Załącznik 1 Wykaz świadczeniodawców/lekarzy FAP

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1 Załącznik 1 Wykaz świadczeniodawców/lekarzy FAP Zgodnie z wartościami AHC takimi jak współczucie i dobre zarządzanie, polityką firmy AHC jest zapewnienie pomocy finansowej pacjentom w potrzebie. Polityka pomocy finansowej (FAP) dotyczy każdego przypadku udzielanej opieki w nagłym przypadku i opieki niezbędnej z medycznego punktu widzenia zapewnianej przez szpital, jednak nie jest wiążąca w stosunku do innych indywidualnych świadczeniodawców (np. lekarzy) usług medycznych zapewnianych poza szpitalem. Nie zobowiązuje ona również świadczeniodawców, między innymi, do zmiany stosunku zatrudnienia z AHC ani do zmiany w zakresie praktyki. W związku z tym, iż lekarze i inni świadczeniodawcy uwzględnieni w tym wykazie mogą się od czasu do czasu zmieniać, AHC co najmniej raz na kwartał będzie aktualizowała i zamieszczała na swojej stronie internetowej ( nową wersję wykazu. Jeśli status świadczeniodawcy jest wymieniony jako OBJĘTY FAP, oznacza to że świadczeniodawca lub opieka w ramach praktyki świadczeniodawcy (zapewniania w placówce szpitalnej) jest objęta Polityką pomocy finansowej. Jeśli status świadczeniodawcy jest wymieniony jako NIEOBJĘTY FAP, oznacza to że świadczeniodawca lub opieka w ramach praktyki świadczeniodawcy (zapewniania w placówce szpitalnej) nie jest objęta Polityką pomocy finansowej. Bromenn Medical Center Advocate Medical Group Trauma Surgery COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Wound Healing & Hyperbaric Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Yacktman Peds Neurology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group-1300 Franklin Ave-Hospitalist COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group-Downers Grove, 3825 Highland Ave.-Palliative Care COVERED UNDER FAP Bromenn Medical Center Afifi, M. Sherif-MD NOT COVERED Bromenn Medical Center Ahmed, Mohammed Shujaddin-DO NOT COVERED Bromenn Medical Center Al-Ani, Ismail -MD NOT COVERED Bromenn Medical Center Ambulatory Anesthesiology, Ltd. NOT COVERED Bromenn Medical Center Anesthesiology Consultants NOT COVERED Bromenn Medical Center Anwar, Khalida -MD NOT COVERED Bromenn Medical Center Applied Pain Institute, LLC NOT COVERED Bromenn Medical Center Associated Anesthesiologists, SC NOT COVERED Bromenn Medical Center Associates In Dermatology, SC NOT COVERED Bromenn Medical Center Bajaj, Madhuri -MD NOT COVERED Bromenn Medical Center Bari, Naveed -MD NOT COVERED Bromenn Medical Center Benson, Jonathan David-DO COVERED UNDER FAP Bromenn Medical Center Berck, Lilla -MD NOT COVERED Bromenn Medical Center Bloomington Pediatrics & Allergy NOT COVERED Bromenn Medical Center Bloomington Radiology, SC NOT COVERED Bromenn Medical Center Bloomington Rehabilitation Associates, LLC NOT COVERED Bromenn Medical Center Bloomington-Normal Anesthesia NOT COVERED Bromenn Medical Center Bloomington-Normal ENT LTD NOT COVERED Bromenn Medical Center Cancer Care Associates NOT COVERED Bromenn Medical Center Cardiac Surgery Associates, SC NOT COVERED Bromenn Medical Center Cardiovascular Health Specialists NOT COVERED Bromenn Medical Center Carle Physician Group NOT COVERED Bromenn Medical Center Center for Cosmetic and Laser Surgery, LLC NOT COVERED Bromenn Medical Center Central Illinois Center for Wellness LLC NOT COVERED Bromenn Medical Center Central Illinois Neuro Health Sciences, Ltd NOT COVERED Bromenn Medical Center Central Illinois Neuroradiology Ltd-Advanced MRI NOT COVERED Bromenn Medical Center Central Illinois Orthopedic Surgery, LLC NOT COVERED Bromenn Medical Center Central Illinois Pediatric Associates, LLC NOT COVERED Bromenn Medical Center Chang, Grace Huei-MD NOT COVERED Bromenn Medical Center Chest Medicine Consultants, SC NOT COVERED Bromenn Medical Center Chicago Anesthesia Associates, SC NOT COVERED Bromenn Medical Center Children's Center for Dentistry NOT COVERED Bromenn Medical Center Children's Hospital of Illinois Medical Group NOT COVERED Bromenn Medical Center Christie Clinic, LLC NOT COVERED Bromenn Medical Center Cochran, Michael R.-MD NOT COVERED Page 1

2 Bromenn Medical Center Cogent Hospitalists NOT COVERED Bromenn Medical Center Cole, Bradley J.-NP NOT COVERED Bromenn Medical Center Community Cancer Center, LLC NOT COVERED Bromenn Medical Center Comphrensive Kidney Care, LLC NOT COVERED Bromenn Medical Center Cortese Foot & Ankle Clinic, P.C NOT COVERED Bromenn Medical Center Cross, Chadrick Antony-MD NOT COVERED Bromenn Medical Center Cunningham, Daniel Reid-DO COVERED UNDER FAP Bromenn Medical Center Dangles, Chris John-MD NOT COVERED Bromenn Medical Center Daniel A Nord MD Obstetrics and Gynecology, LLC NOT COVERED Bromenn Medical Center Definitive Neurodiagnostics, LLC NOT COVERED Bromenn Medical Center Dermatology and Mohs Surgery Institute, Ltd NOT COVERED Bromenn Medical Center Digestive Disease Consultants, LTD NOT COVERED Bromenn Medical Center Draksler, David J.-CRNA NOT COVERED Bromenn Medical Center Dreyer Clinic - Rush Copley NOT COVERED Bromenn Medical Center Dustman, John Anthony-MD NOT COVERED Bromenn Medical Center Eye Surgical Associates, SC NOT COVERED Bromenn Medical Center Abadeer, Peter Samuel-DO NOT COVERED Bromenn Medical Center Advanced Inpatient Consultants, LLC NOT COVERED Bromenn Medical Center Advanced Women's Healthcare, SC NOT COVERED Bromenn Medical Center Advocate Health & Hospital Corp - Advocate Intensivist Partners COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Burbank - Palliative Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Chicago - Trinity - Emergency Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Chicago N Clark - Internal Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal Franklin Ave - Hospitalists COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - College Ave - Family Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - Franklin - Endocrinology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - Franklin - Family Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - Pediatric Cardiology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Oak