Prilog 1 FAP: Popis liječnika i pružatelja usluga U skladu s njegovim vrijednostima suosjećanja i pružanja usluga, politika je AHC-a pružiti financijs

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1 Prilog 1 FAP: Popis liječnika i pružatelja usluga U skladu s njegovim vrijednostima suosjećanja i pružanja usluga, politika je AHC-a pružiti financijsku pomoć bolesnicima kojima je potrebna. Politika financijske pomoći (FAP) primjenjuje se na sve hitne ili medicinski nužne usluge koje pružaju bolnice, ali nije obvezujuća za druge samostalne pružatelje medicinskih usluga (npr. liječnike) izvan bolnica. Također nije obvezujuća za pružatelja usluga, poput, ali ne ograničavajući se na, one koji promijene svoj poslovni odnos s AHC-om ili promijene opseg svog poslovanja. Stoga, zato što se liječnici i drugi pružatelji usluga navedeni na ovom popisu s vremena na vrijeme mogu promijeniti, AHC ažurira i postavlja novu verziju popisa na svoje internetske stranice ( barem jednom kvartalno. Ako je status pružatelja usluga naveden kao "OBUHVAĆEN ", tada je skrb pružatelja usluga ili njegove klinike (pružena unutar bolnice) obuhvaćena ovom politikom financijske pomoći. Ako je status pružatelja usluga naveden kao "NIJE OBUHVAĆEN", tada skrb pružatelja usluga ili njegove klinike (pružena unutar bolnice) nije obuhvaćena ovom politikom financijske pomoći. 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 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 Sugar Creek Endocrinology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Sugar Creek Primary Care COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Sykes Hospitalist COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Trauma COVERED UNDER FAP 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-Oak Lawn-Cicero Avenue COVERED UNDER FAP Bromenn Medical Center Afifi, M. Sherif-MD NOT COVERED Bromenn Medical Center Aggarwal, Nimit K.-MD NOT COVERED Bromenn Medical Center Ahn, Joseph Y.-MD 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 Applied Pain Institute, LLC NOT COVERED Bromenn Medical Center Armstrong, Lucas C.-MD NOT COVERED Bromenn Medical Center Abadeer, Peter Samuel-DO NOT COVERED Bromenn Medical Center Advanced Women's Healthcare, SC NOT COVERED Bromenn Medical Center Advocate Medical Group - Burbank - Palliative Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Bloomington E. Empire - Sports Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Chicago - Trinity - Emergency Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal Franklin Ave - Hospitalists 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 - 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 Downers Grove Internal Med COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group El Paso COVERED UNDER FAP Page 1

2 Bromenn Medical Center Advocate Medical Group Emergency Medicine 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 Associates In Dermatology, SC NOT COVERED Bromenn Medical Center Bari, Naveed -MD NOT COVERED Bromenn Medical Center Becton, Wendell W.-MD COVERED UNDER FAP Bromenn Medical Center Benson, Jonathan David-DO NOT COVERED Bromenn Medical Center Berck, Lilla -MD NOT COVERED Bromenn Medical Center Bloomington Pediatrics & Allergy NOT COVERED Bromenn Medical Center Bloomington Primary Care, LTD NOT COVERED Bromenn Medical Center Bloomington Radiology, SC NOT COVERED Bromenn Medical Center Bloomington Rehabilitation Associates, LLC NOT COVERED Bromenn Medical Center Bloomington-Normal ENT LTD NOT COVERED Bromenn Medical Center Bolles, Jonathan E.-PA NOT COVERED Bromenn Medical Center Braun, Jessica Nicole-PA 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 Carmichael, Craig W.-MD NOT COVERED Bromenn Medical Center Center for Cosmetic and Laser Surgery, 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 Central Illinois Pulmonary and Critical Care 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 Chokshi, Nikhil Kanu-MD NOT COVERED Bromenn Medical Center Cochran, Michael R.-MD NOT COVERED Bromenn Medical Center Cohler, Larry Frederic-MD NOT COVERED Bromenn Medical Center Community Cancer Center, LLC NOT COVERED Bromenn Medical Center Comphrensive Kidney Care, LLC NOT COVERED Bromenn Medical Center Contemporary Obstetrics & Gynecology, PC 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 David M Skillrud MD LTD 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 DMH Millenium Pain Center NOT COVERED Bromenn Medical Center Draksler, David J.