rockford area - community care alliance of illinois...rockford area boone, mchenry, ogle and...
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Provider directoryCommunity Complete (D-SNP) • Community Advantage (HMO)
Boone, McHenry, Ogle and Winnebago CountiesRockford areaPhysicians listed alphabetically by zip code.
H3071_OP P008_099_073015 Accepted 10/2/2015
Provider Directory – Rockford Area
Community Advantage (HMO)
&
Community Complete (HMO D-SNP)
This directory provides a list of the Community Advantage (HMO) and Community Complete (HMO D-SNP) network providers. This directory is for the greater Rockford (IL) area. This directory is current as of March 28, 2016. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Community Advantage (HMO) and Community Complete (HMO D-SNP) network providers in your area, you can visit www.ccaillinois.com/medicare or call our Member Service Department at 1-855-275-2781, Monday through Friday between 8:00am and 8:00pm. TTY/TDD users should call 711. The provider network may change at any time. You may receive notice when necessary. Community Care Alliance of Illinois, NFP offers Community Advantage (HMO) and Community Complete (HMO D-SNP) under contracts with Medicare and the Illinois Medicaid program. Enrollment in Community Care Alliance of Illinois, NFP depends on contract renewal. This information is available for free in other languages. Please call our Member Services number at 1-855-275-2781; Monday through Friday between the hours of 8 a.m. and 8 p.m.; TTY/TDD users should call 711. Esta información está disponible gratuitamente en otros idiomas. Por favor, llame a Servicios de Miembros s al 1-855-275-2781 de lunes a viernes, de 8 a.m. a 8 p.m.; los usuarios de TTY/TDD deben llamar al 711. H3071_OP P008_099_073015 Accepted 10/2/2015
Section 1 – Introduction This directory provides a list of Community Advantage (HMO) and Community Complete (HMO D-SNP) network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. You will have to choose one of our network providers who are listed in this directory to be your Primary Care Physician (PCP). The term “PCP” will be used throughout this directory. Generally, you must get your health care services from your PCP. Generally, you must get your health care from your PCP. The “network providers” listed in this directory have agreed to provide you with your health care services. You may go to any of our network providers listed in this directory. However, some services may require a referral. If you have been going to one network provider, you are not required to continue to go to that same provider. In some cases, you may get covered services from non-network providers. Your PCP will provide you with referrals as needed for services that they do not provide themselves, such as specialty care, x-rays and radiology, and laboratory, for example. The PCP also works with our Plan to generate authorizations as required for services such as: hospital or other admissions; day surgeries; physical, occupational or speech therapies, diagnostic radiology (besides x-rays); home heath; on-going specialist care. “Non-plan providers” are providers that are not part of the Community Advantage (HMO) or Community Complete (HMO D-SNP) plan. If you use non-plan providers, you may have to pay more. Care or services you get from non-plan providers will not be covered, except for ambulance services, emergency care, including post-stabilization care, urgently needed care, renal (kidney) dialysis, and any services which were approved through an appeals process. We cover certain health care services that you get from non-plan providers. These include care for a medical emergency, urgently needed care, renal (kidney) dialysis that you get when you are outside the plan’s service area, care that has been approved in advance by Community Care Alliance of Illinois, NFP, and any services which were approved through an appeals process. If a non-plan provider asks you to pay for covered services you get in these situations, please contact us at:
Community Care Alliance of Illinois, NFP 322 S Green St.
Suite 400 Chicago, IL 60607
Or call Member services at 1-855-275-2781
Monday through Friday between 8:00am and 8:00pm for assistance (7 days a week from October 1 through February 14)
TTY/TDD Users call 711
Or visit us at www.ccaillinois.com/medicare
You should never pay any non-plan provider more than what the provider is allowed by Medicare. The provider has a right to get his/her fees, but does not have a right to get them from you. Ask the non-plan provider to bill us first. If you have already paid for the covered services, we will reimburse you for our share of the cost. If you get a bill for the services, you can send the bill to us for payment. We will pay your non-plan provider for our share of the bill and will let you know what, if anything, you must pay. When you are outside the service area and cannot get care from a network provider, our plan will cover urgently needed care that you get from any provider. The only services we cover when you are outside of our service area are care for a medical emergency, including post-stabilization care, urgently needed care, renal (kidney) dialysis, and care that a Community Advantage (HMO) or Community Complete (D-SNP) plan provider has approved in advance. If you have questioned whether a service is covered when you travel please call, Member services at 1-855-275-2781. TTY/TDD Users call 711. As a supplemental benefit to our members, Community Advantage and Community Complete cover emergent and urgently needed care, even if you receive the care outside of the United States. You will need to contact your PCP as soon as possible when you know you need to seek care or after you are stabilized. You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers neither Medicare nor your will be responsible for the costs. What is the service area for the Community Advantage (HMO) and Community Complete (HMO D-SNP) plans? The Illinois counties in our service area are listed below.
Boone McHenry Ogle Winnebago
How do you find Community Advantage (HMO) and Community Complete (HMO D-SNP) providers in your area? The providers are arranged by County in alphabetical order and then by Provider Type. Since all Enrollees need to choose a PCP, PCPs are listed first. In order to find a provider closest to your home, locate your county first, then your zip code. If you have questions about your plan or require assistance in selecting a PCP, please call our Member services at 1-855-275-2781 Monday through Friday between 8:00am and 8:00pm for assistance (7 days a week from October 1 through February 14). TTY Users call 711. Or, visit www.ccaillinois.com/medicare.
Community Care Alliance of Illinois, NFP
Provider Directory
Rockford‐area
Primary Care Providers (PCP’s)
Federally Qualified Health Centers - IL - BOONECRUSADER CLINIC BELVIDEREProvider Type: Federally Qualified Health Centers
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: PEDIATRICS
NPI: 1780852244
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000054581
1
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
Nurse Practitioners - IL - BOONEBRICK, GAIL (Female)Provider Type: Nurse Practitioners
Address: 2170 PEARL ST , BELVIDERE IL 61008Phone: 815-547-5461 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1679724561
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090232
COBB, JOAN (Female)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1003282344
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000094489
EGGERS, ROSE (Female)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1689609372
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042845
HADIE, ANGELA (Female)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1073941605
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043598
KITTS FARON, ANGELA (Female)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1609242049
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:30 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:30 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: No
CEB #: 1000094430
2
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MCCAIN, RUBY LATOSHA (Female)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: GERIATRICS
NPI: 1437530813
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: No
CEB #: 1000094478
PATEL, VELISA J (Female)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1366810632
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: GUJARATI
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:30 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:30 Fri: 08:00 - 17:30 Sat: 09:00 - 12:00Accepts Medicaid: No
CEB #: 1000094461
RUSSELL, ELISSA (Female)Provider Type: Nurse Practitioners
Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 61008Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1225316722
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058889
TAYLOR, JENNIFER (Female)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1982030730
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043542
YONTZ, LYNN (Female)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: GERIATRICS
NPI: 1629052741
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042946
3
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
Physicians - IL - BOONEABBAS, SYED (Male)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1972733103
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043433
BROWN, MARY (Female)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1750365862
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042837
DORONILA HUGHES, KATERINA (Female)Provider Type: Physicians
Address: 143 KISHWAUKEE ST , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1942304456
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038201
GIAMALVA, ANDREA (Female)Provider Type: Physicians
Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 61008Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1104146539
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000056996
GORHAM, STEPHANIE (Female)Provider Type: Physicians
Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 61008Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1023239258
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:30 - 19:00 Wed: 08:30 - 19:00 Thu: 08:30 - 19:00 Fri: 08:00 - 17:00 Sat: 08:30 - 12:00Accepts Medicaid: Yes
CEB #: 1000039102
4
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
IRONSIDE, MARY (Female)Provider Type: Physicians
Address: 2170 PEARL ST , BELVIDERE IL 61008Phone: 8153955886 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1275579658
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Wed: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039367
JARADAH, BASIL (Male)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1427368935
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043476
KELLENBERGER, NEAL (Male)Provider Type: Physicians
Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 61008Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1427210319
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 19:00 Thu: 08:30 - 19:00 Fri: 08:00 - 17:00 Sat: 08:30 - 12:00Accepts Medicaid: Yes
CEB #: 1000038436
MELLISH, DAWN (Female)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1154306082
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091369
MILLER, KIMBERLY (Female)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1669606281
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042934
5
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MOLINARI, ANTHONY F (Male)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: PEDIATRICS
NPI: 1043290158
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096009
MORKER, DIVYESH (Male)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1629399399
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000101305
MYERS, RACHEL (Female)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 815-547-3780 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1013149889
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096143
OKESON, EDWIN (Male)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1619951019
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042910
OLORIEGBE, FATIMAH (Female)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1760672554
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043260
6
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
PARIKH, RUCHI (Female)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1689992885
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096196
POCOCK, DAVID (Male)Provider Type: Physicians
Address: 2170 PEARL ST , BELVIDERE IL 61008Phone: 815-547-5461 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1447240445
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000096217
SANDOVAL, WILLIAM (Male)Provider Type: Physicians
Address: 1747 HENRY LUCKLOW LN , BELVIDERE IL 61008Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1912080912
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091606
SANZ, JAIME (Male)Provider Type: Physicians
Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 61008Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1508937772
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 19:00 Thu: 08:30 - 19:00 Fri: 08:00 - 17:00 Sat: 08:30 - 12:00Accepts Medicaid: Yes
CEB #: 1000038939
SAPYING, ATISAK (Male)Provider Type: Physicians
Address: 2170 PEARL ST , BELVIDERE IL 61008Phone: 815-547-5461 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1982694980
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096338
7
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
SIMMONS, MARY (Female)Provider Type: Physicians
Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 61008Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1457373946
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 19:00 Thu: 08:30 - 19:00 Fri: 08:00 - 17:00 Sat: 08:30 - 12:00Accepts Medicaid: Yes
CEB #: 1000039052
SY, LARRY (Male)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1932182995
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043295
TASHAKORI, MAHTAB (Female)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 815-547-3780 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1508895780
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: PERSIAN/FARSI
Handicap Access: Yes
Hrs:Sun: 09:00 - 17:0 Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096312
TILLERY, JEFFRY (Male)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 815-547-3780 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1689602211
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096304
VAZQUEZ LOZANO, MARIA (Female)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1306132642
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000064195
8
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
ZAHEER, KASHIF (Male)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 815-547-3780 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1417996729
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096187
ZAHEER, KASHIF (Male)Provider Type: Physicians
Address: 143 KISHWAUKEE ST , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1417996729
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039301
ZAIDI, SYED (Male)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 815-547-3780 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1285949800
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096271
MORKER, DIVYESH (Male)Provider Type: Physicians
Address: 13539 IL RTE 76 , POPLAR GROVE IL 61065Phone: 8157650147 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1629399399
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000101336
ZAHEER, KASHIF (Male)Provider Type: Physicians
Address: 13539 IL Rte 76 , POPLAR GROVE IL 61065Phone: 815-765-0427 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1417996729
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096202
9
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
Nurse Practitioners - IL - MCHENRYCARMAN, JASON (Male)Provider Type: Nurse Practitioners
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1174522825
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038645
CARMAN, JASON (Male)Provider Type: Nurse Practitioners
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1174522825
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038806
MILBORN, VALERIE (Female)Provider Type: Nurse Practitioners
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1992704662
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085014
BHATT, VANCHHANA (Female)Provider Type: Nurse Practitioners
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1578844478
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042591
GREEN, ANTOINETTE (Female)Provider Type: Nurse Practitioners
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1134409576
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 21:00 Tue: 09:00 - 21:00 Wed: 09:00 - 21:00 Thu: 09:00 - 21:00 Fri: 09:00 - 21:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105943
10
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
KOWALCZYK, KAREN (Female)Provider Type: Nurse Practitioners
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1316189343
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: No
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042676
TAMPARONG, NAOMI (Female)Provider Type: Nurse Practitioners
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1922346220
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 19:00Accepts Medicaid: Yes
CEB #: 1000042529
ZAMORA, JULIE (Female)Provider Type: Nurse Practitioners
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1740690726
Min. Age: 0 Max. Age: 99
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs:Sun: 10:00 - 16:0 Tue: 09:00 - 21:00 Wed: 09:00 - 21:00 Thu: 09:00 - 21:00 Fri: 09:00 - 21:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000083844
BRYANT, SUZANNE (Female)Provider Type: Nurse Practitioners
Address: 204 E PRAIRIE ST , MARENGO IL 60152Phone: 8155683000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1598973018
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058938
JOHNSON, MEGAN (Female)Provider Type: Nurse Practitioners
Address: 204 E PRAIRIE ST , MARENGO IL 60152Phone: 8155683000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1760730576
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058567
11
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MCNAMARA, MARY (Female)Provider Type: Nurse Practitioners
Address: 204 E PRAIRIE ST , MARENGO IL 60152Phone: 8155683000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1972944510
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058835
CARMAN, JASON (Male)Provider Type: Nurse Practitioners
Address: 2507 RICHMOND RD , MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1174522825
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084853
BHATT, VANCHHANA (Female)Provider Type: Nurse Practitioners
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1578844478
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106364
GREEN, ANTOINETTE (Female)Provider Type: Nurse Practitioners
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1134409576
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106407
GREEN, ANTOINETTE (Female)Provider Type: Nurse Practitioners
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1134409576
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106407
12
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
KOWALCZYK, KAREN (Female)Provider Type: Nurse Practitioners
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1316189343
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106427
TAMPARONG, NAOMI (Female)Provider Type: Nurse Practitioners
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1922346220
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106456
ZAMORA, JULIE (Female)Provider Type: Nurse Practitioners
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1740690726
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106467
13
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
Physicians - IL - MCHENRYBREMER, BONNIE (Female)Provider Type: Physicians
Address: 1465 COMMERCE DR , ALGONQIUN IL 60102Phone: 8476580100 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1396738894
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038462
BURRELL, BARBARA (Female)Provider Type: Physicians
Address: 1465 COMMERCE DR , ALGONQIUN IL 60102Phone: 8476580100 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1417055765
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039233
THAN, BABY (Female)Provider Type: Physicians
Address: 1465 COMMERCE DR , ALGONQIUN IL 60102Phone: 8476580100 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1033371554
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000067523
ALI, MUHAMMAD (Male)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1932201712
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084837
BAHADUR, SHRUTI (Female)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1508035304
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084840
14
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
BREMER, BONNIE (Female)Provider Type: Physicians
Address: 650 DAKOTA ST - STE A, CRYSTAL LAKE IL 60012Phone: 8154556000 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1396738894
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039120
BURRELL, BARBARA (Female)Provider Type: Physicians
Address: 650 DAKOTA ST - STE A, CRYSTAL LAKE IL 60012Phone: 8154556000 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1417055765
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039189
CAMODECA, PATRICK (Male)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1013915248
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038609
KANG, YONG (Female)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1386764884
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038392
KOSTINSKY, NATALIE (Female)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1205835881
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038544
15
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
LACROSSE, MARILYN (Female)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: No
Pri. Specialty: EMERGENCY MEDICINE Sec. Specialty: PEDIATRICS
NPI: 1255376885
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000085025
LORENC, Z TED (Male)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1902879380
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095299
PATEL, MANOJ (Male)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1306846670
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039391
ROSANWO, MATILDA (Female)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1871570978
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084997
STINSON, WILLIAM (Male)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1336112911
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038350
16
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
YANAMADULA, AMITHA (Female)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1972729283
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TELUGU
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085011
ALI, MUHAMMAD (Male)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1932201712
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 21:00 Tue: 09:00 - 21:00 Wed: 09:00 - 21:00 Thu: 09:00 - 21:00 Fri: 09:00 - 21:00Accepts Medicaid: Yes
CEB #: 1000085058
BAHADUR, SHRUTI (Female)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1508035304
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084843
CAMODECA, PATRICK (Male)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1013915248
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038891
KANG, YONG (Female)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1386764884
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039328
17
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
KHAN, FAZAL (Male)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSP - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1669430567
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039356
KO, JARED (Male)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1952369753
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038147
KOSTINSKY, NATALIE (Female)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1205835881
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038708
LACROSSE, MARILYN (Female)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: No
Pri. Specialty: EMERGENCY MEDICINE Sec. Specialty: PEDIATRICS
NPI: 1255376885
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085028
MCCARTHY, STEVEN (Male)Provider Type: Physicians
Address: 10350 HALIGUS RD - STE B310, HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1497765309
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039136
18
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
OSADNIK, RENATA (Female)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1902819717
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038882
PATEL, MANOJ (Male)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1306846670
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038390
PATEL, PIUSHKUMAR (Male)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1447254255
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039320
ROSANWO, MATILDA (Female)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1871570978
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085000
SZETO, ANITA (Female)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1073620175
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039165
19
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
YU TUNGOL, DEBBIE (Female)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1497958912
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039121
ALENGO, DAVID (Male)Provider Type: Physicians
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital: MERCY HOSPITAL & MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1356335996
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00 Sat: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000042471
BELLUCCI JACKSON, JENNIFER (Female)Provider Type: Physicians
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1689669293
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042666
FRODERMAN, TIMOTHY (Male)Provider Type: Physicians
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1033148903
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042559
NAYDENOV, TZVETAN (Male)Provider Type: Physicians
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1134141195
Min. Age: 0 Max. Age: 99
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs:Sun: 10:00 - 16:0 Mon: 09:00 - 21:00 Tue: 09:00 - 21:00 Wed: 09:00 - 21:00 Thu: 09:00 - 21:00 Fri: 09:00 - 21:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000064858
20
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
PENN, MARK (Male)Provider Type: Physicians
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1639205255
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs:Sun: 10:00 - 16:0 Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105879
AHMAD, TANVEER (Male)Provider Type: Physicians
Address: 21807 W GRANT HWY , MARENGO IL 60152Phone: 815-568-1074 Network: TANVEER AHMAD
Pri. Hospital: CENTEGRA HOSPITAL - WOODSTOCK
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1093811374
Min. Age: 15 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 10:00 - 17:00 Tue: 09:00 - 17:00 Wed: 10:00 - 17:00 Thu: 11:00 - 17:00 Fri: 08:30 - 15:00Accepts Medicaid: Yes
CEB #: 1000060673
LOPEZ, CASSANDRA (Female)Provider Type: Physicians
Address: 204 E PRAIRIE ST , MARENGO IL 60152Phone: 8155683000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1619125317
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 11:00 - 20:00 Tue: 11:00 - 20:00 Wed: 11:00 - 20:00 Thu: 11:00 - 20:00 Fri: 11:00 - 20:00 Sat: 11:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000038819
ZAHEER, KASHIF (Male)Provider Type: Physicians
Address: 556 E GRANT HWY , MARENGO IL 60152Phone: 8155687313 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1417996729
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039312
ZAHEER, KASHIF (Male)Provider Type: Physicians
Address: 556 E GRANT HWY , MARENGO IL 60152Phone: 8155687313 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1417996729
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096179
21
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
ANDERSON, JOHN (Male)Provider Type: Physicians
Address: 4309 W MEDICAL CENTER DR - STE B202, MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1962450049
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039159
BANGASH, IFZAL (Male)Provider Type: Physicians
Address: 4309 W MEDICAL CENTER DR - STE B202, MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1437267010
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000079002
BANGASH, IFZAL (Male)Provider Type: Physicians
Address: 4314 W CRYSTAL LAKE RD - STE B, MCHENRY IL 60050Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1437267010
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038977
CAMODECA, PATRICK (Male)Provider Type: Physicians
Address: 2507 RICHMOND RD , MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1013915248
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084848
DAVIS, ERIN (Female)Provider Type: Physicians
Address: 4309 W MEDICAL CENTER DR - STE B202, MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1215985387
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038463
22
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
DEVENNEY, PHILIPPA (Female)Provider Type: Physicians
Address: 4309 W MEDICAL CENTER DR - STE B202, MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1518189083
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039190
HUERTA DE HATHAWAY, DANIELA (Female)Provider Type: Physicians
Address: 4309 MEDICAL CENTER DR - STE B205, MCHENRY IL 60050Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1235390154
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084603
KANG, YONG (Female)Provider Type: Physicians
Address: 2507 RICHMOND RD , MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1386764884
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084878
KOSTINSKY, NATALIE (Female)Provider Type: Physicians
Address: 2507 RICHMOND RD , MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1205835881
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084883
MONJE, MARILE (Female)Provider Type: Physicians
Address: 4309 W MEDICAL CENTER DR - STE B202, MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1730257783
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038434
23
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MOWERY, JAMES (Male)Provider Type: Physicians
Address: 4309 W MEDICAL CENTER DR - STE B202, MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1225086143
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039051
PATEL, MANOJ (Male)Provider Type: Physicians
Address: 2507 RICHMOND RD , MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1306846670
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085008
POPLI, RAMAN (Male)Provider Type: Physicians
Address: 5415 BULL VALLEY RD , MCHENRY IL 60050Phone: 815-363-6055 Network: DR RAMAN POPLI AND ASSOCIATES
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1013928712
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs:Accepts Medicaid: Yes
CEB #: 1000039758
ROSANWO, MATILDA (Female)Provider Type: Physicians
Address: 2507 RICHMOND RD , MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1871570978
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085003
SANCHEZ, OSCAR (Male)Provider Type: Physicians
Address: 5435 BULL VALLEY RD - STE 218, MCHENRY IL 60050Phone: 8155780224 Network: OMSO MEDICAL LTD
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1164426094
Min. Age: 8 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 14:00 - 18:00 Tue: 11:00 - 18:00 Thu: 11:00 - 18:00 Fri: 10:00 - 18:00 Sat: 09:00 - 13:00Accepts Medicaid: Yes
CEB #: 1000038516
24
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
SKOPEC, JAMES (Male)Provider Type: Physicians
Address: 4309 W MEDICAL CENTER DR - STE B202, MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1629026539
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038180
TILOT, THOMAS (Male)Provider Type: Physicians
Address: 5435 BULL VALLEY RD - STE 200, MCHENRY IL 60050Phone: 8153851101 Network: THOMAS C TILOT MD SC
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1720146400
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 07:30 - 11:30Accepts Medicaid: Yes
CEB #: 1000039092
ZAIDI, MAZHAR (Male)Provider Type: Physicians
Address: 3901 MERCY DR , MCHENRY IL 60050Phone: 815-363-9900 Network: GREATER ELGIN FAMILY CARE CENTER
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1093729501
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: No
Hrs: Mon: 08:00 - 19:30 Tue: 08:00 - 19:30 Wed: 08:00 - 19:30 Thu: 08:00 - 19:30 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042317
ALENGO, DAVID (Male)Provider Type: Physicians
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1356335996
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042463
BELLUCCI JACKSON, JENNIFER (Female)Provider Type: Physicians
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1689669293
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106205
25
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
FRODERMAN, TIMOTHY (Male)Provider Type: Physicians
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1033148903
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106398
NAYDENOV, TZVETAN (Male)Provider Type: Physicians
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1134141195
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106441
PENN, MARK (Male)Provider Type: Physicians
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1639205255
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042553
DILLA, ANN (Female)Provider Type: Physicians
Address: 1906 HOLIAN DR , SPRING GROVE IL 60081Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1568490977
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039071
NARANG, ARUN (Male)Provider Type: Physicians
Address: 7432 HANCOCK DR , WONDER LAKE IL 60097Phone: 815-728-0444 Network: ARUN NARANG
Pri. Hospital: CENTEGRA HOSP - WOODSTOCK
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1952469215
Min. Age: 13 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000062860
26
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
NARANG, ARUN (Male)Provider Type: Physicians
Address: 7432 HANCOCK DR , WONDER LAKE IL 60097Phone: 815-728-0444 Network: ARUN NARANG
Pri. Hospital: CENTEGRA HOSP - WOODSTOCK
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1952469215
Min. Age: 13 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000062860
NARANG, ARUN (Male)Provider Type: Physicians
Address: 7432 HANCOCK DR , WONDER LAKE IL 60097Phone: 815-728-0444 Network: ARUN NARANG
Pri. Hospital: CENTEGRA HOSP - WOODSTOCK
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1952469215
Min. Age: 13 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000062860
NARANG, ARUN (Male)Provider Type: Physicians
Address: 7432 HANCOCK DR , WONDER LAKE IL 60097Phone: 815-728-0444 Network: ARUN NARANG
Pri. Hospital: CENTEGRA HOSP - WOODSTOCK
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1952469215
Min. Age: 13 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000062860
NARANG, ARUN (Male)Provider Type: Physicians
Address: 7432 HANCOCK DR , WONDER LAKE IL 60097Phone: 815-728-0444 Network: ARUN NARANG
Pri. Hospital: CENTEGRA HOSP - WOODSTOCK
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1952469215
Min. Age: 13 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000062860
NARANG, ARUN (Male)Provider Type: Physicians
Address: 7432 HANCOCK DR , WONDER LAKE IL 60097Phone: 815-728-0444 Network: ARUN NARANG
Pri. Hospital: CENTEGRA HOSP - WOODSTOCK
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1952469215
Min. Age: 13 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000062860
27
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
NARANG, ARUN (Male)Provider Type: Physicians
Address: 7432 HANCOCK DR , WONDER LAKE IL 60097Phone: 815-728-0444 Network: ARUN NARANG
Pri. Hospital: CENTEGRA HOSP - WOODSTOCK
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1952469215
Min. Age: 13 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000062860
NARANG, ARUN (Male)Provider Type: Physicians
Address: 7432 HANCOCK DR , WONDER LAKE IL 60097Phone: 815-728-0444 Network: ARUN NARANG
Pri. Hospital: CENTEGRA HOSP - WOODSTOCK
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1952469215
Min. Age: 13 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000062860
NARANG, SUNITA (Female)Provider Type: Physicians
Address: 7432 HANCOCK DR , WONDER LAKE IL 60097Phone: 815-728-0444 Network: ARUN NARANG
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1306904644
Min. Age: 13 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000062879
AHMAD, TANVEER (Male)Provider Type: Physicians
Address: 335 W BLAKELY ST , WOODSTOCK IL 60098Phone: 815-568-1074 Network: TANVEER AHMAD
Pri. Hospital: CENTEGRA HOSPITAL - WOODSTOCK
Accepting New Patients: No
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1093811374
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000060678
EMMONS, JOSEPH (Male)Provider Type: Physicians
Address: 3707 DOTY RD - STE C, WOODSTOCK IL 60098Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1407804586
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038313
28
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
GLOSSON, LISA (Female)Provider Type: Physicians
Address: 3707 DOTY RD - STE G, WOODSTOCK IL 60098Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1780642678
