Anlage 1 FAP Anbieter/Liste mit Ärzten - Advocate Health Care · Anlage 1 FAP Anbieter/Liste mit...

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Anlage 1 FAP Anbieter/Liste mit Ärzten In Übereinstimmung mit den Werten des Mitgefühls und des Verantwortungsgefühls von AHC verfolgt AHC die Richtlinie, bedürftigen Patienten finanzielle Unterstützung bereitzustellen. Die Richtlinie Finanzielle Unterstützung (FAP) findet auf jegliche durch das Krankenhaus bereitgestellte Notfallversorgung oder medizinisch notwendige Versorgung Anwendung, bindet jedoch sonstige individuelle Anbieter (z.B. Ärzte) medizinischer Leistungen außerhalb der Krankenhäuser nicht. Sie bindet einen Anbieter eben so wenig in Fällen wie zum Beispiel einer Änderung im Angestelltenverhältnis mit AHC oder einer Änderung im Umfang ihrer Praxis, wobei diese Aufzählung nicht abschließend ist. Daher aktualisiert und veröffentlicht AHC mindestens vierteljährlich eine neue Fassung dieser Liste auf ihrer Webseite (www.advocatehealth.com/financialassistance), weil die sich Ärzte und sonstigen Anbieter auf dieser Liste von Zeit zu Zeit ändern können. Wenn der FAP-Deckungsstatus des Anbieters als „NACH FAP GEDECKT (NACH FAP ABGEDECKT)“ aufgelistet ist, dann ist der Anbieter oder die Versorgung durch die Praxis des Anbieters (die in der Krankenhauseinrichtung erbracht wird) nach dieser Richtlinie Finanzielle Unterstützung gedeckt. Wenn der FAP-Deckungsstatus des Anbieters als „NICHT GEDECKT (NICHT ABGEDECKT)“ aufgelistet ist, dann ist der Anbieter oder die Versorgung durch die Praxis des Anbieters (die in der Krankenhauseinrichtung erbracht wird) nach dieser Richtlinie Finanzielle Unterstützung nicht gedeckt. Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status Bromenn Medical Center Gleason-Dintaman, Catherine -CRNA NOT COVERED Bromenn Medical Center Gordhan, Ajeet Dhaya-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 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 Harold A Nord OB-Gyn S.C. NOT COVERED Bromenn Medical Center Hartman, Eric Thomas-MD NOT COVERED Bromenn Medical Center Hashmi, Faiza -MD NOT COVERED Bromenn Medical Center Hayden, Curtis J.-MD COVERED UNDER FAP Bromenn Medical Center HeartCare Midwest, Ltd. NOT COVERED Bromenn Medical Center HeartCare Midwest, SC NOT COVERED Bromenn Medical Center Housner, Ryan Joseph-PA NOT COVERED Bromenn Medical Center Illinois CancerCare, PC NOT COVERED Bromenn Medical Center Illinois Cardiovascular & Thoracic Surgery, Ltd NOT COVERED Bromenn Medical Center Infinity Healthcare Physicians COVERED UNDER FAP Bromenn Medical Center Irwin, George Stephen-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 Katta, Solomon -MD NOT COVERED Bromenn Medical Center Kidney Care Center Bloomington, LLC NOT COVERED Bromenn Medical Center Kink, Shaun Anthony-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 Li, Fang -MD COVERED UNDER FAP Bromenn Medical Center Lincoln B Pain Clinic, Ltd. COVERED UNDER FAP 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 Mehmood, Sajid -MD NOT COVERED Bromenn Medical Center Mejzak, Ronald V.-DO NOT COVERED Page 1

Transcript of Anlage 1 FAP Anbieter/Liste mit Ärzten - Advocate Health Care · Anlage 1 FAP Anbieter/Liste mit...

Anlage 1FAP Anbieter/Liste mit Ärzten

In Übereinstimmung mit den Werten des Mitgefühls und des Verantwortungsgefühls von AHC verfolgt AHC die Richtlinie, bedürftigen Patienten finanzielle Unterstützung bereitzustellen. Die Richtlinie Finanzielle Unterstützung (FAP) findet auf jegliche durch das Krankenhaus bereitgestellte Notfallversorgung oder medizinisch notwendige Versorgung Anwendung, bindet jedoch sonstige individuelle Anbieter (z.B. Ärzte) medizinischer Leistungen außerhalb der Krankenhäuser nicht. Sie bindet einen Anbieter eben so wenig in Fällen wie zum Beispiel einer Änderung im Angestelltenverhältnis mit AHC oder einer Änderung im Umfang ihrer Praxis, wobei diese Aufzählung nicht abschließend ist. Daher aktualisiert und veröffentlicht AHC mindestens vierteljährlich eine neue Fassung dieser Liste auf ihrer Webseite (www.advocatehealth.com/financialassistance), weil die sich Ärzte und sonstigen Anbieter auf dieser Liste von Zeit zu Zeit ändern können.

Wenn der FAP-Deckungsstatus des Anbieters als „NACH FAP GEDECKT (NACH FAP ABGEDECKT)“ aufgelistet ist, dann ist der Anbieter oder die Versorgung durch die Praxis des Anbieters (die in der Krankenhauseinrichtung erbracht wird) nach dieser Richtlinie Finanzielle Unterstützung gedeckt. Wenn der FAP-Deckungsstatus des Anbieters als „NICHT GEDECKT (NICHT ABGEDECKT)“ aufgelistet ist, dann ist der Anbieter oder die Versorgung durch die Praxis des Anbieters (die in der Krankenhauseinrichtung erbracht wird) nach dieser Richtlinie Finanzielle Unterstützung nicht gedeckt.

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Bromenn Medical Center Gleason-Dintaman, Catherine -CRNA NOT COVERED

Bromenn Medical Center Gordhan, Ajeet Dhaya-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 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 Harold A Nord OB-Gyn S.C. NOT COVERED

Bromenn Medical Center Hartman, Eric Thomas-MD NOT COVERED

Bromenn Medical Center Hashmi, Faiza -MD NOT COVERED

Bromenn Medical Center Hayden, Curtis J.-MD COVERED UNDER FAP

Bromenn Medical Center HeartCare Midwest, Ltd. NOT COVERED

Bromenn Medical Center HeartCare Midwest, SC NOT COVERED

Bromenn Medical Center Housner, Ryan Joseph-PA NOT COVERED

Bromenn Medical Center Illinois CancerCare, PC NOT COVERED

Bromenn Medical Center Illinois Cardiovascular & Thoracic Surgery, Ltd NOT COVERED

Bromenn Medical Center Infinity Healthcare Physicians COVERED UNDER FAP

Bromenn Medical Center Irwin, George Stephen-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 Katta, Solomon -MD NOT COVERED

Bromenn Medical Center Kidney Care Center Bloomington, LLC NOT COVERED

Bromenn Medical Center Kink, Shaun Anthony-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 Li, Fang -MD COVERED UNDER FAP

Bromenn Medical Center Lincoln B Pain Clinic, Ltd. COVERED UNDER FAP

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 Mehmood, Sajid -MD NOT COVERED

Bromenn Medical Center Mejzak, Ronald V.-DO NOT COVERED

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Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

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 Minneapolis VA Medical center 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 Nevin, James Laverne-MD NOT COVERED

Bromenn Medical Center Newcomer, Joseph Kaysing-MD NOT COVERED

Bromenn Medical Center Nona Fulk MD, SC NOT COVERED

Bromenn Medical Center Normal Bloomington Anesthesiologists, Ltd NOT COVERED

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 Advanced Women's Healthcare, SC NOT COVERED

Bromenn Medical Center Advocate Eureka Hospital Family Practice - El Paso COVERED UNDER FAP

Bromenn Medical Center Advocate Eureka Hospital Family Practice - Eureka COVERED UNDER FAP

Bromenn Medical Center Advocate Health & Hospital Corp - Advocate Intensivist Partners COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group - Burbank - Palliative Medicine COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group - Bloomington - 3024 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 - 1300 Franklin Ave - Hospitalists COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group - Oak Lawn - 4440 West 95th Street - Behavioral Health COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group - Park Ridge - 1875 Dempster - Neurology 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 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 Hospitalist 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 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 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

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Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

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 AMG Emergency Medicine 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 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 Becton, Wendell W.-MD COVERED UNDER FAP

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 BroMenn Family Health Clinic COVERED UNDER FAP

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 Carter, Leslie Elaine-NP 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 Chatrath, Sanjay -DO 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 Cohler, Larry Frederic-MD 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 Dangles, Chris John-MD NOT COVERED

Bromenn Medical Center Daniel A Nord MD Obstetrics and Gynecology, LLC 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 Dick, Herman Justus-MD COVERED UNDER FAP

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 Dubovoy, Natalie -MD NOT COVERED

Bromenn Medical Center Dustman, John Anthony-MD NOT COVERED

Bromenn Medical Center Efferen, Tobin Robinson-MD NOT COVERED

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Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Bromenn Medical Center Eye Surgical Associates, SC 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 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 COVERED UNDER FAP

Bromenn Medical Center Gerardo A. Grieco, MD, SC 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 Paschold, Bryce Andrew-DPM NOT COVERED

Bromenn Medical Center Patel, Subhash R.-MD NOT COVERED

Bromenn Medical Center Paul, Gerald Wayne-DPM NOT COVERED

Bromenn Medical Center Pediatric Cardiology Associates, SC NOT COVERED

Bromenn Medical Center Physicians Care Midwest, SC COVERED UNDER FAP

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 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 Rufus, Deborah J.-NP NOT COVERED

Bromenn Medical Center Sage Medical Group, SC 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 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 Slotky, Barry -MD NOT COVERED

Bromenn Medical Center Smith, Kevin S.-MD 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 Stivers, Mark Richard-MD COVERED UNDER FAP

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 Tattini, Chad Douglas-MD NOT COVERED

Bromenn Medical Center Taulbee, Kent Simmons-MD NOT COVERED

Bromenn Medical Center The Center for Outpatient Medicine NOT COVERED

Bromenn Medical Center Uraizee, Faheem -MD COVERED UNDER FAP

Bromenn Medical Center Vangala, Sai Rupa -MD COVERED UNDER FAP

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Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Bromenn Medical Center Virtual Radiologic Professionals NOT COVERED

Bromenn Medical Center Virtual Radiologic Professionals, LLC NOT COVERED

Bromenn Medical Center Williamson, John Jeffrey-PA 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 COVERED UNDER FAP

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 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 - 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 - 3551 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 - 4220 W 95th St - Pediatric Subspecialties COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 4220 West 95th Street COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 4400 W 95th St - Behavioral Health COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 4440 W 95th Street - Hospitalists COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 4440 W 95th Street - Pediatric Orthopedics COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 4440 West 95th Street - Behavioral Health COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 4550 Southwest Hwy - Family Practice 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 - 1675 Dempster - Pediatric Critical Care 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 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 Clinical Ethics and Pallative Medicine 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 Hospitalist 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 COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn - 4440 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

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Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

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 Cardiology 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 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 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 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 - 4220 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 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 Ahmad, Faheem -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 COVERED UNDER FAP

Christ Medical Center and Children's Hospital Aippersbach, Elke D.-MD NOT COVERED

Christ Medical Center and Children's Hospital Akhtar, Rasheed -MD COVERED UNDER FAP

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 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

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 COVERED UNDER FAP

Christ Medical Center and Children's Hospital Almasri, Hussam -MD NOT COVERED

Page 6

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

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 COVERED UNDER FAP

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 Andel, Kristen Marie-PA 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 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 Bajwa, Ajwad Saeed-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 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 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 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 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 Bite Size Pediatric Dentistry NOT COVERED

Christ Medical Center and Children's Hospital Blevins, Bonnie A.-CNS NOT COVERED

Page 7

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Christ Medical Center and Children's Hospital Blumstein, Andrea M.-MD NOT COVERED

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 Bortoli, Kristin -NP NOT COVERED

Christ Medical Center and Children's Hospital Boumendjel, Yelena -DPM NOT COVERED

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 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 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 Browning, Carol Ann Tennent-MD NOT COVERED

Christ Medical Center and Children's Hospital Bump, Thomas Elting-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Burda, Diana M.-MD NOT COVERED

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 Burns, Leah M.-NP COVERED UNDER FAP

Christ Medical Center and Children's Hospital Camren, Gerald Paul-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Captain James A. Lovell Federal Health Care Center 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 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 Chandra, Sandeep -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

Page 8

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

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 Christopoulos, Niki A.-MD COVERED UNDER FAP

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 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 Cora, Natalie B.-NP NOT COVERED

Christ Medical Center and Children's Hospital CortiCare NOT COVERED

Christ Medical Center and Children's Hospital Cotts, William Gerritt-MD COVERED UNDER FAP

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 COVERED UNDER FAP

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 Danielsky, Paul Joseph-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital David Gerst, DPM, SC COVERED UNDER FAP

Christ Medical Center and Children's Hospital De Ranieri, Deirdre Ita-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 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 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 Dolan, Theresa A.-NP 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 Draths-Hanson, Kathleen G.-MD COVERED UNDER FAP

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 Foot and Ankle NOT COVERED

Christ Medical Center and Children's Hospital DuPage Medical Group, Ltd 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

Page 9

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

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 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 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 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 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

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 COVERED UNDER FAP

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 GI Partners of Illinois NOT COVERED

Christ Medical Center and Children's Hospital GI Partners of Illinois, LLC NOT COVERED

Christ Medical Center and Children's Hospital Gierbolini, Mayte Paloma-Margarita-MD 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 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 Gordon, Paul J.-MD NOT COVERED

Christ Medical Center and Children's Hospital Gould, Robert J.-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 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 COVERED UNDER FAP

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 Guzzetta, Paul Michael-MD COVERED UNDER FAP

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

Page 10

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

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 Hanahan, Laura Jane-MD NOT COVERED

Christ Medical Center and Children's Hospital Hansen, Meaghan E-NP 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 Hashmi, Faiza -MD NOT COVERED

Christ Medical Center and Children's Hospital Hassan, Ahmed N.-MD 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 Heller, William A.-MD 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 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 Hook, Jonathan Lee-DPM COVERED UNDER FAP

Christ Medical Center and Children's Hospital Hoselton, Rachel D.-NP COVERED UNDER FAP

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 Hutchinson, Ashley N.-NP COVERED UNDER FAP

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 Gastroenterology Group 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 Ivey-Brown, Jacqueline R.-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 Jacob, Pradeep Kumer-MD COVERED UNDER FAP

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 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 COVERED UNDER FAP

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 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 Katerji Pediatric Neurology & Associates SC NOT COVERED

Page 11

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

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 COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Khan, Nausheen Zainab-PA NOT COVERED

Christ Medical Center and Children's Hospital Khan, Noorun M.-MD NOT COVERED

Christ Medical Center and Children's Hospital Khokher, Tahir Muhammad-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, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Kidney Care Center Olympia Fields, LLC 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, Daniel Y.-MD NOT COVERED

Christ Medical Center and Children's Hospital Kim, Howard -MD NOT COVERED

Christ Medical Center and Children's Hospital Kim, Sung Lana -MD NOT COVERED

Christ Medical Center and Children's Hospital Kim, Thomas Aquinas-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Kinzler, Gordon J.-MD NOT COVERED

Christ Medical Center and Children's Hospital Kishwaukee Cancer Center NOT COVERED

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 Koenig, Christopher Joseph-PA NOT COVERED

Christ Medical Center and Children's Hospital Koinis, Van E.-DO NOT COVERED

Christ Medical Center and Children's Hospital Kos, Joanna M.-NP NOT COVERED

Christ Medical Center and Children's Hospital Kost, Adam -MD NOT COVERED

Christ Medical Center and Children's Hospital Kozyckyj, Roman O.-MD COVERED UNDER FAP

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 Krueger, Barbara Lynn-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Kuhn, Steven T.-DDS NOT COVERED

Christ Medical Center and Children's Hospital Kummerer, Robert G.-MD 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 Lai, Jessica -MD NOT COVERED

Christ Medical Center and Children's Hospital Lakeview Family Care NOT COVERED

Christ Medical Center and Children's Hospital Lange, Chelsea P.-NP NOT COVERED

Christ Medical Center and Children's Hospital LaPat, Kenneth D.-MD NOT COVERED

Christ Medical Center and Children's Hospital Largosa, Anastacia Rigodo-MD NOT COVERED

Christ Medical Center and Children's Hospital LaRoy, Valerie A.-NP NOT COVERED

Christ Medical Center and Children's Hospital Laurent, Elisa A.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Lawlor-Klean, Phyllis -CNS 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

Christ Medical Center and Children's Hospital LeDonne, Ashley A.-NP NOT COVERED

Christ Medical Center and Children's Hospital Leipold, Lori Christine-DO NOT COVERED

Christ Medical Center and Children's Hospital Lentzou, Maria -MD NOT COVERED

Christ Medical Center and Children's Hospital Leonard, James P.-MD NOT COVERED

Christ Medical Center and Children's Hospital Levy, Rebecca Christine Hopkins-PA COVERED UNDER FAP

Christ Medical Center and Children's Hospital Li, Yanxia -MD NOT COVERED

Christ Medical Center and Children's Hospital Lieder, Charles Marshall-DO NOT COVERED

Christ Medical Center and Children's Hospital Lifecircle Women's Health SC NOT COVERED

Christ Medical Center and Children's Hospital LifeSource Blood Center NOT COVERED

Christ Medical Center and Children's Hospital Lim, Richard D.-MD NOT COVERED

Christ Medical Center and Children's Hospital Limpert, Jonathan Dean-MD NOT COVERED

Christ Medical Center and Children's Hospital Lindberg, Amy Elizabeth-PA NOT COVERED

Page 12

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Christ Medical Center and Children's Hospital Linde, Laura E.-DPM NOT COVERED

Christ Medical Center and Children's Hospital Lindgren, Robert F.-MD NOT COVERED

Christ Medical Center and Children's Hospital Little Company of Mary Affiliated Physicians NOT COVERED

Christ Medical Center and Children's Hospital Loughry, Kevin Thomas-DO COVERED UNDER FAP

Christ Medical Center and Children's Hospital Lubas, Janice A.-DDS NOT COVERED

Christ Medical Center and Children's Hospital Luke, Alan R.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Luke, Kevin W.-MD NOT COVERED

Christ Medical Center and Children's Hospital Macaluso, Gregory Paul-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Mahafzah, Mahmoud K.-MD NOT COVERED

Christ Medical Center and Children's Hospital Mahoney, Edward L.-PsyD NOT COVERED

Christ Medical Center and Children's Hospital Mahowald, Sarah Kaye-DPM COVERED UNDER FAP

Christ Medical Center and Children's Hospital Majeed, Munazza -MD NOT COVERED

Christ Medical Center and Children's Hospital Majid, Aneesa S.-MD NOT COVERED

Christ Medical Center and Children's Hospital Makdah, Salem J.-MD NOT COVERED

Christ Medical Center and Children's Hospital Mallick, Naveed K.-MD NOT COVERED

Christ Medical Center and Children's Hospital Mann, Stewart Ralph-MD NOT COVERED

Christ Medical Center and Children's Hospital Manning, Sarah Tierney-PA COVERED UNDER FAP

Christ Medical Center and Children's Hospital Maragos, Stavros George-MD NOT COVERED

Christ Medical Center and Children's Hospital Mariana Gigea MD Pediatrics SC NOT COVERED

Christ Medical Center and Children's Hospital Mark S. Reiter, MD, SC NOT COVERED

Christ Medical Center and Children's Hospital Mark Sack DPM PC NOT COVERED

Christ Medical Center and Children's Hospital Markiewicz, Michael Robert-MD NOT COVERED

Christ Medical Center and Children's Hospital Markin, Richard A.-PhD NOT COVERED

Christ Medical Center and Children's Hospital Marri, Raghu Shantan Reddy-MD NOT COVERED

Christ Medical Center and Children's Hospital Marshall, Roland M.-MD NOT COVERED

Christ Medical Center and Children's Hospital Martini, Mohamad S.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Martins Adeoye, LLC NOT COVERED

Christ Medical Center and Children's Hospital Mataria, Hamed Rasmi-MD NOT COVERED

Christ Medical Center and Children's Hospital Maya Medical Centers, SC NOT COVERED

Christ Medical Center and Children's Hospital Mayekar, Emily Meredith-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Maze, Jelica -MD NOT COVERED

Christ Medical Center and Children's Hospital McGinnis, Bridget E.-PA COVERED UNDER FAP

Christ Medical Center and Children's Hospital McHenry Radiology and Imaging Associates NOT COVERED

Christ Medical Center and Children's Hospital McIntyre, Sandra L.-NP NOT COVERED

Christ Medical Center and Children's Hospital McLaughlin, Jeanette S.-MD NOT COVERED

Christ Medical Center and Children's Hospital Medical and Heart Clinic SC NOT COVERED

Christ Medical Center and Children's Hospital Medical Center of Dyer, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Medicus Healthcare Solutions NOT COVERED

Christ Medical Center and Children's Hospital Med-Peds Specialists NOT COVERED

Christ Medical Center and Children's Hospital Meeker, Michael John-PA NOT COVERED

Christ Medical Center and Children's Hospital Mehmood, Sajid -MD NOT COVERED

Christ Medical Center and Children's Hospital Meisel, Adam Foster-MD NOT COVERED

Christ Medical Center and Children's Hospital Mekhaiel, Essam Fathy-MD NOT COVERED

Christ Medical Center and Children's Hospital Mekhail, Anis Onsy-MD NOT COVERED

Christ Medical Center and Children's Hospital Memon, Aftab Ahmad-MD NOT COVERED

Christ Medical Center and Children's Hospital Merrionette Park Physicians Group NOT COVERED

Christ Medical Center and Children's Hospital Mesleh, Marc George-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Messing, Michael L.-MD NOT COVERED

Christ Medical Center and Children's Hospital Metro Infectious Disease Consultants, LLC NOT COVERED

Christ Medical Center and Children's Hospital Metro Medical Group, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Metro Primary Care Associates, LLC NOT COVERED

Christ Medical Center and Children's Hospital Metropedix NOT COVERED

Christ Medical Center and Children's Hospital Michael A. De Vito, DPM, PC NOT COVERED

Christ Medical Center and Children's Hospital Michael Destefano, MD, S.C NOT COVERED

Christ Medical Center and Children's Hospital Midway Internal Medicine, SC NOT COVERED

Christ Medical Center and Children's Hospital Midway Pediatrics, LLC NOT COVERED

Christ Medical Center and Children's Hospital Midwest Anesthesia NOT COVERED

Christ Medical Center and Children's Hospital Midwest Anesthesia Partners, LLC NOT COVERED

Page 13

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Christ Medical Center and Children's Hospital Midwest Anesthesiologists, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Midwest Center for Digestive Health SC NOT COVERED

Christ Medical Center and Children's Hospital Midwest Eye Center, SC NOT COVERED

Christ Medical Center and Children's Hospital Midwest Gastroenterology Associates, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Midwest Hand Surgery, SC NOT COVERED

Christ Medical Center and Children's Hospital Midwest Lung and Sleep Consultants NOT COVERED

Christ Medical Center and Children's Hospital Midwest Oral & Maxillofacial NOT COVERED

Christ Medical Center and Children's Hospital Midwest Pediatric Cardiology, PC NOT COVERED

Christ Medical Center and Children's Hospital Midwest Primary Care NOT COVERED

Christ Medical Center and Children's Hospital Midwest Pulmonary Associates, SC NOT COVERED

Christ Medical Center and Children's Hospital Mietus, Adam Anthony-PA NOT COVERED

Christ Medical Center and Children's Hospital Mihailescu, Mihaela -MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Millennium Surgical NOT COVERED

Christ Medical Center and Children's Hospital Miller, Gail Dennise-MD NOT COVERED

Christ Medical Center and Children's Hospital Minneapolis VA Medical center NOT COVERED

Christ Medical Center and Children's Hospital Mintz, Ari D.-MD NOT COVERED

Christ Medical Center and Children's Hospital Mital, Deepak -MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Mohammad Razzaque, MD, Ltd. NOT COVERED

Christ Medical Center and Children's Hospital Mohammad, Zulfiqar -MD NOT COVERED

Christ Medical Center and Children's Hospital Mohazab, Hamid R.-DO COVERED UNDER FAP

Christ Medical Center and Children's Hospital Mohsin, Syed Z.-MD NOT COVERED

Christ Medical Center and Children's Hospital Moonan, Sheri K.-CNS NOT COVERED

Christ Medical Center and Children's Hospital Moore, Mary Ellen-DO NOT COVERED

Christ Medical Center and Children's Hospital Morris, David Erik-MD NOT COVERED

Christ Medical Center and Children's Hospital Mozwecz, Jeffrey A.-MD NOT COVERED

Christ Medical Center and Children's Hospital Mulcrone, Sandra L.-CNM NOT COVERED

Christ Medical Center and Children's Hospital Murtaza, Ghulam -MD NOT COVERED

Christ Medical Center and Children's Hospital Myint, Ronald -MD NOT COVERED

Christ Medical Center and Children's Hospital Nagesh, Darshan -DPM COVERED UNDER FAP

Christ Medical Center and Children's Hospital Nahhas, Anas -MD NOT COVERED

Christ Medical Center and Children's Hospital Naidu, Prathyusha Venkata-DO NOT COVERED

Christ Medical Center and Children's Hospital Nancy R G Church MD LLC - Wellness Connections, LLC NOT COVERED

Christ Medical Center and Children's Hospital Nawas, Sammy I.-MD NOT COVERED

Christ Medical Center and Children's Hospital Nellett, Michelle E.-CNS NOT COVERED

Christ Medical Center and Children's Hospital Nemri, Mourice S.-MD NOT COVERED

Christ Medical Center and Children's Hospital Nephrology Associates of Northern Illinois, LTD NOT COVERED

Christ Medical Center and Children's Hospital Neural Watch NOT COVERED

Christ Medical Center and Children's Hospital Neurologic Associates, Ltd COVERED UNDER FAP

Christ Medical Center and Children's Hospital Neurologic Associates, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Neurosurgical Professionals, Ltd. COVERED UNDER FAP

Christ Medical Center and Children's Hospital Newtoff, Marissa K.-NP NOT COVERED

Christ Medical Center and Children's Hospital Nguyen, Cheryl B.-CNS NOT COVERED

Christ Medical Center and Children's Hospital Nikoltcheva, Irina S.-NP NOT COVERED

Christ Medical Center and Children's Hospital Nilsson, Maria N.-CNS NOT COVERED

Christ Medical Center and Children's Hospital Nora Bellosa, MD, SC NOT COVERED

Christ Medical Center and Children's Hospital Nordengreen, Jennifer A.-CRNA NOT COVERED

Christ Medical Center and Children's Hospital NorthShore University Health System NOT COVERED

Christ Medical Center and Children's Hospital Northwest Neurology, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Nouneh, Chadi -MD NOT COVERED

Christ Medical Center and Children's Hospital Nowobilska Medical Practice NOT COVERED

Christ Medical Center and Children's Hospital Oak Brook Behavioral Health - Pediatric/Adolescent NOT COVERED

Christ Medical Center and Children's Hospital Oak Lawn Kid Care Inc. NOT COVERED

Christ Medical Center and Children's Hospital Oak Lawn Pediatrics Ltd NOT COVERED

Christ Medical Center and Children's Hospital Oak Street Health Physicians Group PC COVERED UNDER FAP

Christ Medical Center and Children's Hospital Ob/Gyn Health Associates, SC NOT COVERED

Christ Medical Center and Children's Hospital Obasi, Ejikeme O.-MD NOT COVERED

Christ Medical Center and Children's Hospital Oberhaus, Jasmina P.-DO COVERED UNDER FAP

Christ Medical Center and Children's Hospital Ob-Gyn Southwest, SC COVERED UNDER FAP

Page 14

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Christ Medical Center and Children's Hospital Ociepka, Erika Diane-CRNA NOT COVERED

Christ Medical Center and Children's Hospital O'Connor, Timothy P.-MD NOT COVERED

Christ Medical Center and Children's Hospital Office of Cardiac Pathology NOT COVERED

Christ Medical Center and Children's Hospital Ogdon, Tracey L.-NP NOT COVERED

Christ Medical Center and Children's Hospital Ohata, Cynthia Y.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Omari, Mohammad Kamel-MD NOT COVERED

Christ Medical Center and Children's Hospital Omastiak, Paul R.-MD NOT COVERED

Christ Medical Center and Children's Hospital One Palos Medical NOT COVERED

Christ Medical Center and Children's Hospital O'Neal, Patrick J.-MD NOT COVERED

Christ Medical Center and Children's Hospital Onyenwenyi, Chijoke Henry-MD NOT COVERED

Christ Medical Center and Children's Hospital Ophthalmology Associates, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Opperman, Hannah M.-PA NOT COVERED

Christ Medical Center and Children's Hospital Oral & Maxillofacial Surgery of Chicago, PC NOT COVERED

Christ Medical Center and Children's Hospital Oral Surgery Center NOT COVERED

Christ Medical Center and Children's Hospital Orland Primary Care Specialists, Inc NOT COVERED

Christ Medical Center and Children's Hospital Ortegon, Nina C.-NP NOT COVERED

Christ Medical Center and Children's Hospital Osama K. Atieh,MD, SC NOT COVERED

Christ Medical Center and Children's Hospital Osoba, Laura Elizabeth-PA NOT COVERED

Christ Medical Center and Children's Hospital Oswiecimski, Ltd NOT COVERED

Christ Medical Center and Children's Hospital P & D Medical, SC NOT COVERED

Christ Medical Center and Children's Hospital Paliga, Robin E.-NP NOT COVERED

Christ Medical Center and Children's Hospital Palos Internists, SC NOT COVERED

Christ Medical Center and Children's Hospital Palos Pediatric Associates, PC NOT COVERED

Christ Medical Center and Children's Hospital Palos Pediatric Dentistry, PC NOT COVERED

Christ Medical Center and Children's Hospital Palos Primary Care Center NOT COVERED

Christ Medical Center and Children's Hospital Pandit Foot and Ankle Clinic NOT COVERED

Christ Medical Center and Children's Hospital Pandya, Mauna B.-MD NOT COVERED

Christ Medical Center and Children's Hospital Papineau, Elaine M.-CNS NOT COVERED

Christ Medical Center and Children's Hospital Pappas, Patroklos S.-MD NOT COVERED

Christ Medical Center and Children's Hospital Park Primary Care, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Parkview Orthopedics NOT COVERED

Christ Medical Center and Children's Hospital Patel, Amishi -MD NOT COVERED

Christ Medical Center and Children's Hospital Patel, Amit Manilal-MD NOT COVERED

Christ Medical Center and Children's Hospital Patel, Jayantibhai K.-MD NOT COVERED

Christ Medical Center and Children's Hospital Patel, Nick D.-PA NOT COVERED

Christ Medical Center and Children's Hospital Patel, Parit A.-MD NOT COVERED

Christ Medical Center and Children's Hospital Patel, Subhash R.-MD NOT COVERED

Christ Medical Center and Children's Hospital Patzik, Shayle B.-MD NOT COVERED

Christ Medical Center and Children's Hospital Pauwaa, Annie A.-PA NOT COVERED

Christ Medical Center and Children's Hospital Pediatric Associates of Palos, SC NOT COVERED

Christ Medical Center and Children's Hospital Pediatric Associates, PC NOT COVERED

Christ Medical Center and Children's Hospital Pediatric Healthy Hearts NOT COVERED

Christ Medical Center and Children's Hospital Pediatric Neurosurgery Department COVERED UNDER FAP

Christ Medical Center and Children's Hospital Pediatrics on Demand NOT COVERED

Christ Medical Center and Children's Hospital Peiss, Robert L.-MD NOT COVERED

Christ Medical Center and Children's Hospital Perez-Sanz, Jose R.-MD NOT COVERED

Christ Medical Center and Children's Hospital Personal Physicians NOT COVERED

Christ Medical Center and Children's Hospital Petrich, Rudolph James-DPM NOT COVERED

Christ Medical Center and Children's Hospital Petrovic, Polina Vinnik-MD NOT COVERED

Christ Medical Center and Children's Hospital Petruccione, Mara Ann-PA COVERED UNDER FAP

Christ Medical Center and Children's Hospital Pezzo, Jessica Bridget-PA NOT COVERED

Christ Medical Center and Children's Hospital Phillips, Stephen Tyler-MD NOT COVERED

Christ Medical Center and Children's Hospital Piotrowski, MD SC NOT COVERED

Christ Medical Center and Children's Hospital Piyush C. Buch, MD, PC NOT COVERED

Christ Medical Center and Children's Hospital Podbielski, Francis J.-MD NOT COVERED

Christ Medical Center and Children's Hospital Polito, William Fred-MD NOT COVERED

Christ Medical Center and Children's Hospital Potempa, Courtney Kim-PA NOT COVERED

Christ Medical Center and Children's Hospital Pourpaki, Maryam -MD COVERED UNDER FAP

Page 15

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Christ Medical Center and Children's Hospital Pradeep Thapar, MD, SC NOT COVERED

Christ Medical Center and Children's Hospital Pragathi Challa, MD, SC NOT COVERED

Christ Medical Center and Children's Hospital Prairie Medical Physicians Group, SC NOT COVERED

Christ Medical Center and Children's Hospital Prasad, Bharati -MD NOT COVERED

Christ Medical Center and Children's Hospital Prentice, Robert C.-DO NOT COVERED

Christ Medical Center and Children's Hospital Preventive Pediatrics, LTD NOT COVERED

Christ Medical Center and Children's Hospital Price, Scott P.-MD NOT COVERED

Christ Medical Center and Children's Hospital Primary Health Care Specialists SC NOT COVERED

Christ Medical Center and Children's Hospital Pri-Med Medical Center, PC NOT COVERED

Christ Medical Center and Children's Hospital Professional Anesthesia Consultants, LLC NOT COVERED

Christ Medical Center and Children's Hospital Prokop, Thomas A.-PA NOT COVERED

Christ Medical Center and Children's Hospital Prompt Care Physicians, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Providea Health Partners, LLC NOT COVERED

Christ Medical Center and Children's Hospital Psaradellis, Telly -MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Pulmonary & Critical Care Consultants,SC NOT COVERED

Christ Medical Center and Children's Hospital Pulmonary Medicine NOT COVERED

Christ Medical Center and Children's Hospital Pyle, Joseph M.-MD NOT COVERED

Christ Medical Center and Children's Hospital R.H. Thill, MD, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Rajendra R. Shah M.D., SC NOT COVERED

Christ Medical Center and Children's Hospital Rajmane, Kiran Chandrakant-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Raju, Priya Bhatia-MD NOT COVERED

Christ Medical Center and Children's Hospital Ramadurai, Jayanthi Raghu-MD NOT COVERED

Christ Medical Center and Children's Hospital Ramana, Ravi K.-DO NOT COVERED

Christ Medical Center and Children's Hospital Rangarajan, Vibhav Shyam-MD NOT COVERED

Christ Medical Center and Children's Hospital Ravinia Medical, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Reddy, Srinivas P.-MD NOT COVERED

Christ Medical Center and Children's Hospital Redondo, Luis J.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Renaissance Medical Group SC NOT COVERED

Christ Medical Center and Children's Hospital Reproductive Medicine Institute, LLC NOT COVERED

Christ Medical Center and Children's Hospital Retina Associates, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Retina Consultants, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Retina Macula Care NOT COVERED

Christ Medical Center and Children's Hospital Retina Vitreous Associates, PC NOT COVERED

Christ Medical Center and Children's Hospital Ridgeland Foot Clinic NOT COVERED

Christ Medical Center and Children's Hospital Rifai, Luay -MD NOT COVERED

Christ Medical Center and Children's Hospital Robert C. Bosack, DDS, & Assoc. Ltd. NOT COVERED

Christ Medical Center and Children's Hospital Robert T. Egel MD, SC NOT COVERED

Christ Medical Center and Children's Hospital Roberts, Gabrielle A.-PhD NOT COVERED

Christ Medical Center and Children's Hospital Roberts, Thomas William-DO NOT COVERED

Christ Medical Center and Children's Hospital Rogien, Kathy K.-NP NOT COVERED

Christ Medical Center and Children's Hospital Roney, Joanne M.-NP NOT COVERED

Christ Medical Center and Children's Hospital Roska, Anne Gillian E.-CNS NOT COVERED

Christ Medical Center and Children's Hospital Rowley, Vincent B.-MD NOT COVERED

Christ Medical Center and Children's Hospital Roy, Larry M.-MD NOT COVERED

Christ Medical Center and Children's Hospital Rozell, Shaina A.-MD NOT COVERED

Christ Medical Center and Children's Hospital Ruane, Sean Michael-PA NOT COVERED

Christ Medical Center and Children's Hospital Rudyard Smith MD and Associates, SC NOT COVERED

Christ Medical Center and Children's Hospital Rybka, Edward John-DO COVERED UNDER FAP

Christ Medical Center and Children's Hospital S. L. Yang, MD, Ltd NOT COVERED

Christ Medical Center and Children's Hospital S. M. Gokhale, MD, SC NOT COVERED

Christ Medical Center and Children's Hospital S.W. Pediatrics, SC NOT COVERED

Christ Medical Center and Children's Hospital Sage Medical Group, SC NOT COVERED

Christ Medical Center and Children's Hospital Saha, Kanta -MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Sahloul, Mohammed Z.-MD NOT COVERED

Christ Medical Center and Children's Hospital Saini, Abhimanyu -MD NOT COVERED

Christ Medical Center and Children's Hospital Sanchez, Patrick John-DPM COVERED UNDER FAP

Christ Medical Center and Children's Hospital Sankary, Howard N.-MD NOT COVERED

Christ Medical Center and Children's Hospital Sansom, Sarah Elizabeth-DO NOT COVERED

Page 16

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Christ Medical Center and Children's Hospital Sarhan, Mohammad -MD NOT COVERED

Christ Medical Center and Children's Hospital Satwant Kingra, MD, SC NOT COVERED

Christ Medical Center and Children's Hospital Savage, Judith Grace-MD NOT COVERED

