Приложение 1 Перечень провайдеров fap/врачей ·...

185
Приложение 1 Перечень провайдеров FAP/врачей Поскольку ценностями AHC являются сострадание и служение людям, политика AHC состоит в оказании Финансового содействия нуждающимся пациентам. Политика Финансового содействия (FAP) применяется ко всем видам скорой или необходимой медицинской помощи, оказываемым в больнице, однако она не является обязательной для соблюдения другими отдельными провайдерами (например, врачами) медицинских услуг за пределами больницы. Также она не является обязательной для соблюдения провайдерами в таких вопросах как, например, изменение в трудовых отношениях с AHC или изменение в сфере их деятельности. Таким образом, поскольку врачи и другие провайдеры, включенные в этот перечень, могут время от времени изменяться, AHC будет обновлять и размещать его новую версию на своем веб-сайте (www.advocatehealth.com/financialassistance) не реже, чем ежеквартально. Если Статус страхового покрытия FAP провайдера указан как "ПОКРЫТО СОГЛАСНО FAP" (COVERED UNDER FAP), это значит, что провайдер или медицинское обслуживание в практике провайдера (предоставляемое в помещении больницы) имеет страховое покрытие согласно данной Политике финансового содействия. Если Статус страхового покрытия FAP провайдера указан как "НЕ ПОКРЫТО" (NOT COVERED), это значит, что провайдер или медицинское обслуживание в практике провайдера (предоставляемое в помещении больницы) не имеет страхового покрытия согласно данной Политике финансового содействия. Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP Abadeer, Peter -DO Bromenn Medical Center NOT COVERED Abdeljaber, Ashraf -MD Bromenn Medical Center COVERED UNDER FAP Abrahamsen, Antonia -NP Bromenn Medical Center NOT COVERED Adams, Sarah -NP Bromenn Medical Center NOT COVERED Adeoye, Oriade -MD Bromenn Medical Center COVERED UNDER FAP Advanced Inpatient Consultants, LLC Bromenn Medical Center NOT COVERED Advanced Women's Healthcare, SC Bromenn Medical Center NOT COVERED Advocate Eureka Hospital Family Practice - El Paso Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group - Normal - 1300 Franklin Ave - Hospitalists Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group - Normal - 1302 Franklin - Endovascular Neuro Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group - Normal - 1304 Franklin - Neonatology Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group - Normal - College Ave - Family Medicine Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group - Normal - College Ave - Immediate Care Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group - Normal - Franklin - Endocrinology Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group - Normal - Pediatric Cardiology Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group Bloomington Empire Behavioral Health Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group Bloomington Family Medicine Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group Bloomington Pediatrics Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group BroMenn Psychiatry Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group ENT Surgical Associates Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group Fairbury Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group General & Colorectal Surgery Central IL Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group Illinois Heart & Lung Cardiology Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group Illinois Heart & Lung Pulmonology Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group LeRoy Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group Lexington Bromenn Medical Center COVERED UNDER FAP Advocate Medical Group Wound Healing & Hyperbaric Medicine Bromenn Medical Center COVERED UNDER FAP Agha, Caroline -MD Bromenn Medical Center NOT COVERED Ahn, Joseph -MD Bromenn Medical Center COVERED UNDER FAP Akhtar, Muhammad -MD Bromenn Medical Center COVERED UNDER FAP Alberts, Lyndi -NP Bromenn Medical Center NOT COVERED Alden, Douglas -MD Bromenn Medical Center NOT COVERED Alexander, Carrie -NP Bromenn Medical Center COVERED UNDER FAP Alexander, John -MD Bromenn Medical Center NOT COVERED Allen, Otis -MD Bromenn Medical Center NOT COVERED Alonso, Alexander -MD Bromenn Medical Center NOT COVERED Altenburger, Dana -MD Bromenn Medical Center NOT COVERED Alyea, Daniel -MD Bromenn Medical Center NOT COVERED Ambulatory Anesthesiology, Ltd. Bromenn Medical Center NOT COVERED Anderson, David -MD Bromenn Medical Center NOT COVERED Page 1

Upload: others

Post on 15-Jul-2020

45 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Приложение 1 Перечень провайдеров FAP/врачей

Поскольку ценностями AHC являются сострадание и служение людям, политика AHC состоит в оказании Финансового содействия нуждающимся пациентам. Политика Финансового содействия (FAP) применяется ко всем видам скорой или необходимой медицинской помощи, оказываемым в больнице, однако она не является обязательной для соблюдения другими отдельными провайдерами (например, врачами) медицинских услуг за пределами больницы. Также она не является обязательной для соблюдения провайдерами в таких вопросах как, например, изменение в трудовых отношениях с AHC или изменение в сфере их деятельности. Таким образом, поскольку врачи и другие провайдеры, включенные в этот перечень, могут время от времени изменяться, AHC будет обновлять и размещать его новую версию на своем веб-сайте (www.advocatehealth.com/financialassistance) не реже, чем ежеквартально.

Если Статус страхового покрытия FAP провайдера указан как "ПОКРЫТО СОГЛАСНО FAP" (COVERED UNDER FAP), это значит, что провайдер или медицинское обслуживание в практике провайдера (предоставляемое в помещении больницы) имеет страховое покрытие согласно данной Политике финансового содействия. Если Статус страхового покрытия FAP провайдера указан как "НЕ ПОКРЫТО" (NOT COVERED), это значит, что провайдер или медицинское обслуживание в практике провайдера (предоставляемое в помещении больницы) не имеет страхового покрытия согласно данной Политике финансового содействия.

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Abadeer, Peter -DOBromenn Medical Center NOT COVERED

Abdeljaber, Ashraf -MDBromenn Medical Center COVERED UNDER FAP

Abrahamsen, Antonia -NPBromenn Medical Center NOT COVERED

Adams, Sarah -NPBromenn Medical Center NOT COVERED

Adeoye, Oriade -MDBromenn Medical Center COVERED UNDER FAP

Advanced Inpatient Consultants, LLCBromenn Medical Center NOT COVERED

Advanced Women's Healthcare, SCBromenn Medical Center NOT COVERED

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

Advocate Medical Group - Normal - 1300 Franklin Ave - HospitalistsBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group - Normal - 1302 Franklin - Endovascular NeuroBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group - Normal - 1304 Franklin - NeonatologyBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group - Normal - College Ave - Family MedicineBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group - Normal - College Ave - Immediate CareBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group - Normal - Franklin - EndocrinologyBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group - Normal - Pediatric CardiologyBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group Bloomington Empire Behavioral HealthBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group Bloomington Family MedicineBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group Bloomington PediatricsBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group BroMenn PsychiatryBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group ENT Surgical AssociatesBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group FairburyBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group General & Colorectal Surgery Central ILBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group Illinois Heart & Lung CardiologyBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group Illinois Heart & Lung PulmonologyBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group LeRoyBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group LexingtonBromenn Medical Center COVERED UNDER FAP

Advocate Medical Group Wound Healing & Hyperbaric MedicineBromenn Medical Center COVERED UNDER FAP

Agha, Caroline -MDBromenn Medical Center NOT COVERED

Ahn, Joseph -MDBromenn Medical Center COVERED UNDER FAP

Akhtar, Muhammad -MDBromenn Medical Center COVERED UNDER FAP

Alberts, Lyndi -NPBromenn Medical Center NOT COVERED

Alden, Douglas -MDBromenn Medical Center NOT COVERED

Alexander, Carrie -NPBromenn Medical Center COVERED UNDER FAP

Alexander, John -MDBromenn Medical Center NOT COVERED

Allen, Otis -MDBromenn Medical Center NOT COVERED

Alonso, Alexander -MDBromenn Medical Center NOT COVERED

Altenburger, Dana -MDBromenn Medical Center NOT COVERED

Alyea, Daniel -MDBromenn Medical Center NOT COVERED

Ambulatory Anesthesiology, Ltd.Bromenn Medical Center NOT COVERED

Anderson, David -MDBromenn Medical Center NOT COVERED

Page 1

Page 2: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Anesthesiology ConsultantsBromenn Medical Center NOT COVERED

Anwar, Khalida -MDBromenn Medical Center NOT COVERED

Applied Pain Institute, LLCBromenn Medical Center NOT COVERED

Aprahamian, Ara -MDBromenn Medical Center NOT COVERED

Armstrong, Lucas -MDBromenn Medical Center NOT COVERED

Ash, Jennifer -MDBromenn Medical Center NOT COVERED

Associated Anesthesiologists, SCBromenn Medical Center NOT COVERED

Associates In Dermatology, SCBromenn Medical Center NOT COVERED

Atkins, Marsha -NPBromenn Medical Center COVERED UNDER FAP

Austin, Xiaotian -MDBromenn Medical Center NOT COVERED

Bajaj, Madhuri -MDBromenn Medical Center NOT COVERED

Bandy, John -MDBromenn Medical Center NOT COVERED

Banerjee, Sara -MDBromenn Medical Center NOT COVERED

Bankston, Kimberly -NPBromenn Medical Center NOT COVERED

Barba, Kenneth -MDBromenn Medical Center NOT COVERED

Bechir, George -MDBromenn Medical Center COVERED UNDER FAP

Behaj, Valbona -MDBromenn Medical Center COVERED UNDER FAP

Benson, Jonathan -DOBromenn Medical Center COVERED UNDER FAP

Benyamin, Ramsin -MDBromenn Medical Center NOT COVERED

Berck, Lilla -MDBromenn Medical Center NOT COVERED

Bhardwaj, Davender -MDBromenn Medical Center NOT COVERED

Bhaskar, Renuka -MDBromenn Medical Center NOT COVERED

Bhatia, Sumit -MDBromenn Medical Center NOT COVERED

Birge, Kenneth -MDBromenn Medical Center NOT COVERED

Bishof, Christine -MDBromenn Medical Center COVERED UNDER FAP

Bloomington Pediatrics & AllergyBromenn Medical Center NOT COVERED

Bloomington Primary Care, LTDBromenn Medical Center NOT COVERED

Bloomington Radiology, SCBromenn Medical Center NOT COVERED

Bloomington Rehabilitation Associates, LLCBromenn Medical Center NOT COVERED

Bloomington-Normal AnesthesiaBromenn Medical Center NOT COVERED

Bloomington-Normal Birthing Center, LLCBromenn Medical Center NOT COVERED

Bloomington-Normal ENT LTDBromenn Medical Center NOT COVERED

Boe, Erik -MDBromenn Medical Center NOT COVERED

Bohn, Kathryn -MDBromenn Medical Center NOT COVERED

Boholst-Panopio, Phoebe -MDBromenn Medical Center NOT COVERED

Bozman, Raymond -MDBromenn Medical Center NOT COVERED

Braastad, Robert -MDBromenn Medical Center COVERED UNDER FAP

Bradford, Amber -CRNABromenn Medical Center NOT COVERED

Brander, Thomas -MDBromenn Medical Center NOT COVERED

Brownstone, Daniel -MDBromenn Medical Center NOT COVERED

Bruha, Robert -MDBromenn Medical Center NOT COVERED

Burr, John -MDBromenn Medical Center COVERED UNDER FAP

Button, Andrew -PABromenn Medical Center COVERED UNDER FAP

Caldemeyer, Karen -MDBromenn Medical Center NOT COVERED

Callaway, Edward -MDBromenn Medical Center NOT COVERED

Cancer Care AssociatesBromenn Medical Center NOT COVERED

Cardiovascular Health SpecialistsBromenn Medical Center NOT COVERED

Carle Physician GroupBromenn Medical Center NOT COVERED

Carrington, Scott -MDBromenn Medical Center COVERED UNDER FAP

Casey, Kristin -MDBromenn Medical Center NOT COVERED

Cash, Jason -MDBromenn Medical Center NOT COVERED

Castillo, Richard -MDBromenn Medical Center NOT COVERED

Catarinicchia, Salvatore -MDBromenn Medical Center NOT COVERED

Center for Cosmetic and Laser Surgery, LLCBromenn Medical Center NOT COVERED

Central Illinois Center for Wellness LLCBromenn Medical Center NOT COVERED

Central Illinois Neuro Health Sciences, LtdBromenn Medical Center NOT COVERED

Central Illinois Neuroradiology Ltd-Advanced MRIBromenn Medical Center NOT COVERED

Central Illinois Orthopedic Surgery, LLCBromenn Medical Center NOT COVERED

Page 2

Page 3: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Central Illinois Pediatric Associates, LLCBromenn Medical Center NOT COVERED

Chalian, Vicken -MDBromenn Medical Center NOT COVERED

Chan, David -MDBromenn Medical Center NOT COVERED

Cherukuri, Sudha -MDBromenn Medical Center NOT COVERED

Children's Center for DentistryBromenn Medical Center NOT COVERED

Chokshi, Nikhil -MDBromenn Medical Center NOT COVERED

Choudhry, Asifa -MDBromenn Medical Center COVERED UNDER FAP

Christie Clinic, LLCBromenn Medical Center NOT COVERED

Cienfuegos, Anthony -CRNABromenn Medical Center NOT COVERED

Clark, Robert -MDBromenn Medical Center NOT COVERED

Clemons, Kristin -MDBromenn Medical Center NOT COVERED

Cobb, Michael -MDBromenn Medical Center NOT COVERED

Cochran, Michael -MDBromenn Medical Center NOT COVERED

Cogent HospitalistsBromenn Medical Center NOT COVERED

Cole, Bradley -NPBromenn Medical Center NOT COVERED

Coleman, Benjamin -MDBromenn Medical Center NOT COVERED

Coleman, Clarence -MDBromenn Medical Center NOT COVERED

Community Cancer Center, LLCBromenn Medical Center NOT COVERED

Conley, Diane -MDBromenn Medical Center NOT COVERED

Cordoba, Adrian -MDBromenn Medical Center NOT COVERED

Cortese Foot & Ankle Clinic, P.CBromenn Medical Center NOT COVERED

Cortese, Carl -DPMBromenn Medical Center NOT COVERED

Cortese, Craig -DPMBromenn Medical Center NOT COVERED

Crockett, Catharine -MDBromenn Medical Center NOT COVERED

Culp, Eric -DOBromenn Medical Center COVERED UNDER FAP

Cunningham, Daniel -DOBromenn Medical Center NOT COVERED

Dalbak, Dana -PABromenn Medical Center NOT COVERED

Dalton, Rachel -DOBromenn Medical Center NOT COVERED

Dameron, Jennifer -MDBromenn Medical Center NOT COVERED

Dangles, Chris -MDBromenn Medical Center NOT COVERED

Daniel A Nord MD Obstetrics and Gynecology, LLCBromenn Medical Center NOT COVERED

Davis, Brooke -NPBromenn Medical Center COVERED UNDER FAP

Davis, Brooke -NPBromenn Medical Center NOT COVERED

Davis, Jason -MDBromenn Medical Center NOT COVERED

Deeken-Draisey, Audrey -MDBromenn Medical Center NOT COVERED

Deffenbaugh, Jacqueline -NPBromenn Medical Center NOT COVERED

Definitive Neurodiagnostics, LLCBromenn Medical Center NOT COVERED

Degon, Ronald -SABromenn Medical Center NOT COVERED

Dermatology and Mohs Surgery Institute, LtdBromenn Medical Center NOT COVERED

Detwiler, Angie -CNMBromenn Medical Center NOT COVERED

Devlin, Elizabeth -NPBromenn Medical Center NOT COVERED

DeWeert, Thomas -MDBromenn Medical Center NOT COVERED

DeWitt, Kellie -PABromenn Medical Center NOT COVERED

Dhorajia, Girishkumar -MDBromenn Medical Center COVERED UNDER FAP

Dick, Herman -MDBromenn Medical Center COVERED UNDER FAP

Dietz, Gregory -DMDBromenn Medical Center NOT COVERED

Digestive Disease Consultants, LTDBromenn Medical Center NOT COVERED

Djagarian, Artur -MDBromenn Medical Center COVERED UNDER FAP

Dobransky, Paul -MDBromenn Medical Center COVERED UNDER FAP

Draksler, David -CRNABromenn Medical Center NOT COVERED

Ductan, Kerline -MDBromenn Medical Center COVERED UNDER FAP

Dustman, John -MDBromenn Medical Center NOT COVERED

Dutta, Sarah -MDBromenn Medical Center NOT COVERED

Easley, Ryan -DOBromenn Medical Center NOT COVERED

Elemo, Ibrahim -MDBromenn Medical Center COVERED UNDER FAP

Emm, Brian -MDBromenn Medical Center NOT COVERED

Emm, Lisa -MDBromenn Medical Center NOT COVERED

Farinas, Eric -MDBromenn Medical Center NOT COVERED

Page 3

Page 4: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Favila, Marlito -MDBromenn Medical Center COVERED UNDER FAP

Feinzimer, Benjamin -DOBromenn Medical Center COVERED UNDER FAP

Fernandes, Darryl -MDBromenn Medical Center COVERED UNDER FAP

Fernandes, Patrick -MDBromenn Medical Center NOT COVERED

Feucht, Jeanette -NPBromenn Medical Center NOT COVERED

Fever, Kali -NPBromenn Medical Center NOT COVERED

Fischer, Debra -NPBromenn Medical Center NOT COVERED

Fishkin, Paul -MDBromenn Medical Center NOT COVERED

Fitzgerald, Katherine -MDBromenn Medical Center NOT COVERED

Fogle, Dominno -PABromenn Medical Center NOT COVERED

Foss, Jonathan -MDBromenn Medical Center NOT COVERED

Fox, Caitlyn -NPBromenn Medical Center NOT COVERED

Francois, Andre -MDBromenn Medical Center NOT COVERED

Frantz, Alex -PABromenn Medical Center NOT COVERED

Frazier, Jennifer -CRNABromenn Medical Center NOT COVERED

Fulk, Nona -MDBromenn Medical Center NOT COVERED

Fuss, Brenda -NPBromenn Medical Center COVERED UNDER FAP

Gailey Eye ClinicBromenn Medical Center NOT COVERED

Galue, Gustavo -MDBromenn Medical Center NOT COVERED

Galvan OBGYN & Associates, LLCBromenn Medical Center NOT COVERED

Galvan, Jeffrey -MDBromenn Medical Center NOT COVERED

Gandhi, Siddharth -DOBromenn Medical Center COVERED UNDER FAP

Gebhart, Brian -DOBromenn Medical Center COVERED UNDER FAP

Gerardo A. Grieco, MD, SCBromenn Medical Center NOT COVERED

Gerstner, Gregory -MDBromenn Medical Center NOT COVERED

Ginnetti, Richard -MDBromenn Medical Center NOT COVERED

Ginzburg, Alan -MDBromenn Medical Center COVERED UNDER FAP

Glatz, Alan -NPBromenn Medical Center NOT COVERED

Gleason-Dintaman, Catherine -CRNABromenn Medical Center NOT COVERED

Gomez, Patrick -MDBromenn Medical Center NOT COVERED

Gordhan, Ajeet -MDBromenn Medical Center COVERED UNDER FAP

Goswami, Panna -MDBromenn Medical Center NOT COVERED

Grahs, Kathryn -NPBromenn Medical Center COVERED UNDER FAP

Gratkins, Lawrence -MDBromenn Medical Center NOT COVERED

Grieco, Gerardo -MDBromenn Medical Center COVERED UNDER FAP

Griffin, Anthony -CRNABromenn Medical Center NOT COVERED

Guardian Headache and Pain Management Institute, LLCBromenn Medical Center NOT COVERED

Gurganious, Nicholas -PABromenn Medical Center COVERED UNDER FAP

Ha, Daniel -MDBromenn Medical Center NOT COVERED

Haas, Ellen -MDBromenn Medical Center NOT COVERED

Hahn, Deanna -DOBromenn Medical Center NOT COVERED

Hakki, Abdul Hadi -MDBromenn Medical Center COVERED UNDER FAP

Hall, Thomas -DMDBromenn Medical Center NOT COVERED

Halperin, Caroline -DOBromenn Medical Center COVERED UNDER FAP

Halperin, Gregory -MDBromenn Medical Center NOT COVERED

Hameeduddin, Rafiya -DOBromenn Medical Center COVERED UNDER FAP

Hammond, David -CRNABromenn Medical Center NOT COVERED

Hancock, James -MDBromenn Medical Center NOT COVERED

Hanson, Mark -MDBromenn Medical Center NOT COVERED

Haque, Kashif -MDBromenn Medical Center COVERED UNDER FAP

Harbison, Elizabeth -MDBromenn Medical Center COVERED UNDER FAP

Hariharan, Mini -MDBromenn Medical Center COVERED UNDER FAP

Harman, Joseph -MDBromenn Medical Center NOT COVERED

Harrison, Heather -MDBromenn Medical Center COVERED UNDER FAP

Hassan, Johara -MDBromenn Medical Center NOT COVERED

Hasselman, Ty -MDBromenn Medical Center NOT COVERED

Hauter, Marcia -MDBromenn Medical Center COVERED UNDER FAP

Hayden, Curtis -MDBromenn Medical Center COVERED UNDER FAP

Page 4

Page 5: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Heart of Illinois Obstetrics and Gynecology SCBromenn Medical Center NOT COVERED

Hecht, Adam -MDBromenn Medical Center NOT COVERED

Hernandez, Amie -CNMBromenn Medical Center NOT COVERED

Hill, Amy -CNMBromenn Medical Center NOT COVERED

Hill, Stephen -MDBromenn Medical Center COVERED UNDER FAP

Hinsdale Orthopaedic Associates, SCBromenn Medical Center NOT COVERED

Hinthorne, Summer -NPBromenn Medical Center NOT COVERED

Holst, Christopher -MDBromenn Medical Center NOT COVERED

Holt, Paige -MDBromenn Medical Center NOT COVERED

Hom, Sophia -MDBromenn Medical Center NOT COVERED

Horinek, Anthony -MDBromenn Medical Center NOT COVERED

Hoschek, Jeffrey -MDBromenn Medical Center NOT COVERED

Houghton, Adam -MDBromenn Medical Center NOT COVERED

Houk, Sara -PABromenn Medical Center NOT COVERED

Houser, David -MDBromenn Medical Center NOT COVERED

Huber, Jill -NPBromenn Medical Center COVERED UNDER FAP

Hussain, Syed -MDBromenn Medical Center NOT COVERED

Ijeli, Anthonia -MDBromenn Medical Center COVERED UNDER FAP

Illinois CancerCare, PCBromenn Medical Center NOT COVERED

Illinois State UniversityBromenn Medical Center NOT COVERED

Imam, Syed -MDBromenn Medical Center NOT COVERED

Immen, Steven -MDBromenn Medical Center NOT COVERED

Ingalsbe, Steven -MDBromenn Medical Center COVERED UNDER FAP

Ireland Grove Center for Surgery, LLCBromenn Medical Center NOT COVERED

Israel, Daniel -MDBromenn Medical Center NOT COVERED

Jacob, Raji -MDBromenn Medical Center NOT COVERED

Jahangir, Numan -MDBromenn Medical Center COVERED UNDER FAP

James, Gordon -MDBromenn Medical Center NOT COVERED

Jamnadas, Amit -MDBromenn Medical Center NOT COVERED

Jantzen, David -MDBromenn Medical Center NOT COVERED

Jarzabkowski, Dory -DOBromenn Medical Center COVERED UNDER FAP

Javadi, Pooria -MDBromenn Medical Center NOT COVERED

Jeffrey Jones, DDS, LLCBromenn Medical Center NOT COVERED

Jeong, Hwan -MDBromenn Medical Center NOT COVERED

Jhee, Won -MDBromenn Medical Center NOT COVERED

Jibawi, Ahmad -MDBromenn Medical Center COVERED UNDER FAP

Johnson, Christopher -MDBromenn Medical Center NOT COVERED

Jones, Jeffrey -DDSBromenn Medical Center NOT COVERED

Joseph, Maneesha -NPBromenn Medical Center COVERED UNDER FAP

Jujjavarapu, Srinivas -MDBromenn Medical Center NOT COVERED

Kane, Andrea -MDBromenn Medical Center COVERED UNDER FAP

Kao, Wynn -MDBromenn Medical Center NOT COVERED

Karagiorgos, Nikolaos -MDBromenn Medical Center NOT COVERED

Karkatzounis, Ioannis -MDBromenn Medical Center COVERED UNDER FAP

Katta, Solomon -MDBromenn Medical Center NOT COVERED

Kedlaya, Divakara -MDBromenn Medical Center COVERED UNDER FAP

Keller, Brett -DOBromenn Medical Center NOT COVERED

Kelly, Thomas -MDBromenn Medical Center COVERED UNDER FAP

Kenney, Tom -MDBromenn Medical Center NOT COVERED

Keto, Andrew -DOBromenn Medical Center COVERED UNDER FAP

Kettering, Todd -DOBromenn Medical Center COVERED UNDER FAP

Khan, Amir -MDBromenn Medical Center NOT COVERED

Khan, Usman -MDBromenn Medical Center NOT COVERED

Khatod, Elaine -MDBromenn Medical Center NOT COVERED

Khattak, Muhammad -MDBromenn Medical Center NOT COVERED

Kidney Care Center Rockford, LLCBromenn Medical Center NOT COVERED

Kieser, David -NPBromenn Medical Center NOT COVERED

Kim, Danielle -DOBromenn Medical Center NOT COVERED

Page 5

Page 6: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Kindred, Stephen -MDBromenn Medical Center COVERED UNDER FAP

King, Brittany -NPBromenn Medical Center NOT COVERED

Kink, Shaun -MDBromenn Medical Center NOT COVERED

Klauss, Sven -MDBromenn Medical Center NOT COVERED

Klein, Angela -NPBromenn Medical Center NOT COVERED

Klein, Jerome -MDBromenn Medical Center NOT COVERED

KMB, SCBromenn Medical Center NOT COVERED

Knepp, Marc -MDBromenn Medical Center NOT COVERED

Koh, David -MDBromenn Medical Center COVERED UNDER FAP

Kohaus, Ashley -MDBromenn Medical Center NOT COVERED

Kolb, Edward -MDBromenn Medical Center NOT COVERED

Kolb, Jean -MDBromenn Medical Center NOT COVERED

Kooba, Erik -MDBromenn Medical Center NOT COVERED

Kopp, Alan -MDBromenn Medical Center NOT COVERED

Kossler, Karla -MDBromenn Medical Center NOT COVERED

Kosturakis, David -MDBromenn Medical Center COVERED UNDER FAP

Kovalaske, Anastasia -NPBromenn Medical Center NOT COVERED

Ku, Kimberly -MDBromenn Medical Center NOT COVERED

Kube, Brenda -MDBromenn Medical Center COVERED UNDER FAP

Kujalowicz, Zbigniew -MDBromenn Medical Center NOT COVERED

Kumar, Pankaj -MDBromenn Medical Center NOT COVERED

Lange, Daniel -MDBromenn Medical Center NOT COVERED

Lanz, Jennifer -NPBromenn Medical Center COVERED UNDER FAP

Lanzerotte, Mark -MDBromenn Medical Center NOT COVERED

Lath, Nikesh -MDBromenn Medical Center COVERED UNDER FAP

Laura C. Randolph, MD SCBromenn Medical Center NOT COVERED

Leak, Benjamin -MDBromenn Medical Center NOT COVERED

Lee, Anita -MDBromenn Medical Center NOT COVERED

Lee, Dennis -MDBromenn Medical Center NOT COVERED

Lee, Robert -MDBromenn Medical Center NOT COVERED

Le-Lindqwister, Nguyet -MDBromenn Medical Center NOT COVERED

Leone, Douglas -MDBromenn Medical Center NOT COVERED

Lewis, Julie -MDBromenn Medical Center COVERED UNDER FAP

Li, Fang -MDBromenn Medical Center COVERED UNDER FAP

Li, Ji -MDBromenn Medical Center NOT COVERED

Li, Lawrence -MDBromenn Medical Center NOT COVERED

Lillie, Christopher -PABromenn Medical Center NOT COVERED

Lindsey, Sarah -CNSBromenn Medical Center NOT COVERED

Lira, Sorel -MDBromenn Medical Center COVERED UNDER FAP

Liu, Jijun -MDBromenn Medical Center NOT COVERED

Looney, Darrell -MDBromenn Medical Center COVERED UNDER FAP

Lopez, Kimberly -NPBromenn Medical Center NOT COVERED

Lugo, Anibal -MDBromenn Medical Center COVERED UNDER FAP

MacVicar, Gary -MDBromenn Medical Center NOT COVERED

Madden, Pamela -NPBromenn Medical Center NOT COVERED

Mahmood, Omar -MDBromenn Medical Center NOT COVERED

Mahmood, Talal -MDBromenn Medical Center NOT COVERED

Malik, Rizwan -MDBromenn Medical Center COVERED UNDER FAP

Malpani, Ajay -MDBromenn Medical Center NOT COVERED

Manness, Wayne -MDBromenn Medical Center NOT COVERED

Marrochello, Veronica -DPMBromenn Medical Center NOT COVERED

Marshall, Kimberly -MDBromenn Medical Center NOT COVERED

Matter, Stephen -MDBromenn Medical Center NOT COVERED

Maves, Jeffrey -CRNABromenn Medical Center NOT COVERED

McDonnell, Kevin -MDBromenn Medical Center NOT COVERED

McDougall, Tonya -NPBromenn Medical Center NOT COVERED

McKenna, Jeffrey -MDBromenn Medical Center NOT COVERED

McLean County Foot and Ankle, LtdBromenn Medical Center NOT COVERED

Page 6

Page 7: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

McLean County Orthopedics, LtdBromenn Medical Center NOT COVERED

Medical Group - College AvenueBromenn Medical Center NOT COVERED

Medical Hills Internists, LLCBromenn Medical Center COVERED UNDER FAP

Medical Hills Internists, LLCBromenn Medical Center NOT COVERED

Mehta, Kartik -DOBromenn Medical Center COVERED UNDER FAP

Menendez, Jennifer -PABromenn Medical Center COVERED UNDER FAP

Michaels, Jason -MDBromenn Medical Center NOT COVERED

Mid-Illinois Hematology & Oncology Associates LtdBromenn Medical Center NOT COVERED

Midstate Podiatry Associates, LtdBromenn Medical Center NOT COVERED

Midwest Allergy Sinus Asthma, SCBromenn Medical Center NOT COVERED

Migas, John -MDBromenn Medical Center NOT COVERED

Millennium Pain Center, LLCBromenn Medical Center NOT COVERED

Miller Urogynecology, SCBromenn Medical Center NOT COVERED

Miller, Jay James -MDBromenn Medical Center NOT COVERED

Milligan, David -MDBromenn Medical Center COVERED UNDER FAP

Misra, Vijay Laxmi -MDBromenn Medical Center NOT COVERED

Mobile Anesthesiologists LLCBromenn Medical Center NOT COVERED

Morgan, Scott -MDBromenn Medical Center NOT COVERED

Morrison, Sherri -PABromenn Medical Center NOT COVERED

Moshier, Brian -DOBromenn Medical Center NOT COVERED

Murphy, Patrick -MDBromenn Medical Center NOT COVERED

Murphy, Thomas -DOBromenn Medical Center COVERED UNDER FAP

Mustard, Michael -MDBromenn Medical Center COVERED UNDER FAP

Myers, Danea -CRNABromenn Medical Center NOT COVERED

Naour, Paul -MDBromenn Medical Center NOT COVERED

Nardone, Emilio -MDBromenn Medical Center NOT COVERED

Nazarian, Sarkis -MDBromenn Medical Center COVERED UNDER FAP

Nelson, Christopher -PABromenn Medical Center COVERED UNDER FAP

Neubrander, Judy -NPBromenn Medical Center NOT COVERED

Neumann, Margaret -NPBromenn Medical Center NOT COVERED

Nevin, James -MDBromenn Medical Center NOT COVERED

Newcomer, Joseph -MDBromenn Medical Center NOT COVERED

Nielsen, Thomas -MDBromenn Medical Center NOT COVERED

Nilles, Joel -DOBromenn Medical Center COVERED UNDER FAP

Nona Fulk MD, SCBromenn Medical Center NOT COVERED

Nord, Daniel -MDBromenn Medical Center NOT COVERED

Normal Bloomington Anesthesiologists, LtdBromenn Medical Center NOT COVERED

Norris, Joseph -MDBromenn Medical Center NOT COVERED

Novick, Michael -MDBromenn Medical Center NOT COVERED

Novotny, Joseph -MDBromenn Medical Center NOT COVERED

Noyes, Willard -MDBromenn Medical Center NOT COVERED

Nwankwo, John -MDBromenn Medical Center NOT COVERED

Oakey, Jerome -MDBromenn Medical Center NOT COVERED

Oberle, Jill -CNSBromenn Medical Center NOT COVERED

Obstetrics & Gynecology II, Ltd.Bromenn Medical Center NOT COVERED

Obstetrics and Gynecology Care Associates, SCBromenn Medical Center NOT COVERED

O'Connor, Scott -DPMBromenn Medical Center NOT COVERED

Ogunleye, Bamidele -MDBromenn Medical Center NOT COVERED

Olorode, Gbemisola -MDBromenn Medical Center COVERED UNDER FAP

Orcutt, Jeffrey -MDBromenn Medical Center NOT COVERED

Orthopedic & Shoulder CenterBromenn Medical Center NOT COVERED

Orthopedic and Sports Enhancement Center, LLCBromenn Medical Center NOT COVERED

Orthopedics & Shoulder CenterBromenn Medical Center NOT COVERED

Orthopedics of Illinois - The Bone, Joint & Sports Medicine Center, SCBromenn Medical Center NOT COVERED

OSF Cardiovascular InstituteBromenn Medical Center NOT COVERED

OSF Children's Hospital of Illinois Medical GroupBromenn Medical Center NOT COVERED

OSF Medical GroupBromenn Medical Center NOT COVERED

OSF Medical Group - College AvenueBromenn Medical Center NOT COVERED

Page 7

Page 8: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

OSF Multi-Specialty GroupBromenn Medical Center NOT COVERED

Otis Allen, MD, SCBromenn Medical Center NOT COVERED

Paige C. Holt MD LtdBromenn Medical Center NOT COVERED

Pandurangadu, Ananda -MDBromenn Medical Center COVERED UNDER FAP

Paschold, Bryce -DPMBromenn Medical Center NOT COVERED

Pasley, Stephanie -NPBromenn Medical Center NOT COVERED

Paul, Gerald -DPMBromenn Medical Center NOT COVERED

Paul, Marc -MDBromenn Medical Center NOT COVERED

Pauley, Nichole -SABromenn Medical Center NOT COVERED

Pedersen, Paul -MDBromenn Medical Center NOT COVERED

Pediatric Dental Associates of McLean CoBromenn Medical Center NOT COVERED

Pendleton, Dionna -MDBromenn Medical Center COVERED UNDER FAP

Pflederer, Timothy -MDBromenn Medical Center NOT COVERED

Phillips, Mikel -CRNABromenn Medical Center NOT COVERED

Pilcher, Stephen -MDBromenn Medical Center NOT COVERED

Piller, Joseph -PABromenn Medical Center COVERED UNDER FAP

Pinter, Larry -MDBromenn Medical Center COVERED UNDER FAP

Pinter, Scott -MDBromenn Medical Center NOT COVERED

Plocher, Elizabeth -MDBromenn Medical Center NOT COVERED

Pogue, Lucas -MDBromenn Medical Center NOT COVERED

Pollak, Tal -MDBromenn Medical Center COVERED UNDER FAP

Pope, Brian -DOBromenn Medical Center COVERED UNDER FAP

Poulter, Jeffrey -MDBromenn Medical Center NOT COVERED

Prager, Diane -MDBromenn Medical Center NOT COVERED

Pratt, Alan -MDBromenn Medical Center NOT COVERED

Premier Allergy Asthma and Sinus, SCBromenn Medical Center NOT COVERED

Premier Medical Group - Kulb, Chalian and Leak Urology, LtdBromenn Medical Center NOT COVERED

Premier Medical Group LLC - Kulb, Chalian and Leak Urology LtdBromenn Medical Center NOT COVERED

Premier Medical Group LLC - Mid-Central Illinois Gastroenterology LtdBromenn Medical Center NOT COVERED

Premier Medical Group, LLCBromenn Medical Center NOT COVERED

Premier Medical Group, LLC Mid-Central Illinois GastroenterologyBromenn Medical Center NOT COVERED

PRO Podiatry LLC - Premier PodiatryBromenn Medical Center NOT COVERED

Rajasekhar, Arun -MDBromenn Medical Center COVERED UNDER FAP

Randall-Hayes, Lindiwee-Yaa -MDBromenn Medical Center COVERED UNDER FAP

Randolph, Laura -MDBromenn Medical Center NOT COVERED

Rasin, Arkady -MDBromenn Medical Center COVERED UNDER FAP

Rauen Dardis, Sara -DDSBromenn Medical Center NOT COVERED

Raut, Nita -NPBromenn Medical Center NOT COVERED

Ray, William -MDBromenn Medical Center NOT COVERED

Redd, Erin -NPBromenn Medical Center NOT COVERED

Reddy, Chittaranjan -MDBromenn Medical Center NOT COVERED

Reeter, Tamara -NPBromenn Medical Center NOT COVERED

Rehman, Nadia -MDBromenn Medical Center NOT COVERED

Reiner, Bruce -MDBromenn Medical Center NOT COVERED

RenalCare Associates, SCBromenn Medical Center NOT COVERED

Retina Consultants of Central Illinois, SCBromenn Medical Center NOT COVERED

Ricaurte, Kimberly -DOBromenn Medical Center NOT COVERED

Richard W Wellman, MD LLCBromenn Medical Center NOT COVERED

Riley, Gloria -NPBromenn Medical Center NOT COVERED

Ring, Christopher -MDBromenn Medical Center COVERED UNDER FAP

Rizzo, Teri -NPBromenn Medical Center COVERED UNDER FAP

Rocke, Christie -NPBromenn Medical Center COVERED UNDER FAP

Rosborough, David -MDBromenn Medical Center NOT COVERED

Rosen, Charles -MDBromenn Medical Center NOT COVERED

Rosengarten, Jeffrey -MDBromenn Medical Center NOT COVERED

Roth, Elisa -DMDBromenn Medical Center NOT COVERED

Roth, Lucas -PABromenn Medical Center NOT COVERED

Royyuru, Sasikala -MDBromenn Medical Center COVERED UNDER FAP

Page 8

Page 9: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Rozell, Joseph -MDBromenn Medical Center NOT COVERED

