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Mon Jun 26 13:22:04 CDT 2017
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Provider NameLicense NumberNPIAffiliationAction DateAction TypeAddressCityStateZip Code
A AND I PHARMACY INC053007436Pharmacy (060)10/28/1984Terminated15652 DIXIE HIGHWAYMARKHAMIL60426
A K MEDICAR INCnullMedicar Provider (071)11/23/1999Terminated7114 N CRAWFORDLINCOLNWOODIL606462304
A S C MEDICAR SERVICE INCnullMedicar Provider (071)12/26/2001Terminated2160 N MILWAUKEE AVECHICAGOIL606474057
A S M T INCnullMedicar Provider (071)9/19/2000Suspended1430 S 8TH ST STE A CSPRINGFIELDIL627032521
ABADILLA HONORATO CnullPhysician (010)4/8/1992Voluntary Withdrawal401 WESLEY DRIVEADDISONIL60101
ABBETT MICHAELnullChiropractor (014)4/8/1994Terminated3901 HIGHWAY 159 SOUTHEDWARDSVILLEIL62025
ABDUR RAHIM SnullDentist (011)8/31/2000Terminated6105 WEST ADDISONCHICAGOIL606344116
ABLIN PHARMACY054004778Pharmacy (060)8/21/1992Voluntary Withdrawal7200 W GRAND AVEELMWOOD PARKIL60635
ABMEDIC MEDICAL PHCY INC053006755Pharmacy (060)9/29/1986Terminated123 E 103RD STCHICAGOIL60628
ACTIVE DRUGS INC053005520Pharmacy (060)4/29/1980Terminated733 W 64TH STCHICAGOIL60621
ADAJAR MARIOnullPhysician (010)4/29/2000Voluntary Withdrawal4001 N SHERIDAN RDCHICAGOIL606132008
ADAN ROBERTO036062695Physician (010)11/1/1998Terminated372 SUMMIT STREETELGINIL60120
AFAGWU NELSONnullSANTOS ABELLA DRUGS5/3/1988Barred1537 S PULASKI RDCHICAGOIL60623
AGUAYO JORGE036047757Physician (010)12/16/1987Terminated8937 S COMMERCIAL AVENUECHICAGOIL60617
AGUINALDO EVARISTOnullPhysician (010)2/5/1998Voluntary Withdrawal6905 S WENTWORTHCHICAGOIL606213734
AK MEDICAB INCnullMedicar Provider (071)9/30/1998Terminated7114 N CRAWFORDLINCOLNWOODIL60645
AKIMOV VITALIYnullV O INC7/14/2003Barred5500 LINCOLN AVENUE, APT. 116MORTON GROVEIL60053
ALBANO FELIX036055367Physician (010)4/17/1989Terminated1114 W LELANDCHICAGOIL60640
ALCO 35TH DRUG COnullPharmacy (060)3/9/1994Voluntary Withdrawal347 E 35TH STCHICAGOIL60616
ALEX PHARMACY INC053007384Pharmacy (060)9/19/1984Terminated1640 N DAMENCHICAGOIL60647
ALEXANDER GWENDOLYNnullJ AND D TRANSPORTATION10/31/2002Barred8313 S. HOYNECHICAGOIL60620
ALEXANDER ANTHONYnullPhysician (010)11/28/1999Suspended1740 W TAYLOR STCHICAGOIL606127232
ALEXANDER SMITH TRANS SERVICEnullMedicar Provider (071)5/3/1996TerminatedSTE 3512 TOWER 4625 W MADISONCHICAGOIL60606
ALI ZULFIQAR036051574Physician (010)8/2/1983Terminated224 CHAUCER CTWILLOWBROOKIL60521
ALTGELD MURRAY CLINICnullFed Qlfy Health Cntr(040)12/12/1988Voluntary Withdrawal910 E 131STCHICAGOIL60627
AMEJI BASHIRAMED036063288Physician (010)6/10/1988Suspended6090-2 N MILWAUKEE AVECHICAGOIL60646
AMUDOAGHAN WALNETTEnullPodiatrist (013)12/19/1996Terminated6809 S PRAIRIE AVECHICAGOIL606374034
ANAND KRITPAUL049-083801STONE PARK PHARMACY3/10/1994Barred1610 N MANNHEIM RDSTONE PARKIL60165
ANDERSON MICHELLEnullSOLUTIONS TWO INC8/17/2006Voluntary Withdrawal635 E 41STCHICAGOIL60653
ANDERSON RICHARDnullPhysician (010)7/1/1998Suspended207 N AXTEL AVEMILFORDIL609531003
ANG CORNELIO T036045138Physician (010)11/9/1992Terminated1057 W ARGYLECHICAGOIL60640
APOTHECARY SHOP054005960Pharmacy (060)2/24/1988Terminated600 N 9SPRINGFIELDIL62702
ARGAEZ JUVENALnullPhysician (010)4/10/1996Terminated1505 W DEVON AVECHICAGOIL60660
AROONSAKUL CHAOVANEEnullPhysician (010)8/25/1997Terminated25 E WASHINGTON 4TH FLCHICAGOIL606021700
ARTATES NEMESIAnullPhysician (010)1/31/2005Voluntary Withdrawal6202 S HALSTEDCHICAGOIL606212029
ASHLAND CORTEZ PHARMACY INC054006303Pharmacy (060)12/13/1989Terminated1014 NORTH ASHLAND AVENUECHICAGOIL60622
ASHLAND DRUG053005178Pharmacy (060)12/30/1985Terminated9101 ASHLANDCHICAGOIL60620
ASHLAND MADISON PHCY053007090Pharmacy (060)2/22/1985Terminated1555 WEST MADISON STCHICAGOIL60607
ASHLAND PHARMACY INC054007196Pharmacy (060)7/26/1991Terminated1301 N ASHLAND AVECHICAGOIL60622
ASIAN PHARMACY INC053007999Pharmacy (060)4/17/1997Terminated% J PANDYA 6161 N HOYNE 203CHICAGOIL60659
AUERBACH THOMAS036029028Physician (010)1/21/1986Terminated4800 CHICAGO BEACH DRCHICAGOIL60615
AUSTRIACO JOSE DnullPhysician (010)4/2/2001Voluntary Withdrawal1516 W MADISONMAYWOODIL601531824
AVENUE MEDICAL LABORATORYnullIndependent Lab (061)5/14/1998Terminated16234 SOUTH LOUIS AVESOUTH HOLLANDIL604732260
AZU CHARLES CnullPhysician (010)12/18/1996Suspended3131 STATE BOX 2185E SAINT LOUISIL622052203
AZUH IFEANYInullST LAWRENCE PHARMACY10/1/1987Barred1146 W 87TH STCHICAGOIL60643
B W PHARMACY INC053007044Pharmacy (060)3/28/1986Terminated6657 S ASHLAND AVECHICAGOIL60636
BACAYO LUISnullPhysician (010)5/12/2000Terminated118 LINCOLN STREETRANSOMIL604700029
BAGBY BURTON E036032536Physician (010)8/15/1983TerminatedFIRST & RUSSELLTAMMSIL62988
BAGGOT MICHAEL G036036797Physician (010)1/10/1991Terminated3410 NAMEOKI RDGRANITE CITYIL62040
BALDOCEDA CARLOS036054338Physician (010)1/31/1992Voluntary Withdrawal3409 W FULLERTONCHICAGOIL60647
BALDWIN MARKnullPhysician (010)4/1/1997TerminatedAPT 8095320 N SHERIDANCHICAGOIL606402541
BARNABAS RAVInullPhysician (010)4/1/2002Terminated5800 S STONY ISLANDCHICAGOIL606372099
BARODYANSKY SIMONnullPALI INC3/19/1985Barred2445 N HARLEMCHICAGOIL60635
BARROS CAMILOnullPhysician (010)9/14/2000Terminated2110 W DIVISIONCHICAGOIL606223035
BARTEL JOHNnullPodiatrist (013)8/12/1996Suspended1953 B NORTH CLYBOURNCHICAGOIL60614
BARTON SARAH ANNnullHOMESTEAD MEDICAL TRANSPORT8/11/2005Barrednullnullnunull
BEACHVIEW CENTER INC000023499Nursing Facilities (033)9/20/1983Terminated7270 S SHORE DRCHICAGOIL60649
BEHAR NISSINnullPhysician (010)3/2/2002Voluntary Withdrawal2110 W DIVISIONCHICAGOIL606223035
BEITZ ALBERT019014794Dentist (011)1/21/1986Terminated720 C WEST CHESTNUTBLOOMINGTONIL61701
BEK JONG H036047273Physician (010)8/19/1985Terminated4250 N MARINE DRIVE #2602CHICAGOIL60613
BELGA FELIZARDO B036046079Physician (010)1/27/1988Terminated5524 N BROADWAYCHICAGOIL60640
BELL VERLEnullPhysician (010)8/13/2001Terminated210 N HAMMES SUITE 103JOLIETIL604356680
BELTRAN LEONIDO C036052462Physician (010)2/19/1985Terminated1459 N LAVERGNE AVENUECHICAGOIL60651
BENNETT RIDGELY051-28112SOUTHSIDE PHARMACY INC11/12/1987Barred1600 EAST 87TH STCHICAGOIL60603
BERL MELVINnullOptometrist (012)1/11/1999Terminated117 N CENTRALPARISIL619441704
BERMAN MIKHAILnullPhysician (010)12/21/1996Voluntary Withdrawal6199 NORTH LINCOLNCHICAGOIL606592319
BERNAL LUIS F036045154Physician (010)5/20/1983Terminated3359 W CHICAGO AVENUECHICAGOIL60651
BERZHANSKIY VALERIYnullDELTA MEDICAL TRANSPORTATION12/26/2001Barred540 FRONTAGE RD SUITE 3105NORTHFIELDIL60062
BHATT PRAGNA GnullPhysician (010)4/24/2003Voluntary Withdrawal2308 E LINCOLN WAYSTERLINGIL610813053
BIOMEDICAL TOXICOLOGY LABnullIndependent Lab (061)8/26/1995Terminated3147 W CERMAK RDCHICAGOIL60623
BIRCH AARONnullPhysician (010)10/27/2002Voluntary Withdrawal9629 W IRVING PARK RDSCHILLER PARKIL601761905
BISSELL RUSSELL BnullPhysician (010)11/29/1994TerminatedSUITE 2041034 WEST LAKE STREETOAK PARKIL60301
BIZER HAROLD E036037592Physician (010)2/5/1990Terminated2104 STATE ST P O BOX 157E ST LOUISIL62201
BLACK JETHROnullDentist (011)5/22/1997Terminated609 BROADWAYVENICEIL620901127
BLAS MANUELnullPhysician (010)11/18/2001Voluntary Withdrawal31 REGENT DROAK BROOKIL605211755
BLEICHMAN JACK051-028458TYKS PHARMACY4/28/1991Barred501 W. MADISONMAYWOODIL60153
BLESSMAN CLAUDE051-025019BLESSMAN PHARMACY1/7/1993Barred175 S. MAINCANTONIL61520
BLESSMAN NITAnullBLESSMAN PHARMACY1/7/1993Barred175 S. MAINCANTONIL61520
BLESSMAN PHARMACY054004065Pharmacy (060)12/25/1991Voluntary Withdrawal175 SOUTH MAINCANTONIL61520
BLOCK ROBERT J036028068Physician (010)8/10/1987Terminated2100 WEST 35TH STREETCHICAGOIL60609
BLOOM SHARONnullDIVISION PULASKI PROF PHARMACY3/9/1995Barred4006 W DIVISION STCHICAGOIL60651
BOCK HARRY049-41371ACTIVE DRUGS INC4/29/1980Barred14619 SOUTH KEYSTONE STMIDLOTHIANIL60445
BOCK JEROMEnullDentist (011)6/30/1996Terminated2004 N PULASKICHICAGOIL606393767
BODZIOCH GAIL019018243Dentist (011)7/14/1986Terminated1406 CAMP JACKSON RDCAHOKIAIL62206
BOLDING JIMMIEnullJ F B PHARMACY INC5/15/1987Barred6534 W 63RD STCHICAGOIL60638
BORRILLO NOEMI036055881Physician (010)9/5/1985Terminated7338 N WAUKEGANNILESIL60648
BOWSER ANTHONY RnullIn-Home Care-Rehab (092)10/19/1998Terminated1900 3RD AVE #904ROCK ISLANDIL612018044
BOZINIS PHARMACY INCnullPharmacy (060)8/24/1993Terminated235 WAUKEGAN RDLAKE BLUFFIL60044
BRADY RICHARDnullPhysician (010)8/16/1997Terminated2851 SUNBRANCH DRORLANDOFL328224182
BRAUN BENNETTnullPhysician (010)5/12/2000TerminatedSUITE 1039701 NORTH KNOX AVENUESKOKIEIL600761230
BRAUN ZOLTAN036036195Physician (010)10/14/1988Terminated125 WEST JACKSON STREETVIRDENIL62690
BRAVOS THOMASnullMADISON DRUGS INC1/14/1991Barred3179 W MADISON STCHICAGOIL60612
BRIONES DALMACIO036065274Physician (010)11/26/1984Terminated3330 OLD GLENVIEW RD #3WILMETTEIL60091
BRITEWAY PHARMACY INC054008883Pharmacy (060)9/12/1988Terminated665 E PERSHING RDCHICAGOIL60653
BROWN RONALD051-034746STATE STREET PHARMACY1/14/1991Barred3120 STATEEAST ST LOUISIL62205
BROWN ALBERT H036059317Physician (010)4/20/2003Terminated8325 SO STONY ISLANDCHICAGOIL60617
BROWN CLYDEnullPhysician (010)3/31/1997Terminated2406 AUBURN AVECINCINNATIOH45229
BROWN GEORGE H019010727Dentist (011)12/15/1981Terminated4306 S KING DRCHICAGOIL60653
BROWN THOMASnullChiropractor (014)12/20/2003Voluntary Withdrawal490 W SIDE SQUARECARLINVILLEIL626261753
BUCHSBAUM ZYGMUNT036035188Physician (010)11/16/1983Terminated2344 NORTH CLARK STREETCHICAGOIL60614
BUCZYNSKI EDWARD051-028288PAYLESS DISC DRUGS INC10/24/1990Barred1014 N ASHLANDCHICAGOIL60622
BUCZYNSKI ELIZABETH051-034402E J YOUNGS DRUGS INC6/1/1989Barred2063 N CLARK STREETCHICAGOIL60614
BUDDE MICHAEL051-028719THE MEDICINE SHOPPE8/20/1998Barred134 S MAINCOLUMBIAIL62236
BUDLONG DRUGS054009790Pharmacy (060)6/1/1990Terminated5356 N LINCOLN AVECHICAGOIL60625
BUKOWSKI EDWARDnullPhysician (010)11/8/2000Terminated2000 N RACINE AV #2181CHICAGOIL606144045
BUNGCAYAO ISABELO CnullPhysician (010)3/29/1999Voluntary Withdrawal43 NORTH KEDZIECHICAGOIL606121856
BURDICK DONALD I016003112Podiatrist (013)9/6/1991Terminated7638 W NORTH AVENUEELMWOOD PARKIL60635
BURPO CARLnullPhysician (010)5/16/1996Terminated104 OAK HILL DRIVEBELLEVILLEIL622232210
BUTTS MARYnullIn-Home Care-Rehab (092)2/17/2000Terminated827 S FRANKLIN PO BOX 236LITCHFIELDIL620560236
C AND S CENTER PHARMACY054008906Pharmacy (060)9/25/1985Terminated7554 S HALSTEDCHICAGOIL60623
CAL DEVON RX PHARMACY INCnullPharmacy (060)2/2/1995Terminated6201 N CALIFORNIA AVECHICAGOIL60659
CALDWELL EARLnullPhysician (010)7/9/1997TerminatedSUITE 700 PO BOX 56916259 S COTTAGE GROVECHICAGOIL606805691
CALHOUN JIM049-130432CALS MEDICAL PHARMACY11/9/2001Barred12536 S INDIANA AVECHICAGOIL60628
CALMELL NELLIE036058450Physician (010)5/12/1983Terminated1640 N DAMENCHICAGOIL60647
CALS MEDICAL PHARMACYnullPharmacy (060)11/9/2001Terminated2258F LANDMEIER ROADELK GROVE VLGIL600072637
CAMPANELLA CARL JOSEPHnullPhysician (010)6/26/2000Terminated111 W MAIN STDU QUOINIL628321614
CAMPBELL MAE041-164911CAMPBELL PERSONAL CARE5/11/2001Barred5236 W NORTH AVECHICAGOIL60639
CAMPBELL RICHARD051-027903CAMPBELL PRESCRIPTION LAB9/28/1995Barred2116 W ROSCOECHICAGOIL60618
CAMPBELL WILLIE043-013122CAMPBELL PERSONAL CARE5/11/2001Barred5236 W NORTH AVECHICAGOIL60639
CAMPBELL PERSONAL CAREnullHome Health Agency (050)5/11/2001Terminated5236 WEST NORTH AVESECOND FLOORCHICAGOIL606394430
CAMPBELL PRESCRIPTION LABnullPharmacy (060)12/30/1994Terminated2116 W ROSCOECHICAGOIL60618
CAMRAS SIDNEYnullPhysician (010)2/27/1997Voluntary Withdrawal4013 N MILWAUKEE #515CHICAGOIL606411836
CANELAS VICTOR036045164Physician (010)7/4/1990Terminated410 E 63RDCHICAGOIL60637
CARE PHARMACY053906230Pharmacy (060)8/1/1979Terminated2823 CLYBOURN STCHICAGOIL60618
CARLUCCI RICHARD AnullDentist (011)5/6/1997Terminated1043 W BROADWAYBRADLEYIL609152004
CASACLANG RODOLFO SnullPhysician (010)4/14/1987Terminated3618 20 W DIVISIONCHICAGOIL60651
CASEY RICHARDnullPhysician (010)4/2/1990Terminated324 DEBALIVIERE AVEST LOUISMO63112
CASSIDY KEVIN019016180Dentist (011)3/28/1983Terminated8058 S WESTERNCHICAGOIL60620
CASTEN CHRISnullPhysician (010)11/23/1999Terminated6936 NORTH KOSTNERLINCOLNWOODIL606462514
CASTILLO GONZALO C036049026Physician (010)7/22/1993Voluntary Withdrawal7914 S ASHLANDCHICAGOIL60620
CATA MERCEDES051-029142LANDSMAN PHARMACY10/6/1994Barred4000 W DIVISIONCHICAGOIL60651
CAVANESS J DALE036032087Physician (010)2/4/1986Terminated1901 ORGANELDORADOIL62930
CAVERO JORGEnullPhysician (010)12/31/1996Voluntary Withdrawal9726 S KILBOURNOAK LAWNIL604533527
CEA RICARDO A036045170Physician (010)12/10/1985Terminated23450 SOUTH WESTERN AVENUEPARK FORESTIL60466
CHAJET BARRYnullPURPLE HEART RENTAL SYSTEM2/17/2000Barred2510 E DEMPSTERDES PLAINESIL60016
CHAJET ROBERTAnullPURPLE HEART RENTAL SYSTEM2/17/2000Barred2510 E DEMPSTERDES PLAINESIL60016
CHAMBAS ALEXANDERnullDentist (011)8/21/1998Terminated259 E RAND RD STE 107MT PROSPECTIL600562184
CHAND SURESHnullPhysician (010)4/26/2000Terminated1310 WASHINGTON AVEPO BOX 1032ALTONIL620021032
CHEEK JERRYnullSTATE STREET PHARMACY1/14/1991Barred11926 CHARTER HOUSE LNST. LOUISMO63146
CHEN CHUN TONGnullPhysician (010)3/30/1989Voluntary Withdrawal11416 S MICHIGAN AVECHICAGOIL60628
CHEN JACKSON WnullPhysician (010)7/28/2005Terminated736 W 35TH STCHICAGOIL606163438
CHEN SAMUELnullPhysician (010)4/9/1999Voluntary Withdrawal2525 EAST 83RD STREETCHICAGOIL606171905
CHERWITZ GORDON36030353Physician (010)12/28/1988Terminated1820 W 3RD STDAVENPORTIA52802
CHICAGO DRUG HOUSE053007805Pharmacy (060)10/4/1985Terminated4824 W CHICAGOCHICAGOIL60651
CHICAGO DRUGS INC053008107Pharmacy (060)5/28/1987Voluntary Withdrawal2949 W MADISON STCHICAGOIL60612
CHICAGO LARAMIE PHARMACY INC053005146Pharmacy (060)10/29/1984Terminated5110 CHICAGO AVECHICAGOIL60651
CHICAGO MEDICAL EQUIPMENT COnullOth Prov MES-Non-reg(063)10/19/2000Terminated3260 HULEMAN AVENUE SCHICAGO HEIGHTSIL60475
CHOICES TRANSPORTATIONnullMedicar Provider (071)3/28/2003Terminated6 EAST 149TH STDOLTONIL604191207
CHOPRA ANILnullPhysician (010)3/30/2005Voluntary Withdrawal504 EAST 47TH STREETCHICAGOIL606534208
CHU WENGENNnullPhysician (010)11/30/2002Voluntary Withdrawal11312 S MICHIGAN AVECHICAGOIL606284912
CHUA BETSY036052473Physician (010)5/15/1989Suspended7531 STONY ISLANDCHICAGOIL60649
CHUA FAIRBANK036058983Physician (010)6/5/1984Voluntary Withdrawal1959 EAST 71ST STREETCHICAGOIL60649
CHUDNOVSKIY EMMANUILnullEZTA MEDICAR CO10/18/2000Barred1955 TANGELWOOD STGLENVIEWIL60025
CHUNG DONG036060092Physician (010)7/1/1998Terminated4118 W LAWRENCE AVE STE 204CHICAGOIL60630
CICCARELLI LAWRENCEnullPhysician (010)4/1/2000Terminated1 ST CLEMENT BLVDREDBUDIL622781197
CIZIKAS OSWALD RnullPodiatrist (013)1/17/1994Voluntary Withdrawal3700 W 64TH STCHICAGOIL60629
CLARK MEDICAL CENTERnullPharmacy (060)6/8/1998TerminatedKIMBALL PHARMACY3401 W FULLERTONCHICAGOIL606470000
CLINICAL REGIONAL LAB INCnullIndependent Lab (061)9/5/1991Terminated3699 W 183RD STHAZEL CRESTIL60429
CLM PHARMACY053006876Pharmacy (060)12/28/1988Terminated1919 W DIVISIONCHICAGOIL60626
COGSWELL JEANINEnullIn-Home Care-Rehab (092)2/24/2004Terminated#38 CARRIAGE PLACEURBANAIL61802