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038566
HASAN, YASMEEN (Female)Provider Type: Physicians
Address: 3707 DOTY RD - STE H, WOODSTOCK IL 60098Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1811955636
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038818
HOFFMAN, MARCEL (Male)Provider Type: Physicians
Address: 3707 DOTY RD - STE D, WOODSTOCK IL 60098Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1538119300
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038342
JUDY, KAREN (Female)Provider Type: Physicians
Address: 3707 DOTY RD - STE D, WOODSTOCK IL 60098Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: No
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1093763120
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039209
LORENC, Z TED (Male)Provider Type: Physicians
Address: 3707 DOTY RD - STE H, WOODSTOCK IL 60098Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1902879380
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038173
29
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MARTINEZ, DAVID (Male)Provider Type: Physicians
Address: 3707 DOTY RD - STE H, WOODSTOCK IL 60098Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1245211259
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038472
NOFZINGER, PATRICIA (Female)Provider Type: Physicians
Address: 3707 DOTY RD - STE H, WOODSTOCK IL 60098Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: PEDIATRICS Sec. Specialty:
NPI: 1457319261
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000067526
PURDY, ROBIN (Male)Provider Type: Physicians
Address: 3707 DOTY RD - STE G, WOODSTOCK IL 60098Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1992858195
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038879
30
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
Physician Assistant - IL - MCHENRYAIKEN, BRIANA E (Female)Provider Type: Physician Assistant
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1649506874
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042663
BENAGES, JENNIFER K (Female)Provider Type: Physician Assistant
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1538462759
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042617
BLEZIEN, KIMBERLY L (Female)Provider Type: Physician Assistant
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1174832257
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042658
DEGNER, KENNETH L (Male)Provider Type: Physician Assistant
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1528287422
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042625
GOGULA, SUJATHA R (Female)Provider Type: Physician Assistant
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital: MERCY HOSPITAL & MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: PHYSICIAN ASSISTANT Sec. Specialty:
NPI: 1740431758
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TAGALOG
Handicap Access: No
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042483
31
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MACCALLUM, KATHLEEN M (Female)Provider Type: Physician Assistant
Address: 3801 RUNNING BROOK FARM , JOHNSBURG IL 60051Phone: 815-344-7741 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1922170265
Min. Age: 0 Max. Age: 99
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs:Sun: 10:00 - 16:0 Mon: 09:00 - 21:00 Tue: 09:00 - 21:00 Wed: 09:00 - 21:00 Thu: 09:00 - 21:00 Fri: 09:00 - 21:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000066438
PRICE, JAMIE (Female)Provider Type: Physician Assistant
Address: 3901 MERCY DR , MCHENRY IL 60050Phone: 815-363-9900 Network: GREATER ELGIN FAMILY CARE CENTER
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1487631958
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 08:00 - 19:30 Tue: 08:00 - 19:30 Wed: 08:00 - 19:30 Thu: 08:00 - 19:30 Fri: 08:00 - 19:30 Sat: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042408
AIKEN, BRIANA E (Female)Provider Type: Physician Assistant
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1649506874
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106146
BENAGES, JENNIFER K (Female)Provider Type: Physician Assistant
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1538462759
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106235
BLEZIEN, KIMBERLY L (Female)Provider Type: Physician Assistant
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1174832257
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000106377
32
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
DEGNER, KENNETH L (Male)Provider Type: Physician Assistant
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1528287422
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106385
GOGULA, SUJATHA R (Female)Provider Type: Physician Assistant
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital: MERCY HOSPITAL & MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: PHYSICIAN ASSISTANT Sec. Specialty:
NPI: 1740431758
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TAGALOG
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042505
MACCALLUM, KATHLEEN M (Female)Provider Type: Physician Assistant
Address: 9700 MAIN ST , RICHMOND IL 60071Phone: 815-678-4181 Network: FAMILY MEDICINE SPECIALISTS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1922170265
Min. Age: 0 Max. Age: 99
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000066466
33
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
Federally Qualified Health Centers - IL - MCHENRYMCHENRY COMMUNITY HEALTH CTRProvider Type: Federally Qualified Health Centers
Address: 3901 MERCY DR , MCHENRY IL 60050Phone: 815-363-9900 Network: GREATER ELGIN FAMILY CARE CENTER
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: PEDIATRICS
NPI: 1295014116
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: No
Hrs: Mon: 08:00 - 19:30 Tue: 08:00 - 19:30 Wed: 08:00 - 19:30 Thu: 08:00 - 19:30 Fri: 08:00 - 17:00 Sat: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000065355
34
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
Physicians - IL - OGLEGELLADA, KAREN (Female)Provider Type: Physicians
Address: 130 KYSOR DR , BYRON IL 61010Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1285897967
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00 Sat: 10:00 - 18:00Accepts Medicaid: Yes
CEB #: 1000039250
MYERS, RACHEL (Female)Provider Type: Physicians
Address: 109 N FRANKLIN ST , BYRON IL 61010Phone: 8152343900 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1013149889
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 10:00 - 19:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00Accepts Medicaid: Yes
CEB #: 1000096139
ROGERS, EMILY (Female)Provider Type: Physicians
Address: 220 W BLACKHAWK DR , BYRON IL 61010Phone: 8152342611 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1386856490
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 18:00 Tue: 07:00 - 17:00 Wed: 07:00 - 18:00 Thu: 07:00 - 17:30 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000039097
FLYNN, TIMOTHY (Male)Provider Type: Physicians
Address: 5665 N JUNCTION WAY , DAVIS JUNCTION IL 61020Phone: 779-696-9200 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1174566038
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039077
RETZER, DANIEL (Male)Provider Type: Physicians
Address: 5665 N JUNCTION WAY , DAVIS JUNCTION IL 61020Phone: 779-696-9200 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1063455079
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038782
35
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
SORIANO, CHRISTINA (Female)Provider Type: Physicians
Address: 5665 N JUNCTION WAY , DAVIS JUNCTION IL 61020Phone: 779-696-9200 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1215215744
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000055405
36
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
Federally Qualified Health Centers - IL - WINNEBAGOCRUSADER COMMUNITY HEALTHProvider Type: Federally Qualified Health Centers
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: PEDIATRICS
NPI: 1891082194
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000054351
CRUSADER CLINICProvider Type: Federally Qualified Health Centers
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: OBSTETRICS & GYNECOLOGY
NPI: 1902972557
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000054571
CRUSADER CLINIC BROADWAYProvider Type: Federally Qualified Health Centers
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: OBSTETRICS & GYNECOLOGY
NPI: 1265601488
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000054345
37
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
Physicians - IL - WINNEBAGOGO LIM, JOCELYN (Female)Provider Type: Physicians
Address: 1572 S BELL SCHOOL RD , CHERRY VALLEY IL 61016Phone: 8153323015 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1255376471
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: RUSSIAN
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095794
LIM, EDISON (Male)Provider Type: Physicians
Address: 1572 S BELL SCHOOL RD , CHERRY VALLEY IL 61016Phone: 8153323015 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1215966858
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095660
ABBAS, SYED (Male)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1972733103
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043431
BROWN, MARY (Female)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1750365862
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042840
DE GUZMAN, PEDRO (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1902834229
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096407
38
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
JARADAH, BASIL (Male)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1427368935
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043230
KHAN, MOHAMMED (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1679703797
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095963
KOUIMELIS, MICHAEL (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1033373907
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: GREEK
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096104
MARCK, MICHAEL (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1720018161
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095778
MARTENS, MONICA (Female)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1710142740
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095786
39
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MELLISH, DAWN (Female)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1154306082
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000091366
MILLER, KIMBERLY (Female)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1669606281
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042931
MORKER, DIVYESH (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8450 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1629399399
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000101317
MUELLER, JOHN (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1952335333
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096142
OKESON, EDWIN (Male)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1619951019
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042915
40
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
OLORIEGBE, FATIMAH (Female)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1760672554
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042917
PETERSEN, KENNETH (Male)Provider Type: Physicians
Address: 7702 N ALPINE RD , LOVES PARK IL 61111Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1912017104
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039213
SHAIR, NUHA (Female)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8470 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PEDIATRICS Sec. Specialty:
NPI: 1881856821
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000096316
SY, LARRY (Male)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1932182995
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043293
TILLERY, JEFFRY (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8470 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1689602211
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096289
41
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
TOMACRUZ, MOSES (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8470 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1144414921
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096102
VAZQUEZ LOZANO, MARIA (Female)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1306132642
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000064206
WHELAN, SARAH (Female)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8450 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1477598241
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: GUJARATI
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096229
ZAHEER, KASHIF (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8450 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1417996729
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000096163
ZAIDI, SYED (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8470 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1285949800
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096253
42
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
TCHAPNDA, LUC (Male)Provider Type: Physicians
Address: 380 IL RT 38 EAST , ROCHELLE IL 61068Phone: 7796969050 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1801044763
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038809
ABBAS, SYED (Male)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1972733103
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043436
ABBAS, SYED (Male)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1972733103
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043440
AGUERO MEDINA, CARLOS (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1053364349
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038601
ALENGO, DAVID (Male)Provider Type: Physicians
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1356335996
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000103736
43
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
ALENGO, DAVID (Male)Provider Type: Physicians
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1356335996
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000103777
BARIS, AL (Male)Provider Type: Physicians
Address: 6824 NEWBURG RD , ROCKFORD IL 61108Phone: 7796967610 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1821029091
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 18:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038646
BAUTISTA, ELEANOR (Female)Provider Type: Physicians
Address: 698 FEATHERSTONE RD - STE 250, ROCKFORD IL 61107Phone: 8153994404 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1780669804
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TAGALOG
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039360
BAUTISTA, ELEANOR (Female)Provider Type: Physicians
Address: 6861 VILLAGREEN VIEW , ROCKFORD IL 61107Phone: 8152821339 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1780669804
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TAGALOG
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039179
BELLUCCI JACKSON, JENNIFER (Female)Provider Type: Physicians
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1689669293
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000103640
44
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
BELLUCCI JACKSON, JENNIFER (Female)Provider Type: Physicians
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1689669293
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000103624
BOPARAI, GURPREET (Male)Provider Type: Physicians
Address: 2404 CHARLES ST , ROCKFORD IL 61108Phone: 7796967910 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1275732091
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085774
BROWN, MARY (Female)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1750365862
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042838
BROWN, MARY (Female)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1750365862
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042839
BUCHA, JURATE (Female)Provider Type: Physicians
Address: 3775 N MULFORD RD , ROCKFORD IL 61114Phone: 8156366400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1760705834
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 19:00 Tue: 08:00 - 18:00 Wed: 08:00 - 18:00 Thu: 08:00 - 19:00 Fri: 09:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038929
45
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
CARTER, MELINDA (Female)Provider Type: Physicians
Address: 2404 CHARLES ST , ROCKFORD IL 61108Phone: 7796967910 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1871522318
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038138
CHAU, THIRATH (Female)Provider Type: Physicians
Address: 301 E STATE ST , ROCKFORD IL 61104Phone: 815-668-7810 Network: OAK STREET HEALTH
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1285896720
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000087425
COATES, AARON (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1871603050
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000038358
COPELAND, DANNY (Male)Provider Type: Physicians
Address: 6824 NEWBURG RD , ROCKFORD IL 61108Phone: 7796967610 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1790727766
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 18:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000039118
DAVIS, RAYMOND (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PEDIATRICS Sec. Specialty:
NPI: 1417067604
Min. Age: 0 Max. Age: 21
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000064450
46
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
DEAN, LESLIE (Female)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1316912462
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000092083
DEMING, RICHARD (Male)Provider Type: Physicians
Address: 2404 CHARLES ST , ROCKFORD IL 61108Phone: 7796967910 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1275562712
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000039101
DEVENNEY, PHILIPPA (Female)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1518189083
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039380
DUDAS, ANDRZEJ (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1609037308
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: POLISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000088156
DURANI, HINA (Male)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1598053654
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091385
47
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
EVERSON, RALPH (Male)Provider Type: Physicians
Address: 6824 NEWBURG RD , ROCKFORD IL 61108Phone: 7796967610 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1902967391
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 18:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038612
FERRY, TIFFANIE (Female)Provider Type: Physicians
Address: 3775 N MULFORD RD , ROCKFORD IL 61114Phone: 8156366400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1538105093
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 19:00 Tue: 08:00 - 18:00 Wed: 08:00 - 18:00 Thu: 08:00 - 19:00 Fri: 09:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038507
FRODERMAN, TIMOTHY (Male)Provider Type: Physicians
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1033148903
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000103786
FRODERMAN, TIMOTHY (Male)Provider Type: Physicians
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1033148903
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000103801
GANDER, KEVIN (Male)Provider Type: Physicians
Address: 6861 VILLAGREEN VIEW , ROCKFORD IL 61107Phone: 8152821339 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1255379863
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095766
48
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
GIROD, CHANTAL (Female)Provider Type: Physicians
Address: 6824 NEWBURG RD , ROCKFORD IL 61108Phone: 7796967610 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1881620383
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 18:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000039297
GLOVSKY, ROBERT (Male)Provider Type: Physicians
Address: 7702 N ALPINE RD , ROCKFORD IL 61111Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1316057508
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000038346
GUENEV, PERKA (Female)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1205934254
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038308
GUFFEY, JENNIFER (Female)Provider Type: Physicians
Address: 6824 NEWBURG RD , ROCKFORD IL 61108Phone: 7796967610 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1831159508
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 18:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000039366
HERDEMAN, DANIEL (Male)Provider Type: Physicians
Address: 3775 N MULFORD RD , ROCKFORD IL 61114Phone: 8156366400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1447293451
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 19:00 Tue: 08:00 - 18:00 Wed: 08:00 - 18:00 Thu: 08:00 - 19:00 Fri: 09:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038149
49
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
IRONSIDE, MARY (Female)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1275579658
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091484
JARADAH, BASIL (Male)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1427368935
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042875
JARADAH, BASIL (Male)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1427368935
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042874
KANTAYYA, VIVEK (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1437132479
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 12:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038957
KAUR, AMANDEEP (Female)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1184875072
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: PUNJABI
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038816
50
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
KING, MITCHELL (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1225038276
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Thu: 08:00 - 13:00Accepts Medicaid: Yes
CEB #: 1000038825
KNABE, BRIAN (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1437192408
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039003
LEE, KENTON (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1366426397
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 12:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00Accepts Medicaid: Yes
CEB #: 1000038179
LOPEZ, CASSANDRA (Female)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1619125317
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038625
MALONEY, MICHAEL (Male)Provider Type: Physicians
Address: 698 FEATHERSTONE RD - STE 250, ROCKFORD IL 61107Phone: 8153994404 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1164452611
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095746
51
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MARTINEZ, LEYNARD (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 405, ROCKFORD IL 61104Phone: 8159675353 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1780613273
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000039352
MARTINEZ, LEYNARD (Male)Provider Type: Physicians
Address: 2404 CHARLES ST , ROCKFORD IL 61108Phone: 7796967910 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1780613273
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000039225
MATHEW, MAXINE (Female)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1578792511
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039230
MCDONALD, BRYAN A (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1669582854
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038276
MEJER, JANUSZ (Male)Provider Type: Physicians
Address: 301 E STATE ST , ROCKFORD IL 61104Phone: 815-668-7810 Network: OAK STREET HEALTH
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1790836807
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: POLISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000094382
52
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MELLISH, DAWN (Female)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1154306082
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000091360
MELLISH, DAWN (Female)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1154306082
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000091363
MICHALSEN, BRIAN (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1548426158
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038986
MILLER, KIMBERLY (Female)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1669606281
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042930
MILLER, KIMBERLY (Female)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1669606281
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042929
53
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MITCHELL, DAVID (Male)Provider Type: Physicians
Address: 5970 CHURCHVIEW DR , ROCKFORD IL 61107Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1013027200
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038801
MONKEMEYER, JON (Male)Provider Type: Physicians
Address: 5970 CHURCHVIEW DR , ROCKFORD IL 61107Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1114087731
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038913
MOORE, WILLARD D (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1831209022
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000039373
MUHAMMAD, TRACY (Female)Provider Type: Physicians
Address: 5970 CHURCHVIEW DR , ROCKFORD IL 61107Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1033161435
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038723
NAYDENOV, TZVETAN (Male)Provider Type: Physicians
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1134141195
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000104007
54
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
NAYDENOV, TZVETAN (Male)Provider Type: Physicians
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1134141195
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000103843
NIKA, VASIL (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1811987886
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ITALIAN
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000091487
NITZ, STEPHEN (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1518958651
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 18:00 Tue: 07:30 - 16:00 Wed: 07:30 - 18:00 Thu: 08:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000038290
NOREM, DENNIS (Male)Provider Type: Physicians
Address: 5970 CHURCHVIEW DR , ROCKFORD IL 61107Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1386754570
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000039219
NOWAK, MAGDALENA (Female)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1740439215
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000038792
55
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
OKESON, EDWIN (Male)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1619951019
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042911
OKESON, EDWIN (Male)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1619951019
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042914
OLORIEGBE, FATIMAH (Female)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1760672554
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000043263
OLORIEGBE, FATIMAH (Female)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1760672554
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043264
PENN, MARK (Male)Provider Type: Physicians
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1639205255
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105859
56
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
PENN, MARK (Male)Provider Type: Physicians
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1639205255
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105882
PHELAN, PETER (Male)Provider Type: Physicians
Address: 3775 N MULFORD RD , ROCKFORD IL 61114Phone: 8156366400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1548358534
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 19:00 Tue: 08:00 - 18:00 Wed: 08:00 - 18:00 Thu: 08:00 - 19:00 Fri: 09:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038331
PLESCIA, JOHN (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1366671463
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 12:00 Wed: 09:00 - 12:00 Thu: 09:00 - 12:00 Fri: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038286
POLIZZOTTO, MICHAEL (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1871595371
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00Accepts Medicaid: Yes
CEB #: 1000038327
PRATHIPATI, SUSHMITA (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1740581776
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000093734
57
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
RACANELLI, VINCENT (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1730299926
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 09:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038458
RAMCHANDANI, KAMLESH (Male)Provider Type: Physicians
Address: 111 N CHURCH ST , ROCKFORD IL 61101Phone: 8159620394 Network: ONE ELEVEN MEDICAL CLINIC
Pri. Hospital: ALEXIAN BROTHERS MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1295723021
Min. Age: 12 Max. Age: 99
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042689
ROGERS, CRAIG (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1548370737
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000039024
ROHRBACHER, MELISSA (Female)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1649349564
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000038847
RONE, ARTHUR (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE - STE 302, ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1457461642
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038658
58
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
ROSKA, JOHN (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1679714216
Min. Age: 18 Max. Age: 99
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038271
ROSS, JOSEPH (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1487682977
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Wed: 09:00 - 12:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038931
ROYCE, JEFFREY (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1619910635
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Wed: 09:00 - 12:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038589
ROYCE, JEFFREY (Male)Provider Type: Physicians
Address: 1340 CHARLES ST , ROCKFORD IL 61104Phone: 8154899512 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1619910635
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000039229
SALAZAR, JOSE (Male)Provider Type: Physicians
Address: 3775 N MULFORD RD , ROCKFORD IL 61114Phone: 8156366400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1629074216
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 19:00 Tue: 08:00 - 18:00 Wed: 08:00 - 18:00 Thu: 08:00 - 19:00 Fri: 09:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000039374
59
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
SCHERMER, IAN (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1992815187
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000039116
SCHILLER, THOMAS (Male)Provider Type: Physicians
Address: 6824 NEWBURG RD , ROCKFORD IL 61108Phone: 7796967610 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1104827641
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 18:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038734
SCHILLER, THOMAS (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1104827641
Min. Age: 0 Max. Age: 111
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058712
SCHOENWALD, JOHN (Male)Provider Type: Physicians
Address: 621 ROXBURY RD , ROCKFORD IL 61107Phone: 8153973350 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1992734446
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096204
SCHROEDER, PAUL (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1578623195
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000038764
60
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
SCHULTHEIS, MARTINE (Female)Provider Type: Physicians
Address: 621 ROXBURY RD , ROCKFORD IL 61107Phone: 8153973350 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1275829178
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096223
SOUFAN, BASSAM (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1356451546
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038694
SOUFAN, BASSAM (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1356451546
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039287
SRIDHAR, SRIVANI (Female)Provider Type: Physicians
Address: 3775 N MULFORD RD , ROCKFORD IL 61114Phone: 8156366400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1003075318
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043027
STAGNARO GREEN, ALEX (Male)Provider Type: Physicians
Address: 1601 PARKVIEW AVE , ROCKFORD IL 61107Phone: 815-395-5870 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: ENDOCRINOLOGY
NPI: 1124052048
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000088287
61
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
STARKS, GIOVANNA (Female)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1265608293
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Tue: 13:00 - 17:00 Wed: 13:00 - 12:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039177
STARKS, WILLIAM (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1164624250
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00Accepts Medicaid: Yes
CEB #: 1000038750
STILES, BRUCE (Male)Provider Type: Physicians
Address: 6824 NEWBURG RD , ROCKFORD IL 61108Phone: 7796967610 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1780612465
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 18:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038887
STOCKER, ROSE (Male)Provider Type: Physicians
Address: 2404 CHARLES ST , ROCKFORD IL 61108Phone: 7796967910 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1407882038
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038987
SY, LARRY (Male)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1932182995
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043292
62
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
SY, LARRY (Male)Provider Type: Physicians
Address: 1002 N PIERPONT AVE , ROCKFORD IL 61101Phone: 815-209-9642 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1932182995
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107611
SY, LARRY (Male)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1932182995
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042935
TASHAKORI, MAHTAB (Female)Provider Type: Physicians
Address: 6861 VILLAGREEN VIEW , ROCKFORD IL 61107Phone: 8152821339 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1508895780
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: PERSIAN/FARSI
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096386
TAWFIK, ATEF (Male)Provider Type: Physicians
Address: 621 ROXBURY RD , ROCKFORD IL 61107Phone: 8153973350 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1629007067
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ARABIC
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095718
TILLERY, JEFFRY (Male)Provider Type: Physicians
Address: 4423 MANCHESTER DR , ROCKFORD IL 61109Phone: 8153941391 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1689602211
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 20:00 Thu: 08:00 - 20:00 Fri: 08:00 - 20:00 Sat: 08:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000039311
63
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
TILLERY, JEFFRY (Male)Provider Type: Physicians
Address: 621 ROXBURY RD , ROCKFORD IL 61107Phone: 8153973350 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1689602211
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096298
TRAUTMANN, ERIC (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 405, ROCKFORD IL 61104Phone: 8159675353 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1477599835
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 18:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038853
TULLY, BRYAN (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: HOSPITALIST
NPI: 1134442213
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096119
ULMER, MEREDITH (Female)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1720216930
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039347
VAZQUEZ LOZANO, MARIA (Female)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1306132642
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000064190
64
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
VAZQUEZ LOZANO, MARIA (Female)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1306132642
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000064183
VILLACORTA, JORGE (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 405, ROCKFORD IL 61104Phone: 8159675353 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1124064001
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 18:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038773
VOLETY, SNIGDHA (Female)Provider Type: Physicians
Address: 2404 CHARLES ST , ROCKFORD IL 61108Phone: 7796967910 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1821283565
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: PERSIAN/FARSI
