Sheet1

County	Report Date
SANGAMON	1/1/0001
Site Id	Site Name	Site Address 1	Site Address 2	Site City	Site State	Site Zip	Site County	Site Region	VFC Pin	Covid Pin	Site Type	Moderna Dose1	Moderna Dose2	Pfizer Dose1	Pfizer Dose2	Johnson & Johnson	Race Dose1 Aian	Race Dose1 Asian	Race Dose1 Black	Race Dose1 White	Race Dose1 Other	Race Dose1 Native Hawaiian	Race Dose1 Hispanic	Race Dose1 Unknown	Ethnicity Hispanic Dose1	Ethnicity Not Hispanic Dose1	Ethnicity Unknown Dose1	Sex Dose1 Male	Sex Dose1 Female	Sex Dose1 Unknown	Sex Dose1 Other	Age Dose1 LT16	Age Dose1 16 to 64	Age Dose1 65 to 74	Age Dose1 GT74	Age Dose1 Unknown	Race Dose2 Aian	Race Dose2 Asian	Race Dose2 Black	Race Dose2 White	Race Dose2 Other	Race Dose2 Native Hawaiian	Race Dose2 Hispanic	Race Dose2 Unknown	Ethnicity Hispanic Dose2	Ethnicity Not Hispanic Dose2	Ethnicity Unknown Dose2	Sex Dose2 Male	Sex Dose2 Female	Sex Dose2 Unknown	Sex Dose2 Other	Age Dose2 LT16	Age Dose2 16 to 64	Age Dose2 65 to 74	Age Dose2 GT74	Age Dose2 Unknown	In County Dose1	In County Dose2	Out County Dose1	Out County Dose2
192811647	WALGREEN CO. STORE # 3501	2140 N PEORIA RD		SPRINGFIELD	IL	62702-1840	SANGAMON				Pharmacy	136	62	1387	649	0	14	40	91	1258	2	0	0	118	15	299	1209	688	835	0	0	0	1168	233	122	0	7	15	47	579	1	0	0	62	4	92	615	301	410	0	0	0	505	130	76	0	999	509	516	198
192811673	WALGREEN CO. STORE # 3901	2945 S 6TH ST		SPRINGFIELD	IL	62703-4024	SANGAMON				Pharmacy	149	46	1718	642	243	16	79	168	1756	1	6	0	90	21	544	1545	1027	1083	0	0	0	1877	169	64	0	4	18	38	608	0	3	0	20	6	147	535	342	346	0	0	0	611	55	22	0	1303	388	800	296
192811832	WALGREEN CO. STORE # 5137	1310 S 5TH ST		SPRINGFIELD	IL	62703-2504	SANGAMON				Pharmacy	134	53	1474	711	357	7	62	178	1516	3	5	0	199	9	274	1682	792	1173	0	0	0	1362	223	380	0	4	14	49	597	0	1	0	100	2	102	660	241	523	0	0	0	395	97	272	0	1397	605	561	157
192811586	WALGREEN CO. STORE # 2492	3216 E CLEAR LAKE AVE		SPRINGFIELD	IL	62702-6208	SANGAMON				Pharmacy	9	0	1748	892	171	16	74	98	1552	8	2	0	180	13	307	1608	945	983	0	0	1	1314	415	198	0	3	23	37	720	3	2	0	106	4	133	755	456	436	0	0	1	542	229	120	0	1284	645	639	244
192811429	WALGREEN CO. STORE # 11829	2500 S KOKE MILL RD		SPRINGFIELD	IL	62711-9617	SANGAMON				Pharmacy	113	58	1268	577	24	12	121	62	1171	1	5	0	38	9	429	967	664	741	0	0	0	1196	146	63	0	6	65	25	525	0	3	0	14	5	185	445	296	339	0	0	0	519	82	34	0	1067	517	335	117
192812039	WALGREEN CO. STORE # 9145	1900 W JEFFERSON ST		SPRINGFIELD	IL	62702-2202	SANGAMON				Pharmacy	116	27	897	404	20	3	59	76	834	4	8	0	57	17	340	676	491	542	0	0	0	856	139	38	0	1	20	33	362	3	3	0	12	7	134	290	198	233	0	0	0	367	49	15	0	641	257	390	173
198100365	SIU HEALTHCARE PEDIATRICS	400 N 9TH ST # 4TH FL SIU MED PEDIATRIC		SPRINGFIELD	IL	62702-	SANGAMON	Peoria Region – 02	135		Hospital, Out Patient	0	0	1	0	0	0	0	0	1	0	0	0	0	0	1	0	1	0	0	0	0	1	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	1	0	0	0
432009315	MG SPRFLD IM PANTHER MEDICARE	2801 MATHERS RD		SPRINGFIELD	IL	62711-7064	SANGAMON		V09525	V09525		12	6	18	4	0	0	1	2	27	0	0	0	0	0	28	2	11	19	0	0	0	3	12	15	0	0	0	2	8	0	0	0	0	0	10	0	3	7	0	0	0	0	5	5	0	25	7	5	3
192811447	WALGREEN CO. STORE # 12427	2305 W MONROE ST		SPRINGFIELD	IL	62704-1438	SANGAMON		10118	V10118	Pharmacy	0	0	2105	1107	0	7	97	58	1744	8	3	2	191	12	578	1515	882	1223	0	0	0	1274	567	264	0	3	44	22	920	3	2	2	115	3	309	795	465	642	0	0	0	608	330	169	0	1631	898	468	207
227679720	SPRINGFIELD CLINIC MAIN CAMPUS WEST	1025 S 6TH ST		SPRINGFIELD	IL	62703-2403	SANGAMON	Edwardsville Region – 04	V09307	V09307	Clinic, Private	2356	1124	7468	5039	350	12	94	467	9178	127	7	0	296	70	7962	2142	4143	6030	1	0	0	4996	2985	2193	0	7	53	272	5568	97	4	0	166	35	4946	1182	2517	3645	1	0	0	2769	1964	1430	0	7389	4676	2762	1473
192811558	WALGREEN CO. STORE # 2071	2020 S MACARTHUR BLVD		SPRINGFIELD	IL	62704-4522	SANGAMON				Pharmacy	151	50	1271	579	207	11	110	122	1322	0	3	0	64	13	297	1319	788	841	0	0	0	1386	180	63	0	5	42	28	540	0	2	0	14	5	106	518	314	315	0	0	0	533	71	25	0	1058	417	564	208
192812067	WALGREEN CO. STORE # 9580	1050 N MAIN ST		CHATHAM	IL	62629-1078	SANGAMON				Pharmacy	117	89	1532	874	90	7	83	60	1467	4	2	0	118	9	445	1285	739	1000	0	0	0	1306	230	203	0	1	65	28	803	2	1	0	64	3	239	721	393	570	0	0	0	665	153	145	0	1335	757	393	199
