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  • Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA...
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Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr AMITA Health Alexian Brothers Behavioral Health Hospital Abbasi Israr MD Northwest Psychiatry Not Covered AMITA Health St. Alexius Medical Center Abboud Samir Faycal MD Vision Radiology Not Covered AMITA Health Alexian Brothers Medical Center Abella Dennis DO *Elk Grove Medical Associates Not Covered AMITA Health Alexian Brothers Behavioral Health Hospital Abella Dennis DO *Elk Grove Medical Associates Not Covered AMITA Health St. Alexius Medical Center Abella Dennis DO *Elk Grove Medical Associates Not Covered AMITA Health Alexian Brothers Medical Center Abraham Sonia MD Advance Midwest Medical SC Not Covered AMITA Health St. Alexius Medical Center Abraham Sonia MD Advance Midwest Medical SC Not Covered AMITA Health Alexian Brothers Medical Center Abraham Malik DPM Northwest Orthopedic Surgery, S.C. Not Covered AMITA Health St. Alexius Medical Center Abraham Malik DPM Northwest Orthopedic Surgery, S.C. Not Covered AMITA Health St. Alexius Medical Center Abramovske Toni M PA Midwest Emergency Assoc TeamHealth Not Covered AMITA Health Alexian Brothers Medical Center Abramovske Toni M PA Midwest Emergency Assoc TeamHealth Not Covered AMITA Health St. Alexius Medical Center Ackermann Evelyn S MD Ophthalmology Associates Not Covered AMITA Health Alexian Brothers Medical Center Adelstein Steven T DPM Northwest Suburban Foot & Ankle Clinic Not Covered AMITA Health St. Alexius Medical Center Adelstein Steven T DPM Northwest Suburban Foot & Ankle Clinic Not Covered AMITA Health Alexian Brothers Medical Center Adina Cesyl J APN Bassam F. Matar, M.D., S.C. Not Covered AMITA Health St. Alexius Medical Center Adina Cesyl J APN Bassam F. Matar, M.D., S.C. Not Covered AMITA Health Alexian Brothers Medical Center Agrawal Rekha MD Agrawal Rekha,Md Not Covered AMITA Health St. Alexius Medical Center Agrawal Rekha MD Agrawal Rekha,Md Not Covered AMITA Health St. Alexius Medical Center Agrawal Gautam Atul MD Vision Radiology Not Covered AMITA Health Alexian Brothers Medical Center Ahdab Tarek M MD Advanced Cardiovascular Specialists, S.C Not Covered AMITA Health St. Alexius Medical Center Ahmad Saad MD Kovach Eye Institute Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health St. Alexius Medical Center Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Nooruzsabha S MD Metro Infectious Disease Consultants Not Covered AMITA Health St. Alexius Medical Center Ahmed Nooruzsabha S MD Metro Infectious Disease Consultants Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Iram A MD Primary Care Services, S.C. Not Covered AMITA Health St. Alexius Medical Center Ahmed Iram A MD Primary Care Services, S.C. Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Anam MD Stat Cardiologist Not Covered AMITA Health St. Alexius Medical Center Ahmed Anam MD Stat Cardiologist Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Mohammed Riaz MD TeamHealth Not Covered AMITA Health St. Alexius Medical Center Ahmed Mohammed Riaz MD TeamHealth Not Covered AMITA Health Alexian Brothers Medical Center Ahsan Mohammad MD Northwest Suburban Pain Center Not Covered AMITA Health St. Alexius Medical Center Ahsan Mohammad MD Northwest Suburban Pain Center Not Covered AMITA Health St. Alexius Medical Center Akbar Samreen MD Up To Date Healthcare for Women, Inc. Not Covered AMITA Health St. Alexius Medical Center Akhtar Moyeed MD Humayun, S.C. Not Covered AMITA Health St. Alexius Medical Center Aki Robert H MD Northwest Surgical Healthcare, LLC Not Covered AMITA Health St. Alexius Medical Center Al Wafai Ameer T MD Northwest Neurology, Ltd Not Covered AMITA Health Alexian Brothers Medical Center Al Wafai Ameer T MD Northwest Neurology, Ltd Not Covered AMITA Health Alexian Brothers Medical Center Alavi Nahid MD Nephrology Assoc of Northern IL Not Covered AMITA Health St. Alexius Medical Center Alavi Nahid MD Nephrology Assoc of Northern IL Not Covered AMITA Health Alexian Brothers Medical Center Albrecht Kathleen G MD Aesthetic Eye Associates, SC Not Covered AMITA Health Alexian Brothers Behavioral Health Hospital Aldridge Delia MD Alexian Brothers Behavioral Health Hospital Not Covered AMITA Health Alexian Brothers Medical Center Alexander Bonita MD Rehabilitation Institute of Chicago Not Covered AMITA Health St. Alexius Medical Center Alexander Bonita MD Rehabilitation Institute of Chicago Not Covered AMITA Health Alexian Brothers Medical Center Ali Ahmer MD Northwest Neurology Not Covered AMITA Health St. Alexius Medical Center Ali Ahmer MD Northwest Neurology Not Covered AMITA Health Alexian Brothers Behavioral Health Hospital Ali Ahmer MD Northwest Neurology Not Covered AMITA Health St. Alexius Medical Center Ali Muhammad Asad MD The Heart Team, LLC Not Covered AMITA Health St. Alexius Medical Center Aliniazee Mateen Khurram MD Kovach Eye Institute Not Covered AMITA Health Alexian Brothers Medical Center Alkhalafawi Amal J. MD Amal Alkhalafawi MD SC Not Covered AMITA Health St. Alexius Medical Center Al-Kunani Anwar S MD OB/GYNE Infertility Center S.C. Not Covered AMITA Health Alexian Brothers Medical Center Al-Kunani Anwar S MD OB/GYNE Infertility Center S.C. Not Covered AMITA Health Alexian Brothers Medical Center Alla Sarada MD ABMG - ICC Mount Prospect Not Covered AMITA Health St. Alexius Medical Center Allar Robert MD Robert M Allar MD and Associates, PC Not Covered AMITA Health Alexian Brothers Medical Center Allen Anne C PA Nephrology Assoc of Northern IL Not Covered AMITA Health St. Alexius Medical Center Allen Anne C PA Nephrology Assoc of Northern IL Not Covered AMITA Health Alexian Brothers Medical Center Al-Massalkhi Mohamad Iyad MD Midwest Pulmonary Associates, S.C. Not Covered AMITA Health St. Alexius Medical Center Alpert Joshua M MD Midwest Bone & Joint - Elgin Not Covered AMITA Health St. Alexius Medical Center Alter Daniel C MD George J. Wyhinny, M.D., S.C. Not Covered AMITA Health Alexian Brothers Medical Center Alter Daniel C MD George J. Wyhinny, M.D., S.C. Not Covered AMITA Health Alexian Brothers Medical Center Alvi Hasham M MD Barrington Orthopedic Specialists Not Covered AMITA Health St. Alexius Medical Center Alvi Hasham M MD Barrington Orthopedic Specialists Not Covered AMITA Health St. Alexius Medical Center Alvi Aijaz MD Specialty Care Institute Not Covered AMITA Health St. Alexius Medical Center Alvi Nishat P MD The Vision Institute of IL Inc Not Covered AMITA Health Alexian Brothers Medical Center Amer Rana Dabah PA-C Pain Therapy Associates, LTD. Not Covered AMITA Health Alexian Brothers Medical Center Amin Umesh MD MidSuburban Radiological Associates Not Covered AMITA Health St. Alexius Medical Center Anchala Praveen Reddy MD Vision Radiology Not Covered AMITA Health Alexian Brothers Medical Center Anderson Daniele M MD Northwest Neurology Not Covered AMITA Health St. Alexius Medical Center Anderson Daniele M MD Northwest Neurology Not Covered AMITA Health St. Alexius Medical Center Andreoli Christa S. DC Arlington Chiropractic Clinic Not Covered AMITA Health Alexian Brothers Medical Center Andressakis Chrisoula E MD Rehabilitation Institute of Chicago Not Covered AMITA Health St. Alexius Medical Center Andressakis Chrisoula E MD Rehabilitation Institute of Chicago Not Covered AMITA Health St. Alexius Medical Center Ansari Naveed Z MD Suburban Associates in Ophthalmology Not Covered AMITA Health Alexian Brothers Medical Center Ansari Naveed Z MD Suburban Associates in Ophthalmology Not Covered AMITA Health Alexian Brothers Behavioral Health Hospital Anwar Syed MD Associates in Psychiatry & Counseling PC Not Covered AMITA Health Alexian Brothers Medical Center Appiagyei Emelia B. APN Universal Healthclinic Not Covered AMITA Health St. Alexius Medical Center Appiagyei Emelia B. APN Universal Healthclinic Not Covered AMITA Health Alexian Brothers Medical Center Appiagyei Michael O. MD Universal Healthclinics Not Covered AMITA Health St. Alexius Medical Center Appiagyei Michael O. MD Universal Healthclinics Not Covered AMITA Health Alexian Brothers Medical Center Aqueel Jabeen MD AMITA Health Medical Group Not Covered AMITA Health Alexian Brothers Medical Center Aranas Rosalyn M MD Neurology & Sleep Clinics of Chicago Not Covered AMITA Health St. Alexius Medical Center Aranas Rosalyn M MD Neurology & Sleep Clinics of Chicago Not Covered AMITA Health Alexian Brothers Medical Center Arias Andrea APN Advanced Midwest Medical Not Covered AMITA Health St. Alexius Medical Center Arias Andrea APN Advanced Midwest Medical Not Covered AMITA Health Alexian Brothers Medical Center Armstrong Trent ORT Barrington Orthopedic Specialists Not Covered AMITA Health St. Alexius Medical Center Armstrong Trent ORT Barrington Orthopedic Specialists Not Covered AMITA Health St. Alexius Medical Center Arshad Abrar MD Northwest Pediatric Neurology Not Covered AMITA Health Alexian Brothers Medical Center Ascoli Christian MD Suburban Lung Associates SC Not Covered AMITA Health St. Alexius Medical Center Ashpole Bradley L MD Bradley Ashpole, MD Not Covered AMITA Health Alexian Brothers Medical Center Asif Asma MD Premier Pain & Spine Not Covered AMITA Health Alexian Brothers Medical Center Askari Ruhi MD Ruhi Askari MD, SC D/B/A Meadows Medical Center Not Covered AMITA Health St. Alexius Medical Center Askari Ruhi MD Ruhi Askari MD, SC D/B/A Meadows Medical Center Not Covered AMITA Health St. Alexius Medical Center Asokan Vanitha MD Advanced Rehabilitation Care, LLC Not Covered AMITA Health Alexian Brothers Medical Center Assimacopoulos Aristides MD DuPage Medical Group, Ltd. Not Covered AMITA Health St. Alexius Medical Center Assimacopoulos Aristides MD DuPage Medical Group, Ltd. Not Covered AMITA Health Alexian Brothers Medical Center Atcha Ismail E. MD Ismail E. Atcha, M.D. Not Covered AMITA Health St. Alexius Medical Center Atcha Ismail E. MD Ismail E. Atcha, M.D. Not Covered AMITA Health Alexian Brothers Medical Center Atluri Prasant MD Hand Surgery Associates, S.C. Not Covered AMITA Health St. Alexius Medical Center Atluri Prasant MD Hand Surgery Associates, S.C. Not Covered AMITA Health Alexian Brothers Medical Center Avellana Russell PA-C Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not Covered AMITA Health St. Alexius Medical Center Avellana Russell PA-C Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not Covered AMITA Health Alexian Brothers Medical Center Aziz Asad S DO Dupage Medical Group Not Covered AMITA Health St. Alexius Medical Center Aziz Asad S DO Dupage Medical Group Not Covered Updated March 16, 2020 1

Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

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Page 1: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health Alexian Brothers Behavioral Health Hospital Abbasi Israr MD Northwest Psychiatry Not CoveredAMITA Health St. Alexius Medical Center Abboud Samir Faycal MD Vision Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Abella Dennis DO *Elk Grove Medical Associates Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Abella Dennis DO *Elk Grove Medical Associates Not CoveredAMITA Health St. Alexius Medical Center Abella Dennis DO *Elk Grove Medical Associates Not CoveredAMITA Health Alexian Brothers Medical Center Abraham Sonia MD Advance Midwest Medical SC Not CoveredAMITA Health St. Alexius Medical Center Abraham Sonia MD Advance Midwest Medical SC Not CoveredAMITA Health Alexian Brothers Medical Center Abraham Malik DPM Northwest Orthopedic Surgery, S.C. Not CoveredAMITA Health St. Alexius Medical Center Abraham Malik DPM Northwest Orthopedic Surgery, S.C. Not CoveredAMITA Health St. Alexius Medical Center Abramovske Toni M PA Midwest Emergency Assoc TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Abramovske Toni M PA Midwest Emergency Assoc TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Ackermann Evelyn S MD Ophthalmology Associates Not CoveredAMITA Health Alexian Brothers Medical Center Adelstein Steven T DPM Northwest Suburban Foot & Ankle Clinic Not CoveredAMITA Health St. Alexius Medical Center Adelstein Steven T DPM Northwest Suburban Foot & Ankle Clinic Not CoveredAMITA Health Alexian Brothers Medical Center Adina Cesyl J APN Bassam F. Matar, M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Adina Cesyl J APN Bassam F. Matar, M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Agrawal Rekha MD Agrawal Rekha,Md Not CoveredAMITA Health St. Alexius Medical Center Agrawal Rekha MD Agrawal Rekha,Md Not CoveredAMITA Health St. Alexius Medical Center Agrawal Gautam Atul MD Vision Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Ahdab Tarek M MD Advanced Cardiovascular Specialists, S.C Not CoveredAMITA Health St. Alexius Medical Center Ahmad Saad MD Kovach Eye Institute Not CoveredAMITA Health Alexian Brothers Medical Center Ahmed Khursheed MD Khursheed Ahmed, M.D Not CoveredAMITA Health St. Alexius Medical Center Ahmed Khursheed MD Khursheed Ahmed, M.D Not CoveredAMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC Not CoveredAMITA Health Alexian Brothers Medical Center Ahmed Nooruzsabha S MD Metro Infectious Disease Consultants Not CoveredAMITA Health St. Alexius Medical Center Ahmed Nooruzsabha S MD Metro Infectious Disease Consultants Not CoveredAMITA Health Alexian Brothers Medical Center Ahmed Iram A MD Primary Care Services, S.C. Not CoveredAMITA Health St. Alexius Medical Center Ahmed Iram A MD Primary Care Services, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Ahmed Anam MD Stat Cardiologist Not CoveredAMITA Health St. Alexius Medical Center Ahmed Anam MD Stat Cardiologist Not CoveredAMITA Health Alexian Brothers Medical Center Ahmed Mohammed Riaz MD TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Ahmed Mohammed Riaz MD TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Ahsan Mohammad MD Northwest Suburban Pain Center Not CoveredAMITA Health St. Alexius Medical Center Ahsan Mohammad MD Northwest Suburban Pain Center Not CoveredAMITA Health St. Alexius Medical Center Akbar Samreen MD Up To Date Healthcare for Women, Inc. Not CoveredAMITA Health St. Alexius Medical Center Akhtar Moyeed MD Humayun, S.C. Not CoveredAMITA Health St. Alexius Medical Center Aki Robert H MD Northwest Surgical Healthcare, LLC Not CoveredAMITA Health St. Alexius Medical Center Al Wafai Ameer T MD Northwest Neurology, Ltd Not CoveredAMITA Health Alexian Brothers Medical Center Al Wafai Ameer T MD Northwest Neurology, Ltd Not CoveredAMITA Health Alexian Brothers Medical Center Alavi Nahid MD Nephrology Assoc of Northern IL Not CoveredAMITA Health St. Alexius Medical Center Alavi Nahid MD Nephrology Assoc of Northern IL Not CoveredAMITA Health Alexian Brothers Medical Center Albrecht Kathleen G MD Aesthetic Eye Associates, SC Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Aldridge Delia MD Alexian Brothers Behavioral Health Hospital Not CoveredAMITA Health Alexian Brothers Medical Center Alexander Bonita MD Rehabilitation Institute of Chicago Not CoveredAMITA Health St. Alexius Medical Center Alexander Bonita MD Rehabilitation Institute of Chicago Not CoveredAMITA Health Alexian Brothers Medical Center Ali Ahmer MD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Ali Ahmer MD Northwest Neurology Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Ali Ahmer MD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Ali Muhammad Asad MD The Heart Team, LLC Not CoveredAMITA Health St. Alexius Medical Center Aliniazee Mateen Khurram MD Kovach Eye Institute Not CoveredAMITA Health Alexian Brothers Medical Center Alkhalafawi Amal J. MD Amal Alkhalafawi MD SC Not CoveredAMITA Health St. Alexius Medical Center Al-Kunani Anwar S MD OB/GYNE Infertility Center S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Al-Kunani Anwar S MD OB/GYNE Infertility Center S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Alla Sarada MD ABMG - ICC Mount Prospect Not CoveredAMITA Health St. Alexius Medical Center Allar Robert MD Robert M Allar MD and Associates, PC Not CoveredAMITA Health Alexian Brothers Medical Center Allen Anne C PA Nephrology Assoc of Northern IL Not CoveredAMITA Health St. Alexius Medical Center Allen Anne C PA Nephrology Assoc of Northern IL Not CoveredAMITA Health Alexian Brothers Medical Center Al-Massalkhi Mohamad Iyad MD Midwest Pulmonary Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Alpert Joshua M MD Midwest Bone & Joint - Elgin Not CoveredAMITA Health St. Alexius Medical Center Alter Daniel C MD George J. Wyhinny, M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Alter Daniel C MD George J. Wyhinny, M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Alvi Hasham M MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Alvi Hasham M MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Alvi Aijaz MD Specialty Care Institute Not CoveredAMITA Health St. Alexius Medical Center Alvi Nishat P MD The Vision Institute of IL Inc Not CoveredAMITA Health Alexian Brothers Medical Center Amer Rana Dabah PA-C Pain Therapy Associates, LTD. Not CoveredAMITA Health Alexian Brothers Medical Center Amin Umesh MD MidSuburban Radiological Associates Not CoveredAMITA Health St. Alexius Medical Center Anchala Praveen Reddy MD Vision Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Anderson Daniele M MD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Anderson Daniele M MD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Andreoli Christa S. DC Arlington Chiropractic Clinic Not CoveredAMITA Health Alexian Brothers Medical Center Andressakis Chrisoula E MD Rehabilitation Institute of Chicago Not CoveredAMITA Health St. Alexius Medical Center Andressakis Chrisoula E MD Rehabilitation Institute of Chicago Not CoveredAMITA Health St. Alexius Medical Center Ansari Naveed Z MD Suburban Associates in Ophthalmology Not CoveredAMITA Health Alexian Brothers Medical Center Ansari Naveed Z MD Suburban Associates in Ophthalmology Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Anwar Syed MD Associates in Psychiatry & Counseling PC Not CoveredAMITA Health Alexian Brothers Medical Center Appiagyei Emelia B. APN Universal Healthclinic Not CoveredAMITA Health St. Alexius Medical Center Appiagyei Emelia B. APN Universal Healthclinic Not CoveredAMITA Health Alexian Brothers Medical Center Appiagyei Michael O. MD Universal Healthclinics Not CoveredAMITA Health St. Alexius Medical Center Appiagyei Michael O. MD Universal Healthclinics Not CoveredAMITA Health Alexian Brothers Medical Center Aqueel Jabeen MD AMITA Health Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Aranas Rosalyn M MD Neurology & Sleep Clinics of Chicago Not CoveredAMITA Health St. Alexius Medical Center Aranas Rosalyn M MD Neurology & Sleep Clinics of Chicago Not CoveredAMITA Health Alexian Brothers Medical Center Arias Andrea APN Advanced Midwest Medical Not CoveredAMITA Health St. Alexius Medical Center Arias Andrea APN Advanced Midwest Medical Not CoveredAMITA Health Alexian Brothers Medical Center Armstrong Trent ORT Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Armstrong Trent ORT Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Arshad Abrar MD Northwest Pediatric Neurology Not CoveredAMITA Health Alexian Brothers Medical Center Ascoli Christian MD Suburban Lung Associates SC Not CoveredAMITA Health St. Alexius Medical Center Ashpole Bradley L MD Bradley Ashpole, MD Not CoveredAMITA Health Alexian Brothers Medical Center Asif Asma MD Premier Pain & Spine Not CoveredAMITA Health Alexian Brothers Medical Center Askari Ruhi MD Ruhi Askari MD, SC D/B/A Meadows Medical Center Not CoveredAMITA Health St. Alexius Medical Center Askari Ruhi MD Ruhi Askari MD, SC D/B/A Meadows Medical Center Not CoveredAMITA Health St. Alexius Medical Center Asokan Vanitha MD Advanced Rehabilitation Care, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Assimacopoulos Aristides MD DuPage Medical Group, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Assimacopoulos Aristides MD DuPage Medical Group, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Atcha Ismail E. MD Ismail E. Atcha, M.D. Not CoveredAMITA Health St. Alexius Medical Center Atcha Ismail E. MD Ismail E. Atcha, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Atluri Prasant MD Hand Surgery Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Atluri Prasant MD Hand Surgery Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Avellana Russell PA-C Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health St. Alexius Medical Center Avellana Russell PA-C Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Aziz Asad S DO Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Aziz Asad S DO Dupage Medical Group Not Covered