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000039182
WASHINGTON, CHARLES M (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1518077700
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000038839
WASHINGTON, CHARLES M (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1518077700
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000038369
65
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
WEDEL, PAUL (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1700860764
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038618
WEISS, SHELDON A (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1427168616
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000038688
WHELAN, SARAH (Female)Provider Type: Physicians
Address: 698 FEATHERSTONE RD - STE 250, ROCKFORD IL 61107Phone: 8153994404 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1477598241
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: GUJARATI
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096238
WILLIAMS, ALLEN (Male)Provider Type: Physicians
Address: 3775 N MULFORD RD , ROCKFORD IL 61114Phone: 8156366400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1073601324
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 19:00 Tue: 08:00 - 18:00 Wed: 08:00 - 18:00 Thu: 08:00 - 19:00 Fri: 09:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038378
WILLIAMS, FARION (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1568446516
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00Accepts Medicaid: Yes
CEB #: 1000038771
66
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
WOLLSTADT, LOYD (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1356332498
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00Accepts Medicaid: Yes
CEB #: 1000038543
WOODMAN, JAMES (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 405, ROCKFORD IL 61104Phone: 8159675353 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1932201555
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 18:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000039081
ZAHEER, KASHIF (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1417996729
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096155
ZAIDI, SYED (Male)Provider Type: Physicians
Address: 698 FEATHERSTONE RD - STE 250, ROCKFORD IL 61107Phone: 8153994404 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1285949800
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000096262
ZUG, DIANE (Female)Provider Type: Physicians
Address: 6861 VILLAGREEN VIEW , ROCKFORD IL 61107Phone: 8152821339 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1578596227
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096280
67
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
IRONSIDE, MARY (Female)Provider Type: Physicians
Address: 1511 BLACKHAWK BLVD , ROCKTON IL 61072Phone: 8153955879 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1275579658
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Tue: 08:00 - 17:00 Thu: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038606
NIKA, VASIL (Male)Provider Type: Physicians
Address: 1511 BLACKHAWK BLVD , ROCKTON IL 61072Phone: 8153955879 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1811987886
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ITALIAN
Handicap Access: Yes
Hrs: Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00 Sat: 08:30 - 12:00Accepts Medicaid: Yes
CEB #: 1000039392
SHARKEY, CARRIE (Female)Provider Type: Physicians
Address: 1511 BLACKHAWK BLVD , ROCKTON IL 61072Phone: 8153955879 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1295725323
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Tue: 08:30 - 16:00 Fri: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000038237
CRAYS, GAYLE (Female)Provider Type: Physicians
Address: 4282 E ROCKTON RD , ROSCOE IL 61073Phone: 779-696-9000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1134168586
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 11:00 - 16:00 Tue: 11:00 - 16:00 Wed: 11:00 - 16:00 Thu: 11:00 - 16:00 Fri: 11:00 - 16:00 Sat: 11:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000038857
GURTIZEN, JEFFREY (Male)Provider Type: Physicians
Address: 4282 E ROCKTON RD , ROSCOE IL 61073Phone: 779-696-9000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1922395763
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091644
68
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
HANSEN, DAVID L (Male)Provider Type: Physicians
Address: 5000 PRAIRIE ROSE DR , ROSCOE IL 61073Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1689784878
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 20:00 Tue: 17:00 - 20:00 Wed: 17:00 - 20:00 Thu: 17:00 - 20:00 Sat: 10:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000038624
OSKOUEI, SEYYED (Male)Provider Type: Physicians
Address: 4682 E ROCKTON ST - STE 102, ROSCOE IL 61073Phone: 815-624-1300 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1912136896
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090346
SEKULIC, DUSICA (Female)Provider Type: Physicians
Address: 5000 PRAIRIE ROSE DR , ROSCOE IL 61073Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1801906094
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 20:00 Tue: 17:00 - 20:00 Wed: 17:00 - 20:00 Thu: 17:00 - 20:00 Sat: 10:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000038578
TAYLOR, JANE (Female)Provider Type: Physicians
Address: 5000 PRAIRIE ROSE DR , ROSCOE IL 61073Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PEDIATRICS Sec. Specialty:
NPI: 1588827588
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090748
MICHALSEN, BRIAN (Male)Provider Type: Physicians
Address: 102 LANDMARK DR , WINNEBAGO IL 61088Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1548426158
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038158
69
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
RUDOLPH, HAHN (Female)Provider Type: Physicians
Address: 102 LANDMARK DR , WINNEBAGO IL 61088Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1275643462
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038504
STRUTZENBERG, JON (Male)Provider Type: Physicians
Address: 102 LANDMARK DR , WINNEBAGO IL 61088Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1174633366
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038200
70
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
Physician Assistant - IL - WINNEBAGOAIKEN, BRIANA E (Female)Provider Type: Physician Assistant
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 8159218800 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1649506874
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000089162
AIKEN, BRIANA E (Female)Provider Type: Physician Assistant
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1649506874
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105731
BENAGES, JENNIFER K (Female)Provider Type: Physician Assistant
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1538462759
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105760
BENAGES, JENNIFER K (Female)Provider Type: Physician Assistant
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1538462759
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105753
BLEZIEN, KIMBERLY L (Female)Provider Type: Physician Assistant
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1174832257
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105707
71
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
BLEZIEN, KIMBERLY L (Female)Provider Type: Physician Assistant
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1174832257
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105688
DEGNER, KENNETH L (Male)Provider Type: Physician Assistant
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1528287422
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105976
DEGNER, KENNETH L (Male)Provider Type: Physician Assistant
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1528287422
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105985
GOGULA, SUJATHA R (Female)Provider Type: Physician Assistant
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PHYSICIAN ASSISTANT Sec. Specialty:
NPI: 1740431758
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TAGALOG
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105961
GOGULA, SUJATHA R (Female)Provider Type: Physician Assistant
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PHYSICIAN ASSISTANT Sec. Specialty:
NPI: 1740431758
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TAGALOG
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105964
72
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MACCALLUM, KATHLEEN M (Female)Provider Type: Physician Assistant
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1922170265
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105907
MACCALLUM, KATHLEEN M (Female)Provider Type: Physician Assistant
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1922170265
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105914
73
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MEDICARE CLINIC - IL - WINNEBAGOOAK STREET HEALTH ROCKFORDProvider Type: MEDICARE CLINIC
Address: 301 E STATE ST , ROCKFORD IL 61104Phone: 815-668-7810 Network: OAK STREET HEALTH
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: NULL
Min. Age: 18 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000090732
74
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
Nurse Practitioners - IL - WINNEBAGOCOBB, JOAN (Female)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1003282344
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000094490
EATOCK, CAROLE (Female)Provider Type: Nurse Practitioners
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8470 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NURSE PRACTITIONER Sec. Specialty: FAMILY PRACTICE
NPI: 1588964712
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095775
EGGERS, ROSE (Female)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1689609372
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042848
HADIE, ANGELA (Female)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1073941605
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043492
KITTS FARON, ANGELA (Female)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1609242049
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:30 Tue: 08:00 - 17:30 Wed: 08:00 - 17:30 Thu: 08:00 - 17:30 Fri: 08:00 - 17:30Accepts Medicaid: No
CEB #: 1000094431
75
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MCCAIN, RUBY LATOSHA (Female)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: GERIATRICS
NPI: 1437530813
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: No
CEB #: 1000094479
PATEL, VELISA J (Female)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1366810632
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: GUJARATI
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:30 Tue: 08:00 - 17:30 Wed: 08:00 - 17:30 Thu: 08:00 - 17:30 Fri: 08:00 - 17:30 Sat: 09:00 - 12:00Accepts Medicaid: No
CEB #: 1000094434
TAYLOR, JENNIFER (Female)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1982030730
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000043536
YONTZ, LYNN (Female)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: GERIATRICS
NPI: 1629052741
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042949
BARR, JESSICA (Female)Provider Type: Nurse Practitioners
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1124181664
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038812
76
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
BEHLING, REBECCA (Female)Provider Type: Nurse Practitioners
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: NURSE PRACTITIONER
NPI: 1508060518
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039053
BHATT, VANCHHANA (Female)Provider Type: Nurse Practitioners
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1578844478
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105849
BHATT, VANCHHANA (Female)Provider Type: Nurse Practitioners
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1578844478
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105845
BOWMAR, ANDREA (Female)Provider Type: Nurse Practitioners
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: No
Pri. Specialty: NURSE PRACTITIONER Sec. Specialty:
NPI: 1811382427
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000089396
BRADY, MICHELLE (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1396735379
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000094400
77
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
BRYANT, SUZANNE (Female)Provider Type: Nurse Practitioners
Address: 2473 MCFARLAND RD , ROCKFORD IL 61107Phone: 8159862286 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1598973018
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058931
CHRISTIANSEN, BETH (Female)Provider Type: Nurse Practitioners
Address: 2404 CHARLES ST , ROCKFORD IL 61108Phone: 7796967910 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1538199666
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058411
COBB, JOAN (Female)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1003282344
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000094488
COBB, JOAN (Female)Provider Type: Nurse Practitioners
Address: 1002 N PIERPONT AVE , ROCKFORD IL 61101Phone: 815-209-9642 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1003282344
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000094491
COBB, JOAN (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1003282344
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000094484
78
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
COX RODRIGUEZ, DONNA (Female)Provider Type: Nurse Practitioners
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1245492537
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038746
CRAWFORD, STEPHANIE (Female)Provider Type: Nurse Practitioners
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1053601567
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038364
EATOCK, CAROLE (Female)Provider Type: Nurse Practitioners
Address: 330 15TH AVE , ROCKFORD IL 61104Phone: 815-972-7200 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NURSE PRACTITIONER Sec. Specialty: FAMILY PRACTICE
NPI: 1588964712
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000091532
EGGERS, ROSE (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1689609372
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042846
EGGERS, ROSE (Female)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1689609372
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042847
79
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
GREEN, ANTOINETTE (Female)Provider Type: Nurse Practitioners
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1134409576
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00Accepts Medicaid: Yes
CEB #: 1000105950
GREEN, ANTOINETTE (Female)Provider Type: Nurse Practitioners
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1134409576
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105936
GURNEY, SARAH (Female)Provider Type: Nurse Practitioners
Address: 2404 CHARLES ST , ROCKFORD IL 61108Phone: 7796967910 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1669800587
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000057032
HADIE, ANGELA (Female)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1073941605
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042849
HADIE, ANGELA (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1073941605
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043494
80
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
HULSTEDT, JANELLE (Female)Provider Type: Nurse Practitioners
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1437334935
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038451
JOHNSON, MEGAN (Female)Provider Type: Nurse Practitioners
Address: 2473 MCFARLAND RD , ROCKFORD IL 61107Phone: 8159862286 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1760730576
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058524
JOHNSON, RHONDA (Female)Provider Type: Nurse Practitioners
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1548388044
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000038572
KITTS FARON, ANGELA (Female)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1609242049
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000094426
KITTS FARON, ANGELA (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1609242049
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: No
CEB #: 1000094433
81
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
KITTS FARON, ANGELA (Female)Provider Type: Nurse Practitioners
Address: 1002 N PIERPONT AVE , ROCKFORD IL 61101Phone: 815-209-9642 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1609242049
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00Accepts Medicaid: No
CEB #: 1000094432
KOWALCZYK, KAREN (Female)Provider Type: Nurse Practitioners
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1316189343
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000104079
KOWALCZYK, KAREN (Female)Provider Type: Nurse Practitioners
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1316189343
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000104057
MCCAIN, RUBY LATOSHA (Female)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: GERIATRICS
NPI: 1437530813
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000094476
MCCAIN, RUBY LATOSHA (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: GERIATRICS
NPI: 1437530813
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000094477
82
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
MCNAMARA, MARY (Female)Provider Type: Nurse Practitioners
Address: 2473 MCFARLAND RD , ROCKFORD IL 61107Phone: 8159862286 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1972944510
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058830
MENDELOFF, ELIZABETH (Female)Provider Type: Nurse Practitioners
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NURSE PRACTITIONER Sec. Specialty: FAMILY PRACTICE
NPI: 1689682411
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038787
NICOLOSI, SANDRA (Female)Provider Type: Nurse Practitioners
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1124226097
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038529
NORDMAN, PATRICIA (Female)Provider Type: Nurse Practitioners
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1225028350
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000038185
PATEL, VELISA J (Female)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1366810632
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: GUJARATI
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:30 Tue: 08:00 - 17:30 Wed: 08:00 - 17:30 Thu: 08:00 - 17:30 Fri: 08:00 - 17:30Accepts Medicaid: No
CEB #: 1000094457
83
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
PATEL, VELISA J (Female)Provider Type: Nurse Practitioners
Address: 1002 N PIERPONT AVE , ROCKFORD IL 61101Phone: 815-209-9642 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1366810632
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: GUJARATI
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00Accepts Medicaid: No
CEB #: 1000094462
PATEL, VELISA J (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1366810632
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: GUJARATI
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:30 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:30 Fri: 08:00 - 17:30 Sat: 09:00 - 12:00Accepts Medicaid: No
CEB #: 1000094458
PETHAN, LAURA (Female)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PEDIATRICS Sec. Specialty:
NPI: 1194122861
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 15:00 Tue: 09:00 - 15:00 Wed: 09:00 - 15:00 Thu: 09:00 - 15:00 Fri: 09:00 - 15:00Accepts Medicaid: Yes
CEB #: 1000109025
PYCIOR, NOEL (Male)Provider Type: Nurse Practitioners
Address: 1601 PARKVIEW , ROCKFORD IL 61107Phone: 815-395-5861 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1063507408
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 16:30 Wed: 08:30 - 20:00 Thu: 08:30 - 16:30 Fri: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000039034
SCHIER, ANDREA (Female)Provider Type: Nurse Practitioners
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: NURSE PRACTITIONER
NPI: 1588065353
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090767
84
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
STERNHAGEN, DEEANN (Female)Provider Type: Nurse Practitioners
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: NURSE PRACTITIONER
NPI: 1912162629
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090964
TAMPARONG, NAOMI (Female)Provider Type: Nurse Practitioners
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1922346220
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105899
TAMPARONG, NAOMI (Female)Provider Type: Nurse Practitioners
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1922346220
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000105892
TAYLOR, JENNIFER (Female)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1982030730
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000043546
TAYLOR, JENNIFER (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1982030730
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000043544
85
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
TRAUM, NICOLE (Female)Provider Type: Nurse Practitioners
Address: 301 E STATE ST , ROCKFORD IL 61104Phone: 815-668-7810 Network: OAK STREET HEALTH
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1811305758
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000094387
WEBERG, JILL (Female)Provider Type: Nurse Practitioners
Address: 1415 E STATE ST - STE 800, ROCKFORD IL 61104Phone: 7796969120 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: No
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1801879663
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038898
WOLF, KATHERINE (Female)Provider Type: Nurse Practitioners
Address: 3775 N MULFORD RD , ROCKFORD IL 61114Phone: 8156366400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1386992196
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058813
YONTZ, LYNN (Female)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: GERIATRICS
NPI: 1629052741
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042948
YONTZ, LYNN (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: GERIATRICS
NPI: 1629052741
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042947
86
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
YONTZ, LYNN (Female)Provider Type: Nurse Practitioners
Address: 1002 N PIERPONT AVE , ROCKFORD IL 61101Phone: 815-209-9642 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: GERIATRICS
NPI: 1629052741
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000107523
ZAMORA, JULIE (Female)Provider Type: Nurse Practitioners
Address: 3849 NORTHRIDGE DR , ROCKFORD IL 61114Phone: 815-329-6909 Network: FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1740690726
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 19:00 Tue: 09:00 - 19:00 Wed: 09:00 - 19:00 Thu: 09:00 - 19:00 Fri: 09:00 - 19:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000104108
ZAMORA, JULIE (Female)Provider Type: Nurse Practitioners
Address: 7219 WALTON ST , ROCKFORD IL 61108Phone: 847-526-2151 Network: FAMILY MEDICINE SPECIALISTS OF ROUND LAKE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1740690726
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000104105
BRADY, MICHELLE (Female)Provider Type: Nurse Practitioners
Address: 1511 BLACKHAWK BLVD , ROCKTON IL 61072Phone: 8153955879 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1396735379
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 12:00 Tue: 08:00 - 17:00 Thu: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038614
EATOCK, CAROLE (Female)Provider Type: Nurse Practitioners
Address: 1511 BLACKHAWK BLVD , ROCKTON IL 61072Phone: 8153955879 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NURSE PRACTITIONER Sec. Specialty: FAMILY PRACTICE
NPI: 1588964712
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038242
87
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
GIBBONS, KELLIE (Female)Provider Type: Nurse Practitioners
Address: 1511 BLACKHAWK BLVD , ROCKTON IL 61072Phone: 8153955879 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1609173434
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038693
BRYANT, SUZANNE (Female)Provider Type: Nurse Practitioners
Address: 4282 E ROCKTON RD , ROSCOE IL 61073Phone: 779-696-9000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1598973018
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058941
MCNAMARA, MARY (Female)Provider Type: Nurse Practitioners
Address: 4282 E ROCKTON RD , ROSCOE IL 61073Phone: 779-696-9000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1972944510
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058838
SCOTT, CORRIE (Female)Provider Type: Nurse Practitioners
Address: 5000 PRAIRIE ROSE DR , ROSCOE IL 61073Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: GASTROENTEROLOGY
NPI: 1689000424
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000082263
BRADY, MICHELLE (Female)Provider Type: Nurse Practitioners
Address: 245 PRAIRIE HILL RD , SOUTH BELOIT IL 61080Phone: 815-389-9252 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1396735379
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091524
88
Primary Care Physicians - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 411 Provider(s) TTY: 711
DINGES, JENNIFER (Female)Provider Type: Nurse Practitioners
Address: 102 LANDMARK DR , WINNEBAGO IL 61088Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1720148281
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000038495
89
Community Care Alliance of Illinois, NFP
Provider Directory
Rockford‐area Specialists
RADIATION ONCOLOGY - IL - BOONEANDREWS, SAMUEL (Male)Provider Type: Physicians
Address: 1625 S STATE ST , BELVIDERE IL 61008Phone: 8155475441 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: RADIATION ONCOLOGY Sec. Specialty:
NPI: 1851508337
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032767
1
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ORTHOPEDIC SURGERY - IL - BOONEANTON, OSCAR (Male)Provider Type: Physicians
Address: 1625 S STATE ST , BELVIDERE IL 61008Phone: 8155475441 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1700089729
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033680
MILOS, STEVEN (Male)Provider Type: Physicians
Address: 1625 S STATE ST , BELVIDERE IL 61008Phone: 8155475441 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1093839300
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034289
2
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
OBSTETRICS & GYNECOLOGY - IL - BOONENALEWAY, KAREN (Female)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1457397341
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042901
AL KHABBAZ, ANTOUN (Male)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1992797260
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ARABIC
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042814
ARYNOVA, BAKYTBUBU (Female)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1124467253
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00Accepts Medicaid: No
CEB #: 1000094482
BRANDIS, OLESYA (Female)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1386950319
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043217
BUSH, AMANDA (Male)Provider Type: Physicians
Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 61008Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: No
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1093950941
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 19:00 Thu: 08:30 - 19:00 Fri: 08:00 - 17:00 Sat: 08:30 - 12:00Accepts Medicaid: Yes
CEB #: 1000032874
3
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HARB, TAREK (Male)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1598701088
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TELUGU
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042851
NANABAWA, ZAKERA (Female)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1336370188
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043256
4
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PODIATRY - IL - BOONECORCORAN, MICHAEL (Male)Provider Type: Podiatrists
Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 61008Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PODIATRY Sec. Specialty:
NPI: 1528374196
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 19:00 Thu: 08:30 - 19:00 Fri: 08:00 - 17:00 Sat: 08:30 - 12:00Accepts Medicaid: Yes
CEB #: 1000034588
NIELSEN, JOHN (Male)Provider Type: Podiatrists
Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 61008Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PODIATRY Sec. Specialty:
NPI: 1821186263
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 19:00 Thu: 08:30 - 19:00 Fri: 08:00 - 17:00 Sat: 08:30 - 12:00Accepts Medicaid: Yes
CEB #: 1000033790
5
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
MIDWIFERY - IL - BOONEBECK, VICKI (Male)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1770596751
Min. Age: 0 Max. Age: 11
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042831
DOBSON, JENNIFER (Female)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1386712651
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042841
HESTRUP, AMANDA (Male)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1811244569
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042858
KEENEY, RENEE (Male)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1205115383
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042876
NGUY, SCOTT (Male)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: FAMILY PRACTICE
NPI: 1255688719
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042905
6
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
WODELL, DEBORAH (Male)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1255419495
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042944
7
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NURSE PRACTITIONER - IL - BOONEEATOCK, CAROLE (Female)Provider Type: Nurse Practitioners
Address: 2170 PEARL ST , BELVIDERE IL 61008Phone: 815-547-5461 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NURSE PRACTITIONER Sec. Specialty: FAMILY PRACTICE
NPI: 1588964712
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095782
8
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
FAMILY PRACTICE - IL - BOONEBURKART, COLLEEN (Female)Provider Type: Nurse Practitioners
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1073785101
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000081355
HITZ, LEONARD (Male)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1669555199
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042865
SCHULTZ, DIANA (Female)Provider Type: Nurse Practitioners
Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 61008Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1043554918
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 19:00 Thu: 08:30 - 19:00 Fri: 08:00 - 17:00 Sat: 08:30 - 12:00Accepts Medicaid: Yes
CEB #: 1000034200
MEADE, KATHLEEN (Female)Provider Type: Nurse Practitioners
Address: 13539 IL RTE 76 , POPLAR GROVE IL 61065Phone: 8157650147 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1447223789
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095908
DOHERTY, ANDREW (Male)Provider Type: Physician Assistant
Address: 1625 S STATE ST , BELVIDERE IL 61008Phone: 8155475441 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1962716456
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000033349
9
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ENGLUND, KAREN (Female)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1407872591
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000081360
FRANDSEN, DEVN (Male)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1730316043
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000040063
JARADAH, BASIL (Male)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1427368935
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095897
KALEEMUDDIN, MOHAMMED (Male)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1437119450
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095912
KHAN, ASRA (Female)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1023018322
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095941
10
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
LUCIETTO SIERADZKI, THERESE (Male)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: HOSPITALIST
NPI: 1699708636
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000095720
OSKOUEI, SEYYED (Male)Provider Type: Physicians
Address: 2170 PEARL ST , BELVIDERE IL 61008Phone: 815-547-5461 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1912136896
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090367
POLIZZOTTO, MICHAEL (Male)Provider Type: Physicians
Address: 2170 PEARL ST , BELVIDERE IL 61008Phone: 8153955886 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1871595371
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033954
QADRI, MUNEEB (Male)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 815-547-3780 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1972815033
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: URDU
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096259
SCHULTHEIS, MARTINE (Female)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1275829178
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000081411
11
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SY, ESTHER (Female)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 815-547-3780 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1659358703
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096368
TRAN, MONICA (Female)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 8155447400 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1184856155
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000081427
TRAN, MONICA (Female)Provider Type: Physicians
Address: 13539 IL RTE 76 , POPLAR GROVE IL 61065Phone: 8157650147 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1184856155
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035954
12
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
WOMEN'S HEALTH CARE PROVIDER - IL - BOONEHOYER, ERICA (Female)Provider Type: Nurse Practitioners
Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 61008Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: WOMEN'S HEALTH CARE PROVIDER Sec. Specialty: ADVANCED PRACTICE NURSE
NPI: 1104259894
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058895
13
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
OPTOMETRY - IL - BOONELERDVORATAVEE, VASANA (Male)Provider Type: Optometrists
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: OPTOMETRY Sec. Specialty:
NPI: 1356332423
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000043306
WEINGART, RONALD (Male)Provider Type: Optometrists
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: OPTOMETRY Sec. Specialty:
NPI: 1639169998
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043313
14
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ALLERGY & IMMUNOLOGY - IL - BOONEMOHIUDDIN, FATIMA (Male)Provider Type: Physicians
Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 61008Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ALLERGY & IMMUNOLOGY Sec. Specialty: PEDIATRIC ALLERGY & IMMUNOLOGY
NPI: 1578674834
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000035403
15
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
CARDIOTHORACIC SURGERY - IL - BOONEMYERS, JOHN (Male)Provider Type: Physicians
Address: 1625 S STATE ST , BELVIDERE IL 61008Phone: 8155475441 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOTHORACIC SURGERY Sec. Specialty:
NPI: 1174553523
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034493
16
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PSYCHIATRY - IL - BOONERIZVI, ZAFFAR (Male)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1730257056
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043282
17
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NEUROLOGY - IL - BOONEROTH, TERRY R (Male)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1215919816
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043560
18
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HEMATOLOGY & MEDICAL ONCOLOGY - IL - BOONESCHULZ, WILLIAM (Male)Provider Type: Physicians
Address: 1625 S STATE ST , BELVIDERE IL 61008Phone: 8155475441 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1558382069
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034989
19
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
INFECTIOUS DISEASE - IL - BOONEHOMANN, SCOTT (Male)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1689674541
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000043402
SHAH, NEHA S (Female)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1629251715
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043417
TSARAS, GEOFFREY (Male)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1023278769
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043428
20
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
VASCULAR NEUROLOGY - IL - BOONESIMIONESCU, MONICA (Female)Provider Type: Physicians
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: VASCULAR NEUROLOGY Sec. Specialty: NEUROLOGY
NPI: 1184776403
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043572
21
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
EMERGENCY MEDICINE - IL - BOONECOLLA, JOSEPH (Male)Provider Type: Physicians
Address: 1625 S STATE ST , BELVIDERE IL 61008Phone: 8155475441 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: EMERGENCY MEDICINE Sec. Specialty:
