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ILLINOIS

PROVIDER 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

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How to Read Our Provider Listings II

Icon Guide II

List of Plan Providers

Primary Care Physicians

Adams 1

Brown 6

Calhoun 7

Cass 8

Champaign 9

Christian 17

Clark 18

Coles 19

Cumberland 22

Douglas 23

Edgar 24

Ford 26

Greene 28

Hancock 29

Iroquois 30

Jersey 32

Livingston 34

Macon 35

Macoupin 36

Mason 38

McDonough 39

McLean 40

Montgomery 41

Morgan 42

Piatt 43

Pike 44

Sangamon 45

Shelby 46

Specialty Physicians

Adams 47

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Cass 57

Champaign 58

Christian 82

Clark 85

Coles 86

De Witt 88

Douglas 89

Edgar 90

Ford 92

Greene 95

Hancock 96

Iroquois 98

Jersey 102

Livingston 104

Logan 105

Macon 106

Macoupin 111

Mason 113

McDonough 114

McLean 117

Montgomery 122

Morgan 123

Moultrie 125

Piatt 126

Pike 127

Sangamon 130

Schuyler 135

Scott 136

Shelby 137

Hospitals

Adams 138

Champaign 139

Christian 140

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Ford 142

Greene 143

Hancock 144

Iroquois 145

Jersey 146

Macoupin 147

Mason 148

McDonough 149

Piatt 150

Pike 151

Schuyler 152

Ancillary Providers

Adams 153

All 155

Brown 156

Calhoun 157

Cass 158

Champaign 159

Christian 161

Clark 162

Coles 163

Cumberland 164

Douglas 165

Edgar 166

Ford 167

Greene 168

Hancock 169

Iroquois 170

Jersey 171

Livingston 172

Logan 173

Macon 174

Macoupin 176

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McDonough 178

McLean 179

Menard 180

Montgomery 181

Morgan 182

Moultrie 183

Piatt 184

Pike 185

Sangamon 186

Schuyler 188

Scott 189

Shelby 190

Allied Providers

Adams 191

Brown 197

Cass 198

Champaign 199

Christian 205

Clark 206

Coles 207

Cumberland 208

Douglas 209

Edgar 210

Ford 211

Greene 213

Hancock 214

Iroquois 215

Jersey 219

Livingston 220

Logan 221

Macon 222

Macoupin 223

Mason 224

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McLean 226

Montgomery 229

Morgan 230

Piatt 231

Pike 232

Sangamon 234

Schuyler 235

Scott 236

Shelby 237

Long Term Services And Supports

Adams 239

Champaign 240

Christian 241

Clark 242

Coles 243

Cumberland 244

De Witt 245

Douglas 246

Edgar 247

Ford 248

Hancock 249

Iroquois 250

Jersey 251

Livingston 252

Logan 253

Macon 254

Macoupin 255

McDonough 256

McLean 257

Montgomery 258

Morgan 259

Moultrie 260

Piatt 261

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Sangamon 263

Schuyler 264

Scott 265

Shelby 266

Pharmacy

Adams 267

Brown 268

Calhoun 269

Cass 270

Champaign 271

Christian 273

Clark 274

Coles 275

Cumberland 276

De Witt 277

Douglas 278

Edgar 279

Ford 280

Greene 281

Hancock 282

Iroquois 283

Jersey 284

Livingston 285

Logan 286

Macon 287

Macoupin 289

Mason 290

McDonough 291

McLean 292

Menard 294

Montgomery 295

Morgan 296

Moultrie 297

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Pike 299

Sangamon 300

Schuyler 303

Scott 304

Shelby 305

Indexes

Alternate Languages Index 306

Specialty Index 308

Extended Hours Index 315

Provider Index 326

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• Pharmacies

Each of these providers will make his or her own decisions about the care you need. Harmony Health Plan is not responsible for these decisions. Some providers may not perform certain services 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 of care 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 on the "Find a Provider" icon. You'll be able to search for providers right in your area. This is the best place to get our most current directory information.

You can report an inaccurate provider listing by emailing us at

[email protected] or by calling our toll-free number 1-800-608-8158.

TTY/TDD users can call 711.

