ILLINOIS DEPARTMENT of HUMAN SERVICES Region 1

Home , County Market, Fareway, Jewel (supermarket), Meijer, Schnucks

ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Region 1

STORES ACTIVE IN COOK COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0112 WALGREENS #01417 1931 W CERMAK RD CHICAGO 60608 Y 0113 WALGREENS #03074 4700 S HALSTED ST CHICAGO 60609 Y 0633 FAIRPLAY RGS 3057 W 159TH ST MARKHAM 60426 N 1242 BUTERA FINER FOODS #87 4761 N NAGLE HARWOOD HEIGHTS 60706 N 1248 CVS PHARMACY #08736 7216 CIRCLE AVE FOREST PARK 60130 Y 1265 JEWEL #3265 507 E WOODLAWN LAGRANGE PARK 60525 N 1266 JEWEL #3254 7201 W 24TH ST NORTH RIVERSIDE 60546 N 1267 JEWEL #3236 7036 W ROOSEVELT RD OAK PARK 60304 N 1268 JEWEL #3160 9652 W 131ST ST PALOS PARK 60464 N 1269 JEWEL #3063 763 E 162ND ST SOUTH HOLLAND 60473 N 1270 JEWEL-OSCO #3474 423 E DUNDEE RD PALATINE 60067 N 1272 JEWEL #3157 4650 W 103RD ST OAK LAWN 60453 N 1274 JEWEL #3308 1151 S ROSELLE RD SCHAUMBURG 60193 N 1275 JEWEL #3445 45 PLUM GROVE RD PALATINE 60067 N 1276 JEWEL #3479 79 MCHENRY RD BUFFALO GROVE 60089 N 1277 JEWEL #3053 12803 S HARLEM AVE PALOS HEIGHTS 60463 N 1278 JEWEL-OSCO #3426 2502 N WAUKEGAN RD GLENVIEW 60025 N 1280 JEWEL #3473 819 S ELMHURST RD DES PLAINES 60016 N 1281 JEWEL #3484 5667 W TOUHY NILES 60714 N 1282 JEWEL-OSCO #3348 125 E STEARNS RD BARTLETT 60103 N 1283 JEWEL #3163 5616 W 159TH ST OAK FOREST 60452 N 1284 JEWEL #3316 1069 ROSELLE RD HOFFMAN ESTATES 60195 N 1285 JEWEL #3471 1517 N SHERIDAN RD WILMETTE 60091 N 1287 JEWEL #3290 800 W NORTH AVE MELROSE PARK 60160 N 1288 JEWEL #3029 9528 S ROBERTS RD HICKORY HILLS 60457 N 1290 JEWEL #3098 12001 S PULASKI ALSIP 60803 N