Updated March 16, 2020

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Page 2: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health Alexian Brothers Medical Center Azizad Shameem MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Azmat Shazia MD TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Azmat Shazia MD TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Baber Laura MD Laura E Baber MD LLC Not CoveredAMITA Health St. Alexius Medical Center Bacalar Carey M. MD OB Hospitalist Group Not CoveredAMITA Health Alexian Brothers Medical Center Bach Malgorzata K. MD Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center Bach Malgorzata K. MD Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center Badawi David Y MD Central Eye Care, LTD Not CoveredAMITA Health St. Alexius Medical Center Badawi David Y MD Central Eye Care, LTD Not CoveredAMITA Health St. Alexius Medical Center Bajic Nicole MD Koziol-Thoms Eye Associates Not CoveredAMITA Health St. Alexius Medical Center Bakal Jeffrey S MD Bakal Dermatology Associates, S.C. - Moon Lake Not CoveredAMITA Health St. Alexius Medical Center Bakal Debra A. MD Bakal Dermatology Associates, S.C. - Moon Lake Not CoveredAMITA Health Alexian Brothers Medical Center Baker Daniel M MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Bala Massarat A MD Healing Hands Primary Care, LLC Not CoveredAMITA Health St. Alexius Medical Center Bala Massarat A MD Healing Hands Primary Care, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Balaram Ajay K MD Hand Surgery Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Balaram Ajay K MD Hand Surgery Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Balek Mark MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Balek Mark MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Banakis Mark DDS Schaumburg Oral & Maxillofacial Surgery Not CoveredAMITA Health St. Alexius Medical Center Banas Anna MD ASB Medical Clinic Not CoveredAMITA Health St. Alexius Medical Center Banas, Jr. Irineo O. SA American Surgical Professionals Not CoveredAMITA Health St. Alexius Medical Center Bangash Farhan J DO Farhan Bangash,Do Not CoveredAMITA Health Alexian Brothers Medical Center Bangash Farhan J DO Farhan Bangash,Do Not CoveredAMITA Health St. Alexius Medical Center Bangash Suleman J. DO Suleman J Bangash DO, SC DBA Mohs Surgery and Dermatology Center Not CoveredAMITA Health Alexian Brothers Medical Center Bank Bruce B. MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Bank Bruce B. MD Northwest Oncology & Hematology Not CoveredAMITA Health Alexian Brothers Medical Center Bansal Tina MD Advanced Endocrinology, LLC Not CoveredAMITA Health St. Alexius Medical Center Bansal Tina MD Advanced Endocrinology, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Bansal Priya J MD Asthma & Allergy Wellness Center Not CoveredAMITA Health Alexian Brothers Medical Center Barclay Joanna C MD Core Orthopedics & Sports Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Barino Maria N MD Maria Barino, MD Not CoveredAMITA Health Alexian Brothers Medical Center Barnes Matthew S. PA Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center Barnes Matthew S. PA Suburban Orthopaedics - Bartlett Not CoveredAMITA Health Alexian Brothers Medical Center Barnett Sean P MD Advanced Surgical Associates,S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Barsanti Carl M MD Midwest Pulmonary Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Bartkowiak Anthony PA Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center Bartkowiak Anthony PA Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center Bartolomeo Orazio MD Barrington Family Practice Not CoveredAMITA Health Alexian Brothers Medical Center Bauman Tina Marie APN Amita Health Cancer Institute Not CoveredAMITA Health St. Alexius Medical Center Bauman Tina Marie APN Amita Health Cancer Institute Not CoveredAMITA Health Alexian Brothers Medical Center Bautista Gay g. APN Healing Hands Primary Care Not CoveredAMITA Health St. Alexius Medical Center Bautista Gay g. APN Healing Hands Primary Care Not CoveredAMITA Health Alexian Brothers Medical Center Bawden David G MD Neuro-Psych Technologies LTD Not CoveredAMITA Health Alexian Brothers Medical Center Bayran Neema MD Parkview Orthopaedic Group, SC Not CoveredAMITA Health St. Alexius Medical Center Bazell Gregory M. MD Aesthetic Plastic Surgery Center Not CoveredAMITA Health St. Alexius Medical Center Beaird Leslie MD Beaird Dermatology, SC Not CoveredAMITA Health St. Alexius Medical Center Becker Herbert C MD Elgin Eye Clinic Not CoveredAMITA Health St. Alexius Medical Center Bedingfield Bruce DO Drs. Bedingfield and Rosewell, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Beezhold David W DO Metro Infectious Disease Not CoveredAMITA Health St. Alexius Medical Center Belcher Brooke A MD Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Belle Troy Allyn MD Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Beltsos Angeline N. MD Vios Fertility Institute Not CoveredAMITA Health St. Alexius Medical Center Benedetti Nancy Jean MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Bennett Sarah S APN Core Orthopedics & Sports Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Bennett Sarah S APN Core Orthopedics & Sports Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Beraki Mussie MD George Hvostik, MD, SC Not CoveredAMITA Health St. Alexius Medical Center Beraki Mussie MD George Hvostik, MD, SC Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Berki Zafeer MD Alexian Brothers Behavioral Health Hospital Not CoveredAMITA Health Alexian Brothers Medical Center Berkowitz Michael MD Medical Services SRA Lab Not CoveredAMITA Health St. Alexius Medical Center Berkowitz Michael MD Medical Services SRA Lab Not CoveredAMITA Health Alexian Brothers Medical Center Berman James H MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Berman James H MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Bernas Eliza MD Dr. Aimee & Associates Not CoveredAMITA Health Alexian Brothers Medical Center Bernstein Matthew A MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Bernstein Matthew A MD Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Besler Christopher SA CB Surgical, LLC Not CoveredAMITA Health St. Alexius Medical Center Betancourt Joanna E. MD Do not use! Not CoveredAMITA Health Alexian Brothers Medical Center Betts Aaron MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Beusse Walter DO Bartlett Family Healthcare Not CoveredAMITA Health St. Alexius Medical Center Beusse Walter DO Bartlett Family Healthcare Not CoveredAMITA Health St. Alexius Medical Center Bhatt Nikhil J MD Associates in Ear, Nose & Throat, Head and Neck Surgery, SC Not CoveredAMITA Health Alexian Brothers Medical Center Bhave Meghan MD Northwest Suburban Pain Center Not CoveredAMITA Health St. Alexius Medical Center Bhave Meghan MD Northwest Suburban Pain Center Not CoveredAMITA Health Alexian Brothers Medical Center Biafora Sam J MD Hand Surgery Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Biafora Sam J MD Hand Surgery Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Biel Jennifer M PA Legacy Medical Care, Inc. Not CoveredAMITA Health Alexian Brothers Medical Center Bigol Percival MD Percival A. Bigol, M.D., Ltd. Not CoveredAMITA Health St. Alexius Medical Center Bigol Percival MD Percival A. Bigol, M.D., Ltd. Not CoveredAMITA Health St. Alexius Medical Center Bikshorn Barry H MD Northwest Neurology Not CoveredAMITA Health Alexian Brothers Medical Center Bilimoria Malcolm M MD Northwest Community Health Services Not CoveredAMITA Health Alexian Brothers Medical Center Bilookiy Oleksandr CSA Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Bilookiy Oleksandr CSA Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Birman Michael V MD Hand Surgery Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Birman Michael V MD Hand Surgery Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Bizios Mary DO Bloomingdale Family Practice Not CoveredAMITA Health St. Alexius Medical Center Blodgett Christina J. PhD Thomson Memory Center Not CoveredAMITA Health Alexian Brothers Medical Center Bloom Jacob MD Bloom Plastic Surgery / Illinois Dermatology Institute Not CoveredAMITA Health Alexian Brothers Medical Center Boardman John W MD Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Boas Steven R MD Children's Asthma Respiratory & Exercise Not CoveredAMITA Health Alexian Brothers Medical Center Boas Steven R MD Children's Asthma Respiratory & Exercise Not CoveredAMITA Health St. Alexius Medical Center Bock Marciann W. APN Salud Pediatrics Not CoveredAMITA Health St. Alexius Medical Center Bolanos Jose T MD Metro Infectious Disease Consultants Not CoveredAMITA Health Alexian Brothers Medical Center Bolanos Jose T MD Metro Infectious Disease Consultants Not CoveredAMITA Health St. Alexius Medical Center Boncu Otilia APN Elgin Clinic, Ltd. - Elgin Not CoveredAMITA Health St. Alexius Medical Center Bond Alexis MD Northwest Suburban Pediatrics, SC Not CoveredAMITA Health Alexian Brothers Medical Center Borrelli Anthony H. DPM Weil Foot & Ankle Institute Not CoveredAMITA Health Alexian Brothers Medical Center Boskovic Sinisa MD Me & My Doctor, Ltd Not CoveredAMITA Health St. Alexius Medical Center Boskovic Sinisa MD Me & My Doctor, Ltd Not CoveredAMITA Health St. Alexius Medical Center Boton Robert MD Pediatric Care Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Botros Samuel F MD Med Spa Womens Health Center Not CoveredAMITA Health St. Alexius Medical Center Botros Samuel F MD Med Spa Womens Health Center Not CoveredAMITA Health St. Alexius Medical Center Boundaoui Oussama MD Koziol Thoms Eye Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Boyes Edith APN Alexian Brothers Medical Center Not Covered

Updated March 16, 2020

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Page 3: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health Alexian Brothers Behavioral Health Hospital Bozich Amanda DPM Ankle & Foot Surgery, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Bozich Amanda DPM Ankle & Foot Surgery, LLC Not CoveredAMITA Health St. Alexius Medical Center Bozich Amanda DPM Ankle & Foot Surgery, LLC Not CoveredAMITA Health St. Alexius Medical Center Brady Roseann E. DO Lake Zurich Medical Associates Not CoveredAMITA Health St. Alexius Medical Center Brak Brenda L MD Barrington Family Healthcare S.C. - Fox Glen Not CoveredAMITA Health Alexian Brothers Medical Center Brar Jasdip S MD Adventist GlenOaks Hospital Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Brar Jasdip S MD Adventist GlenOaks Hospital Not CoveredAMITA Health St. Alexius Medical Center Brar Jasdip S MD Adventist GlenOaks Hospital Not CoveredAMITA Health St. Alexius Medical Center Braverman Charles Mark MD Pediatric Specialists of the Northwest Not CoveredAMITA Health St. Alexius Medical Center Bresch James R. MD Orthopaedic Surgery Specialists, Ltd. - Fox River Not CoveredAMITA Health Alexian Brothers Medical Center Bresch Janet MD Suburban Associates in Ophthalmology Not CoveredAMITA Health St. Alexius Medical Center Bresch Janet MD Suburban Associates in Ophthalmology Not CoveredAMITA Health Alexian Brothers Medical Center Brindise Joseph Patrick DO Illinois Spine Institute, S.C. - Schaumburg Not CoveredAMITA Health St. Alexius Medical Center Brindise Joseph Patrick DO Illinois Spine Institute, S.C. - Schaumburg Not CoveredAMITA Health St. Alexius Medical Center Brod Nicole DC Greater Chicago Specialty Physicians Not CoveredAMITA Health St. Alexius Medical Center Broderick Richard MD OrthoIllinois Not CoveredAMITA Health St. Alexius Medical Center Brodersen Gay W DDS ABC Dentistry Not CoveredAMITA Health St. Alexius Medical Center Brongiel Alan James MD DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Brown Judith Ngozi DO Elite Women’s Care Not CoveredAMITA Health St. Alexius Medical Center Brown Judith Ngozi DO Elite Women’s Care Not CoveredAMITA Health Alexian Brothers Medical Center Brukasz Peter MD Institute for Vein Health Not CoveredAMITA Health Alexian Brothers Medical Center Brull James DO Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Brus-Ramer Marcel MD Vision Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Bryniczka Adam DPM Northwest Podiatry Center, LTD Not CoveredAMITA Health St. Alexius Medical Center Bryniczka Adam DPM Northwest Podiatry Center, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Bryniczka Gregory DPM Northwest Podiatry Center, LTD Not CoveredAMITA Health St. Alexius Medical Center Bryniczka Gregory DPM Northwest Podiatry Center, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Buadu Annemarie MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Bub Lawrence David MD Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Buddharaju Venkata MD Kidney Care Center Elgin, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Bui Minhson MD Associates in Nephrology Not CoveredAMITA Health St. Alexius Medical Center Bui Minhson MD Associates in Nephrology Not CoveredAMITA Health St. Alexius Medical Center Bukhalo Michael MD Arlington Dermatology Not CoveredAMITA Health Alexian Brothers Medical Center Bukhalo Michael MD Arlington Dermatology Not CoveredAMITA Health Alexian Brothers Medical Center Bukhalo Yuriy MD Northwest Suburban Pain Center Not CoveredAMITA Health St. Alexius Medical Center Bukhalo Yuriy MD Northwest Suburban Pain Center Not CoveredAMITA Health Alexian Brothers Medical Center Burgos Miguel A. MD Santa Maria Medical Center Not CoveredAMITA Health St. Alexius Medical Center Burke Renee M MD Renee Burke, M.D. Not CoveredAMITA Health St. Alexius Medical Center Burseth Eric P MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Bushnick Philip N MD Cosmetic & Plastic Surgery Associates Not CoveredAMITA Health St. Alexius Medical Center Byskosh Arkadiush T MD Ear, Nose, Throat and Allergy Clinic - Barrington Not CoveredAMITA Health St. Alexius Medical Center Byun Michael Y. MD Chicago Cosmetic Surgery, Northbrook Not CoveredAMITA Health Alexian Brothers Medical Center Cabai Tonia Lynn APN Northwest Oncology & Hematology, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Cabanit Salvador MD ABMG - ICC Mount Prospect Not CoveredAMITA Health St. Alexius Medical Center Cabin Mark E MD Mark Cabin MD Not CoveredAMITA Health Alexian Brothers Medical Center Cacioppo Phillip L MD *Phillip Cacioppo, M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Cacioppo Phillip L MD *Phillip Cacioppo, M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Cahill Gina R MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Cahill Gina R MD Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Cahill Jennifer Ann MD Northwest Gastroenterologists Not CoveredAMITA Health St. Alexius Medical Center Cahill Jennifer Ann MD Northwest Gastroenterologists Not CoveredAMITA Health Alexian Brothers Medical Center Calhoun Molly PA Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center Calhoun Molly PA Suburban Orthopaedics - Bartlett Not CoveredAMITA Health Alexian Brothers Medical Center Callard Erica Eileen NP Midwest Internal Medicine Clinic Not CoveredAMITA Health St. Alexius Medical Center Callard Erica Eileen NP Midwest Internal Medicine Clinic Not CoveredAMITA Health St. Alexius Medical Center Camarda Voight Maria L MD Children & Teens Medical Center, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Caner Richard A MD Prairie Shore Pain Center Not CoveredAMITA Health St. Alexius Medical Center Cao Thomas L MD Midwest Oncology Hematology, LTD Not CoveredAMITA Health St. Alexius Medical Center Cardenas Samantha J. NP Renee Burke, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Carioscia George J DPM Ankle & Foot Associates, PC Not CoveredAMITA Health St. Alexius Medical Center Carioscia George J DPM Ankle & Foot Associates, PC Not CoveredAMITA Health Alexian Brothers Medical Center Carrasco Gaston MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Carrasco Gaston MD DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Carregal Richard Joseph DO Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Carter Courtney Cecile MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Caskey Oberfelder Cynthia Irene MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Cavin Lillian Whitley MD Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Ceralde Joel APN Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Chan Linda S MD Midwest Pulmonary Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Chan Mario MD Suburban Endocrinology & Diabetes Not CoveredAMITA Health St. Alexius Medical Center Chan Mario MD Suburban Endocrinology & Diabetes Not CoveredAMITA Health St. Alexius Medical Center Chang Wilson Ming-Wei MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Chapple Charles W DC Advanced Chiropractic Health Center Not CoveredAMITA Health St. Alexius Medical Center Chatterji Raja MD AMG Women's Healthcare Center Not CoveredAMITA Health Alexian Brothers Medical Center Chaudhary Kamran A. MD ABC Dentistry LLP Not CoveredAMITA Health St. Alexius Medical Center Chaudhary Kamran A. MD ABC Dentistry LLP Not CoveredAMITA Health Alexian Brothers Medical Center Chauhan Ajay K DO Chicago Head and Neck Surgical Specialists, S.C. Not CoveredAMITA Health St. Alexius Medical Center Chauhan Ajay K DO Chicago Head and Neck Surgical Specialists, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Chawla Apoorva MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Chawla Apoorva MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Chewning Sarah E APN MEA of TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Chhabra Bhupinder K. MD Bhupinder Chhabra, MD Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Chhabra Bhupinder K. MD Bhupinder Chhabra, MD Not CoveredAMITA Health St. Alexius Medical Center Chhabra Bhupinder K. MD Bhupinder Chhabra, MD Not CoveredAMITA Health Alexian Brothers Medical Center Chhadia Ankur MD Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center Chhadia Ankur MD Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center Chiang Lo-Ku MD Associates in Nephrology - Arlington Heights Not CoveredAMITA Health Alexian Brothers Medical Center Chiari Beth Anne APN Nausheen Hasan M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Chiari Beth Anne APN Nausheen Hasan M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Chiemmongkoltip Panita MD Legacy Medical Care, Inc. Not CoveredAMITA Health St. Alexius Medical Center Chiemmongkoltip Panita MD Legacy Medical Care, Inc. Not CoveredAMITA Health Alexian Brothers Medical Center Chikhman Alla MD Fox Glen Gastroenterology Not CoveredAMITA Health St. Alexius Medical Center Chikhman Alla MD Fox Glen Gastroenterology Not CoveredAMITA Health St. Alexius Medical Center Chin Daniel I DDS Daniel I. Chin, DDS & Associates Not CoveredAMITA Health Alexian Brothers Medical Center Cho Michele E MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Cho Michele E MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Choi Gene Y DPM Midwest Foot & Ankle Clinics Not CoveredAMITA Health Alexian Brothers Medical Center Choi Gene Y DPM Midwest Foot & Ankle Clinics Not CoveredAMITA Health Alexian Brothers Medical Center Chon Maria DPM Maria Chon DPM Not CoveredAMITA Health St. Alexius Medical Center Cinefro Robert J MD Rosanova Eyecare Not CoveredAMITA Health Alexian Brothers Medical Center Cirrincione Ciro MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Cirrincione Ciro MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Clark Kirk R MD Suburban Ear, Nose and Throat Associates - Arlington Heights II Not CoveredAMITA Health St. Alexius Medical Center Clarke Ellen PA Northwest Neurology, Ltd Not Covered

Updated March 16, 2020

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Page 4: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health St. Alexius Medical Center Clingan Beth A. DO Associates in Pediatrics, S.C. - Streamwood Not CoveredAMITA Health Alexian Brothers Medical Center Coconate Jessica M. APN Susan Orhan MD PC Not CoveredAMITA Health St. Alexius Medical Center Coconate Jessica M. APN Susan Orhan MD PC Not CoveredAMITA Health Alexian Brothers Medical Center Cohen Steven M MD Clinical Associates Not CoveredAMITA Health St. Alexius Medical Center Cohen Steven M MD Clinical Associates Not CoveredAMITA Health St. Alexius Medical Center Colen Darryl DO Pediatric Associates of Barrington - Crystal Lake Not CoveredAMITA Health St. Alexius Medical Center Coll Dympna MD Novas, Dohr & Coll ObGyn Associates, SC Not CoveredAMITA Health Alexian Brothers Medical Center Conforti Julie APN Northwest Neurology, Ltd Not CoveredAMITA Health St. Alexius Medical Center Conforti Julie APN Northwest Neurology, Ltd Not CoveredAMITA Health Alexian Brothers Medical Center Conner Katherine G MD Allergy Partners of Chicago Not CoveredAMITA Health Alexian Brothers Medical Center Conway Eric PA-C IL Emerg Med Spec. Not CoveredAMITA Health Alexian Brothers Medical Center Cordell Samantha C DMD ABC Dentistry Not CoveredAMITA Health St. Alexius Medical Center Cordell Samantha C DMD ABC Dentistry Not CoveredAMITA Health Alexian Brothers Medical Center Corro Allison PA Advanced Women`s Healthcare Specialists, SC Not CoveredAMITA Health St. Alexius Medical Center Corro Allison PA Advanced Women`s Healthcare Specialists, SC Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Cote Jennifer L. APN Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Cote Jennifer L. APN Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center Cote Jennifer L. APN Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Cottrell Thomas L. MD Thomas Cottrell, M.D. Not CoveredAMITA Health St. Alexius Medical Center Coy Adam Michael MD Vision Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Crane Adam G. PhD Suburban Surgical Care Specialists, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Cronin Donald F MD Associates in Nephrology Not CoveredAMITA Health St. Alexius Medical Center Cronin Donald F MD Associates in Nephrology Not CoveredAMITA Health St. Alexius Medical Center Cullath Harikrishnan Sathish Kumar MD Premier Health Consultants Not CoveredAMITA Health Alexian Brothers Medical Center Curcio Mark DDS Medical Center Dental Associates Not CoveredAMITA Health St. Alexius Medical Center Curnyn Kimberlee M MD Suburban Associates in Ophthalmology Not CoveredAMITA Health Alexian Brothers Medical Center Curnyn Kimberlee M MD Suburban Associates in Ophthalmology Not CoveredAMITA Health Alexian Brothers Medical Center Czajkowska Jadwiga B DO Northwest Rheumatology Specialists Not CoveredAMITA Health St. Alexius Medical Center Czajkowska Jadwiga B DO Northwest Rheumatology Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Dabah Wajde MD Pain Therapy Associates, LTD Not CoveredAMITA Health St. Alexius Medical Center Dabawala Asharaf T. MD Horizon Medical Center, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Dadabhoy Dina P MD Northwest Rheumatology Specialists Not CoveredAMITA Health St. Alexius Medical Center Dadabhoy Dina P MD Northwest Rheumatology Specialists Not CoveredAMITA Health St. Alexius Medical Center Dairi Firas MD Pulmonary & Sleep Medicine Clinic, LLC Not CoveredAMITA Health St. Alexius Medical Center Dalessandro Alan A. DDS Dalessandro Implants & Periodontics Not CoveredAMITA Health Alexian Brothers Medical Center Dallas Prunskis Terri L MD Illinois Pain Institute, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Daniels John L. MD Rockford Orthopedic - Algonquin Not CoveredAMITA Health St. Alexius Medical Center Danielson-Sadlicki Debra L APN Northwest Associates for Women's Healthcare Not CoveredAMITA Health St. Alexius Medical Center Das Andrea MD Advanced Ob/Gyne Associates SC Not CoveredAMITA Health Alexian Brothers Medical Center Das Andrea MD Advanced Ob/Gyne Associates SC Not CoveredAMITA Health Alexian Brothers Medical Center Dasgupta Sunavo MD Premier Pain & Spine Schaumburg Not CoveredAMITA Health Alexian Brothers Medical Center Dauti Taulant SA Illinois Spine Institute, S.C. - Schaumburg Not CoveredAMITA Health St. Alexius Medical Center Dauti Taulant SA Illinois Spine Institute, S.C. - Schaumburg Not CoveredAMITA Health Alexian Brothers Medical Center Davenport Christina M APN DuPage Medical Group, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Davis Patricia L MD Progressive Eye Care Not CoveredAMITA Health Alexian Brothers Medical Center De La Paz Marissa ANP-BC, Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center De La Paz Marissa ANP-BC, Chicago Cardiology Institute S.C. Not CoveredAMITA Health Alexian Brothers Medical Center DeCoste Adam D. CST Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center DeCoste Adam D. CST Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Deitch Robert L MD Bruce G. Grossman, M.D.S.C. Not CoveredAMITA Health St. Alexius Medical Center Deitch Robert L MD Bruce G. Grossman, M.D.S.C. Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Dekhtyar Aleksandr MD Aleksandr Dekhtyar MD, SC Not CoveredAMITA Health St. Alexius Medical Center Dekhtyar Aleksandr MD Aleksandr Dekhtyar MD, SC Not CoveredAMITA Health Alexian Brothers Medical Center Del Priore Anthony MD Midwest Heart and Vascular, Inc. Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Dellaria Andrea Therese MD Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center Dellaria Andrea Therese MD Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Dellaria Andrea Therese MD Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Dennis Kimberly S CNM Med Spa Women's Health Center Not CoveredAMITA Health St. Alexius Medical Center DeNucci Christopher Charles MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Derken Lisa Friederika MD Barrington Family Healthcare S.C. - Fox Glen Not CoveredAMITA Health Alexian Brothers Medical Center Desai Bela D MD Golf Medical Plaza Not CoveredAMITA Health St. Alexius Medical Center Desai Bela D MD Golf Medical Plaza Not CoveredAMITA Health St. Alexius Medical Center Desai Apurva A. MD Illinois Cancer Specialists - Elgin Not CoveredAMITA Health Alexian Brothers Medical Center Devarapalli Heyer MD Heyer C.O. Devarapalli, M.D. Not CoveredAMITA Health St. Alexius Medical Center Devarapalli Heyer MD Heyer C.O. Devarapalli, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Devare Doria L. MD Premier Optimal Health Not CoveredAMITA Health St. Alexius Medical Center DeVault Margaret M. PA Novas, Dohr & Coll ObGyn Associates, SC Not CoveredAMITA Health Alexian Brothers Medical Center Dhananjayan Bhupesh MD IPC of Illinois, Inc. Not CoveredAMITA Health St. Alexius Medical Center Dhananjayan Bhupesh MD IPC of Illinois, Inc. Not CoveredAMITA Health St. Alexius Medical Center Dickey Sarah E DPM Northern Illinois Foot & Ankle Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Didwania Vishal Kumar MD Metro Infectious Disease Not CoveredAMITA Health St. Alexius Medical Center Dillon Paul C MD Paul C Dillon, MD-The Physician's Group S.C. Not CoveredAMITA Health St. Alexius Medical Center Din Eraj MD Drs. Bedingfield and Rosewell, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Dirkes Richard V MD Addison Medical Associates, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Dirkes Richard V MD Addison Medical Associates, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Doerfler Gregory DDS Schaumburg Oral & Maxillofacial Surgery Not CoveredAMITA Health St. Alexius Medical Center Dohr Julie C MD Novas, Dohr & Coll ObGyn Associates, SC Not CoveredAMITA Health St. Alexius Medical Center Domb Benjamin G MD American Hip Institute, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Domb Benjamin G MD American Hip Institute, LLC Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Dorflinger Jill PhD Alexian Pediatric Specialty Group Not CoveredAMITA Health Alexian Brothers Medical Center Doshi Parag M MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Doshi Parag M MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Dotchev Plamen N MD Women and Children's Health Care Associates, LLC Not CoveredAMITA Health St. Alexius Medical Center Drake Gregory N DO Core Orthopedics & Sports Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Drake Gregory N DO Core Orthopedics & Sports Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Drapkin Sol MD Allergy Partners of Chicago Not CoveredAMITA Health Alexian Brothers Medical Center Drazkiewicz Maciej MD Advanced Cancer Clinic Ltd. Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Drew Jessica APN ABMG - Bloomingdale Not CoveredAMITA Health Alexian Brothers Medical Center Drew Jessica APN ABMG - Bloomingdale Not CoveredAMITA Health Alexian Brothers Medical Center Drobny Eliza P. MD, DDS Assoc. for Oral, Maxillofacial & Implant Surgery Not CoveredAMITA Health St. Alexius Medical Center Drobny Eliza P. MD, DDS Assoc. for Oral, Maxillofacial & Implant Surgery Not CoveredAMITA Health St. Alexius Medical Center Dubin Mark E MD DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Dubin Mark E MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Duboe Fred J MD Northwest Associates for Women's Healthcare Not CoveredAMITA Health St. Alexius Medical Center Dudek Edyta NP-C Infectious Disease Associates, PC Not CoveredAMITA Health Alexian Brothers Medical Center Dudek Edyta NP-C Infectious Disease Associates, PC Not CoveredAMITA Health Alexian Brothers Medical Center Dumitru Rodica MD Metro Infectious Disease Not CoveredAMITA Health St. Alexius Medical Center Durga Anita DO Anita Durga, D.O. Not CoveredAMITA Health St. Alexius Medical Center Duval Sharon L. MD Elgin Internal Medical Associates/DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Ebara Leona Yoshida MD Nihon Medical Clinic, S.C. Not CoveredAMITA Health St. Alexius Medical Center Edge Adrienne M. MD Pediatric Health Partner - Algonquin Not CoveredAMITA Health St. Alexius Medical Center Eisenberg Michael J MD Women's HealthFirst Not CoveredAMITA Health Alexian Brothers Medical Center Eisenberg Michael J MD Women's HealthFirst Not CoveredAMITA Health St. Alexius Medical Center El Djouzi Sofiane MD BariJuve Surgical Not Covered