166907780	ST. JOHN’S HOSPITAL – SPRINGFIELD	800 E CARPENTER ST		SPRINGFIELD	IL	62769-1000	SANGAMON		V09026	V09026	Hospital	4246	4163	3129	3008	0	3	168	286	6544	19	8	1	355	61	6258	1056	2906	4469	0	0	0	3118	2394	1863	0	3	166	273	6374	19	8	1	336	60	6096	1015	2839	4332	0	0	0	2981	2361	1829	0	6545	6407	819	754
207148534	BREWER	1100 CENTRE WEST DR		SPRINGFIELD	IL	62704-2100	SANGAMON	Peoria Region – 02	671		Clinic, Private	61	21	33	9	0	0	0	3	86	1	0	0	4	0	77	17	35	59	0	0	0	44	34	16	0	0	0	2	26	0	0	0	2	0	26	4	13	17	0	0	0	12	10	8	0	86	28	8	2
57621322	UNIV OF IL AT SPRINGFIELD	ONE UNIVERSITY PLAZA # BUSINESS SERV BLDG RM 20		SPRINGFIELD	IL	62794	SANGAMON	Rockford Region – 01	3259	V03259	Educational, School (including school-based clinics)	113	99	0	0	0	1	6	1	62	2	3	1	41	1	46	66	38	74	1	0	0	110	3	0	0	1	5	1	53	2	3	1	37	1	37	61	33	65	1	0	0	96	3	0	0	65	57	40	36
207148494	SIU CTR FOR FAMILY MEDICINE	520 N 4TH ST		SPRINGFIELD	IL	62702-5238	SANGAMON	Peoria Region – 02	500	V00500	Hospital, Out Patient	2695	1300	30	9	61	4	47	474	1915	34	4	6	312	29	1835	922	987	1799	0	0	0	2080	514	192	0	1	21	299	941	25	0	2	22	13	1128	168	506	803	0	0	0	735	416	158	0	2305	1134	424	172
192811549	WALGREEN CO. STORE # 1770	2625 ADLAI STEVENSON DR		SPRINGFIELD	IL	62703-4393	SANGAMON	Edwardsville Region – 04			Pharmacy	129	46	1466	820	0	4	56	124	1307	1	0	1	103	9	260	1326	735	860	0	0	0	1260	177	158	0	1	34	64	699	0	0	0	68	3	111	752	381	485	0	0	0	636	110	120	0	1050	621	542	242
194923653	MG SPRFLD IM MSC	2901 OLD JACKSONVILLE RD		SPRINGFIELD	IL	62704-7437	SANGAMON	Peoria Region – 02	142	V00142		18	7	26	8	0	0	2	1	38	0	0	0	3	0	41	3	20	24	0	0	0	18	18	8	0	0	0	1	14	0	0	0	0	0	14	1	9	6	0	0	0	7	3	5	0	31	10	13	5
669	CENTRAL COUNTIES HEALTH CENTERS – SPRINGFIELD	2239 E COOK ST		SPRINGFIELD	IL	62703-1944	SANGAMON	Peoria Region – 02	3352	V03352	Community Health Center (FQHC)	53	50	8	0	113	0	7	27	116	0	0	0	24	12	120	42	73	101	0	0	0	133	35	6	0	0	1	3	34	0	0	0	12	0	20	30	11	39	0	0	0	42	7	1	0	159	44	12	5
752364532	SIU MEDPSYCH	751 N RUTLEDGE ST		SPRINGFIELD	IL	62702-4968	SANGAMON	Edwardsville Region – 04			Hospital, Out Patient	10	3	12	5	1	0	0	2	21	0	0	0	0	0	18	5	9	14	0	0	0	13	8	2	0	0	0	1	7	0	0	0	0	0	6	2	4	4	0	0	0	5	2	1	0	16	7	7	1
207148933	SAVAGE, VERONICA MD	2200 WABASH AVE		SPRINGFIELD	IL	62704-5352	SANGAMON	Peoria Region – 02	1488		Clinic, Private	0	0	149	0	0	0	3	16	125	0	0	0	5	0	133	16	61	88	0	0	0	107	29	13	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	118	0	31	0
752363478	SIU GENERAL INTERNAL MEDICINE	751 N RUTLEDGE ST		SPRINGFIELD	IL	62702-4968	SANGAMON	Rockford Region – 01			Hospital, Out Patient	56	18	24	7	0	0	5	4	69	1	0	0	1	1	62	17	54	26	0	0	0	35	25	20	0	0	0	0	25	0	0	0	0	0	23	2	17	8	0	0	0	12	8	5	0	66	19	14	6
3601200	SPRINGFIELD PEDIATRIC & ADOLESCENT CENTER	2532 FARRAGUT DR		SPRINGFIELD	IL	62704-1433	SANGAMON	Peoria Region – 02	670		Clinic, Private	27	0	173	1	0	0	0	6	185	1	0	0	8	1	167	32	32	168	0	0	0	183	16	1	0	0	0	0	1	0	0	0	0	0	1	0	1	0	0	0	0	1	0	0	0	150	1	50	0
481343978	CVS HEALTH – PHARMACY # 06819	2703 STEVENSON DR		SPRINGFIELD	IL	62703-4427	SANGAMON				Pharmacy	0	0	2	0	0	0	0	0	1	0	0	0	1	0	0	2	0	2	0	0	0	2	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	2	0	0	0
752359956	SIU PULMONOLOGY	751 N RUTLEDGE ST		SPRINGFIELD	IL	62702-4968	SANGAMON	Edwardsville Region – 04			Hospital, Out Patient	0	0	0	0	1	0	0	1	0	0	0	0	0	0	1	0	1	0	0	0	0	0	1	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	1	0	0	0
210027543	SIU HEALTHCARE CORE	201 E MADISON ST		SPRINGFIELD	IL	62702-5131	SANGAMON		V09281	V09281		2120	999	112	0	501	5	36	275	2058	22	4	5	337	34	1670	1029	985	1748	0	0	0	1904	542	287	0	1	9	133	804	15	1	1	37	15	742	242	391	608	0	0	0	434	350	215	0	2123	797	540	189
234122318	CENTRAL ILLINOIS ALLERGY & RESPIRATORY SERVICE LTD	543 W MILLER ST		SPRINGFIELD	IL	62702-4978	SANGAMON	Edwardsville Region – 04			Clinic, Private	0	0	1	0	0	0	0	0	1	0	0	0	0	0	0	1	1	0	0	0	0	0	1	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	1	0	0	0
458277895	WALMART STORE #3602	1100 LEJUNE DR		SPRINGFIELD	IL	62703-4537	SANGAMON	Edwardsville Region – 04		V09753	Pharmacy	0	0	0	0	93	0	0	6	84	0	1	0	3	5	78	10	40	53	0	0	0	79	11	3	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	77	0	16	0