Ruch, Shelley -CSTBromenn Medical Center NOT COVERED

Rudicil, Shaun -PABromenn Medical Center NOT COVERED

Rufus, Deborah -NPBromenn Medical Center NOT COVERED

Rulnick, Adam -MDBromenn Medical Center NOT COVERED

Russell, Robert -MDBromenn Medical Center NOT COVERED

Sader, Samer -MDBromenn Medical Center NOT COVERED

Saenz, Naomi -MDBromenn Medical Center NOT COVERED

Santiago, Joseph -MDBromenn Medical Center NOT COVERED

Sarah Dutta, OB-GYN, SCBromenn Medical Center NOT COVERED

Sawyer, Darren -NPBromenn Medical Center NOT COVERED

Saxena, Sanjay -MDBromenn Medical Center NOT COVERED

Scanlon, Elizabeth -NPBromenn Medical Center NOT COVERED

Schertz, Nicole -CRNABromenn Medical Center NOT COVERED

Schertz, Robin -NPBromenn Medical Center NOT COVERED

Schieler, Emily -NPBromenn Medical Center COVERED UNDER FAP

Schoenig, Kenneth -MDBromenn Medical Center NOT COVERED

Schrock, Brian -PABromenn Medical Center NOT COVERED

Schroeder, Martin -MDBromenn Medical Center NOT COVERED

Schupbach, Adrienne -MDBromenn Medical Center NOT COVERED

Sciuk, Adam -MDBromenn Medical Center NOT COVERED

Seibly, Jason -DOBromenn Medical Center NOT COVERED

Seidl, Robert -MDBromenn Medical Center NOT COVERED

Sekhar, Kiran -MDBromenn Medical Center NOT COVERED

Setter, Joseph -DPMBromenn Medical Center NOT COVERED

Shah, Nicholas -MDBromenn Medical Center NOT COVERED

Shah, Samir -MDBromenn Medical Center COVERED UNDER FAP

Shanmugam, Raju -MDBromenn Medical Center COVERED UNDER FAP

Sharon R. Weaver, MD, SCBromenn Medical Center NOT COVERED

Shi, Helen -MDBromenn Medical Center NOT COVERED

Shrishrimal, Kumarpal -MDBromenn Medical Center NOT COVERED

Singh, Gurpreet -MDBromenn Medical Center COVERED UNDER FAP

Sinks, Jessica -NPBromenn Medical Center COVERED UNDER FAP

Siri, Dareen -MDBromenn Medical Center NOT COVERED

Sivalingam, Senthil -MDBromenn Medical Center COVERED UNDER FAP

Smith, Cynthia -NPBromenn Medical Center NOT COVERED

Smith, Glen -MDBromenn Medical Center NOT COVERED

Smith, Kevin -MDBromenn Medical Center NOT COVERED

Solhkhah, Cyrus -MDBromenn Medical Center NOT COVERED

Springer, Michael -MDBromenn Medical Center COVERED UNDER FAP

Srinivasan, Parthasarathy -MDBromenn Medical Center NOT COVERED

Sriratana, Pramern -MDBromenn Medical Center NOT COVERED

Starnes, Mary -CRNABromenn Medical Center NOT COVERED

Steffen, Samuel -MDBromenn Medical Center COVERED UNDER FAP

Steinkoenig, Victoria -CNSBromenn Medical Center COVERED UNDER FAP

Stern, Jennifer -NPBromenn Medical Center NOT COVERED

Stites, Amy -PABromenn Medical Center NOT COVERED

Strayer, Sue -MDBromenn Medical Center NOT COVERED

Stroink, Ann -MDBromenn Medical Center NOT COVERED

Summit Family Medical CenterBromenn Medical Center NOT COVERED

Sung, Karen -DOBromenn Medical Center COVERED UNDER FAP

Susan Svientek MD SC - Women for WomenBromenn Medical Center NOT COVERED

Svientek, Susan -MDBromenn Medical Center NOT COVERED

Swanson, James -MDBromenn Medical Center NOT COVERED

Taimoorazy, Benjamin -MDBromenn Medical Center NOT COVERED

Tannebaum, Ross -MDBromenn Medical Center COVERED UNDER FAP

Tattini, Chad -MDBromenn Medical Center NOT COVERED

Taulbee, Kent -MDBromenn Medical Center NOT COVERED

Page 9

Page 10: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Tedesco, Kurtis -MDBromenn Medical Center NOT COVERED

The Vein Specialists, LLCBromenn Medical Center NOT COVERED

Thornton, Sherri-Lee -MDBromenn Medical Center NOT COVERED

Tillman, Anita -MDBromenn Medical Center COVERED UNDER FAP

Tobin, Katherine -MDBromenn Medical Center NOT COVERED

Tolentino, Mariano -MDBromenn Medical Center NOT COVERED

Toohill, Jennifer -NPBromenn Medical Center NOT COVERED

Toohill, Kaye -MDBromenn Medical Center NOT COVERED

Traeger, Aaron -MDBromenn Medical Center COVERED UNDER FAP

Tumilty, Beth -DOBromenn Medical Center COVERED UNDER FAP

Turner, James -MDBromenn Medical Center NOT COVERED

Ulbrich, Mark -MDBromenn Medical Center NOT COVERED

Vales, James -MDBromenn Medical Center NOT COVERED

Vallejo, Ricardo -MDBromenn Medical Center NOT COVERED

Vangala, Sai Rupa -MDBromenn Medical Center COVERED UNDER FAP

Varma, Gotam -DOBromenn Medical Center NOT COVERED

Veeder, Michael -MDBromenn Medical Center NOT COVERED

Virtual Radiologic Professionals, LLCBromenn Medical Center NOT COVERED

VisionPoint Eye Center PLLCBromenn Medical Center NOT COVERED

Voegel, Victoria -PABromenn Medical Center NOT COVERED

Vogel, Trudy -NPBromenn Medical Center COVERED UNDER FAP

Vora, Moiz -MDBromenn Medical Center NOT COVERED

Vottero, Robert -MDBromenn Medical Center COVERED UNDER FAP

Vyas, Amit -MDBromenn Medical Center NOT COVERED

Vyas, Smita -MDBromenn Medical Center NOT COVERED

Warmac, Nicole -NPBromenn Medical Center COVERED UNDER FAP

Weaver, Sharon -MDBromenn Medical Center NOT COVERED

Wellman, Richard -MDBromenn Medical Center NOT COVERED

Welsh, Sarah -CRNABromenn Medical Center NOT COVERED

Welte, Frank -MDBromenn Medical Center NOT COVERED

Weraarchakul, Witoon -MDBromenn Medical Center COVERED UNDER FAP

Wietfeldt, Debbie -NPBromenn Medical Center NOT COVERED

Williamson, John -PABromenn Medical Center COVERED UNDER FAP

Williamson, Judith -NPBromenn Medical Center NOT COVERED

Wilson, Denise -NPBromenn Medical Center NOT COVERED

Wilson, Elizabeth -PABromenn Medical Center COVERED UNDER FAP

Wisdom, Lucy -MDBromenn Medical Center NOT COVERED

Woldegabriel, Elias -MDBromenn Medical Center NOT COVERED

Wong, Gene -MDBromenn Medical Center NOT COVERED

Wong, Katy -MDBromenn Medical Center NOT COVERED

Woodhouse, Shermian -MDBromenn Medical Center NOT COVERED

Woods, Michael -MDBromenn Medical Center NOT COVERED

Wright, Ruel -MDBromenn Medical Center NOT COVERED

Yambay Valiente, Liza -MDBromenn Medical Center COVERED UNDER FAP

Yasin, Jamil -MDBromenn Medical Center NOT COVERED

Yee, Edward -MDBromenn Medical Center COVERED UNDER FAP

Yerrabolu, Meera -MDBromenn Medical Center COVERED UNDER FAP

Yeschek, Steven -DPMBromenn Medical Center NOT COVERED

Young, Erica -PABromenn Medical Center NOT COVERED

Yousuf, Naveed -MDBromenn Medical Center NOT COVERED

Yu, Liyuan -MDBromenn Medical Center NOT COVERED

Zaidi, Syed Javed -MDBromenn Medical Center COVERED UNDER FAP

Zhang, Wenqing -MDBromenn Medical Center NOT COVERED

Zimmermann, Ronald -DOBromenn Medical Center COVERED UNDER FAP

Zimny, Robert -CRNABromenn Medical Center NOT COVERED

Zorn, Jeffrey -MDBromenn Medical Center NOT COVERED

Zotz, Jared -MDBromenn Medical Center NOT COVERED

Abbasian, Javaneh -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 10

Page 11: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Abboud, Maha -MDChrist Medical Center and Children's Hospital NOT COVERED

Abdallah, Osamah -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Abdessalam, Nadia -NPChrist Medical Center and Children's Hospital NOT COVERED

Abdessamad, Mohamad Adel -MDChrist Medical Center and Children's Hospital NOT COVERED

Abdoue, Akram -MDChrist Medical Center and Children's Hospital NOT COVERED

Abi Mansour, Pierrot -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Abourahma, Ashraf -MDChrist Medical Center and Children's Hospital NOT COVERED

Abraham, Joseph -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Abramson, Brad -DOChrist Medical Center and Children's Hospital NOT COVERED

Abushaer, Muhammad -MDChrist Medical Center and Children's Hospital NOT COVERED

Abusharif, Hamdala -MDChrist Medical Center and Children's Hospital NOT COVERED

Adair, Roy -MDChrist Medical Center and Children's Hospital NOT COVERED

Adeniji, Adejimi -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Adenwalla, Mohamed -MDChrist Medical Center and Children's Hospital NOT COVERED

Adeoye, Martins -MDChrist Medical Center and Children's Hospital NOT COVERED

Adhikari, Sujeen -DOChrist Medical Center and Children's Hospital NOT COVERED

Adult Primary Care Center, LtdChrist Medical Center and Children's Hospital NOT COVERED

Advanced Allergy & Asthma Clinic SCChrist Medical Center and Children's Hospital NOT COVERED

Advanced Orthopedic and Spine Care, SCChrist Medical Center and Children's Hospital NOT COVERED

Advanced Reproductive Health Centers, LtdChrist Medical Center and Children's Hospital NOT COVERED

Advanced Vein Treatment and Cosmetic CenterChrist Medical Center and Children's Hospital NOT COVERED

Advocate Health & Hospital Corp - Advocate Intensivist PartnersChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Burbank - Palliative MedicineChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Des Plaines 8901 W Golf RoadChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Downers Grove - 1441 BrandingChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Downers Grove - 3551 Highland Ave - NeurosurgeryChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Downers Grove - 3825 Highland Ave - Palliative CareChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Evergreen - Adolescent MedicineChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Naperville - CardiologyChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 10735 S Cicero Ave - OB/GYNChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Advocate Medical Group - Oak Lawn - 4225 W 95thChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Advocate Medical Group - Oak Lawn - 4440 West 95th Street - Obstetrics & Gynecology - ED TChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds DevelopmentalChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds EndocrinologyChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds GeneticsChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds NephrologyChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds NeurologyChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds OrthopedicsChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds UrologyChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - Family MedicineChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - Family Medicine Residency ProgramChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Oak Lawn, 4440 West 95th Street - Obstetrics & Gynecology -ED TriChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Chicago 75th StreetChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Chicago Monroe StChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic JolietChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group BurbankChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Christ Peds HospitalistChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group CMC Pediatric Infectious DiseaseChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group CMC Pediatric PulmonologyChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group EvergreenChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Evergreen PedsChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Hazel Crest GastroChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group LaGrange RoadChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Midwest Pediatric CardioChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Midwest Pediatric CardiologyChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Neurointerventional SurgeryChrist Medical Center and Children's Hospital COVERED UNDER FAP

Page 11

Page 12: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Advocate Medical Group Oak LawnChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Oak Lawn - 4440 West 95th Street - Pediatric Critical CareChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Oak Lawn - Trauma SurgeryChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Advocate Medical Group Oak Lawn 95th St ENTChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group- Oak Lawn- Adolescent PsychiatryChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Oak Lawn CardiologyChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Oak Lawn General SurgeryChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Oak Lawn Infectious DiseaseChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Oak Lawn Maternal/FetalChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Oak Lawn NephrologyChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Oak Lawn OB/GyneChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Oak Lawn Pediatrics General SurgeryChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Oak Lawn Plastic SurgeryChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group PalosChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Peds CardiologyChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Peds General SurgeryChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Peds RheumatologyChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group-Chicago-93rd StreetChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group-Oak Lawn- Pediatric RadiologyChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group-Oak Lawn-Neurology HospitalistChrist Medical Center and Children's Hospital COVERED UNDER FAP

Advocate Medical Group-Palos Heights-NeurologyChrist Medical Center and Children's Hospital COVERED UNDER FAP

Affiliated Oncologists, LLCChrist Medical Center and Children's Hospital NOT COVERED

Afzal, Zahid -MDChrist Medical Center and Children's Hospital NOT COVERED

Aggarwal, Nimit -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ahmad, Asima -MDChrist Medical Center and Children's Hospital NOT COVERED

Ahmad, Thaer -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ahmed, Farida -MDChrist Medical Center and Children's Hospital NOT COVERED

Ahmed, Syed -DPMChrist Medical Center and Children's Hospital NOT COVERED

Ahmed, Zafar -MDChrist Medical Center and Children's Hospital NOT COVERED

Ahuja, Akash -MDChrist Medical Center and Children's Hospital NOT COVERED

Ahuja, Anuprit -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Aicher, Tracy -NPChrist Medical Center and Children's Hospital NOT COVERED

Aippersbach, Elke -MDChrist Medical Center and Children's Hospital NOT COVERED

Ajmal, Saira -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Akhtar, Naveed -MDChrist Medical Center and Children's Hospital NOT COVERED

Akhtar, Rasheed -MDChrist Medical Center and Children's Hospital NOT COVERED

Akhtar, Sameena -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Akhter, Javeed -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Al Sharif, Hani -MDChrist Medical Center and Children's Hospital NOT COVERED

Al-Ahdab, Mohamad -MDChrist Medical Center and Children's Hospital NOT COVERED

Alattar, Mohammad -MDChrist Medical Center and Children's Hospital NOT COVERED

Alawad Medical Center, LtdChrist Medical Center and Children's Hospital NOT COVERED

Alawad, Mohammed -MDChrist Medical Center and Children's Hospital NOT COVERED

Albanis, Chris -MDChrist Medical Center and Children's Hospital NOT COVERED

Albertine, Paul -MDChrist Medical Center and Children's Hospital NOT COVERED

Albright, Joslyn -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Alcordo, Miguel -MDChrist Medical Center and Children's Hospital NOT COVERED

Aldaas, Fadi -MDChrist Medical Center and Children's Hospital NOT COVERED

Aleksonis, Dinas -MDChrist Medical Center and Children's Hospital NOT COVERED

Alex, Charles -MDChrist Medical Center and Children's Hospital NOT COVERED

Alexander, Philip -MDChrist Medical Center and Children's Hospital NOT COVERED

Ali, Abid -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ali, Imran -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ali, Ridaa -DOChrist Medical Center and Children's Hospital NOT COVERED

Ali, Shama -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Alikakos, Zoe -MDChrist Medical Center and Children's Hospital NOT COVERED

Al-Khaled, Nouri -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 12

Page 13: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Al-Khudari, Mohammad -MDChrist Medical Center and Children's Hospital NOT COVERED

Allam, Talha -MDChrist Medical Center and Children's Hospital NOT COVERED

Allen, Baxter -MDChrist Medical Center and Children's Hospital NOT COVERED

Allen, Charles -DPMChrist Medical Center and Children's Hospital NOT COVERED

Allied Anesthesia Associates, PCChrist Medical Center and Children's Hospital NOT COVERED

Almouradi, Tarek -MDChrist Medical Center and Children's Hospital NOT COVERED

Alnajar, Tarek -DOChrist Medical Center and Children's Hospital NOT COVERED

Alpha Med Physicians Group, LLCChrist Medical Center and Children's Hospital NOT COVERED

Al-Qawasmi, Fouad -MDChrist Medical Center and Children's Hospital NOT COVERED

AlShobaki, Mansour -MDChrist Medical Center and Children's Hospital NOT COVERED

Altarshan, Abdallah -MDChrist Medical Center and Children's Hospital NOT COVERED

Altman, Igor -DOChrist Medical Center and Children's Hospital NOT COVERED

Alzalam, Nazem -MDChrist Medical Center and Children's Hospital NOT COVERED

Alzein Medical LtdChrist Medical Center and Children's Hospital NOT COVERED

Alzein Medical, LtdChrist Medical Center and Children's Hospital NOT COVERED

Alzein, Hassan -MDChrist Medical Center and Children's Hospital NOT COVERED

Alzein, Mohamad -MDChrist Medical Center and Children's Hospital NOT COVERED

Amare, Dawit -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ambrose, Steven -MDChrist Medical Center and Children's Hospital NOT COVERED

American Surgical ProfessionalsChrist Medical Center and Children's Hospital NOT COVERED

Amin, Alkesh -MDChrist Medical Center and Children's Hospital NOT COVERED

Amin, Manali -MDChrist Medical Center and Children's Hospital NOT COVERED

Amin, Ruchita -MDChrist Medical Center and Children's Hospital NOT COVERED

Amine, Muhamad -MDChrist Medical Center and Children's Hospital NOT COVERED

Amiran, Sasha -MDChrist Medical Center and Children's Hospital NOT COVERED

Amita Health Cancer CenterChrist Medical Center and Children's Hospital NOT COVERED

Amita Health Medical GroupChrist Medical Center and Children's Hospital NOT COVERED

Anani, Ashraf -MDChrist Medical Center and Children's Hospital NOT COVERED

Ananth, Anupama -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Anastos, John -DOChrist Medical Center and Children's Hospital NOT COVERED

Andersen, Jennifer -MDChrist Medical Center and Children's Hospital NOT COVERED

Anderson, Christine -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Anderson, Michael -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Anderst, James -MDChrist Medical Center and Children's Hospital NOT COVERED

Andina & Irabagon, SCChrist Medical Center and Children's Hospital NOT COVERED

Andina, Robert -MDChrist Medical Center and Children's Hospital NOT COVERED

Andrade, Ambar -MDChrist Medical Center and Children's Hospital NOT COVERED

Andreoni, John -MDChrist Medical Center and Children's Hospital NOT COVERED

Angspatt, Sompongse -MDChrist Medical Center and Children's Hospital NOT COVERED

Angspatt-Pisit, MD, SCChrist Medical Center and Children's Hospital NOT COVERED

Anita Arora, MD, PCChrist Medical Center and Children's Hospital NOT COVERED

Annes, John -MDChrist Medical Center and Children's Hospital NOT COVERED

Annes, Nicole -PAChrist Medical Center and Children's Hospital NOT COVERED

Annita John, MD, PCChrist Medical Center and Children's Hospital NOT COVERED

Antle, Kayla -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Applequist, Jennifer -PAChrist Medical Center and Children's Hospital NOT COVERED

Arbor Center for Eyecare, SCChrist Medical Center and Children's Hospital NOT COVERED

Arekat, Mohamed -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ares Maisonet, Guillermo -MDChrist Medical Center and Children's Hospital NOT COVERED

Armstrong, Qianna -MDChrist Medical Center and Children's Hospital NOT COVERED

Arndt, Thomas -MDChrist Medical Center and Children's Hospital NOT COVERED

Arora, Anita -MDChrist Medical Center and Children's Hospital NOT COVERED

Arora, Subash -MDChrist Medical Center and Children's Hospital NOT COVERED

Arroyo, Patricia -MDChrist Medical Center and Children's Hospital NOT COVERED

Arundel, Cali -NPChrist Medical Center and Children's Hospital NOT COVERED

Arvan, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Asem, Humera -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ashton, Loryn -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Page 13

Page 14: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Asokan, Sangarappillai -MDChrist Medical Center and Children's Hospital NOT COVERED

Associated Cardiovascular Physicians, SCChrist Medical Center and Children's Hospital NOT COVERED

Associated Urological Specialists, LLCChrist Medical Center and Children's Hospital NOT COVERED

Associates in Nephrology, SCChrist Medical Center and Children's Hospital NOT COVERED

Associates in Pediatric Neurology, SCChrist Medical Center and Children's Hospital NOT COVERED

Associates in Rehabilitation Medicine, SCChrist Medical Center and Children's Hospital NOT COVERED

Asuncion, Kristine -NPChrist Medical Center and Children's Hospital NOT COVERED

Atassi, Mohamad -MDChrist Medical Center and Children's Hospital NOT COVERED

Atieh, Osama -MDChrist Medical Center and Children's Hospital NOT COVERED

Atwood, Stephanie -NPChrist Medical Center and Children's Hospital NOT COVERED

Aubeid, Firas -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Aumann, April -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Aung, Soe -MDChrist Medical Center and Children's Hospital NOT COVERED

Avula, Surendra -MDChrist Medical Center and Children's Hospital NOT COVERED

Awwad, Reem -MDChrist Medical Center and Children's Hospital NOT COVERED

Ayub, Kamran -MDChrist Medical Center and Children's Hospital NOT COVERED

Aziz, George -MDChrist Medical Center and Children's Hospital NOT COVERED

Bajaj, Vijay -MDChrist Medical Center and Children's Hospital NOT COVERED

Bakir, May -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Balandrin, Jorge -MDChrist Medical Center and Children's Hospital NOT COVERED

Balanlayos, Ivy -CNSChrist Medical Center and Children's Hospital NOT COVERED

Balash, Paul -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ballany, Wassim -MDChrist Medical Center and Children's Hospital NOT COVERED

Balouch, Muhammad -MDChrist Medical Center and Children's Hospital NOT COVERED

Bamman, Mark -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Bancerek Stengele, Justyna -MDChrist Medical Center and Children's Hospital NOT COVERED

Bane, Christopher -MDChrist Medical Center and Children's Hospital NOT COVERED

Barakat, Mohamad -MDChrist Medical Center and Children's Hospital NOT COVERED

Barakat, Nabil -MDChrist Medical Center and Children's Hospital NOT COVERED

Barboza, Joaquim -MDChrist Medical Center and Children's Hospital NOT COVERED

Bardezbanian, Bryce -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Barounis, David -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Barrett, Brett -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Barsella, Adam -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Bartgen, Daniel -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Bartnicki, Alison -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Baseer, Razia -MDChrist Medical Center and Children's Hospital NOT COVERED

Bastidas, Jessica -PAChrist Medical Center and Children's Hospital NOT COVERED

Bavisi, Swati -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Baylis, William -DOChrist Medical Center and Children's Hospital NOT COVERED

Bayrakdar, Ammar -MDChrist Medical Center and Children's Hospital NOT COVERED

Beata I. Styka MD, SCChrist Medical Center and Children's Hospital NOT COVERED

Beck, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Bedikian, Sarkis -DOChrist Medical Center and Children's Hospital NOT COVERED

Bednarczyk, Katelyn -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Belgrad, Jonathan -MDChrist Medical Center and Children's Hospital NOT COVERED

Bell, Brandon -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Bell, Jennifer -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Bell, Jeremy -PAChrist Medical Center and Children's Hospital NOT COVERED

Bell, Nathan -PAChrist Medical Center and Children's Hospital NOT COVERED

Bellamy-Peyton, April -MDChrist Medical Center and Children's Hospital NOT COVERED

Bellosa, Nora -MDChrist Medical Center and Children's Hospital NOT COVERED

Ben Barak, Mor -MDChrist Medical Center and Children's Hospital NOT COVERED

Bender, Jessica -DOChrist Medical Center and Children's Hospital NOT COVERED

Benig, Karlo -NPChrist Medical Center and Children's Hospital NOT COVERED

Benner, Monika -NPChrist Medical Center and Children's Hospital NOT COVERED

Berg, Mallory -NPChrist Medical Center and Children's Hospital NOT COVERED

Berger, Aaron -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 14

Page 15: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Beri, Rohinee -MDChrist Medical Center and Children's Hospital NOT COVERED

Berkelhammer, Charles -MDChrist Medical Center and Children's Hospital NOT COVERED

Bernklau, Sandra -NPChrist Medical Center and Children's Hospital NOT COVERED

Berns, Dana -DPMChrist Medical Center and Children's Hospital NOT COVERED

Bero, Jennifer -MDChrist Medical Center and Children's Hospital NOT COVERED

Berwyn PediatricsChrist Medical Center and Children's Hospital NOT COVERED

Best Practices Inpatient Care, LtdChrist Medical Center and Children's Hospital NOT COVERED

Beth Ledvora, MD, SCChrist Medical Center and Children's Hospital NOT COVERED

Betke, Rachel -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Bevolo, Andrea -PAChrist Medical Center and Children's Hospital NOT COVERED

Bharati, Saroja -MDChrist Medical Center and Children's Hospital NOT COVERED

Bhatia, Sandeep -MDChrist Medical Center and Children's Hospital NOT COVERED

Bhatt, Harit -MDChrist Medical Center and Children's Hospital NOT COVERED

Bhatti, Humaa -DOChrist Medical Center and Children's Hospital NOT COVERED

Bhoopal, Kiran -MDChrist Medical Center and Children's Hospital NOT COVERED

Bhupali, Chetan -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Bhupali, Deepa -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Bielinski Dermatology Group LLCChrist Medical Center and Children's Hospital NOT COVERED

Bielinski, Kenneth -MDChrist Medical Center and Children's Hospital NOT COVERED

Birhanu, Kidanu -MDChrist Medical Center and Children's Hospital NOT COVERED

Bisaga, Mary -NPChrist Medical Center and Children's Hospital NOT COVERED

Biskup & Segui Pediatric Partners PCChrist Medical Center and Children's Hospital NOT COVERED

Biskup, Nicole -MDChrist Medical Center and Children's Hospital NOT COVERED

Biso, Sylvia Marie -MDChrist Medical Center and Children's Hospital NOT COVERED

Bite Size Pediatric DentistryChrist Medical Center and Children's Hospital NOT COVERED

Blachowicz, Ewa -NPChrist Medical Center and Children's Hospital NOT COVERED

Blanco, Ryan -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Blevins, Bonnie -CNSChrist Medical Center and Children's Hospital NOT COVERED

Block, Adam -DOChrist Medical Center and Children's Hospital NOT COVERED

Blue Sky NeurologyChrist Medical Center and Children's Hospital NOT COVERED

Blumenstein, Brian -MDChrist Medical Center and Children's Hospital NOT COVERED

Blumstein, Andrea -MDChrist Medical Center and Children's Hospital NOT COVERED

Boarden, Wilfred -MDChrist Medical Center and Children's Hospital NOT COVERED

Boatwright, Patricia -MDChrist Medical Center and Children's Hospital NOT COVERED

Boersma, Sarah -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Bojedla, Kiran -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Bok, Edward -MDChrist Medical Center and Children's Hospital NOT COVERED

Bommaraju, Kalki -MDChrist Medical Center and Children's Hospital NOT COVERED

Bonaguro, Ronald -MDChrist Medical Center and Children's Hospital NOT COVERED

Bonaguro, Sheila -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Bonaminio, Phyllis -MDChrist Medical Center and Children's Hospital NOT COVERED

Bonaminio, Robert -DOChrist Medical Center and Children's Hospital NOT COVERED

Bonk, Alison -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Bonk, Robert -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Borhani, Martin -MDChrist Medical Center and Children's Hospital NOT COVERED

Bosack, Robert -DDSChrist Medical Center and Children's Hospital NOT COVERED

Bottari, Diana -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Bousman, Tina -PAChrist Medical Center and Children's Hospital NOT COVERED

Boyd, Christine -MDChrist Medical Center and Children's Hospital NOT COVERED

Boysen, Lawrence -MDChrist Medical Center and Children's Hospital NOT COVERED

Bradfield, Hannah -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Brann, Donald -DPMChrist Medical Center and Children's Hospital NOT COVERED

Branovacki, George -MDChrist Medical Center and Children's Hospital NOT COVERED

Brasch, Joel -MDChrist Medical Center and Children's Hospital NOT COVERED

Brener, Alina -MDChrist Medical Center and Children's Hospital NOT COVERED

Brennan, Sharon -NPChrist Medical Center and Children's Hospital NOT COVERED

Bresticker, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 15

Page 16: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Brisbin, Beverlee -MDChrist Medical Center and Children's Hospital NOT COVERED

Brown, Henry -MDChrist Medical Center and Children's Hospital NOT COVERED

Brown, Joanne -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Bruce, Kari -MDChrist Medical Center and Children's Hospital NOT COVERED

Brunetti, Tracy -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Bruno, Robert -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Brusca, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Buch, Piyush -MDChrist Medical Center and Children's Hospital NOT COVERED

Buka, Jonathan -MDChrist Medical Center and Children's Hospital NOT COVERED

Bump, Thomas -MDChrist Medical Center and Children's Hospital NOT COVERED

Burda, Diana -MDChrist Medical Center and Children's Hospital NOT COVERED

Burke, John -MDChrist Medical Center and Children's Hospital NOT COVERED

Burke, Martin -DOChrist Medical Center and Children's Hospital NOT COVERED

Burke, Nancy -NPChrist Medical Center and Children's Hospital NOT COVERED

Burns, Katharine -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Burns, Leah -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Burokas, Laura -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Burrows, Nicole -PAChrist Medical Center and Children's Hospital NOT COVERED

Bush, Aneta -MDChrist Medical Center and Children's Hospital NOT COVERED

Butterly, Mark -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Byun, Matthew -MDChrist Medical Center and Children's Hospital NOT COVERED

Cadayona, Joseph -NPChrist Medical Center and Children's Hospital NOT COVERED

Cajas, Jennifer -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Cala, Mary -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Calandriello, Amy -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Callahan, Nicholas -MDChrist Medical Center and Children's Hospital NOT COVERED

Calvert, Christopher -MDChrist Medical Center and Children's Hospital NOT COVERED

Camba, Noel -MDChrist Medical Center and Children's Hospital NOT COVERED

Canner, Jason -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Capina, Elmer -PAChrist Medical Center and Children's Hospital NOT COVERED

Caraballo, Christina -PAChrist Medical Center and Children's Hospital NOT COVERED

Carandang, Godofredo -MDChrist Medical Center and Children's Hospital NOT COVERED

Carbonara, Kimberly -NPChrist Medical Center and Children's Hospital NOT COVERED

Cardiology Medical GroupChrist Medical Center and Children's Hospital NOT COVERED

Cardio-Medicine, SCChrist Medical Center and Children's Hospital NOT COVERED

Cardiothoracic & Vascular Surgical Associates, SCChrist Medical Center and Children's Hospital NOT COVERED

Cardiovascular Associates, SCChrist Medical Center and Children's Hospital NOT COVERED

Cardiovascular Care Consultants, SCChrist Medical Center and Children's Hospital NOT COVERED

Cardiovascular Consultants, LLPChrist Medical Center and Children's Hospital NOT COVERED

Cardozo, Charmaine -MDChrist Medical Center and Children's Hospital NOT COVERED

Carli, Erin -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Carlson, Andrea -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Carreon, V. Grace -MDChrist Medical Center and Children's Hospital NOT COVERED

Carrillo, Tami -MDChrist Medical Center and Children's Hospital NOT COVERED

Cartolano, Thomas -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Cassidy, Emmet -MDChrist Medical Center and Children's Hospital NOT COVERED

Castaldo, Chandra -NPChrist Medical Center and Children's Hospital NOT COVERED

Cavett, Jennifer -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Centene Corporation/IllinicareChrist Medical Center and Children's Hospital NOT COVERED

Center for Heart Transplant and Assist DevicesChrist Medical Center and Children's Hospital NOT COVERED

Center for Internal MedicineChrist Medical Center and Children's Hospital NOT COVERED

Center for Oral SurgeryChrist Medical Center and Children's Hospital NOT COVERED

Center for Pediatric GastroenterologyChrist Medical Center and Children's Hospital NOT COVERED

Center for Pediatric Gastroenterology & Nutrition, MD, SCChrist Medical Center and Children's Hospital NOT COVERED

Center for Women’s CareChrist Medical Center and Children's Hospital NOT COVERED

Century Ear Nose and Throat-Head and Neck Surgery Associates, LtdChrist Medical Center and Children's Hospital NOT COVERED

Chaar, Bassem -MDChrist Medical Center and Children's Hospital NOT COVERED

Chacko, Jupin -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 16

Page 17: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Chadaga, Amar -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Chagnon, Kari -PAChrist Medical Center and Children's Hospital NOT COVERED

Chaiban, Joumana -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Challa, Pragathi -MDChrist Medical Center and Children's Hospital NOT COVERED

Chalupczak, Robert -MDChrist Medical Center and Children's Hospital NOT COVERED

Chan, Cindy -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Chan, Denise -MDChrist Medical Center and Children's Hospital NOT COVERED

Chand, Deepa -MDChrist Medical Center and Children's Hospital NOT COVERED

Chandler, Steven -DOChrist Medical Center and Children's Hospital NOT COVERED

Chandra, Priya -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Chandra, Sandeep -MDChrist Medical Center and Children's Hospital NOT COVERED

Chandran, Sangili -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Chapman, Chris -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Chastain, Michelle -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Chaudhry, Samina -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Chaudri, Salman -DOChrist Medical Center and Children's Hospital NOT COVERED

Chen, Shih-Hua -PAChrist Medical Center and Children's Hospital NOT COVERED

Chennamaneni, Rupa -MDChrist Medical Center and Children's Hospital NOT COVERED

Cherian, Mini Sara -MDChrist Medical Center and Children's Hospital NOT COVERED

Chhabra, Darshika -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Chicago Center for Women's Health, SCChrist Medical Center and Children's Hospital NOT COVERED

Chicago Foot and Ankle, PCChrist Medical Center and Children's Hospital NOT COVERED

Chicago kiDDS Pediatric DentistryChrist Medical Center and Children's Hospital NOT COVERED

Chicago Movement Specialists, LLCChrist Medical Center and Children's Hospital NOT COVERED

Chickerillo, Krystina -NPChrist Medical Center and Children's Hospital NOT COVERED

Children's Wellness Center, LLCChrist Medical Center and Children's Hospital NOT COVERED

Chinni, Sushma -DOChrist Medical Center and Children's Hospital NOT COVERED

Chittineni, Sreedevi -MDChrist Medical Center and Children's Hospital NOT COVERED

Chokshi, Nikunj -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Chonillo, Carla -MDChrist Medical Center and Children's Hospital NOT COVERED

Choudhry, Irfan -DOChrist Medical Center and Children's Hospital NOT COVERED

Chowdhry, Saeed -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Chowdhury, Nayeema -DOChrist Medical Center and Children's Hospital NOT COVERED

Christopoulos, Niki -MDChrist Medical Center and Children's Hospital NOT COVERED

Chronopoulos, Foti -MDChrist Medical Center and Children's Hospital NOT COVERED

Chua-Apolinario, Susan -MDChrist Medical Center and Children's Hospital NOT COVERED

Chung, Gene -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Church, Nancy -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Chuy, Francisco -MDChrist Medical Center and Children's Hospital NOT COVERED

Cifuentes, Enrique -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Cirone, Michael -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Clardy, Christopher -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Clark, Justin -MDChrist Medical Center and Children's Hospital NOT COVERED

Clark, Steven -MDChrist Medical Center and Children's Hospital NOT COVERED

Clinical Associates of Palos HeightsChrist Medical Center and Children's Hospital NOT COVERED

Coates, Ryan -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Coenen, Allison -PAChrist Medical Center and Children's Hospital NOT COVERED

Cohen, Stephanie -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Cole, Corrina -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Collins, David -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Collins, Mary Ann -MDChrist Medical Center and Children's Hospital NOT COVERED

Collins, Patricia -MDChrist Medical Center and Children's Hospital NOT COVERED

Collins, Steven -PAChrist Medical Center and Children's Hospital NOT COVERED

Collopy, William -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Coltro, Jerry -MDChrist Medical Center and Children's Hospital NOT COVERED

Compton, Anne -DDSChrist Medical Center and Children's Hospital NOT COVERED

Connelly, Ashlee -NPChrist Medical Center and Children's Hospital NOT COVERED

Consultants in Cardiology & Electrophysiology, LLCChrist Medical Center and Children's Hospital NOT COVERED

Page 17

Page 18: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Contreras, Johnny -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Cook, Danae -PAChrist Medical Center and Children's Hospital NOT COVERED

Cook, Sika -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Copak, Irene -CNSChrist Medical Center and Children's Hospital NOT COVERED

CorVita Health and AssociatesChrist Medical Center and Children's Hospital NOT COVERED

Cossor, Waseem -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Cote, Valerie -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Cotts, William -MDChrist Medical Center and Children's Hospital NOT COVERED

Coyle, Laura -NPChrist Medical Center and Children's Hospital NOT COVERED

Crane, Jason -DOChrist Medical Center and Children's Hospital NOT COVERED

Crosby, Jennifer -CNSChrist Medical Center and Children's Hospital NOT COVERED

Cross, Chadrick -MDChrist Medical Center and Children's Hospital NOT COVERED

Crossan, Paul -MDChrist Medical Center and Children's Hospital NOT COVERED

Crotty, Hilary -DDSChrist Medical Center and Children's Hospital NOT COVERED

Cuadros, Hugo -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Cudney, Nicholas -DDSChrist Medical Center and Children's Hospital NOT COVERED

Cueva, John -MDChrist Medical Center and Children's Hospital NOT COVERED

Cwikla, Tomasz -MDChrist Medical Center and Children's Hospital NOT COVERED

Dado, Ralph -MDChrist Medical Center and Children's Hospital NOT COVERED

Dahlberg, Elizabeth -MDChrist Medical Center and Children's Hospital NOT COVERED

Daigle, Jeremy -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Dalawari, Satinder -MDChrist Medical Center and Children's Hospital NOT COVERED