-CRNA NOT COVERED Bromenn Medical Center Dreyer Clinic - Rush Copley NOT COVERED Bromenn Medical Center Eye Surgical Associates, SC NOT COVERED Bromenn Medical Center Farinas, Eric Julian-MD NOT COVERED Bromenn Medical Center Farooki, Basheeruddin M.-MD NOT COVERED Bromenn Medical Center Finn R. Amble, MD, FACS, SC NOT COVERED Bromenn Medical Center Francois, Andre -MD NOT COVERED Bromenn Medical Center Frantz, Alex Wayne-PA NOT COVERED Bromenn Medical Center Gailey Eye Clinic NOT COVERED Bromenn Medical Center Galvan OBGYN & Associates, LLC NOT COVERED Bromenn Medical Center Garretto, Robert -DO NOT COVERED Bromenn Medical Center Gleason-Dintaman, Catherine -CRNA NOT COVERED Bromenn Medical Center Gordhan, Ajeet Dhaya-MD NOT COVERED Page 2

3 Bromenn Medical Center Griffith, M. Allan-MD 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 Hamm, Brian Lee-DPM NOT COVERED Bromenn Medical Center Hancock, James B.-MD NOT COVERED Bromenn Medical Center Hanson, Katie E.-NP NOT COVERED Bromenn Medical Center Hanson, Mark J.-MD NOT COVERED Bromenn Medical Center Haq, Syed Samee-Ul-DO NOT COVERED Bromenn Medical Center Haque, Kashif S.-MD NOT COVERED Bromenn Medical Center Harold A Nord OB-Gyn S.C. NOT COVERED Bromenn Medical Center Hartman, Eric Thomas-MD NOT COVERED Bromenn Medical Center Hatseras, Argyro S.-MD NOT COVERED Bromenn Medical Center HeartCare Midwest, Ltd. NOT COVERED Bromenn Medical Center HeartCare Midwest, SC NOT COVERED Bromenn Medical Center Hoschek, Jeffrey C.-MD NOT COVERED Bromenn Medical Center Illinois CancerCare, PC NOT COVERED Bromenn Medical Center Illinois Cardiovascular & Thoracic Surgery, Ltd NOT COVERED Bromenn Medical Center Jantzen, David -MD NOT COVERED Bromenn Medical Center Jeffrey Jones, DDS, LLC NOT COVERED Bromenn Medical Center Jonas, Emily K.-MD NOT COVERED Bromenn Medical Center Jweied, Eias -MD NOT COVERED Bromenn Medical Center Katta, Solomon -MD NOT COVERED Bromenn Medical Center Kettering, Todd Owen-DO COVERED UNDER FAP Bromenn Medical Center Kidney Care Center Bloomington, 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 Kink, Shaun Anthony-MD NOT COVERED 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 Leonard, W. Marc-DPM NOT COVERED Bromenn Medical Center Lincoln B Pain Clinic, Ltd. NOT COVERED Bromenn Medical Center Mann, Stewart Ralph-MD NOT COVERED Bromenn Medical Center Markos, Michael Achilles-MD NOT COVERED Bromenn Medical Center Medical Group - College Avenue NOT COVERED Bromenn Medical Center Medical Pain Management Services, Ltd NOT COVERED Bromenn Medical Center Mehmood, Sajid -MD NOT COVERED Bromenn Medical Center Mejzak, Ronald V.-DO 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 Lung and Sleep Consultants 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 Mohammad, Zulfiqar -MD NOT COVERED Bromenn Medical Center Mygatt, Christopher L.-PA NOT COVERED Bromenn Medical Center Naour, Paul R.-MD NOT COVERED Bromenn Medical Center Nawas, Sammy I.-MD NOT COVERED Bromenn Medical Center Newcomer, Joseph Kaysing-MD NOT COVERED Bromenn Medical Center Nona Fulk MD, SC NOT COVERED Bromenn Medical Center Nord & Wellman Obstetrics & Gynecology, SC NOT COVERED Bromenn Medical Center Normal Bloomington Anesthesiologists, Ltd NOT COVERED Page 3

4 Bromenn Medical Center Norris, Joseph Bryan-MD NOT COVERED Bromenn Medical Center Novotny, Joseph A.-MD NOT COVERED Bromenn Medical Center Oakey, Jerome W.-MD NOT COVERED Bromenn Medical Center Obstetrics & Gynecology Care Associates, SC NOT COVERED Bromenn Medical Center Obstetrics & Gynecology II, Ltd. NOT COVERED Bromenn Medical Center Orthopedic and Sports Enhancement Center, LLC NOT COVERED Bromenn Medical Center Orthopedics & Shoulder Center NOT COVERED Bromenn Medical Center Orthopedics of Illinois NOT COVERED Bromenn Medical Center Osawe, Faithful O.-MD 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 Patel, Subhash R.-MD NOT COVERED Bromenn Medical Center Paul, Gerald Wayne-DPM NOT COVERED Bromenn Medical Center PCS Solutions LLC NOT COVERED Bromenn Medical Center Pediatric Cardiology Associates, SC NOT COVERED Bromenn Medical Center Pogue, Lucas C.-MD NOT COVERED Bromenn Medical Center Pope, Brian R.-DO 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 & Critical Care Consultants,SC NOT COVERED Bromenn Medical Center Pulmonary Medicine NOT COVERED Bromenn Medical Center Rauen Dardis, Sara Renee-DDS NOT COVERED Bromenn Medical Center Ray, William J.