Illinois Medicaid Provider List with NPI, Illinois State Licensed Healthcare Practitioner List with NPI (Department of Human Services)

Dear Kamran Ahmed:

This correspondence is in response to your request for public records pursuant to the Freedom of Information Act (FOIA), which the Illinois Department of Human Service received on July 6, 2021. Your request seeks the following:

I am requesting an opportunity to inspect or obtain copies of public records that include an updated list of all Illinois State Medicaid healthcare providers and ALL Illinois state licensed healthcare providers in electronic data set (CSV format is preferred; excel or PDF electronic formats also acceptable) to include Physicians (MD, DO), Physician Assistants, Nurses, CRNA, Nurse Practitioners, Midwives, Dentists, Podiatrists, Dental Assistants, Chiropractors, Physical Therapists, Optometrists, Occupational Therapists, Social Workers, Marriage and Family therapists, Psychologists, Emergency Medical Personnel (EMTs, Paramedics), Perfusionists, Respiratory Therapists, Speech-Language Pathology, Veterinarians and so on. All types of practitioners from all dates electronically available would be appreciated. Specific items to be included in data set:

1. Provider name
2. National Provider Identifier (NPI) number
3. Illinois State Healthcare License number and initial date of issuance or expiry (if available/applicable)
4. Education / School/Training, if available
5. Provider type (MD, DO, PA, RN, PT, OT, OD, CRNA, DMD, DDS, DPM etc)
6. Specialty
7. Practice Location
8. Please include Data Dictionary describing state Medicaid and state Licensure Data Sets
9. Please provide (if there is an existing) a static website link to verify an individual's Illinois state healthcare licensure status provided by any and all available state healthcare licensing boards (Medical Board, Nursing, Dental, Optometry, Podiatry, Psychology, PT, OT, Radiologic Technologist, Respiratory Therapy, Chiropractor, Speech Therapy, Family Counseling, Social Work, etc).

Please note that the Illinois Department of Healthcare and Family Services (IHFS) is responsible for administering Medicaid programs in the State of Illinois. Likewise, the Illinois Department of Financial and Professional Regulation (IDFPR) is the State agency that licenses and regulates professionals in Illinois, including doctors, nurses, and other healthcare workers. As a result, the Illinois Department of Human Services (IDHS) does not maintain the records detailed in your request. For more information about how to request public records from IHFS and IDFPR, please visit:

* IHFS - Freedom of Information Act (FOIA) (illinois.gov)<https://www.illinois.gov/hfs/info/legal/FOIA/Pages/default.aspx>
* IDFPR - State of Illinois | Department of Financial & Professional Regulation (idfpr.com)<https://www.idfpr.com/IDFPRFOIA.asp>

To the extent you consider any portion of this response to be an improper denial of your FOIA request, you have a right to seek review by writing to the Public Access Counselor (PAC) at the following address:

Public Access Counselor
Office of the Attorney General
500 South 2nd Street
Springfield, Illinois 62706
Fax: 217-782-1396
E-Mail: publicaccess@atg.state.il.us<mailto:publicaccess@atg.state.il.us>

If you choose to file a Request for Review with the PAC, you must do so within 60 calendar days of the date of this letter. 5 ILCS 140/9.5(a). Please note that you must include a copy of your original FOIA request and this response when filing a Request for Review with the PAC. You also have the right to seek judicial review of this response. 5 ILCS 140/11.

Thank you for your interest in the Illinois Department of Human Services.

Sincerely,

Thomas D. Mulcrone
Associate General Counsel
Illinois Department of Human Services

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