Dallal, Ousama -MDChrist Medical Center and Children's Hospital NOT COVERED

Dangles, George -MDChrist Medical Center and Children's Hospital NOT COVERED

Danielsky, Paul -MDChrist Medical Center and Children's Hospital NOT COVERED

Dannhausen-Brun, Christian -MDChrist Medical Center and Children's Hospital NOT COVERED

Dar, Nabeel -MDChrist Medical Center and Children's Hospital NOT COVERED

D'Astice, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Dave, Ankur -DOChrist Medical Center and Children's Hospital NOT COVERED

Davis, Maurice -MDChrist Medical Center and Children's Hospital NOT COVERED

Dawson, Emily -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

De Leon, Humberto -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Dean, Katlyn -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Dean, Laura -PAChrist Medical Center and Children's Hospital NOT COVERED

Debre, Michael -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

DeFranco, John -MDChrist Medical Center and Children's Hospital NOT COVERED

DeFrino, Paul -MDChrist Medical Center and Children's Hospital NOT COVERED

DeJong, Megan -MDChrist Medical Center and Children's Hospital NOT COVERED

Delach, Anthony -MDChrist Medical Center and Children's Hospital NOT COVERED

DelBusto, Paul -MDChrist Medical Center and Children's Hospital NOT COVERED

Delis, Steve -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Demeter, Lela -MDChrist Medical Center and Children's Hospital NOT COVERED

Deneufbourg, Maddalena -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Denk, Jennifer -MDChrist Medical Center and Children's Hospital NOT COVERED

Denning, Gene -DOChrist Medical Center and Children's Hospital NOT COVERED

DenOuden, Christian -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Dermatology Associates, LtdChrist Medical Center and Children's Hospital NOT COVERED

Des Plaines Valley Health CenterChrist Medical Center and Children's Hospital NOT COVERED

Desai, Chaitanya -MDChrist Medical Center and Children's Hospital NOT COVERED

Desai, Manish -DOChrist Medical Center and Children's Hospital NOT COVERED

DeSanto, Jeffrey -MDChrist Medical Center and Children's Hospital NOT COVERED

Desch, Larry -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Deshpande, Prashant -MDChrist Medical Center and Children's Hospital NOT COVERED

Desoky, Hatem -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

DeStefano & Stamat Pediatrics, LLCChrist Medical Center and Children's Hospital NOT COVERED

DeStefano, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

DeVito, Michael -DPMChrist Medical Center and Children's Hospital NOT COVERED

Dharia, Shimoni -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Page 18

Page 19: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Dhillon, Kiran -MDChrist Medical Center and Children's Hospital NOT COVERED

Dia, Muhyaldeen -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Diab, Mazen -MDChrist Medical Center and Children's Hospital NOT COVERED

Diabetes and Endocrine Care, LtdChrist Medical Center and Children's Hospital NOT COVERED

Diabetes, Osteoporosis, Obesity, INC.Christ Medical Center and Children's Hospital NOT COVERED

Diamond, Terrence -MDChrist Medical Center and Children's Hospital NOT COVERED

Dinkha, Josephine -MDChrist Medical Center and Children's Hospital NOT COVERED

Dixon-Grevious, Dolores -MDChrist Medical Center and Children's Hospital NOT COVERED

Doah, Jack -DOChrist Medical Center and Children's Hospital NOT COVERED

Dodaro, Matthew -MDChrist Medical Center and Children's Hospital NOT COVERED

Dodd, Kenneth -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Doherty, James -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Dolin, Natalia -MDChrist Medical Center and Children's Hospital NOT COVERED

Doliner, Marina -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Donkoh, Yaw -MDChrist Medical Center and Children's Hospital NOT COVERED

Donte Medical, SC & Home Health Medical, LLCChrist Medical Center and Children's Hospital NOT COVERED

Donthamsetti, Ajay -MDChrist Medical Center and Children's Hospital NOT COVERED

Doot, Shane -DDSChrist Medical Center and Children's Hospital NOT COVERED

Doshi, Taral -MDChrist Medical Center and Children's Hospital NOT COVERED

Dr Joseph's Medical Serv. SCChrist Medical Center and Children's Hospital NOT COVERED

Dr Susan Rife & Associates Family MedicineChrist Medical Center and Children's Hospital NOT COVERED

Dr. Ashraf Abourahma, MD, LtdChrist Medical Center and Children's Hospital NOT COVERED

Dr. Matthew E. Schmidt and Associates Ophthalmologists, SCChrist Medical Center and Children's Hospital NOT COVERED

Dr. Robert J. Familaro & Assoc. Ltd.Christ Medical Center and Children's Hospital NOT COVERED

Dragisic, Peter -MDChrist Medical Center and Children's Hospital NOT COVERED

Draths-Hanson, Kathleen -MDChrist Medical Center and Children's Hospital NOT COVERED

Drever, Erin -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Dreyer Clinic - HighlandChrist Medical Center and Children's Hospital COVERED UNDER FAP

Drinan, Kathleen -DOChrist Medical Center and Children's Hospital NOT COVERED

Du Mais, Brian -MDChrist Medical Center and Children's Hospital NOT COVERED

Du Page Medical Group, LTDChrist Medical Center and Children's Hospital NOT COVERED

Duback, Kimberly -CNSChrist Medical Center and Children's Hospital NOT COVERED

Duggal, Manoj -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

DuMais Pediatrics, SCChrist Medical Center and Children's Hospital NOT COVERED

DuPage Children's ENT and AllergyChrist Medical Center and Children's Hospital NOT COVERED

DuPage Medical Group, LTCChrist Medical Center and Children's Hospital NOT COVERED

DuPage Medical Group, LtdChrist Medical Center and Children's Hospital NOT COVERED

Duran, Isis -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Durudogan, Ibrahim -DOChrist Medical Center and Children's Hospital NOT COVERED

Dwyer, Megan -DOChrist Medical Center and Children's Hospital NOT COVERED

Dy-Johnson, Jessica -MDChrist Medical Center and Children's Hospital NOT COVERED

Dziepak, Marissa -DMDChrist Medical Center and Children's Hospital NOT COVERED

Eadie, James -MDChrist Medical Center and Children's Hospital NOT COVERED

Eapen, Joyce -NPChrist Medical Center and Children's Hospital NOT COVERED

Ear, Nose, and Throat Associates, SCChrist Medical Center and Children's Hospital NOT COVERED

Eaves, Dominique -NPChrist Medical Center and Children's Hospital NOT COVERED

EBS PediatricsChrist Medical Center and Children's Hospital NOT COVERED

Eck, Ivan -DOChrist Medical Center and Children's Hospital NOT COVERED

Edens, Cuoghi -MDChrist Medical Center and Children's Hospital NOT COVERED

Egel, Robert -MDChrist Medical Center and Children's Hospital NOT COVERED

Elhadi, Sarah -MDChrist Medical Center and Children's Hospital NOT COVERED

Elkhatib, Imad -MDChrist Medical Center and Children's Hospital NOT COVERED

Elkin, Julia -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Ellenby, Martin -MDChrist Medical Center and Children's Hospital NOT COVERED

Elmhurst ClinicChrist Medical Center and Children's Hospital NOT COVERED

Els, Dena -MDChrist Medical Center and Children's Hospital NOT COVERED

Elser, Denise -MDChrist Medical Center and Children's Hospital NOT COVERED

Elsheikh, Malak -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 19

Page 20: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

El-Zein, Chawki -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ennis, William -DOChrist Medical Center and Children's Hospital NOT COVERED

Erickson, Kurt -MDChrist Medical Center and Children's Hospital NOT COVERED

Espel, Julia -MDChrist Medical Center and Children's Hospital NOT COVERED

Evans, Diana -PAChrist Medical Center and Children's Hospital NOT COVERED

Evans, Kaleigh -MDChrist Medical Center and Children's Hospital NOT COVERED

Everett, Marlon -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Evolve Pediatrics LLCChrist Medical Center and Children's Hospital NOT COVERED

Eydelman, Leon -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Eye Specialist Group, LLCChrist Medical Center and Children's Hospital NOT COVERED

Faasse, Mark -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Fagen, Kimberly -MDChrist Medical Center and Children's Hospital NOT COVERED

Fajardo, Ashley -NPChrist Medical Center and Children's Hospital NOT COVERED

Fakhouri, Anton -MDChrist Medical Center and Children's Hospital NOT COVERED

Familaro, Robert -DDSChrist Medical Center and Children's Hospital NOT COVERED

Family Eye Physicians, LtdChrist Medical Center and Children's Hospital NOT COVERED

Family Med Care CenterChrist Medical Center and Children's Hospital NOT COVERED

Family Practice Health Care, P.C.Christ Medical Center and Children's Hospital NOT COVERED

Farbstein, Samuel -MDChrist Medical Center and Children's Hospital NOT COVERED

Farhat, Hamad -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Farrell, Brian -MDChrist Medical Center and Children's Hospital NOT COVERED

Fatima, Aelia -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Feitl, Marianne -MDChrist Medical Center and Children's Hospital NOT COVERED

Felder, Mila -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Feria, Araceli -MDChrist Medical Center and Children's Hospital NOT COVERED

Ferragut, Justin -MDChrist Medical Center and Children's Hospital NOT COVERED

Fertility and Reproductive MedicineChrist Medical Center and Children's Hospital NOT COVERED

Fertility Centers of Illinois, SCChrist Medical Center and Children's Hospital NOT COVERED

Finkelstein, Kenneth -DOChrist Medical Center and Children's Hospital NOT COVERED

Finkle, Joshua -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Flanagan, Erin -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Flanagan, Jane -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Fletcher, Kathryn -MDChrist Medical Center and Children's Hospital NOT COVERED

Fliegelman, Robert -DOChrist Medical Center and Children's Hospital NOT COVERED

Florence, Kathleen -MDChrist Medical Center and Children's Hospital NOT COVERED

Floro, Lourdes -MDChrist Medical Center and Children's Hospital NOT COVERED

Flosi, Sam -DOChrist Medical Center and Children's Hospital NOT COVERED

Fochesatto Filho, Luciano -MDChrist Medical Center and Children's Hospital NOT COVERED

Fonner, Brent -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Fonseca, Luvianca -MDChrist Medical Center and Children's Hospital NOT COVERED

Foot & Ankle Associates, LtdChrist Medical Center and Children's Hospital NOT COVERED

Forstrom-Daly, Erin -NPChrist Medical Center and Children's Hospital NOT COVERED

Fort, LaTeisha -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Foster, Anne -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Foster, Vanessa -MDChrist Medical Center and Children's Hospital NOT COVERED

Fouliard, Eric -DOChrist Medical Center and Children's Hospital NOT COVERED

Fowler, Mary -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Fox, Christa -NPChrist Medical Center and Children's Hospital NOT COVERED

Fox, Jennifer -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Francisco L. Chuy, MD, SCChrist Medical Center and Children's Hospital NOT COVERED

Frank, Kaitlyn -NPChrist Medical Center and Children's Hospital NOT COVERED

Frank, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Frazier, Terra -DOChrist Medical Center and Children's Hospital NOT COVERED

Freedman, Ryan -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Friedenberg, Lauren -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Furlong, Denise -MDChrist Medical Center and Children's Hospital NOT COVERED

Fuzail, Anjum -MDChrist Medical Center and Children's Hospital NOT COVERED

Gadula, Mariusz -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 20

Page 21: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Gail D. Miller, MD SCChrist Medical Center and Children's Hospital NOT COVERED

Gajda, Malgorzata -MDChrist Medical Center and Children's Hospital NOT COVERED

Gal, Krystyna -DOChrist Medical Center and Children's Hospital NOT COVERED

Galatanu, Mirela -MDChrist Medical Center and Children's Hospital NOT COVERED

Galecki, Marta -MDChrist Medical Center and Children's Hospital NOT COVERED

Gallant, Emily -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Galley, Brett -MDChrist Medical Center and Children's Hospital NOT COVERED

Gamboa, David -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Gandhi, Rupali -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Gannon Stringer, Heather -PAChrist Medical Center and Children's Hospital NOT COVERED

Garcia, Enzo -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Garcia, Rosario -NPChrist Medical Center and Children's Hospital NOT COVERED

Garras, David -MDChrist Medical Center and Children's Hospital NOT COVERED

Garrett-Hauser, Shayla -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Garstka, Margaret -PAChrist Medical Center and Children's Hospital NOT COVERED

Gauriloff Rothenberg, Jane -MDChrist Medical Center and Children's Hospital NOT COVERED

Gavani and Kanuri MD SCChrist Medical Center and Children's Hospital NOT COVERED

Gavani, Uma -MDChrist Medical Center and Children's Hospital NOT COVERED

Gaynor, Brandon -MDChrist Medical Center and Children's Hospital NOT COVERED

Geatrakas, Christina -MDChrist Medical Center and Children's Hospital NOT COVERED

Gelsomino, Steven -DPMChrist Medical Center and Children's Hospital NOT COVERED

Gentile, Elise -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

George J. Dangles MD, PCChrist Medical Center and Children's Hospital NOT COVERED

George Skarpathiotis, MD, SCChrist Medical Center and Children's Hospital NOT COVERED

George, Meena -MDChrist Medical Center and Children's Hospital NOT COVERED

Germino, Kevin -MDChrist Medical Center and Children's Hospital NOT COVERED

Ghabra, Mohammed -MDChrist Medical Center and Children's Hospital NOT COVERED

Ghavami Shirehjini, Forough -DOChrist Medical Center and Children's Hospital NOT COVERED

Ghera, Elizabeth -NPChrist Medical Center and Children's Hospital NOT COVERED

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

Gierbolini, Mayte -MDChrist Medical Center and Children's Hospital NOT COVERED

Gigea, Mariana -MDChrist Medical Center and Children's Hospital NOT COVERED

Ginde, Sunita -MDChrist Medical Center and Children's Hospital NOT COVERED

Gir, Khursheed -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Girgis, Yousry -MDChrist Medical Center and Children's Hospital NOT COVERED

Girzadas, Daniel -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Gloude, Christopher -NPChrist Medical Center and Children's Hospital NOT COVERED

Glowicki, Allyson -PAChrist Medical Center and Children's Hospital NOT COVERED

Gnatenco, Carmen -MDChrist Medical Center and Children's Hospital NOT COVERED

Goel, Anupam -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Goetz, Maria -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Gogawale, Puja -MDChrist Medical Center and Children's Hospital NOT COVERED

Gokhale, Nisha -MDChrist Medical Center and Children's Hospital NOT COVERED

Gokhale, Sudhir -MDChrist Medical Center and Children's Hospital NOT COVERED

Golobof, Alexandra -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Golzar, Jaafer -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Gomberawalla, Ameer -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Goodmanson, Nicholas -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Gopal Madhav, MD, SCChrist Medical Center and Children's Hospital NOT COVERED

Gordon, Melanie -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Gordon, Paul -MDChrist Medical Center and Children's Hospital NOT COVERED

Gourineni, Prasad -MDChrist Medical Center and Children's Hospital NOT COVERED

Govostis, Dean -MDChrist Medical Center and Children's Hospital NOT COVERED

Grady, John -DPMChrist Medical Center and Children's Hospital NOT COVERED

Graney, Nicole -CNSChrist Medical Center and Children's Hospital NOT COVERED

Greene, McKenzie -PAChrist Medical Center and Children's Hospital NOT COVERED

Grela, Jacek -MDChrist Medical Center and Children's Hospital NOT COVERED

Grindeanu, Ligia -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 21

Page 22: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Grissom, Alyssa -CNSChrist Medical Center and Children's Hospital NOT COVERED

Grobelny, Thomas -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Groch, John -MDChrist Medical Center and Children's Hospital NOT COVERED

Guglielmi, Kelly -MDChrist Medical Center and Children's Hospital NOT COVERED

Guirguis, Alfred -DOChrist Medical Center and Children's Hospital NOT COVERED

Guirguis, Samuel -DOChrist Medical Center and Children's Hospital NOT COVERED

Gulecyuz, Mehmet -MDChrist Medical Center and Children's Hospital NOT COVERED

Gulecyuz, Yesim -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Gunderson, Candice -NPChrist Medical Center and Children's Hospital NOT COVERED

Gundeti, Mohan -MDChrist Medical Center and Children's Hospital NOT COVERED

Guzman-Schmitt, Lorena -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Guzzetta, Paul -MDChrist Medical Center and Children's Hospital NOT COVERED

Gynecological Cancer Institute of Chicago, LLCChrist Medical Center and Children's Hospital NOT COVERED

Habbal, Bassam -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Hagan, Vanessa -MDChrist Medical Center and Children's Hospital NOT COVERED

Hager, Cheryl -CNSChrist Medical Center and Children's Hospital NOT COVERED

Hahn Pediatric Group, LLCChrist Medical Center and Children's Hospital NOT COVERED

Hajjar, Gail -MDChrist Medical Center and Children's Hospital NOT COVERED

Hall, Laurie -NPChrist Medical Center and Children's Hospital NOT COVERED

Hamad, Amar -MDChrist Medical Center and Children's Hospital NOT COVERED

Hamadeh, Muhammad -MDChrist Medical Center and Children's Hospital NOT COVERED

Hamilton, John -MDChrist Medical Center and Children's Hospital NOT COVERED

Hammadeh, Rasheed -MDChrist Medical Center and Children's Hospital NOT COVERED

Han, Michael -DDSChrist Medical Center and Children's Hospital NOT COVERED

Hanif, Tabassum -MDChrist Medical Center and Children's Hospital NOT COVERED

Hanna, James -NPChrist Medical Center and Children's Hospital NOT COVERED

Hanna, Wafaa -MDChrist Medical Center and Children's Hospital NOT COVERED

Haque, Muhammad -MDChrist Medical Center and Children's Hospital NOT COVERED

Haraldsson, Catherine -PAChrist Medical Center and Children's Hospital NOT COVERED

Harris, Shannon -NPChrist Medical Center and Children's Hospital NOT COVERED

Hart, Elise -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Harting, Rekha -MDChrist Medical Center and Children's Hospital NOT COVERED

Harwood, Robert -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Haryani, Ashish -MDChrist Medical Center and Children's Hospital NOT COVERED

Hashmat, Shireen -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Hashmi, Faiza -MDChrist Medical Center and Children's Hospital NOT COVERED

Hattori, Steven -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Havelka, George -MDChrist Medical Center and Children's Hospital NOT COVERED

Hawkins, Debra -NPChrist Medical Center and Children's Hospital NOT COVERED

Hawkins, John -DOChrist Medical Center and Children's Hospital NOT COVERED

Hayward, Todd -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Healthonomic Primary CareChrist Medical Center and Children's Hospital NOT COVERED

Healthy Kids, S.C.Christ Medical Center and Children's Hospital NOT COVERED

Heaney, Stephen -DDSChrist Medical Center and Children's Hospital NOT COVERED

Heart Care Centers of Illinois, SCChrist Medical Center and Children's Hospital NOT COVERED

Hecht, Clifford -MDChrist Medical Center and Children's Hospital NOT COVERED

Heenan, Brian -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Heller, William -MDChrist Medical Center and Children's Hospital NOT COVERED

Herath, Geetha -MDChrist Medical Center and Children's Hospital NOT COVERED

Hermann, Kelly -PAChrist Medical Center and Children's Hospital NOT COVERED

Hernandez, Gonzalo -MDChrist Medical Center and Children's Hospital NOT COVERED

Herron, Sarah -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Herzog, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Hi Tech Radiation Oncology LLCChrist Medical Center and Children's Hospital NOT COVERED

Hibino, Narutoshi -MDChrist Medical Center and Children's Hospital NOT COVERED

Hicks, Sarah -MDChrist Medical Center and Children's Hospital NOT COVERED

Hicks, Stephen -NPChrist Medical Center and Children's Hospital NOT COVERED

Hicks, Taylor -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 22

Page 23: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Hilgart, Bey Yu -MDChrist Medical Center and Children's Hospital NOT COVERED

Hill Creek Pediatrics IncChrist Medical Center and Children's Hospital NOT COVERED

Hirsch, Daniel -MDChrist Medical Center and Children's Hospital NOT COVERED

Hirshfeld-Cytron, Jennifer -MDChrist Medical Center and Children's Hospital NOT COVERED

Ho, Lucy -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Hoang, Truc -MDChrist Medical Center and Children's Hospital NOT COVERED

Hodakowski, George -MDChrist Medical Center and Children's Hospital NOT COVERED

Hoganson, George -MDChrist Medical Center and Children's Hospital NOT COVERED

Holcomb, Rachel -DOChrist Medical Center and Children's Hospital NOT COVERED

Holley, Linda -CNSChrist Medical Center and Children's Hospital NOT COVERED

Homsi Pediatric NeurologyChrist Medical Center and Children's Hospital NOT COVERED

Homsi, Mohammed -MDChrist Medical Center and Children's Hospital NOT COVERED

Hook, Jonathan -DPMChrist Medical Center and Children's Hospital NOT COVERED

Hoover, Adina -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Horowitz, Ira -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Hosso-Cooper, Jennifer -DOChrist Medical Center and Children's Hospital NOT COVERED

Housner, Ryan -PAChrist Medical Center and Children's Hospital NOT COVERED

Howard, Deirdre -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Hristea, Nic -MDChrist Medical Center and Children's Hospital NOT COVERED

Huang, Alice -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Huang, Jingtao -MDChrist Medical Center and Children's Hospital NOT COVERED

Huff, Victoria -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Hugh, Brian -DOChrist Medical Center and Children's Hospital NOT COVERED

Hughes, Kylie -NPChrist Medical Center and Children's Hospital NOT COVERED

Husain, Amina -MDChrist Medical Center and Children's Hospital NOT COVERED

Husayni, Tarek -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Hussain, Tajammul -MDChrist Medical Center and Children's Hospital NOT COVERED

Husseini, Amer -MDChrist Medical Center and Children's Hospital NOT COVERED

Hutchinson, Ashley -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Hutchinson, Michael -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Iannitelli, Katherine -MDChrist Medical Center and Children's Hospital NOT COVERED

Ignaczewska, Anna -MDChrist Medical Center and Children's Hospital NOT COVERED

Ilarde, Emelie -MDChrist Medical Center and Children's Hospital NOT COVERED

Ilbawi, Michel -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Illinois Bone & Joint Institute LLCChrist Medical Center and Children's Hospital NOT COVERED

Illinois Dermatology Institute, LLCChrist Medical Center and Children's Hospital NOT COVERED

Illinois Eye InstituteChrist Medical Center and Children's Hospital NOT COVERED

Illinois Institute of Pediatric Cardiology, LtdChrist Medical Center and Children's Hospital NOT COVERED

Institute of Neurobehavioral Services, SCChrist Medical Center and Children's Hospital NOT COVERED

Integrated Imaging AssociatesChrist Medical Center and Children's Hospital NOT COVERED

Integrated Imaging Consultants, LLCChrist Medical Center and Children's Hospital NOT COVERED

Integrative Health GroupChrist Medical Center and Children's Hospital NOT COVERED

Iqbal, Nasir -MDChrist Medical Center and Children's Hospital NOT COVERED

Iqbal, Naveed -MDChrist Medical Center and Children's Hospital NOT COVERED

Iqbal, Vaseem -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Irabagon, Nenita -MDChrist Medical Center and Children's Hospital NOT COVERED

Irizarry, Sylvia -MDChrist Medical Center and Children's Hospital NOT COVERED

Itkin, Arthur -MDChrist Medical Center and Children's Hospital NOT COVERED

Ittiara, Shaun -MDChrist Medical Center and Children's Hospital NOT COVERED

Ivey-Brown, Jacqueline -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ivkov, Nestor -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

J & M Tang, MD's & Associates, SCChrist Medical Center and Children's Hospital NOT COVERED

J C Reyes Pediatrics, SCChrist Medical Center and Children's Hospital NOT COVERED

J.R. Nephrology & Associates, PCChrist Medical Center and Children's Hospital NOT COVERED

Jaber, Anas -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Jacek Grela, MD, SCChrist Medical Center and Children's Hospital NOT COVERED

Jacob, Pradeep -MDChrist Medical Center and Children's Hospital NOT COVERED

Jacobs, Renee -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 23

Page 24: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Jacobson, Daniel -MDChrist Medical Center and Children's Hospital NOT COVERED

Jager, Rama -MDChrist Medical Center and Children's Hospital NOT COVERED

Jain, Sachin -MDChrist Medical Center and Children's Hospital NOT COVERED

Jain, Shishir -MDChrist Medical Center and Children's Hospital NOT COVERED

Jain, Supriya -MDChrist Medical Center and Children's Hospital NOT COVERED

Jain, Tarun -MDChrist Medical Center and Children's Hospital NOT COVERED

James C. Liang, MD, SCChrist Medical Center and Children's Hospital NOT COVERED

Jamilla, Francis -MDChrist Medical Center and Children's Hospital NOT COVERED

Javois, Alexander -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Javorski, Joseph -MDChrist Medical Center and Children's Hospital NOT COVERED

Jedd, Anthony -MDChrist Medical Center and Children's Hospital NOT COVERED

Jen, Robert -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Jido, Ebby -MDChrist Medical Center and Children's Hospital NOT COVERED

Joechle, Betty -NPChrist Medical Center and Children's Hospital NOT COVERED

John McInerney, DO, SCChrist Medical Center and Children's Hospital NOT COVERED

John, Annita -MDChrist Medical Center and Children's Hospital NOT COVERED

John, Jobin -MDChrist Medical Center and Children's Hospital NOT COVERED

John, Thomas -MDChrist Medical Center and Children's Hospital NOT COVERED

Johnson, Christine -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Johnson, Karen -MDChrist Medical Center and Children's Hospital NOT COVERED

Johnson, Karen -NPChrist Medical Center and Children's Hospital NOT COVERED

Johnson, Kristina -DOChrist Medical Center and Children's Hospital NOT COVERED

Johnson, Lisa -MDChrist Medical Center and Children's Hospital NOT COVERED

Johnson, Naythea -NPChrist Medical Center and Children's Hospital NOT COVERED

Johnson, Sarah -MDChrist Medical Center and Children's Hospital NOT COVERED

Johnson, Timothy -DOChrist Medical Center and Children's Hospital NOT COVERED

Jonas, Emily -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Jones, April -DOChrist Medical Center and Children's Hospital NOT COVERED

Jones, Joseph -NPChrist Medical Center and Children's Hospital NOT COVERED

Jordan, Wyeth -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Jorge, Efren Jason -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Joseph, Kevin -MDChrist Medical Center and Children's Hospital NOT COVERED

Josephson, Greta -DOChrist Medical Center and Children's Hospital NOT COVERED

Joshi, Anjali -MDChrist Medical Center and Children's Hospital NOT COVERED

Joshi, Devang -MDChrist Medical Center and Children's Hospital NOT COVERED

Jovanovic, Dragomir -MDChrist Medical Center and Children's Hospital NOT COVERED

Jurek & Jurek Family PracticeChrist Medical Center and Children's Hospital NOT COVERED

Jurek, Bozena -MDChrist Medical Center and Children's Hospital NOT COVERED

Jweied, Eias -MDChrist Medical Center and Children's Hospital NOT COVERED

Kadar, Rachel -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kahkeshani, Kourosh -DOChrist Medical Center and Children's Hospital NOT COVERED

Kakavas, Peter -MDChrist Medical Center and Children's Hospital NOT COVERED

Kale, Alka -MDChrist Medical Center and Children's Hospital NOT COVERED

Kalimuthu, Ramasamy -MDChrist Medical Center and Children's Hospital NOT COVERED

Kalinowski, Michael -DOChrist Medical Center and Children's Hospital NOT COVERED

Kalnins, Aleksandrs -MDChrist Medical Center and Children's Hospital NOT COVERED

Kamath, Deepa -DOChrist Medical Center and Children's Hospital NOT COVERED

Kamba, Kathleen -NPChrist Medical Center and Children's Hospital NOT COVERED

Kamenjarin, Linda -CNSChrist Medical Center and Children's Hospital NOT COVERED

Kampanatkosol, Richard -DOChrist Medical Center and Children's Hospital NOT COVERED

Kampanatkosol, Ronald -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kanani, Reza -MDChrist Medical Center and Children's Hospital NOT COVERED

Kandel, Jessica -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kane, Jennifer -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kane, Sarah -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kang, Hyuk -MDChrist Medical Center and Children's Hospital NOT COVERED

Kanu, Lovella -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kapur, Sachin -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 24

Page 25: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Kapustiak, James -MDChrist Medical Center and Children's Hospital NOT COVERED

Karim, Eman -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kashyap, Sarung -DOChrist Medical Center and Children's Hospital NOT COVERED

Kason, Thomas -MDChrist Medical Center and Children's Hospital NOT COVERED

Kassas, Ibrahim -MDChrist Medical Center and Children's Hospital NOT COVERED

Katerji Pediatric Neurology & Associates SCChrist Medical Center and Children's Hospital NOT COVERED

Katerji, M. Ammar -MDChrist Medical Center and Children's Hospital NOT COVERED

Kathleen J. Drinan, DO, LtdChrist Medical Center and Children's Hospital NOT COVERED

Katiyar, Abhishek -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Katyal, Shivani -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Katz, Jeremy -MDChrist Medical Center and Children's Hospital NOT COVERED

Kawadry, Ola -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kaza, Chandrarekha -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kazaniwskyj, Andrew -DOChrist Medical Center and Children's Hospital NOT COVERED

Kazaniwskyj, Lubomyra -DOChrist Medical Center and Children's Hospital NOT COVERED

Kazi, Mohammed -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Keane, Janice -NPChrist Medical Center and Children's Hospital NOT COVERED

Keane, John -MDChrist Medical Center and Children's Hospital NOT COVERED

Keating, Kelly -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kedainis, Dalius -MDChrist Medical Center and Children's Hospital NOT COVERED

Keller, Emily -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kellett, Helen -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kelta, Mouhammed -MDChrist Medical Center and Children's Hospital NOT COVERED

Kemp, David -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kenfack, Eve -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kennedy, Michael -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kent, Joseph -MDChrist Medical Center and Children's Hospital NOT COVERED

Kerwin, Christopher -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kettaneh, Nicolas -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ketterhagen, Timothy -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kevin, Kristina -NPChrist Medical Center and Children's Hospital NOT COVERED

Khaja Ahmed, Wassia -MDChrist Medical Center and Children's Hospital NOT COVERED

Khalil, Syed Tariq -MDChrist Medical Center and Children's Hospital NOT COVERED

Khallak, Nelli -NPChrist Medical Center and Children's Hospital NOT COVERED

Khan, Arsalan -MDChrist Medical Center and Children's Hospital NOT COVERED

Khan, Huma -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Khan, Khadija -MDChrist Medical Center and Children's Hospital NOT COVERED

Khan, Mitchell -DOChrist Medical Center and Children's Hospital NOT COVERED

Khan, Murtaza -MDChrist Medical Center and Children's Hospital NOT COVERED

Khan, Noorun -MDChrist Medical Center and Children's Hospital NOT COVERED

Khan, Rifat -MDChrist Medical Center and Children's Hospital NOT COVERED

Khan, Shamroze -DOChrist Medical Center and Children's Hospital NOT COVERED

Khan, Sunnie -MDChrist Medical Center and Children's Hospital NOT COVERED

Khatoon, Fahmida -PAChrist Medical Center and Children's Hospital NOT COVERED

Khilfeh, Hamdi -MDChrist Medical Center and Children's Hospital NOT COVERED

Kidanu Birhanu, MD SCChrist Medical Center and Children's Hospital NOT COVERED

Kidney & Hypertension Associates, SCChrist Medical Center and Children's Hospital NOT COVERED

Kidney Care Center South, LLCChrist Medical Center and Children's Hospital NOT COVERED

Kids Heart ClinicChrist Medical Center and Children's Hospital NOT COVERED

Kiernicki Sklar, Anna -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kilani, Jyotsna -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kim and Calvert MD, SCChrist Medical Center and Children's Hospital NOT COVERED

Kim, Erin -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kim, Jae -MDChrist Medical Center and Children's Hospital NOT COVERED

Kim, Ryan -NPChrist Medical Center and Children's Hospital NOT COVERED

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

Kim, Tom -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kimovec, Maria -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 25

Page 26: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

King, Kieya -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kingra, Satwant -MDChrist Medical Center and Children's Hospital NOT COVERED

Kinzler, Gordon -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kirsch, Therese -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kishkurno, Serguei -MDChrist Medical Center and Children's Hospital NOT COVERED

Kishta, Ali -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Kmicikewycz, Alexander -MDChrist Medical Center and Children's Hospital NOT COVERED

Kmiecik, Joseph -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Knox, Timothy -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Koehler, Lynn -MDChrist Medical Center and Children's Hospital NOT COVERED

Kolawole, Olatokunbo -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kolonda, Fathima -MDChrist Medical Center and Children's Hospital NOT COVERED

Koltun, Douglas -MDChrist Medical Center and Children's Hospital NOT COVERED

Konicki, P. -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kooiker, Philip -MDChrist Medical Center and Children's Hospital NOT COVERED

Kos, Joanna -NPChrist Medical Center and Children's Hospital NOT COVERED

Kos, Margarita -NPChrist Medical Center and Children's Hospital NOT COVERED

Kothari, Shana -MDChrist Medical Center and Children's Hospital NOT COVERED

Kothari, Sorabh -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kotz, Karen -NPChrist Medical Center and Children's Hospital NOT COVERED

Kovac, Adam -MDChrist Medical Center and Children's Hospital NOT COVERED

Kowalczyk, Joseph -MDChrist Medical Center and Children's Hospital NOT COVERED

Kozyckyj, Roman -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Krause, Nora -NPChrist Medical Center and Children's Hospital NOT COVERED

Kriedemann, Lorie -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kriesberg, Chelsea -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Krikorian, Armand -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Krishna, Hema -MDChrist Medical Center and Children's Hospital NOT COVERED

Kronen, Gary -MDChrist Medical Center and Children's Hospital NOT COVERED

Kronlage, Maria -DOChrist Medical Center and Children's Hospital NOT COVERED

Krueger, Barbara -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Krueger, Evan -DOChrist Medical Center and Children's Hospital NOT COVERED

Krzycka, Katarzyna -PAChrist Medical Center and Children's Hospital NOT COVERED

Kuhn, Steven -DDSChrist Medical Center and Children's Hospital NOT COVERED

Kukla, Lisa -NPChrist Medical Center and Children's Hospital NOT COVERED

Kumar, Anup -MDChrist Medical Center and Children's Hospital NOT COVERED

Kumar, Ravi -MDChrist Medical Center and Children's Hospital NOT COVERED

Kumar, Sampath -MDChrist Medical Center and Children's Hospital NOT COVERED

Kumar, Vinay -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Kurtzman, Daniel -MDChrist Medical Center and Children's Hospital NOT COVERED

Kutom, Ali -MDChrist Medical Center and Children's Hospital NOT COVERED

Kwak, Heewon -MDChrist Medical Center and Children's Hospital NOT COVERED

Kwan, Lola -MDChrist Medical Center and Children's Hospital NOT COVERED

Kyi, Richard -MDChrist Medical Center and Children's Hospital NOT COVERED

Lakeview Family CareChrist Medical Center and Children's Hospital NOT COVERED

Lakshminarayan, Gowri -MDChrist Medical Center and Children's Hospital NOT COVERED

Lambert, Michael -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

LaMonte, Dennis -DDSChrist Medical Center and Children's Hospital NOT COVERED

Lampe, Emily -MDChrist Medical Center and Children's Hospital NOT COVERED

Landeras, Veeda -MDChrist Medical Center and Children's Hospital NOT COVERED

Lannert, Kelly -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Larese, Joseph -MDChrist Medical Center and Children's Hospital NOT COVERED

Larkin, Colleen -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

LaRoy, Valerie -NPChrist Medical Center and Children's Hospital NOT COVERED

Latta, Shadi -MDChrist Medical Center and Children's Hospital NOT COVERED

Lawlor Klean, Phyllis -CNSChrist Medical Center and Children's Hospital NOT COVERED

Lawn Medical Center, SCChrist Medical Center and Children's Hospital NOT COVERED

Lawn Obstetrics and GyneologyChrist Medical Center and Children's Hospital NOT COVERED

Page 26

Page 27: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Lawrence, Rebecca -NPChrist Medical Center and Children's Hospital NOT COVERED

LCM Affiliated Physians GroupChrist Medical Center and Children's Hospital NOT COVERED

LeDonne, Ashley -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ledvora, Beth -MDChrist Medical Center and Children's Hospital NOT COVERED

Lee, Douglas -MDChrist Medical Center and Children's Hospital NOT COVERED

Lee, James -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Lee, Jane -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Lee, Ryan -MDChrist Medical Center and Children's Hospital NOT COVERED

Lee, Thomas -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Leipold, Lori -DOChrist Medical Center and Children's Hospital NOT COVERED

Lekovic, Marko -MDChrist Medical Center and Children's Hospital NOT COVERED

Lela Demeter MD, PCChrist Medical Center and Children's Hospital NOT COVERED

Lenoir, Latrina -NPChrist Medical Center and Children's Hospital NOT COVERED

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

Leonard, James -MDChrist Medical Center and Children's Hospital NOT COVERED

Lerma, Edgar -MDChrist Medical Center and Children's Hospital NOT COVERED

Leung-Duffy, Debbie -PAChrist Medical Center and Children's Hospital NOT COVERED

Levin, Thomas -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Levrant, Seth -MDChrist Medical Center and Children's Hospital NOT COVERED

Levy, Rebecca -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Liang, James -MDChrist Medical Center and Children's Hospital NOT COVERED

Liang, Luzhou -MDChrist Medical Center and Children's Hospital NOT COVERED

Lieder, Charles -DOChrist Medical Center and Children's Hospital NOT COVERED

Life Enhancement Clinic and Med SpaChrist Medical Center and Children's Hospital NOT COVERED

