This the default Front Matter.

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the most current directory please consult our electronic directory online or call Customer

Service at 1-800-851-3379.

{0} arranges for the provision of Covered Services through a network of affiliated providers

comprised of qualified, credentialed healthcare professionals who are accessible to Enrollees

throughout the geographic service area and appropriate to the health, disability and cultural

needs of the population served.

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List of Network Providers

Midlevel providers (including nurse practitioners and physician assistants) cannot be selected as Primary Care Physicians. However, you may use the services of a midlevel provider by selecting his or her supervising physician as your designated Primary CarePhysician. Midlevel providers are indicated by italics.

BELLEVUE, NE DIALYSIS CENTERS DIALYSIS CLINIC INC BELLEVUE

Specialty: Dialysis Centers Provider #: 243215 NPI #: 1861425340 4112 Twin Creek Dr Bellevue, NE 68123-4083 Sarpy County (402) 934-9560 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

NCQA Patient-Centered Medical Home Recognition: None

Accepting New Patients: Yes Wheelchair Accessible: Yes

BENTON, IL DIALYSIS CENTERS BENTON DIALYSIS Specialty: Dialysis Centers Provider #: 128516 NPI #: 1609885185 1151 Route 14 W Benton, IL 62812-1500 Franklin County (618) 435-4850 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

BOURBONNAIS, IL DIALYSIS CENTERS KANKAKEE COUNTY DIALYSIS

Specialty: Dialysis Centers Provider #: 128567 NPI #: 1073675138

581 William R Latham Sr Dr Ste 104 Bourbonnais, IL 60914-2439

Kankakee County (815) 936-3088

Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

BRAZIL, IN DIALYSIS CENTERS BRAZIL DIALYSIS Specialty: Dialysis Centers Provider #: 440193 NPI #: 1083163406 115 S Murphy Ave Brazil, IN 47834-8396 Clay County (812) 442-8481 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

BROWNSBURG, IN DIALYSIS CENTERS BROWNSBURG DIALYSIS Specialty: Dialysis Centers Provider #: 440426 NPI #: 1497090948 124 E Northfield Dr Suite N Brownsburg, IN 46112-2601 Hendricks County (317) 858-3561 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

CENTRALIA, IL DIALYSIS CENTERS CENTRALIA DIALYSIS Specialty: Dialysis Centers Provider #: 128517 NPI #: 1467461947 1231 State Route 161 Centralia, IL 62801-6739 Marion County (618) 533-2535 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

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CHARLESTON, IL DIALYSIS CENTERS MATTOON DIALYSIS Specialty: Dialysis Centers Provider #: 128610 NPI #: 1194794487 6051 Development Dr Charleston, IL 61920-9467 Coles County (217) 345-2550 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

CORYDON, IN DIALYSIS CENTERS CORYDON DIALYSIS CENTER

Specialty: Dialysis Centers Provider #: 440114 NPI #: 1265673792 1937 Old Highway 135 Nw Corydon, IN 47112-2183 Harrison County (812) 738-5200 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CLIA

DAVENPORT, FL DIALYSIS CENTERS DAVENPORT DIALYSIS CENTER

45597 Highway 27 Ridgeview Plaza Davenport, FL 33897

Polk County (863) 419-7408

DECATUR, IL DIALYSIS CENTERS DECATUR EAST WOOD DIALYSIS

Specialty: Dialysis Centers Provider #: 128606 NPI #: 1336100734 794 E Wood St Decatur, IL 62523-1155 Macon County (217) 425-6403 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: Dept of Human Services

MACON COUNTY DIALYSIS Specialty: Dialysis Centers Provider #: 128605 NPI #: 1972562890 1090 W Mckinley Ave Decatur, IL 62526-3208 Macon County (217) 877-9351 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: Dept of Human Services

Accepting New Patients: Yes Wheelchair Accessible: Yes RCG CENTRAL ILLINOIS-DECATUR

Specialty: Dialysis Centers Provider #: 133675 NPI #: 1790890549 302 W Hay St Ste 207 Decatur, IL 62526-4129 Macon County (217) 876-8663 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: HCFA