Page 1 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 1291 JEWEL #3422 122 N VAIL ARLINGTON HEIGHTS 60005 N 1293 JEWEL #3086 8801 S RIDGELAND OAK LAWN 60453 N 1294 JEWEL #3491 3000 KIRCHOFF RD ROLLING MEADOWS 60008 N 1295 JEWEL #3165 17117 S HARLEM TINLEY PARK 60477 N 1296 JEWEL #3425 1500 S LEE ST DES PLAINES 60018 N 1298 JEWEL #3456 411 N GREENBAY RD WILMETTE 60091 N 1299 JEWEL #3428 1128 CHICAGO AVE EVANSTON 60202 N 1300 JEWEL #3167 3220 S CHICAGO RD SOUTH CHICAGO HTS 60411 N 1301 JEWEL #3159 3153 W 183RD ST HOMEWOOD 60430 N 1304 JEWEL #3268 217 IRVING PARK STREAMWOOD 60107 N 1305 JEWEL #3228 2128 S MANNHEIM RD WESTCHESTER 60154 N 1306 JEWEL #3476 333 E EUCLID AVE MT PROSPECT 60056 N 1307 JEWEL #3051 9350 W 159TH ST ORLAND PARK 60462 N 1309 JEWEL #3461 1860 S ARLINGTON HTS RD ARLINGTON HEIGHTS 60005 N 1311 JEWEL #3519 2775 PFINGSTEN GLENVIEW 60025 N 1312 JEWEL #3220 20 W BIESTERFIELD RD ELK GROVE VILLAGE 60007 N 1314 JEWEL-OSCO #3288 438 WEST MADISON OAK PARK 60302 N 1315 JEWEL #3103 7122 W 40TH ST STICKNEY 60402 N 1316 JEWEL #3223 7525 W LAKE ST RIVER FOREST 60305 N 1317 JEWEL #3188 17705 S HALSTED AVE HOMEWOOD 60430 N 1318 JEWEL-OSCO #3465 9449 N SKOKIE SKOKIE 60077 N 1319 JEWEL #3478 440 E RAND RD ARLINGTON HEIGHTS 60004 N 1320 JEWEL #3481 481 BUSSE HWY PARK RIDGE 60068 N 1321 JEWEL #3257 10203 W GRAND FRANKLIN PARK 60131 N 1322 JEWEL #3107 9424 S PULASKI OAK LAWN 60453 N 1323 JEWEL #3216 2501 SCHAUMBURG RD SCHAUMBURG 60194 N 1458 SUPERMERCADO LA CHIQUITA 3555 W 26TH ST CHICAGO 60623 N 1471 LA MERCED 4335 W 26TH ST CHICAGO 60623 N 1509 MINI-MERCADO LA BETANIA 2800 S TRIPP CHICAGO 60623 N 1544 FOOD TOWN 4401 N HAZEL CHICAGO 60640 N 1766 KOL TUV KOSHER FOODS 2938 W DEVON AVE CHICAGO 60659 N Page 2 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 1794 PAULINA SUPERMARKET 7622 N PAULINA CHICAGO 60626 N 1799 INTERNATIONAL FOODS NW 4404 W FULLERTON CHICAGO 60639 N 1806 TONY'S FINER FOODS 3607 W FULLERTON AVE CHICAGO 60647 N 1822 FINE FAIR FOOD & LIQUOR 3357-59 W 16TH ST CHICAGO 60623 N 1841 FAIRPLAY 2200 S WESTERN AVE CHICAGO 60608 N 1869 ONE STOP FOOD & LIQUOR STORE 4301 S LAKE PARK AVE CHICAGO 60653 N 1877 FAIRPLAY FOURSOME FINER FOODS 4640 S HALSTED CHICAGO 60609 N 1938 FAIRPLAY 2323 W 111TH ST CHICAGO 60643 N 1953 JEWEL #3632 3630 N SOUTHPORT CHICAGO 60613 N 1956 JEWEL #3176 9400 S ASHLAND AVE CHICAGO 60620 N 1957 JEWEL #3477 4734 N CUMBERLAND CHICAGO 60656 N 1958 JEWEL #3429 8730 W DEMPSTER NILES 60714 N 1960 JEWEL #3441 2940 N ASHLAND CHICAGO 60657 N 1963 JEWEL #3043 443 E 34TH ST CHICAGO 60616 N 1964 JEWEL #3455 4355 N SHERIDAN CHICAGO 60613 N 1965 JEWEL #3407 5516 N CLARK CHICAGO 60640 N 1967 JEWEL #3501 3400 N WESTERN CHICAGO 60618 N 1970 JEWEL #3443 5343 N BROADWAY CHICAGO 60640 N 1973 CVS PHARMACY #08750 4801 N CENTRAL AVE CHICAGO 60630 Y 1974 JEWEL #3030 7530 S STONY ISLAND CHICAGO 60649 N 1977 JEWEL #3442 4042 W FOSTER AVE CHICAGO 60630 N 1979 JEWEL #3302 3644 S ARCHER AVE CHICAGO 60608 N 1980 JEWEL #3454 4250 N LINCOLN AVE CHICAGO 60618 N 1981 JEWEL #3241 1341 N PAULINA ST CHICAGO 60622 N 1984 JEWEL-OSCO #3092 1655 E 95TH ST CHICAGO 60617 N 1985 JEWEL #3446 7900 MILWAUKEE AVE NILES 60714 N 1986 JEWEL-OSCO #3344 1220 S ASHLAND CHICAGO 60608 N 1989 JEWEL-OSCO #3721 6107 S ARCHER AVE CHICAGO 60638 N 1990 JEWEL #3514 3531 N BROADWAY CHICAGO 60657 N 1992 JEWEL #3114 3128 W 103RD ST CHICAGO 60655 N 1994 CVS PHARMACY #08756 6200 W HIGGINS AVE CHICAGO 60630 Y Page 3 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 1995 JEWEL #3470 3570 N ELSTON AVE CHICAGO 60618 N 2005 JEWEL #3282 4729 N CENTRAL CHICAGO 60630 N 2006 JEWEL #3296 7342 W FOSTER CHICAGO 60656 N 2010 CVS PHARMACY #08739 1819 N HARLEM AVE CHICAGO 60707 Y 2011 JEWEL #3170 5320 S PULASKI CHICAGO 60632 N 2013 JEWEL #3181 87 W 87TH ST CHICAGO 60620 N 2014 JEWEL-OSCO #3187 11730 S MARSHFIELD AVE CHICAGO 60643 N 2015 JEWEL-OSCO #3349 2520 N NARRAGANSETTE CHICAGO 60639 N 2018 JEWEL #3224 6430 W IRVING PARK RD CHICAGO 60634 N 2022 CVS PHARMACY #08751 4051 N LINCOLN AVE CHICAGO 60618 Y 2045 CVS PHARMACY #08741 2634 S PULASKI RD CHICAGO 60623 Y 2052 CVS PHARMACY #08738 741 W 31ST ST CHICAGO 60608 Y 2053 CVS PHARMACY #08753 3637 N SOUTHPORT AVE CHICAGO 60613 Y 2055 CVS PHARMACY #08502 6315 S PULASKI RD CHICAGO 60629 Y 2251 SUPERMERCADO TORRES 5304 W 25TH ST CICERO 60804 N 2254 CLARK SUPER FOOD & LIQUOR 6647 N CLARK CHICAGO 60626 N 2295 TISCHLER FINER FOODS 9118 BROADWAY BROOKFIELD 60513 N 2483 ONE STOP EXPRESS FOOD & LIQUOR 1014 S 17TH AVE MAYWOOD 60153 N 2636 FAIRPLAY 6620 W 111TH ST WORTH 60482 N 2786 FAIRWAY FINER FOODS 200 E 144TH ST DOLTON 60419 N 2789 WALGREENS #05149 1600 W ROOSEVELT BROADVIEW 60155 Y 2807 DOLTON FOOD & LIQUOR 14133 CHICAGO RD DOLTON 60419 N 3218 CHICAGO PRODUCE 3500 W LAWRENCE CHICAGO 60625 N 3258 JEWEL #3486 1485 PALATINE RD HOFFMANN ESTATES 60195 N 3378 CARNICERIA EL PORVENIR 150 E KENSINGTON CHICAGO 60628 N 3474 DINO'S FINER FOODS 6768 BARRINGTON RD HANOVER PARK 60133 N 3511 SUPERMERCADO EL GUERO NO 8 2101 W CERMAK RD CHICAGO 60608 N 3678 WALGREENS #09330 18300 GOVERNORS HWY HOMEWOOD 60430 Y 3679 WALGREENS #04503 9301 WAUKEGAN BLVD MORTON GROVE 60053 Y 3681 WALGREENS #02785 5840 W 35TH ST CICERO 60804 Y 3686 WALGREENS #00209 1028 S ELMHURST RD MT PROSPECT 60056 Y Page 4 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 3689 WALGREENS #05670 2 N LAGRANGE RD LAGRANGE 60525 Y 3690 WALGREENS #15907 800 DEVON AVE PARK RIDGE 60068 Y 3691 WALGREENS #05076 6800 OGDEN AVE BERWYN 60402 Y 3692 WALGREENS #05594 3 EAST GOLF RD ARLINGTON HEIGHTS 60005 Y 3695 WALGREENS #02619 2100 GREEN BAY RD EVANSTON 60201 Y 3696 WALGREENS #09331 8400 171ST ST TINLEY PARK 60487 Y 3697 WALGREENS #04743 16675 S OAK PARK AVE TINLEY PARK 60477 Y 3698 WALGREENS #09358 6798 N LINCOLN AVE LINCOLNWOOD 60712 Y 3701 WALGREENS #12623 1180 S ROSELLE RD SCHAUMBURG 60193 Y 3702 WALGREENS #05683 1403 WAUKEGAN AVE GLENVIEW 60025 Y 3704 WALGREENS #04941 10 N MILWAUKEE AVE WHEELING 60090 Y 3707 WALGREENS #12584 1050 WAUKEGAN RD NORTHBROOK 60062 Y 3708 WALGREENS #05684 8800 W 95TH ST HICKORY HILLS 60457 Y 3710 WALGREENS #05384 4700 S GILBERT AVE WESTERN SPRINGS 60558 Y 3711 WALGREENS #06601 21 RAND ROAD DES PLAINES 60016 Y 3713 WALGREENS #11109 4800 W 148TH ST MIDLOTHIAN 60445 Y 3714 WALGREENS #11332 4101 N HARLEM AVE NORRIDGE 60706 Y 3715 WALGREENS #01249 4800 W CERMAK RD CICERO 60804 Y 3719 WALGREENS #05086 3120 CHICAGO RD SOUTH CHICAGO HTS 60411 Y 3721 WALGREENS #11154 7113 CERMAK RD BERWYN 60402 Y 3722 WALGREENS #01656 63 GREEN BAY RD GLENCOE 60022 Y 3723 WALGREENS #03433 2560 W GOLF RD HOFFMAN ESTATES 60169 Y 3726 WALGREENS #05126 3564 RIDGE RD LANSING 60438 Y 3727 WALGREENS #00252 7510 N WESTERN AVE CHICAGO 60645 Y 3729 WALGREENS #00259 3358 N WESTERN AVE CHICAGO 60618 Y 3730 WALGREENS #01308 7410 N CLARK ST CHICAGO 60626 Y 3732 WALGREENS #02711 7150 W ARCHER AVE CHICAGO 60638 Y 3733 WALGREENS #02211 5036 S COTTAGE GROVE AVE CHICAGO 60615 Y 3739 WALGREENS #00163 4000 W 59TH ST CHICAGO 60629 Y 3740 WALGREENS #07515 7155 W FOSTER AVE CHICAGO 60656 Y 3741 WALGREENS #00258 1650 W CHICAGO AVE CHICAGO 60622 Y Page 5 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 3744 WALGREENS #09709 4010 W LAWRENCE AVE CHICAGO 60630 Y 3745 WALGREENS #00178 740 W DIVERSEY PKWY CHICAGO 60614 Y 3746 WALGREENS #10649 3424 W BELMONT AVE CHICAGO 60618 Y 3747 WALGREENS #05192 2924 E 92ND ST CHICAGO 60617 Y 3749 WALGREENS #05356 4710 S WESTERN AVE CHICAGO 60609 Y 3755 WALGREENS #06297 6016 W 63RD ST CHICAGO 60638 Y 3756 WALGREENS #11410 1627 N PULASKI RD CHICAGO 60639 Y 3757 WALGREENS #00162 1554 E 55TH ST CHICAGO 60615 Y 3758 WALGREENS #00215 3045 W 26TH ST CHICAGO 60623 Y 3760 WALGREENS #01096 3646 N BROADWAY ST CHICAGO 60613 Y 3762 WALGREENS #11492 5414 S ARCHER AVE CHICAGO 60638 Y 3763 WALGREENS #04936 4040 N CICERO AVE CHICAGO 60641 Y 3765 WALGREENS #04147 1546 N CENTRAL AVE CHICAGO 60651 Y 3766 WALGREENS #01298 1372 N MILWAUKEE AVE CHICAGO 60622 Y 3768 WALGREENS #01310 3110 W ARMITAGE AVE CHICAGO 60647 Y 3769 WALGREENS #09470 4817 W FULLERTON AVE CHICAGO 60639 Y 3770 WALGREENS #00118 5650 W BELMONT AVE CHICAGO 60634 Y 3771 WALGREENS #04233 5600 W FULLERTON AVE CHICAGO 60639 Y 3783 WALGREENS #01496 6310 N NAGLE AVE CHICAGO 60646 Y 3786 WALGREENS #02586 2301 W IRVING PARK RD CHICAGO 60618 Y 3787 WALGREENS #10485 12854 S ASHLAND AVE CALUMET PARK 60827 Y 3789 WALGREENS #13106 11801 S AVENUE O CHICAGO 60617 Y 3790 WALGREENS #01375 1200 N DEARBORN ST CHICAGO 60610 Y 3792 WALGREENS #00194 4801 N LINCOLN AVE CHICAGO 60625 Y 3794 WALGREENS #04306 1633 WEST 95TH CHICAGO 60643 Y 3842 SUPERMERCADO VILLARREAL 3018 S LARAMIE CICERO 60804 N 3864 WALGREENS #06760 1000 N ROSELLE RD HOFFMAN ESTATES 60169 Y 3877 FAIRPLAY FINER FOODS 8700 S CICERO OAK LAWN 60453 N 3884 FAIRWAY FOODS 15441 S COTTAGE GROVE DOLTON 60419 N 3932 CVS PHARMACY #08740 2427 W CHICAGO AVE CHICAGO 60622 Y 3933 CVS PHARMACY #08742 5524 W CERMAK RD CICERO 60804 Y Page 6 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 3964 WALGREENS #02721 9000 N GREENWOOD AVE NILES 60714 Y 4133 BUTERA FINER FOODS #11 4411 N CUMBERLAND NORRIDGE 60656 N 4134 SUPERMERCADO EL GUERO NO 1 1701 W 47TH ST CHICAGO 60609 N 4230 JEWEL #3487 2485 HOWARD ST EVANSTON 60202 N 4255 CVS PHARMACY #08507 9142 S CHICAGO AVE CHICAGO 60617 Y 4372 WALGREENS #07360 3220 W 111TH ST CHICAGO 60655 Y 4374 WALGREENS #04874 6600 WILLOW SPRINGS RD INDIAN HEAD PARK 60525 Y 4375 WALGREENS #05713 4740 WEST 95TH ST OAK LAWN 60453 Y 4376 WALGREENS #01504 10639 S CICERO AVE OAK LAWN 60453 Y 4377 WALGREENS #15635 3959 W 95TH ST EVERGREEN PARK 60805 Y 4380 WALGREENS #02840 1500 W WILSON AVE CHICAGO 60640 Y 4450 CVS PHARMACY #08505 6748 W 111TH ST WORTH 60482 Y 4500 WIC FOOD CENTER - LARRABEE 907 NORTH LARRABEE CHICAGO 60610 N 4501 WIC FOOD CENTER - SOUTH WABASH 2907 SOUTH WABASH AVENUE CHICAGO 60616 N 4502 WIC FOOD CENTER - 43RD STREET 416 EAST 43RD STREET CHICAGO 60653 N 4503 WIC FOOD CENTER - SOUTH STATE 5060 SOUTH STATE STREET CHICAGO 60609 N 4504 WIC FOOD CENTER - HALSTED 6202 SOUTH HALSTED CHICAGO 60621 N 4505 WIC FOOD CENTER 5332 SOUTH WESTERN AVENUE CHICAGO 60609 N 4506 WIC FOOD CENTER 2310 WEST ROOSEVELT ROAD CHICAGO 60608 N 4507 WIC FOOD CENTER 3110 WEST ARMITAGE AVENUE CHICAGO 60647 N 4508 WIC FOOD CENTER 5125 WEST CHICAGO AVENUE CHICAGO 60644 N 4509 WIC FOOD CENTER 1734 WEST CHICAGO AVENUE CHICAGO 60622 N 4510 WIC FOOD CENTER 1643 WEST CERMAK ROAD CHICAGO 60608 N 4511 WIC FOOD CENTER 3932 WEST MADISON ST. CHICAGO 60624 N 4512 WIC FOOD CENTER 1802 E. 71ST. CHICAGO 60649 N 4513 WIC FOOD CENTER 4620 W. DIVERSEY CHICAGO 60639 N 4514 WIC FOOD CENTER 11255 SOUTH MICHIGAN AVE CHICAGO 60628 N 4515 WIC FOOD CENTER 2400 S KEDZIE CHICAGO 60623 N 4516 WIC FOOD CENTER 8951-59 S. COMMERCIAL CHICAGO 60617 N 4517 WIC FOOD CENTER (79TH AND MAY) 1150 WEST 79TH CHICAGO 60629 N 4580 A-CERTIFIED FOOD MART 115 E 154TH ST HARVEY 60426 N Page 7 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 4584 WALGREENS #15080 5555 W 79TH ST BURBANK 60459 Y 4585 WALGREENS #03076 7251 LAKE ST RIVER FOREST 60305 Y 4592 WALGREENS #03729 7350 BARRINGTON RD HANOVER PARK 60133 Y 4619 WALGREENS #02986 815 SUMMIT ST ELGIN 60120 Y 4625 WALGREENS #07545 1461 W SCHAUMBURG RD SCHAUMBERG 60194 Y 4628 WALGREENS #06332 1150 E SIBLEY BLD DOLTON 60419 Y 4630 WALGREENS #05355 650 DIXIE HIGHWAY CHICAGO HEIGHTS 60411 Y 4633 WALGREENS #00089 8715 S HARLEM AVE BRIDGEVIEW 60455 Y 4634 WALGREENS #06580 14680 S LAGRANGE RD ORLAND PARK 60462 Y 4639 WALGREENS #03710 15575 E 127TH ST LEMONT 60439 Y 4640 WALGREENS #05924 6430 W 111TH ST WORTH 60482 Y 4655 WALGREENS #15066 3945 DEMPSTER ST SKOKIE 60076 Y 4658 WALGREENS #02528 2871 PFINGSTEN RD GLENVIEW 60026 Y 4666 WALGREENS #00829 8361 W BELMONT AVE RIVER GROVE 60171 Y 4772 LEAMINGTON FOODS 550 N MANNHEIM RD HILLSIDE 60162 N 4788 CVS PHARMACY #08760 3333 CENTRAL ST EVANSTON 60201 Y 4819 JEWEL #3154 5545 BRAINARD AVE COUNTRYSIDE 60525 N 4820 JEWEL #3060 7910 S CICERO AVE BURBANK 60459 N 4836 EL PORVENIR SUPERMERCADO 2336 S LARAMIE CICERO 60804 N 4839 CVS PHARMACY #08744 9139 BROADWAY BROOKFIELD 60513 Y 4888 WALGREENS #03779 100 LAKE ST MAYWOOD 60153 Y 4955 CVS PHARMACY #08735 3940 W FULLERTON AVE CHICAGO 60647 Y 4965 WALGREENS #01173 1520 W FULLERTON AVE CHICAGO 60614 Y 4967 WALGREENS #15992 2500 N CLARK ST CHICAGO 60614 Y 4968 WALGREENS #05034 6315 S KEDZIE AVE CHICAGO 60629 Y 4969 WALGREENS #05724 7045 S PULASKI RD CHICAGO 60629 Y 4971 WALGREENS #00226 4005 W 26TH ST CHICAGO 60623 Y 4972 WALGREENS #06629 8701 S CICERO AVE HOMETOWN 60456 Y 4974 WALGREENS #00249 1601 N WELLS ST CHICAGO 60614 Y 4977 WALGREENS #01503 1926 W 35TH ST CHICAGO 60609 Y 4978 WALGREENS #02025 3000 S HALSTED ST CHICAGO 60608 Y Page 8 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 4980 WALGREENS #03072 641 N CLARK ST CHICAGO 60654 Y 4984 WALGREENS #01450 4101 1ST AVE LYONS 60534 Y 4989 WALGREENS #03960 7200 ROOSEVELT RD FOREST PARK 60130 Y 4990 WALGREENS #00232 3405 S KING DR CHICAGO 60616 Y 4993 WALGREENS #13454 6140 N WESTERN AVE CHICAGO 60659 Y 4994 WALGREENS #03950 4343 N KEDZIE AVE CHICAGO 60618 Y 4996 WALGREENS #03949 3046 N HALSTED ST CHICAGO 60657 Y 4997 WALGREENS #03698 3201 N BROADWAY ST CHICAGO 60657 Y 4999 WALGREENS #06238 2011 E 95TH ST CHICAGO 60617 Y 5003 WALGREENS #05124 8628 S COTTAGE GROVE CHICAGO 60619 Y 5006 WALGREENS #05123 10300 S MICHIGAN AVE CHICAGO 60628 Y 5008 WALGREENS #02558 14700 HALSTED ST HARVEY 60426 Y 5038 WALGREENS #06762 11833 S WESTERN AVE CHICAGO 60643 Y 5058 JEWEL-OSCO #3262 4660 W IRVING PARK RD CHICAGO 60641 Y 5063 WALGREENS #09600 1445 WEST NORTH AVE MELROSE PARK 60160 Y 5064 WALGREENS #01593 5230 N MILWAUKEE AVE CHICAGO 60630 Y 5065 WALGREENS #06462 9595 GRAND AVE FRANKLIN PARK 60131 Y 5066 WALGREENS #04009 4730 BUTTERFIELD RD HILLSIDE 60162 Y 5094 BIG STAR FOOD & GROCERY 5000 W 16TH ST CICERO 60804 N 5114 SUPERMERCADO TORRES 124 N BROADWAY MELROSE PARK 60160 N 5117 J & S FOOD MART 701 WEST HOWARD EVANSTON 60202 N 5142 WALGREENS #16000 6001 W 95TH ST OAK LAWN 60453 Y 5143 WALGREENS #11224 11981 W 143RD ST ORLAND PARK 60467 Y 5187 WALGREENS #04148 7960 W 159TH ST ORLAND PARK 60462 Y 5188 WALGREENS #03948 5140 W DIVERSEY AVE CHICAGO 60639 Y 5189 WALGREENS #04494 1649 W BELMONT AVE CHICAGO 60657 Y 5191 WALGREENS #03995 6 E NORTH AVE NORTHLAKE 60164 Y 5192 WALGREENS #02877 2440 W NORTH AVE CHICAGO 60647 Y 5193 WALGREENS #06046 2151 S WOLF RD HILLSIDE 60162 Y 5194 WALGREENS #03833 2828 N HARLEM AVE ELMWOOD PARK 60707 Y 5251 SUPERMERCADO LA CHIQUITA NO 4 2637 S PULASKI RD CHICAGO 60623 N Page 9 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 5262 ROSA SUPERMERCADO 3324 W 55TH ST CHICAGO 60632 N 5335 SUPERMERCADO CHAPALA 5909 W CERMAK RD CICERO 60804 N 5338 WALGREENS #04542 5625 N RIDGE CHICAGO 60660 Y 5342 WALGREENS #04218 900 DODGE AVE EVANSTON 60202 Y 5366 WALGREENS #04664 10345 W ROOSEVELT RD WESTCHESTER 60154 Y 5375 WALGREENS #04146 1 N ELMHURST RD PROSPECT HEIGHTS 60070 Y 5455 WALGREENS #04826 9800 W IRVING PARK RD SCHILLER PARK 60176 Y 5485 WALGREENS #02684 4850 W OAKTON ST SKOKIE 60077 Y 5486 WALGREENS #05147 9150 SKOKIE BLVD SKOKIE 60077 Y 5489 WALGREENS #04461 501 W ROOSEVELT RD CHICAGO 60607 Y 5531 CVS PHARMACY #08511 7858 S HALSTED ST CHICAGO 60620 Y 5571 LINDO MICHOACAN 3142 W LAWRENCE AVE CHICAGO 60625 N 5580 WORLD FRUIT MARKET 2434 W DEVON AVE CHICAGO 60659 N 5581 CVS PHARMACY #08747 6150 N BROADWAY CHICAGO 60660 Y 5621 WALGREENS #05104 5525 159TH ST OAK FOREST 60452 Y 5632 WALGREENS #05057 3153 W IRVING PARK RD CHICAGO 60618 Y 5638 WALGREENS #03927 13 E IRVING PARK RD STREAMWOOD 60107 Y 5640 TONY'S FINER FOODS #3 4608 W BELMONT AVE CHICAGO 60641 N 5641 TONY'S FINER FOODS #2 2500 N CENTRAL AVE CHICAGO 60639 N 5646 CVS PHARMACY #08512 1 MAIN ST PARK FOREST 60466 Y 5650 WALGREENS #05033 2015 E 79TH ST CHICAGO 60649 Y 5668 WALGREENS #05193 3145 147TH ST POSEN 60469 Y 5686 WALGREENS #04935 6809 W BELMONT AVE CHICAGO 60634 Y 5760 WALGREENS #02903 5222 W MADISON ST CHICAGO 60644 Y 5761 WALGREENS #03395 3401 W ROOSEVELT RD CHICAGO 60624 Y 5765 WALGREENS #05103 5932 W CERMAK RD CICERO 60804 Y 5766 DEVON MARKET 1440 W DEVON CHICAGO 60660 N 5769 WALGREENS #04937 5753 N CANFIELD CHICAGO 60631 Y 5790 CVS PHARMACY #08504 8444 S PULASKI CHICAGO 60652 Y 5805 WALGREENS #04532 15 S ORCHARD DR PARK FOREST 60466 Y 5831 SUMMIT GROCERY 7300 N ROGERS CHICAGO 60626 N Page 10 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 5833 WALGREENS #05121 5935 W ADDISON ST CHICAGO 60634 Y 5861 WALGREENS #05926 4385 S ARCHER AVE CHICAGO 60632 Y 5864 SUPERMERCADO TREJO 2319 S CENTRAL CICERO 60804 N 5871 WALGREENS #04938 4748 WEST NORTH AVE CHICAGO 60639 Y 5884 BRIGHTON MINI MART 2532 W 47TH ST CHICAGO 60632 N 5891 SUPERMERCADO LA VILLITA 7540 W 63RD ST SUMMIT 60501 N 5892 FRIENDS MINI MART 6343 W 26TH ST BERWYN 60402 N 5895 SUPERMERCADO EL GUERO #10 4023 S ARCHER AVE CHICAGO 60632 N 5903 AL AMAL FOOD & BAKERY 7287-89 W 87TH ST BRIDGEVIEW 60455 N 5908 WALGREENS #15197 6121 N BROADWAY CHICAGO 60660 Y 5921 NORTH & KEDZIE FOOD MART 3214 W NORTH AVE CHICAGO 60647 N 5927 FIRST STOP FOOD MART 4425 N SHERIDAN RD CHICAGO 60640 N 5945 JEWEL-OSCO #3345 1224 S WABASH CHICAGO 60605 Y 5946 CVS PHARMACY #02664 11 E 14TH ST CHICAGO HEIGHTS 60411 Y 5951 SANDY'S FOOD MART 1534-36 W HOWARD ST CHICAGO 60626 N 6007 TONY'S FINER FOODS #4 4137 N ELSTON AVE CHICAGO 60618 N 6014 FOODSMART 3415 W DIVERSEY CHICAGO 60647 N 6020 WALGREENS #04862 4343 N CENTRAL AVE CHICAGO 60634 Y 6040 WALGREENS #05962 4820 N CUMBERLAND AVE NORRIDGE 60706 Y 6048 WALGREENS #06427 7878 S HARLEM AVE BRIDGEVIEW 60455 Y 6049 CVS PHARMACY #08734 1801 W GOLF RD SCHAUMBURG 60194 Y 6050 CVS PHARMACY #08500 11201 W 143RD ST ORLAND PARK 60467 Y 6054 WALGREENS #05139 7945 W 95TH ST HICKORY HILLS 60457 Y 6058 SAVE-A-LOT #852 7240 S STONEY ISLAND AVE CHICAGO 60649 N 6060 SUPER FOOD & LIQUOR 1049 W BRYN MAWR CHICAGO 60660 N 6075 SUPERMERCADO LA CHIQUITA CERMAK 4926 W CERMAK RD CICERO 60804 N 6081 WALGREENS #05364 5730 DEMPSTER ST MORTON GROVE 60053 Y 6083 WALGREENS #05609 1199 W DUNDEE RD WHEELING 60090 Y 6093 WALGREENS #04986 4745 W BELMONT AVE CHICAGO 60641 Y 6101 SAVE-A-LOT #856 5555 WEST NORTH AVE CHICAGO 60639 N 6102 SAVE-A-LOT #860 4439 W 63RD ST CHICAGO 60629 N Page 11 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 6106 WALGREENS #05235 6412 ROOSEVELT RD OAK PARK 60304 Y 6107 WALGREENS #03961 2340 W MADISON ST CHICAGO 60612 Y 6110 CVS PHARMACY #08519 11055 S WESTERN AVE CHICAGO 60643 Y 6111 CVS PHARMACY #08752 5945 W DEMPSTER ST MORTON GROVE 60053 Y 6117 WALGREENS #06270 1001 W BELMONT AVE CHICAGO 60657 Y 6123 CVS PHARMACY #08749 3950 W DEVON AVE LINCOLNWOOD 60712 Y 6131 WALGREENS #05832 1225 W DUNDEE RD BUFFALO GROVE 60089 Y 6133 WALGREENS #05542 8001 N MILWAUKEE AVE NILES 60714 Y 6144 VALLE'S PRODUCE 6603 W 26TH ST BERWYN 60402 N 6149 BERKELEY FINER FOODS 5447 ST CHARLES RD BERKELEY 60163 N 6177 NEW WAY FOOD 1307 E 14TH ST FORD HEIGHTS 60411 N 6181 WALGREENS #05234 5435 S KEDZIE AVE CHICAGO 60632 Y 6190 CVS PHARMACY #02844 6748 ROOSEVELT RD OAK PARK 60302 Y 6192 CVS PHARMACY #02846 8639 S CICERO AVE CHICAGO 60652 Y 6207 GRAND FOOD MARKET 5202 W GRAND AVE CHICAGO 60639 N 6218 WALGREENS #05867 3943 W 47TH ST CHICAGO 60632 Y 6223 FOOD 4 LESS #788 7770 S CICERO AVE BURBANK 60459 N 6249 JEWEL-OSCO #3368 550 N STATE CHICAGO 60610 Y 6251 WALGREENS #06564 522 TORRENCE AVE CALUMET CITY 60409 Y 6252 WALGREENS #03928 18301 PULASKI AVE HAZEL CREST 60429 Y 6264 SAVE-A-LOT #859 420 S PULASKI CHICAGO 60624 N 6297 FOOD 4 LESS #789 4620 S DAMEN AVE CHICAGO 60609 N 6313 JEWEL-OSCO #3192 17930 WOLF RD ORLAND PARK 60461 Y 6331 WALGREENS #06439 17955 WOLF RD ORLAND PARK 60467 Y 6344 FAIR SHARE 6422 W 63RD ST CHICAGO 60638 N 6374 TONY'S FINER FOODS #5 2099 N MANNHEIM RD MELROSE PARK 60160 N 6378 FAIRPLAY 8631 W 95TH ST HICKORY HILLS 60457 N 6382 FRUTERIA EL EDEN 2000 VERMONT BLUE ISLAND 60406 N 6449 HAMDA'S FOOD & MEAT MARKET 9250 S HARLEM AVE BRIDGEVIEW 60455 N 6496 M & M QUICK FOOD 1201 N AUSTIN BLVD CHICAGO 60651 N 6513 WALGREENS #05825 1213 W 79TH ST CHICAGO 60620 Y Page 12 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 6515 SAVE-A-LOT #862 4701 S COTTAGE GROVE CHICAGO 60615 N 6539 FOOD 4 LESS #553 12150 S PULASKI RD ALSIP 60803 N 6557 WALGREENS #07359 3222 N MILWAUKEE AVE CHICAGO 60618 Y 6559 WALGREENS #04519 1320 E 47TH ST CHICAGO 60653 Y 6580 WALGREENS #03651 20950 GOVERNORS HWY OLYMPIA FIELDS 60461 Y 6581 WALGREENS #05055 12290 S PULASKI RD ALSIP 60803 Y 6582 WALGREENS #04713 3148 W 159TH ST MARKHAM 60428 Y 6583 WALGREENS #04947 13501 CICERO AVE CRESTWOOD 60445 Y 6590 CHARLIE'S SUPERMARKET 2941 W MONTROSE AVE CHICAGO 60618 N 6596 NEW SAM'S FOOD MART 5038 N SHERIDAN RD CHICAGO 60640 N 6600 MEIJER STORE #228 1301 MEIJER DR ROLLING MEADOWS 60008 N 6633 WALGREENS #05925 11053 SOUTHWEST HWY PALOS HILLS 60465 Y 6646 CARNICERIA LA ROSITA 1190 E DUNDEE PALATINE 60074 N 6653 CVS PHARMACY #02862 3944 N WESTERN AVE CHICAGO 60618 Y 6658 CVS PHARMACY #04487 8625 S HARLEM RD BRIDGEVIEW 60455 Y 6659 CVS PHARMACY #04778 101 ASBURY AVE EVANSTON 60202 Y 6660 CVS PHARMACY #04978 14701 S PULASKI RD MIDLOTHIAN 60445 Y 6661 CVS PHARMACY #05769 470 S TORRANCE AVE CALUMET CITY 60409 Y 6669 WALGREENS #06641 1614 W 47TH ST CHICAGO 60609 Y 6684 FOOD 4 LESS #551 3039 S CICERO AVE CICERO 60804 N 6703 CARNICERIA LA HACIENDA 3459 W 59TH ST CHICAGO 60629 N 6715 CARNICERIA EL TORITO 5830 W 16TH ST CICERO 60804 N 6721 FOOD 4 LESS #558 2400 W MAIN ST EVANSTON 60202 N 6723 MIDTOWN PRODUCE 3042 N MILWAUKEE AVE CHICAGO 60618 N 6727 WALGREENS #06866 1378 MINER ST DES PLAINES 60016 Y 6769 KMART #4214 1155 OAKTON ST DES PLAINES 60018 Y 6774 KMART #4381 7325 W 79TH ST BRIDGEVIEW 60455 Y 6793 KMART #9348 4201 N HARLEM AVE NORRIDGE 60706 Y 6811 HEIGHTS FRESH MARKET 1657 CHICAGO RD CHICAGO HEIGHTS 60411 N 6837 MORSE FOOD & MEAT MARKET 1430 W MORSE AVE CHICAGO 60626 N 6850 WALGREENS #07687 3320 W FULLERTON CHICAGO 60647 Y Page 13 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 6861 CVS PHARMACY #07166 250 W 144TH ST RIVERDALE 60827 Y 6886 TONY'S FINER FOODS #6 8630 S HARLEM AVE BRIDGEVIEW 60455 N 6891 M & M GROCERY 4533 N SHERIDAN RD CHICAGO 60640 N 6897 FRUTERIA Y CARNICERIA VIGIL'S 1905 S CENTRAL AVE CICERO 60804 N 6902 TARGET STORE T-1950 1001 SUTTON RD STREAMWOOD 60107 N 6909 BRISA FOODS 2156 N KIMBALL CHICAGO 60647 N 6920 AL BAYAN GROCERY 3134 N NARRAGANSETT AVE CHICAGO 60634 N 6936 VALLE'S PRODUCE 6323 W CERMAK RD BERWYN 60402 N 6943 WALGREENS #03321 5874 S ARCHER AVE CHICAGO 60638 Y 6964 WALGREENS #07250 2345 W 103RD ST CHICAGO 60643 Y 7015 WALGREENS #01449 8000 BROADVIEW VILLAGE SQUARE BROADVIEW 60155 Y 7049 47TH STREET PHARMACY 1837 W 47TH ST CHICAGO 60609 Y 7053 TARGET STORE T-0753 679 E DUNDEE RD PALATINE 60067 N 7057 TARGET STORE T-2035 7300 191ST ST TINLEY PARK 60487 N 7058 TARGET STORE T-2081 800 BROADVIEW VILLAGE SQ BROADVIEW 60155 N 7082 WALGREENS #09000 2001 N MILWAUKEE AVE CHICAGO 60647 Y 7092 EXPRESS FOOD MART 7026 W 16TH ST BERWYN 60402 N 7093 FOOD 4 LESS #565 5556 W 159TH ST OAK FOREST 60452 N 7095 WALGREENS #06980 3019 W PETERSON AVE CHICAGO 60659 Y 7103 LOS POTRILLOS FOOD MARKET 3624 W BELMONT CHICAGO 60618 N 7104 SUGARS PLUS 525 E 47TH ST CHICAGO 60653 N 7120 A & M CONVENIENT MART 6958 N WESTERN AVE CHICAGO 60645 N 7128 FIESTA MARKET 1902 S ELMHURST RD MT PROSPECT 60056 N 7152 HARVESTIME FOODS 2632 W LAWRENCE AVE CHICAGO 60625 N 7153 FRESH MARKET PLACE 2600 N CENTRAL AVE CHICAGO 60639 N 7166 WAL-MART SUPERCENTER #5486 4005 W 167TH ST COUNTRY CLUB HILLS 60478 Y 7191 MEDITERRANEAN FOOD MARKET 4362 NORTH ELSTON AVE CHICAGO 60641 N 7205 WALGREENS #01101 1533 E 67TH PL CHICAGO 60637 Y 7208 CERTIFIED FOOD PLAZA 351 E 103RD ST CHICAGO 60628 N 7213 OLIVE MOUNT MART 3536 W 63RD ST CHICAGO 60629 N 7221 SUPERMERCADO LA VICTORIA 3927 W 63RD ST CHICAGO 60629 N Page 14 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7223 FOOD 4 LESS #552 7030 S ASHLAND AVE CHICAGO 60636 N 7228 FOOD 4 LESS #560 2525 W NORTH AVE MELROSE PARK 60160 N 7273 TARGET STORE T-0835 2621 W SCHAUMBURG RD SCHAUMBURG 60194 N 7277 DONA MARI'S 3757-59 W FULLERTON CHICAGO 60647 N 7283 WALEED TRADING 3524 W MONTROSE CHICAGO 60618 N 7285 CITY FOOD MARKET 1682 DOLTON RD CALUMET CITY 60409 N 7290 WALGREENS #09038 4001 W IRVING PARK RD CHICAGO 60641 Y 7316 SUPERMART 4 FOOD 5035-5037 N SHERIDAN RD CHICAGO 60640 N 7326 WALGREENS #09357 833 W 115TH ST CHICAGO 60643 Y 7373 SAVE A LOT #867 3736 SAUK TRAIL RICHTON PARK 60471 N 7374 SUPERMERCADO SANCHEZ 2824 W 59TH ST CHICAGO 60629 N 7377 DALIA FOOD MARKET 4661 N BROADWAY ST CHICAGO 60640 N 7388 TARGET STORE T-0841 7100 S CICERO AVE BEDFORD PARK 60629 N 7404 FAIRWAY FINER FOODS 1 SAUK PLAZA SAUK VILLAGE 60411 N 7414 FOOD BASKET 7205 S HALSTED CHICAGO 60621 N 7417 DIXMOOR FRUIT & MEAT MARKET 14635 S WESTERN AVE DIXMOOR 60426 N 7418 WAL-MART SUPERCENTER #1681 930 E MT PROSPECT PLZ MT PROSPECT 60056 Y 7419 WAL-MART SUPERCENTER #1779 10260 S HARLEM AVE BRIDGEVIEW 60455 Y 7420 WAL-MART STORE #1938 7050 S CICERO AVE BEDFORD PARK 60638 Y 7421 WAL-MART SUPERCENTER #2204 1300 DES PLAINES AVE FOREST PARK 60130 Y 7422 WAL-MART STORE #2816 5630 TOUHY AVE NILES 60714 Y 7423 WAL-MART STORE #3725 8500 W GOLF RD NILES 60714 Y 7424 WAL-MART SUPERCENTER #5485 2500 W 95TH ST EVERGREEN PARK 60805 Y 7425 WAL-MART SUPERCENTER #5402 4650 W NORTH AVE CHICAGO 60639 Y 7436 SOMER FOOD MARKET 2812 1/2 W DEVON AVE CHICAGO 60659 N 7444 ELGIN FRUIT MARKET 822 SUMMIT ELGIN 60120 N 7455 WALGREENS #11760 811 W MADISON ST OAK PARK 60302 Y 7460 WALGREENS #02387 1616 E 87TH ST CHICAGO 60617 Y 7516 SUPERLOW FOODS 3720 N ROSE ST SCHILLER PARK 60176 N 7525 TONY'S FINER FOOD 7401 WEST 25TH STREET NORTH RIVERSIDE 60546 N 7554 SUPERLOW FOODS 7411 W GRAND AVE ELMWOOD PARK 60707 N Page 15 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7588 FOOD 4 LESS #567 4821 WEST NORTH AVE CHICAGO 60639 N 7608 WALGREENS #12150 5158 N LINCOLN AVE CHICAGO 60625 Y 7627 SUPERMERCADO LA FAMOSITA 7124 W 16TH ST BERWYN 60402 N 7633 WALGREENS #09141 8700 S KEDZIE AVE EVERGREEN PARK 60805 Y 7643 EDDY'S FOOD MART 7575 N ROGERS AVE CHICAGO 60626 N 7668 MEGA GROCERY 3827 W LAWRENCE AVE CHICAGO 60625 N 7673 SUN LIQUORS & FOODS 1101 W GRANVILLE CHICAGO 60660 N 7674 JEWEL-OSCO #3376 370 N DES PLAINES CHICAGO 60624 Y 7683 SUNRISE GROCERY 5921 W 16TH ST CICERO 60804 N 7687 CVS PHARMACY #02797 9640 MILWAUKEE AVE NILES 60714 Y 7688 CVS PHARMACY #02935 8712 S STONY ISLAND AVE CHICAGO 60617 Y 7689 CVS PHARMACY #03170 6417 W HIGGINS AVE CHICAGO 60656 Y 7690 CVS PHARMACY #04979 7855 S WESTERN AVE CHICAGO 60620 Y 7691 CVS PHARMACY #05681 3311 N PULASKI RD CHICAGO 60641 Y 7692 CVS PHARMACY #05770 4777 N MILWAUKEE AVE CHICAGO 60630 Y 7693 CVS PHARMACY #05829 500 DUNDEE AVE ELGIN 60120 Y 7694 CVS PHARMACY #06785 3343 W MONTROSE AVE CHICAGO 60618 Y 7696 CVS PHARMACY #01493 5205 N BROADWAY ST CHICAGO 60640 Y 7700 CVS PHARMACY #08745 771 N OGDEN CHICAGO 60622 Y 7715 SUPERMERCADO TORRES #3 1642 S CICERO AVE CICERO 60804 N 7717 WALGREENS #06727 4720 N MARINE DR CHICAGO 60640 Y 7719 B AND K FOOD MARKET 4058 W BELMONT CHICAGO 60641 N 7733 WALGREENS #10774 11349 W 159TH ST ORLAND PARK 60467 Y 7747 CVS PHARMACY #08506 8025 S ASHLAND CHICAGO 60620 Y 7748 CVS PHARMACY #08695 3101 N CLARK CHICAGO 60657 Y 7752 BIENVENIDO FOOD MART 1701 N KEYSTONE CHICAGO 60639 N 7757 A+ STORE 4443 N SHERIDAN RD CHICAGO 60640 N 7767 TARGET STORE T-1460 17605 HALSTED ST HOMEWOOD 60430 N 7769 TARGET STORE T-2078 1940 W 33RD ST CHICAGO 60608 N 7771 TARGET STORE T-2079 2112 W PETERSON AVE CHICAGO 60659 N 7777 FOOD 4 LESS #570 112 W 87TH ST CHICAGO 60620 N Page 16 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7778 ADEN SUPERMARKET 9060 S HARLEM AVE BRIDGEVIEW 60455 N 7781 WAL-MART SUPERCENTER #1556 9265 159TH ST ORLAND HILLS 60477 Y 7790 T & C GROCERY MARKET 4754 N BERNARD CHICAGO 60625 N 7794 SAHAR MEAT MARKET II 4851-57 N KEDZIE CHICAGO 60625 N 7795 TARGET STORE T-2490 130 S MANNHEIM RD HILLSIDE 60162 N 7807 MORELIA SUPERMARKET 7300 N WESTERN AVE CHICAGO 60645 N 7809 CVS PHARMACY #02790 3201 W 95TH ST EVERGREEN PARK 60805 Y 7810 CVS PHARMACY #02810 175 W JACKSON CHICAGO 60604 Y 7811 CVS PHARMACY #02827 600 N MANNHEIM RD HILLSIDE 60162 Y 7812 CVS PHARMACY #02845 1930 W 103RD ST CHICAGO 60643 Y 7814 CVS PHARMACY #03163 345 MADISON ST OAK PARK 60302 Y 7815 CVS PHARMACY #05768 130 S CANAL ST CHICAGO 60606 Y 7816 CVS PHARMACY #00834 8811 W 87TH ST HICKORY HILLS 60457 Y 7817 CVS PHARMACY #07123 1550 N KOSTNER AVE CHICAGO 60651 Y 7818 CVS PHARMACY #08508 3156 W 103RD ST CHICAGO 60655 Y 7819 CVS PHARMACY #08698 1165 N CLARK CHICAGO 60610 Y 7820 PETE'S FRESH MARKET #6 2526 W CERMAK RD CHICAGO 60608 N 7821 PETE'S FRESH MARKET #5 3448 E 118TH ST CHICAGO 60617 N 7822 PETE'S FRESH MARKET #3 4343 S PULASKI RD CHICAGO 60632 N 7823 PETE'S FRESH MARKET #2 4700 S KEDZIE AVE CHICAGO 60632 N 7824 PETE'S FRESH MARKET #1 5724 S KEDZIE AVE CHICAGO 60629 N 7825 WEST LAWN FOODS 5838 S PULASKI RD CHICAGO 60629 N 7842 TONY'S FINER FOODS #8 8900 N GREENWOOD AVE NILES 60714 N 7846 CAPUTO'S FRESH MARKET 2400 N HARLEM AVE ELMWOOD PARK 60707 N 7855 CVS PHARMACY #02798 3951 W 103RD ST CHICAGO 60655 Y 7860 CVS PHARMACY #05913 200 W NORTHWEST HWY PALATINE 60067 Y 7861 CVS PHARMACY #05978 3434 DEMPSTER ST SKOKIE 60076 Y 7862 CVS PHARMACY #05987 4800 N DAMEN CHICAGO 60625 Y 7866 WALGREENS #09506 770 E SCHAUMBURG RD SCHAUMBURG 60194 Y 7869 CVS PHARMACY #05482 3615 N CENTRAL AVE CHICAGO 60634 Y 7871 CVS PHARMACY #08737 2414 N LINCOLN AVE CHICAGO 60614 Y Page 17 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7872 CVS PHARMACY #08757 4001 MAIN ST SKOKIE 60076 Y 7873 CVS PHARMACY #08949 15840 S CICERO AVE OAK FOREST 60452 Y 7881 UPTOWN SHOP & SAVE 4605 N SHERIDAN RD CHICAGO 60640 N 7885 ABARROTES LA ROSITA 1902 S WOLF RD WHEELING 60090 N 7892 WALGREENS #10350 7109 S JEFFREY BLVD CHICAGO 60649 Y 7893 WALGREENS #03539 11 E 75TH ST CHICAGO 60619 Y 7900 ADRIANS FOOD MARKET 3700 W DIVERSEY CHICAGO 60647 N 7901 WALGREENS #02212 1858 E OAKTON ST DES PLAINES 60018 Y 7902 WALGREENS #03940 375 E DUNDEE RD PALATINE 60074 Y 7903 WALGREENS #06377 13023 S LAGRANGE RD PALOS PARK 60464 Y 7905 ONE STOP SHOP N GO 15401 CENTER AVE HARVEY 60426 N 7908 CAPTAIN FRESH FARM 1001 S 9TH AVE MAYWOOD 60153 N 7912 CVS PHARMACY #04688 745 W 103RD ST CHICAGO 60628 Y 7919 FIESTA MARKET 939 E IRVING PARK RD STREAMWOOD 60107 N 7923 WALGREENS #06228 2690 GOLF RD GLENVIEW 60025 Y 7940 WALGREENS #04355 12 N NORTHWEST HWY PALATINE 60067 Y 7944 WALGREENS #05553 1550 W ALGONQUIN RD HOFFMAN ESTATES 60192 Y 7946 WALGREENS #07411 3200 VOLLMER RD OLYMPIA FIELDS 60461 Y 7947 WALGREENS #09347 12659 S RIDGELAND AVE PALOS HEIGHTS 60463 Y 7949 WALGREENS #12304 2744 N CALIFORNIA AVE CHICAGO 60647 Y 7953 SAVE-A-LOT #854 7908 S HALSTED AVE CHICAGO 60620 N 7955 PETE'S FRESH MARKET #7 1968 SIBLEY BLVD CALUMET CITY 60409 N 7958 SUPER ESPIGA 4920 W 14TH ST CICERO 60804 N 7964 CVS PHARMACY #04581 7139 N MILWAUKEE AVE NILES 60714 Y 7965 CVS PHARMACY #08980 6510 N SHERIDAN RD CHICAGO 60626 Y 7968 CVS PHARMACY #01054 101 N CLINTON ST CHICAGO 60661 Y 7971 FOOD 4 LESS #568 1333 S WESTERN AVE CHICAGO HEIGHTS 60411 N 7980 SAVE-A-LOT #858 2858 E 83RD ST CHICAGO 60617 N 7981 WALGREENS #00039 235 E PALATINE RD ARLINGTON HEIGHTS 60004 Y 7987 SAVE-A-LOT #882 344 E 63RD ST CHICAGO 60637 N 7999 FOOD 4 LESS #566 1000 E SIBLEY BLVD DOLTON 60419 N Page 18 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy EUROPEAN AMERICAN GROCERY & 8012 MEAT 5356 N LINCOLN CHICAGO 60625 N 8015 ROCKWELL MINI MART 4634 N ROCKWELL ST CHICAGO 60625 N 8018 DIVINE FOOD MARKET 946 E 162ND ST SOUTH HOLLAND 60673 N 8026 CVS PHARMACY #03256 12720 ARCHER RD LEMONT 60439 Y 8075 RIO GRANDE FRUIT MARKET 3501 WEST NORTH AVE CHICAGO 60647 N 8097 CVS PHARMACY #04396 2648 DEMPSTER ST PARK RIDGE 60068 Y 8102 PETE'S FRESH MARKET #8 3720 W 95TH ST EVERGREEN PARK 60805 N 8114 CVS PHARMACY #05836 1228 E 53RD ST CHICAGO 60615 Y 8115 FARMERS BEST MARKET 23 W NORTH AVE NORTHLAKE 60164 N 8116 CVS PHARMACY #05394 1200 N ASHLAND CHICAGO 60622 Y 8123 CVS PHARMACY #05213 8911 OGDEN AVE BROOKFIELD 60513 Y 8124 CVS PHARMACY #05481 100 W HIGGINS RD SOUTH BARRINGTON 60010 Y 8127 CVS PHARMACY #07255 680 SUTTON RD STREAMWOOD 60107 Y 8140 WAL-MART SUPERCENTER #1892 9450 W JOLIET RD HODGKINS 60525 Y 8144 AL MUDEER 20 WEST 138TH ST RIVERDALE 60827 N 8153 ELRANCHITO MARKET 12742 S WESTERN AVE BLUE ISLAND 60406 N 8155 WALGREENS #05282 5600 W TOUHY AVE NILES 60714 Y 8161 EXPRESS FOOD & CIGARETTES 6747 CERMAK RD BERWYN 60402 N 8165 EUROFRESH MARKET 130 W NORTHWEST HWY PALATINE 60067 N 8167 MARTIN'S MINI MARKET 3801 N CICERO AVE CHICAGO 60641 N 8176 CVS PHARMACY #01768 3400 LINCOLN HWY OLYMPIA FIELDS 60461 Y 8177 CVS PHARMACY #04793 1211 W ROOSEVELT RD CHICAGO 60608 Y 8178 CVS PHARMACY #07761 10420 GRAND AVE FRANKLIN PARK 60131 Y 8180 MEIJER STORE #262 15701 71ST COURT ORLAND PARK 60462 N 8181 MARIANO'S FRESH MARKET #8501 802 E NORTHWEST HWY ARLINGTON HEIGHTS 60004 N 8193 WAL-MART SUPERCENTER #1420 850 S BARRINGTON RD STREAMWOOD 60107 Y 8207 CVS PHARMACY #00520 7179 N LINCOLN AVE LINCOLNWOOD 60712 Y 8210 WALGREENS #05089 7111 S WESTERN AVE CHICAGO 60636 Y 8211 TARGET STORE T-2373 4466 N BROADWAY ST CHICAGO 60640 N 8217 NEIGHBORHOOD LIQUOR 4501 W LAKE ST MELROSE PARK 60160 N