Lawn W 95th St - Behavioral Health COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Oak Lawn West 95th Street - Behavioral Health COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Oak Lawn -Cicero Avenue COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Park Ridge Dempster - Neurology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Bloomington Eastland COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Bloomington Empire Behavioral Health COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Bloomington Pediatrics COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group BroMenn Psychiatry COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Downers Grove 3825 Highland COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Emergency Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Emergency Medicine CMC - Peds COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group ENT Surgical Associates COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Fairbury COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group General & Colorectal Surgery Central IL COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Hospitalists COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Illinois Heart & Lung Cardiology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Illinois Heart & Lung Pulmonology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Immediate Care/ Occ Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Irving and Western COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group LeRoy COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Lexington COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Midwest Heart Specialists COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Midwest Pediatric Cardio COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Midwest Pediatric Cardiology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Neonatology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Oak Lawn - Trauma Surgery COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Parkside General Surgery COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Trauma COVERED UNDER FAP Bromenn Medical Center Farinas, Eric Julian-MD NOT COVERED Page 2

3 Bromenn Medical Center Farooki, Basheeruddin M.-MD NOT COVERED Bromenn Medical Center Fitzgerald, Katherine Ann-MD NOT COVERED Bromenn Medical Center Francois, Andre -MD NOT COVERED Bromenn Medical Center Gailey Eye Clinic NOT COVERED Bromenn Medical Center Galvan OBGYN & Associates, LLC NOT COVERED Bromenn Medical Center Gleason-Dintaman, Catherine -CRNA NOT COVERED Bromenn Medical Center Gordhan, Ajeet Dhaya-MD NOT COVERED Bromenn Medical Center Gorostiza-Tolod, Emelinda -MD NOT COVERED Bromenn Medical Center Griffin, Anthony D.-CRNA NOT COVERED Bromenn Medical Center Guardian Headache and Pain Management Institute, LLC NOT COVERED Bromenn Medical Center Hall, Thomas D.-DMD NOT COVERED Bromenn Medical Center Hancock, James B.-MD NOT COVERED Bromenn Medical Center Harold A Nord OB-Gyn S.C. NOT COVERED Bromenn Medical Center Hashmi, Faiza -MD NOT COVERED Bromenn Medical Center Hendrix, Jessica Nicole-PA NOT COVERED Bromenn Medical Center Hinsdale Orthopaedic Associates, SC NOT COVERED Bromenn Medical Center Hom, Sophia Sung-MD NOT COVERED Bromenn Medical Center Hoschek, Jeffrey C.-MD NOT COVERED Bromenn Medical Center Houghton, Adam D.-MD NOT COVERED Bromenn Medical Center Housner, Ryan Joseph-PA NOT COVERED Bromenn Medical Center Illinois CancerCare, PC NOT COVERED Bromenn Medical Center Ingalsbe, Steven C.-MD COVERED UNDER FAP Bromenn Medical Center Issa, Nabil M.-MD NOT COVERED Bromenn Medical Center Jantzen, David -MD NOT COVERED Bromenn Medical Center Jeffrey Jones, DDS, LLC NOT COVERED Bromenn Medical Center Jweied, Eias -MD NOT COVERED Bromenn Medical Center Kettering, Todd Owen-DO COVERED UNDER FAP Bromenn Medical Center Kidney Care Center NOT COVERED Bromenn Medical Center Kidney Care Center Bloomington, LLC NOT COVERED Bromenn Medical Center Kidney Care Center Olympia Fields, LLC NOT COVERED Bromenn Medical Center Kidney Care Center Rockford, LLC NOT COVERED Bromenn Medical Center Kim, Danielle Francois-DO NOT COVERED Bromenn Medical Center Kindred, Stephen L.-MD COVERED UNDER FAP Bromenn Medical Center Klauss, Sven -MD NOT COVERED Bromenn Medical Center Klich, Janice Ruth-MD NOT COVERED Bromenn Medical Center KMB, SC NOT COVERED Bromenn Medical Center Knepp, Marc Douglas-MD NOT COVERED Bromenn Medical Center Kummerer, Robert G.-MD NOT COVERED Bromenn Medical Center Laura C. Randolph, MD SC NOT COVERED Bromenn Medical Center Lee, Dennis -MD NOT COVERED Bromenn Medical Center Leverton, Samantha A.-NP NOT COVERED Bromenn Medical Center Lincoln B Pain Clinic, Ltd. NOT COVERED Bromenn Medical Center Littrell, Danielle Julia-PA COVERED UNDER FAP Bromenn Medical Center Mann, Stewart Ralph-MD NOT COVERED Bromenn Medical Center McLean County Foot and Ankle, Ltd NOT COVERED Bromenn Medical Center McLean County Orthopedics, Ltd NOT COVERED Bromenn Medical Center Medical Group - College Avenue NOT COVERED Bromenn Medical Center Mehmood, Sajid -MD NOT COVERED Bromenn Medical Center Metro Infectious Disease Consultants, LLC NOT COVERED Bromenn Medical Center Mid-Illinois Hematology & Oncology Associates Ltd NOT COVERED Bromenn Medical Center Midstate Podiatry Associates, Ltd NOT COVERED Bromenn Medical Center Midwest Allergy Sinus Asthma, SC NOT COVERED Bromenn Medical Center Midwest Pulmonary Associates, SC NOT COVERED Bromenn Medical Center Millennium Pain Center, LLC NOT COVERED Bromenn Medical Center Miller Urogynecology, SC NOT COVERED Bromenn Medical Center Minneapolis VA Medical center NOT COVERED Bromenn Medical Center Mitchell, Winston Adrian-MD NOT COVERED Bromenn Medical Center Mobile Anesthesiologists LLC NOT COVERED Page 3