Christ Medical Center and Children's Hospital Sawlani, Omprakash D.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Saxena, Madhulika -MD NOT COVERED

Christ Medical Center and Children's Hospital Schaefer, Steven C.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Schaible, Anne Zielinski-MD NOT COVERED

Christ Medical Center and Children's Hospital Schaible, Keith L.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Schubkegel, Todd Andrew-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Schwermer, Jon Kelley-PA NOT COVERED

Christ Medical Center and Children's Hospital Section of Cardiac & Thoracic Surgery NOT COVERED

Christ Medical Center and Children's Hospital Selk, Natalie M.-MD NOT COVERED

Christ Medical Center and Children's Hospital Seth Levrant, MD, PC NOT COVERED

Christ Medical Center and Children's Hospital Shah, Mrunal L.-MD NOT COVERED

Christ Medical Center and Children's Hospital Shah, Nirav A.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Shahbain Internal Medicine, LTD NOT COVERED

Christ Medical Center and Children's Hospital Shakir, Naseem Taaha-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Sherman, Nada L.-MD NOT COVERED

Christ Medical Center and Children's Hospital Sheth Dermatology, PC NOT COVERED

Christ Medical Center and Children's Hospital Sheth, Tejas -MD NOT COVERED

Christ Medical Center and Children's Hospital Shifrin Group LLC NOT COVERED

Christ Medical Center and Children's Hospital Shih, Timothy Leland-DO NOT COVERED

Christ Medical Center and Children's Hospital Shin, Hang-Jin Henry-MD NOT COVERED

Christ Medical Center and Children's Hospital Sidrys, Linas Antanas-MD NOT COVERED

Christ Medical Center and Children's Hospital Siegfried, Michael Sidney-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Siemeck, Roxanne J.-CNS NOT COVERED

Christ Medical Center and Children's Hospital Silver, Marc Alan-MD NOT COVERED

Christ Medical Center and Children's Hospital Sims, John P.-MD NOT COVERED

Christ Medical Center and Children's Hospital Singh, Amarjit -MD NOT COVERED

Christ Medical Center and Children's Hospital Singh, Bhurji Narindar-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Singh, Sunita -MD NOT COVERED

Christ Medical Center and Children's Hospital Sladek, Stephen Michael-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Slusinski, Bernard Leonard-DO NOT COVERED

Christ Medical Center and Children's Hospital Smain Sadok MD SC NOT COVERED

Christ Medical Center and Children's Hospital Smith, John F.-PhD NOT COVERED

Christ Medical Center and Children's Hospital Smith, Roxanne E.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Soumya Health LLC NOT COVERED

Christ Medical Center and Children's Hospital Southeast Anesthesia Consultants, LTD NOT COVERED

Christ Medical Center and Children's Hospital Southtown Allergy & Asthma Care, PC NOT COVERED

Christ Medical Center and Children's Hospital Southwest Allergy Associates, SC NOT COVERED

Christ Medical Center and Children's Hospital Southwest Gastroenterology, SC NOT COVERED

Christ Medical Center and Children's Hospital Southwest Infectious Disease & Internal Medicine, SC NOT COVERED

Christ Medical Center and Children's Hospital Southwest Medical Affiliates, PC NOT COVERED

Christ Medical Center and Children's Hospital Southwest Medical Consultants, SC NOT COVERED

Christ Medical Center and Children's Hospital Southwest Obstetrics & Gynecology, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Southwest Pediatrics, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Southwest Physicians Group, LTD NOT COVERED

Christ Medical Center and Children's Hospital Spear, William H.-MD NOT COVERED

Christ Medical Center and Children's Hospital Spoo, Charisa M.-DO NOT COVERED

Christ Medical Center and Children's Hospital Sriram, Krishnan -MD NOT COVERED

Christ Medical Center and Children's Hospital St. Steven Medical Center, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Stears, Robert Lg-MD NOT COVERED

Christ Medical Center and Children's Hospital Stein, Robert N.-MD NOT COVERED

Christ Medical Center and Children's Hospital Steinecker, Gary Alan-MD NOT COVERED

Christ Medical Center and Children's Hospital Stella, Ronald E.-MD NOT COVERED

Christ Medical Center and Children's Hospital Stephens, Patrice A.-CNS NOT COVERED

Christ Medical Center and Children's Hospital Stern, David Ross-MD NOT COVERED

Christ Medical Center and Children's Hospital Steven E Ambrose MD NOT COVERED

Page 17

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Christ Medical Center and Children's Hospital Steven F. Soltes, MD, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Stuck, Gary D.-DO NOT COVERED

Christ Medical Center and Children's Hospital Subramanian, Sanjay -MD NOT COVERED

Christ Medical Center and Children's Hospital Suburban Otolaryngology, S.C. NOT COVERED

Christ Medical Center and Children's Hospital Sullivan, Henry James-MD NOT COVERED

Christ Medical Center and Children's Hospital Sunbuli, Moutaz K.-MD NOT COVERED

Christ Medical Center and Children's Hospital Sunil K. Shah D.O., SC NOT COVERED

Christ Medical Center and Children's Hospital Sur, James P.-MD NOT COVERED

Christ Medical Center and Children's Hospital Sura, Parimal Kirit-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Sutich, Christine Marie-CNS NOT COVERED

Christ Medical Center and Children's Hospital Szczodry, Michal -MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Tabitha A Watts, MD, LTD NOT COVERED

Christ Medical Center and Children's Hospital Tai, Leewen -MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Tatooles, Antone John-MD NOT COVERED

Christ Medical Center and Children's Hospital Tayfel, Tracy Ann-PA NOT COVERED

Christ Medical Center and Children's Hospital Thapar and Associates NOT COVERED

Christ Medical Center and Children's Hospital The Eye Specialists Center, LLC NOT COVERED

Christ Medical Center and Children's Hospital The Women's Health and Wellness Group LTD NOT COVERED

Christ Medical Center and Children's Hospital Thill, Rodney H.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Thomas John Vision Institute, PC NOT COVERED

Christ Medical Center and Children's Hospital Thomas, Abraham -MD NOT COVERED

Christ Medical Center and Children's Hospital Thorp, Christopher Ramsey-MD NOT COVERED

Christ Medical Center and Children's Hospital Tierney, Sean P.-MD NOT COVERED

Christ Medical Center and Children's Hospital Timbers, Kay C.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Toman, Jordan Elizabeth-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Treasured Smiles Dentistry, LLC NOT COVERED

Christ Medical Center and Children's Hospital Triantafillou, Thomas -MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Triple S Medical Care, SC NOT COVERED

Christ Medical Center and Children's Hospital Troy, Daniel Anthony-MD NOT COVERED

Christ Medical Center and Children's Hospital UIC Division of General & ER Pediatrics NOT COVERED

Christ Medical Center and Children's Hospital UIC Physician's Group NOT COVERED

Christ Medical Center and Children's Hospital University Family Physicians Southwest NOT COVERED

Christ Medical Center and Children's Hospital University Neurologists NOT COVERED

Christ Medical Center and Children's Hospital University of Illinois at Chicago NOT COVERED

Christ Medical Center and Children's Hospital University of Illinois IVF Center NOT COVERED

Christ Medical Center and Children's Hospital University Retina & Macula Associates, PC NOT COVERED

Christ Medical Center and Children's Hospital Uytana, Vinson Louis-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital V. Upadhyaya, MD, Ltd NOT COVERED

Christ Medical Center and Children's Hospital VAD Transplant Program NOT COVERED

Christ Medical Center and Children's Hospital Vaishnav, Nikunj -MD NOT COVERED

Christ Medical Center and Children's Hospital Vaishnav, Soham Prakash-MD NOT COVERED

Christ Medical Center and Children's Hospital Valentin, Ruth R.-NP NOT COVERED

Christ Medical Center and Children's Hospital Valentino, Danielle Marie-NP COVERED UNDER FAP

Christ Medical Center and Children's Hospital Vali, Faisal Sabir-MD NOT COVERED

Christ Medical Center and Children's Hospital Valika, Ali A.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Valley Imaging Consultants, LLC NOT COVERED

Christ Medical Center and Children's Hospital Vanderjack, Staci Lynn-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Vanessa Hagan, MD, SC NOT COVERED

Christ Medical Center and Children's Hospital Varadhi, Harsha -MD NOT COVERED

Christ Medical Center and Children's Hospital Vargas-Zapata, Rafael J.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Vascular Specialist, LLC NOT COVERED

Christ Medical Center and Children's Hospital Velan, Prabhu -MD NOT COVERED

Christ Medical Center and Children's Hospital Velez Jo, Estrellita Tan-MD NOT COVERED

Christ Medical Center and Children's Hospital Vijay Bajaj, MD, SC NOT COVERED

Christ Medical Center and Children's Hospital Virtual Radiologic Professionals, LLC NOT COVERED

Christ Medical Center and Children's Hospital Volz, Colleen Elsen-PA COVERED UNDER FAP

Christ Medical Center and Children's Hospital Votapka, Timothy V.-MD NOT COVERED

Christ Medical Center and Children's Hospital Waddell, Kristi Marie-NP NOT COVERED

Page 18

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Christ Medical Center and Children's Hospital Walloch, Jami L.-MD NOT COVERED

Christ Medical Center and Children's Hospital Wang, Kun -MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Wardell, Steven R.-MD NOT COVERED

Christ Medical Center and Children's Hospital Warner, Christina Victoria-MD NOT COVERED

Christ Medical Center and Children's Hospital Watkins, Summer C.-NP COVERED UNDER FAP

Christ Medical Center and Children's Hospital Watson, Jonathan Neil-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Weigel, Thomas J.-MD NOT COVERED

Christ Medical Center and Children's Hospital Weil Foot and Ankle Institute NOT COVERED

Christ Medical Center and Children's Hospital Western Hills Medical Center, Ltd NOT COVERED

Christ Medical Center and Children's Hospital White, Brent Edward-MD NOT COVERED

Christ Medical Center and Children's Hospital Wigfield, Christopher H.-MD NOT COVERED

Christ Medical Center and Children's Hospital Wilson, Patricia A.-NP NOT COVERED

Christ Medical Center and Children's Hospital Win Myint, MD, PC NOT COVERED

Christ Medical Center and Children's Hospital Wittle, Katherine A.-CNS NOT COVERED

Christ Medical Center and Children's Hospital Wittmayer, Kimberly -CNS NOT COVERED

Christ Medical Center and Children's Hospital Wolf, Brian Aaron-MD NOT COVERED

Christ Medical Center and Children's Hospital Women's Health Institute of Illinois, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Women's Healthcare Affiliates NOT COVERED

Christ Medical Center and Children's Hospital WPC, Inc. NOT COVERED

Christ Medical Center and Children's Hospital Yakovleva, Alla -NP NOT COVERED

Christ Medical Center and Children's Hospital Yau, Tiffanie Si-Wai-PA NOT COVERED

Christ Medical Center and Children's Hospital Ybanez, Neil David-MD NOT COVERED

Christ Medical Center and Children's Hospital Zager, Emil J.-DPM NOT COVERED

Christ Medical Center and Children's Hospital Zaidi, Ali R.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Zakaria, Mhd Firas -MD NOT COVERED

Christ Medical Center and Children's Hospital Zakieh, Nasser -MD NOT COVERED

Christ Medical Center and Children's Hospital Zakkar, Mohamed M.-MD NOT COVERED

Christ Medical Center and Children's Hospital Zalam Medical Center, LTD NOT COVERED

Christ Medical Center and Children's Hospital Zalzaleh, Ghassan -MD NOT COVERED

Christ Medical Center and Children's Hospital Zamojski, Diana Theresa-DO NOT COVERED

Christ Medical Center and Children's Hospital Zartaisky, Alexander -MD NOT COVERED

Christ Medical Center and Children's Hospital Zayyad, Adel A.-MD NOT COVERED

Christ Medical Center and Children's Hospital Zdon, Jacqueline Rose-PA NOT COVERED

Christ Medical Center and Children's Hospital Zeihen, Stefanie Rose-NP NOT COVERED

Christ Medical Center and Children's Hospital Zelkovich, William Leland-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Zitter, Robert E.-PhD NOT COVERED

Condell Medical Center A Ray of Hope: The Great Lakes Institute of Neurology & Psychiatry NOT COVERED

Condell Medical Center A. Podolskiy, MD, SC NOT COVERED

Condell Medical Center Adam Rubinstein MD, SC NOT COVERED

Condell Medical Center Adley, Brian P.-MD NOT COVERED

Condell Medical Center Adult & Pediatric Orthopedics, SC NOT COVERED

Condell Medical Center Advanced Diabetes and Endocrine Ctr PC NOT COVERED

Condell Medical Center Advanced Fertility Center of Chicago NOT COVERED

Condell Medical Center Advanced Inpatient Consultants, LLC NOT COVERED

Condell Medical Center Advanced Ortho & Sports Injury NOT COVERED

Condell Medical Center Advanced Pain Consultants, SC NOT COVERED

Condell Medical Center Advanced Primary Care, SC NOT COVERED

Condell Medical Center Advocate Medical Group Yacktman Pediatric Gastroenterology COVERED UNDER FAP

Condell Medical Center Advocate Health & Hospital Corp - Advocate Intensivist Partners COVERED UNDER FAP

Condell Medical Center Advocate Medical Group - Libertyville - 1870 West Winchester COVERED UNDER FAP

Condell Medical Center Advocate Medical Group - Libertyville - 801 S Milwaukee - LL500 COVERED UNDER FAP

Condell Medical Center Advocate Medical Group - Libertyville - Breast Surgery COVERED UNDER FAP

Condell Medical Center Advocate Medical Group - Libertyville - Cardiology COVERED UNDER FAP

Condell Medical Center Advocate Medical Group - Libertyville - Milwaukee Ave COVERED UNDER FAP

Condell Medical Center Advocate Medical Group - Libertyville - Neurology COVERED UNDER FAP

Condell Medical Center Advocate Medical Group - Libertyville - OB/GYN COVERED UNDER FAP

Condell Medical Center Advocate Medical Group - Libertyville - Pediatrics COVERED UNDER FAP

Condell Medical Center Advocate Medical Group - Libertyville - Peds SubSpecialty COVERED UNDER FAP

Page 19

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Condell Medical Center Advocate Medical Group - Lincolnshire COVERED UNDER FAP

Condell Medical Center Advocate Medical Group - Mundelein - 3220 IL Route 60 COVERED UNDER FAP

Condell Medical Center Advocate Medical Group - Oak Lawn - 4440 West 95th Street - Behavioral Health COVERED UNDER FAP

Condell Medical Center Advocate Medical Group CAC COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Children's Hoffman Estate COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Condell Hospitalist COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Downers Grove 3825 Highland COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Family Practice Gurnee COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Hospitalists COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Irving and Western COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Midwest Pediatric Cardio COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Nesset Endocrinology COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Nesset Physical Med & Rehab COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Oak Lawn Cardiology COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Parkside General Surgery COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Parkside Maternal Fetal COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Peds Hospitalist COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Trauma COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Trauma Surgery COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Yacktman Peds Cardiology COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Yacktman Peds Neurology COVERED UNDER FAP

Condell Medical Center Advocate Medical Group Yacktman Peds Sports Med COVERED UNDER FAP

Condell Medical Center Afifi, M. Sherif-MD NOT COVERED

Condell Medical Center Agata Oczko-Danguilan, MD, SC NOT COVERED

Condell Medical Center Aggarwal, Nimit K.-MD NOT COVERED

Condell Medical Center Al-Ani, Ismail -MD NOT COVERED

Condell Medical Center Alexander, Jonathan M.-MD NOT COVERED

Condell Medical Center Ali, Asya Syed-MD NOT COVERED

Condell Medical Center Allegretti, Peter Gerald-MD NOT COVERED

Condell Medical Center Allergy & Asthma Associates, Ltd NOT COVERED

Condell Medical Center Allergy & Asthma Consultants, LTD NOT COVERED

Condell Medical Center Almanaseer, Imad Y.-MD NOT COVERED

Condell Medical Center American Center for Spine and Neurosurgery NOT COVERED

Condell Medical Center Amesbury, Stephen R.-MD NOT COVERED

Condell Medical Center Anchor Pediatrics NOT COVERED

Condell Medical Center Angelique Cohen MD, SC NOT COVERED

Condell Medical Center Anthony Terrasse, MD, SC NOT COVERED

Condell Medical Center Anwuli Okoli MD Inc NOT COVERED

Condell Medical Center Asha Gandhi MD, SC NOT COVERED

Condell Medical Center Aspen Medical Group NOT COVERED

Condell Medical Center Assoc.Phys. of Libertyville NOT COVERED

Condell Medical Center Associated Pediatric Partners, SC NOT COVERED

Condell Medical Center Associates in Nephrology, SC NOT COVERED

Condell Medical Center Associates in Pain Managment NOT COVERED

Condell Medical Center Atkinson Clinic SC NOT COVERED

Condell Medical Center Aurora Medical Group NOT COVERED

Condell Medical Center Bari, Naveed -MD NOT COVERED

Condell Medical Center Behavioral Medicine Specialists, Inc. NOT COVERED

Condell Medical Center Benson, Michael D.-MD NOT COVERED

Condell Medical Center Best Practices Inpatient Care, Ltd NOT COVERED

Condell Medical Center Borgen, Kristina Rachelle-MD NOT COVERED

Condell Medical Center Bowersox, Keith D.-MD NOT COVERED

Condell Medical Center Braun, Jessica Nicole-PA NOT COVERED

Condell Medical Center Bresticker, Michael A.-MD NOT COVERED

Condell Medical Center Bright Horizons Pediatrics, PC NOT COVERED

Condell Medical Center Cabrera, Julio -MD NOT COVERED

Condell Medical Center Cardiac EP Consultants SC NOT COVERED

Condell Medical Center Cardiac Surgery Associates, SC NOT COVERED

Page 20

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Condell Medical Center Center for Diagnosis & Treatment of Pain NOT COVERED

Condell Medical Center Center for Maternal and Fetal Medicine NOT COVERED

Condell Medical Center Chest and Sleep Medicine Associates, SC NOT COVERED

Condell Medical Center Chest Diseases and Sleep Disorders NOT COVERED

Condell Medical Center Chest Medicine Consultants, SC NOT COVERED

Condell Medical Center Chicago Anesthesia Associates, SC NOT COVERED

Condell Medical Center Chicago Hand and Orthopedic Surgery Centers, SC NOT COVERED

Condell Medical Center Chicago Medical Clinic, LLC NOT COVERED

Condell Medical Center Chicago Surgical Clinic, Ltd NOT COVERED

Condell Medical Center Children's Asthma Respiratory & Exercise Specialists NOT COVERED

Condell Medical Center Christopher Harris, MD LTD NOT COVERED

Condell Medical Center Chua Lee, Antonio A.-MD NOT COVERED

Condell Medical Center Claymore Medical Group, SC NOT COVERED

Condell Medical Center Collins, Steven M.-PA NOT COVERED

Condell Medical Center Comphrensive Kidney Care, LLC NOT COVERED

Condell Medical Center Comprehensive Wound Care, LLC NOT COVERED

Condell Medical Center Consultants in Allergy & Asthma Care, LLC NOT COVERED

Condell Medical Center Cordial Medical Center, SC NOT COVERED

Condell Medical Center Cotts, William Gerritt-MD COVERED UNDER FAP

Condell Medical Center Coury, Christopher Anthony-MD NOT COVERED

Condell Medical Center Cross, Chadrick Antony-MD NOT COVERED

Condell Medical Center Dallouli, Omar -MD NOT COVERED

Condell Medical Center Dante P. Gabriel, MD, SC NOT COVERED

Condell Medical Center Deerbrook Medical Associates NOT COVERED

Condell Medical Center Dennis Anthony Grollo M.D. NOT COVERED

Condell Medical Center Dermatology-Chicago, SC NOT COVERED

Condell Medical Center Diabetes Osteo Thyro End Cntr NOT COVERED

Condell Medical Center Dinsmoor, Mara Jean-MD NOT COVERED

Condell Medical Center DMH Millenium Pain Center NOT COVERED

Condell Medical Center Dreyer Clinic - Rush Copley NOT COVERED

Condell Medical Center Duran, Marina -MD NOT COVERED

Condell Medical Center Edward H. Kaplan, MD & Associates NOT COVERED

Condell Medical Center Emily Chatskis MD, PC NOT COVERED

Condell Medical Center Ermias Tilahun, MD, SC NOT COVERED

Condell Medical Center Evans, Diana M.-PA NOT COVERED

Condell Medical Center Excelsior Medical Center, Ltd NOT COVERED

Condell Medical Center Eye Care Center of Lake County, Ltd NOT COVERED

Condell Medical Center Eye Clinic NOT COVERED

Condell Medical Center Family Care of Lake County NOT COVERED

Condell Medical Center Family Medicine Specialists NOT COVERED

Condell Medical Center Family Medicine Specialists, Inc NOT COVERED

Condell Medical Center Farooki, Basheeruddin M.-MD NOT COVERED

Condell Medical Center Fertility Centers of Illinois, SC NOT COVERED

Condell Medical Center Foosaner, David E.-MD NOT COVERED

Condell Medical Center Frank, Michael W.-MD NOT COVERED

Condell Medical Center Friedman, Harvey J.-MD NOT COVERED

Condell Medical Center Garden Pediatrics NOT COVERED

Condell Medical Center Gastroenterologists, Ltd. NOT COVERED

Condell Medical Center Geetha M. Reddy, SC NOT COVERED

Condell Medical Center George Hvostik MD, SC NOT COVERED

Condell Medical Center Gerald A. Frank, MD Internal Medicine, SC NOT COVERED

Condell Medical Center Gersten Center for Behavioral Health NOT COVERED

Condell Medical Center Ghidorzi Jr., Anthony J.-DO NOT COVERED

Condell Medical Center GI Partners of Illinois, LLC NOT COVERED

Condell Medical Center Ginsburg, Beth E.-MD NOT COVERED

Condell Medical Center Goldstein, Irene Michele-MD NOT COVERED

Condell Medical Center Gonzalez, Miguel Gudelio G.-MD NOT COVERED

Condell Medical Center Gordon, Paul J.-MD NOT COVERED

Page 21

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Condell Medical Center Great Lakes Pain Physicians, Ltd. NOT COVERED

Condell Medical Center Greenleaf EMG, LLC NOT COVERED

Condell Medical Center Greenleaf Orthopaedic Associates, SC NOT COVERED

Condell Medical Center Griff J. Winters Foot & Ankle Specialists, Ltd NOT COVERED

Condell Medical Center Han, Phyllis Haewon-MD NOT COVERED

Condell Medical Center Haraldsson, Catherine A.-PA NOT COVERED

Condell Medical Center Hashmi, Faiza -MD NOT COVERED

Condell Medical Center Hassib, May D.-MD NOT COVERED

Condell Medical Center Hawthorne Pediatrics NOT COVERED

Condell Medical Center Heart & Vascular Center of Lake County NOT COVERED

Condell Medical Center Heart Rhythm Management of Lake County Ltd NOT COVERED

Condell Medical Center Heartcare Cardiovascular Specialists, SC NOT COVERED

Condell Medical Center Helene M. Dolce and Assoc. NOT COVERED

Condell Medical Center Hodakowski, George T.-MD NOT COVERED

Condell Medical Center Holem, Mary A.-NP NOT COVERED

Condell Medical Center Horras, Roy S.-MD NOT COVERED

Condell Medical Center Hosep H. Deyrmenjian, MD, PC NOT COVERED

Condell Medical Center Housner, Ryan Joseph-PA NOT COVERED

Condell Medical Center Hussain, Omar Shamshad-DO COVERED UNDER FAP

Condell Medical Center Ibe, Eberechukwu Odoji-MD NOT COVERED

Condell Medical Center IHC Libertyville Emergency Physicians NOT COVERED

Condell Medical Center IHC-Libertyville Emergency Physicians, LLC NOT COVERED

Condell Medical Center IHC-Libertyville Emergency Physicians, LLC NOT COVERED

Condell Medical Center Illinois Bone & Joint Institute LLC NOT COVERED

Condell Medical Center Illinois Gastroenterology Group, LLC NOT COVERED

Condell Medical Center Illinois Institute of Allergy & Asthma, SC NOT COVERED

Condell Medical Center Illinois Internal Medicine Inc NOT COVERED

Condell Medical Center Illinois Pain Institute NOT COVERED

Condell Medical Center Illinois Retina Associates, SC NOT COVERED

Condell Medical Center Imam, Neda -MD NOT COVERED

Condell Medical Center Infectious Disease Consultants of Northern Illinois, SC NOT COVERED

Condell Medical Center Inga, Barbara A.-CRNA NOT COVERED

Condell Medical Center Ira Garoon, MD, SC NOT COVERED

Condell Medical Center Iring K Harag MD, Ltd NOT COVERED

Condell Medical Center Jaffe, Leland -DPM NOT COVERED

Condell Medical Center Jain, Sachin Kumar-MD NOT COVERED

Condell Medical Center James L. Milam MD NOT COVERED

Condell Medical Center Jeffrey J Hicks DPM PC NOT COVERED

Condell Medical Center John Brunetti, DMD, Ltd NOT COVERED

Condell Medical Center Johnston, Steven Bruce-CRNA NOT COVERED

Condell Medical Center Joshipura, Premal M.-MD COVERED UNDER FAP

Condell Medical Center Joyce T. Muni M.D. NOT COVERED

Condell Medical Center Juiris, Tahira A.-MD NOT COVERED

Condell Medical Center Julian-Stiegel, Edith E.-CRNA NOT COVERED

Condell Medical Center JW Plastic Surgery NOT COVERED

Condell Medical Center Jweied, Eias -MD NOT COVERED

Condell Medical Center Kampmeier, Patricia Ann-MD NOT COVERED

Condell Medical Center Karnezis, Tom A.-MD NOT COVERED

Condell Medical Center Kashmar, Mary G.-CRNA NOT COVERED

Condell Medical Center Kasturi Medical Care, Ltd NOT COVERED

Condell Medical Center Kenneth R. Margules MD NOT COVERED

Condell Medical Center Kidney Care Center Elgin, LLC NOT COVERED

Condell Medical Center Kidney Care Center Grayslake LLC NOT COVERED

Condell Medical Center Kim, Daniel Y.-MD NOT COVERED

Condell Medical Center Kim, Dianna K.-MD NOT COVERED

Condell Medical Center Kim, Oliver S.-MD NOT COVERED

Condell Medical Center Kirill Zhadovich, MD, SC NOT COVERED

Condell Medical Center Kirschner, Daniel S.-MD NOT COVERED

Page 22

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Condell Medical Center Klich, Janice Ruth-MD NOT COVERED

Condell Medical Center Kostinsky, Natalie -MD NOT COVERED

Condell Medical Center Kranzler, Leonard Irwin-MD NOT COVERED

Condell Medical Center Kumar, Yoginder -MD NOT COVERED

Condell Medical Center Kummerer, Robert G.-MD NOT COVERED

Condell Medical Center Lake County Anesthesiologists, Ltd NOT COVERED

Condell Medical Center Lake County Head & Neck Specialists, SC NOT COVERED

Condell Medical Center Lake County Internal Medicine Associates NOT COVERED

Condell Medical Center Lake County Medical Group NOT COVERED

Condell Medical Center Lake County Neurological Assoc Ltd NOT COVERED

Condell Medical Center Lake County Neurosurgery LLC NOT COVERED

Condell Medical Center Lake County Plastic Surgery NOT COVERED

Condell Medical Center Lake County Surgeons, PC NOT COVERED

Condell Medical Center Lake Forest Acute Care NOT COVERED

Condell Medical Center Lake Heart Specialists NOT COVERED

Condell Medical Center Lake Shore Dermatology NOT COVERED

Condell Medical Center Lakeside Dermatology NOT COVERED

Condell Medical Center Landau, Chava Shifra-CRNA NOT COVERED

Condell Medical Center Leapman, Rebecca Lynn-DPM NOT COVERED

Condell Medical Center Leung, Frank K.-MD NOT COVERED

Condell Medical Center Libertyville OB/GYN, SC NOT COVERED

Condell Medical Center Libertyville Oral Surgery NOT COVERED

Condell Medical Center Lindberg, Amy Elizabeth-PA NOT COVERED

Condell Medical Center Lindenhurst Pediatrics NOT COVERED

Condell Medical Center Lisa Sullivan, MD, SC NOT COVERED

Condell Medical Center Lotharius, Edythe T.-MD NOT COVERED

Condell Medical Center Luger, Gerald -MD NOT COVERED

Condell Medical Center Macaluso, Gregory Paul-MD COVERED UNDER FAP

Condell Medical Center Madhani, Ajay A.-MD NOT COVERED

Condell Medical Center Mahoney, Neil D.-PhD NOT COVERED

Condell Medical Center Mangruen, Donna M.-CNS NOT COVERED

Condell Medical Center Mann, Stewart Ralph-MD NOT COVERED

Condell Medical Center Manquen, Louis John-MD NOT COVERED

Condell Medical Center Mark Allan Berk, MD, SC NOT COVERED

Condell Medical Center Markos, Michael Achilles-MD NOT COVERED

Condell Medical Center Mary Gail Kwiecinski, DPM, PC NOT COVERED

Condell Medical Center McGaha, Ruth -NP NOT COVERED

Condell Medical Center Medical Arts Unlimited, Corp NOT COVERED

Condell Medical Center Mehmood, Sajid -MD NOT COVERED

Condell Medical Center Metro Infectious Disease Consultants, LLC NOT COVERED

Condell Medical Center Michael R. Hollander, DPM, PC NOT COVERED

Condell Medical Center Midwest Anesthesia Partners, LCA Division NOT COVERED

Condell Medical Center Midwest Anesthesia Partners, LLC NOT COVERED

Condell Medical Center Midwest Anesthesia Partners, Ltd NOT COVERED

Condell Medical Center Midwest Lung and Sleep Consultants NOT COVERED

Condell Medical Center Midwest Pulmonary Associates, SC NOT COVERED

Condell Medical Center Midwest Sleep Institute NOT COVERED

Condell Medical Center Midwestern Institute of Health, Ltd NOT COVERED

Condell Medical Center Mihalov, Michael L.-MD NOT COVERED

Condell Medical Center Mila-Marie Kyncl, MD, SC NOT COVERED

Condell Medical Center Mileos, Chris E.-CRNA NOT COVERED

Condell Medical Center Millennium Pain Center, LLC NOT COVERED

Condell Medical Center Minneapolis VA Medical center NOT COVERED

Condell Medical Center Mohammad, Zulfiqar -MD NOT COVERED

Condell Medical Center Mohammed, Mushtaq Hussain-MD NOT COVERED

Condell Medical Center Mundelein Pediatrics, SC NOT COVERED

Condell Medical Center Munson, Robert C.-MD NOT COVERED

Condell Medical Center Nawas, Sammy I.-MD NOT COVERED

Page 23

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Condell Medical Center Nephrology Associates of Northern Illinois, LTD NOT COVERED

Condell Medical Center Nephrology Associates of Northern Illinois,Ltd NOT COVERED

Condell Medical Center Neural Watch NOT COVERED

Condell Medical Center Neuropsychological Service, PC NOT COVERED

Condell Medical Center Norman Weinzweig, MD, F.A.C.S., SC NOT COVERED

Condell Medical Center North Lake Cardiovascular Center, PC NOT COVERED

Condell Medical Center North Shore Advanced Surgery, SC NOT COVERED

Condell Medical Center North Shore Allergy & Asthma, SC NOT COVERED

Condell Medical Center North Shore Consultants in Ob/Gyn, SC NOT COVERED

Condell Medical Center North Shore Glaucoma Center NOT COVERED

Condell Medical Center North Shore Medical Practice NOT COVERED

Condell Medical Center North Shore Oncology/Hematology Assoc. Ltd NOT COVERED

Condell Medical Center North Shore Urogynecology LTD NOT COVERED

Condell Medical Center North Suburban Dermatology Associates NOT COVERED

Condell Medical Center North Suburban Family Healthcare, SC NOT COVERED

Condell Medical Center North Suburban Healthcare, Ltd NOT COVERED

Condell Medical Center North Suburban Medical Office, Ltd NOT COVERED

Condell Medical Center Northern Illinois Eye Clinic, LLC NOT COVERED

Condell Medical Center Northshore Center for Gastroenterology, SC NOT COVERED

Condell Medical Center Northshore Dermatology Center, SC NOT COVERED

Condell Medical Center NorthShore University Health System NOT COVERED

Condell Medical Center Northwest Neurology, Ltd NOT COVERED

Condell Medical Center Northwest Suburban Pain Associates NOT COVERED

Condell Medical Center Oberhaus, Jasmina P.-DO COVERED UNDER FAP

Condell Medical Center OB-Gyne Associates of Libertyville, SC NOT COVERED

Condell Medical Center Ogden Professional Center NOT COVERED

Condell Medical Center Okonkwo, Adaora M.-MD NOT COVERED

Condell Medical Center Oksana Mensheha MD, SC NOT COVERED

Condell Medical Center Orchard Medical Center, SC NOT COVERED

Condell Medical Center Oscar S. Giron, MD, SC NOT COVERED

Condell Medical Center Osoba, Laura Elizabeth-PA NOT COVERED

Condell Medical Center Papesch, James M.-MD NOT COVERED

Condell Medical Center Pappas, Patroklos S.-MD NOT COVERED

Condell Medical Center Parag Thakkar MD, SC NOT COVERED

Condell Medical Center Patel, Ashish J.-MD COVERED UNDER FAP

Condell Medical Center Patel, Subhash R.-MD NOT COVERED

Condell Medical Center Patricia A. Larson, M.D. & Associates P.C. NOT COVERED

Condell Medical Center Patzik, Shayle B.-MD NOT COVERED

Condell Medical Center Pauwaa, Annie A.-PA NOT COVERED

Condell Medical Center Pediatric Partners NOT COVERED

Condell Medical Center PediaTrust, LLC NOT COVERED

Condell Medical Center Peterson, Allison D.-CRNA NOT COVERED

Condell Medical Center Polito, William Fred-MD NOT COVERED

Condell Medical Center PrairieShore Pain Center PC NOT COVERED

Condell Medical Center Prasad, Bharati -MD NOT COVERED

Condell Medical Center Premier Eye Care & Surgery, Ltd NOT COVERED

Condell Medical Center Priola, Victoria J.-PsyD NOT COVERED

Condell Medical Center Pulmonary & Critical Care Consultants,SC NOT COVERED

Condell Medical Center Pulmonary & Sleep Medicine Clinic, LLC NOT COVERED

Condell Medical Center Pulmonary Medical Associates NOT COVERED

Condell Medical Center Pulmonary Medicine NOT COVERED

Condell Medical Center Radiation Oncology Consultants, Ltd NOT COVERED

Condell Medical Center Rafa S Adi MD LTD NOT COVERED

Condell Medical Center Reginald Spears, MD, LLC NOT COVERED

Condell Medical Center Rehabilitation Institute of Chicago NOT COVERED

Condell Medical Center Reproductive Medicine Institute, LLC NOT COVERED

Condell Medical Center Retina Consultants, Ltd NOT COVERED

Condell Medical Center Retina Institute of Illinois, PC NOT COVERED

Page 24

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Condell Medical Center Retina Services of Illinois, LLC NOT COVERED

Condell Medical Center Riegelhaupt, Ronald W.-DPM NOT COVERED

Condell Medical Center Ritacca Cosmetic Surgery & Medspa, Ltd NOT COVERED

Condell Medical Center Robert Hozman, MD, SC NOT COVERED

Condell Medical Center Robert S. Baker, MD, Ltd NOT COVERED

Condell Medical Center Rogulic, Jennifer Jean-NP NOT COVERED

Condell Medical Center Rosalind Franklin University Health System NOT COVERED

Condell Medical Center Rubin Foot & Ankle Center NOT COVERED

Condell Medical Center Sage Medical Group, SC NOT COVERED

Condell Medical Center Samuel, James -MD NOT COVERED

Condell Medical Center Sara R. Vegh, MD, SC NOT COVERED

Condell Medical Center Scheer Surgical, SC NOT COVERED

Condell Medical Center Schiller, Carol L.-MD NOT COVERED

Condell Medical Center Scholl Foot and Ankle Center NOT COVERED

Condell Medical Center Schubert, Steven R.-MD NOT COVERED

Condell Medical Center SennoGroup - Wellness & Rehabilitation NOT COVERED

Condell Medical Center Shah, Dilip Kantilal-MD NOT COVERED

Condell Medical Center Shah, Jai Devendra-MD NOT COVERED

Condell Medical Center Singh, Amarjit -MD NOT COVERED

Condell Medical Center Sobhy, Taher A.-MD NOT COVERED

Condell Medical Center Sriram, Krishnan -MD NOT COVERED

Condell Medical Center StatRad NOT COVERED

Condell Medical Center Steginsky, Brian David-DO NOT COVERED

Condell Medical Center Stern, David Ross-MD NOT COVERED

Condell Medical Center Suasin, May A.-NP NOT COVERED

Condell Medical Center Subramanian, Sanjay -MD NOT COVERED

Condell Medical Center Suburban Neonatal, Ltd NOT COVERED

Condell Medical Center Suburban Surgical Specialists NOT COVERED

Condell Medical Center Surgeons of Lake County LLC NOT COVERED

Condell Medical Center Suzue, Kimiko -MD NOT COVERED

Condell Medical Center Swanson, Christine M.-NP NOT COVERED

Condell Medical Center Taiberg, Leo -MD NOT COVERED

Condell Medical Center Tatooles, Antone John-MD NOT COVERED

Condell Medical Center Thao Nguyen Tran, MD, SC NOT COVERED

Condell Medical Center The American Center for Spine & Neurosurgery, LLC NOT COVERED

Condell Medical Center The Center for Internal Medicine NOT COVERED

Condell Medical Center The Chicago Center for Plastic & Reconstructive Surgery NOT COVERED