Updated March 16, 2020

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Page 5: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health Alexian Brothers Medical Center El Djouzi Sofiane MD BariJuve Surgical Not CoveredAMITA Health St. Alexius Medical Center Elangwe Patrick MD PM Elangwe LLC Not CoveredAMITA Health Alexian Brothers Medical Center Elborno Ahmed A MD Dr. Elborno Center Not CoveredAMITA Health Alexian Brothers Medical Center Eldersveld Rachel E PA Premier Pain & Spine Schaumburg Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Elia Beth Marie Ann PsyD Behavioral Health Care Associates - Schaumburg Not CoveredAMITA Health St. Alexius Medical Center Embry Glenda CNM Associates for Women`s Healthcare Not CoveredAMITA Health Alexian Brothers Medical Center Engel Geoffery MD UroPartners, LLC Not CoveredAMITA Health St. Alexius Medical Center Engel Geoffery MD UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital English James M PsyD Behavioral Health Care Associates - Schaumburg Not CoveredAMITA Health St. Alexius Medical Center Epstein Randy J. MD Chicago Cornea Consultants Not CoveredAMITA Health St. Alexius Medical Center Epstein Rachel Helene MD Chicago Cornea Consultants Not CoveredAMITA Health St. Alexius Medical Center Epstein Brad L MD Suburban Womens Health Specialists, Ltd Not CoveredAMITA Health Alexian Brothers Medical Center Erce Bryan David DMD Medical Center Dental Associates Not CoveredAMITA Health Alexian Brothers Medical Center Esposito Ralph G DPM Ankle & Foot Associates, PC Not CoveredAMITA Health St. Alexius Medical Center Esposito Ralph G DPM Ankle & Foot Associates, PC Not CoveredAMITA Health St. Alexius Medical Center Esposito Patrick M. MD Associates in Pediatrics, S.C. - Streamwood Not CoveredAMITA Health St. Alexius Medical Center Estes Melissa PA Midwest Center for Women's Healthcare Not CoveredAMITA Health Alexian Brothers Medical Center Estrada Januario P MD Januario P. Estrada, III, M.D. Not CoveredAMITA Health St. Alexius Medical Center Estrada Januario P MD Januario P. Estrada, III, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Fagerson Donald L MD Proactive Behavioral Services Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Fagerson Donald L MD Proactive Behavioral Services Not CoveredAMITA Health St. Alexius Medical Center Fagerson Donald L MD Proactive Behavioral Services Not CoveredAMITA Health Alexian Brothers Medical Center Faibussowitsch Ilja MD Respiratory, Critical Care and Sleep Specialists, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Fajardo Julianna APN Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Fajardo Julianna APN Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Fathalla-Ashmawy Ayman Gamal CSA Global Surgical Inc Not CoveredAMITA Health Alexian Brothers Medical Center Fedirko Bohdan MD Cardiovascular Service Associates Not CoveredAMITA Health Alexian Brothers Medical Center Feldmann Luz A MD Luz A. Feldmann, M.D., Ltd. Not CoveredAMITA Health St. Alexius Medical Center Fell Michael S. DO Children & Teens Medical Center, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Fendon Thomas H. MD Fendon Plastic Surgery SC Not CoveredAMITA Health St. Alexius Medical Center Fendon Thomas H. MD Fendon Plastic Surgery SC Not CoveredAMITA Health Alexian Brothers Medical Center Finn William J DPM Weil Foot & Ankle Institute Not CoveredAMITA Health St. Alexius Medical Center Fioretti Tina R PA-C Suburban Surgical Care Specialists, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Fioretti Tina R PA-C Suburban Surgical Care Specialists, S.C. Not CoveredAMITA Health St. Alexius Medical Center Fisher Denise E DDS Kids Plus Pediatric Dentistry Not CoveredAMITA Health Alexian Brothers Medical Center Fishman Ilya MD Illinois Adult Healthcare, LLC Not CoveredAMITA Health St. Alexius Medical Center Fishman Ilya MD Illinois Adult Healthcare, LLC Not CoveredAMITA Health St. Alexius Medical Center Fishman Deborah R MD Pediatric Eye Associates - Wilmette Not CoveredAMITA Health St. Alexius Medical Center Fitzpatrick Catherine F. MD Pediatric Care Associates, S.C. Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Flaherty Elizabeth Chruscinski MD Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Flaherty Elizabeth Chruscinski MD Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center Flaherty Elizabeth Chruscinski MD Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center Florentino Kathleen E. PA MEA of TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Flores David G SA Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Flores David G SA Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Fong Nepenthe Irwin MD Vision Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Ford Janet B CNM Kid Care Medical Group - Addison Not CoveredAMITA Health Alexian Brothers Medical Center Forni Phillip L DPM AFP Podiatry Not CoveredAMITA Health Alexian Brothers Medical Center Frakes Amanda Lynn PA-C American Hip Institute, LLC Not CoveredAMITA Health St. Alexius Medical Center Frakes Amanda Lynn PA-C American Hip Institute, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Frank Kelley DPM AMITA Wound Healing Center Not CoveredAMITA Health St. Alexius Medical Center Frank Kelley DPM AMITA Wound Healing Center Not CoveredAMITA Health Alexian Brothers Medical Center Freedberg Howard I MD Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center Freedberg Howard I MD Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center Fremgen Michael W DO Chicago Surgical Clinic, Ltd Not CoveredAMITA Health Alexian Brothers Medical Center Frer Anthony MD, DDS McHenry Dental Specialists Not CoveredAMITA Health St. Alexius Medical Center Gadson Vidhi S MD Novas, Dohr & Coll ObGyn Associates, SC Not CoveredAMITA Health Alexian Brothers Medical Center Gager Roseann MD DuPage Medical Group, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Gager Roseann MD DuPage Medical Group, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Gagliardi Giuseppe MD Chicago Surgical Clinic, Ltd Not CoveredAMITA Health Alexian Brothers Medical Center Galiano Jaime MD Jaime A Galiano MD, SC LTD Not CoveredAMITA Health Alexian Brothers Medical Center Galloway Margaret M NP *Phillip Cacioppo, M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Galloway Margaret M NP *Phillip Cacioppo, M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Gandhi Jigna NP Chicago Cardiology Institute S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Gandhi Jigna NP Chicago Cardiology Institute S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Gandhi Nisarg MD Rheumatic Disease Center Physicians, SC Not CoveredAMITA Health Alexian Brothers Medical Center Garcia Elizabeth APN Kid Care Medical Group - Addison Not CoveredAMITA Health Alexian Brothers Medical Center Garcia-Alvarez Esperanza MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Garcia-Alvarez Esperanza MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Garcia-Valenzuela Enrique MD Midwest Retina Consultants, S.C. - Des Plaines Not CoveredAMITA Health Alexian Brothers Medical Center Garcia-Valenzuela Enrique MD Midwest Retina Consultants, S.C. - Des Plaines Not CoveredAMITA Health Alexian Brothers Medical Center Garrity Thomas E MD Northwest ENT Associates Not CoveredAMITA Health St. Alexius Medical Center Garrity Thomas E MD Northwest ENT Associates Not CoveredAMITA Health Alexian Brothers Medical Center George Regeni MD DuPage Medical Group, Ltd. Not CoveredAMITA Health St. Alexius Medical Center George Mary K. MD Personalized Wellness Internal Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Gephart Todd A MD DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Gephart Todd A MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Gephart Todd A MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Gerber Gail S MD Northwest Associates for Women's Healthcare Not CoveredAMITA Health St. Alexius Medical Center Geroulis Anthony J. MD North Shore Center for Plastic & Cosmetic Surgery - Northfield Not CoveredAMITA Health Alexian Brothers Medical Center Ghani Ambereen MD MedPlus Medical Center SC Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Ghani Ambereen MD MedPlus Medical Center SC Not CoveredAMITA Health St. Alexius Medical Center Ghani Ambereen MD MedPlus Medical Center SC Not CoveredAMITA Health Alexian Brothers Medical Center Ghazizadeh Ramin DPM Professional Foot and Ankle LLC Not CoveredAMITA Health St. Alexius Medical Center Ghosh Geeti MD Geeti Ghosh MD SC Not CoveredAMITA Health St. Alexius Medical Center Ghosh Mona MD Progressive Womens Healthcare Not CoveredAMITA Health Alexian Brothers Medical Center Ghosh Mona MD Progressive Womens Healthcare Not CoveredAMITA Health St. Alexius Medical Center Giannini Marchelle June Bean MD Vision Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Gibbons Jerry MD Kenneth Young Centers 1 Not CoveredAMITA Health Alexian Brothers Medical Center Gill Poonam J MD Apex Northwest Healthcare Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Gill Poonam J MD Apex Northwest Healthcare Not CoveredAMITA Health St. Alexius Medical Center Gill Poonam J MD Apex Northwest Healthcare Not CoveredAMITA Health St. Alexius Medical Center Gill Inderjit K MD Pinnacle Dermatology Not CoveredAMITA Health Alexian Brothers Medical Center Gillis Mark C MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Gladdin Stephen MD Complete Healthcare for Women SC Not CoveredAMITA Health Alexian Brothers Medical Center Gleason Thomas MD Illinois Bone & Joint institute Not CoveredAMITA Health Alexian Brothers Medical Center Glenn Charlotte MD Elk Grove Medical Associates Not CoveredAMITA Health St. Alexius Medical Center Glenn Charlotte MD Elk Grove Medical Associates Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Glick Barry M. DO *Elk Grove Medical Associates Not CoveredAMITA Health St. Alexius Medical Center Glick Barry M. DO *Elk Grove Medical Associates Not CoveredAMITA Health Alexian Brothers Medical Center Glick Barry M. DO *Elk Grove Medical Associates Not CoveredAMITA Health Alexian Brothers Medical Center Gluckman Gordon MD UroPartners, LLC Not CoveredAMITA Health St. Alexius Medical Center Gluckman Gordon MD UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Gobin Karina MD Allergy, Sinus, and Asthma Professionals Not Covered

Updated March 16, 2020

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Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health St. Alexius Medical Center Godellas Constantine V MD Loyola University Medical Center Not CoveredAMITA Health St. Alexius Medical Center Gogia Rajendra MD Nova Medico Not CoveredAMITA Health St. Alexius Medical Center Golbin Hallett Dina DO Specialty Care Institute Not CoveredAMITA Health St. Alexius Medical Center Goldberg Marlyn F MD Comprehensive Eyecare Physicians Not CoveredAMITA Health Alexian Brothers Medical Center Goldkind Adam D DPM Northwest Suburban Foot & Ankle Clinic Not CoveredAMITA Health St. Alexius Medical Center Goldkind Adam D DPM Northwest Suburban Foot & Ankle Clinic Not CoveredAMITA Health St. Alexius Medical Center Goldstein Jordan L. MD Orthopaedic Surgery Specialists, Ltd. - Fox River Not CoveredAMITA Health Alexian Brothers Medical Center Gomaa Mona Mohsen MD Brilliant Women Care Not CoveredAMITA Health St. Alexius Medical Center Gomez-Galan Angel MD Gomez Medical Group Inc Not CoveredAMITA Health Alexian Brothers Medical Center Goradia Dhawal Arun MD Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Gordon Andrew J. MD Northwest Neurology Not CoveredAMITA Health Alexian Brothers Medical Center Gordon Gary S MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Gordon Gary S MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Goreshi Renato MD Pinnacle Dermatology Not CoveredAMITA Health St. Alexius Medical Center Gorla Kiranmai MD Advocate Children's Medical Group Pediatric GI Not CoveredAMITA Health Alexian Brothers Medical Center Gorla Kiranmai MD Advocate Children's Medical Group Pediatric GI Not CoveredAMITA Health St. Alexius Medical Center Gorovoy David Soroush MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Gosselin Marc Vincent MD Vision Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Govdyak Oksana SA American Surgical Professionals Not CoveredAMITA Health St. Alexius Medical Center Govdyak Oksana SA American Surgical Professionals Not CoveredAMITA Health Alexian Brothers Medical Center Grabowski Stephen T MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Grabowski Stephen T MD DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Grad Gary I MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Grad Gary I MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Graf Carl N MD Illinois Spine Institute, S.C. - Schaumburg Not CoveredAMITA Health Alexian Brothers Medical Center Graf Carl N MD Illinois Spine Institute, S.C. - Schaumburg Not CoveredAMITA Health St. Alexius Medical Center Grear Michael J MD We Care Orthopedics Not CoveredAMITA Health Alexian Brothers Medical Center Grear Michael J MD We Care Orthopedics Not CoveredAMITA Health Alexian Brothers Medical Center Greenberg Michael MD Illinois Dermatology Institute, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Griffin Joseph R. ORT Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Griffin Joseph R. ORT Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Griggs Louisa W MD Advanced Ob/Gyne Associates SC Not CoveredAMITA Health Alexian Brothers Medical Center Griggs Louisa W MD Advanced Ob/Gyne Associates SC Not CoveredAMITA Health Alexian Brothers Medical Center Grossman Jeffrey W MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Grover Andrew R PA Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Grover Andrew R PA Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center Grover Andrew R PA Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Grubb Kristen Rae MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Guerrero Charlemagne G MD Northwest Chicago Primary Care, SC Not CoveredAMITA Health St. Alexius Medical Center Gulecyuz Mehmet S MD Illinois Institute of Pediatric Cardiology Not CoveredAMITA Health St. Alexius Medical Center Gunasekaran Thirumazhisai S MD Advocate Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Gunasekaran Thirumazhisai S MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Gundavaram Madhu S MD Northwest Pulmonary & Sleep Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Gundavaram Madhu S MD Northwest Pulmonary & Sleep Medicine Not CoveredAMITA Health St. Alexius Medical Center Gupta Priya CSA American Surgical Professionals Not CoveredAMITA Health St. Alexius Medical Center Gyuzelev Petar Ivanov SA American Surgical Professionals Not CoveredAMITA Health Alexian Brothers Medical Center Hadi Mohammed A. MD Mohammed A. Hadi, M.D. Not CoveredAMITA Health St. Alexius Medical Center Hadi Mohammed A. MD Mohammed A. Hadi, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Haile Morgan C. MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Halihan Craig W DPM Advanced Foot & Ankle Specialists Not CoveredAMITA Health St. Alexius Medical Center Halihan Craig W DPM Advanced Foot & Ankle Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Hall Kent MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Halloran Fred J MD Fred J Halloran MD, SC Not CoveredAMITA Health St. Alexius Medical Center Halloran Fred J MD Fred J Halloran MD, SC Not CoveredAMITA Health St. Alexius Medical Center Ham Jongwook MD Associates in ENT & Head & Neck Surgery Not CoveredAMITA Health Alexian Brothers Medical Center Hameeduddin Afshan MD Northwest Suburban Medical Group Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Hameeduddin Afshan MD Northwest Suburban Medical Group Not CoveredAMITA Health St. Alexius Medical Center Hameeduddin Afshan MD Northwest Suburban Medical Group Not CoveredAMITA Health St. Alexius Medical Center Hamilton Joni Lynn M. MD Children & Teens Medical Center, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Han Sang Jo MD Advance Pediatric & Neonatal Med Not CoveredAMITA Health St. Alexius Medical Center Han Sang Jo MD Advance Pediatric & Neonatal Med Not CoveredAMITA Health Alexian Brothers Medical Center Handler Michael R MD Amita Health Alexian Brothers Medical Center Not CoveredAMITA Health Alexian Brothers Medical Center Haque Faraz Imtiaz DPM Ankle N Foot Center Not CoveredAMITA Health Alexian Brothers Medical Center Haritha Josna MD Northwest Rheumatology Specialists, SC Not CoveredAMITA Health St. Alexius Medical Center Haritha Josna MD Northwest Rheumatology Specialists, SC Not CoveredAMITA Health Alexian Brothers Medical Center Hartsell William F MD Northwestern Medicine Chicago Proton Center Not CoveredAMITA Health St. Alexius Medical Center Hartsell William F MD Northwestern Medicine Chicago Proton Center Not CoveredAMITA Health Alexian Brothers Medical Center Hasan Nausheen MD Nausheen Hasan M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Hasan Nausheen MD Nausheen Hasan M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Hasan Syed A MD Valley Heart & Vascular Clinic, Ltd.-Elgin Not CoveredAMITA Health Alexian Brothers Medical Center Hasson Albert MD Northwest Pediatrics Not CoveredAMITA Health St. Alexius Medical Center Hasson Albert MD Northwest Pediatrics Not CoveredAMITA Health St. Alexius Medical Center Hatakeyama Teruyuki DDS Teruyuki Hatakeyama DDS Not CoveredAMITA Health Alexian Brothers Medical Center Heaver Angeline NP DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Heaver Angeline NP DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Hein Jennifer M MD Women's Institute of Cosmetic & Laser Surgery Not CoveredAMITA Health St. Alexius Medical Center Hemenway Charles MD Loyola University Medical Center - Maywood Not CoveredAMITA Health St. Alexius Medical Center Hendrix Andrew Leahy MD Rehabilitation Institute of Chicago Not CoveredAMITA Health Alexian Brothers Medical Center Hendrix Andrew Leahy MD Rehabilitation Institute of Chicago Not CoveredAMITA Health Alexian Brothers Medical Center Henneberry Kyle J MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Henriquez Rolando MD Progressive Medical Center Not CoveredAMITA Health St. Alexius Medical Center Henson Jennifer Suzanne MD Midwest Center for Women's Healthcare Not CoveredAMITA Health Alexian Brothers Medical Center Heretis Katherine MD Chicago Cardiology Not CoveredAMITA Health St. Alexius Medical Center Heretis Katherine MD Chicago Cardiology Not CoveredAMITA Health St. Alexius Medical Center Hernandez Hector MD Advocate Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Hernandez Hector MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Hersh Bryan L DPM Center for Podiatric Medicine - Orleans Street Not CoveredAMITA Health Alexian Brothers Medical Center Hickman Lynn APN Cardiovascular Associates, S.C. - Biesterfield Not CoveredAMITA Health St. Alexius Medical Center Hietpas Kelly APN Cardiovascular Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Hill James M. MD Illinois Bone & Joint Institute, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Hill-Cordell Nicola DDS ABC Dentistry Not CoveredAMITA Health St. Alexius Medical Center Hinds Nicolai E MD OB Hospitalist Group Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Hirsch Alan R MD Advance Psychiatry & Counseling Not CoveredAMITA Health Alexian Brothers Medical Center Hirsch Arica MD Associated Radiologists, Ltd. - Park Ridge Not CoveredAMITA Health St. Alexius Medical Center Hirsch Arica MD Associated Radiologists, Ltd. - Park Ridge Not CoveredAMITA Health St. Alexius Medical Center Ho Allan A MD Suburban Ear, Nose and Throat Associates - Arlington Heights II Not CoveredAMITA Health Alexian Brothers Medical Center Hoffmann Heidi M. DPM Lincoln Foot and Ankle Center Not CoveredAMITA Health Alexian Brothers Medical Center Homa Theodore M. MD Advantage Healthcare Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Hong Tina MD OB/GYNE Infertility Center S.C. Not CoveredAMITA Health St. Alexius Medical Center Hong Tina MD OB/GYNE Infertility Center S.C. Not CoveredAMITA Health St. Alexius Medical Center Horn Michael A. MD Lake Shore Plastic Surgery Not CoveredAMITA Health Alexian Brothers Medical Center Hotchkiss Laura A MD Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Hsu Norris W MD DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Hsu Norris W MD DuPage Medical Group Not Covered

