network|NPI|TIN|Name|FirstName|MI|LastName|Degree|Specialty|Address|City|State|Zip|Phone|TermDate|ReportDate
IMAG|1013961291|593644575||SEGUNDO|A|IMBERT|MD|Psychiatry|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15
IMAG|1013966993|582006708|CORAM HEALTHCARE CORPORATION OF SOU|||||Infusion Agency|5571 EKWILL ST STE A-B|SANTA BARBARA|CA|93111|8007889295|2022-07-31|2022-09-15
IMAG|1013966993|582006708|CORAM HEALTHCARE CORPORATION OF SOU|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1023491438|593644575||PRIYANKA||SAIGAL|MD|Psychiatry|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15
IMAG|1053365544|581949686|CORAM HEALTHCARE CORPORATION OF SOU|||||Infusion Agency|12006 MIRAMAR PKWY|HOLLYWOOD|FL|33025|8778556806|2022-08-28|2022-09-15
IMAG|1053365544|581949686|CORAM HEALTHCARE CORPORATION OF SOU|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-08-28|2022-09-15
IMAG|1053948109|593644575||ROSHNI||PATEL|PA|Physician Assistant|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15
IMAG|1063432672|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|11 H COMMERCE WAY|DESOTO|TX|75123|8005240319|2022-09-04|2022-09-15
IMAG|1063432672|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-09-04|2022-09-15
IMAG|1104103290|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|2022 GLENN PARK DR|CHAMPAIGN|IL|61821|8007825381|2022-07-31|2022-09-15
IMAG|1104103290|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|2173567900|2022-07-31|2022-09-15
IMAG|1134228745|582035129|CORAM HEALTHCARE CORPORATION OF GRE|||||Infusion Agency|4115 PLEASANT VALLEY RD STE 200|CHANTILLY|VA|20151|8007918180|2022-07-31|2022-09-15
IMAG|1134228745|582035129|CORAM HEALTHCARE CORPORATION OF GRE|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1134635873|593644575||CHRISOVALATOU||TASSOPOULOS|PA|Physician Assistant|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15
IMAG|1144617564|741724391||SYEEDA|R|ALAM|DO|Family Practice|8210 CALLAGHAN RD|SAN ANTONIO|TX|78230|2102337000|2022-08-10|2022-09-15
IMAG|1164712311|384054409||WANDA||RIVERA SLOAN|LPC|Counseling|10775 PIONEER TRL STE 215|TRUCKEE|CA|96161|4154244266|2022-08-31|2022-09-15
IMAG|1164712311|384054409||WANDA||RIVERA SLOAN|LPC|Counseling|9100 S DADELAND BLVD STE 1500|MIAMI|FL|33156|4154244266|2022-08-31|2022-09-15
IMAG|1164799037|593644575||RYAN|T|DEEN|MD|Psychiatry|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15
IMAG|1184636359|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|4305 MUHLHAUSER RD STE 1|FAIRFIELD|OH|45014|8008990779|2022-07-31|2022-09-15
IMAG|1184636359|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1184723884|760215922|CORAM, INC|||||Infusion Agency|10118 HUEBNER RD|SAN ANTONIO|TX|78240|2105230125|2022-07-31|2022-09-15
IMAG|1184723884|760215922|CORAM, INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|2105230125|2022-07-31|2022-09-15
IMAG|1205865508|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|115 JAMES DR W STE 100|SAINT ROSE|LA|70087|8004566176|2022-07-31|2022-09-15
IMAG|1205865508|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1215379987|752018461||COLLEEN||EDGE|MD|Pediatrics|8355 WALNUT HILL LN STE 105|DALLAS|TX|75231|2143683659|2022-09-01|2022-09-15
IMAG|1255769881|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|1574 E PARHAM RD|HENRICO|VA|23228|8552768951|2022-07-31|2022-09-15
