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M5417 - ICD 10 Diagnosis Code - Radiculopathy, lumbosacral region - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to M5417 - Radiculopathy, lumbosacral region

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

M5417 - Radiculopathy, lumbosacral region - as a primary diagnosis code M5417 - Radiculopathy, lumbosacral region - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 5.09
Readmission Rate (%) 19.59
Unplanned Readmission Rate (%) 9.53
Mortality Rate (%)
SNF Discharge Rate (%)
Home Discharge Rate (%)
PAYMENTS AND CHARGES
Total Medicare Payments
Payment Per Day
Payment Per Hospitalization
Total Medicare Charges
Avg. Charges
MARKET SIZING & INCIDENCE RATES
Total National Projected Hospitalizations - Annualized (Present on Admission - All)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All)
Total National Projected Hospitalizations - Annualized (Present on Admission - Yes)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes)
Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y)
Total Medicare Hospitalizations after Exclusion

Top DRGs Associated With M5417 - Radiculopathy, lumbosacral region - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 195,476
Total Hospitalizations with ICD M5417 - Radiculopathy, lumbosacral region 1,144
DRG Share of Total Hospitalizations 0.59
% of Total ICD M5417 - Radiculopathy, lumbosacral region in DRG 56.33
Avg LOS at DRG 4.48
Avg LOS with ICD M5417 - Radiculopathy, lumbosacral region 6.05
Readmission Rate at DRG 20.57
Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region 19.47
Unplanned Readmission Rate at DRG 9.88
Unplanned Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region 10.35
Total Medicare payments at DRG $1,320,662,237
Total Medicare payments with ICD M5417 - Radiculopathy, lumbosacral region $10,499,986
Total Medicare payment per Day at DRG $1,508
Total Medicare payment per Day with ICD M5417 - Radiculopathy, lumbosacral region $1,517
Total Medicare payment per Hospitalization at DRG $6,756
Total Medicare payment per Hospitalization with ICD M5417 - Radiculopathy, lumbosacral region $9,178
Total Medicare Charges at DRG $6,024,639,461
Total Medicare Charges with ICD M5417 - Radiculopathy, lumbosacral region $34,768,919
Avg Charges at DRG $30,820
Avg Charges with ICD M5417 - Radiculopathy, lumbosacral region $30,392
Mortality Rate at DRG 0.24
Mortality Rate with ICD M5417 - Radiculopathy, lumbosacral region NA
SNF Discharge Rate at DRG 33.36
SNF Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region 21.94
Home Discharge Rate at DRG 30.98
Home Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region 38.64

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 26,458
Total Hospitalizations with ICD M5417 - Radiculopathy, lumbosacral region 38
DRG Share of Total Hospitalizations 0.08
% of Total ICD M5417 - Radiculopathy, lumbosacral region in DRG 1.87
Avg LOS at DRG 3.91
Avg LOS with ICD M5417 - Radiculopathy, lumbosacral region 3.95
Readmission Rate at DRG 24.53
Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region NA
Unplanned Readmission Rate at DRG 6.06
Unplanned Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region NA
Total Medicare payments at DRG $282,780,660
Total Medicare payments with ICD M5417 - Radiculopathy, lumbosacral region $431,670
Total Medicare payment per Day at DRG $2,732
Total Medicare payment per Day with ICD M5417 - Radiculopathy, lumbosacral region $2,878
Total Medicare payment per Hospitalization at DRG $10,688
Total Medicare payment per Hospitalization with ICD M5417 - Radiculopathy, lumbosacral region $11,360
Total Medicare Charges at DRG $1,744,158,849
Total Medicare Charges with ICD M5417 - Radiculopathy, lumbosacral region $1,899,278
Avg Charges at DRG $65,922
Avg Charges with ICD M5417 - Radiculopathy, lumbosacral region $49,981
Mortality Rate at DRG 0.09
Mortality Rate with ICD M5417 - Radiculopathy, lumbosacral region NA
SNF Discharge Rate at DRG 19.7
SNF Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region NA
Home Discharge Rate at DRG 44.06
Home Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region 44.74

