NPI #: 1437390150
CHRISTIE CLINIC
800 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 431-8930
E-PRESCRIBE: NO
THANGAVELU, MUTHIAH, MD
GENDER:
NPI #: 1386681658
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832-4360
PHONE: (217) 477-4762
E-PRESCRIBE: NO
OCHOA, MIGUEL R., MD
GENDER: M
NPI #: 1871774687
VERMILION MEDICAL CTR
701 W FAIRCHILD ST SUITE A
DANVILLE, IL 61832
PHONE: (217) 443-3866
E-PRESCRIBE: NO
GERIATRICS
ROHRSCHEIB, SIDNEY P.,
MD
GENDER: M
NPI #: 1073580122
PROVENA UNITED
SAMARITANS MEDICAL
CENTER
812 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4784
E-PRESCRIBE: NO
SAVAGE, JAMES E., MD
GENDER: M
NPI #: 1194806620
800 N LOGAN SUITE 204
DANVILLE, IL 61832
PHONE: (217) 446-1827
E-PRESCRIBE: NO
SCAVONE, DEAN J., MD
GENDER: M
NPI #: 1033202262
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 554-1800
E-PRESCRIBE: YES
PARUCHURI, SURENDRA P.,
MD
GENDER:
NPI #: 1902847437
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832-4360
PHONE: (217) 477-4730
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
LABAYOG, JOMEL, MD
GENDER: M
NPI #: 1326053299
PROVENA MEDICAL GROUP
806 N LOGAN
DANVILLE, IL 61832
PHONE: (217) 431-4290
E-PRESCRIBE: NO
VASIREDDY, VAMSI K., DO
GENDER:
NPI #: 1801802996
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 431-7825
E-PRESCRIBE: YES
INFECTIOUS DISEASES
PATEL, KEVAL D., MD
GENDER: M
NPI #: 1447291182
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832-4360
PHONE: (217) 477-4738
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
232
Specialty Care Providers
NEPHROLOGY
ONCOLOGY
ATTIA, ABDEL-MONEIM M.,
MD
GENDER: M
NPI #: 1316977614
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 431-7600
E-PRESCRIBE: YES
ROWLAND, KENDRITH, MD
GENDER: M
NPI #: 1407955206
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 431-7825
E-PRESCRIBE: YES
SODHI, BRIJNANDAN S., MD
GENDER: M
NPI #: 1700879178
SODHI MEDICAL SERVICES
1010 W CLAY ST
DANVILLE, IL 61832
PHONE: (217) 431-7200
E-PRESCRIBE: NO
NEUROLOGY
ARONSON, KENNETH S., MD
GENDER: M
NPI #: 1316971153
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 431-7789
E-PRESCRIBE: YES
OPHTHALMOLOGY
APRAHAMIAN, ARA D., MD
GENDER: M
NPI #: 1528015013
GAILEY EYE CLINIC
47 E LIBERTY LANE
DANVILLE, IL 61832
PHONE: (217) 446-3937
E-PRESCRIBE: NO
BHATIA, SUMIT P., MD
GENDER: M
NPI #: 1780670596
GAILEY EYE CLINIC
47 E LIBERTY LN
DANVILLE, IL 61832
PHONE: (217) 446-3937
E-PRESCRIBE: NO
RAJESWAREN, RAJ N., MD
GENDER: M
NPI #: 1578659793
1017 W WILLIAMS
DANVILLE, IL 61832
PHONE: (217) 446-0446
E-PRESCRIBE: NO
DILLMAN, DAVID, MD
GENDER: M
NPI #: 1326076142
DILLMAN EYE CENTER
600 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 443-2244
E-PRESCRIBE: YES
TAZUDEEN, VATHIAR A., MD
GENDER: M
NPI #: 1366451163
NEUROLOGY CLINIC OF
DANVILLE LLC
701 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-8400
E-PRESCRIBE: NO
DVORAK, ANDREW, MD
GENDER: M
NPI #: 1770561714
DILLMAN EYE CARE
ASSOCIATES
600 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 443-1189
E-PRESCRIBE: NO
233
DANVILLE, IL
DANVILLE, IL
HALPERIN, GREGORY I., MD
GENDER: M
NPI #: 1760423206
GAILEY EYE CLINIC
47 E LIBERTY LANE
DANVILLE, IL 61832
PHONE: (217) 446-3937
E-PRESCRIBE: NO
HARMAN, JOSEPH G., MD
GENDER: M
NPI #: 1942241484
GAILEY EYE CLINIC
47 E LIBERTY LANE
DANVILLE, IL 61832
PHONE: (217) 446-3937
E-PRESCRIBE: NO
KNUPP, JAMES A., MD
GENDER: M
NPI #: 1548211774
GAILEY EYE CLINIC
47 E LIBERTY LANE
DANVILLE, IL 61832
PHONE: (217) 446-3937
E-PRESCRIBE: NO
KRESCA, JAMES R., MD
GENDER: M
NPI #: 1073694303
800 N LOGAN AVE SUITE 207
DANVILLE, IL 61832
PHONE: (217) 352-2020
E-PRESCRIBE: NO
KRISTAL, LIBBY K., MD
GENDER: F
NPI #: 1326240144
GAILEY EYE CLINIC
47 E LIBERTY LANE
DANVILLE, IL 61834
PHONE: (217) 446-3937
E-PRESCRIBE: NO
LEE, ROBERT M., MD
GENDER: M
NPI #: 1699716118
GAILEY EYE CLINIC
47 E LIBERTY LANE
DANVILLE, IL 61832
PHONE: (217) 446-3937
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
DANVILLE, IL
DANVILLE, IL
Specialty Care Providers
OESTER, ALAN E., MD
GENDER: M
NPI #: 1750503819
GAILEY EYE CLINIC
47 E LIBERTY LANE
DANVILLE, IL 61834
PHONE: (217) 446-3937
E-PRESCRIBE: NO
PLATTNER, PAUL F., MD
GENDER: M
NPI #: 1922100742
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 431-7830
E-PRESCRIBE: YES
SANTIAGO, IVAN, MD
GENDER: M
NPI #: 1275795841
CHRISTIE CLINIC
3545 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 442-8611
E-PRESCRIBE: YES
RIGSBY, JESSE H., MD
GENDER: M
NPI #: 1447253646
GAILEY EYE CLINIC
47 E LIBERTY LANE
DANVILLE, IL 61834
PHONE: (217) 446-3937
E-PRESCRIBE: NO
OTOLARYNGOLOGY
TIPIRNENI, SAMATHA, MD
GENDER: F
NPI #: 1598883076
CARLE PHYSICIAN GROUP
311 FAIRCHILD AVE
DANVILLE, IL 61832
PHONE: (217) 444-5800
E-PRESCRIBE: YES
SAYEGH, SAMIR I., MD
GENDER: M
NPI #: 1104918176
800 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 352-2020
E-PRESCRIBE: NO
ORTHOPAEDICS
HOGG, CHRISTOPHER T., DO
GENDER: M
NPI #: 1518998202
EAST CENTRAL ILLINOIS
ORTHOPEDICS AND SPORTS
MED
737 N LOGAN AVE
DANVILLE, IL 61832
PHONE:
E-PRESCRIBE: NO
KOHLMANN, JAMES, MD
GENDER: M
NPI #: 1588663272
800 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 443-0300
E-PRESCRIBE: NO
GOEL, NARESH C., MD
GENDER: M
NPI #: 1780624320
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832
PHONE: (217) 477-4768
E-PRESCRIBE: NO
PAIN MANAGEMENT
PLASTIC RECONSTRUCTIVE
SURGERY
SANTIAGO, IVAN, MD
GENDER: M
NPI #: 1275795841
CHRISTIE CLINIC
3545 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 442-8611
E-PRESCRIBE: YES
SCHNEIDER, SUSAN M., MD
GENDER: F
NPI #: 1083781587
PROVENA SERVICES
CORPORATION
800 N LOGAN AVE SUITE 207
DANVILLE, IL 61832
PHONE: (217) 431-4038
E-PRESCRIBE: NO
PHYSICAL MEDICINE/
REHABILITATION
PODIATRY
JOHNSON, VICTORIA, MD
GENDER: F
NPI #: 1043235450
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 431-7800
E-PRESCRIBE: YES
LOGSDON, PHILLIP K., DPM
GENDER: M
NPI #: 1043230089
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 431-7830
E-PRESCRIBE: YES
LI, JIAN, MD
GENDER: F
NPI #: 1336169440
CARLE PHYSICIAN GROUP
311 FAIRCHILD AVE
DANVILLE, IL 61832
PHONE: (217) 444-5835
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
234
DANVILLE, IL
DECATUR, IL
Specialty Care Providers
PULMONOLOGY
BOBAT, ISMAIL A., MD
GENDER: M
NPI #: 1750310553
PROVENA MEDICAL GROUP
800 N LOGAN AVE SUITE 102
DANVILLE, IL 61832
PHONE:
E-PRESCRIBE: NO
GREELEY, DONALD A., MD
GENDER: M
NPI #: 1942224134
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 431-7650
E-PRESCRIBE: YES
SLEEP MEDICINE
BOBAT, ISMAIL A., MD
GENDER: M
NPI #: 1750310553
PROVENA MEDICAL GROUP
800 N LOGAN AVE SUITE 102
DANVILLE, IL 61832
PHONE:
E-PRESCRIBE: NO
GREELEY, DONALD A., MD
GENDER: M
NPI #: 1942224134
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 431-7650
E-PRESCRIBE: YES
UROLOGY
CIANCIO, SEBASTIAN, MD
GENDER: M
NPI #: 1891893525
DANVILLE POLYCLINIC LTD
707 N LOGAN AVE
DANVILLE, IL 61832-4360
PHONE: (217) 447-4766
E-PRESCRIBE: NO
235
HELFER, ERIC, MD
GENDER: M
NPI #: 1518064062
CHRISTIE CLINIC
3545 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 442-8611
E-PRESCRIBE: YES
VASCULAR SURGERY
CONNELLY, TIMOTHY L., MD
GENDER: M
NPI #: 1801821509
CARLE PHYSICIAN GROUP
2300 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 431-7600
E-PRESCRIBE: YES
DECATUR, IL
ALLERGY/IMMUNOLOGY
BEEDE, HOWARD E., MD
GENDER: M
NPI #: 1205892478
2 MEMORIAL DR SUITE 204
DECATUR, IL 62526
PHONE: (217) 872-1040
E-PRESCRIBE: NO
GIBSON, BETHANY T., MD
GENDER: F
NPI #: 1043278013
101 W MCKINLEY AVE
DECATUR, IL 62526
PHONE: (217) 876-3682
E-PRESCRIBE: NO
1770 E LAKE SHORE DR
SUITE 203
DECATUR, IL 62521
PHONE: (217) 876-3682
E-PRESCRIBE: NO
CARDIAC
ELECTROPHYSIOLOGY
CADMAN, CHRISTOPHER S.,
MD
GENDER: M
NPI #: 1639104615
ILLINOIS HEART
SPECIALISTS
2300 N EDWARD SUITE 2400
DECATUR, IL 62526
PHONE: (217) 876-2400
E-PRESCRIBE: NO
CARDIOLOGY
ADDAI, THEODORE R., MD
GENDER: M
NPI #: 1912985185
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
2300 N EDWARDS ST
DECATUR, IL 62526
PHONE: (217) 422-6100
E-PRESCRIBE: YES
AKER, NIDAL M., MD
GENDER: M
NPI #: 1083671911
ILLINOIS HEART
SPECIALISTS
2300 N EDWARD SUITE 2400
DECATUR, IL 62526
PHONE: (217) 876-2400
E-PRESCRIBE: NO
CACERES, LUIS J., MD
GENDER: M
NPI #: 1942381496
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
1800 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 422-6100
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
DECATUR, IL
DECATUR, IL
JYOTHINAGARAM, MADHU
G., MD
GENDER: M
NPI #: 1114983491
ILLINOIS HEART
SPECIALISTS
2300 N EDWARD SUITE 2400
DECATUR, IL 62526
PHONE: (217) 876-2400
E-PRESCRIBE: NO
KAIROUZ, JEANNE M., MD
GENDER: F
NPI #: 1003846908
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
1800 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 422-6100
E-PRESCRIBE: NO
KOLA, MANOHAR, MD
GENDER: M
NPI #: 1982786273
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
2300 N EDWARDS ST
DECATUR, IL 62526
PHONE: (217) 422-6100
E-PRESCRIBE: NO
KOLLURU, ANURADHA, MD
GENDER: F
NPI #: 1124261532
ILLINOIS HEART
SPECIALIST
2300 N EDWARD ST SUITE
2400
DECATUR, IL 62526
PHONE: (217) 876-2400
E-PRESCRIBE: NO
PATEL, KRISHAN, MD
GENDER: M
NPI #: 1699857615
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
2300 N EDWARDS ST
DECATUR, IL 62526
PHONE: (217) 422-6100
E-PRESCRIBE: YES
Specialty Care Providers
TURGUT, TANSEL, MD
GENDER: M
NPI #: 1104829886
ILLINOIS HEART
SPECIALISTS
2300 N EDWARD SUITE 2400
DECATUR, IL 62526
PHONE: (217) 876-2400
E-PRESCRIBE: NO
LEE, FRANCIS C., MD
GENDER: F
NPI #: 1396735114
THE LEE INSTITUTE OF SKIN
AND LASER
606 W PERSHING RD SUITE E
DECATUR, IL 62526
PHONE: (217) 877-7171
E-PRESCRIBE: NO
WATERS, JOHN S., MD
GENDER: M
NPI #: 1033176656
ILLINOIS HEART
SPECIALISTS
2300 N EDWARD SUITE 2400
DECATUR, IL 62526
PHONE: (217) 876-2400
E-PRESCRIBE: YES
GASTROENTEROLOGY
COLON/RECTAL SURGERY
DEKOJ, THOMAS R., MD
GENDER: M
NPI #: 1053514646
SURGICAL SPECIALISTS OF
CENTRAL IL
1750 E LAKE SHORE DR
SUITE 200
DECATUR, IL 62521
PHONE: (217) 428-6300
E-PRESCRIBE: NO
DERMATOLOGY
BABICH, DEBRA, MD
GENDER: F
NPI #: 1649215757
304 W HAY ST SUITE 313
DECATUR, IL 62526
PHONE: (217) 876-6890
E-PRESCRIBE: NO
BARPUJARI, VIKRAM, MD
GENDER: M
NPI #: 1396729190
HSHS MEDICAL GROUP
1750 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 464-1220
E-PRESCRIBE: NO
DILORENZO, RICHARD R.,
DO
GENDER: M
NPI #: 1528090164
INTERNAL MEDICINE
SUBSPECIALTY
ASSOCIATES LTD
TWO MEMORIAL DR SUITE
101
DECATUR, IL 62526
PHONE: (217) 875-2640
E-PRESCRIBE: NO
ELOY, VICTOR, MD
GENDER: M
NPI #: 1942232558
INTERNAL MEDICINE
SUBSPECIALTY
ASSOCIATES LTD
TWO MEMORIAL DR SUITE
101
DECATUR, IL 62526
PHONE: (217) 875-2640
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
236
DECATUR, IL
DECATUR, IL
Specialty Care Providers
SHETH, SUDHAKAR K., MD
GENDER: M
NPI #: 1699707679
INTERNAL MEDICINE
SUBSPECIALTY
ASSOCIATES LTD
TWO MEMORIAL DR SUITE
101
DECATUR, IL 62526
PHONE: (217) 875-2640
E-PRESCRIBE: NO
GENERAL SURGERY
BAILEY, TIMOTHY S., MD
GENDER: M
NPI #: 1053378976
1770 E LAKE SHORE DR
SUITE 203
DECATUR, IL 62521
PHONE:
E-PRESCRIBE: NO
DECATUR MEMORIAL
HOSPITAL
2300 N EDWARD ST
DECATUR, IL 62526
PHONE: (217) 877-5421
E-PRESCRIBE: NO
DEKOJ, THOMAS R., MD
GENDER: M
NPI #: 1053514646
SURGICAL SPECIALISTS OF
CENTRAL IL
1750 E LAKE SHORE DR
SUITE 200
DECATUR, IL 62521
PHONE: (217) 428-6300
E-PRESCRIBE: NO
GILMAN III, ALBERT F., MD
GENDER: M
NPI #: 1225094436
302 W HAY ST SUITE 140
DECATUR, IL 62526
PHONE: (217) 877-5421
E-PRESCRIBE: NO
237
LIU, GEORGE, MD
GENDER: M
NPI #: 1528164951
DECATUR MEMORIAL
HOSPITAL
304 W HAY ST SUITE 205
DECATUR, IL 62526
PHONE: (217) 877-7718
E-PRESCRIBE: NO
MAIBENCO, DOUGLAS C.,
MD
GENDER: M
NPI #: 1366424061
SURGICAL SPECIALISTS OF
DECATUR SC
1750 E LAKESHORE DR
SUITE 200
DECATUR, IL 62521
PHONE: (217) 428-6300
E-PRESCRIBE: NO
MCALLASTER, JASON, DO
GENDER: M
NPI #: 1306874466
BELLA VEIN MEDICAL SPA
345 E ASH AVE
DECATUR, IL 62526
PHONE: (217) 615-0834
E-PRESCRIBE: NO
ROGERS, DWAIN M., MD
GENDER: M
NPI #: 1548310543
SURGICAL SPECIALISTS OF
CENTRAL ILLINOIS
1750 E LAKE SHORE DR
SUITE 200
DECATUR, IL 62521
PHONE: (217) 428-6300
E-PRESCRIBE: NO
SHERWOOD, SCOTT E., MD
GENDER: M
NPI #: 1295791341
302 W HAY ST SUITE 205
DECATUR, IL 62526
PHONE: (217) 877-7718
E-PRESCRIBE: NO
TRACHTENBERG, JEFFREY
D., MD
GENDER: M
NPI #: 1821070517
SURGICAL SPECIALISTS OF
DECATUR SC
1750 E LAKESHORE DR
SUITE 200
DECATUR, IL 62521
PHONE: (217) 428-6300
E-PRESCRIBE: NO
GERIATRICS
MCCORMACK, ANTHONY T.,
MD
GENDER: M
NPI #: 1154388791
ANTHONY T MCCORMACK
MD
102 W KENWOOD SUITE 130
DECATUR, IL 62526
PHONE: (217) 876-6350
E-PRESCRIBE: NO
PATEL, DHIRENDRA K., MD
GENDER: M
NPI #: 1306837471
ST MARYS ADULT &
GERATRIC MEDICINE
2981 N MAIN ST
DECATUR, IL 62526
PHONE: (217) 877-9775
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
ESPARAZ, BENJAMIN T., MD
GENDER: M
NPI #: 1275502940
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
210 W MCKINLEY AVE SUITE
1
DECATUR, IL 62526
PHONE: (217) 876-6600
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
DECATUR, IL
DECATUR, IL
ESTRADA, DELORES, MD
GENDER: F
NPI #: 1316950033
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
210 W MCKINLEY SUITE 1
DECATUR, IL 62526
PHONE: (217) 876-6600
E-PRESCRIBE: NO
GUAGLIANONE, PERRY P.,
MD
GENDER: M
NPI #: 1932168309
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
210 W MCKINLEY SUITE 1
DECATUR, IL 62526
PHONE: (217) 876-6600
E-PRESCRIBE: NO
KAIROUZ, SEBASTIEN S., MD
GENDER: M
NPI #: 1396701009
1990 E LAKESHORE DR
DECATUR, IL 62521
PHONE: (217) 464-2900
E-PRESCRIBE: YES
CANCER CARE SPECIALISTS
OF CENTRAL IL
210 W MCKINLEY SUITE 1
DECATUR, IL 62526
PHONE: (217) 876-6600
E-PRESCRIBE: YES
VELASCO JR, MARIO R., MD
GENDER: M
NPI #: 1326007782
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
210 W MCKINLEY SUITE 1
DECATUR, IL 62526
PHONE: (217) 876-6600
E-PRESCRIBE: NO
Specialty Care Providers
WADE, JAMES L., MD
GENDER: M
NPI #: 1992774459
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
210 W MCKINLEY AVE SUITE
1
DECATUR, IL 62526
PHONE:
E-PRESCRIBE: NO
INFECTIOUS DISEASES
MINNAGANTI, VENKAT R.,
MD
GENDER: M
NPI #: 1407812746
INFECTIOUS DISEASE
SPECIALISTS OF CENTRAL
IL
304 W HAY ST SUITE 212
DECATUR, IL 62526
PHONE: (217) 876-4390
E-PRESCRIBE: NO
SALIK, SYED Z., MD
GENDER: M
NPI #: 1265408694
SUITE 340
1900 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 791-6703
E-PRESCRIBE: NO
INTERVENTIONAL
RADIOLOGY
BRUMIT, J MARK, MD
GENDER: M
NPI #: 1306826052
DECATUR MEMORIAL
HOSPITAL
2300 N EDWARD ST
DECATUR, IL 62526
PHONE: (217) 876-6730
E-PRESCRIBE: NO
WIARDA, HOWARD E., MD
GENDER: M
NPI #: 1801881255
DECATUR MEMORIAL
HOSPITAL
2300 N EDWARD ST
DECATUR, IL 62526
PHONE: (217) 876-6730
E-PRESCRIBE: NO
NEPHROLOGY
DAWOOD, MOHAMMED, MD
GENDER: M
NPI #: 1174589576
441 W HAY ST
DECATUR, IL 62526
PHONE: (217) 876-6860
E-PRESCRIBE: YES
HASNAIN, MOHAMMAD, MD
GENDER: M
NPI #: 1093772998
441 W HAY ST
DECATUR, IL 62526
PHONE: (217) 876-6860
E-PRESCRIBE: YES
QURESHI, MUHAMMAD M.,
MD
GENDER: M
NPI #: 1427042985
411 W HAY ST 2ND FLOOR
DECATUR, IL 62526
PHONE: (217) 876-6860
E-PRESCRIBE: YES
NEUROLOGY
COLLINS, ANTHONY F., MD
GENDER: M
NPI #: 1851358774
MIDWEST NEUROLOGY
ASSOCIATES SC
302 W HAY ST SUITE LL110
DECATUR, IL 62526
PHONE: (217) 872-7000
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
238
Specialty Care Providers
DEVLESCHOWARD, ALLEN,
MD
GENDER: M
NPI #: 1326191503
DECATUR NEUROLOGICAL
ASSOCIATES LTD
302 W HAY ST SUITE 210
DECATUR, IL 62526
PHONE: (217) 877-5943
E-PRESCRIBE: NO
KRAUS JR, ROBERT R., MD
GENDER: M
NPI #: 1962469734
DECATUR NEUROSURGICAL
ASSOCIATES
TWO MEMORIAL DR SUITE
207
DECATUR, IL 62526
PHONE: (217) 876-2780
E-PRESCRIBE: NO
DOVE, DOUGLAS J., MD
GENDER: M
NPI #: 1356418586
TWO MEMORIAL DR SUITE
200
DECATUR, IL 62526
PHONE: (217) 876-2770
E-PRESCRIBE: NO
PENCEK, TERRENCE L., MD
GENDER: M
NPI #: 1417061086
ST MARYS NEURO &
ORTHOPAEDIC MEDICINE
1750 E LAKESHORE DR
SUITE 110
DECATUR, IL 62521
PHONE: (217) 464-1200
E-PRESCRIBE: NO
MAHMOOD, RANA H., MD
GENDER: M
NPI #: 1043363211
DECATUR NEUROLOGICAL
ASSOCIATES LTD
302 W HAY ST SUITE 210
DECATUR, IL 62526
PHONE: (217) 877-5943
E-PRESCRIBE: NO
NEUROSURGERY
DOLD, OLIVER N R., MD
GENDER: M
NPI #: 1508822701
TWO MEMORIAL DR SUITE
207
DECATUR, IL 62526
PHONE: (217) 876-2780
E-PRESCRIBE: NO
FULBRIGHT, THOMAS D., MD
GENDER: M
NPI #: 1659381531
DECATUR NEUROSURGICAL
ASSOCIATES
TWO MEMORIAL DR SUITE
207
DECATUR, IL 62526
PHONE: (217) 876-2780
E-PRESCRIBE: NO
239
RAHMAN, MOHAMMED A.,
DO
GENDER: M
NPI #: 1396073813
HSHS MEDICAL GROUP
1750 E LAKE SHORE DR
SUITE 110A
DECATUR, IL 62521
PHONE: (217) 464-1200
E-PRESCRIBE: NO
OCCUPATIONAL MEDICINE
BARNES, RONALD L., MD
GENDER: M
NPI #: 1962469981
DMH URGENT CARE
2120 N 27TH ST
DECATUR, IL 62526
PHONE: (217) 876-4940
E-PRESCRIBE: NO
DOCTORS FAMILY
PRACTICE
2975 N WATER ST
DECATUR, IL 62526
PHONE: (217) 876-5320
E-PRESCRIBE: NO
DECATUR, IL
DECATUR, IL
SHORE/DMH CORPORATE
HEALTH
2122 N 27TH ST
DECATUR, IL 62526
PHONE: (217) 423-3100
E-PRESCRIBE: NO
ETHIRAJ, RAJESH K., MD
GENDER: M
NPI #: 1669667242
HSHS MEDICAL GROUP
1750 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 464-1440
E-PRESCRIBE: NO
FISCHER, DON A., MD
GENDER: M
NPI #: 1982883781
2120 N 27TH ST
DECATUR, IL 62526
PHONE: (217) 876-4041
E-PRESCRIBE: NO
DOCTORS FAMILY
PRACTICE
2975 N WATER ST
DECATUR, IL 62526
PHONE: (217) 876-5320
E-PRESCRIBE: NO
OPHTHALMOLOGY
ALWARD, PHILLIP D., MD
GENDER: M
NPI #: 1699735415
CENTER FOR SIGHT OF
CENTRAL ILLINOIS
304 W HAY ST SUITE 311
DECATUR, IL 62526
PHONE: (217) 877-5050
E-PRESCRIBE: NO
APRAHAMIAN, ARA D., MD
GENDER: M
NPI #: 1528015013
GAILEY EYE CLINIC
646 W PERSHING RD
DECATUR, IL 62526
PHONE: (217) 875-0300
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
DECATUR, IL
DECATUR, IL
BARBA, KENNETH R., MD
GENDER: M
NPI #: 1265473706
GAILEY EYE CLINIC
646 W PERSHING RD
DECATUR, IL 62526
PHONE: (217) 875-0300
E-PRESCRIBE: NO
DERANIAN, MARCUS S., MD
GENDER: M
NPI #: 1952367351
CENTRAL ILLINOIS VISION
CENTER
2442 STATE ROUTE 121 NW
DECATUR, IL 62526
PHONE: (217) 233-3101
E-PRESCRIBE: YES
4837 E ROUTE 36
DECATUR, IL 62521
PHONE: (217) 864-1362
E-PRESCRIBE: YES
FARRIS, STUART R., MD
GENDER: M
NPI #: 1144279498
PRAIRIE EYE CENTER LTD
2422 NW RT 121
DECATUR, IL 62526
PHONE:
E-PRESCRIBE: NO
HALPERIN, GREGORY I., MD
GENDER: M
NPI #: 1760423206
GAILEY EYE CLINIC
646 W PERSHING RD
DECATUR, IL 62526
PHONE: (217) 875-0300
E-PRESCRIBE: NO
HARMAN, JOSEPH G., MD
GENDER: M
NPI #: 1942241484
GAILEY EYE CLINIC
646 W PERSHING RD
DECATUR, IL 62526
PHONE: (217) 875-0300
E-PRESCRIBE: NO
Specialty Care Providers
LEE, JOHN C., MD
GENDER: M
NPI #: 1013072990
1714 BLAINE LANE
DECATUR, IL 62526
PHONE: (217) 423-9000
E-PRESCRIBE: NO
HUSS, STEPHEN M., MD
GENDER: M
NPI #: 1285638072
304 W HAY ST SUITE 213
DECATUR, IL 62526
PHONE: (217) 875-1518
E-PRESCRIBE: NO
LEE, ROBERT M., MD
GENDER: M
NPI #: 1699716118
GAILEY EYE CLINIC
646 W PERSHING RD
DECATUR, IL 62526
PHONE: (217) 875-0300
E-PRESCRIBE: NO
TUAN, KENNETH, MD
GENDER: M
NPI #: 1477520955
ORTHOPAEDIC &
REHABILITATION
SPECIALISTS
304 W HAY ST SUITE 218
DECATUR, IL 62526
PHONE: (217) 877-2088
E-PRESCRIBE: NO
ODIN, LANNY S., MD
GENDER: M
NPI #: 1457309130
PRAIRIE EYE CENTER
304 W HAY ST SUITE 311
DECATUR, IL 62526
PHONE: (217) 877-5050
E-PRESCRIBE: NO
TIN, MAUNG M., MD
GENDER: M
NPI #: 1760592414
ADVANCE VISION EYECARE
1770 E LAKE SHORE DR
SUITE 206
DECATUR, IL 62521
PHONE: (217) 233-1405
E-PRESCRIBE: NO
ORTHOPAEDICS
BRITT, JOHN E., MD
GENDER: M
NPI #: 1366543910
ST MARYS NEURO &
ORTHOPAEDIC MEDICINE
1750 E LAKE SHORE DR
SUITE 110
DECATUR, IL 62521
PHONE: (217) 464-1200
E-PRESCRIBE: NO
OTOLARYNGOLOGY
ASLAM, AZHAR, MD
GENDER: M
NPI #: 1922057371
1770 E LAKESHORE DR
SUITE 103
DECATUR, IL 62521
PHONE: (217) 422-9036
E-PRESCRIBE: NO
CHADWICK, STEPHEN J., MD
GENDER: M
NPI #: 1104883735
1770 E LAKE SHORE DR
SUITE 203
DECATUR, IL 62521
PHONE: (217) 876-3342
E-PRESCRIBE: NO
DECATUR MEMORIAL
HOSPITAL MEDICAL GROUP
101 W MCKINLEY AVE
DECATUR, IL 62524
PHONE: (217) 876-3342
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
240
Specialty Care Providers
PAIN MANAGEMENT
SOBOL, STEVEN M., MD
GENDER: M
NPI #: 1598722712
1770 E LAKE SHORE DR
SUITE 203
DECATUR, IL 62521
PHONE: (217) 876-3682
E-PRESCRIBE: NO
DECATUR MEMORIAL
HOSPITAL MEDICAL GROUP
101 W MCKINLEY AVE
DECATUR, IL 62524
PHONE: (217) 876-3682
E-PRESCRIBE: NO
ULIS, JEFFREY M., MD
GENDER: M
NPI #: 1568646842
DECATUR MEMORIAL
HOSPITAL MEDICAL GROUP
101 W MCKINLEY AVE
DECATUR, IL 62524
PHONE: (217) 876-3342
E-PRESCRIBE: NO
WOODS, TERENCE R., MD
GENDER: M
NPI #: 1528026580
1770 E LAKE SHORE DR
SUITE 203
DECATUR, IL 62521
PHONE: (217) 876-3682
E-PRESCRIBE: NO
DECATUR MEMORIAL
HOSPITAL MEDICAL GROUP
101 W MCKINLEY AVE
DECATUR, IL 62526
PHONE: (217) 876-3682
E-PRESCRIBE: NO
241
BENYAMIN, RAMSIN, MD
GENDER: M
NPI #: 1215924410
DMH MILLENNIUM PAIN
CENTER
302 W HAY SUITE LL 100
DECATUR, IL 62526
PHONE: (217) 876-6640
E-PRESCRIBE: NO
FANCHER, SHANE R., MD
GENDER: M
NPI #: 1427055433
CENTRAL ILLINOIS
ASSOCIATES
1800 E LAKESHORE DR
DECATUR, IL 62521
PHONE: (217) 464-2729
E-PRESCRIBE: NO
DECATUR, IL
DECATUR, IL
FURRY, JOHN, MD
GENDER: M
NPI #: 1245237304
PAIN CONSULTANTS OF
CENTRAL IL
1800 E LAKESHORE DRIVE
SUITE 2500
DECATUR, IL 62521
PHONE: (217) 464-2729
E-PRESCRIBE: NO
REHMAN, ATIQ U., MD
GENDER: M
NPI #: 1457373730
DMH MILLENNIUM PAIN
CENTER
302 W HAY SUITE LL 100
DECATUR, IL 62526
PHONE: (217) 876-6640
E-PRESCRIBE: NO
FANCHER, SHANE, MD
GENDER: M
NPI #: 1427055433
PAIN CONSULTANTS OF
CENTRAL IL
1800 E LAKESHORE DR
SUITE 2500
DECATUR, IL 62521
PHONE: (217) 464-2729
E-PRESCRIBE: NO
UNDERWOOD, JOHN
(RANDALL), MD
GENDER: M
NPI #: 1962467555
PAIN CONSULTANTS OF
CENTRAL IL
1800 E LAKESHORE DRIVE
SUITE 2500
DECATUR, IL 62521
PHONE:
E-PRESCRIBE: NO
FURRY, JOHN M., MD
GENDER: M
NPI #: 1245237304
CENTRAL ILLINOIS
ASSOCIATES
1800 E LAKESHORE DR
DECATUR, IL 62521
PHONE: (217) 464-2729
E-PRESCRIBE: NO
UNDERWOOD, JOHN, MD
GENDER: M
NPI #: 1962467555
CENTRAL ILLINOIS
ASSOCIATES
1800 E LAKESHORE DR
DECATUR, IL 62521
PHONE: (217) 464-2729
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
DECATUR, IL
DECATUR, IL
Specialty Care Providers
VALLEJO, RICARDO, MD
GENDER: M
NPI #: 1669469706
DMH MILLENNIUM PAIN
CENTER
302 W HAY SUITE LL 100
DECATUR, IL 62526
PHONE: (217) 876-6640
E-PRESCRIBE: NO
PODIATRY
PEDIATRIC CARDIOLOGY
KOVACH, STEPHEN, DPM
GENDER: M
NPI #: 1447397468
FAMILY FOOT & ANKLE
CLINIC PC
1390 N FAIRVIEW AVE
DECATUR, IL 62526
PHONE: (217) 429-1512
E-PRESCRIBE: NO
ARNOLD, J STEVEN, MD
GENDER: M
NPI #: 1851366967
CENTRAL ILLINOIS LUNG
INTERNISTS
2300 N EDWARD ST
DECATUR, IL 62526
PHONE: (217) 876-4200
E-PRESCRIBE: NO
LEONARD, W MARC, DPM
GENDER: M
NPI #: 1710098652
CFAC INCORPORATED
1390 N FAIRVIEW AVE
DECATUR, IL 62526
PHONE: (309) 212-3066
E-PRESCRIBE: NO
COHEN, CAROL A., MD
GENDER: F
NPI #: 1295700763
CENTRAL ILLINOIS LUNG
INTERNISTS
2300 N EDWARD ST
DECATUR, IL 62526
PHONE: (217) 876-4200
E-PRESCRIBE: NO
BASH, STEPHEN E., MD
GENDER: M
NPI #: 1417041666
2300 N EDWARDS ST
DECATUR, IL 62526
PHONE: (309) 655-3453
E-PRESCRIBE: NO
PHYSICAL MEDICINE/
REHABILITATION
WU, SUSAN, MD
GENDER: F
NPI #: 1639146111
ORTHOPAEDIC AND
REHABILITATION
SPECIALISTS
304 W HAY ST SUITE 218
DECATUR, IL 62526
PHONE: (217) 876-2868
E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE
SURGERY
YOUNGERMAN, JORDAN S.,
MD
GENDER: F
NPI #: 1992724553
110 PHYSICIANS PLAZA
EAST
1 MEMORIAL DR
DECATUR, IL 62526
PHONE: (217) 424-2442
E-PRESCRIBE: NO
CLARK, MICHAEL E., DPM
GENDER: M
NPI #: 1346343944
102 W KENWOOD AVE SUITE
160
DECATUR, IL 62526
PHONE: (217) 877-0444
E-PRESCRIBE: NO
PIERSON, LYNAE A., DPM
GENDER: F
NPI #: 1952448961
FAMILY FOOT & ANKLE
CLINIC PC
1390 N FAIRVIEW AVE
DECATUR, IL 62526
PHONE: (217) 429-1512
E-PRESCRIBE: NO
POTTS, SAMUEL E., DPM
GENDER: M
NPI #: 1326058447
TWO MEMORIAL DR SUITE
201
DECATUR, IL 62526
PHONE: (217) 875-6980
E-PRESCRIBE: NO
VAUGHN, DENNIS R., DPM
GENDER: M
NPI #: 1497789572
102 W KENWOOD AVE
SUITE 160
DECATUR, IL 62526
PHONE: (217) 877-0444
E-PRESCRIBE: NO
PULMONOLOGY
NAZZAL, KHALED M., MD
GENDER: M
NPI #: 1881859726
CENTRAL ILLINOIS LUNG
INTERNISTS ASSOC
2300 N EDWARD ST
DECATUR, IL 62526
PHONE: (217) 876-4200
E-PRESCRIBE: NO
VERMA, AJAY, MD
GENDER: M
NPI #: 1285609321
CENTRAL ILLINOIS LUNG
INTERNISTS
2300 N EDWARD ST
DECATUR, IL 62526
PHONE: (217) 876-4200
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
242
DECATUR, IL
DECATUR, IL
Specialty Care Providers
RADIATION ONCOLOGY
DEPAZ, MARYANNE C., MD
GENDER: F
NPI #: 1700846664
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
1990 E LAKESHORE DR
DECATUR, IL 62521
PHONE: (217) 464-2900
E-PRESCRIBE: NO
YOON, HAROLD A., MD
GENDER: M
NPI #: 1558566984
CANCER CARE SPCIALISTS
OF CENTRAL ILLINOIS
210 W MCKINLEY SUITE 2
DECATUR, IL 62526
PHONE: (217) 876-6600
E-PRESCRIBE: NO
210 W MCKINLEY SUITE 2
DECATUR, IL 62526
PHONE: (217) 876-6600
E-PRESCRIBE: NO
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
1990 E LAKESHORE DR
DECATUR, IL 62521
PHONE: (217) 464-2900
E-PRESCRIBE: NO
2300 N EDWARD ST
DECATUR, IL 62526
PHONE: (217) 876-2350
E-PRESCRIBE: NO
2300 N EDWARD ST
DECATUR, IL 62526
PHONE: (217) 876-2350
E-PRESCRIBE: NO
ELLIOTT, EDWARD C., MD
GENDER: M
NPI #: 1790748119
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
1990 E LAKESHORE DR
DECATUR, IL 62521
PHONE: (217) 464-2900
E-PRESCRIBE: NO
210 W MCKINLEY SUITE 2
DECATUR, IL 62526
PHONE: (217) 876-6600
E-PRESCRIBE: NO
TAN, NEHEMIAH T., MD
GENDER: M
NPI #: 1578520995
NEHEMIAH TAN MD SC
2499 N MONROE ST
DECATUR, IL 62526
PHONE: (217) 876-6880
E-PRESCRIBE: NO
THORACIC SURGERY
2300 N EDWARD ST
DECATUR, IL 62526
PHONE: (217) 876-2350
E-PRESCRIBE: NO
MOORE, RENATA C., MD
GENDER: F
NPI #: 1851483572
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
1990 E LAKESHORE DR
DECATUR, IL 62521
PHONE: (217) 464-2900
E-PRESCRIBE: NO
243
RHEUMATOLOGY
DERRICK, MARVIN J., MD
GENDER: M
NPI #: 1497855886
2300 N EDWARD ST SUITE
2350
DECATUR, IL 62526
PHONE: (217) 876-2880
E-PRESCRIBE: NO
UROLOGY
BONZANI, ROBERT A., MD
GENDER: M
NPI #: 1376548750
HSHS MEDICAL GROUP
1750 E LAKE SHORE DR
SUITE 110A
DECATUR, IL 62521
PHONE: (217) 464-1200
E-PRESCRIBE: NO
CANHAM, JEFFREY R., MD
GENDER: M
NPI #: 1770582983
302 W HAY ST SUITE 200
DECATUR, IL 62526
PHONE: (217) 877-8925
E-PRESCRIBE: NO
FONDAHN, DEAN, MD
GENDER: M
NPI #: 1710074653
HSHS MEDICAL GROUP
1750 E LAKE SHORE DR
SUITE 310
DECATUR, IL 62521
PHONE: (217) 464-1220
E-PRESCRIBE: NO
TARTER, THOMAS H., MD
GENDER: M
NPI #: 1114913225
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
210 W MCKINLEY AVE SUITE
1
DECATUR, IL 62526
PHONE: (217) 876-6600
E-PRESCRIBE: YES
TELLE, W BRIAN, MD
GENDER: M
NPI #: 1942267984
301 W HAY ST
DECATUR, IL 62526
PHONE: (217) 876-6840
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
DECATUR, IL
DWIGHT, IL
VASCULAR SURGERY
GRAM, CHRISTOPHER H.,
MD
GENDER: M
NPI #: 1528040219
SURGICAL SPECIALISTS OF
DECATUR SC
1750 E LAKESHORE DR
SUITE 200
DECATUR, IL 62521
PHONE: (217) 428-6300
E-PRESCRIBE: NO
DEKALB, IL
CARDIOLOGY
BERRY, CHRISTOPHER J.,
MD
GENDER: M
NPI #: 1770668527
PROVENA MEDICAL GROUP
5 KISH HOSPITAL DR SUITE
203
DEKALB, IL 60115
PHONE: (847) 931-4579
E-PRESCRIBE: NO
NISAR, ASIM, MD
GENDER: M
NPI #: 1487754743
PROVENA MEDICAL GROUP
5 KISH HOSPITAL DR SUITE
203
DEKALB, IL 60115
PHONE: (847) 931-4579
E-PRESCRIBE: NO
RIAZ, MUHAMMAD K., MD
GENDER: M
NPI #: 1356433320
PROVENA MEDICAL GROUP
5 KISH HOSPITAL DR SUITE
203
DEKALB, IL 60115
PHONE: (847) 931-4579
E-PRESCRIBE: NO
Specialty Care Providers
ZAMANI, NEDA, MD
GENDER: F
NPI #: 1811935844
PROVENA MEDICAL GROUP
5 KISH HOSPITAL DR SUITE
203
DEKALB, IL 60115
PHONE: (847) 931-4579
E-PRESCRIBE: NO
ENDOCRINOLOGY
KASSAR, AMER, MD
GENDER: M
NPI #: 1932208063
GN ENDOCRINOLOGY
5 KISH HOSPITAL DR SUITE
201
DEKALB, IL 60115
PHONE: (815) 748-8335
E-PRESCRIBE: NO
GASTROENTEROLOGY
MANUEL, DAVID M., MD
GENDER: M
NPI #: 1376761833
3251 COMMERCE DR SUITE D
DEKALB, IL 60115
PHONE: (815) 787-7000
E-PRESCRIBE: NO
NUCLEAR MEDICINE
NISAR, NIGHAT, MD
GENDER: M
NPI #: 1487774782
PROVENA MEDICAL GROUP
5 KISH HOSPITAL DR SUITE
203
DEKALB, IL 60115
PHONE: (847) 931-4579
E-PRESCRIBE: NO
PEDIATRIC CARDIOLOGY
CHAN, DAVID P., MD
GENDER: M
NPI #: 1427057595
OSF CHILDRENS MEDICAL
GROUP-CONGENITAL
HEART CEN
5 KISH HOSPITAL DR SUITE
C
DEKALB, IL 60115
PHONE: (815) 227-5600
E-PRESCRIBE: NO
DIXON, IL
PEDIATRIC CARDIOLOGY
CHAN, DAVID P., MD
GENDER: M
NPI #: 1427057595
OSF CHILDRENS MEDICAL
GROUP-CONGENITAL
HEART CEN
215 E FIRST ST
DIXON, IL 61021
PHONE: (815) 227-5600
E-PRESCRIBE: NO
DWIGHT, IL
PODIATRY
LEONARD, W MARC, DPM
GENDER: M
NPI #: 1710098652
COMPREHENSIVE FOOT &
ANKLE CLINIC
103 S JOHN ST
DWIGHT, IL 60420
PHONE: (815) 984-5000
E-PRESCRIBE: NO
108 W MAIN ST
DWIGHT, IL 60420
PHONE: (309) 212-3066
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
244
EAST DUNDEE, IL
EFFINGHAM, IL
Specialty Care Providers
EAST DUNDEE, IL
EFFINGHAM, IL
GENERAL SURGERY
ALLERGY/IMMUNOLOGY
PEPA, LEO G., MD
GENDER: M
NPI #: 1669551685
201 PENNY AVE SUITE 200
EAST DUNDEE, IL 60118
PHONE: (847) 428-0400
E-PRESCRIBE: NO
BEEDE, HOWARD E., MD
GENDER: M
NPI #: 1205892478
901 MEDICAL PARK RD
SUITE 101
EFFINGHAM, IL 62401
PHONE: (217) 347-1027
E-PRESCRIBE: NO
EAST PEORIA, IL
CARDIOLOGY
PODIATRY
EVANS, GRETCHEN M., DPM
GENDER: F
NPI #: 1477504710
RUSKUSKY FOOT & ANKLE
CLINIC
100 N MAIN ST SUITE 204
EAST PEORIA, IL 61611
PHONE: (309) 698-8637
E-PRESCRIBE: NO
RUSKUSKY, JEFFREY R.,
DPM
GENDER: M
NPI #: 1639129851
RUSKUSKY FOOT & ANKLE
CLINIC
100 N MAIN ST SUITE 204
EAST PEORIA, IL 61611
PHONE: (309) 698-8637
E-PRESCRIBE: NO
WHITE, SUZANNE S., DPM
GENDER: F
NPI #: 1033160437
RUSKUSKY FOOT & ANKLE
CLINIC
100 N MAIN ST SUITE 204
EAST PEORIA, IL 61611
PHONE: (309) 698-8637
E-PRESCRIBE: NO
245
CHEEMA, AMIR, MD
GENDER:
NPI #: 1386707750
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: YES
GILL, JOHN B., MD
GENDER: M
NPI #: 1487737177
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: YES
GOLDSTEIN, JEFFREY A., MD
GENDER: M
NPI #: 1689756900
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: YES
HOLLOWAY, RICHARD, MD
GENDER: M
NPI #: 1326120668
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: YES
JENNISON, STEPHEN, MD
GENDER: M
NPI #: 1043391766
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: YES
KELLEY, MICHAEL P., MD
GENDER: M
NPI #: 1639251929
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: NO
MISHKEL, GREGORY J., MD
GENDER: M
NPI #: 1629150768
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: YES
MOULTON, KRIEGH, MD
GENDER: M
NPI #: 1174605166
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
EFFINGHAM, IL
EFFINGHAM, IL
MULLIN, JAMES C., MD
GENDER: M
NPI #: 1376625376
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: YES
NALLAMOTHU, NASARAIAH,
MD
GENDER: M
NPI #: 1427130426
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: YES
SCALLY, JOHN P., MD
GENDER: M
NPI #: 1508952318
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: NO
SHELTON, MARC, MD
GENDER: M
NPI #: 1245313840
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: YES
WOODRUFF, ROBERT, MD
GENDER: M
NPI #: 1659454262
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: YES
Specialty Care Providers
ENDOCRINOLOGY
HEMATOLOGY/ONCOLOGY
DAVE, SHRUTI M., MD
GENDER:
NPI #: 1558387217
CARLE PHYSICIAN GROUP
401 N KELLER DR SUITE 3 & 4
EFFINGHAM, IL 62401
PHONE: (217) 347-6400
E-PRESCRIBE: YES
DY, PHILIP A., MD
GENDER: M
NPI #: 1710076567
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
905 MEDICAL PARK DR
EFFINGHAM, IL 62401
PHONE: (217) 342-2066
E-PRESCRIBE: NO
GENERAL SURGERY
BOYAJIAN, RUBEN D., MD
GENDER: M
NPI #: 1912917188
ESA SC
900 W TEMPLE SUITE 101
EFFINGHAM, IL 62401
PHONE: (217) 347-2500
E-PRESCRIBE: YES
FLAIG, JAMES, DO
GENDER: M
NPI #: 1922018332
ESA SC
900 W TEMPLE SUITE 101
EFFINGHAM, IL 62401
PHONE: (217) 347-2500
E-PRESCRIBE: YES
MALONE, KEVIN, MD
GENDER: M
NPI #: 1154331411
ESA SC
900 W TEMPLE SUITE 101
EFFINGHAM, IL 62401
PHONE: (217) 347-2500
E-PRESCRIBE: YES
MCALLASTER, JASON, DO
GENDER: M
NPI #: 1306874466
BELLA VEIN MEDICAL SPA
1104 W EVERGREEN AVE
EFFINGHAM, IL 62401
PHONE: (217) 355-8346
E-PRESCRIBE: NO
EGNER, JAMES R., MD
GENDER: M
NPI #: 1053330993
CARLE PHYSICIAN GROUP
401 N KELLER DR SUITE 3 & 4
EFFINGHAM, IL 62401
PHONE: (217) 347-6400
E-PRESCRIBE: YES
ST ANTHONYS MEMORIAL
HOSPITAL
401 KELLER DR
EFFINGHAM, IL 62401
PHONE:
E-PRESCRIBE: YES
SABA, HANNA M., MD
GENDER: F
NPI #: 1720070386
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
905 MEDICAL PARK DR
EFFINGHAM, IL 62401
PHONE: (217) 342-2066
E-PRESCRIBE: NO
NEPHROLOGY
ALZAHABI, BASHAR, MD
GENDER: M
NPI #: 1467448456
900 W TEMPLE AVE SUITE
103
EFFINGHAM, IL 62401
PHONE: (217) 347-5000
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
246
EFFINGHAM, IL
EFFINGHAM, IL
Specialty Care Providers
NEUROLOGY
KHOSROWSHAHI, SAMINEH,
MD
GENDER:
NPI #: 1235185224
CARLE PHYSICIAN GROUP
401 N KELLER DR SUITE 3 & 4
EFFINGHAM, IL 62401
PHONE: (217) 347-6400
E-PRESCRIBE: YES
NEUROSURGERY
RAHMAN, MOHAMMED A.,
DO
GENDER: M
NPI #: 1396073813
HSHS MEDICAL GROUP INC
900 W TEMPLE SUITE 201
EFFINGHAM, IL 62401-2187
PHONE: (217) 347-3580
E-PRESCRIBE: NO
RAK, RICHARD A., MD
GENDER: M
NPI #: 1366541112
CARLE CLINIC
401 N KELLAR DR
EFFINGHAM, IL 62401
PHONE: (217) 347-6400
E-PRESCRIBE: YES
OPHTHALMOLOGY
CHIU, ERIC K., MD
GENDER: M
NPI #: 1538171921
EFFINGHAM EYE CLINIC SC
900 W TEMPLE AVE
EFFINGHAM, IL 62401
PHONE: (217) 347-8527
E-PRESCRIBE: NO
CHIU, YEE-SHENG, MD
GENDER: M
NPI #: 1083695407
EFFINGHAM EYE CLINIC SC
900 W TEMPLE AVE
EFFINGHAM, IL 62401
PHONE: (217) 347-5525
E-PRESCRIBE: NO
OTOLARYNGOLOGY
ONCOLOGY
DY, IRENE A., MD
GENDER: F
NPI #: 1528393063
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
905 MEDICAL PARK DR
EFFINGHAM, IL 62401
PHONE: (217) 342-2066
E-PRESCRIBE: YES
247
FLOYD, JUSTIN D., DO
GENDER: M
NPI #: 1629164678
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
905 MEDICAL PARK DR
EFFINGHAM, IL 62401
PHONE: (217) 342-2066
E-PRESCRIBE: NO
NGUYEN, CHARLY, MD
GENDER: M
NPI #: 1861508665
OTOLARYNGOLOGY HEAD
& NECK SURGERY
905 N MAPLE
EFFINGHAM, IL 62401
PHONE:
E-PRESCRIBE: NO
SMITH, MICHAEL, MD
GENDER: M
NPI #: 1215043971
OTOLARYNGOLOGY HEAD
& NECK SURGERY
905 N MAPLE
EFFINGHAM, IL 62401
PHONE:
E-PRESCRIBE: NO
PAIN MANAGEMENT
OGAN, N BRIAN, MD
GENDER: M
NPI #: 1528077948
ILLINOIS SPINE AND PAIN
CENTER
901 MEDICAL PARK DR
SUITE 201
EFFINGHAM, IL 62401
PHONE: (217) 347-2332
E-PRESCRIBE: NO
PETTY, ROBERT H., MD
GENDER: M
NPI #: 1841259744
CROSSROADS ANESTHESIA
904 W TEMPLE
EFFINGHAM, IL 62401
PHONE: (217) 342-1234
E-PRESCRIBE: NO
PEDIATRIC
GASTROENTEROLOGY
WANG, MU, MD
GENDER:
NPI #: 1194799684
CARLE PHYSICIAN GROUP
401 N KELLER DR SUITE 3 & 4
EFFINGHAM, IL 62401
PHONE: (217) 347-6400
E-PRESCRIBE: YES
PODIATRY
BORREGGINE, JOSEPH S.,
DPM
GENDER: M
NPI #: 1114921483
TOUCHING GROUND
PODIATRY
410 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 348-0888
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
EFFINGHAM, IL
ELDORADO, IL
GRAHAM, JAMES C., DPM
GENDER: M
NPI #: 1225015498
900 W TEMPLE SUITE 202
EFFINGHAM, IL 62401
PHONE: (217) 342-2040
E-PRESCRIBE: NO
PULMONOLOGY
ARORA, NARINDER S., MD
GENDER: M
NPI #: 1477576924
401 N MULBERRY ST
EFFINGHAM, IL 62401
PHONE: (217) 347-0768
E-PRESCRIBE: NO
RADIATION ONCOLOGY
BRUIN, MICHAEL L., MD
GENDER: M
NPI #: 1437119997
CANCER CARE SPECIALISTS
OF CENTRAL ILLINOIS
905 MEDICAL PARK DR
EFFINGHAM, IL 62401
PHONE: (217) 342-2066
E-PRESCRIBE: NO
SAPIENTE, RONALD, MD
GENDER: M
NPI #: 1972602688
CARLE PHYSICIAN GROUP
401 N KELLER DR SUITE 3 & 4
EFFINGHAM, IL 62401
PHONE: (217) 347-6400
E-PRESCRIBE: YES
SARMA, KALIKA P., MD
GENDER: M
NPI #: 1679672398
CARLE PHYSICIAN GROUP
401 N KELLER DR SUITE 3 & 4
EFFINGHAM, IL 62401
PHONE: (217) 347-6400
E-PRESCRIBE: YES
Specialty Care Providers
UROLOGY
MCNICHOLS, DAVID, MD
GENDER: M
NPI #: 1144285826
EFFINGHAM UROLOGY
ASSOCIATES
414 W VIRGINIA AVE
EFFINGHAM, IL 62401
PHONE: (217) 342-9738
E-PRESCRIBE: NO
NAYAK, PDL, MD
GENDER: M
NPI #: 1114982154
EFFINGHAM UROLOGY
ASSOCIATES
414 W VIRGINIA AVE
EFFINGHAM, IL 62401
PHONE: (217) 342-9738
E-PRESCRIBE: NO
VASCULAR SURGERY
CONNELLY, TIMOTHY L., MD
GENDER: M
NPI #: 1801821509
CARLE PHYSICIAN GROUP
401 N KELLER DR SUITE 3 & 4
EFFINGHAM, IL 62401
PHONE: (217) 347-6400
E-PRESCRIBE: YES
KOLLURI, RAGHU, MD
GENDER: M
NPI #: 1053495325
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
503 N MAPLE ST
EFFINGHAM, IL 62401
PHONE: (217) 342-3700
E-PRESCRIBE: YES
EL PASO, IL
GERIATRICS
HAKES, PAUL E., MD
GENDER: M
NPI #: 1750315602
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
NEUROLOGY
CHAUHAN, SUNIL M., MD
GENDER: M
NPI #: 1912922881
ADVOCATE MEDICAL
GROUP
385 S ORANGE ST
EL PASO, IL 61738
PHONE: (309) 527-4900
E-PRESCRIBE: NO
ELDORADO, IL
PODIATRY
HINNERS, DEAN D., DPM
GENDER: M
NPI #: 1457374340
901 STATE ST SUITE 2
ELDORADO, IL 62930
PHONE: (618) 273-9466
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
248
ELGIN, IL
ELGIN, IL
Specialty Care Providers
ELGIN, IL
CARDIAC
ELECTROPHYSIOLOGY
MAHESHWARI, PRADEEP,
MD
GENDER: M
NPI #: 1568420578
CARDIAC ARRHYTHMIA
SERVICES LTD
1425 N RANDALL RD
ELGIN, IL 60123
PHONE: (847) 429-8988
E-PRESCRIBE: NO
CARDIOLOGY
BERRY, CHRISTOPHER J.,
MD
GENDER: M
NPI #: 1770668527
PROVENA MEDICAL GROUP
1435 N RANDALL RD SUITE
201
ELGIN, IL 60123
PHONE: (847) 931-4579
E-PRESCRIBE: NO
BROMET, DAVID S., MD
GENDER: M
NPI #: 1841250958
PROVENA MEDICAL GROUP
1975 LIN LOR LANE SUITE
175
ELGIN, IL 60123
PHONE: (847) 717-0600
E-PRESCRIBE: NO
BURKS, JAMES H., MD
GENDER: M
NPI #: 1821058819
PROVENA MEDICAL GROUP
1975 LIN LOR LANE SUITE
175
ELGIN, IL 60123
PHONE: (847) 717-0600
E-PRESCRIBE: NO
249
HASAN, SYED A., MD
GENDER: M
NPI #: 1730115791
VALLEY MEDICAL &
CARDIAC CLINIC LTD
87 N AIRLITE SUITE 100
ELGIN, IL 60123
PHONE: (847) 888-2320
E-PRESCRIBE: NO
SILBERT, AGNEISZKA J., MD
GENDER: F
NPI #: 1871543447
PROVENA MEDICAL GROUPWOMENS HEART CENTER
77 N AIRLITE
ELGIN, IL 60123
PHONE: (847) 654-1281
E-PRESCRIBE: NO
MAHESHWARI, PRADEEP,
MD
GENDER: M
NPI #: 1568420578
CARDIAC ARRHYTHMIA
SERVICES LTD
1425 N RANDALL RD
ELGIN, IL 60123
PHONE: (847) 429-8988
E-PRESCRIBE: NO
ZAMANI, NEDA, MD
GENDER: F
NPI #: 1811935844
PROVENA MEDICAL GROUP
1435 N RANDALL RD SUITE
201
ELGIN, IL 60123
PHONE: (847) 931-4579
E-PRESCRIBE: NO
NISAR, ASIM, MD
GENDER: M
NPI #: 1487754743
PROVENA MEDICAL GROUP
1435 N RANDALL RD SUITE
201
ELGIN, IL 60123
PHONE: (847) 931-4579
E-PRESCRIBE: NO
PARK, RICHARD B., MD
GENDER: M
NPI #: 1568579027
VALLEY MEDICAL &
CARDIAC CLINIC LTD
87 N AIRLITE SUITE 100
ELGIN, IL 60123
PHONE: (847) 888-2320
E-PRESCRIBE: NO
RIAZ, MUHAMMAD K., MD
GENDER: M
NPI #: 1356433320
PROVENA MEDICAL GROUP
1435 N RANDALL RD SUITE
201
ELGIN, IL 60123
PHONE: (847) 931-4579
E-PRESCRIBE: NO
DERMATOLOGY
BANGASH, SULEMAN J., DO
GENDER: M
NPI #: 1942302864
MOHS SURGERY AND
DERMATOLOGY CENTER
1750 N RANDALL RD SUITE
120
ELGIN, IL 60123
PHONE: (847) 608-6647
E-PRESCRIBE: NO
COX, JOHN W., MD
GENDER: M
NPI #: 1285838219
MOHS SURGERY AND
DERMATOLOGY CENTER
1750 N RANDALL RD SUITE
120
ELGIN, IL 60123
PHONE: (847) 608-6647
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
ELGIN, IL
ELGIN, IL
GERIATRICS
SUSARLA, VISWANATHAM,
MD
GENDER: M
NPI #: 1922014315
V SUSARLA MD SC
860 SUMMIT ST SUITE 123
ELGIN, IL 60120
PHONE: (847) 741-0026
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
ASLAM ZAHIR, SYED, MD
GENDER: M
NPI #: 1538156732
FOX VALLEY HEMATOLOGY
AND ONCOLOGY LTD
1701 N RANDALL RD SUITE
300
ELGIN, IL 60123
PHONE: (847) 931-0909
E-PRESCRIBE: NO
CAO, THOMAS L., MD
GENDER: M
NPI #: 1194797266
MIDWEST ONCOLOGY
HEMATOLOGY
1435 N RANDALL RD SUITE
402
ELGIN, IL 60123
PHONE: (847) 717-6860
E-PRESCRIBE: NO
DESAI, APURVA A., MD
GENDER: M
NPI #: 1861468100
FOX VALLEY HEMATOLOGY
AND ONCOLOGY LTD
1710 N RANDALL RD SUITE
300
ELGIN, IL 60123
PHONE: (847) 931-0909
E-PRESCRIBE: NO
Specialty Care Providers
MANJUNATH, RAJINI, MD
GENDER: F
NPI #: 1043207251
FOX VALLEY HEMATOLOGY
AND ONCOLOGY LTD
1710 N RANDALL RD SUITE
300
ELGIN, IL 60123
PHONE: (847) 931-0909
E-PRESCRIBE: NO
INFECTIOUS DISEASES
NABRINSKY, STANISLAV, MD
GENDER: M
NPI #: 1568459774
FOX VALLEY HEMATOLOGY
AND ONCOLOGY LTD
1710 N RANDALL RD SUITE
300
ELGIN, IL 60123
PHONE: (847) 931-0909
E-PRESCRIBE: NO
CHUNDI, VISHNU, MD
GENDER: M
NPI #: 1558357905
PROVENA ST JOSEPH
MEDICAL CENTER
77 N AIRLITE ST
ELGIN, IL 60123
PHONE: (847) 931-5534
E-PRESCRIBE: NO
SINGH, VEERPAL, MD
GENDER: M
NPI #: 1295952596
FOX VALLEY HEMATOLOGY
AND ONCOLOGY LTD
1710 N RANDALL RD SUITE
300
ELGIN, IL 60123
PHONE: (847) 931-0909
E-PRESCRIBE: YES
YESHWANT, CHILAKAMARRI,
MD
GENDER: M
NPI #: 1518954890
FOX VALLEY HEMATOLOGY
AND ONCOLOGY LTD
1710 N RANDALL RD SUITE
300
ELGIN, IL 60123
PHONE: (847) 931-0909
E-PRESCRIBE: NO
AHMED, NOORUZSABHA, MD
GENDER: F
NPI #: 1407886401
GERMBUSTERS
1710 RANDALL RD SUITE 160
ELGIN, IL 60123
PHONE: (847) 741-4376
E-PRESCRIBE: NO
HUSTON, MARCIA J., MD
GENDER: F
NPI #: 1942234984
OPEN DOOR CLINIC
164 DIVISION ST SUITE 607
ELGIN, IL 60120
PHONE: (847) 695-1093
E-PRESCRIBE: NO
IMDAD, ZARQA, MD
GENDER: F
NPI #: 1689660995
METRO INFECTIOUS
DISEASE CONSULTANTS
LLC
1435 N RANDALL RD SUITE
404
ELGIN, IL 60120
PHONE: (847) 741-5091
E-PRESCRIBE: NO
PATEL, JANKI N., DO
GENDER: F
NPI #: 1659527281
GERMBUSTERS
1710 N RANDALL RD SUITE
160
ELGIN, IL 60123
PHONE: (847) 741-4376
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
250
ELGIN, IL
ELGIN, IL
Specialty Care Providers
PHILLIPS, MARTIN T., MD
GENDER: M
NPI #: 1003802349
PROVENA ST JOSEPH
HOSPITAL
77 N AIRLITE ST
ELGIN, IL 60123
PHONE:
E-PRESCRIBE: NO
TIBALLI, ROBERT N., DO
GENDER: M
NPI #: 1194757427
GERMBUSTERS
1710 RANDALL RD SUITE 160
ELGIN, IL 60123
PHONE: (847) 741-4376
E-PRESCRIBE: NO
INTENSIVE CARE/CRITICAL
CARE
SAJO, MYRIA L., MD
GENDER: F
NPI #: 1710169065
GERMBUSTERS
1710 N RANDALL RD #160
ELGIN, IL 60123
PHONE: (847) 741-1790
E-PRESCRIBE: NO
SCHIAPPA, DEBORAH A., DO
GENDER: F
NPI #: 1174553176
GERMBUSTERS
1710 RANDALL RD SUITE 160
ELGIN, IL 60123
PHONE: (847) 741-4376
E-PRESCRIBE: NO
SHARMA, MONICA, DO
GENDER: F
NPI #: 1477710788
GERMBUSTERS
1710 RANDALL RD SUITE 160
ELGIN, IL 60123
PHONE: (847) 741-4376
E-PRESCRIBE: NO
TAORMINA, MIA A., DO
GENDER: F
NPI #: 1972716017
GERMBUSTERS
1710 RANDALL RD SUITE 160
ELGIN, IL 60123
PHONE: (847) 741-4376
E-PRESCRIBE: NO
251
NEPOMUCENO, DANIEL, MD
GENDER: M
NPI #: 1366435513
PULMONARY CRITICAL
CARE & SLEEP MED
SPECIALISTS
1710 N RANDALL RD SUITE
260
ELGIN, IL 60123
PHONE: (847) 931-7900
E-PRESCRIBE: NO
AHMAD, ZUBAIR, MD
GENDER: M
NPI #: 1215920533
PULMONARY CRITICAL
CARE & SLEEP MED
SPECIALISTS
1710 N RANDALL RD SUITE
260
ELGIN, IL 60123
PHONE: (847) 931-7900
E-PRESCRIBE: NO
NEPHROLOGY
HUSSAIN, MUJAHID, MD
GENDER: M
NPI #: 1063405223
PULMONARY CRITICAL
CARE & SLEEP MED
SPECIALISTS
1710 N RANDALL RD SUITE
260
ELGIN, IL 60123
PHONE: (847) 931-7900
E-PRESCRIBE: NO
SETHI, PRADIP, MD
GENDER: M
NPI #: 1013009653
NORTHWEST SLEEP CENTER
40 N AIRLITE ST SUITE 2
ELGIN, IL 60123
PHONE: (847) 695-0985
E-PRESCRIBE: NO
IVANOVICH, MATTHEW A.,
MD
GENDER: M
NPI #: 1174516314
PULMONARY CRITICAL
CARE & SLEEP MED
SPECIALISTS
1710 N RANDALL RD SUITE
260
ELGIN, IL 60123
PHONE: (847) 931-7900
E-PRESCRIBE: NO
DAMARAJU, RAVI K., MD
GENDER: M
NPI #: 1669586475
1710 N RANDALL RD STE 330
ELGIN, IL 60123
PHONE: (847) 531-5911
E-PRESCRIBE: NO
NEUROLOGY
PULMONARY CRITICAL
CARE & SLEEP MED
SPECIALISTS
1710 N RANDALL RD SUITE
260
ELGIN, IL 60123
PHONE: (847) 931-7900
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
ELGIN, IL
ELGIN, IL
Specialty Care Providers
NUCLEAR MEDICINE
PEDIATRIC CARDIOLOGY
NISAR, NIGHAT, MD
GENDER: M
NPI #: 1487774782
PROVENA MEDICAL GROUP
1435 N RANDALL RD SUITE
201
ELGIN, IL 60123
PHONE: (847) 931-4200
E-PRESCRIBE: NO
CHAN, DAVID P., MD
GENDER: M
NPI #: 1427057595
OSF CHILDRENS MEDICAL
GROUP-CONGENITAL
HEART CEN
1435 N RANDALL RD SUITE
408
ELGIN, IL 60123
PHONE: (815) 227-5600
E-PRESCRIBE: NO
ORTHOPAEDICS
BERKSON, MICHAEL H., MD
GENDER: M
NPI #: 1427057728
ASSOCIATES IN
ORTHOPAEDIC SURGERY SC
1435 N RANDALL RD SUITE
103
ELGIN, IL 60123
PHONE: (847) 888-0750
E-PRESCRIBE: NO
KAZAGLIS, JEFFREY A., MD
GENDER: M
NPI #: 1295846038
ASSOCIATES IN
ORTHOPAEDIC SURGERY SC
1435 N RANDALL RD SUITE
103
ELGIN, IL 60123
PHONE: (847) 888-0750
E-PRESCRIBE: NO
MOX, SCOTT W., MD
GENDER: M
NPI #: 1043210701
ASSOCIATES IN
ORTHOPAEDIC SURGERY SC
1435 N RANDALL RD SUITE
103
ELGIN, IL 60123
PHONE: (847) 888-0750
E-PRESCRIBE: NO
PULMONOLOGY
AHMAD, ZUBAIR, MD
GENDER: M
NPI #: 1215920533
PULMONARY CRITICAL
CARE & SLEEP MED
SPECIALISTS
1710 N RANDALL RD SUITE
260
ELGIN, IL 60123
PHONE: (847) 931-7900
E-PRESCRIBE: NO
HUSSAIN, MUJAHID, MD
GENDER: M
NPI #: 1063405223
PULMONARY CRITICAL
CARE & SLEEP MED
SPECIALISTS
1710 N RANDALL RD SUITE
260
ELGIN, IL 60123
PHONE: (847) 931-7900
E-PRESCRIBE: NO
IVANOVICH, MATTHEW A.,
MD
GENDER: M
NPI #: 1174516314
PULMONARY CRITICAL
CARE & SLEEP MED
SPECIALISTS
1710 N RANDALL RD SUITE
260
ELGIN, IL 60123
PHONE: (847) 931-7900
E-PRESCRIBE: NO
JORDAN, ASHBY M., MD
GENDER: M
NPI #: 1326031436
PULMONARY CRITICAL
CARE & SLEEP MED
SPECIALISTS
1710 N RANDALL RD SUITE
260
ELGIN, IL 60123
PHONE: (847) 931-7900
E-PRESCRIBE: NO
NEPOMUCENO, DANIEL, MD
GENDER: M
NPI #: 1366435513
PULMONARY CRITICAL
CARE & SLEEP MED
SPECIALISTS
1710 N RANDALL RD SUITE
260
ELGIN, IL 60123
PHONE: (847) 931-7900
E-PRESCRIBE: NO
RADIATION ONCOLOGY
BUGNO, TERRENCE J., MD
GENDER: M
NPI #: 1235163437
MIDWEST RADIATION
ONCOLOGY CONSULTANTS
LTD
77 N AIRLITE ST
ELGIN, IL 60123
PHONE: (847) 931-5520
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
252
ELGIN, IL
EUREKA, IL
Specialty Care Providers
COKE, COURTNEY C., MD
GENDER: M
NPI #: 1841224045
MIDWEST RADIATION
ONCOLOGY CONSULTANTS
LTD
77 N AIRLITE ST
ELGIN, IL 60123
PHONE: (847) 931-5520
E-PRESCRIBE: NO
SHAFER, JEFFREY P., MD
GENDER: M
NPI #: 1003841289
MIDWEST RADIATION
ONCOLOGY CONSULTANTS
LTD
77 N AIRLITE ST
ELGIN, IL 60123
PHONE: (847) 931-5520
E-PRESCRIBE: NO
SUH, DAVID B., MD
GENDER: M
NPI #: 1396768255
MIDWEST RADIATION
ONCOLOGY CONSULTANTS
LTD
77 N AIRLITE ST
ELGIN, IL 60123
PHONE: (847) 931-5520
E-PRESCRIBE: NO
NEPOMUCENO, DANIEL, MD
GENDER: M
NPI #: 1366435513
PULMONARY CRITICAL
CARE & SLEEP MED
SPECIALISTS
1710 N RANDALL RD SUITE
260
ELGIN, IL 60123
PHONE: (847) 931-7900
E-PRESCRIBE: NO
SETHI, PRADIP, MD
GENDER: M
NPI #: 1013009653
NORTHWEST SLEEP CENTER
40 N AIRLITE ST SUITE 2
ELGIN, IL 60123
PHONE: (847) 695-0985
E-PRESCRIBE: NO
PULMONARY CRITICAL
CARE & SLEEP MED
SPECIALISTS
1710 N RANDALL RD SUITE
260
ELGIN, IL 60123
PHONE: (847) 931-7900
E-PRESCRIBE: NO
EUREKA, IL
SLEEP MEDICINE
CARDIOLOGY
JORDAN, ASHBY M., MD
GENDER: M
NPI #: 1326031436
PULMONARY CRITICAL
CARE & SLEEP MED
SPECIALISTS
1710 N RANDALL RD SUITE
260
ELGIN, IL 60123
PHONE: (847) 931-7900
E-PRESCRIBE: NO
BRAASTAD, ROBERT A., MD
GENDER: M
NPI #: 1487619573
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
253
GANDHI, SIDDHARTH J., MD
GENDER: M
NPI #: 1831226042
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
JARZABKOWSKI, DORY, DO
GENDER: F
NPI #: 1083651939
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
SHAH, SAMIR H., MD
GENDER: M
NPI #: 1720028632
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
TEMIYASATHIT, THANOM,
MD
GENDER: M
NPI #: 1023041175
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
TUMILTY, BETH L., DO
GENDER: F
NPI #: 1033159959
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
EUREKA, IL
EUREKA, IL
Specialty Care Providers
WERAARCHAKUL, WITOON,
MD
GENDER: M
NPI #: 1366494544
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
ELLAHI, WASIM, MD
GENDER: M
NPI #: 1285678599
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
GASTROENTEROLOGY
KHAISER, NOOR A., MD
GENDER: M
NPI #: 1487696126
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
AL-RASHDAN, ABDULLAH,
MD
GENDER: M
NPI #: 1588831721
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
BALDWIN, TERRY L., MD
GENDER: M
NPI #: 1346276284
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
CAMACHO, KENNETH, MD
GENDER: M
NPI #: 1750323424
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
KUGANESWARAN,
ELIATHAMBY, MD
GENDER: M
NPI #: 1073555488
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
LILLICH, MAUREEN A., MD
GENDER: F
NPI #: 1497796700
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
MISRA, VIJAY L., MD
GENDER: F
NPI #: 1164475877
DIGESTIVE DISEASE
CONSULTANTS LTD
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
PENN JR, DONALD E., MD
GENDER: M
NPI #: 1780628388
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
TREANOR, MICHAEL R., MD
GENDER: M
NPI #: 1255375200
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
WU, SCOTT Y., MD
GENDER: M
NPI #: 1760426308
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
254
EUREKA, IL
FAIRBURY, IL
Specialty Care Providers
GENERAL SURGERY
PODIATRY
BRAASTAD, FRED W., MD
GENDER: M
NPI #: 1003818451
ASSOCIATED SURGICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
OCONNOR, SCOTT B., DPM
GENDER: M
NPI #: 1992792261
PROPODIATRY
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
PATEL, GAVISH N., MD
GENDER: M
NPI #: 1821080078
ASSOCIATED SURGICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
GERIATRICS
JONES, STEVEN, MD
GENDER: M
NPI #: 1942228101
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
NEUROLOGY
CHAUHAN, SUNIL M., MD
GENDER: M
NPI #: 1912922881
ADVOCATE MEDICAL
GROUP
105 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-4691
E-PRESCRIBE: NO
255
PULMONOLOGY
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
CHU, CHAE O., MD
GENDER: M
NPI #: 1043250954
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
GINZBURG, ALAN S., MD
GENDER: M
NPI #: 1659390888
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MD
GENDER: M
NPI #: 1366542300
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
SLEEP MEDICINE
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
101 S MAJOR ST
EUREKA, IL 61530
PHONE: (309) 467-2371
E-PRESCRIBE: NO
FAIRBURY, IL
CARDIOLOGY
BRAASTAD, ROBERT A., MD
GENDER: M
NPI #: 1487619573
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
FAIRBURY, IL
FAIRBURY, IL
GANDHI, SIDDHARTH J., MD
GENDER: M
NPI #: 1831226042
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
JARZABKOWSKI, DORY, DO
GENDER: F
NPI #: 1083651939
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
SHAH, SAMIR H., MD
GENDER: M
NPI #: 1720028632
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
TEMIYASATHIT, THANOM,
MD
GENDER: M
NPI #: 1023041175
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
TUMILTY, BETH L., DO
GENDER: F
NPI #: 1033159959
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
Specialty Care Providers
WERAARCHAKUL, WITOON,
MD
GENDER: M
NPI #: 1366494544
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
NEUROLOGY
CHAUHAN, SUNIL M., MD
GENDER: M
NPI #: 1912922881
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
PULMONOLOGY
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
CHU, CHAE O., MD
GENDER: M
NPI #: 1043250954
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MD
GENDER: M
NPI #: 1366542300
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
SLEEP MEDICINE
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
115 E WALNUT ST
FAIRBURY, IL 61739
PHONE: (815) 692-2305
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
256
FREEPORT, IL
GENEVA, IL
Specialty Care Providers
FREEPORT, IL
ENDOCRINOLOGY
BEKX, PAUL A., MD
GENDER: M
NPI #: 1902857634
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
NEPHROLOGY
STUART, CHARLES M., MD
GENDER: M
NPI #: 1548227317
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
NEUROLOGY
MORRISON, JOSHUA, MD
GENDER: M
NPI #: 1700955135
MONROE CLINIC-FREEPORT
1301 SKIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
TOWER, KARA J., DO
GENDER: F
NPI #: 1801978648
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
257
OPHTHALMOLOGY
OTOLARYNGOLOGY
ALBERTS, RAYMOND L., MD
GENDER: M
NPI #: 1285635722
FREEPORT EYE CARE
1100 S PARK BLVD
FREEPORT, IL 61032
PHONE: (815) 232-1105
E-PRESCRIBE: NO
ROGERSON, ANTHONY R.,
MD
GENDER: M
NPI #: 1730273566
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
KHODADADEH, SARAH, MD
GENDER: F
NPI #: 1467642371
MONROE CLINIC-FREEPORT
EYE CARE
1110 S PARK BLVD
FREEPORT, IL 61032
PHONE: (815) 232-1105
E-PRESCRIBE: NO
ROMANIV, NATALYA, MD
GENDER: F
NPI #: 1740470301
NEW VISION OF ILLINOIS
LLC
1036 W STEPHENSON ST
FREEPORT, IL 61032
PHONE: (815) 654-2020
E-PRESCRIBE: NO
ORTHOPAEDICS
MURPHY, JAMES J., MD
GENDER: M
NPI #: 1336183854
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
SWINDLE, JONATHAN D., DO
GENDER: M
NPI #: 1982730206
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
PEDIATRIC CARDIOLOGY
CHAN, DAVID P., MD
GENDER: M
NPI #: 1427057595
OSF CHILDRENS MEDICAL
GROUP-CONGENITAL
HEART CEN
1010 W FAIRWAY DR
FREEPORT, IL 61032
PHONE: (815) 227-5600
E-PRESCRIBE: NO
UROLOGY
KING, ANDRE C., MD
GENDER: M
NPI #: 1588868426
MONROE CLINIC FREEPORT
1301 KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
GENEVA, IL
RADIATION ONCOLOGY
BENDRE, DHANNAJAY, MD
GENDER: M
NPI #: 1790786846
RAYMOND G SCOTT
CANCER
304 RANDALL RD
GENEVA, IL 60134
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
GIBSON CITY, IL
GIBSON CITY, IL
GIBSON CITY, IL
CARDIOLOGY
BRAASTAD, ROBERT A., MD
GENDER: M
NPI #: 1487619573
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
JARZABKOWSKI, DORY, DO
GENDER: F
NPI #: 1083651939
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
MCCRISKIN, JAMES, DO
GENDER: M
NPI #: 1700826617
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
SHAH, SAMIR H., MD
GENDER: M
NPI #: 1720028632
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
Specialty Care Providers
TEMIYASATHIT, THANOM,
MD
GENDER: M
NPI #: 1023041175
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
THOPIAH, PRAKASH, MD
GENDER:
NPI #: 1033205208
GIBSON AREA HOSPITAL
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-2621
E-PRESCRIBE: NO
TUMILTY, BETH L., DO
GENDER: F
NPI #: 1033159959
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
WERAARCHAKUL, WITOON,
MD
GENDER: M
NPI #: 1366494544
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
GENERAL SURGERY
CHUNG, JOSEPH Y., MD
GENDER: M
NPI #: 1992914972
GIBSON AREA HOSPITAL
GENERAL SURGERY
#1 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4297
E-PRESCRIBE: NO
MEDRANO, CHRISTINA N.,
MD
GENDER: F
NPI #: 1720242209
GIBSON AREA HOSPITAL &
HEALTH SERVICES
#7 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-5500
E-PRESCRIBE: NO
SAN DIEGO, ANTHONY L., MD
GENDER: M
NPI #: 1215935895
GIBSON AREA HOSPITAL
GENERAL SURGERY
#1 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4297
E-PRESCRIBE: NO
ONCOLOGY
JOHNSON, PATRICIA, MD
GENDER: F
NPI #: 1467477869
GIBSON COMMUNITY
HOSPITAL
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
258
GIBSON CITY, IL
GIBSON CITY, IL
Specialty Care Providers
OPHTHALMOLOGY
APRAHAMIAN, ARA D., MD
GENDER: M
NPI #: 1528015013
GAILEY EYE CLINIC
220 E FIRST ST
GIBSON CITY, IL 60936
PHONE: (217) 784-8442
E-PRESCRIBE: NO
BARBA, KENNETH R., MD
GENDER: M
NPI #: 1265473706
GAILEY EYE CLINIC
220 E FIRST ST
GIBSON CITY, IL 60936
PHONE: (217) 784-8442
E-PRESCRIBE: NO
BHATIA, SUMIT P., MD
GENDER: M
NPI #: 1780670596
GAILEY EYE CLINIC
220 E FIRST ST
GIBSON CITY, IL 60936
PHONE: (217) 784-8442
E-PRESCRIBE: NO
KNUPP, JAMES A., MD
GENDER: M
NPI #: 1548211774
GAILEY EYE CLINIC
220 E FIRST ST
GIBSON CITY, IL 60936
PHONE: (217) 784-8442
E-PRESCRIBE: NO
KRISTAL, LIBBY K., MD
GENDER: F
NPI #: 1326240144
GAILEY EYE CLINIC
220 E FIRST ST
GIBSON CITY, IL 60936
PHONE: (217) 784-8442
E-PRESCRIBE: NO
259
OESTER, ALAN E., MD
GENDER: M
NPI #: 1750503819
GAILEY EYE CLINIC
220 E 1ST ST
GIBSON CITY, IL 60936
PHONE: (217) 784-8442
E-PRESCRIBE: NO
RIGSBY, JESSE H., MD
GENDER: M
NPI #: 1447253646
GAILEY EYE CLINIC
220 E FIRST ST
GIBSON CITY, IL 60936
PHONE: (217) 784-8442
E-PRESCRIBE: NO
ORTHOPAEDICS
ATWATER, JOHN G., MD
GENDER: M
NPI #: 1932115656
GIBSON AREA HOSPITAL
ORTHOPAEDICS
#10 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4340
E-PRESCRIBE: NO
NORRIS, JOSEPH, MD
GENDER: M
NPI #: 1285847939
GIBSON AREA HOSPITAL
ORTHOPAEDICS
#10 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4340
E-PRESCRIBE: NO
PRICE, WILLIAM M., MD
GENDER: M
NPI #: 1710998307
GIBSON AREA HOSPITAL
ORTHOPAEDICS
#10 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4340
E-PRESCRIBE: NO
PAIN MANAGEMENT
NAOUR, PAUL R., MD
GENDER: M
NPI #: 1144206178
GIBSON AREA HOSPITAL &
HEALTH SERVICES
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-2307
E-PRESCRIBE: YES
PLASTIC RECONSTRUCTIVE
SURGERY
TATTINI, CHAD, MD
GENDER: M
NPI #: 1992721005
GIBSON AREA HOSPITAL
COSMETICS
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
PODIATRY
SETTER, JOSEPH R., DPM
GENDER: M
NPI #: 1215048202
GIBSON AREA HOSPITAL
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
PULMONOLOGY
