|
Name
|
Specialty
|
Location
|
|
ABC Pediatric
Therapy
#90000 |
Speech Therapy/
Pediatric |
O'Fallon
634 N. Main
Street
O'Fallon, IL 62269
618.632.4222
618.632.4658
www.abcspeechtherapy.com |
|
Anderson
Hospital
#250 |
Hospital
Facility |
Maryville
6800 State Route
162
Maryville, IL 62062
618.288.5711
www.andersonhospital.org |
|
Appleton, Diana;
LCSW
#9900 |
Mental Health |
Belleville
1669 Windham
Way, Suite B
Belleville, IL 62269
618.622.2579
618.624.8506 |
|
Apria Health
Care
#999010 |
Durable Medical
Equipment |
Collinsville
1605 Eastport
Plaza Drive, Suite 121
Collinsville, IL 62234
618.343.3700
618.345.4042
www.apria.com |
|
Athletic Therapy
Center PC
#1001001 |
Physical Therapy |
Belleville
2346 Mascoutah
Ave
Belleville, IL 62220
618.277.6282
618.277.6284
www.athletictherapycenter.com |
|
Beisel, Stacey;
LCPC
#9913 |
Mental Health |
Edwardsville
Seven 157 Center
Edwardsville, IL 62025
618.580.5708 |
|
Bel-Clair
Ambulatory
Surgery Center
#999001 |
Surgical Center |
Belleville
325 West Lincoln
Belleville, IL 62220
618.235.2299
618.235.2556 |
|
Belleville
Diagnostic Center
#7060 |
Radiology |
Belleville
7 Christopher
Drive
Belleville, IL 62226
618.416.7977
618.416.7976 |
|
Belleville
Imaging
#7025 |
Radiology |
Swansea
15 Park Place
Swansea, IL 62226
618.233.9729
618.233.9789 |
|
Belleville
Surgical Center
#10000020 |
Surgical Center |
Belleville
28 North 64th
Street
Belleville, IL 62223
618.398.5705
618.398.5764
www.bellevillesurgical.com |
|
Benchmark
Physical Therapy
#351 |
Physical Therapy |
Swansea
4964 Benchmark
Center Drive
Swansea, IL 62226
618.632.5800
618.632.5855
www.benchmarkphysicaltherapy.com |
|
Bertelsman,
Timothy; DC
#995101 |
Chiropractic |
Belleville
4460 North
Illinois Street
Belleville, IL 62226
618.236.3738
618.257.3291 |
|
Boswell,
Richard;
MSW, LCSW
#9902 |
Mental Health |
Swansea
#6 Emerald
Terrace, Suite 4
Swansea, IL 62226
618.233.0500 |
|
Bowden II, David
#9952 |
Chiropractic |
Mascoutah
David Bowden II,
DC
410 E Main
Mascoutah, IL 62258
618-566-3005
618-551-2777 |
|
Brightway
Imaging
(Alton)
#10000408 |
Radiology |
Alton
3 Professional
Drive, Ste A
Alton, IL 62002
618.465.4674
618.465.4676
www.imaging4life.com |
|
Brightway
Imaging
(Wolf Creek)
#410 |
Radiology |
Swansea
12 Wolf Creek
Drive, Suite 300
Swansea, IL 62226
618.277.7912
618.277.7915