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DIXON, IL DIALYSIS CENTERS DIXON KIDNEY CENTER Specialty: Dialysis Centers Provider #: 128559 NPI #: 1396706750 1131 N Galena Ave Dixon, IL 61021-1015 Lee County (815) 285-0595 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

EAST CHICAGO, IN DIALYSIS CENTERS COMPREHENSIVE RENAL CARE - EAST CHICAGO Specialty: Dialysis Centers Provider #: 440419 NPI #: 1578526216 4320 First Unit 404 East Chicago, IN 46312-3078 Lake County (219) 397-1199 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CLIA

EFFINGHAM, IL DIALYSIS CENTERS EFFINGHAM DIALYSIS Specialty: Dialysis Centers Provider #: 128598 NPI #: 1245290782 904 Medical Park Dr Ste 1 Effingham, IL 62401-2286 Effingham County

(217) 342-9558

EVANSVILLE, IN DIALYSIS CENTERS EAGLES DIALYSIS Specialty: Dialysis Centers Provider #: 440416 NPI #: 1720536295 5301 Pearl Dr Ste 300 Evansville, IN 47712-8111 Vanderburgh County (812) 467-0161 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CMS

NORTH EVANSVILLE DIALYSIS

Specialty: Dialysis Centers Provider #: 226113 NPI #: 1861457798 1151 W Buena Vista Rd Evansville, IN 47710-3334 Vanderburgh County (812) 401-0140 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

FORT WAYNE, IN DIALYSIS CENTERS FORT WAYNE NORTH DIALYSIS

Specialty: Dialysis Centers Provider #: 440528 NPI #: 1558716019 415 E Dupont Rd Fort Wayne, IN 46825-2051 Allen County (260) 637-0431 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CMS

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FORT WAYNE SOUTH DIALYSIS

Specialty: Dialysis Centers Provider #: 440191 NPI #: 1003119876 302 E Pettit Ave Fort Wayne, IN 46806-3007 Allen County (260) 456-0451 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

Accepting New Patients: Yes Wheelchair Accessible: Yes THREE RIVERS DIALYSIS Specialty: Dialysis Centers Provider #: 440405 NPI #: 1659796233 6721 Old Trail Rd Suite 100 Fort Wayne, IN 46809-2655 Allen County (260) 478-8582 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CMS

FRANKLIN, IN DIALYSIS CENTERS FRANKLIN DIALYSIS Specialty: Dialysis Centers Provider #: 440111 NPI #: 1265537849 1140 W Jefferson St Ste A Franklin, IN 46131-2101 Johnson County (317) 736-4304 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CMS

FREEPORT, IL DIALYSIS CENTERS DRIFTWOOD DIALYSIS Specialty: Dialysis Centers Provider #: 238835 NPI #: 1225300056 1808 S West Ave Freeport, IL 61032-6712 Stephenson County (815) 232-0295 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

FT WAYNE, IN DIALYSIS CENTERS APPLESEED DIALYSIS Specialty: Dialysis Centers Provider #: 439902 NPI #: 1093012544 1833 Magnavox Way Ft Wayne, IN 46804-1539 Allen County (260) 432-1036 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

HUTCHINS PARK, IL DIALYSIS CENTERS ROCKFORD DIALYSIS Specialty: Dialysis Centers Provider #: 128527 NPI #: 1235198235 3339 N Rockton Ave Hutchins Park, IL 61103-2839 Winnebago County (800) 424-6589 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

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INDIANAPOLIS, IN DIALYSIS CENTERS AVON DIALYSIS

Specialty: Dialysis Centers Provider #: 440194 NPI #: 1730468836 9210 Rockville Rd Ste D Indianapolis, IN 46234-2670 Marion County (317) 209-2544 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

Accepting New Patients: Yes Wheelchair Accessible: Yes EAGLE HIGHLANDS DIALYSIS

Specialty: Dialysis Centers Provider #: 293923 NPI #: 1093055923 6925 Shore Ter Indianapolis, IN 46254-4675 Marion County (317) 295-0423 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CLIA

FALL CREEK DIALYSIS Specialty: Dialysis Centers Provider #: 440532 NPI #: 1194238501 3820 N College Ave Indianapolis, IN 46205-2755 Marion County (317) 926-5125 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CMS