NPI: 1003865403
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091862
TUSCHEN, JAMES (Male)Provider Type: Physicians
Address: 1954 GATEWAY CENTER DR , BELVIDERE IL 61008Phone: 815-547-3780 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: EMERGENCY MEDICINE Sec. Specialty:
NPI: 1639195514
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096136
22
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PAIN MANAGEMENT - IL - BOONEWOJCIECHOWSKI, TAMARA (Female)Provider Type: Nurse Practitioners
Address: 1050 LOGAN AVE , BELVIDERE IL 61008Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PAIN MANAGEMENT Sec. Specialty:
NPI: 1952359861
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: POLISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043528
23
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PULMONARY DISEASE - IL - BOONETHAPPA, VIVEK (Male)Provider Type: Physicians
Address: 1625 S STATE ST , BELVIDERE IL 61008Phone: 8155475441 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PULMONARY DISEASE Sec. Specialty:
NPI: 1295743383
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033678
ZEATER, MOHAMED (Male)Provider Type: Physicians
Address: 1625 S STATE ST , BELVIDERE IL 61008Phone: 8155475441 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PULMONARY DISEASE Sec. Specialty:
NPI: 1285690958
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035917
24
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SOCIAL WORKER - IL - MCHENRYBROWN, VICTORIA (Female)Provider Type: Clinical Social Worker
Address: 1100 COUGAR TRAIL , CARY IL 60013Phone: 8882912538 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SOCIAL WORKER Sec. Specialty:
NPI: 1356448021
Min. Age: 0 Max. Age: 99
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035108
BROWN, VICTORIA (Female)Provider Type: Clinical Social Worker
Address: 4405 3 OAKS RD - STE B, CRYSTAL LAKE IL 60014Phone: 8882912538 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SOCIAL WORKER Sec. Specialty:
NPI: 1356448021
Min. Age: 0 Max. Age: 99
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033718
25
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NEPHROLOGY - IL - MCHENRYARORA, AMIT (Male)Provider Type: Physicians
Address: 390 CONGRESS PKWY - STE C, CRYSTAL LAKE IL 60014Phone: 815-301-1001 Network: NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty:
NPI: 1831378330
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 12:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000083447
BANGASH, FARHAN (Male)Provider Type: Physicians
Address: 650 E TERRA COTTA AVE - STE 103, CRYSTAL LAKE IL 60014Phone: 224-238-3211 Network: KIDNEY CARE CENTER OF ELGIN LLC DBA KIDNEY CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty:
NPI: 1750549473
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085783
BECTOR, SUMIT (Female)Provider Type: Physicians
Address: 390 CONGRESS PKWY - STE C, CRYSTAL LAKE IL 60014Phone: 815-301-1001 Network: NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty:
NPI: 1487831202
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 12:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000083438
ROSNER, KAROL (Female)Provider Type: Physicians
Address: 390 CONGRESS PKWY - STE C, CRYSTAL LAKE IL 60014Phone: 815-301-1001 Network: NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty:
NPI: 1053425884
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 12:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000083426
CRONIN, DONALD (Male)Provider Type: Physicians
Address: 912 NORTHWEST HWY - STE 206, FOX RIVER GROVE IL 60021Phone: 8478670049 Network: ASSOCIATES IN NEPHROLOGY SC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1144288739
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 12:00 - 17:00 Wed: 12:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033437
26
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PAIN MANAGEMENT - IL - MCHENRYCAROBENE, HOLLY (Female)Provider Type: Physicians
Address: 360 STATION DR - STE 100, CRYSTAL LAKE IL 60014Phone: 815-477-0174 Network: COMPREHENSIVE PAIN CARE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PAIN MANAGEMENT Sec. Specialty:
NPI: 1326140633
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000093826
27
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ALLERGY & IMMUNOLOGY - IL - MCHENRYCHUDWIN, DAVID (Male)Provider Type: Physicians
Address: 5911 NW HWY - STE 208, CRYSTAL LAKE IL 60014Phone: 815-455-7289 Network: ALLERGY & ASTHMA ASSOCIATION LTD
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: ALLERGY & IMMUNOLOGY Sec. Specialty:
NPI: 1669472262
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 12:00 - 18:00 Tue: 10:00 - 17:00 Wed: 12:00 - 18:00 Fri: 10:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000084087
SONENTHAL, KATHY (Female)Provider Type: Physicians
Address: 5911 NW HWY - STE 208, CRYSTAL LAKE IL 60014Phone: 815-455-7289 Network: ALLERGY & ASTHMA ASSOCIATION LTD
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: ALLERGY & IMMUNOLOGY Sec. Specialty:
NPI: 1265452940
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 12:00 - 18:00 Tue: 10:00 - 17:00 Wed: 12:00 - 18:00 Fri: 10:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000084061
28
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
OBSTETRICS & GYNECOLOGY - IL - MCHENRYFORSTER, KELLY (Female)Provider Type: Nurse Practitioners
Address: 3901 MERCY DR , MCHENRY IL 60050Phone: 815-363-9900 Network: GREATER ELGIN FAMILY CARE CENTER
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1649514316
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 08:00 - 19:30 Tue: 08:00 - 19:30 Wed: 08:00 - 19:30 Thu: 08:00 - 19:30 Fri: 08:00 - 19:30 Sat: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042416
HERING, LEONARD (Male)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1376549964
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034556
JATTA, BINN (Female)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1255565115
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084617
HERING, LEONARD (Male)Provider Type: Physicians
Address: 4309 W MEDICAL CENTER DR - STE B305, MCHENRY IL 60050Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1376549964
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034192
HERING, LEONARD (Male)Provider Type: Physicians
Address: 3901 MERCY DR , MCHENRY IL 60050Phone: 815-363-9900 Network: GREATER ELGIN FAMILY CARE CENTER
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1376549964
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: No
Hrs: Mon: 08:00 - 19:30 Tue: 08:00 - 19:30 Wed: 08:00 - 19:30 Thu: 08:00 - 19:30 Fri: 08:00 - 19:30 Sat: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042345
29
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
JATTA, BINN (Female)Provider Type: Physicians
Address: 3901 MERCY DR , MCHENRY IL 60050Phone: 815-363-9900 Network: GREATER ELGIN FAMILY CARE CENTER
Pri. Hospital: CENTEGRA HOSPITAL - WOODSTOCK
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1255565115
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 08:00 - 19:30 Tue: 08:00 - 19:30 Wed: 08:00 - 19:30 Thu: 08:00 - 19:30 Fri: 08:00 - 19:30 Sat: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042380
JATTA, BINN (Female)Provider Type: Physicians
Address: 4309 W MEDICAL CENTER DR - STE B305, MCHENRY IL 60050Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1255565115
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084614
MURPHY, DARBY (Male)Provider Type: Physicians
Address: 3703 DOTY RD - STE 1, WOODSTOCK IL 60098Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1043474703
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035363
30
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
RHEUMATOLOGY - IL - MCHENRYKOZLOWSKI, STEPHEN (Male)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: RHEUMATOLOGY Sec. Specialty:
NPI: 1285749390
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: POLISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084746
31
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
CARDIOLOGY - IL - MCHENRYANGELES, EMMANUEL (Male)Provider Type: Nurse Practitioners
Address: 2971 W ALGONQUIN RD , ALGONQUIN IL 60102Phone: 847-683-7099 Network: PRESENCE HEALTH PARTNERS SAINT JOSEPH - CHICAGO
Pri. Hospital: PRESENCE SAINT JOSEPH HOSPITAL - ELGIN
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1629310503
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091147
AKRAMI, BRIAN (Male)Provider Type: Physicians
Address: 650 DAKOTA ST - STE A, CRYSTAL LAKE IL 60012Phone: 8154556000 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERVENTIONAL CARDIOLOGY
NPI: 1750320958
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000036019
SATEESHA, PRIYA (Female)Provider Type: Physicians
Address: 650 DAKOTA ST - STE A, CRYSTAL LAKE IL 60012Phone: 815-759-8070 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1699939892
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000100474
TOMASIAN, DOUGLAS (Male)Provider Type: Physicians
Address: 650 DAKOTA ST - STE A, CRYSTAL LAKE IL 60012Phone: 8154556000 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1922187756
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032581
TOMASIAN, DOUGLAS (Male)Provider Type: Physicians
Address: 360 N TERRA COTTA RD - STE C, CRYSTAL LAKE IL 60012Phone: 815-759-8070 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1922187756
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000102596
32
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
TRAGER, JASON (Male)Provider Type: Physicians
Address: 650 DAKOTA ST - STE A, CRYSTAL LAKE IL 60012Phone: 8154556000 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1063535417
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033698
SATEESHA, PRIYA (Female)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 815-759-8070 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1699939892
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000100479
AKRAMI, BRIAN (Male)Provider Type: Physicians
Address: 4309 W MEDICAL CENTER DR - STE B205, MCHENRY IL 60050Phone: 8157598070 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSP - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERVENTIONAL CARDIOLOGY
NPI: 1750320958
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034229
KIZILBASH, MOHAMMAD (Male)Provider Type: Physicians
Address: 4309 MEDICAL CENTER DR - STE B205, MCHENRY IL 60050Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSP - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1114162948
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084664
SATEESHA, PRIYA (Female)Provider Type: Physicians
Address: 4309 MEDICAL CENTER DR - STE B205, MCHENRY IL 60050Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1699939892
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085043
33
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
TOMASIAN, DOUGLAS (Male)Provider Type: Physicians
Address: 4309 W MEDICAL CENTER DR - STE B205, MCHENRY IL 60050Phone: 8157598070 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1922187756
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034083
TRAGER, JASON (Male)Provider Type: Physicians
Address: 4309 W MEDICAL CENTER DR - STE B205, MCHENRY IL 60050Phone: 8157598070 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1063535417
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032660
TOMASIAN, DOUGLAS (Male)Provider Type: Physicians
Address: 3707 DOTY RD , WOODSTOCK IL 60098Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1922187756
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032668
TRAGER, JASON (Male)Provider Type: Physicians
Address: 3707 DOTY RD - STE E, WOODSTOCK IL 60098Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1063535417
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035374
34
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NEUROLOGY - IL - MCHENRYNAGER, BENJAMIN (Male)Provider Type: Physicians
Address: 1122 N MAIN ST , ALGONQUIN IL 60102Phone: 8478547250 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1508824376
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033146
UPCHURCH, TIMOTHY (Male)Provider Type: Physicians
Address: 1122 N MAIN ST , ALGONQUIN IL 60102Phone: 8478547250 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1689628745
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085051
GRINDSTAFF, PAUL (Male)Provider Type: Physicians
Address: 750 E TERRA COTTA AVE - STE A, CRYSTAL LAKE IL 60014Phone: 8154551800 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1811948854
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034013
NAGER, BENJAMIN (Male)Provider Type: Physicians
Address: 750 E TERRA COTTA AVE - STE A, CRYSTAL LAKE IL 60014Phone: 8154551800 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1508824376
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034162
UPCHURCH, TIMOTHY (Male)Provider Type: Physicians
Address: 750 E TERRA COTTA AVE - STE A, CRYSTAL LAKE IL 60014Phone: 8154551800 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1689628745
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084765
35
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HEMATOLOGY & MEDICAL ONCOLOGY - IL - MCHENRYKARBASIAN ESFAHANI, MERAT (Male)Provider Type: Physicians
Address: 101 W SECOND ST - STE 130, DIXON IL 60102Phone: 8154894722 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1992740963
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000035873
SHIPP, SHARON (Male)Provider Type: Physicians
Address: 101 W SECOND ST - STE 130, DIXON IL 60102Phone: 8154894722 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1427079938
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034812
36
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ENDOCRINOLOGY - IL - MCHENRYAHMED, ACHAL (Male)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: ENDOCRINOLOGY Sec. Specialty:
NPI: 1942421144
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035290
GOGINENI, JYOTHI (Female)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: ENDOCRINOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1265624282
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TELUGU
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084741
AHMED, ACHAL (Male)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: ENDOCRINOLOGY Sec. Specialty:
NPI: 1942421144
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034813
GOGINENI, JYOTHI (Female)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: ENDOCRINOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1265624282
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TELUGU
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084738
PATURI, SHALINI (Male)Provider Type: Physicians
Address: 2000 LAKE AVE , WOODSTOCK IL 60098Phone: 815-337-7100 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: ENDOCRINOLOGY Sec. Specialty:
NPI: 1215191754
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091089
37
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
GENERAL SURGERY - IL - MCHENRYCHEREGI, JOHN (Male)Provider Type: Physicians
Address: 690 E TERRA COTTA AVE - STE A, CRYSTAL LAKE IL 60014Phone: 8154551800 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1760632384
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035179
HEYDARI, AMIR (Male)Provider Type: Physicians
Address: 690 E TERRA COTTA AVE - STE A, CRYSTAL LAKE IL 60014Phone: 8154551800 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1417945437
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: FRENCH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084813
HEYDARI, AMIR (Male)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1417945437
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: FRENCH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084816
LEE, EUGENE (Male)Provider Type: Physicians
Address: 690 E TERRA COTTA AVE - STE A, CRYSTAL LAKE IL 60014Phone: 8154551800 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1306835244
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084819
SANDSTROM, TODD (Male)Provider Type: Physicians
Address: 690 E TERRA COTTA AVE - STE A, CRYSTAL LAKE IL 60014Phone: 8154551800 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1972583029
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000084831
38
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
TSEIS ROGINSKY, ALEXANDRA (Female)Provider Type: Physicians
Address: 690 E TERRA COTTA AVE - STE A, CRYSTAL LAKE IL 60014Phone: 8154551800 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1306933197
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084828
HEYDARI, AMIR (Male)Provider Type: Physicians
Address: 10350 HALIGUS RD , HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1417945437
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: FRENCH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085031
SCHWAAB, AARON (Male)Provider Type: Physicians
Address: 4309 MEDICAL CENTER DR - STE A210, MCHENRY IL 60050Phone: 815-759-2830 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1881682805
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084834
LEE, EUGENE (Male)Provider Type: Physicians
Address: 3707 DOTY RD - STE B, WOODSTOCK IL 60098Phone: 815-206-5540 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1306835244
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000084822
39
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NURSE PRACTITIONER - EMERGENCY MEDICINE - IL - MCHENRYFREEMAN, LAWRENCE (Male)Provider Type: Nurse Practitioners
Address: 204 E PRAIRIE ST , MARENGO IL 60152Phone: 8155683000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NURSE PRACTITIONER - EMERGENCY MEDICINE Sec. Specialty:
NPI: 1073804258
Min. Age: 0 Max. Age: 0
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106624
40
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
FAMILY PRACTICE - IL - MCHENRYPERUMAL, SINDHU (Female)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: OCCUPATIONAL & ENVIRONMENTAL MEDICINE
NPI: 1740494236
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032583
PHASOUK, RYAN (Male)Provider Type: Physicians
Address: 204 E PRAIRIE ST , MARENGO IL 60152Phone: 8155683000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1215946892
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 11:00 - 20:00 Tue: 11:00 - 20:00 Wed: 11:00 - 20:00 Thu: 11:00 - 20:00 Fri: 11:00 - 20:00 Sat: 11:00 - 16:00Accepts Medicaid: No
CEB #: 1000033924
SY, ESTHER (Female)Provider Type: Physicians
Address: 204 E PRAIRIE ST , MARENGO IL 60152Phone: 8155683000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1659358703
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 11:00 - 20:00 Tue: 11:00 - 20:00 Wed: 11:00 - 20:00 Thu: 11:00 - 20:00 Fri: 11:00 - 20:00 Sat: 11:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000035385
VILLACORTA, JORGE (Male)Provider Type: Physicians
Address: 204 E PRAIRIE ST , MARENGO IL 60152Phone: 8155683000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1124064001
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 11:00 - 20:00 Tue: 11:00 - 20:00 Wed: 11:00 - 20:00 Thu: 11:00 - 20:00 Fri: 11:00 - 20:00 Sat: 11:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033815
VOLETY, SNIGDHA (Female)Provider Type: Physicians
Address: 204 E PRAIRIE ST , MARENGO IL 60152Phone: 8155683000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1821283565
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: PERSIAN/FARSI
Handicap Access: Yes
Hrs: Mon: 11:00 - 20:00 Tue: 11:00 - 20:00 Wed: 11:00 - 20:00 Thu: 11:00 - 20:00 Fri: 11:00 - 20:00 Sat: 11:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000035883
41
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PERUMAL, SINDHU (Female)Provider Type: Physicians
Address: 4309 W MEDICAL CENTER DR - STE B300, MCHENRY IL 60050Phone: 8157594224 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: OCCUPATIONAL & ENVIRONMENTAL MEDICINE
NPI: 1740494236
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033641
PERUMAL, SINDHU (Female)Provider Type: Physicians
Address: 3701 DOTY RD - STE C, WOODSTOCK IL 60098Phone: 815-759-4224 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: OCCUPATIONAL & ENVIRONMENTAL MEDICINE
NPI: 1740494236
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033910
42
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
INTERNAL MEDICINE - IL - MCHENRYMEHTA, SONIA (Female)Provider Type: Physicians
Address: 360 STATION DR , CRYSTAL LAKE IL 60014Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1265459895
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085017
ALIC, LINDA (Female)Provider Type: Physicians
Address: 4309 MEDICAL CENTER DR - STE A102, MCHENRY IL 60050Phone: 875-759-4323 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1235197161
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00 Sat: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000102280
ALIC, LINDA (Female)Provider Type: Physicians
Address: 4301 W MEDICAL CENTER DR , MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSP - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1235197161
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035699
ALIC, LINDA (Female)Provider Type: Physicians
Address: 3701 DOTY RD , WOODSTOCK IL 60098Phone: 815-338-2500 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSP - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1235197161
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035588
43
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ORTHOPEDIC SURGERY - IL - MCHENRYFERRY, SCOTT (Male)Provider Type: Physicians
Address: 750 TERRA COTTA AVE , CRYSTAL LAKE IL 60014Phone: 815-398-9491 Network: ROCKFORD ORTHOPEDIC ASSOCIATES, LTD
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1417178385
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107807
BERG, JAMES (Male)Provider Type: Physicians
Address: 618 S ILLINOIS RTE 31 - STE D, MCHENRY IL 60050Phone: 815-344-1400 Network: ADVANCED ORTHOPAEDIC CENTER
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1679798326
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000061692
ELSTROM, JOHN A (Male)Provider Type: Physicians
Address: 406 N FRONT ST - STE A, MCHENRY IL 60050Phone: 815-344-3050 Network: JOHN A ELSTROM MD PC
Pri. Hospital: CENTEGRA HOSP - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1689670200
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 08:30 - 17:00 Tue: 09:00 - 17:00 Thu: 08:30 - 17:00 Fri: 10:00 - 14:00Accepts Medicaid: Yes
CEB #: 1000089060
HALL, ROBERT (Male)Provider Type: Physicians
Address: 406 N FRONT ST - STE A, MCHENRY IL 60050Phone: 815-344-3050 Network: JOHN A ELSTROM MD PC
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1083610612
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000089063
44
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
CHIROPRACTOR - IL - MCHENRYDOWELL, MARK (Male)Provider Type: Chiropractors
Address: 200 E CONGRESS PKWY , CRYSTAL LAKE IL 60014Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CHIROPRACTOR Sec. Specialty:
NPI: 1992854566
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085055
DAVID, RANDY (Male)Provider Type: Chiropractors
Address: 10350 HALIGUS RD - STE D, HUNTLEY IL 60142Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CHIROPRACTOR Sec. Specialty:
NPI: 1578553004
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: MALAYALAM
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033117
SPENGEL, SCOTT (Male)Provider Type: Chiropractors
Address: 2507 RICHMOND RD , MCHENRY IL 60050Phone: 815-338-6600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CHIROPRACTOR Sec. Specialty:
NPI: 1285641597
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085046
DOWELL, MARK (Male)Provider Type: Chiropractors
Address: 3707 DOTY RD - STE D, WOODSTOCK IL 60098Phone: 8153386600 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital: CENTEGRA HOSPITAL - MCHENRY
Accepting New Patients: Yes
Pri. Specialty: CHIROPRACTOR Sec. Specialty:
NPI: 1992854566
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035165
45
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PEDIATRIC CARDIOLOGY - IL - MCHENRYFORAN, RONALD (Male)Provider Type: Physicians
Address: 3701 DOTY RD , WOODSTOCK IL 60098Phone: 815-338-2500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: PEDIATRIC CARDIOLOGY Sec. Specialty:
NPI: 1710980396
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033105
46
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
FAMILY PRACTICE - IL - OGLEBRENDEL, KELLY (Female)Provider Type: Nurse Practitioners
Address: 220 W BLACKHAWK DR , BYRON IL 61010Phone: 779-696-1300 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1407269236
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091734
OMALLEY, MAGGIE (Male)Provider Type: Nurse Practitioners
Address: 5665 N JUNCTION WAY , DAVIS JUNCTION IL 61020Phone: 779-696-9200 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1821346297
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035215
47
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SURGERY - COLON & RECTAL - IL - OGLEPRABHAKAR, LAWRENCE (Male)Provider Type: Physicians
Address: 900 N 2ND ST , ROCHELLE IL 61068Phone: 8155622181 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SURGERY - COLON & RECTAL Sec. Specialty:
NPI: 1467482828
Min. Age: 0 Max. Age: 0
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000108449
48
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
MIDWIFERY - IL - WINNEBAGOBECK, VICKI (Male)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1770596751
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042834
DOBSON, JENNIFER (Female)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1386712651
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042844
HESTRUP, AMANDA (Male)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1811244569
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042861
KEENEY, RENEE (Male)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1205115383
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042879
NGUY, SCOTT (Male)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: FAMILY PRACTICE
NPI: 1255688719
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042908
49
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
WODELL, DEBORAH (Male)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1255419495
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042941
BECK, VICKI (Male)Provider Type: Nurse Practitioners
Address: 1002 N PIERPONT AVE , ROCKFORD IL 61101Phone: 815-209-9642 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1770596751
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107560
BECK, VICKI (Male)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 8154901600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1770596751
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042832
BECK, VICKI (Male)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1770596751
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042833
BOETTNER, KAREN (Male)Provider Type: Nurse Practitioners
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1669438230
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033213
50
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
BOETTNER, KAREN (Male)Provider Type: Nurse Practitioners
Address: 5970 CHURCHVIEW DR , ROCKFORD IL 61107Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1669438230
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000055582
CAILLER, LAURA (Female)Provider Type: Nurse Practitioners
Address: 5970 CHURCHVIEW DR , ROCKFORD IL 61107Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty:
NPI: 1003206756
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000090780
CASCIO, PAULA (Male)Provider Type: Nurse Practitioners
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: OBSTETRICS & GYNECOLOGY
NPI: 1629100037
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034744
DOBSON, JENNIFER (Female)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1386712651
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042843
DOBSON, JENNIFER (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1386712651
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042842
51
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HESTRUP, AMANDA (Male)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1811244569
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042860
HESTRUP, AMANDA (Male)Provider Type: Nurse Practitioners
Address: 1002 N PIERPONT AVE , ROCKFORD IL 61101Phone: 815-209-9642 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1811244569
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107450
HESTRUP, AMANDA (Male)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1811244569
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042859
KEENEY, RENEE (Male)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1205115383
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042878
KEENEY, RENEE (Male)Provider Type: Nurse Practitioners
Address: 1002 N PIERPONT AVE , ROCKFORD IL 61101Phone: 815-209-9642 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1205115383
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107525
52
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
KEENEY, RENEE (Male)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1205115383
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042877
NGUY, SCOTT (Male)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: FAMILY PRACTICE
NPI: 1255688719
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042906
NGUY, SCOTT (Male)Provider Type: Nurse Practitioners
Address: 1002 N PIERPONT AVE , ROCKFORD IL 61101Phone: 815-209-9642 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: FAMILY PRACTICE
NPI: 1255688719
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107104
NGUY, SCOTT (Male)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: FAMILY PRACTICE
NPI: 1255688719
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042907
WODELL, DEBORAH (Male)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1255419495
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042943
53
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
WODELL, DEBORAH (Male)Provider Type: Nurse Practitioners
Address: 1002 N PIERPONT AVE , ROCKFORD IL 61101Phone: 815-209-9642 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1255419495
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107546
WODELL, DEBORAH (Male)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: MIDWIFERY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1255419495
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042942
54
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
OPTOMETRY - IL - WINNEBAGOLERDVORATAVEE, VASANA (Male)Provider Type: Optometrists
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: OPTOMETRY Sec. Specialty:
NPI: 1356332423
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000043312
WEINGART, RONALD (Male)Provider Type: Optometrists
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: OPTOMETRY Sec. Specialty:
NPI: 1639169998
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043319
LERDVORATAVEE, VASANA (Male)Provider Type: Optometrists
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: OPTOMETRY Sec. Specialty:
NPI: 1356332423
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000043307
LERDVORATAVEE, VASANA (Male)Provider Type: Optometrists
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: OPTOMETRY Sec. Specialty:
NPI: 1356332423
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000043308
WEINGART, RONALD (Male)Provider Type: Optometrists
Address: 1002 N PIERPONT AVE , ROCKFORD IL 61101Phone: 815-209-9642 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OPTOMETRY Sec. Specialty:
NPI: 1639169998
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107128
55
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
WEINGART, RONALD (Male)Provider Type: Optometrists
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: OPTOMETRY Sec. Specialty:
NPI: 1639169998
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043316
WEINGART, RONALD (Male)Provider Type: Optometrists
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: OPTOMETRY Sec. Specialty:
NPI: 1639169998
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000043317
56
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
EMERGENCY MEDICINE - IL - WINNEBAGOTUSCHEN, JAMES (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8470 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: EMERGENCY MEDICINE Sec. Specialty:
NPI: 1639195514
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096130
MACNEAL, JAMES (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-3333 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: EMERGENCY MEDICINE Sec. Specialty:
NPI: 1366692287
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000093687
PATEL, ILAXI (Female)Provider Type: Physicians
Address: 4423 MANCHESTER DR , ROCKFORD IL 61109Phone: 8153941391 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: EMERGENCY MEDICINE Sec. Specialty: INTERNAL MEDICINE
NPI: 1629087861
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091633
57
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PULMONARY DISEASE - IL - WINNEBAGOALBAZZAZ, FAIQ J (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PULMONARY DISEASE Sec. Specialty: INTERNAL MEDICINE
NPI: 1639125750
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034198
ALTAYEH, ABDULLAH (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PULMONARY DISEASE Sec. Specialty: CRITICAL CARE MEDICINE
NPI: 1831191584
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ARABIC
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034818
INGRASSIA, THEODORE (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE B600, ROCKFORD IL 61108Phone: 8153977212 Network: THEODORE S INGRASSIA III MD SC
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: PULMONARY DISEASE Sec. Specialty:
NPI: 1437263662
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 13:00 - 15:00 Wed: 13:00 - 15:00 Thu: 10:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000034867
KULLBERG, FREDRIC (Male)Provider Type: Physicians
Address: 5668 E STATE ST , ROCKFORD IL 61108Phone: 815-397-7212 Network: FREDRIC C KULLBERG MD SC
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: PULMONARY DISEASE Sec. Specialty:
NPI: 1912010273
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:30 - 12:30 Tue: 12:30 - 16:00 Wed: 09:30 - 12:30 Thu: 12:30 - 16:00 Fri: 10:00 - 12:30Accepts Medicaid: Yes
CEB #: 1000034318
PONNAMBALAM, ARVIND (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PULMONARY DISEASE Sec. Specialty:
NPI: 1073704581
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035833
58
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
QASSEM, ZAHER (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PULMONARY DISEASE Sec. Specialty:
NPI: 1366551996
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034118
ROY, BHARATI (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PULMONARY DISEASE Sec. Specialty:
NPI: 1366552556
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034808
ROY, BHARATI (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PULMONARY DISEASE Sec. Specialty:
NPI: 1366552556
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033717
THAPPA, VIVEK (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PULMONARY DISEASE Sec. Specialty:
NPI: 1295743383
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034825
ZEATER, MOHAMED (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PULMONARY DISEASE Sec. Specialty:
NPI: 1285690958
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033070
59
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
GENERAL SURGERY - IL - WINNEBAGOBENNETT, CINTHIA (Female)Provider Type: Nurse Practitioners
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1619396157
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000081292
PEDERSON, REBECCA (Male)Provider Type: Nurse Practitioners
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1255330635
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: PERSIAN/FARSI
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032486
PINAWIN, MAXITA (Male)Provider Type: Nurse Practitioners
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1669416095
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TELUGU
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033571
ANCIL, PHILIP (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 100, ROCKFORD IL 61104Phone: 779-696-8700 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1295943884
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000103387
ANCIL, PHILIP (Male)Provider Type: Physicians
Address: 3535 N BELL SCHOOL RD , ROCKFORD IL 61114Phone: 779-696-9400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1295943884
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000103395
60
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
APPAVU, SAMUEL K (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty: SURGERY - TRAUMATIC
NPI: 1346243169
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TAMIL
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033178
APPAVU, SAMUEL K (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE - STE 304, ROCKFORD IL 61103Phone: 815-964-3030 Network: AFFILIATED SURGEONS OF ROCKFORD LLC
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty: SURGERY - TRAUMATIC
NPI: 1346243169
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TAMIL
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000079993
APPAVU, SAMUEL K (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty: SURGERY - TRAUMATIC
NPI: 1346243169
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TAMIL
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034622
BARTEAU, JEFFREY (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-229-7580 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1053344903
