#ProviderKeyID,NPI,ProviderTypeCd,ProviderTypeDesc,ProviderName,ProvZipCd,OfficeCountyCd,OfficeCountyDesc,ReimbursementTypeCd,ReimbursementTypeDesc,CriticalAccessInd,PCPInd,PrimSpecCdDesc,CaseMgmt_InsuranceRINS,ClinicServicesRINS,DentalServicesRINS,EPSDTRINS,ERRINS,HCBSRINS,HomeHealthRINS,HospiceRINS,ICFMRRINS,InpatientCareRINS,LabRadiologyRINS,NursingFacilityRINS,OtherServicesRINS,OutPatientRINS,PDDRINS,PrescDRUGsRINS,RehabRINS,SchoolBasedRINS,TherapyRINS,CaseMgmt_InsuranceEvents,ClinicServicesEvents,DentalServicesEvents,EPSDTEvents,EREvents,HCBSEvents,HomeHealthEvents,HospiceEvents,ICFMREvents,InpatientCareEvents,LabRadiologyEvents,NursingFacilityEvents,OtherServicesEvents,OutPatientEvents,PDDEvents,PrescDRUGsEvents,RehabEvents,SchoolBasedEvents,TherapyEvents,CaseMgmt_InsuranceUOS,ClinicServicesUOS,DentalServicesUOS,EPSDTUOS,ERUOS,HCBSUOS,HomeHealthUOS,HospiceUOS,ICFMRUOS,InpatientCareUOS,LabRadiologyUOS,NursingFacilityUOS,OtherServicesUOS,OutPatientUOS,PDDUOS,PrescDRUGsUOS,RehabUOS,SchoolBasedUOS,TherapyUOS,CaseMgmt_InsuranceCost,ClinicServicesCost,DentalServicesCost,EPSDTCost,ERCost,HCBSCost,HomeHealthCost,HospiceCost,ICFMRCost,InpatientCareCost,LabRadiologyCost,NursingFacilityCost,OtherServicesCost,OutPatientCost,PDDCost,PrescDRUGsCost,RehabCost,SchoolBasedCost,TherapyCost,TotalCost,EncounterClaims,HospEncounterAddOnPayment 1000362053,"1831110733","010","Physicians","PUNDY CHRISTINE","600043906","200","Cook"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,2,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,47,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13.16,0.00,1325.67,0.00,0.00,0.00,0.00,0.00,0.00,1338.83,0.00,0.00 1000002013,"1000002013","092","Waiver service provider--Disability (DHS/DRS)","JEFFERSON COUNTY COMPREHENSIVE","62864 ","049","Jefferson"," ","","0","0","",0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7320.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7320.00,0.00,0.00 1000081358," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9204.25,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9204.25,0.00,0.00 1000005969," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8674.75,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8674.75,0.00,0.00 1000359973,"1578501896","010","Physicians","MCGRADY DOUGLAS","616144823","080","Peoria"," ","","0","0","Pathology",0,0,0,6,0,0,0,0,0,0,3042,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,11860,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,11860,0,0,0,0,0,0,0,0,0.00,0.00,0.00,35.58,0.00,0.00,0.00,0.00,0.00,0.00,51904.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,51939.82,6.00,0.00 1000237764," ","010","Physicians",""," ","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000016634,"1972679355","010","Physicians","EGBUJIOBI LEO","535111842","852","Wisconsin"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,1,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,73,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,73,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1.71,0.00,1177.34,0.00,0.00,0.00,0.00,0.00,0.00,1179.05,0.00,0.00 1000193167,"1164538161","010","Physicians","FLOSI SAM","604679016","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,278.39,0.00,0.00,0.00,0.00,0.00,0.00,278.39,0.00,0.00 1000089474," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2545.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2545.19,0.00,0.00 1000329589,"1639153471","010","Physicians","CORBOY DANIEL","601814828","030","DuPage"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,3,0,519,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,527,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,527,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,107.85,0.00,17563.98,0.00,0.00,0.00,0.00,0.00,0.00,17671.83,37.00,0.00 1000422148," ","030","General Hospitals",""," ","824","Minnesota","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,67.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,67.00,0.00,0.00 1000182033,"1720264898","010","Physicians","CARSON KENNETH","637014556","826","Missouri"," ","","0","0","Oncology",0,0,0,0,0,0,0,0,0,0,0,0,75,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,432,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,432,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,127059.08,0.00,0.00,0.00,0.00,0.00,0.00,127059.08,0.00,0.00 1000190618,"1000190618","092","Waiver service provider--Disability (DHS/DRS)","ASI INC","606474208","200","Cook"," ","","0","0","",0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,130,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,130,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,152408.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,152408.00,0.00,0.00 1000190149,"1992972988","010","Physicians","SCHNEIDER ANNE","60101 ","030","DuPage"," ","","0","0","Family Practice",0,0,0,2,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,65,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,65,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2352.50,0.00,0.00,0.00,0.00,0.00,0.00,2352.50,0.00,0.00 1000232605,"1730133166","070","Ambulance Service Providers","TRACE AMBULANCE INC","606778000","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,4697,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23232,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23232,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,472858.26,0.00,0.00,0.00,0.00,0.00,0.00,472858.26,107.00,0.00 1000321942,"1528006103","030","General Hospitals","BRYANLGH MEDICAL CENTER EAST","685061299","828","Nebraska","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,13,0,0,0,0,1,0,0,0,1,0,0,0,0,0,0,0,0,0,15,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,1793.00,0.00,0.00,0.00,0.00,1338.48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3131.48,2.00,0.00 1000325633,"1750356804","010","Physicians","FALLAH MARC","605406552","030","DuPage"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,1,0,95,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,191,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,191,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8589.51,0.00,0.00,0.00,0.00,0.00,0.00,8589.51,0.00,0.00 1000443478,"1033135934","010","Physicians","TCHENG HELEN","617610016","072","McLean"," ","","0","0","Pediatrics",0,0,0,12,0,0,0,0,0,0,27,0,97,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,30,0,113,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,30,0,113,0,0,0,0,0,0,0.00,0.00,0.00,704.49,0.00,0.00,0.00,0.00,0.00,0.00,218.06,0.00,3260.57,0.00,0.00,0.00,0.00,0.00,0.00,4183.12,0.00,0.00 1000272043,"1851435598","010","Physicians","COBB DAMON","477144079","815","Indiana"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1919.26,0.00,0.00,0.00,0.00,0.00,0.00,1919.26,0.00,0.00 1000177873,"1487804282","024","Speech Therapists","WITGES ANN","624671234","033","Effingham"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,187,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,187,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11957.23,11957.23,0.00,0.00 1000446496," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,333,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,333,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12584.52,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12584.52,0.00,0.00 1000294311," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,28171.63,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,28171.63,0.00,0.00 1000168146,"1225093453","064","Imaging Services","MIDWEST OPEN MRI","605614283","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,71,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,106,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,106,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,716.75,0.00,0.00,0.00,0.00,0.00,0.00,716.75,2.00,0.00 1000165332," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,354.36,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,354.36,0.00,0.00 1000257422,"1891746954","010","Physicians","LOPATKA JULIE","601265634","030","DuPage"," ","","0","1","Pediatrics",321,0,0,194,0,0,0,0,0,0,69,0,351,0,0,0,0,0,0,3112,0,0,272,0,0,0,0,0,0,72,0,465,0,0,0,0,0,0,3112,0,0,272,0,0,0,0,0,0,72,0,465,0,0,0,0,0,0,6226.00,0.00,0.00,18943.71,0.00,0.00,0.00,0.00,0.00,0.00,517.32,0.00,20448.46,0.00,0.00,0.00,0.00,0.00,0.00,46135.49,0.00,0.00 1000440460,"1396898466","025","Audiologists","NELSON BROOM STEPHANIE","620561914","076","Montgomery"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3014.76,3014.76,0.00,0.00 1000220533," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1833.25,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1833.25,0.00,0.00 1000199203,"1003867581","013","Podiatrists","SIMEONE LEE","606751253","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,103,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,297,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,297,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10655.58,0.00,0.00,0.00,0.00,0.00,0.00,10655.58,0.00,0.00 1000136559," ","016","Nurse Practitioners",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,80.00,0.00,0.00,0.00,0.00,0.00,0.00,80.00,0.00,0.00 1000267883," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14628.26,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14628.26,0.00,0.00 1000260440,"1982885794","010","Physicians","GOVINDARAJAN GEETHA","600352433","057","Lake"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,1,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,49,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,49,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,69.00,0.00,0.00,1771.95,0.00,0.00,0.00,0.00,0.00,0.00,1840.95,0.00,0.00 1000336298," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,134,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,134,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14519.92,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14519.92,0.00,0.00 1000364133,"1194726513","010","Physicians","BLOUNT JENNIFER","601374464","030","DuPage"," ","","0","1","Pediatrics",119,0,0,96,0,0,0,0,0,0,93,0,275,0,0,0,0,0,0,1175,0,0,266,0,0,0,0,0,0,115,0,495,0,0,0,0,0,0,1175,0,0,266,0,0,0,0,0,0,115,0,495,0,0,0,0,0,0,2356.00,0.00,0.00,7545.06,0.00,0.00,0.00,0.00,0.00,0.00,902.56,0.00,14321.91,0.00,0.00,0.00,0.00,0.00,0.00,25125.53,0.00,0.00 1000184113," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6678.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6678.44,0.00,0.00 1000257218,"1275511305","010","Physicians","MCCAW MAXHN","612737796","045","Henry"," ","","0","1","Family Practice",132,0,0,27,0,0,0,0,0,0,1,0,106,0,0,0,0,0,0,1101,0,0,57,0,0,0,0,0,0,1,0,330,0,0,0,0,0,0,1101,0,0,57,0,0,0,0,0,0,1,0,330,0,0,0,0,0,0,2530.00,0.00,0.00,3336.50,0.00,0.00,0.00,0.00,0.00,0.00,4.00,0.00,12089.61,0.00,0.00,0.00,0.00,0.00,0.00,17960.11,0.00,0.00 1000026361," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3472.38,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3472.38,0.00,0.00 1000447638,"1467684365","010","Physicians","MEHTA ARPITA","606081732","200","Cook"," ","","0","0","Otorhinolaryngology",0,0,0,0,0,0,0,0,0,1,0,0,144,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,222,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,222,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,140.95,0.00,0.00,13272.10,0.00,0.00,0.00,0.00,0.00,0.00,13413.05,11.00,0.00 1000001544,"1356575740","012","Optometrists","ALLMOND CONSTANCE","617055014","072","McLean"," ","","0","0","Diagnostic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,290,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,575,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,575,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14600.25,0.00,0.00,0.00,0.00,0.00,0.00,14600.25,0.00,0.00 1000011740," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11917.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11917.45,0.00,0.00 1000390357," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,191,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,191,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13204.75,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13204.75,0.00,0.00 1000343945," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1576.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1576.24,0.00,0.00 1000436973,"1457430969","010","Physicians","COLN CHARLES","631102515","826","Missouri"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2414.60,0.00,0.00,0.00,0.00,0.00,0.00,2414.60,0.00,0.00 1000046080,"1093989337","063","Other Providers of Medical Equipment/Supplies (Non-registered)","LINCARE INC","605278432","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,123,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1266,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1266,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,50685.61,0.00,0.00,0.00,0.00,0.00,0.00,50685.61,2.00,0.00 1000448576," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3696.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3696.97,0.00,0.00 1000244208,"1669499950","060","Pharmacies","SAMS WEST INC 10 8197","618221221","019","Champaign"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,757,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20626,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,43840.36,0.00,0.00,0.00,43840.36,0.00,0.00 1000243270," ","016","Nurse Practitioners",""," ","021","Clark"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000442071," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10590.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10590.00,0.00,0.00 1000425839,"1366610321","071","Medicar Provider","BRYAN MANOR","628016730","066","Marion"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,104,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3450,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3450,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23435.95,0.00,0.00,0.00,0.00,0.00,0.00,23435.95,0.00,0.00 1000051178," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,253,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,253,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8435.01,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8435.01,0.00,0.00 1000200345,"1831167337","036","Community mental health provider","MENTAL HLTH CTR CHAMPAIGN CO","618207236","019","Champaign"," ","","0","0","Childrens mental health",244,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,580,0,0,1117,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8878,0,0,1117,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8878,0,0,36466.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,546538.33,0.00,0.00,583005.21,0.00,0.00 1000060701," ","055","Early Intervention Services",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,667.68,0.00,0.00,0.00,0.00,0.00,0.00,667.68,0.00,0.00 1000044204,"1881881712","016","Nurse Practitioners","GLOMBICKI CHERYL","600987530","071","McHenry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,55,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,55,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,164.26,0.00,0.00,0.00,0.00,0.00,0.00,164.26,0.00,0.00 1000432548," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,359.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,359.98,0.00,0.00 1000218657,"1881797090","010","Physicians","TOMASIK THOMAS","601871038","030","DuPage"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,98,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,98,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11191.86,0.00,0.00,0.00,0.00,0.00,0.00,11191.86,0.00,0.00 1000173652," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","036","Franklin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8273.33,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8273.33,0.00,0.00 1000325837," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Clinical Pathology",0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000348105,"1497997183","063","Other Providers of Medical Equipment/Supplies (Non-registered)","SCHOBER CPAP AND SUPPLIES INC","627047003","091","Sangamon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,239,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,239,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10276.04,0.00,0.00,0.00,0.00,0.00,0.00,10276.04,0.00,0.00 1000107113," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","110","Woodford"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12725.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12725.16,0.00,0.00 1000169961,"1982663985","010","Physicians","KOVACH GEORGE","527224199","816","Iowa"," ","","0","0","Hematology",0,0,0,0,0,0,0,0,0,0,1,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,14,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17.22,0.00,484.23,0.00,0.00,0.00,0.00,0.00,0.00,501.45,0.00,0.00 1000120531," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,629.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,629.97,0.00,0.00 1000049567," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,250.35,0.00,0.00,0.00,0.00,0.00,0.00,250.35,0.00,0.00 1000458303,"1548220452","010","Physicians","GILDEN JANICE","600643037","057","Lake"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,185,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,672,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,672,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22678.18,0.00,0.00,0.00,0.00,0.00,0.00,22678.18,0.00,0.00 1000359239," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2543.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2543.98,0.00,0.00 1000196389," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2287.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2287.77,0.00,0.00 1000268760," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,708.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,708.72,0.00,0.00 1000123549,"1487703047","010","Physicians","MEYER RICHARD","601882756","030","DuPage"," ","","0","0","Allergy-Immunization",0,0,0,0,0,0,0,0,0,0,0,0,88,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,718,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,718,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12074.57,0.00,0.00,0.00,0.00,0.00,0.00,12074.57,0.00,0.00 1000243474," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1063.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1063.16,0.00,0.00 1000103361," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","056","Knox"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3754.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3754.00,0.00,0.00 1000246961," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1597.52,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1597.52,0.00,0.00 1000038637," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4825.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4825.76,0.00,0.00 1000050240,"1538153408","010","Physicians","BAUSTIAN LORETTA","623013363","010","Adams"," ","","0","1","Pediatrics",818,0,0,492,0,0,0,0,0,0,0,0,459,0,0,0,0,0,0,6367,0,0,2343,0,0,0,0,0,0,0,0,1120,0,0,0,0,0,0,6367,0,0,2343,0,0,0,0,0,0,0,0,1120,0,0,0,0,0,0,12734.00,0.00,0.00,68261.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,55823.78,0.00,0.00,0.00,0.00,0.00,0.00,136818.98,219.00,0.00 1000106379," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25.50,0.00,0.00 1000114026," ","030","General Hospitals",""," ","810","Florida","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12.30,0.00,0.00,0.00,0.00,0.00,12.30,0.00,0.00 1000414909," ","024","Speech Therapists",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,145.30,145.30,0.00,0.00 1000392641," ","022","Physical Therapists",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,454.07,454.07,0.00,0.00 1000057887,"1467478693","010","Physicians","BENZINGER GEORGE","631101010","826","Missouri"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3414.58,0.00,0.00,0.00,0.00,0.00,0.00,3414.58,1.00,0.00 1000111008,"1760517189","011","Dentists","LESNIKOVSKAYA NATALYA","606324011","200","Cook"," ","","0","0","General Dentistry",0,0,1566,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,11954,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,11954,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0.00,0.00,328386.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4516.20,0.00,0.00,0.00,0.00,332902.87,0.00,0.00 1000465481," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,618.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,618.72,0.00,0.00 1000085722,"1528203882","052","Certified local public health department","MONTGOMERY CO HLTH DEPT","620490185","076","Montgomery"," ","","0","0","",3,955,0,1414,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,3,1448,0,5619,0,0,0,0,0,0,0,0,1993,0,0,0,0,0,0,3,1448,0,5619,0,0,0,0,0,0,0,0,1993,0,0,0,0,0,0,150.00,10829.32,0.00,48405.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13472.68,0.00,0.00,0.00,0.00,0.00,0.00,72857.86,0.00,0.00 1000142330," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,34036.81,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,34036.81,0.00,0.00 1000162049," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,58,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,58,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2889.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2889.56,0.00,0.00 1000057418," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1217.73,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1217.73,0.00,0.00 1000356221,"1962608158","010","Physicians","SAKAMOTO BRIAN","999999999","108","Williamson"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,236,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,351,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,351,0,23,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9060.39,0.00,384.29,0.00,0.00,0.00,0.00,0.00,0.00,9444.68,0.00,0.00 1000451329," ","011","Dentists",""," 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Practice",0,0,0,0,0,0,0,0,0,0,0,0,384,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4215,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4215,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9654.42,0.00,0.00,0.00,0.00,0.00,0.00,9654.42,0.00,0.00 1000023547,"1992749238","010","Physicians","ROLEK MONIKA","600077314","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,144,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,779,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,779,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6006.96,0.00,0.00,0.00,0.00,0.00,0.00,6006.96,0.00,0.00 1000229322," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10882.52,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10882.52,0.00,0.00 1000158562,"1770633976","024","Speech Therapists","JOHNSON SUZANNE","604919671","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,278,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,278,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21973.77,21973.77,0.00,0.00 1000409811," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16700.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16700.15,0.00,0.00 1000017980,"1841270717","010","Physicians","JUN ANDREW","611073879","109","Winnebago"," ","","0","0","Otolaryngology",0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,68,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,68,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000333015,"1154389013","010","Physicians","SLIVNICK BARBARA","606575081","200","Cook"," ","","0","1","Pediatrics",55,0,0,49,0,0,0,0,0,0,39,0,59,0,0,0,0,0,0,442,0,0,164,0,0,0,0,0,0,68,0,92,0,0,0,0,0,0,442,0,0,164,0,0,0,0,0,0,68,0,92,0,0,0,0,0,0,884.00,0.00,0.00,5116.07,0.00,0.00,0.00,0.00,0.00,0.00,294.16,0.00,3443.37,0.00,0.00,0.00,0.00,0.00,0.00,9737.60,0.00,0.00 1000438115," ","016","Nurse Practitioners",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000340988,"1447582796","060","Pharmacies","NEIGHBORHOOD PHARMACY INC","608036307","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,94,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,476,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11987,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7603.50,0.00,0.00,0.00,7603.50,0.00,0.00 1000324287,"1699768416","010","Physicians","FAHRENBACH PAUL","606313713","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,130,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,320,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,320,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11839.79,0.00,0.00,0.00,0.00,0.00,0.00,11839.79,0.00,0.00 1000155136,"1000155136","091","Waiver service provider--Adults (DHS/DDD)","M.H. CENTERS OF CENTRAL IL.","627026324","091","Sangamon"," ","","0","0","",0,0,0,0,0,116,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25940,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25940,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1409578.11,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1409578.11,0.00,0.00 1000085783,"1003856139","010","Physicians","NAWAZ SHAH","600052392","200","Cook"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,125,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,606,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,606,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13094.77,0.00,0.00,0.00,0.00,0.00,0.00,13094.77,0.00,0.00 1000180422,"1851559942","010","Physicians","JANI JAYDEV","617013506","072","McLean"," ","","0","1","Internal Medicine",237,0,0,3,0,0,0,0,0,0,39,0,313,0,0,0,0,0,0,1154,0,0,3,0,0,0,0,0,0,52,0,863,0,0,0,0,0,0,1154,0,0,3,0,0,0,0,0,0,52,0,863,0,0,0,0,0,0,3750.00,0.00,0.00,295.57,0.00,0.00,0.00,0.00,0.00,0.00,290.52,0.00,29017.04,0.00,0.00,0.00,0.00,0.00,0.00,33353.13,0.00,0.00 1000308320," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,117,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,117,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11431.91,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11431.91,0.00,0.00 1000228445,"1760433106","022","Physical Therapists","DORMAN JERZY","600352105","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,320,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,320,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2523.75,2523.75,0.00,0.00 1000441867,"1437164654","060","Pharmacies","WALGREEN CO 1515","611114647","109","Winnebago"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2951,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23302,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,520128,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1272553.69,0.00,0.00,0.00,1272553.69,0.00,0.00 1000293638," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,53,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,53,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1903.13,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1903.13,0.00,0.00 1000384117,"1700884574","024","Speech Therapists","SLOTH JULIE","601026376","071","McHenry"," 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(DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12910.02,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12910.02,0.00,0.00 1000283646,"1578667515","013","Podiatrists","MUSCATELLA MICHAEL","618227673","019","Champaign"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,180,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,949,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,949,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14951.40,0.00,0.00,0.00,0.00,0.00,0.00,14951.40,0.00,0.00 1000455081," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20964.06,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20964.06,0.00,0.00 1000125221,"1861440224","010","Physicians","DONG XINQI","606123862","200","Cook"," ","","0","0","Geriatrics",0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,201,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,201,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1649.38,0.00,0.00,0.00,0.00,0.00,0.00,1649.38,0.00,0.00 1000353937," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2218.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2218.44,0.00,0.00 1000418192," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3238.93,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3238.93,0.00,0.00 1000287602,"1811211899","010","Physicians","MORALES VIDAL SARKIS","601533328","200","Cook"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1962.20,0.00,0.00,0.00,0.00,0.00,0.00,1962.20,0.00,0.00 1000043796," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7236.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7236.60,0.00,0.00 1000314499," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,361.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,361.70,0.00,0.00 1000154198," ","029","ICF/MR",""," ","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,93,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2261,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,256303.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,256303.10,0.00,0.00 1000221736," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,26859.08,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26859.08,0.00,0.00 1000223347,"1114981032","010","Physicians","OLIVER ROBERT","604062426","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,8,0,49,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,116,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,116,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6.28,0.00,497.12,0.00,0.00,0.00,0.00,0.00,0.00,503.40,0.00,0.00 1000241190," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Pathology",0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,82.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,82.20,0.00,0.00 1000407527,"1952329096","010","Physicians","CURRY DAVID","606313707","200","Cook"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,1,453,0,134,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,612,0,269,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,612,0,269,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8.50,8805.01,0.00,8143.89,0.00,0.00,0.00,0.00,0.00,0.00,16957.40,5.00,0.00 1000297798,"1598875841","010","Physicians","QUAID MAUREEN","600681110","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,120,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,395,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,395,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,73398.18,0.00,0.00,0.00,0.00,0.00,0.00,73398.18,5.00,0.00 1000211275,"1083610919","010","Physicians","WEIDEMAN CATHERINE","527222799","816","Iowa"," ","","0","0","Endocrinology",0,0,0,0,0,0,0,0,0,0,4,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,6,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,50.68,0.00,277.53,0.00,0.00,0.00,0.00,0.00,0.00,328.21,0.00,0.00 1000007580," ","030","General Hospitals",""," ","844","Tennessee","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,872.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,872.00,0.00,0.00 1000249571,"1255408704","033","Nursing Facilities","GLENLAKE TERRACE NURSING REHAB","600857708","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,369,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3342,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,84518,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8711332.51,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8711332.51,0.00,0.00 1000266476," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","108","Williamson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,206,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,206,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4909.92,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4909.92,0.00,0.00 1000035415,"1467408146","060","Pharmacies","OSCO DRUG 3487","602023638","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1324,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11877,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,288180,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,572077.95,0.00,0.00,0.00,572077.95,0.00,0.00 1000107582,"1487677597","010","Physicians","LEVY RICHARD","600051528","200","Cook"," ","","0","0","Obstetrics",0,0,0,1,0,0,0,0,0,0,14,0,25,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,42,0,143,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,42,0,143,0,0,0,0,0,0,0.00,0.00,0.00,11.19,0.00,0.00,0.00,0.00,0.00,0.00,2265.43,0.00,11737.06,0.00,0.00,0.00,0.00,0.00,0.00,14013.68,5.00,0.00 1000372779,"1508158429","036","Community mental health provider","MENTAL HEALTH CENTERS OF W IL","623211266","042","Hancock"," 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(DHS/DDD)",""," ","018","Cass"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,103,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,103,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2091.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2091.85,0.00,0.00 1000412625,"1306880877","010","Physicians","LEE ERIC","609152682","054","Kankakee"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,24,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,69,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,69,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1342.70,0.00,2848.98,0.00,0.00,0.00,0.00,0.00,0.00,4191.68,0.00,0.00 1000299878,"1598721847","016","Nurse Practitioners","PATEL BIJAL","601029402","071","McHenry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3588.47,0.00,0.00,0.00,0.00,0.00,0.00,3588.47,0.00,0.00 1000401960,"1508922022","060","Pharmacies","RX EXPRESS PHARMACY 01","618012530","019","Champaign"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3317,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11794,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,200295,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,684177.95,0.00,0.00,0.00,684177.95,0.00,0.00 1000293373,"1447242219","016","Nurse Practitioners","PINTO ANTHONY","629037605","047","Jackson"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,53,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1143.29,0.00,0.00,0.00,0.00,0.00,0.00,1143.29,0.00,0.00 1000446965,"1326204090","091","Waiver service provider--Adults (DHS/DDD)","STUBNAR HOLLY","606474153","200","Cook"," ","","0","0","",0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1123,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1123,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,80913.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,80913.78,0.00,0.00 1000387339," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25527.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25527.56,0.00,0.00 1000346759,"1629208038","012","Optometrists","KRUOCH ZANNA","606164201","200","Cook"," ","","0","0","Diagnostic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,84,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,147,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,147,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3467.34,0.00,0.00,0.00,0.00,0.00,0.00,3467.34,0.00,0.00 1000363929," ","060","Pharmacies",""," ","836","Ohio"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,90,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,66.79,0.00,0.00,0.00,66.79,0.00,0.00 1000381303,"1073601324","010","Physicians","WILLIAMS ALLEN","611145632","109","Winnebago"," ","","0","1","Internal Medicine",46,0,0,0,0,0,0,0,0,0,24,0,87,0,0,0,0,0,0,388,0,0,0,0,0,0,0,0,0,35,0,264,0,0,0,0,0,0,388,0,0,0,0,0,0,0,0,0,35,0,264,0,0,0,0,0,0,1223.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,152.34,0.00,6839.72,0.00,0.00,0.00,0.00,0.00,0.00,8215.06,0.00,0.00 1000066268," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,98,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,98,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8933.30,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8933.30,0.00,0.00 1000259971," ","016","Nurse Practitioners",""," ","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000338847," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","051","Jo Daviess"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13715.63,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13715.63,0.00,0.00 1000127974,"1679798664","055","Early Intervention Services","BOSSE CATHERINE","600254252","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,83,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,205,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,205,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17677.75,0.00,0.00,0.00,0.00,0.00,0.00,17677.75,0.00,0.00 1000010129," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2183.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2183.32,0.00,0.00 1000367824," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","047","Jackson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,449.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,449.98,0.00,0.00 1000133072," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25527.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25527.56,0.00,0.00 1000142799," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2468.63,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2468.63,0.00,0.00 1000441133,"1669412532","010","Physicians","LEUNG YAT","605231956","030","DuPage"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1371,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1707,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1707,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,59667.69,0.00,0.00,0.00,0.00,0.00,0.00,59667.69,0.00,0.00 1000383852," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12490.47,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12490.47,0.00,0.00 1000317252," ","024","Speech Therapists",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,74.00,74.00,0.00,0.00 1000056337,"1467642322","064","Imaging Services","YS DIAGNOSTIC ULTRASOUND INC","600762124","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,385,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1010,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1010,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22777.96,0.00,0.00,0.00,0.00,0.00,0.00,22777.96,0.00,0.00 1000080889,"1447242169","033","Nursing Facilities","OAK GLEN HOME","612444203","089","Rock Island"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,175,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,398,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9990,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,724983.08,0.00,0.00,0.00,0.00,0.00,0.00,0.00,724983.08,0.00,0.00 1000354141,"1689645202","010","Physicians","POTZICK JULIE","605103174","053","Kane"," ","","0","0","Family Practice",0,0,0,1,0,0,0,0,0,0,1,0,21,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,1,0,96,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,1,0,96,0,0,0,0,0,0,0.00,0.00,0.00,32.15,0.00,0.00,0.00,0.00,0.00,0.00,2.18,0.00,215.22,0.00,0.00,0.00,0.00,0.00,0.00,249.55,0.00,0.00 1000410545," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","072","McLean"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,26952.87,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26952.87,0.00,0.00 1000129116," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15734.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15734.53,0.00,0.00 1000396128," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4454.94,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4454.94,0.00,0.00 1000069959,"1831116904","033","Nursing Facilities","COMMUNITY NRSG AND REHAB CTR","605632519","030","DuPage"," ","","0","0","",1,0,0,0,0,0,0,0,0,0,0,159,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,1566,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,37834,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3171006.57,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3171006.57,0.00,0.00 1000190822,"1134140668","010","Physicians","DAVIS ROBERT","605615038","030","DuPage"," ","","0","1","Pediatrics",163,0,0,145,0,0,0,0,0,0,55,0,188,0,0,0,0,0,0,1547,0,0,483,0,0,0,0,0,0,83,0,326,0,0,0,0,0,0,1547,0,0,483,0,0,0,0,0,0,83,0,326,0,0,0,0,0,0,3094.00,0.00,0.00,15642.68,0.00,0.00,0.00,0.00,0.00,0.00,661.62,0.00,13004.17,0.00,0.00,0.00,0.00,0.00,0.00,32402.47,0.00,0.00 1000162314," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,19005.06,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19005.06,0.00,0.00 1000379427," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3369.23,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3369.23,0.00,0.00 1000022405," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1724.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1724.12,0.00,0.00 1000233278,"1801999677","060","Pharmacies","CVS PHARMACY 6832","620024609","065","Madison"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1495,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15727,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,380709,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,781610.79,0.00,0.00,0.00,781610.79,0.00,0.00 1000075995," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8985.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8985.69,0.00,0.00 1000126567," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,158,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,158,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10487.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10487.72,0.00,0.00 1000328855," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2809.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2809.53,0.00,0.00 1000353203," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","010","Adams"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25458.37,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25458.37,0.00,0.00 1000038168," ","091","Waiver service provider--Adults (DHS/DDD)",""," 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1000260175,"1780628677","010","Physicians","JOHNSTON MATTHEW","627810001","091","Sangamon"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1043,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1198,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1198,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,37295.21,0.00,0.00,0.00,0.00,0.00,0.00,37295.21,0.00,0.00 1000128178," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,24833.22,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24833.22,0.00,0.00 1000187335," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","106","Whiteside"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12467.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12467.65,0.00,0.00 1000136763,"1740503960","010","Physicians","ZHANG YONGHUA","611082425","109","Winnebago"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,2,0,81,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,183,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,183,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3.11,0.00,7300.70,0.00,0.00,0.00,0.00,0.00,0.00,7303.81,0.00,0.00 1000311216,"1467685669","036","Community mental health provider","ASIAN HUMAN SERVICES","606604106","200","Cook"," ","","0","0","",17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,145,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,145,0,0,1381.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9240.60,0.00,0.00,10622.55,0.00,0.00 1000161580," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,36019.90,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,36019.90,0.00,0.00 1000176201,"1538262019","060","Pharmacies","CVS PHARMACY 6857","627021206","091","Sangamon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,146,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,628,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15562,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26152.03,0.00,0.00,0.00,26152.03,0.00,0.00 1000319332,"1205823325","010","Physicians","STAUTZ CURTIS","477101781","815","Indiana"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,137,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,289,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,289,0,22,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9048.15,0.00,1463.89,0.00,0.00,0.00,0.00,0.00,0.00,10512.04,2.00,0.00 1000136294,"1639139272","010","Physicians","ZAMBRANO CARLOS","606222990","200","Cook"," ","","0","0","Infectious Diseases",0,0,0,0,0,0,0,0,0,0,0,0,622,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6954,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6954,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,96279.27,0.00,0.00,0.00,0.00,0.00,0.00,96279.27,54.00,0.00 1000045611,"1487655130","010","Physicians","LABANA NEAL","604611099","200","Cook"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,35,0,66,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,60,0,199,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,60,0,199,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,905.70,0.00,8013.87,0.00,0.00,0.00,0.00,0.00,0.00,8919.57,6.00,0.00 1000006846," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8753.26,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8753.26,0.00,0.00 1000251590," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","085","Pulaski"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1136.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1136.19,0.00,0.00 1000147428," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1310.89,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1310.89,0.00,0.00 1000080155,"1275561409","010","Physicians","YAMADA SEIKO","606162477","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,68,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,145,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,145,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13297.73,0.00,0.00,0.00,0.00,0.00,0.00,13297.73,2.00,0.00 1000435097,"1194799742","010","Physicians","HUH SANG YOON","619442060","031","Edgar"," ","","0","0","Oncology",0,0,0,0,0,0,0,0,0,0,0,0,62,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,191,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,191,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6031.82,0.00,0.00,0.00,0.00,0.00,0.00,6031.82,0.00,0.00 1000054869,"1184630428","023","Occupational Therapists","SANCKEN ELLEN","616033133","080","Peoria"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,277,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,277,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14514.63,14514.63,0.00,0.00 1000333953," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,163.11,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,163.11,0.00,0.00 1000010333,"1366555740","010","Physicians","ROSENCRANZ HOLLY","606124325","200","Cook"," ","","0","0","Internal Medicine",127,0,0,0,0,0,0,0,0,0,0,0,264,0,0,0,0,0,0,602,0,0,0,0,0,0,0,0,0,0,0,458,0,0,0,0,0,0,602,0,0,0,0,0,0,0,0,0,0,0,458,0,0,0,0,0,0,1966.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12460.24,0.00,0.00,0.00,0.00,0.00,0.00,14426.24,5.00,0.00 1000119593," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11996.23,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11996.23,0.00,0.00 1000371780,"1295797470","010","Physicians","VENKATESAN T","606023402","200","Cook"," ","","0","0","Otolaryngology",0,0,0,1,0,0,0,0,0,0,87,0,1382,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,146,0,3119,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,146,0,3119,0,0,0,0,0,0,0.00,0.00,0.00,15.20,0.00,0.00,0.00,0.00,0.00,0.00,1350.03,0.00,213648.61,0.00,0.00,0.00,0.00,0.00,0.00,215013.84,3.00,0.00 1000381364,"1194948679","055","Early Intervention Services","PRECIN MICHELLE","600082634","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,136,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,136,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4493.50,0.00,0.00,0.00,0.00,0.00,0.00,4493.50,0.00,0.00 1000414766,"1568482123","010","Physicians","PROPECK TIM","633014405","826","Missouri"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,8,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,377.90,0.00,224.70,0.00,0.00,0.00,0.00,0.00,0.00,602.60,0.00,0.00 1000008987," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22869.21,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22869.21,0.00,0.00 1000191821," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17018.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17018.45,0.00,0.00 1000307790," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17018.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17018.45,0.00,0.00 1000428510," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17018.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17018.45,0.00,0.00 1000152587," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16537.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16537.24,0.00,0.00 1000279486,"1043491475","055","Early Intervention Services","BARNES ERICA","601783158","027","Dekalb"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,99,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,99,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8665.24,0.00,0.00,0.00,0.00,0.00,0.00,8665.24,0.00,0.00 1000104360," 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Medicine",0,0,0,0,0,0,0,0,0,1,0,0,900,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,958,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,958,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,69.25,0.00,0.00,31132.94,0.00,0.00,0.00,0.00,0.00,0.00,31202.19,31.00,0.00 1000317313," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,69.25,0.00,0.00,0.00,0.00,0.00,0.00,69.25,0.00,0.00 1000059090,"1891888426","010","Physicians","CAMPBELL MARY","627949260","091","Sangamon"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,578,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,655,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,655,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16617.69,0.00,0.00,0.00,0.00,0.00,0.00,16617.69,0.00,0.00 1000389684,"1548416597","010","Physicians","DALEY RYAN ANNE","606143363","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2192.33,0.00,0.00,0.00,0.00,0.00,0.00,2192.33,1.00,0.00 1000339785,"1952303653","010","Physicians","FISTER MARK","605064356","053","Kane"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,5,1773,0,173,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,2432,0,232,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,2432,0,232,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,211.72,57530.74,0.00,3723.70,0.00,0.00,0.00,0.00,0.00,0.00,61466.16,37.00,0.00 1000379019,"1790746600","010","Physicians","ROTMENSCH JACOB","606124325","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,231,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,424,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,424,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,31402.24,0.00,0.00,0.00,0.00,0.00,0.00,31402.24,18.00,0.00 1000306852,"1649252420","016","Nurse Practitioners","KARNICK PAULA","600684760","200","Cook"," ","","0","0","",0,0,0,26,0,0,0,0,0,0,0,0,136,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,216,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,216,0,0,0,0,0,0,0.00,0.00,0.00,166.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5821.28,0.00,0.00,0.00,0.00,0.00,0.00,5987.68,0.00,0.00 1000368089,"1922068378","030","General Hospitals","CHILDRENS HOSPITAL OF MICHIGAN","482012119","823","Michigan","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,7,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,887.00,0.00,0.00,0.00,0.00,3361.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4248.20,0.00,0.00 1000390153," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,19201.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19201.10,0.00,0.00 1000159561," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2525.89,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2525.89,0.00,0.00 1000327040," ","092","Waiver service provider--Disability (DHS/DRS)",""," 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provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5264.75,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5264.75,0.00,0.00 1000014085," ","034","State-operated facility (DHS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,116,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,68054.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,68054.16,0.00,0.00 1000349308," ","016","Nurse Practitioners",""," ","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14.25,0.00,0.00,0.00,0.00,0.00,0.00,14.25,1.00,0.00 1000200141,"1538174750","060","Pharmacies","WALGREEN CO","600762152","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2444,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16917,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,399068,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,826686.36,0.00,0.00,0.00,826686.36,0.00,0.00 1000116636,"1780602474","010","Physicians","SELTZER DAVID","631101010","826","Missouri"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,4,0,118,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,127,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,127,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,167.76,0.00,6261.78,0.00,0.00,0.00,0.00,0.00,0.00,6429.54,5.00,0.00 1000103422," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,26009.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26009.70,0.00,0.00 1000289009," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2495.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2495.77,0.00,0.00 1000195512," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","015","Bureau"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13343.18,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13343.18,0.00,0.00 1000252324,"1013914852","070","Ambulance Service Providers","OAKBROOK TERRACE FPD","601814045","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4661.40,0.00,0.00,0.00,0.00,0.00,0.00,4661.40,1.00,0.00 1000034742," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2047.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2047.40,0.00,0.00 1000043592," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20414.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20414.69,0.00,0.00 1000313826,"1063477057","010","Physicians","SCHROEDER KRISTOPHER","535625531","852","Wisconsin"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,950.05,0.00,0.00,0.00,0.00,0.00,0.00,950.05,0.00,0.00 1000411279," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,100,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,100,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6298.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6298.40,0.00,0.00 1000137028,"1487742409","010","Physicians","HUH RICHARD","606123806","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,1,0,0,548,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,1940,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,1940,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,35.05,0.00,0.00,26993.58,0.00,0.00,0.00,0.00,0.00,0.00,27028.63,2.00,0.00 1000238172,"1619976016","013","Podiatrists","DORAN MARY","600622322","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,290,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,679,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,679,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2577.67,0.00,0.00,0.00,0.00,0.00,0.00,2577.67,0.00,0.00 1000317048," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18355.49,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18355.49,0.00,0.00 1000067206," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8823.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8823.88,0.00,0.00 1000442601,"1508857269","010","Physicians","ACHUFUSI ONYEBUCHI","463201931","815","Indiana"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,120,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,270,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,270,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6175.68,0.00,0.00,0.00,0.00,0.00,0.00,6175.68,1.00,0.00 1000430733," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5444.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5444.69,0.00,0.00 1000421475," ","012","Optometrists",""," 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1000426308," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,240,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,240,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16035.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16035.84,0.00,0.00 1000372045,"1003802281","010","Physicians","VISCARRA MERRIE","606123835","200","Cook"," ","","0","0","Physical Medicine/Rehabilitation",0,0,0,0,0,0,0,0,0,0,0,0,403,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1291,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1291,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21534.87,0.00,0.00,0.00,0.00,0.00,0.00,21534.87,3.00,0.00 1000150242," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17851.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17851.77,0.00,0.00 1000364602,"1740296953","010","Physicians","MALONE MARK","605406552","030","DuPage"," ","","0","0","Pulmonary Diseases",0,0,0,0,0,0,0,0,0,1,0,0,132,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,495,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,495,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,348.85,0.00,0.00,12528.26,0.00,0.00,0.00,0.00,0.00,0.00,12877.11,0.00,0.00 1000162579," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","090","Saline"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12303.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12303.88,0.00,0.00 1000050036," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,646.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,646.84,0.00,0.00 1000019183,"1396735379","016","Nurse Practitioners","BRADY MICHELLE","610721513","109","Winnebago"," ","","0","0","",0,0,0,142,0,0,0,0,0,0,0,0,370,0,0,0,0,0,0,0,0,0,406,0,0,0,0,0,0,0,0,936,0,0,0,0,0,0,0,0,0,406,0,0,0,0,0,0,0,0,936,0,0,0,0,0,0,0.00,0.00,0.00,14681.55,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,41365.69,0.00,0.00,0.00,0.00,0.00,0.00,56047.24,0.00,0.00 1000005031,"1548276819","010","Physicians","ATASSI TAMER","604392912","030","DuPage"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,1,0,0,195,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,903,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,903,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,512.25,0.00,0.00,37755.00,0.00,0.00,0.00,0.00,0.00,0.00,38267.25,0.00,0.00 1000271105," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2049.66,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2049.66,0.00,0.00 1000013351,"1073531497","010","Physicians","BERNAL CARLOS","631101010","826","Missouri"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,37,0,102,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,92,0,132,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,92,0,132,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,367.08,0.00,8803.48,0.00,0.00,0.00,0.00,0.00,0.00,9170.56,0.00,0.00 1000437442," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8655.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8655.76,0.00,0.00 1000291966," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000298532,"1902884273","010","Physicians","WINTERS RACHEL","624392067","059","Lawrence"," ","","0","1","Family Practice",87,0,0,23,0,0,0,0,0,0,13,0,148,0,0,0,0,0,0,789,0,0,54,0,0,0,0,0,0,15,0,501,0,0,0,0,0,0,789,0,0,54,0,0,0,0,0,0,15,0,501,0,0,0,0,0,0,1936.00,0.00,0.00,2747.28,0.00,0.00,0.00,0.00,0.00,0.00,128.35,0.00,13142.49,0.00,0.00,0.00,0.00,0.00,0.00,17954.12,0.00,0.00 1000140515,"1023035318","060","Pharmacies","SAMS WEST INC 10 6339","600148017","071","McHenry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,559,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15501,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,28874.68,0.00,0.00,0.00,28874.68,0.00,0.00 1000424432,"1982829321","010","Physicians","MARTINEZ WILLIAM","600485359","057","Lake"," ","","0","1","Family Practice",434,0,0,171,0,0,0,0,0,0,68,0,358,0,0,0,0,0,0,3977,0,0,815,0,0,0,0,0,0,128,0,1172,0,0,0,0,0,0,3977,0,0,815,0,0,0,0,0,0,128,0,1172,0,0,0,0,0,0,9350.00,0.00,0.00,25530.55,0.00,0.00,0.00,0.00,0.00,0.00,462.34,0.00,44617.06,0.00,0.00,0.00,0.00,0.00,0.00,79959.95,0.00,0.00 1000073242,"1649330093","063","Other Providers of Medical Equipment/Supplies (Non-registered)","MEDICAL WORLD H H CARE OSTOMY","600145936","071","McHenry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,27,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,142,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,142,0,3,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3201.55,0.00,118.52,0.00,0.00,0.00,0.00,3320.07,0.00,0.00 1000089005," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6843.13,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6843.13,0.00,0.00 1000258564,"1669576179","010","Physicians","FIELD RICHARD","611076637","109","Winnebago"," ","","0","0","Obstetric-Gynecology",0,0,0,3,0,0,0,0,0,0,152,0,320,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,917,0,1195,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,917,0,1195,0,0,0,0,0,0,0.00,0.00,0.00,197.49,0.00,0.00,0.00,0.00,0.00,0.00,24120.89,0.00,98588.50,0.00,0.00,0.00,0.00,0.00,0.00,122906.88,1.00,0.00 1000207992,"1033107248","033","Nursing Facilities","MT VERNON COUNTRYSIDE MANOR","628645025","049","Jefferson"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,92,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,899,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22054,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1304813.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1304813.67,0.00,0.00 1000219126,"1649319120","063","Other Providers of Medical Equipment/Supplies (Non-registered)","DONETS FOOT AND ANKLE","600903107","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,37,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,108,0,82,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,108,0,82,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1828.00,0.00,4718.10,0.00,0.00,0.00,0.00,6546.10,0.00,0.00 1000252793,"1508823998","010","Physicians","SAMPAT PARAG","604021718","200","Cook"," ","","0","0","General Practice",12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,127.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,127.00,0.00,0.00 1000286868,"1396924114","024","Speech Therapists","KEMNER KRISTIE","623014038","010","Adams"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,55,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,733,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,733,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14634.88,14634.88,0.00,0.00 1000111742," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","088","Richland"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8066.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8066.97,0.00,0.00 1000320535," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13155.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13155.80,0.00,0.00 1000078340,"1013900364","070","Ambulance Service Providers","MEDSTAR AMBULANCE INC","622862102","087","Randolph"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,243,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,743,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,743,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,59619.93,0.00,0.00,0.00,0.00,0.00,0.00,59619.93,0.00,0.00 1000376674," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16796.94,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16796.94,0.00,0.00 1000132134,"1235187063","010","Physicians","HANTOS LIVIA","600894395","057","Lake"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,91,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,91,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,228.15,0.00,0.00,0.00,0.00,0.00,0.00,228.15,0.00,0.00 1000363195,"1184750937","034","State-operated facility (DHS)","UNIT 4363 THREE HOUSE 3C HOWE","604773690","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,597,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,345905.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,345905.40,0.00,0.00 1000084111,"1154322840","010","Physicians","SAINT MARTIN MARISA","605213829","030","DuPage"," ","","0","0","Pathology",0,0,0,0,0,0,0,0,0,0,125,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,156,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,156,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3084.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3084.00,0.00,0.00 1000045876,"1447367800","050","Home Health Agencies - In Home","ADVANTA HOME HEALTH CARE INC","600624115","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,155,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,155,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9507.70,0.00,0.00,0.00,0.00,0.00,0.00,9507.70,0.00,0.00 1000151384,"1538115217","060","Pharmacies","OSCO DRUG 3345","606052401","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,719,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,5933,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,148316,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,252.62,0.00,0.00,295689.38,0.00,0.00,0.00,295942.00,0.00,0.00 1000446231," ","010","Physicians",""," ","816","Iowa"," ","","0","0","Radiology Therapeutic",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26.35,0.00,0.00,0.00,0.00,0.00,0.00,26.35,0.00,0.00 1000365275," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,39446.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,39446.20,0.00,0.00 1000025892,"1043496300","010","Physicians","HOLT BRIAN","631102515","826","Missouri"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3436.68,0.00,0.00,0.00,0.00,0.00,0.00,3436.68,0.00,0.00 1000315172," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1130.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1130.70,0.00,0.00 1000388012,"1336138726","010","Physicians","OLIFF IRA","600761384","200","Cook"," ","","0","0","Hematology",0,0,0,0,0,0,0,0,0,0,8,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,189,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,189,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,143.24,0.00,7266.32,0.00,0.00,0.00,0.00,0.00,0.00,7409.56,0.00,0.00 1000036557," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12305.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12305.79,0.00,0.00 1000046753," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","106","Whiteside"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12098.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12098.67,0.00,0.00 1000072039," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000007315,"1194893578","070","Ambulance Service Providers","LACON SPARLAND EMERGENCY 52","615400052","067","Marshall"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,62,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,177,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,177,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7247.40,0.00,0.00,0.00,0.00,0.00,0.00,7247.40,0.00,0.00 1000242801," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9436.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9436.56,0.00,0.00 1000091758," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6052.49,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6052.49,0.00,0.00 1000077137,"1457329245","010","Physicians","STINE SCOTT","475911340","815","Indiana"," ","","0","0","Family Practice",0,0,0,1,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0.00,0.00,0.00,69.52,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2589.92,0.00,0.00,0.00,0.00,0.00,0.00,2659.44,0.00,0.00 1000051851," ","030","General Hospitals",""," ","852","Wisconsin","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,639.00,0.00,0.00,0.00,0.00,0.00,639.00,0.00,0.00 1000041186," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3481.03,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3481.03,0.00,0.00 1000255077," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,66,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,66,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2322.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2322.15,0.00,0.00 1000300082," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5096.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5096.00,0.00,0.00 1000055338,"1407845720","010","Physicians","PUNWANI MANISHA","627949639","091","Sangamon"," ","","0","0","Child Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,151,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,409,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,409,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12416.67,0.00,0.00,0.00,0.00,0.00,0.00,12416.67,0.00,0.00 1000414705," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","816","Iowa"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17908.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17908.84,0.00,0.00 1000259033," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2789.87,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2789.87,0.00,0.00 1000417254," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11512.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11512.76,0.00,0.00 1000432874," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2989.90,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2989.90,0.00,0.00 1000105298,"1952334062","010","Physicians","LOLY CARLA","600681126","200","Cook"," ","","0","0","Obstetrics",0,0,0,1,0,0,0,0,0,0,23,0,33,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,58,0,58,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,58,0,58,0,0,0,0,0,0,0.00,0.00,0.00,89.75,0.00,0.00,0.00,0.00,0.00,0.00,952.55,0.00,7632.78,0.00,0.00,0.00,0.00,0.00,0.00,8675.08,0.00,0.00 1000099935," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11719.18,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11719.18,0.00,0.00 1000006234,"1003987967","010","Physicians","DIAZ GERALDINE","605277594","030","DuPage"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,152,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,152,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13570.60,0.00,0.00,0.00,0.00,0.00,0.00,13570.60,0.00,0.00 1000111069," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12026.02,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12026.02,0.00,0.00 1000327366," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,904.25,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,904.25,0.00,0.00 1000240782,"1326185976","010","Physicians","DIMANTE JANETA","601344220","053","Kane"," ","","0","0","Obstetric-Gynecology",0,0,0,1,0,0,0,0,0,0,160,0,324,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,1203,0,2976,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,1203,0,2976,0,0,0,0,0,0,0.00,0.00,0.00,85.65,0.00,0.00,0.00,0.00,0.00,0.00,18625.82,0.00,239494.57,0.00,0.00,0.00,0.00,0.00,0.00,258206.04,0.00,0.00 1000288071," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1446.81,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1446.81,0.00,0.00 1000032927," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2856.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2856.41,0.00,0.00 1000125690,"1386759264","010","Physicians","GRAHAM DAVID","627949639","091","Sangamon"," ","","0","1","Family Practice",69,0,0,27,0,0,0,0,0,0,44,0,197,0,0,0,0,0,0,356,0,0,81,0,0,0,0,0,0,56,0,288,0,0,0,0,0,0,356,0,0,81,0,0,0,0,0,0,56,0,288,0,0,0,0,0,0,959.00,0.00,0.00,2254.03,0.00,0.00,0.00,0.00,0.00,0.00,1259.40,0.00,22472.28,0.00,0.00,0.00,0.00,0.00,0.00,26944.71,0.00,0.00 1000334279," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17825.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17825.19,0.00,0.00 1000217107," ","030","General Hospitals",""," ","810","Florida","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,669.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,669.24,0.00,0.00 1000264865," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21891.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21891.85,0.00,0.00 1000179280,"1972590230","063","Other Providers of Medical Equipment/Supplies (Non-registered)","ALDEN LONG GROVE REHAB HLTH","600478346","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,250,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,250,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,60773.78,0.00,0.00,0.00,0.00,0.00,0.00,60773.78,0.00,0.00 1000230056," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,71,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,71,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,26169.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26169.53,0.00,0.00 1000413359," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3750.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3750.00,0.00,0.00 1000400818," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","089","Rock Island"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4244.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4244.00,0.00,0.00 1000092757," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1552.42,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1552.42,0.00,0.00 1000086048," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15213.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15213.35,0.00,0.00 1000213151," ","092","Waiver service provider--Disability (DHS/DRS)",""," 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provider--Disability (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3507.68,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3507.68,0.00,0.00 1000201405,"1891740288","060","Pharmacies","SINGER PHARMACY INC","606344019","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,321,0,0,959,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,692,0,0,7823,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,692,0,0,214713,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,51610.70,0.00,0.00,394859.09,0.00,0.00,0.00,446469.79,0.00,0.00 1000247287,"1679686745","010","Physicians","PAVLOVICH J","629011031","047","Jackson"," ","","0","0","Pediatrics",0,0,0,1,0,0,0,0,0,0,442,0,213,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,475,0,423,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,475,0,423,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5781.23,0.00,17709.28,0.00,0.00,0.00,0.00,0.00,0.00,23490.51,81.00,0.00 1000420068,"1174510978","010","Physicians","RUSSO MARINA","627047437","091","Sangamon"," ","","0","0","Endocrinology",0,0,0,0,0,0,0,0,0,0,9,0,91,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,181,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,181,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,98.96,0.00,7855.30,0.00,0.00,0.00,0.00,0.00,0.00,7954.26,0.00,0.00 1000174855,"1104819697","010","Physicians","KAVANAUGH KENNETH","605482178","027","Dekalb"," ","","0","1","Family Practice",123,0,0,39,0,0,0,0,0,0,16,0,161,0,0,0,0,0,0,989,0,0,61,0,0,0,0,0,0,17,0,355,0,0,0,0,0,0,989,0,0,61,0,0,0,0,0,0,17,0,355,0,0,0,0,0,0,2288.00,0.00,0.00,4521.60,0.00,0.00,0.00,0.00,0.00,0.00,116.07,0.00,17677.14,0.00,0.00,0.00,0.00,0.00,0.00,24602.81,0.00,0.00 1000342599," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,441.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,441.99,0.00,0.00 1000190883,"1730116401","010","Physicians","GADEK LISA","600451688","057","Lake"," ","","0","1","Pediatrics",81,0,0,58,0,0,0,0,0,0,63,0,85,0,0,0,0,0,0,678,0,0,226,0,0,0,0,0,0,177,0,164,0,0,0,0,0,0,678,0,0,226,0,0,0,0,0,0,177,0,164,0,0,0,0,0,0,1356.00,0.00,0.00,5524.61,0.00,0.00,0.00,0.00,0.00,0.00,1215.30,0.00,6971.08,0.00,0.00,0.00,0.00,0.00,0.00,15066.99,0.00,0.00 1000353060," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2034.83,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2034.83,0.00,0.00 1000247960,"1962474809","010","Physicians","SLATER JONATHAN","609361477","035","Ford"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,172,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,185,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,185,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4053.90,0.00,0.00,0.00,0.00,0.00,0.00,4053.90,8.00,0.00 1000003420,"1497732382","016","Nurse Practitioners","FURFARO TERRI","622262970","096","St Clair"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,206,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,419,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,419,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10226.63,0.00,0.00,0.00,0.00,0.00,0.00,10226.63,6.00,0.00 1000370903,"1801088091","055","Early Intervention Services","BEAUGARD LORELLE","604661013","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,33,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,377,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,377,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23681.01,0.00,0.00,0.00,0.00,0.00,0.00,23681.01,0.00,0.00 1000404570,"1609835461","036","Community mental health provider","YOUTH SERVICES BUREAU","613421604","058","La Salle"," ","","0","0","",3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,334.28,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3406.70,0.00,0.00,3740.98,0.00,0.00 1000268821,"1083726319","010","Physicians","SAFARI EHSAN","601901222","030","DuPage"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,2,1111,0,98,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,1585,0,109,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,1585,0,109,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,56.43,31636.05,0.00,3296.12,0.00,0.00,0.00,0.00,0.00,0.00,34988.60,5.00,0.00 1000158888," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5296.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5296.80,0.00,0.00 1000296187,"1174633051","016","Nurse Practitioners","MILLER CHARITY","625262472","063","Macon"," ","","0","0","",0,0,0,1,0,0,0,0,0,0,0,0,197,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,268,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,268,0,0,0,0,0,0,0.00,0.00,0.00,6.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9894.18,0.00,0.00,0.00,0.00,0.00,0.00,9900.58,0.00,0.00 1000207319,"1356435135","030","General Hospitals","ST JOSEPH MEMORIAL HOSPITAL","629663333","047","Jackson","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","1","0","General Hospital - Adult and Child",20,0,0,0,2161,0,0,0,0,175,0,0,0,1893,0,0,0,0,0,41,0,0,0,3770,0,0,0,0,223,0,0,0,2924,0,0,0,0,0,56,0,0,0,3800,0,0,0,0,763,0,0,0,3634,0,0,0,0,0,54.96,0.00,0.00,0.00,418258.21,0.00,0.00,0.00,0.00,299624.52,0.00,0.00,0.00,351582.68,0.00,0.00,0.00,0.00,0.00,1069520.37,59.00,0.00 1000235623,"1215971676","060","Pharmacies","CVS PHARMACY 08734","601941148","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,701,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5387,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,129011,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,238168.35,0.00,0.00,0.00,238168.35,0.00,0.00 1000146082," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2387.26,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2387.26,0.00,0.00 1000462789," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5425.59,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5425.59,0.00,0.00 1000423086," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15806.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15806.85,0.00,0.00 1000192290," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,19297.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19297.56,0.00,0.00 1000250305," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5136.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5136.69,0.00,0.00 1000002747," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5624.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5624.72,0.00,0.00 1000162783,"1215096045","050","Home Health Agencies - In Home","PRECIOUS NURSES HEALTH CARE","618011775","019","Champaign"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,275,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,275,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16868.50,0.00,0.00,0.00,0.00,0.00,0.00,16868.50,0.00,0.00 1000434689," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,34036.81,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,34036.81,0.00,0.00 1000114291," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000160703," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10794.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10794.78,0.00,0.00 1000296452," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5545.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5545.99,0.00,0.00 1000156074," ","030","General Hospitals",""," ","091","Sangamon","DIALYSIS ","Outpatient dialysis centers.","0","0","General Hospital - Adult and Child",0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,155,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10088.25,0.00,0.00,0.00,0.00,0.00,10088.25,0.00,0.00 1000085314,"1659301661","010","Physicians","MCELWEE ANGELA","606576710","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,37,0,171,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,54,0,283,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,54,0,283,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,137.54,0.00,75035.15,0.00,0.00,0.00,0.00,0.00,0.00,75172.69,0.00,0.00 1000449983," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000071366," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","061","Livingston"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17052.13,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17052.13,0.00,0.00 1000428857,"1780633347","012","Optometrists","VATIANOU EVANGELOS","605434523","055","Kendall"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,516,0,430,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,613,0,483,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,613,0,483,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13019.38,0.00,14533.47,0.00,0.00,0.00,0.00,27552.85,0.00,0.00 1000381772,"1255305157","010","Physicians","PEDRERA CARLOS F","606221774","200","Cook"," ","","0","1","Family Practice",425,0,0,45,0,0,0,0,0,0,44,0,394,0,0,0,0,0,0,3632,0,0,80,0,0,0,0,0,0,44,0,1832,0,0,0,0,0,0,3632,0,0,80,0,0,0,0,0,0,44,0,1832,0,0,0,0,0,0,10068.00,0.00,0.00,2291.26,0.00,0.00,0.00,0.00,0.00,0.00,550.08,0.00,51235.66,0.00,0.00,0.00,0.00,0.00,0.00,64145.00,107.00,0.00 1000182237,"1730184003","010","Physicians","BENOIT GENA","528041844","816","Iowa"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,1,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,20,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,87.54,0.00,610.92,0.00,0.00,0.00,0.00,0.00,0.00,698.46,0.00,0.00 1000043123,"1649258294","050","Home Health Agencies - In Home","MACNEAL HOME CARE","604023429","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,155,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1891,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1891,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,115993.94,0.00,0.00,0.00,0.00,0.00,0.00,115993.94,0.00,0.00 1000439787,"1366413726","010","Physicians","TOUSSAINT SANDRA","605233808","030","DuPage"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,781,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,970,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,970,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,45693.53,0.00,0.00,0.00,0.00,0.00,0.00,45693.53,12.00,0.00 1000415174," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,268.37,0.00,0.00,0.00,0.00,0.00,0.00,268.37,0.00,0.00 1000270432," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10598.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10598.67,0.00,0.00 1000158623,"1588755409","010","Physicians","RIAZUDDIN MOHAMMED","604904949","107","Will"," ","","0","0","General Practice",0,0,0,0,0,0,0,0,0,0,0,0,187,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1124,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1124,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1873.36,0.00,0.00,0.00,0.00,0.00,0.00,1873.36,0.00,0.00 1000246757,"1336243815","010","Physicians","EGLAND KRISTI","601203748","053","Kane"," ","","0","1","Pediatric Surgery",30,0,0,1700,0,0,0,0,0,0,82,0,297,0,0,0,0,0,0,146,0,0,3664,0,0,0,0,0,0,94,0,521,0,0,0,0,0,0,146,0,0,3664,0,0,0,0,0,0,94,0,521,0,0,0,0,0,0,294.00,0.00,0.00,138220.48,0.00,0.00,0.00,0.00,0.00,0.00,626.14,0.00,32546.14,0.00,0.00,0.00,0.00,0.00,0.00,171686.76,0.00,0.00 1000227711," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7494.51,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7494.51,0.00,0.00 1000421883," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13208.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13208.16,0.00,0.00 1000350715," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20723.66,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20723.66,0.00,0.00 1000002686,"1639183536","010","Physicians","GOLBY ANGELA","615501426","098","Tazewell"," ","","0","0","Family Practice",0,0,0,27,0,0,0,0,0,0,137,0,495,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,153,0,617,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,153,0,617,0,0,0,0,0,0,0.00,0.00,0.00,2230.54,0.00,0.00,0.00,0.00,0.00,0.00,1451.04,0.00,24355.95,0.00,0.00,0.00,0.00,0.00,0.00,28037.53,0.00,0.00 1000069755,"1558563783","010","Physicians","JARZEMBOWSKI JASON","532264837","852","Wisconsin"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,71,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,71,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1993.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1993.95,0.00,0.00 1000414970,"1134381205","010","Physicians","VASAIWALA SMIT","601533328","200","Cook"," ","","0","0","Cardiology",0,0,0,0,0,0,0,0,0,0,3,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,102,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,102,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,28.58,0.00,3692.30,0.00,0.00,0.00,0.00,0.00,0.00,3720.88,0.00,0.00 1000346290," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","015","Bureau"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1543.28,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1543.28,0.00,0.00 1000098528," ","030","General Hospitals",""," ","803","Arizona","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,181.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,181.00,0.00,0.00 1000121000,"1073539383","010","Physicians","STRASBERG STEVEN","631101036","826","Missouri"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3983.86,0.00,0.00,0.00,0.00,0.00,0.00,3983.86,1.00,0.00 1000208461,"1982633996","060","Pharmacies","DOMINICKS PHARMACY 1044","605581679","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,241,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6279,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24769.79,0.00,0.00,0.00,24769.79,0.00,0.00 1000385463,"1881684231","010","Physicians","MALIK KHALID","606118709","200","Cook"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,2,0,89,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,211,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,211,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24.04,0.00,9209.51,0.00,0.00,0.00,0.00,0.00,0.00,9233.55,0.00,0.00 1000454877," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,43264.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,43264.82,0.00,0.00 1000017307,"1255315867","010","Physicians","LITCHFIELD ROBERT L","604611184","200","Cook"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,575.01,0.00,0.00,0.00,0.00,0.00,0.00,575.01,0.00,0.00 1000169023,"1871695684","010","Physicians","DILLARD TIFFANI","618012500","019","Champaign"," ","","0","0","Obstetric-Gynecology",0,0,0,1,0,0,0,0,0,0,158,0,479,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,300,0,1078,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,300,0,1078,0,0,0,0,0,0,0.00,0.00,0.00,6.40,0.00,0.00,0.00,0.00,0.00,0.00,12767.34,0.00,140399.28,0.00,0.00,0.00,0.00,0.00,0.00,153173.02,0.00,0.00 1000084580,"1821043365","050","Home Health Agencies - In Home","THE METHODIST MED CTR OF ILL","616034315","080","Peoria"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,163,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2903,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2903,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,179296.82,0.00,0.00,0.00,0.00,0.00,0.00,179296.82,0.00,0.00 1000439522," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","072","McLean"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8133.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8133.65,0.00,0.00 1000070897,"1952514341","010","Physicians","SHERWANI KASHIF","610213116","060","Lee"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,820.05,0.00,0.00,0.00,0.00,0.00,0.00,820.05,0.00,0.00 1000362726,"1639284995","010","Physicians","WIPFLER EARL JOHN","616370001","080","Peoria"," ","","0","0","Emergency Medicine",0,0,0,1,0,0,0,0,0,0,0,0,402,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,421,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,421,0,0,0,0,0,0,0.00,0.00,0.00,32.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17600.93,0.00,0.00,0.00,0.00,0.00,0.00,17633.08,0.00,0.00 1000079013,"1629050083","010","Physicians","JAMES THOMAS","601601604","200","Cook"," ","","0","1","Family Practice",588,0,0,96,0,0,0,0,0,0,26,0,311,0,0,0,0,0,0,4714,0,0,233,0,0,0,0,0,0,36,0,625,0,0,0,0,0,0,4714,0,0,233,0,0,0,0,0,0,36,0,625,0,0,0,0,0,0,12211.00,0.00,0.00,8977.65,0.00,0.00,0.00,0.00,0.00,0.00,234.94,0.00,23987.35,0.00,0.00,0.00,0.00,0.00,0.00,45410.94,158.00,0.00 1000193840," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1302.13,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1302.13,0.00,0.00 1000321677,"1184686990","010","Physicians","KUMAR SULEKHA","606143363","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,18,0,287,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,859,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,859,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,923.36,0.00,27860.17,0.00,0.00,0.00,0.00,0.00,0.00,28783.53,5.00,0.00 1000285930,"1306990288","016","Nurse Practitioners","DAVIS PARTHENIA","601181454","053","Kane"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,863.78,0.00,0.00,0.00,0.00,0.00,0.00,863.78,0.00,0.00 1000265538," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,450.