Accepting New Patients: Yes Wheelchair Accessible: Yes HOME DIALYSIS OF INDIANAPOLIS

Specialty: Dialysis Centers Provider #: 439903 NPI #: 1487183976 8803 N Meridian St Ste 150 Indianapolis, IN 46260-5376 Marion County (317) 574-1798 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

Accepting New Patients: Yes Wheelchair Accessible: Yes METRO POINT DIALYSIS Specialty: Dialysis Centers Provider #: 439904 NPI #: 1205366416 1218 N Pennsylvania St Indianapolis, IN 46202-2411 Marion County (317) 686-0548 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CMS

SPEEDWAY DIALYSIS Specialty: Dialysis Centers Provider #: 440520 NPI #: 1174006662 2636 W Michigan St Indianapolis, IN 46222-3727 Marion County (317) 423-0956 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CMS

Accepting New Patients: Yes Wheelchair Accessible: Yes UNIVERSITY DIALYSIS OF INDY

Specialty: Dialysis Centers Provider #: 440108 NPI #: 1588193544 550 University Blvd Rm 1140 Indianapolis, IN 46202-5149 Marion County (317) 635-8729 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

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JACKSONVILLE, IL DIALYSIS CENTERS JACKSONVILLE DIALYSIS Specialty: Dialysis Centers Provider #: 128599 NPI #: 1316916513 1515 W Walnut St Jacksonville, IL 62650-1150 Morgan County (217) 243-3042 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: HCFA

JASPER, IN DIALYSIS CENTERS JASPER DIALYSIS Specialty: Dialysis Centers Provider #: 226025 NPI #: 1114983046 721 W 13Th St Ste 105 Jasper, IN 47546-1856 Dubois County (812) 482-3205 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

JEFFERSONVILLE, IN DIALYSIS CENTERS

JEFFERSONVILLE DIALYSIS Specialty: Dialysis Centers

Provider #: 440192 NPI #: 1790089811 365 Quartermaster Ct Jeffersonville, IN 47130-3670 Clark County (812) 288-2296 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

LAFAYETTE, IN DIALYSIS CENTERS

LAFAYETTE HOME DIALYSIS Specialty: Dialysis Centers

Provider #: 440535 NPI #: 1831685882 2 Executive Dr Ste B Lafayette, IN 47905-4878 Tippecanoe County (765) 446-0603 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CMS

LAPORTE, IN DIALYSIS CENTERS LA PORTE DIALYSIS Specialty: Dialysis Centers Provider #: 440533 NPI #: 1568916971 1406 E Lincolnway Ste A Laporte, IN 46350-8047 La Porte County (219) 324-3080 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CMS

LINCOLN, IL DIALYSIS CENTERS LINCOLN DIALYSIS Specialty: Dialysis Centers Provider #: 128600 NPI #: 1760441976 2100 5Th St Lincoln, IL 62656-9115 Logan County (217) 732-6798 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: HCFA

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LITCHFIELD, IL DIALYSIS CENTERS LITCHFIELD DIALYSIS Specialty: Dialysis Centers Provider #: 128595 NPI #: 1184683138 915 Saint Francis Way Litchfield, IL 62056-1775 Montgomery County (217) 327-2200

Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: HCFA

MICHIGAN CITY, IN DIALYSIS CENTERS COMPREHENSIVE RENAL CARE - MICHIGAN CITY Specialty: Dialysis Centers Provider #: 440423 NPI #: 1659334431 9836 West 400 North Michigan City, IN 46360-2910 La Porte County (219) 878-1989 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CLIA

MINNEAPOLIS, MN DURABLE MEDICAL EQUIPMENT

TACTILE SYSTEMS TECHNOLOGY INC Specialty: Durable Medical Equipment Provider #: 196316 NPI #: 1427131424 1331 Tyler St Ne Ste 200 Minneapolis, MN 55413-1638 Hennepin County (612) 355-5100 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