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000108426
BARTEAU, JEFFREY (Male)Provider Type: Physicians
Address: 5668 E STATE ST , ROCKFORD IL 61108Phone: 815-397-7212 Network: ROCKFORD SURGICAL SERVICES SC (TERMED 03/31/16)
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1053344903
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000059679
61
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
CABLE, DAVID (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-397-7900 Network: ROCKFORD SURGICAL SERVICES SC (TERMED 03/31/16)
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty: CARDIOTHORACIC SURGERY
NPI: 1033183728
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000059696
CABLE, DAVID (Male)Provider Type: Physicians
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty: CARDIOTHORACIC SURGERY
NPI: 1033183728
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034066
CHURCH, FREDERICK W (Male)Provider Type: Physicians
Address: 7180 SPRING BROOK RD , ROCKFORD IL 61114Phone: 8159712299 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1871585034
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034449
COWDEN, WILLIAM (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty: SURGERY - TRAUMATIC
NPI: 1033384904
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000033866
EDGCOMB, LESLIE (Female)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-229-7580 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty: SURGERY - CARDIOVASCULAR
NPI: 1629014022
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000108436
62
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
EDGCOMB, LESLIE (Female)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-397-7900 Network: ROCKFORD SURGICAL SERVICES SC (TERMED 03/31/16)
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty: SURGERY - CARDIOVASCULAR
NPI: 1629014022
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000059699
HAEBERLIN, JOHN (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 100, ROCKFORD IL 61104Phone: 779-696-8700 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1477650109
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000100342
HODGE, ROBERT (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-397-7900 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1831298942
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095863
HOFFMAN, ANDREW (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-397-7900 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1104934389
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095867
KELLER, MARY (Female)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-397-7900 Network: ROCKFORD SURGICAL SERVICES SC (TERMED 03/31/16)
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1275567703
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000059704
63
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
KELLER, MARY (Female)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-229-7580 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1275567703
Min. Age: 0 Max. Age: 0
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000108443
MCCARTHY, MICHAEL (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE - STE 510, ROCKFORD IL 61103Phone: 8159633426 Network: SURGICAL ASSOCIATES OF NORTHERN ILLINOIS LLC
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1851383061
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000059363
MCCARTHY, MICHAEL (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1851383061
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034152
MICHELOTTI, MICHAEL (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE - STE 510, ROCKFORD IL 61103Phone: 8159633426 Network: SURGICAL ASSOCIATES OF NORTHERN ILLINOIS LLC
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1912991688
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000059366
PICKERING, DACIA A (Female)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-397-7900 Network: ROCKFORD SURGICAL SERVICES SC (TERMED 03/31/16)
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1063686848
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000059728
64
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
RAUTER, MARK A (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1982606745
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033636
ROBINSON, ELISHA (Male)Provider Type: Physicians
Address: 7180 SPRING BROOK RD , ROCKFORD IL 61114Phone: 8159712299 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1750584058
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032870
SAYON, ABRAHAM (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 301B, ROCKFORD IL 61114Phone: 779-696-8700 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1104088285
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000093188
SCHAUER, JEFFREY (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE - STE 304, ROCKFORD IL 61103Phone: 815-964-3030 Network: AFFILIATED SURGEONS OF ROCKFORD LLC
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1427054592
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000080002
SCHAUER, JEFFREY (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1427054592
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033831
65
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SCHNEIDER, DAVID (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 100, ROCKFORD IL 61104Phone: 779-696-8703 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1366602666
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000100345
WHITMAN, MARC (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-397-7900 Network: ROCKFORD SURGICAL SERVICES SC (TERMED 03/31/16)
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty: VASCULAR SURGERY
NPI: 1740214329
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000059739
WHITMAN, MARC (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-229-7580 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty: VASCULAR SURGERY
NPI: 1740214329
Min. Age: 0 Max. Age: 0
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000108466
WILCZAK, EMILY (Female)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-229-7580 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1386969400
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095665
ZAPPIA, ANTHONY (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1184734402
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033206
66
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ZAPPIA, ANTHONY (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1184734402
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035138
ZARNKE, MARK (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE - STE 510, ROCKFORD IL 61103Phone: 8159633426 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1295737948
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034889
ZARNKE, MARK (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE - STE 510, ROCKFORD IL 61103Phone: 8159633426 Network: SURGICAL ASSOCIATES OF NORTHERN ILLINOIS LLC
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1295737948
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 16:00Accepts Medicaid: Yes
CEB #: 1000059890
ANCIL, PHILIP (Male)Provider Type: Physicians
Address: 4282 E ROCKTON RD , ROSCOE IL 61073Phone: 779-696-9000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GENERAL SURGERY Sec. Specialty:
NPI: 1295943884
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000103377
67
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ONCOLOGY - IL - WINNEBAGOBEGUM, HOSNE (Male)Provider Type: Physicians
Address: 2401 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159715000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ONCOLOGY Sec. Specialty:
NPI: 1508942202
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035485
68
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PEDIATRICS - IL - WINNEBAGOBENTERS, JENNIFER (Female)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PEDIATRICS Sec. Specialty: NURSE PRACTITIONER
NPI: 1982004461
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095273
BENTERS, JENNIFER (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PEDIATRICS Sec. Specialty: NURSE PRACTITIONER
NPI: 1982004461
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095269
69
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SURGERY - CARDIOVASCULAR - IL - WINNEBAGOBOONE, KENDALL (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE - STE 304, ROCKFORD IL 61103Phone: 815-964-3030 Network: AFFILIATED SURGEONS OF ROCKFORD LLC
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: SURGERY - CARDIOVASCULAR Sec. Specialty:
NPI: 1861498909
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000079946
CZIPERLE, DAVID (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: SURGERY - CARDIOVASCULAR Sec. Specialty: CARDIOTHORACIC SURGERY
NPI: 1295797900
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033797
FOY, BRYAN (Male)Provider Type: Physicians
Address: 1401 E STATE ST - 1ST FL, ROCKFORD IL 61104Phone: 8153156102 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: SURGERY - CARDIOVASCULAR Sec. Specialty: GENERAL SURGERY
NPI: 1972569754
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033284
70
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SURGERY - HEAD & NECK - IL - WINNEBAGOBRADLEY, STEPHEN (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-397-7900 Network: ROCKFORD SURGICAL SERVICES SC (TERMED 03/31/16)
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: SURGERY - HEAD & NECK Sec. Specialty: SURGICAL ONCOLOGY
NPI: 1164455028
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000059688
71
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ORAL SURGERY - IL - WINNEBAGOBRUKSCH, MATTHEW (Male)Provider Type: Dentists
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORAL SURGERY Sec. Specialty:
NPI: 1538394580
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091792
72
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PEDIATRIC SURGERY - IL - WINNEBAGOBUNTAIN, WILLIAM (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-7255 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PEDIATRIC SURGERY Sec. Specialty: GENERAL SURGERY
NPI: 1700902608
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000093746
RETTIG, ARTHUR (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PEDIATRIC SURGERY Sec. Specialty:
NPI: 1376653568
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034613
73
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PEDIATRIC GASTROENTEROLOGY - IL - WINNEBAGOBURRESS, GLENDON (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PEDIATRIC GASTROENTEROLOGY Sec. Specialty:
NPI: 1639190200
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032417
74
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
OBSTETRICS - IL - WINNEBAGOCOLOMBO, DAVID (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-6310 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS Sec. Specialty: MATERNAL & FETAL MEDICINE
NPI: 1164487716
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Sun: 09:00 - 17:0 Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091589
75
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
INTERVENTIONAL CARDIOLOGY - IL - WINNEBAGOCOOK, JEFFREY (Male)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: INTERVENTIONAL CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1952353518
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096114
76
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ALLERGY & IMMUNOLOGY - IL - WINNEBAGOCOOK, MARISHA (Female)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ALLERGY & IMMUNOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1356487904
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000089412
FREY, CHARLES (Male)Provider Type: Physicians
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: ALLERGY & IMMUNOLOGY Sec. Specialty:
NPI: 1356321244
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095713
MOHIUDDIN, FATIMA (Male)Provider Type: Physicians
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ALLERGY & IMMUNOLOGY Sec. Specialty: PEDIATRIC ALLERGY & IMMUNOLOGY
NPI: 1578674834
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000034663
77
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NEUROSURGERY - IL - WINNEBAGOCAIN, MAUREEN (Female)Provider Type: Nurse Practitioners
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROSURGERY Sec. Specialty:
NPI: 1457416752
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000055594
ASNER, NESHER (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 400, ROCKFORD IL 61104Phone: 8154899512 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROSURGERY Sec. Specialty:
NPI: 1750363651
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033293
BRODERICK, RICHARD (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 400, ROCKFORD IL 61104Phone: 779-696-9512 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROSURGERY Sec. Specialty:
NPI: 1285718833
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091744
CHU, GORDON (Male)Provider Type: Physicians
Address: 535 ROXBURY RD , ROCKFORD IL 61107Phone: 8153871717 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: NEUROSURGERY Sec. Specialty:
NPI: 1235310756
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035781
DEVESHWAR, RAJEEV (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROSURGERY Sec. Specialty:
NPI: 1144269432
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035216
78
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
DEVESHWAR, RAJEEV (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROSURGERY Sec. Specialty:
NPI: 1144269432
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035988
FARHAT, HAMAD (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROSURGERY Sec. Specialty:
NPI: 1861724064
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090797
GRYFINSKI, MARTIN (Male)Provider Type: Physicians
Address: 535 ROXBURY RD , ROCKFORD IL 61107Phone: 8153871717 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEUROSURGERY Sec. Specialty:
NPI: 1588779763
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095851
GRYFINSKI, MARTIN (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 400, ROCKFORD IL 61104Phone: 779-696-9512 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROSURGERY Sec. Specialty:
NPI: 1588779763
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091897
VELIMIROVIC, BRATISLAV (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROSURGERY Sec. Specialty:
NPI: 1477533081
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000035687
79
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
VELIMIROVIC, BRATISLAV (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROSURGERY Sec. Specialty:
NPI: 1477533081
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000033423
80
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
INTERNAL MEDICINE - IL - WINNEBAGOCELNER, ANNE (Female)Provider Type: Nurse Practitioners
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: FAMILY PRACTICE
NPI: 1992057251
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000055616
ANSARI, MOHAMMED (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1649492620
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000033770
ARADHYULA, SWAPNA (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: HOSPITALIST
NPI: 1659688588
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035578
BARI, HUMAIRA (Female)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1497845135
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033125
DORSEY, JOHN (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE - STE 302, ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1144330333
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034861
81
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
EHTESHAM, RUBINA (Female)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1962512152
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033397
HERMAN, LUKE (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1457509150
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000033700
HERMAN, LUKE (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1457509150
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000032852
HYDER, AHTESHAM (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1740207505
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034587
IVAN, AURELIAN (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1841467743
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033748
82
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
MARINA, SHADI (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61104Phone: 815-967-5476 Network: GEORGIA INPATIENT MEDICINE ASSOCIATES LLC
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: HOSPITALIST
NPI: 1972764041
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ARABIC
Handicap Access: No
Hrs:Accepts Medicaid: Yes
CEB #: 1000087579
MCHUGH, HUGH (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1578673760
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034306
NAEEM, SAIMA (Female)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1164478616
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035692
OLIN, ANNETTE (Female)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1053323881
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000036052
PAK, CHONG H (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1003926296
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000035890
83
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
RASKIN, LEONID (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1558471748
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TELUGU
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034092
SALWAN, ASHIMA (Male)Provider Type: Physicians
Address: 2401 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159715000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: HOSPITALIST
NPI: 1871785923
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034126
SIDDIQUI, NADEEM (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1447360631
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034983
SYED, MALIHA (Female)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1043230303
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034077
WARD, CHRISTINE (Female)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1982714176
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: PERSIAN/FARSI
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035459
84
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
YUSAF, OMER (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:
NPI: 1669585956
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: PERSIAN/FARSI
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000035558
85
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PEDIATRIC CARDIOLOGY - IL - WINNEBAGOCHAN, DAVID (Male)Provider Type: Physicians
Address: 5701 STRATHMOOR DR - STE 1, ROCKFORD IL 61107Phone: 8152275600 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PEDIATRIC CARDIOLOGY Sec. Specialty:
NPI: 1427057595
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000096075
FORAN, RONALD (Male)Provider Type: Physicians
Address: 5701 STRATHMOOR DR - STE 100, ROCKFORD IL 61107Phone: 8152275600 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: PEDIATRIC CARDIOLOGY Sec. Specialty:
NPI: 1710980396
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095703
HUYOUNG, ALFRED (Male)Provider Type: Physicians
Address: 5701 STRATHMOOR DR - STE 100, ROCKFORD IL 61107Phone: 8152275600 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: PEDIATRIC CARDIOLOGY Sec. Specialty:
NPI: 1306849989
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034425
KNEPP, MARC (Male)Provider Type: Physicians
Address: 5701 STRATHMOOR DR - STE 1, ROCKFORD IL 61107Phone: 8152275600 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PEDIATRIC CARDIOLOGY Sec. Specialty:
NPI: 1568686277
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095956
86
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
UROLOGY - IL - WINNEBAGOFUMO, MICHAEL (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: UROLOGY Sec. Specialty:
NPI: 1528196656
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000035300
87
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
CARDIOTHORACIC SURGERY - IL - WINNEBAGOBONILLA, JUAN (Male)Provider Type: Physicians
Address: 1401 E STATE ST - 1ST FL, ROCKFORD IL 61104Phone: 8153156102 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOTHORACIC SURGERY Sec. Specialty: GENERAL SURGERY
NPI: 1558327015
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000036186
CARTER, THOMAS (Male)Provider Type: Physicians
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: CARDIOTHORACIC SURGERY Sec. Specialty:
NPI: 1255364139
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033640
CARTER, THOMAS (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-397-7900 Network: ROCKFORD SURGICAL SERVICES SC (TERMED 03/31/16)
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: CARDIOTHORACIC SURGERY Sec. Specialty:
NPI: 1255364139
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000059691
CHENG, DAVID (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 301A, ROCKFORD IL 61104Phone: 779-696-8800 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOTHORACIC SURGERY Sec. Specialty:
NPI: 1194781849
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091795
GRAMM, JAMES (Male)Provider Type: Physicians
Address: 1401 E STATE ST - 1ST FL, ROCKFORD IL 61104Phone: 8153156102 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOTHORACIC SURGERY Sec. Specialty:
NPI: 1124084900
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000032412
88
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HART, MICHAEL (Male)Provider Type: Physicians
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: CARDIOTHORACIC SURGERY Sec. Specialty:
NPI: 1558686709
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000108494
HART, MICHAEL (Male)Provider Type: Physicians
Address: 5668 E STATE ST , ROCKFORD IL 61108Phone: 815-397-7212 Network: ROCKFORD SURGICAL SERVICES SC (TERMED 03/31/16)
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: CARDIOTHORACIC SURGERY Sec. Specialty:
NPI: 1558686709
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000065164
KOLLA, SRINIVAS (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOTHORACIC SURGERY Sec. Specialty:
NPI: 1235100397
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058918
LEE, BRYAN (Male)Provider Type: Physicians
Address: 1401 E STATE ST - 1ST FL, ROCKFORD IL 61104Phone: 8153156102 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOTHORACIC SURGERY Sec. Specialty:
NPI: 1982628475
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035508
MYERS, JOHN (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 300, ROCKFORD IL 61104Phone: 779-696-5888 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOTHORACIC SURGERY Sec. Specialty:
NPI: 1174553523
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058649
89
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
MYERS, JOHN (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOTHORACIC SURGERY Sec. Specialty:
NPI: 1174553523
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034833
TUCHEK, MICHAEL (Male)Provider Type: Physicians
Address: 1401 E STATE ST - 1ST FL, ROCKFORD IL 61104Phone: 8153156102 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOTHORACIC SURGERY Sec. Specialty:
NPI: 1598721250
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034430
90
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PHYSICAL THERAPY - IL - WINNEBAGOGULOTTA, BENJAMINProvider Type: Physical Therapists
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PHYSICAL THERAPY Sec. Specialty:
NPI: 1932327863
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034778
91
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PULMONOLOGY - IL - WINNEBAGOHANIF, NADEEM (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE B600, ROCKFORD IL 61108Phone: 8153977212 Network: NADEEM HANIF MD SC
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: PULMONOLOGY Sec. Specialty:
NPI: 1972617181
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: URDU
Handicap Access: Yes
Hrs: Mon: 13:00 - 16:00 Tue: 13:00 - 16:00 Thu: 13:00 - 16:00 Fri: 10:30 - 12:30Accepts Medicaid: Yes
CEB #: 1000033945
92
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
GERIATRICS - IL - WINNEBAGOHARTMAN, HEATHER (Male)Provider Type: Nurse Practitioners
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: GERIATRICS Sec. Specialty: NURSE PRACTITIONER
NPI: 1598878464
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033631
93
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
AUDIOLOGY - IL - WINNEBAGOAWENDER, CAROLYN (Male)Provider Type: Audiologists
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: AUDIOLOGY Sec. Specialty:
NPI: 1942227905
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 19:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000035415
FILER, SARAH (Female)Provider Type: Audiologists
Address: 8038 MACINTOSH LN , ROCKFORD IL 61107Phone: 815-332-6800 Network: CENTER FOR SIGHT AND HEARING
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: AUDIOLOGY Sec. Specialty:
NPI: 1467770941
Min. Age: 0 Max. Age: 99
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Wed: 08:00 - 16:30 Fri: 08:00 - 16:30Accepts Medicaid: Yes
CEB #: 1000034940
FILER, SARAH (Female)Provider Type: Audiologists
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: AUDIOLOGY Sec. Specialty:
NPI: 1467770941
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090747
HARTMAN, MELODY (Male)Provider Type: Audiologists
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: AUDIOLOGY Sec. Specialty:
NPI: 1568483121
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 19:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000033120
HEMMER, MEGAN (Male)Provider Type: Audiologists
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: AUDIOLOGY Sec. Specialty:
NPI: 1306192810
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033280
94
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
POWELL, DAVID (Male)Provider Type: Audiologists
Address: 8038 MACINTOSH LN , ROCKFORD IL 61107Phone: 815-332-6800 Network: CENTER FOR SIGHT AND HEARING
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: AUDIOLOGY Sec. Specialty:
NPI: 1386697597
Min. Age: 0 Max. Age: 99
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:30 Tue: 08:00 - 16:30 Wed: 08:00 - 16:30 Thu: 08:00 - 16:30 Fri: 08:00 - 16:30Accepts Medicaid: Yes
CEB #: 1000034540
WORKMAN, CHRISTOPHER (Male)Provider Type: Audiologists
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: AUDIOLOGY Sec. Specialty:
NPI: 1619957412
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096148
95
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HEMATOLOGY & MEDICAL ONCOLOGY - IL - WINNEBAGOEDWARDS, WILLIAM (Male)Provider Type: Physicians
Address: 3535 N BELL SCHOOL RD , ROCKFORD IL 61114Phone: 779-696-9400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1437140258
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058443
EINHORN, HARVEY (Male)Provider Type: Physicians
Address: 3535 N BELL SCHOOL RD , ROCKFORD IL 61114Phone: 779-696-9400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1689695108
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058449
HASHIMI, MAY (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1154342293
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032758
HOSKINS, KENT (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1255363529
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035057
KARBASIAN ESFAHANI, MERAT (Male)Provider Type: Physicians
Address: 3535 N BELL SCHOOL RD , ROCKFORD IL 61114Phone: 779-696-9400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1992740963
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058473
96
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
KHAN, AJAZ (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1043484736
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034970
KHAN, AJAZ (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1043484736
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033391
KHATTAK, FAUZIA (Male)Provider Type: Physicians
Address: 3535 N BELL SCHOOL RD , ROCKFORD IL 61114Phone: 779-696-9400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1265625354
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058583
KORKMAZ, METE (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1902833999
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034203
MARDINI, NAMEER (Male)Provider Type: Physicians
Address: 3535 N BELL SCHOOL RD , ROCKFORD IL 61114Phone: 779-696-9400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1821109448
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033919
97
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NORA, RICHARD (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1376570846
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034864
NORA, RICHARD (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1376570846
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034058
SCHULZ, WILLIAM (Male)Provider Type: Physicians
Address: 3535 N BELL SCHOOL RD , ROCKFORD IL 61114Phone: 779-696-9400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1558382069
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058731
SCHULZ, WILLIAM (Male)Provider Type: Physicians
Address: 209 9TH ST - STE 200, ROCKFORD IL 61104Phone: 8154894722 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1558382069
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032831
SHAUKAT, ISMAEL (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1780814863
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034846
98
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SHIPP, SHARON (Male)Provider Type: Physicians
Address: 3535 N BELL SCHOOL RD , ROCKFORD IL 61114Phone: 779-696-9400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1427079938
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058753
SREENIVASAPPA, SHYLENDRA (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1972706604
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033209
SREENIVASAPPA, SHYLENDRA (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY Sec. Specialty:
NPI: 1972706604
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034315
99
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
RHEUMATOLOGY - IL - WINNEBAGODIETZ, FREDERICK (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: RHEUMATOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1235249426
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000035185
DIETZ, FREDERICK (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: RHEUMATOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1235249426
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000033773
HOVIS, ROBIN (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: RHEUMATOLOGY Sec. Specialty:
NPI: 1033229224
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000032607
HOVIS, ROBIN (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: RHEUMATOLOGY Sec. Specialty:
NPI: 1033229224
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000035319
NIKA, AILDA (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: RHEUMATOLOGY Sec. Specialty:
NPI: 1831316983
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000033316
100
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NIKA, AILDA (Male)Provider Type: Physicians
Address: 7702 N ALPINE RD , ROCKFORD IL 61111Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: RHEUMATOLOGY Sec. Specialty:
NPI: 1831316983
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000033780
101
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
DERMATOLOGY - IL - WINNEBAGOHUDSON, ALBERT (Male)Provider Type: Physicians
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: DERMATOLOGY Sec. Specialty:
NPI: 1053391334
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095888
102
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HOSPICE & PALLIATIVE MEDICINE - IL - WINNEBAGOGENTZ, CATHERINE (Male)Provider Type: Nurse Practitioners
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HOSPICE & PALLIATIVE MEDICINE Sec. Specialty:
NPI: 1205990801
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058510
BARNHART, H TRENT (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-395-4548 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: HOSPICE & PALLIATIVE MEDICINE Sec. Specialty: FAMILY PRACTICE
NPI: 1477587921
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: CHINESE
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095900
KALWEIT, JULIETTE (Female)Provider Type: Physicians
Address: 3535 N BELL SCHOOL RD , ROCKFORD IL 61114Phone: 779-696-9400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HOSPICE & PALLIATIVE MEDICINE Sec. Specialty: FAMILY PRACTICE
NPI: 1740216001
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: GERMAN
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000106735
KALWEIT, JULIETTE (Female)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HOSPICE & PALLIATIVE MEDICINE Sec. Specialty: FAMILY PRACTICE
NPI: 1740216001
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: GERMAN
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032653
103
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HOSPITALIST - IL - WINNEBAGOALI, AZRA (Female)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOSPITALIST Sec. Specialty: INTERNAL MEDICINE
NPI: 1700804028
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000095733
AMIN, ANIL (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: HOSPITALIST Sec. Specialty: INTERNAL MEDICINE
NPI: 1780604900
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000095803
BATH, HARNEET (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: HOSPITALIST Sec. Specialty: INTERNAL MEDICINE
NPI: 1679747760
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095979
EGEKEZE, GILBERT (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-395-5261 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: HOSPITALIST Sec. Specialty: INTERNAL MEDICINE
NPI: 1548361959
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095808
KAMAL, BINOY (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-395-5261 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: HOSPITALIST Sec. Specialty: INTERNAL MEDICINE
NPI: 1295805174
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095926
104
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
MANOV, ZLATINA (Female)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: HOSPITALIST Sec. Specialty: INTERNAL MEDICINE
NPI: 1477701639
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095763
OANA, IULIA (Female)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: GEORGIA INPATIENT MEDICINE ASSOCIATES LLC
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: HOSPITALIST Sec. Specialty: INFECTIOUS DISEASE
NPI: 1306010756
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 06:00 - 17:30 Tue: 06:00 - 17:30 Wed: 06:00 - 17:30 Thu: 06:00 - 17:30 Fri: 06:00 - 17:30Accepts Medicaid: Yes
CEB #: 1000092893
105
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
VASCULAR SURGERY - IL - WINNEBAGOWILLIAMS, KATHLEEN (Female)Provider Type: Nurse Practitioners
Address: 2300 N ROCKTON AVE - STE 304, ROCKFORD IL 61103Phone: 815-964-3030 Network: AFFILIATED SURGEONS OF ROCKFORD LLC
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: VASCULAR SURGERY Sec. Specialty:
NPI: 1063418143
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000079996
KIKTA, MICHAEL (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: VASCULAR SURGERY Sec. Specialty:
NPI: 1457357592
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000036034
KIKTA, MICHAEL (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE - STE 304, ROCKFORD IL 61103Phone: 815-964-3030 Network: AFFILIATED SURGEONS OF ROCKFORD LLC
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: VASCULAR SURGERY Sec. Specialty:
NPI: 1457357592
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000079964
KLAZURA, PAUL (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 301, ROCKFORD IL 61104Phone: 8153917676 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: VASCULAR SURGERY Sec. Specialty:
NPI: 1407852551
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058903
KLAZURA, PAUL (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE - STE 304, ROCKFORD IL 61103Phone: 815-964-3030 Network: AFFILIATED SURGEONS OF ROCKFORD LLC
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: VASCULAR SURGERY Sec. Specialty:
NPI: 1407852551
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000079956
106
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
MIJAL, SARA (Female)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 100, ROCKFORD IL 61104Phone: 779-696-8799 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: VASCULAR SURGERY Sec. Specialty:
NPI: 1720107261
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000100338
MIJAL, SARA (Female)Provider Type: Physicians
Address: 2300 N ROCKTON AVE - STE 304, ROCKFORD IL 61103Phone: 815-964-3030 Network: AFFILIATED SURGEONS OF ROCKFORD LLC
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: VASCULAR SURGERY Sec. Specialty:
NPI: 1720107261
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 11:30 Thu: 13:00 - 16:30Accepts Medicaid: Yes
CEB #: 1000079999
107
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PSYCHIATRY - IL - WINNEBAGORIEHLE, CRAIG (Male)Provider Type: Clinical Social Worker
Address: 1601 N UNIVERSITY DR , ROCKFORD IL 61107Phone: 8153872500 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1992031884
Min. Age: 1 Max. Age: 17
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033630
RIEHLE, CRAIG (Male)Provider Type: Clinical Social Worker
