Military Health Care Provider Health Providers - ILLINOIS
171000000X - Military Health Care Provider
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
List of 50 registered providers with a business address in Illinois whose primary or secondary health provider taxonomy code is Military Health Care Provider, of which 3 are registered as organizations and 47 as individuals.
94% Individual Providers (47)6% Medical Organizations (3)38% Female Providers (19)56% Male Providers (28)
List of Providers
| Provider Name | Type | Address | Medicare | PECOS | |
|---|---|---|---|---|---|
| MICHAEL HUNTER ANDERSON | Individual | 3001 6TH ST GREAT LAKES, IL 60088 (847) 688-2492 | Non-Participating Provider | NO | |
| JOHN DANIEL ATTONITO | Individual | 3420 ILLINOIS STREET TRANQUILLITY CLINIC - SPECIAL PHYSICALS GREAT LAKES, IL 60088 (847) 688-6755 | Non-Participating Provider | YES | |
| BRAIN TREATMENT CENTER GLENVIEW | Organization | 2634 PATRIOT BLVD STE C GLENVIEW, IL 60026 (773) 970-6700 | Non-Participating Provider | NO | |
| SETH BRAUMAN | Individual | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 256-9355 | Non-Participating Provider | YES | |
| JESSICA L CARLSON | Individual | 112 W 9TH ST COAL VALLEY, IL 61240 (309) 644-2870 | Non-Participating Provider | NO | |
| REESE JEREL COOPER | Individual | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 256-9355 | Non-Participating Provider | NO | |
| RICHARD NEAL CRAIG | Individual | 2401 W MAIN ST VA MEDICAL CENTER MARION, IL 62959 (618) 997-5311 | Non-Participating Provider | NO | |
| JEFFREY ALLAN DAMASCHKE | Individual | 3001 6TH ST PHYSICAL THERAPY DEPARTMENT GREAT LAKES, IL 60088 (847) 688-2368 | Non-Participating Provider | NO | |
| LASHANDA MARIE DAVIS | Individual | 14521 JUSTINE ST HARVEY, IL 60426 (708) 252-0589 | Non-Participating Provider | NO | |
| LISA VICTORIA DEPASQUALE | Individual | 3430 GRAND AVE 400 GURNEE, IL 60031 (847) 782-9860 | Non-Participating Provider | NO | |
| TUESDAY FAWN FISHER | Individual | 2300 S 1ST ST CHAMPAIGN, IL 61820 (217) 383-3260 | Accepts Medicare | YES | |
| EVAN FUCHS | Individual | 3410 ILLINOIS ST GREAT LAKES, IL 60088 (847) 340-0495 | Non-Participating Provider | NO | |
| LEIGH KAROLE GRANNAN | Individual | 625 WHAM DR - MAILCODE 6607 CENTER FOR AUTISM SPECTRUM DISORDERS CARBONDALE, IL 62901 (618) 453-7168 | Non-Participating Provider | NO | |
| ZACHARY JOSEPH GRICE-PATIL | Individual | 3001 GREEN BAY RD NORTH CHICAGO, IL 60064 (224) 610-7704 | Accepts Medicare | YES | |
| ROBERT D'SHAUN GROFF | Individual | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 256-9355 | Non-Participating Provider | NO | |
| ASHLEY C GULLIXSON | Individual | 310 W LOSEY ST SCOTT AFB, IL 62225 (618) 256-9355 | Non-Participating Provider | YES | |
| CHRYSTAL DILWORTH HENDERSON | Individual | 310 W LOSEY ST SCOTT AIR FORCE BASE, IL 62225 (618) 256-7456 | Non-Participating Provider | NO | |
| MATTHEW EDWIN HENRIQUES | Individual | 1611 W HARRISON ST STE 400 CHICAGO, IL 60612 (877) 632-6637 | Non-Participating Provider | YES | |
| TERESITA HERNANDEZ HUANG | Individual | 3450 RIVERSIDE DR WILMETTE, IL 60091 (847) 251-6276 | Non-Participating Provider | NO | |
| I AM MAN, INC. | Organization | 1332 GREENFIELD AVE WAUKEGAN, IL 60085 (708) 548-9209 | Non-Participating Provider | NO | |
| TONI M. JACKSON | Individual | 4806 STATE ST HOME OFFICE EAST SAINT LOUIS, IL 62205 (618) 225-2777 | Non-Participating Provider | NO | |
| CHARLES JAMES | Individual | JESSE BROWN VAMC; 820 S. DAMEN AVE. DEPARTMENT OF RADIOLOGY; ROOM NUMBER 4436 CHICAGO, IL 60612 (312) 569-7735 | Non-Participating Provider | NO | |
| PAUL KASUNIC | Individual | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 256-9355 | Non-Participating Provider | YES | |
