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H3071_OP-P007-002-090319_C Community Advantage (HMO) 2020 Provider Directory This directory is current as of September 03, 2019. This directory provides a list of Community Advantage’s current network providers. This directory is for Chicago area and Rockford area. To access Community Advantage’s online provider directory, you can visit www.ccaillinois.com/ medicare. For any questions about the information contained in this directory, please call our Member Service Department at 1-877-364-4566, Monday through Friday between the hours of 8:00a.m. and 8:00p.m. TTY users should call 711. The provider network may change at any time. You may receive notice when necessary. Out-of-network/non-contracted providers are under no obligation to treat Community Care Alliance of Illinois members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of- network services. This information may be made available in other formats such as Braille, large print, and audio. Please contact our Member Services department for additional information. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-364-4566 (TTY: 711). Community Care Alliance of Illinois complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Community Care Alliance of Illinois (CCAI) is an HMO plan sponsor with a Medicare contract. Enrollment in CCAI depends on contract renewal. -

Community Advantage (HMO) 2020 Provider Directory · 2020-07-01 · HO-P007-002-0903C HO-P007-002-0903C Community Advantage (HMO) 2020 Provider Directory This directory is current

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  • H3071_OP-P007-002-090319_CH3071_OP-P007-002-090319_C

    Community Advantage (HMO)

    2020 Provider DirectoryThis directory is current as of September 03, 2019.

    This directory provides a list of Community Advantage’s current network providers.

    This directory is for Chicago area and Rockford area.

    To access Community Advantage’s online provider directory, you can visit www.ccaillinois.com/medicare. For any questions about the information contained in this directory, please call our Member Service Department at 1-877-364-4566, Monday through Friday between the hours of 8:00a.m. and 8:00p.m. TTY users should call 711.

    The provider network may change at any time. You may receive notice when necessary.

    Out-of-network/non-contracted providers are under no obligation to treat Community Care Alliance of Illinois members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

    This information may be made available in other formats such as Braille, large print, and audio. Please contact our Member Services department for additional information.

    ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.

    Llame al 1-877-364-4566 (TTY: 711).

    Community Care Alliance of Illinois complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

    Community Care Alliance of Illinois (CCAI) is an HMO plan sponsor with a Medicare contract. Enrollment in CCAI depends on contract renewal.

    -

  • H3071_OP-P007-002-090319_C

    2Community Advantage (HMO) 2020 Provider Directory

  • H3071_OP-P007-002-090319_C

    3

    H3071_OP-P007-002-090319_C

    Community Advantage (HMO) 2020 Provider Directory

    Table of Contents

    Section 1 – Introduction. .........................................................................................................................................................................4

    What is the service area for Community Advantage? ...........................................................................................................5

    How do you find Community Advantage providers in your area? .................................................................................5

    Section 2 – List of Network Providers ............................................................................................................................................7

    Primary Care Physicians (PCPs) ........................................................................................................................................................8

    Specialists ................................................................................................................................................................................................. 510

    Hospitals ..................................................................................................................................................................................................1894

    Skilled Nursing Facilities (SNFs)............................................................................................................................................... 1908

    Behavioral Health Providers .........................................................................................................................................................1935

    Ancillary ....................................................................................................................................................................................................2153

  • H3071_OP-P007-002-090319_C

    4Community Advantage (HMO) 2020 Provider Directory

    Section 1 – IntroductionThis directory provides a list of Community Advantage’s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).

    You will have to choose one of our network providers listed in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care services from your PCP.

    The network providers listed in this directory have agreed to provide you with your health care services. You may go to any of our network providers listed in this directory; however, some services may require a referral. If you have been going to one network provider, you are not required to continue to go to that same provider. In some cases, you may get covered services from out-of-network providers. Your PCP may provide you with referrals for services that they do not provide themselves, such as specialty care, x-rays, radiology and laboratory. The PCP also works with our plan to generate authorizations, when necessary, for services such as hospital admissions, day surgeries; physical, occupational or speech therapies, diagnostic radiology (besides x-rays); home health and on-going specialist care.

    Out-of-network providers are under no obligation to treat Community Advantage enrollees, except in emergencies. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our Member Service Department at 1-877-364-4566, Monday through Friday between the hours of 8:00a.m. and 8:00p.m., TTY users should call 711. You may also refer to your Evidence of Coverage (EOC) for more information, including the cost sharing that applies to out-of-network services.

    If you receive a bill from an out-of-network provider, please forward it to your plan. You should NOT pay the bill until Community Advantage has processed it and determined your liability, if any. If you have already paid for the covered services, we will reimburse you for our share of the cost.

    When you are outside the service area and cannot get care from a network provider, our plan will cover your urgently needed care.

    You must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services that a Community Advantage plan provider has approved in advance. If you obtain routine care from out-of-network providers, neither Medicare nor Community Advantage will be responsible for the costs.

  • H3071_OP-P007-002-090319_C

    5

    H3071_OP-P007-002-090319_C

    Community Advantage (HMO) 2020 Provider Directory

    What is the service area for Community Advantage?The counties in our service area are listed below.

    • Boone • Cook • DuPage • Kane • McHenry • Ogle • Will • Winnebago

    How do you find Community Advantage providers that serve your area? The providers are arranged by county in alphabetical order and then by provider type. Since all enrollees need to choose a PCP, PCPs are listed first. In order to find a provider closest to your home, locate your county first, then your zip code.

    If you have questions about Community Advantage or require assistance in selecting a PCP, please call our Member Service Department at 1-877-364-4566, Monday through Friday between the hours of 8:00a.m. and 8:00p.m. TTY users should call 711. You can also visit www.ccaillinois.com/medicare.

  • Community Advantage (HMO) 2020 Provider Directory 6

  • Section 2

    List of Network Providers

  • 8Community Advantage (HMO) 2020 Provider Directory

    IL - BOONECRUM, CHRISTINA M (Female)Provider Type: Physician Assistant

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: PHYSICIAN ASSISTANT Sec. Specialty:

    NPI: 1326236563

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000169241

    CRUSADER CLINIC BELVIDEREProvider Type: Federally Qualified Health Centers

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: PEDIATRICS

    NPI: 1780852244

    Min. Age: 0 Max. Age: 110

    Pri. Language: Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:00 AM-08:00 PM T: 08:00 AM-05:00 PM W: 08:00 AM-05:00 PM R: 08:00 AM-08:00 PM F: 08:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000054581

    CUNNINGHAM, ANNE T (Female)Provider Type: Nurse Practitioners

    Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 610083173Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1184151177

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: No

    CEB #: 1000202241

    DALL, JEANNE M (Female)Provider Type: Nurse Practitioners

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: NURSE PRACTITIONER Sec. Specialty:

    NPI: 1548661937

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000168421

    GIAMALVA, ANDREA (Female)Provider Type: Physicians

    Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 610083173Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1104146539

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000056996

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 9Community Advantage (HMO) 2020 Provider Directory

    GONZALEZ, JACQUELINE (Female)Provider Type: Nurse Practitioners

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1528585056

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000201462

    GORHAM, STEPHANIE (Female)Provider Type: Physicians

    Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 610083173Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1023239258

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM T: 08:30 AM-07:00 PM W: 08:30 AM-07:00 PM R: 08:30 AM-07:00 PM F: 08:00 AM-05:00 PM S: 08:30 AM-12:00 PMAccepts Medicaid: Yes

