2018 illinois provider directory - wellcare

CAD_09020M_0118 ©WellCare 2018

IL7IMDDIR09020M_00CL

2018

ILLINOISPROVIDER DIRECTORY

Adams, Brown, Calhoun, Cass, Champaign, Christian, Clark, Coles,Cumberland, De Witt, Douglas, Edgar, Ford, Greene, Hancock,Iroquois, Jersey, Livingston, Logan, Macon, Macoupin, Mason,

McDonough, McLean, Menard, Montgomery, Morgan, Moultrie, Piatt,Pike, Sangamon, Schuyler, Scott, Shelby, Vermillion

Table of Contents

IL7IMDDIR09020M_00CL

Provider DirectoryIntroduction IHow to Read Our Provider Listings IIIcon Guide II

List of Plan ProvidersPrimary Care Physicians

Adams 1Coles 2Cumberland 3Douglas 4Iroquois 5Macon 6Macoupin 7McLean 8Piatt 9

Specialty PhysiciansAdams 10Cass 12Champaign 13Christian 14Coles 15Douglas 16Edgar 17Iroquois 18Jersey 19Livingston 20Logan 21Macon 22Macoupin 25McDonough 28McLean 29Piatt 32Pike 33Sangamon 34Shelby 39

List of Plan ProvidersAncillary Providers

Adams 40All 41Champaign 42Christian 43Clark 44Coles 45Cumberland 46Douglas 47Edgar 48Ford 49Hancock 50Iroquois 51Jersey 52Livingston 53Logan 54Macon 55Macoupin 56McDonough 57McLean 58Montgomery 59Morgan 60Moultrie 61Piatt 62Pike 63Sangamon 64Schuyler 65Shelby 66

Allied ProvidersChampaign 67Coles 68Cumberland 69Douglas 70Iroquois 71Jersey 72

List of Plan ProvidersAllied Providers

Livingston 73Logan 74Macon 75Macoupin 76McLean 77Morgan 78Piatt 79Sangamon 80

PharmacyAdams 81Brown 82Calhoun 83Cass 84Champaign 85Christian 87Clark 88Coles 89Cumberland 90De Witt 91Douglas 92Edgar 93Ford 94Greene 95Hancock 96Iroquois 97Jersey 98Livingston 99Logan 100Macon 101Macoupin 103Mason 104McDonough 105McLean 106Menard 108

List of Plan ProvidersPharmacy

Montgomery 109Morgan 110Moultrie 111Piatt 112Pike 113Sangamon 114Schuyler 117Scott 118Shelby 119

www.harmonyhpi.com | I

Here is your Harmony Health Plan provider directory. It lists all of the providers in our network.These providers include:

• Primary care providers (PCPs) and specialists• Hospitals• Pharmacies

Each of these providers will make his or her own decisions about the care you need. HarmonyHealth Plan is not responsible for these decisions. Some providers may not perform certainservices due to their religious or moral beliefs.

We've listed all of the providers by county. Then we've grouped them together by the type ofcare or services they give. We've also included:

• The providers' addresses and phone numbers• Symbols to tell you whether the provider is accepting new patients, board certified or

wheelchair accessible

We have a provider look-up tool on our website. Go to www.harmonyhpi.com. Then click onthe "Find a Provider" icon. You'll be able to search for providers right in your area. This is thebest place to get our most current directory information.

You can report an inaccurate provider listing by emailing us [email protected] or by calling our toll-free number 1-800-608-8158.TTY/TDD users can call 1-877-650-0952.

Call us if you have questions about this directory. We can help you find a provider. We caneven help set up an appointment for you. Our toll-free number is 1-800-608-8158. TTY/TDDusers can call 1-877-650-0952. You can reach us Monday-Friday, 8 a.m. to 5 p.m.

We wish you good health.

How to Read Our Provider Listings

Icon Guide

Smith, Joe, MD Provider ID: 111111

Your Family Medical Center

Male

123 Main Street Anytown, FL 12345 (555) 555-5555

00 Yrs/99 Yrs

Sunshine Hospital

Language: Spanish

9:00 am-5:00 pm

PCMH: YES/NO. Level 1, 2, 3

Provider name

Practice name

Provider gender

Language spoken by provider or staff

Hours of operation

Takes part in the PCMH* Model

Provider address and phone number {

Indicates provider has wheelchair access

Indicates provider is board certified

Indicates provider is not accepting new patients

Hospital the provider is associated with

Ages of patients seen by provider

Indicates provider is board certified

Indicates provider has wheelchair access

Indicates provider is not accepting new patients

*PCMH stands for Patient Centered Medical Home. This is a way of giving care that involves a team of health care professionals. The team works together to meet the needs of each patient. Providers are placed in one of three levels; Level 1 (lowest), Level 2 and Level 3 (highest).

www.harmonyhpi.com | II

www.harmonyhpi.com | III

Este es su directorio de proveedores de Harmony Health Plan. Aquí se listan todos losproveedores en nuestra red. Estos proveedores incluyen:

• Proveedores de cuidado primario (PCP) y especialistas• Hospitales• Farmacias

Cada uno de estos proveedores tomará sus propias decisiones sobre el cuidado que ustednecesita. Harmony Health Plan no es responsable de esas decisiones. Es posible que algunosproveedores no proporcionen ciertos servicios debido a sus creencias religiosas o morales.

Hemos listado a todos los proveedores por condado. Luego los hemos agrupado por el tipo decuidado o servicios que ofrecen. También hemos incluido:

• Las direcciones y los números de teléfono de los proveedores• Símbolos para indicarle si el proveedor está aceptando nuevos pacientes, si es certificado

por una junta o si cuenta con acceso para silla de ruedas

En nuestro sitio web contamos con una herramienta de búsqueda de proveedores. Visitewww.harmonyhpi.com. Luego haga clic en el icono “Find a Provider” (Buscar un proveedor).Usted podrá buscar proveedores exactamente en su área. Este es el mejor lugar para obtenernuestra información de directorio más actual.

Puede reportar una lista de proveedores inexactos enviándonos un correo elcetrónico [email protected] o llamando a nuestro número gratuito 1-800-608-8158.Los usuarios de TTY/TDD pueden llamar al 1-877-650-0952.

Si tiene alguna pregunta sobre este directorio, llámenos. Podemos ayudarle a encontrar unproveedor. Incluso podemos ayudarle a programar una cita. Nuestro número sin cargo es1-800-608-8158. Los usuarios de TTY/TDD pueden llamar al 1-877-650-0952. Puedecomunicarse con nosotros de lunes a viernes de 8 a.m. a 5 p.m.

Le deseamos una buena salud.

Cómo leer nuestros listados de proveedores

Guía de íconos

Sexo del proveedor

Idioma hablado por el proveedor o personal

Horario de atención

Participa en el modelo PCMH*

Dirección y número de teléfono del proveedor

Indica que el proveedor tiene acceso para silla de ruedas

Indica que el proveedor no está aceptando a nuevos pacientes

Hospital con el que está asociado el proveedor

Edades de pacientes vistos por el proveedor

Indica que el proveedor es certificado por la junta médica

Indica que el proveedor tiene acceso para silla de ruedas

Indica que el proveedor no está aceptando a nuevos pacientes

*PCMH se refiere a Hogar Médico Enfocado en el Paciente. Es una manera de proporcionar cuidado que involucra a un equipo de profesionales de la salud. El equipo trabaja en conjunto para satisfacer las necesidades de cada paciente. Los proveedores son asignados a uno de tres niveles: Nivel 1 (el más bajo), Nivel 2 y Nivel 3 (el más alto).

Nombre del proveedor

Nombre de la práctica

{

Smith, Joe, MD Provider ID: 111111

Your Family Medical Center

Male

123 Main Street Anytown, FL 12345 (555) 555-5555

00 Yrs/99 Yrs

Sunshine Hospital

Language: Spanish

9:00 am-5:00 pm

PCMH: YES/NO. Level 1, 2, 3

Indica que el proveedor es certificado por la junta médica

www.harmonyhpi.com | IV

Spanish to English Provider Types*/Tipos de proveedores de español a inglés*

Español InglésAcupuntura Acupuncture

Psiquiatría de adicciones

Addiction Psychiatry

Medicina para adolescentes

Adolescent Medicine

Servicios de acompañante para adultos

Adult Companion Services

Cuidado diurno para adultos

Adult Day Care

Hogar de cuidado sustituto para adultos

Adult Foster Care Home

Cuidado médico diurno para adultos

Adult Medical Day Care

Cuidado residencial para adultos

Adult Residential Care Home

Administración de casos enfocados en adultos

Adult Targeted Case Management

Centro para tratar el SIDA

AIDS Center

Alergias e inmunología Allergy & Immunology

Centro de cirugía ambulatoria

Ambulatory Surgery Center

Servicios de vida asistida

Assisted Living Services

Audiología Audiology

Asesoramiento en salud del comportamiento

Behavioral Health Counseling

Centro de salud del comportameinto

Behavioral Health Facility

Centro de maternidad Birthing Center

Laboratorio de cateterismo cardíaco

Cardiac Cath Laboratory

Español InglésElectrofisiología cardíaca

Cardiac Electrophysiology

Monitoreo cardíaco Cardiac Monitoring

Cardiología Cardiology

Cirugía cardiovascular Cardiovascular Surgery

Cirugía cardiovascular Cardiovascular Surgery

Servicios de administración de casos

Case Management Services

Pediatría de abuso infantil

Child Abuse Pediatrics

Centro de desarrollo para niños

Child Development Center

Administración de casos enfocados en niños

Children Targeted Case Management

Niños con necesidades especiales de cuidado de la salud

Children With Special Health Care Needs

Quiropráctica Chiropractic

Servicios de tareas domésticas y limpieza del hogar

Chore/Housekeeping Services

Clínica Clinic

Neurofisiología clínica

Clinical Neurophysiology

Cirugía de colon y recto

Colon & Rectal Surgery

Centro de salud comunitario

Community Health Center

Centro de salud mental comunitario

Community Mental Health Center

Junta de servicios a la comunidad

Community Service Board

www.harmonyhpi.com | V

Español InglésCirugía cardíaca congénita

Congenital Cardiac Surgery

Servicios de suministros médicos descartables

Consumable Medical Supply Services

Clínica de cuidado conveniente

Convenient Care Clinic

Hospital de acceso crítico

Critical Access Hospital

Odontología Dentistry

Dermatología Dermatology

Dermatopatología Dermatopathology

Centro designado para el sida

Designated Aids Center

Educación sobre la diabetes

Diabetes Education

Centro de diagnóstico y tratamiento

Diagnostic And Treatment Center

Centro de diagnóstico Diagnostic Center

Diagnóstico por imágenes

Diagnostic Imaging

Diálisis Dialysis

Equipo médico duradero

Durable Medical Equipment

Otorrinolaringología Ear, Nose & Throat

Endocrinología, diabetes, metabolismo

Endocrinology, Diabetes, Metabolism

Endodoncia EndodonticsServicios de adaptaciones de accesibilidad al entorno

Environmental Accessibility Adaptation Services

Servicios especiales de EPSDT

EPSDT Special Services

Servicios de acompañante

Escort Services

Español InglésPlanificación familiar Family Planning

Medicina familiar Family Practice

Servicios de capacitación familiar

Family Training Services

Centro de salud con calificación federal

Federally Qualified Health Center

Servicios de evaluación/reducción de riesgos financieros

Financial Risk Assessment/Risk Reduction Services

Centro de aptitud física

Fitness Center

Gastroenterología Gastroenterology

Gastroenterología y hepatología

Gastroenterology & Hepatology

Medicina general General Practice

Cirugía general General Surgery

Asesoramiento genético

Genetic Counseling

Medicina geriátrica Geriatric Medicine

Psiquiatría geriátrica Geriatric Psychiatry

Oncología ginecológica

Gynecological Oncology

Ginecología Gynecology

Cirugía de la mano Hand Surgery

Oncología de cabeza y cuello

Head & Neck Oncology

Cirugía de cabeza y cuello

Head & Neck Surgery

Control de la seguridad de la salud

Health Safety Monitoring

Proveedor de audífonos

Hearing Aid Supplier

Terapia y especialista en audífonos

Hearing Aid Therapy & Specialist

Hematología Hematology

www.harmonyhpi.com | VI

Español InglésHematología y oncología

Hematology & Oncology

VIH/SIDA HIV/AIDS

Comidas entregadas a domicilio

Home-Delivered Meals

Cuidado de la salud en el hogar

Home Health Care

Hospicio Hospice

Cuidado de hospicio y paliativo

Hospice & Palliative Care

Hospital Hospital

Servicios de limpieza del hogar y tareas domésticas

Housekeeping/Chore Services

Medicina hiperbárica Hyperbaric Medicine

Enfermedades infecciosas

Infectious Disease

Terapia de infusión Infusion Therapy

Medicina interna Internal Medicine

Pruebas de laboratorio de patología

Laboratory Pathology Testing

Agencia licenciada de servicios de cuidado en el hogar

Licensed Home Care Service Agency

Litotripsia Lithotripsy

Imágenes por resonancia magnética

Magnetic Resonance Imaging

Mamografía Mammography

Masoterapia Massage Therapy

Medicina maternofetal

Maternal Fetal Medicine

Genética médica Medical Genetics

Oncología médica Medical Oncology

Administración de medicamentos

Medication Administration

Español InglésDiagnóstico con equipos portátiles

Mobile Diagnostic

MRI, equipos abiertos MRI Open

Medicina perinatal neonatal

Neonatal Perinatal Medicine

Nefrología Nephrology

Neurooncología Neuro Oncology

Discapacidades del desarrollo neurológico

Neurodevelopmental Disabilities

Neurodiagnóstico Neurodiagnostic

Neurología Neurology

Neurología/otología Neurology/Otology

Medicina neuromuscular

Neuromuscular Medicine

Neurooncología Neuro-Oncology

Neuropsicología Neuropsychology

Neurorradiología Neuroradiology

Neurocirugía Neurosurgery

Servicios de transporte sin carácter de emergencia

Non-Emergency Transportation

Cardiología nuclear Nuclear Cardiology

Medicina nuclear Nuclear Medicine

Radiología nuclear Nuclear Radiology

Enfermeras parteras Nurse Midwife

Nutrición NutritionObstetricia ObstetricsObstetricia/Ginecología

Obstetrics/Gynecology

Medicina ocupacional Occupational Medicine

Terapia ocupacional Occupational Therapy

Oftalmología Ophthalmology

www.harmonyhpi.com | VII

Español InglésÓptico OpticianOptometría OptometryCirugía oral y maxilofacial

Oral & Maxillofacial Surgery

Ortodoncia OrthodonticsCirugía ortopédica Orthopaedic SurgeryOrtésica OrthoticsOrtopedia y prostética

Orthotics & Prosthetics

Establecimiento quirúrgico para pacientes ambulatorios

Outpatient Surgical Facility

Tratamiento del dolor

Pain Management

Apoyo para el tratamiento del el dolor

Pain Management Support

Alergias e inmunología pediátricas

Pediatric Allergy & Immunology

Medicina pediátrica del comportamiento

Pediatric Behavioral Medicine

Monitoreo cardíaco pediátrico

Pediatric Cardiac Monitoring

Cardiología pediátrica Pediatric CardiologyCirugía cardiovascular pediátrica

Pediatric Cardiovascular Surgery

Dermatología pediátrica

Pediatric Dermatology

Otorrinolaringología pediáatrica

Pediatric Ear, Nose & Throat

Endocrinología pediátrica

Pediatric Endocrinology

Gastroenterología pediátrica

Pediatric Gastroenterology

Genética pediátrica Pediatric Genetics

Español InglésHematología/oncología pediátricas

Pediatric Hematology/Oncology

Enfermedades infecciosas pediátricas

Pediatric Infectious Disease

Nefrología pediátrica Pediatric Nephrology

Neurología pediátrica Pediatric Neurology

Neurocirugía pediátrica

Pediatric Neurosurgery

Oncología pediátrica Pediatric Oncology

Oftalmología pediátrica

Pediatric Ophthalmology

Ortopedia pediátrica Pediatric Orthopaedics

Cirugía ortopédica pediátrica

Pediatric Orthopedic Surgery

Psiquiatría pediátrica Pediatric Psychiatry

Neumonología pediátrica

Pediatric Pulmonology

Medicina de rehabilitación pediátrica

Pediatric Rehabilitation Medicine

Reumatología pediátrica

Pediatric Rheumatology

Medicina deportiva pediátrica

Pediatric Sports Medicine

Cirugía pediátrica Pediatric Surgery

Hepatología pediátrica y trasplante

Pediatric Transplant Hepatology

Urología pediátrica Pediatric Urology

Pediatría Pediatrics

Comportamiento y desarollo pediátrico

Pediatrics Behavioral & Developmental

Pedodoncia Pedodontics

Periodoncia Periodontics

www.harmonyhpi.com | VIII

Español InglésServicios de cuidado personal

Personal Care Services

Servicios personales de respuesta de emergencias

Personal Emergency Response System

Farmacia Pharmacy

Medicina física y rehabilitación

Physical Medicine & Rehabilitation

Terapia física Physical Therapy

Laboratorio de fisiología

Physiological Lab

Cirugía plástica y reconstructiva

Plastic & Reconstructive Surgery

Podiatría Podiatry

Medicina preventiva Preventive Medicine

Centro de cuidado primario

Primary Care Center

Aparatos protésicos Prosthetics

Prostodoncia Prosthodontics

Psiquiatría Psychiatry

Psicología Psychology

Medicina psicosomática

Psychosomatic Medicine

Enfermedad pulmonar

Pulmonary Disease

Oncología radioterápica

Radiation Oncology

Radioterapia Radiation Therapy

Centro de radioterapia

Radiation Therapy Center

Radiología intervencional y vascular

Radiology - Interventional & Vascular

Español InglésCentro de rehabilitación

Rehabilitation Facility

Medicina de rehabilitación

Rehabilitation Medicine

Terapia de rehabilitación

Rehabilitation Therapy

Endocrinología reproductiva

Reproductive Endocrinology

Terapia respiratoria Respiratory Therapy

Servicios de cuidado de relevo

Respite Care Services

Reumatología Rheumatology

Centro de salud rural Rural Health Center

Cuidado autodirigido Self-Directed Care

Centro de enfermería especializada

Skilled Nursing Facility

Estudios de diagnóstico del sueño

Sleep Diagnostic Studies

Medicina del sueño Sleep Medicine

Cuidado diurno social

Social Day Care

Terapia del habla Speech Therapy

Medicina para lesiones de médula espinal

Spinal Cord Injury Medicine

Medicina deportiva Sports Medicine

Cuidado subagudo Sub-Acute Care

Abuso de sustancias Substance Abuse

Oncología quirúrgica Surgical Oncology

Monitoreo telecardíaco

Tele-Cardiac Monitoring

Cirugía torácica y cardiovascular

Thoracic & Cardiovascular Surgery

Cirugía torácica Thoracic Surgery

www.harmonyhpi.com | IX

* These are only some of the provider types. You can find a specific kind of provider in the Specialty Index. It can be found in the back of this book.

* Estos son solo algunos de los tipos de proveedores. Usted puede encontrar un tipo específico de proveedor en el Índice de especialidades que encontrará en la parte posterior de este libro.

Español InglésTórax/sistema vascular

Thoracic/Vascular

Hepatología de trasplante

Transplant Hepatology

Centro de cuidado urgente

Urgent Care Center

Urología Urology

Español InglésOncología urológica Urology Oncology

Urología/ginecología Urology/Gynecology

Laboratorio vascular Vascular Lab

Medicina vascular Vascular Medicine

Cirugía vascular Vascular Surgery

www.harmonyhpi.com | X

List of Plan Providers

Primary Care PhysiciansAdams

Updated: 11/21/2017

www.harmonyhpi.com | 1

Federally QualifiedHealth Center

Clarity HealthcareProvider ID: 1349690Preferred Family Healthcare In540 Harrison StQuincy, IL 62301(573) 603-1460Fax: (573) 603-146218 Yrs/130 YrsPCMH: NoMaximus ID: 1054097

Primary Care PhysiciansColes

Updated: 11/21/2017



Sihf Charleston MedicalCenter

Provider ID: 1051374Southern Illinois Healthcare F415 18th StCharleston, IL 61920(217) 345-7702Fax: (217) 345-770500 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: NoMaximus ID: 2454107

Primary Care PhysiciansCumberland

Updated: 11/21/2017



Sihf Cumberland CountyHealth Care Center

Provider ID: 1051380Southern Illinois Healthcare F302 N Mill StGreenup, IL 62428(217) 923-3311Fax: (217) 923-516000 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: NoMaximus ID: 2654099

Primary Care PhysiciansDouglas

Updated: 11/21/2017


Family Practice

Bowsher, Tanya ApnProvider ID: 1487948Gender: FemaleKirby Medical Center108 S Main StAtwood, IL 61913(217) 578-381400 Yrs/130 YrsMWTH 8:00 AM - 4:30 PMT 8:00 AM - 12:00 PMF 8:00 AM - 4:00 PMPCMH: No

Guzlas, Kelly NpProvider ID: 1487953Gender: FemaleKirby Medical Center108 S Main StAtwood, IL 61913(217) 578-381400 Yrs/130 YrsMWTH 8:00 AM - 4:30 PMT 8:00 AM - 12:00 PMF 8:00 AM - 4:00 PMPCMH: No

Huang, Evelyn MDProvider ID: 1487958Gender: FemaleKirby Medical Center108 S Main StAtwood, IL 61913(217) 578-381400 Yrs/130 YrsMWTH 8:00 AM - 4:30 PMT 8:00 AM - 12:00 PMF 8:00 AM - 4:00 PMPCMH: No

Manint, James DOProvider ID: 1487993Gender: MaleKirby Medical Center108 S Main StAtwood, IL 61913(217) 578-381400 Yrs/130 YrsM 1:00 AM - 5:00 PMPCMH: No

Soper, Nicole ApnProvider ID: 1488016Gender: FemaleKirby Medical Center108 S Main StAtwood, IL 61913(217) 578-381400 Yrs/130 YrsMWTH 8:00 AM - 4:30 PMT 8:00 AM - 12:00 PMF 8:00 AM - 4:00 PMPCMH: No

Yocks, Brian MDProvider ID: 1488030Gender: MaleKirby Medical Center108 S Main StAtwood, IL 61913(217) 578-381400 Yrs/130 YrsM 1:00 AM - 5:00 PMPCMH: No

Internal Medicine

Mandhan, Narain MDProvider ID: 1487989Gender: MaleKirby Medical Center108 S Main StAtwood, IL 61913(217) 578-381400 Yrs/130 YrsLanguages: Hindi, Urdu, SindhiM 1:00 AM - 5:00 PMPCMH: No

Primary Care PhysiciansIroquois

Updated: 11/21/2017


Family Practice

Khaper, Bhupinder MD

Provider ID: 1307811Gender: MaleRiverside Health Systems1490 E Walnut St Ste AWatseka, IL 60970(815) 432-7693Fax: (815) 936-722802 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 4695238