MISHAWAKA, IN DIALYSIS CENTERS MISHAWAKA DIALYSIS Specialty: Dialysis Centers Provider #: 440195 NPI #: 1376984443 1420 Trinity Pl Mishawaka, IN 46545-5005 St Joseph County Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

MT VERNON, IL DIALYSIS CENTERS MOUNT VERNON DIALYSIS Specialty: Dialysis Centers Provider #: 128520 NPI #: 1326072638 4102 N Water Tower Pl Mt Vernon, IL 62864-6583 Jefferson County (618) 244-3407 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

NEWBURGH, IN DIALYSIS CENTERS NEWBURGH DIALYSIS Specialty: Dialysis Centers Provider #: 226210 NPI #: 1487984639

4311 State Route 261 Ste A Newburgh, IN 47630-2653 Warrick County

(812) 853-2010

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OLNEY, IL DIALYSIS CENTERS OLNEY DIALYSIS Specialty: Dialysis Centers Provider #: 128524 NPI #: 1003885229 117 N Boone St Olney, IL 62450-2109 Richland County (618) 393-4234 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

PRINCETON, IN DIALYSIS CENTERS PRINCETON DIALYSIS Specialty: Dialysis Centers Provider #: 226012 NPI #: 1003139114 2227 Sherman Dr Princeton, IN 47670-1062 Gibson County (812) 385-2906 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: IDPH

RICHMOND, IN DIALYSIS CENTERS WHITEWATER VALLEY DIALYSIS

Specialty: Dialysis Centers Provider #: 436421 NPI #: 1962878231 2302 Chester Blvd Richmond, IN 47374-1221 Wayne County (765) 935-5128 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CMS

ROBINSON, IL DIALYSIS CENTERS ROBINSON DIALYSIS Specialty: Dialysis Centers Provider #: 179477 NPI #: 1306086103 1215 N Allen St Ste B Robinson, IL 62454-1100 Crawford County (618) 544-7092 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: HCFA

ROCKFORD, IL DIALYSIS CENTERS CHURCHVIEW DIALYSIS Specialty: Dialysis Centers Provider #: 128526 NPI #: 1285694729 417 Ware Ave Rockford, IL 61107-6413 Winnebago County (815) 397-4123 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

Accepting New Patients: Yes Wheelchair Accessible: Yes CHURCHVIEW DIALYSIS Specialty: Dialysis Centers Provider #: 128526 NPI #: 1285694729 5970 Churchview Dr Rockford, IL 61107-2574 Winnebago County (815) 637-9644 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

Accepting New Patients: Yes Wheelchair Accessible: Yes ROXBURY DIALYSIS Specialty: Dialysis Centers Provider #: 128578 NPI #: 1003875402 622 Roxbury Rd

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STONECREST DIALYSIS Specialty: Dialysis Centers Provider #: 186510 NPI #: 1518276955 1302 E State St Rockford, IL 61104-2228 Winnebago County (815) 968-5794 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

RUSHVILLE, IL DIALYSIS CENTERS RUSHVILLE DIALYSIS Specialty: Dialysis Centers Provider #: 128597 NPI #: 1205805488 112 Sullivan Dr Rushville, IL 62681-1293 Schuyler County (217) 322-2652 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: HCFA

SPRINGFIELD, IL DIALYSIS CENTERS SPRINGFIELD CENTRAL DIALYSIS

Specialty: Dialysis Centers Provider #: 127613 NPI #: 1720047970 600 N Grand Ave W Springfield, IL 62702-2538 Sangamon County (217) 788-3688 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

Accepting New Patients: Yes Wheelchair Accessible: Yes SPRINGFIELD MONTVALE DIALYSIS

Specialty: Dialysis Centers Provider #: 128596 NPI #: 1518926781 2930 Montvale Dr Ste A Springfield, IL 62704-5376 Sangamon County (217) 793-2781 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: Dept of Human Services

STERLING, IL DIALYSIS CENTERS WHITESIDE DIALYSIS Specialty: Dialysis Centers Provider #: 128530 NPI #: 1538128533 4406 E Lincolnway Sterling, IL 61081-9749 Whiteside County (815) 535-0447 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