Condell Medical Center The Children's Health Center, SC COVERED UNDER FAP

Condell Medical Center The Family Stress Clinic, Ltd. NOT COVERED

Condell Medical Center Thomas, David L.-MD NOT COVERED

Condell Medical Center Tien C Cheng, MD, SC NOT COVERED

Condell Medical Center Tien, Shelly Hsiao-Ying-MD NOT COVERED

Condell Medical Center Total Womens Healthcare NOT COVERED

Condell Medical Center Trivedi, Ashka F.-DPM NOT COVERED

Condell Medical Center University Foot Associates NOT COVERED

Condell Medical Center Uropartners, LLC NOT COVERED

Condell Medical Center Vernon Hills Medical Center NOT COVERED

Condell Medical Center Votapka, Timothy V.-MD NOT COVERED

Condell Medical Center Vujnic, Sanda -MD NOT COVERED

Condell Medical Center Wajahat Mirza, MD, SC NOT COVERED

Condell Medical Center Waldemar Mysiak MD SC NOT COVERED

Condell Medical Center Waukegan Clinic-Family Medicine NOT COVERED

Condell Medical Center Waukegan Clinic-Internal Medicine NOT COVERED

Condell Medical Center Waukegan Clinic-OHANI NOT COVERED

Condell Medical Center Waukegan Clinic-Pulmonary NOT COVERED

Condell Medical Center Waukegan Immediate Care NOT COVERED

Condell Medical Center Weil Foot and Ankle Institute NOT COVERED

Condell Medical Center Wellendorf II, Larry L.-MD NOT COVERED

Page 25

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Condell Medical Center William A. Martinez, MD, SC NOT COVERED

Condell Medical Center Willow Oak Pediatrics NOT COVERED

Condell Medical Center Wojtowicz, Sarah Lee-NP NOT COVERED

Condell Medical Center Wong, Sarah So Chui-MD NOT COVERED

Condell Medical Center Yango-Eugenio, Maria Cynthia -MD NOT COVERED

Condell Medical Center Yasir A. Mekki MD, SC NOT COVERED

Condell Medical Center Yau, Tiffanie Si-Wai-PA NOT COVERED

Condell Medical Center Yorro, Dionisio B.-MD NOT COVERED

Condell Medical Center YR Medical Group, SC NOT COVERED

Condell Medical Center Yury M. Shklyar, M.D., P.C. NOT COVERED

Condell Medical Center Yusaf, Omer -MD NOT COVERED

Condell Medical Center Zaret, Phillip Harry-MD NOT COVERED

Condell Medical Center Zartaisky, Alexander -MD NOT COVERED

Condell Medical Center Zdon, Jacqueline Rose-PA NOT COVERED

Condell Medical Center Zhong, Liping L.-MD NOT COVERED

Eureka Hospital Advocate Eureka Hospital Family Practice - El Paso COVERED UNDER FAP

Eureka Hospital Advocate Eureka Hospital Family Practice - Eureka COVERED UNDER FAP

Eureka Hospital Advocate Health & Hospital Corp - Advocate Intensivist Partners COVERED UNDER FAP

Eureka Hospital Advocate Medical Group - Eureka - 101 S Major St - Hospitalists COVERED UNDER FAP

Eureka Hospital Advocate Medical Group - Oak Lawn - 4440 West 95th Street - Behavioral Health COVERED UNDER FAP

Eureka Hospital Advocate Medical Group - Park Ridge - 1875 Dempster - Neurology COVERED UNDER FAP

Eureka Hospital Advocate Medical Group Downers Grove 3825 Highland COVERED UNDER FAP

Eureka Hospital Advocate Medical Group Emergency Medicine COVERED UNDER FAP

Eureka Hospital Advocate Medical Group Emergency Medicine Eureka COVERED UNDER FAP

Eureka Hospital Advocate Medical Group Eureka COVERED UNDER FAP

Eureka Hospital Advocate Medical Group General & Colorectal Surgery Central IL COVERED UNDER FAP

Eureka Hospital Advocate Medical Group Illinois Heart & Lung Cardiology COVERED UNDER FAP

Eureka Hospital Advocate Medical Group Illinois Heart & Lung Pulmonology COVERED UNDER FAP

Eureka Hospital Advocate Medical Group Irving and Western COVERED UNDER FAP

Eureka Hospital Advocate Medical Group Lexington COVERED UNDER FAP

Eureka Hospital Advocate Medical Group Trauma COVERED UNDER FAP

Eureka Hospital Advocate Medical Group Trauma Surgery COVERED UNDER FAP

Eureka Hospital Afifi, M. Sherif-MD NOT COVERED

Eureka Hospital Aggarwal, Nimit K.-MD NOT COVERED

Eureka Hospital Al-Ani, Ismail -MD NOT COVERED

Eureka Hospital Anesthesia Specialties Alliance NOT COVERED

Eureka Hospital Armstrong, Lucas C.-MD NOT COVERED

Eureka Hospital Associated Anesthesiologists, SC NOT COVERED

Eureka Hospital Associated Surgical Group NOT COVERED

Eureka Hospital Bari, Naveed -MD NOT COVERED

Eureka Hospital Bloomington Radiology, SC NOT COVERED

Eureka Hospital Cardiac Surgery Associates, SC NOT COVERED

Eureka Hospital Central Illinois Neuro Health Sciences, Ltd NOT COVERED

Eureka Hospital Chest Medicine Consultants, SC NOT COVERED

Eureka Hospital Chicago Anesthesia Associates, SC NOT COVERED

Eureka Hospital Children's Hospital of Illinois Medical Group NOT COVERED

Eureka Hospital Comphrensive Kidney Care, LLC NOT COVERED

Eureka Hospital Digestive Disease Consultants, LTD NOT COVERED

Eureka Hospital DMH Millenium Pain Center NOT COVERED

Eureka Hospital Dreyer Clinic - Rush Copley NOT COVERED

Eureka Hospital Endocrine & Diabetes, SC NOT COVERED

Eureka Hospital Farooki, Basheeruddin M.-MD NOT COVERED

Eureka Hospital Garcia, Ramon -MD COVERED UNDER FAP

Eureka Hospital Gerber, Benjamin Ray-MD NOT COVERED

Eureka Hospital Gordhan, Ajeet Dhaya-MD NOT COVERED

Eureka Hospital Guardian Headache and Pain Management Institute, LLC NOT COVERED

Eureka Hospital Hashmi, Faiza -MD NOT COVERED

Eureka Hospital HSHS Medical Group NOT COVERED

Page 26

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Eureka Hospital Illinois CancerCare, PC NOT COVERED

Eureka Hospital Illinois Gastroenterology, Institute, SC NOT COVERED

Eureka Hospital Kiefer-Griffin, Susan M.-CRNA NOT COVERED

Eureka Hospital Klich, Janice Ruth-MD NOT COVERED

Eureka Hospital KMB, SC NOT COVERED

Eureka Hospital Mann, Stewart Ralph-MD NOT COVERED

Eureka Hospital Mehmood, Sajid -MD NOT COVERED

Eureka Hospital Mid-Illinois Hematology & Oncology Associates Ltd NOT COVERED

Eureka Hospital Midwest Lung and Sleep Consultants NOT COVERED

Eureka Hospital Midwest Mobile Anesthesia Consultants NOT COVERED

Eureka Hospital Midwest Pulmonary Associates, SC NOT COVERED

Eureka Hospital Millennium Pain Center, LLC NOT COVERED

Eureka Hospital Minneapolis VA Medical center NOT COVERED

Eureka Hospital Mohammad, Zulfiqar -MD NOT COVERED

Eureka Hospital Moon, Michael C.-DDS NOT COVERED

Eureka Hospital Nawas, Sammy I.-MD NOT COVERED

Eureka Hospital Normal Bloomington Anesthesiologists, Ltd NOT COVERED

Eureka Hospital OSF Children's Hospital of Illinois Medical Group NOT COVERED

Eureka Hospital OSF Medical Group - Surgery NOT COVERED

Eureka Hospital OSF Multi-Specialty Group NOT COVERED

Eureka Hospital Patel, Subhash R.-MD NOT COVERED

Eureka Hospital Pediatric Cardiology Associates, SC NOT COVERED

Eureka Hospital Prasad, Bharati -MD NOT COVERED

Eureka Hospital Premier Medical Group - Kulb, Chalian and Leak Urology, Ltd NOT COVERED

Eureka Hospital PRO Podiatry LLC - Premier Podiatry NOT COVERED

Eureka Hospital Pulmonary & Critical Care Consultants,SC NOT COVERED

Eureka Hospital Pulmonary Medicine NOT COVERED

Eureka Hospital Rufus, Deborah J.-NP NOT COVERED

Eureka Hospital Sage Medical Group, SC NOT COVERED

Eureka Hospital Seidl, Robert K.-MD NOT COVERED

Eureka Hospital Singh, Amarjit -MD NOT COVERED

Eureka Hospital Sriram, Krishnan -MD NOT COVERED

Eureka Hospital Subramanian, Sanjay -MD NOT COVERED

Eureka Hospital The Center for Outpatient Medicine NOT COVERED

Eureka Hospital Virtual Radiologic Professionals NOT COVERED

Eureka Hospital Virtual Radiologic Professionals, LLC NOT COVERED

Eureka Hospital Williamson, John Jeffrey-PA COVERED UNDER FAP

Good Samaritan Hospital A Bella Baby OBGYN NOT COVERED

Good Samaritan Hospital A2Z Care Med-Meds Specialist, PC NOT COVERED

Good Samaritan Hospital Abbassian, Mehrdad -MD NOT COVERED

Good Samaritan Hospital Academic Endocrine Metabolism & Nutrition, Inc. NOT COVERED

Good Samaritan Hospital Adult Medicine Physicians NOT COVERED

Good Samaritan Hospital Adult Physicians of LaGrange NOT COVERED

Good Samaritan Hospital Adult Primary Care Center, Ltd NOT COVERED

Good Samaritan Hospital Advance Inpatient Medicine NOT COVERED

Good Samaritan Hospital Advanced Headache and NeuroCare Clinic NOT COVERED

Good Samaritan Hospital Advanced Heart Lipid Clinic NOT COVERED

Good Samaritan Hospital Advanced Inpatient Medicine NOT COVERED

Good Samaritan Hospital Advanced Inpatient Medicine, LLC NOT COVERED

Good Samaritan Hospital Advanced Medical Consultations, Ltd NOT COVERED

Good Samaritan Hospital Advanced Oral & Maxillofacial Surgery NOT COVERED

Good Samaritan Hospital Advanced Skin and Mohs Surgery Center NOT COVERED

Good Samaritan Hospital Advocate Health & Hospital Corp - Advocate Intensivist Partners COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group - Burbank - Palliative Medicine COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group - Downers Grove - 3551 Highland Ave - Neurosurgery COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group - Downers Grove - 3551 Highland Ave - Neurosurgery COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group - Downers Grove - 3745 Highland - Oncology COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group - Naperville COVERED UNDER FAP

Page 27

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Good Samaritan Hospital Advocate Medical Group - Oak Lawn - 4440 W 95th Street - Hospitalists COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group - Oak Lawn - 4440 West 95th Street - Behavioral Health COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group - Park Ridge - 1875 Dempster - Neurosurgery COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group - South Downers Grove - 6840 S Main St COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Advocate Clinic Lockport COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Aurora Neurosurgery COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group BroMenn Psychiatry COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Children's Hoffman Estate COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Christ Peds Hospitalist COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group CMC Pediatric Pulmonology COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Condell Hospitalist COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Ctr For Advanced Cardiology COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Downers Grove 3825 Highland COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Downers Grove Family Med COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Downers Grove Highland Avenue COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Downers Grove Internal Med COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Emergency Medicine COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Halsted Neurosurgery COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Hospitalist COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Hospitalists COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Irving and Western COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Lombard - 500 East 22nd Street - Suite A COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Memory Center COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Midwest Pediatric Cardio COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Midwest Pediatric Cardiology COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Nesset Physical Med & Rehab COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Neurointerventional Surgery COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Oak Lawn - 4440 West 95th Street - Pediatric Critical Care COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Oak Lawn - Trauma Surgery COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Oak Lawn - West 95th Street - Pediatric Hematology COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Oak Lawn 95th St Pediatrics COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Oak Lawn Neurosurgery COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Oak Lawn Plastic Surgery COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Parkside General Surgery COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Parkside Genetics COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Parkside Maternal Fetal COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Pediatric Cardiovascular Surgery COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Peds Hospitalist COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group South Holland Hospitalist COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Sykes COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Trauma COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Trauma Surgery COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Yacktman Pediatrics COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Yacktman Peds Endocrinology COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Yacktman Peds Plastic Surg COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group Yacktman Psychiatry COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group-Downers Grove, 3825 Highland Ave.-Palliative Care COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group-Downers Grove-1341 Warren Avenue COVERED UNDER FAP

Good Samaritan Hospital Advocate Medical Group-Elgin,1435 N Randall Rd-107 COVERED UNDER FAP

Good Samaritan Hospital Afifi, M. Sherif-MD NOT COVERED

Good Samaritan Hospital Aggarwal, Nimit K.-MD NOT COVERED

Good Samaritan Hospital Agha, Fariha -MD NOT COVERED

Good Samaritan Hospital Agrawal, Lily -MD NOT COVERED

Good Samaritan Hospital Al-Ani, Ismail -MD NOT COVERED

Good Samaritan Hospital Alexander, Aristides Nicholaos-MD NOT COVERED

Good Samaritan Hospital Ali, Aman -MD NOT COVERED

Good Samaritan Hospital Allergy & Asthma Associates of DuPage, PC NOT COVERED

Good Samaritan Hospital AMG Neurosurgeons NOT COVERED

Page 28

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Good Samaritan Hospital Amin, Anish D.-MD NOT COVERED

Good Samaritan Hospital Andrew A. Roth, MD, SC NOT COVERED

Good Samaritan Hospital Anesthesiologists, Ltd NOT COVERED

Good Samaritan Hospital Angel Health Care services, S.C. NOT COVERED

Good Samaritan Hospital Ardon, Marjorie Smolens-MD NOT COVERED

Good Samaritan Hospital Armitage Oral Surgery NOT COVERED

Good Samaritan Hospital Arora, Vipal Kumar-MD NOT COVERED

Good Samaritan Hospital Arun Kumar, MD, SC NOT COVERED

Good Samaritan Hospital Associates in Digestive Diseases, Ltd NOT COVERED

Good Samaritan Hospital Associates in Gynecology, Ltd NOT COVERED

Good Samaritan Hospital Associates in Nephrology, SC NOT COVERED

Good Samaritan Hospital Asthma and Allergy Clinic NOT COVERED

Good Samaritan Hospital Bach, Harold Henry-MD COVERED UNDER FAP

Good Samaritan Hospital Baker, Manisa Phophairat-CNS NOT COVERED

Good Samaritan Hospital Baluchi Medical Group NOT COVERED

Good Samaritan Hospital Bari, Naveed -MD NOT COVERED

Good Samaritan Hospital Barr, Lawrence A.-MD NOT COVERED

Good Samaritan Hospital Bastian Voice Institute, LLC NOT COVERED

Good Samaritan Hospital Beckman, Dawn B.-MD NOT COVERED

Good Samaritan Hospital Behavioral Medicine & Consulting NOT COVERED

Good Samaritan Hospital Bhorade, Rajeev -MD NOT COVERED

Good Samaritan Hospital Blake Horio, MD, Ltd NOT COVERED

Good Samaritan Hospital Bolingbrook Dermatology NOT COVERED

Good Samaritan Hospital Bolingbrook Health Care Associates NOT COVERED

Good Samaritan Hospital Bolingbrook Ophthalmology, LLC NOT COVERED

Good Samaritan Hospital Bonaventure Medical Foundation NOT COVERED

Good Samaritan Hospital Borok, Raphael Z.-MD NOT COVERED

Good Samaritan Hospital Bozena Scigacz Medical Office, SC NOT COVERED

Good Samaritan Hospital Brookpark Medical NOT COVERED

Good Samaritan Hospital Brottman, Michael D.-MD NOT COVERED

Good Samaritan Hospital Brown, Alan Steven-MD COVERED UNDER FAP

Good Samaritan Hospital Bufalino, Vincent John-MD NOT COVERED

Good Samaritan Hospital Burstein, Scott P.-MD NOT COVERED

Good Samaritan Hospital Cahill, John M.-MD NOT COVERED

Good Samaritan Hospital Calalang, Cherry Arellano-CNS NOT COVERED

Good Samaritan Hospital Cardiac Associates SC NOT COVERED

Good Samaritan Hospital Cardiac Surgery Associates, SC NOT COVERED

Good Samaritan Hospital Casey, Cash -MD NOT COVERED

Good Samaritan Hospital Center for Dental Implants, Oral & Facial NOT COVERED

Good Samaritan Hospital Center for Dental Implants, Oral and Facial Surgery NOT COVERED

Good Samaritan Hospital Center for Neurological Diseases, SC NOT COVERED

Good Samaritan Hospital Center for Pediatric Gastroenterology & Nutrition, MD, SC NOT COVERED

Good Samaritan Hospital Central DuPage Foot & Ankle Specialists NOT COVERED

Good Samaritan Hospital Chest Medicine Consultants, SC NOT COVERED

Good Samaritan Hospital Chicago Anesthesia Associates, SC NOT COVERED

Good Samaritan Hospital Chicago Center for Women's Health, SC NOT COVERED

Good Samaritan Hospital Chicago Hand and Orthopedic Surgery Centers, SC NOT COVERED

Good Samaritan Hospital Chicago Midwest Geriatrics Physicians, Inc. NOT COVERED

Good Samaritan Hospital Chiu, Bill -MD NOT COVERED

Good Samaritan Hospital Chough, Steven P.-MD COVERED UNDER FAP

Good Samaritan Hospital CIMPAR, SC NOT COVERED

Good Samaritan Hospital Clark, Stanley E.-MD NOT COVERED

Good Samaritan Hospital Comphrensive Kidney Care, LLC NOT COVERED

Good Samaritan Hospital Complete Skin Care at Steil Dermatology NOT COVERED

Good Samaritan Hospital Comprehensive Pediatric Care 1, Ltd NOT COVERED

Good Samaritan Hospital CortiCare NOT COVERED

Good Samaritan Hospital Costanzo, Maria Rosa-MD COVERED UNDER FAP

Good Samaritan Hospital Davis, Ann R.-MD NOT COVERED

Page 29

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Good Samaritan Hospital Davison, Kenneth P.-PsyD NOT COVERED

Good Samaritan Hospital De Martini, Tony J.-MD NOT COVERED

Good Samaritan Hospital Dermatology & Dermatologic Surgery, Ltd. NOT COVERED

Good Samaritan Hospital Dermatology & Plastic Surgery Associates, SC NOT COVERED

Good Samaritan Hospital Dermatology Associates of LaGrange NOT COVERED

Good Samaritan Hospital Dermatology Associates of Wisconsin, SC - Premier Dermatology NOT COVERED

Good Samaritan Hospital Diane L. Ozog, MD, SC NOT COVERED

Good Samaritan Hospital Digestive Disease Associates, Ltd NOT COVERED

Good Samaritan Hospital Digestive Health Associates, PC NOT COVERED

Good Samaritan Hospital Discher, Thomas J.-MD COVERED UNDER FAP

Good Samaritan Hospital Downers Grove Internists, SC NOT COVERED

Good Samaritan Hospital Downers Grove Medical Group PC NOT COVERED

Good Samaritan Hospital Downers Grove OB/GYN, PC NOT COVERED

Good Samaritan Hospital Downers Grove Pediatrics, Ltd NOT COVERED

Good Samaritan Hospital Dr. Michael Williams Podiatry, Inc. NOT COVERED

Good Samaritan Hospital Dr. Muzaffar's Pediatric Care, SC NOT COVERED

Good Samaritan Hospital Dreyer Clinic - Rush Copley NOT COVERED

Good Samaritan Hospital Drs. Girgis & Associates, SC NOT COVERED

Good Samaritan Hospital Duerinck, Mark V.-MD NOT COVERED

Good Samaritan Hospital DuPage Cardiology Group, SC NOT COVERED

Good Samaritan Hospital DuPage Emergency Physician Convenient Care, LLC NOT COVERED

Good Samaritan Hospital DuPage Emergency Physicians, Ltd NOT COVERED

Good Samaritan Hospital DuPage Eye Associates, SC NOT COVERED

Good Samaritan Hospital DuPage Eye Center NOT COVERED

Good Samaritan Hospital DuPage Foot and Ankle NOT COVERED

Good Samaritan Hospital Dupage Internal Medicine of IL, LLC. NOT COVERED

Good Samaritan Hospital Dupage Medical Group Surgery NOT COVERED

Good Samaritan Hospital DuPage Medical Group, Ltd NOT COVERED

Good Samaritan Hospital DuPage Neonatology Associates NOT COVERED

Good Samaritan Hospital DuPage Ophthalmology SC NOT COVERED

Good Samaritan Hospital DuPage Pulmonary Associates, LLC NOT COVERED

Good Samaritan Hospital Ear Institute of Chicago, LLC NOT COVERED

Good Samaritan Hospital East Coast Wound Care PC NOT COVERED

Good Samaritan Hospital Eghrari, Faramarz -MD NOT COVERED

Good Samaritan Hospital Elmhurst Medical Group NOT COVERED

Good Samaritan Hospital Endocrinology Associates, SC NOT COVERED

Good Samaritan Hospital Ensign Medical, Inc. NOT COVERED

Good Samaritan Hospital ENT Specialists, Ltd. NOT COVERED

Good Samaritan Hospital Fairview Ogden Medical Group NOT COVERED

Good Samaritan Hospital Fanapour, Susan Michelle-DO NOT COVERED

Good Samaritan Hospital Farooki, Basheeruddin M.-MD NOT COVERED

Good Samaritan Hospital Fenner, Patrick C.-MD COVERED UNDER FAP

Good Samaritan Hospital Fertility Centers of Illinois, SC NOT COVERED

Good Samaritan Hospital Fletcher, Tony Allen-PsyD NOT COVERED

Good Samaritan Hospital Forbess, Joseph Matthew-MD COVERED UNDER FAP

Good Samaritan Hospital From Pain to Wellness, LLC NOT COVERED

Good Samaritan Hospital Gami, Apoor Suresh-MD COVERED UNDER FAP

Good Samaritan Hospital Gastroenterology Service, Ltd NOT COVERED

Good Samaritan Hospital Gateway Spine & Pain Physicians, LLC NOT COVERED

Good Samaritan Hospital Genesis Orthopedics & Sports Medicine, LLC NOT COVERED

Good Samaritan Hospital GI Partners of Illinois, LLC NOT COVERED

Good Samaritan Hospital Golden Rule Family Practice NOT COVERED

Good Samaritan Hospital Goodwin, Mark J.-MD COVERED UNDER FAP

Good Samaritan Hospital Gourineni, Prasad V.-MD NOT COVERED

Good Samaritan Hospital Greater Chicago Specialty Physicians, LLC NOT COVERED

Good Samaritan Hospital Gregory Malo PsyD & Assoicates in Neuropsychology NOT COVERED

Good Samaritan Hospital Gritzenbach, Shannon G.-MD NOT COVERED

Good Samaritan Hospital Grutsch, Rebecca M.-MD NOT COVERED

Page 30

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Good Samaritan Hospital Gynecological Cancer Institute of Chicago, LLC NOT COVERED

Good Samaritan Hospital Hampole, Ashwin V.-MD NOT COVERED

Good Samaritan Hospital Harold H. Jaimes MD, PC NOT COVERED

Good Samaritan Hospital Hashmi, Faiza -MD NOT COVERED

Good Samaritan Hospital Herbert C. Becker Jr., MD SC NOT COVERED

Good Samaritan Hospital Higgins, Laura C.-NP NOT COVERED

Good Samaritan Hospital Hinsdale Asthma and Allergy Center NOT COVERED

Good Samaritan Hospital Hinsdale Foot and Ankle Specialist NOT COVERED

Good Samaritan Hospital Hinsdale Gastroenterology Associates NOT COVERED

Good Samaritan Hospital Hinsdale Orthopaedic Associates, SC NOT COVERED

Good Samaritan Hospital Hinsdale Psychologist Resources, Inc. NOT COVERED

Good Samaritan Hospital Humayun, Wasay Ali-MD NOT COVERED

Good Samaritan Hospital Illinois Heart and Vascular NOT COVERED

Good Samaritan Hospital Illinois Institute Pediatric Cardiology, Ltd NOT COVERED

Good Samaritan Hospital Immediate Care of Westmont NOT COVERED

Good Samaritan Hospital Inpatient Consultants of Illinois, PC NOT COVERED

Good Samaritan Hospital Intensive Neuro NOT COVERED

Good Samaritan Hospital Interim Physicians NOT COVERED

Good Samaritan Hospital Internal Medicine Center, SC NOT COVERED

Good Samaritan Hospital IOMD Plastic Surgery Services, LLC NOT COVERED

Good Samaritan Hospital Jackson, Kevin Morgan-MD NOT COVERED

Good Samaritan Hospital Jajko, Robert A.-MD NOT COVERED

Good Samaritan Hospital Jeffrey W. Chandler DDS, MD, PC NOT COVERED

Good Samaritan Hospital Jessie Cheung, MD Dermatology & Laser Center NOT COVERED

Good Samaritan Hospital K.I.D.S. Place of Willowbrook NOT COVERED

Good Samaritan Hospital Kalmar, Heidee Lynn-DPM NOT COVERED

Good Samaritan Hospital Karim S. Yunez, MDSC NOT COVERED

Good Samaritan Hospital Katerji Pediatric Neurology & Associates SC NOT COVERED

Good Samaritan Hospital Katula, Sarah L.-CNS NOT COVERED

Good Samaritan Hospital Katwala, Parin -NP NOT COVERED

Good Samaritan Hospital Keane, Thomas Earl-MD NOT COVERED

Good Samaritan Hospital Kearney, Margaret L.-CNS NOT COVERED

Good Samaritan Hospital Kee D. Shin, MD, SC NOT COVERED

Good Samaritan Hospital Khan, Aqeel A.-MD NOT COVERED

Good Samaritan Hospital Khan, Bilal A.-MD NOT COVERED

Good Samaritan Hospital Kim, Josie P.-MD NOT COVERED

Good Samaritan Hospital Klich, Janice Ruth-MD NOT COVERED

Good Samaritan Hospital Kloppmann, Hannah A.-NP NOT COVERED

Good Samaritan Hospital Ko Surgical Associates NOT COVERED

Good Samaritan Hospital Koo, Nathaniel -MD NOT COVERED

Good Samaritan Hospital Kouchis, Nicholas S.-MD NOT COVERED

Good Samaritan Hospital Kovach Eye Institute, Ltd. NOT COVERED

Good Samaritan Hospital Larkin, Timothy J.-MD COVERED UNDER FAP

Good Samaritan Hospital Lawrenz, Nancy J.-PsyD NOT COVERED

Good Samaritan Hospital Lazala, Olga A.-CNS NOT COVERED

Good Samaritan Hospital Lemont ENT, SC NOT COVERED

Good Samaritan Hospital LifeWeigh Bariatrics NOT COVERED

Good Samaritan Hospital Livorsi-Moore, Jeanne M.-NP NOT COVERED

Good Samaritan Hospital Lopez, Liza Jeanne-MD NOT COVERED

Good Samaritan Hospital Lopez, Marcos A.-MD NOT COVERED

Good Samaritan Hospital M. Z. Sait, MD, Ltd NOT COVERED

Good Samaritan Hospital Mahoney, Eileen M.-MD NOT COVERED

Good Samaritan Hospital Mann, Stewart Ralph-MD NOT COVERED

Good Samaritan Hospital Manuel A. Malicay, MD, SC NOT COVERED

Good Samaritan Hospital Mao, Justin Tze-Howe-MD NOT COVERED

Good Samaritan Hospital Marcos A Lopez MD SC NOT COVERED

Good Samaritan Hospital Marek, Joseph C.-MD COVERED UNDER FAP

Good Samaritan Hospital Marianjoy Medical Group NOT COVERED

Page 31

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Good Samaritan Hospital Marinescu, Victor -MD NOT COVERED

Good Samaritan Hospital Maternal Fetal Medicine NOT COVERED

Good Samaritan Hospital May, Patricia A.-NP NOT COVERED

Good Samaritan Hospital McCaffrey, Thomas L.-MD NOT COVERED

Good Samaritan Hospital Med Spa Women’s Health Center NOT COVERED

Good Samaritan Hospital Mehmood, Sajid -MD NOT COVERED

Good Samaritan Hospital Mesleh, Marc George-MD COVERED UNDER FAP

Good Samaritan Hospital Metro Chicago Surgical Oncology, LLC NOT COVERED

Good Samaritan Hospital Metro Infectious Disease Consultants, LLC NOT COVERED

Good Samaritan Hospital MGM Medical Associates, Ltd, SC NOT COVERED

Good Samaritan Hospital Michael Karakourtis, DDS, Ltd NOT COVERED

Good Samaritan Hospital Midwest Cardiac Center, SC NOT COVERED

Good Samaritan Hospital Midwest Cardiac Consultants, SC NOT COVERED

Good Samaritan Hospital Midwest Gastroenterology Associates, Ltd NOT COVERED

Good Samaritan Hospital Midwest Geriatric Associates NOT COVERED

Good Samaritan Hospital Midwest Geriatrics Specialists, LLC NOT COVERED

Good Samaritan Hospital Midwest Internist, Ltd. NOT COVERED

Good Samaritan Hospital Midwest Lung and Sleep Consultants NOT COVERED

Good Samaritan Hospital Midwest Pediatric Critical Care Assoc LLC NOT COVERED

Good Samaritan Hospital Midwest Pediatrics, Ltd NOT COVERED

Good Samaritan Hospital Midwest Plastic Surgery Institute, Inc NOT COVERED

Good Samaritan Hospital Midwest psychiatry associates NOT COVERED

Good Samaritan Hospital Midwest Pulmonary Associates, SC NOT COVERED

Good Samaritan Hospital Midwest Sinus Center NOT COVERED

Good Samaritan Hospital Midwest Surgical Associates NOT COVERED

Good Samaritan Hospital Midwest Women Ob/Gyn, Ltd. NOT COVERED

Good Samaritan Hospital Midwestern University NOT COVERED

Good Samaritan Hospital Minneapolis VA Medical center NOT COVERED

Good Samaritan Hospital Mohammad, Zulfiqar -MD NOT COVERED

Good Samaritan Hospital Mohammed, Mushtaq Hussain-MD NOT COVERED

Good Samaritan Hospital Moran, Barbara C.-CNS NOT COVERED

Good Samaritan Hospital MPS Kohli, MD SC NOT COVERED

Good Samaritan Hospital Mukesh C. Jain, MD, SC NOT COVERED

Good Samaritan Hospital Murdock, Elmer -MD NOT COVERED

Good Samaritan Hospital Naperbrook Medical Center NOT COVERED

Good Samaritan Hospital Nawas, Sammy I.-MD NOT COVERED

Good Samaritan Hospital Nelson, Ann Margaret-NP NOT COVERED

Good Samaritan Hospital Nephrology Associates of Northern Illinois, Ltd NOT COVERED

Good Samaritan Hospital Neural Watch NOT COVERED

Good Samaritan Hospital Neurology, Clinical Neurophysiology and Sleep Medicine NOT COVERED

Good Samaritan Hospital Neuro-Psych Technologies LTD NOT COVERED

Good Samaritan Hospital Nguyen, Bao T.-MD NOT COVERED

Good Samaritan Hospital Northern Illinois Plastic Surgery, LTD NOT COVERED

Good Samaritan Hospital Oak Brook Allergists, SC NOT COVERED

Good Samaritan Hospital Oak Brook Urology NOT COVERED

Good Samaritan Hospital Oakbrook Pediatric & Adolescent Center, S.C NOT COVERED

Good Samaritan Hospital Ofelia B. Ayuste, MD, SC NOT COVERED

Good Samaritan Hospital Oral & Maxillofacial Surgery of Chicago, PC NOT COVERED

Good Samaritan Hospital Oscar L. Alonso, MD, SC NOT COVERED

Good Samaritan Hospital Parikh, Pratik S.-MD NOT COVERED

Good Samaritan Hospital Patel, Subhash R.-MD NOT COVERED

Good Samaritan Hospital Pediatric & Adolescent Healthy Lifestyle Center, LLC NOT COVERED

Good Samaritan Hospital Pediatric Wellness Center NOT COVERED

Good Samaritan Hospital Pediatrics of Woodridge NOT COVERED

Good Samaritan Hospital Personal Physicians NOT COVERED

Good Samaritan Hospital Peters, Lisa Jeanne-MD NOT COVERED

Good Samaritan Hospital Physicians Care Midwest, SC COVERED UNDER FAP

Good Samaritan Hospital Pillai, Srikumar Biswanath-MD NOT COVERED

Page 32

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Good Samaritan Hospital Podiatry Center SC NOT COVERED

Good Samaritan Hospital Prasad, Bharati -MD NOT COVERED

Good Samaritan Hospital Precision Surgical Consultants LLC COVERED UNDER FAP

Good Samaritan Hospital Premesh Malapati, MD, SC NOT COVERED

Good Samaritan Hospital Premier Family Health and Wellness Center, Inc. NOT COVERED

Good Samaritan Hospital Premier Pain & Spine, LLC NOT COVERED

Good Samaritan Hospital Premier Pain Specialists, LLC NOT COVERED

Good Samaritan Hospital Primary Care Services SC NOT COVERED

Good Samaritan Hospital Progressive Eye Care, SC NOT COVERED

Good Samaritan Hospital Psych Care Associates NOT COVERED

Good Samaritan Hospital Pulmonary & Critical Care Consultants,SC NOT COVERED

Good Samaritan Hospital Pulmonary Clinic for Children, SC NOT COVERED

Good Samaritan Hospital Pulmonary Medicine NOT COVERED

Good Samaritan Hospital Puthenpurakal, Kriti Marwaha-DPM NOT COVERED

Good Samaritan Hospital Radiation Oncology Consultants, Ltd NOT COVERED

Good Samaritan Hospital Rajendra R. Shah M.D., SC NOT COVERED

Good Samaritan Hospital Raju, Mahesh N.-MD NOT COVERED

Good Samaritan Hospital Rakesh Marwaha, MD, SC NOT COVERED

Good Samaritan Hospital Ramanathan, Anand V.-MD NOT COVERED

Good Samaritan Hospital Ramesh Melvani MD SC NOT COVERED

Good Samaritan Hospital Ravi Medical Group NOT COVERED

Good Samaritan Hospital Reena Jabamoni, MD, SC NOT COVERED

Good Samaritan Hospital Rehabilitation Institute of Chicago NOT COVERED

Good Samaritan Hospital Rehabilitation Medicine Clinic, Inc NOT COVERED

Good Samaritan Hospital Rehabilitation Medicine Clinic, Inc. NOT COVERED

Good Samaritan Hospital Renaissance Medical Group SC NOT COVERED

Good Samaritan Hospital Reproductive Medicine Institute, LLC NOT COVERED

Good Samaritan Hospital Rita Yadava, MD, SC NOT COVERED

Good Samaritan Hospital RMU Neurology, SC NOT COVERED

Good Samaritan Hospital Robin B Blakkolb, DDS, Ltd NOT COVERED

Good Samaritan Hospital Ronald H.Stefani, Jr. MD, SC NOT COVERED

Good Samaritan Hospital Roppel, Heather J.-NP NOT COVERED

Good Samaritan Hospital Rossini, Connie J.-MD NOT COVERED

Good Samaritan Hospital Rowley, Stephen M.-MD COVERED UNDER FAP

Good Samaritan Hospital Ryan, Susan M.-NP NOT COVERED

Good Samaritan Hospital Sabaliauskas, Gaile K.-MD COVERED UNDER FAP

Good Samaritan Hospital Sage Medical Group, SC NOT COVERED

Good Samaritan Hospital Saleem, Moeen A.-MD COVERED UNDER FAP

Good Samaritan Hospital Sarrels, Megan S.-CRNA NOT COVERED

Good Samaritan Hospital Schultz, Kurt R.-MD NOT COVERED

Good Samaritan Hospital Shah, Ami Navnit-MD NOT COVERED

Good Samaritan Hospital Shahzad, Muhammad A.-MD NOT COVERED

Good Samaritan Hospital Shanes, Jeffrey Glenn-MD NOT COVERED

Good Samaritan Hospital Shanks, Morgan Lyndsey Wininger-NP NOT COVERED

Good Samaritan Hospital Sibai, Sami -MD NOT COVERED

Good Samaritan Hospital Siddiqi, Aheed J.-MD NOT COVERED

Good Samaritan Hospital Singh, Amarjit -MD NOT COVERED

Good Samaritan Hospital Singh, Richa -MD NOT COVERED

Good Samaritan Hospital Sinno, Mohamed Ziad-MD COVERED UNDER FAP

Good Samaritan Hospital Skaluba, Stanislaw J.-MD NOT COVERED

Good Samaritan Hospital Slobodan D. Vucicevic, MD, SC NOT COVERED

Good Samaritan Hospital Snyder, Edward J.-MD NOT COVERED

Good Samaritan Hospital Southwest Medical Consultants, SC NOT COVERED

Good Samaritan Hospital Spaccapaniccia Podiatry, Ltd NOT COVERED

Good Samaritan Hospital Srinivas C. Kota, MD, SC NOT COVERED

Good Samaritan Hospital Sriram, Krishnan -MD NOT COVERED

Good Samaritan Hospital SS Medical Services NOT COVERED

Good Samaritan Hospital St. Alexius Medical Center NOT COVERED

Page 33

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Good Samaritan Hospital Steinecker, Gary Alan-MD NOT COVERED