Primary Care PhysiciansMacon

Updated: 11/21/2017


Internal Medicine

Newlin, John MDProvider ID: 719789Gender: MaleJohn W Newlin MD302 W Hay St Ste 130Decatur, IL 62526(217) 872-8100Fax: (217) 872-810118 Yrs/130 YrsMTWF 8:00 AM - 5:00 PMTH 7:00 AM - 12:00 PMPCMH: NoMaximus ID: 6395237

Primary Care PhysiciansMacoupin

Updated: 11/21/2017



Sihf Bunker Hill Health Center

Provider ID: 983778Southern Illinois Healthcare F144 N Washington StBunker Hill, IL 62014(618) 585-6290Fax: (618) 585-629500 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: NoMaximus ID: 6454112

Primary Care PhysiciansMcLean

Updated: 11/21/2017



Chestnut Family HealthCenter

Provider ID: 1075487Chestnut Health Systems720 W Chestnut StBloomington, IL 61701(309) 557-1400Fax: (309) 557-146100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: NoMaximus ID: 7254077

Primary Care PhysiciansPiatt

Updated: 11/21/2017


Family Practice

Guzlas, Kelly NpProvider ID: 1487950Gender: FemaleKirby Medical Center1000 Medical Center DrMonticello, IL 61856(217) 762-624100 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Huang, Evelyn MDProvider ID: 1487955Gender: FemaleKirby Medical Center1000 Medical Center DrMonticello, IL 61856(217) 762-624100 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Manint, James DOProvider ID: 1487990Gender: MaleKirby Medical Center1000 Medical Center DrMonticello, IL 61856(217) 762-624100 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Soper, Nicole ApnProvider ID: 1488011Gender: FemaleKirby Medical Center1000 Medical Center DrMonticello, IL 61856(217) 762-624100 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Yocks, Brian MDProvider ID: 1488024Gender: MaleKirby Medical Center1000 Medical Center DrMonticello, IL 61856(217) 762-624100 Yrs/130 YrsM 7:00 AM - 12:00 PMTWTH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Internal Medicine

Mandhan, Narain MDProvider ID: 1487986Gender: MaleKirby Medical Center1000 Medical Center DrMonticello, IL 61856(217) 762-624100 Yrs/130 YrsLanguages: Hindi, Urdu, SindhiM 7:00 AM - 12:00 PMTWTH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Specialty PhysiciansAdams

Updated: 11/21/2017


Family Practice

Daniels, James MDProvider ID: 1488770Gender: MaleAdams County HealthDepartment330 Vermont StQuincy, IL 62301(217) 222-8440Fax: (217) 222-850800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

General Dentistry

Castro, Sharon DDSProvider ID: TPVP37419-01Gender: FemaleClarity Healthcare540 Harrison StQuincy, IL 62301(217) 222-6277Fax: (573) 603-146200 Yrs/99 YrsMT 1:00 AM - 5:00 PMPCMH: No

Castro, Sharon DDSProvider ID: TPVP37419-02Gender: FemaleClarity Healthcare639 York StQuincy, IL 62301(217) 222-6277Fax: (573) 603-146200 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Cavitt, Mary DDSProvider ID: TPVP63677-06Gender: FemaleAdams County HealthDepartment330 VermontQuincy, IL 62301(217) 222-8440Fax: (217) 222-850800 Yrs/99 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Corona, Aleena DDSProvider ID: TPVP152193-01Gender: FemaleClarity Healthcare639 York StQuincy, IL 62301(217) 222-6277Fax: (573) 603-146200 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Corona, Aleena DDSProvider ID: TPVP152193-02Gender: FemaleClarity Healthcare540 Harrison StQuincy, IL 62301(217) 222-6277Fax: (573) 603-146200 Yrs/99 YrsMT 1:00 AM - 5:00 PMPCMH: No

Crocks, Sara DMDProvider ID: TPVP156419-01Gender: FemaleAdams County HealthDepartment330 VermontQuincy, IL 62301(217) 222-8440Fax: (217) 222-850800 Yrs/99 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Gregory, Richard DDSProvider ID: TPVP152178-01Gender: MaleAdams County HealthDepartment330 VermontQuincy, IL 62301(217) 222-8440Fax: (217) 222-850800 Yrs/99 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Lucas Stoner, Tina DMDProvider ID: TPVP134521-01Gender: FemaleAdams County HealthDepartment330 VermontQuincy, IL 62301(217) 222-8440Fax: (217) 222-850800 Yrs/99 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Pritts, Jennifer DMDProvider ID: TPVP147216-01Gender: FemaleAdams County HealthDepartment330 VermontQuincy, IL 62301(217) 222-8440Fax: (217) 222-850800 Yrs/99 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Shah, Sayed Haroon DMDProvider ID: TPVP64787-03Gender: MaleAdams County HealthDepartment330 VermontQuincy, IL 62301(217) 222-8440Fax: (217) 222-850800 Yrs/99 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Smith, Douglas DDSProvider ID: TPVP152285-01Gender: MaleClarity Healthcare639 York StQuincy, IL 62301(217) 222-6277Fax: (573) 603-146200 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Smith, Douglas DDSProvider ID: TPVP152285-02Gender: MaleClarity Healthcare540 Harrison StQuincy, IL 62301(217) 222-6277Fax: (573) 603-146200 Yrs/99 YrsMT 1:00 AM - 5:00 PMPCMH: No

Terstriep, Christina DMDProvider ID: TPVP153324-01Gender: FemaleAdams County HealthDepartment330 VermontQuincy, IL 62301(217) 222-8440Fax: (217) 222-850800 Yrs/99 YrsM-F 7:00 AM - 5:00 PMPCMH: No

Optometry

Botts, Eric ODProvider ID: TPV1457301368-0Gender: MaleDr Eric Botts Associates5211 Broadway StQuincy, IL 62305(217) 223-9980Fax: (217) 223-998301 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: No

Eilenfeldt, Pamela ODProvider ID: TPV1114075645-0Gender: FemaleDr Eric Botts Associates5211 Broadway StQuincy, IL 62305(217) 223-9980Fax: (217) 223-998301 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: No

Specialty PhysiciansAdams

Updated: 11/21/2017


Optometry - cont.

Obrien, Eric ODProvider ID: TPV1386931921-0Gender: MaleDr Eric Botts Associates5211 Broadway StQuincy, IL 62305(217) 223-9980Fax: (217) 223-998301 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PMPCMH: No

Sports Medicine

Daniels, James MDProvider ID: 1488770Gender: MaleAdams County HealthDepartment330 Vermont StQuincy, IL 62301(217) 222-8440Fax: (217) 222-850800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Substance Abuse

Preferred Family HealthcareInc

Provider ID: 1160124Preferred Family Healthcare In428 S 36th StQuincy, IL 62301(217) 224-6300Fax: (217) 224-432918 Yrs/130 YrsPCMH: No

Specialty PhysiciansCass

Updated: 11/21/2017


General Dentistry

Aleman, Erin DMDProvider ID: TPVP152532-01Gender: FemaleCass County Public HealthDental Clinic331 S Main StVirginia, IL 62691(217) 452-305700 Yrs/99 YrsLanguages: SpanishMTWF 8:30 AM - 4:30 PMTH 10:00 AM - 6:00 PMPCMH: No

Specialty PhysiciansChampaign

Updated: 11/21/2017


General Dentistry

Choi, Han-Tae DDSProvider ID: TPVP145533-03Gender: MaleFamilia Dental Champaign LLC1905 W Springfield AveChampaign, IL 61821(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Deena Dayalu Naidu, JyothiDDS

Provider ID: TPVP167809-03Gender: FemaleFamilia Dental Champaign LLC1905 W Springfield AveChampaign, IL 61821(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Jae, Seunghyun DMDProvider ID: TPVP145522-03Gender: MaleFamilia Dental Champaign LLC1905 W Springfield AveChampaign, IL 61821(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsLanguages: KoreanM-F 9:00 AM - 5:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Kim, Ilsoon DDSProvider ID: TPVP145534-03Gender: MaleFamilia Dental Champaign LLC1905 W Springfield AveChampaign, IL 61821(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Xu, Yudong DDSProvider ID: TPVP64870-01Gender: MaleAngel Smiles Dental Center730 Enterprise DrRantoul, IL 61866(217) 892-8868Fax: (217) 892-886900 Yrs/99 YrsLanguages: ChineseM-TH 8:30 AM - 5:00 PMPCMH: No

General Surgery

Jones, Douglas MDProvider ID: 1487960Gender: MaleKirby Medical Center101 W University Ave ChristieClinicChampaign, IL 61820(217) 366-122800 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Singh, Harbinder MD

Provider ID: 1114598Gender: MaleCardiac Surgery Associates SC1405 W Park St Ste 303Urbana, IL 61801(217) 337-2924Fax: (217) 337-270318 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Optician

Eyemart Express LLCProvider ID: TPV1093113078-02515 N Prospect AveChampaign, IL 61822(217) 355-0354Fax: (903) 831-567201 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 5:00 PMPCMH: No

Optometry

Kruger, David ODProvider ID: TPV1063524775-0Gender: MaleDavid P Kruger OD845 Broadmeadow RdRantoul, IL 61866(217) 892-5095Fax: (217) 892-509703 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Substance Abuse

Pats Prevention andTreatment Servic

Provider ID: 1334756Pats Prevention andTreatment300 S Broadway Ave Ste 110AUrbana, IL 61801(217) 954-1128Fax: (217) 954-151412 Yrs/130 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Treatment Alternatives ForSafe Communi

Provider ID: 1286034Tasc Inc116 W Main StUrbana, IL 61801(217) 344-4546Fax: (217) 344-454112 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Thoracic & CardiovascularSurgery

Lutrin, Frank MDProvider ID: 403331Gender: MaleCardiac Surgery Associates SC1405 W Park St Ste 303Urbana, IL 61801(217) 337-2924Fax: (217) 337-270300 Yrs/130 YrsLanguages: FrenchM-F 9:00 AM - 4:00 PMPCMH: No

Singh, Harbinder MD

Provider ID: 1114598Gender: MaleCardiac Surgery Associates SC1405 W Park St Ste 303Urbana, IL 61801(217) 337-2924Fax: (217) 337-270318 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Tuchek, James DOProvider ID: 403418Gender: MaleCardiac Surgery Associates SC1405 W Park St Ste 303Urbana, IL 61801(217) 337-2924Fax: (708) 327-238218 Yrs/130 YrsM-F 9:00 AM - 4:00 PMPCMH: No

Specialty PhysiciansChristian

Updated: 11/21/2017


General Dentistry

Pladziewicz, Paul DDSProvider ID: TPVP142467-01Gender: MalePaul A Pladziewicz118 S Main StTaylorville, IL 62568(217) 824-7285Fax: (847) 954-263000 Yrs/99 YrsM-W 8:00 AM - 5:00 PMTH 8:00 AM - 12:00 PMPCMH: No

Specialty PhysiciansColes

Updated: 11/21/2017


Cardiology

Dande, Amit MDProvider ID: 953159Gender: MalePrairie Cardiovascular Consult500 Health Center Dr Ste 107Mattoon, IL 61938(217) 348-4960Fax: (217) 348-495118 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Dermatology

Leone, Douglas MDProvider ID: 1174799Gender: MaleDermatology and MohsSurgery L100 Deerpath RdCharleston, IL 61920(309) 451-3376Fax: (309) 452-337600 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Schupbach, Adrienne MD

Provider ID: 1157870Gender: FemaleDermatology and MohsSurgery L100 Deerpath RdCharleston, IL 61920(309) 451-3376Fax: (309) 452-337600 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

General Dentistry

Balda, Thuy DMDProvider ID: TPVP144410-02Gender: FemaleSihf Charleston MedicalCenter626 W Lincoln AveCharleston, IL 61920(217) 345-7702Fax: (217) 345-770500 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Chin, Anthony DDSProvider ID: TPVP138700-02Gender: MaleSihf Charleston MedicalCenter626 W Lincoln AveCharleston, IL 61920(217) 345-7702Fax: (217) 345-770500 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Coalson, Rebecca DMDProvider ID: TPVP138713-02Gender: FemaleSihf Charleston MedicalCenter626 W Lincoln AveCharleston, IL 61920(217) 345-7702Fax: (217) 345-770500 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Krishna, Jeena DDSProvider ID: TPVP159210-08Gender: FemaleSihf Charleston MedicalCenter626 W Lincoln AveCharleston, IL 61920(217) 345-7702Fax: (217) 345-770500 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Lindsay, Gary DMDProvider ID: TPVP138702-02Gender: MaleSihf Charleston MedicalCenter626 W Lincoln AveCharleston, IL 61920(217) 345-7702Fax: (217) 345-770500 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Madaio, William DMDProvider ID: TPVP138714-02Gender: MaleSihf Charleston MedicalCenter626 W Lincoln AveCharleston, IL 61920(217) 345-7702Fax: (217) 345-770500 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Pitale, Veerdhavat DDSProvider ID: TPVP138715-02Gender: MaleSihf Charleston MedicalCenter626 W Lincoln AveCharleston, IL 61920(217) 345-7702Fax: (217) 345-770500 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Preville, Megan DDSProvider ID: TPVP90849-02Gender: FemaleSihf Charleston MedicalCenter626 W Lincoln AveCharleston, IL 61920(217) 345-7702Fax: (217) 345-770500 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Riegel, Daniela DMDProvider ID: TPVP132137-02Gender: FemaleSihf Charleston MedicalCenter626 W Lincoln AveCharleston, IL 61920(217) 345-7702Fax: (217) 345-770500 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Ophthalmology

Miller, Ronald MDProvider ID: 1032049Gender: MaleJfj Eyecare LTD220 Richmond Ave EMattoon, IL 61938(217) 234-3937Fax: (217) 234-393000 Yrs/130 YrsSt Anthonys MemorialHospitaM-F 9:00 AM - 5:00 PMPCMH: No

Radiation Oncology

Cho, Seong MDProvider ID: 1091738Gender: MaleCancer Care Specialists ofCenter1000 Health Center Dr SarahBush Lincoln Cancer CenterMattoon, IL 61938(217) 258-2250Fax: (217) 258-224900 Yrs/130 YrsLanguages: KoreanM-F 8:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansDouglas

Updated: 11/21/2017


General Dentistry

Lin, Chan DMDProvider ID: TPVP129770-01Gender: FemaleDouglas County HealthDepartment1250 E US Hwy 36Tuscola, IL 61953(217) 253-4137Fax: (217) 253-342100 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 4:00 PMPCMH: No

Martinez, Austin DDSProvider ID: TPVP137760-01Gender: MaleDouglas County HealthDepartment1250 E US Hwy 36Tuscola, IL 61953(217) 253-4137Fax: (217) 253-342100 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 4:00 PMPCMH: No

Winfield, James DDSProvider ID: TPVP159225-01Gender: MaleDouglas County HealthDepartment1250 E US Hwy 36Tuscola, IL 61953(217) 253-4137Fax: (217) 253-342100 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 4:00 PMPCMH: No

Orthopaedic Surgery

Sams, Jacob MDProvider ID: 1488101Gender: MaleKirby Medical Center108 S Main StAtwood, IL 61913(217) 578-381400 Yrs/130 YrsM 9:00 AM - 5:00 PMPCMH: No

Sullivan, Donald MDProvider ID: 1488104Gender: MaleKirby Medical Center108 S Main StAtwood, IL 61913(217) 578-381400 Yrs/130 YrsM 9:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansEdgar

Updated: 11/21/2017


General Dentistry

Jernberg, Isaiah DDSProvider ID: TPVP142923-01Gender: MaleEdgar County Dental Clinic502 Shaw AveParis, IL 61944(217) 465-2212Fax: (217) 465-112100 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansIroquois

Updated: 11/21/2017


General Surgery

Williams, Gretchen DO

Provider ID: 1313137Gender: FemaleRiverside Health Systems1490 E Walnut St Ste AWatseka, IL 60970(815) 432-7693Fax: (815) 936-722800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Basha, Ahsan MDProvider ID: 1166542Gender: MaleRiverside Health Systems1490 W Walnut St Ste BWatseka, IL 60970(815) 432-0250Fax: (815) 432-521700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Sipahi, Mehmet MD

Provider ID: 1163004Gender: MaleRiverside Health Systems1490 E Walnut St Ste AWatseka, IL 60970(815) 432-0250Fax: (815) 432-521718 Yrs/130 YrsM 8:30 AM - 3:00 PMPCMH: No

Neurology

Dodt, Bruce MDProvider ID: 1159810Gender: MaleRiverside Health Systems1490 E Walnut St Ste AWatseka, IL 60970(815) 432-0250Fax: (815) 432-521700 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Neurosurgery

Harvey, Charles MD

Provider ID: 1159360Gender: MaleRiverside Health Systems1490 E Walnut StWatseka, IL 60970(815) 932-7200Fax: (815) 935-787400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Kim, Jun DOProvider ID: 1473220Gender: MaleRiverside Health Systems1490 E Walnut St Ste AWatseka, IL 60970(815) 432-7693Fax: (815) 936-722800 Yrs/130 YrsLanguages: KoreanM-TH 9:00 AM - 5:00 PMF 9:00 AM - 3:00 PMPCMH: No

Orthodontics

Rose, John DDSProvider ID: TPVP138639-02Gender: MaleDrs Martin Rose316 E Lincoln AveWatseka, IL 60970(815) 432-4924Fax: (815) 432-529100 Yrs/99 YrsM-TH 8:00 AM - 5:00 PMPCMH: No

Rheumatology

Sibai, Firas MDProvider ID: 1158462Gender: MaleRiverside Health Systems1490 E Walnut St Ste AWatseka, IL 60970(815) 432-0250Fax: (815) 432-521718 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansJersey

Updated: 11/21/2017


Cardiology

Al-Joundi, Bassam MD

Provider ID: 1118830Gender: MaleSSM Managed CareOrganization270 Maple Summit RdJerseyville, IL 62052(618) 498-7652Fax: (314) 729-396300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Al-Joundi, Bassam MD

Provider ID: 1118830Gender: MaleSSM Managed CareOrganization390 Maple Summit RdJerseyville, IL 62052(618) 498-7652Fax: (314) 729-396300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Assi, Nizar MDProvider ID: 1108296Gender: MaleSSM Managed CareOrganization270 Maple Summit RdJerseyville, IL 62052(618) 498-7453Fax: (314) 729-396300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Assi, Nizar MDProvider ID: 1108296Gender: MaleSSM Managed CareOrganization390 Maple Summit RdJerseyville, IL 62052(618) 498-7652Fax: (314) 729-396300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Younis, Liwa MDProvider ID: 743067Gender: MaleSSM Managed CareOrganization270 Maple Summit RdJerseyville, IL 62052(618) 498-7453Fax: (314) 729-396300 Yrs/130 YrsLanguages: French, ArabicM-F 9:00 AM - 5:00 PMPCMH: No

Younis, Liwa MDProvider ID: 743067Gender: MaleSSM Managed CareOrganization390 Maple Summitt RdJerseyville, IL 62052(618) 498-7652Fax: (314) 729-396300 Yrs/130 YrsLanguages: French, ArabicM-F 9:00 AM - 5:00 PMPCMH: No

Internal Medicine

Younis, Liwa MDProvider ID: 743067Gender: MaleSSM Managed CareOrganization270 Maple Summit RdJerseyville, IL 62052(618) 498-7453Fax: (314) 729-396300 Yrs/130 YrsLanguages: French, ArabicM-F 9:00 AM - 5:00 PMPCMH: No

Younis, Liwa MDProvider ID: 743067Gender: MaleSSM Managed CareOrganization390 Maple Summitt RdJerseyville, IL 62052(618) 498-7652Fax: (314) 729-396300 Yrs/130 YrsLanguages: French, ArabicM-F 9:00 AM - 5:00 PMPCMH: No

Psychiatry

Webster, Metodia MDProvider ID: 1044809Gender: FemaleJersey Community HospitalDBA270 Maple Summit RdJerseyville, IL 62052(618) 498-7108Fax: (618) 498-791918 Yrs/130 YrsSaint Anthonys Health CenterM-F 9:00 AM - 5:00 PMPCMH: No

Substance Abuse

Centerstone of Illinois Inc

Provider ID: 1250758221 E County RdJerseyville, IL 62052(618) 638-2010Fax: (618) 639-201500 Yrs/130 YrsM-F 6:00 AM - 8:30 PMPCMH: No


Provider ID: 1250765118 Krause DrJerseyville, IL 62052(618) 462-2331Fax: (618) 462-250400 Yrs/130 YrsM-F 6:00 AM - 8:30 PMPCMH: No

Specialty PhysiciansLivingston

Updated: 11/21/2017


Dermatology

Leone, Douglas MD

Provider ID: 1174799Gender: MaleDermatology and MohsSurgery L1508 W Reynolds St Ste CPontiac, IL 61764(815) 842-4000Fax: (815) 842-370000 Yrs/130 YrsM-F 8:00 AM - 4:00 PMPCMH: No


Provider ID: 1157870Gender: FemaleDermatology and MohsSurgery L1508 W Reynolds St Ste CPontiac, IL 61764(217) 234-8000Fax: (217) 234-800300 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Specialty PhysiciansLogan

Updated: 11/21/2017


Dermatology

Leone, Douglas MD

Provider ID: 1174799Gender: MaleDermatology and MohsSurgery L604 N Union St Ste 2Lincoln, IL 62656(309) 451-3376Fax: (309) 452-337600 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Specialty PhysiciansMacon

Updated: 11/21/2017


Cardiology

Addai, Theodore MD

Provider ID: 1146963Gender: MalePrairie Cardiovascular Consult1800 E Lake Shore Dr Ste 6Decatur, IL 62521(217) 422-6100Fax: (217) 422-321712 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Caceres, Luis MD

Provider ID: 953407Gender: MalePrairie Cardiovascular Consult1800 E Lake Shore DrDecatur, IL 62521(217) 422-6100Fax: (217) 422-789700 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Hall, Jack MDProvider ID: 1164519Gender: MalePrairie Cardiovascular Consult1800 E Lake Shore Dr Ste 6Decatur, IL 62521(217) 422-6100Fax: (217) 422-321700 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Kairouz, Jeanne MD

Provider ID: 953165Gender: FemalePrairie Cardiovascular Consult1800 E Lake Shore DrDecatur, IL 62521(217) 422-6100Fax: (217) 422-789700 Yrs/00 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Kola, Manohar MDProvider ID: 927676Gender: MalePrairie Cardiovascular Consult1800 E Lake Shore DrDecatur, IL 62521(217) 422-6100Fax: (217) 422-321718 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Patel, Krishankumar MD

Provider ID: 953462Gender: MalePrairie Cardiovascular Consult1800 E Lake Shore DrDecatur, IL 62521(217) 422-6100Fax: (217) 422-789700 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

General Dentistry

Augend, Arsaland DDSProvider ID: TPVP152831-01Gender: MaleFamilia Dental141 E Pershing RdDecatur, IL 62526(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No


Provider ID: TPVP167809-01Gender: FemaleFamilia Dental141 E Pershing RdDecatur, IL 62526(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Gulati, Jaswinder DMDProvider ID: TPVP157692-01Gender: FemaleFamilia Dental141 E Pershing RdDecatur, IL 62526(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Kalra, Abhinav DDSProvider ID: TPVP155417-01Gender: MaleFamilia Dental141 E Pershing RdDecatur, IL 62526(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Wong, Irene DDSProvider ID: TPVP129251-01Gender: FemaleFamilia Dental141 E Pershing RdDecatur, IL 62526(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No