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
GIBSON CITY, IL
HAVANA, IL
CHU, CHAE O., MD
GENDER: M
NPI #: 1043250954
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MD
GENDER: M
NPI #: 1366542300
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
SLEEP MEDICINE
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE: (217) 784-4251
E-PRESCRIBE: NO
Specialty Care Providers
SPORTS MEDICINE
NORRIS, JOSEPH, MD
GENDER: M
NPI #: 1285847939
GIBSON AREA HOSPITAL
ORTHOPAEDICS
#10 DOCTORS PARK
GIBSON CITY, IL 60936
PHONE: (217) 784-4340
E-PRESCRIBE: NO
VON FANGE, TIMOTHY J., MD
GENDER: M
NPI #: 1154461739
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
HAMILTON, IL
UROLOGY
PODIATRY
RAZVI, MOHAMMED, MD
GENDER: M
NPI #: 1316033640
1120 N MELVIN ST
GIBSON CITY, IL 60936
PHONE:
E-PRESCRIBE: YES
SOWLLES, RICHARD, DPM
GENDER: M
NPI #: 1336192954
991 BROADWAY
HAMILTON, IL 62341
PHONE: (217) 847-2693
E-PRESCRIBE: NO
GILLESPIE, IL
HAVANA, IL
CARDIOLOGY
GENERAL SURGERY
YAKEL, DONALD L., MD
GENDER: M
NPI #: 1568559359
MACOUPIN FAMILY
PRACTICE CENTERS
715 BROADWAY ST
GILLESPIE, IL 62033
PHONE: (217) 839-4491
E-PRESCRIBE: NO
BRAASTAD, FRED W., MD
GENDER: M
NPI #: 1003818451
ASSOCIATED SURGICAL
GROUP
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 691-4005
E-PRESCRIBE: NO
GOLDEN, IL
SPORTS MEDICINE
MULLER, MERLE H., MD
GENDER: M
NPI #: 1891770350
EAST ADAMS CLINIC
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
PATEL, GAVISH N., MD
GENDER: M
NPI #: 1821080078
ASSOCIATED SURGICAL
GROUP
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 691-4005
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
260
HAVANA, IL
HOOPESTON, IL
Specialty Care Providers
ORTHOPAEDICS
WHITE, DRAKE, MD
GENDER: M
NPI #: 1124120076
MASON DISTRICT HOSPITAL
520 E FRANKLIN
HAVANA, IL 62644
PHONE: (309) 543-4431
E-PRESCRIBE: NO
HENRY, IL
GENERAL SURGERY
FIGUERRES, BENEDICTO Q.,
MD
GENDER: M
NPI #: 1821029927
ST MARGARETS HEALTH
HENRY CLINIC
528 EDWARDS ST
HENRY, IL 61537
PHONE: (309) 364-3088
E-PRESCRIBE: NO
HERRIN, IL
HEMATOLOGY/ONCOLOGY
RAO, SUJATHA A., MD
GENDER: F
NPI #: 1356420368
3020 S PARK AVE
HERRIN, IL 62948
PHONE: (618) 529-0120
E-PRESCRIBE: NO
HILLSBORO, IL
GENERAL SURGERY
BLASER, JOSEPH A., DO
GENDER: M
NPI #: 1316064157
HILLSBORO AREA
HOSPITAL
1200 E TREMONT
HILLSBORO, IL 62049
PHONE: (217) 532-6111
E-PRESCRIBE: NO
HILLSBORO
REHABILITATION &
HEALTHCARE CENTER
1300 E TREMONT
HILLSBORO, IL 62049
PHONE: (217) 532-6191
E-PRESCRIBE: NO
MONTGOMERY COUNTY
SURGICAL ASSOCIATES LLC
1200 E TREMONT
HILLSBORO, IL 62049
PHONE: (217) 324-8730
E-PRESCRIBE: NO
1220 E TREMONT
HILLSBORO, IL 62049
PHONE: (217) 324-8730
E-PRESCRIBE: NO
MONTOGOMERY COUNTY
SURGICAL ASSOCIATES
1204 E TREMONT
HILLSBORO, IL 62049
PHONE: (217) 324-8730
E-PRESCRIBE: NO
ICAZA, ORLANDO J., MD
GENDER: M
NPI #: 1669579991
SPRINGFIELD CLINIC
1250 E TREMONT
HILLSBORO, IL 62049
PHONE: (217) 532-6911
E-PRESCRIBE: YES
261
OSIPOV, ROBERT M., MD
GENDER: M
NPI #: 1659493922
HSHS MEDICAL GROUP
1204 TREMONT
HILLSBORO, IL 62049
PHONE: (217) 324-8730
E-PRESCRIBE: YES
OPHTHALMOLOGY
BUTLER, PATRICK J., MD
GENDER: M
NPI #: 1316057516
SPRINGFIELD CLINIC
675 SCHOOL ST
HILLSBORO, IL 62049
PHONE: (217) 532-6266
E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE
SURGERY
BROWN, RICHARD E., MD
GENDER: M
NPI #: 1710097993
SPRINGFIELD CLINIC
1250 E TREMONT
HILLSBORO, IL 62049
PHONE: (217) 532-6911
E-PRESCRIBE: YES
HOOPESTON, IL
CARDIOLOGY
BRASCH, ANDREA V., MD
GENDER: F
NPI #: 1740353457
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
HOOPESTON, IL
HOPEDALE, IL
MOKRAOUI, MALEC A., MD
GENDER: M
NPI #: 1215949656
CARLE PHYSICIAN GROUP
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: YES
GENERAL SURGERY
CHASE, DANIEL M., MD
GENDER: M
NPI #: 1215255252
HOOPESTON MEDICAL
CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: NO
CRADDOCK, KIMBERLY, MD
GENDER: F
NPI #: 1659483204
HOOPESTON COMMUNITY
HOSPITAL
801 E ORANGE STREET
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: NO
ORTHOPAEDICS
PACKARD, STEVEN H., MD
GENDER: M
NPI #: 1750491395
HOOPESTON MEDICAL
CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5644
E-PRESCRIBE: NO
Specialty Care Providers
PEDIATRIC CARDIOLOGY
GENERAL SURGERY
ALBERS, WILLIAM, MD
GENDER: M
NPI #: 1982798146
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: NO
HSU, JOHN W., MD
GENDER: M
NPI #: 1043439748
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: YES
PODIATRY
SETTER, JOSEPH R., DPM
GENDER: M
NPI #: 1215048202
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: NO
UROLOGY
RAZVI, MOHAMMED M., MD
GENDER: M
NPI #: 1316033640
HOOPESTON COMMUNITY
MEMORIAL HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE: (217) 283-5531
E-PRESCRIBE: NO
HOPEDALE, IL
CARDIOLOGY
YAKEL, DONALD L., MD
GENDER: M
NPI #: 1568559359
HOPEDALE MEDICAL
COMPLEX
107 TREMONT ST
HOPEDALE, IL 61747
PHONE: (309) 449-3321
E-PRESCRIBE: NO
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
OCONNOR, TIMOTHY P., MD
GENDER: M
NPI #: 1710974597
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
NEPHROLOGY
ALONSO, ALEXANDER J., MD
GENDER: M
NPI #: 1124152707
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
BRUHA, ROBERT, MD
GENDER: M
NPI #: 1043340367
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
262
Specialty Care Providers
DREYER, PAUL T., MD
GENDER: M
NPI #: 1194855528
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
HORINEK, ANTHONY R., MD
GENDER: M
NPI #: 1609907195
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
JAMES, GORDON W., MD
GENDER: M
NPI #: 1124158431
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A.,
MD
GENDER: M
NPI #: 1154451573
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
ROSBOROUGH, DAVID C.,
MD
GENDER: M
NPI #: 1619007275
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R.,
MD
GENDER: F
NPI #: 1447328828
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: YES
263
PFLEDERER, BENJAMIN R.,
MD
GENDER: M
NPI #: 1306976964
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SADER, SAMER B., MD
GENDER: M
NPI #: 1831220318
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SHRISHRIMAL, KUMARPAL
C., MD
GENDER: M
NPI #: 1023217551
RENALCARE ASSOCIATES
107 TREMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
HOPEDALE, IL
JACKSONVILLE, IL
SPARROW, ROBERT T., MD
GENDER: M
NPI #: 1134259781
RENALCARE ASSOCIATES
107 TEMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
107 TREMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SRINIVASAN,
PARTHASARATHY, MD
GENDER: M
NPI #: 1134199359
RENALCARE ASSOCIATES
107 TREMONT ST
HOPEDALE, IL 61747
PHONE: (309) 676-8123
E-PRESCRIBE: NO
ORTHOPAEDICS
POTACZEK, STEVEN G., MD
GENDER: M
NPI #: 1396846127
OSF GALESBURG CLINIC
107 TREMONT ST
HOPEDALE, IL 61747
PHONE: (309) 449-4338
E-PRESCRIBE: NO
JACKSONVILLE, IL
ALLERGY/IMMUNOLOGY
SIRI, DAREEN D., MD
GENDER: F
NPI #: 1730272998
SPRINGFIELD CLINIC
610 N WESTGATE
JACKSONVILLE, IL 62650
PHONE: (217) 245-9931
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
JACKSONVILLE, IL
JACKSONVILLE, IL
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
CARDIOLOGY
AHMED, ADEEB, MD
GENDER: M
NPI #: 1245217603
SPRINGFIELD CLINIC
1600 W WALNUT ST
JACKSONVILLE, IL 62650
PHONE: (217) 479-5846
E-PRESCRIBE: YES
NESTER, JOHN E., MD
GENDER: M
NPI #: 1386737435
SPRINGFIELD CLINIC
610 N WESTGATE
JACKSONVILLE, IL 62650
PHONE: (217) 245-9931
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
DERMATOLOGY
STEALEY, A KATHERINE H.,
MD
GENDER: F
NPI #: 1841411188
SPRINGFIELD CLINIC
557 N WESTGATE
JACKSONVILLE, IL 62650
PHONE: (217) 528-7541
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
Specialty Care Providers
ENDOCRINOLOGY
HAZARD, KEVIN D., MD
GENDER: M
NPI #: 1881652089
SPRINGFIELD CLINIC
557 N WESTGATE
JACKSONVILLE, IL 62650
PHONE: (217) 528-7541
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
GASTROENTEROLOGY
PETERSON, WILLIAM L., MD
GENDER: M
NPI #: 1174623854
SPRINGFIELD CLINIC
557 N WESTGATE
JACKSONVILLE, IL 62650
PHONE: (217) 528-7541
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
GENERAL SURGERY
FENNER, MICHAEL N., MD
GENDER: M
NPI #: 1578660445
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
HALLAM, DANIEL M., MD
GENDER: M
NPI #: 1548479751
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: NO
ROTH, JOHN W., MD
GENDER: M
NPI #: 1881661031
PASSAVANT SURGICAL
ASSOC
1600 W WALNUT 2ND FLOOR
JACKSONVILLE, IL 62650
PHONE: (217) 479-5821
E-PRESCRIBE: NO
NEPHROLOGY
DOWNER, MERRY C., MD
GENDER: F
NPI #: 1518054121
SPRINGFIELD CLINIC
557 N WESTGATE
JACKSONVILLE, IL 62650
PHONE: (217) 528-7541
E-PRESCRIBE: YES
FORERO, NICOLAS A., MD
GENDER: M
NPI #: 1740264365
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: NO
NEUROLOGY
FORTIN, CLAUDE J., MD
GENDER: M
NPI #: 1235225780
SPRINGFIELD CLINIC
557 N WESTGATE
JACKSONVILLE, IL 62650
PHONE: (217) 528-7541
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
264
Specialty Care Providers
ORAL/MAXILLOFACIAL
SURGERY
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
OPHTHALMOLOGY
GIEBELHAUSEN, ERIC A., MD
GENDER: M
NPI #: 1790715662
JACKSONVILLE
OPHTHALMOLOGIC
ASSOCIATION
2000 W MORTON AVE
JACKSONVILLE, IL 62650
PHONE: (217) 245-6814
E-PRESCRIBE: NO
KAGAN, ALEKSANDR, DO
GENDER: M
NPI #: 1598728453
JACKSONVILLE
OPHTHALMOLOGIC
ASSOCIATES
2000 W MORTON AVE
JACKSONVILLE, IL 62650
PHONE: (217) 245-6814
E-PRESCRIBE: NO
WILLIAMS, JORDAN N., DMD
GENDER: M
NPI #: 1891011755
SPRINGFIELD ASSOCIATES
IN ORAL & MAXILLOFACIAL
SUR
1606 W LAFAYETTE
JACKSONVILLE, IL 62650
PHONE:
E-PRESCRIBE: NO
ORTHOPAEDICS
SUTTON, DAVID P., MD
GENDER: M
NPI #: 1508826918
PRAIRIE EYE CENTER LTD
901 WEST MORTON
JACKSONVILLE, IL 62650
PHONE: (217) 245-6211
E-PRESCRIBE: NO
265
FISCHER, DAVID J., DDS
GENDER: M
NPI #: 1255650974
SPRINGFIELD ASSOCIATES
IN ORAL & MAXILLOFACIAL
SUR
1606 W LAFAYETTE
JACKSONVILLE, IL 62650
PHONE:
E-PRESCRIBE: NO
ALBRACHT, DOUGLAS, DO
GENDER: M
NPI #: 1679545586
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: NO
LEUTZ, DARR W., MD
GENDER: M
NPI #: 1225069057
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
JACKSONVILLE, IL
JACKSONVILLE, IL
STEVENS, BENJAMIN W., MD
GENDER: M
NPI #: 1295953172
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: NO
WERRIES, BARRY A., MD
GENDER: M
NPI #: 1962481366
ORTHOPAEDIC CENTER OF
ILLINOIS
1600 W WALNUT
JACKSONVILLE, IL 62650
PHONE: (217) 243-5831
E-PRESCRIBE: NO
WOTTOWA, CHRIS, MD
GENDER: M
NPI #: 1922195718
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
OTOLARYNGOLOGY
DAILEY, JOHN C., MD
GENDER: M
NPI #: 1063487775
JACKSONVILLE ENT
ASSOCIATES
1600 W WALNUT ST
JACKSONVILLE, IL 62650
PHONE: (217) 243-9426
E-PRESCRIBE: NO
HUANG, XINYAN, MD
GENDER: M
NPI #: 1295862365
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
JACKSONVILLE, IL
JACKSONVILLE, IL
JOOS, NATHAN D., MD
GENDER: M
NPI #: 1417096090
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE
SURGERY
SINHA, RAJ K., MD
GENDER: M
NPI #: 1134229826
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
PODIATRY
RUSSOTTO, PETER D., DPM
GENDER: M
NPI #: 1770576829
1440 W WALNUT ST SUITE 5
JACKSONVILLE, IL 62650
PHONE: (217) 243-3668
E-PRESCRIBE: NO
SIPES, MARY L., DPM
GENDER: F
NPI #: 1376524470
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: NO
Specialty Care Providers
RADIATION ONCOLOGY
SPORTS MEDICINE
AHMAD, ANWAR, MD
GENDER: M
NPI #: 1770591893
JACKSONVILLE ONCOLOGY
INSTITUTE
567 N WESTGATE
JACKSONVILLE, IL 62650
PHONE: (217) 243-8400
E-PRESCRIBE: NO
SHARMA, RISHI, MD
GENDER: M
NPI #: 1801084736
SPRINGFIELD CLINIC
1600 W WALNUT
JACKSONVILLE, IL 62650
PHONE: (217) 243-0033
E-PRESCRIBE: YES
MAHMOOD, SALEEM, MD
GENDER: M
NPI #: 1679677678
JACKSONVILLE ONCOLOGY
INSTITUTE
567 N WESTGATE
JACKSONVILLE, IL 62650
PHONE: (217) 243-8400
E-PRESCRIBE: NO
RHEUMATOLOGY
HORVATH, JEFFREY R., MD
GENDER: M
NPI #: 1588761811
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
STERN, MARK A., MD
GENDER: M
NPI #: 1033201579
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
UROLOGY
LIEBER, DAVID C., MD
GENDER: M
NPI #: 1558462408
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
WILSON, CHARLES S., MD
GENDER: M
NPI #: 1164484267
814 W STATE ST
JACKSONVILLE, IL 62650
PHONE: (217) 243-1865
E-PRESCRIBE: NO
VASCULAR SURGERY
BARKMEIER, LYNNE D., MD
GENDER: F
NPI #: 1538262431
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
RYAN, STEPHEN M., MD
GENDER: M
NPI #: 1407949365
SPRINGFIELD CLINIC
JACKSONVILLE
15 FOUNDERS LN
JACKSONVILLE, IL 62650
PHONE: (217) 291-1041
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
266
Specialty Care Providers
JOLIET, IL
COLON/RECTAL SURGERY
BASS, ERIC, MD
GENDER: M
NPI #: 1457324824
SURGICAL CONSULTANTS
OF JOLIET
2 UNO CIRCLE
JOLIET, IL 60435
PHONE: (815) 725-2277
E-PRESCRIBE: NO
DERMATOLOGY
BAUER, KIMBERLY A., MD
GENDER: F
NPI #: 1295946473
DERMATOLOGY & PLASTIC
SURGERY ASSOCIATES SC
1124 ESSINGTON RD
JOLIET, IL 60435
PHONE: (815) 744-8554
E-PRESCRIBE: NO
BHATT, RENUKA, MD
GENDER: F
NPI #: 1316128861
RENUKA H BHATT MD SC
2000 GLENWOOD AVE SUITE
109
JOLIET, IL 60435
PHONE: (815) 725-0900
E-PRESCRIBE: NO
LAPINSKI, PAULA, MD
GENDER: F
NPI #: 1437262482
DERMATOLOGY & PLASTIC
SURGERY ASSOCIATES SC
1124 ESSINGTON RD
JOLIET, IL 60435
PHONE: (815) 744-8554
E-PRESCRIBE: NO
267
JOLIET, IL
JOLIET, IL
SHETH, SEEMA S., MD
GENDER: F
NPI #: 1053519595
RENUKA H BHATT MD SC
2202 ESSINGTON RD SUITE
101
JOLIET, IL 60435
PHONE: (815) 676-5310
E-PRESCRIBE: NO
ROTNICKI, RICHARD M., DO
GENDER: M
NPI #: 1427062850
DIGESTIVE HEALTH
ASSOCIATES PC
1100 HOUBOLT RD
JOLIET, IL 60431
PHONE:
E-PRESCRIBE: NO
ENDOCRINOLOGY
GENERAL SURGERY
DEY, LUCY, MD
GENDER: F
NPI #: 1710191705
DR LUCY DEY DIABETES
ENDOCRINOLOGY &
METABOLISM CL
330 N MADISON ST SUITE 303
JOLIET, IL 60435
PHONE:
E-PRESCRIBE: NO
BASS, ERIC, MD
GENDER: M
NPI #: 1457324824
SURGICAL CONSULTANTS
OF JOLIET
2 UNO CIRCLE
JOLIET, IL 60435
PHONE: (815) 725-2277
E-PRESCRIBE: NO
GASTROENTEROLOGY
BHALLA, SURESH, MD
GENDER: M
NPI #: 1811995426
210 N HAMMES SUITE 112
JOLIET, IL 60435
PHONE: (815) 744-2123
E-PRESCRIBE: NO
HAMAD, BASHAR, MD
GENDER: M
NPI #: 1780690040
DIGESTIVE HEALTH
ASSOCIATES PC
1100 HOUBOLT RD
JOLIET, IL 60431
PHONE: (815) 725-5950
E-PRESCRIBE: NO
DANIELSON, MARK V., MD
GENDER: M
NPI #: 1225001068
SURGICAL CONSULTANTS
OF JOLIET INC
2 UNO CIRCLE
JOLIET, IL 60435
PHONE: (815) 725-2277
E-PRESCRIBE: NO
GUNDERSON, HOLLY L., MD
GENDER: F
NPI #: 1891737557
FAMILY MEDICAL GROUP
SC
330 MADISON ST SUITE 104
JOLIET, IL 60435-6596
PHONE: (815) 725-3440
E-PRESCRIBE: NO
KATILIUS, MARIUS J., MD
GENDER: M
NPI #: 1659346583
PRECISION SURGICAL
CONSULTANTS
300 BARNEY DR SUITE A
JOLIET, IL 60435
PHONE: (815) 744-0330
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
JOLIET, IL
JOLIET, IL
MIHALAKAKOS, PETER, MD
GENDER: M
NPI #: 1720022031
FAMILY MEDICAL GROUP
SC
330 N MADISON ST SUITE 104
JOLIET, IL 60435
PHONE: (815) 725-3440
E-PRESCRIBE: NO
NATESH, RAMANATHAPUR
K., MD
GENDER: M
NPI #: 1427037043
ALLIANCE HEALTH
1100 ESSINGTON RD SUITE 6
JOLIET, IL 60435
PHONE: (815) 725-2600
E-PRESCRIBE: NO
WINKLEMAN, BRIAN J., MD
GENDER: M
NPI #: 1982818357
FAMILY MEDICAL GROUP
SC
330 N MADISON ST SUITE 104
JOLIET, IL 60435
PHONE: (815) 725-3440
E-PRESCRIBE: NO
WU, JONATHAN C., MD
GENDER: M
NPI #: 1659347318
PRECISION SURGICAL
CONSULTANTS
300 BARNEY DR SUITE A
JOLIET, IL 60435
PHONE: (815) 744-0330
E-PRESCRIBE: NO
Specialty Care Providers
AWUA-LARBI, STELLA Y., MD
GENDER: F
NPI #: 1316117443
KIDNEY CARE CENTER
812 CAMPUS DR
JOLIET, IL 60435
PHONE: (815) 741-6830
E-PRESCRIBE: NO
CHAWLA, BHUVAN, MD
GENDER: M
NPI #: 1649378860
JOLIET KIDNEY CENTER
2121 ONEIDA ST SUITE 103
JOLIET, IL 60435
PHONE:
E-PRESCRIBE: NO
SUN CLINIC LLC
2121 ONEIDA ST SUITE 103
JOLIET, IL 60435
PHONE: (815) 741-8480
E-PRESCRIBE: NO
JAMNADAS, AMIT B., MD
GENDER: M
NPI #: 1104072305
KIDNEY CARE CENTER
812 CAMPUS DR
JOLIET, IL 60435
PHONE: (815) 741-6830
E-PRESCRIBE: NO
NEPHROLOGY
KISIEL, BEATA A., MD
GENDER: F
NPI #: 1033222104
SUN CLINIC LLC
2121 ONEIDA ST SUITE 103
JOLIET, IL 60435
PHONE: (815) 741-8480
E-PRESCRIBE: NO
ALAUSA, MORUFU O., MD
GENDER: M
NPI #: 1730135955
KIDNEY CARE CENTER
812 CAMPUS DR
JOLIET, IL 60435
PHONE: (815) 741-6830
E-PRESCRIBE: NO
KISIEL, BEATA, MD
GENDER: F
NPI #: 1033222104
JOLIET KIDNEY CENTER
2121 ONEIDA ST SUITE 103
JOLIET, IL 60435
PHONE:
E-PRESCRIBE: NO
MCFADDEN, DAVID L., MD
GENDER: M
NPI #: 1033270533
330 N MADISON ST SUITE 203
JOLIET, IL 60435
PHONE: (815) 741-1770
E-PRESCRIBE: NO
SHAFI, MOHAMMAD S., MD
GENDER: M
NPI #: 1528052792
KIDNEY CARE CENTER
812 CAMPUS DR
JOLIET, IL 60435
PHONE: (815) 741-6830
E-PRESCRIBE: NO
THAKKER, NITESH, MD
GENDER: M
NPI #: 1952480295
KIDNEY CARE CENTER
812 CAMPUS DR
JOLIET, IL 60435
PHONE: (815) 741-6830
E-PRESCRIBE: NO
NEUROLOGY
ALAANI, ZIAD, MD
GENDER:
NPI #: 1730398959
NEUROSCIENCE INSTITUTE
AT PRESENCE
301 N MADISON #300
JOLIET, IL 60435
PHONE: (815) 725-4367
E-PRESCRIBE: NO
ANALYTIS, PETER D., MD
GENDER: M
NPI #: 1720032311
JOLIET HEADACHE &
NEURO CENTER
801 N LARKIN AVE SUITE 103
JOLIET, IL 60435
PHONE: (815) 744-6460
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
268
Specialty Care Providers
JOLIET, IL
JOLIET, IL
BASHIR, QASIM, MD
GENDER: M
NPI #: 1780861807
NEUROSCIENCE INSTITUTE
AT PRESENCE SAINT JOSEPH
ME
301 N MADISON ST SUITE 300
JOLIET, IL 60435
PHONE: (815) 725-4367
E-PRESCRIBE: NO
WILSON, MARQUESS T., MD
GENDER: M
NPI #: 1093963670
NEUROSCIENCE INSTITUTE
AT PRESENCE SAINT JOSEPH
ME
301 N MADISON SUITE 300
JOLIET, IL 60435
PHONE: (815) 725-4367
E-PRESCRIBE: NO
KOULOUMBERIS, PELAGIA
E., MD
GENDER: F
NPI #: 1487804969
PROVENA NEUROSCIENCE
INSTITUTE
300 N MADISON ST SUITE 300
JOLIET, IL 60435
PHONE: (815) 725-4367
E-PRESCRIBE: NO
CHWAJOL, MARK
GENDER: M
NPI #: 1356575690
NEUROSCIENCE INSTITUTE
AT PRESENCE SAINT JOSEPH
ME
301 N MADISON ST SUITE 300
JOLIET, IL 60435
PHONE: (815) 725-4367
E-PRESCRIBE: NO
ZABIEGA, THOMAS M., MD
GENDER: M
NPI #: 1386755916
JOLIET HEADACHE &
NEURO CENTER
801 N LARKIN AVE SUITE 103
JOLIET, IL 60435
PHONE: (815) 744-6460
E-PRESCRIBE: NO
OPHTHALMOLOGY
GULATI, SURENDRA M., MD
GENDER: M
NPI #: 1558543348
NEUROSCIENCE INSTITUTE
AT PROVENA
301 N MADISON ST SUITE 300
JOLIET, IL 60435
PHONE: (815) 725-4367
E-PRESCRIBE: NO
MONACO, MARY E., DO
GENDER: F
NPI #: 1972607497
79 129TH INFANTRY DR
JOLIET, IL 60435
PHONE: (815) 730-1541
E-PRESCRIBE: NO
PIEKOS, GRAZYNA, MD
GENDER: F
NPI #: 1780605899
MIDWEST NEUROLOGICAL
ASSOCIATES
1513 ESSINGTON RD
JOLIET, IL 60435
PHONE: (815) 730-1200
E-PRESCRIBE: NO
269
NEUROSURGERY
BADRUDDIN, AAMIR, MD
GENDER: M
NPI #: 1871769331
NEUROSCIENCE INSTITUTE
AT PRESENCE SAINT JOSEPH
ME
301 N MADISON ST SUITE 300
JOLIET, IL 60435
PHONE: (815) 725-4367
E-PRESCRIBE: NO
HERSONSKEY, TAMIR Y., MD
GENDER: M
NPI #: 1629025663
PROVENA NEUROSCIENCE
INSTITUTE
301 N MADISON ST SUITE 300
JOLIET, IL 60435
PHONE: (815) 725-4367
E-PRESCRIBE: NO
BENNETT, THOMAS O., MD
GENDER: M
NPI #: 1427051911
RETINA VITREOUS
ASSOCIATES
963 129TH INFANTRY DR
SUITE 130
JOLIET, IL 60435
PHONE: (815) 744-1812
E-PRESCRIBE: NO
FRITZ, MARK J., MD
GENDER: M
NPI #: 1669509550
ALLIANCE HEALTH
212 N LARKIN
JOLIET, IL 60435
PHONE: (815) 741-7590
E-PRESCRIBE: NO
LIPMAN, RICHARD M., MD
GENDER: M
NPI #: 1730182361
RETINA VITREOUS
ASSOCIATES
963 129TH INFANTRY DR
SUITE 130
JOLIET, IL 60435
PHONE: (815) 744-1812
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
JOLIET, IL
JOLIET, IL
MORIMOTO, DAVID D., MD
GENDER: M
NPI #: 1356305643
ALLIANCE HEALTH
219 N HAMMES AVE
JOLIET, IL 60435
PHONE: (815) 741-7590
E-PRESCRIBE: NO
PELZEK, CHRISTOPHER D.,
MD
GENDER: M
NPI #: 1669475281
RETINA VITREOUS
ASSOCIATES
963 129TH INFANTRY DR
SUITE 130
JOLIET, IL 60435
PHONE: (815) 744-1812
E-PRESCRIBE: NO
SADOWSKI, LAWRENCE E.,
MD
GENDER: M
NPI #: 1710996715
ALLIANCE HEALTH
202 N HAMMES AVE SUITE A
JOLIET, IL 60435
PHONE: (815) 741-7590
E-PRESCRIBE: NO
WILSON, JOHN F., MD
GENDER: M
NPI #: 1538162151
RETINA VITREOUS
ASSOCIATES
963 129TH INFANTRY DR
SUITE 130
JOLIET, IL 60435
PHONE: (815) 744-1812
E-PRESCRIBE: NO
ZLIOBA, ARAS M., MD
GENDER: M
NPI #: 1548223233
ALLIANCE HEALTH
219 N HAMMES AVE
JOLIET, IL 60435
PHONE: (815) 741-7590
E-PRESCRIBE: NO
Specialty Care Providers
ORTHOPAEDICS
FARRELL, WILLIAM J., MD
GENDER: M
NPI #: 1467450411
PARKVIEW ORTHOPEDICS
GROUP
2201 W GLENWOOD AVE
JOLIET, IL 60435
PHONE: (815) 727-3030
E-PRESCRIBE: NO
FUENTES, HENRY J., MD
GENDER: M
NPI #: 1043218050
PARKVIEW ORTHOPAEDIC
GROUP SC
2201 W GLENWOOD
JOLIET, IL 60435
PHONE: (815) 729-3030
E-PRESCRIBE: NO
MEYER, RAYMOND J., MD
GENDER: M
NPI #: 1275543969
REZIN ORTHOPEDICS &
SPORTS MEDICINE
1310 HOUBOLT RD
JOLIET, IL 60435
PHONE: (815) 741-4000
E-PRESCRIBE: NO
ORTINAU, ERIC T., MD
GENDER: M
NPI #: 1841209459
REZIN ORTHOPEDICS &
SPORTS MEDICINE
1310 HOUBOLT RD
JOLIET, IL 60435
PHONE: (815) 741-4000
E-PRESCRIBE: NO
PULLURU, RAGHU R., MD
GENDER: M
NPI #: 1447269915
REZIN ORTHOPEDICS &
SPORTS MEDICINE
1310 HOUBOLT RD
JOLIET, IL 60435
PHONE: (815) 741-4000
E-PRESCRIBE: NO
REZIN, KEITH M., MD
GENDER: M
NPI #: 1407867393
REZIN ORTHOPEDICS &
SPORTS MEDICINE
1310 HOUBOLT RD
JOLIET, IL 60435
PHONE: (815) 741-4000
E-PRESCRIBE: NO
SAMPAT, CHINTAN S., MD
GENDER: M
NPI #: 1841407046
PARKVIEW ORTHOPAEDIC
GROUP SC
2201 GLENWOOD AVENUE
JOLIET, IL 60435
PHONE: (815) 727-3030
E-PRESCRIBE: NO
SAUER, PAUL A., MD
GENDER: M
NPI #: 1902914401
REZIN ORTHOPEDICS &
SPORTS MEDICINE
1310 HOUBOLT RD
JOLIET, IL 60435
PHONE: (815) 741-4000
E-PRESCRIBE: NO
SEMBA, ROBERT T., MD
GENDER: M
NPI #: 1487652400
PARKVIEW ORTHOPEDIC
GROUP SC
2201 W GLENWOOD
JOLIET, IL 60435
PHONE: (815) 729-3030
E-PRESCRIBE: NO
TREACY, STEPHEN H., MD
GENDER: M
NPI #: 1215946744
REZIN ORTHOPEDICS &
SPORTS MEDICINE
1310 HOUBOLT RD
JOLIET, IL 60435
PHONE: (815) 741-4000
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
270
Specialty Care Providers
OTOLARYNGOLOGY
CHUNG, SUNG J., MD
GENDER: M
NPI #: 1912980574
ENT SURGICAL
CONSULTANTS LTD
1300 COPPERFIELD SUITE
1080
JOLIET, IL 60432
PHONE:
E-PRESCRIBE: NO
2201 GLENWOOD AVE
JOLIET, IL 60435
PHONE: (815) 725-1248
E-PRESCRIBE: NO
DIVENERE, SCOTT W., MD
GENDER: M
NPI #: 1881677714
ENT SURGICAL
CONSULTANTS LTD
1300 COPPERFIELD SUITE
1080
JOLIET, IL 60432
PHONE:
E-PRESCRIBE: NO
2201 GLENWOOD AVE
JOLIET, IL 60435
PHONE: (815) 725-1248
E-PRESCRIBE: NO
GARTLAN, MICHAEL, MD
GENDER: M
NPI #: 1740263664
ENT SURGICAL
CONSULTANTS LTD
1300 COPPERFIELD SUITE
1080
JOLIET, IL 60432
PHONE:
E-PRESCRIBE: NO
2201 GLENWOOD AVE
JOLIET, IL 60435
PHONE: (815) 725-1248
E-PRESCRIBE: NO
271
KRON, THOMAS K., MD
GENDER: M
NPI #: 1972586899
ENT SURGICAL
CONSULTANTS LTD
1300 COPPERFIELD SUITE
1080
JOLIET, IL 60432
PHONE:
E-PRESCRIBE: NO
2201 GLENWOOD AVE
JOLIET, IL 60435
PHONE: (815) 725-1248
E-PRESCRIBE: NO
MEHTA, RAJEEV H., MD
GENDER: M
NPI #: 1891778718
ENT SURGICAL
CONSULTANTS LTD
1300 COPPERFIELD SUITE
1080
JOLIET, IL 60432
PHONE:
E-PRESCRIBE: NO
2201 GLENWOOD AVE
JOLIET, IL 60435
PHONE: (815) 725-1248
E-PRESCRIBE: NO
PATEL, ANKIT M., MD
GENDER: M
NPI #: 1083697692
ENT SURGICAL
CONSULTANTS LTD
1300 COPPERFIELD SUITE
1080
JOLIET, IL 60432
PHONE:
E-PRESCRIBE: NO
JOLIET, IL
JOLIET, IL
PHYSICAL MEDICINE/
REHABILITATION
CHARLES, BERNARD R., MD
GENDER: M
NPI #: 1437309234
MIDWEST REHABILITATION
ASSOCIATES
310 N HAMMES SUITE 202
JOLIET, IL 60435
PHONE: (815) 741-2201
E-PRESCRIBE: NO
FRANKLIN, JASON T., DO
GENDER: M
NPI #: 1588673032
REZIN ORTHOPEDICS &
SPORTS MEDICINE
1310 HOUBOLT RD
JOLIET, IL 60435
PHONE: (815) 741-4000
E-PRESCRIBE: NO
HUNG, MING L., MD
GENDER: M
NPI #: 1194730267
MIDWEST REHABILITATION
ASSOCIATES
310 N HAMMES SUITE 202
JOLIET, IL 60435
PHONE: (815) 741-2201
E-PRESCRIBE: NO
OSEI, MICHAEL A., MD
GENDER: M
NPI #: 1710138599
MIDWEST REHABILITATION
ASSOCIATES
310 N HAMMES SUITE 202
JOLIET, IL 60435
PHONE: (815) 741-2201
E-PRESCRIBE: NO
2201 GLENWOOD AVE
JOLIET, IL 60435
PHONE: (815) 725-1191
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
JOLIET, IL
JOLIET, IL
PLASTIC RECONSTRUCTIVE
SURGERY
RIOS, JOSE, MD
GENDER: M
NPI #: 1699888644
DERMATOLOGY & PLASTIC
SURGERY ASSOCIATES SC
1124 ESSINGTON RD
JOLIET, IL 60435
PHONE: (815) 744-8554
E-PRESCRIBE: NO
PODIATRY
HELMER, DANIEL, DPM
GENDER: M
NPI #: 1306855259
3077 W JEFFERSON ST SUITE
204
JOLIET, IL 60435
PHONE: (815) 744-2107
E-PRESCRIBE: NO
MACNAB, ROBERT K., DPM
GENDER: M
NPI #: 1669481180
REZIN ORTHOPEDICS &
SPORTS MEDICINE
1310 HOUBOLT RD
JOLIET, IL 60435
PHONE: (815) 741-4000
E-PRESCRIBE: NO
PULMONOLOGY
AGHA, AHMAD J., MD
GENDER: M
NPI #: 1376592717
AGHA MEDICAL INC-JOLIET
OUTPATIENT SERVICES
2000 GLENWOOD AVE SUITE
109
JOLIET, IL 60435
PHONE:
E-PRESCRIBE: NO
Specialty Care Providers
AGHA MEDICAL INC-JOLIET
SLEEP CENTER
2000 GLENWOOD AVE SUITE
109
JOLIET, IL 60435
PHONE:
E-PRESCRIBE: NO
ALMUSADDY, MOUSAB, MD
GENDER: M
NPI #: 1699720896
AGHA MEDICAL INC-JOLIET
OUTPATIENT SVCS
2000 GLENWOOD AVE SUITE
109
JOLIET, IL 60435
PHONE:
E-PRESCRIBE: NO
ARONSON, ROBERT, MD
GENDER: M
NPI #: 1598824039
PRAIRIE STATE
PULMONARY & SLEEP
CONSULTANTS LLC
3077 W JEFFERSON ST SUITE
210B
JOLIET, IL 60435
PHONE: (708) 748-6775
E-PRESCRIBE: NO
COOLIDGE, BRADLEY S., MD
GENDER: M
NPI #: 1700986460
PRAIRIE STATE
PULMONARY & SLEEP
CONSULTANTS LLC
3077 W JEFFERSON ST SUITE
210B
JOLIET, IL 60435
PHONE: (708) 748-6775
E-PRESCRIBE: NO
SUNDARAM, RAVI K., DO
GENDER: M
NPI #: 1811040595
PRAIRIE STATE
PULMONARY & SLEEP
CONSULTANT
3077 W JEFFERSON ST SUITE
210-B
JOLIET, IL 60435
PHONE: (708) 748-6775
E-PRESCRIBE: NO
RADIATION ONCOLOGY
BENDRE, DHANNAJAY, MD
GENDER: M
NPI #: 1790786846
NUCLEAR ONCOLOGY SC
2614 JEFFERSON ST
JOLIET, IL 60435
PHONE: (630) 734-9560
E-PRESCRIBE: NO
GALINSKY, DENNIS L., MD
GENDER: M
NPI #: 1982605036
NUCLEAR ONCOLOGY SC
2614 JEFFERSON ST
JOLIET, IL 60435
PHONE: (630) 734-9560
E-PRESCRIBE: NO
GRIFFIN, VIVIAN D., MD
GENDER: F
NPI #: 1801898614
LUDAG LLC
333 N MADISON
JOLIET, IL 60435
PHONE: (815) 741-7561
E-PRESCRIBE: NO
HLA, OMMAR T., MD
GENDER: M
NPI #: 1942225511
NUCLEAR ONCOLOGY SC
2614 JEFFERSON ST
JOLIET, IL 60435
PHONE: (815) 725-1355
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
272
JOLIET, IL
KANKAKEE, IL
Specialty Care Providers
KABRE, NEELIMA D., MD
GENDER: F
NPI #: 1023096294
NUCLEAR ONCOLOGY SC
2614 JEFFERSON ST
JOLIET, IL 60435
PHONE: (630) 734-9560
E-PRESCRIBE: NO
MURTHY, ANANTHA K., MD
GENDER: M
NPI #: 1871594945
NUCLEAR ONCOLOGY SC
2614 JEFFERSON ST
JOLIET, IL 60435
PHONE: (815) 730-3537
E-PRESCRIBE: NO
SAROJA, KURUBARAHALLI
R., MD
GENDER: F
NPI #: 1023019197
NUCLEAR ONCOLOGY SC
2614 JEFFERSON ST
JOLIET, IL 60435
PHONE: (630) 734-9560
E-PRESCRIBE: NO
WOODBURN, ROBERT T., MD
GENDER: M
NPI #: 1407848849
LUDAG LLC
333 N MADISON
JOLIET, IL 60435
PHONE: (815) 741-7561
E-PRESCRIBE: NO
RHEUMATOLOGY
AHMED, SABA Y., MD
GENDER: M
NPI #: 1861448003
PRAIRIE RHEUMATOLOGY
ASSOCIATES SC
903 129TH INFANTRY DR
SUITE 600
JOLIET, IL 60435
PHONE: (815) 744-7246
E-PRESCRIBE: NO
273
FRANCIS, MARIA, DO
GENDER: F
NPI #: 1871828780
PRAIRIE RHEUMATOLOGY
ASSOCIATES SC
903 129TH INFANTRY DR
SUITE 600
JOLIET, IL 60435
PHONE: (815) 744-7246
E-PRESCRIBE: NO
SOSENKO, MARIA C., MD
GENDER: F
NPI #: 1982658852
PRAIRIE RHEUMATOLOGY
ASSOCIATES SC
903 129TH INFANTRY DR
SUITE 600
JOLIET, IL 60435
PHONE: (815) 744-7246
E-PRESCRIBE: NO
STANISLAUS, ANNA, MD
GENDER: F
NPI #: 1699921353
PRAIRIE RHEUMATOLOGY
ASSOCIATES
903 129TH INFANTRY DR
SUITE 600
JOLIET, IL 60435
PHONE: (815) 744-7246
E-PRESCRIBE: NO
AGHA MEDICAL INC-JOLIET
SLEEP CENTER
2000 GLENWOOD AVE SUITE
109
JOLIET, IL 60435
PHONE:
E-PRESCRIBE: NO
ANALYTIS, PETER D., MD
GENDER: M
NPI #: 1720032311
JOLIET HEADACHE &
NEURO CENTER
801 N LARKIN AVE SUITE 103
JOLIET, IL 60435
PHONE: (815) 744-6460
E-PRESCRIBE: NO
SUNDARAM, RAVI K., DO
GENDER: M
NPI #: 1811040595
PRAIRIE STATE
PULMONARY & SLEEP
CONSULTANT
3077 W JEFFERSON ST SUITE
210-B
JOLIET, IL 60435
PHONE: (708) 748-6775
E-PRESCRIBE: NO
KANKAKEE, IL
SLEEP MEDICINE
CARDIOLOGY
AGHA, AHMAD J., MD
GENDER: M
NPI #: 1376592717
AGHA MEDICAL INC-JOLIET
OUTPATIENT SERVICES
2000 GLENWOOD AVE SUITE
109
JOLIET, IL 60435
PHONE:
E-PRESCRIBE: NO
BROWN, LYNN G., MD
GENDER: F
NPI #: 1013962182
500 N WALL STREET SUITE
201
KANKAKEE, IL 60901
PHONE: (815) 932-2000
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
KANKAKEE, IL
KANKAKEE, IL
HARYANI, VIJAY M., MD
GENDER: M
NPI #: 1487679205
CARDIOVASCULAR
CONSULTANTS
375 N WALL ST SUITE 310
KANKAKEE, IL 60901
PHONE: (815) 936-3240
E-PRESCRIBE: NO
HAYS, PHILIP G., MD
GENDER: M
NPI #: 1275540536
400 N WALL ST SUITE 303
KANKAKEE, IL 60901
PHONE: (815) 935-8040
E-PRESCRIBE: NO
KAPOOR, GAURAV, MD
GENDER: M
NPI #: 1245225192
CARDIOVASCULAR
CONSULTANTS
375 N WALL ST SUITE 310
KANKAKEE, IL 60901
PHONE: (815) 936-3240
E-PRESCRIBE: NO
PATEL, VIKAS K., MD
GENDER: M
NPI #: 1235349598
CARDIOVASCULAR
CONSULTANTS
375 N WALL ST SUITE 310
KANKAKEE, IL 60901
PHONE: (815) 936-3240
E-PRESCRIBE: NO
WADHWANI, SURESH H., MD
GENDER: M
NPI #: 1659406510
455 W COURT ST SUITE 302
KANKAKEE, IL 60901
PHONE: (815) 936-3250
E-PRESCRIBE: NO
Specialty Care Providers
CARDIOTHORACIC
SURGERY
ALEXANDER, PHILIP J., MD
GENDER: M
NPI #: 1437159142
RIVERSIDE
CARDIOTHORACIC &
VASCULAR SURGICAL SPEC
400 N WALL ST SUITE 314
KANKAKEE, IL 60901
PHONE: (815) 933-4400
E-PRESCRIBE: NO
APPLEBAUM, ROBERT E., MD
GENDER: M
NPI #: 1477553188
RIVERSIDE
CARDIOTHORACIC &
VASCULAR SURGICAL SPEC
400 N WALL ST SUITE 314
KANKAKEE, IL 60901
PHONE: (815) 933-4400
E-PRESCRIBE: NO
ENDOCRINOLOGY
SHELL, RACHEL N., MD
GENDER: F
NPI #: 1942339932
RIVERSIDE HEALTH
SYSTEMS
100 FITNESS DR
KANKAKEE, IL 60901
PHONE: (815) 936-8809
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
SIPAHI, MEHMET, MD
GENDER: M
NPI #: 1467556837
AFFILIATED CANCER
SPECIALISTS PC
375 N WALL ST SUITE P320
KANKAKEE, IL 60901
PHONE: (815) 933-9660
E-PRESCRIBE: NO
VEERAPANENI, ANNABELLE
A., MD
GENDER: F
NPI #: 1407025208
AFFILIATED CANCER
SPECIALISTS
375 N WALL ST SUITE P320
KANKAKEE, IL 60901
PHONE: (815) 933-9660
E-PRESCRIBE: NO
INFECTIOUS DISEASES
CHUNDI, VISHNU, MD
GENDER: M
NPI #: 1558357905
PROVENA ST MARYS
HOSPITAL
500 W COURT ST
KANKAKEE, IL 60901
PHONE: (815) 928-6400
E-PRESCRIBE: NO
ESPINOZA, FABIOLA M., MD
GENDER: F
NPI #: 1902112535
METRO INFECTIOUS
DISEASE CONSULTANTS
LLC
555 W COURT ST SUITE 108
KANKAKEE, IL 60901
PHONE: (888) 220-6432
E-PRESCRIBE: YES
PHILLIPS, MARTIN T., MD
GENDER: M
NPI #: 1003802349
METRO INFECTIOUS
DISEASE CONSULTANTS
LLC
555 WEST COURT ST SUITE
108
KANKAKEE, IL 60901
PHONE: (888) 220-6432
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
274
Specialty Care Providers
PROVENA ST MARYS
HOSPITAL
500 W COURT ST
KANKAKEE, IL 60901
PHONE:
E-PRESCRIBE: NO
PROVENA ST MARYS
DIALYSIS CENTER
500 W COURT ST
KANKAKEE, IL 60901
PHONE:
E-PRESCRIBE: YES
RAMANI, RAM L., MD
GENDER: M
NPI #: 1982603387
INFECTIOUS DISEASE
SPECIALISTS LTD
500 W COURT ST
KANKAKEE, IL 60901
PHONE: (708) 333-3131
E-PRESCRIBE: NO
HIZON, MIGUEL L., MD
GENDER: M
NPI #: 1730184086
KIDNEY SPECIALISTS OF
KANKAKEE
455 W COURT ST SUITE 304
KANKAKEE, IL 60901
PHONE: (815) 933-4422
E-PRESCRIBE: YES
SANTOS, RENE E., MD
GENDER:
NPI #: 1588663876
INFECTIOUS DISEASE
SPECIALISTS LTD
500 W COURT ST
KANKAKEE, IL 60901
PHONE: (708) 333-3131
E-PRESCRIBE: NO
NEUROLOGY
ZAKHIREH, BEHNAM, MD
GENDER: M
NPI #: 1639178924
INFECTIOUS DISEASE
SPECIALISTS LTD
500 W COURT ST
KANKAKEE, IL 60901
PHONE: (708) 333-3131
E-PRESCRIBE: NO
DODT, BRUCE I., MD
GENDER: M
NPI #: 1013059005
RIVERSIDE NEUROLOGY
SPECIALISTS
500 N WALL ST SUITE 300
KANKAKEE, IL 60901
PHONE: (815) 935-0750
E-PRESCRIBE: NO
NEPHROLOGY
OROZCO, DANIEL, MD
GENDER: M
NPI #: 1154329399
RIVERSIDE NEUROLOGY
SPECIALISTS
500 N WALL ST SUITE 300
KANKAKEE, IL 60901
PHONE: (815) 935-0750
E-PRESCRIBE: NO
HASHMI, NASHIB, MD
GENDER: M
NPI #: 1629194543
KIDNEY CENTER OF
KANKAKEE
401 N WALL ST SUITE 100
KANKAKEE, IL 60901
PHONE: (815) 932-7110
E-PRESCRIBE: YES
SERGEANT, MICHAEL J., MD
GENDER: M
NPI #: 1205965936
RIVERSIDE NEUROLOGY
SPECIALISTS
500 N WALL ST SUITE 300
KANKAKEE, IL 60901
PHONE: (815) 935-0750
E-PRESCRIBE: NO
275
KANKAKEE, IL
KANKAKEE, IL
NEUROSURGERY
HARVEY, CHARLES F., MD
GENDER: M
NPI #: 1235235938
NEUROSURGERY
CONSULTANTS
400 N WALL ST SUITE 402
KANKAKEE, IL 60901
PHONE: (815) 932-7200
E-PRESCRIBE: NO
JIMENEZ, JUAN C., MD
GENDER: M
NPI #: 1801992516
NEUROSURGERY
CONSULTANTS
400 N WALL ST SUITE 402
KANKAKEE, IL 60901
PHONE: (815) 932-7200
E-PRESCRIBE: NO
RICHARDSON, ROBERT R.,
MD
GENDER: M
NPI #: 1033105093
UNIVERSAL PAIN
MANAGEMENT INSTITUTE
LTD
555 W COURT ST SUIET 100
KANKAKEE, IL 60901
PHONE: (815) 932-7242
E-PRESCRIBE: NO
OTOLARYNGOLOGY
HOBSON, FRANCIS L., MD
GENDER: M
NPI #: 1679538193
PROVENA MEDICAL GROUP
555 W COURT ST SUITE 108
KANKAKEE, IL 60901
PHONE: (815) 937-2155
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
KANKAKEE, IL
KANKAKEE, IL
PAIN MANAGEMENT
ROLAND, DONALD E., MD
GENDER: M
NPI #: 1821074600
UNIVERSAL PAIN
MANAGEMENT INSTITUTE
LTD
555 W COURT ST SUITE 100
KANKAKEE, IL 60901
PHONE: (815) 932-7242
E-PRESCRIBE: NO
PEDIATRIC CARDIOLOGY
GUPTA, ANUJA, MD
GENDER: F
NPI #: 1013938257
RIVERSIDE CARDIAC
SPECIALISTS
500 N WALL ST SUITE 100
KANKAKEE, IL 60901
PHONE: (815) 933-2557
E-PRESCRIBE: NO
PEDIATRIC SURGERY
ROWELL, ERIN E., MD
GENDER: F
NPI #: 1285764068
GENERAL SURGEONS OF
KANKAKEE LTD
375 N WALL ST SUITE P640
KANKAKEE, IL 60901
PHONE: (815) 932-0911
E-PRESCRIBE: NO
PHYSICAL MEDICINE/
REHABILITATION
DOROBA, ANNE Z., MD
GENDER: F
NPI #: 1518971167
MILLER HEALTH CENTER
1601 BUTTERFIELD TRAIL
KANKAKEE, IL 60901
PHONE: (815) 936-6500
E-PRESCRIBE: NO
Specialty Care Providers
JACKSON, ALYCE F., MD
GENDER: F
NPI #: 1053419119
PHYSICAL MEDICINE &
REHABILITATION
400 N WALL ST SUITE 405
KANKAKEE, IL 60901
PHONE: (815) 932-6632
E-PRESCRIBE: NO
TOMCHUCK, ROBERT, DO
GENDER: M
NPI #: 1669552584
AFFILIATED CANCER
SPECIALISTS PC
350 N WALL ST SUITE 402
KANKAKEE, IL 60901
PHONE: (815) 933-9660
E-PRESCRIBE: NO
VILLEGAS, MARIA S., MD
GENDER: F
NPI #: 1033217104
RIVERSIDE HEALTH
SYSTEMS
400 N WALL ST SUITE 405
KANKAKEE, IL 60901
PHONE: (815) 932-6632
E-PRESCRIBE: NO
RHEUMATOLOGY
RADIATION ONCOLOGY
FRANCIS, MARIA, DO
GENDER: F
NPI #: 1871828780
RIVERSIDE HEALTH
SYSTEMS
500 N WALL ST SUITE 300
KANKAKEE, IL 60901
PHONE: (815) 935-0750
E-PRESCRIBE: NO
NARASIMHAN, GEETHA, MD
GENDER:
NPI #: 1427185172
AFFILIATED CANCER
SPECIALISTS
375 NORTH WALL ST SUITE
P320
KANKAKEE, IL 60901
PHONE: (815) 929-0010
E-PRESCRIBE: NO
UROLOGY
SHAH, MIR J., MD
GENDER: M
NPI #: 1720035009
AFFILIATED CANCER
SPECIALISTS
375 N WALL ST SUITE P320
KANKAKEE, IL 60901
PHONE:
E-PRESCRIBE: NO
SLUTSKY, JOEL N., MD
GENDER: M
NPI #: 1063403665
UROLOGICAL SURGEONS OF
ILLINOIS
375 N WALL ST SUITE P530
KANKAKEE, IL 60901
PHONE: (815) 934-4006
E-PRESCRIBE: YES
PIGATO, JOSEPH B., MD
GENDER: M
NPI #: 1801829247
JOSEPH B PIGATO MD LTD
455 W COURT ST SUITE 201
KANKAKEE, IL 60901
PHONE: (815) 937-2122
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
276
KANSAS, IL
LE ROY, IL
Specialty Care Providers
KANSAS, IL
LE ROY, IL
GENERAL SURGERY
CARDIOLOGY
NADEAU, JOHN P., DO
GENDER: M
NPI #: 1366623548
FAMILY MEDICAL CENTERKANSAS
104 E BUENA VISTA AVE
KANSAS, IL 61933
PHONE:
E-PRESCRIBE: NO
BRAASTAD, ROBERT A., MD
GENDER: M
NPI #: 1487619573
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
KEMPTON, IL
CARDIOLOGY
GANDHI, SIDDHARTH J., MD
GENDER: M
NPI #: 1831226042
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
KEMPTON, IL 60946
PHONE: (217) 784-4251
E-PRESCRIBE: NO
PULMONOLOGY
GINZBURG, ALAN S., MD
GENDER: M
NPI #: 1659390888
ADVOCATE MEDICAL
GROUP
1120 N MELVIN ST
KEMPTON, IL 60946
PHONE: (217) 784-4251
E-PRESCRIBE: NO
277
GANDHI, SIDDHARTH J., MD
GENDER: M
NPI #: 1831226042
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
JARZABKOWSKI, DORY, DO
GENDER: F
NPI #: 1083651939
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
MCCRISKIN, JAMES, DO
GENDER: M
NPI #: 1700826617
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
SHAH, SAMIR H., MD
GENDER: M
NPI #: 1720028632
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
TEMIYASATHIT, THANOM,
MD
GENDER: M
NPI #: 1023041175
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
TUMILTY, BETH L., DO
GENDER: F
NPI #: 1033159959
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
WERAARCHAKUL, WITOON,
MD
GENDER: M
NPI #: 1366494544
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
LE ROY, IL
LINCOLN, IL
NEUROLOGY
CHAUHAN, SUNIL M., MD
GENDER: M
NPI #: 1912922881
ADVOCATE MEDICAL
GROUP
911 S CHESTNUT ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
PULMONOLOGY
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
CHU, CHAE O., MD
GENDER: M
NPI #: 1043250954
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
Specialty Care Providers
ZACHRIA, ANTHONY, MD
GENDER: M
NPI #: 1366542300
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
SLEEP MEDICINE
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
102 E CENTER ST
LE ROY, IL 61752
PHONE: (309) 962-2081
E-PRESCRIBE: NO
LEXINGTON, IL
GERIATRICS
HAKES, PAUL E., MD
GENDER: M
NPI #: 1750315602
ADVOCATE MEDICAL
GROUP
307 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 365-8608
E-PRESCRIBE: NO
NEUROLOGY
CHAUHAN, SUNIL M., MD
GENDER: M
NPI #: 1912922881
ADVOCATE MEDICAL
GROUP
307 W MAIN ST
LEXINGTON, IL 61753
PHONE: (309) 365-8608
E-PRESCRIBE: NO
LINCOLN, IL
ALLERGY/IMMUNOLOGY
PRATT, ELLEN L., MD
GENDER: F
NPI #: 1255421533
SPRINGFIELD CLINIC
100 STAHLHUT DR
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: NO
CARDIOLOGY
AHMED, ADEEB, MD
GENDER: M
NPI #: 1245217603
SPRINGFIELD CLINIC
311 8TH ST
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: YES
COLON/RECTAL SURGERY
PARIS, BRAD D., MD
GENDER: M
NPI #: 1205057254
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
278
LINCOLN, IL
LINCOLN, IL
Specialty Care Providers
ZANDER, JOHN D., MD
GENDER: M
NPI #: 1558458349
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: YES
DERMATOLOGY
CLAMAN, CASSANDRA C.,
MD
GENDER: F
NPI #: 1356380281
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: NO
ENDOCRINOLOGY
SAID, SUFYAN, MD
GENDER: M
NPI #: 1982885257
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: YES
GASTROENTEROLOGY
MOSLEY, ROBERT G., MD
GENDER: M
NPI #: 1770683443
SPRINGFIELD CLINIC
311 8TH ST
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: YES
279
GENERAL SURGERY
NEPHROLOGY
HAMMER, MAX D., MD
GENDER: M
NPI #: 1477650794
SPRINGFIELD CLINIC
200 STAHLHUT DRIVE
LINCOLN, IL 62656
PHONE: (217) 732-2161
E-PRESCRIBE: YES
DOWNER, MERRY C., MD
GENDER: F
NPI #: 1518054121
SPRINGFIELD CLINIC
311 8TH ST
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: YES
ICAZA, ORLANDO J., MD
GENDER: M
NPI #: 1669579991
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: YES
NEUROLOGY
ROSS, DONALD, MD
GENDER: M
NPI #: 1326131285
ABRAHAM LINCOLN
MEMORIAL HOSPITAL
200 STAHLHUT DRIVE
LINCOLN, IL 62656
PHONE: (217) 732-2161
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: YES
HEMATOLOGY/ONCOLOGY
BRETSCHER, MARY E., MD
GENDER: F
NPI #: 1073623336
SPRINGFIELD CLINIC
315 8TH ST
LINCOLN, IL 62656
PHONE: (217) 732-2161
E-PRESCRIBE: YES
NARLA, KOTESWARA R., MD
GENDER: M
NPI #: 1326131459
SPRINGFIELD CLINIC
315 8TH ST
LINCOLN, IL 62656
PHONE: (217) 732-2161
E-PRESCRIBE: YES
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: YES
OPHTHALMOLOGY
BUTLER, PATRICK J., MD
GENDER: M
NPI #: 1316057516
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: NO
ORTHOPAEDICS
BOROWIECKI, TOMASZ A.,
MD
GENDER: M
NPI #: 1336251982
SPRINGFIELD CLINIC
311 8TH ST
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
LINCOLN, IL
LINCOLN, IL
OLYSAV, DAVID J., MD
GENDER: M
NPI #: 1154317899
SPRINGFIELD CLINIC LLP
100 STAHLHUT DR
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: NO
PINEDA, STEPHEN J., MD
GENDER: M
NPI #: 1528178654
SPRINGFIELD CLINIC
311 8TH ST
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: YES
WOTTOWA, CHRIS, MD
GENDER: M
NPI #: 1922195718
SPRINGFIELD CLINIC
311 8TH ST
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: YES
OTOLARYNGOLOGY
FOWLER, SARAH S., MD
GENDER: F
NPI #: 1609976513
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: YES
GARCIA, PHILIP, MD
GENDER: M
NPI #: 1831295815
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: YES
Specialty Care Providers
PLASTIC RECONSTRUCTIVE
SURGERY
SINHA, RAJ K., MD
GENDER: M
NPI #: 1134229826
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: YES
PULMONOLOGY
KAKUMANI, SRINIVASA R.,
MD
GENDER: M
NPI #: 1508988486
SPRINGFIELD CLINIC
311 8TH ST
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: NO
PATEL, SAMIR, MD
GENDER: M
NPI #: 1811097595
SPRINGFIELD CLINIC
311 8TH ST
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: YES
RHEUMATOLOGY
PICK, MICHAEL A., MD
GENDER: M
NPI #: 1861585846
SPRINGFIELD CLINIC
311 8TH ST
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: YES
SLEEP MEDICINE
PATEL, SAMIR, MD
GENDER: M
NPI #: 1811097595
SPRINGFIELD CLINIC
311 8TH ST
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: YES
UROLOGY
BARON, THOMAS E., MD
GENDER: M
NPI #: 1972615748
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: YES
ROSZHART, DAVID A., MD
GENDER: M
NPI #: 1235222191
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: YES
SEVERINO, WILLIAM C., MD
GENDER: M
NPI #: 1659464493
SPRINGFIELD CLINIC
515 N COLLEGE ST
LINCOLN, IL 62656
PHONE: (217) 732-9681
E-PRESCRIBE: YES
VASCULAR SURGERY
RYAN, STEPHEN M., MD
GENDER: M
NPI #: 1407949365
SPRINGFIELD CLINIC
311 8TH ST
LINCOLN, IL 62656
PHONE: (217) 735-9555
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
280
LITCHFIELD, IL
LOCKPORT, IL
Specialty Care Providers
LITCHFIELD, IL
GENERAL SURGERY
BLASER, JOSEPH A., DO
GENDER: M
NPI #: 1316064157
HERITAGE MANORLITCHFIELD
628 S ILLINOIS ST
LITCHFIELD, IL 62056
PHONE: (217) 324-2153
E-PRESCRIBE: NO
MONTGOMERY COUNTY
SURGICAL ASSOCIATES
1215 FRANCISCAN DR 4TH
FLOOR
LITCHFIELD, IL 62056
PHONE: (217) 324-8730
E-PRESCRIBE: NO
OSIPOV, ROBERT M., MD
GENDER: M
NPI #: 1659493922
HSHS MEDICAL GROUP
1215 FRANCISCAN DR 4TH
FLOOR
LITCHFIELD, IL 62056
PHONE: (217) 324-8730
E-PRESCRIBE: YES
NEUROLOGY
FORTIN, CLAUDE J., MD
GENDER: M
NPI #: 1235225780
SPRINGFIELD CLINIC
1215 FRANCISCAN DR
LITCHFIELD, IL 62056
PHONE: (217) 324-8420
E-PRESCRIBE: YES
281
OTOLARYNGOLOGY
FIERSTEIN, JEFFREY T., MD
GENDER: M
NPI #: 1740259043
ST FRANCIS HOSPITAL
1215 FRANCISCAN DR
LITCHFIELD, IL 62056
PHONE: (618) 826-4581
E-PRESCRIBE: NO
ELLIS, RAMSEY A., MD
GENDER: F
NPI #: 1902010192
MIDWEST HAND SURGERY
SC CREEKSIDE CENTRE
16618 W 159TH ST SUITE 400
LOCKPORT, IL 60441
PHONE: (815) 306-2888
E-PRESCRIBE: NO
RADIATION ONCOLOGY
PLASTIC RECONSTRUCTIVE
SURGERY
MAHMOOD, SALEEM, MD
GENDER: M
NPI #: 1679677678
LITCHFIELD ONCOLOGY
INST LTD
1201 E UNION
LITCHFIELD, IL 62056
PHONE: (217) 243-8400
E-PRESCRIBE: NO
BARAKAT, NABIL A., MD
GENDER: M
NPI #: 1619993268
MIDWEST HAND SURGERY
SC CREEKSIDE CENTRE
16618 W 159TH ST SUITE 400
LOCKPORT, IL 60441
PHONE: (815) 306-2888
E-PRESCRIBE: NO
RHEUMATOLOGY
ELLIS, RAMSEY A., MD
GENDER: F
NPI #: 1902010192
MIDWEST HAND SURGERY
SC CREEKSIDE CENTRE
16618 W 159TH ST SUITE 400
LOCKPORT, IL 60441
PHONE: (815) 306-2888
E-PRESCRIBE: NO
STERN, MARK A., MD
GENDER: M
NPI #: 1033201579
SPRINGFIELD CLINIC
1215 FRANCISCAN DR
LITCHFIELD, IL 62056
PHONE: (217) 324-8420
E-PRESCRIBE: YES
PODIATRY
LOCKPORT, IL
GENERAL SURGERY
BARAKAT, NABIL A., MD
GENDER: M
NPI #: 1619993268
MIDWEST HAND SURGERY
SC CREEKSIDE CENTRE
16618 W 159TH ST SUITE 400
LOCKPORT, IL 60441
PHONE: (815) 306-2888
E-PRESCRIBE: NO
CANEVA, DARYL S., DPM
GENDER: M
NPI #: 1922107838
ALLIANCE HEALTH
1000 S HAMILTON ST
LOCKPORT, IL 60441
PHONE: (815) 741-7590
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
MACOMB, IL
MACOMB, IL
MACOMB, IL
COLON/RECTAL SURGERY
RUIZ, DAN E., MD
GENDER: M
NPI #: 1134374929
WESTERN ILLINOIS
SURGICAL ASSOCIATES
515 E GRANT ST SUITE 211
MACOMB, IL 61455
PHONE: (309) 833-3706
E-PRESCRIBE: NO
GENERAL SURGERY
CARD, EDWIN L., MD
GENDER: M
NPI #: 1568468015
MCDONOUGH DISTRICT
HOSPITAL
515 E GRANT ST SUITE 211
MACOMB, IL 61455
PHONE: (309) 833-4101
E-PRESCRIBE: NO
HSU, JOHN W., MD
GENDER: M
NPI #: 1043439748
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: YES
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
Specialty Care Providers
OCONNOR, TIMOTHY P., MD
GENDER: M
NPI #: 1710974597
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
HORINEK, ANTHONY R., MD
GENDER: M
NPI #: 1609907195
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
WHITLEY, RONALD E., MD
GENDER: M
NPI #: 1194750950
WESTERN ILLINOIS
SURGICAL ASSOCIATES
515 E GRANT ST SUITE 211
MACOMB, IL 61455
PHONE: (309) 833-3706
E-PRESCRIBE: NO
JAMES, GORDON W., MD
GENDER: M
NPI #: 1124158431
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
NEPHROLOGY
ALONSO, ALEXANDER J., MD
GENDER: M
NPI #: 1124152707
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
BRUHA, ROBERT, MD
GENDER: M
NPI #: 1043340367
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
DREYER, PAUL T., MD
GENDER: M
NPI #: 1194855528
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R.,
MD
GENDER: F
NPI #: 1447328828
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R.,
MD
GENDER: M
NPI #: 1306976964
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
282
Specialty Care Providers
PFLEDERER, TIMOTHY A.,
MD
GENDER: M
NPI #: 1154451573
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SRINIVASAN,
PARTHASARATHY, MD
GENDER: M
NPI #: 1134199359
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
ROSBOROUGH, DAVID C.,
MD
GENDER: M
NPI #: 1619007275
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
NEUROLOGY
DHUNA, ANIL, MD
GENDER: M
NPI #: 1912019118
BURLINGTON NEUROLOGY
& SLEEP CLINIC PLC
527 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 836-1683
E-PRESCRIBE: NO
SADER, SAMER B., MD
GENDER: M
NPI #: 1831220318
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
NEUROSURGERY
SHRISHRIMAL, KUMARPAL
C., MD
GENDER: M
NPI #: 1023217551
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SPARROW, ROBERT T., MD
GENDER: M
NPI #: 1134259781
RENALCARE ASSOCIATES
501 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-8123
E-PRESCRIBE: NO
283
MCCALL, TODD D., MD
GENDER: M
NPI #: 1508054297
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
527 W GRANT ST
MACOMB, IL 61455
PHONE: (309) 676-0766
E-PRESCRIBE: NO
ONCOLOGY
PRAGER, DIANE J., MD
GENDER: F
NPI #: 1003883562
ILLINOIS CANCERCARE
501 E GRANT ST SUITE 1
MACOMB, IL 61455
PHONE: (309) 833-3503
E-PRESCRIBE: YES
MACOMB, IL
MACOMB, IL
VEEDER, MICHAEL H., MD
GENDER: M
NPI #: 1568463305
ILLINOIS CANCERCARE
501 E GRANT ST SUITE 1
MACOMB, IL 61455
PHONE: (309) 833-3503
E-PRESCRIBE: YES
OPHTHALMOLOGY
BRODY, JILL M., MD
GENDER: F
NPI #: 1568510899
MCDONOUGH EYE
ASSOCIATES
505 E GRANT ST SUITE 206
MACOMB, IL 61455
PHONE: (309) 836-3937
E-PRESCRIBE: NO
ORTHOPAEDICS
STACHNIW, MYRON B., MD
GENDER: M
NPI #: 1114911377
MIDWEST ORTHOPEDIC
SERVICES
325 CANDY LANE
MACOMB, IL 61455
PHONE: (866) 681-9600
E-PRESCRIBE: NO
WHEELER, RONALD D., MD
GENDER: M
NPI #: 1053328831
WESTERN IL SPORTS
MEDICINE AND
ORTHOPEDIC CENTER
503 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 833-5917
E-PRESCRIBE: NO
WHITE, DRAKE, MD
GENDER: M
NPI #: 1124120076
505 E GRANT ST SUITE 205
MACOMB, IL 61455
PHONE: (309) 833-3800
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
MACOMB, IL
MANTENO, IL
PHYSICAL MEDICINE/
REHABILITATION
SNYDER, LISA, MD
GENDER: F
NPI #: 1790715092
MCDONOUGH DISTRICT
HOSPITAL
525 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 833-4100
E-PRESCRIBE: NO
SUREKA, OMPRAKASH, MD
GENDER: M
NPI #: 1518902469
MCDONOUGH DISTRICT
HOSPITAL
525 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 833-4100
E-PRESCRIBE: NO
PODIATRY
MITCHELL, IDOL R., DPM
GENDER: M
NPI #: 1508850694
437 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 837-3964
E-PRESCRIBE: NO
SCHERER, MICHAEL A., DPM
GENDER: M
NPI #: 1649265133
MIDWEST ORTHOPEDIC
SERVICES
325 CANDY LANE
MACOMB, IL 61455
PHONE: (866) 681-9600
E-PRESCRIBE: NO
Specialty Care Providers
RADIATION ONCOLOGY
MAHMOOD, SALEEM, MD
GENDER: M
NPI #: 1679677678
MACOMB ONCOLOGY
INSTITUTE
401 E GRANT
MACOMB, IL 61455
PHONE: (309) 836-8400
E-PRESCRIBE: NO
UROLOGY
CASTILLO, ISABELO C., MD
GENDER: M
NPI #: 1124088943
501 E GRANT ST #4
MACOMB, IL 61455
PHONE: (309) 837-2100
E-PRESCRIBE: NO
VASCULAR SURGERY
WHITLEY, RONALD E., MD
GENDER: M
NPI #: 1194750950
WESTERN ILLINOIS
SURGICAL ASSOCIATES
515 E GRANT ST SUITE 211
MACOMB, IL 61455
PHONE: (309) 833-3706
E-PRESCRIBE: NO
MANHATTAN, IL
PODIATRY
MARTIN, ROBERT P., DPM
GENDER: M
NPI #: 1497732499
MANTENO FOOT & ANKLE
CLINIC
25630 S GOUGER
MANHATTAN, IL 60442
PHONE:
E-PRESCRIBE: NO
MANTENO, IL
NEPHROLOGY
HASHMI, NASHIB, MD
GENDER: M
NPI #: 1629194543
MANTENO DIALYSIS
CENTER
1 E DIVISION ST
MANTENO, IL 60950
PHONE:
E-PRESCRIBE: YES
PODIATRY
HODULIK, REBECCA J., DPM
GENDER: F
NPI #: 1609853746
MANTENO FOOT & ANKLE
CLINIC
2825 W DIVISION ST
MANTENO, IL 60950
PHONE: (815) 468-7117
E-PRESCRIBE: NO
HOFMEISTER, ELIZABETH
M., DPM
GENDER: F
NPI #: 1437136926
MANTENO FOOT & ANKLE
CLINIC
2825 W DIVISION ST
MANTENO, IL 60950
PHONE: (815) 468-7117
E-PRESCRIBE: NO
MARTIN, ROBERT P., DPM
GENDER: M
NPI #: 1497732499
MANTENO FOOT & ANKLE
CLINIC
2825 W DIVISION ST
MANTENO, IL 60950
PHONE: (815) 468-7117
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
284
Specialty Care Providers
CARDIOLOGY
MARION, IL
HEMATOLOGY/ONCOLOGY
CUARTAS, ALBERTO D., MD
GENDER: M
NPI #: 1740381169
HEARTLAND ONCOLOGY &
HEMATOLOGY CARE
3008 CIVIC CIRCLE BLVD
MARION, IL 62959
PHONE: (618) 993-1030
E-PRESCRIBE: NO
PAIN MANAGEMENT
MANCHIKANTI, LAXMAIAH,
MD
GENDER: M
NPI #: 1730178799
PAIN MANAGEMENT
CENTER OF MARION
108 AIRWAY DR
MARION, IL 62959
PHONE: (618) 997-7820
E-PRESCRIBE: NO
MATTOON, IL
ALLERGY/IMMUNOLOGY
ZECH, JOHN R., MD
GENDER: M
NPI #: 1639277346
CARLE PHYSICIAN GROUP
200 LERNA RD
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
BODINE, CHRISTOPHER K.,
MD
GENDER: M
NPI #: 1396775185
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA RD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
CACERES, LUIS, MD
GENDER: M
NPI #: 1942381496
SARAH BUSH LINCOLN
500 HEALTH CTR DR SUITE
107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
CAHILL JR, THOMAS B., MD
GENDER: M
NPI #: 1023128113
SARAH BUSH LINCOLN
HEALTH CENTER
500 HEALTH CENTER DR
SUITE 107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
DANDE, AMIT S., MD
GENDER: M
NPI #: 1477735298
SARAH BUSH LINCOLN
HEALTH CENTER
500 HEALTH CENTER DR
SUITE 107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
GOLDSTEIN, JEFFREY A., MD
GENDER: M
NPI #: 1689756900
500 HEALTH CTR DR #107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
285
MARION, IL
MATTOON, IL
KAIROUZ, JEANNE M., MD
GENDER: F
NPI #: 1003846908
500 HEALTH CTR DR SUITE
107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
KATSAMAKIS,
CONSTANTINE D., DO
GENDER: M
NPI #: 1407906100
SBL MEDICAL OFFICE
PAVILION
500 HEALTH CENTER DR
SUITE 107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
LAKSHMINARAYANAN,
BATLAGUNDU S., MD
GENDER: M
NPI #: 1326060278
CHRISTIE CLINIC
105 B PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 345-3000
E-PRESCRIBE: YES
MEHTA, SANJAY S., MD
GENDER: M
NPI #: 1477572022
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA RD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
CARLE FOUNDATION
PHYSICIANS SERVICES
200 LERNA RD
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
MATTOON, IL
MATTOON, IL
MOULTON, KRIEGH P., MD
GENDER: M
NPI #: 1174605166
500 HEALTH CTR DR #107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
NANDISH, SHAILESH, MD
GENDER: M
NPI #: 1134104144
500 HEALTH CTR DR #107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
NOVAK, HOLLY, MD
GENDER: F
NPI #: 1952483968
500 HEALTH CARE CTR DR
SUITE 107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
PACHECO-CORONAGO,
ROBERTO, MD
GENDER: M
NPI #: 1194982892
500 HEALTH CTR DR #107
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
SHELTON, MARC E., MD
GENDER: M
NPI #: 1245313840
SUITE 107
500 HEALTH CENTER DR
MATTOON, IL 61938
PHONE: (217) 238-4960
E-PRESCRIBE: NO
Specialty Care Providers
CARDIOTHORACIC
SURGERY
GREEN, CURTIS, DO
GENDER: M
NPI #: 1386750685
SBL SURGERY CLINIC
500 HEALTH CENTER DR
SUITE 304
MATTOON, IL 61938
PHONE: (217) 258-4020
E-PRESCRIBE: NO
COLON/RECTAL SURGERY
TENDER, PAUL M., MD
GENDER: M
NPI #: 1326159088
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA RD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
DERMATOLOGY
LEONE, DOUGLAS M., MD
GENDER: M
NPI #: 1255523296
DERMATOLOGY AND MOHS
SURGERY INSTITUTE LTD
200 RICHMOND AVE
MATTOON, IL 61938
PHONE:
E-PRESCRIBE: NO
ENDOCRINOLOGY
ONYEMERE, KINGSLEY, MD
GENDER: M
NPI #: 1790798015
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
GASTROENTEROLOGY
AYONOTE, ALEXIS, MD
GENDER: M
NPI #: 1013023449
SBL GASTROENTEROLOGY
500 HEALTH CENTER DR
SUITE 204
MATTOON, IL 61938
PHONE: (217) 258-4155
E-PRESCRIBE: NO
GENERAL SURGERY
CRADOCK, KIMBERLY A., MD
GENDER: F
NPI #: 1659483204
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
GREEN, CURTIS, DO
GENDER: M
NPI #: 1386750685
SBL SURGERY CLINIC
500 HEALTH CENTER DR
SUITE 304
MATTOON, IL 61938
PHONE: (217) 258-4020
E-PRESCRIBE: NO
JONES-MONAHAN, KELLIE,
MD
GENDER: F
NPI #: 1467568345
SBL SURGERY CLINIC
500 HEALTH CENTER DR
SUITE 304
MATTOON, IL 61938
PHONE: (217) 258-4020
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
286
MATTOON, IL
MATTOON, IL
Specialty Care Providers
MCALLASTER, JASON, DO
GENDER: M
NPI #: 1306874466
BELLA FAMILY HEALTH &
WELLNESS
10555 MATTOON RD
MATTOON, IL 61938
PHONE: (217) 355-8346
E-PRESCRIBE: NO
WILSON, BRADLEY A., MD
GENDER: M
NPI #: 1528046141
SBL SURGERY
DEPARTMENT
500 HEALTH CENTER DR
SUITE 304
MATTOON, IL 61938
PHONE: (217) 258-4020
E-PRESCRIBE: NO
JAGARLAMUDI,
KUPPUSWAMY, MD
GENDER: M
NPI #: 1194995357
SBL REGIONAL CANCER
CENTER
1000 HEALTH CENTER DR
MATTOON, IL 61938
PHONE: (217) 258-2250
E-PRESCRIBE: NO
ROWLAND, KENDRITH M.,
MD
GENDER: M
NPI #: 1407955206
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
GERIATRICS
SHAKIR, ABDUR R., MD
GENDER: M
NPI #: 1669583431
SBL REGIONAL CANCER
CENTER
1000 HEALTH CENTER DR
MATTOON, IL 61938
PHONE: (217) 258-2550
E-PRESCRIBE: NO
MIKEL, GARY, MD
GENDER: M
NPI #: 1962518746
SBL FAMILY MEDICAL
CENTER
200 RICHMOND AVE EAST
MATTOON, IL 61938
PHONE: (217) 234-7000
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
EGNER, JAMES R., MD
GENDER: M
NPI #: 1053330993
CARLE PHYSICIAN GROUP
200 LERNA RD
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
NEPHROLOGY
QATTASH, ISMAIL, MD
GENDER: M
NPI #: 1538329982
CHRISTIE CLINIC
105 B PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 345-3000
E-PRESCRIBE: YES
NEURO OPHTHALMOLOGY
MCNUSSEN, PATRICIA J., MD
GENDER: F
NPI #: 1528089067
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
NEUROLOGY
COLLINS, ANTHONY F., MD
GENDER: M
NPI #: 1851358774
SARAH BUSH LINCOLN
HEALTH CENTER
200 PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 258-2562
E-PRESCRIBE: NO
KHOSROWSHAHI, SAMINEH,
MD
GENDER: M
NPI #: 1235185224
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA RD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
NEUROSURGERY
NARDONE, EMILIO M., MD
GENDER: M
NPI #: 1538195920
CENTRAL ILLINOIS
NEUROHEALTH SCIENCES
200 PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 238-4982
E-PRESCRIBE: NO
SBL MEDICAL CENTER
200 PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 238-2982
E-PRESCRIBE: NO
287
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
MATTOON, IL
MATTOON, IL
Specialty Care Providers
SEIBLY, JASON M., DO
GENDER: M
NPI #: 1972789238
CENTRAL ILLINOIS
NEUROHEALTH SCIENCES
200 PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 238-4982
E-PRESCRIBE: NO
PANAGAKIS, GEORGE, DO
GENDER: M
NPI #: 1215947403
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
STROINK, ANN R., MD
GENDER: F
NPI #: 1548290158
CENTRAL ILLINOIS
NEUROHEALTH SCIENCES
200 PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 238-4982
E-PRESCRIBE: NO
ORTHOPAEDICS
OCCUPATIONAL MEDICINE
LARSON, RICHARD E., MD
GENDER: M
NPI #: 1922219419
CARLE PHYSICIAN GROUP
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
SCOTT, WILLIAM S., MD
GENDER: M
NPI #: 1780707851
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
OPHTHALMOLOGY
EUBANKS, AARON, MD
GENDER: M
NPI #: 1144422726
SBL ORTHOPEDICS &
SPORTS MEDICINE
500 HEALTH CENTER DR
SUITE 101
MATTOON, IL 61938
PHONE: (217) 238-3435
E-PRESCRIBE: NO
MENDELLA, LOUIS, DO
GENDER: M
NPI #: 1912947854
SBL ORTHOPEDICS &
SPORTS MEDICINE
500 HEALTH CENTER DR
SUITE 101
MATTOON, IL 61938
PHONE: (217) 238-3435
E-PRESCRIBE: NO
MORAN, MICHAEL C., MD
GENDER: M
NPI #: 1073565784
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
GURTLER, ROBERT G., MD
GENDER: M
NPI #: 1811911001
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
SANDERCOCK II, DONALD
M., DO
GENDER: M
NPI #: 1891776068
SBL ORTHOPEDICS &
SPORTS MEDICINE
500 HEALTH CENTER DR
SUITE 101
MATTOON, IL 61938
PHONE: (217) 238-3435
E-PRESCRIBE: NO
MCKECHNIE, JAMES K., MD
GENDER: M