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

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

Lim, Richard -MDChrist Medical Center and Children's Hospital NOT COVERED

Limpert, Jonathan -MDChrist Medical Center and Children's Hospital NOT COVERED

Linares, Oscar -MDChrist Medical Center and Children's Hospital NOT COVERED

Lindgren, Robert -MDChrist Medical Center and Children's Hospital NOT COVERED

Lindle, Lauren -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Little Company of Mary Medical GroupChrist Medical Center and Children's Hospital NOT COVERED

Liu, Shu-Hao -DOChrist Medical Center and Children's Hospital NOT COVERED

Lo, Joanna -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Lonergan-Thomas, Helen -CNSChrist Medical Center and Children's Hospital COVERED UNDER FAP

Loomba, Rohit -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Lopatka, Keith -MDChrist Medical Center and Children's Hospital NOT COVERED

Lopez, Georgina -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Loughry, Kevin -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Lovell, Elise -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Lowe, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Lua, Lea -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Lubas, Janice -DDSChrist Medical Center and Children's Hospital NOT COVERED

Lubovich, Barbara -CNMChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ludwig, Shari -MDChrist Medical Center and Children's Hospital NOT COVERED

Lue, Wayne -MDChrist Medical Center and Children's Hospital NOT COVERED

Luke, Alan -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Luke, Kevin -MDChrist Medical Center and Children's Hospital NOT COVERED

Lyon, Mark -MDChrist Medical Center and Children's Hospital NOT COVERED

Lyon, Susan -MDChrist Medical Center and Children's Hospital NOT COVERED

Ma, Di -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Maas, Mara -MDChrist Medical Center and Children's Hospital NOT COVERED

Macaluso, Gregory -MDChrist Medical Center and Children's Hospital NOT COVERED

MacGillis, Kyle -MDChrist Medical Center and Children's Hospital NOT COVERED

Maciolek, Sarah -CNSChrist Medical Center and Children's Hospital NOT COVERED

Macri, Andrew -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Page 27

Page 28: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Madhav, Gopal -MDChrist Medical Center and Children's Hospital NOT COVERED

Mahafzah, Mahmoud -MDChrist Medical Center and Children's Hospital NOT COVERED

Majewski, Janet -MDChrist Medical Center and Children's Hospital NOT COVERED

Majid, Sophia -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Majkut, Krystyna -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Majmundar, Mihir -MDChrist Medical Center and Children's Hospital NOT COVERED

Major, Colette -MDChrist Medical Center and Children's Hospital NOT COVERED

Makdah, Salem -MDChrist Medical Center and Children's Hospital NOT COVERED

Mallick, Naveed -MDChrist Medical Center and Children's Hospital NOT COVERED

Manaparambil, Sheela -MDChrist Medical Center and Children's Hospital NOT COVERED

Mandell, Matthew -DOChrist Medical Center and Children's Hospital NOT COVERED

Manera, Ricarchito -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Maniakouras, Denise -DDSChrist Medical Center and Children's Hospital NOT COVERED

Manley, Steven -MDChrist Medical Center and Children's Hospital NOT COVERED

Manning, Sarah -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Mar, Calvin -MDChrist Medical Center and Children's Hospital NOT COVERED

Maragos, Stavros -MDChrist Medical Center and Children's Hospital NOT COVERED

Marcic, Sonja -MDChrist Medical Center and Children's Hospital NOT COVERED

Marek, Steven -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

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

Marra, Silvio -MDChrist Medical Center and Children's Hospital NOT COVERED

Marshall, Roland -MDChrist Medical Center and Children's Hospital NOT COVERED

Martin, Michele -CNSChrist Medical Center and Children's Hospital NOT COVERED

Martin, Paul -DPMChrist Medical Center and Children's Hospital NOT COVERED

Martinez, Heriberto -MDChrist Medical Center and Children's Hospital NOT COVERED

Martinez-Costa, Helen -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Marynowski, Michael -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Massih, Lyna -MDChrist Medical Center and Children's Hospital NOT COVERED

Mataria, Hamed -MDChrist Medical Center and Children's Hospital NOT COVERED

Mataria, Mohammad -MDChrist Medical Center and Children's Hospital NOT COVERED

Mathur, Hema -MDChrist Medical Center and Children's Hospital NOT COVERED

Mathur, Virendra -MDChrist Medical Center and Children's Hospital NOT COVERED

Matics, Travis -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Mayekar, Emily -MDChrist Medical Center and Children's Hospital NOT COVERED

Mazahreh, Yazan -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Maze-Rothstein, Galen -MDChrist Medical Center and Children's Hospital NOT COVERED

Mbadiwe, Nina -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Mbanu, Ibeawuchi -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

McBroom, Amanda -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

McCafferty, Maureen -CNSChrist Medical Center and Children's Hospital NOT COVERED

McCaffrey, Thomas -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

McCarthy, Katija -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

McCourt-O'Donnell, Lorri -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

McDonough, Natalie -NPChrist Medical Center and Children's Hospital NOT COVERED

McElmeel, David -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

McFall, Rebecca -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

McFarlane, Paul -MDChrist Medical Center and Children's Hospital NOT COVERED

McGinnis, Amanda -NPChrist Medical Center and Children's Hospital NOT COVERED

McGinnis, Bridget -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

McGrath, Brian -MDChrist Medical Center and Children's Hospital NOT COVERED

McIlwain, Carrie -MDChrist Medical Center and Children's Hospital NOT COVERED

McInerney, John -DOChrist Medical Center and Children's Hospital NOT COVERED

McIntyre, Sandra -NPChrist Medical Center and Children's Hospital NOT COVERED

McKean, James -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

McKenna, Rajalaxmi -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 28

Page 29: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

McKnight, Matthew -DDSChrist Medical Center and Children's Hospital NOT COVERED

McNamara, Shannon -PAChrist Medical Center and Children's Hospital NOT COVERED

McNeill, Courtney -PAChrist Medical Center and Children's Hospital NOT COVERED

McWilliams, Lucas -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

MD Pediatric Center, SCChrist Medical Center and Children's Hospital NOT COVERED

Mears, Cynthia -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Medical and Heart Clinic, SCChrist Medical Center and Children's Hospital NOT COVERED

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

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

Meehan, Karen -CNSChrist Medical Center and Children's Hospital NOT COVERED

Meeker, Michael -PAChrist Medical Center and Children's Hospital NOT COVERED

Meerapatel, Shakilbanu -MDChrist Medical Center and Children's Hospital NOT COVERED

Mehta, Gautam -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Mehta, Saumya -DOChrist Medical Center and Children's Hospital NOT COVERED

Mei, Lily -MDChrist Medical Center and Children's Hospital NOT COVERED

Meisel, Adam -MDChrist Medical Center and Children's Hospital NOT COVERED

Meister, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Mejia Acosta, Monica -MDChrist Medical Center and Children's Hospital NOT COVERED

Mekhail, Anis -MDChrist Medical Center and Children's Hospital NOT COVERED

Memon, Aftab -MDChrist Medical Center and Children's Hospital NOT COVERED

Memon, Nabeel -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Memon, Saadia -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Memon, Shermeen -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Mendez, Ray -MDChrist Medical Center and Children's Hospital NOT COVERED

Menon, Vijay -MDChrist Medical Center and Children's Hospital NOT COVERED

Mensch, Stephanie -NPChrist Medical Center and Children's Hospital NOT COVERED

Merkler, Andrea -CNSChrist Medical Center and Children's Hospital COVERED UNDER FAP

Merman, Dawn -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Mesleh, Marc -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Messing, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Messmer, Tania -PAChrist Medical Center and Children's Hospital NOT COVERED

Metgud, Sheela -MDChrist Medical Center and Children's Hospital NOT COVERED

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

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

MetropedixChrist Medical Center and Children's Hospital NOT COVERED

Metzler, Robert -MDChrist Medical Center and Children's Hospital NOT COVERED

Meyer, Madeline -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Meyers, Melissa -MDChrist Medical Center and Children's Hospital NOT COVERED

Mgbodille, Nnaneme -MDChrist Medical Center and Children's Hospital NOT COVERED

Mian, Waqar -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

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

Michel, Lisa -NPChrist Medical Center and Children's Hospital NOT COVERED

MidAmerica Orthopaedics, SCChrist Medical Center and Children's Hospital NOT COVERED

Midland Orthopedic Associates, SCChrist Medical Center and Children's Hospital NOT COVERED

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

Midwest Allergy & Asthma ClinicChrist Medical Center and Children's Hospital NOT COVERED

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

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

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

Midwest Diagnostic Pathology, SCChrist Medical Center and Children's Hospital NOT COVERED

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

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

Midwest Interventional Pain Solutions, LLCChrist Medical Center and Children's Hospital NOT COVERED

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

Midwest Orthopaedic Consultants, SCChrist Medical Center and Children's Hospital NOT COVERED

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

Page 29

Page 30: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Midwest Pulmonary Critical Care & Sleep Consultants, LLCChrist Medical Center and Children's Hospital NOT COVERED

Midwest Pulmonary, Critical Care & Sleep Consultants LLCChrist Medical Center and Children's Hospital NOT COVERED

Midwest Women's Health Care CenterChrist Medical Center and Children's Hospital NOT COVERED

Mietus, Adam -PAChrist Medical Center and Children's Hospital NOT COVERED

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

Miinedoctor, IncChrist Medical Center and Children's Hospital NOT COVERED

Mikal, Meggan -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Millennium SurgicalChrist Medical Center and Children's Hospital NOT COVERED

Miller, Gail -MDChrist Medical Center and Children's Hospital NOT COVERED

Miller, Karen -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Mills, Ishmaella -NPChrist Medical Center and Children's Hospital NOT COVERED

Mirshed Medical Center, SCChrist Medical Center and Children's Hospital NOT COVERED

Mirshed, Nayeh -MDChrist Medical Center and Children's Hospital NOT COVERED

Mishra, Seetal -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Mission OpticalChrist Medical Center and Children's Hospital NOT COVERED

Mistry, Chintan -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Mitchell, Jeffrey -NPChrist Medical Center and Children's Hospital NOT COVERED

Mittal, Sachin -MDChrist Medical Center and Children's Hospital NOT COVERED

Moeed, Syed -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Mohammed, Deena -MDChrist Medical Center and Children's Hospital NOT COVERED

Mohammed, Rafat -MDChrist Medical Center and Children's Hospital NOT COVERED

Mohsin, Sana -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Mohsin, Syed -MDChrist Medical Center and Children's Hospital NOT COVERED

Montgomery, Paul -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Moonan, Sheri -CNSChrist Medical Center and Children's Hospital NOT COVERED

Moore, Markeita -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Moore, Mary -DOChrist Medical Center and Children's Hospital NOT COVERED

Moore, Tiffany -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Morreale, Chad -DOChrist Medical Center and Children's Hospital NOT COVERED

Morris, Amanda -PAChrist Medical Center and Children's Hospital NOT COVERED

Morris, David -MDChrist Medical Center and Children's Hospital NOT COVERED

Morrison, Michelle -MDChrist Medical Center and Children's Hospital NOT COVERED

Motzny, Sean -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Mozden, Nicole -MDChrist Medical Center and Children's Hospital NOT COVERED

Muangmingsuk, Sunthorn -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Mudryj, Gloria -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Muhammad, Nina -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Mularczyk, Joseph -MDChrist Medical Center and Children's Hospital NOT COVERED

Mulcrone, Sandra -CNMChrist Medical Center and Children's Hospital NOT COVERED

Mullin, Kimberly -MDChrist Medical Center and Children's Hospital NOT COVERED

Munnerlyn, Kenneth -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Murphy, Anna -NPChrist Medical Center and Children's Hospital NOT COVERED

Muscarello, Vincent -MDChrist Medical Center and Children's Hospital NOT COVERED

Mustafa, Asif -MDChrist Medical Center and Children's Hospital NOT COVERED

Muzykansky, Eugene -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Myint, Win -MDChrist Medical Center and Children's Hospital NOT COVERED

Mylvaganam, Hari -MDChrist Medical Center and Children's Hospital NOT COVERED

Nagesh, Darshan -DPMChrist Medical Center and Children's Hospital NOT COVERED

Nagpal, Rajeev -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Nahhas, Mohamed -MDChrist Medical Center and Children's Hospital NOT COVERED

Nahra, Karim -MDChrist Medical Center and Children's Hospital NOT COVERED

Naik, Trushar -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Nanini, Steven -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Narang, Nikhil -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Page 30

Page 31: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Natale, Jamie -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Natanawan, Emerito -MDChrist Medical Center and Children's Hospital NOT COVERED

Nater, Melissa -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Nawas, Sammy -MDChrist Medical Center and Children's Hospital NOT COVERED

Nayef, Husam -MDChrist Medical Center and Children's Hospital NOT COVERED

Neal, Christopher -DDSChrist Medical Center and Children's Hospital NOT COVERED

Neiger, Jeffrey -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Nellett, Michelle -CNSChrist Medical Center and Children's Hospital NOT COVERED

Nelson McMillan, Kristen -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Nelson, Kent -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Nemri, Mourice -MDChrist Medical Center and Children's Hospital NOT COVERED

Nepal, Raksha -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Nesterovitch, Andrei -MDChrist Medical Center and Children's Hospital NOT COVERED

Neubauer, Nikki -MDChrist Medical Center and Children's Hospital NOT COVERED

Neural WatchChrist Medical Center and Children's Hospital NOT COVERED

Neurologic and Headache Clinic, SCChrist Medical Center and Children's Hospital NOT COVERED

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

Neurosurgical Professionals, Ltd.Christ Medical Center and Children's Hospital NOT COVERED

Newtoff, Marissa -NPChrist Medical Center and Children's Hospital NOT COVERED

Ngo, Thang -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Nguyen, Cheryl -CNSChrist Medical Center and Children's Hospital NOT COVERED

Nierzwicki, Bartlomiej -DMDChrist Medical Center and Children's Hospital NOT COVERED

Nikamal, Arya -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Nikas, Dimitrios -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Nikolas, Helen -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Nikoltcheva, Irina -NPChrist Medical Center and Children's Hospital NOT COVERED

Nilsson, Maria -CNSChrist Medical Center and Children's Hospital NOT COVERED

Nomanbhoy, Yunus -MDChrist Medical Center and Children's Hospital NOT COVERED

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

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

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

Nowak, Mary Jane -MDChrist Medical Center and Children's Hospital NOT COVERED

Nowell, Ana -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Nowobilska Medical PracticeChrist Medical Center and Children's Hospital NOT COVERED

Nowobilska, Anna -MDChrist Medical Center and Children's Hospital NOT COVERED

Nubani, Reem -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Nuvasive Clinical ServicesChrist Medical Center and Children's Hospital NOT COVERED

Nuvasive Clinical Services Monitoring, Inc. / American Neuromonitoring Associates, PCChrist Medical Center and Children's Hospital NOT COVERED

Nweke, Chigozie -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

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

Oak Street Health - Avalon Park ClinicChrist Medical Center and Children's Hospital NOT COVERED

Oak Street Health Physicians Group PCChrist Medical Center and Children's Hospital NOT COVERED

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

Obasi, Ejikeme -MDChrist Medical Center and Children's Hospital NOT COVERED

Ob-Gyn Southwest, SCChrist Medical Center and Children's Hospital NOT COVERED

OConnell, Joseph -DOChrist Medical Center and Children's Hospital NOT COVERED

O'Connor, Timothy -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

O'Connor, Yvonne -CRNAChrist Medical Center and Children's Hospital NOT COVERED

O'Dwyer-Murphy, Breda -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Ogdon, Tracey -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ogilvie, Michael -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Oguejiofor, Ikechukwu -MDChrist Medical Center and Children's Hospital NOT COVERED

Ogunbuyide, Mojisola -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Ohata, Cynthia -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Okafor, Chinelo -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Page 31

Page 32: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Okoroafor, Whitney -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Okubanjo, Oyinkansola -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Olafsdottir, Agusta -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Olear, Osezua -MDChrist Medical Center and Children's Hospital NOT COVERED

Olin, Annette -MDChrist Medical Center and Children's Hospital NOT COVERED

Oliversen, Kirsten -MDChrist Medical Center and Children's Hospital NOT COVERED

Omari, Mohammad -MDChrist Medical Center and Children's Hospital NOT COVERED

Omastiak, Paul -MDChrist Medical Center and Children's Hospital NOT COVERED

Omer, Muhammad -MDChrist Medical Center and Children's Hospital NOT COVERED

Omerovic, Azra -MDChrist Medical Center and Children's Hospital NOT COVERED

Omi, Ellen -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

O'Neal, Patrick -MDChrist Medical Center and Children's Hospital NOT COVERED

Onyenwenyi, Chijoke -MDChrist Medical Center and Children's Hospital NOT COVERED

Opperman, Hannah -PAChrist Medical Center and Children's Hospital NOT COVERED

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

Orfei, Joanne -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Ortegon, Nina -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Orwar, Nicole -DOChrist Medical Center and Children's Hospital NOT COVERED

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

Ostermann, Hannah -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Oswiecimski, LtdChrist Medical Center and Children's Hospital NOT COVERED

Oswiecimski, Margaret -MDChrist Medical Center and Children's Hospital NOT COVERED

Oswiecimski, Paul -MDChrist Medical Center and Children's Hospital NOT COVERED

Oubaid PediatricsChrist Medical Center and Children's Hospital NOT COVERED

Oubaid, Abdelraouf -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Pacella, Amy -NPChrist Medical Center and Children's Hospital NOT COVERED

Padilla, Sofia -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Paik, John -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Paliga, Robin -NPChrist Medical Center and Children's Hospital NOT COVERED

Pallath, Sreya -MDChrist Medical Center and Children's Hospital NOT COVERED

Palmer, Robert -MDChrist Medical Center and Children's Hospital NOT COVERED

Palmieri, Ashley -NPChrist Medical Center and Children's Hospital NOT COVERED

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

Palos Medical GroupChrist Medical Center and Children's Hospital NOT COVERED

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

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

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

Pandit, Bela -DPMChrist Medical Center and Children's Hospital NOT COVERED

Pandya, Dave -MDChrist Medical Center and Children's Hospital NOT COVERED

Pandya, Mauna -MDChrist Medical Center and Children's Hospital NOT COVERED

Pang, Willett -MDChrist Medical Center and Children's Hospital NOT COVERED

Panice, Jessica -CNSChrist Medical Center and Children's Hospital NOT COVERED

Pannu, Gurpal -MDChrist Medical Center and Children's Hospital NOT COVERED

Panos, George -DDSChrist Medical Center and Children's Hospital NOT COVERED

Papari, Mona -MDChrist Medical Center and Children's Hospital NOT COVERED

Pappas, Patroklos -MDChrist Medical Center and Children's Hospital NOT COVERED

Paquette, Katherine -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Park, Paul -MDChrist Medical Center and Children's Hospital NOT COVERED

Parkview Orthopaedic Group, SCChrist Medical Center and Children's Hospital NOT COVERED

Parkview OrthopedicsChrist Medical Center and Children's Hospital NOT COVERED

Parmar, Karma -DOChrist Medical Center and Children's Hospital NOT COVERED

Partyka, Mary -NPChrist Medical Center and Children's Hospital NOT COVERED

Paruchuri, Sudheer -MDChrist Medical Center and Children's Hospital NOT COVERED

Patel, Amit -DOChrist Medical Center and Children's Hospital NOT COVERED

Page 32

Page 33: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Patel, Asmita -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Patel, Dhaval -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Patel, Gautam -MDChrist Medical Center and Children's Hospital NOT COVERED

Patel, Jayantibhai -MDChrist Medical Center and Children's Hospital NOT COVERED

Patel, Kevin -MDChrist Medical Center and Children's Hospital NOT COVERED

Patel, Krishna -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Patel, Nick -PAChrist Medical Center and Children's Hospital NOT COVERED

Patel, Parit -MDChrist Medical Center and Children's Hospital NOT COVERED

Patel, Rinku -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Patel, Ruchita -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Patel, Samir -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Patel, Samir -MDChrist Medical Center and Children's Hospital NOT COVERED

Patel, Shirali -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Patel, Sonali -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Patel, Yesha -NPChrist Medical Center and Children's Hospital NOT COVERED

Patricia M. Boatwright, MD, PCChrist Medical Center and Children's Hospital NOT COVERED

Paulsen, Danielle -PAChrist Medical Center and Children's Hospital NOT COVERED

Pauwaa, Annie -PAChrist Medical Center and Children's Hospital NOT COVERED

Pauwaa, Sunil -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Pavese, Joseph -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Pavlovic Surjancev, Biljana -MDChrist Medical Center and Children's Hospital NOT COVERED

Payne, Kyra -MDChrist Medical Center and Children's Hospital NOT COVERED

Peart, Renee -MDChrist Medical Center and Children's Hospital NOT COVERED

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

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

Pediatric Health Partners, SCChrist Medical Center and Children's Hospital NOT COVERED

Pediatric Healthy HeartsChrist Medical Center and Children's Hospital NOT COVERED

Pediatrics on DemandChrist Medical Center and Children's Hospital NOT COVERED

Peiss, Robert -MDChrist Medical Center and Children's Hospital NOT COVERED

Pelzek, Christopher -MDChrist Medical Center and Children's Hospital NOT COVERED

Peng, Benjamin -MDChrist Medical Center and Children's Hospital NOT COVERED

Peoples, Elizabeth -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Personal Physicians, S.C.Christ Medical Center and Children's Hospital NOT COVERED

Peswani, Namrata -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Petermann, Kevin -MDChrist Medical Center and Children's Hospital NOT COVERED

Petruccione, Mara -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Phelan, Janet -MDChrist Medical Center and Children's Hospital NOT COVERED

Phillips, Molly -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Pierce, David -MDChrist Medical Center and Children's Hospital NOT COVERED

Pierce, Robert -MDChrist Medical Center and Children's Hospital NOT COVERED

Pierce, Sheena -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Pierpaoli, Steven -MDChrist Medical Center and Children's Hospital NOT COVERED

Pierson, Brooke -PAChrist Medical Center and Children's Hospital NOT COVERED

Pietrzak, Constance -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Pinkard, Lauren -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Pinnacle Dermatology S.C.Christ Medical Center and Children's Hospital NOT COVERED

Pintozzi, Robert -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Piotrowski, Miroslaw -MDChrist Medical Center and Children's Hospital NOT COVERED

Piracha, Lubna -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Plastic Surgery Clinic of Chicago, LLCChrist Medical Center and Children's Hospital NOT COVERED

Plotke, John -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Plummer, Malgorzata -MDChrist Medical Center and Children's Hospital NOT COVERED

Podbielski, Francis -MDChrist Medical Center and Children's Hospital NOT COVERED

Polavarapu, Nagendra -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ponnappan, Anand -MDChrist Medical Center and Children's Hospital NOT COVERED

Port, Jeffrey -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 33

Page 34: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Porter, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

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

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

Prager, Leah -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Prasad, Neenu -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Pratuangtham, Surasak -MDChrist Medical Center and Children's Hospital NOT COVERED

Prentice, Robert -DOChrist Medical Center and Children's Hospital NOT COVERED

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

Price, Scott -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Principe, John -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Prokop, Gail -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Prokop, Thomas -PAChrist Medical Center and Children's Hospital NOT COVERED

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

Pronger Smith Medical Associates, LLPChrist Medical Center and Children's Hospital NOT COVERED

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

Psaradellis, Telly -MDChrist Medical Center and Children's Hospital NOT COVERED

Pudusseri, Lisa -DOChrist Medical Center and Children's Hospital NOT COVERED

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

Pulmonary ConsultantsChrist Medical Center and Children's Hospital NOT COVERED

Pulmonary Consultants, SCChrist Medical Center and Children's Hospital NOT COVERED

Putman, Margaret -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Pyle, Joseph -MDChrist Medical Center and Children's Hospital NOT COVERED

Qayyum, Naheed -MDChrist Medical Center and Children's Hospital NOT COVERED

Qazi, Masood -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Quinn, Steven -MDChrist Medical Center and Children's Hospital NOT COVERED

Quinn, Thomas -MDChrist Medical Center and Children's Hospital NOT COVERED

Rabi Sulayman Pediatric CardiologyChrist Medical Center and Children's Hospital NOT COVERED

Rachid, Mazen -MDChrist Medical Center and Children's Hospital NOT COVERED

Raddawi, Hareth -MDChrist Medical Center and Children's Hospital NOT COVERED

Radzevicius, Evaldas -MDChrist Medical Center and Children's Hospital NOT COVERED

Rai, Karishma -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Raiji, Manish -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Raja, Omar -MDChrist Medical Center and Children's Hospital NOT COVERED

Rajchert, Donna -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Rajendran, Kavitha -PAChrist Medical Center and Children's Hospital NOT COVERED

Rajmane, Kiran -MDChrist Medical Center and Children's Hospital NOT COVERED

Raju, Priya -MDChrist Medical Center and Children's Hospital NOT COVERED

Ramadan, Nabih -MDChrist Medical Center and Children's Hospital NOT COVERED

Ramadan, Suha -MDChrist Medical Center and Children's Hospital NOT COVERED

Ramadurai, Jayanthi -MDChrist Medical Center and Children's Hospital NOT COVERED

Ramana, Ravi -DOChrist Medical Center and Children's Hospital NOT COVERED

Raminski, David -DOChrist Medical Center and Children's Hospital NOT COVERED

Ramirez, Marybell -NPChrist Medical Center and Children's Hospital NOT COVERED

Randle, Kyle -NPChrist Medical Center and Children's Hospital NOT COVERED

Rangsithienchai, Pisit -MDChrist Medical Center and Children's Hospital NOT COVERED

Rao, S. Ramana -MDChrist Medical Center and Children's Hospital NOT COVERED

Rao, Subramanya -MDChrist Medical Center and Children's Hospital NOT COVERED

Rawda, Ayman -MDChrist Medical Center and Children's Hospital NOT COVERED

Rayner, Loris -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Razma, Antanas -MDChrist Medical Center and Children's Hospital NOT COVERED

Razzaque, Mohammad -MDChrist Medical Center and Children's Hospital NOT COVERED

Recker, Darlene -DOChrist Medical Center and Children's Hospital NOT COVERED

Reddy, Satyajit -MDChrist Medical Center and Children's Hospital NOT COVERED

Redondo, Luis -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 34

Page 35: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Regan, Elizabeth -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Regroup TelemedicineChrist Medical Center and Children's Hospital NOT COVERED

Reinhart, Glenn -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Reiter, Mark -MDChrist Medical Center and Children's Hospital NOT COVERED

Remezas, Courtney -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Remo, Mylene -MDChrist Medical Center and Children's Hospital NOT COVERED

Renaissance Medical Group SCChrist Medical Center and Children's Hospital NOT COVERED

Renaissance Medical Group, SCChrist Medical Center and Children's Hospital NOT COVERED

Resnick, Kenneth -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Retina Macula CareChrist Medical Center and Children's Hospital NOT COVERED

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

Reule, Kimberly -NPChrist Medical Center and Children's Hospital NOT COVERED

Rezai, Pedram -MDChrist Medical Center and Children's Hospital NOT COVERED

Rhine, David -MDChrist Medical Center and Children's Hospital NOT COVERED

Ridings, Larry -MDChrist Medical Center and Children's Hospital NOT COVERED

Riehl Schmidt, Betty -CRNAChrist Medical Center and Children's Hospital NOT COVERED

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

Rife, Susan -DOChrist Medical Center and Children's Hospital NOT COVERED

Riff, Katherine -MDChrist Medical Center and Children's Hospital NOT COVERED

Rimawi, Kelly -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

River North Dental GroupChrist Medical Center and Children's Hospital NOT COVERED

Roberson, David -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

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

Roberts, Lin -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Roberts, Thomas -DOChrist Medical Center and Children's Hospital NOT COVERED

Robinson, Mounica -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Robinson, Warren -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Rocha, Caitlin -NPChrist Medical Center and Children's Hospital NOT COVERED

Rodriguez, Alexis -MDChrist Medical Center and Children's Hospital NOT COVERED

Rodriguez, Sophia -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Rodriguez-Fernandez, Jorge -MDChrist Medical Center and Children's Hospital NOT COVERED

Rojas, Cathleen -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Rojas, Manuel -MDChrist Medical Center and Children's Hospital NOT COVERED

Rojas, Michelle -MDChrist Medical Center and Children's Hospital NOT COVERED

Roland, Donald -MDChrist Medical Center and Children's Hospital NOT COVERED

Romain, Carmelle -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Roney, Joanne -NPChrist Medical Center and Children's Hospital NOT COVERED

Rooney, Melissa -MDChrist Medical Center and Children's Hospital NOT COVERED

Rose, Katelyn -PAChrist Medical Center and Children's Hospital NOT COVERED

Roska, Anne Gillian -CNSChrist Medical Center and Children's Hospital NOT COVERED

Ross, Eleanor -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ross, John -DOChrist Medical Center and Children's Hospital NOT COVERED

Rowan, Daniel -DOChrist Medical Center and Children's Hospital NOT COVERED

Rowland, Kathryn -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Rowles, Rian -DOChrist Medical Center and Children's Hospital NOT COVERED

Roy, Larry -MDChrist Medical Center and Children's Hospital NOT COVERED

Roy, Meghana -MDChrist Medical Center and Children's Hospital NOT COVERED

Roy, Mitali -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Roy, Ruby -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ruggero, Kathleen -DOChrist Medical Center and Children's Hospital NOT COVERED

Ruiz De Luzuriaga, Arlene -MDChrist Medical Center and Children's Hospital NOT COVERED

Russell, Holly -MDChrist Medical Center and Children's Hospital NOT COVERED

Ryan, Dennis -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ryan, Edward -MDChrist Medical Center and Children's Hospital NOT COVERED

Rybka, Edward -DOChrist Medical Center and Children's Hospital NOT COVERED

Rydel, James -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 35

Page 36: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Rygiel, Valerie -DOChrist Medical Center and Children's Hospital NOT COVERED

Rzucidlo, Jozef -MDChrist Medical Center and Children's Hospital NOT COVERED

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

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

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

Sabo, Ashley -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sack, Mark -DPMChrist Medical Center and Children's Hospital NOT COVERED

Sadok, Smain -MDChrist Medical Center and Children's Hospital NOT COVERED

Safvi, Amjad -MDChrist Medical Center and Children's Hospital NOT COVERED

Saha, Debjit -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Saha, Kanta -MDChrist Medical Center and Children's Hospital NOT COVERED

Sahajpal, Tripat -MDChrist Medical Center and Children's Hospital NOT COVERED

Sahloul, Mohammed -MDChrist Medical Center and Children's Hospital NOT COVERED

Said, Yasser -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Saini, Jyoti -MDChrist Medical Center and Children's Hospital NOT COVERED

Sajan, Imran -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Salman, Alicja -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Salud LatinX, LLCChrist Medical Center and Children's Hospital NOT COVERED

Salvia, Carrie -DOChrist Medical Center and Children's Hospital NOT COVERED

Sam, Ronald -DOChrist Medical Center and Children's Hospital NOT COVERED

Samsami, Dorsa -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sanchez, Adam -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sanchez, Mario -MDChrist Medical Center and Children's Hospital NOT COVERED

Sanchez, Patrick -DPMChrist Medical Center and Children's Hospital NOT COVERED

Sandeep Chandra, MD, SCChrist Medical Center and Children's Hospital NOT COVERED

Sanders, Ericka -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sandhu, Harcharan -MDChrist Medical Center and Children's Hospital NOT COVERED

Sangal, Neha -MDChrist Medical Center and Children's Hospital NOT COVERED

Sankary, Howard -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Santaniello, John -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Santos, Carlos -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Saroli, Tania -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sarvida, Marie-Ellen -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Satler, Samuel -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Savage, Hugh -MDChrist Medical Center and Children's Hospital NOT COVERED

Savage, Judith -MDChrist Medical Center and Children's Hospital NOT COVERED

Savin, Michael -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sawlani, Omprakash -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Sayger, Brian -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Schaefer, Steven -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Schaffer, Leslie -MDChrist Medical Center and Children's Hospital NOT COVERED

Schaible, Anne -MDChrist Medical Center and Children's Hospital NOT COVERED

Schaible, Keith -MDChrist Medical Center and Children's Hospital NOT COVERED

Schmidt, Matthew -MDChrist Medical Center and Children's Hospital NOT COVERED

Schrader, Taryn -NPChrist Medical Center and Children's Hospital NOT COVERED

Schroeder, Bill -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Schwab, Theresa -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Schwartz, Michael -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Schwer, William -MDChrist Medical Center and Children's Hospital NOT COVERED

Schwermer, Jon -PAChrist Medical Center and Children's Hospital NOT COVERED

Sciamanna, Christopher -DOChrist Medical Center and Children's Hospital NOT COVERED

Scigacz, Anna -MDChrist Medical Center and Children's Hospital NOT COVERED

Scoccia, Humberto -MDChrist Medical Center and Children's Hospital NOT COVERED

Scott, Jonathan -MDChrist Medical Center and Children's Hospital NOT COVERED

Segui, Jo-An -DOChrist Medical Center and Children's Hospital NOT COVERED

Page 36

Page 37: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Selk, Natalie -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Setia, Suman -MDChrist Medical Center and Children's Hospital NOT COVERED

Sewell, Brittany -NPChrist Medical Center and Children's Hospital NOT COVERED

Shaar, Michele -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Shah, Amisha -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Shah, Bhavik -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Shah, Hassan -MDChrist Medical Center and Children's Hospital NOT COVERED

Shah, Kunjal -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Shah, Mahesh -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Shah, Mihir -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Shah, Mousami -MDChrist Medical Center and Children's Hospital NOT COVERED

Shah, Mrunal -MDChrist Medical Center and Children's Hospital NOT COVERED

Shah, Natasha -MDChrist Medical Center and Children's Hospital NOT COVERED

Shah, Nirav -MDChrist Medical Center and Children's Hospital NOT COVERED

Shah, Rajendra -MDChrist Medical Center and Children's Hospital NOT COVERED

Shah, Samir -MDChrist Medical Center and Children's Hospital NOT COVERED

Shah, Sunil -DOChrist Medical Center and Children's Hospital NOT COVERED

Shah, Trilok -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Shahbain, Abdul Hamid -MDChrist Medical Center and Children's Hospital NOT COVERED

Shaheen, Sarwat -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sharma, Jamie -DOChrist Medical Center and Children's Hospital NOT COVERED

Shea, Krista -NPChrist Medical Center and Children's Hospital NOT COVERED

Shelhorse, Kristen -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sherman, Jonathan -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sherry, Kenneth -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Sheth, Seema -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Sheth, Veeral -MDChrist Medical Center and Children's Hospital NOT COVERED

Shetty, Ira -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Shim, Ahmed -MDChrist Medical Center and Children's Hospital NOT COVERED

Shin, Hang-Jin -MDChrist Medical Center and Children's Hospital NOT COVERED

Shirazi, Wasif -MDChrist Medical Center and Children's Hospital NOT COVERED

Shivaraju, Anupama -MDChrist Medical Center and Children's Hospital NOT COVERED

Shneker, Bassel -MDChrist Medical Center and Children's Hospital NOT COVERED

Shupp, Randi -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sickles, Christine -DOChrist Medical Center and Children's Hospital NOT COVERED

Siddiqui, Irfan -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Siddiqui, Omar -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Siddiqui, Saad -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sidrys, Linas -MDChrist Medical Center and Children's Hospital NOT COVERED

Siemeck, Roxanne -CNSChrist Medical Center and Children's Hospital NOT COVERED

Siffermann, Emily -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sigala, Whitney -MDChrist Medical Center and Children's Hospital NOT COVERED

Sihabdeen, Samira -MDChrist Medical Center and Children's Hospital NOT COVERED

Silva, Rogelio -MDChrist Medical Center and Children's Hospital NOT COVERED

Silverman, Paul -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Singh, Bhurji -MDChrist Medical Center and Children's Hospital NOT COVERED

Singh, Priti -MDChrist Medical Center and Children's Hospital NOT COVERED

Singh, Rama Shankar -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Sinha, Sunil -DDSChrist Medical Center and Children's Hospital NOT COVERED

Sinnott, Jessica -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sivagnanam, Milani -MDChrist Medical Center and Children's Hospital NOT COVERED

Skarpathiotis, Georgios -MDChrist Medical Center and Children's Hospital NOT COVERED

Skarpathiotis, Stratos -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 37

Page 38: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Skripkauskas, Dainius -SAChrist Medical Center and Children's Hospital NOT COVERED

Sladek, Stephen -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Slakey, Douglas -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Slidell, Mark -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Slodyczka, Edyta -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Slostad, Brody -MDChrist Medical Center and Children's Hospital NOT COVERED

Slugocki, Kathleen -DOChrist Medical Center and Children's Hospital NOT COVERED

Slusinski, Bernard -DOChrist Medical Center and Children's Hospital NOT COVERED

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

Smith, Christopher -MDChrist Medical Center and Children's Hospital NOT COVERED

Smith, Roxanne -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Smith, Sylvia -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Snow, Ayelet -MDChrist Medical Center and Children's Hospital NOT COVERED

Sokolowski, Molly -NPChrist Medical Center and Children's Hospital NOT COVERED

Soltes, Barbara -MDChrist Medical Center and Children's Hospital NOT COVERED

Soltes, Steven -MDChrist Medical Center and Children's Hospital NOT COVERED

Sommer, Jennifer -PAChrist Medical Center and Children's Hospital NOT COVERED

Sorgeloos, Aliesje -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sorum, Kirsten -DOChrist Medical Center and Children's Hospital NOT COVERED

Souder, Kimberly -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Soumya Health LLCChrist Medical Center and Children's Hospital NOT COVERED

South Chicago Orthopedic Specialists, SCChrist Medical Center and Children's Hospital NOT COVERED

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

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

Southwest Center for Healthy JointsChrist Medical Center and Children's Hospital NOT COVERED

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

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

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

Southwest Medical CenterChrist Medical Center and Children's Hospital NOT COVERED

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

Southwest Nephrology Associates, SCChrist Medical Center and Children's Hospital NOT COVERED

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

Southwest Physicians & Associates SCChrist Medical Center and Children's Hospital NOT COVERED

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

Southwest Rheumatology, PCChrist Medical Center and Children's Hospital NOT COVERED