Estrada-Garcia, Dolores MD

Provider ID: 1042642Gender: FemaleCancer Care Specialists ofCenter210 W McKinley Ave Ste 1Decatur, IL 62526(217) 846-6600Fax: (217) 876-660612 Yrs/130 YrsLanguages: TagalogM-F 8:00 AM - 4:30 PMSat-Sun 8:00 AM - 9:00 PMPCMH: No

Guaglianone, Perry MD

Provider ID: 1117152Gender: MaleCancer Care Specialists ofCenter210 W McKinley Ave Ste 1Decatur, IL 62526(217) 876-6600Fax: (217) 876-660600 Yrs/130 YrsM-TH 8:00 AM - 4:30 PMPCMH: No

Kairouz, Sebastien MD

Provider ID: 1091734Gender: MaleCancer Care Specialists ofCenter210 W McKinley Ave Ste 1Decatur, IL 62526(217) 876-6600Fax: (217) 876-660600 Yrs/130 YrsLanguages: French, ArabicM-F 8:00 AM - 4:30 PMPCMH: No


Updated: 11/21/2017


Internal Medicine

Addai, Theodore MD

Provider ID: 1146963Gender: MalePrairie Cardiovascular Consult1800 E Lake Shore Dr Ste 6Decatur, IL 62521(217) 422-6100Fax: (217) 422-321712 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Esparaz, Benjamin MD

Provider ID: 1105062Gender: MaleCancer Care Specialists ofCenter210 W McKinley Ave Ste 1Decatur, IL 62526(217) 846-6600Fax: (217) 876-660612 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Estrada-Garcia, Dolores MD

Provider ID: 1042642Gender: FemaleCancer Care Specialists ofCenter210 W McKinley Ave Ste 1Decatur, IL 62526(217) 846-6600Fax: (217) 876-660612 Yrs/130 YrsLanguages: TagalogM-F 8:00 AM - 4:30 PMSat-Sun 8:00 AM - 9:00 PMPCMH: No

Kairouz, Sebastien MDProvider ID: 1091734Gender: MaleCancer Care Specialists ofCenter210 W McKinley Ave Ste 1Decatur, IL 62526(217) 876-6600Fax: (217) 876-660600 Yrs/130 YrsLanguages: French, ArabicM-F 8:00 AM - 4:30 PMPCMH: No

Wade, James MDProvider ID: 1087040Gender: MaleCancer Care Specialists ofCenter210 W McKinley Ave Ste 1Decatur, IL 62526(217) 876-6600Fax: (217) 876-660618 Yrs/130 YrsM 8:00 AM - 9:30 PMTWTHF 8:00 AM - 4:30 PMPCMH: No

Interventional Cardiology

Hall, Jack MDProvider ID: 1164519Gender: MalePrairie Cardiovascular Consult1800 E Lake Shore Dr Ste 6Decatur, IL 62521(217) 422-6100Fax: (217) 422-321700 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Medical Oncology

Esparaz, Benjamin MD

Provider ID: 1105062Gender: MaleCancer Care Specialists ofCenter210 W McKinley Ave Ste 1Decatur, IL 62526(217) 846-6600Fax: (217) 876-660612 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Ontiveros, Evelena MD

Provider ID: 1465544Gender: FemaleCancer Care Specialists ofCenter1990 E Lake Shore DrDecatur, IL 62521(217) 876-660018 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Ontiveros, Evelena MD

Provider ID: 1465544Gender: FemaleCancer Care Specialists ofCenter210 W McKinley Ave Ste 1Decatur, IL 62526(217) 876-660018 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Wade, James MDProvider ID: 1087040Gender: MaleCancer Care Specialists ofCenter210 W McKinley Ave Ste 1Decatur, IL 62526(217) 876-6600Fax: (217) 876-660618 Yrs/130 YrsM 8:00 AM - 9:30 PMTWTHF 8:00 AM - 4:30 PMPCMH: No


Hanna, Adel MDProvider ID: 713540Gender: MaleLakeshore OB/GYN1770 E Lake Shore Dr Ste 303Decatur, IL 62521(217) 429-4119Fax: (217) 429-010816 Yrs/130 YrsM 12:00 AM - 5:00 PMTW 9:00 AM - 5:00 PMTH 10:00 AM - 1:00 PMPCMH: No

Orthodontics

Jazaierly, Aeiman DDSProvider ID: TPVP135193-01Gender: FemaleFamilia Dental141 E Pershing RdDecatur, IL 62526(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Sanfelippo, Lisa DDSProvider ID: TPVP158349-01Gender: FemaleFamilia Dental141 E Pershing RdDecatur, IL 62526(888) 988-4066Fax: (847) 496-485000 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Orthopaedic Surgery

Sams, Jacob MDProvider ID: 1488008Gender: MaleKirby Medical Center104 Ashland Ave DecaturOrthopedic CenterMount Zion, IL 62549(217) 864-266500 Yrs/130 YrsMTH 7:30 AM - 5:00 PMTW 8:00 AM - 5:00 PMPCMH: No

Sullivan, Donald MDProvider ID: 1488018Gender: MaleKirby Medical Center104 Ashland Ave DecaturOrthopedic CenterMount Zion, IL 62549(217) 864-266500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No


Updated: 11/21/2017


Psychiatry

Kavuri, Choudary MDProvider ID: 848182Gender: MaleChoudary V Kavuri MD1770 E Lake Shore Dr Ste 208Decatur, IL 62521(217) 428-1900Fax: (217) 428-190000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansMacoupin

Updated: 11/21/2017


Endocrinology, Diabetes,Metabolism

Razavi, Christie MD

Provider ID: 1242906Gender: FemaleHshs Medical Group20733 N Broad StCarlinville, IL 62626(217) 787-8870Fax: (217) 787-615800 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

General Dentistry

Bassi, Isha DMDProvider ID: TPVP125527-03Gender: FemaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Beckmann, Cheryl DMDProvider ID: TPVP158348-01Gender: FemaleMaple Street Clinic109 E Maple StGillespie, IL 62033(217) 839-4110Fax: (217) 839-410800 Yrs/99 YrsM 8:00 AM - 5:00 PMTTH 8:00 AM - 7:00 PMW 8:00 AM - 6:00 PMF 9:00 AM - 5:00 PMPCMH: No

Boente, Katherine DMDProvider ID: TPVP158354-01Gender: FemaleMaple Street Clinic109 E Maple StGillespie, IL 62033(217) 839-4110Fax: (217) 839-410800 Yrs/99 YrsM 8:00 AM - 5:00 PMTTH 8:00 AM - 7:00 PMW 8:00 AM - 6:00 PMF 9:00 AM - 5:00 PMPCMH: No

Cairns, John DDSProvider ID: TPVP153089-01Gender: MaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Cairns, John DDSProvider ID: TPVP153089-02Gender: MaleAdvanced Family DentalOrthodontics of Carlinville PC201 McCausland St Ste ACarlinville, IL 62626(217) 854-4059Fax: (217) 854-951800 Yrs/99 YrsMTWF 9:00 AM - 5:00 PMTH 9:00 AM - 7:00 PMPCMH: No

Choi, Jun DMDProvider ID: TPVP145521-02Gender: MaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Dave, Abdul-Aleem DDS

Provider ID: TPVP133003-02Gender: MaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Drescher, Matthew DDS


Duggirala, Swetha DDSProvider ID: TPV019027628-37Gender: FemaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Fazili, Snowber DDSProvider ID: TPVP67591-03Gender: FemaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Fazili, Snowber DDSProvider ID: TPVP67591-13Gender: FemaleAdvanced Family DentalOrthodontics of Carlinville PC201 McCausland St Ste ACarlinville, IL 62626(217) 854-4059Fax: (217) 854-951800 Yrs/99 YrsMTWF 9:00 AM - 5:00 PMTH 9:00 AM - 7:00 PMPCMH: No

Ferando, Blake DMDProvider ID: TPVP153478-01Gender: MaleAdvanced Family DentalOrthodontics of Carlinville PC201 McCausland St Ste ACarlinville, IL 62626(217) 854-4059Fax: (217) 854-951800 Yrs/99 YrsMTWF 9:00 AM - 5:00 PMTH 9:00 AM - 7:00 PMPCMH: No

Ferando, Blake DMDProvider ID: TPVP153478-02Gender: MaleMaple Street Clinic109 E Maple StGillespie, IL 62033(217) 839-4110Fax: (217) 839-410800 Yrs/99 YrsM 8:00 AM - 5:00 PMTTH 8:00 AM - 7:00 PMW 8:00 AM - 6:00 PMF 9:00 AM - 5:00 PMPCMH: No

Guadiz, Michael DDSProvider ID: TPVP142321-02Gender: MaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No


Updated: 11/21/2017


General Dentistry - cont.

Hong, Sung DDSProvider ID: TPVP90322-04Gender: MaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Kempf, Paul DDSProvider ID: TPVP61140-05Gender: MaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Kizior, Joseph DDSProvider ID: TPVP66245-04Gender: MaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Muddasani, Padmini DDSProvider ID: TPVP27222-01Gender: FemaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Muthuramaswami, SethuramaDDS

Provider ID: TPVP62790-04Gender: MaleAdvanced Family DentalOrthodontics of Carlinville PC201 McCausland St Ste ACarlinville, IL 62626(217) 854-4059Fax: (217) 854-951800 Yrs/99 YrsMTWF 9:00 AM - 5:00 PMTH 9:00 AM - 7:00 PMPCMH: No

Ozyurt, Tulin DDSProvider ID: TPV2009016288-0Gender: FemaleMaple Street Clinic109 E Maple StGillespie, IL 62033(217) 839-4110Fax: (217) 839-410800 Yrs/99 YrsLanguages: SpanishM 8:00 AM - 5:00 PMTTH 8:00 AM - 7:00 PMW 8:00 AM - 6:00 PMF 9:00 AM - 5:00 PMPCMH: No

Reiser-Loeber, Elizabeth DDS

Provider ID: TPVP125546-03Gender: FemaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Rubis, David DDSProvider ID: TPV19016447-12Gender: MaleAdvanced Family DentalOrthodontics of Carlinville PC201 McCausland St Ste ACarlinville, IL 62626(217) 854-4059Fax: (217) 854-951800 Yrs/99 YrsMTWF 9:00 AM - 5:00 PMTH 9:00 AM - 7:00 PMPCMH: No

Rubis, David DDSProvider ID: TPV19016447-14Gender: MaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Rubis, Joseph DDSProvider ID: TPVP64964-09Gender: MaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Rubis, Joseph DDSProvider ID: TPVP64964-15Gender: MaleAdvanced Family DentalOrthodontics of Carlinville PC201 McCausland St Ste ACarlinville, IL 62626(217) 854-4059Fax: (217) 854-951800 Yrs/99 YrsMTWF 9:00 AM - 5:00 PMTH 9:00 AM - 7:00 PMPCMH: No

Scanlon, Brittany DMDProvider ID: TPVP165888-01Gender: FemaleMaple Street Clinic109 E Maple StGillespie, IL 62033(217) 839-4110Fax: (217) 839-410800 Yrs/99 YrsM 8:00 AM - 5:00 PMTTH 8:00 AM - 7:00 PMW 8:00 AM - 6:00 PMF 9:00 AM - 5:00 PMPCMH: No

Shafer, Kathy DMDProvider ID: TPVP166434-01Gender: FemaleMaple Street Clinic109 E Maple StGillespie, IL 62033(217) 839-4110Fax: (217) 839-410800 Yrs/99 YrsM 8:00 AM - 5:00 PMTTH 8:00 AM - 7:00 PMW 8:00 AM - 6:00 PMF 9:00 AM - 5:00 PMPCMH: No

Weber, Mary DDSProvider ID: TPVP107947-02Gender: FemaleMaple Street Clinic109 E Maple StGillespie, IL 62033(217) 839-4110Fax: (217) 839-410800 Yrs/99 YrsM 8:00 AM - 5:00 PMTTH 8:00 AM - 7:00 PMW 8:00 AM - 6:00 PMF 9:00 AM - 5:00 PMPCMH: No


Updated: 11/21/2017



Yeager, Brandon DMDProvider ID: TPVP159222-01Gender: MaleAdvanced Family DentalOrthodontics of Carlinville PC201 McCausland St Ste ACarlinville, IL 62626(217) 854-4059Fax: (217) 854-951800 Yrs/99 YrsMTWF 9:00 AM - 5:00 PMTH 9:00 AM - 7:00 PMPCMH: No

Yeager, Brandon DMDProvider ID: TPVP159222-02Gender: MaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Zaidi, Tabassum DDSProvider ID: TPVP141938-02Gender: FemaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Optometry

Bachman, Dena ODProvider ID: TPV1285695585-0Gender: FemaleSouthwestern Eye Care101 N MapleBrighton, IL 62012(618) 372-7000Fax: (618) 372-700305 Yrs/99 YrsMT 8:30 AM - 6:00 PMWTHFSat 8:30 AM - 5:00 PMPCMH: No

Ernst, David ODProvider ID: 983892Gender: MaleJfj Eyecare LTD208 W Main StStaunton, IL 62088(618) 635-8082Fax: (618) 277-491700 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 8:00 AM - 3:00 PMSat 8:00 AM - 12:00 PMPCMH: No

Jones, Lewis ODProvider ID: TPV1942261698-0Gender: MaleSouthwestern Eye Care101 N MapleBrighton, IL 62012(618) 372-7000Fax: (618) 372-700303 Yrs/99 YrsMT 8:30 AM - 6:00 PMWTHFSat 8:30 AM - 5:00 PMPCMH: No

Smith, Stefan ODProvider ID: 986494Gender: MaleJfj Eyecare LTD208 W Main StStaunton, IL 62088(618) 635-8082Fax: (618) 635-353500 Yrs/130 YrsM-F 8:00 AM - 5:00 PMSat 8:00 AM - 3:00 PMSun 8:00 AM - 12:00 PMPCMH: No

Wolf, Daniel ODProvider ID: 967021Gender: MaleJfj Eyecare LTD208 Main StStaunton, IL 62088(618) 635-808200 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Wolf, Daniel ODProvider ID: 967021Gender: MaleJfj Eyecare LTD314D Fountains PkwyStaunton, IL 62088(618) 622-301300 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Orthodontics

Alavi, Debra DDSProvider ID: TPVP61217-07Gender: FemaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Atsawasuwan, Phimon DDS


Taha, Hala DDSProvider ID: TPVP135164-02Gender: FemaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Taneva, Emiliya DDS

Provider ID: TPVP141036-08Gender: FemaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Wang, Xin DDSProvider ID: TPVP67180-05Gender: FemaleAdvanced Family DentalOrthodontics of Mt Olive312 W Main StMount Olive, IL 62069(217) 999-6211Fax: (217) 999-458700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PMPCMH: No

Orthopaedic Surgery

Sola, James MDProvider ID: 253190Gender: MaleGranite City OrthopedicPhysic400 N Caldwell StStaunton, IL 62088(618) 288-4388Fax: (888) 987-587000 Yrs/130 YrsGateway Regional MedicalCenter and BehaM-F 9:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansMcDonough

Updated: 11/21/2017


Optometry

Botts, Eric ODProvider ID: TPV1457301368-0Gender: MaleDr Eric Botts Associates1730 E Jackson StMacomb, IL 61455(309) 836-3373Fax: (309) 836-337501 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 10:00 AM - 2:00 PMPCMH: No

Eilenfeldt, Pamela ODProvider ID: TPV1114075645-0Gender: FemaleDr Eric Botts Associates1730 E Jackson StMacomb, IL 61455(309) 836-3373Fax: (309) 836-337501 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 10:00 AM - 2:00 PMPCMH: No

Obrien, Eric ODProvider ID: TPV1386931921-0Gender: MaleDr Eric Botts Associates1730 E Jackson StMacomb, IL 61455(309) 836-3373Fax: (309) 836-337501 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 10:00 AM - 2:00 PMPCMH: No

Psychiatry

Gururajan, Krishnamurthy MD

Provider ID: 1299072Gender: MaleBridgeway Inc900 S Deer RdMacomb, IL 61455(309) 837-4876Fax: (309) 833-153118 Yrs/130 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansMcLean

Updated: 11/21/2017


Dermatology

Kao, Wynn MDProvider ID: 1470473Gender: MaleDermatology and MohsSurgery L3024 E Empire St Ste E and FBloomington, IL 61704(309) 451-3376Fax: (309) 452-337600 Yrs/130 YrsLanguages: SpanishM-F 8:00 AM - 4:30 PMPCMH: No

Leone, Douglas MD

Provider ID: 1174799Gender: MaleDermatology and MohsSurgery L3024 E Empire St Ste E and FBloomington, IL 61704(309) 451-3376Fax: (309) 452-337600 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

McKenna, Jeffrey MD

Provider ID: 726245Gender: MaleDermatology and MohsSurgery L3024 E Empire St Ste E and FBloomington, IL 61704(309) 451-3376Fax: (309) 452-337600 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No


Provider ID: 1157870Gender: FemaleDermatology and MohsSurgery L3024 E Empire St Ste E and FBloomington, IL 61704(309) 451-3376Fax: (309) 452-337600 Yrs/130 YrsM-F 8:00 AM - 4:30 PMPCMH: No

General Dentistry

Anne, Hari Priya DDSProvider ID: TPVP147725-01Gender: FemaleLakewood Family Dental PC1407 N Veterans Pkwy Ste 12Bloomington, IL 61704(309) 661-2999Fax: (309) 585-103800 Yrs/99 YrsLanguages: HindiM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Caruso, Diane DDSProvider ID: TPVP138726-01Gender: FemaleMcLean County HealthDepartment200 W Front StBloomington, IL 61701(309) 888-5450Fax: (309) 888-589600 Yrs/99 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Chow, James DDSProvider ID: TPVP137670-02Gender: MaleMcLean County HealthDepartment200 W Front StBloomington, IL 61701(309) 888-5450Fax: (309) 888-589600 Yrs/99 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Durshanapalli, Srinivas DDS

Provider ID: TPV019028802-10Gender: MaleOptim Dental Bloomington401 N Veteran Pkwy Unit 4Bloomington, IL 61704(309) 808-1317Fax: (309) 585-224900 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMF 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Gade, Hanuman DDSProvider ID: TPV019028770-17Gender: MaleLakewood Family Dental PC1407 N Veterans Pkwy Ste 12Bloomington, IL 61704(309) 661-2999Fax: (309) 585-103800 Yrs/99 YrsLanguages: HindiM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Haider, Yazdan DDSProvider ID: TPVP144463-19Gender: MaleEveryones Family Dental StCharles LLC1604 Visa Dr Ste 3Normal, IL 61761(309) 660-9159Fax: (773) 887-429400 Yrs/99 YrsLanguages: Spanish, UrduM-F 9:00 AM - 5:00 PMSat 9:00 AM - 6:00 PMPCMH: No

Kakollu, Srinivaulu DDSProvider ID: TPVP101838-03Gender: MaleLakewood Family Dental PC1407 N Veterans Pkwy Ste 12Bloomington, IL 61704(309) 661-2999Fax: (309) 585-103800 Yrs/99 YrsLanguages: HindiM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Ko, Ronald DMDProvider ID: TPVP156464-02Gender: MaleOptim Dental Bloomington401 N Veteran Pkwy Unit 4Bloomington, IL 61704(309) 808-1317Fax: (309) 585-224900 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMF 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Mitchell, Jerome DDSProvider ID: TPVP63425-02Gender: MaleMcLean County HealthDepartment200 W Front StBloomington, IL 61701(309) 888-5450Fax: (309) 888-589600 Yrs/99 YrsM-F 8:00 AM - 4:30 PMPCMH: No

Patel, Dhaval DDSProvider ID: TPVP152182-01Gender: MaleEveryones Family Dental StCharles LLC1604 Visa Dr Ste 3Normal, IL 61761(309) 660-9159Fax: (773) 887-429400 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMSat 9:00 AM - 6:00 PMPCMH: No

Patel, Harshil DMDProvider ID: TPVP166487-04Gender: FemaleEveryones Family Dental StCharles LLC1604 Visa Dr Ste 3Normal, IL 61761(309) 660-9159Fax: (773) 887-429400 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMSat 9:00 AM - 6:00 PMPCMH: No

Quadri, Fatima DDSProvider ID: TPVP157410-02Gender: FemaleOptim Dental Bloomington401 N Veteran Pkwy Unit 4Bloomington, IL 61704(309) 808-1317Fax: (309) 585-224900 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 6:00 PMF 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No


Updated: 11/21/2017



Rahnamayi, Roya DDSProvider ID: TPVP148846-02Gender: FemaleLakewood Family Dental PC1407 N Veterans Pkwy Ste 12Bloomington, IL 61704(309) 661-2999Fax: (309) 585-103800 Yrs/99 YrsLanguages: HindiM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Sangha, Henna DDSProvider ID: TPVP166362-01Gender: FemaleLakewood Family Dental PC1407 N Veterans Pkwy Ste 12Bloomington, IL 61704(309) 661-2999Fax: (309) 585-103800 Yrs/99 YrsLanguages: HindiM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Shah, Khantil DMDProvider ID: TPVP140693-01Gender: MaleLakewood Family Dental PC1407 N Veterans Pkwy Ste 12Bloomington, IL 61704(309) 661-2999Fax: (309) 585-103800 Yrs/99 YrsLanguages: HindiM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Shaik, Ali Basha DMDProvider ID: TPVP147967-01Gender: MaleLakewood Family Dental PC1407 N Veterans Pkwy Ste 12Bloomington, IL 61704(309) 661-2999Fax: (309) 585-103800 Yrs/99 YrsLanguages: HindiM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Thota, Sandeep DDSProvider ID: TPVP145364-01Gender: MaleLakewood Family Dental PC1407 N Veterans Pkwy Ste 12Bloomington, IL 61704(309) 661-2999Fax: (309) 585-103800 Yrs/99 YrsLanguages: HindiM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Vemula, Roja DDSProvider ID: TPVP150085-01Gender: FemaleLakewood Family Dental PC1407 N Veterans Pkwy Ste 12Bloomington, IL 61704(309) 661-2999Fax: (309) 585-103800 Yrs/99 YrsLanguages: HindiM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Vildaver, Eliot DMDProvider ID: TPVP157823-04Gender: MaleEveryones Family Dental StCharles LLC1604 Visa Dr Ste 3Normal, IL 61761(309) 660-9159Fax: (773) 887-429400 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMSat 9:00 AM - 6:00 PMPCMH: No

Infectious Disease

Park, An Na MDProvider ID: 722127Gender: FemaleMetro Infectious DiseaseConsu1300 Franklin Ave Ste 230BNormal, IL 61761(309) 585-6029Fax: (309) 585-603618 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Nephrology

Bruha, Robert MDProvider ID: 1157590Gender: MaleRenal Care Associates1404 Eastland Dr Ste 103Bloomington, IL 61701(309) 664-0351Fax: (309) 663-723800 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Rahman, Saadur DO

Provider ID: 1447133Gender: MaleKidney Care CenterBloomington3901 General Electric Rd Ste 1Bloomington, IL 61704(309) 642-6705Fax: (309) 402-018016 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Zafar, Mohammad MD

Provider ID: 1443163Gender: MaleKidney Care CenterBloomington3901 General Electric Rd Ste 1Bloomington, IL 61704(309) 642-6705Fax: (309) 402-018000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Gratkins, Lawrence MD

Provider ID: 525419Gender: MaleObstetrics & Gynecology IILTD1302 Franklin Ave Ste 2800Normal, IL 61761(309) 454-1074Fax: (888) 739-755700 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMF 9:00 AM - 1:00 PMPCMH: No

Pedodontics

Dardis, Sara DDSProvider ID: TPVP147344-01Gender: FemalePediatric Smiles ofBloomington1112 Trinity LnBloomington, IL 61704(309) 663-7339Fax: (309) 663-713100 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Hall, Thomas DMDProvider ID: TPVP144184-01Gender: MalePediatric Smiles ofBloomington1112 Trinity LnBloomington, IL 61704(309) 663-7339Fax: (309) 663-713100 Yrs/99 YrsM-F 8:00 AM - 5:00 PMPCMH: No

Substance Abuse

Chestnut Health Systems Inc

Provider ID: 1428012Chestnut Health Systems702 W Chestnut StBloomington, IL 61701(309) 827-6026Fax: (309) 827-3615M-F 9:00 AM - 5:00 PMPCMH: No


Updated: 11/21/2017


Substance Abuse - cont.