SULLIVAN, IN DIALYSIS CENTERS SULLIVAN DIALYSIS Specialty: Dialysis Centers Provider #: 440531 NPI #: 1619499225 2232 N Hospital Blvd Suite 1 Sullivan, IN 47882-7674 Sullivan County (812) 268-5593 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CMS

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SYCAMORE, IL DIALYSIS CENTERS CRIMSON RIDGE HOME TRAINING

2540 Hauser Ross Dr Ste 200 Sycamore, IL 60178-3171 Dekalb County

(815) 748-3508

Accepting New Patients: Yes Wheelchair Accessible: Yes SYCAMORE DIALYSIS Specialty: Dialysis Centers Provider #: 128558 NPI #: 1295794485 2200 Gateway Dr Sycamore, IL 60178-3113 Dekalb County (815) 758-0205 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

TAYLORVILLE, IL DIALYSIS CENTERS TAYLORVILLE DIALYSIS Specialty: Dialysis Centers Provider #: 128574 NPI #: 1821057027 901 W Spresser St Taylorville, IL 62568-1831 Christian County (217) 824-5460 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: Dept of Human Services

TWINSBURG, OH DURABLE MEDICAL EQUIPMENT

EDGEPARK

Specialty: Durable Medical Equipment

Provider #: 056804 NPI #: 1609858729

1810 Summit Commerce Park Twinsburg, OH 44087-2300 Summit County

(800) 321-0591

URBANA, IL DIALYSIS CENTERS CHAMPAIGN URBANA DIALYSIS CENTER Specialty: Dialysis Centers Provider #: 046926 NPI #: 1568688109 1405 W Park St Ste 100 Urbana, IL 61801-2356 Champaign County (217) 328-4100 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

VANDALIA, IL DIALYSIS CENTERS VANDALIA DIALYSIS Specialty: Dialysis Centers Provider #: 145798 NPI #: 1265618573 301 Mattes Ave Vandalia, IL 62471-2061 Fayette County (618) 283-1366 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: None

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WASHINGTON, IN DIALYSIS CENTERS

DAVIESS COUNTY DIALYSIS Specialty: Dialysis Centers

Provider #: 226110 NPI #: 1972568806 310 Ne 14Th St Washington, IN 47501-2137 Daviess County (812) 254-9950 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: IDPH

WHITING, IN DIALYSIS CENTERS WHITING DIALYSIS Specialty: Dialysis Centers Provider #: 440524 NPI #: 1730695024 816 119Th St Whiting, IN 46394-1401 Lake County (219) 473-0712 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CMS

NORMAL, IL PSYCHOLOGY MEYER, REGINA L., PHD Specialty: Psychology Female | E-Prescribe: No Provider #: 369920 NPI #: 1851722474

Discovery Of Hope Counseling And Psychological Ser

706 Oglesby Ave Ste 105 Normal, IL 61761-4617 Mclean County

(312) 620-3643

Office Hours: M-T 5-9 PM; Th 5-9 PM; Sa 9-12 PM

Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None NCQA Patient-Centered Medical Home Recognition: None

PEORIA, IL MENTAL HEALTH

MARKUM, TERESA L., LCPC Specialty: Mental Health

Female | E-Prescribe: No Provider #: 438670 NPI #: 1619328341 4700 N Prospect Rd Peoria, IL 61616-6451 Peoria County (309) 258-8851 Office Hours: M-F 8-5 PM Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None NCQA Patient-Centered Medical Home Recognition: None

LACON, IL SKILLED NURSING FACILITIES

ST JOSEPH NURSING HOME INC

Specialty: Skilled Nursing Facilities Provider #: 182058 NPI #: 1790772309 401 9Th St Lacon, IL 61540-1140 Marshall County (309) 246-2175 Office Hours: M-F 8-5 PM Additional Languages: Spanish Accreditations: CMS

PEORIA, IL INFECTIOUS DISEASES TAHERKHANI, SARA, MD Specialty: Infectious Diseases Female | E-Prescribe: No Provider #: 411510 NPI #: 1386954436