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,450.84,0.00,0.00 1000058825,"1104939164","010","Physicians","BELLAMY PEYTON APRIL","604531554","200","Cook"," ","","0","1","Pediatrics",71,0,0,89,0,0,0,0,0,0,3,0,88,0,0,0,0,0,0,620,0,0,438,0,0,0,0,0,0,3,0,256,0,0,0,0,0,0,620,0,0,438,0,0,0,0,0,0,3,0,256,0,0,0,0,0,0,1240.00,0.00,0.00,14207.57,0.00,0.00,0.00,0.00,0.00,0.00,12.00,0.00,12758.82,0.00,0.00,0.00,0.00,0.00,0.00,28218.39,0.00,0.00 1000321881,"1760566954","010","Physicians","DUGAS JEFFREY","606104015","200","Cook"," ","","0","1","Internal Medicine",138,0,0,0,0,0,0,0,0,0,0,0,251,0,0,0,0,0,0,1114,0,0,0,0,0,0,0,0,0,0,0,3124,0,0,0,0,0,0,1114,0,0,0,0,0,0,0,0,0,0,0,3124,0,0,0,0,0,0,4174.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,28365.59,0.00,0.00,0.00,0.00,0.00,0.00,32539.59,6.00,0.00 1000209603,"1528224169","010","Physicians","YIN JENNIFER","605064356","053","Kane"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,1,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,43,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,293.95,0.00,0.00,311.81,0.00,0.00,0.00,0.00,0.00,0.00,605.76,0.00,0.00 1000015900,"1437233632","010","Physicians","BARRIENTOS JOEL","628013056","066","Marion"," ","","0","0","Urological Surgery",0,0,0,0,0,0,0,0,0,0,1,0,120,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,400,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,400,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17646.60,0.00,0.00,0.00,0.00,0.00,0.00,17646.60,0.00,0.00 1000353672," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14581.59,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14581.59,0.00,0.00 1000224224,"1841373230","011","Dentists","BANDURA LARISA","606224618","200","Cook"," ","","0","0","General Dentistry",0,0,7,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0.00,0.00,560.30,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,752.70,0.00,0.00,0.00,0.00,1313.00,0.00,0.00 1000443682,"1851557433","010","Physicians","DELEON MARIA","601542515","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,293,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,407,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,407,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12704.02,0.00,0.00,0.00,0.00,0.00,0.00,12704.02,2.00,0.00 1000122407,"1639279110","010","Physicians","BRESCH JAMES","600681459","200","Cook"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,8,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,82,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,82,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,64.00,0.00,2598.75,0.00,0.00,0.00,0.00,0.00,0.00,2662.75,0.00,0.00 1000000137,"1700891991","060","Pharmacies","BOND DRUG COMPANY OF IL 139","604572229","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5770,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32878,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,658459,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1459307.80,0.00,0.00,0.00,1459307.80,0.00,0.00 1000020794,"1124085600","016","Nurse Practitioners","KROLL SHAWN","614012807","056","Knox"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,861.92,0.00,0.00,0.00,0.00,0.00,0.00,861.92,0.00,0.00 1000381160,"1598894891","010","Physicians","KIM EUGENE","604261610","200","Cook"," ","","0","1","Internal Medicine",203,0,0,15,0,0,0,0,0,0,3,0,175,0,0,0,0,0,0,1468,0,0,5,0,0,0,0,0,0,0,0,333,0,0,0,0,0,0,1468,0,0,5,0,0,0,0,0,0,0,0,333,0,0,0,0,0,0,4943.00,0.00,0.00,287.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7580.92,0.00,0.00,0.00,0.00,0.00,0.00,12810.92,66.00,0.00 1000431936,"1598837999","010","Physicians","DYCOCO GLORIA G","625571605","020","Christian"," ","","0","1","Family Practice",101,0,0,9,0,0,0,0,0,0,25,0,171,0,0,0,0,0,0,723,0,0,11,0,0,0,0,0,0,29,0,409,0,0,0,0,0,0,723,0,0,11,0,0,0,0,0,0,29,0,409,0,0,0,0,0,0,1921.00,0.00,0.00,465.71,0.00,0.00,0.00,0.00,0.00,0.00,182.00,0.00,12050.98,0.00,0.00,0.00,0.00,0.00,0.00,14619.69,0.00,0.00 1000367885," ","030","General Hospitals",""," ","844","Tennessee","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,697.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,697.00,0.00,0.00 1000282769," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,314.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,314.98,0.00,0.00 1000173713," ","016","Nurse Practitioners",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,147.24,0.00,0.00,0.00,0.00,0.00,0.00,147.24,0.00,0.00 1000233665,"1710096482","040","Federally Qualified Health Centers","ALIVIO MEDICAL CENTER","606083837","200","Cook"," ","","0","1","",8140,5511,0,3034,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72464,45182,0,12336,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72464,45182,0,12336,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,176637.00,2791024.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2967661.39,0.00,0.00 1000097651," ","030","General Hospitals",""," ","823","Michigan","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,2,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0.00,0.00,0.00,0.00,248.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,248.00,0.00,0.00 1000146347,"1487813549","010","Physicians","MISTRY PRASHANT","604105619","107","Will"," ","","0","1","Family Practice",57,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,272,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,272,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,691.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,230.05,0.00,0.00,0.00,0.00,0.00,0.00,921.05,0.00,0.00 1000322003," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2206.37,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2206.37,0.00,0.00 1000337032," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2194.33,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2194.33,0.00,0.00 1000435688," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,29808.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29808.19,0.00,0.00 1000184174,"1326024837","010","Physicians","AHAD SAJIDA","627949639","091","Sangamon"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,232,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,232,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,37187.35,0.00,0.00,0.00,0.00,0.00,0.00,37187.35,0.00,0.00 1000355344," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,790.27,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,790.27,0.00,0.00 1000405243," ","090","Waiver service provider--Elderly (DOA)",""," ","058","La Salle"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,213,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,213,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10775.93,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10775.93,0.00,0.00 1000393844,"1811018542","047","Local Education Agencies","LIBERTYVILLE ELEM SCH DIST 70","600481731","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,443,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,443,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8717.23,0.00,8717.23,0.00,0.00 1000242393," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12623.22,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12623.22,0.00,0.00 1000137293,"1003027244","022","Physical Therapists","GOMES JACQUELINE","628962210","036","Franklin"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,117,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1583,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1583,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,120141.26,120141.26,0.00,0.00 1000328773," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,23777.36,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23777.36,0.00,0.00 1000077932,"1689891079","010","Physicians","CLARK EVE","522421009","816","Iowa"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,1,7,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,12,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,12,0,4,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10.75,237.91,0.00,273.80,0.00,0.00,0.00,0.00,0.00,0.00,522.46,0.00,0.00 1000394109,"1053585877","071","Medicar Provider","CHESTER P SUTTON COMM CNTR","619441721","031","Edgar"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,862.18,0.00,0.00,0.00,0.00,0.00,0.00,862.18,0.00,0.00 1000401552," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14498.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14498.96,0.00,0.00 1000030643," 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1000222001,"1174620660","060","Pharmacies","CVS PHARMACY 7800","616111861","098","Tazewell"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,885,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7805,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,187119,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,345148.94,0.00,0.00,0.00,345148.94,0.00,0.00 1000088332,"1063510659","010","Physicians","WAHEED MONA","605064356","053","Kane"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,9,0,33,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,75,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,75,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,183.60,0.00,1109.35,0.00,0.00,0.00,0.00,0.00,0.00,1292.95,0.00,0.00 1000271370," ","011","Dentists",""," ","055","Kendall"," ","","0","0","General Dentistry",0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,60.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,60.60,0.00,0.00 1000396189,"1730133711","010","Physicians","CHAUDRI SALMAN","604532862","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,57,0,94,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,123,0,289,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,123,0,289,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1416.90,0.00,19151.94,0.00,0.00,0.00,0.00,0.00,0.00,20568.84,11.00,0.00 1000044061," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10627.68,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10627.68,0.00,0.00 1000111803," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","072","McLean"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1565.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1565.67,0.00,0.00 1000109723," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10928.81,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10928.81,0.00,0.00 1000162110," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,95,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,95,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3353.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3353.53,0.00,0.00 1000390622," 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MEGHNA","627949678","091","Sangamon"," ","","0","0","Hematology",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,149.85,0.00,0.00,0.00,0.00,0.00,0.00,149.85,0.00,0.00 1000072569," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","017","Carroll"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,30439.28,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,30439.28,0.00,0.00 1000420537,"1962645630","010","Physicians","ROUSSEAU LAYNE","622631534","103","Washington"," ","","0","0","Urology",0,0,0,0,0,0,0,0,0,1,3,0,45,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,4,0,140,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,4,0,140,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,185.35,92.00,0.00,2966.05,0.00,0.00,0.00,0.00,0.00,0.00,3243.40,0.00,0.00 1000027829," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,265,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,265,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13183.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13183.82,0.00,0.00 1000417519,"1780843813","025","Audiologists","DUNCAN SARAH","631041003","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,183,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,416,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,416,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8696.04,8696.04,75.00,0.00 1000001605,"1801063425","010","Physicians","ORESCANIN ANNE","600073361","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,1413,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1655,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1655,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,57063.10,0.00,0.00,0.00,0.00,0.00,0.00,57063.10,18.00,0.00 1000062638,"1023096294","010","Physicians","KABRE NEELIMA","601344200","053","Kane"," ","","0","0","Radiology Therapeutic",0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,443,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,443,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11371.88,0.00,0.00,0.00,0.00,0.00,0.00,11371.88,0.00,0.00 1000250978," ","010","Physicians",""," ","109","Winnebago"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,128.80,0.00,0.00,0.00,0.00,0.00,0.00,128.80,0.00,0.00 1000268352," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","085","Pulaski"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11519.46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11519.46,0.00,0.00 1000249102," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16270.37,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16270.37,0.00,0.00 1000158215," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18358.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18358.24,0.00,0.00 1000239579," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1627.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1627.65,0.00,0.00 1000320127," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2919.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2919.84,0.00,0.00 1000316844," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,29782.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29782.16,0.00,0.00 1000462993," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10219.23,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10219.23,0.00,0.00 1000444416,"1679710057","091","Waiver service provider--Adults (DHS/DDD)","KECSEG ALICE","600621821","200","Cook"," ","","0","0","",0,0,0,0,0,64,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1235,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1235,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,28864.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,28864.86,0.00,0.00 1000294780," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,60.80,0.00,0.00,0.00,0.00,0.00,0.00,60.80,0.00,0.00 1000272981," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5292.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5292.14,0.00,0.00 1000106644," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,176.00,0.00,0.00,0.00,0.00,0.00,0.00,176.00,1.00,0.00 1000156951,"1000156951","071","Medicar Provider","QUEST MEDICAL CARRIERS","604285500","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10590,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10590,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,65694.74,0.00,0.00,0.00,0.00,0.00,0.00,65694.74,0.00,0.00 1000446822," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18328.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18328.39,0.00,0.00 1000128035," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,182,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,182,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12505.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12505.69,0.00,0.00 1000457630,"1356431720","010","Physicians","GOLDBERG RICHARD S","601302529","200","Cook"," ","","0","0","General Psychiatry Residency",0,0,0,0,0,0,0,0,0,0,0,0,648,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7881,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7881,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,265803.40,0.00,0.00,0.00,0.00,0.00,0.00,265803.40,0.00,0.00 1000347228,"1326173618","010","Physicians","HERNANDEZ ESTELLA","606082405","200","Cook"," ","","0","0","Family Practice",0,0,0,17,0,0,0,0,0,0,8,0,71,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,169.00,0.00 1000302223," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3866.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3866.70,0.00,0.00 1000399880,"1184788747","010","Physicians","RAI HAR","681123814","844","Tennessee"," ","","0","0","Pathology",0,0,0,0,0,0,0,0,0,0,66,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,102,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,102,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5333.05,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5333.05,0.00,0.00 1000450452,"1740354455","010","Physicians","RAICHAND SUNIL","605151550","030","DuPage"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,6,0,153,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,338,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,338,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20.07,0.00,12379.27,0.00,0.00,0.00,0.00,0.00,0.00,12399.34,0.00,0.00 1000317721,"1659437325","070","Ambulance Service Providers","WILMINGTON FIRE PROTECTION DIS","604810245","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,190,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,614,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,614,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27005.54,0.00,0.00,0.00,0.00,0.00,0.00,27005.54,0.00,0.00 1000280220,"1942368238","010","Physicians","EBIHARA JOHN","602013664","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,1,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,122,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,122,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2.60,0.00,1703.97,0.00,0.00,0.00,0.00,0.00,0.00,1706.57,0.00,0.00 1000300347," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10157.26,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10157.26,0.00,0.00 1000368558," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1177.37,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1177.37,0.00,0.00 1000153525,"1144348475","023","Occupational Therapists","CALCAGNINO STACY","600464944","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,53,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,124,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,124,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15459.34,15459.34,0.00,0.00 1000005296,"1336167840","060","Pharmacies","WAL MART PHARMACY 10 1401","605400931","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,538,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3030,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,76358,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,149364.45,0.00,0.00,0.00,149364.45,0.00,0.00 1000388073,"1295772614","016","Nurse Practitioners","KESTLER CYNTHIA","600627126","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,123,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,123,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,574.79,0.00,0.00,0.00,0.00,0.00,0.00,574.79,0.00,0.00 1000110131,"1407834906","010","Physicians","TURNER MICHAEL","612656133","089","Rock Island"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,175,0,261,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,316,0,686,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,316,0,686,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5017.52,0.00,36249.93,0.00,0.00,0.00,0.00,0.00,0.00,41267.45,4.00,0.00 1000199672,"1588720999","010","Physicians","VELAGAPUDI ANITA","601901222","030","DuPage"," ","","0","0","Family Practice",0,0,0,5,0,0,0,0,0,0,64,0,140,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,80,0,146,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,80,0,146,0,0,0,0,0,0,0.00,0.00,0.00,125.00,0.00,0.00,0.00,0.00,0.00,0.00,746.18,0.00,5323.93,0.00,0.00,0.00,0.00,0.00,0.00,6195.11,0.00,0.00 1000199876,"1790738615","010","Physicians","RAO SANJAY","606017477","200","Cook"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,71,0,1645,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,97,0,2820,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,97,0,2820,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1477.12,0.00,159342.54,0.00,0.00,0.00,0.00,0.00,0.00,160819.66,3.00,0.00 1000100873,"1619110061","060","Pharmacies","NEW DAY PHARMACY","372111019","844","Tennessee"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,73,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1720,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,488.11,0.00,0.00,0.00,488.11,0.00,0.00 1000171837," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4860.30,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4860.30,0.00,0.00 1000405651,"1730173071","010","Physicians","STANNARD ROBERT","606443040","200","Cook"," ","","0","0","Family Practice",0,0,0,12,0,0,0,0,0,0,16,0,64,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,101,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,101,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3954.15,0.00,0.00,0.00,0.00,0.00,0.00,3954.15,132.00,0.00 1000385932," ","010","Physicians",""," ","816","Iowa"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,145.24,0.00,0.00,0.00,0.00,0.00,0.00,145.24,0.00,0.00 1000072365,"1992717185","010","Physicians","WELLS JAMES","622303510","023","Clinton"," ","","0","1","Internal Medicine",20,0,0,2,0,0,0,0,0,0,1,0,21,0,0,0,0,0,0,179,0,0,2,0,0,0,0,0,0,1,0,61,0,0,0,0,0,0,179,0,0,2,0,0,0,0,0,0,1,0,61,0,0,0,0,0,0,438.00,0.00,0.00,169.24,0.00,0.00,0.00,0.00,0.00,0.00,2.40,0.00,2640.17,0.00,0.00,0.00,0.00,0.00,0.00,3249.81,0.00,0.00 1000194778," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,965.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,965.78,0.00,0.00 1000143268," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13257.36,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13257.36,0.00,0.00 1000433955," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3909.43,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3909.43,0.00,0.00 1000098263,"1790745883","010","Physicians","YANDOW DONALD R","535625531","852","Wisconsin"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,296.25,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,296.25,0.00,0.00 1000107786,"1316184310","010","Physicians","PANTEA LAYNE","463123049","815","Indiana"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,29,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,29,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1381.65,0.00,0.00,0.00,0.00,0.00,0.00,1381.65,2.00,0.00 1000396597," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","024","Coles"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1296.11,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1296.11,0.00,0.00 1000195981,"1023019742","010","Physicians","NATH SHANTA","605595574","030","DuPage"," ","","0","0","Neonatal-Perinatal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,115,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,157,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,157,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8961.85,0.00,0.00,0.00,0.00,0.00,0.00,8961.85,16.00,0.00 1000261582,"1447221072","010","Physicians","SHINABARGER CURTIS","477101782","815","Indiana"," ","","0","0","Otolaryngology",0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1237.48,0.00,0.00,0.00,0.00,0.00,0.00,1237.48,0.00,0.00 1000189884,"1902912629","011","Dentists","ROBINSON CURTIS","606374007","200","Cook"," ","","0","0","General Dentistry",0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,111,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,111,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,3003.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3003.35,0.00,0.00 1000358770,"1922112184","010","Physicians","CALIMAG DAVID","604511871","107","Will"," ","","0","0","Family Practice",0,0,0,1,0,0,0,0,0,0,5,0,39,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,6,0,99,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,6,0,99,0,0,0,0,0,0,0.00,0.00,0.00,6.40,0.00,0.00,0.00,0.00,0.00,0.00,12.98,0.00,3120.38,0.00,0.00,0.00,0.00,0.00,0.00,3139.76,0.00,0.00 1000030052," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","836","Ohio"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,196.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,196.00,0.00,0.00 1000249510,"1891748273","010","Physicians","HALE DAVID","600073309","200","Cook"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,1,0,108,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,169,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,169,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3.82,0.00,1892.94,0.00,0.00,0.00,0.00,0.00,0.00,1896.76,0.00,0.00 1000379896," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22066.18,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22066.18,0.00,0.00 1000197327,"1962432021","050","Home Health Agencies - In Home","HEALING HANDS HOME CARE INC","606562106","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,74,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,74,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4539.16,0.00,0.00,0.00,0.00,0.00,0.00,4539.16,0.00,0.00 1000052116," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","049","Jefferson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,658.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,658.10,0.00,0.00 1000132603," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15108.31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15108.31,0.00,0.00 1000111273,"1114063047","010","Physicians","SZYMIK KRYSTYNA","606473818","200","Cook"," ","","0","1","Family Practice",890,0,0,490,0,0,0,0,0,0,234,0,557,0,0,0,0,0,0,6490,0,0,942,0,0,0,0,0,0,137,0,726,0,0,0,0,0,0,6490,0,0,942,0,0,0,0,0,0,137,0,726,0,0,0,0,0,0,14468.00,0.00,0.00,32775.16,0.00,0.00,0.00,0.00,0.00,0.00,447.78,0.00,19609.74,0.00,0.00,0.00,0.00,0.00,0.00,67300.68,1541.00,0.00 1000209990," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18270.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18270.10,0.00,0.00 1000361645," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9370.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9370.78,0.00,0.00 1000114821,"1000114821","080","Prepaid health plan--Health maintenance organization","GENESIS HEALTH GROUP","612821899","089","Rock Island"," ","","0","0","",159,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1179,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1179,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,141059.74,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,141059.74,0.00,0.00 1000212478," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","024","Coles"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,361.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,361.70,0.00,0.00 1000180687,"1720286669","024","Speech Therapists","STEINFORT MARGARET","600307807","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,94,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,94,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6872.62,6872.62,0.00,0.00 1000459628," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6206.25,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6206.25,0.00,0.00 1000405304," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20610.94,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20610.94,0.00,0.00 1000129646," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","060","Lee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15775.66,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15775.66,0.00,0.00 1000303018,"1487788311","029","ICF/MR","SOUTHSIDE MANOR","625212672","063","Macon"," ","","0","0","",0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,474,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7967,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,613502.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,613502.88,0.00,0.00 1000418926," ","010","Physicians",""," ","816","Iowa"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,64.40,0.00,0.00,0.00,0.00,0.00,0.00,64.40,0.00,0.00 1000324348,"1073836375","010","Physicians","DHAWAN RICHA","605276686","030","DuPage"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5441.76,0.00,0.00,0.00,0.00,0.00,0.00,5441.76,0.00,0.00 1000412217," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11303.29,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11303.29,0.00,0.00 1000009456,"1962595991","011","Dentists","PATEL NITA","601722007","030","DuPage"," ","","0","0","General Practice",0,0,244,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,1296,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,1296,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0.00,0.00,27348.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12043.20,0.00,0.00,0.00,0.00,39391.30,0.00,0.00 1000318047," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1163.59,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1163.59,0.00,0.00 1000408465," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16081.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16081.32,0.00,0.00 1000257014,"1104809227","010","Physicians","FITZSIMONS RICHARD","604224385","200","Cook"," ","","0","0"," Allergy",0,0,0,2,0,0,0,0,0,0,0,0,148,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,736,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,736,0,0,0,0,0,0,0.00,0.00,0.00,12.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20394.21,0.00,0.00,0.00,0.00,0.00,0.00,20407.01,5.00,0.00 1000053319,"1477694867","010","Physicians","EL KHOURY CHRISTIAN","623014038","010","Adams"," ","","0","0","Hematology",0,0,0,0,0,0,0,0,0,0,0,0,137,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,725,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,725,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25044.18,0.00,0.00,0.00,0.00,0.00,0.00,25044.18,1.00,0.00 1000393497," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11938.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11938.65,0.00,0.00 1000244330,"1497741953","010","Physicians","BASILE DEBORAH","604451824","200","Cook"," ","","0","1","Internal Medicine",176,0,0,0,0,0,0,0,0,1,53,0,253,0,0,0,0,0,0,1663,0,0,0,0,0,0,0,0,4,167,0,574,0,0,0,0,0,0,1663,0,0,0,0,0,0,0,0,4,167,0,574,0,0,0,0,0,0,5268.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,140.20,2264.15,0.00,15549.64,0.00,0.00,0.00,0.00,0.00,0.00,23221.99,7.00,0.00 1000449106," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10103.18,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10103.18,0.00,0.00 1000011128," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,332,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,332,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20566.21,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20566.21,0.00,0.00 1000352183," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11895.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11895.14,0.00,0.00 1000035945,"1114130416","011","Dentists","STORNIOLO SALVATORE","601873977","030","DuPage"," ","","0","0","General Dentistry",0,0,98,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,248,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,248,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,6445.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6445.67,0.00,0.00 1000451043,"1144362567","060","Pharmacies","JOLIET PROFESSIONAL PHCY CORP","604355662","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,212,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6403,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,172228,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,407472.78,0.00,0.00,0.00,407472.78,0.00,0.00 1000302753,"1558387878","010","Physicians","EL MOFTY SAMIR","631101003","826","Missouri"," ","","0","0","Pathology",0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1779.01,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1779.01,0.00,0.00 1000258156,"1790720324","060","Pharmacies","MEDICINE SHOPPE","620024427","065","Madison"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,161,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4252,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7819.72,0.00,0.00,0.00,7819.72,0.00,0.00 1000072100,"1447283833","016","Nurse Practitioners","TALENS AMY","604538200","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,889.22,0.00,0.00,0.00,0.00,0.00,0.00,889.22,0.00,0.00 1000138700,"1881645547","010","Physicians","TROSHYNSKI TODD","532264837","852","Wisconsin"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10287.30,0.00,0.00,0.00,0.00,0.00,0.00,10287.30,0.00,0.00 1000426838," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","036","Franklin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1968.68,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1968.68,0.00,0.00 1000461178," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14138.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14138.45,0.00,0.00 1000225488,"1154341303","010","Physicians","PERRY JONATHAN","600442203","057","Lake"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,1,0,157,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,162,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,162,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7.25,0.00,25616.96,0.00,0.00,0.00,0.00,0.00,0.00,25624.21,2.00,0.00 1000139842," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7.65,0.00,0.00,0.00,0.00,0.00,0.00,7.65,0.00,0.00 1000459302," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","816","Iowa"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,70.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,70.00,0.00,0.00 1000208114,"1000208114","072","Taxicabs and Livery Companies","UNLIMITED CARE TRANSPORTATION","604712224","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,127,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,127,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1053.39,0.00,0.00,0.00,0.00,0.00,0.00,1053.39,0.00,0.00 1000399676,"1033263116","060","Pharmacies","BLESSMAN PHARMACY","615202607","037","Fulton"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1065,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12337,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,282210,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,674799.31,0.00,0.00,0.00,674799.31,0.00,0.00 1000198122," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,192.91,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,192.91,0.00,0.00 1000436565," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8390.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8390.16,0.00,0.00 1000408934," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7595.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7595.78,0.00,0.00 1000196919,"1477708501","016","Nurse Practitioners","NANKIN SUSAN","606033206","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,404,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1362,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1362,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,58796.66,0.00,0.00,0.00,0.00,0.00,0.00,58796.66,0.00,0.00 1000305710,"1477572733","010","Physicians","SU FEITENG","618012334","019","Champaign"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,465,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2040,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2040,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,43762.60,0.00,0.00,0.00,0.00,0.00,0.00,43762.60,0.00,0.00 1000138761,"1619948510","063","Other Providers of Medical Equipment/Supplies (Non-registered)","SLEEP REMEDY ASSOCIATES","600141312","071","McHenry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1172.38,0.00,0.00,0.00,0.00,0.00,0.00,1172.38,0.00,0.00 1000294576," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3906.42,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3906.42,0.00,0.00 1000316232," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8952.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8952.79,0.00,0.00 1000273980," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17279.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17279.70,0.00,0.00 1000155401," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,148,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,148,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4493.08,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4493.08,0.00,0.00 1000172775," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","070","McDonough"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,590.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,590.77,0.00,0.00 1000016226,"1568671691","010","Physicians","AKERE AYOADE","606474940","200","Cook"," ","","0","1","Family Practice",2419,0,0,1517,0,0,0,0,0,0,483,0,2521,0,0,0,0,0,0,15997,0,0,3642,0,0,0,0,0,0,382,0,6552,0,0,0,0,0,0,15997,0,0,3642,0,0,0,0,0,0,382,0,6552,0,0,0,0,0,0,39770.00,0.00,0.00,113072.82,0.00,0.00,0.00,0.00,0.00,0.00,1826.96,0.00,273174.69,0.00,0.00,0.00,0.00,0.00,0.00,427844.47,3369.00,0.00 1000147081,"1770563009","010","Physicians","WAGENER OSVALDO","601604156","200","Cook"," ","","0","0","Nephrology",0,0,0,0,0,0,0,0,0,3,0,0,161,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,2115,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,2115,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,379.40,0.00,0.00,22789.52,0.00,0.00,0.00,0.00,0.00,0.00,23168.92,0.00,0.00 1000364398,"1538227129","011","Dentists","REDDY KOUSALYA R","606573119","200","Cook"," ","","0","0","General Dentistry",0,0,33,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,134,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,134,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0.00,0.00,3993.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,752.70,0.00,0.00,0.00,0.00,4746.54,0.00,0.00 1000067267," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15571.81,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15571.81,0.00,0.00 1000201548," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","036","Franklin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4972.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4972.64,0.00,0.00 1000404774,"1316902919","010","Physicians","GROS WILLIAM H","605252234","200","Cook"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,41,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,41,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,284.47,0.00,0.00,0.00,0.00,0.00,0.00,284.47,0.00,0.00 1000193432,"1215905922","010","Physicians","DUFFY CATHERINE","606143363","200","Cook"," ","","0","0","Pediatric Cardiology",0,0,0,0,0,0,0,0,0,0,0,0,1008,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2764,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2764,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,55050.48,0.00,0.00,0.00,0.00,0.00,0.00,55050.48,50.00,0.00 1000148896," ","024","Speech Therapists",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3150.60,3150.60,0.00,0.00 1000109458,"1720017296","010","Physicians","CROSNOE JANNA REIMANN","637035056","826","Missouri"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,163,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,163,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7590.90,0.00,0.00,0.00,0.00,0.00,0.00,7590.90,0.00,0.00 1000070224," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,249,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,249,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13472.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13472.16,0.00,0.00 1000002217,"1598864555","063","Other Providers of Medical Equipment/Supplies (Non-registered)","MEDICAL PRODUCTS GROUP INC","610211609","060","Lee"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,75,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,462,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,462,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,105044.19,0.00,0.00,0.00,0.00,0.00,0.00,105044.19,0.00,0.00 1000295575," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,711.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,711.35,0.00,0.00 1000164924," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14157.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14157.44,0.00,0.00 1000188069," ","091","Waiver service provider--Adults (DHS/DDD)",""," 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","024","Speech Therapists",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1977.26,1977.26,0.00,0.00 1000256749,"1134193493","010","Physicians","WIELGOLEWSKI JAMES","605406526","030","DuPage"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1451.01,0.00,0.00,0.00,0.00,0.00,0.00,1451.01,0.00,0.00 1000112415,"1922114115","036","Community mental health provider","SINNISSIPPI CENTERS INC","610682310","079","Ogle"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,130,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,130,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4009.32,0.00,0.00,4009.32,0.00,0.00 1000373248," ","010","Physicians",""," ","844","Tennessee"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,153.50,0.00,0.00,0.00,0.00,0.00,0.00,153.50,0.00,0.00 1000393905,"1942292107","010","Physicians","TREVIL JOSETTE","606053528","200","Cook"," ","","0","0","General Practice",0,0,0,0,0,0,0,0,0,0,0,0,158,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,537,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,537,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11185.71,0.00,0.00,0.00,0.00,0.00,0.00,11185.71,3.00,0.00 1000314295," ","030","General Hospitals",""," ","836","Ohio","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,1374.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1374.00,0.00,0.00 1000191352," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,31.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,31.50,0.00,0.00 1000427776,"1053571224","010","Physicians","MEHTA SACHIN","601876078","030","DuPage"," ","","0","0","Physical Medicine/Rehabilitation",0,0,0,0,0,0,0,0,0,1,15,0,124,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,16,0,637,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,16,0,637,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,84.20,88.90,0.00,14623.41,0.00,0.00,0.00,0.00,0.00,0.00,14796.51,0.00,0.00 1000337501,"1295733830","010","Physicians","BOHAN JAMES","626501007","077","Morgan"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,88,0,87,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,154,0,357,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,154,0,357,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1465.33,0.00,2284.82,0.00,0.00,0.00,0.00,0.00,0.00,3750.15,0.00,0.00 1000443274,"1871554097","010","Physicians","FRANK BENJAMIN","600146260","071","McHenry"," ","","0","0","Rheumatology",0,0,0,0,0,0,0,0,0,0,1,0,49,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,206,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,206,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4.00,0.00,7393.01,0.00,0.00,0.00,0.00,0.00,0.00,7397.01,0.00,0.00 1000185989,"1679514335","010","Physicians","BAJO JAMES","614438354","045","Henry"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,68,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,70,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,70,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2148.53,0.00,0.00,0.00,0.00,0.00,0.00,2148.53,1.00,0.00 1000045142,"1000045142","080","Prepaid health plan--Health maintenance organization","TLC PEDIATRICS LTD","622265366","096","St Clair"," ","","0","0","",802,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6597,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6597,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,586040.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,586040.07,0.00,0.00 1000211071,"1376688937","061","Independent Laboratories","LABORATORY CORPORATION AMERICA","606313745","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,1,67,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,495,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,495,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10.36,3358.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3368.48,0.00,0.00 1000259767,"1922100809","023","Occupational Therapists","WHEELER ELIZABETH","628321770","081","Perry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,257,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,257,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18488.54,18488.54,0.00,0.00 1000146755," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9588.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9588.77,0.00,0.00 1000160907,"1598783938","010","Physicians","MANKOWITZ KEITH","628646224","049","Jefferson"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,91,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,156,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,156,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3308.55,0.00,0.00,0.00,0.00,0.00,0.00,3308.55,0.00,0.00 1000249836,"1962481440","010","Physicians","SIMON CHRISTOPHER","605213248","030","DuPage"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,115,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,115,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,85.00,0.00,0.00,0.00,0.00,0.00,0.00,85.00,0.00,0.00 1000189211,"1720038649","010","Physicians","HAWKINS BRIAN","420033813","818","Kentucky"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,152,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,175,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,175,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7280.39,0.00,0.00,0.00,0.00,0.00,0.00,7280.39,0.00,0.00 1000456223,"1912199597","012","Optometrists","WILLIAMS MICHAEL","622491521","065","Madison"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,86,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,162,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,162,0,52,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4699.50,0.00,1463.18,0.00,0.00,0.00,0.00,6162.68,0.00,0.00 1000158358," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4093.31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4093.31,0.00,0.00 1000214028," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","025","Crawford"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10831.23,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10831.23,0.00,0.00 1000184847," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","106","Whiteside"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,106.87,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,106.87,0.00,0.00 1000427919," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6994.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6994.32,0.00,0.00 1000004827,"1164474896","010","Physicians","PAN CYNTHIA","532264837","852","Wisconsin"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2307.41,0.00,0.00,0.00,0.00,0.00,0.00,2307.41,0.00,0.00 1000326775," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12378.09,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12378.09,0.00,0.00 1000052320,"1740279082","010","Physicians","KANDALLU KANNAN","463201931","815","Indiana"," ","","0","0","Radiology Diagnosis",0,0,0,1,0,0,0,0,0,0,1057,0,70,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,1464,0,76,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,1464,0,76,0,0,0,0,0,0,0.00,0.00,0.00,14.35,0.00,0.00,0.00,0.00,0.00,0.00,40705.15,0.00,1575.62,0.00,0.00,0.00,0.00,0.00,0.00,42295.12,76.00,0.00 1000294515," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5937.63,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5937.63,0.00,0.00 1000064861,"1952425258","047","Local Education Agencies","ANTIOCH CC SCHOOL DISTRICT 34","600021459","057","Lake"," ","","0","0","",0,0,0,95,0,0,0,0,0,0,0,0,0,0,0,0,0,114,0,0,0,0,183,0,0,0,0,0,0,0,0,0,0,0,0,0,4095,0,0,0,0,183,0,0,0,0,0,0,0,0,0,0,0,0,0,4095,0,0.00,0.00,0.00,1116.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,65975.29,0.00,67091.41,0.00,0.00 1000388481,"1518103134","016","Nurse Practitioners","MUDDAMALLE HELEN","604464945","107","Will"," ","","0","0","",0,0,0,81,0,0,0,0,0,0,0,0,315,0,0,0,0,0,0,0,0,0,118,0,0,0,0,0,0,0,0,553,0,0,0,0,0,0,0,0,0,118,0,0,0,0,0,0,0,0,553,0,0,0,0,0,0,0.00,0.00,0.00,1334.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14464.27,0.00,0.00,0.00,0.00,0.00,0.00,15798.51,0.00,0.00 1000138639,"1568497691","010","Physicians","GALATANU MIRELA","604532504","200","Cook"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,468.50,0.00,0.00,0.00,0.00,0.00,0.00,468.50,0.00,0.00 1000262520,"1093720633","060","Pharmacies","BASINGER PHARMACY INC","604356622","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1574,0,0,1753,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4963,0,0,29211,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4963,0,0,750284,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,354695.63,0.00,0.00,1255641.13,0.00,0.00,0.00,1610336.76,9.00,0.00 1000350450,"1932215548","033","Nursing Facilities","PRAIRIE CITY REHAB HEALTH CR","614705007","070","McDonough"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,922,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,54302.42,0.00,0.00,0.00,0.00,0.00,0.00,0.00,54302.42,0.00,0.00 1000464808," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,263,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,263,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15072.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15072.20,0.00,0.00 1000173448,"1245419464","055","Early Intervention Services","BRADLEY KIM","604314532","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,174,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,174,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9906.08,0.00,0.00,0.00,0.00,0.00,0.00,9906.08,0.00,0.00 1000083560,"1063407732","010","Physicians","GUNTER TRACY","631102515","826","Missouri"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,139.45,0.00,0.00,0.00,0.00,0.00,0.00,139.45,0.00,0.00 1000309931," ","010","Physicians",""," ","200","Cook"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,74.95,0.00,0.00,0.00,0.00,0.00,0.00,74.95,0.00,0.00 1000283707,"1043282320","010","Physicians","ZARKH OLGA","600893706","057","Lake"," ","","0","0","Internal Medicine",0,0,0,4,0,0,0,0,0,0,61,0,181,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,257,0,5910,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,257,0,5910,0,0,0,0,0,0,0.00,0.00,0.00,56.75,0.00,0.00,0.00,0.00,0.00,0.00,291.92,0.00,10768.90,0.00,0.00,0.00,0.00,0.00,0.00,11117.57,0.00,0.00 1000053115,"1174625206","010","Physicians","SCHULZ PAMELA","605064356","053","Kane"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,4,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,26,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,42.24,0.00,1035.06,0.00,0.00,0.00,0.00,0.00,0.00,1077.30,0.00,0.00 1000173509," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,602.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,602.84,0.00,0.00 1000367069," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","056","Knox"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2069.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2069.88,0.00,0.00 1000065921,"1720002637","016","Nurse Practitioners","BENKO KIMBERLY","616155069","080","Peoria"," ","","0","0","",0,0,0,30,0,0,0,0,0,0,0,0,193,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,277,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,277,0,0,0,0,0,0,0.00,0.00,0.00,230.55,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6755.87,0.00,0.00,0.00,0.00,0.00,0.00,6986.42,0.00,0.00 1000214558,"1598878068","010","Physicians","ROSENBERG MICHAEL","605064356","053","Kane"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,545.88,0.00,0.00,0.00,0.00,0.00,0.00,545.88,0.00,0.00 1000265456,"1730112525","010","Physicians","PERROTT CHARLES","606162477","200","Cook"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,264,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,387,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,387,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,45499.33,0.00,0.00,0.00,0.00,0.00,0.00,45499.33,31.00,0.00 1000419864," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,19944.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19944.82,0.00,0.00 1000454265,"1710969563","060","Pharmacies","ST JOHNS HOME INFUSION","627690002","091","Sangamon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,181,0,0,287,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3399,0,0,2938,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3399,0,0,30575,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,290108.04,0.00,0.00,1142064.50,0.00,0.00,0.00,1432172.54,0.00,0.00 1000008579," ","010","Physicians",""," ","816","Iowa"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,233.45,0.00,0.00,0.00,0.00,0.00,0.00,233.45,0.00,0.00 1000035211," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5994.30,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5994.30,0.00,0.00 1000022731,"1851342810","010","Physicians","BERGER PETER","606575640","200","Cook"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,4542,0,808,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6695,0,1098,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6695,0,1098,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,153051.66,0.00,18059.99,0.00,0.00,0.00,0.00,0.00,0.00,171111.65,498.00,0.00 1000142391,"1245244862","010","Physicians","MCGEE JAMES","617613813","072","McLean"," ","","0","0","Radiation Oncology",0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,113,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,113,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1844.54,0.00,0.00,0.00,0.00,0.00,0.00,1844.54,0.00,0.00 1000401083," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8996.49,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8996.49,0.00,0.00 1000100200,"1548285349","010","Physicians","RAJAN GOVIND","631102515","826","Missouri"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,152,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,152,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15145.95,0.00,0.00,0.00,0.00,0.00,0.00,15145.95,2.00,0.00 1000089596," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13757.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13757.16,0.00,0.00 1000438502,"1912900820","010","Physicians","ROHLF DAVID","528072125","816","Iowa"," ","","0","0","Urology",0,0,0,0,0,0,0,0,0,0,46,0,79,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,91,0,149,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,91,0,149,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,974.80,0.00,12690.45,0.00,0.00,0.00,0.00,0.00,0.00,13665.25,4.00,0.00 1000205769," ","063","Other Providers of Medical Equipment/Supplies (Non-registered)",""," ","809","District of Columbia"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,130.61,0.00,0.00,0.00,0.00,0.00,0.00,130.61,0.00,0.00 1000459098," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","039","Greene"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10135.73,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10135.73,0.00,0.00 1000407180," ","016","Nurse Practitioners",""," ","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,859.60,0.00,0.00,0.00,0.00,0.00,0.00,859.60,0.00,0.00 1000410606," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10440.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10440.16,0.00,0.00 1000238559,"1083685887","030","General Hospitals","GATEWAY REGIONAL MEDICAL CTR","620404701","065","Madison","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","0","0","General Hospital - Adult and Child",17,1233,0,0,6059,0,0,0,0,2539,3,0,47,3060,0,0,0,0,0,32,4297,0,0,9836,0,0,0,0,3169,3,0,47,5558,0,0,0,0,0,51,4987,0,0,9836,0,0,0,0,16599,3,0,47,6961,0,0,0,0,0,3642.99,325042.36,0.00,0.00,1078644.80,0.00,0.00,0.00,0.00,12681531.36,1801.00,0.00,45849.00,1268751.57,0.00,0.00,0.00,0.00,0.00,15405263.08,401.00,24324.30 1000126016," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,45.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,45.95,0.00,0.00 1000236357,"1013035674","034","State-operated facility (DHS)","UNIT 4892 BLDG 813A SHAPIRO","609015018","054","Kankakee"," ","","0","0","",0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,150,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4380,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2142643.48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2142643.48,0.00,0.00 1000021997,"1265513162","012","Optometrists","UNGER ALICE","622941338","065","Madison"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,210,0,156,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,467,0,167,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,467,0,167,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14251.79,0.00,5025.03,0.00,0.00,0.00,0.00,19276.82,0.00,0.00 1000218983," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","011","Alexander"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12585.36,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12585.36,0.00,0.00 1000354936," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","060","Lee"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1440.31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1440.31,0.00,0.00 1000202751,"1811920036","010","Physicians","EZE EMEKA","606431791","200","Cook"," ","","0","0","Internal Medicine",15,0,0,0,0,0,0,0,0,0,4,0,11,0,0,0,0,0,0,53,0,0,0,0,0,0,0,0,0,4,0,11,0,0,0,0,0,0,53,0,0,0,0,0,0,0,0,0,4,0,11,0,0,0,0,0,0,163.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24.83,0.00,594.01,0.00,0.00,0.00,0.00,0.00,0.00,781.84,0.00,0.00 1000081215," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18659.04,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18659.04,0.00,0.00 1000000198," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17018.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17018.45,0.00,0.00 1000284849,"1457358574","010","Physicians","SUAN EVAN","604772872","200","Cook"," ","","0","1","Pediatrics",321,0,0,235,0,0,0,0,0,0,139,0,328,0,0,0,0,0,0,3068,0,0,1169,0,0,0,0,0,0,163,0,1045,0,0,0,0,0,0,3068,0,0,1169,0,0,0,0,0,0,163,0,1045,0,0,0,0,0,0,6136.00,0.00,0.00,27935.14,0.00,0.00,0.00,0.00,0.00,0.00,803.20,0.00,53638.17,0.00,0.00,0.00,0.00,0.00,0.00,88512.51,2.00,0.00 1000172632," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,27594.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27594.70,0.00,0.00 1000297390," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27.17,0.00,0.00,0.00,0.00,0.00,0.00,27.17,0.00,0.00 1000255199," ","010","Physicians",""," ","089","Rock Island"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29.63,0.00,0.00,0.00,0.00,0.00,0.00,29.63,0.00,0.00 1000091146," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1394.93,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1394.93,0.00,0.00 1000403367," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4681.05,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4681.05,0.00,0.00 1000299470,"1255331625","010","Physicians","SUNGA MARCOS","629822467","043","Hardin"," ","","0","0","General Practice",0,0,0,0,0,0,0,0,0,0,1,0,623,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1288,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1288,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23068.13,0.00,0.00,0.00,0.00,0.00,0.00,23068.13,2.00,0.00 1000182767,"1518941780","010","Physicians","SHAROBEEM SAFWAT","600442203","057","Lake"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,193,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,213,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,213,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,31523.43,0.00,0.00,0.00,0.00,0.00,0.00,31523.43,2.00,0.00 1000181686," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15362.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15362.78,0.00,0.00 1000306179,"1083674915","061","Independent Laboratories","GENZYME GENETICS","015811771","822","Massachusetts"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,771,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1404,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1404,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33088.90,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33088.90,146.00,0.00 1000300265," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16313.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16313.70,0.00,0.00 1000232931,"1952458176","010","Physicians","ROYTMAN TIMUR","631101010","826","Missouri"," ","","0","0","Urology",0,0,0,0,0,0,0,0,0,0,3,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,18,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,103.20,0.00,1960.19,0.00,0.00,0.00,0.00,0.00,0.00,2063.39,0.00,0.00 1000291354," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2578.01,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2578.01,0.00,0.00 1000155870," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10110.26,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10110.26,0.00,0.00 1000155197,"1497771711","010","Physicians","PEIPERT JEFFREY","631101010","826","Missouri"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,13,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,42,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,49.32,0.00,1396.88,0.00,0.00,0.00,0.00,0.00,0.00,1446.20,0.00,0.00 1000395577,"1295825586","010","Physicians","HARRIS JEANNE","616144868","080","Peoria"," ","","0","0","Pediatrics",0,0,0,127,0,0,0,0,0,0,66,0,340,0,0,0,0,0,0,0,0,0,289,0,0,0,0,0,0,67,0,388,0,0,0,0,0,0,0,0,0,289,0,0,0,0,0,0,67,0,388,0,0,0,0,0,0,0.00,0.00,0.00,9430.36,0.00,0.00,0.00,0.00,0.00,0.00,675.36,0.00,15748.95,0.00,0.00,0.00,0.00,0.00,0.00,25854.67,0.00,0.00 1000387135,"1124006697","010","Physicians","DEMASK JOHN","604478723","040","Grundy"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,1,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,53,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,53,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26.85,0.00,1531.99,0.00,0.00,0.00,0.00,0.00,0.00,1558.84,0.00,0.00 1000281423,"1285693630","036","Community mental health provider","CATHOLIC SOCIAL SERVICE","618211119","019","Champaign"," ","","0","0","",15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,82,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,340,0,0,82,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,340,0,0,2714.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20526.28,0.00,0.00,23240.82,0.00,0.00 1000224754," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1715.08,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1715.08,0.00,0.00 1000315233,"1619986551","010","Physicians","ABELITA GIL","617016420","072","McLean"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,282,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,989,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,989,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17791.18,0.00,0.00,0.00,0.00,0.00,0.00,17791.18,0.00,0.00 1000262112," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17219.31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17219.31,0.00,0.00 1000331730,"1861475923","010","Physicians","CHECHE STEVE","620628500","065","Madison"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,148,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,142,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,142,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4692.33,0.00,0.00,0.00,0.00,0.00,0.00,4692.33,15.00,0.00 1000140780," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3726.57,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3726.57,0.00,0.00 1000129381,"1639158314","010","Physicians","BAHK JANE","603022510","200","Cook"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,15,0,636,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,1038,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,1038,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,155.98,0.00,27793.98,0.00,0.00,0.00,0.00,0.00,0.00,27949.96,88.00,0.00 1000047222,"1003062175","010","Physicians","AL QAMARI ABBAS","606118709","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,86,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,125,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,125,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11811.13,0.00,0.00,0.00,0.00,0.00,0.00,11811.13,3.00,0.00 1000039697," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","092","Schuyler"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1006.81,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1006.81,0.00,0.00 1000342395,"1891823142","011","Dentists","SURESH HULIYAR R","606283909","200","Cook"," ","","0","0","General Dentistry",0,0,874,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,3864,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,3864,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0.00,0.00,98914.75,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10537.80,0.00,0.00,0.00,0.00,109452.55,0.00,0.00 1000039371," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","078","Moultrie"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2733.81,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2733.81,0.00,0.00 1000150303,"1578595633","010","Physicians","BARCELONA SANDRA","606143363","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,4,0,287,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,332,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,332,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,60.10,0.00,50886.38,0.00,0.00,0.00,0.00,0.00,0.00,50946.48,13.00,0.00 1000021059," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2478.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2478.76,0.00,0.00 1000133806," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1290.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1290.67,0.00,0.00 1000045672,"1427051937","010","Physicians","PHILLIPS PAUL","478024559","815","Indiana"," ","","0","0","Child Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,389,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2737,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2737,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,80799.06,0.00,0.00,0.00,0.00,0.00,0.00,80799.06,0.00,0.00 1000182706,"1063621035","055","Early Intervention Services","RACUTT KARRIE","604355271","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,126,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,126,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6075.36,0.00,0.00,0.00,0.00,0.00,0.00,6075.36,0.00,0.00 1000372575,"1497976583","034","State-operated facility (DHS)","UNIT 0446 HOME 46 LUDEMAN","604661200","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,119,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3545,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1668964.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1668964.10,0.00,0.00 1000141983," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","099","Union"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3956.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3956.50,0.00,0.00 1000095306," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15213.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15213.35,0.00,0.00 1000127831," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","068","Mason"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1614.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1614.97,0.00,0.00 1000403428," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,88,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,88,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2861.94,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2861.94,0.00,0.00 1000079339,"1154313906","010","Physicians","MATHEU JAMES","601901222","030","DuPage"," ","","0","0","Family Practice",0,0,0,3,0,0,0,0,0,0,56,0,201,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,64,0,208,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,64,0,208,0,0,0,0,0,0,0.00,0.00,0.00,75.00,0.00,0.00,0.00,0.00,0.00,0.00,682.41,0.00,12588.33,0.00,0.00,0.00,0.00,0.00,0.00,13345.74,0.00,0.00 1000412421," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","077","Morgan"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,46,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,46,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7012.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7012.40,0.00,0.00 1000094837," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1504.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1504.86,0.00,0.00 1000273185,"1000273185","073","Other Transportation Providers ( Non-Registered)","STRADER TAMMY","624681351","026","Cumberland"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,90,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,90,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,993.60,0.00,0.00,0.00,0.00,0.00,0.00,993.60,0.00,0.00 1000037087,"1306977699","060","Pharmacies","HOPEDALE PHARMACY","617477525","098","Tazewell"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,338,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3439,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,85496,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,149310.14,0.00,0.00,0.00,149310.14,0.00,0.00 1000455815," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8428.08,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8428.08,0.00,0.00 1000099466,"1619163854","030","General Hospitals","COMMUNITY HOSPITAL NORTH","462561695","815","Indiana","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,1661.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1661.00,0.00,0.00 1000355079," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8988.30,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8988.30,0.00,0.00 1000134540,"1780753269","033","Nursing Facilities","MAYFIELD CARE CENTER INC","606442845","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,208,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1929,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44399,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4381369.08,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4381369.08,0.00,0.00 1000059763,"1851470652","010","Physicians","GOVINDA NIRMALA","605063814","053","Kane"," ","","0","0","Family Practice",0,0,0,6,0,0,0,0,0,0,0,0,75,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,79,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,79,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2181.40,0.00,0.00,0.00,0.00,0.00,0.00,2181.40,0.00,0.00 1000358097," ","090","Waiver service provider--Elderly (DOA)",""," ","058","La Salle"," ","","0","0","",0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,387,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,387,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,31719.62,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,31719.62,0.00,0.00 1000178077," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","049","Jefferson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5495.34,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5495.34,0.00,0.00 1000071631," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","823","Michigan"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1316.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1316.32,0.00,0.00 1000027564,"1000027564","080","Prepaid health plan--Health maintenance organization","MARCOWITZ DAVID","612656867","089","Rock Island"," ","","0","0","",300,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1716,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1716,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,264125.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,264125.53,0.00,0.00 1000152791," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,674.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,674.97,0.00,0.00 1000036149,"1437154507","010","Physicians","CARROLL J F KELLY","612822904","089","Rock Island"," ","","0","1","Family Practice",38,0,0,47,0,0,0,0,0,0,175,0,66,0,0,0,0,0,0,370,0,0,147,0,0,0,0,0,0,323,0,234,0,0,0,0,0,0,370,0,0,147,0,0,0,0,0,0,323,0,234,0,0,0,0,0,0,895.00,0.00,0.00,2156.87,0.00,0.00,0.00,0.00,0.00,0.00,2496.51,0.00,4668.04,0.00,0.00,0.00,0.00,0.00,0.00,10216.42,29.00,0.00 1000250509,"1942200027","010","Physicians","MOON ERIC","605231956","030","DuPage"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,671,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,623,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,623,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24790.71,0.00,0.00,0.00,0.00,0.00,0.00,24790.71,109.00,0.00 1000150915,"1194986349","010","Physicians","SHAH MEETA","606123833","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,2307,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2524,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2524,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,89278.57,0.00,0.00,0.00,0.00,0.00,0.00,89278.57,179.00,0.00 1000364806," ","016","Nurse Practitioners",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25.65,0.00,0.00,0.00,0.00,0.00,0.00,25.65,0.00,0.00 1000445089,"1000445089","071","Medicar Provider","MCLEANSBORO REHAB HLTH CARE","628591012","041","Hamilton"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,94,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,94,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1367.71,0.00,0.00,0.00,0.00,0.00,0.00,1367.71,0.00,0.00 1000408669,"1000408669","091","Waiver service provider--Adults (DHS/DDD)","ORCHARD VILLAGE","600772628","200","Cook"," ","","0","0","",0,0,0,0,0,114,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,37216,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,37216,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3417820.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3417820.78,0.00,0.00 1000375736," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","062","Logan"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,296,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,296,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7803.46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7803.46,0.00,0.00 1000285726,"1740342294","010","Physicians","MULLIKEN ROBERT","605276686","030","DuPage"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,41,0,1271,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,1355,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,1355,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1270.33,0.00,52571.88,0.00,0.00,0.00,0.00,0.00,0.00,53842.21,102.00,0.00 1000320800,"1073565982","010","Physicians","DANDREA LYNN","532264837","852","Wisconsin"," ","","0","0","Pediatric Pulmonary",0,0,0,0,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,77,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,77,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6526.54,0.00,0.00,0.00,0.00,0.00,0.00,6526.54,0.00,0.00 1000136090,"1366616872","010","Physicians","ADUANA GLEN","606174225","200","Cook"," ","","0","0","Family Practice",0,0,0,5,0,0,0,0,0,0,4,0,22,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0.00,0.00,0.00,6.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19.20,0.00,0.00,0.00,0.00,0.00,0.00,25.60,44.00,0.00 1000177465," ","023","Occupational Therapists",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,88,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6370.93,6370.93,0.00,0.00 1000003542,"1124052592","010","Physicians","CHENG PAUL","615544969","098","Tazewell"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,0,0,681,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1044,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1044,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12865.74,0.00,0.00,0.00,0.00,0.00,0.00,12865.74,0.00,0.00 1000024138," ","016","Nurse Practitioners",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,91.20,0.00,0.00,0.00,0.00,0.00,0.00,91.20,0.00,0.00 1000231993," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2677.37,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2677.37,0.00,0.00 1000161702," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,33731.27,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33731.27,0.00,0.00 1000238702,"1780846485","011","Dentists","MILOS MICHAEL","601533328","200","Cook"," ","","0","0","General Dentistry",0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,1440.34,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1440.34,0.00,0.00 1000206095,"1457441537","010","Physicians","DRYNAN KRISTIN","610811252","106","Whiteside"," ","","0","0","Family Practice",0,0,0,1,0,0,0,0,0,0,1,0,13,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,1,0,20,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,1,0,20,0,0,0,0,0,0,0.00,0.00,0.00,208.56,0.00,0.00,0.00,0.00,0.00,0.00,41.90,0.00,624.37,0.00,0.00,0.00,0.00,0.00,0.00,874.83,0.00,0.00 1000195838," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18776.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18776.19,0.00,0.00 1000023200," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17863.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17863.54,0.00,0.00 1000136477," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","061","Livingston"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,776.21,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,776.21,0.00,0.00 1000394578,"1114982154","010","Physicians","NAYAK P D L","624012258","033","Effingham"," ","","0","0","Urological Surgery",0,0,0,0,0,0,0,0,0,0,240,0,423,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,654,0,1039,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,654,0,1039,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2765.67,0.00,45890.26,0.00,0.00,0.00,0.00,0.00,0.00,48655.93,0.00,0.00 1000111395," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,871.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,871.86,0.00,0.00 1000240109," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,24437.83,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24437.83,0.00,0.00 1000128708," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","020","Christian"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2827.31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2827.31,0.00,0.00 1000357750,"1649244781","010","Physicians","BANURU SRIDHAR","424202715","818","Kentucky"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,0,0,158,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,277,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,277,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7724.78,0.00,0.00,0.00,0.00,0.00,0.00,7724.78,0.00,0.00 1000311277,"1164433884","030","General Hospitals","GREAT RIVER MEDICAL CENTER","526551679","816","Iowa","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","0","0","General Hospital - Adult and Child",0,0,0,0,0,0,0,0,0,0,43,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,181,0,0,65,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,181,0,0,65,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1577.00,0.00,0.00,2103.97,0.00,0.00,0.00,0.00,0.00,3680.97,0.00,0.00 1000183501,"1538378617","010","Physicians","HAMMOUD IHAB","618203909","019","Champaign"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,14,0,108,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,209,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,209,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,301.81,0.00,16696.09,0.00,0.00,0.00,0.00,0.00,0.00,16997.90,0.00,0.00 1000215965,"1902924590","055","Early Intervention Services","FITZGERALD THERESA","610649304","079","Ogle"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,924,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,924,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,61597.12,0.00,0.00,0.00,0.00,0.00,0.00,61597.12,0.00,0.00 1000378203,"1699774158","010","Physicians","ULOZAS ERLANDAS","619389388","024","Coles"," ","","0","0","Nephrology",0,0,0,0,0,0,0,0,0,1,0,0,140,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,665,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,665,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,360.70,0.00,0.00,11669.92,0.00,0.00,0.00,0.00,0.00,0.00,12030.62,0.00,0.00 1000420659," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","085","Pulaski"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5455.02,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5455.02,0.00,0.00 1000271900,"1356360788","012","Optometrists","ANTHONY PAUL","627026319","091","Sangamon"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1114.20,0.00,0.00,0.00,0.00,0.00,0.00,1114.20,0.00,0.00 1000135947,"1629167705","010","Physicians","JESSER HAROLD","600681143","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,70,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,73,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,73,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6215.16,0.00,0.00,0.00,0.00,0.00,0.00,6215.16,0.00,0.00 1000225549," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,578.73,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,578.73,0.00,0.00 1000222735," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20625.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20625.00,0.00,0.00 1000013534,"1972766772","010","Physicians","OGUNLEYE FOLUSO","612651231","089","Rock Island"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,2,0,112,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,372,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,372,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11646.15,0.00,0.00,0.00,0.00,0.00,0.00,11646.15,2.00,0.00 1000057132," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,23345.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23345.72,0.00,0.00 1000392029," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","049","Jefferson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10347.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10347.96,0.00,0.00 1000382506,"1407969645","010","Physicians","LARSON BETH","601877813","030","DuPage"," ","","0","1","Family Practice",19,0,0,7,0,0,0,0,0,0,8,0,25,0,0,0,0,0,0,144,0,0,27,0,0,0,0,0,0,24,0,135,0,0,0,0,0,0,144,0,0,27,0,0,0,0,0,0,24,0,135,0,0,0,0,0,0,353.00,0.00,0.00,1057.60,0.00,0.00,0.00,0.00,0.00,0.00,106.58,0.00,1686.12,0.00,0.00,0.00,0.00,0.00,0.00,3203.30,0.00,0.00 1000337766,"1225071442","033","Nursing Facilities","CISNE REHAB AND HEALTH CENTER","628230370","104","Wayne"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,324,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7577,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,461099.42,0.00,0.00,0.00,0.00,0.00,0.00,0.00,461099.42,0.00,0.00 1000133398,"1063427201","060","Pharmacies","BOND DRUG COMPANY OF IL 05469","600504003","071","McHenry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,4763,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,35353,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,704579,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2.40,0.00,0.00,1861723.58,0.00,0.00,0.00,1861725.98,0.00,0.00 1000394374," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,34825.23,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,34825.23,0.00,0.00 1000242454,"1982662060","010","Physicians","SMITH GREGORY","618323876","100","Vermilion"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,286,0,60,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,321,0,69,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,321,0,69,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3693.54,0.00,1507.01,0.00,0.00,0.00,0.00,0.00,0.00,5200.55,0.00,0.00 1000007172," ","073","Other Transportation Providers ( Non-Registered)",""," ","041","Hamilton"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,209,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,209,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1755.60,0.00,0.00,0.00,0.00,0.00,0.00,1755.60,0.00,0.00 1000151241," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22822.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22822.56,0.00,0.00 1000042042,"1891780946","033","Nursing Facilities","PROVENA GENEVA CARE CENTER","601342438","053","Kane"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,88,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,758,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19100,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1486218.06,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1486218.06,0.00,0.00 1000169614,"1235173675","010","Physicians","DAVILA VICTOR","631101076","826","Missouri"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,33,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,33,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,937.64,0.00,0.00,0.00,0.00,0.00,0.00,937.64,0.00,0.00 1000258217," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8928.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8928.15,0.00,0.00 1000354467,"1578599056","010","Physicians","SHERBAHN LINDA","602011718","200","Cook"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,1,463,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,756,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,756,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23.45,9644.89,0.00,39.85,0.00,0.00,0.00,0.00,0.00,0.00,9708.19,5.00,0.00 1000297594,"1427369883","011","Dentists","AGARWAL NIDHI","606093013","200","Cook"," ","","0","0","General Dentistry",0,0,1572,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9915,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9915,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,238512.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,238512.77,0.00,0.00 1000212947,"1144280769","010","Physicians","VAJARIA JAYSHREE","601374402","030","DuPage"," ","","0","1","Pediatrics",75,0,0,73,0,0,0,0,0,0,60,0,108,0,0,0,0,0,0,749,0,0,187,0,0,0,0,0,0,68,0,133,0,0,0,0,0,0,749,0,0,187,0,0,0,0,0,0,68,0,133,0,0,0,0,0,0,1498.00,0.00,0.00,5538.94,0.00,0.00,0.00,0.00,0.00,0.00,646.62,0.00,4808.58,0.00,0.00,0.00,0.00,0.00,0.00,12492.14,0.00,0.00 1000169084,"1568419570","010","Physicians","SHAH BHARAT K","606253543","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,341,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2479,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2479,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,47252.63,0.00,0.00,0.00,0.00,0.00,0.00,47252.63,0.00,0.00 1000079400,"1992721518","063","Other Providers of Medical Equipment/Supplies (Non-registered)","FIRST CHOICE MEDICAL EQUIP INC","616031548","080","Peoria"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,223,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1301,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1301,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,57003.92,0.00,0.00,0.00,0.00,0.00,0.00,57003.92,0.00,0.00 1000135682,"1740256825","010","Physicians","PURIM SHEM TOV YANINA","600681143","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,1,0,0,1071,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,1189,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,1189,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,69.25,0.00,0.00,36080.88,0.00,0.00,0.00,0.00,0.00,0.00,36150.13,26.00,0.00 1000098915,"1528044658","010","Physicians","DARRAN MOXON","601344205","053","Kane"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,0,0,75,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,145,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,145,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8035.71,0.00,0.00,0.00,0.00,0.00,0.00,8035.71,0.00,0.00 1000182359,"1578637245","010","Physicians","ANDOH HENRY","604176302","107","Will"," ","","0","0","Infectious Diseases",0,0,0,0,0,0,0,0,0,0,0,0,127,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,721,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,721,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3957.30,0.00,0.00,0.00,0.00,0.00,0.00,3957.30,0.00,0.00 1000379080," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10669.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10669.44,0.00,0.00 1000458160,"1801878277","011","Dentists","LIN LUH YUAN","600771458","200","Cook"," ","","0","0","General Dentistry",0,0,448,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,1697,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,1697,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0.00,0.00,55110.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,376.35,0.00,0.00,0.00,0.00,55487.32,0.00,0.00 1000116228," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12038.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12038.60,0.00,0.00 1000037209,"1891888665","010","Physicians","ECK MICHAEL","629061668","099","Union"," ","","0","1","Family Practice",54,0,0,10,0,0,0,0,0,0,9,0,349,0,0,0,0,0,0,54,0,0,10,0,0,0,0,0,0,10,0,910,0,0,0,0,0,0,54,0,0,10,0,0,0,0,0,0,10,0,910,0,0,0,0,0,0,146.00,0.00,0.00,278.76,0.00,0.00,0.00,0.00,0.00,0.00,31.56,0.00,21148.37,0.00,0.00,0.00,0.00,0.00,0.00,21604.69,1.00,0.00 1000136824,"1588872758","010","Physicians","SYED REEMA","631102515","826","Missouri"," ","","0","0","Rheumatology",0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,79,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,79,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3176.22,0.00,0.00,0.00,0.00,0.00,0.00,3176.22,10.00,0.00 1000022527,"1821158940","011","Dentists","NAVARRO LARISSA","606082486","200","Cook"," ","","0","0","General Dentistry",0,0,1285,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8214,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8214,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,202578.