Page 19 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 8219 CVS PHARMACY #07143 1855 W IRVING PARK RD SCHAUMBURG 60193 Y 8240 TARGET STORE T-0732 2901 S CICERO AVE CICERO 60804 N 8241 TARGET STORE T-0837 850 W NORTH AVE MELROSE PARK 60160 N 8243 TARGET STORE T-0842 15850 S 94TH AVE ORLAND PARK 60462 N 8244 TARGET STORE T-0843 9250 JOLIET ROAD HODGKINS 60525 N 8247 TARGET STORE T-0868 5071 W CAL-SAG RD CRESTWOOD 60445 N 8250 TARGET STORE T-0927 2209 HOWARD ST EVANSTON 60202 N 8251 TARGET STORE T-0928 6150 N TOUHY AVE NILES 60714 N 8252 TARGET STORE T-0942 2656 N ELSTON AVE CHICAGO 60647 N 8254 TARGET STORE T-1125 239 GOLF MILL CENTER NILES 60714 N 8256 TARGET STORE T-1167 2241 WILLOW RD GLENVIEW 60025 N 8258 TARGET STORE T-1176 1700 E RAND RD ARLINGTON HEIGHTS 60004 N 8259 TARGET STORE T-1342 7000 MANNHEIM RD ROSEMONT 60018 N 8260 TARGET STORE T-1385 1400 W LAKE COOK RD WHEELING 60090 N 8262 TARGET STORE T-1437 2939 W ADDISON ST CHICAGO 60618 N 8263 TARGET STORE T-1488 8560 S COTTAGE GROVE AVE CHICAGO 60619 N 8264 TARGET STORE T-1879 4433 S PULASKI RD CHICAGO 60632 N 8267 TARGET STORE T-1889 1154 S CLARK ST CHICAGO 60605 N 8268 TARGET STORE T-1924 6525 W DIVERSEY AVE CHICAGO 60707 N 8277 SHOP & SAVE MARKET #1600 229 GOLF MILL CENTER NILES 60714 N 8279 SHOP & SAVE MARKET #1900 5829 S ARCHER AVE CHICAGO 60638 N 8280 SHOP & SAVE MARKET #1800 8847 S HARLEM BRIDGEVIEW 60455 N 8281 SHOP & SAVE MARKET #1500 518 METROPOLITAN WAY DES PLAINES 60016 N 8282 WAL-MART SUPERCENTER #3601 4700 135TH ST CRESTWOOD 60445 Y 8288 CVS PHARMACY #00070 3200 FLOSSMOOR RD FLOSSMOOR 60422 Y 8289 CVS PHARMACY #05819 11859 SOUTHWEST HWY PALOS HEIGHTS 60463 Y 8296 TARGET STORE T-0880 1235 E HIGGINS RD SCHAUMBURG 60173 N 8297 TARGET STORE T-1888 4050 N HARLEM AVE NORRIDGE 60706 N 8298 TARGET STORE T-2087 4120 W 95TH ST OAK LAWN 60453 N 8299 TARGET STORE T-2122 2800 N SUTTON RD HOFFMAN ESTATES 60192 N 8301 TARGET STORE T-2263 4647 PROMENADE WAY MATTESON 60443 N Page 20 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 8303 TARGET STORE T-2344 11840 S MARSHFIELD AVENUE CHICAGO 60643 N 8304 LA LUNA GROCERY 4200 W ARMITAGE CHICAGO 60639 N 8306 WAL-MART SUPERCENTER #1497 22401 CENTRAL AVE RICHTON PARK 60471 Y 8308 WAL-MART SUPERCENTER #1735 1455 E LAKE COOK RD WHEELING 60090 Y 8311 SWEQI FOOD MART 4100 WEST NORTH AVE CHICAGO 60639 N 8313 WALGREENS #13974 225 E CHICAGO AVE CHICAGO 60611 Y 8316 LNR FAMILY STORE 1010 S 5TH AVE MAYWOOD 60153 N 8317 BEESAN MARKET 7211 W 84TH ST BRIDGEVIEW 60455 N 8330 BROTHERS FOOD MARKET 4527 OAKTON ST SKOKIE 60076 N 8336 CVS PHARMACY #01965 7200 W CERMAK RD NORTH RIVERSIDE 60546 Y 8357 MARIANO'S FRESH MARKET #8504 3350 N WESTERN AVE CHICAGO 60618 N 8358 MARIANO'S FRESH MARKET #8503 333 E BENTON PL CHICAGO 60601 N 8364 WAL-MART SUPERCENTER #1897 801 MEACHAM RD ELK GROVE VILLAGE 60007 Y 8370 WAL-MART STORE #5404 17550 S HALSTED ST HOMEWOOD 60425 Y 8382 WAL-MART SUPERCENTER #5276 1555 N RAND RD PALATINE 60074 Y 8384 WAL-MART STORE #2815 1460 GOLF RD ROLLING MEADOWS 60008 Y 8387 CERMAK PRODUCE #1 4605 W CERMAK CICERO 60804 N 8388 CERMAK PRODUCE #5 3435 S ARCHER CHICAGO 60608 N 8389 CERMAK PRODUCE #8 5220 S PULASKI CHICAGO 60632 N 8390 CERMAK PRODUCE #11 7220 S CICERO BEDFORD PARK 60629 N 8391 CERMAK PRODUCE #12 3033 S HALSTED ST CHICAGO 60608 N 8393 CERMAK PRODUCE #6 4234 N KEDZIE CHICAGO 60618 N 8394 CERMAK PRODUCE #7 1711 W CERMAK CHICAGO 60608 N 8395 CERMAK PRODUCE #9 3311 W 26TH ST CHICAGO 60623 N 8411 SAVE-A-LOT 3939 W OGDEN CHICAGO 60623 N 8414 WALGREENS #13798 5440 N CLARK CHICAGO 60640 Y 8434 EL MERCADITO 1055 N SALEM DR SCHAUMBURG 60194 N 8444 WAL-MART SUPERCENTER #5781 8331 S STEWART AVE CHICAGO 60620 Y 8448 MARIANO'S FRESH MARKET #8505 545 N HICKS RD PALATINE 60067 N 8450 ROSEBUD FARMSTAND 525 E 130TH ST CHICAGO 60628 N 8457 CVS PHARMACY #07181 101 S NORTHWEST HWY BARRINGTON 60010 Y Page 21 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 8459 MINI AZTECA 6924 N CLARK CHICAGO 60626 N 8461 LA AZTECA PRODUCE 7067 N CLARK ST CHICAGO 60626 N 8477 KANESHIE SUPERMARKET 4552 N BROADWAY CHICAGO 60640 N 8478 CVS PHARMACY #03603 16701 S HARLEM AVE TINLEY PARK 60477 Y 8480 CVS PHARMACY #05989 1620 WEST 59TH ST CHICAGO 60636 Y 8482 CVS PHARMACY #01773 9551 W 171ST ST TINLEY PARK 60487 Y 8489 FRESH FOODS & GEN MERCHANDISE 1723 SIMPSON ST EVANSTON 60201 N 8492 WALGREENS #04752 316 W CERMAK RD CHICAGO 60616 Y 8500 PETE'S FRESH MARKET #9 17W675 ROOSEVELT RD OAKBROOK TERRACE 60181 N 8501 NOHADRA GROCERY 2959 W DEVON AVE CHICAGO 60659 N 8503 EAGLE FRUIT & GROCERY 3023 W LAWRENCE AVE CHICAGO 60625 N 8523 BERKOT'S SUPER FOODS #311 11333 W 159TH ST ORLAND PARK 60467 N 8537 MARIANO'S FRESH MARKET #8506 2575 W GOLF RD HOFFMAN ESTATES 60169 N 8555 MERCADITO LA ECONOMICA 2859 S TRUMBULL CHICAGO 60623 N 8560 MARIANO'S FRESH MARKET #8507 5353 N ELSTON AVE CHICAGO 60630 N 8561 CVS PHARMACY #03110 1002 S BUSSE RD MOUNT PROSPECT 60056 Y 8565 CVS PHARMACY #02863 2045 PLUM GROVE RD ROLLING MEADOWS 60008 Y 8570 CVS PHARMACY #03742 121 W KINZIE ST CHICAGO 60610 Y 8571 CVS PHARMACY #03889 7929 NORTH AVE RIVER FOREST 60305 Y 8572 CVS PHARMACY #03901 1711 SHERMAN AVE EVANSTON 60201 Y 8576 CVS PHARMACY #05001 3033 N BROADWAY ST CHICAGO 60657 Y 8586 ARANDA'S LIQUORS & FOOD 13440 S WESTERN AVE BLUE ISLAND 60406 N 8594 TONY'S FINER FOODS #10 7580 BARRINGTON RD HANOVER PARK 60133 N 8603 22ND ST PRODUCE 5644 W CERMAK RD CICERO 60804 N 8605 WALGREENS #15211 3232 LAKE AVE WILMETTE 60091 Y 8610 MARIANO'S FRESH MARKET #8508 40 S HALSTED ST CHICAGO 60661 N 8613 ALL FOODS 2456 E STATE ST BURNHAM 60633 N 8615 LA ROSITA FRESH MARKET 1805 W ALGONQUIN RD MOUNT PROSPECT 60056 N 8617 WAL-MART NEIGHBORHOOD MKT #5646 2551 W CERMAK CHICAGO 60608 Y 8624 WAL-MART NEIGHBORHOOD MKT #5645 2844 N BROADWAY CHICAGO 60657 Y 8629 TARGET STORE T-2781 1101 W JACKSON BLVD CHICAGO 60607 N Page 22 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 8635 R & M GROCERY 1948 N PULASKI RD CHICAGO 60639 N 8636 WAL-MART STORE #1933 137 W NORTH AVE NORTHLAKE 60164 Y 8650 MINUTE MAN 1546 S LOMBARD AVE BERWYN 60402 N 8653 CARNICERIA GUZMAN 1745 W ALGONQUIN RD MT PROSPECT 60056 N 8675 MARIANO'S FRESH MARKET #8510 7401 W LAWRENCE AVE HARWOOD HEIGHTS 60706 N 8705 LOS PRIMOS GROCERY 3249 W MONTROSE CHICAGO 60618 N 8708 CVS PHARMACY #10052 1515 SHERIDAN RD WILMETTE 60091 Y 8710 LUCKY ONE FOOD STORE 1854 N PULASKI RD CHICAGO 60639 N 8719 MEIJER STORE #265 9200 S WESTERN AVE EVERGREEN PARK 60805 N 8721 WAL-MART SUPERCENTER #5617 4626 W DIVERSEY AVE CHICAGO 60639 Y 8730 WALGREENS #15507 3800 W MADISON ST CHICAGO 60624 Y 8739 WAL-MART SUPERCENTER #5965 10900 S DOTY AVE WEST CHICAGO 60628 Y 8744 SAFEWAY FOOD MARKET 4025 W ARMITAGE CHICAGO 60639 N 8746 MI MEXICO 1760 W ALGONQUIN RD MT PROSPECT 60056 N 8750 RIO VALLEY 3307 W 63RD ST CHICAGO 60629 N 8757 WILSON & KEDZIE FOOD 4553 N KEDZIE AVE CHICAGO 60625 N 8761 MARIANO'S FRESH MARKET #8512 1615 S CLARK ST CHICAGO 60616 N 8766 31ST FOOD & DOLLAR 3055 S TRIPP AVE CHICAGO 60623 N 8777 SUPERMERCADO LA FIESTA 4154 W 63RD ST CHICAGO 60629 N 8779 ASWAQ KAN ZAMAN 3952 N HARLEM AVE CHICAGO 60634 N 8780 WALGREENS #15364 635 CHICAGO AVE EVANSTON 60202 Y 8794 JEWEL-OSCO #2500 1340 S CANAL ST CHICAGO 60607 Y 8795 JEWEL-OSCO #2501 1340 PATRIOT BLVD GLENVIEW 60026 Y 8796 JEWEL-OSCO #2502 2550 N CLYBOURN AVE CHICAGO 60614 Y 8814 MARIANO'S FRESH MARKET #8525 1900 S CUMBERLAND AVE PARK RIDGE 60068 N 8816 MANGOS FRESH MARKET & DELI 648 N MILWAUKEE AVE PROSPECT HEIGHTS 60070 N 8817 MARIANO'S FRESH MARKET #8524 1822 WILLOW RD NORTHFIELD 60093 N 8818 TONY'S FRESH MARKET 6704 JOLIET RD COUNTRYSIDE 60525 N 8819 TONY'S FRESH MARKET 5233 N LINCOLN AVE CHICAGO 60625 N 8820 TARGET STORE T-2613 1200 N LARRABEE ST CHICAGO 60610 N 8821 TARGET STORE T-2799 1 S STATE ST CHICAGO 60603 N Page 23 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 8824 MARIANO'S FRESH MARKET #8527 2021 W CHICAGO AVE CHICAGO 60622 N 8825 MARIANO'S FRESH MARKET #8529 4700 GILBERT AVE WESTERN SPRINGS 60558 N 8827 WALGREENS #05711 17 W GOLF RD DES PLAINES 60016 Y 8834 DES PLAINES MARKET 2216 DES PLAINES ST BLUE ISLAND 60406 N 8838 WORTH MEDITERRANEAN MARKET 10607 S HARLEM AVE WORTH 60482 N 8842 ALMAHJAR FOOD MART 10840 S CICERO AVE OAK LAWN 60453 N 8843 COUNTRY SQUIRE FOODS 113 W JOE ORR RD CHICAGO HEIGHTS 60411 N 8844 MARIANO'S FRESH MARKET #8515 1800 W LAWRENCE AVE CHICAGO 60640 N 8845 BABYLON DISCOUNT FOOD 1618 EMERSON ST EVANSTON 60201 N 8847 MARIANO'S FRESH MARKET #8522 5201 N SHERIDAN RD CHICAGO 60640 N 8848 WAL-MART SUPERCENTER #3004 3320 S CICERO AVE CICERO 60804 Y 8849 MARIANO'S FRESH MARKET #8520 3145 S ASHLAND AVE CHICAGO 60608 N 8854 DANNY'S MARKET PLACE 1965 VERMONT ST BLUE ISLAND 60406 N 8858 SANCHEZ PRODUCE 6301 W 26TH ST BERWYN 60402 N 8859 WALGREENS #05107 1701 E KENSINGTON RD MT PROSPECT 60056 Y 8862 FULLERTON GROCERY 5424 W FULLERTON AVE CHICAGO 60639 N 8873 TINLEY MARKET 16721-23 S 80TH AVE TINLEY PARK 60477 N 8879 PETE'S FRESH MARKET #10 2333 W MADISON ST CHICAGO 60612 N 8883 J & C FOOD MARKET 3404 W IRVING PARK RD CHICAGO 60618 N 8887 MARIANO'S FRESH MARKET #8516 2112 N ASHLAND AVE CHICAGO 60614 N 8901 JEWEL-OSCO #2504 3243 W 115TH ST MERRIONETTE PARK 60803 Y 8903 JEWEL-OSCO #2506 424 W DIVISION ST CHICAGO 60610 Y 8905 JEWEL-OSCO #2508 1763 W HOWARD ST CHICAGO 60626 Y WAL-MART NEIGHBORHOOD MARKET 8911 #6167 727 W GOLF RD DES PLAINES 60016 Y 8912 WAL-MART SUPERCENTER #1998 3626 TOUHY AVE SKOKIE 60076 Y 8930 MARIANO'S FRESH MARKET #8517 11000 S CICERO AVE OAK LAWN 60453 N WAL-MART NEIGHBORHOOD MARKET 8932 #3166 4720 S COTTAGE GROVE AVE CHICAGO 60615 Y 8940 MARIANO'S FRESH MARKET #8518 25 WAUKEGAN RD GLENVIEW 60025 N 8942 COUNTRY SQUIRE FOODS 120 S ORCHARD DR PARK FOREST 60466 N

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Vendor ID Vendor Name Street Address City ZIP Pharmacy 8945 CLARK MINI MART 6761 N CLARK ST CHICAGO 60626 N 8948 CERMAK FRESH MARKET 6623 N DAMEN CHICAGO 60645 N 8949 MARIANO'S FRESH MARKET #8528 3020 WOLF RD WESTCHESTER 60154 N 8953 FAMILIA FRESH MARKET NO 1 3308 S OAK PARK AVE BERWYN 60402 N 8964 SHOP & SAVE MARKET #2100 6312 N NAGLE AVE CHICAGO 60646 N 8965 MAYWOOD GROCERY 1113-15 W MADISON ST MAYWOOD 60153 N 8970 WALGREENS #15562 4009 OLD ORCHARD RD SKOKIE 60076 Y 8971 SINBAD ORIENTAL FOODS 4915 DEMPSTER ST SKOKIE 60077 N 8973 CARNICERIAS JIMENEZ 4204-16 W NORTH AVE CHICAGO 60639 N 8974 CARNICERIAS JIMENEZ 550 W DUNDEE RD WHEELING 60090 N 8975 CARNICERIAS JIMENEZ 3850 W FULLERTON AVE CHICAGO 60647 N 8976 NORTH PULASKI FRESH MARKET 3850 W NORTH AVE CHICAGO 60647 N 8981 CARNICERIAS JIMENEZ 717 BROADWAY ST MELROSE PARK 60160 N 8985 SAVE-A-LOT 10700 S HALSTED ST CHICAGO 60628 N 8991 BERKOT'S SUPER FOODS 4640 147TH ST MIDLOTHIAN 60445 N 8993 MARIANO'S FRESH MARKET #8530 2559 W 95TH ST EVERGREEN PARK 60805 N 8995 ADAM FOOD & TOBACCO 4007 W MONTROSE AVE CHICAGO 60641 N 8997 FARMERS PRIDE 1414 W ALGONQUIN RD ARLINGTON HEIGHTS 60005 N WAL-MART NEIGHBORHOOD MARKET 9003 #3110 7535 S ASHLAND AVE CHICAGO 60620 Y 9004 WAL-MART SUPERCENTER #2817 17625 TORRENCE AVE LANSING 60438 Y 9010 SHU FEE MA FEE 10240 S ROBERTS RD PALOS HILLS 60465 N 9018 MARIANO'S FRESH MARKET #8531 3358 WEST TOUHY AVE SKOKIE 60076 N 9019 PETE'S FRESH MARKET #11 10280 S HARLEM AVE BRIDGEVIEW 60455 N 9021 NN FOODS 2881 N ELSTON AVE CHICAGO 60618 N 9035 BABYLON GROCERY & MEAT MART 2800 W DEVON AVE CHICAGO 60659 N 9038 ROSIE'S FOOD MART 3652 WEST WRIGHTWOOD AVE CHICAGO 60647 N 9041 HADAYA 4640 N KEDZIE AVE CHICAGO 60625 N 9042 TEEBA MART 4307 W LAWRENCE AVE CHICAGO 60630 N 9045 MARIANO'S FRESH MARKET #8532 2323 CAPITAL DR NORTHBROOK 60062 N 9049 LA LOMA SUPERMARKET 2501 CHICAGO RD CHICAGO HEIGHTS 60411 N

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Vendor ID Vendor Name Street Address City ZIP Pharmacy 9055 EL CHARRO FOOD 158 N 19TH AVE MELROSE PARK 60160 N 9056 MAPLE FOOD MARKET 12458 MAPLE AVE BLUE ISLAND 60406 N 9061 SUPERMERCADO LA SALSA 879 VILLA ST ELGIN 60120 N 9073 PETE'S FRESH MARKET #12 259 LAKE ST OAK PARK 60302 N 9079 MARIANO'S FRESH MARKET #8533 784 SKOKIE BLVD NORTHBROOK 60062 N 9085 KMART #7289 3231 CHICAGO RD STEGER 60475 Y 9091 ASSI PLAZA 8901 N MILWAUKEE AVE NILES 60714 N 9094 DELOBIAN FOODS MARKET 7424 N WESTERN AVE CHICAGO 60645 N 9100 EUROFRESH OF TINLEY PARK 16000 S HARLEM TINLEY PARK 60477 N 9104 ALQUDS SUPERMARKET 8515 S HARLEM AVE BURBANK 60459 N 9115 MILLENIUM FOODS 11 W 16TH ST CHICAGO HEIGHTS 60411 N 9117 MARIANO'S FRESH MARKET #8534 1500 N CLYBOURN AVE CHICAGO 60610 N 9119 AL-NOUR SUPERMARKET 16213 S 94TH AVE ORLAND HILLS 60687 N 9129 DAALLO MEAT AND GROCERY 2742 W DEVON AVE CHICAGO 60659 N 9143 ALAMAL ALARABI 15931 76TH AVE TINLEY PARK 60477 N 9146 SANA FOODMART 4458 N KEDZIE AVE CHICAGO 60625 N 9147 SUPERMERCADO AMIGO 7023 N CLARK ST CHICAGO 60626 N 9148 STAR MINI MARKET 1580 S BUSSE RD MOUNT PROSPECT 60056 N 9149 MAGNOLIA FOOD MART 4544 N MAGNOLIA AVE CHICAGO 60640 N 9150 CHUMAS GROCERY 7217 OLDE SALEM CIR HANOVER PARK 60133 N 9155 MARIANO'S FRESH MARKET #8535 9504 142ND ST ORLAND PARK 60462 N 9158 SAN FELIPE FRESH MARKET 3440 W MONTROSE AVE CHICAGO 60618 N 9161 YAAZ MINI MART 1701 N PULASKI RD CHICAGO 60639 N 9162 47TH DOLLAR FOOD & MART 1714 W 47TH ST CHICAGO 60609 N 9166 TORRES FRESH MARKET 6227 W 26TH ST BERWYN 60402 N 9167 TONY'S FRESH MARKET 1241 RAND RD PROSPECT HEIGHTS 60004 N 9173 WALGREENS #07267 650 W 63RD ST CHICAGO 60621 Y 9174 WESTERN AVENUE FOODS 1515 WESTERN AVE CHICAGO HEIGHTS 60411 N 9175 LA MEXICANA MART 33 N ELMHURST RD WHEELING 60090 N 9177 SUPERMERCADO SANCHEZ 5924 W 35TH ST CICERO 60804 N 9185 EAST SIDE FOOD MARKET 275 E 16TH ST CHICAGO HEIGHTS 60411 N Page 26 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 9187 ALZAYTOUNA MART 4346 N PULASKI RD CHICAGO 60641 N 9190 MEIJER STORE #280 3800 VOLLMER RD FLOSSMOOR 60422 N 9195 RIO VALLEY 2745 MANNHEIM RD FRANKLIN PARK 60131 N 9204 DONA'S FINER FOODS 12824 MOZART ST BLUE ISLAND 60406 N 9205 WALGREENS #13826 7200 W NORTH AVE ELMWOOD PARK 60707 Y 9206 YASMEEN'S MARKET & BAKERY 8400 S ROBERTS RD JUSTICE 60458 N 9207 WALGREENS #05128 2601 E SAUK TRL SAUK VILLAGE 60411 Y 9211 Butera Fruit Market #589 2070 RAND RD PALATINE 60074 N 9215 WAL-MART SUPERCENTER #4049 21000 WESTERN AVE OLYMPIA FIELDS 60461 Y 9216 JIMENEZ FRESH MARKET 5330 W BELMONT AVE CHICAGO 60641 N 9223 SNACK 4 LESS 1144 W WILSON AVE CHICAGO 60640 N 9224 B & B SUPERMARKET 2924 W BELMONT AVE CHICAGO 60618 N 9226 MARIANO'S FRESH MARKET #8538 3030 N BROADWAY ST CHICAGO 60657 N 9227 PARKVIEW FOOD & LIQUORS 3647 W 83RD PL, FLOOR 1 CHICAGO 60652 N 9228 VILLAGE FOOD & LIQUOR 325 WEST 138TH ST RIVERDALE 60827 N 9230 TONY'S FINER FOODS 5630 W BELMONT AVE CHICAGO 60634 N 9232 CERMAK FRESH MARKET 4000 W DIVERSEY CHICAGO 60639 N 9233 ELJEEB GROCERY 4805 N PULASKI RD CHICAGO 60630 N 9234 ROBBINS FOOD STOP 13914 S CLAIRE BLVD ROBBINS 60472 N 9235 SATINA WORLD MARKET 2056 WEST DEVON AVE CHICAGO 60659 N 9237 WESTERN MEAT & GROCERY 6502 S WESTERN AVE CHICAGO 60636 N 9240 ALJOUD MARKET 10602 RIDGELAND AVE CHICAGO RIDGE 60415 N 9244 MARIANO'S #8539 3857 S DR MARTIN LUTHER KING JR DR CHICAGO 60653 N 9249 LA PALOMA DE MICHOACAN 204 W 15TH ST CHICAGO HEIGHTS 60411 N 9268 PLAZA FOOD 3011 W ARMITAGE AVE CHICAGO 60647 N 9269 MERCADO LA FAMILIA 608 S 5TH AVE MAYWOOD 60153 N 9270 LA CARRETA GROCERY 6910 N CLARK ST CHICAGO 60626 N 9271 WALGREENS #09924 390 E 162ND ST SOUTH HOLLAND 60473 Y 9272 DOLLAR BUSTER #7 5119 W CERMAK RD CICERO 60804 N 9277 MERCADITO LA FAMILIA 2632 W 51ST ST CHICAGO 60632 N 9284 MEENA MARKET 4635 W 63RD ST STE B CHICAGO 60629 N Page 27 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 9285 MIDDLE EASTERN FOOD 4950 N CUMBERLAND AVE UNIT D NORRIDGE 60706 N 9286 LA FINCA MARKET 3432 W IRVING PARK RD CHICAGO 60618 N 9290 ERIC'S FOOD CENTER 13209 S BALTIMORE AVE CHICAGO 60633 N 9291 MARIANO'S FRESH MARKET #541 10 E GOLF RD DES PLAINES 60016 N 9292 CHIN LAND ASIAN FOOD MARKET 2515 W PETERSON AVE CHICAGO 60659 N 9296 ABU OMAR FOOD MART 10726 S HARLEM AVE WORTH 60482 N 9297 ALBANY PARK FRESH MARKET 3632-38 W LAWRENCE AVE CHICAGO 60625 N 9303 MARKET FRESH FOODS 6209 NORTH AVE OAK PARK 60302 N 9307 KIMBALL MINI MART 1859 N KIMBALL AVE CHICAGO 60647 N 9316 ROMAN BROS I 6978 N CLARK ST CHICAGO 60626 N 9318 JEWEL-OSCO #3234 102 W DIVISION ST CHICAGO 60610 Y 9321 LA ESTRELLA MINI MART 7000 W DIVERSEY AVE CHICAGO 60707 N 9323 WHIPPLE FOOD & GROCERY STORE 3035 W LAWRENCE AVE CHICAGO 60625 N 9325 PARADISE MART 4809 N CENTRAL PARK AVE CHICAGO 60625 N Total Active Stores in Cook County 842

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Region 2

STORES ACTIVE IN BOONE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0071 ONE STOP PACEMAKER 413 SOUTHTOWNE DR BELVIDERE 61008 N 3867 WALGREENS #04150 230 W CHRYSLER DR BELVIDERE 61008 Y 6697 WAL-MART SUPERCENTER #3597 2101 GATEWAY CENTER DR BELVIDERE 61008 Y 7585 FIESTA MARKET 400 CHRYSLER DR BELVIDERE 61008 N 7679 PACEMAKER COUNTRYSIDE MARKET 13517 IL RT 76 POPLAR GROVE 61065 N 9074 LUNAS FRESH MARKET 1105 LOGAN AVE BELVIDERE 61008 N Total Active Stores in Boone County 6

STORES ACTIVE IN CARROLL COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0070 SULLIVAN'S FOODS 217 CHICAGO AVE SAVANNA 61074 N 7470 SHAW'S MARKETPLACE #1614 848 S JACKSON ST MT CARROLL 61053 N 8408 LANARK FOOD CENTER 113 N BROAD ST LANARK 61046 N Total Active Stores in Carroll County 3