458287729	WALMART STORE #3210	2760 N DIRKSEN PKWY		SPRINGFIELD	IL	62702-1448	SANGAMON	Edwardsville Region – 04		V09750	Pharmacy	36	0	0	0	182	0	8	14	178	0	0	0	18	18	155	45	107	111	0	0	0	190	20	8	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	165	0	47	0
3789263	MEMORIAL MEDICAL CENTER	701 N 1ST ST		SPRINGFIELD	IL	62781-0002	SANGAMON		V09003	V09003		5446	5321	5525	4338	60	22	121	390	9792	69	10	5	637	10	1376	9645	4297	6734	0	0	0	7095	2013	1923	0	18	102	302	8741	62	7	2	434	9	1233	8417	3689	5970	0	0	0	5920	1906	1833	0	8552	7509	2455	2130
291	IDPH I-CARE ADMINISTRATOR	525 W JEFFERSON ST		SPRINGFIELD	IL	62702-5056	SANGAMON	Peoria Region – 02	67530	V67530	Government, State	0	0	1	0	0	0	0	0	1	0	0	0	0	0	1	0	1	0	0	0	0	0	1	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
1102540949	SIU CENTER FOR FAMILY MEDICINE INTEGRATED WELLNESS	710 N 8TH ST		SPRINGFIELD	IL	62702-6324	SANGAMON	Edwardsville Region – 04			Hospital, Out Patient	1	0	8	3	0	0	0	3	5	1	0	0	0	0	7	2	2	7	0	0	0	8	1	0	0	0	0	1	2	0	0	0	0	0	1	2	1	2	0	0	0	3	0	0	0	7	3	2	0
752372748	SIU OB-SPRINGFIELD	400 N 9TH ST		SPRINGFIELD	IL	62702-5310	SANGAMON					0	0	1	0	0	0	0	0	1	0	0	0	0	0	1	0	0	1	0	0	0	1	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	1	0	0	0
432016851	MG ROCHESTER FM	300 SATTLEY ST		ROCHESTER	IL	62563-9241	SANGAMON		V09507	V09507		30	8	12	1	0	0	0	1	39	0	0	0	2	1	35	6	13	29	0	0	0	20	14	8	0	0	0	0	9	0	0	0	0	0	8	1	3	6	0	0	0	3	2	4	0	29	8	11	1
458200608	SAMS CLUB STORE #8215	2300 W WHITE OAKS DR		SPRINGFIELD	IL	62704-6423	SANGAMON	Edwardsville Region – 04	V09482	V09482	Pharmacy	0	0	0	0	15	0	2	0	9	0	0	0	4	5	10	0	9	6	0	0	0	15	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	11	0	4	0
432017396	MG SPFLD PRIORITY CARE	1836 S MACARTHUR BLVD		SPRINGFIELD	IL	62704-4000	SANGAMON	Rockford Region – 01	V09526	V09526		2	1	3	1	0	0	0	0	4	0	0	0	1	0	5	0	3	2	0	0	0	3	1	1	0	0	0	0	2	0	0	0	0	0	2	0	1	1	0	0	0	1	1	0	0	5	2	0	0
459206825	WALMART STORE #1602	3401 FREEDOM DR		SPRINGFIELD	IL	62704-6517	SANGAMON	Edwardsville Region – 04	V09404	V09404	Pharmacy	1	0	0	0	91	0	5	8	74	0	0	0	5	12	63	17	52	40	0	0	0	76	12	4	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	76	0	16	0
481344354	CVS HEALTH – PHARMACY # 06845	2001 W WASHINGTON ST		SPRINGFIELD	IL	62702-4628	SANGAMON				Pharmacy	0	0	3	0	0	0	0	0	2	0	0	0	1	0	1	2	2	1	0	0	0	3	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	3	0	0	0
1344614433	DAVITA-SPRINGFIELD CENTRAL	600 N GRAND ST AVE # W		SPRINGFIELD	IL	62702	SANGAMON	Rockford Region – 01		V09781	Clinic, Public	0	0	0	0	234	1	0	52	158	1	0	6	22	7	128	99	122	112	0	0	0	158	46	30	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	42	0	155	0
1336799938	CURRY’S FAMILY PHARMACY	1275 N 7TH ST		RIVERTON	IL	62561-9739	SANGAMON	Edwardsville Region – 04	V09460	V09460	Pharmacy	48	0	0	0	0	0	0	0	45	0	0	0	3	0	26	22	24	24	0	0	0	30	8	10	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	46	0	0	0
1340889999	ILLINOIS STATE POLICE – ACADEMY	3700 E LAKE SHORE DR		SPRINGFIELD	IL	62712-8609	SANGAMON	Edwardsville Region – 04	V09573	V09573	Government, State	16587	14825	78	0	0	40	632	1915	13396	5	34	6	677	2053	13345	1267	9231	7395	39	0	1	12755	2739	1170	0	36	589	1651	11994	3	33	5	552	1747	12004	1074	8305	6496	24	0	0	11330	2479	1016	0	1633	1456	15000	13344
1321767922	HYVEE PHARMACY 1640	2115 S MACARTHUR BLVD		SPRINGFIELD	IL	62704-4501	SANGAMON	Edwardsville Region – 04	V09457	V09457	Pharmacy	3527	2720	0	0	3	5	32	75	2511	28	5	2	879	5	341	3184	1659	1871	0	0	0	2297	933	300	0	5	22	49	2062	23	2	2	559	4	291	2425	1260	1460	0	0	0	1583	859	278	0	2762	2176	728	515
1341673119	HSHS MED GROUP – JOSLIN DIABETES	1118 W LEGACY POINTE DR		SPRINGFIELD	IL	62711-6444	SANGAMON	Edwardsville Region – 04	V09572	V09572	Clinic, Public	556	539	1795	1111	0	2	45	133	1975	6	0	2	190	20	1817	514	1094	1257	0	0	0	1661	492	198	0	1	31	84	1422	6	0	2	106	15	1321	314	763	887	0	0	0	1069	415	166	0	2018	1462	332	187
1362804234	FKC – SPRINGFIELD EAST	140 S MARTIN LUTHER KING JR DR		SPRINGFIELD	IL	62703-1114	SANGAMON	Edwardsville Region – 04		V10019	Clinic, Public	21	17	0	0	0	0	0	9	11	0	0	0	1	0	7	14	9	12	0	0	0	15	4	2	0	0	0	7	9	0	0	0	1	0	6	11	6	11	0	0	0	14	2	1	0	17	14	3	3