IMAG|1255769881|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1275800781|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|2970 SIDCO DR|NASHVILLE|TN|37204|8665524320|2022-07-31|2022-09-15
IMAG|1275800781|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1306984331|593644575||LAURA|L|GAILEY|LMHC|Counseling|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15
IMAG|1346250610|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|6565 DAVIS INDUSTRIAL PKWY STE AA|SOLON|OH|44139|8008262174|2022-07-31|2022-09-15
IMAG|1346250610|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1346275591|752018461||LORIN||LEVIN|MD|Pediatrics|8355 WALNUT HILL LN STE 105|DALLAS|TX|75231|2143683659|2022-09-01|2022-09-15
IMAG|1356791354|593644575||RACHEL|M|PRESSWOOD|LCSW|Social Worker|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15
IMAG|1366729451|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|4153 ARLINGATE PLZ STES 4153 &|COLUMBUS|OH|43228|8007773662|2022-07-31|2022-09-15
IMAG|1366729451|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1396794483|581972773|CORAM HEALTHCARE CORPORATION OF NOR|||||Infusion Agency|9332 TECH CTR DR STE 100|SACRAMENTO|CA|95826|8008802971|2022-07-31|2022-09-15
IMAG|1396794483|581972773|CORAM HEALTHCARE CORPORATION OF NOR|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1447750450|593644575||KURT|W|WENTZEL|LMHC|Counseling|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15
IMAG|1457380206|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|28550 CABOT DR STE 200|NOVI|MI|48377|8003235308|2022-07-31|2022-09-15
IMAG|1457380206|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1457976490|203845479||MEGHAN||BREWSTER|PT|Physical Therapy|9000 WAUKEGAN RD STE 100 STE 100|MORTON GROVE|IL|60053|8477796050|2022-07-21|2022-09-15
IMAG|1487763678|362690329||IBRAHIM|A|TAHA|DPM|Podiatry|1221 N HIGHLAND AVE|AURORA|IL|60506|6302648720|2022-07-09|2022-09-15
IMAG|1487763678|362690329||IBRAHIM|A|TAHA|DPM|Podiatry|28594 NETWORK PL|CHICAGO|IL|60673||2022-07-09|2022-09-15
IMAG|1528498490|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|3101 N SILLECT AVE STE 109|BAKERSFIELD|CA|93308|8003338346|2022-07-31|2022-09-15
IMAG|1528498490|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1538342571|593644575||DAVID|R|MILLER|LMHC|Counseling|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15
IMAG|1558453290|330556959|CORAM HEALTHCARE CORPORATION OF NOR|||||Infusion Agency|10105 TECHNOLOGY BLVD W STE 102|DALLAS|TX|75220|8008997060|2022-07-31|2022-09-15
IMAG|1558453290|330556959|CORAM HEALTHCARE CORPORATION OF NOR|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|2149023600|2022-07-31|2022-09-15
IMAG|1568474716|581844719|CORAM HEALTHCARE CORPORATION OF GRE|||||Infusion Agency|4823 55TH AVE|MASPETH|NY|11378|8005220556|2022-09-04|2022-09-15
IMAG|1568474716|581844719|CORAM HEALTHCARE CORPORATION OF GRE|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-09-04|2022-09-15
IMAG|1588783419|391351587||DARA|D|SPEARMAN|MD|Dermatology|2246 N POINTE DR|WARSAW|IN|46582|5743499242|2022-08-17|2022-09-15
IMAG|1588783419|391351587||DARA|D|SPEARMAN|MD|Dermatology|330 N WABASH AVE STE 360|MARION|IN|46952|7656643292|2022-08-17|2022-09-15
IMAG|1588783419|391351587||DARA|D|SPEARMAN|MD|Dermatology|4020 NEW VISION DR|FORT WAYNE|IN|46845|2604232567|2022-08-17|2022-09-15