4 Bromenn Medical Center Nevin, James Laverne-MD NOT COVERED Bromenn Medical Center Nona Fulk MD, SC NOT COVERED Bromenn Medical Center Normal Bloomington Anesthesiologists, Ltd NOT COVERED Bromenn Medical Center Obstetrics & Gynecology II, Ltd. NOT COVERED Bromenn Medical Center Obstetrics and Gynecology Care Associates, SC NOT COVERED Bromenn Medical Center Ontrop, Nathan D.-MD COVERED UNDER FAP Bromenn Medical Center Orthopedics & Shoulder Center NOT COVERED Bromenn Medical Center Orthopedics of Illinois NOT COVERED Bromenn Medical Center OSF Cardiovascular Institute NOT COVERED Bromenn Medical Center OSF Children's Hospital of Illinois Medical Group NOT COVERED Bromenn Medical Center OSF Medical Group - College Avenue NOT COVERED Bromenn Medical Center OSF Multi-Specialty Group NOT COVERED Bromenn Medical Center OSF Neurology NOT COVERED Bromenn Medical Center Otis Allen, MD, SC NOT COVERED Bromenn Medical Center Paige C. Holt MD Ltd NOT COVERED Bromenn Medical Center Pappas, Patroklos S.-MD NOT COVERED Bromenn Medical Center Paschold, Bryce Andrew-DPM NOT COVERED Bromenn Medical Center Patel, Subhash R.-MD NOT COVERED Bromenn Medical Center Physicians Care Midwest, SC COVERED UNDER FAP Bromenn Medical Center Pilcher, Stephen Christopher-MD NOT COVERED Bromenn Medical Center Pogue, Lucas C.-MD NOT COVERED Bromenn Medical Center Prasad, Bharati -MD NOT COVERED Bromenn Medical Center Premier Medical Group - Kulb, Chalian and Leak Urology, Ltd NOT COVERED Bromenn Medical Center Premier Medical Group, LLC NOT COVERED Bromenn Medical Center Premier Medical Group, LLC Mid-Central Illinois Gastroenterology NOT COVERED Bromenn Medical Center PRO Podiatry LLC - Premier Podiatry NOT COVERED Bromenn Medical Center Pulmonary Medicine NOT COVERED Bromenn Medical Center Rauen Dardis, Sara Renee-DDS NOT COVERED Bromenn Medical Center Rauf, Anis A.-DO NOT COVERED Bromenn Medical Center Razma, Antanas G.-MD COVERED UNDER FAP Bromenn Medical Center RenalCare Associates, SC NOT COVERED Bromenn Medical Center Retina Consultants of Central Illinois, SC NOT COVERED Bromenn Medical Center Richard W Wellman, MD LLC NOT COVERED Bromenn Medical Center Roach, Jason E.-PA COVERED UNDER FAP Bromenn Medical Center Rufus, Deborah J.-NP NOT COVERED Bromenn Medical Center Sarah Dutta, OB-GYN, SC NOT COVERED Bromenn Medical Center Seidl, Robert K.-MD NOT COVERED Bromenn Medical Center Sharon R. Weaver, MD, SC NOT COVERED Bromenn Medical Center Singh, Amarjit -MD NOT COVERED Bromenn Medical Center Smith, Kevin S.-MD NOT COVERED Bromenn Medical Center Solhkhah, Cyrus Darius-MD COVERED UNDER FAP Bromenn Medical Center Sriram, Krishnan -MD NOT COVERED Bromenn Medical Center Stern, David Ross-MD NOT COVERED Bromenn Medical Center Subramanian, Sanjay -MD NOT COVERED Bromenn Medical Center Summit Family Medical Center NOT COVERED Bromenn Medical Center Susan Svientek MD SC - Women for Women NOT COVERED Bromenn Medical Center Swanson, James Edward-MD NOT COVERED Bromenn Medical Center Tattini, Chad Douglas-MD NOT COVERED Bromenn Medical Center The Center for Outpatient Medicine NOT COVERED Bromenn Medical Center Thoracic Surgical Associates, LLC NOT COVERED Bromenn Medical Center Vales, James S.-MD COVERED UNDER FAP Bromenn Medical Center Virtual Radiologic Professionals NOT COVERED Bromenn Medical Center Virtual Radiologic Professionals, LLC NOT COVERED Bromenn Medical Center Whaley, Amanda Lynn Bethel-DO COVERED UNDER FAP Bromenn Medical Center Williamson, John Jeffrey-PA COVERED UNDER FAP Bromenn Medical Center Wong, Katy Ka-Lok-MD COVERED UNDER FAP Bromenn Medical Center Yasin, Jamil -MD NOT COVERED Christ Medical Center and Children's Hospital A2Z Care Med-Meds Specialist, PC NOT COVERED Page 4

5 Christ Medical Center and Children's Hospital Abdessalam, Nadia F.-NP NOT COVERED Christ Medical Center and Children's Hospital Adeniji, Adejimi O.-MD NOT COVERED Christ Medical Center and Children's Hospital Adhikari, Sujeen -DO NOT COVERED Christ Medical Center and Children's Hospital Adult Medicine Center NOT COVERED Christ Medical Center and Children's Hospital Adult Primary Care Center, Ltd NOT COVERED Christ Medical Center and Children's Hospital Advanced Allergy & Asthma Clinic SC NOT COVERED Christ Medical Center and Children's Hospital Advanced Orthopedic and Spine Care, SC NOT COVERED Christ Medical Center and Children's Hospital Advanced Reproductive Health Centers, Ltd NOT COVERED Christ Medical Center and Children's Hospital Advocate Health & Hospital Corp - Advocate Intensivist Partners COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Burbank - Palliative Medicine COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group W Wellington - Congestive Heart Failure COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Burbank West 79th Street - Obstetrics & Gynecology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Chicago - Trinity - Emergency Medicine COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Chicago N Clark - Cardiology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Chicago N Clark - Internal Medicine COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Chicago N Halsted - Neurosurgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Des Plaines 8901 W Golf Road COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Downers Grove Highland Ave - Neurosurgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Downers Grove 1441 Branding COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Hazel Crest - Kedzie Avenue COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn W 95th St - Pediatric Subspecialties COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn West 95th Street COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn W 95th COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn W 95th St - Behavioral Health COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn W 95th Street - Hospitalists COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn W 95th Street - Pediatric Orthopedics COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn West 95th Street - Behavioral Health COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn West 95th Street - Palliative Care COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn Southwest Hwy - Family Practice COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn West 95th Street - Pediatrics COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn -Cicero Avenue COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn, 4440 West 95th Street - Obstetrics & Gynecology -ED Tri COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Park Ridge Dempster - Pediatric Critical Care COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Park Ridge Dempster - Neurology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Park Ridge Dempster - Neurosurgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Park Ridge - Luther Lane - Bone Marrow Transplant COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Park Ridge - Pediatric Neurosurgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Beverly COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group BroMenn Psychiatry COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Chicago 2315 E 93rd Street Neurology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Christ Peds Hospitalist COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group CMC Pediatric Infectious Disease COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group CMC Pediatric Pulmonology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Downers Grove 3825 Highland COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Emergency Medicine COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Emergency Medicine CMC - Peds COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Emergency Medicine LGH - Peds COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Evergreen COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Evergreen Peds COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Hazel Crest Gastro COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Hospitalist COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Irving and Western COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Maternal Fetal COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Merrionette Park COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Midwest Heart Specialists COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Midwest Pediatric Cardio COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Midwest Pediatric Cardiology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Neurointerventional Surgery COVERED UNDER FAP Page 5

6 Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn West 95th Street - Pediatric Critical Care COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn - Trauma Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn - West 95th Street - Pediatric Cardiovascular Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn - West 95th Street - Pediatric Hematology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn 95th St ENT COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn 95th St Pediatrics COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn 95th Street COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group- Oak Lawn- Adolescent Psychiatry COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn Infectious Disease COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn Maternal/Fetal COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn Nephrology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn Neurosurgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn Pediatrics General Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn Plastic Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Orland Park COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Palos COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Park Ridge 1775 Dempster Street Pediatric Critical Care COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Park Ridge 1875 Dempster Street Pediatric Neurosurgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Parkside General Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Parkside Genetics COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Parkside Maternal Fetal COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Pediatric Cardiovascular Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Peds Hospitalist COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group South Holland Hospitalist COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Sykes COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Trauma COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Trauma Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Pediatrics COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Peds Cardiology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Peds General Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Peds Hem/Onc COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Peds Nephrology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Peds Neurology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Peds Plastic Surg COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Peds Pulmonology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Peds Rheumatology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Psychiatry COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Sleep Medicine COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group-Chicago-93rd Street COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group-Downers Grove, 3825 Highland Ave.-Palliative Care COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group-Oak Lawn W 95th St - Pediatric Subspecialties COVERED UNDER FAP Christ Medical Center and Children's Hospital Afifi, M. Sherif-MD NOT COVERED Christ Medical Center and Children's Hospital Ahmed, Farida -MD NOT COVERED Christ Medical Center and Children's Hospital Ahmed, Mohammed Shujaddin-DO NOT COVERED Christ Medical Center and Children's Hospital Ahuja, Akash -MD NOT COVERED Christ Medical Center and Children's Hospital Aicher, Tracy Marie-NP NOT COVERED Christ Medical Center and Children's Hospital Aippersbach, Elke D.-MD NOT COVERED Christ Medical Center and Children's Hospital Akhtar, Rasheed -MD NOT COVERED Christ Medical Center and Children's Hospital Al-Ani, Ismail -MD NOT COVERED Christ Medical Center and Children's Hospital Alawad Medical Center, Ltd NOT COVERED Christ Medical Center and Children's Hospital Albright, Joslyn Marie-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Aldaas, Fadi -MD NOT COVERED Christ Medical Center and Children's Hospital Aleksonis, Dinas -MD NOT COVERED Christ Medical Center and Children's Hospital Alex, Charles G.-MD NOT COVERED Christ Medical Center and Children's Hospital Alexander, Philip J.-MD NOT COVERED Christ Medical Center and Children's Hospital Alpha Med Physicians Group, LLC NOT COVERED Christ Medical Center and Children's Hospital Al-Qawasmi, Fouad A.-MD NOT COVERED Christ Medical Center and Children's Hospital Altman, Igor A.-DO NOT COVERED Page 6