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STORES ACTIVE IN DEKALB COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0087 JEWEL #3272 1320 SYCAMORE RD DEKALB 60115 N 4897 WAL-MART SUPERCENTER #786 2300 SYCAMORE RD DEKALB 60115 Y 5018 WALGREENS #04042 100 W LINCOLN HWY DEKALB 60115 Y 5795 WALGREENS #05603 1340 DEKALB AVE SYCAMORE 60178 Y 6603 WALGREENS #07409 30 W CHURCH ST SANDWICH 60548 Y 7500 SCHNUCKS #749 975 S ANNIE GLIDDEN RD DEKALB 60115 N 7606 JEWEL-OSCO #3381 220 W PEACE RD SYCAMORE 60178 Y 8198 HY-VEE #1642 2700 DEKALB AVE SYCAMORE 60178 Y 8270 TARGET STORE T-2559 2555 SYCAMORE RD DEKALB 60115 N 8406 HINCKLEY FRESH MARKET 710 JAMES ST HINCKLEY 60520 N 8674 CVS PHARMACY #02375 1022 W LINCOLN HWY DEKALB 60115 Y 9097 BUTERA MARKET 600 PEARSON DR GENOA 60135 N Total Active Stores in DeKalb County 12

STORES ACTIVE IN DUPAGE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 1107 JEWEL #3111 1227 NAPER BLVD NAPERVILLE 60540 N 1110 JEWEL #3062 2317 75TH ST WOODRIDGE 60517 N 1111 JEWEL #3264 2164 BLOOMINGDALE GLENDALE HEIGHTS 60141 N 1113 JEWEL #3341 343 W IRVING PARK RD WOOD DALE 60191 N 1114 JEWEL #3123 7335 CASS DARIEN 60561 N 1116 JEWEL #3003 303 HOLMES CLARENDON HILLS 60514 N 1118 JEWEL #3294 140 W LAKE ST ADDISON 60101 N 1121 JEWEL #3068 4 E OGDEN WESTMONT 60559 N 1123 JEWEL #3047 6215 MAIN ST DOWNERS GROVE 60515 N 1126 JEWEL-OSCO #3185 127 E OGDEN AVE NAPERVILLE 60563 N

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Vendor ID Vendor Name Street Address City ZIP Pharmacy 1129 JEWEL #3284 33 E ST CHARLES RD VILLA PARK 60181 N 1130 JEWEL #3278 1177 S MAIN LOMBARD 60148 N 1131 JEWEL #3283 2031 MAIN ST WHEATON 60187 N 1133 JEWEL #3056 1156 MAPLE LISLE 60532 N 1134 JEWEL #3338 177 E ROOSEVELT RD WEST CHICAGO 60185 N 1138 JEWEL #3230 30 DANADA SQUARE WHEATON 60187 N 1141 JEWEL #3340 599 E ROOSEVELT RD GLEN ELLYN 60137 N 1149 JEWEL #3246 750 ARMY TRAIL RD CAROL STREAM 60188 N 1155 JEWEL-OSCO #3097 1148 OGDEN AVE DOWNERS GROVE 60515 N 1163 JEWEL #3244 944 YORK RD ELMHURST 60126 N 3641 WALGREENS #05148 180 E LAKE ST BLOOMINGDALE 60108 Y 3642 WALGREENS #05468 16 EAST LAKE STREET ADDISON 60101 Y 3644 WALGREENS #05927 324 ROOSEVELT RD GLEN ELLYN 60137 Y 3646 WALGREENS #016092 122 W WILSON ST BATAVIA 60510 Y 3693 WALGREENS #09505 445 E MAPLE AVE ROSELLE 60172 Y 3712 WALGREENS #15482 899 S STATE RTE 59 BARTLETT 60103 Y 3780 WALGREENS #09217 309 W ST CHARLES RD LOMBARD 60148 Y 3865 WALGREENS #04252 10 E ST CHARLES RD VILLA PARK 60181 Y 4231 JEWEL #3059 1759 W OGDEN AVE NAPERVILLE 60540 N 4593 WALGREENS #03994 200 E ROOSEVELT RD VILLA PARK 60181 Y 4594 WALGREENS #02447 2040 ARMY TRAIL RD HANOVER PARK 60133 Y 4597 WALGREENS #03014 2311 OGDEN AVE AURORA 60504 Y 4632 WALGREENS #12624 2501 75TH ST WOODRIDGE 60517 Y 4637 WALGREENS #06820 713 E OGDEN AVE NAPERVILLE 60563 Y 4643 WALGREENS #10148 6S235 STEEPLE RUN DR NAPERVILLE 60540 Y 4647 WALGREENS #13861 2020 S NAPERVILLE RD WHEATON 60189 Y 4648 WALGREENS #02720 6240 BELMONT RD DOWNERS GROVE 60516 Y 4662 WALGREENS #09024 5 W IRVING PARK RD BENSENVILLE 60106 Y 5095 JEWEL-OSCO #3058 2855 W 95TH ST NAPERVILLE 60564 Y 5141 WALGREENS #03405 400 S MAIN ST NAPERVILLE 60540 Y 5144 WALGREENS #05275 8 W 63RD ST WESTMONT 60559 Y Page 31 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 5145 WALGREENS #03861 612 RAYMOND DRIVE NAPERVILLE 60563 Y 5380 WALGREENS #03622 1325 E IRVING PARK RD ITASCA 60143 Y 5464 WALGREENS #04939 2205 W 22ND ST OAK BROOK 60523 Y 5465 WALGREENS #04612 2040 GLEN ELLYN RD GLENDALE HEIGHTS 60139 Y 5466 WALGREENS #04151 355 N EOLA RD AURORA 60502 Y 5467 WALGREENS #07419 1601 N MAIN ST WHEATON 60187 Y 5468 WALGREENS #03993 540 N SCHMALE RD CAROL STREAM 60188 Y 5469 WALGREENS #04069 125 N NELTNOR WEST CHICAGO 60185 Y 5584 MEIJER STORE #169 225 WEBER RD BOLINGBROOK 60440 N 5586 JEWEL-OSCO #3346 153 SCHILLER ELMHURST 60126 Y 5695 CVS PHARMACY #08693 1400 LAKE ST ADDISON 60101 Y 5836 WALGREENS #04780 225 E ROOSEVELT RD LOMBARD 60148 Y 5926 SUPERMERCADO LA CHIQUITA W CHGO 133 W ROOSEVELT RD WEST CHICAGO 60185 N 5938 FAMILY FOODS #255 2 SOUTH 501 RT59 WARRENVILLE 60555 N 5954 JEWEL-OSCO #3240 1157 EOLA RD AURORA 60504 Y 5971 MEIJER STORE #178 808 N ROUTE 59 AURORA 60504 N 5996 WALGREENS #05520 270 W LAKE ST BLOOMINGDALE 60108 Y 5997 WALGREENS #05712 28 W 104 WARRENVILLE RD WARRENVILLE 60555 Y 6057 WALGREENS #05366 5500 COUNTY FARM RD HANOVER PARK 60133 Y 6096 WALGREENS #06475 10S370 KINGERY HWY WILLOWBROOK 60527 Y 6197 CVS PHARMACY #02903 400 OGDEN AVE DOWNERS GROVE 60515 Y 6234 MISKA'S CORNER STORE 365 E NORTH AVE GLENDALE HEIGHTS 60139 N 6338 BUTERA FINER FOODS #2 550 W LAKE ST ROSELLE 60172 N 6365 WALGREENS #06518 27W171 GENEVA WINFIELD 60190 Y 6424 CVS PHARMACY #03665 1299 E OGDEN AVE NAPERVILLE 60563 Y 6509 BUTERA FINER FOODS #7 1290 E CHICAGO AVE NAPERVILLE 60540 N 6619 WALGREENS #06294 840 N MAIN ST GLEN ELLYN 60137 Y 6632 WALGREENS #07212 1010 MAPLE AVE LISLE 60532 Y 6682 TARGET STORE T-1903 28201 DIEHL RD WARRENVILLE 60555 N 6738 TARGET STORE T-0836 175 W ARMY TRAIL RD GLENDALE HEIGHTS 60139 N 6739 TARGET STORE T-0840 1951 W JEFFERSON AVE NAPERVILLE 60540 N Page 32 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 6947 MEIJER STORE #198 130 S GARY AVE BLOOMINGDALE 60108 N 6965 WALGREENS #09033 7516 S CASS AVE DARIEN 60561 Y 6981 SUPERMERCADO TAMPICO 516 MAIN ST WEST CHICAGO 60185 N 6998 WALGREENS #07361 1779 SEQUOIA RD NAPERVILLE 60540 Y 7350 WALGREENS #06176 8300 LEMONT RD DARIEN 60561 Y 7489 FRANKS FRESH MARKET 470 GEORGETOWN SQ WOOD DALE 60191 N 7495 WALGREENS #09925 2S613 STATE ROUTE 59 WARRENVILLE 60555 Y 7598 LA ROSITA CARNICERIA GLENDALE HT 500 E NORTH AVE GLENDALE HTS 60139 N 7759 TARGET STORE T-0957 50 EAST NORTH AVE VILLA PARK 60181 N 7763 TARGET STORE T-1213 13460 ARCHER AVE LEMONT 60439 N 7768 CVS PHARMACY #06789 8645 WOODWARD AVE WOODRIDGE 60517 Y 7847 CAPUTO'S FRESH MARKET 166 E LAKE ST BLOOMINGDALE 60108 N 7848 CAPUTO'S FRESH MARKET 510 W LAKE ST ADDISON 60101 N 7850 CAPUTO'S FRESH MARKET 1250 LAKE ST HANOVER PARK 60133 N 7854 CVS PHARMACY #02791 1005 E ROOSEVELT RD LOMBARD 60148 Y 7858 CVS PHARMACY #04995 700 W IRVING PARK RD BENSENVILLE 60106 Y 7941 WALGREENS #01670 15 GRANT SQ HINSDALE 60521 Y 7942 WALGREENS #04572 501 PLAINFIELD RD WILLOWBROOK 60527 Y 7943 WALGREENS #04636 1000 OGDEN AVENUE DOWNERS GROVE 60515 Y 7984 CVS PHARMACY #05688 1099 W ARMY TRAIL RD BARTLETT 60103 Y 8001 CVS PHARMACY #00833 644 N ROUTE 59 NAPERVILLE 60563 Y 8027 CVS PHARMACY #04262 2211 S EOLA RD AURORA 60504 Y 8031 CVS PHARMACY #06497 350 E NORTH AVE LOMBARD 60148 Y 8034 CVS PHARMACY #07199 1910 MONTGOMERY RD AURORA 60504 Y 8095 CVS PHARMACY #08948 121 E LAKE ST BLOOMINGDALE 60108 Y 8112 CVS PHARMACY #07208 230 E AVENUE NORTH GLENDALE HEIGHTS 60139 Y 8125 CVS PHARMACY #05797 26W212 GENEVA RD CAROL STREAM 60188 Y 8126 CVS PHARMACY #07134 1400 E ROOSEVELT RD WHEATON 60187 Y 8128 CVS PHARMACY #08501 8325 LEMONT RD DARIEN 60561 Y 8209 WALGREENS #03015 160 N ROBERT T PALMER DR ELMHURST 60126 Y 8242 TARGET STORE T-0838 601 S COUNTY FARM ROAD WHEATON 60187 N Page 33 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 8246 TARGET STORE T-0866 2333 63RD ST WOODRIDGE 60517 N 8248 TARGET STORE T-0893 401 W IRVING PARK RD WOOD DALE 60191 N 8253 TARGET STORE T-1024 60 YORKTOWN SHOPPING CTR LOMBARD 60148 N 8266 TARGET STORE T-1882 7601 KINGERY HWY WILLOWBROOK 60527 N 8272 WAL-MART SUPERCENTER #5442 1050 N ROHLWING RD ADDISON 60101 Y 8309 WAL-MART SUPERCENTER #1848 3 SOUTH 100 RTE-53 GLEN ELLYN 60137 Y 8320 WALGREENS #13827 1 E OGDEN AVE WESTMONT 60559 Y 8333 VILLA PARK FRUIT MARKET 302 W NORTH AVE VILLA PARK 60181 N 8340 WAL-MART SUPERCENTER #1401 2552 W 75TH ST NAPERVILLE 60540 Y 8341 WAL-MART SUPERCENTER #1553 314 W ARMY TRAIL RD BLOOMINGDALE 60108 Y 8372 WAL-MART SUPERCENTER #1737 900 S RTE 83 VILLA PARK 60181 Y 8383 WAL-MART STORE #2215 2189 75TH ST DARIEN 60561 Y 8404 WALGREENS #13456 1303 WEHRLI RD NAPERVILLE 60565 Y 8556 LA HUERTA NORTE 172 N GARY AVE CAROL STREAM 60188 N 8564 CVS PHARMACY #02860 110 W NORTH AVE ELMHURST 60126 Y 8578 CVS PHARMACY #06701 101 BARTLETT PLAZA BARTLETT 60103 Y 8720 MARIANO'S FRESH MARKET #8511 678 N YORK ST ELMHURST 60126 N 8762 SHOP & SAVE MARKET #2000 7241 LEMONT RD DOWNERS GROVE 60516 N 8771 MARIANO'S FRESH MARKET #8513 625 S MAIN ST WHEATON 60187 N 8781 CERMAK FRESH MARKET 856 STATE RTE 59 NAPERVILLE 60540 N 8783 WALGREENS #15471 2191 W ROOSEVELT RD WHEATON 60187 Y 8810 La Huerta 2 Grocery 224 W GREEN ST BENSENVILLE 60106 N 8840 SUPERMERCADO EL GRANDE 77 E FULLERTON AVE ADDISON 60101 N 8897 MARIANO'S FRESH MARKET #8519 3025 E NEW YORK ST AURORA 60504 N 8919 CAPUTO'S FRESH MARKET 42 OGDEN AVE DOWNERS GROVE 60515 N 8937 ARDMORE FOOD & LIQUOR 1638 S ARDMORE AVE VILLA PARK 60181 N 8939 CAPUTO'S FRESH MARKET 550 E NORTH AVE CAROL STREAM 60188 N 8958 FAMILIA FRESH MARKET NO 2 2065 W 63RD ST DOWNERS GROVE 60516 N 8977 CARNICERIAS JIMENEZ 559 MAIN ST WEST CHICAGO 60185 N 8978 CARNICERIAS JIMENEZ 240 W LAKE ST ADDISON 60101 N 9029 CHIQUITA FOOD MARKET 219 W MAIN ST BENSENVILLE 60106 N Page 34 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 9120 GARDEN FRESH MARKET 955 W 75TH ST NAPERVILLE 60565 N 9121 PAPA WIN GROCERIES 1730 E ROOSEVELT RD WHEATON 60187 N 9122 JEWEL-OSCO 1145 S YORK RD BENSENVILLE 60106 Y 9183 MARIANO'S FRESH MARKET #8536 150 W 63RD ST WESTMONT 60559 N 9188 MARIANO'S FRESH MARKET #8537 1300 S NAPER BLVD NAPERVILLE 60540 N 9193 MARTHA'S FOOD MARKET & TOBACCO 231 W IRVING PARK RD BENSENVILLE 60106 N 9213 THE TROPICAL MARKET 726 S LORRAINE RD WHEATON 60189 N 9245 NAMASTE FOODS 1801A E ROOSEVELT RD WHEATON 60187 N 9246 LAI ZOM ASIAN GROCERY 926 E ROOSEVELT RD WHEATON 60187 N 9275 MARIANO'S #540 144 S GARY AVE BLOOMINGDALE 60108 N 9308 CONTINENTAL MARKET 724 S PRESIDENT ST WHEATON 60189 N 9335 Mariano's #543 345 W ROOSEVELT RD LOMBARD 60148 N Total Active Stores in DuPage County 146

STORES ACTIVE IN GRUNDY COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 5062 WALGREENS #04348 100 BEDFORD RD MORRIS 60450 Y 5200 WAL-MART SUPERCENTER #844 333 E RT 6 MORRIS 60450 Y 6458 JEWEL-OSCO #3741 14141 N DIVISION MORRIS 60450 Y 7061 JEWEL-OSCO #3730 2051 RIDGE RD MINOOKA 60447 N 7070 BERKOT'S SUPER FOODS #302 100 S BROADWAY COAL CITY 60416 N Total Active Stores in Grundy County 5

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STORES ACTIVE IN JO DAVIESS COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0042 HARTZELL'S FAMILY FOODS 7989 IL RTE 78 N WARREN 61087 N 0043 SULLIVAN'S FOODS 103 W NORTH AVE STOCKTON 61085 N 6807 WAL-MART SUPERCENTER #5044 10000 BARTEL BLVD GALENA 61036 Y 8321 PIGGLY WIGGLY SUPERMARKET #314 997 GALENA SQUARE DR GALENA 61036 N Total Active Stores in Jo Daviess County 4

STORES ACTIVE IN KANE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 1108 JEWEL #3331 2073 PRAIRIE ST ST CHARLES 60174 N 1128 JEWEL #3252 1952 W GALENA AURORA 60506 N 1132 JEWEL #3219 119 RANDALL RD BATAVIA 60510 N 1137 JEWEL #3313 1660 LARKIN AVE ELGIN 60120 N 1144 JEWEL #3291 1040 SUMMIT AVE ELGIN 60120 N 2652 SUPERMERCADO LA CHIQUITA #3 651 E ASHLAND AURORA 60505 N 2679 JEWEL #3306 1250 W MAIN ST WEST DUNDEE 60118 N 3656 WALGREENS #12125 9 N UNION ST AURORA 60505 Y 3657 WALGREENS #04179 2100 W STATE ST GENEVA 60134 Y 3668 WALGREENS #09404 1180 N FARNSWORTH AVE AURORA 60505 Y 3669 WALGREENS #04502 399 LAKE MARIAN RD CARPENTERSVILLE 60110 Y 3777 WALGREENS #09439 600 VILLA ST ELGIN 60120 Y 4185 WALGREENS #12772 589 N MCLEAN BLVD ELGIN 60123 Y 4569 BUTERA FINER FOODS #85 3 CLOCK TOWER PLAZA ELGIN 60120 N 4595 WALGREENS #07292 2751 E MAIN ST ST CHARLES 60174 Y 4814 WALGREENS #03774 1207 N RANDALL RD AURORA 60506 Y 5047 CVS PHARMACY #08746 300 N EOLA RD AURORA 60502 Y 5275 ARMANDO & SONS 925 N LIBERTY ST ELGIN 60120 N

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Vendor ID Vendor Name Street Address City ZIP Pharmacy 5424 JEWEL #3260 652 KIRK RD ST CHARLES 60174 Y 5574 JEWEL-OSCO #3343 375 RANDALL RD SOUTH ELGIN 60177 Y 5797 SUPERMERCADO EL GUERO DE AURORA 30 N ROOT ST AURORA 60505 N 5828 MEIJER STORE #182 855 S RANDALL RD ST CHARLES 60174 N 5972 MEIJER STORE #183 815 S RANDALL RD ELGIN 60123 N 6175 JEWEL-OSCO #3394 13200 VILLAGE GREEN DR HUNTLEY 60142 Y 6269 TARGET STORE T-1323 3885 E MAIN ST ST CHARLES 60174 N 6364 WALGREENS #06795 3351 W MAIN ST ST CHARLES 60175 Y 6377 WALGREENS #07100 1700 LARKIN AVE ELGIN 60123 Y 6416 FIESTA FOOD MART 220 JACKSON ST AURORA 60505 N 6472 WALGREENS #06937 1221 N LAKE ST AURORA 60506 Y 6473 WALGREENS #04561 1918 W FABYAN PKWY BATAVIA 60510 Y 6602 WOODMAN'S FOOD MARKET 2100 RANDALL RD CARPENTERSVILLE 60110 N 6683 TARGET STORE T-1896 530 RANDALL RD SOUTH ELGIN 60177 N 6917 BUTERA FINER FOODS #3 1175 W SPRING ST SOUTH ELGIN 60177 N 6958 WALGREENS #01131 1051 OAK ST NORTH AURORA 60542 Y 6976 ELGIN FRUIT MARKET #2 306 S MCLEAN BLVD ELGIN 60123 N 7131 JEWEL-OSCO #3374 465 N ROUTE 47 SUGAR GROVE 60554 Y 7162 WOODMAN'S FOOD MARKET 151 HANSEN BLVD NORTH AURORA 60542 N 7195 CARNICERIA EL PASO GRANDE 634 E NEW YORK ST AURORA 60505 N 7411 JEWEL-OSCO #3347 800 N MAIN ST ELBURN 60119 Y 7467 WALGREENS #07467 22 N CONSTITUTION DR AURORA 60506 Y 7559 WAL-MART SUPERCENTER #4405 2900 KIRK RD AURORA 60504 Y 7615 VILLAGE FRESH MARKET 350 LAKE MARIAN RD CARPENTERSVILLE 60110 N 7727 WALGREENS #09334 2986 KIRK RD AURORA 60502 Y 7830 SUPERMERCADO EL GUERO 850 N FARNSWORTH AVE AURORA 60505 N 7851 CAPUTO'S FRESH MARKET 622 N RANDALL RD SOUTH ELGIN 60177 N 7857 CVS PHARMACY #04269 765 E STATE ST GENEVA 60134 Y 7967 WALGREENS #07596 1001 N MAIN ELBURN 60119 Y 8003 CVS PHARMACY #01161 2360 W INDIAN TRAIL AURORA 60506 Y 8121 CVS PHARMACY #02786 255 N MCLEAN BLVD SOUTH ELGIN 60177 Y Page 37 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 8132 LA ALCANCIA 651 N RT 68 CARPENTERSVILLE 60110 N 8172 WAL-MART SUPERCENTER #1898 150 SMITH RD ST CHARLES 60174 Y 8271 TARGET STORE T-0839 115 N RANDALL RD BATAVIA 60510 N 8300 TARGET STORE T-2177 1800 ORCHARD GATEWAY BLVD NORTH AURORA 60542 N 8371 WAL-MART STORE #1531 365 LAKE MARIAN RD CARPENTERSVILLE 60110 Y 8415 WAL-MART SUPERCENTER #1814 1100 S RANDALL RD ELGIN 60123 Y 8513 PRIMOS FOOD MART 221 HILL AVE AURORA 60505 N 8604 WALGREENS #09431 376 N STATE ROUTE 47 SUGAR GROVE 60554 Y 8652 CERMAK FRESH MARKET 1250 N LAKE ST AURORA 60506 N 8737 WAL-MART SUPERCENTER #5352 801 N RANDALL RD BATAVIA 60510 Y 8863 MONTERREY FOOD MART II 475 HINMAN ST AURORA 60505 N 8923 LA ESCINITA DE DURANGO 433 CLAIM ST AURORA 60505 N 8987 BUTERA MARKET #508 20 TYLER CREEK PLZ ELGIN 60123 N 8992 SUPERMERCADO CARRERA 710 FORAN LN AURORA 60506 N 9016 AURORA MARKET 218 E GALENA BLVD AURORA 60505 N 9051 ALMA FOOD MARKET 823 AURORA AVE AURORA 60505 N 9125 QUICK SHOP FOOD & LIQUOR 3002 WAKEFIELD DR CARPENTERSVILLE 60110 N 9135 CHIQUITA FOOD MARKET 1525 DOUGLAS RD MONTGOMERY 60538 N 9169 VILLA SUPER MINI MART 401 VILLA ST ELGIN 60120 N 9170 MERCADO LA ESTRELLA 419 DUNDEE AVE ELGIN 60120 N 9181 AURORA DISCOUNT STORE 641 E NEW YORK ST AURORA 60505 N 9238 FAMILY PANTRY 1335 DOUGLAS AVE MONTGOMERY 60538 N 9276 A1 STOP FOOD MART 1005 CLAIM ST AURORA 60505 N 9304 Best Dollar Store 1669 MONTGOMERY RD AURORA 60504 N 9312 POPS PANTRY 1195 N MCLEAN BLVD ELGIN 60123 N Total Active Stores in Kane County 74

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STORES ACTIVE IN KANKAKEE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 1097 KROGER #984 633 ARMOUR RD BOURBONNAIS 60914 Y 1142 JEWEL #3156 446 S WASHINGTON KANKAKEE 60901 N 1143 JEWEL-OSCO #2488 655 MAIN ST NW BOURBONNAIS 60914 N 3664 WALGREENS #04142 1050 N KENNEDY DR KANKAKEE 60901 Y 3776 WALGREENS #10339 501 N CONVENT ST BOURBONNAIS 60914 Y 4767 MARIO'S MARKET WEST 1557 W COURT ST KANKAKEE 60901 N 5042 G & S FOOD 1560 E COURT KANKAKEE 60901 N 5326 BUDS GROCERY 1770 E MAPLE KANKAKEE 60901 N 5834 CVS PHARMACY #02663 225 W COURT ST KANKAKEE 60901 Y 6470 BERKOT'S SUPER FOODS 451 N LOCUST MANTENO 60950 N 7557 WAL-MART SUPERCENTER #1307 2080 N STATE RT 50 BOURBONNAIS 60914 Y 7558 WAL-MART SUPERCENTER #4323 505 RIVERSTONE PKWY KANKAKEE 60901 Y 8020 WALGREENS #12468 222 W COURT ST KANKAKEE 60901 Y 8222 BERKOT'S SUPER FOODS #317 159 STIRLING PLACE MOMENCE 60954 N 8627 TARGET STORE T-0895 1615 N STATE RTE 50 BOURBONNAIS 60914 N 8861 BERKOT'S SUPER FOODS 200 S BRIDGE ST AROMA PARK 60910 N 8954 SAVE-A-LOT 390 S SCHUYLER AVE KANKAKEE 60901 N Total Active Stores in Kankakee County 17

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STORES ACTIVE IN KENDALL COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 1160 JEWEL #3138 2540 US RTE 30 OSWEGO 60543 N 3655 WALGREENS #04779 1799 DOUGLAS RD MONTGOMERY 60538 Y 4778 WAL-MART SUPERCENTER #1003 6800 W RTE 34 PLANO 60545 Y 5998 WALGREENS #05824 410 CHICAGO RD OSWEGO 60543 Y 6115 JEWEL-OSCO #3102 234 E VETERANS PKWY YORKVILLE 60560 Y 6959 WALGREENS #06469 100 W VETERANS PKWY YORKVILLE 60560 Y 7146 WALGREENS #01484 3401 ORCHARD RD OSWEGO 60543 Y 7365 WALGREENS #10498 1991 S BRIDGE ST YORKVILLE 60560 Y 7382 MEIJER STORE #239 2700 RTE 34 OSWEGO 60543 N 7440 WAL-MART SUPERCENTER #3400 2300 ROUTE 34 OSWEGO 60543 Y 7457 WAL-MART SUPERCENTER #4286 2000 ORCHARD RD MONTGOMERY 60538 Y 7605 JEWEL-OSCO #2481 3795 ORCHARD OSWEGO 60543 Y 7642 TARGET STORE T-2378 1652 N BEECHER RD YORKVILLE 60560 N 7728 WALGREENS #10885 2091 ORCHARD RD MONTGOMERY 60538 Y 7766 TARGET STORE T-1402 3020 ROUTE 34 OSWEGO 60543 N 7904 WALGREENS #11740 1212 OGDEN AVE MONTGOMERY 60538 Y 9253 THE LITTLE MARKETA 20 W SOUTH ST STE B PLANO 60545 N Total Active Stores in Kendall County 17

STORES ACTIVE IN LAKE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 1079 GREAT LAKES COMMISSARY 2630 GREENBAY COMMISSARY GREAT LAKES NTC 60088 N 1117 JEWEL #3424 3124 N LEWIS AVE WAUKEGAN 60087 N 1119 JEWEL #3515 547 LIBERTY ST WAUCONDA 60084 N 1120 JEWEL #3432 900 E ROLLINS RD ROUND LAKE 60073 N 1125 JEWEL #3421 1400 21ST ST ZION 60099 N