    CEB #: 1000039102

    HARTZELL, MELISSA S (Female)Provider Type: Physician Assistant

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: PHYSICIAN ASSISTANT Sec. Specialty:

    NPI: 1871876508

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000168469

    IRONSIDE, MARY (Female)Provider Type: Physicians

    Address: 2170 PEARL ST , BELVIDERE IL 610086020Phone: 8153955886 Network: UIC COLLEGE OF MEDICINE AT ROCKFORD

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1275579658

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM W: 08:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000039367

    IYENGAR, SHOBHA (Female)Provider Type: Physicians

    Address: 2186 N STATE ST - UNIT 1, BELVIDERE IL 610081944Phone: 815-547-5007 Network: SHOBHA IYENGAR MD SC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: HOSPITALIST

    NPI: 1891724241

    Min. Age: 14 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-12:00 PMAccepts Medicaid: No

    CEB #: 1000202655

    Primary Care Providers ( All-Counties ) Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 10Community Advantage (HMO) 2020 Provider Directory

    KAUR, MANINDER (Female)Provider Type: Physicians

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1326456419

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000201490

    KELLENBERGER, NEAL (Male)Provider Type: Physicians

    Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 610083173Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1427210319

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM T: 08:30 AM-05:00 PM W: 08:30 AM-07:00 PM R: 08:30 AM-07:00 PM F: 08:00 AM-05:00 PM S: 08:30 AM-12:00 PMAccepts Medicaid: Yes

    CEB #: 1000038436

    KONERU, SRAVANTIKA (Female)Provider Type: Physicians

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1669886818

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000201506

    MAHER, KAREN (Female)Provider Type: Nurse Practitioners

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: NURSE PRACTITIONER Sec. Specialty: FAMILY PRACTICE

    NPI: 1306297007

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000148087

    MILLER, KIMBERLY (Female)Provider Type: Physicians

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1669606281

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM T: 08:00 AM-05:00 PM W: 08:00 AM-05:00 PM R: 08:00 AM-05:00 PM F: 08:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000042934

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 11Community Advantage (HMO) 2020 Provider Directory

    MURTAUGH, MARY (Female)Provider Type: Nurse Practitioners

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: NURSE PRACTITIONER Sec. Specialty:

    NPI: 1265804967

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000168523

    NAGUS, LINDSAY (Female)Provider Type: Nurse Practitioners

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: NURSE PRACTITIONER Sec. Specialty:

    NPI: 1992177612

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000168565

    OKESON, EDWIN (Male)Provider Type: Physicians

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1619951019

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM T: 08:00 AM-08:00 PM W: 08:00 AM-08:00 PM R: 08:00 AM-05:00 PM F: 08:00 AM-05:00 PM S: 08:00 AM-12:00 PMAccepts Medicaid: Yes

    CEB #: 1000042910

    OLORIEGBE, FATIMAH (Female)Provider Type: Physicians

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1760672554

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000043260

    RITTER, AMANDA L (Female)Provider Type: Nurse Practitioners

    Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 610083173Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1184079451

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000148420

    Primary Care Providers ( All-Counties ) Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 12Community Advantage (HMO) 2020 Provider Directory

    SANZ, JAIME F (Male)Provider Type: Physicians

    Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 610083173Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1508937772

    Min. Age: 12 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM T: 08:30 AM-05:00 PM W: 08:30 AM-07:00 PM R: 08:30 AM-07:00 PM F: 08:00 AM-05:00 PM S: 08:30 AM-12:00 PMAccepts Medicaid: Yes

    CEB #: 1000038939

    SCHENCK, KATHERINE P (Male)Provider Type: Physicians

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: PHYSICIAN ASSISTANT

    NPI: 1417960907

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: No

    CEB #: 1000168609

    SIMMONS, MARY (Female)Provider Type: Physicians

    Address: 1700 HENRY LUCKOW LN , BELVIDERE IL 610083173Phone: 779-696-8650 Network: SWEDISHAMERICAN MEDICAL GROUP

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1457373946

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM T: 08:30 AM-05:00 PM W: 08:30 AM-07:00 PM R: 08:30 AM-07:00 PM F: 08:00 AM-05:00 PM S: 08:30 AM-12:00 PMAccepts Medicaid: Yes

    CEB #: 1000039052

    SLAVICEK, LAURA C (Female)Provider Type: Physician Assistant

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: PHYSICIAN ASSISTANT Sec. Specialty:

    NPI: 1346678539

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000133535

    TAYLOR, JENNIFER (Female)Provider Type: Nurse Practitioners

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: NURSE PRACTITIONER

    NPI: 1982030730

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:00 AM-08:00 PM T: 08:00 AM-05:00 PM W: 08:00 AM-05:00 PM R: 08:00 AM-08:00 PM F: 08:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000043542

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 13Community Advantage (HMO) 2020 Provider Directory

    TAYLOR, TRISHA D (Female)Provider Type: Physician Assistant

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: PHYSICIAN ASSISTANT Sec. Specialty:

    NPI: 1427508233

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: No

    CEB #: 1000172814

    TIEGS, MICAH R (Female)Provider Type: Physician Assistant

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: PHYSICIAN ASSISTANT Sec. Specialty:

    NPI: 1538590757

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000168453

    TORIBIO, DARAMIS R (Female)Provider Type: Nurse Practitioners

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: NURSE PRACTITIONER Sec. Specialty:

    NPI: 1265979371

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000197547

    ULMER, MEREDITH (Female)Provider Type: Physicians

    Address: 1747 HENRY LUCKLOW LN , BELVIDERE IL 610081702Phone: 815-971-2000 Network: ROCKFORD HEALTH PHYSICIANS

    Pri. Hospital: ROCKFORD MEMORIAL HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1720216930

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000112010

    VOLD, JORDAN M (Male)Provider Type: Physician Assistant

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: PHYSICIAN ASSISTANT Sec. Specialty:

    NPI: 1922383769

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000168618

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 14Community Advantage (HMO) 2020 Provider Directory

    YONTZ, LYNN (Female)Provider Type: Nurse Practitioners

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital: SWEDISHAMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1629052741

    Min. Age: 12 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 08:00 AM-08:00 PM T: 08:00 AM-05:00 PM W: 08:00 AM-05:00 PM R: 08:00 AM-08:00 PM F: 08:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000042946

    ZAVALA, MOLLY R (Female)Provider Type: Physicians

    Address: 1050 LOGAN AVE , BELVIDERE IL 610083966Phone: 815-490-1600 Network: CRUSADER COMMUNITY HEALTH

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1184060055

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000156830

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 15Community Advantage (HMO) 2020 Provider Directory

    IL - COOKABBASI, TAHIR (Male)Provider Type: Physicians

    Address: 17680 S KEDZIE AVE - STE 206, HAZEL CREST IL 604292005Phone: 7739624183 Network: PARTNERS IN HEALTH INC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: CARDIOLOGY

    NPI: 1255495701

    Min. Age: 19 Max. Age: 99

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 12:00 PM-06:00 PM T: 03:00 PM-08:00 PM R: 03:00 PM-08:00 PM F: 10:00 AM-02:00 PM S: 10:00 AM-03:00 PMAccepts Medicaid: Yes