www.imaging4life.com |
|
Busch, Linda;
LCSW
#9910 |
Mental Health |
Swansea
4460 North
Illinois, Suite 7
Swansea, IL 62226
618.222.7277 |
|
Canaley, Nicole;
MD
#22515 |
Mental Health/
Psychiatry/Peds |
Belleville
2166 Madison Ave
Granite City, IL 62040
618.452.4969
618.451.7115 |
|
Capra, Lisa
#11000103 |
Psychiatry |
St. Louis
Behavior Therapy
Specialists of IL & MO
126 W Sarah Ave
St. Louis, MO 63122
314-252-2069
314-698-2570 |
|
Cardenas,
Gabriel; DPM
#8501 |
Podiatry |
Maryville
Premier Foot and
Ankle of Illinois. PC
6810 State Route 162, Ste 20
Maryville, IL 62062
618.288.2835
618.288.6162 |
|
Cardinal Glennon
Children's Hospital
#285 |
Hospital
Facility |
St. Louis
1465 S. Grand
Boulevard
St. Louis, MO 63104
314.577.5600
www.cardinalglennon.com |
|
Charepoo, Mina;
MD
#22522 |
Mental Health/
Psychiatry |
Belleville
211 S. Third
Street
Belleville, IL 62220
618.234.2120 |
|
Cohen Kubicek,
Ruth; LCSW
#9903 |
Mental Health |
Edwardsville
921 S. Arbor
Vitae, Suite 103
Edwardsville, IL 62025
618.659.9111 |
|
Coldren, Tamra;
LCSW
#860003 |
Mental Health |
Edwardsville
103A South
Pointe Drive
Edwardsville, IL 62025
618.656.2000
618.656.1169 |
|
Collins-Reed,
Jenna; LCSW
#9912 |
Mental Health |
Glen Carbon
#7 Glen-Ed
Professional Park
Glen Carbon, IL 62034
618.288.7398 |
|
Comprehensive
Pain Specialist
#700000 |
Pain Management |
Swansea
4972 Benchmark
Centre Dr Ste 400
Swansea, IL 62226
618.622.0303
618.622.0909 |
|
Cornerstone
Counseling PC
#10000329 |
Mental Health |
Maryville
20A Professional
Park Drive
Maryville, IL 62062
618.288.8787
618.288.0737 |
|
Cuenca, Jenna
#11000101 |
Psychiatry |
St. Louis
Behavior Therapy
Specialists of IL & MO
126 W Sarah Ave
St. Louis, MO 63122
314-252-2069
314-698-2570 |
|
Devine, Robert;
DC
#995001 |
Chiropractic |
Edwardsville
211 Hillsboro
Edwardsville, IL 62025
618.656.5300
618.692.0200 |
|
Dow, Jessica
#1000103 |
Psychiatry |
St. Louis
Behavior Therapy
Specialists of IL & MO
126 W Sarah Ave
St. Louis, MO 63122
314-252-2069
314-698-2570 |
|
Edgepark Medical
Supplies
#10001289
General Fax Order Form (PDF) |
Durable Medical
Equipment |
800.321.0519
330.963.6172
www.edgepark.com |
|
Elite Imaging of
Fairview Heights
#405 |
Radiology |
Fairview Heights
317 Salem Place,
Suite 130
Fairview Heights, IL 62208
618.632.2900
618.632.2901 |
|
Family Life
Consultants, Inc.