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Vendor ID Vendor Name Street Address City ZIP Pharmacy 1136 JEWEL #3516 922 N GREEN BAY RD WAUKEGAN 60085 N 1140 JEWEL #3459 1600 W DEERFIELD RD HIGHLAND PARK 60035 N 1145 JEWEL #3466 966 ROUTE 59 ANTIOCH 60002 N 1150 JEWEL #3406 1300 S MILWAUKEE LIBERTYVILLE 60048 N 1156 JEWEL #3488 1501 S LAKE ST MUNDELEIN 60060 N 1158 JEWEL #3485 485 ELA RD LAKE ZURICH 60047 N 1162 JEWEL #3475 16 S WAUKEGAN DEERFIELD 60015 N 2700 WALGREENS #03749 2200 N LEWIS AVE WAUKEGAN 60087 Y 3601 ISSAC'S FINER FOODS 2212 MARTIN LUTHER KING DR NORTH CHICAGO 60064 N 3670 WALGREENS #05830 345 N LAKE ST MUNDELEIN 60060 Y 3672 WALGREENS #04067 15 N BUFFALO GROVE RD BUFFALO GROVE 60089 Y 3673 WALGREENS #05045 780 WAUKEGAN RD DEERFIELD 60015 Y 3674 WALGREENS #01438 2501 WAUKEGAN RD BANNOCKBURN 60015 Y 3822 JEWEL #3490 890 N WESTERN AVE LAKE FOREST 60045 N 4353 JEWEL #3451 150 W MAIN ST BARRINGTON 60010 N 4414 JEWEL #3405 6509 W GRAND AVE GURNEE 60031 N 4646 WALGREENS #05829 2100 SHERIDAN RD ZION 60099 Y 4653 WALGREENS #04674 261 W TOWNLINE RD VERNON HILLS 60061 Y 4656 WALGREENS #15261 283 W IL RTE 173 ANTIOCH 60002 Y 4660 WALGREENS #03273 655 ELM PL HIGHLAND PARK 60035 Y 4661 WALGREENS #03320 61 S ROUTE 12 FOX LAKE 60020 Y 4709 WALGREENS #03078 1811 BELVIDERE ST WAUKEGAN 60085 Y 5096 JEWEL-OSCO #3453 1350 S US RTE 12 FOX LAKE 60020 Y 5393 WALGREENS #03750 709 N GREENBAY RD WAUKEGAN 60085 Y 5396 JOHN'S LIQUOR AND MINI MART 1000 14TH ST NORTH CHICAGO 60064 N 5529 CVS PHARMACY #08761 10 S LEWIS AVE WAUKEGAN 60085 Y 5598 WALGREENS #02985 295 US HWY 45 GRAYSLAKE 60030 Y 5762 JEWEL-OSCO #3464 885 E BELVIDERE RD GRAYSLAKE 60030 Y 5981 WALGREENS #05106 460 E WASHINGTON ST GRAYSLAKE 60030 Y 6041 WAUKEGAN MARKET 624 GRAND AVE WAUKEGAN 60085 N 6053 SOUTH PARK INTERNATIONAL 102 S PARK AVE WAUKEGAN 60085 N Page 41 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 6112 WALGREENS #04940 305 W ROLLINS RD ROUND LAKE BEACH 60073 Y 6184 CVS PHARMACY #02788 20 E DUNDEE RD BUFFALO GROVE 60089 Y 6508 BUTERA FINER FOODS #1 1500 E GRAND AVE LINDENHURST 60046 N 6647 Citgo Gas North Chicago 2004 MARTIN LUTHER KING DR NORTH CHICAGO 60064 N 6654 CVS PHARMACY #02900 34344 N HWY 45 GRAYS LAKE 60030 Y 6730 PIGGLY WIGGLY SUPERMARKET #101 460 ORCHARD ST ANTIOCH 60002 N 6731 PIGGLY WIGGLY SUPERMARKET #102 3341 SHERIDAN RD ZION 60099 N 6733 WAL-MART SUPERCENTER #5199 475 E ROUTE 173 ANTIOCH 60002 Y 6737 TARGET STORE T-1912 3100 W HWY 60 MUNDELEIN 60060 N 6862 CVS PHARMACY #07170 1229 W ROUTE 134 ROUND LAKE 60073 Y 6884 CVS PHARMACY #02901 3001 WASHINGTON ST WAUKEGAN 60085 Y 6941 S & B MINI MART 1550 GLEN ROCK AVE WAUKEGAN 60085 N 7056 TARGET STORE T-0833 313 E TOWNLINE RD VERNON HILLS 60061 N 7072 BEST MARKET 1012 14TH ST NORTH CHICAGO 60064 N 7176 WAL-MART SUPERCENTER #3891 3900 FOUNTAIN SQUARE PL WAUKEGAN 60085 Y 7194 WALGREENS #05543 320 WAUKEGAN AVE HIGHWOOD 60040 Y 7215 ONE STOP FOOD & LIQUOR 1015 N FAIRFIELD RD ROUND LAKE BEACH 60073 N 7291 CLUB FOODS 1700 N LEWIS AVE WAUKEGAN 60085 N 7310 LEWIS FRESH MARKET 2727 GRAND AVE WAUKEGAN 60085 N 7318 IMPERIAL FOODS 726 10TH ST WAUKEGAN 60085 N 7334 Peoples Market 901 8TH ST WAUKEGAN 60085 N 7389 WAL-MART SUPERCENTER #3893 4000 RTE173 ZION 60099 Y 7549 VAL'S FRESH MARKET 17 TOWNE CENTRE LN FOX LAKE 60020 N 7695 CVS PHARMACY #00702 4580 ROUTE 173 ZION 60099 Y 7760 TARGET STORE T-1036 555 S RAND RD LAKE ZURICH 60047 N 7806 WALGREENS #02137 39023 N GREEN BAY RD BEACH PARK 60087 Y 7829 JUBILEE 66 2245 N LEWIS AVE WAUKEGAN 60085 N 7843 ISAAC & MOISES DELI FRUITS & VEG 311 WAUKEGAN AVE HIGHWOOD 60040 N 7859 CVS PHARMACY #05774 1101 W MAPLE MUNDELEIN 60060 Y 7867 CVS PHARMACY #01172 2020 E GRAND AVE LINDENHURST 60046 Y 7906 REYES GROCERY STORE 20 S GENESEE ST WAUKEGAN 60085 N Page 42 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7909 WALGREENS #04277 602 W LIBERTY ST WAUCONDA 60084 Y 7911 WAL-MART SUPERCENTER #1668 6590 GRAND AVE GURNEE 60031 Y 7914 CVS PHARMACY #08926 983 IL ROUTE 59 ANTIOCH 60002 Y 7936 LOMELI'S INTERNATIONAL SUPERMKT 230 N CEDAR LAKE RD ROUND LAKE 60073 N 7957 LA ZAPOPAN 2005 WASHINGTON ST WAUKEGAN 60085 N 7966 WAL-MART SUPERCENTER #1228 2680 ROUTE 83 ROUND LAKE BEACH 60073 Y 7972 SUPERMERCADO EL POTOSI 300 N GENESEE WAUKEGAN 60085 N 8079 LA AZTECA GROCERY 1529 N CEDAR LAKE RD ROUND LAKE BEACH 60073 N 8139 SUPERMERCADO Y TAQUERIA VILLASNR 835 W ROLLINS RD ROUND LAKE HEIGHTS60073 N 8150 WALGREENS #06905 399 S US HWY 45 LINDENHURST 60046 Y 8158 SUPERMERCADO MAS POR MENOS 1412 GRAND AVE WAUKEGAN 60085 N 8169 SUPER FAMILY MART 726 BELVIDERE ST WAUKEGAN 60085 N 8174 CVS PHARMACY #03872 39161 SHERIDAN RD BEACH PARK 60099 Y 8233 MARIANO'S FRESH MARKET #8502 1720 N MILWAUKEE AVE VERNON HILLS 60061 N 8245 TARGET STORE T-0865 6601 GRAND AVE GURNEE 60031 N 8257 TARGET STORE T-1168 2099 SKOKIE VALLEY RD HIGHLAND PARK 60035 N 8312 VIP FOOD & LIQUOR 1720 SHERIDAN RD NORTH CHICAGO 60064 N 8318 CVS PHARMACY #07788 2075 S LAKE ST MUNDELEIN 60060 Y 8360 MENDOZA GROCERY II 515 N CEDAR LAKE RD ROUND LAKE 60073 N 8377 WAL-MART SUPERCENTER #1404 820 S RAND RD LAKE ZURICH 60047 Y 8436 SALEM FOOD 2439 GALILEE AVE ZION 60099 N 8465 WALGREENS #04988 1701 N BUFFALO GROVE RD BUFFALO GROVE 60089 Y 8539 TARGET STORE T-1070 3050 N LEWIS WAUKEGAN 60087 N 8566 CVS PHARMACY #02902 520 N WESTERN AVE LAKE FOREST 60045 Y 8575 CVS PHARMACY #04787 1539 CLAVEY RD HIGHLAND PARK 60035 Y 8598 IMPERIAL FOOD STORE II 703 S MCALISTER AVE WAUKEGAN 60085 N 8618 CVS PHARMACY #05960 2000 SKOKIE VALLEY RD HIGHLAND PARK 60035 Y 8749 EL RANCHO SUPERMARKET 1915 GRAND AVE WAUKEGAN 60085 N 8798 WALGREENS #11367 28895 W IL ROUTE 120 LAKEMOOR 60051 Y 8802 MARIANO'S FRESH MARKET #8514 1350 E ROUTE 22 LAKE ZURICH 60047 N 8823 WALGREENS #05056 4830 GRAND AVE GURNEE 60031 Y Page 43 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 8846 WALGREENS #10122 951 N HIGHWAY 83 MUNDELEIN 60060 Y 8867 HOT SPOT FOOD & LIQUOR 2435 WASHINGTON ST WAUKEGAN 60085 N 8870 THREE AMIGAS 450 W LIBERTY ST WAUCONDA 60084 N 8871 MARIANO'S FRESH MARKET #8521 450 W HALF DAY RD BUFFALO GROVE 60089 N 8895 MARIANO'S FRESH MARKET #8523 6655 GRAND AVE GURNEE 60031 N 8902 JEWEL-OSCO #2505 345 S RAND RD LAKE ZURICH 60047 Y 8904 JEWEL-OSCO #2507 800 NORTHWEST HIGHWAY FOX RIVER GROVE 60012 Y 8934 VILLAS GROCERY 3412 KEHM BLVD PARK CITY 60085 N 9036 WAUKEGAN FRUIT MARKET 951 S LEWIS AVE WAUKEGAN 60085 N 9053 NORTH AVENUE FOOD MART 946 NORTH AVENUE WAUKEGAN 60085 N 9111 TEE PEE LIQUORS & GROCERY 1801 MARTIN LUTHER KING JR DR NORTH CHICAGO 60064 N 9112 ADRIANA'S MINI MARKET 721 10TH ST NORTH CHICAGO 60064 N 9114 MARLEEN FRUIT MARKET 3406 KEHM BLVD PARK CITY 60085 N 9131 SAVE A LOT #8010 561 S LEWIS WAUKEGAN 60085 N 9164 SUNSET FOOD MARKET 1501 SUNSET AVE WAUKEGAN 60087 N 9191 MEIJER STORE #289 750 E ROLLINS RD ROUND LAKE BEACH 60073 N 9243 JEWEL-OSCO #3061 1150 W MAPLE AVE MUNDELEIN 60060 N 9265 EXPRESS FOOD & LIQUOR 1306 N CEDAR LAKE RD ROUND LAKE BEACH 60073 N 9273 COUSINS MEAT MARKET 4200 IL ROUTE 173 STE 1 ZION 60099 N 9274 AUTO BRIDGE 902 GRAND AVE WAUKEGAN 60085 N 9299 BUTERA FRUIT MARKET 815 CENTER ST GRAYSLAKE 60030 N 9309 UNCLE JOHN'S MART 1102 W GREENWOOD AVE WAUKEGAN 60087 N 9314 WAL-MART STORE #1489 555 E TOWNLINE RD VERNON HILLS 60061 Y Total Active Stores in Lake County 121

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STORES ACTIVE IN LEE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0073 OLIVER'S CORNER MARKET 748 N BRINTON DIXON 61021 N 0093 WALGREENS #02591 1275 N GALENA AVE DIXON 61021 Y 2871 FRANKLIN GROVE FRESH MARKET 127 N ELM ST FRANKLIN GROVE 61031 N 5851 DIXON FOOD CENTER 500 CHICAGO AVE DIXON 61021 N 6232 PAW PAW FRESH MARKET 361 CHICAGO RD PAW PAW 61353 N 6940 WAL-MART SUPERCENTER #5399 1640 S GALENA AVE DIXON 61021 Y 7552 COUNTY MARKET #223 1380 N GALENA AVE DIXON 61021 N 9300 AMBOY FOOD & SPIRIT 242 E MAIN ST AMBOY 61310 N Total Active Stores in Lee County 8

STORES ACTIVE IN MCHENRY COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 1106 JEWEL #3310 1501 E ALGONQUIN RD ALGONQUIN 60102 N 1115 JEWEL #3496 696 NORTHWEST HWY CARY 60013 N 1139 JEWEL-OSCO #3503 145 S EASTWOOD DR WOODSTOCK 60098 N 1152 JEWEL-OSCO #3517 6140 NORTHWEST HWY CRYSTAL LAKE 60014 N 1153 JEWEL #3518 4222 ELM ST MCHENRY 60050 N 3506 JEWEL #3256 103 S RANDALL RD ALGONQUIN 60102 N 4650 WALGREENS #01994 305 S EASTWOOD DR WOODSTOCK 60098 Y 4651 WALGREENS #06746 151 NORTHWEST HWY CRYSTAL LAKE 60014 Y 4657 WALGREENS #05469 3925 W ELM ST MCHENRY 60050 Y 5973 MEIJER STORE #206 400 S RANDALL RD ALGONQUIN 60102 N 6431 TARGET STORE T-1801 750 RANDALL RD ALGONQUIN 60102 N 6445 MEIJER STORE #218 2253 N RICHMOND RD MCHENRY 60050 N 7312 WAL-MART SUPERCENTER #3434 1275 LAKE AVE WOODSTOCK 60098 Y 7412 JEWEL-OSCO #3415 2401 ROUTE 12 SPRING GROVE 60081 Y

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Vendor ID Vendor Name Street Address City ZIP Pharmacy 7483 WAL-MART SUPERCENTER #1413 1205 ILLINOIS RTE 31S CRYSTAL LAKE 60041 Y 7536 WALGREENS #10971 442 W STATE RD ISLAND LAKE 60042 Y 7625 WAL-MART SUPERCENTER #1211 21101 MCGUIRE RD HARVARD 60033 Y 7796 WAL-MART SUPERCENTER #4641 12300 ROUTE 47 HUNTLEY 60142 Y 7853 LA HUERTA #5 4605 W ELM ST MCHENRY 60050 N 7877 WAL-MART SUPERCENTER #5060 1410 S RANDALL RD ALGONQUIN 60102 Y 7884 LA ROSITA SUPERMARKET HARVARD 106 W SUMNER ST HARVARD 60033 N 7910 WALGREENS #11411 395 S DIVISION ST HARVARD 60033 Y 7913 CVS PHARMACY #05619 25 NORTHWEST HWY CARY 60013 Y 7921 CVS PHARMACY #07970 4511 ALGONQUIN RD LAKE IN THE HILLS 60156 Y 8023 WALGREENS #03406 100 N RANDALL RD LAKE IN THE HILLS 60156 Y 8085 WALGREENS #04040 500 NORTHWEST HWY CARY 60013 Y 8122 CVS PHARMACY #03790 1305 RANDALL RD CRYSTAL LAKE 60014 Y 8255 TARGET STORE T-1166 5580 NORTHWEST HWY CRYSTAL LAKE 60014 N 8344 ANGELO'S FRESH MARKET 4400 ELM ST MCHENRY 60050 N 8413 WAL-MART SUPERCENTER #1377 3801 RUNNING BROOK FARMS BLVD JOHNSBURG 60050 Y 8424 JOSEPH'S MARKETPLACE 29 CRYSTAL LAKE PLZ CRYSTAL LAKE 60014 N 8752 SULLIVAN'S FOODS 202 LINDOW LN MARENGO 60152 N 9157 SUPERMERCADO EL SOL 201 E CHURCH ST WOODSTOCK 60098 N 9159 CVS PHARMACY #10470 3900 W ELM ST MCHENRY 60050 Y 9171 MIDTOWN FOOD & LIQUOR 3808 W ELM ST MCHENRY 60050 N 9210 Butera Fruit Market #588 100 S RANDALL RD ALGONQUIN 60102 N 9278 EL TAPATIO MARKET 201 S AYER ST HARVARD 60033 N 9283 CVS PHARMACY #10628 177 W VIRGINIA ST CRYSTAL LAKE 60014 Y Total Active Stores in McHenry County 38

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STORES ACTIVE IN OGLE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 2756 SULLIVAN'S FOODS 320 EAGLE DR ROCHELLE 61068 N 3967 OREGON SUPER VALU 204 N 4TH ST OREGON 61061 N 6855 LUPITA SUPERMARKET MEAT & GROC 409 N MAIN ST ROCHELLE 61068 N 7225 COUNTY MARKET #217 201 W BLACKHAWK BYRON 61010 N 7660 WALGREENS #10938 1080 N 7TH ST ROCHELLE 61068 Y 8162 SULLIVAN'S FOODS 101 E HIGHWAY 64 MT MORRIS 61054 N 8362 WAL-MART SUPERCENTER #933 311 W IL RTE 38 ROCHELLE 61068 Y 9298 FELKER FOODS 415 W BLACKHAWK DR BYRON 61010 N Total Active Stores in Ogle County 8

STORES ACTIVE IN STEPHENSON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 2803 CUB FOODS #1625 1512 SW RTE 26 FREEPORT 61032 N 3610 WALGREENS #02584 835 W GALENA AVE FREEPORT 61032 Y 5872 CVS PHARMACY #08533 721 W SOUTH ST FREEPORT 61032 Y 5873 CVS PHARMACY #08540 1535 W GALENA AVE FREEPORT 61032 Y 5978 SAVE-A-LOT 1801 S WEST AVE FREEPORT 61032 N 6451 SULLIVAN'S FOODS 2002 W GALENA AVE FREEPORT 61032 N 7406 SULLIVAN'S FOODS 201 DODDS DR LENA 61048 N 7539 WAL-MART SUPERCENTER #1740 2545 IL RTE 26 S FREEPORT 61032 Y 7835 WALGREENS #12287 1732 S WEST AVE FREEPORT 61032 Y 9054 A & K CONVENIENCE & TOBACCO 611 SOUTH GALENA AVE FREEPORT 61032 N 9093 ADAM'S MARKET 453 S ADAMS FREEPORT 61032 N Total Active Stores in Stephenson County 11

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STORES ACTIVE IN WHITESIDE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0066 SULLIVAN'S FOODS 300 N MADISON ST MORRISON 61270 N 0077 CVS PHARMACY #08663 2301 N LOCUST ST STERLING 61081 Y 0078 KROGER #953 2301 LOCUST ST STERLING 61081 N 3665 WALGREENS #02473 1700 1ST AVE ROCK FALLS 61071 Y 3666 WALGREENS #03559 2506 E LINCOLNWAY STERLING 61081 Y 3910 COUNTY MARKET #348 210 W 3RD ST STERLING 61081 N 4843 SAVE-A-LOT #480 928 FIRST AVE ROCK FALLS 61071 N 5131 WAL-MART SUPERCENTER #891 4115 E LINCOLN WAY STERLING 61081 Y 5947 SHAHEENS VILLAGE MARKET 707 MAIN ST ERIE 61250 N 9034 SHAWS MARKETPLACE #1889 214 WASHINGTON ST PROPHETSTOWN 61277 N Total Active Stores in Whiteside County 10

STORES ACTIVE IN WILL COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 1043 BELLETTINI FOODS 1085 S WATER ST WILMINGTON 60481 N 1127 JEWEL #3074 1401 JEFFERSON JOLIET 60435 N 1135 JEWEL-OSCO #3191 20 S WEBER RD ROMEOVILLE 60446 N 1154 JEWEL #3124 1537 N LARKIN JOLIET 60431 N 2549 WALGREENS #05386 358 E CASS ST JOLIET 60432 Y 2855 JEWEL #3052 21164 S LAGRANGE RD FRANKFORT 60423 N 3651 WALGREENS #04948 101 LILY CACHE LN BOLINGBROOK 60440 Y 3863 WALGREENS #03946 1514 ESSINGTON RD JOLIET 60435 Y 3866 WALGREENS #03929 1801 INGALLS AVE JOLIET 60435 Y 3965 WALGREENS #06703 16750 W 159TH ST LOCKPORT 60441 Y 4616 WALGREENS #04032 466 NELSON AVE NEW LENOX 60451 Y 4618 WALGREENS #10772 1163 W JEFFERSON ST JOLIET 60435 Y

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Vendor ID Vendor Name Street Address City ZIP Pharmacy 4645 WALGREENS #02335 63 W 87TH ST NAPERVILLE 60565 Y 4792 JEWEL #3013 1200 W BOUGHTON RD BOLINGBROOK 60440 N 4872 JEWEL-OSCO #3178 475 N NELSON RD NEW LENOX 60451 Y 4873 JEWEL-OSCO #3080 2480 RTE 59 PLAINFIELD 60544 Y 4874 JEWEL-OSCO #3182 1202 STATE ST LEMONT 60439 Y 5140 WALGREENS #03780 3035 BOOK ROAD NAPERVILLE 60564 Y 5158 BERKOT'S SUPER FOODS 20005 WOLF RD MOKENA 60448 N 5291 JOLIET FRUIT RANCH 561 E CASS JOLIET 60432 N 5408 BERKOT'S SUPER FOODS 100 MARKET PLACE MANHATTAN 60442 N 5495 WALGREENS #04949 7209 W LINCOLN HWY FRANKFORT 60423 Y 5555 WALGREENS #04828 4822 CATON FARM RD PLAINFIELD 60586 Y 5613 WALGREENS #05515 2111 WINDING RIVER RD NAPERVILLE 60564 Y 5669 WALGREENS #04154 20002 S WOLF RD MOKENA 60448 Y 5849 WALGREENS #06180 450 S SCHOOLHOUSE RD NEW LENOX 60451 Y 5939 JEWEL-OSCO #3190 13460 SOUTH RT 59 PLAINFIELD 60544 Y 6176 JEWEL-OSCO #3084 199 BROOKFOREST AVE SHOREWOOD 60404 Y 6199 CVS PHARMACY #02936 809 PLAINFIELD RD JOLIET 60435 Y 6224 JEWEL-OSCO #3720 16625 W 159TH ST LOCKPORT 60441 Y 6229 WALGREENS #06567 24801 W 135TH ST PLAINFIELD 60544 Y 6274 RANCH FOODS 1913 S CHICAGO ST JOLIET 60436 N 6309 WALGREENS #06563 498 N WEBER RD ROMEOVILLE 60446 Y 6332 WALGREENS #04460 1295 LILY CACHE LN BOLINGBROOK 60490 Y 6396 WALGREENS #07362 2379 PLAINFIELD RD CREST HILL 60403 Y 6444 MEIJER STORE #215 755 E BOUGHTON RD BOLINGBROOK 60440 N 6488 SUPERMERCADO GONZALEZ JOLIET 652 N COLLINS ST JOLIET 60432 N 6523 CHIKA INTERNATIONAL FOOD MARKET 522 E BOUGHTON RD BOLINGBROOK 60440 N 6546 PK'S PANTRY 25808 S WESTERN AVE UNIVERSITY PARK 60484 N 6641 WALGREENS #07829 680 S WEBER RD ROMEOVILLE 60446 Y 6728 WALGREENS #07139 11200 W LARAWAY RD FRANKFORT 60423 Y 6903 WALGREENS #07866 2101 W JEFFERSON ST JOLIET 60435 Y 6906 FOOD 4 LESS #561 1701 N LARKIN AVE CREST HILL 60435 N Page 49 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7008 LA VILLITA FRUIT MARKET 245 N SCHMIDT BOLINGBROOK 60440 N 7069 BERKOT'S SUPER FOODS #313 180 N FRONT ST BRAIDWOOD 60408 N 7167 MEIJER STORE #214 13521 S ROUTE 59 PLAINFIELD 60544 N 7333 WALGREENS #07895 27155 W EAMES ST CHANNAHON 60410 Y 7366 WAL-MART SUPERCENTER #5038 12690 S RTE 59 PLAINFIELD 60544 Y 7400 WALGREENS #09919 695 W BOUGHTON RD BOLINGBROOK 60440 Y 7405 BERKOT'S SUPER FOODS #300 2141 CALISTOGA DRIVE NEW LENOX 60451 N 7447 WALGREENS #09326 9554 E LINCOLN HWY FRANKFORT 60423 Y 7454 JEWEL #3776 2021 E LARAWAY NEW LENOX 60451 Y 7456 WAL-MART SUPERCENTER #3790 16241 S FARRELL RD LOCKPORT 60441 Y 7499 WAL-MART SUPERCENTER #2956 1401 IL ROUTE 59 JOLIET 60431 Y 7538 WAL-MART SUPERCENTER #1256 2424 W JEFFERSON JOLIET 60436 Y 7540 WAL-MART SUPERCENTER #4531 420 WEBER RD ROMEOVILLE 60446 Y 7542 WALGREENS #09984 14902 S RTE 59 PLAINFIELD 60544 Y 7543 WALGREENS #10425 7851 CATON FARM RD PLAINFIELD 60586 Y 7650 BERKOTS SUPER FOODS 700 W BALTIMORE ST WILMINGTON 60481 N 7670 WALGREENS #10374 680 E BOUGHTON RD BOLINGBROOK 60440 Y 7735 WALGREENS #11195 347 N INDEPENDENCE BLVD ROMEOVILLE 60446 Y 7741 WALGREENS #10605 1160 W JEFFERSON ST SHOREWOOOD 60404 Y 7783 BASINGERS PHARMACY 2130 W JEFFERSON ST JOLIET 60435 Y 7849 CAPUTO'S FRESH MARKET 3115 W 111TH ST NAPERVILLE 60564 N 7945 WALGREENS #06508 2719 HASSERT BLVD NAPERVILLE 60564 Y 7954 FIESTA MARKET 160 N BOLINGBROOK DR BOLINGBROOK 60440 N 8002 CVS PHARMACY #00921 1155 W JEFFERSON ST SHOREWOOD 60404 Y 8004 CVS PHARMACY #01170 3200 CATON FARM JOLIET 60431 Y 8005 CVS PHARMACY #05421 2375 DRAUDEN RD JOLIET 60435 Y 8013 AFRO-CARIBBEAN MART 265 N SCHMIDT RD BOLINGBROOK 60440 N 8028 CVS PHARMACY #04977 2050 NELSON RD NEW LENOX 60451 Y 8029 CVS PHARMACY #05449 11840 S STATE RTE 59 PLAINFIELD 60544 Y 8032 CVS PHARMACY #07142 16760 W DIVISION ST LOCKPORT 60441 Y 8033 CVS PHARMACY #07168 1725 W BOUGHTON RD BOLINGBROOK 60490 Y Page 50 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 8185 BERKOT'S SUPER FOODS 312 S HARLEM PEOTONE 60468 N 8202 WAL-MART SUPERCENTER #1596 200 S BOLINGBROOK DR BOLINGBROOK 60440 Y 8249 TARGET STORE T-0894 2701 PLAINFIELD RD JOLIET 60435 N 8261 TARGET STORE T-1403 12800 S STATE ROUTE 59 PLAINFIELD 60544 N 8265 TARGET STORE T-1881 1111 BROOK FOREST AVE SHOREWOOD 60431 N 8269 TARGET STORE T-2028 2370 E LINCOLN HWY NEW LENOX 60451 N 8273 TARGET STORE T-0867 1188 W BOUGHTON RD BOLINGBROOK 60440 N 8292 WAL-MART SUPERCENTER #4529 501 E LINCOLN HWY NEW LENOX 60451 Y 8302 TARGET STORE T-2293 349 S WEBER RD ROMEOVILLE 60446 N 8324 BERKOT'S SUPER FOODS 500 SUMMIT PLAZA LOCKPORT 60441 N 8479 CVS PHARMACY #05822 11200 LINCOLN HIGHWAY MOKENA 60448 Y 8548 SUPER RIO GRANDE 1115 PLAINFIELD RD JOLIET 60435 N 8595 TONY'S FINER FOODS #9 2300 IL STATE ROUTE 59 PLAINFIELD 60544 N 8614 SUNSHINE FOODMART 1922 E WASHINGTON ST JOLIET 60433 N 8639 MARIANO'S FRESH MARKET #8509 21001 S LA GRANGE RD FRANKFORT 60423 N 8644 EL GUERO FRESH MARKET 1520 THEODORE ST CREST HILL 60403 N 8797 JEWEL-OSCO #2503 14200 S BELL RD HOMER GLEN 60491 Y 8801 CARNICERIA RIO GRANDE #1 468 COLLINS ST JOLIET 60432 N 8826 NAAVI'S AFRICAN MARKET 19858 S HARLEM AVE FRANKFORT 60423 N 8907 MARIANO'S FRESH MARKET #8526 950 BROOK FOREST AVE SHOREWOOD 60404 N 8910 MEIJER STORE #273 11305 LINCOLN HIGHWAY MOKENA 60448 N 8913 MEIJER STORE #219 14169 S BELL RD HOMER GLEN 60491 N 8922 UNITED AFRICAN MARKET 333 N SCHMIDT RD BOLINGBROOK 60440 N 8952 SUPERMERCADO LA HACIENDA 10 OHIO STREET JOLIET 60432 N 9032 ABI'S MARKET 101 W ROMEO RD ROMEOVILLE 60446 N 9248 TONY'S FRESH MARKET 271 S BOLINGBROOK DR BOLINGBROOK 60440 N Total Active Stores in Will County 100