Address: 3815 HARRISON AVE , ROCKFORD IL 61108Phone: 8153911000 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1992031884
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034169
CATANIA, COLLEEN (Male)Provider Type: Other Behavior Health Professionals (Encounter only)
Address: 3815 HARRISON AVE , ROCKFORD IL 61108Phone: 8153911000 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1497031728
Min. Age: 1 Max. Age: 17
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032482
RIZVI, ZAFFAR (Male)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1730257056
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043276
DSOUZA, ANTHONY (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1962502781
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034675
108
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
GARCIA, RAYMOND (Male)Provider Type: Physicians
Address: 1601 N UNIVERSITY DR , ROCKFORD IL 61107Phone: 8153872500 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1245217959
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033879
GARCIA, RAYMOND (Male)Provider Type: Physicians
Address: 3815 HARRISON AVE , ROCKFORD IL 61108Phone: 8153911000 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1245217959
Min. Age: 11 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035625
IRFAN, SYED (Male)Provider Type: Physicians
Address: 2819 GLENWOOD , ROCKFORD IL 61101Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1508895897
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000035523
JACONETTE, RICHARD (Male)Provider Type: Physicians
Address: 8616 NORTHERN AVE , ROCKFORD IL 61107Phone: 8153388003 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1578785432
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034993
JAFRY, SHAHINA (Male)Provider Type: Physicians
Address: 526 W STATE ST , ROCKFORD IL 61101Phone: 8159689300 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1053383737
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033751
109
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
KUNA, MICHAEL (Male)Provider Type: Physicians
Address: 526 W STATE ST , ROCKFORD IL 61101Phone: 8159689300 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1750345872
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033697
KUNA, MICHAEL (Male)Provider Type: Physicians
Address: 3815 HARRISON AVE , ROCKFORD IL 61108Phone: 8153911000 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1750345872
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032594
MIDATHALA, GNANESWARA (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1750393237
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034730
RIZVI, ZAFFAR (Male)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1730257056
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043278
RIZVI, ZAFFAR (Male)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1730257056
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043280
110
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SRIVASTAVA, UMA (Male)Provider Type: Physicians
Address: 526 W STATE ST , ROCKFORD IL 61101Phone: 8159689300 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1194815290
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034834
VAID, KHATIJA (Female)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PSYCHIATRY Sec. Specialty:
NPI: 1366641714
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000089385
111
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SOCIAL WORKER - IL - WINNEBAGOCADMUS, LYNN (Male)Provider Type: Clinical Social Worker
Address: 526 W STATE ST , ROCKFORD IL 61101Phone: 8159689300 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SOCIAL WORKER Sec. Specialty:
NPI: 1356563332
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034771
HOLM, R (Male)Provider Type: Clinical Social Worker
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SOCIAL WORKER Sec. Specialty:
NPI: 1588876742
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034222
LODGE, JOAN (Female)Provider Type: Clinical Social Worker
Address: 526 W STATE ST , ROCKFORD IL 61101Phone: 8159689300 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SOCIAL WORKER Sec. Specialty:
NPI: 1568559219
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035218
LYONS, STEPHEN (Male)Provider Type: Clinical Social Worker
Address: 526 W STATE ST , ROCKFORD IL 61101Phone: 8159689300 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SOCIAL WORKER Sec. Specialty:
NPI: 1053683060
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035336
STEPHAN, SUZANNE (Female)Provider Type: Clinical Social Worker
Address: 8616 NORTHERN AVE , ROCKFORD IL 61107Phone: 8153388003 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SOCIAL WORKER Sec. Specialty:
NPI: 1619246030
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034014
112
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
DRENNEN, BETH (Male)Provider Type: Physicians
Address: 8616 NORTHERN AVE , ROCKFORD IL 61107Phone: 8153388003 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SOCIAL WORKER Sec. Specialty:
NPI: 1679899926
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034089
113
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
OBSTETRICS & GYNECOLOGY - IL - WINNEBAGONALEWAY, KAREN (Female)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1457397341
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042904
RHOADS, TEANA (Male)Provider Type: Nurse Practitioners
Address: 9721 N ALPINE RD , MACHESNEY PARK IL 61115Phone: 815-484-6300 Network: CORNERSTONE CLINIC LTD
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1215911334
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Sun: 08:00 - 17:0 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000094146
ELLIOTT ZIPPE, CYNTHIA (Female)Provider Type: Nurse Practitioners
Address: 1415 E STATE ST - STE 405, ROCKFORD IL 61104Phone: 8154894551 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1134148919
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034327
GONZALEZ, MARIE (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1992108666
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000091372
HULL, LOIS (Female)Provider Type: Nurse Practitioners
Address: 209 9TH ST - STE 200, ROCKFORD IL 61104Phone: 8154894722 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1235227604
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058521
114
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HUNTLEY, ALICIA (Male)Provider Type: Nurse Practitioners
Address: 5970 CHURCHVIEW DR , ROCKFORD IL 61107Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1417068438
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035051
KOCH, LAURA (Male)Provider Type: Nurse Practitioners
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1376714600
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032806
MARTIN, LUCY (Male)Provider Type: Nurse Practitioners
Address: 7180 SPRINGBROOK RD - STE B, ROCKFORD IL 61114Phone: 8159712299 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1285606970
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034284
MATHER, MARY (Male)Provider Type: Nurse Practitioners
Address: 5970 CHURCHVIEW DR , ROCKFORD IL 61107Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1033262522
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033194
NALEWAY, KAREN (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1457397341
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042902
115
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NALEWAY, KAREN (Female)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1457397341
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042903
RYAN, ALTA (Male)Provider Type: Nurse Practitioners
Address: 1415 E STATE ST - STE 200, ROCKFORD IL 61104Phone: 8154894551 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1639104359
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034679
WEBERG, JILL (Female)Provider Type: Nurse Practitioners
Address: 1415 E STATE ST - STE 800, ROCKFORD IL 61104Phone: 7796969120 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1801879663
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058807
AL KHABBAZ, ANTOUN (Male)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1992797260
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ARABIC
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042822
ARYNOVA, BAKYTBUBU (Female)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1124467253
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00Accepts Medicaid: No
CEB #: 1000094483
116
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
BRANDIS, OLESYA (Female)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1386950319
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043210
HARB, TAREK (Male)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1598701088
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TELUGU
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042856
NANABAWA, ZAKERA (Female)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1336370188
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043249
HOLBROOK, JODI (Female)Provider Type: Physicians
Address: 9721 N ALPINE RD , MACHESNEY PARK IL 61115Phone: 815-484-6300 Network: CORNERSTONE CLINIC LTD
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1932138807
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000086672
ABDUL KHALEK, RANA (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1275768087
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ARABIC
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000035193
117
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ABDUL KHALEK, RANA (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1275768087
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ARABIC
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000036020
AL KHABBAZ, ANTOUN (Male)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1992797260
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ARABIC
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042821
AL KHABBAZ, ANTOUN (Male)Provider Type: Physicians
Address: 2780 MCFARLAND RD , ROCKFORD IL 61107Phone: 8156370000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1992797260
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ARABIC
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000036167
AL KHABBAZ, ANTOUN (Male)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1992797260
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ARABIC
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042816
ALQARA, FARES (Male)Provider Type: Physicians
Address: 6030 GARRETT LN , ROCKFORD IL 61107Phone: 8152261172 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1124271978
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095788
118
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ARYNOVA, BAKYTBUBU (Female)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1124467253
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000094480
ARYNOVA, BAKYTBUBU (Female)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1124467253
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00Accepts Medicaid: No
CEB #: 1000094481
BADDOUR, BISHARA (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1093078388
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 08:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034145
BHATTACHARYA, SUMOULINDRA (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1306906920
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000034784
BHATTACHARYA, SUMOULINDRA (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1306906920
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000033667
119
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
BRANDIS, OLESYA (Female)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1386950319
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043204
BRANDIS, OLESYA (Female)Provider Type: Physicians
Address: 1002 N PIERPONT AVE , ROCKFORD IL 61101Phone: 815-209-9642 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1386950319
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107431
BRANDIS, OLESYA (Female)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1386950319
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043207
CUNNINGHAM, WILLIAM (Male)Provider Type: Physicians
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1326153958
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 19:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000035795
CUNNINGHAM, WILLIAM (Male)Provider Type: Physicians
Address: 2780 MCFARLAND RD , ROCKFORD IL 61107Phone: 8156370000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: No
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1326153958
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033940
120
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
CUNNINGHAM, WILLIAM (Male)Provider Type: Physicians
Address: 1415 E STATE ST - STE 200, ROCKFORD IL 61104Phone: 8154894551 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1326153958
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033991
CUNNINGHAM, WILLIAM (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: No
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1326153958
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000090575
CUNNINGHAM, WILLIAM (Male)Provider Type: Physicians
Address: 6861 VILLAGREEN VIEW , ROCKFORD IL 61107Phone: 8152821339 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1326153958
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033903
DAVIS, LISA (Female)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1861462616
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090177
DURKEE, TIMOTHY (Male)Provider Type: Physicians
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1780682393
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 19:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000034285
121
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
DURKEE, TIMOTHY (Male)Provider Type: Physicians
Address: 2780 MCFARLAND RD , ROCKFORD IL 61107Phone: 8156370000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1780682393
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Wed: 13:00 - 16:00 Thu: 13:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000035449
DURKEE, TIMOTHY (Male)Provider Type: Physicians
Address: 6861 VILLAGREEN VIEW , ROCKFORD IL 61107Phone: 8156376200 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1780682393
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000058953
DURKEE, TIMOTHY (Male)Provider Type: Physicians
Address: 1415 E STATE ST - STE 200, ROCKFORD IL 61104Phone: 8154894551 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1780682393
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034090
ENNEN, CHRISTOPHER (Male)Provider Type: Physicians
Address: 2401 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159715000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1407836646
Min. Age: 16 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034523
GRANZEIER, GREGORY (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1134239320
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 20:00 Tue: 17:00 - 20:00 Wed: 17:00 - 20:00 Thu: 17:00 - 20:00 Sat: 10:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000035104
122
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HARB, TAREK (Male)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1598701088
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TELUGU
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042855
HARB, TAREK (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1598701088
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TELUGU
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091500
HARB, TAREK (Male)Provider Type: Physicians
Address: 2780 MCFARLAND RD , ROCKFORD IL 61107Phone: 8156370000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1598701088
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TELUGU
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035326
HARB, TAREK (Male)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1598701088
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TELUGU
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042853
HIGGINS, PHILLIP (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1306956594
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000033236
123
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HIGGINS, PHILLIP (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1306956594
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000035780
HOLDEN, JOHN (Male)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1992856892
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035287
HOLLMAN, CHARLES B (Male)Provider Type: Physicians
Address: 6030 GARRETT LN , ROCKFORD IL 61107Phone: 8152261172 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1902908932
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095879
JASPER, BRUCE (Male)Provider Type: Physicians
Address: 1415 E STATE ST - STE 200, ROCKFORD IL 61104Phone: 8154894551 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1073511309
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035907
JASPER, BRUCE (Male)Provider Type: Physicians
Address: 6861 VILLAGREEN VIEW , ROCKFORD IL 61107Phone: 8156376200 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1073511309
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058554
124
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
JASPER, BRUCE (Male)Provider Type: Physicians
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1073511309
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 19:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000035285
MACAULAY, NICOLE (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1073799235
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035348
MALONE, LISA (Female)Provider Type: Physicians
Address: 2780 MCFARLAND RD , ROCKFORD IL 61107Phone: 8156370000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: No
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1588647523
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033606
MANAS, ARTURO (Male)Provider Type: Physicians
Address: 1415 E STATE ST - STE 800, ROCKFORD IL 61104Phone: 815-965-7117 Network: ARTURO S MANAS MD LTD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1366452096
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 13:00Accepts Medicaid: Yes
CEB #: 1000089053
MEYER, KARENMARIE (Female)Provider Type: Physicians
Address: 2780 MCFARLAND RD , ROCKFORD IL 61107Phone: 8156370000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: No
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1003811035
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034274
125
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
MEYER, KARENMARIE (Female)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1003811035
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091503
MOORE, DAVID (Male)Provider Type: Physicians
Address: 209 9TH ST - STE 200, ROCKFORD IL 61104Phone: 8154894722 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1538257969
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058638
MOORE, DAVID (Male)Provider Type: Physicians
Address: 6861 VILLAGREEN VIEW , ROCKFORD IL 61107Phone: 8156376200 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1538257969
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058641
MOORE, DAVID (Male)Provider Type: Physicians
Address: 1415 E STATE ST - STE 200, ROCKFORD IL 61104Phone: 8154894551 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1538257969
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033333
NANABAWA, ZAKERA (Female)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1336370188
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043251
126
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NANABAWA, ZAKERA (Female)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1336370188
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000043253
RANDEREE, RASHIDA (Female)Provider Type: Physicians
Address: 6030 GARRETT LN , ROCKFORD IL 61107Phone: 8152261172 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1134329063
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000096274
SCHLEICHER, BETH ANN (Female)Provider Type: Physicians
Address: 2780 MCFARLAND RD , ROCKFORD IL 61107Phone: 8156370000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1356646673
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032715
SCHLEICHER, BETH ANN (Female)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1356646673
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091494
SCHLEICHER, DAVID (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: No
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1790873016
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000090583
127
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SCHLEICHER, DAVID (Male)Provider Type: Physicians
Address: 209 9TH ST - STE 200, ROCKFORD IL 61104Phone: 779-696-2750 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1790873016
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000100786
SCHLEICHER, DAVID (Male)Provider Type: Physicians
Address: 1401 E STATE ST - STE 200, ROCKFORD IL 61104Phone: 8159684400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1790873016
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 19:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000036067
SCOTT, SARAH (Female)Provider Type: Physicians
Address: 6030 GARRETT LN , ROCKFORD IL 61107Phone: 8152261172 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1225247760
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096301
SESSLAR, LEE (Female)Provider Type: Physicians
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1073511689
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 19:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: No
CEB #: 1000033275
SESSLAR, LEE (Female)Provider Type: Physicians
Address: 6861 VILLAGREEN VIEW , ROCKFORD IL 61107Phone: 8156376200 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1073511689
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035534
128
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SESSLAR, LEE (Female)Provider Type: Physicians
Address: 1415 E STATE ST - STE 200, ROCKFORD IL 61104Phone: 8154894551 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1073511689
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000035581
SHAH, SUDHA (Male)Provider Type: Physicians
Address: 1415 E STATE ST - STE 200, ROCKFORD IL 61104Phone: 8154894551 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1497753511
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:30 Tue: 08:00 - 16:30 Wed: 08:00 - 16:30 Thu: 08:00 - 16:30 Fri: 08:00 - 16:30Accepts Medicaid: Yes
CEB #: 1000034153
SHAH, SUDHA (Male)Provider Type: Physicians
Address: 6861 VILLAGREEN VIEW , ROCKFORD IL 61107Phone: 8156376200 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1497753511
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032681
SHAH, SUDHA (Male)Provider Type: Physicians
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1497753511
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 19:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000033196
STEPHENSON, C DAVID (Male)Provider Type: Physicians
Address: 1415 E STATE ST - STE 200, ROCKFORD IL 61104Phone: 8154894551 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1538167895
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035694
129
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
STEPHENSON, C DAVID (Male)Provider Type: Physicians
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1538167895
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 19:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000032732
STEPHENSON, C DAVID (Male)Provider Type: Physicians
Address: 6861 VILLAGREEN VIEW , ROCKFORD IL 61107Phone: 8156376200 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1538167895
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000036155
STEWART, JOSEPH (Male)Provider Type: Physicians
Address: 6030 GARRETT LN , ROCKFORD IL 61107Phone: 8152261172 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1932204484
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096324
TOUSSAINT, THOMAS (Male)Provider Type: Physicians
Address: 7180 SPRING BROOK RD , ROCKFORD IL 61114Phone: 8159712299 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1255625091
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034877
TRAPP, JOHN (Male)Provider Type: Physicians
Address: 1415 E STATE ST - STE 405, ROCKFORD IL 61104Phone: 8154894551 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1144248204
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000036048
130
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
TRAPP, JOHN (Male)Provider Type: Physicians
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1144248204
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 19:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000036195
TRAPP, JOHN (Male)Provider Type: Physicians
Address: 6861 VILLAGREEN VIEW , ROCKFORD IL 61107Phone: 8156376200 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1144248204
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058794
WANG, JEANNIE (Male)Provider Type: Physicians
Address: 5970 CHURCHVIEW DR , ROCKFORD IL 61107Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1487714002
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034296
WANG, JEANNIE (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1487714002
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000032869
GRANZEIER, GREGORY (Male)Provider Type: Physicians
Address: 5000 PRAIRIE ROSE DR , ROSCOE IL 61073Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER
NPI: 1134239320
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 20:00 Tue: 17:00 - 20:00 Wed: 17:00 - 20:00 Thu: 17:00 - 20:00 Sat: 10:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034337
131
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HARB, TAREK (Male)Provider Type: Physicians
Address: 4282 E ROCKTON RD , ROSCOE IL 61073Phone: 779-696-9000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OBSTETRICS & GYNECOLOGY Sec. Specialty:
NPI: 1598701088
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TELUGU
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058849
132
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
OPHTHALMOLOGY - IL - WINNEBAGOBOONE, DIANE (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OPHTHALMOLOGY Sec. Specialty:
NPI: 1972613156
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000036079
KAPUR, RASHMI (Male)Provider Type: Physicians
Address: 2929 MCFARLAND AVE , ROCKFORD IL 61107Phone: 847-299-0700 Network: RETINA CONSULTANTS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: OPHTHALMOLOGY Sec. Specialty:
NPI: 1962679498
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ARABIC
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000066086
MATHEW, BENJAMIN (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: OPHTHALMOLOGY Sec. Specialty:
NPI: 1477781466
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000064653
133
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
MENTAL HEALTH COUNSELOR - IL - WINNEBAGOLINDBLADE, MELANIE (Male)Provider Type: Clinical Social Worker
Address: 1601 N UNIVERSITY DR , ROCKFORD IL 61107Phone: 8153872500 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: MENTAL HEALTH COUNSELOR Sec. Specialty:
NPI: 1598098378
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035931
BARTOS, ELIZABETH (Male)Provider Type: Other Behavior Health Professionals (Encounter only)
Address: 3815 HARRISON AVE , ROCKFORD IL 61108Phone: 8153911000 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: MENTAL HEALTH COUNSELOR Sec. Specialty:
NPI: 1427138312
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035048
HOFFSTETTER, SUSAN (Female)Provider Type: Other Behavior Health Professionals (Encounter only)
Address: 3815 HARRISON AVE , ROCKFORD IL 61108Phone: 8153911000 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: MENTAL HEALTH COUNSELOR Sec. Specialty:
NPI: 1275805624
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033355
MOLL, KARI (Male)Provider Type: Other Behavior Health Professionals (Encounter only)
Address: 8616 NORTHERN AVE , ROCKFORD IL 61107Phone: 8153388003 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: MENTAL HEALTH COUNSELOR Sec. Specialty:
NPI: 1457681231
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033082
TUTT, ROBERT (Male)Provider Type: Other Behavior Health Professionals (Encounter only)
Address: 3815 HARRISON AVE , ROCKFORD IL 61108Phone: 8153911000 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: MENTAL HEALTH COUNSELOR Sec. Specialty:
NPI: 1821265588
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033338
134
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ENDOCRINOLOGY - IL - WINNEBAGOANSAR, SAMEER (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 2000, ROCKFORD IL 61108Phone: 8153817790 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: ENDOCRINOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1942485735
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095812
ANSAR, SAMEER (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: ENDOCRINOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1942485735
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095815
ERANKI, VIJAY (Male)Provider Type: Physicians
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 779-696-9201 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ENDOCRINOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1780859801
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091884
HOVIS, JOHN (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ENDOCRINOLOGY Sec. Specialty:
NPI: 1770693962
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000035744
NAGAVALLI, SRAVANTHI (Female)Provider Type: Physicians
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ENDOCRINOLOGY Sec. Specialty:
NPI: 1861655375
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058873
135
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NASEER, ALIYA S (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ENDOCRINOLOGY Sec. Specialty:
NPI: 1568572758
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000034427
PARVEEN, ZEENAT (Female)Provider Type: Physicians
Address: 5668 E STATE ST - STE 2000, ROCKFORD IL 61108Phone: 8153817790 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: ENDOCRINOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1912099060
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: TELUGU
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096212
PATURI, SHALINI (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ENDOCRINOLOGY Sec. Specialty:
NPI: 1215191754
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034230
136
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NEUROLOGY - IL - WINNEBAGOROTH, TERRY R (Male)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1215919816
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043555
BACH, MALGORZATA (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1801852322
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: POLISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033260
BACH, MALGORZATA (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1801852322
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: POLISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000032586
COLLINS, JOHN (Male)Provider Type: Physicians
Address: 535 ROXBURY RD , ROCKFORD IL 61107Phone: 8153871717 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1750344404
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096107
GARCIA, TRACEY (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1598920332
Min. Age: 16 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033766
137
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
KAUFMAN, MITCHELL (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1164536553
Min. Age: 0 Max. Age: 18
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000036104
KHAN, MOHSIN (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1174636013
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034764
KHAN, MOHSIN (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1174636013
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000036040
ONEIL, JONATHAN (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty: SLEEP MEDICINE
NPI: 1417163205
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000032657
ONEIL, JONATHAN (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty: SLEEP MEDICINE
NPI: 1417163205
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000035281
138
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
OROZCO, DANIEL (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 400, ROCKFORD IL 61104Phone: 8154899512 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty: VASCULAR NEUROLOGY
NPI: 1154329399
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034020
RAJA, FAISAL (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1275644254
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000093574
ROTH, TERRY R (Male)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1215919816
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043557
ROTH, TERRY R (Male)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1215919816
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043558
SAJED, MOHAMMAD (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 400, ROCKFORD IL 61104Phone: 8154899512 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1396785127
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034157
139
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
WALLERY, SHAWN (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: NEUROLOGY Sec. Specialty:
NPI: 1881851780
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033776
140
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SURGERY - TRAUMATIC - IL - WINNEBAGOPOULAKIDAS, STATHISProvider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-229-7580 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SURGERY - TRAUMATIC Sec. Specialty:
NPI: 1508833344
Min. Age: 0 Max. Age: 0
Pri. Language: SPANISH Sec. Language: CANTONESE
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000108403
141
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SURGERY - COLON & RECTAL - IL - WINNEBAGOMCCANSE, DONALD (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: SURGERY - COLON & RECTAL Sec. Specialty:
NPI: 1568468619
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033997
PRABHAKAR, LAWRENCE (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-397-7900 Network: ROCKFORD SURGICAL SERVICES SC (TERMED 03/31/16)
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SURGERY - COLON & RECTAL Sec. Specialty:
NPI: 1467482828
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000059733
PRABHAKAR, LAWRENCE (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-229-7580 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SURGERY - COLON & RECTAL Sec. Specialty:
NPI: 1467482828
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000108446
142
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ENT/OTOLARYNGOLOGY - IL - WINNEBAGOCHHABRA, NIPUNProvider Type: Physicians
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: ENT/OTOLARYNGOLOGY Sec. Specialty:
NPI: 1861687584
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035222
FERGUSON, JONATHAN (Male)Provider Type: Physicians
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: ENT/OTOLARYNGOLOGY Sec. Specialty:
NPI: 1669452934
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033971
PROVENZA, MARGARET (Male)Provider Type: Physicians
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ENT/OTOLARYNGOLOGY Sec. Specialty:
NPI: 1457378283
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 19:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000035110
SEVERSON, JAMES (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ENT/OTOLARYNGOLOGY Sec. Specialty:
NPI: 1518912765
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035546
ZAHURULLAH, FAZLUR (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ENT/OTOLARYNGOLOGY Sec. Specialty:
NPI: 1720068695
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000034259
143
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ZAHURULLAH, FAZLUR (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ENT/OTOLARYNGOLOGY Sec. Specialty:
NPI: 1720068695
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 17:00 - 21:00 Tue: 17:00 - 21:00 Wed: 17:00 - 21:00 Thu: 17:00 - 21:00 Fri: 17:00 - 21:00 Sat: 12:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000033143
144
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SURGERY - CRITICAL CARE - IL - WINNEBAGOPYUN, EDWARD (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-229-7580 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SURGERY - CRITICAL CARE Sec. Specialty: GENERAL SURGERY
NPI: 1386748473
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096256
TAKEUCHI, TETSUYA (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-229-7580 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SURGERY - CRITICAL CARE Sec. Specialty: GENERAL SURGERY
NPI: 1447550884
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096377
145
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SURGERY - MAXILLOFACIAL - IL - WINNEBAGORENTSCHLER, EDWARD (Male)Provider Type: Dentists
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: SURGERY - MAXILLOFACIAL Sec. Specialty:
NPI: 1003977224
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000093174
146
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PHYSICIAN ASSISTANT - IL - WINNEBAGORIVERA, SANTOS (Male)Provider Type: Physician Assistant
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PHYSICIAN ASSISTANT Sec. Specialty:
NPI: 1154335792
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000096277