#10000606 |
Mental Health |
Collinsville
2014 Vandalia
Street
Collinsville, IL 62234
618.345.9587
618.345.9587 |
|
Fitness Designs
Physical Therapy
#353 |
Physical Therapy |
Glen Carbon
16 Ginger Creek
Parkway
Glen Carbon, IL 62034
618.656.1122
618.656.1171
www.fitnessdesigns.com |
|
Gateway Regional
Hospital*
#290 |
Hospital
Facility |
Granite City
2100 Madison
Avenue
Granite City, IL 62040
618.798.3000
www.gatewayregional.net
*Out Patient
Ancillary Services ONLY |
|
George, Ryan
#640001 |
Otolaryngology |
Shiloh
ENT & Sleep
Medicine Associates, LLC
1179 Fortune Blvd
Shiloh, IL 62269
618-628-0715 |
|
Grazman,
Harriet; LCSW
#9904 |
Mental Health |
Glen Carbon
10 Ginger Creek
Village
Glen Carbon, IL 62034
314.799.1731 |
|
Hanger
Prosthetics & Orthotics
#10000076 |
Orthotics/
Prosthetics |
Belleville
7 Bronze Pointe
South, Suite A
Belleville, IL 62226
618.222.7032
618.222.7066 |
|
I Think I Can
#10000345 |
Mental Health |
Fairview Heights
125 North Ruby
Lane
Fairview Heights, IL 62208
618.398.4226
618.398.1759 |
|
IV Care
#10000174 |
Durable Medical
Equipment |
Belleville
65 S. 65th
Street
Belleville, IL 62223
618.398.2720
www.midwestivcare.com |
|
Johnson,
Stefanie; LCPC
#867601 |
Mental Health |
Belleville
2900 Frank Scott
Parkway, Suite 990
Belleville, IL 62226
618.236.6501
618.236.6551 |
|
Jung, Randy; MD
#22523 |
Mental Health/
Psychiatry |
Belleville
211 S. Third
Street
Belleville, IL 62220
618.234.2120 |
|
Krebs, Kristin;
LCSW
#860004 |
Mental Health |
Edwardsville
103A South
Pointe Drive
Edwardsville, IL 62025
618.656.2000
618.656.1169 |
|
LabCorp of
America
#320 |
Laboratory |
www.labcorp.com |
|
LaRico,
Marjorie; LCPC
#867603 |
Mental Health |
Belleville
2900 Frank Scott
Parkway, Suite 990
Belleville, IL 62226
618.236.6501
618.236.6551 |
|
Lehr, Lori; LCPC
#9906 |
Mental Health |
Belleville
520 Fullerton
Road
Belleville, IL 62226
618.277.5300
618.257.0641 |
|
LinCare
#9999922 |
Durable Medical
Equipment |
Belleville
1128 Royal
Heights Road
Belleville, IL 62226
618.235.4458
618.235.4484
www.lincare.com |
|
Lion Sleep
Laboratories
#10000903 |
Sleep Studies |
Glen Carbon
1 Ginger Creek
Parkway
Glen Carbon, IL 62025
618.692.4945
618.692.4975
www.lionsleeplab.com |
|
Lion Sleep
Laboratories
#10000903 |
Sleep Studies |
O'Fallon
624 N Pierce
Blvd, Ste 200
O'Fallon, IL 62269
877.546.6875
618.692.4975
www.lionsleeplab.com |
|
Maryville
Imaging
#420 |
Radiology |
Maryville
2023 Vadalabene
Drive, Suite 100
Maryville, IL 62062
618.288.4929
618.288.4531
www.maryvilleimaging.com |
|
Memorial
Hospital
#200 |
Hospital
Facility |
Belleville
4500 Memorial
Drive
Belleville, IL 62226
618.257.5523
www.memhosp.com |
|
Mid America
Audiology Group
(Glen Carbon office)
#7700 |
Audiology |
Glen Carbon
#9 Glen-Ed
Professional
Glen Carbon, IL 62034
618.462.7900 |
|
Mid America
Audiology Group
(Waterloo office)
#7700 |
Audiology |
Waterloo
509 Hamacher,
Ste 202
Waterloo, IL 62298
618.462.7900
618.692.1694 |
|
Mid America
Imaging
#7030 |
Radiology |