1311032916	CVS STORE#18081	2801 CHATHAM RD		SPRINGFIELD	IL	62704-4187	SANGAMON					13	0	0	0	0	0	0	0	13	0	0	0	0	0	6	7	7	6	0	0	0	12	1	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	11	0	2	0
1311032923	CVS STORE#18072	2239 E COOK ST # 101		SPRINGFIELD	IL	62703-1944	SANGAMON					0	0	0	0	84	0	5	14	61	0	0	0	4	7	55	22	46	38	0	0	0	75	7	2	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	50	0	32	0
3772063	SANGAMON COUNTY HEALTH DEPARTMENT	2833 SOUTH GRAND AVE E		SPRINGFIELD	IL	62703-2175	SANGAMON	Peoria Region – 02	996	V00996	Local Health Department	25400	19616	29169	20898	2099	94	1197	2963	47781	189	51	208	4444	690	40292	15686	26228	30346	85	9	4	40604	10177	5883	0	56	719	1731	35168	126	37	122	2714	451	30125	9938	18338	22138	35	3	2	26866	8628	5018	0	38233	28247	15586	10616
1316222731	ANDREW MCFARLAND MENTAL HEALTH CENTER	901 E SOUTHWIND RD		SPRINGFIELD	IL	62703-5125	SANGAMON	Peoria Region – 02	V09017	V09017	Government, State	388	318	0	0	0	2	3	70	291	1	0	2	21	4	329	55	175	212	0	1	0	350	29	9	0	2	3	60	235	1	0	2	17	4	269	45	145	172	0	1	0	287	24	7	0	267	214	107	92
3737793	MG CHATHAM FM & PEDS	125 E PLUMMER BLVD STE A		CHATHAM	IL	62629-8136	SANGAMON	Peoria Region – 02	182	V00182		15	4	16	3	0	0	0	0	30	0	0	0	1	1	28	2	15	16	0	0	0	21	7	3	0	0	0	0	7	0	0	0	0	0	6	1	4	3	0	0	0	5	0	2	0	28	7	3	0
1328049539	MEIJER PHARMACY 176	4200 CONESTOGA DR		SPRINGFIELD	IL	62711-7962	SANGAMON	Edwardsville Region – 04	V09439	V09439	Pharmacy	32	0	0	0	30	1	5	2	49	0	0	0	5	2	60	0	25	36	1	0	0	59	0	3	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	56	0	6	0
1343820788	FRESENIUS KIDNEY CARE CENTRE WEST	1112 CENTRE WEST DR		SPRINGFIELD	IL	62704-2100	SANGAMON		V09654	V09654		30	0	0	0	0	0	0	11	18	0	0	0	1	0	18	12	14	16	0	0	0	17	6	7	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	20	0	8	0
1230570377	HSHS FAMILY MEDICINE SHERMAN	2806 E ANDREW RD		SHERMAN	IL	62684-9517	SANGAMON		V09529	V09529		0	0	1	1	0	0	0	0	1	0	0	0	0	0	1	0	0	1	0	0	0	1	0	0	0	0	0	0	1	0	0	0	0	0	1	0	0	1	0	0	0	1	0	0	0	1	1	0	0

Sheet2

County	Report Date
COOK	1/1/0001
Site Id	Site Name	Site Address 1	Site Address 2	Site City	Site State	Site Zip	Site County	Site Region	VFC Pin	Covid Pin	Site Type	Moderna Dose1	Moderna Dose2	Pfizer Dose1	Pfizer Dose2	Johnson & Johnson	Race Dose1 Aian	Race Dose1 Asian	Race Dose1 Black	Race Dose1 White	Race Dose1 Other	Race Dose1 Native Hawaiian	Race Dose1 Hispanic	Race Dose1 Unknown	Ethnicity Hispanic Dose1	Ethnicity Not Hispanic Dose1	Ethnicity Unknown Dose1	Sex Dose1 Male	Sex Dose1 Female	Sex Dose1 Unknown	Sex Dose1 Other	Age Dose1 LT16	Age Dose1 16 to 64	Age Dose1 65 to 74	Age Dose1 GT74	Age Dose1 Unknown	Race Dose2 Aian	Race Dose2 Asian	Race Dose2 Black	Race Dose2 White	Race Dose2 Other	Race Dose2 Native Hawaiian	Race Dose2 Hispanic	Race Dose2 Unknown	Ethnicity Hispanic Dose2	Ethnicity Not Hispanic Dose2	Ethnicity Unknown Dose2	Sex Dose2 Male	Sex Dose2 Female	Sex Dose2 Unknown	Sex Dose2 Other	Age Dose2 LT16	Age Dose2 16 to 64	Age Dose2 65 to 74	Age Dose2 GT74	Age Dose2 Unknown	In County Dose1	In County Dose2	Out County Dose1	Out County Dose2
437	ACCESS @ AUBURN GRESHAM	8234 S ASHLAND AVE		CHICAGO	IL	60620-4625	COOK	Bellwood Region – 08	C00535	CV0535	Community Health Center (FQHC)	2	1	1	0	0	0	0	3	0	0	0	0	0	0	0	3	2	1	0	0	0	3	0	0	0	0	0	1	0	0	0	0	0	0	0	1	0	1	0	0	0	1	0	0	0	3	1	0	0
110	ACCESS @ CENTRO MEDICO	3700 W 26TH ST		CHICAGO	IL	60623-3824	COOK	Bellwood Region – 08	C01173	CV1173	Community Health Center (FQHC)	12	2	16	1	0	0	0	0	11	0	0	0	17	3	3	22	11	17	0	0	0	24	2	2	0	0	0	0	1	0	0	0	2	0	0	3	1	2	0	0	0	3	0	0	0	27	3	1	0
325	ST. BERNARD HOSP AND HLTH CARE CTR	326 W. 64TH ST PHAMARCY		CHICAGO	IL	60621	COOK	Bellwood Region – 08	C00730	CV0730	Hospital	0	0	5305	4087	0	16	448	2480	426	6	4	102	1929	146	1652	3507	2098	3169	36	2	0	3037	1359	909	0	11	391	1742	361	3	2	68	1579	109	1135	2843	1591	2466	29	1	0	2136	1172	779	0	4350	3330	499	422
497	ACCESS @ DOCTORS MEDICAL CENTER	6240 W 55TH ST		CHICAGO	IL	60638-2531	COOK	Bellwood Region – 08	C00847	CV0847	Community Health Center (FQHC)	18	5	28	8	0	0	0	2	38	0	0	0	6	3	3	40	22	23	1	0	0	30	13	3	0	0	0	0	11	0	0	0	2	0	0	13	7	6	0	0	0	7	5	1	0	46	13	0	0