Good Samaritan Hospital Stephan, William J.-MD NOT COVERED

Good Samaritan Hospital Stephen P. Boghossian, MD, PC NOT COVERED

Good Samaritan Hospital Stephen T Jagielo DDS PC NOT COVERED

Good Samaritan Hospital Stover, Michael David-MD NOT COVERED

Good Samaritan Hospital Subramanian, Sanjay -MD NOT COVERED

Good Samaritan Hospital Suburban Behavioral Health Services NOT COVERED

Good Samaritan Hospital Suburban Plastic Surgery NOT COVERED

Good Samaritan Hospital Suburban Primary Care NOT COVERED

Good Samaritan Hospital Suburban Pulmonary & Sleep Associates, Ltd. NOT COVERED

Good Samaritan Hospital Suburban Surgery Center NOT COVERED

Good Samaritan Hospital Suburban Women's Health NOT COVERED

Good Samaritan Hospital Sudarshan Sharma, MD, Ltd NOT COVERED

Good Samaritan Hospital Sullivan, Daniel P.-MD NOT COVERED

Good Samaritan Hospital Summit Dermatology & Aesthetic Surgery NOT COVERED

Good Samaritan Hospital Supple, Peggy Anne-MD NOT COVERED

Good Samaritan Hospital Symphony Medical Group, PC NOT COVERED

Good Samaritan Hospital Tabitha A Watts, MD, LTD NOT COVERED

Good Samaritan Hospital The Eye Specialists Center, LLC NOT COVERED

Good Samaritan Hospital The Wright Center for Women's Health NOT COVERED

Good Samaritan Hospital Tiesenga Surgical Associates, S.C. NOT COVERED

Good Samaritan Hospital Tiesenga Surgical Associates, SC NOT COVERED

Good Samaritan Hospital TRE Medical, Ltd. NOT COVERED

Good Samaritan Hospital Tresley, Gilbert E.-MD NOT COVERED

Good Samaritan Hospital Tresley, Jonathan Michael-MD NOT COVERED

Good Samaritan Hospital Twenty First Century Pediatrics NOT COVERED

Good Samaritan Hospital University Dermatology and Vein Clinic LLC NOT COVERED

Good Samaritan Hospital University Foot Specialist, Ltd NOT COVERED

Good Samaritan Hospital University Head & Neck Associates NOT COVERED

Good Samaritan Hospital University Neurologists NOT COVERED

Good Samaritan Hospital University Retina & Macula Associates, PC NOT COVERED

Good Samaritan Hospital UroPartners, LLC NOT COVERED

Good Samaritan Hospital Valika, Ali A.-MD COVERED UNDER FAP

Good Samaritan Hospital Villa Medical Arts NOT COVERED

Good Samaritan Hospital Vios Fertility Institute Chicago, LLC NOT COVERED

Good Samaritan Hospital Vision Radiology NOT COVERED

Good Samaritan Hospital W. P. Dmowski, MD, Ph.D. & Associates NOT COVERED

Good Samaritan Hospital Wadas, Marie A.-MD COVERED UNDER FAP

Good Samaritan Hospital Wallis, Diane E.-MD NOT COVERED

Good Samaritan Hospital Watts, Daniel E.-CRNA NOT COVERED

Good Samaritan Hospital West Suburban Eye Center, SC NOT COVERED

Good Samaritan Hospital West Suburban Neurosurgical Associates, SC NOT COVERED

Good Samaritan Hospital Western DuPage Obstetrics & Gynecology, SC NOT COVERED

Good Samaritan Hospital Westside Medical Associates, Ltd NOT COVERED

Good Samaritan Hospital Wheaton Eye Clinic, Ltd. NOT COVERED

Good Samaritan Hospital Wilkens, William E.-MD NOT COVERED

Good Samaritan Hospital Women's Health Group Chicago NOT COVERED

Good Samaritan Hospital Women's Health Institute of Illinois, Ltd NOT COVERED

Good Samaritan Hospital Woodridge Clinic, SC NOT COVERED

Good Samaritan Hospital Zhao, Yan -MD NOT COVERED

Good Samaritan Hospital Zofia Cygan, MD, SC. NOT COVERED

Good Shepard Hospital Adley, Brian P.-MD NOT COVERED

Good Shepard Hospital Advanced Allergy & Asthma Associates, SC NOT COVERED

Good Shepard Hospital Advanced Dermatology, LLC NOT COVERED

Good Shepard Hospital Advanced Fertility Center of Chicago NOT COVERED

Good Shepard Hospital Advanced Medical Care, Ltd NOT COVERED

Good Shepard Hospital Advanced Preventative Cardiology NOT COVERED

Good Shepard Hospital Advanced Reproductive Center NOT COVERED

Page 34

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Good Shepard Hospital Advanced Surgical Care of Northern Illinois, Ltd NOT COVERED

Good Shepard Hospital Advocate Medical Group Yacktman Pediatric Gastroenterology COVERED UNDER FAP

Good Shepard Hospital Advocate Health & Hospital Corp - Advocate Intensivist Partners COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group - Huntley - 13900 Quality Drive COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group - Libertyville - Breast Surgery COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group - Wonder Lake COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Algonquin Merchant Drive COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Barrington Internal Medicine COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group CAC COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Children's Hoffman Estate COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Christ Peds Hospitalist COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Condell Hospitalist COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Crystal Lake COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Ctr For Advanced Cardiology COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Downers Grove 3825 Highland COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Glenview Waukegan Rd COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Hospitalists COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Irving and Western COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Island Lake COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Lake Zurich COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group McHenry Ridgeview Drive COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Midwest Pediatric Cardio COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Neonatology COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Nesset Geriatric Medicine COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Nesset Physical Med & Rehab COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Oak Lawn Cardiology COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Parkside Cardiology COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Parkside Genetics COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Peds Hospitalist COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Trauma COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Trauma Surgery COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Wauconda COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Yacktman Pediatrics COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Yacktman Peds Cardiology COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Yacktman Peds Endocrinology COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group Yacktman Peds Neurology COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group-Crystal Lake-525 East Congress Parkway-Cardiology COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group-Elgin,1435 N Randall Rd-107 COVERED UNDER FAP

Good Shepard Hospital Advocate Medical Group-Fox River Grove-912 West Northwest Highway-Cardiology COVERED UNDER FAP

Good Shepard Hospital Aesthetic Plastic Surg Ctr of Barrington NOT COVERED

Good Shepard Hospital Affiliated Ear, Nose & Throat Physicians NOT COVERED

Good Shepard Hospital Afifi, M. Sherif-MD NOT COVERED

Good Shepard Hospital Aggarwal, Nimit K.-MD NOT COVERED

Good Shepard Hospital Al-Ani, Ismail -MD NOT COVERED

Good Shepard Hospital Ali, Asya Syed-MD NOT COVERED

Good Shepard Hospital Allergy & Asthma Associates, Ltd NOT COVERED

Good Shepard Hospital Alpine Foot Specialists, PC NOT COVERED

Good Shepard Hospital American Center for Spine and Neurosurgery NOT COVERED

Good Shepard Hospital Amiry Cardiology Consultant MD, SC NOT COVERED

Good Shepard Hospital Amita Health Medical Group-Lake Zurich NOT COVERED

Good Shepard Hospital Anderson, Christine M.-MD NOT COVERED

Good Shepard Hospital Antioch Oral & Maxilofacial Surgery NOT COVERED

Good Shepard Hospital Antonio C. Yuk, MD, SC NOT COVERED

Good Shepard Hospital Apollo Hospitalist Group, LLC NOT COVERED

Good Shepard Hospital Arthur L. Ostrowski, MD, SC NOT COVERED

Good Shepard Hospital Asselmeier, Scott Glen-MD NOT COVERED

Good Shepard Hospital Associated Allergists & Asthma Specialists, Ltd NOT COVERED

Good Shepard Hospital Associates in Nephrology, SC NOT COVERED

Page 35

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Good Shepard Hospital Bari, Naveed -MD NOT COVERED

Good Shepard Hospital Barrington Anesthesia Associates, SC NOT COVERED

Good Shepard Hospital Barrington Family Health Care NOT COVERED

Good Shepard Hospital Barrington Family Institute NOT COVERED

Good Shepard Hospital Barrington Health Care for Women NOT COVERED

Good Shepard Hospital Barrington Obstetrics & Gynecology Associates, LTD COVERED UNDER FAP

Good Shepard Hospital Barrington Plastic Surgery NOT COVERED

Good Shepard Hospital Barrington Surgeons, Ltd. NOT COVERED

Good Shepard Hospital Bastidas, Rodrigo -MD COVERED UNDER FAP

Good Shepard Hospital Beaird Dermatology S C NOT COVERED

Good Shepard Hospital Behzad Farah, MD, SC NOT COVERED

Good Shepard Hospital Best Practices Inpatient Care, Ltd NOT COVERED

Good Shepard Hospital Bethesda Medicare Services NOT COVERED

Good Shepard Hospital Bonk, Jeffrey Thomas-DDS NOT COVERED

Good Shepard Hospital Borgen, Kristina Rachelle-MD NOT COVERED

Good Shepard Hospital Boskov, Djordje -MD NOT COVERED

Good Shepard Hospital Bowersox, Keith D.-MD NOT COVERED

Good Shepard Hospital Bresticker, Michael A.-MD NOT COVERED

Good Shepard Hospital Bufalino, Vincent John-MD NOT COVERED

Good Shepard Hospital Burrell, Barbara F.-MD NOT COVERED

Good Shepard Hospital Burseth, Eric P.-MD NOT COVERED

Good Shepard Hospital C. Dean Katsamakis DO, FACC, SC NOT COVERED

Good Shepard Hospital Campbell, MaiBritt -MD NOT COVERED

Good Shepard Hospital Campbell, Michelle L.-NP NOT COVERED

Good Shepard Hospital Cardiac Arrhythmia Services NOT COVERED

Good Shepard Hospital Cardiac EP Consultants SC NOT COVERED

Good Shepard Hospital Cardiac Surgery Associates, SC NOT COVERED

Good Shepard Hospital Caring Family, SC NOT COVERED

Good Shepard Hospital Carol A. Kotzan, M.D., LLC NOT COVERED

Good Shepard Hospital Cary Grove Foot & Ankle Center NOT COVERED

Good Shepard Hospital Centegra Cardiology NOT COVERED

Good Shepard Hospital Centegra Neurology, SC NOT COVERED

Good Shepard Hospital Centegra Physician Care-Surgical Associates NOT COVERED

Good Shepard Hospital Centegra Surgical Associates NOT COVERED

Good Shepard Hospital Center for Facial Plastic Surgery NOT COVERED

Good Shepard Hospital Center for Maternal and Fetal Medicine NOT COVERED

Good Shepard Hospital Chan, Kerwin Tat Wei-MD NOT COVERED

Good Shepard Hospital Chest and Sleep Medicine Associates, SC NOT COVERED

Good Shepard Hospital Chest Medicine Consultants, SC NOT COVERED

Good Shepard Hospital Chicago Anesthesia Associates, SC NOT COVERED

Good Shepard Hospital Children & Teens Medical Center NOT COVERED

Good Shepard Hospital Children's Dentistry Group, LLC NOT COVERED

Good Shepard Hospital Children's Medical Group, SC NOT COVERED

Good Shepard Hospital Chitwood, Rick A.-DO NOT COVERED

Good Shepard Hospital Chojnacki, Anna M.-MD NOT COVERED

Good Shepard Hospital Christy Cardiology, Ltd NOT COVERED

Good Shepard Hospital Clocktower Psychological Associates NOT COVERED

Good Shepard Hospital Cohn, Kellen A.-DPM NOT COVERED

Good Shepard Hospital Collins, Steven M.-PA NOT COVERED

Good Shepard Hospital Comphrensive Kidney Care, LLC NOT COVERED

Good Shepard Hospital Comprehensive Urologic Care SC NOT COVERED

Good Shepard Hospital Core Orthopedics & Sports Medicine LLC NOT COVERED

Good Shepard Hospital Core Orthopedics & Sports Medicine, LLC NOT COVERED

Good Shepard Hospital Cosmetic & Plastic Surgery Associates MD SC NOT COVERED

Good Shepard Hospital Cotts, William Gerritt-MD COVERED UNDER FAP

Good Shepard Hospital Covenant Physiatry, SC NOT COVERED

Good Shepard Hospital Cross, Chadrick Antony-MD NOT COVERED

Good Shepard Hospital Crystal Lake Immediate Care Physicians Ltd. NOT COVERED

Page 36

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Good Shepard Hospital Crystal Lake Ophthalmology Assoc, PC NOT COVERED

Good Shepard Hospital Daksha Mehta, MD, SC NOT COVERED

Good Shepard Hospital Dallouli, Omar -MD NOT COVERED

Good Shepard Hospital Derick Dermatology, LLC NOT COVERED

Good Shepard Hospital Dermatology Specialists of Illinois, Ltd NOT COVERED

Good Shepard Hospital Dermuss LTD NOT COVERED

Good Shepard Hospital DeVault, Margaret Mary-PA NOT COVERED

Good Shepard Hospital Dobson, Laura Sue-NP NOT COVERED

Good Shepard Hospital Dr. Sutpal Singh, DPM, A Prof Corporation NOT COVERED

Good Shepard Hospital Dreyer Clinic - Rush Copley NOT COVERED

Good Shepard Hospital Drs Kane, Misawa & Nguyen, LLC NOT COVERED

Good Shepard Hospital Ear, Nose, Throat & Allergy Clinic NOT COVERED

Good Shepard Hospital Elissa M Virruso PC NOT COVERED

Good Shepard Hospital Elstrom & Hall, SC NOT COVERED

Good Shepard Hospital Evans, Diana M.-PA NOT COVERED

Good Shepard Hospital Family Medicine for McHenry County NOT COVERED

Good Shepard Hospital Family Practice Specialist, S.C. NOT COVERED

Good Shepard Hospital Farooki, Basheeruddin M.-MD NOT COVERED

Good Shepard Hospital Fertility Centers of Illinois, SC NOT COVERED

Good Shepard Hospital Flood, James P.-DPM NOT COVERED

Good Shepard Hospital Fojtik, Joseph Edward-MD COVERED UNDER FAP

Good Shepard Hospital Foot and Ankle Specialists of Illinois, Ltd. NOT COVERED

Good Shepard Hospital George Hvostik MD, SC NOT COVERED

Good Shepard Hospital George Nahra, M.D. NOT COVERED

Good Shepard Hospital Germbusters, P.C. NOT COVERED

Good Shepard Hospital GI Partners of Illinois, LLC NOT COVERED

Good Shepard Hospital Gitelis Orthopedics, Ltd NOT COVERED

Good Shepard Hospital Global Care SC - Palatine Heart Center NOT COVERED

Good Shepard Hospital Goesel, Christopher Louis-MD NOT COVERED

Good Shepard Hospital Gonzalez, Miguel Gudelio G.-MD NOT COVERED

Good Shepard Hospital Gordon, Paul J.-MD NOT COVERED

Good Shepard Hospital Gorelick, Gleb H.-MD NOT COVERED

Good Shepard Hospital Haraldsson, Catherine A.-PA NOT COVERED

Good Shepard Hospital Hashmi, Faiza -MD NOT COVERED

Good Shepard Hospital Heart Rhythm Center NOT COVERED

Good Shepard Hospital Heart Rhythm Management of Lake County Ltd NOT COVERED

Good Shepard Hospital Heartcare Cardiovascular Specialists, SC NOT COVERED

Good Shepard Hospital Heightened Health S.C NOT COVERED

Good Shepard Hospital Herbert C. Becker Jr., MD SC NOT COVERED

Good Shepard Hospital Herwick, Steven M.-MD NOT COVERED

Good Shepard Hospital Hodakowski, George T.-MD NOT COVERED

Good Shepard Hospital Hoffman Estates Dermatology NOT COVERED

Good Shepard Hospital Hoffman-Barrington Internal Medicine Specialists NOT COVERED

Good Shepard Hospital Horizons Behavioral Health NOT COVERED

Good Shepard Hospital Housner, Ryan Joseph-PA NOT COVERED

Good Shepard Hospital Ibe, Eberechukwu Odoji-MD NOT COVERED

Good Shepard Hospital Illinois Bone & Joint Institute LLC NOT COVERED

Good Shepard Hospital Illinois Gastroenterology Group, LLC NOT COVERED

Good Shepard Hospital Illinois Pain Institute NOT COVERED

Good Shepard Hospital Internal Medicine Associates, SC NOT COVERED

Good Shepard Hospital InVia Fertility NOT COVERED

Good Shepard Hospital James A. Baird, DPM, PC NOT COVERED

Good Shepard Hospital James J. Nuzzo, DPM, SC NOT COVERED

Good Shepard Hospital Jeffrey D. Gindorf, PC NOT COVERED

Good Shepard Hospital Jeffrey T. Bonk, D.D.S NOT COVERED

Good Shepard Hospital John W. Van Gilder, DDS NOT COVERED

Good Shepard Hospital Joseph V. Baldassano, DDS, MSD, LLC NOT COVERED

Good Shepard Hospital Jweied, Eias -MD NOT COVERED

Page 37

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Good Shepard Hospital Kanu Panchal MD, SC NOT COVERED

Good Shepard Hospital Karlin, Karyn H.-MD COVERED UNDER FAP

Good Shepard Hospital Kasturi Medical Care, Ltd NOT COVERED

Good Shepard Hospital Kazmer Foot and Ankle Centers, Ltd NOT COVERED

Good Shepard Hospital Kidney Care Center Elgin, LLC NOT COVERED

Good Shepard Hospital Kim, Oliver S.-MD NOT COVERED

Good Shepard Hospital Kirshenbaum, Kevin J.-MD NOT COVERED

Good Shepard Hospital Kirshenbaum, Myron D.-MD NOT COVERED

Good Shepard Hospital Kizilbash, Mohammad Ali-MD NOT COVERED

Good Shepard Hospital Klich, Janice Ruth-MD NOT COVERED

Good Shepard Hospital Kohn, Ricardo Daniel-MD COVERED UNDER FAP

Good Shepard Hospital Kubik, Gregory F.-DDS NOT COVERED

Good Shepard Hospital Kummerer, Robert G.-MD NOT COVERED

Good Shepard Hospital Lake Barrington Women's Health Center PC NOT COVERED

Good Shepard Hospital Lake County Neurosurgery LLC NOT COVERED

Good Shepard Hospital Lake County Surgeons, PC NOT COVERED

Good Shepard Hospital Lake Shore Pediatrics, Ltd NOT COVERED

Good Shepard Hospital Lee, Ashley Brook-DPM NOT COVERED

Good Shepard Hospital Lehman & Menis Oral & Maxillofacial Surg NOT COVERED

Good Shepard Hospital LG Healthcare, LLC NOT COVERED

Good Shepard Hospital Lincoln B Pain Clinic, Ltd. COVERED UNDER FAP

Good Shepard Hospital Lindberg, Amy Elizabeth-PA NOT COVERED

Good Shepard Hospital Lyon, John H.-MD NOT COVERED

Good Shepard Hospital Macaluso, Gregory Paul-MD COVERED UNDER FAP

Good Shepard Hospital Mann, Stewart Ralph-MD NOT COVERED

Good Shepard Hospital Martinez, Charles Richard-DDS NOT COVERED

Good Shepard Hospital McHenry Heart Institute NOT COVERED

Good Shepard Hospital Medical and Heart Clinic SC NOT COVERED

Good Shepard Hospital Medical Associates of Crystal Lake, LLC NOT COVERED

Good Shepard Hospital Mehmood, Sajid -MD NOT COVERED

Good Shepard Hospital Mercy Algonquin Medical Center NOT COVERED

Good Shepard Hospital Mercy Barrington Medical Center NOT COVERED

Good Shepard Hospital Mercy Crystal Lake East NOT COVERED

Good Shepard Hospital Mercy Crystal Lake Medical Center-South NOT COVERED

Good Shepard Hospital Mercy Crystal Lake South NOT COVERED

Good Shepard Hospital Mercy Medical Center Cardiology Clinic NOT COVERED

Good Shepard Hospital Mercy Medical Center,Woodstock NOT COVERED

Good Shepard Hospital Mercy Woodstock Medical Center NOT COVERED

Good Shepard Hospital Metro Heart & Vascular Institute, Ltd NOT COVERED

Good Shepard Hospital Metro Infectious Disease Consultants, LLC NOT COVERED

Good Shepard Hospital Midwest Bone & Joint Institute NOT COVERED

Good Shepard Hospital Midwest Endocrinology, LLC NOT COVERED

Good Shepard Hospital Midwest Lakes Medical Center SC NOT COVERED

Good Shepard Hospital Midwest Lung and Sleep Consultants NOT COVERED

Good Shepard Hospital Midwest Plastic Surgery Specialists NOT COVERED

Good Shepard Hospital Midwest Pulmonary Associates, SC NOT COVERED

Good Shepard Hospital Minneapolis VA Medical center NOT COVERED

Good Shepard Hospital Mo, Josephine Huang-MD NOT COVERED

Good Shepard Hospital Mohammad, Zulfiqar -MD NOT COVERED

Good Shepard Hospital Montalbano, Catherine Boyle-MD NOT COVERED

Good Shepard Hospital Nadimpalli, Suryaprakasharao -MD NOT COVERED

Good Shepard Hospital Nawas, Sammy I.-MD NOT COVERED

Good Shepard Hospital Nazarian, Arthur -MD NOT COVERED

Good Shepard Hospital Nephrology Associates of Northern Illinois, LTD NOT COVERED

Good Shepard Hospital Nitin Kher, MD SC NOT COVERED

Good Shepard Hospital North Shore Oncology/Hematology Assoc. Ltd NOT COVERED

Good Shepard Hospital North Shore Urogynecology LTD NOT COVERED

Good Shepard Hospital Northern Illinois Foot & Ankle Specialists, Ltd NOT COVERED

Page 38

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Good Shepard Hospital NorthShore University Health System NOT COVERED

Good Shepard Hospital Northwest Cardiology Associates, SC NOT COVERED

Good Shepard Hospital Northwest Eye Center NOT COVERED

Good Shepard Hospital Northwest Kidney Specialists, Inc NOT COVERED

Good Shepard Hospital Northwest Neurology, Ltd NOT COVERED

Good Shepard Hospital Northwest Oncology & Hematology, SC NOT COVERED

Good Shepard Hospital Northwest Pulmonary and Sleep Medicine, SC NOT COVERED

Good Shepard Hospital Northwest Rheumatology Specialists, SC NOT COVERED

Good Shepard Hospital Northwest Suburban Foot and Ankle Clinic NOT COVERED

Good Shepard Hospital Northwest Suburban Oncology and Hematology Associates SC NOT COVERED

Good Shepard Hospital Northwestern Regional Medical Group NOT COVERED

Good Shepard Hospital Novas Dohr & Coll OB/GYN Associates, SC NOT COVERED

Good Shepard Hospital O. Bartolomeo MD, SC NOT COVERED

Good Shepard Hospital OMSO Medical, Ltd NOT COVERED

Good Shepard Hospital Oral Facial & Implant Specialists, P.C NOT COVERED

Good Shepard Hospital Osoba, Laura Elizabeth-PA NOT COVERED

Good Shepard Hospital Padmini Thakkar, MD, SC NOT COVERED

Good Shepard Hospital Palatine Heart Center NOT COVERED

Good Shepard Hospital Pappas, Patroklos S.-MD NOT COVERED

Good Shepard Hospital Patel, Heeren Rajesh-MD NOT COVERED

Good Shepard Hospital Patel, Smitesh R.-MD NOT COVERED

Good Shepard Hospital Patel, Subhash R.-MD NOT COVERED

Good Shepard Hospital Patil, Abhijit Ashok-MD NOT COVERED

Good Shepard Hospital Pauwaa, Annie A.-PA NOT COVERED

Good Shepard Hospital Pediatric Care, PC NOT COVERED

Good Shepard Hospital Pediatric Specialists of the Northwest NOT COVERED

Good Shepard Hospital PediaTrust, LLC NOT COVERED

Good Shepard Hospital Pesavento, Daniel J.-MD NOT COVERED

Good Shepard Hospital Polito, William Fred-MD NOT COVERED

Good Shepard Hospital Prabhakar, Naveen -MD NOT COVERED

Good Shepard Hospital Prasad, Bharati -MD NOT COVERED

Good Shepard Hospital Premier Eye Care & Surgery, Ltd NOT COVERED

Good Shepard Hospital Primary Care Providers of Chicago, SC NOT COVERED

Good Shepard Hospital Progressive Eye Care, SC NOT COVERED

Good Shepard Hospital Proponent Medical Group, Ltd NOT COVERED

Good Shepard Hospital Pulmonary & Critical Care Consultants,SC NOT COVERED

Good Shepard Hospital Pulmonary & Sleep Medicine Clinic, LLC NOT COVERED

Good Shepard Hospital Pulmonary Critical Care & Sleep Medicine Specialists, SC NOT COVERED

Good Shepard Hospital Pulmonary Medicine NOT COVERED

Good Shepard Hospital Radiation Oncology Consultants, Ltd NOT COVERED

Good Shepard Hospital Rahman, Ihtesham-ur Syed-MD NOT COVERED

Good Shepard Hospital Randolph, Guy Robert-MD NOT COVERED

Good Shepard Hospital Randy Zimmerman, MD,SC NOT COVERED

Good Shepard Hospital Rappleye, Mark F.-DDS NOT COVERED

Good Shepard Hospital Reena Jabamoni, MD, SC NOT COVERED

Good Shepard Hospital Rehabilitation Institute of Chicago NOT COVERED

Good Shepard Hospital Retina Services of Illinois, LLC NOT COVERED

Good Shepard Hospital Retzer, Elizabeth Marie-MD NOT COVERED

Good Shepard Hospital RIC- Physicial Medicine & Rehabiliation NOT COVERED

Good Shepard Hospital Ricardo N. Nabong, MD, SC NOT COVERED

Good Shepard Hospital Robert S. Kipferl, DPM, SC NOT COVERED

Good Shepard Hospital Robert Schwartzenberg, MD, PC NOT COVERED

Good Shepard Hospital Roseann Brady, DO, SC NOT COVERED

Good Shepard Hospital Rush University Medical Center NOT COVERED

Good Shepard Hospital Sage Medical Group, SC NOT COVERED

Good Shepard Hospital Saker, Mark B.-MD NOT COVERED

Good Shepard Hospital Salvi, Thomas G.-MD NOT COVERED

Good Shepard Hospital Sateesha, Priya -MD NOT COVERED

Page 39

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Good Shepard Hospital Senior Healthcare Solutions, Inc NOT COVERED

Good Shepard Hospital Shah, Parinda Haresh-MD NOT COVERED

Good Shepard Hospital Shah, Sanket Chitranjan-MD NOT COVERED

Good Shepard Hospital Shahid Ilahi, MD, SC NOT COVERED

Good Shepard Hospital Singh, Amarjit -MD NOT COVERED

Good Shepard Hospital Sitapara, Urvashi -NP COVERED UNDER FAP

Good Shepard Hospital Specialists in Gastroenterology NOT COVERED

Good Shepard Hospital Specialty Care Institute, SC NOT COVERED

Good Shepard Hospital Sriram, Krishnan -MD NOT COVERED

Good Shepard Hospital Stephen Madry, MD NOT COVERED

Good Shepard Hospital Stern, David Ross-MD NOT COVERED

Good Shepard Hospital Stinson, William Arthur-MD NOT COVERED

Good Shepard Hospital Subramanian, Sanjay -MD NOT COVERED

Good Shepard Hospital Suburban Endocrinology and Diabetes, LLP NOT COVERED

Good Shepard Hospital Suburban Plastic Surgery NOT COVERED

Good Shepard Hospital Suburban Sleep and Pulmonary Medicine SC NOT COVERED

Good Shepard Hospital Suzue, Kimiko -MD NOT COVERED

Good Shepard Hospital Syed S. Asghar, MD, PC NOT COVERED

Good Shepard Hospital Tatooles, Antone John-MD NOT COVERED

Good Shepard Hospital The American Center for Spine & Neurosurgery, LLC NOT COVERED

Good Shepard Hospital The Barrington Center: Psychotherapy and Wellness NOT COVERED

Good Shepard Hospital The Elgin Clinic, Ltd NOT COVERED

Good Shepard Hospital The Illinois Center for Digestive and Liver Health NOT COVERED

Good Shepard Hospital The Vision Institute of Illinois, Inc NOT COVERED

Good Shepard Hospital Thomson Memory Center NOT COVERED

Good Shepard Hospital Tomchik, Kenneth J.-MD NOT COVERED

Good Shepard Hospital Tomlin, Jeffrey S.-MD NOT COVERED

Good Shepard Hospital Tonkovic, Russell J.-MD COVERED UNDER FAP

Good Shepard Hospital Tri-County Emergency Physicians, Ltd NOT COVERED

Good Shepard Hospital Uhl, Justin Nelson-MD NOT COVERED

Good Shepard Hospital University Gynecologic Oncology Assoc. NOT COVERED

Good Shepard Hospital University Medicine and Cardiology NOT COVERED

Good Shepard Hospital Uraizee, Faheem -MD COVERED UNDER FAP

Good Shepard Hospital UrbanCare Internal Medicine NOT COVERED

Good Shepard Hospital Vios Fertility Institute Chicago, LLC NOT COVERED

Good Shepard Hospital Virtual Radiologic Professionals, LLC NOT COVERED

Good Shepard Hospital Votapka, Timothy V.-MD NOT COVERED

Good Shepard Hospital Wang, Kun -MD COVERED UNDER FAP

Good Shepard Hospital Wear, Vanessa Van Duyn-MD NOT COVERED

Good Shepard Hospital Weigel, Thomas J.-MD NOT COVERED

Good Shepard Hospital Weiss, Joshua Alan-DO NOT COVERED

Good Shepard Hospital Whispering Point Ophthalmology SC NOT COVERED

Good Shepard Hospital Yau, Tiffanie Si-Wai-PA NOT COVERED

Good Shepard Hospital Zdon, Jacqueline Rose-PA NOT COVERED

Good Shepard Hospital Zuiderveld, Loren David-MD NOT COVERED

Illinois Masonic Medical Center 3P4Care (IL) LLC Avondale NOT COVERED

Illinois Masonic Medical Center Adajar, Marc Allan-MD COVERED UNDER FAP

Illinois Masonic Medical Center Advanced Cancer Clinic, Ltd NOT COVERED

Illinois Masonic Medical Center Advanced Skin and Mohs Surgery Center NOT COVERED

Illinois Masonic Medical Center Advanced Surgical Care of Northern Illinois, Ltd NOT COVERED

Illinois Masonic Medical Center Advanced Women's Health of Chicago NOT COVERED

Illinois Masonic Medical Center Advocate Medical Group Yacktman Pediatric Gastroenterology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Health & Hospital Corp - Advocate Intensivist Partners COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group - Chicago - 1945 West Wilson COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group - Chicago - 900 W Nelson - Digestive Health COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group - Chicago - North Broadway COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group - Chicago - Trinity - Emergency Medicine COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group - Des Plaines - Rand Rd COVERED UNDER FAP

Page 40

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Illinois Masonic Medical Center Advocate Medical Group - Downers Grove - 3551 Highland Ave - Neurosurgery COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group - Libertyville - Neurology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group - Oak Lawn - 4440 W 95th Street - Hospitalists COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group - Oak Lawn - 4440 W 95th Street - Pediatric Orthopedics COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group - Park Ridge - 1875 Dempster - Neurology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group - Park Ridge 1875 Dempster COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group - Progressive COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Antenatal COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group CAC COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Cardiac Arrhythmia COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Chicago - Ashland Ave COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Chicago 4600 N Ravenswood Ave OBGYN COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Chicago-Ashland Ave COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Chicago-North Cicero Avenue COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Christ Peds Hospitalist COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Clinical Ethics and Pallative Medicine COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Condell Hospitalist COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Ctr For Advanced Cardiology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Downers Grove 3825 Highland COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Downers Grove Highland Avenue COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Emergency Medicine COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Halsted COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Halsted and Blackhawk COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Halsted Neurology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Halsted Neurosurgery COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Halsted OB/Gyne COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Halsted Urogynecology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Halsted Urology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Halsted Vascular Surgery COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Hospitalist COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Hospitalists COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group IMMC COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Irving and Western COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Lincolnwood COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Maternal Fetal COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Midwest Pediatric Cardio COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Midwest Pediatric Cardiology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Nesset Endocrinology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Nesset Family Medicine COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Nesset Internal Medicine COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Nesset Neurology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Neurointerventional Surgery COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Oak Lawn Neurosurgery COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Oak Lawn Pediatrics General Surgery COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Orland Park COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Palliative Medicine COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Parkside Genetics COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Parkside Maternal Fetal COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Pediatric Cardiovascular Surgery COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Pediatrics Developmental Center COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Peds Hospitalist COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Ravenswood Family Medicine COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Ravenswood Primary Care COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Rheumatology Center COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group South Holland Hospitalist COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Surgery COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Sykes COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Trauma COVERED UNDER FAP

Page 41

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Illinois Masonic Medical Center Advocate Medical Group Trauma Surgery COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Wellington Psychiatry COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Wilton COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Wilton Endocrinology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Wilton Internal Medicine COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Wilton OB/Gyne COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Yacktman Peds Cardiology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Yacktman Peds Endocrinology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Yacktman Peds General Surgery COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Yacktman Peds Neurology COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Yacktman Peds Plastic Surg COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group Yacktman Peds Sports Med COVERED UNDER FAP

Illinois Masonic Medical Center Advocate Medical Group-Downers Grove, 3825 Highland Ave.-Palliative Care COVERED UNDER FAP

Illinois Masonic Medical Center Afifi, M. Sherif-MD NOT COVERED

Illinois Masonic Medical Center Aggarwal, Nimit K.-MD NOT COVERED

Illinois Masonic Medical Center Ahluwalia, Mukesh K.-MD COVERED UNDER FAP

Illinois Masonic Medical Center AIMMC Congestive Heart Failure Clinic COVERED UNDER FAP

Illinois Masonic Medical Center AIMMC Nurse Midwifery Service COVERED UNDER FAP

Illinois Masonic Medical Center AKG Medical Service Corporation NOT COVERED

Illinois Masonic Medical Center Alameda Foot Center PC NOT COVERED

Illinois Masonic Medical Center Al-Ani, Ismail -MD NOT COVERED

Illinois Masonic Medical Center Aleksandar L. Krunic, MD, SC NOT COVERED

Illinois Masonic Medical Center Ali, Arif -MD NOT COVERED

Illinois Masonic Medical Center Alischoewski, Kerstin -MD NOT COVERED

Illinois Masonic Medical Center All For Women Healthcare, SC NOT COVERED

Illinois Masonic Medical Center All Kids Dental NOT COVERED

Illinois Masonic Medical Center All Women's Medical Center NOT COVERED

Illinois Masonic Medical Center Allen, Joyce A.-NP NOT COVERED

Illinois Masonic Medical Center Allergy Center, Inc. NOT COVERED

Illinois Masonic Medical Center Alliance Immediate and Primary Care NOT COVERED

Illinois Masonic Medical Center Amjad Z. Ahmad, MD, SC NOT COVERED

Illinois Masonic Medical Center Anderson, Christine M.-MD NOT COVERED

Illinois Masonic Medical Center Anil Shah MD FACS SC NOT COVERED

Illinois Masonic Medical Center Ankle N Foot Centers, LLC NOT COVERED

Illinois Masonic Medical Center Applebaum, Michael Israel-MD NOT COVERED

Illinois Masonic Medical Center Arbor Center for Eyecare, SC NOT COVERED

Illinois Masonic Medical Center Aronson, Andrew James-MD NOT COVERED

Illinois Masonic Medical Center Arun, Haleyur P.-MD NOT COVERED

Illinois Masonic Medical Center Asad Zaman, MD, SC NOT COVERED

Illinois Masonic Medical Center Ashland Medical Clinic NOT COVERED

Illinois Masonic Medical Center Ashok M. Doshi, MD, SC, Ltd. NOT COVERED

Illinois Masonic Medical Center Asselmeier, Scott Glen-MD NOT COVERED

Illinois Masonic Medical Center Associates in Nephrology, SC NOT COVERED

Illinois Masonic Medical Center Atcha, Ismail E.-MD NOT COVERED

Illinois Masonic Medical Center Auerbach, Larry Alan-MD NOT COVERED

Illinois Masonic Medical Center August, Carey Z.-MD NOT COVERED

Illinois Masonic Medical Center Bahena, Yesenia -MD NOT COVERED

Illinois Masonic Medical Center Ball, John T.-MD NOT COVERED

Illinois Masonic Medical Center Bari, Naveed -MD NOT COVERED

Illinois Masonic Medical Center Barry Summers, MD, SC COVERED UNDER FAP

Illinois Masonic Medical Center Bastani, Ahmad -MD NOT COVERED

Illinois Masonic Medical Center Beaird Dermatology S C NOT COVERED

Illinois Masonic Medical Center Behnke, Pamela Sue-CNM NOT COVERED

Illinois Masonic Medical Center Benz, James David-DDS NOT COVERED

Illinois Masonic Medical Center Best Practices Inpatient Care, Ltd NOT COVERED

Illinois Masonic Medical Center Bishop, Margaret E.-CRNA NOT COVERED

Illinois Masonic Medical Center Bonaventure Medical Foundation NOT COVERED

Illinois Masonic Medical Center Bradley, Heidi L.-CNS NOT COVERED

Page 42

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Illinois Masonic Medical Center Broadway Medical Office, SC NOT COVERED