7 Christ Medical Center and Children's Hospital Alzein Medical, Ltd NOT COVERED Christ Medical Center and Children's Hospital Alzein, Mohamad Riad-MD NOT COVERED Christ Medical Center and Children's Hospital American Anesthesiology Associates of Illinois, SC NOT COVERED Christ Medical Center and Children's Hospital Amin, Ruchita Doshi-MD NOT COVERED Christ Medical Center and Children's Hospital Amit Vyas, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Amita Health Cancer Center NOT COVERED Christ Medical Center and Children's Hospital Amita Health Medical Group NOT COVERED Christ Medical Center and Children's Hospital Anderst, James D.-MD NOT COVERED Christ Medical Center and Children's Hospital Andina & Irabagon, SC NOT COVERED Christ Medical Center and Children's Hospital Andrade, Ambar Afshar-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Angspatt-Pisit, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Anita Arora, MD, PC NOT COVERED Christ Medical Center and Children's Hospital Annes, Nicole -PA NOT COVERED Christ Medical Center and Children's Hospital Annita John, MD, PC NOT COVERED Christ Medical Center and Children's Hospital Applequist, Jennifer R.-PA NOT COVERED Christ Medical Center and Children's Hospital Arbor Center for Eyecare, SC NOT COVERED Christ Medical Center and Children's Hospital Ares Maisonet, Guillermo Javier-MD NOT COVERED Christ Medical Center and Children's Hospital Arthur L. Ostrowski, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Arun, Haleyur P.-MD NOT COVERED Christ Medical Center and Children's Hospital Associated Cardiovascular Physicians, SC NOT COVERED Christ Medical Center and Children's Hospital Associated Urological Specialists, LLC NOT COVERED Christ Medical Center and Children's Hospital Associates in Nephrology, SC NOT COVERED Christ Medical Center and Children's Hospital Associates in Pediatric Neurology, SC NOT COVERED Christ Medical Center and Children's Hospital Associates in Rehabilitation Medicine, SC NOT COVERED Christ Medical Center and Children's Hospital Atassi, Wadah A.-MD NOT COVERED Christ Medical Center and Children's Hospital Avant Obstetrics and Gynecology Ltd. NOT COVERED Christ Medical Center and Children's Hospital Aziz, George F.-MD NOT COVERED Christ Medical Center and Children's Hospital Balandrin, Jorge E.-MD NOT COVERED Christ Medical Center and Children's Hospital Balanlayos, Ivy Ignas-CNS NOT COVERED Christ Medical Center and Children's Hospital Balash, Paul Richard-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Bane, Christopher D.-MD NOT COVERED Christ Medical Center and Children's Hospital Barakat, Nabil Antoine-MD NOT COVERED Christ Medical Center and Children's Hospital Bardezbanian, Bryce Joseph-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Bari, Naveed -MD NOT COVERED Christ Medical Center and Children's Hospital Baylis, William J.-DO NOT COVERED Christ Medical Center and Children's Hospital Beata I. Styka MD, SC NOT COVERED Christ Medical Center and Children's Hospital Beaumont, Laura A.-PsyD NOT COVERED Christ Medical Center and Children's Hospital Beck, Michael E.-MD NOT COVERED Christ Medical Center and Children's Hospital Bedikian, Sarkis Michael-DO NOT COVERED Christ Medical Center and Children's Hospital Bell, Jeremy Thomas-PA NOT COVERED Christ Medical Center and Children's Hospital Bell, Nathan Howard-PA NOT COVERED Christ Medical Center and Children's Hospital Beri, Rohinee -MD NOT COVERED Christ Medical Center and Children's Hospital Bero, Jennifer Lynn-MD NOT COVERED Christ Medical Center and Children's Hospital Berwyn Pediatrics NOT COVERED Christ Medical Center and Children's Hospital Best Practices Inpatient Care, Ltd NOT COVERED Christ Medical Center and Children's Hospital Beth Ledvora, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Bevolo, Andrea R.-PA NOT COVERED Christ Medical Center and Children's Hospital Bielinski Dermatology Group LLC NOT COVERED Christ Medical Center and Children's Hospital Bisaga, Mary Katherine-NP NOT COVERED Christ Medical Center and Children's Hospital Biskup & Segui Pediatric Partners PC NOT COVERED Christ Medical Center and Children's Hospital Biso, Sylvia Marie Rabe-MD NOT COVERED Christ Medical Center and Children's Hospital Bite Size Pediatric Dentistry NOT COVERED Christ Medical Center and Children's Hospital Blevins, Bonnie A.-CNS NOT COVERED Christ Medical Center and Children's Hospital Blumstein, Andrea M.-MD NOT COVERED Christ Medical Center and Children's Hospital Bojedla, Kiran -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Bonk, Alison Katherine-NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Borhani, Martin -MD NOT COVERED Christ Medical Center and Children's Hospital Bowersox, Keith D.-MD NOT COVERED Page 7