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,202578.77,0.00,0.00 1000402490," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","047","Jackson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11.25,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11.25,0.00,0.00 1000314560," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12451.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12451.35,0.00,0.00 1000385789,"1851332159","070","Ambulance Service Providers","PARK RIDGE FIRE DEPT","600684182","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,1,0,0,135,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,333,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,333,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,184.97,0.00,0.00,15463.63,0.00,0.00,0.00,0.00,0.00,0.00,15648.60,0.00,0.00 1000028298," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,29793.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29793.41,0.00,0.00 1000118981," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18256.05,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18256.05,0.00,0.00 1000213824," ","030","General Hospitals",""," ","838","Oregon","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,67.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,67.00,0.00,0.00 1000153260,"1760465645","070","Ambulance Service Providers","AIR EVAC EMS INC","477101627","815","Indiana"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,42975.17,0.00,0.00,0.00,0.00,0.00,0.00,42975.17,0.00,0.00 1000453327,"1427036052","010","Physicians","CHARO BAMPEN","604111748","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,204,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,502,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,502,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10235.78,0.00,0.00,0.00,0.00,0.00,0.00,10235.78,61.00,0.00 1000463727,"1265552756","010","Physicians","MITCHELL MARK","604611184","200","Cook"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1543.97,0.00,0.00,0.00,0.00,0.00,0.00,1543.97,0.00,0.00 1000017103," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,19609.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19609.20,0.00,0.00 1000019244," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","099","Union"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1155.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1155.88,0.00,0.00 1000080216,"1396772976","010","Physicians","ANDERSON RICK","616360001","080","Peoria"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,69,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2475.45,0.00,0.00,0.00,0.00,0.00,0.00,2475.45,0.00,0.00 1000295310," ","024","Speech Therapists",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,213.60,213.60,0.00,0.00 1000213885," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13261.73,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13261.73,0.00,0.00 1000180891," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","042","Hancock"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,31296.47,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,31296.47,0.00,0.00 1000136885,"1306861463","016","Nurse Practitioners","KINSELLA KATHERINE","614438354","045","Henry"," ","","0","0","",0,0,0,1,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0.00,0.00,0.00,6.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,751.40,0.00,0.00,0.00,0.00,0.00,0.00,757.80,1.00,0.00 1000376062," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,421.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,421.85,0.00,0.00 1000044734," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,24740.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24740.76,0.00,0.00 1000432201," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5381.62,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5381.62,0.00,0.00 1000063107,"1972526119","010","Physicians","CRAIG SCOTT","611086406","109","Winnebago"," ","","0","0","Physical Medicine/Rehabilitation",0,0,0,0,0,0,0,0,0,0,6,0,108,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,446,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,446,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16.48,0.00,4636.22,0.00,0.00,0.00,0.00,0.00,0.00,4652.70,0.00,0.00 1000057540,"1245281831","010","Physicians","EL KHATIB RUNDA","620255543","065","Madison"," ","","0","1","Family Practice",204,0,0,55,0,0,0,0,0,0,134,0,299,0,0,0,0,0,0,1323,0,0,125,0,0,0,0,0,0,202,0,909,0,0,0,0,0,0,1323,0,0,125,0,0,0,0,0,0,202,0,909,0,0,0,0,0,0,3621.00,0.00,0.00,4230.05,0.00,0.00,0.00,0.00,0.00,0.00,1216.44,0.00,37042.23,0.00,0.00,0.00,0.00,0.00,0.00,46109.72,274.00,0.00 1000275795," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,93,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,93,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3541.20,0.00,0.00,0.00,0.00,0.00,0.00,3541.20,0.00,0.00 1000463931,"1528163664","023","Occupational Therapists","MAYER SHELLY","604671023","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,146,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,146,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11132.18,11132.18,0.00,0.00 1000290620," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21272.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21272.98,0.00,0.00 1000229179,"1982611992","060","Pharmacies","WALGREEN CO 05363","631293556","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,46,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1163,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2270.19,0.00,0.00,0.00,2270.19,0.00,0.00 1000338439,"1669654745","010","Physicians","MERAI G V","604532443","200","Cook"," ","","0","1","Family Practice",16,0,0,0,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,143,0,0,0,0,0,0,0,0,0,0,0,222,0,0,0,0,0,0,143,0,0,0,0,0,0,0,0,0,0,0,222,0,0,0,0,0,0,457.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6217.45,0.00,0.00,0.00,0.00,0.00,0.00,6674.45,0.00,0.00 1000410341,"1568411072","016","Nurse Practitioners","STIEB KATHERINE","622697287","096","St Clair"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,226,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,954,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,954,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1540.90,0.00,0.00,0.00,0.00,0.00,0.00,1540.90,0.00,0.00 1000360911,"1457415424","011","Dentists","KHAN HAMMAD","601062141","030","DuPage"," ","","0","0","General Dentistry",0,0,68,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,363,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,363,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,10756.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10756.85,0.00,0.00 1000148692," ","024","Speech Therapists",""," ","077","Morgan"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,450.16,450.16,0.00,0.00 1000034477,"1629015532","010","Physicians","TALKAD ARUN","616061919","080","Peoria"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,117,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,205,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,205,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3161.84,0.00,0.00,0.00,0.00,0.00,0.00,3161.84,0.00,0.00 1000139169," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,19506.92,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19506.92,0.00,0.00 1000007376,"1437142858","013","Podiatrists","OCARROLL DANIEL","601374386","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,152,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1487,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1487,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,76772.21,0.00,0.00,0.00,0.00,0.00,0.00,76772.21,0.00,0.00 1000453735,"1346210630","033","Nursing Facilities","FRIENDSHIP MANOR OF ST ELMO","624581662","034","Fayette"," ","","0","0","",0,0,0,0,0,0,0,0,1,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,530,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,83,0,0,13415,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5256.18,0.00,0.00,837804.73,0.00,0.00,0.00,0.00,0.00,0.00,0.00,843060.91,0.00,0.00 1000237295," ","010","Physicians",""," ","200","Cook"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000140311," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","017","Carroll"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,596.22,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,596.22,0.00,0.00 1000083030,"1891784005","010","Physicians","LING MARY","605553845","030","DuPage"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,40,0,58,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,80,0,175,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,80,0,175,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2025.27,0.00,11054.77,0.00,0.00,0.00,0.00,0.00,0.00,13080.04,0.00,0.00 1000451655,"1750398764","060","Pharmacies","WALGREENS 345","631254026","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,108,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1785,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2596.00,0.00,0.00,0.00,2596.00,0.00,0.00 1000449249," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7928.61,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7928.61,0.00,0.00 1000416316,"1740486265","011","Dentists","PITHVA AMIT","601392751","030","DuPage"," ","","0","0","General Dentistry",0,0,830,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8146,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8146,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,241729.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,241729.54,0.00,0.00 1000096183,"1568451920","010","Physicians","ZAPATA MARIO","605064356","053","Kane"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,26,0,78,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,74,0,139,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,74,0,139,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,991.31,0.00,21125.83,0.00,0.00,0.00,0.00,0.00,0.00,22117.14,2.00,0.00 1000118920," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24.20,0.00,0.00,0.00,0.00,0.00,0.00,24.20,0.00,0.00 1000142656,"1912087354","010","Physicians","SHINAWI MARWAN","631101002","826","Missouri"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,70,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,87,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,87,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4636.57,0.00,0.00,0.00,0.00,0.00,0.00,4636.57,0.00,0.00 1000235154,"1912116286","036","Community mental health provider","VICTOR C NEUMANN ASSOCIATION","606471068","200","Cook"," ","","0","0","",6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1816,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1816,0,0,333.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,42884.49,0.00,0.00,43217.49,0.00,0.00 1000016899,"1548369317","010","Physicians","LEAHYAUER JOANNE","609144430","054","Kankakee"," ","","0","1","Neonatal-Perinatal Medicine",357,0,0,255,0,0,0,0,0,0,280,0,432,0,0,0,0,0,0,3376,0,0,974,0,0,0,0,0,0,728,0,1754,0,0,0,0,0,0,3376,0,0,974,0,0,0,0,0,0,728,0,1754,0,0,0,0,0,0,6752.00,0.00,0.00,22956.49,0.00,0.00,0.00,0.00,0.00,0.00,7487.26,0.00,62000.25,0.00,0.00,0.00,0.00,0.00,0.00,99196.00,0.00,0.00 1000372718,"1356544472","010","Physicians","JAGER MATTHEW","616370001","080","Peoria"," ","","0","0","Internal Medicine",0,0,0,9,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,136,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,136,0,0,0,0,0,0,0.00,0.00,0.00,289.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2847.69,0.00,0.00,0.00,0.00,0.00,0.00,3137.04,0.00,0.00 1000422678," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18034.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18034.20,0.00,0.00 1000310930,"1407053895","010","Physicians","HARRIS RICHARD","614553313","070","McDonough"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,851,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,958,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,958,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,31413.76,0.00,0.00,0.00,0.00,0.00,0.00,31413.76,0.00,0.00 1000393701," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","103","Washington"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6094.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6094.64,0.00,0.00 1000148957," ","063","Other Providers of Medical Equipment/Supplies (Non-registered)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,571.20,0.00,0.00,0.00,0.00,0.00,0.00,571.20,0.00,0.00 1000036210,"1134336894","024","Speech Therapists","TAYLOR SHAWNISE","604711298","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,674,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,674,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,42208.67,42208.67,0.00,0.00 1000306913,"1760427876","010","Physicians","SARCU M","604355662","107","Will"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,7,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,126,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,126,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,565.98,0.00,0.00,0.00,0.00,0.00,0.00,565.98,0.00,0.00 1000072018,"1841295342","013","Podiatrists","KULEKOWSKIS ANNMARIE","606184715","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,451,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2325,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2325,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,51880.61,0.00,0.00,0.00,0.00,0.00,0.00,51880.61,41.00,0.00 1000384912,"1982651501","010","Physicians","STILLINGS THERESA","606405255","200","Cook"," ","","0","1","Pediatrics",1044,0,0,647,0,0,0,0,0,0,63,0,534,0,0,0,0,0,0,9230,0,0,3064,0,0,0,0,0,0,69,0,982,0,0,0,0,0,0,9230,0,0,3064,0,0,0,0,0,0,69,0,982,0,0,0,0,0,0,18460.00,0.00,0.00,92654.90,0.00,0.00,0.00,0.00,0.00,0.00,274.18,0.00,52251.98,0.00,0.00,0.00,0.00,0.00,0.00,163641.06,12.00,0.00 1000164720,"1740435353","016","Nurse Practitioners","SNELL JESSICA","604417968","107","Will"," ","","0","0","",0,0,0,23,0,0,0,0,0,0,0,0,249,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,439,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,439,0,0,0,0,0,0,0.00,0.00,0.00,151.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11214.06,0.00,0.00,0.00,0.00,0.00,0.00,11366.05,0.00,0.00 1000031642," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20217.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20217.00,0.00,0.00 1000071427,"1992724488","013","Podiatrists","YANOVSKIY ALEXANDER","600773665","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,757,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7435,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7435,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,39882.12,0.00,0.00,0.00,0.00,0.00,0.00,39882.12,0.00,0.00 1000331791," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","010","Adams"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,117,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,117,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11503.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11503.50,0.00,0.00 1000442662,"1972519320","010","Physicians","LISBERG EDWARD","603051815","200","Cook"," ","","0","0","Allergy-Immunization",0,0,0,0,0,0,0,0,0,0,0,0,74,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,118,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,118,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4605.59,0.00,0.00,0.00,0.00,0.00,0.00,4605.59,0.00,0.00 1000444212," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7556.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7556.78,0.00,0.00 1000464930,"1629151782","025","Audiologists","RIESER KEVIN","605403529","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,471,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1340,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1340,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,101638.61,101638.61,0.00,0.00 1000186519," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","052","Johnson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3875.13,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3875.13,0.00,0.00 1000285114," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18943.73,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18943.73,0.00,0.00 1000436157,"1730244583","010","Physicians","BORDINI BRETT","532264837","852","Wisconsin"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1687.45,0.00,0.00,0.00,0.00,0.00,0.00,1687.45,0.00,0.00 1000323736," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5454.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5454.45,0.00,0.00 1000289131," ","063","Other Providers of Medical Equipment/Supplies (Non-registered)",""," ","834","North Carolina"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2106.44,0.00,0.00,0.00,0.00,0.00,0.00,2106.44,0.00,0.00 1000061292,"1952414443","010","Physicians","ALBRECHT JOHN","478042706","815","Indiana"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,927.45,0.00,0.00,0.00,0.00,0.00,0.00,927.45,0.00,0.00 1000380487,"1000380487","080","Prepaid health plan--Health maintenance organization","HEARTLAND INTERNAL MEDICINE LT","629595896","108","Williamson"," ","","0","0","",11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,92,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,92,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17375.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17375.20,0.00,0.00 1000200732,"1255528147","016","Nurse Practitioners","RAMEY JOANNE","605276686","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5391.90,0.00,0.00,0.00,0.00,0.00,0.00,5391.90,0.00,0.00 1000249693," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13785.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13785.39,0.00,0.00 1000230912,"1336269133","043","Encounter rate clinic","WOODY WINSTON HEALTH CENTER","604262408","200","Cook","ARS-C.O.P. ","JH Stroger, Oak Forest and Provident Hospitals, paid under an alternate reimbursement system","0","1","Direct Access",649,288,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5619,1144,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5619,1144,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15644.00,87666.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,103310.15,0.00,0.00 1000209786,"1356397210","010","Physicians","SHEIKH TAHIR M","605462269","200","Cook"," ","","0","0","General Practice",0,0,0,0,0,0,0,0,0,0,0,0,763,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6615,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6615,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,123296.29,0.00,0.00,0.00,0.00,0.00,0.00,123296.29,26.00,0.00 1000338908," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2441.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2441.50,0.00,0.00 1000029909," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6333.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6333.20,0.00,0.00 1000418518,"1942330477","010","Physicians","MARSH JEFFREY L","631418256","826","Missouri"," ","","0","0","Plastic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5046.55,0.00,0.00,0.00,0.00,0.00,0.00,5046.55,0.00,0.00 1000154993,"1467553578","011","Dentists","MIAN KALEEM","463221065","815","Indiana"," ","","0","0","General Dentistry",0,0,183,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,846,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,846,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,26764.46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26764.46,0.00,0.00 1000206238," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,1,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24.66,0.00,64.00,0.00,0.00,0.00,0.00,0.00,0.00,88.66,0.00,0.00 1000355670," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8698.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8698.16,0.00,0.00 1000284176,"1326022161","010","Physicians","HUR BECK","604261886","200","Cook"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,3,1491,0,253,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,1847,0,286,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,1847,0,286,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,395.47,48680.29,0.00,5634.54,0.00,0.00,0.00,0.00,0.00,0.00,54710.30,44.00,0.00 1000243127," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,798.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,798.85,0.00,0.00 1000324409," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","050","Jersey"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4675.03,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4675.03,0.00,0.00 1000266129," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,364.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,364.76,0.00,0.00 1000257075,"1447476205","022","Physical Therapists","FASEN JO","606118709","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,76,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1458.82,1458.82,0.00,0.00 1000073303,"1225201726","010","Physicians","SAAVEDRA BERNARDO","606533806","200","Cook"," ","","0","0","Neurology",90,0,0,0,0,0,0,0,0,0,1,0,257,0,0,0,0,0,0,415,0,0,0,0,0,0,0,0,0,1,0,315,0,0,0,0,0,0,415,0,0,0,0,0,0,0,0,0,1,0,315,0,0,0,0,0,0,1306.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4.00,0.00,15600.85,0.00,0.00,0.00,0.00,0.00,0.00,16910.85,0.00,0.00 1000359769," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","081","Perry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1214.94,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1214.94,0.00,0.00 1000006968," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17483.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17483.00,0.00,0.00 1000348431," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2324.42,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2324.42,0.00,0.00 1000113740,"1790818433","010","Physicians","CHAUDHERY FAUZIA","606384962","200","Cook"," ","","0","0","Internal Medicine",79,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,249,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,249,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,771.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,771.00,0.00,0.00 1000127566,"1871600536","055","Early Intervention Services","BARANOSKI CYNTHIA","601812877","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,92,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,92,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10144.46,0.00,0.00,0.00,0.00,0.00,0.00,10144.46,0.00,0.00 1000408852," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2084.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2084.88,0.00,0.00 1000383036,"1750322541","010","Physicians","BRINER CHRISTINE","600681110","200","Cook"," ","","0","1","Pediatrics",240,0,0,682,0,0,0,0,0,0,214,0,721,0,0,0,0,0,0,1380,0,0,2469,0,0,0,0,0,0,235,0,1168,0,0,0,0,0,0,1380,0,0,2469,0,0,0,0,0,0,235,0,1168,0,0,0,0,0,0,2760.00,0.00,0.00,73432.17,0.00,0.00,0.00,0.00,0.00,0.00,1475.32,0.00,41412.90,0.00,0.00,0.00,0.00,0.00,0.00,119080.39,0.00,0.00 1000022058,"1235308123","024","Speech Therapists","MARBLE JENNIFER","600621564","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,46,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2625.09,2625.09,0.00,0.00 1000059151,"1508826983","050","Home Health Agencies - In Home","VNA OF FOX VALLEY","605063814","053","Kane"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,581,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,581,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,35638.54,0.00,0.00,0.00,0.00,0.00,0.00,35638.54,0.00,0.00 1000186988,"1427041599","010","Physicians","COCHRAN MICHAEL","600485265","057","Lake"," ","","0","0","Oncology",0,0,0,0,0,0,0,0,0,0,10,0,96,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,382,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,382,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,124.34,0.00,6775.83,0.00,0.00,0.00,0.00,0.00,0.00,6900.17,0.00,0.00 1000116554," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,472.48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,472.48,0.00,0.00 1000205973,"1336214659","024","Speech Therapists","TURCICH JULIE","604626208","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,223,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,223,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16892.04,16892.04,0.00,0.00 1000016960," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4459.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4459.96,0.00,0.00 1000156135," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,166.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,166.50,0.00,0.00 1000397392,"1902896566","010","Physicians","PEKOW JOEL","605277594","030","DuPage"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,55,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,55,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,744.87,0.00,0.00,0.00,0.00,0.00,0.00,744.87,0.00,0.00 1000279547,"1952336208","010","Physicians","VALENTINO LEONARD","606124325","200","Cook"," ","","0","0","Public Health",0,0,0,0,0,0,0,0,0,0,0,0,94,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,169,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,169,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8178.28,0.00,0.00,0.00,0.00,0.00,0.00,8178.28,0.00,0.00 1000254261,"1508944018","010","Physicians","YEN EUGENE","602011779","200","Cook"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,0,0,67,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,105,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,105,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10257.05,0.00,0.00,0.00,0.00,0.00,0.00,10257.05,0.00,0.00 1000304833," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4713.48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4713.48,0.00,0.00 1000315437," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4411.46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4411.46,0.00,0.00 1000047283,"1063535029","010","Physicians","HANY LUCINDA","627024902","091","Sangamon"," ","","0","0","Obstetric-Gynecology",0,0,0,5,0,0,0,0,0,0,200,0,299,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,1075,0,1433,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,1075,0,1433,0,0,0,0,0,0,0.00,0.00,0.00,444.47,0.00,0.00,0.00,0.00,0.00,0.00,30365.36,0.00,128739.67,0.00,0.00,0.00,0.00,0.00,0.00,159549.50,2.00,0.00 1000127423," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5005.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5005.20,0.00,0.00 1000159826," ","023","Occupational Therapists",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,43,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2928.03,2928.03,0.00,0.00 1000208726,"1000208726","090","Waiver service provider--Elderly (DOA)","LUTHERAN SOCIAL SERVICES OF IL","600185801","200","Cook"," ","","0","0","",0,0,0,0,0,95,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,712,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,712,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,293024.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,293024.19,0.00,0.00 1000360034," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","090","Saline"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10098.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10098.00,0.00,0.00 1000259563," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,589.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,589.96,0.00,0.00 1000174916,"1225089683","010","Physicians","JOHNSON PHILLIP","620561778","076","Montgomery"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,153,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,272,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,272,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,80152.41,0.00,0.00,0.00,0.00,0.00,0.00,80152.41,0.00,0.00 1000045529,"1477591055","030","General Hospitals","MOSES H CONE MEM HOSP","274011004","834","North Carolina","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,6,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,853.00,0.00,0.00,0.00,0.00,0.00,1049.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1902.00,0.00,0.00 1000015492,"1780825737","055","Early Intervention Services","HOBSON DAMITA","606522814","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,163,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,163,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9625.72,0.00,0.00,0.00,0.00,0.00,0.00,9625.72,0.00,0.00 1000151037,"1750568390","036","Community mental health provider","NEW FOUND CTR INC CHURCH STR","600761534","200","Cook"," ","","0","0","",19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,226,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3961,0,0,226,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3961,0,0,13232.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,141074.11,0.00,0.00,154306.80,0.00,0.00 1000086313,"1700912995","010","Physicians","SAKA DEMIR","623053117","010","Adams"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,421,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,445,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,445,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,56973.06,0.00,0.00,0.00,0.00,0.00,0.00,56973.06,2.00,0.00 1000123610," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26.35,0.00,0.00,0.00,0.00,0.00,0.00,26.35,0.00,0.00 1000205565,"1063668994","010","Physicians","PENDLETON DIONNA","605481100","027","Dekalb"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,61,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2010.35,0.00,0.00,0.00,0.00,0.00,0.00,2010.35,9.00,0.00 1000207645,"1316003692","010","Physicians","CHANG STILLMAN","600442203","057","Lake"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,1,0,111,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,121,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,121,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12.02,0.00,25897.66,0.00,0.00,0.00,0.00,0.00,0.00,25909.68,1.00,0.00 1000170756," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","023","Clinton"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2528.26,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2528.26,0.00,0.00 1000093226,"1780717108","010","Physicians","SULLIVAN JOHN","601941018","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,346,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,386,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,386,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13660.79,0.00,0.00,0.00,0.00,0.00,0.00,13660.79,7.00,0.00 1000327305,"1972611234","010","Physicians","COHRAN VALERIA","606143363","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,133,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,443,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,443,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,30602.31,0.00,0.00,0.00,0.00,0.00,0.00,30602.31,10.00,0.00 1000446292,"1316049562","010","Physicians","SHIN KEE","605151549","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,173,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,173,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,931.25,0.00,0.00,0.00,0.00,0.00,0.00,931.25,0.00,0.00 1000113883,"1063513893","010","Physicians","WIECHERT MARK","614015014","056","Knox"," ","","0","0","Family Practice",0,0,0,5,0,0,0,0,0,0,13,0,65,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,23,0,88,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,23,0,88,0,0,0,0,0,0,0.00,0.00,0.00,198.70,0.00,0.00,0.00,0.00,0.00,0.00,197.37,0.00,1996.81,0.00,0.00,0.00,0.00,0.00,0.00,2392.88,0.00,0.00 1000096978," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14088.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14088.95,0.00,0.00 1000158419,"1659369163","010","Physicians","COLIN VICTOR","601202132","053","Kane"," ","","0","1","Family Practice",299,0,0,411,0,0,0,0,0,0,242,0,607,0,0,0,0,0,0,2956,0,0,1649,0,0,0,0,0,0,482,0,1289,0,0,0,0,0,0,2956,0,0,1649,0,0,0,0,0,0,482,0,1289,0,0,0,0,0,0,6048.00,0.00,0.00,52940.99,0.00,0.00,0.00,0.00,0.00,0.00,1573.85,0.00,74495.17,0.00,0.00,0.00,0.00,0.00,0.00,135058.01,0.00,0.00 1000164190," ","060","Pharmacies",""," ","836","Ohio"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,55,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1650,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15767.13,0.00,0.00,0.00,15767.13,0.00,0.00 1000079135," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3666.22,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3666.22,0.00,0.00 1000218045," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","104","Wayne"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13019.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13019.96,0.00,0.00 1000170491,"1891943858","033","Nursing Facilities","GROVE NORTH LIVING AND REHAB","600771618","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,220,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1944,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,46783,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5017883.55,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5017883.55,0.00,0.00 1000439583," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","815","Indiana"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,82.90,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,82.90,0.00,0.00 1000006703," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","056","Knox"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,617.91,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,617.91,0.00,0.00 1000454673," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20659.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20659.41,0.00,0.00 1000252385," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6693.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6693.41,0.00,0.00 1000191617," ","092","Waiver service provider--Disability (DHS/DRS)",""," 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1000270167,"1000270167","072","Taxicabs and Livery Companies","DEVINE SERVICE INC","604111517","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,640,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,640,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7029.36,0.00,0.00,0.00,0.00,0.00,0.00,7029.36,0.00,0.00 1000172510,"1912987751","010","Physicians","SHARP LOUIS","601533328","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,725,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,717,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,717,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24984.57,0.00,0.00,0.00,0.00,0.00,0.00,24984.57,26.00,0.00 1000214966,"1164495941","010","Physicians","PETERSON JOHN A","626501910","077","Morgan"," ","","0","0","Family Practice",0,0,0,1,0,0,0,0,0,0,28,0,63,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,36,0,208,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,36,0,208,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,258.99,0.00,1620.34,0.00,0.00,0.00,0.00,0.00,0.00,1879.33,0.00,0.00 1000138496,"1760543581","060","Pharmacies","DOUGLAS MAIN PHARMACY","605154652","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,123,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,985,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23319,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27110.71,0.00,0.00,0.00,27110.71,0.00,0.00 1000104829," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,23722.57,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23722.57,0.00,0.00 1000278813," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7497.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7497.20,0.00,0.00 1000043531," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3809.93,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3809.93,0.00,0.00 1000330119," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","010","Adams"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8751.03,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8751.03,0.00,0.00 1000306301," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8486.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8486.40,0.00,0.00 1000191882," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","033","Effingham"," ","","0","0","",0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4043.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4043.65,0.00,0.00 1000417376,"1912025974","010","Physicians","HUSAIN KAREEM","631101010","826","Missouri"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,65,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,65,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4898.99,0.00,0.00,0.00,0.00,0.00,0.00,4898.99,0.00,0.00 1000297451," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3620.05,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3620.05,0.00,0.00 1000224346,"1407809064","010","Physicians","AKBAR AYESHA","604231274","107","Will"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,58,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,58,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1551.61,0.00,0.00,0.00,0.00,0.00,0.00,1551.61,3.00,0.00 1000435076,"1366448078","016","Nurse Practitioners","RAGON JAMES","381052794","844","Tennessee"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1749.90,0.00,0.00,0.00,0.00,0.00,0.00,1749.90,0.00,0.00 1000341783,"1528073178","060","Pharmacies","FREEBURG PHARMACY","622431541","096","St Clair"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,592,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5631,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,125779,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,274847.25,0.00,0.00,0.00,274847.25,0.00,0.00 1000041777," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Traumatic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,626.80,0.00,0.00,0.00,0.00,0.00,0.00,626.80,0.00,0.00 1000260888," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21418.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21418.60,0.00,0.00 1000058213," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,19297.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19297.56,0.00,0.00 1000329242," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,33868.81,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33868.81,0.00,0.00 1000182624,"1679564397","010","Physicians","KIRK JENNIFER","601901222","030","DuPage"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,1,1,0,71,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,1,0,158,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,1,0,158,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,765.60,62.70,0.00,23406.26,0.00,0.00,0.00,0.00,0.00,0.00,24234.56,0.00,0.00 1000160030," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","017","Carroll"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000209052,"1649387838","060","Pharmacies","PECATONICA PHARMACY","610630550","109","Winnebago"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,443,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5950,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,144351,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,266766.53,0.00,0.00,0.00,266766.53,0.00,0.00 1000392763," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,836.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,836.00,0.00,0.00 1000305302," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1824.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1824.99,0.00,0.00 1000121183," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,287,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,287,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20779.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20779.41,0.00,0.00 1000068796," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,865.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,865.07,0.00,0.00 1000380079," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25238.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25238.20,0.00,0.00 1000006560,"1790787299","010","Physicians","VITUGPACIS LALAINE","600052381","200","Cook"," ","","0","1","Pediatrics",82,0,0,59,0,0,0,0,0,0,44,0,99,0,0,0,0,0,0,602,0,0,201,0,0,0,0,0,0,59,0,245,0,0,0,0,0,0,602,0,0,201,0,0,0,0,0,0,59,0,245,0,0,0,0,0,0,1204.00,0.00,0.00,4581.42,0.00,0.00,0.00,0.00,0.00,0.00,758.63,0.00,8312.69,0.00,0.00,0.00,0.00,0.00,0.00,14856.74,0.00,0.00 1000100730,"1760425797","010","Physicians","KALLAS PETER","606118709","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,171,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,255,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,255,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12533.22,0.00,0.00,0.00,0.00,0.00,0.00,12533.22,2.00,0.00 1000254322," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2916.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2916.41,0.00,0.00 1000252038,"1356421325","010","Physicians","ELAHI RIAZ","604675561","200","Cook"," ","","0","0","Hematology",0,0,0,0,0,0,0,0,0,0,3,0,276,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,1431,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,1431,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20.48,0.00,30849.45,0.00,0.00,0.00,0.00,0.00,0.00,30869.93,11.00,0.00 1000371963," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3758.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3758.70,0.00,0.00 1000378672," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Dermatology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22.25,0.00,0.00,0.00,0.00,0.00,0.00,22.25,0.00,0.00 1000119919," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,199.55,0.00,0.00,0.00,0.00,0.00,0.00,199.55,0.00,0.00 1000150833," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","833","New York"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,197.55,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,197.55,0.00,0.00 1000213946," ","030","General Hospitals",""," ","845","Texas","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,382.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,382.00,0.00,0.00 1000132725,"1619207354","016","Nurse Practitioners","SEMP MELISSA","600932925","200","Cook"," ","","0","0","",0,0,0,5,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,86,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,86,0,0,0,0,0,0,0.00,0.00,0.00,32.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2245.75,0.00,0.00,0.00,0.00,0.00,0.00,2277.75,0.00,0.00 1000239436," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","077","Morgan"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6042.04,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6042.04,0.00,0.00 1000094694," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7247.06,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7247.06,0.00,0.00 1000121795,"1649251364","010","Physicians","HUSAYNI TAREK","604532699","200","Cook"," ","","0","0","Pediatrics",0,0,0,28,0,0,0,0,0,0,30,0,498,0,0,0,0,0,0,0,0,0,86,0,0,0,0,0,0,91,0,2376,0,0,0,0,0,0,0,0,0,86,0,0,0,0,0,0,91,0,2376,0,0,0,0,0,0,0.00,0.00,0.00,352.60,0.00,0.00,0.00,0.00,0.00,0.00,342.34,0.00,117750.60,0.00,0.00,0.00,0.00,0.00,0.00,118445.54,7.00,0.00 1000451451,"1437295482","010","Physicians","LARA ROLANDO","606093822","200","Cook"," ","","0","1","Internal Medicine",154,0,0,0,0,0,0,0,0,0,3,0,150,0,0,0,0,0,0,1133,0,0,0,0,0,0,0,0,0,3,0,628,0,0,0,0,0,0,1133,0,0,0,0,0,0,0,0,0,3,0,628,0,0,0,0,0,0,3721.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9.68,0.00,19535.79,0.00,0.00,0.00,0.00,0.00,0.00,23266.47,8.00,0.00 1000115881,"1093818148","060","Pharmacies","ALTGELD GARDEN DRUG CO","608271404","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,861,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9252,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,179711,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,126010.32,0.00,0.00,0.00,126010.32,0.00,0.00 1000305567,"1790769511","010","Physicians","COTTER TIMOTHY","606117110","200","Cook"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,2,269,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,326,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,326,0,11,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,69.30,12189.82,0.00,45.11,0.00,0.00,0.00,0.00,0.00,0.00,12304.23,10.00,0.00 1000186784," ","023","Occupational Therapists",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,58,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,58,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4498.72,4498.72,0.00,0.00 1000436361," ","024","Speech Therapists",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,720.90,720.90,0.00,0.00 1000004623," ","016","Nurse Practitioners",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,471.04,0.00,0.00,0.00,0.00,0.00,0.00,471.04,0.00,0.00 1000163578,"1000163578","090","Waiver service provider--Elderly (DOA)","AMONG FRIENDS ADULT DAY CARE","60445 ","200","Cook"," ","","0","0","",0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,791,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,791,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,89299.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,89299.78,0.00,0.00 1000083968,"1295713824","075","Department of Alcohol and Substance Abuse Provider","ROSECRANCE INC","611087631","109","Winnebago"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,168,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,235,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1100,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,212879.30,0.00,0.00,212879.30,0.00,0.00 1000104013," ","010","Physicians",""," ","108","Williamson"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000186723,"1336363209","091","Waiver service provider--Adults (DHS/DDD)","ZANON TOCKE NICOLE","60625 ","200","Cook"," ","","0","0","",0,0,0,0,0,70,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1394,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1394,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,29771.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29771.07,0.00,0.00 1000288458," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15096.89,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15096.89,0.00,0.00 1000462850," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4519.57,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4519.57,0.00,0.00 1000244534,"1437210267","010","Physicians","HONG ANNE","605276686","030","DuPage"," ","","0","0","General Practice",0,0,0,0,0,0,0,0,0,0,0,0,388,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,593,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,593,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4393.13,0.00,0.00,0.00,0.00,0.00,0.00,4393.13,0.00,0.00 1000380691," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,449.80,0.00,0.00,0.00,0.00,0.00,0.00,449.80,0.00,0.00 1000113475," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2556.05,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2556.05,0.00,0.00 1000404223,"1336374867","091","Waiver service provider--Adults (DHS/DDD)","WEISE CHRISTINA","622582615","096","St Clair"," ","","0","0","",0,0,0,0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1223,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1223,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,68659.33,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,68659.33,0.00,0.00 1000181625,"1942202007","010","Physicians","KUHN WILLIAM","619442251","031","Edgar"," ","","0","1","Internal Medicine",299,0,0,0,0,0,0,0,0,0,22,0,114,0,0,0,0,0,0,2111,0,0,0,0,0,0,0,0,0,36,0,649,0,0,0,0,0,0,2111,0,0,0,0,0,0,0,0,0,36,0,649,0,0,0,0,0,0,5562.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,89.84,0.00,30568.86,0.00,0.00,0.00,0.00,0.00,0.00,36220.70,0.00,0.00 1000237356," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","816","Iowa"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2244.26,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2244.26,0.00,0.00 1000386319,"1013983436","010","Physicians","TAWFIK SHOKRY","610489247","097","Stephenson"," ","","0","1","Family Practice",258,0,0,46,0,0,0,0,0,0,36,0,212,0,0,0,0,0,0,2122,0,0,168,0,0,0,0,0,0,49,0,649,0,0,0,0,0,0,2122,0,0,168,0,0,0,0,0,0,49,0,649,0,0,0,0,0,0,5274.00,0.00,0.00,5381.94,0.00,0.00,0.00,0.00,0.00,0.00,503.62,0.00,15545.07,0.00,0.00,0.00,0.00,0.00,0.00,26704.63,0.00,0.00 1000157542," ","010","Physicians",""," ","200","Cook"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,148.94,0.00,0.00,0.00,0.00,0.00,0.00,148.94,0.00,0.00 1000075648," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20852.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20852.70,0.00,0.00 1000296717,"1356433940","016","Nurse Practitioners","IANTORNO BUCKLEY ANDREA","600532127","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,33,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,33,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,42.50,0.00,0.00,0.00,0.00,0.00,0.00,42.50,0.00,0.00 1000207176,"1568505238","010","Physicians","RAMSEY GOLDMAN ROSALIND","606114402","200","Cook"," ","","0","0","Rheumatology",0,0,0,0,0,0,0,0,0,0,0,0,83,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,183,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,183,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5277.57,0.00,0.00,0.00,0.00,0.00,0.00,5277.57,0.00,0.00 1000022466," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1748.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1748.24,0.00,0.00 1000220125,"1477596567","010","Physicians","STROPLE JENNIFER","606143363","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,199,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,468,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,468,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,36579.90,0.00,0.00,0.00,0.00,0.00,0.00,36579.90,7.00,0.00 1000156196," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11578.08,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11578.08,0.00,0.00 1000266802,"1417023003","010","Physicians","MITTON JOSEPH","606112977","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,1,0,0,256,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,274,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,274,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,69.25,0.00,0.00,8000.27,0.00,0.00,0.00,0.00,0.00,0.00,8069.52,4.00,0.00 1000195043,"1073560512","010","Physicians","SALDANHA RITA","601931429","200","Cook"," ","","0","1","Internal Medicine",2214,0,0,206,0,0,0,0,0,0,65,0,1292,0,0,0,0,0,0,16078,0,0,197,0,0,0,0,0,0,66,0,6086,0,0,0,0,0,0,16078,0,0,197,0,0,0,0,0,0,66,0,6086,0,0,0,0,0,0,42618.00,0.00,0.00,9995.64,0.00,0.00,0.00,0.00,0.00,0.00,2617.79,0.00,87923.73,0.00,0.00,0.00,0.00,0.00,0.00,143155.16,515.00,0.00 1000445211,"1740260637","010","Physicians","MCADOO JAMES","610085907","013","Boone"," ","","0","0","Plastic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,110,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,110,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15295.20,0.00,0.00,0.00,0.00,0.00,0.00,15295.20,0.00,0.00 1000168880," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5966.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5966.79,0.00,0.00 1000273511," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10724.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10724.98,0.00,0.00 1000259420,"1285735878","063","Other Providers of Medical Equipment/Supplies (Non-registered)","BURGIN NURSING MANOR","624502576","088","Richland"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,125,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,125,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,40532.64,0.00,0.00,0.00,0.00,0.00,0.00,40532.64,0.00,0.00 1000319862," ","023","Occupational Therapists",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4643.34,4643.34,0.00,0.00 1000253588," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16825.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16825.54,0.00,0.00 1000184908,"1215968375","060","Pharmacies","KMART STORES OF IL LLC 3758","622344368","065","Madison"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,217,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2459,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,62305,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,194775.41,0.00,0.00,0.00,194775.41,0.00,0.00 1000344944,"1457379133","010","Physicians","SIEGFRIED CARLA","631411010","826","Missouri"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,400.00,0.00,0.00,0.00,0.00,0.00,0.00,400.00,0.00,0.00 1000270289,"1427174820","047","Local Education Agencies","NORRIDGE SCHOOL DIST 80","606341144","200","Cook"," ","","0","0","",0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,58,0,0,0,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,2769,0,0,0,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,2769,0,0.00,0.00,0.00,287.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,59182.96,0.00,59470.73,0.00,0.00 1000185846,"1497731293","013","Podiatrists","RUNNE THOMAS","605061510","053","Kane"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,142,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,430,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,430,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,889.96,0.00,0.00,0.00,0.00,0.00,0.00,889.96,0.00,0.00 1000306709," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,27819.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27819.88,0.00,0.00 1000025953,"1467433169","010","Physicians","KHURANA ANIL","600313338","057","Lake"," ","","0","0","Pulmonary Diseases",0,0,0,0,0,0,0,0,0,3,14,0,447,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,15,0,1905,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,15,0,1905,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,532.87,71.82,0.00,33890.10,0.00,0.00,0.00,0.00,0.00,0.00,34494.79,0.00,0.00 1000094429," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7662.31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7662.31,0.00,0.00 1000235419,"1033136734","010","Physicians","NAVARRETE ANTONIO","606284247","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1817,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1694,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1694,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,68515.20,0.00,0.00,0.00,0.00,0.00,0.00,68515.20,284.00,0.00 1000341926,"1013981596","013","Podiatrists","WILSON MARLA","627031511","091","Sangamon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,488,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,488,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2050.85,0.00,0.00,0.00,0.00,0.00,0.00,2050.85,0.00,0.00 1000094898," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15269.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15269.60,0.00,0.00 1000316171," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13039.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13039.80,0.00,0.00 1000051912," ","010","Physicians",""," ","057","Lake"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1045.00,0.00,0.00,0.00,0.00,0.00,0.00,1045.00,0.00,0.00 1000170552," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","101","Wabash"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,787.46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,787.46,0.00,0.00 1000446088,"1558334557","010","Physicians","TAYLOR BERNARD","616145098","080","Peoria"," ","","0","0","Pulmonary Diseases",0,0,0,0,0,0,0,0,0,0,0,0,305,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1199,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1199,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27779.35,0.00,0.00,0.00,0.00,0.00,0.00,27779.35,0.00,0.00 1000278140,"1000278140","091","Waiver service provider--Adults (DHS/DDD)","ST. MARY OF PROVIDENCE SCHOOL","606341615","200","Cook"," ","","0","0","",0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6421,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6421,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,235121.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,235121.54,0.00,0.00 1000381833,"1306859772","010","Physicians","ARTZ ANDREW","605276686","030","DuPage"," ","","0","0","Hematology",0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,161,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,161,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3582.41,0.00,0.00,0.00,0.00,0.00,0.00,3582.41,0.00,0.00 1000102749,"1477553899","010","Physicians","ALCORDO MIGUEL","604777725","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,1,0,104,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,1348,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,1348,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15.70,0.00,30900.83,0.00,0.00,0.00,0.00,0.00,0.00,30916.53,0.00,0.00 1000366070," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3531.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3531.53,0.00,0.00 1000109254," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6012.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6012.07,0.00,0.00 1000318516,"1245262112","010","Physicians","MCAFEE MOLLY","600073371","200","Cook"," ","","0","0","Thoracic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,76,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,76,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12507.67,0.00,0.00,0.00,0.00,0.00,0.00,12507.67,0.00,0.00 1000291150," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Pulmonary Diseases",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,431.66,0.00,0.00,0.00,0.00,0.00,0.00,431.66,0.00,0.00 1000376878,"1861449316","060","Pharmacies","OSCO DRUG 3138","605438975","055","Kendall"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,610,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,5138,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,120068,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,258.37,0.00,0.00,239089.31,0.00,0.00,0.00,239347.68,0.00,0.00 1000141188,"1972614683","010","Physicians","SUTTER THOMAS","618012530","019","Champaign"," ","","0","0","Family Practice",0,0,0,680,0,0,0,0,0,0,2,0,303,0,0,0,0,0,0,0,0,0,710,0,0,0,0,0,0,2,0,313,0,0,0,0,0,0,0,0,0,710,0,0,0,0,0,0,2,0,313,0,0,0,0,0,0,0.00,0.00,0.00,4543.85,0.00,0.00,0.00,0.00,0.00,0.00,8.00,0.00,4098.00,0.00,0.00,0.00,0.00,0.00,0.00,8649.85,0.00,0.00 1000417723,"1467568683","010","Physicians","DAVIS EDWARD LEE","478071057","815","Indiana"," ","","0","0","Obstetric-Gynecology",0,0,0,1,0,0,0,0,0,0,4,0,26,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,8,0,65,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,8,0,65,0,0,0,0,0,0,0.00,0.00,0.00,52.79,0.00,0.00,0.00,0.00,0.00,0.00,35.41,0.00,9608.07,0.00,0.00,0.00,0.00,0.00,0.00,9696.27,0.00,0.00 1000210602," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,125.90,0.00,0.00,0.00,0.00,0.00,0.00,125.90,0.00,0.00 1000423147," ","030","General Hospitals",""," ","833","New York","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,181.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,181.00,0.00,0.00 1000206442,"1205802121","010","Physicians","LINDSAY MALCOLM","535625531","852","Wisconsin"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,518.00,0.00,0.00,0.00,0.00,0.00,0.00,518.00,0.00,0.00 1000323614," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21531.11,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21531.11,0.00,0.00 1000423759,"1023096096","010","Physicians","SAQUIB AZIM","629595896","108","Williamson"," ","","0","0","Cardiology",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,473.40,0.00,0.00,0.00,0.00,0.00,0.00,473.40,0.00,0.00 1000356812,"1578589974","063","Other Providers of Medical Equipment/Supplies (Non-registered)","LEWIS MEMORIAL CHRISTIAN VILLA","627117917","091","Sangamon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1799.70,0.00,0.00,0.00,0.00,0.00,0.00,1799.70,0.00,0.00 1000034191,"1000034191","080","Prepaid health plan--Health maintenance organization","MADISON FAMILY HEALTH CENTER","606242334","200","Cook"," ","","0","0","",2616,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20173,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20173,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2216663.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2216663.24,0.00,0.00 1000314886," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4943.30,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4943.30,0.00,0.00 1000190271," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,905.58,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,905.58,0.00,0.00 1000344332,"1447228036","010","Physicians","TRICOU JOHN","609701644","046","Iroquois"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,2120,0,315,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4519,0,565,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4519,0,565,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,102880.31,0.00,9050.17,0.00,0.00,0.00,0.00,0.00,0.00,111930.48,2.00,0.00 1000060354,"1679633648","011","Dentists","VILLEGAS LAZARO","606411641","200","Cook"," ","","0","0","General Dentistry",0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,730.90,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,730.90,0.00,0.00 1000142105,"1437183688","060","Pharmacies","STREATOR DRUGS","613642924","058","La Salle"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,198,0,0,1263,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,354,0,0,16392,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,354,0,0,374097,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15042.35,0.00,0.00,812317.37,0.00,0.00,0.00,827359.72,0.00,0.00 1000240639," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Oncology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,49.80,0.00,0.00,0.00,0.00,0.00,0.00,49.80,0.00,0.00 1000214619,"1356522718","010","Physicians","LAKSHMANAN SHANMUGAM","628812902","066","Marion"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,225,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,616,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,616,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,41166.68,0.00,0.00,0.00,0.00,0.00,0.00,41166.68,0.00,0.00 1000145592," ","022","Physical Therapists",""," ","852","Wisconsin"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,83.25,83.25,0.00,0.00 1000118308," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","037","Fulton"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,19259.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19259.20,0.00,0.00 1000466133," ","030","General Hospitals",""," ","813","Idaho","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,3,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0.00,0.00,0.00,0.00,552.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,176.00,0.00,0.00,0.00,0.00,0.00,728.00,0.00,0.00 1000197714," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10767.11,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10767.11,0.00,0.00 1000298063,"1962599324","010","Physicians","GALLAI JAMES B","611033600","109","Winnebago"," ","","0","0","Pulmonary Diseases",0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,696.45,0.00,0.00,0.00,0.00,0.00,0.00,696.45,0.00,0.00 1000375858,"1609806330","010","Physicians","WANG LEO","604302914","200","Cook"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,31,0,146,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32,0,415,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32,0,415,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,85.54,0.00,10436.09,0.00,0.00,0.00,0.00,0.00,0.00,10521.63,0.00,0.00 1000013738,"1000013738","090","Waiver service provider--Elderly (DOA)","ADT SECURITY SERVICES INC","346843709","810","Florida"," ","","0","0","",0,0,0,0,0,2344,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16499,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16499,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,449211.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,449211.00,0.00,0.00 1000049220,"1922180330","010","Physicians","NAM KEITH","606594120","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,512,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3260,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3260,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,55669.42,0.00,0.00,0.00,0.00,0.00,0.00,55669.42,0.00,0.00 1000081072,"1659501955","016","Nurse Practitioners","WHITE REGINA","627033807","091","Sangamon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,99,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,182,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,182,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2027.48,0.00,0.00,0.00,0.00,0.00,0.00,2027.48,0.00,0.00 1000280872," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5435.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5435.24,0.00,0.00 1000133724,"1770583270","010","Physicians","PONTIUS DANIEL","624391852","059","Lawrence"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,117,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,168,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,168,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29015.51,0.00,0.00,0.00,0.00,0.00,0.00,29015.51,0.00,0.00 1000460097,"1740287226","010","Physicians","JONES JED","628645924","049","Jefferson"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1761.24,0.00,0.00,0.00,0.00,0.00,0.00,1761.24,0.00,0.00 1000303487," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1900.42,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1900.42,0.00,0.00 1000159683,"1457326944","010","Physicians","HICOK WILLIAM","616071755","080","Peoria"," ","","0","1","Family Practice",99,0,0,11,0,0,0,0,0,0,10,0,169,0,0,0,0,0,0,918,0,0,21,0,0,0,0,0,0,11,0,491,0,0,0,0,0,0,918,0,0,21,0,0,0,0,0,0,11,0,491,0,0,0,0,0,0,2437.00,0.00,0.00,1103.77,0.00,0.00,0.00,0.00,0.00,0.00,66.60,0.00,9355.35,0.00,0.00,0.00,0.00,0.00,0.00,12962.72,0.00,0.00 1000134927,"1619129897","048","Rural Health Clinics","JACKSONVILLE FAMILY MEDICAL","626501007","077","Morgan"," ","","0","1","",872,1076,0,105,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7385,5704,0,133,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7385,5704,0,133,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20307.00,203789.46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,224096.46,0.00,0.00 1000454795,"1225038276","010","Physicians","KING MITCHELL","611042231","109","Winnebago"," ","","0","1","Family Practice",750,0,0,99,0,0,0,0,0,0,58,0,441,0,0,0,0,0,0,5426,0,0,231,0,0,0,0,0,0,78,0,696,0,0,0,0,0,0,5426,0,0,231,0,0,0,0,0,0,78,0,696,0,0,0,0,0,0,13030.00,0.00,0.00,7389.80,0.00,0.00,0.00,0.00,0.00,0.00,237.55,0.00,20586.55,0.00,0.00,0.00,0.00,0.00,0.00,41243.90,0.00,0.00 1000227425," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11378.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11378.72,0.00,0.00 1000448433,"1316921000","010","Physicians","FLORES NOEL","614553315","070","McDonough"," ","","0","1","Internal Medicine",16,0,0,0,0,0,0,0,0,0,1,0,401,0,0,0,0,0,0,117,0,0,0,0,0,0,0,0,0,2,0,858,0,0,0,0,0,0,117,0,0,0,0,0,0,0,0,0,2,0,858,0,0,0,0,0,0,388.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5.20,0.00,7463.73,0.00,0.00,0.00,0.00,0.00,0.00,7856.93,0.00,0.00 1000100057,"1407067184","010","Physicians","SATWANI SHIYAM","622201900","096","St Clair"," ","","0","0","Cardiology",0,0,0,0,0,0,0,0,0,0,3,0,519,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,907,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,907,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11.46,0.00,35209.81,0.00,0.00,0.00,0.00,0.00,0.00,35221.27,102.00,0.00 1000371698,"1912104167","010","Physicians","WHALEN NAOMI","612015351","089","Rock Island"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,287,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,307,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,307,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10521.05,0.00,0.00,0.00,0.00,0.00,0.00,10521.05,4.00,0.00 1000133663,"1548287808","060","Pharmacies","WAL MART 10 0633","614433702","045","Henry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1844,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18442,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,427569,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,859134.74,0.00,0.00,0.00,859134.74,0.00,0.00 1000411809,"1568533396","033","Nursing Facilities","CLAREMONT REHAB AND LIVING CTR","600897047","057","Lake"," ","","0","0","",1,0,0,0,0,0,0,0,0,0,0,171,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,1439,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,34407,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2826835.63,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2826835.63,0.00,0.00 1000103748,"1548281405","010","Physicians","MUSSANI HENNA","605212962","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,69,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,162,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,162,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3683.78,0.00,0.00,0.00,0.00,0.00,0.00,3683.78,0.00,0.00 1000082826,"1053387431","010","Physicians","PARRA MARK","600143621","071","McHenry"," ","","0","0","Obstetric-Gynecology",0,0,0,4,0,0,0,0,0,0,122,0,424,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,176,0,2083,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,176,0,2083,0,0,0,0,0,0,0.00,0.00,0.00,381.22,0.00,0.00,0.00,0.00,0.00,0.00,1109.25,0.00,156907.68,0.00,0.00,0.00,0.00,0.00,0.00,158398.15,0.00,0.00 1000280016,"1770666042","010","Physicians","ONYEMELUKWE RAPHAEL","606081732","200","Cook"," ","","0","0","Surgery General",0,0,0,61,0,0,0,0,0,0,42,0,142,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,510.00,0.00 1000337215," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5564.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5564.56,0.00,0.00 1000146204," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","078","Moultrie"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14860.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14860.85,0.00,0.00 1000265660,"1093980872","010","Physicians","GRUNER CHARLES","602023456","200","Cook"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,1,34,0,251,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,60,0,743,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,60,0,743,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,699.20,620.57,0.00,42758.39,0.00,0.00,0.00,0.00,0.00,0.00,44078.16,19.00,0.00 1000148284,"1336216738","010","Physicians","HASEK SARAH","629011408","047","Jackson"," ","","0","1","Family Practice",77,0,0,14,0,0,0,0,0,0,14,0,54,0,0,0,0,0,0,632,0,0,47,0,0,0,0,0,0,19,0,109,0,0,0,0,0,0,632,0,0,47,0,0,0,0,0,0,19,0,109,0,0,0,0,0,0,1465.00,0.00,0.00,1803.25,0.00,0.00,0.00,0.00,0.00,0.00,60.30,0.00,3633.14,0.00,0.00,0.00,0.00,0.00,0.00,6961.69,0.00,0.00 1000317374,"1356588099","016","Nurse Practitioners","OBERLE BUFFI","615544969","098","Tazewell"," ","","0","0","",0,0,0,511,0,0,0,0,0,0,0,0,772,0,0,0,0,0,0,0,0,0,1701,0,0,0,0,0,0,0,0,1857,0,0,0,0,0,0,0,0,0,1701,0,0,0,0,0,0,0,0,1857,0,0,0,0,0,0,0.00,0.00,0.00,50294.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,59121.09,0.00,0.00,0.00,0.00,0.00,0.00,109415.88,0.00,0.00 1000459159,"1982887014","060","Pharmacies","WALGREENS 7769","600819687","071","McHenry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,678,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4392,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,95016,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,220232.27,0.00,0.00,0.00,220232.27,0.00,0.00 1000307382," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22951.89,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22951.89,0.00,0.00 1000107031,"1336176940","010","Physicians","DONOVAN HUNT CHERYL","600154339","057","Lake"," ","","0","1","Pediatrics",250,0,0,233,0,0,0,0,0,0,219,0,394,0,0,0,0,0,0,2262,0,0,910,0,0,0,0,0,0,299,0,719,0,0,0,0,0,0,2262,0,0,910,0,0,0,0,0,0,299,0,719,0,0,0,0,0,0,4524.00,0.00,0.00,26774.21,0.00,0.00,0.00,0.00,0.00,0.00,2973.13,0.00,29533.89,0.00,0.00,0.00,0.00,0.00,0.00,63805.23,0.00,0.00 1000041043,"1700815818","010","Physicians","PRABHAKARAN SHYAM","606123845","200","Cook"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,161,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,453,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,453,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11751.49,0.00,0.00,0.00,0.00,0.00,0.00,11751.49,11.00,0.00 1000321656,"1821202417","075","Department of Alcohol and Substance Abuse Provider","ALCOHOL CHEMICAL EVAL SVCS","618324708","100","Vermilion"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3765.12,0.00,0.00,3765.12,0.00,0.00 1000426226," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2789.58,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2789.58,0.00,0.00 1000267271,"1922038157","010","Physicians","GISLASON GARDAR","477140557","815","Indiana"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,1,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,29,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,29,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8.85,0.00,1936.07,0.00,0.00,0.00,0.00,0.00,0.00,1944.92,0.00,0.00 1000421067," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21682.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21682.86,0.00,0.00 1000212070," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","040","Grundy"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2426.43,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2426.43,0.00,0.00 1000030031," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5931.04,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5931.04,0.00,0.00 1000451920,"1861602773","024","Speech Therapists","WHITE JILL","600307807","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,41,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2801.05,2801.05,0.00,0.00 1000425961,"1780857508","010","Physicians","PEETE EMARCIA","535111844","852","Wisconsin"," ","","0","0","Pediatrics",0,0,0,6,0,0,0,0,0,0,3,0,17,0,0,0,0,0,0,0,0,0,29,0,0,0,0,0,0,4,0,25,0,0,0,0,0,0,0,0,0,29,0,0,0,0,0,0,4,0,25,0,0,0,0,0,0,0.00,0.00,0.00,771.83,0.00,0.00,0.00,0.00,0.00,0.00,15.33,0.00,957.02,0.00,0.00,0.00,0.00,0.00,0.00,1744.18,0.00,0.00 1000316028," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10293.93,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10293.93,0.00,0.00 1000324144," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,344.40,0.00,0.00,0.00,0.00,0.00,0.00,344.40,0.00,0.00 1000105828," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,35626.57,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,35626.57,0.00,0.00 1000358892,"1952418097","010","Physicians","LI B ULYSSES","532264837","852","Wisconsin"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3015.56,0.00,0.00,0.00,0.00,0.00,0.00,3015.56,0.00,0.00 1000117166," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","056","Knox"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,192.91,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,192.91,0.00,0.00 1000040574," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","058","La Salle"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,638.08,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,638.08,0.00,0.00 1000088128," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1384.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1384.41,0.00,0.00 1000257809," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","049","Jefferson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9979.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9979.95,0.00,0.00 1000216230,"1033180351","010","Physicians","LINCHEVSKAYA ALEXANDRA","606455253","200","Cook"," ","","0","1","General Practice",82,0,0,0,0,0,0,0,0,0,181,0,739,0,0,0,0,0,0,675,0,0,0,0,0,0,0,0,0,1065,0,5299,0,0,0,0,0,0,675,0,0,0,0,0,0,0,0,0,1065,0,5299,0,0,0,0,0,0,2510.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8830.11,0.00,36215.22,0.00,0.00,0.00,0.00,0.00,0.00,47555.33,0.00,0.00 1000130319," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","102","Warren"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6095.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6095.82,0.00,0.00 1000054318," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7707.29,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7707.29,0.00,0.00 1000115759," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22050.58,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22050.58,0.00,0.00 1000245676,"1588782445","022","Physical Therapists","JOHNSON GAIL","627119252","091","Sangamon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,400.75,400.75,0.00,0.00 1000005418," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","011","Alexander"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10321.87,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10321.87,0.00,0.00 1000343598," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,362,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,362,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11918.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11918.84,0.00,0.00 1000441051,"1000441051","091","Waiver service provider--Adults (DHS/DDD)","WOYNER JENNIFER","608052903","200","Cook"," ","","0","0","",0,0,0,0,0,68,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,807,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,807,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,46444.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,46444.79,0.00,0.00 1000052911," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","058","La Salle"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,197.05,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,197.05,0.00,0.00 1000214354,"1023219094","070","Ambulance Service Providers","TRI DISTRICT AMBULANCE","610700117","097","Stephenson"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1174.56,0.00,0.00,0.00,0.00,0.00,0.00,1174.56,0.00,0.00 1000455468,"1073760179","023","Occupational Therapists","VAN PUYMBROUCK LAURA","606112654","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,111,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,111,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4573.70,4573.70,0.00,0.00 1000084702," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,361.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,361.70,0.00,0.00 1000068001,"1598797193","048","Rural Health Clinics","KEWANEE CLINIC","614438354","045","Henry"," ","","0","1","",2250,1395,0,545,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18735,9059,0,2204,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18735,9059,0,2204,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44037.00,409987.31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,454024.31,0.00,0.00 1000192086,"1184646317","010","Physicians","ADAMS ROBERT","616157482","080","Peoria"," ","","0","1","Family Practice",77,0,0,24,0,0,0,0,0,0,7,0,73,0,0,0,0,0,0,722,0,0,48,0,0,0,0,0,0,12,0,191,0,0,0,0,0,0,722,0,0,48,0,0,0,0,0,0,12,0,191,0,0,0,0,0,0,1843.00,0.00,0.00,3014.15,0.00,0.00,0.00,0.00,0.00,0.00,65.69,0.00,5625.74,0.00,0.00,0.00,0.00,0.00,0.00,10548.58,0.00,0.00 1000435219," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","070","McDonough"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4136.66,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4136.66,0.00,0.00 1000396658," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","083","Pike"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3502.51,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3502.51,0.00,0.00 1000409464," ","010","Physicians",""," ","200","Cook"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2.67,0.00,0.00,0.00,0.00,0.00,0.00,2.67,0.00,0.00 1000202547,"1770691933","030","General Hospitals","AFFILIATED DIALYSIS CENTERS","603011412","200","Cook","DIALYSIS ","Outpatient dialysis centers.","0","0","General Hospital - Adult and Child",4,0,0,0,0,0,0,0,0,0,0,0,0,545,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,3397,0,0,0,0,0,83,0,0,0,0,0,0,0,0,0,0,0,0,27002,0,0,0,0,0,3622.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3305215.32,0.00,0.00,0.00,0.00,0.00,3308837.82,0.00,0.00 1000232197," ","010","Physicians",""," ","200","Cook"," ","","0","0","Hematology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,105.15,0.00,0.00,0.00,0.00,0.00,0.00,105.15,0.00,0.00 1000344679,"1134106008","010","Physicians","LICHTENBERG LEE","601344209","053","Kane"," ","","0","0","Rheumatology",0,0,0,0,0,0,0,0,0,0,0,0,68,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,121,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,121,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2671.09,0.00,0.00,0.00,0.00,0.00,0.00,2671.09,0.00,0.00 1000141575,"1508858994","033","Nursing Facilities","REGENCY REHABILITATION CENTER","607144416","200","Cook"," ","","0","0","",1,0,0,0,0,0,0,0,0,0,0,344,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,3009,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,69474,0,0,0,0,0,0,0,687.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6191624.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6192312.57,0.00,0.00 1000156339,"1578656831","010","Physicians","SCHWEIZER HEATHER","617391509","061","Livingston"," ","","0","1","Family Practice",515,0,0,185,0,0,0,0,0,0,146,0,626,0,0,0,0,0,0,4230,0,0,727,0,0,0,0,0,0,221,0,1540,0,0,0,0,0,0,4230,0,0,727,0,0,0,0,0,0,221,0,1540,0,0,0,0,0,0,10062.00,0.00,0.00,23232.27,0.00,0.00,0.00,0.00,0.00,0.00,1887.46,0.00,57030.41,0.00,0.00,0.00,0.00,0.00,0.00,92212.14,0.00,0.00 1000396454," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8681.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8681.86,0.00,0.00 1000380222," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","033","Effingham"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,645.04,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,645.04,0.00,0.00 1000323145,"1821149808","010","Physicians","MASTRIANNI JAMES","605275993","030","DuPage"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,127,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,127,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2516.40,0.00,0.00,0.00,0.00,0.00,0.00,2516.40,0.00,0.00 1000372106,"1932314952","024","Speech Therapists","ANDERSON BERNADETTE","606164942","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,76,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1156,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1156,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,88687.53,88687.53,0.00,0.00 1000264457,"1316197916","024","Speech Therapists","GOLEY ALISON","605382913","055","Kendall"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,131,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,131,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9447.33,9447.33,0.00,0.00 1000437299,"1174612949","010","Physicians","BEVERS JONATHAN","472742993","815","Indiana"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,912.81,0.00,0.00,0.00,0.00,0.00,0.00,912.81,0.00,0.00 1000260297," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Cardiovascular Surgery",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7254.37,0.00,0.00,0.00,0.00,0.00,0.00,7254.37,0.00,0.00 1000109866," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","106","Whiteside"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5294.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5294.96,0.00,0.00 1000065330,"1659371573","010","Physicians","DIMOPOULOS JOAN","601533304","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,487,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,481,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,481,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15673.37,0.00,0.00,0.00,0.00,0.00,0.00,15673.37,26.00,0.00 1000217984,"1083782908","010","Physicians","TANQUILUT MARLENE","600313398","057","Lake"," ","","0","1","Pediatrics",188,0,0,63,0,0,0,0,0,0,0,0,76,0,0,0,0,0,0,564,0,0,84,0,0,0,0,0,0,0,0,136,0,0,0,0,0,0,564,0,0,84,0,0,0,0,0,0,0,0,136,0,0,0,0,0,0,1128.00,0.00,0.00,6575.94,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5856.37,0.00,0.00,0.00,0.00,0.00,0.00,13560.31,0.00,0.00 1000346555,"1245296912","010","Physicians","SYLORA JAMES","604062426","200","Cook"," ","","0","0","Urological Surgery",0,0,0,0,0,0,0,0,0,0,22,0,187,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,51,0,375,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,51,0,375,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,116.87,0.00,7085.57,0.00,0.00,0.00,0.00,0.00,0.00,7202.44,2.00,0.00 1000058009,"1164459772","010","Physicians","MOORE SUE","631418265","826","Missouri"," ","","0","0","Maternal and Fetal Medicine",0,0,0,0,0,0,0,0,0,0,2,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,32,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,79.12,0.00,834.23,0.00,0.00,0.00,0.00,0.00,0.00,913.35,0.00,0.00 1000308993," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,44.00,0.00,0.00,0.00,0.00,0.00,0.00,44.00,0.00,0.00 1000418049," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22763.27,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22763.27,0.00,0.00 1000073507," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,41,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,41,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,26394.18,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26394.18,0.00,0.00 1000340111," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11495.68,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11495.68,0.00,0.00 1000074567," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,42063.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,42063.69,0.00,0.00 1000072283,"1568595700","029","ICF/MR","LINCOLN HOUSE","626562818","062","Logan"," ","","0","0","",0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,587,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8598,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,637027.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,637027.79,0.00,0.00 1000060823," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","089","Rock Island"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16383.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16383.24,0.00,0.00 1000170348,"1841279981","010","Physicians","LERMA EDGAR","608052746","200","Cook"," ","","0","0","Nephrology",0,0,0,0,0,0,0,0,0,0,3,0,368,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,1683,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,1683,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,39818.35,0.00,0.00,0.00,0.00,0.00,0.00,39818.35,5.00,0.00 1000063841," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,275,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,275,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14656.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14656.70,0.00,0.00 1000169267,"1033146840","010","Physicians","SINGH SUNITA","606444072","200","Cook"," ","","0","1","Internal Medicine",285,0,0,2,0,0,0,0,0,0,2,0,270,0,0,0,0,0,0,755,0,0,2,0,0,0,0,0,0,3,0,567,0,0,0,0,0,0,755,0,0,2,0,0,0,0,0,0,3,0,567,0,0,0,0,0,0,2143.00,0.00,0.00,169.24,0.00,0.00,0.00,0.00,0.00,0.00,10.42,0.00,23165.50,0.00,0.00,0.00,0.00,0.00,0.00,25488.16,0.00,0.00 1000359891," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2206.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2206.41,0.00,0.00 1000018836,"1396970745","060","Pharmacies","CVS PHARMACY 08980","606265312","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,866,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5037,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,119909,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,230333.64,0.00,0.00,0.00,230333.64,0.00,0.00 1000278996," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15213.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15213.35,0.00,0.00 1000264926," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,300,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,300,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22707.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22707.60,0.00,0.00 1000402347," ","010","Physicians",""," ","803","Arizona"," ","","0","0","Pulmonary Diseases",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,925.45,0.00,0.00,0.00,0.00,0.00,0.00,925.45,0.00,0.00 1000076851," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3478.13,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3478.13,0.00,0.00 1000321065," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15439.66,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15439.66,0.00,0.00 1000026952,"1093920191","010","Physicians","GUPTA VISHAL","463212901","815","Indiana"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1100,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1144,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1144,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,43067.92,0.00,0.00,0.00,0.00,0.00,0.00,43067.92,56.00,0.00 1000225080,"1285693176","010","Physicians","GONZALES RONALD","606045759","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,144,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,949,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,949,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15905.81,0.00,0.00,0.00,0.00,0.00,0.00,15905.81,0.00,0.00 1000108377,"1841451721","010","Physicians","GURSAHANEY ANEEL","606575147","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,162,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,227,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,227,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6998.95,0.00,0.00,0.00,0.00,0.00,0.00,6998.95,0.00,0.00 1000349022,"1356449565","011","Dentists","LUDFORD CRAIG","601204350","053","Kane"," ","","0","0","General Dentistry",0,0,68,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,359,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,359,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,11482.