Call us if you have questions about this directory. We can help you find a provider. We can even help set up an appointment for you. Our toll-free number is 1-800-608-8158. TTY users can call 711 . You can reach us Monday-Friday, 8 a.m. to 5 p.m.

We wish you good health.

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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 Icon Guide

*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

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• Farmacias

Cada uno de estos proveedores tomará sus propias decisiones sobre el cuidado que usted necesita. Harmony Health Plan no es responsable de esas decisiones. Es posible que algunos proveedores 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 de cuidado 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. Visite www.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 obtener nuestra información de directorio más actual.

Puede reportar una lista de proveedores inexactos enviándonos un correo elcetrónico a [email protected] o llamando a nuestro número gratuito 1-800-608-8158.

Los usuarios de TTY/TDD pueden llamar al 711.

Si tiene alguna pregunta sobre este directorio, llámenos. Podemos ayudarle a encontrar un proveedor. Incluso podemos ayudarle a programar una cita. Nuestro número sin cargo es 1-800-608-8158. Los usuarios de TTY pueden llamar al 711. Puede comunicarse con nosotros de lunes a viernes de 8 a.m. a 5 p.m.

Le deseamos una buena salud.

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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 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

Guía de íconos

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

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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

cardíaca 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

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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 Endodontics Servicios de

adaptaciones de accesibilidad al entorno

Environmental Accessibility

Adaptation Services Servicios especiales

de EPSDT EPSDT Special Services Servicios de

acompañante Escort Services

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

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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

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 Nutrition Obstetricia Obstetrics Obstetricia/

Ginecología Obstetrics/

Gynecology Medicina ocupacional Occupational

Medicine

Terapia ocupacional Occupational Therapy

Oftalmología Ophthalmology

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Cirugía oral y

maxilofacial Oral & Maxillofacial Surgery

Ortodoncia Orthodontics

Cirugía ortopédica Orthopaedic Surgery

Ortésica Orthotics

Ortopedia 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 Cardiology Cirugía 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

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

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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

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

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Hepatología de

trasplante Transplant Hepatology Centro de cuidado

urgente Urgent Care Center

Urología Urology

Laboratorio vascular Vascular Lab Medicina vascular Vascular Medicine Cirugía vascular Vascular Surgery

*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.

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Adams

Family Practice

Allen, Tawny DO Provider ID: 1491896 Gender: Female Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089354 Altman, Dana DO

Provider ID: 1491897 Gender: Female Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 228-6891 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089353 Arndt, David DO

Provider ID: 1491905 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: No

Maximus ID: 01089351 Asbury, Kathy MD

Provider ID: 1491908 Gender: Female Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089350

Batra, Divya MD Provider ID: 1491920 Gender: Female Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089347 Beth, Timothi DO

Provider ID: 1539060 Gender: Male

Blessing Physician Services 927 Broadway St

Quincy, IL 62301 (217) 224-6423 Fax: (217) 221-5581 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01047349 Child, Daniel DO

Provider ID: 1539065 Gender: Male

Blessing Physician Services 927 Broadway St

Quincy, IL 62301 (217) 224-6423 Fax: (217) 228-3251 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01047368 Connolly, Michael MD Provider ID: 1539465 Gender: Male 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01047400

Cormier, Matthew DO Provider ID: 1539068 Gender: Male

Blessing Physician Services 927 Broadway St

Quincy, IL 62301 (217) 224-6423 Fax: (573) 769-3710 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01047395 Dierker, Shanna Apn

Provider ID: 1539077 Gender: Female

Blessing Physician Services 927 Broadway St

Quincy, IL 62301 (217) 224-6423 Fax: (217) 221-1344 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01047453 Dixon, William MD

Provider ID: 1539469 Gender: Male 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01047425 Dunn, Andrew DO

Provider ID: 1539081 Gender: Male

Blessing Physician Services 927 Broadway St Ste 120 Quincy, IL 62301 (217) 224-6423 Fax: (217) 228-3251 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01047434

Eling, Michael MD Provider ID: 1491979 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Frazier, Eldon MD

Provider ID: 1491987 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089340 Gillette, Nickolas DO

Provider ID: 1539088 Gender: Male Blessing Walk In Clinic 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs

MTWTHFSatSun 6:00 AM - 10:00 PM

PCMH: No

Maximus ID: 01047564 Gillette, Nickolas DO

Provider ID: 1539090 Gender: Male

Blessing Convenient Care 1400 Harrison St

Quincy, IL 62301 (217) 214-9696 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01047565

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Adams

Family Practice - cont.