-MD NOT COVERED Bromenn Medical Center RenalCare Associates, SC NOT COVERED Bromenn Medical Center Retina Consultants of Central Illinois, SC NOT COVERED Bromenn Medical Center Rufus, Deborah J.-NP NOT COVERED Bromenn Medical Center Saatkamp, Megan N.-CRNA NOT COVERED Bromenn Medical Center Sage Medical Group, SC NOT COVERED Bromenn Medical Center Saha, Debjit -MD NOT COVERED Bromenn Medical Center Saleem, Moeen A.-MD COVERED UNDER FAP Bromenn Medical Center Sarah Dutta, OB-GYN, SC NOT COVERED Bromenn Medical Center Sawyer, Darren M.-NP NOT COVERED Bromenn Medical Center Schertz, Nicole Christine-CRNA NOT COVERED Bromenn Medical Center Schrock, Brian Andrew-PA NOT COVERED Bromenn Medical Center Schroeder, Martin J.-MD NOT COVERED Bromenn Medical Center Sharon R. Weaver, MD, SC NOT COVERED Bromenn Medical Center Singh, Amarjit -MD NOT COVERED Bromenn Medical Center Slotky, Barry -MD NOT COVERED Bromenn Medical Center Smith, Kevin S.-MD NOT COVERED Bromenn Medical Center Sound Physicians of Illinois, LLC NOT COVERED Bromenn Medical Center Sriram, Krishnan -MD NOT COVERED Bromenn Medical Center Steinkoenig, Victoria L.-CNS 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 Taulbee, Kent Simmons-MD NOT COVERED Bromenn Medical Center Uraizee, Faheem -MD COVERED UNDER FAP Page 4

5 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 NOT COVERED Bromenn Medical Center Wong, Katy Ka-Lok-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital A2Z Care Med-Meds Specialist, PC NOT COVERED Christ Medical Center and Children's Hospital Abdessalam, Nadia F.-NP NOT COVERED Christ Medical Center and Children's Hospital Abramson, Brad L.-DO NOT COVERED Christ Medical Center and Children's Hospital Adult Medical Associates NOT COVERED Christ Medical Center and Children's Hospital Adult Medical Care, LTD 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 Medical Group - Burbank - Palliative Medicine COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Chicago - Pullman Park 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 - Des Plaines 8901 W Golf Road 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 - Downers Grove 1441 Branding COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Elgin 1435 N Randall Rd 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 COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn W 95th St - PediatricSubspecialties 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 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, 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 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 Chicago-Ashland Ave COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Children's Hoffman Estate 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 CMC Pediatric Urology 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 Downers Grove Highland Avenue 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 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 Halsted Neurosurgery 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 Hospitalists 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 MidAmerica Cardio HazelCrest 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 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 Page 5

6 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 Cardiology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn General Surgery 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 OB/Gyne 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 Peds Rheumatology 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 Oncology 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 Cardiology 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 Pediatrics Developmental Center 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 Sykes Hospitalist 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 Endocrinology 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 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-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-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 Advocate Medical Group-Oak Lawn-Cicero Avenue COVERED UNDER FAP Christ Medical Center and Children's Hospital Affiliated Radiologists NOT COVERED Christ Medical Center and Children's Hospital Afifi, M. Sherif-MD NOT COVERED Christ Medical Center and Children's Hospital Aggarwal, Nimit K.-MD 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 AIMMC Congestive Heart Failure Clinic 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 Wafai, Ameer Tammam-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 Aldaas, Fadi -MD NOT COVERED Christ Medical Center and Children's Hospital Alex, Charles G.-MD NOT COVERED Christ Medical Center and Children's Hospital Alexander, Aristides Nicholaos-MD NOT COVERED Christ Medical Center and Children's Hospital Alexander, Jonathan M.-MD NOT COVERED Christ Medical Center and Children's Hospital Alexander, Philip J.-MD NOT COVERED Page 6