147
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
INFECTIOUS DISEASE - IL - WINNEBAGOHOMANN, SCOTT (Male)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1689674541
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000043405
SHAH, NEHA S (Female)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1629251715
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043411
TSARAS, GEOFFREY (Male)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1023278769
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043422
HOMANN, SCOTT (Male)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1689674541
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043401
HOMANN, SCOTT (Male)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1689674541
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000043404
148
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SALEHEEN, QAMAR (Male)Provider Type: Physicians
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1194700567
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096292
SHAH, NEHA S (Female)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1629251715
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043415
SHAH, NEHA S (Female)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1629251715
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043413
SUBRAMANIAN, KAVITHA (Female)Provider Type: Physicians
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1891817441
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095658
TSARAS, GEOFFREY (Male)Provider Type: Physicians
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1023278769
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043426
149
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
TSARAS, GEOFFREY (Male)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: INFECTIOUS DISEASE Sec. Specialty:
NPI: 1023278769
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043424
150
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
VASCULAR NEUROLOGY - IL - WINNEBAGOSIMIONESCU, MONICA (Female)Provider Type: Physicians
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: VASCULAR NEUROLOGY Sec. Specialty: NEUROLOGY
NPI: 1184776403
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043587
SIMIONESCU, MONICA (Female)Provider Type: Physicians
Address: 535 ROXBURY RD , ROCKFORD IL 61107Phone: 8153871717 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: VASCULAR NEUROLOGY Sec. Specialty: NEUROLOGY
NPI: 1184776403
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096319
SIMIONESCU, MONICA (Female)Provider Type: Physicians
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: VASCULAR NEUROLOGY Sec. Specialty: NEUROLOGY
NPI: 1184776403
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043583
151
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PAIN MANAGEMENT - IL - WINNEBAGOWOJCIECHOWSKI, TAMARA (Female)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PAIN MANAGEMENT Sec. Specialty:
NPI: 1952359861
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: POLISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 20:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000043532
WOJCIECHOWSKI, TAMARA (Female)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PAIN MANAGEMENT Sec. Specialty:
NPI: 1952359861
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: POLISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043534
WOJCIECHOWSKI, TAMARA (Female)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PAIN MANAGEMENT Sec. Specialty:
NPI: 1952359861
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: POLISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000042945
GORELIK, MAXIM (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PAIN MANAGEMENT Sec. Specialty:
NPI: 1548246101
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000093737
SINGH, ISHMEET (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PAIN MANAGEMENT Sec. Specialty:
NPI: 1336306406
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034502
152
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
CARDIAC ELECTROPHYSIOLOGY - IL - WINNEBAGOSHEIKH, ASAD (Male)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: CARDIAC ELECTROPHYSIOLOGY Sec. Specialty:
NPI: 1588759815
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096341
SIRAJ, YASERProvider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: CARDIAC ELECTROPHYSIOLOGY Sec. Specialty:
NPI: 1760497416
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096246
153
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
CARDIOLOGY - IL - WINNEBAGOCHRISTENSON, KIM (Female)Provider Type: Nurse Practitioners
Address: 1340 CHARLES ST - STE 300, ROCKFORD IL 61104Phone: 779-696-5888 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1285076646
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000057034
JORDAL, DANIELLE (Male)Provider Type: Nurse Practitioners
Address: 1340 CHARLES ST - STE 300, ROCKFORD IL 61104Phone: 779-696-5888 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1639429855
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032529
LARSON, LISA (Male)Provider Type: Nurse Practitioners
Address: 1340 CHARLES ST - STE 301, ROCKFORD IL 61104Phone: 8153917676 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1770643397
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000032429
MCGHEE, JULIE (Female)Provider Type: Nurse Practitioners
Address: 1340 CHARLES ST - STE 300, ROCKFORD IL 61104Phone: 779-696-5888 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: ADVANCED PRACTICE NURSE
NPI: 1548322563
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033384
RUSSELL, JOHN (Male)Provider Type: Nurse Practitioners
Address: 1340 CHARLES ST - STE 301A, ROCKFORD IL 61104Phone: 779-696-8800 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1104237130
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000093162
154
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
AHMED, MUBASHIR (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 300, ROCKFORD IL 61104Phone: 779-696-5888 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1366466377
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000055426
ATTA, TARA (Female)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1639166374
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095866
CACERES, ERBERT (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERVENTIONAL CARDIOLOGY
NPI: 1508976788
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033354
CACERES, ERBERT (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERVENTIONAL CARDIOLOGY
NPI: 1508976788
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034012
CASEY, CASH (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 300, ROCKFORD IL 61104Phone: 779-696-5888 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1518910306
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034543
155
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
CHRISTENSEN, PAUL M (Male)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1366467813
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033426
DHANEKULA, LEELA (Female)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: CARDIAC ELECTROPHYSIOLOGY
NPI: 1801826938
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095722
FAROKHI, FARHAD (Male)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: CARDIAC ELECTROPHYSIOLOGY
NPI: 1639153216
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095831
HAYES, RICHARD P (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1932177136
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033116
HAYES, RICHARD P (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1932177136
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034553
156
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HELLMAN, JOEL (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 300, ROCKFORD IL 61104Phone: 779-696-5888 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1568402451
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058892
HISER, MARK W (Male)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1538184924
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095998
ISAACSON, THOMAS (Male)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1104884311
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035028
KILARU, PRASAD (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1003910423
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034865
KILARU, PRASAD (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1003910423
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000036021
157
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
KOTIS, ANDREW (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 300, ROCKFORD IL 61104Phone: 779-696-5888 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1982795894
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033587
KURIEN, SHAUN (Male)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1285608976
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034099
MALLIK, RAJIV (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 300, ROCKFORD IL 61104Phone: 779-696-5888 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1285806935
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000064658
MAO, JUSTIN (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 300, ROCKFORD IL 61104Phone: 779-696-5888 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: ELECTROPHYSIOLOGY
NPI: 1427052273
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000036128
MEJEVOI, NICOLAI (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERVENTIONAL CARDIOLOGY
NPI: 1427369131
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000036004
158
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
MEJEVOI, NICOLAI (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERVENTIONAL CARDIOLOGY
NPI: 1427369131
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000036107
MINOR, ROBERT (Male)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERVENTIONAL CARDIOLOGY
NPI: 1740209261
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095940
MOHAMED, ELSAYED (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 300, ROCKFORD IL 61104Phone: 779-696-5888 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1841484813
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: ARABIC
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033822
NARRA, LEELA (Female)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: CARDIAC ELECTROPHYSIOLOGY
NPI: 1225001571
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033689
NARRA, LEELA (Female)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: CARDIAC ELECTROPHYSIOLOGY
NPI: 1225001571
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000035419
159
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NOWAK, GREGORY (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1376516625
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000032814
NOWAK, GREGORY (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1376516625
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000036193
RABOR, DONALD (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1083687362
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034144
RABOR, DONALD (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1083687362
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034483
SARAON, TAJINDERPAL (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1235312331
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034323
160
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SHAH, GAURAV (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 300, ROCKFORD IL 61104Phone: 779-696-5888 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERVENTIONAL CARDIOLOGY
NPI: 1780840207
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000055420
SILVA, EUGENE (Male)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1235154659
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096356
SKOWRONSKI, JAN (Male)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERVENTIONAL CARDIOLOGY
NPI: 1790710283
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: POLISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095650
SMITH, JEFFREY (Male)Provider Type: Physicians
Address: 3401 N PERRYVILLE RD , ROCKFORD IL 61114Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: ELECTROPHYSIOLOGY
NPI: 1346200938
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033850
SMITH, JEFFREY (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: ELECTROPHYSIOLOGY
NPI: 1346200938
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032646
161
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
TELFER, EDWARD (Male)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: CARDIAC ELECTROPHYSIOLOGY
NPI: 1700805249
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095667
VALAITIS, JOSEPH (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1437269628
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035332
WANG, XU (Male)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1558577460
Min. Age: 12 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095647
ZAVERDAS, GEORGE (Male)Provider Type: Physicians
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital: SAINT ANTHONY HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: CARDIOLOGY Sec. Specialty:
NPI: 1295798742
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096069
162
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
RADIATION ONCOLOGY - IL - WINNEBAGOANDREWS, SAMUEL (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: RADIATION ONCOLOGY Sec. Specialty:
NPI: 1851508337
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034250
BRYAN, GEORGE (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: RADIATION ONCOLOGY Sec. Specialty:
NPI: 1447287495
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034108
DUNN, WILLIAM (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: RADIATION ONCOLOGY Sec. Specialty:
NPI: 1669447504
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000090951
IFTEKHAR, AHMAD (Male)Provider Type: Physicians
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: RADIATION ONCOLOGY Sec. Specialty:
NPI: 1164641791
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000036157
KOZAK, KEVIN (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: RADIATION ONCOLOGY Sec. Specialty:
NPI: 1124219241
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090807
163
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SMOROWSKI, KAREN (Male)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: RADIATION ONCOLOGY Sec. Specialty:
NPI: 1427044833
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033806
STAPLEFORD, LIZA (Female)Provider Type: Physicians
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: RADIATION ONCOLOGY Sec. Specialty:
NPI: 1235316720
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090828
164
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SURGICAL ONCOLOGY - IL - WINNEBAGOSONI, MEHUL (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-397-7900 Network: ROCKFORD SURGICAL SERVICES SC (TERMED 03/31/16)
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: SURGICAL ONCOLOGY Sec. Specialty: GENERAL SURGERY
NPI: 1265609739
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000059736
SONI, MEHUL (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 1000, ROCKFORD IL 61108Phone: 815-229-7580 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SURGICAL ONCOLOGY Sec. Specialty: GENERAL SURGERY
NPI: 1265609739
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000108456
165
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
GASTROENTEROLOGY - IL - WINNEBAGOSTANDFIELD, SHEILA (Female)Provider Type: Nurse Practitioners
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: GASTROENTEROLOGY Sec. Specialty:
NPI: 1033537352
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000081304
166
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ORTHOPEDIC SURGERY - IL - WINNEBAGOANTON, OSCAR (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 100, ROCKFORD IL 61104Phone: 8153976723 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1700089729
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035128
BEAR, BRIAN (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1164535837
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035012
DANAHER, THOMAS (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 100, ROCKFORD IL 61104Phone: 8153976723 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1114994845
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035542
DANNENMAIER, WILLIAM (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 100, ROCKFORD IL 61104Phone: 8153976723 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1619944337
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032585
EARHART, JEFFREY (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1124284898
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058886
167
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
FERRY, SCOTT (Male)Provider Type: Physicians
Address: 324 roxbury rd , ROCKFORD IL 61107Phone: 815-398-9491 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1417178385
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058844
FERRY, SCOTT (Male)Provider Type: Physicians
Address: 324 roxbury rd , ROCKFORD IL 61107Phone: 815-398-9491 Network: ROCKFORD ORTHOPEDIC ASSOCIATES, LTD
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1417178385
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107842
FISCHER, ANDREAS (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 400, ROCKFORD IL 61108Phone: 815-398-7755 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1235139452
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095654
FOSTER, BRIAN (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1619133139
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091892
FOSTER, BRIAN (Male)Provider Type: Physicians
Address: 324 roxbury rd , ROCKFORD IL 61107Phone: 815-398-9491 Network: ROCKFORD ORTHOPEDIC ASSOCIATES, LTD
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1619133139
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043736
168
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
HASTINGS, MARK (Male)Provider Type: Physicians
Address: 5668 E STATE ST - STE 400, ROCKFORD IL 61108Phone: 815-398-7755 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1477553659
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095973
KORCEK, KENNETH (Male)Provider Type: Physicians
Address: 324 roxbury rd , ROCKFORD IL 61107Phone: 815-398-9491 Network: ROCKFORD ORTHOPEDIC ASSOCIATES, LTD
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1396850657
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107852
KORCEK, KENNETH (Male)Provider Type: Physicians
Address: 324 roxbury rd , ROCKFORD IL 61107Phone: 815-398-9491 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1396850657
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058593
MILOS, STEVEN (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 100, ROCKFORD IL 61104Phone: 8153976723 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1093839300
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034111
NYQUIST, SCOTT (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 100, ROCKFORD IL 61104Phone: 8153976723 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1215904958
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034563
169
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SCHWARTZ, EDRIC (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1134326770
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033535
SCHWARTZ, EDRIC (Male)Provider Type: Physicians
Address: 324 roxbury rd , ROCKFORD IL 61107Phone: 815-398-9491 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1134326770
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058737
VAN THIEL, GEOFFREY (Male)Provider Type: Physicians
Address: 324 roxbury rd , ROCKFORD IL 61107Phone: 815-398-9491 Network: ROCKFORD ORTHOPEDIC ASSOCIATES, LTD
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1316103971
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000043733
ZUSSMAN, MARC (Male)Provider Type: Physicians
Address: 5875 E RIVERSIDE BLVD , ROCKFORD IL 61114Phone: 815-398-9491 Network: ROCKFORD ORTHOPEDIC ASSOCIATES, LTD
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1255327326
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107804
ZUSSMAN, MARC (Male)Provider Type: Physicians
Address: 324 roxbury rd , ROCKFORD IL 61107Phone: 815-398-9491 Network: ROCKFORD ORTHOPEDIC ASSOCIATES, LTD
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1255327326
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107801
170
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ZUSSMAN, MARC (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1255327326
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034690
ZUSSMAN, MARC (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: ORTHOPEDIC SURGERY Sec. Specialty:
NPI: 1255327326
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034690
171
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PHYSICAL MEDICINE & REHABILITATION - IL - WINNEBAGOVO, ANDREW (Male)Provider Type: Physicians
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PHYSICAL MEDICINE & REHABILITATION Sec. Specialty:
NPI: 1730297763
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034963
172
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PLASTIC & RECONSTRUCTIVE SURGERY - IL - WINNEBAGOHAGARTY, SARAH (Female)Provider Type: Physicians
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: PLASTIC & RECONSTRUCTIVE SURGERY Sec. Specialty:
NPI: 1790894897
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095861
KIM, LIZA (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PLASTIC & RECONSTRUCTIVE SURGERY Sec. Specialty:
NPI: 1952515322
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033647
PRYOR, LANDON (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PLASTIC & RECONSTRUCTIVE SURGERY Sec. Specialty:
NPI: 1831306968
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058879
RODRIGUEZ, PEDRO (Male)Provider Type: Physicians
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PLASTIC & RECONSTRUCTIVE SURGERY Sec. Specialty:
NPI: 1881889194
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000096283
WASHAK, RONALD (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PLASTIC & RECONSTRUCTIVE SURGERY Sec. Specialty:
NPI: 1265548945
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034807
173
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
WEISKOPF, JEROME (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PLASTIC & RECONSTRUCTIVE SURGERY Sec. Specialty:
NPI: 1992814628
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000093226
174
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
- IL - WINNEBAGOWILSON, MICHAEL (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: Sec. Specialty:
NPI: 1083600027
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000093232
175
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
FAMILY PRACTICE - IL - WINNEBAGOBRICK, GAIL (Female)Provider Type: Nurse Practitioners
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1679724561
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090222
BURKART, COLLEEN (Female)Provider Type: Nurse Practitioners
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1073785101
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032461
HITZ, LEONARD (Male)Provider Type: Nurse Practitioners
Address: 6115 N 2ND ST , LOVES PARK IL 61111Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1669555199
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042862
MCGRATH, CYNTHIA (Female)Provider Type: Nurse Practitioners
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1568452555
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095896
MCGRATH, CYNTHIA (Female)Provider Type: Nurse Practitioners
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1568452555
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 20:00 Fri: 08:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000034407
176
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
MEADE, KATHLEEN (Female)Provider Type: Nurse Practitioners
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1447223789
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095922
VELAZQUEZ, VIRGINIA (Female)Provider Type: Nurse Practitioners
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8470 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1609952670
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095685
BEHLING, REBECCA (Female)Provider Type: Nurse Practitioners
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: NURSE PRACTITIONER
NPI: 1508060518
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034063
BRICK, GAIL (Female)Provider Type: Nurse Practitioners
Address: 1601 N UNIVERSITY DR , ROCKFORD IL 61107Phone: 8153872500 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1679724561
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035492
COOK, ERICA (Female)Provider Type: Nurse Practitioners
Address: 1340 CHARLES ST - STE 400, ROCKFORD IL 61104Phone: 779-696-9512 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: NURSE PRACTITIONER
NPI: 1205106341
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091859
177
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
DAGEFOERDE, NANCY (Female)Provider Type: Nurse Practitioners
Address: 444 ROXBURY RD , ROCKFORD IL 61107Phone: 8153983000 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1073532511
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000096441
HESS, MEGHAN (Male)Provider Type: Nurse Practitioners
Address: 2350 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1770854085
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035106
HITZ, LEONARD (Male)Provider Type: Nurse Practitioners
Address: 1200 W STATE ST , ROCKFORD IL 61102Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1669555199
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042863
HITZ, LEONARD (Male)Provider Type: Nurse Practitioners
Address: 1100 BROADWAY , ROCKFORD IL 61104Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1669555199
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000042864
HITZ, LEONARD (Male)Provider Type: Nurse Practitioners
Address: 1002 N PIERPONT AVE , ROCKFORD IL 61101Phone: 815-209-9642 Network: CRUSADER COMMUNITY HEALTH
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1669555199
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: HINDI
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107623
178
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
JACK, CYNTHIA (Female)Provider Type: Nurse Practitioners
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: NURSE PRACTITIONER
NPI: 1710222807
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000035601
KERTZ, NANCY (Female)Provider Type: Nurse Practitioners
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1063424836
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033348
KRAUSE, CHRISTINE (Female)Provider Type: Nurse Practitioners
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1801886890
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095950
LIZER, SHANNON (Female)Provider Type: Nurse Practitioners
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1023100781
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000036011
LOBDELL, TAMI (Male)Provider Type: Nurse Practitioners
Address: 1340 CHARLES ST - STE 301C, ROCKFORD IL 61104Phone: 779-696-8799 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1619303542
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091929
179
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
LOGLI, KELLY (Female)Provider Type: Nurse Practitioners
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: ENDOCRINOLOGY
NPI: 1730404419
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058901
NICE, MICHELLE (Female)Provider Type: Nurse Practitioners
Address: 535 ROXBURY RD , ROCKFORD IL 61107Phone: 8153871717 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1457540379
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032630
ROSENBERGER, KELLY (Female)Provider Type: Nurse Practitioners
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1790760080
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034953
SAVAGE, CHRISTINE (Female)Provider Type: Nurse Practitioners
Address: 6030 GARRETT LN , ROCKFORD IL 61107Phone: 8152261172 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1528114956
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096307
VELAZQUEZ, VIRGINIA (Female)Provider Type: Nurse Practitioners
Address: 698 FEATHERSTONE RD - STE 250, ROCKFORD IL 61107Phone: 8153994404 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1609952670
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095676
180
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
WOLF, KATHERINE (Female)Provider Type: Nurse Practitioners
Address: 3775 N MULFORD RD , ROCKFORD IL 61114Phone: 8156366400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1386992196
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 19:00 Tue: 08:00 - 18:00 Wed: 08:00 - 18:00 Thu: 08:00 - 19:00 Fri: 09:00 - 17:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000032509
BRICK, GAIL (Female)Provider Type: Nurse Practitioners
Address: 4682 E ROCKTON ST - STE 102, ROSCOE IL 61073Phone: 815-624-1300 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1679724561
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090260
HUBER, AMANDA (Female)Provider Type: Nurse Practitioners
Address: 4282 E ROCKTON RD , ROSCOE IL 61073Phone: 779-696-9000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1841600715
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000091914
KRAUSE, CHRISTINE (Female)Provider Type: Nurse Practitioners
Address: 4682 E ROCKTON RD - STE 102, ROSCOE IL 61073Phone: 8156241300 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1801886890
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095947
FINNEGAN, DAVID (Male)Provider Type: Physician Assistant
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1477579563
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000034704
181
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
DEMARAIS, DEAN (Male)Provider Type: Physician Assistant
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1932166600
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000034520
DOHERTY, ANDREW (Male)Provider Type: Physician Assistant
Address: 1340 CHARLES ST - STE 100, ROCKFORD IL 61104Phone: 8153976723 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1962716456
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000033315
GILLOOLEY, LEESA (Female)Provider Type: Physician Assistant
Address: 698 FEATHERSTONE RD , ROCKFORD IL 61107Phone: 8153983277 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1154567964
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000095791
BLYTHE, HEATHER (Female)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1417267832
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs:Accepts Medicaid: Yes
CEB #: 1000096012
DORONILA HUGHES, KATERINA (Female)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1942304456
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032609
182
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ENGLUND, KAREN (Female)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1407872591
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 20:00 Thu: 08:00 - 20:00 Fri: 08:00 - 20:00 Sat: 08:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000034920
FRANDSEN, DEVN (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1730316043
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000040050
JARADAH, BASIL (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1427368935
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000081046
KALEEMUDDIN, MOHAMMED (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8470 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1437119450
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095917
KHAN, ASRA (Female)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8470 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1023018322
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095944
183
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
LUCIETTO SIERADZKI, THERESE (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8470 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: HOSPITALIST
NPI: 1699708636
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095736
MOHIUDDIN, SYED (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1144216243
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 20:00 Thu: 08:00 - 20:00 Fri: 08:00 - 20:00 Sat: 08:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000035860
OSKOUEI, SEYYED (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1912136896
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000090370
POCOCK, DAVID (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1447240445
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096193
QADRI, MUNEEB (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8450 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1972815033
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: URDU
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096265
184
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SAPYING, ATISAK (Male)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1982694980
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096328
SCHULTHEIS, MARTINE (Female)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1275829178
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000081090
SY, ESTHER (Female)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8450 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1659358703
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096374
TASHAKORI, MAHTAB (Female)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-639-8450 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1508895780
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: PERSIAN/FARSI
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096381
TRAN, MONICA (Female)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1184856155
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032620
185
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
WINTERBAUER, SUSAN C (Female)Provider Type: Physicians
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 8156398500 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF ST ANTHONY MED CTR
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1073816013
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: No
CEB #: 1000034698
AL SARAF, ABBAS (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1245221134
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000033323
BARIS, AL (Male)Provider Type: Physicians
Address: 3815 HARRISON AVE , ROCKFORD IL 61108Phone: 8153911000 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1821029091
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033319
BRANSON, WAYNE (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61107Phone: 815-968-4400 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1972749158
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 16:00Accepts Medicaid: No
CEB #: 1000034215
CLOR, MONA (Female)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1932182003
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000035002
186
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
ECKBURG, JOSEPH (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1154492312
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034174
FRANDSEN, DEVN (Male)Provider Type: Physicians
Address: 621 ROXBURY RD , ROCKFORD IL 61107Phone: 8153973350 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1730316043
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000040053
FRANDSEN, DEVN (Male)Provider Type: Physicians
Address: 4423 MANCHESTER DR , ROCKFORD IL 61109Phone: 8153941391 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1730316043
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000040060
HITT, ROCKTON (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1225108947
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000033552
HOLLOWAY, LIANNE (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1619000932
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034221
187
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
LIN, BILLIE (Female)Provider Type: Physicians
Address: 2473 MCFARLAND RD , ROCKFORD IL 61107Phone: 8159862286 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1780786301
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000058825
MUELLER, JOHN (Male)Provider Type: Physicians
Address: 4423 MANCHESTER DR , ROCKFORD IL 61109Phone: 8153941391 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: No
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1952335333
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000032846
NICOLOSI, FRANCIS (Male)Provider Type: Physicians
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEM HOSP
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1477663664
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000032713
PHASOUK, RYAN (Male)Provider Type: Physicians
Address: 1215 N ALPINE RD , ROCKFORD IL 61107Phone: 779-696-7610 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1215946892
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 20:00 Fri: 08:00 - 20:00Accepts Medicaid: No
CEB #: 1000033819
ROYCE, JEFFREY (Male)Provider Type: Physicians
Address: 1340 CHARLES ST - STE 400, ROCKFORD IL 61104Phone: 8154899512 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1619910635
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000033400
188
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SCHOLCOFF, EDUARDO (Male)Provider Type: Physicians