269	CHICAGO PUBLIC SCHOOLS	42 W MADISON ST		CHICAGO	IL	60602-4309	COOK	Bellwood Region – 08		CV0250	Educational, School (including school-based clinics)	6527	356	0	0	0	55	242	2617	2513	6	20	4	1094	1737	4351	439	2065	4416	46	0	0	6347	169	11	0	5	9	111	150	0	2	0	81	112	220	24	112	241	3	0	0	344	12	0	0	6234	346	225	8
284	ACCESS @ ROGERS PARK FHC	1555 W HOWARD ST		CHICAGO	IL	60626-1707	COOK	Bellwood Region – 08	C00059	CV0059	Community Health Center (FQHC)	12	1	2	0	0	0	0	0	3	0	0	0	11	0	0	14	1	13	0	0	0	12	2	0	0	0	0	0	0	0	0	0	1	0	0	1	0	1	0	0	0	1	0	0	0	14	1	0	0
3591869	ACCESS @ NORTHWEST COMMUNITY	1120 N ARLINGTON HEIGHTS RD		ARLINGTON HEIGHTS	IL	60004-4767	COOK	Bellwood Region – 08	6080	V06080	Community Health Center (FQHC)	1452	939	6	2	57	4	103	48	326	0	6	1	1034	4	13	1498	663	852	0	0	0	1106	299	110	0	4	72	30	211	0	4	0	624	1	9	931	406	535	0	0	0	609	239	93	0	1244	779	264	158
691	ACCESS GENESIS FAMILY HEALTH CENTER	1 N BROADWAY ST		DES PLAINES	IL	60016-2335	COOK	Bellwood Region – 08	4794	V04794	Community Health Center (FQHC)	16	4	27	9	0	0	0	0	8	0	0	0	35	3	2	38	12	31	0	0	0	35	6	2	0	0	0	0	3	0	0	0	10	0	0	13	1	12	0	0	0	9	3	1	0	41	13	2	0
3855139	ST. XAVIER UNIVERSITY HEALTH CENTER	3700 W 103RD ST # DC3925		CHICAGO	IL	60655-3105	COOK	Bellwood Region – 08	C01415	CV1415	Educational, University	2055	942	0	0	0	1	30	177	1079	19	9	67	749	81	600	1374	787	1263	5	0	0	1459	276	320	0	1	14	28	535	4	6	22	360	23	258	661	300	641	1	0	0	481	206	255	0	1736	780	191	103
3720937	FRIEND FAMILY HEALTH CENTER PULASKI	5635 S PULASKI RD # 2		CHICAGO	IL	60629-4438	COOK	Bellwood Region – 08	C01581	CV1581		2000	1136	387	197	0	23	15	194	1631	3	0	7	521	1862	279	246	1042	1345	0	0	0	2093	225	69	0	9	10	98	950	0	0	4	266	1021	130	182	583	750	0	0	0	1116	167	50	0	2354	1310	22	18
3749491	HEARTLAND HEALTH CENTER – ROGERS PARK	2200 W TOUHY AVE		CHICAGO	IL	60645-3412	COOK		C01561	CV1561		1	0	1	1	1	0	0	0	3	0	0	0	0	2	0	1	1	2	0	0	0	3	0	0	0	0	0	0	1	0	0	0	0	0	0	1	1	0	0	0	0	1	0	0	0	3	1	0	0
494	SHIRLEY RYAN ABILITY LAB	355 E ERIE ST		CHICAGO	IL	60611-2654	COOK		CV0004	CV0004		0	0	2093	1978	0	11	232	358	1329	0	5	1	163	167	1546	380	560	1533	0	0	0	1986	89	18	0	11	218	326	1277	0	5	1	146	155	1482	341	530	1448	0	0	0	1901	70	7	0	1777	1687	314	289
412	ACCESS @ PILSEN COMMUNITY HEALTH CENTER	1817 S LOOMIS ST		CHICAGO	IL	60608-3018	COOK		C01063	CV1063		21	8	21	13	0	0	2	7	18	0	0	0	15	4	2	36	15	27	0	0	0	34	7	1	0	0	1	5	8	0	0	0	7	0	0	21	6	15	0	0	0	17	4	0	0	42	21	0	0
104	RML HEALTH PROVIDERS LIMITED PARTNERSHIP	3435 W VAN BUREN ST		CHICAGO	IL	60624-3312	COOK	Bellwood Region – 08	C00351	C00351	Hospital	69	49	257	157	0	1	40	83	103	1	3	20	98	28	128	170	99	225	1	1	0	296	23	7	0	1	27	63	61	0	2	19	54	20	93	93	66	139	1	0	0	188	14	4	0	190	129	106	60
521	PRISM HEALTH LAB	2322 W PETERSON AVE		CHICAGO	IL	60659-5203	COOK	Bellwood Region – 08		CV0289		1892	446	10	0	0	5	561	253	517	192	3	0	374	465	1072	365	870	943	89	0	1	1125	512	264	0	0	206	166	41	17	0	0	16	23	325	98	168	277	1	0	0	192	167	87	0	1295	200	605	246
528	LINCOLN PEDIATRIC CENTER	5641 N LINCOLN AVE		CHICAGO	IL	60659-4921	COOK	Bellwood Region – 08	C01252	CV1252	Clinic, Private	28	0	0	0	0	0	5	0	2	0	0	10	21	21	5	2	16	12	0	0	0	28	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	28	0	0	0
612	CCHHS – CICERO	1800 HARLEM AVE		NORTH RIVERSIDE	IL	60546-1468	COOK	Bellwood Region – 08	3236	V03236		27	9	37320	9031	105	330	2435	2647	21922	10	42	9	10108	9897	26497	1058	18860	18580	12	0	0	32671	3214	1567	0	61	465	561	5331	1	8	4	2621	2611	5778	651	4012	5020	8	0	0	6343	1800	897	0	33820	8145	3559	890
56508112	CHILDREN AND TEENS MEDICAL CENTER – SCHAUMBURG	1701 W WISE RD		SCHAUMBURG	IL	60193-3553	COOK		6830			0	0	1	1	0	0	0	0	1	0	0	0	0	0	1	0	1	0	0	0	0	0	1	0	0	0	0	0	1	0	0	0	0	0	1	0	1	0	0	0	0	0	1	0	0	1	1	0	0
63651730	GALILEE MEDICAL CENTER	4200 W 63RD ST		CHICAGO	IL	60629-5010	COOK	Bellwood Region – 08	C01429	CV1429	Clinic, Private	338	231	0	0	0	2	3	3	90	7	2	38	233	11	14	313	168	170	0	0	0	217	76	45	0	1	3	1	71	5	1	19	150	7	3	221	114	117	0	0	0	135	59	37	0	275	195	54	34
73753897	ACCESS @ EVANSTON FAMILY HEALTH CENTER	1723 HOWARD ST		EVANSTON	IL	60202-3735	COOK		C00168	CV0168		82	13	20	6	100	2	10	41	51	0	0	0	98	5	1	196	84	118	0	0	0	187	12	3	0	0	2	1	4	0	0	0	12	0	0	19	5	14	0	0	0	17	1	1	0	192	19	10	0