Illinois Masonic Medical Center Brown, Finley W.-MD NOT COVERED

Illinois Masonic Medical Center Bucher Medical Services, SC NOT COVERED

Illinois Masonic Medical Center Buse, Susan McGary-CNS NOT COVERED

Illinois Masonic Medical Center Campbell, MaiBritt -MD NOT COVERED

Illinois Masonic Medical Center Cancer Treatment Center NOT COVERED

Illinois Masonic Medical Center Cardiac Associates SC NOT COVERED

Illinois Masonic Medical Center Cardiac Surgery Associates, SC NOT COVERED

Illinois Masonic Medical Center CardioMedical Associates, Ltd. NOT COVERED

Illinois Masonic Medical Center Carlos H. Zambrano, MD, LLC NOT COVERED

Illinois Masonic Medical Center Center for Asthma and Allergy, SC NOT COVERED

Illinois Masonic Medical Center Chest Medicine Consultants, SC NOT COVERED

Illinois Masonic Medical Center Chicago Anesthesia Associates, SC NOT COVERED

Illinois Masonic Medical Center Chicago Anesthesiology Pain Specialists, LLC NOT COVERED

Illinois Masonic Medical Center Chicago Eye Institute NOT COVERED

Illinois Masonic Medical Center Chicago Family Asthma & Allergy, SC NOT COVERED

Illinois Masonic Medical Center Chicago Family Wellness SC COVERED UNDER FAP

Illinois Masonic Medical Center Chicago Foot Health Centers, LLC COVERED UNDER FAP

Illinois Masonic Medical Center Chicago Gastro, LLC NOT COVERED

Illinois Masonic Medical Center Chicago Heart Rhythm, LLC NOT COVERED

Illinois Masonic Medical Center Chicago Institute of Advanced Surgery NOT COVERED

Illinois Masonic Medical Center Chicago Institute of Orthopedics NOT COVERED

Illinois Masonic Medical Center Chicago Maternal-Fetal Medicine, SC NOT COVERED

Illinois Masonic Medical Center Chicago Nasal & Sinus Center, SC NOT COVERED

Illinois Masonic Medical Center Chicago Ophthalmology, PC NOT COVERED

Illinois Masonic Medical Center Chicago Orthopaedics & Sports Medicine, SC NOT COVERED

Illinois Masonic Medical Center Chicago Pediatric Clinic Corp NOT COVERED

Illinois Masonic Medical Center Chicago Rheumatology and Medical Clinic NOT COVERED

Illinois Masonic Medical Center Chicago Smile Specialists NOT COVERED

Illinois Masonic Medical Center Chicagoland Complete Healthcare, LLC NOT COVERED

Illinois Masonic Medical Center Chitown Orthopaedics & Sports Medicine, SC NOT COVERED

Illinois Masonic Medical Center Chiu, Bill -MD NOT COVERED

Illinois Masonic Medical Center Chojnacki, Anna M.-MD NOT COVERED

Illinois Masonic Medical Center CIMPAR, SC NOT COVERED

Illinois Masonic Medical Center CK Pulmonary Associates, SC NOT COVERED

Illinois Masonic Medical Center Coleman J. Spector,DDS NOT COVERED

Illinois Masonic Medical Center Comphrensive Kidney Care, LLC NOT COVERED

Illinois Masonic Medical Center Conran, Michael Thomas-PA NOT COVERED

Illinois Masonic Medical Center Consultants in Neurology, Ltd NOT COVERED

Illinois Masonic Medical Center Costas, Chris Odess-MD NOT COVERED

Illinois Masonic Medical Center Creticos I.D. Associates, SC NOT COVERED

Illinois Masonic Medical Center D&A Dermatology NOT COVERED

Illinois Masonic Medical Center David Spindel, MD, SC NOT COVERED

Illinois Masonic Medical Center DeKalb Eye Consultants, LLC - Lakeside Eye Group NOT COVERED

Illinois Masonic Medical Center DeLaCruz, Marco Antonio-MD NOT COVERED

Illinois Masonic Medical Center Dennis T. Manshio, MD, PhD, SC NOT COVERED

Illinois Masonic Medical Center Dental Art Specialists NOT COVERED

Illinois Masonic Medical Center Dental Practice of Lincoln Park NOT COVERED

Illinois Masonic Medical Center Dental Salon NOT COVERED

Illinois Masonic Medical Center Dermatology Physicians Group, LLC NOT COVERED

Illinois Masonic Medical Center Diamond, Ilysa R.-DO NOT COVERED

Illinois Masonic Medical Center Dickson, Miriam Altagarcia-MD NOT COVERED

Illinois Masonic Medical Center DiMaria, Frank R.-DO NOT COVERED

Illinois Masonic Medical Center Dini, Kourosh M.-MD NOT COVERED

Illinois Masonic Medical Center Dray, Philip Bruce-MD NOT COVERED

Illinois Masonic Medical Center Dreyer Clinic - Rush Copley NOT COVERED

Illinois Masonic Medical Center EP Consultation, Ltd NOT COVERED

Illinois Masonic Medical Center Ermias Tilahun, MD, SC NOT COVERED

Page 43

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Illinois Masonic Medical Center Excel Kidney Care LLC NOT COVERED

Illinois Masonic Medical Center Eye Physicians and Surgeons of Chicago, SC NOT COVERED

Illinois Masonic Medical Center Facial Aesthetics Center of Excellence, PC NOT COVERED

Illinois Masonic Medical Center Faibussowitsch, Ilja -MD NOT COVERED

Illinois Masonic Medical Center Family Doctor Medical Center, SC NOT COVERED

Illinois Masonic Medical Center Farooki, Basheeruddin M.-MD NOT COVERED

Illinois Masonic Medical Center Farrell, Jennifer R.-DDS NOT COVERED

Illinois Masonic Medical Center Fertility Centers of Illinois, SC NOT COVERED

Illinois Masonic Medical Center Fink, Andrea Helene-PhD NOT COVERED

Illinois Masonic Medical Center Forbess, Joseph Matthew-MD COVERED UNDER FAP

Illinois Masonic Medical Center Gaddam, Eliyazar -MD NOT COVERED

Illinois Masonic Medical Center Galambos, Linda A.-NP NOT COVERED

Illinois Masonic Medical Center G-Amlak, Maaza Girma-MD NOT COVERED

Illinois Masonic Medical Center Gastroenterology & Associates, SC NOT COVERED

Illinois Masonic Medical Center Gaziano, Dominic J.-MD NOT COVERED

Illinois Masonic Medical Center Gelsomino, Steven L.-DPM NOT COVERED

Illinois Masonic Medical Center Gerstein Eye Institute NOT COVERED

Illinois Masonic Medical Center GI Partners of Illinois, LLC NOT COVERED

Illinois Masonic Medical Center GI Solutions of Illinois, LLC NOT COVERED

Illinois Masonic Medical Center Gill, Sukhjit S.-MD NOT COVERED

Illinois Masonic Medical Center Gluskin, Lawrence E.-MD NOT COVERED

Illinois Masonic Medical Center Goesel, Christopher Louis-MD NOT COVERED

Illinois Masonic Medical Center Gonzalez, Maria E.-MD NOT COVERED

Illinois Masonic Medical Center Gorelick, Gleb H.-MD NOT COVERED

Illinois Masonic Medical Center Gorman, Julie Topic-DO NOT COVERED

Illinois Masonic Medical Center Grand Vein Specialists, LLC NOT COVERED

Illinois Masonic Medical Center Great Chicago Smiles, PC NOT COVERED

Illinois Masonic Medical Center Greenview Health Center Charter NOT COVERED

Illinois Masonic Medical Center Gripentrog, Drew T.-DMD NOT COVERED

Illinois Masonic Medical Center Grunsten, Robert -MD NOT COVERED

Illinois Masonic Medical Center Gunaratnam, Lettricia R.-MD NOT COVERED

Illinois Masonic Medical Center Gurau, Izabella -MD NOT COVERED

Illinois Masonic Medical Center Haiderzad, Fatma Sadaf-CRNA NOT COVERED

Illinois Masonic Medical Center Hallar, Erin L.-CRNA NOT COVERED

Illinois Masonic Medical Center Hamdard Center for Health & Human Services NOT COVERED

Illinois Masonic Medical Center Hanson, David H.-DDS NOT COVERED

Illinois Masonic Medical Center Harris, Faith C.-CNM NOT COVERED

Illinois Masonic Medical Center Hashmi, Faiza -MD NOT COVERED

Illinois Masonic Medical Center Head & Neck Cosmetic Surgery Associates, Ltd NOT COVERED

Illinois Masonic Medical Center Health Direction Medical Center, SC NOT COVERED

Illinois Masonic Medical Center Heart Specialist, Inc NOT COVERED

Illinois Masonic Medical Center Heartland International Health Center NOT COVERED

Illinois Masonic Medical Center Heartland International Health Center-Wilson NOT COVERED

Illinois Masonic Medical Center Herwick, Steven M.-MD NOT COVERED

Illinois Masonic Medical Center Hinsdale Orthopaedic Associates, SC NOT COVERED

Illinois Masonic Medical Center Howard Brown Health Center NOT COVERED

Illinois Masonic Medical Center Hubjer, Lamija -PA NOT COVERED

Illinois Masonic Medical Center Hussaini, Syed F.-MD NOT COVERED

Illinois Masonic Medical Center IL Sports Medicine & Ortho Centers NOT COVERED

Illinois Masonic Medical Center Illinois Allergy and Asthma Specialists, SC NOT COVERED

Illinois Masonic Medical Center Illinois Allergy Asthma & Sinus Center NOT COVERED

Illinois Masonic Medical Center Illinois Bone & Joint Institute LLC NOT COVERED

Illinois Masonic Medical Center Illinois Dermatology Institute, LLC NOT COVERED

Illinois Masonic Medical Center Illinois Gastroenterology and Hepatology NOT COVERED

Illinois Masonic Medical Center Illinois Masonic Behavioral Health NOT COVERED

Illinois Masonic Medical Center Illinois Retina Associates, SC NOT COVERED

Illinois Masonic Medical Center Institute for Human Reproduction NOT COVERED

Illinois Masonic Medical Center Integrated Pain Management, SC NOT COVERED

Page 44

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Illinois Masonic Medical Center Jeon, Howard S.-DMD NOT COVERED

Illinois Masonic Medical Center John, Annie -MD NOT COVERED

Illinois Masonic Medical Center Joyful Smiles Pediatric Dentistry NOT COVERED

Illinois Masonic Medical Center Juan Chediak, MD NOT COVERED

Illinois Masonic Medical Center Julie Wehner, MD SC NOT COVERED

Illinois Masonic Medical Center Just Kids Dental, PC NOT COVERED

Illinois Masonic Medical Center Kachru, Anil -MD NOT COVERED

Illinois Masonic Medical Center Kap J. No, MD, SC NOT COVERED

Illinois Masonic Medical Center Khare, Rahul K.-MD COVERED UNDER FAP

Illinois Masonic Medical Center Kidney & Hypertension Consultants, SC NOT COVERED

Illinois Masonic Medical Center Kidz Health NOT COVERED

Illinois Masonic Medical Center Kirshenbaum, Gary L.-MD NOT COVERED

Illinois Masonic Medical Center Kirshenbaum, Kevin J.-MD NOT COVERED

Illinois Masonic Medical Center Kirshenbaum, Myron D.-MD NOT COVERED

Illinois Masonic Medical Center Klich, Janice Ruth-MD NOT COVERED

Illinois Masonic Medical Center Koo, Nathaniel -MD NOT COVERED

Illinois Masonic Medical Center Kozlowski, Catherine Nelson-PA NOT COVERED

Illinois Masonic Medical Center Kranzler, Leonard Irwin-MD NOT COVERED

Illinois Masonic Medical Center Kumar, Surender -MD NOT COVERED

Illinois Masonic Medical Center Lai, Ying Hao-MD NOT COVERED

Illinois Masonic Medical Center Lake Shore Medical Associates, Ltd NOT COVERED

Illinois Masonic Medical Center Lakeshore Eye Physicians NOT COVERED

Illinois Masonic Medical Center Lakeshore Medical Consultants NOT COVERED

Illinois Masonic Medical Center Lakeview Integrative Medicine NOT COVERED

Illinois Masonic Medical Center Lakeview Plastic Surgery, LLC NOT COVERED

Illinois Masonic Medical Center Lakeview Pulmonary & Sleep Consultants, Ltd. NOT COVERED

Illinois Masonic Medical Center Lawrence H. Iteld, MD, LLC NOT COVERED

Illinois Masonic Medical Center Lawrence M. Kaufman, MD PhD SC NOT COVERED

Illinois Masonic Medical Center Levinson, Dennis Joel-MD NOT COVERED

Illinois Masonic Medical Center Lieder, Charles Marshall-DO NOT COVERED

Illinois Masonic Medical Center Lincoln Foot & Ankle Center NOT COVERED

Illinois Masonic Medical Center Lincoln Park Family Physicians SC NOT COVERED

Illinois Masonic Medical Center Lincoln Park OB/GYN SC NOT COVERED

Illinois Masonic Medical Center Lincoln Pediatric Center, PC NOT COVERED

Illinois Masonic Medical Center Madanes, Amos E.-MD NOT COVERED

Illinois Masonic Medical Center Maker Surgical, SC NOT COVERED

Illinois Masonic Medical Center Maldonado, Janette -MD NOT COVERED

Illinois Masonic Medical Center Malecki, Zbigniew W.-MD NOT COVERED

Illinois Masonic Medical Center Malhotra, Gautam -MD NOT COVERED

Illinois Masonic Medical Center Manjeet S. Chawla MD Ltd. NOT COVERED

Illinois Masonic Medical Center Mann, Stewart Ralph-MD NOT COVERED

Illinois Masonic Medical Center Marc D. Bear, MD, LLC NOT COVERED

Illinois Masonic Medical Center Marco A. Jarava, MD, SC NOT COVERED

Illinois Masonic Medical Center Margaret Dauphin Van Dyk, MD, SC NOT COVERED

Illinois Masonic Medical Center Margaret Park, MD, SC NOT COVERED

Illinois Masonic Medical Center Maria Riza Bautista, MD SC NOT COVERED

Illinois Masonic Medical Center Mark Allan Berk, MD, SC NOT COVERED

Illinois Masonic Medical Center Martin J. Greenberg, MD, SC NOT COVERED

Illinois Masonic Medical Center Martin, Amy Renee-DDS NOT COVERED

Illinois Masonic Medical Center Maternal Fetal Consultants, SC COVERED UNDER FAP

Illinois Masonic Medical Center Medical Dermatology Associates of Chicago, LTD NOT COVERED

Illinois Masonic Medical Center Medical Services, RIC NOT COVERED

Illinois Masonic Medical Center Medplus, SC NOT COVERED

Illinois Masonic Medical Center Mehmood, Sajid -MD NOT COVERED

Illinois Masonic Medical Center Mercado, Alvaro O.-MD NOT COVERED

Illinois Masonic Medical Center Metro Chest Professionals, LLC NOT COVERED

Illinois Masonic Medical Center Metro Chicago Surgical Oncology, LLC NOT COVERED

Illinois Masonic Medical Center Metro Infectious Disease Consultants, LLC NOT COVERED

Page 45

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Illinois Masonic Medical Center Mid-North Gastroenterologists, Ltd NOT COVERED

Illinois Masonic Medical Center Midtown Foot Health Centers NOT COVERED

Illinois Masonic Medical Center Midwest Anesthesia Partners, LLC NOT COVERED

Illinois Masonic Medical Center Midwest Internist, Ltd. NOT COVERED

Illinois Masonic Medical Center Midwest Lung and Sleep Consultants NOT COVERED

Illinois Masonic Medical Center Midwest Orthopaedics at Rush, LLC NOT COVERED

Illinois Masonic Medical Center Midwest Perinatal Consultants, SC COVERED UNDER FAP

Illinois Masonic Medical Center Midwest Pulmonary Associates, SC NOT COVERED

Illinois Masonic Medical Center Millennium Park Medical Associates SC NOT COVERED

Illinois Masonic Medical Center Minneapolis VA Medical center NOT COVERED

Illinois Masonic Medical Center Mohammad, Zulfiqar -MD NOT COVERED

Illinois Masonic Medical Center Mohiuddin, Mohtasham Muhammed-MD NOT COVERED

Illinois Masonic Medical Center Montalbano, Catherine Boyle-MD NOT COVERED

Illinois Masonic Medical Center Morse, Sheri Nichole-NP NOT COVERED

Illinois Masonic Medical Center Mount Sinai Hospital NOT COVERED

Illinois Masonic Medical Center Moya, Kate W.-NP NOT COVERED

Illinois Masonic Medical Center Mukesh C. Jain, MD, SC NOT COVERED

Illinois Masonic Medical Center Myers, William G.-MD NOT COVERED

Illinois Masonic Medical Center Nadimpalli, Suryaprakasharao -MD NOT COVERED

Illinois Masonic Medical Center Nadira AliKhan MD NOT COVERED

Illinois Masonic Medical Center Nanda, Atul Kumar-MD NOT COVERED

Illinois Masonic Medical Center Nava A. Segall, MD, SC NOT COVERED

Illinois Masonic Medical Center Nawas, Sammy I.-MD NOT COVERED

Illinois Masonic Medical Center Nephrology Associates of Northern Illinois, Ltd NOT COVERED

Illinois Masonic Medical Center Neural Watch NOT COVERED

Illinois Masonic Medical Center Neuropsychological Service, PC NOT COVERED

Illinois Masonic Medical Center Neurosciences, Ltd NOT COVERED

Illinois Masonic Medical Center NIMA Skin Institute NOT COVERED

Illinois Masonic Medical Center Norman Weinzweig, MD, F.A.C.S., SC NOT COVERED

Illinois Masonic Medical Center North Park Pediatrics, SC NOT COVERED

Illinois Masonic Medical Center Northside Neonatal and Infant Care, SC NOT COVERED

Illinois Masonic Medical Center Northwest Medical Associates of Chicago, Inc NOT COVERED

Illinois Masonic Medical Center Northwestern Specialists in Plastic Surgery, S.C. NOT COVERED

Illinois Masonic Medical Center Ohlander, Samuel John-MD NOT COVERED

Illinois Masonic Medical Center OMNI Healthcare NOT COVERED

Illinois Masonic Medical Center Optimum Kidney Care, SC NOT COVERED

Illinois Masonic Medical Center Opus Plastic Surgery, LTD NOT COVERED

Illinois Masonic Medical Center Oral & Maxillofacial Surgery of Chicago, PC NOT COVERED

Illinois Masonic Medical Center Oral and Maxillofacial Surgery Associates, P.C. NOT COVERED

Illinois Masonic Medical Center Orthopaedic & Rehabilitation Centers, SC NOT COVERED

Illinois Masonic Medical Center Orthopaedic and Rehabilitation Centers, SC NOT COVERED

Illinois Masonic Medical Center Osipova, Maria Andreevna-MD COVERED UNDER FAP

Illinois Masonic Medical Center Otolaryngology Associates NOT COVERED

Illinois Masonic Medical Center Palu, Maria Lucille-CRNA NOT COVERED

Illinois Masonic Medical Center Park City Dental NOT COVERED

Illinois Masonic Medical Center Park West Family Medicine NOT COVERED

Illinois Masonic Medical Center Park West Family Physicians, SC NOT COVERED

Illinois Masonic Medical Center Pasiewicz, Richard Alan-DDS NOT COVERED

Illinois Masonic Medical Center Pasiewicz, Richard John-DDS NOT COVERED

Illinois Masonic Medical Center Pasiewicz, Ryan James-DMD NOT COVERED

Illinois Masonic Medical Center Patel, Parit A.-MD NOT COVERED

Illinois Masonic Medical Center Patel, Smitesh R.-MD NOT COVERED

Illinois Masonic Medical Center Patel, Subhash R.-MD NOT COVERED

Illinois Masonic Medical Center Patil, Abhijit Ashok-MD NOT COVERED

Illinois Masonic Medical Center PCC Community Wellness Center NOT COVERED

Illinois Masonic Medical Center Pediatric Dentistry Specialists NOT COVERED

Illinois Masonic Medical Center Pediatrics Dental Health Associates NOT COVERED

Illinois Masonic Medical Center Phoenix Medical Associates COVERED UNDER FAP

Page 46

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Illinois Masonic Medical Center Pillai, Srikumar Biswanath-MD NOT COVERED

Illinois Masonic Medical Center Plastic and Reconstructive Surgery Center, SC NOT COVERED

Illinois Masonic Medical Center Podlasek, Eileen Marie-PA NOT COVERED

Illinois Masonic Medical Center Pollak, Alan C.-MD NOT COVERED

Illinois Masonic Medical Center Prabhakar, Naveen -MD NOT COVERED

Illinois Masonic Medical Center Prasad, Bharati -MD NOT COVERED

Illinois Masonic Medical Center Precision Surgical Consultants LLC COVERED UNDER FAP

Illinois Masonic Medical Center Premier Allergy Asthma and Sinus, SC NOT COVERED

Illinois Masonic Medical Center Prime Medical Associates, Ltd NOT COVERED

Illinois Masonic Medical Center Primus Orthopedics, SC NOT COVERED

Illinois Masonic Medical Center Pudlo, Joseph Z.-MD NOT COVERED

Illinois Masonic Medical Center Pulmonary & Critical Care Consultants,SC NOT COVERED

Illinois Masonic Medical Center Pulmonary Medicine NOT COVERED

Illinois Masonic Medical Center Quinlin, Kate A.-DMD NOT COVERED

Illinois Masonic Medical Center Rada Ivanov, MD SC NOT COVERED

Illinois Masonic Medical Center Radiation Oncology Consultants, Ltd NOT COVERED

Illinois Masonic Medical Center RAvi Badlani, MD SC NOT COVERED

Illinois Masonic Medical Center Redjai Moshai, Asadoliah -MD NOT COVERED

Illinois Masonic Medical Center Rehabilitation Institute of Chicago NOT COVERED

Illinois Masonic Medical Center Reilly, Charles H.-DPM NOT COVERED

Illinois Masonic Medical Center Reproductive Medicine Institute, LLC NOT COVERED

Illinois Masonic Medical Center Retina Consultants, Ltd NOT COVERED

Illinois Masonic Medical Center Richter, Merissa Velma-DDS NOT COVERED

Illinois Masonic Medical Center Riverpoint Pediatrics COVERED UNDER FAP

Illinois Masonic Medical Center Robin, Matthew S.-DO NOT COVERED

Illinois Masonic Medical Center Rogers Park Family Medicine NOT COVERED

Illinois Masonic Medical Center Rosalind Franklin University Health System NOT COVERED

Illinois Masonic Medical Center Roscoe Village Family Medicine NOT COVERED

Illinois Masonic Medical Center Rosenthal, Marc A.-DDS NOT COVERED

Illinois Masonic Medical Center Rossini, Connie J.-MD NOT COVERED

Illinois Masonic Medical Center Roy, Estefan G.-MD NOT COVERED

Illinois Masonic Medical Center Roy, Patricia Herico-MD NOT COVERED

Illinois Masonic Medical Center Rudnick, Lawrence A.-MD NOT COVERED

Illinois Masonic Medical Center Rudnicki, Marek -MD NOT COVERED

Illinois Masonic Medical Center Rudyard Smith MD and Associates, SC NOT COVERED

Illinois Masonic Medical Center Saeed Medical Group, Ltd NOT COVERED

Illinois Masonic Medical Center Sage Medical Group, SC NOT COVERED

Illinois Masonic Medical Center Saker, Mark B.-MD NOT COVERED

Illinois Masonic Medical Center Salcedo, Hector L.-MD NOT COVERED

Illinois Masonic Medical Center Sanjay S. Gill M.D. P.C. NOT COVERED

Illinois Masonic Medical Center Sarah Alderman, MD, SC NOT COVERED

Illinois Masonic Medical Center Savard, Andelina J.-NP NOT COVERED

Illinois Masonic Medical Center Scarpulla, Kathleen M.-MD NOT COVERED

Illinois Masonic Medical Center Schmerman, Michael L.-DDS NOT COVERED

Illinois Masonic Medical Center Shah, Ami Navnit-MD NOT COVERED

Illinois Masonic Medical Center Shah, Ashok C.-MD NOT COVERED

Illinois Masonic Medical Center Shah, Niranjana D.-MD NOT COVERED

Illinois Masonic Medical Center Shah, Parinda Haresh-MD NOT COVERED

Illinois Masonic Medical Center Shah, Sanket Chitranjan-MD NOT COVERED

Illinois Masonic Medical Center Shalini Chawla, MD, LLC NOT COVERED

Illinois Masonic Medical Center Shapiro, David M.-MD NOT COVERED

Illinois Masonic Medical Center Sheridan Medical Center NOT COVERED

Illinois Masonic Medical Center Shifa Nephrology Associates LLC NOT COVERED

Illinois Masonic Medical Center Siddiqui, Mumtaz A.-MD NOT COVERED

Illinois Masonic Medical Center Sidney Hillman Health Centre NOT COVERED

Illinois Masonic Medical Center Singh, Amarjit -MD NOT COVERED

Illinois Masonic Medical Center Singh, Inder Paul-MD NOT COVERED

Illinois Masonic Medical Center Sinno, Sammy -MD NOT COVERED

Page 47

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Illinois Masonic Medical Center Smiles Pediatric Dentistry NOT COVERED

Illinois Masonic Medical Center Sofia Garcia-Buder, MD, SC NOT COVERED

Illinois Masonic Medical Center Sriram, Krishnan -MD NOT COVERED

Illinois Masonic Medical Center St. Alexius Medical Center NOT COVERED

Illinois Masonic Medical Center Stanford, Kimberly N.-CRNA NOT COVERED

Illinois Masonic Medical Center Starr, Jessica -CRNA NOT COVERED

Illinois Masonic Medical Center Steginsky, Brian David-DO NOT COVERED

Illinois Masonic Medical Center Stephen Madry, MD NOT COVERED

Illinois Masonic Medical Center Steven A. Sandler, MD NOT COVERED

Illinois Masonic Medical Center Subramanian, Sanjay -MD NOT COVERED

Illinois Masonic Medical Center Summit Digestive and Liver Disease Specialists NOT COVERED

Illinois Masonic Medical Center Surati, Natverlal B.-MD NOT COVERED

Illinois Masonic Medical Center Sy, Virginia L.-CNS NOT COVERED

Illinois Masonic Medical Center Tabitha A Watts, MD, LTD NOT COVERED

Illinois Masonic Medical Center Tamayo-Cordero, Jorge Edgar-MD NOT COVERED

Illinois Masonic Medical Center Tambar, Siddharth -MD NOT COVERED

Illinois Masonic Medical Center The Chicago Center for Plastic & Reconstructive Surgery NOT COVERED

Illinois Masonic Medical Center The Geldner Center NOT COVERED

Illinois Masonic Medical Center The Illinois Center for Digestive and Liver Health NOT COVERED

Illinois Masonic Medical Center Theodorakis, Spyridon P.-MD NOT COVERED

Illinois Masonic Medical Center TJ Siddiqui, Inc. NOT COVERED

Illinois Masonic Medical Center Tooth Buds Pediatric Dentistry NOT COVERED

Illinois Masonic Medical Center Uday Vyas, MD, SC NOT COVERED

Illinois Masonic Medical Center Union Health Service, Inc NOT COVERED

Illinois Masonic Medical Center Union Health Services NOT COVERED

Illinois Masonic Medical Center University Center of Urology NOT COVERED

Illinois Masonic Medical Center University Dermatology and Vein Clinic LLC NOT COVERED

Illinois Masonic Medical Center University Head & Neck Associates NOT COVERED

Illinois Masonic Medical Center University of Illinois at Chicago NOT COVERED

Illinois Masonic Medical Center University Ophthalmology NOT COVERED

Illinois Masonic Medical Center Urology and Physician Services NOT COVERED

Illinois Masonic Medical Center UroPartners, LLC NOT COVERED

Illinois Masonic Medical Center Vios Fertility Institute NOT COVERED

Illinois Masonic Medical Center Vios Fertility Institute Chicago, LLC NOT COVERED

Illinois Masonic Medical Center Vios Fertility South Loop IVF Center NOT COVERED

Illinois Masonic Medical Center Vivek A. Gupta, MD SC NOT COVERED

Illinois Masonic Medical Center Waters, Carissa M.-CNS NOT COVERED

Illinois Masonic Medical Center Waxman, Irving -MD NOT COVERED

Illinois Masonic Medical Center Wear, Vanessa Van Duyn-MD NOT COVERED

Illinois Masonic Medical Center Weil Foot and Ankle Institute NOT COVERED

Illinois Masonic Medical Center Weisenberg, Elliot S.-MD NOT COVERED

Illinois Masonic Medical Center Weiss, Joshua Alan-DO NOT COVERED

Illinois Masonic Medical Center Weldon-Linne, C. Michael-MD NOT COVERED

Illinois Masonic Medical Center West Suburban Eye Associates NOT COVERED

Illinois Masonic Medical Center Westgate Orthopaedics, Ltd NOT COVERED

Illinois Masonic Medical Center Weston, James Nicholas-PA NOT COVERED

Illinois Masonic Medical Center Win-Care Medical Consultants Ltd NOT COVERED

Illinois Masonic Medical Center Windy City Foot & Ankle Physicians LLC NOT COVERED

Illinois Masonic Medical Center Woodlake Family Dental NOT COVERED

Illinois Masonic Medical Center Zuiderveld, Loren David-MD NOT COVERED

Lutheran General and Children's Hospital 4 Kids Pediatrics, SC NOT COVERED

Lutheran General and Children's Hospital A & H Family Med, PC NOT COVERED

Lutheran General and Children's Hospital Access Community Health Network NOT COVERED

Lutheran General and Children's Hospital Adley, Brian P.-MD NOT COVERED

Lutheran General and Children's Hospital Advanced Allergists, Ltd NOT COVERED

Lutheran General and Children's Hospital Advanced Allergy & Asthma Associates, SC NOT COVERED

Lutheran General and Children's Hospital Advanced Cancer Clinic, Ltd NOT COVERED

Lutheran General and Children's Hospital Advanced Gynecology COVERED UNDER FAP

Page 48

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Lutheran General and Children's Hospital Advanced Inpatient Care NOT COVERED

Lutheran General and Children's Hospital Advanced Inpatient Consultants, LLC NOT COVERED

Lutheran General and Children's Hospital Advanced Medical Consultations, Ltd NOT COVERED

Lutheran General and Children's Hospital Advanced Medical Practices NOT COVERED

Lutheran General and Children's Hospital Advanced Neurological Associates, SC NOT COVERED

Lutheran General and Children's Hospital Advanced Primary Care, SC NOT COVERED

Lutheran General and Children's Hospital Advanced Reproductive Center NOT COVERED

Lutheran General and Children's Hospital Advanced Surgical Care of Northern Illinois, Ltd NOT COVERED

Lutheran General and Children's Hospital Advent Neurology, SC NOT COVERED

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Pediatric Gastroenterology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Health & Hospital Corp - Advocate Intensivist Partners COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Burbank - Palliative Medicine COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Downers Grove - 3551 Highland Ave - Neurosurgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Chicago - 1945 West Wilson COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Chicago - 4801 West Peterson COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Des Plaines - Rand Rd COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Des Plaines - Rand Rd. - Pediatrics COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Des Plaines 8901 W Golf Road COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Downers Grove - 3551 Highland Ave - Neurosurgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Downers Grove - 3745 Highland - Oncology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Libertyville - Breast Surgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Libertyville - Milwaukee Ave COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Libertyville - Pediatrics COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Libertyville - Peds SubSpecialty COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Nuclear Medicine COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Oak Lawn - 4440 W 95th Street - Hospitalists COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Oak Lawn - 4440 W 95th Street - Pediatric Orthopedics COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Oak Lawn - 4440 West 95th Street - Behavioral Health COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - 1675 Dempster - Pediatric Critical Care COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - 1875 Dempster - Neurology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - 1875 Dempster - Neurosurgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - Luther Ln - Oncology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - Pediatric Neurosurgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge 1875 Dempster COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group - South Downers Grove - 6840 S Main St COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Adult Down Syndrome Center COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group AdvocateCare Center - Nesset COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Buffalo Grove COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group CAC COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Chicago North Central Ave COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Children's Hoffman Estate COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Christ Peds Hospitalist COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group CMC Pediatric Infectious Disease COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Condell Hospitalist COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Ctr For Advanced Cardiology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Downers Grove 3825 Highland COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Downers Grove Highland Avenue COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Emergency Medicine COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Glenview Compass Drive COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Glenview Waukegan Rd COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Halsted Neurosurgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Hospitalist COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Hospitalists COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Irving and Western COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Lincolnwood COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Memory Center COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Midwest Pediatric Cardio COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Midwest Pediatric Cardiology COVERED UNDER FAP

Page 49

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Lutheran General and Children's Hospital Advocate Medical Group Morton Grove COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Neonatology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Nesset Endocrinology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Nesset Family Medicine COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Nesset Geriatric Medicine COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Nesset Internal Medicine COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Nesset Neurology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Nesset Physical Med & Rehab COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Nesset Post Acute Care Ntwk COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Nesset Rheumatology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Neurointerventional Surgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Niles Dempster Wound Care COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Niles Milwaukee Ave COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Oak Lawn - 4440 West 95th Street - Pediatric Critical Care COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Oak Lawn - Trauma Surgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Oak Lawn - West 95th Street - Pediatric Cardiovascular Surgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Oak Lawn - West 95th Street - Pediatric Hematology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Oak Lawn 95th St ENT COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Oak Lawn 95th St Pediatrics COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Oak Lawn Cardiology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Oak Lawn Pediatrics General Surgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Palliative Medicine COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Park Ridge 1775 Dempster Street Pediatric Critical Care COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Park Ridge 1875 Dempster Obstetrics & Gynecology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Park Ridge 1875 Dempster Oncology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Park Ridge 1875 Dempster St Obstetrics & Gynecology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Park Ridge 850 Busse Highway COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Parkside COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Parkside Cardiology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Parkside Colorectal Surgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Parkside General Surgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Parkside Genetics COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Parkside Maternal Fetal COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Parkside Pain Medicine COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Parkside Psychiatry COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Pediatric Cardiovascular Surgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Peds Hospitalist COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Peds Plastic Surg COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Sykes COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Trauma COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Trauma Surgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Developmental Peds COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman OB/Gyne COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Pediatrics COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Cardiology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Dermatology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Endocrinology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds General Surgery COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Hem/Onc COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Infectious Disease COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Nephrology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Neurology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Plastic Surg COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Pulmonology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Rheumatology COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Sports Med COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group Yacktman Psychiatry COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group-Des Plaines-8901 W Golf Road COVERED UNDER FAP

Page 50

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Lutheran General and Children's Hospital Advocate Medical Group-Downers Grove, 3825 Highland Ave.-Palliative Care COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group-Oak Lawn - 4220 W 95th St - Pediatric Subspecialties COVERED UNDER FAP

Lutheran General and Children's Hospital Advocate Medical Group-Oak Lawn-Cicero Avenue COVERED UNDER FAP

Lutheran General and Children's Hospital Affiniti Healthcare LLC NOT COVERED

Lutheran General and Children's Hospital Afifi, M. Sherif-MD NOT COVERED

Lutheran General and Children's Hospital Aggarwal, Nimit K.-MD NOT COVERED

Lutheran General and Children's Hospital Ahluwalia, Mukesh K.-MD COVERED UNDER FAP

Lutheran General and Children's Hospital AKG Medical Service Corporation NOT COVERED

Lutheran General and Children's Hospital Al-Ani, Ismail -MD NOT COVERED

Lutheran General and Children's Hospital Aleksandr Galperin M.D. NOT COVERED

Lutheran General and Children's Hospital Ali, Arif -MD NOT COVERED

Lutheran General and Children's Hospital Ali, Asya Syed-MD NOT COVERED

Lutheran General and Children's Hospital Allergy & Asthma Associates, Ltd NOT COVERED

Lutheran General and Children's Hospital Allergy Center, Inc. NOT COVERED

Lutheran General and Children's Hospital Allergy Partners of Chicago NOT COVERED

Lutheran General and Children's Hospital Allied Healthcare Associates NOT COVERED

Lutheran General and Children's Hospital Almanaseer, Imad Y.-MD NOT COVERED

Lutheran General and Children's Hospital Alsheik, Nila H.-MD NOT COVERED

Lutheran General and Children's Hospital Altman, David B.-MD NOT COVERED

Lutheran General and Children's Hospital American Cancer Center, PC NOT COVERED

Lutheran General and Children's Hospital American Health Center, Ltd. NOT COVERED

Lutheran General and Children's Hospital Anderst, James D.-MD NOT COVERED

Lutheran General and Children's Hospital Andrade, Ambar Afshar-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Arlington Eye Physicians, LLC. NOT COVERED

Lutheran General and Children's Hospital Asian Human Services Family Health Center NOT COVERED

Lutheran General and Children's Hospital Askew, Allen G.-PhD NOT COVERED

Lutheran General and Children's Hospital Associated Allergists & Asthma Specialists, Ltd NOT COVERED

Lutheran General and Children's Hospital Associated Clinical Psychologists, Ltd. NOT COVERED

Lutheran General and Children's Hospital Associated Pediatric Partners, SC NOT COVERED

Lutheran General and Children's Hospital Associates in Nephrology, SC NOT COVERED

Lutheran General and Children's Hospital Associates in Psychiatric Medicine, LLC NOT COVERED

Lutheran General and Children's Hospital Associates in Psychiatric Wellness, LP NOT COVERED

Lutheran General and Children's Hospital Asthma & Allergy Associates NOT COVERED

Lutheran General and Children's Hospital Asthma and Allergy Institute NOT COVERED

Lutheran General and Children's Hospital Aydt, Stephen James-PA NOT COVERED

Lutheran General and Children's Hospital Baddi, Lisa Lynne-DO NOT COVERED

Lutheran General and Children's Hospital Bari, Naveed -MD NOT COVERED

Lutheran General and Children's Hospital Barker, Roberta Ann-PhD NOT COVERED

Lutheran General and Children's Hospital Barnes & Klatt, PC NOT COVERED

Lutheran General and Children's Hospital Bennett, Catherine S.-CNS NOT COVERED

Lutheran General and Children's Hospital Bernadette Mayer, MD, SC NOT COVERED

Lutheran General and Children's Hospital Best Practices Inpatient Care, Ltd NOT COVERED