NPI #: 1093873234
LINCOLN TRAIL
ORTHOPAEDIC CLINIC SC
103 PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 348-1030
E-PRESCRIBE: NO
SOBESKI, JAMES K., MD
GENDER: M
NPI #: 1982704102
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
DERANIAN, MARCUS S., MD
GENDER: M
NPI #: 1952367351
1120 LAKELAND BLVD
MATTOON, IL 61938
PHONE: (217) 258-8466
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
288
Specialty Care Providers
OTOLARYNGOLOGY
CUDONE, LORI, MD
GENDER: F
NPI #: 1003037169
SBL ENT CLINIC
500 HEALTH CENTER DR
SUITE 401
MATTOON, IL 61938
PHONE: (217) 258-2409
E-PRESCRIBE: NO
NGUYEN, CHARLY, MD
GENDER: M
NPI #: 1861508665
SBL ENT CLINIC
500 HEALTH CENTER DR
SUITE 401
MATTOON, IL 61938
PHONE: (217) 258-2409
E-PRESCRIBE: NO
SMITH, MICHAEL, MD
GENDER: M
NPI #: 1215043971
SBL ENT CLINIC
500 HEALTH CENTER DR
SUITE 401
MATTOON, IL 61938
PHONE: (217) 258-2409
E-PRESCRIBE: NO
PAIN MANAGEMENT
ARTMANN, SHERYL, MD
GENDER: F
NPI #: 1184730640
SBL SURGERY
DEPARTMENT
1000 HEALTH CENTER DR
MATTOON, IL 61938
PHONE: (217) 258-2440
E-PRESCRIBE: NO
289
EL-ANSARY, MOHAMED, MD
GENDER: M
NPI #: 1861508145
CENTER FOR
INTERVENTIONAL PAIN SBL
MEDICAL OFFICE
500 HEALTH CENTER DR
SUITE 204
MATTOON, IL 61938
PHONE:
E-PRESCRIBE: NO
SBL SURGERY
DEPARTMENT
1000 HEALTH CENTER DR
MATTOON, IL 61938
PHONE: (217) 258-2440
E-PRESCRIBE: NO
MITRY, RAGAI M., MD
GENDER: M
NPI #: 1558477349
CENTER FOR
INTERVENTIONAL PAIN SBL
MEDICAL OFFICE
500 HEALTH CENTER DR
SUITE 204
MATTOON, IL 61938
PHONE:
E-PRESCRIBE: NO
SBL SURGERY
DEPARTMENT
1000 HEALTH CENTER DR
MATTOON, IL 61938
PHONE: (217) 258-2440
E-PRESCRIBE: NO
PEDIATRIC DEVELOPMENT
MORTON, CHARLES T., MD
GENDER: M
NPI #: 1548281082
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA ROAD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
MATTOON, IL
MATTOON, IL
CARLE PHYSICIAN GROUP
200 LERNA RD
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
PEDIATRIC
OPHTHALMOLOGY
PANAGAKIS, GEORGE, DO
GENDER: M
NPI #: 1215947403
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
PHYSICAL MEDICINE/
REHABILITATION
AHMAD, ZEESHAN, MD
GENDER: M
NPI #: 1134126451
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA ROAD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
LI, JIAN, MD
GENDER:
NPI #: 1336169440
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA RD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
MATTOON, IL
MATTOON, IL
PLASTIC RECONSTRUCTIVE
SURGERY
LI, PAUL K., MD
GENDER: M
NPI #: 1801907431
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
PODIATRY
BORN, ROBERT J., DPM
GENDER: M
NPI #: 1134170590
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA RD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
PULMONOLOGY
PATEL, KAUSHIK J., MD
GENDER:
NPI #: 1861486987
CHRISTIE CLINIC
105 B PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 345-3000
E-PRESCRIBE: YES
RADIATION ONCOLOGY
BRUIN, MICHAEL L., MD
GENDER: M
NPI #: 1437119997
SARAH BUSH LINCOLN
REGIONAL CANCER CENTER
1000 HEALTH CENTER DR
MATTOON, IL 61938
PHONE: (217) 258-2250
E-PRESCRIBE: NO
Specialty Care Providers
CHO, SEONG R., MD
GENDER: M
NPI #: 1811082886
CANCER CARE SPECIALISTS
OF CENTRAL IL
1000 HEALTH CENTER DR
MATTOON, IL 61938
PHONE: (217) 258-2250
E-PRESCRIBE: NO
RHEUMATOLOGY
RASHEED, MEHMOODUR,
MD
GENDER: M
NPI #: 1215978473
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
SESSIONS, NATALIE R., DO
GENDER: F
NPI #: 1992997175
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD S
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: YES
UROLOGY
HELFER, ERIC P., MD
GENDER: M
NPI #: 1518064062
SUITE 305
500 HEALTH CENTER DR
MATTOON, IL 61938
PHONE: (217) 258-4186
E-PRESCRIBE: NO
HELFER, ERIC, MD
GENDER: M
NPI #: 1518064062
CHRISTIE CLINIC
105 B PROFESSIONAL PLAZA
MATTOON, IL 61938
PHONE: (217) 345-3000
E-PRESCRIBE: YES
MAURER, GREGORY M., MD
GENDER: M
NPI #: 1699881227
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA RD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
RIVES, ROGER K., MD
GENDER: M
NPI #: 1861416372
SUITE 305
500 HEALTH CTR DR
MATTOON, IL 61938
PHONE: (217) 258-4186
E-PRESCRIBE: NO
VASCULAR SURGERY
GREEN, CURTIS, DO
GENDER: M
NPI #: 1386750685
SBL SURGERY CLINIC
500 HEALTH CENTER DR
SUITE 304
MATTOON, IL 61938
PHONE: (217) 258-4020
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
290
MCLEANSBORO, IL
MONTICELLO, IL
Specialty Care Providers
ORTHOPAEDICS
MCLEANSBORO, IL
SAMPAT, CHINTAN S., MD
GENDER: M
NPI #: 1841407046
PARKVIEW ORTHOPAEDIC
GROUP SC
10060 WEST 191ST STREET
MOKENA, IL 60448
PHONE: (708) 361-0600
E-PRESCRIBE: NO
PODIATRY
PAYTON, DAMON, DPM
GENDER: M
NPI #: 1649200502
HAMILTON MEMORIAL
HOSPITAL-OUTPATIENT
CLINIC
611 S MARSHALL AVE
MCLEANSBORO, IL 62859
PHONE: (618) 643-2361
E-PRESCRIBE: NO
MONTGOMERY, IL
PODIATRY
MINOOKA, IL
PODIATRY
MANSOUR, HAYTHAM, DPM
GENDER: M
NPI #: 1811078207
THE CENTERS FOR FOOT &
ANKLE SURGERY LTD
603 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 521-9280
E-PRESCRIBE: NO
MOKENA, IL
GASTROENTEROLOGY
JURKOVIC, EDWARD, DO
GENDER: M
NPI #: 1558360842
DIGESTIVE DISEASES
CONSULTANTS OF
KANKAKEE
19001 OLD LAGRANGE RD
2ND FLOOR
MOKENA, IL 60448
PHONE: (815) 937-5200
E-PRESCRIBE: NO
291
VOHRA, PRAVEEN K., MD
GENDER: M
NPI #: 1437113461
OSWEGO FOOT AND ANKLE
SPECIALIST
1851 S DOUGLAS
MONTGOMERY, IL 60538
PHONE: (630) 892-0000
E-PRESCRIBE: NO
MONTICELLO, IL
GASTROENTEROLOGY
JONES, DOUGLAS J., MD
GENDER: M
NPI #: 1649287210
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
PATEL, NALIN, MD
GENDER: F
NPI #: 1467403535
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
ORTHOPAEDICS
TUAN, KENNETH, MD
GENDER: M
NPI #: 1477520955
KIRBY SPECIALITY CLINIC
1109 N STATE ST
MONTICELLO, IL 61856
PHONE:
E-PRESCRIBE: NO
OTOLARYNGOLOGY
GRIGLIONE, GARY R., MD
GENDER: M
NPI #: 1013931203
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
MARIS, CHARLES, MD
GENDER: M
NPI #: 1932170982
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE:
E-PRESCRIBE: NO
HALLETT, JEFFREY L., MD
GENDER: M
NPI #: 1760499313
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
PHYSICAL MEDICINE/
REHABILITATION
WU, SUSAN, MD
GENDER: F
NPI #: 1639146111
KIRBY SPECIALTY CLINIC
1109 N STATE ST
MONTICELLO, IL 61856
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
MORTON, IL
NEW LENOX, IL
MORTON, IL
DERMATOLOGY
HAYES, MICHAEL L., DO
GENDER: M
NPI #: 1912017245
SODERSTROM
DERMATOLOGY CENTER
81 QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-7546
E-PRESCRIBE: NO
MCKENNA, JEFFREY K., MD
GENDER: M
NPI #: 1396713780
SODERSTROM
DERMATOLOGY CENTER
81 QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-7546
E-PRESCRIBE: NO
SODERSTROM, CARL W., MD
GENDER: M
NPI #: 1053370759
SODERSTROM
DERMATOLOGY CENTER
81 QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-7546
E-PRESCRIBE: NO
OTOLARYNGOLOGY
HERTENSTEIN, JAMES C.,
MD
GENDER: M
NPI #: 1295707578
MIDWEST EAR NOSE &
THROAT ASSOCIATES
1600 S FOURTH AVE
MORTON, IL 61550
PHONE: (309) 284-0164
E-PRESCRIBE: YES
Specialty Care Providers
PHYSICAL MEDICINE/
REHABILITATION
SNYDER, LISA, MD
GENDER: F
NPI #: 1790715092
INSTITUTE OF PHYSICAL
MEDICINE & REHAB/IPMR
81 B E QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-2481
E-PRESCRIBE: NO
SUREKA, OMPRAKASH, MD
GENDER: M
NPI #: 1518902469
INSTITUTE OF PHYSICAL
MEDICINE & REHAB/IPMR
81 B E QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-2481
E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE
SURGERY
JEFFRIES III, JAMES M., MD
GENDER: M
NPI #: 1073655676
SODERSTROM SKIN
INSTITUTE
410 MAXINE DR
MORTON, IL 61550
PHONE:
E-PRESCRIBE: YES
PODIATRY
KANCIUS, CHRISTINE C.,
DPM
GENDER: F
NPI #: 1013928365
MIDWEST PODIATRY
GROUP
1945 S MAIN ST
MORTON, IL 61550
PHONE: (309) 263-1017
E-PRESCRIBE: NO
LEONARD, W MARC, DPM
GENDER: M
NPI #: 1710098652
CFAC INCORPORATED
411 MAXINE DR
MORTON, IL 61550
PHONE: (309) 212-3066
E-PRESCRIBE: NO
RUSKUSKY, JEFFREY R.,
DPM
GENDER: M
NPI #: 1639129851
MIDWEST PODIATRY
GROUP
1945 S MAIN ST
MORTON, IL 61550
PHONE: (309) 263-1017
E-PRESCRIBE: NO
PULMONOLOGY
SKILLRUD, DAVID M., MD
GENDER: M
NPI #: 1568573764
DAVID M SKILLRUD MD LTD
652 W JACKSON ST
MORTON, IL 61550
PHONE: (309) 266-8880
E-PRESCRIBE: NO
NEW LENOX, IL
GENERAL SURGERY
MARSHALL, WENDY J., MD
GENDER: F
NPI #: 1578538492
PROVENA MEDICAL GROUPWOMENS CENTER
410 N LINCOLN HIGHWAY
SUITE 251
NEW LENOX, IL 60451
PHONE: (815) 485-2541
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
292
NEW LENOX, IL
NORMAL, IL
Specialty Care Providers
NEUROSURGERY
KOULOUMBERIS, PELAGIA
E., MD
GENDER: F
NPI #: 1487804969
JOLIET NEUROSURGICAL
CLINIC
410 E LINCOLN HIGHWAY
NEW LENOX, IL 60451
PHONE: (815) 462-5532
E-PRESCRIBE: NO
SEMBA, ROBERT T., MD
GENDER: M
NPI #: 1487652400
PARKVIEW ORTHOPEDIC
GROUP SC
688 CEDAR CROSSING DR
NEW LENOX, IL 60451
PHONE: (815) 727-3030
E-PRESCRIBE: NO
NORMAL, IL
ORTHOPAEDICS
ALLERGY/IMMUNOLOGY
FUENTES, HENRY J., MD
GENDER: M
NPI #: 1043218050
PARKVIEW ORTHOPAEDIC
GROUP SC
688 CEDAR CROSSING DR
NEW LENOX, IL 60451
PHONE: (815) 727-3030
E-PRESCRIBE: NO
LOWERY, MARGARET M., MD
GENDER: F
NPI #: 1790885234
ANJULI S NAYAK MD
2010 JACOBSSEN DR
NORMAL, IL 61761
PHONE: (309) 452-0995
E-PRESCRIBE: NO
MORAN, MARK E., MD
GENDER: M
NPI #: 1376541326
PARKVIEW ORTHOPAEDIC
GROUP SC
688 CEDAR CROSSING DR
NEW LENOX, IL 60451
PHONE: (815) 727-3030
E-PRESCRIBE: NO
SAMPAT, CHINTAN S., MD
GENDER: M
NPI #: 1841407046
PARKVIEW ORTHOPAEDIC
GROUP SC
688 CEDAR CROSSING DR
NEW LENOX, IL 60451
PHONE: (815) 727-3030
E-PRESCRIBE: NO
293
CARDIOLOGY
BRAASTAD, ROBERT A., MD
GENDER: M
NPI #: 1487619573
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
GANDHI, SIDDHARTH J., MD
GENDER: M
NPI #: 1831226042
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
CARDIAC
ELECTROPHYSIOLOGY
JARZABKOWSKI, DORY, DO
GENDER: F
NPI #: 1083651939
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
KOUL, ASHOK K., MD
GENDER: M
NPI #: 1558383877
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
KENNEDY, KELLEY, MD
GENDER: M
NPI #: 1235148339
BLOOMINGTON HEART
INSTITUTE
1300 FRANKLIN AVE SUITE
310
NORMAL, IL 61761
PHONE: (309) 862-3000
E-PRESCRIBE: NO
NAYAK, ANJULI S., MD
GENDER: F
NPI #: 1215042312
2010 JACOBSSEN DR
NORMAL, IL 61761
PHONE: (309) 452-0995
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
NORMAL, IL
NORMAL, IL
Specialty Care Providers
KOUL, ASHOK K., MD
GENDER: M
NPI #: 1558383877
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
TUMILTY, BETH L., DO
GENDER: F
NPI #: 1033159959
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
MCCRISKIN, JAMES, DO
GENDER: M
NPI #: 1700826617
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
WERAARCHAKUL, WITOON,
MD
GENDER: M
NPI #: 1366494544
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
SHAH, SAMIR H., MD
GENDER: M
NPI #: 1720028632
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
TEMIYASATHIT, THANOM,
MD
GENDER: M
NPI #: 1023041175
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
CARDIOTHORACIC
SURGERY
RICHARDSON, KEVIN, MD
GENDER: M
NPI #: 1861496762
CARDIOTHORACIC &
VASCULAR ASSOCIATES SC
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (847) 816-3000
E-PRESCRIBE: NO
VOTAPKA, TIMOTHY V., MD
GENDER: M
NPI #: 1598750200
CARDIOTHORACIC &
VASCULAR ASSOCIATES SC
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (847) 816-3000
E-PRESCRIBE: NO
CARDIOVASCULAR
SURGERY
HUDSON, HILTON M., MD
GENDER: M
NPI #: 1689614828
CARDIOTHORACIC &
VASCULAR ASSOCIATES SC
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (847) 816-3000
E-PRESCRIBE: NO
VOTAPKA, TIMOTHY V., MD
GENDER: M
NPI #: 1598750200
CARDIOTHORACIC &
VASCULAR ASSOCIATES SC
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (847) 816-3000
E-PRESCRIBE: NO
COLON/RECTAL SURGERY
FERNANDES, DARRYL S., MD
GENDER: M
NPI #: 1336186113
GENERAL & COLORECTAL
SURGICAL ASSOCIATES
1300 FRANKLIN AVE SUITE
210
NORMAL, IL 61761
PHONE: (309) 452-1193
E-PRESCRIBE: NO
ENDOCRINOLOGY
NABHAN, FADI, MD
GENDER:
NPI #: 1225017304
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
2100
NORMAL, IL 61761
PHONE: (309) 268-2720
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
294
Specialty Care Providers
GASTROENTEROLOGY
DEWEERT, THOMAS M., MD
GENDER: M
NPI #: 1073560751
DIGESTIVE DISEASE
CONSULTANTS LTD
1302 FRANKLIN AVENUE
SUITE 4800
NORMAL, IL 61761
PHONE: (309) 454-5900
E-PRESCRIBE: NO
PREMIER MEDICAL GROUP
LLC
1302 FRANKLIN AVE SUITE
4800
NORMAL, IL 61761
PHONE: (309) 454-5900
E-PRESCRIBE: NO
KHUSRO, QAZI E., MD
GENDER: M
NPI #: 1538268628
MID CENTRAL
GASTROENTEROLOGY
2200 JACOBSSEN DR SUITE B
NORMAL, IL 61761
PHONE: (309) 451-1123
E-PRESCRIBE: NO
KOSZYK, PHILIP M., MD
GENDER: M
NPI #: 1669429379
DIGESTIVE DISEASE
CONSULTANTS LTD
1302 FRANKLIN AVENUE
SUITE 4800
NORMAL, IL 61761
PHONE: (309) 454-5900
E-PRESCRIBE: NO
PREMIER MEDICAL GROUP
LLC
1302 FRANKLIN AVE SUITE
4800
NORMAL, IL 61761
PHONE: (309) 454-5900
E-PRESCRIBE: NO
295
NORMAL, IL
NORMAL, IL
MATTER, STEPHEN S., MD
GENDER: M
NPI #: 1134228224
MID CENTRAL
GASTROENTEROLOGY
2200 JACOBSSEN DR SUITE B
NORMAL, IL 61761
PHONE: (309) 451-1123
E-PRESCRIBE: NO
GENERAL SURGERY
MISRA, VIJAY L., MD
GENDER: F
NPI #: 1164475877
DIGESTIVE DISEASE
CONSULTANTS LTD
1302 FRANKLIN AVE SUITE
4800
NORMAL, IL 61761
PHONE: (309) 454-5900
E-PRESCRIBE: NO
GEBHART, BRIAN, DO
GENDER: M
NPI #: 1487695896
GENERAL & COLORECTAL
SURGICAL ASSOCIATES
1300 FRANKLIN AVE SUITE
210
NORMAL, IL 61761
PHONE: (309) 452-1193
E-PRESCRIBE: NO
PREMIER MEDICAL GROUP
LLC
1302 FRANKLIN AVE SUITE
4800
NORMAL, IL 61761
PHONE: (309) 454-5900
E-PRESCRIBE: NO
GRIECO, GERARDO A., MD
GENDER: M
NPI #: 1245242403
GENERAL & COLORECTAL
SURGICAL ASSOCIATES
1300 FRANKLIN AVE SUITE
210
NORMAL, IL 61761
PHONE: (309) 452-1193
E-PRESCRIBE: NO
REDDY, JYOTHI A., MD
GENDER: F
NPI #: 1033221007
MID CENTRAL
GASTROENTEROLOGY
2200 JACOBSSEN DR
NORMAL, IL 61761
PHONE: (309) 451-1123
E-PRESCRIBE: NO
SCHOENIG, KENNETH R., MD
GENDER: M
NPI #: 1033147848
DIGESTIVE DISEASE
CONSULTANTS
1302 FRANKLIN AVE SUITE
4800
NORMAL, IL 61761
PHONE: (309) 454-5900
E-PRESCRIBE: NO
PREMIER MEDICAL GROUP
LLC
1302 FRANKLIN AVE SUITE
4800
NORMAL, IL 61761
PHONE: (309) 454-5900
E-PRESCRIBE: NO
NAOUR, DAVID H., MD
GENDER: M
NPI #: 1174552228
OSF WOUND CARE CLINIC
2200 FORT JESSE RD SUITE
220
NORMAL, IL 61761
PHONE: (309) 661-6230
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
NORMAL, IL
NORMAL, IL
Specialty Care Providers
VOTAPKA, TIMOTHY V., MD
GENDER: M
NPI #: 1598750200
CARDIOTHORACIC &
VASCULAR ASSOCIATES SC
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (847) 816-3000
E-PRESCRIBE: NO
MIGAS, JOHN J., MD
GENDER: M
NPI #: 1629076971
MID ILLINOIS
HEMATOLOGY AND
ONCOLOGY
407 E VERNON SUITE 104
NORMAL, IL 61761
PHONE: (309) 452-9701
E-PRESCRIBE: NO
WIDERBORG, KATHERINE A.,
MD
GENDER: F
NPI #: 1588757579
1537 FT JESSE RD SUITE A
NORMAL, IL 61761
PHONE: (309) 808-0122
E-PRESCRIBE: NO
SRIRATANA, PRAMERN, MD
GENDER: M
NPI #: 1174522189
MID ILLINOIS
HEMATOLOGY AND
ONCOLOGY
407 E VERNON
NORMAL, IL 61761
PHONE: (309) 452-9701
E-PRESCRIBE: NO
WIELAND, JOHN M., MD
GENDER: M
NPI #: 1790717387
OSF WOUND CARE CLINIC
2200 FORT JESSE RD SUITE
220
NORMAL, IL 61761
PHONE: (309) 661-6230
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
GOMEZ, PATRICK L., MD
GENDER: M
NPI #: 1972640134
ILLINOIS CANCERCARE
407 E VERNON
NORMAL, IL 61761
PHONE: (309) 662-2102
E-PRESCRIBE: YES
JEONG, HWAN, MD
GENDER: M
NPI #: 1366440604
MID ILLINOIS
HEMATOLOGY AND
ONCOLOGY
407 E VERNON
NORMAL, IL 61761
PHONE: (309) 452-9701
E-PRESCRIBE: YES
INFECTIOUS DISEASES
DOUGHTY, STEPHEN C., MD
GENDER: M
NPI #: 1255327631
METRO INFECTIOUS
DISEASE CONSULTANTS
LLC
1300 FRANKLIN AVE SUITE
230-C
NORMAL, IL 61761
PHONE: (309) 268-2950
E-PRESCRIBE: NO
PARK, AN N., MD
GENDER: F
NPI #: 1992025563
METRO INFECTIOUS
DISEASE CONSULTANTS
LLC
1300 FRANKLIN AVE SUITE
230-C
NORMAL, IL 61761
PHONE: (309) 268-2950
E-PRESCRIBE: YES
VODELA, RAVINDHAR, MD
GENDER: M
NPI #: 1588720023
METRO INFECTIOUS
DISEASE CONSULTANTS
LLC
1300 FRANKLIN AVE SUITE
230-C
NORMAL, IL 61761
PHONE: (309) 268-2950
E-PRESCRIBE: NO
NEUROLOGY
ACHARYA, HARIRAM
KABIYAD, MD
GENDER: M
NPI #: 1871584599
ADVOCATE BROMENN
NEUROLOGY ASSOCIATES
1302 FRANKLIN AVE SUITE
2100
NORMAL, IL 61761
PHONE: (309) 268-2790
E-PRESCRIBE: NO
CHAUHAN, SUNIL M., MD
GENDER: M
NPI #: 1912922881
ADVOCATE MEDICAL
GROUP
1300 FRANKLIN AVE SUITE
181
NORMAL, IL 61761
PHONE: (309) 268-2640
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
1100
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
1302 FRANKLIN AVE SUITE
2500
NORMAL, IL 61761
PHONE: (309) 268-2727
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
296
Specialty Care Providers
1437 E COLLEGE AVE
NORMAL, IL 61761
PHONE: (309) 454-4411
E-PRESCRIBE: NO
NEUROSURGERY
NARDONE, EMILIO M., MD
GENDER: M
NPI #: 1538195920
CANCER CARE ASSOCIATES
407 E VERNON AVE
NORMAL, IL 61761
PHONE: (309) 451-2231
E-PRESCRIBE: NO
SEIBLY, JASON M., DO
GENDER: M
NPI #: 1972789238
COMMUNITY CANCER
CENTER
407 E VERNON AVE
NORMAL, IL 61761
PHONE: (309) 451-2231
E-PRESCRIBE: NO
NEWCOMER, JOSEPH K., MD
GENDER: M
NPI #: 1285633420
PREMIER ORTHOPEDICS &
SPORTS MEDICINE
2005 JACOBBSEN DR SUITE A
NORMAL, IL 61761
PHONE: (309) 807-2233
E-PRESCRIBE: NO
OTOLARYNGOLOGY
KELLY, THOMAS C., MD
GENDER: M
NPI #: 1891997110
ENT SURGICAL ASSOCIATES
OF CENTRAL ILLINOIS
207 LANDMARK DR SUITE A
NORMAL, IL 61761
PHONE: (309) 268-3200
E-PRESCRIBE: NO
STROINK, ANN R., MD
GENDER: F
NPI #: 1548290158
COMMUNITY CANCER
CENTER
407 E VERNON AVE
NORMAL, IL 61761
PHONE: (309) 451-2231
E-PRESCRIBE: NO
ORTHOPAEDICS
KOLB, EDWARD H., MD
GENDER: M
NPI #: 1538168786
ORTHOPEDICS OF ILLINOISTHE BONE JOINT & SPORTS
ME
2200 FORT JESSE RD SUITE
250
NORMAL, IL 61761
PHONE: (309) 268-0000
E-PRESCRIBE: NO
297
LI, LAWRENCE K., MD
GENDER: M
NPI #: 1164419818
ORTHOPEDIC & SHOULDER
CENTER
2200 FORT JESSE RD SUITE
250
NORMAL, IL 61761
PHONE: (309) 888-9800
E-PRESCRIBE: NO
NOYES, WILLARD S., MD
GENDER: M
NPI #: 1518076926
ENT SURGICAL ASSOCIATES
OF CENTRAL ILLINOIS
207 LANDMARK DR SUITE A
NORMAL, IL 61761
PHONE: (309) 268-3200
E-PRESCRIBE: NO
NORMAL, IL
NORMAL, IL
PAIN MANAGEMENT
BENYAMIN, RAMSIN, MD
GENDER: M
NPI #: 1215924410
MILLENNIUM PAIN CENTER
2200 FORT JESSE RD SUITE
210
NORMAL, IL 61761
PHONE: (309) 661-6250
E-PRESCRIBE: NO
NAOUR, PAUL, MD
GENDER: M
NPI #: 1144206178
OSF MILLENIUM PAIN
CENTER
2200 FORT JESSE RD SUITE
210
NORMAL, IL 61761
PHONE: (309) 661-6250
E-PRESCRIBE: NO
REHMAN, ATIQ U., MD
GENDER: M
NPI #: 1457373730
OSF MILLENNIUM PAIN
CENTER
2200 FORT JESSE RD SUITE
210
NORMAL, IL 61761
PHONE: (309) 661-6250
E-PRESCRIBE: NO
VALLEJO, RICARDO, MD
GENDER: M
NPI #: 1669469706
MILLENNIUM PAIN CENTER
2200 FORT JESSE RD SUITE
210
NORMAL, IL 61761
PHONE: (309) 661-6250
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
NORMAL, IL
NORMAL, IL
PHYSICAL MEDICINE/
REHABILITATION
JHEE, WON H., MD
GENDER:
NPI #: 1861411027
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
200
NORMAL, IL 61761
PHONE: (309) 661-6240
E-PRESCRIBE: NO
RINK, CHRISTOPHER J., DO
GENDER: M
NPI #: 1063521169
OSF MILLENNIUM PAIN
CENTER
2200 FT JESSE RD SUITE 210
NORMAL, IL 61761
PHONE: (309) 661-6250
E-PRESCRIBE: NO
SUMMERLIN, TRISHA R., MD
GENDER: F
NPI #: 1871659565
ADOCATE MEDICAL GROUP
1300 FRANKLIN AVE SUITE
180
NORMAL, IL 61761
PHONE: (309) 268-2562
E-PRESCRIBE: NO
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE
NORMAL, IL 61761
PHONE: (309) 268-2490
E-PRESCRIBE: NO
TUDTUD, NENITA C., MD
GENDER: F
NPI #: 1639105034
OSF MEDICAL GROUP
2200 FORT JESSE RD SUITE
200
NORMAL, IL 61761
PHONE: (309) 661-6240
E-PRESCRIBE: NO
Specialty Care Providers
PODIATRY
PULMONOLOGY
CORTESE, CARL, DPM
GENDER: M
NPI #: 1992716914
CORTESE FOOT & ANKLE
CLINIC PC
1607 VISA DR SUITE 5B
NORMAL, IL 61761
PHONE: (309) 452-3000
E-PRESCRIBE: NO
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
3400
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
CORTESE, CRAIG T., DPM
GENDER: M
NPI #: 1124030192
CORTESE FOOT & ANKLE
CLINIC PC
1607 VISA DR SUITE 5B
NORMAL, IL 61761
PHONE: (309) 452-3000
E-PRESCRIBE: NO
MARROCHELLO, VERONICA
S., DPM
GENDER: F
NPI #: 1326050378
CORTESE FOOT & ANKLE
CLINIC PC
1607 VISA DR SUITE 5B
NORMAL, IL 61761
PHONE: (309) 452-3000
E-PRESCRIBE: NO
OCONNOR, SCOTT B., DPM
GENDER: M
NPI #: 1992792261
PROPODIATRY/CENTER FOR
HEALTH
2200 FT JESSE SUITE 250
NORMAL, IL 61761
PHONE: (866) 766-3338
E-PRESCRIBE: NO
CHU, CHAE O., MD
GENDER: M
NPI #: 1043250954
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
3400
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
GINZBURG, ALAN S., MD
GENDER: M
NPI #: 1659390888
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
3400
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
3400
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
298
NORMAL, IL
PANA, IL
Specialty Care Providers
SKILLRUD, DAVID M., MD
GENDER: M
NPI #: 1568573764
DAVID M SKILLRUD MD LTD
1300 FRANKLIN AVE SUITE
340
NORMAL, IL 61761
PHONE: (309) 451-9500
E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MD
GENDER: M
NPI #: 1366542300
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
2200
NORMAL, IL 61761
PHONE: (309) 662-9631
E-PRESCRIBE: NO
RADIATION ONCOLOGY
FERNANDES, PATRICK, MD
GENDER: M
NPI #: 1033172655
COMMUNITY CANCER
CENTER
407 E VERNON AVE
NORMAL, IL 61761
PHONE: (309) 451-2231
E-PRESCRIBE: NO
WOODHOUSE, SHERMIAN A.,
MD
GENDER: F
NPI #: 1427000207
COMMUNITY CANCER
CENTER
407 E VERNON AVE
NORMAL, IL 61761
PHONE: (309) 451-2231
E-PRESCRIBE: NO
299
SLEEP MEDICINE
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
3400
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
1302 FRANKLIN AVE SUITE
3400
NORMAL, IL 61761
PHONE: (309) 556-8300
E-PRESCRIBE: NO
THORACIC SURGERY
JWEIED, EIAS E., MD
GENDER: M
NPI #: 1720132210
CARDIOTHORACIC &
VASCULAR ASSOCIATES SC
1302 FRANKLIN AVE SUITE
4500
NORMAL, IL 61761
PHONE: (847) 816-3000
E-PRESCRIBE: NO
ONARGA, IL
GENERAL SURGERY
MEDRANO, CHRISTINA N.,
MD
GENDER: F
NPI #: 1720242209
GIBSON AREA HOSPITAL &
HEALTH SERVICES
109 N CHESTNUT
ONARGA, IL 60955
PHONE: (815) 268-4840
E-PRESCRIBE: NO
PANA, IL
GASTROENTEROLOGY
BARPUJARI, VIKRAM, MD
GENDER: M
NPI #: 1396729190
HSHS MEDICAL GROUP
101 E 9TH ST
PANA, IL 62557-1716
PHONE: (217) 562-6240
E-PRESCRIBE: NO
GENERAL SURGERY
BREWER, AARON T., MD
GENDER: M
NPI #: 1679794523
SPRINGFIELD CLINIC
101 E 9TH ST
PANA, IL 62557
PHONE: (217) 562-2131
E-PRESCRIBE: YES
PULMONOLOGY
PRABHU, MANJESHWAR, MD
GENDER: M
NPI #: 1770683450
SPRINGFIELD CLINIC
101 E 9TH ST
PANA, IL 62557
PHONE: (217) 562-2131
E-PRESCRIBE: NO
RHEUMATOLOGY
STERN, MARK A., MD
GENDER: M
NPI #: 1033201579
SPRINGFIELD CLINIC
101 E 9TH ST
PANA, IL 62557
PHONE: (217) 562-2131
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PARIS, IL
PAXTON, IL
PARIS, IL
GENERAL SURGERY
HASKELL, DUANE, MD
GENDER: M
NPI #: 1750461828
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
E-PRESCRIBE: NO
NADEAU, JOHN P., DO
GENDER: M
NPI #: 1366623548
FAMILY MEDICAL CENTERPARIS
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
E-PRESCRIBE: NO
PARIS COMMUNITY
HOSPITAL
721 E COURT ST
PARIS, IL 61944
PHONE:
E-PRESCRIBE: NO
Specialty Care Providers
ORTHOPAEDICS
PULMONOLOGY
ROWE, JOHN G., MD
GENDER: M
NPI #: 1679539019
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
E-PRESCRIBE: NO
MAIN, DAVID, MD
GENDER: M
NPI #: 1992726772
PARIS COMMUNITY
HOSPITAL
721 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
E-PRESCRIBE: YES
OTOLARYNGOLOGY
NGUYEN, CHARLY, MD
GENDER: M
NPI #: 1861508665
PARIS COMMUNITY
HOSPITAL
721 E COURT ST
PARIS, IL 61944
PHONE:
E-PRESCRIBE: NO
SMITH, MICHAEL, MD
GENDER: M
NPI #: 1215043971
721 E COURT ST
PARIS, IL 61944
PHONE: (217) 258-2409
E-PRESCRIBE: NO
OPHTHALMOLOGY
PODIATRY
DERANIAN, MARCUS S., MD
GENDER: M
NPI #: 1952367351
PARIS COMMUNITY
HOSPITAL SPECIALTY
CLINIC
721 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
E-PRESCRIBE: YES
HOLLOWAY, PHILIP, DPM
GENDER: M
NPI #: 1083709166
FAMILY MEDICAL CENTER
727 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-8411
E-PRESCRIBE: NO
VASCULAR SURGERY
CONNELLY, TIMOTHY L., MD
GENDER: M
NPI #: 1801821509
PARIS COMMUNITY
HOSPITAL
721 E COURT ST
PARIS, IL 61944
PHONE: (217) 465-4141
E-PRESCRIBE: YES
PAXTON, IL
ORTHOPAEDICS
PRICE, WILLIAM M., MD
GENDER: M
NPI #: 1710998307
PAXTON CLINIC
227 N MARKET ST
PAXTON, IL 60957
PHONE: (217) 379-4864
E-PRESCRIBE: NO
UROLOGY
RAZVI, MOHAMMED, MD
GENDER: M
NPI #: 1316033640
GIBSON AREA HOSPITAL
227 N MARKET
PAXTON, IL 60957
PHONE: (217) 379-4864
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
300
Specialty Care Providers
PEKIN, IL
CARDIOLOGY
BARZALLO, MARCO, MD
GENDER: M
NPI #: 1316971823
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
BEST, DAVID, MD
GENDER: M
NPI #: 1447284989
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
BRODY, ANTHONY, MD
GENDER: M
NPI #: 1104856210
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
CLEMSON, BARRY, MD
GENDER: M
NPI #: 1942234323
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
CRAWFORD, ROBERT D., MD
GENDER: M
NPI #: 1336179449
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
301
PEKIN, IL
PEKIN, IL
GUMM, DARREL C., MD
GENDER: M
NPI #: 1669406054
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
MALIK, MUHAMMAD, MD
GENDER: M
NPI #: 1447284864
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
HSU, MARK, MD
GENDER: M
NPI #: 1376573428
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
MCELROY, DONALD, MD
GENDER: M
NPI #: 1598799926
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
JACKSON, MARK D., MD
GENDER: M
NPI #: 1952331019
HEARTCARE MIDWEST SC
610 PARK AVE
PEKIN, IL 61554
PHONE: (309) 346-7776
E-PRESCRIBE: NO
MCRAE, R PARKER, MD
GENDER: M
NPI #: 1831123264
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
JACKSON, MARK, MD
GENDER: M
NPI #: 1952331019
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
MUNGEE, SUDHIR, MD
GENDER: M
NPI #: 1023113743
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
KURTZ, S CRAIG, MD
GENDER: M
NPI #: 1366476772
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
RABJOHNS, RONALD, MD
GENDER: M
NPI #: 1972533925
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEKIN, IL
PEKIN, IL
RASHID, JOHN, MD
GENDER: M
NPI #: 1386674349
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
SCHMIDT, PAUL, MD
GENDER: M
NPI #: 1023048089
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
SMALLEY, JAMES R., MD
GENDER: M
NPI #: 1356375638
HEARTCARE MIDWEST SC
610 PARK AVE
PEKIN, IL 61554
PHONE: (309) 346-7776
E-PRESCRIBE: NO
WISE, N KENT, MD
GENDER: M
NPI #: 1164456463
PEKIN HOSPITAL
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 347-1151
E-PRESCRIBE: NO
CARDIOTHORACIC
SURGERY
WILLIAMS, JAMES B., MD
GENDER: M
NPI #: 1265433882
CARDIAC THORACIC &
ENDOVASCULAR
THERAPIES SC
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 680-5000
E-PRESCRIBE: NO
Specialty Care Providers
GASTROENTEROLOGY
KUGANESWARAN,
ELIATHAMBY, MD
GENDER: M
NPI #: 1073555488
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
1503 VALLE VISTA BLVD
PEKIN, IL 61554
PHONE: (309) 353-2001
E-PRESCRIBE: NO
LILLICH, MAUREEN A., MD
GENDER: F
NPI #: 1497796700
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
600 S 13TH ST SUITE K
PEKIN, IL 61554
PHONE: (309) 353-2001
E-PRESCRIBE: NO
HSU, JOHN W., MD
GENDER: M
NPI #: 1043439748
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: YES
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
GENERAL SURGERY
OCONNOR, TIMOTHY P., MD
GENDER: M
NPI #: 1710974597
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
HEYWOOD, BRIAN, MD
GENDER: M
NPI #: 1669453114
MID ILLINI SURGICAL
ASSOCIATES
1503 VALLE VISTA BLVD
PEKIN, IL 61554
PHONE: (309) 353-2222
E-PRESCRIBE: NO
REID, W SCOTT, DO
GENDER: M
NPI #: 1932180387
MID ILLINI SURGICAL
ASSOCIATES
1503 VALLE VISTA BLVD
PEKIN, IL 61554
PHONE: (309) 353-2222
E-PRESCRIBE: NO
1800 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
600 S 13TH ST STE E
PEKIN, IL 61554
PHONE: (309) 672-5975
E-PRESCRIBE: NO
1800 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
SALIMATH, JAYARAJ, DO
GENDER: M
NPI #: 1720020308
MID ILLINI SURGICAL
ASSOCIATES
1503 VALLE VISTA BLVD
PEKIN, IL 61554
PHONE: (309) 353-2222
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
302
Specialty Care Providers
WILLIAMSON, JEFFREY L.,
MD
GENDER: M
NPI #: 1154302602
MID ILLINI SURGICAL
ASSOCIATES
1503 VALLE VISTA BLVD
PEKIN, IL 61554
PHONE: (309) 353-2222
E-PRESCRIBE: NO
DREYER, PAUL T., MD
GENDER: M
NPI #: 1194855528
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
HORINEK, ANTHONY R., MD
GENDER: M
NPI #: 1609907195
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
1800 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 346-3416
E-PRESCRIBE: NO
600 S 13TH ST STE E
PEKIN, IL 61554
PHONE: (309) 672-5975
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
LE-LINDQWISTER, NGUYET
A., MD
GENDER: F
NPI #: 1174522486
ILLINOIS CANCERCARE
600 S 13TH ST SUITE E
PEKIN, IL 61554
PHONE: (309) 353-0214
E-PRESCRIBE: YES
NEPHROLOGY
ALONSO, ALEXANDER J., MD
GENDER: M
NPI #: 1124152707
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
BRUHA, ROBERT, MD
GENDER: M
NPI #: 1043340367
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
303
JAMES, GORDON W., MD
GENDER: M
NPI #: 1124158431
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R.,
MD
GENDER: F
NPI #: 1447328828
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: YES
2355 BROADWAY RD
PEKIN, IL 61554
PHONE:
E-PRESCRIBE: YES
PEKIN, IL
PEKIN, IL
PFLEDERER, BENJAMIN R.,
MD
GENDER: M
NPI #: 1306976964
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A.,
MD
GENDER: M
NPI #: 1154451573
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
ROSBOROUGH, DAVID C.,
MD
GENDER: M
NPI #: 1619007275
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SADER, SAMER B., MD
GENDER: M
NPI #: 1831220318
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SHRISHRIMAL, KUMARPAL
C., MD
GENDER: M
NPI #: 1023217551
RENALCARE ASSOCIATES
2355 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEKIN, IL
PEKIN, IL
Specialty Care Providers
SPARROW, ROBERT T., MD
GENDER: M
NPI #: 1134259781
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
BARBA, KENNETH R., MD
GENDER: M
NPI #: 1265473706
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
E-PRESCRIBE: NO
HALPERIN, GREGORY I., MD
GENDER: M
NPI #: 1760423206
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
E-PRESCRIBE: NO
SRINIVASAN,
PARTHASARATHY, MD
GENDER: M
NPI #: 1134199359
RENALCARE ASSOCIATES
1800 BROADWAY RD
PEKIN, IL 61554
PHONE: (309) 676-8123
E-PRESCRIBE: NO
BHATIA, SUMIT P., MD
GENDER: M
NPI #: 1780670596
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
E-PRESCRIBE: NO
HARMAN, JOSEPH G., MD
GENDER: M
NPI #: 1942241484
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
E-PRESCRIBE: NO
BOND, WILLIAM I., MD
GENDER: M
NPI #: 1184653644
BOND EYE ASSOCIATES
725 S 14TH ST
PEKIN, IL 61554
PHONE: (309) 353-6660
E-PRESCRIBE: NO
HEYDE, RAYMOND R., MD
GENDER: M
NPI #: 1861484263
THE HEYDE EYE CENTER
111 N FOURTH ST
PEKIN, IL 61554
PHONE: (309) 346-1234
E-PRESCRIBE: YES
DELENGOCKY, TAYSON, DO
GENDER: M
NPI #: 1164637153
BOND EYE ASSOCIATES
725 S 14TH ST
PEKIN, IL 61554
PHONE: (309) 353-6660
E-PRESCRIBE: NO
KNUPP, JAMES A., MD
GENDER: M
NPI #: 1548211774
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
E-PRESCRIBE: NO
FARRELL, JAMES, MD
GENDER: M
NPI #: 1700885175
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
E-PRESCRIBE: NO
KRISTAL, LIBBY K., MD
GENDER: F
NPI #: 1326240144
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
E-PRESCRIBE: NO
USMAN, AHSAN, MD
GENDER:
NPI #: 1215016571
KIDNEY HEALTH CARE PC
19 OLT AVE
PEKIN, IL 61554
PHONE: (309) 642-6705
E-PRESCRIBE: YES
NEUROLOGY
CHENG, GENE, MD
GENDER: M
NPI #: 1417920232
NEUROLOGY CLINIC
600 S 13TH ST SUITE F
PEKIN, IL 61554
PHONE: (309) 347-3139
E-PRESCRIBE: YES
OPHTHALMOLOGY
APRAHAMIAN, ARA D., MD
GENDER: M
NPI #: 1528015013
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
304
Specialty Care Providers
LEE, ROBERT M., MD
GENDER: M
NPI #: 1699716118
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
E-PRESCRIBE: NO
RIGSBY, JESSE H., MD
GENDER: M
NPI #: 1447253646
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
E-PRESCRIBE: NO
MEHTA, JAY, MD
GENDER: M
NPI #: 1417905456
BOND EYE ASSOCIATES
725 S 14TH ST
PEKIN, IL 61554
PHONE: (309) 353-6660
E-PRESCRIBE: NO
ORTHOPAEDICS
CLARK, STEVEN G., MD
GENDER: M
NPI #: 1902850027
PEKIN ORTHOPEDIC
CENTER
2351 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 353-4159
E-PRESCRIBE: NO
OESTER, ALAN E., MD
GENDER: M
NPI #: 1750503819
GAILEY EYE CLINIC
101 N PARKWAY DR
PEKIN, IL 61554
PHONE: (309) 347-5115
E-PRESCRIBE: NO
DELUCIA, TRACEY A., MD
GENDER: F
NPI #: 1992844914
PEKIN ORTHOPEDIC
CENTER
2351 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 353-4159
E-PRESCRIBE: YES
QURAISHI, SABA, MD
GENDER: F
NPI #: 1801005384
BOND EYE ASSOCIATES
725 S 14TH ST
PEKIN, IL 61554
PHONE: (309) 353-6660
E-PRESCRIBE: NO
REDDY, CHITTARANJAN, MD
GENDER: M
NPI #: 1992737084
BOND EYE ASSOCIATES
725 S 14TH ST
PEKIN, IL 61554
PHONE: (309) 353-1579
E-PRESCRIBE: NO
305
MITZELFELT, DONALD A., MD
GENDER: M
NPI #: 1962454983
PEKIN ORTHOPEDIC
CENTER
2351 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 353-4159
E-PRESCRIBE: NO
PEKIN, IL
PEKIN, IL
PAIN MANAGEMENT
FEATHER, GLEN N., DO
GENDER: M
NPI #: 1962492900
ILLINOIS REGIONAL PAIN
INSTITUTE
2355 N BROADWAY
PEKIN, IL 61554
PHONE: (309) 692-7246
E-PRESCRIBE: NO
HENRY, KEVIN M., MD
GENDER: M
NPI #: 1063490183
ILLINOIS REGIONAL PAIN
INSTITUTE SC
2355 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 692-7246
E-PRESCRIBE: NO
PHYSICAL MEDICINE/
REHABILITATION
SNYDER, LISA, MD
GENDER: F
NPI #: 1790715092
INSTITUTE OF PHYSICAL
MEDICINE & REHAB/IPMR
2359 N BROADWAY
PEKIN, IL 61554
PHONE: (309) 353-4767
E-PRESCRIBE: NO
SUREKA, OMPRAKASH, MD
GENDER: M
NPI #: 1518902469
INSTITUTE OF PHYSICAL
MEDICINE & REHAB/IPMR
2359 N BROADWAY
PEKIN, IL 61554
PHONE: (309) 353-4767
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEKIN, IL
PEORIA HEIGHTS, IL
PODIATRY
EVANS, GRETCHEN M., DPM
GENDER: F
NPI #: 1477504710
RUSKUSKY FOOT & ANKLE
CLINIC
3305 GRIFFIN AVE
PEKIN, IL 61554
PHONE: (309) 347-3886
E-PRESCRIBE: NO
Specialty Care Providers
WHITE, SUZANNE S., DPM
GENDER: F
NPI #: 1033160437
RUSKUSKY FOOT & ANKLE
CLINIC
3305 GRIFFIN AVE
PEKIN, IL 61554
PHONE: (309) 347-3886
E-PRESCRIBE: NO
PULMONOLOGY
GLESNE, KURT L., DPM
GENDER: M
NPI #: 1346508280
PEKIN ORTHOPEDIC
CENTER
2351 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 353-4159
E-PRESCRIBE: YES
MAKHOUL, YVES R., MD
GENDER: M
NPI #: 1952544330
PROHEALTH PULMONARY
SPECIALISTS
600 S 13TH ST SUITE L
PEKIN, IL 61554
PHONE: (309) 353-0388
E-PRESCRIBE: NO
RUSKUSKY, JEFFREY R.,
DPM
GENDER: M
NPI #: 1639129851
RUSKUSKY FOOT & ANKLE
CLINIC
3305 GRIFFIN AVE
PEKIN, IL 61554
PHONE: (309) 347-3886
E-PRESCRIBE: NO
TAYLOR, BERNARD G., MD
GENDER: M
NPI #: 1558334557
CENTRAL IL PULMONARY &
CRITICAL CARE
ASSOCIATES
600 S 13TH ST SUITE F
PEKIN, IL 61554
PHONE: (309) 692-0422
E-PRESCRIBE: NO
VANG, CHAO, DPM
GENDER: M
NPI #: 1740241967
PEKIN PODIATRIC MEDICAL
CENTER
1503 VALLE VISTA BLVD
SUITE C
PEKIN, IL 61554
PHONE: (309) 347-6121
E-PRESCRIBE: NO
VON BUN, FRIEDRICH J., MD
GENDER: M
NPI #: 1760489306
PEKIN PULMONARY CLINIC
1327 EXECUTIVE COURT
PEKIN, IL 61554
PHONE: (309) 353-5864
E-PRESCRIBE: NO
SLEEP MEDICINE
TAYLOR, BERNARD G., MD
GENDER: M
NPI #: 1558334557
CENTRAL IL PULMONARY &
CRITICAL CARE
ASSOCIATES
600 S 13TH ST SUITE F
PEKIN, IL 61554
PHONE: (309) 692-0422
E-PRESCRIBE: NO
VASCULAR SURGERY
WILLIAMS, JAMES B., MD
GENDER: M
NPI #: 1265433882
CARDIAC THORACIC &
ENDOVASCULAR
THERAPIES SC
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 680-5000
E-PRESCRIBE: NO
PEORIA HEIGHTS, IL
PODIATRY
SHELLER, DONALD J., DPM
GENDER: M
NPI #: 1942270434
MIDWEST PODIATRY
GROUP
3827 N PROSPECT RD
PEORIA HEIGHTS, IL 61616
PHONE: (309) 686-1000
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
306
Specialty Care Providers
PEORIA, IL
ALLERGY/IMMUNOLOGY
EWBANK, PENELOPE A., MD
GENDER: F
NPI #: 1558358911
ALLERGY & ASTHMA OF
ILLINOIS
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 691-5200
E-PRESCRIBE: NO
KLEMENS, JULIE C., MD
GENDER: F
NPI #: 1588708770
PEORIA EAR NOSE &
THROAT GROUP
7301 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 589-5900
E-PRESCRIBE: YES
CHARLES, DAVID R., DO
GENDER: M
NPI #: 1841499902
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
CHARLES, DAVID R., DO
GENDER: M
NPI #: 1841499902
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
SARMIENTO, JOSEPH J., MD
GENDER: M
NPI #: 1588691877
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
COURI, DANIEL M., MD
GENDER: M
NPI #: 1639142664
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
CARDIOLOGY
CRAWFORD, ROBERT D., MD
GENDER: M
NPI #: 1336179449
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
BAMAN, TIMIR S., MD
GENDER: M
NPI #: 1831230812
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
SMART, STEPHEN J., MD
GENDER: M
NPI #: 1265429625
ALLERGY & ASTHMA OF
ILLINOIS
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 691-5200
E-PRESCRIBE: NO
CARDIAC
ELECTROPHYSIOLOGY
BARZALLO, MARCO A., MD
GENDER: M
NPI #: 1316971823
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
BAMAN, TIMIR S., MD
GENDER: M
NPI #: 1831230812
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
BEST, DAVID G., MD
GENDER: M
NPI #: 1447284989
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
307
PEORIA, IL
PEORIA, IL
GUMM, DARREL C., MD
GENDER: M
NPI #: 1669406054
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
HARIMAN, ROBERT J., MD
GENDER: M
NPI #: 1548200165
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
Specialty Care Providers
HSU, MARK, MD
GENDER: M
NPI #: 1376573428
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
MALIK, MUHAMMAD, MD
GENDER: M
NPI #: 1447284864
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
PERKS, CHRISTINE, MD
GENDER: F
NPI #: 1033383070
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
JACKSON, MARK D., MD
GENDER: M
NPI #: 1952331019
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
MCELROY, DONALD B., MD
GENDER: M
NPI #: 1598799926
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
RABJOHNS, RONALD R., MD
GENDER: M
NPI #: 1972533925
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
KIZHAKEKUTTU, TINOY J.,
MD
GENDER: M
NPI #: 1558336214
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
MUNGEE, SUDHIR, MD
GENDER: M
NPI #: 1023113743
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
RADEE, APICHART L., MD
GENDER: M
NPI #: 1649310640
900 MAIN ST SUITE 710
PEORIA, IL 61602
PHONE: (309) 637-0177
E-PRESCRIBE: NO
KURTZ, S CRAIG, MD
GENDER: M
NPI #: 1366476772
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
MACWAR, RACHID R., MD
GENDER: M
NPI #: 1952510729
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
OREN, RON M., MD
GENDER: M
NPI #: 1366422438
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
PATEL, SUBHASH J., MD
GENDER: M
NPI #: 1891986907
CARDIAC CONSULTANTS SC
900 MAIN ST SUITE 320
PEORIA, IL 61602
PHONE: (309) 672-3140
E-PRESCRIBE: NO
RASHID, JOHN F., MD
GENDER: M
NPI #: 1386674349
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
SARMIENTO, JOSEPH J., MD
GENDER: M
NPI #: 1588691877
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
SCHMIDT, PAUL, MD
GENDER: M
NPI #: 1023048089
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
308
Specialty Care Providers
SHAY, THANAD S., MD
GENDER: M
NPI #: 1174672331
DRS SHAY AND ASSOCIATES
1201 N NORTH ST SUITE 200
PEORIA, IL 61606
PHONE: (309) 671-2310
E-PRESCRIBE: NO
STANCU, MIHAELA M., MD
GENDER: F
NPI #: 1689877136
HEARTCARE MIDWEST SC
5405 N KNOXVILLE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
VALLALA, NIRUPAMA, MD
GENDER: F
NPI #: 1598938540
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
VENKATAPURAM, SUNETHA,
MD
GENDER: F
NPI #: 1811077357
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
OSF CONGENITAL HEART
CENTER
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
309
WATTANAKIT, KEATTIYOAT,
MD
GENDER: M
NPI #: 1407821077
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
CARDIOTHORACIC
SURGERY
FORTUNA, RANDALL S., MD
GENDER: M
NPI #: 1285607986
OSF CONGENITAL HEART
CENTER
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
GEISS, DALE M., MD
GENDER: M
NPI #: 1912970617
ILLINOIS CARDIAC
SURGERY ASSOCIATES
515 NE GLEN OAK AVE
SUITE 202
PEORIA, IL 61603
PHONE: (309) 674-2002
E-PRESCRIBE: NO
MUELLER, DALE, MD
GENDER: M
NPI #: 1598799942
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
MUNNS, JAMES R., MD
GENDER: M
NPI #: 1992735922
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
WILLIAMS, JAMES B., MD
GENDER: M
NPI #: 1265433882
CARDIAC THORACIC &
ENDOVASCULAR
THERAPIES SC
2420 W NEBRASKA AVE
PEORIA, IL 61604
PHONE: (309) 680-5000
E-PRESCRIBE: NO
CARDIOVASCULAR
SURGERY
WELKE, KARL F., MD
GENDER: M
NPI #: 1285649780
CHILDRENS HOSPITAL OF
ILLINOIS MEDICAL GROUP
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
COLON/RECTAL SURGERY
BONELLO, JULIUS C., MD
GENDER: M
NPI #: 1093751257
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
DERMATOLOGY
FREY, JAMIE L., MD
GENDER: F
NPI #: 1639391006
CENTRAL ILLINOIS
DERMATOLOGY
5401 N KNOXVILLE AVE
SUITE 115
PEORIA, IL 61614
PHONE: (309) 691-2903
E-PRESCRIBE: NO
HAYES, MICHAEL L., DO
GENDER: M
NPI #: 1912017245
SODERSTROM
DERMATOLOGY CENTER
4909 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 691-7479
E-PRESCRIBE: NO
KROODSMA, CHRISTOPHER,
MD
GENDER: M
NPI #: 1336230051
CENTRAL ILLINOIS
DERMATOLOGY
5401 N KNOXVILLE AVE
SUITE 115
PEORIA, IL 61614
PHONE: (309) 691-2903
E-PRESCRIBE: NO
MCKENNA, JEFFREY K., MD
GENDER: M
NPI #: 1396713780
SODERSTROM
DERMATOLOGY CENTER
4909 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 674-7546
E-PRESCRIBE: NO
Specialty Care Providers
MCLELLAND, BRUCE, MD
GENDER: M
NPI #: 1689762189
CENTRAL ILLINOIS
DERMATOLOGY
5401 N KNOXVILLE AVE
SUITE 115
PEORIA, IL 61614
PHONE: (309) 691-2903
E-PRESCRIBE: NO
SODERSTROM, CARL W., MD
GENDER: M
NPI #: 1053370759
SODERSTROM
DERMATOLOGY CENTER
4909 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 674-7546
E-PRESCRIBE: NO
ENDOCRINOLOGY
CHANG, JEFFREY Y., MD
GENDER: M
NPI #: 1992738728
ENDOCRINE & DIABETES
3308 CHARTWELL RD
PEORIA, IL 61614
PHONE: (309) 691-7640
E-PRESCRIBE: NO
DORSCH, THOMAS R., MD
GENDER: M
NPI #: 1639108202
ENDOCRINE & DIABETES
3308 CHARTWELL RD
PEORIA, IL 61614
PHONE: (309) 691-7640
E-PRESCRIBE: YES
GAJULA, SONIA, MD
GENDER: F
NPI #: 1417055989
OSF MEDICAL GROUP
5105 GLEN PARK PLACE RD
PEORIA, IL 61614
PHONE: (309) 683-8383
E-PRESCRIBE: NO
MERIDEN, TERRY, MD
GENDER: M
NPI #: 1467538231
900 MAIN ST SUITE 300
PEORIA, IL 61602
PHONE: (309) 673-1717
E-PRESCRIBE: NO
PATURI, BHANU T., MD
GENDER: M
NPI #: 1033318555
OSF MEDICAL GROUP
5105 GLEN PARK PLACE RD
PEORIA, IL 61614
PHONE: (309) 683-8383
E-PRESCRIBE: NO
SFEIR, HADY E., MD
GENDER: M
NPI #: 1952491243
OSF MEDICAL GROUP
5105 GLEN PARK PLACE RD
PEORIA, IL 61614
PHONE: (309) 683-8383
E-PRESCRIBE: NO
GASTROENTEROLOGY
ADAMS, FRANK B., DO
GENDER: M
NPI #: 1508841180
OSF MEDICAL GROUP
2805 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 624-9400
E-PRESCRIBE: NO
AL-RASHDAN, ABDULLAH,
MD
GENDER: M
NPI #: 1588831721
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
1001 MAIN ST SUITE 500A
PEORIA, IL 61606
PHONE: (309) 672-4980
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
310
Specialty Care Providers
ARIF, ABUZAFAR, MD
GENDER: M
NPI #: 1447253539
OSF MEDICAL GROUP
2805 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 624-9400
E-PRESCRIBE: NO
DHILLON, SONU, MD
GENDER: M
NPI #: 1225017593
OSF MEDICAL GROUP
2805 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 624-9400
E-PRESCRIBE: NO
BALDWIN, TERRY L., MD
GENDER: M
NPI #: 1346276284
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
1001 MAIN ST SUITE 500A
PEORIA, IL 61606
PHONE: (309) 672-4980
E-PRESCRIBE: NO
ELLAHI, WASIM, MD
GENDER: M
NPI #: 1285678599
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
1001 MAIN ST SUITE 500A
PEORIA, IL 61606
PHONE: (309) 672-4980
E-PRESCRIBE: NO
BALOUCH, IMRAN L., MD
GENDER: M
NPI #: 1467783290
OSF MEDICAL GROUP
2805 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 624-9400
E-PRESCRIBE: NO
KHAISER, NOOR A., MD
GENDER: M
NPI #: 1487696126
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
1001 MAIN ST SUITE 500A
PEORIA, IL 61606
PHONE: (309) 672-4980
E-PRESCRIBE: NO
CAMACHO, KENNETH, MD
GENDER: M
NPI #: 1750323424
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
1001 MAIN ST SUITE 500A
PEORIA, IL 61606
PHONE: (309) 672-4980
E-PRESCRIBE: NO
CASHMAN, MICHAEL D., MD
GENDER: M
NPI #: 1881635605
OSF MEDICAL GROUP
2805 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 624-9400
E-PRESCRIBE: NO
311
KUGANESWARAN,
ELIATHAMBY, MD
GENDER: M
NPI #: 1073555488
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
1001 MAIN ST SUITE 500A
PEORIA, IL 61606
PHONE: (309) 672-4980
E-PRESCRIBE: NO
LAWRINENKO, VICTOR, MD
GENDER: M
NPI #: 1831134436
OSF MEDICAL GROUP
2805 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 624-9400
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
LILLICH, MAUREEN A., MD
GENDER: F
NPI #: 1497796700
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
1001 MAIN ST SUITE 500A
PEORIA, IL 61606
PHONE: (309) 672-4980
E-PRESCRIBE: NO
PENN JR, DONALD E., MD
GENDER: M
NPI #: 1780628388
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
1001 MAIN ST SUITE 500A
PEORIA, IL 61606
PHONE: (309) 672-4980
E-PRESCRIBE: NO
PULI, SRINIVAS R., MD
GENDER: M
NPI #: 1326069824
OSF MEDICAL GROUP
2805 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 624-9400
E-PRESCRIBE: NO
SHEKLETON, MICHAEL F.,
MD
GENDER: M
NPI #: 1912097205
OSF MEDICAL GROUP
2805 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 624-9400
E-PRESCRIBE: NO
TREANOR, MICHAEL R., MD
GENDER: M
NPI #: 1255375200
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
1001 MAIN ST SUITE 500A
PEORIA, IL 61606
PHONE: (309) 672-4980
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
VOLMAR, FRITZ-HENRY, MD
GENDER: M
NPI #: 1447351077
OSF MEDICAL GROUP
2805 N KNOXVILLE AVE
PEORIA, IL 61603
PHONE: (309) 624-9400
E-PRESCRIBE: NO
WU, SCOTT Y., MD
GENDER: M
NPI #: 1760426308
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
1001 MAIN ST SUITE 500A
PEORIA, IL 61606
PHONE: (309) 672-4980
E-PRESCRIBE: NO
GENERAL SURGERY
ANDERSON, RICHARD C., MD
GENDER: M
NPI #: 1699703892
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
BRAASTAD, FRED W., MD
GENDER: M
NPI #: 1003818451
ASSOCIATED SURGICAL
GROUP
7303 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4005
E-PRESCRIBE: NO
CHIOU, ANDY, MD
GENDER: M
NPI #: 1063454197
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
Specialty Care Providers
8600 N STATE ROUTE 91
PEORIA, IL 61615
PHONE: (309) 495-0250
E-PRESCRIBE: NO
CRAWFORD, DAVID L., MD
GENDER: M
NPI #: 1306874128
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
DEBORD, JAMES R., MD
GENDER: M
NPI #: 1649206533
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
ELWOOD, ERIC T., MD
GENDER: M
NPI #: 1033151162
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
ESTES, NORMAN C., MD
GENDER: M
NPI #: 1205864170
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
GUPTA, SAMIR K., MD
GENDER: M
NPI #: 1073542585
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
HASANADKA,
RAVISHANKAR, MD
GENDER: M
NPI #: 1699858068
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
HEYWOOD, BRIAN, MD
GENDER: M
NPI #: 1669453114
MID ILLINI SURGICAL
ASSOCIATES
900 MAIN ST SUITE 530
PEORIA, IL 61602
PHONE: (309) 672-5975
E-PRESCRIBE: NO
HSU, JOHN W., MD
GENDER: M
NPI #: 1043439748
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 209
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: YES
JALOVEC, LYNNE M., MD
GENDER: F
NPI #: 1407963630
DR LYNN JALOVEC MD SC
900 MAIN ST SUITE 310
PEORIA, IL 61602
PHONE: (309) 672-4174
E-PRESCRIBE: NO
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
312
PEORIA, IL
PEORIA, IL
Specialty Care Providers
MAMMOLITO, DENISE M., MD
GENDER: F
NPI #: 1972604221
PEORIA SURGICAL GROUP
LTD
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
PAULSEN, JOHN K., MD
GENDER: M
NPI #: 1174552681
PEORIA SURGICAL GROUP
1001 MAIN ST STE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
TANCK, ALLISON R., MD
GENDER: F
NPI #: 1144425174
ASSOCIATED SURGICAL
GROUP
7303 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4005
E-PRESCRIBE: YES
MARSHALL, JOHN S., MD
GENDER: M
NPI #: 1366471997
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
REID, W SCOTT, DO
GENDER: M
NPI #: 1932180387
MID ILLINI SURGICAL
ASSOCIATES
900 MAIN ST SUITE 530
PEORIA, IL 61602
PHONE: (309) 672-5975
E-PRESCRIBE: NO
NAGALLA, SUBHASH K., MD
GENDER: M
NPI #: 1316142268
MID-ILLINI SURGICAL
ASSOCIATES
900 MAIN ST SUITE 530
PEORIA, IL 61602
PHONE: (309) 672-5975
E-PRESCRIBE: NO
ROSSI, THOMAS R., MD
GENDER: M
NPI #: 1851320238
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
WHITTY, LISA A., MD
GENDER: F
NPI #: 1801808662
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61603
PHONE: (309) 495-0200
E-PRESCRIBE: NO
SALIMATH, JAYARAJ, DO
GENDER: M
NPI #: 1720020308
MID ILLINI SURGICAL
ASSOCIATES
900 MAIN ST SUITE 530
PEORIA, IL 61602
PHONE: (309) 672-5975
E-PRESCRIBE: NO
WILLIAMSON, JEFFREY L.,
MD
GENDER: M
NPI #: 1154302602
MID ILLINI SURGICAL
ASSOCIATES
900 MAIN ST SUITE 530
PEORIA, IL 61602
PHONE: (309) 672-5975
E-PRESCRIBE: NO
OCONNOR, TIMOTHY P., MD
GENDER: M
NPI #: 1710974597
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PATEL, GAVISH N., MD
GENDER: M
NPI #: 1821080078
ASSOCIATED SURGICAL
GROUP
7303 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4005
E-PRESCRIBE: NO
313
SONG, CHANG K., MD
GENDER: M
NPI #: 1609892728
PROCTOR MEDICAL GROUP
SURGERY CK SONG MD
5401 N KNOXVILLE AVE
SUITE 217
PEORIA, IL 61614
PHONE: (309) 672-5947
E-PRESCRIBE: NO
TSORAIDES, STEVEN S., MD
GENDER: M
NPI #: 1760689764
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
GENETICS
FLORES, JOSEU A., MD
GENDER: M
NPI #: 1306108105
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
Specialty Care Providers
HOGANSON, GEORGE, MD
GENDER: M
NPI #: 1164497483
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 692-9844
E-PRESCRIBE: NO
MCMANUS, DENNIS Q., MD
GENDER: M
NPI #: 1861473076
OSF MEDICAL GROUP
INSTITUTE ON AGING
8600 NORTH ROUTE 91 SUITE
130
PEORIA, IL 61615
PHONE: (309) 683-5058
E-PRESCRIBE: NO
GERIATRICS
GYNECOLOGIC ONCOLOGY
CANTY, MARK D., MD
GENDER: M
NPI #: 1962573626
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8108
E-PRESCRIBE: NO
BYLER DANN, REBECCA J.,
MD
GENDER: F
NPI #: 1114126364
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: NO
LEE, SHAO-TSENG, MD
GENDER:
NPI #: 1225108855
OSF MEDICAL GROUP
5114 N GLEN PARK PLACE
RD SUITE 220
PEORIA, IL 61614
PHONE: (309) 683-8108
E-PRESCRIBE: NO
HODEL, KENNETH A., MD
GENDER: M
NPI #: 1134197833
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: NO
LINDAHL, LARRY S., MD
GENDER: M
NPI #: 1770681629
OSF MEDICAL GROUPINSTITUTE ON AGING
8600 NORTH ROUTE 91 SUITE
130
PEORIA, IL 61615
PHONE: (309) 683-5058
E-PRESCRIBE: NO
OSF SISTERS COMMUNITY
HEALTHCARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
LOCOCO, SALVATORE J., MD
GENDER: M
NPI #: 1831104645
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: NO
HEMATOLOGY
VUKOV, ALLEN M., MD
GENDER: M
NPI #: 1396744611
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: YES
WESLY, OSVALDO, MD
GENDER: M
NPI #: 1356441943
4727 N SHERIDAN RD
PEORIA, IL 61614
PHONE: (309) 688-1345
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
FISHKIN, PAUL A., MD
GENDER: M
NPI #: 1063411379
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: YES
GERSTNER, GREGORY J., MD
GENDER: M
NPI #: 1629288659
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: YES
GOMEZ, PATRICK L., MD
GENDER: M
NPI #: 1972640134
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
314
Specialty Care Providers
KNOST, JAMES A., MD
GENDER: M
NPI #: 1245239565
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: YES
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-6428
E-PRESCRIBE: NO
DOUGHTY, STEPHEN C., MD
GENDER: M
NPI #: 1255327631
METRO INFECTIOUS
DISEASE CONSULTANTS
LLC
9118 N LINDBERGH
PEORIA, IL 61615
PHONE: (309) 639-3993
E-PRESCRIBE: NO
KUMAR, PANKAJ, MD
GENDER: M
NPI #: 1073576922
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: YES
LE-LINDQWISTER, NGUYET
A., MD
GENDER: F
NPI #: 1174522486
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: YES
THOMAS, SACHDEV P., MD
GENDER: M
NPI #: 1245239367
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: YES
INFECTIOUS DISEASES
COTTER, JOHN G., MD
GENDER: M
NPI #: 1245331321
OSF MEDICAL GROUP
723 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 624-8749
E-PRESCRIBE: NO
315
FARRELL, JOHN J., MD
GENDER: M
NPI #: 1043284649
OSF MEDICAL GROUP
723 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 624-8749
E-PRESCRIBE: NO
FARRELL, JOHN, MD
GENDER: M
NPI #: 1043284649
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-6428
E-PRESCRIBE: NO
PATEL, MARLYNN, MD
GENDER: F
NPI #: 1720049786
OSF MEDICAL GROUP
723 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 624-8749
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-6428
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
RAMSAHAI, SHWETA, MD
GENDER: F
NPI #: 1003075128
OSF MEDICAL GROUP
723 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 624-8749
E-PRESCRIBE: NO
SLAGLE, DAVID C., MD
GENDER: M
NPI #: 1891763082
OSF MEDICAL GROUP
723 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 624-8749
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
ONE ILLINI DR
PEORIA, IL 61656
PHONE: (309) 671-8484
E-PRESCRIBE: NO
SOMARAJU, VIJAYA I., MD
GENDER: M
NPI #: 1033187216
OSF MEDICAL GROUP
723 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 624-8749
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-6428
E-PRESCRIBE: NO
VODELA, RAVINDHAR, MD
GENDER: M
NPI #: 1588720023
METRO INFECTIOUS
DISEASE CONSULTANTS
LLC
9118 N LINDBERGH
PEORIA, IL 61615
PHONE: (309) 639-3993
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
INTENSIVE CARE/CRITICAL
CARE
MCVAY, BRYAN P., DO
GENDER: M
NPI #: 1073714176
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61606
PHONE: (309) 672-5682
E-PRESCRIBE: NO
MICHEL, JON C., MD
GENDER: M
NPI #: 1437244555
ILLINOIS LUNG & CRITICAL
CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61606
PHONE: (309) 672-5682
E-PRESCRIBE: NO
PINTO, SHAILESH C., MD
GENDER: M
NPI #: 1750447157
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61606
PHONE: (309) 672-5682
E-PRESCRIBE: NO
NEPHROLOGY
ALONSO, ALEXANDER J., MD
GENDER: M
NPI #: 1124152707
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
Specialty Care Providers
BRUHA, ROBERT, MD
GENDER: M
NPI #: 1043340367
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
DREYER, PAUL T., MD
GENDER: M
NPI #: 1194855528
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
HORINEK, ANTHONY R., MD
GENDER: M
NPI #: 1609907195
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
JAMES, GORDON W., MD
GENDER: M
NPI #: 1124158431
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R.,
MD
GENDER: F
NPI #: 1447328828
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R.,
MD
GENDER: M
NPI #: 1306976964
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A.,
MD
GENDER: M
NPI #: 1154451573
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
ROSBOROUGH, DAVID C.,
MD
GENDER: M
NPI #: 1619007275
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
316
Specialty Care Providers
SADER, SAMER B., MD
GENDER: M
NPI #: 1831220318
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SHRISHRIMAL, KUMARPAL
C., MD
GENDER: M
NPI #: 1023217551
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SPARROW, ROBERT T., MD
GENDER: M
NPI #: 1134259781
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
515 NE GLEN OAK AVE
SUITE 108
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SRINIVASAN,
PARTHASARATHY, MD
GENDER: M
NPI #: 1134199359
RENALCARE ASSOCIATES
200 E PENNSYLVANIA AVE
SUITE 212
PEORIA, IL 61603
PHONE: (309) 676-8123
E-PRESCRIBE: NO
317
NEURO ONCOLOGY
TSUNG, ANDREW J., MD
GENDER: M
NPI #: 1760685390
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
719 N WILLIAM KUMPF
BLVD SUITE 100
PEORIA, IL 61605
PHONE: (309) 676-0766
E-PRESCRIBE: NO
NEUROLOGY
BIERNOT, JULIA, MD
GENDER: F
NPI #: 1700034113
INI NEUROLOGY
100 NE RANDOLPH ST
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
BLUME, GREGORY M., MD
GENDER: M
NPI #: 1326146994
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
CHAUHAN, SUNIL M., MD
GENDER: M
NPI #: 1912922881
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
CHENG, GENE, MD
GENDER: M
NPI #: 1417920232
NEUROLOGY CLINIC
5401 N KNOXVILLE AVE
SUITE 414
PEORIA, IL 61614