8 Christ Medical Center and Children's Hospital Boyd, Christine D.-MD NOT COVERED Christ Medical Center and Children's Hospital Brann, Donald Duane-DPM NOT COVERED Christ Medical Center and Children's Hospital Branovacki, George -MD NOT COVERED Christ Medical Center and Children's Hospital Brener, Alina Konnikova-MD NOT COVERED Christ Medical Center and Children's Hospital Brennan, Sharon -NP NOT COVERED Christ Medical Center and Children's Hospital Bresticker, Michael A.-MD NOT COVERED Christ Medical Center and Children's Hospital Brisbin, Beverlee Ann-MD NOT COVERED Christ Medical Center and Children's Hospital Brooker, Jay M.-MD NOT COVERED Christ Medical Center and Children's Hospital Brown, Henry Gordon-MD NOT COVERED Christ Medical Center and Children's Hospital Burda, Diana M.-MD NOT COVERED Christ Medical Center and Children's Hospital Burke, Nancy E.-NP NOT COVERED Christ Medical Center and Children's Hospital Burns, Leah M.-NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Callahan, Nicholas Ford-MD NOT COVERED Christ Medical Center and Children's Hospital Cardiac Surgery Associates, SC NOT COVERED Christ Medical Center and Children's Hospital Cardiology Medical Group NOT COVERED Christ Medical Center and Children's Hospital Cardiovascular Associates, SC NOT COVERED Christ Medical Center and Children's Hospital Cardiovascular Care Consultants, SC NOT COVERED Christ Medical Center and Children's Hospital Cardiovascular Consultants, LLP NOT COVERED Christ Medical Center and Children's Hospital Carli, Erin D.-NP NOT COVERED Christ Medical Center and Children's Hospital Carlos Smith DPM, PC NOT COVERED Christ Medical Center and Children's Hospital Center for Adult and Pediatric Wellness NOT COVERED Christ Medical Center and Children's Hospital Center for Heart Transplant and Assist Devices NOT COVERED Christ Medical Center and Children's Hospital Center for Internal Medicine NOT COVERED Christ Medical Center and Children's Hospital Center for Oral Surgery NOT COVERED Christ Medical Center and Children's Hospital Center for Pediatric Gastroenterology NOT COVERED Christ Medical Center and Children's Hospital Center for Pediatric Gastroenterology & Nutrition, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Center for Women s Care NOT COVERED Christ Medical Center and Children's Hospital Century Ear Nose and Throat-Head and Neck Surgery Associates, Ltd NOT COVERED Christ Medical Center and Children's Hospital Chaar, Bassem T.-MD NOT COVERED Christ Medical Center and Children's Hospital Chagnon, Kari Lynn-PA NOT COVERED Christ Medical Center and Children's Hospital Chandran, Sangili -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Chang, Grace Huei-MD NOT COVERED Christ Medical Center and Children's Hospital Chen, Shih-Hua -PA NOT COVERED Christ Medical Center and Children's Hospital Chest Medicine Consultants, SC NOT COVERED Christ Medical Center and Children's Hospital Chicago Anesthesia Associates, SC NOT COVERED Christ Medical Center and Children's Hospital Chicago Center for Women's Health, SC NOT COVERED Christ Medical Center and Children's Hospital Chicago Foot and Ankle, PC NOT COVERED Christ Medical Center and Children's Hospital Chicago kidds Pediatric Dentistry NOT COVERED Christ Medical Center and Children's Hospital Chicago Movement Specialists, LLC COVERED UNDER FAP Christ Medical Center and Children's Hospital Chickerillo, Krystina Marie-NP NOT COVERED Christ Medical Center and Children's Hospital Children's Wellness Center, LLC NOT COVERED Christ Medical Center and Children's Hospital Chowaniec, Jaime Ann-DMD NOT COVERED Christ Medical Center and Children's Hospital Christopher T. Kardasis, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Christopoulos, Niki A.-MD NOT COVERED Christ Medical Center and Children's Hospital Christy Cardiology, Ltd NOT COVERED Christ Medical Center and Children's Hospital Chronopoulos, Foti T.-MD NOT COVERED Christ Medical Center and Children's Hospital Chua-Apolinario, Susan -MD NOT COVERED Christ Medical Center and Children's Hospital Coenen, Allison Marie-PA NOT COVERED Christ Medical Center and Children's Hospital Cohen, Stephanie Brooke-PA COVERED UNDER FAP Christ Medical Center and Children's Hospital Collins, Mary Ann Jugovic-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Collins, Steven M.-PA NOT COVERED Christ Medical Center and Children's Hospital Comphrensive Kidney Care, LLC NOT COVERED Christ Medical Center and Children's Hospital Consultants in Cardiology & Electrophysiology, LLC NOT COVERED Christ Medical Center and Children's Hospital Continental Anesthesia, Ltd. NOT COVERED Christ Medical Center and Children's Hospital Cook, Sika S.-CRNA NOT COVERED Christ Medical Center and Children's Hospital CortiCare NOT COVERED Christ Medical Center and Children's Hospital CorVita Health and Associates NOT COVERED Christ Medical Center and Children's Hospital Cotts, William Gerritt-MD COVERED UNDER FAP Page 8

9 Christ Medical Center and Children's Hospital Crosby, Jennifer L.-CNS NOT COVERED Christ Medical Center and Children's Hospital Cross, Chadrick Antony-MD NOT COVERED Christ Medical Center and Children's Hospital Crossan, Paul D.-MD NOT COVERED Christ Medical Center and Children's Hospital Curran, Ronald Dennis-MD NOT COVERED Christ Medical Center and Children's Hospital Czupek, Deborah A.-PhD NOT COVERED Christ Medical Center and Children's Hospital Dado, Ralph N.-MD NOT COVERED Christ Medical Center and Children's Hospital David Gerst, DPM, SC COVERED UNDER FAP Christ Medical Center and Children's Hospital DeFrino, Paul F.-MD NOT COVERED Christ Medical Center and Children's Hospital DeJong, Megan Joy-MD NOT COVERED Christ Medical Center and Children's Hospital Desai, Chaitanya Rajendra-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital DeStefano & Stamat Pediatrics, LLC NOT COVERED Christ Medical Center and Children's Hospital Diabetes and Endocrine Care, Ltd NOT COVERED Christ Medical Center and Children's Hospital Diabetes, Osteoporosis, Obesity, INC. NOT COVERED Christ Medical Center and Children's Hospital Diamond, Terrence P.-MD NOT COVERED Christ Medical Center and Children's Hospital Dixon-Grevious, Dolores Louise-MD NOT COVERED Christ Medical Center and Children's Hospital Do, MaryAnhthu T.-DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Doliner, Marina -MD NOT COVERED Christ Medical Center and Children's Hospital Donte Medical, SC & Home Health Medical, LLC NOT COVERED Christ Medical Center and Children's Hospital Dr Joseph's Medical Serv. SC NOT COVERED Christ Medical Center and Children's Hospital Dr. Ashraf Abourahma, MD, Ltd NOT COVERED Christ Medical Center and Children's Hospital Dr. Matthew E. Schmidt and Associates Ophthalmologists, SC NOT COVERED Christ Medical Center and Children's Hospital Dr. Pitud MD Allergy and Asthma, Ltd NOT COVERED Christ Medical Center and Children's Hospital Dr. Robert J. Familaro & Assoc. Ltd. NOT COVERED Christ Medical Center and Children's Hospital Dreyer Clinic - Highland NOT COVERED Christ Medical Center and Children's Hospital Dreyer Clinic - Rush Copley NOT COVERED Christ Medical Center and Children's Hospital Du Page Medical Group, LTD NOT COVERED Christ Medical Center and Children's Hospital Duback, Kimberly M.