COHEN SAMUEL051-021613R M W PHARMACY INC10/1/1991Barred2439 W MADISONCHICAGOIL60612
COHEN ROBERT046003619Optometrist (012)4/19/1979Terminated3150 S HALSTED STCHICAGOIL60608
COHODES LINDAnullTLC PHARMACY INC4/28/1988Barred2320 W. PETERSONCHICAGOIL60659
COLE HUGOnullPhysician (010)6/25/1986Suspended525 HIGH ST PARIS MED SURG CTRPARISKY40361
COLEMAN LEVONnullLEES TRANSPORTATION11/30/2007Barrednullnullnullnunull
COLLINS HENRYnullPodiatrist (013)6/1/1995TerminatedSUITE 1062100 SOUTH INDIANACHICAGOIL60616
COMMUNITY PHARMACY INC054009129Pharmacy (060)8/23/1989Terminated5726 S STATE STCHICAGOIL60621
COST RITE INC054004222Pharmacy (060)9/28/1992Voluntary Withdrawal1600 WEST PRATTCHICAGOIL60626
COVA RENO R36060055Physician (010)12/26/1985Terminated12255 DE PAUL DRIVE SUITE 830BRIDGETONMO63044
COVARRUBIAS JORGEnullPhysician (010)10/13/1996Voluntary Withdrawal720 NORTH BLUFF ROADCOLLINSVILLEIL622343717
COVINGTON JIMMIEnullFREEDOM TRANSPORT SERVICES INC1/6/2004Barred1507 E. 53RD STREET, SUITE 934CHICAGOIL60615
CRAWFORD MEDICAL ARTS LABnullIndependent Lab (061)11/22/1991Terminated6441 S PULASKICHICAGOIL60629
CRAWFORD OLIVERnullPhysician (010)5/26/2000Terminated5201 BROADWAY STE 100MERRILLVILLEIN464101552
CUALOPING NATHANIEL Y036046109Physician (010)8/1/1985Terminated333 CHICAGO AVENUESAVANNAIL61074
CUBRIA ANDREWnullPhysician (010)6/5/2001Terminated5700 N ASHLANDCHICAGOIL606604011
CULLEN ROBERTnullPhysician (010)3/31/1997TerminatedW MAIN ST PO BOX 1620WISEVA24293
CUPELES ANGELAnullPhysician (010)11/26/2002Terminated2540 W NORTH AVENUECHICAGOIL606475316
CUSI DALMACIOnullPhysician (010)3/3/1987Terminated338 N LARAMIECHICAGOIL60644
D AND S DRUG STORE054008874Pharmacy (060)3/13/1991Terminated46 EAST 47TH STREETCHICAGOIL60653
DAHLEIDEN PATRICIAnullKILDARE PHARMACY INC3/15/1993Barred4300 W 16TH STCHICAGOIL60623
DAKARIAN CHARLESnullPhysician (010)4/16/2002Terminated7325 W 87TH STREETBRIDGEVIEW MED CENBRIDGEVIEWIL604551823
DALAL AJIT KnullPhysician (010)2/24/1998Terminated1135 BROADWAY POB 849QUINCYIL623060849
DAMEN ART PHARMACY053007011Pharmacy (060)12/28/1988Terminated2823 N CLYBOURNCHICAGOIL60618
DAS ARABINDA036046417Physician (010)2/12/1988Voluntary Withdrawal20 SOUTH 3RDBELLEVILLEIL62221
DATTA JAGAT KnullPhysician (010)10/22/2001Terminated27 BROOKSTONE DRIVESTREAMWOODIL601072312
DAUGHERTY WILLIAM036032985Physician (010)4/11/1985Terminated501 W CLOVER STHUTSONVILLEIL62433
DAVIS DANNYnullDAVIS DAN9/4/2001Barred2725 LAKE PARK DRIVELYNWOODIL60411
DAVIS DANnullMedicar Provider (071)9/4/2001Terminated2725 LAKEPARK DRLYNWOODIL604111426
DAVIS JOHN036036402Physician (010)2/9/1984Terminated618 W WILLOWCHICAGOIL60614
DAVIS KEITH038006028Chiropractor (014)8/30/1993Terminated1016 WEST BELMONTCHICAGOIL60657
DAVIS LUISnullPhysician (010)2/19/1998Terminated6936 NORTH KOSTNERLINCOLNWOODIL606462514
DAVIS RALPH036034736Physician (010)12/12/1990Terminated121 S ORANGEHAVANAIL62644
DAVIS VERAnullPhysician (010)5/12/2000Terminated13220 SOUTH ELLISCHICAGOIL606271464
DE JESUS RALPH TnullPhysician (010)2/10/2003Voluntary Withdrawal1629 BRIGHTON CTNORTHBROOKIL600625954
DEAR PHARMACY054008377Pharmacy (060)5/17/1987Terminated1044 W WILSONCHICAGOIL60640
DECASTRO FERNANDOnullPhysician (010)10/1/1987Terminated6125 CLAYTON AVE STE 130ST LOUISMO63139
DEHN DONALDnullChiropractor (014)11/8/1994Terminated304 S ALPINEROCKFORDIL61108
DEJSAHRAI WINIT036054368Physician (010)7/29/1991Terminated2452 E 79TH STREETCHICAGOIL60649
DEL KAR PHARMACY053003481Pharmacy (060)12/4/1985Terminated3726 W 16TH STCHICAGOIL60623
DEL MUNDO CELSOnullPhysician (010)5/11/2001Terminated2715 NORTH CENTRAL AVECHICAGOIL606391325
DELM MEDICAL LABORATORY INCnullIndependent Lab (061)12/1/1997Terminated1812 N BROADWAYMELROSE PARKIL601602039
DELTA MEDICAL TRANSPORTATIONnullMedicar Provider (071)12/26/2001TerminatedSUITE 3225540 FRONTAGE RDNORTHFIELDIL600931232
DEMETRY DONnullChiropractor (014)10/10/1995Terminated7318 W MADISON STREETFOREST PARKIL60130
DEMPSTER PHARMACY054003194Pharmacy (060)6/24/1994Voluntary Withdrawal4835 DEMPSTERSKOKIEIL60076
DEMSCH HAROLD J046004974Optometrist (012)3/31/1994Terminated6001 S KEDZIE AVECHICAGOIL60629
DERNIS DIMITRIS G016002544Podiatrist (013)11/8/1985Terminated3301 N CENTRALCHICAGOIL60634
DESAI NALINI036068159Physician (010)3/16/1988Voluntary WithdrawalCOMMUNITY MED CTR 4305 S ELLISCHICAGOIL60653
DEUTSCH JACQUELINEnullPhysician (010)9/25/1997Voluntary Withdrawal111 N WABASH #820CHICAGOIL60602
DHAWAN CHAMAN051-031935THE A AND A PHARMACY8/26/1987Barred3147 W CERMAKCHICAGOIL60623
DIANNA PROFESSIONAL PHARMACY053006991Pharmacy (060)9/24/1985Terminated4713 S STATECHICAGOIL60609
DICKENS CHARLESnullPhysician (010)5/27/1999Suspended9119 S EXCHANGE AVECHICAGOIL606174225
DICOGNO DEBBIEnullDEAR PHARMACY3/15/1989Barred6033 N SHERIDANCHICAGOIL60640
DISHUK WILLIAM036046885Physician (010)4/1/1985Terminated55 E WASHINGTON SUITE 1422CHICAGOIL60602
DIVISION PULASKI PROF PHARMACYnullPharmacy (060)12/6/1994Terminated4006 W DIVISION STCHICAGOIL60651
DIXIE PRAIRIE PHARMACY053007166Pharmacy (060)4/17/1984Terminated5757 S PRAIRIE PHARMACYCHICAGOIL60637
DMICC054008270Pharmacy (060)10/1/1987Terminated5524 W LAKE STREETCHICAGOIL60644
DNB TRANSPORTATIONnullMedicar Provider (071)7/12/2001Terminated15516 MYRTLE AVEHARVEYIL604262821
DO TAM051-041165TAM PHARMACY12/15/1989Suspended1069 W ARGYLECHICAGOIL60640
DOERING RONALD J019013731Dentist (011)5/17/1996Terminated2450 W JACKSONCHICAGOIL60612
DOLAR JOSE R036053410Physician (010)2/25/1987Terminated7510 S SAGINAWCHICAGOIL60649
DORN MARIONnullPhysician (010)4/15/1997Terminated1201 PINE STREETELDORADOIL629301634
DORSET BENJAMIN046004030Optometrist (012)9/10/1987Terminated6541 SOUTH WOODLAWN STREETCHICAGOIL60637
DORTCH JOHNnullTaxicab / Livery Co (072)12/26/2001Terminated737 GRANT STCHICAGO HTSIL604112166
DOUGLAS EUSTACEnullPhysician (010)4/7/1997Terminated7705 PERSHING BLVDKENOSHAWI53142
DUBINSKY MARKUSnullV O INC7/14/2003Barred739 GROUSE COURTDEERFIELDIL60015
DUNIGAN ANDREnullPhysician (010)8/21/1992Terminated6105 S EBERHARTCHICAGOIL60637
DWYER GRACEnullDentist (011)11/16/1995Terminated42 E 112TH STREETCHICAGOIL60628
DY LEONCIO036062999Physician (010)11/17/1992Voluntary Withdrawal179 ARMY TRAIL RDBLOOMINGDALEIL60108
DZIOPALA BARBARAnullCLARK MEDICAL CENTER12/11/1998Barred4633 N CLARK STCHICAGOIL60604
E AND L PHARMACY INC053005837Pharmacy (060)10/20/1982Terminated3713 W ROOSEVELT RDCHICAGOIL60624
E J YOUNGS DRUGS INC053000879Pharmacy (060)6/1/1989Terminated2063 N. CLARKCHICAGOIL60614
EAST CALUMET PHARMACY INC054009347Pharmacy (060)5/21/1991Terminated335 E 51ST STCHICAGOIL60615
EASTON ROBERT JRnullPhysician (010)4/20/1999Terminated205 S ENGELWOOD DRIVEMETAMORAIL61548
EDGEWATER PLAZA DRUGS INC054006054Pharmacy (060)12/26/1985Terminated5419 NO SHERIDAN RDCHICAGOIL60640
EHLENFELD JEFFnullChiropractor (014)8/7/1996Suspended100 NORTH MAINMASON CITYIL626641104
ELBOOM MORTON051-023024WESTERN AVENUE MED PHCY INC7/7/1988Barred10 NORTH WESTERN AVECHICAGOIL60612
ELLENBY HERMAN051-021776CHICAGO LARAMIE PHARMACY INC4/14/1986Barred5110 W. CHICAGO AVE.CHICAGOIL60651
ELLENBY JOCELYNnullCHICAGO LARAMIE PHARMACY INC4/14/1986Barred5110 W. CHICAGO AVE.CHICAGOIL60651
ENG ANNAnullHIGHLAND PHARMACY INC12/12/1989Barred1325 W 87TH STCHICAGOIL60620
ENG JEANNINEnullHIGHLAND PHARMACY INC12/12/1989Barred8201 S ASHLANDCHICAGOIL60620
ENG THOMASnullHIGHLAND PHARMACY INC12/12/1989Barred8201 S ASHLANDCHICAGOIL60620
ENGEL ROBERTnullALEXANDER SMITH TRANS SERVICE5/3/1996Barred625 W MADISONCHICAGOIL60606
ENGLEWOOD CLINICAL LAB INCnullIndependent Lab (061)4/11/1991Terminated6032 SO HALSTEDCHICAGOIL60621
EPSTEIN BARRYnullB W PHARMACY INC3/28/1986Barred6657 S. ASHLAND AVE.CHICAGOIL60636
ESMAIL ZULFIKARnullPhysician (010)12/30/2002Voluntary Withdrawal1501 S CALIFORNIACHICAGOIL606081732
ETTRESS GAILnullIn-Home Care-Rehab (092)10/9/1998Terminated1715 S 18THSPRINGFIELDIL62703
EVER REDY TRANSPORTATIONnullMedicar Provider (071)10/18/2000Terminated10110 SO HOXIECHICAGOIL606175357
EZRA MEDICAL TRANSPORTATIONnullMedicar Provider (071)11/23/1999Terminated7128 CRAWFORDLINCOLNWOODIL606462304
EZTA MEDICAR COnullMedicar Provider (071)10/18/2000TerminatedROOM G1955 TANGELWOOD STGLENVIEWIL600251637
FABI AZUCENA036058409Physician (010)10/26/1986Terminated2255 TENNYSON LANEHIGHLAND PARKIL60035
FAISAL TAJIDDINnullUNITED TRANSPORTATION8/11/1999Barred3137 STONEGATE COURTFLOSSMOORIL60422
FANOUS MICHAELnullPodiatrist (013)1/10/1997Terminated# 302 E23521 PASCO DEVALENCIALAGUNA HILLSCA92653
FARBSTEIN MARTINnullPhysician (010)12/19/1996Terminated1515 10TH STREETMONROEWI53566
FARNEY THOMAS051-23500APOTHECARY SHOP2/24/1988Barred911 N 6TH STSPRINGFIELDIL62702
FAROKHIAN FAROKHnullDentist (011)5/31/1999Voluntary Withdrawal2632 W DIVISIONCHICAGOIL606222850
FEFFER GORDON051-24046J LESLIE ROSENBLUM INC10/22/1987Barred3217 GREENLEAFWILMETTEIL60091
FEFFER MYRNAnullJ LESLIE ROSENBLUM INC10/22/1987Barred3217 GREENLEAFWILMETTEIL60091
FEIGIN MARKnullPhysician (010)4/25/1995Voluntary Withdrawal6420 N CALIFORNIA AVECHICAGOIL60645
FELD ALVIN051-22740WORLD DRUG4/14/1987Barred1507 N MILWAUKEECHICAGOIL60622
FELD BEATRICEnullLIBERTYVILLE PHARMACY INC12/22/1987Barred963 WEST BELMONTCHICAGOIL60657
FELD CARYnullWORLD DRUG4/14/1987Barred963 WEST BELMONTCHICAGOIL60657
FELD JODYnullWORLD DRUG4/14/1987Barred963 BELMONTCHICAGOIL60657
FELDMAN DAVIDnullKENT PHARMACY INC6/1/1989Barred188 W RANDOLPH STREETCHICAGOIL60601
FELFLE CARLOS036038243Physician (010)8/29/1989Terminated3810 N BROADWAYCHICAGOIL60613
FERGUSON BONNIEnullIn-Home Care-Rehab (092)3/28/2003Terminated503 1/2 E JACKSONMORRISIL604502375
FIERER JOSHUA036057021Physician (010)5/28/1986TerminatedKUMPF AND MAIN BOX 1649PEORIAIL61656
FITZPATRICK JERALDnullGRAND BOULEVARD TRANSPORTATION7/15/2002Barred1135 W 127TH STREETCALUMET PARKIL60643
FLOJO ZOSIMO BnullPhysician (010)12/16/1997Suspended120 EAST DIVISIONGALVAIL614341784
FLORES ARROYO HECTORnullPhysician (010)8/31/2000Terminated1400 CHARLES STREETROCKFORDIL611042224
FLORES GLORIA036046131Physician (010)1/15/1992Terminated1443 WEST SCHAUMBURG ROAD #255SCHAUMBURGIL60194
FOGEL ELIZAnullCLARK MEDICAL CENTER12/11/1998Barred4633 N CLARK STCHICAGOIL60604
FOREMAN CHRISTINEnullSOUTHSIDE PHARMACY INC11/12/1987Barred1600 E 87TH STCHICAGOIL60617
FORRESTER RONNIE PnullIn-Home Care-Rehab (092)1/14/2003TerminatedPO BOX 261ELDORADOIL629300261
FORTIER EDWARD036029037Physician (010)8/16/1986Suspended3330 OLD GLENVIEW RD STE 3WILMETTEIL60091
FOWLER DONN019010425Dentist (011)12/13/1988Terminated1761 RIVER DRIVEGLENVIEWIL60025
FOX ALVINnullMAPLEWOOD PHARMACY INC3/19/1985Barred2543 W NORTH AVENUECHICAGOIL60647
FOX JACQUELINEnullMAPLEWOOD PHARMACY INC3/19/1985Barred2543 W NORTH AVENUECHICAGOIL60647
FRANTZ JOHN051-23401FRANTZ PHARMACY2/25/1987Barred127 NORTH DEARBORNCHICAGOIL60602
FRANTZ PHARMACY053006286Pharmacy (060)8/12/1986Terminated11312 S MICHIGAN AVECHICAGOIL60628
FREEDOM TRANSPORT SERVICES INCnullMedicar Provider (071)1/6/2004Terminated1507 E 53RD ST 934CHICAGOIL606154509
FREEMAN PHARMACY INC053006397Pharmacy (060)6/2/1986Terminated3433 N SHEFFIELDCHICAGOIL60657
FREITAG ROGERnullFREITAG AMBULANCE CORP5/12/2000Barred303 S WATER STREETWILMINGTONIL60481
FREITAG GEORGIAnullFREITAG AMBULANCE CORP5/12/2000Barred303 S WATER STREETWILMINGTONIL60481
FREITAG AMBULANCE CORPnullAmbulance Serv Prov (070)5/12/2000Terminated303 S WATERWILMINGTONIL604811377
FROHLICH DOUGLASnullPhysician (010)4/5/2004Voluntary WithdrawalDEPT 3359135 S LASALLE STCHICAGOIL606741000
FROILAND JOHN L036048592Physician (010)5/27/1992Terminated5907 WEST 63RD STREETCHICAGOIL60638
FRYDMAN ISAAC019016069Dentist (011)8/9/1982Terminated3720 WEST 16TH STREETCHICAGOIL60623
FULTON JOSEPH051-23814J N F MEDICAL PHCY 110/17/1986Barred7510 S SAGINAW AVECHICAGOIL60649
GAFFNEY ELLIOTTnullW AND G TRANSPORTATION9/14/2000Barred2215 E. 69TH STREETCHICAGO, ILIL60649
GALBREATH H036049359Physician (010)8/4/1990Suspended107 SO VANBURENWEST FRANKFORTIL62896
GALLAGHER ROSEnullHELPING CARE INC3/10/1997Barred998 MAPLE RIDGE CT.FRANKFORTIL60423
GALLAGHER RICHARDnullPhysician (010)6/9/1998Terminated20 STONEHENGE COURTBURR RIDGEIL605216414
GALVIN CATHERINE036046494Physician (010)3/13/1989Terminated4602 MAIN STLISLEIL60532
GARFEN LARRYnullEDGEWATER PLAZA DRUGS INC12/26/1985Barred5419 N SHERIDAN RDCHICAGOIL60640
GEHL KEITHnullChiropractor (014)1/15/1997Terminated320 SOUTH 5TH AVENUEPRINCETONIN47570
GELZAITIS RICHARDAS036031820Physician (010)5/5/1986Terminated227 E 47TH STCHICAGOIL60653
GENO MEDICAR SERVICE INCnullMedicar Provider (071)7/22/2005Terminated7422 W MADISON AVE #2FOREST PARKIL601301558
GERGANS GREGORYnullPhysician (010)6/14/2001Terminated800 SCHOOL STCARROLLTONIL62016
GERTZ MORRISnullNORWEST PHARMACY6/9/1994Barred260 MARSHALLDES PLAINESIL60016
GHORY FAROOQnullPhysician (010)12/7/2004Terminated302 BROADWAYMT VERNONIL62864
GIANNATTASIO VINCENTnullPhysician (010)4/10/1996Terminated2009 5TH STREETMONROEWI53566
GIANNOTTI CESARnullPhysician (010)9/30/1998Terminated101 S BROADWAY157 SOUTH LINCOLN AVEAURORAIL605054276
GIBBS THOMAS R019017714Dentist (011)6/1/1989Terminated564 WILLIAMSBURGH RDGLEN ELLYNIL60137
GILBERT RAYMOND016002476Podiatrist (013)6/16/1980Terminated13 PARK AND SHOP LANEELK GROVE VLGIL60007
GIOKARIS DEMETRIOSnullPhysician (010)11/20/1996Voluntary Withdrawal5313 SUFFIELD COURTSKOKIEIL600771564
GITLER MARVINnullDIXIE PRAIRIE PHARMACY10/23/1984Barred5757 SOUTH PRAIRIE AVECHICAGOIL60637
GLOSS RnullPhysician (010)11/16/1996Terminated22407 MILLARDRICHTON PARKIL604712046
GOLDBERG GERALDINEnullMEDICAL ARTS PHARMACY1/29/1988Barred3741 SOUTH MISSION HILLS RDNORTHBROOKILIL60082
GOLDEN RULE PHARMACY054003776Pharmacy (060)9/8/1987Terminated3740 W MONTROSE AVECHICAGOIL60618
GOLDIN JOSEPH051-21127MAPLEWOOD PHARMACY INC3/19/1985Barred2543 WEST NORTH AVECHICAGOIL60647
GOLDMAN JOSIFnullAK MEDICAB INC9/30/1998Barred5330 W. DEVON AVE.CHICAGOIL60646
GOLDSMITH BARBARAnullUTICA PHARMACY INC10/23/1984Barred9055 KEYSTONE AVESKOKIEIL60076
GOLDSTEIN MEIRnullPITTSFIELD MEDICAL LABORATORY9/29/1986Barred9344 KOSTNER AVENUESKOKIEIL60076
GOLDSTEIN POLAnullPITTSFIELD MEDICAL LABORATORY9/29/1986Barred9344 KOSTNER AVESKOKIEIL60076
GOMEZ ROSALBA036052968Physician (010)12/14/1983Terminated3330 OLD GLENVIEW RD STE 3WILMETTEIL60091
GOPAL RAMnullPhysician (010)5/18/1999Terminated7909 KEELER AVENUESKOKIEIL600763503
GORMAN CHARLES019011694Dentist (011)3/26/1993Terminated201 W SPRINGFIELD STE 206CHAMPAIGNIL61820
GOSHEN HENRY036026278Physician (010)3/2/1992Terminated1720 S LOOMIS STCHICAGOIL60608
GRAN CAL CLINICAL LAB LTDnullIndependent Lab (061)12/22/1987Terminated3753 WEST MONTROSE AVECHICAGOIL60618
GRANBERRY MARTINnullMOTHERS APPROVED MEDICAR7/16/2002Barred4558 WEST 178TH STREETCOUNTRY CLUB HILLSIL60478
GRANBERRY TELISAnullMOTHERS APPROVED MEDICAR7/16/2002Barred4558 WEST 178TH STREETCOUNTRY CLUB HILLSIL60478
GRAND BOULEVARD BEHAVORIAL HEAnullMedicar Provider (071)9/4/2001Terminated1135 W 127TH STCALUMET PARKIL608276537
GRAND BOULEVARD TRANSPORTATIONnullOth Tran Prov-No-Reg(073)7/16/2002Terminated1133 W 127TH STCALUMET PARKIL608276505
GRAND DRUGS054011429Pharmacy (060)4/29/1994Voluntary Withdrawal3142 W LAWRENCECHICAGOIL60625