Lutheran General and Children's Hospital Bhandarkar, Manohar S.-MD NOT COVERED

Lutheran General and Children's Hospital Bokor, Erika -PhD NOT COVERED

Lutheran General and Children's Hospital Borgen, Kristina Rachelle-MD NOT COVERED

Lutheran General and Children's Hospital Boskov, Djordje -MD NOT COVERED

Lutheran General and Children's Hospital Bowersox, Keith D.-MD NOT COVERED

Lutheran General and Children's Hospital Bresch, James R.-MD NOT COVERED

Lutheran General and Children's Hospital Brikha Medical Center NOT COVERED

Lutheran General and Children's Hospital Brodsky Dermatology, LLC NOT COVERED

Lutheran General and Children's Hospital Brown, Alan Steven-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Brown, Susan G.-MD NOT COVERED

Lutheran General and Children's Hospital Brull, Ellen S.-MD NOT COVERED

Lutheran General and Children's Hospital Bufalino, Vincent John-MD NOT COVERED

Lutheran General and Children's Hospital Burrowes, Susan K.-MD NOT COVERED

Lutheran General and Children's Hospital Busch, Kenneth Gary-MD NOT COVERED

Lutheran General and Children's Hospital Bush, John G.-MD NOT COVERED

Lutheran General and Children's Hospital C. Dean Katsamakis DO, FACC, SC NOT COVERED

Page 51

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Lutheran General and Children's Hospital Cabrera, Julio -MD NOT COVERED

Lutheran General and Children's Hospital Cardiac Surgery Associates, SC NOT COVERED

Lutheran General and Children's Hospital Cardiology Electrophysiology & Pacemaker Specialists, Ltd NOT COVERED

Lutheran General and Children's Hospital Cates-Rudolph, Natalie -CNS NOT COVERED

Lutheran General and Children's Hospital Cathy DiVincenzo MD Pediatrics, SC NOT COVERED

Lutheran General and Children's Hospital Center for Asthma and Allergy, SC NOT COVERED

Lutheran General and Children's Hospital Center of Brain & Spine Surgery NOT COVERED

Lutheran General and Children's Hospital Central Access Team NOT COVERED

Lutheran General and Children's Hospital Chams Women's Health Care, SC NOT COVERED

Lutheran General and Children's Hospital Charles E. Miller, MD & Associates NOT COVERED

Lutheran General and Children's Hospital Charles Mullenix, M.D., S.C. NOT COVERED

Lutheran General and Children's Hospital Chest Medicine Consultants, SC NOT COVERED

Lutheran General and Children's Hospital Chicago Allergy & Asthma Center, LLC NOT COVERED

Lutheran General and Children's Hospital Chicago Anesthesia Associates, SC NOT COVERED

Lutheran General and Children's Hospital Chicago Cosmetic Surgery NOT COVERED

Lutheran General and Children's Hospital Chicago Hand and Orthopedic Surgery Centers, SC NOT COVERED

Lutheran General and Children's Hospital Chicago Pediatric & Neonatology, SC NOT COVERED

Lutheran General and Children's Hospital Children & Teens Medical Center NOT COVERED

Lutheran General and Children's Hospital Children Health Care, Ltd NOT COVERED

Lutheran General and Children's Hospital Childrens and Adolescent Dentistry, Ltd NOT COVERED

Lutheran General and Children's Hospital Children's Dentistry NOT COVERED

Lutheran General and Children's Hospital Chon, Chris H.-MD NOT COVERED

Lutheran General and Children's Hospital Chris Oh MD SC NOT COVERED

Lutheran General and Children's Hospital Christopher T. Kardasis, MD, SC NOT COVERED

Lutheran General and Children's Hospital Ciobanu, Bety Carmen-MD NOT COVERED

Lutheran General and Children's Hospital Clinical Associates, S.C. NOT COVERED

Lutheran General and Children's Hospital Clinical Associates, SC NOT COVERED

Lutheran General and Children's Hospital Cohn, Kellen A.-DPM NOT COVERED

Lutheran General and Children's Hospital Cole Lundquist, MD, SC NOT COVERED

Lutheran General and Children's Hospital Collins, Mary Ann Jugovic-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Comphrensive Kidney Care, LLC NOT COVERED

Lutheran General and Children's Hospital Comprehensive Pediatric Care, Ltd NOT COVERED

Lutheran General and Children's Hospital Consultants in Allergy & Asthma Care, LLC NOT COVERED

Lutheran General and Children's Hospital Contemporary Care For Women, Ltd. NOT COVERED

Lutheran General and Children's Hospital CortiCare NOT COVERED

Lutheran General and Children's Hospital Cottrell, John M.-DO NOT COVERED

Lutheran General and Children's Hospital Cotts, William Gerritt-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Crawford, Susan E.-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Danek, Beata B.-MD NOT COVERED

Lutheran General and Children's Hospital David Weiss, MD SC NOT COVERED

Lutheran General and Children's Hospital Davies Fertility and IVF Specialists, SC NOT COVERED

Lutheran General and Children's Hospital Dempster Plaza Pediatrics NOT COVERED

Lutheran General and Children's Hospital Denise A. Fiducia, PhD & Assoc., LLC NOT COVERED

Lutheran General and Children's Hospital Des Plaines Eye Physicians & Surgeons, Ltd NOT COVERED

Lutheran General and Children's Hospital Desai, Bela D.-MD NOT COVERED

Lutheran General and Children's Hospital Dines, Marshall Lewis-MD NOT COVERED

Lutheran General and Children's Hospital Dirksen Center for Neuropsychology, LTD NOT COVERED

Lutheran General and Children's Hospital Dr. Roma Franzia Pediatric Practice NOT COVERED

Lutheran General and Children's Hospital Dreyer Clinic - Rush Copley NOT COVERED

Lutheran General and Children's Hospital D'Souza, Godwin H.-MD NOT COVERED

Lutheran General and Children's Hospital Dukkipati, Haritha Valluru-MD NOT COVERED

Lutheran General and Children's Hospital Dy Dermatology Center NOT COVERED

Lutheran General and Children's Hospital E2Bio Consultants NOT COVERED

Lutheran General and Children's Hospital Ear, Nose & Throat Specialists of Illinois, Ltd NOT COVERED

Lutheran General and Children's Hospital Eckhouse, Diane R.-CNS NOT COVERED

Lutheran General and Children's Hospital Edward H. Kaplan, MD & Associates NOT COVERED

Lutheran General and Children's Hospital Eklund, John W.-MD NOT COVERED

Lutheran General and Children's Hospital Eleonora Kul-Lipski, MD SC NOT COVERED

Page 52

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Lutheran General and Children's Hospital Encompass Physicians, LLC NOT COVERED

Lutheran General and Children's Hospital EP Consultation, Ltd NOT COVERED

Lutheran General and Children's Hospital Excelsior Healthcare NOT COVERED

Lutheran General and Children's Hospital Expert Medical Group NOT COVERED

Lutheran General and Children's Hospital Eye Care, Ltd NOT COVERED

Lutheran General and Children's Hospital Eye Clinic NOT COVERED

Lutheran General and Children's Hospital Eye Specialists of Illinois, SC NOT COVERED

Lutheran General and Children's Hospital Eyes of Grace, SC NOT COVERED

Lutheran General and Children's Hospital Faibussowitsch, Ilja -MD NOT COVERED

Lutheran General and Children's Hospital Fainman, Zachary Samuel-MD NOT COVERED

Lutheran General and Children's Hospital Family Medical Care NOT COVERED

Lutheran General and Children's Hospital Farooki, Basheeruddin M.-MD NOT COVERED

Lutheran General and Children's Hospital Farrell, Julie M.-NP NOT COVERED

Lutheran General and Children's Hospital FemaCare Obstetrics & Gynecology, SC NOT COVERED

Lutheran General and Children's Hospital Fenner Plastic Surgery NOT COVERED

Lutheran General and Children's Hospital Fertility Centers of Illinois, SC NOT COVERED

Lutheran General and Children's Hospital Flood, James P.-DPM NOT COVERED

Lutheran General and Children's Hospital Frazier, Terra N.-DO NOT COVERED

Lutheran General and Children's Hospital Galamaga, Robert William-DO NOT COVERED

Lutheran General and Children's Hospital Gallup Family Practice, Ltd NOT COVERED

Lutheran General and Children's Hospital Geismar, Deborah -MD NOT COVERED

Lutheran General and Children's Hospital Georgemiller, Whyte & Associates NOT COVERED

Lutheran General and Children's Hospital Geremia, Glen Keith-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Gericare, Ltd NOT COVERED

Lutheran General and Children's Hospital GI Solutions of Illinois, LLC NOT COVERED

Lutheran General and Children's Hospital Glen Medical Associates COVERED UNDER FAP

Lutheran General and Children's Hospital Global Health Care, SC NOT COVERED

Lutheran General and Children's Hospital Global Podiatry NOT COVERED

Lutheran General and Children's Hospital Goel, Smriti -MD NOT COVERED

Lutheran General and Children's Hospital Golden, Laurie J.-PhD NOT COVERED

Lutheran General and Children's Hospital Goldman, Samuel Ephraim-MD NOT COVERED

Lutheran General and Children's Hospital Goldstein, Jordan Louis-MD NOT COVERED

Lutheran General and Children's Hospital Golf Medical Plaza NOT COVERED

Lutheran General and Children's Hospital Golf Mill Medical Center, Ltd NOT COVERED

Lutheran General and Children's Hospital Golf Western Surgical Specialist NOT COVERED

Lutheran General and Children's Hospital Gonzalez, Miguel Gudelio G.-MD NOT COVERED

Lutheran General and Children's Hospital Goyal, Vinod Kumar-MD NOT COVERED

Lutheran General and Children's Hospital Grabiner, Fred S.-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Grayslake Medical Group, LLC NOT COVERED

Lutheran General and Children's Hospital Grinblatt, Jeffrey A.-MD NOT COVERED

Lutheran General and Children's Hospital Hakimian, David -MD NOT COVERED

Lutheran General and Children's Hospital Haley, Debra J.-PhD NOT COVERED

Lutheran General and Children's Hospital Halloran, Fred J.-MD NOT COVERED

Lutheran General and Children's Hospital Hashmi, Faiza -MD NOT COVERED

Lutheran General and Children's Hospital Hawthorne Pediatrics NOT COVERED

Lutheran General and Children's Hospital Head & Neck Cosmetic Surgery Associates, Ltd NOT COVERED

Lutheran General and Children's Hospital Heal N Cure, SC NOT COVERED

Lutheran General and Children's Hospital Health Endeavors, SC NOT COVERED

Lutheran General and Children's Hospital HEYER DEVARAPALLI MDSC NOT COVERED

Lutheran General and Children's Hospital Highland Park Ob-Gyn Associates, Ltd. NOT COVERED

Lutheran General and Children's Hospital Hochstadter, Isaacson & Cherny & Assoc NOT COVERED

Lutheran General and Children's Hospital Holmes, Stevenson & Associates, PhD, PC NOT COVERED

Lutheran General and Children's Hospital Hope Med Clinic NOT COVERED

Lutheran General and Children's Hospital Howard Klapman, MD, Ltd NOT COVERED

Lutheran General and Children's Hospital Hruby, Ann N.-NP NOT COVERED

Lutheran General and Children's Hospital Illinois Bone & Joint - Glenview NOT COVERED

Lutheran General and Children's Hospital Illinois Bone & Joint Institute LLC COVERED UNDER FAP

Lutheran General and Children's Hospital Illinois Bone & Joint Institute LLC NOT COVERED

Page 53

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Lutheran General and Children's Hospital Illinois Dermatology Institute, LLC NOT COVERED

Lutheran General and Children's Hospital Illinois Gastroenterology Group, LLC NOT COVERED

Lutheran General and Children's Hospital Illinois Professionals Health Program, LLC COVERED UNDER FAP

Lutheran General and Children's Hospital Illinois Urogynecology, Ltd NOT COVERED

Lutheran General and Children's Hospital Indira D. Nair, M.D., S.C. NOT COVERED

Lutheran General and Children's Hospital Intensive Neuro NOT COVERED

Lutheran General and Children's Hospital InVia Fertility NOT COVERED

Lutheran General and Children's Hospital Ira Garoon, MD, SC NOT COVERED

Lutheran General and Children's Hospital J. Keith Lemmon, MD, SC NOT COVERED

Lutheran General and Children's Hospital Jagielo, Ted J.-MD NOT COVERED

Lutheran General and Children's Hospital James G. Loeser, DDS, MD, PC NOT COVERED

Lutheran General and Children's Hospital Jasmine Wang Chao, DO Ltd. NOT COVERED

Lutheran General and Children's Hospital Jean Shlyak, MD, PC NOT COVERED

Lutheran General and Children's Hospital Jenkins, Richard Houston-MD NOT COVERED

Lutheran General and Children's Hospital John David McKenzie, MD, SC NOT COVERED

Lutheran General and Children's Hospital John Oh, MD S.C. NOT COVERED

Lutheran General and Children's Hospital John V. White, MD, FACS NOT COVERED

Lutheran General and Children's Hospital John, Rahel Abraham-MD NOT COVERED

Lutheran General and Children's Hospital Jose M. Galvez, MD, Ltd NOT COVERED

Lutheran General and Children's Hospital Juscinska, Agnieszka -MD NOT COVERED

Lutheran General and Children's Hospital Kachru, Anil -MD NOT COVERED

Lutheran General and Children's Hospital Kaner, Dina -MD NOT COVERED

Lutheran General and Children's Hospital Kantoris, Deborah -CNS NOT COVERED

Lutheran General and Children's Hospital Karnezis, Tom A.-MD NOT COVERED

Lutheran General and Children's Hospital Kent Shinozaki, DDS PC DBA Northpoint Oral Surgery NOT COVERED

Lutheran General and Children's Hospital Khipple, Sheilendr -MD NOT COVERED

Lutheran General and Children's Hospital Kidney & Hypertension Consultants, SC NOT COVERED

Lutheran General and Children's Hospital Kim, Kyung S.-MD NOT COVERED

Lutheran General and Children's Hospital Kim, Oliver S.-MD NOT COVERED

Lutheran General and Children's Hospital Kirill Zhadovich, MD, SC NOT COVERED

Lutheran General and Children's Hospital Klassman, Lynn E.-CNS NOT COVERED

Lutheran General and Children's Hospital Kleiman, Adina Sue-PhD NOT COVERED

Lutheran General and Children's Hospital Klein, Leonard Marc-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Klemine, Lubov A.-MD NOT COVERED

Lutheran General and Children's Hospital Klich, Janice Ruth-MD NOT COVERED

Lutheran General and Children's Hospital Knauss, Cathleen P.-NP NOT COVERED

Lutheran General and Children's Hospital Knuth, Albert E.-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Kogan, Jillene Michelle-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Koperdowski, Anna -CNS NOT COVERED

Lutheran General and Children's Hospital Koziol, Julia -PA NOT COVERED

Lutheran General and Children's Hospital Kravis, Dean -MD NOT COVERED

Lutheran General and Children's Hospital Krawzak, Kathleen M.-NP COVERED UNDER FAP

Lutheran General and Children's Hospital Kruger, Tracy E.-NP NOT COVERED

Lutheran General and Children's Hospital L.M. Prasad, MD, SC NOT COVERED

Lutheran General and Children's Hospital LaBarge, Ann Marie-MD NOT COVERED

Lutheran General and Children's Hospital Lacey, Robin F.-PhD NOT COVERED

Lutheran General and Children's Hospital Lake Cook Neurological Consultants, SC NOT COVERED

Lutheran General and Children's Hospital Lakeshore Gastroenterology & Liver Disease Institute, SC NOT COVERED

Lutheran General and Children's Hospital Lakeview Family Doctors NOT COVERED

Lutheran General and Children's Hospital Landre, Nancy A.-PhD NOT COVERED

Lutheran General and Children's Hospital Laura M Shea DPM Podiatry Services NOT COVERED

Lutheran General and Children's Hospital Laurent, Elisa A.-MD COVERED UNDER FAP

Lutheran General and Children's Hospital LaVaccare, John A.-MD NOT COVERED

Lutheran General and Children's Hospital Lawrence H. Iteld, MD, LLC NOT COVERED

Lutheran General and Children's Hospital Lawrence M. Kaufman, MD PhD SC NOT COVERED

Lutheran General and Children's Hospital Lee, Richard H.-MD NOT COVERED

Lutheran General and Children's Hospital Levy, Mark H.-MD NOT COVERED

Lutheran General and Children's Hospital Life Medical, SC NOT COVERED

Page 54

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Lutheran General and Children's Hospital LifeWeigh Bariatrics NOT COVERED

Lutheran General and Children's Hospital Lisa Kim Medical Associates, S.C. NOT COVERED

Lutheran General and Children's Hospital Locker, Brian K.-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Lopata, Randee L.-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Lucas, Paul R.-DPM NOT COVERED

Lutheran General and Children's Hospital Lutheran General Hospital - Medical Cardiac ICU NOT COVERED

Lutheran General and Children's Hospital Lyon, John H.-MD NOT COVERED

Lutheran General and Children's Hospital Macaluso, Gregory Paul-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Madhani, Ajay A.-MD NOT COVERED

Lutheran General and Children's Hospital Maine Ridge Medical Associates Ltd. NOT COVERED

Lutheran General and Children's Hospital Makovetskaia, Marina -NP NOT COVERED

Lutheran General and Children's Hospital Makowsky, Kelly Jayne-NP NOT COVERED

Lutheran General and Children's Hospital Malhotra, Rajat -MD NOT COVERED

Lutheran General and Children's Hospital Malko, Marek Artur-MD NOT COVERED

Lutheran General and Children's Hospital Mann, Stewart Ralph-MD NOT COVERED

Lutheran General and Children's Hospital Mark Allan Berk, MD, SC NOT COVERED

Lutheran General and Children's Hospital Mark E. Neamand, DPM, PC NOT COVERED

Lutheran General and Children's Hospital Martha M. Lauber, PhD NOT COVERED

Lutheran General and Children's Hospital Mattana, Guy W.-DPM COVERED UNDER FAP

Lutheran General and Children's Hospital Mau, Jean M.-CNS NOT COVERED

Lutheran General and Children's Hospital McGrath, Megan Gail-MD COVERED UNDER FAP

Lutheran General and Children's Hospital McGuire, Birgitta T.-MD NOT COVERED

Lutheran General and Children's Hospital McIntyre, Sandra L.-NP NOT COVERED

Lutheran General and Children's Hospital Me and My Doctor NOT COVERED

Lutheran General and Children's Hospital Med-Pol S.C. NOT COVERED

Lutheran General and Children's Hospital Mehmood, Sajid -MD NOT COVERED

Lutheran General and Children's Hospital Mercado, Alvaro O.-MD NOT COVERED

Lutheran General and Children's Hospital Messersmith, Richard N.-MD NOT COVERED

Lutheran General and Children's Hospital Metro Chicago Surgical Oncology, LLC NOT COVERED

Lutheran General and Children's Hospital Metro Family Practice, SC COVERED UNDER FAP

Lutheran General and Children's Hospital Michael J. Athans, PhD and Associates NOT COVERED

Lutheran General and Children's Hospital Michael, Alexander S.-MD NOT COVERED

Lutheran General and Children's Hospital Midwest Anesthesia Partners NOT COVERED

Lutheran General and Children's Hospital Midwest Anesthesia Partners LLC NOT COVERED

Lutheran General and Children's Hospital Midwest Anesthesia Partners, LLC NOT COVERED

Lutheran General and Children's Hospital Midwest Anesthesia Partners, Ltd NOT COVERED

Lutheran General and Children's Hospital Midwest Anesthesiologists, Ltd NOT COVERED

Lutheran General and Children's Hospital Midwest Geriatrics, LLC NOT COVERED

Lutheran General and Children's Hospital Midwest Glaucoma Center, PC NOT COVERED

Lutheran General and Children's Hospital Midwest Lung and Sleep Consultants NOT COVERED

Lutheran General and Children's Hospital Midwest OB/GYN & Midwifery NOT COVERED

Lutheran General and Children's Hospital Midwest Pulmonary and Sleep Clinic, SC NOT COVERED

Lutheran General and Children's Hospital Midwest Pulmonary Associates, SC NOT COVERED

Lutheran General and Children's Hospital Midwest Retina Consultants, SC NOT COVERED

Lutheran General and Children's Hospital Midwest Vein Consultants NOT COVERED

Lutheran General and Children's Hospital Mihalov, Michael L.-MD NOT COVERED

Lutheran General and Children's Hospital Miller Foot Centers NOT COVERED

Lutheran General and Children's Hospital Miller Foot Clinic NOT COVERED

Lutheran General and Children's Hospital Minneapolis VA Medical center NOT COVERED

Lutheran General and Children's Hospital Mo, Josephine Huang-MD NOT COVERED

Lutheran General and Children's Hospital Mohammad Abtahi, MD NOT COVERED

Lutheran General and Children's Hospital Mohammad, Zulfiqar -MD NOT COVERED

Lutheran General and Children's Hospital Mohiuddin, Mohtasham Muhammed-MD NOT COVERED

Lutheran General and Children's Hospital Morgan Medical Group, LLC COVERED UNDER FAP

Lutheran General and Children's Hospital Nash, Matthew A.-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Nawas, Sammy I.-MD NOT COVERED

Lutheran General and Children's Hospital Nephrology Associates of Northern Illinois, Ltd. NOT COVERED

Lutheran General and Children's Hospital Netter, Maurice Allen-DDS NOT COVERED

Page 55

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Lutheran General and Children's Hospital Neural Watch NOT COVERED

Lutheran General and Children's Hospital NeuroHealth NOT COVERED

Lutheran General and Children's Hospital Norman Chapman, M.D. & Associates, S.C. NOT COVERED

Lutheran General and Children's Hospital North Arlington Pediatrics, S.C. NOT COVERED

Lutheran General and Children's Hospital North Shore Health Center NOT COVERED

Lutheran General and Children's Hospital North Shore Internists Physicians, LLC NOT COVERED

Lutheran General and Children's Hospital North Shore Medical Practice NOT COVERED

Lutheran General and Children's Hospital North Shore Pediatrics, Ltd. NOT COVERED

Lutheran General and Children's Hospital North Suburban Family Medicine NOT COVERED

Lutheran General and Children's Hospital North Suburban Gastroenterology Associates, SC NOT COVERED

Lutheran General and Children's Hospital North Suburban Orthopaedic Assoc NOT COVERED

Lutheran General and Children's Hospital North Suburban Pulmonary & Critical Care Consultants, SC NOT COVERED

Lutheran General and Children's Hospital North Suburban Surgical Consultants, LLC NOT COVERED

Lutheran General and Children's Hospital Northshore Pediatrics Associates,SC NOT COVERED

Lutheran General and Children's Hospital Northwest Associates For Women's Healthcare NOT COVERED

Lutheran General and Children's Hospital Northwest Cardiovascular Associates, SC NOT COVERED

Lutheran General and Children's Hospital Northwest Community Health Services NOT COVERED

Lutheran General and Children's Hospital Northwest Community Medical Group NOT COVERED

Lutheran General and Children's Hospital Northwest Eye Clinic, Ltd NOT COVERED

Lutheran General and Children's Hospital Northwest Infectious Disease Consultants, SC NOT COVERED

Lutheran General and Children's Hospital Northwest Orthopaedic Associates, Ltd NOT COVERED

Lutheran General and Children's Hospital Northwest Orthopaedics and Sports Medicine NOT COVERED

Lutheran General and Children's Hospital Northwest Pediatric Services, SC NOT COVERED

Lutheran General and Children's Hospital Northwest Podiatry Center, Ltd NOT COVERED

Lutheran General and Children's Hospital Northwest Primary Care, PC NOT COVERED

Lutheran General and Children's Hospital Northwest Pulmonary & Sleep Medicine, SC NOT COVERED

Lutheran General and Children's Hospital Northwest Pulmonary Associates, SC NOT COVERED

Lutheran General and Children's Hospital Northwest Suburban Family Physicians,LLC NOT COVERED

Lutheran General and Children's Hospital Northwest Suburban Pediatrics, SC NOT COVERED

Lutheran General and Children's Hospital Northwestern Orthopaedic Inst. LLC. NOT COVERED

Lutheran General and Children's Hospital Oak Mill Medical Associates, S.C. NOT COVERED

Lutheran General and Children's Hospital Oak Mill Pediatrics, SC NOT COVERED

Lutheran General and Children's Hospital Oakton Health Center, SC NOT COVERED

Lutheran General and Children's Hospital Oakton Maple Family Practice Center NOT COVERED

Lutheran General and Children's Hospital Oakton Park Medical Center NOT COVERED

Lutheran General and Children's Hospital OConnor, Therese M.-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Okonkwo, Adaora M.-MD NOT COVERED

Lutheran General and Children's Hospital Okrent, David H.-MD NOT COVERED

Lutheran General and Children's Hospital Okuno, William Takashi-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Old Orchard Obstetrics & Gynecology, SC NOT COVERED

Lutheran General and Children's Hospital O'Mara, Susan Kaye-CNS NOT COVERED

Lutheran General and Children's Hospital Opus Plastic Surgery, LTD NOT COVERED

Lutheran General and Children's Hospital Oral Surgery Associates NOT COVERED

Lutheran General and Children's Hospital Orthopaedics & Rheumatology of North Shore, SC NOT COVERED

Lutheran General and Children's Hospital O'Toole, Rosemary K.-NP NOT COVERED

Lutheran General and Children's Hospital Pain Care Consultants, SC NOT COVERED

Lutheran General and Children's Hospital Park Ridge Pediatrics, PC NOT COVERED

Lutheran General and Children's Hospital Park, Hong A.-MD NOT COVERED

Lutheran General and Children's Hospital Parkside Obstetrics & Gynecology, SC NOT COVERED

Lutheran General and Children's Hospital Parkside Pediatrics, SC NOT COVERED

Lutheran General and Children's Hospital Patel, Parit A.-MD NOT COVERED

Lutheran General and Children's Hospital Patel, Subhash R.-MD NOT COVERED

Lutheran General and Children's Hospital Patt, Stephen Lee-MD NOT COVERED

Lutheran General and Children's Hospital Pediatric Care Associates, SC NOT COVERED

Lutheran General and Children's Hospital Pediatric Care, PC NOT COVERED

Lutheran General and Children's Hospital Pediatric Clinic, Ltd NOT COVERED

Lutheran General and Children's Hospital Pediatric Health Care Associates, SC NOT COVERED

Lutheran General and Children's Hospital Pediatric Medical Services, SC NOT COVERED

Page 56

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Lutheran General and Children's Hospital Pediatric Solutions, SC NOT COVERED

Lutheran General and Children's Hospital PediaTrust, LLC NOT COVERED

Lutheran General and Children's Hospital Periodontal Medicine Surgical Specialists, LTD NOT COVERED

Lutheran General and Children's Hospital Pesence Medical Group - Norwood Park Pediatrics NOT COVERED

Lutheran General and Children's Hospital Peskin Oral Surgery, Ltd NOT COVERED

Lutheran General and Children's Hospital Peter E. Johnson, MD, SC NOT COVERED

Lutheran General and Children's Hospital Petrovas, Demetrios -MD NOT COVERED

Lutheran General and Children's Hospital Phillip Markowitz, DO, SC COVERED UNDER FAP

Lutheran General and Children's Hospital Phoenix Health Care NOT COVERED

Lutheran General and Children's Hospital Pins, Michael R.-MD NOT COVERED

Lutheran General and Children's Hospital Podiatry Plus NOT COVERED

Lutheran General and Children's Hospital Poeling, Nancy S.-CNS NOT COVERED

Lutheran General and Children's Hospital Pollak, Alan C.-MD NOT COVERED

Lutheran General and Children's Hospital Poniatowicz, Joanna -MD NOT COVERED

Lutheran General and Children's Hospital Prasad, Bharati -MD NOT COVERED

Lutheran General and Children's Hospital Premier Eye Care & Surgery, Ltd NOT COVERED

Lutheran General and Children's Hospital Premier Optimal Health NOT COVERED

Lutheran General and Children's Hospital Presence Medical Group NOT COVERED

Lutheran General and Children's Hospital Pribyl, Mary Kay-PhD NOT COVERED

Lutheran General and Children's Hospital Primary Care of Illinois, SC NOT COVERED

Lutheran General and Children's Hospital Primary Care Providers of Chicago, SC NOT COVERED

Lutheran General and Children's Hospital ProPsych Associates, SC NOT COVERED

Lutheran General and Children's Hospital Pu Woong Kim, MD,SC NOT COVERED

Lutheran General and Children's Hospital Pulmonary & Critical Care Consultants,SC NOT COVERED

Lutheran General and Children's Hospital Pulmonary Medicine NOT COVERED

Lutheran General and Children's Hospital Quality Medical Care, SC NOT COVERED

Lutheran General and Children's Hospital Rabin, Barry M.-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Radiation Oncology Consultants, Ltd NOT COVERED

Lutheran General and Children's Hospital Rahimi, Fred -DPM NOT COVERED

Lutheran General and Children's Hospital Rainbow Hospice and Palliative Care NOT COVERED

Lutheran General and Children's Hospital Ralph N. Robbins, D.D.S., LTD. NOT COVERED

Lutheran General and Children's Hospital Randy Zimmerman, MD,SC NOT COVERED

Lutheran General and Children's Hospital Raymond M. Handler MD, SC NOT COVERED

Lutheran General and Children's Hospital Reginald Spears, MD, LLC NOT COVERED

Lutheran General and Children's Hospital Reich, Alan M.-MD NOT COVERED

Lutheran General and Children's Hospital Retina Consultants, Ltd NOT COVERED

Lutheran General and Children's Hospital Retina Institute of Illinois, PC NOT COVERED

Lutheran General and Children's Hospital Rheumatic Disease Center NOT COVERED

Lutheran General and Children's Hospital Rich, Randy S.-MD NOT COVERED

Lutheran General and Children's Hospital Riegelhaupt, Ronald W.-DPM NOT COVERED

Lutheran General and Children's Hospital Ritacca Cosmetic Surgery & Medspa, Ltd NOT COVERED

Lutheran General and Children's Hospital Riverside Medical, SC NOT COVERED

Lutheran General and Children's Hospital Robert Hozman, MD, SC NOT COVERED

Lutheran General and Children's Hospital Rogell, Camille A.-CNS NOT COVERED

Lutheran General and Children's Hospital Rogulic, Jennifer Jean-NP NOT COVERED

Lutheran General and Children's Hospital Rosalind Franklin University Health System NOT COVERED

Lutheran General and Children's Hospital Rosenthal, Daniel A.-MD NOT COVERED

Lutheran General and Children's Hospital Rossi, Joanna -MD NOT COVERED

Lutheran General and Children's Hospital Rudnick, Lawrence A.-MD NOT COVERED

Lutheran General and Children's Hospital Russo, Dana Marie-DO COVERED UNDER FAP

Lutheran General and Children's Hospital Sage Medical Group, SC NOT COVERED

Lutheran General and Children's Hospital Samir Suleiman, MD, SC NOT COVERED

Lutheran General and Children's Hospital Sammons, Cynthia Carol-PhD NOT COVERED

Lutheran General and Children's Hospital Sanders Court Pediatric, Ltd NOT COVERED

Lutheran General and Children's Hospital Sanders Court Pediatrics,Ltd NOT COVERED

Lutheran General and Children's Hospital Sandulescu, Corina Mariana-MD NOT COVERED

Lutheran General and Children's Hospital Sarrafi, Ghodratollah -MD NOT COVERED

Lutheran General and Children's Hospital Scarimbolo, Carmen J.-MD NOT COVERED

Page 57

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Lutheran General and Children's Hospital Schaffer, Kenneth J.-NP NOT COVERED

Lutheran General and Children's Hospital Schmidt, Mary F.-PhD NOT COVERED

Lutheran General and Children's Hospital Schuster, Katherine M.-PA NOT COVERED

Lutheran General and Children's Hospital Section of Cardiac & Thoracic Surgery NOT COVERED

Lutheran General and Children's Hospital Seed Pediatrics, SC NOT COVERED

Lutheran General and Children's Hospital Shafran, Morris N.-PsyD NOT COVERED

Lutheran General and Children's Hospital Shakir, Naseem Taaha-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Sheth, Sujay Kiran-MD NOT COVERED

Lutheran General and Children's Hospital Siegel, Richard Scott-MD NOT COVERED

Lutheran General and Children's Hospital Siegfried, Michael Sidney-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Signature Medical Group NOT COVERED

Lutheran General and Children's Hospital Simmons, Todd Douglas-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Singh, Amarjit -MD NOT COVERED

Lutheran General and Children's Hospital Singh, Inder Paul-MD NOT COVERED

Lutheran General and Children's Hospital Sirota, Ronald Lee-MD NOT COVERED

Lutheran General and Children's Hospital Sklansky, Jodi L.-DO COVERED UNDER FAP

Lutheran General and Children's Hospital Sobczak, Iwona Urszula-MD NOT COVERED

Lutheran General and Children's Hospital Sobol, Urszula Anna-MD NOT COVERED

Lutheran General and Children's Hospital Sokolowski, Malgorzata -CNS NOT COVERED

Lutheran General and Children's Hospital Specialists in Cardiology, Ltd NOT COVERED

Lutheran General and Children's Hospital Spine Consultants, LLC NOT COVERED

Lutheran General and Children's Hospital Sriram, Krishnan -MD NOT COVERED

Lutheran General and Children's Hospital Stat! Cardiologist Inc. NOT COVERED

Lutheran General and Children's Hospital Stern, Darryl A.-MD NOT COVERED

Lutheran General and Children's Hospital Strimling, Bradley Scott-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Studl, Michele O.-PhD NOT COVERED

Lutheran General and Children's Hospital Suad Shuber, MD, SC NOT COVERED

Lutheran General and Children's Hospital Subramanian, Sanjay -MD NOT COVERED

Lutheran General and Children's Hospital Suburban Lung Associates, SC NOT COVERED

Lutheran General and Children's Hospital Suburban Medical Center NOT COVERED

Lutheran General and Children's Hospital Suburban Medical Group NOT COVERED

Lutheran General and Children's Hospital Suburban Pediatrics, Ltd NOT COVERED

Lutheran General and Children's Hospital Suellyn S. Rossman, MD NOT COVERED

Lutheran General and Children's Hospital Sum, Beth A.-MD COVERED UNDER FAP

Lutheran General and Children's Hospital Summers Pediatrics, SC NOT COVERED

Lutheran General and Children's Hospital Susila Subramanian, MD SC NOT COVERED

Lutheran General and Children's Hospital Suzue, Kimiko -MD NOT COVERED

Lutheran General and Children's Hospital Thao Nguyen Tran, MD, SC NOT COVERED

Lutheran General and Children's Hospital The Barrington Center: Psychotherapy and Wellness NOT COVERED

Lutheran General and Children's Hospital The Center for Internal Medicine NOT COVERED

Lutheran General and Children's Hospital The Ear, Nose & Throat Center NOT COVERED

Lutheran General and Children's Hospital The Midwest Center for Sight NOT COVERED

Lutheran General and Children's Hospital The Spine Center, SC NOT COVERED

Lutheran General and Children's Hospital Thomas A. Pavlovic, MD,SC NOT COVERED

Lutheran General and Children's Hospital Thomopoulos, Michael Andrianos-PA NOT COVERED

Lutheran General and Children's Hospital Total Health Dental Center NOT COVERED

Lutheran General and Children's Hospital Tots N Teens Health Associates NOT COVERED

Lutheran General and Children's Hospital Tran, Phuong L.-MD NOT COVERED

Lutheran General and Children's Hospital UK Family Practice NOT COVERED

Lutheran General and Children's Hospital University Medicine and Cardiology NOT COVERED

Lutheran General and Children's Hospital University Neurologists NOT COVERED

Lutheran General and Children's Hospital University Plastic Surgery, SC NOT COVERED

Lutheran General and Children's Hospital Uraizee, Faheem -MD COVERED UNDER FAP

Lutheran General and Children's Hospital UroPartners, LLC NOT COVERED

Lutheran General and Children's Hospital Vadim Edelstein MD LTD Oakton Park Medical Center NOT COVERED

Lutheran General and Children's Hospital Valentino, Danielle Marie-NP COVERED UNDER FAP

Lutheran General and Children's Hospital Vander Ploeg, Kimberly A.-CNS NOT COVERED

Lutheran General and Children's Hospital Verville, Dennis Roy-PsyD NOT COVERED

Page 58

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Lutheran General and Children's Hospital Victor, Carol S.-CNS NOT COVERED

Lutheran General and Children's Hospital Viegas Miller, Babita -PhD NOT COVERED

Lutheran General and Children's Hospital Vilione, Stacey Kay-PA NOT COVERED

Lutheran General and Children's Hospital Vios Fertility Institute NOT COVERED

Lutheran General and Children's Hospital Vios Fertility Institute Chicago, LLC NOT COVERED

Lutheran General and Children's Hospital Virtual Radiologic Professionals, LLC NOT COVERED

Lutheran General and Children's Hospital Vizinas, Dimitrina Georgieva-DO NOT COVERED

Lutheran General and Children's Hospital Walo, Miroslaw Jan-MD NOT COVERED

Lutheran General and Children's Hospital Walter Campbell, MD, LLC NOT COVERED

Lutheran General and Children's Hospital Warren Kammerer MD, SC NOT COVERED

Lutheran General and Children's Hospital Waz, Natalia M.-PA NOT COVERED

Lutheran General and Children's Hospital We Care Orthopedics, Ltd. NOT COVERED

Lutheran General and Children's Hospital Weil Foot and Ankle Institute NOT COVERED

Lutheran General and Children's Hospital Whole Health Family Medicine and Weight Loss COVERED UNDER FAP