PHONE: (309) 692-9516
E-PRESCRIBE: YES
PEORIA, IL
PEORIA, IL
ERGENE, ERHAN, MD
GENDER: M
NPI #: 1649378241
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
530 NE GLEN OAK AVE 6TH
FLOOR
PEORIA, IL 61637
PHONE: (309) 624-8981
E-PRESCRIBE: NO
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
EZEE, CHIGOLUM C., MD
GENDER: F
NPI #: 1366649279
INI DIAGNOSTIC CENTER
530 NE GLEN OAK AVE 6TH
FL SFMC
PEORIA, IL 61637
PHONE: (309) 624-8981
E-PRESCRIBE: NO
FASSETT, DANIEL R., MD
GENDER: M
NPI #: 1205902442
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
719 N WILLIAM KUMPF
BLVD SUITE 100
PEORIA, IL 61605
PHONE: (309) 676-0766
E-PRESCRIBE: NO
FRASER, M TERESA C., MD
GENDER: F
NPI #: 1093928566
ILLINOIS NEUROLOGICAL
INSTITUTE PHYSICIANS LLC
5401 N KNOXVILLE AVE
SUITE 216
PEORIA, IL 61614
PHONE: (309) 692-1016
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
530 NE GLEN OAK AVE 6TH
FLOOR
PEORIA, IL 61637
PHONE: (309) 624-8981
E-PRESCRIBE: NO
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
GARWACKI, DENNIS J., MD
GENDER: M
NPI #: 1417055922
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
GLEASON, BRADLEY H., MD
GENDER: M
NPI #: 1659428464
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
530 NE GLEN OAK AVE 6TH
FLOOR
PEORIA, IL 61638
PHONE: (309) 624-9960
E-PRESCRIBE: NO
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
KATTAH, JORGE C., MD
GENDER: M
NPI #: 1750489050
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
530 NE GLEN OAK AVE 6TH
FLOOR
PEORIA, IL 61637
PHONE: (309) 624-8981
E-PRESCRIBE: NO
Specialty Care Providers
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
KEUNG, BONNIE M., MD
GENDER: F
NPI #: 1346448388
INI DIAGNOSTIC CENTER
530 NE GLEN OAK AVE 6TH
FLR SFMC
PEORIA, IL 61637
PHONE: (309) 624-8981
E-PRESCRIBE: NO
INI NEUROLOGY
100 NE RANDOLPH ST
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
LEE, RICHARD H., MD
GENDER: M
NPI #: 1366435158
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
719 N WILLIAM KUMPF
BLVD SUITE 100
PEORIA, IL 61605
PHONE: (309) 676-0766
E-PRESCRIBE: NO
MATTAI, SHANTA D., MD
GENDER: F
NPI #: 1609974096
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
NAIR, DEEPAK S., MD
GENDER: M
NPI #: 1003019209
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
530 NE GLEN OAK AVE 6TH
FLOOR
PEORIA, IL 61637
PHONE: (309) 624-8981
E-PRESCRIBE: NO
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
NERSESYAN, HRACHYA, MD
GENDER: M
NPI #: 1497957468
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
PARKER, SARAH E., MD
GENDER: F
NPI #: 1699937888
INI DIAGNOSTIC CENTER
530 NE GLEN OAK AVE 6TH
FLOOR
PEORIA, IL 61637
PHONE: (309) 624-8981
E-PRESCRIBE: NO
PRATT, DYVEKE P., MD
GENDER: F
NPI #: 1154596732
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
TAFT, WILLIAM C., MD
GENDER: M
NPI #: 1851460497
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
318
PEORIA, IL
PEORIA, IL
Specialty Care Providers
TALKAD, ARUN V., MD
GENDER: M
NPI #: 1629015532
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
530 NE GLEN OAK AVE 6TH
FLOOR
PEORIA, IL 61637
PHONE: (309) 624-6267
E-PRESCRIBE: NO
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
WANG, DAVID Z., DO
GENDER: M
NPI #: 1831297274
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
530 NE GLEN OAK AVE 6TH
FLOOR
PEORIA, IL 61637
PHONE: (309) 624-6267
E-PRESCRIBE: NO
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
XU, MICHAEL Y., MD
GENDER: M
NPI #: 1669400974
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
530 NE GLEN OAK AVE 6TH
FLOOR
PEORIA, IL 61637
PHONE: (309) 624-8750
E-PRESCRIBE: NO
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
319
ZALLEK, CHRISTOPHER M.,
MD
GENDER: M
NPI #: 1548368822
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
ZALLEK, SARAH NATH, MD
GENDER: F
NPI #: 1467543942
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
530 NE GLEN OAK AVE 6TH
FLOOR
PEORIA, IL 61637
PHONE: (309) 624-9960
E-PRESCRIBE: NO
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
NEUROPSYCHIATRY
KARBOWSKA-JANKOWSKA,
MARIA M., MD
GENDER: F
NPI #: 1184722647
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
NEUROPSYCHOLOGY
KURTH, SHANNA, PHD
GENDER: F
NPI #: 1891800603
NEUROPSYCHOLOGY
CLINIC PC
3100 N DRIES LANE SUITE
203
PEORIA, IL 61604
PHONE: (309) 686-9005
E-PRESCRIBE: NO
NEUROSURGERY
DINH, DZUNG H., MD
GENDER: M
NPI #: 1679513642
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
719 N WILLIAM KUMPF
BLVD SUITE 100
PEORIA, IL 61605
PHONE: (309) 676-0766
E-PRESCRIBE: NO
ELWOOD, PATRICK W., MD
GENDER: M
NPI #: 1003861634
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
719 N WILLIAM KUMPF
BLVD SUITE 100
PEORIA, IL 61605
PHONE: (309) 676-0766
E-PRESCRIBE: NO
KLOPFENSTEIN, JEFFERY D.,
MD
GENDER: M
NPI #: 1578508354
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
719 N WILLIAM KUMPF
BLVD SUITE 100
PEORIA, IL 61605
PHONE: (309) 676-0766
E-PRESCRIBE: NO
LIN, JULIAN J., MD
GENDER: M
NPI #: 1437104593
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
719 N WILLIAM KUMPF
BLVD SUITE 100
PEORIA, IL 61605
PHONE: (309) 676-0766
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
MCCALL, TODD D., MD
GENDER: M
NPI #: 1508054297
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
5401 N KNOXVILLE AVE
SUITE 216
PEORIA, IL 61614
PHONE: (309) 692-1016
E-PRESCRIBE: NO
719 N WILLIAM KUMPF
BLVD SUITE 100
PEORIA, IL 61605
PHONE: (309) 676-0766
E-PRESCRIBE: NO
TRACY, PATRICK T., MD
GENDER: M
NPI #: 1750336889
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
719 N WILLIAM KUMPF
BLVD SUITE 100
PEORIA, IL 61605
PHONE: (309) 676-0766
E-PRESCRIBE: NO
Specialty Care Providers
GEOFFROY, FRANCOIS J.,
MD
GENDER: M
NPI #: 1871593434
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: YES
LIU, JIJUN J., MD
GENDER: F
NPI #: 1043474042
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: NO
PRAGER, DIANE J., MD
GENDER: F
NPI #: 1003883562
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: YES
TSUNG, ANDREW J., MD
GENDER: M
NPI #: 1760685390
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
719 N WILLIAM KUMPF
BLVD SUITE 100
PEORIA, IL 61605
PHONE: (309) 676-0766
E-PRESCRIBE: NO
VEEDER, MICHAEL H., MD
GENDER: M
NPI #: 1568463305
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: YES
ONCOLOGY
ALLEN, QUENTIN B., MD
GENDER: M
NPI #: 1164483301
ILLINOIS EYE CENTER
8921 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-2400
E-PRESCRIBE: NO
BAJAJ, MADHURI, MD
GENDER: F
NPI #: 1699883595
ILLINOIS CANCERCARE
8940 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-3000
E-PRESCRIBE: NO
OPHTHALMOLOGY
APRAHAMIAN, ARA D., MD
GENDER: M
NPI #: 1528015013
GAILEY EYE CLINIC
4927 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 692-8460
E-PRESCRIBE: NO
BARBA, KENNETH R., MD
GENDER: M
NPI #: 1265473706
GAILEY EYE CLINIC
4927 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 692-8460
E-PRESCRIBE: NO
BHATIA, SUMIT P., MD
GENDER: M
NPI #: 1780670596
GAILEY EYE CLINIC
4927 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 692-8460
E-PRESCRIBE: NO
BOND, WILLIAM I., MD
GENDER: M
NPI #: 1184653644
BOND EYE ASSOCIATES
6800 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 692-2020
E-PRESCRIBE: NO
CUITE, CATHERINE E., MD
GENDER: F
NPI #: 1679560221
ILLINOIS EYE CENTER
8921 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-2400
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
320
Specialty Care Providers
PEORIA, IL
PEORIA, IL
DELENGOCKY, TAYSON, DO
GENDER: M
NPI #: 1164637153
BOND EYE ASSOCIATES
6800 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 692-2020
E-PRESCRIBE: NO
HEYDE, RAYMOND R., MD
GENDER: M
NPI #: 1861484263
THE HEYDE EYE CENTER
400 ST MARKS COURT
PEORIA, IL 61603
PHONE: (309) 674-1234
E-PRESCRIBE: YES
LEE, ROBERT M., MD
GENDER: M
NPI #: 1699716118
GAILEY EYE CLINIC
4927 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 692-8460
E-PRESCRIBE: NO
EKONG, ANTHONY S., MD
GENDER: M
NPI #: 1336171875
ILLINOIS RETINA INSTITUTE
5016 N UNIVERSITY ST
SUITE 106
PEORIA, IL 61614
PHONE: (309) 589-1880
E-PRESCRIBE: YES
KISHORE, KAMAL, MD
GENDER: M
NPI #: 1215059977
ILLINOIS RETINA INSTITUTE
5016 N UNIVERSITY ST
SUITE 106
PEORIA, IL 61614
PHONE: (309) 589-1880
E-PRESCRIBE: YES
LICHTENSTEIN, STEVEN J.,
MD
GENDER: M
NPI #: 1093702649
ILLINOIS EYE CENTER
8921 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-2400
E-PRESCRIBE: NO
HALPERIN, GREGORY I., MD
GENDER: M
NPI #: 1760423206
GAILEY EYE CLINIC
4927 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 692-8460
E-PRESCRIBE: NO
HAN, MIN-KYU, MD
GENDER: M
NPI #: 1912901877
ILLINOIS EYE CENTER
8921 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-2400
E-PRESCRIBE: NO
HARMAN, JOSEPH G., MD
GENDER: M
NPI #: 1942241484
GAILEY EYE CLINIC
4927 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 692-8460
E-PRESCRIBE: NO
321
OSF SAINT FRANCIS
MEDICAL CENTER
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-2000
E-PRESCRIBE: NO
OSF SAINT FRANCIS
MEDICAL CENTER
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-2000
E-PRESCRIBE: NO
KOLETTIS, YANNIS N., MD
GENDER: M
NPI #: 1922095579
ILLINOIS EYE CENTER
8921 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-2400
E-PRESCRIBE: YES
MEHTA, JAY, MD
GENDER: M
NPI #: 1417905456
BOND EYE ASSOCIATES
6800 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 692-2020
E-PRESCRIBE: NO
LAGOUROS, PARASHOS A.,
MD
GENDER: M
NPI #: 1245227883
ILLINOIS EYE CENTER
8921 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-2400
E-PRESCRIBE: NO
MYERS, CLIFFORD E., MD
GENDER: M
NPI #: 1356320253
5401 N KNOXVILLE AVE
SUITE 106
PEORIA, IL 61614
PHONE: (309) 693-2710
E-PRESCRIBE: NO
OSF SAINT FRANCIS
MEDICAL CENTER
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-2000
E-PRESCRIBE: NO
OESTER, ALAN E., MD
GENDER: M
NPI #: 1750503819
GAILEY EYE CLINIC
4927 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 692-8460
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
Specialty Care Providers
QURAISHI, SABA, MD
GENDER: F
NPI #: 1801005384
BOND EYE ASSOCIATES
6800 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 692-2020
E-PRESCRIBE: NO
SICHER, STEVEN E., MD
GENDER: M
NPI #: 1891782439
ILLINOIS EYE CENTER
8921 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-2400
E-PRESCRIBE: NO
REDDY, CHITTARANJAN V.,
MD
GENDER:
NPI #: 1992737084
OSF SAINT FRANCIS
MEDICAL CENTER
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-2000
E-PRESCRIBE: NO
VAHEY, JEAN B., MD
GENDER: F
NPI #: 1407843055
ILLINOIS EYE CENTER
8921 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-2400
E-PRESCRIBE: NO
RETINA CONSULTANTS OF
CENTRAL ILLINOIS
3310 CHARTWELL RD SUITE
101
PEORIA, IL 61614
PHONE: (309) 693-2249
E-PRESCRIBE: NO
REDDY, CHITTARANJAN, MD
GENDER: M
NPI #: 1992737084
BOND EYE ASSOCIATES
6800 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 692-2020
E-PRESCRIBE: NO
RHODE, JOHN P., MD
GENDER: M
NPI #: 1235126897
ILLINOIS EYE CENTER
8921 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-2400
E-PRESCRIBE: NO
OSF SAINT FRANCIS
MEDICAL CENTER
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-2000
E-PRESCRIBE: NO
WILLI, MARTHA, MD
GENDER: F
NPI #: 1558349001
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
WYMAN, THOMAS M., MD
GENDER: M
NPI #: 1245227669
ILLINOIS EYE CENTER
8921 N WOOD SAGE RD
PEORIA, IL 61615
PHONE: (309) 243-2400
E-PRESCRIBE: YES
ORTHOPAEDICS
AKESON, JEFFREY W., MD
GENDER: M
NPI #: 1356342257
MIDWEST ORTHOPAEDIC
CENTER
6000 N ALLEN RD
PEORIA, IL 61614
PHONE: (309) 691-1400
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
507 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 681-6960
E-PRESCRIBE: NO
DSOUZA, NIRAIN A., MD
GENDER: M
NPI #: 1295736106
MIDWEST ORTHOPAEDIC
CENTER
6000 N ALLEN RD
PEORIA, IL 61614
PHONE: (309) 691-1400
E-PRESCRIBE: NO
GIBBONS, MICHAEL J., MD
GENDER: M
NPI #: 1407857311
MIDWEST ORTHOPAEDIC
CENTER
6000 N ALLEN RD
PEORIA, IL 61614
PHONE: (309) 691-1400
E-PRESCRIBE: NO
JOHNSON, BRENT C., MD
GENDER: M
NPI #: 1003817792
MIDWEST ORTHOPAEDIC
CENTER
6000 N ALLEN RD
PEORIA, IL 61614
PHONE: (309) 691-1400
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
322
Specialty Care Providers
PEORIA, IL
PEORIA, IL
MAHONEY, JOHN D., MD
GENDER: M
NPI #: 1093767659
MIDWEST ORTHOPAEDIC
CENTER
6000 N ALLEN RD
PEORIA, IL 61614
PHONE: (309) 691-1400
E-PRESCRIBE: NO
WILLIAMS, JAMES R., MD
GENDER: M
NPI #: 1104812155
MIDWEST ORTHOPAEDIC
CENTER
6000 N ALLEN RD
PEORIA, IL 61614
PHONE: (309) 691-1400
E-PRESCRIBE: NO
MERKLEY, MICHAEL S., MD
GENDER: M
NPI #: 1114928942
MIDWEST ORTHOPAEDIC
CENTER
6000 N ALLEN RD
PEORIA, IL 61614
PHONE: (309) 691-1400
E-PRESCRIBE: NO
OTOLARYNGOLOGY
HERTENSTEIN, JAMES C.,
MD
GENDER: M
NPI #: 1295707578
MIDWEST EAR NOSE &
THROAT ASSOCIATES
8600 N STATE ROUTE 91
SUITE 300
PEORIA, IL 61615
PHONE: (309) 691-6616
E-PRESCRIBE: YES
GERAGHTY, JAMES A., MD
GENDER: M
NPI #: 1417928128
PEORIA EAR NOSE &
THROAT GROUP
7301 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 589-5900
E-PRESCRIBE: NO
KLEMENS, JAMES J., MD
GENDER: M
NPI #: 1508065558
PEORIA EAR NOSE &
THROAT GROUP
7301 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 589-5900
E-PRESCRIBE: NO
GOOTEE, MICHAEL J., MD
GENDER: M
NPI #: 1720050982
MIDWEST EAR NOSE &
THROAT ASSOCIATES
8600 N STATE ROUTE 91
SUITE 300
PEORIA, IL 61615
PHONE: (309) 691-6616
E-PRESCRIBE: YES
LANSFORD, CHRISTOPHER
D., MD
GENDER: M
NPI #: 1336181189
PEORIA EAR NOSE &
THROAT GROUP
7301 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 589-5900
E-PRESCRIBE: NO
HENDRICKER, RYAN M., MD
GENDER: M
NPI #: 1316163066
MIDWEST EAR NOSE &
THROAT ASSOCIATES
8600 N STATE ROUTE 91
SUITE 300
PEORIA, IL 61615
PHONE: (309) 691-6616
E-PRESCRIBE: NO
PARRISH, ROBERT, MD
GENDER: M
NPI #: 1184696460
MIDWEST EAR NOSE &
THROAT ASSOCIATES
8600 N STATE ROUTE 91
SUITE 300
PEORIA, IL 61615
PHONE: (309) 691-6616
E-PRESCRIBE: YES
MULCONREY, DANIEL S., MD
GENDER: M
NPI #: 1710914064
MIDWEST ORTHOPAEDIC
CENTER
6000 N ALLEN RD
PEORIA, IL 61614
PHONE: (309) 691-1400
E-PRESCRIBE: NO
MULVEY, THOMAS J., MD
GENDER: M
NPI #: 1174519219
MIDWEST ORTHOPAEDIC
CENTER
6000 N ALLEN RD
PEORIA, IL 61614
PHONE: (309) 691-1400
E-PRESCRIBE: NO
OLEARY, PATRICK T., MD
GENDER: M
NPI #: 1841314556
MIDWEST ORTHOPAEDIC
CENTER
6000 N ALLEN RD
PEORIA, IL 61614
PHONE: (309) 691-1400
E-PRESCRIBE: NO
323
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
PUTMAN III, HARRISON C.,
MD
GENDER: M
NPI #: 1477524171
FACIAL PLASTIC & LASER
SURGERY CENTER LLC
7301 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 589-3223
E-PRESCRIBE: NO
URETZKY, IRA D., MD
GENDER:
NPI #: 1013916428
PEORIA EAR NOSE &
THROAT GROUP
7301 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 589-5900
E-PRESCRIBE: YES
VIDAS, MICHAEL C., MD
GENDER: M
NPI #: 1083685515
PEORIA EAR NOSE &
THROAT GROUP
7301 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 589-5900
E-PRESCRIBE: YES
PAIN MANAGEMENT
BAHA, A GHAFOOR, MD
GENDER: M
NPI #: 1134118128
ILLINOIS NEUROLOGICAL
INSTITUTE PHYSICIANS LLC
719 N WILLIAM KUMPF
BLVD SUITE 100
PEORIA, IL 61605
PHONE: (309) 676-0766
E-PRESCRIBE: NO
Specialty Care Providers
BENYAMIN, RAMSIN, MD
GENDER: M
NPI #: 1215924410
MILLENNIUM PAIN CENTER
LLC
900 MAIN ST SUITE 780
PEORIA, IL 61602
PHONE: (309) 672-5950
E-PRESCRIBE: NO
BROADNAX, JOHN, MD
GENDER: M
NPI #: 1457409104
MILLENNIUM PAIN CENTER
LLC
900 MAIN ST SUITE 780
PEORIA, IL 61602
PHONE: (309) 672-5950
E-PRESCRIBE: NO
FEATHER, GLEN N., DO
GENDER: M
NPI #: 1962492900
ILLINOIS REGIONAL PAIN
INSTITUTE SC
5401 N KNOXVILLE AVE
SUITE 416
PEORIA, IL 61614
PHONE: (309) 692-7246
E-PRESCRIBE: NO
HENRY, KEVIN M., MD
GENDER: M
NPI #: 1063490183
ILLINOIS REGIONAL PAIN
INSTITUTE SC
5401 N KNOXVILLE AVE
SUITE 416
PEORIA, IL 61614
PHONE: (309) 692-7246
E-PRESCRIBE: NO
REHMAN, ATIQ U., MD
GENDER: M
NPI #: 1457373730
MILLENNIUM PAIN CENTER
LLC
900 MAIN ST SUITE 780
PEORIA, IL 61602
PHONE: (309) 672-5950
E-PRESCRIBE: NO
VALLEJO, RICARDO, MD
GENDER: M
NPI #: 1669469706
MILLENNIUM PAIN
900 MAIN ST #780
PEORIA, IL 61602
PHONE:
E-PRESCRIBE: NO
PEDIATRIC ALLERGY/
IMMUNOLOGY
ARNETT, KENNETH L., MD
GENDER: M
NPI #: 1437249760
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE L-01
PEORIA, IL 61603
PHONE: (309) 655-4184
E-PRESCRIBE: NO
PEDIATRIC CARDIOLOGY
ALBERS, WILLIAM, MD
GENDER: M
NPI #: 1982798146
OSF CONGENITAL HEART
CENTER
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
BASH, STEPHEN E., MD
GENDER: M
NPI #: 1417041666
CHILDRENS HOSPITAL OF
ILLINOIS MEDICAL GROUP
420 NE GLEN OAK AVE
SUITE 304
PEORIA, IL 61637
PHONE: (309) 655-3453
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
324
Specialty Care Providers
BRAMLET, MATTHEW T., MD
GENDER: M
NPI #: 1164689428
OSF CONGENITAL HEART
CENTER
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
PATEL, PRITI M., MD
GENDER: F
NPI #: 1740483627
OSF CONGENITAL HEART
CENTER
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
CHAN, DAVID P., MD
GENDER: M
NPI #: 1427057595
OSF CONGENITAL HEART
CENTER
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
SHAH, JITENDRA, MD
GENDER: M
NPI #: 1619061827
OSF CONGENITAL HEART
CENTER
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
HASSELMAN, TY E., MD
GENDER: M
NPI #: 1861438434
OSF CONGENITAL HEART
CENTER
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
ZIMMERMAN, FRANK J., MD
GENDER: M
NPI #: 1174673123
OSF CONGENITAL HEART
CENTER
420 NE GLEN OAK SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
KULIKOWSKA, AGNIESZKA,
MD
GENDER: F
NPI #: 1518132968
OSF CONGENITAL HEART
CENTER
420 NE GLEN OAK AVE
SUITE 301
PEORIA, IL 61603
PHONE: (309) 655-3453
E-PRESCRIBE: NO
MENESES PAZ, JUAN C., MD
GENDER: M
NPI #: 1215154943
U OF I MEDICAL SERVICE
PLAN
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 655-2250
E-PRESCRIBE: NO
325
PEDIATRIC CRITICAL CARE
PEORIA, IL
PEORIA, IL
PEDIATRIC DEVELOPMENT
LINDSAY, RONALD, MD
GENDER: M
NPI #: 1568571479
U OF I COLLEGE OF
MEDICINE
507 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 681-6960
E-PRESCRIBE: NO
MORGAN, ANDREW, MD
GENDER: M
NPI #: 1104895788
U OF I COLLEGE OF
MEDICINE
507 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 681-6960
E-PRESCRIBE: NO
PEDIATRIC
ENDOCRINOLOGY
AGUIRRE-CASTANEDA,
ROXANA L., MD
GENDER: F
NPI #: 1871755298
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
BENAVIDES-LOPEZ, VALERIA
C., MD
GENDER: F
NPI #: 1043487192
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
FLORES, MAURICIO E., MD
GENDER: M
NPI #: 1255505285
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
GONZALEZ-AGUILAR,
ALEXANDRA, MD
GENDER: F
NPI #: 1336316421
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
SAUDER, SUE, MD
GENDER: F
NPI #: 1710955885
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
WISE, JOYCE, MD
GENDER: F
NPI #: 1073582870
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
507 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 681-6960
E-PRESCRIBE: NO
Specialty Care Providers
PEDIATRIC
GASTROENTEROLOGY
PEDIATRIC INFECTIOUS
DISEASES
KANG, IAN K., MD
GENDER: M
NPI #: 1699856450
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
GRAY, BARRY, MD
GENDER: M
NPI #: 1396714069
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
MULLETT, CHRISTOPHER T.,
DO
GENDER: M
NPI #: 1306806518
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
PEDIATRIC NEPHROLOGY
YASEEN, MOHAMMAD, MD
GENDER: M
NPI #: 1437151693
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
PEDIATRIC HEMATOLOGY
TARANTINO, MICHAEL D.,
MD
GENDER: M
NPI #: 1396731063
BLEEDING & CLOTTING
DISORDERS INSTITUTE
6811 N KNOXVILLE AVE
SUITE A
PEORIA, IL 61614
PHONE: (309) 692-5337
E-PRESCRIBE: NO
GORDILLO PEREZ,
ROBERTO, MD
GENDER: M
NPI #: 1407084759
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 655-4242
E-PRESCRIBE: NO
LANGSTON, JENNIFER M.,
MD
GENDER: F
NPI #: 1063675106
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 655-4242
E-PRESCRIBE: NO
PARKER, WILLIAM I., MD
GENDER: M
NPI #: 1366511990
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
326
Specialty Care Providers
PEDIATRIC NEUROLOGY
ZELAYA, BLAS M., MD
GENDER: M
NPI #: 1295704468
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
JENNINGS, MARK, MD
GENDER: M
NPI #: 1356315246
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
PEDIATRIC ONCOLOGY/
HEMATOLOGY
SHI, FENGLIN, MD
GENDER: M
NPI #: 1316111305
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
STRANDJORD, SARAH, MD
GENDER: F
NPI #: 1841340767
U OF I COLLEGE OF
MEDICINE
530 NE GLEN OAK AVE
PEORIA, IL 61603
PHONE: (309) 624-4945
E-PRESCRIBE: NO
TAFT, WILLIAM C., MD
GENDER: M
NPI #: 1851460497
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
PEDIATRIC PLASTIC
SURGERY
TWANOW, JAIME-DAWN E.,
MD
GENDER: F
NPI #: 1558447870
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
327
ELWOOD, ERIC T., MD
GENDER: M
NPI #: 1033151162
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
PEDIATRIC PULMONOLOGY
BENSON, JEFFREY C., MD
GENDER: M
NPI #: 1851342208
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
PEDIATRIC SURGERY
APRAHAMIAN, CHARLES J.,
MD
GENDER: M
NPI #: 1033323902
CHILDRENS MEDICAL
GROUP PEDIATRIC
SURGERY
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (309) 655-2343
E-PRESCRIBE: NO
BROWNE, ALLEN F., MD
GENDER: M
NPI #: 1003865031
CHILDRENS MEDICAL
GROUP-PEDIATRIC
SURGERY
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (309) 655-2343
E-PRESCRIBE: NO
HOLTERMAN, AI-XUAN L., MD
GENDER: F
NPI #: 1649228032
CHILDRENS MEDICAL
GROUP PEDIATRIC
SURGERY
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (309) 655-2343
E-PRESCRIBE: NO
HOLTERMAN, MARK J., MD
GENDER: M
NPI #: 1033168273
CHILDRENS MEDICAL
GROUP PEDIATRIC
SURGERY
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (309) 655-2343
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
PEARL, RICHARD H., MD
GENDER: M
NPI #: 1457389272
CHILDRENS MEDICAL
GROUP-PEDIATRIC
SURGERY
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (309) 655-3800
E-PRESCRIBE: NO
YANG, EDWARD Y., MD
GENDER: M
NPI #: 1629165741
CHILDRENS MEDICAL
GROUP PEDIATRIC
SURGERY
420 NE GLEN OAK AVE
SUITE 201
PEORIA, IL 61603
PHONE: (309) 655-2343
E-PRESCRIBE: NO
PERINATOLOGY
GROSS, THOMAS L., MD
GENDER: M
NPI #: 1912083601
OSF PERINATAL
ASSOCIATES LLC
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 624-7811
E-PRESCRIBE: NO
LEONARDI, MICHAEL R., MD
GENDER: M
NPI #: 1033295738
OSF PERINATAL
ASSOCIATES LLC
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 624-7811
E-PRESCRIBE: NO
Specialty Care Providers
OSF SISTERS COMMUNITY
HEALTH CARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
RENFROE, YOLANDA R., MD
GENDER: M
NPI #: 1518043280
OSF PERINATAL
ASSOCIATES LLC
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 624-7811
E-PRESCRIBE: NO
OSF SISTERS COMMUNITY
HEALTH CARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
PHYSICAL MEDICINE/
REHABILITATION
LI, YIBING, MD
GENDER: F
NPI #: 1013923929
CENTER FOR PAIN
MANAGEMENT &
REHABILITATION
5401 N KNOXVILLE AVE
SUITE 117
PEORIA, IL 61614
PHONE: (309) 689-8888
E-PRESCRIBE: NO
REDDY, SAVITHA S., MD
GENDER: M
NPI #: 1841208568
OSF MEDICAL GROUP
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 624-8550
E-PRESCRIBE: NO
REDDY, SAVITHA, MD
GENDER: M
NPI #: 1841208568
U OF I COLLEGE OF
MEDICINE
507 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 681-6960
E-PRESCRIBE: NO
RUSSO, FRANK, MD
GENDER: M
NPI #: 1669537155
INSTITUTE OF PHYSICAL
MEDICINE & REHAB/IPMR
6501 N SHERIDAN RD
PEORIA, IL 61614
PHONE: (309) 692-8110
E-PRESCRIBE: NO
SNYDER, LISA, MD
GENDER: F
NPI #: 1790715092
INSTITUTE OF PHYSICAL
MEDICINE & REHAB/IPMR
6501 N SHERIDAN RD
PEORIA, IL 61614
PHONE: (309) 692-8670
E-PRESCRIBE: NO
719 N WILLIAM KUMPF
BLVD
PEORIA, IL 61605
PHONE: (309) 671-2950
E-PRESCRIBE: NO
STEDWILL, JEFFREY E., MD
GENDER: M
NPI #: 1497775373
OSF MEDICAL GROUP
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 624-8550
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
328
Specialty Care Providers
SUREKA, AMOD O., MD
GENDER:
NPI #: 1548291750
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
719 N WILLIAM KUMPF
BLVD SUITE 100
PEORIA, IL 61605
PHONE: (309) 676-0766
E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE
SURGERY
MIDWEST ORTHOPAEDIC
CENTER
6000 N ALLEN RD
PEORIA, IL 61614
PHONE: (309) 691-1400
E-PRESCRIBE: NO
SUREKA, OMPRAKASH, MD
GENDER: M
NPI #: 1518902469
INSTITUTE OF PHYSICAL
MEDICINE & REHAB/IPMR
6501 N SHERIDAN RD
PEORIA, IL 61614
PHONE: (309) 692-8670
E-PRESCRIBE: NO
719 N WILLIAM KUMPF
BLVD
PEORIA, IL 61605
PHONE: (309) 671-2950
E-PRESCRIBE: NO
TRUONG, XUAN T., MD
GENDER: M
NPI #: 1134190028
5401 N KNOXVILLE AVE
SUITE 217
PEORIA, IL 61614
PHONE: (309) 693-3297
E-PRESCRIBE: NO
329
ZHOU, JIANXUN, MD
GENDER: M
NPI #: 1952560500
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
719 N WILLIAM KUMPF
BLVD SUITE 100
PEORIA, IL 61605
PHONE: (309) 676-0766
E-PRESCRIBE: NO
CORLEY, RICHARD D., MD
GENDER: M
NPI #: 1801914882
416 ST MARKS COURT SUITE
106
PEORIA, IL 61603
PHONE: (309) 674-2822
E-PRESCRIBE: NO
HANSEN, REID H., MD
GENDER: M
NPI #: 1861490260
900 MAIN ST SUITE 500
PEORIA, IL 61602
PHONE: (309) 637-3500
E-PRESCRIBE: NO
JEFFRIES III, JAMES M., MD
GENDER: M
NPI #: 1073655676
SODERSTROM SKIN
INSTITUTE
4909 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 691-7546
E-PRESCRIBE: YES
JONES, GLYN E., MD
GENDER: M
NPI #: 1366462475
PEORIA SURGICAL GROUP
LTD
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
LOMAX, JOHN E., MD
GENDER: M
NPI #: 1417923517
SODERSTROM
DERMATOLOGY CENTER
4909 N GLEN PARK PLACE
PEORIA, IL 61614
PHONE: (309) 674-7546
E-PRESCRIBE: NO
PUTMAN III, HARRISON C.,
MD
GENDER: M
NPI #: 1477524171
FACIAL PLASTIC & LASER
SURGERY CENTER LLC
7301 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 589-3223
E-PRESCRIBE: NO
RASHID, KHURRAM, MD
GENDER:
NPI #: 1790924488
FACIAL PLASTICS AND
LASER SURGERY CENTER
LLC
7301 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 589-3223
E-PRESCRIBE: NO
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: YES
SHERIDAN, JAMES M., MD
GENDER: M
NPI #: 1326013954
MID ILLINI SURGICAL
ASSOCIATES
900 MAIN ST SUITE 530
PEORIA, IL 61602
PHONE: (309) 672-5975
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
PODIATRY
BRATTAIN, T KEVIN, DPM
GENDER: M
NPI #: 1285613463
ILLINOIS VALLEY
PODIATRY GROUP PC
3322 W WILLOW KNOLLS DR
PEORIA, IL 61614
PHONE: (309) 691-5800
E-PRESCRIBE: NO
DECEANNE, ANTHONY V.,
DPM
GENDER: M
NPI #: 1083613293
ACPM PODIATRY GROUP
LTD
5017 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 691-1589
E-PRESCRIBE: NO
KARAS, TODD J., DPM
GENDER: M
NPI #: 1023125127
ASSOCIATES OF STERLING
PODIATRY
4507 N STERLING SUITE 102
PEORIA, IL 61615
PHONE: (309) 272-7322
E-PRESCRIBE: NO
MAHONEY, ABIGAIL, DPM
GENDER: F
NPI #: 1710996103
HEARTLAND COMMUNITY
HEALTH CLINIC
1701 W GARDEN ST
PEORIA, IL 61605
PHONE: (309) 680-7600
E-PRESCRIBE: NO
Specialty Care Providers
PARRY, BRENT, DPM
GENDER: M
NPI #: 1891794004
ACPM PODIATRY GROUP
LTD
5017 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 691-1589
E-PRESCRIBE: NO
RUFF, JOHN, DPM
GENDER: M
NPI #: 1366440166
PEORIA PODIATRY GROUP
3322 W WILLOW KNOLLS DR
PEORIA, IL 61614
PHONE: (309) 691-1727
E-PRESCRIBE: NO
614 SPRING ST
PEORIA, IL 61614
PHONE: (309) 637-3668
E-PRESCRIBE: NO
RUSKUSKY, JEFFREY R.,
DPM
GENDER: M
NPI #: 1639129851
RUSKUSKY FOOT & ANKLE
CLINIC
8600 N STATE ROUTE 91
PEORIA, IL 61615
PHONE: (309) 691-2400
E-PRESCRIBE: NO
RUSKUSKY, JOHN L., DPM
GENDER: M
NPI #: 1114978574
OSF MEDICAL GROUP
5105 N GLEN PARK PLACE
RD
PEORIA, IL 61615
PHONE: (309) 683-8383
E-PRESCRIBE: NO
SMITH, MARK A., DPM
GENDER: M
NPI #: 1093885378
ILLINOIS VALLEY
PODIATRY GROUP PC
3322 W WILLOW KNOLLS DR
PEORIA, IL 61614
PHONE: (309) 691-5800
E-PRESCRIBE: NO
WARD, CURTIS L., DPM
GENDER: M
NPI #: 1114926748
ACPM PODIATRY GROUP
LTD
5017 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 691-1589
E-PRESCRIBE: NO
WHITE, SUZANNE S., DPM
GENDER: F
NPI #: 1033160437
RUSKUSKY FOOT & ANKLE
CLINIC
8600 N STATE ROUTE 91
PEORIA, IL 61615
PHONE: (309) 691-2400
E-PRESCRIBE: NO
PULMONOLOGY
AULAKH, BHAGAT S., MD
GENDER: M
NPI #: 1750420758
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61606
PHONE: (309) 672-5682
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
330
Specialty Care Providers
PEORIA, IL
PEORIA, IL
BALAGANI, RAJESH, DO
GENDER: M
NPI #: 1477754927
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61602
PHONE: (309) 672-5682
E-PRESCRIBE: YES
MICHEL, JON C., MD
GENDER: M
NPI #: 1437244555
ILLINOIS LUNG & CRITICAL
CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61606
PHONE: (309) 672-5682
E-PRESCRIBE: NO
TANEJA, DEEPAK, MD
GENDER: M
NPI #: 1841492394
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61606
PHONE: (309) 672-5682
E-PRESCRIBE: NO
CHITTIVELU,
SUBRAMANYAM, MD
GENDER: M
NPI #: 1932195880
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61602
PHONE: (309) 672-5682
E-PRESCRIBE: YES
PEIL, MICHAEL, MD
GENDER: M
NPI #: 1821084567
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61602
PHONE: (309) 672-5682
E-PRESCRIBE: YES
TAYLOR, BERNARD G., MD
GENDER: M
NPI #: 1558334557
CENTRAL IL PULMONARY &
CRITICAL CARE
ASSOCIATES
5401 N KNOXVILLE AVE
SUITE 220
PEORIA, IL 61603
PHONE: (309) 692-0422
E-PRESCRIBE: NO
CRABB, JEREMIAH, MD
GENDER: M
NPI #: 1073509824
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61602
PHONE: (309) 672-5682
E-PRESCRIBE: YES
IKLADIOS, OSSAMA I., MD
GENDER: M
NPI #: 1316991193
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61606
PHONE: (309) 672-5682
E-PRESCRIBE: NO
MCVAY, BRYAN P., DO
GENDER: M
NPI #: 1073714176
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61606
PHONE: (309) 672-5682
E-PRESCRIBE: NO
331
PINTO, SHAILESH C., MD
GENDER: M
NPI #: 1750447157
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61606
PHONE: (309) 672-5682
E-PRESCRIBE: NO
SAUDER, W ANTHONY, MD
GENDER: M
NPI #: 1649260076
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61602
PHONE: (309) 672-5682
E-PRESCRIBE: YES
SKILLRUD, DAVID, MD
GENDER: M
NPI #: 1568573764
CENTRAL IL PULMONARY &
CRITICAL CARE
ASSOCIATES
5401 N KNOXVILLE AVE
SUITE 220
PEORIA, IL 61614
PHONE: (309) 692-0422
E-PRESCRIBE: NO
TILLIS, WILLIAM P., MD
GENDER: M
NPI #: 1669468377
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61602
PHONE: (309) 672-5682
E-PRESCRIBE: YES
VERMA, KANINIKA, MD
GENDER: F
NPI #: 1265503429
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61606
PHONE: (309) 672-5682
E-PRESCRIBE: NO
WHITTEN, PATRICK E., MD
GENDER: M
NPI #: 1366438087
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61602
PHONE: (309) 672-5682
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
RADIATION ONCOLOGY
CARPENTER, MATTHEW, MD
GENDER: M
NPI #: 1043298334
CENTRAL ILLINOIS
RADIATION ONCOLOGY
PHYSICIANS
221 NE GLEN OAK AVE
PEORIA, IL 61636
PHONE: (309) 672-5700
E-PRESCRIBE: NO
CLAUSEN, CATHY L., MD
GENDER: F
NPI #: 1073526091
OSF MEDICAL GROUP
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 683-5000
E-PRESCRIBE: NO
OSF PROMPTCARE
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 655-2431
E-PRESCRIBE: NO
GRIFFIN, BRIAN P., MD
GENDER: M
NPI #: 1104921097
OSF MEDICAL GROUP
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 683-5000
E-PRESCRIBE: NO
OSF PROMPTCARE
5114 GLEN PARK PLACE RD
PEORIA, IL 61614
PHONE: (309) 655-2431
E-PRESCRIBE: NO
Specialty Care Providers
LAL, ROBY, DO
GENDER: F
NPI #: 1811983489
CENTRAL ILLINOIS
RADIATION ONCOLOGY
PHYSICIANS
221 NE GLEN OAK AVE
PEORIA, IL 61636
PHONE: (309) 672-5700
E-PRESCRIBE: NO
MCGEE, JAMES L., MD
GENDER: M
NPI #: 1245244862
OSF SAINT FRANCIS
MEDICAL CENTER
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 683-5000
E-PRESCRIBE: NO
SWAMINATHAN, REVATHI,
MD
GENDER: F
NPI #: 1841234929
CENTRAL ILLINOIS
RADIATION ONCOLOGY
PHYSICIANS
221 NE GLEN OAK AVE
PEORIA, IL 61636
PHONE: (309) 672-5700
E-PRESCRIBE: NO
WILKINS, WARREN, MD
GENDER: M
NPI #: 1255429494
CENTRAL ILLINOIS
RADIATION ONCOLOGY
PHYSICIANS
221 NE GLEN OAK AVE
PEORIA, IL 61636
PHONE: (309) 672-5700
E-PRESCRIBE: NO
ZALDUENDO, ANTHONY C.,
MD
GENDER: M
NPI #: 1205844602
OSF MEDICAL GROUP
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 683-5000
E-PRESCRIBE: NO
OSF PROMPTCARE
5114 N GLEN PARK PLACE
RD
PEORIA, IL 61614
PHONE: (309) 655-2431
E-PRESCRIBE: NO
RHEUMATOLOGY
ADHIKESAVAN, LEENA G.,
MD
GENDER: F
NPI #: 1689735201
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 101
PEORIA, IL 61603
PHONE: (309) 655-7900
E-PRESCRIBE: NO
AWADH, BASEM, MD
GENDER: M
NPI #: 1952346231
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 101
PEORIA, IL 61603
PHONE: (309) 655-7900
E-PRESCRIBE: NO
GETZ, MARK A., MD
GENDER: M
NPI #: 1477643708
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 101
PEORIA, IL 61603
PHONE: (309) 655-7900
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
332
PEORIA, IL
PEORIA, IL
Specialty Care Providers
HABAL, HANI, MD
GENDER: M
NPI #: 1912101684
OSF MEDICAL GROUPRHEUMATOLOGY
200 E PENNSYLVANIA AVE
SUITE 101
PEORIA, IL 61603
PHONE: (309) 655-7900
E-PRESCRIBE: NO
SLEEP MEDICINE
CHITTIVELU,
SUBRAMANYAM, MD
GENDER: M
NPI #: 1932195880
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61602
PHONE: (309) 672-5682
E-PRESCRIBE: YES
GLEASON, BRADLEY H., MD
GENDER: M
NPI #: 1659428464
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
530 NE GLEN OAK AVE 6TH
FLOOR
PEORIA, IL 61638
PHONE: (309) 624-9960
E-PRESCRIBE: NO
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
IKLADIOS, OSSAMA I., MD
GENDER: M
NPI #: 1316991193
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61606
PHONE: (309) 672-5682
E-PRESCRIBE: NO
333
TAYLOR, BERNARD G., MD
GENDER: M
NPI #: 1558334557
CENTRAL IL PULMONARY &
CRITICAL CARE
ASSOCIATES
5401 N KNOXVILLE AVE
SUITE 220
PEORIA, IL 61603
PHONE: (309) 692-0422
E-PRESCRIBE: NO
SPORTS MEDICINE
VERMA, KANINIKA, MD
GENDER: F
NPI #: 1265503429
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61606
PHONE: (309) 672-5682
E-PRESCRIBE: NO
THORACIC SURGERY
WHITTEN, PATRICK E., MD
GENDER: M
NPI #: 1366438087
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
1001 MAIN ST SUITE 200
PEORIA, IL 61602
PHONE: (309) 672-5682
E-PRESCRIBE: YES
ZALLEK, SARAH NATH, MD
GENDER: F
NPI #: 1467543942
ILLINOIS NEUROLOGICAL
INSTITUTE-PHYSICIANS LLC
530 NE GLEN OAK AVE 6TH
FLOOR
PEORIA, IL 61637
PHONE: (309) 624-9960
E-PRESCRIBE: NO
ROBERTS, BRAD C., DO
GENDER: M
NPI #: 1982627204
MIDWEST ORTHOPAEDIC
CENTER
6000 N ALLEN RD
PEORIA, IL 61614
PHONE: (309) 691-1400
E-PRESCRIBE: NO
CIABURRI, DANIEL G., MD
GENDER: M
NPI #: 1710002910
HEARTCARE MIDWEST
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
SAVAGE, DAVID H., MD
GENDER: M
NPI #: 1063449080
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
UROLOGY
BEWSEY, KELLY, MD
GENDER: F
NPI #: 1831198118
MIDWEST UROLOGICAL
GROUP
7309 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 673-7349
E-PRESCRIBE: NO
INI NEUROLOGY GROUP
100 NE RANDOLPH AVE
PEORIA, IL 61606
PHONE: (309) 624-8500
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PEORIA, IL
PEORIA, IL
DEBORD, ALAN B., MD
GENDER: M
NPI #: 1902864796
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 102
PEORIA, IL 61603
PHONE: (309) 655-2045
E-PRESCRIBE: NO
GRAMPSAS, SAMUEL A., MD
GENDER: M
NPI #: 1386618833
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 102
PEORIA, IL 61603
PHONE: (309) 655-2045
E-PRESCRIBE: NO
HUGGINS, MELISSA E., MD
GENDER: F
NPI #: 1740366178
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 102
PEORIA, IL 61603
PHONE: (309) 655-2045
E-PRESCRIBE: NO
5401 N KNOXVILLE AVE
SUITE 418
PEORIA, IL 61614
PHONE: (309) 683-6555
E-PRESCRIBE: NO
KENNY, JAMES N., MD
GENDER: M
NPI #: 1427032515
AFFILIATED UROLOGY
SPECIALISTS LTD
200 E PENNSYLVANIA AVE
SUITE 201
PEORIA, IL 61603
PHONE: (309) 655-7700
E-PRESCRIBE: NO
Specialty Care Providers
LONGEVIN, MICHAEL E., MD
GENDER: M
NPI #: 1205827136
5401 N KNOXVILLE AVE
SUITE 112
PEORIA, IL 61614
PHONE: (309) 692-5828
E-PRESCRIBE: NO
RASHID, THOMAS M., MD
GENDER: M
NPI #: 1992762892
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 102
PEORIA, IL 61603
PHONE: (309) 655-2045
E-PRESCRIBE: NO
REID, CHURPHENA A., MD
GENDER: F
NPI #: 1548297252
CHILDRENS HOSPITAL OF
IL-PEDIATRIC UROLOGY
1001 N MAIN ST SUITE 201
PEORIA, IL 61603
PHONE: (309) 495-0282
E-PRESCRIBE: NO
RHEE, BENJAMIN K., MD
GENDER: M
NPI #: 1922041938
CHILDRENS HOSPITAL OF
IL-PEDIATRIC UROLOGY
1001 N MAIN ST SUITE 201
PEORIA, IL 61606
PHONE: (309) 495-0282
E-PRESCRIBE: NO
OSF MEDICAL GROUP
200 E PENNSYLVANIA AVE
SUITE 102
PEORIA, IL 61603
PHONE: (309) 655-2045
E-PRESCRIBE: NO
VASCULAR SURGERY
ASH, JENNIFER L., MD
GENDER: F
NPI #: 1578761334
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
DEBORD, JAMES R., MD
GENDER: M
NPI #: 1649206533
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
HASANADKA,
RAVISHANKAR, MD
GENDER: M
NPI #: 1699858068
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
HUSSAIN, SYED, MD
GENDER: M
NPI #: 1245264324
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
MARSHALL, JOHN S., MD
GENDER: M
NPI #: 1366471997
PEORIA SURGICAL GROUP
1001 MAIN ST SUITE 300
PEORIA, IL 61606
PHONE: (309) 495-0200
E-PRESCRIBE: NO
5401 N KNOXVILLE AVE
SUITE 204
PEORIA, IL 61614
PHONE: (309) 691-2518
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
334
PEORIA, IL
PITTSFIELD, IL
Specialty Care Providers
RANA, NABEEL R., MD
GENDER: M
NPI #: 1306976048
HEARTCARE MIDWEST SC
5405 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-4410
E-PRESCRIBE: NO
WILLIAMS, JAMES B., MD
GENDER: M
NPI #: 1265433882
CARDIAC THORACIC &
ENDOVASCULAR
THERAPIES SC
2420 W NEBRASKA AVE
PEORIA, IL 61604
PHONE: (309) 680-5000
E-PRESCRIBE: NO
HORVATH, JEFFREY R., MD
GENDER: M
NPI #: 1588761811
SPRINGFIELD CLINIC
1 CENTRE DR
PETERSBURG, IL 62675
PHONE: (217) 632-7761
E-PRESCRIBE: YES
UROLOGY
SEVERINO, WILLIAM C., MD
GENDER: M
NPI #: 1659464493
SPRINGFIELD CLINIC
1 CENTRE DR
PETERSBURG, IL 62675
PHONE: (217) 632-7761
E-PRESCRIBE: YES
PEOTONE, IL
PITTSFIELD, IL
PODIATRY
GENERAL SURGERY
SERPE, JASON L., DPM
GENDER: M
NPI #: 1578660593
RIVERSIDE MEDICAL
CENTER OF PEOTONE
611 DIVISION ST
PEOTONE, IL 60468
PHONE: (708) 258-9058
E-PRESCRIBE: NO
ANSARI, ANSAR H., MD
GENDER: M
NPI #: 1356333033
623 W WASHINGTON ST
PITTSFIELD, IL 62363
PHONE: (217) 285-4414
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
PETERSBURG, IL
PODIATRY
SIKORSKI, MARTEN J., DPM
GENDER: M
NPI #: 1811081177
SPRINGFIELD CLINIC
1 CENTRE DR
PETERSBURG, IL 62675
PHONE: (217) 632-7761
E-PRESCRIBE: YES
335
RHEUMATOLOGY
ARRAMBIDE, KATHRYN, MD
GENDER: F
NPI #: 1518946508
640 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (217) 285-2113
E-PRESCRIBE: NO
EL KHOURY, CHRISTIAN A.,
MD
GENDER: M
NPI #: 1477694867
ILLINI COMMUNITY
HOSPITAL
640 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (217) 285-2113
E-PRESCRIBE: NO
SMITH, RAYMOND, MD
GENDER: M
NPI #: 1477526259
640 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (217) 285-2113
E-PRESCRIBE: NO
NEPHROLOGY
TANIOS, ROULA Y., MD
GENDER: F
NPI #:
640 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (217) 285-2113
E-PRESCRIBE: YES
ONCOLOGY
ALI, MUHAMMAD A., MD
GENDER:
NPI #: 1306826250
ILLINI COMMUNITY
HOSPITAL
640 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (217) 285-2113
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PITTSFIELD, IL
PONTIAC, IL
Specialty Care Providers
PODIATRY
UROLOGY
PODIATRY
FREEL, DOUGLAS J., DPM
GENDER: M
NPI #: 1184614653
MIDWEST FOOT & ANKLE
SPECIALISTS
640 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (866) 323-3668
E-PRESCRIBE: NO
OHALLORAN, RICHARD L.,
MD
GENDER: M
NPI #: 1528143971
ILLINI COMMUNITY
HOSPITAL
640 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (217) 285-2113
E-PRESCRIBE: YES
BASILE, PAUL T., DPM
GENDER: M
NPI #: 1417951898
SURBURBAN FOOT AND
ANKLE ASSOCIATES
15724 S ROUTE 59 UNIT 100
PLAINFIELD, IL 60544
PHONE: (815) 741-7590
E-PRESCRIBE: NO
HANZEL, DUANE A., DPM
GENDER: M
NPI #: 1467442251
ILLINI COMMUNITY
HOSPITAL
640 W WASHINGTON ST
PITTSFIELD, IL 62363
PHONE: (217) 285-2113
E-PRESCRIBE: NO
HANZEL, DUANE, DPM
GENDER: M
NPI #: 1467442251
MIDWEST FOOT & ANKLE
SPECIALISTS
640 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (866) 323-3668
E-PRESCRIBE: NO
PULMONOLOGY
REDDY, VENU, MD
GENDER:
NPI #:
640 W WASHINGTON
PITTSFIELD, IL 62363
PHONE: (217) 285-2113
E-PRESCRIBE: NO
PLAINFIELD, IL
ORTHOPAEDICS
PULLURU, RAGHU R., MD
GENDER: M
NPI #: 1447269915
REZIN ORTHOPEDICS &
SPORTS MEDICINE
157222 S ROUTE 59 BLDG 140
PLAINFIELD, IL 60544
PHONE: (815) 577-1119
E-PRESCRIBE: NO
TREACY, STEPHEN H., MD
GENDER: M
NPI #: 1215946744
REZIN ORTHOPEDICS &
SPORTS MEDICINE
157222 S ROUTE 59 BLDG 140
PLAINFIELD, IL 60544
PHONE: (815) 577-1119
E-PRESCRIBE: NO
PHYSICAL MEDICINE/
REHABILITATION
FRANKLIN, JASON T., DO
GENDER: M
NPI #: 1588673032
REZIN ORTHOPEDICS &
SPORTS MEDICINE
157222 S ROUTE 59 BLDG 140
PLAINFIELD, IL 60544
PHONE: (815) 577-1119
E-PRESCRIBE: NO
VOHRA, PRAVEEN K., DPM
GENDER: M
NPI #: 1437113461
FOOT & ANKLE SPECIALISTS
PC
24039 W LOCKPORT ST
PLAINFIELD, IL 60544
PHONE: (815) 254-3338
E-PRESCRIBE: NO
PONTIAC, IL
CARDIOLOGY
BRAASTAD, ROBERT A., MD
GENDER: M
NPI #: 1487619573
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS SUITE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
GANDHI, SIDDHARTH J., MD
GENDER: M
NPI #: 1831226042
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS SUITE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
336
PONTIAC, IL
PONTIAC, IL
Specialty Care Providers
HSU, MARK, MD
GENDER: M
NPI #: 1376573428
HEARTCARE MIDWEST SC
2500 REYNOLDS ST
PONTIAC, IL 61764
PHONE: (309) 663-9800
E-PRESCRIBE: NO
NOVAK, WILLIAM V., MD
GENDER: M
NPI #: 1740367895
HEARTCARE MIDWEST SC
2500 REYNOLDS ST
PONTIAC, IL 61764
PHONE: (309) 663-9800
E-PRESCRIBE: NO
JARZABKOWSKI, DORY, DO
GENDER: F
NPI #: 1083651939
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS SUITE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
SHAH, SAMIR H., MD
GENDER: M
NPI #: 1720028632
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS SUITE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
MALIK, MUHAMMAD, MD
GENDER: M
NPI #: 1447284864
HEARTCARE MIDWEST SC
2500 REYNOLDS ST
PONTIAC, IL 61764
PHONE: (309) 663-9800
E-PRESCRIBE: NO
TEMIYASATHIT, THANOM,
MD
GENDER: M
NPI #: 1023041175
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS SUITE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
MCCRISKIN, JAMES, DO
GENDER: M
NPI #: 1700826617
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS SUITE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
MCELROY, DONALD B., MD
GENDER: M
NPI #: 1598799926
HEARTCARE MIDWEST SC
2500 REYNOLDS ST
PONTIAC, IL 61764
PHONE: (309) 663-9800
E-PRESCRIBE: NO
337
TUMILTY, BETH L., DO
GENDER: F
NPI #: 1033159959
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS SUITE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
WERAARCHAKUL, WITOON,
MD
GENDER: M
NPI #: 1366494544
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS STE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
COLON/RECTAL SURGERY
BONELLO, JULIUS C., MD
GENDER: M
NPI #: 1093751257
OSF MEDICAL GROUPGENERAL SURGERY
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-5343
E-PRESCRIBE: NO
DERMATOLOGY
LEONE, DOUGLAS M., MD
GENDER: M
NPI #: 1255523296
DERMATOLOGY & MOHS
SURGERY INSTITUTE LTD
1508 REYNOLDS DR
PONTIAC, IL 61764
PHONE: (815) 842-4000
E-PRESCRIBE: NO
GENERAL SURGERY
CRAWFORD, DAVID L., MD
GENDER: M
NPI #: 1306874128
OSF MEDICAL GROUPGENERAL SURGERY
2500 W REYNOLD ST
PONTIAC, IL 61764
PHONE: (815) 844-5343
E-PRESCRIBE: NO
DEBORD, JAMES R., MD
GENDER: M
NPI #: 1649206533
OSF MEDICAL GROUPGENERAL SURGERY
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-5343
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PONTIAC, IL
PONTIAC, IL
ESTES, NORMAN C., MD
GENDER: M
NPI #: 1205864170
OSF MEDICAL GROUPGENERAL SURGERY
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-5343
E-PRESCRIBE: NO
GUPTA, SAMIR K., MD
GENDER: M
NPI #: 1073542585
OSF MEDICAL GROUPGENERAL SURGERY
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-5343
E-PRESCRIBE: NO
MARSHALL, J STEPHEN, MD
GENDER: M
NPI #: 1366471997
OSF MEDICAL GROUPGENERAL SURGERY
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-5343
E-PRESCRIBE: NO
PROEHL, TRENT D., MD
GENDER: M
NPI #: 1144313404
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
107
PONTIAC, IL 61764
PHONE: (815) 844-5343
E-PRESCRIBE: NO
ROSSI, THOMAS, MD
GENDER: M
NPI #: 1851320238
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
107
PONTIAC, IL 61764
PHONE: (815) 844-5343
E-PRESCRIBE: NO
Specialty Care Providers
NEUROLOGY
CHAUHAN, SUNIL M., MD
GENDER: M
NPI #: 1912922881
ADVOCATE MEDICAL
GROUP
1504C W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-2893
E-PRESCRIBE: NO
LI, FANG, MD
GENDER: F
NPI #: 1356447841
610 E WATER
PONTIAC, IL 61764
PHONE: (815) 842-4905
E-PRESCRIBE: NO
RAINO, WILLIAM H., MD
GENDER: M
NPI #: 1386738375
OSF MEDICAL GROUP
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-2022
E-PRESCRIBE: NO
OPHTHALMOLOGY
APRAHAMIAN, ARA D., MD
GENDER: M
NPI #: 1528015013
GAILEY EYE CLINIC
1512 W REYNOLDS SUITE C
PONTIAC, IL 61764
PHONE: (815) 842-3306
E-PRESCRIBE: NO
BARBA, KENNETH R., MD
GENDER: M
NPI #: 1265473706
GAILEY EYE CLINIC
1512 W REYNOLDS SUITE C
PONTIAC, IL 61764
PHONE: (815) 842-3306
E-PRESCRIBE: NO
BHATIA, SUMIT P., MD
GENDER: M
NPI #: 1780670596
GAILEY EYE CLINIC
1512 W REYNOLDS SUITE C
PONTIAC, IL 61764
PHONE: (815) 842-3306
E-PRESCRIBE: NO
HALPERIN, GREGORY I., MD
GENDER: M
NPI #: 1760423206
GAILEY EYE CLINIC
1512 W REYNOLDS SUITE C
PONTIAC, IL 61764
PHONE: (815) 842-3306
E-PRESCRIBE: NO
HARMAN, JOSEPH G., MD
GENDER: M
NPI #: 1942241484
GAILEY EYE CLINIC
1512 W REYNOLDS SUITE C
PONTIAC, IL 61764
PHONE: (815) 842-3306
E-PRESCRIBE: NO
KNUPP, JAMES A., MD
GENDER: M
NPI #: 1548211774
GAILEY EYE CLINIC
1512 W REYNOLDS SUITE C
PONTIAC, IL 61764
PHONE: (815) 842-3306
E-PRESCRIBE: NO
KRISTAL, LIBBY K., MD
GENDER: F
NPI #: 1326240144
GAILEY EYE CLINIC
1512 W REYNOLDS SUITE C
PONTIAC, IL 61764
PHONE: (815) 842-3306
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
338
PONTIAC, IL
PONTIAC, IL
Specialty Care Providers
OESTER, ALAN E., MD
GENDER: M
NPI #: 1750503819
GAILEY EYE CLINIC
1512 W REYNOLDS SUITE C
PONTIAC, IL 61764
PHONE: (815) 842-3306
E-PRESCRIBE: NO
RIGSBY, JESSE H., MD
GENDER: M
NPI #: 1447253646
GAILEY EYE CLINIC
1512 W REYNOLDS SUITE C
PONTIAC, IL 61764
PHONE: (815) 842-3306
E-PRESCRIBE: NO
ORTHOPAEDICS
LOWE, JEFFREY A., DO
GENDER: M
NPI #: 1134368129
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
103
PONTIAC, IL 61764
PHONE: (815) 844-4062
E-PRESCRIBE: NO
NEWCOMER, JOSEPH K., MD
GENDER: M
NPI #: 1285633420
1512-A W REYNOLDS AVE
PONTIAC, IL 61764
PHONE:
E-PRESCRIBE: NO
SIPE, BRIAN D., DO
GENDER: M
NPI #: 1386737641
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
103
PONTIAC, IL 61764
PHONE: (815) 844-4062
E-PRESCRIBE: NO
339
OTOLARYNGOLOGY
RUSSELL, ROBERT T., MD
GENDER: M
NPI #: 1992813174
2500 W REYNOLDS ST
ST JAMES HOSPITAL CLINIC
PONTIAC, IL 61764
PHONE: (309) 662-3277
E-PRESCRIBE: NO
PAIN MANAGEMENT
BENYAMIN, RAMSIN, MD
GENDER: M
NPI #: 1215924410
MILLENNIUM PAIN CENTER
2500 REYNOLDS RD
PONTIAC, IL 61764
PHONE: (815) 842-2828
E-PRESCRIBE: NO
LI, JI, MD
GENDER: M
NPI #: 1558347310
APPLIED PAIN INSTITUTE
LLC
1515 W REYNOLDS
PONTIAC, IL 61764
PHONE:
E-PRESCRIBE: NO
REHMAN, ATIQ U., MD
GENDER: M
NPI #: 1457373730
MILLENNIUM PAIN CENTER
2500 REYNOLDS RD
PONTIAC, IL 61764
PHONE: (815) 842-4500
E-PRESCRIBE: NO
VALLEJO, RICARDO, MD
GENDER: M
NPI #: 1669469706
MILLENNIUM PAIN CENTER
2500 REYNOLDS RD
PONTIAC, IL 61764
PHONE: (815) 842-2828
E-PRESCRIBE: NO
PHYSICAL MEDICINE/
REHABILITATION
JHEE, WON H., MD
GENDER:
NPI #: 1861411027
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
200
PONTIAC, IL 61764
PHONE: (309) 661-6240
E-PRESCRIBE: NO
TUDTUD, NENITA C., MD
GENDER: F
NPI #: 1639105034
OSF MEDICAL GROUP
2500 W REYNOLDS ST SUITE
200
PONTIAC, IL 61764
PHONE: (309) 661-6240
E-PRESCRIBE: NO
PODIATRY
CORTESE, CARL, DPM
GENDER: M
NPI #: 1992716914
CORTESE FOOT & ANKLE
CLINIC PC
1508 W REYNOLDS
PONTIAC, IL 61764
PHONE: (815) 842-1700
E-PRESCRIBE: NO
OCONNOR, SCOTT B., DPM
GENDER: M
NPI #: 1992792261
PRO PODIATRY LLC
1512-A W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-6551
E-PRESCRIBE: NO
303 W WASHINGTON ST
PONTIAC, IL 61764
PHONE: (815) 842-6551
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PONTIAC, IL
PRINCETON, IL
PULMONOLOGY
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS SUITE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
CHU, CHAE O., MD
GENDER: M
NPI #: 1043250954
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS STE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
GINZBURG, ALAN S., MD
GENDER: M
NPI #: 1659390888
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS SUITE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
HADID, WALID, MD
GENDER: M
NPI #: 1871549816
OSF MEDICAL GROUP
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-4905
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS SUITE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
Specialty Care Providers
PATEL, SAURIN G., MD
GENDER: M
NPI #: 1336182880
OSF MEDICAL GROUP
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-4905
E-PRESCRIBE: NO
ZACHRIA, ANTHONY, MD
GENDER: M
NPI #: 1366542300
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS SUITE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
RHEUMATOLOGY
RADDEN, GENENE P., MD
GENDER: F
NPI #: 1710917422
OSF MEDICAL GROUP
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-4905
E-PRESCRIBE: NO
LI, FANG, MD
GENDER: F
NPI #: 1356447841
610 E WATER
PONTIAC, IL 61764
PHONE: (815) 842-4905
E-PRESCRIBE: NO
PATEL, SAURIN G., MD
GENDER: M
NPI #: 1336182880
OSF MEDICAL GROUP
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 842-4905
E-PRESCRIBE: NO
THORACIC SURGERY
ANDERSON, RICHARD C., MD
GENDER: M
NPI #: 1699703892
OSF MEDICAL GROUPGENERAL SURGERY
2500 W REYNOLDS ST
PONTIAC, IL 61764
PHONE: (815) 844-5343
E-PRESCRIBE: NO
PRINCETON, IL
SLEEP MEDICINE
BURR, JOHN S., MD
GENDER: M
NPI #: 1770535940
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS SUITE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
KOH, DAVID W., MD
GENDER: M
NPI #: 1154361038
ADVOCATE MEDICAL
GROUP
1508 W REYNOLDS SUITE A
PONTIAC, IL 61764
PHONE: (815) 844-4611
E-PRESCRIBE: NO
ALLERGY/IMMUNOLOGY
EWBANK, PENELOPE A., MD
GENDER: F
NPI #: 1558358911
ALLERGY & ASTHMA OF
ILLINOIS
530 PARK AVE EAST STE 201
PRINCETON, IL 61356
PHONE: (877) 936-5200
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
340
Specialty Care Providers
SMART, STEPHEN J., MD
GENDER: M
NPI #: 1265429625
ALLERGY & ASTHMA OF
ILLINOIS
530 PARK AVE EAST SUITE
201
PRINCETON, IL 61356
PHONE: (877) 936-5200
E-PRESCRIBE: NO
DORAN, EDWARD, MD
GENDER: M
NPI #: 1285622340
ASSOCIATED
GASTROENTEROLOGY
CONSULTANTS
530 PARK AVE EAST
PRINCETON, IL 61356
PHONE: (815) 875-8666
E-PRESCRIBE: YES
CARDIOLOGY
KIM, JAE H., MD
GENDER: M
NPI #: 1861578759
ASSOCIATED
GASTROENTEROLOGY
CONSULTANTS
530 PARK AVE EAST
PRINCETON, IL 61356
PHONE: (815) 875-8666
E-PRESCRIBE: NO
PATEL, SUBHASH J., MD
GENDER: M
NPI #: 1891986907
CARDIAC CONSULTANTS SC
530 PARK AVE EAST SUITE
204
PRINCETON, IL 61356
PHONE: (309) 674-3140
E-PRESCRIBE: NO
CARDIOTHORACIC
SURGERY
WILLIAMS, JAMES B., MD
GENDER: M
NPI #: 1265433882
CARDIAC THORACIC &
ENDOVASCULAR
THERAPIES SC
530 PARK AVE E SUITE 306
PRINCETON, IL 61356
PHONE:
E-PRESCRIBE: NO
GASTROENTEROLOGY
DODDA, GEETHA, MD
GENDER: F
NPI #: 1528056181
ASSOCIATED
GASTROENTEROLOGY
CONSULTANTS
530 PARK AVE EAST
PRINCETON, IL 61356
PHONE: (815) 875-8666
E-PRESCRIBE: YES
341
GENERAL SURGERY
HSU, JOHN W., MD
GENDER: M
NPI #: 1043439748
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: YES
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PRINCETON, IL
PRINCETON, IL
OCONNOR, TIMOTHY P., MD
GENDER: M
NPI #: 1710974597
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
WILLIAMS, MARK W., MD
GENDER: M
NPI #: 1417986001
MARK W WILLIAMS MD PHD
GENERAL SURGERY PC
530 PARK AVENUE EAST
SUITE 205
PRINCETON, IL 61356
PHONE: (815) 872-9491
E-PRESCRIBE: NO
HEMATOLOGY
VUKOV, ALLEN M., MD
GENDER: M
NPI #: 1396744611
ILLINOIS CANCERCARE
530 PARK AVE EAST SUITE
201
PRINCETON, IL 61356
PHONE: (815) 875-3010
E-PRESCRIBE: YES
NEPHROLOGY
ALONSO, ALEXANDER J., MD
GENDER: M
NPI #: 1124152707
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
PRINCETON, IL
PRINCETON, IL
BRUHA, ROBERT, MD
GENDER: M
NPI #: 1043340367
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
DREYER, PAUL T., MD
GENDER: M
NPI #: 1194855528
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
HORINEK, ANTHONY R., MD
GENDER: M
NPI #: 1609907195
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
JAMES, GORDON W., MD
GENDER: M
NPI #: 1124158431
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
Specialty Care Providers
PAMULAPARTHY, SMITHA R.,
MD
GENDER: F
NPI #: 1447328828
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R.,
MD
GENDER: M
NPI #: 1306976964
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A.,
MD
GENDER: M
NPI #: 1154451573
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
ROSBOROUGH, DAVID C.,
MD
GENDER: M
NPI #: 1619007275
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SADER, SAMER B., MD
GENDER: M
NPI #: 1831220318
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SHRISHRIMAL, KUMARPAL
C., MD
GENDER: M
NPI #: 1023217551
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SPARROW, ROBERT T., MD
GENDER: M
NPI #: 1134259781
RENALCARE ASSOCIATES
530 PARK AVE SUITE SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SRINIVASAN,
PARTHASARATHY, MD
GENDER: M
NPI #: 1134199359
RENALCARE ASSOCIATES
530 PARK AVE EAST SUITE
306
PRINCETON, IL 61356
PHONE: (309) 676-8123
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
342
Specialty Care Providers
ORTHOPAEDICS
GLAZER, DENNIS A., MD
GENDER: M
NPI #: 1629060215
PERRY MEMORIAL
ORTHOPAEDICS & SPORTS
MEDICINE
530 PARK AVE E SUITE 306
PRINCETON, IL 61356
PHONE: (815) 876-3033
E-PRESCRIBE: NO
PHYSICAL MEDICINE/
REHABILITATION
SNYDER, LISA, MD
GENDER: F
NPI #: 1790715092
PERRY MEMORIAL
HOSPITAL
530 PARK AVE EAST
PRINCETON, IL 61356
PHONE: (309) 692-8670
E-PRESCRIBE: NO
SUREKA, OMPRAKASH, MD
GENDER: M
NPI #: 1518902469
PERRY MEMORIAL
HOSPITAL
530 PARK AVE EAST
PRINCETON, IL 61356
PHONE: (309) 692-8670
E-PRESCRIBE: NO
PODIATRY
DANIEL, ELIE C., DPM
GENDER: M
NPI #: 1447273883
PRINCETON FOOT & ANKLE
CLINIC
530 PARK AVE EAST SUITE
204
PRINCETON, IL 61356
PHONE: (815) 875-2643
E-PRESCRIBE: NO
343
HOELLE, GARY W., DPM
GENDER: M
NPI #: 1538124359
530 PARK AVE EAST SUITE
301
PRINCETON, IL 61356
PHONE: (815) 872-3034
E-PRESCRIBE: NO
PULMONOLOGY
CRABB, JEREMIAH, MD
GENDER: M
NPI #: 1073509824
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
530 PARK AVE EAST SUITE
204
PRINCETON, IL 61356
PHONE: (309) 672-5682
E-PRESCRIBE: YES
PEIL, MICHAEL, MD
GENDER: M
NPI #: 1821084567
ILLINOIS LUNG AND
CRITICAL CARE INSTITUTE
530 PARK AVE EAST SUITE
204
PRINCETON, IL 61356
PHONE: (309) 672-5682
E-PRESCRIBE: YES
VASCULAR SURGERY
WILLIAMS, JAMES B., MD
GENDER: M
NPI #: 1265433882
CARDIAC THORACIC &
ENDOVASCULAR
THERAPIES SC
530 PARK AVE E SUITE 306
PRINCETON, IL 61356
PHONE:
E-PRESCRIBE: NO
PRINCETON, IL
QUINCY, IL
QUINCY, IL
ALLERGY/IMMUNOLOGY
CARPENTER, GARY B., MD
GENDER: M
NPI #: 1508845512
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6650
E-PRESCRIBE: NO
CARDIOLOGY
DERIAN, WISSAM F., MD
GENDER: M
NPI #: 1063684066
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
EFSTRATIADIS, STILIANOS,
MD
GENDER: M
NPI #: 1437328556
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
HAMMOCK, JOHN D., MD
GENDER: M
NPI #: 1912082975
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 200
QUINCY, IL 62301
PHONE: (217) 221-0900
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
QUINCY, IL
QUINCY, IL
HENG, RAFE M., DO
GENDER: M
NPI #: 1477560126
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 200
QUINCY, IL 62301
PHONE: (217) 221-0900
E-PRESCRIBE: YES
KRAUSE, STEVEN W., MD
GENDER: M
NPI #: 1386628519
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 200
QUINCY, IL 62301
PHONE: (217) 221-0900
E-PRESCRIBE: YES
MISHKEL, GREGORY J., MD
GENDER: M
NPI #: 1629150768
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
910 BROADWAY SUITE C
QUINCY, IL 62301
PHONE: (217) 228-9450
E-PRESCRIBE: YES
SAMEE, SYED, MD
GENDER:
NPI #: 1548311814
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 200
QUINCY, IL 62301
PHONE: (217) 221-0900
E-PRESCRIBE: NO
SCHWARTZ, IRVING L., MD
GENDER: M
NPI #: 1831103092
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 200
QUINCY, IL 62306
PHONE: (217) 221-0900
E-PRESCRIBE: YES
Specialty Care Providers
DERMATOLOGY
QUINTERO, LOUIS J., MD
GENDER: F
NPI #: 1881698280
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 302
QUINCY, IL 62301
PHONE: (217) 224-6423