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11482.79,0.00,0.00 1000253506,"1932321098","010","Physicians","NO KAP JOON","606253543","200","Cook"," ","","0","0","Internal Medicine",30,0,0,0,0,0,0,0,0,1,8,0,505,0,0,0,0,0,0,255,0,0,0,0,0,0,0,0,2,9,0,4488,0,0,0,0,0,0,255,0,0,0,0,0,0,0,0,2,9,0,4488,0,0,0,0,0,0,876.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,76.30,15.64,0.00,69886.36,0.00,0.00,0.00,0.00,0.00,0.00,70854.30,0.00,0.00 1000210520," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","064","Macoupin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7911.11,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7911.11,0.00,0.00 1000406976," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7829.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7829.60,0.00,0.00 1000363582,"1467653782","025","Audiologists","CHRISTIAN ROSALES ELIZABETH","601812877","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,195,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,553,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,553,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29657.47,29657.47,0.00,0.00 1000182216," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","064","Macoupin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8.44,0.00,0.00 1000051891," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,32479.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,32479.79,0.00,0.00 1000056255,"1962512152","010","Physicians","EHTESHAM RUBINA","611033655","109","Winnebago"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,1,0,0,345,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,854,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,854,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,105.15,0.00,0.00,16447.27,0.00,0.00,0.00,0.00,0.00,0.00,16552.42,0.00,0.00 1000027951," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11570.46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11570.46,0.00,0.00 1000162640,"1891817565","010","Physicians","IBARRA JUAN","601152821","027","Dekalb"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,70,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,233,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,233,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,893.03,0.00,0.00,0.00,0.00,0.00,0.00,893.03,0.00,0.00 1000214680," ","024","Speech Therapists",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2478.50,2478.50,0.00,0.00 1000036944," ","011","Dentists",""," ","200","Cook"," ","","0","0","General Dentistry",0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,245.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,245.65,0.00,0.00 1000143186,"1962467639","010","Physicians","HARRIS TED","526324027","816","Iowa"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10430.86,0.00,0.00,0.00,0.00,0.00,0.00,10430.86,0.00,0.00 1000129034," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","056","Knox"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4013.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4013.24,0.00,0.00 1000023261,"1932285095","010","Physicians","CEHA LUKAS","606223086","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,759,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,841,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,841,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25264.57,0.00,0.00,0.00,0.00,0.00,0.00,25264.57,5.00,0.00 1000203016,"1841250677","010","Physicians","BAYNE STEPHEN R","612656138","089","Rock Island"," ","","0","0","Plastic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,110,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,110,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8437.97,0.00,0.00,0.00,0.00,0.00,0.00,8437.97,0.00,0.00 1000283034,"1629093000","010","Physicians","SAENGSAMRAN SANIT","622344368","065","Madison"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,62,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2047.88,0.00,0.00,0.00,0.00,0.00,0.00,2047.88,4.00,0.00 1000233522,"1992726772","010","Physicians","MAIN DAVID","618012530","019","Champaign"," ","","0","0","Pulmonary Diseases",0,0,0,0,0,0,0,0,0,0,4,0,223,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,550,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,550,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,43.52,0.00,14347.59,0.00,0.00,0.00,0.00,0.00,0.00,14391.11,0.00,0.00 1000062964,"1831188747","010","Physicians","GHAZANFARI K","600903009","200","Cook"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,0,0,146,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,271,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,271,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24690.93,0.00,0.00,0.00,0.00,0.00,0.00,24690.93,0.00,0.00 1000293087," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","036","Franklin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1858.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1858.97,0.00,0.00 1000256871," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16970.22,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16970.22,0.00,0.00 1000281892," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16651.83,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16651.83,0.00,0.00 1000068735," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,562.47,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,562.47,0.00,0.00 1000431263,"1912042037","070","Ambulance Service Providers","STEWARDSON AMBULANCE SERVICE","624630145","094","Shelby"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,305.48,0.00,0.00,0.00,0.00,0.00,0.00,305.48,0.00,0.00 1000020569,"1972522134","063","Other Providers of Medical Equipment/Supplies (Non-registered)","PINE ACRES NURSING REHAB CTR","601154435","027","Dekalb"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19084.80,0.00,0.00,0.00,0.00,0.00,0.00,19084.80,0.00,0.00 1000339377,"1598756686","030","General Hospitals","INGALLS MEMORIAL HOSPITAL","604263558","200","Cook","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","0","0","General Hospital - Adults Section",90,853,0,0,7335,0,0,0,0,4181,0,0,45,5631,0,0,0,0,0,227,2311,0,0,11962,0,0,0,0,6325,0,0,45,12683,0,0,0,0,0,549,9862,0,0,11965,0,0,0,0,28958,0,0,45,16008,0,0,0,0,0,1953.50,714582.97,0.00,0.00,1873507.93,0.00,0.00,0.00,0.00,12133917.26,0.00,0.00,37227.00,1900329.39,0.00,0.00,0.00,0.00,0.00,16661518.05,1260.00,0.00 1000392416,"1649419219","016","Nurse Practitioners","HUNEMULLER HEATHER","612656790","089","Rock Island"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,95,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,105,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,105,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2610.50,0.00,0.00,0.00,0.00,0.00,0.00,2610.50,0.00,0.00 1000187049," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","021","Clark"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2257.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2257.64,0.00,0.00 1000004215," ","014","Chiropractors",""," ","106","Whiteside"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000428041,"1000428041","090","Waiver service provider--Elderly (DOA)","COMMUNITY CARE SYSTEMS INC","627011084","091","Sangamon"," ","","0","0","",0,0,0,0,0,168,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6646,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6646,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,967476.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,967476.65,0.00,0.00 1000290742,"1205876893","010","Physicians","ROSENBERG SHARON","607122234","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,1,8,0,75,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,13,0,232,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,13,0,232,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24.90,12.07,0.00,1616.89,0.00,0.00,0.00,0.00,0.00,0.00,1653.86,1.00,0.00 1000117288,"1750369419","010","Physicians","CONNOLLY EDWARD","612656133","089","Rock Island"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,211,0,322,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,407,0,744,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,407,0,744,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6770.41,0.00,52092.97,0.00,0.00,0.00,0.00,0.00,0.00,58863.38,20.00,0.00 1000459832," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","056","Knox"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9665.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9665.70,0.00,0.00 1000042776," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","081","Perry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11854.73,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11854.73,0.00,0.00 1000071284,"1184625766","010","Physicians","MENDENHALL JAMES","618012530","019","Champaign"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,499,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,522,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,522,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,62568.18,0.00,0.00,0.00,0.00,0.00,0.00,62568.18,0.00,0.00 1000009109,"1508956509","030","General Hospitals","UNIVERSITY OF CHICAGO HOSPITAL","606371447","200","Cook","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","0","0","General Hospital - Adults Section",157,630,0,0,9255,0,0,0,0,3855,0,0,52,11217,0,0,0,0,0,759,3537,0,0,14136,0,0,0,0,4992,0,0,52,57143,0,0,0,0,0,1105,3537,0,0,14136,0,0,0,0,25463,0,0,77,75328,0,0,0,0,0,11232.42,178615.41,0.00,0.00,1582785.48,0.00,0.00,0.00,0.00,38740869.35,0.00,0.00,74785.81,7868818.60,0.00,0.00,0.00,0.00,0.00,48457107.07,821.00,0.00 1000430447,"1396721759","060","Pharmacies","LOVINS PHARMACY","628441402","105","White"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,415,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,4496,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,104418,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,771.87,0.00,0.00,152986.79,0.00,0.00,0.00,153758.66,0.00,0.00 1000009986," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14082.38,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14082.38,0.00,0.00 1000416907," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5256.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5256.77,0.00,0.00 1000172367," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","106","Whiteside"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1410.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1410.64,0.00,0.00 1000204627," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4087.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4087.44,0.00,0.00 1000449697,"1134140452","060","Pharmacies","FAGEN PHARMACY 32","604013134","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,112,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,1417,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,36265,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12.95,0.00,0.00,100666.80,0.00,0.00,0.00,100679.75,0.00,0.00 1000098385," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1237.43,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1237.43,0.00,0.00 1000468091," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","077","Morgan"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1816.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1816.79,0.00,0.00 1000153851," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,189.45,0.00,0.00,0.00,0.00,0.00,0.00,189.45,0.00,0.00 1000284645,"1922011790","010","Physicians","LIAUW STANLEY","606124795","200","Cook"," ","","0","0","Radiation Oncology",0,0,0,0,0,0,0,0,0,0,14,0,110,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,652,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,652,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,285.79,0.00,16637.40,0.00,0.00,0.00,0.00,0.00,0.00,16923.19,0.00,0.00 1000235745,"1518034693","075","Department of Alcohol and Substance Abuse Provider","HAYMARKET HOUSE GRAND BLVD EXP","606152306","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,236,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,236,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13952.00,0.00,0.00,13952.00,0.00,0.00 1000163639,"1114906955","016","Nurse Practitioners","RYBAK LISA","631171811","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5756.25,0.00,0.00,0.00,0.00,0.00,0.00,5756.25,1.00,0.00 1000378407," ","012","Optometrists",""," ","108","Williamson"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8.65,0.00,0.00,0.00,0.00,0.00,0.00,8.65,0.00,0.00 1000261500," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5935.61,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5935.61,0.00,0.00 1000467744," ","060","Pharmacies",""," ","824","Minnesota"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,161.09,0.00,0.00,0.00,161.09,0.00,0.00 1000397861,"1427019546","010","Physicians","RAJU SUBBA","601202125","053","Kane"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,6,1606,0,188,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,2262,0,298,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,2262,0,298,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,403.04,67471.38,0.00,6907.84,0.00,0.00,0.00,0.00,0.00,0.00,74782.26,1.00,0.00 1000261765,"1487717492","010","Physicians","VENTO ELIO","601234718","053","Kane"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,186,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,186,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,974.34,0.00,0.00,0.00,0.00,0.00,0.00,974.34,0.00,0.00 1000366335," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10527.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10527.97,0.00,0.00 1000358219," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3509.81,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3509.81,0.00,0.00 1000043857,"1184726549","060","Pharmacies","VNA ROCKFORD PHARMACY","611033655","109","Winnebago"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,280,0,0,318,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,280,0,0,3250,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18670.00,0.00,0.00,134177.64,0.00,0.00,0.00,152847.64,0.00,0.00 1000134805,"1356508915","010","Physicians","SHAH NEEL","605212641","030","DuPage"," ","","0","0","Hematology",0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,59.95,0.00,0.00,0.00,0.00,0.00,0.00,59.95,0.00,0.00 1000051708,"1841308277","010","Physicians","KEAGLE KEVIN","601901222","030","DuPage"," ","","0","0","Family Practice",0,0,0,34,0,0,0,0,0,0,210,0,596,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,305,0,619,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,305,0,619,0,0,0,0,0,0,0.00,0.00,0.00,850.00,0.00,0.00,0.00,0.00,0.00,0.00,2658.30,0.00,38475.30,0.00,0.00,0.00,0.00,0.00,0.00,41983.60,0.00,0.00 1000053849," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","087","Randolph"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1143.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1143.53,0.00,0.00 1000043184,"1184638496","010","Physicians","COLEGROVE PETER","602011779","200","Cook"," ","","0","0","Urological Surgery",0,0,0,0,0,0,0,0,0,0,5,0,77,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,147,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,147,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,50.41,0.00,4483.28,0.00,0.00,0.00,0.00,0.00,0.00,4533.69,3.00,0.00 1000235215," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,385.81,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,385.81,0.00,0.00 1000279282,"1851387955","010","Physicians","HINES DAVID","605212480","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,2,2,0,1057,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,3,0,2623,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,3,0,2623,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,95.00,21.84,0.00,52366.15,0.00,0.00,0.00,0.00,0.00,0.00,52482.99,10.00,0.00 1000279608," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6048.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6048.50,0.00,0.00 1000081419," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","020","Christian"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3779.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3779.79,0.00,0.00 1000450044," ","029","ICF/MR",""," ","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,134,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2450,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,290109.68,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,290109.68,0.00,0.00 1000217168,"1114933660","010","Physicians","RADER LYNN","606112654","200","Cook"," ","","0","0","Physical Medicine/Rehabilitation",0,0,0,0,0,0,0,0,0,0,0,0,128,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,321,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,321,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5213.29,0.00,0.00,0.00,0.00,0.00,0.00,5213.29,0.00,0.00 1000230586,"1790713899","010","Physicians","GUPTA VEENA","628642387","049","Jefferson"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,10,0,88,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,581,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,581,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16.94,0.00,1484.75,0.00,0.00,0.00,0.00,0.00,0.00,1501.69,0.00,0.00 1000405977,"1033224969","010","Physicians","RAO PYDISETTY","600683277","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,1,0,0,128,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,136,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,136,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,743.50,0.00,0.00,18225.19,0.00,0.00,0.00,0.00,0.00,0.00,18968.69,0.00,0.00 1000051035,"1043254386","010","Physicians","DATZMAN MATTHEW","628121969","036","Franklin"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,1,0,416,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,496,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,496,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15937.45,0.00,0.00,0.00,0.00,0.00,0.00,15937.45,0.00,0.00 1000460036,"1104961291","024","Speech Therapists","SULLIVAN MEGAN","606143363","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,350,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,350,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18262.80,18262.80,0.00,0.00 1000216964,"1508891268","010","Physicians","FANGUSARO JASON","606143363","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,106,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,444,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,444,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20824.97,0.00,0.00,0.00,0.00,0.00,0.00,20824.97,8.00,0.00 1000209399," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2863.49,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2863.49,0.00,0.00 1000231667,"1457339046","010","Physicians","WOLF STEVEN","600161687","200","Cook"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,95,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,286,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,286,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4025.18,0.00,0.00,0.00,0.00,0.00,0.00,4025.18,0.00,0.00 1000057683,"1740341064","011","Dentists","GURGA LEROY","626562070","062","Logan"," ","","0","0","General Dentistry",0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,870.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,870.80,0.00,0.00 1000390887,"1649357088","060","Pharmacies","HAMLIN PHARMACY INC","606242334","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1983,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14056,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,352029,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,577333.16,0.00,0.00,0.00,577333.16,0.00,0.00 1000460974," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","072","McLean"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,139,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,139,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10917.34,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10917.34,0.00,0.00 1000082357,"1922280213","010","Physicians","STERN ERIC","606127300","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,88,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,89,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,89,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3601.73,0.00,0.00,0.00,0.00,0.00,0.00,3601.73,8.00,0.00 1000246614,"1902961006","010","Physicians","CAMPO ADALBERTO","606229998","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,2,0,2412,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,4589,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,4589,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,39.26,0.00,78642.52,0.00,0.00,0.00,0.00,0.00,0.00,78681.78,63.00,0.00 1000385993,"1710940713","010","Physicians","LOVERN ROYCE","631417209","826","Missouri"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,356.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,356.07,0.00,0.00 1000366804," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25119.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25119.39,0.00,0.00 1000207502,"1710977640","010","Physicians","BANGARULINGAM SUJAY","618012530","019","Champaign"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,1,5,0,240,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,5,0,642,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,5,0,642,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,281.20,54.40,0.00,20381.49,0.00,0.00,0.00,0.00,0.00,0.00,20717.09,0.00,0.00 1000311929," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,27502.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27502.76,0.00,0.00 1000311603," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10519.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10519.14,0.00,0.00 1000162701,"1336255322","022","Physical Therapists","CATALINO TRICIA","606303124","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,286,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,286,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24329.44,24329.44,0.00,0.00 1000258013,"1639136971","010","Physicians","BARTT RUSSELL","606123835","200","Cook"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,454.53,0.00,0.00,0.00,0.00,0.00,0.00,454.53,0.00,0.00 1000305220,"1265517379","010","Physicians","FAIRBANKS DANA","601082915","030","DuPage"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,49,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,212,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,212,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4966.80,0.00,0.00,0.00,0.00,0.00,0.00,4966.80,0.00,0.00 1000020508,"1598976730","055","Early Intervention Services","HORN RACHEL","604406184","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,247,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,247,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12926.27,0.00,0.00,0.00,0.00,0.00,0.00,12926.27,0.00,0.00 1000301876,"1851584403","011","Dentists","HOFFMAN IAN","606471609","200","Cook"," ","","0","0","General Dentistry",0,0,462,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,3241,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,3241,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0.00,0.00,124666.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5067.55,0.00,0.00,0.00,0.00,129734.51,0.00,0.00 1000190862," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8816.74,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8816.74,0.00,0.00 1000320861," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1200.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1200.84,0.00,0.00 1000084763,"1891830923","014","Chiropractors","LINDER ALLISON","612311861","074","Mercer"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,168,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,548,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,548,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5007.14,0.00,0.00,0.00,0.00,0.00,0.00,5007.14,2.00,0.00 1000191943," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,393.73,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,393.73,0.00,0.00 1000318781,"1245287473","010","Physicians","FOX MICHAEL","607142828","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,1,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,66,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,66,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7473.18,0.00,0.00,0.00,0.00,0.00,0.00,7473.18,0.00,0.00 1000221858,"1285701300","024","Speech Therapists","HUGHES MARIA","600301379","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,391,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,391,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,28321.14,28321.14,0.00,0.00 1000127219,"1568521508","010","Physicians","ABRAMS LISA","600155655","057","Lake"," ","","0","1","Internal Medicine",3,0,0,0,0,0,0,0,0,0,2,0,13,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,3,0,39,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,3,0,39,0,0,0,0,0,0,69.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7.38,0.00,628.65,0.00,0.00,0.00,0.00,0.00,0.00,705.03,0.00,0.00 1000351041," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4291.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4291.80,0.00,0.00 1000281749," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Urology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26.35,0.00,0.00,0.00,0.00,0.00,0.00,26.35,0.00,0.00 1000139617," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,241.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,241.14,0.00,0.00 1000410728," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1820.59,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1820.59,0.00,0.00 1000157134,"1346279130","060","Pharmacies","HY VEE PHARMACY 1415","612642342","089","Rock Island"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,469,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4669,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,112709,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,232890.31,0.00,0.00,0.00,232890.31,0.00,0.00 1000074302," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4574.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4574.12,0.00,0.00 1000418171,"1336161793","016","Nurse Practitioners","WILSON CAROL","604324048","107","Will"," ","","0","1","",38,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,236,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,236,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,724.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,117.15,0.00,0.00,0.00,0.00,0.00,0.00,841.15,0.00,0.00 1000114066,"1245236942","075","Department of Alcohol and Substance Abuse Provider","CADS","612016700","089","Rock Island"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,81,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1858,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1858,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,76904.40,0.00,0.00,76904.40,0.00,0.00 1000059742," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1748.23,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1748.23,0.00,0.00 1000164373,"1174724280","036","Community mental health provider","SOUTH SIDE OFFICE OF CONCERN","616021702","080","Peoria"," ","","0","0","",67,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,87,0,0,602,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2757,0,0,602,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2757,0,0,15982.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,161064.32,0.00,0.00,177046.47,0.00,0.00 1000380018," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11116.21,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11116.21,0.00,0.00 1000377999,"1841300035","010","Physicians","MARTINEZ MARIA","611072574","109","Winnebago"," ","","0","1","Pediatrics",850,0,0,605,0,0,0,0,0,0,58,0,797,0,0,0,0,0,0,8298,0,0,2086,0,0,0,0,0,0,62,0,1446,0,0,0,0,0,0,8298,0,0,2086,0,0,0,0,0,0,62,0,1446,0,0,0,0,0,0,16603.00,0.00,0.00,53426.65,0.00,0.00,0.00,0.00,0.00,0.00,618.30,0.00,68067.34,0.00,0.00,0.00,0.00,0.00,0.00,138715.29,0.00,0.00 1000287724," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1157.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1157.45,0.00,0.00 1000090330,"1538263488","060","Pharmacies","CVS PHARMACY 7125","606095435","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1085,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4204,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,89865,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,182528.36,0.00,0.00,0.00,182528.36,0.00,0.00 1000278670,"1487603296","060","Pharmacies","PEKIN PRESCRIPTION LAB","615544818","098","Tazewell"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,489,0,0,1232,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1817,0,0,22946,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1817,0,0,574221,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,105613.30,0.00,0.00,1179932.39,0.00,0.00,0.00,1285545.69,0.00,0.00 1000201201,"1457346355","010","Physicians","CUEVA JOHN PAUL","608053109","200","Cook"," ","","0","1","Pediatrics",1509,0,0,948,0,0,0,0,0,0,284,0,1075,0,0,0,0,0,0,16100,0,0,3505,0,0,0,0,0,0,362,0,3127,0,0,0,0,0,0,16100,0,0,3505,0,0,0,0,0,0,362,0,3127,0,0,0,0,0,0,32218.00,0.00,0.00,106449.89,0.00,0.00,0.00,0.00,0.00,0.00,2094.88,0.00,116465.54,0.00,0.00,0.00,0.00,0.00,0.00,257228.31,0.00,0.00 1000122998," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,385.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,385.82,0.00,0.00 1000384647,"1093743825","010","Physicians","RUGGIERO FRANCIS","601533328","200","Cook"," ","","0","0","Surgery Head/Neck",0,0,0,0,0,0,0,0,0,1,0,0,126,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,369,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,369,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,289.40,0.00,0.00,28845.03,0.00,0.00,0.00,0.00,0.00,0.00,29134.43,0.00,0.00 1000085762," ","024","Speech Therapists",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,961.20,961.20,0.00,0.00 1000015410,"1154345676","029","ICF/MR","RIVERSIDE FOUNDATION","600693024","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,99,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3669,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,57773,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4818382.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4818382.15,0.00,0.00 1000366396," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1921.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1921.85,0.00,0.00 1000429509," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","108","Williamson"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5644.08,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5644.08,0.00,0.00 1000178668,"1073501359","010","Physicians","KROCK JEREMY","616159506","080","Peoria"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,287,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,298,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,298,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,57753.58,0.00,0.00,0.00,0.00,0.00,0.00,57753.58,0.00,0.00 1000249020,"1942497755","022","Physical Therapists","JACOB ABRAHAM","604523333","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,194,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,194,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4162.02,4162.02,0.00,0.00 1000021589," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14725.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14725.70,0.00,0.00 1000024790,"1982634127","010","Physicians","LIPOV SERGEI","601214964","053","Kane"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,238,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,238,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2552.73,0.00,0.00,0.00,0.00,0.00,0.00,2552.73,0.00,0.00 1000138965," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","056","Knox"," ","","0","0","",0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,53,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,53,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10214.01,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10214.01,0.00,0.00 1000056051," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","816","Iowa"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21118.31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21118.31,0.00,0.00 1000438767," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4834.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4834.97,0.00,0.00 1000457752,"1114994571","010","Physicians","ELDRIDGE MARLOWE","535625531","852","Wisconsin"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3703.73,0.00,0.00,0.00,0.00,0.00,0.00,3703.73,1.00,0.00 1000450778," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,120,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,120,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6265.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6265.35,0.00,0.00 1000169879," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,116.55,0.00,0.00,0.00,0.00,0.00,0.00,116.55,0.00,0.00 1000201731," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","023","Clinton"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9643.57,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9643.57,0.00,0.00 1000451716," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,854.97,0.00,0.00,0.00,0.00,0.00,0.00,854.97,0.00,0.00 1000276386,"1306066626","075","Department of Alcohol and Substance Abuse Provider","THE CENTER FOR REHAB","606144004","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,55,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1369,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1369,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,91754.54,0.00,0.00,91754.54,0.00,0.00 1000050423,"1942251749","010","Physicians","SWOYER JENNIFER","605252600","200","Cook"," ","","0","1","Family Practice",613,0,0,225,0,0,0,0,0,0,126,0,600,0,0,0,0,0,0,5205,0,0,624,0,0,0,0,0,0,201,0,1120,0,0,0,0,0,0,5205,0,0,624,0,0,0,0,0,0,201,0,1120,0,0,0,0,0,0,12699.00,0.00,0.00,21673.41,0.00,0.00,0.00,0.00,0.00,0.00,752.15,0.00,56126.01,0.00,0.00,0.00,0.00,0.00,0.00,91250.57,0.00,0.00 1000122121," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15869.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15869.76,0.00,0.00 1000146061," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,55,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,55,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3734.63,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3734.63,0.00,0.00 1000011393,"1639120157","010","Physicians","BANDLA HARI PRASAD RAO","605277594","030","DuPage"," ","","0","0","Pediatric Pulmonary",0,0,0,0,0,0,0,0,0,0,0,0,230,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,269,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,269,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,32137.61,0.00,0.00,0.00,0.00,0.00,0.00,32137.61,2.00,0.00 1000251508," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,44.00,0.00,0.00,0.00,0.00,0.00,0.00,44.00,0.00,0.00 1000009517,"1538345632","047","Local Education Agencies","SKOKIE SCHOOL DISTRICT 73 5","600763402","200","Cook"," ","","0","0","",0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,94,0,0,0,0,0,0,0,0,0,0,0,0,0,482,0,0,0,0,94,0,0,0,0,0,0,0,0,0,0,0,0,0,482,0,0.00,0.00,0.00,665.51,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9984.53,0.00,10650.04,0.00,0.00 1000168676,"1326270745","010","Physicians","NORIEGA KAREN","606162477","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,80,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,105,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,105,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1655.90,0.00,0.00,0.00,0.00,0.00,0.00,1655.90,0.00,0.00 1000059069," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","023","Clinton"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1808.52,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1808.52,0.00,0.00 1000164047,"1942295878","010","Physicians","MAIZELS MAX","606143318","200","Cook"," ","","0","0","Urological Surgery",0,0,0,0,0,0,0,0,0,0,16,0,285,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,390,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,390,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1282.10,0.00,38377.77,0.00,0.00,0.00,0.00,0.00,0.00,39659.87,8.00,0.00 1000183909,"1073711834","011","Dentists","AGGARWAL NEERJA","605591312","030","DuPage"," ","","0","0","General Practice",0,0,29,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,135,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,135,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,4047.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4047.00,0.00,0.00 1000432466,"1346384492","010","Physicians","TASIOPOULOS JOHN","600405335","057","Lake"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,115,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,115,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,777.67,0.00,0.00,0.00,0.00,0.00,0.00,777.67,0.00,0.00 1000120184,"1629182712","010","Physicians","ASGHAR SYED","600144158","071","McHenry"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,91,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,472,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,472,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7795.60,0.00,0.00,0.00,0.00,0.00,0.00,7795.60,0.00,0.00 1000418783," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1726.36,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1726.36,0.00,0.00 1000406772," ","060","Pharmacies",""," ","852","Wisconsin"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7.57,0.00,0.00,0.00,7.57,0.00,0.00 1000249428,"1073623336","010","Physicians","BRETSCHER MARY","627032403","091","Sangamon"," ","","0","0","Oncology",0,0,0,0,0,0,0,0,0,0,0,0,79,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1355,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1355,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,364458.01,0.00,0.00,0.00,0.00,0.00,0.00,364458.01,0.00,0.00 1000050627," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14526.17,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14526.17,0.00,0.00 1000034864," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1873.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1873.54,0.00,0.00 1000233400," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10082.13,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10082.13,0.00,0.00 1000431120," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,98.25,0.00,0.00,0.00,0.00,0.00,0.00,98.25,0.00,0.00 1000417172,"1962495499","010","Physicians","KUHANANTHAN SACHCHI","604671071","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1023.37,0.00,0.00,0.00,0.00,0.00,0.00,1023.37,0.00,0.00 1000193554,"1699798496","011","Dentists","KOEHNE MICHAEL","601875526","030","DuPage"," ","","0","0","General Dentistry",0,0,185,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,553,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,553,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,19523.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19523.82,0.00,0.00 1000169145," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,797.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,797.95,0.00,0.00 1000298593," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15582.37,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15582.37,0.00,0.00 1000366539,"1821101007","010","Physicians","GRIEF SAMUEL","606127248","200","Cook"," ","","0","1","Family Practice",131,0,0,15,0,0,0,0,0,0,29,0,182,0,0,0,0,0,0,1117,0,0,16,0,0,0,0,0,0,35,0,367,0,0,0,0,0,0,1117,0,0,16,0,0,0,0,0,0,35,0,367,0,0,0,0,0,0,2809.00,0.00,0.00,1193.19,0.00,0.00,0.00,0.00,0.00,0.00,123.64,0.00,12346.85,0.00,0.00,0.00,0.00,0.00,0.00,16472.68,19.00,0.00 1000383505,"1356394530","055","Early Intervention Services","SCHULMAN RANDI","602031643","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,41,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,351,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,351,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,35949.43,0.00,0.00,0.00,0.00,0.00,0.00,35949.43,0.00,0.00 1000341987," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4171.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4171.50,0.00,0.00 1000294372," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","059","Lawrence"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11522.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11522.12,0.00,0.00 1000195308," ","030","General Hospitals",""," ","803","Arizona","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,619.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,619.00,0.00,0.00 1000233257,"1154328805","010","Physicians","GOYAL LALCHAND","619389258","024","Coles"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,0,0,513,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1138,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1138,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17257.03,0.00,0.00,0.00,0.00,0.00,0.00,17257.03,0.00,0.00 1000056133,"1000056133","090","Waiver service provider--Elderly (DOA)","COMMUNITY CARE SYSTEMS INC","627022312","091","Sangamon"," ","","0","0","",0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1485.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1485.96,0.00,0.00 1000363052,"1598781718","010","Physicians","MYCKATYN TERENCE","631101010","826","Missouri"," ","","0","0","Plastic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,81,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,81,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20781.43,0.00,0.00,0.00,0.00,0.00,0.00,20781.43,0.00,0.00 1000414827," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9854.92,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9854.92,0.00,0.00 1000303895," ","010","Physicians",""," ","816","Iowa"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,3,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,4,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,70.72,0.00,282.52,0.00,0.00,0.00,0.00,0.00,0.00,353.24,0.00,0.00 1000057071,"1366608150","016","Nurse Practitioners","NICHELSON JENNIFER","627047401","091","Sangamon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6.37,0.00,0.00,0.00,0.00,0.00,0.00,6.37,0.00,0.00 1000333137,"1184821027","055","Early Intervention Services","ROBINSON BERNICE","604264920","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,609,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,609,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,74515.56,0.00,0.00,0.00,0.00,0.00,0.00,74515.56,0.00,0.00 1000235011,"1164492062","010","Physicians","MCINERNEY PATRICK","601232300","053","Kane"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,2,2,0,437,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,2,0,454,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,2,0,454,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,209.35,8.50,0.00,18360.50,0.00,0.00,0.00,0.00,0.00,0.00,18578.35,16.00,0.00 1000347146," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4361.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4361.97,0.00,0.00 1000378285,"1003875741","010","Physicians","BRIEVA JOAQUIN","606114402","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,1,0,227,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,675,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,675,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4.70,0.00,9772.91,0.00,0.00,0.00,0.00,0.00,0.00,9777.61,1.00,0.00 1000307994,"1154369262","010","Physicians","ROUMELIOTIS PETER","604502476","040","Grundy"," ","","0","1","Internal Medicine",69,0,0,0,0,0,0,0,0,0,0,0,146,0,0,0,0,0,0,587,0,0,0,0,0,0,0,0,0,0,0,940,0,0,0,0,0,0,587,0,0,0,0,0,0,0,0,0,0,0,940,0,0,0,0,0,0,1838.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7764.81,0.00,0.00,0.00,0.00,0.00,0.00,9602.81,0.00,0.00 1000252589," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2699.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2699.85,0.00,0.00 1000017633,"1013940832","010","Physicians","NAUGHTON PATRICIA","601262966","030","DuPage"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,894.50,0.00,0.00,0.00,0.00,0.00,0.00,894.50,0.00,0.00 1000388134," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9942.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9942.80,0.00,0.00 1000266333," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1398.59,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1398.59,0.00,0.00 1000114617,"1568454130","040","Federally Qualified Health Centers","HARDIN COUNTY MEDICAL CLINIC","629319801","043","Hardin"," ","","0","1","",547,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4031,64,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4031,64,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9956.00,2869.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12825.53,0.00,0.00 1000433343,"1396718797","010","Physicians","NASSERY M","623014096","010","Adams"," ","","0","0","Internal Medicine",1,0,0,0,0,0,0,0,0,0,0,0,299,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,1040,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,1040,0,0,0,0,0,0,16.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14023.61,0.00,0.00,0.00,0.00,0.00,0.00,14039.61,0.00,0.00 1000107908,"1306872270","010","Physicians","MITCHELL RON","631102515","826","Missouri"," ","","0","0","Otorhinolaryngology",0,0,0,7,0,0,0,0,0,0,0,0,338,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,515,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,515,0,0,0,0,0,0,0.00,0.00,0.00,148.30,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,38068.83,0.00,0.00,0.00,0.00,0.00,0.00,38217.13,85.00,0.00 1000371759," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","089","Rock Island"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2902.57,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2902.57,0.00,0.00 1000341171,"1922101559","010","Physicians","ANSARI NAVEED","600052465","200","Cook"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,14,0,97,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,209,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,209,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,76.12,0.00,8987.15,0.00,0.00,0.00,0.00,0.00,0.00,9063.27,0.00,0.00 1000030908," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11929.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11929.53,0.00,0.00 1000134866,"1750331955","050","Home Health Agencies - In Home","GRAND HOME HEALTH CARE INC","606343330","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,82,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,82,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5029.88,0.00,0.00,0.00,0.00,0.00,0.00,5029.88,0.00,0.00 1000322737," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000410320," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25938.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25938.69,0.00,0.00 1000009843," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,27581.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27581.80,0.00,0.00 1000245533,"1538260609","010","Physicians","SINHA SUSHANT","625261633","063","Macon"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,32,0,257,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,608,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,608,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,188.55,0.00,15178.59,0.00,0.00,0.00,0.00,0.00,0.00,15367.14,0.00,0.00 1000120571,"1780670596","010","Physicians","BHATIA SUMIT","617011784","072","McLean"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,7,0,124,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,461,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,461,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,326.75,0.00,29282.82,0.00,0.00,0.00,0.00,0.00,0.00,29609.57,0.00,0.00 1000220451," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,48.23,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,48.23,0.00,0.00 1000459424,"1053350173","010","Physicians","SUN GEORGE","628013006","066","Marion"," ","","0","0","Obstetric-Gynecology",0,0,0,1,0,0,0,0,0,0,367,0,317,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,739,0,509,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,739,0,509,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,49280.83,0.00,124375.35,0.00,0.00,0.00,0.00,0.00,0.00,173656.18,0.00,0.00 1000071080," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","039","Greene"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1818.33,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1818.33,0.00,0.00 1000091676," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","099","Union"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2879.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2879.86,0.00,0.00 1000430182,"1194749416","010","Physicians","DENGLER GEORGE","606213114","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1565,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1568,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1568,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,62616.83,0.00,0.00,0.00,0.00,0.00,0.00,62616.83,242.00,0.00 1000375511," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,159.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,159.14,0.00,0.00 1000320657," 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","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,67,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,876,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,876,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,53365.80,0.00,0.00,0.00,0.00,0.00,0.00,53365.80,0.00,0.00 1000288723,"1396739801","016","Nurse Practitioners","SCHWADER ANNETTA","622201915","096","St Clair"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,416.00,0.00,0.00,0.00,0.00,0.00,0.00,416.00,0.00,0.00 1000223734," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16852.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16852.07,0.00,0.00 1000179402," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1027.09,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1027.09,0.00,0.00 1000447413," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,32.80,0.00,0.00,0.00,0.00,0.00,0.00,32.80,0.00,0.00 1000091594,"1619919388","060","Pharmacies","HY VEE CLINIC PHARMACY 1215","614011251","056","Knox"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,377,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2376,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,53181,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,140463.37,0.00,0.00,0.00,140463.37,0.00,0.00 1000366661," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11097.09,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11097.09,0.00,0.00 1000459016," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,349.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,349.65,0.00,0.00 1000029970,"1083790059","016","Nurse Practitioners","MURRAY KATHLEEN","600531313","200","Cook"," ","","0","0","",0,0,0,10,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0.00,0.00,0.00,64.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1643.57,0.00,0.00,0.00,0.00,0.00,0.00,1707.57,0.00,0.00 1000294494," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","090","Saline"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,736.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,736.15,0.00,0.00 1000313479," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","815","Indiana"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2796.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2796.78,0.00,0.00 1000085232," ","010","Physicians",""," ","844","Tennessee"," ","","0","0","Neonatology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,487.32,0.00,0.00,0.00,0.00,0.00,0.00,487.32,0.00,0.00 1000414888,"1124297106","047","Local Education Agencies","CENTRAL COLUMBIA GRADE SCH 51","615711111","098","Tazewell"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,350,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,350,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2437.88,0.00,2437.88,0.00,0.00 1000407914," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12721.30,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12721.30,0.00,0.00 1000325082," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","018","Cass"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12446.17,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12446.17,0.00,0.00 1000073568," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","050","Jersey"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1302.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1302.12,0.00,0.00 1000286439," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,29820.37,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29820.37,0.00,0.00 1000210051," ","061","Independent Laboratories",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,388.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,388.50,0.00,0.00 1000011923,"1144299785","010","Physicians","MOHIUDDIN MUHAMMED","606081732","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,9,0,0,547,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,1935,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,1935,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,454.75,0.00,0.00,58011.17,0.00,0.00,0.00,0.00,0.00,0.00,58465.92,4.00,0.00 1000364785," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11722.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11722.54,0.00,0.00 1000426430,"1033171285","010","Physicians","SCIANNA JOSEPH","601783126","027","Dekalb"," ","","0","0","Otolaryngology",0,0,0,10,0,0,0,0,0,0,0,0,225,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,558,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,558,0,0,0,0,0,0,0.00,0.00,0.00,136.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27347.48,0.00,0.00,0.00,0.00,0.00,0.00,27484.28,0.00,0.00 1000052299," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1567.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1567.98,0.00,0.00 1000149895,"1114042884","047","Local Education Agencies","SCHAUMBURG CCSD 54","601943510","200","Cook"," ","","0","0","",0,0,0,177,0,0,0,0,0,0,0,0,0,0,0,0,0,731,0,0,0,0,361,0,0,0,0,0,0,0,0,0,0,0,0,0,49813,0,0,0,0,361,0,0,0,0,0,0,0,0,0,0,0,0,0,49813,0,0.00,0.00,0.00,1974.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,834364.28,0.00,836338.68,0.00,0.00 1000077238," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,783.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,783.69,0.00,0.00 1000069612," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8181.26,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8181.26,0.00,0.00 1000289926," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3231.22,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3231.22,0.00,0.00 1000436687,"1417021882","010","Physicians","HAMEL TIM","610249590","109","Winnebago"," ","","0","0","Family Practice",0,0,0,19,0,0,0,0,0,0,12,0,165,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,13,0,251,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,13,0,251,0,0,0,0,0,0,0.00,0.00,0.00,590.75,0.00,0.00,0.00,0.00,0.00,0.00,50.12,0.00,6898.34,0.00,0.00,0.00,0.00,0.00,0.00,7539.21,0.00,0.00 1000051157," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10860.75,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10860.75,0.00,0.00 1000405773," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,101.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,101.24,0.00,0.00 1000295636," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,36.25,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,36.25,0.00,0.00 1000320514," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","088","Richland"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,216,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,216,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10227.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10227.60,0.00,0.00 1000019305,"1932137486","010","Physicians","LAMBERT DUANE","605234649","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,154.49,0.00,0.00,0.00,0.00,0.00,0.00,154.49,0.00,0.00 1000217494,"1548244825","010","Physicians","RESNICK ALAN","604224385","200","Cook"," ","","0","0"," Allergy",0,0,0,1,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0.00,0.00,0.00,6.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,284.75,0.00,0.00,0.00,0.00,0.00,0.00,291.15,0.00,0.00 1000008436," ","070","Ambulance Service Providers",""," ","816","Iowa"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,241.58,0.00,0.00,0.00,0.00,0.00,0.00,241.58,0.00,0.00 1000100322,"1164453221","060","Pharmacies","KMART STORES OF IL LLC 3594","606323009","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,466,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2625,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,58262,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,72517.10,0.00,0.00,0.00,72517.10,0.00,0.00 1000343251,"1000343251","090","Waiver service provider--Elderly (DOA)","ADDUS HEALTHCARE INC","600677486","200","Cook"," ","","0","0","",0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,422,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,422,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,65136.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,65136.12,0.00,0.00 1000270758,"1003011008","014","Chiropractors","MOSLEY DANNY","622691900","096","St Clair"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,96,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1671,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1671,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15835.38,0.00,0.00,0.00,0.00,0.00,0.00,15835.38,184.00,0.00 1000354528," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,49.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,49.72,0.00,0.00 1000406242," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","047","Jackson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5170.38,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5170.38,0.00,0.00 1000392559,"1831311505","010","Physicians","YU BRIAN","604532600","200","Cook"," ","","0","1","Internal Medicine",236,0,0,1,0,0,0,0,0,2,1,0,133,0,0,0,0,0,0,597,0,0,1,0,0,0,0,0,6,1,0,206,0,0,0,0,0,0,597,0,0,1,0,0,0,0,0,6,1,0,206,0,0,0,0,0,0,1913.00,0.00,0.00,85.65,0.00,0.00,0.00,0.00,0.00,137.15,4.00,0.00,5356.78,0.00,0.00,0.00,0.00,0.00,0.00,7496.58,0.00,0.00 1000254648,"1881633733","016","Nurse Practitioners","TILTON TONI","618012334","019","Champaign"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,154,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,156,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,156,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21056.54,0.00,0.00,0.00,0.00,0.00,0.00,21056.54,0.00,0.00 1000272634," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20868.01,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20868.01,0.00,0.00 1000243331,"1033145164","010","Physicians","EDGREN DOUGLAS","605212962","030","DuPage"," ","","0","1","Family Practice",6,0,0,6,0,0,0,0,0,0,30,0,346,0,0,0,0,0,0,18,0,0,6,0,0,0,0,0,0,49,0,886,0,0,0,0,0,0,18,0,0,6,0,0,0,0,0,0,49,0,886,0,0,0,0,0,0,66.00,0.00,0.00,442.56,0.00,0.00,0.00,0.00,0.00,0.00,168.63,0.00,15112.30,0.00,0.00,0.00,0.00,0.00,0.00,15789.49,0.00,0.00 1000239701," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8634.62,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8634.62,0.00,0.00 1000369353," ","016","Nurse Practitioners",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4.00,0.00,0.00,0.00,0.00,0.00,0.00,4.00,0.00,0.00 1000464257,"1265418313","016","Nurse Practitioners","SAWYER MARCELYN","625262472","063","Macon"," ","","0","0","",0,0,0,14,0,0,0,0,0,0,0,0,294,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,438,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,438,0,0,0,0,0,0,0.00,0.00,0.00,94.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13878.52,0.00,0.00,0.00,0.00,0.00,0.00,13972.91,0.00,0.00 1000328161," ","010","Physicians",""," ","200","Cook"," ","","0","1","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5.74,0.00,0.00,0.00,0.00,0.00,0.00,5.74,0.00,0.00 1000407649," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17872.63,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17872.63,0.00,0.00 1000070815," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11032.46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11032.46,0.00,0.00 1000429244,"1174553523","010","Physicians","MYERS JOHN","611082490","109","Winnebago"," ","","0","0","Cardiovascular Surgery",0,0,0,0,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,140,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,140,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25697.69,0.00,0.00,0.00,0.00,0.00,0.00,25697.69,0.00,0.00 1000253119,"1760579817","070","Ambulance Service Providers","VILLAGE OF WESTCHESTER","601542519","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,79,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,186,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,186,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10287.63,0.00,0.00,0.00,0.00,0.00,0.00,10287.63,0.00,0.00 1000232788,"1548473853","016","Nurse Practitioners","MCANULTY BRIAN","622265360","096","St Clair"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,127,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,127,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,127,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21155.97,0.00,0.00,0.00,0.00,0.00,0.00,21155.97,15.00,0.00 1000245737," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","101","Wabash"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,562.48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,562.48,0.00,0.00 1000025137,"1023129897","010","Physicians","KAO COLIN","604624600","200","Cook"," ","","0","0","Family Practice",241,0,0,1,0,0,0,0,0,0,4,0,39,0,0,0,0,0,0,241,0,0,2,0,0,0,0,0,0,6,0,60,0,0,0,0,0,0,241,0,0,2,0,0,0,0,0,0,6,0,60,0,0,0,0,0,0,628.00,0.00,0.00,10.50,0.00,0.00,0.00,0.00,0.00,0.00,40.70,0.00,1925.93,0.00,0.00,0.00,0.00,0.00,0.00,2605.13,0.00,0.00 1000029766," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13594.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13594.70,0.00,0.00 1000034130,"1760437172","010","Physicians","BENIG CORAZON R","606431408","200","Cook"," ","","0","1","Internal Medicine",32,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,304,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,304,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,1057.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1057.00,0.00,0.00 1000206707," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","815","Indiana"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,61,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,61,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4248.47,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4248.47,0.00,0.00 1000044591," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","108","Williamson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5811.38,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5811.38,0.00,0.00 1000182155," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5169.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5169.12,0.00,0.00 1000148223," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1699.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1699.99,0.00,0.00 1000359096," ","022","Physical Therapists",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4092.90,4092.90,0.00,0.00 1000285705," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1034.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1034.95,0.00,0.00 1000334748," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11040.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11040.67,0.00,0.00 1000026014,"1194039669","016","Nurse Practitioners","DOUGHERTY MICHELLE","606162333","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5945.87,0.00,0.00,0.00,0.00,0.00,0.00,5945.87,0.00,0.00 1000139230," ","060","Pharmacies",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,270,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2449.90,0.00,0.00,0.00,2449.90,0.00,0.00 1000326632,"1699873588","011","Dentists","RUBIS DAVID","604413076","107","Will"," ","","0","0","General Dentistry",0,0,96,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,328,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,328,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,14104.05,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14104.05,0.00,0.00 1000285379,"1518949288","010","Physicians","JOHNSON STEVEN","631366192","826","Missouri"," ","","0","0","Medical Microbiology",0,0,0,0,0,0,0,0,0,0,113,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,130,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,130,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2274.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2274.41,7.00,0.00 1000074241," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22674.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22674.60,0.00,0.00 1000145001,"1275710477","010","Physicians","BAUM TARA","614010500","056","Knox"," ","","0","0","Obstetric-Gynecology",0,0,0,1,0,0,0,0,0,0,123,0,268,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,146,0,622,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,146,0,622,0,0,0,0,0,0,0.00,0.00,0.00,14.60,0.00,0.00,0.00,0.00,0.00,0.00,10081.00,0.00,69127.59,0.00,0.00,0.00,0.00,0.00,0.00,79223.19,0.00,0.00 1000426022,"1982631537","010","Physicians","GIBBONS VINCENT","631102515","826","Missouri"," ","","0","0","Child Neurology",0,0,0,0,0,0,0,0,0,0,0,0,82,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,116,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,116,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4835.36,0.00,0.00,0.00,0.00,0.00,0.00,4835.36,5.00,0.00 1000029379," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","084","Pope"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3076.57,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3076.57,0.00,0.00 1000330792," ","024","Speech Therapists",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,83,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,83,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5733.77,5733.77,0.00,0.00 1000275326,"1497752752","016","Nurse Practitioners","GALLAGHER SUSAN","612656138","089","Rock Island"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,184,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,194,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,194,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12670.49,0.00,0.00,0.00,0.00,0.00,0.00,12670.49,5.00,0.00 1000318985," ","025","Audiologists",""," ","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20.15,20.15,0.00,0.00 1000160560," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8742.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8742.12,0.00,0.00 1000100934,"1679718365","016","Nurse Practitioners","DUFOUR COLLEEN","600155234","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,826.02,0.00,0.00,0.00,0.00,0.00,0.00,826.02,0.00,0.00 1000000259," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3000.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3000.00,0.00,0.00 1000034334," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2834.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2834.85,0.00,0.00 1000127627," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7931.68,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7931.68,0.00,0.00 1000124466," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,354.36,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,354.36,0.00,0.00 1000299184," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","070","McDonough"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3394.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3394.53,0.00,0.00 1000166392," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","047","Jackson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,843.71,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,843.71,0.00,0.00 1000357811,"1659484871","016","Nurse Practitioners","SIMON PRICE LINDA","606405704","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,214,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,265,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,265,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,54818.47,0.00,0.00,0.00,0.00,0.00,0.00,54818.47,1.00,0.00 1000400002,"1851333025","010","Physicians","PARKER ELIZA","606143363","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,101,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,121,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,121,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5261.89,0.00,0.00,0.00,0.00,0.00,0.00,5261.89,1.00,0.00 1000276243," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","077","Morgan"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,397.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,397.80,0.00,0.00 1000103340,"1588771943","024","Speech Therapists","SINGLETARY BONNIE","622692859","096","St Clair"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,381,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,381,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,30080.15,30080.15,0.00,0.00 1000322125,"1437200516","012","Optometrists","HARRIS BERRY","619389044","024","Coles"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,996,0,638,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2014,0,639,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2014,0,639,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,60978.05,0.00,19126.19,0.00,0.00,0.00,0.00,80104.24,0.00,0.00 1000360686,"1225006752","010","Physicians","HOWARD DEMACEO","616142085","080","Peoria"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,84,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,350,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,350,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9392.10,0.00,0.00,0.00,0.00,0.00,0.00,9392.10,0.00,0.00 1000021650," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","101","Wabash"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2462.63,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2462.63,0.00,0.00 1000291476,"1659322790","010","Physicians","MALLOY MARY A","601262816","030","DuPage"," ","","0","1","Internal Medicine",107,0,0,3,0,0,0,0,0,0,9,0,93,0,0,0,0,0,0,743,0,0,4,0,0,0,0,0,0,10,0,198,0,0,0,0,0,0,743,0,0,4,0,0,0,0,0,0,10,0,198,0,0,0,0,0,0,2281.00,0.00,0.00,301.97,0.00,0.00,0.00,0.00,0.00,0.00,35.18,0.00,8664.70,0.00,0.00,0.00,0.00,0.00,0.00,11282.85,0.00,0.00 1000075505," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","024","Coles"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,45.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,45.00,0.00,0.00 1000438033,"1194902353","028","Waiver service provider--Supportive living facility (HFS)","BETH ANNE PLACE","606513117","200","Cook"," ","","0","0","",0,0,0,0,0,82,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,845,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22647,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1487456.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1487456.39,0.00,0.00 1000449901," ","036","Community mental health provider",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,224.64,0.00,0.00,224.64,0.00,0.00 1000038208," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,506.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,506.39,0.00,0.00 1000196103,"1770662314","033","Nursing Facilities","WRIGHT NURSING HOME","610851400","051","Jo Daviess"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,197,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5781,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,408567.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,408567.10,0.00,0.00 1000038412,"1932173267","010","Physicians","BOBLICK WILLIAM E","601533304","200","Cook"," ","","0","1","Internal Medicine",10,0,0,0,0,0,0,0,0,0,0,0,82,0,0,0,0,0,0,102,0,0,0,0,0,0,0,0,0,0,0,303,0,0,0,0,0,0,102,0,0,0,0,0,0,0,0,0,0,0,303,0,0,0,0,0,0,379.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5769.75,0.00,0.00,0.00,0.00,0.00,0.00,6148.75,0.00,0.00 1000071202," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9081.87,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9081.87,0.00,0.00 1000055582,"1063454312","080","Prepaid health plan--Health maintenance organization","OSBEC MEDICAL OF SOUTHERN ILL","622491266","065","Madison"," ","","0","0","",36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,299,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,299,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,55161.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,55161.39,0.00,0.00 1000402143," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8669.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8669.88,0.00,0.00 1000208644," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4563.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4563.50,0.00,0.00 1000071141,"1821099052","010","Physicians","CORMIER PETER","600052857","200","Cook"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,5,958,0,172,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,1354,0,224,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,1354,0,224,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,185.63,33105.03,0.00,3785.96,0.00,0.00,0.00,0.00,0.00,0.00,37076.62,16.00,0.00 1000311052,"1730228180","011","Dentists","LUBAEV IGOR","607145610","200","Cook"," ","","0","0","General Dentistry",0,0,252,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,1187,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,1187,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0.00,0.00,51520.90,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7150.65,0.00,0.00,0.00,0.00,58671.55,0.00,0.00 1000272960," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","036","Franklin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,376.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,376.86,0.00,0.00 1000462299," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1097.17,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1097.17,0.00,0.00 1000072895,"1902945538","011","Dentists","VILLANUEVA ALAN","605461509","200","Cook"," ","","0","0","General Dentistry",0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,775.75,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,775.75,0.00,0.00 1000393558,"1033395629","010","Physicians","MOSQUERA GUSTAVO","627810001","091","Sangamon"," ","","0","0","Emergency Medicine",0,0,0,1,0,0,0,0,0,0,0,0,483,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,551,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,551,0,0,0,0,0,0,0.00,0.00,0.00,6.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14969.20,0.00,0.00,0.00,0.00,0.00,0.00,14975.60,0.00,0.00 1000400940," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2525.90,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2525.90,0.00,0.00 1000033987,"1265566426","022","Physical Therapists","STALKER TINA","606146005","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,521,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,521,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,41182.21,41182.21,0.00,0.00 1000447617,"1205830197","063","Other Providers of Medical Equipment/Supplies (Non-registered)","AMERICAN MEDICAL SUPPLIES INC","334873622","810","Florida"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,84,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,486,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,486,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7053.45,0.00,0.00,0.00,0.00,0.00,0.00,7053.45,0.00,0.00 1000394231," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3133.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3133.54,0.00,0.00 1000018632,"1316932668","013","Podiatrists","CARR THOMAS","606142393","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,285.13,0.00,0.00,0.00,0.00,0.00,0.00,285.13,0.00,0.00 1000344536," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","081","Perry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11277.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11277.54,0.00,0.00 1000306627," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","060","Lee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2032.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2032.53,0.00,0.00 1000076443," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7973.22,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7973.22,0.00,0.00 1000167595,"1467430132","010","Physicians","COLLINS RICHARD","612656152","089","Rock Island"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,217,0,332,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,371,0,640,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,371,0,640,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6307.90,0.00,45657.75,0.00,0.00,0.00,0.00,0.00,0.00,51965.65,10.00,0.00 1000346004,"1245271212","010","Physicians","VENDER JEFFERY S","606118709","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,751.54,0.00,0.00,0.00,0.00,0.00,0.00,751.54,0.00,0.00 1000351979,"1407184898","063","Other Providers of Medical Equipment/Supplies (Non-registered)","PACIFIC PULMONARY SERVICES","616151565","080","Peoria"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,257,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,257,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10023.46,0.00,0.00,0.00,0.00,0.00,0.00,10023.46,0.00,0.00 1000002196,"1093771438","010","Physicians","KAGALWALLA YASMEEN","604321439","107","Will"," ","","0","0","Pathology",0,0,0,0,0,0,0,0,0,0,402,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,583,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,583,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8590.09,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8590.09,0.00,0.00 1000375389,"1790749455","010","Physicians","ARROTTI J","604641515","200","Cook"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,5,0,137,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,290,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,290,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,74.98,0.00,2335.33,0.00,0.00,0.00,0.00,0.00,0.00,2410.31,1.00,0.00 1000039207," ","022","Physical Therapists",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1059.43,1059.43,0.00,0.00 1000358688," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1552.58,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1552.58,0.00,0.00 1000076504," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5720.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5720.96,0.00,0.00 1000256463,"1730257924","010","Physicians","BOYD EMILY","622861048","087","Randolph"," ","","0","0","Obstetric-Gynecology",0,0,0,27,0,0,0,0,0,0,426,0,691,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,987,0,1483,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,987,0,1483,0,0,0,0,0,0,0.00,0.00,0.00,1359.70,0.00,0.00,0.00,0.00,0.00,0.00,27921.19,0.00,119640.39,0.00,0.00,0.00,0.00,0.00,0.00,148921.28,305.00,0.00 1000262968," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1160.25,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1160.25,0.00,0.00 1000316701,"1154317899","010","Physicians","OLYSAV DAVID","627949639","091","Sangamon"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,343,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,589,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,589,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,78367.73,0.00,0.00,0.00,0.00,0.00,0.00,78367.73,0.00,0.00 1000417437," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9331.22,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9331.22,0.00,0.00 1000156522,"1235320011","048","Rural Health Clinics","THE DOCTORS CLINIC","628211773","105","White"," ","","0","1","",178,167,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1175,1596,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1175,1596,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3095.00,43974.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,47069.80,0.00,0.00 1000414623," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18387.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18387.64,0.00,0.00 1000453449," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","103","Washington"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1195.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1195.39,0.00,0.00 1000381017,"1326022732","030","General Hospitals","PARADISE VALLEY HOSPITAL","850322112","803","Arizona","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,7,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,925.00,0.00,0.00,0.00,0.00,3346.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4271.20,0.00,0.00 1000268535,"1558419523","050","Home Health Agencies - In Home","H H SER OF COMM HOSP OF OTTAWA","613509333","058","La Salle"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,644,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,644,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,39686.98,0.00,0.00,0.00,0.00,0.00,0.00,39686.98,0.00,0.00 1000053971," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,928.48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,928.48,0.00,0.00 1000175650,"1558375030","010","Physicians","AUSTIN TONJA","604291902","200","Cook"," ","","0","1","Family Practice",467,0,0,101,0,0,0,0,0,0,49,0,270,0,0,0,0,0,0,4188,0,0,199,0,0,0,0,0,0,51,0,442,0,0,0,0,0,0,4188,0,0,199,0,0,0,0,0,0,51,0,442,0,0,0,0,0,0,9981.00,0.00,0.00,7783.97,0.00,0.00,0.00,0.00,0.00,0.00,164.90,0.00,18771.79,0.00,0.00,0.00,0.00,0.00,0.00,36701.66,250.00,0.00 1000283564,"1821048422","010","Physicians","JAFFE BURTON","629483631","108","Williamson"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,723,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,769,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,769,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,30035.31,0.00,0.00,0.00,0.00,0.00,0.00,30035.31,20.00,0.00 1000308585," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6084.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6084.14,0.00,0.00 1000367273,"1679564629","010","Physicians","RUFFER JAMES","600101948","057","Lake"," ","","0","0","Radiation Oncology",0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,90,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,90,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2369.60,0.00,0.00,0.00,0.00,0.00,0.00,2369.60,0.00,0.00 1000133785,"1174709844","011","Dentists","PHILIPPOU CHRISTINA","606466237","200","Cook"," ","","0","0","General Dentistry",0,0,337,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,1762,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,1762,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0.00,0.00,59765.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1129.05,0.00,0.00,0.00,0.00,60894.75,0.00,0.00 1000169410,"1902987076","010","Physicians","MALTEZOS STAVROS","605151552","030","DuPage"," ","","0","0","Neurology Surgery",0,0,0,0,0,0,0,0,0,1,1,0,55,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,1,0,134,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,1,0,134,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2699.45,32.70,0.00,14746.86,0.00,0.00,0.00,0.00,0.00,0.00,17479.01,0.00,0.00 1000209725," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5215.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5215.60,0.00,0.00 1000373574,"1033383088","010","Physicians","VALERO ELSA","606084511","200","Cook"," ","","0","1","Family Practice",411,0,0,227,0,0,0,0,0,0,75,0,604,0,0,0,0,0,0,3072,0,0,379,0,0,0,0,0,0,65,0,1108,0,0,0,0,0,0,3072,0,0,379,0,0,0,0,0,0,65,0,1108,0,0,0,0,0,0,7785.00,0.00,0.00,14042.61,0.00,0.00,0.00,0.00,0.00,0.00,161.86,0.00,41389.65,0.00,0.00,0.00,0.00,0.00,0.00,63379.12,973.00,0.00 1000085171,"1942250568","010","Physicians","MILLER JEREMY","602011769","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,36756.10,0.00,0.00,0.00,0.00,0.00,0.00,36756.10,1.00,0.00 1000140433," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5582.29,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5582.29,0.00,0.00 1000312398,"1013168343","010","Physicians","CATALDI NICOLE","608052701","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,16,0,96,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,143,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,143,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,503.30,0.00,13604.10,0.00,0.00,0.00,0.00,0.00,0.00,14107.40,11.00,0.00 1000337827," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","023","Clinton"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,193,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,193,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,23278.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23278.32,0.00,0.00 1000391886,"1730162108","010","Physicians","MOHSIN KHAJA","620628553","065","Madison"," ","","0","1","Internal Medicine",100,0,0,0,0,0,0,0,0,0,20,0,409,0,0,0,0,0,0,941,0,0,0,0,0,0,0,0,0,46,0,2179,0,0,0,0,0,0,941,0,0,0,0,0,0,0,0,0,46,0,2179,0,0,0,0,0,0,2962.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,72.24,0.00,33213.58,0.00,0.00,0.00,0.00,0.00,0.00,36247.82,3.00,0.00 1000418579," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,27123.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27123.10,0.00,0.00 1000323410," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,391.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,391.85,0.00,0.00 1000386380," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,219.61,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,219.61,0.00,0.00 1000010047," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25192.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25192.64,0.00,0.00 1000383566," ","092","Waiver service provider--Disability (DHS/DRS)",""," 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JACQUELYN","606123833","200","Cook"," ","","0","0","Pediatrics",0,0,0,34,0,0,0,0,0,0,2,0,43,0,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,2,0,108,0,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,2,0,108,0,0,0,0,0,0,0.00,0.00,0.00,2737.14,0.00,0.00,0.00,0.00,0.00,0.00,6.98,0.00,3124.81,0.00,0.00,0.00,0.00,0.00,0.00,5868.93,11.00,0.00 1000387930," ","030","General Hospitals",""," ","831","New Jersey","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,67.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,67.00,0.00,0.00 1000010720,"1740271667","048","Rural Health Clinics","KIRBY RURAL HEALTH CLN ATWOOD","618561151","082","Piatt"," ","","0","1","",1233,633,0,210,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9315,5318,0,723,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9315,5318,0,723,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23026.00,194447.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,217473.12,0.00,0.00 1000317109," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","059","Lawrence"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4151.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4151.97,0.00,0.00 1000263519,"1932109121","010","Physicians","HORVAT MARIA","619200482","024","Coles"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,859.32,0.00,0.00,0.00,0.00,0.00,0.00,859.32,0.00,0.00 1000452511," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10630.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10630.72,0.00,0.00 1000309462,"1659361525","010","Physicians","KASTNER GREGORY","624541168","025","Crawford"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,97,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,97,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,776.25,0.00,0.00,0.00,0.00,0.00,0.00,776.25,0.00,0.00 1000026279,"1629088604","010","Physicians","TEPPER DANIEL","606086705","200","Cook"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,138,0,1205,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,142,0,3645,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,142,0,3645,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1107.86,0.00,126999.98,0.00,0.00,0.00,0.00,0.00,0.00,128107.84,36.00,0.00 1000337358,"1598824732","010","Physicians","KHANNA VIKRAM","600987401","071","McHenry"," ","","0","0","Dermatology",0,0,0,0,0,0,0,0,0,0,50,0,381,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,84,0,1027,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,84,0,1027,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,877.45,0.00,32298.88,0.00,0.00,0.00,0.00,0.00,0.00,33176.33,0.00,0.00 1000464665,"1669449005","010","Physicians","MICHL EDWARD","605406554","030","DuPage"," ","","0","1","Internal Medicine",5,0,0,0,0,0,0,0,0,0,2,0,17,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,11,0,76,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,11,0,76,0,0,0,0,0,0,168.