STORES ACTIVE IN WINNEBAGO COUNTY

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Vendor ID Vendor Name Street Address City ZIP Pharmacy 0045 SCHNUCK MARKETS INC #752 3150 N ROCKTON AVE ROCKFORD 61103 N 0046 SCHNUCK MARKETS INC #753 1810 HARLEM RD LOVES PARK 61111 N 0047 SCHNUCK MARKETS INC #750 6410 E STATE ST ROCKFORD 61108 N 0055 GRAY'S FOODS 1210 BROADWAY ROCKFORD 61104 N 0069 GRAY'S FOODS 1630 N ALPINE RD ROCKFORD 61107 N 0079 CVS PHARMACY #08529 3134 11TH ST ROCKFORD 61109 Y 0082 CVS PHARMACY #08528 8001 N 2ND ST MANCHESNY PARK 61115 Y 0083 CVS PHARMACY #08531 110 S ALPINE RD ROCKFORD 61108 Y 3609 WALGREENS #09127 1145 N ALPINE ROCKFORD 61107 Y 3667 WALGREENS #01515 5900 N 2ND ST LOVES PARK 61111 Y 4381 WALGREENS #02828 1602 KISHWAUKEE ST ROCKFORD 61104 Y 4599 WALGREENS #03283 3325 N MAIN ST ROCKFORD 61103 Y 5461 WALGREENS #04777 2525 S ALPINE ROCKFORD 61108 Y 5462 WALGREENS #02585 3803 AUBURN ST ROCKFORD 61101 Y 5463 WALGREENS #03322 2323 CHARLES ST ROCKFORD 61104 Y 5558 SCHNUCK MARKETS INC #754 2642 CHARLES ST ROCKFORD 61108 N 5605 CVS PHARMACY #08524 4843 BLUE STEM RD ROSCOE 61073 Y 5915 WALGREENS #06003 3336 11TH ST ROCKFORD 61109 Y 5936 WAL-MART SUPERCENTER #1955 3849 NORTH RIDGE DR ROCKFORD 61114 Y 5957 WALGREENS #06001 5065 HONONEGAH RD ROSCOE 61073 Y 5958 WOODMAN'S FOOD MARKET 3155 MCFARLAND RD ROCKFORD 61114 N 6038 WALGREENS #06002 1201 E STATE ST ROCKFORD 61104 Y 6368 TOPWAY FOODS 1205 MAIN ST PECATONICA 61063 N 6904 WAL-MART SUPERCENTER #5398 3902 W RIVERSIDE BLVD ROCKFORD 61101 Y 6939 WAL-MART SUPERCENTER #1490 7219 WALTON ST ROCKFORD 61108 Y 7026 NORTHWEST FOOD & LIQUOR 513 TONER AVE ROCKFORD 61103 N 7353 WAL-MART SUPERCENTER #3837 4781 E ROCKTON RD ROSCOE 61073 Y 7514 SULLIVAN'S FOODS 703 N ELIDA WINNEBAGO 61088 N 7699 CVS PHARMACY #08530 6506 ALPINE RD LOVES PARK 61111 Y 7782 JUMPING JOE 601 W STATE ST ROCKFORD 61102 N 7920 WALGREENS #12583 1704 E RIVERSIDE BLVD LOVES PARK 61111 Y Page 52 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7952 WALGREENS #12555 2404 S PERRYVILLE RD ROCKFORD 61108 Y 8087 WALGREENS #12126 1680 W LANE RD MACHESNEY PARK 61115 Y 8091 WALGREENS #06004 3929 N MULFORD RD ROCKFORD 61114 Y 8129 CVS PHARMACY #08536 3718 N MAIN ST ROCKFORD 61103 Y 8130 CVS PHARMACY #08548 2454 S ALPINE RD ROCKFORD 61108 Y 8325 DURAND PACEMAKER 101 CENTER ST DURAND 61024 N 8343 TARGET STORE T-0810 6560 E STATE ST ROCKFORD 61108 N 8396 SCHNUCK MARKETS INC #747 2206 BARMES BLVD CHERRY VALLEY 61112 N 8397 SCHNUCK MARKETS INC #748 3134 11TH ST ROCKFORD 61109 N 8399 SCHNUCK MARKETS INC #756 4860 HONONEGAH ROSCOE 61073 N 8400 SCHNUCK MARKETS INC #757 2601 N MULFORD RD ROCKFORD 61114 N 8446 STEVES MARKET 3001 W STATE ST ROCKFORD 61102 N 8460 WEST SIDE STOP 937 SCHOOL ST ROCKFORD 61101 N 8464 CHIQUITA FOOD MARKET 1414 S MAIN ST ROCKFORD 61102 N 8527 ONE STOP FOOD MART 2506 AUBURN ST ROCKFORD 61101 N 8542 TARGET STORE T-1799 9833 N ALPINE RD MACHESNEY PARK 61115 N 8701 KMART #3233 1321 SANDY HOLLOW RD ROCKFORD 61109 Y 8751 WALGREENS #07069 5690 E STATE ST ROCKFORD 61108 Y 8828 LA ESQUINITA GOLD 4225 CHARLES ST ROCKFORD 61108 N 8963 ELOTES EXPRESS MARKET 811 BROADWAY ROCKFORD 61104 N 9002 SAVE A LOT #457 2514 S ALPINE RD ROCKFORD 61108 N 9023 MEIJER STORE #192 2013 MCFARLAND RD ROCKFORD 61107 N 9024 MEIJER STORE #281 1770 WEST LANE MACHESNEY PARK 61115 N 9052 WEST STATE FOOD MARKET 2907 W STATE ST ROCKFORD 61102 N 9067 SAVE-A-LOT #894 1701 W STATE ST ROCKFORD 61102 N 9102 CORNER FOOD N MORE 3002 KISHWAUKEE ST ROCKFORD 61109 N 9109 320 GROCERY 320 N COURT ST ROCKFORD 61103 N 9130 GUANAJUATO SUPERMERCADO 519 MARCHESANO DR ROCKFORD 61102 N 9160 NOBLES GROCERY 529 W JEFFERSON ST ROCKFORD 61103 N 9201 GRACE ASIAN MARKET 1209 BROADWAY ROCKFORD 61104 N 9319 CIRCLE M MARKET 828 BROADWAY ROCKFORD 61104 N Page 53 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy Total Active Stores in Winnebago County 62

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Region 3

STORES ACTIVE IN BUREAU COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0116 ROYAL SUPER MART 124 MAIN SHEFFIELD 61361 N 0163 SULLIVAN'S FOODS 125 E BACKBONE RD PRINCETON 61356 N 4876 SPRING VALLEY SUPERMARKET 117 S SPAULDING ST SPRING VALLEY 61362 N 6228 WAL-MART SUPERCENTER #636 2111 CLAUDE BAILEY PKWY PRINCETON 61356 Y Total Active Stores in Bureau County 4

STORES ACTIVE IN CHAMPAIGN COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0975 CVS PHARMACY #08683 107 W GREEN ST CHAMPAIGN 61820 Y 0977 CVS PHARMACY #08686 243 S MATTIS AVE CHAMPAIGN 61821 Y 2273 SCHNUCKS #707 109 N MATTIS RD CHAMPAIGN 61821 N 4166 COUNTY MARKET #522 1914 GLENN PARK DR CHAMPAIGN 61821 N 4499 SAVE-A-LOT #477 220 N BROADWAY URBANA 61801 N 4613 WALGREENS #11368 1801 PHILO RD URBANA 61802 Y 4701 COUNTY MARKET #518 2901 W KIRBY AVE CHAMPAIGN 61821 N 4864 SCHNUCKS #720 200 N VINE ST URBANA 61802 N 4929 WALGREENS #04409 1713 WEST SPRINGFIELD CHAMPAIGN 61821 Y 5156 CVS PHARMACY #08667 1818 S PHILO RD URBANA 61802 Y 5585 MEIJER STORE #146 2401 N PROSPECT CHAMPAIGN 61821 N 5741 CVS PHARMACY #06933 1205 E GROVE ST RANTOUL 61866 Y 5953 WAL-MART SUPERCENTER #3255 505 S DUNLAP AVE SAVOY 61874 Y 6531 ST JOSEPH IGA 205 N MAIN ST JOSEPH 61873 N 6990 WAL-MART SUPERCENTER #1734 2610 N PROSPECT AVE CHAMPAIGN 61821 Y 7065 WALGREENS #09851 2402 VILLAGE GREEN PL CHAMPAIGN 61822 Y

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Vendor ID Vendor Name Street Address City ZIP Pharmacy 7075 WALGREENS #09852 302 E UNIVERSITY AVE URBANA 61802 Y 7077 MAHOMET IGA 202 EASTWOOD DRIVE MAHOMET 61853 N 7080 WALGREENS #09611 841 BLOOMINGTON RD CHAMPAIGN 61820 Y 7094 WAL-MART SUPERCENTER #5403 100 S HIGH CROSS RD URBANA 61802 Y 7200 WALGREENS #09921 1509 S NEIL ST CHAMPAIGN 61820 Y 7224 WALGREENS #09965 220 S CENTURY BLVD RANTOUL 61866 Y 7439 WAL-MART SUPERCENTER #1093 845 BROAD MEADOW RANTOUL 61866 Y 7473 SCHNUCKS #730 1301 SAVOY PLAZA CENTER SAVOY 61874 N 7657 MEIJER STORE #247 2500 S PHILO RD URBANA 61802 N 7764 COUNTY MARKET #515 331 STOUGHTON CHAMPAIGN 61820 N 8022 WALGREENS #12868 104 N LOMBARD ST MAHOMET 61853 Y 8063 TARGET STORE T-0943 2102 N PROSPECT AVE CHAMPAIGN 61821 N 8276 COUNTY MARKET #568 1201 E GROVE AVE RANTOUL 61866 N 8579 CVS PHARMACY #06935 804 EASTWOOD DR MAHOMET 61853 Y 8681 CVS PHARMACY #05887 1111 N DUNLAP ST SAVOY 61874 Y 9214 HARVEST MARKET #572 2029 S NEIL ST CHAMPAIGN 61820 N Total Active Stores in Champaign County 32

STORES ACTIVE IN FORD COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0930 PAXTON IGA 144 W PELLS ST PAXTON 60957 N 2697 COUNTY MARKET #154 415 E 1ST ST GIBSON CITY 60936 N Total Active Stores in Ford County 2

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STORES ACTIVE IN FULTON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0231 KROGER #317 1741 E CHESTNUT CANTON 61520 N 0896 HY-VEE FOOD STORE 825 N MAIN CANTON 61520 N 3618 WALGREENS #09920 555 N MAIN ST CANTON 61520 Y 5706 CVS PHARMACY #06444 1773 E CHESTNUT ST CANTON 61520 Y 6420 COUNTY MARKET #453 1090 E FORT ST FARMINGTON 61531 Y 6421 COUNTY MARKET #458 518 S MAIN ST LEWISTOWN 61542 N 8381 WAL-MART SUPERCENTER #1713 2071 N MAIN ST CANTON 61520 Y Total Active Stores in Fulton County 7

STORES ACTIVE IN HENDERSON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0128 FISHER'S FOOD CENTER 105 E MAIN STRONGHURST 61480 N 2832 FISHER'S FOOD CENTER 607 SCHUYLER OQUAWKA 61469 N Total Active Stores in Henderson County 2

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STORES ACTIVE IN HENRY COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0209 ORION FOOD CENTER IGA 510 11TH AVE ORION 61273 N 0242 CVS PHARMACY #08691 444 S MAIN ST KEWANEE 61443 Y 4760 WAL-MART SUPERCENTER #633 730 TENNEY ST KEWANEE 61443 Y 5568 WALGREENS #05511 500 S MAIN ST KEWANEE 61443 Y 5811 SAVE-A-LOT 401 S MAIN ST KEWANEE 61443 N 6812 SULLIVAN'S FOODS 605 TENNY ST KEWANEE 61443 N 7064 FAREWAY STORE #059 540 PRITCHARD DR GENESEO 61254 N 7950 WALGREENS #12305 1009 S OAKWOOD AVE GENESEO 61254 Y 8736 WAL-MART STORE #957 125 E BESTOR DR GENESEO 61254 Y 9062 SAVE-A-LOT #45013 2181 S OAKWOOD AVE GENESEO 61254 N 9295 ONE STOP FOOD & GAS MART 220 N EAST ST KEWANEE 61443 N Total Active Stores in Henry County 11

STORES ACTIVE IN IROQUOIS COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 1000 CVS PHARMACY #06679 300 E WALNUT ST WATSEKA 60970 Y 4194 BEST SUPERMARKET 198 S OAK ST ONARGA 60955 N 6044 HOMETOWN FAMILY FOODS 135 N CENTRAL ST GILMAN 60938 N 7836 CISSNA FOODS 209 N 2ND ST CISSNA PARK 60924 N 8443 WAL-MART SUPERCENTER #1548 1790 E WALNUT ST WATSEKA 60970 Y 8793 BERKOT'S SUPER FOODS 1152 E WALNUT ST WATSEKA 60970 N Total Active Stores in Iroquois County 6

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STORES ACTIVE IN KNOX COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0123 HI-LO GROCERY #3 503 COMMERCIAL DR ABINGDON 61410 N 0173 HI-LO GROCERY #1 931 S SEMINARY GALESBURG 61402 N 0176 HY-VEE FOOD STORE 1975 NATIONAL BLVD GALESBURG 61401 N 3614 WALGREENS #04504 844 W FREMONT ST GALESBURG 61401 Y 5182 HY-VEE FOOD & DRUGSTORE #2 2030 E MAIN ST GALESBURG 61401 N 6125 SAVE-A-LOT #486 900 E MAIN ST GALESBURG 61401 N 6427 WALGREENS #07216 1057 E MAIN ST GALESBURG 61401 Y 7427 WAL-MART SUPERCENTER #775 659 KNOX SQUARE DR GALESBURG 61401 Y Total Active Stores in Knox County 8

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STORES ACTIVE IN LASALLE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0140 SHERIDAN FOOD MART PO BOX 357 SHERIDAN 60551 N 0177 HANDY FOODS 604 W MAIN ST OTTAWA 61350 N 0179 D & S FOODS 120 E BLUFF ST MARSEILLES 61341 N 0233 KROGER #704 2701 N COLUMBUS ST OTTAWA 61350 Y 0234 KROGER #982 2399 NORTH BLOOMINGTON STREATOR 61364 Y 3625 WALGREENS #03009 545 E NORRIS DR OTTAWA 61350 Y 3963 WALGREENS #03089 120 E MAIN ST STREATOR 61364 Y 4165 CVS PHARMACY #08655 1004 SHOOTING PARK PERU 61354 Y 4590 WALGREENS #06554 1033 SHOOTING PARK RD PERU 61354 Y 5473 HY-VEE 1651 MIDTOWN RD PERU 61354 Y 5749 SULLIVAN'S FOODS 1102 MERIDEN ST MENDOTA 61342 N 6466 KROGER #933 301 E MCKINLEY RD OTTAWA 61350 N 7185 WAL-MART SUPERCENTER #852 4041 VETERANS RD OTTAWA 61350 Y 7367 SAVE-A-LOT 1002 FIRST AVE OTTAWA 61350 N 7368 SAVE-A-LOT 802 JOLIET ST LASALLE 61301 N 7438 WAL-MART SUPERCENTER #796 5307 ROUTE 251 PERU 61354 Y 8007 CVS PHARMACY #06897 1212 13TH AVE MENDOTA 61342 Y 8403 WAL-MART SUPERCENTER #4699 2415 N BLOOMINGTON ST STREATOR 61364 Y 9078 SENECA FOOD MART 271 S MAIN ST SENECA 61360 N Total Active Stores in LaSalle County 19

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STORES ACTIVE IN LIVINGSTON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0955 COUNTY MARKET #329 406 W MADISON PONTIAC 61764 N 0957 DAVE'S SUPER MARKET 120 S THIRD ST FAIRBURY 61739 N 5622 WALGREENS #05460 1001 W REYNOLDS AVE PONTIAC 61764 Y 7352 WAL-MART SUPERCENTER #1386 1706 W REYNOLDS ST PONTIAC 61754 Y 7565 BERKOT'S SUPER FOODS 317 W WAUPAUSIE DWIGHT 60420 N Total Active Stores in Livingston County 5

STORES ACTIVE IN MARSHALL COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0188 JIM'S IGA 202 N WASHINGTON ST LACON 61540 N 9261 HENRY FOOD & DELI 615 3RD ST HENRY 61537 N Total Active Stores in Marshall County 2

STORES ACTIVE IN MASON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 5723 CVS PHARMACY #07610 320 E DEARBORN ST HAVANA 62644 Y 6419 COUNTY MARKET #447 943 LAUREL AVE HAVANA 62644 N 8305 MASON CITY IGA 201 W ELM ST MASON CITY 62664 N Total Active Stores in Mason County 3

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STORES ACTIVE IN MCDONOUGH COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0184 HY-VEE FOOD STORE 1600 E JACKSON MACOMB 61455 N 0185 LUDLUM FOOD MART 1001 COLE ST BUSHNELL 61422 N 0186 COUNTY MARKET #467 101 S DUDLEY MACOMB 61455 N 0220 CVS PHARMACY #08654 1401 EAST JACKSON MACOMB 61455 Y 4591 WALGREENS #02206 300 E JACKSON ST MACOMB 61455 Y 6429 WAL-MART SUPERCENTER #197 1730 E JACKSON RD MACOMB 61455 Y 8361 JACKSON STREET MARKET 1601 W JACKSON ST MACOMB 61455 N Total Active Stores in McDonough County 7

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STORES ACTIVE IN MCLEAN COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0978 KROGER #347 1550 E COLLEGE AVE NORMAL 61761 Y 0979 KROGER #943 2507 E OAKLAND AVE BLOOMINGTON 61701 Y 0999 KROGER #856 1502 N MAIN ST BLOOMINGTON 61701 N 1008 JEWEL-OSCO #3775 2103 N VETERANS PKWY BLOOMINGTON 61704 N 1009 JEWEL #3116 2203 E OAKLAND BLOOMINGTON 61701 N 1010 JEWEL #3073 901 S COTTAGE AVE NORMAL 61761 N 2197 SCHNUCKS #706 1701 E EMPIRE ST BLOOMINGTON 61704 N 3637 WALGREENS #09983 1408 N MAIN ST BLOOMINGTON 61701 Y 3638 WALGREENS #12396 505 W RABB RD NORMAL 61761 Y 4617 WALGREENS #15164 2611 E OAKLAND AVE BLOOMINGTON 61701 Y 5010 WAL-MART SUPERCENTER #1125 300 N GREENBRIAR NORMAL 61761 Y 5108 LEROY IGA 200 S CHESTNUT ST LEROY 61752 N 5345 WALGREENS #05188 1525 N VETERANS PKWY BLOOMINGTON 61704 Y 6216 WAL-MART SUPERCENTER #3459 2225 W MARKET ST BLOOMINGTON 61701 Y 6802 CVS PHARMACY #08043 100 S FELL AVE NORMAL 61761 Y 7006 WALGREENS #09313 1502 FORT JESSE RD NORMAL 61761 Y 7137 MEIJER STORE #207 1900 E COLLEGE AVE NORMAL 61761 N 7472 SCHNUCKS #729 1750 BRADFORD LN NORMAL 61761 N 7742 WALGREENS #11828 909 S MAIN ST BLOOMINGTON 61701 Y 7992 IGA HEYWORTH 104 N BUCHANAN HEYWORTH 61745 N 8092 CVS PHARMACY #07017 1130 S VETERANS PARKWAY BLOOMINGTON 61704 Y 8093 CVS PHARMACY #07020 1701 FORT JESSE RD NORMAL 61761 Y 8505 TARGET STORE T-0137 301 S VETERANS PKWY NORMAL 61761 N 8582 CVS PHARMACY #08660 210 N CENTER BLOOMINGTON 61701 Y 9011 HY-VEE #1035 1403 N VETERANS PKWY BLOOMINGTON 61704 Y 9072 LEXINGTON FINER FOODS 210 W MAIN ST LEXINGTON 61753 N Total Active Stores in McLean County 26

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STORES ACTIVE IN MERCER COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0134 MORRISON'S MARKET 1103 17TH AVE VIOLA 61486 N 0208 MERCER MARKET 1600 SE 5TH ST ALEDO 61231 N 8379 WAL-MART SUPERCENTER #792 1500 SE 5TH ST ALEDO 61231 Y Total Active Stores in Mercer County 3

STORES ACTIVE IN PEORIA COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0223 KROGER #863 2321 N WISCONSIN PEORIA 61603 Y 0224 KROGER #531 1405 W GARFIELD BARTONVILLE 61607 Y 0225 KROGER #767 3103 W HARMON HWY PEORIA 61604 Y 0226 KROGER #918 9219 N LINDBERGH DR PEORIA 61614 Y 0227 KROGER #917 801 W LAKE AVE PEORIA 61614 Y 0230 KROGER #942 3311 N STERLING AVE PEORIA 61604 Y 2215 KROGER #677 603 S FOURTH ST CHILLICOTHE 61523 N 3620 WALGREENS #09508 221 N WESTERN WEST PEORIA 61604 Y 3622 WALGREENS #06604 1919 W PIONEER PARKWAY PEORIA 61615 Y 3623 WALGREENS #02166 3524 N UNIVERSITY ST PEORIA 61604 Y 3624 WALGREENS #06408 2324 W WAR MEMORIAL DR PEORIA 61614 Y 3626 WALGREENS #05544 1200 E WAR MEMORIAL DR PEORIA HEIGHTS 61616 Y 3628 WALGREENS #03181 2515 N KNOXVILLE AVE PEORIA 61604 Y 5167 CVS PHARMACY #06447 9315 N LINDBERG DR PEORIA 61615 Y 5169 CVS PHARMACY #07797 6820 N PEAR TREE LN PEORIA 61615 Y 5353 CVS PHARMACY #06455 1200 W MAIN ST PEORIA 61606 Y 5515 SCHNUCKS #721 4800 N UNIVERSITY PEORIA 61614 N 5707 CVS PHARMACY #06445 3015 N STERLING AVE PEORIA 61604 Y 5708 CVS PHARMACY #06446 1008 W GARFIELD ST BARTONVILLE 61607 Y

Page 64 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 5710 CVS PHARMACY #06450 603 S FOURTH ST CHILLICOTHE 61523 Y 5714 CVS PHARMACY #07798 3034 W LINCOLN PEORIA 61605 Y 5715 CVS PHARMACY #07799 4521 N PROSPECT ST PEORIA HEIGHTS 61614 Y 5716 CVS PHARMACY #07800 2540 E WASHINGTON ST EAST PEORIA 61611 Y 5779 WALGREENS #06079 4814 N SHERIDAN RD PEORIA 61614 Y 5913 SAVE-A-LOT #498 4425 N PROSPECT AVE PEORIA HEIGHTS 61614 N 6428 WAL-MART SUPERCENTER #3460 8915 N ALLEN RD PEORIA 61615 Y 6695 GRISWOLD FOOD & LIQUOR 1814 S GRISWOLD PEORIA 61605 N 7177 STOP AND SAVE 800 NE JEFFERSON ST PEORIA 61603 N 7509 WAL-MART STORE #1323 3315 N UNIVERSITY ST PEORIA 61604 Y 7787 JACKPOT SUPERMARKET 200 N MACARTHUR HWY PEORIA 61605 N 8051 PIT STOP 2412 N SHERIDAN RD PEORIA 61604 N 8179 HY-VEE #1519 4125 N SHERIDAN PEORIA 61614 N 8192 SUPER STAR MARKET 2318 W STARR ST PEORIA 61605 N 8342 TARGET STORE T-0871 5001 BIG HOLLOW RD PEORIA 61615 N 8544 WALGREENS #12367 10613 N KNOXVILLE AVE PEORIA 61615 Y 8768 BIG HOLLOW CONVENIENT 6023 N BIG HOLLOW PEORIA 61615 N 8803 PEORIA MARKET 610 S WESTERN AVE PEORIA 61605 N UNIVERSITY CONVENIENCE & DISCOUNT 8946 TOBACCO 2604 N UNIVERSITY ST PEORIA 61604 N 8956 3 WAY FOOD MART 708 W LOUCKS AVENUE PEORIA 61604 N 8959 NABRASKA FOOD MART 1830 N SHERIDAN RD PEORIA 61604 N 9022 VILLAGE FOODS GROCERY AND MEAT 114 E EVANS ST PRINCEVILLE 61559 N 9059 BP FOOD MART 211 N WESTERN AVE PEORIA 61604 N 9065 HY-VEE #1520 7610 ORANGE PRAIRIE RD PEORIA 61615 Y 9139 SOUTHSIDE MARKET 1840 S GRISWOLD ST PEORIA 61605 N 9152 AMIRS FOOD 728 E FRYE AVE PEORIA 61603 N 9180 SHERIDAN FOOD MART 2415 N SHERIDAN RD PEORIA 61604 N 9231 LINCOLN FOOD MART 1901 W LINCOLN AVE PEORIA 61605 N 9236 SCHNUCKS #741 10405 N CENTERWAY DR PEORIA 61615 N 9280 ONE STOP DISCOUNT 200 N MACARTHUR HWY PEORIA 61605 N

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Vendor ID Vendor Name Street Address City ZIP Pharmacy Total Active Stores in Peoria County 49

STORES ACTIVE IN PUTNAM COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 6935 PC FOODS 618 E GRANT ST GRANVILLE 61326 N Total Active Stores in Putnam County 1

STORES ACTIVE IN ROCK ISLAND COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0192 HY-VEE FOOD STORE 2930 18TH AVE ROCK ISLAND 61201 N 0193 HY-VEE FOOD STORE 201 W 10TH AVE MILAN 61264 N 0215 ROCK ISLAND ARSENAL COMMISSARY 334 RODMAN AVE ROCK ISLAND 61299 N 0219 HY-VEE FOOD STORE 4218 AVENUE OF THE CITIES MOLINE 61265 N 0243 JEWEL-OSCO #3770 107 AVE OF THE CITIES EAST MOLINE 61244 N 0244 JEWEL #3122 2010 FIRST ST A MOLINE 61265 N 0245 JEWEL #3088 1312 JOHN DEERE EXPY SILVIS 61282 N 2481 HY-VEE FOOD & DRUGSTORE 2001 5TH ST SILVIS 61282 Y 3612 WALGREENS #03991 3100 11TH ST ROCK ISLAND 61201 Y 3613 WALGREENS #06067 555 19TH AVE MOLINE 61265 Y 3617 WALGREENS #03633 4000 AVENUE OF THE CITIES MOLINE 61265 Y 4589 WALGREENS #05720 3601 16TH ST MOLINE 61265 Y 4744 WAL-MART SUPERCENTER #2231 3930 44TH AVE DR MOLINE 61265 Y 5153 WALGREENS #04333 301 30TH AVE EAST MOLINE 61244 Y 5154 WALGREENS #04332 2955 18TH AVE ROCK ISLAND 61201 Y 5205 FAREWAY STORE #988 3705 25TH ST MOLINE 61265 N 5791 CVS PHARMACY #08656 2617 W 18TH AVE ROCK ISLAND 61201 Y 5792 CVS PHARMACY #08634 910 W 4TH ST MILAN 61264 Y Page 66 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 6109 SAVE-A-LOT 2627 7TH AVE ROCK ISLAND 61201 N 6130 SAVE-A-LOT 109 W 3RD AVE MILAN 61264 N 6545 SUPERMERCADO MONARCA 755 15TH AVE EAST MOLINE 61244 N 7059 WALGREENS #09267 440 10TH AVE WEST MILAN 61264 Y 7060 WALGREENS #09515 1301 AVENUE OF THE CITIES EAST MOLINE 61244 Y 7338 GAS N DASH MART 809 19TH ST EAST MOLINE 61244 N 7560 WAL-MART SUPERCENTER #4511 1601 18TH ST SILVIS 61282 Y 7702 CVS PHARMACY #00484 2250 41ST STREET MOLINE 61265 Y 7750 HY-VEE #2 750 42ND AVE DR MOLINE 61265 N 8036 SAVE-A-LOT 669 AVENUE OF THE CITIES EAST MOLINE 61244 N 8054 EL MEXICANO 448 RAILROAD AVE MOLINE 61265 N 8507 TARGET STORE T-0926 900 42ND AVENUE DR MOLINE 61265 N Total Active Stores in Rock Island County 30