Lutheran General and Children's Hospital Willow Wellness Center NOT COVERED

Lutheran General and Children's Hospital Woloson, Susanne Kost-MD NOT COVERED

Lutheran General and Children's Hospital Women First Specialists NOT COVERED

Lutheran General and Children's Hospital Women's and Children's Healthcare Associates, LLC NOT COVERED

Lutheran General and Children's Hospital Women's Choice NOT COVERED

Lutheran General and Children's Hospital Women's Health Specialists NOT COVERED

Lutheran General and Children's Hospital Wyhinny, Patricia Polin-MD NOT COVERED

Lutheran General and Children's Hospital Yacktman Pavillion NOT COVERED

Lutheran General and Children's Hospital Yousefi, Youhana -MD NOT COVERED

Lutheran General and Children's Hospital YR Medical Group, SC NOT COVERED

Lutheran General and Children's Hospital Zawilenski, Matthew D.-MD NOT COVERED

Sherman Hospital Access Neurocare, PC NOT COVERED

Sherman Hospital Advance Midwest Medical, S.C. NOT COVERED

Sherman Hospital Advanced Allergy & Asthma Associates, SC NOT COVERED

Sherman Hospital Advanced Foot and Ankle Specialists, SC NOT COVERED

Sherman Hospital Advanced Neurology and Sleep Clinic, LLC NOT COVERED

Sherman Hospital Advanced Preventative Cardiology NOT COVERED

Sherman Hospital Advanced Surgical Specialists NOT COVERED

Sherman Hospital Advocate Complete Care Center COVERED UNDER FAP

Sherman Hospital Advocate Health & Hospital Corp - Advocate Intensivist Partners COVERED UNDER FAP

Sherman Hospital Advocate Medical Group - Algonquin Randall Rd COVERED UNDER FAP

Sherman Hospital Advocate Medical Group - Bartlett COVERED UNDER FAP

Sherman Hospital Advocate Medical Group - Chicago - Trinity - Emergency Medicine COVERED UNDER FAP

Sherman Hospital Advocate Medical Group - East Dundee COVERED UNDER FAP

Sherman Hospital Advocate Medical Group - Elgin 1435 N Randall Rd - 201 COVERED UNDER FAP

Sherman Hospital Advocate Medical Group - Elgin -1710 Randall Rd - Internal Medicine COVERED UNDER FAP

Sherman Hospital Advocate Medical Group - Huntley - 13900 Quality Drive COVERED UNDER FAP

Sherman Hospital Advocate Medical Group - Oak Lawn - 4220 West 95th Street COVERED UNDER FAP

Sherman Hospital Advocate Medical Group - Oak Lawn - 4440 West 95th Street - Behavioral Health COVERED UNDER FAP

Sherman Hospital Advocate Medical Group - South Elgin COVERED UNDER FAP

Sherman Hospital Advocate Medical Group - Wonder Lake COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Algonquin Ryan Pkwy COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Children's Hoffman Estate COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Christ Peds Hospitalist COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Condell Hospitalist COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Downers Grove 3825 Highland COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Elgin 1435 N Randall Rd 202 COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Elgin 750 Fletcher Drive COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Hospitalist COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Hospitalists COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Irving and Western COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Midwest Pediatric Cardio COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Midwest Pediatric Cardiology COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Neonatology COVERED UNDER FAP

Page 59

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Sherman Hospital Advocate Medical Group Nesset Rheumatology COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Oak Lawn 95th St Pediatrics COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Parkside Cardiology COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Parkside Genetics COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Peds Hospitalist COVERED UNDER FAP

Sherman Hospital Advocate Medical Group South Holland Hospitalist COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Trauma COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Trauma Surgery COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Yacktman Peds Endocrinology COVERED UNDER FAP

Sherman Hospital Advocate Medical Group Yacktman Psychiatry COVERED UNDER FAP

Sherman Hospital Advocate Medical Group-Crystal Lake-525 East Congress Parkway-Cardiology COVERED UNDER FAP

Sherman Hospital Advocate Medical Group-Elgin 1710 Randall Road COVERED UNDER FAP

Sherman Hospital Advocate Medical Group-Elgin 745 Fletcher Drive COVERED UNDER FAP

Sherman Hospital Advocate Medical Group-Elgin,1435 N Randall Rd-107 COVERED UNDER FAP

Sherman Hospital Advocate Medical Group-Oak Lawn-Cicero Avenue COVERED UNDER FAP

Sherman Hospital Affiliated Ear, Nose & Throat Physicians NOT COVERED

Sherman Hospital Afifi, M. Sherif-MD NOT COVERED

Sherman Hospital Aggarwal, Nimit K.-MD NOT COVERED

Sherman Hospital Alan Arps MD NOT COVERED

Sherman Hospital Al-Ani, Ismail -MD NOT COVERED

Sherman Hospital Alexian Brothers Medical Group Streamwood NOT COVERED

Sherman Hospital Alexian Brothers Specialty Group NOT COVERED

Sherman Hospital Algonquin Family Health Care, P.C. NOT COVERED

Sherman Hospital Allergy Partners of Chicago NOT COVERED

Sherman Hospital American Cancer Center, PC NOT COVERED

Sherman Hospital Amsler, Barbara E.-MD NOT COVERED

Sherman Hospital Andrade, Ambar Afshar-MD COVERED UNDER FAP

Sherman Hospital Apollo Hospitalist Group, LLC NOT COVERED

Sherman Hospital Aspen Behavioral Care NOT COVERED

Sherman Hospital Associated Allergists & Asthma Specialists, Ltd NOT COVERED

Sherman Hospital Associated Cardiovascular Physicians, SC NOT COVERED

Sherman Hospital Associates for Women's Healthcare NOT COVERED

Sherman Hospital Associates in Ear, Nose & Throat, Head & Neck Surgery, SC NOT COVERED

Sherman Hospital Associates in Endocrinology, Inc. NOT COVERED

Sherman Hospital Associates in Orthopaedic Surgery, SC NOT COVERED

Sherman Hospital Associates in Pediatrics, SC NOT COVERED

Sherman Hospital Associates in Psychiatry and Counseling, PC NOT COVERED

Sherman Hospital Associates in Psychiatry and Counseling, P.C. NOT COVERED

Sherman Hospital Atkins, Trisha L.-PA NOT COVERED

Sherman Hospital Bari, Naveed -MD NOT COVERED

Sherman Hospital Barrington Orthopedic Specialists NOT COVERED

Sherman Hospital Barthel, Jeness M.-MD NOT COVERED

Sherman Hospital Beaird Dermatology S C NOT COVERED

Sherman Hospital Becker, Brett C.-DPM NOT COVERED

Sherman Hospital Bernstein, Harry A.-MD NOT COVERED

Sherman Hospital Best Practices Inpatient Care, Ltd NOT COVERED

Sherman Hospital Beusse, Walter J.-DO NOT COVERED

Sherman Hospital Bonczak, Boguslaw -MD COVERED UNDER FAP

Sherman Hospital Bowersox, Keith D.-MD NOT COVERED

Sherman Hospital Bresticker, Michael A.-MD NOT COVERED

Sherman Hospital Burrell, Barbara F.-MD NOT COVERED

Sherman Hospital C. Dean Katsamakis DO, FACC, SC NOT COVERED

Sherman Hospital Cardiac Arrhythmia Services NOT COVERED

Sherman Hospital Cardiac Surgery Associates, SC NOT COVERED

Sherman Hospital Caring Family, SC NOT COVERED

Sherman Hospital Casciaro, Karen D.-MD NOT COVERED

Sherman Hospital Centegra Cardiology NOT COVERED

Sherman Hospital Centegra Primary Care NOT COVERED

Page 60

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Sherman Hospital Century Dental of Huntley NOT COVERED

Sherman Hospital CEP NOT COVERED

Sherman Hospital CEP America - Illinois, LLP NOT COVERED

Sherman Hospital Chest and Sleep Medicine Associates, SC NOT COVERED

Sherman Hospital Chest Medicine Consultants, SC NOT COVERED

Sherman Hospital Chicago Anesthesia Associates, SC NOT COVERED

Sherman Hospital Chicago Cardiology Institute, SC NOT COVERED

Sherman Hospital Chicago Institute of Plastic Surgery NOT COVERED

Sherman Hospital Chicagoland Eye Consultants, SC NOT COVERED

Sherman Hospital Children's Asthma Respiratory & Exercise Specialists NOT COVERED

Sherman Hospital Children's Medical Group, SC NOT COVERED

Sherman Hospital Christy Cardiology, Ltd NOT COVERED

Sherman Hospital Chu, Felicia -DDS NOT COVERED

Sherman Hospital Collins, Steven M.-PA NOT COVERED

Sherman Hospital Comphrensive Kidney Care, LLC NOT COVERED

Sherman Hospital Complete Heathcare for Women, SC NOT COVERED

Sherman Hospital Comprehensive Eyecare Physicians, PC NOT COVERED

Sherman Hospital Comprehensive Urologic Care SC NOT COVERED

Sherman Hospital Conchita Gavino, MD, SC NOT COVERED

Sherman Hospital Cosmetic & Plastic Surgery Associates MD SC NOT COVERED

Sherman Hospital Cotts, William Gerritt-MD COVERED UNDER FAP

Sherman Hospital Crystal Lake Dermatalogy NOT COVERED

Sherman Hospital Daksha Mehta, MD, SC NOT COVERED

Sherman Hospital Dermatology Specialists of Illinois, Ltd NOT COVERED

Sherman Hospital Desai, Apurva A.-MD NOT COVERED

Sherman Hospital Dhrulata R. Shah, MD SC NOT COVERED

Sherman Hospital Divyang A. Joshi, MD, PC NOT COVERED

Sherman Hospital Doctors of Emergency Medicine NOT COVERED

Sherman Hospital Dreyer Clinic - Rush Copley NOT COVERED

Sherman Hospital Dreyer Clinic - Sequoia NOT COVERED

Sherman Hospital Dreyer Clinic - St. Charles NOT COVERED

Sherman Hospital Drs. Finger and Bennett, Ltd. NOT COVERED

Sherman Hospital Drs. Khanna and Khanna, LTD NOT COVERED

Sherman Hospital Du Page Medical Group, Ltd NOT COVERED

Sherman Hospital Dundee Dermatology NOT COVERED

Sherman Hospital DuPage Medical Group, Ltd NOT COVERED

Sherman Hospital Ear, Nose, Throat & Allergy Clinic NOT COVERED

Sherman Hospital Elgin Barrington Neurosurgery, SC NOT COVERED

Sherman Hospital Elgin Family Physicians, SC NOT COVERED

Sherman Hospital Elgin Foot & Ankle Center, SC NOT COVERED

Sherman Hospital Elgin Internal Medical Associates, SC NOT COVERED

Sherman Hospital Elgin Medical Associates NOT COVERED

Sherman Hospital Elgin Rehabilitation Physicians NOT COVERED

Sherman Hospital Eligijus P. Lelis MD & Associates, SC NOT COVERED

Sherman Hospital Elio M. Vento, MD & Associates, SC NOT COVERED

Sherman Hospital Elite Cardiology Solutions, LLC NOT COVERED

Sherman Hospital Engen, Paul L.-DDS NOT COVERED

Sherman Hospital EP Consultation, Ltd NOT COVERED

Sherman Hospital Estes, Christine C.-MD NOT COVERED

Sherman Hospital Evans, Diana M.-PA NOT COVERED

Sherman Hospital Family Medicine for McHenry County NOT COVERED

Sherman Hospital Farooki, Basheeruddin M.-MD NOT COVERED

Sherman Hospital Fendon, Thomas H.-MD NOT COVERED

Sherman Hospital Fiandaca Periodontics, P.C. NOT COVERED

Sherman Hospital Fidai Medical Group COVERED UNDER FAP

Sherman Hospital Flynn, Jessica Lu-MD NOT COVERED

Sherman Hospital Foot and Ankle Specialists of Illinois, Ltd. NOT COVERED

Sherman Hospital Fox Valley Comprehensive Women's Healthcare NOT COVERED

Page 61

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Sherman Hospital Fox Valley Ear, Nose, and Throat Associates, SC NOT COVERED

Sherman Hospital Fox Valley Laboratory Physicians, SC NOT COVERED

Sherman Hospital Fox Valley Neurology, PC NOT COVERED

Sherman Hospital Fox Valley Ophthalmology, Ltd. NOT COVERED

Sherman Hospital Fox Valley Orthopaedic Associates, SC NOT COVERED

Sherman Hospital Frank, Michael W.-MD NOT COVERED

Sherman Hospital Geeti Ghosh, MD, SC NOT COVERED

Sherman Hospital George L. Stankevych, MD, PC NOT COVERED

Sherman Hospital George, Mary K.-MD NOT COVERED

Sherman Hospital Germbusters, P.C. NOT COVERED

Sherman Hospital Gitelis Orthopedics, Ltd NOT COVERED

Sherman Hospital Gomez Medical Group, Inc NOT COVERED

Sherman Hospital Greater Elgin Family Care Center NOT COVERED

Sherman Hospital Greater Elgin Pain Management Consultants, SC NOT COVERED

Sherman Hospital Grossman, Stephen A.-MD NOT COVERED

Sherman Hospital Gvildys, Dalia E.-MD NOT COVERED

Sherman Hospital Halloran, Fred J.-MD NOT COVERED

Sherman Hospital Hampshire Clinic, Inc NOT COVERED

Sherman Hospital Haraldsson, Catherine A.-PA NOT COVERED

Sherman Hospital Hashmi, Faiza -MD NOT COVERED

Sherman Hospital Health Care Associates of Streamwood NOT COVERED

Sherman Hospital Heart Rhythm Center NOT COVERED

Sherman Hospital Herbert C. Becker Jr., MD SC NOT COVERED

Sherman Hospital Heritage Primary Care, SC NOT COVERED

Sherman Hospital High Touch Medicine NOT COVERED

Sherman Hospital Horng Y. Fang, MD, SC NOT COVERED

Sherman Hospital Hospital Medicine Consultants. LLC NOT COVERED

Sherman Hospital Housner, Ryan Joseph-PA NOT COVERED

Sherman Hospital Ibe, Eberechukwu Odoji-MD NOT COVERED

Sherman Hospital Illinois Gastroenterology Group, LLC NOT COVERED

Sherman Hospital Illinois Pain Institute NOT COVERED

Sherman Hospital Inpatient Consultants of Illinois PC NOT COVERED

Sherman Hospital Inpatient Consultants of Illinois, PC NOT COVERED

Sherman Hospital InVia Fertility NOT COVERED

Sherman Hospital James A. Wilcox, PC NOT COVERED

Sherman Hospital Kaneland Allergy & Asthma Center NOT COVERED

Sherman Hospital Kanu Panchal MD, SC NOT COVERED

Sherman Hospital Kazmer Foot and Ankle Centers, Ltd NOT COVERED

Sherman Hospital Kid Care Medical NOT COVERED

Sherman Hospital Kidney Care Center Elgin, LLC NOT COVERED

Sherman Hospital Kid's Dental & Endodontics NOT COVERED

Sherman Hospital Kids First Pediatric Dentistry NOT COVERED

Sherman Hospital Kim, Daniel Y.-MD NOT COVERED

Sherman Hospital King, Brian A.-DPM NOT COVERED

Sherman Hospital Klich, Janice Ruth-MD NOT COVERED

Sherman Hospital Korzen, Carol L.-MD NOT COVERED

Sherman Hospital Kostinsky, Natalie -MD NOT COVERED

Sherman Hospital Kummerer, Robert G.-MD NOT COVERED

Sherman Hospital Lake Immediate Care & Clinic, SC NOT COVERED

Sherman Hospital Lake in the Hills Podiatry NOT COVERED

Sherman Hospital Langefeld, Czapla & Associates, DDS, PC NOT COVERED

Sherman Hospital Lee Lichtenberg, MD, SC NOT COVERED

Sherman Hospital LG Healthcare, LLC NOT COVERED

Sherman Hospital Lifespan NOT COVERED

Sherman Hospital Lindberg, Amy Elizabeth-PA NOT COVERED

Sherman Hospital Lipov, Sergei G.-MD NOT COVERED

Sherman Hospital Lynn D. Mershon, DO, Ltd NOT COVERED

Sherman Hospital M D Patel, Inc NOT COVERED

Page 62

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Sherman Hospital Macaluso, Gregory Paul-MD COVERED UNDER FAP

Sherman Hospital Majmudar, Sonali P.-MD NOT COVERED

Sherman Hospital Mandal, Robert Walter-MD NOT COVERED

Sherman Hospital Manjunath, Rajini -MD NOT COVERED

Sherman Hospital Mann, Stewart Ralph-MD NOT COVERED

Sherman Hospital Maternal Fetal Consultants, SC COVERED UNDER FAP

Sherman Hospital McHenry Heart Institute NOT COVERED

Sherman Hospital Medical Associates of Crystal Lake, LLC NOT COVERED

Sherman Hospital Mehmood, Sajid -MD NOT COVERED

Sherman Hospital Mehta, Ajay C.-MD NOT COVERED

Sherman Hospital Meilahn, Linda Christine-CNM NOT COVERED

Sherman Hospital Mercy Health NOT COVERED

Sherman Hospital Mercy Medical Center Cardiology Clinic NOT COVERED

Sherman Hospital Mercy Pediatrics NOT COVERED

Sherman Hospital Mesleh, Marc George-MD COVERED UNDER FAP

Sherman Hospital Metro Heart & Vascular Institute, Ltd NOT COVERED

Sherman Hospital Metro Infectious Disease Consultants, LLC NOT COVERED

Sherman Hospital Michael J. Riermaier, MD, JD, SC NOT COVERED

Sherman Hospital Midwest Anesthesia Partners, LLC NOT COVERED

Sherman Hospital Midwest Bone & Joint Institute NOT COVERED

Sherman Hospital Midwest Glaucoma Center, PC NOT COVERED

Sherman Hospital Midwest Lung and Sleep Consultants NOT COVERED

Sherman Hospital Midwest Oncology Hematology, Ltd NOT COVERED

Sherman Hospital Midwest Pediatric Endocrinology NOT COVERED

Sherman Hospital Midwest Perinatal Consultants, SC COVERED UNDER FAP

Sherman Hospital Midwest Plastic Surgery Specialists NOT COVERED

Sherman Hospital Midwest Professional Medical Care NOT COVERED

Sherman Hospital Midwest Pulmonary and Sleep Clinic, SC NOT COVERED

Sherman Hospital Midwest Pulmonary Associates, SC NOT COVERED

Sherman Hospital Midwest Radiation Oncology Consultants, Ltd. NOT COVERED

Sherman Hospital Midwest Surgery, SC NOT COVERED

Sherman Hospital Minneapolis VA Medical center NOT COVERED

Sherman Hospital Mohammad, Zulfiqar -MD NOT COVERED

Sherman Hospital MOHS Surgery and Dermatology Center NOT COVERED

Sherman Hospital Muzammil, Muhammad -MD NOT COVERED

Sherman Hospital Nabrinsky, Stanley -MD NOT COVERED

Sherman Hospital Nawas, Sammy I.-MD NOT COVERED

Sherman Hospital Nephrology Associates of Northern Illinois, LTD NOT COVERED

Sherman Hospital Neural Watch NOT COVERED

Sherman Hospital NeuroCare & Family Services NOT COVERED

Sherman Hospital Next Generation Pediatrics, LLC NOT COVERED

Sherman Hospital Niles, Sara Carolyn-PA NOT COVERED

Sherman Hospital Nitin Kher, MD SC NOT COVERED

Sherman Hospital Northern Illinois Foot & Ankle Specialists, Ltd NOT COVERED

Sherman Hospital Northern Illinois Medical Associates NOT COVERED

Sherman Hospital Northwest Brain and Spine Surgery NOT COVERED

Sherman Hospital Northwest Healthcare Associates NOT COVERED

Sherman Hospital Northwest Neurology, Ltd NOT COVERED

Sherman Hospital Northwest Oncology & Hematology, SC NOT COVERED

Sherman Hospital Northwest Oral and Maxillofacial Surgery NOT COVERED

Sherman Hospital Northwest Pediatric Neurology NOT COVERED

Sherman Hospital Northwest Pediatric Services, SC NOT COVERED

Sherman Hospital Northwest Podiatry Center, Ltd NOT COVERED

Sherman Hospital Northwest Primary Care, PC NOT COVERED

Sherman Hospital Northwest Pulmonary and Sleep Medicine, SC NOT COVERED

Sherman Hospital Northwest Suburban Medical Group NOT COVERED

Sherman Hospital Northwest Suburban Oncology and Hematology Associates SC NOT COVERED

Sherman Hospital Northwestern Regional Medical Group NOT COVERED

Page 63

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Sherman Hospital O. Bartolomeo MD, SC NOT COVERED

Sherman Hospital Oaklund Medical Group, Ltd NOT COVERED

Sherman Hospital Oaklund Medical Group, Ltd. NOT COVERED

Sherman Hospital Ophthalmology Associates, Ltd NOT COVERED

Sherman Hospital Opus Plastic Surgery, LTD NOT COVERED

Sherman Hospital OrthoIllinois NOT COVERED

Sherman Hospital OSF Multi-Specialty Group NOT COVERED

Sherman Hospital Osoba, Laura Elizabeth-PA NOT COVERED

Sherman Hospital Pappas, Patroklos S.-MD NOT COVERED

Sherman Hospital Paradis, Cheryl -MD NOT COVERED

Sherman Hospital Patel, Subhash R.-MD NOT COVERED

Sherman Hospital Pediatric & Child Development Clinic, Inc NOT COVERED

Sherman Hospital Pediatric and Family Dental NOT COVERED

Sherman Hospital Pediatric Care Associates, SC NOT COVERED

Sherman Hospital Pediatric Health Partner NOT COVERED

Sherman Hospital PediaTrust, LLC NOT COVERED

Sherman Hospital Periodontics of Elgin, Ltd. NOT COVERED

Sherman Hospital Personal Women's Healthcare, SC NOT COVERED

Sherman Hospital Pitroda, Parol P.-MD NOT COVERED

Sherman Hospital Polito, William Fred-MD NOT COVERED

Sherman Hospital Prafulla K. Koneru, M.D., S.C. NOT COVERED

Sherman Hospital Prairie Point Obstetrics & Gynecology, Ltd NOT COVERED

Sherman Hospital Prasad, Bharati -MD NOT COVERED

Sherman Hospital Premier Women's Health Associates, SC NOT COVERED

Sherman Hospital Presence Medical Group NOT COVERED

Sherman Hospital Proponent Medical Group, Ltd NOT COVERED

Sherman Hospital Pulmonary & Critical Care Consultants,SC NOT COVERED

Sherman Hospital Pulmonary & Sleep Medicine Clinic, LLC NOT COVERED

Sherman Hospital Pulmonary Critical Care & Sleep Medicine Specialists, SC NOT COVERED

Sherman Hospital Pulmonary Medicine NOT COVERED

Sherman Hospital Qazi, Manzoor A.-MD NOT COVERED

Sherman Hospital Quadri Family Practice, S.C. NOT COVERED

Sherman Hospital Raju, Subba -MD NOT COVERED

Sherman Hospital Reena Jabamoni, MD, SC NOT COVERED

Sherman Hospital Rehabilitation Institute of Chicago NOT COVERED

Sherman Hospital Rehabilitation Medicine Clinic, Inc. NOT COVERED

Sherman Hospital Rehabilitation Medicine Specialists NOT COVERED

Sherman Hospital Renovo Endodontic Studio NOT COVERED

Sherman Hospital Retina Consultants, Ltd NOT COVERED

Sherman Hospital Retina Health Institute NOT COVERED

Sherman Hospital Robert S. Kipferl, DPM, SC NOT COVERED

Sherman Hospital Roberts, Wesley Daniel-MD NOT COVERED

Sherman Hospital Rockford Neuroscience Center NOT COVERED

Sherman Hospital Roig, Michele Maria-MD NOT COVERED

Sherman Hospital Sage Medical Group, SC NOT COVERED

Sherman Hospital Salud Pediatrics, SC NOT COVERED

Sherman Hospital Salvi, Thomas G.-MD NOT COVERED

Sherman Hospital Sampaleanu, Dana Maria-MD NOT COVERED

Sherman Hospital Schwartz, Joel M.-DO NOT COVERED

Sherman Hospital Scott Newcomb, DPM PC NOT COVERED

Sherman Hospital Seo, Michelle M.-MD NOT COVERED

Sherman Hospital Shah Medical Center, SC NOT COVERED

Sherman Hospital Shankara, Besagarahally C.-MD NOT COVERED

Sherman Hospital Silfies, Dawn LeAnne-DMD NOT COVERED

Sherman Hospital Simpson Eye Associates, Ltd NOT COVERED

Sherman Hospital Singh, Amarjit -MD NOT COVERED

Sherman Hospital Singh, Amitabh -MD NOT COVERED

Sherman Hospital Singh, Veerpal -MD NOT COVERED

Page 64

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Sherman Hospital Specialists in Gastroenterology NOT COVERED

Sherman Hospital Specialty Care Institute, SC NOT COVERED

Sherman Hospital Sriram, Krishnan -MD NOT COVERED

Sherman Hospital SSD Medical Group NOT COVERED

Sherman Hospital St. Charles Foot & Ankle Center NOT COVERED

Sherman Hospital St. Charles Plastic Surgery, Ltd. NOT COVERED

Sherman Hospital Starr, Alexander -MD NOT COVERED

Sherman Hospital Stern, David Ross-MD NOT COVERED

Sherman Hospital Subramanian, Sanjay -MD NOT COVERED

Sherman Hospital Suburban Medical Center NOT COVERED

Sherman Hospital Suburban Orthopaedics, Ltd NOT COVERED

Sherman Hospital Suburban Retina, Ltd NOT COVERED

Sherman Hospital Suburban Women's Health Specialists, Ltd NOT COVERED

Sherman Hospital Sufalko, Arnold F.-DDS NOT COVERED

Sherman Hospital Sullivan, Henry James-MD NOT COVERED

Sherman Hospital Syed S. Asghar, MD, PC NOT COVERED

Sherman Hospital Sylvia Lam, MD, SC NOT COVERED

Sherman Hospital Tanveer Ahmad, MD NOT COVERED

Sherman Hospital The Elgin Clinic, Ltd NOT COVERED

Sherman Hospital The Endocrine and Metabolic Center, Inc COVERED UNDER FAP

Sherman Hospital The Heart Team, LLC NOT COVERED

Sherman Hospital The Vision Institute of Illinois, Inc NOT COVERED

Sherman Hospital Thida Maw, MD, PC NOT COVERED

Sherman Hospital Thornwood Neurology NOT COVERED

Sherman Hospital Todd S. Hewell, III, MD, FACS NOT COVERED

Sherman Hospital Tomlin, Jeffrey S.-MD NOT COVERED

Sherman Hospital Tri-City Neurology, SC NOT COVERED

Sherman Hospital UpToDate Healthcare for Women, Inc NOT COVERED

Sherman Hospital UrbanCare Internal Medicine NOT COVERED

Sherman Hospital Urology Care Center, SC NOT COVERED

Sherman Hospital Urology, Ltd NOT COVERED

Sherman Hospital US Healthworks NOT COVERED

Sherman Hospital V. Susarla, MD, SC NOT COVERED

Sherman Hospital Valley Medical & Cardiac Clinic, Ltd NOT COVERED

Sherman Hospital Valley Plastic Surgery NOT COVERED

Sherman Hospital Valley Psychiatry and Counseling, LLC NOT COVERED

Sherman Hospital Vascular and Interventional Professionals, LLC NOT COVERED

Sherman Hospital Vascular and Interventional Radiology NOT COVERED

Sherman Hospital Vein and Laser Center of Elgin Cardiac Surgery NOT COVERED

Sherman Hospital Vision Radiology NOT COVERED

Sherman Hospital VNA Clinic of Fox Valley NOT COVERED

Sherman Hospital VNA Healthcare NOT COVERED

Sherman Hospital VNA Health-OBGYN NOT COVERED

Sherman Hospital Votapka, Timothy V.-MD NOT COVERED

Sherman Hospital Walter A. Alm, DPM, PC NOT COVERED

Sherman Hospital Well Baby Care, PC NOT COVERED

Sherman Hospital Well Care Neonatologists, SC NOT COVERED

Sherman Hospital Westgate Family Medicine NOT COVERED

Sherman Hospital William J. Holevas, DDS, LTD NOT COVERED

Sherman Hospital Women's Center for Wellness NOT COVERED

Sherman Hospital Yang, Gongyu -MD NOT COVERED

Sherman Hospital Yango-Eugenio, Maria Cynthia -MD NOT COVERED

Sherman Hospital Yarkony Rehabilitation Associates NOT COVERED

Sherman Hospital Yeshwant, C. -MD NOT COVERED

Sherman Hospital Yuen, Michael Hak Lai-MD NOT COVERED

Sherman Hospital Zahir, Syed A.-MD NOT COVERED

Sherman Hospital Zdon, Jacqueline Rose-PA NOT COVERED

South Suburban Hospital Abramson, Brad L.-DO COVERED UNDER FAP

Page 65

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

South Suburban Hospital Abuhasna, Said -MD NOT COVERED

South Suburban Hospital Administer Medical Associates NOT COVERED

South Suburban Hospital Advance Heart Group NOT COVERED

South Suburban Hospital Advanced Heart Group NOT COVERED

South Suburban Hospital Advanced Orthopedic Specialist S.C. NOT COVERED

South Suburban Hospital Advanced Podiatry NOT COVERED

South Suburban Hospital Advocate Health & Hospital Corp - Advocate Intensivist Partners COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group - Burbank - Palliative Medicine COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group - Chicago - Trinity - Emergency Medicine COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group - Hazel Crest - 17850 S Kedzie - Suite 3100 COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group - Hazel Crest - 178th Kedzie - Breast Surgery COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group - Hazel Crest - Kedzie Avenue COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group - Oak Lawn - 4220 W 95th St - Pediatric Subspecialties COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group - Oak Lawn - 4220 West 95th Street COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group - Oak Lawn - 4440 W 95th Street - Hospitalists COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group - Oak Lawn - 4440 West 95th Street - Behavioral Health COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group - Trinity - Gastroenterology COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Beverly COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group CMC Pediatric Pulmonology COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Downers Grove 3825 Highland COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Elgin 750 Fletcher Drive COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Emergency Medicine COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Frankfort COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Frankfort Family Medicine COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Hazel Crest Gastro COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Heather Medical COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Hospitalist COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Hospitalists COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Irving and Western COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group MidAmerica Cardio HazelCrest COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Midwest Pediatric Cardio COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Oak Lawn Maternal/Fetal COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Oak Lawn Neurosurgery COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Olympia Fields Vollmer COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Orland Park COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group South Holland COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group South Holland Hospitalist COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Sykes COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Trauma COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group Trauma Surgery COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group-Chicago Trinity-Emergency Medicine COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group-Chicago-93rd Street COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group-Downers Grove, 3825 Highland Ave.-Palliative Care COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group-Oak Lawn-Cicero Avenue COVERED UNDER FAP

South Suburban Hospital Advocate Medical Group-Trinity-Emergency Medicine COVERED UNDER FAP

South Suburban Hospital Advocate South Suburban Family Birthing Center COVERED UNDER FAP

South Suburban Hospital Afifi, M. Sherif-MD NOT COVERED

South Suburban Hospital Aggarwal, Nimit K.-MD NOT COVERED

South Suburban Hospital Ahmad, Faheem -MD NOT COVERED

South Suburban Hospital Ahuja, Akash -MD NOT COVERED

South Suburban Hospital Aippersbach, Elke D.-MD NOT COVERED

South Suburban Hospital Akhtar, Rasheed -MD COVERED UNDER FAP

South Suburban Hospital Alaani, Ziad -MD NOT COVERED

South Suburban Hospital Al-Ani, Ismail -MD NOT COVERED

South Suburban Hospital Alexander, Jonathan M.-MD NOT COVERED

South Suburban Hospital Allam, Talha Samie-MD COVERED UNDER FAP

South Suburban Hospital Almasri, Hussam -MD NOT COVERED

South Suburban Hospital Alpha Med Physicians Group, LLC NOT COVERED

Page 66

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

South Suburban Hospital ALR Health and Wellness, Inc NOT COVERED

South Suburban Hospital Alzein Medical, Ltd NOT COVERED

South Suburban Hospital Amenta, Charles A.-MD NOT COVERED

South Suburban Hospital Amin, Bharti N.-MD NOT COVERED

South Suburban Hospital Amuh, Shelley Yvette Poole-MD NOT COVERED

South Suburban Hospital Anastos, John P.-DO NOT COVERED

South Suburban Hospital Andel, Kristen Marie-PA NOT COVERED

South Suburban Hospital Andriusis, Janine Elizabeth-DO NOT COVERED

South Suburban Hospital Angspatt-Pisit, MD, SC NOT COVERED

South Suburban Hospital Annes, John G.-MD NOT COVERED

South Suburban Hospital Antillas Family Medical Center NOT COVERED

South Suburban Hospital Arbor Center for Eyecare, SC NOT COVERED

South Suburban Hospital Aronson, Robert M.-MD COVERED UNDER FAP

South Suburban Hospital Arthur H. Katz, MD, SC NOT COVERED

South Suburban Hospital Arun, Haleyur P.-MD NOT COVERED

South Suburban Hospital Asad Zaman, MD, SC NOT COVERED

South Suburban Hospital Asima, Sika S.-CRNA NOT COVERED

South Suburban Hospital Associated Allergists & Asthma Specialists, Ltd NOT COVERED

South Suburban Hospital Associated Medical Centers of Illinois NOT COVERED

South Suburban Hospital Associates in Nephrology, SC NOT COVERED

South Suburban Hospital Aunt Martha's Youth Service Center NOT COVERED

South Suburban Hospital B.D. Sharma, MD, SC NOT COVERED

South Suburban Hospital Bari, Naveed -MD NOT COVERED

South Suburban Hospital Bauer, Richard Marcus-MD NOT COVERED

South Suburban Hospital Beckett, James E.-MD NOT COVERED

South Suburban Hospital Bedikian, Sarkis Michael-DO NOT COVERED

South Suburban Hospital Bell, Jeremy Thomas-PA NOT COVERED

South Suburban Hospital Bhasin, Amarjit Singh-MD NOT COVERED

South Suburban Hospital Boruc, Agnieszka -NP NOT COVERED

South Suburban Hospital Browning, Carol Ann Tennent-MD NOT COVERED

South Suburban Hospital Bruce W. Smit DPM, Ltd NOT COVERED

South Suburban Hospital Campbell Health Solutions, S.C. NOT COVERED

South Suburban Hospital Camren, Gerald Paul-MD COVERED UNDER FAP

South Suburban Hospital Captain James A. Lovell Federal Health Care Center NOT COVERED

South Suburban Hospital Cardiac Surgery Associates, SC NOT COVERED

South Suburban Hospital Carrillo, Tami Catherine-MD NOT COVERED

South Suburban Hospital Center for Adult and Pediatric Wellness NOT COVERED

South Suburban Hospital Center for Neurological Diseases, SC NOT COVERED

South Suburban Hospital Chaar, Bassem T.-MD NOT COVERED

South Suburban Hospital Chandra Diagnostic Cardiology, Ltd NOT COVERED

South Suburban Hospital Chandra, Sandeep -MD NOT COVERED

South Suburban Hospital Charuk, George E.-DO NOT COVERED

South Suburban Hospital Chepuri, Neeraj Babu-MD NOT COVERED

South Suburban Hospital Chest Medicine Consultants, SC NOT COVERED

South Suburban Hospital Chicago Anesthesia Associates, SC NOT COVERED

South Suburban Hospital Chicago Center for Sports Medicine & Orthopedic Surgery NOT COVERED

South Suburban Hospital Chicago Podiatric Surgeons PC NOT COVERED

South Suburban Hospital Chicagoland Allergy and Asthma Consultants, LTD NOT COVERED

South Suburban Hospital Chicagoland Infectious Disease, PC NOT COVERED

South Suburban Hospital Child Life Center NOT COVERED

South Suburban Hospital Christopher T. Kardasis, MD, SC NOT COVERED

South Suburban Hospital Clark, Steven T.-MD NOT COVERED

South Suburban Hospital Comphrensive Kidney Care, LLC NOT COVERED

South Suburban Hospital Comprehensive Pediatric Care 1, Ltd NOT COVERED

South Suburban Hospital Coolidge, Bradley S.-MD NOT COVERED

South Suburban Hospital Cooper, Scott A.-MD NOT COVERED

South Suburban Hospital Cothran, Judith A.-MD NOT COVERED

South Suburban Hospital Coury, Christopher Anthony-MD NOT COVERED

Page 67

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

South Suburban Hospital Crestwood Medical Associates NOT COVERED

South Suburban Hospital Crossan, Paul D.-MD NOT COVERED

South Suburban Hospital Cuasay, Nestor S.-MD COVERED UNDER FAP

South Suburban Hospital DAS Group, LLC NOT COVERED

South Suburban Hospital David L. Ellens MD, FACP, LLC NOT COVERED

South Suburban Hospital DC Psych Consulting NOT COVERED

South Suburban Hospital Dermatology Associates, Ltd NOT COVERED

South Suburban Hospital Desai, Chaitanya Rajendra-MD COVERED UNDER FAP

South Suburban Hospital Dolton Medical Center NOT COVERED

South Suburban Hospital Dr. Tyree Brinson & Associates, LLC NOT COVERED

South Suburban Hospital Draths-Hanson, Kathleen G.-MD COVERED UNDER FAP

South Suburban Hospital Dreyer Clinic - Highland NOT COVERED

South Suburban Hospital Dreyer Clinic - Rush Copley NOT COVERED

South Suburban Hospital Dreyfuss Plastic Surgery NOT COVERED

South Suburban Hospital DuPage Medial Group NOT COVERED

South Suburban Hospital DuPage Medical Group, Ltd NOT COVERED

South Suburban Hospital Dwarakanathan, A A -MD NOT COVERED

South Suburban Hospital EBS Pediatrics NOT COVERED

South Suburban Hospital Efferen, Tobin Robinson-MD NOT COVERED

South Suburban Hospital Elmahboub, Asim I.-MD NOT COVERED

South Suburban Hospital Emergency Room Providers, SC NOT COVERED

South Suburban Hospital Family Doctor Medical Center, SC NOT COVERED

South Suburban Hospital Farooki, Basheeruddin M.-MD NOT COVERED

South Suburban Hospital Fidai Medical Group COVERED UNDER FAP

South Suburban Hospital Fitzpatrick, Joyce Ellen-NP NOT COVERED

South Suburban Hospital Flossmoor Family Care SC NOT COVERED

South Suburban Hospital Foosaner, David E.-MD NOT COVERED

South Suburban Hospital Forefront Adult & Pediatric Care, SC NOT COVERED

South Suburban Hospital Franciscan Physician Network NOT COVERED

South Suburban Hospital Franciscan Physician Network - Primary Care Dept. NOT COVERED