Updated March 16, 2020

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Page 7: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health St. Alexius Medical Center Hsu Raymond M MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Hudoba Pavel MD Nonsurgical Spine & Ortho Care LLC Not CoveredAMITA Health Alexian Brothers Medical Center Hughes Timothy J MD Northwest ENT Associates Not CoveredAMITA Health St. Alexius Medical Center Hughes Timothy J MD Northwest ENT Associates Not CoveredAMITA Health Alexian Brothers Medical Center Hulkower Miriam B MD Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Hura Stefan Alexander MD Vision Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Husain Syed Khalid DPM Midwest Foot & Ankle Clinics Not CoveredAMITA Health St. Alexius Medical Center Husain Syed Khalid DPM Midwest Foot & Ankle Clinics Not CoveredAMITA Health Alexian Brothers Medical Center Hussain Syed Asif DPM Northwest Suburban Foot & Ankle Clinic Not CoveredAMITA Health St. Alexius Medical Center Hussain Syed Asif DPM Northwest Suburban Foot & Ankle Clinic Not CoveredAMITA Health Alexian Brothers Medical Center Hussain Maria PA Suburban Medical Center Not CoveredAMITA Health St. Alexius Medical Center Hussain Maria PA Suburban Medical Center Not CoveredAMITA Health Alexian Brothers Medical Center Huynh Phuong N MD Northwest United Urology, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Hvostik George MD George Hvostik, MD, SC Not CoveredAMITA Health St. Alexius Medical Center Hvostik George MD George Hvostik, MD, SC Not CoveredAMITA Health Alexian Brothers Medical Center Hyder Fatima Ali MD TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Hyder Fatima Ali MD TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Hyderi Naveed PA-C Northwest Suburban Medical Group,SC Not CoveredAMITA Health St. Alexius Medical Center Hyderi Naveed PA-C Northwest Suburban Medical Group,SC Not CoveredAMITA Health Alexian Brothers Medical Center Ignacio Jemini G. MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Ignacio Jemini G. MD DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Ikramuddin Mohammad MD Advocate Medical Group - Peds P.R. Not CoveredAMITA Health St. Alexius Medical Center Ikramuddin Mohammad MD Advocate Medical Group - Peds P.R. Not CoveredAMITA Health St. Alexius Medical Center Ilahi Shahid B. MD GI Partners of Illinois, LLC Not CoveredAMITA Health St. Alexius Medical Center Imdad Zarqa MD Metro Infectious Disease Consultants LLC Not CoveredAMITA Health Alexian Brothers Medical Center Imran Mehnaz MD Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Imran Mehnaz MD Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Iqbal Robina Maryam MD Dupage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Iqbal Robina Maryam MD Dupage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Irlanda Iria E MD Dr Patricia A Larson, MD & Assoc Not CoveredAMITA Health St. Alexius Medical Center Irlanda Iria E MD Dr Patricia A Larson, MD & Assoc Not CoveredAMITA Health Alexian Brothers Medical Center Ishkhan Khachig K MD DEV Medical Associates Not CoveredAMITA Health Alexian Brothers Medical Center Izewski Richard MD Richard Izewski, M.D. Not CoveredAMITA Health St. Alexius Medical Center Jabri Mohamed N MD Jabri Medical - Bloomingdale Not CoveredAMITA Health Alexian Brothers Medical Center Jabri Mohamed N MD Jabri Medical - Bloomingdale Not CoveredAMITA Health Alexian Brothers Medical Center Jackowski Mariola MD Comprehensive Pediatric Care Not CoveredAMITA Health St. Alexius Medical Center Jacob Gregory S. DDS North Glen Dentistry Not CoveredAMITA Health St. Alexius Medical Center Jacobs Laurence A MD Fertility Centers of Illinois Not CoveredAMITA Health Alexian Brothers Medical Center Jacobs Laurence A MD Fertility Centers of Illinois Not CoveredAMITA Health St. Alexius Medical Center Jacoby Kenneth DPM Dr. Kenneth E. Jacoby Not CoveredAMITA Health Alexian Brothers Medical Center Jagadish Anubhav P MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Jagadish Anubhav P MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Jailwala Bharat MD American Cancer Center PC Not CoveredAMITA Health Alexian Brothers Medical Center Jain Renu MD Jain Pediatrics Not CoveredAMITA Health St. Alexius Medical Center Jain Renu MD Jain Pediatrics Not CoveredAMITA Health St. Alexius Medical Center Jamalvi SM Zia UL MD TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Jamalvi SM Zia UL MD TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Jameson Morgan PA-C Alexian Brothers Medical Center Not CoveredAMITA Health St. Alexius Medical Center Jameson Morgan PA-C Alexian Brothers Medical Center Not CoveredAMITA Health Alexian Brothers Medical Center Jannusch Elizabeth A APN Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Jannusch Elizabeth A APN Dupage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Jawad Evyan F MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Jawad Evyan F MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Jeelani Roohi MD Vios Fertility Institute Not CoveredAMITA Health St. Alexius Medical Center Jejurikar Sandeep S MD Midwest Plastic Surgery Institute, Inc. Not CoveredAMITA Health St. Alexius Medical Center Jejurikar Sandeep S MD Midwest Plastic Surgery Institute, Inc. Not CoveredAMITA Health Alexian Brothers Medical Center Jereb Sean E MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Jereb Sean E MD Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Jobanputra Ketan N MD Chicago Infertility Associates Not CoveredAMITA Health St. Alexius Medical Center Jobanputra Ketan N MD Chicago Infertility Associates Not CoveredAMITA Health St. Alexius Medical Center Johnson Alan D. MD Alan D Johnson MD LTD Not CoveredAMITA Health St. Alexius Medical Center Johnson Erik L. MD AMITA Health Medical Care Group Not CoveredAMITA Health Alexian Brothers Medical Center Johnson Charles E MD Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Johnson Brian D. APN MEA/TEAM Health, Elk Grove Not CoveredAMITA Health Alexian Brothers Medical Center Johnson Brian D. APN MEA/TEAM Health, Elk Grove Not CoveredAMITA Health Alexian Brothers Medical Center Johnson Dale A. CSA Northwest Orthopedic Surgery, S.C. Not CoveredAMITA Health St. Alexius Medical Center Johnson Dale A. CSA Northwest Orthopedic Surgery, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Johnson Bruce A MD Northwest Rheumatology Specialists Not CoveredAMITA Health St. Alexius Medical Center Johnson Bruce A MD Northwest Rheumatology Specialists Not CoveredAMITA Health St. Alexius Medical Center Johnson Gregory Lloyd MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Jones Mark A DPM Center for Podiatric Medicine - Schaumburg Not CoveredAMITA Health Alexian Brothers Medical Center Jones Frederick A MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Jones III Lynwood Alexander MD Infectious Disease Associates, PC Not CoveredAMITA Health St. Alexius Medical Center Jones III Lynwood Alexander MD Infectious Disease Associates, PC Not CoveredAMITA Health St. Alexius Medical Center Joshi Divyang A MD Divyang A. Joshi, M.D., P.C. Not CoveredAMITA Health Alexian Brothers Medical Center Joshi Poonam MD Infectious Disease Associates, PC Not CoveredAMITA Health St. Alexius Medical Center Joshi Poonam MD Infectious Disease Associates, PC Not CoveredAMITA Health Alexian Brothers Medical Center Joshi Jaydeep MD National Pain Centers, Inc. Not CoveredAMITA Health Alexian Brothers Medical Center Jung Kelly M. APN Alexian Brothers Medical Center Not CoveredAMITA Health Alexian Brothers Medical Center Kachar Sergey M DO Northwest Orthopedic Surgery, S.C. Not CoveredAMITA Health St. Alexius Medical Center Kachar Sergey M DO Northwest Orthopedic Surgery, S.C. Not CoveredAMITA Health St. Alexius Medical Center Kadakia Sunil N. MD Advocate Heart Institute - Fox River Grove Not CoveredAMITA Health Alexian Brothers Medical Center Kagan Robert S MD Kagan Plastic Surgery Not CoveredAMITA Health St. Alexius Medical Center Kagzi Yasmin Irfan MD Avicenna Primary Care Not CoveredAMITA Health Alexian Brothers Medical Center Kalache Krimo SA OR Surgical Assistants LLC Not CoveredAMITA Health St. Alexius Medical Center Kalache Krimo SA OR Surgical Assistants LLC Not CoveredAMITA Health Alexian Brothers Medical Center Kalakota Kapila MD AMITA Health Cancer Institute Not CoveredAMITA Health St. Alexius Medical Center Kalakota Kapila MD AMITA Health Cancer Institute Not CoveredAMITA Health Alexian Brothers Medical Center Kalbas Peggy Walsh CNOR Center for Sports Orthopaedics Not CoveredAMITA Health St. Alexius Medical Center Kalbas Peggy Walsh CNOR Center for Sports Orthopaedics Not CoveredAMITA Health St. Alexius Medical Center Kaleel Mohammed Rushdi MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Kalthia Rupesh Harji MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Kamberos Natalie L DO Loyola University Department of Pediatrics, Maguire Not CoveredAMITA Health St. Alexius Medical Center Kamholz Katherine N MD Northwest Primary Healthcare Not CoveredAMITA Health Alexian Brothers Medical Center Kaneriya Perry Purshottam MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Kanev Leo MD Midwest Geriatrics, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Kang Margaret MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Kania Agnieszka MD Women and Children's Health Care Associates, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Kanter Steven L. MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Kanter Steven L. MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Kapur Rashmi MD Retina Health Institute Not CoveredAMITA Health St. Alexius Medical Center Karande Vishvanath MD Karande and Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Karande Vishvanath MD Karande and Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Karas Vasili MD Chicago Orthopaedics & Sports Medicine Not Covered

Updated March 16, 2020

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Page 8: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health Alexian Brothers Medical Center Katsamakis George MD Northwest Neurology Not CoveredAMITA Health Alexian Brothers Medical Center Katsnelson Yan MD Chicago Heart Institute, P.C. Not CoveredAMITA Health St. Alexius Medical Center Katsnelson Yan MD Chicago Heart Institute, P.C. Not CoveredAMITA Health Alexian Brothers Medical Center Katsnelson Flora MD Northwest Health Institute Not CoveredAMITA Health St. Alexius Medical Center Katsnelson Flora MD Northwest Health Institute Not CoveredAMITA Health Alexian Brothers Medical Center Kay Gary MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Kay Gary MD Northwest Oncology & Hematology Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Kazi Amber MD Northwest Psychiatry Not CoveredAMITA Health Alexian Brothers Medical Center Kazmer Gary DPM Kazmer Foot and Ankle Centers Not CoveredAMITA Health St. Alexius Medical Center Kazmer Gary DPM Kazmer Foot and Ankle Centers Not CoveredAMITA Health St. Alexius Medical Center Kearns Clifford L. DC Center for Physical Health Not CoveredAMITA Health Alexian Brothers Medical Center Kearns Kimberly A CNP Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Kearns Kimberly A CNP Dupage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Keenan William Brooks MD Mid Suburban Radiologists Not CoveredAMITA Health Alexian Brothers Medical Center Keliddari Farhad MD Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Kellar Dennis F MD Northwest Pulmonary & Sleep Medicine Not CoveredAMITA Health St. Alexius Medical Center Kelley Russell Phelps MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Keni Sanjay P MD Sanjay P. Keni, M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Khaja Hameeduddin MD Alexian Brothers Medical Center - Elk Grove Village Not CoveredAMITA Health Alexian Brothers Medical Center Khaja Aslam M. MD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Khaja Aslam M. MD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Khan Abdul Khaleeq MD Abdul K. Khan, MD Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Khan Aqeel A MD Advanced Psychiatry & Counseling Not CoveredAMITA Health Alexian Brothers Medical Center Khan Mansoor MD Alexian Brothers Specialty Group Not CoveredAMITA Health St. Alexius Medical Center Khan Mansoor MD Alexian Brothers Specialty Group Not CoveredAMITA Health St. Alexius Medical Center Khan Mohammed A. SA American Surgical Professionals Not CoveredAMITA Health Alexian Brothers Medical Center Khan Raffay S MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Khan Raffay S MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Khan Naser M MD Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Khan Naser M MD Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Khan Akber Ali MD Expert Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Khan Maliha DPM Instep Podiatry, P.C. Not CoveredAMITA Health Alexian Brothers Medical Center Khan Ahmir H MD, PhD Northwest Neurology Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Khan Ahmir H MD, PhD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Khan Ahmir H MD, PhD Northwest Neurology Not CoveredAMITA Health Alexian Brothers Medical Center Khan Basharath Mohammed Ali MD Oncology of North Shore Not CoveredAMITA Health St. Alexius Medical Center Khan Basharath Mohammed Ali MD Oncology of North Shore Not CoveredAMITA Health Alexian Brothers Medical Center Khosla Krishdeep MD S & K Medical Center Not CoveredAMITA Health St. Alexius Medical Center Khurana Deepak MD Specialists in Gastroenterology Not CoveredAMITA Health Alexian Brothers Medical Center Kim Andrew Robert MD Alexian Brothers Behavioral Health Hospital Not CoveredAMITA Health Alexian Brothers Medical Center Kim SuJin G. DPM Illinois Institute of Foot & Ankle, P.C. Not CoveredAMITA Health Alexian Brothers Medical Center Kim Lisa S. MD Lisa Kim Medical Associates, SC Not CoveredAMITA Health St. Alexius Medical Center Kim Bryan M MD Midwest Retina Consultants, S.C. - Des Plaines Not CoveredAMITA Health Alexian Brothers Medical Center Kim Bryan M MD Midwest Retina Consultants, S.C. - Des Plaines Not CoveredAMITA Health Alexian Brothers Medical Center Kim James C MD Northwest United Urology, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Kim Gloria PA Suburban Surgical Care Specialists, S.C. Not CoveredAMITA Health St. Alexius Medical Center Kim Gloria PA Suburban Surgical Care Specialists, S.C. Not CoveredAMITA Health St. Alexius Medical Center Kim Brian JungHun MD Vision Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Kirchens Jennifer I. DPM Midwest Foot & Ankle Clinics Not CoveredAMITA Health St. Alexius Medical Center Kirchens Jennifer I. DPM Midwest Foot & Ankle Clinics Not CoveredAMITA Health St. Alexius Medical Center Kleinklaus-Lee Amy Karen DO Women's HealthFirst Not CoveredAMITA Health St. Alexius Medical Center Klimuk Ala MD Klimuk Immediate Care LLC Not CoveredAMITA Health St. Alexius Medical Center Klipstein Sigal MD Karande and Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Klocker Kristen APN Advance Pediatric and Neonatal Medicine Not CoveredAMITA Health St. Alexius Medical Center Knight Ricardo A. MD Integrative Rehab Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Knipple Judith MD Northwest Adult Medicine, S.C. Not CoveredAMITA Health St. Alexius Medical Center Knuth Albert E MD Orthopaedic Surgery Specialists, Ltd. - Park Ridge Not CoveredAMITA Health Alexian Brothers Medical Center Koecher Brian S. DO Lake Street Family Medicine, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Koehl Justin M PA Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Koehl Justin M PA Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Kogan Edward D MD DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Kogan Edward D MD DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Kohli Mandeep S DO Center for Adult Healthcare, S. C. Not CoveredAMITA Health St. Alexius Medical Center Kokanovic Obrad Stevan MD DuPage Medical Group, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Kokanovic Obrad Stevan MD DuPage Medical Group, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Kokocharov Stoyan I. MD Advanced Surgical Ltd. Not CoveredAMITA Health St. Alexius Medical Center Kokocharov Stoyan I. MD Advanced Surgical Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Kolton Bruce MD Bruce Kolton MD, LLC Not CoveredAMITA Health St. Alexius Medical Center Kolton Bruce MD Bruce Kolton MD, LLC Not CoveredAMITA Health St. Alexius Medical Center Koneru Prafulla MD Dr. Koneru Not CoveredAMITA Health Alexian Brothers Medical Center Kosik Russell O MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Kotadia Bharat MD Bharat Kotadia, MD Not CoveredAMITA Health St. Alexius Medical Center Kotadia Bharat MD Bharat Kotadia, MD Not CoveredAMITA Health St. Alexius Medical Center Kotsakis George DMD George Kotsakis, DMD Not CoveredAMITA Health Alexian Brothers Medical Center Koya Komal Dolar DO Komal Koya D.O. Not CoveredAMITA Health Alexian Brothers Medical Center Koziol Mariusz MD Mariusz Koziol, M.D. LLC Not CoveredAMITA Health St. Alexius Medical Center Kozlov Kristi L MD Simpson Eye Associates Not CoveredAMITA Health St. Alexius Medical Center Krandel Sydney A PA Suburban Surgical Care Specialists, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Krandel Sydney A PA Suburban Surgical Care Specialists, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Krishna Meena MD Bethesda Medicare Services Not CoveredAMITA Health St. Alexius Medical Center Krishna Meena MD Bethesda Medicare Services Not CoveredAMITA Health Alexian Brothers Medical Center Krouleva Rumyana G APN Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center Krouleva Rumyana G APN Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Krouleva Rumyana G APN Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Krouse Matthew A DPM Advanced Foot & Ankle Specialists Not CoveredAMITA Health St. Alexius Medical Center Krouse Matthew A DPM Advanced Foot & Ankle Specialists Not CoveredAMITA Health St. Alexius Medical Center Kruckmeyer Warren G. MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Kryukov Djamilia MD Advanced Ob/Gyne Associates SC Not CoveredAMITA Health Alexian Brothers Medical Center Kryukov Djamilia MD Advanced Ob/Gyne Associates SC Not CoveredAMITA Health Alexian Brothers Medical Center Kuder Paul MD Midwest OB/GYN & Midwifery, SC Not CoveredAMITA Health Alexian Brothers Medical Center Kuesis Daniel T MD Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Kuesis Daniel T MD Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Kuhlman Donald T MD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Kulovitz Kerri A DO Chicago Hand & Orthopedic Surgery Center, SC Not CoveredAMITA Health Alexian Brothers Medical Center Kulovitz Kerri A DO Chicago Hand & Orthopedic Surgery Center, SC Not CoveredAMITA Health St. Alexius Medical Center Kumar Ratnesh MD Ghosh Pediatrics Not CoveredAMITA Health Alexian Brothers Medical Center Kumar Shawn MD Illinois Spine Institute, S.C. - Schaumburg Not CoveredAMITA Health St. Alexius Medical Center Kumar Shawn MD Illinois Spine Institute, S.C. - Schaumburg Not CoveredAMITA Health Alexian Brothers Medical Center Kumar Bhavya MD Maninder S. Kohli, M.D. Not CoveredAMITA Health St. Alexius Medical Center Kumar Bhavya MD Maninder S. Kohli, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Kurzydlowski Henry S. MD Henry Kurzydlowski, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Lacey Michael G DPM Center for Podiatric Medicine Not CoveredAMITA Health St. Alexius Medical Center Lacey Michael G DPM Center for Podiatric Medicine Not CoveredAMITA Health St. Alexius Medical Center Laguna Benjamin Abner MD Vision Radiology Not Covered