STORES ACTIVE IN STARK COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 8456 RON'S SUPER VALU 106 N 6TH ST WYOMING 61491 N Total Active Stores in Stark County 1

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STORES ACTIVE IN TAZEWELL COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0213 VALUCHECK #149 2111 COURT ST PEKIN 61554 N 0222 KROGER #923 1607 BROADWAY PEKIN 61554 Y 0228 KROGER #657 #20 CHERRY TREE SHOP CTR WASHINGTON 61571 Y 0229 KROGER #647 1001 W JACKSON MORTON 61550 N 0232 KROGER #705 201 S MAIN ST EAST PEORIA 61611 Y 0307 CVS PHARMACY #06453 200 N MAIN ST EAST PEORIA 61611 Y 3616 WALGREENS #04732 2020 COURT ST PEKIN 61554 Y 3619 WALGREENS #11493 1400 BROADWAY ST PEKIN 61554 Y 5197 CVS PHARMACY #06451 910 COURT ST PEKIN 61554 Y 5243 WAL-MART SUPERCENTER #1028 401 RIVER RD EAST PEORIA 61611 Y 5341 WALGREENS #05088 300 N MAIN ST EAST PEORIA 61611 Y 5482 SCHNUCKS #724 1001 COURT ST PEKIN 61554 N 5609 MACKINAW HOMETOWN IGA 100 N MAIN MACKINAW 61755 N 5610 MINIER IGA 211 N MAIN MINIER 61759 N 5687 SAVE-A-LOT #478 1105 DERBY ST PEKIN 61554 N 5709 CVS PHARMACY #06448 1101 PEORIA ST WASHINGTON 61571 Y 5711 CVS PHARMACY #06452 1005 W JACKSON ST MORTON 61550 Y 6626 WAL-MART SUPERCENTER #603 3320 VETERANS DR PEKIN 61554 Y 6732 WAL-MART SUPERCENTER #1421 1980 FREEDOM PKWY WASHINGTON 61571 Y 6735 WAL-MART SUPERCENTER #5157 155 E COURTLAND ST MORTON 61550 Y 7005 WALGREENS #03763 1011 PEORIA ST WASHINGTON 61571 Y 8822 TARGET STORE T-2824 480 W WASHINGTON ST EAST PEORIA 61611 N Total Active Stores in Tazewell County 22

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STORES ACTIVE IN VERMILION COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0940 HOOPESTON IGA 1030 W CHESTNUT HOOPESTON 60942 N 0946 KEN'S IGA 707 N STATE ST WESTVILLE 61883 N 4612 WALGREENS #12787 400 W FAIRCHILD ST DANVILLE 61832 Y 4614 WALGREENS #03212 842 E MAIN ST DANVILLE 61832 Y 4809 WAL-MART SUPERCENTER #2491 4101 N VERMILION DANVILLE 61832 Y 5086 GEORGETOWN DISCOUNT FOODS 204 HUFFMAN ST GEORGETOWN 61846 N 5398 DANVILLE EASTSIDE GROCERY 1618 E FAIRCHILD DANVILLE 61832 N 5739 CVS PHARMACY #06927 805 S DIXIE RD HOOPESTON 60942 Y 5743 CVS PHARMACY #06936 900 E MAIN ST DANVILLE 61832 Y 5744 CVS PHARMACY #06937 820 N VERMILION DANVILLE 61832 Y 7088 CATLIN IGA 102 N SANDUSKY CATLIN 61817 N 7926 SIDELL GROCERY 206 N GRAY ST SIDELL 61876 N 8111 CVS PHARMACY #06924 102 S STATE ST WESTVILLE 61883 Y 8220 OAKWOOD IGA 100 S SCOTT ST OAKWOOD 61858 N 8754 MEIJER STORE #269 3649 N VERMILION ST DANVILLE 61832 N 9136 COUNTY MARKET #512 1628 GEORGETOWN RD TILTON 61833 N 9137 COUNTY MARKET #511 2 E MAIN ST DANVILLE 61832 N 9138 COUNTY MARKET #510 2917 N VERMILION ST DANVILLE 61832 N 9192 PRICE LESS FOODS 501 W FAIRCHILD ST DANVILLE 61832 N 9250 DANVILLE GROCERY & DELI 1814 E MAIN ST DANVILLE 61832 N Total Active Stores in Vermilion County 20

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STORES ACTIVE IN WARREN COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 5856 COUNTY MARKET #139 1120 N 6TH ST MONMOUTH 61462 N 7962 SAVE A LOT 200 N MAIN ST MONMOUTH 61462 N 8053 ROSEVILLE FOODS 225 E PENN ROSEVILLE 61473 N 8229 WALGREENS #11881 600 N MAIN ST MONMOUTH 61462 Y 9239 TOM & LINDA FOOD STORE 1120 S MAIN ST MONMOUTH 61462 N Total Active Stores in Warren County 5

STORES ACTIVE IN WOODFORD COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0199 EUREKA IGA 514 W CENTER EUREKA 61530 N 0207 METAMORA IGA 610 W MT VERNON METAMORA 61548 N 5713 CVS PHARMACY #06458 501 W CENTER ST EUREKA 61530 Y 7550 EL PASO IGA 45 N FAYETTE ST EL PASO 61738 N 9103 ROANOKE IGA FOODLINER 106 W DAVISON ST ROANOKE 61561 N Total Active Stores in Woodford County 5

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Region 4

STORES ACTIVE IN ADAMS COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0315 BENT'S FAMILY FOODS 400 E WOOD ST CAMP POINT 62320 N 0423 COUNTY MARKET #473 520 N 24TH ST QUINCY 62301 N 0424 SAVE-A-LOT #474 837 JEFFERSON ST QUINCY 62301 N 0442 CVS PHARMACY #08636 436 N 30TH QUINCY 62301 Y 0505 WALGREENS #15249 1723 BROADWAY QUINCY 62301 Y 2105 HY-VEE FOOD STORE #1 1400 HARRISON QUINCY 62301 Y 2424 HY-VEE FOOD STORE #2 3700 BROADWAY QUINCY 62301 N 2489 COUNTY MARKET #244 4830 BROADWAY QUINCY 62301 N 4120 SAVE-A-LOT #469 1120 LOCUST QUINCY 62301 N 5630 WAL-MART SUPERCENTER #1454 5211 BROADWAY ST QUINCY 62301 Y 8670 KMART #4433 3701 BROADWAY ST QUINCY 62301 Y 9266 HARRISON EXPRESS MARKET 1414 S 6TH ST QUINCY 62301 N 9267 CHESTNUT EXPRESS MARKET 1001 N 5TH ST QUINCY 62301 N Total Active Stores in Adams County 13

STORES ACTIVE IN BROWN COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 2858 MT STERLING IGA 200 S PITTSFIELD RD MT STERLING 62353 N Total Active Stores in Brown County 1

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STORES ACTIVE IN CALHOUN COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 3660 NORTHSIDE FAMILY FOODS RR 2 BOX 55 HARDIN 62047 N Total Active Stores in Calhoun County 1

STORES ACTIVE IN CASS COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 4900 MC CAUSLAND'S IGA MARKET 101 E SPRINGFIELD ST VIRGINIA 62691 N 7780 WAL-MART SUPERCENTER #1451 100 LINCOLN AVE BEARDSTOWN 62618 Y 8348 SAVE-A-LOT #496 412 E 4TH ST BEARDSTOWN 62618 N Total Active Stores in Cass County 3

STORES ACTIVE IN CHRISTIAN COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0444 KROGER #888 201 EAST BIDWELL TAYLORVILLE 62568 Y 5506 WAL-MART SUPERCENTER #343 1530 W SPRINGFIELD RD TAYLORVILLE 62568 Y 5718 CVS PHARMACY #06829 401 N WEBSTER ST TAYLORVILLE 62568 Y 5809 COUNTY MARKET #457 6 N POPLAR ST PANA 62557 N 6065 SAVE-A-LOT FOOD STORE 1 W FOURTH ST PANA 62557 N 7112 WALGREENS #09892 315 N WEBSTER ST TAYLORVILLE 62568 Y 7354 TAYLORVILLE FOOD CENTER 500 W MARKET TAYLORVILLE 62568 N 7925 WALGREENS #12744 108 S POPLAR ST PANA 62557 Y 8373 WAL-MART STORE #460 10 W 2ND ST PANA 62557 Y 9289 KINCAID FOOD MARKET 430 MARKET ST KINCAID 62540 N Total Active Stores in Christian County 10

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STORES ACTIVE IN CLARK COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7030 MARTIN'S IGA 505 N ROUTE 49 CASEY 62420 N 7482 WAL-MART SUPERCENTER #798 108 KYDEN DR MARSHALL 62441 Y 8466 L&M GROCERY 308 E BLACK ST MARTINSVILLE 62442 N Total Active Stores in Clark County 3

STORES ACTIVE IN COLES COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 2775 CVS PHARMACY #08661 1316 CHARLESTON AVE MATTOON 61938 Y 2776 CVS PHARMACY #08638 501 W LINCOLN CHARLESTON 61920 Y 3992 WAL-MART SUPERCENTER #481 101 DETTRO DR MATTOON 61938 Y 4605 WALGREENS #05444 212 S LOGAN AVE MATTOON 61938 Y 4610 WALGREENS #11542 411 W LINCOLN AVE CHARLESTON 61920 Y 5800 WAL-MART SUPERCENTER #612 2250 LINCOLN AVE CHARLESTON 61920 Y 6004 COUNTY MARKET #450 2000 WESTERN AVE MATTOON 61938 N 6005 COUNTY MARKET #452 551 W LINCOLN AVE CHARLESTON 61920 N 7479 LUCAS GROCERY TOO 111 W MAIN ST OAKLAND 61943 N 8235 MARK'S MY STORE 1512 MARION AVE MATTOON 61938 N Total Active Stores in Coles County 10

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STORES ACTIVE IN CUMBERLAND COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7033 GREENUP IGA 201 E CUMBERLAND GREENUP 62428 N 7722 NEOGA IGA 183 W 6TH ST NEOGA 62447 N Total Active Stores in Cumberland County 2

STORES ACTIVE IN DEWITT COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 3943 CLINTON IGA 220 E VAN BUREN CLINTON 61727 N 6516 SAVE-A-LOT 205 E WASHINGTON ST CLINTON 61727 N 7513 WALGREENS #10800 424 W VAN BUREN ST CLINTON 61727 Y 7865 CVS PHARMACY #06931 60 CLINTON PLAZA SC CLINTON 61727 Y 9200 WAL-MART STORE #487 10 CLINTON PLAZA CLINTON 61727 Y Total Active Stores in DeWitt County 5

STORES ACTIVE IN DOUGLAS COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0913 TUSCOLA IGA 607 E SOUTHLINE RD TUSCOLA 61953 N 8458 RICK'S COUNTRY MARKET 10 E HARRISON ST VILLA GROVE 61956 N 9315 ARCOLA VALU BUY 117 W WASHINGTON ST ARCOLA 61910 N Total Active Stores in Douglas County 3

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STORES ACTIVE IN EDGAR COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 2732 KROGER #260 518 E JASPER ST PARIS 61944 N 5801 WAL-MART SUPERCENTER #2934 15150 US HIGHWAY 150 PARIS 61944 Y 7045 PARIS SAVE-A-LOT 302 JASPER PARIS 61944 N 7863 CVS PHARMACY #06694 808 S MAIN ST PARIS 61944 Y Total Active Stores in Edgar County 4

STORES ACTIVE IN EFFINGHAM COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0582 S & W SUPER MARKET 23 N MAIN ALTAMONT 62411 N 0756 MARTIN'S IGA PLUS 101 S MERCHANT EFFINGHAM 62401 Y 5785 WALGREENS #05752 1200 W FAYETTE AVE EFFINGHAM 62401 Y 5867 BEECHER CITY FOODLINER 107 CHARLES ST BEECHER CITY 62414 N 5956 WAL-MART SUPERCENTER #936 1204 AVE OF MID AMERICA EFFINGHAM 62401 Y 5999 SAVE-A-LOT 101 KELLER DR EFFINGHAM 62401 N Total Active Stores in Effingham County 6

STORES ACTIVE IN GREENE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0333 MEEHAN'S GREENFIELD HWY267 SOUTH GREENFIELD 62044 N 0386 MEEHAN'S ROODHOUSE HWY67 SOUTH ROODHOUSE 62082 N 0447 KROGER #462 252 N MAIN ST WHITEHALL 62092 N 0448 KROGER #438 601 S MAIN ST CARROLLTON 62016 N Total Active Stores in Greene County 4

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STORES ACTIVE IN HANCOCK COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7085 COUNTY MARKET #287 408 WALNUT ST CARTHAGE 62321 N 9132 NAUVOO MARKET 1385 MULHOLLAND ST NAUVOO 62354 N 9279 R & M MARKET AND FLORAL 707 E MAIN ST LA HARPE 61450 N Total Active Stores in Hancock County 3

STORES ACTIVE IN JERSEY COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0387 SINCLAIR FOODS 202 SINCLAIR DR JERSEYVILLE 62052 N 0438 SHOP 'N SAVE JERSEYVILLE #60104 943 S STATE ST JERSEYVILLE 62052 N 4761 WAL-MART SUPERCENTER #253 1316 S STATE ST JERSEYVILLE 62052 Y 8658 TOM'S SUPERMARKET 315 W CENTER BRIGHTON 62012 N Total Active Stores in Jersey County 4

STORES ACTIVE IN LOGAN COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0443 KROGER #850 1475 WOODLAWN RD LINCOLN 62656 N 0495 CVS PHARMACY #06820 534 WOODLAWN RD LINCOLN 62656 Y 4481 LINCOLN IGA 713 PULASKI ST LINCOLN 62656 N 5794 WALGREENS #05976 603 WOODLAWN LINCOLN 62656 Y 7351 WAL-MART SUPERCENTER #199 825 MALERICH DR LINCOLN 62656 Y 8785 ATLANTA COUNTRY MARKET 107 SE VINE ST ATLANTA 61723 N Total Active Stores in Logan County 6

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STORES ACTIVE IN MACON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 2106 KROGER #946 1818 S AIRPORT PLAZA DR DECATUR 62521 Y 2110 KROGER #250 1401 W KING DECATUR 62522 Y 2112 KROGER #922 3070 N WATER ST DECATUR 62526 Y 3631 WALGREENS #05388 1311 N STATE RT 48 DECATUR 62526 Y 3636 WALGREENS #05719 4995 E US RTE 36 DECATUR 62521 Y 4280 CVS PHARMACY #08648 2990 N MONROE ST DECATUR 62526 Y 4281 CVS PHARMACY #08632 1595 CANTRELL DECATUR 62521 Y 4604 WALGREENS #09792 625 W PERSHING RD DECATUR 62526 Y 5433 WAL-MART SUPERCENTER #2728 4625 E MARYLAND AVE DECATUR 62521 Y 5435 WAL-MART SUPERCENTER #1690 4224 N PROSPECT DECATUR 62526 Y 5808 County Market #341 1450 E PERSHING RD DECATUR 62526 Y 5827 WALGREENS #05545 225 E ASH AVE DECATUR 62526 Y 5983 SAVE-A-LOT #479 2280 E WILLIAM ST DECATUR 62521 N 6465 KROGER #924 255 W 1ST DR DECATUR 62521 Y 7125 PRICE-RITE FOOD & LIQUOR 1260 N JASPER DECATUR 62521 N 7975 UNITED DISCOUNT 737 S JASPER DECATUR 62521 N 8011 T'BACCO SHACK 343 W GRAND AVE DECATUR 62522 N 8205 CVS PHARMACY #04857 570 N FAIRVIEW AVE DECATUR 62521 Y 8493 WALGREENS #13921 420 W 1ST DR DECATUR 62521 Y 8765 ALJLOOB GROCERY 1080 N MAIN ST DECATUR 62521 N 8994 COUNTY MARKET #294 1175 W GRAND AVE DECATUR 62522 N 9031 JB SOUTH 1120 E WOOD ST DECATUR 62521 N 9151 TENNESSEE COUNTRY MEAT MARKET 1270 N MAIN ST DECATUR 62521 N 9260 EAST SIDE MARKET 1467 E WILLIAM ST DECATUR 62521 N Total Active Stores in Macon County 24

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STORES ACTIVE IN MACOUPIN COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0403 BILL'S IGA 406 E MAIN ST STAUNTON 62088 N 0407 CARL'S IGA 251 N BROAD ST CARLINVILLE 62626 N 0421 MEEHAN'S BUNKER HILL HWY159 SOUTH BUNKER HILL 62014 N 5288 PAPPY'S MARKET 409 N WASHINGTON BUNKER HILL 62014 N 7480 WAL-MART SUPERCENTER #334 18600 SHIPMAN BLACKTOP RD CARLINVILLE 62626 Y 7510 RANDY'S MARKET 403 S MACOUPIN GILLESPIE 62033 N 7511 RANDY'S MARKET 900 N HARDROAD BENLD 62009 N 8872 COUNTY MARKET #300 619 N 3RD ST GIRARD 62640 N Total Active Stores in Macoupin County 8

STORES ACTIVE IN MENARD COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 8350 COUNTY MARKET #239 500 E SANGAMON AVE PETERSBURG 62675 N 9197 ATHENS VILLAGE MARKET 100 E HARGRAVE ST ATHENS 62613 N Total Active Stores in Menard County 2

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STORES ACTIVE IN MONTGOMERY COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0394 CAPRI IGA FOODLINER 1201 VANDALIA RD HILLSBORO 62049 N 0395 CAPRI IGA FOODLINER 510 NORTH OLD RTE66 LITCHFIELD 62056 N 0445 KROGER #543 415 N SPRUCE ST NOKOMIS 62075 N 0451 CVS PHARMACY #06932 608 S MAIN ST HILLSBORO 62049 Y 5431 WAL-MART SUPERCENTER #213 1205 W FERDON ST LITCHFIELD 62056 Y 7477 WALGREENS #10718 1202 W UNION AVE LITCHFIELD 62056 Y Total Active Stores in Montgomery County 6

STORES ACTIVE IN MORGAN COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 2309 COUNTY MARKET 1255 W MORTON AVE JACKSONVILLE 62650 N 3630 WALGREENS #05602 134 W MORTON AVE JACKSONVILLE 62650 Y 6879 WALGREENS #09176 1802 W MORTON AVE JACKSONVILLE 62650 Y 7555 WAL-MART SUPERCENTER #200 1941 W MORTON JACKSONVILLE 62650 Y 7868 CVS PHARMACY #02692 936 MAIN ST JACKSONVILLE 62650 Y Total Active Stores in Morgan County 5

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STORES ACTIVE IN MOULTRIE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0985 CVS PHARMACY #06923 208 W JACKSON ST SULLIVAN 61951 Y 3261 SULLIVAN IGA 431 S HAMILTON SULLIVAN 61951 N 5358 BETHANY FOODS 305 W MAIN ST BETHANY 61914 N 6649 ARTHUR IGA 215 S VINE ST ARTHUR 61911 N Total Active Stores in Moultrie County 4

STORES ACTIVE IN PIATT COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 6360 COUNTY MARKET #446 422 S MARKET MONTICELLO 61856 N 7805 JTA FOODS 900 N MACON BEMENT 61813 N Total Active Stores in Piatt County 2

STORES ACTIVE IN PIKE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0329 BOB'S RED FOX 202 6TH ST PLEASANT HILL 62366 N 0373 PITTSFIELD SAVE A LOT 1312 W WASHINGTON PITTSFIELD 62363 N 1598 COUNTY MARKET #026 825 W WASHINGTON PITTSFIELD 62363 Y 5995 STROEMER FOODS 575 RODGERS ST BARRY 62312 N Total Active Stores in Pike County 4

STORES ACTIVE IN SANGAMON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy

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Vendor ID Vendor Name Street Address City ZIP Pharmacy 0410 KENT'S IGA 1277 N 7TH ST RIVERTON 62561 N 0419 COUNTY MARKET #083 3001 VETERANS PWY SPRINGFIELD 62704 Y 2778 JOHNSON FOOD CENTER RTE 36 ILLIOPOLIS 62539 N 3469 ONE STOP FOOD & LIQUOR 1207 S MARTIN LUTHER KING DR SPRINGFIELD 62703 N 4441 SCHNUCKS #717 2801 CHATHAM RD SPRINGFIELD 62704 N 4606 WALGREENS #02071 2020 S MACARTHUR BLVD SPRINGFIELD 62704 Y 4615 WALGREENS #03501 2140 N PEORIA RD SPRINGFIELD 62702 Y 4735 COUNTY MARKET #227 2777 S 6TH ST SPRINGFIELD 62703 Y 4779 SCHNUCKS #718 1911 SANGAMON AVE E SPRINGFIELD 62702 N 4859 WALGREENS #03901 2945 S 6TH ST SPRINGFIELD 62703 Y 4930 WALGREENS #02492 3216 E CLEAR LAKE AVE SPRINGFIELD 62702 Y 4932 WALGREENS #12427 2305 W MONROE ST SPRINGFIELD 62704 Y 4964 CVS PHARMACY #08692 920 NORTH GRAND AVE EAST SPRINGFIELD 62702 Y 5035 SHOP 'N SAVE WABASH #60174 1755 WABASH SPRINGFIELD 62704 N 5036 SHOP 'N SAVE #60194 200 N GRAND W SPRINGFIELD 62702 N 5037 SHOP 'N SAVE #60254 1501 S DIRKSEN SPRINGFIELD 62703 N 5060 CVS PHARMACY #08635 3100 S MACARTHUR BLVD SPRINGFIELD 62704 Y 5382 WALGREENS #05137 1310 S 5TH ST SPRINGFIELD 62703 Y 5500 WALGREENS #05488 3400 FREEDOM DR SPRINGFIELD 62704 Y 5717 CVS PHARMACY #06819 2703 STEVENSON DR SPRINGFIELD 62703 Y 5721 CVS PHARMACY #06849 211 E CARPENTER SPRINGFIELD 62702 Y 5722 CVS PHARMACY #06857 1879 E SANGAMON AVE SPRINGFIELD 62702 Y 5793 MEIJER STORE #176 4200 CONESTOGA DR SPRINGFIELD 62707 N 5992 WAL-MART SUPERCENTER #3210 2760 N DIRKSEN PKWY SPRINGFIELD 62702 Y 6685 WALGREENS #01770 2625 STEVENSON DR SPRINGFIELD 62703 Y 6839 WALGREENS #09145 1900 W JEFFERSON ST SPRINGFIELD 62702 Y 7025 WALGREENS #09580 1050 N MAIN ST CHATHAM 62629 Y 7227 COUNTY MARKET #228 1903 W MONROE ST SPRINGFIELD 62704 Y 7415 JAMAL'S GROCERY 1200 EAST ASH ST SPRINGFIELD 62703 N 7518 COUNTY MARKET #224 1099 JASON PLACE CHATHAM 62629 N 7603 SEVEN BROTHERS GROCERY 1801 S 11TH SPRINGFIELD 62703 N Page 81 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7626 WAL-MART SUPERCENTER #3602 1100 LEJUNE DR SPRINGFIELD 62703 Y 7705 WALGREENS #11829 2500 S KOKE MILL RD SPRINGFIELD 62711 Y 7755 HOMETOWN PANTRY 201 S GRAND AVE WEST SPRINGFIELD 62704 N 7864 CVS PHARMACY #06845 2001 W WASHINGTON SPRINGFIELD 62702 Y 8232 SAVE-A-LOT #499 700 E JACKSON ST AUBURN 62615 N 8234 WALGREENS #13852 106 ILLINI BLVD SHERMAN 62684 Y 8295 OKAM QUICK & EASY 1730 E COOK ST SPRINGFIELD 62703 N 8349 SAVE-A-LOT #495 2520 E CLEAR LAKE AVE SPRINGFIELD 62703 N 8363 WAL-MART SUPERCENTER #1602 3401 FREEDOM DR SPRINGFIELD 62704 Y 8467 COUNTY MARKET #231 109 ILLINI BLVD SHERMAN 62684 N 8470 HOMETOWN PANTRY 555 S MACARTHUR SPRINGFIELD 62704 N 8487 RAFEEQ'S MINI MART 100 W ASH ST SPRINGFIELD 62703 N 8506 TARGET STORE T-0670 3445 FREEDOM DR SPRINGFIELD 62704 N 8511 PASFIELD STOP N SAVE 1038 S PASFIELD ST SPRINGFIELD 62704 N 8648 COUNTY MARKET #225 210 E CARPENTER ST SPRINGFIELD 62702 N 8665 KMART #4048 3250 CLEAR LAKE AVE SPRINGFIELD 62702 Y 8853 HY-VEE #1640 2115 S MACARTHUR BLVD SPRINGFIELD 62704 N 9058 GRANDVIEW GROCERY 2264 NORTH GRAND AVE EAST SPRINGFIELD 62702 N 9092 JAY'S FOOD MART 1608 SOUTH GRAND AVE E SPRINGFIELD 62703 N 9105 ALL STAR GROCERY 806 E BLACK AVE SPRINGFIELD 62702 N 9154 COOK EXPRESS FOOD MART 1529 E COOK ST SPRINGFIELD 62703 N 9241 NORTH GRAND GROCERS 2532 N GRAND AVE E SPRINGFIELD 62702 N Total Active Stores in Sangamon County 53

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STORES ACTIVE IN SCHUYLER COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7034 COUNTY MARKET #212 520 W CLINTON ST RUSHVILLE 62681 Y Total Active Stores in Schuyler County 1

STORES ACTIVE IN SHELBY COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 5807 COUNTY MARKET #462 WEST RTE16 JOHNSTOWN MALL SHELBYVILLE 62565 N 7311 WAL-MART SUPERCENTER #4259 2607 W MAIN STREET SHELBYVILLE 62565 Y 7655 MOWEAQUA FOODS 227 S MAIN ST MOWEAQUA 62550 N 7684 WINDSOR FOOD CENTER 1107 RTE 16 WINDSOR 61957 N 8673 CVS PHARMACY #06922 110 N CEDAR ST SHELBYVILLE 62565 Y Total Active Stores in Shelby County 5

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Region 5

STORES ACTIVE IN ALEXANDER COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 2466 FOODTOWN MARKET 26650 HWY 3 OLIVE BRANCH 62969 N Total Active Stores in Alexander County 1

STORES ACTIVE IN BOND COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0546 CAPRI IGA FOODLINER 224 E HARRIS GREENVILLE 62246 N 5728 CVS PHARMACY #06930 401 E HARRIS ST GREENVILLE 62246 Y Total Active Stores in Bond County 2

STORES ACTIVE IN CLAY COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0829 CVS PHARMACY #06385 1301 N STATE RD FLORA 62839 Y 7175 WAL-MART SUPERCENTER #506 1540 N WORTHY FLORA 62839 Y 7622 PRICE LESS #447 804 E NORTH ST FLORA 62839 N Total Active Stores in Clay County 3