68682733	ANGEL HEALTHCARE SERVICES	7906 S CRANDON AVE		CHICAGO	IL	60617-1146	COOK		C01619	CV1619		278	239	3	0	0	0	0	180	49	0	0	0	52	34	145	102	118	163	0	0	0	124	111	46	0	0	0	156	36	0	0	0	47	26	118	95	103	136	0	0	0	96	102	41	0	261	224	17	12
225	PRIMECARE WEST TOWN	1431 N WESTERN AVE STE 406		CHICAGO	IL	60622-1774	COOK		C00501	Cv0501	Community Health Center (FQHC)	567	319	12	3	1	5	4	62	208	2	3	2	299	352	118	110	246	333	1	0	0	359	163	58	0	3	3	36	117	2	1	1	161	200	74	48	144	178	0	0	0	146	129	47	0	569	319	8	3
67051014	ILLINOIS YOUTH CENTER OF CHICAGO	136 N WESTERN AVE		CHICAGO	IL	60612-2222	COOK	Bellwood Region – 08	C01153		Correctional Facility	138	122	0	0	0	0	1	57	37	1	0	5	42	12	58	68	71	67	0	0	0	132	5	1	0	0	1	51	32	1	0	5	37	11	50	61	59	63	0	0	0	117	4	1	0	107	95	20	16
150	ACCESS @ HUMBOLDT PARK	3202 W NORTH AVE		CHICAGO	IL	60647-4940	COOK	Bellwood Region – 08	C00539	CV0539	Community Health Center (FQHC)	3	0	2	0	0	0	0	2	1	0	0	0	2	1	0	4	2	3	0	0	0	5	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	5	0	0	0
67687040	ACCESS MELROSE PARK FAMILY HLTH CTR	8321 W NORTH AVE		MELROSE PARK	IL	60160-1605	COOK	Bellwood Region – 08	4680	V04680	Community Health Center (FQHC)	5	1	5	2	0	1	0	2	3	0	0	0	4	0	1	9	7	3	0	0	0	9	1	0	0	0	0	0	0	0	0	0	3	0	0	3	2	1	0	0	0	3	0	0	0	10	3	0	0
453	ACCESS @ KEDZIE FAMILY HEALTH CENTER	3229 W 47TH PL		CHICAGO	IL	60632-3011	COOK		C01024	CV1024		217	186	9	3	0	1	7	17	69	1	1	9	131	9	6	211	39	187	0	0	0	211	11	4	0	1	7	15	57	1	1	9	108	8	5	176	31	158	0	0	0	178	11	0	0	206	173	9	6
72105211	AMG SOUTH HOLLAND	100 W 162ND ST		SOUTH HOLLAND	IL	60473-2003	COOK	Bellwood Region – 08	4446		Clinic, Private	47	18	86	39	0	0	0	81	18	0	0	0	34	0	7	126	53	80	0	0	0	47	46	40	0	0	0	31	8	0	0	0	18	0	1	56	27	30	0	0	0	14	25	18	0	121	49	12	8
146	PRIMECARE NORTHWEST	1649 N PULASKI RD		CHICAGO	IL	60639-5207	COOK		C00149	CV0149		1165	515	2	0	28	6	3	74	400	12	4	6	700	895	164	136	524	671	0	0	0	936	188	71	0	2	1	35	152	6	1	0	319	409	55	51	223	292	0	0	0	319	140	56	0	1177	508	13	7
502	ACCESS @ GRAND BLVD	5401 S WENTWORTH AVE		CHICAGO	IL	60609-6300	COOK		C00810	CV0810		7	2	8	2	0	0	0	12	2	0	0	0	1	0	1	14	8	7	0	0	0	12	3	0	0	0	0	3	1	0	0	0	0	0	0	4	3	1	0	0	0	3	1	0	0	15	4	0	0
591	PMG @ ARMITAGE FAMILY PRACTICE CENTER	3224 W ARMITAGE AVE		CHICAGO	IL	60647-3716	COOK	Bellwood Region – 08	C01576	CV1576	Clinic, Private	43	21	53	18	0	0	8	4	16	3	0	0	65	8	5	83	36	60	0	0	0	53	26	17	0	0	3	1	3	1	0	0	31	0	0	39	12	27	0	0	0	24	7	8	0	91	37	4	1
13	ACCESS @ BOOKER	654 E 47TH ST		CHICAGO	IL	60653-4224	COOK	Bellwood Region – 08	C00421	CV0421	Community Health Center (FQHC)	8	3	5	1	0	0	0	13	0	0	0	0	0	0	1	12	6	7	0	0	0	9	3	1	0	0	0	4	0	0	0	0	0	0	0	4	2	2	0	0	0	2	1	1	0	13	4	0	0
63330852	ALIVIO @ LITTLE VILLAGE	3120 S. KOSTNER # DELIVER TO SCHOOL HEALTH CENTE		CHICAGO	IL	60623-	COOK		C01551			1	0	0	0	0	0	0	0	0	0	0	0	1	1	0	0	0	1	0	0	0	1	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	1	0	0	0
69224702	ACCESS @ HOLY CROSS	2701 W. 68TH ST	3RD FLOOR SOUTH PAVILION	CHICAGO	IL	60629	COOK	Bellwood Region – 08	C00668	CV0668	Community Health Center (FQHC)	9	0	10	4	0	0	0	13	0	0	0	0	6	1	0	18	11	8	0	0	0	17	2	0	0	0	0	3	0	0	0	0	1	0	0	4	2	2	0	0	0	4	0	0	0	19	4	0	0
475	PRIMECARE FULLERTON	3924 W FULLERTON AVE		CHICAGO	IL	60647-2228	COOK	Bellwood Region – 08	C00767	CV0767	Community Health Center (FQHC)	472	319	5	1	1	3	1	21	229	1	1	6	223	362	51	65	193	285	0	0	0	328	102	48	0	3	1	14	144	1	1	1	157	245	34	41	129	191	0	0	0	199	85	36	0	471	316	6	3
54657366	SMG – ANTILLAS FAMILY MEDICAL CENTER	3109 W ARMITAGE AVE		CHICAGO	IL	60647-3818	COOK		C00819	CV0819		885	475	1	0	0	3	103	35	67	5	1	4	673	198	367	321	453	433	0	0	0	741	94	51	0	0	31	15	48	5	0	2	376	133	161	181	244	231	0	0	0	343	84	48	0	843	439	39	35
673	COOK COUNTY ENGLEWOOD HEALTH CENTER	1135 W 69TH ST		CHICAGO	IL	60621-1147	COOK		C01158	CV1158		2479	1568	1	0	0	13	40	1720	615	0	2	0	92	253	1971	256	1096	1383	1	0	0	1515	634	331	0	8	17	1169	321	0	0	0	53	159	1275	134	682	885	1	0	0	879	439	250	0	2368	1513	108	52
74885558	HEALTH DIRECTION MEDICAL CENTER	4959 W BELMONT AVE		CHICAGO	IL	60641-4332	COOK	Bellwood Region – 08	C01501	CV1501	Clinic, Private	617	199	0	0	0	0	6	3	104	10	1	150	494	143	53	421	286	330	1	0	0	465	103	49	0	0	2	1	28	0	0	35	168	26	5	168	82	117	0	0	0	86	75	38	0	557	191	18	2