    CEB #: 1000067377

    ABDULMASSIH, ABDULMASSIH (Male)Provider Type: Physicians

    Address: 5240 N PULASKI RD , CHICAGO IL 606301702Phone: 773-539-9600 Network: INDEPENDENT PHYSICIAN ALLIANCE OF ILLINOIS LLC

    Pri. Hospital: SWEDISH COVENANT HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1629045778

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: ARABIC

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM T: 08:00 AM-05:00 PM W: 08:00 AM-05:00 PM R: 08:00 AM-05:00 PM F: 08:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000082981

    ABDULMASSIH, ABDULMASSIH (Male)Provider Type: Physicians

    Address: 6201 W TOUHY AVE , CHICAGO IL 606461100Phone: 847-673-5166 Network: INDEPENDENT PHYSICIAN ALLIANCE OF ILLINOIS LLC

    Pri. Hospital: SWEDISH COVENANT HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1629045778

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: ARABIC

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000115734

    ABOU BAKER, NABIL M (Male)Provider Type: Physicians

    Address: 5841 S MARYLAND AVE , CHICAGO IL 606371447Phone: 773-702-9200 Network: UNIVERSITY OF CHICAGO

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1750724720

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000198558

    ABRAHAM, GINA N (Female)Provider Type: Physicians

    Address: 5635 S PULASKI RD , CHICAGO IL 606294438Phone: 773-585-3900 Network: FRIEND FAMILY HEALTH CENTER INC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1275600223

    Min. Age: 12 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000201731

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 16Community Advantage (HMO) 2020 Provider Directory

    ABRAHAM, JENESON J (Male)Provider Type: Physician Assistant

    Address: 3860 W OGDEN AVE , CHICAGO IL 606232460Phone: 872-588-3000 Network: LAWNDALE CHRISTIAN HEALTH CENTER

    Pri. Hospital: MOUNT SINAI HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: PHYSICIAN ASSISTANT

    NPI: 1013975218

    Min. Age: 12 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:30 AM-09:00 PM T: 08:30 AM-09:00 PM W: 08:30 AM-05:00 PM R: 08:30 AM-09:00 PM F: 08:30 AM-05:00 PM S: 08:30 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000144502

    ABRAHAM, JOSEPH (Male)Provider Type: Physicians

    Address: 2525 S MICHIGAN AVE - 2ND FL, CHICAGO IL 606162333Phone: 312-567-2013 Network: INDEPENDENT PHYSICIANS AT MERCY

    Pri. Hospital: MERCY HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: CARDIOLOGY

    NPI: 1982809356

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: T: 08:00 AM-04:00 PM W: 08:00 AM-04:00 PM R: 08:00 AM-04:00 PMAccepts Medicaid: Yes

    CEB #: 1000083915

    ACCESS AT EYE INSTITUTEProvider Type: Federally Qualified Health Centers

    Address: 3241 S MICHIGAN AVE - 2ND FL, CHICAGO IL 606163816Phone: 312-949-7770 Network: ACCESS COMMUNITY HEALTH NETWORK

    Pri. Hospital: MOUNT SINAI HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: OBSTETRICS & GYNECOLOGY

    NPI: 1013086115

    Min. Age: 0 Max. Age: 110

    Pri. Language: Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-04:00 PMAccepts Medicaid: Yes

    CEB #: 1000054327

    ACCESS AT GARY COMER YOUTHProvider Type: Federally Qualified Health Centers

    Address: 7200 S INGLESIDE AVE , CHICAGO IL 606191254Phone: 773-324-6942 Network: ACCESS COMMUNITY HEALTH NETWORK

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: INTERNAL MEDICINE

    NPI: 1659691715

    Min. Age: 0 Max. Age: 110

    Pri. Language: Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000084118

    ACCESS AT SINAIProvider Type: Federally Qualified Health Centers

    Address: 2653 W OGDEN AVE - STE 3B, CHICAGO IL 606081647Phone: 773-522-6100 Network: ACCESS COMMUNITY HEALTH NETWORK

    Pri. Hospital: MOUNT SINAI HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: OBSTETRICS & GYNECOLOGY

    NPI: 1912192253

    Min. Age: 0 Max. Age: 110

    Pri. Language: Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-07:30 PM F: 09:00 AM-05:00 PM S: 08:00 AM-12:00 PMAccepts Medicaid: Yes

    CEB #: 1000054330

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 17Community Advantage (HMO) 2020 Provider Directory

    ACCESS CABRINI HEALTH CENTERProvider Type: Federally Qualified Health Centers

    Address: 3450 S ARCHER AVE , CHICAGO IL 606086837Phone: 7735231000 Network: ACCESS COMMUNITY HEALTH NETWORK

    Pri. Hospital: MOUNT SINAI HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: PEDIATRICS

    NPI: 1780754523

    Min. Age: 0 Max. Age: 110

    Pri. Language: Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM T: 08:00 AM-05:00 PM W: 08:00 AM-07:00 PM R: 08:00 AM-07:00 PM F: 08:00 AM-05:00 PM S: 08:00 AM-12:00 PMAccepts Medicaid: Yes

    CEB #: 1000054352

    ACCESS LOCATED AT HOLY CROSSProvider Type: Federally Qualified Health Centers

    Address: 2701 W 68TH ST - 3 SOUTH, CHICAGO IL 606291813Phone: 773-434-4040 Network: ACCESS COMMUNITY HEALTH NETWORK

    Pri. Hospital: MOUNT SINAI HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: PEDIATRICS

    NPI: 1467785782

    Min. Age: 0 Max. Age: 110

    Pri. Language: Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:30 PM T: 08:00 AM-05:30 PM W: 08:00 AM-05:30 PM R: 08:00 AM-05:30 PM F: 08:00 AM-05:30 PM S: 08:30 AM-02:00 PMAccepts Medicaid: Yes

    CEB #: 1000054355

    ACCESS NORTHWEST FMLY HLTH CTRProvider Type: Federally Qualified Health Centers

    Address: 1120 N ARLINGTON HEIGHTS RD , ARLINGTON HEIGHTS IL 600051604Phone: 847-342-1554 Network: ACCESS COMMUNITY HEALTH NETWORK

    Pri. Hospital: MOUNT SINAI HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: PEDIATRICS

    NPI: 1780879023

    Min. Age: 0 Max. Age: 110

    Pri. Language: Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:30 AM-05:00 PM T: 08:30 AM-05:00 PM W: 08:30 AM-05:00 PM R: 08:30 AM-05:00 PM F: 08:30 AM-05:00 PM S: 08:30 AM-01:00 PMAccepts Medicaid: Yes

    CEB #: 1000054363

    ACHEBE, JAMES B (Male)Provider Type: Physicians

    Address: 7906 CRANDON AVE , CHICAGO IL 606171512Phone: 773-375-4745 Network: J BOB ACHEBE MD SC

    Pri. Hospital: SOUTH SHORE HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: INTERNAL MEDICINE

    NPI: 1881793552

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM S: 10:00 AM-02:00 PMAccepts Medicaid: Yes

    CEB #: 1000148389

    ADAWY, SOFIA (Female)Provider Type: Physicians

    Address: 4747-51 W CERMAK RD , CHICAGO IL 608042508Phone: 3129962000 Network: UIC MILE SQUARE

    Pri. Hospital: UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1427283290

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: ARABIC

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000039068

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 18Community Advantage (HMO) 2020 Provider Directory