Updated March 16, 2020

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Page 9: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health St. Alexius Medical Center Lakhani Kishore Kumar MD Kishore Lakhani M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Lakhani Kishore Kumar MD Kishore Lakhani M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Lall Ajay MD American Hip Institute LLC Not CoveredAMITA Health St. Alexius Medical Center Lall Ajay MD American Hip Institute LLC Not CoveredAMITA Health St. Alexius Medical Center Lamberti Christen R. APN Advance Midwest Medical SC Not CoveredAMITA Health St. Alexius Medical Center Lami Babak S MD Illinois Spine Institute, S.C. - Schaumburg Not CoveredAMITA Health Alexian Brothers Medical Center Lami Babak S MD Illinois Spine Institute, S.C. - Schaumburg Not CoveredAMITA Health Alexian Brothers Medical Center Landers Ted S OTC Midwest Sports Medicine & Orthopaedics - Elk Grove Not CoveredAMITA Health St. Alexius Medical Center Landers Ted S OTC Midwest Sports Medicine & Orthopaedics - Elk Grove Not CoveredAMITA Health St. Alexius Medical Center Langiewicz Janusz MD Allergy Center - South Barrington Not CoveredAMITA Health Alexian Brothers Medical Center LaPat Lia L. RN Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center LaPat Lia L. RN Core Orthopedics & Sports Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Larson Patricia A. MD Dr Patricia A Larson, MD & Assoc Not CoveredAMITA Health St. Alexius Medical Center Larson Patricia A. MD Dr Patricia A Larson, MD & Assoc Not CoveredAMITA Health Alexian Brothers Medical Center Lastowiecka Monika K. MD Schaumburg Medicine & Endocrinology, S.C. Not CoveredAMITA Health St. Alexius Medical Center Lastowiecka Monika K. MD Schaumburg Medicine & Endocrinology, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Lastowiecki Peter L MD Schaumburg Medicine and Endocrinology Not CoveredAMITA Health St. Alexius Medical Center Lastowiecki Peter L MD Schaumburg Medicine and Endocrinology Not CoveredAMITA Health Alexian Brothers Medical Center Laubacher Bryn J DPM Northwest Podiatry Center, LTD Not CoveredAMITA Health St. Alexius Medical Center Laubacher Bryn J DPM Northwest Podiatry Center, LTD Not CoveredAMITA Health St. Alexius Medical Center Lavaccare John A MD John A Lavaccare MD, SC Not CoveredAMITA Health Alexian Brothers Medical Center Law Amanda MacGregor APN Northwest Pulmonary & Sleep Medicine Not CoveredAMITA Health St. Alexius Medical Center Law Amanda MacGregor APN Northwest Pulmonary & Sleep Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Lee Ashley B. DPM First Step Foot Care Not CoveredAMITA Health Alexian Brothers Medical Center Lee Richard K MD Nephrology Assoc of Northern IL Not CoveredAMITA Health St. Alexius Medical Center Lee Richard K MD Nephrology Assoc of Northern IL Not CoveredAMITA Health Alexian Brothers Medical Center Lee Ronald D MD UroPartners, LLC Not CoveredAMITA Health St. Alexius Medical Center Lee Ronald D MD UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Leischner Thomas DDS Dentistry For All Ages Not CoveredAMITA Health St. Alexius Medical Center Leischner Thomas DDS Dentistry For All Ages Not CoveredAMITA Health St. Alexius Medical Center Leonetti Michael DPM Dr. Michael Leonetti Not CoveredAMITA Health Alexian Brothers Medical Center Leung Jason G MD Rehabilitation Institute of Chicago Not CoveredAMITA Health St. Alexius Medical Center Leung Jason G MD Rehabilitation Institute of Chicago Not CoveredAMITA Health Alexian Brothers Medical Center Leung Patrick MD Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center Leung Patrick MD Suburban Orthopaedics - Bartlett Not CoveredAMITA Health Alexian Brothers Medical Center Leverentz Charu M. PA MEA/TEAM Health, Elk Grove Not CoveredAMITA Health St. Alexius Medical Center Leverentz Todd M MD Northwest Internal Medical Group, LLC Not CoveredAMITA Health St. Alexius Medical Center Levin Mark N MD Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Levin Mark N MD Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Levin Neil DPM Family Podiatry Not CoveredAMITA Health Alexian Brothers Medical Center Levitin Yelena MD Chicago Surgical Clinic, Ltd Not CoveredAMITA Health St. Alexius Medical Center Levitin Yelena MD Chicago Surgical Clinic, Ltd Not CoveredAMITA Health Alexian Brothers Medical Center Lewis Kody C. PA-C Midwest Sports Medicine & Orthopaedics - Elk Grove Not CoveredAMITA Health Alexian Brothers Medical Center Liao Frank K MD *Phillip Cacioppo, M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Liao Frank K MD *Phillip Cacioppo, M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Liebovitz Susan G. MD Northwest Dermatology, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Lim Michael E. MD Center for Family & Geriatric Medicine, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Linchangco Emmanuel MD Elmhurst Memorial Primary Associ Not CoveredAMITA Health St. Alexius Medical Center Lindgren Bruce W. MD Ann & Robert Lurie Children's Hospital of Chicago Not CoveredAMITA Health Alexian Brothers Medical Center Lipowich Alex MD Alex B Lipowich MD, SC Not CoveredAMITA Health St. Alexius Medical Center Liss Ronald DDS Ronald Liss, DDS Not CoveredAMITA Health Alexian Brothers Medical Center Liss Ronald DDS Ronald Liss, DDS Not CoveredAMITA Health Alexian Brothers Medical Center Liyanapatabendi Chool MD Advanced Medical Consultations, LTD Not CoveredAMITA Health St. Alexius Medical Center Lobert Philip Francis MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Long Melissa APN Northwest Neurology, Ltd Not CoveredAMITA Health Alexian Brothers Medical Center Long Melissa APN Northwest Neurology, Ltd Not CoveredAMITA Health Alexian Brothers Medical Center Lopez Eugene MD Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health St. Alexius Medical Center Lopez Eugene MD Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Lopez Luis Alfredo MD TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Lopez Luis Alfredo MD TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Loren Alan B MD NCH Medical Group - Division of Surgery Not CoveredAMITA Health Alexian Brothers Medical Center Loutrianakis Emmanuel MD Clinical Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Lovda Michael DDS Michael A. Lovda, D.D.S., Ltd. Not CoveredAMITA Health St. Alexius Medical Center Lovda Michael Andrew DDS Michael A. Lovda, D.D.S., Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Lucas Paul R DPM Miller Foot Center - Elk Grove Not CoveredAMITA Health St. Alexius Medical Center Lucas Paul R DPM Miller Foot Center - Elk Grove Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Lucas Paul R DPM Miller Foot Center - Elk Grove Not CoveredAMITA Health Alexian Brothers Medical Center Lukose Jairus James MD Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Lukose Jairus James MD Dupage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Lutz Thomas A MD Illinois Vein Specialists - Elgin, S.C. Not CoveredAMITA Health St. Alexius Medical Center Lutz Thomas A MD Illinois Vein Specialists - Elgin, S.C. Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Lynn Christopher J APN Aleksandr Dekhtyar MD, SC Not CoveredAMITA Health St. Alexius Medical Center Lynn Christopher J APN Aleksandr Dekhtyar MD, SC Not CoveredAMITA Health St. Alexius Medical Center Lyon John H MD Orthopaedic Surgery Specialists, Ltd. - Fox River Not CoveredAMITA Health Alexian Brothers Medical Center Machnica Dobroslawa MD M M Kids SC Not CoveredAMITA Health St. Alexius Medical Center Mack Robert J MD Mack Eye Center Not CoveredAMITA Health St. Alexius Medical Center Madan Alka DO Pinnacle Dermatology Not CoveredAMITA Health St. Alexius Medical Center Madda Frank C MD Frank C. Madda MD SC Not CoveredAMITA Health St. Alexius Medical Center Maddela Jason Menno SA American Hip Institute, LLC Not CoveredAMITA Health St. Alexius Medical Center Maddineni Nanda Kishore CSA American Surgical Professionals Not CoveredAMITA Health Alexian Brothers Medical Center Madry Stephen A MD Stephen A Madry MD, SC Not CoveredAMITA Health St. Alexius Medical Center Magill Meghan Ann DO Rehabilitation Institute of Chicago Not CoveredAMITA Health Alexian Brothers Medical Center Magill Meghan Ann DO Rehabilitation Institute of Chicago Not CoveredAMITA Health Alexian Brothers Medical Center Mahon David E. MD Advanced Surgical Associates,S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Mahoney Lynette M DPM Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Mahoney Lynette M DPM Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Mahoney Sarah Lynn PA-C Schaumburg Dermatology Not CoveredAMITA Health St. Alexius Medical Center Majmudar Sonali P. MD Allergy, Asthma and Immunology Not CoveredAMITA Health St. Alexius Medical Center Majmudar Parag MD Chicago Cornea Consultants Not CoveredAMITA Health Alexian Brothers Medical Center Maldonado David CSA Hinsdale Orthopaedic Associates, SC Not CoveredAMITA Health St. Alexius Medical Center Maldonado David CSA Hinsdale Orthopaedic Associates, SC Not CoveredAMITA Health Alexian Brothers Medical Center Malinowska Miroslawa MD M M Kids SC Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Maloy-Matuzik Elizabeth A PsyD Maloy Therapeutic Alliance, Inc. Not CoveredAMITA Health St. Alexius Medical Center Mandal Robert Walter MD Illinois Cancer Specialists - Elgin Not CoveredAMITA Health Alexian Brothers Medical Center Mangahas Susan A MD Legacy Medical Care, Inc. Not CoveredAMITA Health St. Alexius Medical Center Mangahas Susan A MD Legacy Medical Care, Inc. Not CoveredAMITA Health Alexian Brothers Medical Center Mangurten Howard S MD Howard Mangurtan, M.D. Not CoveredAMITA Health St. Alexius Medical Center Mangurten Howard S MD Howard Mangurtan, M.D. Not CoveredAMITA Health St. Alexius Medical Center Mani Lisa K MD Associates in Pediatrics, S.C. - Elgin Not CoveredAMITA Health St. Alexius Medical Center Manjooran Elizabeth D MD Precious Hearts Pediatrics, PC Not CoveredAMITA Health St. Alexius Medical Center Manjunath Rajini MD Illinois Cancer Specialists - Elgin Not CoveredAMITA Health St. Alexius Medical Center Mannion June J. MD Children & Teens Medical Center, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Mannion Richard A MD Northwest Orthopedic Surgery, S.C. Not CoveredAMITA Health St. Alexius Medical Center Mannion Richard A MD Northwest Orthopedic Surgery, S.C. Not Covered

Updated March 16, 2020

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Page 10: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health Alexian Brothers Medical Center Maramreddy Sailaja V. MD Advent Neurology, S.C. Not CoveredAMITA Health St. Alexius Medical Center Maramreddy Sailaja V. MD Advent Neurology, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Mardjetko Steven M MD Illinois Bone & Joint institute Not CoveredAMITA Health Alexian Brothers Medical Center Margolis Shana MD Rehabilitation Institute of Chicago Not CoveredAMITA Health St. Alexius Medical Center Margolis Shana MD Rehabilitation Institute of Chicago Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Markin Richard A PhD Northshore Wellness Center Not CoveredAMITA Health Alexian Brothers Medical Center Marr Darcy L MD Northwest Orthopedic Surgery, S.C. Not CoveredAMITA Health St. Alexius Medical Center Martin Lawrence O MD Lawrence Martin, M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Martinez Sophal APN Midwest Medical Heart and Vascular Not CoveredAMITA Health Alexian Brothers Medical Center Marty Gerard R MD Northwest Orthopedic Surgery, S.C. Not CoveredAMITA Health St. Alexius Medical Center Marty Gerard R MD Northwest Orthopedic Surgery, S.C. Not CoveredAMITA Health St. Alexius Medical Center Mason J. Michael CSA M & M Surgical Assistants, Inc Not CoveredAMITA Health Alexian Brothers Medical Center Massey Patrick MD Alt - Med Medical and Physical Therapy Not CoveredAMITA Health St. Alexius Medical Center Mata Christine M MD DMSE Eye Associates, SC Not CoveredAMITA Health Alexian Brothers Medical Center Matar Bassam F MD Bassam F. Matar, M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Matar Bassam F MD Bassam F. Matar, M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Mathew Theresa MD Howard Mangurtan, M.D. Not CoveredAMITA Health St. Alexius Medical Center Mathew Theresa MD Howard Mangurtan, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Matiwala Sunil N MD Center for Adult Healthcare, S. C. Not CoveredAMITA Health St. Alexius Medical Center Matsumoto Kojiro MD Nihon Medical Clinic, S.C. Not CoveredAMITA Health St. Alexius Medical Center Mavi Harbans S. MD Harbans S. Mavi, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Mavi Harbans S. MD Harbans S. Mavi, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Mazurek Robert MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Mazurek Robert MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center McCaffrey Thomas J MD OB Hospitalist Group Not CoveredAMITA Health St. Alexius Medical Center McClane Stacie D MD Dr. Stacie McClane Not CoveredAMITA Health Alexian Brothers Medical Center McClellan Michael W PA Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center McClellan Michael W PA Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center McCoy Ryan A. MD Pediatric Care Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center McKenney Amy D APN Northwest Gastroenterologists Not CoveredAMITA Health St. Alexius Medical Center McKenney Amy D APN Northwest Gastroenterologists Not CoveredAMITA Health Alexian Brothers Medical Center McKian Kevin Patrick MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center McKian Kevin Patrick MD Northwest Oncology & Hematology Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital McMillan Susan E APN Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Medical Center McMillan Susan E APN Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center McMillan Susan E APN Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Medical Center McNally Thomas A MD Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center McNally Thomas A MD Suburban Orthopaedics - Bartlett Not CoveredAMITA Health Alexian Brothers Medical Center McQuade Kenneth MD DuPage Medical Group, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center McShane James DDS Medical Center Dental Associates Not CoveredAMITA Health Alexian Brothers Medical Center McShane Colleen E DDS Medical Center Dental Associates Not CoveredAMITA Health St. Alexius Medical Center Meersman Michelene J. PA MEA of TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Meesala Sandhya R. MD Covenant Physiatry Not CoveredAMITA Health St. Alexius Medical Center Megahed Amr N. MD Children & Teens Medical Center, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Mehta Ashok K MD AMITA Health Adventist Medical Center GlenOaks Not CoveredAMITA Health Alexian Brothers Medical Center Mejer Janusz A MD Central Family Care and Weight Loss Clinic, LLC Not CoveredAMITA Health St. Alexius Medical Center Mendez Bernardino Michael MD Pinnacle Dermatology Not CoveredAMITA Health St. Alexius Medical Center Mensah Victor MD Selah Medical Associates Not CoveredAMITA Health Alexian Brothers Medical Center Merlin Gabriel MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Merlin Gabriel MD Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Messinger Marina MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Messinger Marina MD Northwest Oncology & Hematology Not CoveredAMITA Health Alexian Brothers Medical Center Metz Raymond J MD Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Metz Raymond J MD Core Orthopedics & Sports Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Meyers Stephanie K PA-C Suburban Surgical Care Specialists, S.C. Not CoveredAMITA Health St. Alexius Medical Center Meyers Stephanie K PA-C Suburban Surgical Care Specialists, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Michael John C MD Retina Institute of Illinois Not CoveredAMITA Health St. Alexius Medical Center Michael John C MD Retina Institute of Illinois Not CoveredAMITA Health St. Alexius Medical Center Michael Christopher S MD Suburban Womens Health Specialists, -Algonquin,IL Not CoveredAMITA Health St. Alexius Medical Center Michaels Eli K MD UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Michaels Eli K MD UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Mihalov Sarah A MD Shirley Ryan Ability Lab @ Amita Health Not CoveredAMITA Health St. Alexius Medical Center Mihalov Sarah A MD Shirley Ryan Ability Lab @ Amita Health Not CoveredAMITA Health Alexian Brothers Medical Center Miller Mark A MD Advanced Allergists Not CoveredAMITA Health St. Alexius Medical Center Miller Mark A MD Advanced Allergists Not CoveredAMITA Health Alexian Brothers Medical Center Miller Frederick H DPM Frederick H. Miller DPM, FACFS Not CoveredAMITA Health St. Alexius Medical Center Miller Frederick H DPM Frederick H. Miller DPM, FACFS Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Miller Frederick H DPM Frederick H. Miller DPM, FACFS Not CoveredAMITA Health St. Alexius Medical Center Miller Melissa Joy DO Suburban Womens Health Specialists, Ltd Not CoveredAMITA Health Alexian Brothers Medical Center Miller Daniel Wesley MD Women's and Children's Health Care Associates, LLC Not CoveredAMITA Health St. Alexius Medical Center Mirchandani Preeti P. DO Pediatric Care Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Mirza Nureain MD Midwest Pulmonary Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Misch William K PA Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health St. Alexius Medical Center Misch William K PA Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health St. Alexius Medical Center Mitra Amitabha MD Associates in Nephrology Not CoveredAMITA Health St. Alexius Medical Center Mlot Ellen M. DO Associates in Pediatrics, S.C. - Elgin Not CoveredAMITA Health Alexian Brothers Medical Center Mohamed Elsayed MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Mohamed Elsayed MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Mohan Vivek MD Orthopaedic Spine Institute, SC Not CoveredAMITA Health Alexian Brothers Medical Center Mohiuddin Majid M MD Associated Radiologists, Ltd. - Park Ridge Not CoveredAMITA Health St. Alexius Medical Center Mohiuddin Majid M MD Associated Radiologists, Ltd. - Park Ridge Not CoveredAMITA Health Alexian Brothers Medical Center Mohiuddin Shahab MD DuPage Medical Group, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Mohiuddin Shahab MD DuPage Medical Group, Ltd. Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Mohsin Safder MD Internal Medicine Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Mohsin Safder MD Internal Medicine Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Moinuddin Irfan K MD Kidney Care Center Elgin Not CoveredAMITA Health Alexian Brothers Medical Center Moinuddin Irfan K MD Kidney Care Center Elgin Not CoveredAMITA Health Alexian Brothers Medical Center Mokarry Victor P MD Northwest ENT Associates Not CoveredAMITA Health St. Alexius Medical Center Mokarry Victor P MD Northwest ENT Associates Not CoveredAMITA Health St. Alexius Medical Center Monarca Arnel V. SA Chicago Surgical Clinic, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Money Jeffrey A NP TeamHealth EMERGENCY MEDICINE Not CoveredAMITA Health St. Alexius Medical Center Monk Madison Marie PA Advanced Women`s Healthcare Specialists, SC Not CoveredAMITA Health Alexian Brothers Medical Center Monk Madison Marie PA Advanced Women`s Healthcare Specialists, SC Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Montague Anne P PhD Anne P Montague, PC Not CoveredAMITA Health St. Alexius Medical Center Montano Noelle Elizabeth MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Montella Bruce J MD Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Montella Bruce J MD Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Montes Socorro Gabriela DPM Northwest Podiatry Center, Ltd. - Aurora Not CoveredAMITA Health Alexian Brothers Medical Center Montoya-Barraza Roberto C MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Montoya-Barraza Roberto C MD Northwest Oncology & Hematology Not CoveredAMITA Health Alexian Brothers Medical Center Moreira Jennifer MD ThriveOB Women's Wellness Not CoveredAMITA Health St. Alexius Medical Center Moreno Yvonne Cesena MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Morgan Gerard Eric MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Morno Kathleen M MD Ritacca Cosmetic Surgery Center & Medspa Not Covered

Updated March 16, 2020

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Page 11: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health Alexian Brothers Medical Center Morrell Mary K MD Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health St. Alexius Medical Center Morrell Mary K MD Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Morris Michael S. PA Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Morris Michael S. PA Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Mortlock Mary M. APN Pediatric Care Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Mroz Gloria MD Northwest Internal Medical Group, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Mruz Estelle V. RNFA Richard M. Mruz, M.D., SC Not CoveredAMITA Health St. Alexius Medical Center Muelly Michael Christophe MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Mule Nancy M. PA MEA of TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Mulkerin Jennifer Lea MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Muller Brieann Alexandra MD Rush Center for Congenital Cardiology Not CoveredAMITA Health St. Alexius Medical Center Muresan Michael C MD OB Hospitalist Group Not CoveredAMITA Health Alexian Brothers Medical Center Murphy Aguilu Ivette DO Infectious Disease Associates, PC Not CoveredAMITA Health St. Alexius Medical Center Murphy Aguilu Ivette DO Infectious Disease Associates, PC Not CoveredAMITA Health Alexian Brothers Medical Center Murray Jeffrey A MD Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Murray Jeffrey A MD Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Murtaza Sajjad MD Sajjad Murtaza, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Musashe Jake Peter PA Northwest United Urology, LLC Not CoveredAMITA Health St. Alexius Medical Center Musashe Jake Peter PA Northwest United Urology, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Musgrave Brandon Keith MD Bruce G. Grossman, M.D.S.C. Not CoveredAMITA Health St. Alexius Medical Center Musgrave Brandon Keith MD Bruce G. Grossman, M.D.S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Muska Brian J MD Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Muska Brian J MD Dupage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Musvi Batool MD Batool Musvi M.D. Not CoveredAMITA Health St. Alexius Medical Center Musvi Batool MD Batool Musvi M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Muzammil Muhammad MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Muzammil Muhammad MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Naaz-Ikramuddin Parveen MD Northwest Kidney Specialists, Inc. Not CoveredAMITA Health St. Alexius Medical Center Nabrinsky Stanley MD Illinois Cancer Specialists - Elgin Not CoveredAMITA Health St. Alexius Medical Center Nadelman David H MD Associates in Pediatrics, S.C. - Streamwood Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Nahra Karim R MD Northwest Neurology Not CoveredAMITA Health Alexian Brothers Medical Center Nahra Karim R MD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Nahra Karim R MD Northwest Neurology Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Naidu Mohanakumari MD Alexian Brothers Behavioral Health Hospital Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Nair Parvathy MD Alexian Brothers Behavioral Health Hospital Not CoveredAMITA Health Alexian Brothers Medical Center Najjar Maher MD Midwest Pulmonary and Sleep Clinic Not CoveredAMITA Health Alexian Brothers Medical Center Nance Kara J MD WellessenceMD Not CoveredAMITA Health St. Alexius Medical Center Nance Kara J MD WellessenceMD Not CoveredAMITA Health St. Alexius Medical Center Nandam Janaki DO Northwest Associates for Women's Healthcare Not CoveredAMITA Health Alexian Brothers Medical Center Nandkumar Premalatha MD Elk Grove Internists Not CoveredAMITA Health Alexian Brothers Medical Center Nani Jane M. MD Fertility Centers of Illinois Not CoveredAMITA Health St. Alexius Medical Center Nani Jane M. MD Fertility Centers of Illinois Not CoveredAMITA Health Alexian Brothers Medical Center Narepalem Narendra MD UroPartners, LLC Not CoveredAMITA Health St. Alexius Medical Center Narepalem Narendra MD UroPartners, LLC Not CoveredAMITA Health St. Alexius Medical Center Narula Neelam MD Pediatric Health Partner - Algonquin Not CoveredAMITA Health Alexian Brothers Medical Center Naseeruddin Sameer M. MD Skypoint Medical Center Not CoveredAMITA Health St. Alexius Medical Center Naseeruddin Sameer M. MD Skypoint Medical Center Not CoveredAMITA Health Alexian Brothers Medical Center Nasir Saifullah MD Francis S. Cheng, M.D., SC Not CoveredAMITA Health St. Alexius Medical Center Nasir Saifullah MD Francis S. Cheng, M.D., SC Not Covered

AMITA Health Alexian Brothers Medical Center Nayak Hemal M MDUniversity of Chicago Medicine Center for Arrhythmia Care Not Covered

AMITA Health St. Alexius Medical Center Nayak Hemal M MDUniversity of Chicago Medicine Center for Arrhythmia Care Not Covered