Chestnut Health Systems Inc

Provider ID: 1455850Chestnut Health Systems702 W Chestnut StBloomington, IL 61701(309) 827-6026Fax: (309) 827-361500 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansPiatt

Updated: 11/21/2017


General Surgery

Jones, Douglas MDProvider ID: 1488084Gender: MaleKirby Medical Center1000 Medical Center DrMonticello, IL 61856(217) 762-624100 Yrs/130 YrsM 8:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansPike

Updated: 11/21/2017


General Dentistry

Liesen, Mathew DMDProvider ID: TPVP145466-01Gender: MalePike County HealthDepartment606 W Adams StPittsfield, IL 62363(217) 285-4407Fax: (217) 285-683800 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 5:00 PMPCMH: No

Liesen, Stephen DMDProvider ID: TPVP138520-01Gender: MalePike County HealthDepartment606 W Adams StPittsfield, IL 62363(217) 285-4407Fax: (217) 285-683800 Yrs/99 YrsLanguages: SpanishM-TH 8:00 AM - 5:00 PMPCMH: No

Specialty PhysiciansSangamon

Updated: 11/21/2017


Cardiac Electrophysiology

Kalra, Vikas MDProvider ID: 1474332Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsMemorial HospitalCarbondaleSt Joseph Memorial HospitalLanguages: HindiM-F 7:30 AM - 5:00 PMPCMH: No

Mullin, James MDProvider ID: 1177842Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Cardiology

Aguirre, Frank MDProvider ID: 949351Gender: MalePrairie Cardiovascular Consult401 E Carpenter StSpringfield, IL 62702(217) 788-0706Fax: (217) 788-703200 Yrs/130 YrsSt Anthonys MemorialHospitaM-F 9:00 AM - 5:00 PMPCMH: No

Aguirre, Frank MDProvider ID: 949351Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 788-703200 Yrs/130 YrsSt Anthonys MemorialHospitaM-F 9:00 AM - 5:00 PMPCMH: No

Al-Dadah, Ashraf MD

Provider ID: 1143349Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-254612 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Alharbi, Waleed MD

Provider ID: 1475459Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-253500 Yrs/130 YrsSt Elizabeths Hospital BellvilleLanguages: ArabicM-F 7:30 AM - 5:00 PMPCMH: No

Burri, Manjula MDProvider ID: 955481Gender: FemalePrairie Cardiovascular Consult401 E Carpenter StSpringfield, IL 62702(217) 788-0706Fax: (217) 525-253500 Yrs/130 YrsLanguages: Hindi, Tamil,TeluguM-F 9:00 AM - 5:00 PMPCMH: No

Burri, Manjula MDProvider ID: 955481Gender: FemalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 788-703200 Yrs/130 YrsLanguages: Hindi, Tamil,TeluguM-F 7:30 AM - 5:00 PMPCMH: No

Chokkalingam, ShobashaliniMD

Provider ID: 1146961Gender: FemalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 422-6100Fax: (217) 422-321700 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Fanari, Zaher MDProvider ID: 1306821Gender: MalePrairie Cardiovascular Consult401 E Carpenter StSpringfield, IL 62702(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Fanari, Zaher MDProvider ID: 1306821Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Ghani, Mansura MDProvider ID: 953164Gender: FemalePrairie Cardiovascular Consult401 E Carpenter StSpringfield, IL 62702(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Ghani, Mansura MD

Provider ID: 953164Gender: FemalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Gill, John MDProvider ID: 1158465Gender: MalePrairie Cardiovascular Consult401 E Carpenter StSpringfield, IL 62702(217) 788-0706Fax: (217) 523-452012 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Goel, Sachin MDProvider ID: 1146958Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-254612 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No


Updated: 11/21/2017


Cardiology - cont.

Goldstein, Jeffrey MD


Goldstein, Jeffrey MD

Provider ID: 912206Gender: MalePrairie Cardiovascular Consult619 East Mason Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 788-084818 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Goswami, Nilesh MD

Provider ID: 915690Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4957Springfield, IL 62701(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Kalra, Vikas MDProvider ID: 1474332Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsMemorial HospitalCarbondaleSt Joseph Memorial HospitalLanguages: HindiM-F 7:30 AM - 5:00 PMPCMH: No

Katholi, Richard MD

Provider ID: 929630Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 788-084818 Yrs/130 YrsSt Anthonys MemorialHospitaM-F 7:30 AM - 5:00 PMPCMH: No

Kelley, Michael MD

Provider ID: 446539Gender: MalePrairie Cardiovascular Consult619 E Mason Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-253500 Yrs/130 YrsSt Anthonys MemorialHospitaM-F 7:30 AM - 5:00 PMPCMH: No

Matos, Gabor MDProvider ID: 929325Gender: MalePrairie Cardiovascular Consult747 N Rutledge St 4th FlSpringfield, IL 62702(217) 788-0706Fax: (217) 788-703200 Yrs/130 YrsSt Anthonys MemorialHospitaM-F 9:00 AM - 5:00 PMPCMH: No

Mayer, Stephen MD

Provider ID: 927675Gender: MalePrairie Cardiovascular Consult747 N Rutledge St 4th FlSpringfield, IL 62702(217) 788-0706Fax: (217) 788-703218 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Miller, Brian MDProvider ID: 1142560Gender: MalePrairie Cardiovascular Consult747 N Rutledge St Ste 4Springfield, IL 62702(217) 788-0706Fax: (217) 525-254618 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Mishkel, Gregory MD


Moulton, Kriegh MD

Provider ID: 929732Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-070600 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Nandish, Shailesh MD

Provider ID: 929736Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-070618 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Novak, Holly MDProvider ID: 927618Gender: FemalePrairie Cardiovascular Consult619 E Mason Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 788-084818 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Pacheco, Roberto MD

Provider ID: 938861Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 788-084800 Yrs/130 YrsSSM Health St Clare HospitalFentonLanguages: SpanishM-F 9:00 AM - 5:00 PMPCMH: No

Rocha-Singh, Krishna MD

Provider ID: 929316Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 788-084818 Yrs/130 YrsSt Anthonys MemorialHospitaM-F 7:30 AM - 5:00 PMPCMH: No

Scherschel, John MD



Updated: 11/21/2017


Cardiology - cont.

Trask, Robert MDProvider ID: 928041Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 788-084818 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Woodruff, Robert MD


Zuck, Vincent MDProvider ID: 1158433Gender: MalePrairie Cardiovascular Consult401 E Carpenter StSpringfield, IL 62702(217) 788-0706Fax: (217) 523-452012 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No


Russo, Marina MDProvider ID: 1234093Gender: FemaleHshs Medical Group1118 W Legacy Pointe DrSpringfield, IL 62711(618) 589-905100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

General Dentistry

Buskirk, Mary DDSProvider ID: TPVP137737-01Gender: FemaleCentral Counties HealthCenters2239 E Cook StSpringfield, IL 62703(217) 788-2300Fax: (217) 788-234300 Yrs/99 YrsMTTH 8:00 AM - 5:00 PMW 10:00 AM - 7:00 PMPCMH: No


Provider ID: TPVP167809-08Gender: FemaleFamilia Dental802 N 9th StSpringfield, IL 62702(217) 801-9077Fax: (217) 679-289900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Durshanapalli, Srinivas DDS

Provider ID: TPV019028802-09Gender: MaleOptim Dental LLC907 S 6th StSpringfield, IL 62703(217) 971-3432Fax: (217) 971-346200 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Elugbadebo, Toni DMDProvider ID: TPVP145532-08Gender: FemaleFamilia Dental802 N 9th StSpringfield, IL 62702(217) 801-9077Fax: (217) 679-289900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Fatima, Sara DDSProvider ID: TPVP156398-01Gender: FemaleFamilia Dental802 N 9th StSpringfield, IL 62702(217) 801-9077Fax: (217) 679-289900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Hassan, Refaat DDSProvider ID: TPVP64897-01Gender: MaleSouthernview Dental Group2743 S 6th StSpringfield, IL 62703(217) 522-4121Fax: (217) 522-714000 Yrs/99 YrsLanguages: ArabicM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Jafri, Nazish DDSProvider ID: TPVP103084-20Gender: FemaleSecure Dental Springfield687 E Linton AveSpringfield, IL 62703(217) 522-1111Fax: (888) 511-587500 Yrs/99 YrsLanguages: SpanishM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Jamil, Samira DDSProvider ID: TPVP156595-01Gender: FemaleSecure Dental Springfield687 E Linton AveSpringfield, IL 62703(217) 522-1111Fax: (888) 511-587500 Yrs/99 YrsLanguages: SpanishM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Ko, Ronald DMDProvider ID: TPVP156464-01Gender: MaleOptim Dental LLC907 S 6th StSpringfield, IL 62703(217) 971-3432Fax: (217) 971-346200 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Lee, Kayoun DMDProvider ID: TPVP157785-02Gender: FemaleSecure Dental Springfield687 E Linton AveSpringfield, IL 62703(217) 522-1111Fax: (888) 511-587500 Yrs/99 YrsLanguages: SpanishM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Liu, Noel DDSProvider ID: TPVP102406-20Gender: MaleSecure Dental Springfield687 E Linton AveSpringfield, IL 62703(217) 522-1111Fax: (888) 511-587500 Yrs/99 YrsLanguages: SpanishM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No


Updated: 11/21/2017



Looker, Mary-Margaret DDS

Provider ID: TPVP137740-01Gender: FemaleCentral Counties HealthCenters2239 E Cook StSpringfield, IL 62703(217) 788-2300Fax: (217) 788-234300 Yrs/99 YrsMTTH 8:00 AM - 5:00 PMW 10:00 AM - 7:00 PMPCMH: No

MA, Ji DDSProvider ID: TPVP142268-02Gender: FemaleSecure Dental Springfield687 E Linton AveSpringfield, IL 62703(217) 522-1111Fax: (888) 511-587500 Yrs/99 YrsLanguages: SpanishM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Massoud, Ibrahim DDSProvider ID: TPVP64853-01Gender: FemaleSouthernview Dental Group2743 S 6th StSpringfield, IL 62703(217) 522-4121Fax: (217) 522-714000 Yrs/99 YrsLanguages: ArabicM-TH 8:00 AM - 5:00 PMF 8:00 AM - 12:00 PMPCMH: No

Park, Joon DDSProvider ID: TPVP167699-01Gender: MaleSecure Dental Springfield687 E Linton AveSpringfield, IL 62703(217) 522-1111Fax: (888) 511-587500 Yrs/99 YrsLanguages: SpanishM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Patel, Pratik DMDProvider ID: TPVP147724-01Gender: MaleOptim Dental LLC907 S 6th StSpringfield, IL 62703(217) 971-3432Fax: (217) 971-346200 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Quadri, Fatima DDSProvider ID: TPVP157410-01Gender: FemaleOptim Dental LLC907 S 6th StSpringfield, IL 62703(217) 971-3432Fax: (217) 971-346200 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 8:00 AM - 3:00 PMPCMH: No

Shankar Narayan, Geetha DDS

Provider ID: TPVP153194-08Gender: FemaleFamilia Dental802 N 9th StSpringfield, IL 62702(217) 801-9077Fax: (217) 679-289900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

Son, Seokjae DMDProvider ID: TPVP157118-02Gender: MaleSecure Dental Springfield687 E Linton AveSpringfield, IL 62703(217) 522-1111Fax: (888) 511-587500 Yrs/99 YrsLanguages: Spanish, KoreanM-F 10:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMPCMH: No

Internal Medicine

Al-Dadah, Ashraf MD


Gill, John MDProvider ID: 1158465Gender: MalePrairie Cardiovascular Consult401 E Carpenter StSpringfield, IL 62702(217) 788-0706Fax: (217) 523-452012 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Goel, Sachin MDProvider ID: 1146958Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-254612 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Goldstein, Jeffrey MDProvider ID: 1164520Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 252-254612 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Khurana, Aman MD

Provider ID: 1167171Gender: MalePrairie Cardiovascular Consult401 E Carpenter StSpringfield, IL 62702(217) 788-0706Fax: (217) 523-452018 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Miller, Brian MDProvider ID: 1142560Gender: MalePrairie Cardiovascular Consult747 N Rutledge St Ste 4Springfield, IL 62702(217) 788-0706Fax: (217) 525-254618 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Mishkel, Gregory MD



Updated: 11/21/2017


Internal Medicine - cont.

Pathak, Himanshu MD

Provider ID: 1157629Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-254612 Yrs/130 YrsLanguages: HindiM-F 7:30 AM - 5:00 PMPCMH: No

Scherschel, John MDProvider ID: 1161095Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-254612 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Zuck, Vincent MDProvider ID: 1158433Gender: MalePrairie Cardiovascular Consult401 E Carpenter StSpringfield, IL 62702(217) 788-0706Fax: (217) 523-452012 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Interventional Cardiology

Dukkipati, Madhu MD


Licensed ProfessionalCounselor

Scheirl, DawnProvider ID: TPV100329-01Gender: FemaleFamily Guidance Centers, Inc120 N. Eleventh St.Springfield, IL 62703(217) 544-985800 Yrs/99 YrsMTWTHFSatSun 8:00 AM -5:00 PMPCMH: No

Neurology

Khoury, Naim MDProvider ID: 1223152Gender: MaleHshs Medical Group421 N 9th StSpringfield, IL 62702(217) 757-6868Fax: (217) 757-686900 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Mueed, Sajjad MDProvider ID: 1285292Gender: MaleSouthern Illinois MedicalServices751 N Rutledge St Ste 3100Springfield, IL 62702(217) 545-8000Fax: (217) 545-736318 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Optician

Eyemart Express LLCProvider ID: TPV1134527112-03427 Freedom DRSpringfield, IL 62704(217) 718-3480Fax: (318) 746-087101 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 5:00 PMPCMH: No

Orthodontics

Jazaierly, Aeiman DDSProvider ID: TPVP135193-07Gender: FemaleFamilia Dental802 N 9th StSpringfield, IL 62702(217) 801-9077Fax: (217) 679-289900 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 4:00 PMPCMH: No

PediatricGastroenterology

Strople, Jennifer MDProvider ID: 296210Gender: FemaleChildrens Hospital of Chicago2515 N Clark 9th FlSpringfield, IL 62708(800) 543-736200 Yrs/18 YrsAnn& Robert H. LurieChildren's HospitalM-F 9:00 AM - 5:00 PMPCMH: No

Substance Abuse

Gateway Foundation Inc

Provider ID: 13536372323 Stevenson DrSpringfield, IL 62703(877) 505-4673Fax: (217) 529-915100 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No

Treatment Alternatives ForSafe Communi

Provider ID: 1286035Tasc Inc630 E Washington StSpringfield, IL 62701(217) 544-0842Fax: (217) 544-084712 Yrs/130 YrsM-F 8:30 AM - 5:00 PMPCMH: No

Thoracic & CardiovascularSurgery

Casillan, Alfred MDProvider ID: 1316116Gender: MalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-253500 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Christy, Jeffrey MD

Provider ID: 911365Gender: MalePrairie Cardiovascular Consult619 East Mason Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-253500 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Gopaldas, Raja MD

Provider ID: 744279Gender: MalePrairie Cardiovascular Consult619 E Mason Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-254600 Yrs/130 YrsM-F 7:30 AM - 5:00 PMPCMH: No

Specialty PhysiciansShelby

Updated: 11/21/2017



Razavi, Christie MD

Provider ID: 1242906Gender: FemaleHshs Medical Group200 S Cedar StShelbyville, IL 62565(217) 774-3691Fax: (217) 774-510000 Yrs/130 YrsM-F 9:00 AM - 5:00 PMPCMH: No


Guaglianone, Perry MD

Provider ID: 1117152Gender: MaleCancer Care Specialists ofCenter200 S Cedar St ShelbyMemorial HospitalShelbyville, IL 62565(217) 876-6600Fax: (217) 876-660600 Yrs/130 YrsM 8:00 AM - 4:30 PMPCMH: No

Ancillary ProvidersAdams

Updated: 11/21/2017


Dialysis

Adams County Dialysis

Provider ID: 754485Davita Inc436 N 10th StQuincy, IL 62301(217) 223-7913Fax: (217) 223-793418 Yrs/130 YrsMTWTHFSat 4:30 AM - 5:00PM

Durable MedicalEquipment

Home Care MedicalEquipment

Provider ID: 917175Rotech Healthcare Inc2439 Broadway StQuincy, IL 62301(217) 223-0035Fax: (217) 222-521500 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Lincare IncProvider ID: 918563615 Jersey StQuincy, IL 62301(217) 222-1983Fax: (217) 222-158100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Hanger ClinicProvider ID: 134894Linkia LLC307 N 36th St Ste 205Quincy, IL 62301(217) 222-3680Fax: (217) 222-383200 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Ancillary ProvidersAll

Updated: 11/21/2017


Laboratory PathologyTesting

LabcorpFor Providers and LocationsPlease Call:(888) 522-2677

Quest DiagnosticsFor Providers and LocationsPlease Call:(888) 277-8772

Medically NecessaryTransportation

Medical TransportationManagement

For Providers and LocationsPlease Call:(877) 248-1338

Ancillary ProvidersChampaign

Updated: 11/21/2017


Community MentalHealth Center

Crosspoint Human Services

Provider ID: 12493241801 Fox DrChampaign, IL 61820(217) 351-9744Fax: (217) 351-974600 Yrs/130 YrsM-W 8:30 AM - 5:00 PMTH 83:00 AM - 5:00 PMF 83:0 AM - 5:00 PM

Cunningham Childrens Home

Provider ID: 1475979Cunningham Childrens Homeof U1301 N Cunningham AveUrbana, IL 61802(217) 531-2360Fax: (217) 352-263500 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Cunningham Childrens Home

Provider ID: 1475979Cunningham Childrens Homeof U701 Devonshire Dr Ste B16-18Champaign, IL 61820(217) 531-2360Fax: (217) 352-263500 Yrs/130 YrsM-TH 8:30 AM - 6:00 PMF 8:30 AM - 12:30 PM

The Center For Youth andFamily Solution

Provider ID: 1109669The Center For Youth andFamil1315 Curt Dr Ste AChampaign, IL 61821(271) 352-5179Fax: (217) 352-781705 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM

Dialysis

Illini Renal DialysisProvider ID: 754723Davita Inc507 E University AveChampaign, IL 61820(217) 378-7800Fax: (217) 378-782018 Yrs/130 YrsMWF 6:30 AM - 6:00 PMTTHSat 6:30 AM - 5:30 PM


Apria Healthcare LLCProvider ID: 109938Apria Healthcare Inc407 Devonshire DrChampaign, IL 61821(217) 352-7483Fax: (217) 352-849800 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Lincare IncProvider ID: 3780751211 Parkland CtChampaign, IL 61821(217) 398-8191Fax: (217) 398-807500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Lincare IncProvider ID: 378075602 S Staley RdChampaign, IL 61821(217) 398-8191Fax: (217) 398-807500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

RespiracareProvider ID: 467224Rotech Healthcare Inc3109 E Tatman Ct Ste 103Urbana, IL 61802(217) 367-5930Fax: (217) 367-594700 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Hanger ClinicProvider ID: 134894Linkia LLC805 N Lincoln Ave Ste AUrbana, IL 61801(217) 367-9771Fax: (217) 367-967000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Psych Hospital

The Pavilion FoundationHospital

Provider ID: 367932The Pavilion Foundation809 W Church StChampaign, IL 61820(217) 373-1708Fax: (217) 373-170600 Yrs/130 Yrs


Champaign Urbana Nursingand Rehab

Provider ID: 622188Management and NetworkService302 Burwash AveSavoy, IL 61874(217) 402-9700Fax: (217) 402-975000 Yrs/130 YrsLanguages: Spanish

Ancillary ProvidersChristian

Updated: 11/21/2017


Dialysis

Taylorville DialysisProvider ID: 932172Davita Inc901 W Spresser StTaylorville, IL 62568(217) 824-5460Fax: (217) 824-596700 Yrs/130 YrsMWF 6:00 AM - 3:30 PMTTHSat 6:00 AM - 12:00 PM


Meadow Manor SkilledNursing and Rehab C

Provider ID: 1241202Management and NetworkService800 McAdam DrTaylorville, IL 62568(217) 824-2277Fax: (217) 287-776300 Yrs/130 Yrs

Prairie Rose Health CareCenter

Provider ID: 878222Management and NetworkService900 S Chestnut StPana, IL 62557(217) 562-3996Fax: (217) 562-400500 Yrs/130 Yrs

Ancillary ProvidersClark

Updated: 11/21/2017



Casey Health Care Center

Provider ID: 878285Management and NetworkService100 NE 15th StCasey, IL 62420(217) 932-5217Fax: (217) 932-540800 Yrs/130 Yrs

Ancillary ProvidersColes

Updated: 11/21/2017


Dialysis

Mattoon DialysisProvider ID: 949806Davita Inc6051 Development DrCharleston, IL 61920(217) 345-2550Fax: (317) 345-577000 Yrs/130 YrsMWF 6:00 AM - 16:00 PMTTHSat 6:00 AM - 15:30 PM


Charleston Rehab &Healthcare Center

Provider ID: 501180Management and NetworkService716 18th StCharleston, IL 61920(217) 345-7054Fax: (217) 348-126400 Yrs/130 Yrs

Hilltop Skilled Nursing andRehabilitati

Provider ID: 1244812Management and NetworkService910 W Polk AveCharleston, IL 61920(217) 345-7066Fax: (217) 345-601700 Yrs/130 Yrs

Ancillary ProvidersCumberland

Updated: 11/21/2017



Cumberland Rehab AndHealth Care Center

Provider ID: 490209Management and NetworkService300 N Marietta StGreenup, IL 62428(217) 923-3166Fax: (217) 923-522600 Yrs/130 Yrs

Ancillary ProvidersDouglas

Updated: 11/21/2017



Convacare Services Inc

Provider ID: 379414Lincare Inc4 North Main StVilla Grove, IL 61956(217) 681-1014Fax: (866) 265-103500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Rural Health Center