GREAT WEST PHARMACY INC053007469Pharmacy (060)11/28/1984Terminated3713 W ROOSEVELT RDCHICAGOIL60624
GREEN JAMESnullRAPID RESPONSE TRANSPORTATION1/22/2008Barrednullnullnullnunull
GREEN MORTON RnullPhysician (010)7/19/2003Suspended111 WEST LINCOLNBELLEVILLEIL622202092
GROSS SHEPHERDnullDentist (011)9/21/2000Terminated9116 RAYMOND DRNORTHBROOKIL60062
GROVE RICHARD036039115Physician (010)9/24/1993Voluntary Withdrawal15705 CHESTERFIELD LANE #AORLAND PARKIL60462
GUINN LISA JEANNEnullIn-Home Care-Rehab (092)7/14/2003Terminated1030 NORTH 4TH STSPRINGFIELDIL627023810
GUPTA ANILnullPhysician (010)8/20/1998Terminated2712 BROADWAYMOUNT VERNONIL62864
GUTMAN IRITnullTAMID MEDICAL TRANSPORTATION12/14/1999Barred6770 N LINCOLNLINCOLNWOODIL60646
H NH C INC053005720Pharmacy (060)3/20/1984Terminated2445 N HARLEMCHICAGOIL60635
HADI MAHMOODnull1043562218Physician (010)10/17/2004Voluntary Withdrawal4829 S ASHLAND AVECHICAGOIL605275427
HALL VERAnullTaxicab / Livery Co (072)4/27/1995Terminated1405 E MAIN #604WEST FRANKFORTIL62896
HALPERIN WALTERnullWESTERN AVENUE MED PHCY INC7/7/1988Barred4425 N. SHERIDAN AVENUECHICAGOIL60640
HALSTEAD RON038003042Chiropractor (014)8/14/1986Suspended10243 N SCOTTSDALE RD #4SCOTTSDALEAZ85254
HAMBRICK MAUREENnullIn-Home Care-Rehab (092)10/1/2001Terminated224 N LATROBECHICAGOIL606442408
HANING RAY VnullPhysician (010)3/17/1997Terminated6602 GRAND TETON PLAZAMADISONWI53719
HARCUS JAMESnullPodiatrist (013)6/14/1995Terminated1ST FLOOR2842 N MILWAUKEECHICAGOIL60618
HARDAWAY ALFRED036064011Physician (010)12/6/1984Terminated5443 N BROADWAYCHICAGOIL60640
HARRINGTON JAMESnullHOMESTEAD MEDICAL TRANSPORT8/11/2005Barrednullnullnunull
HARRIS JAMES049-47929J AND H PHARMACY INC9/29/1986Barred2958 W. MADISONCHICAGOIL60612
HARRIS LILLIEnullPONY SYSTEMS LTD INC6/30/2000Barred15330 S WOODHARVEYIL60426
HARRIS MARCUSnullGRAND BOULEVARD BEHAVORIAL HEA9/4/2001Barred1135 W. 127TH STREETCALUMET PARKIL60643
HARRIS WALLACEnullWALLACE CONVERSION VANS TRAN10/31/2002Barred26 STRAUSS LANEOLYMPIA FIELDSIL60461
HARRISON MARY JANEnullO FALLON PLAZA DRUG EAST INC1/1/1986Barred312 E. STATE STREETO'FALLONIL62269
HARRISON RICHARD051-031616O FALLON PLAZA DRUG EAST INC1/1/1986Barred312 E. STATE STREETO'FALLONIL62269
HARVEY CLYDEnullPhysician (010)1/16/2005Voluntary Withdrawal9937 S CICERO AVEOAK LAWNIL604535802
HASEEBULLAH SYED051-31422S AND S PHARMACY12/28/1988Barred1919 W. DIVISIONCHICAGOIL60626
HASEEBULLAH SYED051-31422DAMEN ART PHARMACY12/28/1988Barred1919 W. DIVISIONCHICAGOIL60626
HASEEBULLAH SYED051-31422CLM PHARMACY12/28/1988Barred1919 W. DIVISIONCHICAGOIL60626
HAWKINS HORACE051-24629ASHLAND DRUG4/14/1986Barred1735 W 91ST STREETCHICAGOIL60619
HEALTH CARE PROVIDERSnullOth Prov MES-Non-reg(063)1/11/1999Terminated2438 CENTERLINEINDUSTRIAL DRIVEMARYLAND HTSMO630433307
HEBEL ROBERT019014064Dentist (011)2/21/1986Terminated315 SOUTH LARKINJOLIETIL60436
HEBERT JOHN051-028770EAST CALUMET PHARMACY INC5/21/1991Barred335 EAST 51ST STCHICAGOIL60615
HECKLER RODNEYnullChiropractor (014)9/24/1996Suspended111 W WESLEY STE 5WHEATONIL601875136
HELPING CARE INCnullIn-Home Care-Rehab (092)3/10/1997Terminated20 S RT 45 OFFICE 2AFRANKFORTIL60423
HELPING CARE INCnullDORS - AIDS (093)3/10/1997Terminated20 S RT 45 OFFICE 2AFRANKFORTIL60423
HELPING CARE INCnullIn-Home Car -Aging (090)3/10/1997Terminated20 S RT 45 OFFICE 2AFRANKFORTIL60423
HENSELLS PHARMACY INC053002341Pharmacy (060)12/28/1984Terminated2800 W MADISON STCHICAGOIL60612
HERBERT PHARMACY INC054008819Pharmacy (060)3/13/1987Terminated233 EAST 75TH STREETCHICAGOIL60619
HERBERT RICHARD A036049799Physician (010)3/22/1985Terminated1216 W SHERWIN AVECHICAGOIL60626
HERDA JAROSLAV036041593Physician (010)10/20/1983Voluntary Withdrawal3330 OLD GLENVIEW RDWILMETTEIL60091
HERZOG BRUCEnullPhysician (010)10/3/1995Terminated80-11 BROADWAYELMHURSTNY11373
HIGHLAND PHARMACY INC054008900Pharmacy (060)12/20/1988Terminated8201 S ASHLAND AVENUECHICAGOIL60620
HILLIARD WILLIAM051-022943HILLIARDS RX PHARMACY8/31/1990Barred46 N PAULINACHICAGOIL60612
HILLIARDS RX PHARMACY054009310Pharmacy (060)8/31/1990Terminated46 NORTH PAULINACHICAGOIL60612
HIRSCH NnullPhysician (010)10/4/1994Terminated829 15TH STREETMOLINEIL61265
HLG PHARMACY054007617Pharmacy (060)9/23/1991Voluntary Withdrawal444 FULLERTON # 303CHICAGOIL60614
HOKIN IRVING019009338Dentist (011)4/27/1984Terminated7900 S HALSTEDCHICAGOIL60620
HOLLIMAN LAURAnullDORS - AIDS (093)5/5/2000Terminated401 E JEFFERSON #204SPRINGFIELDIL627011060
HOMESTEAD MEDICAL TRANSPORTnullMedicar Provider (071)8/11/2005Terminated5729 SO MICHIGANCHICAGOIL606371113
HONG HYUNG036069630Physician (010)12/23/1991Terminated3720 W 16TH STCHICAGOIL60623
HOPPER ARTHERnullOth Tran Prov-No-Reg(073)8/10/1996Suspended401 S MAINBENLDIL620091508
HORN NATHANIELnullPhysician (010)9/23/1996SuspendedSUITE 4810474 NORTH LAKESHORE DRCHICAGOIL606113448
HORNBACK GARRY038005393Chiropractor (014)10/12/1993Terminated103 ST LOUIS RDCOLLINSVILLEIL62234
HOSAIN MOHAMMADnullPhysician (010)1/31/2005Voluntary Withdrawal21W721 MARSTON AVEGLEN ELLYNIL601376452
HOWARTER BRANDON GnullIn-Home Care-Rehab (092)5/26/2002Terminated1306 E ASHCANTONIL615201505
HUANG CHUSHUNG036047570Physician (010)2/25/1987Terminated11000 SOUTH HALSTEDCHICAGOIL60628
HUBER ROBERT036071295Physician (010)2/28/1998Voluntary Withdrawal4658 S ASHLAND 2ND FLCHICAGOIL60609
HURLEY LINDAnullIn-Home Care-Rehab (092)9/21/1998Terminated9330 MENARDOAK LAWNIL604532336
HURRY DAVIDnullPhysician (010)8/7/1998Voluntary Withdrawal#1 MEMORIAL #1002ALTONIL620026723
HUSS GREGORYnullPhysician (010)9/22/1998Terminated1800 EAST LAKESHOREDECATURIL625213810
HUTCHINSON ARCHIBALDnullPhysician (010)6/26/2000TerminatedSTE 106 & 107628 COLUMBUS STOTTAWAIL613502933
HWANG JIAnullPhysician (010)1/22/2001TerminatedSO SHORE HOSP8015 S LUELLACHICAGOIL606171151
ILEKA JASPER051-032099PETES PHARMACY7/8/1985Barred5518 S. ASHLANDCHICAGOIL60649
IRAVEDRA LUISnullPhysician (010)9/1/2000Voluntary WithdrawalSUITE 48570 MEADOWVIEW CTRKANKAKEEIL609012047
IVANOVICH ALEXISnullPhysician (010)4/27/2000Terminated607 SEVENTH STREETWILMETTEIL600911919
IVSIN OLGA036044569Physician (010)6/21/1984Terminated3301 S GILESCHICAGOIL60616
J AND D TRANSPORTATIONnullMedicar Provider (071)10/31/2002Terminated8318 S HOYNECHICAGOIL606206028
J AND H PHARMACY INC053007493Pharmacy (060)6/3/1986Terminated2958 W MADISONCHICAGOIL60612
J AND S MEDICAR SERVnullMedicar Provider (071)7/12/2001Terminated10506 S HALSTEDCHICAGOIL606282308
J F B PHARMACY INC053008440Pharmacy (060)3/18/1987Terminated3433 N SHEFFIELDCHICAGOIL60657
J LESLIE ROSENBLUM INC054003455Pharmacy (060)10/22/1987Terminated2123 EAST 71ST STREETCHICAGOIL60649
J N F MEDICAL PHCY 1053006362Pharmacy (060)11/13/1985Terminated7510 S SAGINAW AVECHICAGOIL60649
JACKSON EVERETTnullEVER REDY TRANSPORTATION10/18/2000Barred10110 S HOXIE AVECHICAGOIL60617
JACKSON JOHN W036034169Physician (010)2/24/1991Terminated911 ST LOUIS AVEEAST ST LOUISIL62201
JACOBS GILBERT AnullOptometrist (012)7/7/2005Voluntary Withdrawal1295 N MILWAUKEE AVECHICAGOIL606222218
JAIN KANAKMALnullPhysician (010)3/3/2001Voluntary Withdrawal1601 TANGLEWOOD AVESTE 105HANOVER PARKIL601033381
JAIN NIRMALA036052696Physician (010)12/14/1987Terminated1600 W TOUHY AVEPARK RIDGEIL60068
JALA PHARMACY054008424Pharmacy (060)3/16/1988Terminated3441 W NORTH AVECHICAGOIL60647
JAMAL ARIF051-033528SOUTH SHORE PHARMACY12/7/1990Barred2505 E 75TH STCHICAGOIL60649
JAY PHARMACY054008426Pharmacy (060)6/1/1989Terminated2831 W ARMITAGECHICAGOIL60647
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JEFFERY PHARMACY053004100Pharmacy (060)12/19/1984Terminated1958 E 79TH STCHICAGOIL60649
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KALLEN ARNOLDnullPhysician (010)9/3/1985Terminated4400 N BROADWAYCHICAGOIL60640
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KAMNEODSUPHAPHOL SOPHON036054207Physician (010)5/9/1988Terminated510 CLAREMONT DRIVEDOWNERS GROVEIL60516
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KAPPS PHARMACY INCnullPharmacy (060)3/20/1994Terminated3400 W MONTROSECHICAGOIL60618
KATERNDAHL DAVID A036062152Physician (010)3/22/1985Terminated115 E PLEASANT ST MED BLDGTAYLORVILLEIL62568
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KERNER JULIAnullPhysician (010)4/5/1998Voluntary Withdrawal850 WEST DUNDEE ROADWHEELINGIL600903954
KHAIT EKHIEL036064049Physician (010)6/8/1984Terminated5240 CLEVELANDSKOKIEIL60077
KHOLEIF ALInullPhysician (010)1/10/1997Terminated1005 E PENNSYLVANIAOTTUMWAIA52501
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KIM YOUNGnullPhysician (010)7/1/1998Terminated3606 WEST LAWRENCE AVECHICAGOIL606255606
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KINJAL PHARMACY054009126Pharmacy (060)9/12/1988Terminated9 N CICEROCHICAGOIL60644
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KIWI PHARMACY INC053007416Pharmacy (060)5/22/1984Terminated2036 W MADISON STCHICAGOIL60614
KLOVENS JOHN C036035592Physician (010)1/5/1988Terminated1245 S ASHLAND AVECHICAGOIL60608
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KOSTEL JEFFRY PnullIn-Home Care-Rehab (092)12/2/2002Terminated4016 S EAST AVESTICKNEYIL604024141
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LEE HO KnullPhysician (010)4/14/1997Terminated3535 W LAWRENCE AVECHICAGOIL606255627
LEE ROBERT JnullPhysician (010)7/22/1997Terminated3538 W 96TH STREETEVERGREEN PKIL608053068
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LEES SERVICEnullMedicar Provider (071)11/9/2001Terminated16321 S LAFLINMARKHAMIL604265769
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LEONG FLORENTINO WnullPhysician (010)12/7/2004Terminated1900 WEST 47TH STREETCHICAGOIL606093833
LERNER R BERNARD036047332Physician (010)7/1/1988Suspended251 E CHICAGOCHICAGOIL60611
LES ON DRUGS053004697Pharmacy (060)1/2/1985Terminated3125 NORTH LINCOLN AVECHICAGOIL60657
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LIFE INCnullMedicar Provider (071)7/30/1989Terminated16333 S JUSTINEMARKHAMIL60426
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LIN TSSY MINnullPhysician (010)9/22/1989Terminated5524 N BROADWAYCHICAGOIL60640
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LOGAS WILLIAMnullPhysician (010)8/31/2000Terminated185 PENNY ROADEAST DUNDEEIL601181416
LONG AARON036057894Physician (010)5/2/1985Terminated123 125 E 103RD STCHICAGOIL60628
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LYLES VICKYnullIn-Home Care-Rehab (092)1/14/2003TerminatedRR 3 BOX 198MT VERNONIL628645807
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MANALO BENJAMIN MnullPhysician (010)1/23/1997Terminated1313 WEST ROOSEVELT RDCHICAGOIL606081415
MAPLEWOOD PHARMACY INC053007978Pharmacy (060)3/19/1985Terminated2543 W NORTH AVECHICAGOIL60647
MARSHALL CHARLES WnullPodiatrist (013)5/22/1998TerminatedSUITE 4012320 WEST PETERSONCHICAGOIL606595239
MARTIN ROBERT036044454Physician (010)3/12/1981Terminated1575 N BARRINGTON RDHOFFMAN ESTATESIL60194
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MAYWOOD CLINICAL LAB INCnullIndependent Lab (061)9/13/1991Terminated7308 W MADISON ST P O BOX 7007FOREST PARKIL60130
MAZUREK PHARMACY054008093Pharmacy (060)9/26/1991Terminated1608 BELVIDERE RDWAUKEGANIL60085
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MCDONALD RICHARDnullPhysician (010)4/1/1997TerminatedSUITE 102202200 WILSON BLVDARLINGTONVA22201
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MCMAHON JAYnullDentist (011)4/8/1999Terminated6917 W HIGGINSCHICAGOIL606562011
MEDICAL ARTS PHARMACY053006323Pharmacy (060)2/5/1987Terminated3201 W NORTH AVENUECHICAGOIL60647
MEDICAL CENTER CLINICAL LABSnullIndependent Lab (061)8/15/1990Terminated3528 NORTH ASHLAND AVENUECHICAGOIL60657
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MICHALOWSKI ANDREWnullChiropractor (014)4/22/2002Terminated2914 N MILWAUKEE AVECHICAGOIL606187414
MID CITY PHARMACY054008648Pharmacy (060)12/28/1988Terminated625 E PERSHING RDCHICAGOIL60653
MIDANEK JEROME051-025667DIVISION PULASKI PROF PHARMACY3/9/1995Barred4006 W DIVISION STCHICAGOIL60651
MIESZ ANDREW036042820Physician (010)11/21/1986Terminated1553 W CHICAGO AVECHICAGOIL60622
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MIKOS RONALDnullPodiatrist (013)3/9/1992Voluntary Withdrawal100 E 35TH STCHICAGOIL60616
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MILLARE OSCARnullGRAN CAL CLINICAL LAB LTD12/22/1987Barred3753 W MONTROSECHICAGOIL60618
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MILLER PATnullIn-Home Care-Rehab (092)6/26/2000Terminated120 N CEDARPEORIAIL616045616
MILLER PATRICIAnullIn-Home Care-Rehab (092)6/26/2000Terminated1205 AVON AVPEKINIL61554
MILLER TAMMY LnullIn-Home Care-Rehab (092)5/22/2000Terminated1612 12TH STLAWRENCEVILLEIL624392619
MILTON BERNARD GnullPhysician (010)7/14/2003Terminated233 EAST REED STREETBRAIDWOODIL604082037
MITRIONE ROBERTnullPhysician (010)4/1/2002Terminated1228 S 7TH STSPRINGFIELDIL627032421
MODERN PHARMACYnullPharmacy (060)2/10/1994Terminated600 W 31ST STCHICAGOIL60616
MOMONGAN DIOSDADO036045290Physician (010)3/18/1992Voluntary Withdrawal4000 BLACKHAWK RDROCK ISLANDIL61201
MONCURE CEDRICnullCHOICES TRANSPORTATION3/28/2003Barred6 EAST 149TH STREETDOLTONIL60419
MOORE LORNOLD036075847Physician (010)3/10/1994Terminated136 W 95TH STREETCHICAGOIL60628
MOORE TERRI?JAY MEDICAR7/17/2009Barred6727 S. DAMEN AVECHICAGOIL60636
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MOTWANI NANPLALnullLELAND MEDICAL CENTER PHCY4/14/1987Barred6161 N HOYNECHICAGOIL60659
MOVER ELIZAVETAnullV O INC7/14/2003Barred350 CHECKER DRIVEBUFFALO GROVEIL60089
MURRAY OPISnullMedicar Provider (071)5/22/2000Terminated15708 S WHIPPLEMARKHAMIL604263968
MUSA MAHMOUDnullPhysician (010)7/9/1997TerminatedC/O LMPP2160 SOUTH 1ST AVENUEMAYWOODIL601533304
MUSAZI JEFFERY051-033018ORCHID PHARMACY INC6/8/1984Barred15526 S ASHLANDHARVEYIL60426
MYLES SAFONIAnullJ AND S MEDICAR SERV7/12/2001Barred10506 S HALSTEAD ST.CHICAGOIL60628
NAGUIT EFREN C036036077Physician (010)2/10/1993Voluntary Withdrawal10509A LINCOLN TRAILFAIRVIEW HTSIL62208
NAJJAR TOULAnullROGERS PARK PHARMACY INC3/15/1989Barred1555 W HOWARD STCHICAGOIL60626
NANG AGUSTIN036047340Physician (010)10/20/1989Terminated5000 W FAIRVIEW LANESKOKIEIL60077
NAPADOV VALERYnullDELTA MEDICAL TRANSPORTATION12/26/2001Barred540 FRONTAGE SUITE 3105NORTHFIELDIL60062
NATHAN PHARMACY INC054009016Pharmacy (060)4/10/1990Voluntary Withdrawal6420 N CALIFORNIACHICAGOIL60645
NATHAN SYLVESTERnullPhysician (010)7/16/2002Terminated7101 RYAN ROADWOODRIDGEIL605172178
NAZON YVONnull1023413382Physician (010)8/21/1992Terminated2315 E 93RD STSTE 309CHICAGOIL60617
NEGREROS FRANCISCO036063644Physician (010)11/8/1983Terminated2102 W MONTROSE APT 3SCHICAGOIL60618
NELSON KARL DEXTER036028677Physician (010)9/16/1993Terminated530 PARK AVE EPRINCETONIL61356
NESNIDAL STEPHENnullPhysician (010)6/11/2001Terminated3249 S OAK PARK AVENUEBERWYNIL604023429
NEWMARK LEONARDnullPhysician (010)9/30/1997Terminated4444 FOREST PARK #6100SAINT LOUISMO631082212
NG RICHARD HnullPhysician (010)11/10/1992Voluntary Withdrawal710 WEST 31ST STREETCHICAGOIL60616
NICHOPOULOS GEORGEnullPhysician (010)3/17/1997Terminated2900 KIRBY SUITE 15MEMPHISTN38119
