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Provider Sanctions Recent Additions










This page contains recent Provider Sanctions additions.










  
  
  
  
  
  
  
  
  
  
Count= 5
KULIK ANDREW036110750Physician (010)3/19/2019Terminated912 S WOOD ST M/C 913CHICAGOIL606127327
MAYOTTE JOSEPH038003901Chiropractor (014)7/12/2021Terminated956 W BROADWAYBRADLEYIL609152098
MITCHELL DEMARIOSOCIAL SERVICES - AI (A870)7/12/2021Terminated3564 S RHODES AVECHICAGOIL60653 - 1201
TATHAM DANASOCIAL SERVICES - AI (A870)7/12/2021Terminated41 LAKEVIEW DRBELLEVILLEIL62223 - 3114
THOMAS KAMERONIn-Home Care-Rehab (092)7/12/2021Terminated112 S MICHIGAN AVEVILLA PARKIL601813341
Provider NameLicense NumberNPIAffiliationAction DateAction TypeAddressCityStateZip Code
THOMAS KAMERONIn-Home Care-Rehab (092)7/12/2021Terminated112 S MICHIGAN AVEVILLA PARKIL601813341
KULIK ANDREW0361107501245360411Physician (010)3/19/2019Terminated912 S WOOD ST M/C 913CHICAGOIL606127327
MAYOTTE JOSEPH038003901Chiropractor (014)7/12/2021Terminated956 W BROADWAYBRADLEYIL609152098
MITCHELL DEMARIOSOCIAL SERVICES - AI (A870)7/12/2021Terminated3564 S RHODES AVECHICAGOIL60653 - 1201
TATHAM DANASOCIAL SERVICES - AI (A870)7/12/2021Terminated41 LAKEVIEW DRBELLEVILLEIL62223 - 3114

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Illinois Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director