Gillette, Nickolas DO Provider ID: 1539482 Gender: Male 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01047567 Gillette, Nickolas DO

Provider ID: 1539484 Gender: Male 1005 Broadway St Fl 1 Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01047568 Ginos, Steven MD

Provider ID: 1539092 Gender: Male

Blessing Physician Services 927 Broadway St Ste 302 Quincy, IL 62301

(217) 224-6423 Fax: (217) 221-5581 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Goetz, Jeffrey Np

Provider ID: 1539095 Gender: Male Blessing Walk In Clinic 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs

MTWTHFSatSun 6:00 AM - 10:00 PM

PCMH: No

Maximus ID: 01047595

Henderson, Kerri Apn Provider ID: 1539509 Gender: Female 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01047629 Holcomb, Shawn DO

Provider ID: 1539519 Gender: Male 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01047638 Jacobs, Timothy DO

Provider ID: 1492031 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: No

Maximus ID: 01089339 Kimber, Scott MD

Provider ID: 1492040 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089336

Kirkpatrick, Michael MD

Provider ID: 1539113 Gender: Male

Blessing Physician Services 927 Broadway St Ste 120 Quincy, IL 62301 (217) 214-6219 Fax: (217) 228-3251 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01047772 Lane, Joseph MD

Provider ID: 1539116 Gender: Male Blessing Walk In Clinic 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs

MTWTHFSatSun 6:00 AM - 10:00 PM

PCMH: No

Maximus ID: 01047776 Lane, Joseph MD

Provider ID: 1539117 Gender: Male

Blessing Convenient Care 1400 Harrison St

Quincy, IL 62301 (217) 214-9696 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01047777 Lane, Joseph MD

Provider ID: 1539547 Gender: Male 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01047779

Lane, Joseph MD Provider ID: 1539548 Gender: Male 3200 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01047780 Lockhart, David MD

Provider ID: 1539119 Gender: Male

Blessing Physician Services 927 Broadway St

Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01047791 Mackrides, Paula DO

Provider ID: 1539564 Gender: Female 102 Prairie Mills Rd Golden, IL 62339 (217) 696-4446 Fax: (217) 696-4388 00 Yrs/130 Yrs PCMH: Yes, Level 3 Maximus ID: 01047795 Minnick, Larry MD

Provider ID: 1492074 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 228-6891 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089330

(24)

Adams

Family Practice - cont.

Moore, Taylor DO Provider ID: 1492075 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089329 Moore, Travis DO

Provider ID: 1492077 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: No

Maximus ID: 01089331 Nieters, Abigail Apn

Provider ID: 1539133 Gender: Female Blessing Walk In Clinic 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs

MTWTHFSatSun 6:00 AM - 10:00 PM

PCMH: No

Maximus ID: 01047805 Noble, Richard MD

Provider ID: 1492088 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089328

Odumosu, Ochuele MD

Provider ID: 1539142 Gender: Female

Blessing Physician Services 927 Broadway St Ste 120 Quincy, IL 62301 (217) 224-6423 Fax: (217) 228-3251 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01047920 Odumosu, Oluwaseun MD

Provider ID: 1539140 Gender: Male

Blessing Physician Services 927 Broadway St Ste 120 Quincy, IL 62301 (217) 224-6423 Fax: (217) 228-3251 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01047921 Odumosu, Oluwaseun MD

Provider ID: 1539141 Gender: Male Blessing Walk In Clinic 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs

MTWTHFSatSun 6:00 AM - 10:00 PM

PCMH: No

Maximus ID: 01047922 Odumosu, Oluwaseun MD

Provider ID: 1539587 Gender: Male 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01047923

Ott, Timothy DO Provider ID: 1539592 Gender: Male 102 Prairie Mills Rd Golden, IL 62339 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01047878 Perry, Crystal MD