Atwood Rural Health Clinic

Provider ID: 1487941Kirby Medical Center108 S Main StAtwood, IL 61913(217) 762-624000 Yrs/130 YrsMWTH 8:00 AM - 4:30 PMF 8:00 AM - 4:00 PM


Tuscola Health CenterProvider ID: 478160Management and NetworkService1203 Egyptian TrlTuscola, IL 61953(217) 253-4791Fax: (217) 253-375400 Yrs/130 Yrs

Ancillary ProvidersEdgar

Updated: 11/21/2017



Pearman Pharmacy IncProvider ID: 1480655116 W Court StParis, IL 61944(217) 465-8455Fax: (217) 463-196700 Yrs/130 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 5:00 PM


Pleasant Meadows SeniorLiving

Provider ID: 1212741Management and NetworkService400 W Washington AveChrisman, IL 61924(217) 269-2396Fax: (217) 269-260300 Yrs/130 Yrs

Twin Lakes Rehab & HealthCare

Provider ID: 480447Management and NetworkService310 S Eads AveParis, IL 61944(217) 465-5395Fax: (217) 463-790500 Yrs/130 Yrs

Ancillary ProvidersFord

Updated: 11/21/2017



Accolade Healthcare ofPaxton LLC

Provider ID: 1482282Accolade Healthcare ofPaxton1240 N Market StPaxton, IL 60957(217) 379-4896Fax: (217) 379-256121 Yrs/130 YrsLanguages: Spanish, German,Polish

Piper City Rehab LivingCenter

Provider ID: 878295Management and NetworkService600 S Maple StPiper City, IL 60959(815) 686-2277Fax: (815) 686-281200 Yrs/130 Yrs

Ancillary ProvidersHancock

Updated: 11/21/2017



Laharpe Davier Health CareCenter

Provider ID: 878245Management and NetworkService101 N B StLA Harpe, IL 61450(217) 659-3222Fax: (217) 659-301700 Yrs/130 Yrs

Ancillary ProvidersIroquois

Updated: 11/21/2017



Iroquois Mental HealthCenter

Provider ID: 1475380200 S Locust StLoda, IL 60948(815) 432-5241Fax: (815) 432-453700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Gilman Healthcare Center

Provider ID: 1116187Management and NetworkService1390 S Crescent StGilman, IL 60938(815) 265-7208Fax: (815) 265-777000 Yrs/130 Yrs

Watseka Rehab & HealthcareCenter

Provider ID: 478285Management and NetworkService715 E Raymond RdWatseka, IL 60970(815) 432-5476Fax: (815) 432-566900 Yrs/130 Yrs

Ancillary ProvidersJersey

Updated: 11/21/2017




Provider ID: 1250758221 E County RdJerseyville, IL 62052(618) 638-2010Fax: (618) 639-201500 Yrs/130 YrsM-F 6:00 AM - 8:30 PM

Dialysis

Jerseyville DialysisProvider ID: 790930Davita Inc917 S State StJerseyville, IL 62052(618) 498-9532Fax: (618) 498-101218 Yrs/130 YrsMWF 4:00 AM - 8:00 PMTTHSat 4:00 AM - 6:30 PM


Jerseyville ManorProvider ID: 924355Unlimited Development ofIllin1251 N State StJerseyville, IL 62052(618) 498-6441Fax: (618) 498-9025

Willow Rose Rehab & HealthCare

Provider ID: 478232Management and NetworkService410 FletcherJerseyville, IL 62052(618) 498-6427Fax: (618) 639-333900 Yrs/130 Yrs

Ancillary ProvidersLivingston

Updated: 11/21/2017



Flanagan Rehab & HealthcareCenter

Provider ID: 478173Management and NetworkService201 E Falcon HwyFlanagan, IL 61740(815) 796-2267Fax: (815) 796-443400 Yrs/130 Yrs

Ancillary ProvidersLogan

Updated: 11/21/2017




Provider ID: 1109661The Center For Youth andFamil2100 5th StLincoln, IL 62656(217) 732-3771Fax: (217) 735-173805 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM

Dialysis

Lincoln DialysisProvider ID: 754730Davita Inc2100 5th StLincoln, IL 62656(217) 732-6798Fax: (217) 732-707618 Yrs/130 YrsM-W 6:00 AM - 4:30 PM

Ancillary ProvidersMacon

Updated: 11/21/2017


Dialysis

Decatur East Wood Dialysis

Provider ID: 929021Davita Inc794 E Wood StDecatur, IL 62523(217) 425-6403Fax: (217) 425-872418 Yrs/130 YrsMTWTHFSat 6:00 AM - 4:00PM

Macon County Dialysis

Provider ID: 950175Davita Inc1090 W McKinley AveDecatur, IL 62526(217) 877-9351Fax: (217) 877-213700 Yrs/130 YrsMTWTHFSat 6:00 AM - 5:00PM


Lincare IncProvider ID: 3780455995 E US Rte 36 Ste 3Decatur, IL 62521(217) 864-2893Fax: (217) 864-303800 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Hanger ClinicProvider ID: 134894Linkia LLC1910 S Mount Zion RdDecatur, IL 62521(217) 429-6656Fax: (217) 429-536800 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Ancillary ProvidersMacoupin

Updated: 11/21/2017



Locust Street ResourceCenter

Provider ID: 1185420320 S Locust StCarlinville, IL 62626(217) 854-3166Fax: (217) 854-972900 Yrs/130 YrsM 8:30 AM - 5:00 PMT 8:30 AM - 7:00 PMW 83:00 AM - 5:00 PMTH 83:0 AM - 8:00 PMF 8:30 AM - 4:00 PM


Mid Central Medical Inc DBAAmerican Med

Provider ID: 1480652Mid-Central Medical Inc DBAam281 E Jackson StVirden, IL 62690(217) 965-3734Fax: (217) 965-337150 Yrs/110 YrsM-F 8:00 AM - 4:30 PM


Friendship Skilled Nursing andRehab Cen

Provider ID: 1251318Management and NetworkService826 N High StCarlinville, IL 62626(217) 854-9606Fax: (217) 854-848400 Yrs/130 Yrs

Robings Manor Rehabilitation& Healthcar

Provider ID: 493109Management and NetworkService502 N Main StBrighton, IL 62012(618) 372-3232Fax: (618) 372-374900 Yrs/130 Yrs

Sunrise Skilled Nursing andRehabilitati

Provider ID: 1240688Management and NetworkService333 Wrightsman StVirden, IL 62690(217) 965-4715Fax: (217) 965-553000 Yrs/130 Yrs

Ancillary ProvidersMcDonough

Updated: 11/21/2017




Provider ID: 1109633The Center For Youth andFamil123 S McArthur StMacomb, IL 61455(309) 833-1791Fax: (309) 836-146205 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM


Prairie City Rehab and HealthCare

Provider ID: 878219Management and NetworkService825 E Main StPrairie City, IL 61470(309) 775-3313Fax: (309) 775-331100 Yrs/130 Yrs

Ancillary ProvidersMcLean

Updated: 11/21/2017




Provider ID: 1109625The Center For Youth andFamil502 S Morris AveBloomington, IL 61701(309) 820-7616Fax: (309) 820-765700 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM


Lincare IncProvider ID: 3780451613 Commerce PkwyBloomington, IL 61704(309) 661-7349Fax: (309) 661-438500 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Med Source LLCProvider ID: 10930803002 Gill StBloomington, IL 61704(888) 510-5100Fax: (888) 510-520000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Med Source LLCProvider ID: 10930803002 Gill StBloomington, IL 61704(888) 510-5100Fax: (888) 510-520000 Yrs/130 YrsM-F 8:00 AM - 5:00 PM


Leroy ManorProvider ID: 972842Unlimited Development ofIllin509 S Buck RdLe Roy, IL 61752(309) 962-5000Fax: (309) 962-622700 Yrs/130 Yrs

Meadows MennoniteRetirement Community

Provider ID: 650961Management and NetworkService24588 Church StChenoa, IL 61726(309) 747-2702Fax: (309) 747-294400 Yrs/130 Yrs

Ancillary ProvidersMontgomery

Updated: 11/21/2017


Dialysis

Litchfield DialysisProvider ID: 905929Davita Inc915 Saint Francis WayLitchfield, IL 62056(217) 324-2200Fax: (217) 324-207718 Yrs/130 YrsMWF 6:00 AM - 7:00 PMTTHSat 6:00 AM - 4:00 PM

Home Health Care

Alterna Care IncProvider ID: 1259851913 W Union Ave Ste CLitchfield, IL 62056(217) 324-033418 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Nokomis Rehab & Health CareCenter

Provider ID: 478325Management and NetworkService505 Stevens StNokomis, IL 62075(217) 563-7725Fax: (217) 563-851800 Yrs/130 Yrs

Ancillary ProvidersMorgan

Updated: 11/21/2017



Elm City RehabilitationCenter Inc

Provider ID: 1488241Elm City Rehabilitation Center1314 W Walnut StJacksonville, IL 62650(217) 245-9504Fax: (217) 245-235018 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Dialysis

Jacksonville DialysisProvider ID: 930419Davita Inc1515 W Walnut StJacksonville, IL 62650(217) 243-3042Fax: (217) 243-136518 Yrs/130 YrsMTWTHFSat 6:00 AM - 6:00PM


Lincare IncProvider ID: 9185632126 E Morton Ave Ste DJacksonville, IL 62650(217) 243-2403Fax: (217) 243-240100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Longs Oxygen and MedicalEquipment

Provider ID: 918142Rotech Healthcare Inc901 W Morton Ave Ste 16Jacksonville, IL 62650(217) 245-9100Fax: (217) 497-000300 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Home Health Care

Alterna Care IncProvider ID: 12598511515 W Walnut St Ste 13Jacksonville, IL 62650(217) 245-2154Fax: (217) 245-219218 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Jacksonville Skilled Nursingand Rehab C

Provider ID: 1282804Management and NetworkService1517 W Walnut StJacksonville, IL 62650(217) 243-6451Fax: (217) 243-829500 Yrs/130 Yrs

Ancillary ProvidersMoultrie

Updated: 11/21/2017



Eastview TerraceProvider ID: 878226Management and NetworkService100 Eastview PlSullivan, IL 61951(217) 728-7367Fax: (217) 728-211200 Yrs/130 Yrs

Mason PointProvider ID: 1068359Management and NetworkService1 Masonic WaySullivan, IL 61951(217) 728-4394Fax: (217) 728-422100 Yrs/130 Yrs

Sullivan Rehabilitaition &Healthcare

Provider ID: 475419Management and NetworkService11 Hawthorne LnSullivan, IL 61951(217) 728-4327Fax: (217) 728-226300 Yrs/130 Yrs

Ancillary ProvidersPiatt

Updated: 11/21/2017


Rural Health Center

Kirby Medical GroupProvider ID: 1487940Kirby Medical Center1000 Medical Center DrMonticello, IL 61856(217) 762-187000 Yrs/130 YrsM-TH 7:00 AM - 6:00 PMF 7:00 AM - 4:00 PMSat 8:00 AM - 12:00 PM


Bement Health Care Center

Provider ID: 493702Management and NetworkService601 N Morgan StBement, IL 61813(217) 678-2191Fax: (217) 678-360200 Yrs/130 Yrs

Ancillary ProvidersPike

Updated: 11/21/2017


Dialysis

Pittsfield DialysisProvider ID: 780200Davita Inc640 W Washington StPittsfield, IL 62363(217) 285-2780Fax: (217) 285-454918 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Eastside Health andRehabilitation Center

Provider ID: 468864Management and NetworkService1400 E Washington StPittsfield, IL 62363(217) 285-4491Fax: (217) 285-424200 Yrs/130 Yrs

Pittsfield ManorProvider ID: 923954Unlimited Development ofIllin610 Lowry StPittsfield, IL 62363(217) 285-5200Fax: (217) 285-5212

Ancillary ProvidersSangamon

Updated: 11/21/2017



Camelot Care Center Inc

Provider ID: 1116179Camelot Care Centers Inc2924 Stanton StSpringfield, IL 62703(217) 585-918500 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Gateway Foundation Inc

Provider ID: 13536372323 Stevenson DrSpringfield, IL 62703(877) 505-4673Fax: (217) 529-915100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Provider ID: 1109618The Center For Youth andFamil614 N 6th StSpringfield, IL 62702(217) 528-3694Fax: (217) 528-158005 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM

Treatment Alternatives ForSafe Communit

Provider ID: 1289789Tasc Inc630 E Washington StSpringfield, IL 62701(217) 544-0842Fax: (217) 544-084700 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Dialysis

Springfield Central Dialysis

Provider ID: 932335Davita Inc932 N Rutledge StSpringfield, IL 62702(217) 788-3688Fax: (217) 788-557318 Yrs/130 YrsMWF 6:00 AM - 8:30 PMTTHSat 6:00 AM - 4:30 PM

Springfield Montvale Dialysis

Provider ID: 929011Davita Inc2930 Montvale Dr Ste ASpringfield, IL 62704(217) 793-2781Fax: (217) 793-284518 Yrs/130 YrsMWF 6:00 AM - 8:30 PMTTHSat 6:00 AM - 5:00 PM

Springfield South Dialysis

Provider ID: 778890Davita Inc2930 S 6th StSpringfield, IL 62703(217) 528-1745Fax: (217) 528-897218 Yrs/130 YrsM-W 6:00 AM - 4:00 PM


American Homepatient

Provider ID: 3603302733 E Ash StSpringfield, IL 62703(217) 753-152800 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Apria Healthcare LLCProvider ID: 109938Apria Healthcare Inc775 E Linton AveSpringfield, IL 62703(217) 789-0461Fax: (217) 522-096700 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Heart 4 Heart Inc DBAPersonal Mobility

Provider ID: 1482316Heart 4 Heart Inc DBAPersonal2924 N Dirksen PkwySpringfield, IL 62702(217) 241-1548Fax: (217) 241-093100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Lincare IncProvider ID: 3780451150 N Bradfordton RdSpringfield, IL 62711(217) 793-6029Fax: (217) 793-642100 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

RotechProvider ID: 918141Rotech Healthcare Inc3430 Constitution Dr Ste 116Springfield, IL 62711(217) 726-8546Fax: (217) 726-904300 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Home Health Care

Alterna Care IncProvider ID: 1259851319 E Madison St Ste 3LSpringfield, IL 62701(217) 525-3733Fax: (217) 525-373918 Yrs/130 YrsM-F 8:30 AM - 5:00 PM

Home Bound Healthcare Inc

Provider ID: 1151734421 S Grand Ave W Ste BSpringfield, IL 62704(217) 753-2260Fax: (217) 753-227021 Yrs/130 YrsLanguages: Spanish, Russian,TagalogM-F 9:00 AM - 5:00 PM


Hanger ClinicProvider ID: 134894Linkia LLC2050 W Iles Ave Ste ASpringfield, IL 62704(217) 523-9679Fax: (217) 523-627900 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Hanger ClinicProvider ID: 134894Linkia LLC355 W. Carpenter St Ste BSpringfield, IL 62702(217) 789-1450Fax: (217) 789-145400 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Psych Hospital

Lincoln Prarie BehavorialHealth Center

Provider ID: 554685Lincoln Prarie BehavorialHealth5230 S 6th St RdSpringfield, IL 62703(217) 585-1180Fax: (217) 585-474705 Yrs/130 YrsM-F 8:00 AM - 5:00 PM

Ancillary ProvidersSchuyler

Updated: 11/21/2017


Dialysis

Rushville DialysisProvider ID: 1068382Davita Inc112 Sullivan DrRushville, IL 62681(217) 322-2652Fax: (217) 322-489318 Yrs/130 YrsMWF 6:00 AM - 6:00 PMTTHSat 7:00 AM - 4:00 PM

Ancillary ProvidersShelby

Updated: 11/21/2017



Shelbyville ManorProvider ID: 923957Unlimited Development ofIllin1111 W North 12th StShelbyville, IL 62565(217) 774-2111Fax: (217) 774-2209

Allied ProvidersChampaign

Updated: 11/21/2017


Behavioral HealthCounseling

Roberts Neukomm, NancyLPC

Provider ID: 1343166Gender: FemaleHealthy Thoughts WellnessCenter2205 E University Ave Ste AUrbana, IL 61802(217) 419-4713Fax: (217) 367-105812 Yrs/130 YrsM-F 9:00 AM - 7:30 PM

Licensed Clinical SocialWorker

Donsbach, Jamie LCSW

Provider ID: 1239095Gender: FemaleKevin Elliott Counseling Inc.309 W Clark StChampaign, IL 61820(217) 398-9066Fax: (217) 398-907700 Yrs/130 YrsM-TH 8:00 AM - 8:00 PMF 8:00 AM - 5:00 PMSat 8:00 AM - 2:00 PM

Senoff, Lauren LCSWProvider ID: 1431055Gender: FemaleLauren Senoff LCSW SC206 N Randolph St Ste 9Champaign, IL 61820(217) 359-4066Fax: (217) 621-390300 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Sweet, Cynthia LCSWProvider ID: 960940Gender: FemaleThe Center For Youth andFamil1315 Curt Dr Ste AChampaign, IL 61821(217) 352-5179Fax: (217) 352-781700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Tullis, Debra LCSWProvider ID: 962337Gender: FemaleDebra Tullis Counseling6 Dunlap CtSavoy, IL 61874(217) 493-8186Fax: (217) 359-393100 Yrs/130 YrsM-F 8:00 AM - 4:00 PMSat 8:00 AM - 12:00 PM


Burke, Roseanne APRN

Provider ID: 957163Gender: FemalePlanned Parenthood of Illinois302 E Stoughton StChampaign, IL 61820(217) 359-8022Fax: (217) 359-962500 Yrs/130 YrsMT 9:00 AM - 5:00 PMW 8:00 AM - 5:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:00 PM

Cox, Stephani APRNProvider ID: 959324Gender: FemalePlanned Parenthood of Illinois302 E Stoughton StChampaign, IL 61820(217) 359-8022Fax: (217) 359-962500 Yrs/130 YrsMT 9:00 AM - 5:00 PMW 8:00 AM - 5:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:00 PM

Enoch, Jennifer APRNProvider ID: 1357619Gender: FemalePlanned Parenthood of Illinois302 E Stoughton StChampaign, IL 61820(217) 359-8022Fax: (217) 359-962512 Yrs/130 YrsM 8:00 AM - 4:00 PMTTH 9:30 AM - 5:30 PMW 11:00 AM - 7:00 PMF 8:00 AM - 3:30 PM

Fairfield, Mitzie APRNProvider ID: 956189Gender: FemalePlanned Parenthood of Illinois302 E Stoughton StChampaign, IL 61820(217) 359-8022Fax: (217) 359-962500 Yrs/130 YrsMT 9:00 AM - 5:00 PMW 8:00 AM - 5:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:00 PM

Johnson, Kerianne APRN

Provider ID: 956217Gender: FemalePlanned Parenthood of Illinois302 E Stoughton StChampaign, IL 61820(217) 359-8022Fax: (217) 359-962500 Yrs/130 YrsMT 9:00 AM - 5:00 PMW 8:00 AM - 5:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:00 PM

Schafer, Kathy APRNProvider ID: 976658Gender: FemalePlanned Parenthood of Illinois302 E Stoughton StChampaign, IL 61820(217) 359-8022Fax: (217) 359-962500 Yrs/130 YrsMT 9:00 AM - 5:00 PMW 8:00 AM - 5:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:00 PM

Wall, Linda APRNProvider ID: 952260Gender: FemalePlanned Parenthood of Illinois302 E Stoughton StChampaign, IL 61820(217) 359-8022Fax: (217) 359-962500 Yrs/130 YrsMT 9:00 AM - 5:00 PMW 8:00 AM - 5:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:00 PM

Allied ProvidersColes

Updated: 11/21/2017


Family Practice

Jackson, Danelle ARNP

Provider ID: 1324419Gender: FemaleSouthern Illinois Healthcare F626 W Lincoln AveCharleston, IL 61920(217) 345-7702Fax: (217) 345-770500 Yrs/130 YrsM-TH 8:00 AM - 5:00 PMMaximus ID: 2495240

McGuire, Mary APRNProvider ID: 1323820Gender: FemaleSouthern Illinois Healthcare F700 Broadway Ave E Ste 39Mattoon, IL 61938(217) 234-3091Fax: (217) 234-309400 Yrs/130 YrsM-F 9:00 AM - 5:00 PMMaximus ID: 2495241

Allied ProvidersCumberland

Updated: 11/21/2017


Family Practice

Miller, Janis ARNPProvider ID: 1324420Gender: FemaleSouthern Illinois Healthcare F302 N Mill StGreenup, IL 62428(217) 923-3311Fax: (217) 923-516000 Yrs/130 YrsM-F 8:30 AM - 5:00 PMMaximus ID: 2695230

Allied ProvidersDouglas

Updated: 11/21/2017


Family Practice

Liss, David ARNPProvider ID: 1487975Gender: MaleKirby Medical Center108 S Main StAtwood, IL 61913(217) 578-381400 Yrs/130 YrsMWTH 8:00 AM - 4:30 PMT 8:00 AM - 12:00 PMF 8:00 AM - 4:00 PM

Zerrusen, Kendra ARNP

Provider ID: 1480544Gender: FemaleSouthern Illinois Healthcare F525 N Vine StArthur, IL 61911(217) 543-2446Fax: (217) 543-254800 Yrs/130 YrsM-F 8:30 AM - 5:00 PM


Donsbach, Jamie LCSW

Provider ID: 1239095Gender: FemaleKevin Elliott Counseling Inc.704 N Main StTuscola, IL 61953(217) 398-9066Fax: (217) 398-907700 Yrs/130 YrsM-TH 8:00 AM - 9:00 PMF 8:00 AM - 5:00 PMSat 9:00 AM - 4:00 PM

Porter, Jaime LCSWProvider ID: 1488099Gender: FemaleKirby Medical Center108 S Main StAtwood, IL 61913(217) 578-381400 Yrs/130 YrsM 7:00 AM - 6:00 PM

Allied ProvidersIroquois

Updated: 11/21/2017


Audiology

Braun, Sarah AUDProvider ID: 1158450Gender: FemaleRiverside Health Systems1490 E Walnut St Ste AWatseka, IL 60970(815) 432-2025Fax: (815) 432-521700 Yrs/130 YrsM-F 8:30 AM - 4:30 PM

Family Practice

Cavender, Kaitlain CNP

Provider ID: 1324421Gender: FemaleRiverside Health Systems720B S Crescent StGilman, IL 60938(815) 265-4255Fax: (815) 265-425700 Yrs/130 YrsM-F 8:00 AM - 8:30 PMSat-Sun 8:00 AM - 4:30 PM

Denny, Kyle PAProvider ID: 1282420Gender: MaleRiverside Health Systems720 S Crescent St Ste BGilman, IL 60938(815) 265-4255Fax: (815) 265-425700 Yrs/130 YrsM-F 9:00 AM - 8:30 PMSat-Sun 8:00 AM - 5:00 PM