    ADAWY, SOFIA (Female)Provider Type: Physicians

    Address: 1220 S WOOD ST , CHICAGO IL 606081202Phone: 312-996-2000 Network: UIC MILE SQUARE

    Pri. Hospital: UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1427283290

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: ARABIC

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000038632

    ADEN, MARILYN (Female)Provider Type: Physicians

    Address: 1525 W BELMONT AVE , CHICAGO IL 606573107Phone: 773-549-7757 Network: PRESENCE HEALTH PARTNERS SAINT JOSEPH - CHICAGO

    Pri. Hospital: PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1598768152

    Min. Age: 18 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HEBREW

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000039205

    ADEN, MARILYN (Female)Provider Type: Physicians

    Address: 1150 W FULLERTON AVE - 2ND FL, CHICAGO IL 606142204Phone: 773-549-7757 Network: PRESENCE HEALTH PARTNERS SAINT JOSEPH - CHICAGO

    Pri. Hospital: PRESENCE ST JOSEPH MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1598768152

    Min. Age: 18 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HEBREW

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000108945

    ADIGHIBE, NNEBUIFE N (Male)Provider Type: Nurse Practitioners

    Address: 1715 E 95TH ST , CHICAGO IL 606174708Phone: 773-768-4437 Network: OAK STREET HEALTH

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: NURSE PRACTITIONER

    NPI: 1063897155

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000148364

    ADIGHIBE, OKECHI U (Female)Provider Type: Nurse Practitioners

    Address: 3348 W 87TH ST , CHICAGO IL 606523767Phone: 773-776-4471 Network: OAK STREET HEALTH

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: NURSE PRACTITIONER

    NPI: 1174860498

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:40 AM-05:00 PM T: 08:40 AM-05:00 PM W: 08:40 AM-05:00 PM R: 08:40 AM-05:00 PM F: 08:40 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000118199

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 19Community Advantage (HMO) 2020 Provider Directory

    ADUBIFA, OLAJUMOKE (Male)Provider Type: Physicians

    Address: 9119 S EXCHANGE AVE , CHICAGO IL 606174225Phone: 773-768-5000 Network: CHICAGO FAMILY HEALTH CENTER INC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1598832875

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:30 AM-08:00 PM T: 08:30 AM-05:00 PM W: 08:30 AM-05:00 PM R: 08:30 AM-08:00 PM F: 08:30 AM-05:00 PM S: 08:45 AM-01:00 PMAccepts Medicaid: No

    CEB #: 1000201345

    ADUBIFA, OLAJUMOKE (Male)Provider Type: Physicians

    Address: 3223 W 63RD ST , CHICAGO IL 606293333Phone: 7737685000 Network: CHICAGO FAMILY HEALTH CENTER INC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1598832875

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:30 AM-08:00 PM T: 08:30 AM-05:00 PM W: 08:30 AM-05:00 PM R: 08:30 AM-08:00 PM F: 08:30 AM-05:00 PMAccepts Medicaid: No

    CEB #: 1000201346

    ADUBIFA, OLAJUMOKE (Male)Provider Type: Physicians

    Address: 120 W 111TH ST , CHICAGO IL 606284215Phone: 773-768-5000 Network: CHICAGO FAMILY HEALTH CENTER INC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1598832875

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:30 AM-08:00 PM T: 08:30 AM-05:00 PM W: 08:30 AM-05:00 PM R: 08:30 AM-08:00 PM F: 08:30 AM-05:00 PM S: 08:45 AM-01:00 PMAccepts Medicaid: No

    CEB #: 1000201347

    ADUBIFA, OLAJUMOKE (Male)Provider Type: Physicians

    Address: 570 E 115TH ST , CHICAGO IL 606285740Phone: 773-768-5000 Network: CHICAGO FAMILY HEALTH CENTER INC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1598832875

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:30 AM-08:00 PM T: 08:30 AM-05:00 PM W: 08:30 AM-05:00 PM R: 08:30 AM-08:00 PM F: 08:30 AM-05:00 PM S: 08:45 AM-01:00 PMAccepts Medicaid: No

    CEB #: 1000201340

    ADUBIFA, OLAJUMOKE (Male)Provider Type: Physicians

    Address: 10536 S EWING AVE , CHICAGO IL 606176219Phone: 773-768-5000 Network: CHICAGO FAMILY HEALTH CENTER INC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1598832875

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:30 AM-08:00 PM T: 08:30 AM-05:00 PM W: 08:30 AM-05:00 PM R: 08:30 AM-08:00 PM F: 08:30 AM-05:00 PM S: 08:45 AM-01:00 PMAccepts Medicaid: No

    CEB #: 1000201338

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 20Community Advantage (HMO) 2020 Provider Directory

    AFARIN, JESSICA (Female)Provider Type: Nurse Practitioners

    Address: 3445 N CENTRAL AVE - STE C, HARWOOD HEIGHTS IL 606344420Phone: 7732050800 Network: HARESH SAWLANI MD PC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: NURSE PRACTITIONER

    NPI: 1871962183

    Min. Age: 18 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 10:00 AM-06:00 PM T: 10:00 AM-06:00 PM W: 10:00 AM-06:00 PM R: 10:00 AM-06:00 PM F: 10:00 AM-06:00 PM S: 09:00 AM-01:00 PMAccepts Medicaid: Yes

    CEB #: 1000156524

    AGUILAR, BERNIE (Female)Provider Type: Nurse Practitioners

    Address: 1111 W SUPERIOR ST - STE 101, MELROSE PARK IL 601601634Phone: 708-406-3040 Network: PCC COMMUNITY WELLNESS CENTER

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1902207004

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000148392

    AGUINALDO, ERIC (Male)Provider Type: Physicians

    Address: 3046 W 127TH ST , BLUE ISLAND IL 604061827Phone: 708-377-7920 Network: OAK STREET HEALTH

    Pri. Hospital: SKOKIE HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1720374002

    Min. Age: 18 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM T: 08:00 AM-05:00 PM W: 08:00 AM-05:00 PM R: 08:00 AM-05:00 PM F: 08:00 AM-05:00 PMAccepts Medicaid: No

    CEB #: 1000094376

    AGULO, CASIMIRO (Male)Provider Type: Physicians

    Address: 8800 LOCKWOOD AVE , SKOKIE IL 600771500Phone: 8479831400 Network: ASIAN HUMAN SERVICES FAMILY HEALTH CENTER

    Pri. Hospital: SWEDISH COVENANT HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1013010297

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-07:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-07:00 PM F: 09:00 AM-05:00 PM S: 09:00 AM-01:00 PMAccepts Medicaid: Yes

    CEB #: 1000055866

    AGULO, CASIMIRO (Male)Provider Type: Physicians

    Address: 2424 W PETERSON AVE , CHICAGO IL 606594103Phone: 773-761-0300 Network: ASIAN HUMAN SERVICES FAMILY HEALTH CENTER

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1013010297

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000173524

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 21Community Advantage (HMO) 2020 Provider Directory

    AGULO, CASIMIRO (Male)Provider Type: Physicians

    Address: 8321 w golf rd , NILES IL 607141113Phone: 773-761-0300 Network: ASIAN HUMAN SERVICES FAMILY HEALTH CENTER

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1013010297

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000173863

    AHLOWALIA, NEERJA (Female)Provider Type: Physicians

    Address: 7906 S CRANDON AVE , CHICAGO IL 606171512Phone: 773-768-6066 Network: PRESENCE HEALTH PARTNERS SAINT JOSEPH - CHICAGO