Provider ID: 1539147 Gender: Female

Blessing Physician Services 927 Broadway St Ste 121 Quincy, IL 62301 (217) 223-8400 Fax: (217) 221-5581 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01047945 Perry, Crystal MD

Provider ID: 1539148 Gender: Female Blessing Walk In Clinic 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs

MTWTHFSatSun 6:00 AM - 10:00 PM

PCMH: No

Maximus ID: 01047946 Perry, Crystal MD

Provider ID: 1539594 Gender: Female 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01047947

Real, Lance DO Provider ID: 1492119 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 617-4474 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089326 Reyburn, Stephanie MD

Provider ID: 1492123 Gender: Female Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089324 Seaman, Nathan DO

Provider ID: 1492210 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 228-3251 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089322 Sharp, Jason MD

Provider ID: 1539174 Gender: Male

Blessing Physician Services 927 Broadway St Ste 120 Quincy, IL 62301 (217) 224-6423 Fax: (217) 228-3251 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01048010

(25)

Adams

Family Practice - cont.

Shaughnessy, Meghan DO

Provider ID: 1539176 Gender: Female

Blessing Physician Services 927 Broadway St

Quincy, IL 62301 (217) 223-8400 Fax: (217) 228-2390 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01048012 Snyder, Brian DO

Provider ID: 1539178 Gender: Male Blessing Walk In Clinic 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs

MTWTHFSatSun 6:00 AM - 10:00 PM

PCMH: No

Maximus ID: 01048026 Snyder, Brian DO

Provider ID: 1539180 Gender: Male

Blessing Convenient Care 1400 Harrison St

Quincy, IL 62301 (217) 214-9696 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01048027 Snyder, Brian DO

Provider ID: 1539611 Gender: Male 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01048029

Snyder, Brian DO Provider ID: 1539613 Gender: Male 3200 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01048030 Stoops, Bruce DO

Provider ID: 1539620 Gender: Male 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01048043 Wallace, Ernest MD

Provider ID: 1492304 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: No

Maximus ID: 01089317 Wells, Jeffrey DO

Provider ID: 1492314 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089315

Wilford, Jonathan DO Provider ID: 1539201 Gender: Male

Blessing Physician Services 927 Broadway St Ste 120 Quincy, IL 62301 (217) 224-6423 Fax: (217) 228-3251 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01048107 Wilford, Jonathan DO Provider ID: 1539202 Gender: Male Blessing Walk In Clinic 1005 Broadway St Quincy, IL 62301 (217) 223-1200 00 Yrs/130 Yrs

MTWTHFSatSun 6:00 AM - 10:00 PM

PCMH: No

Maximus ID: 01048108 Wilford, Jonathan DO Provider ID: 1539643 Gender: Male 1005 Broadway St Quincy, IL 62301 (217) 223-8400 Fax: (217) 223-6894 00 Yrs/130 Yrs PCMH: No

Maximus ID: 01048109

Federally Qualified Health Center

Clarity Healthcare Provider ID: 1349690 Preferred Family Healthcare Inc DBA

540 Harrison St Quincy, IL 62301 (573) 603-1460 Fax: (573) 603-1462 18 Yrs/130 Yrs PCMH: No

Maximus ID: 01054097

Internal Medicine

Andrews, Gregory MD Provider ID: 1491901 Gender: Male

Quincy Physicians and Surgeons Clin

1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089349 Evans, Dan MD

Provider ID: 1491980 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089342 Kim, Louis MD

Provider ID: 1492039 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 228-6891 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089337 Leimbach, Kurt MD

Provider ID: 1492061 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089335

(26)

Adams

Internal Medicine - cont.