South Suburban Hospital Fregia, Adrienne L.-MD NOT COVERED

South Suburban Hospital Gelles, Robert -DPM NOT COVERED

South Suburban Hospital Geri Med Service Ltd NOT COVERED

South Suburban Hospital GI Partners of Illinois, LLC NOT COVERED

South Suburban Hospital Gierbolini, Mayte Paloma-Margarita-MD NOT COVERED

South Suburban Hospital Ginde, Jayant V.-MD NOT COVERED

South Suburban Hospital Glowicki, Allyson Elizabeth-PA NOT COVERED

South Suburban Hospital Goldstein, Irene Michele-MD NOT COVERED

South Suburban Hospital Gopi, Ram -MD NOT COVERED

South Suburban Hospital Gordon, Paul J.-MD NOT COVERED

South Suburban Hospital Gould, Robert J.-MD COVERED UNDER FAP

South Suburban Hospital Grevious, Mark Allen-MD NOT COVERED

South Suburban Hospital Guajardo, Aaron -MD COVERED UNDER FAP

South Suburban Hospital Gulabani, Aditi Gulab-MD NOT COVERED

South Suburban Hospital Guzzetta, Paul Michael-MD COVERED UNDER FAP

South Suburban Hospital Gynecological Cancer Institute of Chicago, LLC NOT COVERED

South Suburban Hospital Haddad, Rami Yacoub-MD NOT COVERED

South Suburban Hospital Haj Darweesh, Mutazz -MD NOT COVERED

South Suburban Hospital Hakim Healthcare NOT COVERED

South Suburban Hospital Hamad, Amar -MD NOT COVERED

South Suburban Hospital Hamadeh, Muhammad A.-MD COVERED UNDER FAP

South Suburban Hospital Hanahan, Laura Jane-MD NOT COVERED

South Suburban Hospital Harsha K Sud MD, SC NOT COVERED

South Suburban Hospital Harvey Anesthesiologists, S.C. NOT COVERED

South Suburban Hospital Hashmi, Faiza -MD NOT COVERED

South Suburban Hospital Hathaway, Samantha Cecile-MD NOT COVERED

South Suburban Hospital Hermann, Kelly J.-PA NOT COVERED

South Suburban Hospital Horizon Healthcare Associates, SC NOT COVERED

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Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

South Suburban Hospital Huddleston Medical Services, SC NOT COVERED

South Suburban Hospital Illinois Foot and Ankle Center SC NOT COVERED

South Suburban Hospital In Step, Ltd NOT COVERED

South Suburban Hospital Integrated Imaging Associates NOT COVERED

South Suburban Hospital Internal Medicine Physicians, Inc NOT COVERED

South Suburban Hospital Issan Health Care NOT COVERED

South Suburban Hospital J.B. Jenkins, DPM & Associates NOT COVERED

South Suburban Hospital Jackson, Kevin Morgan-MD NOT COVERED

South Suburban Hospital Jacob, Pradeep Kumer-MD COVERED UNDER FAP

South Suburban Hospital Jen Care Neighborhood Medical Centers NOT COVERED

South Suburban Hospital JenCare NOT COVERED

South Suburban Hospital Jobanputra, Ketan Narandas-MD NOT COVERED

South Suburban Hospital John Bulger, M.D., SC NOT COVERED

South Suburban Hospital John G Bush And Associates NOT COVERED

South Suburban Hospital Jones Caillouet, Kathy L.-MD COVERED UNDER FAP

South Suburban Hospital Joseph T. Monaco, MD, SC NOT COVERED

South Suburban Hospital Kailash C. Sharma, MD, SC NOT COVERED

South Suburban Hospital Kalnins, Aleksandrs U.-MD COVERED UNDER FAP

South Suburban Hospital Kalsi, Munesh Singh-MD NOT COVERED

South Suburban Hospital Kang, Hyuk J.-MD NOT COVERED

South Suburban Hospital Karzoun, M Eyad -MD NOT COVERED

South Suburban Hospital Katz, Jeremy Richard-MD COVERED UNDER FAP

South Suburban Hospital Keystone Orthopedic Specialists, SC NOT COVERED

South Suburban Hospital Khare, Rahul K.-MD COVERED UNDER FAP

South Suburban Hospital Khokher, Tahir Muhammad-MD NOT COVERED

South Suburban Hospital Kidney Care Center NOT COVERED

South Suburban Hospital Kidney Care Center Olympia Fields, LLC NOT COVERED

South Suburban Hospital Kidney Care Center South, LLC NOT COVERED

South Suburban Hospital Kim, Daniel Y.-MD NOT COVERED

South Suburban Hospital Kim, Howard -MD NOT COVERED

South Suburban Hospital Kim, Thomas Aquinas-MD COVERED UNDER FAP

South Suburban Hospital Kitapci, N. Haluk-MD NOT COVERED

South Suburban Hospital Klich, Janice Ruth-MD NOT COVERED

South Suburban Hospital Koenig, Christopher Joseph-PA NOT COVERED

South Suburban Hospital Komprehensive PC, Sports & Musculoskeletal Med SC NOT COVERED

South Suburban Hospital Kontos, Pamela P.-NP NOT COVERED

South Suburban Hospital Kost, Adam -MD NOT COVERED

South Suburban Hospital Kumar, Raghuvansh -MD NOT COVERED

South Suburban Hospital Kumaraiah, Vasantha -MD NOT COVERED

South Suburban Hospital Kurani Med Incorporated NOT COVERED

South Suburban Hospital Lai, Jessica -MD NOT COVERED

South Suburban Hospital Lamba, Anil Kumar-MD NOT COVERED

South Suburban Hospital LaPat, Kenneth D.-MD NOT COVERED

South Suburban Hospital Laurent, Elisa A.-MD COVERED UNDER FAP

South Suburban Hospital LifeWeigh Bariatrics NOT COVERED

South Suburban Hospital Limpert, Jonathan Dean-MD NOT COVERED

South Suburban Hospital Logan, Lorretta Gail-NP NOT COVERED

South Suburban Hospital Madhani, Jayesh M.-MD NOT COVERED

South Suburban Hospital Majeed, Munazza -MD NOT COVERED

South Suburban Hospital Majid, Aneesa S.-MD NOT COVERED

South Suburban Hospital Mann, Stewart Ralph-MD NOT COVERED

South Suburban Hospital Manuel Perez, MD, SC NOT COVERED

South Suburban Hospital Markos, Michael Achilles-MD NOT COVERED

South Suburban Hospital Martini, Mohamad S.-MD COVERED UNDER FAP

South Suburban Hospital Mataria, Hamed Rasmi-MD NOT COVERED

South Suburban Hospital Mathew, Abraham P.-MD NOT COVERED

South Suburban Hospital Maze, Jelica -MD NOT COVERED

South Suburban Hospital McDermott Podiatry of Joliet NOT COVERED

Page 69

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

South Suburban Hospital McFadden, John Charles-MD COVERED UNDER FAP

South Suburban Hospital McGee, Danielle M.-MD NOT COVERED

South Suburban Hospital McLaughlin, Jeanette S.-MD NOT COVERED

South Suburban Hospital Medicus Healthcare Solutions NOT COVERED

South Suburban Hospital Medina Health Care NOT COVERED

South Suburban Hospital MedPlus Physician Partners I, LLC NOT COVERED

South Suburban Hospital Mehmood, Sajid -MD NOT COVERED

South Suburban Hospital Mehrotra, Surabhi -MD NOT COVERED

South Suburban Hospital Mekhaiel, Essam Fathy-MD NOT COVERED

South Suburban Hospital Messing, Michael L.-MD NOT COVERED

South Suburban Hospital Metro Infectious Disease Consultants, LLC NOT COVERED

South Suburban Hospital Metro Primary Care Associates, LLC NOT COVERED

South Suburban Hospital Midwest Anesthesiologists, Ltd NOT COVERED

South Suburban Hospital Midwest Lung and Sleep Consultants NOT COVERED

South Suburban Hospital Midwest Pulmonary Associates, SC NOT COVERED

South Suburban Hospital Midwest Spinecare SC NOT COVERED

South Suburban Hospital Minga, Gina M.-CNS NOT COVERED

South Suburban Hospital Minneapolis VA Medical center NOT COVERED

South Suburban Hospital Mintz, Ari D.-MD NOT COVERED

South Suburban Hospital Mohammad, Zulfiqar -MD NOT COVERED

South Suburban Hospital Mohazab, Hamid R.-DO COVERED UNDER FAP

South Suburban Hospital Mokena Foot & Ankle Clinic NOT COVERED

South Suburban Hospital Morris, George E.-DDS NOT COVERED

South Suburban Hospital Multack Eye Care, SC NOT COVERED

South Suburban Hospital Myint, Ronald -MD NOT COVERED

South Suburban Hospital Nawas, Sammy I.-MD NOT COVERED

South Suburban Hospital Neighborhood Pediatrics NOT COVERED

South Suburban Hospital Neural Watch NOT COVERED

South Suburban Hospital Neurological Surgery and Spine Surgery, S.C. NOT COVERED

South Suburban Hospital Neurology Consultants, SC NOT COVERED

South Suburban Hospital Nirav P Chudgar, MD, SC NOT COVERED

South Suburban Hospital Nordengreen, Jennifer A.-CRNA NOT COVERED

South Suburban Hospital Northwest Medical Associates NOT COVERED

South Suburban Hospital NWI Foot and Ankle Clinic NOT COVERED

South Suburban Hospital Nydick, Steven M.-MD COVERED UNDER FAP

South Suburban Hospital Oak Lawn Pediatrics Ltd NOT COVERED

South Suburban Hospital Obasi, Ejikeme O.-MD NOT COVERED

South Suburban Hospital Oberhaus, Jasmina P.-DO COVERED UNDER FAP

South Suburban Hospital Ociepka, Erika Diane-CRNA NOT COVERED

South Suburban Hospital Onyenwenyi, Chijoke Henry-MD NOT COVERED

South Suburban Hospital Opensky Podiatry, Inc. NOT COVERED

South Suburban Hospital Oral Surgery Center NOT COVERED

South Suburban Hospital Orland Park Plastic Surgery, SC NOT COVERED

South Suburban Hospital P.K. Anand, MD, LTD. NOT COVERED

South Suburban Hospital Palos Family Foot Care NOT COVERED

South Suburban Hospital Palos Pediatric Associates, PC NOT COVERED

South Suburban Hospital Pandya, Kaushik Jayantil-MD NOT COVERED

South Suburban Hospital Pandya, Mauna B.-MD NOT COVERED

South Suburban Hospital Panio, Paschal J.-MD NOT COVERED

South Suburban Hospital Parikh & Abbasi, MD, SC NOT COVERED

South Suburban Hospital Patel, Amishi -MD NOT COVERED

South Suburban Hospital Patel, Manisha -DO NOT COVERED

South Suburban Hospital Patel, Subhash R.-MD NOT COVERED

South Suburban Hospital Patzik, Shayle B.-MD NOT COVERED

South Suburban Hospital Peace Medical Center NOT COVERED

South Suburban Hospital Peiss, Robert L.-MD NOT COVERED

South Suburban Hospital Peppers, Kina C.-MD NOT COVERED

South Suburban Hospital Petrovic, Polina Vinnik-MD NOT COVERED

Page 70

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

South Suburban Hospital Pierson Medical Group, Ltd NOT COVERED

South Suburban Hospital Plastic Surgery Specialists NOT COVERED

South Suburban Hospital Podbielski, Francis J.-MD NOT COVERED

South Suburban Hospital Prasad, Bharati -MD NOT COVERED

South Suburban Hospital Premier Orthopaedic & Hand Center, SC NOT COVERED

South Suburban Hospital Primary Care For You, Ltd NOT COVERED

South Suburban Hospital Primary Healthcare Associates, SC NOT COVERED

South Suburban Hospital Primus Orthopedics, SC NOT COVERED

South Suburban Hospital Pulmonary & Critical Care Consultants,SC NOT COVERED

South Suburban Hospital Pulmonary and Sleep Associates, Inc NOT COVERED

South Suburban Hospital Pulmonary Medicine NOT COVERED

South Suburban Hospital Rajmane, Kiran Chandrakant-MD COVERED UNDER FAP

South Suburban Hospital Raju, Priya Bhatia-MD NOT COVERED

South Suburban Hospital Ramadurai, Jayanthi Raghu-MD NOT COVERED

South Suburban Hospital Rao, Subba V.-MD NOT COVERED

South Suburban Hospital Reddy, Srinivas P.-MD NOT COVERED

South Suburban Hospital Renaissance Medical Group SC NOT COVERED

South Suburban Hospital Rita N. Oganwu, MD, SC NOT COVERED

South Suburban Hospital Robin Snead, Ltd. NOT COVERED

South Suburban Hospital Rowley, Vincent B.-MD NOT COVERED

South Suburban Hospital Rozell, Shaina A.-MD NOT COVERED

South Suburban Hospital Ruby, Allan -MD COVERED UNDER FAP

South Suburban Hospital Rychter, Kelly Renee-DO NOT COVERED

South Suburban Hospital Sage Medical Group, SC NOT COVERED

South Suburban Hospital Saha, Kanta -MD COVERED UNDER FAP

South Suburban Hospital Salhadar, Alia -MD NOT COVERED

South Suburban Hospital Sanath Kumar, MD, Ltd NOT COVERED

South Suburban Hospital Sangkam, Cherdkiat -MD NOT COVERED

South Suburban Hospital SAS Surgical, Ltd NOT COVERED

South Suburban Hospital Savage, Judith Grace-MD NOT COVERED

South Suburban Hospital Savio G. Manatt, SC NOT COVERED

South Suburban Hospital Saxena, Madhulika -MD NOT COVERED

South Suburban Hospital Schwermer, Jon Kelley-PA NOT COVERED

South Suburban Hospital Selk, Natalie M.-MD NOT COVERED

South Suburban Hospital SFZ Corporation NOT COVERED

South Suburban Hospital Shah, Jai Devendra-MD NOT COVERED

South Suburban Hospital Shah, Mrunal L.-MD NOT COVERED

South Suburban Hospital Shah, Niranjan Champak-MD NOT COVERED

South Suburban Hospital Shakir, Naseem Taaha-MD COVERED UNDER FAP

South Suburban Hospital Shared Physician’s Offices NOT COVERED

South Suburban Hospital Sheriff, Asim S.-MD NOT COVERED

South Suburban Hospital Siegfried, Michael Sidney-MD COVERED UNDER FAP

South Suburban Hospital Singh, Amarjit -MD NOT COVERED

South Suburban Hospital Singh, Bhurji Narindar-MD COVERED UNDER FAP

South Suburban Hospital Sink-Jedloe, Cynthia A.-DPM NOT COVERED

South Suburban Hospital Smith, Paola B.-MD NOT COVERED

South Suburban Hospital South Suburban Neurology, Ltd NOT COVERED

South Suburban Hospital Southeast Anesthesia Consultants, LTD NOT COVERED

South Suburban Hospital Southland Orthopaedics Ltd NOT COVERED

South Suburban Hospital Southland Rheumatology Center, Ltd. NOT COVERED

South Suburban Hospital Southwest Eye Center, SC NOT COVERED

South Suburban Hospital Southwest Women's Healthcare Associates, SC NOT COVERED

South Suburban Hospital Specialty Physicians of Illinois NOT COVERED

South Suburban Hospital Spoo, Charisa M.-DO NOT COVERED

South Suburban Hospital Sreekanth, Shantha -MD NOT COVERED

South Suburban Hospital Sriram, Krishnan -MD NOT COVERED

South Suburban Hospital Stears, Robert Lg-MD NOT COVERED

South Suburban Hospital Subramanian, Sanjay -MD NOT COVERED

Page 71

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

South Suburban Hospital Suburban Infectious Diseaase, LLC NOT COVERED

South Suburban Hospital Sundaram, Ravi Kumar-DO NOT COVERED

South Suburban Hospital Sunil K. Shah D.O., SC NOT COVERED

South Suburban Hospital Surgical Care Associates, Ltd NOT COVERED

South Suburban Hospital Suriya V. Sastri MD, PC NOT COVERED

South Suburban Hospital Thakadiyil, Anita V.-MD NOT COVERED

South Suburban Hospital Thomas John Vision Institute, PC NOT COVERED

South Suburban Hospital Thomas, Abraham -MD NOT COVERED

South Suburban Hospital Thorp, Christopher Ramsey-MD NOT COVERED

South Suburban Hospital Tinley Primary Care NOT COVERED

South Suburban Hospital Toman, Jordan Elizabeth-MD COVERED UNDER FAP

South Suburban Hospital Tulley, Jacqueline A.-NP NOT COVERED

South Suburban Hospital United Pain Services, SC NOT COVERED

South Suburban Hospital University Head & Neck Associates NOT COVERED

South Suburban Hospital University of Chicago Physician Group, Child Life Center NOT COVERED

South Suburban Hospital University Retina & Macula Associates, PC NOT COVERED

South Suburban Hospital Uytana, Vinson Louis-MD COVERED UNDER FAP

South Suburban Hospital Vali, Faisal Sabir-MD NOT COVERED

South Suburban Hospital Valley Imaging Consultants, LLC NOT COVERED

South Suburban Hospital Van Slambrouck, Charles M.-MD NOT COVERED

South Suburban Hospital Varadhi, Harsha -MD NOT COVERED

South Suburban Hospital Varsha Bhan MD SC NOT COVERED

South Suburban Hospital Vascular Specialist, LLC NOT COVERED

South Suburban Hospital Vasectomy Clinics of Chicago SC NOT COVERED

South Suburban Hospital Velan, Prabhu -MD NOT COVERED

South Suburban Hospital Velez Jo, Estrellita Tan-MD NOT COVERED

South Suburban Hospital Vittori Foot and Ankle Specialist NOT COVERED

South Suburban Hospital Walji, Aijaz H.-MD NOT COVERED

South Suburban Hospital Wang, Kun -MD COVERED UNDER FAP

South Suburban Hospital William B Evans MD SC NOT COVERED

South Suburban Hospital Williams, Eveleigh E.-DPM NOT COVERED

South Suburban Hospital Winterset Dental NOT COVERED

South Suburban Hospital Women's Health Consulting, LLC NOT COVERED

South Suburban Hospital Women's Healthcare Associates of Illinois, SC COVERED UNDER FAP

South Suburban Hospital Women's Healthcare Associates of Illinois, SC NOT COVERED

South Suburban Hospital Women's Wellness World, SC NOT COVERED

South Suburban Hospital Yakovleva, Alla -NP NOT COVERED

South Suburban Hospital Ybanez, Neil David-MD NOT COVERED

South Suburban Hospital Zakaria, Mhd Firas -MD NOT COVERED

South Suburban Hospital Zakkar, Mohamed M.-MD NOT COVERED

South Suburban Hospital Zalzaleh, Ghassan -MD NOT COVERED

South Suburban Hospital Zartaisky, Alexander -MD NOT COVERED

South Suburban Hospital Zelkovich, William Leland-MD COVERED UNDER FAP

Trinity Hospital Abuhasna, Said -MD NOT COVERED

Trinity Hospital Advocate Health & Hospital Corp - Advocate Intensivist Partners COVERED UNDER FAP

Trinity Hospital Advocate Medical Group - Chicago - Trinity - Emergency Medicine COVERED UNDER FAP

Trinity Hospital Advocate Medical Group - Hazel Crest - Kedzie Avenue COVERED UNDER FAP

Trinity Hospital Advocate Medical Group - Oak Lawn - 4220 West 95th Street COVERED UNDER FAP

Trinity Hospital Advocate Medical Group - Oak Lawn - 4440 West 95th Street - Behavioral Health COVERED UNDER FAP

Trinity Hospital Advocate Medical Group - Trinity - Gastroenterology COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Beverly COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Chicago 2315 E 93rd Street Neurology COVERED UNDER FAP

Trinity Hospital Advocate Medical Group CMC Pediatric Pulmonology COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Downers Grove 3825 Highland COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Emergency Medicine COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Evergreen COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Greenwood on 87th COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Halsted Neurosurgery COVERED UNDER FAP

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Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Trinity Hospital Advocate Medical Group Hazel Crest Gastro COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Heather Medical COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Hospitalist COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Hospitalists COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Irving and Western COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Maternal Fetal COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Midwest Pediatric Cardio COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Neonatology COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Oak Lawn Maternal/Fetal COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Oak Lawn Nephrology COVERED UNDER FAP

Trinity Hospital Advocate Medical Group South Holland Hospitalist COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Sykes COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Trauma COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Trauma Surgery COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Trinity General Surgery COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Wilton OB/Gyne COVERED UNDER FAP

Trinity Hospital Advocate Medical Group Yacktman Peds Plastic Surg COVERED UNDER FAP

Trinity Hospital Advocate Medical Group-Chicago Trinity-Emergency Medicine COVERED UNDER FAP

Trinity Hospital Advocate Medical Group-Chicago, Pullman Park COVERED UNDER FAP

Trinity Hospital Advocate Medical Group-Chicago, Trinity-Neonatology COVERED UNDER FAP

Trinity Hospital Advocate Medical Group-Chicago-93rd Street COVERED UNDER FAP

Trinity Hospital Advocate Medical Group-Oak Lawn-Cicero Avenue COVERED UNDER FAP

Trinity Hospital Advocate Medical Group-Trinity-Emergency Medicine COVERED UNDER FAP

Trinity Hospital Afifi, M. Sherif-MD NOT COVERED

Trinity Hospital Aggarwal, Nimit K.-MD NOT COVERED

Trinity Hospital Ahlowalia, Neerja -MD NOT COVERED

Trinity Hospital Aippersbach, Elke D.-MD NOT COVERED

Trinity Hospital Akhtar Parvaiz, MD NOT COVERED

Trinity Hospital Alam, Shah Aziz-MD COVERED UNDER FAP

Trinity Hospital Al-Ani, Ismail -MD NOT COVERED

Trinity Hospital Almasri, Hussam -MD NOT COVERED

Trinity Hospital Alpha Med Physicians Group, LLC NOT COVERED

Trinity Hospital American Anesthesiology Associates of IL, SC NOT COVERED

Trinity Hospital American Anesthesiology Associates of Illinois, SC NOT COVERED

Trinity Hospital American Anesthesiology of Illinois, LLC NOT COVERED

Trinity Hospital American Women's Medical Center NOT COVERED

Trinity Hospital Amit Vyas, MD, SC NOT COVERED

Trinity Hospital Amuh, Shelley Yvette Poole-MD NOT COVERED

Trinity Hospital Angel Health Care services, S.C. NOT COVERED

Trinity Hospital Anointed Health Partners, Ltd NOT COVERED

Trinity Hospital Arbor Center for Eyecare, SC NOT COVERED

Trinity Hospital Arun, Haleyur P.-MD NOT COVERED

Trinity Hospital Asad Zaman, MD, SC NOT COVERED

Trinity Hospital Associated Allergists & Asthma Specialists, Ltd NOT COVERED

Trinity Hospital Associates in Nephrology, SC NOT COVERED

Trinity Hospital Associates in Primary Care, SC NOT COVERED

Trinity Hospital Associates in Rehabilitation Medicine, SC NOT COVERED

Trinity Hospital Bari, Naveed -MD NOT COVERED

Trinity Hospital Barry Summers, MD, SC COVERED UNDER FAP

Trinity Hospital Bauer, Richard Marcus-MD NOT COVERED

Trinity Hospital Bedikian, Sarkis Michael-DO NOT COVERED

Trinity Hospital Brooker, Jay M.-MD NOT COVERED

Trinity Hospital Brooks, Harley Calvin-MD NOT COVERED

Trinity Hospital Brown, Henry Gordon-MD NOT COVERED

Trinity Hospital Burke, Winston F.-DPM NOT COVERED

Trinity Hospital Cabugason, Elaine -MD NOT COVERED

Trinity Hospital Cancer Medicine Group, Inc NOT COVERED

Trinity Hospital Cardiac Surgery Associates, SC NOT COVERED

Page 73

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Trinity Hospital Carlos Smith, DPM, PC NOT COVERED

Trinity Hospital Chandra Diagnostic Cardiology, Ltd NOT COVERED

Trinity Hospital Charles Clifford Alston, MD, SC NOT COVERED

Trinity Hospital Chest Medicine Consultants, SC NOT COVERED

Trinity Hospital Chicago Anesthesia Associates, SC NOT COVERED

Trinity Hospital Chicago Center for Sports Medicine & Orthopedic Surgery NOT COVERED

Trinity Hospital Chicago Eye Specialists NOT COVERED

Trinity Hospital Chicago Family Health Center NOT COVERED

Trinity Hospital Christopher T. Kardasis, MD, SC NOT COVERED

Trinity Hospital Clisby, Tracie E.-NP NOT COVERED

Trinity Hospital CMJ Medical Enterprises, Ltd NOT COVERED

Trinity Hospital Comphrensive Kidney Care, LLC NOT COVERED

Trinity Hospital Continental Anesthesia, Ltd. NOT COVERED

Trinity Hospital Cothran, Judith A.-MD NOT COVERED

Trinity Hospital Cross, Chadrick Antony-MD NOT COVERED

Trinity Hospital Crossan, Paul D.-MD NOT COVERED

Trinity Hospital D J Dawson, MD Incorporated NOT COVERED

Trinity Hospital D.H. Medical Group, SC NOT COVERED

Trinity Hospital Daniel, Lisa D.-MD NOT COVERED

Trinity Hospital DAS Group, LLC NOT COVERED

Trinity Hospital David Gerst, DPM, SC COVERED UNDER FAP

Trinity Hospital Dean Onayemi, Mary -MD NOT COVERED

Trinity Hospital Doctors Unlimited Service Corporation NOT COVERED

Trinity Hospital Donald Amuh, MD, Ltd NOT COVERED

Trinity Hospital Dreyer Clinic - Rush Copley NOT COVERED

Trinity Hospital East Side Medical Health Ctr. NOT COVERED

Trinity Hospital Efferen, Tobin Robinson-MD NOT COVERED

Trinity Hospital Emergency Room Providers, SC NOT COVERED

Trinity Hospital Exchange Medical Center NOT COVERED

Trinity Hospital Family Doctor Medical Center, SC NOT COVERED

Trinity Hospital Farooki, Basheeruddin M.-MD NOT COVERED

Trinity Hospital Filip, Bailey A.-PA NOT COVERED

Trinity Hospital Flores, R. Michael -MD NOT COVERED

Trinity Hospital Foot Health Institute NOT COVERED

Trinity Hospital For Your Health & Wellness NOT COVERED

Trinity Hospital Gadrinab, Nelcar M.-MD NOT COVERED

Trinity Hospital Gao, Lizhu -MD NOT COVERED

Trinity Hospital Ginde, Jayant V.-MD NOT COVERED

Trinity Hospital Gordon, Paul J.-MD NOT COVERED

Trinity Hospital Great Lakes Pulmonary & Sleep Associates, Inc. NOT COVERED

Trinity Hospital Grevious, Mark Allen-MD NOT COVERED

Trinity Hospital Haj Darweesh, Mutazz -MD NOT COVERED

Trinity Hospital Hamilton, John F.-MD NOT COVERED

Trinity Hospital Hashmi, Faiza -MD NOT COVERED

Trinity Hospital Hathaway, Samantha Cecile-MD NOT COVERED

Trinity Hospital Heller, William A.-MD NOT COVERED

Trinity Hospital Hess, Joy V.-NP NOT COVERED

Trinity Hospital Hook, Jonathan Lee-DPM COVERED UNDER FAP

Trinity Hospital Horsley, Neil L.-DPM NOT COVERED

Trinity Hospital Howley Stevenson, MD, SC NOT COVERED

Trinity Hospital Hussain, Mohammad I.-MD NOT COVERED

Trinity Hospital Illiana Nephrology Associates, Ltd NOT COVERED

Trinity Hospital Illinois Physician Services NOT COVERED

Trinity Hospital J.B. Jenkins, DPM & Associates NOT COVERED

Trinity Hospital Jackson, Kevin Morgan-MD NOT COVERED

Trinity Hospital Jackson, Ralph F.-DO NOT COVERED

Trinity Hospital Jacobson, Daniel R.-MD NOT COVERED

Trinity Hospital Jameria, Zenith A.-MD NOT COVERED

Page 74

Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Trinity Hospital Jean-Jacques, Wilfrid -MD NOT COVERED

Trinity Hospital Johnnie Lewis, DPM, PC NOT COVERED

Trinity Hospital Jweied, Eias -MD NOT COVERED

Trinity Hospital Kang, Hyuk J.-MD NOT COVERED

Trinity Hospital Khan, Nausheen Zainab-PA NOT COVERED

Trinity Hospital Khan, Sanobar -MD NOT COVERED

Trinity Hospital Khare, Rahul K.-MD COVERED UNDER FAP

Trinity Hospital Kidney Care Center Olympia Fields, LLC NOT COVERED

Trinity Hospital Kim, Howard -MD NOT COVERED

Trinity Hospital Klich, Janice Ruth-MD NOT COVERED

Trinity Hospital Koenig, Christopher Joseph-PA NOT COVERED

Trinity Hospital Kost, Adam -MD NOT COVERED

Trinity Hospital Lamba, Indu -MD NOT COVERED

Trinity Hospital LaPat, Kenneth D.-MD NOT COVERED

Trinity Hospital Levinson, Dennis Joel-MD NOT COVERED

Trinity Hospital Lieder, Charles Marshall-DO NOT COVERED

Trinity Hospital Maday, Michael George-MD NOT COVERED

Trinity Hospital Madhani, Jayesh M.-MD NOT COVERED

Trinity Hospital Mallick, Naveed K.-MD NOT COVERED

Trinity Hospital Mann, Stewart Ralph-MD NOT COVERED

Trinity Hospital Manuel Perez, MD, SC NOT COVERED

Trinity Hospital Manzoor Shah, MD, SC NOT COVERED

Trinity Hospital Marshall, Roland M.-MD NOT COVERED

Trinity Hospital Mataria, Hamed Rasmi-MD NOT COVERED

Trinity Hospital MedPlus Physician Partners I, LLC NOT COVERED

Trinity Hospital Mehmood, Sajid -MD NOT COVERED

Trinity Hospital Mekhaiel, Essam Fathy-MD NOT COVERED

Trinity Hospital Mekonen, Endale T.-MD NOT COVERED

Trinity Hospital Metropolitan Gastroenterology Consultant Ltd NOT COVERED

Trinity Hospital Midwest Eye Center, SC NOT COVERED

Trinity Hospital Midwest Lung and Sleep Consultants NOT COVERED

Trinity Hospital Midwest NeoPed Associates, Ltd NOT COVERED

Trinity Hospital Midwest Perinatal Consultants, SC COVERED UNDER FAP

Trinity Hospital Midwest Pulmonary Associates, SC NOT COVERED

Trinity Hospital Minneapolis VA Medical center NOT COVERED

Trinity Hospital Mintz, Ari D.-MD NOT COVERED

Trinity Hospital Mitchell, Winston Adrian-MD NOT COVERED

Trinity Hospital Mohammad, Zulfiqar -MD NOT COVERED

Trinity Hospital Mohana Health Care, Ltd NOT COVERED

Trinity Hospital Mohiuddin, Salman -MD NOT COVERED

Trinity Hospital N Hasan MD SC NOT COVERED

Trinity Hospital Nash, Karen R.-DDS NOT COVERED

Trinity Hospital Nawas, Sammy I.-MD NOT COVERED

Trinity Hospital Nephrology Associates of Northern Illinois, LTD NOT COVERED

Trinity Hospital NWI Foot and Ankle Clinic NOT COVERED

Trinity Hospital Okwuje, Philip C.-MD NOT COVERED

Trinity Hospital Opperman, Hannah M.-PA NOT COVERED

Trinity Hospital Optimum Kidney Care, SC NOT COVERED

Trinity Hospital Pain Specialists of Illinois, SC NOT COVERED

Trinity Hospital Patel, Amit Manilal-MD NOT COVERED

Trinity Hospital Patel, Chittaranjan A.-MD NOT COVERED

Trinity Hospital Patel, Subhash R.-MD NOT COVERED

Trinity Hospital Peppers, Kina C.-MD NOT COVERED

Trinity Hospital Petrovic, Polina Vinnik-MD NOT COVERED

Trinity Hospital Pezzo, Jessica Bridget-PA NOT COVERED

Trinity Hospital Physicians Care Midwest, SC COVERED UNDER FAP

Trinity Hospital Pierson Medical Group, Ltd NOT COVERED

Trinity Hospital Potempa, Courtney Kim-PA NOT COVERED

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Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Trinity Hospital Prasad, Bharati -MD NOT COVERED

Trinity Hospital Preventive Cardiovascular Services, SC NOT COVERED

Trinity Hospital Primus Orthopedics, SC NOT COVERED

Trinity Hospital Providea Health Partners, LLC NOT COVERED

Trinity Hospital Psaradellis, Telly -MD COVERED UNDER FAP

Trinity Hospital Pulmonary & Critical Care Consultants,SC NOT COVERED

Trinity Hospital Pulmonary Medicine NOT COVERED

Trinity Hospital Quality Primary Care, PC NOT COVERED

Trinity Hospital Radiation Oncology of Chicago, SC NOT COVERED

Trinity Hospital Rajiv Kandala, MD SC NOT COVERED

Trinity Hospital Raymond Narh, MD, S.C. NOT COVERED

Trinity Hospital Retina Macula Care NOT COVERED

Trinity Hospital Retina Macula Specialists PC NOT COVERED

Trinity Hospital RITL Medical Services, SC NOT COVERED

Trinity Hospital Rowley, Vincent B.-MD NOT COVERED

Trinity Hospital Rudyard Smith MD and Associates, SC NOT COVERED

Trinity Hospital Saffold, Carol W.-MD COVERED UNDER FAP

Trinity Hospital Sage Medical Group, SC NOT COVERED

Trinity Hospital Sahloul, Mohammed Z.-MD NOT COVERED

Trinity Hospital Saiz, Ltd NOT COVERED

Trinity Hospital Sami Atassi, MD, Ltd NOT COVERED

Trinity Hospital Schwermer, Jon Kelley-PA NOT COVERED

Trinity Hospital Scott, Mac H.-MD NOT COVERED

Trinity Hospital Searles, Ericka -MD NOT COVERED

Trinity Hospital Seby, SC NOT COVERED

Trinity Hospital Shah, Muhammad -DPM NOT COVERED

Trinity Hospital Shah, Niranjan Champak-MD NOT COVERED

Trinity Hospital Shah, Uday Bhagwatlal-MD NOT COVERED

Trinity Hospital Shifa Nephrology Associates LLC NOT COVERED

Trinity Hospital Singh, Amarjit -MD NOT COVERED

Trinity Hospital South Chicago Oncology Associates LLC NOT COVERED

Trinity Hospital Southeast Anesthesia Consultants, LTD NOT COVERED

Trinity Hospital Southeast Chicago Neurology Associates, SC NOT COVERED

Trinity Hospital Southern Cook Radiation Oncology NOT COVERED

Trinity Hospital Sriram, Krishnan -MD NOT COVERED

Trinity Hospital St. Bernard Hospital Ambulatory Care Center NOT COVERED

Trinity Hospital Strugala, Robert J.-MD NOT COVERED

Trinity Hospital Subramanian, Sanjay -MD NOT COVERED

Trinity Hospital Teleradiology Solutions NOT COVERED

Trinity Hospital Thomas, Joseph Simon-MD NOT COVERED

Trinity Hospital Trivedi, Ashka F.-DPM NOT COVERED

Trinity Hospital Trivedi, Kiritkumar D.-MD NOT COVERED

Trinity Hospital Universal HealthClinics, SC NOT COVERED

Trinity Hospital Uraizee, Faheem -MD COVERED UNDER FAP

Trinity Hospital Varadhi, Harsha -MD NOT COVERED

Trinity Hospital Vascular and Interventional Professionals, LLC NOT COVERED

Trinity Hospital Vascular Specialist, LLC NOT COVERED

Trinity Hospital Velan, Prabhu -MD NOT COVERED

Trinity Hospital Velez Jo, Estrellita Tan-MD NOT COVERED

Trinity Hospital Verma, Saroj K.-MD NOT COVERED

Trinity Hospital Vishar Medical Center NOT COVERED

Trinity Hospital Vowal, Patricia A.-NP NOT COVERED

Trinity Hospital VRAJ, Ltd COVERED UNDER FAP

Trinity Hospital Weil Foot and Ankle Institute NOT COVERED

Trinity Hospital Zakaria, Mhd Firas -MD NOT COVERED

Trinity Hospital Zakieh, Nasser -MD NOT COVERED

Trinity Hospital Zaman, Syed Khursheed-MD NOT COVERED

Trinity Hospital Zayyad, Adel A.-MD NOT COVERED

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Advocate Hospital Name Provider Name or Provider Office Name FAP Coverage Status

Trinity Hospital Zorriasateyn, Kambiz -MD NOT COVERED

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