E-PRESCRIBE: YES
SHORE, SHELDON, MD
GENDER: M
NPI #: 1871566729
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
ENDOCRINOLOGY
HARRIS, SHARON G., MD
GENDER: F
NPI #: 1407829971
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
HUSSAIN, HAMMAD, MD
GENDER: M
NPI #: 1871764159
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
GASTROENTEROLOGY
BARBAGIOVANNI, JOHN T.,
DO
GENDER: M
NPI #: 1437138781
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
BOZDECH, JOHN M., MD
GENDER: M
NPI #: 1841279213
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
HERMENS, DONALD J., MD
GENDER: M
NPI #: 1962475442
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
MOORE, DANIEL L., MD
GENDER: M
NPI #: 1750576641
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 303
QUINCY, IL 62301
PHONE: (217) 223-9035
E-PRESCRIBE: NO
GENERAL SURGERY
BIRSIC, WILLIAM T., MD
GENDER: M
NPI #: 1851307854
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 303
QUINCY, IL 62301
PHONE: (217) 223-9035
E-PRESCRIBE: NO
FREITAG, PER, MD
GENDER: M
NPI #: 1205822913
SIU PHYSICIANS &
SURGEONS INC
927 BROADWAY
QUINCY, IL 62301
PHONE: (217) 214-5660
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
344
QUINCY, IL
QUINCY, IL
Specialty Care Providers
PETTY, TODD H., MD
GENDER: M
NPI #: 1649243924
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
SMITH, TIMOTHY S., DO
GENDER: M
NPI #: 1144293929
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
WILKINS, HARRY E., MD
GENDER: M
NPI #: 1245279934
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
EL KHOURY, CHRISTIAN A.,
MD
GENDER: M
NPI #: 1477694867
QUINCY MEDICAL GROUP
BROADWAY AT 11TH ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
GHANEKAR, HRISHIKESH P.,
MD
GENDER: M
NPI #: 1629041686
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
SMITH, RAYMOND P., MD
GENDER: M
NPI #: 1477526259
BLESSING CANCER CENTER
BROADWAY AT 11TH ST
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: NO
TANIOS, ROULA, MD
GENDER: F
NPI #: 1205857141
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 204
QUINCY, IL 62301
PHONE: (217) 223-8914
E-PRESCRIBE: YES
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
INFECTIOUS DISEASES
ZWICK, CHRISTIAN R., MD
GENDER: M
NPI #: 1801869060
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
SAEED, MUSAB U., MD
GENDER: M
NPI #: 1427192384
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
NEPHROLOGY
ARRAMBIDE, KATHRYN H.,
MD
GENDER: F
NPI #: 1518946508
BLESSING CANCER CENTER
BROADWAY AT 11TH ST
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: NO
EVANS, DAN H., MD
GENDER: M
NPI #: 1730152273
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
345
NEUROLOGY
GARCIA-RIVERA, RICHARDO,
MD
GENDER: M
NPI #: 1366434334
BLESSING HOSPITAL
1005 BROADWAY
QUINCY, IL 62301-2834
PHONE: (217) 223-8400
E-PRESCRIBE: NO
HAFEZ, WALID M., MD
GENDER: M
NPI #: 1902814957
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 302
QUINCY, IL 62301
PHONE: (217) 224-6423
E-PRESCRIBE: YES
HAKE, AUSTIN G., MD
GENDER: M
NPI #: 1003077389
QUINCY MEDICAL GROUP
1118 HAMPSHIRE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
QUINCY, IL
QUINCY, IL
Specialty Care Providers
SULLIVANT, DOUGLAS, MD
GENDER: M
NPI #: 1467425603
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
REYNOLDS, ARDEN F., MD
GENDER: M
NPI #: 1598738882
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
FARRIS, STUART R., MD
GENDER: M
NPI #: 1144279498
PRAIRIE EYE CENTER LTD
1025 MAINE ST
QUINCY, IL 62301
PHONE:
E-PRESCRIBE: NO
NEUROMUSCULOSKELETA
L MEDICINE
VELIMIROVIC, BRATISLAV,
MD
GENDER: M
NPI #: 1477533081
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
GEISENDORFER, ABRAM R.,
MD
GENDER: M
NPI #: 1326230087
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
ONCOLOGY
HAYASHI, JAMES D., MD
GENDER: M
NPI #: 1831133222
EYE MDS OF QUINCY SC
709 BROADWAY
QUINCY, IL 62301
PHONE: (217) 224-2020
E-PRESCRIBE: NO
NEWTON, JOSEPH P., MD
GENDER: M
NPI #: 1396718706
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
11TH ST AT BROADWAY
QUINCY, IL 62305
PHONE: (217) 223-1200
E-PRESCRIBE: NO
NEWTON, THERESA M., MD
GENDER: F
NPI #: 1932172244
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
NEUROSURGERY
MORRIS, REUBEN P., MD
GENDER: M
NPI #: 1467425850
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
ALI, MUHAMMAD AMJAD, MD
GENDER:
NPI #: 1306826250
BLESSING CANCER CENTER
BROADWAY AT 11TH ST
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: NO
KODURU, KARTHIK, MD
GENDER: M
NPI #: 1720241565
QUINCY MEDICAL GROUP
BROADWAY AT 11TH ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
OPHTHALMOLOGY
DISSELER, JEAN A., MD
GENDER: F
NPI #: 1245202779
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
SIECK, ERIC, MD
GENDER: M
NPI #: 1124091327
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
WELLER, ROBERT W., MD
GENDER: M
NPI #: 1669445458
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
346
Specialty Care Providers
ORAL/MAXILLOFACIAL
SURGERY
MILLER, COLETTA M., MD
GENDER: F
NPI #: 1760488514
3740 E LAKE CENTRE DR
QUINCY, IL 62301
PHONE: (217) 224-6789
E-PRESCRIBE: NO
RIGGS, DANIEL, MD
GENDER: M
NPI #: 1548341191
3915 MAINE SUITE 3
QUINCY, IL 62301
PHONE:
E-PRESCRIBE: NO
ORTHOPAEDICS
BINGHAM, DAVID M., DO
GENDER: M
NPI #: 1831393628
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
CRICKARD III, GEORGE E.,
MD
GENDER: M
NPI #: 1447239165
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
347
DERHAKE, ADAM D., MD
GENDER: M
NPI #: 1679741151
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
EL-AMIN, SAADIQ F., MD
GENDER: M
NPI #: 1972718328
SIU PHYSICIANS &
SURGEONS INC
927 BROADWAY
QUINCY, IL 62301
PHONE: (217) 214-5660
E-PRESCRIBE: NO
HOLT, WILLIAM J., MD
GENDER: M
NPI #: 1023081502
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
MCANDREW, MARK P., MD
GENDER: M
NPI #: 1891782520
SIU PHYSICIANS &
SURGEONS INC
927 BROADWAY
QUINCY, IL 62301
PHONE: (217) 214-5660
E-PRESCRIBE: NO
RAHMAN, RAKERRY K., MD
GENDER: M
NPI #: 1972752228
SIU PHYSICIANS &
SURGEONS INC
927 BROADWAY SUITE 101
QUINCY, IL 62301
PHONE: (217) 214-5660
E-PRESCRIBE: YES
QUINCY, IL
QUINCY, IL
SALEH, KHALED J., MD
GENDER: M
NPI #: 1881735280
SIU PHYSICIANS &
SURGEONS INC
927 BROADWAY
QUINCY, IL 62301
PHONE: (217) 214-5660
E-PRESCRIBE: NO
STEWART, RENA L., MD
GENDER: F
NPI #: 1386696391
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
WHEELER, RONALD, MD
GENDER: M
NPI #: 1053328831
WESTERN ILLINOIS SPORTS
MEDICINE & ORTHOPEDIC
CE
927 BROADWAY SUITE 104
QUINCY, IL 62301
PHONE: (217) 224-8955
E-PRESCRIBE: NO
OTOLARYNGOLOGY
MARCHIANDO, ALBERTO W.,
MD
GENDER: M
NPI #: 1932185329
QUINCY MEDICAL GROUP
1107 COLLEGE AVE SUITE 2
QUINCY, IL 62301
PHONE: (217) 228-3377
E-PRESCRIBE: NO
MCINTEE, RAE A., MD
GENDER: F
NPI #: 1144260639
1132 BROADWAY
QUINCY, IL 62301
PHONE: (217) 224-4687
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
QUINCY, IL
QUINCY, IL
PHAN, DOUGLAS M., MD
GENDER: M
NPI #: 1013073766
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 322
QUINCY, IL 62301
PHONE: (217) 224-6423
E-PRESCRIBE: NO
RUTH, HARRY R., MD
GENDER: M
NPI #: 1124093943
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 228-3377
E-PRESCRIBE: NO
PEDIATRIC NEPHROLOGY
COLLINS, KATHERINE I., MD
GENDER: F
NPI #: 1730373895
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
PERINATOLOGY
ABRAMS, ROBERT M., MD
GENDER: M
NPI #: 1003016965
SIU PHYSICIANS &
SURGEONS
14TH & BROADWAY
QUINCY, IL 62301
PHONE: (217) 545-5117
E-PRESCRIBE: NO
Specialty Care Providers
THOMPSON, GWYNETH S.,
MD
GENDER: F
NPI #: 1215058490
SIU PHYSICIANS &
SURGEONS
14TH & BROADWAY
QUINCY, IL 62301
PHONE: (217) 545-5117
E-PRESCRIBE: NO
PHILPOTT, ETHAN M., MD
GENDER: M
NPI #: 1619062106
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
PHYSICAL MEDICINE/
REHABILITATION
FREEL, DOUGLAS J., DPM
GENDER: M
NPI #: 1184614653
MIDWEST FOOT & ANKLE
SPECIALISTS
3470 E LAKE CENTRE DR
QUINCY, IL 62301
PHONE: (217) 223-3668
E-PRESCRIBE: NO
DEGUZMAN, JOHN R., MD
GENDER: M
NPI #: 1376567354
BLESSING HEALTH CENTER
927 BROADWAY SUITE 101
QUINCY, IL 62301
PHONE: (217) 224-4750
E-PRESCRIBE: NO
ESPEJO, MARIA C., MD
GENDER: F
NPI #: 1093721094
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 101
QUINCY, IL 62301
PHONE: (217) 244-4750
E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE
SURGERY
HOLT, PAIGE B., MD
GENDER: F
NPI #: 1821026519
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
PODIATRY
HANZEL, DUANE A., DPM
GENDER: M
NPI #: 1467442251
BLESSING PHYSICIAN
SERVICES
927 BROADWAY
QUINCY, IL 62301
PHONE: (217) 224-6423
E-PRESCRIBE: NO
HANZEL, DUANE, DPM
GENDER: M
NPI #: 1467442251
MIDWEST FOOT & ANKLE
SPECIALISTS
3740 E LAKE CENTRE DR
QUINCY, IL 62301
PHONE: (217) 223-3668
E-PRESCRIBE: NO
PATEL, SHWETAL B., DPM
GENDER:
NPI #: 1124053400
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
348
QUINCY, IL
QUINCY, IL
Specialty Care Providers
REED, BRENNAN, DPM
GENDER: M
NPI #: 1881629152
REED FOOT CLINIC
601 S EIGHTH ST
QUINCY, IL 62301
PHONE: (217) 222-6381
E-PRESCRIBE: NO
REDDY, VENU, MD
GENDER: M
NPI #: 1164429957
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 201
QUINCY, IL 62301
PHONE: (217) 228-2230
E-PRESCRIBE: NO
WENSING, LINDA R., DPM
GENDER: F
NPI #: 1346234416
QUINCY FAMILY FOOT
CARE
3215 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6266
E-PRESCRIBE: NO
WENSING, THOMAS J., DPM
GENDER: M
NPI #: 1184618241
QUINCY FAMILY FOOT
CARE
3215 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6266
E-PRESCRIBE: NO
PULMONOLOGY
CHBEIR, ELIE A., MD
GENDER: M
NPI #: 1063553303
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
RHEUMATOLOGY
OZMENT, DENNIS W., MD
GENDER: M
NPI #: 1881667152
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
SPORTS MEDICINE
NASSERY, MANOOCHER, MD
GENDER: M
NPI #: 1396718797
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
349
SOMANNA, NANJAPPA, MD
GENDER: M
NPI #: 1306850615
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 204
QUINCY, IL 62301
PHONE: (217) 228-2230
E-PRESCRIBE: NO
BIGGS, ANTHONY L., DO
GENDER: M
NPI #: 1356560403
QUINCY MEDICAL GROUP
1118 HAMPSHIRE
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
DANIELS, JAMES M., MD
GENDER: M
NPI #: 1750368452
BLESSING PHYSICIAN
SERVICES
927 BROADWAY ST SUITE
101
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: YES
MACKRIDES, PAULA S., DO
GENDER: F
NPI #: 1316924087
QUINCY SPORTS &
OCCUPATIONAL MEDICINE
927 BROADWAY ST
QUINCY, IL 62301
PHONE: (217) 224-8933
E-PRESCRIBE: NO
MULLER, MERLE H., MD
GENDER: M
NPI #: 1891770350
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 101
QUINCY, IL 62301
PHONE: (217) 223-8400
E-PRESCRIBE: NO
VON FANGE, TIMOTHY J., MD
GENDER: M
NPI #: 1154461739
SPORTS & OCCUPATION
MEDICINE
927 BROADWAY ST
QUINCY, IL 62301
PHONE: (217) 224-8933
E-PRESCRIBE: NO
UROLOGY
DOOLEY, RANDALL E., MD
GENDER: M
NPI #: 1619940640
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
QUINCY, IL
ROBINSON, IL
DOUGHERTY, WILLIAM E.,
MD
GENDER: M
NPI #: 1326054404
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 303
QUINCY, IL 62305
PHONE: (217) 223-9035
E-PRESCRIBE: YES
OHALLORAN, RICHARD L.,
MD
GENDER: M
NPI #: 1528143971
BLESSING PHYSICIAN
SERVICES
927 BROADWAY SUITE 303
QUINCY, IL 62305
PHONE: (217) 223-9035
E-PRESCRIBE: YES
OUWENGA, MICHAEL K., MD
GENDER: M
NPI #: 1811105141
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
Specialty Care Providers
RANTOUL, IL
OCCUPATIONAL MEDICINE
CHEN, PHILBERT, MD
GENDER: M
NPI #: 1073548970
CARLE PHYSICIAN GROUP
1540 E GROVE
RANTOUL, IL 61866
PHONE: (217) 893-7700
E-PRESCRIBE: YES
RED BUD, IL
OTOLARYNGOLOGY
FERNANDEZ, JAMES A., MD
GENDER: M
NPI #: 1528037280
RED BUD REGIONAL
HOSPITAL
325 SPRING ST
RED BUD, IL 62278
PHONE: (618) 282-3831
E-PRESCRIBE: NO
ROANOKE, IL
VASCULAR SURGERY
GERIATRICS
SMITH, TIMOTHY S., DO
GENDER: M
NPI #: 1144293929
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
JONES, STEVEN, MD
GENDER: M
NPI #: 1942228101
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
ZWICK, CHRISTIAN R., MD
GENDER: M
NPI #: 1801869060
QUINCY MEDICAL GROUP
1025 MAINE ST
QUINCY, IL 62301
PHONE: (217) 222-6550
E-PRESCRIBE: NO
NEUROLOGY
CHAUHAN, SUNIL M., MD
GENDER: M
NPI #: 1912922881
ADVOCATE MEDICAL
GROUP
415 W FRONT ST
ROANOKE, IL 61561
PHONE: (309) 923-7456
E-PRESCRIBE: NO
ROBINSON, IL
NEUROLOGY
CRANSTON, ROBERT E., MD
GENDER: M
NPI #: 1457460057
CRAWFORD MEMORIAL
HOSPITAL
1000 N ALLEN ST STE B
ROBINSON, IL 62454
PHONE: (618) 544-3131
E-PRESCRIBE: YES
OTOLARYNGOLOGY
NGUYEN, CHARLY, MD
GENDER: M
NPI #: 1861508665
CONSULTING CLINIC
CRAWFORD MEMORIAL
HOSPITAL
1000 N ALLEN ST
ROBINSON, IL 62454
PHONE: (217) 258-2409
E-PRESCRIBE: NO
SMITH, MICHAEL, MD
GENDER: M
NPI #: 1215043971
CONSULTING CLINIC
CRAWFORD MEMORIAL
HOSPITAL
1000 N ALLEN ST
ROBINSON, IL 62454
PHONE:
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
350
Specialty Care Providers
ROCHELLE, IL
CARDIOLOGY
ATTA, TARA, MD
GENDER: F
NPI #: 1639166374
ROCKFORD
CARDIOVASCULAR
ASSOCIATES
900 N SECOND ST
ROCHELLE, IL 61068
PHONE: (815) 398-3000
E-PRESCRIBE: NO
CHRISTENSEN, PAUL, MD
GENDER: M
NPI #: 1366467813
ROCKFORD
CARDIOVASCULAR
ASSOCIATES
900 N SECOND ST
ROCHELLE, IL 61068
PHONE: (815) 398-3000
E-PRESCRIBE: NO
HISER, MARK W., MD
GENDER: M
NPI #: 1538184924
ROCKFORD
CARDIOVASCULAR
ASSOCIATES
900 N SECOND ST
ROCHELLE, IL 61068
PHONE: (815) 398-3000
E-PRESCRIBE: NO
MINOR JR, ROBERT L., MD
GENDER: M
NPI #: 1740209261
ROCKFORD
CARDIOVASCULAR
ASSOCIATES
900 N SECOND ST
ROCHELLE, IL 61068
PHONE: (815) 398-3000
E-PRESCRIBE: NO
351
SABHARWAL, JAGDEEP, MD
GENDER: M
NPI #: 1871518282
ROCKFORD
CARDIOVASCULAR
ASSOCIATES
900 N SECOND ST
ROCHELLE, IL 61068
PHONE: (815) 398-3000
E-PRESCRIBE: NO
SILVA, EUGENE A., MD
GENDER: M
NPI #: 1235154659
ROCKFORD
CARDIOVASCULAR
ASSOCIATES
900 N SECOND ST
ROCHELLE, IL 61068
PHONE: (815) 398-3000
E-PRESCRIBE: NO
SKOWRONSKI, JAN, MD
GENDER: M
NPI #: 1790710283
ROCKFORD
CARDIOVASCULAR
ASSOCIATES
900 N SECOND ST
ROCHELLE, IL 61068
PHONE: (815) 398-3000
E-PRESCRIBE: NO
ZAVERDAS, GEORGE A., MD
GENDER: M
NPI #: 1295798742
ROCKFORD
CARDIOVASCULAR
ASSOCIATES
900 N SECOND ST
ROCHELLE, IL 61068
PHONE: (815) 398-3000
E-PRESCRIBE: NO
ROCHELLE, IL
RUSHVILLE, IL
CARDIOVASCULAR
SURGERY
GUDMUNDSSON, G
STEINAR, MD
GENDER: M
NPI #: 1336172006
ROCKFORD
CARDIOVASCULAR
ASSOCIATES
900 N SECOND ST
ROCHELLE, IL 61068
PHONE: (815) 398-3000
E-PRESCRIBE: NO
RUSHVILLE, IL
GASTROENTEROLOGY
BOZDECH, JOHN M., MD
GENDER: M
NPI #:
SARAH CULBERTSON
MEMORIAL HOSPITAL
238 S CONGRESS
RUSHVILLE, IL 62681
PHONE: (217) 322-4321
E-PRESCRIBE: NO
GENERAL SURGERY
KANTHILAL, SEMBU K., MD
GENDER: M
NPI #: 1619922143
RUSHVILLE FAMILY
PRACTICE
233 S CONGRESS
RUSHVILLE, IL 62681
PHONE:
E-PRESCRIBE: NO
SARAH D CULBERTSON
MEMORIAL HOSPITAL
238 S CONGRESS
RUSHVILLE, IL 62681
PHONE: (217) 322-4321
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
RUSHVILLE, IL
SHELBYVILLE, IL
Specialty Care Providers
HEMATOLOGY/ONCOLOGY
ORTHOPAEDICS
UROLOGY
ARRAMBIDE, KATHRYN H.,
MD
GENDER: F
NPI #:
SARAH CULBERTSON
MEMORIAL HOSPITAL
238 S CONGRESS
RUSHVILLE, IL 62681
PHONE: (217) 322-4321
E-PRESCRIBE: NO
TREACY, STEPHEN H., MD
GENDER: M
NPI #: 1215946744
REZIN ORTHOPEDICS &
SPORTS MEDICINE
1 E COUNTYLINE RD
SANDWICH, IL 60548
PHONE: (815) 786-1517
E-PRESCRIBE: NO
HALEEM, AZEEM S., MD
GENDER: M
NPI #: 1154366706
KISHWAUKEE PHYSICIAN
GROUP INC
1310 N MAIN ST SUITE 200
SANDWICH, IL 60548
PHONE: (815) 786-9988
E-PRESCRIBE: NO
SMITH, RAYMOND P., MD
GENDER: M
NPI #: 1477526259
SARAH CULBERTSON
MEMORIAL HOSPITAL
238 S CONGRESS
RUSHVILLE, IL 62681
PHONE: (217) 322-4321
E-PRESCRIBE: NO
THOMAS, SACHDEV P., MD
GENDER: M
NPI #: 1245239367
ILLINOIS CANCERCARE
238 S CONGRESS
RUSHVILLE, IL 62681
PHONE: (217) 232-4321
E-PRESCRIBE: YES
SANDWICH, IL
GENERAL SURGERY
ASIHENE, WILLIAM Y., MD
GENDER: M
NPI #: 1023161940
KISHWAUKEE PHYSICIAN
GROUP INC
1310 N MAIN ST SUITE 208
SANDWICH, IL 60548
PHONE: (815) 786-3770
E-PRESCRIBE: NO
PODIATRY
BISHOP, PAUL, DPM
GENDER: M
NPI #: 1457428492
THE CENTERS FOR FOOT &
ANKLE SURGERY LTD
1 E COUNTYLINE RD SUITE G
SANDWICH, IL 60548
PHONE: (815) 786-9451
E-PRESCRIBE: NO
MANSOUR, HAYTHAM, DPM
GENDER: M
NPI #: 1811078207
THE CENTERS FOR FOOT &
ANKLE SURGERY LTD
1 E COUNTYLINE RD SUITE G
SANDWICH, IL 60548
PHONE: (815) 786-9451
E-PRESCRIBE: NO
RAPPETTE, THOMAS, DPM
GENDER: M
NPI #: 1962579904
THE CENTERS FOR FOOT &
ANKLE SURGERY LTD
1 E COUNTYLINE RD SUITE G
SANDWICH, IL 60548
PHONE: (815) 786-9451
E-PRESCRIBE: NO
224 E RAILROAD ST
SANDWICH, IL 60548
PHONE: (815) 786-7150
E-PRESCRIBE: NO
SAVOY, IL
OPHTHALMOLOGY
ANDERSON, BETTE, MD
GENDER: F
NPI #: 1386612927
501 N DUNLAP AVE SUITE
102
SAVOY, IL 61874
PHONE: (217) 355-7947
E-PRESCRIBE: NO
SHELBYVILLE, IL
OPHTHALMOLOGY
DERANIAN, MARCUS S., MD
GENDER: M
NPI #: 1952367351
1401 W MAIN ST
SHELBYVILLE, IL 62565
PHONE: (217) 774-2181
E-PRESCRIBE: YES
WEST ROUTE 16 #199
SHELBYVILLE, IL 62565
PHONE: (217) 774-4422
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
352
Specialty Care Providers
SPARTA, IL
CARDIOLOGY
CHIU, REGINA Y., MD
GENDER: F
NPI #: 1043272693
SPARTA CARDIOLOGY
CLINIC
205 S BURNS
SPARTA, IL 62286
PHONE: (618) 443-2177
E-PRESCRIBE: NO
GUPTA, PAVAN K., MD
GENDER: M
NPI #: 1861519563
SPARTA COMMUNITY
HOSPITAL
818 E BROADWAY
SPARTA, IL 62286
PHONE: (618) 443-2177
E-PRESCRIBE: NO
SATWANI, SHIYAM K., MD
GENDER: M
NPI #: 1407067184
SPARTA CARDIOLOGY
CLINIC
205 S BURNS
SPARTA, IL 62286
PHONE: (618) 443-2177
E-PRESCRIBE: NO
SHAH, ATUL S., MD
GENDER: M
NPI #: 1215965660
SPARTA CARDIOLOGY
CLINIC
205 S BURNS
SPARTA, IL 62286
PHONE: (618) 443-2177
E-PRESCRIBE: NO
353
SPARTA, IL
SPRING VALLEY, IL
ORTHOPAEDICS
UROLOGY
CHIEN, TONY L., DO
GENDER: M
NPI #: 1477617025
COMMUNITY ORTHOPEDICS
& SPORTS MEDICINE PC
818 E BROADWAY ST
SPARTA, IL 62286
PHONE: (618) 443-2177
E-PRESCRIBE: YES
NEUMAN, NEAL, MD
GENDER: M
NPI #: 1598749954
NEAL NEUMAN MD
215 S BURNS AVE
SPARTA, IL 62286
PHONE: (618) 443-4889
E-PRESCRIBE: NO
OTOLARYNGOLOGY
FIERSTEIN, JEFFREY T., MD
GENDER: M
NPI #: 1740259043
SPARTA COMMUNITY
HOSPITAL
818 E BROADWAY
SPARTA, IL 62286
PHONE: (618) 443-2177
E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE
SURGERY
HEHMANN, RICHARD J., MD
GENDER: M
NPI #: 1215922067
MSA ALLIANCE LLC
1 BROADWAY PLAZA
SPARTA, IL 62286
PHONE: (618) 257-2100
E-PRESCRIBE: NO
RHEUMATOLOGY
RONHOLM, CHAD, MD
GENDER: M
NPI #: 1306027909
QUALITY HEALTHCARE
CLINICS-NORTH CAMPUS
1300 N MARKET ST
SPARTA, IL 62286
PHONE: (618) 443-2177
E-PRESCRIBE: NO
SPRING VALLEY, IL
GASTROENTEROLOGY
GOEL, RAM, MD
GENDER: M
NPI #: 1255387007
ST MARGARETS MEDICAL
CLINIC
600 E FIRST ST FIRST FLOOR
SPRING VALLEY, IL 61362
PHONE: (815) 664-5555
E-PRESCRIBE: NO
GENERAL SURGERY
FIGUERRES, BENEDICTO Q.,
MD
GENDER: M
NPI #: 1821029927
ST MARGARETS HEALTH
SPRING VALLEY CLINIC
1302 N GREENWOOD ST
SPRING VALLEY, IL 61362
PHONE: (815) 663-5511
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
KNOST, JAMES A., MD
GENDER: M
NPI #: 1245239565
ILLINOIS CANCERCARE
600 E FIRST ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-1487
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRING VALLEY, IL
SPRINGFIELD, IL
Specialty Care Providers
NEUROSURGERY
PODIATRY
DINH, DZUNG H., MD
GENDER: M
NPI #: 1679513642
ST MARGARETS HOSPITAL BOYLE MEDICAL CLINIC
600 E FIRST ST
SPRING VALLEY, IL 61362
PHONE: (309) 676-0766
E-PRESCRIBE: NO
KUZMICKI, LEONARD, MD
GENDER: M
NPI #: 1952473365
SPRING VALLEY FOOT
CLINIC
600 E FIRST ST FIRST FLOOR
SPRING VALLEY, IL 61362
PHONE: (815) 663-2511
E-PRESCRIBE: NO
LIN, JULIAN J., MD
GENDER: M
NPI #: 1437104593
ST MARGARETS HOSPITAL BOYLE MEDICAL CLINIC
600 E FIRST ST
SPRING VALLEY, IL 61362
PHONE: (309) 676-0766
E-PRESCRIBE: NO
RADIATION ONCOLOGY
ORTHOPAEDICS
ZUSAG, THOMAS W., MD
GENDER: M
NPI #: 1740281815
VALLEY ONCOLOGY
CENTERS PC
600 E FIRST ST
SPRING VALLEY, IL 61362
PHONE: (815) 664-4141
E-PRESCRIBE: NO
PERONA, PAUL G., MD
GENDER: M
NPI #: 1558476010
ST MARGARETS HEALTH
FAMILY ORTHOPEDIC
CENTER
600 E FIRST ST FOURTH
FLOOR
SPRING VALLEY, IL 61362
PHONE: (815) 663-8009
E-PRESCRIBE: NO
UROLOGY
SHIN, MICHAEL, MD
GENDER: M
NPI #: 1073787065
ST MARGARETS HEALTH
VALLEY ORTHOPEDICS
600 E FIRST ST THIRD FLOOR
SPRING VALLEY, IL 61362
PHONE: (815) 663-2511
E-PRESCRIBE: NO
LEVISAY, GERALD L., MD
GENDER: M
NPI #: 1215994843
ILLINOIS UROLOGIC
HEALTH SURGEONS
600 E FIRST ST THIRD FLOOR
SPRING VALLEY, IL 61362
PHONE: (815) 664-5367
E-PRESCRIBE: NO
CHUNG, STEVE Y., MD
GENDER: M
NPI #: 1851349435
ILLINOIS UROLOGIC
HEALTH SURGEONS
600 E FIRST ST THIRD FLOOR
SPRING VALLEY, IL 61362
PHONE: (815) 664-5367
E-PRESCRIBE: NO
SCHWARTZ, CHRISTIAN B.,
DO
GENDER: M
NPI #: 1124085758
ILLINOIS UROLOGIC
HEALTH SURGEONS
600 E FIRST ST THIRD FLOOR
SPRING VALLEY, IL 61362
PHONE: (815) 664-5367
E-PRESCRIBE: NO
SPRINGFIELD, IL
ALLERGY/IMMUNOLOGY
ALEXANDER, INGRID I., MD
GENDER: F
NPI #: 1144269531
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: YES
GOVINDAIAH, RENU C., MD
GENDER: F
NPI #: 1477553931
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
PRASAD, SUDHA, MD
GENDER: F
NPI #: 1417120189
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
PRATT, ELLEN L., MD
GENDER: F
NPI #: 1255421533
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
354
Specialty Care Providers
SIRI, DAREEN D., MD
GENDER: F
NPI #: 1730272998
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
AMMAR, RICHARD F., MD
GENDER: M
NPI #:
MEMORIAL MEDICAL
CENTER
701 N 1ST ST
SPRINGFIELD, IL 62781
PHONE:
E-PRESCRIBE: NO
CARDIAC
ELECTROPHYSIOLOGY
BURRI, MANJULA V., MD
GENDER: F
NPI #: 1619172228
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
619 E MASON
SPRINGFIELD, IL 62701
PHONE: (217) 788-0706
E-PRESCRIBE: YES
MAK, ERIC C., MD
GENDER: M
NPI #: 1659553543
SPRINGFIELD CLINIC LLP
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
CARDIOLOGY
AGUIRRE, FRANK V., MD
GENDER: M
NPI #: 1265513717
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
AHMED, ADEEB, MD
GENDER: M
NPI #: 1245217603
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
355
747 N RUTLEDGE 4TH FLOOR
SPRINGFIELD, IL 62701
PHONE: (217) 788-7032
E-PRESCRIBE: YES
800 E CARPENTER ST
SPRINGFIELD, IL 62701
PHONE:
E-PRESCRIBE: YES
CAHILL, THOMAS, MD
GENDER: M
NPI #: 1023128113
MEMORIAL MEDICAL
CENTER
701 N FIRST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3030
E-PRESCRIBE: YES
DEMARTINI, TONY J., MD
GENDER: M
NPI #: 1174604631
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: NO
DEMARTINI, TONY, MD
GENDER: M
NPI #: 1174604631
MEMORIAL MEDICAL
CENTER
701 1ST STREET
SPRINGFIELD, IL 62781
PHONE: (800) 562-2829
E-PRESCRIBE: YES
GHANI, MANSURA, MD
GENDER: F
NPI #: 1639253701
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
GILL, JOHN B., MD
GENDER: M
NPI #: 1487737177
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
GOLDSTEIN, JEFFREY A., MD
GENDER: M
NPI #: 1689756900
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
GOLDSTEIN, JEFFREY, MD
GENDER: M
NPI #: 1689756900
MEMORIAL MEDICAL
CENTER
701 1ST STREET
SPRINGFIELD, IL 62781
PHONE: (800) 562-2829
E-PRESCRIBE: YES
GOSWAMI, NILESH J., MD
GENDER: M
NPI #: 1467534701
MEMORIAL MEDICAL
CENTER
701 1ST STREET
SPRINGFIELD, IL 62781
PHONE: (800) 562-2829
E-PRESCRIBE: YES
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
Specialty Care Providers
HOLLOWAY, RICHARD, MD
GENDER: M
NPI #: 1326120668
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
ST JOHNS PHYSICIANS
SERVICES
800 E CARPENTER RM 2K47
SPRINGFIELD, IL 62769
PHONE: (217) 544-6464
E-PRESCRIBE: NO
ISSA, ZIAD F., MD
GENDER: M
NPI #: 1740362094
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
ISSA, ZIAD, MD
GENDER:
NPI #: 1740362094
MEMORIAL MEDICAL
CENTER
701 N 1ST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3800
E-PRESCRIBE: YES
JENNISON, STEPHEN, MD
GENDER: M
NPI #: 1043391766
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
KARPEN, CHARLES, MD
GENDER: M
NPI #: 1235211509
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-7076
E-PRESCRIBE: YES
KATHOLI, RICHARD E., MD
GENDER: M
NPI #: 1245312529
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
356
Specialty Care Providers
KELLEY, MICHAEL P., MD
GENDER: M
NPI #: 1639251929
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: NO
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: NO
LAM, WILFRED, MD
GENDER: M
NPI #: 1750463949
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
LIM, BERNARD B., MD
GENDER: M
NPI #: 1548235856
PRAIRIE CARDIOVASCULAR
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62701
PHONE: (217) 788-0706
E-PRESCRIBE: YES
LUCORE, CHARLES, MD
GENDER: M
NPI #: 1821172198
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
357
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
MANI, KARTIK, MD
GENDER:
NPI #: 1689869885
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER
SPRINGFIELD, IL 62702
PHONE:
E-PRESCRIBE: YES
619 E MASON
SPRINGFIELD, IL 62702
PHONE:
E-PRESCRIBE: YES
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
MARTIN, RANDOLPH S., MD
GENDER: M
NPI #: 1366436818
2901 OLD JACKSONVILLE RD
SUITE D
SPRINGFIELD, IL 62704
PHONE: (217) 546-0750
E-PRESCRIBE: NO
MATOS, GABOR F., MD
GENDER: M
NPI #: 1639251747
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: NO
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
MATOS, GABOR, MD
GENDER: M
NPI #: 1639251747
MEMORIAL MEDICAL
CENTER
701 N FIRST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3030
E-PRESCRIBE: YES
MAYER, STEPHEN A., MD
GENDER: M
NPI #: 1477635506
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
MIKELL, FRANK, MD
GENDER: M
NPI #: 1669582904
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
MILLER, BRIAN D., MD
GENDER: M
NPI #: 1972685014
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
MISHKEL, GREGORY J., MD
GENDER: M
NPI #: 1629150768
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
MOULTON, KRIEGH, MD
GENDER: M
NPI #: 1174605166
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
MUKERJI, VASKAR, MD
GENDER: M
NPI #: 1871686030
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
Specialty Care Providers
MULLIN, JAMES C., MD
GENDER: M
NPI #: 1376625376
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
NALLAMOTHU, NASARAIAH,
MD
GENDER: M
NPI #: 1427130426
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
NANDISH, SHAILESH S., MD
GENDER: M
NPI #: 1134104144
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
619 E MASON ST SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: NO
NESTER, JOHN E., MD
GENDER: M
NPI #: 1386737435
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
NESTER, JOHN, MD
GENDER: M
NPI #: 1386737435
MEMORIAL MEDICAL
CENTER
701 N FIRST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3030
E-PRESCRIBE: YES
NOVAK, HOLLY A., MD
GENDER: F
NPI #: 1952483968
MEMORIAL MEDICAL
CENTER
701 1ST STREET
SPRINGFIELD, IL 62781
PHONE: (800) 562-2829
E-PRESCRIBE: YES
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
ROCHA-SINGH, KRISHNA,
MD
GENDER: M
NPI #:
MEMORIAL MEDICAL
CENTER
701 1ST STREET
SPRINGFIELD, IL 62781
PHONE: (800) 562-2829
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
358
Specialty Care Providers
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
SHELTON, MARC, MD
GENDER: M
NPI #: 1245313840
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
STAMPEHL, MARK R., MD
GENDER: M
NPI #: 1891916219
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
619 E MASON ST SUITE 4P57
SPRINGFIELD, IL 62701
PHONE: (217) 788-0706
E-PRESCRIBE: NO
STEEN, MARK S., MD
GENDER: M
NPI #: 1306929906
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: NO
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: NO
359
TRASK, ROBERT V., MD
GENDER: M
NPI #: 1366525966
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
TRIVEDI, ATUL, MD
GENDER: M
NPI #: 1255332292
SPRINGFIELD CLINIC LLP
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
WOODRUFF, ROBERT, MD
GENDER: M
NPI #: 1659454262
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4P57
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
ZELLNER, CHRISTIAN A., MD
GENDER: M
NPI #: 1972501948
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
SPRINGFIELD, IL
SPRINGFIELD, IL
ZUCK, VINCENT P., MD
GENDER: M
NPI #: 1457434078
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: NO
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: NO
ZUCK, VINCENT, MD
GENDER: M
NPI #: 1457434078
MEMORIAL MEDICAL
CENTER
701 N 1ST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3800
E-PRESCRIBE: YES
CARDIOTHORACIC
SURGERY
ARENTZEN, CARL E., MD
GENDER: M
NPI #: 1033190814
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-7422
E-PRESCRIBE: NO
CHRISTY, JEFFREY P., MD
GENDER: M
NPI #: 1710968490
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
747 N RUTLEDGE 4TH FLR
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
HAZELRIGG, STEPHEN R.,
MD
GENDER: M
NPI #: 1205817996
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
315 W CARPENTER ST 2ND
FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-7422
E-PRESCRIBE: NO
PYLE, WILLIAM G., MD
GENDER: M
NPI #: 1306827001
SIU PHYSICIANS &
SURGEONS
619 E MAIN
SPRINGFIELD, IL 62705
PHONE: (217) 788-0710
E-PRESCRIBE: NO
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-7578
E-PRESCRIBE: NO
STEVENS JR, WILLIAM, MD
GENDER: M
NPI #: 1548241250
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-7422
E-PRESCRIBE: NO
Specialty Care Providers
VASSILEVA, CHRISTINA M.,
MD
GENDER: F
NPI #: 1124172135
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5555
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
PO BOX 19638
SPRINGFIELD, IL 62794-9638
PHONE: (217) 545-5555
E-PRESCRIBE: NO
COLON/RECTAL SURGERY
HOFMANN, PETER M., MD
GENDER: M
NPI #: 1043317373
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
PACHECO, PAUL E., MD
GENDER: M
NPI #: 1689872905
SPRINGFIELD CLINIC LLP
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
PARIS, BRAD D., MD
GENDER: M
NPI #: 1205057254
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
THIELE, JAMES W., MD
GENDER: M
NPI #: 1659465813
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
WIETFELDT, ELIZABETH D.,
MD
GENDER: F
NPI #: 1962623827
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
ZANDER, JOHN D., MD
GENDER: M
NPI #: 1558458349
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
DERMATOLOGY
BUESCHER, LUCINDA, MD
GENDER: F
NPI #: 1023011863
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-3821
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
360
Specialty Care Providers
CLAMAN, CASSANDRA C.,
MD
GENDER: F
NPI #: 1356380281
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
CONLON, JOSEPH D., MD
GENDER: M
NPI #: 1831131697
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-6000
E-PRESCRIBE: YES
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE
SPRINGFIELD, IL 62794
PHONE: (217) 545-3821
E-PRESCRIBE: YES
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
2200 WABASH AVE
SPRINGFIELD, IL 62704
PHONE:
E-PRESCRIBE: YES
DIETRICH, SARAH M., MD
GENDER: F
NPI #: 1265525737
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
361
KNOX, JUDITH, MD
GENDER: F
NPI #: 1467550772
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
MCGINNESS, JAMIE L., MD
GENDER: F
NPI #: 1447291356
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
NIETERT, ELIZABETH, MD
GENDER: F
NPI #: 1619199072
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-3821
E-PRESCRIBE: NO
STEALEY, A KATHERINE H.,
MD
GENDER: F
NPI #: 1841411188
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
STONE, STEPHEN, MD
GENDER: M
NPI #: 1942203708
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-3821
E-PRESCRIBE: NO
WILSON, MORGAN L., MD
GENDER: M
NPI #: 1538327556
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-3821
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 2300
SPRINGFIELD, IL 62702
PHONE: (217) 545-3821
E-PRESCRIBE: NO
ENDOCRINOLOGY
FRATIANNI, CARMEL, MD
GENDER: F
NPI #: 1033106828
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 0300
SPRINGFIELD, IL 62702
PHONE: (217) 545-3821
E-PRESCRIBE: NO
HAZARD, KEVIN D., MD
GENDER: M
NPI #: 1881652089
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
Specialty Care Providers
HOELZER, DAVID R., MD
GENDER: M
NPI #: 1306942040
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
SAID, SUFYAN, MD
GENDER: M
NPI #: 1982885257
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
JAKOBY IV, MICHAEL G., MD
GENDER: M
NPI #: 1770515181
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 0300
SPRINGFIELD, IL 62702
PHONE: (217) 545-3821
E-PRESCRIBE: NO
SOLER, NORMAN, MD
GENDER: M
NPI #: 1902889017
HSHS MEDICAL GROUP INC
2501 CHATHAM RD SUITE
300
SPRINGFIELD, IL 62704
PHONE: (217) 787-8870
E-PRESCRIBE: NO
JAYARMAIAH, POORNIMA,
MD
GENDER: F
NPI #: 1174784086
HSHS MEDICAL GROUP INC
2501 CHATHAM RD SUITE
300
SPRINGFIELD, IL 62704
PHONE: (217) 787-8870
E-PRESCRIBE: NO
SPECK, LYNN, MD
GENDER: F
NPI #: 1669572350
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
MAMILLAPALLI, CHAITANYA
K., MD
GENDER: M
NPI #: 1710137930
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 300
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
RUSSO, MARINA, MD
GENDER: F
NPI #: 1174510978
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: YES
WESLY, JADWIGA, MD
GENDER: F
NPI #: 1629178215
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
AMARIS, MANUEL ALBERTO
A., MD
GENDER: M
NPI #: 1578599080
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
E-PRESCRIBE: NO
ANNABA, FADI, MD
GENDER: M
NPI #: 1154353217
SPRINGFIELD CLINIC LLP
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
PHONE: (217) 528-7541
E-PRESCRIBE: NO
BUTNARIU, MADALINA I., MD
GENDER: F
NPI #: 1619956638
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
E-PRESCRIBE: NO
GASTROENTEROLOGY
CHERUKU, SAILAJA M., MD
GENDER: F
NPI #: 1578659496
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
ALI, AMAN, MD
GENDER: M
NPI #: 1093908113
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
E-PRESCRIBE: NO
CHODASH, HOWARD B., MD
GENDER: M
NPI #: 1295720027
PHYSICIANS GROUP
ASSOCIATES
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 241-3588
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
362
Specialty Care Providers
SPRINGFIELD, IL
SPRINGFIELD, IL
CHOPRA, ASHISH, MD
GENDER: M
NPI #: 1497727234
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
PETERSON, WILLIAM L., MD
GENDER: M
NPI #: 1174623854
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
BUNTAIN, WILLIAM L., MD
GENDER: M
NPI #: 1700902608
HSHS MEDICAL GROUP
800 E CARPENTER
SPRINGFIELD, IL 62769
PHONE: (217) 544-6464
E-PRESCRIBE: NO
HUANG, MEI, MD
GENDER: F
NPI #: 1417972597
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
E-PRESCRIBE: NO
SALIMINEJAD, MEHRDAD,
MD
GENDER: M
NPI #: 1891934832
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 353-1298
E-PRESCRIBE: NO
CETINDAG, IBRAHIM B., MD
GENDER: M
NPI #: 1447471396
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE 5TH FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-5183
E-PRESCRIBE: NO
KARRAS, PETER J., MD
GENDER: M
NPI #: 1114025566
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
MOSLEY, ROBERT G., MD
GENDER: M
NPI #: 1770683443
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
PARADOWSKI, THEODORE
J., MD
GENDER: M
NPI #: 1720171804
SPRINGFIELD CLINIC LLP
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
363
TORGERSON, STUART A., MD
GENDER: M
NPI #: 1750376596
PHYSICIANS GROUP
ASSOCIATES
2901 OLD JACKSONVILLE RD
SUITE B-3
SPRINGFIELD, IL 62704
PHONE: (217) 241-3588
E-PRESCRIBE: NO
GENERAL SURGERY
AHAD, SAJIDA, MD
GENDER: F
NPI #: 1326024837
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5878
E-PRESCRIBE: NO
BREWER, AARON T., MD
GENDER: M
NPI #: 1679794523
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
DUNNINGTON, GARY, MD
GENDER: M
NPI #: 1528049871
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
315 W CARPENTER ST 2ND
FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-7422
E-PRESCRIBE: NO
FENNER, MICHAEL N., MD
GENDER: M
NPI #: 1578660445
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
Specialty Care Providers
FREITAG, PER, MD
GENDER: M
NPI #: 1205822913
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5878
E-PRESCRIBE: NO
HODGSON, KIM, MD
GENDER: F
NPI #: 1417943937
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5555
E-PRESCRIBE: NO
FULLERTON, JAMES K., MD
GENDER: M
NPI #: 1760575229
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
HOOD, DOUGLAS B., MD
GENDER: M
NPI #: 1679505242
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5555
E-PRESCRIBE: NO
GARFINKEL, MARC R., MD
GENDER: M
NPI #: 1164587994
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE 5TH FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-5878
E-PRESCRIBE: NO
ICAZA, ORLANDO J., MD
GENDER: M
NPI #: 1669579991
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
HAMMER, MAX D., MD
GENDER: M
NPI #: 1477650794
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
KUHNKE, MARK, MD
GENDER: M
NPI #: 1033210026
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
HIGH, ERIC M., MD
GENDER: M
NPI #: 1629299599
SPRINGFIELD CLINIC LLP
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
MELLINGER, JOHN D., MD
GENDER: M
NPI #: 1275642233
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE 5TH FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-5878
E-PRESCRIBE: NO
MITCHELL, KRISTOFER J.,
MD
GENDER: M
NPI #: 1205040664
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
PACHECO, PAUL E., MD
GENDER: M
NPI #: 1689872905
SPRINGFIELD CLINIC LLP
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
RAKINIC, JAN, MD
GENDER: F
NPI #: 1457348401
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
315 W CARPENTER ST 2ND
FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-7422
E-PRESCRIBE: NO
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5555
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
364
Specialty Care Providers
REA, DAVID J., MD
GENDER: M
NPI #: 1245218692
SIU PHYSICIANS &
SURGEONS INC
315 W CARPENTER 2ND
FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-5878
E-PRESCRIBE: YES
WALL, JARROD C., MD
GENDER: M
NPI #: 1184695520
SIU PHYSICIANS &
SURGEONS
421 N 9TH ST SUITE 240
SPRINGFIELD, IL 62701
PHONE: (217) 545-5183
E-PRESCRIBE: NO
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5555
E-PRESCRIBE: NO
ROSS, DONALD, MD
GENDER: M
NPI #: 1326131285
SPRINGFIELD CLINIC 1ST
800 N 1ST ST
SPRINGFIELD, IL 62701
PHONE: (217) 528-7541
E-PRESCRIBE: YES
WARNER, ELIZABETH A., MD
GENDER: F
NPI #: 1407924434
SPRINGFIELD CLINIC LLP
1130 S 6TH ST STE 102
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
SUTYAK, JOHN, MD
GENDER: M
NPI #: 1679569172
SIU PHYSICIANS &
SURGEONS
421 N 9TH ST SUITE 240
SPRINGFIELD, IL 62701
PHONE: (217) 545-3100
E-PRESCRIBE: NO
WICHTERMAN, KEITH A., MD
GENDER: M
NPI #: 1841387636
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5555
E-PRESCRIBE: NO
VASSILEVA, CHRISTINA M.,
MD
GENDER: F
NPI #: 1124172135
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5555
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
PO BOX 19638
SPRINGFIELD, IL 62794-9638
PHONE: (217) 545-5555
E-PRESCRIBE: NO
365
WOHLTMANN,
CHRISTOPHER D., MD
GENDER: M
NPI #: 1982699633
SIU PHYSICIANS &
SURGEONS
421 N 9TH ST SUITE 240
SPRINGFIELD, IL 62701
PHONE: (217) 545-3100
E-PRESCRIBE: NO
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5555
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
GERIATRICS
HIGUCHI, MASAYA, MD
GENDER: M
NPI #: 1457544892
SIU CENTER FOR FAMILY
MEDICINE
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
5220 S 6TH ST ROAD SUITE
1200
SPRINGFIELD, IL 62703
PHONE: (217) 757-8100
E-PRESCRIBE: NO
TABASSUM, VAJEEHA, MD
GENDER: F
NPI #: 1699951582
SIU PHYSICIANS &
SURGEONS
520 N 4TH ST
SPRINGFIELD, IL 62702
PHONE: (217) 757-8100
E-PRESCRIBE: NO
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-3880
E-PRESCRIBE: NO
GYNECOLOGIC ONCOLOGY
BRARD, LAURENT, MD
GENDER: M
NPI #: 1346278041
SIU PHYS & SURG SIMMONS
CANCER INSTITUTE
315 W CARPENTER 1ST
FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-1322
E-PRESCRIBE: NO
SIU PHYS & SURG-SIMMONS
CANCER INSTITUTE
315 W CARPENTER 2ND FL
SPRINGFIELD, IL 62702
PHONE: (217) 545-5117
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
SIU PHYSICIANS &
SURGEONS INC
415 N 9TH ST STE 6W100
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
HEMATOLOGY
DESAI, MEGHNA R., MD
GENDER: F
NPI #: 1609865294
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
415 N 9TH ST
SPRINGFIELD, IL 62794
PHONE: (217) 545-5817
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
BRETSCHER, MARY E., MD
GENDER: F
NPI #: 1073623336
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
GIANNONE, LEONARD, MD
GENDER: M
NPI #: 1245297571
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
Specialty Care Providers
GILLISON, TIMOTHY L., MD
GENDER: M
NPI #: 1710905906
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
GUPTA, AMIT K., MD
GENDER: M
NPI #: 1639395114
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
HOELZER, KAREN L., MD
GENDER: F
NPI #: 1477659126
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
MINK, SCOTT A., MD
GENDER: M
NPI #: 1235239906
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
MOCHARNUK, ROBERT S.,
MD
GENDER: M
NPI #: 1568499770
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
315 W CARPENTER
SPRINGFIELD, IL 62702
PHONE: (217) 545-5817
E-PRESCRIBE: NO
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5817
E-PRESCRIBE: NO
RAO, KRISHNA A., MD
GENDER:
NPI #: 1235128109
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-5817
E-PRESCRIBE: NO
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5817
E-PRESCRIBE: NO
SROKOWSKI, TOMASZ P.,
MD
GENDER: M
NPI #: 1174671937
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
WILLADSEN, DIANA S., MD
GENDER: F
NPI #: 1528099793
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
366
Specialty Care Providers
HEPATOLOGY
JAVADI, FARIBA, MD
GENDER: F
NPI #: 1538265830
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
E-PRESCRIBE: NO
INFECTIOUS DISEASES
CHIHARA, SHINGO, MD
GENDER: M
NPI #: 1205020310
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0181
E-PRESCRIBE: NO
GRAHAM, DONALD R., MD
GENDER: M
NPI #: 1508962366
SPRINGFIELD CLINIC
301 N EIGHTH ST
SPRINGFIELD, IL 62701
PHONE: (217) 527-4720
E-PRESCRIBE: YES
KIM, INWHA, MD
GENDER: F
NPI #: 1356349799
SPRINGFIELD CLINIC LLP
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 527-4720
E-PRESCRIBE: YES
KOIRALA, JANAK, MD
GENDER: M
NPI #: 1316935315
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
E-PRESCRIBE: NO
367
LEIGH, DOUGLAS R., MD
GENDER: M
NPI #: 1265530455
SPRINGFIELD CLINIC
301 N EIGHTH ST
SPRINGFIELD, IL 62701
PHONE: (217) 527-4720
E-PRESCRIBE: YES
MULLANGI, PRAVEEN K., MD
GENDER: M
NPI #: 1508056987
SPRINGFIELD CLINIC
301 N EIGHTH ST
SPRINGFIELD, IL 62701
PHONE: (217) 528-7541
E-PRESCRIBE: YES
OMARRO, STEVEN D., MD
GENDER: M
NPI #: 1467552133
SPRINGFIELD CLINIC
301 N EIGHTH ST
SPRINGFIELD, IL 62701
PHONE: (217) 527-4720
E-PRESCRIBE: YES
SUNDARESHAN, VIDYA, MD
GENDER: F
NPI #: 1376790733
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
TYAGI, ISHA, MD
GENDER: F
NPI #: 1487816161
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 1100
SPRINGFIELD, IL 62702
PHONE: (217) 545-0181
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
INFERTILITY/
REPRODUCTIVE
ENDOCRINOLOGY
LORET DE MOLA, JULIO R.,
MD
GENDER: M
NPI #: 1326071887
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-2229
E-PRESCRIBE: NO
INTENSIVE CARE/CRITICAL
CARE
ZAZA, TAREQ, MD
GENDER: M
NPI #: 1447287412
MEMORIAL MEDICAL
CENTER
701 N 1ST ST
SPRINGFIELD, IL 62702
PHONE:
E-PRESCRIBE: YES
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE
SPRINGFIELD, IL 62794-9636
PHONE: (217) 545-8000
E-PRESCRIBE: YES
MICROGRAPHIC SURGERY
BUZZELL, ROBERT, MD
GENDER: M
NPI #: 1861495699
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-3821
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
NEONATOLOGY
BATTON, BEAU J., MD
GENDER: M
NPI #: 1215037494
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (800) 331-2229
E-PRESCRIBE: NO
BATTON, DANIEL G., MD
GENDER: M
NPI #: 1952370868
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (800) 331-2229
E-PRESCRIBE: NO
CROUSE, DENNIS, MD
GENDER: M
NPI #: 1225012180
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 544-6464
E-PRESCRIBE: NO
MAJJIGA, VENKATA S., MD
GENDER: M
NPI #: 1255623997
SIU PHYSICIANS &
SRUGEONS INC
415 N 9TH RM 4W16
SPRINGFIELD, IL 62794
PHONE: (800) 331-2229
E-PRESCRIBE: NO
ST JOHNS HOSPITAL
800 E CARPENTER ST
SPRINGFIELD, IL 62704
PHONE: (800) 331-2229
E-PRESCRIBE: NO
Specialty Care Providers
VARGAS, LAURA B., MD
GENDER: F
NPI #: 1679736219
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 4W16
SPRINGFIELD, IL 62794
PHONE: (800) 331-2229
E-PRESCRIBE: NO
KRALL, ALLEN S., MD
GENDER: M
NPI #: 1326010570
CENTRAL ILLINOIS KIDNEY
& DIALYSIS ASSOCIATES SC
3401 CONIFER DR
SPRINGFIELD, IL 62711
PHONE: (217) 726-0967
E-PRESCRIBE: NO
NEPHROLOGY
MEHTA, PRADEEP K., MD
GENDER: M
NPI #: 1366414443
CENTRAL ILLINOIS KIDNEY
& DIALYSIS ASSOCIATES SC
3401 CONIFER DR
SPRINGFIELD, IL 62711
PHONE: (217) 726-0967
E-PRESCRIBE: NO
AHMAD, AQEEL, MD
GENDER: M
NPI #: 1497942866
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
CHEN, XUEGUANG, MD
GENDER: M
NPI #: 1730243015
CENTRAL ILLINOIS KIDNEY
& DIALYSIS ASSOCIATES SC
3401 CONIFER DR
SPRINGFIELD, IL 62711
PHONE: (217) 726-0967
E-PRESCRIBE: NO
SMITH, LAWRENCE J., MD
GENDER: M
NPI #: 1457323669
CENTRAL ILLINOIS KIDNEY
& DIALYSIS ASSOCIATES SC
3401 CONIFER DR
SPRINGFIELD, IL 62711
PHONE: (217) 726-0967
E-PRESCRIBE: NO
DOWNER, MERRY C., MD
GENDER: F
NPI #: 1518054121
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
TAMIZUDDIN, ASHRAF, MD
GENDER: M
NPI #: 1255302626
CENTRAL ILLINOIS KIDNEY
& DIALYSIS ASSOCIATES SC
3401 CONIFER DR
SPRINGFIELD, IL 62711
PHONE: (217) 726-0967
E-PRESCRIBE: NO
FORERO, NICOLAS A., MD
GENDER: M
NPI #: 1740264365
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
WEST, BRADFORD L., MD
GENDER: M
NPI #: 1194969170
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
368
Specialty Care Providers
WHITE, NEVILLE, MD
GENDER: M
NPI #: 1861589103
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-8417
E-PRESCRIBE: NO
NEUROLOGY
AGRAWAL, BRAJESH K., MD
GENDER: M
NPI #: 1326269515
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 2W94
SPRINGFIELD, IL 62701
PHONE: (217) 545-8417
E-PRESCRIBE: NO
ALA, THOMAS, MD
GENDER: M
NPI #: 1871584649
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 546-8417
E-PRESCRIBE: NO
BECKER, CECILE F., MD
GENDER: F
NPI #: 1750493540
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
ELBLE, RODGER, MD
GENDER: M
NPI #: 1649251984
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 2W94
SPRINGFIELD, IL 62701
PHONE: (217) 545-8417
E-PRESCRIBE: NO
369
FORTIN, CLAUDE J., MD
GENDER: M
NPI #: 1235225780
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
GELBER, DAVID, MD
GENDER: M
NPI #: 1669571113
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
GILCHRIST, JAMES M., MD
GENDER: M
NPI #: 1043247083
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 3100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8417
E-PRESCRIBE: NO
KALE, SUSHANT P., MD
GENDER: M
NPI #: 1780809798
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 2W94
SPRINGFIELD, IL 62701
PHONE: (217) 545-8417
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
MEHRA, MUKTESHWAR L.,
MD
GENDER: M
NPI #: 1699728584
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
MUEED, SAJJAD, MD
GENDER: M
NPI #: 1124182860
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 3100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8417
E-PRESCRIBE: NO
NARLA, KOTESWARA R., MD
GENDER: M
NPI #: 1326131459
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
OMAR, AYMAN I., MD
GENDER: M
NPI #: 1285894501
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST SUITE 2W94
SPRINGFIELD, IL 62701
PHONE: (217) 545-8417
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
PENG, YEN-YI, MD
GENDER: M
NPI #: 1891951638
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-8417
E-PRESCRIBE: NO
WANG, ZENG Y., MD
GENDER: M
NPI #: 1669453437
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-8417
E-PRESCRIBE: NO
NEUROPSYCHOLOGY
NOGGLE, CHAD A., PHD
GENDER: M
NPI #: 1063654796
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
315 W CARPENTER ST 2ND
FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-8229
E-PRESCRIBE: NO
ZEC, RONALD, PHD
GENDER: M
NPI #: 1962483180
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-7197
E-PRESCRIBE: NO
Specialty Care Providers
NEUROSURGERY
ACAKPO-SATCHIVI, LESLIE
J., MD
GENDER: M
NPI #: 1821042680
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
AMIN, DEVIN V., MD
GENDER: M
NPI #: 1881649036
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
421 N 9TH ST SUITE 240
SPRINGFIELD, IL 62702
PHONE: (217) 545-5878
E-PRESCRIBE: NO
COZZENS, JEFFREY W., MD
GENDER: M
NPI #: 1750301875
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
421 N 9TH ST SUITE 240
SPRINGFIELD, IL 62701
PHONE: (217) 545-5878
E-PRESCRIBE: NO
ESPINOSA, JOSE, MD
GENDER: M
NPI #: 1982690632
SIU PHYSICIANS &
SURGEONS
421 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 528-7547
E-PRESCRIBE: NO
MACGREGOR, MARGARET,
MD
GENDER: F
NPI #: 1679665541
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
RUSSELL, BRIAN K., MD
GENDER: M
NPI #: 1396834271
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
ONCOLOGY
DESAI, MEGHNA R., MD
GENDER: F
NPI #: 1609865294
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
415 N 9TH ST
SPRINGFIELD, IL 62794
PHONE: (217) 545-5817
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
370
Specialty Care Providers
KHAN, AZIZ U., MD
GENDER: M
NPI #: 1699702316
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-5817
E-PRESCRIBE: NO
OPHTHALMOLOGY
NOTTAGE, JENNIFER M., MD
GENDER: F
NPI #: 1588688741
SPRINGFIELD CLINIC
1130 S 6TH ST SUITE 102
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
KRAH, DAVID, MD
GENDER: M
NPI #: 1225136567
EYE SHOPPE
1937 W ILES
SPRINGFIELD, IL 62704
PHONE: (217) 726-1299
E-PRESCRIBE: NO
ODIN, LANNY S., MD
GENDER: M
NPI #: 1457309130
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
E-PRESCRIBE: NO
ST JOHNS HOSPITAL
800 E CARPENTER
SPRINGFIELD, IL 62769
PHONE:
E-PRESCRIBE: NO
BUTLER, PATRICK J., MD
GENDER: M
NPI #: 1316057516
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
EZE, PHYLLIS I., MD
GENDER: F
NPI #: 1609063106
SPRINGFIELD CLINIC LLP
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
PHONE: (217) 528-7541
E-PRESCRIBE: NO
371
FARRIS, STUART R., MD
GENDER: M
NPI #: 1144279498
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
E-PRESCRIBE: NO
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
APRAHAMIAN, ARA D., MD
GENDER: M
NPI #: 1528015013
GAILEY EYE CLINIC
5220 S 6TH ST SUITE 2300
SPRINGFIELD, IL 62703
PHONE: (217) 529-3937
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
KWEDAR, JOHN E., MD
GENDER: M
NPI #: 1972601243
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
LOHSE, ERIC P., MD
GENDER: M
NPI #: 1720186711
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
PETERSON, RANDAL, MD
GENDER: M
NPI #: 1184724866
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
PUROHIT, AMISH R., MD
GENDER: M
NPI #: 1346262698
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
RAUSCHER, FREDERICK M.,
MD
GENDER: M
NPI #: 1316147564
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
SU, GRANT W., MD
GENDER: M
NPI #: 1386723781
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
SUTTON, DAVID P., MD
GENDER: M
NPI #: 1508826918
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
E-PRESCRIBE: NO
YANG, WILLIAM W., MD
GENDER: M
NPI #: 1790979011
PRAIRIE EYE CENTER LTD
2020 W ILES AVE
SPRINGFIELD, IL 62704
PHONE: (217) 698-3030
E-PRESCRIBE: NO
ORAL/MAXILLOFACIAL
SURGERY
FISCHER, DAVID J., DDS
GENDER: M
NPI #: 1255650974
SPRINGFIELD ASSOCIATES
IN ORAL & MAXILLOFACIAL
SUR
3007 SPRING MILL DR
SPRINGFIELD, IL 62704
PHONE: (217) 546-8100
E-PRESCRIBE: NO
997 CLOCK TOWER DR
SPRINGFIELD, IL 62704
PHONE:
E-PRESCRIBE: NO
Specialty Care Providers
WILLIAMS, JORDAN N., DMD
GENDER: M
NPI #: 1891011755
SPRINGFIELD ASSOCIATES
IN ORAL & MAXILLOFACIAL
SUR
3007 SPRING MILL DR
SPRINGFIELD, IL 62704-6558
PHONE: (217) 546-8100
E-PRESCRIBE: NO
997 CLOCK TOWER DR
SPRINGFIELD, IL 62704
PHONE:
E-PRESCRIBE: NO
ORTHOPAEDICS
ADAIR, DANIEL, MD
GENDER: M
NPI #: 1043322886
SPRINGFIELD CLINIC
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 862-0444
E-PRESCRIBE: YES
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
ALLAN, D GORDON, MD
GENDER: M
NPI #: 1902892607
ORTHOPAEDIC CENTER OF
ILLINOIS
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
PHONE: (217) 547-9100
E-PRESCRIBE: NO
BOROWIECKI, TOMASZ A.,
MD
GENDER: M
NPI #: 1336251982
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
EL-AMIN, SAADIQ F., MD
GENDER: M
NPI #: 1972718328
SIU PHYSICIANS &
SURGEONS INC
747 N RUTLEDGE 5TH FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-5878
E-PRESCRIBE: NO
GARDNER, MATTHEW P., MD
GENDER: M
NPI #: 1912123134
SPRINGFIELD CLINIC LLP
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
GREATTING, MARK, MD
GENDER: M
NPI #: 1457459570
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
HERRIN, RODNEY, MD
GENDER: M
NPI #: 1407835457
ORTHOPAEDIC CENTER OF
ILLINOIS
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
PHONE: (217) 547-9100
E-PRESCRIBE: YES
HILLARD-SEMBELL, DIANE
C., MD
GENDER: F
NPI #: 1972600294
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
372
Specialty Care Providers
LEMKE, LAURA M., MD
GENDER: F
NPI #: 1396716080
HSHS MEDICAL GROUP
301 N 8TH ST SUITE 3B121
SPRINGFIELD, IL 62701
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5878
E-PRESCRIBE: NO
LUDWIG, LEO K., MD
GENDER: M
NPI #: 1689653628
ORTHOPAEDIC CENTER OF
ILLINOIS
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
PHONE: (217) 547-9100
E-PRESCRIBE: NO
MA, JIANJUN, MD
GENDER: M
NPI #: 1760679617
SPRINGFIELD CLINIC LLP
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
MAENDER, CHRISTOPHER
W., MD
GENDER: M
NPI #: 1376763227
ORTHOPAEDIC CENTER OF
ILLINOIS
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
PHONE: (217) 547-9100
E-PRESCRIBE: NO
MCANDREW, MARK P., MD
GENDER: M
NPI #: 1891782520
SIMMONS CANCER
INSTITUTE
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-6000
E-PRESCRIBE: NO
373
MULSHINE, BARRY T., MD
GENDER: M
NPI #: 1891773925
ORTHOPAEDIC CENTER OF
ILLINOIS
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
PHONE: (217) 547-9100
E-PRESCRIBE: NO
PAYNE, WILLIAM D., MD
GENDER: M
NPI #: 1740282847
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
PINEDA, STEPHEN J., MD
GENDER: M
NPI #: 1528178654
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
PRINCE, MICHELLE M., MD
GENDER: F
NPI #: 1841264454
HSHS MEDICAL GROUP
301 N 8TH ST SUITE 3B121
SPRINGFIELD, IL 62701
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
RAHMAN, RAKERRY K., MD
GENDER: M
NPI #: 1972752228
SIU PHYSICIANS &
SURGEONS INC
747 N RUTLEDGE 5TH FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: YES
ROMANELLI, RONALD R., MD
GENDER: M
NPI #: 1295714244
ORTHOPAEDIC CENTER OF
ILLINOIS
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
PHONE: (217) 547-9100
E-PRESCRIBE: NO
SALEH, KHALED J., MD
GENDER: M
NPI #: 1881735280
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5878
E-PRESCRIBE: NO
SCHOPP, JEFFREY A., MD
GENDER: M
NPI #: 1891888608
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
SENICA, KAROLYN M., MD
GENDER: F
NPI #: 1609855485
ORTHOPAEDIC CENTER OF
ILLINOIS
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
PHONE: (217) 547-9100
E-PRESCRIBE: NO
STEVENS, BENJAMIN W., MD
GENDER: M
NPI #: 1295953172
SPRINGFIELD CLINIC LLP
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
VANFLEET, TIMOTHY, MD
GENDER: M
NPI #: 1629057419
ORTHOPAEDIC CENTER OF
ILLINOIS
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
PHONE: (217) 547-9100
E-PRESCRIBE: NO
WATSON, MICHAEL D., MD
GENDER: M
NPI #: 1598778789
WATSON ORTHOPAEDICS
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 523-0808
E-PRESCRIBE: NO
WILLIAMS, JOSEPH, MD
GENDER: M
NPI #: 1497794390
ORTHOPAEDIC CENTER OF
ILLINOIS
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
PHONE: (217) 547-9100
E-PRESCRIBE: NO
Specialty Care Providers
WOLTERS, BRETT W., MD
GENDER: M
NPI #: 1235177023
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
GARCIA, PHILIP, MD
GENDER: M
NPI #: 1831295815
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
WOTTOWA, CHRIS, MD
GENDER: M
NPI #: 1922195718
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
HUANG, XINYAN, MD
GENDER: M
NPI #: 1295862365