AMITA Health St. Alexius Medical Center Nazarian Arthur MD Advocate Heart Institute Not CoveredAMITA Health Alexian Brothers Medical Center Neal Michael Bryan MD Arlington Orthopedics and Hand Surgery Specialists, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Neamand Mark E DPM Mark E Neamand DPM, PC Not CoveredAMITA Health Alexian Brothers Medical Center Neely Philip MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Neilsen, Jr. Jeffrey A. PA Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Neilsen, Jr. Jeffrey A. PA Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Nellessen David A MD Northwest United Urology, LLC Not CoveredAMITA Health St. Alexius Medical Center Nelson Gregory A MD Suburban Associates in Ophthalmology Not CoveredAMITA Health Alexian Brothers Medical Center Nelson Gregory A MD Suburban Associates in Ophthalmology Not CoveredAMITA Health Alexian Brothers Medical Center Neri Gene O MD Gene O. Neri, M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Nettleton Margaret MD Greater Elgin Family Care Center Not CoveredAMITA Health Alexian Brothers Medical Center Neuberger Stephen M MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Neuberger Stephen M MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Newcomb Scott A DPM Scott A. Newcomb, DPM PC Not CoveredAMITA Health Alexian Brothers Medical Center Nguyen Bao Cao MD Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Nguyen Laurie Tran PA MEA of TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Nicholson Kimberly Elizabeth APN Advanced Endocrinology LLC Not CoveredAMITA Health St. Alexius Medical Center Nicholson Kimberly Elizabeth APN Advanced Endocrinology LLC Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Nicholson Kimberly Elizabeth APN Advanced Endocrinology LLC Not CoveredAMITA Health Alexian Brothers Medical Center Noren Richard L. MD Richard L. Noren, M.D. Not CoveredAMITA Health St. Alexius Medical Center Norris Jeffrey P MD UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Norris Jeffrey P MD UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Nourbash Paul Said MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Nourbash Paul Said MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Nourbash Shannon MD Drs. Bedingfield and Rosewell, S.C. Not CoveredAMITA Health St. Alexius Medical Center Novas Jeanne B MD Novas, Dohr & Coll ObGyn Associates, SC Not CoveredAMITA Health St. Alexius Medical Center Novoseletsky Dmitry MD Suburban Orthopaedics - Bartlett Not CoveredAMITA Health Alexian Brothers Medical Center Nunez Ausencio MD Progressive Medical Center Not CoveredAMITA Health Alexian Brothers Medical Center Nwankwo John Ikechi MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Obermeyer Thomas S MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Obermeyer Thomas S MD Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center O'Brian David W DPM Northwest Podiatry Center, LTD Not CoveredAMITA Health St. Alexius Medical Center O'Brian David W DPM Northwest Podiatry Center, LTD Not CoveredAMITA Health St. Alexius Medical Center O'Brien Erin K. MD Children's Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Obyrtacz Margaret WHNP Women's and Children's Health Care Associates, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Ochwat Gary F DPM Advanced Foot & Ankle Specialists Not CoveredAMITA Health St. Alexius Medical Center Ochwat Gary F DPM Advanced Foot & Ankle Specialists Not CoveredAMITA Health St. Alexius Medical Center O'Connell John T. DO Senior Healthcare Solutions, Inc Not CoveredAMITA Health Alexian Brothers Medical Center Odell Sean MD Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health St. Alexius Medical Center Odell Sean MD Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health St. Alexius Medical Center O'Donnell Scott MD Children & Teens Medical Center, Ltd. Not CoveredAMITA Health St. Alexius Medical Center O'Donnell Michael R. MD Children & Teens Medical Center, Ltd. Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital O'Donnell Joseph PhD Joseph N. O'Donnell & Associates Not CoveredAMITA Health St. Alexius Medical Center O'Donnell Brynn Nicole APN St. Alexius Medical Center Not CoveredAMITA Health Alexian Brothers Medical Center O'Hara Raymond T DPM Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center O'Hara Raymond T DPM Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Ohri Ekta DO Lake Street Family Medicine, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Okeefe John J MD Marian Orthopedic & Rehabilitation Centers Not CoveredAMITA Health Alexian Brothers Medical Center O'Laughlin Charles J MD Charles J. O'Laughlin, Jr. MD SC Not CoveredAMITA Health St. Alexius Medical Center O'Laughlin Charles J MD Charles J. O'Laughlin, Jr. MD SC Not CoveredAMITA Health Alexian Brothers Medical Center O'Leary Shaun T. MD, PhD Shaun T. O'Leary M.D., PhD Not Covered

Updated March 16, 2020

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Page 12: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health Alexian Brothers Medical Center Olejniczak Jacek CSA Jacek Olejniczak Not CoveredAMITA Health Alexian Brothers Medical Center Olejniczak Katarzyna A. MD Women and Children's Health Care Associates, LLC Not CoveredAMITA Health St. Alexius Medical Center Olivier Mildred M MD Midwest Glaucoma Center Not CoveredAMITA Health Alexian Brothers Medical Center Olivier Mildred M MD Midwest Glaucoma Center Not CoveredAMITA Health Alexian Brothers Medical Center Olpinski Marian I. MD, PhD Women and Children's Health Care Associates, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Oommen Bino V MD Lifespan Medical Associates Not CoveredAMITA Health St. Alexius Medical Center Oommen Bino V MD Lifespan Medical Associates Not CoveredAMITA Health Alexian Brothers Medical Center Oraham Tina F APN Shirley Ryan Ability Lab Not CoveredAMITA Health St. Alexius Medical Center Oraham Tina F APN Shirley Ryan Ability Lab Not CoveredAMITA Health Alexian Brothers Medical Center Orhan Susan Ayfe MD Elite Women’s Care Not CoveredAMITA Health St. Alexius Medical Center Orhan Susan Ayfe MD Elite Women’s Care Not CoveredAMITA Health Alexian Brothers Medical Center Orkiszewska Aleksandra MD ABMG - ICC Mount Prospect Not CoveredAMITA Health Alexian Brothers Medical Center Ortega Melissa PA MEA/TEAM Health, Elk Grove Not CoveredAMITA Health St. Alexius Medical Center Osgood Brittany J. MD Central Eye Care, LTD Not CoveredAMITA Health St. Alexius Medical Center O'Shea Jennifer R PA Metro Infectious Disease Consultants Not CoveredAMITA Health St. Alexius Medical Center Oshmyansky Alexander Roman MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Osmanovic Smajo S MD Arlington Eye Physicians, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Owaisi Anjum S MD Metro Infectious Disease Not CoveredAMITA Health St. Alexius Medical Center Owens Daniel P MD Hinsdale Eye Center, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Oyerinde Olawunmi PA MEA/TEAM Health, Elk Grove Not CoveredAMITA Health St. Alexius Medical Center Pachnik Shannon K Suburban Ear, Nose and Throat Associates - Arlington Heights II Not CoveredAMITA Health Alexian Brothers Medical Center Pacocha Elizabeth DPM Elizabeth Pacocha, DPM, PC Not CoveredAMITA Health Alexian Brothers Medical Center Pae Sarah H. MD Advance Pediatric & Neonatal Med Not CoveredAMITA Health Alexian Brothers Medical Center Paik Michael MD Northwest United Urology, LLC Not CoveredAMITA Health St. Alexius Medical Center Palermo Peter MD DuPage Medical Group, Ltd. Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Palmieri Vincenzo DPM Miller Foot Center Not CoveredAMITA Health Alexian Brothers Medical Center Palmieri Vincenzo DPM Miller Foot Center Not CoveredAMITA Health St. Alexius Medical Center Palmieri Vincenzo DPM Miller Foot Center Not CoveredAMITA Health Alexian Brothers Medical Center Palmisano Cynthia DO Cynthia Palmisano Not CoveredAMITA Health Alexian Brothers Medical Center Panares Alan S. SA Alan Panares, CVSA Not CoveredAMITA Health St. Alexius Medical Center Panares Alan S. SA Alan Panares, CVSA Not CoveredAMITA Health Alexian Brothers Medical Center Panchal Mrunal MD Arthritis & Rehab Associates Not CoveredAMITA Health St. Alexius Medical Center Panchal Mrunal MD Arthritis & Rehab Associates Not CoveredAMITA Health Alexian Brothers Medical Center Panchal Prerana M. MD Arthritis & Rehab Associates Not CoveredAMITA Health St. Alexius Medical Center Panchal Prerana M. MD Arthritis & Rehab Associates Not CoveredAMITA Health St. Alexius Medical Center Panchal Kanu K MD Kanu K Panchal, M.D. Pediatrics Not CoveredAMITA Health St. Alexius Medical Center Pandey Anita MD Northwest Oncology & Hematology Not CoveredAMITA Health Alexian Brothers Medical Center Pandey Anita MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Pangan Normita S CSA Advanced Surgical Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Pangan Normita S CSA Advanced Surgical Ltd. Not CoveredAMITA Health St. Alexius Medical Center Pantanella Anthony C. DC Anthony C. Pantanella, DC Not CoveredAMITA Health St. Alexius Medical Center Papa Ruksana MD Barrington Internal Medicine P.C. Not CoveredAMITA Health Alexian Brothers Medical Center Papa Najma A MD Hospitalist Consultant Group, SC Not CoveredAMITA Health Alexian Brothers Medical Center Papadopoulos Antonios MD Antonios Papadopoulos, MD Not CoveredAMITA Health Alexian Brothers Medical Center Papierski Paul E MD Chicago Hand & Orthopedic Surgery Cntr, SC Not CoveredAMITA Health St. Alexius Medical Center Papierski Paul E MD Chicago Hand & Orthopedic Surgery Cntr, SC Not CoveredAMITA Health Alexian Brothers Medical Center Paran Christine Mary C APN Illinois Gastroenterology Group LLC Not CoveredAMITA Health St. Alexius Medical Center Paran Christine Mary C APN Illinois Gastroenterology Group LLC Not CoveredAMITA Health Alexian Brothers Medical Center Parekh Utpal P MD Faith Medical & GI Center Not CoveredAMITA Health Alexian Brothers Medical Center Parekh Paras DPM Paras Parekh, DPM Not CoveredAMITA Health Alexian Brothers Medical Center Parenti Katherine Nonna MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Parenti Katherine Nonna MD DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Paresi Robert J MD Plastic Surgery Services and Equipment LLC Not CoveredAMITA Health Alexian Brothers Medical Center Parikh Nirali R MD Kavya Medical Center Not CoveredAMITA Health St. Alexius Medical Center Parikh Nirali R MD Kavya Medical Center Not CoveredAMITA Health Alexian Brothers Medical Center Park Richard B MD Valley Heart & Vascular Clinic, Ltd.-Elgin Not CoveredAMITA Health Alexian Brothers Medical Center Parkes Megan R MD Rehabilitation Institute of Chicago at Alexian Brothers Medical Center Not CoveredAMITA Health St. Alexius Medical Center Parkes Megan R MD Rehabilitation Institute of Chicago at Alexian Brothers Medical Center Not CoveredAMITA Health Alexian Brothers Medical Center Partida Sara T APN DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Partida Sara T APN DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Parveen Zeenat MD Nausheen Hasan M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Paschos Jennifer MD Alexian Brothers Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Pascual Edwin B MD Edwin B Pascual MD, LTD Not CoveredAMITA Health St. Alexius Medical Center Patari Kirit MD Healthcare Associates of Streamwood Not CoveredAMITA Health St. Alexius Medical Center Patel Vijay H DC Advanced Physical Medicine & Therapy Ltd. Not CoveredAMITA Health St. Alexius Medical Center Patel Anil G MD AdventHealth Tampa Not CoveredAMITA Health Alexian Brothers Medical Center Patel Rajiv Jashu MD AMITA Alexian Brothers Medical Center Not CoveredAMITA Health St. Alexius Medical Center Patel Rajiv Jashu MD AMITA Alexian Brothers Medical Center Not CoveredAMITA Health Alexian Brothers Medical Center Patel Arvind MD Arvind Patel MD SC Not CoveredAMITA Health St. Alexius Medical Center Patel Arvind MD Arvind Patel MD SC Not CoveredAMITA Health Alexian Brothers Medical Center Patel Sejal R MD Associates in Nephrology Not CoveredAMITA Health St. Alexius Medical Center Patel Sejal R MD Associates in Nephrology Not CoveredAMITA Health Alexian Brothers Medical Center Patel Narendra DPM Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Patel Narendra DPM Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Patel Monik CST Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Patel Monik CST Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Patel Utsahi Rajendra MD Bubble Pediatrics, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Patel Aasita N MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Patel Aasita N MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Patel Renuka J NP Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Patel Renuka J NP Chicago Cardiology Institute S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Patel Tarpan R MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Patel Tarpan R MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Patel Dhaval M MD Chicago Institute of Plastic Surgery Not CoveredAMITA Health St. Alexius Medical Center Patel Chinmay K. DO Chinmay K. Patel, DO Not CoveredAMITA Health Alexian Brothers Medical Center Patel Sanjay P MD Emily Chacko Not CoveredAMITA Health St. Alexius Medical Center Patel Sanjay P MD Emily Chacko Not CoveredAMITA Health St. Alexius Medical Center Patel Ashish V MD Horizon Medical Center, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Patel Ashish V MD Horizon Medical Center, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Patel Pinalkumar Vasantbhai MD Inpatient Consultants of Illinois, PC Not CoveredAMITA Health St. Alexius Medical Center Patel Jitendra MD Internal Medicine Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Patel Avni R PA Metro Infectious Disease Consultants Not CoveredAMITA Health St. Alexius Medical Center Patel Avni R PA Metro Infectious Disease Consultants Not CoveredAMITA Health St. Alexius Medical Center Patel Ishwar MD Midwest Center for Women's Healthcare Not CoveredAMITA Health St. Alexius Medical Center Patel MukeshchandraDayalal MD Mukeshchandra Patel, MD Not CoveredAMITA Health Alexian Brothers Medical Center Patel Nisha MD Nisha Goyal, M.D. Not CoveredAMITA Health St. Alexius Medical Center Patel Nisha MD Nisha Goyal, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Patel Sohal K MD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Patel Sohal K MD Northwest Neurology Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Patel Sohal K MD Northwest Neurology Not CoveredAMITA Health Alexian Brothers Medical Center Patel Paresh A MD Oakton Medical Associates Not CoveredAMITA Health Alexian Brothers Medical Center Patel Parit MD Plastic Surgery Clinic of Chicago Not CoveredAMITA Health St. Alexius Medical Center Patel Parit MD Plastic Surgery Clinic of Chicago Not CoveredAMITA Health Alexian Brothers Medical Center Patel Arpan J MD Premier Pain & Spine Schaumburg Not Covered

Updated March 16, 2020

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Page 13: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health Alexian Brothers Medical Center Patel Amish M MD Premier Pain & Spine Schaumburg Not CoveredAMITA Health Alexian Brothers Medical Center Patel Sonal V PA Schaumburg Dermatology Not CoveredAMITA Health Alexian Brothers Medical Center Patel Ritesh D MD Suburban Medical & Wellness Center, LLC Not CoveredAMITA Health St. Alexius Medical Center Patel Ritesh D MD Suburban Medical & Wellness Center, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Patel Raj D MD Suburban Medical & Wellness Center, LLC Not CoveredAMITA Health St. Alexius Medical Center Patel Raj D MD Suburban Medical & Wellness Center, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Patel Sheetalben M APN Suburban Medical Center Not CoveredAMITA Health St. Alexius Medical Center Patel Sheetalben M APN Suburban Medical Center Not CoveredAMITA Health Alexian Brothers Medical Center Patel Shivani PA-C UroPartners, LLC Not CoveredAMITA Health St. Alexius Medical Center Patel Shivani PA-C UroPartners, LLC Not CoveredAMITA Health St. Alexius Medical Center Patel Resha S APN UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Patel Resha S APN UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Patel Cooke Sheena MD Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Patel Cooke Sheena MD Dupage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Paterek Malgorzata M. MD Infant & Children's Clinic Not CoveredAMITA Health Alexian Brothers Medical Center Patolot Arius G MD Rehabilitation Institute of Chicago at Alexian Brothers Medical Center Not CoveredAMITA Health St. Alexius Medical Center Patolot Arius G MD Rehabilitation Institute of Chicago at Alexian Brothers Medical Center Not CoveredAMITA Health Alexian Brothers Medical Center Paul Michael A MD Advocate Children's Heart Institute Not CoveredAMITA Health St. Alexius Medical Center Paul Michael A MD Advocate Children's Heart Institute Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Paul Reena Daisy MD Northwest Suburban Medical Group,SC Not CoveredAMITA Health St. Alexius Medical Center Paul Reena Daisy MD Northwest Suburban Medical Group,SC Not CoveredAMITA Health Alexian Brothers Medical Center Paul Reena Daisy MD Northwest Suburban Medical Group,SC Not CoveredAMITA Health Alexian Brothers Medical Center Pavlovic-Surjancev Biljana MD Medical and Heart Clinic, S.C. Not CoveredAMITA Health St. Alexius Medical Center Pavlovic-Surjancev Biljana MD Medical and Heart Clinic, S.C. Not CoveredAMITA Health St. Alexius Medical Center Pawlowski Ronald C DO Greenbrook Family Clinic Not CoveredAMITA Health Alexian Brothers Medical Center Pearl Jeffrey A MD UroPartners, LLC Not CoveredAMITA Health St. Alexius Medical Center Pearl Jeffrey A MD UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Pedraza James APN TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Pelinkovic Dalip MD Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center Pelinkovic Dalip MD Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center Pelletiere Christopher V MD Barrington Plastic Surgery, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Pelletiere Vincent J. MD Barrington Plastic Surgery, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Perch John E DO OB Hospitalist Group Not CoveredAMITA Health Alexian Brothers Medical Center Perez Walter D MD A to Z Pediatric and Youth Healthcare Not CoveredAMITA Health St. Alexius Medical Center Perez Manuel MD Manuel Perez, MD Not CoveredAMITA Health Alexian Brothers Medical Center Perri Steven PA-C Illinois Pain Institute Not CoveredAMITA Health Alexian Brothers Medical Center Perumal Sindhu V. MD Alexian Brothers Medical Group - Addison Not CoveredAMITA Health St. Alexius Medical Center Petchenik Lon J MD Suburban Ear, Nose and Throat Associates - Arlington Heights II Not CoveredAMITA Health St. Alexius Medical Center Peterson Kyle S DPM Suburban Orthopaedics - Bartlett Not CoveredAMITA Health Alexian Brothers Medical Center Peterson Kyle S DPM Suburban Orthopaedics - Bartlett Not CoveredAMITA Health Alexian Brothers Medical Center Petrak Russell M MD Metro Infectious Disease Not CoveredAMITA Health Alexian Brothers Medical Center Petrich Rudolph DPM DuPage Foot & Ankle Not CoveredAMITA Health Alexian Brothers Medical Center Petrovas Demetrios MD George Karabelas, M.D. Not CoveredAMITA Health St. Alexius Medical Center Petrovas Demetrios MD George Karabelas, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Phillips William Eugene MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Phouikham Lily DO Elio M Vento MD & Associates Not CoveredAMITA Health St. Alexius Medical Center Phouikham Lily DO Elio M Vento MD & Associates Not CoveredAMITA Health Alexian Brothers Medical Center Pieta Jacek MD Midwest Pulmonary Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Pilika Asti MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Pillsbury Lisa L MD Nephrology Associates of Northern IL - Hoffman Estates Not CoveredAMITA Health St. Alexius Medical Center Pillsbury Lisa L MD Nephrology Associates of Northern IL - Hoffman Estates Not CoveredAMITA Health St. Alexius Medical Center Piotrowski Mark J MD Suburban Associates in Ophthalmology Not CoveredAMITA Health Alexian Brothers Medical Center Piotrowski Mark J MD Suburban Associates in Ophthalmology Not CoveredAMITA Health Alexian Brothers Medical Center Piotrowski Anna MD Women and Children's Health Care Associates, LLC Not CoveredAMITA Health St. Alexius Medical Center Plein Colleen T MD Specialty Care Institute Not CoveredAMITA Health Alexian Brothers Medical Center Poepping Thomas MD G&T Orthopedics Not CoveredAMITA Health St. Alexius Medical Center Polizos Theodore DPM Comprehensive Podiatric Medical Services, Ltd Not CoveredAMITA Health St. Alexius Medical Center Poonawalla Hajra MD Tots N` Teens Health Associates Not CoveredAMITA Health Alexian Brothers Medical Center Pope Katie PA Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Pope Katie PA Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Popovic Aleksandra MD Alexian Brothers Behavioral Health Hospital Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Popovic Aleksandra MD Alexian Brothers Behavioral Health Hospital Not CoveredAMITA Health St. Alexius Medical Center Popovic Aleksandra MD Alexian Brothers Behavioral Health Hospital Not CoveredAMITA Health Alexian Brothers Medical Center Popovich Teppe MD Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Potter Theresa L CSA Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Pouls Steven M DO DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Powell Anthony Forrest MD Vision Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Pozzi Patrick MD DuPage Medical Group, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Pozzi Patrick MD DuPage Medical Group, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Prickett Adam Lee MD Northwest Eye Physicians Not CoveredAMITA Health St. Alexius Medical Center Priest Edwin MD Edwin Priest, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Priest Edwin MD Edwin Priest, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Prodromos Chadwick CD MD Illinois Sports Medicine & Orthopaedic Centers, LTD Not CoveredAMITA Health St. Alexius Medical Center Prodromos Chadwick CD MD Illinois Sports Medicine & Orthopaedic Centers, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Provenzano Sheila RN Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Provenzano Sheila RN Core Orthopedics & Sports Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Prunskis John V MD Illinois Pain Institute Not CoveredAMITA Health Alexian Brothers Medical Center Ptak Paul Daniel SA Surgical Assistants of Illinois Not CoveredAMITA Health St. Alexius Medical Center Pugnale Marci Jill MD Suburban Ear, Nose and Throat Associates - Arlington Heights II Not CoveredAMITA Health St. Alexius Medical Center Puscheck Elizabeth Ella MD Karande and Associates, S.C. DBA: InVia Fertility Specialists Not CoveredAMITA Health St. Alexius Medical Center Pyle Jennifer R MD Medical Pediatrics Not CoveredAMITA Health Alexian Brothers Medical Center Quadri Syeda DO Infectious Diseases Associates, P.C. Not CoveredAMITA Health St. Alexius Medical Center Quadri Syeda DO Infectious Diseases Associates, P.C. Not CoveredAMITA Health St. Alexius Medical Center Quertermous James Lassiter MD Beaird Dermatology, SC Not CoveredAMITA Health Alexian Brothers Medical Center Quigley Nicole M CNM Advanced Women`s Healthcare Specialists, SC Not CoveredAMITA Health St. Alexius Medical Center Quigley Nicole M CNM Advanced Women`s Healthcare Specialists, SC Not CoveredAMITA Health St. Alexius Medical Center Quraishi Saba MD Ronald S Weiss MD SC d/b/a Chicago Eye Consultants Not CoveredAMITA Health Alexian Brothers Medical Center Rabinowitz Richard S MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Rabinowitz Richard S MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Rachel John D MD Center for Liposculpture - Glenview Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Rahim Amina M MD Alexian Brothers Behavioral Health Hospital Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Rahman Joseph Z APN Dr Dekhtyar and Associates Not CoveredAMITA Health St. Alexius Medical Center Rahman Joseph Z APN Dr Dekhtyar and Associates Not CoveredAMITA Health Alexian Brothers Medical Center Rahman Mohamed A MD Nephrology Assoc of Northern IL Not CoveredAMITA Health St. Alexius Medical Center Rahman Mohamed A MD Nephrology Assoc of Northern IL Not CoveredAMITA Health St. Alexius Medical Center Rahman Saudur MD Vision Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Rais-Dana Jalal MD Jalal Rais Dana MD, LTD Not CoveredAMITA Health St. Alexius Medical Center Rais-Dana Jalal MD Jalal Rais Dana MD, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Rajagopalan Rajeswar MD DuPage Medical Group, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Raju Jayashree R DO Jayashree R. Raju, DO PC Not CoveredAMITA Health Alexian Brothers Medical Center Ramani Ram L MD Metro Infectious Disease Not CoveredAMITA Health St. Alexius Medical Center Ramani Ram L MD Metro Infectious Disease Not CoveredAMITA Health St. Alexius Medical Center Ramesh Priya MD Tots N` Teens Health Associates Not CoveredAMITA Health Alexian Brothers Medical Center Ramirez Paul J MD Direct Radiology Not Covered