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,42.02,0.00,243.84,0.00,0.00,0.00,0.00,0.00,0.00,453.86,0.00,0.00 1000215557,"1114902483","010","Physicians","JACOBSON REBECCA","600451694","057","Lake"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,1,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,33,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,33,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,35.95,0.00,3547.80,0.00,0.00,0.00,0.00,0.00,0.00,3583.75,0.00,0.00 1000263580,"1063597664","064","Imaging Services","BIOMEDICAL IMAGING","630336778","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,29,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,92.48,0.00,0.00,0.00,0.00,0.00,0.00,92.48,0.00,0.00 1000000993," ","010","Physicians",""," ","108","Williamson"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29.65,0.00,0.00,0.00,0.00,0.00,0.00,29.65,0.00,0.00 1000165046,"1164439907","011","Dentists","BERTAGNA GREGORY","601711083","200","Cook"," ","","0","0","Other Specialty",0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,2131.71,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2131.71,0.00,0.00 1000112476," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1394.93,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1394.93,0.00,0.00 1000207380," ","017","All Kids Application agent (insurance agent)",""," 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1000309727,"1043227200","010","Physicians","ALAM DANESH","605593700","030","DuPage"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,101,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,101,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,130.90,0.00,0.00,0.00,0.00,0.00,0.00,130.90,0.00,0.00 1000447760,"1538163456","013","Podiatrists","NOORLAG WILLIAM","601262017","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,116,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,116,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,311.72,0.00,0.00,0.00,0.00,0.00,0.00,311.72,0.00,0.00 1000329915," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," 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KATHLEEN","605233808","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,1,0,0,195,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,311,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,311,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,49.80,0.00,0.00,9069.14,0.00,0.00,0.00,0.00,0.00,0.00,9118.94,5.00,0.00 1000376918," ","050","Home Health Agencies - In Home",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,368.04,0.00,0.00,0.00,0.00,0.00,0.00,368.04,0.00,0.00 1000304425," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","090","Saline"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1398.59,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1398.59,0.00,0.00 1000023995,"1861471229","010","Physicians","KANG SUNG SOO","612820028","089","Rock Island"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,150,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,153,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,153,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24357.20,0.00,0.00,0.00,0.00,0.00,0.00,24357.20,4.00,0.00 1000377734,"1679635122","010","Physicians","KRESS JOHN","605276686","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,38,0,160,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,43,0,532,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,43,0,532,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,43.64,0.00,33459.61,0.00,0.00,0.00,0.00,0.00,0.00,33503.25,0.00,0.00 1000113393,"1437267234","047","Local Education Agencies","SANGAMON AREA SPEC ED DIST","627034390","091","Sangamon"," 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provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,220,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,220,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12525.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12525.16,0.00,0.00 1000284971,"1730152273","010","Physicians","EVANS D","623014040","010","Adams"," ","","0","0","Nephrology",4,0,0,0,0,0,0,0,0,0,0,0,247,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,1256,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,1256,0,0,0,0,0,0,52.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18641.94,0.00,0.00,0.00,0.00,0.00,0.00,18693.94,0.00,0.00 1000240231," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,708.71,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,708.71,0.00,0.00 1000342986," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12734.62,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12734.62,0.00,0.00 1000327162," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","033","Effingham"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,247.48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,247.48,0.00,0.00 1000289396,"1124000179","010","Physicians","LECHNER ALISON","600566048","200","Cook"," ","","0","1","Family Practice",20,0,0,19,0,0,0,0,0,0,23,0,58,0,0,0,0,0,0,94,0,0,33,0,0,0,0,0,0,30,0,100,0,0,0,0,0,0,94,0,0,33,0,0,0,0,0,0,30,0,100,0,0,0,0,0,0,220.00,0.00,0.00,1557.50,0.00,0.00,0.00,0.00,0.00,0.00,212.03,0.00,3516.83,0.00,0.00,0.00,0.00,0.00,0.00,5506.36,0.00,0.00 1000361828,"1700879178","010","Physicians","SODHI BRIJNANDAN","618324368","100","Vermilion"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,8,0,151,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,1368,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,1368,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,53.37,0.00,25214.80,0.00,0.00,0.00,0.00,0.00,0.00,25268.17,0.00,0.00 1000444334," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2459.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2459.60,0.00,0.00 1000162089," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6400.92,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6400.92,0.00,0.00 1000190923," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18444.02,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18444.02,0.00,0.00 1000352305," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14582.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14582.80,0.00,0.00 1000436483,"1396763017","010","Physicians","ORSCHELN RACHEL","631101002","826","Missouri"," ","","0","0","Pediatrics",0,0,0,2,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,95,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,95,0,0,0,0,0,0,0.00,0.00,0.00,12.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6650.26,0.00,0.00,0.00,0.00,0.00,0.00,6663.06,3.00,0.00 1000073629,"1376552208","063","Other Providers of Medical Equipment/Supplies (Non-registered)","PERSONAL CARE PRODUCTS INC","633682231","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1027,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14398,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14398,0,10,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1105376.71,0.00,1177.07,0.00,0.00,0.00,0.00,1106553.78,5.00,0.00 1000265313,"1306938675","010","Physicians","CALVERT NELS","615544969","098","Tazewell"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,1239,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1429,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1429,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,51148.52,0.00,0.00,0.00,0.00,0.00,0.00,51148.52,0.00,0.00 1000463706," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,69.25,0.00,0.00,0.00,0.00,0.00,0.00,69.25,0.00,0.00 1000394761," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","078","Moultrie"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2821.89,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2821.89,0.00,0.00 1000316619,"1225220668","016","Nurse Practitioners","MALIN KATHRYN","605276686","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1255.50,0.00,0.00,0.00,0.00,0.00,0.00,1255.50,2.00,0.00 1000024668,"1801127188","016","Nurse Practitioners","GRAFTON VANESSA","618012530","019","Champaign"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,278,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,611,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,611,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,46719.03,0.00,0.00,0.00,0.00,0.00,0.00,46719.03,0.00,0.00 1000371290," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1272.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1272.96,0.00,0.00 1000424146,"1912180910","010","Physicians","NIMMAGADDA SWARUPA","608042411","200","Cook"," ","","0","1","Family Practice",643,0,0,220,0,0,0,0,0,0,108,0,276,0,0,0,0,0,0,2445,0,0,612,0,0,0,0,0,0,129,0,489,0,0,0,0,0,0,2445,0,0,612,0,0,0,0,0,0,129,0,489,0,0,0,0,0,0,4890.00,0.00,0.00,21463.79,0.00,0.00,0.00,0.00,0.00,0.00,738.68,0.00,14542.20,0.00,0.00,0.00,0.00,0.00,0.00,41634.67,0.00,0.00 1000127484,"1285729657","010","Physicians","HILLEN TRAVIS","631101016","826","Missouri"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,117,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,183,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,183,0,15,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2457.23,0.00,413.37,0.00,0.00,0.00,0.00,0.00,0.00,2870.60,4.00,0.00 1000104339," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1636.27,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1636.27,0.00,0.00 1000206564," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1861.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1861.10,0.00,0.00 1000119103,"1184616286","010","Physicians","FELDOTT JOHNSON DEBRA","622491239","065","Madison"," ","","0","1","Pediatrics",1057,0,0,438,0,0,0,0,0,0,160,0,588,0,0,0,0,0,0,9270,0,0,1905,0,0,0,0,0,0,202,0,1191,0,0,0,0,0,0,9270,0,0,1905,0,0,0,0,0,0,202,0,1191,0,0,0,0,0,0,18540.00,0.00,0.00,44509.91,0.00,0.00,0.00,0.00,0.00,0.00,2569.22,0.00,48306.50,0.00,0.00,0.00,0.00,0.00,0.00,113925.63,0.00,0.00 1000391417,"1780678441","010","Physicians","PEARCE FALLS FRANCINE","604231272","107","Will"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,238,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,319,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,319,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12390.97,0.00,0.00,0.00,0.00,0.00,0.00,12390.97,1.00,0.00 1000301060," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","086","Putnam"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,506.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,506.39,0.00,0.00 1000085497," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9401.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9401.32,0.00,0.00 1000191270,"1467486902","010","Physicians","BAILEY DONALD","477140511","815","Indiana"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2737.66,0.00,0.00,0.00,0.00,0.00,0.00,2737.66,0.00,0.00 1000043306,"1316069479","012","Optometrists","LEE RIA","600685556","200","Cook"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,378,0,247,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,814,0,247,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,814,0,247,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17793.21,0.00,7432.23,0.00,0.00,0.00,0.00,25225.44,0.00,0.00 1000432323,"1023039138","010","Physicians","AMPALLOOR SHEBA","606152400","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,849.60,0.00,0.00,0.00,0.00,0.00,0.00,849.60,32.00,0.00 1000014268,"1306962469","022","Physical Therapists","HAWBAKER KARYN","616159569","080","Peoria"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,205,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,205,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18049.45,18049.45,0.00,0.00 1000445680,"1801014675","010","Physicians","SHAMSI TANVEER","606311573","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,1,0,0,0,0,0,0,2,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10.00,0.00 1000441030,"1902007339","010","Physicians","BROWN HARRY","606575640","200","Cook"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,1,2054,0,88,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,2905,0,114,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,2905,0,114,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,37.95,56292.81,0.00,4559.18,0.00,0.00,0.00,0.00,0.00,0.00,60889.94,98.00,0.00 1000029501," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22598.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22598.14,0.00,0.00 1000193472," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15605.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15605.79,0.00,0.00 1000396841," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1434.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1434.76,0.00,0.00 1000381282,"1609815414","010","Physicians","SHAH SHEFALI","606142353","200","Cook"," ","","0","0","Family Practice",0,0,0,11,0,0,0,0,0,0,0,0,77,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,206,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,206,0,0,0,0,0,0,0.00,0.00,0.00,537.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3894.92,0.00,0.00,0.00,0.00,0.00,0.00,4432.62,0.00,0.00 1000232054,"1184612178","010","Physicians","HEGDE DINRAJ","606442342","200","Cook"," ","","0","0","Family Practice",133,0,0,119,0,0,0,0,0,0,87,0,839,0,0,0,0,0,0,469,0,0,259,0,0,0,0,0,0,84,0,1038,0,0,0,0,0,0,469,0,0,259,0,0,0,0,0,0,84,0,1038,0,0,0,0,0,0,1125.00,0.00,0.00,8267.30,0.00,0.00,0.00,0.00,0.00,0.00,403.80,0.00,73345.73,0.00,0.00,0.00,0.00,0.00,0.00,83141.83,174.00,0.00 1000105889," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","033","Effingham"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,24759.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24759.82,0.00,0.00 1000375980," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17018.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17018.45,0.00,0.00 1000030235," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1695.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1695.85,0.00,0.00 1000113128," ","010","Physicians",""," ","816","Iowa"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,40.50,0.00,0.00,0.00,0.00,0.00,0.00,40.50,0.00,0.00 1000239823," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","050","Jersey"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8802.04,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8802.04,0.00,0.00 1000178994," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","072","McLean"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1422.71,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1422.71,0.00,0.00 1000037270," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","072","McLean"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,373.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,373.76,0.00,0.00 1000066859,"1568632693","010","Physicians","SALVACION ALAIN","600442203","057","Lake"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3530.50,0.00,0.00,0.00,0.00,0.00,0.00,3530.50,1.00,0.00 1000365927,"1306874466","010","Physicians","MCALLASTER JASON","624012003","033","Effingham"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,185,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,472,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,472,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,39246.54,0.00,0.00,0.00,0.00,0.00,0.00,39246.54,0.00,0.00 1000198856," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14405.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14405.10,0.00,0.00 1000446618," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15732.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15732.67,0.00,0.00 1000291537,"1154336691","010","Physicians","NOOKALA SHOBHA","616025019","080","Peoria"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,277,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1481,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1481,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,32984.02,0.00,0.00,0.00,0.00,0.00,0.00,32984.02,0.00,0.00 1000367538," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7187.34,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7187.34,0.00,0.00 1000018571,"1467426445","016","Nurse Practitioners","COOK JOHN","610326600","097","Stephenson"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,240,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,724,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,724,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26551.76,0.00,0.00,0.00,0.00,0.00,0.00,26551.76,0.00,0.00 1000194023,"1477500056","010","Physicians","MAZIN ABDUL","606127330","200","Cook"," ","","0","0","General Practice",0,0,0,0,0,0,0,0,0,0,0,0,323,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,629,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,629,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27321.14,0.00,0.00,0.00,0.00,0.00,0.00,27321.14,17.00,0.00 1000007233,"1609858646","011","Dentists","KHOURI RHONDA","604551821","200","Cook"," ","","0","0","General Dentistry",0,0,2421,0,0,0,0,0,0,0,0,0,0,0,213,0,0,0,0,0,0,15961,0,0,0,0,0,0,0,0,0,0,0,369,0,0,0,0,0,0,15961,0,0,0,0,0,0,0,0,0,0,0,369,0,0,0,0,0.00,0.00,506020.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,138873.15,0.00,0.00,0.00,0.00,644893.84,0.00,0.00 1000307239," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7963.09,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7963.09,0.00,0.00 1000369944,"1790819589","063","Other Providers of Medical Equipment/Supplies (Non-registered)","THREE SPRINGS LODGE NURSG HOME","622331064","087","Randolph"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,55,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,55,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20088.60,0.00,0.00,0.00,0.00,0.00,0.00,20088.60,0.00,0.00 1000465195,"1144309634","016","Nurse Practitioners","BENDET JOSEPH","639015831","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1274.05,0.00,0.00,0.00,0.00,0.00,0.00,1274.05,0.00,0.00 1000010312,"1407897887","010","Physicians","WOLFSON RACHEL","606376686","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,153,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,312,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,312,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,37255.96,0.00,0.00,0.00,0.00,0.00,0.00,37255.96,8.00,0.00 1000369679,"1205802071","010","Physicians","AGRAWAL REKHA","601533304","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,171,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,525,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,525,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27592.05,0.00,0.00,0.00,0.00,0.00,0.00,27592.05,2.00,0.00 1000289600," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","072","McLean"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8937.17,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8937.17,0.00,0.00 1000053502,"1598786436","010","Physicians","KAZA HARSHA","535661546","852","Wisconsin"," ","","0","1","Internal Medicine",49,0,0,0,0,0,0,0,0,0,3,0,43,0,0,0,0,0,0,332,0,0,0,0,0,0,0,0,0,5,0,88,0,0,0,0,0,0,332,0,0,0,0,0,0,0,0,0,5,0,88,0,0,0,0,0,0,1028.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,70.15,0.00,3666.98,0.00,0.00,0.00,0.00,0.00,0.00,4765.13,0.00,0.00 1000239028,"1578637336","012","Optometrists","BECHTOLD JAMES","603021406","200","Cook"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,907,0,184,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1548,0,199,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1548,0,199,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22256.40,0.00,5987.91,0.00,0.00,0.00,0.00,28244.31,0.00,0.00 1000054379," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1.00,0.00 1000156930,"1265467989","010","Physicians","HOLUB DAVID","600261324","200","Cook"," ","","0","0","Family Practice",212,0,0,142,0,0,0,0,0,0,48,0,432,0,0,0,0,0,0,1435,0,0,378,0,0,0,0,0,0,53,0,585,0,0,0,0,0,0,1435,0,0,378,0,0,0,0,0,0,53,0,585,0,0,0,0,0,0,3584.00,0.00,0.00,12389.64,0.00,0.00,0.00,0.00,0.00,0.00,225.69,0.00,40633.05,0.00,0.00,0.00,0.00,0.00,0.00,56832.38,0.00,0.00 1000353121,"1215924949","010","Physicians","MACKIN WILLIAM","601344220","053","Kane"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,175,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,175,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2348.27,0.00,0.00,0.00,0.00,0.00,0.00,2348.27,0.00,0.00 1000139699," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11451.49,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11451.49,0.00,0.00 1000371229," ","016","Nurse Practitioners",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000174039,"1124059506","010","Physicians","LAL ROOP","622201900","096","St Clair"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,5,0,603,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,1279,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,1279,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,64.94,0.00,31668.38,0.00,0.00,0.00,0.00,0.00,0.00,31733.32,48.00,0.00 1000303222,"1962507624","010","Physicians","SCHRAUFNAGEL DEAN","606743462","200","Cook"," ","","0","0","Pulmonary Diseases",0,0,0,0,0,0,0,0,0,0,0,0,168,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,518,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,518,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8111.98,0.00,0.00,0.00,0.00,0.00,0.00,8111.98,12.00,0.00 1000246818," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","018","Cass"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1731.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1731.99,0.00,0.00 1000250692," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,33414.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33414.76,0.00,0.00 1000010924,"1902826001","010","Physicians","BECKER DORI","600352471","057","Lake"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6052.35,0.00,0.00,0.00,0.00,0.00,0.00,6052.35,0.00,0.00 1000268943," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","034","Fayette"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10666.37,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10666.37,0.00,0.00 1000234134,"1073610564","060","Pharmacies","CVS PHARMACY 5978","600762442","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,368,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1555,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36930,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,77655.23,0.00,0.00,0.00,77655.23,0.00,0.00 1000279078,"1922194604","022","Physical Therapists","WEBB NANCY","629011462","047","Jackson"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,191,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,191,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4828.90,4828.90,0.00,0.00 1000334809," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17137.34,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17137.34,0.00,0.00 1000284033,"1871581769","033","Nursing Facilities","ST ANNS HEALTHCARE CENTER","622331642","087","Randolph"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,456,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12325,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,779389.37,0.00,0.00,0.00,0.00,0.00,0.00,0.00,779389.37,0.00,0.00 1000307912," ","097","Waiver service provider--Children's residential (DHS/DDD)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,77.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,77.85,0.00,0.00 1000402877," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1531.22,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1531.22,0.00,0.00 1000253527,"1184604282","010","Physicians","MCCLURKIN CLARK","608052814","200","Cook"," ","","0","0","Nephrology",0,0,0,0,0,0,0,0,0,0,0,0,318,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1719,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1719,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,61602.94,0.00,0.00,0.00,0.00,0.00,0.00,61602.94,3.00,0.00 1000047079," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,44.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,44.20,0.00,0.00 1000388542,"1000388542","090","Waiver service provider--Elderly (DOA)","CHINESE AMERICAN SVC LEAGUE","606161998","200","Cook"," ","","0","0","",0,0,0,0,0,82,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3219,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3219,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,115869.34,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,115869.34,0.00,0.00 1000457813," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","816","Iowa"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15589.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15589.44,0.00,0.00 1000169675,"1750389268","010","Physicians","BOVIS GEORGE","600681168","200","Cook"," ","","0","0","Neurology Surgery",0,0,0,0,0,0,0,0,0,1,0,0,77,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,143,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,143,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1181.25,0.00,0.00,21647.41,0.00,0.00,0.00,0.00,0.00,0.00,22828.66,0.00,0.00 1000211601," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,358,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,358,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22780.92,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22780.92,0.00,0.00 1000189333,"1417942822","010","Physicians","SALAZAR LUIS","600301101","057","Lake"," ","","0","1","Family Practice",767,0,0,208,0,0,0,0,0,0,12,0,452,0,0,0,0,0,0,3182,0,0,413,0,0,0,0,0,0,13,0,1490,0,0,0,0,0,0,3182,0,0,413,0,0,0,0,0,0,13,0,1490,0,0,0,0,0,0,8229.00,0.00,0.00,26666.95,0.00,0.00,0.00,0.00,0.00,0.00,53.35,0.00,91947.64,0.00,0.00,0.00,0.00,0.00,0.00,126896.94,0.00,0.00 1000004888,"1154321222","010","Physicians","CAPECCI PIERO","616052507","080","Peoria"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,139,0,157,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,294,0,428,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,294,0,428,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4445.59,0.00,47176.32,0.00,0.00,0.00,0.00,0.00,0.00,51621.91,0.00,0.00 1000301672," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1429.00,0.00,0.00,0.00,0.00,0.00,0.00,1429.00,0.00,0.00 1000285501,"1104844612","060","Pharmacies","WAL MART PHARMACY 10 1848","601377394","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,439,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3034,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,78145,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,118094.96,0.00,0.00,0.00,118094.96,0.00,0.00 1000162823," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","046","Iroquois"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10966.36,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10966.36,0.00,0.00 1000390275,"1750550208","036","Community mental health provider","S E ILLINOIS COUNSELING CTRS","624542136","025","Crawford"," ","","0","0","",29,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,206,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,776,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,776,0,0,1397.22,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,45650.06,0.00,0.00,47047.28,0.00,0.00 1000097773," ","050","Home Health Agencies - In Home",""," ","072","McLean"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1067.44,0.00,0.00,0.00,0.00,0.00,0.00,1067.44,0.00,0.00 1000088454,"1295967552","063","Other Providers of Medical Equipment/Supplies (Non-registered)","CLINICAL HEARING SERVICES","605403995","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,829,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1965,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1965,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,906488.52,0.00,0.00,0.00,0.00,0.00,0.00,906488.52,0.00,0.00 1000315946," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7149.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7149.00,0.00,0.00 1000466867,"1790780765","010","Physicians","PEIKEN MARVIN","600051529","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,3,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,44,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2.18,0.00,209.30,0.00,0.00,0.00,0.00,0.00,0.00,211.48,0.00,0.00 1000188782,"1396716163","010","Physicians","GROLL JOHN","631312322","826","Missouri"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,939.79,0.00,0.00,0.00,0.00,0.00,0.00,939.79,0.00,0.00 1000122447,"1518034693","075","Department of Alcohol and Substance Abuse Provider","HAYMARKET CTR MEN WOMAN DETOX","606072202","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,70,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,177,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21279.68,0.00,0.00,21279.68,0.00,0.00 1000456875,"1417997057","010","Physicians","CHUA KOK G","605061403","053","Kane"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,2,0,0,287,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,648,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,648,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,999.25,0.00,0.00,24242.72,0.00,0.00,0.00,0.00,0.00,0.00,25241.97,0.00,0.00 1000421189,"1609826890","010","Physicians","MEDLER ROBERT","631102515","826","Missouri"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,41,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,41,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2602.38,0.00,0.00,0.00,0.00,0.00,0.00,2602.38,4.00,0.00 1000298042,"1801804844","010","Physicians","GIANVECCHIO CHRISTOPHER","535111842","852","Wisconsin"," ","","0","1","Pediatrics",49,0,0,20,0,0,0,0,0,0,2,0,27,0,0,0,0,0,0,456,0,0,39,0,0,0,0,0,0,2,0,45,0,0,0,0,0,0,456,0,0,39,0,0,0,0,0,0,2,0,45,0,0,0,0,0,0,912.00,0.00,0.00,1749.59,0.00,0.00,0.00,0.00,0.00,0.00,24.85,0.00,1965.64,0.00,0.00,0.00,0.00,0.00,0.00,4652.08,0.00,0.00 1000282157," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,33272.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33272.45,0.00,0.00 1000238620,"1760443741","010","Physicians","LEVY RONALD","620024579","065","Madison"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,2128,0,267,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3119,0,415,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3119,0,415,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,69202.61,0.00,14455.53,0.00,0.00,0.00,0.00,0.00,0.00,83658.14,58.00,0.00 1000390132,"1457312373","010","Physicians","WILLIAMS DEANDRE","601533328","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,622,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,612,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,612,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17040.10,0.00,0.00,0.00,0.00,0.00,0.00,17040.10,38.00,0.00 1000359687,"1114990074","010","Physicians","OGUNREMI OLUMIDE","631415010","826","Missouri"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1784.15,0.00,0.00,0.00,0.00,0.00,0.00,1784.15,0.00,0.00 1000160009,"1790880060","039","Hospice","HEARTLAND HOME HLTH CARE HOSP","604233166","107","Will"," ","","0","0","",0,0,0,0,0,0,0,41,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,142,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3390,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,298700.34,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,298700.34,0.00,0.00 1000298572," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13521.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13521.76,0.00,0.00 1000308238," ","030","General Hospitals",""," ","824","Minnesota","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,443.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,443.00,0.00,0.00 1000409586," ","010","Physicians",""," ","838","Oregon"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24.20,0.00,0.00,0.00,0.00,0.00,0.00,24.20,0.00,0.00 1000109845,"1861649451","010","Physicians","SHAH RICKY","601533328","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,52,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9279.88,0.00,0.00,0.00,0.00,0.00,0.00,9279.88,2.00,0.00 1000409382," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12577.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12577.86,0.00,0.00 1000044509," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8347.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8347.07,0.00,0.00 1000009904,"1700866514","010","Physicians","BRIONES CYLLENE","999999999","815","Indiana"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,440.10,0.00,0.00,0.00,0.00,0.00,0.00,440.10,0.00,0.00 1000421719," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,30840.52,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,30840.52,0.00,0.00 1000382628," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,19778.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19778.24,0.00,0.00 1000287785," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","105","White"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11044.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11044.65,0.00,0.00 1000053441,"1548322431","022","Physical Therapists","MEEHAN MARY","604302405","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,531,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,531,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,35818.37,35818.37,0.00,0.00 1000455590," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,103,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,103,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5335.91,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5335.91,0.00,0.00 1000011107," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","090","Saline"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8847.61,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8847.61,0.00,0.00 1000349960,"1881664985","010","Physicians","WEESE JAMES","604532600","200","Cook"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6953.28,0.00,0.00,0.00,0.00,0.00,0.00,6953.28,0.00,0.00 1000295432,"1063684678","055","Early Intervention Services","EASTER SEALS METRO CHIC CFC 8","606042239","200","Cook"," ","","0","0","",1103,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6877,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6877,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,814422.21,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,814422.21,0.00,0.00 1000399329," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15889.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15889.77,0.00,0.00 1000364173," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18086.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18086.80,0.00,0.00 1000009639," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17755.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17755.00,0.00,0.00 1000353916," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21212.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21212.70,0.00,0.00 1000411931,"1114926870","010","Physicians","SCHNACK BRADLEY","607142828","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7451.89,0.00,0.00,0.00,0.00,0.00,0.00,7451.89,0.00,0.00 1000277589,"1093742330","050","Home Health Agencies - In Home","ADVENT HOME HEALTH SERVICES","601813976","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1840.20,0.00,0.00,0.00,0.00,0.00,0.00,1840.20,0.00,0.00 1000411666," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20429.27,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20429.27,0.00,0.00 1000022792,"1013065879","010","Physicians","ANDERSON SUSAN","624013181","033","Effingham"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,83,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,83,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2025.86,0.00,0.00,0.00,0.00,0.00,0.00,2025.86,13.00,0.00 1000086557," ","050","Home Health Agencies - In Home",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3312.36,0.00,0.00,0.00,0.00,0.00,0.00,3312.36,0.00,0.00 1000227629," ","098","Waiver service provider--TBI (DHS/DRS)",""," 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1000441377,"1000441377","072","Taxicabs and Livery Companies","J AND J MED CAR INC","620401937","065","Madison"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,222,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,222,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3146.49,0.00,0.00,0.00,0.00,0.00,0.00,3146.49,0.00,0.00 1000179198," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5834.18,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5834.18,0.00,0.00 1000371555,"1063484798","010","Physicians","YEH STEPHEN","600251326","200","Cook"," ","","0","0","Otorhinolaryngology",0,0,0,0,0,0,0,0,0,0,0,0,57,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,116,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,116,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1152.96,0.00,0.00,0.00,0.00,0.00,0.00,1152.96,0.00,0.00 1000300122,"1104843796","010","Physicians","HUGHES LOREN","630318014","826","Missouri"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,183,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,206,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,206,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4140.88,0.00,0.00,0.00,0.00,0.00,0.00,4140.88,3.00,0.00 1000077116," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,583.30,0.00,0.00,0.00,0.00,0.00,0.00,583.30,0.00,0.00 1000155584,"1912913047","012","Optometrists","RAFFERTY MARK","601783103","027","Dekalb"," ","","0","0","Diagnostic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,101,0,85,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,112,0,88,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,112,0,88,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1746.75,0.00,2647.92,0.00,0.00,0.00,0.00,4394.67,0.00,0.00 1000150751,"1326138744","010","Physicians","ASCHINBERG PAUL","604356404","107","Will"," ","","0","1","Pediatrics",406,0,0,95,0,0,0,0,0,0,96,0,191,0,0,0,0,0,0,3979,0,0,329,0,0,0,0,0,0,184,0,408,0,0,0,0,0,0,3979,0,0,329,0,0,0,0,0,0,184,0,408,0,0,0,0,0,0,7966.00,0.00,0.00,9968.75,0.00,0.00,0.00,0.00,0.00,0.00,840.22,0.00,17834.90,0.00,0.00,0.00,0.00,0.00,0.00,36609.87,0.00,0.00 1000335604,"1265422844","010","Physicians","CASEY CAROLINE","601265000","030","DuPage"," ","","0","0","Obstetric-Gynecology",0,0,0,4,0,0,0,0,0,0,26,0,148,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,32,0,357,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,32,0,357,0,0,0,0,0,0,0.00,0.00,0.00,20.50,0.00,0.00,0.00,0.00,0.00,0.00,1904.18,0.00,37795.15,0.00,0.00,0.00,0.00,0.00,0.00,39719.83,0.00,0.00 1000345596," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,337.75,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,337.75,0.00,0.00 1000430651," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5800.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5800.56,0.00,0.00 1000095897,"1548318488","010","Physicians","VEMURI PREETI","600390619","071","McHenry"," ","","0","0"," Allergy",0,0,0,7,0,0,0,0,0,0,21,0,250,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,52,0,759,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,52,0,759,0,0,0,0,0,0,0.00,0.00,0.00,32.00,0.00,0.00,0.00,0.00,0.00,0.00,610.74,0.00,30423.72,0.00,0.00,0.00,0.00,0.00,0.00,31066.46,0.00,0.00 1000452654,"1730349093","010","Physicians","DAWSON EMILY","605276686","030","DuPage"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,484,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,450,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,450,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17523.40,0.00,0.00,0.00,0.00,0.00,0.00,17523.40,62.00,0.00 1000255464,"1649387051","010","Physicians","MORGAN GEORGE","601265000","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,95,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,95,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2887.05,0.00,0.00,0.00,0.00,0.00,0.00,2887.05,0.00,0.00 1000078584," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4990.62,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4990.62,0.00,0.00 1000139964," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11596.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11596.41,0.00,0.00 1000050831,"1023053808","010","Physicians","KASSEM MOHAMMED","606204956","200","Cook"," ","","0","1","Internal Medicine",52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,290,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,290,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,797.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,797.00,0.00,0.00 1000022384," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12227.34,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12227.34,0.00,0.00 1000032988," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16125.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16125.44,0.00,0.00 1000009374,"1962515783","063","Other Providers of Medical Equipment/Supplies (Non-registered)","COMPREHENSIVE DECUBITUS THERAP","722234696","804","Arkansas"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,546,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6878,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6878,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,619070.49,0.00,0.00,0.00,0.00,0.00,0.00,619070.49,0.00,0.00 1000421454,"1649434465","010","Physicians","SALUJA GUNEESH","601814828","030","DuPage"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,3173,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3676,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3676,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,138451.42,0.00,0.00,0.00,0.00,0.00,0.00,138451.42,217.00,0.00 1000085436,"1437244555","010","Physicians","MICHEL JON","610811252","106","Whiteside"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,1,18,0,412,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,21,0,1789,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,21,0,1789,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,110.30,94.61,0.00,30210.60,0.00,0.00,0.00,0.00,0.00,0.00,30415.51,0.00,0.00 1000262499,"1821077181","010","Physicians","KELLY JUDITH","627810002","091","Sangamon"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,279,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,299,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,299,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,48634.64,0.00,0.00,0.00,0.00,0.00,0.00,48634.64,0.00,0.00 1000310991," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11073.28,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11073.28,0.00,0.00 1000075974," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5926.33,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5926.33,0.00,0.00 1000132847,"1548224793","010","Physicians","MARRI PRATAP","606291813","200","Cook"," ","","0","0","Internal Medicine",76,0,0,0,0,0,0,0,0,0,2,0,163,0,0,0,0,0,0,506,0,0,0,0,0,0,0,0,0,3,0,458,0,0,0,0,0,0,506,0,0,0,0,0,0,0,0,0,3,0,458,0,0,0,0,0,0,1800.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5.04,0.00,7184.23,0.00,0.00,0.00,0.00,0.00,0.00,8989.27,5.00,0.00 1000165311,"1497860373","010","Physicians","LEE ROBERT","605213640","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,157,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,593,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,593,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20090.37,0.00,0.00,0.00,0.00,0.00,0.00,20090.37,0.00,0.00 1000172693," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4400.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4400.00,0.00,0.00 1000120775," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1546.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1546.99,0.00,0.00 1000083091,"1265530455","010","Physicians","LEIGH DOUGLAS","627011041","091","Sangamon"," ","","0","0","Infectious Diseases",0,0,0,0,0,0,0,0,0,0,0,0,178,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,777,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,777,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6075.53,0.00,0.00,0.00,0.00,0.00,0.00,6075.53,0.00,0.00 1000300469," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,24001.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24001.19,0.00,0.00 1000365662,"1013029289","010","Physicians","SHAH GAURAV","606081732","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,7,0,0,451,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,1253,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,1253,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,414.30,0.00,0.00,32863.29,0.00,0.00,0.00,0.00,0.00,0.00,33277.59,3.00,0.00 1000405100,"1073565784","010","Physicians","MORAN MICHAEL","618215923","019","Champaign"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,103,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,265,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,265,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17429.67,0.00,0.00,0.00,0.00,0.00,0.00,17429.67,0.00,0.00 1000377469,"1225176639","010","Physicians","SOINI PEKKA","606234456","200","Cook"," ","","0","1","Obstetric-Gynecology",497,0,0,14,0,0,0,0,0,0,7,0,506,0,0,0,0,0,0,3407,0,0,15,0,0,0,0,0,0,23,0,2219,0,0,0,0,0,0,3407,0,0,15,0,0,0,0,0,0,23,0,2219,0,0,0,0,0,0,9495.00,0.00,0.00,1199.08,0.00,0.00,0.00,0.00,0.00,0.00,59.80,0.00,206031.66,0.00,0.00,0.00,0.00,0.00,0.00,216785.54,0.00,0.00 1000398799," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6711.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6711.85,0.00,0.00 1000279730," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25460.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25460.07,0.00,0.00 1000009578,"1013169408","063","Other Providers of Medical Equipment/Supplies (Non-registered)","UNITED DIABETIC SUPPLIES INC","220314900","848","Virginia"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,5,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,2,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,989.66,0.00,371.81,0.00,0.00,0.00,0.00,1361.47,0.00,0.00 1000356873,"1003856873","063","Other Providers of Medical Equipment/Supplies (Non-registered)","HOME HEALTH ADVISORS","334148797","810","Florida"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,7,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,11,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,528.36,0.00,839.63,0.00,0.00,0.00,0.00,1367.99,0.00,0.00 1000235072,"1952318941","060","Pharmacies","WALGREEN CO 3539","606191601","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,635,0,0,13292,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,977,0,0,69572,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,977,0,0,1447542,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,65009.68,0.00,0.00,3310739.46,0.00,0.00,0.00,3375749.14,0.00,0.00 1000169349,"1871609016","010","Physicians","SKURKA JEROME","605434355","055","Kendall"," ","","0","0","Pediatrics",0,0,0,9,0,0,0,0,0,0,7,0,31,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,11,0,39,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,11,0,39,0,0,0,0,0,0,0.00,0.00,0.00,532.72,0.00,0.00,0.00,0.00,0.00,0.00,57.36,0.00,1662.65,0.00,0.00,0.00,0.00,0.00,0.00,2252.73,0.00,0.00 1000081480,"1871544932","010","Physicians","BAMZAI AMEETA K","605401115","030","DuPage"," ","","0","1","Pediatrics",770,0,0,493,0,0,0,0,0,0,335,0,510,0,0,0,0,0,0,7764,0,0,2016,0,0,0,0,0,0,704,0,1724,0,0,0,0,0,0,7764,0,0,2016,0,0,0,0,0,0,704,0,1724,0,0,0,0,0,0,15539.00,0.00,0.00,57299.14,0.00,0.00,0.00,0.00,0.00,0.00,4816.65,0.00,78034.78,0.00,0.00,0.00,0.00,0.00,0.00,155689.57,0.00,0.00 1000002869," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Dermatology",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,419.37,0.00,0.00,0.00,0.00,0.00,0.00,419.37,0.00,0.00 1000229505,"1750353454","048","Rural Health Clinics","MEDICAL ASSOC OF JERSEYVILLE","620522004","050","Jersey"," ","","0","1","",1442,1141,0,153,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11629,6085,0,185,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11629,6085,0,185,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30840.00,202968.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,233808.20,0.00,0.00 1000000850," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18256.05,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18256.05,0.00,0.00 1000071896,"1194821843","010","Physicians","TU FRANK","600771057","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,1,0,0,0,0,0,0,5,0,26,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,7,0,59,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,7,0,59,0,0,0,0,0,0,0.00,0.00,0.00,85.65,0.00,0.00,0.00,0.00,0.00,0.00,86.18,0.00,4832.73,0.00,0.00,0.00,0.00,0.00,0.00,5004.56,0.00,0.00 1000286052,"1255361788","010","Physicians","WERNER PHILIP","600681005","200","Cook"," ","","0","0","Endocrinology",0,0,0,0,0,0,0,0,0,0,5,0,94,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,208,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,208,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,74.15,0.00,5564.11,0.00,0.00,0.00,0.00,0.00,0.00,5638.26,3.00,0.00 1000067940," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15130.37,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15130.37,0.00,0.00 1000207971,"1760649990","010","Physicians","SARGIS ROBERT","605277594","030","DuPage"," ","","0","0","Endocrinology",0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,923.22,0.00,0.00,0.00,0.00,0.00,0.00,923.22,0.00,0.00 1000269677," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1320.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1320.45,0.00,0.00 1000296839," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9694.11,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9694.11,0.00,0.00 1000259624,"1922074095","010","Physicians","MAGINOT KATHLEEN","522421009","816","Iowa"," ","","0","0","Pediatric Cardiology",0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,557.20,0.00,0.00,0.00,0.00,0.00,0.00,557.20,0.00,0.00 1000020447,"1609970664","060","Pharmacies","MAYO PHARMACY","559050001","824","Minnesota"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,82,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,232,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2701.20,0.00,0.00,0.00,2701.20,0.00,0.00 1000248551," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,239.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,239.07,0.00,0.00 1000313601," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1700.01,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1700.01,0.00,0.00 1000133846,"1750303277","010","Physicians","WOLODKO MARGARET","606313707","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,3,0,0,0,0,0,0,58,0,245,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,82,0,782,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,82,0,782,0,0,0,0,0,0,0.00,0.00,0.00,43.80,0.00,0.00,0.00,0.00,0.00,0.00,3415.25,0.00,34428.38,0.00,0.00,0.00,0.00,0.00,0.00,37887.43,0.00,0.00 1000166657,"1447416508","010","Physicians","SEJPAL SAMIR","606118709","200","Cook"," ","","0","0","Radiation Oncology",0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,141,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,141,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5626.94,0.00,0.00,0.00,0.00,0.00,0.00,5626.94,0.00,0.00 1000418905," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4641.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4641.12,0.00,0.00 1000365458,"1730262262","011","Dentists","HENDERSON MICHAEL","604732666","200","Cook"," ","","0","0","General Dentistry",0,0,2641,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12807,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12807,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,359469.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,359469.00,0.00,0.00 1000438685,"1790809960","010","Physicians","XIA RENLIN","606162220","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,16,0,62,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,0,582,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,0,582,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1721.39,0.00,0.00,0.00,0.00,0.00,0.00,1721.39,0.00,0.00 1000271553,"1000271553","071","Medicar Provider","EASE YOUR MIND INC","604431225","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4969,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4969,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,39714.95,0.00,0.00,0.00,0.00,0.00,0.00,39714.95,0.00,0.00 1000041756," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,34831.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,34831.14,0.00,0.00 1000257931," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7721.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7721.70,0.00,0.00 1000148345," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","036","Franklin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1978.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1978.53,0.00,0.00 1000365050,"1760442032","010","Physicians","PALCHEFF JOHN","620520279","050","Jersey"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,4,0,58,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,114,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,114,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,79.55,0.00,3886.14,0.00,0.00,0.00,0.00,0.00,0.00,3965.69,0.00,0.00 1000013860," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,164,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,164,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13276.38,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13276.38,0.00,0.00 1000141371,"1114932415","060","Pharmacies","WALGREEN CO","625219701","063","Macon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2645,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18079,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,381230,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,915485.89,0.00,0.00,0.00,915485.89,0.00,0.00 1000206156,"1497710388","010","Physicians","COWEN JAY","600052349","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,1,3,0,93,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,3,0,170,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,3,0,170,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24.90,0.00,0.00,2474.51,0.00,0.00,0.00,0.00,0.00,0.00,2499.41,0.00,0.00 1000356730," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","036","Franklin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2451.18,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2451.18,0.00,0.00 1000329303," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7950.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7950.82,0.00,0.00 1000225671,"1285875690","064","Imaging Services","SPECTRUM DIAGNOSTIC IMAGING","605151154","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,350,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2194,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2194,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4400.76,0.00,0.00,0.00,0.00,0.00,0.00,4400.76,0.00,0.00 1000183276," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17765.93,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17765.93,0.00,0.00 1000056316," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8965.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8965.65,0.00,0.00 1000467132,"1225198013","012","Optometrists","BEATTY JEREMY","631352736","826","Missouri"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,95,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,229,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,229,0,35,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1090.07,0.00,1027.82,0.00,0.00,0.00,0.00,2117.89,0.00,0.00 1000362501," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9.80,0.00,0.00 1000086027," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14763.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14763.70,0.00,0.00 1000256789,"1366543910","010","Physicians","BRITT JOHN","625213806","063","Macon"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,1,0,249,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,659,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,659,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,78.05,0.00,43320.63,0.00,0.00,0.00,0.00,0.00,0.00,43398.68,0.00,0.00 1000277854," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","079","Ogle"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10208.58,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10208.58,0.00,0.00 1000051279," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","042","Hancock"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,277,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,277,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8483.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8483.84,0.00,0.00 1000239497,"1962448357","010","Physicians","BAYER KUZNETSOV VICTOR","600252425","200","Cook"," ","","0","1","Pediatrics",254,0,0,238,0,0,0,0,0,0,124,0,323,0,0,0,0,0,0,2529,0,0,639,0,0,0,0,0,0,154,0,729,0,0,0,0,0,0,2529,0,0,639,0,0,0,0,0,0,154,0,729,0,0,0,0,0,0,5064.00,0.00,0.00,22443.85,0.00,0.00,0.00,0.00,0.00,0.00,985.14,0.00,35012.80,0.00,0.00,0.00,0.00,0.00,0.00,63505.79,0.00,0.00 1000100118,"1275529463","010","Physicians","KESWANI RAJESH","606118709","200","Cook"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,33,0,171,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,369,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,369,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,820.33,0.00,34826.96,0.00,0.00,0.00,0.00,0.00,0.00,35647.29,3.00,0.00 1000113067,"1487826384","033","Nursing Facilities","RIVERSHORES CARE CENTER","613411814","058","La Salle"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,95,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,821,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18904,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1396600.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1396600.72,0.00,0.00 1000036393,"1114978087","010","Physicians","RAHMAN AMER","601234968","053","Kane"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,180,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,510,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,510,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10386.56,0.00,0.00,0.00,0.00,0.00,0.00,10386.56,0.00,0.00 1000405956," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","108","Williamson"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,27088.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27088.44,0.00,0.00 1000420251," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,72.83,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,72.83,0.00,0.00 1000040492,"1508955956","010","Physicians","BANSAL TINA","600073371","200","Cook"," ","","0","0","Endocrinology",0,0,0,0,0,0,0,0,0,1,0,0,123,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,513,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,513,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,166.00,0.00,0.00,10236.87,0.00,0.00,0.00,0.00,0.00,0.00,10402.87,0.00,0.00 1000444130," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,36828.28,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,36828.28,0.00,0.00 1000070264," ","010","Physicians",""," ","836","Ohio"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1033.55,0.00,0.00,0.00,0.00,0.00,0.00,1033.55,0.00,0.00 1000303344,"1548284979","010","Physicians","MINOGUE THOMAS","617042101","072","McLean"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,81,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,249,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,249,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4842.09,0.00,0.00,0.00,0.00,0.00,0.00,4842.09,0.00,0.00 1000030765," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3351.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3351.77,0.00,0.00 1000348145,"1316032857","010","Physicians","MCDONALD TIMOTHY","606127232","200","Cook"," ","","0","0","Delivery Privileges",0,0,0,0,0,0,0,0,0,0,0,0,104,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,107,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,107,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19574.67,0.00,0.00,0.00,0.00,0.00,0.00,19574.67,5.00,0.00 1000316823," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9872.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9872.96,0.00,0.00 1000132643," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3880.06,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3880.06,0.00,0.00 1000333198," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12901.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12901.53,0.00,0.00 1000126464,"1386669703","010","Physicians","LOUZON HARVEY","606133077","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,9,109,0,1708,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,102,0,1811,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,102,0,1811,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,725.45,3323.97,0.00,81397.55,0.00,0.00,0.00,0.00,0.00,0.00,85446.97,147.00,0.00 1000364989,"1000364989","090","Waiver service provider--Elderly (DOA)","MEDTEC HEALTHCARE PRIVATE DUTY","600532943","200","Cook"," ","","0","0","",0,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1729,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1729,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,75374.66,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,75374.66,0.00,0.00 1000316211,"1376741108","014","Chiropractors","NYULI JOHN","601742511","053","Kane"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,195,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,195,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1868.65,0.00,0.00,0.00,0.00,0.00,0.00,1868.65,0.00,0.00 1000035190," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,34133.26,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,34133.26,0.00,0.00 1000200120,"1659451235","016","Nurse Practitioners","BARRE CHRISTY","618568324","082","Piatt"," ","","0","0","",0,0,0,1,0,0,0,0,0,0,0,0,49,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,70,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,70,0,0,0,0,0,0,0.00,0.00,0.00,19.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2979.17,0.00,0.00,0.00,0.00,0.00,0.00,2998.37,0.00,0.00 1000187783," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,342,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,342,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22707.57,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22707.57,0.00,0.00 1000253710,"1417257247","016","Nurse Practitioners","RAMIREZ DANELLE","604772078","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,200.05,0.00,0.00,0.00,0.00,0.00,0.00,200.05,0.00,0.00 1000112924,"1326142902","010","Physicians","TUN THAW","615371218","067","Marshall"," ","","0","1","Internal Medicine",128,0,0,21,0,0,0,0,0,0,31,0,580,0,0,0,0,0,0,1237,0,0,25,0,0,0,0,0,0,43,0,1359,0,0,0,0,0,0,1237,0,0,25,0,0,0,0,0,0,43,0,1359,0,0,0,0,0,0,3344.00,0.00,0.00,1519.05,0.00,0.00,0.00,0.00,0.00,0.00,261.10,0.00,38779.28,0.00,0.00,0.00,0.00,0.00,0.00,43903.43,1.00,0.00 1000427225,"1720126634","010","Physicians","SALYER LARA","535661569","852","Wisconsin"," ","","0","1","Family Practice",6,0,0,4,0,0,0,0,0,0,3,0,7,0,0,0,0,0,0,64,0,0,4,0,0,0,0,0,0,5,0,23,0,0,0,0,0,0,64,0,0,4,0,0,0,0,0,0,5,0,23,0,0,0,0,0,0,152.00,0.00,0.00,323.95,0.00,0.00,0.00,0.00,0.00,0.00,32.14,0.00,797.29,0.00,0.00,0.00,0.00,0.00,0.00,1305.38,0.00,0.00 1000369475," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11381.55,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11381.55,0.00,0.00 1000002053," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2501.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2501.80,0.00,0.00 1000268331,"1811174691","010","Physicians","PLUMMER MALGORZATA","606127322","200","Cook"," ","","0","0","Vascular Surgery",0,0,0,0,0,0,0,0,0,0,0,0,255,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,995,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,995,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16529.10,0.00,0.00,0.00,0.00,0.00,0.00,16529.10,1.00,0.00 1000148875,"1619133493","010","Physicians","ELAZEGUI ROZEL","607074262","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,13,0,89,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,102,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,102,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,204.10,0.00,3127.70,0.00,0.00,0.00,0.00,0.00,0.00,3331.80,0.00,0.00 1000367803," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,416.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,416.69,0.00,0.00 1000175242,"1366770075","016","Nurse Practitioners","BARKE KAISER JODY","606233501","200","Cook"," ","","0","0","",0,0,0,2,0,0,0,0,0,0,0,0,249,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,489,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,489,0,0,0,0,0,0,0.00,0.00,0.00,101.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,59194.82,0.00,0.00,0.00,0.00,0.00,0.00,59296.52,0.00,0.00 1000343863," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,77,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,77,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,32775.61,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,32775.61,0.00,0.00 1000379814,"1770524472","060","Pharmacies","WILLIAMS BROS LTC PHARMACY","461431439","815","Indiana"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,115,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2639,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1517.86,0.00,0.00,0.00,1517.86,0.00,0.00 1000410116," ","010","Physicians",""," 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1000439970," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,130,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,130,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12191.26,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12191.26,0.00,0.00 1000002135," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10597.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10597.56,0.00,0.00 1000466398," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1161.10,0.00,0.00,0.00,0.00,0.00,0.00,1161.10,0.00,0.00 1000390601," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14402.93,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14402.93,0.00,0.00 1000158745," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Child Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,266.55,0.00,0.00,0.00,0.00,0.00,0.00,266.55,0.00,0.00 1000319107," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","803","Arizona"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,119,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,119,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14656.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14656.72,0.00,0.00 1000085966," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2217.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2217.67,0.00,0.00 1000157664," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","095","Stark"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5717.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5717.85,0.00,0.00 1000420047," ","092","Waiver service provider--Disability (DHS/DRS)",""," 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B","604301144","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,181,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,181,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,845.27,0.00,0.00,0.00,0.00,0.00,0.00,845.27,0.00,0.00 1000183562,"1962450262","010","Physicians","DACANAY LETICIA","600055225","200","Cook"," ","","0","1","Obstetric-Gynecology",25,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,84,0,0,0,0,0,0,0,0,0,0,0,61,0,0,0,0,0,0,84,0,0,0,0,0,0,0,0,0,0,0,61,0,0,0,0,0,0,258.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,387.00,0.00,0.00,0.00,0.00,0.00,0.00,645.00,0.00,0.00 1000156665,"1003937707","055","Early Intervention Services","JAMROZ MALGORZATA","606146005","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,114,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1626,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1626,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,97898.24,0.00,0.00,0.00,0.00,0.00,0.00,97898.24,0.00,0.00 1000100526," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,976.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,976.60,0.00,0.00 1000154789,"1184780256","023","Occupational Therapists","PURYEAR STEPHANIE","601953164","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6004.34,6004.34,0.00,0.00 1000178199," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Pediatrics",0,0,0,1,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0.00,0.00,0.00,42.55,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,139.35,0.00,0.00,0.00,0.00,0.00,0.00,181.90,0.00,0.00 1000221593,"1467435099","010","Physicians","ADEEL MOHAMMED","477145559","815","Indiana"," ","","0","0","Physical Medicine/Rehabilitation",0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,82,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,82,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1541.15,0.00,0.00,0.00,0.00,0.00,0.00,1541.15,0.00,0.00 1000415214,"1164597597","010","Physicians","WISE WILLIAM","604023287","200","Cook"," ","","0","1","Internal Medicine",7,0,0,0,0,0,0,0,0,0,0,0,317,0,0,0,0,0,0,33,0,0,0,0,0,0,0,0,0,0,0,2025,0,0,0,0,0,0,33,0,0,0,0,0,0,0,0,0,0,0,2025,0,0,0,0,0,0,115.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,51106.39,0.00,0.00,0.00,0.00,0.00,0.00,51221.39,0.00,0.00 1000271492,"1427117993","010","Physicians","NEDUMGOTTIL SUMOL","600442203","057","Lake"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,1,0,0,360,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,398,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,398,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,153.50,0.00,0.00,81959.52,0.00,0.00,0.00,0.00,0.00,0.00,82113.02,15.00,0.00 1000273898," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","088","Richland"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7010.34,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7010.34,0.00,0.00 1000218371," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8193.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8193.95,0.00,0.00 1000436830,"1689830275","012","Optometrists","PARK TRAVIS","606196107","200","Cook"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,1685,0,1409,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3328,0,1410,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3328,0,1410,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,105714.01,0.00,42426.90,0.00,0.00,0.00,0.00,148140.91,0.00,0.00 1000361502," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","106","Whiteside"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2911.01,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2911.01,0.00,0.00 1000455937," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,242,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,242,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13635.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13635.35,0.00,0.00 1000181951,"1760718191","040","Federally Qualified Health Centers","GREATER ELGIN FAMILY CARE CTR","601204626","053","Kane"," ","","0","0","School-based",0,10,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,1234.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1234.20,0.00,0.00 1000090860," 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Medicine",48,0,0,0,0,0,0,0,0,0,2,0,547,0,0,0,0,0,0,373,0,0,0,0,0,0,0,0,0,3,0,2654,0,0,0,0,0,0,373,0,0,0,0,0,0,0,0,0,3,0,2654,0,0,0,0,0,0,1314.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,142.42,0.00,87368.12,0.00,0.00,0.00,0.00,0.00,0.00,88824.54,31.00,0.00 1000138231,"1164687968","010","Physicians","REDDIVARI ANIL","616034309","080","Peoria"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,126,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,265,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,265,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3825.67,0.00,0.00,0.00,0.00,0.00,0.00,3825.67,0.00,0.00 1000337888,"1326001827","010","Physicians","CHIN CONWAY","612822904","089","Rock Island"," ","","0","0","Physical Medicine/Rehabilitation",0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,74,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,74,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1508.25,0.00,0.00,0.00,0.00,0.00,0.00,1508.25,0.00,0.00 1000202404,"1750553814","010","Physicians","CESNJAJ MIRJANA","618029566","019","Champaign"," ","","0","1","Family Practice",333,0,0,66,0,0,0,0,0,0,103,0,335,0,0,0,0,0,0,2522,0,0,358,0,0,0,0,0,0,155,0,982,0,0,0,0,0,0,2522,0,0,358,0,0,0,0,0,0,155,0,982,0,0,0,0,0,0,6529.00,0.00,0.00,10555.70,0.00,0.00,0.00,0.00,0.00,0.00,859.35,0.00,58807.96,0.00,0.00,0.00,0.00,0.00,0.00,76752.01,5.00,0.00 1000061149,"1457399636","010","Physicians","ALI MAJAD","605045897","030","DuPage"," ","","0","1","Family Practice",1680,0,0,635,0,0,0,0,0,0,26,0,1029,0,0,0,0,0,0,12578,0,0,1996,0,0,0,0,0,0,29,0,2711,0,0,0,0,0,0,12578,0,0,1996,0,0,0,0,0,0,29,0,2711,0,0,0,0,0,0,29936.00,0.00,0.00,77553.80,0.00,0.00,0.00,0.00,0.00,0.00,83.78,0.00,122313.32,0.00,0.00,0.00,0.00,0.00,0.00,229886.90,0.00,0.00 1000273776," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11923.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11923.20,0.00,0.00 1000167065," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13082.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13082.69,0.00,0.00 1000411870," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9362.51,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9362.51,0.00,0.00 1000354915," ","010","Physicians",""," ","816","Iowa"," ","","0","0","Child Neurology",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,610.58,0.00,0.00,0.00,0.00,0.00,0.00,610.58,0.00,0.00 1000071936," ","030","General Hospitals",""," ","836","Ohio","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,32.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,32.15,0.00,0.00 1000452715,"1164504965","010","Physicians","SATHY ILLUR G","601532151","200","Cook"," ","","0","0","Pedodontics",0,0,0,215,0,0,0,0,0,0,124,0,284,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,62.18,0.00,0.00,0.00,0.00,0.00,0.00,62.18,1591.00,0.00 1000180197," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10983.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10983.10,0.00,0.00 1000378468," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Plastic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,726.00,0.00,0.00,0.00,0.00,0.00,0.00,726.00,0.00,0.00 1000358667," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,168.74,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,168.74,0.00,0.00 1000294759," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","088","Richland"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4230.27,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4230.27,0.00,0.00 1000294412,"1275702516","014","Chiropractors","IRVINE SHAWN","623014039","010","Adams"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,282,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,816,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,816,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6351.95,0.00,0.00,0.00,0.00,0.00,0.00,6351.95,19.00,0.00 1000311521,"1992864102","010","Physicians","CLAVERIA RAFAEL","606222996","200","Cook"," ","","0","1","Internal Medicine",48,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,350,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,350,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1021.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1021.00,0.00,0.00 1000273164,"1609982198","022","Physical Therapists","SARMIENTO BERNADETTE","600761727","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,341,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,341,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25280.75,25280.75,0.00,0.00 1000365988," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Pathology",0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20.55,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20.55,0.00,0.00 1000360482,"1568493336","055","Early Intervention Services","JOHNSON ANDREA","627072515","091","Sangamon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,70,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,324,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,324,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,31625.70,0.00,0.00,0.00,0.00,0.00,0.00,31625.70,0.00,0.00 1000270146,"1467467860","010","Physicians","PARRAGA HUMBERTO","609570162","035","Ford"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,139,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,331,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,331,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8550.47,0.00,0.00,0.00,0.00,0.00,0.00,8550.47,0.00,0.00 1000147468," 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1000359544,"1952396962","010","Physicians","GULSON DEBORAH","600451674","057","Lake"," ","","0","1","Admitting Privileges",26,0,0,25,0,0,0,0,0,0,24,0,55,0,0,0,0,0,0,194,0,0,32,0,0,0,0,0,0,31,0,84,0,0,0,0,0,0,194,0,0,32,0,0,0,0,0,0,31,0,84,0,0,0,0,0,0,388.00,0.00,0.00,2285.71,0.00,0.00,0.00,0.00,0.00,0.00,423.70,0.00,3799.81,0.00,0.00,0.00,0.00,0.00,0.00,6897.22,0.00,0.00 1000071467," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18003.48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18003.48,0.00,0.00 1000442580,"1649256876","033","Nursing Facilities","MAPLE CREST CARE CENTRE","610088801","013","Boone"," ","","0","0","",1,0,0,0,0,0,0,0,0,0,0,68,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,685,0,0,0,0,0,0,0,153,0,0,0,0,0,0,0,0,0,0,17892,0,0,0,0,0,0,0,6834.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1494431.30,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1501266.07,0.00,0.00 1000372024," ","010","Physicians",""," ","816","Iowa"," ","","0","0","Pediatric Endocrinology",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,177.60,0.00,0.00,0.00,0.00,0.00,0.00,177.60,0.00,0.00 1000232380," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11845.90,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11845.90,0.00,0.00 1000076769," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," 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service provider--Disability (DHS/DRS)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2412.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2412.98,0.00,0.00 1000183827," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,180.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,180.32,0.00,0.00 1000398452," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","100","Vermilion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3452.11,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3452.11,0.00,0.00 1000050219," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15000.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15000.00,0.00,0.00 1000329160,"1174683130","022","Physical Therapists","ATTERBERRY BETHANY","616061919","080","Peoria"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1576.30,1576.30,0.00,0.00 1000200650," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1229.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1229.79,0.00,0.00 1000339764,"1295883551","010","Physicians","MCDERMOTT RAYMOND","606575640","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,6,0,0,0,0,0,0,68,0,458,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,80,0,1016,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,80,0,1016,0,0,0,0,0,0,0.00,0.00,0.00,556.62,0.00,0.00,0.00,0.00,0.00,0.00,941.19,0.00,60334.22,0.00,0.00,0.00,0.00,0.00,0.00,61832.03,0.00,0.00 1000312867,"1821259995","010","Physicians","PRICKETT MICHELLE","606118709","200","Cook"," ","","0","0","Pulmonary Diseases",0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,67,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,67,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2472.95,0.00,0.00,0.00,0.00,0.00,0.00,2472.95,0.00,0.00 1000358545,"1023183910","011","Dentists","HAMDAN YASER","607073435","200","Cook"," ","","0","0","General Dentistry",0,0,2197,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16342,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16342,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,419237.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,419237.35,0.00,0.00 1000096488,"1679684229","010","Physicians","ORENSTEIN SABRINA","606222743","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,478.50,0.00,0.00,0.00,0.00,0.00,0.00,478.50,0.00,0.00 1000015471,"1841415080","010","Physicians","PATEL ASHWIN","606594019","200","Cook"," ","","0","0","Public Health",0,0,0,0,0,0,0,0,0,0,1,0,74,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,287,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,287,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,74.70,0.00,5686.70,0.00,0.00,0.00,0.00,0.00,0.00,5761.40,0.00,0.00 1000354385," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,34058.87,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,34058.87,0.00,0.00 1000414072,"1730167198","010","Physicians","BERGGREN KELLE","601873878","030","DuPage"," ","","0","0","Dermatology",0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,101,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,101,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2520.65,0.00,0.00,0.00,0.00,0.00,0.00,2520.65,0.00,0.00 1000028950,"1093810491","010","Physicians","BARHAMAND F B","605406551","030","DuPage"," ","","0","0","Oncology",0,0,0,0,0,0,0,0,0,0,18,0,105,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,82,0,921,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,82,0,921,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,436.16,0.00,24483.91,0.00,0.00,0.00,0.00,0.00,0.00,24920.07,0.00,0.00 1000124996,"1093754129","010","Physicians","DECKER STEVEN","609012901","054","Kankakee"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1395,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1539,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1539,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,49033.53,0.00,0.00,0.00,0.00,0.00,0.00,49033.53,5.00,0.00 1000089392," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Plastic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,351.40,0.00,0.00,0.00,0.00,0.00,0.00,351.40,0.00,0.00 1000085884," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1169.94,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1169.94,0.00,0.00 1000028624,"1407802812","010","Physicians","MEKHJIAN GEORGE","631415010","826","Missouri"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,168,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,633,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,633,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9857.29,0.00,0.00,0.00,0.00,0.00,0.00,9857.29,1.00,0.00 1000229688," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,126,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,126,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11722.06,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11722.06,0.00,0.00 1000424472,"1427167360","010","Physicians","MORSE JOHN","478074214","815","Indiana"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,2,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,86,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,86,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4.52,0.00,10951.89,0.00,0.00,0.00,0.00,0.00,0.00,10956.41,0.00,0.00 1000380609," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,53,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,53,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3632.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3632.60,0.00,0.00 1000444599,"1821043910","070","Ambulance Service Providers","DELLS DELTON EMS","549825267","852","Wisconsin"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4957.41,0.00,0.00,0.00,0.00,0.00,0.00,4957.41,8.00,0.00 1000290599,"1356456487","060","Pharmacies","SHOP N SAVE PHARMACY 426","620403709","065","Madison"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,319,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3573,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,89884,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,193756.30,0.00,0.00,0.00,193756.30,0.00,0.00 1000456263,"1518003763","025","Audiologists","AMUNDSON MARTIN","420033825","818","Kentucky"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,265.35,265.35,0.00,0.00 1000191535,"1770671877","010","Physicians","CHASNOFF IRA","606017487","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1459.53,0.00,0.00,0.00,0.00,0.00,0.00,1459.53,0.00,0.00 1000029154,"1881652089","010","Physicians","HAZARD KEVIN","627032403","091","Sangamon"," ","","0","0","Endocrinology",0,0,0,0,0,0,0,0,0,0,0,0,189,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,395,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,395,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14710.10,0.00,0.00,0.00,0.00,0.00,0.00,14710.10,0.00,0.00 1000452837,"1174659551","034","State-operated facility (DHS)","UNIT FIVE HOUSE 5C HOWE","604773690","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,708,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,393140.06,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,393140.06,0.00,0.00 1000072079,"1669669321","033","Nursing Facilities","ROSEWOOD CARE CENTER INVERNESS","600671216","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,458,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11923,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,725374.03,0.00,0.00,0.00,0.00,0.00,0.00,0.00,725374.03,0.00,0.00 1000155380," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3110.63,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3110.63,0.00,0.00 1000096162," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,305,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,305,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18057.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18057.32,0.00,0.00 1000362032," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","852","Wisconsin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,679.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,679.78,0.00,0.00 1000268005," ","092","Waiver service provider--Disability (DHS/DRS)",""," 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Surgery",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1700.85,0.00,0.00,0.00,0.00,0.00,0.00,1700.85,0.00,0.00 1000410463,"1902826381","061","Independent Laboratories","CALLOWAY LABORATORIES INC","018011074","822","Massachusetts"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7733,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7733,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,222764.58,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,222764.58,59.00,0.00 1000138088,"1881677730","010","Physicians","TAKHSH EDEN","606023505","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,19,0,0,0,0,0,0,250,0,593,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,512,0,1381,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,512,0,1381,0,0,0,0,0,0,0.00,0.00,0.00,226.59,0.00,0.00,0.00,0.00,0.00,0.00,4164.18,0.00,211369.50,0.00,0.00,0.00,0.00,0.00,0.00,215760.27,28.00,0.00 1000184092,"1629194543","010","Physicians","HASHMI NASHIB","609012934","054","Kankakee"," ","","0","0","Nephrology",0,0,0,0,0,0,0,0,0,0,0,0,166,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,893,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,893,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18491.61,0.00,0.00,0.00,0.00,0.00,0.00,18491.61,0.00,0.00 1000190740,"1164497483","010","Physicians","HOGANSON GEORGE E","606123445","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,607,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,975,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,975,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,51721.47,0.00,0.00,0.00,0.00,0.00,0.00,51721.47,4.00,0.00 1000117492,"1003864844","029","ICF/MR","MARIAN CTR FOR ADULT RESIDENTS","606601017","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,106,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2461,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,57142,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7124803.62,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7124803.62,0.00,0.00 1000239150,"1598754764","033","Nursing Facilities","NEIGHBORS REHABILITATION CNTR","610101464","079","Ogle"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,107,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1071,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28490,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2028581.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2028581.41,0.00,0.00 1000190332," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1012.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1012.77,0.00,0.00 1000012657,"1497826622","010","Physicians","KAVURI MOHAN","601151416","027","Dekalb"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2284.41,0.00,0.00,0.00,0.00,0.00,0.00,2284.41,0.00,0.00 1000108703," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","087","Randolph"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13408.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13408.65,0.00,0.00 1000295697," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","056","Knox"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1135.33,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1135.33,0.00,0.00 1000240027,"1033218094","010","Physicians","KNISLEY MICHAEL","606575147","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,2,1,0,1162,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,1,0,1254,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,1,0,1254,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,124.75,0.00,0.00,43248.24,0.00,0.00,0.00,0.00,0.00,0.00,43372.99,36.00,0.00 1000343720,"1174796221","024","Speech Therapists","KADAKIA LENA","606112654","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,61,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,61,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2421.00,2421.00,0.00,0.00 1000128157,"1740382357","010","Physicians","SUNDAR RAMA","604023488","200","Cook"," ","","0","0","Pediatrics",964,0,0,243,0,0,0,0,0,0,53,0,288,0,0,0,0,0,0,3648,0,0,768,0,0,0,0,0,0,53,0,442,0,0,0,0,0,0,3648,0,0,768,0,0,0,0,0,0,53,0,442,0,0,0,0,0,0,7296.00,0.00,0.00,24620.61,0.00,0.00,0.00,0.00,0.00,0.00,212.00,0.00,19486.29,0.00,0.00,0.00,0.00,0.00,0.00,51614.90,0.00,0.00 1000438624," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,177,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,177,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17922.