Spann, Ananya -MDChrist Medical Center and Children's Hospital NOT COVERED

Spear, William -MDChrist Medical Center and Children's Hospital NOT COVERED

Speziale, Nicholas -MDChrist Medical Center and Children's Hospital NOT COVERED

Spoo, Charisa -DOChrist Medical Center and Children's Hospital NOT COVERED

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

Sta Maria Calma, Michelle -MDChrist Medical Center and Children's Hospital NOT COVERED

Staley, Shannon -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Stamat, Nicholas -MDChrist Medical Center and Children's Hospital NOT COVERED

Stansfield, William -MDChrist Medical Center and Children's Hospital NOT COVERED

Steagerman, Rosanne -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Stec, Abigail -NPChrist Medical Center and Children's Hospital NOT COVERED

Stein, Robert -MDChrist Medical Center and Children's Hospital NOT COVERED

Steinard, Derick -PAChrist Medical Center and Children's Hospital NOT COVERED

Steinberg, Jay -MDChrist Medical Center and Children's Hospital NOT COVERED

Steinecker, Gary -MDChrist Medical Center and Children's Hospital NOT COVERED

Stella, Ronald -MDChrist Medical Center and Children's Hospital NOT COVERED

Stephen M. Heaney, DDS, PCChrist Medical Center and Children's Hospital NOT COVERED

Stephens, Katie -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Stephens, Kevin -MDChrist Medical Center and Children's Hospital NOT COVERED

Stephens, Patrice -CNSChrist Medical Center and Children's Hospital NOT COVERED

Stern, David -MDChrist Medical Center and Children's Hospital NOT COVERED

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

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

Page 38

Page 39: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Stoklosa, Michelle -NPChrist Medical Center and Children's Hospital NOT COVERED

Stringer, Elizabeth -MDChrist Medical Center and Children's Hospital NOT COVERED

Strugala, Robert -MDChrist Medical Center and Children's Hospital NOT COVERED

Strzembosz, Patricia -MDChrist Medical Center and Children's Hospital NOT COVERED

Studlo, James -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Styka, Beata -MDChrist Medical Center and Children's Hospital NOT COVERED

Suan, Evan -MDChrist Medical Center and Children's Hospital NOT COVERED

Suburban Eye SpecialistsChrist Medical Center and Children's Hospital NOT COVERED

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

Suburban Plastic SurgeryChrist Medical Center and Children's Hospital NOT COVERED

Sulayman, Rabi -MDChrist Medical Center and Children's Hospital NOT COVERED

Sullivan, Halley -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sullivan, Henry -MDChrist Medical Center and Children's Hospital NOT COVERED

Sullivan, Mary -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sun, Jinglu -MDChrist Medical Center and Children's Hospital NOT COVERED

Sunbuli, Moutaz -MDChrist Medical Center and Children's Hospital NOT COVERED

Sunbulli, Talal -MDChrist Medical Center and Children's Hospital NOT COVERED

Sundar, Kannan -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Sur, James -MDChrist Medical Center and Children's Hospital NOT COVERED

Sura, Parimal -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Sutich, Christine -CNSChrist Medical Center and Children's Hospital NOT COVERED

Sweis, Rochelle -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Swiatkowski, Valerie -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Syed, Saira -DOChrist Medical Center and Children's Hospital NOT COVERED

Sylora, James -MDChrist Medical Center and Children's Hospital NOT COVERED

Szczodry, Dorota -MDChrist Medical Center and Children's Hospital NOT COVERED

Szczodry, Michal -MDChrist Medical Center and Children's Hospital NOT COVERED

Tabachnick, Deborah -MDChrist Medical Center and Children's Hospital NOT COVERED

Tabriz, Muhammad -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Taksande, Sushant -MDChrist Medical Center and Children's Hospital NOT COVERED

Tang, JueLin -MDChrist Medical Center and Children's Hospital NOT COVERED

Tang, Ming-Yeng -MDChrist Medical Center and Children's Hospital NOT COVERED

Tatooles, Antone -MDChrist Medical Center and Children's Hospital NOT COVERED

Tauscher, John -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Taylor, Prentiss -MDChrist Medical Center and Children's Hospital NOT COVERED

Tcheng, Helen -MDChrist Medical Center and Children's Hospital NOT COVERED

TeKippe, Michael -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Tekwani, Karis -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Tekwani, Shivan -MDChrist Medical Center and Children's Hospital NOT COVERED

Tellence, Tintu -NPChrist Medical Center and Children's Hospital NOT COVERED

Teplitz, Eric -MDChrist Medical Center and Children's Hospital NOT COVERED

Tesher, Melissa -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Teske, Peggy -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Thakkar, Nirav -MDChrist Medical Center and Children's Hospital NOT COVERED

Thapar, Pradeep -MDChrist Medical Center and Children's Hospital NOT COVERED

The Center For Sleep MedicineChrist Medical Center and Children's Hospital NOT COVERED

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

The University of Chicago MedicineChrist Medical Center and Children's Hospital NOT COVERED

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

Thill, Rodney -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

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

Thomas, George -MDChrist Medical Center and Children's Hospital NOT COVERED

Thomas, Monica -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Thomas, Yalaunda -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Thomas-Craft, Lisa -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Page 39

Page 40: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Thompson, Amy -MDChrist Medical Center and Children's Hospital NOT COVERED

Thoracic Surgical Associates, LLCChrist Medical Center and Children's Hospital NOT COVERED

Tierney, Sean -MDChrist Medical Center and Children's Hospital NOT COVERED

Timbers, Kay -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Tobia, Nader -MDChrist Medical Center and Children's Hospital NOT COVERED

Tofovic, David -MDChrist Medical Center and Children's Hospital NOT COVERED

Tolentino, Stephanie -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Tomezsko, Janet -MDChrist Medical Center and Children's Hospital NOT COVERED

Toney, Hermon -SAChrist Medical Center and Children's Hospital NOT COVERED

Toolan, Brian -MDChrist Medical Center and Children's Hospital NOT COVERED

Tootla, Yasmin -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Torero, Luis -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Torres, Carmelita -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Treitman, Adam -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

Trivedi, Dinker -MDChrist Medical Center and Children's Hospital NOT COVERED

Trombly, Ryan -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Troy, Daniel -MDChrist Medical Center and Children's Hospital NOT COVERED

Trybula, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Trzupek, Irene -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Tsang, Regina -NPChrist Medical Center and Children's Hospital NOT COVERED

Tsimerinov, Evgeny -MDChrist Medical Center and Children's Hospital NOT COVERED

Tudor, Alice -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Tyler, Matthew -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Uddin, Ahmed -MDChrist Medical Center and Children's Hospital NOT COVERED

Ugarte, Luis -MDChrist Medical Center and Children's Hospital NOT COVERED

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

UIC Physician's GroupChrist Medical Center and Children's Hospital NOT COVERED

UIC Plastic Surgery/Craniofacial CenterChrist Medical Center and Children's Hospital NOT COVERED

Union Health Service, IncChrist Medical Center and Children's Hospital NOT COVERED

Union Health ServicesChrist Medical Center and Children's Hospital NOT COVERED

United Elite Hospitalists, LLCChrist Medical Center and Children's Hospital NOT COVERED

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

University of Chicago MedicineChrist Medical Center and Children's Hospital NOT COVERED

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

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

Upadhyaya, Varsha -MDChrist Medical Center and Children's Hospital NOT COVERED

Upadhyaya, Vinod -MDChrist Medical Center and Children's Hospital NOT COVERED

Upputuri, Radha -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

UroPartners, LLCChrist Medical Center and Children's Hospital NOT COVERED

User, Herbert -MDChrist Medical Center and Children's Hospital NOT COVERED

Usmani, Sarah -MDChrist Medical Center and Children's Hospital NOT COVERED

Usselman, Chelessa -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ustas, Leah -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

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

VAD Transplant ProgramChrist Medical Center and Children's Hospital NOT COVERED

Vadali, Mahesh -MDChrist Medical Center and Children's Hospital NOT COVERED

Vadali, Maitrayee -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Vaishnav, Soham -MDChrist Medical Center and Children's Hospital NOT COVERED

Valdez, Juan -MDChrist Medical Center and Children's Hospital NOT COVERED

Valentin, Carl -MDChrist Medical Center and Children's Hospital NOT COVERED

Valentin, Ruth -NPChrist Medical Center and Children's Hospital NOT COVERED

Vali, Faisal -MDChrist Medical Center and Children's Hospital NOT COVERED

Van Bergen, Andrew -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Van Slambrouck, Leah -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Vanderjack, Staci -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Page 40

Page 41: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

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

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

Vargas-Zapata, Rafael -MDChrist Medical Center and Children's Hospital NOT COVERED

Varnado-Smith, Sunnette -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Vasavada, Shreya -PAChrist Medical Center and Children's Hospital NOT COVERED

Velamati, Rukmini -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Velasquez, Monica -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Vence, Chethana -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Venkataraman, Subramanian -MDChrist Medical Center and Children's Hospital NOT COVERED

Ventura, Salvatore -MDChrist Medical Center and Children's Hospital NOT COVERED

Victor, Nicole -NPChrist Medical Center and Children's Hospital NOT COVERED

Vihtelic, Courtenay -NPChrist Medical Center and Children's Hospital NOT COVERED

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

Villaflor, Edward -MDChrist Medical Center and Children's Hospital NOT COVERED

Villena, Sheyla -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Virparia, Sonia -DOChrist Medical Center and Children's Hospital NOT COVERED

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

Viswanath, Shilpa -DOChrist Medical Center and Children's Hospital NOT COVERED

Viswanathan, Vidhya -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Vivar, Zenaida -MDChrist Medical Center and Children's Hospital NOT COVERED

Vlachos, Dana -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Vogel, Justine -PAChrist Medical Center and Children's Hospital NOT COVERED

Vohra, Samir -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Volz, Colleen -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Von Zychlin, Kara -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Vootkur, Aparna -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Voss, Sandra -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Vricella, Luca -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Vucic, Ivica -MDChrist Medical Center and Children's Hospital NOT COVERED

Vukomanovic, Emela -MDChrist Medical Center and Children's Hospital NOT COVERED

Vyas, Harshiv -DDSChrist Medical Center and Children's Hospital NOT COVERED

Vyas, Sahana -MDChrist Medical Center and Children's Hospital NOT COVERED

Waddell, Kristi -NPChrist Medical Center and Children's Hospital NOT COVERED

Wagner, Jeffrey -MDChrist Medical Center and Children's Hospital NOT COVERED

Waickus, Cynthia -MDChrist Medical Center and Children's Hospital NOT COVERED

Waidzunas, Thomas -MDChrist Medical Center and Children's Hospital NOT COVERED

Walchuk, Stephan -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Wallace, Gabriel -MDChrist Medical Center and Children's Hospital NOT COVERED

Walloch, Jami -MDChrist Medical Center and Children's Hospital NOT COVERED

Walsh, Curtis -MDChrist Medical Center and Children's Hospital NOT COVERED

Walther, Dakota -PAChrist Medical Center and Children's Hospital NOT COVERED

Wang, Leo -MDChrist Medical Center and Children's Hospital NOT COVERED

Wardell, Steven -MDChrist Medical Center and Children's Hospital NOT COVERED

Warner, Christina -MDChrist Medical Center and Children's Hospital NOT COVERED

Washington, Terri -MDChrist Medical Center and Children's Hospital NOT COVERED

Wassef, Samir -MDChrist Medical Center and Children's Hospital NOT COVERED

Wasz, Megan -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Watkins, Summer -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Watson, Jonathan -MDChrist Medical Center and Children's Hospital NOT COVERED

Watti, Hussam -MDChrist Medical Center and Children's Hospital NOT COVERED

Watts, Hannah -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Wazni, PLLC dba United Vein CentersChrist Medical Center and Children's Hospital NOT COVERED

Wazwaz, Hesham -MDChrist Medical Center and Children's Hospital NOT COVERED

Webb, Jeffrey -NPChrist Medical Center and Children's Hospital NOT COVERED

Webster, Kathleen -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Wehrheim, Karla -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Weigel, Thomas -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Page 41

Page 42: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Weinberg, Aaron -MDChrist Medical Center and Children's Hospital NOT COVERED

Weiss, Meagan -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Weiss, Melinda -DOChrist Medical Center and Children's Hospital NOT COVERED

Weiss, Raymond -MDChrist Medical Center and Children's Hospital NOT COVERED

Welbel, Rachel -MDChrist Medical Center and Children's Hospital NOT COVERED

WellBeingMD, LTDChrist Medical Center and Children's Hospital NOT COVERED

Wells, Kalani -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Welsch, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Werdi, Asem -MDChrist Medical Center and Children's Hospital NOT COVERED

Wereski, Jennifer -NPChrist Medical Center and Children's Hospital NOT COVERED

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

White, Brent -MDChrist Medical Center and Children's Hospital NOT COVERED

Whole Health Mama PediatricsChrist Medical Center and Children's Hospital NOT COVERED

Wichter, Melvin -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Wilbur, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Will, Karen -DOChrist Medical Center and Children's Hospital COVERED UNDER FAP

Williams, Herlanders -MDChrist Medical Center and Children's Hospital NOT COVERED

Williamson, Margaret -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Williamson, Nikita -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Willner, Deborah -PAChrist Medical Center and Children's Hospital NOT COVERED

Wilson, Patricia -NPChrist Medical Center and Children's Hospital NOT COVERED

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

Winterfield, Roland -MDChrist Medical Center and Children's Hospital NOT COVERED

Wittle, Katherine -CNSChrist Medical Center and Children's Hospital NOT COVERED

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

Wodek, Stephanie -PAChrist Medical Center and Children's Hospital COVERED UNDER FAP

Wojciechowski, Lilla -NPChrist Medical Center and Children's Hospital NOT COVERED

Wojnowski, Renea -CNSChrist Medical Center and Children's Hospital NOT COVERED

Women's Care GroupChrist Medical Center and Children's Hospital NOT COVERED

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

Women's Healthcare AffiliatesChrist Medical Center and Children's Hospital NOT COVERED

Wong, Joshua -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Wong, Warren -MDChrist Medical Center and Children's Hospital NOT COVERED

Wong-Yu, Jenifer -PAChrist Medical Center and Children's Hospital NOT COVERED

Woodruff, Jennifer -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Wu, Allen -MDChrist Medical Center and Children's Hospital NOT COVERED

Wygodny, Jeffrey -MDChrist Medical Center and Children's Hospital NOT COVERED

Yacoob, Daniel -DMDChrist Medical Center and Children's Hospital NOT COVERED

Yadavalli, Pratyusha -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Yadullahi, Mir Ashad -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Yallapragada, Rathna -MDChrist Medical Center and Children's Hospital NOT COVERED

Yang, Sen-Lian -MDChrist Medical Center and Children's Hospital NOT COVERED

Yapo, Natalie -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Yasmeen, Tahira -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ybanez, Neil -MDChrist Medical Center and Children's Hospital NOT COVERED

Yelamanchili, Lakshmi -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Yeturu, Mangala -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Yeturu, Sudhakar -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Yost, Howard -MDChrist Medical Center and Children's Hospital NOT COVERED

Young, Kisha -CRNAChrist Medical Center and Children's Hospital NOT COVERED

Young, Michael -MDChrist Medical Center and Children's Hospital NOT COVERED

Yousef, Nida -MDChrist Medical Center and Children's Hospital NOT COVERED

Yu, Brian -MDChrist Medical Center and Children's Hospital NOT COVERED

Yuen, Lily -NPChrist Medical Center and Children's Hospital NOT COVERED

Yun, Hong Jun -MDChrist Medical Center and Children's Hospital NOT COVERED

Zager, Emil -DPMChrist Medical Center and Children's Hospital NOT COVERED

Zaheerullah, Mohammad -MDChrist Medical Center and Children's Hospital NOT COVERED

Zaidi, Ali -MDChrist Medical Center and Children's Hospital NOT COVERED

Page 42

Page 43: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Zaidi, Nausheen -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Zajac, Krista -NPChrist Medical Center and Children's Hospital NOT COVERED

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

Zaki, Ahmed -MDChrist Medical Center and Children's Hospital NOT COVERED

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

Zakkar, Mohamed -MDChrist Medical Center and Children's Hospital NOT COVERED

Zalam Medical Center, LTDChrist Medical Center and Children's Hospital NOT COVERED

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

Zamojski, Diana -DOChrist Medical Center and Children's Hospital NOT COVERED

Zamora, Kathryn -MDChrist Medical Center and Children's Hospital NOT COVERED

Zarlengo, Dominic -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Zarth, Nicole -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Zarzuela, Cassia -MDChrist Medical Center and Children's Hospital NOT COVERED

Zats, Svetlana -DPMChrist Medical Center and Children's Hospital NOT COVERED

Zavala, Carla -NPChrist Medical Center and Children's Hospital COVERED UNDER FAP

Zehra, Tharanum -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Zeihen, Stefanie -NPChrist Medical Center and Children's Hospital NOT COVERED

Zelinger, Allan -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Zelkovich, William -MDChrist Medical Center and Children's Hospital NOT COVERED

Zikos, Veta -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Zimmerman, Frank -MDChrist Medical Center and Children's Hospital COVERED UNDER FAP

Ziporin, Scott -MDChrist Medical Center and Children's Hospital NOT COVERED

Zivin, Sean -MDChrist Medical Center and Children's Hospital NOT COVERED

Zorub, Ossama -MDChrist Medical Center and Children's Hospital NOT COVERED

A. Podolskiy, MD, SCCondell Medical Center NOT COVERED

Abban, Cynthia -MDCondell Medical Center NOT COVERED

Abderholden, Guy -MDCondell Medical Center NOT COVERED

Acharya, Manish -MDCondell Medical Center NOT COVERED

Acosta, Anthony -MDCondell Medical Center NOT COVERED

Adam Rubinstein MD, SCCondell Medical Center NOT COVERED

Adjei, Philip -MDCondell Medical Center NOT COVERED

Adlerstein, David -MDCondell Medical Center NOT COVERED

Adult & Pediatric Orthopedics, SCCondell Medical Center NOT COVERED

Advanced Diabetes and Endocrine Ctr PCCondell Medical Center NOT COVERED

Advanced Fertility Center of ChicagoCondell Medical Center NOT COVERED

Advanced Inpatient Consultants, LLCCondell Medical Center NOT COVERED

Advanced Ortho & Sports InjuryCondell Medical Center NOT COVERED

Advanced Pain Consultants, SCCondell Medical Center NOT COVERED

Advanced Primary Care, S.CCondell Medical Center NOT COVERED

Advocate Medical Group - Crystal Lake - OncologyCondell Medical Center COVERED UNDER FAP

Advocate Medical Group - Gurnee - 45 Tower CourtCondell Medical Center COVERED UNDER FAP

Advocate Medical Group - Gurnee - Tower Court - PediatricsCondell Medical Center COVERED UNDER FAP

Advocate Medical Group - Libertyville - 1870 West WinchesterCondell Medical Center COVERED UNDER FAP

Advocate Medical Group - Libertyville - Breast SurgeryCondell Medical Center COVERED UNDER FAP

Advocate Medical Group - Libertyville - CardiologyCondell Medical Center COVERED UNDER FAP

Advocate Medical Group - Libertyville - Garfield Rd - Pain ManagementCondell Medical Center COVERED UNDER FAP

Advocate Medical Group - Libertyville - Milwaukee AveCondell Medical Center COVERED UNDER FAP

Advocate Medical Group - Libertyville - NeurologyCondell Medical Center COVERED UNDER FAP

Advocate Medical Group - Libertyville - OncologyCondell Medical Center COVERED UNDER FAP

Advocate Medical Group - Libertyville - OrthoCondell Medical Center COVERED UNDER FAP

Advocate Medical Group - Libertyville - PediatricsCondell Medical Center COVERED UNDER FAP

Advocate Medical Group - LincolnshireCondell Medical Center COVERED UNDER FAP

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

Advocate Medical Group Advocate Clinic GurneeCondell Medical Center COVERED UNDER FAP

Advocate Medical Group Advocate Clinic LibertyvilleCondell Medical Center COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Round Lake BeachCondell Medical Center COVERED UNDER FAP

Advocate Medical Group Children's Hoffman EstateCondell Medical Center COVERED UNDER FAP

Advocate Medical Group Family Practice GurneeCondell Medical Center COVERED UNDER FAP

Page 43

Page 44: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Advocate Medical Group –Libertyville - 801 S. Milwaukee – NeonatologyCondell Medical Center COVERED UNDER FAP

Advocate Medical Group Libertyville OB/GYNCondell Medical Center COVERED UNDER FAP

Affordable Pain ManagementCondell Medical Center NOT COVERED

Agata Oczko-Danguilan, MD, SCCondell Medical Center NOT COVERED

Ahmed, Nasreen -MDCondell Medical Center COVERED UNDER FAP

Ahmed, Syed -MDCondell Medical Center COVERED UNDER FAP

Ahsan, Mohammad -MDCondell Medical Center NOT COVERED

Akbarnia, Halleh -MDCondell Medical Center NOT COVERED

Akinlade, Bolanle -MDCondell Medical Center NOT COVERED

Alapishvili, Nino -MDCondell Medical Center NOT COVERED

Alengo, David -MDCondell Medical Center NOT COVERED

Alexander, Jonathan -MDCondell Medical Center NOT COVERED

Allegretti, Peter -MDCondell Medical Center NOT COVERED

Allergy & Asthma Associates, LtdCondell Medical Center NOT COVERED

Allergy & Asthma Consultants, LTDCondell Medical Center NOT COVERED

Allgaier, Bernhard -MDCondell Medical Center NOT COVERED

Allison, Caroline -CRNACondell Medical Center NOT COVERED

Alrashid, Arkan -MDCondell Medical Center NOT COVERED

AlSalman, Omar -MDCondell Medical Center NOT COVERED

Alsikafi, Nejd -MDCondell Medical Center NOT COVERED

Alzate, Juan -MDCondell Medical Center NOT COVERED

Amato, Lawrence -MDCondell Medical Center NOT COVERED

Amer, Michael -MDCondell Medical Center NOT COVERED

Amesbury, Stephen -MDCondell Medical Center NOT COVERED

AMG Illinois, LtdCondell Medical Center NOT COVERED

Anchor PediatricsCondell Medical Center NOT COVERED

Anderson, Daniele -MDCondell Medical Center NOT COVERED

Anthony Terrasse, MD, SCCondell Medical Center NOT COVERED

Anthony, Joseph -CRNACondell Medical Center NOT COVERED

Anwar, Mohammad -MDCondell Medical Center NOT COVERED

Anwuli Okoli MD IncCondell Medical Center NOT COVERED

Apilado, Ron-Gran -PACondell Medical Center COVERED UNDER FAP

Appleson, Tova -DOCondell Medical Center COVERED UNDER FAP

Arber, Anatoly -MDCondell Medical Center NOT COVERED

Arikan, Istiklal -MDCondell Medical Center COVERED UNDER FAP

Arnolds, Marin -MDCondell Medical Center NOT COVERED

Arora, Vivek -MDCondell Medical Center NOT COVERED

Arroyo, Martha -MDCondell Medical Center NOT COVERED

Asha Gandhi MD, SCCondell Medical Center NOT COVERED

Asherson, Ronit -MDCondell Medical Center NOT COVERED

Aspen Medical GroupCondell Medical Center NOT COVERED

Assoc.Phys. of LibertyvilleCondell Medical Center NOT COVERED

Associates in Nephrology, SCCondell Medical Center NOT COVERED

Atkinson Clinic SCCondell Medical Center NOT COVERED

Atzeff, Kristopher -MDCondell Medical Center NOT COVERED

Bagan, Bradley -MDCondell Medical Center NOT COVERED

Baier, Thomas -MDCondell Medical Center COVERED UNDER FAP

Baig, Jalal -MDCondell Medical Center NOT COVERED

Baker, Elizabeth -MDCondell Medical Center NOT COVERED

Baker, Howard -DOCondell Medical Center COVERED UNDER FAP

Baker, Robert -MDCondell Medical Center NOT COVERED

Bamrolia, Anshul -MDCondell Medical Center NOT COVERED

Bamrolia, Shilpa -MDCondell Medical Center NOT COVERED

Bansal-Kapuria, Vijayta -MDCondell Medical Center NOT COVERED

Barhoum, Maan -MDCondell Medical Center NOT COVERED

Baril, Robert -DOCondell Medical Center NOT COVERED

Barr, Lewis -MDCondell Medical Center NOT COVERED

Bawani, Mohammad -MDCondell Medical Center NOT COVERED

Page 44

Page 45: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Beach, Christopher -MDCondell Medical Center NOT COVERED

Beaird Dermatology, SCCondell Medical Center NOT COVERED

Beigler, David -MDCondell Medical Center NOT COVERED

Bellucci-Jackson, Jennifer -MDCondell Medical Center NOT COVERED

Beraki, Mussie -MDCondell Medical Center NOT COVERED

Bergman, Rebecca -MDCondell Medical Center NOT COVERED

Bergquist, Laura -SACondell Medical Center NOT COVERED

Berman, Laura -CRNACondell Medical Center NOT COVERED

Bermudez, Andrea -PACondell Medical Center NOT COVERED

Bernardi, Tina -NPCondell Medical Center NOT COVERED

Best Practices Inpatient Care, LtdCondell Medical Center NOT COVERED

Bhalala, Gopal -MDCondell Medical Center NOT COVERED

Blais, Amy -DOCondell Medical Center COVERED UNDER FAP

Block, Leslie -MDCondell Medical Center NOT COVERED

Borders, Ann -MDCondell Medical Center NOT COVERED

Boyd, Quentin -NPCondell Medical Center NOT COVERED

Bright Horizons Pediatrics, PCCondell Medical Center NOT COVERED

Brodsky, George -MDCondell Medical Center NOT COVERED

Brunetti, John -DMDCondell Medical Center NOT COVERED

Buesser, Julia -NPCondell Medical Center NOT COVERED

Bukhalo, Yuriy -MDCondell Medical Center NOT COVERED

Burnstine, Thomas -MDCondell Medical Center COVERED UNDER FAP

Caner, Richard -MDCondell Medical Center NOT COVERED

Cardiothoracic & Vascular Surgical AssocCondell Medical Center NOT COVERED

Cardiothoracic & Vascular Surgical Associates, SCCondell Medical Center NOT COVERED

Carnazzola, Kim -MDCondell Medical Center NOT COVERED

Caronis, Gregory -MDCondell Medical Center COVERED UNDER FAP

Carpenter, Ronisha -PACondell Medical Center NOT COVERED

Carpenter, Selina -PACondell Medical Center COVERED UNDER FAP

Carr, Leigha -PACondell Medical Center NOT COVERED

Catenacci, Michelle -MDCondell Medical Center NOT COVERED

Center for Diagnosis & Treatment of PainCondell Medical Center NOT COVERED

Center for Maternal and Fetal MedicineCondell Medical Center NOT COVERED

Center for Sleep MedicineCondell Medical Center NOT COVERED

Chams, Roger -MDCondell Medical Center NOT COVERED

Chan, Jennifer -MDCondell Medical Center NOT COVERED

Chandel, Chhaya -MDCondell Medical Center NOT COVERED

Chandel, Samarendra -MDCondell Medical Center NOT COVERED

Chee, Ru-ik -MDCondell Medical Center NOT COVERED

Chelampath, Mariann -MDCondell Medical Center NOT COVERED

Cheryl L. Perlis, MD, SCCondell Medical Center NOT COVERED

Chest and Sleep Medicine Associates, SCCondell Medical Center NOT COVERED

Chhabria, Pessoolal -MDCondell Medical Center NOT COVERED

Chicago Anesthesia Associates, SCCondell Medical Center NOT COVERED

Chicago Medical Clinic, LLCCondell Medical Center NOT COVERED

Chicago Surgical Clinic, LtdCondell Medical Center NOT COVERED

Ching, Quimbo -MDCondell Medical Center COVERED UNDER FAP

Chow, Raymond -MDCondell Medical Center NOT COVERED

Christopher Harris, MD LTDCondell Medical Center NOT COVERED

Chua Lee, Antonio -MDCondell Medical Center NOT COVERED

Chuang, Eric -MDCondell Medical Center NOT COVERED

Chung, Elizabeth -MDCondell Medical Center COVERED UNDER FAP

Chyna, Mark -MDCondell Medical Center NOT COVERED

Citow, Jonathan -MDCondell Medical Center NOT COVERED

Claymore Medical Group, SCCondell Medical Center NOT COVERED

Cochran, Michael -MDCondell Medical Center COVERED UNDER FAP

Cohen, Jack -MDCondell Medical Center NOT COVERED

Cohen, Justin -MDCondell Medical Center NOT COVERED

Page 45

Page 46: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Colino, Katherine -CRNACondell Medical Center NOT COVERED

Coll, Jonathan -MDCondell Medical Center NOT COVERED

Collazo, Christopher -DPMCondell Medical Center NOT COVERED

Colodny, Charles -MDCondell Medical Center NOT COVERED

Colvig, Cameron -MDCondell Medical Center NOT COVERED

Comprehensive Wound Care, LLCCondell Medical Center NOT COVERED

Conterato, Dean -MDCondell Medical Center NOT COVERED

Cordial Medical Center, SCCondell Medical Center NOT COVERED

Coury, Christopher -MDCondell Medical Center NOT COVERED

Craioveanu, Anna -DOCondell Medical Center COVERED UNDER FAP

CTCA Outpatient CenterCondell Medical Center NOT COVERED

Cullen, Kelly -DOCondell Medical Center NOT COVERED

Dagel, Brian -CRNACondell Medical Center NOT COVERED

Dahms, Eric -PACondell Medical Center NOT COVERED

Dalloul, Omar -MDCondell Medical Center NOT COVERED

Damani, Dimple -MDCondell Medical Center NOT COVERED

Dante P. Gabriel, MD, SCCondell Medical Center NOT COVERED

Davey, Kari -NPCondell Medical Center NOT COVERED

Davis, Larry -MDCondell Medical Center NOT COVERED

Davuluri, Srikanth -MDCondell Medical Center NOT COVERED

Dayan, Erica -MDCondell Medical Center NOT COVERED

De Leon, Serafin -MDCondell Medical Center NOT COVERED

DeBruler, Jennifer -MDCondell Medical Center COVERED UNDER FAP

Deerbrook Medical AssociatesCondell Medical Center NOT COVERED

Degani, Omaima -MDCondell Medical Center NOT COVERED

Deisinger, Matthew -PACondell Medical Center NOT COVERED

Deliduka, Steven -MDCondell Medical Center NOT COVERED

Dellaria, Andrea -MDCondell Medical Center NOT COVERED

Dermatology Associates of Wisconsin SC - Forefront DermatologyCondell Medical Center NOT COVERED

Dermatology-Chicago, SCCondell Medical Center NOT COVERED

Derrick, Matthew -MDCondell Medical Center NOT COVERED

Desai, Avani -MDCondell Medical Center NOT COVERED

Desai, Narendra -MDCondell Medical Center NOT COVERED

Desai, Pooja -MDCondell Medical Center NOT COVERED

Devaney, Jennifer -MDCondell Medical Center NOT COVERED

Devaney, John -MDCondell Medical Center NOT COVERED

Diabetes Osteo Thyro End CntrCondell Medical Center NOT COVERED

Diaconescu, Eliza -MDCondell Medical Center NOT COVERED

Dihu, Jamil -DOCondell Medical Center NOT COVERED

Din, Salima -MDCondell Medical Center NOT COVERED

Dirst, Jeffrey -CRNACondell Medical Center NOT COVERED

Dixit, Ninad -MDCondell Medical Center NOT COVERED

Doan, Lien -MDCondell Medical Center NOT COVERED

Dolce, Helene -DDSCondell Medical Center NOT COVERED

Domont, Zachary -MDCondell Medical Center COVERED UNDER FAP

Dookie, Annabelle -DPMCondell Medical Center NOT COVERED

Doyle, Linda -NPCondell Medical Center NOT COVERED

Drake, Eki -NPCondell Medical Center NOT COVERED

Dubin, Benjamin -MDCondell Medical Center NOT COVERED

Duke, Gina -MDCondell Medical Center COVERED UNDER FAP

Duran, Marina -MDCondell Medical Center NOT COVERED

Eisenstein, Daniel -MDCondell Medical Center NOT COVERED

Elfe, Kristina -PACondell Medical Center NOT COVERED

Ellington, Violet -NPCondell Medical Center NOT COVERED

Engstrom, Clarence -MDCondell Medical Center NOT COVERED

Erickson, Robert -MDCondell Medical Center NOT COVERED

Estrella, Rochie -NPCondell Medical Center NOT COVERED

Excelsior Medical Center, LtdCondell Medical Center NOT COVERED

Page 46

Page 47: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Eye Care Center of Lake County, LtdCondell Medical Center NOT COVERED

Eye Physicians of LibertyvilleCondell Medical Center NOT COVERED

Falouji, Fanan -MDCondell Medical Center NOT COVERED

Family Care of Lake CountyCondell Medical Center NOT COVERED

Family Medicine & Integrative MedicineCondell Medical Center NOT COVERED

Family Medicine SpecialistsCondell Medical Center NOT COVERED

Family Medicine Specialists, IncCondell Medical Center NOT COVERED

Farhadieh Morales, Mandana -MDCondell Medical Center NOT COVERED

Fattouhi, Mazin -MDCondell Medical Center NOT COVERED

Fenton, Ira -DOCondell Medical Center NOT COVERED

Fetter, David -MDCondell Medical Center NOT COVERED

Figura, Anastasia -DOCondell Medical Center NOT COVERED

Finneke, Kathleen -PACondell Medical Center NOT COVERED

Fisher, Donald -MDCondell Medical Center NOT COVERED

Fitzgerald, Roxanne -CRNACondell Medical Center NOT COVERED

Flores, Lynnelle -MDCondell Medical Center NOT COVERED

Foosaner, David -MDCondell Medical Center NOT COVERED

Foreman, Syd -DOCondell Medical Center NOT COVERED

Forson, Michelle -MDCondell Medical Center NOT COVERED

Fortuna, Robert -MDCondell Medical Center NOT COVERED

Francis, Steffanie -PACondell Medical Center NOT COVERED

Francisco, Kristine -NPCondell Medical Center NOT COVERED

Frank, Charles -MDCondell Medical Center COVERED UNDER FAP

Frank, Gerald -MDCondell Medical Center NOT COVERED

Frank, Ralph -DOCondell Medical Center COVERED UNDER FAP

Franklin, Andrew -MDCondell Medical Center COVERED UNDER FAP

Frederiksen, Ryan -MDCondell Medical Center NOT COVERED

Fremgen, Michael -DOCondell Medical Center NOT COVERED

French, Scott -MDCondell Medical Center NOT COVERED

Friedman, Arie -MDCondell Medical Center NOT COVERED

Friedman, Harvey -MDCondell Medical Center NOT COVERED

Friedrich, Laura -NPCondell Medical Center NOT COVERED

Frost, Brandy -MDCondell Medical Center NOT COVERED

Fruhbauer, Margaret -DOCondell Medical Center COVERED UNDER FAP

Furubayashi, Jill -MDCondell Medical Center NOT COVERED

Gabriel, Dante -MDCondell Medical Center NOT COVERED

Gagliardi, Giuseppe -MDCondell Medical Center NOT COVERED

Gandhi, Asha -MDCondell Medical Center NOT COVERED

Gandhi, Kavitha -MDCondell Medical Center NOT COVERED

Gandhi, Sanjay -MDCondell Medical Center NOT COVERED

Ganesha Institute of Neurology & Psychiatry, SCCondell Medical Center NOT COVERED

Garcia-Rojas, Xavier -MDCondell Medical Center NOT COVERED

Garden PediatricsCondell Medical Center NOT COVERED

Gastroenterologists, Ltd.Condell Medical Center NOT COVERED

Gaziano, Joseph -PACondell Medical Center NOT COVERED

Geetha M. Reddy, SCCondell Medical Center NOT COVERED

George Hvostik MD, SCCondell Medical Center NOT COVERED

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

GI Partners of Illinois, LLCCondell Medical Center NOT COVERED

Gibson, Laurence -MDCondell Medical Center NOT COVERED

Ginsburg, Beth -MDCondell Medical Center NOT COVERED

Ginzburg, Leonard -MDCondell Medical Center NOT COVERED

Girbes, Mina -MDCondell Medical Center COVERED UNDER FAP

Giron, Oscar -MDCondell Medical Center NOT COVERED

Glantsman, Bela -MDCondell Medical Center NOT COVERED

Glaws, Walter -DOCondell Medical Center NOT COVERED

Glover, Marisol -NPCondell Medical Center NOT COVERED

Goldman, Lana -MDCondell Medical Center NOT COVERED

Page 47

Page 48: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Gopal N. Bhalala MD, LLCCondell Medical Center NOT COVERED