NICKERSON SANDRAnullIn-Home Care-Rehab (092)6/16/2003Terminated1723 HERMAN AVEZIONIL600991663
NIEMAN MARK051-27621MODERN PHARMACY1/27/1995Barred600 W. 31STCHICAGOIL60616
NIERENBERG PAUL S036022581Physician (010)4/18/1985Terminated7 W MAIN STALBIONIL62806
NIETUPSKI THOMAS019012175Dentist (011)10/25/1990Terminated250 N WATER STDECATURIL62523
NILS PHARMACY053007008Pharmacy (060)3/8/1985Terminated4835 W HOWARD STSKOKIEIL60077
NORCROSS WILLIAMnullPhysician (010)6/15/1992Voluntary Withdrawal745 N FORESTVIEWPARK RIDGEIL60068
NORMAN PHIL019014187Dentist (011)12/19/1989Voluntary Withdrawal1306 CARVER DRCHAMPAIGNIL61820
NORTH MANGO PHARMACY INC053007580Pharmacy (060)9/19/1984Terminated5732 36 WEST NORTH AVECHICAGOIL60639
NORTHEAST CAB COnullTaxicab / Livery Co (072)9/8/1997Terminated629 BROADWAY POB 161EAST ALTONIL620240161
NORWEST PHARMACYnullPharmacy (060)2/28/1993Terminated2334 W CHICAGO AVECHICAGOIL60622
NOVAK EDWARD051-24182ACTIVE DRUGS INC4/29/1980Barred18 N BROADWAY AVEPARK RIDGEIL60068
NWADIE DOMINICK051-31723SANTOS ABELLA DRUGS5/3/1988Barred1146 W 87TH STCHICAGOIL60649
NWADIE ESTELLEnullST LAWRENCE PHARMACY10/1/1987Barred1146 W 87TH STCHICAGOIL60649
NWANI ERNESTnullPodiatrist (013)8/6/1995Voluntary Withdrawal409 NORTH WESTERNPEORIAIL61604
O FALLON PLAZA DRUG EAST INC053006573Pharmacy (060)1/1/1986Terminated780 EAST HWY 50O FALLONIL62269
OJIS PHARMACY053007153Pharmacy (060)2/26/1985Terminated5518 S ASHLAND AVECHICAGOIL60636
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STARNES N H000013961Nursing Facilities (033)2/29/1984Terminated14434 S HOYNEHARVEYIL60426
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STONE PARK PHARMACYnullPharmacy (060)3/10/1994Terminated1610 N MANNHEIM RDSTONE PARKIL60165
STRAUB CRAIG019016869Dentist (011)12/16/1986Terminated3505 W FULLERTONCHICAGOIL60647
STRAUCH FRANZ A036027975Physician (010)12/5/1988Terminated1742 N MAIN ST R#4CANTONIL61520
SU CHI036049693Physician (010)9/12/1988Terminated7 SOUTH 620 HOBSON TRAIL DRNAPERVILLEIL60540
SU IHSIUNGnullPhysician (010)3/21/2005Voluntary Withdrawal1424 WEST 87TH STREETCHICAGOIL606204012
SUCHER CHARLOTTEnullLANDSMAN PHARMACY10/6/1994Barred4000 WEST DIVISIONCHICAGOIL60651
SUDING ROBERT019017148Dentist (011)3/19/1990Voluntary Withdrawal4142 N SHERIDAN RDCHICAGOIL60613
SUH SUNG TnullPhysician (010)2/14/1991Terminated157 W 119TH STREETCHICAGOIL60628
SULLIVAN KEVIN036074308Physician (010)10/29/2001Terminated4441 S MERIDIAN #188PUYALLUPWA98373
SULTANI H B036035108Physician (010)3/31/1992Suspended9300 SOUTH MAJOROAK LAWNIL60453
SUNDARESH RAMA036064139Physician (010)10/25/1985Terminated450 E MONTROSE U210WOOD DALEIL60191
SUPER CARE MEDICAL SUPPLIESnullOth Prov MES-Non-reg(063)6/14/1995Terminated3525 W PETERSON STE123CHICAGOIL60659
SUPER SAVER PHARMACYnullSUPER SAVER PHARMACY5/28/1987Voluntary Withdrawal5959 WEST NORTH AVECHICAGOIL60639
SURVILLION BILLYnullCALS MEDICAL PHARMACY11/9/2001Barred208 S LASALLE STCHICAGOIL60604
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SUTHIKANT DEJA036048122Physician (010)5/12/1989Voluntary Withdrawal1521 SOUTH 9TH STCHARLESTONIL61920
SUTTON HELEN051-02412HILLIARDS RX PHARMACY8/31/1990Barred46 N PAULINACHICAGOIL60612
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SYED SHAFInullPhysician (010)5/25/1998Voluntary WithdrawalPO BOX 549786 S HWY 1CROSSVILLEIL628270549
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TAM PHARMACY054007986Pharmacy (060)12/15/1989Suspended1069 W ARGYLE STCHICAGOIL60640
TAMID MEDICAL TRANSPORTATIONnullMedicar Provider (071)11/17/1999Terminated7128 CRAWFORDLINCOLNWOODIL606462304
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TAN SWIE LIANG036047108Physician (010)3/18/1985Terminated1558 W 79TH STCHICAGOIL60620
TANQUILUT RENATO L036043550Physician (010)12/24/1992Voluntary Withdrawal2024 W 79TH STREETCHICAGOIL60620
TAPIA EUGENE036035954Physician (010)3/12/1982Terminated212 S UTICA STWAUKEGANIL60085
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TDM TRANSPORTATIONnullMedicar Provider (071)3/9/1995Terminated3324 LAUREL LANEHAZELCRESTIL60429
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THE A AND A PHARMACY054006983Pharmacy (060)8/26/1987Terminated3147 W CERMAKCHICAGOIL60623
THE LAFEMEE PHARMACY INC536904Pharmacy (060)4/4/1984Terminated2011 EAST 75TH STREETCHICAGOIL60649
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INFUSION PLUS INCnullPharmacy (060)5/19/2008Terminated1832 WEST 95TH STREETCHICAGOIL606431104
LEWIS DAVIDnullAudiologist (025)2/15/2008Terminated19 W F PLAZAWEST FRANKFORTIL62896
S AND S DURABLE MED EQUIPMENTnullOth Prov MES-Non-reg(063)5/19/2008Terminated1824 W 95TH STCHICAGOIL606431104
WATT VINCENTnullGENO MEDICAR SERVICE INC9/6/2005Barrednullnullnullnunull
WALLACE DANIELnullDOWNSTATE TRANSPORTATION SRV3/28/2006Barrednullnullnullnunull
WALLACE DAVIDnullDOWNSTATE TRANSPORTATION SRV3/28/2008Barrednullnullnullnunull
WALLACE EMILYnullDOWNSTATE TRANSPORTATION SRV3/28/2006Barrednullnullnullnunull
WALLACE RICHARDnullDOWNSTATE TRANSPORTATION SRV3/28/2006Barrednullnullnullnunull
MARC SHINDERMANnullPhysician (010)8/31/2007Terminated609 N WELLS STCHICAGOIL606103714
A J SERVICESMedicar Provider (071)4/11/2007Terminated16204 PLYMOUTH DRIVEMARKHAMIL604264735
CIAMPA PETER RDentist (011)8/7/2007Terminated200 MEDICAL CENTRE DRIVEPADUCAHKY420037911
SALVADOR JOSHUAPhysician (010)4/12/2007Terminated7000 W NORTH AVENUECHICAGOIL60707
STAT MEDICAL LABORATORIESIndependent Lab (061)4/10/2007Terminated636 W IMBODEN DRDECATURIL625219067
GREJDA ANTHONYnullTDI PHARMACY11/10/2008BarredREGISTRATION # 08319-068FCI - MCKEAN P.O. BOX 8000BRADFORDPA16701
TDI PHARMACYnullPharmacy (060)11/10/2008Terminated111 NOBLE AVENUEPITTSBURGHPA152052811
ADEKOYA DAVIDnullPhysician (010)9/11/2008Terminated1431 N CLAREMONTCHICAGOIL606221702
CBS TRANSPORTATIONnullMedicar Provider (071)9/5/2008Terminated14459 S GREENHARVEYIL604261825
COST RICHARDnullTDI PHARMACY11/10/2008Barrednullnullnullnunull
DESALLE SHERRYnullNurse Practitioner (016)10/8/2007Terminated320 SOUTH 2ND STMANLIUSIL61338
DICKERSON CHARLES036.055109Physician (010)12/18/2008Terminated#303104 6TH STREETSTREATORIL613642866
EVANGELISTA FLORnullPhysician (010)9/5/2008Terminated615 HOLLIS STREETKEWANEEIL614433730
HUGHES ROBERT036.074561Physician (010)9/11/2008Terminated214 MCHENRY RDBUFFALO GROVEIL600896748
JOHNSON WILLIAMnullPhysician (010)10/9/2008TerminatedSUITE 1 ROOM 2021701 W MONTEREY AVECHICAGOIL606434257
OESTREICH RICHARDnullTDI PHARMACY11/10/2008Barrednullnullnullnunull
POLLICE FELIXnullTDI PHARMACY11/10/2008Barrednullnullnullnunull
SHEMERDIAK WALTERnullPhysician (010)9/15/2008Terminated3825 N CENTRALCHICAGOIL606342719
ST. PETER LISAnullTDI PHARMACY11/10/2008Barrednullnullnullnunull
TRIKHA AJITnullPhysician (010)11/10/2008Terminated6915 W MAIN STBELLEVILLEIL622233029
YAMINI BENJI ASMONnullCBS TRANSPORTATION9/5/2008Barrednullnullnullnunull
EFFINGHAM ADVANCED AMBULANCEnullAmbulance Serv Prov (070)2/4/2009Terminated506 SOUTH STREETEFFINGHAMIL624012565
IDEAL CARE COnullMedicar Provider (071)10/9/2008Terminated2900 W PETERSON #14CHICAGOIL606593817
LUBENSKIY ILYAnullEZTA MEDICAR CO10/18/2000Barred6770 N LINCOLN, #103LINCOLNWOODIL60646
MAKARAVA NATALIAnullIDEAL CARE CO10/9/2008Barrednullnullnullnunull
MOSKALETS OLEGnullIDEAL CARE CO10/9/2008Barrednullnullnullnunull
JOHNSON LOXLEYnullMedicar Provider (071)2/3/2009Terminated1704 MONROEnullEVANSTONIL602022000
ROBERG BRADFORDnullPhysician (010)2/2/2009Terminated5714 S IL RT #AnullCRYSTAL LAKEIL600144520
RODOS JnullPhysician (010)9/29/2008Terminated20320 S CRAWFORD AVEnullMATTESONIL604431732
CHARLES, M.D. FRANTZ036056470Physician (010)3/12/2009Suspendednullnullnullnunull
DESPOT JANETnullPhysician (010)3/12/2009Terminated1200 CENTRE WEST DRnullSPRINGFIELDIL627042173
AURELIO EDENnullPhysician (010)3/4/2009Terminated601 17TH AVENUEEAST MOLINEIL612442028
FERNANDO MICHAELnullPhysician (010)6/12/2009Terminated1200 SHOOTING PARK RDPERUIL613541867
OSMUNDSON KURTnullPhysician (010)4/8/2009Terminated1870 WEST GALENA BLVDAURORAIL605064355
WANA SUNTnullPhysician (010)4/10/2009Terminated8046 S COTTAGE GROVECHICAGOIL605215426
W AND W TRANSPORTATIONnullMedicar Provider (071)7/1/2008Terminated9984 S WINSTONCHICAGOIL606431326
LA TRANSPORTATIONnullMedicar Provider (071)4/15/2008Terminated2111 DEWEYEVANSTONIL602013057
SAJOR ROLANDOnullPhysician (010)7/1/2009Voluntary Withdrawal4801 WEST LAKE ST ,CHICAGOIL606442609
SCHIPPEL KARLnullChiropractor (014)7/14/2009Terminated1429 S MAINJACKSONVILLEIL626503476
TERRANCE GEMMELLnullAudiologist (025)7/11/2009Voluntary Withdrawal7911 STEWARTDARIENIL605615931
THORNTON EARLnullPhysician (010)8/17/2009Voluntary Withdrawal8202 SOUTH M L KING DRCHICAGOIL606194904
WEATHERSBY HOMERnullW AND W TRANSPORTATION7/1/2008Barrednullnullnullnunull
WILSON CRYSTAL DnullIn-Home Care-Rehab (092)9/13/2006Terminated617 W ORLANDO AVE 202NORMALIL617616037
AMZALEG ARIK?JAY MEDICAR7/17/2009Barred4939 W LAKE STREETCHICAGOIL60644
ATKIN JOEL?PULSE AMBULANCE INC9/17/2009Barred2901 W. FARGOCHICAGOIL60645
BARNEY LEWIS?JAY MEDICAR7/17/2009Barred2449 WEST 119TH STAPT 1BLUE ISLANDIL604061071
BLACK, JAMES M.?MIDWEST CAB3/1/2009Terminated25 AVALON DRIVECADIZKY42211
BRANSEN WALTER?JAY MEDICAR7/17/2009Barred4939 W. LAKE STCHICAGOIL60644
BUKIET LEVI?JAY MEDICAR7/17/2009Barred6251 N. WHIPPLECHICAGOIL60659
CHICAGO MEDI CAR TRANSIT?Medicar Provider (071)10/30/2009Terminated2015 N KOLMAR AVENUECHICAGOIL606393417
COMED MEDICAR, INC?Medicar Provider (071)9/24/2009Terminated4403 W. LAWRENCESUITE 210CHICAGOIL60630
EJOH RALPH?PRIMECARE MEDICAR SERVICES IN5/1/2009Barred6417 NORTH RAVENSWOOD AVENUECHICAGOIL60626
HOBBS RACHAEL?EFFINGHAM ADVANCED AMBULANCE2/4/2009Barred629 E. 2150 NORTH RDEDINBURGIL62531
HOBBS JAMES?EFFINGHAM ADVANCED AMBULANCE2/4/2009Barred629 E. 2150 NORTH RD.EDINBURGIL62531
HOBBS CLAYTON?EFFINGHAM ADVANCED AMBULANCE2/4/2009BarredP.O. BOX 337BENTONIL62812
JAY MEDICAR?Medicar Provider (071)7/17/2009Terminated4939 W LAKE STREETCHICAGOIL606442535
JOHNSON DEBBIEnullJOHNSON TRANSPORTATION SERVICE5/26/2005Barred3300 BUTTERFIELD ROADBELLWOODIL60104
LAWSON MARGARETnullPodiatrist (013)1/23/1997Terminated723 ELM STREET STE 3WINNETKAIL600932541
LEMON KEESHAR?JAY MEDICAR7/17/2009Barred4251 W. MONROECHICAGOIL60624
LILWANI BHARAT?CHICAGO MEDI CAR TRANSIT10/30/2009Barred2015 NORTH KOLMAR AVENUECHICAGOIL60639
LUELLEN TAWANDA?JAY MEDICAR7/17/2009Barred30 WILDWOOD LANE GBOLINGBROOKIL60440
MIDWEST CAB?Taxicab / Livery Co (072)3/1/2009Terminated25 AVALON DRIVECADIZKY42211
MILLER MORTON?Physician (010)7/8/2009Terminated4350 W GOLFSKOKIEIL600761480
MOORE LORNOLD019018343Dentist (011)3/10/1994Terminated136 W 95TH STREETCHICAGOIL60628
PRICE EUGENE?JAY MEDICAR7/17/2009Barred4717 S FORRESTVILLECHICAGOIL606151407
PRIMECARE MEDICAR SERVICES IN?Medicar Provider (071)5/1/2009Terminated6417 N RAVENSWOOD AVESUITE 206CHICAGOIL606263921
PULSE AMBULANCE INC?Ambulance Serv Prov (070)9/17/2009Terminated4939 WEST LAKE STREETCHICAGOIL60644
SPAGAT MATTHEW?JAY MEDICAR7/17/2009Barred4939 W LAKE STREETCHICAGOIL60644
ALEF CAB COnullTaxicab / Livery Co (072)10/30/2009Terminated1119 LUNT AVENUESCHAUMBURGIL601934418
AYZENSHTEYN RAFAILnullALEF CAB CO10/30/2009Barrednullnullnullnunull
CARROLL JOELnullPhysician (010)10/1/2009TerminatedSYUTE #4104747 LINCOLN MALL DRMATTESONIL604433821
CHERNYAVSKI DMITRYnullALEF CAB CO10/30/2009Barrednullnullnullnunull
FRIDLYAND TATYANAnullALEF CAB CO10/30/2009Barrednullnullnullnunull
GOLDEN BARRYnullALEF CAB CO10/30/2009Barrednullnullnullnunull
KABAKOV ALEXnullALEF CAB CO10/30/2009Barrednullnullnullnunull
KULIK-LEWIS ANNAMAEnullALEF CAB CO10/30/2009Barrednullnullnullnunull
KUZMENKO ALEXANDERnullALEF CAB CO10/30/2009Barrednullnullnullnunull
KUZMENKO DMITRIYnullALEF CAB CO10/30/2009Barrednullnullnullnunull
LEONID-DIOMIN SVETLANAnullALEF CAB CO10/30/2009Barrednullnullnullnunull
REIGER JOHNnullALEF CAB CO10/30/2009Barrednullnullnullnunull
SALTIEL ALBERTOnullPhysician (010)10/30/2009Terminated3240 S OAK PARK AVEBERWYNIL604023428
SIMAKOVA-DINAROVNA MARMONTOV YANAnullALEF CAB CO10/30/2009Barrednullnullnullnunull
SIROTYUK LEONIDnullALEF CAB CO10/30/2009Barrednullnullnullnunull
SNEZHKOVA MARINAnullALEF CAB CO10/30/2009Barrednullnullnullnunull
WEISS MITCHELLnullChiropractor (014)10/23/2009Voluntary Withdrawal6108 W 26TH STCICEROIL608043001
WELLS RICHARD016002237Podiatrist (013)3/17/1996Terminated1611 MAPLE STREETGLENVIEWIL60025
BOND EVELYNnullWOODY KELLY COUNSELING, INC.6/3/2009Terminatednullnullnullnunull
WOODY KELLY COUNSELING, INC.nullOth Tran Prov-No-Reg(073)6/3/2009Terminatednullnullnullnunull
ALEF TRANSPORTATIONnullMedicar Provider (071)11/24/2009Terminated1119 LUNT AVESCHAUMBURGIL601934420
COLEMAN JOSEPHnullL J TRANSPORTATION11/13/2009Barrednullnullnullnunull
L AND L MEDICAL TRANSPORTATIONnullMedicar Provider (071)12/1/2009Terminated9046 S. EUCLIDCHICAGOIL60617
L J TRANSPORTATIONnullTaxicab / Livery Co (072)11/13/2009Terminated3527 W LEXINGTONPO BOX 24271CHICAGOIL606240271
MAXSON LATOYAnullL J TRANSPORTATION11/13/2009Barred6 N. HAMLINCHICAGOIL60624
MS MEDICAR INCnullMedicar Provider (071)3/5/2009Terminated4419 N SHERIDAN ROADCHICAGOIL606405605
MURCHISON RUBYnullL AND L MEDICAL TRANSPORTATION12/1/2009Barrednullnullnullnunull
SHETH SUSHILnullPhysician (010)11/10/2009Terminated1743 HEATHER HILL CRESCENTFLOSSMOORIL604222041
SINGH SATNAMnullPhysician (010)11/2/2009Voluntary WithdrawalPO BOX 263564 N BARRON BLVDGRAYSLAKEIL600300263
BERKOWITZ WALLACE PnullPhysician (010)11/19/2009Voluntary Withdrawal18 EMERALD TERRACEBELLEVILLEIL622212321
DELT BRENDAnullHIGHER LOVE PSR SPECIAL SRVC12/9/2009Barrednullnullnullnunull
DELT KENNIEnullHIGHER LOVE PSR SPECIAL SRVC12/9/2009Barrednullnullnullnunull
HASHEMI MOHAMMADnullSOUTHSIDE CLINIC INC11/24/2010Barrednullnullnullnunull
HEDBERG DALEnullNurse Practitioner (016)9/3/2009Suspended2100 MADISON AVEANESTHESIA DEPTGRANITE CITYIL620404701
HIGHER LOVE PSR SPECIAL SRVCnullMedicar Provider (071)12/9/2009Terminated134 DEVONSHIRE DRIVECRETEIL604171980
JIN KWAN BOnullPhysician (010)12/30/2009Terminated950 W CAROLYN DRIVEPALATINEIL60067
KHALID YAMEINIS SERVICESnullMedicar Provider (071)11/10/2009Terminated524 DOUGLAS AVENUECALUMET CITYIL604092701
MUTSCHLER WALTnullPhysician (010)11/15/2009TerminatedSUITE B34 VETERANS DRIVEHARRISBURGIL629463320
RAJPUT M InullPhysician (010)12/15/2009Voluntary Withdrawal309 NW 2ND STREETALEDOIL612311404
WILLIAMS MONICAnullHIGHER LOVE PSR SPECIAL SRVC12/9/2009Barred2705 E 83RD STREETCHICAGOIL60617
YAMEINIS KHALIDnullKHALID YAMEINIS SERVICES11/10/2009Terminatednullnullnullnunull
SMITH BRUCE ??Physician (010)2/10/2010Terminated548 W CULLERTON STCHICAGOIL606161063
STAR MEDICAR TRANSPORTATION ??Medicar Provider (071)4/1/2010Terminated11559 SOUTH WENTWORTHCHICAGOIL606284933
BEDI SUKHDARSHANnullHARRISBURG FAMILY HEALTH CARE5/6/2010Barrednullnullnullnunull
BORRASI ROLAND ??Physician (010)1/9/2010Terminated30 PHELPS AVEROMEOVILLEIL604461335
MEDSTAR?Medicar Provider (071)4/20/2010Terminated2201 MAIN ST.EVANSTONIL60202
NEW INSPIRATIONAL TRANSPORT ??Taxicab / Livery Co (072)1/22/2010Terminated5825 WEST DIVISION STCHICAGOIL606511005
PAGE RICKY JR.?STAR MEDICAR TRANSPORTATION6/1/2010Barred?????