Reyburn, Adam MD Provider ID: 1492122 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089325 Scott, John MD

Provider ID: 1492206 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 228-6891 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089323

Pediatrics

Baustian, Loretta DO Provider ID: 1539056 Gender: Female

Blessing Physician Services 927 Broadway St Ste 205 Quincy, IL 62301

(217) 223-8400 Fax: (217) 223-9370 00 Yrs/18 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Brink, Lindsay DO

Provider ID: 1491933 Gender: Female Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 277-2253 00 Yrs/130 Yrs

M-F 7:00 AM - 7:00 PM Sat 8:00 AM - 4:00 PM PCMH: No

Maximus ID: 01042216

Collins, Katherine MD Provider ID: 1491952 Gender: Female Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089344 Contreras, Liz MD

Provider ID: 1539066 Gender: Female

Blessing Physician Services 927 Broadway St

Quincy, IL 62301 (217) 224-6423 Fax: (217) 223-9370 00 Yrs/18 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01047401 Go, Dennis MD

Provider ID: 1491997 Gender: Male

Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 228-6891 00 Yrs/21 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089341 Raad, Pierre MD

Provider ID: 1539156 Gender: Male

Blessing Physician Services 927 Broadway St Ste 205 Quincy, IL 62301

(217) 223-8400 Fax: (217) 223-9370 00 Yrs/18 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01047978

Schlepphorst, Richard MD

Provider ID: 1492202 Gender: Male

Quincy Physicians and Surgeons Clin

1025 Maine St Quincy, IL 62301 (217) 222-6550 Fax: (217) 228-6891 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089321 Tolbert, Charone MD Provider ID: 1539197 Gender: Female

Blessing Physician Services 927 Broadway St

Quincy, IL 62301 (217) 224-6423 Fax: (217) 223-9370 00 Yrs/18 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Torre Hilotin, Temotea MD

Provider ID: 1492276 Gender: Female Quincy Medical Group 1025 Maine St

Quincy, IL 62301 (217) 222-6550 Fax: (217) 221-4546 00 Yrs/21 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01089319

(27)

Brown

Family Practice

Real, Lance DO Provider ID: 1598888 Gender: Male

Quincy Medical Group 521 E Main St

Mt Sterling, IL 62353 (217) 773-3963 Fax: (217) 773-3426 00 Yrs/130 Yrs M-F 8:15 AM - 5:00 PM PCMH: No

Schroeder, Jennifer MD

Provider ID: 1492204 Gender: Female Quincy Medical Group 521 E Main St

Mount Sterling, IL 62353 (217) 773-3963

Fax: (217) 773-3426 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01489360

(28)

Calhoun

Rural Health Center

Jch Medical Group Hardin Provider ID: 1547339 106 S Water St Hardin, IL 62047 (618) 576-9407 Fax: (618) 576-2260 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: No

Maximus ID: 01659608

(29)

Cass

Family Practice

Mashindi, Rudo MD Provider ID: 1543894 Gender: Female

Sarah D Culbertson Memorial Hospita

100 W 15th St Beardstown, IL 62618 (217) 323-2245 Fax: (217) 323-9362 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: No

Royeen, Abdul MD

Provider ID: 1500516 Gender: Male

Cass County Health Clinic 8590 Saint Lukes Dr Beardstown, IL 62618 (217) 323-2242 Fax: (217) 323-2210 00 Yrs/130 Yrs

Languages: Spanish, French, Persian - Farsi

MWTHF 8:30 AM - 4:30 PM T 10:00 AM - 6:00 PM PCMH: Yes, Level 3 Maximus ID: 01890132 Royeen, Abdul MD

Provider ID: 1530001 Gender: Male

Cass County Public Health Clinic

331 S Main St Virginia, IL 62691 (217) 452-3057 Fax: (217) 452-7245 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01890133

Federally Qualified Health Center

Cass County Public Health Clinic

Provider ID: 1529987 8590 St Lukes Dr Beardstown, IL 62618 (217) 323-2242 Fax: (217) 323-2210 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3 Maximus ID: 01890086

Pediatrics

Elliott, Courtney Np Provider ID: 1543887 Gender: Female

Sarah D Culbertson Memorial Hospita

100 W 15th St Beardstown, IL 62618 (217) 323-2245 Fax: (217) 323-9362 00 Yrs/21 Yrs

M-F 8:00 AM - 5:00 PM PCMH: No

Maximus ID: 01853669

Rural Health Center

Elmer Hugh Taylor Clinic Provider ID: 1543888

Sarah D Culbertson Memorial Hospita

100 W 15th St Beardstown, IL 62618 (217) 323-2245 Fax: (217) 323-2684 00 Yrs/130 Yrs

M-F 8:00 AM - 5:00 PM PCMH: No

Maximus ID: 01853670

(30)