IMAG|1609899590|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|12450 E ARAPAHOE RD STE A1|ENGLEWOOD|CO|80112|8009340093|2022-07-31|2022-09-15
IMAG|1609899590|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1619312493|384054409||KAYLA||JONES|LPC|Counseling|10775 PIONEER TRL STE 215|TRUCKEE|CA|96161|4154244266|2022-08-31|2022-09-15
IMAG|1619312493|384054409||KAYLA||JONES|LPC|Counseling|9100 S DADELAND BLVD STE 1500|MIAMI|FL|33156|4154244266|2022-08-31|2022-09-15
IMAG|1619478047|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|4601 E HILTON AVE STE 105|PHOENIX|AZ|85034|8669340847|2022-08-28|2022-09-15
IMAG|1619478047|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-08-28|2022-09-15
IMAG|1619529518|203845479||MICHAEL||TAM|PA-C|Physician Assistant|550 W OGDEN AVE|HINSDALE|IL|60521|6303236116|2022-06-06|2022-09-15
IMAG|1629027867|581972773|CORAM HEALTHCARE CORPORATION OF NOR|||||Infusion Agency|3160 CORPORATE PL|HAYWARD|CA|94545|8008769101|2022-08-28|2022-09-15
IMAG|1629027867|581972773|CORAM HEALTHCARE CORPORATION OF NOR|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-08-28|2022-09-15
IMAG|1629184957|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|1680 CENTURY CTR PKWY STE 12|MEMPHIS|TN|38134|8002371668|2022-07-31|2022-09-15
IMAG|1629184957|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1629355482|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|11711 N COLLEGE AVE STE 125|CARMEL|IN|46032|8008219150|2022-07-31|2022-09-15
IMAG|1629355482|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1649612383|593644575||RACHEL|L|KOHN|LCSW|Counseling|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15
IMAG|1659300861|582035129|CORAM HEALTHCARE CORPORATION OF GRE|||||Infusion Agency|7150 COLUMBIA GATEWAY DR STE E|COLUMBIA|MD|21046|8002273675|2022-08-28|2022-09-15
IMAG|1659300861|582035129|CORAM HEALTHCARE CORPORATION OF GRE|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-08-28|2022-09-15
IMAG|1669426102|203845479||JULIE||DIGIOVANNA|PT|Physical Therapy|150 N MICHIGAN AVE STE 1400|CHICAGO|IL|60601|3122514511|2022-08-05|2022-09-15
IMAG|1669759650|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|12120 COLONEL GLENN RD STE 8000|LITTLE ROCK|AR|72210|8886669199|2022-07-31|2022-09-15
IMAG|1669759650|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1679859862|581844719|CORAM HEALTHCARE CORPORATION OF GRE|||||Infusion Agency|375 N FRENCH RD STE 108|BUFFALO|NY|14228|8883456983|2022-07-31|2022-09-15
IMAG|1679859862|581844719|CORAM HEALTHCARE CORPORATION OF GRE|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1720556178|593644575||DAVID|B|KOHN|PA|Physician Assistant|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15
IMAG|1730295650|582006708|CORAM HEALTHCARE CORPORATION OF SOU|||||Infusion Agency|3002 DOW AVE STE 104|TUSTIN|CA|92780|8772964423|2022-07-31|2022-09-15
IMAG|1730295650|582006708|CORAM HEALTHCARE CORPORATION OF SOU|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1750321592|203845479||WENDY||ALLING|PT|Physical Therapy|724 FLORSHEIM DR|LIBERTYVILLE|IL|60048|8479189077|2022-08-08|2022-09-15
IMAG|1770075152|760215922|CORAM ALTERNATE SITE SERIVCES INC|||||Infusion Agency|8910 W 192ND ST STE J|MOKENA|IL|60448|8443434215|2022-07-31|2022-09-15
IMAG|1770075152|760215922|CORAM ALTERNATE SITE SERIVCES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1770509218|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|9401 SOUTHERN PINE BLVD STE J|CHARLOTTE|NC|28273|8005220157|2022-07-31|2022-09-15