Gorenyuk, Olga -MDCondell Medical Center NOT COVERED

Gorman, Britney -PACondell Medical Center NOT COVERED

Grable, Ian -MDCondell Medical Center NOT COVERED

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

Green, Jill -MDCondell Medical Center NOT COVERED

Greenleaf EMG, LLCCondell Medical Center NOT COVERED

Greenleaf Medical Associates SCCondell Medical Center NOT COVERED

Greenwood, Lauren -PACondell Medical Center NOT COVERED

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

Grubb, Eileen -MDCondell Medical Center NOT COVERED

Guilfoil, Ryan -PACondell Medical Center NOT COVERED

Gupta, Mohina -MDCondell Medical Center NOT COVERED

Gupta, Rajat -MDCondell Medical Center NOT COVERED

Gurvich, Leon -NPCondell Medical Center NOT COVERED

Guzman, Alma -MDCondell Medical Center NOT COVERED

Hall, Michael -MDCondell Medical Center NOT COVERED

Hallett, Joshua -DOCondell Medical Center NOT COVERED

Hamming, David -MDCondell Medical Center NOT COVERED

Hamming, Mark -MDCondell Medical Center NOT COVERED

Han, Phyllis -MDCondell Medical Center NOT COVERED

Harag, Irina -MDCondell Medical Center NOT COVERED

Harris, Christopher -MDCondell Medical Center NOT COVERED

Hashim, Ahmed -MDCondell Medical Center NOT COVERED

Hassib, May -MDCondell Medical Center NOT COVERED

Heart & Vascular Center of Lake CountyCondell Medical Center NOT COVERED

Heart Rhythm Management of Lake County LtdCondell Medical Center NOT COVERED

Hecker, Roger -MDCondell Medical Center COVERED UNDER FAP

Heffernan, Karen -NPCondell Medical Center NOT COVERED

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

Helms, Ray -MDCondell Medical Center NOT COVERED

Henderson, Patrick -MDCondell Medical Center NOT COVERED

Herman, David -MDCondell Medical Center NOT COVERED

Hicks, Jeffrey -DPMCondell Medical Center NOT COVERED

Hime, Linda -DDSCondell Medical Center NOT COVERED

Hoang, Vivian -MDCondell Medical Center NOT COVERED

Hochberg, Laurie -MDCondell Medical Center NOT COVERED

Hoepfner, Peter -MDCondell Medical Center NOT COVERED

Hoffman, Dennis -MDCondell Medical Center NOT COVERED

Hoffman, Inna -NPCondell Medical Center NOT COVERED

Hoffmann, Kimberlee -NPCondell Medical Center NOT COVERED

Holem, Mary -NPCondell Medical Center NOT COVERED

Horras, Roy -MDCondell Medical Center NOT COVERED

Hosep H. Deyrmenjian, MD, PCCondell Medical Center NOT COVERED

Huettl, Brian -MDCondell Medical Center NOT COVERED

Hui, Rosenna -MDCondell Medical Center NOT COVERED

Hurh, Jay -MDCondell Medical Center COVERED UNDER FAP

Hussain, Omar -DOCondell Medical Center NOT COVERED

Hvostik, George -MDCondell Medical Center NOT COVERED

Ibe, Eberechukwu -MDCondell Medical Center NOT COVERED

IHC-Libertyville Emergency Physicians, LLCCondell Medical Center NOT COVERED

IHC-Libertyville Emergency Physicians, LLCCondell Medical Center NOT COVERED

Illinois Bone & Joint Institute LLCCondell Medical Center NOT COVERED

Illinois Gastroenterology Group, LLCCondell Medical Center NOT COVERED

Illinois Institute of Allergy & Asthma, SCCondell Medical Center NOT COVERED

Illinois Internal Medicine IncCondell Medical Center NOT COVERED

Illinois Pain InstituteCondell Medical Center NOT COVERED

Illinois Retina Associates, SCCondell Medical Center NOT COVERED

Page 48

Page 49: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Imam, Neda -MDCondell Medical Center NOT COVERED

Infectious Disease Consultants of Northern Illinois, SCCondell Medical Center NOT COVERED

Inga, Barbara -CRNACondell Medical Center NOT COVERED

Innovative Pain SpecialistsCondell Medical Center NOT COVERED

Integrated Imaging Consultants, LLCCondell Medical Center NOT COVERED

Irani, Mohamad -MDCondell Medical Center NOT COVERED

Irby, Laura -PACondell Medical Center NOT COVERED

Irina K. Harag, MD, LtdCondell Medical Center NOT COVERED

Iverson, Mallory -NPCondell Medical Center NOT COVERED

Jacobs, Brian -MDCondell Medical Center NOT COVERED

Jacobsen, Scott -DPMCondell Medical Center NOT COVERED

Jaffe, Charles -DOCondell Medical Center NOT COVERED

Jaffe, Leland -DPMCondell Medical Center NOT COVERED

Jain, Sachin -MDCondell Medical Center NOT COVERED

Jajeh, Fahd -MDCondell Medical Center NOT COVERED

Jamnagerwalla, Juzar -MDCondell Medical Center NOT COVERED

Jeffrey J Hicks DPM PCCondell Medical Center NOT COVERED

Jensen, Jennifer -NPCondell Medical Center NOT COVERED

Jin, Lindsay -MDCondell Medical Center NOT COVERED

John Brunetti, DMD, LtdCondell Medical Center NOT COVERED

Johnson, Benjamin -MDCondell Medical Center NOT COVERED

Johnson, Brittany -PACondell Medical Center NOT COVERED

Johnson, Robert -MDCondell Medical Center COVERED UNDER FAP

Johnston, Steven -CRNACondell Medical Center NOT COVERED

Jones, Gary -MDCondell Medical Center NOT COVERED

Joseph, Alison -DPMCondell Medical Center NOT COVERED

Joseph, Bincy -MDCondell Medical Center COVERED UNDER FAP

Joseph, Janaies -NPCondell Medical Center NOT COVERED

Joseph, Robert -DPMCondell Medical Center NOT COVERED

Joshi, Divyang -MDCondell Medical Center NOT COVERED

Joshipura, Premal -MDCondell Medical Center NOT COVERED

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

Joyce, Andrew -PACondell Medical Center NOT COVERED

Juiris, Tahira -MDCondell Medical Center NOT COVERED

Julian-Stiegel, Edith -CRNACondell Medical Center NOT COVERED

Jung, Katherine -NPCondell Medical Center NOT COVERED

Kabot, Timothy -DDSCondell Medical Center NOT COVERED

Kagzi, Mohammad -MDCondell Medical Center NOT COVERED

Kallwitz, Karin -MDCondell Medical Center NOT COVERED

Kalra, Amit -MDCondell Medical Center NOT COVERED

Kampmeier, Patricia -MDCondell Medical Center NOT COVERED

Kapadia, Narendrakumar -MDCondell Medical Center NOT COVERED

Kaplan, Mark -MDCondell Medical Center NOT COVERED

Kapoor, John -MDCondell Medical Center NOT COVERED

Kashmar, Mary -CRNACondell Medical Center NOT COVERED

Kashow, Iyad -MDCondell Medical Center NOT COVERED

Kato, Kambrie -MDCondell Medical Center NOT COVERED

Katz, Anna -MDCondell Medical Center COVERED UNDER FAP

Kazem, Fatima -MDCondell Medical Center NOT COVERED

Kenneth R. Margules MDCondell Medical Center NOT COVERED

Kesner, Kimberly -MDCondell Medical Center NOT COVERED

Khaja, Aslam -MDCondell Medical Center NOT COVERED

Khan, Amna -MDCondell Medical Center COVERED UNDER FAP

Khan, Maria -MDCondell Medical Center NOT COVERED

Khan, Raza -MDCondell Medical Center NOT COVERED

Khan, Zareena -MDCondell Medical Center NOT COVERED

Khanna, Rakhi -DOCondell Medical Center NOT COVERED

Khodarkovskiy, Mikhail -MDCondell Medical Center NOT COVERED

Page 49

Page 50: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Khorshid, Milena -MDCondell Medical Center COVERED UNDER FAP

Khurana, Anil -MDCondell Medical Center NOT COVERED

Kiesau, Yana -MDCondell Medical Center NOT COVERED

Kim, Daniel -MDCondell Medical Center NOT COVERED

Kim, Dianna -MDCondell Medical Center NOT COVERED

Kim, Ginna -CRNACondell Medical Center NOT COVERED

Kim, Joon -MDCondell Medical Center NOT COVERED

Kim, Ronald -MDCondell Medical Center NOT COVERED

Kin-Kartsimas, Yuliya -MDCondell Medical Center COVERED UNDER FAP

Kirch, Everett -MDCondell Medical Center NOT COVERED

Kirill Zhadovich, MD, SCCondell Medical Center NOT COVERED

Kirschner, Daniel -MDCondell Medical Center NOT COVERED

Klimas-Osolkowski, Katarzyna -MDCondell Medical Center NOT COVERED

Knar, Antonette -PACondell Medical Center NOT COVERED

Kobitter, Sherry -NPCondell Medical Center NOT COVERED

Koch, Robert -DOCondell Medical Center NOT COVERED

Kon, Audrey -CRNACondell Medical Center NOT COVERED

Kondelis, Nicholas -MDCondell Medical Center NOT COVERED

Kostiv, Alex -MDCondell Medical Center NOT COVERED

Kotis, Andrew -DOCondell Medical Center COVERED UNDER FAP

Kovacic, Katherine -PACondell Medical Center COVERED UNDER FAP

Krivickas, Paul -MDCondell Medical Center NOT COVERED

Kroger, Elliott -MDCondell Medical Center NOT COVERED

Krouleva, Rumyana -NPCondell Medical Center NOT COVERED

Kruper, Gregory -MDCondell Medical Center NOT COVERED

Kulach, Emanuela -DOCondell Medical Center NOT COVERED

Kumar, Yoginder -MDCondell Medical Center NOT COVERED

Kummerer, Robert -MDCondell Medical Center NOT COVERED

Kurko, Peter -MDCondell Medical Center NOT COVERED

Kutty, Rafiq -MDCondell Medical Center NOT COVERED

Kuyzin, Lanis -MDCondell Medical Center NOT COVERED

Kwiecinski, Mary Gail -DPMCondell Medical Center NOT COVERED

Kyncl, John -MDCondell Medical Center NOT COVERED

Kyncl, Miloslava -MDCondell Medical Center NOT COVERED

Lake County Acute Care, LLPCondell Medical Center NOT COVERED

Lake County Anesthesiologists, LtdCondell Medical Center NOT COVERED

Lake County Head & Neck Specialists, SCCondell Medical Center NOT COVERED

Lake County Internal Medicine AssociatesCondell Medical Center NOT COVERED

Lake County Medical GroupCondell Medical Center NOT COVERED

Lake County Neurological Assoc LtdCondell Medical Center NOT COVERED

Lake County Plastic SurgeryCondell Medical Center NOT COVERED

Lake County Surgeons, PCCondell Medical Center NOT COVERED

Lake Forest Acute CareCondell Medical Center NOT COVERED

Lake Forest Ear, Nose and Throat, LTDCondell Medical Center NOT COVERED

Lake Forest Internal MedicineCondell Medical Center NOT COVERED

Lake Heart SpecialistsCondell Medical Center NOT COVERED

Lake Shore DermatologyCondell Medical Center NOT COVERED

Lakeside Dermatology LLCCondell Medical Center NOT COVERED

Lang, David -DOCondell Medical Center NOT COVERED

Lanoff, Martin -MDCondell Medical Center NOT COVERED

Lark, Erin -NPCondell Medical Center NOT COVERED

Larson, Patricia -MDCondell Medical Center NOT COVERED

Le, Chuong -MDCondell Medical Center NOT COVERED

Lee, David -MDCondell Medical Center NOT COVERED

Lee, Sean -MDCondell Medical Center NOT COVERED

Lesniak, Chelsey -NPCondell Medical Center NOT COVERED

Leventis, John -MDCondell Medical Center NOT COVERED

Levin, Jay -MDCondell Medical Center NOT COVERED

Page 50

Page 51: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Levitin, Yelena -MDCondell Medical Center NOT COVERED

LG Healthcare, LLCCondell Medical Center NOT COVERED

Libertyville OB/GYN, SCCondell Medical Center NOT COVERED

Libertyville Oral SurgeryCondell Medical Center NOT COVERED

Liebovich, Kevin -MDCondell Medical Center NOT COVERED

Liesen, Daniel -MDCondell Medical Center NOT COVERED

Lindenhurst PediatricsCondell Medical Center NOT COVERED

Lindstrom, Martha -NPCondell Medical Center NOT COVERED

Lira, Kristine -NPCondell Medical Center COVERED UNDER FAP

Lisa Sullivan, MD, SCCondell Medical Center NOT COVERED

Lisuzzo, Anthony -PACondell Medical Center COVERED UNDER FAP

Lodd Medical Group SCCondell Medical Center NOT COVERED

Lodd, Shubhangi -MDCondell Medical Center NOT COVERED

Logothetis, Hercules -MDCondell Medical Center NOT COVERED

Logue, Edward -MDCondell Medical Center NOT COVERED

Lotharius, Edythe -MDCondell Medical Center NOT COVERED

Lotts, Wendy -MDCondell Medical Center COVERED UNDER FAP

Loud, Holly -DOCondell Medical Center NOT COVERED

Louis, Demetrios -MDCondell Medical Center NOT COVERED

Lu, Leonard -MDCondell Medical Center NOT COVERED

Luecking, Jane -MDCondell Medical Center COVERED UNDER FAP

Luger, Gerald -MDCondell Medical Center NOT COVERED

Lukose, Meriam -PACondell Medical Center NOT COVERED

Ly, Justin -MDCondell Medical Center NOT COVERED

Lynch, Daniel -MDCondell Medical Center NOT COVERED

Mackendrick, William -MDCondell Medical Center NOT COVERED

Madhani, Ajay -MDCondell Medical Center NOT COVERED

Magnus, Mark -DPMCondell Medical Center NOT COVERED

Major, Klara -NPCondell Medical Center COVERED UNDER FAP

Makda, Junaid -MDCondell Medical Center COVERED UNDER FAP

Malhotra, Kavin -MDCondell Medical Center NOT COVERED

Malloy, Robert -MDCondell Medical Center NOT COVERED

Maloney, William -MDCondell Medical Center NOT COVERED

Mangruen, Donna -CNSCondell Medical Center NOT COVERED

Mann, Anuradha -MDCondell Medical Center NOT COVERED

Mann, Shelly -MDCondell Medical Center NOT COVERED

Manquen, Louis -MDCondell Medical Center NOT COVERED

Maqbool, Asia -MDCondell Medical Center NOT COVERED

Margolin, Richard -DOCondell Medical Center NOT COVERED

Margules, Kenneth -MDCondell Medical Center NOT COVERED

Marinello, Michael -MDCondell Medical Center NOT COVERED

Markaryan, Violetta -NPCondell Medical Center NOT COVERED

Marquardt, Steven -MDCondell Medical Center NOT COVERED

Marsiglia, Paul -DOCondell Medical Center NOT COVERED

Martinez, William -MDCondell Medical Center NOT COVERED

Mary Gail Kwiecinski, DPM, PCCondell Medical Center NOT COVERED

Mass, Mark -MDCondell Medical Center NOT COVERED

Matseshe, John -MDCondell Medical Center NOT COVERED

May, Heather -NPCondell Medical Center NOT COVERED

Mazur, Patrycja -NPCondell Medical Center NOT COVERED

McCauley, Katharine -CRNACondell Medical Center NOT COVERED

McConn, Timothy -DPMCondell Medical Center NOT COVERED

McConnehey, Kelli -PACondell Medical Center NOT COVERED

McCreary, Dennis -MDCondell Medical Center NOT COVERED

McGaha, Ruth -NPCondell Medical Center NOT COVERED

McKenzie, Lindsay -NPCondell Medical Center COVERED UNDER FAP

McMahon, Abby -NPCondell Medical Center NOT COVERED

McMurtry, Stacie -MDCondell Medical Center NOT COVERED

Page 51

Page 52: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Medical Arts Unlimited, CorpCondell Medical Center NOT COVERED

Mehta, Amit -MDCondell Medical Center NOT COVERED

Mehta, Nilesh -MDCondell Medical Center NOT COVERED

Meis, Joseph -MDCondell Medical Center COVERED UNDER FAP

Mekki, Yasir -MDCondell Medical Center NOT COVERED

Mensheha, Oksana -MDCondell Medical Center NOT COVERED

Messinger, Jeremy -NPCondell Medical Center NOT COVERED

Metro Infectious Disease Consultants, LLCCondell Medical Center NOT COVERED

Middleton, Rannveig -MDCondell Medical Center NOT COVERED

Midwest Anesthesia Partners, LLCCondell Medical Center NOT COVERED

Midwest Anesthesia Partners, LtdCondell Medical Center NOT COVERED

Midwest Center for Women's HealthCare, LtdCondell Medical Center NOT COVERED

Midwest Diagnostic Pathology, SCCondell Medical Center NOT COVERED

Midwest Sleep InstituteCondell Medical Center NOT COVERED

Midwestern Institute of Health, LtdCondell Medical Center NOT COVERED

Mihalcik, Stephen -MDCondell Medical Center NOT COVERED

Mila-Marie Kyncl, MD, SCCondell Medical Center NOT COVERED

Milejczyk, Mariusz -MDCondell Medical Center NOT COVERED

Mileos, Chris -CRNACondell Medical Center NOT COVERED

Millard, M Dietra -MDCondell Medical Center NOT COVERED

Miller, Elliot -MDCondell Medical Center NOT COVERED

Miller, Scott -MDCondell Medical Center NOT COVERED

Milman, Julia -MDCondell Medical Center NOT COVERED

Miranda, Corrin -NPCondell Medical Center NOT COVERED

Mirza, Wajahat -MDCondell Medical Center NOT COVERED

Mitchell, Jessica -MDCondell Medical Center COVERED UNDER FAP

Mjukian, Maral -NPCondell Medical Center NOT COVERED

Monahan, James -MDCondell Medical Center NOT COVERED

Monarca, Arnel -SACondell Medical Center NOT COVERED

Montes, Faye -MDCondell Medical Center NOT COVERED

Morcott, Scott -MDCondell Medical Center NOT COVERED

Morrison, Eileen -MDCondell Medical Center NOT COVERED

Mougolias, Dimitrios -MDCondell Medical Center NOT COVERED

Mukherjee, Soma -MDCondell Medical Center NOT COVERED

Mun, Joseph -MDCondell Medical Center NOT COVERED

Mundelein Pediatrics, SCCondell Medical Center NOT COVERED

Muni, Joyce -MDCondell Medical Center NOT COVERED

Munir, Jawad -MDCondell Medical Center NOT COVERED

Munson, Robert -MDCondell Medical Center NOT COVERED

Murad, Faris -MDCondell Medical Center NOT COVERED

Mysiak, Waldemar -MDCondell Medical Center NOT COVERED

Nahlawi, Maher -MDCondell Medical Center NOT COVERED

Nakanishi, Akemi -MDCondell Medical Center NOT COVERED

Narang, Shweta -MDCondell Medical Center NOT COVERED

Neault, Mark -MDCondell Medical Center COVERED UNDER FAP

Neelam, Rakhshanda -MDCondell Medical Center NOT COVERED

Nelson, Erik -MDCondell Medical Center NOT COVERED

Nemickas, Tomas -MDCondell Medical Center NOT COVERED

Nephrology Associates of Northern Illinois, LTDCondell Medical Center NOT COVERED

Nephrology Associates of Northern Illinois,LtdCondell Medical Center NOT COVERED

Nho, Jai Jung -MDCondell Medical Center NOT COVERED

Nieciunski, Agnieszka -NPCondell Medical Center NOT COVERED

Nisipeanu, Oana -MDCondell Medical Center COVERED UNDER FAP

Njoku, Emmanuel -MDCondell Medical Center NOT COVERED

North Lake Cardiovascular Center, PCCondell Medical Center NOT COVERED

North Shore Advanced Surgery, SCCondell Medical Center NOT COVERED

North Shore Allergy & Asthma, SCCondell Medical Center NOT COVERED

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

Page 52

Page 53: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

North Shore Glaucoma CenterCondell Medical Center NOT COVERED

North Shore Medical PracticeCondell Medical Center NOT COVERED

North Shore Primary CareCondell Medical Center NOT COVERED

North Shore Urogynecology, LTDCondell Medical Center NOT COVERED

North Suburban Dermatology AssociatesCondell Medical Center NOT COVERED

North Suburban Family Healthcare, SCCondell Medical Center NOT COVERED

North Suburban Healthcare, LtdCondell Medical Center NOT COVERED

North Suburban Medical Office, LtdCondell Medical Center NOT COVERED

Northern Illinois Eye Clinic, LLCCondell Medical Center NOT COVERED

Northshore Dermatology Center, SCCondell Medical Center NOT COVERED

NorthShore Medical GroupCondell Medical Center NOT COVERED

NorthShore University Health SystemCondell Medical Center NOT COVERED

Northwest Neurology, LtdCondell Medical Center NOT COVERED

Northwest Suburban Pain AssociatesCondell Medical Center NOT COVERED

Northwestern Medical GroupCondell Medical Center NOT COVERED

Oberhaus, Jasmina -DOCondell Medical Center NOT COVERED

OB-Gyne Associates of Libertyville, SCCondell Medical Center NOT COVERED

Obrero, Benz -NPCondell Medical Center NOT COVERED

O'Brien, Alejandra -MDCondell Medical Center NOT COVERED

O'Brien, Maureen -NPCondell Medical Center NOT COVERED

Oczko-Danguilan, Agata -MDCondell Medical Center NOT COVERED

Oest, Angela -PACondell Medical Center NOT COVERED

Ogden Professional CenterCondell Medical Center NOT COVERED

Okoli, Anwuli -MDCondell Medical Center NOT COVERED

Okonkwo, Adaora -MDCondell Medical Center NOT COVERED

Oksana Mensheha MD, SCCondell Medical Center NOT COVERED

Oppenheim, David -MDCondell Medical Center NOT COVERED

Orchard Medical Center, SCCondell Medical Center NOT COVERED

Orenstein, Sabrina -MDCondell Medical Center NOT COVERED

Oscar S. Giron, MD, SCCondell Medical Center NOT COVERED

Otto, Scott -MDCondell Medical Center NOT COVERED

Padovano, Vincenzo -MDCondell Medical Center NOT COVERED

Pahl, Cheryl -CNSCondell Medical Center NOT COVERED

Panov, Ilia -CRNACondell Medical Center NOT COVERED

Papesch, James -MDCondell Medical Center NOT COVERED

Parag Thakkar MD, SCCondell Medical Center NOT COVERED

Parikh, Amit -DOCondell Medical Center NOT COVERED

Parikh, Rhutav -MDCondell Medical Center NOT COVERED

Park, Christopher -MDCondell Medical Center NOT COVERED

Park, Kelly -MDCondell Medical Center NOT COVERED

Pascua, Jon -MDCondell Medical Center COVERED UNDER FAP

Patel, Alpesh -MDCondell Medical Center NOT COVERED

Patel, Ashish -MDCondell Medical Center NOT COVERED

Patel, Sohal -MDCondell Medical Center NOT COVERED

Patel, Sutchin -MDCondell Medical Center NOT COVERED

Patel-Mehta, Arpita -MDCondell Medical Center NOT COVERED

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

Patzik, Shayle -MDCondell Medical Center NOT COVERED

Paul, Michael -MDCondell Medical Center COVERED UNDER FAP

Pavlatos, Christ -MDCondell Medical Center NOT COVERED

Pearlman, Julie -MDCondell Medical Center NOT COVERED

Pearlman, Michael -MDCondell Medical Center NOT COVERED

Peck-Rosen, Lisa -MDCondell Medical Center COVERED UNDER FAP

Pediatric PartnersCondell Medical Center NOT COVERED

PediaTrust, LLCCondell Medical Center NOT COVERED

Peel, Avanee -MDCondell Medical Center NOT COVERED

Pellerite, Matthew -MDCondell Medical Center NOT COVERED

Perlis, Cheryl -MDCondell Medical Center NOT COVERED

Page 53

Page 54: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Perri, Steven -PACondell Medical Center NOT COVERED

Peterson, Allison -CRNACondell Medical Center NOT COVERED

Phadke, Ashok -MDCondell Medical Center NOT COVERED

Piotrowski, John -MDCondell Medical Center NOT COVERED

Plunkett, Beth -MDCondell Medical Center NOT COVERED

Podolskiy, Aleksandr -MDCondell Medical Center NOT COVERED

Pollock, Max -MDCondell Medical Center NOT COVERED

Polyak, Valentina -MDCondell Medical Center NOT COVERED

Pomeranets, Eugene -MDCondell Medical Center NOT COVERED

Poole, Kevin -PACondell Medical Center NOT COVERED

Porter, Caitlin -PACondell Medical Center NOT COVERED

Potermin, Alexander -MDCondell Medical Center NOT COVERED

PrairieShore Pain Center, PCCondell Medical Center NOT COVERED

Preskill, David -MDCondell Medical Center NOT COVERED

Provida Health Center, SCCondell Medical Center NOT COVERED

Prunskis, John -MDCondell Medical Center NOT COVERED

Pulla, Ganesh -MDCondell Medical Center NOT COVERED

Pulmonary Medicine AssociatesCondell Medical Center NOT COVERED

Puthenveetil, Peter -MDCondell Medical Center NOT COVERED

Quertermous, James -MDCondell Medical Center NOT COVERED

Rabinowe, Steven -MDCondell Medical Center NOT COVERED

Radiation Oncology Consultants LtdCondell Medical Center NOT COVERED

Ramaeker, Alison -PACondell Medical Center NOT COVERED

Rao, Rumya -MDCondell Medical Center NOT COVERED

Raut, Swati -MDCondell Medical Center NOT COVERED

Ravage, Zac -MDCondell Medical Center NOT COVERED

Real Time Neuromonitoring Associates of CA, PCCondell Medical Center NOT COVERED

Recker, Lori -PACondell Medical Center COVERED UNDER FAP

Reddy, Geetha -MDCondell Medical Center NOT COVERED

Reich, Steven -MDCondell Medical Center NOT COVERED

Reinglass, Steven -MDCondell Medical Center NOT COVERED

Rene, Martin -MDCondell Medical Center NOT COVERED

Retina Institute of Illinois, PCCondell Medical Center NOT COVERED

Riad, Shareef -MDCondell Medical Center NOT COVERED

Ritacca Cosmetic Surgery & Medspa, LtdCondell Medical Center NOT COVERED

Rizvi, Asghar -MDCondell Medical Center NOT COVERED

Robert S. Baker, MD, LtdCondell Medical Center NOT COVERED

Robinson, Barrett -MDCondell Medical Center NOT COVERED

Robinson, Richmond -DPMCondell Medical Center NOT COVERED

Roden, Lynda -DOCondell Medical Center COVERED UNDER FAP

Rojas, Benjamin -DOCondell Medical Center NOT COVERED

Ron, Jennifer -MDCondell Medical Center NOT COVERED

Rosalind Franklin University Health SystemCondell Medical Center NOT COVERED

Rosen, Gregory -MDCondell Medical Center NOT COVERED

Rosenberg, Fred -MDCondell Medical Center NOT COVERED

Rosenberg, Jonathan -MDCondell Medical Center NOT COVERED

Rosenberg, Robert -MDCondell Medical Center NOT COVERED

Rozenfeld, Michael -DOCondell Medical Center NOT COVERED

Rubin, Mark -MDCondell Medical Center NOT COVERED

Rubinstein, Adam -MDCondell Medical Center NOT COVERED

Rudnik, Paula -MDCondell Medical Center NOT COVERED

Ryder, Steven -MDCondell Medical Center NOT COVERED

Saeed, Yumna -MDCondell Medical Center NOT COVERED

Saffrin, Robert -MDCondell Medical Center NOT COVERED

Salazar, Luis -MDCondell Medical Center NOT COVERED

Saleki-Hadavand, Armita -NPCondell Medical Center COVERED UNDER FAP

Samelson, Timothy -MDCondell Medical Center NOT COVERED

Samuel, James -MDCondell Medical Center NOT COVERED

Page 54

Page 55: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Sauer, Julianne -PACondell Medical Center NOT COVERED

Savino, Angelo -MDCondell Medical Center NOT COVERED

Savitt, Michael -MDCondell Medical Center NOT COVERED

Schaefer, Jennifer -MDCondell Medical Center NOT COVERED

Schaeffer, Kelly -NPCondell Medical Center NOT COVERED

Schafer, David -MDCondell Medical Center NOT COVERED

Schaublin, Greg -MDCondell Medical Center NOT COVERED

Scheer Surgical, SCCondell Medical Center NOT COVERED

Scheer, Michael -MDCondell Medical Center NOT COVERED

Schiller, Carol -MDCondell Medical Center NOT COVERED

Schilz, Stacy -PACondell Medical Center NOT COVERED

Schmidt, Courtney -NPCondell Medical Center NOT COVERED

Schmidt, Valerie -DOCondell Medical Center NOT COVERED

Schoellerman, Manal -MDCondell Medical Center NOT COVERED

Scholl Foot and Ankle CenterCondell Medical Center NOT COVERED

Schreiber, Sheri -MDCondell Medical Center NOT COVERED

Schubert, Steven -MDCondell Medical Center NOT COVERED

Schulman, Zara -MDCondell Medical Center NOT COVERED

Schwartz, Brian -MDCondell Medical Center NOT COVERED

Seba, Amber -MDCondell Medical Center COVERED UNDER FAP

Sefton, Jessica -PACondell Medical Center NOT COVERED

Sekharan, Mathangi -MDCondell Medical Center NOT COVERED

Senno, Ricardo -MDCondell Medical Center NOT COVERED

SennoGroup - Wellness & RehabilitationCondell Medical Center NOT COVERED

Senthilkumar, Arouna -MDCondell Medical Center NOT COVERED

Seskiewicz, Kathy -MDCondell Medical Center NOT COVERED

Sgarlata, Natalie -MDCondell Medical Center COVERED UNDER FAP

Shah, Dilip -MDCondell Medical Center NOT COVERED

Shah, Jai -MDCondell Medical Center NOT COVERED

Shah, Parthiv -MDCondell Medical Center NOT COVERED

Shah, Roma -NPCondell Medical Center NOT COVERED

Shakir, Zaid -MDCondell Medical Center NOT COVERED

Shanker, David -MDCondell Medical Center NOT COVERED

Shapiro, Mishail -DOCondell Medical Center NOT COVERED

Sharpless, Sonya -MDCondell Medical Center NOT COVERED

Shenfeld, Ronald -MDCondell Medical Center NOT COVERED

Shevlyagin, Sergei -MDCondell Medical Center NOT COVERED

Shklyar, Yury -MDCondell Medical Center NOT COVERED

Short, Lawrence -DPMCondell Medical Center NOT COVERED

Siegel, Aaron -MDCondell Medical Center NOT COVERED

Silberman, Carl -MDCondell Medical Center NOT COVERED

Silva, Bradley -MDCondell Medical Center NOT COVERED

Simpson, Dustin -MDCondell Medical Center NOT COVERED

Sirota, Susan -MDCondell Medical Center NOT COVERED

Sivasubramanian, Geetha -MDCondell Medical Center NOT COVERED

Skala, Taylor -PACondell Medical Center COVERED UNDER FAP

Slivnick, David -MDCondell Medical Center COVERED UNDER FAP

Sobhy, Taher -MDCondell Medical Center NOT COVERED

Soifer, Elizabeth -DOCondell Medical Center NOT COVERED

Sonenthal, Kathy -MDCondell Medical Center NOT COVERED

Song, Scott -MDCondell Medical Center NOT COVERED

Sorensen, Matthew -DPMCondell Medical Center NOT COVERED

Soto, Eliezer -MDCondell Medical Center NOT COVERED

Spellman, Adriana -MDCondell Medical Center NOT COVERED

Srinivasan, Lavanya -MDCondell Medical Center NOT COVERED

StatRadCondell Medical Center NOT COVERED

Steele, Shawn -SACondell Medical Center NOT COVERED

Stegemann, Anna -DOCondell Medical Center NOT COVERED

Page 55

Page 56: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Steinberg, Lon -MDCondell Medical Center NOT COVERED

Strohmayer, Paul -MDCondell Medical Center NOT COVERED

Stucky, Amanda -PACondell Medical Center NOT COVERED

Suasin, May -NPCondell Medical Center NOT COVERED

Suburban Neonatal, LtdCondell Medical Center NOT COVERED

Suburban Surgical SpecialistsCondell Medical Center NOT COVERED

Sujata, Leon -MDCondell Medical Center NOT COVERED

Sullivan, Lisa -MDCondell Medical Center NOT COVERED

Sullivan, Patricia -NPCondell Medical Center COVERED UNDER FAP

Summerville, Bruce -MDCondell Medical Center NOT COVERED

Surgeons of Lake County LLCCondell Medical Center NOT COVERED

Surowiec, Daniel -DPMCondell Medical Center NOT COVERED

Surya Medical Group, SCCondell Medical Center NOT COVERED

Susie Lattner, Debra -MDCondell Medical Center NOT COVERED

Swaminathan, Bharathi -MDCondell Medical Center NOT COVERED

Swanson, Christina -MDCondell Medical Center COVERED UNDER FAP

Swanson, Christine -NPCondell Medical Center NOT COVERED

Swarbrick, Kimberly -PACondell Medical Center NOT COVERED

Tack, Paul -MDCondell Medical Center NOT COVERED

Tack, Stanford -MDCondell Medical Center NOT COVERED

Taha, Rami -MDCondell Medical Center NOT COVERED

Taiberg, Leo -MDCondell Medical Center NOT COVERED

Tainsh, Cynthia -MDCondell Medical Center NOT COVERED

Talerico, Kathryn -MDCondell Medical Center NOT COVERED

Talerico, Marcus -MDCondell Medical Center COVERED UNDER FAP

Tan, Samantha -NPCondell Medical Center NOT COVERED

Tarasov, Eugene -DOCondell Medical Center NOT COVERED

Tasiopoulos, John -DOCondell Medical Center NOT COVERED

Tenoso, Marson -MDCondell Medical Center NOT COVERED

Terrasse, Anthony -MDCondell Medical Center NOT COVERED

Thadani, Peter -MDCondell Medical Center NOT COVERED

Thain, Dennis -MDCondell Medical Center NOT COVERED

Thakkar, Parag -MDCondell Medical Center NOT COVERED

Thao Nguyen Tran, MD, SCCondell Medical Center NOT COVERED

The American Center for Spine & Neurosurgery, LLCCondell Medical Center NOT COVERED

The Center for Internal MedicineCondell Medical Center NOT COVERED

The Center for Sleep MedicineCondell Medical Center NOT COVERED

Thomas, David -MDCondell Medical Center NOT COVERED

Thomas, Isaac -MDCondell Medical Center NOT COVERED

Thomas, Jaya -MDCondell Medical Center NOT COVERED

Thomson, Matthew -MDCondell Medical Center NOT COVERED

Thunga, Raghavender -MDCondell Medical Center NOT COVERED

Tien, Shelly -MDCondell Medical Center NOT COVERED

Tijunelis, Aras -MDCondell Medical Center NOT COVERED

Timoshevskaya, Irina -PACondell Medical Center NOT COVERED

Tokarczyk, Katherine -MDCondell Medical Center NOT COVERED

Tolomeo, Valerie -PACondell Medical Center NOT COVERED

Total Womens HealthcareCondell Medical Center NOT COVERED

Towle, Lauren -MDCondell Medical Center NOT COVERED

Tran, Nha -MDCondell Medical Center NOT COVERED

Tran, Thao -MDCondell Medical Center NOT COVERED

Tresley, Daniel -MDCondell Medical Center NOT COVERED

Trevick, Stephen -MDCondell Medical Center NOT COVERED

Trivedi, Ashka -DPMCondell Medical Center NOT COVERED

Trob, Joshua -MDCondell Medical Center NOT COVERED

Tucci, Mark -MDCondell Medical Center NOT COVERED

Tumulak, Jose -CRNACondell Medical Center NOT COVERED

Ulyanov, Vladimir -MDCondell Medical Center NOT COVERED

Page 56

Page 57: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Ulyanova, Olga -MDCondell Medical Center NOT COVERED

University Foot AssociatesCondell Medical Center NOT COVERED

Upadhyay, Nandini -MDCondell Medical Center COVERED UNDER FAP

Uropartners, LLCCondell Medical Center NOT COVERED

Uyenishi, Molly -PACondell Medical Center NOT COVERED

Valente, Martin -MDCondell Medical Center NOT COVERED

Valente, Matthew -MDCondell Medical Center NOT COVERED

Van De Hey, Jordin -PACondell Medical Center NOT COVERED

Vaselakos, Mark -DOCondell Medical Center NOT COVERED

Vaughn, Eric -MDCondell Medical Center NOT COVERED

Vayl, Gregory -CRNACondell Medical Center NOT COVERED

Vegh, Sara -MDCondell Medical Center NOT COVERED

Velotta, Emily -MDCondell Medical Center NOT COVERED

Venetos, Tina -MDCondell Medical Center NOT COVERED

Vercillo, Kristin -MDCondell Medical Center NOT COVERED

Verma, Vishal -MDCondell Medical Center NOT COVERED

Villaceran, Richard -NPCondell Medical Center NOT COVERED

Vista Physician GroupCondell Medical Center NOT COVERED

Vora, Anand -MDCondell Medical Center NOT COVERED

Vorel, Alyssa -PACondell Medical Center NOT COVERED

Vridhachalam, Sanjeevi -MDCondell Medical Center NOT COVERED

Wafai, A. -MDCondell Medical Center NOT COVERED

Wagner, Ermil -DOCondell Medical Center NOT COVERED

Wait, Cynthia -MDCondell Medical Center NOT COVERED

Wajahat Mirza, MD, SCCondell Medical Center NOT COVERED

Walton, Haley -PACondell Medical Center NOT COVERED

Watson, William -MDCondell Medical Center NOT COVERED

Waukegan Clinic-Family MedicineCondell Medical Center NOT COVERED

Waukegan Clinic-Internal MedicineCondell Medical Center NOT COVERED

Waukegan Clinic-OHANICondell Medical Center NOT COVERED

Waukegan Clinic-PulmonaryCondell Medical Center NOT COVERED

Waukegan Immediate CareCondell Medical Center NOT COVERED

Weil Foot and Ankle InstituteCondell Medical Center NOT COVERED

Weiss, Shana -MDCondell Medical Center NOT COVERED

Wessel, Matthew -MDCondell Medical Center NOT COVERED

Whitt, Alesia -NPCondell Medical Center NOT COVERED

William A. Martinez, MD, SCCondell Medical Center NOT COVERED

Willow Oak PediatricsCondell Medical Center NOT COVERED

Winchester Medical Group, SCCondell Medical Center NOT COVERED

Winiger, Deborah -MDCondell Medical Center NOT COVERED

Winters, Griff -DPMCondell Medical Center NOT COVERED

Witzel, Steven -MDCondell Medical Center COVERED UNDER FAP

Woike, Thomas -DOCondell Medical Center NOT COVERED

Wojciechowski, Amanda -MDCondell Medical Center COVERED UNDER FAP

Wojtowicz, Sarah -NPCondell Medical Center NOT COVERED

Wolford, Holly -NPCondell Medical Center NOT COVERED

Women's Health PartnersCondell Medical Center NOT COVERED

Wong, Sarah -MDCondell Medical Center NOT COVERED

Wu, Stephanie -DPMCondell Medical Center NOT COVERED

Yaacoub, Chadi -MDCondell Medical Center NOT COVERED

Yango-Eugenio, Maria Cynthia -MDCondell Medical Center NOT COVERED

Yasir A. Mekki MD, SCCondell Medical Center NOT COVERED

Yau, Sydney -DPMCondell Medical Center NOT COVERED

Yorro, Dionisio -MDCondell Medical Center NOT COVERED

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

Zaidi, Farhan -MDCondell Medical Center NOT COVERED

Zamora, Julie -NPCondell Medical Center NOT COVERED

Zaret, Phillip -MDCondell Medical Center NOT COVERED

Page 57

Page 58: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Zartaisky, Alexander -MDCondell Medical Center NOT COVERED