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17922.56,0.00,0.00 1000119776," ","010","Physicians",""," ","844","Tennessee"," ","","0","0","Otorhinolaryngology",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,638.25,0.00,0.00,0.00,0.00,0.00,0.00,638.25,0.00,0.00 1000041838,"1386659522","060","Pharmacies","WALGREEN CO 03305","631416333","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,69,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1007,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1935.13,0.00,0.00,0.00,1935.13,0.00,0.00 1000112598,"1730397720","011","Dentists","YOUNG TONNIE","603024408","200","Cook"," ","","0","0","General Dentistry",0,0,22,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,83,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,83,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0.00,0.00,2716.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,376.35,0.00,0.00,0.00,0.00,3093.02,0.00,0.00 1000335074," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","059","Lawrence"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15877.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15877.76,0.00,0.00 1000012800,"1891847455","011","Dentists","GERMAN MARK","610212010","060","Lee"," ","","0","0","General Dentistry",0,0,344,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1357,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1357,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,40122.93,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,40122.93,0.00,0.00 1000430916,"1000430916","097","Waiver service provider--Children's residential (DHS/DDD)","LITTLE CITY FOUNDATION","600674791","200","Cook"," ","","0","0","",0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11031,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11031,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3355895.89,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3355895.89,0.00,0.00 1000381608,"1295770550","063","Other Providers of Medical Equipment/Supplies (Non-registered)","APRIA HEALTHCARE INC","617049061","072","McLean"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,313,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2296,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2296,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,169899.18,0.00,0.00,0.00,0.00,0.00,0.00,169899.18,2.00,0.00 1000131379," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7571.13,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7571.13,0.00,0.00 1000288050,"1659423051","010","Physicians","NGUYEN KIRCHOFF ELIZABETH","600261373","200","Cook"," ","","0","1","Family Practice",7,0,0,307,0,0,0,0,0,0,130,0,666,0,0,0,0,0,0,7,0,0,856,0,0,0,0,0,0,159,0,983,0,0,0,0,0,0,7,0,0,856,0,0,0,0,0,0,159,0,983,0,0,0,0,0,0,18.00,0.00,0.00,28500.85,0.00,0.00,0.00,0.00,0.00,0.00,648.64,0.00,50321.74,0.00,0.00,0.00,0.00,0.00,0.00,79489.23,0.00,0.00 1000277997,"1760473839","011","Dentists","LIN VINCENT","605461409","200","Cook"," ","","0","0","General Dentistry",0,0,309,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2398,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2398,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,69121.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,69121.53,0.00,0.00 1000307647,"1114179876","011","Dentists","HOUSEMAN STEPHANIE","620352426","065","Madison"," ","","0","0","General Dentistry",0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,456.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,456.00,0.00,0.00 1000016083,"1447265764","060","Pharmacies","BOND DRUG COMPANY OF IL 04008","601041958","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3850,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21869,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,453489,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,974058.11,0.00,0.00,0.00,974058.11,0.00,0.00 1000265252," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","060","Lee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3875.43,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3875.43,0.00,0.00 1000260827," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7325.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7325.84,0.00,0.00 1000365784," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","025","Crawford"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,298,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,298,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15122.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15122.54,0.00,0.00 1000261439,"1154529840","010","Physicians","ZLOZA DONNA","606147048","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,1576,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1566,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1566,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,45217.80,0.00,0.00,0.00,0.00,0.00,0.00,45217.80,106.00,0.00 1000182420,"1245270370","011","Dentists","BRUBAKER BENJAMIN","622693416","096","St Clair"," ","","0","0","General Dentistry",0,0,89,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,386,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,386,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0.00,0.00,13897.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1129.05,0.00,0.00,0.00,0.00,15026.84,0.00,0.00 1000258890,"1124114111","060","Pharmacies","PARKWAY DRUGS","600913217","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,88,0,0,78,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,88,0,0,1951,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1187.70,0.00,0.00,3522.25,0.00,0.00,0.00,4709.95,0.00,0.00 1000251365," ","010","Physicians",""," ","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,229.95,0.00,0.00,0.00,0.00,0.00,0.00,229.95,0.00,0.00 1000087108," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3863.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3863.45,0.00,0.00 1000284094,"1164639670","010","Physicians","SAEED IBRAHIM","631101010","826","Missouri"," ","","0","0","Cardiology",0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,61,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,61,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2206.70,0.00,0.00,0.00,0.00,0.00,0.00,2206.70,0.00,0.00 1000204219,"1043445901","016","Nurse Practitioners","ANDERSON NANCY","606118709","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,881.54,0.00,0.00,0.00,0.00,0.00,0.00,881.54,0.00,0.00 1000380956,"1750368312","010","Physicians","AMUSIN MARINA","606261620","200","Cook"," ","","0","0","Internal Medicine",101,0,0,0,0,0,0,0,0,0,2,0,222,0,0,0,0,0,0,606,0,0,0,0,0,0,0,0,0,2,0,1112,0,0,0,0,0,0,606,0,0,0,0,0,0,0,0,0,2,0,1112,0,0,0,0,0,0,1902.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2.58,0.00,4757.97,0.00,0.00,0.00,0.00,0.00,0.00,6662.55,0.00,0.00 1000159275," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8175.13,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8175.13,0.00,0.00 1000391804," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18017.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18017.95,0.00,0.00 1000113250,"1497799100","016","Nurse Practitioners","WALLING SHERRI","477152753","815","Indiana"," ","","0","0","General Psychiatry Residency",0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1256.30,0.00,0.00,0.00,0.00,0.00,0.00,1256.30,0.00,0.00 1000222592," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12523.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12523.07,0.00,0.00 1000445129,"1962510180","010","Physicians","YILMAZ MELTEN","606114402","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,152,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,156,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,156,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33640.55,0.00,0.00,0.00,0.00,0.00,0.00,33640.55,0.00,0.00 1000064371,"1740384684","060","Pharmacies","CVS PHARMACY 3110","600564570","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,1144,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,6265,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,130521,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,96.62,0.00,0.00,240566.84,0.00,0.00,0.00,240663.46,0.00,0.00 1000351020,"1902954381","010","Physicians","THUKRAL ANJALI","604220100","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,33,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,33,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1964.87,0.00,0.00,0.00,0.00,0.00,0.00,1964.87,0.00,0.00 1000458547," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","070","McDonough"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4507.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4507.39,0.00,0.00 1000354303," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1670.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1670.50,0.00,0.00 1000075627," ","060","Pharmacies",""," ","805","California"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,38951.95,0.00,0.00,0.00,38951.95,0.00,0.00 1000413073," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","070","McDonough"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,180.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,180.00,0.00,0.00 1000420985,"1679764096","010","Physicians","MULLAPUDI RAJENDRA","605231073","030","DuPage"," ","","0","1","Internal Medicine",0,0,0,31,0,0,0,0,0,0,17,0,580,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,21,0,2764,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,21,0,2764,0,0,0,0,0,0,0.00,0.00,0.00,966.32,0.00,0.00,0.00,0.00,0.00,0.00,83.82,0.00,66625.97,0.00,0.00,0.00,0.00,0.00,0.00,67676.11,0.00,0.00 1000037331,"1336301027","010","Physicians","BEHARA AMI","600684713","200","Cook"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,332.91,0.00,0.00,0.00,0.00,0.00,0.00,332.91,0.00,0.00 1000253445," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","061","Livingston"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21474.01,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21474.01,0.00,0.00 1000021507," ","010","Physicians",""," ","816","Iowa"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,214.90,0.00,0.00,0.00,0.00,0.00,0.00,214.90,0.00,0.00 1000280668,"1033195680","010","Physicians","HOMEDI EYAD","601081470","030","DuPage"," ","","0","1","Family Practice",71,0,0,13,0,0,0,0,0,0,2,0,35,0,0,0,0,0,0,522,0,0,32,0,0,0,0,0,0,3,0,104,0,0,0,0,0,0,522,0,0,32,0,0,0,0,0,0,3,0,104,0,0,0,0,0,0,1396.00,0.00,0.00,908.81,0.00,0.00,0.00,0.00,0.00,0.00,7.78,0.00,3489.43,0.00,0.00,0.00,0.00,0.00,0.00,5802.02,0.00,0.00 1000385238," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","060","Lee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10876.59,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10876.59,0.00,0.00 1000000442,"1710991856","010","Physicians","COHEN BRIAN","616053645","080","Peoria"," ","","0","1","Internal Medicine",20,0,0,0,0,0,0,0,0,0,8,0,77,0,0,0,0,0,0,187,0,0,0,0,0,0,0,0,0,10,0,349,0,0,0,0,0,0,187,0,0,0,0,0,0,0,0,0,10,0,349,0,0,0,0,0,0,602.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26.82,0.00,3379.52,0.00,0.00,0.00,0.00,0.00,0.00,4008.34,0.00,0.00 1000410646," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","037","Fulton"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,30030.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,30030.10,0.00,0.00 1000074424,"1700839354","010","Physicians","LAM LINDA","600073311","200","Cook"," ","","0","0","Pulmonary Diseases",0,0,0,0,0,0,0,0,0,1,1,0,292,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,2,0,933,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,2,0,933,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,87.10,14.56,0.00,18873.91,0.00,0.00,0.00,0.00,0.00,0.00,18975.57,4.00,0.00 1000044713,"1000044713","090","Waiver service provider--Elderly (DOA)","CENTER FOR SENIORS","606254712","200","Cook"," ","","0","0","",0,0,0,0,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1767,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1767,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,75775.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,75775.44,0.00,0.00 1000371147," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,114,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,114,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12759.42,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12759.42,0.00,0.00 1000157521," ","016","Nurse Practitioners",""," ","045","Henry"," ","","0","0","",0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1.00,0.00 1000255178,"1972555647","010","Physicians","RUIZ FRANKLIN","532264837","852","Wisconsin"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4236.60,0.00,0.00,0.00,0.00,0.00,0.00,4236.60,0.00,0.00 1000452368,"1366514721","016","Nurse Practitioners","MAJERS TERESA","618012530","019","Champaign"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1041.49,0.00,0.00,0.00,0.00,0.00,0.00,1041.49,0.00,0.00 1000467723,"1891754362","010","Physicians","MUNEER RUKHSANA","601262748","030","DuPage"," ","","0","1","Internal Medicine",6,0,0,0,0,0,0,0,0,0,0,0,93,0,0,0,0,0,0,55,0,0,0,0,0,0,0,0,0,0,0,423,0,0,0,0,0,0,55,0,0,0,0,0,0,0,0,0,0,0,423,0,0,0,0,0,0,192.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12692.38,0.00,0.00,0.00,0.00,0.00,0.00,12884.38,0.00,0.00 1000437156,"1811096662","010","Physicians","BARBEROUSSE LIONEL","606233501","200","Cook"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,764.75,0.00,0.00,0.00,0.00,0.00,0.00,764.75,4.00,0.00 1000397310,"1942210224","016","Nurse Practitioners","ANDERSON SHARON","606203007","200","Cook"," ","","0","0","",0,0,0,4,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,0.00,0.00,0.00,25.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1858.88,0.00,0.00,0.00,0.00,0.00,0.00,1884.48,0.00,0.00 1000242107,"1154431344","010","Physicians","YOUNKINS ROBERT","606162441","200","Cook"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,1,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,34,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10.75,0.00,944.67,0.00,0.00,0.00,0.00,0.00,0.00,955.42,0.00,0.00 1000007416,"1285605402","010","Physicians","HOLT DAVID","601533304","200","Cook"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,123,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,258,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,258,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16188.21,0.00,0.00,0.00,0.00,0.00,0.00,16188.21,0.00,0.00 1000020630," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14759.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14759.67,0.00,0.00 1000082540," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3689.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3689.82,0.00,0.00 1000013391," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","099","Union"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12165.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12165.84,0.00,0.00 1000054644,"1144424649","010","Physicians","PETERSON ANTHONY","601533328","200","Cook"," ","","0","0","Dermatology",0,0,0,0,0,0,0,0,0,0,0,0,262,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,486,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,486,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11182.88,0.00,0.00,0.00,0.00,0.00,0.00,11182.88,0.00,0.00 1000350286," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,270.87,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,270.87,0.00,0.00 1000275305," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","045","Henry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,36.17,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,36.17,0.00,0.00 1000121713,"1942304456","010","Physicians","DORONILA HUGHES KATERINA","611022112","109","Winnebago"," ","","0","1","Family Practice",121,0,0,110,0,0,0,0,0,0,110,0,320,0,0,0,0,0,0,315,0,0,309,0,0,0,0,0,0,176,0,756,0,0,0,0,0,0,315,0,0,309,0,0,0,0,0,0,176,0,756,0,0,0,0,0,0,787.00,0.00,0.00,7878.77,0.00,0.00,0.00,0.00,0.00,0.00,1410.83,0.00,27076.36,0.00,0.00,0.00,0.00,0.00,0.00,37152.96,0.00,0.00 1000358871,"1609995059","022","Physical Therapists","BOWERS ROBINSON DIANE","618012529","019","Champaign"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,57,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,199,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,199,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8838.37,8838.37,0.00,0.00 1000271614," ","010","Physicians",""," ","200","Cook"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,44.80,0.00,0.00,0.00,0.00,0.00,0.00,44.80,0.00,0.00 1000356995," ","024","Speech Therapists",""," ","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,580.48,580.48,0.00,0.00 1000129095,"1801845078","010","Physicians","MCCLENIC BRIAN","463212901","815","Indiana"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.63,0.00,0.00,0.00,0.00,0.00,0.00,0.63,0.00,0.00 1000297226," ","010","Physicians",""," ","200","Cook"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000372432,"1972519171","022","Physical Therapists","REIS GREGORY","623013708","010","Adams"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,401,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,401,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6897.95,6897.95,0.00,0.00 1000388643,"1568664076","047","Local Education Agencies","GRIGGSVILLE PERRY CUSD 4","623400439","083","Pike"," ","","0","0","",0,0,0,29,0,0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,51,0,0,0,0,0,0,0,0,0,0,0,0,0,1039,0,0,0,0,51,0,0,0,0,0,0,0,0,0,0,0,0,0,1039,0,0.00,0.00,0.00,375.04,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11128.83,0.00,11503.87,0.00,0.00 1000372758,"1093879652","010","Physicians","LOWE WILLIAM","606114407","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,252.70,0.00,0.00,0.00,0.00,0.00,0.00,252.70,0.00,0.00 1000006417," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11574.55,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11574.55,0.00,0.00 1000159744," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1768.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1768.00,0.00,0.00 1000360217," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5817.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5817.78,0.00,0.00 1000437482," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","062","Logan"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5913.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5913.00,0.00,0.00 1000359279," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","102","Warren"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1999.68,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1999.68,0.00,0.00 1000098099," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1136.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1136.19,0.00,0.00 1000391131,"1124116827","060","Pharmacies","LOGAN PRIMARY PHARMACY","629483730","108","Williamson"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1507,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13910,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,313298,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,882804.17,0.00,0.00,0.00,882804.17,0.00,0.00 1000350490,"1760431563","010","Physicians","KOSIK MICHELLE","605256539","200","Cook"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,6,0,84,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,173,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,173,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,310.90,0.00,21562.33,0.00,0.00,0.00,0.00,0.00,0.00,21873.23,0.00,0.00 1000468335,"1417947870","060","Pharmacies","HERRIN HEALTH MART","629483148","108","Williamson"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,1030,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,22145,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,551610,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,762.26,0.00,0.00,1140013.76,0.00,0.00,0.00,1140776.02,0.00,0.00 1000186641,"1821172198","010","Physicians","LUCORE CHARLES","627949420","091","Sangamon"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,1,0,384,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,628,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,628,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7.65,0.00,13287.82,0.00,0.00,0.00,0.00,0.00,0.00,13295.47,0.00,0.00 1000416356,"1619921665","036","Community mental health provider","CHESTNUT HEALTH SYSTEMS INC","620601420","065","Madison"," ","","0","0","",42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,181,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1457,0,0,181,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1457,0,0,4927.03,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,36341.98,0.00,0.00,41269.01,0.00,0.00 1000211193," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","010","Adams"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9807.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9807.45,0.00,0.00 1000417641,"1639213820","016","Nurse Practitioners","STEED MARTINA","620625672","065","Madison"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,647.48,0.00,0.00,0.00,0.00,0.00,0.00,647.48,0.00,0.00 1000143573,"1902857717","010","Physicians","WRIGHT DAVID","627024038","091","Sangamon"," ","","0","0","Allergy-Immunization",0,0,0,11,0,0,0,0,0,0,90,0,156,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,400,0,1930,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,400,0,1930,0,0,0,0,0,0,0.00,0.00,0.00,51.20,0.00,0.00,0.00,0.00,0.00,0.00,3295.01,0.00,28930.08,0.00,0.00,0.00,0.00,0.00,0.00,32276.29,0.00,0.00 1000331383,"1386680536","010","Physicians","PATEL AASHISH","462025306","815","Indiana"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,5,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,292.28,0.00,224.70,0.00,0.00,0.00,0.00,0.00,0.00,516.98,0.00,0.00 1000419721," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1011.38,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1011.38,0.00,0.00 1000426287," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1495.05,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1495.05,0.00,0.00 1000359626," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12797.55,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12797.55,0.00,0.00 1000241638,"1013188598","010","Physicians","PODLASEK WIESLAW","611112754","109","Winnebago"," ","","0","0","General Practice",0,0,0,0,0,0,0,0,0,1,4,0,267,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,4,0,282,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,4,0,282,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,291.65,0.00,0.00,63310.87,0.00,0.00,0.00,0.00,0.00,0.00,63602.52,0.00,0.00 1000312459,"1285848622","010","Physicians","ZIKOS VETA","604532600","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,973,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,992,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,992,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,38634.83,0.00,0.00,0.00,0.00,0.00,0.00,38634.83,29.00,0.00 1000038616," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4466.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4466.88,0.00,0.00 1000205687," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25683.94,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25683.94,0.00,0.00 1000347880," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,247.49,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,247.49,0.00,0.00 1000304547,"1629015318","010","Physicians","THOMPSON WALTER","606232460","200","Cook"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1195.85,0.00,0.00,0.00,0.00,0.00,0.00,1195.85,117.00,0.00 1000216882," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","069","Massac"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13004.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13004.88,0.00,0.00 1000012922,"1033106828","010","Physicians","FRATIANNI CARMEL","627949639","091","Sangamon"," ","","0","0","Endocrinology",0,0,0,0,0,0,0,0,0,0,12,0,91,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,201,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,201,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,193.40,0.00,5756.31,0.00,0.00,0.00,0.00,0.00,0.00,5949.71,0.00,0.00 1000395638,"1396748000","010","Physicians","GANS LAWRENCE A","630423521","826","Missouri"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,12,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,28,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,246.44,0.00,4928.11,0.00,0.00,0.00,0.00,0.00,0.00,5174.55,0.00,0.00 1000171612,"1689723918","010","Physicians","CARPENTER KENNETH","614438354","045","Henry"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,544,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,609,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,609,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21819.91,0.00,0.00,0.00,0.00,0.00,0.00,21819.91,0.00,0.00 1000337154,"1194763375","010","Physicians","PATEL JAGDISH","463123076","815","Indiana"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,1,0,390,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,888,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,888,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,34.16,0.00,15792.75,0.00,0.00,0.00,0.00,0.00,0.00,15826.91,10.00,0.00 1000160621,"1023024650","010","Physicians","HAUG KEITH","618203909","019","Champaign"," ","","0","0","Obstetric-Gynecology",0,0,0,9,0,0,0,0,0,0,274,0,314,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,1503,0,1140,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,1503,0,1140,0,0,0,0,0,0,0.00,0.00,0.00,258.05,0.00,0.00,0.00,0.00,0.00,0.00,42798.60,0.00,125868.73,0.00,0.00,0.00,0.00,0.00,0.00,168925.38,0.00,0.00 1000159948,"1033380910","016","Nurse Practitioners","SEPE KAREN","630433411","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,29,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,323,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,323,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5663.85,0.00,0.00,0.00,0.00,0.00,0.00,5663.85,0.00,0.00 1000419517,"1548228158","010","Physicians","GUTZKE GLEN","601181416","053","Kane"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4889.61,0.00,0.00,0.00,0.00,0.00,0.00,4889.61,0.00,0.00 1000283768,"1194710905","064","Imaging Services","OPEN MRI OF SOUTHERN IL","620620010","065","Madison"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,985,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1855,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1855,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,129910.40,0.00,0.00,0.00,0.00,0.00,0.00,129910.40,0.00,0.00 1000259481,"1780678870","010","Physicians","VARELA MARISELA","463201960","815","Indiana"," ","","0","0","Nephrology",0,0,0,0,0,0,0,0,0,0,0,0,55,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,137,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,137,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3868.79,0.00,0.00,0.00,0.00,0.00,0.00,3868.79,0.00,0.00 1000174222,"1710918875","060","Pharmacies","KMART STORES OF IL LLC 4297","612654599","089","Rock Island"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,146,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1708,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45149,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,88360.44,0.00,0.00,0.00,88360.44,0.00,0.00 1000074832," ","016","Nurse Practitioners",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,110.19,0.00,0.00,0.00,0.00,0.00,0.00,110.19,0.00,0.00 1000294086,"1013025097","010","Physicians","JORDAN WAGNER DIANE","478044002","815","Indiana"," ","","0","0","Allergy-Immunization",0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,140,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,140,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6696.04,0.00,0.00,0.00,0.00,0.00,0.00,6696.04,0.00,0.00 1000070142," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29.54,0.00,0.00 1000173101,"1770671646","010","Physicians","SHARFAEI SORAYA","609279087","046","Iroquois"," ","","0","1","Internal Medicine",79,0,0,0,0,0,0,0,0,0,1,0,104,0,0,0,0,0,0,540,0,0,0,0,0,0,0,0,0,1,0,175,0,0,0,0,0,0,540,0,0,0,0,0,0,0,0,0,1,0,175,0,0,0,0,0,0,1621.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2.58,0.00,4892.25,0.00,0.00,0.00,0.00,0.00,0.00,6515.83,0.00,0.00 1000014003,"1306830013","010","Physicians","MONTEGUT ANTHONY","528032459","816","Iowa"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,607.50,0.00,0.00,0.00,0.00,0.00,0.00,607.50,1.00,0.00 1000367334,"1972517456","010","Physicians","FEMAN STEPHEN","631102515","826","Missouri"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,4,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,89,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,89,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,196.04,0.00,9764.40,0.00,0.00,0.00,0.00,0.00,0.00,9960.44,22.00,0.00 1000281015,"1578605119","011","Dentists","TADIN MICHAEL","611114402","109","Winnebago"," ","","0","0","General Dentistry",0,0,1846,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,7398,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,7398,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0.00,0.00,229575.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3763.50,0.00,0.00,0.00,0.00,233339.35,0.00,0.00 1000286704," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17127.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17127.53,0.00,0.00 1000217841," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17367.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17367.20,0.00,0.00 1000320453,"1740466101","063","Other Providers of Medical Equipment/Supplies (Non-registered)","DUPAGE PROST ORTHOTIC SVC INC","601484561","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,5,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,46,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,46,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,239.46,0.00,6835.87,0.00,0.00,0.00,0.00,7075.33,0.00,0.00 1000045937," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","031","Edgar"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5645.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5645.72,0.00,0.00 1000029827," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8163.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8163.67,0.00,0.00 1000299388," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","029","Douglas"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11589.52,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11589.52,0.00,0.00 1000422127," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4109.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4109.00,0.00,0.00 1000410932," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7258.21,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7258.21,0.00,0.00 1000240374,"1508826801","010","Physicians","KELCZ FREDERICK","535625531","852","Wisconsin"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,12,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,720.43,0.00,10.77,0.00,0.00,0.00,0.00,0.00,0.00,731.20,0.00,0.00 1000014064," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1019.30,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1019.30,0.00,0.00 1000034782,"1972500981","010","Physicians","YAZDI JOSEPH","622201929","096","St Clair"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,1,0,238,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,709,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,709,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,78.05,0.00,87674.25,0.00,0.00,0.00,0.00,0.00,0.00,87752.30,9.00,0.00 1000133234,"1740303585","011","Dentists","WILDMAN PETER","604024169","200","Cook"," ","","0","0","General Dentistry",0,0,65,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,287,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,287,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0.00,0.00,8265.31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,752.70,0.00,0.00,0.00,0.00,9018.01,0.00,0.00 1000275040," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2362.38,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2362.38,0.00,0.00 1000172550,"1952380743","010","Physicians","SMUCKER PAUL","627119252","091","Sangamon"," ","","0","0","Physical Medicine/Rehabilitation",0,0,0,0,0,0,0,0,0,0,31,0,110,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,76,0,396,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,76,0,396,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1362.83,0.00,10733.05,0.00,0.00,0.00,0.00,0.00,0.00,12095.88,0.00,0.00 1000177118,"1427250984","047","Local Education Agencies","DELAVAN CUSD 703","617349231","098","Tazewell"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,896,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,896,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10133.19,0.00,10133.19,0.00,0.00 1000393945," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,23973.59,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23973.59,0.00,0.00 1000447882," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,152,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,152,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12205.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12205.80,0.00,0.00 1000132296," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1298.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1298.88,0.00,0.00 1000428020," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3274.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3274.19,0.00,0.00 1000349756,"1285885509","028","Waiver service provider--Supportive living facility (HFS)","HERITAGE WOODS OF CENTRALIA","628016784","066","Marion"," ","","0","0","",0,0,0,0,0,57,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,530,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13899,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,655515.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,655515.88,0.00,0.00 1000235867," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","075","Monroe"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3384.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3384.82,0.00,0.00 1000150547,"1114086766","010","Physicians","PRZEZDZIAK TOMASZ","600442203","057","Lake"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,1,2,0,55,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,2,0,57,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,2,0,57,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,138.15,12.02,0.00,8139.85,0.00,0.00,0.00,0.00,0.00,0.00,8290.02,0.00,0.00 1000112863,"1265582530","010","Physicians","ZULL DAVID","600852161","057","Lake"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,745,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,798,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,798,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,30114.89,0.00,0.00,0.00,0.00,0.00,0.00,30114.89,8.00,0.00 1000176710,"1639262389","016","Nurse Practitioners","BANGERT SHARON","625264163","063","Macon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,341.16,0.00,0.00,0.00,0.00,0.00,0.00,341.16,0.00,0.00 1000411523,"1093951238","010","Physicians","RAINA SHIRIN","620404701","065","Madison"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,262,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,720,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,720,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19444.16,0.00,0.00,0.00,0.00,0.00,0.00,19444.16,19.00,0.00 1000455998,"1821183658","022","Physical Therapists","GOTZ TRACI","600771859","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,177,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,177,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14052.36,14052.36,0.00,0.00 1000150078,"1639162530","010","Physicians","KING THOMAS","630442512","826","Missouri"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,0,0,74,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,128,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,128,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2549.85,0.00,0.00,0.00,0.00,0.00,0.00,2549.85,1.00,0.00 1000409035," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17831.87,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17831.87,0.00,0.00 1000080460," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8226.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8226.00,0.00,0.00 1000046589," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16162.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16162.45,0.00,0.00 1000169328,"1053455667","036","Community mental health provider","FRANKLIN WILLIAMSON HUMAN SVCS","628962210","036","Franklin"," ","","0","0","Childrens mental health",296,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,890,0,0,890,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7158,0,0,890,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7158,0,0,33489.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,572663.78,0.00,0.00,606153.45,0.00,0.00 1000057315,"1275623274","012","Optometrists","KIM SUNG","600073020","200","Cook"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,2853,0,2361,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5986,0,2599,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5986,0,2599,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,190702.21,0.00,78170.23,0.00,0.00,0.00,0.00,268872.44,0.00,0.00 1000095346," ","060","Pharmacies",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,488,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,42.53,0.00,0.00,0.00,42.53,0.00,0.00 1000016939," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,30023.22,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,30023.22,0.00,0.00 1000121835," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","079","Ogle"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,321.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,321.88,0.00,0.00 1000182685,"1568447647","010","Physicians","SAVCIC MIRELA","606292477","200","Cook"," ","","0","1","Internal Medicine",89,0,0,0,0,0,0,0,0,0,2,0,209,0,0,0,0,0,0,754,0,0,0,0,0,0,0,0,0,2,0,566,0,0,0,0,0,0,754,0,0,0,0,0,0,0,0,0,2,0,566,0,0,0,0,0,0,2329.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,39.95,0.00,14567.96,0.00,0.00,0.00,0.00,0.00,0.00,16936.91,1.00,0.00 1000274836,"1326066887","010","Physicians","ROTHBAUM ROBERT","631101077","826","Missouri"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,107,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,213,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,213,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13622.46,0.00,0.00,0.00,0.00,0.00,0.00,13622.46,0.00,0.00 1000039615,"1639266158","010","Physicians","MALEK GAREY","606017538","200","Cook"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,855.00,0.00,0.00,0.00,0.00,0.00,0.00,855.00,0.00,0.00 1000075892," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8411.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8411.82,0.00,0.00 1000424798," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,24911.03,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24911.03,0.00,0.00 1000405487,"1952392110","010","Physicians","GOLDSTEIN GARY","631366119","826","Missouri"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,74,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,213,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,213,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1892.36,0.00,0.00,0.00,0.00,0.00,0.00,1892.36,0.00,0.00 1000380405," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,29963.02,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29963.02,0.00,0.00 1000455529," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,212,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,212,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13366.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13366.76,0.00,0.00 1000215740,"1932269396","010","Physicians","JACOB SUMA","605254682","200","Cook"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,601.60,0.00,0.00,0.00,0.00,0.00,0.00,601.60,0.00,0.00 1000290395,"1326222316","060","Pharmacies","WALGREENS 6905","60046 ","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,431,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2914,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,63921,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,177143.15,0.00,0.00,0.00,177143.15,0.00,0.00 1000091329," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17968.17,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17968.17,0.00,0.00 1000218289," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","045","Henry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,139.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,139.84,0.00,0.00 1000441907," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10799.22,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10799.22,0.00,0.00 1000047527,"1851556237","039","Hospice","FAYETTE CO HLTH DEPT HOSPICE","624710340","034","Fayette"," ","","0","0","",0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,503,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,40860.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,40860.82,0.00,0.00 1000154850,"1710992748","060","Pharmacies","WALGREEN 05717","630904603","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,885,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1136.21,0.00,0.00,0.00,1136.21,0.00,0.00 1000041348," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,168.74,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,168.74,0.00,0.00 1000451308," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2121.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2121.99,0.00,0.00 1000405813,"1760442511","010","Physicians","KOSMALA WILLIAM","604631435","200","Cook"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,1,0,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,132,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,132,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16.40,0.00,0.00,3826.40,0.00,0.00,0.00,0.00,0.00,0.00,3842.80,0.00,0.00 1000251895," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1124.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1124.96,0.00,0.00 1000113597,"1659498665","063","Other Providers of Medical Equipment/Supplies (Non-registered)","STELLAR ORTHOTICS PROSTHETICS","604353440","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,18,0,68,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,464,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,464,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1742.29,0.00,97867.91,0.00,0.00,0.00,0.00,99610.20,0.00,0.00 1000387787,"1073714549","010","Physicians","ZHAO ZHIQUAN","535482940","852","Wisconsin"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,8,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32,0,27,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,549.86,0.00,3469.74,0.00,0.00,0.00,0.00,0.00,0.00,4019.60,0.00,0.00 1000011311," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,350,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,350,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17466.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17466.67,0.00,0.00 1000195756,"1851484620","012","Optometrists","LOWE PAMELA","607144548","200","Cook"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,533,0,429,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1173,0,459,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1173,0,459,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,39900.21,0.00,13634.00,0.00,0.00,0.00,0.00,53534.21,0.00,0.00 1000467397,"1073556817","010","Physicians","KASALAJTIS BRIAN","532024815","852","Wisconsin"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1912.57,0.00,0.00,0.00,0.00,0.00,0.00,1912.57,0.00,0.00 1000024117,"1285697003","010","Physicians","COLLINS EUGENE","528042101","816","Iowa"," ","","0","0","Neurology Surgery",0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,149.90,0.00,0.00,0.00,0.00,0.00,0.00,149.90,0.00,0.00 1000206482,"1780788851","010","Physicians","BLAIR AMY","601533328","200","Cook"," ","","0","1","Family Practice",109,0,0,14,0,0,0,0,0,0,0,0,176,0,0,0,0,0,0,1062,0,0,21,0,0,0,0,0,0,0,0,375,0,0,0,0,0,0,1062,0,0,21,0,0,0,0,0,0,0,0,375,0,0,0,0,0,0,2792.00,0.00,0.00,1396.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17228.55,0.00,0.00,0.00,0.00,0.00,0.00,21417.19,0.00,0.00 1000446536,"1760472898","010","Physicians","OBERFOELL RONALD","611033655","109","Winnebago"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,1,0,0,165,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,177,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,177,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,291.65,0.00,0.00,27000.87,0.00,0.00,0.00,0.00,0.00,0.00,27292.52,0.00,0.00 1000209439," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24.20,0.00,0.00,0.00,0.00,0.00,0.00,24.20,0.00,0.00 1000136069,"1255312609","010","Physicians","SAUM KENNETH","629011474","047","Jackson"," ","","0","0","Cardiovascular Surgery",0,0,0,0,0,0,0,0,0,0,0,0,117,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,262,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,262,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,77039.78,0.00,0.00,0.00,0.00,0.00,0.00,77039.78,0.00,0.00 1000141493,"1881647071","010","Physicians","SORENSEN STEPHEN","528041844","816","Iowa"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,1,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,14,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2.62,0.00,594.73,0.00,0.00,0.00,0.00,0.00,0.00,597.35,0.00,0.00 1000212131," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,865.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,865.98,0.00,0.00 1000184031,"1164480877","010","Physicians","SZOPA BERNARD","622201900","096","St Clair"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,1,0,222,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,445,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,445,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,60.10,0.00,37843.32,0.00,0.00,0.00,0.00,0.00,0.00,37903.42,78.00,0.00 1000343108," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,27586.48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27586.48,0.00,0.00 1000450900," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3915.48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3915.48,0.00,0.00 1000117227,"1437175759","010","Physicians","WEIHL CONRAD","631101010","826","Missouri"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1074.33,0.00,0.00,0.00,0.00,0.00,0.00,1074.33,1.00,0.00 1000086435," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","095","Stark"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5696.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5696.86,0.00,0.00 1000227894," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","064","Macoupin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10205.03,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10205.03,0.00,0.00 1000183419," ","090","Waiver service provider--Elderly (DOA)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,424,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,424,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,33935.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33935.77,0.00,0.00 1000125261,"1407921448","014","Chiropractors","GREENBERG RONALD","624500096","088","Richland"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,97,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1349,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1349,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8782.36,0.00,0.00,0.00,0.00,0.00,0.00,8782.36,0.00,0.00 1000267597,"1184720831","011","Dentists","AKHIKAR JOSEPH","606393646","200","Cook"," ","","0","0","General Dentistry",0,0,1739,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,11637,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,11637,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0.00,0.00,317297.05,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4892.55,0.00,0.00,0.00,0.00,322189.60,0.00,0.00 1000105012,"1780682393","010","Physicians","DURKEE TIMOTHY","611075639","109","Winnebago"," ","","0","0","Obstetric-Gynecology",0,0,0,2,0,0,0,0,0,0,216,0,138,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,702,0,628,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,702,0,628,0,0,0,0,0,0,0.00,0.00,0.00,171.30,0.00,0.00,0.00,0.00,0.00,0.00,19361.97,0.00,40230.88,0.00,0.00,0.00,0.00,0.00,0.00,59764.15,0.00,0.00 1000429774," ","030","General Hospitals",""," ","852","Wisconsin","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,3,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0.00,0.00,0.00,0.00,248.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,248.00,0.00,0.00 1000423799," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11154.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11154.85,0.00,0.00 1000456528,"1114076791","010","Physicians","OCZKO DANGUILAN AGATA","600733809","057","Lake"," ","","0","0","Internal Medicine",28,0,0,1,0,0,0,0,0,0,2,0,30,0,0,0,0,0,0,55,0,0,1,0,0,0,0,0,0,2,0,124,0,0,0,0,0,0,55,0,0,1,0,0,0,0,0,0,2,0,124,0,0,0,0,0,0,159.00,0.00,0.00,84.62,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1724.04,0.00,0.00,0.00,0.00,0.00,0.00,1967.66,0.00,0.00 1000039411,"1659477941","011","Dentists","SCHWARTZ MICHAEL","600894055","057","Lake"," ","","0","0","General Dentistry",0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,1206.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1206.40,0.00,0.00 1000258808,"1376582502","010","Physicians","GONZALEZ AURORA","631366119","826","Missouri"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,223.02,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,223.02,0.00,0.00 1000320779," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1027.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1027.65,0.00,0.00 1000371494," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,29769.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29769.99,0.00,0.00 1000165515," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12785.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12785.98,0.00,0.00 1000464787,"1336319672","036","Community mental health provider","LARKIN CENTER THATCHER","601235182","053","Kane"," ","","0","0","",16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,674,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4491,0,0,674,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4491,0,0,20254.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,127827.62,0.00,0.00,148081.76,0.00,0.00 1000342048," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","106","Whiteside"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,84.37,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,84.37,0.00,0.00 1000033457,"1689641961","010","Physicians","WAGNER JASON","631101010","826","Missouri"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,1,0,68,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,77,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,77,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,31.35,0.00,3444.10,0.00,0.00,0.00,0.00,0.00,0.00,3475.45,3.00,0.00 1000237682,"1154304137","011","Dentists","WOODS PATRICK","611022112","109","Winnebago"," ","","0","0","General Dentistry",0,0,141,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,427,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,427,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000334992," ","010","Physicians",""," ","816","Iowa"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22.45,0.00,0.00,0.00,0.00,0.00,0.00,22.45,0.00,0.00 1000269004," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,105,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,105,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7026.81,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7026.81,0.00,0.00 1000204076,"1659485977","010","Physicians","GALLO MARTIN","605151594","030","DuPage"," ","","0","0","Obstetric-Gynecology",0,0,0,2,0,0,0,0,0,0,79,0,130,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,105,0,341,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,105,0,341,0,0,0,0,0,0,0.00,0.00,0.00,17.59,0.00,0.00,0.00,0.00,0.00,0.00,5706.39,0.00,35864.63,0.00,0.00,0.00,0.00,0.00,0.00,41588.61,0.00,0.00 1000351775,"1467536532","016","Nurse Practitioners","KAMM LISA","625264163","063","Macon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,581.27,0.00,0.00,0.00,0.00,0.00,0.00,581.27,0.00,0.00 1000277263,"1700827128","010","Physicians","TOREN CARL","606131409","200","Cook"," ","","0","0","Pediatrics",0,0,0,25,0,0,0,0,0,0,6,0,165,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,2,0,188,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,2,0,188,0,0,0,0,0,0,0.00,0.00,0.00,202.80,0.00,0.00,0.00,0.00,0.00,0.00,8.00,0.00,5980.30,0.00,0.00,0.00,0.00,0.00,0.00,6191.10,82.00,0.00 1000183358," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11768.94,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11768.94,0.00,0.00 1000162028,"1528138310","011","Dentists","KROL MICHAEL","600332763","071","McHenry"," ","","0","0","General Dentistry",0,0,126,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,906,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,906,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0.00,0.00,28818.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1881.75,0.00,0.00,0.00,0.00,30699.90,0.00,0.00 1000118165," ","010","Physicians",""," ","823","Michigan"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,321.18,0.00,0.00,0.00,0.00,0.00,0.00,321.18,0.00,0.00 1000197163," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","062","Logan"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1450.75,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1450.75,0.00,0.00 1000420455," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","082","Piatt"," ","","0","0","",0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,440,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,440,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25147.02,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25147.02,0.00,0.00 1000180340,"1043280589","010","Physicians","FRANKLIN MALCOM","605447107","107","Will"," ","","0","1","Internal Medicine",3,0,0,0,0,0,0,0,0,0,2,0,48,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,3,0,124,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,3,0,124,0,0,0,0,0,0,40.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7.80,0.00,2523.97,0.00,0.00,0.00,0.00,0.00,0.00,2571.77,0.00,0.00 1000093960," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14313.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14313.40,0.00,0.00 1000103462,"1588668867","010","Physicians","SPICER DONALD","420033814","818","Kentucky"," ","","0","0","Urology",0,0,0,0,0,0,0,0,0,0,3,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,13,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,62.24,0.00,466.22,0.00,0.00,0.00,0.00,0.00,0.00,528.46,0.00,0.00 1000321248," ","016","Nurse Practitioners",""," ","844","Tennessee"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,69.95,0.00,0.00,0.00,0.00,0.00,0.00,69.95,0.00,0.00 1000206217,"1548251382","063","Other Providers of Medical Equipment/Supplies (Non-registered)","HERITAGE MANOR LITCHFIELD LLC","620562716","076","Montgomery"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10443.81,0.00,0.00,0.00,0.00,0.00,0.00,10443.81,0.00,0.00 1000097304,"1568487635","010","Physicians","HURFORD ROBERT","618012530","019","Champaign"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,83,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,132,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,132,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16353.28,0.00,0.00,0.00,0.00,0.00,0.00,16353.28,0.00,0.00 1000279812,"1992903934","024","Speech Therapists","COONEY MAUREEN","604631189","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,162,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,162,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12004.16,12004.16,0.00,0.00 1000202669,"1366451577","010","Physicians","KAKI SUMA","604905489","107","Will"," ","","0","0","Internal Medicine",0,0,0,1,0,0,0,0,0,3,0,0,103,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,15,0,0,470,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,15,0,0,470,0,0,0,0,0,0,0.00,0.00,0.00,6.40,0.00,0.00,0.00,0.00,0.00,1133.10,0.00,0.00,10033.12,0.00,0.00,0.00,0.00,0.00,0.00,11172.62,0.00,0.00 1000397636," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2227.51,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2227.51,0.00,0.00 1000348063,"1720158116","010","Physicians","LICHT JONATHAN","606118709","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,812.70,0.00,0.00,0.00,0.00,0.00,0.00,812.70,0.00,0.00 1000230035,"1699874719","047","Local Education Agencies","EASTERN IL AREA OF SPEC ED","619209465","024","Coles"," ","","0","0","",0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,881,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,17644,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,17644,0,0.00,0.00,0.00,247.75,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,157277.64,0.00,157525.39,0.00,0.00 1000389459," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1012.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1012.44,0.00,0.00 1000294555," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,120.57,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,120.57,0.00,0.00 1000200242,"1417936907","010","Physicians","SAKSENA FRANKLIN","606253543","200","Cook"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,0,0,1380,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1876,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1876,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15283.48,0.00,0.00,0.00,0.00,0.00,0.00,15283.48,11.00,0.00 1000209643,"1306957410","010","Physicians","JONES JODIE","604532600","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,120,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,123,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,123,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26845.28,0.00,0.00,0.00,0.00,0.00,0.00,26845.28,0.00,0.00 1000167105,"1508834839","010","Physicians","DELGADO SERRANO LOURDES","616033172","080","Peoria"," ","","0","0","Child Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,299,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1022,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1022,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33962.86,0.00,0.00,0.00,0.00,0.00,0.00,33962.86,0.00,0.00 1000318760,"1205807658","010","Physicians","BAUMWELL STERLING","604023429","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,6,0,85,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,72,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,215.70,0.00,10547.70,0.00,0.00,0.00,0.00,0.00,0.00,10763.40,13.00,0.00 1000250019," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,916.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,916.32,0.00,0.00 1000258400," ","010","Physicians",""," ","109","Winnebago"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,36.81,0.00,0.00,0.00,0.00,0.00,0.00,36.81,0.00,0.00 1000236866,"1578690731","022","Physical Therapists","VAUGHN HAROLD","628121565","036","Franklin"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,108,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,108,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1363.39,1363.39,0.00,0.00 1000052095," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14178.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14178.54,0.00,0.00 1000165841," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,347,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,347,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13469.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13469.95,0.00,0.00 1000159132,"1548210339","013","Podiatrists","WOODARD QEENA","606101042","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,62,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,62,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1064.71,0.00,0.00,0.00,0.00,0.00,0.00,1064.71,0.00,0.00 1000459954," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11802.75,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11802.75,0.00,0.00 1000227343," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10933.46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10933.46,0.00,0.00 1000185886,"1619976560","010","Physicians","SCHENING JENNIFER","601771830","053","Kane"," ","","0","1","Pediatrics",457,0,0,255,0,0,0,0,0,0,76,0,237,0,0,0,0,0,0,3863,0,0,844,0,0,0,0,0,0,89,0,771,0,0,0,0,0,0,3863,0,0,844,0,0,0,0,0,0,89,0,771,0,0,0,0,0,0,7726.00,0.00,0.00,33674.64,0.00,0.00,0.00,0.00,0.00,0.00,819.70,0.00,34765.29,0.00,0.00,0.00,0.00,0.00,0.00,76985.63,0.00,0.00 1000040349," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9180.31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9180.31,0.00,0.00 1000235194,"1700987153","010","Physicians","DEANE LESLIE","606124325","200","Cook"," ","","0","0","Urology",0,0,0,0,0,0,0,0,0,0,12,0,190,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,433,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,433,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,96.65,0.00,30319.59,0.00,0.00,0.00,0.00,0.00,0.00,30416.24,24.00,0.00 1000336603,"1023004439","010","Physicians","WHIGHTSEL JEFFREY","624011788","033","Effingham"," ","","0","0","Obstetric-Gynecology",0,0,0,3,0,0,0,0,0,0,147,0,355,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,263,0,738,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,263,0,738,0,0,0,0,0,0,0.00,0.00,0.00,256.95,0.00,0.00,0.00,0.00,0.00,0.00,12414.80,0.00,88204.14,0.00,0.00,0.00,0.00,0.00,0.00,100875.89,0.00,0.00 1000377305,"1598797094","030","General Hospitals","ST LOUIS UNIVERSITY HOSPITAL","631102500","826","Missouri","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","0","0","General Hospital - Adult and Child",0,0,0,0,0,0,0,0,0,0,358,0,0,243,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1627,0,0,474,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1627,0,0,474,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12503.07,0.00,0.00,9875.80,0.00,0.00,0.00,0.00,0.00,22378.87,0.00,0.00 1000464440," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8291.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8291.20,0.00,0.00 1000265170,"1215047824","014","Chiropractors","KOEHLER THOMAS","609141866","054","Kankakee"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,96,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1029,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1029,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9007.25,0.00,0.00,0.00,0.00,0.00,0.00,9007.25,0.00,0.00 1000106072," ","025","Audiologists",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,52.55,52.55,0.00,0.00 1000145123," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","049","Jefferson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1772.34,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1772.34,0.00,0.00 1000173692," ","030","General Hospitals",""," ","839","Pennsylvania","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9.15,0.00,0.00 1000152362," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,162.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,162.77,0.00,0.00 1000415071," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18982.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18982.20,0.00,0.00 1000455447," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,19072.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19072.54,0.00,0.00 1000107622,"1952444200","024","Speech Therapists","TISH LESLIE","625222317","063","Macon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,76,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4273.91,4273.91,0.00,0.00 1000419843,"1003146911","023","Occupational Therapists","KIERAS KAITLIN","606142315","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1294.95,1294.95,0.00,0.00 1000304282," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2069.57,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2069.57,0.00,0.00 1000168186,"1992876130","011","Dentists","WHITLATCH FRED","628961577","036","Franklin"," ","","0","0","General Dentistry",0,0,81,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,468,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,468,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0.00,0.00,13631.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1505.40,0.00,0.00,0.00,0.00,15136.72,0.00,0.00 1000357464,"1730193186","010","Physicians","CRAIG JOSEPH","600854980","057","Lake"," ","","0","0","Physical Medicine/Rehabilitation",0,0,0,0,0,0,0,0,0,0,0,0,80,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,333,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,333,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4170.82,0.00,0.00,0.00,0.00,0.00,0.00,4170.82,0.00,0.00 1000292475," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Child Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,199.84,0.00,0.00,0.00,0.00,0.00,0.00,199.84,0.00,0.00 1000222245,"1164441317","010","Physicians","BILLOTE DINNA","601181416","053","Kane"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,180,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,193,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,193,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,38866.04,0.00,0.00,0.00,0.00,0.00,0.00,38866.04,0.00,0.00 1000370943,"1952352288","010","Physicians","KEZDI ROGUS PAULA","601533328","200","Cook"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,78,0,161,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,86,0,321,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,86,0,321,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2059.07,0.00,6964.59,0.00,0.00,0.00,0.00,0.00,0.00,9023.66,5.00,0.00 1000422188,"1053567875","016","Nurse Practitioners","HEIN ERIN","618012530","019","Champaign"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,384.25,0.00,0.00,0.00,0.00,0.00,0.00,384.25,0.00,0.00 1000256728,"1164759403","022","Physical Therapists","BATARA RAYMOND","601722037","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,620,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,620,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5047.37,5047.37,0.00,0.00 1000404406,"1134146459","060","Pharmacies","WAL MART PHARMACY 10 0188","637019507","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,339,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2082,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48856,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,105791.89,0.00,0.00,0.00,105791.89,0.00,0.00 1000001258," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6566.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6566.85,0.00,0.00 1000075015,"1437264181","010","Physicians","RICO REBECA","606575147","200","Cook"," ","","0","0","Traumatic Surgery",0,0,0,0,0,0,0,0,0,13,44,0,210,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,44,0,568,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,44,0,568,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2845.48,1317.58,0.00,28232.67,0.00,0.00,0.00,0.00,0.00,0.00,32395.73,12.00,0.00 1000051952," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,19968.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19968.12,0.00,0.00 1000340029," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","102","Warren"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,99,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,99,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6539.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6539.86,0.00,0.00 1000085293," ","097","Waiver service provider--Children's residential (DHS/DDD)",""," ","024","Coles"," ","","0","0","",0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1333,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1333,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,203189.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,203189.19,0.00,0.00 1000329833,"1790788578","030","General Hospitals","MASSAC MEMORIAL HOSPITAL","629600858","069","Massac","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","1","0","General Hospital - Adult and Child",7,0,0,0,2609,0,0,0,0,213,0,0,0,1408,0,0,0,0,0,19,0,0,0,5136,0,0,0,0,252,0,0,0,2789,0,0,0,0,0,28,0,0,0,5153,0,0,0,0,851,0,0,0,3431,0,0,0,0,0,75.38,0.00,0.00,0.00,417189.85,0.00,0.00,0.00,0.00,310118.90,0.00,0.00,0.00,502687.62,0.00,0.00,0.00,0.00,0.00,1230071.75,0.00,0.00 1000362093,"1396855821","063","Other Providers of Medical Equipment/Supplies (Non-registered)","INTEGRATED HOMECARE SERVS INC","611088010","109","Winnebago"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,558,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5146,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5146,0,30,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,347783.43,0.00,2855.17,0.00,0.00,0.00,0.00,350638.60,0.00,0.00 1000099241,"1316956873","010","Physicians","SODINI IRMA","606405255","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,6,0,0,0,0,0,0,78,0,268,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,137,0,540,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,137,0,540,0,0,0,0,0,0,0.00,0.00,0.00,434.65,0.00,0.00,0.00,0.00,0.00,0.00,846.23,0.00,103014.05,0.00,0.00,0.00,0.00,0.00,0.00,104294.93,0.00,0.00 1000166575," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12696.75,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12696.75,0.00,0.00 1000282809," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4114.37,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4114.37,0.00,0.00 1000164230,"1437249182","010","Physicians","IGOLNIKOV ALEXANDER","611033619","109","Winnebago"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,1,6,0,275,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,7,0,539,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,7,0,539,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24.90,18.04,0.00,32380.65,0.00,0.00,0.00,0.00,0.00,0.00,32423.59,0.00,0.00 1000223591,"1629166442","010","Physicians","ADESS MATTHEW","600352556","057","Lake"," ","","0","0","Hematology",0,0,0,0,0,0,0,0,0,0,0,0,68,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,320,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,320,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9005.91,0.00,0.00,0.00,0.00,0.00,0.00,9005.91,0.00,0.00 1000432792," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7588.36,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7588.36,0.00,0.00 1000355384," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","081","Perry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2459.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2459.60,0.00,0.00 1000229301," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","826","Missouri"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,168.74,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,168.74,0.00,0.00 1000036271,"1407873920","010","Physicians","FRATER JOHN","631101093","826","Missouri"," ","","0","0","Pathology",0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,170,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,170,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3309.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3309.56,0.00,0.00 1000225732," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13326.11,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13326.11,0.00,0.00 1000127341," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13813.06,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13813.06,0.00,0.00 1000247613," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,618.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,618.72,0.00,0.00 1000106419," ","030","General Hospitals",""," ","832","New Mexico","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","",0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,248.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,248.00,0.00,0.00 1000000789," ","070","Ambulance Service Providers",""," ","823","Michigan"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,280.93,0.00,0.00,0.00,0.00,0.00,0.00,280.93,0.00,0.00 1000287581,"1558528612","010","Physicians","VEESENMEYER ANGELA","535625531","852","Wisconsin"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1697.96,0.00,0.00,0.00,0.00,0.00,0.00,1697.96,0.00,0.00 1000399512," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1708.80,0.00,0.00,0.00,0.00,0.00,0.00,1708.80,0.00,0.00 1000085028,"1992820666","047","Local Education Agencies","OAK PARK PS DIST 97","603024430","200","Cook"," ","","0","0","",0,0,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,273,0,0,0,0,88,0,0,0,0,0,0,0,0,0,0,0,0,0,12096,0,0,0,0,88,0,0,0,0,0,0,0,0,0,0,0,0,0,12096,0,0.00,0.00,0.00,452.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,215031.12,0.00,215483.68,0.00,0.00 1000378060,"1942278502","010","Physicians","MUHSIN ADNAN","610211224","060","Lee"," ","","0","1","Internal Medicine",61,0,0,0,0,0,0,0,0,0,0,0,135,0,0,0,0,0,0,499,0,0,0,0,0,0,0,0,0,0,0,333,0,0,0,0,0,0,499,0,0,0,0,0,0,0,0,0,0,0,333,0,0,0,0,0,0,1584.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11694.86,0.00,0.00,0.00,0.00,0.00,0.00,13278.86,0.00,0.00 1000210316,"1679506497","010","Physicians","PYLE KIMBERLY","604023471","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,4,0,0,200,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,655,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,655,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,385.25,0.00,0.00,10075.45,0.00,0.00,0.00,0.00,0.00,0.00,10460.70,15.00,0.00 1000086965,"1000086965","080","Prepaid health plan--Health maintenance organization","CICERO MEDICL CLINC SAN LAZARO","608044222","200","Cook"," ","","0","0","",670,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4052,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4052,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,331844.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,331844.70,0.00,0.00 1000397840,"1780764696","010","Physicians","TUGWELL FRANK","610811252","106","Whiteside"," ","","0","0","Obstetric-Gynecology",0,0,0,13,0,0,0,0,0,0,556,0,582,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,2362,0,1680,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,2362,0,1680,0,0,0,0,0,0,0.00,0.00,0.00,317.55,0.00,0.00,0.00,0.00,0.00,0.00,44456.60,0.00,243505.05,0.00,0.00,0.00,0.00,0.00,0.00,288279.20,0.00,0.00 1000169797,"1326053588","060","Pharmacies","BOND DRUG COMPANY OF IL 04040","600132995","071","McHenry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1165,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7652,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,164618,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,367758.33,0.00,0.00,0.00,367758.33,0.00,0.00 1000054440,"1255597290","013","Podiatrists","PONNAPULA PRIYA","631223356","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,89,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,89,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2439.98,0.00,0.00,0.00,0.00,0.00,0.00,2439.98,7.00,0.00 1000219635," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","050","Jersey"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9019.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9019.77,0.00,0.00 1000320922,"1578764353","016","Nurse Practitioners","STEFFEN MARY","601695035","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,291.67,0.00,0.00,0.00,0.00,0.00,0.00,291.67,0.00,0.00 1000439032," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1209.31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1209.31,0.00,0.00 1000419782," ","010","Physicians",""," ","836","Ohio"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,147.24,0.00,0.00,0.00,0.00,0.00,0.00,147.24,0.00,0.00 1000281280," ","010","Physicians",""," 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","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2091.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2091.86,0.00,0.00 1000270533,"1538201702","010","Physicians","STEPHENS GILLIAN","631102515","826","Missouri"," ","","0","0","Family Practice",0,0,0,3,0,0,0,0,0,0,2,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26.35,0.00,0.00,0.00,0.00,0.00,0.00,26.35,28.00,0.00 1000153035,"1104831213","060","Pharmacies","WALGREEN CO 09059","601029401","071","McHenry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,816,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4837,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,109172,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,253322.47,0.00,0.00,0.00,253322.47,0.00,0.00 1000432588," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7143.48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7143.48,0.00,0.00 1000391213,"1851500078","011","Dentists","RANJBARI MOHAMMED","606082015","200","Cook"," ","","0","0","General Dentistry",0,0,341,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3001,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3001,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,74136.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,74136.45,0.00,0.00 1000186580," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,23902.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23902.82,0.00,0.00 1000344128,"1770501587","010","Physicians","DENES ALEX","631082212","826","Missouri"," ","","0","0","Oncology",0,0,0,0,0,0,0,0,0,0,0,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,174,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,174,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4713.70,0.00,0.00,0.00,0.00,0.00,0.00,4713.70,0.00,0.00 1000311195,"1164636825","010","Physicians","LYONS TIMOTHY","620470610","016","Calhoun"," ","","0","0","General Practice",73,0,0,0,0,0,0,0,0,0,43,0,118,0,0,0,0,0,0,209,0,0,0,0,0,0,0,0,0,58,0,183,0,0,0,0,0,0,209,0,0,0,0,0,0,0,0,0,58,0,183,0,0,0,0,0,0,503.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1610.44,0.00,21948.93,0.00,0.00,0.00,0.00,0.00,0.00,24062.37,0.00,0.00 1000380548," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,29560.81,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29560.81,0.00,0.00 1000057050," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","043","Hardin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2688.63,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2688.63,0.00,0.00 1000385442," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8988.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8988.12,0.00,0.00 1000001727," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","059","Lawrence"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5576.91,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5576.91,0.00,0.00 1000463523," ","010","Physicians",""," ","039","Greene"," ","","0","0","General Practice",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,94.75,0.00,0.00,0.00,0.00,0.00,0.00,94.75,0.00,0.00 1000112047," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5417.50,0.00,0.00,0.00,0.00,0.00,0.00,5417.50,0.00,0.00 1000096692," ","016","Nurse Practitioners",""," ","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,128.80,0.00,0.00,0.00,0.00,0.00,0.00,128.80,0.00,0.00 1000099506," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17266.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17266.64,0.00,0.00 1000134662,"1538140355","010","Physicians","PRIMACK MARVIN","600693095","057","Lake"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,14,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,105,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,105,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,223.97,0.00,2867.36,0.00,0.00,0.00,0.00,0.00,0.00,3091.33,0.00,0.00 1000399798," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,23646.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23646.44,0.00,0.00 1000399859," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5920.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5920.41,0.00,0.00 1000026462," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","079","Ogle"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,602.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,602.85,0.00,0.00 1000063881," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21272.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21272.98,0.00,0.00 1000422596," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,33958.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33958.84,0.00,0.00 1000013656,"1164428165","010","Physicians","BALLARD CHRISTOPHER","628371219","104","Wayne"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,57,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,164,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,164,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2737.71,0.00,0.00,0.00,0.00,0.00,0.00,2737.71,0.00,0.00 1000036128,"1063464741","010","Physicians","SLEUWEN LESLIE","605213860","030","DuPage"," ","","0","1","Family Practice",874,0,0,218,0,0,0,0,0,0,158,0,695,0,0,0,0,0,0,7720,0,0,578,0,0,0,0,0,0,224,0,1060,0,0,0,0,0,0,7720,0,0,578,0,0,0,0,0,0,224,0,1060,0,0,0,0,0,0,19166.00,0.00,0.00,19992.41,0.00,0.00,0.00,0.00,0.00,0.00,808.54,0.00,62264.36,0.00,0.00,0.00,0.00,0.00,0.00,102231.31,0.00,0.00 1000146448," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","072","McLean"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21284.31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21284.31,0.00,0.00 1000463441,"1831125939","010","Physicians","BENNETT HOWARD","606118702","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,2,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,33,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,33,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7.25,0.00,3560.00,0.00,0.00,0.00,0.00,0.00,0.00,3567.25,0.00,0.00 1000288906,"1548341290","010","Physicians","SAPORTA ALBERT","606253656","200","Cook"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,0,0,494,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1184,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1184,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,67375.41,0.00,0.00,0.00,0.00,0.00,0.00,67375.41,6.00,0.00 1000248938,"1093961484","036","Community mental health provider","CHILDRENS HOME ASSOC ILLINOIS","616033742","080","Peoria"," ","","0","0","",109,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,112,0,0,969,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1202,0,0,969,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1202,0,0,33215.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,82552.15,0.00,0.00,115767.50,0.00,0.00 1000288784,"1225126808","010","Physicians","SURABHI SRINIVAS","604401520","107","Will"," ","","0","1","Family Practice",52,0,0,36,0,0,0,0,0,0,1,0,97,0,0,0,0,0,0,298,0,0,92,0,0,0,0,0,0,1,0,179,0,0,0,0,0,0,298,0,0,92,0,0,0,0,0,0,1,0,179,0,0,0,0,0,0,605.00,0.00,0.00,3675.33,0.00,0.00,0.00,0.00,0.00,0.00,7.16,0.00,6021.05,0.00,0.00,0.00,0.00,0.00,0.00,10308.54,0.00,0.00 1000344250," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12655.29,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12655.29,0.00,0.00 1000279322,"1154342905","014","Chiropractors","SNYDER ERICH","629181245","108","Williamson"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,172,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1332,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1332,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10515.91,0.00,0.00,0.00,0.00,0.00,0.00,10515.91,0.00,0.00 1000201262," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5500.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5500.96,0.00,0.00 1000062148,"1346279213","010","Physicians","LINDQUIST LEE","606118709","200","Cook"," ","","0","1","Internal Medicine",1,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,90,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,90,0,0,0,0,0,0,4.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1375.00,0.00,0.00,0.00,0.00,0.00,0.00,1379.00,0.00,0.00 1000284950,"1124095864","010","Physicians","AITKEN RAMONA","631223356","826","Missouri"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,937.25,0.00,0.00,0.00,0.00,0.00,0.00,937.25,2.00,0.00 1000097365,"1194947846","010","Physicians","JAFFER FATIMA","605218801","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,127,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1728,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1728,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33768.84,0.00,0.00,0.00,0.00,0.00,0.00,33768.84,0.00,0.00 1000202057," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18097.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18097.65,0.00,0.00 1000129074," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2456.25,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2456.25,0.00,0.00 1000423126," ","016","Nurse Practitioners",""," ","047","Jackson"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20.12,0.00,0.00,0.00,0.00,0.00,0.00,20.12,0.00,0.00 1000014125,"1598707911","010","Physicians","MUTLU ECE","606123817","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,77,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,165,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,165,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7999.59,0.00,0.00,0.00,0.00,0.00,0.00,7999.59,0.00,0.00 1000294616,"1568552065","010","Physicians","EDENS R ERIK","522421009","816","Iowa"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,1,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,17,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24.33,0.00,600.26,0.00,0.00,0.00,0.00,0.00,0.00,624.59,0.00,0.00 1000059721,"1912927385","070","Ambulance Service Providers","UNITED LIFECARE AMBULANCE SRVC","624543339","025","Crawford"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,256,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2221,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2221,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,40379.38,0.00,0.00,0.00,0.00,0.00,0.00,40379.38,0.00,0.00 1000032029,"1437195500","010","Physicians","DOTY DOUGLAS","477165348","815","Indiana"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,937.11,0.00,0.00,0.00,0.00,0.00,0.00,937.11,0.00,0.00 1000089106,"1083724132","011","Dentists","FANG DAVID","606181139","200","Cook"," ","","0","0","General Dentistry",0,0,507,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5418,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5418,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,179252.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,179252.99,0.00,0.00 1000264293," ","055","Early Intervention Services",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1852.88,0.00,0.00,0.00,0.00,0.00,0.00,1852.88,0.00,0.00 1000426756," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","058","La Salle"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20498.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20498.16,0.00,0.00 1000092267," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7830.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7830.84,0.00,0.00 1000382281," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2081.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2081.15,0.00,0.00 1000342965,"1205800679","010","Physicians","ARVANITIS STEVE","614438354","045","Henry"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,118,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,307,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,307,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4432.76,0.00,0.00,0.00,0.00,0.00,0.00,4432.76,2.00,0.00 1000120020,"1467654293","010","Physicians","ABRAHAM ELIZABETH","631102515","826","Missouri"," ","","0","0","Pediatric Nephrology",0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3055.59,0.00,0.00,0.00,0.00,0.00,0.00,3055.59,0.00,0.00 1000354242," ","010","Physicians",""," ","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000053094," ","024","Speech Therapists",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,46,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3323.32,3323.32,0.00,0.00 1000010842," ","030","General Hospitals",""," ","803","Arizona","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,4,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0.00,0.00,0.00,0.00,496.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26.00,0.00,0.00,0.00,0.00,0.00,522.00,0.00,0.00 1000433118,"1982643961","030","General Hospitals","THOREK MEMORIAL HOSPITAL","606133011","200","Cook","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","0","0","General Hospital - Adult and Child",20,0,0,0,2018,0,0,0,0,2109,0,0,6,1965,0,0,0,0,0,69,0,0,0,3619,0,0,0,0,4786,0,0,6,6350,0,0,0,0,0,140,0,0,0,3619,0,0,0,0,20061,0,0,6,7020,0,0,0,0,0,1049.03,0.00,0.00,0.00,466410.56,0.00,0.00,0.00,0.00,12271935.95,0.00,0.00,5997.00,601364.80,0.00,0.00,0.00,0.00,0.00,13346757.34,65.00,2173.58 1000236601,"1427369131","010","Physicians","MEJEVOI NICOLAI","611033600","109","Winnebago"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,1,1,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,1,0,100,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,1,0,100,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1145.35,66.00,0.00,7898.89,0.00,0.00,0.00,0.00,0.00,0.00,9110.24,0.00,0.00 1000054236," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,912.66,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,912.66,0.00,0.00 1000019957," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","085","Pulaski"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12612.