    Pri. Hospital: PRESENCESAINT JOSEPH HOSPITAL - CHICAGO

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1508850439

    Min. Age: 12 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000038406

    AHMAD, IJAZ (Male)Provider Type: Physicians

    Address: 6625 S PULASKI RD , CHICAGO IL 606295137Phone: 773-581-8080 Network: APOGEE HEALTH PARTNERS INC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1861538712

    Min. Age: 12 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000199706

    AHMAD, IJAZ (Male)Provider Type: Physicians

    Address: 9133 S STONY ISLAND AVE , CHICAGO IL 606173512Phone: 773-375-3312 Network: PROGRESS HEALTH NETWORK

    Pri. Hospital: HOLY CROSS HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1861538712

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000091690

    AHMAD, IJAZ (Male)Provider Type: Physicians

    Address: 326 W 64TH ST - STE 318, CHICAGO IL 606213114Phone: 7732244800 Network: PARTNERS IN HEALTH INC

    Pri. Hospital: SAINT BERNARD HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1861538712

    Min. Age: 12 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000038450

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 22Community Advantage (HMO) 2020 Provider Directory

    AHMAD, IJAZ (Male)Provider Type: Physicians

    Address: 3330 W 117TH ST - STE 3D, HAZEL CREST IL 604292174Phone: 708-779-6890 Network: PROGRESS HEALTH NETWORK

    Pri. Hospital: HOLY CROSS HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1861538712

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000092152

    AHMAD, IJAZ (Male)Provider Type: Physicians

    Address: 2123 E 71ST ST , CHICAGO IL 606363617Phone: 773-752-1506 Network: PROGRESS HEALTH NETWORK

    Pri. Hospital: HOLY CROSS HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1861538712

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000092158

    AHMAD, IJAZ (Male)Provider Type: Physicians

    Address: 18636 S DIXIE HWY , HOMEWOOD IL 604303715Phone: 708-922-0400 Network: APOGEE HEALTH PARTNERS INC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1861538712

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000155453

    AHMAD, IJAZ (Male)Provider Type: Physicians

    Address: 6222 S PULASKI RD - STE 3, CHICAGO IL 606294610Phone: 773-581-8080 Network: PROGRESS HEALTH NETWORK

    Pri. Hospital: HOLY CROSS HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1861538712

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000090670

    AHMED, FAROOQ (Male)Provider Type: Physicians

    Address: 4419 W 95TH ST , OAK LAWN IL 604532654Phone: 708-576-4700 Network: SOUTHWEST MEDICAL GROUP LTD

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1275553240

    Min. Age: 0 Max. Age: 0

    Pri. Language: ENGLISH Sec. Language: URDU

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000088433

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 23Community Advantage (HMO) 2020 Provider Directory

    AHMED, FAROOQ (Male)Provider Type: Physicians

    Address: 2600 S MICHIGAN AVE - STE 308, CHICAGO IL 606160048Phone: 3123266666 Network: FAMINAMED HEALTHCARE PROVIDERS SC

    Pri. Hospital: MERCY HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1275553240

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: URDU

    Handicap Access: Yes

    Hrs: M: 08:00 AM-04:00 PM W: 12:00 PM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000055016

    AHMED, KHALID (Male)Provider Type: Physicians

    Address: 6449 S PULASKI RD , BEDFORD PARK IL 606295148Phone: 773-581-7300 Network: PARTNERS IN HEALTH INC

    Pri. Hospital: HOLY CROSS HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1922172006

    Min. Age: 6 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000038783

    AHMED, KHALID (Male)Provider Type: Physicians

    Address: 6449 S PULASKI RD , BEDFORD PARK IL 606295148Phone: 773-581-7300 Network: APOGEE HEALTH PARTNERS INC

    Pri. Hospital: MOUNT SINAI HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1922172006

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000095086

    AHMED, MOHAMMED (Male)Provider Type: Physicians

    Address: 2803 W HARRISON ST , CHICAGO IL 606123332Phone: 773-533-5523 Network: SAINT ANTHONY PHO, LLC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1427035500

    Min. Age: 18 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: No

    CEB #: 1000203266

    AHMED, PALOSHA (Male)Provider Type: Physicians

    Address: 1515 LAKE ST - STE 101, BARTLETT IL 601334869Phone: 630-483-3200 Network: ALEXIAN BROTHERS MEDICAL GROUP

    Pri. Hospital: ALEXIAN BROTHERS MEDICAL CENTER

    Accepting New Patients: No

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1033407069

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000144852

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 24Community Advantage (HMO) 2020 Provider Directory

    AHMED, SAFIA (Female)Provider Type: Physicians

    Address: 948 N DAMEN AVE , CHICAGO IL 606224910Phone: 773-276-2655 Network: CENTURY PHO

    Pri. Hospital: NORWEGIAN AMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1396760831

    Min. Age: 18 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: URDU

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000039242

    AHN, CHI YUNG (Male)Provider Type: Physicians

    Address: 5140 N CALIFORNIA AVE - STE 705, CHICAGO IL 606252577Phone: 773-478-9250 Network: SWEDISH COVENANT MEDICAL GROUP

    Pri. Hospital: SWEDISH COVENANT HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: GERIATRICS

    NPI: 1578857835

    Min. Age: 0 Max. Age: 100

    Pri. Language: ENGLISH Sec. Language: CHINESE

    Handicap Access: Yes

    Hrs: M: 08:00 AM-04:00 PM T: 08:00 AM-04:00 PM W: 08:00 AM-04:00 PM R: 08:00 AM-04:00 PM S: 09:00 AM-01:00 PMAccepts Medicaid: Yes

    CEB #: 1000112616

    AHN, PHILLIP (Male)Provider Type: Physicians

    Address: 4321 S PULASKI RD , CHICAGO IL 606324008Phone: 7735852410 Network: INDEPENDENT PHYSICIANS AT MERCY

    Pri. Hospital: MERCY HOSPITAL & MEDICAL CENTER

    Accepting New Patients: No

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1376527879

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: KOREAN

    Handicap Access: Yes

    Hrs: M: 08:00 AM-04:40 PM T: 08:00 AM-11:30 AM W: 08:00 AM-04:30 PM F: 08:00 AM-04:30 PMAccepts Medicaid: Yes

    CEB #: 1000038332

    AKAEZE, DOROTHY (Male)Provider Type: Nurse Practitioners

    Address: 364 TORRENCE AVE , CALUMET CITY IL 604096951Phone: 7088689457 Network: CHRISTIAN COMMUNITY HEALTH CENTER

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: NURSE PRACTITIONER Sec. Specialty: FAMILY PRACTICE

    NPI: 1649641747

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000148842

    AKERE, AYOADE O (Male)Provider Type: Physicians

    Address: 3228 W NORTH AVE , CHICAGO IL 606474940Phone: 773-292-9660 Network: SUNNY SIDE MEDICAL CTR

    Pri. Hospital: SAINT BERNARD HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER

    NPI: 1538179379

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000061048

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 25Community Advantage (HMO) 2020 Provider Directory

    AKERE, AYOADE O (Male)Provider Type: Physicians

    Address: 4646 N MARINE DR - STE C6300, CHICAGO IL 606405759Phone: 7735645781 Network: JIL MEDICAL CONSULTANTS