Champaign

Family Practice

Adams, Abigail MD Provider ID: 1503068 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6207 Fax: (217) 326-1110 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959256 Ahn, Jin DO

Provider ID: 1503089 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6207 Fax: (217) 326-1110 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959260 Allen, Mary Apn

Provider ID: 1551412 Gender: Female

Family Healthcare of Fisher 104 S 3rd St

Fisher, IL 61843 (217) 897-1682 00 Yrs/130 Yrs

MTH 1:30 AM - 4:30 PM T 10:30 AM - 11:30 PM W 8:30 AM - 11:30 PM PCMH: Yes, Level 3 Maximus ID: 01972256 Anderson, Kendra Np

Provider ID: 1503123 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959422

Anwisye-Mashele, Imani MD

Provider ID: 1503129 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9500 Fax: (217) 255-9724 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959419 Arnold, Nicole DO

Provider ID: 1503139 Gender: Female 1001 Heather Dr Mahomet, IL 61853 (217) 586-8400 Fax: (217) 586-5093 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959338 Bailey, Stephanie MD

Provider ID: 1503160 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959435 Barsos, Charissa Np

Provider ID: 1503197 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6207 Fax: (217) 326-1110 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959426

Bello, Agustin MD Provider ID: 1503220 Gender: Male 1818 E Windsor Rd Urbana, IL 61802 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959448 Bernot, Sindy MD

Provider ID: 1503230 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959450 Birbal Jain, Aditya MD

Provider ID: 1503238 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959441 Bittner, Katie DO

Provider ID: 1503247 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9500 Fax: (217) 255-9724 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959446

Chang, Wan MD Provider ID: 1503416 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6200 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959487 Cheatham, Sarah Np

Provider ID: 1503423 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6200 Fax: (217) 326-4003 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959476 Cohen, Randy MD

Provider ID: 1503456 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 Fax: (217) 326-4003 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959501 Davis, Mary Np

Provider ID: 1503492 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959512

(31)

Champaign

Family Practice - cont.

Difanis, Ma. Angela Np Provider ID: 1503514 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 Fax: (217) 326-4003 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959510 Donofrio, Maureen Np

Provider ID: 1503521 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6061 Fax: (217) 326-4003 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959526 Foertsch, Emily Np

Provider ID: 1503253 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9500 Fax: (217) 255-9724 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959534 Fontaine, Emily MD

Provider ID: 1503255 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959528

Franzen, Thomas MD Provider ID: 1503268 Gender: Male 1540 E Grove St Rantoul, IL 61866 (217) 893-7700 Fax: (217) 893-7801 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959530 Gentry, Steve MD

Provider ID: 1503302 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6201 Fax: (217) 326-1460 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959541 Grindem, David DO

Provider ID: 1503349 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959551 Grotrian, Tracy DO

Provider ID: 1503355 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6200 Fax: (217) 326-4003 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959557

Hagan, David MD Provider ID: 1559561 Gender: Male

Family Healthcare of Fisher 104 S 3rd St

Fisher, IL 61843 (217) 897-1682 00 Yrs/130 Yrs

MTH 1:30 AM - 4:30 PM T 10:30 AM - 11:30 PM W 8:30 AM - 11:30 PM PCMH: Yes, Level 3 Maximus ID: 01976108 Hajira, Amtul DO

Provider ID: 1503368 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959586 Hampton, Simone MD

Provider ID: 1503375 Gender: Female 611 W Park St Urbana, IL 61801 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959582 Harding, Kelly Np

Provider ID: 1503385 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959567

Henrichs, Christine MD

Provider ID: 1503437 Gender: Female 1001 Heather Dr Mahomet, IL 61853 (217) 586-8400 Fax: (217) 586-5093 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959601 Hill, Leslie Np

Provider ID: 1503570 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6201 Fax: (217) 326-4003 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959598 Hoffman, John MD

Provider ID: 1503575 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6207 Fax: (217) 326-1110 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959595 Irle, Linda Np

Provider ID: 1503717 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6061 Fax: (217) 326-4003 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959627

(32)

Champaign

Family Practice - cont.