Zdon, Michael -MDCondell Medical Center NOT COVERED

Zegrean, Anca -MDCondell Medical Center NOT COVERED

Zeng, Qingju -NPCondell Medical Center COVERED UNDER FAP

Zick, Robert -MDCondell Medical Center NOT COVERED

Zoellick, David -MDCondell Medical Center NOT COVERED

Zorn, Shannon -PACondell Medical Center COVERED UNDER FAP

Zweig, Noel -MDCondell Medical Center NOT COVERED

Abbas, Huma -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Abrams, Barry -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Adighibe, Nnebuife -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Advocate Medical Group - Chicago - 918 West Montrose - Immediate CareDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group - Downers Grove - 1441 BrandingDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - Occupational HealthDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group - Park Ridge - 1775 Dempster Street - Employee HealthDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Arlington HeightsDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic AuroraDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic BerwynDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic BolingbrookDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Calumet CityDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Carol StreamDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Chicago 55th StreetDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Chicago 95th StreetDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Chicago Clark StreetDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Chicago Fullerton AvenueDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Chicago King DriveDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Chicago Milwaukee AvenueDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Chicago Monroe StDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Chicago Ridge AvenueDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Chicago State StDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Chicago Wells StreetDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Chicago Western AvenueDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Downers GroveDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Glen EllynDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Hanover ParkDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Lake ZurichDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic LyonsDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic MokenaDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic MontgomeryDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Naperville 87th StreetDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Naperville Book RoadDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Oak LawnDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Oak ParkDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Orland ParkDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Plainfield 135th StreetDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Plainfield Caton Farm RoadDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic River ForestDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic RomeovilleDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic St. CharlesDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic SycamoreDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Villa ParkDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic WestmontDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic WheelingDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Advocate Clinic YorkvilleDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group BurbankDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group EvergreenDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Greenwood on 87thDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Halsted and BlackhawkDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Page 58

Page 59: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Advocate Medical Group Immediate Care / Occ Medicine-SkokieDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group Olympia Fields VollmerDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group PalosDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Medical Group-Wilmette-Immediate CareDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Occupational Governor's State UniversityDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Occupational Health IMMCDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Occupational Health Lake ZurichDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Occupational Health-Downers GroveDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Occupational Health-Elk GroveDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Advocate Occupational Health-Hazel CrestDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Akaeze, Dorothy -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Akkawi, Joyal -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Alberti, Lawrence -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Alexander, Jessie -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Alexander, Nicole -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Ali, Mohammed -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Ali, Syeda -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Alvarez, Liliana -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Angderson, Christie -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Armstrong, Centuria -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Arora, Rachna -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Arroyo, Gerry -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Arzadon-Mercado, Maria -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Asya, Miriam -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Atwood, Teia -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Augusthy, Reggie -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Aulert, Michael -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Austermuehle, Patricia -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Austin, Jill -DPMDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Avila, Lucila -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Ayanlaja, Habiba -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Baboulas, Diane -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Bahena, Diana -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Bajwa, Tehmina -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Baker, Mary -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Bansal, Amar -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Bara, Jessica -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Baron, Valerie -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Bell, Evelyn -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Bendis, Malia -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Benes, Maylene -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Benson, Irene -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Benziger, Keith -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Best, Melissa -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Beyers, Dana -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Bibbs, Diana-Marie -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Bienia, Kathleen -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Bingham, Wendy -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Blezien, Monica -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Blonsky, Adam -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Bohringer, Rachel - Dreyer, Walgreens and other Clinic Physicians NOT COVERED

Bolognani, Jennifer -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Bonczak, Magdalena -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Bosh, Ronald -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Bowman, Gary -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Bowman, Mark -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Brandt, Teah -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Branta, Jeffrey -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Page 59

Page 60: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Bretz, Karen -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Brito, Socrates -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Brookenthal, Heidi -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Brooks, Cassandra -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Brown, Josalynn -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Buckner, Alma -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Bulj, Tanya -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Burch, Patrice -DODreyer, Walgreens and other Clinic Physicians NOT COVERED

Burgner, Karen -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Burnham, Faye -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Bustamante, Vicky -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Byas, Robia -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Calvin, Patricia -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Campano, Lee -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Cardinal, Colleen -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Carlson, Amy -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Castillo Jr., Bienvenido -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Castillo, Ramon -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Cave, Joni -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Chan, Joseph -DODreyer, Walgreens and other Clinic Physicians NOT COVERED

Chang, Titus -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Cheema, Jaskiran -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Chen, Sea -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Chicos, Diana -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Chivari, Sharron -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Chorvat, Karen -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Chow, Edmund -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Christofersen, Jon -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Chu, Catherine -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Chu, John -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Chua, Dave -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Closser, Meghan -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Cockrell-Tapalla, Amanda -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Colby, Terri -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Collins, Michael -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Connell, Lynette -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Cook, Tracie -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Corum, Amanda -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Cosgrove Counts, Kristen -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Coulomb, Glen -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Crane, Jennifer -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Crang, Mary -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Crulcich, J. -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Cuasay, Thad -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Culberson, Cheryl -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Cupuro, Patricia -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Currie, La Verne -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dagiantis, William -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dantzer, Michael -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dave, Shilpa -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Davies, Jeanine -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Davis, Nicole -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Davis, Nneka -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

De Boer, Erin -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dehnee, Cory -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Delgadillo, Leonor -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Deol, Kiranjit -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dewberry-Lait, Mary -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Page 60

Page 61: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Di Maria, Charisse -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Divakaruni, Naveen -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dixit, Sachin -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Dmochowski, Jolanta -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Dodhia, Navinchandra -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Domingo, Mariane -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dorman, Douglas -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dreyer Clinic - BataviaDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dreyer Clinic - Fox ValleyDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dreyer Clinic - HighlandDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dreyer Clinic - North AuroraDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dreyer Clinic - OswegoDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dreyer Clinic - PlainfieldDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dreyer Clinic - Rush CopleyDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dreyer Clinic - SequoiaDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dreyer Clinic - St. CharlesDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dreyer Clinic - YorkvilleDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dreyer, Roman -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Drynan, Kristin -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dudley, Catherine -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Dumasia, Eva -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Dunne, Alexis -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Durski, Agnieszka -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Eckberg, Lorene -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Ehman, Bridget -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Elahi, Taj -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Elgar, Corissa -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Elliott, Erica -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Escobar, Bertha -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Eshbach, Julianna -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Esslinger, Erica -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Estrada, Adam -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Evans, Matthew -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Fakhruddin, Atif -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Farquharson, Roger -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Fields, Karen -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Fila, Mandy - Dreyer, Walgreens and other Clinic Physicians NOT COVERED

Fisher, Thomas -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Fitzpatrick, Marikay -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Foggs, Michael -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Frankel, Stephanie -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Gadjev, Krastina -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Gagner, Tara -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Gajownik, Allison -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Galla Pagadala, Aruna -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Gaynor, Bryan -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Gazdziak, Nancy -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Gendels, Suzanne -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Gervasi, Kristen -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Gettel, Erin -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Gewarges, Paula -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Ghafouri, Manijeh -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Ghannam, Necholas -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Gibb, Jennifer -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Gill, Kimberly -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Glavin, Suzanne -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Glenn, Donald -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Glon, Raymond -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Page 61

Page 62: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Glover, Janel -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Godoy-Romero, Ernesto -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Goel, Ankush -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Gonzales, Jessica -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Gordon, La Shawn -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Gordon, Shina -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Gorovits, Anatoly -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Granberry, Katherine -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Grant, Meagan -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Gray, Randall -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Greene, Andrew -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Groen, Tiffany -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Groskopf, Lisa -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Ha, Juhyun -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Habib, Ibrahim -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hackfort, Ann -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hackl, Megan -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Hale, Chikira -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Hampton, Tony -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Hannigan, Danielle -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Harnack, Steven -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Harris, Sandra -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hawkins-Smith, Betty -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hayes-Sharpley, Carol -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hebert, Loretta -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Heinisch, Edward -ODDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Helon, Jessica -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Henderson, Heather -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Henderson, Rachel -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Hernandez, Basil -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Herrin, Steve -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Hetfield, Caroline -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hilby, Mariah -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hilgers, Marc -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hirsch, Marlyn -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Holben, Kelly -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Holgado-Cocjin, Maria -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Honasoge, Ananth -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hope, Katina -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Houlahan, Roy -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Howard, Danesha -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Hubbard, Brian -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hudley, Shakese -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Huerta-Galvez, Imelda -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hughes, Kristi -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Hulet, Jessica -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hussain, Asif -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hussain, Farah -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Hynes, Kristy -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Hyrc, Teresa -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Iglesias, Ann -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Ireland, Charles -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Ireland, Robert -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Jackatey, Suzie -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Jacobs-El, Jamil -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Jacobson, Alan -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Jaffery, Maliha -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Johnson, Samantha -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Page 62

Page 63: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Johnson, Tajuana -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Johnston, William -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Jones, Allison -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Jones, Jeanice -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Jones, Meghan -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Jones, Michelle -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Jordan, Dorene -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Jovanovich, Sonja -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Julka, Kabir -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Kakodkar, Nisha -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Kakodkar, Siddharth -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Kandula, Aruna -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Karam, Maya -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Karesh, John -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Karlin, Fred -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Karnick, Paula -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Kekish, Tosca -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Kelly, Richard -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Kelly, Victoria -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Kelsey, John -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Kemp-Major, Anitra -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Kersch, Richard -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Kersten, Juliann -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Keske, Lisa -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Khan, Anjum -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Khan, Ruta -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Khan, Saad -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Khan, Saba -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Khouchaba, Tina -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Kinahan, Patricia -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Kirk, Spencer -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Kirkwood, Selena -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Kluever, Mary -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Knospe, Sherrill -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Knox, Karen -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Kouvelis, Katherine -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Krol, Laura -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Kuehl, Ann -PADreyer, Walgreens and other Clinic Physicians NOT COVERED

Kukulski, Laura -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Kulczycki, Ted -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Kumar, Ashwin -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Kunickaite, Jurate -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Kwak, Sandy -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Lakhani, Aliya -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Landon, Heather -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Langeland, Lori -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Lapetino, Shawn -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

LaPonsie, Sadie -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Lasi-Siddiqi, Shehla -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Law, Judy -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Layer, Senuri -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Le, Van -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Lee, Christine -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Lee, Frances -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Lee, Karen -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Lemon, Gail -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Leung, Dominic -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Lloyd, Mary -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Page 63

Page 64: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Lopez, Georgina -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Lopez, Jamie -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Low, Li Shien -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Madlangbayan, Julie -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Maher, Sharon -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Malkani, Sunil -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Mallinger, Adam -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Maloney, Anna -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Markham, Colleen -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Marks, Nicole -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Marzec, Michael -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Matejcak, Colette -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Mazhar, Sameer -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

McClure, Michelle -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

McFarland, Constance -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

McGuire, Laura -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Mclean, Lauren -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Melegos, Stavroula -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Merai, Parag -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Meznarick, Margaret -Dreyer, Walgreens and other Clinic Physicians NOT COVERED

Millas, Lee Anne -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Miller, Leanne -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Mills, Carolyn -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Mirza, Bina -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Miyamasu, Julie -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Mohsin, Ayeza -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Morgan, Sarah -Dreyer, Walgreens and other Clinic Physicians NOT COVERED

Morker, Neha -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Morrell, Kalliope -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Morris, Jeffrey -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Morton, Jerry -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Moynihan, Cathy -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Mulder, Corlyne -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Murphy, Dennis -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Nabavi, Seyed Mahmoud -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Nam, Moon-woo -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Narahari, Sheetal -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Natarajan, Janaki -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Naugle, Andrea -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Netter, Molly -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

New, Melissa -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Newman, Edward -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Nfundoak, Manyi -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Nichols, Karen -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Niedergerke, Sarah -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Norberg, Lois -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Nuyles, Michael -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Nwakudu, Chiedza -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

O'Brien, William -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

O'Donnell Weiss, Mary -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

ODonnell, Marguerite -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

O'Donnell, Mary -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

O'Grady, Kathryn -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Oji, Chidinma -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Ollee, Sharon -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Olmstead, David -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Olson, Patricia -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Oluwole, Olumide -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Page 64

Page 65: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Oostman, Brian -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Otremba, Dorothy -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Ow, Andrew -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Palmer, Shari -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Parcellano, Ria Luz -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Parekh, Shruti -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Parungao, Jenssen -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Patel, Bharti -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Patel, Dadhija -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Patel, Dipti -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Patel, Mansi -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Patel, Nilam -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Patel, Pinkey -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Patel, Rutuja -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Pawlak, Andrea -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Pearson McCreary, Barbara -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Peoples, Pamela -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Perez, Irma -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Perisin, Kelly -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Peterson, Mark -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Phelps, Nicole -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Photowala, Fatema -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Piazza, Daniel -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Pitroda, Priyanka -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Pitsilos, George -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Pokharna, Mandakini -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Poovathur, Tincy -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Prakash, Ravi -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Pranger, Andrea -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Pratt, Betty -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Pratumngern, Guntippar -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Prewitt, Mary -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Puls, Richard -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Puri, Jignasa -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Qureshi, Amber -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Racine, Jennifer -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Radville, Lisa -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Rafacz, Ewa -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Raheem, Mohammed -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Raigaga, Kumar -DPMDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Raimondi, Chantalle -Dreyer, Walgreens and other Clinic Physicians NOT COVERED

Rajendran, Mallika -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Ralyea, Elizabeth -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Ramachandra, Divya -Dreyer, Walgreens and other Clinic Physicians NOT COVERED

Renaud, Laura -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Richman, Michael -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Rivera, Jomarie Rose -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Robbin, Julia -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Robles, Raquel -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Robles, Yvonne -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Roche, Natalie -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Rogers, Cornelius -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Rogers, Ollie -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Rousseau, Layne -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Ruane, Sean -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Ruestow, Paul -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Rule, Colleen -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Rush-Drake, Suzette -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Page 65

Page 66: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Ryan, Kelly -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Safarov, Rustam -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Salazar, Marisa -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

San Juan, April -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Sarcu, David -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Saujani, Lauren -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Sayef, Nazneen -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Schilf, Candy -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Schulman, Rachel -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Scrima, Sylvia -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Sedlacek, Julie -PADreyer, Walgreens and other Clinic Physicians NOT COVERED

Sekhon, Sudhir -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Senseng, Daniel -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Sethi, Mehak -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Sethi, Romi -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Sey, Nashira -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Shah, Jignasha -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Shah, Reena -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Sharma, Rahul -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Sharma, Sonia -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Sherrow, Michael -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Shetty, Anisha -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Shieh, Sharon -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Siddiqui, Mohammed -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Sidell, Linda -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Silver, Andrea -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Simkins, Kelly -DODreyer, Walgreens and other Clinic Physicians NOT COVERED

Simone, Amy -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Sinatra, Shelly -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Singh, Raman -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Sinnaeve, Erin -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Smith , Ann -Dreyer, Walgreens and other Clinic Physicians NOT COVERED

Smith, Lolita -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Smith, Sarah -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Smith-Colbert, Sherryl -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Sotolongo-Veras, Ramon -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Sowa, Elizabeth -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Spanik, Carli -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Spelic, Robert -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Sreerama, Shantala -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Sroka, Jeffrey -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Stanley, Ava -MDDreyer, Walgreens and other Clinic Physicians NOT COVERED

Stann-McCarthy, Tanya -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Stein, Adam -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Stoch, Agnes -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Sulaver, Randy -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Sundar, Balakrishna -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Sunil, Dhanya -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Sweeney, Bryan -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Syed, Maaria -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Szuch, Neena -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Taha, Ibrahim -DPMDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Taylor, Jill -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Thakolkaran, Nimmy -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Thomas, Amy -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Thomas, Brendan -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Toguem, Solange -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Tomur, Rashmi -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Page 66

Page 67: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Trevino, Reyna -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Trussell, Teresa -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Udeogu, Oluwakemi -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Van Loon, Lauren -PADreyer, Walgreens and other Clinic Physicians NOT COVERED

Vastola-Lewan, Bonnie -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Vaughn, Eboni -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Veldman, Mark -DODreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Verma, Priyadarshini -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Vielgo, Arnulfo -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Vogel, Kristie -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Waheed, Mona -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Weigt, Amelia -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Weiler, Keith -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Whereatt, Nancy -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

White, Thomas -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Wieland, Lisa -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Williams, Andrea -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Williams, Anthony -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Willis, Angela -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Willis, Christina -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Wilson, Alan -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Wojciak, Theresa -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Wolf, Steven -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Woroch, Ruth -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Wyka, Christine -NPDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Yancy, Brandie -PADreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Yates, Isaure -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Yin, Jennifer -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Zahatnansky, Juraj -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Zak, Angela -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Zessemos, Olivia -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

Zhang, Guoshi -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Zhang, Ying -MDDreyer, Walgreens and other Clinic Physicians COVERED UNDER FAP

Ziegler, Dawn -NPDreyer, Walgreens and other Clinic Physicians NOT COVERED

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

Advocate Eureka Hospital Family Practice - EurekaEureka Hospital COVERED UNDER FAP

Advocate Medical Group RoanokeEureka Hospital COVERED UNDER FAP

Advocate Medical Group Urgent Care/Occupational MedicineEureka Hospital COVERED UNDER FAP

Ahlers, Brandon -CRNAEureka Hospital NOT COVERED

Anesthesia Specialties AllianceEureka Hospital NOT COVERED

Associated Anesthesiologists, SCEureka Hospital NOT COVERED

Central Illinois Orthopedic Surgery, LLCEureka Hospital NOT COVERED

Chang, Jeffrey -MDEureka Hospital NOT COVERED

Chioni, Kristi -NPEureka Hospital NOT COVERED

DMH Millenium Pain CenterEureka Hospital NOT COVERED

Dym, Jean-Paul -MDEureka Hospital NOT COVERED

Elsesser, Brian -CRNAEureka Hospital NOT COVERED

Endocrine & Diabetes, SCEureka Hospital NOT COVERED

Farmer, Alexandra -PAEureka Hospital COVERED UNDER FAP

Fogo, Shane -MDEureka Hospital COVERED UNDER FAP

Guardian Headache and Pain Management Institute, LLCEureka Hospital NOT COVERED

HSHS Medical GroupEureka Hospital NOT COVERED

Hughes, Christopher -MDEureka Hospital COVERED UNDER FAP

Ifft, Keith -MDEureka Hospital NOT COVERED

Illinois Gastroenterology, Institute, SCEureka Hospital NOT COVERED

Jones, Steven -MDEureka Hospital COVERED UNDER FAP

Keedy, Michael -CRNAEureka Hospital NOT COVERED

Kell, John -MDEureka Hospital COVERED UNDER FAP

Page 67

Page 68: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Kiefer-Griffin, Susan -CRNAEureka Hospital NOT COVERED

Kirkenir, Bradley -CRNAEureka Hospital NOT COVERED

Krishnan, Brinda -MDEureka Hospital COVERED UNDER FAP

Lakic, Tomislav -MDEureka Hospital COVERED UNDER FAP

Leman, Jeffrey -MDEureka Hospital COVERED UNDER FAP

Leverton, Samantha -NPEureka Hospital NOT COVERED

Midwest Mobile Anesthesia ConsultantsEureka Hospital NOT COVERED

Miller, David -MDEureka Hospital COVERED UNDER FAP

Mitchell, Philip -MDEureka Hospital COVERED UNDER FAP

Moon, Michael -DDSEureka Hospital NOT COVERED

OSF Medical Group - SurgeryEureka Hospital NOT COVERED

Parkhe, Amit -NPEureka Hospital COVERED UNDER FAP

Penn, Donald -MDEureka Hospital NOT COVERED

Perry, Dana -MDEureka Hospital COVERED UNDER FAP

Pieniazek, John -MDEureka Hospital COVERED UNDER FAP

Roach, Jason -PAEureka Hospital NOT COVERED

Shore, Brian -PAEureka Hospital NOT COVERED

Sudholt, Eric -DMDEureka Hospital NOT COVERED

Tanck, Allison -MDEureka Hospital NOT COVERED

Vetri, Francesco -MDEureka Hospital NOT COVERED

Virtual Radiologic Professionals, LLCEureka Hospital NOT COVERED

A Bella Baby OBGYNGood Samaritan Hospital NOT COVERED

A2Z Care Med-Meds Specialist, PCGood Samaritan Hospital NOT COVERED

Abramson, Simon -MDGood Samaritan Hospital NOT COVERED

Abusuwwa, Raed -DOGood Samaritan Hospital COVERED UNDER FAP

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

Adamsky, Melanie -MDGood Samaritan Hospital NOT COVERED

Adamson, Cathy -NPGood Samaritan Hospital COVERED UNDER FAP

Adnan, Mohammed -MDGood Samaritan Hospital NOT COVERED

Adult Medicine PhysiciansGood Samaritan Hospital NOT COVERED

Advance Inpatient MedicineGood Samaritan Hospital NOT COVERED

Advanced Headache and NeuroCare ClinicGood Samaritan Hospital NOT COVERED

Advanced Heart Lipid ClinicGood Samaritan Hospital NOT COVERED

Advanced Oral & Maxillofacial SurgeryGood Samaritan Hospital NOT COVERED

Advanced Orthopedic and Spine Care, SCGood Samaritan Hospital NOT COVERED

Advanced Rehabilitation Care, LLCGood Samaritan Hospital NOT COVERED

Advocate Health & Hospital Corp - Advocate Intensivist PartnersGood Samaritan Hospital COVERED UNDER FAP

Advocate Medical Group - DarienGood Samaritan Hospital COVERED UNDER FAP

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

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

Advocate Medical Group - Downers Grove - 3825 Highland Ave - Palliative CareGood Samaritan Hospital COVERED UNDER FAP

Advocate Medical Group - Downers Grove - CardiologyGood Samaritan Hospital COVERED UNDER FAP

Advocate Medical Group - Elmhurst - CardiologyGood Samaritan Hospital COVERED UNDER FAP

Advocate Medical Group - Libertyville - Milwaukee AveGood Samaritan Hospital COVERED UNDER FAP

Advocate Medical Group - Naperville - CardiologyGood Samaritan Hospital COVERED UNDER FAP

Advocate Medical Group - Park Ridge - 1700 Luther Lane - NeurologyGood Samaritan Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Downers GroveGood Samaritan Hospital COVERED UNDER FAP

Advocate Medical Group Christ Peds HospitalistGood Samaritan Hospital COVERED UNDER FAP

Advocate Medical Group Downers Grove 3825 HighlandGood Samaritan Hospital COVERED UNDER FAP

Advocate Medical Group Downers Grove Internal MedGood Samaritan Hospital COVERED UNDER FAP

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

Advocate Medical Group Nesset Post Acute Care NtwkGood Samaritan Hospital COVERED UNDER FAP

Advocate Medical Group Park Ridge 1875 Dempster Street Pediatric NeurosurgeryGood Samaritan Hospital COVERED UNDER FAP

Advocate Medical Group Parkside General SurgeryGood Samaritan Hospital COVERED UNDER FAP

Advocate Medical Group Trauma SurgeryGood Samaritan Hospital COVERED UNDER FAP

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

Advocate Medical Group-Lombard-Roosevelt RoadGood Samaritan Hospital COVERED UNDER FAP

Aftab, Nozaina -MDGood Samaritan Hospital NOT COVERED

Page 68

Page 69: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Agha, Arif -MDGood Samaritan Hospital NOT COVERED

Agha, Fariha -MDGood Samaritan Hospital NOT COVERED

Agha, Rania -MDGood Samaritan Hospital NOT COVERED

Agrawal, Lily -MDGood Samaritan Hospital NOT COVERED

Ahmad, Afzal -CSAGood Samaritan Hospital NOT COVERED

Ahmad, Saad -MDGood Samaritan Hospital NOT COVERED

Ahmed, Iram -MDGood Samaritan Hospital NOT COVERED

Ahmed, Mohammed -DOGood Samaritan Hospital NOT COVERED

Ahn, Charles -MDGood Samaritan Hospital NOT COVERED

Ahsan, Maleeha -MDGood Samaritan Hospital COVERED UNDER FAP

Airan, Mohan -MDGood Samaritan Hospital COVERED UNDER FAP

Ajmere, Reshma -MDGood Samaritan Hospital NOT COVERED

Akhtar, Nomana -DOGood Samaritan Hospital NOT COVERED

Akhtar, Nusrath -MDGood Samaritan Hospital NOT COVERED

Akin-Olugbemi, Morounkeji -MDGood Samaritan Hospital NOT COVERED

Akl, Nathalie -MDGood Samaritan Hospital NOT COVERED

Akthar, Adil -MDGood Samaritan Hospital NOT COVERED

Al Halabi, Shadi -MDGood Samaritan Hospital NOT COVERED

Alasadi, Rameez -MDGood Samaritan Hospital NOT COVERED

Alden, Kris -MDGood Samaritan Hospital NOT COVERED

Alexander, Aristides -MDGood Samaritan Hospital NOT COVERED

Alhussaini, Amer -MDGood Samaritan Hospital NOT COVERED

Ali, Aman -MDGood Samaritan Hospital COVERED UNDER FAP

Ali, Mustafa -MDGood Samaritan Hospital NOT COVERED

Ali, Rafi -MDGood Samaritan Hospital NOT COVERED

Ali, Zeeshan -MDGood Samaritan Hospital NOT COVERED

Alia, Yazan -MDGood Samaritan Hospital NOT COVERED

Aliga, Norman -MDGood Samaritan Hospital NOT COVERED

AliNiazee, Mateen -MDGood Samaritan Hospital NOT COVERED

Allababidi, Anas -MDGood Samaritan Hospital COVERED UNDER FAP

Allergy & Asthma Associates of DuPage, PCGood Samaritan Hospital NOT COVERED

Alonso, Oscar -MDGood Samaritan Hospital NOT COVERED

Altergott, Rudolph -MDGood Samaritan Hospital NOT COVERED

American Foot & Ankle Specialists, LtdGood Samaritan Hospital NOT COVERED

American Hip Institute, LLCGood Samaritan Hospital NOT COVERED

AMG NeurosurgeonsGood Samaritan Hospital NOT COVERED

Amidei-Stefanik, Diana -NPGood Samaritan Hospital COVERED UNDER FAP

Amin, Anish -MDGood Samaritan Hospital COVERED UNDER FAP

Amin, Medha -MDGood Samaritan Hospital NOT COVERED

Amita Health Medical Group - Woodridge MultiSpecialty Ambulatory CenterGood Samaritan Hospital NOT COVERED

Andreas, Julie -DPMGood Samaritan Hospital NOT COVERED

Andrew A. Roth, MD, SCGood Samaritan Hospital NOT COVERED

Anesthesiologists, LtdGood Samaritan Hospital NOT COVERED

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

Anliker, Luke -PAGood Samaritan Hospital NOT COVERED

Antkowiak, Tomasz -MDGood Samaritan Hospital NOT COVERED

Antoniolli, Michael -MDGood Samaritan Hospital NOT COVERED

Anwar, Farzeen -PAGood Samaritan Hospital NOT COVERED

Arain, Imtiaz -MDGood Samaritan Hospital NOT COVERED

Arand, Walter -MDGood Samaritan Hospital NOT COVERED

Ardon, Marjorie -MDGood Samaritan Hospital NOT COVERED

Arenas, Aris -SAGood Samaritan Hospital NOT COVERED

Arialis, Amy -MDGood Samaritan Hospital COVERED UNDER FAP

Armitage Oral SurgeryGood Samaritan Hospital NOT COVERED

Arora, Hena -MDGood Samaritan Hospital NOT COVERED

Arora, Vinay -MDGood Samaritan Hospital NOT COVERED

Arora, Vipal -MDGood Samaritan Hospital NOT COVERED

Arun Kumar, MD, SCGood Samaritan Hospital NOT COVERED

Page 69

Page 70: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Associated Physicians of RehabilitationGood Samaritan Hospital NOT COVERED

Associates in Gynecology, LtdGood Samaritan Hospital NOT COVERED

Asthma and Allergy ClinicGood Samaritan Hospital NOT COVERED

Atluri, Vyjayanthi -MDGood Samaritan Hospital NOT COVERED

Attia Saad, Maged -MDGood Samaritan Hospital NOT COVERED

AVD Medical SCGood Samaritan Hospital NOT COVERED

Awad, Michael -DOGood Samaritan Hospital NOT COVERED

Ayub, Nazia -MDGood Samaritan Hospital NOT COVERED

Ayuste, Cathleen -MDGood Samaritan Hospital NOT COVERED

Ayyagari, Susmita -MDGood Samaritan Hospital NOT COVERED

Azuma, Dennis -MDGood Samaritan Hospital COVERED UNDER FAP

Baber, Marcin -MDGood Samaritan Hospital NOT COVERED

Bach, Harold -MDGood Samaritan Hospital COVERED UNDER FAP

Bachra, Jaspreet -PAGood Samaritan Hospital NOT COVERED

Bachrach, Laurie -MDGood Samaritan Hospital NOT COVERED

Baig, Benazir -MDGood Samaritan Hospital NOT COVERED

Bajaj, Ajay -MDGood Samaritan Hospital NOT COVERED

Baker, Manisa -CNSGood Samaritan Hospital COVERED UNDER FAP

Bakhos, Lara -MDGood Samaritan Hospital COVERED UNDER FAP

Bakhos, Mamdouh -MDGood Samaritan Hospital NOT COVERED

Balaney, Subhash -MDGood Samaritan Hospital NOT COVERED

Balash, Jennifer -MDGood Samaritan Hospital NOT COVERED

Baluchi Medical GroupGood Samaritan Hospital NOT COVERED

Banning, Michael -MDGood Samaritan Hospital NOT COVERED

Bansore, Shamita -MDGood Samaritan Hospital NOT COVERED

Banuelos, George -MDGood Samaritan Hospital NOT COVERED

Barakat, Rouba -MDGood Samaritan Hospital NOT COVERED

Barbara B. Loeb MDGood Samaritan Hospital NOT COVERED

Barbour, Christopher -MDGood Samaritan Hospital COVERED UNDER FAP

Bardfield, Steven -MDGood Samaritan Hospital NOT COVERED

Bardolph, Susan -MDGood Samaritan Hospital NOT COVERED

Barkley, Jeanne -NPGood Samaritan Hospital COVERED UNDER FAP

Barnabas, Abraham -MDGood Samaritan Hospital NOT COVERED

Barr, Lawrence -MDGood Samaritan Hospital COVERED UNDER FAP

Barsanti, Carl -MDGood Samaritan Hospital NOT COVERED

Barton, Richard -MDGood Samaritan Hospital NOT COVERED

Basit, Arshi -MDGood Samaritan Hospital NOT COVERED

Bastian Voice Institute, LLCGood Samaritan Hospital NOT COVERED

Bastian, Robert -MDGood Samaritan Hospital NOT COVERED

Bastian, Zachary -MDGood Samaritan Hospital NOT COVERED

Battista, Robert -MDGood Samaritan Hospital NOT COVERED

Battle-Miller, Kimberly -MDGood Samaritan Hospital COVERED UNDER FAP

Baugh, Matthew -MDGood Samaritan Hospital NOT COVERED

Baughman, Steven -MDGood Samaritan Hospital NOT COVERED

Bautista Ordonez, Eden -MDGood Samaritan Hospital NOT COVERED

Bawamia, Ali -MDGood Samaritan Hospital NOT COVERED

Bawden, David -MDGood Samaritan Hospital NOT COVERED

Beaudry, Dawn -PAGood Samaritan Hospital NOT COVERED

Beckman, Dawn -MDGood Samaritan Hospital NOT COVERED

Beezhold, David -DOGood Samaritan Hospital NOT COVERED

Behavioral Medicine & ConsultingGood Samaritan Hospital NOT COVERED

Belden, Matthew -MDGood Samaritan Hospital NOT COVERED

Bell, Anthony -MDGood Samaritan Hospital NOT COVERED

Belmares-Avalos, Jaime -MDGood Samaritan Hospital NOT COVERED

Belmonte, John -MDGood Samaritan Hospital NOT COVERED

Beltran, Steven -MDGood Samaritan Hospital NOT COVERED

Berg, Edward -MDGood Samaritan Hospital NOT COVERED

Bergquist, David -MDGood Samaritan Hospital NOT COVERED

Page 70

Page 71: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Berti, Jeffrey -MDGood Samaritan Hospital NOT COVERED

Bertini, Matthew -MDGood Samaritan Hospital NOT COVERED

Bertumen, J. Bradford -MDGood Samaritan Hospital NOT COVERED

Beville, Jennifer -PAGood Samaritan Hospital COVERED UNDER FAP

Bhagwakar, Ojash -MDGood Samaritan Hospital NOT COVERED

Bhate, Amit -MDGood Samaritan Hospital NOT COVERED

Bhatia, Sonjai -MDGood Samaritan Hospital NOT COVERED

Bhatt, Shamir -MDGood Samaritan Hospital NOT COVERED

Bhorade, Rajeev -MDGood Samaritan Hospital NOT COVERED

Bicek, Paul -MDGood Samaritan Hospital NOT COVERED

Bijari, Armita -MDGood Samaritan Hospital NOT COVERED

Biswas, Nirja -PAGood Samaritan Hospital NOT COVERED

Blake Horio, MD, LtdGood Samaritan Hospital NOT COVERED

Blakeman, Bradford -MDGood Samaritan Hospital NOT COVERED

Blaney, Daniel -PAGood Samaritan Hospital NOT COVERED

Bobb, Wendell -MDGood Samaritan Hospital NOT COVERED

Boco, Tibor -MDGood Samaritan Hospital NOT COVERED

Boddipalli, Surekha -MDGood Samaritan Hospital NOT COVERED

Boddipalli, Viveka -MDGood Samaritan Hospital NOT COVERED

Boettcher, Michael -MDGood Samaritan Hospital NOT COVERED

Boghossian, Stephen -MDGood Samaritan Hospital NOT COVERED

Bolanowski, Marybeth -PAGood Samaritan Hospital NOT COVERED

Bolden, Nathan -MDGood Samaritan Hospital NOT COVERED

Bolingbrook Health Care AssociatesGood Samaritan Hospital NOT COVERED

Bonilla, Juan -MDGood Samaritan Hospital NOT COVERED

Borok, Raphael -MDGood Samaritan Hospital NOT COVERED

Botros, Samuel -MDGood Samaritan Hospital NOT COVERED

Bou, Steven -MDGood Samaritan Hospital NOT COVERED

Bouchelion, Bryan -DDSGood Samaritan Hospital NOT COVERED

Bouri, Loveena -MDGood Samaritan Hospital NOT COVERED

Boyle, Deborah -MDGood Samaritan Hospital NOT COVERED

Boyle, Elizabeth -DOGood Samaritan Hospital NOT COVERED

Bozena Scigacz Medical Office, SCGood Samaritan Hospital NOT COVERED

Bradley, Ciaran -MDGood Samaritan Hospital NOT COVERED

Brand, Marc -MDGood Samaritan Hospital NOT COVERED

Brandonisio, Danielle -NPGood Samaritan Hospital NOT COVERED

Bratis, Christina -MDGood Samaritan Hospital NOT COVERED

Bridgeman, Kristopher -PAGood Samaritan Hospital NOT COVERED

Briggs, Julia -SAGood Samaritan Hospital NOT COVERED

Brottman, Michael -MDGood Samaritan Hospital COVERED UNDER FAP

Brown, Alan -MDGood Samaritan Hospital COVERED UNDER FAP

Bruno, Ehlie -DDSGood Samaritan Hospital NOT COVERED

Bueche, Matthew -MDGood Samaritan Hospital NOT COVERED

Bufalino, Dominick -MDGood Samaritan Hospital COVERED UNDER FAP

Bufalino, Vincent -MDGood Samaritan Hospital COVERED UNDER FAP

Buranosky, Dale -DPMGood Samaritan Hospital NOT COVERED

Burg, Tyler -PAGood Samaritan Hospital COVERED UNDER FAP

Burgess Square Healthcare & Rehab CentreGood Samaritan Hospital NOT COVERED

Burgess, Brian -DPMGood Samaritan Hospital NOT COVERED

Burgess, Kelly -PAGood Samaritan Hospital NOT COVERED

Burra, Giridhar -MDGood Samaritan Hospital NOT COVERED

Burstein, Scott -MDGood Samaritan Hospital NOT COVERED

Cabana, John -MDGood Samaritan Hospital NOT COVERED

Cahill, John -MDGood Samaritan Hospital COVERED UNDER FAP

Calandra, Carl -DOGood Samaritan Hospital NOT COVERED

Carbone, Robert -MDGood Samaritan Hospital NOT COVERED

Cardiac Surgery Associates, SCGood Samaritan Hospital NOT COVERED

Carmody, Thomas -MDGood Samaritan Hospital NOT COVERED

Page 71

Page 72: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Carroll, James -MDGood Samaritan Hospital NOT COVERED