    Pri. Hospital: PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER

    NPI: 1538179379

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs:Accepts Medicaid: Yes

    CEB #: 1000040077

    AKERE, AYOADE O (Male)Provider Type: Physicians

    Address: 5500 S DAMEN AVE , CHICAGO IL 606361107Phone: 773-776-8800 Network: APOGEE HEALTH PARTNERS INC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER

    NPI: 1538179379

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000199705

    AKERE, AYOADE O (Male)Provider Type: Physicians

    Address: 6307 S STEWART AVE - STE 305 & 306, CHICAGO IL 606213116Phone: 773-776-8800 Network: PARTNERS IN HEALTH INC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: WOMEN'S HEALTH CARE PROVIDER

    NPI: 1538179379

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000182296

    AKHIGBE, CLARA (Female)Provider Type: Physicians

    Address: 6307 S sTERWART AVE - STE 313, CHICAGO IL 606213116Phone: 773-962-0633 Network: PARTNERS IN HEALTH INC

    Pri. Hospital: SAINT BERNARD HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: GENERAL PRACTICE Sec. Specialty: PEDIATRICS

    NPI: 1346281110

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: YORUBA

    Handicap Access: Yes

    Hrs: M: 10:00 AM-04:00 PM T: 10:00 AM-04:00 PM W: 10:00 AM-03:00 PM F: 10:00 AM-04:00 PMAccepts Medicaid: Yes

    CEB #: 1000158407

    AKKARI, LANA (Female)Provider Type: Physicians

    Address: 2525 S MICHIGAN AVE , CHICAGO IL 606162333Phone: 312-567-2000 Network: 2525 S MICHIGAN AVE CHICAGO

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: NURSE PRACTITIONER Sec. Specialty:

    NPI: 1154702082

    Min. Age: 0 Max. Age: 101

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM T: 08:00 AM-05:00 PM W: 08:00 AM-05:00 PM R: 08:00 AM-05:00 PM F: 08:00 AM-05:00 PMAccepts Medicaid: No

    CEB #: 1000204432

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 26Community Advantage (HMO) 2020 Provider Directory

    ALAJAJIAN, SARAH (Female)Provider Type: Physician Assistant

    Address: 3860 W OGDEN AVE , CHICAGO IL 606232460Phone: 872-588-3000 Network: LAWNDALE CHRISTIAN HEALTH CENTER

    Pri. Hospital: MOUNT SINAI HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: PHYSICIAN ASSISTANT

    NPI: 1487922878

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 08:30 AM-09:00 PM T: 08:30 AM-09:00 PM W: 08:30 AM-05:00 PM R: 08:30 AM-09:00 PM F: 08:30 AM-05:00 PM S: 08:30 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000144510

    ALAM, MOHAMMAD (Male)Provider Type: Physicians

    Address: 8800 LOCKWOOD AVE , SKOKIE IL 600771500Phone: 8479831400 Network: ASIAN HUMAN SERVICES FAMILY HEALTH CENTER

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1366524050

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 11:00 AM-07:00 PM W: 09:00 AM-05:00 PM R: 11:00 AM-07:00 PM F: 09:00 AM-05:00 PM S: 09:00 AM-01:00 PMAccepts Medicaid: Yes

    CEB #: 1000173569

    ALAM, MOHAMMAD (Male)Provider Type: Physicians

    Address: 2501 W PETERSON AVE , CHICAGO IL 606594108Phone: 7737610300 Network: ASIAN HUMAN SERVICES FAMILY HEALTH CENTER

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1366524050

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-07:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-07:00 PM F: 09:00 AM-05:00 PM S: 09:00 AM-01:00 PMAccepts Medicaid: Yes

    CEB #: 1000054788

    ALAM, MOHAMMAD (Male)Provider Type: Physicians

    Address: 2424 W PETERSON AVE , CHICAGO IL 606594103Phone: 773-761-0300 Network: ASIAN HUMAN SERVICES FAMILY HEALTH CENTER

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1366524050

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 11:00 AM-07:00 PM W: 09:00 AM-05:00 PM R: 11:00 AM-07:00 PM F: 09:00 AM-05:00 PM S: 09:00 AM-01:00 PMAccepts Medicaid: Yes

    CEB #: 1000173557

    ALAM, MOHAMMAD (Male)Provider Type: Physicians

    Address: 8321 w golf rd , NILES IL 607141113Phone: 773-761-0300 Network: ASIAN HUMAN SERVICES FAMILY HEALTH CENTER

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1366524050

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 11:00 AM-07:00 PM W: 09:00 AM-05:00 PM R: 11:00 AM-07:00 PM F: 09:00 AM-05:00 PM S: 09:00 AM-01:00 PMAccepts Medicaid: Yes

    CEB #: 1000173565

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 27Community Advantage (HMO) 2020 Provider Directory

    ALBELO, ADIANEZ (Female)Provider Type: Physicians

    Address: 1044 N MOZART ST - STE 203, CHICAGO IL 606222759Phone: 7732928300 Network: CENTURY PHO - FQHC

    Pri. Hospital: NORWEGIAN AMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1811336118

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000092432

    ALEKSANDROVA, IRYNA (Female)Provider Type: Physicians

    Address: 5215 N CALIFORNIA AVE - STE 604, CHICAGO IL 606250035Phone: 773-878-3627 Network: SWEDISH COVENANT MEDICAL GROUP

    Pri. Hospital: SWEDISH COVENANT HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1346536638

    Min. Age: 0 Max. Age: 100

    Pri. Language: ENGLISH Sec. Language: POLISH

    Handicap Access: Yes

    Hrs: M: 08:00 AM-03:00 PM W: 08:30 AM-12:00 PM R: 01:30 PM-04:00 PM F: 11:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000112697

    ALEXANDRE, MICHELLE (Female)Provider Type: Physicians

    Address: 1666 N CALIFORNIA AVE , CHICAGO IL 606475102Phone: 773-292-7134 Network: CENTURY PHO

    Pri. Hospital: NORWEGIAN AMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1477604791

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000092440

    ALEXANDRE, MICHELLE (Female)Provider Type: Physicians

    Address: 808 N BROADWAY ST , MELROSE PARK IL 601603744Phone: 708-681-0808 Network: CENTURY PHO

    Pri. Hospital: NORWEGIAN AMERICAN HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1477604791

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000038633

    ALEXANDRE, MICHELLE (Female)Provider Type: Physicians

    Address: 808 N 19TH AVE , MELROSE PARK IL 601603744Phone: 708-865-0663 Network: APOGEE HEALTH PARTNERS INC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1477604791

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000199735

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 28Community Advantage (HMO) 2020 Provider Directory

    ALHAMED, SHARIF (Male)Provider Type: Physician Assistant

    Address: 3202 W NORTH AVE , CHICAGO IL 606474940Phone: 7732781880 Network: ACCESS COMMUNITY HEALTH NETWORK

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: PHYSICIAN ASSISTANT

    NPI: 1275683500

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000184029

    ALI, GHOUSIA (Female)Provider Type: Physicians

    Address: 2040 W DEVON AVE , CHICAGO IL 600538978Phone: 773-274-3060 Network: MIRACLE MEDICAL CENTER

    Pri. Hospital: SWEDISH COVENANT HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1518969518