PAVILION OF FOREST PARK ??Nursing Facilities (033)2/25/2010Terminated8200 W ROOSEVELT RDFOREST PARKIL601302528
SHAPIRO MICHAEL S ??Physician (010)2/10/2010TerminatedSUITE 1475 MARKET STREETELGINIL601235021
GREATER ILLINOIS TRANSPORT, INCnullMedicar Provider (071)4/12/2010Terminated11136 S. HALSTEDCHICAGOIL60628
HARRISBURG FAMILY HEALTH CAREnullRural Health Clinic (048)5/6/2010Terminated305 N COMMERCIALHARRISBURGIL629461347
JOHNSON BARBARA?JAY MEDICAR7/17/2009Barred8507 S DORCHESTER AVECHICAGOIL60619
LOYAL AND FAITHFUL TRANSPORTATION INC.nullMedicar Provider (071)4/29/2010Terminated5533 WEST 109TH ST. STE 215OAK LAWNIL60453
LYLES ANTHONYnullGREATER ILLINOIS TRANSPORT, INC4/12/2010Barrednullnullnullnunull
MAJORS MOBILITY INCnullOth Prov MES-Non-reg(063)2/1/2010Terminated418 SHAWMUT AVE STE BLAGRANGEIL60525
MARION FAMILY HEALTH CAREnullRural Health Clinic (048)5/6/2010Terminated1131 N CARBON STE CMARIONIL629594641
MURHPHY BUDDYnullGALATIA MEDICAL CENTER5/6/2010Barrednullnullnullnunull
SIMMONS BARBARAnullSIMMONS TRANSPORTATION SERVICE5/1/2010Barrednullnullnullnunull
SIMMONS KEVINnullSIMMONS TRANSPORTATION SERVICE5/1/2010Barrednullnullnullnunull
SIMMONS TRANSPORTATION SERVICEnullMedicar Provider (071)5/1/2010Terminated1675 PAUL AVENUEGLENDALE HGTSIL60139
SODI SUEnullMARION FAMILY HEALTH CARE5/6/2010Barrednullnullnullnunull
TURNER JAMESnullLOYAL AND FAITHFUL TRANSPORTATION INC.4/29/2010Barrednullnullnullnunull
AGUNBIADE AYODELEnullAMEGROW INCORPORATED10/1/2007Barrednullnullnullnunull
AMEGROW INCORPORATEDnullMedicar Provider (071)10/1/2007Terminated704 E 44TH STREET CHICAGO, BASEMENTCHICAGOIL60653
BEDI SHAN ??Physician (010)1/28/2010Terminated1131 N CARBON ST #DMARIONIL629591095
BEDI SUKHDARSHANnullGALATIA MEDICAL CENTER5/6/2010Barrednullnullnullnunull
BEDI SUKHDARSHnullMARION FAMILY HEALTH CARE5/6/2010Barrednullnullnullnunull
BEDI SHANnullPhysician (010)5/6/2010Terminated1131 N CARBON ST #DMARIONIL629591095
BEDI VIRENDERnullGALATIA MEDICAL CENTER5/6/2010Barrednullnullnullnunull
ELSTON TERESAnullGALATIA MEDICAL CENTER5/6/2010Barrednullnullnullnunull
GALATIA MEDICAL CENTERnullRural Health Clinic (048)5/6/2010Terminated124 EAST MAIN STREETGALATIAIL629351300
NGUYEN HUNGnullPhysician (010)6/17/2010Terminatednullnullnullnunull
PFOHL DAVIDnullPhysician (010)7/28/2010Suspended1512 N GREEN MOUNT RDSUITE 200O FALLONIL622691953
YUEN ALEXnullDentist (011)7/28/2010Suspended860 S. CRAYCROFT RD. STE. BTUCSONAZ85711
AKHRAS, ABDULBARInullPhysician (010)8/10/2010Terminated9901 TURNBERRY DRIVEBURR RIDGEIL605210314
DURHAM JAMESnullFRANKLIN RURAL HLTH CLN II2/26/2010Barrednullnullnullnunull
GERDT, DAVIDnullPhysician (010)8/17/2010Terminated2421 RICHVIEW ROADMOUNT VERNONIL62864
GIACCHINO JOSEPHnullPhysician (010)8/10/2010Terminated1252 WINSTON PLAZAMELROSE PARKIL601601507
ZIELINSKI, JOHNnullPhysician (010)8/10/2010Terminated4254 W 55TH STCHICAGOIL606324642
ALLIANCE HEALTHCARE SERVICESnullOth Prov MES-Non-reg(063)9/14/2010Terminated800 ROOSEVELT ROADBUILDING CGLEN ELLYNIL60137
CASTRO TIMOTEO RnullPhysician (010)9/17/2010Terminated321 S 13TH STREETPO BOX 158HERRINIL629483619
OHIRI DESTINYnullALLIANCE HEALTHCARE SERVICES9/14/2010Barrednullnullnullnunull
PAM STEPHENnullALLIANCE HEALTHCARE SERVICES9/14/2010Barrednullnullnullnunull
WILLIAMS SHAVON NnullALLIANCE HEALTHCARE SERVICES9/14/2010Barred1137 N. LAWLERCHICAGOIL60651
PAREKH, BHARATnullPhysician (010)12/1/1982Terminated3507 FENTON COURT TSPRINGFIELDIL627045559
AHMED, SHAHEENnullPhysician (010)10/12/2010Terminated1021 S. AHRENS AVE.LOMBARDIL601484003
NGUYEN HUNGnullPhysician (010)6/17/2010Terminated110A E MAIN STREETNORRIS CITYIL628691503
DURHAM JAMES PnullFRANKLIN RURAL HLTH CLN II2/26/2010Barrednullnullnullnunull
FRANKLIN RURAL HEALTH CLINICnullRural Health Clinic (048)7/28/2010Terminatednullnullnullnunull
HASHEMI MOHAMMADnullPhysician (010)12/29/2009Terminated5900 BOND AVECENTRALIAIL622071359
KHAN IRSHADnullSOUTHSIDE CLINIC INC11/24/2010Barrednullnullnullnunull
LEVINE, JACKnullPhysician (010)12/1/2010Terminated7428 STATE ROUTE 772PIKETONOH456619602
SOUTHSIDE CLINIC INCnullRural Health Clinic (048)11/24/2010Terminated913 S 10TH STMT VERNONIL628645313
WARNICK JAMIEnullPhysician (010)11/12/2010TerminatedSTE 3001770 E LAKESHORE DRDECATURIL625213842
VERNIER REGINALDnullPhysician (010)12/3/2010TerminatedPO BOX 333500 S SCOTT AVENEWTONIL624480333
HUNG JOHN PnullPhysician (010)1/27/2011TerminatedSUITE 21019 HERITAGE PLAZABOURBONNAISIL609141369
EVANS ANTHONYnullPhysician (010)2/15/2011Barrednullnullnullnunull
WEBB, KENNETHnullDentist (011)2/9/2011Terminated120 STOLZE DRIVEEAST ALTONIL620241839
YES WE CAN INC.nullMedicar Provider (071)2/15/2011Terminated14225 S MICHIGAN AVERIVERDALEIL608272515
KERR JEFFREYnullAudiologist (025)2/14/2011Voluntary Withdrawal114 WEST LAUREL STREETSPRINGFIELDIL627043925
ARONSOHN MICHAELnullPhysician (010)3/25/2011TerminatedSUITE 2901051 ESSINGTONJOLIETIL60431
GUPTA GAUTAMnullPhysician (010)8/27/2010Voluntary WithdrawalSUITE #46090 STRATHMOOR ROADROCKFORDIL611075200
KUMAR NARINDERnullPhysician (010)3/25/2011TerminatedSUITE 2004017 DEVILS GLEN ROADBETTENDORFIA527227221
MILLER, MORTONnullPhysician (010)3/31/2011Terminated4350 W GOLFSKOKIEIL600761480
HARDIMON, JOHN M.nullChiropractor (014)3/31/2011Terminated2417 LEBANON AVE #6BELLEVILLEIL622215134
VERA ANDRESnullPhysician (010)4/8/2011Terminated2826 N. MILWAUKEE AVE.CHICAGOIL60618
ABUKHDAIR ALInullALFARO INC5/19/2011Barrednullnullnullnunull
ALFARO INCnullTaxicab / Livery Co (072)5/19/2011Terminated3900 SYCAMORE STCAIROIL629141455
BAKER THOMASnullIn-Home Care-Rehab (092)5/19/2011Terminated2201 AUTUMN LANEMARIONIL629596217
BASS TAMI LnullIn-Home Care-Rehab (092)5/21/2011Terminated746 DAY STGALESBURGIL614016168
BOWEN DOROTHYnullIn-Home Care-Rehab (092)5/27/2011Terminated827 1/2 VAN BURENQUINCYIL623010760
BURKE LAURA LYNNnullIn-Home Care-Rehab (092)5/21/2011Terminated4208 W LINCOLNWAYSTERLINGIL610817849
DAVIS SHIRLEYnullIn-Home Care-Rehab (092)5/21/2011Terminated1520 N MAPLEWOODCHICAGOIL606221644
DICKENS SHERRIE PnullIn-Home Care-Rehab (092)5/27/2011Terminated1530 LITTLE MAINSTREATORIL613642518
DORRIN ROBINnullIn-Home Care-Rehab (092)5/21/2011Terminated2514 C TELEGRAPHST LOUISMO63125
DORRIN ROBINnullIn-Home Care-Rehab (092)5/21/2011Terminated1141 JAMUNDA WALKST LOUISMO63129
EDDINGS MABLEnullIn-Home Care-Rehab (092)5/21/2011Terminated708 W 76TH STCHICAGOIL606213411
FAVORS LINDAnullIn-Home Care-Rehab (092)5/27/2011Terminated4917 S DREXEL #606CHICAGOIL606152750
FRANKLIN DWONNEnullIn-Home Care-Rehab (092)5/19/2011Terminated2961 SHAGBARK TRAILCRETEIL604173810
GREEN SPURGEONnullPhysician (010)5/27/2011Terminated201 N JOLIET ST PO BOX 3369JOLIETIL60431
GUINN DWIGHTnullIn-Home Care-Rehab (092)5/21/2011Terminated42614-M-140COVERTMI49043
HODGES, CASSANDRAnullDentist (011)5/27/2011Suspended100 W. 15TH ST, UNIT 120CHICAGOIL60608
HOUSTON PAMELAnullProviderIn-Home Care-Rehab (092)5/21/2011Terminated3037 N PARK DREAST ST LOUISIL62204
HOWARD LINDAnullIn-Home Care-Rehab (092)5/19/2011Terminated719 N COURT STROCKFORDIL611036956
JACKSON FLORA AnullIn-Home Care-Rehab (092)5/27/2011Terminated1842 BRIAN LNSPRINGFIELDIL627033332
LYONS DERRICKnullIn-Home Care-Rehab (092)5/27/2011Terminated5701 S MARSHFIELDCHICAGOIL606361738
MARKS KIMBERLY ANNnullIn-Home Care-Rehab (092)5/27/2011Terminated800 N GREEN #12ANNAIL629061037
MARKS KIMBERLY ANNnullTBI Home/Cmnty Medcd(098)5/27/2011Terminated432 OAK STREETCOBDENIL629201037
MUSGRAVE DIANNAnullIn-Home Care-Rehab (092)5/27/2011Terminated1202 SW 6TH STFAIRFIELDIL628371480
MUSGRAVE DIANNAnullDORS - AIDS (093)5/27/2011TerminatedPO BOX 811FAIRFIELDIL628370811
ORR PENNY LnullIn-Home Care-Rehab (092)5/27/2011Terminated209 N 7TH STREETWYOMINGIL614911309
PARKER, FRANKnullPhysician (010)5/6/2011Voluntary Withdrawal2122 W HOWLAND AVECHICAGOIL606205430
PHAM DAVEnullPodiatrist (013)5/19/2011Terminated2506 POCAHONTAS AVEST LOUISMO631444210
QUINN DONNAnullIn-Home Care-Rehab (092)5/21/2011Terminated800 MAIN RM 4MT VERNONIL62864
RENKEN SHERRIEnullDORS - AIDS (093)5/27/2011Terminated1530 LITTLE MAIN STSTREATORIL613642518
RENKEN SHERRIEMedicar Provider (071)12/1/2006Terminated1530 LITTLE MAIN STSTREATORIL613642518
RILEY DAWN MnullIn-Home Care-Rehab (092)5/19/2011Terminated3720 W VINTON AVEPEORIAIL616152970
ROEMER LARRYnullIn-Home Care-Rehab (092)5/27/2011TerminatedPO BOX 195GRAND CHAINIL629410195
SANTIAGO PATRICIA AnullDORS - AIDS (093)5/27/2011Terminated1608 WEST OHIOCHICAGOIL606226036
SCOTT STEVES AND L TRANSPORTATION6/21/2006Barred9332 S VANDERPOOLCHICAGOIL60620
SEELYE CAROLYN AnullIn-Home Care-Rehab (092)5/27/2011Terminated125 N CHESTNUT #207KEWANEEIL614432117
SENNO AREFnullPhysician (010)5/27/2011Terminated800 W DIVERSEY PKWYCHICAGOIL606141412
SERRANO LEANN RnullIn-Home Care-Rehab (092)5/27/2011TerminatedPO BOX 933PEORIAIL616533968
SMITH ERICnullDORS - AIDS (093)5/27/2011Terminated933 BONNYDOON LANEPEORIAIL616152009
SMITH JASON036057474Physician (010)5/19/2011Terminated3023 N CLARK ST #295CHICAGOIL606575200
SMITH SUSANnullIn-Home Care-Rehab (092)5/27/2011Terminated1036 HASKEL AVEROCKFORDIL611036048
VEACH CAROLINE SnullIn-Home Care-Rehab (092)5/27/2011TerminatedPO BOX 286OAKLANDIL619430286
WATSON BARBARA ANNnullIn-Home Care-Rehab (092)5/21/2011Terminated822 S MARTIN LUTHER KING DRSPRINGFIELDIL627031806
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WICKES SUSANnullIn-Home Care-Rehab (092)5/27/2011Terminated3249 TRAINER ROADROCKFORDIL611145692
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WILLIAMSON LORENE EnullIn-Home Care-Rehab (092)5/27/2011Terminated1921 DODGE AVEEVANSTONIL602013431
WILLIAMSON LORENE EnullIn-Home Care-Rehab (092)5/27/2011Terminated9029 COLUMBUS DR #1ADES PLAINESIL600165027
WISEMAN PAMnullIn-Home Care-Rehab (092)5/27/2011TerminatedPO BOX 111HARRISBURGIL629460195
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ALDERSON JAMESnullPodiatrist (013)10/10/2011Terminated606 MAIN STREETWEST FRANKFORTIL62896
ASONYE IBEABUCHInullPhysician (010)10/27/2011Terminated6333 S GREEN STE 104CHICAGOIL606211943
AUSTIN MILTONnullPhysician (010)10/24/2011Terminated541 WESLEY AVEEVANSTONIL602022153
AZIZPOUR IRAJnullPhysician (010)10/24/2011Terminated120 N E GLEN OAK #207PEORIAIL61603
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BARRIOS LUISnullPhysician (010)10/24/2011Terminated1410 N FOURTH STCLINTONIA527324742
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ADLER STEPHENnullPhysician (010)10/24/2011TerminatedSUITE 202615 VALLEY VIEW DRIVEMOLINEIL612656190
ALBER REVAnullIn-Home Care-Rehab (092)10/24/2011Terminated505 4TH AVEROCK FALLSIL610711248
BATISH RAJESHnullPhysician (010)11/3/2011Terminated555 W COURT ST #206KANKAKEEIL609013674
BROCKUNIER CHARLES WnullIn-Home Care-Rehab (092)10/10/2011Terminated200 E HARLEM AVE APT #104MONMOUTHIL614621278
BROWN HARMON KRISTIEnullIn-Home Care-Rehab (092)10/10/2011Terminated1807 SHERMAN BLVDCRYSTAL LAKEIL600142456
BROWN JOYCEnullIn-Home Care-Rehab (092)10/10/2011Terminated1174 S HIGHLAND AVEOAK PARKIL603042243
COOPER PATRICIA LnullIn-Home Care-Rehab (092)10/10/2011Terminated508 NW 4TH AVENUEALEDOIL612311106
CURRY DOUGLASnullPhysician (010)11/3/2011Terminated6500 HOLDREGELINCOLNNE68505
DADE PAMELAnullIn-Home Care-Rehab (092)10/10/2011Terminated916 CHRISTOPHER CTQUINCYIL623054566
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DIXON TAMMY LnullIn-Home Care-Rehab (092)10/10/2011Terminated507 WESTP O BOX 403FAIRMOUNTIL618419795
ELARMASCHI HUSSAMnullPhysician (010)10/24/2011Terminated222 EAST DUNDEE ROADWHEELINGIL600903009
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FLINT ALETHAnullIn-Home Care-Rehab (092)11/3/2011Terminated1305 N 17TH STMOUNT VERNONIL628643226
HARDY DENISEnullPodiatrist (013)10/10/2011Terminated9815 MACKENZIE ROADST LOUISMO63123
LUND REVA LnullIn-Home Care-Rehab (092)10/24/2011Terminated507 W 4TH STROCK FALLSIL610711159
ROUTIER RAYMONDnullDentist (011)11/1/2011Terminated3120 STATE STEAST ST LOUISIL622052204
STEPHENSON DAVIDnullPhysician (010)11/3/2011Terminated1045 W STEPHENSON STFREEPORTIL610324864
SUNGA ISAIASnullPhysician (010)10/27/2011Terminated7060 W CENTENNIAL DRTINLEY PARKIL604771643
TANCK ERIKnullPhysician (010)11/3/2011Terminated850 W IRVING PARK RDCHICAGOIL606133011
THOMPSON LORInullIn-Home Care-Rehab (092)11/3/2011Terminated#8 FRONTENAC LANEGRANITE CITYIL620405111
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TSAI CHIN FONGnullPhysician (010)11/3/2011Terminated2600 B ELISHA AVENUEZIONIL60099
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WADEHRA DWARKA MDnullIn-Home Care-Rehab (092)11/26/2011TerminatedPO BOX 337CANTONIL615200337
WATKINS DEBORAH AnullIn-Home Care-Rehab (092)11/26/2011Terminated111 W CROSS STWINCHESTERIL626941240
WEINBERGER MARKnullPhysician (010)11/26/2011Terminated1855 W TAYLORCHICAGOIL606127242
WEISS RnullPhysician (010)11/26/2011Terminated2601 W MAINCARBONDALEIL62901
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YURK ROBINnullPhysician (010)12/12/2011Terminated6010 BOND AVECENTREVILLEIL62207
ZAMZAM SALIHnullPhysician (010)12/19/2011TerminatedRT 4 BOX 335EGRUNDYVA24614
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BREM, DANIELnullPhysician (010)12/14/2011Terminated100 N MONROEABINGDONIL614101457
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BRYAR GEORGE EnullPhysician (010)12/20/2011Terminated11952 S HARLEMPALOS HEIGHTSIL604631167
BUTT, MICHAELnullPhysician (010)12/14/2011Terminated3901 S 7TH STEMERGENCY DEPTTERRE HAUTEIN478025709
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HARRIS DARRYLnullPhysician (010)12/12/2011Terminated1044 N MOZART AVE #401CHICAGOIL606222790
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SZYMANSKI WALTERnullPhysician (010)11/3/2011Terminated1969 W HARTBELOITWI53511
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CHOI SEInullPhysician (010)2/21/2012Terminated1650 BOONSLICK RDST CHARLESMO63301
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DARK PAUL LnullDentist (011)2/21/2012Terminated1052 WEST 111TH STCHICAGOIL606434635
DARNELL KEVINnullChiropractor (014)2/21/2012Terminated2216 BROADWAYMOUNT VERNONIL628642915
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DICK STEVENnullPhysician (010)2/27/2012Terminated1753 W CONGRESS PKWYHICAGOCHICAGOIL606123809
DONOGHUE WILLIAMnullPhysician (010)2/27/2012Terminated8135 N MILWAUKEE AVENILESIL607142828
DUMLAO JULIETnullPhysician (010)2/27/2012Terminated1159 WESTGATEOAK PARKIL60301
DUTTON EDWARDnullPhysician (010)2/27/2012Terminated6456 S CENTRAL AVECLINTONWA982369698