Henderson, Tammie APRN


Hoffner, Christin APRN

Provider ID: 1421080Gender: FemaleRiverside Health Systems1490 E Walnut St Ste AWatseka, IL 60970(815) 432-7693Fax: (815) 936-722800 Yrs/130 YrsMT 8:00 AM - 8:30 PMWTHF 9:00 AM - 8:30 PMSat-Sun 8:00 AM - 4:30 PM

Kasper, Katie APRNProvider ID: 1266762Gender: FemaleRiverside Health Systems720 S Crescent StGilman, IL 60938(815) 265-4255Fax: (815) 265-425700 Yrs/130 YrsM-F 8:00 AM - 8:30 PMSat-Sun 8:00 AM - 4:30 PM

Lopez, Georgina APRN

Provider ID: 1262232Gender: FemaleRiverside Health Systems720B S Crescent StGilman, IL 60938(815) 265-4255Fax: (815) 265-425700 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 8:30 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

Schroeder, Janella APRN


Shule, Laree APRNProvider ID: 1172449Gender: FemaleRiverside Health Systems1490 E Walnut St Ste AWatseka, IL 60970(815) 432-0250Fax: (815) 432-521700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Wourms, Jamie APRNProvider ID: 1317437Gender: FemaleRiverside Health Systems720B S Crescent StGilman, IL 60938(815) 265-4255Fax: (815) 265-425700 Yrs/130 YrsRiverside Medical CenterM-F 8:00 AM - 8:30 PMSat-Sun 8:00 AM - 4:30 PM

Wright, Jeremy APRN

Provider ID: 1317468Gender: MaleRiverside Health Systems720B S Crescent StGilman, IL 60938(815) 265-4255Fax: (815) 265-425700 Yrs/130 YrsRiverside Medical CenterM-F 8:00 AM - 8:30 PMSat-Sun 8:00 AM - 4:30 PM

Neurosurgery

Balthazor, Kristin PA

Provider ID: 1404425Gender: FemaleRiverside Health Systems1490 E Walnut St Ste AWatseka, IL 60970(815) 432-7693Fax: (815) 936-722800 Yrs/130 YrsM-TH 8:30 AM - 5:00 PMF 8:30 AM - 4:00 PM

Allied ProvidersJersey

Updated: 11/21/2017



Jarman, Diana LCSWProvider ID: 935587Gender: FemaleWellspring Resources221 E County RdJerseyville, IL 62052(618) 208-2206Fax: (618) 462-250400 Yrs/130 YrsM 8:00 AM - 5:00 PMTTH 8:00 AM - 8:00 PMW 8:00 AM - 6:00 PM

Allied ProvidersLivingston

Updated: 11/21/2017


Dermatology

Stern, Jennifer APRNProvider ID: 1188527Gender: FemaleDermatology and MohsSurgery L1508 W Reynolds St Ste CPontiac, IL 61764(815) 842-4000Fax: (815) 842-370000 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Family Practice

Cavender, Kaitlain CNP

Provider ID: 1324421Gender: FemaleRiverside Health Systems106B Watters DrDwight, IL 60420(815) 584-2719Fax: (815) 936-385100 Yrs/130 YrsM-F 8:00 AM - 8:30 PMSat-Sun 8:00 AM - 4:30 PM

Henderson, Tammie APRN


Kasper, Katie APRNProvider ID: 1266762Gender: FemaleRiverside Health Systems106 Watters Dr Ste BDwight, IL 60420(815) 584-2719Fax: (815) 936-385100 Yrs/130 YrsMWTHF 8:00 AM - 8:30 PMT 8:00 AM - 4:00 PMSat-Sun 8:00 AM - 4:30 PM

Lopez, Georgina APRN

Provider ID: 1262232Gender: FemaleRiverside Health Systems106B Watters DrDwight, IL 60420(815) 584-2719Fax: (815) 936-385100 Yrs/130 YrsLanguages: SpanishM-F 9:00 AM - 8:30 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

Mitsdarffer, Christina APRN


O'Connell, Naila APRN

Provider ID: 1456454Gender: FemaleRiverside Health Systems106B Watters DrDwight, IL 60420(815) 584-2719Fax: (815) 936-385100 Yrs/130 YrsM 8:00 AM - 9:30 PMTWTH 8:00 AM - 8:30 PMF 8:00 AM - 8:00 PMSat-Sun 8:00 AM - 4:30 PM

Schroeder, Janella APRN


Wourms, Jamie APRNProvider ID: 1317437Gender: FemaleRiverside Health Systems106B Watters DrDwight, IL 60420(815) 584-2719Fax: (815) 584-385100 Yrs/130 YrsRiverside Medical CenterM-F 8:00 AM - 8:30 PMSat-Sun 8:00 AM - 4:30 PM

Wright, Jeremy APRN

Provider ID: 1317468Gender: MaleRiverside Health Systems106B Watters DrDwight, IL 60420(815) 584-2719Fax: (815) 936-385100 Yrs/130 YrsRiverside Medical CenterM-F 8:00 AM - 8:30 PMSat 8:00 AM - 43:0 PMSun 8:00 AM - 4:30 PM

Pediatrics

Bojak, Sarah APRNProvider ID: 1336311Gender: FemaleRiverside Health Systems106B Watters DrDwight, IL 60420(815) 584-2719Fax: (815) 936-385100 Yrs/130 YrsM-F 8:00 AM - 8:30 PMSat 8:00 AM - 4:30 PMSun 8:00 AM - 5:30 PM

Allied ProvidersLogan

Updated: 11/21/2017


Dermatology

Stern, Jennifer APRNProvider ID: 1188527Gender: FemaleDermatology and MohsSurgery L604 N Union St Ste 2Lincoln, IL 62656(309) 451-3376Fax: (309) 452-337600 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Allied ProvidersMacon

Updated: 11/21/2017


Cardiology

Eden, Brenda APRNProvider ID: 1144753Gender: FemalePrairie Cardiovascular Consult1800 E Lake Shore Dr 6th FlDecatur, IL 62521(217) 422-6100Fax: (217) 422-321700 Yrs/130 YrsM-F 7:30 AM - 5:00 PM

Wallace, Deanna APRN

Provider ID: 1236506Gender: FemalePrairie Cardiovascular Consult1800 E Lake Shore DrDecatur, IL 62521(217) 422-6100Fax: (217) 422-321700 Yrs/130 YrsM-F 7:30 AM - 5:00 PM

Zindel, Ellen APRNProvider ID: 1167855Gender: FemalePrairie Cardiovascular Consult1800 E Lake Shore Dr Ste 6Decatur, IL 62521(217) 422-6100Fax: (217) 422-321700 Yrs/130 YrsM-F 7:30 AM - 5:00 PM


Beyers, Heather APRNProvider ID: 1203158Gender: FemalePlanned Parenthood of Illinois3021 N Oakland AveDecatur, IL 62526(217) 877-6474Fax: (217) 877-945200 Yrs/130 YrsMT 8:00 AM - 5:30 PMWTH 9:30 AM - 6:00 PM


Provider ID: 957163Gender: FemalePlanned Parenthood of Illinois3021 N Oakland AveDecatur, IL 62526(217) 877-6474Fax: (217) 877-945200 Yrs/130 YrsMTTH 8:00 AM - 5:30 PMW 9:30 AM - 6:30 PMF 8:00 AM - 1:00 PM

Cox, Stephani APRNProvider ID: 959324Gender: FemalePlanned Parenthood of Illinois3021 N Oakland AveDecatur, IL 62526(217) 877-6474Fax: (217) 877-945200 Yrs/130 YrsMTTH 8:00 AM - 5:30 PMW 9:30 AM - 6:30 PMF 8:00 AM - 1:00 PM

Fairfield, Mitzie APRNProvider ID: 956189Gender: FemalePlanned Parenthood of Illinois3021 N Oakland AveDecatur, IL 62526(217) 877-6474Fax: (217) 877-945200 Yrs/130 YrsMTTH 8:00 AM - 5:30 PMW 9:30 AM - 6:30 PMF 8:00 AM - 1:00 PM


Provider ID: 956217Gender: FemalePlanned Parenthood of Illinois3021 N Oakland AveDecatur, IL 62526(217) 877-6474Fax: (217) 877-945200 Yrs/130 YrsMTTH 8:00 AM - 5:30 PMW 9:30 AM - 6:30 PMF 8:00 AM - 1:00 PM

Johnson, Mois APRNProvider ID: 1198912Gender: FemalePlanned Parenthood of Illinois3021 N Oakland AveDecatur, IL 62526(217) 877-6474Fax: (217) 877-945200 Yrs/130 YrsMT 8:00 AM - 5:30 PMWTH 9:30 AM - 6:00 PM

Schafer, Kathy APRNProvider ID: 976658Gender: FemalePlanned Parenthood of Illinois3021 N Oakland AveDecatur, IL 62526(217) 877-6474Fax: (217) 877-945200 Yrs/130 YrsMTH 8:00 AM - 5:30 PMT 9:00 AM - 5:00 PMW 12:00 AM - 8:00 PMF 8:00 AM - 3:00 PM

Wall, Linda APRNProvider ID: 952260Gender: FemalePlanned Parenthood of Illinois3021 N Oakland AveDecatur, IL 62526(877) 200-7745Fax: (217) 877-945200 Yrs/130 YrsMTTH 8:00 AM - 5:30 PMW 9:30 AM - 6:30 PMF 8:00 AM - 1:00 PM

Allied ProvidersMacoupin

Updated: 11/21/2017


Nurse Practitioner

Ventimiglia, Amanda ARNP

Provider ID: 796956Gender: FemaleSSM Managed CareOrganization400 N Caldwell StStaunton, IL 62088(314) 741-0911Fax: (314) 741-050100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM

Allied ProvidersMcLean

Updated: 11/21/2017


Dermatology

Stern, Jennifer APRNProvider ID: 1188527Gender: FemaleDermatology and MohsSurgery L3024 E Empire St Fl 2 Ste E Eand FBloomington, IL 61704(309) 451-3376Fax: (309) 452-337600 Yrs/130 YrsM-F 8:00 AM - 4:30 PM


Farnham, Pamala LCSW

Provider ID: 939025Gender: FemaleThe Center For Youth andFamil502 S Morris AveBloomington, IL 61701(309) 820-7616Fax: (309) 820-765700 Yrs/130 YrsM-TH 8:00 AM - 4:00 PM

Licensed ProfessionalCounselor

Barisch, Stephanie LPC

Provider ID: 939169Gender: FemaleThe Center For Youth andFamil502 S Morris AveBloomington, IL 61701(309) 820-7616Fax: (309) 820-765700 Yrs/130 YrsM-W 9:00 AM - 5:30 PM

Martin-Corcoran, KimberlyLPC

Provider ID: 938902Gender: FemaleThe Center For Youth andFamil502 S Morris AveBloomington, IL 61701(309) 820-7616Fax: (309) 820-765700 Yrs/130 YrsM-F 9:00 AM - 5:00 PM



Provider ID: 957163Gender: FemalePlanned Parenthood of Illinois1319 N Veterans PkwyBloomington, IL 61704(309) 827-4014Fax: (309) 828-662600 Yrs/130 YrsM-W 8:00 AM - 4:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:00 PM

Cox, Stephani APRNProvider ID: 959324Gender: FemalePlanned Parenthood of Illinois1319 N Veterans PkwyBloomington, IL 61704(309) 827-4014Fax: (309) 828-662600 Yrs/130 YrsM-W 9:00 AM - 5:00 PMTH 8:00 AM - 8:00 PMF 8:00 AM - 4:00 PM

Fairfield, Mitzie APRNProvider ID: 956189Gender: FemalePlanned Parenthood of Illinois1319 N Veterans PkwyBloomington, IL 61704(309) 827-4014Fax: (309) 828-662600 Yrs/130 YrsM-W 9:00 AM - 5:00 PMTH 8:00 AM - 8:00 PMF 8:00 AM - 4:00 PM


Provider ID: 956217Gender: FemalePlanned Parenthood of Illinois1319 N Veterans PkwyBloomington, IL 61704(309) 827-4014Fax: (309) 828-662600 Yrs/130 YrsM-W 9:00 AM - 5:00 PMTH 8:00 AM - 8:00 PMF 8:00 AM - 4:00 PM

Schafer, Kathy APRNProvider ID: 976658Gender: FemalePlanned Parenthood of Illinois1319 N Veterans PkwyBloomington, IL 61704(309) 827-4014Fax: (309) 828-662600 Yrs/130 YrsMTH 8:00 AM - 8:00 PMTW 9:00 AM - 5:00 PMF 8:00 AM - 4:00 PM

Wall, Linda APRNProvider ID: 952260Gender: FemalePlanned Parenthood of Illinois1319 N Veterans PkwyBloomington, IL 61704(309) 827-4014Fax: (309) 828-662600 Yrs/130 YrsM-W 8:00 AM - 4:00 PMTH 11:00 AM - 7:00 PMF 8:00 AM - 3:00 PM

Allied ProvidersMorgan

Updated: 11/21/2017


Cardiology

Lafrenz, Angela APRNProvider ID: 1420913Gender: FemalePrairie Cardiovascular Consult1515 W Walnut St Ste 9Jacksonville, IL 62650(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsM-F 7:30 AM - 5:00 PM

Allied ProvidersPiatt

Updated: 11/21/2017


Family Practice

Liss, David ARNPProvider ID: 1487961Gender: MaleKirby Medical Center1000 Medical Center DrMonticello, IL 61856(217) 762-624100 Yrs/130 YrsM-F 9:00 AM - 5:00 PM


Porter, Jaime LCSWProvider ID: 1488002Gender: FemaleKirby Medical Center1000 Medical Center DrMonticello, IL 61856(217) 762-624100 Yrs/130 YrsM-W 7:00 AM - 6:00 PMTH 7:00 AM - 4:00 PMF 8:00 AM - 12:00 PM

Allied ProvidersSangamon

Updated: 11/21/2017


Cardiology

Borjon, Julie ARNPProvider ID: 1420900Gender: FemalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsM-F 7:30 AM - 5:00 PM

Fleming, Meredith APRN

Provider ID: 1167172Gender: FemalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-254600 Yrs/130 YrsM-F 7:30 AM - 5:00 PM

Grubb, Laura APRNProvider ID: 1466328Gender: FemalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsMTWF 7:30 AM - 5:00 PMTH 73:0 AM - 5:00 PM

Lucca, Jessica APRNProvider ID: 1170368Gender: FemalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsM-F 7:30 AM - 5:00 PM

Mahaney, Gretchen APRN

Provider ID: 1168555Gender: FemalePrairie Cardiovascular Consult747 N Rutledge St St Ste 4Springfield, IL 62702(217) 788-0706Fax: (217) 788-703218 Yrs/130 YrsM-F 7:30 AM - 5:00 PM

Nichelson, Jennifer APRN


Schindler, Jill APRNProvider ID: 1158404Gender: FemalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-254618 Yrs/130 YrsM-F 7:30 AM - 5:00 PM

Vaughan, Meleah APRN

Provider ID: 1248731Gender: FemalePrairie Cardiovascular Consult619 E Mason St Ste 4957Springfield, IL 62701(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsM-F 7:30 AM - 5:00 PM

Family Practice

Shallow, Charlene APRN

Provider ID: 1170728Gender: FemalePrairie Cardiovascular Consult401 E Carpenter StSpringfield, IL 62702(217) 788-0706Fax: (217) 523-452000 Yrs/130 YrsM-F 7:30 AM - 5:00 PM

Vogler, Shauna ARNPProvider ID: 1188368Gender: FemalePrairie Cardiovascular Consult619 E Mason St Ste 4p57Springfield, IL 62701(217) 788-0706Fax: (217) 525-253518 Yrs/130 YrsMWTHF 7:30 AM - 5:00 PMT 7:00 AM - 5:00 PM


Fairfield, Mitzie APRNProvider ID: 956189Gender: FemalePlanned Parenthood of Illinois601 N Bruns LnSpringfield, IL 62703(217) 546-106000 Yrs/130 YrsM-W 9:00 AM - 5:00 PMTH 8:00 AM - 8:00 PMF 8:00 AM - 4:00 PM

Wound, Ostomy andContinence Care

Chatham, Nancy APRN


PharmacyAdams

Updated: 11/21/2017


Retail

Brown Drug CompanyProvider ID: TPV1790868636-01121 Maine StQuincy, IL 62301(217) 228-6400Fax: (217) 228-642300 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 5:00 PM

CVSProvider ID: TPV1184665051-0436 N 30th StQuincy, IL 62301(217) 224-2828Fax: (217) 224-360800 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

Denman Country DrugProvider ID: TPV1629099197-0102 Prairie Mills RdGolden, IL 62339(217) 696-2820Fax: (217) 696-282100 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Hy-Vee PharmacyProvider ID: TPV1134158934-01400 Harrison StQuincy, IL 62301(217) 222-2930Fax: (217) 221-913500 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Hy-Vee PharmacyProvider ID: TPV1750310579-03700 Broadway StQuincy, IL 62305(217) 224-7555Fax: (217) 228-035200 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

KMARTProvider ID: TPV1205867355-03701 Broadway StQuincy, IL 62305(217) 224-9070Fax: (217) 224-195000 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 4:00 PM

Omnicare of QuincyProvider ID: TPV1992816524-01114 Broadway StQuincy, IL 62301(217) 228-6275Fax: (217) 228-911800 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 9:00 AM - 5:00 PM

SAMS CLUBProvider ID: TPV1881841690-0700 N 54th StQuincy, IL 62305(217) 222-6682Fax: (217) 222-744500 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Shopko PharmacyProvider ID: TPV1295761252-03200 Broadway StQuincy, IL 62301(217) 224-0776Fax: (217) 224-089000 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1811902950-0Walgreens1723 Broadway StQuincy, IL 62301(217) 222-0792Fax: (217) 222-106500 Yrs/99 YrsMTWTHFSatSun 8:00 AM -10:00 PM

Walmart PharmacyProvider ID: TPV1427076934-03800 Broadway StQuincy, IL 62305(217) 228-2331Fax: (217) 228-233900 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyBrown

Updated: 11/21/2017


Retail

Moreland And Devitt IncProvider ID: TPV1447354485-0200 Pittsfield Rd Ste BMount Sterling, IL 62353(217) 773-2020Fax: (217) 773-283200 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

PharmacyCalhoun

Updated: 11/21/2017


Retail

Fox Family PharmacyProvider ID: TPV1710080874-0110 N County RdHardin, IL 62047(618) 576-2619Fax: (618) 576-227500 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 12:00 PM

PharmacyCass

Updated: 11/21/2017


Retail

Moreland DevittProvider ID: TPV1134671324-0118 E Beardstown StVirginia, IL 62691(217) 452-3301Fax: (217) 452-753200 Yrs/99 YrsM-F 10:00 AM - 5:00 PM

Moreland Devitt Pharmacy

Provider ID: TPV1235506106-0201 S State StBeardstown, IL 62618(217) 909-4333Fax: (217) 909-449400 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 6:00 PMSat 9:00 AM - 12:00 PM

Pamidaa RXProvider ID: TPV1285987347-0113 W 3rd StBeardstown, IL 62618(217) 323-4422Fax: (217) 323-448000 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Walmart PharmacyProvider ID: TPV1023035391-0100 Lincoln AveBeardstown, IL 62618(217) 323-1327Fax: (217) 323-132900 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyChampaign

Updated: 11/21/2017


Retail

Complete Care PharmacyProvider ID: TPV1619213097-014 E Washington St Ste CChampaign, IL 61820(217) 355-6607Fax: (217) 355-663900 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Coram Specialty InfusionSrvcs

Provider ID: TPV1104103290-02022 Glen Park DrChampaign, IL 61821(217) 356-7900Fax: (217) 356-795300 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

County Market Pharmacy 518

Provider ID: TPV1437409851-02901 W Kirby AveChampaign, IL 61821(217) 351-3108Fax: (217) 351-312800 Yrs/99 YrsMTWTHFSat 8:00 AM - 6:00PMSun 9:00 AM - 1:00 PM

Covenant OutpatientPharmacy

Provider ID: TPV1841303708-01400 W Park StUrbana, IL 61801(217) 337-4545Fax: (217) 337-454600 Yrs/99 YrsLanguages: Spanish,VietnameseM-F 9:00 AM - 5:00 PM

CVSProvider ID: TPV1073555264-0243 S Mattis AveChampaign, IL 61821(217) 352-9665Fax: (217) 352-996900 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1093756967-01818 Philo RdUrbana, IL 61802(217) 337-1192Fax: (217) 337-135800 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1194828863-01205 E Grove AveRantoul, IL 61866(217) 892-8122Fax: (217) 892-896200 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1285675157-0107 W Green StChampaign, IL 61820(217) 355-8123Fax: (217) 355-868800 Yrs/99 YrsM-F 8:00 AM - 12:00 PMSat-Sun 8:00 AM - 8:00 PM

CVSProvider ID: TPV1285737957-0804 Eastwood Dr Ste BMahomet, IL 61853(217) 586-2137Fax: (217) 586-791400 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1427393115-01111 N Dunlap StSavoy, IL 61874(217) 351-2123Fax: (217) 351-219800 Yrs/99 YrsM-F 7:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

CVSProvider ID: TPV1861414674-02102 N Prospect AveChampaign, IL 61822(217) 355-3345Fax: (217) 693-611000 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 5:00 PMSun 11:00 AM - 5:00 PM

Meijer PharmacyProvider ID: TPV1215207006-02401 N Prospect AveChampaign, IL 61822(217) 353-4010Fax: (217) 353-406500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Meijer PharmacyProvider ID: TPV1497025290-02500 Philo RdUrbana, IL 61802(217) 365-5210Fax: (217) 365-526500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

SAMS CLUBProvider ID: TPV1669499950-0915 W Marketview DrChampaign, IL 61822(217) 352-1987Fax: (217) 352-235600 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Schnucks PharmacyProvider ID: TPV1376579623-0109 N Mattis AveChampaign, IL 61821(217) 351-8497Fax: (217) 351-805600 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 4:00 PM

Schnucks PharmacyProvider ID: TPV1376731273-01301 Savoy Plaza LnSavoy, IL 61874(217) 373-0702Fax: (217) 373-070300 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 4:00 PM

Schnucks PharmacyProvider ID: TPV1457387706-0200 N Vine StUrbana, IL 61802(217) 337-6551Fax: (217) 337-618300 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 4:00 PM

WalgreensProvider ID: TPV1003108135-0Walgreens1001 Heather DrMahomet, IL 61853(217) 586-2317Fax: (217) 586-847500 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 2:00 PM

WalgreensProvider ID: TPV1083906267-0Walgreens602 W University AveUrbana, IL 61801(217) 344-9148Fax: (217) 383-352400 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1134139090-0Walgreens1509 S Neil StChampaign, IL 61820(217) 351-151600 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

PharmacyChampaign

Updated: 11/21/2017


Retail - cont.