| JOHN HYUNG-SUN KIM | Individual | 611 W. PARK ST. URBANA, IL 61801 (217) 383-3240 | Accepts Medicare | YES | |
| EMERYLE D LADD | Individual | 1117 S. HARLEM UNIT 1 FOREST PARK, IL 60130 (708) 506-9466 | Non-Participating Provider | NO | |
| DOLORES DELACRUZ LINDSEY | Individual | 111 N COUNTY FARM RD WHEATON, IL 60187 (630) 682-7979 | Non-Participating Provider | NO | |
| NICHOLAS LITTMAN | Individual | 310 W LOSEY ST SCOTT AIR FORCE BASE, IL 62225 (618) 256-4542 | Non-Participating Provider | YES | |
| PATRICK DAVID LOWRY | Individual | 203 W LOSEY ST BLDG 1700, RM 1600 SCOTT AFB, IL 62225 (618) 229-5496 | Non-Participating Provider | NO | |
| JOSHUA MATTHEW LUJAN | Individual | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 256-9355 | Non-Participating Provider | YES | |
| LUNINGNING GAYAPA MADAMBA | Individual | 5332 N KILDARE AVE CHICAGO, IL 60630 (773) 463-3635 | Non-Participating Provider | NO | |
| TASHA OAKLEY | Individual | 104 KENWOOD CT APT 1 NORMAL, IL 61761 (217) 637-0399 | Non-Participating Provider | NO | |
| ERIN O'CONNOR | Individual | 310 W LOSEY ST SCOTT AIR FORCE BASE, IL 62225 (618) 256-6280 | Non-Participating Provider | NO | |
| EDEN U PADILLA | Individual | USS RED ROVER RECRUIT TRAINING CENTER GREAT LAKES, IL 60088 (847) 688-4909 | Non-Participating Provider | NO | |
| LAURA LEA RAINERI | Individual | 310 W LOSEY ST SCOTT AFB, IL 62225 (618) 250-8425 | Non-Participating Provider | YES | |
| CHARLES RINEHART | Individual | 3001 GREEN BAY RD NORTH CHICAGO, IL 60064 (619) 532-9795 | Accepts Medicare | YES | |
| KILEY ROCHELLE SCHLORTT | Individual | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 256-9355 | Non-Participating Provider | YES | |
| NATHAN PHILIP SEIGRIST | Individual | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 256-9355 | Non-Participating Provider | NO | |
| JASON SIMMONS | Individual | 310 W LOSEY ST SCOTT AFB, IL 62225 (618) 256-2273 | Non-Participating Provider | NO | |
| RYAN GREGORY SKINNER | Individual | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 256-9355 | Non-Participating Provider | YES | |
| CRYSTAL A SMITH | Individual | 10448 S PULASKI RD SUITE 4 OAK LAWN, IL 60453 (312) 834-3697 | Non-Participating Provider | NO | |
| ROSS STANTON | Individual | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 222-4600 | Non-Participating Provider | YES | |
| LAQUESA RONESHA STRINGFELLOW | Individual | 1804 N 38TH ST EAST SAINT LOUIS, IL 62204 (618) 792-3614 | Non-Participating Provider | NO | |
| KALEB TODD | Individual | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 256-9355 | Non-Participating Provider | YES | |
| PHILIP MICHAEL VAZQUEZ | Individual | 1725 W HARRISON ST STE 970 CHICAGO, IL 60612 (312) 942-7100 | Non-Participating Provider | YES | |
| VISION-CHOICE LLC | Organization | 34121 N US ROUTE 45 SUITE 7A GRAYSLAKE, IL 60030 (224) 572-1774 | Non-Participating Provider | NO | |
| SAHEJ WALIA | Individual | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 256-9355 | Non-Participating Provider | NO | |
| BRANDON ALEXANDER WHEATLEY | Individual | 5841 S MARYLAND AVENUE ROOM A700 - MC 7082 CHICAGO, IL 60637 (773) 702-1447 | Non-Participating Provider | YES | |
| GORDON ELLIS WHITE | Individual | 1900 E MAIN ST DANVILLE, IL 61832 (318) 801-4070 | Non-Participating Provider | YES | |
| STEVEN YORK | Individual | 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 (618) 256-9355 | Non-Participating Provider | YES | |
| JERZY FELIKS ZADECKI | Individual | 930 MAPLETON AVE OAK PARK, IL 60302 (708) 202-8387 | Non-Participating Provider | NO |
Showing page 1 of 1. The results table displays up to 100 results per page and is sorted by last name / organization name.
Individual Female Provider | Individual Male Provider | Medical Organization
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