EATON GARYnullPhysician (010)2/27/2012Terminated315 BUSINESS LOOP 70WCOLUMBIAMO65203
ECKLUND DANIELnullPhysician (010)2/27/2012Terminated3901 S 7TH STREETEMERGENCY DEPTTERRE HAUTEIN478025709
EDMONDSON DANIELnullChiropractor (014)2/27/2012Terminated7435 INDIANAPOLIS BLVDHAMMONDIN463242909
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ROCKFORD NURSING REHAB CENTERnullNursing Facilities (033)10/25/2011Terminated1920 N MAIN STROCKFORDIL611034708
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CERNY MICHAELnullPhysician (010)2/21/2012TerminatedSUITE 404855 HOSPITAL ROADSILVISIL612822904
BERNAL RODOLFO DnullPhysician (010)4/16/2003Suspended5639 W FULLERTON AVECHICAGOIL606392351
BIJANKI RAJITHAnullPhysician (010)4/2/2012Terminated835 SOUTH WOLCOTTCHICAGOIL60612
BUTLER MARK FnullDentist (011)2/6/2012Terminated4714 S CICERO AVECHICAGOIL60638
CAMERON ROBERTnullPhysician (010)2/6/2012Terminated10 E CENTRAL BLVDVILLA PARKIL601812604
CANTU RUDOLFnullPhysician (010)2/6/2012Terminated153 EAST SPRINGFIELDSULLIVANMO63080
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FISCHER RONALDnullPhysician (010)4/2/2012Terminated72 ORANGE ST STE 220PROVIDENCERI02903
FISCHL HENRYnullPhysician (010)4/2/2012Terminated1012 N MAIN STREETSIKESTONMO63801
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FOWLER FRANKLINnullPodiatrist (013)4/2/2012Terminated1205 S MAPLES STPO BOX 332CASTROVILLEIL62915
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FRANCOIS RODRIQUEnullPhysician (010)4/2/2012Terminated5560 ENRIGHT AVEST LOUISMO63112
FREE MICHAELnullPhysician (010)4/2/2012Terminated3249 S OAK PARKBERWYNIL60402
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GOFF ROBERTnullPhysician (010)4/2/2012Terminated107 WEST JEFFERSON STMORRISIL604502128
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KNOTT ALBERT PnullPhysician (010)3/30/2012Terminated800 S WELLSCHICAGOIL606074529
LASKY PHILLIPnullPhysician (010)3/30/2012Terminated5718 CAPRI LANEMORTON GROVEIL60053
MANTANES JOHNnullDentist (011)3/16/2012Terminated7742 W MADISON AVEFOREST PARKIL601301404
NISAR ABIDnullPhysician (010)4/4/2012TerminatedSUITE 282044 MADISON AVENUEGRANITE CITYIL620404661
WATZMAN H MARCnullPhysician (010)3/16/2012Terminated1400 W PARK STURBANAIL618012334
ANDERSON DANIELnullPhysician (010)5/3/2012Terminated2701 17TH STREETROCK ISLANDIL612015390
BHALERAO JAYANT CnullPhysician (010)5/3/2012Terminated9011 S. COMMERCIAL AVE.CHICAGOIL606174304
BLUE J'S TAXInullTaxicab / Livery Co (072)4/6/2012Terminated1307 N SALEM ROADMOUNT VERNONIL62864
CHHABRA JOGENDRAnullPhysician (010)4/30/2012Terminated110 E MAIN STREETNORRIS CITYIL628691561
DORN JOHNnullPhysician (010)5/3/2012Terminated5407 S DREXEL AVE # 2CHICAGOIL606154909
GARNER MABLEnullPhysician (010)4/2/2012Terminated304 RODNEY ROAD PO BOX 727PORT GIBSONMS39150
GREEN GREGORYnullPodiatrist (013)4/2/2012Terminated1509 MARTIN LUTHER KING AVEEAST ST LOUISIL62201
HAYES ROBERTnullDORS - AIDS (093)5/29/2012TerminatedP O BOX A3677CHICAGOIL606903677
HAYS RILEYnull1669664843Physician (010)5/29/2012Terminated3645 S EAST STREETINDIANAPOLISIN462271238
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HORNBECK IVANnullNORTHEAST CAB CO5/29/2012Terminatednullnullnullnullnull
HOVIS PAULnullDentist (011)5/29/2012Terminated9133 WAUKEGAN RDMORTON GROVEIL600532120
HUESER JAMESnullPhysician (010)5/29/2012TerminatedC/O BOONE CLINIC401 KEENE STREETCOLUMBIAMO652016625
HUNTER ALFREDnullDentist (011)5/29/2012Terminated16000 S HALSTED STREETHARVEYIL602013960
IKPOH EMMANUELnullPhysician (010)5/29/2012Terminated1183 DRIFTWOOD LANEBARTLETTIL60103
INTLEKOFER MARKnullPodiatrist (013)6/5/2012Terminated206 TUCKER BLDG519 S 3RDCLINTONIA52732
JACHIM ELIZABETHnullSpeech Therapist (024)5/29/2012Terminated4425 W 95TH STOAK LAWNIL604532625
JACKSON DIANEnullIn-Home Care-Rehab (092)2/14/2012Terminated1605 E EDWARDSSPRINGFIELDIL627031338
JENSEN J CnullPhysician (010)5/29/2012Terminated108 WEST COURT STREETGREENSBURGKY42743
JOHNS GREGORYnullPhysician (010)5/29/2012Terminated508 RIVER EDGE PARKWAYDOTHANAL36303
JOHNSON EDWIN LnullPhysician (010)5/29/2012Terminated526 BUREAU VALLEY PKWYPRINCETONIL613562046
JONES MILESnullPhysician (010)5/29/2012Terminated100 EAST LEFEVRE ROADSTERLINGIL610811279
JORDAN JANESE EnullIn-Home Care-Rehab (092)5/29/2012Terminated3140 HOOVER STSPRINGFIELDIL627034252
JORGENSEN ERICnullPhysician (010)5/29/2012Terminated1400 ROCK QUARRY RDCOLUMBIAMO652057657
KADOSA LEEnullPhysician (010)5/29/2012Terminated7208 N STERLING AVETAMPAFL33614
KENDALL BETTYnullOth Tran Prov-No-Reg(073)5/29/2012Terminated405 N COLBY AVENUESPRINGFIELDIL627026128
KOO YOUNGnullPhysician (010)5/29/2012Terminated500 RIVER OAKS DRCALUMET CITYIL60409
KROL GERALDnullPhysician (010)5/29/2012Terminated2160 SO FIRST AVENUEMAYWOODIL601533304
LADD ROBERTnullPhysician (010)5/29/2012Terminated248 PARK ST PO BOX 248WESTMORELANDTN37186
LANDRUM EUGENEnullPhysician (010)5/29/2012Terminated2300 NO EDWARD STREETDECATURIL62526
LANDRUM MARGIEnullNurse Practitioner (016)5/29/2012Terminated201 E PLEASANT STTAYLORVILLEIL625681562
LASKY PHILLIPnullPhysician (010)5/29/2012Terminated2567 W FULLERTON AVECHICAGOIL60618
LEE ROBERTnullPhysician (010)5/29/2012Terminated10332 S HARLEMPALOS HILLSIL60465
LEPLEY CHARLESnullPhysician (010)5/29/2012Terminated915 EAST FIFTH STALTONIL62002
LESSLER PAULnullPhysician (010)6/4/2012Terminated1000 HEALTH CENTER DRMATTOONIL619389253
LOCKE CHARLES JnullPhysician (010)5/29/2012Terminated1252 WINSTON PLAZAMELROSE PARKIL601601507
LOTTER ANNETTE MnullPhysician (010)5/29/2012Terminated150 E HURON STE 903CHICAGOIL60611
LUNZER RICHARDnullPhysician (010)6/4/2012Terminated551 SOUTH SNELLING AVEST PAULMN55116
MALIK MUMTAZnullPhysician (010)6/4/2012Terminated914 N DIXIE AVEELIZABETHTOWNKY42701
MANGINO WILLIAMnullPhysician (010)6/4/2012Terminated1000 HEALTH CENTER DRIVEMATTOONIL61938
MARTS RICHARDnullChiropractor (014)6/4/2012Terminated3345 WEST HAYES STREETDAVENPORTIA52804
MAYER JANnullPhysician (010)6/4/2012TerminatedSTE 250109 WESTPARK DRBRENTWOODTN37027
MCHUGH JEANnullNurse Practitioner (016)6/4/2012Terminated660 S EUCLIDST LOUISMO63110
METCALF JOHNnullPhysician (010)6/4/2012TerminatedPO BOX 249HWY 286WICKLIFFEKY420870249
MEYER RONALDnullOptometrist (012)6/4/2012Terminated1242 E EMPIREBLOOMINGTONIL617013373
MICHAELSON RICHARDnullPhysician (010)6/4/2012TerminatedU OF IA HOSPS & CLNCSIOWA CITYIA522421009
MINNIS DARWINnullChiropractor (014)6/4/2012Terminated1415 SOUTH 5TH AVENUEMAYWOODIL601532128
MIRZA SARFRAZnullPhysician (010)6/4/2012Terminated311 THIRD STREETCOVINGTONIN47932
MISEVIC GABRIELnullPhysician (010)6/4/2012Terminated2594 A WALDRON RDKANKAKEEIL609015930
MOHAMMED MOHAMMEDnullPhysician (010)6/4/2012Terminated925 WEST STPERUIL61354
MOHART DAVIDnullPhysician (010)6/4/2012TerminatedFORREST PARK HOSPITAL6150 OAKLAND AVE ANES DEPTST LOUISMO63139
MOLSTAD BRAINnullPhysician (010)6/4/2012Terminated301 N W 11THFAIRFIELDIL62834
MONREAL CYNTHIAnullTRIPLE E TRANSPORTATION5/9/2012Barrednullnullnullnullnull
MONTGOMERY ROBERTnullPodiatrist (013)6/4/2012Terminated2111 18TH STREETCHARLESTONIL61920
MORRAY RICHARDnullDentist (011)6/4/2012Terminated501 N MAIN ST BOX 400FLORAIL628391405
MUELLER WILLIAMnullDentist (011)6/5/2012TerminatedPO BOX 1000 DEPT 71332 N LAUDERDATE STMEMPHISTN381480001
MUKHERJEE MUKUNDAnullPhysician (010)6/5/2012TerminatedSTE 250600 S FEDERAL STCHICAGOIL606051842
MULLANGI KUMARnullPhysician (010)6/5/2012Terminated400 S BROADWAY STBURLINGTONIA526019407
MURPHY STEPHENnullPodiatrist (013)6/5/2012Terminated6333 S GREENCHICAGOIL60621
NAKAGAWA WALLACEnullPhysician (010)6/5/2012TerminatedONE NORTH SYCAMOREVILLA GROVEIL61956
NORTHEAST CAB COnullTaxicab / Livery Co (072)5/29/2012Terminated629 BROADWAY POB 161EAST ALTONIL620240161
NWAFO IZUCHUKWUnullPhysician (010)3/30/2012Terminated2200 W ROOSEVELT RDBROADVIEWIL601553888
SALOMON JACOBnullPhysician (010)6/4/2012Terminated7318 S RACINECHICAGOIL606364112
TRIPLE E TRANSPORTATIONnullMedicar Provider (071)12/29/2011Terminated7323 S. SHOLER AVEBRIDGEVIEWIL60455
VERNIER REGINALDnullPhysician (010)10/31/2011Terminated506 W. WASHINGTONNEWTONIL62448
NALI FRANKnullPhysician (010)6/15/2012TerminatedROUTE 164 PO BOX 118OQUAWKAIL61469
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HERNANDEZ JOSEPHnullPhysician (010)1/2/2015Terminated640 W WASHINTON STREETPITTSFIELDIL623631350
JACOBS IRAnullPhysician (010)1/2/2015TerminatedCSB M/C 820840 S WOOD ST ROOM 618CHICAGOIL606127317
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KNOX ALLENnull1184719007Dentist (011)1/2/2015Terminated812C SOUTH PRAIRIECHICAGOIL606194800
LANE WILLIAMnullPhysician (010)1/1/2015Terminated5666 EAST STATE STREETROCKFORDIL611082425
MCMENAMIN EDWARDnullPhysician (010)5/30/2014Terminated4900 MAIN STREETDOWNERS GROVEIL605153611
MESSITT JOHN Jnull1255427639Physician (010)12/1/2014TerminatedSTE 90128375 DAVIS PARKWAYWARRENVILLEIL605553030
MULLAI NnullPhysician (010)8/8/2014Terminated621 S WINCHESTER AVECHICAGOIL606123710
SHAH HASINnullPhysician (010)1/1/2015Terminated515 NORTH MAIN STREETST ELMOIL624581638
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VANOPDORP TROYnullDentist (011)12/1/2014Terminated320 N MAIN STBENTONIL628121313
ASSAR ABBASnullPhysician (010)12/1/2014Terminated606 HOLLOW AVEJERSEYVILLEIL620521300
DANIGELES ATHINAnullDentist (011)1/2/2015TerminatedPO BOX 5332EVANSTONIL602045332
DELATORRE CHARITOnullPhysician (010)12/29/2014Terminated4320 W MONTROSECHICAGOIL606412016
DRESSEN FREDERICKnull1932159100Physician (010)1/2/2015Voluntary Withdrawal40 W 75TH STREETWILLOWBROOKIL605272325
AHUJA JAYAnullPhysician (010)11/20/2013Terminated1325 N HIGHLAND AVEPATHOLOGY DEPTAURORAIL605061449
ALIAGA FEDERICOnullPhysician (010)1/16/2015TerminatedALIAGA MEDICAL CENTER2859 S PULASKI RDCHICAGOIL606234456
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BASHFORD TIMOTHYnullDentist (011)10/27/2014Terminated2320 W PETERSON AV 605CHICAGOIL606595239
DAVIDSON DAVIDnullPhysician (010)6/3/2014TerminatedBROADWAY AT 11TH STQUINCYIL623057005
ELLIS COREYnullIn-Home Care-Rehab (092)3/5/2015Terminated2523 ASHLAND AVEROCKFORDIL611017024
GAUTREAUX MARTHAnullIn-Home Care-Rehab (092)2/15/2015Terminated6158 S VERNON #3CCHICAGOIL606375113
HERDA MARTA Wnull1376642397Physician (010)12/1/2014Terminated925 SHERWOOD AVELAKE BLUFFIL600442203
HUH INnullPhysician (010)2/1/2015Terminated2740 W FOSTER AVECHICAGOIL606253543
JAKIMIEC JERRYnullPhysician (010)1/9/2015Terminated3328 N HARLEM AVENUECHICAGOIL606343601
LEVI NATASHAnullTBI Home/Cmnty Medcd(098)2/15/2015Terminated2ND FLOOR1415 W 66TH STCHICAGOIL606362829
MANTEL JULIEnullIn-Home Care-Rehab (092)3/2/2015Terminated114 MAPLE1CMARSHALLIL62441
MCDONALD SHEILA FnullIn-Home Care-Rehab (092)3/5/2015Terminated411 1/2 W 8TH STREETMETROPOLISIL62960
NWAOKOCHA EMMANUELnullPhysician (010)12/1/2014Terminated2720 W 15TH STCHICAGOIL606081610
PACHNIK RANDY LnullPodiatrist (013)2/1/2015Terminated425 HUEHL RD UNIT 13NORTHBROOKIL600622322
RATLIFF SUSANnullRATLIFF3/5/2015Terminated2286 WEST STJACKSONVILLEIL626500000
RAZUK JUANnullPhysical Therapist (022)1/13/2014Terminated1146 WESTGATE STE 101OAK PARKIL603011054
RILES FELICIAnullIn-Home Care-Rehab (092)2/15/2015TerminatedPO BOX 6873ROCKFORDIL611256207
RUSSELL CAROLYNnullIn-Home Care-Rehab (092)3/5/2015Terminated4469 TREVOR CIRCLE #8ROCKFORDIL611092614
SEGIL LAURENCEnull1346278942Physician (010)10/28/2013Terminated925 SHERWOODLAKE BLUFFIL600441421
SHEPERD JAMIEnullSHEPERD12/1/2014ExclusionPO BOX 1120MINOTIL58702
SKIBINSKI BRADnullIn-Home Care-Rehab (092)2/15/2015TerminatedP O 104CENTRALIAIL628010104
SPATAFORA MICHELLEnullIn-Home Care-Rehab (092)2/21/2015Terminated25151 W EDGAR AVEANTIOCHIL600027412
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WHITE SCOTTnullIn-Home Care-Rehab (092)3/5/2015TerminatedPO BOX 95COLPIL629210095
WOOD WILLIAMnull1578551370Physician (010)1/27/2015Terminated7317 WILLOW LAKE CTPEORIAIL616148227
BABU NARAYANAPPAnullPhysician (010)2/28/2014Terminated290 SPRINGFIELD DRSUITE 160BLOOMINGDALEIL601082217
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KIZER LARRYnullBLAM MOBIL BILLBOARD TRANSPORT11/1/2013Barrednullnullnullnullnull
LESNIEWSKI PETERnull1205885001Physician (010)5/4/2015Terminated2900 FOXFIELD RD #102ST CHARLESIL601745799
LODHI FAUZIAnull1528111341Physician (010)5/4/2015Terminated6374 N LINCOLN AVECHICAGOIL606591219
MOEN EGILnullChiropractor (014)12/19/2013Terminated1208 1ST STREETORIONIL612730508
MUNOZ LUISnullPhysician (010)5/4/2015Terminated1870 S BLUE ISLAND AVECHICAGOIL60608
MURCHISON RUBYnullIn Home Care - MH (091)5/4/2015Terminated9046 S EUCLIDCHICAGOIL606173709
PATEL KAMALnullPhysician (010)5/4/2015TerminatedSUITE 3091100 W CENTRAL ROADARLINGTON HGTSIL60005
WARD CYNTHIAnullIn-Home Care-Rehab (092)4/15/2015Terminated340 N 17TH STDECATURIL625212765
ALI YASEENnull1902143605Physician (010)5/18/2015Terminated1800 E LAKE SHORE DRDECATURIL625213810
CHOI BOK YnullPhysician (010)1/9/2015Exclusion1209 STARFIRE DRIVEOTTAWAIL613501693
LOPEZ PEDROnullPhysician (010)3/12/2014TerminatedSTE 003 POB 3176799 ROOSEVELT RD BLG 3GLEN ELLYNIL601383176
PIPER TRACInullTBI Home/Cmnty Medcd(098)8/8/2014Terminated701 MEADOW VIEW DR 202MENDOTAIL613423003
UNGARETTI DARInullPhysician (010)1/9/2015Exclusion620 LIBERTY STREETELGINIL60120
WEISS ROBERTnull1184661159Physician (010)5/6/2014Terminated3982 N MILWAUKEE AVECHICAGOIL606412703
ALFON ERICnullPhysician (010)6/1/2015Terminated4322 7TH ST BLDG 3MOLINEIL612656867
ARCHINIHU JOHN SPENCERnullPhysician (010)10/11/2013Terminated100 N 8TH STREETE SAINT LOUISIL622012957
ARNOLD PAULnull1326075797Physician (010)10/11/2013TerminatedSAINT ANTHONYS WAYPO BOX 340ALTONIL620020340
BARNHART RANDALLnull1669469482Physician (010)10/5/2012TerminatedFAMILY MEDICAL CENTER101 N WALNUTPINCKNEYVILLEIL622741034
BAUM VICTORnullPhysician (010)1/16/2014Terminated550 E BOUGHTON RD 2ND FLBOLINGBROOKIL60439
BEDNARSKI DAVIDnullChiropractor (014)12/29/2014Exclusion17133 S 88TH AVETINLEY PARKIL604777652
BOER ROBERTnull1649390014Chiropractor (014)6/1/2015TerminatedSUITE 2041177 N HIGHLAND AVEAURORAIL605061470
CHO JOONGSIKnullPhysician (010)6/15/2015Voluntary Withdrawal404 LIBERTYMORRISIL604502133
CLARK KARLAnull1598706699Physician (010)7/1/2014Terminated1501 S CALIFORNIA AVENR 7TH FLOORCHICAGOIL606081732
FLEISHHACKER JORDANnullPhysician (010)10/11/2013Terminated321 W WASHINGTON STPITTSFIELDIL623631360
FRANK JEFFREYnullPhysician (010)5/19/2014Terminated180 N HARVESTER UCPGSUITE 110BURR RIDGEIL605275993