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
OTOLARYNGOLOGY
JOOS, NATHAN D., MD
GENDER: M
NPI #: 1417096090
SPRINGFIELD CLINIC LLP
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
BASS, RICHARD M., MD
GENDER: M
NPI #: 1609862200
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-0702
E-PRESCRIBE: NO
BAUER, CAROL M., MD
GENDER: F
NPI #: 1700871571
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-6099
E-PRESCRIBE: NO
FOWLER, SARAH S., MD
GENDER: F
NPI #: 1609976513
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
RYBAK, LEONARD, MD
GENDER: M
NPI #: 1194710913
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-6099
E-PRESCRIBE: NO
WOODSON, GAYLE E., MD
GENDER: F
NPI #: 1982690459
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-6099
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
374
Specialty Care Providers
PAIN MANAGEMENT
SALVACION, FERDINAND F.,
MD
GENDER: M
NPI #: 1710958640
BAYLIS OUTPATIENT
CENTER
747 N RUTLEDGE LOWER
LEVEL
SPRINGFIELD, IL 62702
PHONE: (217) 757-7602
E-PRESCRIBE: NO
MEMORIAL SPINEWORKS
PAIN CENTER
701 N FIRST ST
SPRINGFIELD, IL 62781
PHONE: (217) 757-7601
E-PRESCRIBE: NO
PEDIATRIC CARDIOLOGY
AGOUDEMOS, MELISSA M.,
MD
GENDER: F
NPI #: 1518175579
SIU PHYSICIANS &
SURGEONS
619 E MASON 5TH FLOOR
SPRINGFIELD, IL 62701
PHONE: (217) 545-0702
E-PRESCRIBE: NO
GRADY, RONALD M., MD
GENDER: M
NPI #: 1821036716
SIU PHYSICIANS &
SURGEONS
619 E MASON 5TH FLOOR
SPRINGFIELD, IL 62701
PHONE: (217) 545-0702
E-PRESCRIBE: NO
375
NICOLAS, RAMZI T., MD
GENDER: M
NPI #: 1023090875
SIU PHYSICIANS &
SURGEONS
619 E MASON 5TH FLOOR
SPRINGFIELD, IL 62701
PHONE: (217) 545-0702
E-PRESCRIBE: NO
PEDIATRIC CRITICAL CARE
CAPRIROLO, GIOVANNA M.,
MD
GENDER: F
NPI #: 1891917977
SIU PHYSICIANS &
SURGEONS INC
415 N 9TH ST SUITE 4W16
SPRINGFIELD, IL 62794
PHONE: (877) 255-4543
E-PRESCRIBE: YES
PEDIATRIC
ENDOCRINOLOGY
GREEN, REBECCA P., MD
GENDER: F
NPI #: 1750308201
SPRINGFIELD CLINIC LLP
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: NO
PEDIATRIC
GASTROENTEROLOGY
HATCH, TERRY F., MD
GENDER: M
NPI #: 1427093129
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-0702
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
MZIRAY-ANDREW,
CHARMAINE H., MD
GENDER: F
NPI #: 1225254659
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST SUITE PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-0702
E-PRESCRIBE: NO
PEDIATRIC INFECTIOUS
DISEASES
CHAUDHARY, SUBHASH, MD
GENDER: M
NPI #: 1073597936
SIU PHYSICIANS &
SURGEONS
301 E 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-0702
E-PRESCRIBE: NO
RODRIGUEZ, MARCELA, MD
GENDER: F
NPI #: 1578785077
SIU PHYSICIANS &
SURGEONS INC
301 N 8TH
SPRINGFIELD, IL 62794
PHONE: (217) 545-8000
E-PRESCRIBE: YES
PEDIATRIC NEPHROLOGY
SEIFERT, MICHAEL E., MD
GENDER: M
NPI #: 1043471618
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST SUITE PAV4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-0702
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
PEDIATRIC NEUROLOGY
PECHE, SHUBHANGI S., MD
GENDER: F
NPI #: 1063681336
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-8000
E-PRESCRIBE: YES
PRANZATELLI, MICHAEL, MD
GENDER: M
NPI #: 1205810082
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 3100
SPRINGFIELD, IL 62702
PHONE: (217) 545-8417
E-PRESCRIBE: NO
SUNDER, THEODORE, MD
GENDER: M
NPI #: 1255315065
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST PAV 4A
SPRINGFIELD, IL 62701
PHONE: (217) 545-7196
E-PRESCRIBE: NO
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-0702
E-PRESCRIBE: NO
PEDIATRIC ONCOLOGY/
HEMATOLOGY
BRANDT, GREGORY, MD
GENDER: M
NPI #: 1356326821
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5817
E-PRESCRIBE: NO
Specialty Care Providers
NIEBRUGGE, DANIEL J., MD
GENDER: M
NPI #: 1194709055
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE:
E-PRESCRIBE: NO
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
PEDIATRIC ORTHOPAEDICS
GABRIEL, KEITH R., MD
GENDER: M
NPI #: 1346236304
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-7500
E-PRESCRIBE: NO
HAUS, BRIAN M., MD
GENDER: M
NPI #: 1356462824
HSHS MEDICAL GROUP
301 N 8TH ST SUITE 3B121
SPRINGFIELD, IL 62701
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SINGH, KRISHNA ANJALI, MD
GENDER:
NPI #: 1841230471
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-7500
E-PRESCRIBE: NO
PEDIATRIC PLASTIC
SURGERY
BUENO, REUBEN A., MD
GENDER: M
NPI #: 1821066192
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-6314
E-PRESCRIBE: NO
PEDIATRIC PULMONOLOGY
JOHNSON, MARK R., MD
GENDER: M
NPI #: 1205811775
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-0654
E-PRESCRIBE: NO
SHAFI, ANWAR, MD
GENDER: M
NPI #: 1487809448
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-0702
E-PRESCRIBE: NO
PEDIATRIC SURGERY
GLASSER, JAMES G., MD
GENDER: M
NPI #: 1568432250
HSHS MEDICAL GROUP
800 E CARPENTER ST
SPRINGFIELD, IL 62769
PHONE: (217) 391-0600
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
376
Specialty Care Providers
HOLLANDS, CELESTE M., MD
GENDER: F
NPI #: 1720004971
HSHS MEDICAL GROUP
800 E CARPENTER ST
SPRINGFIELD, IL 62769
PHONE: (217) 391-0600
E-PRESCRIBE: NO
HORTON, JOHN D., MD
GENDER: M
NPI #: 1487690889
HSHS MEDICAL GROUP
800 E CARPENTER ST
SPRINGFIELD, IL 62769-5324
PHONE: (217) 391-0600
E-PRESCRIBE: NO
KAVIANIAN, ALI R., MD
GENDER: M
NPI #: 1841299328
HSHS MEDICAL GROUP
800 E CARPENTER ST
SPRINGFIELD, IL 62769
PHONE: (217) 391-0600
E-PRESCRIBE: YES
MAYFORTH, RUTH D., MD
GENDER: F
NPI #: 1184610255
SIU PHYSICIANS &
SURGEONS INC
415 N 9TH ST SUITE 2W106
SPRINGFIELD, IL 62701
PHONE: (217) 545-0702
E-PRESCRIBE: NO
SANDOVAL, JOHN A., MD
GENDER: M
NPI #: 1336313824
HSHS MEDICAL GROUP
800 E CARPENTER ST
SPRINGFIELD, IL 62769
PHONE: (217) 391-0600
E-PRESCRIBE: YES
377
PERINATOLOGY
ABRAMS, ROBERT M., MD
GENDER: M
NPI #: 1003016965
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
THOMPSON, GWYNETH S.,
MD
GENDER: F
NPI #: 1215058490
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-5117
E-PRESCRIBE: NO
UNAL, ELIZABETH R., MD
GENDER: F
NPI #: 1043394729
SIU PHYSICIANS &
SURGEONS
415 N 9TH ST
SPRINGFIELD, IL 62794
PHONE: (217) 545-5117
E-PRESCRIBE: YES
PHYSICAL MEDICINE/
REHABILITATION
SMUCKER, PAUL A., MD
GENDER: M
NPI #: 1952380743
ORTHOPAEDIC CENTER OF
ILLINOIS
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
PHONE: (217) 547-9100
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
TRUDEAU, EDWARD, MD
GENDER: M
NPI #: 1841250339
MEMORIAL MEDICAL
CENTER
340 W MILLER ST LOWER
LEVEL
SPRINGFIELD, IL 62702
PHONE: (217) 788-3377
E-PRESCRIBE: NO
WATSON, JOHN O., MD
GENDER: M
NPI #: 1396770087
ORTHOPAEDIC CENTER OF
ILLINOIS
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
PHONE: (217) 547-9100
E-PRESCRIBE: NO
PLASTIC RECONSTRUCTIVE
SURGERY
BERGMAN, BETH A., MD
GENDER: F
NPI #: 1457461766
SPRINGFIELD CLINIC
2901 GREENBRIAR DR
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
E-PRESCRIBE: YES
BERRY, NADA N., MD
GENDER: F
NPI #: 1619198157
SIU PHYSICIANS &
SURGEONS INC
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-6314
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
Specialty Care Providers
BRENNER, MICHAEL J., MD
GENDER: M
NPI #: 1023146776
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE ST 5TH
FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-6099
E-PRESCRIBE: NO
WIETFELDT, JOEL H., MD
GENDER: M
NPI #: 1497977888
SPRINGFIELD CLINIC LLP
2901 GREENBRIAR DR
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
E-PRESCRIBE: NO
SIPES, MARY L., DPM
GENDER: F
NPI #: 1376524470
SPRINGFIELD CLINIC LLP
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: NO
PODIATRY
PULMONOLOGY
BROWN, RICHARD E., MD
GENDER: M
NPI #: 1710097993
SPRINGFIELD CLINIC
2901 GREENBRIAR DR
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
E-PRESCRIBE: YES
PARKER, ROBERT M., DPM
GENDER: M
NPI #: 1407949571
SPRINGFIELD CLINIC
1200 S FIFTH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
ABRAHAM, PHILIP J., MD
GENDER: M
NPI #: 1548375629
SPRINGFIELD CLINIC LLP
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 528-7541
E-PRESCRIBE: NO
NEUMEISTER, MICHEAL W.,
MD
GENDER: M
NPI #: 1326034448
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-6314
E-PRESCRIBE: NO
SHOUDEL, JOHN A., DPM
GENDER: M
NPI #: 1760480750
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE 5TH FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-5878
E-PRESCRIBE: NO
BAKIR, MOUHAMAD H., MD
GENDER:
NPI #: 1154319994
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 2100
SPRINGFIELD, IL 62702
PHONE: (217) 545-5864
E-PRESCRIBE: NO
SINHA, RAJ K., MD
GENDER: M
NPI #: 1134229826
SPRINGFIELD CLINIC
2901 GREENBRIAR DR
SPRINGFIELD, IL 62704
PHONE: (217) 528-7541
E-PRESCRIBE: YES
SIGLE, JOHN M., DPM
GENDER: M
NPI #: 1174502868
SIU PHYSICIANS &
SURGEONS INC
747 N RUTLEDGE 5TH FLOOR
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
BUTNARIU, DANIEL L., MD
GENDER: M
NPI #: 1043402035
MEMORIAL MEDICAL
CENTER
701 N 1ST ST
SPRINGFIELD, IL 62781
PHONE:
E-PRESCRIBE: YES
SOMMER, NICOLE Z., MD
GENDER: F
NPI #: 1629064746
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-6314
E-PRESCRIBE: NO
SIKORSKI, MARTEN J., DPM
GENDER: M
NPI #: 1811081177
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 2100
SPRINGFIELD, IL 62702
PHONE: (217) 545-5864
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
378
Specialty Care Providers
CHANDRA, ALPANA, MD
GENDER: F
NPI #: 1033212923
HSHS MEDICAL GROUP INC
543 MILLER ST
SPRINGFIELD, IL 62702-4978
PHONE: (217) 522-5569
E-PRESCRIBE: YES
800 E CARPENTER ST
SPRINGFIELD, IL 62769
PHONE: (217) 544-6464
E-PRESCRIBE: YES
EAGLETON, LANIE E., MD
GENDER: M
NPI #: 1205824059
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 2100
SPRINGFIELD, IL 62702
PHONE: (217) 545-5864
E-PRESCRIBE: NO
HENKLE, JOSEPH Q., MD
GENDER: M
NPI #: 1629066477
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 2100
SPRINGFIELD, IL 62702
PHONE: (217) 545-5864
E-PRESCRIBE: NO
KAKUMANI, SRINIVASA R.,
MD
GENDER: M
NPI #: 1508988486
SPRINGFIELD CLINIC
301 N 8TH ST 6TH FLOOR
SPRINGFIELD, IL 62701
PHONE: (217) 528-7541
E-PRESCRIBE: NO
SPRINGFIELD, IL
SPRINGFIELD, IL
KAPITAN, KENT S., MD
GENDER: M
NPI #: 1194713958
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 2100
SPRINGFIELD, IL 62702
PHONE: (217) 545-5864
E-PRESCRIBE: NO
SONG, MINGCHEN, MD
GENDER: M
NPI #: 1659571487
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 2100
SPRINGFIELD, IL 62794
PHONE: (217) 545-5864
E-PRESCRIBE: YES
MANN, JON, MD
GENDER: M
NPI #: 1477651479
SPRINGFIELD CLINIC
301 N EIGHTH ST
SPRINGFIELD, IL 62701
PHONE: (217) 528-7541
E-PRESCRIBE: YES
SREEDHAR, RAJAGOPAL V.,
MD
GENDER: M
NPI #: 1821211970
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 2100
SPRINGFIELD, IL 62702
PHONE: (217) 545-5864
E-PRESCRIBE: NO
PATEL, SAMIR, MD
GENDER: M
NPI #: 1811097595
SPRINGFIELD CLINIC
301 N EIGHTH ST
SPRINGFIELD, IL 62701
PHONE: (217) 528-7541
E-PRESCRIBE: YES
SANGWAN, GAURAV, MD
GENDER: M
NPI #: 1083820757
SPRINGFIELD CLINIC LLP
301 N 8TH ST 1ST FLOOR
SPRINGFIELD, IL 62701
PHONE: (217) 527-4720
E-PRESCRIBE: NO
SIDDIQUE, MUHAMMAD A.,
MD
GENDER: M
NPI #: 1598944308
SIU PHYSICIANS &
SURGEONS INC
701 N FIRST ST
SPRINGFIELD, IL 62702
PHONE:
E-PRESCRIBE: YES
WHITE, PETER, MD
GENDER: M
NPI #: 1659313823
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 2100
SPRINGFIELD, IL 62702
PHONE: (217) 545-5864
E-PRESCRIBE: NO
ZAZA, TAREQ, MD
GENDER: M
NPI #: 1447287412
MEMORIAL MEDICAL
CENTER
701 N 1ST ST
SPRINGFIELD, IL 62702
PHONE:
E-PRESCRIBE: YES
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE
SPRINGFIELD, IL 62794-9636
PHONE: (217) 545-8000
E-PRESCRIBE: YES
751 N RUTLEDGE SUITE 2100
SPRINGFIELD, IL 62702
PHONE: (217) 545-5864
E-PRESCRIBE: YES
379
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
RADIATION ONCOLOGY
CLAUSEN, CATHY L., MD
GENDER: F
NPI #: 1073526091
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
UNIVERSITY
RADIOLOGISTS SC
701 N FIRST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3260
E-PRESCRIBE: NO
800 E CARPENTER ST
SPRINGFIELD, IL 62769
PHONE: (217) 525-5666
E-PRESCRIBE: NO
NANAVATI, PARASHAR J.,
MD
GENDER: M
NPI #: 1548359938
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
UNIVERSITY
RADIOLOGISTS
701 N FIRST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3260
E-PRESCRIBE: NO
SHANAHAN, THOMAS, MD
GENDER: M
NPI #: 1366531360
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
Specialty Care Providers
UNVERSITY RADIOLOGISTS
701 N FIRST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3260
E-PRESCRIBE: NO
SHEVLIN, BRUCE E., MD
GENDER: M
NPI #: 1922197581
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
UNIVERSITY
RADIOLOGISTS SC
701 N FIRST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3260
E-PRESCRIBE: NO
800 E CARPENTER
SPRINGFIELD, IL 62769
PHONE: (217) 525-5666
E-PRESCRIBE: NO
WYNSTRA, JAMES H., MD
GENDER: M
NPI #: 1467541946
SIMMONS CANCER
INSTITUTE AT SIU
315 W CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
UNIVERSITY
RADIOLOGISTS SC
800 E CARPENTER ST
SPRINGFIELD, IL 62769
PHONE: (217) 525-5666
E-PRESCRIBE: NO
UNIVERSTIY
RADIOLOGISTS SC
701 N FIRST ST
SPRINGFIELD, IL 62781
PHONE: (217) 788-3260
E-PRESCRIBE: NO
RHEUMATOLOGY
GUTHRIE, JASON P., MD
GENDER: M
NPI #: 1437299682
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
HORVATH, JEFFREY R., MD
GENDER: M
NPI #: 1588761811
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
MILLER, ANNE V., MD
GENDER: F
NPI #: 1285637975
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 2300
SPRINGFIELD, IL 62702
PHONE: (217) 545-0182
E-PRESCRIBE: NO
PICK, MICHAEL A., MD
GENDER: M
NPI #: 1861585846
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
RANATUNGA, SRIYA, MD
GENDER: M
NPI #: 1689662314
SIU PHYSICIANS &
SURGEONS
751 N RUTLEDGE SUITE 2300
SPRINGFIELD, IL 62702
PHONE: (217) 545-0173
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
380
SPRINGFIELD, IL
SPRINGFIELD, IL
Specialty Care Providers
STERN, MARK A., MD
GENDER: M
NPI #: 1033201579
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
751 N RUTLEDGE SUITE 2100
SPRINGFIELD, IL 62702
PHONE: (217) 545-5864
E-PRESCRIBE: YES
SPORTS MEDICINE
TRAYCOFF, ROGER B., MD
GENDER: M
NPI #: 1528078540
PHYSICIANS GROUP
ASSOCIATES SC
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
PHONE: (217) 698-9722
E-PRESCRIBE: NO
TUMYAN, ANNA, MD
GENDER: F
NPI #: 1649463076
SIU PHYSICIANS &
SURGEONS INC
751 N RUTLEDGE SUITE 2300
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SLEEP MEDICINE
PATEL, SAMIR, MD
GENDER: M
NPI #: 1811097595
SPRINGFIELD CLINIC
301 N EIGHTH ST
SPRINGFIELD, IL 62701
PHONE: (217) 528-7541
E-PRESCRIBE: YES
SHARMA, RISHI, MD
GENDER: M
NPI #: 1801084736
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
WESTERN, GARY BRETT, MD
GENDER: M
NPI #: 1457462558
SPRINGFIELD CLINIC
1025 S 7TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
TRAUMA SURGERY
SIDDIQUE, MUHAMMAD A.,
MD
GENDER: M
NPI #: 1598944308
SIU PHYSICIANS &
SURGEONS INC
701 N FIRST ST
SPRINGFIELD, IL 62702
PHONE:
E-PRESCRIBE: YES
381
BECTON, WENDELL W., MD
GENDER: M
NPI #: 1649237504
SIU PHYSICIANS &
SURGEONS INC
747 N RUTLEDGE 5TH FL
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
WALL, JARROD C., MD
GENDER: M
NPI #: 1184695520
SIU PHYSICIANS &
SURGEONS
421 N 9TH ST SUITE 240
SPRINGFIELD, IL 62701
PHONE: (217) 545-5183
E-PRESCRIBE: NO
UROLOGY
BARON, THOMAS E., MD
GENDER: M
NPI #: 1972615748
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
BITZER, DAVID J., MD
GENDER: M
NPI #: 1003801499
2930 MONTVALE SUITE C
SPRINGFIELD, IL 62704
PHONE: (217) 726-8252
E-PRESCRIBE: NO
EL ZAWAHRY, AHMED M., MD
GENDER: M
NPI #: 1982792669
SIU PHYSICIANS &
SURGEONS INC
301 N 8TH ST SUITE PAV 4B
SPRINGFIELD, IL 62701
PHONE: (217) 545-7500
E-PRESCRIBE: NO
GORBONOS, ALEX, MD
GENDER: M
NPI #: 1538341060
SIMMONS CANCER
INSTITUTE AT SIU
315 W CAPPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 545-8000
E-PRESCRIBE: NO
SIU PHYSICIANS &
SURGEONS INC
301 N 8TH ST
SPRINGFIELD, IL 62794
PHONE: (217) 545-7500
E-PRESCRIBE: NO
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5555
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
SPRINGFIELD, IL
SPRINGFIELD, IL
KOHLER, TOBIAS S., MD
GENDER:
NPI #: 1073656617
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-7500
E-PRESCRIBE: NO
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-7500
E-PRESCRIBE: NO
751 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-2229
E-PRESCRIBE: NO
LIEBER, DAVID C., MD
GENDER: M
NPI #: 1558462408
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62794
PHONE: (217) 528-7541
E-PRESCRIBE: YES
MCVARY, KEVIN T., MD
GENDER: M
NPI #: 1356369185
SIU PHYSICIANS &
SURGEONS INC
301 N 8TH ST PAV 4B
SPRINGFIELD, IL 62701
PHONE: (217) 545-7500
E-PRESCRIBE: NO
ROSZHART, DAVID A., MD
GENDER: M
NPI #: 1235222191
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
Specialty Care Providers
SCHWARTZ, BRADLEY F., DO
GENDER: M
NPI #: 1821084856
SIU PHYSICIANS &
SURGEONS
301 N 8TH ST
SPRINGFIELD, IL 62701
PHONE: (217) 545-7500
E-PRESCRIBE: NO
SEVERINO, WILLIAM C., MD
GENDER: M
NPI #: 1659464493
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
VASCULAR SURGERY
BARKMEIER, LYNNE D., MD
GENDER: F
NPI #: 1538262431
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
HODGSON, KIM, MD
GENDER: F
NPI #: 1417943937
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5555
E-PRESCRIBE: NO
HOOD, DOUGLAS B., MD
GENDER: M
NPI #: 1679505242
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5555
E-PRESCRIBE: NO
KOLLURI, RAGHU, MD
GENDER: M
NPI #: 1053495325
PRAIRIE CARDIOVASCULAR
CONSULTANTS LTD
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
619 E MASON SUITE 4PF7
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: YES
LAMBERT, ANDREW D., MD
GENDER: M
NPI #: 1942413026
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
NADOUR, ALAA, MD
GENDER: M
NPI #: 1326178302
PRAIRIE CARDIOVASCULAR
CONSULTANTS
401 E CARPENTER ST
SPRINGFIELD, IL 62702
PHONE: (217) 788-0706
E-PRESCRIBE: NO
619 E MASON ST 4P57
SPRINGFIELD, IL 62701
PHONE: (217) 788-0706
E-PRESCRIBE: NO
RAMSEY, DON E., MD
GENDER: M
NPI #: 1366438897
SIU PHYSICIANS &
SURGEONS
747 N RUTLEDGE
SPRINGFIELD, IL 62702
PHONE: (217) 545-5555
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
382
SPRINGFIELD, IL
STAUNTON, IL
Specialty Care Providers
RYAN, STEPHEN M., MD
GENDER: M
NPI #: 1407949365
SPRINGFIELD CLINIC
800 N 1ST ST
SPRINGFIELD, IL 62702
PHONE: (217) 528-7541
E-PRESCRIBE: YES
VITREOUS/RETINAL
SURGERY
PUROHIT, AMISH R., MD
GENDER: M
NPI #: 1346262698
SPRINGFIELD CLINIC
1025 S 6TH ST
SPRINGFIELD, IL 62703
PHONE: (217) 528-7541
E-PRESCRIBE: YES
ST ANNE, IL
PULMONOLOGY
ABRAHAM, RAJU Z., MD
GENDER: M
NPI #: 1003830852
PULMONARY & CRITICAL
CARE ASSOCIATES
135 W STATION ST
ST ANNE, IL 60964
PHONE: (815) 427-8189
E-PRESCRIBE: NO
KUTTY, AHAMED V., MD
GENDER: M
NPI #: 1881624054
PULMONARY & CRITICAL
CARE
135 W STATION STREET
ST ANNE, IL 60964
PHONE: (815) 427-8189
E-PRESCRIBE: NO
383
SLEEP MEDICINE
GENERAL SURGERY
ABRAHAM, RAJU Z., MD
GENDER: M
NPI #: 1003830852
PULMONARY & CRITICAL
CARE ASSOCIATES
135 W STATION ST
ST ANNE, IL 60964
PHONE: (815) 427-8189
E-PRESCRIBE: NO
BLASER, JOSEPH A., DO
GENDER: M
NPI #: 1316064157
COMMUNITY MEMORIAL
HOSPITAL
400 CALDWELL
STAUNTON, IL 62088
PHONE: (618) 635-2200
E-PRESCRIBE: NO
STAUNTON, IL
CARDIOLOGY
LUCORE, CHARLES L., MD
GENDER: M
NPI #: 1821172198
COMMUNITY MEMORIAL
HOSPITAL
400 CALDWELL ST
STAUNTON, IL 62088
PHONE: (618) 635-2200
E-PRESCRIBE: NO
SHELTON, MARC E., MD
GENDER: M
NPI #: 1245313840
COMMUNITY MEMORIAL
HOSPITAL
400 CALDWELL ST
STAUNTON, IL 62088
PHONE: (618) 635-2200
E-PRESCRIBE: NO
STEEN, MARK S., MD
GENDER: M
NPI #: 1306929906
COMMUNITY MEMORIAL
HOSPITAL
400 CALDWELL ST
STAUNTON, IL 62088
PHONE: (618) 635-2200
E-PRESCRIBE: NO
MONTGOMERY COUNTY
SURGICAL ASSOCIATES LLC
400 CALDWELL
STAUNTON, IL 62088
PHONE: (217) 324-8730
E-PRESCRIBE: NO
444 N EDWARDSVILLE ST
STAUNTON, IL 62088
PHONE: (217) 324-8730
E-PRESCRIBE: NO
PINEDA, NICHOLAS C., MD
GENDER: M
NPI #: 1639191000
COMMUNITY MEMORIAL
HOSPITAL
400 N CALDWELL ST
STAUNTON, IL 62088
PHONE: (618) 635-4267
E-PRESCRIBE: NO
URETA, EMERITO F., MD
GENDER: M
NPI #: 1558441394
COMMUNITY MEMORIAL
HOSPITAL
400 N CALDWELL ST
STAUNTON, IL 62088
PHONE: (618) 635-4267
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
STAUNTON, IL
TAYLORVILLE, IL
NEUROLOGY
MEHRA, MUKTESHWAR L.,
MD
GENDER: M
NPI #: 1699728584
PGA-COMMUNITY
MEMORIAL HOSPITAL
400 N CALDWELL
STAUNTON, IL 62088
PHONE: (618) 635-2000
E-PRESCRIBE: NO
PULMONOLOGY
CHANDRA, ALPANA, MD
GENDER: F
NPI #: 1033212923
HSHS MEDICAL GROUP INC
400 N CALDWELL ST
STAUNTON, IL 62088-1499
PHONE: (618) 635-4241
E-PRESCRIBE: YES
STERLING, IL
PEDIATRIC CARDIOLOGY
CHAN, DAVID P., MD
GENDER: M
NPI #: 1427057595
OSF CHILDRENS MEDICAL
GROUP-CONGENITAL
HEART CEN
100 E LEVEVRE RD
STERLING, IL 61081
PHONE: (815) 227-5600
E-PRESCRIBE: NO
Specialty Care Providers
SULLIVAN, IL
TAYLORVILLE, IL
PODIATRY
ALLERGY/IMMUNOLOGY
LEONARD, W MARC, DPM
GENDER: M
NPI #: 1710098652
CFAC INCORPORATED
2 W ADAMS ST
SULLIVAN, IL 61951
PHONE: (309) 212-3066
E-PRESCRIBE: NO
SIRI, DAREEN D., MD
GENDER: F
NPI #: 1730272998
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
SPORTS MEDICINE
CARDIOLOGY
HARTMAN, PATRICK, MD
GENDER: M
NPI #: 1861508160
SBL SULLIVAN CLINIC
7 HAWTHORNE LN
SULLIVAN, IL 61951
PHONE: (217) 728-8441
E-PRESCRIBE: NO
NESTER, JOHN E., MD
GENDER: M
NPI #: 1386737435
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
SYCAMORE, IL
CARDIOLOGY
PATEL, ROSHAN B., MD
GENDER: M
NPI #: 1558470112
ROCKFORD
CARDIOVASCULAR
ASSOCIATES
1850 GATEWAY DR
SYCAMORE, IL 60178
PHONE: (815) 217-3810
E-PRESCRIBE: NO
DERMATOLOGY
CLAMAN, CASSANDRA C.,
MD
GENDER: F
NPI #: 1356380281
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: NO
GENERAL SURGERY
MANSON, WAYNE L., MD
GENDER: M
NPI #: 1255439261
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-8191
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
384
TAYLORVILLE, IL
TAYLORVILLE, IL
Specialty Care Providers
NEUROLOGY
PINEDA, STEPHEN J., MD
GENDER: M
NPI #: 1528178654
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
FORTIN, CLAUDE J., MD
GENDER: M
NPI #: 1235225780
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
SCHOPP, JEFFREY A., MD
GENDER: M
NPI #: 1891888608
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
OPHTHALMOLOGY
BUTLER, PATRICK J., MD
GENDER: M
NPI #: 1316057516
SPRINGFIELD CLINIC
900 W SPRINGFIELD RD
TAYLORVILLE, IL 62568
PHONE: (217) 824-4991
E-PRESCRIBE: NO
OTOLARYNGOLOGY
DERANIAN, MARCUS S., MD
GENDER: M
NPI #: 1952367351
ADVANCED EYE CARE
CENTERS
900 SPRINGFIELD RD
TAYLORVILLE, IL 62568
PHONE: (217) 824-4991
E-PRESCRIBE: YES
PUROHIT, AMISH R., MD
GENDER: M
NPI #: 1346262698
SPRINGFIELD CLINIC
900 W SPRINGFIELD RD
TAYLORVILLE, IL 62568
PHONE: (217) 824-4991
E-PRESCRIBE: YES
ORTHOPAEDICS
HILLARD-SEMBELL, DIANE
C., MD
GENDER: F
NPI #: 1972600294
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
385
GARCIA, PHILIP, MD
GENDER: M
NPI #: 1831295815
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 827-8855
E-PRESCRIBE: YES
HUANG, XINYAN, MD
GENDER: M
NPI #: 1295862365
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
PLASTIC RECONSTRUCTIVE
SURGERY
SINHA, RAJ K., MD
GENDER: M
NPI #: 1134229826
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
PODIATRY
SIKORSKI, MARTEN J., DPM
GENDER: M
NPI #: 1811081177
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
PULMONOLOGY
PRABHU, MANJESHWAR, MD
GENDER: M
NPI #: 1770683450
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 824-4939
E-PRESCRIBE: NO
RHEUMATOLOGY
GUTHRIE, JASON P., MD
GENDER: M
NPI #: 1437299682
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
STERN, MARK A., MD
GENDER: M
NPI #: 1033201579
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
UROLOGY
BARON, THOMAS E., MD
GENDER: M
NPI #: 1972615748
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
TAYLORVILLE, IL
TERRE HAUTE, IN
ROSZHART, DAVID A., MD
GENDER: M
NPI #: 1235222191
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
SEVERINO, WILLIAM C., MD
GENDER: M
NPI #: 1659464493
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
VASCULAR SURGERY
RYAN, STEPHEN M., MD
GENDER: M
NPI #: 1407949365
SPRINGFIELD CLINIC
600 N MAIN ST
TAYLORVILLE, IL 62568
PHONE: (217) 287-8855
E-PRESCRIBE: YES
VITREOUS/RETINAL
SURGERY
PUROHIT, AMISH R., MD
GENDER: M
NPI #: 1346262698
SPRINGFIELD CLINIC
900 W SPRINGFIELD RD
TAYLORVILLE, IL 62568
PHONE: (217) 824-4991
E-PRESCRIBE: YES
Specialty Care Providers
TERRE HAUTE, IN
CARDIAC
ELECTROPHYSIOLOGY
JANEIRA, LOUIS F., MD
GENDER: M
NPI #: 1487651329
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST STE A
TERRE HAUTE, IN 47802
PHONE: (812) 232-8164
E-PRESCRIBE: NO
CARDIOLOGY
BITTAR, GEORGE B., MD
GENDER: M
NPI #: 1801869615
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST A
TERRE HAUTE, IN 47802
PHONE: (812) 238-1730
E-PRESCRIBE: YES
KABOUS, NEIL G., MD
GENDER: M
NPI #: 1174597744
PROVIDENCE MEDICAL GRP
2723 S 7TH ST SUITE A
TERRE HAUTE, IN 47802
PHONE: (812) 232-8164
E-PRESCRIBE: NO
NASSER, TONY K., MD
GENDER: M
NPI #: 1104803295
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE C
TERRE HAUTE, IN 47803
PHONE: (812) 238-1730
E-PRESCRIBE: NO
ORMAN, THOMAS F., MD
GENDER: M
NPI #: 1386618536
PROVIDENCE MEDICAL
GROUP
2723 SOUTH 7TH ST SUITE A
TERRE HAUTE, IN 47802
PHONE: (812) 232-8164
E-PRESCRIBE: NO
YACOUB, JOHN, MD
GENDER: M
NPI #: 1417980483
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE A
TERRE HAUTE, IN 47802
PHONE: (812) 232-8164
E-PRESCRIBE: NO
ENDOCRINOLOGY
ALAM, MOHAMMED S., MD
GENDER: M
NPI #: 1972577591
PROVIDENCE MEDICAL
GROUP
1530 N 7TH ST SUITE 502
TERRE HAUTE, IN 47807
PHONE: (812) 238-7781
E-PRESCRIBE: NO
PITTMAN IV, ISAIAH, MD
GENDER: M
NPI #: 1588638928
3560 S 4TH ST
TERRE HAUTE, IN 47802
PHONE: (812) 235-8496
E-PRESCRIBE: NO
GENERAL SURGERY
ANTAKI, TAMIM, MD
GENDER: M
NPI #: 1225128895
UNION HOSPITAL
1530 N 7TH SUITE 102
TERRE HAUTE, IN 47804
PHONE: (812) 238-7892
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
386
Specialty Care Providers
GERIATRICS
DUPRE, ERNEST S., MD
GENDER: M
NPI #: 1992708192
FAMILY MEDICINE CENTER
1513 N SIX AND ONE HALF ST
TERRE HAUTE, IN 47807
PHONE: (812) 238-7631
E-PRESCRIBE: NO
UNION HOSPITAL INC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7631
E-PRESCRIBE: NO
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7000
E-PRESCRIBE: NO
ONCOLOGY
HEMATOLOGY/ONCOLOGY
GONZALES, RYAN A., MD
GENDER: M
NPI #: 1134330061
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE A
TERRE HAUTE, IN 47802
PHONE: (812) 232-1418
E-PRESCRIBE: NO
HUH, SANG Y., MD
GENDER: M
NPI #: 1194799742
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE 200-201
TERRE HAUTE, IN 47802
PHONE: (812) 232-1418
E-PRESCRIBE: NO
PEDIATRIC CARDIOLOGY
INTENSIVE CARE/CRITICAL
CARE
SAMAAN, WALID, MD
GENDER: M
NPI #: 1093719502
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE P
TERRE HAUTE, IN 47802
PHONE: (812) 238-1730
E-PRESCRIBE: NO
NEUROSURGERY
NAROTAM, PRADEEP K., MD
GENDER: M
NPI #: 1821109786
1530 N 7TH ST SUITE 500
TERRE HAUTE, IN 47804
PHONE: (812) 238-4555
E-PRESCRIBE: NO
387
STEPHANIAN, ERICK, MD
GENDER: M
NPI #: 1730106410
UNION HOSPITAL INC
1530 N 7TH ST SUITE 102
TERRE HAUTE, IN 47807
PHONE: (812) 238-7892
E-PRESCRIBE: NO
ABARBANELL, GINNIE L., MD
GENDER: F
NPI #: 1760427371
UNION HOSPITAL INC
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7783
E-PRESCRIBE: NO
KUMAR, ANIL, MD
GENDER: M
NPI #: 1356326243
UNION HOSPITAL
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7783
E-PRESCRIBE: NO
TERRE HAUTE, IN
TERRE HAUTE, IN
PARIKH, SANJAY, MD
GENDER: M
NPI #: 1891770707
UNION HOSPITAL
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7783
E-PRESCRIBE: NO
STEINBERG, LEONARD A.,
MD
GENDER: M
NPI #: 1194700500
UNION HOSPITAL
1606 N 7TH ST
TERRE HAUTE, IN 47804
PHONE: (812) 238-7783
E-PRESCRIBE: NO
PULMONOLOGY
SAMAAN, WALID, MD
GENDER: M
NPI #: 1093719502
PROVIDENCE MEDICAL
GROUP
2723 S 7TH ST SUITE P
TERRE HAUTE, IN 47802
PHONE: (812) 238-1730
E-PRESCRIBE: NO
THORACIC SURGERY
ANTAKI, TAMIM, MD
GENDER: M
NPI #: 1225128895
UNION HOSPITAL
1530 N 7TH SUITE 102
TERRE HAUTE, IN 47804
PHONE: (812) 238-7892
E-PRESCRIBE: NO
MNAYARJI, NABIL E., MD
GENDER: M
NPI #: 1427125426
351 MAIDEN LANE
TERRE HAUTE, IN 47804
PHONE: (812) 238-1400
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
TERRE HAUTE, IN
URBANA, IL
UNION HOSPITAL INC
1530 N 7TH ST SUITE 102
TERRE HAUTE, IN 47804-2706
PHONE: (812) 238-7892
E-PRESCRIBE: NO
TREMONT, IL
PODIATRY
LEONARD, W MARC, DPM
GENDER: M
NPI #: 1710098652
COMPREHENSIVE FOOT &
ANKLE CLINIC
105 S LOCUST
TREMONT, IL 61568
PHONE: (309) 212-3066
E-PRESCRIBE: NO
URBANA, IL
CARDIOLOGY
BODINE, CHRISTOPHER K.,
MD
GENDER: M
NPI #: 1396775185
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
BRASCH, ANDREA V., MD
GENDER: F
NPI #: 1740353457
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
Specialty Care Providers
COSSMAN, RONALD M., MD
GENDER: M
NPI #: 1932161619
CARDIAC SURGERY
ASSOCIATES SC
1405 W PARK AVE
URBANA, IL 61801
PHONE: (217) 337-2924
E-PRESCRIBE: NO
FARASAT, MORTEZA, MD
GENDER: F
NPI #: 1891849105
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
GIBB, MATTHEW D., MD
GENDER: M
NPI #: 1609895820
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
LAKSHMINARAYANAN,
BATLAGUNDU S., MD
GENDER: M
NPI #: 1326060278
CHRISTIE CLINIC
1400 W PARK ST
URBANA, IL 61801
PHONE: (217) 366-1200
E-PRESCRIBE: YES
MEHTA, SANJAY S., MD
GENDER:
NPI #: 1477572022
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
MONGWA, MBU, MD
GENDER: M
NPI #: 1295947083
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
ORAKZAI, SARWAR H., MD
GENDER: M
NPI #: 1295901270
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
RHEE, BENJAMIN J., MD
GENDER: M
NPI #: 1013957935
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
SANCHEZ-TORRES,
REINALDO J., MD
GENDER: M
NPI #: 1467468553
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
SATTIRAJU, SRINIVASAN,
MD
GENDER: M
NPI #: 1215900808
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
388
Specialty Care Providers
SOMA, VIKAS R., MD
GENDER: M
NPI #: 1326095894
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
CARDIOTHORACIC
SURGERY
COOK, L SCOTT, MD
GENDER: M
NPI #: 1508891219
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3810
E-PRESCRIBE: YES
CARDIOVASCULAR
SURGERY
COLLA, MICHAEL V., MD
GENDER: M
NPI #: 1457382913
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3810
E-PRESCRIBE: YES
LUTRIN, FRANK, MD
GENDER: M
NPI #: 1770549420
CARDIAC SURGERY
ASSOCIATES
1405 W PARK ST SUITE 303
URBANA, IL 61801
PHONE: (217) 337-2924
E-PRESCRIBE: NO
389
COLON/RECTAL SURGERY
OLSON, MICHELLE M., MD
GENDER: F
NPI #: 1366405102
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3080
E-PRESCRIBE: YES
TANGEN, LYN E., MD
GENDER: M
NPI #: 1417068131
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3080
E-PRESCRIBE: YES
TENDER, PAUL M., MD
GENDER: M
NPI #: 1326159088
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3080
E-PRESCRIBE: YES
GASTROENTEROLOGY
BATEY, ANDREW, MD
GENDER: M
NPI #: 1225068463
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3610
E-PRESCRIBE: YES
GREENBERG, EUGENE, MD
GENDER: M
NPI #: 1396769584
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3610
E-PRESCRIBE: YES
URBANA, IL
URBANA, IL
HALLETT, JEFFREY L., MD
GENDER: M
NPI #: 1760499313
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3610
E-PRESCRIBE: YES
HENRY, PATRICIA, DO
GENDER: F
NPI #:
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61802
PHONE: (217) 383-3204
E-PRESCRIBE: YES
YOUSSEF, WAEL I., MD
GENDER:
NPI #: 1124173349
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3610
E-PRESCRIBE: YES
GENERAL SURGERY
BERLIN JR, RICHARD B., MD
GENDER: M
NPI #: 1063446193
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3240
E-PRESCRIBE: YES
CHASE, DANIEL M., MD
GENDER: M
NPI #: 1215255252
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3088
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
URBANA, IL
URBANA, IL
Specialty Care Providers
CRADOCK, KIMBERLY A., MD
GENDER: F
NPI #: 1659483204
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3240
E-PRESCRIBE: YES
SUNDARAM, MAGESH, MD
GENDER: M
NPI #: 1114924735
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3010
E-PRESCRIBE: YES
GHULYANI, SHUKTI, MD
GENDER:
NPI #: 1225203805
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
MOORE III, HENRY R., MD
GENDER: M
NPI #: 1932392099
CARLE PHYSICIAN GROUP
611 W PARK
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
VEGUNTA, RAVINDRA K., MD
GENDER: M
NPI #: 1346280203
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3088
E-PRESCRIBE: YES
ISSA, HANI, MD
GENDER: M
NPI #: 1619144045
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
PEARL, RICHARD H., MD
GENDER: M
NPI #: 1457389272
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3088
E-PRESCRIBE: YES
GENETICS
MANU, DEVARAJAN, MD
GENDER: M
NPI #: 1275734717
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
RAY, PARTHA S., MD
GENDER: M
NPI #: 1437313855
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE:
E-PRESCRIBE: YES
ROWITZ, BLAIR M., MD
GENDER: M
NPI #: 1336186279
CARLE FOUNDATION
HOSPITAL
611 W PARK ST
URBANA, IL 61801
PHONE:
E-PRESCRIBE: YES
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3240
E-PRESCRIBE: YES
BURTON, JENNIFER E.
GENDER: F
NPI #: 1285610311
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-6636
E-PRESCRIBE: YES
SCHNEIDER, MICHAEL C.,
MD
GENDER: M
NPI #: 1326022278
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3100
E-PRESCRIBE: YES
GERIATRICS
BARKER, B CLAIRE, MD
GENDER: F
NPI #: 1972554061
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
OLUWEHINMI, FOLA O., MD
GENDER: M
NPI #: 1912017690
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
PETER, SUMA P., MD
GENDER: F
NPI #: 1730199944
CARLE PHYSICIAN GROUP
1818 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 255-9646
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
390
Specialty Care Providers
GYNECOLOGIC ONCOLOGY
KIMBALL, RONALD E., MD
GENDER: M
NPI #: 1003806514
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3140
E-PRESCRIBE: YES
HEMATOLOGY/ONCOLOGY
EGNER, JAMES R., MD
GENDER: M
NPI #: 1053330993
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3010
E-PRESCRIBE: YES
GRAHAM, DAVID L., MD
GENDER: M
NPI #: 1477575652
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3010
E-PRESCRIBE: YES
GROSSE PERDEKAMP,
MARIA T., MD
GENDER: F
NPI #: 1124077714
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3010
E-PRESCRIBE: YES
LUYUN, RONNIE F., MD
GENDER: M
NPI #: 1346291960
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3010
E-PRESCRIBE: YES
391
URBANA, IL
URBANA, IL
VASIREDDY, VAMSI K., DO
GENDER:
NPI #: 1801802996
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3010
E-PRESCRIBE: YES
ENGLAND III, ALBERT C., MD
GENDER: M
NPI #: 1699782953
CHRISTIE CLINIC
1400 W PARK ST
URBANA, IL 61801
PHONE: (217) 366-1200
E-PRESCRIBE: YES
WAHBA, SAFWAT, MD
GENDER: M
NPI #: 1689707895
PROVENA MEDICAL GROUP
1400 W PARK ST SUITE C160
URBANA, IL 61801
PHONE: (217) 337-2808
E-PRESCRIBE: NO
MUSIAL, CORA E., MD
GENDER: F
NPI #: 1609889450
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-1554
E-PRESCRIBE: YES
ZHANG, WENQING (MARK),
MD
GENDER: M
NPI #: 1720286594
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3010
E-PRESCRIBE: YES
SIVASUBRAMANIAN,
GEETHA, MD
GENDER: F
NPI #: 1306089479
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-1554
E-PRESCRIBE: YES
INFECTIOUS DISEASES
INTENSIVE CARE/CRITICAL
CARE
AHMED, MOHAMMAD S., MD
GENDER: M
NPI #: 1902994320
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3154
E-PRESCRIBE: YES
DOLAN, STEPHEN A., MD
GENDER: M
NPI #: 1033137104
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-1554
E-PRESCRIBE: YES
JOHNSON, MARK A., MD
GENDER: M
NPI #: 1730383662
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
KHAN, AKBAR A., MD
GENDER: M
NPI #: 1528179637
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3087
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
URBANA, IL
URBANA, IL
Specialty Care Providers
MOORE III, HENRY R., MD
GENDER: M
NPI #: 1932392099
CARLE PHYSICIAN GROUP
611 W PARK
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
GELKE, KIM, MD
GENDER: M
NPI #: 1154335917
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3266
E-PRESCRIBE: YES
INTERVENTIONAL
RADIOLOGY
KUMARASWAMY, LATHA, MD
GENDER: F
NPI #: 1326075128
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-4636
E-PRESCRIBE: YES
HONG, STEVE C., MD
GENDER: M
NPI #: 1154536530
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3270
E-PRESCRIBE: YES
NEUWIRTH, MICHAEL, MD
GENDER: M
NPI #: 1699884106
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE:
E-PRESCRIBE: YES
SANTELER, SCOTT R., MD
GENDER: M
NPI #: 1346430667
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3270
E-PRESCRIBE: YES
NEONATOLOGY
CROUSE, DENNIS T., MD
GENDER: M
NPI #: 1225012180
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-4636
E-PRESCRIBE: YES
MANSURY, NASIRUDDIN A.,
MD
GENDER: M
NPI #: 1184764706
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-4636
E-PRESCRIBE: YES
SIDDIQUI, KHALID, MD
GENDER: M
NPI #: 1538279724
CARLE PHYSICIAN GROUP
611 W PARK STREET
URBANA, IL 61801-2500
PHONE: (217) 383-3266
E-PRESCRIBE: YES
STRATTON, WILLIAM C., MD
GENDER: M
NPI #: 1104926245
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3266
E-PRESCRIBE: YES
NEPHROLOGY
ATTIA, ABDEL-MONEIM M.,
MD
GENDER: M
NPI #: 1316977614
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3605
E-PRESCRIBE: YES
HOLLEY, JEAN L., MD
GENDER: F
NPI #: 1649349259
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3605
E-PRESCRIBE: YES
ULOZAS, ERLANDAS, MD
GENDER: M
NPI #: 1699774158
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3605
E-PRESCRIBE: YES
NEURO OPHTHALMOLOGY
MCNUSSEN, PATRICIA J., MD
GENDER: F
NPI #: 1528089067
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3440
E-PRESCRIBE: YES
NEUROLOGY
ARONSON, KENNETH S., MD
GENDER: M
NPI #: 1316971153
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3440
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
392
URBANA, IL
URBANA, IL
Specialty Care Providers
BREMMER, HARRY L., MD
GENDER: M
NPI #: 1023043098
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVENUE
URBANA, IL 61801-2530
PHONE: (217) 383-3440
E-PRESCRIBE: YES
CHEN, RONG, MD
GENDER:
NPI #: 1689879314
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3440
E-PRESCRIBE: YES
CRANSTON, ROBERT E., MD
GENDER: M
NPI #: 1457460057
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3440
E-PRESCRIBE: YES
DAVIES, CHARLES R., MD
GENDER: M
NPI #: 1285669911
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-4203
E-PRESCRIBE: YES
KHOSROWSHAHI, SAMINEH,
MD
GENDER:
NPI #: 1235185224
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3440
E-PRESCRIBE: YES
393
NEUROPSYCHOLOGY
GRANT, DOUGLAS E., PHD
GENDER: M
NPI #: 1508997792
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3520
E-PRESCRIBE: YES
NEURORADIOLOGY
CALDEMEYER, KAREN S., MD
GENDER: F
NPI #: 1679511356
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3270
E-PRESCRIBE: YES
OSBORNE, THOMAS F., MD
GENDER: M
NPI #: 1053376418
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3270
E-PRESCRIBE: YES
NEUROSURGERY
FARAHVAR, ARASH, MD
GENDER: M
NPI #: 1659382679
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3440
E-PRESCRIBE: YES
OLIVERO, WILLIAM C., MD
GENDER: M
NPI #: 1871609669
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3507
E-PRESCRIBE: YES
RAK, RICHARD A., MD
GENDER: M
NPI #: 1366541112
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3440
E-PRESCRIBE: YES
WANG, HUAN (JOHN), MD
GENDER: M
NPI #: 1790908168
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3440
E-PRESCRIBE: YES
OCCUPATIONAL MEDICINE
CHEN, PHILBERT, MD
GENDER: M
NPI #: 1073548970
CARLE PHYSICIAN GROUP
810 W ANTHONY DR
URBANA, IL 61801
PHONE: (217) 383-3229
E-PRESCRIBE: YES
PATINO, NICOLE A., MD
GENDER: F
NPI #: 1366688913
CARLE PHYSICIAN GROUP
810 W ANTHONY DR
URBANA, IL 61801
PHONE: (217) 383-3229
E-PRESCRIBE: YES
ONCOLOGY
JOHNSON, PATRICIA, MD
GENDER: F
NPI #: 1467477869
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3010
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
URBANA, IL
URBANA, IL
ROWLAND, KENDRITH, MD
GENDER: M
NPI #: 1407955206
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3010
E-PRESCRIBE: YES
OPHTHALMOLOGY
AJUNWA, MELISSA O., MD
GENDER: F
NPI #: 1235394230
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3150
E-PRESCRIBE: YES
GILLHAM, GARY T., OD
GENDER: M
NPI #: 1245386333
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3150
E-PRESCRIBE: YES
GRAY, DOUGLAS, MD
GENDER: M
NPI #: 1144244336
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3150
E-PRESCRIBE: YES
PANAGAKIS, GEORGE, DO
GENDER: M
NPI #: 1215947403
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3150
E-PRESCRIBE: YES
Specialty Care Providers
REDDY, CHITTARANJAN V.,
MD
GENDER: M
NPI #: 1992737084
PROVENA MEDICAL OFFICE
BLDG
1405 W PARK ST SUITE 306
URBANA, IL 61801
PHONE: (217) 531-5454
E-PRESCRIBE: NO
ORAL/MAXILLOFACIAL
SURGERY
BAILEY, JONATHAN S., DMD
GENDER: M
NPI #: 1366476947
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3280
E-PRESCRIBE: YES
NORBUTT, CRAIG S., DMD
GENDER: M
NPI #: 1720314537
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3280
E-PRESCRIBE: YES
SABOL, STEPHEN R., DDS
GENDER: M
NPI #: 1104925908
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3280
E-PRESCRIBE: YES
ORTHOPAEDICS
BANE, ROBERT A., MD
GENDER: M
NPI #: 1487688974
CARLE PHYSICIAN GROUP
810 W ANTHONY DR
URBANA, IL 61801
PHONE: (217) 383-3300
E-PRESCRIBE: YES
GURTLER, ROBERT, MD
GENDER: M
NPI #: 1811911001
CARLE PHYSICIAN GROUP
810 W ANTHONY DR
URBANA, IL 61801
PHONE: (217) 326-2255
E-PRESCRIBE: YES
HARMS, JAMES J., MD
GENDER: M
NPI #: 1619984267
CARLE PHYSICIAN GROUP
610 N LINCOLN AVE
URBANA, IL 61801
PHONE: (217) 383-6555
E-PRESCRIBE: YES
KOHLMANN, JAMES, MD
GENDER: M
NPI #: 1588663272
1405 W PARK ST SUITE 306
URBANA, IL 61801
PHONE: (217) 531-5450
E-PRESCRIBE: NO
PINEDA, STEPHEN, MD
GENDER: M
NPI #: 1528178654
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3260
E-PRESCRIBE: YES
ZIMMERMAN, JERRAD P., MD
GENDER: M
NPI #: 1194838789
CARLE PHYSICIAN GROUP
810 W ANTHONY DR
URBANA, IL 61801
PHONE: (217) 383-3300
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
394
Specialty Care Providers
OTOLARYNGOLOGY
PEDIATRIC CRITICAL CARE
BROCKENBROUGH, JOHN
M., MD
GENDER: M
NPI #: 1134154131
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3130
E-PRESCRIBE: YES
LONGO, THERESA A., MD
GENDER: F
NPI #: 1902990518
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3210
E-PRESCRIBE: YES
CUNNINGHAM, KELLY, MD
GENDER: F
NPI #: 1124279450
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3130
E-PRESCRIBE: YES
MARIS, CHARLES R., MD
GENDER: M
NPI #: 1932170982
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3130
E-PRESCRIBE: YES
NOVAK, MICHAEL A., MD
GENDER: M
NPI #: 1134238694
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3130
E-PRESCRIBE: YES
PORTER, RYAN G., MD
GENDER: M
NPI #: 1912160441
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3130
E-PRESCRIBE: YES
395
TERAYANONT, TAVEEPONG,
MD
GENDER: M
NPI #: 1427087188
CARLE PHYSICIAN GROUP
611 W PARK STREET
URBANA, IL 61801-2500
PHONE:
E-PRESCRIBE: YES
PEDIATRIC
GASTROENTEROLOGY
WANG, MU, MD
GENDER:
NPI #: 1194799684
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3100
E-PRESCRIBE: YES
PEDIATRIC NEUROLOGY
KENNEDY, GAIL L., MD
GENDER: F
NPI #: 1457376725
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3100
E-PRESCRIBE: YES
NALLU, SAGARIKA, MD
GENDER: F
NPI #: 1255581070
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3100
E-PRESCRIBE: YES
URBANA, IL
URBANA, IL
PEDIATRIC
OPHTHALMOLOGY
PANAGAKIS, GEORGE, DO
GENDER: M
NPI #: 1215947403
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3150
E-PRESCRIBE: YES
PEDIATRIC PULMONOLOGY
DAVISON, DONALD F., MD
GENDER: M
NPI #: 1780629485
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3100
E-PRESCRIBE: YES
PEDIATRIC SURGERY
PEARL, RICHARD H., MD
GENDER: M
NPI #: 1457389272
CARLE FOUNDATION
HOSPITAL
611 W PARK ST
URBANA, IL 61801
PHONE: (217) 383-3311
E-PRESCRIBE: NO
PEDIATRIC UROLOGY
RHEE, BENJAMIN K., MD
GENDER: M
NPI #: 1922041938
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3100
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
URBANA, IL
URBANA, IL
PERINATOLOGY
ABBASI, ISMAIL, MD
GENDER: M
NPI #: 1427035989
CARLE PHYSICIAN GROUP
611 W PARK STREET
URBANA, IL 61801-2500
PHONE: (217) 383-3266
E-PRESCRIBE: YES
KEHL, RALPH J., MD
GENDER: M
NPI #: 1851316129
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-4930
E-PRESCRIBE: YES
PHYSICAL MEDICINE/
REHABILITATION
AHMAD, ZEESHAN, MD
GENDER:
NPI #: 1134126451
CARLE PHYSICIAN GROUP
610 N LINCOLN AVE
URBANA, IL 61801
PHONE: (217) 383-6555
E-PRESCRIBE: YES
COVINGTON, CHRIS A., DO
GENDER: M
NPI #: 1336123470
PROVENA MEDICAL GROUP
1400 W PARK ST SUITE D
URBANA, IL 61801
PHONE: (217) 337-2293
E-PRESCRIBE: NO
JAIN, SANJIV, MD
GENDER: M
NPI #: 1821013939
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3528
E-PRESCRIBE: YES
Specialty Care Providers
JOHNSON, VICTORIA, MD
GENDER: F
NPI #: 1043235450
CARLE PHYSICIAN GROUP
610 N LINCOLN AVE
URBANA, IL 61801
PHONE: (217) 383-6555
E-PRESCRIBE: YES
LI, JIAN, MD
GENDER: F
NPI #: 1336169440
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3528
E-PRESCRIBE: YES
TIPIRNENI, SAMATHA, MD
GENDER: F
NPI #: 1598883076
CARLE PHYSICIAN GROUP
610 N LINCOLN AVE
URBANA, IL 61802
PHONE: (217) 383-6555
E-PRESCRIBE: YES
PLASTIC RECONSTRUCTIVE
SURGERY
PARESI, ROBERT J., MD
GENDER: M
NPI #: 1891902359
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE:
E-PRESCRIBE: YES
RUSSO, RONALD C., MD
GENDER: M
NPI #: 1447380985
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE:
E-PRESCRIBE: YES
PODIATRY
WALTERS, ROBERT
GREGORY, DPM
GENDER: M
NPI #: 1932118643
CHRISTIE CLINIC
1710 E WINDSOR RD
URBANA, IL 61802
PHONE: (217) 344-9440
E-PRESCRIBE: YES
PULMONOLOGY
BANGARULINGAM, SUJAY Y.,
MD
GENDER: M
NPI #: 1710977640
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3190
E-PRESCRIBE: YES
BOBAT, ISMAIL A., MD
GENDER: M
NPI #: 1750310553
PROVENA MEDICAL GROUP
1400 W PARK ST SUITE D111
URBANA, IL 61801
PHONE: (217) 337-3738
E-PRESCRIBE: NO
GREELEY, DONALD A., MD
GENDER: M
NPI #: 1942224134
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3190
E-PRESCRIBE: YES
MAIN, DAVID, MD
GENDER: M
NPI #: 1992726772
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3190
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
396
Specialty Care Providers
SLEEP MEDICINE
PATEL, KAUSHIK J., MD
GENDER:
NPI #: 1861486987
1400 W PARK
URBANA, IL 61801
PHONE: (217) 366-1200
E-PRESCRIBE: YES
RADIATION ONCOLOGY
SAPIENTE, RONALD, MD
GENDER: M
NPI #: 1972602688
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3010
E-PRESCRIBE: YES
SARMA, KALIKA P., MD
GENDER: M
NPI #: 1679672398
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3010
E-PRESCRIBE: YES
SHULTZ, DAVID, DO
GENDER: M
NPI #:
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3010
E-PRESCRIBE: YES
STANIC, SINISA, MD
GENDER:
NPI #: 1316149479
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3010
E-PRESCRIBE: YES
397
BOBAT, ISMAIL A., MD
GENDER: M
NPI #: 1750310553
PROVENA MEDICAL GROUP
1400 W PARK ST SUITE D111
URBANA, IL 61801
PHONE: (217) 337-3738
E-PRESCRIBE: NO
DAVIES, CHARLES R., MD
GENDER: M
NPI #: 1285669911
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-4203
E-PRESCRIBE: YES
GREELEY, DONALD A., MD
GENDER: M
NPI #: 1942224134
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3190
E-PRESCRIBE: YES
SPORTS MEDICINE
HENRICHS, JEREMY W., MD
GENDER: M
NPI #: 1154326759
CARLE SPORTS MEDICINE
810 W ANTHONY DR
URBANA, IL 61801
PHONE: (217) 383-3300
E-PRESCRIBE: YES
HENRICHS, JEREMY, MD
GENDER: M
NPI #: 1154326759
CARLE PHYSICIAN GROUP
810 W ANTHONY DR
URBANA, IL 61801
PHONE: (217) 383-3300
E-PRESCRIBE: YES
URBANA, IL
URBANA, IL
MACDOUGALL, AMY, MD
GENDER: F
NPI #: 1578734836
CARLE PHYSICIAN GROUP
810 W ANTHONY DR
URBANA, IL 61801
PHONE: (217) 383-3300
E-PRESCRIBE: YES
CARLE SPORTS MEDICINE
810 W ANTHONY DR
URBANA, IL 61801
PHONE: (217) 383-3300
E-PRESCRIBE: NO
ZIMMERMAN, JERRAD P., MD
GENDER: M
NPI #: 1194838789
CARLE SPORTS MEDICINE
810 W ANTHONY DR
URBANA, IL 61801
PHONE: (217) 383-3300
E-PRESCRIBE: NO
TRAUMA SURGERY
DAWSON III, SHERFIELD, MD
GENDER: M
NPI #: 1447212733
CARLE FOUNDATION
HOSPITAL
611 W PARK ST
URBANA, IL 61802
PHONE: (217) 383-3204
E-PRESCRIBE: YES
OLIPHANT, URETZ, MD
GENDER: M
NPI #: 1033154109
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3240
E-PRESCRIBE: YES
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
URBANA, IL
WASHINGTON, IL
UROLOGY
KONCHANIN, RONALD P., MD
GENDER: M
NPI #: 1083633473
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3160
E-PRESCRIBE: YES
WOLF, RICHARD M., MD
GENDER: M
NPI #: 1285739177
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3160
E-PRESCRIBE: YES
VASCULAR SURGERY
CONNELLY, TIMOTHY L., MD
GENDER: M
NPI #: 1801821509
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3810
E-PRESCRIBE: YES
WHEATLEY, BRIAN J., MD
GENDER: M
NPI #: 1114149770
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3810
E-PRESCRIBE: YES
VITREOUS/RETINAL
SURGERY
TSIPURSKY, MICHAEL S., MD
GENDER: M
NPI #: 1437315033
CARLE PHYSICIAN GROUP
602 W UNIVERSITY AVE
URBANA, IL 61801
PHONE: (217) 383-3150
E-PRESCRIBE: YES
Specialty Care Providers
WASHINGTON, IL
GASTROENTEROLOGY
CAMACHO, KENNETH, MD
GENDER: M
NPI #: 1750323424
ILLINOIS
GASTROENTEROLOGY
INSTITUTE SC
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 672-4980
E-PRESCRIBE: NO
GENERAL SURGERY
HSU, JOHN W., MD
GENDER: M
NPI #: 1043439748
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: YES
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
OCONNOR, TIMOTHY P., MD
GENDER: M
NPI #: 1710974597
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PATEL, GAVISH N., MD
GENDER: M
NPI #: 1821080078
ASSOCIATED SURGICAL
GROUP
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 691-4005
E-PRESCRIBE: NO
NEPHROLOGY
ALONSO, ALEXANDER J., MD
GENDER: M
NPI #: 1124152707
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
BRUHA, ROBERT, MD
GENDER: M
NPI #: 1043340367
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
DREYER, PAUL T., MD
GENDER: M
NPI #: 1194855528
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
HORINEK, ANTHONY R., MD
GENDER: M
NPI #: 1609907195
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
398
WASHINGTON, IL
WATSEKA, IL
Specialty Care Providers
JAMES, GORDON W., MD
GENDER: M
NPI #: 1124158431
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
ROSBOROUGH, DAVID C.,
MD
GENDER: M
NPI #: 1619007275
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
KETEL, BEVERLEY L., MD
GENDER: F
NPI #: 1659402048
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PAMULAPARTHY, SMITHA R.,
MD
GENDER: F
NPI #: 1447328828
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: YES
PFLEDERER, BENJAMIN R.,
MD
GENDER: M
NPI #: 1306976964
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PFLEDERER, TIMOTHY A.,
MD
GENDER: M
NPI #: 1154451573
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
399
SADER, SAMER B., MD
GENDER: M
NPI #: 1831220318
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SHRISHRIMAL, KUMARPAL
C., MD
GENDER: M
NPI #: 1023217551
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SPARROW, ROBERT T., MD
GENDER: M
NPI #: 1134259781
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
SRINIVASAN,
PARTHASARATHY, MD
GENDER: M
NPI #: 1134199359
RENALCARE ASSOCIATES
201 N CUMMINGS LANE
WASHINGTON, IL 61571
PHONE: (309) 676-8123
E-PRESCRIBE: NO
PODIATRY
KARAS, TODD J., DPM
GENDER: M
NPI #: 1023125127
ASSOCIATES OF STERLING
PODIATRY
10 ST CLARE COURT SUITE
120
WASHINGTON, IL 61571
PHONE: (309) 886-4224
E-PRESCRIBE: NO
WATSEKA, IL
CARDIOLOGY
REDDY, VENKATAPURAM A.,
MD
GENDER: M
NPI #: 1588858815
625 S FIFTH ST SUITE B
WATSEKA, IL 60970
PHONE: (815) 432-2225
E-PRESCRIBE: NO
GASTROENTEROLOGY
BOKHARI, SYED S., MD
GENDER: M
NPI #: 1710984224
DIGESTIVE DISEASES
CONSULTANTS OF
KANKAKEE
200 FAIRMAN AVE
WATSEKA, IL 60970
PHONE: (815) 432-7722
E-PRESCRIBE: YES
JURKOVIC, EDWARD, DO
GENDER: M
NPI #: 1558360842
DIGESTIVE DISEASES
CONSULTANTS OF
KANKAKEE
200 FAIRMAN AVE
WATSEKA, IL 60970
PHONE: (815) 432-7722
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
WATSEKA, IL
WATSEKA, IL
Specialty Care Providers
OCONNOR, THOMAS L., MD
GENDER: M
NPI #: 1760470033
DIGESTIVE DISEASES
CONSULTANTS OF
KANKAKEE
200 FAIRMAN AVE
WATSEKA, IL 60970
PHONE: (815) 432-7722
E-PRESCRIBE: NO
HEMATOLOGY/ONCOLOGY
ONCOLOGY
GUNDALA, SRILATA, MD
GENDER: F
NPI #: 1467646141
LUDAG LLC
850 S 4TH ST
WATSEKA, IL 60970
PHONE: (815) 432-0057
E-PRESCRIBE: NO
SUTHERLAND, DAVID B., MD
GENDER: M
NPI #: 1619976909
DIGESTIVE DISEASES
CONSULTANTS OF
KANKAKEE
200 FAIRMAN AVE
WATSEKA, IL 60970
PHONE: (815) 432-7722
E-PRESCRIBE: NO
SIPAHI, MEHMET, MD
GENDER: M
NPI #: 1467556837
AFFILIATED CANCER
SPECIALISTS PC
1490 E WALNUT ST
WATSEKA, IL 60970
PHONE:
E-PRESCRIBE: NO
BASHA, AHSAN M., MD
GENDER: M
NPI #: 1043283849
AFFILIATED CANCER
SPECIALISTS PC
1490 E WALNUT ST
WATSEKA, IL 60970
PHONE:
E-PRESCRIBE: NO
GENERAL SURGERY
HASHMI, NASHIB, MD
GENDER: M
NPI #: 1629194543
IROQUOIS KIDNEY CENTER
209 S 5TH ST
WATSEKA, IL 60970
PHONE:
E-PRESCRIBE: YES
CHASE, DANIEL M., MD
GENDER: M
NPI #: 1215255252
IROQUOIS MEMORIAL
HOSPITAL
200 N LAIRD LANE
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
FONTANILLA, ABRAHAM, MD
GENDER: M
NPI #: 1104975978
IROQUOIS MEMORIAL
HOSPITAL
200 LAIRD LANE
WATSEKA, IL 60970
PHONE: (815) 432-5411
E-PRESCRIBE: NO
NEPHROLOGY
HIZON, MIGUEL L., MD
GENDER: M
NPI #: 1730184086
IROQUOIS MEMORIAL
HOSPITAL SPECIALTY
CLINIC
200 FAIRMAN ST
WATSEKA, IL 60970
PHONE:
E-PRESCRIBE: YES
JOHNSON, PATRICIA, MD
GENDER: F
NPI #: 1467477869
IROQUOIS MEMORIAL
HOSPITAL
200 FIARMAN ST
WATSEKA, IL 60970
PHONE: (815) 432-5841
E-PRESCRIBE: YES
OPHTHALMOLOGY
APRAHAMIAN, ARA D., MD
GENDER: M
NPI #: 1528015013
GAILEY EYE CLINIC
123 N EIGHTH ST
WATSEKA, IL 60970
PHONE: (815) 432-2020
E-PRESCRIBE: NO
BARBA, KENNETH R., MD
GENDER: M
NPI #: 1265473706
GAILEY EYE CLINIC
123 N EIGHTH ST
WATSEKA, IL 60970
PHONE: (815) 432-2020
E-PRESCRIBE: NO
BHATIA, SUMIT P., MD
GENDER: M
NPI #: 1780670596
GAILEY EYE CLINIC
123 N EIGHTH ST
WATSEKA, IL 60970
PHONE: (815) 432-2020
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
400
WATSEKA, IL
YORKVILLE, IL
Specialty Care Providers
KNUPP, JAMES A., MD
GENDER: M
NPI #: 1548211774
GAILEY EYE CLINIC
123 N EIGHTH ST
WATSEKA, IL 60970
PHONE: (815) 432-2020
E-PRESCRIBE: NO
KRISTAL, LIBBY K., MD
GENDER: F
NPI #: 1326240144
GAILEY EYE CLINIC
123 N EIGHTH ST
WATSEKA, IL 60970
PHONE: (815) 432-2020
E-PRESCRIBE: NO
OESTER, ALAN E., MD
GENDER: M
NPI #: 1750503819
GAILEY EYE CLINIC
123 N 8TH ST
WATSEKA, IL 60970
PHONE: (815) 432-2020
E-PRESCRIBE: NO
RIGSBY, JESSE H., MD
GENDER: M
NPI #: 1447253646
GAILEY EYE CLINIC
123 N EIGHTH ST
WATSEKA, IL 60970
PHONE: (815) 432-2020
E-PRESCRIBE: NO
PODIATRY
CURRY, WALTER L., DPM
GENDER: M
NPI #: 1164425153
WATSEKA FOOT CLINIC
101 W CHERRY ST
WATSEKA, IL 60970
PHONE: (815) 432-4323
E-PRESCRIBE: NO
401
RADIATION ONCOLOGY
GRIFFIN, VIVIAN D., MD
GENDER: F
NPI #: 1801898614
CANCER TREATMENT
GROUP
850 S 4TH ST
WATSEKA, IL 60970
PHONE: (815) 432-0057
E-PRESCRIBE: NO
WOODBURN, ROBERT T., MD
GENDER: M
NPI #: 1407848849
CANCER TREATMENT
GROUP
850 S 4TH ST
WATSEKA, IL 60970
PHONE: (815) 432-0057
E-PRESCRIBE: NO
UROLOGY
RAZVI, MOHAMMED M., MD
GENDER:
NPI #: 1316033640
130 N LAIRD LANE SUITE 102
WATSEKA, IL 60970
PHONE: (815) 432-4312
E-PRESCRIBE: NO
WILMINGTON, IL
PODIATRY
SERPE, JASON L., DPM
GENDER: M
NPI #: 1578660593
RIVERSIDE MEDICAL
CENTER OF WILMINGTON
105 S FIRST ST
WILMINGTON, IL 60481
PHONE: (815) 476-5210
E-PRESCRIBE: NO
YORKVILLE, IL
PHYSICAL MEDICINE/
REHABILITATION
FRANKLIN, JASON T., DO
GENDER: M
NPI #: 1588673032
REZIN ORTHOPEDICS &
SPORTS MEDICINE
106 E COUNTRYSIDE PKWY
YORKVILLE, IL 60560
PHONE: (815) 553-8979
E-PRESCRIBE: NO
PODIATRY
BISHOP, PAUL, DPM
GENDER: M
NPI #: 1457428492
THE CENTERS FOR FOOT &
ANKLE SURGERY LTD
654 W VETERANS PKWY
SUITE D
YORKVILLE, IL 60560
PHONE: (630) 553-9300
E-PRESCRIBE: NO
MANSOUR, HAYTHAM, DPM
GENDER: M
NPI #: 1811078207
THE CENTERS FOR FOOT &
ANKLE SURGERY LTD
654 W VETERANS PKWY
SUITE D
YORKVILLE, IL 60560
PHONE: (630) 553-9300
E-PRESCRIBE: NO
RAPPETTE, THOMAS, DPM
GENDER: M
NPI #: 1962579904
THE CENTERS FOR FOOT &
ANKLE SURGERY LTD
654 W VETERANS PKWY
SUITE D
YORKVILLE, IL 60560
PHONE: (630) 553-9300
E-PRESCRIBE: NO
* Restricted panel. Please contact Customer Service at the number on the back
of your ID card.