7 Christ Medical Center and Children's Hospital Ali, Abid M.-MD NOT COVERED Christ Medical Center and Children's Hospital Al-Khaled, Nouri -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Allam, Talha Samie-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 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 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 Anastos, John P.-DO 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, John G.-MD NOT COVERED Christ Medical Center and Children's Hospital Annita John, MD, PC 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 Aronson, Andrew James-MD NOT COVERED Christ Medical Center and Children's Hospital Arora, Vinay -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 Asad Zaman, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Asima, Sika S.-CRNA NOT COVERED Christ Medical Center and Children's Hospital Asklepios Medical Group, Ltd NOT COVERED Christ Medical Center and Children's Hospital Associated Allergists & Asthma Specialists, Ltd NOT COVERED Christ Medical Center and Children's Hospital Associated Cardiovascular Physicians, SC NOT COVERED Christ Medical Center and Children's Hospital Associated Radiologists of Joliet, 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 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 Ballany, Wassim -MD NOT COVERED Christ Medical Center and Children's Hospital Bane, Christopher D.-MD NOT COVERED Christ Medical Center and Children's Hospital Bari, Naveed -MD NOT COVERED Christ Medical Center and Children's Hospital Bauer, Richard Marcus-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 Beckett, James 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 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 Bhat, Geetha -MD 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 Page 7

8 Christ Medical Center and Children's Hospital Bite Size Pediatric Dentistry NOT COVERED Christ Medical Center and Children's Hospital Blensdorf, Susan L.-NP 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 Borhani, Martin -MD NOT COVERED Christ Medical Center and Children's Hospital Bortoli, Kristin -NP NOT COVERED Christ Medical Center and Children's Hospital Boskov, Djordje -MD NOT COVERED Christ Medical Center and Children's Hospital Boumendjel, Yelena -DPM COVERED UNDER FAP Christ Medical Center and Children's Hospital Bousman, Tina M.-PA NOT COVERED Christ Medical Center and Children's Hospital Bowersox, Keith D.-MD NOT COVERED 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 Braun, Jessica Nicole-PA 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 Brinton, Taylor D.-DO NOT COVERED Christ Medical Center and Children's Hospital Brisbin, Beverlee Ann-MD NOT COVERED Christ Medical Center and Children's Hospital Brown, Henry Gordon-MD NOT COVERED Christ Medical Center and Children's Hospital Bruno, Robert J.-MD NOT COVERED Christ Medical Center and Children's Hospital Bump, Thomas Elting-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Burke, John H.-MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Burke, Nancy E.-NP NOT COVERED Christ Medical Center and Children's Hospital Burns, Justine Yuri-PA NOT COVERED Christ Medical Center and Children's Hospital Camren, Gerald Paul-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 Cardio-Medicine, SC 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 Carrillo, Tami Catherine-MD NOT COVERED Christ Medical Center and Children's Hospital Castelli, Michael Edward-PA 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 Chalupczak, Robert J.-MD NOT COVERED Christ Medical Center and Children's Hospital Chandran, Sangili -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Charuk, George E.