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12612.72,0.00,0.00 1000251487,"1881713568","010","Physicians","PARAS RONALDO A","600161254","200","Cook"," ","","0","0","General Practice",0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,48,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,458.06,0.00,0.00,0.00,0.00,0.00,0.00,458.06,0.00,0.00 1000040614,"1134172935","010","Physicians","MARTUCCI JOHN","601181416","053","Kane"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,77,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,89,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,89,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11649.09,0.00,0.00,0.00,0.00,0.00,0.00,11649.09,0.00,0.00 1000011780," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,783.02,0.00,0.00,0.00,0.00,0.00,0.00,783.02,0.00,0.00 1000014920,"1811942642","010","Physicians","ESTES CHRISTINE","601232304","053","Kane"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,10,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,265,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,265,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,261.24,0.00,29523.93,0.00,0.00,0.00,0.00,0.00,0.00,29785.17,0.00,0.00 1000109376," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2670.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2670.14,0.00,0.00 1000291047,"1578552915","010","Physicians","LE SEAN ADAM","606403604","200","Cook"," ","","0","1","Internal Medicine",270,0,0,57,0,0,0,0,0,0,47,0,414,0,0,0,0,0,0,2006,0,0,163,0,0,0,0,0,0,60,0,1823,0,0,0,0,0,0,2006,0,0,163,0,0,0,0,0,0,60,0,1823,0,0,0,0,0,0,5871.00,0.00,0.00,978.78,0.00,0.00,0.00,0.00,0.00,0.00,182.70,0.00,57502.40,0.00,0.00,0.00,0.00,0.00,0.00,64534.88,0.00,0.00 1000009965,"1831421593","010","Physicians","SERAPHIN SALLY","605277594","030","DuPage"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,58,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,58,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11785.93,0.00,0.00,0.00,0.00,0.00,0.00,11785.93,0.00,0.00 1000067450," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21704.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21704.50,0.00,0.00 1000372493,"1073515938","010","Physicians","WOLIN LAWRENCE","600052407","200","Cook"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,2,0,179,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,263,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,263,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7204.29,0.00,0.00,0.00,0.00,0.00,0.00,7204.29,0.00,0.00 1000238681,"1659397966","010","Physicians","MAR SOE SOE","631101010","826","Missouri"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,129,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,172,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,172,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10564.00,0.00,0.00,0.00,0.00,0.00,0.00,10564.00,2.00,0.00 1000059599," ","010","Physicians",""," ","805","California"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8.50,0.00,0.00 1000107826," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","108","Williamson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1778.37,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1778.37,0.00,0.00 1000398574,"1467562116","010","Physicians","PAPADOPOULOS ANTHONY","601012873","030","DuPage"," ","","0","1","Internal Medicine",40,0,0,0,0,0,0,0,0,0,0,0,113,0,0,0,0,0,0,358,0,0,0,0,0,0,0,0,0,0,0,860,0,0,0,0,0,0,358,0,0,0,0,0,0,0,0,0,0,0,860,0,0,0,0,0,0,1182.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10969.61,0.00,0.00,0.00,0.00,0.00,0.00,12151.61,0.00,0.00 1000202383,"1346481892","016","Nurse Practitioners","DEVINER CLEOPATRA","616360001","080","Peoria"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1086.09,0.00,0.00,0.00,0.00,0.00,0.00,1086.09,1.00,0.00 1000289049,"1144287590","010","Physicians","HEGGEN CHARLES","634013715","826","Missouri"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,112,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,190,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,190,0,9,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4510.56,0.00,167.27,0.00,0.00,0.00,0.00,0.00,0.00,4677.83,0.00,0.00 1000306892,"1730106295","010","Physicians","DIPERSIO JOHN","631082212","826","Missouri"," ","","0","0","Hematology",0,0,0,0,0,0,0,0,0,0,0,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,428,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,428,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,86906.18,0.00,0.00,0.00,0.00,0.00,0.00,86906.18,0.00,0.00 1000158133," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","024","Coles"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1163.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1163.24,0.00,0.00 1000253098,"1306953013","060","Pharmacies","MICHELLES PHARMACY INC","620331515","064","Macoupin"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,572,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,83,0,0,5991,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,83,0,0,133657,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2585.00,0.00,0.00,260122.35,0.00,0.00,0.00,262707.35,0.00,0.00 1000232319,"1780692087","030","General Hospitals","GRAHAM HOSPITAL ASSOC","615202444","037","Fulton","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","0","0","General Hospital - Adult and Child",13,0,0,0,3408,0,0,0,0,730,9,0,19,1946,0,0,0,0,0,34,0,0,0,6864,0,0,0,0,843,10,0,19,4559,0,0,0,0,0,42,0,0,0,6864,0,0,0,0,2552,10,0,19,4559,0,0,0,0,0,98.06,0.00,0.00,0.00,700198.17,0.00,0.00,0.00,0.00,1709876.49,1624.03,0.00,19040.00,805032.42,0.00,0.00,0.00,0.00,0.00,3235869.17,0.00,0.00 1000044856,"1366431561","010","Physicians","THOMAS RICHARD","605553845","030","DuPage"," ","","0","0","Surgery Hand",0,0,0,0,0,0,0,0,0,0,37,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,141,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,141,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1273.30,0.00,6451.91,0.00,0.00,0.00,0.00,0.00,0.00,7725.21,0.00,0.00 1000091186,"1285611624","012","Optometrists","CRAMER KAREN","612015394","089","Rock Island"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,341,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,665,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,665,0,1,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17663.92,0.00,52.80,0.00,0.00,0.00,0.00,17716.72,2.00,0.00 1000122243," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14607.49,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14607.49,0.00,0.00 1000416499," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22254.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22254.24,0.00,0.00 1000298511,"1245408210","047","Local Education Agencies","OGLE COUNTY EDUC COOP","610100582","079","Ogle"," ","","0","0","",0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,280,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,3149,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,3149,0,0.00,0.00,0.00,476.02,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,83153.07,0.00,83629.09,0.00,0.00 1000138822," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3599.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3599.95,0.00,0.00 1000426083,"1619060977","010","Physicians","SWINK TRAVIS","604201413","061","Livingston"," ","","0","1","Family Practice",773,0,0,273,0,0,0,0,0,0,183,0,828,0,0,0,0,0,0,6773,0,0,860,0,0,0,0,0,0,228,0,2153,0,0,0,0,0,0,6773,0,0,860,0,0,0,0,0,0,228,0,2153,0,0,0,0,0,0,16056.00,0.00,0.00,30199.94,0.00,0.00,0.00,0.00,0.00,0.00,934.34,0.00,84013.20,0.00,0.00,0.00,0.00,0.00,0.00,131203.48,0.00,0.00 1000079379," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,354.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,354.35,0.00,0.00 1000156726," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1580.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1580.54,0.00,0.00 1000061414,"1326059825","060","Pharmacies","SAV MOR PHARMACY","617391549","061","Livingston"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,782,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10038,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,249996,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,590101.23,0.00,0.00,0.00,590101.23,0.00,0.00 1000057458," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10561.75,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10561.75,0.00,0.00 1000149140," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,200,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,200,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9782.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9782.00,0.00,0.00 1000338010,"1457508749","036","Community mental health provider","THRESHOLDS","606374414","200","Cook"," ","","0","0","",8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,855,0,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,855,0,0,971.02,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,53626.18,0.00,0.00,54597.20,0.00,0.00 1000189516," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","094","Shelby"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2333.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2333.76,0.00,0.00 1000189924,"1407893787","070","Ambulance Service Providers","VILLAGE OF FARINA","628381282","034","Fayette"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2264.60,0.00,0.00,0.00,0.00,0.00,0.00,2264.60,0.00,0.00 1000083947," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","047","Jackson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1750.04,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1750.04,0.00,0.00 1000400736,"1851379200","010","Physicians","BECKMAN DAWN","601082936","030","DuPage"," ","","0","0","Allergy-Immunization",0,0,0,7,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0.00,0.00,0.00,415.47,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,469.25,0.00,0.00,0.00,0.00,0.00,0.00,884.72,0.00,0.00 1000019835,"1962608190","016","Nurse Practitioners","ENRIQUEZ MARY","606123841","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,109,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,124,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,124,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1953.65,0.00,0.00,0.00,0.00,0.00,0.00,1953.65,0.00,0.00 1000222857," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9028.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9028.32,0.00,0.00 1000198244,"1083608822","033","Nursing Facilities","LEXINGTON HEALTH CARE CTR INC","601484830","030","DuPage"," ","","0","0","",1,0,0,0,0,0,0,0,0,0,0,172,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,1573,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,40584,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3435454.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3435454.64,0.00,0.00 1000296309," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5837.03,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5837.03,0.00,0.00 1000292006," ","060","Pharmacies",""," ","852","Wisconsin"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8.37,0.00,0.00,0.00,8.37,0.00,0.00 1000420638," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18228.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18228.77,0.00,0.00 1000400797,"1083610612","010","Physicians","HALL ROBERT","600505593","071","McHenry"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,69,0,97,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,145,0,348,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,145,0,348,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1955.38,0.00,22547.63,0.00,0.00,0.00,0.00,0.00,0.00,24503.01,0.00,0.00 1000072140," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18043.73,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18043.73,0.00,0.00 1000213334," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","090","Saline"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5392.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5392.50,0.00,0.00 1000331587," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8504.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8504.56,0.00,0.00 1000391274,"1154645000","010","Physicians","LEUNG EMILY","605277594","030","DuPage"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,269,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,345,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,345,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,97137.89,0.00,0.00,0.00,0.00,0.00,0.00,97137.89,18.00,0.00 1000331913," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3966.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3966.69,0.00,0.00 1000242984," ","010","Physicians",""," ","091","Sangamon"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1.88,0.00,0.00 1000121774," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,246.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,246.56,0.00,0.00 1000011984,"1699733774","010","Physicians","THOMAS ROBERT","605213625","030","DuPage"," ","","0","0","Otolaryngology",0,0,0,12,0,0,0,0,0,0,2,0,172,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,2,0,451,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,2,0,451,0,0,0,0,0,0,0.00,0.00,0.00,182.40,0.00,0.00,0.00,0.00,0.00,0.00,31.35,0.00,19322.08,0.00,0.00,0.00,0.00,0.00,0.00,19535.83,0.00,0.00 1000318169," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,375,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,375,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5546.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5546.64,0.00,0.00 1000210663," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14298.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14298.53,0.00,0.00 1000453306,"1144216300","010","Physicians","VANHOOSE JAMES","420033813","818","Kentucky"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,135,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,245,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,245,0,27,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5022.33,0.00,500.07,0.00,0.00,0.00,0.00,0.00,0.00,5522.40,0.00,0.00 1000100179,"1578569505","010","Physicians","CAHILL TIMOTHY","600161209","200","Cook"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,41,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,662,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,662,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9188.10,0.00,0.00,0.00,0.00,0.00,0.00,9188.10,0.00,0.00 1000015328,"1245235100","010","Physicians","KEMP ROBERT","601873112","030","DuPage"," ","","0","1","Family Practice",34,0,0,11,0,0,0,0,0,0,10,0,69,0,0,0,0,0,0,341,0,0,27,0,0,0,0,0,0,12,0,207,0,0,0,0,0,0,341,0,0,27,0,0,0,0,0,0,12,0,207,0,0,0,0,0,0,845.00,0.00,0.00,1166.41,0.00,0.00,0.00,0.00,0.00,0.00,83.74,0.00,5692.60,0.00,0.00,0.00,0.00,0.00,0.00,7787.75,0.00,0.00 1000428367,"1457499865","010","Physicians","ALIAGA FEDERICO","606234456","200","Cook"," ","","0","1","Family Practice",2266,0,0,1807,0,0,0,0,0,0,1442,0,2408,0,0,0,0,0,0,24427,0,0,8788,0,0,0,0,0,0,2109,0,9738,0,0,0,0,0,0,24427,0,0,8788,0,0,0,0,0,0,2109,0,9738,0,0,0,0,0,0,49472.00,0.00,0.00,206898.15,0.00,0.00,0.00,0.00,0.00,0.00,5832.92,0.00,377356.43,0.00,0.00,0.00,0.00,0.00,0.00,639559.50,0.00,0.00 1000237886," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21381.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21381.50,0.00,0.00 1000144450," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,16340.03,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16340.03,0.00,0.00 1000207889," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,596.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,596.70,0.00,0.00 1000233236,"1225193444","010","Physicians","RODINO KENNETH","600442203","057","Lake"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,280,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,294,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,294,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,55792.60,0.00,0.00,0.00,0.00,0.00,0.00,55792.60,0.00,0.00 1000053298,"1932214772","030","General Hospitals","GLENVIEW DIALYSIS CENTER","600253573","200","Cook","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","0","0","",1,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,243,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,2893,0,0,0,0,0,496.89,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,275347.24,0.00,0.00,0.00,0.00,0.00,275844.13,0.00,0.00 1000313397," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2381.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2381.20,0.00,0.00 1000379936," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","083","Pike"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3146.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3146.85,0.00,0.00 1000004724," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2719.55,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2719.55,0.00,0.00 1000058865," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,590.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,590.07,0.00,0.00 1000200303,"1124053814","010","Physicians","SEVERIN PAUL","606123839","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,97,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,448,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,448,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,100197.94,0.00,0.00,0.00,0.00,0.00,0.00,100197.94,7.00,0.00 1000357994,"1578674925","010","Physicians","RAMESH VUPPARAHALLI","600052349","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,253,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,380,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,380,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2096.66,0.00,0.00,0.00,0.00,0.00,0.00,2096.66,0.00,0.00 1000179524," ","022","Physical Therapists",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,116.53,116.53,0.00,0.00 1000460953," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1754.92,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1754.92,0.00,0.00 1000389520,"1356486161","063","Other Providers of Medical Equipment/Supplies (Non-registered)","RELIABLE MEDICAL SUPPLIES","600185909","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,261,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1448,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1448,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,114698.38,0.00,0.00,0.00,0.00,0.00,0.00,114698.38,0.00,0.00 1000433057,"1033300694","010","Physicians","GUPTA VIVEK","606224723","200","Cook"," ","","0","1","Internal Medicine",31,0,0,0,0,0,0,0,0,3,0,0,744,0,0,0,0,0,0,207,0,0,0,0,0,0,0,0,14,0,0,3650,0,0,0,0,0,0,207,0,0,0,0,0,0,0,0,14,0,0,3650,0,0,0,0,0,0,761.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,556.70,0.00,0.00,58680.41,0.00,0.00,0.00,0.00,0.00,0.00,59998.11,23.00,0.00 1000240088," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","059","Lawrence"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8108.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8108.67,0.00,0.00 1000462421," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3402.93,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3402.93,0.00,0.00 1000008293,"1124241625","036","Community mental health provider","BRIDGEWAY INC","614552154","070","McDonough"," ","","0","0","",22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,235,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,83,0,0,235,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,83,0,0,8882.92,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7222.77,0.00,0.00,16105.69,0.00,0.00 1000220634," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11411.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11411.16,0.00,0.00 1000120958,"1174501332","010","Physicians","MULLIN RANDALL L","612541118","045","Henry"," ","","0","1","Family Practice",194,0,0,42,0,0,0,0,0,0,19,0,209,0,0,0,0,0,0,1706,0,0,75,0,0,0,0,0,0,23,0,504,0,0,0,0,0,0,1706,0,0,75,0,0,0,0,0,0,23,0,504,0,0,0,0,0,0,4202.00,0.00,0.00,4216.54,0.00,0.00,0.00,0.00,0.00,0.00,113.32,0.00,15855.98,0.00,0.00,0.00,0.00,0.00,0.00,24387.84,0.00,0.00 1000106949,"1821030594","063","Other Providers of Medical Equipment/Supplies (Non-registered)","ATLAS MEDICAL EQUIPMENT LLC","903012048","805","California"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,5,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,1,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,349.74,0.00,230.39,0.00,0.00,0.00,0.00,580.13,0.00,0.00 1000316884,"1194762674","060","Pharmacies","DONOHOO PHARMACY INC","610083617","013","Boone"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,1202,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,10447,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,226809,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24.62,0.00,0.00,570816.71,0.00,0.00,0.00,570841.33,0.00,0.00 1000085150," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","104","Wayne"," ","","0","0","",0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,71,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,71,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1130.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1130.07,0.00,0.00 1000301243,"1619076619","010","Physicians","MANSOUR IBRAHIM","629011457","047","Jackson"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,158,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,163,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,163,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4833.08,0.00,0.00,0.00,0.00,0.00,0.00,4833.08,0.00,0.00 1000196286," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,76,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,76,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1679.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1679.60,0.00,0.00 1000450553," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","022","Clay"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7970.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7970.70,0.00,0.00 1000174344,"1689672289","010","Physicians","BENNING LISA","627047401","091","Sangamon"," ","","0","1","Internal Medicine",17,0,0,1,0,0,0,0,0,0,2,0,91,0,0,0,0,0,0,153,0,0,1,0,0,0,0,0,0,2,0,346,0,0,0,0,0,0,153,0,0,1,0,0,0,0,0,0,2,0,346,0,0,0,0,0,0,503.00,0.00,0.00,69.52,0.00,0.00,0.00,0.00,0.00,0.00,2.58,0.00,5424.37,0.00,0.00,0.00,0.00,0.00,0.00,5999.47,0.00,0.00 1000098038,"1881796399","024","Speech Therapists","GARDNER MYRA","606201504","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,303,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,303,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16340.40,16340.40,0.00,0.00 1000126138," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,31909.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,31909.95,0.00,0.00 1000171408," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3690.09,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3690.09,0.00,0.00 1000262009,"1982852794","010","Physicians","GRYSIEWICZ REBBECA","606124300","200","Cook"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,82,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,121,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,121,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6214.61,0.00,0.00,0.00,0.00,0.00,0.00,6214.61,0.00,0.00 1000009618," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21894.75,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21894.75,0.00,0.00 1000198366,"1000198366","071","Medicar Provider","SPECIAL CARE TRANSPORT INC","606192711","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,49,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12830,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12830,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,109750.74,0.00,0.00,0.00,0.00,0.00,0.00,109750.74,0.00,0.00 1000245716," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","022","Clay"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13906.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13906.15,0.00,0.00 1000084151,"1861597015","010","Physicians","CHOMKA EVA","606743462","200","Cook"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,1,0,0,626,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,1023,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,1023,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27.30,0.00,0.00,17444.21,0.00,0.00,0.00,0.00,0.00,0.00,17471.51,13.00,0.00 1000209031," ","023","Occupational Therapists",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1027.84,1027.84,0.00,0.00 1000444925," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,26114.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26114.64,0.00,0.00 1000209908,"1104058379","010","Physicians","DUQUE KRISTIN","606313715","200","Cook"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,4,17,0,222,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,24,0,721,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,24,0,721,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1448.12,187.25,0.00,30202.27,0.00,0.00,0.00,0.00,0.00,0.00,31837.64,0.00,0.00 1000414806,"1588625875","010","Physicians","PRIEST EDWIN","600077301","200","Cook"," ","","0","0","Oncology",0,0,0,0,0,0,0,0,0,0,18,0,57,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,91,0,326,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,91,0,326,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,517.54,0.00,7904.58,0.00,0.00,0.00,0.00,0.00,0.00,8422.12,0.00,0.00 1000448677,"1821041559","010","Physicians","DUGAN GUY","600077312","200","Cook"," ","","0","0"," Allergy",0,0,0,0,0,0,0,0,0,4,2,0,106,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,2,0,264,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,2,0,264,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2051.80,7.25,0.00,9173.27,0.00,0.00,0.00,0.00,0.00,0.00,11232.32,0.00,0.00 1000216005,"1417052267","010","Physicians","CARRASCO GASTON","601691066","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,1,2,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,5,0,189,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,5,0,189,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,218.40,59.78,0.00,1811.34,0.00,0.00,0.00,0.00,0.00,0.00,2089.52,0.00,0.00 1000048934,"1699776039","013","Podiatrists","WILCZYNSKI RICHARD","600678107","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,179,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,179,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,123.53,0.00,0.00,0.00,0.00,0.00,0.00,123.53,0.00,0.00 1000196347,"1215992060","036","Community mental health provider","HOYLETON YOUTH AND FAMILY SVCS","628032007","103","Washington"," ","","0","0","",11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,356,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1742,0,0,356,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1742,0,0,11946.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,68982.52,0.00,0.00,80929.49,0.00,0.00 1000380344,"1023178647","010","Physicians","KELLEN MARK","611148052","109","Winnebago"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,269,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,609,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,609,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,40676.27,0.00,0.00,0.00,0.00,0.00,0.00,40676.27,0.00,0.00 1000075076,"1104982230","060","Pharmacies","MALL PHARMACY INC","606212029","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5302,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,26011,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,559295,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,529776.67,0.00,0.00,0.00,529776.67,0.00,0.00 1000353304,"1447253646","010","Physicians","RIGSBY J","614012894","056","Knox"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,3,0,152,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,337,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,337,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13.16,0.00,19942.89,0.00,0.00,0.00,0.00,0.00,0.00,19956.05,0.00,0.00 1000256524," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","064","Macoupin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10800.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10800.50,0.00,0.00 1000339560," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","052","Johnson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5343.46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5343.46,0.00,0.00 1000078645," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000163761," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4235.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4235.40,0.00,0.00 1000408566," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","110","Woodford"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9877.53,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9877.53,0.00,0.00 1000194206,"1548333784","010","Physicians","STIRNAMAN JOHN","620024707","065","Madison"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,33,0,54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,138,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,138,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,334.82,0.00,4995.58,0.00,0.00,0.00,0.00,0.00,0.00,5330.40,0.00,0.00 1000257910,"1134249550","075","Department of Alcohol and Substance Abuse Provider","NORTH CENTRAL BEHAVIORAL HLTH","613501040","058","La Salle"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,115,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1061,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1061,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,60392.56,0.00,0.00,60392.56,0.00,0.00 1000079114,"1619157104","063","Other Providers of Medical Equipment/Supplies (Non-registered)","TRANSTECH MOBILITY","554263991","824","Minnesota"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4802.86,0.00,0.00,0.00,0.00,0.00,0.00,4802.86,0.00,0.00 1000006478," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,494.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,494.98,0.00,0.00 1000417967,"1396829156","010","Physicians","ONSAGER DAVID","600313398","057","Lake"," ","","0","0","Cardiovascular Surgery",0,0,0,0,0,0,0,0,0,1,0,0,83,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,148,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,148,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,162.05,0.00,0.00,14076.47,0.00,0.00,0.00,0.00,0.00,0.00,14238.52,0.00,0.00 1000142227,"1528080637","010","Physicians","GELFAND INESSA","606455253","200","Cook"," ","","0","0","Endocrinology",0,0,0,3,0,0,0,0,0,0,134,0,609,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,564,0,2253,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,564,0,2253,0,0,0,0,0,0,0.00,0.00,0.00,16.40,0.00,0.00,0.00,0.00,0.00,0.00,5535.43,0.00,35082.69,0.00,0.00,0.00,0.00,0.00,0.00,40634.52,0.00,0.00 1000043775,"1154459824","023","Occupational Therapists","LUKECART KIMBERLY","606163116","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,117,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,292,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,292,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33386.35,33386.35,0.00,0.00 1000333463," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,113.25,0.00,0.00,0.00,0.00,0.00,0.00,113.25,0.00,0.00 1000232237,"1467416313","010","Physicians","ESPINOSA PILARITA G","606576159","200","Cook"," ","","0","1","Pediatrics",181,0,0,118,0,0,0,0,0,0,3,0,177,0,0,0,0,0,0,1640,0,0,316,0,0,0,0,0,0,2,0,302,0,0,0,0,0,0,1640,0,0,316,0,0,0,0,0,0,2,0,302,0,0,0,0,0,0,3716.00,0.00,0.00,12166.39,0.00,0.00,0.00,0.00,0.00,0.00,8.00,0.00,16750.42,0.00,0.00,0.00,0.00,0.00,0.00,32640.81,137.00,0.00 1000143165," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9335.83,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9335.83,0.00,0.00 1000185907," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1568.18,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1568.18,0.00,0.00 1000440500," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8355.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8355.35,0.00,0.00 1000358749,"1720071970","013","Podiatrists","DEGROOT MARY","604513581","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,623,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2239,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2239,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15220.10,0.00,0.00,0.00,0.00,0.00,0.00,15220.10,0.00,0.00 1000164638," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20988.58,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20988.58,0.00,0.00 1000164291," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","088","Richland"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13792.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13792.41,0.00,0.00 1000359952,"1000359952","091","Waiver service provider--Adults (DHS/DDD)","ILL. VALLEY INDUSTRIES, INC.","604501966","040","Grundy"," ","","0","0","",0,0,0,0,0,46,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4451,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4451,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,252067.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,252067.78,0.00,0.00 1000042164,"1902849649","030","General Hospitals","MASON DISTRICT HOSPITAL","626440530","068","Mason","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","1","0","",0,0,0,5,0,0,0,0,0,0,793,0,0,675,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,3595,0,0,1027,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,3595,0,0,1027,0,0,0,0,0,0.00,0.00,0.00,59.30,0.00,0.00,0.00,0.00,0.00,0.00,29954.34,0.00,0.00,58933.36,0.00,0.00,0.00,0.00,0.00,88947.00,0.00,0.00 1000353712,"1194825356","010","Physicians","SHARMA RAGINI","627032403","091","Sangamon"," ","","0","0","Family Practice",0,0,0,1,0,0,0,0,0,0,0,0,540,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,646,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,646,0,0,0,0,0,0,0.00,0.00,0.00,6.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25041.21,0.00,0.00,0.00,0.00,0.00,0.00,25047.61,0.00,0.00 1000326407,"1083621155","010","Physicians","NIEMEYER JOHN","631463119","826","Missouri"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,595.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,595.84,0.00,0.00 1000418293,"1992746309","010","Physicians","NORIEGA ANTONIO","604451428","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,220,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2630,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2630,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12258.62,0.00,0.00,0.00,0.00,0.00,0.00,12258.62,0.00,0.00 1000387175," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11997.06,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11997.06,0.00,0.00 1000159336,"1699843235","010","Physicians","OKEN JEFFREY","601876078","030","DuPage"," ","","0","0","Physical Medicine/Rehabilitation",0,0,0,0,0,0,0,0,0,0,0,0,124,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,282,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,282,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3132.59,0.00,0.00,0.00,0.00,0.00,0.00,3132.59,0.00,0.00 1000292271,"1457328502","010","Physicians","OLSON WILLIAM","612656812","089","Rock Island"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,166,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,303,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,303,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,36973.43,0.00,0.00,0.00,0.00,0.00,0.00,36973.43,1.00,0.00 1000026544,"1689982001","033","Nursing Facilities","DOLTON NURSING AND REHAB","604191323","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,138,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4093,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,395725.38,0.00,0.00,0.00,0.00,0.00,0.00,0.00,395725.38,0.00,0.00 1000461769," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","049","Jefferson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2628.38,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2628.38,0.00,0.00 1000193676,"1881750776","010","Physicians","CHRONOPOULOS FOTI","604532600","200","Cook"," ","","0","1","Obstetric-Gynecology",184,0,0,8,0,0,0,0,0,0,237,0,479,0,0,0,0,0,0,1544,0,0,8,0,0,0,0,0,0,1938,0,2297,0,0,0,0,0,0,1544,0,0,8,0,0,0,0,0,0,1938,0,2297,0,0,0,0,0,0,4625.00,0.00,0.00,467.61,0.00,0.00,0.00,0.00,0.00,0.00,43412.48,0.00,155867.05,0.00,0.00,0.00,0.00,0.00,0.00,204372.14,13.00,0.00 1000378733,"1275697609","070","Ambulance Service Providers","BRIDGEVIEW FIRE DEPARTMENT","604551290","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,1,0,0,373,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,1101,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,1101,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,579.27,0.00,0.00,50798.96,0.00,0.00,0.00,0.00,0.00,0.00,51378.23,41.00,0.00 1000239966,"1720216328","060","Pharmacies","WALGREENS 12581","629062041","099","Union"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1729,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17153,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,395452,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,900815.23,0.00,0.00,0.00,900815.23,0.00,0.00 1000408240,"1790813715","034","State-operated facility (DHS)","UNIT 3563 HOME 43 KILEY","600856263","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,100,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2753,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1229538.66,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1229538.66,0.00,0.00 1000320432," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","014","Brown"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22904.93,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22904.93,0.00,0.00 1000434668,"1821029927","010","Physicians","FIGUERRES BENEDICTO Q","613621512","015","Bureau"," ","","0","0","Surgery General",0,0,0,27,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,64,0,0,0,0,0,0,0.00,0.00,0.00,984.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1398.36,0.00,0.00,0.00,0.00,0.00,0.00,2382.96,0.00,0.00 1000100444," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10437.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10437.97,0.00,0.00 1000017551,"1780916569","016","Nurse Practitioners","SUPPAN LYNN","627810001","091","Sangamon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,33,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,33,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,33,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,755.51,0.00,0.00,0.00,0.00,0.00,0.00,755.51,0.00,0.00 1000346677,"1760610968","024","Speech Therapists","HASAN MAHA","604582334","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,132,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,132,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9784.86,9784.86,0.00,0.00 1000170674," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10154.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10154.39,0.00,0.00 1000104808," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,944.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,944.95,0.00,0.00 1000051830,"1154571529","010","Physicians","BARAKAT HELDA","613641307","058","La Salle"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,706.31,0.00,0.00,0.00,0.00,0.00,0.00,706.31,0.00,0.00 1000095815,"1407944283","010","Physicians","PABBATHI SMITHA","606118709","200","Cook"," ","","0","0","General Preventative Medicine",0,0,0,0,0,0,0,0,0,0,0,0,62,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,214,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,214,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4037.70,0.00,0.00,0.00,0.00,0.00,0.00,4037.70,0.00,0.00 1000246328," ","090","Waiver service provider--Elderly (DOA)",""," ","108","Williamson"," ","","0","0","Case coordination unit",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,85.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,85.76,0.00,0.00 1000220043," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15852.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15852.99,0.00,0.00 1000269820,"1316028780","010","Physicians","CILLEY JEFFREY","606113143","200","Cook"," ","","0","0","Hematology",0,0,0,0,0,0,0,0,0,0,3,0,44,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,170,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,170,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,75.90,0.00,6736.54,0.00,0.00,0.00,0.00,0.00,0.00,6812.44,0.00,0.00 1000220165," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2227.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2227.40,0.00,0.00 1000465113," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,886.17,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,886.17,0.00,0.00 1000356587," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9419.94,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9419.94,0.00,0.00 1000210785,"1104903061","016","Nurse Practitioners","BOXLEITNER TAMMY","535111842","852","Wisconsin"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,153,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,153,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3051.40,0.00,0.00,0.00,0.00,0.00,0.00,3051.40,0.00,0.00 1000159479,"1000159479","080","Prepaid health plan--Health maintenance organization","GENESIS HEALTH GROUP","612822904","089","Rock Island"," ","","0","0","",13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,103,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,103,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18151.90,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18151.90,0.00,0.00 1000077177,"1003863499","010","Physicians","SAMI HAFEZ","601181416","053","Kane"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,37,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4394.14,0.00,0.00,0.00,0.00,0.00,0.00,4394.14,0.00,0.00 1000069652," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","056","Knox"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8595.21,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8595.21,0.00,0.00 1000338805,"1922162551","010","Physicians","BIENIARZ ANDRE","601533328","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,739,0,397,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1506,0,641,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1506,0,641,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,71816.27,0.00,53095.09,0.00,0.00,0.00,0.00,0.00,0.00,124911.36,4.00,0.00 1000270676," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,45,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2756.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2756.16,0.00,0.00 1000021099,"1699928812","016","Nurse Practitioners","GAMERMAN SUSAN","606143363","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,537.77,0.00,0.00,0.00,0.00,0.00,0.00,537.77,0.00,0.00 1000079053," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18472.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18472.19,0.00,0.00 1000286826,"1184732851","030","General Hospitals","ST JOSEPH MEDICAL CENTER","617014364","072","McLean","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","0","0","",0,0,0,61,0,0,0,0,0,0,5239,0,0,455,0,0,0,0,0,0,0,0,71,0,0,0,0,0,0,24513,0,0,1043,0,0,0,0,0,0,0,0,71,0,0,0,0,0,0,24513,0,0,1043,0,0,0,0,0,0.00,0.00,0.00,396.80,0.00,0.00,0.00,0.00,0.00,0.00,140699.13,0.00,0.00,30991.18,0.00,0.00,0.00,0.00,0.00,172087.11,0.00,0.00 1000287846," ","010","Physicians",""," ","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000295207,"1295762250","010","Physicians","KOENIGSBERG MAX","606575147","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,2,0,0,523,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,544,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,544,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,138.50,0.00,0.00,20074.62,0.00,0.00,0.00,0.00,0.00,0.00,20213.12,15.00,0.00 1000141554,"1427061084","010","Physicians","OLIVER ROBERT","622268201","096","St Clair"," ","","0","0","General Practice",0,0,0,10,0,0,0,0,0,0,0,0,116,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,81.05,0.00,0.00,0.00,0.00,0.00,0.00,81.05,194.00,0.00 1000244248,"1437238177","036","Community mental health provider","BOND COUNTY HEALTH DEPT","622462618","012","Bond"," ","","0","0","",83,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,172,0,0,499,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2163,0,0,499,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2163,0,0,11285.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,105950.10,0.00,0.00,117235.74,0.00,0.00 1000251018," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11911.90,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11911.90,0.00,0.00 1000302324," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1717.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1717.95,0.00,0.00 1000016878," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,765.08,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,765.08,0.00,0.00 1000124792,"1528224128","010","Physicians","GOLDSBOROUGH KATY","603051800","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,112,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,372,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,372,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10750.85,0.00,0.00,0.00,0.00,0.00,0.00,10750.85,6.00,0.00 1000375225," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14173.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14173.50,0.00,0.00 1000079522," ","010","Physicians",""," ","839","Pennsylvania"," ","","0","0","Pathology",0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,82.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,82.20,0.00,0.00 1000183072,"1376728196","010","Physicians","PATEL ALKESH","600073364","200","Cook"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,1,0,0,230,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,579,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,579,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,91.30,0.00,0.00,16222.67,0.00,0.00,0.00,0.00,0.00,0.00,16313.97,0.00,0.00 1000284277," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11951.43,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11951.43,0.00,0.00 1000423391," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,28.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,28.12,0.00,0.00 1000428958,"1215019260","024","Speech Therapists","BRANNON LYNCH AMANDA","600303364","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,329,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,329,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23370.18,23370.18,0.00,0.00 1000319698,"1518034693","075","Department of Alcohol and Substance Abuse Provider","HAYMARKET CTR WOMENS DETOX II","606072202","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,292,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,390,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1434,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,208172.88,0.00,0.00,208172.88,0.00,0.00 1000181787," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11453.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11453.80,0.00,0.00 1000459138,"1000459138","029","ICF/MR","THOMAS HERBSTRITT HOUSE","609540260","054","Kankakee"," ","","0","0","",0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,394,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9353,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,816423.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,816423.77,0.00,0.00 1000133438,"1992809842","060","Pharmacies","CVS PHARMACY 5795","606184249","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,780,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5245,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,124856,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,211905.37,0.00,0.00,0.00,211905.37,0.00,0.00 1000307279,"1730283672","060","Pharmacies","CVS PHARMACY 2791","601484166","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,337,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1493,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34065,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,83439.09,0.00,0.00,0.00,83439.09,0.00,0.00 1000114535," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,165.74,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,165.74,0.00,0.00 1000062352,"1689675811","010","Physicians","FENDON TIMOTHY","605595574","030","DuPage"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,1,0,0,629,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,702,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,702,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,140.10,0.00,0.00,23918.65,0.00,0.00,0.00,0.00,0.00,0.00,24058.75,5.00,0.00 1000065166,"1396849832","010","Physicians","SATHOFF LANCE","535661546","852","Wisconsin"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,38,0,66,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,64,0,135,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,64,0,135,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1086.61,0.00,14529.27,0.00,0.00,0.00,0.00,0.00,0.00,15615.88,0.00,0.00 1000403998,"1710974472","010","Physicians","MCCLELLAN JOHN","604535574","200","Cook"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,58,0,98,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,121,0,341,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,121,0,341,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,842.86,0.00,11750.29,0.00,0.00,0.00,0.00,0.00,0.00,12593.15,3.00,0.00 1000187089," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5063.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5063.82,0.00,0.00 1000083070," ","016","Nurse Practitioners",""," ","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,315.45,0.00,0.00,0.00,0.00,0.00,0.00,315.45,0.00,0.00 1000407689," ","094","Waiver service provider--Children's support (DHS/DDD)",""," 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provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13445.04,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13445.04,0.00,0.00 1000439154," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18950.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18950.39,0.00,0.00 1000164964," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,359.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,359.99,0.00,0.00 1000329017,"1114174828","010","Physicians","PETERSON SARAH","606118709","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,61,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,61,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2241.60,0.00,0.00,0.00,0.00,0.00,0.00,2241.60,0.00,0.00 1000404610," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,23102.46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23102.46,0.00,0.00 1000112516," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,119,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,119,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14920.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14920.86,0.00,0.00 1000439480," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,180,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,180,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9455.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9455.12,0.00,0.00 1000229566,"1780688671","048","Rural Health Clinics","ST MARYS GOOD SAMARITAN","628015613","066","Marion"," ","","0","1","",2801,3048,0,428,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20420,21347,0,889,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20420,21347,0,889,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,53178.00,847402.25,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,900580.25,0.00,0.00 1000083661,"1306958665","010","Physicians","RAISER MANFRED W","605151561","030","DuPage"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,2,0,30,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,89,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,89,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4.08,0.00,4091.47,0.00,0.00,0.00,0.00,0.00,0.00,4095.55,0.00,0.00 1000441703,"1346458791","016","Nurse Practitioners","WASHINGTON ERIC","604622510","200","Cook"," ","","0","0","",0,0,0,5,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,57,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,57,0,0,0,0,0,0,0.00,0.00,0.00,32.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1624.49,0.00,0.00,0.00,0.00,0.00,0.00,1656.49,0.00,0.00 1000088107,"1811043920","022","Physical Therapists","MEYER JASON","609148211","054","Kankakee"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,29,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,29,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,432.24,432.24,0.00,0.00 1000455325," ","063","Other Providers of Medical Equipment/Supplies (Non-registered)",""," ","815","Indiana"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,36.13,0.00,0.00,0.00,0.00,0.00,0.00,36.13,0.00,0.00 1000388582," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","085","Pulaski"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6722.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6722.98,0.00,0.00 1000001380,"1285631580","010","Physicians","BIRNBAUM DAVID A","600109533","057","Lake"," ","","0","0","Family Practice",182,0,0,8,0,0,0,0,0,0,13,0,100,0,0,0,0,0,0,754,0,0,8,0,0,0,0,0,0,13,0,280,0,0,0,0,0,0,754,0,0,8,0,0,0,0,0,0,13,0,280,0,0,0,0,0,0,2153.00,0.00,0.00,839.68,0.00,0.00,0.00,0.00,0.00,0.00,130.00,0.00,10990.55,0.00,0.00,0.00,0.00,0.00,0.00,14113.23,0.00,0.00 1000397228,"1639194053","010","Physicians","KIEFFER PETER","630318014","826","Missouri"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,325.20,0.00,0.00,0.00,0.00,0.00,0.00,325.20,3.00,0.00 1000432710,"1265539753","060","Pharmacies","CVS PHARMACY 7797","616152471","080","Peoria"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,603,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1983,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,41919,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,91033.13,0.00,0.00,0.00,91033.13,0.00,0.00 1000219879,"1538187083","010","Physicians","WICKLINE SAMUEL","631101010","826","Missouri"," ","","0","0","Cardiology",0,0,0,0,0,0,0,0,0,0,0,0,61,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,69,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,69,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,993.94,0.00,0.00,0.00,0.00,0.00,0.00,993.94,1.00,0.00 1000149874,"1497723084","010","Physicians","IFFT KEITH","623057005","010","Adams"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,192,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,213,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,213,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16641.92,0.00,0.00,0.00,0.00,0.00,0.00,16641.92,0.00,0.00 1000376041," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5678.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5678.76,0.00,0.00 1000181604," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,384.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,384.10,0.00,0.00 1000114392,"1952371205","010","Physicians","GUECO VICENTE","628646224","049","Jefferson"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,1770,0,152,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2753,0,200,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2753,0,200,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,69925.34,0.00,2426.93,0.00,0.00,0.00,0.00,0.00,0.00,72352.27,7.00,0.00 1000406160," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,533.51,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,533.51,0.00,0.00 1000351102," ","010","Physicians",""," ","806","Colorado"," ","","0","0","Pediatric Endocrinology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,166.85,0.00,0.00,0.00,0.00,0.00,0.00,166.85,0.00,0.00 1000042021," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,365,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15136.92,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15136.92,0.00,0.00 1000351489,"1063494532","012","Optometrists","VAIL TERRY","614550398","070","McDonough"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,97,0,65,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,223,0,70,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,223,0,70,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5588.98,0.00,2106.30,0.00,0.00,0.00,0.00,7695.28,0.00,0.00 1000290069,"1740440874","024","Speech Therapists","JOHNSON BETH","618027431","019","Champaign"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,688,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,688,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25664.15,25664.15,0.00,0.00 1000364642,"1356324867","010","Physicians","LAWLER CHARLES","606091745","200","Cook"," ","","0","1","Internal Medicine",33,0,0,0,0,0,0,0,0,0,2,0,91,0,0,0,0,0,0,323,0,0,0,0,0,0,0,0,0,2,0,292,0,0,0,0,0,0,323,0,0,0,0,0,0,0,0,0,2,0,292,0,0,0,0,0,0,1103.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8.00,0.00,6828.35,0.00,0.00,0.00,0.00,0.00,0.00,7939.35,0.00,0.00 1000297043,"1740261304","010","Physicians","ROWE SARAH","600072627","200","Cook"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,13,2857,0,115,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,4330,0,138,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,4330,0,138,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1048.02,94929.37,0.00,1689.74,0.00,0.00,0.00,0.00,0.00,0.00,97667.13,106.00,0.00 1000074628," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5812.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5812.00,0.00,0.00 1000333177,"1932126208","060","Pharmacies","WAL MART 10 1413","600148213","071","McHenry"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1034,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7283,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,180494,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,346165.42,0.00,0.00,0.00,346165.42,0.00,0.00 1000453918," ","010","Physicians",""," ","200","Cook"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,139.70,0.00,0.00,0.00,0.00,0.00,0.00,139.70,0.00,0.00 1000140759,"1689668840","010","Physicians","YAREMKO LISA","606313707","200","Cook"," ","","0","0","Pathology",0,0,0,0,0,0,0,0,0,0,222,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,311,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,311,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4478.92,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4478.92,1.00,0.00 1000447678,"1992832075","063","Other Providers of Medical Equipment/Supplies (Non-registered)","XCEL MED LLC","600754034","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,100,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,313,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,313,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19561.40,0.00,0.00,0.00,0.00,0.00,0.00,19561.40,0.00,0.00 1000222714,"1639127459","010","Physicians","WAICKUS CYNTHIA","604821851","200","Cook"," ","","0","1","Family Practice",90,0,0,8,0,0,0,0,0,0,11,0,49,0,0,0,0,0,0,889,0,0,22,0,0,0,0,0,0,14,0,84,0,0,0,0,0,0,889,0,0,22,0,0,0,0,0,0,14,0,84,0,0,0,0,0,0,2350.00,0.00,0.00,807.41,0.00,0.00,0.00,0.00,0.00,0.00,75.22,0.00,2491.73,0.00,0.00,0.00,0.00,0.00,0.00,5724.36,0.00,0.00 1000153830,"1437108594","010","Physicians","PASHA AAMIR","612015351","089","Rock Island"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,117,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,405,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,405,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5470.25,0.00,0.00,0.00,0.00,0.00,0.00,5470.25,0.00,0.00 1000465847,"1386733681","030","General Hospitals","SINAI CHILDRENS HOSPITAL","606081704","200","Cook","CHILDRENS ","Hospital designated as childrens hospitals and paid a Per Diem rate.","0","0","General Hospital - Children Section",0,0,0,0,6558,0,0,0,0,2261,0,0,0,2740,0,0,0,0,0,0,0,0,0,7221,0,0,0,0,1779,0,0,0,2747,0,0,0,0,0,0,0,0,0,7221,0,0,0,0,9440,0,0,0,2754,0,0,0,0,0,0.00,0.00,0.00,0.00,876879.53,0.00,0.00,0.00,0.00,17071387.91,0.00,0.00,0.00,672129.85,0.00,0.00,0.00,0.00,0.00,18620397.29,1589.00,586651.58 1000336807," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7411.87,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7411.87,0.00,0.00 1000192126," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2152.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2152.15,0.00,0.00 1000030969,"1336141126","010","Physicians","HAN TINA","600564276","200","Cook"," ","","0","0","Nephrology",0,0,0,0,0,0,0,0,0,1,0,0,213,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,985,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,985,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,51.40,0.00,0.00,11790.32,0.00,0.00,0.00,0.00,0.00,0.00,11841.72,0.00,0.00 1000340906," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,120,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,120,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15445.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15445.20,0.00,0.00 1000176771," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,623.49,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,623.49,0.00,0.00 1000144919," ","016","Nurse Practitioners",""," ","818","Kentucky"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,88.48,0.00,0.00,0.00,0.00,0.00,0.00,88.48,0.00,0.00 1000360625," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,85.66,0.00,0.00,0.00,0.00,0.00,0.00,85.66,0.00,0.00 1000098772," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6280.73,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6280.73,0.00,0.00 1000464501," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1023.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1023.69,0.00,0.00 1000125200,"1902887805","060","Pharmacies","CAREMARK KANSAS SPEC PHARM LLC","662199621","817","Kansas"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1449,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1702,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,44125,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1929356.60,0.00,0.00,0.00,1929356.60,0.00,0.00 1000442641,"1528045481","010","Physicians","PETRUZZELLI GUY","606123844","200","Cook"," ","","0","0","Bronco-Esophagus",0,0,0,0,0,0,0,0,0,0,1,0,121,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,300,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,300,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,35801.61,0.00,0.00,0.00,0.00,0.00,0.00,35801.61,0.00,0.00 1000288988," ","010","Physicians",""," ","010","Adams"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,44.56,0.00,0.00,0.00,0.00,0.00,0.00,44.56,0.00,0.00 1000122855," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","060","Lee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4396.11,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4396.11,0.00,0.00 1000058396,"1619064151","010","Physicians","ZAYAN MAYER","600302289","057","Lake"," ","","0","1","Internal Medicine",1096,0,0,468,0,0,0,0,0,0,610,0,1332,0,0,0,0,0,0,8088,0,0,98,0,0,0,0,0,0,108,0,1161,0,0,0,0,0,0,8088,0,0,98,0,0,0,0,0,0,108,0,1161,0,0,0,0,0,0,23910.00,0.00,0.00,3003.66,0.00,0.00,0.00,0.00,0.00,0.00,992.45,0.00,19016.43,0.00,0.00,0.00,0.00,0.00,0.00,46922.54,5298.00,0.00 1000263029," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3948.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3948.54,0.00,0.00 1000265721,"1000265721","090","Waiver service provider--Elderly (DOA)","ASSYRIAN UNIVERSAL ALLIANCE","606262426","200","Cook"," ","","0","0","",0,0,0,0,0,191,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19784,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19784,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1761716.20,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1761716.20,0.00,0.00 1000170062,"1043210107","010","Physicians","BEN AMI TAMAR","606143363","200","Cook"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,3661,0,392,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4809,0,400,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4809,0,400,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,88667.80,0.00,18523.11,0.00,0.00,0.00,0.00,0.00,0.00,107190.91,123.00,0.00 1000331709,"1093763120","010","Physicians","JUDY KAREN","600987509","071","McHenry"," ","","0","1","Internal Medicine",69,0,0,1,0,0,0,0,0,0,6,0,80,0,0,0,0,0,0,588,0,0,1,0,0,0,0,0,0,7,0,223,0,0,0,0,0,0,588,0,0,1,0,0,0,0,0,0,7,0,223,0,0,0,0,0,0,1699.00,0.00,0.00,104.96,0.00,0.00,0.00,0.00,0.00,0.00,35.50,0.00,5596.84,0.00,0.00,0.00,0.00,0.00,0.00,7436.30,0.00,0.00 1000383362," ","011","Dentists",""," ","200","Cook"," ","","0","0","General Dentistry",0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,55.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,55.00,0.00,0.00 1000033926," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22750.21,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22750.21,0.00,0.00 1000403203,"1740374081","010","Physicians","NAZEER AMENA","477101658","815","Indiana"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,110,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,110,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4197.60,0.00,0.00,0.00,0.00,0.00,0.00,4197.60,0.00,0.00 1000403876," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2749.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2749.84,0.00,0.00 1000131562," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","080","Peoria"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,90.43,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,90.43,0.00,0.00 1000140963,"1083630214","010","Physicians","CRESCI SHARON","631101010","826","Missouri"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,41,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,78,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,78,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1698.43,0.00,0.00,0.00,0.00,0.00,0.00,1698.43,0.00,0.00 1000033049," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","088","Richland"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4601.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4601.00,0.00,0.00 1000063494," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4405.30,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4405.30,0.00,0.00 1000433648,"1801902432","010","Physicians","KLUCKA MARK","620024569","065","Madison"," ","","0","0","Gastroenterology",0,0,0,0,0,0,0,0,0,0,0,0,231,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,612,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,612,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,28648.10,0.00,0.00,0.00,0.00,0.00,0.00,28648.10,6.00,0.00 1000252282," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,32879.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,32879.44,0.00,0.00 1000164434," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10754.57,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10754.57,0.00,0.00 1000084212,"1740358308","010","Physicians","GUPTA PURNENDU","605276686","030","DuPage"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,11,0,115,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,261,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,261,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,304.39,0.00,43367.85,0.00,0.00,0.00,0.00,0.00,0.00,43672.24,0.00,0.00 1000189720," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","034","Fayette"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13344.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13344.70,0.00,0.00 1000257849," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7603.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7603.07,0.00,0.00 1000310583,"1942251277","010","Physicians","MURPHY BRIAN","606103717","200","Cook"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,12,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3262.60,0.00,7.64,0.00,0.00,0.00,0.00,0.00,0.00,3270.24,0.00,0.00 1000084803,"1962426056","010","Physicians","SHAH ANKIT","600052407","200","Cook"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,2,2,0,259,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,4,0,577,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,4,0,577,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,76.30,15.28,0.00,9176.05,0.00,0.00,0.00,0.00,0.00,0.00,9267.63,1.00,0.00 1000035781,"1700840402","036","Community mental health provider","ALTERNATIVE BEHAVIOR TREATMENT","600609117","057","Lake"," ","","0","0","",54,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,61,0,0,518,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13584,0,0,518,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,13584,0,0,27001.59,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,374765.13,0.00,0.00,401766.72,0.00,0.00 1000385299,"1235250168","055","Early Intervention Services","BANASIAK MORGAN","601855158","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,151,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,151,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9053.85,0.00,0.00,0.00,0.00,0.00,0.00,9053.85,0.00,0.00 1000375368,"1043537491","016","Nurse Practitioners","DUNCAN DONNA","625213832","063","Macon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,159.62,0.00,0.00,0.00,0.00,0.00,0.00,159.62,0.00,0.00 1000302793,"1225080666","010","Physicians","MARILIM MEL","527325067","816","Iowa"," ","","0","1","Family Practice",0,0,0,0,0,0,0,0,0,0,8,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,16,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,148.52,0.00,661.19,0.00,0.00,0.00,0.00,0.00,0.00,809.71,0.00,0.00 1000422392," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,50.15,0.00,0.00,0.00,0.00,0.00,0.00,50.15,0.00,0.00 1000316415," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,132.62,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,132.62,0.00,0.00 1000006396,"1649332198","010","Physicians","OLOPADE OLUFUNMILAYO","605276686","030","DuPage"," ","","0","0","Oncology",0,0,0,0,0,0,0,0,0,0,0,0,50,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,123,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,123,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2959.14,0.00,0.00,0.00,0.00,0.00,0.00,2959.14,0.00,0.00 1000080256,"1013931922","010","Physicians","JOHNSON DAVID","535661546","852","Wisconsin"," ","","0","1","General Practice",25,0,0,0,0,0,0,0,0,0,4,0,27,0,0,0,0,0,0,261,0,0,0,0,0,0,0,0,0,5,0,68,0,0,0,0,0,0,261,0,0,0,0,0,0,0,0,0,5,0,68,0,0,0,0,0,0,814.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,67.15,0.00,2691.38,0.00,0.00,0.00,0.00,0.00,0.00,3572.53,0.00,0.00 1000403468,"1487714663","011","Dentists","MLYNSKI MARK","606312502","200","Cook"," ","","0","0","General Dentistry",0,0,76,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,433,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,433,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0.00,0.00,15381.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1881.75,0.00,0.00,0.00,0.00,17263.54,0.00,0.00 1000218880,"1902044613","010","Physicians","BRINKER NATHAN","606223086","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,2,0,0,2076,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,2388,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,2388,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,138.50,0.00,0.00,88056.05,0.00,0.00,0.00,0.00,0.00,0.00,88194.55,129.00,0.00 1000241760," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","079","Ogle"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5669.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5669.70,0.00,0.00 1000231564,"1184642613","010","Physicians","LIU QIANJIN","631101093","826","Missouri"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6527.31,0.00,0.00,0.00,0.00,0.00,0.00,6527.31,0.00,0.00 1000332239,"1497736383","013","Podiatrists","ZUCKER KEVIN","600896827","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1033,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4689,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4689,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18443.68,0.00,0.00,0.00,0.00,0.00,0.00,18443.68,0.00,0.00 1000114983," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1915.18,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1915.18,0.00,0.00 1000183541," ","010","Physicians",""," ","826","Missouri"," ","","0","1","Pediatrics",1,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,2.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,186.24,0.00,0.00,0.00,0.00,0.00,0.00,188.24,0.00,0.00 1000268718,"1740232560","010","Physicians","ISRAELSEN KLEVEN","624012099","033","Effingham"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,1,0,1542,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,1823,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,1823,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2.14,0.00,65306.32,0.00,0.00,0.00,0.00,0.00,0.00,65308.46,0.00,0.00 1000293392," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1160.46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1160.46,0.00,0.00 1000105746," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21112.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21112.86,0.00,0.00 1000409647,"1588674105","010","Physicians","MARANON MARIA","618226217","019","Champaign"," ","","0","1","Pediatrics",930,0,0,612,0,0,0,0,0,0,259,0,673,0,0,0,0,0,0,8979,0,0,2715,0,0,0,0,0,0,409,0,1324,0,0,0,0,0,0,8979,0,0,2715,0,0,0,0,0,0,409,0,1324,0,0,0,0,0,0,17958.00,0.00,0.00,76114.54,0.00,0.00,0.00,0.00,0.00,0.00,3524.01,0.00,65153.37,0.00,0.00,0.00,0.00,0.00,0.00,162749.92,0.00,0.00 1000025055,"1568651925","048","Rural Health Clinics","MID ILLINOIS MED CARE ASSC LLC","624012187","033","Effingham"," ","","0","1","",25,69,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,190,409,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,190,409,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,600.00,12022.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12622.78,0.00,0.00 1000089901," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1518.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1518.67,0.00,0.00 1000325122,"1114953825","010","Physicians","BHATHENA YASMIN","605064356","053","Kane"," ","","0","0","Pedodontics",0,0,0,9,0,0,0,0,0,0,2,0,28,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,5,0,37,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,5,0,37,0,0,0,0,0,0,0.00,0.00,0.00,685.81,0.00,0.00,0.00,0.00,0.00,0.00,37.34,0.00,1317.10,0.00,0.00,0.00,0.00,0.00,0.00,2040.25,0.00,0.00 1000053155,"1609886183","010","Physicians","PARK CHONG","600253448","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,476,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1200,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1200,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,44775.36,0.00,0.00,0.00,0.00,0.00,0.00,44775.36,142.00,0.00 1000466846,"1508029919","033","Nursing Facilities","NILES NURSING AND REHAB CTR","607141002","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,374,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3560,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,89672,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9616411.63,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9616411.63,0.00,0.00 1000267658,"1972658789","060","Pharmacies","CARLE RX EXPRESS","618532754","019","Champaign"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,426,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4700,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,121389,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,335676.54,0.00,0.00,0.00,335676.54,0.00,0.00 1000253363," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2913.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2913.60,0.00,0.00 1000248000,"1356533269","010","Physicians","KITCHAROEN KENZIE","606404995","200","Cook"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,103,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,103,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2633.27,0.00,0.00,0.00,0.00,0.00,0.00,2633.27,0.00,0.00 1000291251,"1215021100","010","Physicians","GILBERT GEORGE","616145021","080","Peoria"," ","","0","1","Family Practice",447,0,0,16,0,0,0,0,0,0,2,0,282,0,0,0,0,0,0,3226,0,0,19,0,0,0,0,0,0,4,0,1383,0,0,0,0,0,0,3226,0,0,19,0,0,0,0,0,0,4,0,1383,0,0,0,0,0,0,9068.00,0.00,0.00,1494.50,0.00,0.00,0.00,0.00,0.00,0.00,16.00,0.00,58631.07,0.00,0.00,0.00,0.00,0.00,0.00,69209.57,0.00,0.00 1000219492," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","061","Livingston"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,376.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,376.85,0.00,0.00 1000191922," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","020","Christian"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8419.92,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8419.92,0.00,0.00 1000276365,"1104801190","010","Physicians","DECKARD ALAN","627949639","091","Sangamon"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,1,0,212,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,636,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,636,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6.30,0.00,10964.97,0.00,0.00,0.00,0.00,0.00,0.00,10971.27,0.00,0.00 1000093062,"1679672869","010","Physicians","TIPIRNENI NAVEEN","600442203","057","Lake"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,11,0,88,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,406,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,30,0,406,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1894.35,0.00,8687.01,0.00,0.00,0.00,0.00,0.00,0.00,10581.36,0.00,0.00 1000207746,"1942330576","010","Physicians","NASIR ALI SYED","600762914","200","Cook"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,768,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4251,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4251,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,101711.09,0.00,0.00,0.00,0.00,0.00,0.00,101711.09,1.00,0.00 1000463645," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","079","Ogle"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5104.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5104.00,0.00,0.00 1000153952," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","082","Piatt"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4990.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4990.67,0.00,0.00 1000344046,"1679695332","064","Imaging Services","HIGH FIELD OPEN MRI OF ROCKFOR","611147416","109","Winnebago"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,2,0,131,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,181,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,181,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,32122.03,0.00,0.00,0.00,0.00,0.00,0.00,32122.03,0.00,0.00 1000178117,"1000178117","018","All Kids application agent (other)","CARROLL COUNTY HEALTH DEPT","610531243","017","Carroll"," ","","0","0","",19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,950.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,950.00,0.00,0.00 1000340967,"1629046735","010","Physicians","KHAN AQEEL","601082155","030","DuPage"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,627,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2047,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2047,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33805.48,0.00,0.00,0.00,0.00,0.00,0.00,33805.48,6.00,0.00 1000238273,"1811090582","060","Pharmacies","CVS PHARMACY 3259","620251705","065","Madison"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,219,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1094,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27480,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,44970.30,0.00,0.00,0.00,44970.30,0.00,0.00 1000287438,"1881827137","055","Early Intervention Services","ARNOLD BARNES DEBRA","193310007","839","Pennsylvania"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2336.88,0.00,0.00,0.00,0.00,0.00,0.00,2336.88,0.00,0.00 1000459403," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22717.74,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22717.74,0.00,0.00 1000190780,"1730189176","010","Physicians","HAZEL THOMAS","601343591","053","Kane"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,4,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,42,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24.12,0.00,394.20,0.00,0.00,0.00,0.00,0.00,0.00,418.32,0.00,0.00 1000183928,"1386969533","036","Community mental health provider","THE H GROUP BBT INC","629591139","108","Williamson"," ","","0","0","",22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,91,0,0,29,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,202,0,0,29,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,202,0,0,2460.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15525.40,0.00,0.00,17986.24,0.00,0.00 1000161273,"1457584260","011","Dentists","JACOB CHRISTINA","605438974","055","Kendall"," ","","0","0","General Dentistry",0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,85,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,85,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,2029.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2029.54,0.00,0.00 1000432649," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","024","Coles"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,708.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,708.72,0.00,0.00 1000084477,"1124053772","010","Physicians","YAGHMAI VAHID","606118709","200","Cook"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,590,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,851,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,851,0,12,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20647.90,0.00,372.67,0.00,0.00,0.00,0.00,0.00,0.00,21020.57,2.00,0.00 1000055031," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1.87,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1.87,0.00,0.00 1000121978,"1000121978","090","Waiver service provider--Elderly (DOA)","ST JOHN EVANG UNITED CHURCH","622343306","065","Madison"," ","","0","0","",0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,430,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,430,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,41138.29,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,41138.29,0.00,0.00 1000311460," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6301.51,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6301.51,0.00,0.00 1000154768," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17263.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17263.14,0.00,0.00 1000402795," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4857.05,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4857.05,0.00,0.00 1000445537," ","016","Nurse Practitioners",""," ","852","Wisconsin"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,175.65,0.00,0.00,0.00,0.00,0.00,0.00,175.65,0.00,0.00 1000288580," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2073.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2073.76,0.00,0.00 1000174834," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,29185.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29185.16,0.00,0.00 1000094347," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15988.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15988.07,0.00,0.00 1000135783," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,434.04,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,434.04,0.00,0.00 1000074159," ","034","State-operated facility (DHS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6012.60,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6012.60,0.00,0.00 1000130094," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1157.46,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1157.46,0.00,0.00 1000398513,"1538331467","029","ICF/MR","TRULSON HOUSE","614015441","056","Knox"," ","","0","0","",0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,396,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9542,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,723906.83,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,723906.83,0.00,0.00 1000431038," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2694.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2694.24,0.00,0.00 1000438481,"1497784862","010","Physicians","KRUEGER RICHARD","604532600","200","Cook"," ","","0","0","Neonatology",0,0,0,0,0,0,0,0,0,0,0,0,169,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1042,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1042,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,185758.20,0.00,0.00,0.00,0.00,0.00,0.00,185758.20,2.00,0.00 1000348002," ","010","Physicians",""," ","057","Lake"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,95.00,0.00,0.00,0.00,0.00,0.00,0.00,95.00,0.00,0.00 1000137333,"1174579569","060","Pharmacies","OSCO DRUG 3170","606324224","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,1987,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,13539,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,304785,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,447.16,0.00,0.00,493261.23,0.00,0.00,0.00,493708.39,0.00,0.00 1000331097," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8789.47,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8789.47,0.00,0.00 1000411258,"1295740595","060","Pharmacies","WALGREEN CO STORE 5724","606295824","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,5267,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,29827,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,596766,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16.81,0.00,0.00,1329744.29,0.00,0.00,0.00,1329761.10,0.00,0.00 1000449758,"1235110784","010","Physicians","GAWRONSKI MARY","600143549","071","McHenry"," ","","0","1","Pediatrics",39,0,0,23,0,0,0,0,0,0,28,0,36,0,0,0,0,0,0,343,0,0,29,0,0,0,0,0,0,38,0,68,0,0,0,0,0,0,343,0,0,29,0,0,0,0,0,0,38,0,68,0,0,0,0,0,0,686.00,0.00,0.00,1971.17,0.00,0.00,0.00,0.00,0.00,0.00,243.46,0.00,3688.70,0.00,0.00,0.00,0.00,0.00,0.00,6589.33,0.00,0.00 1000219227," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","089","Rock Island"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,944.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,944.95,0.00,0.00 1000432384," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","049","Jefferson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5757.62,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5757.62,0.00,0.00 1000254383," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","010","Adams"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5263.01,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5263.01,0.00,0.00 1000045916," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,191,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,191,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15657.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15657.79,0.00,0.00 1000190311," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7319.74,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7319.74,0.00,0.00 1000330771," ","022","Physical Therapists",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1134.20,1134.20,0.00,0.00 1000215536," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13983.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13983.72,0.00,0.00 1000386033,"1568565760","010","Physicians","MANIET ALAN","631102515","826","Missouri"," ","","0","0","Cardiology",0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,525.15,0.00,0.00,0.00,0.00,0.00,0.00,525.15,3.00,0.00 1000396372," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,960.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,960.99,0.00,0.00 1000076973," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","104","Wayne"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2437.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2437.07,0.00,0.00 1000238212," ","016","Nurse Practitioners",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,30.66,0.00,0.00,0.00,0.00,0.00,0.00,30.66,0.00,0.00 1000058335," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10605.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10605.84,0.00,0.00 1000016735," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","047","Jackson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2196.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2196.67,0.00,0.00 1000033844," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,18285.79,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18285.79,0.00,0.00 1000442519,"1942385554","030","General Hospitals","SAINT MARGARET MERCY NO","463201931","815","Indiana","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","0","0","General Hospital - Adult and Child",33,0,0,0,7200,0,0,0,0,1387,0,0,0,1507,0,0,0,0,0,72,0,0,0,10107,0,0,0,0,1722,0,0,0,2793,0,0,0,0,0,125,0,0,0,10147,0,0,0,0,8536,0,0,0,3383,0,0,0,0,0,13192.81,0.00,0.00,0.00,1149536.50,0.00,0.00,0.00,0.00,6692293.66,0.00,0.00,0.00,384681.69,0.00,0.00,0.00,0.00,0.00,8239704.66,838.00,11572.89 1000127892,"1124016902","010","Physicians","NARAYANA GONCHIGARI","612656870","089","Rock Island"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,164,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,594,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,594,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11733.28,0.00,0.00,0.00,0.00,0.00,0.00,11733.28,7.00,0.00 1000210703," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,71.60,0.00,0.00,0.00,0.00,0.00,0.00,71.60,0.00,0.00 1000464909," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13489.92,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13489.92,0.00,0.00 1000235724," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12763.