-CNS NOT COVERED Christ Medical Center and Children's Hospital DuMais Pediatrics, SC NOT COVERED Christ Medical Center and Children's Hospital DuPage Children's ENT and Allergy NOT COVERED Christ Medical Center and Children's Hospital DuPage Medical Group, Ltd NOT COVERED Christ Medical Center and Children's Hospital Eadie, James Arthur-MD NOT COVERED Christ Medical Center and Children's Hospital Eapen, Joyce M.-NP NOT COVERED Christ Medical Center and Children's Hospital Ear, Nose, and Throat Associates, SC NOT COVERED Christ Medical Center and Children's Hospital EBS Pediatrics NOT COVERED Christ Medical Center and Children's Hospital Ellenby, Martin I.-MD NOT COVERED Christ Medical Center and Children's Hospital Elmhurst Clinic NOT COVERED Christ Medical Center and Children's Hospital EM Strategies, Ltd COVERED UNDER FAP Christ Medical Center and Children's Hospital Ennis, William J.-DO NOT COVERED Christ Medical Center and Children's Hospital EP Consultation, Ltd NOT COVERED Christ Medical Center and Children's Hospital Erickson, Kurt W.-MD NOT COVERED Christ Medical Center and Children's Hospital Errek, Henry K.-PhD NOT COVERED Christ Medical Center and Children's Hospital Espel, Julia Caitlin-MD NOT COVERED Christ Medical Center and Children's Hospital Evans, Diana M.-PA NOT COVERED Christ Medical Center and Children's Hospital Evans, Kaleigh Lynette-MD NOT COVERED Christ Medical Center and Children's Hospital Fairview Ogden Medical Group NOT COVERED Christ Medical Center and Children's Hospital Fajardo, Ashley Renae-NP NOT COVERED Christ Medical Center and Children's Hospital Fakhouri, Anton J.-MD NOT COVERED Christ Medical Center and Children's Hospital Family Eye Physicians, Ltd NOT COVERED Christ Medical Center and Children's Hospital Family Med Care Center NOT COVERED Christ Medical Center and Children's Hospital Farooki, Basheeruddin M.-MD NOT COVERED Christ Medical Center and Children's Hospital Fatima, Aelia -MD NOT COVERED Christ Medical Center and Children's Hospital Feria, Araceli Ilagan-MD NOT COVERED Christ Medical Center and Children's Hospital Fertility Centers of Illinois, SC NOT COVERED Christ Medical Center and Children's Hospital Foot & Ankle Associates, Ltd NOT COVERED Christ Medical Center and Children's Hospital Foot & Ankle Health Center, PC NOT COVERED Christ Medical Center and Children's Hospital Fox, Christa M.-NP NOT COVERED Christ Medical Center and Children's Hospital Frank, Michael W.-MD NOT COVERED Christ Medical Center and Children's Hospital Frazier, Terra N.-DO NOT COVERED Page 9

10 Christ Medical Center and Children's Hospital Gail D. Miller, MD SC NOT COVERED Christ Medical Center and Children's Hospital Galatanu, Mirela -MD NOT COVERED Christ Medical Center and Children's Hospital Garras, David -MD NOT COVERED Christ Medical Center and Children's Hospital Gateway Spine & Pain Physicians, LLC NOT COVERED Christ Medical Center and Children's Hospital Gavani and Kanuri MD SC NOT COVERED Christ Medical Center and Children's Hospital Gelsomino, Steven L.-DPM NOT COVERED Christ Medical Center and Children's Hospital George J. Dangles MD, PC NOT COVERED Christ Medical Center and Children's Hospital George Skarpathiotis, MD, SC NOT COVERED Christ Medical Center and Children's Hospital GI Partners of Illinois, LLC NOT COVERED Christ Medical Center and Children's Hospital Ginde, Jayant V.-MD NOT COVERED Christ Medical Center and Children's Hospital Gnatenco, Carmen -MD NOT COVERED Christ Medical Center and Children's Hospital Gomberawalla, Ameer -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Gopal Madhav, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Gordon, Melanie Jaynee-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Gourineni, Prasad V.-MD NOT COVERED Christ Medical Center and Children's Hospital Govostis, Dean M.-MD NOT COVERED Christ Medical Center and Children's Hospital Grissom, Alyssa Ann-CNS NOT COVERED Christ Medical Center and Children's Hospital Grote, Christina -NP NOT COVERED Christ Medical Center and Children's Hospital Gunderson, Candice L.-NP NOT COVERED Christ Medical Center and Children's Hospital Gynecological Cancer Institute of Chicago, LLC NOT COVERED Christ Medical Center and Children's Hospital Haddad, Rami Yacoub-MD NOT COVERED Christ Medical Center and Children's Hospital Hager, Cheryl A.-CNS NOT COVERED Christ Medical Center and Children's Hospital Hahn Pediatric Group, LLC NOT COVERED Christ Medical Center and Children's Hospital Hall, Laurie A.-NP NOT COVERED Christ Medical Center and Children's Hospital Hamad, Amar -MD NOT COVERED Christ Medical Center and Children's Hospital Hamadeh, Muhammad A.-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Hamilton, John F.-MD NOT COVERED Christ Medical Center and Children's Hospital Hammadeh, Rasheed -MD NOT COVERED Christ Medical Center and Children's Hospital Hanif, Tabassum M.-MD NOT COVERED Christ Medical Center and Children's Hospital Haraldsson, Catherine A.-PA NOT COVERED Christ Medical Center and Children's Hospital Harley, J. Preston-PhD NOT COVERED Christ Medical Center and Children's Hospital Harris, Shannon M.-NP NOT COVERED Christ Medical Center and Children's Hospital Hashmi, Faiza -MD NOT COVERED Christ Medical Center and Children's Hospital Hawkins, John C.-DO NOT COVERED Christ Medical Center and Children's Hospital Healthonomic Primary Care NOT COVERED Christ Medical Center and Children's Hospital Healthy Kids, S.C. NOT COVERED Christ Medical Center and Children's Hospital Heller, William A.-MD NOT COVERED Christ Medical Center and Children's Hospital Hendrix, Jessica Nicole-PA NOT COVERED Christ Medical Center and Children's Hospital Herbert C. Becker Jr., MD SC NOT COVERED Christ Medical Center and Children's Hospital Hermann, Kelly J.-PA NOT COVERED Christ Medical Center and Children's Hospital Hicks, Sarah M.