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 16,812
Total Hospitalizations with ICD M5417 - Radiculopathy, lumbosacral region 18
DRG Share of Total Hospitalizations 0.05
% of Total ICD M5417 - Radiculopathy, lumbosacral region in DRG 0.89
Avg LOS at DRG 7.66
Avg LOS with ICD M5417 - Radiculopathy, lumbosacral region 4.22
Readmission Rate at DRG 36.82
Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region NA
Unplanned Readmission Rate at DRG 8.15
Unplanned Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region NA
Total Medicare payments at DRG $685,730,928
Total Medicare payments with ICD M5417 - Radiculopathy, lumbosacral region $709,624
Total Medicare payment per Day at DRG $5,325
Total Medicare payment per Day with ICD M5417 - Radiculopathy, lumbosacral region $9,337
Total Medicare payment per Hospitalization at DRG $40,788
Total Medicare payment per Hospitalization with ICD M5417 - Radiculopathy, lumbosacral region $39,424
Total Medicare Charges at DRG $3,152,175,405
Total Medicare Charges with ICD M5417 - Radiculopathy, lumbosacral region $2,974,768
Avg Charges at DRG $187,496
Avg Charges with ICD M5417 - Radiculopathy, lumbosacral region $165,265
Mortality Rate at DRG 2.12
Mortality Rate with ICD M5417 - Radiculopathy, lumbosacral region NA
SNF Discharge Rate at DRG 31.97
SNF Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region NA
Home Discharge Rate at DRG 20.62
Home Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region NA

Top Hospitals Associated With M5417 - Radiculopathy, lumbosacral region - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER 14 HOSPITAL DR TOMS RIVER NJ 08755 45
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 13
BEAUMONT HOSPITAL ROYAL OAK 3601 W 13 MILE RD ROYAL OAK MI 48073 13

Top Attending Physicians Associated With M5417 - Radiculopathy, lumbosacral region - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. DEBASHIS NAG 9 HOSPITAL DR TOMS RIVER NJ 08755 17
Dr. PADMASHREE S. ADUSUMILLI 14 HOSPITAL DR TOMS RIVER NJ 08755 12
Dr. ALEXANDRU ANASTASE 2620 SCRIPTURE ST DENTON TX 76201 12

Top DRGs Associated With M5417 - Radiculopathy, lumbosacral region - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 215,355
Total Hospitalizations with ICD M5417 - Radiculopathy, lumbosacral region 3,967
DRG Share of Total Hospitalizations 0.66
% of Total ICD M5417 - Radiculopathy, lumbosacral region in DRG 18.75
Avg LOS at DRG 3.28
Avg LOS with ICD M5417 - Radiculopathy, lumbosacral region 3.23
Readmission Rate at DRG 16.7
Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region 15.53
Unplanned Readmission Rate at DRG 4.47
Unplanned Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region 4.35
Total Medicare payments at DRG $5,278,830,730
Total Medicare payments with ICD M5417 - Radiculopathy, lumbosacral region $96,691,346
Total Medicare payment per Day at DRG $7,462
Total Medicare payment per Day with ICD M5417 - Radiculopathy, lumbosacral region $7,555
Total Medicare payment per Hospitalization at DRG $24,512
Total Medicare payment per Hospitalization with ICD M5417 - Radiculopathy, lumbosacral region $24,374
Total Medicare Charges at DRG $25,567,888,167
Total Medicare Charges with ICD M5417 - Radiculopathy, lumbosacral region $502,401,336
Avg Charges at DRG $118,724
Avg Charges with ICD M5417 - Radiculopathy, lumbosacral region $126,645
Mortality Rate at DRG 0.03
Mortality Rate with ICD M5417 - Radiculopathy, lumbosacral region NA
SNF Discharge Rate at DRG 15.71
SNF Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region 15.02
Home Discharge Rate at DRG 51.89
Home Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region 53.54

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 30,062
Total Hospitalizations with ICD M5417 - Radiculopathy, lumbosacral region 527
DRG Share of Total Hospitalizations 0.09
% of Total ICD M5417 - Radiculopathy, lumbosacral region in DRG 2.49
Avg LOS at DRG 2.14
Avg LOS with ICD M5417 - Radiculopathy, lumbosacral region 1.65
Readmission Rate at DRG 11.6
Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region 8.9
Unplanned Readmission Rate at DRG 3.9
Unplanned Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region 3.87
Total Medicare payments at DRG $199,571,619
Total Medicare payments with ICD M5417 - Radiculopathy, lumbosacral region $3,707,015
Total Medicare payment per Day at DRG $3,102
Total Medicare payment per Day with ICD M5417 - Radiculopathy, lumbosacral region $4,266
Total Medicare payment per Hospitalization at DRG $6,639
Total Medicare payment per Hospitalization with ICD M5417 - Radiculopathy, lumbosacral region $7,034
Total Medicare Charges at DRG $1,429,977,155
Total Medicare Charges with ICD M5417 - Radiculopathy, lumbosacral region $24,160,146
Avg Charges at DRG $47,568
Avg Charges with ICD M5417 - Radiculopathy, lumbosacral region $45,845
Mortality Rate at DRG NA
Mortality Rate with ICD M5417 - Radiculopathy, lumbosacral region NA
SNF Discharge Rate at DRG 8.82
SNF Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region 4.74
Home Discharge Rate at DRG 68.77
Home Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region 77.23