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12763.80,0.00,0.00 1000104543," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Dermatology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,86.65,0.00,0.00,0.00,0.00,0.00,0.00,86.65,0.00,0.00 1000161824," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","055","Kendall"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,70,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,70,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2977.83,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2977.83,0.00,0.00 1000290660,"1982662920","022","Physical Therapists","BURNETT LISK JILL","628121565","036","Franklin"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,72,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,645,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,645,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13491.64,13491.64,0.00,0.00 1000133030,"1336183854","010","Physicians","MURPHY JAMES","610326907","097","Stephenson"," ","","0","0","Orthopedic Surgery",0,0,0,0,0,0,0,0,0,0,43,0,95,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,58,0,208,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,58,0,208,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,803.51,0.00,10200.24,0.00,0.00,0.00,0.00,0.00,0.00,11003.75,0.00,0.00 1000359462," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14118.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14118.88,0.00,0.00 1000018285,"1174555742","010","Physicians","GREENBERGER MARK","600352500","057","Lake"," ","","0","1","Internal Medicine",5,0,0,0,0,0,0,0,0,0,4,0,21,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,5,0,121,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0,0,5,0,121,0,0,0,0,0,0,114.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14.31,0.00,1025.73,0.00,0.00,0.00,0.00,0.00,0.00,1154.04,0.00,0.00 1000304608,"1346254042","011","Dentists","LUNKEN DINA","616152179","080","Peoria"," ","","0","0","General Dentistry",0,0,60,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,354,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,354,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,10725.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10725.16,0.00,0.00 1000198774,"1568533867","011","Dentists","HIRSCH JAMES","601031670","200","Cook"," ","","0","0","General Dentistry",0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,126,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,126,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,3184.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3184.39,0.00,0.00 1000039798," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","036","Franklin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,697.47,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,697.47,0.00,0.00 1000378794,"1750308631","030","General Hospitals","COMMUNITY MEMORIAL HOSPITAL","620881423","064","Macoupin","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","1","0","General Hospital - Adult and Child",4,0,0,0,1190,0,0,0,0,40,5,0,3,546,0,0,0,0,0,15,0,0,0,1977,0,0,0,0,47,5,0,3,2018,0,0,0,0,0,15,0,0,0,1977,0,0,0,0,164,5,0,3,2041,0,0,0,0,0,9.25,0.00,0.00,0.00,143621.03,0.00,0.00,0.00,0.00,43134.64,54.39,0.00,1623.00,227247.75,0.00,0.00,0.00,0.00,0.00,415690.06,3.00,0.00 1000467580," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8905.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8905.67,0.00,0.00 1000351285,"1013088806","010","Physicians","LAMORENA CYNTHIA N","606513133","200","Cook"," ","","0","0","General Practice",840,0,0,216,0,0,0,0,0,0,18,0,676,0,0,0,0,0,0,2855,0,0,318,0,0,0,0,0,0,4,0,474,0,0,0,0,0,0,2855,0,0,318,0,0,0,0,0,0,4,0,474,0,0,0,0,0,0,6982.00,0.00,0.00,6999.24,0.00,0.00,0.00,0.00,0.00,0.00,16.00,0.00,10724.46,0.00,0.00,0.00,0.00,0.00,0.00,24721.70,1083.00,0.00 1000284420," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2266.68,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2266.68,0.00,0.00 1000190250," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10222.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10222.70,0.00,0.00 1000223244," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","027","Dekalb"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2899.17,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2899.17,0.00,0.00 1000067919," ","010","Physicians",""," ","815","Indiana"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1145.15,0.00,0.00,0.00,0.00,0.00,0.00,1145.15,0.00,0.00 1000311786,"1871517466","010","Physicians","PLOEGMAN PAUL F","629030485","047","Jackson"," ","","0","1","Pediatrics",28,0,0,25,0,0,0,0,0,0,0,0,88,0,0,0,0,0,0,233,0,0,107,0,0,0,0,0,0,0,0,189,0,0,0,0,0,0,233,0,0,107,0,0,0,0,0,0,0,0,189,0,0,0,0,0,0,466.00,0.00,0.00,3131.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8090.63,0.00,0.00,0.00,0.00,0.00,0.00,11687.87,0.00,0.00 1000400103,"1689844714","016","Nurse Practitioners","MURPHY SANDRA","381053678","844","Tennessee"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,207.60,0.00,0.00,0.00,0.00,0.00,0.00,207.60,0.00,0.00 1000456324,"1215044490","010","Physicians","POTTMEYER CHRISTOPHER","620020340","065","Madison"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,920,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1147,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1147,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,40520.00,0.00,0.00,0.00,0.00,0.00,0.00,40520.00,41.00,0.00 1000022098,"1548360449","063","Other Providers of Medical Equipment/Supplies (Non-registered)","LINK MEDICAL EQUIPMENT INC","606455209","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,564,0,80,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5380,0,89,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5380,0,89,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,219182.15,0.00,3270.95,0.00,0.00,0.00,0.00,222453.10,0.00,0.00 1000225385,"1003914292","010","Physicians","SCHNEIDER JOSEPH","601901222","030","DuPage"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,88,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,213,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,213,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13175.12,0.00,0.00,0.00,0.00,0.00,0.00,13175.12,0.00,0.00 1000438277," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5292.31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5292.31,0.00,0.00 1000451491,"1225046444","010","Physicians","TURNER DAVID","606123828","200","Cook"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,1,346,0,308,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,501,0,326,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,501,0,326,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,44.98,16485.55,0.00,8392.96,0.00,0.00,0.00,0.00,0.00,0.00,24923.49,4.00,0.00 1000444986," ","011","Dentists",""," ","030","DuPage"," ","","0","0","General Dentistry",0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,376.35,0.00,0.00,0.00,0.00,376.35,0.00,0.00 1000152341,"1000152341","091","Waiver service provider--Adults (DHS/DDD)","BARBARA OLSON CENTER OF HOPE","611011756","109","Winnebago"," ","","0","0","",0,0,0,0,0,175,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35616,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,35616,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1835347.54,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1835347.54,0.00,0.00 1000166840,"1730299926","010","Physicians","RACANELLI VINCENT","611033619","109","Winnebago"," ","","0","1","Internal Medicine",91,0,0,0,0,0,0,0,0,0,41,0,169,0,0,0,0,0,0,840,0,0,0,0,0,0,0,0,0,62,0,656,0,0,0,0,0,0,840,0,0,0,0,0,0,0,0,0,62,0,656,0,0,0,0,0,0,2620.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,625.14,0.00,18011.31,0.00,0.00,0.00,0.00,0.00,0.00,21256.45,0.00,0.00 1000387501," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2049.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2049.65,0.00,0.00 1000080439," 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","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10681,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10681,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,124380.10,0.00,0.00,0.00,0.00,0.00,0.00,124380.10,0.00,0.00 1000226670," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4539.06,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4539.06,0.00,0.00 1000349735," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5057.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5057.86,0.00,0.00 1000100097,"1073597894","010","Physicians","JACHTOROWYCZ MARKO","600533056","200","Cook"," ","","0","0","Gynecology",0,0,0,0,0,0,0,0,0,0,0,0,56,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,189,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,189,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5536.71,0.00,0.00,0.00,0.00,0.00,0.00,5536.71,0.00,0.00 1000017673,"1275529042","010","Physicians","RAJARAM VIJAY","600073475","200","Cook"," ","","0","0","Physical Medicine/Rehabilitation",0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,244,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,244,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3208.55,0.00,0.00,0.00,0.00,0.00,0.00,3208.55,0.00,0.00 1000016592," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3549.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3549.77,0.00,0.00 1000421250,"1578578688","060","Pharmacies","WALGREEN CO 09852","618022500","019","Champaign"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5380,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31481,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,635471,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1592956.26,0.00,0.00,0.00,1592956.26,0.00,0.00 1000238538," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,138,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,138,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6146.48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6146.48,0.00,0.00 1000423860," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,66.30,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,66.30,0.00,0.00 1000000360," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12203.73,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12203.73,0.00,0.00 1000343373," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,25,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12367.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12367.96,0.00,0.00 1000046711," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7064.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7064.67,0.00,0.00 1000122569," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","079","Ogle"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,247.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,247.16,0.00,0.00 1000074281,"1376585877","010","Physicians","RAMOS TERESA","606574424","200","Cook"," ","","0","0","Internal Medicine",207,0,0,1,0,0,0,0,0,0,105,0,377,0,0,0,0,0,0,1469,0,0,1,0,0,0,0,0,0,142,0,490,0,0,0,0,0,0,1469,0,0,1,0,0,0,0,0,0,142,0,490,0,0,0,0,0,0,4739.00,0.00,0.00,6.40,0.00,0.00,0.00,0.00,0.00,0.00,984.47,0.00,19690.83,0.00,0.00,0.00,0.00,0.00,0.00,25420.70,0.00,0.00 1000365498," ","080","Prepaid health plan--Health maintenance organization",""," ","200","Cook"," ","","0","0","",1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,276.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,276.00,0.00,0.00 1000103605,"1588689285","010","Physicians","ANDERSON DANIELE","601952433","200","Cook"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,2,0,120,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,296,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,296,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7905.13,0.00,0.00,0.00,0.00,0.00,0.00,7905.13,4.00,0.00 1000092776,"1194778449","010","Physicians","CONCEPCION LUIS","420033814","818","Kentucky"," ","","0","0","Oncology",0,0,0,0,0,0,0,0,0,0,13,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,142,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,142,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,160.72,0.00,5053.65,0.00,0.00,0.00,0.00,0.00,0.00,5214.37,0.00,0.00 1000276773,"1750484424","060","Pharmacies","CVS PHARMACY 6924","618831461","100","Vermilion"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2369,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22877,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,554772,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1241795.56,0.00,0.00,0.00,1241795.56,0.00,0.00 1000196694,"1811984388","030","General Hospitals","MIDWESTERN REGIONAL MED CTR","600992676","057","Lake","DRG ","Hospitals reimbursed under our Diagnosis Related Group (DRG) system.","0","0","",0,0,0,13,0,0,0,0,0,0,116,0,0,51,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,551,0,0,200,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,551,0,0,200,0,0,0,0,0,0.00,0.00,0.00,154.18,0.00,0.00,0.00,0.00,0.00,0.00,5188.29,0.00,0.00,79249.34,0.00,0.00,0.00,0.00,0.00,84591.81,0.00,0.00 1000388990," ","014","Chiropractors",""," ","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,27,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,234.09,0.00,0.00,0.00,0.00,0.00,0.00,234.09,0.00,0.00 1000421780," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,92.25,0.00,0.00,0.00,0.00,0.00,0.00,92.25,0.00,0.00 1000195348,"1144227182","010","Physicians","SHAH NEHA","600268321","200","Cook"," ","","0","0","Rheumatology",0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,74,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,74,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3580.73,0.00,0.00,0.00,0.00,0.00,0.00,3580.73,0.00,0.00 1000354568,"1992781710","010","Physicians","SCOTT QUINCY","629011474","047","Jackson"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,76,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,127,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,127,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3816.07,0.00,0.00,0.00,0.00,0.00,0.00,3816.07,2.00,0.00 1000339947,"1285620856","012","Optometrists","CASTELLS GRACE","606163816","200","Cook"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,82,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,175,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,175,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3899.46,0.00,0.00,0.00,0.00,0.00,0.00,3899.46,0.00,0.00 1000457445," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11136.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11136.12,0.00,0.00 1000252221,"1942259486","060","Pharmacies","MEIJER PHARMACY 170","463223501","815","Indiana"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,146,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3710,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2807.39,0.00,0.00,0.00,2807.39,0.00,0.00 1000084008,"1932245198","010","Physicians","STANLEY AVA","606431791","200","Cook"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,92,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,92,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1931.47,0.00,0.00,0.00,0.00,0.00,0.00,1931.47,0.00,0.00 1000025789," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5323.09,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5323.09,0.00,0.00 1000416009,"1871511352","010","Physicians","GOLDFARB CHARLES","631101032","826","Missouri"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,4,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,43,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,16.32,0.00,4235.43,0.00,0.00,0.00,0.00,0.00,0.00,4251.75,0.00,0.00 1000318026," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,164,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,164,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10945.57,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10945.57,0.00,0.00 1000123793," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,486.20,0.00,0.00,0.00,0.00,0.00,0.00,486.20,0.00,0.00 1000155237,"1407985328","024","Speech Therapists","PETERSON ALLISON","606491003","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,93,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,178,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,178,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,23258.08,23258.08,0.00,0.00 1000063412," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,144.68,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,144.68,0.00,0.00 1000330037," ","010","Physicians",""," ","062","Logan"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,24.20,0.00,0.00,0.00,0.00,0.00,0.00,24.20,0.00,0.00 1000184418,"1285785261","010","Physicians","ROOS RAYMOND","605276686","030","DuPage"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,66,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,66,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1290.52,0.00,0.00,0.00,0.00,0.00,0.00,1290.52,0.00,0.00 1000324001," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9737.78,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9737.78,0.00,0.00 1000071406," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25498.84,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25498.84,0.00,0.00 1000234847," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5546.11,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5546.11,0.00,0.00 1000381078,"1558322065","010","Physicians","BLANKENBAKER DONNA","535625531","852","Wisconsin"," ","","0","0","Radiology",0,0,0,0,0,0,0,0,0,0,13,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,223.02,0.00,31.80,0.00,0.00,0.00,0.00,0.00,0.00,254.82,1.00,0.00 1000023383," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1912.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1912.40,0.00,0.00 1000007620," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1322.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1322.40,0.00,0.00 1000074485," ","023","Occupational Therapists",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2075.63,2075.63,0.00,0.00 1000168920,"1396842829","010","Physicians","MENDEZ EZEQUIEL","606321812","200","Cook"," ","","0","1","Family Practice",2372,0,0,1090,0,0,0,0,0,0,641,0,1701,0,0,0,0,0,0,23819,0,0,4279,0,0,0,0,0,0,1040,0,5414,0,0,0,0,0,0,23819,0,0,4279,0,0,0,0,0,0,1040,0,5414,0,0,0,0,0,0,51347.00,0.00,0.00,134099.76,0.00,0.00,0.00,0.00,0.00,0.00,3785.34,0.00,241705.78,0.00,0.00,0.00,0.00,0.00,0.00,430937.88,0.00,0.00 1000395352,"1245256965","010","Physicians","THAKKAR PARAG","600302076","057","Lake"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,55,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,287,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,287,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4183.24,0.00,0.00,0.00,0.00,0.00,0.00,4183.24,0.00,0.00 1000005336,"1386724243","055","Early Intervention Services","MIZRACHI JUDITH","606262916","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,269,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,269,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,27179.16,0.00,0.00,0.00,0.00,0.00,0.00,27179.16,0.00,0.00 1000083804," ","055","Early Intervention Services",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1168.44,0.00,0.00,0.00,0.00,0.00,0.00,1168.44,0.00,0.00 1000070937,"1316068471","075","Department of Alcohol and Substance Abuse Provider","CHESTNUT HEALTH SYSTEMS","617012814","072","McLean"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,259,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1790,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1790,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,203960.43,0.00,0.00,203960.43,0.00,0.00 1000368802," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,95.33,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,95.33,0.00,0.00 1000403672,"1700879236","010","Physicians","DAS GUPTA DIPANKAR","606112915","200","Cook"," ","","0","0","Cardiology",0,0,0,0,0,0,0,0,0,0,0,0,63,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,130,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,130,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2448.09,0.00,0.00,0.00,0.00,0.00,0.00,2448.09,0.00,0.00 1000278119," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7143.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7143.40,0.00,0.00 1000299857,"1699823906","055","Early Intervention Services","GONZALEZ STRICK MELISSA","604011541","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,181,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,181,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17481.32,0.00,0.00,0.00,0.00,0.00,0.00,17481.32,0.00,0.00 1000435667,"1760670327","012","Optometrists","LEE STEVEN","606155550","200","Cook"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,103,0,92,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,185,0,92,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,185,0,92,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4001.89,0.00,2768.28,0.00,0.00,0.00,0.00,6770.17,0.00,0.00 1000246919,"1407802242","010","Physicians","PRINZ PAUL","601601624","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,77,0,117,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,205,0,358,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,205,0,358,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3083.31,0.00,14901.99,0.00,0.00,0.00,0.00,0.00,0.00,17985.30,13.00,0.00 1000268861," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12385.11,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12385.11,0.00,0.00 1000314131,"1205861853","010","Physicians","HIRE ERVIN","600992676","057","Lake"," ","","0","0","Hematology",0,0,0,0,0,0,0,0,0,1,0,0,411,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,1649,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,1649,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,82.80,0.00,0.00,57285.18,0.00,0.00,0.00,0.00,0.00,0.00,57367.98,66.00,0.00 1000415275," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13004.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13004.82,0.00,0.00 1000197571," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8655.27,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8655.27,0.00,0.00 1000321982,"1942320064","010","Physicians","TEIGLAND GARRY","618326346","100","Vermilion"," ","","0","0","Psychiatry",0,0,0,0,0,0,0,0,0,0,0,0,486,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2832,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2832,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,67956.22,0.00,0.00,0.00,0.00,0.00,0.00,67956.22,0.00,0.00 1000176506," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","081","Perry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,144,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,144,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,8195.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8195.64,0.00,0.00 1000063698," ","040","Federally Qualified Health Centers",""," ","200","Cook"," ","","0","0","",0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,113.26,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,113.26,0.00,0.00 1000057580,"1952467847","073","Other Transportation Providers ( Non-Registered)","AVISTON TERRACE","622163438","023","Clinton"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,257,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,257,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1065.12,0.00,0.00,0.00,0.00,0.00,0.00,1065.12,0.00,0.00 1000107153,"1023081734","010","Physicians","TEJI RANJIT","606086742","200","Cook"," ","","0","1","Pediatrics",1002,0,0,524,0,0,0,0,0,0,209,0,494,0,0,0,0,0,0,8464,0,0,2486,0,0,0,0,0,0,287,0,1626,0,0,0,0,0,0,8464,0,0,2486,0,0,0,0,0,0,287,0,1626,0,0,0,0,0,0,16986.00,0.00,0.00,74235.89,0.00,0.00,0.00,0.00,0.00,0.00,876.00,0.00,75641.35,0.00,0.00,0.00,0.00,0.00,0.00,167739.24,104.00,0.00 1000048608,"1518926450","010","Physicians","LARSEN MARIANNE","606143318","200","Cook"," ","","0","0","Child Neurology",0,0,0,0,0,0,0,0,0,0,0,0,311,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,523,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,523,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,41040.80,0.00,0.00,0.00,0.00,0.00,0.00,41040.80,8.00,0.00 1000152505,"1124296421","010","Physicians","PAISLEY JESSICA","606222743","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,1,0,0,1893,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,1800,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,1800,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,69.25,0.00,0.00,57132.42,0.00,0.00,0.00,0.00,0.00,0.00,57201.67,518.00,0.00 1000168043," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4237.73,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4237.73,0.00,0.00 1000347064,"1366437147","010","Physicians","ACARREGUI MICHAEL","528032459","816","Iowa"," ","","0","0","Pediatrics",0,0,0,3,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0.00,0.00,0.00,64.28,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,963.85,0.00,0.00,0.00,0.00,0.00,0.00,1028.13,0.00,0.00 1000095142," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2550.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2550.80,0.00,0.00 1000143981," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,449.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,449.98,0.00,0.00 1000395434,"1801003454","010","Physicians","MCDOWELL CADE","631101016","826","Missouri"," ","","0","0","Radiology Diagnosis",0,0,0,0,0,0,0,0,0,0,12,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,135.30,0.00,13.27,0.00,0.00,0.00,0.00,0.00,0.00,148.57,0.00,0.00 1000466989,"1000466989","090","Waiver service provider--Elderly (DOA)","LARLIN HOMECARE SERVICES","605163447","030","DuPage"," ","","0","0","",0,0,0,0,0,69,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3355,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3355,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,200075.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,200075.32,0.00,0.00 1000105664," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","026","Cumberland"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1102.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1102.45,0.00,0.00 1000189434," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","051","Jo Daviess"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5091.40,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5091.40,0.00,0.00 1000068184," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,19241.29,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19241.29,0.00,0.00 1000372819,"1000372819","080","Prepaid health plan--Health maintenance organization","STEELEVILLE CLINIC","622881816","087","Randolph"," ","","0","0","",1395,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8169,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8169,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1042331.28,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1042331.28,0.00,0.00 1000156787," ","047","Local Education Agencies",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,116,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,116,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,80.25,0.00,80.25,0.00,0.00 1000448330,"1558335687","010","Physicians","DEALBA FELIPE","601533304","200","Cook"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,23,0,468,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,52,0,1950,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,52,0,1950,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,854.62,0.00,105759.17,0.00,0.00,0.00,0.00,0.00,0.00,106613.79,0.00,0.00 1000379263," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2134.05,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2134.05,0.00,0.00 1000055826,"1508924093","048","Rural Health Clinics","SIU CARE A VAN","629011474","047","Jackson"," ","","0","0","School-based",0,201,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1410,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1410,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,52925.51,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,52925.51,0.00,0.00 1000292393," ","090","Waiver service provider--Elderly (DOA)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6853.23,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6853.23,0.00,0.00 1000158255,"1891797064","010","Physicians","OBAID NAZZAL","463426638","815","Indiana"," ","","0","0","Cardiovascular Diseases",0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,64.56,0.00,0.00,0.00,0.00,0.00,0.00,64.56,0.00,0.00 1000342435,"1770773426","016","Nurse Practitioners","FLATLEY DANA","627810001","091","Sangamon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,43,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,47,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1175.60,0.00,0.00,0.00,0.00,0.00,0.00,1175.60,0.00,0.00 1000136517,"1396855417","010","Physicians","BAUGHMAN VERNA","606743452","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,1,0,0,240,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,239,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,239,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,214.90,0.00,0.00,56785.51,0.00,0.00,0.00,0.00,0.00,0.00,57000.41,17.00,0.00 1000428428,"1699848218","060","Pharmacies","KROGER PHARMACY J 946","625219717","063","Macon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,403,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4878,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,117846,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,278149.16,0.00,0.00,0.00,278149.16,0.00,0.00 1000341497," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","036","Franklin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5197.18,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5197.18,0.00,0.00 1000021282,"1437329828","028","Waiver service provider--Supportive living facility (HFS)","HERITAGE WOODS OF MANTENO","609509274","054","Kankakee"," ","","0","0","",0,0,0,0,0,85,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,801,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21806,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1239083.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1239083.98,0.00,0.00 1000271206,"1000271206","024","Speech Therapists","FISCHER ELLEN","605102478","053","Kane"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,402,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,402,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,29376.29,29376.29,0.00,0.00 1000223713," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11466.66,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11466.66,0.00,0.00 1000023566," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,15259.35,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,15259.35,0.00,0.00 1000110497,"1275618985","010","Physicians","MULTACK SCOTT","605256540","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,3,0,0,0,0,0,0,47,0,78,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,246,0,388,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,246,0,388,0,0,0,0,0,0,0.00,0.00,0.00,96.45,0.00,0.00,0.00,0.00,0.00,0.00,6351.99,0.00,29743.87,0.00,0.00,0.00,0.00,0.00,0.00,36192.31,0.00,0.00 1000248999,"1841263506","010","Physicians","LOTZ BAREND","535625531","852","Wisconsin"," ","","0","0","Neurology",0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,436.79,0.00,0.00,0.00,0.00,0.00,0.00,436.79,10.00,0.00 1000068245," ","030","General Hospitals",""," ","833","New York","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","",0,0,0,0,1,0,0,0,0,1,0,0,0,1,0,0,0,0,0,0,0,0,0,1,0,0,0,0,1,0,0,0,3,0,0,0,0,0,0,0,0,0,1,0,0,0,0,15,0,0,0,3,0,0,0,0,0,0.00,0.00,0.00,0.00,67.00,0.00,0.00,0.00,0.00,5456.55,0.00,0.00,0.00,2823.00,0.00,0.00,0.00,0.00,0.00,8346.55,0.00,0.00 1000134029,"1780860882","047","Local Education Agencies","NILES ELEMENTARY DIST 71","607143024","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,792,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,792,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,18679.08,0.00,18679.08,0.00,0.00 1000127198,"1083718936","060","Pharmacies","CVS PHARMACY 7134","601876804","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,744,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6058,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,147940,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,264638.46,0.00,0.00,0.00,264638.46,0.00,0.00 1000433240," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","025","Crawford"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,34219.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,34219.32,0.00,0.00 1000274611," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5903.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5903.80,0.00,0.00 1000260541," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Radiation Oncology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,70.85,0.00,0.00,0.00,0.00,0.00,0.00,70.85,0.00,0.00 1000375103,"1730130683","033","Nursing Facilities","ALEDO REHAB HEALTH CARE CTR","612312707","074","Mercer"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,453,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11217,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,550750.48,0.00,0.00,0.00,0.00,0.00,0.00,0.00,550750.48,0.00,0.00 1000460280," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","094","Shelby"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6519.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6519.72,0.00,0.00 1000176220,"1942203500","010","Physicians","MCDONALD RAYMOND J","606560555","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,109,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1058,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1058,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4187.14,0.00,0.00,0.00,0.00,0.00,0.00,4187.14,0.00,0.00 1000007130,"1609801737","010","Physicians","MUSTOE THOMAS","606118702","200","Cook"," ","","0","0","Surgery Head/Neck",0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1265.16,0.00,0.00,0.00,0.00,0.00,0.00,1265.16,0.00,0.00 1000279587,"1861407983","060","Pharmacies","BOND DRUG COMPANY OF ILLINOIS","617015839","072","McLean"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2492,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11855,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,239655,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,566935.45,0.00,0.00,0.00,566935.45,0.00,0.00 1000287825,"1730111097","010","Physicians","ZEROMSKA CANCELLARO MONIKA","605462320","200","Cook"," ","","0","1","Obstetric-Gynecology",69,0,0,23,0,0,0,0,0,0,383,0,689,0,0,0,0,0,0,471,0,0,25,0,0,0,0,0,0,1056,0,1725,0,0,0,0,0,0,471,0,0,25,0,0,0,0,0,0,1056,0,1725,0,0,0,0,0,0,1386.00,0.00,0.00,930.09,0.00,0.00,0.00,0.00,0.00,0.00,4821.36,0.00,159763.40,0.00,0.00,0.00,0.00,0.00,0.00,166900.85,272.00,0.00 1000225467,"1396859997","010","Physicians","AHLIN KALEE","601533328","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,6,0,0,0,0,0,0,6,0,412,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,6,0,663,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,6,0,663,0,0,0,0,0,0,0.00,0.00,0.00,192.90,0.00,0.00,0.00,0.00,0.00,0.00,212.11,0.00,86965.82,0.00,0.00,0.00,0.00,0.00,0.00,87370.83,8.00,0.00 1000245512,"1639369721","010","Physicians","HENRY AMY","532264837","852","Wisconsin"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,29,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,29,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5185.25,0.00,0.00,0.00,0.00,0.00,0.00,5185.25,0.00,0.00 1000317149," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,123,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,123,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2820.29,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2820.29,0.00,0.00 1000053950,"1073500252","010","Physicians","ODUNSI EVELYN","625261587","063","Macon"," ","","0","0","Obstetric-Gynecology",0,0,0,2,0,0,0,0,0,0,127,0,182,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,236,0,632,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,236,0,632,0,0,0,0,0,0,0.00,0.00,0.00,170.27,0.00,0.00,0.00,0.00,0.00,0.00,9458.98,0.00,56786.68,0.00,0.00,0.00,0.00,0.00,0.00,66415.93,0.00,0.00 1000373084,"1972633303","010","Physicians","MURRAY HOWARD","601029407","071","McHenry"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,1,0,0,154,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,602,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,602,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,326.50,0.00,0.00,11970.91,0.00,0.00,0.00,0.00,0.00,0.00,12297.41,0.00,0.00 1000042082," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3351.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3351.80,0.00,0.00 1000405140,"1497704720","010","Physicians","GROCHOWSKI ARKADIUSZ","601391405","030","DuPage"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,218,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,224,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,224,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,48975.77,0.00,0.00,0.00,0.00,0.00,0.00,48975.77,0.00,0.00 1000220695,"1760659056","024","Speech Therapists","MEADOWS EMILY","614011503","056","Knox"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,53,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,439,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,439,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25416.46,25416.46,0.00,0.00 1000036311," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","058","La Salle"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,222,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,222,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2464.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2464.15,0.00,0.00 1000150486," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14851.88,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14851.88,0.00,0.00 1000362133," ","090","Waiver service provider--Elderly (DOA)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,140,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,140,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4765.89,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4765.89,0.00,0.00 1000064758,"1689761934","063","Other Providers of Medical Equipment/Supplies (Non-registered)","GOODHEALTH MEDICAL PRODUCTS","606521700","200","Cook"," 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1000081928,"1780861880","010","Physicians","CHINOMONA NEPISTANCE","605212962","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,3,0,0,267,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,1269,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,1269,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,287.90,0.00,0.00,22773.98,0.00,0.00,0.00,0.00,0.00,0.00,23061.88,0.00,0.00 1000122977,"1942386750","010","Physicians","NOORANI NAZNEEN","604355463","107","Will"," ","","0","0","Family Practice",264,0,0,6,0,0,0,0,0,0,113,0,342,0,0,0,0,0,0,1690,0,0,12,0,0,0,0,0,0,335,0,1126,0,0,0,0,0,0,1690,0,0,12,0,0,0,0,0,0,335,0,1126,0,0,0,0,0,0,4692.00,0.00,0.00,470.86,0.00,0.00,0.00,0.00,0.00,0.00,3134.46,0.00,23451.12,0.00,0.00,0.00,0.00,0.00,0.00,31748.44,0.00,0.00 1000005662,"1982710216","010","Physicians","SIDDIQUI NOMAN","606127331","200","Cook"," ","","0","0","Pathology",0,0,0,0,0,0,0,0,0,0,3019,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15320,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,15320,0,7,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,66340.99,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,66340.99,57.00,0.00 1000399104,"1093977282","010","Physicians","CONWELL WALTER","605276686","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,80,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,291,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,291,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5962.95,0.00,0.00,0.00,0.00,0.00,0.00,5962.95,2.00,0.00 1000179299,"1306904644","010","Physicians","NARANG SUNITA","600979200","071","McHenry"," ","","0","1","Internal Medicine",41,0,0,1,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,339,0,0,1,0,0,0,0,0,0,0,0,218,0,0,0,0,0,0,339,0,0,1,0,0,0,0,0,0,0,0,218,0,0,0,0,0,0,947.00,0.00,0.00,84.62,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10474.82,0.00,0.00,0.00,0.00,0.00,0.00,11506.44,0.00,0.00 1000167778," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,106,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,106,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10059.91,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10059.91,0.00,0.00 1000021160,"1023056090","046","Ambulatory Surgical Treatment Centers","ADVANCED EYE SURGERY AND LASER","625261633","063","Macon","ASTC ","Ambulatory Surgical Treatment Center.","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,49,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,113,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,113,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9084.85,0.00,0.00,0.00,0.00,0.00,9084.85,0.00,0.00 1000262886,"1013122613","055","Early Intervention Services","MORAN NANCY","600839276","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,159,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,319,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,319,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,33596.45,0.00,0.00,0.00,0.00,0.00,0.00,33596.45,0.00,0.00 1000188435," ","025","Audiologists",""," ","826","Missouri"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8.57,8.57,0.00,0.00 1000219900,"1467421446","022","Physical Therapists","MEYER ANGELA","601783124","027","Dekalb"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,32,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,337,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,337,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7105.68,7105.68,0.00,0.00 1000340498,"1982701470","060","Pharmacies","CVS PHARMACY 7142","60441 ","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,587,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3904,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,85172,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,211817.64,0.00,0.00,0.00,211817.64,0.00,0.00 1000027665," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1012.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1012.77,0.00,0.00 1000027053," ","010","Physicians",""," ","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2.00,0.00 1000251630,"1497757306","010","Physicians","MOK CHUNG","606162311","200","Cook"," ","","0","1","Family Practice",2071,0,0,932,0,0,0,0,0,0,422,0,1813,0,0,0,0,0,0,18819,0,0,3385,0,0,0,0,0,0,1095,0,8417,0,0,0,0,0,0,18819,0,0,3385,0,0,0,0,0,0,1095,0,8417,0,0,0,0,0,0,45415.00,0.00,0.00,80125.19,0.00,0.00,0.00,0.00,0.00,0.00,2427.99,0.00,253658.74,0.00,0.00,0.00,0.00,0.00,0.00,381626.92,0.00,0.00 1000393211," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","017","Carroll"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2171.36,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2171.36,0.00,0.00 1000305485," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","033","Effingham"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1314.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1314.19,0.00,0.00 1000420108,"1245491034","010","Physicians","PITRODA TANYA","605407430","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,2,0,0,130,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,298,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,298,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,243.70,0.00,0.00,6212.69,0.00,0.00,0.00,0.00,0.00,0.00,6456.39,0.00,0.00 1000291455," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,952.64,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,952.64,0.00,0.00 1000441438," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,97,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,97,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5255.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5255.86,0.00,0.00 1000020834," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7275.65,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7275.65,0.00,0.00 1000170939," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","100","Vermilion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3038.28,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3038.28,0.00,0.00 1000444517,"1245341213","010","Physicians","HOVEY SHARON","601533328","200","Cook"," ","","0","1","Pediatrics",242,0,0,200,0,0,0,0,0,0,0,0,227,0,0,0,0,0,0,2538,0,0,310,0,0,0,0,0,0,0,0,473,0,0,0,0,0,0,2538,0,0,310,0,0,0,0,0,0,0,0,473,0,0,0,0,0,0,5088.00,0.00,0.00,18329.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21186.93,0.00,0.00,0.00,0.00,0.00,0.00,44604.00,0.00,0.00 1000169389," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20277.23,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20277.23,0.00,0.00 1000271940," ","016","Nurse Practitioners",""," ","852","Wisconsin"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,610.69,0.00,0.00,0.00,0.00,0.00,0.00,610.69,0.00,0.00 1000241964," 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","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21365.39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21365.39,0.00,0.00 1000250957,"1760485007","010","Physicians","AKINTILO OLANTUNJI","609012670","054","Kankakee"," ","","0","1","Family Practice",2450,0,0,519,0,0,0,0,0,0,436,0,1618,0,0,0,0,0,0,16297,0,0,1563,0,0,0,0,0,0,658,0,3265,0,0,0,0,0,0,16297,0,0,1563,0,0,0,0,0,0,658,0,3265,0,0,0,0,0,0,40334.00,0.00,0.00,61976.20,0.00,0.00,0.00,0.00,0.00,0.00,3645.52,0.00,125619.21,0.00,0.00,0.00,0.00,0.00,0.00,231574.93,0.00,0.00 1000104665," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12170.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12170.67,0.00,0.00 1000106684,"1801802277","060","Pharmacies","WALGREEN CO STORE 13106","606177314","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1869,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,11290,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,242940,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,470481.21,0.00,0.00,0.00,470481.21,0.00,0.00 1000204280,"1033310024","010","Physicians","PAGDALA ARUNA","605648568","107","Will"," ","","0","1","Family Practice",148,0,0,85,0,0,0,0,0,0,24,0,172,0,0,0,0,0,0,990,0,0,190,0,0,0,0,0,0,30,0,384,0,0,0,0,0,0,990,0,0,190,0,0,0,0,0,0,30,0,384,0,0,0,0,0,0,2124.00,0.00,0.00,10612.40,0.00,0.00,0.00,0.00,0.00,0.00,111.14,0.00,17629.88,0.00,0.00,0.00,0.00,0.00,0.00,30477.42,10.00,0.00 1000089575," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","043","Hardin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7303.69,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7303.69,0.00,0.00 1000429957,"1649464488","010","Physicians","SPEYER MARK","601533328","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,146,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,408,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,408,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8776.17,0.00,0.00,0.00,0.00,0.00,0.00,8776.17,18.00,0.00 1000379997,"1417277807","010","Physicians","TARBOX MICHELLE","631102515","826","Missouri"," ","","0","0","Dermatology",0,0,0,0,0,0,0,0,0,0,14,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,29,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,0,29,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,372.15,0.00,768.85,0.00,0.00,0.00,0.00,0.00,0.00,1141.00,2.00,0.00 1000004663," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","061","Livingston"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1094.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1094.15,0.00,0.00 1000137598,"1871573592","063","Other Providers of Medical Equipment/Supplies (Non-registered)","HOME CARE MEDICAL EQUIPMENT","623013257","010","Adams"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,159,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1642,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1642,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,97276.78,0.00,0.00,0.00,0.00,0.00,0.00,97276.78,1.00,0.00 1000225875," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,217.02,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,217.02,0.00,0.00 1000339621,"1083697122","010","Physicians","SALEH MAHMOUD","624012006","033","Effingham"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,506,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,509,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,509,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17932.93,0.00,0.00,0.00,0.00,0.00,0.00,17932.93,29.00,0.00 1000429835," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11460.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11460.41,0.00,0.00 1000433730,"1568579407","010","Physicians","SOMMERVILLE DREW","477101721","815","Indiana"," ","","0","0","Ophthalmology",0,0,0,0,0,0,0,0,0,0,2,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,126,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,126,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,261.40,0.00,2334.39,0.00,0.00,0.00,0.00,0.00,0.00,2595.79,0.00,0.00 1000443375,"1043393598","060","Pharmacies","BEEKMAN PHARMACY","626849640","091","Sangamon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,84,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2328,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4899.70,0.00,0.00,0.00,4899.70,0.00,0.00 1000012514," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,120,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,120,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11819.52,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11819.52,0.00,0.00 1000357199,"1558300319","010","Physicians","MEHTA SANDEEP","604353440","107","Will"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,1,0,0,223,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,827,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,827,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,154.95,0.00,0.00,15331.01,0.00,0.00,0.00,0.00,0.00,0.00,15485.96,0.00,0.00 1000160417,"1952508715","010","Physicians","WILSON RICHARD","420033813","818","Kentucky"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,89,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,89,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3032.74,0.00,0.00,0.00,0.00,0.00,0.00,3032.74,0.00,0.00 1000050198,"1225144462","010","Physicians","SOLTES STEVEN","604532659","200","Cook"," ","","0","0","Otorhinolaryngology",0,0,0,0,0,0,0,0,0,0,0,0,134,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,225,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,225,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4895.84,0.00,0.00,0.00,0.00,0.00,0.00,4895.84,0.00,0.00 1000274754," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,12,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,419.90,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,419.90,0.00,0.00 1000322777," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,9127.95,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,9127.95,0.00,0.00 1000234725," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","047","Jackson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6624.80,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6624.80,0.00,0.00 1000283625,"1245235290","010","Physicians","MUNOZ GILBERTO","606576163","200","Cook"," ","","0","1","Family Practice",60,0,0,13,0,0,0,0,0,0,14,0,78,0,0,0,0,0,0,619,0,0,14,0,0,0,0,0,0,59,0,470,0,0,0,0,0,0,619,0,0,14,0,0,0,0,0,0,59,0,470,0,0,0,0,0,0,1611.00,0.00,0.00,1093.38,0.00,0.00,0.00,0.00,0.00,0.00,167.24,0.00,20498.85,0.00,0.00,0.00,0.00,0.00,0.00,23370.47,0.00,0.00 1000419904," ","016","Nurse Practitioners",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3697.80,0.00,0.00,0.00,0.00,0.00,0.00,3697.80,0.00,0.00 1000044692,"1215025002","060","Pharmacies","SHAW PHARMACY","622571343","096","St Clair"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,741,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8376,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,186982,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,350026.25,0.00,0.00,0.00,350026.25,0.00,0.00 1000085741,"1396731337","010","Physicians","OH JANE","600052376","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,2,0,0,0,0,0,0,7,0,35,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,10,0,70,0,0,0,0,0,0,0,0,0,2,0,0,0,0,0,0,10,0,70,0,0,0,0,0,0,0.00,0.00,0.00,170.27,0.00,0.00,0.00,0.00,0.00,0.00,592.20,0.00,5750.43,0.00,0.00,0.00,0.00,0.00,0.00,6512.90,0.00,0.00 1000385095,"1326148016","010","Physicians","SHULL GARY","627032403","091","Sangamon"," ","","0","1","Internal Medicine",22,0,0,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,162,0,0,0,0,0,0,0,0,0,0,0,223,0,0,0,0,0,0,162,0,0,0,0,0,0,0,0,0,0,0,223,0,0,0,0,0,0,526.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3957.24,0.00,0.00,0.00,0.00,0.00,0.00,4483.24,0.00,0.00 1000219961," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","815","Indiana"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7184.02,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7184.02,0.00,0.00 1000064228,"1912944133","010","Physicians","COHEN IAN","606114546","200","Cook"," ","","0","0","Cardiology",0,0,0,0,0,0,0,0,0,0,18,0,1486,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,69,0,3403,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,69,0,3403,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,283.31,0.00,43948.94,0.00,0.00,0.00,0.00,0.00,0.00,44232.25,18.00,0.00 1000192921,"1750437281","025","Audiologists","LILLEY GREGORY","606233501","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,73,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,216,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,216,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,54593.72,54593.72,0.00,0.00 1000122712," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25452.27,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25452.27,0.00,0.00 1000032681," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","033","Effingham"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1552.44,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1552.44,0.00,0.00 1000202852," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,687.23,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,687.23,0.00,0.00 1000204198," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","036","Franklin"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10024.25,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10024.25,0.00,0.00 1000424329," ","010","Physicians",""," ","826","Missouri"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,67.13,0.00,0.00,0.00,0.00,0.00,0.00,67.13,0.00,0.00 1000013105," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","054","Kankakee"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3194.98,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3194.98,0.00,0.00 1000355588,"1154599751","016","Nurse Practitioners","FIORE KAITLIN","606035606","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,67,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,82,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,82,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1988.50,0.00,0.00,0.00,0.00,0.00,0.00,1988.50,0.00,0.00 1000210438,"1649463175","010","Physicians","MAY PERCY CONRAD","606242342","200","Cook"," ","","0","1","Internal Medicine",624,0,0,114,0,0,0,0,0,0,179,0,678,0,0,0,0,0,0,5193,0,0,156,0,0,0,0,0,0,301,0,3517,0,0,0,0,0,0,5193,0,0,156,0,0,0,0,0,0,301,0,3517,0,0,0,0,0,0,15606.00,0.00,0.00,11636.47,0.00,0.00,0.00,0.00,0.00,0.00,812.34,0.00,105731.06,0.00,0.00,0.00,0.00,0.00,0.00,133785.87,280.00,0.00 1000377631,"1144285750","010","Physicians","SCHURR MICHAEL","535625531","852","Wisconsin"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3195.83,0.00,0.00,0.00,0.00,0.00,0.00,3195.83,3.00,0.00 1000367252,"1114934460","024","Speech Therapists","BERCK LINDA","625264163","063","Macon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,84,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,461,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,461,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,43036.96,43036.96,0.00,0.00 1000197754," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25460.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25460.07,0.00,0.00 1000098282,"1679524524","010","Physicians","KIM TERESA","606465713","200","Cook"," ","","0","1","Pediatrics",56,0,0,57,0,0,0,0,0,0,65,0,90,0,0,0,0,0,0,639,0,0,163,0,0,0,0,0,0,150,0,207,0,0,0,0,0,0,639,0,0,163,0,0,0,0,0,0,150,0,207,0,0,0,0,0,0,1278.00,0.00,0.00,4835.96,0.00,0.00,0.00,0.00,0.00,0.00,1400.24,0.00,9374.75,0.00,0.00,0.00,0.00,0.00,0.00,16888.95,0.00,0.00 1000053216," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","068","Mason"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,3745.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3745.86,0.00,0.00 1000094734,"1124344981","055","Early Intervention Services","ALLEN COURTNEY","606134235","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,13,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,73,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,73,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3924.95,0.00,0.00,0.00,0.00,0.00,0.00,3924.95,0.00,0.00 1000145041,"1447472964","024","Speech Therapists","PICK JULIE","611032235","109","Winnebago"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2324.80,2324.80,0.00,0.00 1000128462,"1841301553","016","Nurse Practitioners","KORTES KIMBERLY","604404906","107","Will"," ","","0","0","",0,0,0,0,0,0,0,0,0,1,0,0,94,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,96,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,96,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,168.85,0.00,0.00,12180.57,0.00,0.00,0.00,0.00,0.00,0.00,12349.42,1.00,0.00 1000450818," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,33,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,33,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1444.15,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1444.15,0.00,0.00 1000418415," ","024","Speech Therapists",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2684.72,2684.72,0.00,0.00 1000227995," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17018.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17018.45,0.00,0.00 1000432914,"1801995634","010","Physicians","SHAPIRO DOV","600624579","200","Cook"," ","","0","1","Pediatrics",137,0,0,63,0,0,0,0,0,0,50,0,90,0,0,0,0,0,0,1137,0,0,227,0,0,0,0,0,0,106,0,252,0,0,0,0,0,0,1137,0,0,227,0,0,0,0,0,0,106,0,252,0,0,0,0,0,0,2294.00,0.00,0.00,10107.41,0.00,0.00,0.00,0.00,0.00,0.00,779.59,0.00,11143.69,0.00,0.00,0.00,0.00,0.00,0.00,24324.69,0.00,0.00 1000119225," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,22099.17,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,22099.17,0.00,0.00 1000431303," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,20650.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,20650.14,0.00,0.00 1000008068,"1437281920","012","Optometrists","VARGHESE SHINU","605614496","030","DuPage"," ","","0","0","Therapeutic Pharmaceutical Agents",0,0,0,0,0,0,0,0,0,0,0,0,893,0,780,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1814,0,832,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1814,0,832,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,53908.76,0.00,24699.36,0.00,0.00,0.00,0.00,78608.12,0.00,0.00 1000041001," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","079","Ogle"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,28288.10,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,28288.10,0.00,0.00 1000395821," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7120.91,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7120.91,0.00,0.00 1000100158,"1518937838","010","Physicians","RICHA ELIE","605276686","030","DuPage"," ","","0","0","Pathology",0,0,0,0,0,0,0,0,0,0,155,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,161,0,108,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,161,0,108,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4615.00,0.00,18086.99,0.00,0.00,0.00,0.00,0.00,0.00,22701.99,4.00,0.00 1000025728," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","106","Whiteside"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,19156.49,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,19156.49,0.00,0.00 1000384544,"1235240862","011","Dentists","PSCHIRRER JOHN T","619203606","024","Coles"," ","","0","0","General Dentistry",0,0,11,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,1038.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1038.67,0.00,0.00 1000300917,"1225024722","010","Physicians","SUH JASON","604356433","107","Will"," ","","0","0","Oncology",0,0,0,0,0,0,0,0,0,0,36,0,109,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,697,0,1317,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,697,0,1317,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6528.85,0.00,497104.84,0.00,0.00,0.00,0.00,0.00,0.00,503633.69,0.00,0.00 1000346044," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,8,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5039.76,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5039.76,0.00,0.00 1000024178,"1831280536","046","Ambulatory Surgical Treatment Centers","EFFINGHAM SURGICAL PARTNERS","624012178","033","Effingham","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,20,302,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,404,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,20,404,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14489.85,93291.48,0.00,0.00,0.00,0.00,0.00,107781.33,0.00,0.00 1000273612,"1740254846","010","Physicians","LESLIE CYNTHIA LYNN","618012530","019","Champaign"," ","","0","0","Traumatic Surgery",0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,36,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1061.93,0.00,0.00,0.00,0.00,0.00,0.00,1061.93,0.00,0.00 1000335787,"1700890969","010","Physicians","SIMON CHARLA","607122709","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,2,0,0,0,0,0,0,4,0,100,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,6,0,188,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,6,0,188,0,0,0,0,0,0,0.00,0.00,0.00,188.89,0.00,0.00,0.00,0.00,0.00,0.00,223.44,0.00,21484.58,0.00,0.00,0.00,0.00,0.00,0.00,21896.91,1.00,0.00 1000390988,"1447276274","010","Physicians","PUYO CARLOS","631101010","826","Missouri"," ","","0","0","Family Practice",0,0,0,0,0,0,0,0,0,0,0,0,29,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,8523.72,0.00,0.00,0.00,0.00,0.00,0.00,8523.72,0.00,0.00 1000075341," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14487.58,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14487.58,0.00,0.00 1000031030,"1336324417","010","Physicians","PRAZAD PREETHA","600101919","057","Lake"," ","","0","0","Neonatal-Perinatal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,196,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,340,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,340,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,31938.05,0.00,0.00,0.00,0.00,0.00,0.00,31938.05,0.00,0.00 1000077951," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","097","Stephenson"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,26386.72,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26386.72,0.00,0.00 1000042959," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,483.73,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,483.73,0.00,0.00 1000331036,"1619089760","023","Occupational Therapists","MCNICHOLAS BARBARA","604627417","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,188,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,188,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14925.78,14925.78,0.00,0.00 1000024321," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,184,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,184,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12480.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12480.45,0.00,0.00 1000251752," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,312,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,312,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,10243.71,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10243.71,0.00,0.00 1000400919," ","014","Chiropractors",""," ","093","Scott"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,51,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,81.24,0.00,0.00,0.00,0.00,0.00,0.00,81.24,0.00,0.00 1000278710,"1639231020","011","Dentists","NORTHCUTT ROY","620331756","064","Macoupin"," ","","0","0","General Dentistry",0,0,29,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,128,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,128,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,3863.43,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,3863.43,0.00,0.00 1000282931,"1427208388","063","Other Providers of Medical Equipment/Supplies (Non-registered)","BELHAVEN NURSING REHAB CTR","606434196","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,40,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,107,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,107,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21758.10,0.00,0.00,0.00,0.00,0.00,0.00,21758.10,0.00,0.00 1000092307," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,111,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,111,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11728.47,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11728.47,0.00,0.00 1000350816," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12170.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12170.67,0.00,0.00 1000461952,"1023059177","010","Physicians","BRAUWEILER MARTIN","605481395","027","Dekalb"," ","","0","1","Family Practice",219,0,0,58,0,0,0,0,0,0,6,0,143,0,0,0,0,0,0,1899,0,0,88,0,0,0,0,0,0,6,0,360,0,0,0,0,0,0,1899,0,0,88,0,0,0,0,0,0,6,0,360,0,0,0,0,0,0,4360.00,0.00,0.00,6568.11,0.00,0.00,0.00,0.00,0.00,0.00,94.20,0.00,15565.33,0.00,0.00,0.00,0.00,0.00,0.00,26587.64,0.00,0.00 1000214659,"1912959578","010","Physicians","HOLLANDER LAWRENCE","628121969","036","Franklin"," ","","0","0","Surgery General",0,0,0,0,0,0,0,0,0,0,0,0,94,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,197,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,197,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14443.39,0.00,0.00,0.00,0.00,0.00,0.00,14443.39,0.00,0.00 1000094265," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","026","Cumberland"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,156.74,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,156.74,0.00,0.00 1000350755,"1821003948","070","Ambulance Service Providers","VILLAGE OF BEDFORD PARK","605011936","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,74,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,167,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,167,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10203.27,0.00,0.00,0.00,0.00,0.00,0.00,10203.27,24.00,0.00 1000464644,"1255365458","010","Physicians","SHRADER SYDNEY","604113400","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,15,0,725,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,704,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,704,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,161.52,0.00,27798.82,0.00,0.00,0.00,0.00,0.00,0.00,27960.34,81.00,0.00 1000458465," ","010","Physicians",""," ","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00 1000015246," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12170.67,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12170.67,0.00,0.00 1000064432," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","058","La Salle"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,331.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,331.85,0.00,0.00 1000042694,"1720075849","010","Physicians","SARAN JOHN","605406508","030","DuPage"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,1,0,26,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,331,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,331,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4.00,0.00,569.41,0.00,0.00,0.00,0.00,0.00,0.00,573.41,0.00,0.00 1000027339," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","019","Champaign"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2680.87,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2680.87,0.00,0.00 1000368394,"1760419311","010","Physicians","HEYDEMANN PETER","606123828","200","Cook"," ","","0","0","Child Neurology",0,0,0,0,0,0,0,0,0,0,0,0,352,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,637,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,637,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,37693.24,0.00,0.00,0.00,0.00,0.00,0.00,37693.24,7.00,0.00 1000319759," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7550.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7550.45,0.00,0.00 1000018081,"1275528341","010","Physicians","WUNDERLICH ANDREW","604358144","107","Will"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,2,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,36,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,36,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,250.62,0.00,0.00,0.00,0.00,0.00,0.00,250.62,0.00,0.00 1000270472," ","063","Other Providers of Medical Equipment/Supplies (Non-registered)",""," ","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,19,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4389.00,0.00,0.00,0.00,0.00,0.00,0.00,4389.00,0.00,0.00 1000354711," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7802.91,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7802.91,0.00,0.00 1000408097,"1710941992","010","Physicians","DENES PABLO","606114407","200","Cook"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,1,0,460,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,566,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,566,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7.64,0.00,5008.17,0.00,0.00,0.00,0.00,0.00,0.00,5015.81,1.00,0.00 1000093531," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","025","Crawford"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5495.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5495.00,0.00,0.00 1000421576,"1770660227","016","Nurse Practitioners","CHRISTIE CAROL","604523330","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,1046,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2300,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2300,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,195773.06,0.00,0.00,0.00,0.00,0.00,0.00,195773.06,4.00,0.00 1000389989,"1508921255","022","Physical Therapists","QAZI ASLAM","601484008","030","DuPage"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,350,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,350,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,10516.44,10516.44,0.00,0.00 1000240883," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","053","Kane"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,25872.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,25872.19,0.00,0.00 1000093939," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","109","Winnebago"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,542.56,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,542.56,0.00,0.00 1000153300,"1053305540","010","Physicians","DAVIS DAVID","624420399","021","Clark"," ","","0","0","Family Practice",0,0,0,1,0,0,0,0,0,0,132,0,150,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,159,0,306,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,159,0,306,0,0,0,0,0,0,0.00,0.00,0.00,6.40,0.00,0.00,0.00,0.00,0.00,0.00,2073.99,0.00,10835.87,0.00,0.00,0.00,0.00,0.00,0.00,12916.26,0.00,0.00 1000383749," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","083","Pike"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2470.17,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2470.17,0.00,0.00 1000002991," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,629.96,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,629.96,0.00,0.00 1000128891,"1508882846","010","Physicians","FLORES RAMON","606255009","200","Cook"," ","","0","0","Obstetric-Gynecology",0,0,0,0,0,0,0,0,0,0,13,0,205,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,1529,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,2,0,1529,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,143.80,0.00,98255.88,0.00,0.00,0.00,0.00,0.00,0.00,98399.68,55.00,0.00 1000187497," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","065","Madison"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4193.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4193.85,0.00,0.00 1000229076," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","015","Bureau"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,28,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2038.71,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2038.71,0.00,0.00 1000431507," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,28823.77,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,28823.77,0.00,0.00 1000407159," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","051","Jo Daviess"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,11179.12,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,11179.12,0.00,0.00 1000318352," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","071","McHenry"," ","","0","0","",0,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,7,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,547.29,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,547.29,0.00,0.00 1000208970," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","030","DuPage"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,42,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4356.45,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4356.45,0.00,0.00 1000409912,"1053322503","010","Physicians","NZERIBE REX","600987530","071","McHenry"," ","","0","0","Geriatrics",0,0,0,0,0,0,0,0,0,0,0,0,31,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,122,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,122,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,387.72,0.00,0.00,0.00,0.00,0.00,0.00,387.72,0.00,0.00 1000087230,"1447481841","016","Nurse Practitioners","ALBRECHT AMY","606232460","200","Cook"," ","","0","0","",0,0,0,5,0,0,0,0,0,0,0,0,20,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,924.45,0.00,0.00,0.00,0.00,0.00,0.00,924.45,101.00,0.00 1000166718," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,6,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4195.74,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4195.74,0.00,0.00 1000050402,"1750500922","010","Physicians","STANFILL AMY","618012500","019","Champaign"," ","","0","0","Pediatric Surgery",0,0,0,1,0,0,0,0,0,0,0,0,512,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,955,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,955,0,0,0,0,0,0,0.00,0.00,0.00,249.70,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,127554.11,0.00,0.00,0.00,0.00,0.00,0.00,127803.81,2.00,0.00 1000395291,"1194732412","010","Physicians","LIPPS HENRY","618203909","019","Champaign"," ","","0","0","Otorhinolaryngology",0,0,0,110,0,0,0,0,0,0,13,0,284,0,0,0,0,0,0,0,0,0,172,0,0,0,0,0,0,27,0,1016,0,0,0,0,0,0,0,0,0,172,0,0,0,0,0,0,27,0,1016,0,0,0,0,0,0,0.00,0.00,0.00,2614.40,0.00,0.00,0.00,0.00,0.00,0.00,139.28,0.00,50487.05,0.00,0.00,0.00,0.00,0.00,0.00,53240.73,0.00,0.00 1000102055,"1881629152","013","Podiatrists","REED BRENNAN","623014909","010","Adams"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,60,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,193,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,193,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,803.91,0.00,0.00,0.00,0.00,0.00,0.00,803.91,5.00,0.00 1000014737,"1437294246","036","Community mental health provider","YOUTH GUIDANCE","606036153","200","Cook"," ","","0","0","",62,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,143,0,0,210,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1728,0,0,210,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1728,0,0,11049.17,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,113605.86,0.00,0.00,124655.03,0.00,0.00 1000427877," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4485.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4485.14,0.00,0.00 1000061801,"1457340002","011","Dentists","KAMAL SHWETA","606093758","200","Cook"," ","","0","0","General Dentistry",0,0,1533,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,7933,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,7933,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0.00,0.00,235186.49,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,376.35,0.00,0.00,0.00,0.00,235562.84,0.00,0.00 1000090574,"1619990801","070","Ambulance Service Providers","FINDLAY FIRE PROT DIST AMB SER","625349670","094","Shelby"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,9,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,34,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2209.66,0.00,0.00,0.00,0.00,0.00,0.00,2209.66,0.00,0.00 1000242637,"1124009576","010","Physicians","VALLURI LALITHA","601082674","030","DuPage"," ","","0","0","Pediatrics",249,0,0,691,0,0,0,0,0,0,16,0,737,0,0,0,0,0,0,1535,0,0,2127,0,0,0,0,0,0,18,0,1030,0,0,0,0,0,0,1535,0,0,2127,0,0,0,0,0,0,18,0,1030,0,0,0,0,0,0,3077.00,0.00,0.00,68402.06,0.00,0.00,0.00,0.00,0.00,0.00,72.00,0.00,43800.54,0.00,0.00,0.00,0.00,0.00,0.00,115351.60,0.00,0.00 1000466663,"1255333118","010","Physicians","SINGH JAI","629037605","047","Jackson"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,504,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,532,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,532,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,84269.44,0.00,0.00,0.00,0.00,0.00,0.00,84269.44,9.00,0.00 1000130624,"1174546048","010","Physicians","ABTAHI MOHAMMAD","600168821","200","Cook"," ","","0","1","Pediatrics",3272,0,0,2302,0,0,0,0,0,0,1979,0,2726,0,0,0,0,0,0,34396,0,0,12601,0,0,0,0,0,0,6493,0,11056,0,0,0,0,0,0,34396,0,0,12601,0,0,0,0,0,0,6493,0,11056,0,0,0,0,0,0,68812.00,0.00,0.00,315338.82,0.00,0.00,0.00,0.00,0.00,0.00,16525.35,0.00,421364.86,0.00,0.00,0.00,0.00,0.00,0.00,822041.03,0.00,0.00 1000169042,"1578623344","030","General Hospitals","HOWARD YOUNG MEDICAL CTR INC","545680470","852","Wisconsin","NON-COST ","Non-cost reporting hospitals, paid a Per Diem rate.","0","0","General Hospital - Adult and Child",0,0,0,0,13,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,2,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,1394.00,0.00,0.00,0.00,0.00,672.24,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2066.24,0.00,0.00 1000417273," ","093","Waiver service provider--HIV/AIDS (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,482.27,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,482.27,0.00,0.00 1000130155,"1720172729","010","Physicians","FINE MARC","607143159","200","Cook"," ","","0","0","Admitting Privileges",0,0,0,0,0,0,0,0,0,1,0,0,107,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,270,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,270,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,249.70,0.00,0.00,18311.71,0.00,0.00,0.00,0.00,0.00,0.00,18561.41,0.00,0.00 1000434321," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","035","Ford"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,5347.19,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,5347.19,0.00,0.00 1000461626," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,18,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17847.05,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17847.05,0.00,0.00 1000050259,"1104953827","011","Dentists","KHAN ALSIKAFI FAUZIA","600856165","057","Lake"," ","","0","0","General Dentistry",0,0,95,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,286,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,286,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,7904.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7904.14,0.00,0.00 1000390662," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","063","Macon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,59,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,2191.14,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,2191.14,0.00,0.00 1000402244," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","107","Will"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,214,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,214,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,17447.32,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,17447.32,0.00,0.00 1000422779," ","094","Waiver service provider--Children's support (DHS/DDD)",""," ","013","Boone"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1586.02,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1586.02,0.00,0.00 1000353630,"1578785432","036","Community mental health provider","JANET WATTLES CENTER","611074322","109","Winnebago"," ","","0","0","",10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,22,0,0,178,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4158,0,0,178,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4158,0,0,4446.41,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,260277.28,0.00,0.00,264723.69,0.00,0.00 1000417620," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,6342.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,6342.86,0.00,0.00 1000061597,"1902911027","010","Physicians","SULLIVAN WILLIAM","604062428","200","Cook"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,0,0,752,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,915,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,915,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,31588.28,0.00,0.00,0.00,0.00,0.00,0.00,31588.28,2.00,0.00 1000187640,"1548207038","010","Physicians","HIDALGO GUILLERMO","606082405","200","Cook"," ","","0","0","Pediatrics",0,0,0,0,0,0,0,0,0,0,0,0,325,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1003,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1003,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,40509.78,0.00,0.00,0.00,0.00,0.00,0.00,40509.78,11.00,0.00 1000402999," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,14078.82,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,14078.82,0.00,0.00 1000198080,"1326120668","010","Physicians","HOLLOWAY RICHARD","627949420","091","Sangamon"," ","","0","0","Cardiology",0,0,0,0,0,0,0,0,0,0,2,0,637,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,1415,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,1415,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,48.38,0.00,44837.25,0.00,0.00,0.00,0.00,0.00,0.00,44885.63,0.00,0.00 1000280260," ","091","Waiver service provider--Adults (DHS/DDD)",""," ","070","McDonough"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,254,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,254,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12671.86,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12671.86,0.00,0.00 1000311439," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,13663.11,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,13663.11,0.00,0.00 1000230748,"1699792135","010","Physicians","ERICKSON TIMOTHY","610085907","013","Boone"," ","","0","0","Emergency Medicine",0,0,0,0,0,0,0,0,0,0,4,0,729,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,801,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9,0,801,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,219.03,0.00,29176.47,0.00,0.00,0.00,0.00,0.00,0.00,29395.50,68.00,0.00 1000407016," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","096","St Clair"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,10,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,4611.71,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4611.71,0.00,0.00 1000315130," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","072","McLean"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,313.47,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,313.47,0.00,0.00 1000224386,"1942236740","010","Physicians","LEVI BAROUKH","600046064","200","Cook"," ","","0","0","Anesthesiology",0,0,0,0,0,0,0,0,0,0,0,0,307,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,510,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,510,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,56576.81,0.00,0.00,0.00,0.00,0.00,0.00,56576.81,34.00,0.00 1000077890,"1588695647","060","Pharmacies","KMART PHARMACY 7416","604302006","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,368,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3283,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,81372,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,154799.90,0.00,0.00,0.00,154799.90,0.00,0.00 1000442498,"1902855240","036","Community mental health provider","INDIAN OAKS ACADEMY","609509303","054","Kankakee"," ","","0","0","",129,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,135,0,0,1536,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21609,0,0,1536,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,21609,0,0,61289.43,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,981093.94,0.00,0.00,1042383.37,0.00,0.00 1000343495," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,23,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,21268.16,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,21268.16,0.00,0.00 1000321023,"1114916517","010","Physicians","TELLEZ CLAUDIA","606113143","200","Cook"," ","","0","0","Hematology",0,0,0,0,0,0,0,0,0,0,5,0,62,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,378,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,16,0,378,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,455.40,0.00,11017.23,0.00,0.00,0.00,0.00,0.00,0.00,11472.63,0.00,0.00 1000011637,"1699810390","010","Physicians","CONTRERAS GAIL","611076303","109","Winnebago"," ","","0","0","Internal Medicine",0,0,0,0,0,0,0,0,0,0,0,0,15,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,52,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,52,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,799.65,0.00,0.00,0.00,0.00,0.00,0.00,799.65,0.00,0.00 1000333116,"1598916314","010","Physicians","MCGATH JAMES","610323310","097","Stephenson"," ","","0","0","Family Practice",0,0,0,3,0,0,0,0,0,0,2,0,110,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,2,0,160,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,2,0,160,0,0,0,0,0,0,0.00,0.00,0.00,286.18,0.00,0.00,0.00,0.00,0.00,0.00,4.36,0.00,6074.13,0.00,0.00,0.00,0.00,0.00,0.00,6364.67,0.00,0.00 1000277507," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","066","Marion"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,12439.85,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,12439.85,0.00,0.00 1000189026," ","010","Physicians",""," ","852","Wisconsin"," ","","0","0","Pathology",0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4.50,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,4.50,0.00,0.00 1000141003,"1386978294","028","Waiver service provider--Supportive living facility (HFS)","BROOKSTONE ESTATES HARRISBURG","629465298","090","Saline"," ","","0","0","",0,0,0,0,0,39,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,334,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9087,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,401338.59,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,401338.59,0.00,0.00 1000449411,"1356307219","016","Nurse Practitioners","JASIENIECKI DENNIS","600442203","057","Lake"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,14,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,246.99,0.00,0.00,0.00,0.00,0.00,0.00,246.99,0.00,0.00 1000453958,"1235301904","029","ICF/MR","STERN SQUARE","610813132","106","Whiteside"," ","","0","0","",0,0,0,0,0,0,0,0,17,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,404,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,9056,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,798431.03,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,798431.03,0.00,0.00 1000394618," ","098","Waiver service provider--TBI (DHS/DRS)",""," ","091","Sangamon"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,1712.07,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,1712.07,0.00,0.00 1000438868," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","017","Carroll"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,204.97,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,204.97,0.00,0.00 1000180319,"1033345814","071","Medicar Provider","FIRST CHOICE TRANSPORTATION","606435512","200","Cook"," ","","0","0","",0,0,0,0,0,0,0,0,0,0,0,0,46,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3787,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,3787,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,26622.38,0.00,0.00,0.00,0.00,0.00,0.00,26622.38,0.00,0.00 1000186212," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","200","Cook"," ","","0","0","",0,0,0,0,0,1,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,24,0,0,0,0,0,0,0,0,0,0,0,0,0,0.00,0.00,0.00,0.00,0.00,7218.22,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,0.00,7218.22,0.00,0.00 1000298164," ","092","Waiver service provider--Disability (DHS/DRS)",""," ","098","Tazewell"," ","","0","0","",0,0,0,0,0,2,