O'Fallon
1512 N. Green
Mount Road
O'Fallon, IL 62269
618.624.0100
618.624.0102
www.midamericaimaging.com |
|
Mosbacher,
Patricia; LCSW
#867602 |
Mental Health |
Belleville
2900 Frank Scott
Pkwy, Suite 990
Belleville, IL 62226
618.236.6501
618.236.6551 |
|
Muddasani,
Narsimha; MD
#9927 |
Mental Health/
Pediatrics |
Granite City
2120 Madison
Ave, Ste 406
Granite City, IL 62040
618.877.1008
618.887.1512 |
|
Norton,
Jennifer; MSPT
#10000603 |
Physical
Therapy/
Pediatric |
Glen Carbon
450 Cottonwood
Road
Glen Carbon, IL 62034
618.550.9479 |
|
O'Donnell,
Patrick; MD
#100034502 |
Mental Health/
Psychiatry/Peds |
Fairview Heights
125 North Ruby
Lane
Fairview Heights, IL 62208
618.398.4226 |
|
Comprehensive
Pain Specialist
#70000 |
Pain Management |
Swansea
4972 Benchmark
Centre Drive, Suite 400
Swansea, IL 62226
618.622.0303 |
|
Park, Robin; MD
#996101 |
Mental Health/
Psychiatry/Peds |
Creve Coeur
777 Craig Road,
Suite 100
Creve Coeur, MO 63141
314.991.1033 |
|
PET Imaging
#415 |
Radiology |
Swansea
4000 N. Illinois
Lane, #A
Swansea, IL 62226
618.236.9770
618.236.9780 |
|
Phoenix Physical
Therapy
(Alton Location)
#10000699 |
Physical Therapy |
Alton
935 East Airline
Dr
East Alton, IL 62024
618.258.9093
618.258.9097
www.phoenix-pt.com |
|
Phoenix Physical
Therapy
(Assumption Location)
#10000699 |
Physical Therapy |
Assumption
1004 East
Illinois
Assumption, IL 62510
618.654.4701
618.654.4739
www.phoenix-pt.com |
|
Phoenix Physical
Therapy
(Breese Location)
#10000699 |
Physical Therapy |
Breese
14015 Jamestown
Road
Breese, IL 62230
618.644.9720
618.664.9721
www.phoenix-pt.com |
|
Phoenix Physical
Therapy
(Greenville Location)
#10000699 |
Physical Therapy |
Greenville
610 E City Route
40
Greenville, IL 62246
618.664.9720
618.664.9721
www.phoenix-pt.com |
|
Phoenix Physical
Therapy
(Highland Location)
#10000699 |
Physical Therapy |
Highland
3 Ultraway Drive
Highland, IL 62249
618.654.4701
618.654.4739
www.phoenix-pt.com |
|
Phoenix Physical
Therapy
(Shelbyville Location)
#10000699 |
Physical Therapy |
Shelbyville
2100 West South
3rd St
Shelbyville, IL 62565
217.774.9660
217.774.9661
www.phoenix-pt.com |
|
Phoenix Physical
Therapy
(St. Louis Location 1)
#10000699 |
Physical Therapy |
St. Louis
10777 Sunset
Office Drive, Ste 20
St. Louis, MO 63127
314.845.8900
314.845.8904
www.phoenix-pt.com |
|
Phoenix Physical
Therapy
(St. Louis Location 2)
#10000699 |
Physical Therapy |
St. Louis
1933 Schuetz
Road
St. Louis, MO 63146
314.432.9280
314.432.9281
www.phoenix-pt.com |
|
Phoenix Physical
Therapy
(Swansea Location)
#10000699 |
Physical Therapy |
Swansea
7 Emerald
Terrace
Swansea, IL 62226
618.235.0700
618.235.0717
www.phoenix-pt.com |
|
Phoenix Physical
Therapy
(Vandalia Location)
#10000699 |
Physical Therapy |
Vandalia
126 S 1st Street
Vandalia, IL 62471
618.283.1634
618.283.0423
www.phoenix-pt.com |
|
Physician's
Surgical Center
#10000122 |
Surgical Center |
Belleville
311 W. Lincoln,
Suite 300
Belleville, IL 62220
618.233.7077 |
|
Psychiatric
Services