WalgreensProvider ID: TPV1225320260-0Walgreens1757 W Kirby AveChampaign, IL 61821(217) 351-0665Fax: (217) 359-706300 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

WalgreensProvider ID: TPV1235404245-0Walgreens1801 Windsor Rd Ste 101Champaign, IL 61822(217) 366-1225Fax: (217) 366-805800 Yrs/99 YrsM-F 8:00 AM - 7:00 PMSat 8:00 AM - 6:00 PM

WalgreensProvider ID: TPV1306949433-0Walgreens220 S Century BlvdRantoul, IL 61866(217) 892-841500 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1316331630-0Walgreens Prescription Center407 E Green StChampaign, IL 61820(224) 323-509500 Yrs/99 YrsM-F 8:00 AM - 11:00 PMSat 8:00 AM - 10:00 PMSun 10:00 AM - 10:00 PM

WalgreensProvider ID: TPV1558636555-0Walgreens101 W University Ave Ste 102Champaign, IL 61820(217) 366-1278Fax: (217) 366-689700 Yrs/99 YrsM-F 8:00 AM - 6:00 PM

WalgreensProvider ID: TPV1568754695-0Walgreens1701 Curtis Rd Ste 1024Champaign, IL 61822(217) 355-6853Fax: (217) 326-140500 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 5:00 PMSun 9:00 AM - 1:00 PM

WalgreensProvider ID: TPV1578578688-0Walgreens302 E University AveChampaign, IL 61820(217) 344-7201Fax: (217) 344-729000 Yrs/99 YrsMTWTHFSatSun 8:00 AM -10:00 PM

WalgreensProvider ID: TPV1649287673-0Walgreens1809 Philo Rd Ste AUrbana, IL 61802(217) 367-5486Fax: (217) 367-243700 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1669487773-0Walgreens2402 Village Green PlChampaign, IL 61822(217) 398-2764Fax: (217) 398-400900 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1689689705-0Walgreens1713 W Springfield AveChampaign, IL 61821(217) 356-2529Fax: (217) 356-142300 Yrs/99 Yrs

WalgreensProvider ID: TPV1710119201-0Walgreens104 N Lombard StMahomet, IL 61853(217) 586-346000 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1922013036-0Walgreens841 Bloomington RdChampaign, IL 61820(217) 356-8237Fax: (217) 356-827200 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat-Sun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1528085891-0845 Broadmeadow RdRantoul, IL 61866(217) 892-9171Fax: (217) 892-956500 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1588681878-0505 S Dunlap AveSavoy, IL 61874(217) 356-2867Fax: (217) 356-290100 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1669499968-0100 S High Cross RdUrbana, IL 61802(217) 344-6190Fax: (217) 344-619900 Yrs/99 YrsM-TH 8:00 AM - 9:00 PMF 8:00 AM - 7:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1871510156-0913 W Marketview DrChampaign, IL 61822(217) 352-1490Fax: (217) 352-223800 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyChristian

Updated: 11/21/2017


Retail

CVSProvider ID: TPV1275636045-0504 N Webster StTaylorville, IL 62568(217) 287-7951Fax: (217) 287-263900 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Renes Drug StoreProvider ID: TPV1114095320-0201 W Main Cross StTaylorville, IL 62568(217) 824-5323Fax: (217) 824-380000 Yrs/99 YrsM-F 8:00 AM - 7:00 PMSat 8:00 AM - 5:00 PMSun 9:00 AM - 12:00 PM

The PharmacyProvider ID: TPV1609905702-0600 N Main StTaylorville, IL 62568(217) 824-3411Fax: (217) 824-349200 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

WalgreensProvider ID: TPV1003041674-0Walgreens108 S Poplar StPana, IL 62557(217) 562-277000 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PM

WalgreensProvider ID: TPV1831104942-0Walgreens315 N Webster StTaylorville, IL 62568(217) 824-8154Fax: (217) 824-816500 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1609894112-01530 W Springfield RdTaylorville, IL 62568(217) 287-1121Fax: (217) 287-119300 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1962429258-010 W 2nd StPana, IL 62557(217) 562-7205Fax: (217) 562-720700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyClark

Updated: 11/21/2017


Retail

Martinsville PharmacyProvider ID: TPV1295810422-0890 Ridgelawn RdMartinsville, IL 62442(217) 382-4004Fax: (217) 382-347600 Yrs/99 YrsM-TH 9:00 AM - 5:00 PMF 5:00 AM - 5:00 PM

The Medicine ShoppeProvider ID: TPV1558455964-0201 Archer AveMarshall, IL 62441(217) 826-6374Fax: (217) 826-260200 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PM

The Pharmacie ShoppeProvider ID: TPV1538166137-0202 W Edgar AveCasey, IL 62420(217) 932-4004Fax: (217) 932-239600 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 12:00 PM

Walmart PharmacyProvider ID: TPV1801813167-0108 Brysta DrMarshall, IL 62441(217) 826-8013Fax: (217) 826-818300 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyColes

Updated: 11/21/2017


Retail

CVSProvider ID: TPV1063454254-01316 Charleston AveMattoon, IL 61938(217) 258-2920Fax: (217) 235-419000 Yrs/99 YrsM-F 7:00 AM - 11:00 PMSat 8:00 AM - 7:00 PMSun 8:00 AM - 6:00 PM

CVSProvider ID: TPV1639110505-0501 W Lincoln AveCharleston, IL 61920(217) 345-7111Fax: (217) 345-701500 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Prairie Medical PharmacyProvider ID: TPV1801970017-01000 Health Center DrMattoon, IL 61938(217) 258-2411Fax: (217) 258-409500 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1427063650-0Walgreens411 W Lincoln AveCharleston, IL 61920(217) 345-2233Fax: (217) 345-219400 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1629083761-0Walgreens212 S Logan AveMattoon, IL 61938(217) 235-3126Fax: (217) 234-367500 Yrs/99 YrsMTWTHFSatSun 7:00 AM -11:00 PM

Walmart PharmacyProvider ID: TPV1124045406-0101 Dettro DrMattoon, IL 61938(217) 258-6313Fax: (217) 235-632400 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 9:00 PM

Walmart PharmacyProvider ID: TPV1851318141-02250 Lincoln AveCharleston, IL 61920(217) 345-9458Fax: (217) 345-518500 Yrs/99 YrsMTWTHFSat 9:00 AM - 9:00PMSun 10:00 AM - 6:00 PM

Wellcreek PharmacyCharleston

Provider ID: TPV1114478500-01 W. Lincoln AveCharleston, IL 61920(217) 512-2817Fax: (217) 512-281800 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PM

PharmacyCumberland

Updated: 11/21/2017


Retail

Sav-Mor PharmacyProvider ID: TPV1376554873-0596 Oak StNeoga, IL 62447(217) 895-2238Fax: (217) 895-242300 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 12:00 PM

Toledo PharmacyProvider ID: TPV1326061284-0104 Courthouse SquareToledo, IL 62468(217) 849-2666Fax: (217) 849-201500 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

PharmacyDe Witt

Updated: 11/21/2017


Retail

CVSProvider ID: TPV1659474328-060 Clinton PlzClinton, IL 61727(217) 935-4545Fax: (217) 935-059500 Yrs/99 YrsMTWTHFSat 9:00 AM - 9:00PMSun 10:00 AM - 6:00 PM

The Medicine Shoppe ofFarmer City

Provider ID: TPV1265897409-0217 S Main StFarmer City, IL 61842(309) 928-2491Fax: (309) 928-249300 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

WalgreensProvider ID: TPV1164624870-0Walgreens424 W Van Buren StClinton, IL 61727(217) 935-312600 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1003834524-010 Clinton PlzClinton, IL 61727(217) 935-8644Fax: (217) 935-365600 Yrs/99 YrsMTWTHFSat 9:00 AM - 7:00PMSun 10:00 AM - 6:00 PM

PharmacyDouglas

Updated: 11/21/2017


Retail

Brownes PharmacyProvider ID: TPV1215002894-0121 W Springfield RdArcola, IL 61910(217) 268-3838Fax: (217) 268-385800 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Lehmans PharmacyProvider ID: TPV1467556415-0101 N Main St Ste ATuscola, IL 61953(217) 253-5878Fax: (217) 253-323800 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Sav-Mor PharmacyProvider ID: TPV1093726598-0104 E Southline RdTuscola, IL 61953(217) 253-2309Fax: (217) 253-507300 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

Sav-Mor PharmacyProvider ID: TPV1275992851-0112 S. MainAtwood, IL 61913(217) 578-2850Fax: (217) 578-285300 Yrs/99 YrsM-F 9:00 AM - 4:00 PM

Shopko PharmacyProvider ID: TPV1316976558-0700 Progress BlvdTuscola, IL 61953(217) 253-5123Fax: (217) 253-512400 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PM

Villa Grove PharmacyProvider ID: TPV1700178670-04 N Main StVilla Grove, IL 61956(217) 681-1014Fax: (217) 681-104300 Yrs/99 YrsLanguages: HindiM-F 9:00 AM - 7:00 PMSat 10:00 AM - 6:00 PM

PharmacyEdgar

Updated: 11/21/2017


Retail

CVSProvider ID: TPV1740383413-0808 S Main StParis, IL 61944(217) 465-8477Fax: (217) 466-505000 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat-Sun 9:00 AM - 6:00 PM

Paris Clinic PharmacyProvider ID: TPV1750455853-0719 E Court StParis, IL 61944(217) 465-4114Fax: (217) 463-580100 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM

Pearman PharmacyProvider ID: TPV1013081140-0116 W Court StParis, IL 61944(217) 465-8455Fax: (217) 463-196700 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 6:00 PMSat 8:00 AM - 5:00 PM

Walmart PharmacyProvider ID: TPV1497772784-015150 US Hwy 150Paris, IL 61944(217) 466-5818Fax: (217) 466-581900 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyFord

Updated: 11/21/2017


Retail

Hudson Drug ShopProvider ID: TPV1639223084-0108 N Market StPaxton, IL 60957(217) 379-4858Fax: (217) 379-391700 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 5:00 PMSun 12:00 AM - 1:00 PM

Scotts Family PharmacyProvider ID: TPV1073658589-0220 N Sangamon AveGibson City, IL 60936(217) 784-8241Fax: (217) 784-550600 Yrs/99 Yrs

The Medicine ShoppeProvider ID: TPV1477570166-0104 N Sangamon AveGibson City, IL 60936(217) 784-8545Fax: (217) 784-803900 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

PharmacyGreene

Updated: 11/21/2017


Retail

5 Guys Medicine ShoppeProvider ID: TPV1023464187-0333 W Bethalto Dr Ste BBethalto, IL 62016(618) 377-5356Fax: (618) 377-015900 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 3:00 PM

Gable Family Pharmacy Co

Provider ID: TPV1033179668-0502 Chestnut StGreenfield, IL 62044(217) 368-2667Fax: (217) 368-314000 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Pharmacy Plus IncProvider ID: TPV1023198785-0213 W ClayRoodhouse, IL 62082(217) 589-4313Fax: (217) 589-512100 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 2:00 PM

Pharmacy Plus IncProvider ID: TPV1568557593-0508 N Main StCarrollton, IL 62016(217) 942-3427Fax: (217) 942-313000 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 3:00 PM

Pharmacy Plus, IncProvider ID: TPV1295078137-0116 N Main StWhite Hall, IL 62092(217) 374-2222Fax: (217) 374-222000 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

PharmacyHancock

Updated: 11/21/2017


Retail

Hy-Vee Clinic PharmacyProvider ID: TPV1962715102-01075 Broadway StHamilton, IL 62341(217) 847-2214Fax: (217) 847-668100 Yrs/99 YrsM-F 9:00 AM - 4:00 PMSat 9:00 AM - 12:00 PM

McHugh Drug Store LLCProvider ID: TPV1427124817-070 S Madison StCarthage, IL 62321(217) 357-2623Fax: (217) 357-951500 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Wear DrugProvider ID: TPV1932113867-0408 Walnut St Ste BCarthage, IL 62321(217) 357-9327Fax: (217) 357-922500 Yrs/99 YrsM 9:00 AM - 7:00 PMTWTHF 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

PharmacyIroquois

Updated: 11/21/2017


Retail

CVSProvider ID: TPV1003919770-0300 E Walnut StWatseka, IL 60970(815) 432-4172Fax: (815) 432-579400 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat-Sun 9:00 AM - 6:00 PM

CVSProvider ID: TPV1437234564-0720 S Crescent StGilman, IL 60938(815) 265-4730Fax: (815) 265-474200 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 3:00 PMSun 9:00 AM - 1:00 PM

Iroquois Memorial HospitalProvider ID: TPV1629003470-0200 E Fairman AveWatseka, IL 60970(815) 432-7746Fax: (815) 432-788700 Yrs/99 YrsLanguages: ChineseMTWTHFSatSun 7:00 AM -5:00 PM

Kelly DrugsProvider ID: TPV1881735975-0105 E Jones StMilford, IL 60953(815) 889-4326Fax: (815) 889-432600 Yrs/99 YrsMTWF 9:00 AM - 6:00 PMTH 9:00 AM - 1:00 PMSat 9:00 AM - 12:00 PM

Walmart PharmacyProvider ID: TPV1104843473-01790 E Walnut StWatseka, IL 60970(815) 432-2208Fax: (815) 432-225000 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyJersey

Updated: 11/21/2017


Retail

Brighton PharmacyProvider ID: TPV1073620985-0108 Ransom StBrighton, IL 62012(618) 372-3313Fax: (618) 372-833200 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

CVSProvider ID: TPV1942684287-0303 S State StJerseyville, IL 62052(618) 498-1144Fax: (618) 509-497400 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 8:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

The Medicine ShoppeProvider ID: TPV1023363025-0400A W CarpenterJerseyville, IL 62052(618) 498-6461Fax: (618) 639-945000 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

WalgreensProvider ID: TPV1104847375-0Walgreens705 S State StJerseyville, IL 62052(618) 498-498900 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 8:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1437176799-01316 S State StJerseyville, IL 62052(618) 498-6864Fax: (618) 498-700800 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyLivingston

Updated: 11/21/2017


Retail

CVSProvider ID: TPV1154491884-0902 E. Oak StFairbury, IL 61739(815) 692-2132Fax: (815) 692-239300 Yrs/99 YrsMTWTHFSat 9:00 AM - 7:00PM

CVSProvider ID: TPV1326123340-01034 W. Reynolds StPontiac, IL 61764(815) 842-6774Fax: (815) 842-264800 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 5:00 PMSun 9:00 AM - 3:00 PM

CVSProvider ID: TPV1558446633-0106 Watters DRDwight, IL 60420(815) 584-2140Fax: (518) 584-172200 Yrs/99 YrsMTWTHFSun 9:00 AM - 6:00PMSat 9:00 AM - 3:00 PM

Flanagan Health MartPharmacy

Provider ID: TPV1376593483-0116 S Main StFlanagan, IL 61740(815) 796-2274Fax: (815) 796-327700 Yrs/99 YrsMTWF 9:00 AM - 5:00 PMTH 9:00 AM - 1:00 PM

WalgreensProvider ID: TPV1245245422-0Walgreens1001 W Reynolds StPontiac, IL 61764(815) 844-4767Fax: (815) 844-446700 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat-Sun 9:00 AM - 5:00 PM

Walmart PharmacyProvider ID: TPV1922025295-01706 W Reynolds StPontiac, IL 61764(815) 842-2230Fax: (815) 844-537700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyLogan

Updated: 11/21/2017


Retail

CVSProvider ID: TPV1285737056-0534 Woodlawn RdLincoln, IL 62656(217) 735-1548Fax: (217) 735-257800 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

KrogerProvider ID: TPV1407929029-01475 Woodlawn RdLincoln, IL 62656(217) 732-8115Fax: (217) 732-839800 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 5:00 PM

Stacys Family PharmacyProvider ID: TPV1588714893-0709 Woodlawn RdLincoln, IL 62656(217) 735-1972Fax: (217) 732-982700 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

WalgreensProvider ID: TPV1801801097-0Walgreens603 Woodlawn RdLincoln, IL 62656(217) 732-1825Fax: (217) 732-779600 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1295752566-0825 Malerich DrLincoln, IL 62656(217) 735-3344Fax: (217) 735-268700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyMacon

Updated: 11/21/2017


Retail

Cancer Care Specialists ofIllinois

Provider ID: TPV1356874093-0210 W McKinley Ave Ste 6Decatur, IL 62526(217) 329-3239Fax: (217) 876-982900 Yrs/99 YrsM-F 8:00 AM - 4:00 PM

Colees Community Pharmacy

Provider ID: TPV1386096170-0320 E Central AveDecatur, IL 62521(217) 330-5004Fax: (217) 330-587300 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Colees Corner DrugsProvider ID: TPV1265863468-0845 S US Rte 51 Unit BForsyth, IL 62535(217) 330-9552Fax: (217) 791-628000 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PM

County Market PharmacyProvider ID: TPV1962613612-01400 E Pershing RdDecatur, IL 62526(217) 221-5615Fax: (217) 221-591500 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

CVSProvider ID: TPV1124040837-0355 W Mound RdDecatur, IL 62526(217) 875-6550Fax: (217) 330-538000 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 5:00 PMSun 11:00 AM - 5:00 PM

CVSProvider ID: TPV1154363349-01595 E Cantrell StDecatur, IL 62521(217) 429-4248Fax: (217) 429-955100 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1306163837-0570 N Fairview AveDecatur, IL 62522(217) 422-1570Fax: (217) 422-236800 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1487695359-02990 N Monroe StDecatur, IL 62526(217) 877-1703Fax: (217) 876-754000 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Dales Southlake PharmacyProvider ID: TPV1588613384-0245 W First Dr Ste BDecatur, IL 62521(217) 429-5165Fax: (217) 429-517200 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PM

Extended Living Pharmacy LLCProvider ID: TPV1992899306-02459 E Federal DrDecatur, IL 62526(217) 875-7147Fax: (217) 875-708100 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Genoa-QOL HealthcareProvider ID: TPV1295045573-0151 N Main St Rm 332Decatur, IL 62523(217) 619-0950Fax: (217) 329-125000 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Illini Pharmacy Services LLC

Provider ID: TPV1205146917-0675 W Imboden DrDecatur, IL 62521(217) 791-6340Fax: (217) 791-656800 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PM

KrogerProvider ID: TPV1235202854-01401 W King StDecatur, IL 62522(217) 429-0514Fax: (217) 429-048200 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 5:00 PM

KrogerProvider ID: TPV1699848218-01818 Airport PlzDecatur, IL 62521(217) 877-1327Fax: (217) 864-486100 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

KrogerProvider ID: TPV1932272242-0255 W 1st DrDecatur, IL 62521(217) 428-1778Fax: (217) 424-261400 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Kroger Savon PharmacyProvider ID: TPV1992878516-03070 N Water StDecatur, IL 62526(217) 877-1327Fax: (217) 877-132900 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 5:00 PM

Omnicare of DecaturProvider ID: TPV1871529560-0796 N Sunnyside RdDecatur, IL 62522(217) 428-8575Fax: (217) 428-114200 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 3:00 PM

Sav-Mor PharmacyProvider ID: TPV1699119644-01410 Village PkwyMt Zion, IL 62549(217) 864-0910Fax: (217) 864-091500 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

WalgreensProvider ID: TPV1114932415-0Walgreens4995 E US Rte 36Decatur, IL 62521(217) 864-9866Fax: (217) 864-698600 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1225307986-0Walgreens420 W First DRDecatur, IL 62521(217) 422-380100 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

PharmacyMacon

Updated: 11/21/2017


Retail - cont.

WalgreensProvider ID: TPV1366457558-0Walgreens225 E Ash AveDecatur, IL 62526(217) 872-1758Fax: (217) 872-179700 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1730195181-0Walgreens1311 N. State Rt 48Decatur, IL 62526(217) 429-1988Fax: (217) 429-957700 Yrs/99 Yrs

WalgreensProvider ID: TPV1922013226-0Walgreens625 W Pershing RdDecatur, IL 62526(217) 875-2751Fax: (217) 875-663100 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1235156514-04224 N Prospect StDecatur, IL 62526(217) 875-0190Fax: (217) 875-018600 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1407873797-04625 E Maryland StDecatur, IL 62521(217) 864-9288Fax: (217) 864-652600 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyMacoupin

Updated: 11/21/2017


Retail

CVSProvider ID: TPV1750758496-0506 E Main StStaunton, IL 62088(618) 635-2538Fax: (618) 623-099100 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 4:00 PM

Michelles Pharmacy IncProvider ID: TPV1306953013-0120 S Macoupin StGillespie, IL 62033(217) 839-9901Fax: (217) 839-361200 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

Michelles Pharmacy IncProvider ID: TPV1669518270-0494 W Side SqCarlinville, IL 62626(217) 854-4022Fax: (217) 854-430000 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 5:00 PMSat 8:00 AM - 2:00 PM

Michelles Pharmacy, IncProvider ID: TPV1952759623-0809 S Franklin StBunker Hill, IL 62014(618) 585-1293Fax: (618) 585-686900 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

Sav-Mor DrugsProvider ID: TPV1902817406-0105 E Jackson StVirden, IL 62690(217) 965-4926Fax: (217) 965-562000 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

Sullivan DrugsProvider ID: TPV1821049594-0920 W Main StCarlinville, IL 62626(217) 854-6121Fax: (217) 854-613100 Yrs/99 YrsM-F 9:00 AM - 8:00 PMSat 9:00 AM - 3:00 PMSun 11:00 AM - 5:00 PM

Sullivan Drugs IncProvider ID: TPV1134104219-0113 S Macoupin StGillespie, IL 62033(217) 839-2877Fax: (217) 839-323300 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PM

Sullivan Drugs IncProvider ID: TPV1902881097-0101 E Main StStaunton, IL 62088(618) 635-2595Fax: (618) 635-559000 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PMSun 9:00 AM - 1:00 PM

Sullivans Drugs IncProvider ID: TPV1871578583-0105 W Main StMount Olive, IL 62069(217) 999-7321Fax: (217) 999-323300 Yrs/99 YrsM-F 10:00 AM - 6:00 PMSat 10:00 AM - 2:00 PM

Walmart PharmacyProvider ID: TPV1760409031-018600 Shipman RdCarlinville, IL 62626(217) 854-2660Fax: (217) 854-354100 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyMason

Updated: 11/21/2017


Retail

CVSProvider ID: TPV1902909674-0320 E Dearborn StHavana, IL 62644(309) 543-6603Fax: (309) 543-666600 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 5:00 PM

Mason City PharmacyProvider ID: TPV1639184278-0149 E ChestnutMason City, IL 62664(217) 482-5985Fax: (217) 482-571500 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Wolters Drug StoreProvider ID: TPV1225032071-0201 W Main StHavana, IL 62644(309) 543-2444Fax: (309) 543-347100 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PMSun 9:00 AM - 12:00 PM

PharmacyMcDonough

Updated: 11/21/2017


Retail

Axline PharmacyProvider ID: TPV1285787226-0401 W Main StBushnell, IL 61422(309) 772-3155Fax: (309) 772-315600 Yrs/99 YrsM-F 9:00 AM - 6:00 PM

CVSProvider ID: TPV1134162514-01401 E Jackson St Ste 9Macomb, IL 61455(309) 833-1750Fax: (309) 837-600400 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

Hy-Vee PharmacyProvider ID: TPV1679502462-01600 E Jackson StMacomb, IL 61455(309) 833-3750Fax: (309) 836-840700 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

WalgreensProvider ID: TPV1245245406-0Walgreens300 E Jackson StMacomb, IL 61455(309) 837-2436Fax: (309) 837-902400 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1992722250-01730 E Jackson StMacomb, IL 61455(309) 833-1456Fax: (309) 833-140000 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyMcLean

Updated: 11/21/2017


Retail

Axline AdvancedProvider ID: TPV1215237359-01210 Towanda Ave Unit 10Bloomington, IL 61701(309) 828-6767Fax: (309) 828-697000 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 5:00 PM

Axline PharmacyProvider ID: TPV1982945556-01210 Towanda Ave Unit 11Bloomington, IL 61701(309) 828-6767Fax: (309) 828-697000 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Chenoa RXProvider ID: TPV1972600716-0209 Green StChenoa, IL 61726(815) 945-4211Fax: (815) 945-746600 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 12:00 PM

CVSProvider ID: TPV1144540725-0100 S Fell Ave Ste 103Normal, IL 61761(309) 452-0393Fax: (309) 454-169700 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 5:00 PM

CVSProvider ID: TPV1316178064-01130 S Veterans PkwyBloomington, IL 61704(309) 661-1839Fax: (309) 661-816000 Yrs/99 YrsM-F 7:00 AM - 11:00 PMSat-Sun 8:00 AM - 8:00 PM

CVSProvider ID: TPV1467493411-0210 N Center StBloomington, IL 61701(309) 829-1287Fax: (309) 821-155700 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PM

CVSProvider ID: TPV1558592949-01701 Fort Jesse RdNormal, IL 61761(309) 452-1370Fax: (309) 888-586100 Yrs/99 YrsM-F 7:00 AM - 9:00 PMSat-Sun 9:00 AM - 6:00 PM

Eastland PharmacyProvider ID: TPV1942219316-01505 Eastland DrBloomington, IL 61701(309) 664-0505Fax: (309) 661-022000 Yrs/99 YrsM-F 8:00 AM - 6:00 PM

Hy-Vee PharmacyProvider ID: TPV1962891820-01403 N Veterans PkwyBloomington, IL 61704(309) 663-3052Fax: (309) 662-732600 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 8:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

IL State Univ Student HealthPhc

Provider ID: TPV1952460388-0201 N UniversityNormal, IL 61761(309) 438-8713Fax: (309) 438-756900 Yrs/99 YrsLanguages: Italian, FilipinoM-F 8:00 AM - 5:00 PM

Illinois Cancer CareProvider ID: TPV1740662949-03105 Magory DRBloomington, IL 61704(309) 243-3018Fax: (309) 243-307500 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Kroger Savon PharmacyProvider ID: TPV1184797706-02507 E Oakland AveBloomington, IL 61701(309) 663-0423Fax: (309) 663-624100 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Kroger Savon PharmacyProvider ID: TPV1629141247-01550 E College AveNormal, IL 61761(309) 452-7475Fax: (309) 452-094300 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 11:00 AM - 5:00 PM

Leroy PharmacyProvider ID: TPV1861811549-0304 Sunset DrLeroy, IL 61752(309) 962-3627Fax: (309) 962-312200 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PM

Meijer PharmacyProvider ID: TPV1518237312-01900 E College AveNormal, IL 61761(309) 888-0810Fax: (309) 888-086500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Merle Pharmacy, IncProvider ID: TPV1407815061-0203 E Locust St Ste 1Bloomington, IL 61701(309) 828-2242Fax: (309) 827-463800 Yrs/99 YrsLanguages: Spanish, RussianM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Osco DrugProvider ID: TPV1508812215-02103 N Veterans Pkwy Unit 3Bloomington, IL 61704(309) 664-1333Fax: (309) 664-132600 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

Osco PharmacyProvider ID: TPV1194771865-02201 E Oakland AveBloomington, IL 61701(309) 663-6341Fax: (309) 663-691000 Yrs/99 Yrs

Osco PharmacyProvider ID: TPV1487600151-0901 S Cottage AveNormal, IL 61761(309) 454-6080Fax: (309) 862-223100 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 9:00 AM - 5:00 PM

SAMS CLUBProvider ID: TPV1215954516-02151 Shepard RdNormal, IL 61761(309) 454-5478Fax: (309) 454-552800 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyMcLean

Updated: 11/21/2017


Retail - cont.

Schnucks PharmacyProvider ID: TPV1467488718-01701 E Empire StBloomington, IL 61704(309) 662-7004Fax: (309) 662-665000 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

The Atrium PharmacyProvider ID: TPV1962489815-01304 Franklin AveNormal, IL 61761(309) 454-0783Fax: (309) 268-552400 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1235144478-0Walgreens505 W Raab RdNormal, IL 61761(309) 454-7347Fax: (309) 454-391500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1265447445-0Walgreens1525 N Veterans PkwyBloomington, IL 61704(309) 661-8613Fax: (309) 661-861900 Yrs/99 Yrs

WalgreensProvider ID: TPV1396750402-0Walgreens1502 Fort Jesse RdNormal, IL 61761(309) 862-4156Fax: (309) 862-219600 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1861407983-0Walgreens2611 E Oakland AveBloomington, IL 61701(309) 663-8344Fax: (309) 663-618200 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1881609014-0Walgreens1110 N Main StBloomington, IL 61701(309) 827-3069Fax: (309) 827-588100 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1922256825-0Walgreens909 S Main StBloomington, IL 61701(309) 829-154000 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1619994985-0300 Greenbriar DrNormal, IL 61761(309) 451-1200Fax: (309) 451-130200 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1932126224-02225 W Market StBloomington, IL 61705(309) 828-8626Fax: (309) 828-871700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyMenard

Updated: 11/21/2017


Retail

Athens PharmacyProvider ID: TPV1477099646-0202 N W. StAthens, IL 62613(217) 636-3888Fax: (217) 636-388700 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

Petersburg PharmacyProvider ID: TPV1538259403-01 Centre Dr Ste 100Petersburg, IL 62675(217) 632-7778Fax: (217) 632-761800 Yrs/99 YrsLanguages: SpanishM-F 9:00 AM - 6:00 PMSat 9:00 AM - 12:00 PM

Potter DrugProvider ID: TPV1598145724-0200 S 6th StPetersburg, IL 62675(217) 632-2288Fax: (217) 632-203300 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 1:00 PM

PharmacyMontgomery

Updated: 11/21/2017


Retail

CVSProvider ID: TPV1386747053-0608 S Main StHillsboro, IL 62049(217) 532-9477Fax: (217) 532-948600 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 8:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Johns Medical PharmacyProvider ID: TPV1205983129-0300 S Main StHillsboro, IL 62049(217) 532-5060Fax: (217) 532-500300 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PM

Sav Mor DrugProvider ID: TPV1366453862-0110 E State StNokomis, IL 62075(217) 563-8346Fax: (217) 563-241800 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 2:00 PM

Sullivan DrugProvider ID: TPV1477539732-0801 N O'Bannon StRaymond, IL 62560(217) 229-3022Fax: (217) 229-306500 Yrs/99 YrsMTWF 9:00 AM - 5:00 PMTH 1:00 AM - 5:00 PMSat 9:00 AM - 1:00 PM

Sullivan DrugsProvider ID: TPV1568733673-0320 E Union AveLitchfield, IL 62056(217) 324-2001Fax: (217) 324-600100 Yrs/99 YrsMTWTHFSat 9:00 AM - 6:00PM

Sullivans Drugs IncProvider ID: TPV1053396028-0325 S Main StHillsboro, IL 62049(217) 532-2377Fax: (217) 532-303700 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1548467996-0Walgreens1202 W Union AveLitchfield, IL 62056(217) 324-767000 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1841217114-01205 W Ferdon StLitchfield, IL 62056(217) 324-6197Fax: (217) 324-632000 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyMorgan

Updated: 11/21/2017


Retail

CVSProvider ID: TPV1497993232-0936 S Main StJacksonville, IL 62650(217) 243-1728Fax: (217) 243-838000 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Shopko PharmacyProvider ID: TPV1912933961-01964 W Morton AveJacksonville, IL 62650(217) 245-6259Fax: (217) 243-925100 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

The Medicine ShoppeJacksonville

Provider ID: TPV1942606132-0200 W Morton AveJacksonville, IL 62650(217) 245-1551Fax: (217) 245-682500 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

WalgreensProvider ID: TPV1073528204-0Walgreens134 W Morton AveJacksonville, IL 62650(217) 243-7818Fax: (217) 243-191500 Yrs/99 Yrs

WalgreensProvider ID: TPV1578578787-0Walgreens1800 W Morton AveJacksonville, IL 62650(217) 479-0693Fax: (217) 479-089500 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1568489839-01941 W Morton AveJacksonville, IL 62650(217) 243-2152Fax: (217) 245-582900 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacyMoultrie

Updated: 11/21/2017


Retail

CVSProvider ID: TPV1023111796-0423 S Hamilton StSullivan, IL 61951(217) 728-7216Fax: (217) 728-281600 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 8:00 PMSun 10:00 AM - 6:00 PM

Dicks PharmacyProvider ID: TPV1285727958-0118 S Vine StArthur, IL 61911(217) 543-2913Fax: (217) 543-294300 Yrs/99 YrsLanguages: SpanishM-F 8:00 AM - 6:00 PMSat 8:00 AM - 4:00 PM

Oakwood ApothecaryProvider ID: TPV1669724001-017 N Hamilton StSullivan, IL 61951(217) 728-2760Fax: (217) 728-407800 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 2:00 PM

The Sullivan PharmacyProvider ID: TPV1932208907-0102 E Harrison StSullivan, IL 61951(217) 728-2331Fax: (217) 728-222300 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 2:00 PM

PharmacyPiatt

Updated: 11/21/2017


Retail

Lynns Family PharmacyProvider ID: TPV1205260544-01402 N Market StMonticello, IL 61856(217) 762-3377Fax: (217) 762-449900 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 12:00 PM

Senior Care Pharmacy LLCProvider ID: TPV1811933013-01212 Bear LnMonticello, IL 61856(217) 762-3950Fax: (217) 762-394900 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PM

WalgreensProvider ID: TPV1427340462-0Walgreens108 N Market StMonticello, IL 61856(217) 762-2056Fax: (217) 762-940100 Yrs/99 YrsM-F 8:00 AM - 7:00 PMSat 9:00 AM - 1:00 PM

PharmacyPike

Updated: 11/21/2017


Retail

County Market PharmacyProvider ID: TPV1619024767-0825 W Washington StPittsfield, IL 62363(217) 285-5515Fax: (217) 285-132600 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

IHS PharmacyProvider ID: TPV1346392024-0121 N Franklin StPittsfield, IL 62363(217) 285-4214Fax: (217) 285-623500 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 8:00 AM - 1:00 PM

Pharmacy Plus IncProvider ID: TPV1700278934-0693 Bainbridge StBarry, IL 62312(217) 335-4444Fax: (217) 335-333300 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Walmart PharmacyProvider ID: TPV1912925439-0151 Shetland DrPittsfield, IL 62363(217) 285-9709Fax: (217) 285-676100 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacySangamon

Updated: 11/21/2017


Retail

Complete Care PharmacyProvider ID: TPV1669498606-0201 N 5th StSpringfield, IL 62701(217) 528-8096Fax: (217) 528-815200 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 1:00 PM

County Market PharmacyProvider ID: TPV1558473496-02777 S 6th StSpringfield, IL 62703(217) 744-2296Fax: (217) 744-982600 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

County Market PharmacyProvider ID: TPV1558606327-0210 E Carpenter StSpringfield, IL 62702(217) 528-3182Fax: (217) 528-319300 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 2:00 PM


Provider ID: TPV1568593663-03001 S Veterans PkwySpringfield, IL 62704(217) 793-4091Fax: (217) 793-646800 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM


Provider ID: TPV1326064361-01099 Jason PlChatham, IL 62629(217) 483-2496Fax: (217) 483-577200 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM


Provider ID: TPV1821100769-01903 W Monroe StSpringfield, IL 62704(217) 787-2830Fax: (217) 787-452000 Yrs/99 YrsM-F 7:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Currys Family PharmacyProvider ID: TPV1982768883-01279 N 7th StRiverton, IL 62561(217) 629-7001Fax: (217) 629-634400 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 2:00 PMSun 10:00 AM - 1:00 PM

CVSProvider ID: TPV1245272434-0920 N Grand Ave ESpringfield, IL 62702(217) 522-6596Fax: (217) 525-868300 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1538262019-01879 E Sangamon AveSpringfield, IL 62702(217) 525-7030Fax: (217) 525-850700 Yrs/99 YrsMTWTHFSat 9:00 AM - 9:00PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1538262308-02001 W Washington StSpringfield, IL 62702(217) 546-8610Fax: (217) 546-189100 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1558464321-02703 Stevenson DrSpringfield, IL 62703(217) 529-5468Fax: (217) 529-527000 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

CVSProvider ID: TPV1598868051-0211 E Carpenter StSpringfield, IL 62702(217) 528-7529Fax: (217) 528-696300 Yrs/99 YrsM-F 7:00 AM - 12:00 PMSat-Sun 8:00 AM - 8:00 PM

CVSProvider ID: TPV1750303541-03445 Freedom DrSpringfield, IL 62704(217) 546-3270Fax: (217) 801-948700 Yrs/99 YrsM-F 9:00 AM - 7:00 PMSat 9:00 AM - 5:00 PMSun 11:00 AM - 5:00 PM

CVSProvider ID: TPV1881636074-03100 S MacArthur BlvdSpringfield, IL 62704(217) 528-4926Fax: (217) 528-516300 Yrs/99 YrsM-F 8:00 AM - 10:00 PMSat 8:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Forum Ext Care Svcs of Cntrl IProvider ID: TPV1689024036-0614 N Sixth St, Unit 200Springfield, IL 62702(217) 717-4407Fax: (847) 673-595300 Yrs/99 Yrs

Harrys PharmacyProvider ID: TPV1215951991-0620 E Jackson StAuburn, IL 62615(217) 438-6141Fax: (217) 438-344700 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 3:00 PM

Healthdirect InstututionalPharmacy

Provider ID: TPV1871030643-01053 Jason PlaceChatham, IL 62629(217) 483-7431Fax: (217) 483-749100 Yrs/99 YrsM-F 8:00 AM - 6:00 PMSat 9:00 AM - 2:00 PM

Hy-Vee PharmacyProvider ID: TPV1891113973-02115 S MacArthur BlvdSpringfield, IL 62704(217) 726-1003Fax: (217) 546-256700 Yrs/99 YrsM-F 8:00 AM - 5:00 PMSat-Sun 10:00 AM - 5:00 PM

KMARTProvider ID: TPV1265463327-03250 Clear Lake RdSpringfield, IL 62702(217) 544-3735Fax: (217) 528-954500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 5:00 PMSun 10:00 AM - 4:00 PM

Meijer PharmacyProvider ID: TPV1013287853-04200 Conestoga DrSpringfield, IL 62711(217) 547-2410Fax: (217) 547-246500 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacySangamon

Updated: 11/21/2017


Retail - cont.

Osco PharmacyProvider ID: TPV1497806673-01755 Wabash AveSpringfield, IL 62704(217) 546-2573Fax: (217) 546-259700 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Osco PharmacyProvider ID: TPV1639200314-01501 S Dirksen PkwySpringfield, IL 62703(217) 527-8408Fax: (217) 527-841600 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Osco PharmacyProvider ID: TPV1821245887-0200 N Grand Ave WSpringfield, IL 62702(217) 523-7002Fax: (217) 523-712700 Yrs/99 YrsM-F 9:00 AM - 9:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

SAMS CLUBProvider ID: TPV1033136338-02300 W White Oaks DrSpringfield, IL 62704(217) 698-5938Fax: (217) 698-642700 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Schnucks PharmacyProvider ID: TPV1255698189-0301 N 8th StSpringfield, IL 62701(217) 753-1956Fax: (217) 753-834000 Yrs/99 YrsM-F 8:00 AM - 5:00 PM

Schnucks PharmacyProvider ID: TPV1548205552-01911 E Sangamon AveSpringfield, IL 62702(217) 744-2523Fax: (217) 744-252600 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

Schnucks PharmacyProvider ID: TPV1639114648-02801 Chatham RdSpringfield, IL 62704(217) 698-3441Fax: (217) 698-343900 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 4:00 PM

The Medicine ShoppeProvider ID: TPV1235426057-0133 N Grand Ave ESpringfield, IL 62702(217) 525-0058Fax: (217) 525-003400 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

Uvanta Pharmacy of CentralIL

Provider ID: TPV1003868928-01053 Jason PlChatham, IL 62629(217) 483-7431Fax: (217) 483-749100 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1144235300-0Walgreens2945 S 6th StSpringfield, IL 62703(217) 788-5846Fax: (217) 788-812800 Yrs/99 YrsM-F 7:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1194898056-0Walgreens3132 Old Jackson RdSpringfield, IL 62704(217) 793-038800 Yrs/99 YrsM-F 9:00 AM - 6:00 PMSat 9:00 AM - 1:00 PM

WalgreensProvider ID: TPV1215229836-0Walgreens106 Corvette DrSherman, IL 62684(217) 496-239200 Yrs/99 YrsM-F 7:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1235144460-0Walgreens2305 W Monroe StSpringfield, IL 62704(217) 546-955800 Yrs/99 Yrs

WalgreensProvider ID: TPV1407039159-0Walgreens2500 Koke Mill RdSpringfield, IL 62711(217) 726-097900 Yrs/99 YrsM-F 7:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1407228224-0Walgreens106 Illini Blvd Ste ASherman, IL 62684(224) 323-507400 Yrs/99 YrsM-F 7:00 AM - 10:00 PMSat 8:00 AM - 10:00 PMSun 9:00 AM - 9:00 PM

WalgreensProvider ID: TPV1437165933-0Walgreens3400 Freedom DrSpringfield, IL 62704(217) 726-0177Fax: (217) 726-096100 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1457366593-0Walgreens2020 S MacArthur BlvdSpringfield, IL 62704(217) 744-1880Fax: (217) 744-143200 Yrs/99 Yrs

WalgreensProvider ID: TPV1528074069-0Walgreens1155 N 9th StSpringfield, IL 62702(217) 789-6514Fax: (217) 789-964200 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1558376764-0Walgreens2625 Stevenson DrSpringfield, IL 62703(217) 529-8185Fax: (217) 529-834100 Yrs/99 YrsM-F 7:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1629084181-0Walgreens3216 E Clear Lake AveSpringfield, IL 62702(217) 544-7948Fax: (217) 544-079300 Yrs/99 YrsM-F 7:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

PharmacySangamon

Updated: 11/21/2017


Retail - cont.

WalgreensProvider ID: TPV1720093933-0Walgreens1900 W Jefferson StSpringfield, IL 62702(217) 787-0648Fax: (217) 787-091100 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1730194036-0Walgreens2140 N Peoria RdSpringfield, IL 62702(217) 544-2925Fax: (217) 544-128200 Yrs/99 YrsM-F 7:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1841364635-0Walgreens747 N Rutledge StSpringfield, IL 62702(217) 757-222600 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

WalgreensProvider ID: TPV1891701397-0Walgreens1310 S 5th StSpringfield, IL 62703(217) 544-2709Fax: (217) 544-317500 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1932114048-0Walgreens1050 N Main StChatham, IL 62629(217) 483-5505Fax: (217) 483-552900 Yrs/99 YrsM-F 7:00 AM - 10:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

WalgreensProvider ID: TPV1992169668-0Walgreens Prescription Center3220 Atlanta StSpringfield, IL 62707(224) 323-509200 Yrs/99 YrsMTWTHFSatSun 7:00 AM -10:00 PM

Walmart PharmacyProvider ID: TPV1396762688-02760 N Dirksen PkwySpringfield, IL 62702(217) 522-4054Fax: (217) 522-407500 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1649432782-01100 Lejune DrSpringfield, IL 62703(217) 529-6221Fax: (217) 529-632600 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

Walmart PharmacyProvider ID: TPV1659398923-03401 Freedom DrSpringfield, IL 62704(217) 793-3368Fax: (217) 793-339600 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

PharmacySchuyler

Updated: 11/21/2017


Retail

County Market PharmacyProvider ID: TPV1821369224-0218 N Congress StRushville, IL 62681(217) 322-3383Fax: (217) 322-603300 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 2:00 PM

Moreland Devitt DrugProvider ID: TPV1235249756-0124 N Congress StRushville, IL 62681(217) 322-3333Fax: (217) 322-622900 Yrs/99 YrsLanguages: Spanish, FrenchM-F 8:00 AM - 6:00 PMSat 9:00 AM - 2:00 PMSun 11:00 AM - 12:00 PM

PharmacyScott

Updated: 11/21/2017


Retail

Pharmacy Plus, IncProvider ID: TPV1679997795-041 S Main StWinchester, IL 62694(217) 742-3333Fax: (217) 742-332300 Yrs/99 YrsM-F 9:00 AM - 5:00 PMSat 9:00 AM - 12:00 PM

PharmacyShelby

Updated: 11/21/2017


Retail

CVSProvider ID: TPV1992808760-0110 N Cedar StShelbyville, IL 62565(217) 774-5513Fax: (217) 774-565300 Yrs/99 YrsM-F 8:00 AM - 8:00 PMSat 9:00 AM - 6:00 PMSun 10:00 AM - 6:00 PM

Family DrugProvider ID: TPV1992792345-01603 W Main StShelbyville, IL 62565(217) 774-7838Fax: (217) 774-205800 Yrs/99 YrsMTWTHFSun 9:00 AM - 6:00PMSat 9:00 AM - 1:00 PM

Moweaqua PharmacyProvider ID: TPV1407806607-0620 N Putnam StMoweaqua, IL 62550(217) 768-3832Fax: (217) 768-307700 Yrs/99 YrsM-F 9:00 AM - 5:00 PM

Walmart PharmacyProvider ID: TPV1710042833-02607 W Main StShelbyville, IL 62565(217) 774-1571Fax: (217) 774-157300 Yrs/99 YrsM-F 8:00 AM - 9:00 PMSat 9:00 AM - 7:00 PMSun 10:00 AM - 6:00 PM

IL036085_CAD_INS_ENG IL6CADLAN79705E_1116©WellCare2016IL_11_16

7970

5

Discrimination is Against the Law

Harmony Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Harmony Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Harmony Health Plan:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:

– Qualified sign language interpreters

– Written information in other formats (large print, audio, Braille, accessible electronic formats, other formats)

• Provides free language services to people whose primary language is not English, such as:

– Qualified interpreters

– Information written in other languages

If you need these services, contact Harmony Member Services at 1-800-608-8158 (TTY: 1-877-650-0952), Monday – Friday from 8 a.m. to 5 p.m., for help or you can ask Member Services to put you in touch with a Civil Rights Coordinator who works for Harmony Health Plan.

If you believe that Harmony Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

Harmony Health Plan, Grievance Department, P.O. Box 31384, Tampa, FL 33631-3384; Telephone 1-866-530-9491; TTY number 1-877-247-6272; Fax: 1-866-388-1769; [email protected]. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, a Harmony Civil Rights Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-608-8158 (TTY: 1-877-650-0952).

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-608-8158 (TTY: 1-877-650-0952).

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-608-8158 (TTY: 1-877-650-0952).

ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-800-608-8158 (TTY: 1-877-650-0952).

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-608-8158 (TTY: 1-877-650-0952).

1-800-608-8158 (TTY/TDD 1-877-650-0952)www.harmonyhpi.com

2018 illinois provider directory - wellcare

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