GALANIS STACEYnullDentist (011)4/22/2013Terminated2334 W. LAWRENCECHICAGOIL606251948
HENDERSON JACQUELINEnullPhysician (010)4/20/2014TerminatedMETHODIST MED CTR221 NE GLEN OAKPEORIAIL61636
HOVEY CHARLOTTEnullPhysician (010)10/19/2012Terminated4-EAST1313 ST ANTHONY PLLOUISVILLEKY402041740
KURTZ ROBERTAnullPhysician (010)11/14/2013Terminated3249 S OAK PARK AVEBERWYNIL604023429
MORAGNE SIDNEYnullPhysician (010)10/28/2013Terminated593 BURNHAM AVECALUMET CITYIL604094031
PRASAD SRIDHARnull1477611325Physician (010)7/28/2014Terminated2066 SOLUTIONS CENTERCHICAGOIL606772000
PRIEBE MICHAELnullPhysician (010)3/26/2012Terminated2160 SOUTH FIRST AVEMAYWOODIL601533328
PUSZKARSKI SLAWOMIRnullPhysician (010)6/2/2015Terminated5545 N MILWAUKEE AVECHICAGOIL606301224
RAMACHANDRAN ANILnull1689837452Physician (010)4/18/2014Terminated3004 GRAND AVEWAUKEGANIL600852321
ROSENBERG LINDAnullPhysician (010)5/19/2014Terminated1021 E SIBLEY BLVDDOLTONIL604192825
SAKHUJA SUZANnullPhysician (010)6/2/2015Terminated9600 GOLF ROADDESPLAINESIL60016
STURDEVANT THOMASnullPhysician (010)10/28/2013Terminated955 BIESNERELK GROVE VLGEIL60007
TELOT GABRIELnull1316015282Physician (010)3/3/2014Terminated310 E TORRANCE AVEPONTIACIL617642748
BHATIA PRADEEPnull1467495705Physician (010)1/9/2015Exclusion330 WESTON AVEAURORAIL605054767
GOLDEN GARYnullPhysician (010)1/9/2015Exclusion850-F BROOKFOREST AVESHOREWOODIL604318515
HUANG LI InullPhysician (010)4/16/2015Terminated1421 BROADWAYQUINCYIL623012814
KLUGMAN VANESSAnull1639169972Physician (010)6/16/2015Terminated520 S MAPLE AVE 3RD FLOAK PARKIL603042519
LEONE LARRYnullPhysician (010)6/25/2015Terminated401 S 8TH STREETBENLDIL620091425
MIKAITIS WILLIAMnullPhysician (010)3/5/2015Terminated10811 W 143D ST #100ORLAND PARKIL604671948
BELLO ALFONSOnullPhysician (010)3/30/2014Voluntary Withdrawal5137 W CHICAGO AVENUECHICAGOIL606512904
COOK RENEEnull1598985517Physician (010)2/27/2015Terminated2323 WINDISH DRGALESBURGIL614019780
HOELSCHER CHRISnullChiropractor (014)8/20/2015Terminated220 ELDORADO RD STE BBLOOMINGTONIL617043512
KNIGHT JOSEPHnullPhysician (010)6/17/2014Terminated31366 N ROUTE 45LIBERTYVILLEIL60048
AKHTER IQBALnullPhysician (010)10/8/2015Terminated3551 N CENTRAL AVECHICAGOIL606344407
ALI WAQASnull1023094190Physician (010)1/8/2014Terminated221 NE GLEN OAKPEORIAIL616360001
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GANZ MICHAELnullPhysician (010)3/1/2015Terminated1315 N HIGHLAND STE 202AURORAIL605061460
HICKORY ESTATES INCORPORATEDnullMentally Retrd Fclty(029)11/1/2011Terminated310 OTHA STREETSUMNERIL62466
JOHNSON BRITTANYnullIn-Home Care-Rehab (092)9/18/2015Terminated1209 FOOTHILL DRCHAMPAIGNIL618215617
LISS MARLENE AnullIn-Home Care-Rehab (092)9/18/2015Terminated1658 N MILWAUKEE #363CHICAGOIL606475041
MEDLEY WILLIEnullIn-Home Care-Rehab (092)9/18/2015Terminated502 S WALNUT STFREEPORTIL610325152
PERKINS ALFREDAnullIn-Home Care-Rehab (092)8/14/2015Terminated1315 N 35TH ST1803 DIVISION AVEEAST SAINT LOUIIL62204
SEVANDAL SIMEON AnullPhysician (010)10/4/2014Terminated2800 W 95TH STEVERGREEN PARKIL608052795
SIERANTOWICZ MARGARETnullPhysician (010)10/5/2015Voluntary Withdrawal1 S BARRINGTON EXECUTIVE CENTERSUITE 2SOUTH BARRINGTONIL60010
SIMMS TYREKAnullIn-Home Care-Rehab (092)9/18/2015Terminated2202 7TH STROCKFORDIL611047122
VARGAS EDGARnullPhysician (010)10/7/2014Terminated1343 E CENTRAL RDARLINGTON HGTSIL600052803
YANG HAOHUAnullPhysician (010)12/17/2014Terminated654 W VETERANS PKWYYORKVILLE MED CL STE CYORKVILLEIL605604567
CK TRANSPORTATIONnullMedicar Provider (071)2/18/2015Terminated18451 SOUTH HALSTEDGLENWOODIL60445
CEBALLOS OSIELnullIn-Home Care-Rehab (092)11/6/2015Terminated2912 S 48TH CTCICEROIL608043620
GAMBLE QUINCYnullIn-Home Care-Rehab (092)11/6/2015Terminated36 WESTWOOD DR.CAHOKIAIL622062253
JONES LAURAnullIn-Home Care-Rehab (092)11/6/2015Terminated417 NE ADAMSPEORIAIL616034201
LOWE JEANnullIn-Home Care-Rehab (092)11/6/2015Terminated485 S ROSEWOODKANKAKEEIL609015214
RATCLIFF JESSIEnullIn-Home Care-Rehab (092)11/6/2015Terminated755 N 76TH STEAST SAINT LOUIIL62203
REEDY COYENTnullIn-Home Care-Rehab (092)11/6/2015Terminated1903 OLD ORCHARD RDROCKFORDIL611071227
ROBINSON SANDRAnullIn-Home Care-Rehab (092)11/6/2015Terminated#2092601 W RESERVOIRPEORIAIL616152033
TAMAYO PRECIOUSnullIn-Home Care-Rehab (092)11/6/2015Terminated433 ISLAND AVEROCKFORDIL611023311
WOOTERS JODYnullIn-Home Care-Rehab (092)10/21/2015Terminated1350 S BROOKSIDELOT 102CENTRALIAIL628015096
CARROLL ANTHONY EnullTBI Home/Cmnty Medcd(098)11/30/2015Terminated336 N 4TH STCANTONIL615201904
LUCKETT LISAnullIn-Home Care-Rehab (092)4/15/2015Terminated25 JEROME LN APT ACAHOKIAIL622061221
ADAMS BRIANnullIn-Home Care-Rehab (092)10/19/2015Terminated2701 S JONES #4BMT VERNONIL62864
ALVARADO ELENAnullIn-Home Care-Rehab (092)12/27/2015Terminated13534 S BUFFALOCHICAGOIL606331838
BACA ELIZABETHnullIn-Home Care-Rehab (092)10/19/2015TerminatedPO BOX 6NOBLEIL628680006
BILLUPS HENRYnullIn-Home Care-Rehab (092)10/19/2015Terminated27 VIOLET DRCAHOKIAIL622062924
CARTER KIMBERLY PnullIn-Home Care-Rehab (092)10/19/2015Terminated738 W 48TH PLACE2ND FLOORCHICAGOIL606094428
CASTLE CARLnull1255306767Physician (010)5/19/2015Terminated1510 SUNSET DRIVEVANDALIAIL624713228
CONRAD VELETTAnullIn-Home Care-Rehab (092)10/19/2015Terminated1000 ROYAL HGTS RD #334141 GALLATIN LNBELLEVILLEIL622261141
EVANS CONNIEnullIn-Home Care-Rehab (092)12/27/2015Terminated9701 WEST MAINBELLEVILLEIL622231401
GEARY DANIELnullIn-Home Care-Rehab (092)10/19/2015Terminated5343 ARSENALST LOUISMO63139
GUERIN CAROLYNnullIn Home Care - MH (091)10/19/2015Terminated4310 BROOK DALE RDROCKFORDIL611092802
HAMBERLIN ONJAnullIn-Home Care-Rehab (092)10/19/2015Terminated2301 QUAIL RUNROCKFORDIL611031937
IKEN LAWRENCEnull1972614451Podiatrist (013)12/27/2015Terminated425 HUEHL RD #13NORTHBROOKIL600622319
KEIP DONALD RnullIn-Home Care-Rehab (092)10/19/2015Terminated109 E 3RD STINAIL628461124
KING SANDRAnullDORS - AIDS (093)12/27/2015Terminated14533 S YATESBURNHAMIL606332216
KING TAMMYnullDORS - AIDS (093)12/27/2015Terminated4563 SUNDERMAN RDROCKFORDIL611146280
LEACH ANTONIOnullDORS - AIDS (093)10/19/2015Terminated3008 YONGE STROCKFORDIL611013438
LEWIS ANDREAnullTBI Home/Cmnty Medcd(098)12/27/2015Terminated907 BRUCE STROCKFORDIL611036043
LOGAN LAWANDAnullIn-Home Care-Rehab (092)10/19/2015Terminated805 S 18TH STMURPHYSBOROIL629662703
MARWAHA VIJAYnullPhysician (010)12/15/2014Terminated142 W LINCOLN POB 845HINCKLEYIL605200845
MASON LAWRENCEnull1669402194Physician (010)7/13/2015TerminatedSUITE 2002202 HARLEM ROADLOVES PARKIL611112754
MAYHORN CARLAnullIn-Home Care-Rehab (092)12/27/2015Terminated10041 S LAFAYETTECHICAGOIL606282052
MAYS BETTY JnullIn-Home Care-Rehab (092)10/19/2015Terminated1005 S CHERRYCENTRALIAIL628014610
MELANIE PARNELLnullIn-Home Care-Rehab (092)12/27/2015Terminated3225 ARSENAL ST APT 1ESAINT LOUISMO631182120
MOORE LISAnullIn-Home Care-Rehab (092)10/19/2015TerminatedP O BOX 495SANDOVALIL628821069
NEWMAN VALERIEnullDORS - AIDS (093)10/19/2015Terminated16548 WAUSAU AVESOUTH HOLLANDIL604732159
SALINAS SARINAnullIn-Home Care-Rehab (092)12/27/2015Terminated204 S PEARLASTORIAIL615018702
SCHOTT MICHAELnull1033179544Physician (010)7/29/2015Terminated4011 AVE OF THE CITIESMOLINEIL612654454
SIDENER WILLIAMnullIn-Home Care-Rehab (092)10/19/2015TerminatedR 3 BOX 93 #6RAMSEYIL620809440
SIMON JADEnullDORS - AIDS (093)12/27/2015Terminated811 SO 8THMAYWOODIL601531912
SIMON ROBBINnullDORS - AIDS (093)12/27/2015TerminatedCO LOUISE MCAFEE3608 GEORGINA LANEBELLWOODIL60104
SIPE CORRINEnullIn-Home Care-Rehab (092)10/19/2015Terminated6824 EPWORTH RDGARDEN PRAIRIEIL610389571
SUCHER DEBRA AnullIn-Home Care-Rehab (092)12/27/2015Terminated331 N SILVER STOLNEYIL624502155
SUGGS DARRON AnullIn-Home Care-Rehab (092)10/19/2015Terminated1146 N 45TH STWASHINGTON PARKIL622043035
TABBS KARASHIAnullIn Home Care - MH (091)10/19/2015Terminated5 FOX MEADOW LNCAHOKIAIL622062503
TERBRAK MARTINA SUEnullDORS - AIDS (093)10/19/2015TerminatedAPT #21930 EVERGREEN TERRACECARBONDALEIL629013930
TERIET MARGARETnullDORS - AIDS (093)12/27/2015Terminated1701 SUNSET STMT VERNONIL62864
WASSON CHADnullChiropractor (014)2/27/2015Terminated506 W LINCOLN #400CHARLESTONIL619202440
WATSON FAYDRAnullIn-Home Care-Rehab (092)10/19/2015TerminatedAPT 17744 S PRAIRIECHICAGOIL606192816
WELCH SHISHONInullDORS - AIDS (093)10/19/2015Terminated11345 S PEORIACHICAGOIL606434611
WHITE LAKESHIAnullIn-Home Care-Rehab (092)12/27/2015Terminated36 EAST ADAMCAHOKIAIL622062574
WILLIAMS EARLEANnullIn-Home Care-Rehab (092)10/30/2015Terminatednullnullnullnullnull
ZIMMERMAN GREGORYnullChiropractor (014)2/19/2015Terminated101 TRANSCRAFT DRANNAIL629060608
BURKS MAURICEnullTBI Home/Cmnty Medcd(098)2/7/2016Terminated1936 BOISMENUE AVEE ST LOUISIL62207
DOVALE FACUNDOnullPhysician (010)12/10/2015TerminatedSUITE 1062734 N MILWAUKEE AVECHICAGOIL606471362
SCHROEDER ROGERnullPhysician (010)1/8/2016Terminated400 MAPLE SUMMIT RDSTE 200 PO BOX 7JERSEYVILLEIL620520007
SHAH JAGDISH RnullPhysician (010)8/21/2014Voluntary Withdrawal1722 MIDWEST CLUB PKWYOAKBROOKIL60523
WILDER TROYnullMedicar Provider (071)2/7/2016Terminated10600 S EGGLESTONCHICAGOIL606282413
HARRISON NANCYnullIn-Home Care-Rehab (092)1/30/2016Terminated6603 S MARFIELDCHICAGOIL60636
SEK FRANK WnullPhysician (010)9/20/2013Terminated4606 W ELM STMC HENRYIL600504015
STEC AUGUSTYNnull1164545471Physician (010)4/8/2014Terminated5430 S KEDZIECHICAGOIL606322620
WILLIAMS BOBBIEnullIn-Home Care-Rehab (092)1/30/2016TerminatedPO BOX 6211EAST SAINT LOUIIL62202
ADAMS BARBARAnullIn-Home Care-Rehab (092)12/30/2015Terminated210 N OAK STPATOKAIL628751198
ASHFORD NINYAnullIn-Home Care-Rehab (092)1/30/2016Terminated1400 N 2ND STSWANSEAIL622264212
CASILLAS MIGUELnullPhysician (010)7/6/2015Terminated1963 CHATHAM DRWHEATONIL601878161
KAFIN WILLIAMnullPhysician (010)2/15/2013Terminated9700 N KENTON #K-302SKOKIEIL600761299
KUCHIPUDI V RnullPhysician (010)3/4/2016Terminated3101 S MAPLE AVEBROOKFIELDIL605131236
MAY PERCY CONRADnullPhysician (010)10/21/2015Terminated3857 W WASHINGTONCHICAGOIL606242342
REAVES ANDREAnullSUNSHINE EXPRESS TRANSPORTATION SERVICE, INC.8/15/2013Barrednullnullnullnullnull
SUNSHINE EXPRESS TRANSPORTATION SERVICE, INC.nullMedicar Provider (071)8/15/2013Terminated14640 INGLESIDE AVEDOLTONIL60419
THORNTON STEVENnullPhysician (010)9/14/2015Terminated900 N MAIN STREETSTE 720PEORIAIL616025027
BAKER SALIHnullIn-Home Care-Rehab (092)3/25/2016TerminatedAPT #8065050 S LAKE SHORE DRCHICAGOIL606151608
BURNETT ANGELAnullIn-Home Care-Rehab (092)3/25/2016Terminated13481 11TH AVEEAST MOLINEIL612449077
DOTY RANDLEnullNurse Practitioner (016)4/20/2016Voluntary Withdrawal200 S BROADWAY BOX 40GOREVILLEIL629392447
DOUGLAS DONNAnullIn-Home Care-Rehab (092)4/8/2016Terminated3049 WAVERLY AVEEAST SAINT LOUIIL62204
GRAY TARInullIn-Home Care-Rehab (092)4/8/2016Terminated2901 SEARLES AVE APT A107ROCKFORDIL611012765
HARDEN MICHAELnullHARDEN3/25/2016Terminated1101 W GALENA BLVD REARAURORAIL605063680
JONES ROBERT LnullIn-Home Care-Rehab (092)4/8/2016TerminatedAPARTMENT 22430 LADLEY COURTSPRINGFIELDIL627034338
KLINEFELTER GERRYnullNurse Practitioner (016)3/25/2016Terminated1141 N CHENEYTAYLORVILLEIL625682741
MBAKWE CASEYnullOUTREACH MEDICAL INC3/25/2016Barrednullnullnullnullnull
MBAKWE UCHEnullOUTREACH MEDICAL INC3/25/2016Barrednullnullnullnullnull
MOSHIRI SHANINnullPodiatrist (013)10/21/2015Terminated2801 W CERMAK RDCHICAGOIL606233513
MURPHY PATRICE DnullIn-Home Care-Rehab (092)3/25/2016Terminated6105 NORTH HOYNECHICAGOIL60659
OUTREACH MEDICAL INCnullOth Prov MES-Non-reg(063)10/21/2015TerminatedSUITE 41123 7TH AVENUEROCK ISLANDIL612018432
PARR CECILnullIn-Home Care-Rehab (092)3/25/2016TerminatedPO BOX 231JACKSONVILLEIL62650
ROSS ROSALYNnullIn-Home Care-Rehab (092)10/21/2015Terminated118 TURNBRIDGE DRSWANSEAIL622263056
SQUIRE DEBRAnullIn-Home Care-Rehab (092)12/30/2015TerminatedPO BOX 578SANDOVALIL62882
TOWNES KENYATTAnullTOWNES3/25/2016Terminated3009 W JACKSON BLVD FL 1CHICAGOIL606122727
WEBER SARAHnullIn-Home Care-Rehab (092)4/8/2016Terminatednullnullnullnullnull
WESSON JOYCE AnullIn-Home Care-Rehab (092)4/8/2016Terminated1130 KINGSHIGHWAYSPRINGFIELDIL62702
WILCOXSON ZACHERYnullIn-Home Care-Rehab (092)10/21/2015Terminated3004 IRIS WAYBLOOMINGTONIL617054137
ZIMMERLY ELIZABETHnullIn-Home Care-Rehab (092)3/25/2016TerminatedUNIT 112911 E OLD WILLOW RDPROSPECT HEIGHTIL60070
VEYTSMAN ALEXANDERnullMCS MEDICAL TRANSPORTATION5/14/2015Barrednullnullnullnullnull
ADAMS TONYnullIn-Home Care-Rehab (092)6/15/2016Terminated511 S 44TH STCENTREVILLEIL622072571
DAY JEFFERYnullIn-Home Care-Rehab (092)6/15/2016Terminated628 S 19TH STBELLEVILLEIL622267440
FERGE LINDAnullIn-Home Care-Rehab (092)6/15/2016Terminated5410 MIDVALE DRIVE 110ROCKFORDIL61108
HENDERSON FRANKnullIn-Home Care-Rehab (092)6/15/2016TerminatedAPT 207114 N PARKSIDECHICAGOIL606442340
KING ELOUISEnullIn-Home Care-Rehab (092)6/15/2016Terminated509 S 20THBELLEVILLEIL622262414
MCCALEBB KERKEISHAnullIn-Home Care-Rehab (092)6/15/2016Terminated632 ROYAL HEIGHTS RDBELLEVILLEIL622261718
MCMASTER ROBERTnullMCMASTER6/15/2016Terminatednullnullnullnullnull
OHAIRE DEBORAHnullIn-Home Care-Rehab (092)6/15/2016Terminated2005 N 44THE ST LOUISIL62204
ROBINSON SHALISHAnullIn-Home Care-Rehab (092)6/15/2016Terminated614 W MADISONOFALLONIL62269
STATEN DEDRIANNEnullIn-Home Care-Rehab (092)6/15/2016TerminatedAPT 1B206 CAMERON AVEROCKFORDIL611026416
SWEETEN MAURICEnullIn-Home Care-Rehab (092)6/15/2016TerminatedP O BOX 13096SPRINGFIELDIL62704
SYED MASOODnull1255339677Physician (010)3/30/2012Terminated2636 WEST 71ST STHEALTH FAMILY MED CENTERCHICAGOIL606292082
TEMMEN JESSICAnullIn-Home Care-Rehab (092)6/15/2016Terminatednullnullnullnullnull
THOMAS DARLENEnullIn-Home Care-Rehab (092)6/15/2016Terminated420 N 57THEAST ST LOUISIL62203
WOODARD HUGHQUETTAnullIn-Home Care-Rehab (092)6/15/2016TerminatedAPT 1122331 MARTIN L KING JRPEORIAIL61604
CLIMACO RAMONnullPhysician (010)7/11/2016Voluntary Withdrawal120 S LOCUSTARCOLAIL619101714
HOLLOWAY DONNICCOnullIn-Home Care-Rehab (092)8/31/2016Terminatednullnullnullnullnull
JOSE ANDRADE JRnullIn-Home Care-Rehab (092)8/31/2016Terminated2700 COOPER DRKANKAKEEIL609016102
LUCAS BRITTENYnullTBI Home/Cmnty Medcd(098)8/31/2016Terminated1132 SEILER STREETALTONIL620026724
PHELAN CARISSAnullIn-Home Care-Rehab (092)8/31/2016Terminated2212 EASTMORELAND AVEROCKFORDIL611082131