Updated March 16, 2020

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Page 14: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health Alexian Brothers Medical Center Rampurwala Abbas Y. MD Metro Heart & Vascular Institute Not CoveredAMITA Health St. Alexius Medical Center Rampurwala Abbas Y. MD Metro Heart & Vascular Institute Not CoveredAMITA Health Alexian Brothers Medical Center Randazzo Randall F MD Metro Chicago Surgical Oncology, LLC Not CoveredAMITA Health St. Alexius Medical Center Randazzo Randall F MD Metro Chicago Surgical Oncology, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Rao Gopal S MD Elk Grove Medical Associates Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Rao Gopal S MD Elk Grove Medical Associates Not CoveredAMITA Health St. Alexius Medical Center Rao Gopal S MD Elk Grove Medical Associates Not CoveredAMITA Health Alexian Brothers Medical Center Rao Robert MD NCH Medical Group - Division of Surgery Not CoveredAMITA Health St. Alexius Medical Center Rathi Sapna S. MD Advanced Pain Centers, S.C. - Elk Grove Not CoveredAMITA Health Alexian Brothers Medical Center Rathi Sapna S. MD Advanced Pain Centers, S.C. - Elk Grove Not CoveredAMITA Health St. Alexius Medical Center Ray Kathryn M. MD Midwest Center for Women's Healthcare Not CoveredAMITA Health Alexian Brothers Medical Center Ray Raju B MD Nephrology Associates of Northern Illinois Not CoveredAMITA Health St. Alexius Medical Center Ray Raju B MD Nephrology Associates of Northern Illinois Not CoveredAMITA Health Alexian Brothers Medical Center Redd Kisha L APN MEA/TEAM Health, Elk Grove Not CoveredAMITA Health Alexian Brothers Medical Center Reddy Ravindranath MD All Bear Cub Pediatrics, SC Not CoveredAMITA Health St. Alexius Medical Center Reddy Ravindranath MD All Bear Cub Pediatrics, SC Not CoveredAMITA Health St. Alexius Medical Center Reddy Sankrant MD Clarity Clinic Arlington Heights Not CoveredAMITA Health St. Alexius Medical Center Regan E Quinn MD Illinois Bone & Joint Institute, LLC Not CoveredAMITA Health St. Alexius Medical Center Rehman Shafiq U SA American Surgical Professionals Not CoveredAMITA Health St. Alexius Medical Center Rehusch Steven MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Reid Russell R MD University of Chicago Medical Center Not CoveredAMITA Health St. Alexius Medical Center Reinstein Michelle L. MD Pediatric Care Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Repa Shaunna APN Northwest Pediatric Services Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Reynish Alex D PsyD Behavioral Health Care Associates - Schaumburg Not CoveredAMITA Health Alexian Brothers Medical Center Riccardo Nick J. MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Riccardo Nick J. MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Riermaier Michael MD Associates for Women`s Healthcare Not CoveredAMITA Health St. Alexius Medical Center Ritacca Daniel J MD Ritacca Cosmetic Surgery Center & Medspa Not CoveredAMITA Health Alexian Brothers Medical Center Rivera Donna L. CNM Advanced Women`s Healthcare Specialists, SC Not CoveredAMITA Health Alexian Brothers Medical Center Rivera Lorna M MD Kenneth Young Centers 1 Not CoveredAMITA Health Alexian Brothers Medical Center Robarts Ross M. PA Midwest Sports Medicine & Orthopaedics - Elk Grove Not CoveredAMITA Health St. Alexius Medical Center Robarts Ross M. PA Midwest Sports Medicine & Orthopaedics - Elk Grove Not CoveredAMITA Health Alexian Brothers Medical Center Roberts Jennifer O APN MEA of TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Roberts Jennifer O APN MEA of TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Robinson Caroline N MD Beaird Dermatology, SC Not CoveredAMITA Health Alexian Brothers Medical Center Rodriguez Rowena G. APN Alexian Brothers Medical Center Not CoveredAMITA Health St. Alexius Medical Center Rodriguez Rowena G. APN Alexian Brothers Medical Center Not CoveredAMITA Health St. Alexius Medical Center Roig Michele M. MD Children & Teens Medical Center, Ltd. Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Rolek Monika MD Midwest Adult Care, LLC Not CoveredAMITA Health St. Alexius Medical Center Rolek Monika MD Midwest Adult Care, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Rolek Monika MD Midwest Adult Care, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Rosado Manuel Francisco MD Bassam F. Matar, M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Rosado Manuel Francisco MD Bassam F. Matar, M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Rosanova Mark A MD Advanced Eye Care Associates Not CoveredAMITA Health St. Alexius Medical Center Rosanova-Kaper Mary Ann MD Rosanova-Kaper & Rosanova MDs Not CoveredAMITA Health Alexian Brothers Medical Center Rosen Barry MD Advanced Surgical Care - Fox Glen Not CoveredAMITA Health St. Alexius Medical Center Rosen Thomas M PA Core Orthopedics & Sports Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Rosen Thomas M PA Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Rosewell Krystal A DO Drs. Bedingfield and Rosewell, S.C. Not CoveredAMITA Health St. Alexius Medical Center Rosewell Debora S. MD Drs. Bedingfield and Rosewell, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Rosinsky Philip J CSA Hinsdale Orthopaedic Associates, SC Not CoveredAMITA Health St. Alexius Medical Center Rosinsky Philip J CSA Hinsdale Orthopaedic Associates, SC Not CoveredAMITA Health St. Alexius Medical Center Rosselson Maria E MD Chicago Cornea Consultants Not CoveredAMITA Health Alexian Brothers Medical Center Rotstein Jason MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Rotstein Jason MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Roux Maria E APN Midwest Center for Women's Healthcare Not CoveredAMITA Health Alexian Brothers Medical Center Roxas Ronald Isidore APN Legacy Medical Care, Inc. Not CoveredAMITA Health Alexian Brothers Medical Center Rud Nathan PA MEA of TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Rud Nathan PA MEA of TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Rudnick Lawrence A. MD Respiratory, Critical Care and Sleep Specialists, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Ruge John R MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Russell Eleanor M APN Northwest Pulmonary & Sleep Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Russo Frank H DPM Instep Podiatry, P.C. Not CoveredAMITA Health St. Alexius Medical Center Saad Nael El Said MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Sack Mark D. DPM Bartlett Foot Center Not CoveredAMITA Health St. Alexius Medical Center Sadah Alan Y MD Metro Chicago Surgical Oncology, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Sadah Alan Y MD Metro Chicago Surgical Oncology, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Sadri Tafazoli Faranak MD Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Saeed Naveed M. DC Access Health Care Not CoveredAMITA Health Alexian Brothers Medical Center Saeed Mohammed M MD Addison Medical Associates, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Saeed Faisal MD Inpatient Consultants of Illinois, PC Not CoveredAMITA Health Alexian Brothers Medical Center Saeed Yumna MD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Saeed Yumna MD Northwest Neurology Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Saeed Yumna MD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Saffold Carol W MD OB Hospitalist Group Not CoveredAMITA Health Alexian Brothers Medical Center Sager Solomon J MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Sager Solomon J MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Sagerman Scott D MD Hand Surgery Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Sagerman Scott D MD Hand Surgery Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Sahay Manisha MD Northwest Neurology Not CoveredAMITA Health Alexian Brothers Medical Center Sahgal Nishi B MD Metro Infectious Disease Not CoveredAMITA Health Alexian Brothers Medical Center Said Omar MD Premier Pain & Spine Schaumburg Not CoveredAMITA Health Alexian Brothers Medical Center Sakka Nidal MD Midwest Pulmonary and Sleep Clinic Not CoveredAMITA Health St. Alexius Medical Center Sakka Nidal MD Midwest Pulmonary and Sleep Clinic Not CoveredAMITA Health St. Alexius Medical Center Saks Noel D MD Eye Specialists of Ilinois, SC Not CoveredAMITA Health Alexian Brothers Medical Center Sakyi Denise MD TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Sakyi Denise MD TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Saldanha Rita P MD MedPlus, S.C. Not CoveredAMITA Health St. Alexius Medical Center Saldanha Rita P MD MedPlus, S.C. Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Saldanha Rita P MD MedPlus, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Saleem Khurram MD Nephrology Assoc of Northern IL Not CoveredAMITA Health St. Alexius Medical Center Saleem Khurram MD Nephrology Assoc of Northern IL Not CoveredAMITA Health St. Alexius Medical Center Saleheen Qamar U S MD Metro Infectious Disease Not CoveredAMITA Health Alexian Brothers Medical Center Sami Faisal Abdus MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Samuels Jordan MD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Samuels Jordan MD Northwest Neurology Not CoveredAMITA Health St. Alexius Medical Center Samuelsohn Beth H. DO North Suburban Family Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Sanchez Alex A MD Dr. Sanchez Medical Care Inc. Not CoveredAMITA Health St. Alexius Medical Center Sanchez Alex A MD Dr. Sanchez Medical Care Inc. Not CoveredAMITA Health Alexian Brothers Medical Center Sanchez Alex A MD Dr. Sanchez Medical Care Inc. Not CoveredAMITA Health St. Alexius Medical Center Sanchez Alex A MD Dr. Sanchez Medical Care Inc. Not CoveredAMITA Health Alexian Brothers Medical Center Santa Ines Lata G MD OB Hospitalist Group Not CoveredAMITA Health Alexian Brothers Medical Center Sapountzi Paraskevi MD Suburban Endocrinology & Diabetes Not CoveredAMITA Health St. Alexius Medical Center Sapountzi Paraskevi MD Suburban Endocrinology & Diabetes Not Covered

Updated March 16, 2020

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Page 15: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health Alexian Brothers Medical Center Sarantoupoulos Christina G. DPM Ankle N Foot Centers Not CoveredAMITA Health Alexian Brothers Medical Center Sasikumar Preethi MD Inpatient Consultants of Illinois, PC Not CoveredAMITA Health St. Alexius Medical Center Sasikumar Preethi MD Inpatient Consultants of Illinois, PC Not CoveredAMITA Health St. Alexius Medical Center Saviano Liza Marie G. DPM Dr. Liza Marie G Saviano DPM, LTD Not CoveredAMITA Health St. Alexius Medical Center Saviano Liza Marie G. DPM Dr. Liza Marie G Saviano DPM, LTD Not CoveredAMITA Health St. Alexius Medical Center Sawlani Sarena A MD Chicago Allergy & Asthma Not CoveredAMITA Health Alexian Brothers Medical Center Sawlani Manish B MD Dr. Manish Sawlani Not CoveredAMITA Health St. Alexius Medical Center Sawlani Manish B MD Dr. Manish Sawlani Not CoveredAMITA Health Alexian Brothers Medical Center Sbigoli Aldo DDS McHenry Dental Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Scafidi Kimberley A RN Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Scafidi Kimberley A RN Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Scanlon Mary S MD Midwest Center for Women's Healthcare Not CoveredAMITA Health Alexian Brothers Medical Center Schaeffer Kelly A. APN Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center Schaeffer Kelly A. APN Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Schaeffer Kelly A. APN Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Schafer Kathleen DPM Kathleen M. Schafer, DPM, Inc. Not CoveredAMITA Health Alexian Brothers Medical Center Schlichting Sara APN Northwest Suburban Medical Group,SC Not CoveredAMITA Health St. Alexius Medical Center Schlichting Sara APN Northwest Suburban Medical Group,SC Not CoveredAMITA Health St. Alexius Medical Center Schroeder Keith E MD Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Schroeder Keith E MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Schroeder Judy M APN MEA of TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Schulman Zara Michele MD Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center Schuster Frederick A DC Total Athleticare Not CoveredAMITA Health Alexian Brothers Medical Center Schuster George A MD UroPartners, LLC Not CoveredAMITA Health St. Alexius Medical Center Schuster George A MD UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Schwartz Rachel APN Legacy Medical Care Inc Not CoveredAMITA Health Alexian Brothers Medical Center Schwartz David M MD Schwartz Pediatrics Not CoveredAMITA Health St. Alexius Medical Center Schwartz David M MD Schwartz Pediatrics Not CoveredAMITA Health St. Alexius Medical Center Schwartz Henry C. MD Schwartz Pediatrics Not CoveredAMITA Health Alexian Brothers Medical Center Schwartz Henry C. MD Schwartz Pediatrics Not CoveredAMITA Health St. Alexius Medical Center Schwartz Glenn J MD Suburban Ear, Nose and Throat Associates - Arlington Heights II Not CoveredAMITA Health Alexian Brothers Medical Center Scigacz Bozena MD Bozena Scigacz Medical Office Not CoveredAMITA Health St. Alexius Medical Center Seigle Michael L. MD Ophthalmology Associates Not CoveredAMITA Health St. Alexius Medical Center Seruya Abby H MD Northwest Associates For Women's Healthcare Not CoveredAMITA Health Alexian Brothers Medical Center Shade Ronald J MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Shade Ronald J MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Shah Chirag H DC Advanced Health and Wellness Not CoveredAMITA Health Alexian Brothers Medical Center Shah Nishant S. MD Advocate Medical Group Not CoveredAMITA Health St. Alexius Medical Center Shah Nishant S. MD Advocate Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Shah Rachna MD Allergy, Sinus and Asthma Professionals Not CoveredAMITA Health St. Alexius Medical Center Shah Anil R MD Anil R. Shah, M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Shah Shree J MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Shah Hetal V MD Dr. Aimee & Associates Not CoveredAMITA Health St. Alexius Medical Center Shah Harsh Mukesh MD Envision Physician Services Not CoveredAMITA Health Alexian Brothers Medical Center Shah Harsh Mukesh MD Envision Physician Services Not CoveredAMITA Health St. Alexius Medical Center Shah Ricky J PA MEA of TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Shah Binita P PA Midwest Emergency Assoc TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Shah Devendra U. MD Shah Medical Center Not CoveredAMITA Health St. Alexius Medical Center Shah Lena C MD Suburban Associates in Ophthalmology Not CoveredAMITA Health Alexian Brothers Medical Center Shah Lena C MD Suburban Associates in Ophthalmology Not CoveredAMITA Health Alexian Brothers Medical Center Shahzad Muhammad A MD Muhammad A Shahzad MD PC Not CoveredAMITA Health St. Alexius Medical Center Shaikh Ahmari S. MD Shaikh Medical Center Not CoveredAMITA Health Alexian Brothers Medical Center Shaikh Arshibanoo M MD TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Shaikh Arshibanoo M MD TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Shakaib Mohammed I MD Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Shakaib Mohammed I MD Dupage Medical Group Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Shalayska Olesia PsyD Behavioral Health Care Associates - Schaumburg Not CoveredAMITA Health Alexian Brothers Medical Center Shanchuk Yelena MD Midwest Internal Medicine Clinic Not CoveredAMITA Health St. Alexius Medical Center Shanchuk Yelena MD Midwest Internal Medicine Clinic Not CoveredAMITA Health St. Alexius Medical Center Shapira Jacob CSA Hinsdale Orthopaedic Associates, SC Not CoveredAMITA Health Alexian Brothers Medical Center Shapiro Bradley D MD Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Shapiro Bradley D MD Dupage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Sharma Neelima MD Advance Medicine Not CoveredAMITA Health St. Alexius Medical Center Sharma Neelima MD Advance Medicine Not CoveredAMITA Health St. Alexius Medical Center Sharma Vritti MD Streamwood Pediatrics, P.C. Not CoveredAMITA Health St. Alexius Medical Center Sheade Wynn MD Associates in Pediatrics, S.C. - Streamwood Not CoveredAMITA Health St. Alexius Medical Center Sheehey Haley PA Dupage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Sheehey Haley PA Dupage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Sheikh Syema I MD Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center Sheikh Syema I MD Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center Shek Yuhang MD Yuhang Shek MD, SC Not CoveredAMITA Health St. Alexius Medical Center Sherman Sanford S MD Northwest Neurology Not CoveredAMITA Health Alexian Brothers Medical Center Shields Mary A. APN Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Shields Mary A. APN Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Shikata Hideki MD Nihon Medical Clinic, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Shroff Pranavkumar MD DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Shroff Pranavkumar MD DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Shturmak Larisa APN Dr Patricia A Larson, MD & Assoc Not CoveredAMITA Health St. Alexius Medical Center Shturmak Larisa APN Dr Patricia A Larson, MD & Assoc Not CoveredAMITA Health Alexian Brothers Medical Center Shulman Keith MD Bassam F. Matar, M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Shyamani Heena M. MD Shah Medical Center SC Not CoveredAMITA Health Alexian Brothers Medical Center Sia Imelda A MD Glendale Heights Healthcare Center Not CoveredAMITA Health St. Alexius Medical Center Sia Imelda A MD Glendale Heights Healthcare Center Not CoveredAMITA Health Alexian Brothers Medical Center Siddiqui Saad A MD Advocate Children’s Heart Institute Not CoveredAMITA Health St. Alexius Medical Center Siddiqui Saad A MD Advocate Children’s Heart Institute Not CoveredAMITA Health Alexian Brothers Medical Center Siddiqui Rumana J MD Signature Medical Group Not CoveredAMITA Health St. Alexius Medical Center Siddiqui Rumana J MD Signature Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Silva Bradley MD Illinois Pain Institute Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Silver Joy MD Drs. Bedingfield and Rosewell, S.C. Not CoveredAMITA Health St. Alexius Medical Center Silver Joy MD Drs. Bedingfield and Rosewell, S.C. Not CoveredAMITA Health St. Alexius Medical Center Simmons Todd D. MD Orthopaedic Surgery Specialists, Ltd. - Fox River Not CoveredAMITA Health Alexian Brothers Medical Center Singh Sutpal DPM Comprehensive Foot & Ankle Institute Not CoveredAMITA Health St. Alexius Medical Center Singh Sutpal DPM Comprehensive Foot & Ankle Institute Not CoveredAMITA Health St. Alexius Medical Center Singh Veerpal MD Illinois Cancer Specialists - Elgin Not CoveredAMITA Health Alexian Brothers Medical Center Singh Inder MD Inder P Singh, MD Not CoveredAMITA Health St. Alexius Medical Center Singh Inder MD Inder P Singh, MD Not CoveredAMITA Health Alexian Brothers Medical Center Singhal Vipul DMD Ally Dentist Not CoveredAMITA Health Alexian Brothers Medical Center Singri Prashant MD Schaumburg Dermatology Not CoveredAMITA Health St. Alexius Medical Center Singri Prashant MD Schaumburg Dermatology Not CoveredAMITA Health Alexian Brothers Medical Center Sipe Christopher S MD Fertility Centers of Illinois, SC Not CoveredAMITA Health Alexian Brothers Medical Center Skladman Arthur MD Arthur N Skladman MD, SC Not CoveredAMITA Health Alexian Brothers Medical Center Skop Agnieszka MD Women and Children's Health Care Associates, LLC Not CoveredAMITA Health St. Alexius Medical Center Small Robert A MD Hoffman Barrington Internal Medicine Specialists Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Small Robert A MD Hoffman Barrington Internal Medicine Specialists Not Covered