78089310	PRIMECARE PORTAGE PARK	5635 W BELMONT AVE		CHICAGO	IL	60634-4384	COOK	Bellwood Region – 08	C01646	CV1646	Community Health Center (FQHC)	1363	1105	7	3	15	8	17	39	595	6	1	9	720	820	237	328	592	792	1	0	0	1002	306	77	0	3	14	32	454	5	1	7	600	661	174	273	470	638	0	0	0	773	264	71	0	1355	1084	22	18
74838973	FAMILY PRACTICE CLINIC	5509 W MONTROSE AVE		CHICAGO	IL	60641-1331	COOK	Bellwood Region – 08	C01483		Clinic, Private	0	0	2	0	0	0	0	0	2	0	0	0	0	0	1	1	1	1	0	0	0	1	1	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	2	0	0	0
151011231	CHICAGO FAMILY HC EAST SIDE	10536 S EWING AVE		CHICAGO	IL	60617-6219	COOK		C01607	CV1607		47	0	3	2	42	0	0	16	57	0	1	0	19	70	16	6	43	49	0	0	0	80	10	2	0	0	0	0	1	0	0	0	1	2	0	0	2	0	0	0	0	2	0	0	0	87	2	5	0
156166293	UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SERVICES	809 S MARSHFIELD AVE		CHICAGO	IL	60612-4305	COOK	Bellwood Region – 08			Hospital, Out Patient	1073	769	169	87	35	6	50	473	354	13	6	20	381	134	536	607	580	689	4	4	3	980	178	116	0	6	36	315	224	8	3	13	267	88	358	410	387	466	2	1	0	662	121	73	0	1049	725	153	85
160301948	SWEDISH COVENANT HOSPITAL	5145 N. CALIFORNIA # PHARMACY SERVICES		CHICAGO	IL	60625-	COOK	Bellwood Region – 08	C01524	CV1524	Hospital	0	0	15	1	0	0	1	3	7	0	0	0	4	2	10	3	5	10	0	0	0	5	4	6	0	0	0	1	0	0	0	0	0	0	1	0	1	0	0	0	0	1	0	0	0	15	1	0	0
159500961	MILLENNIUM PARK MEDICAL ASSOCIATES, SC	30 S MICHIGAN AVE		CHICAGO	IL	60603-3211	COOK	Bellwood Region – 08		CV0201	Clinic, Public	278	184	0	0	0	1	5	32	117	1	0	10	122	10	174	94	125	153	0	0	0	199	51	28	0	1	3	26	73	1	0	8	80	8	110	66	82	102	0	0	0	112	48	24	0	253	164	24	19
126202172	FAMILY CHRISTIAN HEALTH CENTER	31 W 155TH ST	STE E	HARVEY	IL	60426-3556	COOK	Bellwood Region – 08	597	V00597	Clinic, Private	2196	1403	121	110	0	8	32	1660	423	1	5	3	193	125	1072	1120	951	1358	8	0	0	1754	347	216	0	5	22	1108	269	1	3	0	108	70	628	815	618	891	4	0	0	1068	280	165	0	2075	1344	234	166
130947259	ALLIANCE IMMEDIATE AND PRIMARY CARE	4332 N ELSTON AVE		CHICAGO	IL	60641-2144	COOK	Bellwood Region – 08	C01792	CV1792	Clinic, Private	1352	916	0	0	0	3	42	21	434	16	9	17	836	9	40	1303	627	725	0	0	0	874	331	147	0	2	22	11	331	8	3	12	542	6	31	879	400	516	0	0	0	480	308	128	0	1157	792	192	122
108169958	CERMAK HEALTH SERVICES @ JUVENILE TEMP. DETENTION CENTER	2160 W OGDEN AVE	C/O IMMUNIZATION DEPT	CHICAGO	IL	60612	COOK	Bellwood Region – 08	C01118		Community Health Center (FQHC)	0	0	52	39	0	0	0	39	8	0	0	0	5	10	42	0	52	0	0	0	0	52	0	0	0	0	0	33	3	0	0	0	3	5	34	0	39	0	0	0	0	39	0	0	0	49	37	3	2
97475065	CCHHS – ROBBINS	13450 S KEDZIE AVE		ROBBINS	IL	60472-1639	COOK	Bellwood Region – 08	2073	V02073		0	0	7803	3728	0	40	388	2680	3600	2	6	3	1093	1231	6008	564	3409	4393	1	0	0	5419	1608	776	0	6	172	1388	1769	1	1	1	392	371	2961	396	1471	2257	0	0	0	1957	1172	599	0	6997	3408	793	316
126097894	HERMOSA MEDICAL AND DIAGNOSTIC CTR	2004 N PULASKI RD		CHICAGO	IL	60639-3767	COOK		C00586	CV0586		413	197	0	0	0	3	0	10	79	8	0	96	313	118	29	266	206	207	0	0	0	345	42	26	0	2	0	5	45	1	0	32	144	41	19	137	88	109	0	0	0	154	24	19	0	380	183	14	9
126547048	STREETERVILLE INTERNAL MEDICINE, PLLC	676 N SAINT CLAIR ST	STE 1740	CHICAGO	IL	60611-2963	COOK			CV0263		215	202	12	9	0	0	6	37	178	0	0	4	6	9	208	10	70	157	0	0	0	174	40	13	0	0	6	34	165	0	0	4	6	8	196	7	66	145	0	0	0	167	32	12	0	193	180	34	31
126560900	MERCY PHILLIPS HEALTH CLINIC SBHC	244 E. PERSHING RD BASEMENT HEALTH CENTER		CHICAGO	IL	60653-	COOK	Bellwood Region – 08	C01427	CV1427	Educational, School (including school-based clinics)	243	169	0	0	0	3	2	149	84	0	0	0	5	11	208	24	18	17	208	0	0	203	26	14	0	3	2	97	62	0	0	0	5	6	146	17	10	10	149	0	0	144	15	10	0	202	147	40	21
128584983	NORTHWESTERN MEMORIAL HOSPITAL	251 E HURON ST		CHICAGO	IL	60611-2908	COOK		C01543	CV1543		20	3	51946	46528	0	104	2674	7279	31517	2632	90	51	7760	2145	28610	21211	19497	30764	1705	0	0	30483	11415	10068	0	97	2315	6321	28414	2364	82	47	7020	1673	24761	20097	17443	27461	1627	0	0	25568	11094	9869	0	45004	40035	6915	6456
126601468	BERWYN PUBLIC HEALTH DISTRICT	6600 26TH ST		BERWYN	IL	60402-2652	COOK	Bellwood Region – 08	2361	V02361	Local Health Department	136	0	0	0	50	0	0	5	72	4	1	80	105	95	35	56	87	97	2	0	0	151	15	20	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	174	0	6	0