Jackson, Lori MD Provider ID: 1503722 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6201 Fax: (217) 326-4003 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959623 Jessup, Amy Np

Provider ID: 1503763 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6061 Fax: (217) 326-1234 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959619 Johnson, April Np

Provider ID: 1503771 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6061 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959618 Kaplan, Bruce MD

Provider ID: 1503825 Gender: Male 1540 E Grove St Rantoul, IL 61866 (217) 893-7700 Fax: (217) 893-7801 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959643

Kim, Elizabeth DO Provider ID: 1503860 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9670 Fax: (217) 255-9724 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959653 Kim, John Np

Provider ID: 1503866 Gender: Male 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9500 Fax: (217) 255-9724 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959656 Kim, Kevin DO

Provider ID: 1503870 Gender: Male 611 W Park St Urbana, IL 61801 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959657 Kim, Ronnie Np

Provider ID: 1503872 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959650

Kirby, Kevin MD Provider ID: 1503876 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959651 Kramer, Frances MD

Provider ID: 1503900 Gender: Female 1540 E Grove St Rantoul, IL 61866 (217) 893-7700 Fax: (217) 893-7801 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959648 Kurtz, Cathy Np

Provider ID: 1503913 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6200 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959679 Liang, Charles DO

Provider ID: 1503940 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 255-9655 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959688

Lord, Cindy Np Provider ID: 1503958 Gender: Female 611 W Park St Urbana, IL 61801 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959692 Mason, Brandyn DO

Provider ID: 1504006 Gender: Male 611 W Park St Urbana, IL 61801 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959702 McCoy, Dawn MD

Provider ID: 1504020 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6207 Fax: (217) 326-1110 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959703 Meeker, Christine Np

Provider ID: 1504040 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959716

(33)

Champaign

Family Practice - cont.

Megeff, Randall MD Provider ID: 1504043 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 Fax: (217) 326-4003 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959717 Meinhart, Jennifer Np Provider ID: 1504048 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 Fax: (217) 326-4003 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959712 Meneely, Timothy DO Provider ID: 1504051 Gender: Male 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9670 Fax: (217) 255-9724 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959708 Mohammed, Aslam MD

Provider ID: 1504079 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959732

Moment, Lisa Np Provider ID: 1504083 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6201 Fax: (217) 326-4003 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959737 Moore, Sam DO

Provider ID: 1504093 Gender: Male 611 W Park St Urbana, IL 61801 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959730 Nelson, Christopher MD

Provider ID: 1504117 Gender: Male 1001 Heather Dr Mahomet, IL 61853 (217) 586-8400 Fax: (217) 586-5093 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959750 Nguyen, Lan MD

Provider ID: 1504122 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9500 Fax: (217) 255-9724 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959751

O'Dell, Kelly MD Provider ID: 1504141 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9500 Fax: (217) 255-9724 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959742 Rafferty, Carla MD

Provider ID: 1504267 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9670 Fax: (217) 255-9724 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959793 Rudawski, Stephen DO

Provider ID: 1503083 Gender: Male 1540 E Grove St Rantoul, IL 61866 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959799 Ruiz, Gonzalo MD

Provider ID: 1503085 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959795

Saligan, Rica Np Provider ID: 1503095 Gender: Female 611 W Park St Urbana, IL 61801 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959838 Sapp, Jennifer Np

Provider ID: 1503103 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959847 Schaap, Paul MD

Provider ID: 1503115 Gender: Male 1001 Heather Dr Mahomet, IL 61853 (217) 586-8400 Fax: (217) 586-5093 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959840 Sellett, John MD

Provider ID: 1503128 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 Fax: (217) 326-1234 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959831

(34)

Champaign

Family Practice - cont.