Updated March 16, 2020

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Page 16: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health St. Alexius Medical Center Smith Diane CNM Associates for Women`s Healthcare Not CoveredAMITA Health St. Alexius Medical Center Smith Pamela E MD OB Hospitalist Group Not CoveredAMITA Health Alexian Brothers Medical Center Smolina Alexandra PA-C UroPartners, LLC Not CoveredAMITA Health St. Alexius Medical Center Smolina Alexandra PA-C UroPartners, LLC Not CoveredAMITA Health St. Alexius Medical Center Smyrniotis George MD Suburban Ear, Nose and Throat Associates - Arlington Heights II Not CoveredAMITA Health Alexian Brothers Medical Center Snyder Frank C MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center So Daniel D MD Suburban Endocrinology & Diabetes Not CoveredAMITA Health St. Alexius Medical Center So Daniel D MD Suburban Endocrinology & Diabetes Not CoveredAMITA Health St. Alexius Medical Center Sommerfeld Barry A. MD Children & Teens Medical Center, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Soneru Alexander P MD Chicago Hand & Orthopedic Surgery Cntr, SC Not CoveredAMITA Health Alexian Brothers Medical Center Soneru Alexander P MD Chicago Hand & Orthopedic Surgery Cntr, SC Not CoveredAMITA Health Alexian Brothers Medical Center Song Richard MD Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Song Richard MD Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Soni Mehul Pravin MD DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Soni Mehul Pravin MD DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Sonin Lee MD Advanced Allergists Not CoveredAMITA Health St. Alexius Medical Center Sonin Lee MD Advanced Allergists Not CoveredAMITA Health St. Alexius Medical Center Sood Rajiv MD Advance Midwest Medical SC Not CoveredAMITA Health Alexian Brothers Medical Center Sood Rajiv MD Advance Midwest Medical SC Not CoveredAMITA Health St. Alexius Medical Center Sood Ruchi MD Kidney Care Center Elgin, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Sood Ruchi MD Kidney Care Center Elgin, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Soruco Luis Fernando MD Suburban Endocrinology & Diabetes Not CoveredAMITA Health St. Alexius Medical Center Soruco Luis Fernando MD Suburban Endocrinology & Diabetes Not CoveredAMITA Health St. Alexius Medical Center Sosenko George R MD George R. Sosenko, M.D., LTD. Not CoveredAMITA Health Alexian Brothers Medical Center Sosenko George R MD George R. Sosenko, M.D., LTD. Not CoveredAMITA Health St. Alexius Medical Center Sosnowski Cyndi R MD Rush Center for Congenital Cardiology Not CoveredAMITA Health Alexian Brothers Medical Center Sosnowski Cyndi R MD Rush Center for Congenital Cardiology Not CoveredAMITA Health Alexian Brothers Medical Center Soto Pablo F MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health St. Alexius Medical Center Soto Pablo F MD Chicago Cardiology Institute S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Spacapan Renee APN Nephrology Associates of Northern Illinois Not CoveredAMITA Health St. Alexius Medical Center Spacapan Renee APN Nephrology Associates of Northern Illinois Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Spagnola Joseph APN Dr Dekhtyar and Associates Not CoveredAMITA Health Alexian Brothers Medical Center Spagnola Joseph APN Dr Dekhtyar and Associates Not CoveredAMITA Health St. Alexius Medical Center Spagnola Joseph APN Dr Dekhtyar and Associates Not CoveredAMITA Health St. Alexius Medical Center Sparrow Michelle Lynn APN Elgin Clinic, Ltd. - Elgin Not CoveredAMITA Health St. Alexius Medical Center Spina Anthony M MD, DDS Spina Oral,Maxillofacial & Dental Implant Surgery Not CoveredAMITA Health Alexian Brothers Medical Center Spinazze Mark A DDS Assoc. for Oral, Maxillofacial & Implant Surgery Not CoveredAMITA Health St. Alexius Medical Center Spinazze Mark A DDS Assoc. for Oral, Maxillofacial & Implant Surgery Not CoveredAMITA Health Alexian Brothers Medical Center Spinazze Russell P DDS Assoc. for Oral, Maxillofacial & Implant Surgery Not CoveredAMITA Health St. Alexius Medical Center Spinazze Russell P DDS Assoc. for Oral, Maxillofacial & Implant Surgery Not CoveredAMITA Health St. Alexius Medical Center Spohnholtz Dawn L SA American Surgical Professionals Not CoveredAMITA Health Alexian Brothers Medical Center Srivastava Richa MD The Healing Touch Medical Care Not CoveredAMITA Health St. Alexius Medical Center Srivastava Richa MD The Healing Touch Medical Care Not CoveredAMITA Health St. Alexius Medical Center Srodulski Janusz P MD Northwest Internal Medical Group, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Stagno Marilyn J. PsyD Marilyn Stagno, Psy D Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Stagno Marilyn J. PsyD Marilyn Stagno, Psy D Not CoveredAMITA Health St. Alexius Medical Center Stagno Marilyn J. PsyD Marilyn Stagno, Psy D Not CoveredAMITA Health St. Alexius Medical Center Staicu Irina MD Advocate Heart Institute - Fox River Grove Not CoveredAMITA Health Alexian Brothers Medical Center Stathopoulos Tom K MD Centegra Physician Care - Cardiology Not CoveredAMITA Health St. Alexius Medical Center Stathopoulos Tom K MD Centegra Physician Care - Cardiology Not CoveredAMITA Health St. Alexius Medical Center Statkus Rimvydas Paul DPM Northern Illinois Foot & Ankle Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Steel Darcy A APN Susan Orhan M.D. Elite Women’s Care Not CoveredAMITA Health St. Alexius Medical Center Steel Darcy A APN Susan Orhan M.D. Elite Women’s Care Not CoveredAMITA Health St. Alexius Medical Center Steele Yunsan Jessica PA-C UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Steele Yunsan Jessica PA-C UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Stefani Megan APN Nausheen Hasan M.D., S.C. Not CoveredAMITA Health St. Alexius Medical Center Stein Rhonda H MD Hinsdale Pediatric Associates Not CoveredAMITA Health Alexian Brothers Medical Center Stoecker William C MD Metro Infectious Disease Consultants Not CoveredAMITA Health St. Alexius Medical Center Stoecker William C MD Metro Infectious Disease Consultants Not CoveredAMITA Health St. Alexius Medical Center Stretch George G. ND, APN Elgin Naprapathic Healthcare Not CoveredAMITA Health St. Alexius Medical Center Strycharz Katarzyna A. MD DuPage Medical Group, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Strycharz Katarzyna A. MD DuPage Medical Group, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Stutz Michael A MD AMITA Health Medical Group Oncology Elk Grove Village Not CoveredAMITA Health St. Alexius Medical Center Stutz Michael A MD AMITA Health Medical Group Oncology Elk Grove Village Not CoveredAMITA Health St. Alexius Medical Center Suh Eugene MD Loyola University Medical Center - Maywood Not CoveredAMITA Health Alexian Brothers Medical Center Sukavachana Orawan MD Legacy Medical Care, Inc. Not CoveredAMITA Health St. Alexius Medical Center Sukavachana Orawan MD Legacy Medical Care, Inc. Not CoveredAMITA Health Alexian Brothers Medical Center Sula Stephen J MD MidSuburban Radiological Associates Not CoveredAMITA Health St. Alexius Medical Center Sulayman Naseem M MD Alexian Brothers Medical Group Not CoveredAMITA Health St. Alexius Medical Center Suleiman Azza S. MD Associates in Nephrology, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Sullivan Jessica Adrienne DPM Ankle & Foot Associates, PC Not CoveredAMITA Health St. Alexius Medical Center Sullivan Jessica Adrienne DPM Ankle & Foot Associates, PC Not CoveredAMITA Health St. Alexius Medical Center Sullivan Kevin L MD DMSE Eye Associates, SC Not CoveredAMITA Health Alexian Brothers Medical Center Sullivan Shawna L NP DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Sullivan Shawna L NP DuPage Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Sunkara Praveen MD TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Sunkara Praveen MD TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Sunkara Neelima MD TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Sunkara Neelima MD TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Suwan Nesreen N MD Midwest Academy of Pain & Spine Not CoveredAMITA Health Alexian Brothers Medical Center Sweeney Patrick J MD AMITA Health Adventist Medical Center Hinsdale Not CoveredAMITA Health St. Alexius Medical Center Sweeney Patrick J MD AMITA Health Adventist Medical Center Hinsdale Not CoveredAMITA Health St. Alexius Medical Center Sweis Iliana E. MD Chicago Plastic Surgery Not CoveredAMITA Health Alexian Brothers Medical Center Swisher Jefferson K. PA-C Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Swisher Jefferson K. PA-C Core Orthopedics & Sports Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Syed Maryam MD Suburban Medical & Wellness Center, LLC Not CoveredAMITA Health St. Alexius Medical Center Syed Maryam MD Suburban Medical & Wellness Center, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Szatkowski Scott DDS Medical Center Dental Associates Not CoveredAMITA Health Alexian Brothers Medical Center Szczerba Stefan M. MD Cosmetic & Plastic Surgery Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Szczerba Stefan M. MD Cosmetic & Plastic Surgery Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Szczupak Michal C MD Women and Children's Health Care Associates, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Szczyglewski Chris CSA Neurological Surg & Spine Surg Not CoveredAMITA Health Alexian Brothers Medical Center Szpindor Anne MD Allergy & Asthma Not CoveredAMITA Health St. Alexius Medical Center Szpindor Anne MD Allergy & Asthma Not CoveredAMITA Health Alexian Brothers Medical Center Taha Rami K MD Infectious Disease Consultants of Northern Illinios Not CoveredAMITA Health St. Alexius Medical Center Taha Rami K MD Infectious Disease Consultants of Northern Illinios Not CoveredAMITA Health Alexian Brothers Medical Center Tajuddin Al-Karim MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Tajuddin Al-Karim MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Talwar Sunita MD Sunita Talwar, M. D. Internal Medicine Not CoveredAMITA Health St. Alexius Medical Center Tan Tisha Joerla Mirasol MD Kidney Care Center Elgin, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Tan Tisha Joerla Mirasol MD Kidney Care Center Elgin, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Tandez Cornelia V. MD Legacy Medical Care, Inc. Not CoveredAMITA Health St. Alexius Medical Center Tanner Janine APN DuPage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Tarasov Eugene DO Chicago Surgical Clinic, Ltd Not Covered

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Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health Alexian Brothers Medical Center Tarasov Eugene DO Chicago Surgical Clinic, Ltd Not CoveredAMITA Health St. Alexius Medical Center Tashima David L MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Tavakoly Nasser CSA Delijan Surgical Assistants, Inc. Not CoveredAMITA Health St. Alexius Medical Center Tayani Joseph PA-C Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Tayani Joseph PA-C Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Taylor Kimberly A DO Direct Radiology Not CoveredAMITA Health St. Alexius Medical Center Teplis Carol F. MD Associates in Pediatrics, S.C. - Elgin Not CoveredAMITA Health Alexian Brothers Medical Center Terna Theresa L APN Alexian Brothers Medical Center Not CoveredAMITA Health St. Alexius Medical Center Test Amita 2 MD Suburban Lung Associates Not CoveredAMITA Health Alexian Brothers Medical Center Thakkar Anand M MD Anand Thakkar, M.D. Not CoveredAMITA Health St. Alexius Medical Center Thakkar Anand M MD Anand Thakkar, M.D. Not CoveredAMITA Health St. Alexius Medical Center Thakrar Ameet DPM Vittori Foot and Ankle Specialist Not CoveredAMITA Health St. Alexius Medical Center Thomas Chelsea L PA-C OrthoIllinois Not CoveredAMITA Health Alexian Brothers Medical Center Thomas Nisha NP R.K. Medical Center, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Thompson Karen Barlo PA Illinois Bone & Joint Institute, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Thompson Andrew Blatt MD Metro Infectious Disease Not CoveredAMITA Health St. Alexius Medical Center Thompson Zachary Moss MD Vision Radiology Not CoveredAMITA Health St. Alexius Medical Center Thoms Monica L. MD Koziol Thoms Eye Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Tiballi Robert N DO Germbusters, P.C. - Elgin Not CoveredAMITA Health St. Alexius Medical Center Tingle Thomas C MD Northwest Orthopedic Surgery, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Tingle Thomas C MD Northwest Orthopedic Surgery, S.C. Not CoveredAMITA Health St. Alexius Medical Center Tinkle Bradley T MD Medical Genetics Not CoveredAMITA Health St. Alexius Medical Center Tiplitsky Scott I MD UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Tiplitsky Scott I MD UroPartners, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Titus Bindu APN Lifespan Medical Associates Not CoveredAMITA Health St. Alexius Medical Center Titus Bindu APN Lifespan Medical Associates Not CoveredAMITA Health St. Alexius Medical Center Tjaden Jason C. MD Children's Medical Group Not CoveredAMITA Health Alexian Brothers Medical Center Tolitano Dominic J MD Advanced Vein Clinics Not CoveredAMITA Health St. Alexius Medical Center Tonkovic Russ J MD Advocate Medical Group Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Trevick Stephen A MD Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Trevick Stephen A MD Northwest Neurology, LTD Not CoveredAMITA Health St. Alexius Medical Center Trevick Stephen A MD Northwest Neurology, LTD Not CoveredAMITA Health Alexian Brothers Medical Center Tsaran Marianna MD Marianna Tsaran, MD SC Not CoveredAMITA Health Alexian Brothers Medical Center Tsinman Michael G MD Tsinman, PC Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Tsinman Michael G MD Tsinman, PC Not CoveredAMITA Health St. Alexius Medical Center Tsinman Michael G MD Tsinman, PC Not CoveredAMITA Health Alexian Brothers Medical Center Tu Kevin C. MD G&T Orthopaedics and Sports Medicine 1 Not CoveredAMITA Health Alexian Brothers Medical Center Tu Rong-Shang MD Midwest Pulmonary Associates, S.C. Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Tucker Jean M. APN Behavioral Health Care Associates - Schaumburg Not CoveredAMITA Health Alexian Brothers Medical Center Turf Robert DPM Elmhurst Podiatry Center Not CoveredAMITA Health Alexian Brothers Medical Center Tzelepis Elias MD Suburban Endocrinology & Diabetes Not CoveredAMITA Health St. Alexius Medical Center Tzelepis Elias MD Suburban Endocrinology & Diabetes Not CoveredAMITA Health St. Alexius Medical Center Upadhyay Rupal MD Associates in Pediatrics, S.C. - Elgin Not CoveredAMITA Health Alexian Brothers Medical Center Valiente Gloria C MD A to Z Pediatric and Youth Healthcare Not CoveredAMITA Health St. Alexius Medical Center Vallejo David MD OB Hospitalist Group Not CoveredAMITA Health St. Alexius Medical Center Vallort Maria PNP Pediatric Care Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Vaseemuddin Mohammad MD Kidney Consultants Not CoveredAMITA Health St. Alexius Medical Center Vaseemuddin Mohammad MD Kidney Consultants Not CoveredAMITA Health Alexian Brothers Medical Center Vaughn Eric T MD Suburban Surgical Care Specialists, SC Not CoveredAMITA Health St. Alexius Medical Center Vaughn Eric T MD Suburban Surgical Care Specialists, SC Not CoveredAMITA Health St. Alexius Medical Center Vence Indu M. MD Office of Dr. Indu M. Vence, M.D., S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Vender Michael I MD Hand Surgery Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Vender Michael I MD Hand Surgery Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Venkatesan Roma H APN Alexian Brothers Medical Group - EGV Not CoveredAMITA Health Alexian Brothers Medical Center Venkatesan Roma H APN Alexian Brothers Medical Group - EGV Not CoveredAMITA Health St. Alexius Medical Center Verderber Lisa C MD Pediatric Eye Associates - Wilmette Not CoveredAMITA Health St. Alexius Medical Center Vergara Claudia Lorena MD Greater Chicago Specialty Physicians Not CoveredAMITA Health Alexian Brothers Medical Center Vicenio Myra F MD TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Vicenio Myra F MD TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Victor Rosina Hannilora CNM Advanced Women`s Healthcare Specialists, SC Not CoveredAMITA Health St. Alexius Medical Center Victor Rosina Hannilora CNM Advanced Women`s Healthcare Specialists, SC Not CoveredAMITA Health St. Alexius Medical Center Vierling Susan G MD Suburban Retina Ltd Not CoveredAMITA Health St. Alexius Medical Center Volkening Christina S CNM Suburban Womens Health Specialists, Ltd Not CoveredAMITA Health St. Alexius Medical Center Vora Sandip K SA American Surgical Professionals Not CoveredAMITA Health Alexian Brothers Medical Center Vukas Daniel D MD Northwest ENT Associates Not CoveredAMITA Health St. Alexius Medical Center Vukas Daniel D MD Northwest ENT Associates Not CoveredAMITA Health Alexian Brothers Medical Center Wahid Farheen DPM Midwest Foot & Ankle Clinics Not CoveredAMITA Health Alexian Brothers Medical Center Waitley David W MD Metro Infectious Disease Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Waliuddin Syed MD Valley Psychiatry and Counseling, LLC Not CoveredAMITA Health St. Alexius Medical Center Wang Susan Ying MD Vision Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Warskow Richard PA Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Warskow Richard PA Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Wasiti Ali MD TeamHealth Not CoveredAMITA Health St. Alexius Medical Center Wasiti Ali MD TeamHealth Not CoveredAMITA Health Alexian Brothers Medical Center Webb C. Thomas MD Elmhurst Memorial Primary Associ Not CoveredAMITA Health Alexian Brothers Medical Center Wei Dapeng MD IPC of Illinois, Inc. Not CoveredAMITA Health St. Alexius Medical Center Wei Dapeng MD IPC of Illinois, Inc. Not CoveredAMITA Health Alexian Brothers Medical Center Weiner Glenn L DO Northwest Rheumatology Specialists Not CoveredAMITA Health St. Alexius Medical Center Weiner Glenn L DO Northwest Rheumatology Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Weisberg Mark MD Elk Grove Internists Not CoveredAMITA Health Alexian Brothers Medical Center Welker Keith N. PA Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center Welker Keith N. PA Suburban Orthopaedics - Bartlett Not CoveredAMITA Health St. Alexius Medical Center Wen Dennis MD Elgin Barrington Neurosurgery, SC Not CoveredAMITA Health St. Alexius Medical Center Wessel Matthew M MD Retina Institute of Illinois Not CoveredAMITA Health Alexian Brothers Medical Center Westin Charles William MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Wever Daryl B DPM Itasca Foot and Ankle Not CoveredAMITA Health Alexian Brothers Behavioral Health Hospital Wheeler Sofia APN In Home Medical Group, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Wheeler Sofia APN In Home Medical Group, LLC Not CoveredAMITA Health St. Alexius Medical Center Wheeler Sofia APN In Home Medical Group, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Whitney Bethany A APN Woodfield Urology Not CoveredAMITA Health St. Alexius Medical Center Whitney Bethany A APN Woodfield Urology Not CoveredAMITA Health Alexian Brothers Medical Center Wick Grady M MD Nephrology Assoc of Northern IL Not CoveredAMITA Health St. Alexius Medical Center Wick Grady M MD Nephrology Assoc of Northern IL Not CoveredAMITA Health Alexian Brothers Medical Center Wicker Heather Marie CSA Core Orthopedics & Sports Medicine Not CoveredAMITA Health St. Alexius Medical Center Wicker Heather Marie CSA Core Orthopedics & Sports Medicine Not CoveredAMITA Health Alexian Brothers Medical Center Wiener Rebecca PA-C Northwest United Urology, LLC Not CoveredAMITA Health St. Alexius Medical Center Wiener Rebecca PA-C Northwest United Urology, LLC Not CoveredAMITA Health Alexian Brothers Medical Center Willis Sheveta APN Advanced Midwest Medical Not CoveredAMITA Health St. Alexius Medical Center Willis Sheveta APN Advanced Midwest Medical Not CoveredAMITA Health Alexian Brothers Medical Center Willis Anthony J MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Winkelman Daniel R MD DuPage Medical Group, Ltd. Not CoveredAMITA Health St. Alexius Medical Center Winkelman Daniel R MD DuPage Medical Group, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Winkelman Emily M PA Suburban Surgical Care Specialists, S.C. Not CoveredAMITA Health St. Alexius Medical Center Winkelman Emily M PA Suburban Surgical Care Specialists, S.C. Not Covered

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Page 18: Updated March 16, 2020 - AMITA Health...Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered AMITA Health Alexian Brothers Medical Center Ahmed Aziz MD Metro Cardiovascular Assoc LLC

Hospital Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered AprAMITA Health St. Alexius Medical Center Winkler John W MD Des Plaines Eye Physicians & Surgeons, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Wisby Dana DPM Advanced Foot & Ankle Center of Illinois Not CoveredAMITA Health St. Alexius Medical Center Wittkopf Maria L MD Suburban Ear, Nose and Throat Associates Not CoveredAMITA Health St. Alexius Medical Center Wohl Lisa G MD Dupage Medical Group Not CoveredAMITA Health St. Alexius Medical Center Wojcik Karen NP-C Center for Sports Orthopaedics Not CoveredAMITA Health Alexian Brothers Medical Center Wojcik Karen NP-C Center for Sports Orthopaedics Not Covered

AMITA Health St. Alexius Medical Center Wolf Myron I DPMMyron I Wolf DPM D/B/A Wolf Podiatry & Associates Not Covered

AMITA Health Alexian Brothers Medical Center Wolf Myron I DPMMyron I Wolf DPM D/B/A Wolf Podiatry & Associates Not Covered

AMITA Health St. Alexius Medical Center Wolford Holly APN Northwest Neurology, Ltd Not CoveredAMITA Health Alexian Brothers Medical Center Wolford Holly APN Northwest Neurology, Ltd Not CoveredAMITA Health St. Alexius Medical Center Wollin Warren D. DO Physicians Immediate Care- Elgin Not CoveredAMITA Health Alexian Brothers Medical Center Wong Jonathan W DDS Renovo Endodontic Studio Not CoveredAMITA Health St. Alexius Medical Center Wood Christopher F MD Northwest Eye Physicians Not CoveredAMITA Health St. Alexius Medical Center Woods Donna M. MD Perakis, Resis, Woods & Associates Not CoveredAMITA Health St. Alexius Medical Center Wyhinny George J MD Midwest Retina Consultants, S.C. - Des Plaines Not CoveredAMITA Health Alexian Brothers Medical Center Wyhinny George J MD Midwest Retina Consultants, S.C. - Des Plaines Not CoveredAMITA Health St. Alexius Medical Center Xu Lai MD Northwest Oncology & Hematology Not CoveredAMITA Health Alexian Brothers Medical Center Xu Lai MD Northwest Oncology & Hematology Not CoveredAMITA Health Alexian Brothers Medical Center Yaacoub Chadi I MD Illinois Pain Institute, Ltd. Not CoveredAMITA Health Alexian Brothers Medical Center Yaffe Mark MD Barrington Orthopedic Specialists Not CoveredAMITA Health St. Alexius Medical Center Yaffe Mark MD Barrington Orthopedic Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Yalovetskiy Vadim CSA Lalovet Surgical Assistants, Inc. Not CoveredAMITA Health St. Alexius Medical Center Yalovetskiy Vadim CSA Lalovet Surgical Assistants, Inc. Not CoveredAMITA Health Alexian Brothers Medical Center Yango-Eugenio Maria Cynthia MD Maria C Yango MD Not CoveredAMITA Health St. Alexius Medical Center Yango-Eugenio Maria Cynthia MD Maria C Yango MD Not CoveredAMITA Health St. Alexius Medical Center Yeshwant Chilakamarri MD Illinois Cancer Specialists - Elgin Not CoveredAMITA Health Alexian Brothers Medical Center Yin Yuming MD Direct Radiology Not CoveredAMITA Health Alexian Brothers Medical Center Yockey Ranae L DO Advanced Women`s Healthcare Specialists, SC Not CoveredAMITA Health St. Alexius Medical Center Yockey Ranae L DO Advanced Women`s Healthcare Specialists, SC Not CoveredAMITA Health Alexian Brothers Medical Center Yorulmazoglu Erol MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Yorulmazoglu Erol MD Northwest Oncology & Hematology Not CoveredAMITA Health St. Alexius Medical Center Yuen Michael H. MD Michael H. Yuen, M.D. Not CoveredAMITA Health St. Alexius Medical Center Yung Silvia I-Chun PA OrthoIllinois Not CoveredAMITA Health Alexian Brothers Medical Center Zabor Kathleen M PA-C Suburban Surgical Care Specialists, S.C. Not CoveredAMITA Health St. Alexius Medical Center Zabor Kathleen M PA-C Suburban Surgical Care Specialists, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Zahid Mohammad MD Elgin Clinic, Ltd. - Elgin Not CoveredAMITA Health St. Alexius Medical Center Zahid Mohammad MD Elgin Clinic, Ltd. - Elgin Not CoveredAMITA Health St. Alexius Medical Center Zahid Sarwar MD Retina Institute of Illinois PC Not CoveredAMITA Health St. Alexius Medical Center Zahir Syed A. MD Illinois Cancer Specialists Not CoveredAMITA Health Alexian Brothers Medical Center Zahrebelski George MD Digestive Disorders & Liver Center Not CoveredAMITA Health St. Alexius Medical Center Zahrebelski George MD Digestive Disorders & Liver Center Not CoveredAMITA Health St. Alexius Medical Center Zaidi Shabiha MD Mazhar H. Zaidi, M.D. Not CoveredAMITA Health Alexian Brothers Medical Center Zaveri Shailesh MD Dr. Zaveri & Associates, S.C. Not CoveredAMITA Health St. Alexius Medical Center Zaveri Shailesh MD Dr. Zaveri & Associates, S.C. Not CoveredAMITA Health Alexian Brothers Medical Center Zawilenski Matthew D. MD Skypoint Medical Center Not CoveredAMITA Health St. Alexius Medical Center Zimmerman Frank J MD Advocate Children's Heart Institute Not Covered

Updated March 16, 2020

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