Namara Marketplace

2016 HFS Transparency Provider Data

Providerkeyid

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Npi

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Providertypecd

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Providertypedesc

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Providername

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Provzipcd

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Officecountycd

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Officecountydesc

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Reimbursementtypecd

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Reimbursementtypedesc

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Criticalaccessind

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Pcpind

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Primspeccddesc

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Carecoordrins

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Casemgmt Insurancerins

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Clinicservicesrins

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Dentalservicesrins

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Epsdtrins

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Errins

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Hcbsrins

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Homehealthrins

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Hospicerins

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Icfmrrins

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Inpatientcarerins

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Labradiologyrins

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Nursingfacilityrins

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Otherservicesrins

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Outpatientrins

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Pddrins

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Prescdrugsrins

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Rehabrins

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Schoolbasedrins

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Therapyrins

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Casemgmt Insuranceevents

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Clinicservicesevents

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Dentalservicesevents

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Epsdtevents

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Erevents

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Hcbsevents

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Homehealthevents

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Hospiceevents

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Icfmrevents

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Inpatientcareevents

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Labradiologyevents

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Nursingfacilityevents

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Otherservicesevents

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Outpatientevents

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Pddevents

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Prescdrugsevents

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Rehabevents

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Schoolbasedevents

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Therapyevents

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Casemgmt Insuranceuos

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Clinicservicesuos

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Dentalservicesuos

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Epsdtuos

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Eruos

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Hcbsuos

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Homehealthuos

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Hospiceuos

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Icfmruos

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Inpatientcareuos

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Labradiologyuos

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Nursingfacilityuos

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Otherservicesuos

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Outpatientuos

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Pdduos

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Prescdrugsuos

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Rehabuos

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Schoolbaseduos

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Therapyuos

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Casemgmt Insurancecost

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Clinicservicescost

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Dentalservicescost

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Epsdtcost

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Ercost

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Hcbscost

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Homehealthcost

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Hospicecost

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Icfmrcost

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Inpatientcarecost

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Labradiologycost

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Nursingfacilitycost

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Otherservicescost

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Outpatientcost

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Pddcost

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Prescdrugscost

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Rehabcost

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Schoolbasedcost

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Therapycost

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Totalcost

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Hospstaticpayment

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Capitationpayments

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Hospencounteraddonpayment

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1000000009
92
Waiver service provider--Disability (DHS/DRS)
102
Warren
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91
Waiver service provider--Adults (DHS/DDD)
96
St Clair
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24
Speech Therapists
200
Cook
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23
Occupational Therapists
200
Cook
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93
Waiver service provider--HIV/AIDS (DHS/DRS)
80
Peoria
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92
Waiver service provider--Disability (DHS/DRS)
98
Tazewell
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92
Waiver service provider--Disability (DHS/DRS)
200
Cook
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1000007522
1336466713
10
Physicians
BHARGAVA ANU
601533328
200
Cook
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Pediatrics
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91
Waiver service provider--Adults (DHS/DDD)
30
DuPage
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10
Physicians
ROYEEN ABDUL
999999999
102
Warren
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10
Physicians
BRUMUND SHANNON
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200
Cook
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92
Waiver service provider--Disability (DHS/DRS)
91
Sangamon
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92
Waiver service provider--Disability (DHS/DRS)
200
Cook
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10
Physicians
200
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92
Waiver service provider--Disability (DHS/DRS)
200
Cook
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91
Waiver service provider--Adults (DHS/DDD)
852
Wisconsin
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92
Waiver service provider--Disability (DHS/DRS)
200
Cook
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98
Waiver service provider--TBI (DHS/DRS)
200
Cook
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92
Waiver service provider--Disability (DHS/DRS)
98
Tazewell
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93
Waiver service provider--HIV/AIDS (DHS/DRS)
200
Cook
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92
Waiver service provider--Disability (DHS/DRS)
65
Madison
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91
Waiver service provider--Adults (DHS/DDD)
75
Monroe
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19219
0
0
0
0
0
0
0
0
0
0
0
0
0
19219.2
0
0
0
1000021928
92
Waiver service provider--Disability (DHS/DRS)
45
Henry
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
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
1000023192
91
Waiver service provider--Adults (DHS/DDD)
107
Will
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
587
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
28215
0
0
0
0
0
0
0
0
0
0
0
0
0
28215
0
0
0
1000023283
1164696951
10
Physicians
COMPTON ASTRID
999999999
96
St Clair
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
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
0
0
0
0
1164.5
0
0
0
0
0
0
1164.5
0
0
0
1000024068
92
Waiver service provider--Disability (DHS/DRS)
65
Madison
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
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
1000024663
92
Waiver service provider--Disability (DHS/DRS)
200
Cook
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
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
1000025947
10
Physicians
826
Missouri
0
0
Internal Medicine
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
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
1000026822
10
Physicians
815
Indiana
0
0
Emergency Medicine
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
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
1000027664
1023056090
46
Ambulatory Surgical Treatment Centers
GAILEY EYE SURGERY DECATUR LLC
999999999
63
Macon
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
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
815.26
0
0
0
0
0
815.26
0
0
0
1000028268
98
Waiver service provider--TBI (DHS/DRS)
91
Sangamon
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
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
1000028832
92
Waiver service provider--Disability (DHS/DRS)
30
DuPage
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
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
1000030117
92
Waiver service provider--Disability (DHS/DRS)
200
Cook
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
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
1000030345
92
Waiver service provider--Disability (DHS/DRS)
30
DuPage
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
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
1000031961
91
Waiver service provider--Adults (DHS/DDD)
94
Shelby
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
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
1000033393
91
Waiver service provider--Adults (DHS/DDD)
200
Cook
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
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
1000037316
92
Waiver service provider--Disability (DHS/DRS)
89
Rock Island
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
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
1000038125
10
Physicians
816
Iowa
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
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
1000041470
92
Waiver service provider--Disability (DHS/DRS)
64
Macoupin
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
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
1000042321
1326206426
10
Physicians
MILLER JUSTIN
999999999
101
Wabash
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
301
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
75653.37
0
0
0
0
0
0
75653.37
0
0
0
1000043797
92
Waiver service provider--Disability (DHS/DRS)
30
DuPage
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
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0
0
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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
1000043840
92
Waiver service provider--Disability (DHS/DRS)
200
Cook
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
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
1000044247
93
Waiver service provider--HIV/AIDS (DHS/DRS)
71
McHenry
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
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
1000044580
92
Waiver service provider--Disability (DHS/DRS)
200
Cook
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
0
0
0
0
0
0
0
0
0
4618
0
0
0
0
0
0
0
0
0
0
0
0
0
4618.2
0
0
0
1000046449
1740346279
16
Nurse Practitioners
GUZMAN LAURA
601873055
30
DuPage
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
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
0
434.85
0
0
0
0
0
0
434.85
0
0
0
1000047310
92
Waiver service provider--Disability (DHS/DRS)
836
Ohio
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
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0
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0
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0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1000047700
1801861950
74
Hospital-Based Transportation Providers
MEDIC EMS
999999999
816
Iowa
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
147
0
0
0
0
0
0
0
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0
0
0
0
0
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0
0
0
0
425
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
425
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
38014.85
0
0
0
0
0
0
38014.85
0
0
0
1000049894
92
Waiver service provider--Disability (DHS/DRS)
200
Cook
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
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0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1000050813
98
Waiver service provider--TBI (DHS/DRS)
200
Cook
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1000051583
98
Waiver service provider--TBI (DHS/DRS)
836
Ohio
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
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