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 45,626
Total Hospitalizations with ICD M5417 - Radiculopathy, lumbosacral region 309
DRG Share of Total Hospitalizations 0.14
% of Total ICD M5417 - Radiculopathy, lumbosacral region in DRG 1.46
Avg LOS at DRG 6.58
Avg LOS with ICD M5417 - Radiculopathy, lumbosacral region 7.64
Readmission Rate at DRG 28.01
Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region 33.33
Unplanned Readmission Rate at DRG 15.44
Unplanned Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region 20.35
Total Medicare payments at DRG $509,048,598
Total Medicare payments with ICD M5417 - Radiculopathy, lumbosacral region $3,982,680
Total Medicare payment per Day at DRG $1,696
Total Medicare payment per Day with ICD M5417 - Radiculopathy, lumbosacral region $1,688
Total Medicare payment per Hospitalization at DRG $11,157
Total Medicare payment per Hospitalization with ICD M5417 - Radiculopathy, lumbosacral region $12,889
Total Medicare Charges at DRG $2,333,825,338
Total Medicare Charges with ICD M5417 - Radiculopathy, lumbosacral region $14,490,988
Avg Charges at DRG $51,151
Avg Charges with ICD M5417 - Radiculopathy, lumbosacral region $46,896
Mortality Rate at DRG 4.28
Mortality Rate with ICD M5417 - Radiculopathy, lumbosacral region NA
SNF Discharge Rate at DRG 39.84
SNF Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region 32.04
Home Discharge Rate at DRG 18.35
Home Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region 25.24

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 885: PSYCHOSES DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 120,351
Total Hospitalizations with ICD M5417 - Radiculopathy, lumbosacral region 199
DRG Share of Total Hospitalizations 0.37
% of Total ICD M5417 - Radiculopathy, lumbosacral region in DRG 0.94
Avg LOS at DRG 12.45
Avg LOS with ICD M5417 - Radiculopathy, lumbosacral region 12.02
Readmission Rate at DRG 17.61
Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region 14.52
Unplanned Readmission Rate at DRG 12.6
Unplanned Readmission Rate with ICD M5417 - Radiculopathy, lumbosacral region 9.68
Total Medicare payments at DRG $2,245,410,425
Total Medicare payments with ICD M5417 - Radiculopathy, lumbosacral region $3,600,250
Total Medicare payment per Day at DRG $1,499
Total Medicare payment per Day with ICD M5417 - Radiculopathy, lumbosacral region $1,505
Total Medicare payment per Hospitalization at DRG $18,657
Total Medicare payment per Hospitalization with ICD M5417 - Radiculopathy, lumbosacral region $18,092
Total Medicare Charges at DRG $5,810,478,166
Total Medicare Charges with ICD M5417 - Radiculopathy, lumbosacral region $9,401,985
Avg Charges at DRG $48,279
Avg Charges with ICD M5417 - Radiculopathy, lumbosacral region $47,246
Mortality Rate at DRG 0.55
Mortality Rate with ICD M5417 - Radiculopathy, lumbosacral region NA
SNF Discharge Rate at DRG 14.77
SNF Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region 12.06
Home Discharge Rate at DRG 22.27
Home Discharge Rate with ICD M5417 - Radiculopathy, lumbosacral region 24.62

Top Hospitals Associated With M5417 - Radiculopathy, lumbosacral region - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS 1216 2ND ST SW ROCHESTER MN 55902 168
BARNES-KASSON COUNTY HOSPITAL 2872 TURNPIKE ST SUSQUEHANNA PA 18847 145
CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048 122

Top Operating Physicians Associated With M5417 - Radiculopathy, lumbosacral region - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. DOUGLAS JAMES BRUNNER 175 E CHESTER PIKE RIDLEY PARK PA 19078 58
Dr. MRUNAL PANCHAL 901 BIESTERFIELD RD ELK GROVE VILLAGE IL 60007 55
Dr. ZESHAN M HYDER 9001 BROADWAY MERRILLVILLE IN 46410 52

Top Attending Physicians Associated With M5417 - Radiculopathy, lumbosacral region - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. PRAVINCHANDRA K. PATEL 2872 TURNPIKE ST SUSQUEHANNA PA 18847 138
Dr. GEOFFREY R. SMITH LEE ST CHARLOTTESVILLE VA 22908 106
Dr. MRUNAL PANCHAL 901 BIESTERFIELD RD ELK GROVE VILLAGE IL 60007 65