Univ Of Il/Medical Service Plan-Infectious Disease

530 Ne Glen Oak Ave Peoria, IL 61637-0001 Peoria County

(309) 655-6384

Office Hours: M-F 8-5 PM Hospital Affiliation: None Medical Group Affiliation: None Board Certification: None Additional Languages: None NCQA Patient-Centered Medical Home Recognition: None

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A APPLESEED DIALYSIS ... 4 AVON DIALYSIS ...5 B BENTON DIALYSIS ...1 BRAZIL DIALYSIS ... 1 BROWNSBURG DIALYSIS ... 1 C CENTRALIA DIALYSIS ... 1

CHAMPAIGN URBANA DIALYSIS CENTER ... 10

CHURCHVIEW DIALYSIS ... 8, 8 COMPREHENSIVE RENAL CARE - EAST CHICAGO ... 3

COMPREHENSIVE RENAL CARE - MICHIGAN CITY ... 7

CORYDON DIALYSIS CENTER ... 2

CRIMSON RIDGE HOME TRAINING ... 10

D DAVENPORT DIALYSIS CENTER ...2

DAVIESS COUNTY DIALYSIS ... 11

DECATUR EAST WOOD DIALYSIS ... 2

DIALYSIS CLINIC INC BELLEVUE ... 1

DIXON KIDNEY CENTER ... 3

DRIFTWOOD DIALYSIS ...4

E EAGLE HIGHLANDS DIALYSIS ... 5

EAGLES DIALYSIS ... 3

EDGEPARK ... 10

EFFINGHAM DIALYSIS ...3

F FALL CREEK DIALYSIS ...5

FORT WAYNE NORTH DIALYSIS ... 3

FORT WAYNE SOUTH DIALYSIS ... 4

FRANKLIN DIALYSIS ... 4

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LAFAYETTE HOME DIALYSIS ... 6

LINCOLN DIALYSIS ... 6

LITCHFIELD DIALYSIS ... 7

M MACON COUNTY DIALYSIS ...2

MARKUM, TERESA L., LCPC ... 11

MATTOON DIALYSIS ... 2

METRO POINT DIALYSIS ... 5

MEYER, REGINA L., PHD ... 11

MISHAWAKA DIALYSIS ... 7

MOUNT VERNON DIALYSIS ... 7

N NEWBURGH DIALYSIS ... 7

NORTH EVANSVILLE DIALYSIS ... 3

O OLNEY DIALYSIS ...8 P PRINCETON DIALYSIS ... 8 R RCG CENTRAL ILLINOIS-DECATUR ... 2 ROBINSON DIALYSIS ... 8 ROCKFORD DIALYSIS ... 4 ROXBURY DIALYSIS ...8 RUSHVILLE DIALYSIS ... 9 S SPEEDWAY DIALYSIS ... 5

SPRINGFIELD CENTRAL DIALYSIS ... 9

SPRINGFIELD MONTVALE DIALYSIS ... 9

ST JOSEPH NURSING HOME INC ... 11

STONECREST DIALYSIS ... 9

SULLIVAN DIALYSIS ...9

SYCAMORE DIALYSIS ... 10

T TACTILE SYSTEMS TECHNOLOGY INC ... 7

TAHERKHANI, SARA, MD ... 11

TAYLORVILLE DIALYSIS ... 10

THREE RIVERS DIALYSIS ...4

U UNIVERSITY DIALYSIS OF INDY ... 5

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WHITESIDE DIALYSIS ... 9 WHITEWATER VALLEY DIALYSIS ... 8 WHITING DIALYSIS ... 11

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national origin, age, disability or sex. Health Alliance does not exclude people or treat them differently because of race, color, national origin, age, disability or sex. Health Alliance:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters

o Written information in other formats (large print audio, accessible electronic formats, other formats) • Provides free language services to people whose primary language is not English, such as:

o Qualified interpreters

o Information written in other languages If you need these services, contact customer service.

If you believe that Health Alliance has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Health Alliance Medicare, Member Services, 3310 Fields South Drive, Champaign, IL 61822 or 411 N. Chelan Avenue, Wenatchee, WA 98801, telephone for members in Illinois, Indiana, Iowa and Ohio: 1-800-965-4022; telephone for members in Washington:

1-877-750-3350 TTY: 711, fax: 217-902-9705, [email protected]. You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Member Services is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, TTY:

1-800-537-7697.