161307057	NORTHSHORE WOMEN’S HEALTH, SC	10024 SKOKIE BLVD		SKOKIE	IL	60077-9944	COOK	Bellwood Region – 08			Out-of-State Facility	2	0	0	0	0	0	0	0	2	0	0	0	0	0	2	0	0	2	0	0	0	2	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	1	0	1	0
163978509	LAWN MEDICAL CENTER SC	4301 W 95TH ST		OAK LAWN	IL	60453-2670	COOK	Bellwood Region – 08	1111		Clinic, Private	85	32	117	50	0	0	1	20	148	0	0	15	33	14	139	49	73	129	0	0	0	100	52	50	0	0	0	10	57	0	0	8	15	6	66	10	28	54	0	0	0	44	14	24	0	185	75	17	7
167331500	CARDINAL BERNARDIN CANCER CTR	CC SURGICAL ONCOLOGY 2160 1 AVE		MAYWOOD	IL	60153-	COOK	Rockford Region – 01			Clinic, Private	22	8	24	14	0	1	1	2	38	0	0	0	4	0	2	44	24	22	0	0	0	17	19	10	0	1	0	1	17	0	0	0	3	0	0	22	12	10	0	0	0	9	9	4	0	19	8	25	13
167612768	NORTHWEST COMMUNITY HEALTHCARE	800 W CENTRAL RD		ARLINGTON HEIGHTS	IL	60005-2349	COOK		V09091	V09091		6794	4106	18248	16308	0	37	2267	448	19524	2	58	3	2764	2019	20228	2795	11128	13847	67	0	0	14736	6126	4180	0	30	1891	334	16003	2	40	3	2154	1480	16578	2356	8956	11411	47	0	0	11221	5515	3678	0	18391	14874	6621	5516
165719819	MICHIGAN AVENUE INTERNISTS LLC	200 S MICHIGAN AVE	STE 1400	CHICAGO	IL	60604-2426	COOK	Bellwood Region – 08		CV2071	Clinic, Private	0	0	0	0	100	0	2	14	69	9	0	0	6	6	85	9	43	57	0	0	0	85	5	10	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	86	0	14	0
166187690	PRESENCE MEDICAL GROUP	7447 W TALCOTT AVE STE 551		CHICAGO	IL	60631-3722	COOK	Bellwood Region – 08	C01783		Clinic, Private	18	9	30	11	0	0	2	0	25	0	0	1	21	1	2	45	25	23	0	0	0	10	14	24	0	0	1	0	8	0	0	0	11	0	0	20	11	9	0	0	0	2	7	11	0	48	20	0	0
166194812	INTERNAL MEDICINE ASSOCIATES	676 N SAINT CLAIR ST	STE 510	CHICAGO	IL	60611-2927	COOK	Bellwood Region – 08		CV0465	Clinic, Private	0	0	0	0	5	0	1	0	4	0	0	0	0	0	5	0	3	2	0	0	0	2	1	2	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	5	0	0	0
167419979	MILE SQUARE SOUTH SHORE	7037 S STONY ISLAND AVE		CHICAGO	IL	60649-1905	COOK		C01490	CV1490	Hospital, Out Patient	202	60	1	0	0	0	0	185	4	0	0	0	14	8	180	15	74	129	0	0	0	183	16	4	0	0	0	51	3	0	0	0	6	5	48	7	21	39	0	0	0	54	4	2	0	194	56	9	4
152452930	KRIS D MCGRATH MD SC	500 N MICHIGAN AVE	STE 1640	CHICAGO	IL	60611-3750	COOK	Bellwood Region – 08		CV0464	Physician Office (Private)	11	0	0	0	0	0	0	2	8	0	0	1	1	0	10	1	1	10	0	0	0	7	1	3	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	9	0	2	0
160603300	NORTH RIVERSIDE	1950 HARLEM AVE		N RIVERSIDE	IL	60546-1470	COOK	Bellwood Region – 08	3050		Clinic, Private	27	10	59	27	0	0	7	18	48	0	0	0	13	1	5	80	21	65	0	0	0	46	15	25	0	0	4	11	18	0	0	0	4	0	0	37	9	28	0	0	0	22	9	6	0	81	34	5	3
154887733	CHICAGOLAND COMPLETE HEALTHCARE	1431 N WESTERN AVE STE 201		CHICAGO	IL	60622-7712	COOK		C01643	CV1643		214	0	0	0	101	0	6	13	48	16	2	63	232	71	24	220	145	170	0	0	0	284	20	11	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	291	0	12	0
169436611	HEARTLAND HEALTH CENTER – WILSON	845 W WILSON AVE	STE 1	CHICAGO	IL	60640-8090	COOK		C01645	CV1645		6	0	0	0	0	0	1	2	1	0	0	0	2	0	5	1	5	1	0	0	0	3	2	1	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	6	0	0	0
281	KOMED HOLMAN HEALTH CENTER	4259 S BERKELEY AVE		CHICAGO	IL	60653-3030	COOK		C00761	CV0761		482	168	35	0	290	1	9	681	79	0	0	0	37	67	630	110	343	463	1	0	0	585	146	76	0	0	1	146	17	0	0	0	4	16	130	22	65	103	0	0	0	90	48	30	0	779	156	23	10
473	OFFICE OF MARLA KUSHNER	2437 N SOUTHPORT AVE		CHICAGO	IL	60614-2060	COOK	Bellwood Region – 08	C01240	CV1240	Clinic, Private	283	176	0	0	0	1	4	27	132	2	0	9	117	11	107	165	152	131	0	0	0	261	15	7	0	1	3	16	76	1	0	5	79	7	60	109	95	81	0	0	0	156	13	7	0	223	141	36	23
56507579	IMAN HEALTH CLINIC	2744 W 63RD ST		CHICAGO	IL	60629-2343	COOK	Bellwood Region – 08	C01795	CV1795	Clinic, Private	1168	725	0	0	0	1	51	315	644	1	0	1	156	417	652	99	536	632	0	0	0	998	109	61	0	1	24	210	419	0	0	1	71	255	431	39	326	399	0	0	0	586	88	51	0	1080	665	86	59
3909050	RICF – HAWTHORNE	3701 S LARAMIE AVE		CICERO	IL	60804-4513	COOK	Bellwood Region – 08	2342	V02342	Clinic, Private	124	119	0	0	70	0	0	5	38	1	0	150	150	148	44	2	104	90	0	0	0	180	11	3	0	0	0	3	27	1	0	88	88	87	31	1	58	61	0	0	0	111	7	1	0	173	107	15	10
150953267	TILAHUN MEDICAL GROUP	2740 W FOSTER AVE	STE

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