SIMMON MONIQUEnullIn-Home Care-Rehab (092)8/31/2016Terminated2707 W LATROBEPEORIAIL616051453
YOUNG JOHNnullIn-Home Care-Rehab (092)8/31/2016Terminated2331 MLK DR APT 107PEORIAIL616041544
BLUMENSHINE JOSHUAnullIn-Home Care-Rehab (092)3/31/2016Terminatednullnullnullnullnull
FORD DEJUANnullIn-Home Care-Rehab (092)10/7/2016TerminatedAPT 21107 RIDGE AVEROCKFORDIL611031835
GHESQUIERE JOHNnullPhysician (010)2/20/2014TerminatedSUITE 902360 N MICHIGAN AVECHICAGOIL606013803
GRAMMER JUSTINnullIn-Home Care-Rehab (092)10/7/2016TerminatedPO BOX 218NEBOIL623550218
GREUBEL JOHN FnullIn-Home Care-Rehab (092)10/7/2016Terminated1705 35TH STREETMOLINEIL612652026
HOOD CHERYL RnullIn-Home Care-Rehab (092)10/7/2016Terminatednullnullnullnullnull
JORDEN LISAnullIn-Home Care-Rehab (092)3/31/2016Terminated351 DROOPYCOTTAGE HILLSIL620181336
KARRICK DAVID JnullIn-Home Care-Rehab (092)10/7/2016Terminated361 SOUTH MAINPALMYRAIL626740022
LYONS EARLENE JnullIn-Home Care-Rehab (092)12/30/2015Terminated309 ELMWOOD PLACECAIROIL62914
MAMSA EBRAHIMnullDentist (011)5/23/2015Voluntary Withdrawal3142 W CERMAK RDCHICAGOIL60623
POKE TAMEKAnullIn-Home Care-Rehab (092)10/7/2016TerminatedAPT 1305 S 4TH STROCKFORDIL611042122
SALCEDO HECTORnullPhysician (010)9/20/2015Voluntary Withdrawal3143 W LOGAN BLVDCHICAGOIL606471674
SMITH SONYA MnullIn-Home Care-Rehab (092)10/7/2016Terminated1414 S SPRINGFIELDCHICAGOIL606231307
ESTOR ERNESTOnullPhysician (010)10/7/2016Terminated6007 N SHERIDAN RD APT 15KCHICAGOIL606603063
KING, MD GARTRELLnullPhysician (010)2/1/2015Terminated8838 S HAMILTON AVECHICAGOIL606205424
KINNEALEY ANN E0360500811205821857Physician (010)4/8/2016TerminatedEAST TOWER STE 557800 AUSTIN STEVANSTONIL602023456
MARTIN BEARDSTOWN PHARM LTDnullPharmacy (060)5/20/2011Terminated118 W SECOND STBEARDSTOWNIL626181137
PASIC JOSIPnullPhysician (010)11/29/2016TerminatedSUITE 7A5510 N SHERIDAN RDCHICAGOIL606401630
ARNOLD JAMIEnullIn-Home Care-Rehab (092)1/20/2017Terminated2444 HOLMES ST #4818 LAPP CTROCKFORDIL611082926
DESTINY TRANSPORTATION SERVICEnullMedicar Provider (071)10/7/2016Terminated284 E 16TH STREETCHICAGO HEIGHTSIL604113730
EVANS JOHNnullIn-Home Care-Rehab (092)1/20/2017Terminated1809 PIATTMATTOONIL619382941
GOODWIN CHANDRAnullDESTINY TRANSPORTATION SERVICE10/7/2016Barrednullnullnullnullnull
GOODWIN, JR EDWARDnullDESTINY TRANSPORTATION SERVICE10/7/2016Barrednullnullnullnullnull
HARRIS ANGELnullDORS - AIDS (093)1/20/2017Suspended2920 S STATE STCHICAGOIL606163264
HOLCOMB BERNICEnullLADY BERN MEDI CAR COMPANY3/1/2016Barrednullnullnullnullnull
LADY BERN MEDI CAR COMPANYnullMedicar Provider (071)3/1/2016Terminated9622A S. HALSTEDCHICAGOIL60628
SIMS JOHNNIEnullIn-Home Care-Rehab (092)1/20/2017TerminatedP O BOX 473PEORIAIL616510473
TURNER GLORIAnullY O G SISTERS TRANSPORT INC2/2/2017Barrednullnullnullnullnull
Y O G SISTERS TRANSPORT INCnullMedicar Provider (071)2/2/2017Terminated349 YATES AVECALUMET CITYIL60409
KHUNGAR POOJAnull1952576761Physician (010)1/30/2017Terminated8496 SOLUTIONS CTRCHICAGOIL606778004
LOWRY SCOTTnull1184626673Physician (010)5/27/2016Terminated127 EAST CRAWFORD STPEOTONEIL604689207
MINGOLELLI GERALDnullPhysician (010)5/9/2016TerminatedSTE 320017850 S KEDZIE AVEHAZELCRESTIL604292078
ODEH YASEEN0360833251457447443Physician (010)3/13/2017Terminated1544 W CHICAGO AVECHICAGOIL606226134
SHULTZ GAYLEnullIn-Home Care-Rehab (092)2/24/2017Terminatednullnullnullnullnull
VEE TRANSPORTATIONnullMedicar Provider (071)2/24/2017Terminated860 PRINCETONMATTESONIL60443
GARSKE KARENnullIn-Home Care-Rehab (092)2/24/2017Terminatednullnullnullnullnull
HORTON GEORGEnullIn-Home Care-Rehab (092)2/24/2017Terminated7240 S OAKLEY AVECHICAGOIL606363632
BOVA MICHAEL0360753421861489510Physician (010)5/27/2016Terminated2524 FARRAGUT BLDG CSPRINGFIELDIL627048401
DAVIDA ARTHURnullPhysician (010)9/8/2015Terminated290 SPRINGFIELD DRSUITE 225BLOOMINGDALEIL601080000
DAVIS MAKETAnullIn-Home Care-Rehab (092)1/3/2015Terminated1915 WEIMAN AVENUE, APT. AE. ST. LOUISIL62205
JOINER ENTERPRISES INCORPORATEDnullMedicar Provider (071)3/24/2017Terminated7223 S. COLESCHICAGOIL60649
ALLHANDS CARRIEnullIn-Home Care-Rehab (092)8/12/2015Terminated645 NELSON AVEGIBSON CITYIL609361146
ASGAR MOHAMMEDnull1023004587Physician (010)3/24/2017Terminated340 E RANDOLPH STAPT 2601CHICAGOIL60601
CSS TRANSPORTATION CORPnullTaxicab / Livery Co (072)11/16/2016Terminated3801 W COLUMBUS AVE UNIT 1CHICAGOIL60652
SCOTT CRYSTALnullIn-Home Care-Rehab (092)5/19/2017Terminated103 KINGSWAYBELLEVILLEIL622261522
GEORGE SANFORDnullIn-Home Care-Rehab (092)4/24/2017Terminated905 ROSE AVEROCKFORDIL611022768
KOROMA BANIOnull1962443739Physician (010)3/17/2017Terminated#2101229 N NORTH BRACH STCHICAGOIL606226954
TAUB ROBERT Gnull1881695203Physician (010)3/16/2017TerminatedSTE 650150 N MICHIGAN AVECHICAGOIL606017524
THURMAN CHEETARAnullTBI Home/Cmnty Medcd(098)5/19/2017Terminated2016 E 77TH STCHICAGOIL606496025
BALLENTINE JR LARRY GnullIn-Home Care-Rehab (092)11/30/2016Terminated7736 S ABERDEENCHICAGOIL606202914
TAYLOR JENNIFERnullPhysician (010)11/22/2016Terminated1464 S MICHIGAN AVEAPT 901CHICAGOIL60605
NAYAK RAGHUVEER051-033071NAYAK2/10/2014Exclusion4343 NORTH CLARENDONnullCHICAGOIL60613
SUDBRACK LUIZnullPhysician (010)8/26/2016Terminated5401 N CENTRAL AVECHICAGOIL606301304
OKUNIEFF MICHAELnullPhysician (010)3/16/2016TerminatedSOUTH EAST MED CENTER7906 S CRANDON AVECHICAGOIL606171146
KENT DEENAnullIn-Home Care-Rehab (092)11/30/2016Terminated5111 78TH AVE LOT 81MILANIL612649506
JOHN STACYnullIn-Home Care-Rehab (092)5/19/2017Terminated713 S DUDLEY STMACOMBIL614551951
RAETTA HUNTERnullIn-Home Care-Rehab (092)11/30/2016Terminated700 N. MADISON ST. APT. 1DCLINTONIL61727
IBT TRANSPORTATIONnullMedicar Provider (071)3/22/2017Terminated8 S. HARVARDVILLA PARKIL60181
HESS KENT JnullPhysician (010)5/6/2017Voluntary WithdrawalSUITE 204303 ANDREWS DRIVEBELVIDEREIL610083918
RAO MOHAN C RnullPhysician (010)3/17/2017Terminated3943 WEST 31ST STCHICAGOIL606234936
YOUNG WELDON A JRnullIn-Home Care-Rehab (092)11/30/2016Terminated7530 SO CARPENTERCHICAGOIL606202952
E R AMBULANCE INCnullAmbulance Serv Prov (070)5/3/2017Terminated7427 SOUTH ASHLAND AVECHICAGOIL606364053
PLATO YOLANDAnullIn-Home Care-Rehab (092)5/19/2017Terminated515 S 23RD PLACEDECATURIL625213607
FRANCHELLA PERKINSnullFRANCHELLA PERKINS6/15/2016Terminatednullnullnullnullnull
BREWINGTON DAYCEEnullIn-Home Care-Rehab (092)4/24/2017Terminated13076 COUNTRY MEADOWWINNEBAGOIL610883522
DANIELS ERICAnullIn-Home Care-Rehab (092)4/24/2017Terminated2616 N ROCKTON AVEROCKFORDIL611032826
FIELDS MARTINnullPhysician (010)6/2/2017Voluntary Withdrawal5668 E. STATE STROCKFORDIL61108
FISCHER BARRY036-0600131982753653FISCHER6/19/2015Exclusion121 FAIRFIELD WAY, 207BLOOMINGDALEIL60108
COLLINS DAMONDnullIn-Home Care-Rehab (092)11/30/2016TerminatedPO BOX 8321ROCKFORDIL611261659
COLLINS ALEXISnullIn-Home Care-Rehab (092)4/24/2017SuspendedPO BOX 1031ROCKFORDIL611051031
JACKSON FELICIAnullnullIn-Home Care-Rehab (092)6/30/2017Terminated919 MARY BRYNESAUK VILLAGEIL60411
JONES MARTHAnullnullTBI Home/Cmnty Medcd(098)6/21/2017Terminated2117 N PEORIA1002 W RUSSELLPEORIAIL616031280
MADISON PAULnullnullPhysician (010)11/29/2016TerminatedSUITE #110180 N HARVESTER DRBURR RIDGEIL605276686
NAGAJ EGUERTnull1376550442Physician (010)4/5/2017Terminated333 W. DUNDEE ROADSTE 203BUFFALO GROVEIL600893545
PASSAGES HOSPICE LLCnull1386641298Hospice (039)4/13/2017Terminated315 PRAIRIEBLOOMINGTONIL61704
SANDHU MANJITnull1932180031Physician (010)5/8/2017TerminatedTHEODORE HANDRUP MD LTD2800 N SHERIDAN RD STE 502CHICAGOIL606576183
SHER IGORnull1134285059Chiropractor (014)4/5/2017Terminated1430 N ARLINGTON HGTSSUITE 203ARLINGTON HGTSIL60004
TEETS JESSICAnullnullIn-Home Care-Rehab (092)6/30/2017TerminatedPO BOX 66WILSONVILLEIL620931115
TOUHY PHARMACY ENTERPRISES INCnull1396850327Pharmacy (060)10/7/2016Terminated2721 W PETERSON AVECHICAGOIL606593919
WALCZYK MAREKnull1447243373Physician (010)4/5/2017Terminated5519 N CUMBERLANDSTE 1016CHICAGOIL606561480
WRIGHT JANENEnullnullIn-Home Care-Rehab (092)6/30/2017Terminated2808 N ROCKTON AVEROCKFORDIL611033647
A O K TRAVEL NETWORK INCnullnullTaxicab / Livery Co (072)1/8/2014Terminated6335 E. US ROUTE 36DECATURIL62521
BURNS BRIANnull1861624579Physician (010)3/25/2016Terminated201 BAILEY LNBENTONIL628121969
COURI JOSEPHnull1811901929Physician (010)7/28/2017Voluntary Withdrawal221 NE GLEN OAK AVEATTN: STEPHEN CIRONE GOMP 100PEORIAIL616360001
BATES JOSEPHINEnullnullIn-Home Care-Rehab (092)5/17/2017Terminated1945 S DRAKECHICAGOIL606235013
COCHRAN RAPHAELnullnullIn-Home Care-Rehab (092)9/8/2017TerminatedC/O J LEVESQUE-DODSON3120 MERIDAY LN #202ROCKFORDIL611092455
GOREE SHERRInullnull12/30/2015Terminated2014 N 53RD STEAST SAINT LOUISIL622041513
KEEL DARNELLnullnullVEE TRANSPORTATION2/24/2017Barrednullnullnullnullnull
THOMPSON SHERRInullnullCSS TRANSPORTATION CORP11/16/2016Barrednullnullnullnullnull
CAMPOS DANIELnullnullIn-Home Care-Rehab (092)5/17/2017Terminated15026 PACKER LANECARTERVILLEIL629180007
CRAIG NICOLE LnullnullIn-Home Care-Rehab (092)6/21/2017Terminated2939 NORMANDY RD APTSPRINGFIELDIL627033009
DAVIS ALICIAnullnullIn-Home Care-Rehab (092)5/18/2015Terminated315 S 7TH APT 6PETERSBURGIL626753531
DAVIS PATRICIAnullnullIn-Home Care-Rehab (092)5/17/2017Terminated315 S. 7TH STREETPETERSBURGIL62675
HOPKINS KIARAnullnullIn-Home Care-Rehab (092)5/17/2017Terminated2012 OAK TREE LANECAHOKIAIL622061409
JONES MEREDITHnullnullIn-Home Care-Rehab (092)5/17/2017Terminated966 BELLE VALLEY DRBELLEVILLEIL622203401
JORDAN JEROMEnullnullIn-Home Care-Rehab (092)6/21/2017Terminated163 S MAYFAIR PLCHICAGO HEIGHTSIL604111113
LEE KAREN SUEnullnullIn-Home Care-Rehab (092)5/17/2017Terminatednullnullnullnullnull
MCCLELLAN PHILLIPnullnullIn-Home Care-Rehab (092)6/21/2017Terminated3520 WARRENBELLWOODIL601042135
MILLER CASSANDRAnullnullIn-Home Care-Rehab (092)5/17/2017Terminated606 E DECATUR STDECATURIL625212640
SANDERS STARVAIENAnullnullIn-Home Care-Rehab (092)6/21/2017Terminatednullnullnullnullnull
WILSON PHYLLISnullnullIn-Home Care-Rehab (092)5/17/2017TerminatedPO BOX 6208BROADVIEWIL601556208
YOUNG KEVIN DnullnullIn-Home Care-Rehab (092)6/21/2017TerminatedPO BOX 8631ROCKFORDIL611266515
ADVANCED CUSTOM ORTHOTICS INCnull1053555417Oth Prov MES-Non-reg(063)10/22/2015Terminated1312 JEANNE HILLS DRIVEST. LOUISMO63146
ANDREWS CAROLYNnullnullIn-Home Care-Rehab (092)10/6/2017Terminated609 ST. CECILIACAHOKIAIL62206
ATWOOD MISTYnullnullIn-Home Care-Rehab (092)7/19/2017Terminated426 W PALMROODHOUSEIL620820122
BEHRHORST SHEAnullnullIn-Home Care-Rehab (092)10/6/2017Terminated623 E ADAMS STSPRINGFIELDIL627011614
BERGER ISRAELnull1568482214Physician (010)3/31/2017Terminated9669 KENTON AVE #306SKOKIEIL600761226
CHARLTON MELISSAnullnullIn-Home Care-Rehab (092)11/9/2017Terminated1000 UNIVERSITY DRIVE, SWWASECAMN56093
CLARDY EUGENEnullnullIn-Home Care-Rehab (092)7/19/2017Terminatednullnullnullnullnull
COX ANTHONYnullnullIn-Home Care-Rehab (092)11/9/2017TerminatedPO BOX 24301CHICAGOIL60624
ERBE SUSAN ANNnullnullIn-Home Care-Rehab (092)7/19/2017Terminated1201 ANN ELIZA #3PEKINIL615543623
FORKNER TIESHAnullnullIn-Home Care-Rehab (092)10/6/2017TerminatedAPT F11 KENSINGTON HEIGHTSBELLEVILLEIL622263112
GILMAN MICHAELnullnullPASSAGES HOSPICE LLC4/13/2017Barrednullnullnullnullnull
GILMAN SETHnullnullPASSAGES HOSPICE LLC4/13/2017Barrednullnullnullnullnull
GREENE JASONnullnullIn-Home Care-Rehab (092)7/26/2017Terminatednullnullnullnullnull
HARRELL SHIQUITAnullnullIn-Home Care-Rehab (092)6/21/2017Terminated105 GIRARD BLVDJOLIETIL604333105
HARRIS TAYLORnullnullIn-Home Care-Rehab (092)7/26/2017Terminatednullnullnullnullnull
HERRMANN AARONnullnullIn-Home Care-Rehab (092)11/9/2017Terminated607 WALNUT STJERSEYVILLEIL620521011
HOWARD TOINITAnullnullIn-Home Care-Rehab (092)7/26/2017Terminated2413 NEW HEAVEN CT 3ROCKFORDIL611088416
HUGHES MARYnullnullIn-Home Care-Rehab (092)8/16/2017Terminated1702 S OAKWOODPEORIAIL616052646
INGRAM VERA IRENEnullnullIn-Home Care-Rehab (092)7/26/2017Terminated507 E JEFFERSONEFFINGHAMIL624013915
JOHNSON NANETTEnullnullIn-Home Care-Rehab (092)7/26/2017Terminatednullnullnullnullnull
LEE CHARLIETTA MnullnullIn-Home Care-Rehab (092)7/19/2017Terminatednullnullnullnullnull
LOGAN DONALDnullnullIn-Home Care-Rehab (092)11/9/2017TerminatedPO BOX 2404DECATURIL625242110
LUCAS DELPHINEnullnullDORS - AIDS (093)7/19/2017Terminatednullnullnullnullnull
LUCERO ROGERnull1093851164Physician (010)9/10/2017Terminated4001 W DEVON AVESTE 207CHICAGOIL606464537
MACK KASHOnullnullIn-Home Care-Rehab (092)6/21/2017Terminated2626 HANSON STROCKFORDIL611096931
MORRISON TIMOTHYnullnullIn-Home Care-Rehab (092)7/19/2017Terminated521 VINE STMOUNT CARMELIL628632357
PRIMES PATRICIAnullnullIn-Home Care-Rehab (092)6/21/2017Terminatednullnullnullnullnull
PURIOFY TREONnullnullIn-Home Care-Rehab (092)7/19/2017Terminated3524 N MAIN STROCKFORDIL611014155
ROSE DAVIDnullnullIn-Home Care-Rehab (092)11/9/2017Terminated610 MIAMI STJOLIETIL604322127
SANDERS KATTIEnullnullIn-Home Care-Rehab (092)7/26/2017Terminated814 IRVING AVEROCKFORDIL611013931
SMITH MONISEnullnullIn-Home Care-Rehab (092)11/9/2017Terminated1117 W 82ND STCHICAGOIL606203892
SNYDER JESSEnullnullIn-Home Care-Rehab (092)11/9/2017Terminated408 E WALNUT STPO BOX 76WASHBURNIL615703347
STEMLEY SHANERIAnullnullDORS - AIDS (093)10/6/2017Terminatednullnullnullnullnull
STINNETT TERRY LnullnullIn-Home Care-Rehab (092)7/19/2017TerminatedPO BOX 1843MARIONIL629598043
TAYLOR TORYnullnullIn-Home Care-Rehab (092)7/19/2017Terminated2041 HOLLYWOOD CTHANOVER PARKIL601336206
THOELE DIANE MnullnullIn-Home Care-Rehab (092)7/26/2017TerminatedPO BOX 6021EFFINGHAMIL624012002
THURMAN CANDICE LnullnullIn-Home Care-Rehab (092)7/19/2017Terminated4500 S LAMONCHICAGOIL606381958
TIWARI KAMALnull1578558789Physician (010)9/10/2017TerminatedSTE 1502920 MCINTIRE DRIVEBLOOMINGTONIN474034216
VAUGHN TISAnullnullIn-Home Care-Rehab (092)7/19/2017Terminatednullnullnullnullnull
WALTON LORETTAnullnullIn-Home Care-Rehab (092)10/6/2017TerminatedAPT C304 ESTATE DRIVEO FALLONIL622691547
WILLETT BLAYKEnullnullIn-Home Care-Rehab (092)11/9/2017Terminated29420 PLAUTZ RDROCK FALLSIL610719496
WILSON CALVINnullnullIn-Home Care-Rehab (092)7/19/2017Terminated10222 S INDIANACHICAGOIL606282130
WU BRIAN Mnull1225046113Physician (010)11/6/2017Voluntary Withdrawal6317 NORTHWEST HYWYCRYSTAL LAKEIL600147934
YOUNT CHRISnullnullIn-Home Care-Rehab (092)7/19/2017Terminated1460 SUMMIT DR APT 2PEKINIL615546468

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