AURORA, IL
BLOOMINGTON, IL
AURORA, IL
MENTAL HEALTH/
SUBSTANCE ABUSE
PROVENA MERCY MEDICAL
CENTERS BEHAVIORAL
HEALTH
GENDER:
NPI #: 1639186638
1325 N HIGHLAND AVE
AURORA, IL 60506
PHONE: (630) 859-2222
E-PRESCRIBE: NO
PSYCHIATRY
ALKHOURI, IYAD M., MD
GENDER: M
NPI #: 1952328940
PROVENA MEDICAL GROUP
1325 N HIGHLAND
AURORA, IL 60506
PHONE: (630) 859-2222
E-PRESCRIBE: NO
HOSSAIN, SHAHEENA, MD
GENDER: F
NPI #: 1295755502
OPEN DOOR CLINIC
157 S LINCOLN AVE SUITE K
AURORA, IL 60505
PHONE: (603) 264-1819
E-PRESCRIBE: NO
BARTONVILLE, IL
MENTAL HEALTH
BRANCH-DIRCKS, KELLIE E.,
LCSW
GENDER: F
NPI #: 1255528204
5632 S MATT CODY ST
BARTONVILLE, IL 61607
PHONE:
E-PRESCRIBE: NO
Mental Health Care
BURRESS, SABRA R., LCPC
GENDER:
NPI #: 1134138928
RICHARDSON COUNSELING
CENTER
5909 SW ADAMS
BARTONVILLE, IL 61607
PHONE: (309) 633-1030
E-PRESCRIBE: NO
BENTON, IL
MENTAL HEALTH
THOMAS, LISA, LCPC
GENDER: F
NPI #: 1609836915
LISA THOMAS FAMILY
COUNSELING
106 W WASHINGTON ST
SUITE 200
BENTON, IL 62812
PHONE: (618) 435-4501
E-PRESCRIBE: NO
BLOOMINGTON, IL
MENTAL HEALTH
ALLEN, RICK L., LCPC
GENDER: M
NPI #: 1639329329
AGAPE COUNSELING LTD
211 N VETERANS PKWY
SUITE 1
BLOOMINGTON, IL 61704
PHONE: (309) 663-2229
E-PRESCRIBE: NO
ANDREWS, ANDREA E.,
LCPC
GENDER: F
NPI #: 1295901668
EASTLAND
PSYCHOLOGICAL SERVICES
2201 EASTLAND DR SUITE 4
BLOOMINGTON, IL 617047923
PHONE: (309) 663-1623
E-PRESCRIBE: NO
BACKUS, KATHLEEN, LCPC
GENDER: F
NPI #: 1871782805
6 HEARTLAND DR SUITE C
BLOOMINGTON, IL 61704
PHONE: (309) 663-0781
E-PRESCRIBE: NO
BARTLETT, ANDREA, LCSW
GENDER: F
NPI #: 1780952184
EASTER SEALS UCP
2404 E EMPIRE ST
BLOOMINGTON, IL 61704
PHONE: (309) 663-8275
E-PRESCRIBE: NO
BASSETT, TONYA, LCSW
GENDER: F
NPI #: 1821281429
AGAPE COUNSELING LTD
211 N VETERANS PKWY
SUITE 1
BLOOMINGTON, IL 61704
PHONE: (309) 663-2229
E-PRESCRIBE: NO
BEASLEY, DANIELLE D.,
LCSW
GENDER: F
NPI #: 1114262599
MCLEAN COUNTY CHS
108 W MARKET ST
BLOOMINGTON, IL 617013918
PHONE:
E-PRESCRIBE: NO
BOZARTH, JULIA M., LCPC
GENDER: F
NPI #: 1982726014
COLLABORATIVE
SOLUTIONS INSTITUTE
200 W FRONT ST SUITE 400A
BLOOMINGTON, IL 61701
PHONE: (309) 828-2860
E-PRESCRIBE: NO
402
BLOOMINGTON, IL
BLOOMINGTON, IL
Mental Health Care
BRUCKER, ALEXANDER,
LCPC
GENDER: M
NPI #: 1548409329
AGAPE COUNSELING LTD
211 N VETERANS PKWY
SUITE 1
BLOOMINGTON, IL 61704
PHONE: (309) 663-2229
E-PRESCRIBE: NO
HANSEN, AMY, LCPC
GENDER: F
NPI #: 1043588874
AGAPE COUNSELING
211 N VETERANS PKWY
SUITE 1
BLOOMINGTON, IL 61704
PHONE:
E-PRESCRIBE: NO
KRUMTINGER, MICHAEL L.,
LCPC
GENDER: M
NPI #: 1255491114
205 N WILLIAMSBURG SUTIE
E
BLOOMINGTON, IL 61704
PHONE: (309) 808-2326
E-PRESCRIBE: NO
BYRD, ADRIAN M., LCSW
GENDER: F
NPI #: 1194992503
205 N WILLIAMSBURG SUITE
E
BLOOMINGTON, IL 61704
PHONE: (309) 808-2326
E-PRESCRIBE: NO
HARMON, HALLIE R., LCPC
GENDER: F
NPI #: 1144468810
AGAPE COUNSELING LTD
2111 N VETERANS PKWAY
SUITE 1
BLOOMINGTON, IL 61704
PHONE: (309) 692-4433
E-PRESCRIBE: NO
LARSEN, ANNETTE, LCPC
GENDER: F
NPI #: 1265510507
AGAPE COUNSELING
211 N VETERANS PKWY
SUITE 1
BLOOMINGTON, IL 61704
PHONE: (309) 692-4433
E-PRESCRIBE: NO
DENURE, BRYAN J., LCPC
GENDER: M
NPI #: 1669798716
AMG TWIN CITIES
BEHAVIORAL HEALTH
303 N HERSHEY SUITE D1
BLOOMINGTON, IL 61704
PHONE: (309) 268-3529
E-PRESCRIBE: NO
HAWBAKER, NICHELE D.,
LCSW
GENDER: F
NPI #: 1407097264
205 N WILLIAMSBURG SUITE
E
BLOOMINGTON, IL 61704
PHONE: (309) 808-2326
E-PRESCRIBE: NO
LEE, KAREN M., LCPC
GENDER: F
NPI #: 1346252954
AGAPE COUNSELING LTD
220 N EDLORADO RD SUITE
A
BLOOMINGTON, IL 61704
PHONE: (309) 663-2229
E-PRESCRIBE: NO
DOUGLAS, JERRY L., LCSW
GENDER: M
NPI #: 1841394939
205 N WILLIAMSBURG SUITE
E
BLOOMINGTON, IL 61704
PHONE: (309) 808-2326
E-PRESCRIBE: NO
HUNT, MATTHEW W., LCPC
GENDER: M
NPI #: 1871685115
205 N WILLIAMSBURG SUITE
E
BLOOMINGTON, IL 61704
PHONE: (309) 808-2326
E-PRESCRIBE: NO
GAINES, CHERYL L., LCPC
GENDER: F
NPI #: 1669695524
COLLABORATIVE
SOLUTIONS INSTITUTE
200 W FRONT ST SUITE 400A
BLOOMINGTON, IL 61701
PHONE: (309) 828-2860
E-PRESCRIBE: NO
KRAHN, NATHAN L., LCPC
GENDER: M
NPI #: 1619218955
AGAPE COUNSELING LTD
211 N VETERANS PKWY
SUITE 1
BLOOMINGTON, IL 61704
PHONE: (309) 663-2229
E-PRESCRIBE: NO
LEEBOLD, BOBBY J., LCSW
GENDER: M
NPI #: 1164728127
PSYCHOLOGY SPECIALISTS
808 ELDORADO RD SUITE
102
BLOOMINGTON, IL 61704
PHONE: (309) 706-3190
E-PRESCRIBE: NO
403
MAAS, KIERSTINE J., LCPC
GENDER: F
NPI #: 1326179458
EASTLAND
PSYCHOLOGICAL SERVICES
2201 EASTLAND DR SUITE 4
BLOOMINGTON, IL 617047923
PHONE: (309) 663-1623
E-PRESCRIBE: NO
BLOOMINGTON, IL
BLOOMINGTON, IL
MARIANI, DIANA L., LCSW
GENDER: F
NPI #: 1770680951
PSYCHOLOGY SPECIALISTS
808 ELDORADO RD SUITE
102
BLOOMINGTON, IL 61704
PHONE: (309) 706-3190
E-PRESCRIBE: NO
MARTIN, MARK R., LCPC
GENDER: M
NPI #: 1467563205
EASTLAND
PSYCHOLOGICAL SERVICES
2201 EASTLAND DR SUITE 4
BLOOMINGTON, IL 617047923
PHONE: (309) 663-1623
E-PRESCRIBE: NO
Mental Health Care
MCLAUGHLIN, WILMA L.,
LCPC
GENDER: F
NPI #: 1891707410
AGAPE COUNSELING LTD
220 N ELDORADO RD SUITE
A
BLOOMINGTON, IL 61704
PHONE: (309) 663-2229
E-PRESCRIBE: NO
MOSER, MEGHAN E., LMHC
GENDER: F
NPI #: 1588843668
MCLEAN COUNTY CHS
108 W MARKET ST
BLOOMINGTON, IL 617013918
PHONE:
E-PRESCRIBE: NO
MATHER, MERLIN, LCPC
GENDER: M
NPI #: 1891718540
AMG TWIN CITIES
BEHAVIORAL HEALTH
303 N HERSHEY SUITE C
BLOOMINGTON, IL 61704
PHONE: (309) 268-3529
E-PRESCRIBE: NO
NEUWEG, LISA D., LCPC
GENDER: F
NPI #: 1003948183
AGAPE COUNSELING LTD
211 N VETERANS PKWY
SUITE 1
BLOOMINGTON, IL 61704
PHONE: (309) 663-2229
E-PRESCRIBE: NO
MCCARTY, TRINA K., LCPC
GENDER: F
NPI #: 1841471091
200 W MONROE SUITE 306
BLOOMINGTON, IL 61701
PHONE: (309) 310-5545
E-PRESCRIBE: NO
NIEBUR, THOMAS N., LCPC
GENDER: M
NPI #: 1437172103
AMG TWIN CITIES
BEHAVIORAL HEALTH
303 N HERSHEY SUITE D1
BLOOMINGTON, IL 61701
PHONE: (309) 268-3529
E-PRESCRIBE: NO
MCKILLOP, DIANE L., LCPC
GENDER: F
NPI #: 1356432793
PROFESSIONAL
ASSOCIATES OF ILLINOIS
417 N CENTER ST
BLOOMINGTON, IL 61701
PHONE: (309) 827-2184
E-PRESCRIBE: NO
NIELSEN, SARAH E., LCPC
GENDER: F
NPI #: 1235241605
PROFESSIONAL
ASSOCIATES OF ILLINOIS
417 N CENTER ST
BLOOMINGTON, IL 61701
PHONE: (309) 827-2184
E-PRESCRIBE: NO
NOVINSKA, LISA A., LCPC
GENDER: F
NPI #: 1891965042
AGAPE COUNSELING LTD
211 N VETERANS PKWY
SUITE 1
BLOOMINGTON, IL 61704
PHONE: (309) 663-2229
E-PRESCRIBE: NO
OLBERT, DEBORAH L., LCPC
GENDER: F
NPI #: 1144345422
LIMINA INSTITUTE
903 E JEFFERSON ST
BLOOMINGTON, IL 61701
PHONE: (309) 828-1414
E-PRESCRIBE: NO
OSBORNE, LORI, LCSW
GENDER: F
NPI #: 1215950969
AMG TWIN CITIES
BEHAVIORAL HEALTH
303 N HERSHEY SUITE C
BLOOMINGTON, IL 61704
PHONE: (309) 268-3529
E-PRESCRIBE: NO
PRENZLER, THERESA, LCSW
GENDER: F
NPI #: 1649315656
712 E EMPIRE ST
BLOOMINGTON, IL 61701
PHONE: (309) 824-5180
E-PRESCRIBE: NO
REIMERS, DEEANNE F.,
LCPC
GENDER: F
NPI #: 1568623304
EASTER SEALS-UPC
2404 E EMPIRE
BLOOMINGTON, IL 61701
PHONE: (309) 663-8275
E-PRESCRIBE: NO
404
BLOOMINGTON, IL
BLOOMINGTON, IL
Mental Health Care
ROBERTS, NED O., LCPC
GENDER:
NPI #: 1902983216
BUD ROBERTS COUNSELING
SERVICE
200 W MONROE ST SUITE 300
BLOOMINGTON, IL 61701
PHONE: (309) 827-9030
E-PRESCRIBE: NO
ROLLEY, MICHELLE L., LCPC
GENDER: F
NPI #: 1669626362
AGAPE COUNSELING LTD
211 N VETERANS PKWY
SUITE 1
BLOOMINGTON, IL 61704
PHONE: (309) 663-2229
E-PRESCRIBE: NO
SEIP, MERRIE J., LCSW
GENDER: F
NPI #: 1699882332
PSYCHOLOGY SPECIALISTS
808 ELDORADO RD SUITE
102
BLOOMINGTON, IL 61704
PHONE: (309) 706-3190
E-PRESCRIBE: NO
STRAUSS, JAMES H., LCPC
GENDER: M
NPI #: 1710099171
COLLABORATIVE
SOLUTIONS INSTITUTE
200 W FRONT ST SUITE 400A
BLOOMINGTON, IL 61701
PHONE: (309) 828-2860
E-PRESCRIBE: NO
TAYLOR, DONALD N., LCPC
GENDER: M
NPI #: 1952413346
PROFESSIONAL
ASSOCIATES OF ILLINOIS
417 N CENTER ST
BLOOMINGTON, IL 61701
PHONE: (309) 827-2184
E-PRESCRIBE: NO
405
VOGEL, CATHERINE, LCSW
GENDER: F
NPI #: 1154423309
MCLEAN COUNTY CHS
108 W MARKET ST
BLOOMINGTON, IL 61701
PHONE: (309) 827-5351
E-PRESCRIBE: NO
WEATHERLY, MARGARET A.,
LCPC
GENDER: F
NPI #: 1437280575
EASTLAND
PSYCHOLOGICAL SERVICES
2201 EASTLAND DR SUITE 4
BLOOMINGTON, IL 617047923
PHONE: (309) 663-1623
E-PRESCRIBE: NO
WHEELER, SAMANTHA,
LCSW
GENDER: F
NPI #: 1649222555
PSYCHOLOGY SPECIALISTS
2810 E EMPIRE
BLOOMINGTON, IL 61702
PHONE:
E-PRESCRIBE: NO
WHITE, WILLIAM R., LCSW
GENDER: M
NPI #: 1356521280
712 E EMPIRE ST
BLOOMINGTON, IL 61701
PHONE: (309) 287-9464
E-PRESCRIBE: NO
WIEBLER, LADONA R., BCBA
GENDER: F
NPI #: 1912286808
EASTER SEALS
2404 E EMPIRE
BLOOMINGTON, IL 61704
PHONE: (309) 663-8275
E-PRESCRIBE: NO
WILLIAMSON, KIMBERLY A.,
BCBA
GENDER: F
NPI #: 1801067400
CIRCLES BEHAVIOR
CONSULTATION SERVICES
2416 E WASHINGTON SUITE
G
BLOOMINGTON, IL 61704
PHONE: (309) 662-5050
E-PRESCRIBE: NO
YODER, SHERRY, LCPC
GENDER: F
NPI #: 1932392008
PSYCHOLOGY SPECIALISTS
808 ELDORADO RD SUITE
102
BLOOMINGTON, IL 61704
PHONE: (309) 706-3190
E-PRESCRIBE: NO
ZYWIEC, DAWN, LCPC
GENDER: F
NPI #: 1902936636
EASTLAND
PSYCHOLOGICAL SERVICES
2201 EASTLAND DR SUITE 4
BLOOMINGTON, IL 617047923
PHONE: (309) 663-1623
E-PRESCRIBE: NO
PEDIATRIC PSYCHIATRY
AHMED, FAISAL, MD
GENDER: M
NPI #: 1417069881
TWIN CITIES BEHAVIORAL
HEALTH
303 N HERSHEY SUITE 2C
BLOOMINGTON, IL 61704
PHONE: (309) 268-3519
E-PRESCRIBE: NO
BLOOMINGTON, IL
BOURBONNAIS, IL
PSYCHIATRY
ABELITA, GIL B., MD
GENDER: M
NPI #: 1619986551
PROFESSIONAL
ASSOCIATES OF ILLINOIS
417 N CENTER ST
BLOOMINGTON, IL 61701
PHONE: (309) 827-2184
E-PRESCRIBE: NO
BASHIR, ANJUM, MD
GENDER:
NPI #: 1568440683
205 N WILLIAMSBURG SUITE
E
BLOOMINGTON, IL 61704
PHONE: (309) 808-2326
E-PRESCRIBE: NO
CHASE, CARMEN D., MD
GENDER: F
NPI #: 1487677100
TWIN CITIES BEHAVORIAL
HEALTH
303 N HERSHEY SUITE 2C
BLOOMINGTON, IL 61704
PHONE: (309) 268-3529
E-PRESCRIBE: NO
HAMILTON, ROBERT S., MD
GENDER: M
NPI #: 1164431904
PROFESSIONAL
ASSOCIATES OF ILLINOIS
417 N CENTER ST
BLOOMINGTON, IL 61701
PHONE: (309) 827-2184
E-PRESCRIBE: NO
HASAN, BABAR, MD
GENDER: M
NPI #: 1649266016
OSF MEDICAL GROUPCOLLEGE AVE
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
PHONE: (309) 664-3000
E-PRESCRIBE: NO
Mental Health Care
HERITCH, ANDREW J., MD
GENDER: M
NPI #: 1407948607
HEARTLAND BEHAVIORAL
HEALTH
3002 GE RD SUITE 2
BLOOMINGTON, IL 61704
PHONE: (309) 862-3900
E-PRESCRIBE: NO
MCCORMICK, SCOTT, MD
GENDER: M
NPI #: 1639192354
TWIN CITIES BEHAVIORAL
HEALTH
303 N HERSHEY SUITE 2C
BLOOMINGTON, IL 61704
PHONE: (309) 268-3529
E-PRESCRIBE: NO
PSYCHOLOGY
FLORELL, JOHN, PHD
GENDER: M
NPI #: 1538189840
AMG TWIN CITIES
BEHAVIORAL HEALTH
303 N HERSHEY SUITE C
BLOOMINGTON, IL 61704
PHONE: (309) 268-3529
E-PRESCRIBE: NO
FRENCH, MEL, PSYD
GENDER: M
NPI #: 1063632693
EASTLAND
PSYCHOLOGICAL SERVICES
2201 EASTLAND DR SUITE 4
BLOOMINGTON, IL 617047923
PHONE: (309) 663-1623
E-PRESCRIBE: NO
GILLEN, WILLIAM G., PHD,
PHD
GENDER: M
NPI #: 1235294802
205 N WILLIAMSBURG SUITE
E
BLOOMINGTON, IL 61704
PHONE: (309) 808-2326
E-PRESCRIBE: NO
HATLELID, SETH, PSYD
GENDER: M
NPI #: 1447270368
MILLENIUM PAIN CENTER
1015 S MERCER
BLOOMINGTON, IL 61701
PHONE: (309) 706-3190
E-PRESCRIBE: NO
KRIPPNER, KEVIN, PHD
GENDER: M
NPI #: 1477576114
AMG TWIN CITIES
BEHAVIORAL HEALTH
303 N HERSHEY SUITE C
BLOOMINGTON, IL 61704
PHONE: (309) 268-3529
E-PRESCRIBE: NO
MILLER, CHERI, PSYD
GENDER: F
NPI #: 1033132790
AMG TWIN CITIES
BEHAVIORAL HEALTH
303 N HERSHEY SUITE D1
BLOOMINGTON, IL 61701
PHONE: (309) 268-3529
E-PRESCRIBE: NO
WOODBURN, JUDY R., PHD
GENDER: F
NPI #: 1013937382
AMG TWIN CITIES
BEHAVIORAL HEALTH
303 N HERSHEY SUITE C
BLOOMINGTON, IL 61704
PHONE: (309) 268-3529
E-PRESCRIBE: NO
BOURBONNAIS, IL
MENTAL HEALTH
BOUDREAU, TERI D., LPC
GENDER: F
NPI #: 1295746675
PROVENA MEDICAL GROUP
21 HERITAGE DR SUITE 102
BOURBONNAIS, IL 60914
PHONE: (815) 937-8204
E-PRESCRIBE: NO
406
BOURBONNAIS, IL
CARLINVILLE, IL
Mental Health Care
BUCKLIN, MEGAN K., LCPC
GENDER: F
NPI #: 1033112826
19 HERITAGE DR SUITE 208
BOURBONNAIS, IL 60914
PHONE: (815) 935-5540
E-PRESCRIBE: NO
PSYCHIATRY
JENNINGS, RUTH A., LCSW
GENDER: F
NPI #: 1568689511
JOHN R DAY & ASSOCIATES
LTD
125 E LOCUST SUITE 104
CANTON, IL 61520
PHONE: (309) 692-7755
E-PRESCRIBE: NO
MEHTA, SHITAL T., MD
GENDER: F
NPI #: 1205054608
PROVENA MEDICAL GROUP
21 HERITAGE DR SUITE 102
BOURBONNAIS, IL 60914
PHONE: (815) 937-8204
E-PRESCRIBE: NO
LADD, PHILLIP, LCPC
GENDER: M
NPI #: 1255396347
JOHN R DAY & ASSOCIATES
LTD
40 E ASH ST STE G
CANTON, IL 61520
PHONE: (309) 692-7755
E-PRESCRIBE: NO
CANTON, IL
MULDER, ELYN, LCSW
GENDER: F
NPI #: 1730146960
JOHN R DAY & ASSOCIATES
LTD
40 E ASH ST STE G
CANTON, IL 61520
PHONE: (309) 692-7755
E-PRESCRIBE: NO
MENTAL HEALTH
FANNING, DEBRA, LCPC
GENDER: F
NPI #: 1699110742
PSYCHOLOGY SPECIALISTS
180 S AMIN ST 4TH FL
CANTON, IL 61520
PHONE: (309) 706-3190
E-PRESCRIBE: NO
GATES, NATHAN W., LCPC
GENDER: M
NPI #: 1275655698
SPOON RIVER COUNSELING
8 S MAIN ST
CANTON, IL 61520
PHONE: (309) 740-2171
E-PRESCRIBE: NO
HEITZ, MARCIA, LCSW
GENDER: F
NPI #: 1235482365
8 S MAIN SUITE 204
CANTON, IL 61520
PHONE: (309) 321-0014
E-PRESCRIBE: NO
407
REINBOLDT, CARRIE A.,
LCPC
GENDER: F
NPI #: 1588933378
PSYCHOLOGY SPECIALISTS
180 S MAIN ST
CANTON, IL 61520
PHONE: (309) 706-3190
E-PRESCRIBE: NO
PSYCHOLOGY
PRIDDY, DAVID, PHD
GENDER: M
NPI #: 1669416749
INSTITUTE OF PHYSICAL
MEDICINE & REHAB/IPMR
210 W WALNUT ST
CANTON, IL 61520
PHONE: (309) 692-8110
E-PRESCRIBE: NO
CARLINVILLE, IL
MENTAL HEALTH
ANDERSON, WILLIAM M.,
LCPC
GENDER: M
NPI #: 1174695290
LOCUST STREET RESOURCE
CENTER
320 S LOCUST ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3166
E-PRESCRIBE: NO
BEANBLOSSOM, BRENDA I.,
LCPC
GENDER: F
NPI #: 1669674214
LOCUST STREET RESOURCE
CENTER
320 S LOCUST ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3166
E-PRESCRIBE: NO
HARMON, WENDY L., LCSW
GENDER: F
NPI #: 1932285194
SPRINGFIELD CLINIC LLP
101 MCCAUSLAND AVE
CARLINVILLE, IL 62626
PHONE: (217) 854-5099
E-PRESCRIBE: NO
HAUTER, LISA K., LCSW
GENDER: F
NPI #: 1417023870
LOCUST STREET RESOURCE
CENTER
320 S LOCUST ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3166
E-PRESCRIBE: NO
CARLINVILLE, IL
CHAMPAIGN, IL
KRAVANYA, JOSEPH P., LPC
GENDER: M
NPI #: 1972675098
LOCUST STREET RESOURCE
CENTER
320 S LOCUST ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3166
E-PRESCRIBE: NO
ONDREY, MOLLY A., LCPC
GENDER: F
NPI #: 1326366287
LOCUST STREET RESOURCE
CENTER
320 S LOCUST ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3166
E-PRESCRIBE: NO
RAABE, PEGGY, LCPC
GENDER: F
NPI #: 1508844150
LOCUST STREET RESOURCE
CENTER
320 S LOCUST ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3166
E-PRESCRIBE: NO
PEDIATRIC PSYCHIATRY
MEDINA, JUAN, MD
GENDER: M
NPI #: 1265485106
LOCUST STREET RESOURCE
CENTER
320 S LOCUST ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3166
E-PRESCRIBE: NO
Mental Health Care
PSYCHIATRY
PSYCHIATRY
ALLURI, VINOD, MD
GENDER: M
NPI #: 1548279870
LOCUST STREET RESOURCE
CENTER
320 S LOCUST ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3166
E-PRESCRIBE: NO
WERNERT III, JOHN J., MD
GENDER: M
NPI #: 1851364780
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928
PHONE: (765) 492-9042
E-PRESCRIBE: YES
HASANAT, KHONDAKAR A.,
MD
GENDER: M
NPI #: 1902907116
LOCUST STREET RESOURCE
CENTER
320 S LOCUST ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3166
E-PRESCRIBE: NO
SHRESTHA, SANTOSH, MD
GENDER: M
NPI #: 1942494018
LOCUST STREET RESOURCE
CENTER
320 S LOCUST ST
CARLINVILLE, IL 62626
PHONE: (217) 854-3166
E-PRESCRIBE: NO
CAYUGA, IN
MENTAL HEALTH
LONNEMAN, LINDA S., LCSW
GENDER: F
NPI #: 1982843926
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928
PHONE: (765) 492-9042
E-PRESCRIBE: NO
PSYCHOLOGY
LEGGETT, JONATHAN L.,
PHD
GENDER: M
NPI #: 1831497783
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928
PHONE: (765) 492-9042
E-PRESCRIBE: NO
WERNZ, JULIA L., PHD
GENDER: F
NPI #: 1659542595
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
114 N DIVISION
CAYUGA, IN 47928
PHONE: (765) 492-9042
E-PRESCRIBE: NO
CHAMPAIGN, IL
MENTAL HEALTH
AKHTAR, WHITNEY, LCSW
GENDER: F
NPI #: 1205145315
COMMUNITY ELEMENTS
INC
1801 FOX DR
CHAMPAIGN, IL 61820
PHONE: (217) 398-8080
E-PRESCRIBE: NO
408
CHAMPAIGN, IL
CHAMPAIGN, IL
Mental Health Care
BRIDGETT, NICHOLAS,
LCSW
GENDER: M
NPI #: 1306858592
209 W UNIVERSITY AVE
SUITE 101
CHAMPAIGN, IL 61820
PHONE: (217) 417-6432
E-PRESCRIBE: NO
BUSICK, STEPHEN, LCPC
GENDER: M
NPI #: 1104095983
2305 VILLAGE GREEN PLACE
SUITE C
CHAMPAIGN, IL 61822
PHONE: (217) 363-1700
E-PRESCRIBE: NO
CLAXON, CAROL J., LCSW
GENDER: F
NPI #: 1487927372
1801 FOX DR
CHAMPAIGN, IL 61820
PHONE: (217) 398-8080
E-PRESCRIBE: NO
DUMOND, RENEE, LPC
GENDER:
NPI #: 1376817270
44 E MAIN ST STE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
COOK, GEORGE, LCSW
GENDER: M
NPI #: 1134311269
KEVIN ELLIOT COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
DUNLAP-JOHNSON, KENNA,
LCSW
GENDER: F
NPI #: 1356640700
KERI POWELL THERAPY
701 DEVONSHIRE DR SUITE
15B
CHAMPAIGN, IL 61820
PHONE: (217) 352-0200
E-PRESCRIBE: NO
CHAN, ANN, LCSW
GENDER: F
NPI #: 1851451272
206 N RANDOLPH SUITE 420
CHAMPAIGN, IL 61820
PHONE: (217) 390-2917
E-PRESCRIBE: NO
CRANDALL, DEBORAH,
LCSW
GENDER: F
NPI #: 1154561272
KEVIN ELLIOT COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
CHARPENTIER-PROBST,
NANCY M., LCSW
GENDER: F
NPI #: 1013129212
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
CRAVENS-MANSINI, CARLA,
LCSW
GENDER: F
NPI #: 1558425546
KEVING ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
CIAMBOTTI, JUDITH, LCSW
GENDER:
NPI #: 1659466613
701 DEVONSHIRE DR SUITE
203A
CHAMPAIGN, IL 61820
PHONE: (217) 344-0063
E-PRESCRIBE: NO
DUCHENE, JOHN, LMFT
GENDER: M
NPI #: 1992989461
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
409
EL KOURY, KATHLEEN,
LCSW
GENDER: F
NPI #: 1386923340
INSIGHT THERAPY LLC
2919 CROSSING CT SUITE 13
CHAMPAIGN, IL 61822
PHONE: (217) 383-0151
E-PRESCRIBE: NO
3426 STONEWAY CT
CHAMPAIGN, IL 61822
PHONE: (217) 383-0151
E-PRESCRIBE: NO
ELLIOTT, KEVIN, LCPC
GENDER: M
NPI #: 1982618526
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
ERICKSON, PETER, LCSW
GENDER: M
NPI #: 1487873915
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
CHAMPAIGN, IL
CHAMPAIGN, IL
Mental Health Care
ESSLINGER, JENNIFER P.,
LCSW
GENDER: F
NPI #: 1376652024
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
FORT, KATHLEEN C., LCSW
GENDER: F
NPI #: 1306966296
NEW BEGINNING
PSYCHOTHERAPY
116 N CHESTNUT SUITE 231
CHAMPAIGN, IL 61820
PHONE: (217) 819-0281
E-PRESCRIBE: NO
EVANS, SUSAN, LCSW
GENDER: F
NPI #: 1972753341
116 N CHESTNUT SUITE 243
CHAMPAIGN, IL 61820
PHONE: (217) 649-7663
E-PRESCRIBE: NO
FOSTER, JINNY F., LCSW
GENDER:
NPI #: 1891702650
206 N RANDOLPH SUITE 526
CHAMPAIGN, IL 61820
PHONE: (217) 356-2322
E-PRESCRIBE: NO
FAMILY SERVICE OF
CHAMPAIGN COUNTY
GENDER:
NPI #: 1538381843
405 S STATE ST
CHAMPAIGN, IL 61820-5196
PHONE: (217) 352-0099
E-PRESCRIBE: NO
FREEMAN, BRUCE, LCSW
GENDER: M
NPI #: 1780804930
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
FERGUSON, SANDRA, LCSW
GENDER: F
NPI #: 1538157961
BIRCH TREE COUNSELING
AND CONSULTING
2506 GALEN DR SUITE 103
CHAMPAIGN, IL 61821
PHONE: (217) 398-0744
E-PRESCRIBE: NO
HAGERSTROM, JOSHUA,
LPC
GENDER: M
NPI #: 1861763021
KERI POWELL THERAPY
701 DEVONSHIRE DR B15
CHAMPAIGN, IL 61820
PHONE: (217) 352-0200
E-PRESCRIBE: NO
FLORES-MIRANDA, EDA,
LCSW
GENDER:
NPI #: 1194933093
MENTAL HEALTH CENTER
OF CHAMPAIGN COUNTY
1801 FOX DR
CHAMPAIGN, IL 61820
PHONE: (217) 398-8080
E-PRESCRIBE: NO
HARMS, JESSICA, LCSW
GENDER: F
NPI #: 1730239435
KERI POWELL THERAPY
701 DEVONSHIRE DR SUITE
15B
CHAMPAIGN, IL 61820
PHONE: (217) 352-0200
E-PRESCRIBE: NO
HERZOG, ANDREA, LCSW
GENDER: F
NPI #: 1114071933
206 N RANDOLPH SUITE 403
CHAMPAIGN, IL 61820
PHONE:
E-PRESCRIBE: NO
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
HIGGINS, STEPHEN, LCSW
GENDER: M
NPI #: 1730193376
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
HOLMAN, MOLLIE, LCSW
GENDER: F
NPI #: 1033254693
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
HUANG, AMY M., LSW
GENDER: F
NPI #: 1942536693
FAMILY SERVICE OF
CHAMPAIGN COUNTY
405 S STATE ST
CHAMPAIGN, IL 61820
PHONE: (217) 352-0099
E-PRESCRIBE: NO
HUANG, AMY, LSW
GENDER: F
NPI #: 1942536693
44 E MAIN ST SUITE 505
CHAMPAIGN, IL 61820
PHONE: (217) 378-8575
E-PRESCRIBE: NO
410
CHAMPAIGN, IL
CHAMPAIGN, IL
Mental Health Care
IRWIN, KATHERINE, LSW
GENDER: F
NPI #: 1871831180
CAMPION BARROW &
ASSOCIATES
2110 CLEARLAKE BLVD
SUITE 202
CHAMPAIGN, IL 61822
PHONE: (217) 356-9922
E-PRESCRIBE: NO
JACKSON, ANGELA, LCSW
GENDER: F
NPI #: 1144597899
KEVIN ELLIOTT
COUNSELING
44 E MAIN STREET STE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
JOHNSON, CYNTHIA, LCPC
GENDER: F
NPI #: 1518113141
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
JONES, KAREN, LCPC
GENDER: F
NPI #: 1861626186
KERI POWELL THERAPY
701 DEVONSHIRE DR SUITE
15B
CHAMPAIGN, IL 61820
PHONE: (217) 352-0200
E-PRESCRIBE: NO
KEATON, APRIL L., LCSW
GENDER: F
NPI #: 1750663928
4806 WESTBOROUGH DR
CHAMPAIGN, IL 61822
PHONE:
E-PRESCRIBE: NO
411
KLEIN, JAMES R., LCPC
GENDER: M
NPI #: 1740328970
2305 VILLAGE GREEN PLACE
SUITE C
CHAMPAIGN, IL 61822
PHONE: (217) 363-1700
E-PRESCRIBE: NO
KNELL, TAMI, LCSW
GENDER: F
NPI #: 1205039799
TAMI KNELL LLC
2919 CROSSING CT
CHAMPAIGN, IL 61822
PHONE:
E-PRESCRIBE: NO
MAURER, JAMES C., LCSW
GENDER: M
NPI #: 1902947831
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
MAYER, CHRISTINE, LCSW
GENDER: F
NPI #: 1093727885
44 E MAIN ST STE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
MCDONALD, HELLEN, LCSW
GENDER: F
NPI #: 1932219037
44 E MAIN ST SUITE 505
CHAMPAIGN, IL 61820
PHONE: (217) 378-8575
E-PRESCRIBE: NO
MCLOUGHLIN, SARAH,
LCSW
GENDER:
NPI #: 1437233368
KEVIN ELLIOTT
COUNSELING INC
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
MCNICHOLL, ROBERT, LCSW
GENDER: M
NPI #: 1093948440
THE PAVILION
809 W CHURCH ST
CHAMPAIGN, IL 61820
PHONE: (217) 373-1700
E-PRESCRIBE: NO
MCNICHOLL, STACI L., LCSW
GENDER: F
NPI #: 1538490172
KIRBY MEDICAL CENTER
201 SPRINGFIELD AVE SUITE
902
CHAMPAIGN, IL 61820
PHONE:
E-PRESCRIBE: NO
MCVEY, JESSICA, LCSW
GENDER: F
NPI #: 1184830226
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
MERRITT, ANTHONY D.,
LCSW
GENDER: M
NPI #:
CAMPION BARROW &
ASSOCIATES
2110 CLEARLAKE BLVD
SUITE 202
CHAMPAIGN, IL 61822
PHONE: (217) 356-9922
E-PRESCRIBE: NO
CHAMPAIGN, IL
CHAMPAIGN, IL
Mental Health Care
MILLER, LINDA L., LCSW
GENDER: F
NPI #: 1326244237
3306 LAKESHORE DR
CHAMPAIGN, IL 61822
PHONE: (217) 351-8353
E-PRESCRIBE: NO
PARKER, SHAYLA, LCPC
GENDER: F
NPI #: 1487737359
44 E MAIN ST STE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
MOL, DIRK, LCSW
GENDER: M
NPI #: 1801030572
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
PATTON, ANGELA, LPC
GENDER: F
NPI #: 1326329053
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST STE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
OCHS, CHRISTOPHER, LCSW
GENDER: M
NPI #: 1386759801
701 DEVONSHIRE DR C-31
CHAMPAIGN, IL 61820
PHONE: (217) 369-3890
E-PRESCRIBE: NO
PETERSON, NANCY, LCSW
GENDER: F
NPI #: 1922152495
1605 W CHURCH ST
CHAMPAIGN, IL 61821
PHONE: (217) 621-1330
E-PRESCRIBE: NO
OLSON, SARAH, LCSW
GENDER: F
NPI #: 1538483482
KEVING ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
PICO, AMY, LCPC
GENDER: F
NPI #: 1891945150
KERI POWELL THERAPY
701 DEVONSHIRE DR SUTIE
15B
CHAMPAIGN, IL 61820
PHONE: (217) 352-0200
E-PRESCRIBE: NO
OUTERBRIDGE, VICKI O.,
LCPC
GENDER: F
NPI #: 1669682878
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
POWELL, KERI, LCSW
GENDER: F
NPI #: 1154587525
KERI POWELL THERAPY
701 DEVONSHIRE DR SUITE
15B
CHAMPAIGN, IL 61820
PHONE: (217) 352-0200
E-PRESCRIBE: NO
PRITCHARD, COLLEEN,
LCSW
GENDER: F
NPI #: 1588784854
NEW DAWN COUNSELING
2919 CROSSING COURT
SUITE 6
CHAMPAIGN, IL 61822
PHONE: (217) 351-2611
E-PRESCRIBE: NO
REELEY, CHERYL, LCSW
GENDER: F
NPI #: 1841547262
THE ROCK COUNSELING
GROUP
201 W SPRINGFIELD SUITE
605
CHAMPAIGN, IL 61820
PHONE: (217) 722-9079
E-PRESCRIBE: NO
REEVES, EUGENIA, LCSW
GENDER: F
NPI #: 1659588614
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
SEAGLE, LINDA, LCPC
GENDER:
NPI #:
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
SHEPARD, KAREN, LCSW
GENDER: F
NPI #: 1134472681
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
412
CHAMPAIGN, IL
CHAMPAIGN, IL
Mental Health Care
SILVERMAN, ROBERT S.,
LCPC
GENDER: M
NPI #: 1912983701
1717 W KIRBY AVE PMB 347
CHAMPAIGN, IL 61821-5507
PHONE: (217) 766-4327
E-PRESCRIBE: NO
STARK, CONSTANCE, LCPC
GENDER: F
NPI #: 1700984333
CHRISTIE CLINIC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 366-1200
E-PRESCRIBE: YES
SOPER, PAMELA K., LCSW
GENDER: F
NPI #: 1740322031
206 N RANDOLPH SUITE 404
CHAMPAIGN, IL 61820
PHONE: (217) 351-5188
E-PRESCRIBE: NO
SUBER, CARLA, LPC
GENDER: F
NPI #: 1265794770
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
SPANGLER, PAIGE, LPC
GENDER:
NPI #: 1144591074
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST STE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
SRAJEK, MARTIN, LCSW
GENDER: M
NPI #: 1730392481
THE INFANT-PARENT
INSTITUTE
328 N NEIL ST
CHAMPAIGN, IL 61820
PHONE: (217) 352-4060
E-PRESCRIBE: NO
ST CLAIR, RENEE, PHD
GENDER: F
NPI #: 1225303910
FAMILY SERVICE OF
CHAMPAIGN
405 S STATE ST
CHAMPAIGN, IL 61820
PHONE: (217) 352-0099
E-PRESCRIBE: NO
413
SUTTER, RACHEL E., LCSW
GENDER: F
NPI #: 1639482862
KERI POWELL THERAPY
701 DEVONSHIRE DR SUITE
15B
CHAMPAIGN, IL 61820
PHONE: (217) 352-0200
E-PRESCRIBE: NO
UNANDER, EILEEN, LCSW
GENDER: F
NPI #: 1770760068
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST STE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
VANCE, TIMOTHY H., LCSW
GENDER: M
NPI #: 1487703757
701 DEVONSHIRE DR SUITE
201D
CHAMPAIGN, IL 61820
PHONE: (217) 355-6060
E-PRESCRIBE: NO
WAGER, JANEL
GENDER: F
NPI #: 1659540045
JCW COUNSELING
44 E MAIN ST SUITE 511
CHAMPAIGN, IL 61820
PHONE: (217) 766-7368
E-PRESCRIBE: NO
SWEET, MICHELLE A., LCSW
GENDER: F
NPI #: 1942386529
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
WEIDNER, WENDI
GENDER: F
NPI #: 1467738450
KERI POWELL THERAPY
701 DEVONSHIRE DR SUITE
B15
CHAMPAIGN, IL 61821
PHONE: (217) 352-0200
E-PRESCRIBE: NO
TULLIS, DEBRA K., LCSW
GENDER: F
NPI #: 1821164260
FAMILY SERVICE OF
CHAMPAIGN COUNTY
405 S STATE ST
CHAMPAIGN, IL 61820
PHONE: (217) 352-0099
E-PRESCRIBE: NO
WENDT, PAMELA, LCPC
GENDER:
NPI #: 1912140666
KEVIN ELLIOTT
COUNSELING
44 EAST MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
CHAMPAIGN, IL
CHAMPAIGN, IL
Mental Health Care
WHICKER, GREG, LCSW
GENDER: M
NPI #: 1487670659
KEVIN ELLIOTT
COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
THE PAVILION FOUNDATION
GENDER:
NPI #: 1518930619
809 W CHURCH ST
CHAMPAIGN, IL 61820
PHONE: (217) 373-1700
E-PRESCRIBE: NO
PEDIATRIC PSYCHIATRY
ARUNACHALAM, ROSELIN,
MD
GENDER: F
NPI #: 1962507954
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
YORE, DOUGLAS, LCSW
GENDER: M
NPI #: 1417197021
CARLE PHYSICIAN GROUP
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
PHONE: (217) 359-9072
E-PRESCRIBE: YES
BECK, JOHN P., MD
GENDER: M
NPI #: 1184658619
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
BECK, JOHN P., MD
GENDER: M
NPI #: 1184658619
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
YOUNG, MATTHEW, LSW
GENDER: M
NPI #: 1568710325
KEVIN ELLIOT COUNSELING
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820
PHONE: (217) 398-9066
E-PRESCRIBE: NO
LEVY, SHERRIE D., MD
GENDER: F
NPI #: 1225058332
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
CHOPRA, ARCHANA, MD
GENDER: F
NPI #: 1033266044
1210 LANCASTER DR UNIT C
CHAMPAIGN, IL 61821
PHONE: (217) 398-4443
E-PRESCRIBE: NO
MENTAL HEALTH/
SUBSTANCE ABUSE
WELCH, GERALD, MD
GENDER: M
NPI #: 1053414367
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
MOBERG, KIRK, MD
GENDER: M
NPI #: 1235153677
CARLE PHYSICIAN GROUP
809 W CHURCH
CHAMPAIGN, IL 61820
PHONE: (217) 373-1850
E-PRESCRIBE: YES
PRAIRIE CENTER HEALTH
SYSTEMS
GENDER:
NPI #: 1588794317
122 W HILL ST
CHAMPAIGN, IL 61820
PHONE: (217) 356-7576
E-PRESCRIBE: NO
PSYCHIATRY
ARONSON, SARI G., MD
GENDER:
NPI #: 1750487179
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-3280
E-PRESCRIBE: YES
HAWLEY, CHARLES, MD
GENDER: M
NPI #: 1720095300
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
KWIATKOWSKI, KATHERINE
A., MD
GENDER: F
NPI #: 1003076399
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61820
PHONE: (217) 373-1850
E-PRESCRIBE: YES
414
CHAMPAIGN, IL
CHAMPAIGN, IL
Mental Health Care
LEVY, SHERRIE D., MD
GENDER: F
NPI #: 1225058332
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
MAURER, DAPHNE D., MD
GENDER: F
NPI #: 1326150095
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
REPETTO, MARTIN, MD
GENDER: M
NPI #: 1881634228
THE PAVILION
809 W CHURCH ST
CHAMPAIGN, IL 61820
PHONE: (217) 373-1700
E-PRESCRIBE: NO
ROBERTS, TIMOTHY G., MD
GENDER: M
NPI #: 1275668238
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
SU, FEITENG, MD
GENDER: M
NPI #: 1477572733
MENTAL HEALTH CENTER
OF CHAMPAIGN COUNTY
202 W PARK
CHAMPAIGN, IL 61820
PHONE: (217) 373-2430
E-PRESCRIBE: NO
415
TEIGLAND, GARRY, DO
GENDER: M
NPI #: 1942320064
501 W CHURCH ST
CHAMPAIGN, IL 61820
PHONE: (217) 351-9744
E-PRESCRIBE: NO
TRAUGOTT, ARTHUR R., MD
GENDER: M
NPI #: 1285745976
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
WHISENAND, JAMES M., MD
GENDER: M
NPI #: 1639279011
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
YANG, HAYNG-SUNG, MD
GENDER: M
NPI #: 1215952684
MENTAL HEALTH CENTER
OF CHAMPAIGN COUNTY
1801 FOX DR
CHAMPAIGN, IL 61821
PHONE: (217) 373-2430
E-PRESCRIBE: NO
PSYCHOLOGY
ARULPRAGASAM, D
SHEREEN, PHD
GENDER: F
NPI #: 1114083003
701 DEVONSHIRE DR
CHAMPAIGN, IL 61820
PHONE: (217) 359-8637
E-PRESCRIBE: NO
BAKER, JOHN P., PHD
GENDER: M
NPI #: 1053643064
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6206
E-PRESCRIBE: YES
CAMPION, THOMAS B., PHD
GENDER: M
NPI #: 1376773531
CAMPION BARROW &
ASSOCIA
2110 CLEARLAKE BLVD
SUITE 202
CHAMPAIGN, IL 61822
PHONE:
E-PRESCRIBE: NO
COURTER, MICHAEL, PHD
GENDER: M
NPI #: 1245342526
KLEIN AND BUSICK PC
2305 VILLAGE GREEN PLACE
CHAMPAIGN, IL 61822
PHONE: (217) 649-5064
E-PRESCRIBE: NO
DIZEN, MUGE, PHD
GENDER: F
NPI #: 1689018624
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821-5410
PHONE: (217) 383-1850
E-PRESCRIBE: YES
HELLER, WENDY, PHD
GENDER: F
NPI #: 1003012790
THE BOARD OF TRUSTEES
OF THE UNIVERSITY OF IL
505 E GREEN ST
CHAMPAIGN, IL 61820
PHONE: (217) 333-0041
E-PRESCRIBE: NO
CHAMPAIGN, IL
CLINTON, IL
JEDD, DEBRA J., PSYD
GENDER: F
NPI #: 1659303063
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
KLEIN, ANDREA R., PHD
GENDER: F
NPI #: 1033135397
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6206
E-PRESCRIBE: YES
LEISTER, SANDRA C., PHD
GENDER: F
NPI #: 1588702179
701 DEVONSHIRE DR
CHAMPAIGN, IL 61820
PHONE: (217) 352-2672
E-PRESCRIBE: NO
LENTZ, ROBERT J., PHD
GENDER: M
NPI #: 1356334536
BIRCH TREE COUNSELING
AND CONSULTING
2506 GALEN DR SUITE 103
CHAMPAIGN, IL 61821
PHONE: (217) 398-0744
E-PRESCRIBE: NO
LESKIS, KATHRYN D., PHD
GENDER: F
NPI #: 1023200326
CARLE PHYSICIAN GROUP
1813 W KIRBY AVE
CHAMPAIGN, IL 61821
PHONE: (217) 383-1850
E-PRESCRIBE: YES
Mental Health Care
SMITH, JAMES R., PHD
GENDER: M
NPI #: 1659364180
BIRCH TREE COUNSELING
AND CONSULTING
2506 GALEN DR SUITE 103
CHAMPAIGN, IL 61821
PHONE: (217) 398-0744
E-PRESCRIBE: NO
WHITE, KEITH, PHD
GENDER: M
NPI #: 1427151646
CARLE PHYSICIAN GROUP
1701 W CURTIS RD
CHAMPAIGN, IL 61822
PHONE: (217) 365-6200
E-PRESCRIBE: YES
CHANNAHON, IL
MENTAL HEALTH
COOK, MARY ANN, LCPC
GENDER: F
NPI #: 1184899387
ALLIANCE COUNSELING &
COACHING LLC
23157 THOMAS DILLON DR
CHANNAHON, IL 60410
PHONE: (815) 467-8181
E-PRESCRIBE: NO
CHATSWORTH, IL
MENTAL HEALTH
OLBERT, DEBORAH L., LCPC
GENDER: F
NPI #: 1144345422
LIMINIA INSTITUTE
102 S SIXTH ST
CHATSWORTH, IL 60921
PHONE: (309) 828-1414
E-PRESCRIBE: NO
CISSNA PARK, IL
MENTAL HEALTH
LAM, CINDY L., LPC
GENDER: F
NPI #: 1396822276
CISSNA PARK MEDICAL
CLINIC
141 W GARFIELD ST
CISSNA PARK, IL 60924
PHONE:
E-PRESCRIBE: NO
CLIFTON, IL
MENTAL HEALTH
LAM, CINDY L., LPC
GENDER: F
NPI #: 1396822276
FAMILY MEDICAL CENTER
OF CLIFTON
102 COMMERCE ST
CLIFTON, IL 60927
PHONE:
E-PRESCRIBE: NO
CLINTON, IL
MENTAL HEALTH
EDWARDS, JAMES D., LCSW
GENDER: M
NPI #: 1568520245
RURAL HEALTH CLINIC
422 W WHITE ST
CLINTON, IL 61727
PHONE: (217) 937-5284
E-PRESCRIBE: NO
KEOGH, SUSAN, LCPC
GENDER: F
NPI #: 1548348659
220 S GRANT ST
CLINTON, IL 61727
PHONE: (309) 532-3390
E-PRESCRIBE: NO
416
CLINTON, IN
DANVILLE, IL
Mental Health Care
CLINTON, IN
MENTAL HEALTH
HARDWICK, JILL A., LMHC
GENDER: F
NPI #: 1346421526
UNION HOSPITAL INC
801 S MAIN ST
CLINTON, IN 47842-2261
PHONE: (812) 238-4506
E-PRESCRIBE: NO
PSYCHOLOGY
CARPENTER, TODD M., PSYD
GENDER: M
NPI #: 1598725681
UNION HOSPITAL INC
801 S MAIN ST
CLINTON, IN 47842-2261
PHONE: (812) 238-7384
E-PRESCRIBE: NO
HOWALD, CATHY J., LCSW
GENDER: F
NPI #: 1952497562
UNION HOSPITAL INC
801 S MAIN ST
CLINTON, IN 47842-2261
PHONE: (812) 238-7384
E-PRESCRIBE: NO
LEGGETT, JONATHAN L.,
PHD
GENDER: M
NPI #: 1831497783
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842
PHONE: (765) 828-1003
E-PRESCRIBE: NO
LONNEMAN, LINDA S., LCSW
GENDER: F
NPI #: 1982843926
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842
PHONE: (765) 828-1003
E-PRESCRIBE: NO
WERNZ, JULIA L., PHD
GENDER: F
NPI #: 1659542595
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842
PHONE: (765) 828-1003
E-PRESCRIBE: NO
PSYCHIATRY
WERNERT III, JOHN J., MD
GENDER: M
NPI #: 1851364780
VERMILLION PARKE
COMMUNITY HEALTH
CENTER
777 S MAIN ST SUITE 100
CLINTON, IN 47842
PHONE: (765) 828-1003
E-PRESCRIBE: YES
417
COVINGTON, IN
PSYCHOLOGY
COLEMAN, DAVID, PHD
GENDER: M
NPI #: 1548269764
ML CONSULTING SERVICES
418 WASHINGTON ST
COVINGTON, IN 47932
PHONE: (217) 474-1305
E-PRESCRIBE: NO
CREST HILL, IL
MENTAL HEALTH
HALL, DUNCAN W., LCSW
GENDER: M
NPI #: 1982965539
PROVENA MEDICAL GROUP
16151 WEBER RD SUITE 101
CREST HILL, IL 60403
PHONE: (630) 914-2417
E-PRESCRIBE: NO
DANVILLE, IL
ADDICTIONS COUNSELOR
MANDAHAN, NARAIN, MD
GENDER:
NPI #: 1730170655
PRAIRIE CENTER
128 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 477-4500
E-PRESCRIBE: NO
MENTAL HEALTH
BRESSNER, LESLIE, LCSW
GENDER: F
NPI #: 1295059863
CROSSPOINT HUMAN
SERIVCE
210 AVENUE SUITE C
DANVILLE, IL 61832
PHONE: (217) 442-3200
E-PRESCRIBE: NO
BROWN, MATTHEW E., LCPC
GENDER: M
NPI #: 1578597381
PRAIRIE CENTER HEALTH
SYSTEMS
128 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 477-4500
E-PRESCRIBE: NO
DANVILLE, IL
DANVILLE, IL
DALENBERG, PAMELA,
LCSW
GENDER: F
NPI #: 1780758912
SIEFERT COUNSELING
CENTER
918 N WALNUT ST
DANVILLE, IL 61832
PHONE: (217) 443-1400
E-PRESCRIBE: NO
DEFENBAUGH, SHERRY L.,
LCPC
GENDER: F
NPI #: 1306913363
119 S GILBERT SUITE C
DANVILLE, IL 61832
PHONE: (217) 497-3502
E-PRESCRIBE: NO
FARNSWORTH, DONA, LCPC
GENDER: F
NPI #: 1861659732
CROSSPOINT HUMAN
SERVICES
210 AVE C
DANVILLE, IL 61832
PHONE: (217) 442-3200
E-PRESCRIBE: NO
FLORES-MIRANDA, EDA S.,
LSW
GENDER: F
NPI #:
PRAIRIE CENTER HEALTH
SYSTEMS
128 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 477-4500
E-PRESCRIBE: NO
LAGOS, GABRIELA, LCPC
GENDER: F
NPI #: 1275717076
CROSSPOINT HUMAN
SERVICE
210 AVENUE C
DANVILLE, IL 61832
PHONE:
E-PRESCRIBE: NO
Mental Health Care
MILLS, GAIL A., LCSW
GENDER: F
NPI #: 1891868725
HOPE COUNSELING IAC
3166 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 431-8825
E-PRESCRIBE: NO
RICHEY, JACK K., LCSW
GENDER: M
NPI #: 1225121510
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7850
E-PRESCRIBE: YES
NEMECZ, JESSICA, LCPC
GENDER: F
NPI #: 1407977135
HOPE COUNSELING
101 E LIBERTY LANE STE B
DANVILLE, IL 61832
PHONE: (217) 431-8825
E-PRESCRIBE: NO
ROBERTS, MARI T., LCSW
GENDER: F
NPI #: 1184750135
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7850
E-PRESCRIBE: YES
NIXON, SARAH E., LSW
GENDER: F
NPI #:
PRAIRIE CENTER HEALTH
SYSTEMS
128 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 477-4500
E-PRESCRIBE: NO
SANFORD, SHERRY, LPC
GENDER: F
NPI #: 1235334483
CROSSPOINT HUMAN
SERVICES
210 AVENUE C
DANVILLE, IL 61832
PHONE: (217) 442-3200
E-PRESCRIBE: NO
PERKINS, SUSAN E., LCPC
GENDER: F
NPI #: 1033327911
PRAIRIE CENTER HEALTH
SYSTEMS
128 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 477-4500
E-PRESCRIBE: NO
SIEFERT, DEBORAH, LCSW
GENDER: F
NPI #: 1598876484
SIEFERT COUNSELING
CENTER
918 N WALNUT ST
DANVILLE, IL 61832
PHONE: (217) 443-1400
E-PRESCRIBE: NO
PETRE, DALE, LCSW
GENDER: M
NPI #: 1760797898
CROSSPOINT HUMAN
SERVICE
210 AVE C
DANVILLE, IL 61832
PHONE: (217) 442-3200
E-PRESCRIBE: NO
SMITH, LISA, LCSW
GENDER: F
NPI #: 1104156389
PRAIRIE CENTER HEALTH
SYSTEMS
128 N VERMILION ST
DANVILLE, IL 61832
PHONE: (217) 477-4500
E-PRESCRIBE: NO
418
DANVILLE, IL
DECATUR, IL
Mental Health Care
STEELMAN, BURNELL, LCPC
GENDER: M
NPI #: 1053529941
SIEFERT COUNSELING
CENTER
918 N WALNUT ST
DANVILLE, IL 61832
PHONE: (217) 443-1400
E-PRESCRIBE: NO
STINSON, MATTHEW S.,
LCPC
GENDER: M
NPI #: 1518231703
CROSSPOINT HUMAN
SERVICE
210 AVENUE C
DANVILLE, IL 61832
PHONE:
E-PRESCRIBE: NO
WITT, LESLIE J., LCPC
GENDER: F
NPI #: 1912268160
CROSSPOINT HUMAN
SERVICE
210 AVE C
DANVILLE, IL 61832
PHONE: (217) 442-3200
E-PRESCRIBE: NO
MENTAL HEALTH/
SUBSTANCE ABUSE
PRAIRIE CENTER HEALTH
SYSTEMS
GENDER:
NPI #: 1588794317
128 N VERMILION
DANVILLE, IL 61832
PHONE: (217) 477-4500
E-PRESCRIBE: NO
PSYCHIATRY
HERRMANN, THOMAS L., MD
GENDER: M
NPI #: 1982629051
CARLE PHYSICIAN GROUP
311 W FAIRCHILD ST
DANVILLE, IL 61832
PHONE: (217) 431-7850
E-PRESCRIBE: YES
LEE, BUMYONG, MD
GENDER: M
NPI #: 1487661930
2804 N VERMILLION
DANVILLE, IL 61832-3718
PHONE: (217) 443-5821
E-PRESCRIBE: NO
YANT, SARA, LCSW
GENDER: F
NPI #: 1578752465
ELGHAMMER FAMILY
CENTER
723 N LOGAN
DANVILLE, IL 61832
PHONE: (217) 431-6000
E-PRESCRIBE: NO
TEIGLAND, GARRY, DO
GENDER: M
NPI #: 1942320064
CROSSPOINT HUMAN
SERVICES
210 AVENUE SUITE C
DANVILLE, IL 61832
PHONE: (217) 442-3200
E-PRESCRIBE: NO
YOUNG, LORI K., LCPC
GENDER: F
NPI #: 1912129511
HOPE COUNSELING INC
101 E LIBERTY LANE SUITE B
DANVILLE, IL 61832
PHONE: (217) 431-8825
E-PRESCRIBE: NO
PSYCHOLOGY
419
COLEMAN, DAVID, PHD
GENDER: M
NPI #: 1548269764
ML CONSULTING SERVICES
116 N WALNUT ST
DANVILLE, IL 61832
PHONE: (217) 474-1305
E-PRESCRIBE: NO
ELGHAMMER, RICHARD,
PHD
GENDER: M
NPI #: 1649396003
ELGHAMMER FAMILY
CENTER
723 N LOGAN
DANVILLE, IL 61832
PHONE: (217) 431-6000
E-PRESCRIBE: NO
SEARS, JAMES, PHD
GENDER:
NPI #: 1932229564
CROSSPOINT HUMAN
SERVICES
210 AVENUE SUITE C
DANVILLE, IL 61832
PHONE: (217) 442-3200
E-PRESCRIBE: NO
DECATUR, IL
MENTAL HEALTH
AHLRICH, CATHY, LPC
GENDER: F
NPI #: 1194967356
A & E BEHAVIORAL HEALTH
CARE ASSOCIATES
2570 FEDERAL DR SUITE 101
DECATUR, IL 62526
PHONE: (217) 872-1003
E-PRESCRIBE: NO
BOLIN, BARBARA M., LCPC
GENDER: F
NPI #: 1699752329
1301 E MOUND RD
DECATUR, IL 62526
PHONE: (217) 872-8800
E-PRESCRIBE: NO
DECATUR, IL
DECATUR, IL
BRINKLOW, SUSAN S., LCSW
GENDER: F
NPI #: 1174578751
DECATUR PSYCHOLOGICAL
ASSOCIATES
3040 N UNIVERSITY AVE
SUITE 2
DECATUR, IL 62526
PHONE: (217) 872-1700
E-PRESCRIBE: NO
BROWN, PATRICIA M., LCPC
GENDER: F
NPI #: 1578654216
DECATUR PSYCHOLOGICAL
ASSOCIATES
3040 N UNIVERSITY AVE
SUITE 2
DECATUR, IL 62526
PHONE: (217) 872-1700
E-PRESCRIBE: NO
BYRD, ADRIAN M., LCSW
GENDER: F
NPI #: 1194992503
DECATUR PSYCHIATRY LTD
1900 E LAKE SHORE DR
SUITE 201
DECATUR, IL 62521
PHONE: (217) 422-0027
E-PRESCRIBE: NO
CRUMPLER, ANN C., LCSW
GENDER: F
NPI #: 1629209432
PSYCHOLOGY SPECIALISTS
102 KENWOOD SUITE 120
DECATUR, IL 62526
PHONE: (217) 520-1047
E-PRESCRIBE: NO
CUMMINS, MARY CLARE,
LCPC
GENDER: F
NPI #: 1962595892
1770 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 423-6500
E-PRESCRIBE: NO
Mental Health Care
1770 E LAKE SHORE DR
SUITE 209
DECATUR, IL 62521
PHONE: (217) 423-6500
E-PRESCRIBE: NO
DOTHAGER, AURELI, LCSW
GENDER: F
NPI #: 1649349739
A & E BEHAVIORAL HEALTH
CARE ASSOCIATES PC
2570 FEDERAL DR
DECATUR, IL 62526
PHONE: (217) 872-1003
E-PRESCRIBE: NO
DOUGLAS, JERRY L., LCSW
GENDER: M
NPI #: 1841394939
DECATUR PSYCHIATRY LTD
1900 E LAKE SHORE DR
SUITE 201
DECATUR, IL 62521
PHONE: (217) 422-0027
E-PRESCRIBE: NO
ENGLAND, TROY A., LCSW
GENDER: M
NPI #: 1578844866
CHOUDARY KAVURI MD SC
1770 E LAKESHORE DR
SUITE 208
DECATUR, IL 62521
PHONE: (217) 428-1900
E-PRESCRIBE: NO
GADLAGE, BELVA J., LCPC
GENDER: F
NPI #: 1669541769
A & E BEHAVIORAL HEALTH
CARE ASSOCIATES PC
2570 FEDERAL DR
DECATUR, IL 62526
PHONE: (217) 872-1003
E-PRESCRIBE: NO
GARRISON, MARY, LCSW
GENDER: F
NPI #: 1598073959
DECATUR PSYCHOLOGICAL
ASSOCIATES PC
3040 N UNIVERSITY AVE #2
DECATUR, IL 62526
PHONE: (217) 872-1700
E-PRESCRIBE: NO
GRABOWSKI, GENIEL, LCSW
GENDER: F
NPI #: 1811066913
A & E BEHAVIORAL HEALTH
CARE ASSOCIATES PC
2570 FEDERAL DR
DECATUR, IL 62526
PHONE: (217) 872-1003
E-PRESCRIBE: NO
HAMMOND, KAREN, LCSW
GENDER: F
NPI #: 1174631279
1770 E LAKESHORE DR
DECATUR, IL 62521
PHONE:
E-PRESCRIBE: NO
HAWBAKER, NICHELE D.,
LCSW
GENDER: F
NPI #: 1407097264
DECATUR PSYCHIATRY LTD
1900 E LAKE SHORE DR
SUITE 201
DECATUR, IL 62521
PHONE: (217) 422-0027
E-PRESCRIBE: NO
HORTENSTINE-GROHLER,
JENNIFER, LCPC
GENDER: F
NPI #: 1780807222
SUITE 208
1770 E LAKE SHORE DR
DECATUR, IL 62521
PHONE:
E-PRESCRIBE: NO
420
DECATUR, IL
DECATUR, IL
Mental Health Care
HUNT, MATTHEW W., LCPC
GENDER: M
NPI #: 1871685115
DECATUR PSYCHIATRY LTD
1900 E LAKESHORE DR
SUITE 201
DECATUR, IL 62521
PHONE: (217) 422-0027
E-PRESCRIBE: NO
MOLL, THOMAS W., LCSW
GENDER: M
NPI #: 1053459503
ROHI PATIL MD SC
1770 E LAKESHORE SUITE
209
DECATUR, IL 62521
PHONE: (217) 423-6500
E-PRESCRIBE: NO
KENDALL, KELLY A., LCSW
GENDER: F
NPI #: 1396041976
ROHI PATEL MD SC
1770 E LAKE SHORE DR
SUITE 209
DECATUR, IL 62521
PHONE: (217) 423-6500
E-PRESCRIBE: NO
MOORE, TIMOTHY H., LPC
GENDER: M
NPI #: 1144494881
DECATUR PSYCHOLOGICAL
ASSOCIATES
3040 N UNIVERSITY AVE
SUITE 2
DECATUR, IL 62526
PHONE: (217) 872-1700
E-PRESCRIBE: NO
KERWIN, CHARLES R., LCSW
GENDER: M
NPI #: 1063706497
CHOUDARY KAVURI MD SC
1770 E LAKESHORE DR
SUITE 208
DECATUR, IL 62521
PHONE: (217) 428-1900
E-PRESCRIBE: NO
KRUMTINGER, MICHAEL L.,
LCPC
GENDER: M
NPI #: 1255491114
DECATUR PSYCHIATRY LTD
1900 E LAKESHORE DR
SUITE 201
DECATUR, IL 62521
PHONE: (217) 422-0027
E-PRESCRIBE: NO
MCCAMMON, JAYMIE, LCSW
GENDER: F
NPI #: 1194099853
DECATUR PSYCHIATRY
1900 E LAKE SHORE DR
SUITE 201
DECATUR, IL 62521
PHONE: (217) 422-0027
E-PRESCRIBE: NO
421
PETERS, KIMBERLY S., LCPC
GENDER: F
NPI #: 1538485370
PSYCHOLOGY SPECIALISTS
102 KENWOOD SUITE 120A
DECATUR, IL 62526
PHONE: (309) 706-3190
E-PRESCRIBE: NO
PULLIAM, TRACY L., LCSW
GENDER: F
NPI #: 1639458623
DECATUR PSYCHIATRY LTD
1900 E LAKESHORE DR
SUITE 201
DECATUR, IL 62521
PHONE: (217) 422-0027
E-PRESCRIBE: NO
RATHNOW, STEPHEN J.,
LCPC
GENDER: M
NPI #: 1497863583
ROHI PATEL MD SC
1770 E LAKE SHORE DR
SUITE 209
DECATUR, IL 62521
PHONE: (217) 423-6500
E-PRESCRIBE: NO
STEWART, THOMAS K.,
LCSW
GENDER: M
NPI #: 1265677421
ROHI PATIL MD SC
1770 E LAKESHORE DR
SUITE 209
DECATUR, IL 62521
PHONE: (217) 423-6500
E-PRESCRIBE: NO
TEEL, RUTH E., LCPC
GENDER: F
NPI #: 1780753889
A & E BEHAVIORAL HEALTH
CARE ASSOCIATES PC
2570 FEDERAL DR
DECATUR, IL 62526
PHONE: (217) 872-1003
E-PRESCRIBE: NO
VEON, KEN, LCPC
GENDER: M
NPI #: 1598834699
A & E BEHAVIORAL HEALTH
CARE ASSOCIATES PC
2570 FEDERAL DR
DECATUR, IL 62526
PHONE: (217) 872-1003
E-PRESCRIBE: NO
WEBB, EVELYN A., LCSW
GENDER: F
NPI #: 1881763985
A & E BEHAVIORAL HEALTH
CARE ASSOCIATES PC
2570 FEDERAL DR
DECATUR, IL 62526
PHONE: (217) 872-1003
E-PRESCRIBE: NO
WENCE, DAVID R., LCPC
GENDER: M
NPI #: 1831209758
DECATUR PSYCHOLOGICAL
ASSOCIATES
3040 N UNIVERSITY AVE
SUITE 2
DECATUR, IL 62526
PHONE: (217) 872-1700
E-PRESCRIBE: NO
DECATUR, IL
DEKALB, IL
WILLIAMS, NATHAN D., LCPC
GENDER: M
NPI #: 1982810511
DECATUR PSYCHIATRY LTD
1900 E LAKESHORE DR
SUITE 201
DECATUR, IL 62521
PHONE: (217) 422-0027
E-PRESCRIBE: NO
MENTAL HEALTH/
SUBSTANCE ABUSE
ST MARYS MENTAL HEALTH
AND SUBSTANCE ABUSE
CENTER
GENDER:
NPI #: 1326041229
1800 E LAKESHORE DR
DECATUR, IL 62521
PHONE: (217) 464-2966
E-PRESCRIBE: NO
PSYCHIATRY
BASHIR, ANJUM, MD
GENDER:
NPI #: 1568440683
DECATUR PSYCHIATRY LTD
1900 E LAKESHORE DR
SUITE 201
DECATUR, IL 62521
PHONE: (217) 422-0027
E-PRESCRIBE: NO
KAVURI, CHOUDARY V., MD
GENDER: M
NPI #: 1770642159
1770 E LAKESHORE DR
SUITE 208
DECATUR, IL 62521
PHONE: (217) 428-1900
E-PRESCRIBE: NO
PATIL, ROHI, MD
GENDER: M
NPI #: 1871601989
1770 E LAKESHORE DR
DECATUR, IL 62521
PHONE: (217) 423-6500
E-PRESCRIBE: NO
Mental Health Care
SALIK, SYED Z., MD
GENDER: M
NPI #: 1265408694
SUITE 340
1900 E LAKE SHORE DR
DECATUR, IL 62521
PHONE: (217) 791-6703
E-PRESCRIBE: NO
PSYCHOLOGY
GILLEN, WILLIAM G., PHD,
PHD
GENDER: M
NPI #: 1235294802
DECATUR PSYCHIATRY LTD
1900 E LAKESHORE DR
SUITE 201
DECATUR, IL 62521
PHONE: (217) 422-0027
E-PRESCRIBE: NO
HALL, LEROY R., PSYD
GENDER: M
NPI #: 1942318837
PSYCHOLOGY SPECIALISTS
102 KENWOOD SUITE 120
DECATUR, IL 62526
PHONE: (217) 520-1047
E-PRESCRIBE: NO
MATTHEWS, BEVERLY J.,
PSYD
GENDER: F
NPI #: 1558463760
2570 E FEDERAL DR
DECATUR, IL 62526
PHONE: (217) 872-1003
E-PRESCRIBE: NO
5130 HICKORY POINT
FRONTAGE RD SUITE 260
DECATUR, IL 62526
PHONE: (217) 876-7929
E-PRESCRIBE: NO
DEKALB, IL
MENTAL HEALTH
HOLLAND, MICHAEL, LPC
GENDER: M
NPI #: 1225387590
VCC COUNSELING INC
1211 SYCAMORE RD
DEKALB, IL 60115
PHONE:
E-PRESCRIBE: NO
MCFADDEN SR, DAVID P.,
LCPC
GENDER: M
NPI #: 1972528693
THE VILLAGE COUNSELING
CENTRE
1211 SYCAMORE
DEKALB, IL 60115
PHONE: (815) 756-9907
E-PRESCRIBE: NO
MCFADDEN, DEBORAH L.,
LCSW
GENDER: F
NPI #: 1700801412
THE VILLAGE COUNSELING
CENTRE
1211 SYCAMORE
DEKALB, IL 60115
PHONE: (815) 756-9907
E-PRESCRIBE: NO
MUCHA, HEATHER A., LCPC
GENDER: F
NPI #: 1629141916
THE VILLAGE COUNSELING
CENTRE
1211 SYCAMORE RD
DEKALB, IL 60115
PHONE: (630) 372-6599
E-PRESCRIBE: NO
422
DEKALB, IL
EAST PEORIA, IL
Mental Health Care
MUELLER, BRIAN J., LPC
GENDER: M
NPI #: 1497002679
THE VILLAGE COUNSELING
CENTRE
1211 SYCAMORE
DEKALB, IL 60115
PHONE: (815) 756-9907
E-PRESCRIBE: NO
ORTIZ, CYNTHIA, LCSW
GENDER: F
NPI #: 1053489450
VCC COUNSELING INC
1211 SYCAMORE RD
DEKALB, IL 60115
PHONE:
E-PRESCRIBE: NO
PERRON, NATHAN C., LCPC
GENDER: M
NPI #: 1174779474
SAMARITAN HERITAGE
COUNSELING
1600 E LINCOLN HIGHWAY
SUITE D
DEKALB, IL 60115
PHONE: (815) 901-8505
E-PRESCRIBE: NO
SAVAGE, SUSAN, LCPC
GENDER: F
NPI #: 1396040150
THE VILLAGE COUNSELING
CENTRE
1211 SYCAMORE
DEKALB, IL 60115
PHONE:
E-PRESCRIBE: NO
SCHNEE, DAVID, LCPC
GENDER: M
NPI #: 1760595466
THE VILLAGE COUNSELING
CENTRE
1211 SYCAMORE
DEKALB, IL 60115
PHONE: (815) 756-9907
E-PRESCRIBE: NO
423
SPENCER, LYNETTE D.,
LCSW
GENDER: F
NPI #: 1013920792
ADVENTURE WORKS OF
DEKALB COUNTY
14 HEALTH SERVICES
DEKALB, IL 60115
PHONE: (815) 758-8616
E-PRESCRIBE: NO
PSYCHIATRY
MARQUEZ, RAMON, MD
GENDER: M
NPI #: 1689763419
DYNAMIC PSYCHIATRY LLC
147 N 2ND ST SUITE 7
DEKALB, IL 60115
PHONE: (815) 217-0155
E-PRESCRIBE: NO
PSYCHOLOGY
GRAVES, ABBEY L., PSYD
GENDER: F
NPI #: 1326082850
THE VILLAGE COUNSELING
CENTRE
1211 SYCAMORE RD
DEKALB, IL 60115
PHONE:
E-PRESCRIBE: NO
GURSKY, DAVID M., PHD
GENDER: M
NPI #: 1942225669
THE VILLAGE COUNSELING
CENTRE
1211 SYCAMORE
DEKALB, IL 60115
PHONE: (815) 756-9907
E-PRESCRIBE: NO
EAST PEORIA, IL
MENTAL HEALTH
BOHLS, ANN M., LPC
GENDER: F
NPI #: 1275659500
111 W WASHINGTON SUITE
230
EAST PEORIA, IL 61611
PHONE: (309) 694-6462
E-PRESCRIBE: NO
EGGER, NANCY, LCSW
GENDER: F
NPI #: 1972651479
2500 N MAIN ST SUITE 2A
EAST PEORIA, IL 61611
PHONE: (309) 282-2372
E-PRESCRIBE: NO
ONEAL, PATRICIA R., LPC
GENDER: F
NPI #: 1194780718
111 W WASHINGTON SUITE
230
EAST PEORIA, IL 61611
PHONE: (309) 694-6462
E-PRESCRIBE: NO
PSYCHIATRY
ATTALURI, PRATAP KUMAR,
MD
GENDER: M
NPI #: 1689639213
TAZWOOD MENTAL
HEALTH CENTER
100 N MAIN ST SUITE L100
EAST PEORIA, IL 61611
PHONE: (309) 694-6462
E-PRESCRIBE: NO
PATIBANDLA, SREEHARI, MD
GENDER: M
NPI #: 1902863046
111 W WASHINGTON SUITE
230
EAST PEORIA, IL 61611
PHONE: (309) 694-6462
E-PRESCRIBE: NO
EFFINGHAM, IL
ENERGY, IL
EFFINGHAM, IL
MENTAL HEALTH
BALLINGER, LISA R., LCPC
GENDER: F
NPI #: 1811985468
HEARTLAND HUMAN
SERVICES
1200 N 4TH ST
EFFINGHAM, IL 62401
PHONE: (217) 347-7179
E-PRESCRIBE: NO
DUNAWAY, CHASITY, LCPC
GENDER: F
NPI #: 1598012239
HEARTLAND HUMAN
SERVICES
1200 N 4TH ST
EFFINGHAM, IL 62401
PHONE: (217) 347-7179
E-PRESCRIBE: NO
HAARMANN, KIMI J., LCPC
GENDER: F
NPI #: 1528027521
HEARTLAND HUMAN
SERVICES
1200 N 4TH ST
EFFINGHAM, IL 62401
PHONE: (217) 347-7179
E-PRESCRIBE: NO
KINNEY, KRISTI R., LCPC
GENDER: F
NPI #: 1053452599
CARING SOLUTIONS
COUNSELING
14989 N PARK ROAD
EFFINGHAM, IL 62401
PHONE: (217) 868-5862
E-PRESCRIBE: NO
Mental Health Care
MOSIER, JENNIFER L., LPC
GENDER: F
NPI #: 1760782585
HEARTLAND HUMAN
SERVICES
1200 N 4TH ST
EFFINGHAM, IL 62401
PHONE: (217) 347-7179
E-PRESCRIBE: NO
PROCTOR, BARBARA A.,
LCPC
GENDER: F
NPI #: 1508055302
HEARTLAND HUMAN
SERVICES
1200 N 4TH ST
EFFINGHAM, IL 62401
PHONE: (217) 347-7179
E-PRESCRIBE: NO
REWERS, MEGHAN, LCSW
GENDER: F
NPI #: 1578808028
HEARTLAND HUMAN
SERVICES
1200 N 4TH ST
EFFINGHAM, IL 62401
PHONE: (217) 347-7179
E-PRESCRIBE: NO
STEWART, KEVIN, LPC
GENDER: M
NPI #: 1750518148
PSYCHOLOGY SPECIALISTS
512 N MAPLE
EFFINGHAM, IL 62401
PHONE: (888) 706-3190
E-PRESCRIBE: NO
SWARTZBAUGH, PATRICIA
A., LCSW
GENDER: F
NPI #: 1891807558
HEARTLAND HUMAN
SERVICES
1200 N 4TH ST
EFFINGHAM, IL 62401
PHONE: (217) 347-7179
E-PRESCRIBE: NO
ELGIN, IL
MENTAL HEALTH/
SUBSTANCE ABUSE
PROVENA ST JOSEPH
HOSPITAL PSYCH- ELGIN
GENDER:
NPI #: 1568538387
77 N AIRLITE ST
ELGIN, IL 60123
PHONE: (847) 695-3200
E-PRESCRIBE: NO
PSYCHIATRY
HOSSAIN, SHAHEENA, MD
GENDER: F
NPI #: 1295755502
OPEN DOOR CLINIC
164 DIVISION ST SUITE 607
ELGIN, IL 60120
PHONE: (847) 695-1093
E-PRESCRIBE: NO
MALIK, FAREHA N., MD
GENDER: F
NPI #: 1780692038
FAREHA N MALIK MD LLC
2130 POINT BLVD SUITE 200
ELGIN, IL 60123
PHONE: (847) 783-0307
E-PRESCRIBE: YES
ENERGY, IL
MENTAL HEALTH
KETRING, ELAINE, LCPC
GENDER: F
NPI #: 1013197318
ELAINE KETRING &
ASSOCIATES
404 S PERSHING ST
ENERGY, IL 62933
PHONE: (618) 942-2516
E-PRESCRIBE: NO
424
ENERGY, IL
HAMILTON, IL
Mental Health Care
PSYCHIATRY
PSYCHOLOGY
AHUJA, RENO K., MD
GENDER: F
NPI #: 1619107968
HOLISTIC PSYCHIATRY
202 S PERSHING
ENERGY, IL 62933
PHONE: (618) 942-8645
E-PRESCRIBE: YES
DALFIUME, LUKE R., PHD
GENDER: M
NPI #: 1760447155
JOHN R DAY & ASSOCIATES
LTD
407 E CENTER ST
EUREKA, IL 61530
PHONE: (309) 692-7755
E-PRESCRIBE: NO
EUREKA, IL
MENTAL HEALTH
HOLLAND, SARAH K., LCPC
GENDER: F
NPI #: 1568434306
JOHN R DAY & ASSOCIATES
LTD
407 E CENTER ST
EUREKA, IL 61530
PHONE: (309) 692-7755
E-PRESCRIBE: NO
JENNINGS, RUTH A., LCSW
GENDER: F
NPI #: 1568689511
JOHN R DAY & ASSOCIATES
LTD
407 E CENTER ST
EUREKA, IL 61530
PHONE: (309) 692-7755
E-PRESCRIBE: NO
LE, JESSICA, LCPC
GENDER: F
NPI #: 1447212089
JOHN R DAY & ASSOCIATES
LTD
407 E CENTER ST
EUREKA, IL 61530
PHONE: (309) 692-7755
E-PRESCRIBE: NO
425
FREEPORT, IL
MENTAL HEALTH
BLAKE, JASON, LCSW
GENDER: M
NPI #: 1780730101
MONROE CLINIC FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1854
E-PRESCRIBE: NO
PSYCHIATRY
REILLY, DANIEL L., MD
GENDER: M
NPI #: 1811061286
MONROE CLINIC-FREEPORT
1301 S KIWANIS DR
FREEPORT, IL 61032
PHONE: (815) 235-1406
E-PRESCRIBE: NO
GALVA, IL
MENTAL HEALTH
VINOVICH, CHRISTINA R.,
LCPC
GENDER: F
NPI #: 1518024710
336 FRONT ST
GALVA, IL 61434
PHONE: (309) 883-4258
E-PRESCRIBE: NO
GENESEO, IL
MENTAL HEALTH
SOMMERS-KRAUSE,
DEBORAH H., LCSW
GENDER: F
NPI #: 1801954938
SOUTHPARK PSYCHOLOGY
127 S VAIL
GENESEO, IL 61254
PHONE: (309) 797-2900
E-PRESCRIBE: NO
GOLDEN, IL
MENTAL HEALTH
SCHULTZ, ERIC E., LCSW
GENDER: M
NPI #: 1023104064
EAST ADAMS RURAL
HEALTH
102 PRAIRIE MILLS RD
GOLDEN, IL 62339
PHONE: (217) 696-4446
E-PRESCRIBE: NO
HAMILTON, IL
MENTAL HEALTH
JOHNSON, DEBORAH S.,
LCPC
GENDER: F
NPI #: 1225240229
GUIDING LIGHT CHRISTIAN
COUNSELING
850 BROADWAY
HAMILTON, IL 62341
PHONE: (319) 520-7797
E-PRESCRIBE: NO
HAVANA, IL
JACKSONVILLE, IL
HAVANA, IL
MENTAL HEALTH
BRAUER, KAREN F., LCPC
GENDER: F
NPI #: 1063698694
HAVANA MEDICAL
ASSOCIATES
615 N PROMENADE
HAVANA, IL 62644
PHONE: (309) 543-6600
E-PRESCRIBE: NO
HILLSBORO, IL
MENTAL HEALTH
DEMING, KIMBERLY, LCPC
GENDER: F
NPI #: 1386764405
MONTGOMERY COUNTY
HEALTH DEPARTMENT
11191 IL RT 185
HILLSBORO, IL 62049
PHONE: (217) 532-2001
E-PRESCRIBE: NO
HARMON, WENDY L., LCSW
GENDER: F
NPI #: 1932285194
SPRINGFIELD CLINIC LLP
1250 E TREMONT ST
HILLSBORO, IL 62049
PHONE: (217) 532-6911
E-PRESCRIBE: NO
LENTZ, PAM S., LCPC
GENDER: F
NPI #: 1780800532
MONTGOMERY COUNTY
HEALTH DEPARTMENT
11191 IL RT 185
HILLSBORO, IL 62049
PHONE: (217) 532-2001
E-PRESCRIBE: NO
Mental Health Care
WRIGHT, JILL A., LPC
GENDER: F
NPI #: 1508082355
MONTGOMERY COUNTY
HEALTH DEPARTMENT
11191 IL RT 185
HILLSBORO, IL 62049
PHONE: (217) 532-2001
E-PRESCRIBE: NO
PSYCHIATRY
SMUCKER, JAYANTHI R., MD
GENDER: F
NPI #: 1972615029
MONTGOMERY COUNTY
HEALTH DEPARTMENT
11191 IL RT 185
HILLSBORO, IL 62049
PHONE: (217) 532-2001
E-PRESCRIBE: NO
HOOPESTON, IL
MENTAL HEALTH
LAM, CINDY L., LPC
GENDER: F
NPI #: 1396822276
CHARLOTTE ANN RUSSELL
MEDICAL CENTER
801 E ORANGE ST
HOOPESTON, IL 60942
PHONE:
E-PRESCRIBE: NO
HOOPESTON MEMORIAL
HOSPITAL
701 E ORANGE ST
HOOPESTON, IL 60942
PHONE:
E-PRESCRIBE: NO
JACKSONVILLE, IL
MENTAL HEALTH
FLESCH, BRENDA, LCPC
GENDER: F
NPI #: 1750341194
MORGAN SCOTT MENTAL
HEALTH
340 W STATE ST
JACKSONVILLE, IL 62651
PHONE: (217) 245-6126
E-PRESCRIBE: NO
HEAPE, ROBERT L., LCPC
GENDER: M
NPI #: 1013986280
MORGAN SCOTT MENTAL
HEALTH
340 W STATE ST
JACKSONVILLE, IL 62651
PHONE: (217) 245-6126
E-PRESCRIBE: NO
LOVELAND, DENISE A.,
LCSW
GENDER: F
NPI #: 1821067315
MHCCI JACKSONVILLE
340 W STATE ST
JACKSONVILLE, IL 62650
PHONE: (217) 245-6126
E-PRESCRIBE: NO
WEBB, DEBRA K., LCSW
GENDER: F
NPI #: 1972887156
MENTAL HEALTH CENTERS
OF CENTRAL ILLINOIS
340 W STATE
JACKSONVILLE, IL 62650
PHONE: (217) 245-6126
E-PRESCRIBE: NO
426
JACKSONVILLE, IL
JOLIET, IL
Mental Health Care
MENTAL HEALTH/
SUBSTANCE ABUSE
WELLS CENTER
GENDER:
NPI #: 1205933561
1300 LINCOLN AVE
JACKSONVILLE, IL 62650
PHONE: (217) 243-1871
E-PRESCRIBE: NO
PSYCHIATRY
DANG, NAVNEET S., MD
GENDER: M
NPI #: 1316228869
PASSAVANT PHYSICIAN
ASSOCIATION
559 N WESTGATE LANE
JACKSONVILLE, IL 62650
PHONE: (217) 243-5474
E-PRESCRIBE: YES
MAHER III, CHAUNCEY, MD
GENDER: M
NPI #: 1023072295
MHCCI-JACKSONVILLE
340 W STATE
JACKSONVILLE, IL 62650
PHONE: (217) 245-6126
E-PRESCRIBE: NO
PSYCHOLOGY
TAYLOR, RUSSELL G., PHD
GENDER: M
NPI #: 1942218219
THE CENTER FOR
PSYCHIATRIC HEALTH
1515 W WALNUT BLDG 1
JACKSONVILLE, IL 62650
PHONE: (217) 245-7275
E-PRESCRIBE: NO
427
JOLIET, IL
MENTAL HEALTH
BALTAZAR, JOSE A., LCSW
GENDER: M
NPI #: 1184840837
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
BLAKEMORE, GLENDA M.,
LCSW
GENDER: F
NPI #: 1992821946
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60432
PHONE: (815) 773-0772
E-PRESCRIBE: NO
BRUNO, LISA J., LCPC
GENDER: F
NPI #: 1558474692
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
CARNEY, JOHN D., LCSW
GENDER: M
NPI #: 1821012972
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
CRANDALL, MEGHAN K.,
LCSW
GENDER: F
NPI #: 1619141488
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON SUITE 107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
CUEVAS, SUSAN, LCPC
GENDER: F
NPI #: 1518908201
INSTITUTE FOR PERSONAL
DEVELOPMENT
210 N HAMMES AVE SUITE
103
JOLIET, IL 60435
PHONE: (815) 725-6511
E-PRESCRIBE: NO
DANEHL, GINA M., LCSW
GENDER: F
NPI #: 1346395654
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
DASCENZI, SUSAN L., LCSW
GENDER: F
NPI #: 1316107303
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
JOLIET, IL
JOLIET, IL
DZIUBAN, CHESTER J.,
LCSW
GENDER: M
NPI #: 1881967396
CROSSROADS COUNSELING
SERVICES LLC
3077 W JEFFERSON ST SUITE
108
JOLIET, IL 60435
PHONE: (815) 941-3882
E-PRESCRIBE: NO
FOLEY, KATHLEEN L., LCSW
GENDER: F
NPI #: 1326151572
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
Mental Health Care
HASSAN, YOSRI Y., LCSW
GENDER: M
NPI #: 1790953743
INSTITUTE FOR PERSONAL
DEVELOPMENT
210 N HAMMES AVE SUITE
103
JOLIET, IL 60435
PHONE: (815) 725-6511
E-PRESCRIBE: NO
LEISER, LORRAINE H., LCPC
GENDER: F
NPI #: 1902827090
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
JACQUES, HELENE A., LCPC
GENDER: F
NPI #: 1861585358
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
LOMBARDO, KAREN A.,
LCSW
GENDER: F
NPI #: 1427118884
INSTITUTE FOR PERSONAL
DEVELOPMENT
210 N HAMMES AVE SUITE
103
JOLIET, IL 60435
PHONE: (815) 725-6511
E-PRESCRIBE: NO
GOMEZ, JEANNINE M., LCPC
GENDER: F
NPI #: 1548274863
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
KATH-LANTERMAN, SANDRA
H., LCPC
GENDER: F
NPI #: 1225116296
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
GUNNELLS, TRACI R., LMSW
GENDER: F
NPI #: 1083750038
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
KOWAL, ANNE C., LCSW
GENDER: F
NPI #: 1538285812
CROSSROADS COUNSELING
SERVICES LLC
3077 W JEFFERSON ST SUITE
108
JOLIET, IL 60435
PHONE: (815) 941-3882
E-PRESCRIBE: NO
MADISON, RICHARD L.,
LCSW
GENDER: M
NPI #: 1407988520
INSTITUTE FOR PERSONAL
DEVELOPMENT
210 N HAMMES AVE SUITE
103
JOLIET, IL 60435
PHONE: (815) 942-6323
E-PRESCRIBE: NO
MESSINA, SANDRA C., LCSW
GENDER: F
NPI #: 1720191869
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
428
JOLIET, IL
JOLIET, IL
Mental Health Care
OHERN, KELLY M., LCSW
GENDER: F
NPI #: 1174749824
INSTITUTE FOR PERSONAL
DEVELOPMENT
210 N HAMMES AVE SUITE
103
JOLIET, IL 60435
PHONE: (815) 942-6323
E-PRESCRIBE: NO
OLSON, ALTHEA R., LCSW
GENDER: F
NPI #: 1881618940
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
PLANING, JENNIFER J.,
LCPC
GENDER: F
NPI #: 1871671859
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
REIFENSTUHL, JOHN C.,
LCSW
GENDER: M
NPI #: 1174636211
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
429
RUOHOMAKI, STEVE L.,
LMSW
GENDER: M
NPI #: 1447412838
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
SANDERS, RITA L., LCPC
GENDER: F
NPI #: 1154576452
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
TENUTA, KRISTIN L., LCPC
GENDER: F
NPI #: 1417107244
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
TYMINSKI, KRISTIN K., LCSW
GENDER: F
NPI #: 1497827067
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
SOLIS, ANGELA C., LCPC
GENDER: F
NPI #: 1639110612
CROSSROADS COUNSELING
SERVICES
3077 W JEFFERSON ST SUITE
108
JOLIET, IL 60435
PHONE: (815) 941-3882
E-PRESCRIBE: NO
VENSEL, MARGARET A.,
LCSW
GENDER: F
NPI #: 1275557340
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
STRICKLIN, HERBERT L.,
LCPC
GENDER: M
NPI #: 1770643850
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
WELTER, DONNA M., LCSW
GENDER: F
NPI #: 1114030251
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
JOLIET, IL
KANKAKEE, IL
Mental Health Care
WIRTZ, LAURA KELLY, LCSW
GENDER: F
NPI #: 1922152248
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
DIWAN, SHILPA P., MD
GENDER: M
NPI #: 1942457999
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON ST SUITE
107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: NO
TRUM, PAULETTE C., MD
GENDER: F
NPI #: 1467473462
JOLIET CENTER FOR
CLINICAL RESEARCH
210 N HAMMES AVE SUITE
205
JOLIET, IL 60435
PHONE: (815) 729-7790
E-PRESCRIBE: NO
MENTAL HEALTH/
SUBSTANCE ABUSE
HANNAH, PAUL L., MD
GENDER: M
NPI #: 1992920169
PROVENA MEDICAL GROUP
333 MADISON ST
JOLIET, IL 60435
PHONE: (815) 725-7133
E-PRESCRIBE: NO
PSYCHOLOGY
PROVENA ST JOSEPH
MEDICAL CENTER-PSYCH
UNIT