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

ATENCIÓN: Si habla Español, servicios de asistencia lingüística, de forma gratuita, están disponibles para usted. IA, IL, IN, OH: Llame1-800-965-4022, WA Llame: 1-877-750-3350 (TTY: 711).

注意：如果你講中文，語言協助服務，免費的，都可以給你。IA, IL, IN, OH: 呼叫 1-800-965-4022, WA: 呼叫 1-877-750-3350(TTY: 711)。

UWAGA: Jeśli mówić Polskie, usługi pomocy języka, bezpłatnie, są dostępne dla Ciebie. IA, IL, IN, OH: Zadzwoń 1-800-965-4022, WA: Zadzwoń 1-877-750-3350 (TTY: 711).

Chú ý: Nếu bạn nói Tiếng Việt, các dịch vụ hỗ trợ ngôn ngữ, miễn phí, có sẵn cho bạn. IA, IL, IN, OH: Gọi 1-800-965-4022, WA: Gọi 1-877-750-3350 (TTY: 711).

주의 : 당신이한국어, 무료언어지원서비스를말하는경우사용할수있습니다. 1-800-965-4022 IA, IL, IN, OH:

전화 WA: 1-877-750-3350 전화 (TTY: 711).

ВНИМАНИЕ: Если вы говорите русский, вставки услуги языковой помощи, бесплатно, доступны для вас. IA, IL, IN, OH: Вызов 1-800-965-4022, WA: Вызов 1-877-750-3350 (TTY: 711).

Pansin: Kung magsalita ka Tagalog, mga serbisyo ng tulong sa wika, nang walang bayad, ay magagamit sa iyo. IA, IL, IN, OH: Tumawag 1-800-965-4022, WA: Tumawag 1-877-750-3350 (TTY: 711).

هﺎﺒﺘﻧا : ﻢﻗﺮﻟﺎﺑ ﻞﺼﺗا :ﻮﯾﺎھوأ ،ﺎﻧﺎﯾﺪﻧإ ،يﻮﻨﯿﻠﯾإ .ًﺎﻧﺎﺠﻣ ﻚﻟ ةﺮﻓﻮﺘﻣ ﺔﯾﻮﻐﻠﻟا ةﺪﻋﺎﺴﻤﻟا تﺎﻣﺪﺧ نﺈﻓ ،ﺔﯿﺑﺮﻌﻟا ﻢﻠﻜﺘﺗ ﺖﻨﻛ اذإ 1-800-965-4022 :ﻦﻄﻨﺷاو ﺔﯾﻻو ، :ﻢﻗﺮﻟﺎﺑ ﻞﺼﺗا 1-877-750-3350 ﻢﻗﺮﻟا ﻰﻠﻋ ﻞﺼﺗﺎﻓ ﻊﻤﺴﻟا ﻲﻓ ﺔﺑﻮﻌﺻ وأ ﻢﻤﺼﻟا ﻦﻣ ﻲﻧﺎﻌﺗ ﺖﻨﻛ اذإ) 711 (

Aufmerksamkeit: Wenn Sie Deutsch sprechen, Sprachassistenzdienste sind kostenlos, zur Verfügung. IA, IL, IN, OH:

Anruf 1-800-965-4022, WA: Anruf 1-877-750-3350 (TTY: 711).

ATTENTION: Si vous parlez français, les services d'assistance linguistique, gratuitement, sont à votre disposition. IA, IL, IN, OH: Appelez 1-800-965-4022, WA: Appelez 1-877-750-3350 (TTY: 711).

ધ્યાન: તમેવાતતો�ુજરાતી, ભાષાસહાયસેવાઓ, મફત, તમારામાટ�ઉપલબ્ધછે. IA, IL, IN, OH: કૉલ 1-800-965-4022,

WA: કૉલ 1-877-750-3350 (TTY: 711).

注意：あなたは、日本語、無料で言語支援サービスを、話す場合は、あなたに利用可能です。

1-800-965-4022 IA, IL, IN, OH: コール 1-877-750-3350 WA: コール（TTY: 711)。