Singleton, Deborah MD

Provider ID: 1503173 Gender: Female 1001 Heather Dr Mahomet, IL 61853 (217) 586-8400 Fax: (217) 586-5093 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959879 Slocum, Erich DO

Provider ID: 1503182 Gender: Male 1540 E Grove St Rantoul, IL 61866 (217) 893-7700 Fax: (217) 893-7801 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959874 Solomon, Tesfaye MD

Provider ID: 1503202 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 326-1373 Fax: (217) 326-1234 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959869 Spangler, Mark MD

Provider ID: 1559574 Gender: Male

Mahomet Specialty Clinic 1504 Patton Dr Ste 2A Mohamet, IL 61853 (217) 586-2633 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01976155

Swearingen, Jeffrey MD

Provider ID: 1503256 Gender: Male 611 W Park St Urbana, IL 61801 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959897 Syed, Taha DO

Provider ID: 1503265 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6203 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959898 Thomas, Rhonda Np

Provider ID: 1503630 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6200 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959912 Turner, Katherine MD Provider ID: 1503650 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959911

Wagner, Christian MD Provider ID: 1503677 Gender: Male 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9670 Fax: (217) 255-9724 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959925 Webb, David MD

Provider ID: 1503703 Gender: Male 1001 Heather Dr Mahomet, IL 61853 (217) 586-8400 Fax: (217) 586-5093 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959943 Wheatley, Natalie Np

Provider ID: 1503733 Gender: Female 611 W Park St Urbana, IL 61801 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959937 Whitehill, David MD

Provider ID: 1503745 Gender: Male 1818 E Windsor Rd Urbana, IL 61802 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959934

Woodward, Robert MD

Provider ID: 1503768 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 383-3311 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01960023 Wu, Stanley MD

Provider ID: 1503775 Gender: Male 611 W Park St Urbana, IL 61801 (217) 383-4000 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01960019 Yang, Tina DO

Provider ID: 1503780 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6207 Fax: (217) 326-1110 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01960017 Zindars, Jessica Np

Provider ID: 1503839 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9670 Fax: (217) 255-9724 00 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01960012

(35)

Champaign

Federally Qualified Health Center

Community Health Partnership of Illinois

Provider ID: 1577517 Community Health Partnership of Ill

1126 Country Club Ln Ste B Rantoul, IL 61866

(217) 893-3052 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01993262 Community Health Partnership of Illinois

Provider ID: 1577520 Community Health Partnership of Ill 520 E Wabash Ave Rantoul, IL 61866 (217) 893-3052 00 Yrs/130 Yrs

M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01993263

Internal Medicine

Christman, Morene Np Provider ID: 1503444 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 258-5900 Fax: (217) 255-9724 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959474 Cinnamon, Scott MD

Provider ID: 1503449 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6207 Fax: (217) 326-1110 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959504

Dallas, Holly MD Provider ID: 1503482 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6201 Fax: (217) 365-6380 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959514 Good, Robert DO

Provider ID: 1503329 Gender: Male 611 W Park St Urbana, IL 61801 (217) 383-4000 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959566 Healy, Robert MD

Provider ID: 1503424 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6207 Fax: (217) 365-6149 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959568 Hsu-Lumetta, Jennie MD

Provider ID: 1503676 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6207 Fax: (217) 326-1110 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959588

Jisook, Prapis Np Provider ID: 1503769 Gender: Female 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6200 Fax: (217) 365-6149 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959602 Johnson, Philip MD

Provider ID: 1503789 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6200 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959644 Kala, Noleen MD

Provider ID: 1503805 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9646 Fax: (217) 326-1777 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959642 Montoya-Houser, Theresa MD

Provider ID: 1504086 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9500 Fax: (217) 326-1777 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959734

Muthekepalli, Sudha MD

Provider ID: 1504112 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9646 Fax: (217) 326-1777 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959729 Parke, Karina Np

Provider ID: 1504169 Gender: Female 1818 E Windsor Rd Urbana, IL 61802 (217) 255-9646 Fax: (217) 326-1777 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959753 Royal, Nicholas MD

Provider ID: 1503077 Gender: Male 1701 W Curtis Rd Champaign, IL 61822 (217) 365-6207 Fax: (217) 365-6149 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959798 Sather, Carl MD

Provider ID: 1503107 Gender: Male 1001 Heather Dr Mahomet, IL 61853 (217) 586-8400 Fax: (217) 586-5039 12 Yrs/130 Yrs

Carle Foundation Hospital M-F 9:00 AM - 5:00 PM PCMH: No

Maximus ID: 01959841

Referencias

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