GENDER:
NPI #: 1003976713
333 N MADISON ST
JOLIET, IL 60435
PHONE: (815) 725-7133
E-PRESCRIBE: NO
PEDIATRIC PSYCHIATRY
HUSSAIN, MEH J., MD
GENDER: F
NPI #: 1881685071
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON SUITE 107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: YES
PSYCHIATRY
BODDAPATI, LAKSHMI S., MD
GENDER: F
NPI #: 1316968480
INSTITUTE FOR PERSONAL
DEVELOPMENT
210 N HAMMES AVE SUITE
103
JOLIET, IL 60435
PHONE: (815) 725-6511
E-PRESCRIBE: NO
HUSSAIN, MEH J., MD
GENDER: F
NPI #: 1881685071
THE SUMMIT CENTER FOR
MENTAL HEALTH
3033 W JEFFERSON SUITE 107
JOLIET, IL 60435
PHONE: (815) 773-0772
E-PRESCRIBE: YES
KONONOVA, LARISA, MD
GENDER: F
NPI #: 1598803033
PROVENA MEDICAL GROUP
333 MADISON STREET
JOLIET, IL 60435
PHONE: (815) 725-7133
E-PRESCRIBE: NO
LOZANO, COSME O., MD
GENDER: M
NPI #: 1336160597
JOLIET CENTER FOR
CLINICAL RESEARCH
210 N HAMMES AVE SUITE
205
JOLIET, IL 60435
PHONE: (815) 729-7780
E-PRESCRIBE: NO
DECKER, JEANNE M., PSYD
GENDER: F
NPI #: 1174543482
CROSSROADS COUNSELING
SERVICES LLC
3077 W JEFFERSON ST SUITE
108
JOLIET, IL 60435
PHONE: (815) 941-3882
E-PRESCRIBE: NO
KANKAKEE, IL
PSYCHIATRY
AMARE, DAWIT, DO
GENDER: M
NPI #: 1992959555
PSYCHIATRIC ASSOCIATES
500 N WALL ST SUITE 200
KANKAKEE, IL 60901
PHONE: (815) 937-1237
E-PRESCRIBE: NO
AYOADE, AYODELE O., MD
GENDER: M
NPI #: 1598758906
PSYCHIATRIC ASSOCIATES
500 N WALL ST SUITE 200
KANKAKEE, IL 60901
PHONE: (815) 937-1237
E-PRESCRIBE: NO
430
KANKAKEE, IL
LOCKPORT, IL
Mental Health Care
BELFORD, MARY E., MD
GENDER: F
NPI #: 1194719534
PSYCHIATRIC ASSOCIATES
500 N WALL ST SUITE 200
KANKAKEE, IL 60901
PHONE: (815) 937-1237
E-PRESCRIBE: NO
HERARD, ASTRID B., MD
GENDER: F
NPI #: 1255598512
PSYCHIATRIC ASSOCIATES
500 N WALL ST SUITE 200
KANKAKEE, IL 60901
PHONE: (815) 937-1237
E-PRESCRIBE: NO
MITCHELL, KIRSTEN, PSYD
GENDER: F
NPI #: 1053460634
RIVERSIDE HEALTH
SYSTEMS
350 N WALL ST
KANKAKEE, IL 60901
PHONE: (815) 933-1671
E-PRESCRIBE: NO
ROY, PATRICIA L., MD
GENDER: F
NPI #: 1184636474
PSYCHIATRIC ASSOCIATES
500 N WALL ST SUITE 200
KANKAKEE, IL 60901
PHONE: (815) 937-1237
E-PRESCRIBE: NO
WIN, ZAW, MD
GENDER: M
NPI #: 1174516579
PSYCHIATRIC ASSOCIATES
500 N WALL ST SUITE 200
KANKAKEE, IL 60901
PHONE: (815) 937-1237
E-PRESCRIBE: NO
431
PSYCHOLOGY
MITCHELL, KRISTIN L., PSYD
GENDER: F
NPI #: 1053460634
RIVERSIDE NEUROLOGY
SPECIALISTS
500 N WALL ST SUITE 200
KANKAKEE, IL 60901
PHONE: (815) 937-1237
E-PRESCRIBE: YES
LINCOLN, IL
MENTAL HEALTH
SCHULTZ, LINDA M., CADC
GENDER: F
NPI #:
LOGAN MASON MENTAL
HEALTH
304 N EIGHTH ST
LINCOLN, IL 62656
PHONE: (217) 735-2272
E-PRESCRIBE: NO
LITCHFIELD, IL
MENTAL HEALTH
DEMING, KIMBERLY, LCPC
GENDER: F
NPI #: 1386764405
MONTGOMERY COUNTY
HEALTH DEPARTMENT
317 W UNION
LITCHFIELD, IL 62056
PHONE: (217) 324-3430
E-PRESCRIBE: NO
LENTZ, PAM S., LCPC
GENDER: F
NPI #: 1780800532
MONTGOMERY COUNTY
HEALTH DEPARTMENT
317 W UNION
LITCHFIELD, IL 62056
PHONE: (217) 532-2001
E-PRESCRIBE: NO
MORRIS, SHERI L., LCSW
GENDER: F
NPI #:
247 W LAKE TRAIL
LITCHFIELD, IL 62056
PHONE: (217) 254-3866
E-PRESCRIBE: NO
WRIGHT, JILL A., LPC
GENDER: F
NPI #: 1508082355
MONTGOMERY COUNTY
HEALTH DEPARTMENT
317 W UNION
LITCHFIELD, IL 62056
PHONE: (217) 532-2001
E-PRESCRIBE: NO
PSYCHIATRY
SMUCKER, JAYANTHI R., MD
GENDER: F
NPI #: 1972615029
MONTGOMERY COUNTY
HEALTH DEPARTMENT
317 W UNION
LITCHFIELD, IL 62056
PHONE: (217) 532-2001
E-PRESCRIBE: NO
LOCKPORT, IL
PSYCHIATRY
DEVASSY, ELSY A., MD
GENDER: F
NPI #: 1417950783
ALLIANCE HEALTH
16612 W 159TH ST SUITE 204
LOCKPORT, IL 60441
PHONE: (815) 588-3900
E-PRESCRIBE: NO
LODA, IL
MACOMB, IL
LODA, IL
Mental Health Care
LOVINGTON, IL
MENTAL HEALTH
MENTAL HEALTH
LAM, CINDY L., LPC
GENDER: F
NPI #: 1396822276
LODA UNITED METHODIST
CHURCH
200 S LOCUST ST
LODA, IL 60948
PHONE:
E-PRESCRIBE: NO
PLEASANT, DIANE, LCPC
GENDER: F
NPI #: 1669561080
PLEASANT COUNSELING
3965 COFFEE POT CIRCLE
LOVINGTON, IL 61937
PHONE: (217) 855-7828
E-PRESCRIBE: NO
LOUISVILLE, IL
ADDICTIONS COUNSELOR
RINEHART, CARA M., LCPC,
CADC
GENDER: F
NPI #: 1821327453
CLAY COUNTY
COUNSELING SERVICES
125 BROADWAY ST
LOUISVILLE, IL 62858
PHONE: (618) 665-4532
E-PRESCRIBE: NO
MENTAL HEALTH
RINEHART, CARA M., LCPC,
CADC
GENDER: F
NPI #: 1821327453
CLAY COUNTY
COUNSELING SERVICES
125 BROADWAY ST
LOUISVILLE, IL 62858
PHONE: (618) 665-4532
E-PRESCRIBE: NO
MACOMB, IL
MENTAL HEALTH
CARREON, GERALD L., LMFC
GENDER: M
NPI #: 1295086734
COUNSELING CARES PC
233 S MCARTHUR
MACOMB, IL 61455
PHONE: (309) 833-2255
E-PRESCRIBE: NO
DANIELS, KARI A., LCPC
GENDER: F
NPI #: 1407000649
BEHAVIORAL HEALTH
SERVICES
525 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 836-1582
E-PRESCRIBE: NO
DERRY, REBECCA E., LPC
GENDER: F
NPI #: 1649497470
BEHAVIORAL HEALTH
SERVICES AT MCDONOUGH
DIST HOSP
525 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 836-1582
E-PRESCRIBE: NO
EIDSON, JO ANNA, LSW
GENDER: F
NPI #:
MCDONOUGH DISTRICT
HOSPITAL BEHAVIORAL
HEALTH
525 E GRANT
MACOMB, IL 61455
PHONE: (309) 836-1582
E-PRESCRIBE: NO
HOFMEISTER, AMY, LCPC
GENDER: F
NPI #: 1760609507
RECOVERY CENTER
525 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 833-4101
E-PRESCRIBE: NO
KUBASAK, WAYNE K., LCPC
GENDER: M
NPI #: 1982821716
RECOVERY CENTER
525 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 833-4101
E-PRESCRIBE: NO
LAIRD, KIMBERLY S., LCPC
GENDER: F
NPI #: 1235289836
BEHAVIORAL HEALTH
SERVICES AT MCDONOUGH
DIST HOS
525 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 836-1582
E-PRESCRIBE: NO
LEE, KAY, LCPC
GENDER: F
NPI #: 1760609416
RECOVERY CENTER
525 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 833-4101
E-PRESCRIBE: NO
432
MACOMB, IL
MATTOON, IL
Mental Health Care
ROODHOUSE, MARCIA R.,
LCPC
GENDER: F
NPI #: 1285767335
COUNSELING CARES
233 S MCARTHUR ST
MACOMB, IL 61455
PHONE: (309) 833-2255
E-PRESCRIBE: NO
SIVILL, ELLIE J., LCPC
GENDER: F
NPI #: 1891017943
COUNSELING CARES
233 S MCARTHUR ST
MACOMB, IL 61455
PHONE: (309) 833-2255
E-PRESCRIBE: NO
SMITH, JENNIFER A., LSW
GENDER: F
NPI #: 1457578197
MCDONOUGH HEALTH
SERVICES BUILDING
505 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 836-1582
E-PRESCRIBE: NO
WATERSTREET, CRAIG E.,
LCPC
GENDER: M
NPI #: 1295932762
COUNSELING CARES
233 S MCARTHUR ST
MACOMB, IL 61455
PHONE: (309) 833-2255
E-PRESCRIBE: NO
YODER, SHERYL K., LCPC
GENDER: F
NPI #: 1598815821
MCDONOUGH DISTRICT
HOSPITAL BEHAVIORAL
HEALTH SE
525 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 836-1582
E-PRESCRIBE: NO
433
MENTAL HEALTH/
SUBSTANCE ABUSE
BEHAVIORAL HEALTH
SERVICES
GENDER:
NPI #: 1669420766
525 E GRANT ST
MACOMB, IL 61455
PHONE: (309) 833-4101
E-PRESCRIBE: NO
PSYCHIATRY
BEDNARZ, MICHAEL P., MD
GENDER: M
NPI #: 1184661407
COUNSELING CARES
233 S MCARTHUR ST
MACOMB, IL 61455
PHONE: (309) 833-2255
E-PRESCRIBE: NO
SARWAR, SAJJAD R., MD
GENDER:
NPI #: 1982839957
MCDONOUGH DISTRICT
HOSPITAL DBA
PSYCHIATRY CLINIC
515 E GRANT ST SUITE 212
MACOMB, IL 61455
PHONE: (309) 836-6400
E-PRESCRIBE: NO
WRIGHT, SCOTT J., MD
GENDER: M
NPI #: 1447258181
505 E GRANT ST SUITE 306
MACOMB, IL 61455
PHONE: (309) 836-6400
E-PRESCRIBE: NO
MAHOMET, IL
MENTAL HEALTH
DIFILIPPO, CHRISTOPHER,
LCSW
GENDER: M
NPI #: 1104981067
KD COUNSELING
1205 RIVERSIDE RD
MAHOMET, IL 61853
PHONE:
E-PRESCRIBE: NO
MASON CITY, IL
MENTAL HEALTH
BRAUER, KAREN F., LCPC
GENDER: F
NPI #: 1063698694
MASON CITY MEDICAL
ASSOCIATES
122 E ELM
MASON CITY, IL 62664
PHONE:
E-PRESCRIBE: NO
MATTOON, IL
MENTAL HEALTH
BIERMAN, LORRIE A., LCPC
GENDER: F
NPI #: 1659321651
1518 RUDY AVE
MATTOON, IL 61938
PHONE: (217) 235-6203
E-PRESCRIBE: NO
COLE, KENDRA J., LCSW
GENDER: F
NPI #: 1548352248
BEHAVIORAL HEALTH
SERVICES
1005 HEALTH CENTER DR
SUITE 102
MATTOON, IL 61938
PHONE: (217) 258-4040
E-PRESCRIBE: NO
MATTOON, IL
MINOOKA, IL
MCDADE, BONNIE K., LCPC
GENDER: F
NPI #: 1033201801
BEHAVIORAL HEALTH
SERVICE
1005 HEALTH CENTER DR
SUITE 102
MATTOON, IL 61938
PHONE: (217) 258-4040
E-PRESCRIBE: NO
MILLER, MELISSA, LCSW
GENDER: F
NPI #: 1326326380
BEHAVIORAL HEALTH
SERVICE
1005 HEALTH CENTER DR
SUITE 102
MATTOON, IL 61938
PHONE: (217) 258-4040
E-PRESCRIBE: NO
MENTAL HEALTH/
SUBSTANCE ABUSE
Mental Health Care
PSYCHIATRY
JONES-MARTINEZ, NICOLE,
MD
GENDER: F
NPI #: 1184814501
SBL
1005 HEALTH CENTER DR
SUITE 102
MATTOON, IL 61938
PHONE: (217) 258-4042
E-PRESCRIBE: NO
LEE, ELBERT, MD
GENDER: M
NPI #: 1740243989
SBL PSYCHIATRY AND
COUNSELING
PRAIRIE PAVILION I SUITE
102 1005 HEALTH CENTER
DR
MATTOON, IL 61938
PHONE: (217) 258-4042
E-PRESCRIBE: NO
SARAH BUSH LINCOLN
HEALTH CENTER
GENDER:
NPI #: 1295804375
1000 HEALTH CENTER DR
MATTOON, IL 61938
PHONE: (217) 348-2525
E-PRESCRIBE: NO
MINOGUE, THOMAS L., MD
GENDER: M
NPI #: 1548284979
CARLE FOUNDATION
PHYSICIAN SERVICES
200 LERNA RD SOUTH
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
PEDIATRIC PSYCHIATRY
WHISENAND, JAMES M., MD
GENDER: M
NPI #: 1639279011
CARLE FOUNDATION
PHYSICIAN SERVICES LLC
200 LERNA RD
MATTOON, IL 61938
PHONE: (217) 258-5900
E-PRESCRIBE: NO
HECKSEL, KATHLEEN A., MD
GENDER: F
NPI #: 1366647679
SBL PSYCHIATRY &
COUNSELING
1005 HEALTH CETNER DR
SUITE 102
MATTOON, IL 61938
PHONE: (217) 258-4042
E-PRESCRIBE: NO
MCLEANSBORO, IL
MENTAL HEALTH
MILLER, TERESA K., LCSW
GENDER: F
NPI #: 1104860238
HAMILTON MEMORIAL
CLINIC
611 S MARSHAL AVE
MCLEANSBORO, IL 62859
PHONE: (618) 643-2361
E-PRESCRIBE: NO
METAMORA, IL
MENTAL HEALTH
MEIER, LESTARI W., LCPC
GENDER: F
NPI #: 1588729149
MENDED HEARTS
1431 LOURDES RD
METAMORA, IL 61548
PHONE: (309) 688-4773
E-PRESCRIBE: NO
SELLNER, JULIE E., LCPC
GENDER: F
NPI #: 1972657732
MENDED HEARTS
1431 LARDES RD
METAMORA, IL 61548
PHONE: (309) 383-4323
E-PRESCRIBE: NO
MINOOKA, IL
MENTAL HEALTH
AUBRY, STACY, LCSW
GENDER: F
NPI #: 1518157197
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
434
MINOOKA, IL
MONTICELLO, IL
Mental Health Care
CASSELLA-JOHNSON,
DONNA M., LCPC
GENDER: F
NPI #: 1689938672
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
DZIUBAN, CHESTER J.,
LCSW
GENDER: M
NPI #: 1881967396
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
GJERDE, LINDA C., LCSW
GENDER: F
NPI #: 1053575977
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
KOHS, HILARY E., LCSW
GENDER: F
NPI #: 1235386509
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
KOWAL, ANNE C., LCSW
GENDER: F
NPI #: 1538285812
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
435
KROLAK, KAREN A., LCSW
GENDER: F
NPI #: 1588979785
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
SOLIS, ANGELA C., LCPC
GENDER: F
NPI #: 1639110612
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
MCCOLLOM, DAWN H.,
LCSW
GENDER: F
NPI #: 1841454766
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
PSYCHOLOGY
ROCKEY, AMANDA, LCPC
GENDER: F
NPI #: 1891096954
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
SKUBIC, CARRIE A., LCPC
GENDER: F
NPI #: 1013164193
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
SLAGLE, SHAWN W., LCSW
GENDER: M
NPI #: 1043463268
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
DECKER, JEANNE M., PSYD
GENDER: F
NPI #: 1174543482
CROSSROADS COUNSELING
SERVICES LLC
649 MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
LAASCH, CRAIG, PSYD
GENDER: M
NPI #: 1710140678
CROSSROADS COUNSELING
SERVICES LLC
649 W MONDAMIN ST
MINOOKA, IL 60447
PHONE: (815) 467-9810
E-PRESCRIBE: NO
MONTICELLO, IL
MENTAL HEALTH
BOWMAN, DAVID M., LCPC
GENDER: M
NPI #: 1821324880
PIATT COUNTY MENTAL
HEALTH CENTER
1921 N MARKET ST
MONTICELLO, IL 61856
PHONE: (217) 762-5371
E-PRESCRIBE: NO
MONTICELLO, IL
MORTON, IL
CRUICKSHANK, DEBRA,
LISW
GENDER: F
NPI #: 1841477965
PIATT COUNTY MENTAL
HEALTH CENTER
1921 N MARKET ST
MONTICELLO, IL 61856
PHONE: (217) 762-5371
E-PRESCRIBE: NO
DONALDSON, KRISTINE,
LSW
GENDER: F
NPI #: 1790089548
PIATT COUNTY MENTAL
HEALTH CENTER
1921 N MARKET ST
MONTICELLO, IL 61856
PHONE: (217) 762-5371
E-PRESCRIBE: NO
EDWARDS, JAMES D., LCSW
GENDER: M
NPI #: 1568520245
1921 N MARKET ST
MONTICELLO, IL 61856
PHONE: (217) 762-5371
E-PRESCRIBE: NO
CORNERSTONE
COUNSELING SERVICE LLC
102 E LAYFAYETTE ST
MONTICELLO, IL 61856
PHONE: (217) 433-6109
E-PRESCRIBE: NO
MCNICHOLL, STACI L., LCSW
GENDER: F
NPI #: 1538490172
KIRBY MEDICAL CENTER
1000 MEDICAL CENTER DR
MONTICELLO, IL 61856
PHONE: (217) 762-2115
E-PRESCRIBE: NO
Mental Health Care
PORTER, JAMIE L., LSW
GENDER: F
NPI #: 1114168937
PIATT COUNTY MENTAL
HEALTH CENTER
1921 N MARKET ST
MONTICELLO, IL 61856
PHONE: (217) 762-5371
E-PRESCRIBE: NO
VAN BUREN, ALLYSON N.,
LSW
GENDER: F
NPI #: 1003175779
PIATT COUNTY MENTAL
HEALTH CENTER
1921 N MARKET ST
MONTICELLO, IL 61856
PHONE: (217) 762-4357
E-PRESCRIBE: NO
PSYCHIATRY
CHOPRA, ARCHANA, MD
GENDER: M
NPI #: 1033266044
PIATT COUNTY MENTAL
HEALTH CENTER
1921 N MARKET ST
MONTICELLO, IL 61856
PHONE: (217) 762-5371
E-PRESCRIBE: NO
MORRISON, IL
MENTAL HEALTH
RICHEY, CAROL E., LCPC
GENDER: F
NPI #: 1710024310
PSYCHOLOGICAL SERVICES
INC
303 N JACKSON ST
MORRISON, IL 61270
PHONE: (815) 772-4003
E-PRESCRIBE: NO
MORTON, IL
MENTAL HEALTH
ANDERSON, NANCY J., LCPC
GENDER: F
NPI #: 1801145610
42 JASPER DR
MORTON, IL 61550
PHONE: (309) 573-4580
E-PRESCRIBE: NO
CHACKO, ALEXANDER,
LCSW
GENDER: M
NPI #: 1417901620
104 E QUEENWOOD RD
SUITE 203
MORTON, IL 61550
PHONE: (309) 671-8297
E-PRESCRIBE: NO
DORNAUS, DEBORAH P.,
LCPC
GENDER: F
NPI #: 1538102330
COUNSELING WORKS
1909 N MORTON AVE
MORTON, IL 61550
PHONE: (309) 693-0038
E-PRESCRIBE: NO
FLOYD, STEVEN R., LCPC
GENDER: M
NPI #: 1265757264
AGAPE COUNSELING LTD
75 E QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-5565
E-PRESCRIBE: NO
GARNER, ELIZABETH J.,
LCSW
GENDER: F
NPI #: 1881603611
AGAPE COUNSELING LTD
75 E QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-5565
E-PRESCRIBE: NO
436
MORTON, IL
NAPERVILLE, IL
Mental Health Care
HANSEN, AMY, LCPC
GENDER: F
NPI #: 1043588874
AGAPE COUNSELING
75 E QUEENWOOD
MORTON, IL 61550
PHONE: (309) 263-5565
E-PRESCRIBE: NO
MITCHELL, VICTORIA, LCSW
GENDER: F
NPI #: 1023020658
AGAPE COUNSELING LTD
75 E QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-5565
E-PRESCRIBE: NO
KRAHN, NATHAN L., LCPC
GENDER: M
NPI #: 1619218955
AGAPE COUNSELING LTD
75 E QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-5565
E-PRESCRIBE: NO
SKIBINSKI, GREGORY, LCPC
GENDER: M
NPI #: 1497868822
AGAPE COUNSELING LTD
75 E QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-5565
E-PRESCRIBE: NO
LARSEN, ANNETTE, LCPC
GENDER: F
NPI #: 1265510507
AGAPE COUNSELING LTD
75 E QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-5565
E-PRESCRIBE: NO
SMITH, DAWN A., LCPC
GENDER: F
NPI #: 1841479466
AGAPE COUNSELING LTD
75 E QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-5565
E-PRESCRIBE: NO
LEE, KAREN M., LCPC
GENDER: F
NPI #: 1346252954
AGAPE COUNSELING LTD
75 E QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-5565
E-PRESCRIBE: NO
VACCARO, CESLI, LCPC
GENDER: F
NPI #: 1942313382
AGAPE COUNSELING LTD
75 E QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-5565
E-PRESCRIBE: NO
MCLAUGHLIN, WILMA L.,
LCPC
GENDER: F
NPI #: 1891707410
AGAPE COUNSELING LTD
75 E QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-5565
E-PRESCRIBE: NO
PSYCHOLOGY
437
PACHECO, NICOLE C., PSYD
GENDER: F
NPI #: 1265767941
1600 S FOURTH AVE SUITE
140
MORTON, IL 61550
PHONE: (309) 263-2154
E-PRESCRIBE: NO
PRIDDY, DAVID, PHD
GENDER: M
NPI #: 1669416749
INSTITUTE OF PHYSICAL
MEDICINE & REHAB/IPMR
81 B E QUEENWOOD RD
MORTON, IL 61550
PHONE: (309) 263-2481
E-PRESCRIBE: NO
NAPERVILLE, IL
MENTAL HEALTH
BEAUDRY, ASHLEY V., LCPC
GENDER: F
NPI #: 1518244656
EDGEWOOD CLINICAL
SERVICES
2948 ARTESIAN RD SUITE 112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
CULEN, KATHLEEN B., LCSW
GENDER: F
NPI #: 1255614939
EDGEWOOD CLINICAL
SERVICES
2948 ARTESIAN RD SUITE 112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
FRANKLIN, JULIE C., LCSW
GENDER: F
NPI #: 1881992774
EDGEWOOD CLINICAL
SERVICES
2948 ARTESIAN RD SUITE 112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
NAPERVILLE, IL
NORMAL, IL
Mental Health Care
GADOMSKI, REBECCA A.,
LCSW
GENDER: F
NPI #: 1255455838
EDGEWOOD CLINICAL
SERVICES
2948 ARTESIAN RD SUITE 112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
VAUGHAN, DEBORAH M.,
LCPC
GENDER: F
NPI #: 1134452642
EDGEWOOD CLINICAL
SERVICES
2948 ARTESIAN RD SUITE 112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
HEUERTZ, STEVEN M., LCSW
GENDER: M
NPI #: 1124355672
EDGEWOOD CLINICAL
SERVICES
2948 ARTESIAN RD SUITE 112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
WAITKUS, JENNIFER E.,
LCPC
GENDER: F
NPI #: 1265735096
EDGEWOOD CLINICAL
SERVICES
2948 ARTESIAN RD SUITE 112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
KOCH, ABBY J., LCSW
GENDER: F
NPI #: 1710201579
EDGEWOOD CLINICAL
SERVICES
2948 ARTESIAN RD SUITE 112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
NEUGEBAUER, MIRIAM C.,
LCSW
GENDER: F
NPI #: 1194031716
EDGEWOOD CLINICAL
SERVICES
2948 ARTESIAN RD SUITE 112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
RUSSO, ADAM J., LCSW
GENDER: M
NPI #: 1780740217
EDGEWOOD CLINICAL
SERVICES
2948 ARTESIAN RD SUITE 112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
WERRBACH, MAUREEN L.,
LCPC
GENDER: F
NPI #: 1972899706
EDGEWOOD CLINICAL
SERVICES
2948 ARTESTIAN RD SUITE
112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
WIESE, STEPHANIE A., LCPC
GENDER: F
NPI #: 1316192982
EDGEWOOD CLINICAL
SERVICES
2948 ARTESIAN RD SUITE 112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
PSYCHOLOGY
GOLDMAN, LISA R., PSYD
GENDER: F
NPI #: 1659694974
EDGEWOOD CLINICAL
SERVICES
2948 ARTESIAN RD SUITE 112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
MANFRE, JENNIFER E., PSYD
GENDER: F
NPI #: 1912167636
EDGEWOOD CLINICAL
SERVICES
2948 ARTESIAN RD SUITE 112
NAPERVILLE, IL 60564
PHONE: (630) 428-7890
E-PRESCRIBE: NO
NORMAL, IL
MENTAL HEALTH
BAIZE, STARR L., LCSW
GENDER: F
NPI #: 1457607848
ELLIOTT COUNSELING
SERVICES
706 E OGLESBY SUITE 115
NORMAL, IL 61761
PHONE: (309) 212-3606
E-PRESCRIBE: NO
CARROLL, CHERIE, LCSW
GENDER: F
NPI #: 1083747356
OSF MEDICAL GROUP
405 KAYS DR SUITE C
NORMAL, IL 61761
PHONE: (309) 664-3130
E-PRESCRIBE: NO
438
NORMAL, IL
NORMAL, IL
Mental Health Care
CASHEN, CHRISTOPHER,
LCPC
GENDER: M
NPI #: 1013037621
OSF MEDICAL GROUP
405 KAYS DR SUITE C
NORMAL, IL 61761
PHONE: (309) 664-3130
E-PRESCRIBE: NO
HOWARD, QUEENA L., LCPC
GENDER: F
NPI #: 1275767717
ELLIOTT COUNSELING
SERVICES LLC
706 E OGLESBY SUITE 115
NORMAL, IL 61761
PHONE: (309) 212-3606
E-PRESCRIBE: NO
LEEDIE, DAWN M., LCPC
GENDER: F
NPI #: 1881820405
CENTRAL ILLINOIS
PSYCHIATRIC ASSOCIATES
405 KAYS DR SUITE B
NORMAL, IL 61761
PHONE: (309) 862-0064
E-PRESCRIBE: NO
DENURE, BRYAN J., LCPC
GENDER: M
NPI #: 1669798716
AMG TWIN CITIES
BEHAVIORAL HEALTH
MECHERLE HALL-403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
JENNINGS, RUTH A., LCSW
GENDER: F
NPI #: 1568689511
JOHN R DAY & ASSOCIATES
LTD
1520 E COLLEGE AVE SUITE
M
NORMAL, IL 61761
PHONE: (309) 692-7755
E-PRESCRIBE: NO
MANGOLD, JENNA R., LCSW
GENDER: F
NPI #: 1497983613
ELLIOTT COUNSELING
SERVICES LLC
706 E OGLESBY SUITE 115
NORMAL, IL 61761
PHONE: (309) 212-3606
E-PRESCRIBE: NO
HIGGINS, KIMBERLEY, LCSW
GENDER: F
NPI #: 1003054784
403 ALDEN DR
NORMAL, IL 61761
PHONE: (309) 212-1939
E-PRESCRIBE: NO
KLINGMAN, SHARON, LCPC
GENDER: F
NPI #: 1760405401
AMG TWIN CITIES
BEHAVIORAL HEALTH
MECHERLE HALL - 403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
HOGGATT, PAM J., LCPC
GENDER: F
NPI #: 1841200904
ELLIOTT COUNSELING
SERVICES LLC
706 E OLGESBY SUITE 115
NORMAL, IL 61761
PHONE: (309) 212-3606
E-PRESCRIBE: NO
HOKANSON, LINDA, LCSW
GENDER: F
NPI #: 1881727287
OSF MEDICAL GROUP
405 KAYS DR SUITE C
NORMAL, IL 61761
PHONE: (309) 664-3130
E-PRESCRIBE: NO
439
LE, JESSICA, LCPC
GENDER: F
NPI #: 1447212089
JOHN R DAY & ASSOCIATES
LTD
1520 E COLLEGE AVE SUITE
M
NORMAL, IL 61761
PHONE: (309) 692-7755
E-PRESCRIBE: NO
LEEBOLD, BOBBY J., LCSW
GENDER: M
NPI #: 1164728127
PSYCHOLOGY SPECIALISTS
2200 FORT JESSE RD SUITE
210
NORMAL, IL 61761
PHONE: (309) 706-3190
E-PRESCRIBE: NO
MATHER, MERLIN, LCPC
GENDER: M
NPI #: 1891718540
AMG TWIN CITIES
BEHAVIORAL HEALTH
MECHERLE HALL - 403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
MITRA, JACQUELYN A., LCPC
GENDER: F
NPI #: 1619121373
CENTRAL ILLINOIS
PSYCHIATRIC ASSOCIATES
405 KAYS DR SUITE B
NORMAL, IL 61761
PHONE: (309) 862-0064
E-PRESCRIBE: NO
MOONEY, ROBERT J., LCPC
GENDER: M
NPI #: 1013975648
ELLIOTT COUNSELING
SERVICES LLC
706 E OLGESBY SUITE 115
NORMAL, IL 61761
PHONE: (309) 212-3606
E-PRESCRIBE: NO
NORMAL, IL
NORMAL, IL
MUGRAGE, CRISTINA, LCSW
GENDER: F
NPI #: 1306804281
ELLIOTT COUNSELING
SERVICES
220 ORLANDO AVE
NORMAL, IL 61761
PHONE:
E-PRESCRIBE: NO
705 E LINCOLN STE 302
NORMAL, IL 61761
PHONE:
E-PRESCRIBE: NO
NIEBUR, THOMAS N., LCPC
GENDER: M
NPI #: 1437172103
AMG TWIN CITIES
BEHAVIORAL HEALTH
MECHERLE HALL - 403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
OSBORNE, LORI, LCSW
GENDER: F
NPI #: 1215950969
AMG TWIN CITIES
BEHAVIORAL HEALTH
MECHERLE HALL - 403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
POULTNEY, JODY L., LCSW
GENDER: F
NPI #: 1407172554
AMG TWIN CITIES
BEHAVIORAL HEALTH
MECHERLE HALL-403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
Mental Health Care
SIMON, RACHEL, LCSW
GENDER: F
NPI #: 1023237567
OSF MEDICAL GROUP
405 KAYS DR SUITE C
NORMAL, IL 61761
PHONE: (309) 664-3130
E-PRESCRIBE: NO
STOLL, JULIE M., LCSW
GENDER: F
NPI #: 1437468105
ELLIOTT COUNSELING
SERVICES
705 E LINCOLN STE 302
NORMAL, IL 61761
PHONE:
E-PRESCRIBE: NO
ELLIOTT COUNSELING
SERVICES LLC
220 ORLANDO AVE
NORMAL, IL 61761
PHONE:
E-PRESCRIBE: NO
VARLESE, CLARA, LCPC
GENDER: F
NPI #: 1295086056
ELLIOTT COUNSELING
SERVICES LLC
706 E OGLESBY SUITE 115
NORMAL, IL 61761
PHONE:
E-PRESCRIBE: NO
MENTAL HEALTH/
SUBSTANCE ABUSE
ILLINOIS INSTITUTE FOR
ADDICTION RECOVERY
GENDER:
NPI #: 1033116876
VIRGINIA AT FRANKLIN
NORMAL, IL 61761
PHONE: (309) 888-0993
E-PRESCRIBE: NO
PEDIATRIC PSYCHIATRY
AHMED, FAISAL, MD
GENDER: M
NPI #: 1417069881
TWIN CITIES BEHAVIORAL
HEALTH
MECHERLE HALL - 403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
PSYCHIATRY
BEY, DOUGLAS R., MD
GENDER: M
NPI #: 1356416440
1100 N BEECH ST
NORMAL, IL 61761
PHONE: (309) 454-2112
E-PRESCRIBE: NO
CHASE, CARMEN D., MD
GENDER: F
NPI #: 1487677100
TWIN CITIES BEHAVORIAL
HEALTH
MECHERLE HALL - 403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
HASAN, BABAR, MD
GENDER: M
NPI #: 1649266016
OSF MEDICAL GROUP
405 KAYS DR SUITE C
NORMAL, IL 61761
PHONE: (309) 664-3130
E-PRESCRIBE: NO
440
NORMAL, IL
NORMAL, IL
Mental Health Care
MCCORMICK, SCOTT, MD
GENDER: M
NPI #: 1639192354
TWIN CITIES BEHAVIORAL
HEALTH
MECHERLE HALL - 403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
MOODY, VIRGINIA J., MD
GENDER: F
NPI #: 1255419362
CENTRAL ILLINOIS
PSYCHIATRIC ASSOCIATES
405 KAYS DR SUITE B
NORMAL, IL 61761
PHONE: (309) 862-0064
E-PRESCRIBE: NO
PATEL, RAHUL, DO
GENDER: M
NPI #: 1669649547
ADVOCATE MEDICAL
GROUP
403 W VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
PATURI, RAJU N., MD
GENDER: M
NPI #: 1912085010
CENTRAL ILLINOIS
PSYCHIATRIC ASSOCIATES
405 KAYS DR SUITE B
NORMAL, IL 61761
PHONE: (309) 862-0064
E-PRESCRIBE: NO
RANDHAWA, JYOTI, MD
GENDER:
NPI #: 1205037595
AMG BROMENN BEHAVIOR
1304 FRANKLIN AVE
NORMAL, IL 61761
PHONE:
E-PRESCRIBE: NO
441
PSYCHOLOGY
DALFIUME, LUKE R., PHD
GENDER: M
NPI #: 1760447155
JOHN R DAY & ASSOCIATES
LTD
1520 E COLLEGE AVE SUITE
M
NORMAL, IL 61761
PHONE: (309) 692-7755
E-PRESCRIBE: NO
FLORELL, JOHN, PHD
GENDER: M
NPI #: 1538189840
AMG TWIN CITIES
BEHAVIORAL HEALTH
MECHERLE HALL - 403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
HEINRICH, HEATHER, PHD
GENDER: F
NPI #: 1316145386
AMG TWIN CITIES
BEHAVIORAL HEALTH
MECHERLE HALL-403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
KRIPPNER, KEVIN, PHD
GENDER: M
NPI #: 1477576114
AMG TWIN CITIES
BEHAVIORAL HEALTH
MECHERLE HALL - 403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
MCCRAY, MIKELL R., PSYD
GENDER: F
NPI #: 1780973925
JOHN R DAY & ASSOCIATES
LTD
1520 E COLLEGE AVE SUITE
M
NORMAL, IL 61761
PHONE: (309) 692-7755
E-PRESCRIBE: NO
MILLER, CHERI, PSYD
GENDER: F
NPI #: 1033132790
AMG TWIN CITIES
BEHAVIORAL HEALTH
MECHERLE HALL - 403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
SHANNON, TIMOTHY D.,
PSYD
GENDER: M
NPI #: 1407956758
OSF MEDICAL GROUP
405 KAYS DR SUITE C
NORMAL, IL 61761
PHONE: (309) 664-3130
E-PRESCRIBE: NO
SYLVESTER, BRENT A., PHD
GENDER: M
NPI #: 1639452139
AMG TWIN CITIES
BEHAVIORAL HEALTH
403 W VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
WOODBURN, JUDY R., PHD
GENDER: F
NPI #: 1013937382
AMG TWIN CITIES
BEHAVIORAL HEALTH
MECHERLE HALL - 403 W
VIRGINIA AVE
NORMAL, IL 61761
PHONE: (309) 268-2910
E-PRESCRIBE: NO
OBLONG, IL
PEKIN, IL
OBLONG, IL
Mental Health Care
PEKIN, IL
MENTAL HEALTH
MENTAL HEALTH
WIMAN, JODI L., LCPC
GENDER: F
NPI #: 1356539316
103 W MAIN SUITE 5
OBLONG, IL 62449
PHONE: (618) 592-3116
E-PRESCRIBE: NO
BLAHA, CAROL A., LCPC
GENDER: F
NPI #: 1417088576
COUNSELING & FAMILY
SERVICES
1315 COURT ST
PEKIN, IL 61554
PHONE: (309) 346-5890
E-PRESCRIBE: NO
ONARGA, IL
MENTAL HEALTH
LAM, CINDY L., LPC
GENDER: F
NPI #: 1396822276
THE ONARGA CLINIC
109 N CHESTNUT ST
ONARGA, IL 60955
PHONE:
E-PRESCRIBE: NO
OSWEGO, IL
PSYCHIATRY
HADI, FATIMA M., MD
GENDER: F
NPI #: 1437222791
CAFAL CLINIC FOR
PSYCHIATRY &
CONSULTATION SVCS
68 MAIN ST SUITE 327
OSWEGO, IL 60543
PHONE: (630) 377-3475
E-PRESCRIBE: NO
BOHLS, ANN M., LPC
GENDER: F
NPI #: 1275659500
TAZWOOD MENTAL
HEALTH CENTER
3248 VANDEVER AVE
PEKIN, IL 61554
PHONE: (309) 347-5522
E-PRESCRIBE: NO
HEMMELE, JEWEL K., LCPC
GENDER: F
NPI #: 1275704090
COUNSELING & FAMILY
SERVICES
1315 COURT ST
PEKIN, IL 61554
PHONE: (309) 346-5890
E-PRESCRIBE: NO
KLEES, CHARLES A., LCPC
GENDER: M
NPI #: 1205953528
COUNSELING & FAMILY
SERVICES
1315 COURT ST
PEKIN, IL 61554
PHONE: (309) 346-5890
E-PRESCRIBE: NO
LARSON, JILL N., LCSW
GENDER: F
NPI #: 1669503587
COUNSELING & FAMILY
SERVICES
1315 COURT ST
PEKIN, IL 61554
PHONE: (309) 346-5890
E-PRESCRIBE: NO
MINGUS, DAVID, LCPC
GENDER: M
NPI #: 1629320676
TAZWOOD MENTAL
HEALTH CENTER INC
3248 VANDEVER
PEKIN, IL 61554
PHONE: (309) 347-5522
E-PRESCRIBE: NO
ONEAL, PATRICIA R., LPC
GENDER: F
NPI #: 1194780718
TAZWOOD MENTAL
HEALTH CENTER
3248 VANDEVER AVE
PEKIN, IL 61554
PHONE: (309) 347-5522
E-PRESCRIBE: NO
PHILLIPS, JIMMY L., LCPC
GENDER: M
NPI #: 1003811555
ASSOCIATES IN CHRISTIAN
COUNSELING
2359 BROADWAY
PEKIN, IL 61554
PHONE: (309) 681-9432
E-PRESCRIBE: NO
RAMSEY, FLOYD H., LCPC
GENDER: M
NPI #: 1720263692
337 COURT ST
PEKIN, IL 61554-3234
PHONE: (309) 346-5378
E-PRESCRIBE: NO
442
PEKIN, IL
PEORIA, IL
Mental Health Care
RICHARDSON, CATERINA N.,
LCPC
GENDER: F
NPI #: 1366400806
RESOURCE MANAGEMENT
SERVICES
15 S CAPITAL ST
PEKIN, IL 61554
PHONE: (309) 681-5652
E-PRESCRIBE: NO
WHITE, KARLA, LCPC
GENDER: F
NPI #: 1497904965
ASSOCIATES IN CHRISTIAN
COUNSELING
2359 BROADWAY
PEKIN, IL 61554
PHONE: (309) 681-9432
E-PRESCRIBE: NO
YORK, JAIMEE, LPC
GENDER:
NPI #: 1700163730
TAZWOOD MENTAL
HEALTH CENTER INC
3248 VANDEVER AVE
PEKIN, IL 61554
PHONE: (309) 347-5522
E-PRESCRIBE: NO
PSYCHIATRY
ATTALURI, PRATAP KUMAR,
MD
GENDER: M
NPI #: 1689639213
TAZWOOD MENTAL
HEALTH CENTER
3248 VANDEVER AVE
PEKIN, IL 61554
PHONE: (309) 347-5522
E-PRESCRIBE: NO
443
PSYCHOLOGY
PRIDDY, DAVID, PHD
GENDER: M
NPI #: 1669416749
INSTITUTE OF PHYSICAL
MEDICINE & REHAB/IPMR
2359 BROADWAY ST
PEKIN, IL 61554
PHONE: (309) 353-4767
E-PRESCRIBE: NO
SMITH, ANDREA, PSYD
GENDER: F
NPI #: 1881953651
PSYCHOLOGY SPECIALISTS
113 PARKWAY
PEKIN, IL 61554
PHONE: (309) 706-3190
E-PRESCRIBE: NO
PSYCHOLOGY SPECIALISTS
LTD
600 S 13TH ST
PEKIN, IL 61554
PHONE: (309) 648-0782
E-PRESCRIBE: NO
PEORIA HEIGHTS, IL
MENTAL HEALTH
BROWER, PENNY L., LCPC
GENDER: F
NPI #: 1780605816
ALTERNATIVE SOLUTIONS
4617 N PROSPECT RD SUITE
2A
PEORIA HEIGHTS, IL 61616
PHONE: (309) 681-1860
E-PRESCRIBE: NO
MUGRAGE, CRISTINA, LCSW
GENDER: F
NPI #: 1306804281
ELLIOTT COUNSELING
SERVICES
4700 N PROSPECT RD STE A1
PEORIA HEIGHTS, IL 61616
PHONE: (309) 212-3606
E-PRESCRIBE: NO
STOLL, JULIE M., LCSW
GENDER: F
NPI #: 1437468105
ELLIOTT COUNSELING
SERVICES
4700 N PROSPECT RD STE A1
PEORIA HEIGHTS, IL 61616
PHONE: (309) 212-3606
E-PRESCRIBE: NO
PSYCHOLOGY
BAKER, RAYMOND C., PHD
GENDER: M
NPI #: 1972526838
4617 N PROSPECT RD SUITE
19A
PEORIA HEIGHTS, IL 61616
PHONE: (309) 681-0182
E-PRESCRIBE: NO
PEORIA, IL
ADDICTIONS COUNSELOR
KNIGHT, ANGELA M., LCSW
GENDER: F
NPI #: 1700147162
JOY MILLER AND
ASSOCIATES
7617 N VILLA WOOD LN
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
MILLER, JOY, LCPC, PHD
GENDER: F
NPI #: 1659339034
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LANE
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
MOBERG, KIRK D., MD
GENDER: M
NPI #: 1235153677
PROCTOR MEDICAL GROUP
5401 N KNOXVILLE AVE
SUITE 204
PEORIA, IL 61614
PHONE: (309) 691-0365
E-PRESCRIBE: NO
MENTAL HEALTH
AIMAN, EMILY K., LCSW
GENDER: F
NPI #: 1720342355
U OF IL COLLEGE OF
MEDICINE
900 N MAIN ST SUITE 720
PEORIA, IL 61602
PHONE: (309) 495-1640
E-PRESCRIBE: NO
AMOS-SCHULTE, NANCY A.,
LCSW
GENDER: F
NPI #: 1255396909
JOHN R DAY & ASSOCIATES
LTD
3716 W BRIGHTON AVE
PEORIA, IL 61615
PHONE: (309) 692-7755
E-PRESCRIBE: NO
ARNETT, VALERIE, LCPC
GENDER: F
NPI #: 1326141946
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
BAIZE, STARR L., LCSW
GENDER: F
NPI #: 1457607848
ELLIOTT COUNSELING
SERVICES
1820 N STERLING
PEORIA, IL 61604
PHONE: (309) 212-3606
E-PRESCRIBE: NO
Mental Health Care
BAKER, MICHELLE S., LCPC
GENDER: F
NPI #: 1063515682
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
BITTLE, DIANE M., LCSW
GENDER: F
NPI #: 1710957550
5016 N UNIVERSITY ST
SUITE 105
PEORIA, IL 61614
PHONE: (309) 692-7779
E-PRESCRIBE: NO
BARTLETT, ANDREA, LCSW
GENDER: F
NPI #: 1780952184
EASTER SEALS UCP
507 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 686-1177
E-PRESCRIBE: NO
BLAHA, CAROL A., LCPC
GENDER: F
NPI #: 1417088576
COUNSELING & FAMILY
SERVICES
330 SW WASHINGTON ST
PEORIA, IL 61602
PHONE: (309) 676-2400
E-PRESCRIBE: NO
BASSETT, TONYA, LCSW
GENDER: F
NPI #: 1821281429
AGAPE COUNSELING LTD
2001 W WILLOW KNOLLS RD
SUITE 110
PEORIA, IL 61614
PHONE: (309) 692-4433
E-PRESCRIBE: NO
BENNE, JENNIFER A., BCBA
GENDER: F
NPI #: 1861666471
EASTER SEALS UCP
507 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 686-1177
E-PRESCRIBE: NO
BIRDOES, LISA M., LCPC
GENDER: F
NPI #: 1205044534
6401 N SHERIDAN RD SUITE
104
PEORIA, IL 61614
PHONE: (309) 589-0910
E-PRESCRIBE: NO
BLUNDELL, WILLIAM M.,
LCPC
GENDER: M
NPI #: 1346545712
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615-2451
PHONE: (309) 692-6622
E-PRESCRIBE: NO
BRASCHE-GULLETT,
SUZANE, LCSW
GENDER: F
NPI #: 1578520839
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LANE
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
BROOKS, DONNA J., LCPC
GENDER: F
NPI #: 1013972082
JOHN R DAY & ASSOCIATES
LTD
3716 W BRIGHTON AVE
PEORIA, IL 61615
PHONE: (309) 692-7755
E-PRESCRIBE: NO
444
PEORIA, IL
PEORIA, IL
Mental Health Care
BUCKNAM, DAVID B., LCPC
GENDER: M
NPI #: 1760516207
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-7755
E-PRESCRIBE: NO
CHERRY, LINDA M., LCPC
GENDER: F
NPI #: 1982726733
7150 N UNIVERSITY ST
SUITE E
PEORIA, IL 61614
PHONE: (309) 472-1199
E-PRESCRIBE: NO
BUSHELL, LORI K., LCPC
GENDER: F
NPI #: 1205869005
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
CLASSEN, MAGGIE, LCSW
GENDER: F
NPI #: 1194973404
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
CAMBRON-TALBOTT,
CONNIE G., LCSW
GENDER: F
NPI #: 1447200035
HEARTLAND BEHAVIORAL
HEALTH
3116 N DRIES LANE SUITE
201
PEORIA, IL 61604
PHONE: (309) 686-1147
E-PRESCRIBE: NO
CLUTS, ERIN, LCSW
GENDER: F
NPI #: 1104077189
HEARTLAND BEHAVIORAL
HEALTH
3116 N DRIES LANE
PEORIA, IL 61604
PHONE: (309) 686-1147
E-PRESCRIBE: NO
CARLSON, JUDY, LCPC
GENDER: F
NPI #: 1184850968
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LANE
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
CROEGAERT, JOSEPH P.,
LCSW
GENDER: M
NPI #: 1770663908
RESOURCE MANAGEMENT
SERVICES
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
PHONE: (309) 681-5652
E-PRESCRIBE: NO
CARPER, NANCY, LCPC
GENDER: F
NPI #: 1073593414
ECKERT & ASSOCIATES
3024 W LAKE AVE
PEORIA, IL 61615
PHONE: (309) 688-3050
E-PRESCRIBE: NO
CROWELL, DENNIS J., LCSW
GENDER: M
NPI #: 1811026750
TRUE NORTH SOLUTIONS
3400 W NEW LEAF LANE
PEORIA, IL 61615
PHONE: (309) 589-1011
E-PRESCRIBE: NO
445
DIBERNARDINO-DOEDEN,
JULIE, LCSW
GENDER: F
NPI #: 1316901168
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LANE
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
DOCKINS, SHERRY M., LCPC
GENDER: F
NPI #: 1285774133
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LANE
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
DORNAUS, DEBORAH P.,
LCPC
GENDER: F
NPI #: 1538102330
COUNSELING WORKS
7820 N UNIVERSITY ST
SUITE 207
PEORIA, IL 61614
PHONE: (309) 693-0038
E-PRESCRIBE: NO
DREW, TIMOTHY J., LCPC
GENDER: M
NPI #: 1285711333
OSF MEDICAL GROUP
7317 WILLOW LAKE COURT
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
DUNAWAY, BRITAIN J., LCPC
GENDER: M
NPI #: 1760757843
GLEN MANOR COUNSELING
LTD
914 W GLEN AVE SUITE 3
PEORIA, IL 61614
PHONE: (309) 693-2749
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
EDWARDS, PATRICIA J.,
LCSW
GENDER: F
NPI #: 1356444913
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
EGIZIO, JILL M., LCSW
GENDER: F
NPI #: 1508902941
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LANE
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
ONE ILLINI DR
PEORIA, IL 61656
PHONE: (309) 671-8484
E-PRESCRIBE: NO
EICHORN, MARY E., LCSW
GENDER: F
NPI #: 1063436657
914 W GLEN AVE
PEORIA, IL 61614
PHONE: (309) 679-1700
E-PRESCRIBE: NO
EVENS, SONJA, LCSW
GENDER:
NPI #: 1245324094
THE ANTIOCH GROUP INC
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
FLOYD, STEVEN R., LCPC
GENDER: M
NPI #: 1265757264
AGAPE COUNSELING LTD
2001 W WILLOW KNOLLS RD
SUITE 110
PEORIA, IL 61614
PHONE: (309) 692-4433
E-PRESCRIBE: NO
Mental Health Care
FROST, SHELLIE A., LCPC
GENDER: F
NPI #: 1699048694
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LANE
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
FUELBERTH, REBECCA J.,
LCPC
GENDER: F
NPI #: 1568769800
AGAPE COUNSELING LTD
2001 W WILLOW KNOLLS RD
SUITE 110
PEORIA, IL 61614
PHONE: (309) 692-4433
E-PRESCRIBE: NO
GARNER, ELIZABETH J.,
LCSW
GENDER: F
NPI #: 1881603611
AGAPE COUNSELING LTD
2001 W WILLOW KNOLLS RD
SUITE 110
PEORIA, IL 61614
PHONE: (309) 692-4433
E-PRESCRIBE: NO
GIDDENS, LAURIE A., LCPC
GENDER: F
NPI #: 1902103815
AEON SOCIAL EMOTIONAL
HEALTH
5016 N UNIVERSITY ST
SUITE 109
PEORIA, IL 61614
PHONE: (309) 573-4834
E-PRESCRIBE: NO
GOFORTH, DENISE M., LCSW
GENDER: F
NPI #: 1326051863
5016 N UNIVERSITY ST
SUITE 105
PEORIA, IL 61614
PHONE: (309) 692-7778
E-PRESCRIBE: NO
GOOSSENS, THOMAS A.,
LCSW
GENDER: M
NPI #: 1225018815
7501 N UNIVERSITY ST
SUITE 129
PEORIA, IL 61614
PHONE: (309) 689-8878
E-PRESCRIBE: NO
GRAFF, JEAN S., LCPC
GENDER: F
NPI #: 1659394930
7211 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-5515
E-PRESCRIBE: NO
HAIG, JAMES, LCSW
GENDER: M
NPI #: 1699814277
RESOURCE MANAGEMENT
SERVICES
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
PHONE: (309) 681-5652
E-PRESCRIBE: NO
HAMANN, CONNIE, LCPC
GENDER: F
NPI #: 1497712582
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LANE
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
HAMANN, EDWARD, EDD
GENDER: M
NPI #: 1053376749
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LANE
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
446
PEORIA, IL
PEORIA, IL
Mental Health Care
HANSEN, AMY, LCPC
GENDER: F
NPI #: 1043588874
AGAPE COUNSELING
2001 W WILLOW KNOLLS RD
SUITE 110
PEORIA, IL 61614
PHONE:
E-PRESCRIBE: NO
HANSON, MARTIN, LCPC
GENDER: M
NPI #: 1811090426
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
HISER, CRYSTAL L., LCPC
GENDER: F
NPI #: 1104904242
AEON SOCIAL EMOTIONAL
HEALTH
2000 N PIONEER PKWY
SUITE 10A
PEORIA, IL 61614
PHONE: (309) 573-4834
E-PRESCRIBE: NO
AGAPE COUNSELING LTD
2001 W WILLOW KNOLLS RD
SUITE 110
PEORIA, IL 61614
PHONE: (309) 692-4433
E-PRESCRIBE: NO
HARMS, LINDSAY, LCPC
GENDER: F
NPI #: 1205098480
4410 N KNOXVILLE AVE
SUITE D
PEORIA, IL 61604
PHONE: (309) 339-7073
E-PRESCRIBE: NO
HODUM, BARBARA S., LCSW,
CADC
GENDER: F
NPI #: 1932493400
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LANE
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
HEMMELE, JEWEL K., LCPC
GENDER: F
NPI #: 1275704090
COUNSELING & FAMILY
SERVICES
330 SW WASHINGTON ST
PEORIA, IL 61602
PHONE: (309) 676-2400
E-PRESCRIBE: NO
HOFFMIRE, DARIN, LCSW
GENDER: M
NPI #: 1073686218
GLEN MANOR COUNSELING
LTD
914 W GLEN AVE SUITE 3
PEORIA, IL 61614
PHONE: (309) 693-2749
E-PRESCRIBE: NO
HILL, RONALD L., LCSW
GENDER: M
NPI #: 1750573325
TRUE NORTH SOLUTIONS
3400 W NEW LEAF LANE
PEORIA, IL 61615
PHONE: (309) 589-1011
E-PRESCRIBE: NO
HOGGATT, PAM J., LCPC
GENDER: F
NPI #: 1841200904
ELLIOTT COUNSELING
SERVICES LLC
1820 N STERLING AVE
PEORIA, IL 61604
PHONE: (309) 212-3606
E-PRESCRIBE: NO
447
HOLLAND, SARAH K., LCPC
GENDER: F
NPI #: 1568434306
JOHN R DAY & ASSOCIATES
LTD
3716 W BRIGHTON AVE
PEORIA, IL 61615
PHONE: (309) 692-7755
E-PRESCRIBE: NO
HOLLY, CHRISTOPHER P.,
LCSW
GENDER: M
NPI #: 1134378417
ASSOCIATES IN MENTAL
HEALTH
900 MAIN ST SUITE 580
PEORIA, IL 61602
PHONE: (309) 637-4266
E-PRESCRIBE: NO
HOPSON, COREY R., LCPC
GENDER: M
NPI #: 1275764763
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
HOWARD, QUEENA L., LCPC
GENDER: F
NPI #: 1275767717
ELLIOTT COUNSELING
SERVICES LLC
1800 N STERLING AVE
PEORIA, IL 61604
PHONE: (309) 212-3606
E-PRESCRIBE: NO
HUBBS, JOHN, LCSW
GENDER: M
NPI #: 1841258944
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LANE
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
Mental Health Care
HUNT, TRINA K., LCPC
GENDER: F
NPI #: 1306913629
RESOURCE MANAGEMENT
SERVICES
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
PHONE: (309) 681-5652
E-PRESCRIBE: NO
KIESEWETTER, ELLEN S.,
LCPC
GENDER: F
NPI #: 1710080320
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
KRAHN, NATHAN L., LCPC
GENDER: M
NPI #: 1619218955
AGAPE COUNSELING LTD
2001 W WILLOW KNOLLS RD
SUITE 110
PEORIA, IL 61614
PHONE: (309) 692-4433
E-PRESCRIBE: NO
JENNINGS, RUTH A., LCSW
GENDER: F
NPI #: 1568689511
JOHN R DAY & ASSOCIATES
LTD
3716 W BRIGHTON AVE
PEORIA, IL 61615
PHONE: (309) 692-7755
E-PRESCRIBE: NO
KILBOURN, CATHERINE J.,
LCSW
GENDER: F
NPI #: 1023179967
ASSOCIATES IN MENTAL
HEALTH
900 MAIN ST SUITE 580
PEORIA, IL 61602
PHONE: (309) 637-4266
E-PRESCRIBE: NO
LADD, PHILLIP, LCPC
GENDER: M
NPI #: 1255396347
JOHN R DAY & ASSOCIATES
LTD
3716 W BRIGHTON AVE
PEORIA, IL 61615
PHONE: (309) 692-7755
E-PRESCRIBE: NO
JOST, SUZANNE, LCPC
GENDER: F
NPI #: 1548363153
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
KAPITKO, DEBORAH O.,
LCPC
GENDER: F
NPI #: 1881652931
RESOURCE MANAGEMENT
SERVICES
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
PHONE: (309) 681-5652
E-PRESCRIBE: NO
KEWLEY, KAREN J., LCPC
GENDER: F
NPI #: 1356647721
AEON SOCIAL EMOTIONAL
HEALTH
2000 N PIONEER PKWY
SUITE 10A
PEORIA, IL 61614
PHONE: (309) 573-4834
E-PRESCRIBE: NO
KIRK, KRISTIN J., LCSW
GENDER: F
NPI #: 1881913705
AGAPE COUNSELING LTD
2001 W WILLOW KNOLLS RD
SUITE 110
PEORIA, IL 61614
PHONE: (309) 692-4433
E-PRESCRIBE: NO
KLEES, CHARLES A., LCPC
GENDER: M
NPI #: 1205953528
COUNSELING & FAMILY
SERVICES
330 SW WASHINGTON ST
PEORIA, IL 61602
PHONE: (309) 676-2400
E-PRESCRIBE: NO
KNIGHT, ANGELA M., LCSW
GENDER: F
NPI #: 1700147162
JOY MILLER AND
ASSOCIATES
7617 N VILLA WOOD LN
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
LARSEN, ANNETTE, LCPC
GENDER: F
NPI #: 1265510507
AGAPE COUNSELING LTD
2001 W WILLOW KNOLLS RD
SUITE 110
PEORIA, IL 61614
PHONE: (309) 692-4433
E-PRESCRIBE: NO
LARSON, JILL N., LCSW
GENDER: F
NPI #: 1669503587
COUNSELING & FAMILY
SERVICES
330 SW WASHINGTON ST
PEORIA, IL 61602
PHONE: (309) 676-2400
E-PRESCRIBE: NO
LE, JESSICA, LCPC
GENDER: F
NPI #: 1447212089
JOHN R DAY & ASSOCIATES
LTD
3716 W BRIGHTON AVE
PEORIA, IL 61615
PHONE: (309) 692-7755
E-PRESCRIBE: NO
448
PEORIA, IL
PEORIA, IL
Mental Health Care
LEGAN, MICHAEL J., LCPC
GENDER: M
NPI #: 1992773782
PSYCHOLOGICAL
ASSOCIATES
5409 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-0420
E-PRESCRIBE: NO
MASTON, TRINITY H., LCPC
GENDER: F
NPI #: 1336453364
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
LEMASTERS, AUDREY, LCSW
GENDER: F
NPI #: 1811058753
ASSOCIATES IN MENTAL
HEALTH
900 MAIN ST SUITE 580
PEORIA, IL 61602
PHONE: (309) 637-4266
E-PRESCRIBE: NO
MCCLURE, KEVIN J., LCPC
GENDER: M
NPI #: 1457458754
AEON SOCIAL EMOTIONAL
HEALTH
2000 N PIONEER PKWY
SUITE 10A
PEORIA, IL 61614
PHONE: (309) 573-4834
E-PRESCRIBE: NO
LOOMIS, KARA J., BCBA
GENDER: F
NPI #: 1568799971
EASTER SEALS-UCP
507 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 686-1177
E-PRESCRIBE: NO
MCKENNA, DEBORAH, LCPC
GENDER: F
NPI #: 1700849619
1703 W LATHAM LANE
PEORIA, IL 61614
PHONE: (309) 691-2089
E-PRESCRIBE: NO
LOVE, HOWARD A., LCPC
GENDER: M
NPI #: 1306949987
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
MAQUET, CLAIRE, LCPC
GENDER: F
NPI #: 1912199589
TRUE NORTH SOLUTIONS
3400 W NEW LEAF LANE
PEORIA, IL 61615
PHONE: (309) 589-1011
E-PRESCRIBE: NO
449
MCKENNA, KELLY, LCSW
GENDER: F
NPI #: 1982723250
TRUE NORTH SOLUTIONS
3400 W NEW LEAF LANE
PEORIA, IL 61615
PHONE: (309) 589-1011
E-PRESCRIBE: NO
MCNETT, LEANNE J., LCSW
GENDER: F
NPI #: 1396067724
TRUE NORTH SOLUTIONS
3400 W NEW LEAF LANE
PEORIA, IL 61615
PHONE: (309) 589-1011
E-PRESCRIBE: NO
MEISS, CURTIS L., LCPC
GENDER: M
NPI #: 1225398415
GLEN MANOR COUNSELING
LTD
914 W GLEN AVE SUITE 3
PEORIA, IL 61614
PHONE: (308) 693-2749
E-PRESCRIBE: NO
MILLER, JEFFREY G., LCPC
GENDER: M
NPI #: 1629108337
GLEN MANOR COUNSELING
LTD
914 W GLEN AVE SUITE 3
PEORIA, IL 61614
PHONE: (309) 693-2749
E-PRESCRIBE: NO
MILLER, RENAE E., LCPC
GENDER: F
NPI #: 1821285453
AGAPE COUNSELING LTD
2001 W WILLOW KNOLLS RD
SUITE 110
PEORIA, IL 61614
PHONE: (309) 692-4433
E-PRESCRIBE: NO
MINDOCK, SHARON F., LCPC
GENDER: F
NPI #: 1427225960
MINDOCK COUNSELING
AND CONSULTING
6320 N SHERIDAN RD
PEORIA, IL 61614
PHONE: (309) 696-4697
E-PRESCRIBE: NO
MOONEY, ROBERT J., LCPC
GENDER: M
NPI #: 1013975648
ELLIOTT COUNSELING
SERVICES LLC
1800 N STERLING AVE
PEORIA, IL 61604
PHONE: (309) 212-3606
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
MULDER, ELYN, LCSW
GENDER: F
NPI #: 1730146960
JOHN R DAY & ASSOCIATES
LTD
3716 W BRIGHTON AVE
PEORIA, IL 61615
PHONE: (309) 692-7755
E-PRESCRIBE: NO
OGBURN, LEIA A., LCSW
GENDER: F
NPI #: 1558370700
OGBURN COUNSELING
SERVICES
5113 N EXECUTIVE DR SUITE
101
PEORIA, IL 61614
PHONE: (309) 682-3915
E-PRESCRIBE: NO
PHILLIPS, JIMMY L., LCPC
GENDER: M
NPI #: 1003811555
ASSOCIATES IN CHRISTIAN
COUNSELING
3915 N SHERIDAN RD UNIT R
PEORIA, IL 61614
PHONE: (309) 684-9432
E-PRESCRIBE: NO
POERTNER, PATRICIA A.,
LCPC
GENDER: F
NPI #: 1356444970
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
POST, BRADLEY, LCSW
GENDER: M
NPI #: 1821069725
RESOURCE MANAGEMENT
SERVICES
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
PHONE: (309) 681-5652
E-PRESCRIBE: NO
Mental Health Care
RASO, FRANDY, LCSW
GENDER: F
NPI #: 1407109648
ADVANCED BEHAVIORAL
HEALTH
8600 N STATE ROUTE 91
SUITE 240
PEORIA, IL 61615
PHONE: (309) 683-5006
E-PRESCRIBE: NO
RICHARDSON, CATERINA N.,
LCPC
GENDER: F
NPI #: 1366400806
RESOURCE MANAGEMENT
SERVICES
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
PHONE: (309) 681-5652
E-PRESCRIBE: NO
RAY, JULIE, LCSW
GENDER: F
NPI #: 1265533798
GLEN MANOR COUNSELING
LTD
914 W GLEN AVE SUITE 3
PEORIA, IL 61614
PHONE: (309) 693-2749
E-PRESCRIBE: NO
RUSSELL-CHAPIN, LORI A.,
LCPC
GENDER: F
NPI #: 1508905142
RESOURCE MANAGEMENT
SERVICES
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
PHONE: (309) 681-5850
E-PRESCRIBE: NO
READING, ROBERT G., LCPC
GENDER: M
NPI #: 1255525507
SAMARITAN FAMILY
MEDICAL SERVICES PC
5401 N KNOXVILLE AVE
SUITE 215
PEORIA, IL 61614
PHONE: (309) 689-0044
E-PRESCRIBE: NO
REIMERS, DEEANNE F.,
LCPC
GENDER: F
NPI #: 1568623304
EASTER SEALS-UPC
507 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 686-1177
E-PRESCRIBE: NO
REINBOLDT, CARRIE A.,
LCPC
GENDER: F
NPI #: 1588933378
PSYCHOLOGY SPECIALISTS
900 MAIN ST SUITE 780
PEORIA, IL 61602
PHONE: (309) 706-3190
E-PRESCRIBE: NO
SACK, JO A., LCPC
GENDER: F
NPI #: 1891702155
THE ANTIOCH GROUP INC
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
SCHIERBECK, DEBRA, LCPC
GENDER: F
NPI #: 1588689079
5016 N UNIVERSITY AVE
SUITE 104
PEORIA, IL 61614
PHONE: (309) 256-2558
E-PRESCRIBE: NO
SCHURTER, KATRINA R.,
LCPC
GENDER: F
NPI #: 1861634834
RESOURCE MANAGEMENT
SERVICES
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
PHONE: (309) 681-5652
E-PRESCRIBE: NO
450
PEORIA, IL
PEORIA, IL
Mental Health Care
SEARS, BRADLEY S., LCPC
GENDER: M
NPI #: 1023121449
5901 N PROSPECT RD SUITE
14F
PEORIA, IL 61614
PHONE: (309) 691-1459
E-PRESCRIBE: NO
STUBER, SARAH J., LCSW
GENDER: F
NPI #: 1851680714
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LANE
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
SKIBINSKI, GREGORY, LCPC
GENDER: M
NPI #: 1497868822
AGAPE COUNSELING LTD
2001 W WILLOW KNOLLS RD
SUITE 110
PEORIA, IL 61614
PHONE: (309) 692-4433
E-PRESCRIBE: NO
TURCOT, HEIDI, LCSW
GENDER: F
NPI #: 1134185325
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LANE
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
SMITH, CHRISTINA A., LCSW
GENDER: F
NPI #: 1750603189
TRUE NORTH SOLUTIONS
3400 W NEW LEAF LANE
PEORIA, IL 61615
PHONE: (309) 589-1011
E-PRESCRIBE: NO
SNYDER, BRENDA L., LMSW
GENDER: F
NPI #: 1366731374
GLEN MANOR COUNSELING
LTD
914 W GLEN AVE SUITE 3
PEORIA, IL 61614
PHONE: (309) 693-2749
E-PRESCRIBE: NO
STRETCH, ROBERT, LCPC
GENDER: M
NPI #: 1659495802
5106 N UNIVERSITY ST
SUITE 103
PEORIA, IL 61614
PHONE: (309) 693-3711
E-PRESCRIBE: NO
451
TYLAR, TRACI J., LPC
GENDER: F
NPI #: 1053462952
AEON SOCIAL EMOTIONAL
HEALTH
2000 N PIONEER PKWY
SUITE 10A
PEORIA, IL 61614
PHONE: (309) 573-4834
E-PRESCRIBE: NO
TYLER, JONNA, LCPC
GENDER: F
NPI #: 1558464164
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
VACCARO, CESLI, LCPC
GENDER: F
NPI #: 1942313382
AGAPE COUNSELING LTD
2001 W WILLOW KNOLLS RD
SUITE 110
PEORIA, IL 61615
PHONE: (309) 692-4433
E-PRESCRIBE: NO
VIVIANI, ANNA M., LCPC
GENDER: F
NPI #: 1083634307
BRIGHTER DAYS
COUNSELING
2104 W TOWNLINE RD
PEORIA, IL 61615-1547
PHONE: (309) 282-1762
E-PRESCRIBE: NO
WASHINGTON, KAREN L.,
LCSW
GENDER: F
NPI #: 1104009224
HEARTLAND BEHAVIORAL
HEALTH
3116 N DRIES LANE SUITE
201
PEORIA, IL 61604
PHONE: (309) 686-1147
E-PRESCRIBE: NO
WASSON, DONNA S., LCPC
GENDER: F
NPI #: 1093932295
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
WEST, VICTORIA W., LCPC
GENDER: F
NPI #: 1407917255
6401 N SHERIDAN RD SUITE
104
PEORIA, IL 61614
PHONE: (309) 589-0909
E-PRESCRIBE: NO
WHEELER, SAMANTHA,
LCSW
GENDER: F
NPI #: 1649222555
PSYCHOLOGY SPECIALISTS
900 MAIN ST SUITE 780
PEORIA, IL 61602
PHONE: (309) 706-3190
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
Mental Health Care
WHITE, KARLA, LCPC
GENDER: F
NPI #: 1497904965
ASSOCIATES IN CHRISTIAN
COUNSELING
3915 N SHERIDAN RD UNIT R
PEORIA, IL 61614
PHONE: (309) 681-9432
E-PRESCRIBE: NO
TRUE NORTH SOLUTIONS
GENDER:
NPI #: 1881630689
3400 W NEW LEAF LANE
PEORIA, IL 61615
PHONE: (309) 671-8054
E-PRESCRIBE: NO
WIEBLER, LADONA R., BCBA
GENDER: F
NPI #: 1912286808
EASTER SEALS UCP
507 E ARMSTRONG
PEORIA, IL 61603
PHONE: (309) 686-1177
E-PRESCRIBE: NO
DELGADO-SERRANO,
LOURDES J., MD
GENDER: F
NPI #: 1508834839
U OF I COLLEGE OF
MEDICINE
420 NE GLEN OAK AVE
SUITE 401
PEORIA, IL 61603
PHONE: (309) 624-9844
E-PRESCRIBE: NO
WILLARD, LYNN R., LCSW,
LCPC
GENDER: F
NPI #: 1659678241
ABC COUNSELING &
FAMILY SERVICES
3535 N CALIFORNIA AVE
SUITE F
PEORIA, IL 61603
PHONE: (309) 686-2153
E-PRESCRIBE: NO
WOLGAMOT, TED, LCPC
GENDER: M
NPI #: 1417053612
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
MENTAL HEALTH/
SUBSTANCE ABUSE
ILLINOIS INSTITUTE FOR
ADDICTION RECOVERY
GENDER:
NPI #: 1033116876
5409 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-1000
E-PRESCRIBE: NO
PEDIATRIC PSYCHOLOGY
VERDA, MICHELE R., PHD
GENDER: F
NPI #: 1659396505
CHILDRENS HOSPITAL OF
ILLINOIS
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-3613
E-PRESCRIBE: NO
WARD, ERIC M., PHD
GENDER: M
NPI #: 1710066980
OSF MEDICAL GROUP
7317 WILLOW LAKE COURT
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
PSYCHIATRY
ALAHI, PETER, MD
GENDER: M
NPI #: 1508830951
OSF SISTERS COMMUNITY
HEALTH CARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
U OF I COLLEGE OF
MEDICINE
900 N MAIN ST SUITE 720
PEORIA, IL 61602
PHONE: (309) 495-1640
E-PRESCRIBE: NO
BITAR, GHASSAN, MD
GENDER: M
NPI #: 1417982703
OSF MEDICAL GROUP
7317 WILLOW LAKE COURT
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
BOWERS, CHRISTINE, MD
GENDER: F
NPI #: 1386702595
4719 N SHERIDAN RD
PEORIA, IL 61614
PHONE: (309) 685-7249
E-PRESCRIBE: NO
BURCKHARTZMEYER, LISA
J., MD
GENDER: F
NPI #: 1962674820
OSF MEDICAL GROUP
7317 WILLOW LAKE CT
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
COLEN, BRADFORD E., MD
GENDER: M
NPI #: 1205839883
ASSOCIATES IN MENTAL
HEALTH
900 MAIN ST SUITE 580
PEORIA, IL 61602
PHONE: (309) 637-4266
E-PRESCRIBE: NO
452
PEORIA, IL
PEORIA, IL
Mental Health Care
FINKENBINE, RYAN, MD
GENDER: M
NPI #: 1508830969
U OF I COLLEGE OF
MEDICINE
900 N MAIN ST SUITE 720
PEORIA, IL 61602
PHONE: (309) 495-1640
E-PRESCRIBE: NO
JINN-OLEARY, MINNA, MD
GENDER: F
NPI #: 1871560623
U OF I COLLEGE OF
MEDICINE
900 N MAIN ST SUITE 720
PEORIA, IL 61602
PHONE: (309) 495-1640
E-PRESCRIBE: NO
PRESTON, MATTHEW M., MD
GENDER: M
NPI #: 1356549323
ASSOCIATES IN MENTAL
HEALTH SC
900 MAIN ST SUITE 580
PEORIA, IL 61602
PHONE: (309) 637-4266
E-PRESCRIBE: NO
FRENKEL, A RAMY, MD
GENDER: M
NPI #: 1861584542
OSF MEDICAL GROUP
7317 WILLOW LAKE COURT
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
KYLE, KAREN M., MD
GENDER: F
NPI #: 1023052818
ASSOCIATES IN MENTAL
HEALTH
900 MAIN ST SUITE 580
PEORIA, IL 61602
PHONE: (309) 637-4266
E-PRESCRIBE: NO
SINGH, BALJIT, MD
GENDER: M
NPI #: 1528075769
U OF I COLLEGE OF
MEDICINE
900 N MAIN ST SUITE 720
PEORIA, IL 61602
PHONE: (309) 495-1640
E-PRESCRIBE: NO
LANCIA, ANDREW J., MD
GENDER: M
NPI #: 1366647521
OSF SISTERS COMMUNITY
HEALTH CARE CENTER
320 E ARMSTRONG AVE
PEORIA, IL 61603
PHONE: (309) 624-9690
E-PRESCRIBE: NO
THORNTON, STEVEN L., MD
GENDER: M
NPI #: 1194885574
OSF MEDICAL GROUP
7317 WILLOW LAKE COURT
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
GVOZDJAN, DRAGOSLAV,
MD
GENDER: M
NPI #: 1003006701
U OF I COLLEGE OF
MEDICINE
900 N MAIN ST SUITE 720
PEORIA, IL 61602
PHONE: (309) 495-1640
E-PRESCRIBE: NO
HERITCH, ANDREW J., MD
GENDER: M
NPI #: 1407948607
HEARTLAND BEHAVIORAL
HEALTH
3116 N DRIES LANE SUITE
201
PEORIA, IL 61602
PHONE: (309) 686-1147
E-PRESCRIBE: NO
HUDSON, ALISHA, DO
GENDER: F
NPI #: 1831364025
OSF MEDICAL GROUP
PSYCHIATRY &
PSYCHOLOGY
7317 WILLOW LAKE CT
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
453
U OF I COLLEGE OF
MEDICINE
900 N MAIN ST SUITE 720
PEORIA, IL 61602
PHONE: (309) 495-1640
E-PRESCRIBE: NO
PINTO, ARUN C., MD
GENDER: M
NPI #: 1093740318
TRUE NORTH SOLUTIONS
3400 W NEW LEAF LANE
PEORIA, IL 61615
PHONE: (309) 589-1011
E-PRESCRIBE: NO
THORNTON, STEVEN, MD
GENDER: M
NPI #: 1194885574
U OF I COLLEGE OF
MEDICINE
900 N MAIN ST SUITE 720
PEORIA, IL 61602
PHONE: (309) 495-1640
E-PRESCRIBE: NO
PSYCHOLOGY
BOERKE, KYLE W., PSYD
GENDER: M
NPI #: 1225340805
OSF MEDICAL GROUP
7317 WILLOW LAKE COURT
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
PEORIA, IL
PEORIA, IL
BRAGER, PATRESA R., PHD
GENDER: F
NPI #: 1043236573
OSF MEDICAL GROUP
7317 WILLOW LAKE COURT
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
BREITMEYER, RUDOLF G.,
PHD
GENDER: M
NPI #: 1174626790
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
BRUCE, TIM, PHD
GENDER: M
NPI #: 1285608661
U OF I COLLEGE OF
MEDICINE
900 N MAIN ST SUITE 720
PEORIA, IL 61602
PHONE: (309) 495-1640
E-PRESCRIBE: NO
CHAPIN, THEODORE J., PHD
GENDER: M
NPI #: 1255393039
RESOURCE MANAGEMENT
SERVICES
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
PHONE: (309) 681-5652
E-PRESCRIBE: NO
CLORE, JEAN L., PHD
GENDER: F
NPI #: 1154614790
U OF I COLLEGE OF
MEDICINE
900 N MAIN ST SUITE 720
PEORIA, IL 61602
PHONE: (309) 495-1640
E-PRESCRIBE: NO
Mental Health Care
DALFIUME, LUKE R., PHD
GENDER: M
NPI #: 1760447155
JOHN R DAY & ASSOCIATES
LTD
3716 W BRIGHTON AVE
PEORIA, IL 61615
PHONE: (309) 692-7755
E-PRESCRIBE: NO
DAY, JOHN R., PHD
GENDER: M
NPI #: 1013974765
JOHN R DAY & ASSOCIATES
LTD
3716 W BRIGHTON
PEORIA, IL 61615
PHONE: (309) 692-7755
E-PRESCRIBE: NO
ECKERT, JOEL, PSYD
GENDER: M
NPI #: 1699700120
ECKERT & ASSOCIATES
3024 W LAKE AVE
PEORIA, IL 61615
PHONE: (309) 688-3050
E-PRESCRIBE: NO
FULLER-FRICKE, REBEKAH
L., PSYD
GENDER: F
NPI #: 1568763977
AGAPE COUNSELING LTD
2001 W WILLOW KNOLLS RD
SUITE 110
PEORIA, IL 61614
PHONE: (309) 692-4433
E-PRESCRIBE: NO
GATTEN, SHAUNA L., PHD
GENDER: F
NPI #: 1922075548
5901 N PROSPECT RD SUITE
101
PEORIA, IL 61614
PHONE: (309) 689-9880
E-PRESCRIBE: NO
GLAZESKI, ROBERT C., PHD
GENDER: M
NPI #: 1932288289
OSF MEDICAL GROUP
7317 WILLOW LAKE COURT
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
GREGG, SHELLEY F., PHD
GENDER: F
NPI #: 1629157987
OSF MEDICAL GROUP
7317 WILLOW LAKE COURT
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
8600 N STATE ROUTE 91
PEORIA, IL 61615
PHONE: (309) 683-5059
E-PRESCRIBE: NO
PSYCHOLOGY INDIVIDUAL
GROUP THERAPY
2015 W GLEN AVE SUITE 210
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
HAMON, STEVEN A., PHD
GENDER: M
NPI #: 1174626782
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
JOHNSON, JEREMY L., PHD
GENDER: M
NPI #: 1417164542
HEARTLAND BEHAVIORAL
HEALTH
3116 N DRIES LANE SUITE
201
PEORIA, IL 61604
PHONE: (309) 686-1147
E-PRESCRIBE: NO
454
PEORIA, IL
PEORIA, IL
Mental Health Care
KURZ, BARRY F., PHD
GENDER: M
NPI #: 1902916430
7820 N UNIVERSITY ST
SUITE 207
PEORIA, IL 61614
PHONE: (309) 693-0111
E-PRESCRIBE: NO
LADD, AIMEE J., PHD
GENDER: F
NPI #: 1942558655
JOY MILLER & ASSOCIATES
7617 N VILLA WOOD LN
PEORIA, IL 61614
PHONE: (309) 693-8200
E-PRESCRIBE: NO
LEGAN, DONALD R., PSYD
GENDER: M
NPI #: 1467429605
PSYCHOLOGICAL
ASSOCIATES
5409 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-0420
E-PRESCRIBE: NO
LEGAN, LEONE, PSYD
GENDER: F
NPI #: 1710954953
PSYCHOLOGICAL
ASSOCIATES
5409 N KNOXVILLE AVE
PEORIA, IL 61614
PHONE: (309) 691-0420
E-PRESCRIBE: NO
MCCRAY, MIKELL R., PSYD
GENDER: F
NPI #: 1780973925
JOHN R DAY & ASSOCIATES
LTD
3716 W BRIGHTON AVE
PEORIA, IL 61615
PHONE: (309) 692-7755
E-PRESCRIBE: NO
455
MCINTYRE, SAMUEL B., EDD
GENDER: M
NPI #: 1386608008
U OF I COLLEGE OF
MEDICINE
900 N MAIN ST SUITE 720
PEORIA, IL 61602
PHONE: (309) 495-1640
E-PRESCRIBE: NO
REGAN, THERESA M., PHD
GENDER: F
NPI #: 1598785644
PSYCHOLOGY INDIVIDUAL
GROUP THERAPY
530 NE GLEN OAK AVE
PEORIA, IL 61637
PHONE: (309) 655-7378
E-PRESCRIBE: NO
MORDHORST, MATTHEW J.,
PHD
GENDER: M
NPI #: 1609892124
PSYCHOLOGY INDIVIDUAL
GROUP THERAPY
100 NE RANDOLPH AVE
SUITE 110
PEORIA, IL 61606
PHONE: (309) 624-8572
E-PRESCRIBE: NO
ROGERS, LISA, PSYD
GENDER: F
NPI #: 1265460133
ADVANCED BEHAVIORAL
HEALTH
8600 N STATE ROUTE 91
SUITE 240
PEORIA, IL 61615
PHONE: (309) 683-5006
E-PRESCRIBE: NO
PERINO, ANTHONY R., PHD
GENDER: M
NPI #: 1093894248
OSF MEDICAL GROUP
7317 WILLOW LAKE COURT
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
PRIDDY, DAVID, PHD
GENDER: M
NPI #: 1669416749
INSTITUTE OF PHYSICAL
MEDICINE & REHAB/IPMR
6501 N SHERIDAN RD
PEORIA, IL 61605
PHONE: (309) 692-8670
E-PRESCRIBE: NO
719 N WILLIAM KUMPF
BLVD
PEORIA, IL 61605
PHONE: (309) 671-2950
E-PRESCRIBE: NO
SHEHORN, CATHY A., PHD
GENDER: F
NPI #: 1508050832
OSF MEDICAL GROUP
7317 WILLOW LAKE COURT
PEORIA, IL 61614
PHONE: (309) 683-7373
E-PRESCRIBE: NO
STANDARD, JEANINE R.,
PHD
GENDER: F
NPI #: 1790888311
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
TOOHILL, BARBARA, PSYD
GENDER: F
NPI #: 1205127784
THE ANTIOCH GROUP INC
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
PEORIA, IL
PLAINFIELD, IL
VELEZ, JANE, PSYD
GENDER: F
NPI #: 1699781260
PEORIA PSYCHOLOGICAL
ASSOCIATES
5505 N FAIRMONT DR
PEORIA, IL 61614
PHONE: (309) 689-6700
E-PRESCRIBE: NO
WEIDNER, DAVID C., PSYD
GENDER: M
NPI #: 1861699472
THE ANTIOCH GROUP
6615 N BIG HOLLOW RD
PEORIA, IL 61615
PHONE: (309) 692-6622
E-PRESCRIBE: NO
PITTSFIELD, IL
MENTAL HEALTH
BOCKHOLD, JOY K., LCSW
GENDER: F
NPI #: 1215163597
QUINCY MEDICAL GROUP
320 N MADISON
PITTSFIELD, IL 62363
PHONE: (217) 285-9601
E-PRESCRIBE: NO
PSYCHIATRY
WOERNER, PHILIP I., MD
GENDER: M
NPI #: 1952521791
COUNSELING CENTER OF
PIKE COUNTY
121 S MADISON
PITTSFIELD, IL 62363
PHONE: (217) 285-4436
E-PRESCRIBE: NO
Mental Health Care
PLAINFIELD, IL
MENTAL HEALTH
BEAUDRY, ASHLEY V., LCPC
GENDER: F
NPI #: 1518244656
EDGEWOOD CLINICAL
SERVICES
17422 S NAPERVILLE RD
SUITE 112
PLAINFIELD, IL 60544
PHONE: (630) 428-7890
E-PRESCRIBE: NO
COOK, MARY ANN, LCPC
GENDER: F
NPI #: 1184899387
ALLIANCE COUNSELING &
COACHING LLC
24014 S RENWICK RD
PLAINFIELD, IL 60544
PHONE: (815) 467-8181
E-PRESCRIBE: NO
CULEN, KATHLEEN B., LCSW
GENDER: F
NPI #: 1255614939
EDGEWOOD CLINICAL
SERVICES
17422 S NAPERVILLE RD
SUITE 112
PLAINFIELD, IL 60544
PHONE: (630) 428-7890
E-PRESCRIBE: NO
FRANKLIN, JULIE C., LCSW
GENDER: F
NPI #: 1881992774
EDGEWOOD CLINICAL
SERVICES
17422 S NAPERVILLE RD
SUITE 112
PLAINFIELD, IL 60544
PHONE: (630) 428-7890
E-PRESCRIBE: NO
GADOMSKI, REBECCA A.,
LCSW
GENDER: F
NPI #: 1255455838
EDGEWOOD CLINICAL
SERVICES
17422 S NAPERVILLE RD
SUITE 112
PLAINFIELD, IL 60544
PHONE: (630) 428-7890
E-PRESCRIBE: NO
HEUERTZ, STEVEN M., LCSW
GENDER: M
NPI #: 1124355672
EDGEWOOD CLINICAL
SERVICES
17422 S NAPERVILLE RD
SUITE 112
PLAINFIELD, IL 60544
PHONE: (630) 428-7890
E-PRESCRIBE: NO
KOCH, ABBY J., LCSW
GENDER: F
NPI #: 1710201579
EDGEWOOD CLINICAL
SERVICES
17422 S NAPERVILLE RD
SUITE 112
PLAINFIELD, IL 60544
PHONE: (630) 428-7890
E-PRESCRIBE: NO
NEUGEBAUER, MIRIAM C.,
LCSW
GENDER: F
NPI #: 1194031716
EDGEWOOD CLINICAL
SERVICES
17422 S NAPERVILLE RD
SUITE 112
PLAINFIELD, IL 60544
PHONE: (630) 428-7890
E-PRESCRIBE: NO
456
PLAINFIELD, IL
PONTIAC, IL
Mental Health Care
RUSSO, ADAM J., LCSW
GENDER: M
NPI #: 1780740217
EDGEWOOD CLINCAL
SERVICES
17422 S NAPERVILLE RD
SUITE 112
PLAINFIELD, IL 60544
PHONE: (630) 428-7890
E-PRESCRIBE: NO
WIESE, STEPHANIE A., LCPC
GENDER: F
NPI #: 1316192982
EDGEWOOD CLINICAL
SERVICES
17422 S NAPERVILLE RD
SUITE 112
PLAINFIELD, IL 60544
PHONE: (630) 428-7890
E-PRESCRIBE: NO
BRENDALEN, SHERRY M.,
LCPC
GENDER: F
NPI #: 1518162676
INSTITUTE FOR HUMAN
RESOURCES
310 E TORRANCE AVE
PONTIAC, IL 61764
PHONE: (815) 844-6109
E-PRESCRIBE: NO
VAUGHAN, DEBORAH M.,
LCPC
GENDER: F
NPI #: 1134452642
EDGEWOOD CLINICAL
SERVICES
17422 S NAPERVILLE RD
SUITE 112
PLAINFIELD, IL 60544
PHONE: (630) 428-7890
E-PRESCRIBE: NO
PSYCHOLOGY
DEAL, LINDSEY, LSW
GENDER: F
NPI #: 1619253648
INSTITUTE FOR HUMAN
RESOURCES
310 E TORRANCE AVE
PONTIAC, IL 61764
PHONE: (815) 844-6109
E-PRESCRIBE: NO
WAITKUS, JENNIFER E.,
LCPC
GENDER: F
NPI #: 1265735096
EDGEWOOD CLINICAL
SERVICES
17422 S NAPERVILLE RD
SUITE 112
PLAINFIELD, IL 60544
PHONE: (630) 428-7890
E-PRESCRIBE: NO
WERRBACH, MAUREEN L.,
LCPC
GENDER: F
NPI #: 1972899706
EDGEWOOD CLINICAL
SERVICES
17422 S NAPERVILLE RD
SUITE 112
PLAINFIELD, IL 60544
PHONE: (630) 428-7890
E-