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STORES ACTIVE IN CLINTON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0542 BREESE SUPER VALU 10 N 4TH BREESE 62230 N 0585 CARLYLE IGA 1110 12TH ST CARLYLE 62231 N 2459 TRENTON IGA 491 E BROADWAY TRENTON 62293 N 7505 WAL-MART SUPERCENTER #1395 1212 W MCCORD CENTRALIA 62801 Y 7800 WAL-MART SUPERCENTER #436 2591 12TH ST CARLYLE 62231 Y 7985 CVS PHARMACY #06929 1171 FRANKLIN ST CARLYLE 62231 Y Total Active Stores in Clinton County 6

STORES ACTIVE IN CRAWFORD COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7481 WAL-MART SUPERCENTER #422 1304 E MAIN ROBINSON 62454 Y 8782 ROBINSON COUNTY MARKET 1308 W MAIN ST ROBINSON 62454 N Total Active Stores in Crawford County 2

STORES ACTIVE IN EDWARDS COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0782 BOROWIAK IGA FOODLINER 13 E MAIN ALBION 62806 N 2655 BOROWIAK IGA FOODLINER 709 N COURT ST GRAYVILLE 62844 N Total Active Stores in Edwards County 2

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STORES ACTIVE IN FAYETTE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0765 COUNTY MARKET 827 VETERANS AVENUE VANDALIA 62471 N 6631 WAL-MART SUPERCENTER #317 201 N MATTES AVE VANDALIA 62471 Y 9313 T & J FOOD MART 111 W 6TH ST SAINT ELMO 62458 N Total Active Stores in Fayette County 3

STORES ACTIVE IN FRANKLIN COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0655 CHRISTOPHER BOWLIN'S FOODLAND 748 WEST EGYPTIAN AVE CHRISTOPHER 62822 N 0814 KROGER #687 10 W FRANKFORT PL WEST FRANKFORT 62896 N 0835 FARM FRESH DAIRY STORE 602 W MAIN ST WEST FRANKFORT 62896 N 4688 FURLOW'S MARKET RTE 149 ZEIGLER 62999 N 5730 CVS PHARMACY #06372 705 W MAIN ST BENTON 62812 Y 6063 BENTON SAVE-A-LOT 309 E MAIN ST BENTON 62812 N 6242 SESSER FOODLAND 401 S PARK SESSER 62884 N 6540 WAL-MART SUPERCENTER #262 919 GIACONE DR BENTON 62812 Y 7939 FARM FRESH DAIRY STORE 316 N MAIN ST BENTON 62812 N 8030 CVS PHARMACY #06373 304 W MAIN ST WEST FRANKFORT 62896 Y 8656 TOM'S MAD PRICER 1000 W MAIN ST WEST FRANKFORT 62896 N Total Active Stores in Franklin County 11

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STORES ACTIVE IN HAMILTON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 7133 FOOD PARK RTE 14 WEST MCLEANSBORO 62859 N 8657 TOM'S PRICED RIGHT FOODS RTE 5 COUNTRY GARDEN CTR MCLEANSBORO 62859 N Total Active Stores in Hamilton County 2

STORES ACTIVE IN HARDIN COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 5160 BOB'S FOOD MART 421 MAIN ST ROSICLARE 62982 N Total Active Stores in Hardin County 1

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STORES ACTIVE IN JACKSON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0823 KROGER #714 501 N GIANT CITY RD CARBONDALE 62901 Y 0824 KROGER #660 550 E INDUSTRIAL PARK RD MURPHYSBORO 62966 Y 0841 FARM FRESH 1904 WALNUT ST MURPHYSBORO 62966 N 0855 WALGREENS #04219 206 S WALL ST CARBONDALE 62901 Y 3022 WAL-MART SUPERCENTER #196 1450 E MAIN CARBONDALE 62901 Y 4959 SCHNUCKS #722 915 W MAIN ST CARBONDALE 62901 N 5734 CVS PHARMACY #06390 2431 W MAIN ST CARBONDALE 62901 Y 6462 ARNOLD'S MARKET 2141 S ILLINOIS AVE CARBONDALE 62903 N 6858 CARBONDALE SAVE-A-LOT 301 E WALNUT CARBONDALE 62901 N 7556 WAL-MART SUPERCENTER #302 6495 COUNTRY CLUB RD MURPHYSBORO 62966 Y 7927 WALGREENS #13004 1600 W MAIN ST CARBONDALE 62901 Y 8113 WALGREENS #12890 503 WALNUT ST MURPHYSBORO 62966 Y Total Active Stores in Jackson County 12

STORES ACTIVE IN JASPER COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 2265 CVS PHARMACY #06693 207 W JORDAN ST NEWTON 62448 Y 8440 MARTINS IGA 1108 S VAN BUREN NEWTON 62448 N Total Active Stores in Jasper County 2

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STORES ACTIVE IN JEFFERSON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0666 FARM FRESH STORE 815 NEWBY AVE MT VERNON 62864 N 0819 KROGER #711 415 S 42ND ST MT VERNON 62864 Y 2121 CVS PHARMACY #06370 2700 BROADWAY MT VERNON 62864 Y 4586 WALGREENS #02876 3001 BROADWAY ST MT VERNON 62864 Y 4947 WAL-MART SUPERCENTER #224 110 DAVIDSON AVE MT VERNON 62864 Y 5554 BOROWIAK IGA FOODLINER 500 S 10TH ST MT VERNON 62864 N 6786 KMART #7304 3404 BROADWAY MT VERNON 62864 Y Total Active Stores in Jefferson County 7

STORES ACTIVE IN JOHNSON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 9317 SAM'S IGA 212 N 1ST ST VIENNA 62995 N 9320 SUITS GOREVILLE FOOD MARKET 700 W MAIN ST GOREVILLE 62939 N Total Active Stores in Johnson County 2

STORES ACTIVE IN LAWRENCE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 5732 CVS PHARMACY #06386 1421 STATE ST LAWRENCEVILLE 62439 Y 7390 WAL-MART SUPERCENTER #550 2610 W HAVEN RD LAWRENCEVILLE 62439 Y 9258 SAVE-A-LOT 1301 STATE ST LAWRENCEVILLE 62439 N Total Active Stores in Lawrence County 3

STORES ACTIVE IN MADISON COUNTY

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Vendor ID Vendor Name Street Address City ZIP Pharmacy 0558 SCHWEGEL'S 901 ALBY ALTON 62002 N 0592 SHOP 'N SAVE ALTON #60034 1721 HOMER ADAMS PKWY ALTON 62002 N 0595 SHOP 'N SAVE EDWARDSVILLE #60074 2122 TROY RD EDWARDSVILLE 62025 N 0596 SHOP 'N SAVE EAST ALTON #60094 634 BERKSHIRE EAST ALTON 62024 N 0597 SHOP 'N SAVE COLLINSVLLE1 #60134 9529 COLLINSVILLE RD COLLINSVILLE 62234 N 0598 SHOP 'N SAVE COLLINSVLLE2 #60204 717 VANDALIA ST COLLINSVILLE 62234 N 0599 SHOP 'N SAVE WOOD RIVER #60184 1900 E EDWARDSVILLE RD WOOD RIVER 62095 N 0600 SCHNUCKS #146 2811 HOMER ADAMS PKWY ALTON 62002 N 0604 SCHNUCKS #119 501 BELT LINE RD COLLINSVILLE 62234 N 0606 SCHNUCKS #288 3100 MADISON AVE GRANITE CITY 62040 N 0643 CVS PHARMACY #06832 2422 COLLEGE AVE ALTON 62002 Y 0645 CVS PHARMACY #06831 2701 GODFREY RD GODFREY 62035 Y 1647 Schuette's Market 523 TROY PLAZA TROY 62294 N 1706 FARM FRESH DAIRY STORE 740 E AIRLINE DR EAST ALTON 62024 N 2308 CVS PHARMACY #06833 1 W EDWARDSVILLE RD WOOD RIVER 62095 Y 2407 SHOP 'N SAVE GRANITE CITY #60534 3521 NAMEOKI RD GRANITE CITY 62040 N 2503 FARM FRESH DAIRY STORE 2928 NAMEOKI RD GRANITE CITY 62040 N 3632 WALGREENS #05665 2 COTTONWOOD RD GLEN CARBON 62034 Y 3633 WALGREENS #04407 3732 NAMEOKI RD GRANITE CITY 62040 Y 4430 SCHNUCKS #229 2222 TROY RD EDWARDSVILLE 62025 N 4433 SCHNUCKS #269 2712 GODFREY RD GODFREY 62035 N 4581 FOODLAND WAREHOUSE FOODS 5401 COLLINSVILLE RD FAIRMONT CITY 62201 N 4601 WALGREENS #02490 401 BELT LINE RD COLLINSVILLE 62234 Y 4815 FARM FRESH DAIRY STORE 2230 PONTOON RD GRANITE CITY 62040 N 5148 WALGREENS #03627 1650 WASHINGTON AVE ALTON 62002 Y 5150 WALGREENS #04337 172 E MCARTHUR DR BETHALTO 62010 Y 5614 WALGREENS #04971 2001 MADISON AVE GRANITE CITY 62040 Y 5724 CVS PHARMACY #03259 126 S BUCHANAN ST EDWARDSVILLE 62025 Y 5726 CVS PHARMACY #06926 12630 STATE RTE 143 HIGHLAND 62249 Y 5879 WAL-MART SUPERCENTER #435 12495 STATE RT 143 HIGHLAND 62249 Y 5912 WALGREENS #05664 102 W VANDALIA ST EDWARDSVILLE 62025 Y Page 90 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 5968 ALTON SAVE-A-LOT #407 2980 HOMER ADAMS PKWY ALTON 62002 N 5969 SAVE-A-LOT #420 3264 NAMEOKI RD GRANITE CITY 62040 N 6956 WALGREENS #03714 2610 STATE ST ALTON 62002 Y 6996 WALGREENS #01309 110 WALNUT ST HIGHLAND 62249 Y 7155 WAL-MART SUPERCENTER #1071 610 WESLEY DR WOOD RIVER 62095 Y 7160 WALGREENS #01996 1122 VAUGHN RD WOOD RIVER 62095 Y 7189 DIERBERG'S EDWARDSVILLE CROSSING 6671 EDWARDSVILLE CROSSING DR EDWARDSVILLE 62025 Y 7409 DK'S MARKET 225 W STATE HAMEL 62046 N 7431 WAL-MART SUPERCENTER #361 1040 COLLINSVILLE CROSSING COLLINSVILLE 62234 Y 7504 WALGREENS #09750 1190 COLLINSVILLE CROSSING BLVD COLLINSVILLE 62234 Y 7711 SCHNUCKS #178 72 AIRPORT RD BETHALTO 62010 N 7770 WALGREENS #12395 6607 STATE RTE 162 MARYVILLE 62062 Y 7833 WAL-MART SUPERCENTER #4695 6660 GODFREY RD GODFREY 62035 Y 7844 SHOP 'N SAVE PHARMACY #4558 68 N BELLWOOD DR BETHALTO 62010 Y 7948 WALGREENS #10205 640 EDWARDSVILLE RD TROY 62294 Y 8319 CVS PHARMACY #02510 1800 VANDALIA ST COLLINSVILLE 62234 Y 8339 WAL-MART SUPERCENTER #1761 379 W PONTOON RD GRANITE CITY 62040 Y 8473 COWBOY MARKET 835 CENTRAL AVE ALTON 62002 N 8516 TARGET STORE T-0078 300 E HOMER M ADAMS ALTON 62002 N 8540 TARGET STORE T-0733 2350 TROY RD EDWARDSVILLE 62025 N 8740 WAL-MART SUPERCENTER #256 400 JUNCTION DR GLEN CARBON 62034 Y 9168 ALTON MINI MART 3201 FOSTERBURG RD ALTON 62002 N 9219 CENTRAL MARKET 1303 CENTRAL AVE ALTON 62002 N 9252 VENICE MART 420 BROADWAY VENICE 62090 N 9288 DAIRY FRESH 310 W BETHALTO DR BETHALTO 62010 N 9294 CVS PHARMACY #10951 3319 NAMEOKI RD GRANITE CITY 62040 Y WAL-MART NEIGHBORHOOD MARKET 9322 #2425 1101 BELT LINE RD COLLINSVILLE 62234 Y Total Active Stores in Madison County 58

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STORES ACTIVE IN MARION COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0724 FARM FRESH DAIRY STORE 315 E MAIN SALEM 62881 N 0739 SALEM IGA FOODLINER PLUS 406 E MAIN SALEM 62881 N 0827 CVS PHARMACY #06389 1022 W MAIN ST SALEM 62881 Y 2117 FARM FRESH DAIRY STORE 416 W NOLEMAN CENTRALIA 62801 N 4429 SCHNUCKS #733 1129 W BROADWAY CENTRALIA 62801 N 5735 CVS PHARMACY #06921 225 N POPLAR ST CENTRALIA 62801 Y 6071 BOROWIAK IGA FOODLINER 1422 E MCCORD ST CENTRALIA 62801 N 6353 WAL-MART SUPERCENTER #0198 1870 W MAIN ST SALEM 62881 Y 6358 SALEM SAVE A LOT 406 W MAIN ST SALEM 62881 N 6954 WALGREENS #07236 225 N ELM ST CENTRALIA 62801 Y 8137 POPLAR FARM FRESH 501 SOUTH POPLAR CENTRALIA 62801 N Total Active Stores in Marion County 11

STORES ACTIVE IN MASSAC COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0779 BIG JOHN 1200 E 5TH ST METROPOLIS 62960 N 7951 WALGREENS #12504 110 W 10TH ST METROPOLIS 62960 Y 8044 SAVE-A-LOT #662 701 PEARL ST METROPOLIS 62960 N 8607 BARNEY'S MARKET 106 E 2ND ST BROOKPORT 62910 N Total Active Stores in Massac County 4

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STORES ACTIVE IN MONROE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 4435 SCHNUCKS #243 150 WATERLOO COMMONS DR WATERLOO 62298 N 5244 WAL-MART SUPERCENTER #328 961 N MARKET ST WATERLOO 62298 Y 5725 CVS PHARMACY #06866 100 ADMIRAL TROST RD COLUMBIA 62236 Y 6558 WALGREENS #05608 100 ADMIRAL WEINEL BLVD COLUMBIA 62236 Y 7226 WALGREENS #09441 913 N MARKET ST WATERLOO 62298 Y 8807 SCHNUCKS #244 1000 COLUMBIA CENTER DR COLUMBIA 62236 N Total Active Stores in Monroe County 6

STORES ACTIVE IN PERRY COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0769 PERRY COUNTY MARKET PLACE 412 S MAIN ST PINCKNEYVILLE 62274 N 5432 WAL-MART SUPERCENTER #252 215 GRANT WAY DUQUOIN 62832 Y 5979 PINCKNEYVILLE SAVE-A-LOT 215 S WALNUT PINCKNEYVILLE 62274 N 6219 DUQUOIN FARM FRESH 129 S WASHINGTON DUQUOIN 62832 N Total Active Stores in Perry County 4

STORES ACTIVE IN POPE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 5982 GOLCONDA FOOD MART PO BOX 190 MONROE & ILLINOIS ST GOLCONDA 62938 N Total Active Stores in Pope County 1

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STORES ACTIVE IN PULASKI COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0776 MOUNDS STOP & SHOP 304 S BLANCHE MOUNDS 62964 N 8622 OLD GENERAL STORE FARM MARKET 265 E COMMERCIAL AVE PULASKI 62976 N Total Active Stores in Pulaski County 2

STORES ACTIVE IN RANDOLPH COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0576 DAVE'S IGA 306 W BROADWAY STEELEVILLE 62288 N 4469 RED BUD IGA 1010 S MAIN ST RED BUD 62278 N 4745 WAL-MART SUPERCENTER #222 1410 N MARKET ST SPARTA 62286 Y 6152 ROZIER'S CHESTER MARKET PLACE 800 CHESTER CENTER CHESTER 62233 N 8374 WAL-MART STORE #352 2206 STATE ST CHESTER 62233 Y Total Active Stores in Randolph County 5

STORES ACTIVE IN RICHLAND COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0866 CVS PHARMACY #06371 914 WEST MAIN ST OLNEY 62450 Y 2673 NOBLE FOODS 104 W NORTH AVE NOBLE 62868 N 5250 WAL-MART SUPERCENTER #254 1001 NORTH WEST OLNEY 62450 Y 7300 SAVE-A-LOT #205 118 E YORK ST OLNEY 62450 N 7623 HOMETOWN IGA #442 1313 E MAIN ST OLNEY 62450 N Total Active Stores in Richland County 5

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STORES ACTIVE IN SALINE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0675 FARM FRESH DAIRY STORE 508 E POPLAR HARRISBURG 62946 N 0763 ELDORADO BIG JOHN SUPER FOODS ST 1105 RT 45 N ELDORADO 62930 N 0809 MILLSTONE MARKET RTE 45S CARRIER MILLS 62917 N 0816 KROGER #642 601 N COMMERCIAL HARRISBURG 62946 Y 5729 CVS PHARMACY #03188 1 S COMMERCIAL ST HARRISBURG 62946 Y 6716 RUSSELL OIL 200 E MAIN ST GALATIA 62935 N 7506 WAL-MART SUPERCENTER #237 710 S COMMERCIAL HARRISBURG 62946 Y 7607 WALGREENS #09922 4 S COMMERCIAL ST HARRISBURG 62946 Y Total Active Stores in Saline County 8

STORES ACTIVE IN ST. CLAIR COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0507 NEW BADEN MARKET CENTER 450 W HANOVER ST NEW BADEN 62265 N 0548 SCOTT COMMISSARY 203 W WINTER SCOTT AFB 62225 N 0550 TOM'S SUPERMARKET #2040 95 MASCOUTAH PLAZA DR MASCOUTAH 62258 N 0554 MARISSA FOOD MART 700 E LYONS MARISSA 62257 N 0556 TOM'S SUPERMARKET #2041 369 MARKET PLACE FREEBURG 62243 Y 0591 SHOP 'N SAVE BELLEVILLE #60014 4201 N BELT W BELLEVILLE 62223 N 0594 SHOP 'N SAVE CAHOKIA #60064 1028 CAMP JACKSON RD CAHOKIA 62206 N 0601 SCHNUCKS #120 2665 N ILLINOIS ST SWANSEA 62226 N 0602 SCHNUCKS #115 5720 N BELT W BELLEVILLE 62226 N 0603 SCHNUCKS #148 1615 CAMP JACKSON CAHOKIA 62206 N 0605 SCHNUCKS #144 625 LINCOLN HWY FAIRVIEW HEIGHTS 62208 N 2369 CVS PHARMACY #06830 4609 WEST MAIN ST BELLEVILLE 62223 Y 2480 FARM FRESH DAIRY STORE 1805 N BELT W BELLEVILLE 62226 N 3634 WALGREENS #04024 5890 N BELT W BELLEVILLE 62226 Y

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Vendor ID Vendor Name Street Address City ZIP Pharmacy 4382 WALGREENS #03136 1201 CAMP JACKSON RD CAHOKIA 62206 Y 4436 SCHNUCKS #267 110 CARLYLE PLAZA DR BELLEVILLE 62221 N 4710 SHOP 'N SAVE #60304 800 CARLYLE AVE BELLEVILLE 62221 N 5147 WALGREENS #04832 6505 N ILLINOIS ST FAIRVIEW HEIGHTS 62208 Y 5149 WALGREENS #03907 2532 N ILLINOIS ST SWANSEA 62226 Y 5297 WALGREENS #04865 515 CARLYLE AVE BELLEVILLE 62221 Y 5298 WALGREENS #04599 704 CAMPBRIDGE BLVD O'FALLON 62269 Y 5411 WALGREENS #04602 2510 STATE STREET EAST ST LOUIS 62205 Y 5837 CVS PHARMACY #02713 753 WEST HWY 50 O'FALLON 62269 Y 5838 CVS PHARMACY #02585 1803 N ILLINOIS ST SWANSEA 62226 Y 5970 EAST ST LOUIS SAVE-A-LOT #412 2600 STATE ST EAST ST LOUIS 62205 N 6208 IGA #5323 620 S MADISON HWY4 LEBANON 62254 N 6337 BELLEVILLE SAVE-A-LOT #417 4515 W MAIN BELLEVILLE 62226 N 6359 DIERBERG'S GREEN MOUNT CROSSING 4000 GREEN MOUNT CROSSING DR SHILOH 62269 Y 6534 EAST SIDE MEAT MARKET 510 MARTIN LUTHER KING DR EAST ST LOUIS 62201 N 6630 WAL-MART SUPERCENTER #1418 1530 W HWY 50 O'FALLON 62269 Y 6711 TOM'S SUPERMARKET #2043 408 N MAIN ST SMITHTON 62285 N 6955 WALGREENS #07672 1108 HARTMAN LN SHILOH 62221 Y 7154 MASAD LIQUOR & GROCERY 3323 MISSISSIPPI AVE CAHOKIA 62206 N 7340 MILLSTADT IGA 625 E WASHINGTON MILLSTADT 62260 N 7537 WAL-MART SUPERCENTER #201 2608 GREEN MT COMMONS DR BELLEVILLE 62221 Y 7712 SCHNUCKS #177 907 EAST US HIGHWAY 50 O'FALLON 62269 N 7788 WALGREENS #12303 5939 BELLEVILLE CROSSING BELLEVILLE 62226 Y 7792 GATEWAY SUPERMARKET 7600 STATE ST EAST ST LOUIS 62203 N 7886 CROWN MART 1901 RIDGE AVE EAST ST LOUIS 62205 N 7890 QUICK STOP FOOD SHOP 995 RANGE LANE CAHOKIA 62206 N 8019 TAMERS 1441 KINGS HIGHWAY WASHINTON PARK 62204 N 8064 TARGET STORE T-1539 3400 GREEN MOUNT CROSSING SHILOH 62269 N 8148 EDDIE'S MEAT MARKET 1230 KINGS HIGHWAY WASHINGTON PARK 62204 N 8541 TARGET STORE T-2330 5601 BELLEVILLE CROSSING BELLEVILLE 62226 N 8543 TARGET STORE T-2414 4701 N ILLINOIS ST FAIRVIEW HEIGHTS 62208 N Page 96 of 100 Sep 13, 2017 ILLINOIS DEPARTMENT OF HUMAN SERVICES VENDOR MANAGEMENT SYSTEM VENDORS ACTIVE BY DHS REGION

Vendor ID Vendor Name Street Address City ZIP Pharmacy 8587 POPS 4607 BOND AVE ALORTON 62207 N 8632 POPS II 1219 KINGS HIGHWAY WASHINGTON PARK 62204 N 8983 WAL-MART STORE #747 1511 CAMP JACKSON RD CAHOKIA 62206 Y 9071 M'S MART 7 S 15TH ST EAST ST LOUIS 62207 N 9107 SAVE A LOT 10 VIEUX CARRE DR. EAST ST. LOUIS 62203 N 9128 EXPRESS STOP 2201 STATE ST EAST ST LOUIS 62205 N 9156 GATEWAY SUPERMARKET 2511 STATE ST EAST ST LOUIS 62205 N 9182 KINGS MART 1551 HARTMAN LN SHILOH 62221 N 9184 M'S MINI MART 3903 WAVERLY AVE EAST ST LOUIS 62204 N 9186 QUICK STOP FOOD SHOP #2 823 UPPER CAHOKIA RD CAHOKIA 62206 N 9202 HEALTHY CHOICE MARKET PLACE 3711 BUNKUM RD EAST SAINT LOUIS 62204 N 9203 CROWN MART 5851 BOND AVE EAST ST LOUIS 62207 N 9218 BIG C CONVENIENCE 2720 STATE ST EAST ST LOUIS 62205 N 9263 GOLD STAR EAST SIDE 936 E BROADWAY EAST SAINT LOUIS 62201 N 9264 POP'S #4 1032 BOND AVE EAST SAINT LOUIS 62201 N 9281 NEW ATHENS SUPERMARKET 1102 SPOTSYLVANIA ST NEW ATHENS 62264 N 9293 ALPS SUPERMARKET 800 UPPER CAHOKIA RD CAHOKIA 62206 N Total Active Stores in St. Clair County 62

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STORES ACTIVE IN UNION COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0825 KROGER #672 45 PLAZA DRIVE ANNA 62906 Y 2758 B-J FOODS 101 CROSS DONGOLA 62926 N 5130 WAL-MART SUPERCENTER #233 300 LEIGH AVE ANNA 62906 Y 5967 ANNA/JONESBORO SAVE-A-LOT 603 E BROAD JONESBORO 62952 N 6010 ANNA FARM FRESH STORE 155 W VIENNA ST ANNA 62906 N 7930 WALGREENS #12581 745 E VIENNA ST ANNA 62906 Y Total Active Stores in Union County 6

STORES ACTIVE IN WABASH COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 5286 BOROWIAK IGA FOODLINER 915 WALNUT ST MT CARMEL 62863 N 5733 CVS PHARMACY #06887 915 N MARKET MT CARMEL 62863 Y 7621 BUEHLERS BUY LOW #440 1325 W NINTH ST MT CARMEL 62863 N Total Active Stores in Wabash County 3

STORES ACTIVE IN WASHINGTON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 1402 KROGER #915 456 E ST LOUIS NASHVILLE 62263 N 4911 CBI FOODS 602 N HANOVER ST OKAWVILLE 62271 N 5633 THE MARKET PLACE OF ASHLEY 125 E JACKSON ST ASHLEY 62808 N 7147 TOM'S PRICED RIGHT FOODS #2360 1521 W ST LOUIS ST NASHVILLE 62263 N Total Active Stores in Washington County 4

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STORES ACTIVE IN WAYNE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0826 CVS PHARMACY #06885 700 W MAIN ST FAIRFIELD 62837 Y 3197 CISNE KEY MARKET 98TH & MULBERRY CISNE 62823 N 6905 WAL-MART SUPERCENTER #454 150 COMMERCE DR FAIRFIELD 62837 Y 7624 PRICELESS FOODS #448 709 W MAIN ST FAIRFIELD 62837 N Total Active Stores in Wayne County 4

STORES ACTIVE IN WHITE COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0679 WONDER MARKET 200 E WABASH NORRIS CITY 62869 N 0680 MEARS MARKET 609 N 5TH ST CARMI 62821 N 0830 CVS PHARMACY #06886 1101 W MAIN ST CARMI 62821 Y 6233 WAL-MART SUPERCENTER #833 1344 ILLINOIS HWY 1 CARMI 62821 Y 7372 LITTLE GIANT FOOD 1347 IL HWY1 CARMI 62821 N Total Active Stores in White County 5

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STORES ACTIVE IN WILLIAMSON COUNTY

Vendor ID Vendor Name Street Address City ZIP Pharmacy 0662 FARM FRESH DAIRY STORE 1301 S PARK AVE HERRIN 62948 N 0817 KROGER #746 1609 S PARK AVE HERRIN 62948 Y 0818 KROGER #380 1704 W DEYOUNG ST MARION 62959 Y 0834 CVS PHARMACY #06388 801 W MAIN ST MARION 62959 Y 4466 JOHNSTON CITY FOOD SHOP 913 N GRAND AVE JOHNSTON CITY 62951 N 5887 BOROWIAK IGA FOODLINER 1114 S DIVISION ST CARTERVILLE 62918 N 5909 BOROWIAK IGA FOODLINER 914 W MAIN ST MARION 62959 N 6535 WALGREENS #07578 1710 W DEYOUNG ST MARION 62959 Y 7201 WAL-MART SUPERCENTER #216 2802 OUTER ROAD DR MARION 62959 Y 7337 SMALL'S FOOD STORE 1005 EAST MAIN MARION 62959 N 7878 WALGREENS #12089 1606 S PARK AVE HERRIN 62948 Y 8628 TARGET STORE T-0674 3000 W DEYOUNG ST MARION 62959 N 8957 MARION FARM FRESH 200 N COURT ST MARION 62959 N 9134 WAL-MART STORE #596 1713 S PARK AVE HERRIN 62948 Y 9310 SAVE-A-LOT #45113 1501 S PARK AVE HERRIN 62948 N Total Active Stores in Williamson County 15

Total Stores Authorized - 2,208

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