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 11:00 AM-05:00 PM T: 11:00 AM-05:00 PM W: 11:00 AM-05:00 PM R: 11:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000086276

    ALI, MAHNAZ (Female)Provider Type: Physicians

    Address: 1111 W SUPERIOR ST - STE 101, MELROSE PARK IL 601601634Phone: 708-406-3040 Network: PCC COMMUNITY WELLNESS CENTER

    Pri. Hospital: VHS - WEST SUBURBAN MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1376734202

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 08:30 AM-08:00 PM T: 08:30 AM-08:00 PM W: 08:30 AM-05:00 PM R: 08:30 AM-08:00 PM F: 08:30 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000083328

    ALI, MIR (Male)Provider Type: Physicians

    Address: 371 W NORTHWEST HWY , HOFFMAN ESTATES IL 600672414Phone: 847-776-7800 Network: FAMILY PRACTICE CENTER OF PALATINE

    Pri. Hospital: METROSOUTH MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1407853435

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-08:00 PM T: 09:00 AM-08:00 PM W: 09:00 AM-08:00 PM R: 09:00 AM-08:00 PM F: 09:00 AM-08:00 PMAccepts Medicaid: Yes

    CEB #: 1000112512

    ALI, MIR AKIF (Female)Provider Type: Physicians

    Address: 2875 W 19TH ST , CHICAGO IL 606233501Phone: 773-484-4425 Network: SAINT ANTHONY PHO, LLC

    Pri. Hospital: SAINT ANTHONY HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: ALLERGY & IMMUNOLOGY Sec. Specialty: INTERNAL MEDICINE

    NPI: 1922034909

    Min. Age: 18 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000085456

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 29Community Advantage (HMO) 2020 Provider Directory

    ALI, MIR AKIF (Female)Provider Type: Physicians

    Address: 2400 W DEVON AVE , CHICAGO IL 606591910Phone: 6309415295 Network: SAINT ANTHONY PHO, LLC

    Pri. Hospital: SAINT ANTHONY HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: ALLERGY & IMMUNOLOGY Sec. Specialty: INTERNAL MEDICINE

    NPI: 1922034909

    Min. Age: 18 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: T: 10:00 AM-06:00 PM R: 10:00 AM-06:00 PM S: 10:00 AM-02:00 PMAccepts Medicaid: Yes

    CEB #: 1000038389

    ALI, MIR AKIF (Female)Provider Type: Physicians

    Address: 3303 W 26TH ST , CHICAGO IL 606234036Phone: 773-277-6589 Network: ACCESS COMMUNITY HEALTH NETWORK

    Pri. Hospital: MOUNT SINAI HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: ALLERGY & IMMUNOLOGY Sec. Specialty: INTERNAL MEDICINE

    NPI: 1922034909

    Min. Age: 18 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000038560

    ALI, MOHAMMAD (Male)Provider Type: Physicians

    Address: 2040 W DEVON AVE , CHICAGO IL 600538978Phone: 773-274-3060 Network: MIRACLE MEDICAL CENTER

    Pri. Hospital: SWEDISH COVENANT HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1750383758

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: ARABIC

    Handicap Access: Yes

    Hrs: M: 11:00 AM-05:00 PM T: 11:00 AM-05:00 PM W: 11:00 AM-05:00 PM R: 11:00 AM-05:00 PM F: 11:00 AM-05:00 PM S: 10:00 AM-01:00 PMAccepts Medicaid: Yes

    CEB #: 1000086280

    ALI, SYED F (Male)Provider Type: Physicians

    Address: 7531 S STONY ISLAND AVE , CHICAGO IL 606493954Phone: 773-947-7892 Network: THE FRIEDELL CLINIC, S.C.

    Pri. Hospital: JACKSON PARK HOSPITAL AND MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1225123615

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 10:00 AM-03:00 PM W: 10:00 AM-03:00 PM F: 10:00 AM-03:00 PMAccepts Medicaid: Yes

    CEB #: 1000066138

    ALIKHAN, NADIRA (Female)Provider Type: Physicians

    Address: 3800 W MADISON ST , CHICAGO IL 606242312Phone: 773-826-6600 Network: ACCESS COMMUNITY HEALTH NETWORK

    Pri. Hospital: MOUNT SINAI HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: HEMATOLOGY & MEDICAL ONCOLOGY

    NPI: 1932110749

    Min. Age: 14 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000038360

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 30Community Advantage (HMO) 2020 Provider Directory

    ALIUDDIN, KHAJA (Male)Provider Type: Physicians

    Address: 3147 W CERMAK RD , CHICAGO IL 606233307Phone: 7735221216 Network: DR KHAJA ALIUDDIN MD SC

    Pri. Hospital: SAINT ANTHONY HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1588788277

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: HINDI

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000063130

    ALIVIO MED CTR BERWYNProvider Type: Federally Qualified Health Centers

    Address: 6447 W CERMAK RD , BERWYN IL 604022311Phone: 773-254-1400 Network: ALIVIO MEDICAL CENTER

    Pri. Hospital: MERCY HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: INTERNAL MEDICINE

    NPI: 1255646857

    Min. Age: 0 Max. Age: 110

    Pri. Language: Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:30 AM-05:00 PM T: 08:30 AM-05:00 PM W: 01:00 PM-08:00 PM R: 08:30 AM-05:00 PM F: 08:30 AM-05:00 PM S: 09:00 AM-01:00 PMAccepts Medicaid: Yes

    CEB #: 1000169637

    ALIVIO MEDICAL CENTERProvider Type: Federally Qualified Health Centers

    Address: 966 W 21ST ST , CHICAGO IL 606084511Phone: 773-254-1400 Network: ALIVIO MEDICAL CENTER

    Pri. Hospital: MERCY HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: OBSTETRICS & GYNECOLOGY

    NPI: 1073617387

    Min. Age: 0 Max. Age: 110

    Pri. Language: Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:30 AM-05:30 PM T: 08:30 AM-05:30 PM W: 08:30 AM-05:30 PM R: 08:30 AM-05:30 PM F: 08:30 AM-05:30 PM S: 09:00 AM-01:00 PMAccepts Medicaid: Yes

    CEB #: 1000054369

    ALIVIO MEDICAL CENTERProvider Type: Federally Qualified Health Centers

    Address: 2355 S WESTERN AVE , CHICAGO IL 606083837Phone: 773-254-1400 Network: ALIVIO MEDICAL CENTER

    Pri. Hospital: MERCY HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty: OBSTETRICS & GYNECOLOGY

    NPI: 1710096482

    Min. Age: 0 Max. Age: 110

    Pri. Language: Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:30 PM T: 09:00 AM-05:30 PM W: 11:00 AM-08:00 PM R: 09:00 AM-05:30 PM F: 09:00 AM-05:30 PM S: 09:00 AM-01:00 PMAccepts Medicaid: Yes

    CEB #: 1000054373

    ALLA, SARADA (Female)Provider Type: Physicians

    Address: 175 W GOLF RD , MOUNT PROSPECT IL 600561500Phone: 224-265-9049 Network: ALEXIAN BROTHERS MEDICAL GROUP

    Pri. Hospital: ALEXIAN BROTHERS MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1770611964

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PM S: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000122704

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 31Community Advantage (HMO) 2020 Provider Directory

    ALLEN ALFRED, LAMEE (Male)Provider Type: Physicians

    Address: 6625 S PULASKI RD , CHICAGO IL 606295137Phone: 312-972-5024 Network: PROGRESS HEALTH NETWORK

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1144538430

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000181275

    ALLEN, KATHRYN (Female)Provider Type: Physician Assistant

    Address: 3348 W 87TH ST , CHICAGO IL 606523767Phone: 773-776-4471 Network: OAK STREET HEALTH

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: PHYSICIAN ASSISTANT Sec. Specialty:

    NPI: 1841777687

    Min. Age: 65 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM T: 08:00 AM-05:00 PM W: 08:00 AM-05:00 PM R: 08:00 AM-05:00 PM F: 08:00 AM-05:00 PMAccepts Medicaid: No

    CEB #: 1000203119

    ALMASRI, HUSSAM (Male)Provider Type: Physicians

    Address: 12632 S HARLEM AVE , PALOS HEIGHTS IL 604631428Phone: 708-361-7000 Network: DR ALMASRI AND ASSOCIATES INC.