Address: 1215 N ALPINE RD , ROCKFORD IL 61107Phone: 779-696-7610 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISH COVENANT HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: OBSTETRICS & GYNECOLOGY
NPI: 1669457214
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 20:00 Wed: 08:00 - 20:00 Thu: 08:00 - 20:00 Fri: 08:00 - 20:00Accepts Medicaid: Yes
CEB #: 1000034585
SCHOLCOFF, EDUARDO (Male)Provider Type: Physicians
Address: 2473 MCFARLAND RD , ROCKFORD IL 61107Phone: 779-696-9202 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: OBSTETRICS & GYNECOLOGY
NPI: 1669457214
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000093236
SCHULTHEIS, MARTINE (Female)Provider Type: Physicians
Address: 6861 VILLAGREEN VIEW , ROCKFORD IL 61107Phone: 8152821339 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1275829178
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000081032
SHARKEY, CARRIE (Female)Provider Type: Physicians
Address: 1601 N UNIVERSITY DR , ROCKFORD IL 61107Phone: 8153872500 Network: PSYCHEALTH, LTD.
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1295725323
Min. Age: 18 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000035716
SIMMONS, MARY (Female)Provider Type: Physicians
Address: 1221 E STATE ST , ROCKFORD IL 61104Phone: 8159721000 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1457373946
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034102
189
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
SY, ESTHER (Female)Provider Type: Physicians
Address: 4423 MANCHESTER DR , ROCKFORD IL 61109Phone: 8153941391 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1659358703
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096371
SYED, JAFRI H (Male)Provider Type: Physicians
Address: 1401 E STATE ST , ROCKFORD IL 61104Phone: 815-967-5476 Network: GEORGIA INPATIENT MEDICINE ASSOCIATES LLC
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty: HOSPITALIST
NPI: 1942226949
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: No
Hrs: Mon: 07:00 - 19:00 Tue: 07:00 - 19:00 Wed: 07:00 - 19:00 Thu: 07:00 - 19:00 Fri: 07:00 - 19:00Accepts Medicaid: Yes
CEB #: 1000087563
WINTERBAUER, SUSAN C (Female)Provider Type: Physicians
Address: 4423 MANCHESTER DR , ROCKFORD IL 61109Phone: 8153941391 Network: OSF MEDICAL GROUP
Pri. Hospital: OSF SAINT ANTHONY MEDICAL CENTER
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1073816013
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 20:00 Tue: 08:00 - 17:00 Wed: 08:00 - 20:00 Thu: 08:00 - 20:00 Fri: 08:00 - 20:00 Sat: 08:00 - 20:00Accepts Medicaid: No
CEB #: 1000035061
LIN, BILLIE (Female)Provider Type: Physicians
Address: 4282 E ROCKTON RD , ROSCOE IL 61073Phone: 779-696-9000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1780786301
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 11:00 - 16:00 Tue: 11:00 - 16:00 Wed: 11:00 - 16:00 Thu: 11:00 - 16:00 Fri: 11:00 - 16:00 Sat: 11:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000035568
PHASOUK, RYAN (Male)Provider Type: Physicians
Address: 4282 E ROCKTON RD , ROSCOE IL 61073Phone: 779-696-9000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1215946892
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 11:00 - 16:00 Tue: 11:00 - 16:00 Wed: 11:00 - 16:00 Thu: 11:00 - 16:00 Fri: 11:00 - 16:00 Sat: 11:00 - 16:00Accepts Medicaid: No
CEB #: 1000035660
190
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
POCOCK, DAVID (Male)Provider Type: Physicians
Address: 4682 E ROCKTON ST - STE 102, ROSCOE IL 61073Phone: 815-624-1300 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1447240445
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096199
SAPYING, ATISAK (Male)Provider Type: Physicians
Address: 4682 E ROCKTON ST - STE 102, ROSCOE IL 61073Phone: 815-624-1300 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1982694980
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000096331
SY, ESTHER (Female)Provider Type: Physicians
Address: 4282 E ROCKTON RD , ROSCOE IL 61073Phone: 779-696-9000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1659358703
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 11:00 - 16:00 Tue: 11:00 - 16:00 Wed: 11:00 - 16:00 Thu: 11:00 - 16:00 Fri: 11:00 - 16:00 Sat: 11:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034148
VILLACORTA, JORGE (Male)Provider Type: Physicians
Address: 4282 E ROCKTON RD , ROSCOE IL 61073Phone: 779-696-9000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1124064001
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 11:00 - 16:00 Tue: 11:00 - 16:00 Wed: 11:00 - 16:00 Thu: 11:00 - 16:00 Fri: 11:00 - 16:00 Sat: 11:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000034457
VOLETY, SNIGDHA (Female)Provider Type: Physicians
Address: 4282 E ROCKTON RD , ROSCOE IL 61073Phone: 779-696-9000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: FAMILY PRACTICE Sec. Specialty:
NPI: 1821283565
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: PERSIAN/FARSI
Handicap Access: Yes
Hrs: Mon: 11:00 - 16:00 Tue: 11:00 - 16:00 Wed: 11:00 - 16:00 Thu: 11:00 - 16:00 Fri: 11:00 - 16:00 Sat: 11:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000033100
191
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NEPHROLOGY - IL - WINNEBAGOAHMAD, MASHOOD (Male)Provider Type: Physicians
Address: 612 ROXBURY RD , ROCKFORD IL 61107Phone: 815-227-8300 Network: RNA OF ROCKFORD LLC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1043232846
Min. Age: 16 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:30 Tue: 08:00 - 16:30 Wed: 08:00 - 16:30 Thu: 08:00 - 16:30 Fri: 08:00 - 16:30Accepts Medicaid: Yes
CEB #: 1000092592
CHARBA, DEANE (Female)Provider Type: Physicians
Address: 612 ROXBURY RD , ROCKFORD IL 61107Phone: 815-227-8300 Network: RNA OF ROCKFORD LLC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1245281492
Min. Age: 16 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:30 Tue: 08:00 - 16:30 Wed: 08:00 - 16:30 Thu: 08:00 - 16:30 Fri: 08:00 - 16:30Accepts Medicaid: Yes
CEB #: 1000092597
MAYNARD, JOHN (Male)Provider Type: Physicians
Address: 612 ROXBURY RD , ROCKFORD IL 61107Phone: 815-227-8300 Network: RNA OF ROCKFORD LLC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1730180878
Min. Age: 16 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 07:00 - 17:00 Tue: 07:00 - 17:00 Wed: 07:00 - 17:00 Thu: 07:00 - 17:00 Fri: 07:00 - 17:00 Sat: 07:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000092604
MURDAKES, CHARLENE (Female)Provider Type: Physicians
Address: 612 ROXBURY RD , ROCKFORD IL 61107Phone: 815-227-8300 Network: RNA OF ROCKFORD LLC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1992961593
Min. Age: 16 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:30 Tue: 08:00 - 16:30 Wed: 08:00 - 16:30 Thu: 08:00 - 16:30 Fri: 08:00 - 16:30Accepts Medicaid: Yes
CEB #: 1000092612
NIEMIEC, JOANNA (Female)Provider Type: Physicians
Address: 612 ROXBURY RD , ROCKFORD IL 61107Phone: 815-227-8300 Network: RNA OF ROCKFORD LLC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1821016791
Min. Age: 16 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:30 Tue: 08:00 - 16:30 Wed: 08:00 - 16:30 Thu: 08:00 - 16:30 Fri: 08:00 - 16:30Accepts Medicaid: Yes
CEB #: 1000092616
192
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PAVITHRAN, BINDU (Male)Provider Type: Physicians
Address: 612 ROXBURY RD , ROCKFORD IL 61107Phone: 815-227-8300 Network: RNA OF ROCKFORD LLC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1548210677
Min. Age: 16 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:30 Tue: 08:00 - 16:30 Wed: 08:00 - 16:30 Thu: 08:00 - 16:30 Fri: 08:00 - 16:30Accepts Medicaid: Yes
CEB #: 1000092638
ROBERTSON, MICHAEL (Male)Provider Type: Physicians
Address: 612 ROXBURY RD , ROCKFORD IL 61107Phone: 815-227-8300 Network: RNA OF ROCKFORD LLC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1093717027
Min. Age: 16 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:30 Tue: 08:00 - 16:30 Wed: 08:00 - 16:30 Thu: 08:00 - 16:30 Fri: 08:00 - 16:30Accepts Medicaid: Yes
CEB #: 1000092623
SANKARAN, KRISHNA (Male)Provider Type: Physicians
Address: 612 ROXBURY RD , ROCKFORD IL 61107Phone: 815-227-8300 Network: RNA OF ROCKFORD LLC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1558353631
Min. Age: 16 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:30 Tue: 08:00 - 16:30 Wed: 08:00 - 16:30 Thu: 08:00 - 16:30 Fri: 08:00 - 16:30Accepts Medicaid: Yes
CEB #: 1000092643
STIM, JAMES (Male)Provider Type: Physicians
Address: 612 ROXBURY RD , ROCKFORD IL 61107Phone: 815-227-8300 Network: RNA OF ROCKFORD LLC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1104827427
Min. Age: 16 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:30 Tue: 08:00 - 16:30 Wed: 08:00 - 16:30 Thu: 08:00 - 16:30 Fri: 08:00 - 16:30Accepts Medicaid: Yes
CEB #: 1000092653
SWEENEY, CHARLES (Male)Provider Type: Physicians
Address: 612 ROXBURY RD , ROCKFORD IL 61107Phone: 815-227-8300 Network: RNA OF ROCKFORD LLC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1063414944
Min. Age: 16 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:30 Tue: 08:00 - 16:30 Wed: 08:00 - 16:30 Thu: 08:00 - 16:30 Fri: 08:00 - 16:30Accepts Medicaid: Yes
CEB #: 1000092661
193
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
WRIGHT, DAVID L (Male)Provider Type: Physicians
Address: 612 ROXBURY RD , ROCKFORD IL 61107Phone: 815-227-8300 Network: RNA OF ROCKFORD LLC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NEPHROLOGY Sec. Specialty: INTERNAL MEDICINE
NPI: 1033131776
Min. Age: 16 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 07:00 - 17:00 Tue: 07:00 - 17:00 Wed: 07:00 - 17:00 Thu: 07:00 - 17:00 Fri: 07:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000092576
194
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
NURSE PRACTITIONER - IL - WINNEBAGOEATOCK, CAROLE (Female)Provider Type: Nurse Practitioners
Address: 4682 E ROCKTON RD - STE 102, ROSCOE IL 61073Phone: 8156241300 Network: OSF MEDICAL GROUP
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: NURSE PRACTITIONER Sec. Specialty: FAMILY PRACTICE
NPI: 1588964712
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000095804
195
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
PODIATRY - IL - WINNEBAGOBUSH, WILLIAM (Male)Provider Type: Podiatrists
Address: 324 roxbury rd , ROCKFORD IL 61107Phone: 815-398-9491 Network: ROCKFORD ORTHOPEDIC ASSOCIATES, LTD
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: PODIATRY Sec. Specialty:
NPI: 1124131891
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000059212
HOFFMAN, HEATH (Male)Provider Type: Podiatrists
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PODIATRY Sec. Specialty:
NPI: 1528231354
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 19:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000034246
NIELSEN, JOHN (Male)Provider Type: Podiatrists
Address: 1253 N ALPINE RD , ROCKFORD IL 61107Phone: 8153917878 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PODIATRY Sec. Specialty:
NPI: 1821186263
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 19:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00 Fri: 08:00 - 17:00 Sat: 09:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000034237
NOREM, NATHAN (Male)Provider Type: Podiatrists
Address: 2300 N ROCKTON AVE , ROCKFORD IL 61103Phone: 8159712000 Network: ROCKFORD HEALTH PHYSICIANS
Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PODIATRY Sec. Specialty:
NPI: 1801025473
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language: SPANISH
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000034116
ROSHAN, SYEDA (Male)Provider Type: Podiatrists
Address: 4282 E ROCKTON RD , ROSCOE IL 61073Phone: 779-696-9000 Network: SWEDISHAMERICAN MEDICAL GROUP
Pri. Hospital: SWEDISHAMERICAN HOSPITAL
Accepting New Patients: Yes
Pri. Specialty: PODIATRY Sec. Specialty:
NPI: 1770915589
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000093112
196
Specialists - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 699 Provider(s) TTY: 711
CHIROPRACTOR - IL - WINNEBAGOFREEDLUND, HEATHER (Female)Provider Type: Chiropractors
Address: 119 S BENTON ST , WINNEBAGO IL 61088Phone: 815-335-1381 Network: FREEDLUND FAMILY CHIROPRACTIC LTD
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: CHIROPRACTOR Sec. Specialty:
NPI: 1861417073
Min. Age: 0 Max. Age: 110
Pri. Language: ENGLISH Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 18:30 Tue: 15:30 - 18:30 Wed: 09:00 - 18:30 Thu: 15:30 - 18:30 Fri: 09:00 - 18:30 Sat: 08:00 - 10:00Accepts Medicaid: Yes
CEB #: 1000089046
197
Community Care Alliance of Illinois, NFP
Provider Directory
Rockford‐area Hospitals
IL - MCHENRYNORTHERN ILLINOIS MEDICAL CTRProvider Type: General Hospitals
Address: 4201 MEDICAL CENTER DR , MCHENRY IL 60050Phone: Network: NORTHERN ILLINOIS MEDICAL CTR
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: GENERAL INPATIENT SERVICES Sec. Specialty:
NPI: 1982611281
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: YesAccepts Medicaid: Yes
CEB #: 1000057431
MEMORIAL MEDICAL CENTERProvider Type: General Hospitals
Address: 3701 DOTY RD , WOODSTOCK IL 60098Phone: 815-338-2500 Network: MEMORIAL MEDICAL CENTER
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: GENERAL INPATIENT SERVICES Sec. Specialty: INPATIENT PSYCHIATRIC SERVICES
NPI: 1730194259
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: YesAccepts Medicaid: Yes
CEB #: 1000065581
MEMORIAL MEDICAL CENTERProvider Type: General Hospitals
Address: 527 W SOUTH ST , woodstock IL 60098Phone: 800-765-9999 Network: MEMORIAL MEDICAL CENTER
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: INPATIENT PSYCHIATRIC SERVICES Sec. Specialty:
NPI: 1427065499
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: YesAccepts Medicaid: Yes
CEB #: 1000065583
1
Hospitals - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 8 Provider(s) TTY: 711
IL - WINNEBAGOROCKFORD MEMORIAL HOSPITALProvider Type: General Hospitals
Address: 2400 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-971-5000 Network: ROCKFORD MEMORIAL HOSPITAL
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: GENERAL INPATIENT SERVICES Sec. Specialty: INPATIENT PSYCHIATRIC SERVICES
NPI: 1629118609
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: YesAccepts Medicaid: Yes
CEB #: 1000039864
ST ANTHONY MEDICAL CENTERProvider Type: General Hospitals
Address: 5666 E STATE ST , ROCKFORD IL 61108Phone: 815-226-2000 Network: ST ANTHONY MEDICAL CENTER
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: GENERAL INPATIENT SERVICES Sec. Specialty:
NPI: 1790739977
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: YesAccepts Medicaid: Yes
CEB #: 1000054954
SWEDISHAMERICAN HOSPITALProvider Type: General Hospitals
Address: 1401 E STATE ST , ROCKFORD IL 61104Phone: 815-968-4400 Network: SWEDISHAMERICAN HOSPITAL
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: GENERAL INPATIENT SERVICES Sec. Specialty: INPATIENT PSYCHIATRIC SERVICES
NPI: 1760542732
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: NoAccepts Medicaid: Yes
CEB #: 1000057489
RAHMAN, AZIZUR (Male)Provider Type: Physicians
Address: 3865 N MULFORD RD , ROCKFORD IL 61114Phone: 815-399-2190 Network: NON-PAR NETWORK
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: OPHTHALMOLOGY Sec. Specialty:
NPI: 1346212693
Min. Age: 0 Max. Age: 0
Pri. Language: ENGLISH Sec. Language:
Handicap Access: YesAccepts Medicaid: Yes
CEB #: 1000108750
VAN MATRE HEALTHSOUTH REHABILITATION HOSPITALProvider Type: Rehabilitation Hospitals
Address: 950 S MULFORD RD , ROCKFORD IL 61108Phone: 815-381-8500 Network: VAN MATRE HEALTHSOUTH REHABILITATION HOSPITAL
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: INPATIENT PHYSICAL REHABILITATION SERVICES Sec. Specialty:
NPI: 1215901970
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: NoAccepts Medicaid: Yes
CEB #: 1000015345
2
Community Care Alliance of Illinois, NFP
Provider Directory
Rockford‐area
Behavioral Health
1
Behavioral Health - CCAI, NFP ( Rockford )Member Services: 1-855-275-2781 0 Provider(s) TTY: 711
Community Care Alliance of Illinois, NFP
Provider Directory
Rockford‐area Ancillary
IL - BOONEPARK PLACE OF BELVIDEREProvider Type: Nursing Facilities
Address: 1701 W 5TH AVE , BELVIDERE IL 61008Phone: 847-311-2675 Network: PARK PLACE OF BELVIDERE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING FACILITY Sec. Specialty: PHYSICAL THERAPY
NPI: 1801233846
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000066479
HERITAGE WOODS OF BELVIDEREProvider Type: Supportive Living Facility
Address: 4730 SQUAW PRAIRIE RD , BELVIDERE IL 61008Phone: 815-544-9495 Network: HERITAGE WOODS OF BELVIDERE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SUPPORTIVE LIVING FACILITY Sec. Specialty:
NPI: 1144652363
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085718
1
Ancillary - CCAI, NFP ( Rockford )50 Provider(s)
IL - MCHENRYHANGER PROSTHETICS ORTHOTICSProvider Type: Durable Medical Equipment/Supply
Address: 620 S ROUTE 31 - STE 7, MCHENRY IL 60050Phone: 815-344-3070 Network: HANGER CLINIC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: DME Sec. Specialty:
NPI: 1891860664
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000087019
NORTHERN ILLINOIS MEDICAL CTRProvider Type: Durable Medical Equipment/Supply
Address: 213 FRONT ST - STE 2, MCHENRY IL 60050Phone: 815-759-4444 Network: CENTEGRA PHYSICIAN CARE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: DME Sec. Specialty:
NPI: 1780989905
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085520
CRYSTAL SPRINGS DIALYSISProvider Type: General Hospitals
Address: 720 COG CIRCLE , CRYSTAL LAKE IL 60014Phone: 815-459-4945 Network: DAVITA HEALTHCARE PARTNERS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: DIALYSIS Sec. Specialty:
NPI: 1073826392
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000086150
FMC OF MCHENRYProvider Type: General Hospitals
Address: 4312 W ELM ST , MCHENRY IL 60050Phone: 815-363-7254 Network: FRESENIUS MEDICAL CARE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: DIALYSIS Sec. Specialty:
NPI: 1255421756
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000086570
CENTEGRA HOME HEALTH CAREProvider Type: Home Health Agencies - In Home
Address: 213 N FRONT ST - STE 2, MCHENRY IL 60050Phone: 877-236-8347 Network: CENTEGRA HEALTH CARE SYSTEM
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOME HEALTH Sec. Specialty: HOME HEALTH AIDE
NPI: 1447298450
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085523
2
Ancillary - CCAI, NFP ( Rockford )50 Provider(s)
1ST FAMILY HOME HEALTHCARE INCProvider Type: Home Health Agencies - In Home
Address: 666 RUSSEL CT - STE 308, WOODSTOCK IL 60098Phone: 815-337-4240 Network: 1ST FAMILY HOME HEALTHCARE INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING Sec. Specialty: SPEECH PATHOLOGY
NPI: 1568691343
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: No
CEB #: 1000039538
NICL LABORATORIES - CRYSTAL LAKEProvider Type: Independent Laboratories
Address: 455 COVENTRY LN - STE 106, CRYSTAL LAKE IL 60014Phone: 815-455-9525 Network: NICL LABORATORIES
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: LAB Sec. Specialty:
NPI: 1659373900
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000063897
NICL LABORATORIES - MCHENRYProvider Type: Independent Laboratories
Address: 616 S ROUTE 31 - STE G, MCHENRY IL 60050Phone: 815-578-1547 Network: NICL LABORATORIES
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: LAB Sec. Specialty:
NPI: 1659373900
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 07:00 - 16:00 Tue: 07:00 - 16:00 Wed: 07:00 - 16:00 Thu: 07:00 - 16:00 Fri: 07:00 - 16:00 Sat: 07:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000092912
NICL LABORATORIES - WOODSTOCKProvider Type: Independent Laboratories
Address: 242 THROOP ST , WOOD STOCK IL 60098Phone: 815-338-6596 Network: NICL LABORATORIES
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: LAB Sec. Specialty:
NPI: 1659373900
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 16:00 Tue: 08:00 - 16:00 Wed: 08:00 - 16:00 Thu: 08:00 - 16:00 Fri: 08:00 - 16:00Accepts Medicaid: Yes
CEB #: 1000092915
FAMILY ALLIANCE INCProvider Type: Mental Health Day Training
Address: 2028 N SEMINARY AVE , WOODSTOCK IL 60098Phone: 815-338-3590 Network: FAMILY ALLIANCE INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: MENTAL HEALTH SERVICES Sec. Specialty: ADULT DAY SERVICES
NPI: 1598717597
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000055479
3
Ancillary - CCAI, NFP ( Rockford )50 Provider(s)
CRYSTAL PINES REHAB AND HEALTH CARE CENTERProvider Type: Nursing Facilities
Address: 335 N ILLINOIS ST , CRYSTAL LAKE IL 60014Phone: 815-459-7791 Network: CRYSTAL PINES REHAB AND HEALTH CARE CENTER
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING Sec. Specialty:
NPI: 1952301822
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000066815
ALDEN TERRACE OF MCHENRY REHABProvider Type: Nursing Facilities
Address: 803 ROYAL DR , MCHENRY IL 60050Phone: 815-344-2600 Network: ALDEN MANAGEMENT SERVICES INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING FACILITY Sec. Specialty: DME
NPI: 1023005519
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000079221
HERITAGE WOODS OF MCHENRYProvider Type: Supportive Living Facility
Address: 4609 W CRYSTAL LAKE RD , MCHENRY IL 60050Phone: 815-344-2690 Network: HERITAGE WOODS OF MCHENRY
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SUPPORTIVE LIVING FACILITY Sec. Specialty:
NPI: 1801047832
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085720
4
Ancillary - CCAI, NFP ( Rockford )50 Provider(s)
IL - OGLENEIGHBORS REHABILITATION CNTRProvider Type: Nursing Facilities
Address: 811 W 2ND ST , BYRON IL 61010Phone: 815-234-2511 Network: NEIGHBORS REHABILITATION CENTER
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOME HEALTH Sec. Specialty: MENTAL HEALTH COUNSELOR
NPI: 1598754764
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039421
5
Ancillary - CCAI, NFP ( Rockford )50 Provider(s)
IL - WINNEBAGOMETRO MEDICAL SERVICES INCProvider Type: Ambulance Service Providers
Address: 5112 FOREST HILL CT , LOVES PARK IL 61111Phone: 815-847-7211 Network: TRANSPORTATION SERVICES
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: TRANSPORTATION Sec. Specialty:
NPI: 1720045859
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039581
LIFELINE AMBULANCE LLCProvider Type: Ambulance Service Providers
Address: 318 ROXBURY RD , ROCKFORD IL 61107Phone: 815-395-4637 Network: OSF HEALTHCARE SYSTEM
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: TRANSPORTATION Sec. Specialty:
NPI: 1619036829
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000107742
COMPREHENSIVE PROSTHETICS ORTHProvider Type: Durable Medical Equipment/Supply
Address: 535 ROXBURY RD - LOWER LEVEL, ROCKFORD IL 61107Phone: 800-334-5705 Network: COMPREHENSIVE PROSTHETICS ORTH
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: DME Sec. Specialty:
NPI: 1174573307
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000063764
INTEGRATED HOMECARE SERVS INCProvider Type: Durable Medical Equipment/Supply
Address: 5027 HARRISON AVE , ROCKFORD IL 61108Phone: 815-747-6994 Network: INTEGRATED HOMECARE SERVICES
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: DME Sec. Specialty:
NPI: 1396855821
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000006620
MOBILITY CONNECTION INCProvider Type: Durable Medical Equipment/Supply
Address: 4100 E STATE ST , ROCKFORD IL 61108Phone: 815-965-8090 Network: MOBILITY CONNECTION INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: DME Sec. Specialty: TRANSPORTATION
NPI: 1225142813
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:30 - 17:00 Tue: 08:30 - 17:00 Wed: 08:30 - 17:00 Thu: 08:30 - 17:00 Fri: 08:30 - 17:00 Sat: 10:00 - 14:00Accepts Medicaid: Yes
CEB #: 1000085575
6
Ancillary - CCAI, NFP ( Rockford )50 Provider(s)
NORTHERN PROSTHETICS ORTHOProvider Type: Durable Medical Equipment/Supply
Address: 2629 CHARLES ST , ROCKFORD IL 61108Phone: 815-226-0444 Network: NORTHERN PROSTHETICS & ORTHOPEDIC INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: DME Sec. Specialty: ORTHOTICS & PROSTHETICS
NPI: 1194719328
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085624
OSF HOME MEDICAL EQUIPMENTProvider Type: Durable Medical Equipment/Supply
Address: 5501 E STATE ST , ROCKFORD IL 61108Phone: 815-381-6350 Network: OSF HEALTHCARE SYSTEM
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: DME Sec. Specialty:
NPI: 1013925593
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000092567
RENAL TREATMENT CENTERSProvider Type: General Hospitals
Address: 417 WARE AVE , ROCKFORD IL 61107Phone: 815-397-4123 Network: DAVITA HEALTHCARE PARTNERS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: DIALYSIS Sec. Specialty:
NPI: 1285694729
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000041286
ROXBURY DIALYSIS CENTERProvider Type: General Hospitals
Address: 622 ROXBURY RD , ROCKFORD IL 61107Phone: 815-397-0713 Network: DAVITA HEALTHCARE PARTNERS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: DIALYSIS Sec. Specialty:
NPI: 1003875402
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000041323
STONECREST DIALYSISProvider Type: General Hospitals
Address: 1302 E STATE ST , ROCKFORD IL 61104Phone: 815-968-5794 Network: DAVITA HEALTHCARE PARTNERS INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: DIALYSIS Sec. Specialty:
NPI: 1518276955
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000041505
7
Ancillary - CCAI, NFP ( Rockford )50 Provider(s)
ST ANTHONYS HOSP MEDICAL CTRProvider Type: Home Health Agencies - In Home
Address: 5501 E STATE ST , ROCKFORD IL 61108Phone: 815-381-6330 Network: OSF HEALTHCARE SYSTEM
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOME HEALTH Sec. Specialty:
NPI: 1023051992
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000092320
SWEDISHAMERICAN HOME HEALTHProvider Type: Home Health Agencies - In Home
Address: 2550 CHARLES ST , ROCKFORD IL 61108Phone: 779-696-7550 Network: SWEDISHAMERICAN HOME HEALTH
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOME HEALTH Sec. Specialty:
NPI: 1255439774
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000082358
HEARTLAND HOSPICE SERVICESProvider Type: Hospice
Address: 363 FINANCIAL CT - UNIT 300, ROCKFORD IL 61107Phone: 866-216-5708 Network: HEARTLAND HOSPICE SERVICES LLC & IN HOME HEALTH
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOSPICE Sec. Specialty:
NPI: 1578516290
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000089072
HOSPICE CARE OF AMERICA INCProvider Type: Hospice
Address: 3815 N MULFORD RD , ROCKFORD IL 61114Phone: Network: HOSPICE CARE OF AMERICA INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOSPICE Sec. Specialty: HOSPICE & PALLIATIVE MEDICINE
NPI: 1659301539
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000059643
NORTHERN IL HOSPICE ASSOCProvider Type: Hospice
Address: 4215 NEWBURG RD , ROCKFORD IL 61108Phone: 815-398-0500 Network: NORTHERN IL HOSPICE ASSOCIATION
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOSPICE Sec. Specialty:
NPI: 1700884731
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000087052
8
Ancillary - CCAI, NFP ( Rockford )50 Provider(s)
OSF HOSPICEProvider Type: Hospice
Address: 5501 E STATE ST , ROCKFORD IL 61108Phone: 815-381-6330 Network: OSF HEALTHCARE SYSTEM
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOSPICE Sec. Specialty:
NPI: 1518997857
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000092335
ADDUS HEALTHCARE INCProvider Type: In Home Care - Department of Aging
Address: 5301 E STATE ST - STE 118, ROCKFORD IL 61108Phone: 815-229-0300 Network: ADDUS HEALTHCARE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOMEMAKER Sec. Specialty:
NPI: 1609191865
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 08:00 - 17:00 Tue: 08:00 - 17:00 Wed: 08:00 - 17:00 Thu: 08:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000092751
EUROPEAN SERVICE AT HOME - ROCKFORDProvider Type: In Home Care - Department of Aging
Address: 815 N CHURCH ST - STE 105, rockford IL 61103Phone: 815-489-9000 Network: EUROPEAN SERVICE AT HOME INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOMEMAKER Sec. Specialty:
NPI: 1720349442
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000080550
EUROPEAN SERVICE AT HOME INCProvider Type: In Home Care - Department of Aging
Address: 815 N CHURCH ST - STE 105, ROCKFORD IL 61103Phone: 815-489-9000 Network: EUROPEAN SERVICE AT HOME INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOMEMAKER Sec. Specialty:
NPI: 1720349442
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000108370
HEALTHCARE PLUS HOMEMAKERS LLCProvider Type: In Home Care - Department of Aging
Address: 5301 E STATE ST - STE 205, ROCKFORD IL 61108Phone: 773-283-0090 Network: HEALTHCARE PLUS HOMEMAKERS LLC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOMEMAKER Sec. Specialty:
NPI: 1235471566
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000100756
9
Ancillary - CCAI, NFP ( Rockford )50 Provider(s)
SISTERS HOME HEALTH SERV INCProvider Type: In Home Care - Department of Aging
Address: 1214 E STATE ST , ROCKFORD IL 61104Phone: 815-961-2170 Network: SISTERS HOME HEALTH SERV INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOME HEALTH Sec. Specialty: WOUND CARE
NPI: 1356469688
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039460
VISITING NURSES ASSOCIATIONProvider Type: In Home Care / DHS - Rehab. Services
Address: 4223 E STATE ST , ROCKFORD IL 61108Phone: 815-971-3550 Network: ROCKFORD HEALTH SYSTEM
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOME HEALTH Sec. Specialty:
NPI: 1093821654
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 07:00 - 17:00 Tue: 07:00 - 17:00 Wed: 07:00 - 17:00 Thu: 07:00 - 17:00 Fri: 07:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000087979
NICL LABORATORIES - ROCKFORDProvider Type: Independent Laboratories
Address: 483 N MULFORD RD - STE 2, ROCKFORD IL 61107Phone: 815-977-4349 Network: NICL LABORATORIES
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: LAB Sec. Specialty:
NPI: 1659373900
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 07:00 - 16:00 Tue: 07:00 - 16:00 Wed: 07:00 - 16:00 Thu: 07:00 - 16:00 Fri: 07:00 - 16:00 Sat: 08:00 - 12:00Accepts Medicaid: Yes
CEB #: 1000092901
MIDWEST MEDIVAN INCProvider Type: Medicar Provider
Address: 975 N MAIN ST , ROCKFORD IL 61103Phone: 815-977-7007 Network: TRANSPORTATION SERVICES
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: TRANSPORTATION Sec. Specialty:
NPI: 1245532530
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039648
ALDEN ALMA NELSON MANORProvider Type: Nursing Facilities
Address: 550 S MULFORD RD , ROCKFORD IL 61108Phone: 815-484-1002 Network: ALDEN MANAGEMENT SERVICES INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING FACILITY Sec. Specialty: PHYSICAL THERAPY
NPI: 1619963816
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000079097
10
Ancillary - CCAI, NFP ( Rockford )50 Provider(s)
ALDEN PARK STRATHMOORProvider Type: Nursing Facilities
Address: 5668 straTHMOOR INC , ROCKFORD IL 61107Phone: 815-229-5200 Network: ALDEN MANAGEMENT SERVICES INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING FACILITY Sec. Specialty: DME
NPI: 1376530766
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000079202
AMBERWOOD CARE CENTREProvider Type: Nursing Facilities
Address: 2313 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-964-2200 Network: AMBERWOOD CARE CENTRE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: LONG TERM CARE FACILITY Sec. Specialty: SKILLED NURSING
NPI: 1245576735
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039480
FAIRVIEW NURSING PLAZA INCProvider Type: Nursing Facilities
Address: 321 ARNOLD AVE , ROCKFORD IL 61108Phone: 815-397-5531 Network: FAIRVIEW NURSING PLAZA INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING FACILITY Sec. Specialty:
NPI: 1851396238
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000006525
FAIR OAKS REHAB AND HCCProvider Type: Nursing Facilities
Address: 1515 BLACKHAWK , SOUTH BELOIT IL 61080Phone: 815-389-3911 Network: FAIR OAKS REHAB AND HEALTH CARE CENTER
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING FACILITY Sec. Specialty: PHYSICAL THERAPY
NPI: 1578563441
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000067262
OSF HOME INFUSION PHARMACYProvider Type: Pharmacy
Address: 9951 ROCK CUT CROSSING , LOVES PARK IL 61111Phone: 815-921-8780 Network: OSF HEALTHCARE SYSTEM
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: INFUSION THERAPY Sec. Specialty:
NPI: 1831104546
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000092317
11
Ancillary - CCAI, NFP ( Rockford )50 Provider(s)
SWEDISHAMERICAN INFUSION SRVCProvider Type: Pharmacy
Address: 2550 CHARLES ST , ROCKFORD IL 61108Phone: 815-391-7550 Network: SWEDISHAMERICAN INFUSION SRVC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: INFUSION THERAPY Sec. Specialty:
NPI: 1285720763
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000082363
HERITAGE WOODS OF ROCKFORDProvider Type: Supportive Living Facility
Address: 202 N SHOWPLACE DR , ROCKFORD IL 61107Phone: 815-332-3700 Network: HERITAGE WOODS OF ROCKFORD
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SUPPORTIVE LIVING FACILITY Sec. Specialty:
NPI: 1417142225
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085721
ROCKFORD SUPPORTIVE LIVINGProvider Type: Supportive Living Facility
Address: 2114 KISHWAUKEE ST , ROCKFORD IL 61104Phone: 815-966-1030 Network: ROCKFORD SUPPORTIVE LIVING
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING FACILITY Sec. Specialty: EMERGENCY HOME RESPONSE
NPI: 1609907740
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000085755
PROFESSIONAL MED STAFFING INCProvider Type: TBI Home and Community-based services Medicaid w
Address: 1848 DAIMLER RD , ROCKFORD IL 61112Phone: 815-227-0093 Network: PROFESSIONAL MED STAFFING INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOME HEALTH Sec. Specialty:
NPI: 1104027242
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000080371
12
Community Care Alliance of Illinois, NFP
Provider Directory
Rockford‐area
Skilled Nursing Facility
IL - BOONEPARK PLACE OF BELVIDEREProvider Type: Nursing Facilities
Address: 1701 W 5TH AVE , BELVIDERE IL 61008Phone: 847-311-2675 Network: PARK PLACE OF BELVIDERE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING FACILITY Sec. Specialty: PHYSICAL THERAPY
NPI: 1801233846
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000066479
1
Skilled Nursing Facility - CCAI MA ( Rockford )Member Services: 1-855-275-2781 9 Provider(s) TTY: 711
IL - MCHENRYCRYSTAL PINES REHAB AND HEALTH CARE CENTERProvider Type: Nursing Facilities
Address: 335 N ILLINOIS ST , CRYSTAL LAKE IL 60014Phone: 815-459-7791 Network: CRYSTAL PINES REHAB AND HEALTH CARE CENTER
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING Sec. Specialty:
NPI: 1952301822
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000066815
ALDEN TERRACE OF MCHENRY REHABProvider Type: Nursing Facilities
Address: 803 ROYAL DR , MCHENRY IL 60050Phone: 815-344-2600 Network: ALDEN MANAGEMENT SERVICES INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING FACILITY Sec. Specialty: DME
NPI: 1023005519
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000079221
2
Skilled Nursing Facility - CCAI MA ( Rockford )Member Services: 1-855-275-2781 9 Provider(s) TTY: 711
IL - OGLENEIGHBORS REHABILITATION CNTRProvider Type: Nursing Facilities
Address: 811 W 2ND ST , BYRON IL 61010Phone: 815-234-2511 Network: NEIGHBORS REHABILITATION CENTER
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: HOME HEALTH Sec. Specialty: MENTAL HEALTH COUNSELOR
NPI: 1598754764
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039421
3
Skilled Nursing Facility - CCAI MA ( Rockford )Member Services: 1-855-275-2781 9 Provider(s) TTY: 711
IL - WINNEBAGOALDEN ALMA NELSON MANORProvider Type: Nursing Facilities
Address: 550 S MULFORD RD , ROCKFORD IL 61108Phone: 815-484-1002 Network: ALDEN MANAGEMENT SERVICES INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING FACILITY Sec. Specialty: PHYSICAL THERAPY
NPI: 1619963816
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000079097
ALDEN PARK STRATHMOORProvider Type: Nursing Facilities
Address: 5668 straTHMOOR INC , ROCKFORD IL 61107Phone: 815-229-5200 Network: ALDEN MANAGEMENT SERVICES INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING FACILITY Sec. Specialty: DME
NPI: 1376530766
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000079202
AMBERWOOD CARE CENTREProvider Type: Nursing Facilities
Address: 2313 N ROCKTON AVE , ROCKFORD IL 61103Phone: 815-964-2200 Network: AMBERWOOD CARE CENTRE
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: LONG TERM CARE FACILITY Sec. Specialty: SKILLED NURSING
NPI: 1245576735
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000039480
FAIRVIEW NURSING PLAZA INCProvider Type: Nursing Facilities
Address: 321 ARNOLD AVE , ROCKFORD IL 61108Phone: 815-397-5531 Network: FAIRVIEW NURSING PLAZA INC
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING FACILITY Sec. Specialty:
NPI: 1851396238
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000006525
FAIR OAKS REHAB AND HCCProvider Type: Nursing Facilities
Address: 1515 BLACKHAWK , SOUTH BELOIT IL 61080Phone: 815-389-3911 Network: FAIR OAKS REHAB AND HEALTH CARE CENTER
Pri. Hospital:
Accepting New Patients: Yes
Pri. Specialty: SKILLED NURSING FACILITY Sec. Specialty: PHYSICAL THERAPY
NPI: 1578563441
Min. Age: 0 Max. Age: 110
Pri. Language: Sec. Language:
Handicap Access: Yes
Hrs: Mon: 09:00 - 17:00 Tue: 09:00 - 17:00 Wed: 09:00 - 17:00 Thu: 09:00 - 17:00 Fri: 09:00 - 17:00Accepts Medicaid: Yes
CEB #: 1000067262
4
Provider directoryCommunity Complete (D-SNP) • Community Advantage (HMO)
H3071_OP P008_099_073015 Accepted 10/2/2015
Visit us online at www.ccaillinois.com/medicareMember Services 1-855-275-1781 (TTY/TDD 711)
Hours are between 8:00am and 8:00pm Monday through Friday (7 days a week from October 1 through February 14).
Answering Service is available weekends and after hours.