-DO NOT COVERED Christ Medical Center and Children's Hospital Chen, Shih-Hua -PA NOT COVERED Christ Medical Center and Children's Hospital Chepuri, Neeraj Babu-MD 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 Hand and Orthopedic Surgery Centers, SC NOT COVERED Christ Medical Center and Children's Hospital Chicago kidds Pediatric Dentistry NOT COVERED Christ Medical Center and Children's Hospital Chicagoland Allergy and Asthma Consultants, LTD NOT COVERED Christ Medical Center and Children's Hospital Chickerillo, Krystina Marie-NP NOT COVERED 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9 Christ Medical Center and Children's Hospital Children's Wellness Center, LLC NOT COVERED Christ Medical Center and Children's Hospital Christopher T. Kardasis, MD, SC 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 Clark, Steven T.-MD NOT COVERED Christ Medical Center and Children's Hospital Clinical Associates of Palos Heights NOT COVERED Christ Medical Center and Children's Hospital Coenen, Allison Marie-PA NOT COVERED 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 Cora, Natalie B.-NP NOT COVERED Christ Medical Center and Children's Hospital CortiCare NOT COVERED Christ Medical Center and Children's Hospital Coury, Christopher Anthony-MD NOT COVERED 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 Cuasay, Nestor S.-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 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 Dermatology Associates of Illinois SC NOT COVERED Christ Medical Center and Children's Hospital Dermatology Associates, Ltd NOT COVERED Christ Medical Center and Children's Hospital Des Plaines Valley Health Center 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 Diab, Mazen -MD 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 Dickinson, John Douglas-DO NOT COVERED Christ Medical Center and Children's Hospital Dixon-Grevious, Dolores Louise-MD NOT COVERED Christ Medical Center and Children's Hospital DJH Rheumatology Consultants LLC NOT COVERED Christ Medical Center and Children's Hospital Do, MaryAnhthu Thi-DO COVERED UNDER FAP 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. Robert J. Familaro & Assoc. Ltd. NOT COVERED Christ Medical Center and Children's Hospital Drabkin, Oliver Hershel-MD NOT COVERED Christ Medical Center and Children's Hospital Draths-Hanson, Kathleen G.-MD 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 Drs. Wang, MD, SC 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 Duran, Isis M.-MD 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 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 Page 9

10 Christ Medical Center and Children's Hospital Evans, Diana M.-PA NOT COVERED Christ Medical Center and Children's Hospital Fairview Ogden Medical Group 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 Family Practice Health Care, P.C. NOT COVERED Christ Medical Center and Children's Hospital Farooki, Basheeruddin M.-MD NOT COVERED Christ Medical Center and Children's Hospital Feldman, Daniel Abraham-MD NOT COVERED Christ Medical Center and Children's Hospital Feria, Araceli Ilagan-MD NOT COVERED Christ Medical Center and Children's Hospital Ferrel, James Arthur-MD NOT COVERED Christ Medical Center and Children's Hospital Fertility Centers of Illinois, SC NOT COVERED Christ Medical Center and Children's Hospital Flanagan, Jane T.-NP NOT COVERED Christ Medical Center and Children's Hospital Flisak, Michael Thomas-DO NOT COVERED Christ Medical Center and Children's Hospital Foosaner, David E.-MD NOT COVERED Christ Medical Center and Children's Hospital Fowler, Mary V.-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 Christ Medical Center and Children's Hospital Gajda, Malgorzata A.-MD 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 Gavani, Uma Devi-MD NOT COVERED Christ Medical Center and Children's Hospital Gelsomino, Steven L.-DPM NOT COVERED Christ Medical Center and Children's Hospital George Skarpathiotis, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Gerst, David A.-DPM COVERED UNDER FAP 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 Glowicki, Allyson Elizabeth-PA NOT COVERED Christ Medical Center and Children's Hospital Gnatenco, Carmen -MD NOT COVERED Christ Medical Center and Children's Hospital Goldstein, Irene Michele-MD NOT COVERED Christ Medical Center and Children's Hospital Gopal Madhav, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Gordon, Paul J.-MD NOT COVERED Christ Medical Center and Children's Hospital Gould, Robert J.-MD NOT COVERED 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 Grady, John F.-DPM NOT COVERED Christ Medical Center and Children's Hospital Grehan, William G.