-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Hill Creek Pediatrics Inc NOT COVERED Christ Medical Center and Children's Hospital Homsi Pediatric Neurology NOT COVERED Christ Medical Center and Children's Hospital Hook, Jonathan Lee-DPM NOT COVERED Christ Medical Center and Children's Hospital Housner, Ryan Joseph-PA NOT COVERED Christ Medical Center and Children's Hospital Hughes, Kylie A.-NP NOT COVERED Christ Medical Center and Children's Hospital Hussain, Zoya -DO NOT COVERED Christ Medical Center and Children's Hospital Illinois Dermatology Institute, LLC NOT COVERED Christ Medical Center and Children's Hospital Illinois Eye Institute NOT COVERED Christ Medical Center and Children's Hospital Illinois Gastroenterology Group, LLC NOT COVERED Christ Medical Center and Children's Hospital Illinois Institute of Pediatric Cardiology, Ltd NOT COVERED Christ Medical Center and Children's Hospital Ingersoll, Michael J.-PsyD NOT COVERED Christ Medical Center and Children's Hospital Institute of Neurobehavioral Services, SC NOT COVERED Christ Medical Center and Children's Hospital Integrated Imaging Associates NOT COVERED Christ Medical Center and Children's Hospital Integrated Imaging Consultants, LLC NOT COVERED Christ Medical Center and Children's Hospital Integrative Health Group NOT COVERED Christ Medical Center and Children's Hospital Iqbal, Naveed Syed-MD NOT COVERED Christ Medical Center and Children's Hospital Issa, Nabil M.-MD NOT COVERED Page 10

11 Christ Medical Center and Children's Hospital Itkin, Arthur -MD NOT COVERED Christ Medical Center and Children's Hospital Ivey-Brown, Jacqueline R.-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ivkov, Nestor M.-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital J & M Tang, MD's & Associates, SC NOT COVERED Christ Medical Center and Children's Hospital J.R. Nephrology & Associates, PC NOT COVERED Christ Medical Center and Children's Hospital Jacobson, Daniel R.-MD NOT COVERED Christ Medical Center and Children's Hospital Jamilla, Francis Paul A.-MD NOT COVERED Christ Medical Center and Children's Hospital John McInerney, DO, SC NOT COVERED Christ Medical Center and Children's Hospital John, Jobin Koshy-MD NOT COVERED Christ Medical Center and Children's Hospital Johnson, Naythea M.-NP NOT COVERED Christ Medical Center and Children's Hospital Johnson, Sarah A.-MD NOT COVERED Christ Medical Center and Children's Hospital Joshi, Anjali Anil-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Jweied, Eias -MD NOT COVERED Christ Medical Center and Children's Hospital Kakavas, Peter W.-MD NOT COVERED Christ Medical Center and Children's Hospital Kamba, Kathleen Marie-NP NOT COVERED Christ Medical Center and Children's Hospital Kang, Hyuk J.-MD NOT COVERED Christ Medical Center and Children's Hospital Kanu, Lovella Duru-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Karim, Eman -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Karzoun, M Eyad -MD NOT COVERED Christ Medical Center and Children's Hospital Kason, Thomas Theodore-MD NOT COVERED Christ Medical Center and Children's Hospital Kassar MD, Inc. NOT COVERED Christ Medical Center and Children's Hospital Katerji Pediatric Neurology & Associates SC NOT COVERED Christ Medical Center and Children's Hospital Kathleen J. Drinan, DO, Ltd NOT COVERED Christ Medical Center and Children's Hospital Kelta, Mouhammed -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kevin, Kristina M.-NP NOT COVERED Christ Medical Center and Children's Hospital Khan, Khadija T.-MD NOT COVERED Christ Medical Center and Children's Hospital Khan, Noorun M.-MD NOT COVERED Christ Medical Center and Children's Hospital Kidanu Birhanu, MD SC NOT COVERED Christ Medical Center and Children's Hospital Kidney & Hypertension Associates, SC NOT COVERED Christ Medical Center and Children's Hospital Kidney Care Center South, LLC NOT COVERED Christ Medical Center and Children's Hospital Kids Heart Clinic NOT COVERED Christ Medical Center and Children's Hospital Kim and Calvert MD, SC NOT COVERED Christ Medical Center and Children's Hospital Kim, Sung Lana -MD NOT COVERED Christ Medical Center and Children's Hospital Kinzler, Gordon J.-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Klich, Janice Ruth-MD NOT COVERED Christ Medical Center and Children's Hospital Kmicikewycz, Alexander W.-MD NOT COVERED Christ Medical Center and Children's Hospital Koinis, Van E.-DO NOT COVERED Christ Medical Center and Children's Hospital Kos, Margarita M.-NP NOT COVERED Christ Medical Center and Children's Hospital Kothari, Sorabh -MD NOT COVERED Christ Medical Center and Children's Hospital Krause, Nora Jane-NP NOT COVERED Christ Medical Center and Children's Hospital Krishna, Hema -MD NOT COVERED Christ Medical Center and Children's Hospital Kronen, Gary Adam-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kronlage, Maria Ann-DO NOT COVERED Christ Medical Center and Children's Hospital Krueger, Barbara Lynn-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Krueger, Evan Michael-DO NOT COVERED Christ Medical Center and Children's Hospital Krzycka, Katarzyna Maria-PA NOT COVERED Christ Medical Center and Children's Hospital Kuhn, Steven T.-DDS NOT COVERED Christ Medical Center and Children's Hospital Kumar, Anup -MD NOT COVERED Christ Medical Center and Children's Hospital Kummerer, Robert G.-MD NOT COVERED Christ Medical Center and Children's Hospital Kuruvilla, Aneesh -DO NOT COVERED Christ Medical Center and Children's Hospital Kutom, Ali -MD NOT COVERED Christ Medical Center and Children's Hospital Kwak, Heewon Aimee-MD NOT COVERED Christ Medical Center and Children's Hospital Lakeview Family Care NOT COVERED Christ Medical Center and Children's Hospital LaRoy, Valerie A.-NP NOT COVERED Christ Medical Center and Children's Hospital Lawlor-Klean, Phyllis -CNS NOT COVERED Christ Medical Center and Children's Hospital Lawn Medical Center, SC NOT COVERED Christ Medical Center and Children's Hospital Lawn Obstetrics and Gyneology NOT COVERED Christ Medical Center and Children's Hospital Lawrence, Rebecca S.-NP NOT COVERED Page 11