IMAG|1770509218|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1780614461|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|2901 FRONTAGE RD S 10 HWY E STE 7|MOORHEAD|MN|56560|8009486337|2022-07-31|2022-09-15
IMAG|1780614461|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1780953802|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|4060 TECHNOLOGY DR|MAUMEE|OH|43537|8002572970|2022-07-31|2022-09-15
IMAG|1780953802|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1811946759|582006708|CORAM HEALTHCARE CORPORATION OF SOU|||||Infusion Agency|2710 MEDIA CTR DR STE 150 BLDG 6|LOS ANGELES|CA|90065|8005234042|2022-08-28|2022-09-15
IMAG|1811946759|582006708|CORAM HEALTHCARE CORPORATION OF SOU|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-08-28|2022-09-15
IMAG|1831467711|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|10932 MURDOCK DR STE A101|KNOXVILLE|TN|37932|8884403028|2022-07-31|2022-09-15
IMAG|1831467711|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1841249182|581813484|CORAM HEALTHCARE CORPORATION OF ALA|||||Infusion Agency|300 RIVERHILLS BUSINESS PARK STE 39|BIRMINGHAM|AL|35242|8009951919|2022-07-31|2022-09-15
IMAG|1841249182|581813484|CORAM HEALTHCARE CORPORATION OF ALA|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1861599896|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|3817 CONSTITUTION DR STE 300|EL PASO|TX|79922|8008884038|2022-07-31|2022-09-15
IMAG|1861599896|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1871181636|204232503||CHI|E|KIM|LCSW|Social Worker|140 E RIDGEWOOD AVE OFC 456 STE 415|PARAMUS|NJ|07652|8002753243|2022-07-31|2022-09-15
IMAG|1881289791|275300631||BRADLEY|J|RHATIGAN|APRN|Nurse Practitioner|721 COLORADO AVE|STUART|FL|34994|7728882545|2022-08-03|2022-09-15
IMAG|1881289791|275300631||BRADLEY|J|RHATIGAN|APRN|Nurse Practitioner|7805 NW BEACON SQ BLVD STE 103|BOCA RATON|FL|33487|5613184751|2022-08-03|2022-09-15
IMAG|1891071098|581844719|CORAM HEALTHCARE CORPORATION OF GRE|||||Infusion Agency|12 JUPITER LN|ALBANY|NY|12205|8002891515|2022-09-04|2022-09-15
IMAG|1891071098|581844719|CORAM HEALTHCARE CORPORATION OF GRE|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-09-04|2022-09-15
IMAG|1902395486|593644575||CATHERINE||LAI-HSU|PA|Physician Assistant|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15
IMAG|1912267410|452298151||CESAR|O|REATEGUI SANCHEZ|MD|General Surgery|6560 FANNIN ST STE 1404|HOUSTON|TX|77030|7137900600|2022-06-30|2022-09-15
IMAG|1932477809|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|12 NORTHBROOK DR BLDG B STE 1|FALMOUTH|ME|04105|8006980508|2022-07-31|2022-09-15
IMAG|1932477809|760215922|CORAM ALTERNATE SITE SERVICES INC|||||Infusion Agency|P.O. BOX 809160|CHICAGO|IL|60680|8779366874|2022-07-31|2022-09-15
IMAG|1932681517|593644575||LIDIA||ALVARADO|APRN|Nurse Practitioner|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2022-04-23|2022-09-15
IMAG|1932765492|260859911||CHANDRA||ELLIS|NP|Nurse Practitioner|450 W MEDICAL CTR BLVD STE 600|WEBSTER|TX|77598|2813324596|2022-06-17|2022-09-15
IMAG|1942752944|593644575||ETHAN||YODER|PA|Physician Assistant|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15
IMAG|1962831180|593644575||MANVIR|S|DHILLON|MD|Psychiatry|1540 CITRUS MEDICAL CT|OCOEE|FL|34761|4076027168|2023-01-20|2022-09-15