    Pri. Hospital: LITTLE COMPANY OF MARY HOSPITAL & HEALTH CARE CENTER

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1902018104

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: No

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: No

    CEB #: 1000062933

    ALSHOBAKI, MANSOUR (Male)Provider Type: Physicians

    Address: 7350 W COLLEGE DR - UNIT 201, PALOS HEIGHTS IL 604631129Phone: 708-424-9900 Network: LAKEVIEW FAMILY MEDICAL CARE, LLC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1386881688

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: ARABIC

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000083933

    ALVAREZ, LILIANA (Female)Provider Type: Nurse Practitioners

    Address: 4630 S BISHOP ST , CHICAGO IL 606095559Phone: 773-523-2615 Network: UIC MILE SQUARE

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: NURSE PRACTITIONER Sec. Specialty:

    NPI: 1972859874

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: No

    CEB #: 1000203641

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 32Community Advantage (HMO) 2020 Provider Directory

    ALVI, SAAD (Male)Provider Type: Physicians

    Address: 850 W IRVING PARK RD , CHICAGO IL 606133011Phone: 773-975-6775 Network: THOREK MEMORIAL HOSPITAL GROUP

    Pri. Hospital: THOREK MEMORIAL HOSPITAL

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1194983981

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs:Su: 08:00 AM-05:00 PM

    S: 08:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000085842

    AMARO, GABRIELA (Female)Provider Type: Nurse Practitioners

    Address: 4327 S ARCHER AVE , CHICAGO IL 606324008Phone: 773-242-2370 Network: OAK STREET HEALTH

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1255859534

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 08:30 AM-05:00 PM T: 08:30 AM-05:00 PM W: 08:30 AM-05:00 PM R: 08:30 AM-05:00 PM F: 08:30 AM-05:00 PMAccepts Medicaid: No

    CEB #: 1000202177

    AMIN, PINAKIN (Male)Provider Type: Physicians

    Address: 11808 S PULASKI RD , MERRIONETTE PARK IL 608031608Phone: 708-489-6200 Network: AFFILIATED PHYSICIANS GROUP

    Pri. Hospital: METROSOUTH MEDICAL CENTER

    Accepting New Patients: No

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1760593594

    Min. Age: 12 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000038702

    AMPADU, ROSE O (Female)Provider Type: Nurse Practitioners

    Address: 27 N WACKER DR - STE 140, CHICAGO IL 606062800Phone: 248-662-0250 Network: GENERAL MEDICINE PC

    Pri. Hospital:

    Accepting New Patients: No

    Pri. Specialty: NURSE PRACTITIONER Sec. Specialty:

    NPI: 1366997561

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000163798

    AMUSIN, MARINA (Female)Provider Type: Physicians

    Address: 3500 W PETERSON AVE - STE 300, CHICAGO IL 606593263Phone: 7739613200 Network: PRESENCE HEALTH PARTNERS SAINT FRANCIS

    Pri. Hospital: PRESENCE SAINT FRANCIS HOSPITAL OF EVANSTON

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1750368312

    Min. Age: 18 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: RUSSIAN

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM T: 08:00 AM-05:00 PM W: 08:00 AM-05:00 PM R: 08:00 AM-05:00 PM F: 08:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000201144

    Primary Care Providers ( All-Counties )Member Services: 1-877-364-4566 2499 Provider(s) TTY: 711

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  • 33Community Advantage (HMO) 2020 Provider Directory

    ANAND, CHANDRA (Male)Provider Type: Physicians

    Address: 8201 S ASHLAND AVE , CHICAGO IL 606204626Phone: 773-873-3434 Network: APOGEE HEALTH PARTNERS INC

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1962439646

    Min. Age: 0 Max. Age: 99

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 03:00 AM-06:00 PM T: 11:00 AM-02:00 PM F: 10:00 AM-04:00 PMAccepts Medicaid: Yes

    CEB #: 1000146084

    ANAND, CHANDRA (Male)Provider Type: Physicians

    Address: 10551 S EWING AVE , CHICAGO IL 606176220Phone: 773-731-9000 Network: J C MEDICAL GROUP LTD

    Pri. Hospital: PRESENCE SAINT MARY AND ELIZABETH MEDICAL CENTER - SAINT MARY CAMPUS

    Accepting New Patients: Yes

    Pri. Specialty: FAMILY PRACTICE Sec. Specialty:

    NPI: 1962439646

    Min. Age: 12 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000056333

    ANCHA, BASAVA (Male)Provider Type: Physicians

    Address: 7435 W TALCOTT AVE - EMERGENCY DEPT, CHICAGO IL 606313707Phone: 773-594-7871 Network: PRESENCE HEALTH PARTNERS RESURRECTION

    Pri. Hospital: COMMUNITY FIRST MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty: HOSPITALIST

    NPI: 1265488647

    Min. Age: 18 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 08:00 AM-05:00 PM T: 08:00 AM-05:00 PM W: 08:00 AM-05:00 PM R: 08:00 AM-05:00 PM F: 08:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000086019

    ANDERSON, SHARON (Female)Provider Type: Nurse Practitioners

    Address: 2641 S CALUMET AVE , CHICAGO IL 606162901Phone: 312-949-0277 Network: UIC MILE SQUARE

    Pri. Hospital:

    Accepting New Patients: Yes

    Pri. Specialty: NURSE PRACTITIONER Sec. Specialty:

    NPI: 1942210224

    Min. Age: 0 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language:

    Handicap Access: Yes

    Hrs: M: 09:00 AM-05:00 PM T: 09:00 AM-05:00 PM W: 09:00 AM-05:00 PM R: 09:00 AM-05:00 PM F: 09:00 AM-05:00 PMAccepts Medicaid: Yes

    CEB #: 1000157835

    ANGELES, JENNIFER (Female)Provider Type: Physicians

    Address: 47 W POLK ST - STE G1, CHICAGO IL 606057972Phone: 312-922-3011 Network: INDEPENDENT PHYSICIANS AT MERCY

    Pri. Hospital: MERCY HOSPITAL & MEDICAL CENTER

    Accepting New Patients: Yes

    Pri. Specialty: INTERNAL MEDICINE Sec. Specialty:

    NPI: 1114945276

    Min. Age: 18 Max. Age: 110

    Pri. Language: ENGLISH Sec. Language: SPANISH

    Handicap Access: Yes

    Hrs: M: 10:00 AM-01:00 PM T: 10:00