-MD NOT COVERED Christ Medical Center and Children's Hospital Grote, Christina -NP NOT COVERED Christ Medical Center and Children's Hospital Grove, Katherine L.-NP NOT COVERED Christ Medical Center and Children's Hospital Guajardo, Aaron -MD NOT COVERED Christ Medical Center and Children's Hospital Guglielmi, Kelly E.-MD NOT COVERED Christ Medical Center and Children's Hospital Gulabani, Aditi Gulab-MD NOT COVERED Christ Medical Center and Children's Hospital Gutchewsky, Thomas F.-NP NOT COVERED Christ Medical Center and Children's Hospital Guzzetta, Paul Michael-MD 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 Hameed, Tariq -MD NOT COVERED 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 Han, Michael David-DDS 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 Hassan, Ahmed N.-MD NOT COVERED Christ Medical Center and Children's Hospital Hattori, Steven M.-MD NOT COVERED Page 10

11 Christ Medical Center and Children's Hospital Havelka, George Edward-MD 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 Heaney, Stephen M.-DDS NOT COVERED Christ Medical Center and Children's Hospital Heenan, Brian Anthony-NP NOT COVERED Christ Medical Center and Children's Hospital Heil, Nancy Jo-MD NOT COVERED Christ Medical Center and Children's Hospital Hermann, Kelly J.-PA NOT COVERED Christ Medical Center and Children's Hospital Hill Creek Pediatrics Inc NOT COVERED Christ Medical Center and Children's Hospital Hodakowski, George T.-MD NOT COVERED Christ Medical Center and Children's Hospital Homsi Pediatric Neurology NOT COVERED Christ Medical Center and Children's Hospital Hosso-Cooper, Jennifer Mary-DO NOT COVERED Christ Medical Center and Children's Hospital Housner, Ryan Joseph-PA NOT COVERED Christ Medical Center and Children's Hospital Hugh Medical NOT COVERED Christ Medical Center and Children's Hospital Hughes, Kylie A.-NP NOT COVERED Christ Medical Center and Children's Hospital Hutchinson, Ashley N.-NP NOT COVERED Christ Medical Center and Children's Hospital Ilarde, Emelie J.-MD NOT COVERED Christ Medical Center and Children's Hospital Illinois Dermatology Institute, LLC NOT COVERED Christ Medical Center and Children's Hospital Illinois Institute Pediatric Cardiology, Ltd NOT COVERED Christ Medical Center and Children's Hospital Imbarrato, Gregory James-DO 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 Associates NOT COVERED Christ Medical Center and Children's Hospital Intensive Neuro NOT COVERED Christ Medical Center and Children's Hospital Internal Medicine, SC NOT COVERED Christ Medical Center and Children's Hospital Iskandar, Joy -DO NOT COVERED Christ Medical Center and Children's Hospital Itkin, Arthur -MD NOT COVERED 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.B. Jenkins, DPM & Associates NOT COVERED Christ Medical Center and Children's Hospital J.R. Nephrology & Associates, PC NOT COVERED Christ Medical Center and Children's Hospital Jaber, Anas -MD NOT COVERED Christ Medical Center and Children's Hospital Jacob, Pradeep Kumer-MD NOT COVERED Christ Medical Center and Children's Hospital Jacobson, Daniel R.-MD NOT COVERED Christ Medical Center and Children's Hospital Jameria, Zenith A.-MD NOT COVERED Christ Medical Center and Children's Hospital John McInerney, DO, SC NOT COVERED Christ Medical Center and Children's Hospital Johnson, Naythea M.-NP NOT COVERED Christ Medical Center and Children's Hospital Jonas, Emily K.-MD NOT COVERED Christ Medical Center and Children's Hospital Jones, April Dawn-DO NOT COVERED Christ Medical Center and Children's Hospital Jurek & Jurek Family Practice NOT COVERED 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 Kalnins, Aleksandrs U.-MD NOT COVERED Christ Medical Center and Children's Hospital Kalsi, Munesh Singh-MD NOT COVERED Christ Medical Center and Children's Hospital Kamba, Kathleen Marie-NP NOT COVERED Christ Medical Center and Children's Hospital Kane, Sarah Lynn-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 Kapur, Sachin Singh-MD 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 Katz, Jeremy Richard-MD NOT COVERED Christ Medical Center and Children's Hospital Kazaniwskyj, Andrew Lubomyr-DO NOT COVERED Christ Medical Center and Children's Hospital Kazaniwskyj, Lubomyra M.-DO NOT COVERED Christ Medical Center and Children's Hospital Kelta, Mouhammed -MD NOT COVERED Christ Medical Center and Children's Hospital Kevin, Kristina M.-NP NOT COVERED Page 11