of Southern Illinois
#86760 |
Psychiatry |
Belleville
2900 Frank Scott
Pkwy West, Ste 990
Belleville, IL 62223
618.236.6501
618.236.6221 |
|
Quest Diagnostic
Laboratory
#300 |
Laboratory |
www.questdiagnostics.com |
|
Red Bud Regional
Hospital*
#280 |
Hospital
Facility |
Red Bud
325 Spring
Street
Red Bud, IL 62278
618.282.3831
www.redbudregional.com
*Out Patient
Ancillary Services ONLY |
|
Schnuck Markets
Inc
#10000800 |
Specialty
Pharmacy |
|
|
Sheridan,
Janice; LCSW
#9901 |
Mental Health |
O'Fallon
1669 Windham
Way, Suite B
O'Fallon, IL 62269
618.622.2579
618.624.8506 |
|
Somraty, Robyn
#90001 |
Occupational
Therapy/Pediatric |
Glen Carbon
450 Cottonwood
Road
Glen Carbon, IL 62034
618.977.4683 |
|
Sponsler, Ruth;
LCPC
#9911 |
Mental Health |
Belleville
520 Fullerton
Road
Belleville, IL 62226
618.277.6770
618.257.0641 |
|
SSM Physical
Therapy
(Alton Location)
#10000795 |
Physical Therapy |
Alton
1 Professional
Dr, Ste 10
Alton, IL 62002
618.462.4621
618.462.6323
www.ssmphysicaltherapy.com |
|
SSM Physical
Therapy
(Collinsville Location)
#10000795 |
Physical Therapy |
Collinsville
101 United Dr,
Ste 100
Collinsville, IL 62234
618.343.1122
618.343.1444
www.ssmphysicaltherapy.com |
|
SSM Physical
Therapy
(Edwardsville Location)
#10000795 |
Physical Therapy |
Edwardsville
219 E Vandalia
St
Edwardsville, IL 62034
618.659.9666
618.659.9668
www.ssmphysicaltherapy.com |
|
St. Elizabeth
Hospital
#225 |
Hospital
Facility |
Belleville
211 S. Third
Street
Belleville, IL 62220
618.234.2120
www.steliz.org |
|
St. Joseph
Hospital*
#275 |
Hospital
Facility |
Highland
1515 Main Street
Highland, IL 62249
618.654.7421
www.stjosephshighland.org
*Out Patient
Ancillary Services ONLY |
|
SSM Health St. Louis
University Hospital
#296 |
Hospital
Facility |
St. Louis
3635 Vista Ave
St. Louis, MO 63110
314.577.8000
www.sluhospital.com |
|
Stevens,
Kimberly; LCSW
#860006 |
Mental Health |
Edwardsville
103A South
Pointe Dr
Edwardsville, IL 62025
618.656.2000
618.656.1169 |
|
Stocker,
Charles; LMFT
#9907 |
Mental Health |
Glen Carbon
4A Country Club
Executive Park
Glen Carbon, IL 62034
618.288.0055 |
|
Tracy, Patricia
#90002 |
Speech Therapy/
Pediatric |
Edwardsville
10C Edwardsville
Professional Park
Edwardsville, IL 62025
618.656.7157 |
|
Vest, Jane; LCSW
#860005 |
Mental Health |
Edwardsville
103A South
Pointe Drive
Edwardsville, IL 62025
618.656.2000
618.656.1169 |
|
Visintine,
Theresa
#9991 |
Mental Health |
Glen Carbon
9 Junction Drive
W, Ste 103
Glen Carbon, IL 62034
618.207.4018
618.205.3990 |
|
Volkman,
Elizabeth;
MS, LCPC
#9908 |
Mental Health |
Belleville
520 Fullerton
Road
Belleville, IL 62226
618.239.9455
618.257.0641 |
|
Waltman, Lori
#11000102 |
Psychiatry |
St. Louis
Behavior Therapy
Specialists of IL & MO
126 W Sarah Ave
St. Louis, MO 63122
314-252-2069
314-698-2570 |
|
Yablonsky,
David; MD
#902904 |
Internal
Medicine |
Edwardsville
Associated
Physicians Group, LTD
1181 S State Route 157
Edwardsville, IL 62025
618.288.8850
618.288.8943 |