Caruso, Anthony -MDGood Samaritan Hospital NOT COVERED

Casey, Cash -MDGood Samaritan Hospital COVERED UNDER FAP

Casey, Ines -MDGood Samaritan Hospital NOT COVERED

Celmer, Jacqueline -NPGood Samaritan Hospital NOT COVERED

Center for Dental Implants, Oral & FacialGood Samaritan Hospital NOT COVERED

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

Center for Neurological Diseases, SCGood Samaritan Hospital NOT COVERED

Central DuPage Foot & Ankle SpecialistsGood Samaritan Hospital NOT COVERED

Chakeer, Ridha -MDGood Samaritan Hospital NOT COVERED

Chan, Linda -MDGood Samaritan Hospital NOT COVERED

Chandler, Jeffrey -DDSGood Samaritan Hospital NOT COVERED

Chang, Wilson -MDGood Samaritan Hospital NOT COVERED

Charles, Alix -MDGood Samaritan Hospital NOT COVERED

Charuk, George -DOGood Samaritan Hospital NOT COVERED

Chaudhary, Kamran -MDGood Samaritan Hospital NOT COVERED

Chaudhry, Alyas -MDGood Samaritan Hospital NOT COVERED

Chaudhry, Shahla -PAGood Samaritan Hospital NOT COVERED

Chawla, Anshuman -MDGood Samaritan Hospital NOT COVERED

Cherukupally, Shilpa -MDGood Samaritan Hospital NOT COVERED

Chestnut Health of IllinoisGood Samaritan Hospital NOT COVERED

Cheung, Jessie -MDGood Samaritan Hospital NOT COVERED

Cheung, Joanne -MDGood Samaritan Hospital NOT COVERED

Cheung, Lawrence -MDGood Samaritan Hospital NOT COVERED

Chicago Dental Implants, Oral and Facial SurgeryGood Samaritan Hospital NOT COVERED

Chicago Hand and Orthopedic Surgery Centers, SCGood Samaritan Hospital NOT COVERED

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

Chin, Janet -MDGood Samaritan Hospital NOT COVERED

Chittineni, Bharati -MDGood Samaritan Hospital NOT COVERED

Choi, Yoon -PAGood Samaritan Hospital NOT COVERED

Choudhry, Kiran -MDGood Samaritan Hospital COVERED UNDER FAP

Chough, Steven -MDGood Samaritan Hospital COVERED UNDER FAP

Chow, May -MDGood Samaritan Hospital NOT COVERED

Chudik, Steven -MDGood Samaritan Hospital NOT COVERED

Chung, Diana -MDGood Samaritan Hospital NOT COVERED

CIMPAR, SCGood Samaritan Hospital NOT COVERED

Clark, James -MDGood Samaritan Hospital NOT COVERED

Clark, Stanley -MDGood Samaritan Hospital COVERED UNDER FAP

Clemente, Dan -NPGood Samaritan Hospital COVERED UNDER FAP

Cline, Sharon -MDGood Samaritan Hospital NOT COVERED

Clohecy, Kimberly -NPGood Samaritan Hospital NOT COVERED

Coelho, Ian -MDGood Samaritan Hospital NOT COVERED

Coffel, Michael -NPGood Samaritan Hospital NOT COVERED

Collander, Brett -MDGood Samaritan Hospital NOT COVERED

Collins, Eileen -MDGood Samaritan Hospital NOT COVERED

Complete Skin Care at Steil DermatologyGood Samaritan Hospital NOT COVERED

Comprehensive Pediatric Care 1, LtdGood Samaritan Hospital NOT COVERED

Comstock, Taylor -PAGood Samaritan Hospital NOT COVERED

Conniff, Cory -MDGood Samaritan Hospital NOT COVERED

Connolly, Laura -PAGood Samaritan Hospital NOT COVERED

Conti Mica, Michael -MDGood Samaritan Hospital NOT COVERED

Cook County Health and Human ServicesGood Samaritan Hospital NOT COVERED

Cooling, Danielle -MDGood Samaritan Hospital NOT COVERED

Cordero, Weiser -MDGood Samaritan Hospital NOT COVERED

Costanzo, Maria -MDGood Samaritan Hospital COVERED UNDER FAP

Coufal, Stanislava -MDGood Samaritan Hospital NOT COVERED

Covert, Robert -MDGood Samaritan Hospital NOT COVERED

Crews, Christina -NPGood Samaritan Hospital NOT COVERED

Page 72

Page 73: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Crosby, Kimberle -NPGood Samaritan Hospital NOT COVERED

Crouch, Stephen -MDGood Samaritan Hospital NOT COVERED

Crowley, Angela -MDGood Samaritan Hospital NOT COVERED

Cushing, Heather -MDGood Samaritan Hospital NOT COVERED

Cygan, Zofia -MDGood Samaritan Hospital NOT COVERED

Dailey, Mary -CNSGood Samaritan Hospital NOT COVERED

Dairyko, Gregory -MDGood Samaritan Hospital NOT COVERED

Dalal, Neil -DOGood Samaritan Hospital COVERED UNDER FAP

Daley, Robert -MDGood Samaritan Hospital NOT COVERED

Danahey, Daniel -MDGood Samaritan Hospital NOT COVERED

Darwish, Ashraf -MDGood Samaritan Hospital NOT COVERED

Dasgupta, Sunavo -MDGood Samaritan Hospital NOT COVERED

DaValle, Michael -MDGood Samaritan Hospital NOT COVERED

Davis, Ann -MDGood Samaritan Hospital COVERED UNDER FAP

Davis, Patricia -MDGood Samaritan Hospital NOT COVERED

Daw, Joseph -MDGood Samaritan Hospital NOT COVERED

Dawravoo, Lesley -MDGood Samaritan Hospital NOT COVERED

Decker, Norman -MDGood Samaritan Hospital NOT COVERED

Deen, Zahra -MDGood Samaritan Hospital NOT COVERED

DeHaan, David -MDGood Samaritan Hospital NOT COVERED

Delaney, Kristie -MDGood Samaritan Hospital NOT COVERED

Dempsey, Amy -PAGood Samaritan Hospital NOT COVERED

DeNucci, Christopher -MDGood Samaritan Hospital NOT COVERED

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

Derus, Charles -MDGood Samaritan Hospital NOT COVERED

Desai, Nimit -MDGood Samaritan Hospital NOT COVERED

Desai, Samir -MDGood Samaritan Hospital NOT COVERED

Desai, Vikas -MDGood Samaritan Hospital NOT COVERED

Desai, Vishal -MDGood Samaritan Hospital NOT COVERED

Devara, Dolly -MDGood Samaritan Hospital NOT COVERED

Devata, Sandeep -MDGood Samaritan Hospital NOT COVERED

DeZoute, Melissa -PAGood Samaritan Hospital NOT COVERED

Diane L. Ozog, MD, SCGood Samaritan Hospital NOT COVERED

Didwania, Vishal -MDGood Samaritan Hospital NOT COVERED

Diesner, Paige -PAGood Samaritan Hospital NOT COVERED

Digate, Mary -CNSGood Samaritan Hospital NOT COVERED

Digestive Disease Associates, LtdGood Samaritan Hospital NOT COVERED

Dillon, Patrick -MDGood Samaritan Hospital COVERED UNDER FAP

Discher, Thomas -MDGood Samaritan Hospital COVERED UNDER FAP

Dixit, Rajeev -MDGood Samaritan Hospital NOT COVERED

Dmowski, W. -MDGood Samaritan Hospital NOT COVERED

Dogar, Jahangeer -MDGood Samaritan Hospital NOT COVERED

Dohse, Anthony -DDSGood Samaritan Hospital NOT COVERED

Domb, Benjamin -MDGood Samaritan Hospital NOT COVERED

Domjan, Irina -MDGood Samaritan Hospital NOT COVERED

Donenberg, Bruce -MDGood Samaritan Hospital NOT COVERED

Doppalapudi, Anil Vamsi -MDGood Samaritan Hospital NOT COVERED

Doppenberg, Egon -MDGood Samaritan Hospital COVERED UNDER FAP

Dougherty, Evan -MDGood Samaritan Hospital NOT COVERED

Douglas, Daniel -MDGood Samaritan Hospital NOT COVERED

Doukas, Demetrios -DOGood Samaritan Hospital NOT COVERED

Downers Grove Medical Group PCGood Samaritan Hospital NOT COVERED

Downers Grove OB/GYN, PCGood Samaritan Hospital NOT COVERED

Downers Grove Pediatrics, LtdGood Samaritan Hospital NOT COVERED

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

Dracopoulos, Henna -PAGood Samaritan Hospital NOT COVERED

Dreyer Clinic - HighlandGood Samaritan Hospital COVERED UNDER FAP

Dritz, Steven -MDGood Samaritan Hospital NOT COVERED

Page 73

Page 74: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Drs. Girgis & Associates, SCGood Samaritan Hospital NOT COVERED

Duerinck, Mark -MDGood Samaritan Hospital COVERED UNDER FAP

Duey, Deborah -CNSGood Samaritan Hospital COVERED UNDER FAP

Duffy, Anna -PAGood Samaritan Hospital NOT COVERED

Dumitru, Rodica -MDGood Samaritan Hospital NOT COVERED

Dunaj, Emily -PAGood Samaritan Hospital NOT COVERED

Dungan, David -MDGood Samaritan Hospital NOT COVERED

Dunning, Lisa -MDGood Samaritan Hospital NOT COVERED

DuPage Cardiology Group, SCGood Samaritan Hospital NOT COVERED

DuPage Emergency Physician Convenient Care, LLCGood Samaritan Hospital NOT COVERED

DuPage Emergency Physicians, LtdGood Samaritan Hospital NOT COVERED

DuPage Eye Associates, SCGood Samaritan Hospital NOT COVERED

DuPage Eye CenterGood Samaritan Hospital NOT COVERED

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

Dupage Medical Group SurgeryGood Samaritan Hospital NOT COVERED

DuPage Medical Group, LTCGood Samaritan Hospital NOT COVERED

DuPage Medical Group, LtdGood Samaritan Hospital NOT COVERED

DuPage Neonatology AssociatesGood Samaritan Hospital NOT COVERED

DuPage Ophthalmology SCGood Samaritan Hospital NOT COVERED

Duraski, Sylvia -NPGood Samaritan Hospital NOT COVERED

Durkin, Michael -MDGood Samaritan Hospital NOT COVERED

Dutton, Jay -MDGood Samaritan Hospital NOT COVERED

Ear Institute of Chicago, LLCGood Samaritan Hospital NOT COVERED

Earnest, Laura -PAGood Samaritan Hospital NOT COVERED

East Coast Wound Care PCGood Samaritan Hospital NOT COVERED

East, Nicole -NPGood Samaritan Hospital COVERED UNDER FAP

Edward J Snyder MDGood Samaritan Hospital NOT COVERED

Edwards, Andrea -NPGood Samaritan Hospital NOT COVERED

Ehmke, Thomas -DOGood Samaritan Hospital NOT COVERED

Ekram, Nazish -MDGood Samaritan Hospital NOT COVERED

Elahi, Mohammed -MDGood Samaritan Hospital NOT COVERED

Elahi, Sadaf -MDGood Samaritan Hospital NOT COVERED

Eldersveld, Rachel -PAGood Samaritan Hospital NOT COVERED

Elite Sports Medicine Institute, LtdGood Samaritan Hospital NOT COVERED

Elmhurst Medical GroupGood Samaritan Hospital NOT COVERED

Elshafei, Anas -MDGood Samaritan Hospital NOT COVERED

Enas, Enas -MDGood Samaritan Hospital NOT COVERED

Endocrinology Associates, SCGood Samaritan Hospital NOT COVERED

England, Gale -MDGood Samaritan Hospital COVERED UNDER FAP

Ensign Medical, Inc.Good Samaritan Hospital NOT COVERED

ENT Specialists, Ltd.Good Samaritan Hospital NOT COVERED

Espinosa-Becerra, Francisco -MDGood Samaritan Hospital NOT COVERED

Euliano, Suzanne -NPGood Samaritan Hospital COVERED UNDER FAP

Fajardo, Marc -MDGood Samaritan Hospital NOT COVERED

Fakouri, Bejan -MDGood Samaritan Hospital NOT COVERED

Falco, Daniel -DOGood Samaritan Hospital NOT COVERED

Fallah, Marc -MDGood Samaritan Hospital NOT COVERED

Fanapour, Susan -DOGood Samaritan Hospital NOT COVERED

Fang, Sharon -MDGood Samaritan Hospital NOT COVERED

Farolan, Leslie -MDGood Samaritan Hospital NOT COVERED

Faseehuddin, Mohammed -DOGood Samaritan Hospital NOT COVERED

Feinkind, Leonard -MDGood Samaritan Hospital NOT COVERED

Fendon, Timothy -DOGood Samaritan Hospital NOT COVERED

Fenner, Patrick -MDGood Samaritan Hospital COVERED UNDER FAP

Fetzer, Martin -DOGood Samaritan Hospital NOT COVERED

Fitzgerald, Michael -MDGood Samaritan Hospital NOT COVERED

Fitzpatrick, Collins -MDGood Samaritan Hospital NOT COVERED

Flores, Juan G. -MDGood Samaritan Hospital NOT COVERED

Page 74

Page 75: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Forefront Dermatology, S.C. - Premier DermatologyGood Samaritan Hospital NOT COVERED

Foy, Bryan -MDGood Samaritan Hospital NOT COVERED

Francis, Maria -DOGood Samaritan Hospital NOT COVERED

Frank, Daniel -MDGood Samaritan Hospital NOT COVERED

Freeman, Julie -NPGood Samaritan Hospital NOT COVERED

Friedman, Elizabeth -MDGood Samaritan Hospital NOT COVERED

Froehlich, Judith -MDGood Samaritan Hospital NOT COVERED

From Pain to Wellness, LLCGood Samaritan Hospital NOT COVERED

Frommelt, Julie -NPGood Samaritan Hospital COVERED UNDER FAP

Fronczak, Stanley -MDGood Samaritan Hospital NOT COVERED

Gaffud, Michael -MDGood Samaritan Hospital NOT COVERED

Gallagher, Thomas -MDGood Samaritan Hospital NOT COVERED

Gallinero, Eden Mae -NPGood Samaritan Hospital NOT COVERED

Gallo, Martin -MDGood Samaritan Hospital NOT COVERED

Galvin, Donald -PAGood Samaritan Hospital NOT COVERED

Gami, Apoor -MDGood Samaritan Hospital COVERED UNDER FAP

Gan, Stephanie -MDGood Samaritan Hospital NOT COVERED

Garcia, Lady Ariane -NPGood Samaritan Hospital COVERED UNDER FAP

Gardner, Glenn -MDGood Samaritan Hospital NOT COVERED

Garrett, Michelle -NPGood Samaritan Hospital NOT COVERED

Garrison, Daniel -MDGood Samaritan Hospital COVERED UNDER FAP

Gastroenterology Service, LtdGood Samaritan Hospital NOT COVERED

Gateway Spine & Pain Physicians, LLCGood Samaritan Hospital NOT COVERED

Geannopoulos, Chris -MDGood Samaritan Hospital NOT COVERED

Genesis Orthopedics & Sports Medicine, LLCGood Samaritan Hospital NOT COVERED

Genslinger, Jessica -PAGood Samaritan Hospital NOT COVERED

Gerard, David -MDGood Samaritan Hospital NOT COVERED

Gerdisch, Marc -MDGood Samaritan Hospital NOT COVERED

Ghee, Charles -MDGood Samaritan Hospital NOT COVERED

Ghodasra, Jason -MDGood Samaritan Hospital NOT COVERED

GI Partners of Illinois, LLCGood Samaritan Hospital NOT COVERED

Giacalone, Laura -CRNAGood Samaritan Hospital NOT COVERED

Gibbs, Stanley -NPGood Samaritan Hospital NOT COVERED

Giese, Emily -PAGood Samaritan Hospital NOT COVERED

Gifford, Janet -NPGood Samaritan Hospital NOT COVERED

Gillies, Katie -PAGood Samaritan Hospital NOT COVERED

Girdhar, Kiran -MDGood Samaritan Hospital NOT COVERED

Girgis, Samuel -MDGood Samaritan Hospital NOT COVERED

Gogoneata, Elena -MDGood Samaritan Hospital COVERED UNDER FAP

Gokhale, Rahul -MDGood Samaritan Hospital NOT COVERED

Golden Rule Family PracticeGood Samaritan Hospital NOT COVERED

Goldsborough, Katy -MDGood Samaritan Hospital COVERED UNDER FAP

Gomez-Lam, Angela -MDGood Samaritan Hospital NOT COVERED

Gondi, Vinai -MDGood Samaritan Hospital NOT COVERED

Goodwin, Mark -MDGood Samaritan Hospital COVERED UNDER FAP

Gosselin, Marc -MDGood Samaritan Hospital NOT COVERED

Gowda, Nayan -MDGood Samaritan Hospital NOT COVERED

Gramm, James -MDGood Samaritan Hospital NOT COVERED

Greater Chicago Specialty Physicians, LLCGood Samaritan Hospital NOT COVERED

Green, Megan -PAGood Samaritan Hospital NOT COVERED

Green, Michael -PAGood Samaritan Hospital NOT COVERED

Greenstein, Eugene -MDGood Samaritan Hospital NOT COVERED

Gregus, Margaret -CNSGood Samaritan Hospital NOT COVERED

Grieco, John -MDGood Samaritan Hospital NOT COVERED

Griesemer, Robert -MDGood Samaritan Hospital NOT COVERED

Griffin, Jason -MDGood Samaritan Hospital NOT COVERED

Grimm, Michael -NPGood Samaritan Hospital NOT COVERED

Gritzenbach, Shannon -MDGood Samaritan Hospital COVERED UNDER FAP

Page 75

Page 76: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Grotelueschen, Catherine -MDGood Samaritan Hospital NOT COVERED

Gruft, James -MDGood Samaritan Hospital NOT COVERED

Gruzalski, Kathleen -MDGood Samaritan Hospital NOT COVERED

Gundala, Srilata -MDGood Samaritan Hospital NOT COVERED

Gupta, Anurag -MDGood Samaritan Hospital NOT COVERED

Gupta, Balaji -MDGood Samaritan Hospital NOT COVERED

Gutierrez Steil, Christina -MDGood Samaritan Hospital NOT COVERED

Guyer, Lance -DDSGood Samaritan Hospital NOT COVERED

Hafiz-Ahmed, Afshan -MDGood Samaritan Hospital NOT COVERED

Hagen, Colleen -MDGood Samaritan Hospital NOT COVERED

Hagensee, Rebecca -CNSGood Samaritan Hospital COVERED UNDER FAP

Hall, Heather -MDGood Samaritan Hospital NOT COVERED

Hamad, Bachar -MDGood Samaritan Hospital NOT COVERED

Hamad, Fares -DOGood Samaritan Hospital NOT COVERED

Hamby, John -MDGood Samaritan Hospital NOT COVERED

Hampole, Ashwin -MDGood Samaritan Hospital NOT COVERED

Hanna, Barbra -DOGood Samaritan Hospital NOT COVERED

Hanna, Emalee -PAGood Samaritan Hospital COVERED UNDER FAP

Harold H. Jaimes MD, PCGood Samaritan Hospital NOT COVERED

Harris, Richard -MDGood Samaritan Hospital NOT COVERED

Harting, Brian -MDGood Samaritan Hospital NOT COVERED

Harward, Eleanor -PAGood Samaritan Hospital NOT COVERED

Hashimoto, Amy -MDGood Samaritan Hospital NOT COVERED

Hayat, Shakaib -DOGood Samaritan Hospital NOT COVERED

Healing Medical Group Inc.Good Samaritan Hospital NOT COVERED

Heatwole, Benjamin -MDGood Samaritan Hospital NOT COVERED

Heinking, Kurt -DOGood Samaritan Hospital NOT COVERED

Hernandez, Julia -MDGood Samaritan Hospital NOT COVERED

Hesser, Jennifer -MDGood Samaritan Hospital NOT COVERED

Higgins, Laura -NPGood Samaritan Hospital COVERED UNDER FAP

Hinkamp, Thomas -MDGood Samaritan Hospital NOT COVERED

Hinsdale Asthma and Allergy CenterGood Samaritan Hospital NOT COVERED

Hinsdale Foot and Ankle SpecialistGood Samaritan Hospital NOT COVERED

Hinsdale Gastroenterology AssociatesGood Samaritan Hospital NOT COVERED

Hinsdale Orthopaedic Associates, SCGood Samaritan Hospital NOT COVERED

Ho, Bryant -MDGood Samaritan Hospital NOT COVERED

Hoesli, Rebecca -MDGood Samaritan Hospital NOT COVERED

Holleman Duray, Deanna -MDGood Samaritan Hospital NOT COVERED

Homedi, Eyad -MDGood Samaritan Hospital NOT COVERED

Hong, John -MDGood Samaritan Hospital NOT COVERED

Hope & Healing Cancer Services, LLCGood Samaritan Hospital NOT COVERED

Hoppock, Kate -DOGood Samaritan Hospital NOT COVERED

Horio, Blake -MDGood Samaritan Hospital NOT COVERED

Hou, Jue -MDGood Samaritan Hospital NOT COVERED

Hsu, Griffith -MDGood Samaritan Hospital NOT COVERED

Huang, Chris -MDGood Samaritan Hospital NOT COVERED

Hulesch, William -MDGood Samaritan Hospital COVERED UNDER FAP

Huliyar, Vinay -MDGood Samaritan Hospital NOT COVERED

Humayun SC Comprehensive Kidney CareGood Samaritan Hospital NOT COVERED

Humayun, SCGood Samaritan Hospital NOT COVERED

Humayun, Wasay -MDGood Samaritan Hospital NOT COVERED

Humayun's Medical AssociatesGood Samaritan Hospital NOT COVERED

Hung, Adelina -MDGood Samaritan Hospital NOT COVERED

Hung, Stephen -MDGood Samaritan Hospital NOT COVERED

Hunt, Shannon -MDGood Samaritan Hospital NOT COVERED

Huntington-Alfano, Kimberly -DOGood Samaritan Hospital NOT COVERED

Hura, Stefan -MDGood Samaritan Hospital NOT COVERED

Hurbanek, Jason -MDGood Samaritan Hospital NOT COVERED

Page 76

Page 77: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Hurley, Stephen -DOGood Samaritan Hospital NOT COVERED

Hussain, Yessar -MDGood Samaritan Hospital NOT COVERED

Ibrahim, Denise -DOGood Samaritan Hospital NOT COVERED

Ijaz, Kiran -MDGood Samaritan Hospital NOT COVERED

Illinois Bone & Joint Institute LLCGood Samaritan Hospital NOT COVERED

Illinois Dermatology Institute, LLCGood Samaritan Hospital NOT COVERED

Illinois Gastroenterology Group, LLCGood Samaritan Hospital NOT COVERED

Illinois Institute of Pediatric Cardiology, LtdGood Samaritan Hospital NOT COVERED

Immediate Care of WestmontGood Samaritan Hospital NOT COVERED

Integrated Imaging Consultants, LLCGood Samaritan Hospital NOT COVERED

Internal Medicine Center, SCGood Samaritan Hospital NOT COVERED

Ionides, Stavros -MDGood Samaritan Hospital NOT COVERED

Ip, Gigi -MDGood Samaritan Hospital NOT COVERED

Issa, Sakeba -MDGood Samaritan Hospital NOT COVERED

Ivy, Andre -MDGood Samaritan Hospital NOT COVERED

Iwanicki, Michael -DOGood Samaritan Hospital COVERED UNDER FAP

Jabbar, Zaid -MDGood Samaritan Hospital NOT COVERED

Jafri, Sana -DOGood Samaritan Hospital NOT COVERED

Jagielo, Stephen -DDSGood Samaritan Hospital NOT COVERED

Jain, Anuj -MDGood Samaritan Hospital NOT COVERED

Jain, Madhu -MDGood Samaritan Hospital NOT COVERED

Jain, Sheeja -MDGood Samaritan Hospital NOT COVERED

Jajko, Robert -MDGood Samaritan Hospital NOT COVERED

Janda, Robert -MDGood Samaritan Hospital NOT COVERED

Janecek, Maria -DOGood Samaritan Hospital NOT COVERED

Janssen, Kellie -PAGood Samaritan Hospital NOT COVERED

Jeffrey W. Chandler DDS, MD, PCGood Samaritan Hospital NOT COVERED

Jejurikar, Sandeep -MDGood Samaritan Hospital NOT COVERED

Jenks, James -MDGood Samaritan Hospital NOT COVERED

Jentel, Jacques -MDGood Samaritan Hospital NOT COVERED

Jessie Cheung, MD Dermatology & Laser CenterGood Samaritan Hospital NOT COVERED

Jirschele, Cameron -DOGood Samaritan Hospital NOT COVERED

Johnson, Elliot -PAGood Samaritan Hospital NOT COVERED

Johnson, Jennifer -PAGood Samaritan Hospital NOT COVERED

Johnson, Katrina -NPGood Samaritan Hospital NOT COVERED

Johnson, Morgan -NPGood Samaritan Hospital COVERED UNDER FAP

Jorge, Juaquito -MDGood Samaritan Hospital NOT COVERED

Joseph L. Daw, MDGood Samaritan Hospital NOT COVERED

Joseph, Thomas -MDGood Samaritan Hospital NOT COVERED

Joshi, Brinda -DOGood Samaritan Hospital NOT COVERED

Julka, Reena -MDGood Samaritan Hospital NOT COVERED

K.I.D.S. Place of WillowbrookGood Samaritan Hospital NOT COVERED

Kadow, Brian -MDGood Samaritan Hospital NOT COVERED

Kalache, Zeina -MDGood Samaritan Hospital NOT COVERED

Kalathiveetil, Sujith -MDGood Samaritan Hospital NOT COVERED

Kalin, Andrew -MDGood Samaritan Hospital NOT COVERED

Kalmar, Heidee -DPMGood Samaritan Hospital NOT COVERED

Kalra, Sandeep -MDGood Samaritan Hospital NOT COVERED

Kalthia, Rupesh -MDGood Samaritan Hospital NOT COVERED

Karahalios, Dean -MDGood Samaritan Hospital COVERED UNDER FAP

Karakourtis, Michael -DDSGood Samaritan Hospital NOT COVERED

Karim S. Yunez, MDSCGood Samaritan Hospital NOT COVERED

Katta, Silpa -MDGood Samaritan Hospital NOT COVERED

Katula, Sarah -CNSGood Samaritan Hospital NOT COVERED

Katwala, Kashyap -MDGood Samaritan Hospital NOT COVERED

Kaufmann-Reed, Elizabeth -PAGood Samaritan Hospital NOT COVERED

Kaur, Suman -MDGood Samaritan Hospital NOT COVERED

Kazan, Robert -MDGood Samaritan Hospital NOT COVERED

Page 77

Page 78: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Kearney, Margaret -CNSGood Samaritan Hospital NOT COVERED

Kee D. Shin, MD, SCGood Samaritan Hospital NOT COVERED

Keen, Mary -MDGood Samaritan Hospital NOT COVERED

Kelly, Melissa -DOGood Samaritan Hospital NOT COVERED

Kern, Jennifer -NPGood Samaritan Hospital NOT COVERED

Kerwin, Peter -MDGood Samaritan Hospital NOT COVERED

Khan, Aqeel -MDGood Samaritan Hospital NOT COVERED

Khan, Gul -MDGood Samaritan Hospital NOT COVERED

Khan, Rabiya -MDGood Samaritan Hospital NOT COVERED

Khan, Talat -MDGood Samaritan Hospital NOT COVERED

Khan, Yasmeen -MDGood Samaritan Hospital COVERED UNDER FAP

Khankari, Shweta -MDGood Samaritan Hospital NOT COVERED

Khedkar Rao, Sheetal -MDGood Samaritan Hospital NOT COVERED

Khurshid, Naila -MDGood Samaritan Hospital NOT COVERED

Kicsak, Kathleen -MDGood Samaritan Hospital NOT COVERED

Kidney Specialists of Illinois, LLCGood Samaritan Hospital NOT COVERED

Kim, Brian -MDGood Samaritan Hospital NOT COVERED

Kim, David -MDGood Samaritan Hospital NOT COVERED

Kim, Gloria -MDGood Samaritan Hospital NOT COVERED

Kim, Jessica -NPGood Samaritan Hospital COVERED UNDER FAP

Kim, Josie -MDGood Samaritan Hospital NOT COVERED

Kime, Aaron -MDGood Samaritan Hospital NOT COVERED

Kinder, Joseph -NPGood Samaritan Hospital NOT COVERED

King, Robert -MDGood Samaritan Hospital COVERED UNDER FAP

Kinsey, Timothy -PAGood Samaritan Hospital NOT COVERED

Kirincic, Marie -MDGood Samaritan Hospital NOT COVERED

Klein, Sarah -DOGood Samaritan Hospital COVERED UNDER FAP

Klugman, Adam -MDGood Samaritan Hospital NOT COVERED

Knight, Christine -PAGood Samaritan Hospital NOT COVERED

Ko Surgical AssociatesGood Samaritan Hospital NOT COVERED

Ko, Sung Tao -MDGood Samaritan Hospital NOT COVERED

Kocen, Lawrence -PAGood Samaritan Hospital NOT COVERED

Koch, Elizabeth -PAGood Samaritan Hospital NOT COVERED

Kohli, Maninder -MDGood Samaritan Hospital NOT COVERED

Koliopoulos, Elias -MDGood Samaritan Hospital NOT COVERED

Kong, Jesse -PAGood Samaritan Hospital COVERED UNDER FAP

Kopolovic, Richard -MDGood Samaritan Hospital NOT COVERED

Korcek, Andrew -MDGood Samaritan Hospital NOT COVERED

Korompilas, Louis -DDSGood Samaritan Hospital NOT COVERED

Korpics, John -MDGood Samaritan Hospital NOT COVERED

Kosova, Ethan -MDGood Samaritan Hospital NOT COVERED

Kou, Anita -MDGood Samaritan Hospital NOT COVERED

Kouchis, Nicholas -MDGood Samaritan Hospital NOT COVERED

Kovach Eye Institute, Ltd.Good Samaritan Hospital NOT COVERED

Kozlowski, Julie -CNSGood Samaritan Hospital COVERED UNDER FAP

Kramer, Lauren -PAGood Samaritan Hospital NOT COVERED

Kriesberg, Keith -PAGood Samaritan Hospital NOT COVERED

Kross, Jonathan -NPGood Samaritan Hospital NOT COVERED

Krouse, Richard -MDGood Samaritan Hospital NOT COVERED

Kuick, Donald -PAGood Samaritan Hospital NOT COVERED

Kulovitz, Kerri -DOGood Samaritan Hospital NOT COVERED

Kulunkoglu, Hannah -NPGood Samaritan Hospital NOT COVERED

Kumar, Arun -MDGood Samaritan Hospital NOT COVERED

Kumar, Bhavya -MDGood Samaritan Hospital NOT COVERED

Kumar, Malini -DOGood Samaritan Hospital NOT COVERED

Kumar, Samir -MDGood Samaritan Hospital NOT COVERED

Kumar, Vijay -MDGood Samaritan Hospital NOT COVERED

Kurian, Bency -MDGood Samaritan Hospital NOT COVERED

Page 78

Page 79: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Kwiecinski, Michael -MDGood Samaritan Hospital NOT COVERED

Labotka, David -MDGood Samaritan Hospital NOT COVERED

Labriola, Joanne -MDGood Samaritan Hospital NOT COVERED

Lake County Acute Care, LLPGood Samaritan Hospital NOT COVERED

Lallanilla, Stephanie -PAGood Samaritan Hospital NOT COVERED

Lalmalani, Gopal -MDGood Samaritan Hospital NOT COVERED

Lam, Sheridan -MDGood Samaritan Hospital NOT COVERED

Laniosz, Valerie -MDGood Samaritan Hospital NOT COVERED

Lapinski, Bryan -MDGood Samaritan Hospital NOT COVERED

Lapinski, Paula -MDGood Samaritan Hospital NOT COVERED

LaReau, Justin -MDGood Samaritan Hospital NOT COVERED

Larsen, Kristine -PAGood Samaritan Hospital NOT COVERED

Lask, Sheri -PAGood Samaritan Hospital NOT COVERED

Lawler, Robert -MDGood Samaritan Hospital NOT COVERED

Lazala, Olga -CNSGood Samaritan Hospital NOT COVERED

Lee, John -MDGood Samaritan Hospital COVERED UNDER FAP

Lee, Robert -MDGood Samaritan Hospital NOT COVERED

Lee, Stephen -MDGood Samaritan Hospital NOT COVERED

Lee, Theresa -MDGood Samaritan Hospital NOT COVERED

Leininger, Michael -PAGood Samaritan Hospital NOT COVERED

Lenart, Andrew -PAGood Samaritan Hospital NOT COVERED

Liang, Tehming -MDGood Samaritan Hospital NOT COVERED

Lieber, Lawrence -MDGood Samaritan Hospital NOT COVERED

Lieberman, Steven -MDGood Samaritan Hospital NOT COVERED

LifeWeigh BariatricsGood Samaritan Hospital NOT COVERED

Lim, Jennifer -PAGood Samaritan Hospital NOT COVERED

Lin, Anthony -MDGood Samaritan Hospital NOT COVERED

Lin, Hubert -NPGood Samaritan Hospital NOT COVERED

Lin, Pin -MDGood Samaritan Hospital NOT COVERED

Lindell, Ernest -MDGood Samaritan Hospital NOT COVERED

Lisa J. Peters, MD, SCGood Samaritan Hospital NOT COVERED

Lisboa, Livia -PAGood Samaritan Hospital NOT COVERED

Lisek, Ernst -MDGood Samaritan Hospital NOT COVERED

Livak, Christina -MDGood Samaritan Hospital NOT COVERED

Livorsi-Moore, Jeanne -NPGood Samaritan Hospital COVERED UNDER FAP

Lobert, Philip -MDGood Samaritan Hospital NOT COVERED

Loeb, Barbara -MDGood Samaritan Hospital NOT COVERED

Loesch, Mathew -DOGood Samaritan Hospital NOT COVERED

Loewenstein, Devin -MDGood Samaritan Hospital NOT COVERED

Lofchy, Neal -MDGood Samaritan Hospital NOT COVERED

Lofton, Carrie -NPGood Samaritan Hospital NOT COVERED

Logan, Michael -MDGood Samaritan Hospital NOT COVERED

Lopez, Liza -MDGood Samaritan Hospital NOT COVERED

Lorenz, Mark -MDGood Samaritan Hospital NOT COVERED

Lorenz, Mitchell -MDGood Samaritan Hospital NOT COVERED

LoSavio, Andelka -MDGood Samaritan Hospital NOT COVERED

Louis, Steven -MDGood Samaritan Hospital NOT COVERED

Love, Jennifer -PAGood Samaritan Hospital NOT COVERED

Loyola University Medical CenterGood Samaritan Hospital NOT COVERED

Luce, Stephanie -NPGood Samaritan Hospital NOT COVERED

Luetkehans, Daniel -DPMGood Samaritan Hospital NOT COVERED

Luft, Ulrich -MDGood Samaritan Hospital NOT COVERED

Luke, Scott -DOGood Samaritan Hospital COVERED UNDER FAP

Lulla, Sunil -MDGood Samaritan Hospital NOT COVERED

Lyon, Paul -MDGood Samaritan Hospital NOT COVERED

M. Z. Sait, MD, LtdGood Samaritan Hospital NOT COVERED

Mackie, Kelly -DOGood Samaritan Hospital NOT COVERED

Madappallil, Meera -MDGood Samaritan Hospital NOT COVERED

Page 79

Page 80: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Madda, Frank -MDGood Samaritan Hospital NOT COVERED

Madonna, Mary Beth -MDGood Samaritan Hospital NOT COVERED

Mahan, Kathleen -MDGood Samaritan Hospital NOT COVERED

Mahoney, Eileen -MDGood Samaritan Hospital NOT COVERED

Maini, Anuja -MDGood Samaritan Hospital NOT COVERED

Majka, Darcy -MDGood Samaritan Hospital NOT COVERED

Malhotra, Rabindra -MDGood Samaritan Hospital NOT COVERED

Malicay, Manuel -MDGood Samaritan Hospital NOT COVERED

Malick, Owais -MDGood Samaritan Hospital COVERED UNDER FAP

Mampilly, Jobby -MDGood Samaritan Hospital NOT COVERED

Mantilla Farfan, Nathalie -MDGood Samaritan Hospital NOT COVERED

Manuel A. Malicay, MD, SCGood Samaritan Hospital NOT COVERED

Manzara, Lauren -NPGood Samaritan Hospital NOT COVERED

Mao, Justin -MDGood Samaritan Hospital COVERED UNDER FAP

Marek, Joseph -MDGood Samaritan Hospital COVERED UNDER FAP

Marianjoy Medical GroupGood Samaritan Hospital NOT COVERED

Marin, Thelma -MDGood Samaritan Hospital NOT COVERED

Marinescu, Victor -MDGood Samaritan Hospital COVERED UNDER FAP

Martin, Monica -MDGood Samaritan Hospital COVERED UNDER FAP

Martirano, Michael -MDGood Samaritan Hospital NOT COVERED

Martis, Nikhil -MDGood Samaritan Hospital NOT COVERED

Martucci, John -MDGood Samaritan Hospital NOT COVERED

Marwaha, Rakesh -MDGood Samaritan Hospital NOT COVERED

Mash, Steven -MDGood Samaritan Hospital NOT COVERED

Masood, Leslie -MDGood Samaritan Hospital NOT COVERED

Mastro, Andrew -PAGood Samaritan Hospital NOT COVERED

Maternal Fetal MedicineGood Samaritan Hospital NOT COVERED

Mather, Steven -MDGood Samaritan Hospital NOT COVERED

Mathern, David -PAGood Samaritan Hospital NOT COVERED

Mattson, Leslie -MDGood Samaritan Hospital NOT COVERED

May, Patricia -NPGood Samaritan Hospital COVERED UNDER FAP

Mayle, Jessica -MDGood Samaritan Hospital NOT COVERED

McAlpin, Carolyn -NPGood Samaritan Hospital COVERED UNDER FAP

McCaffrey, Thomas -MDGood Samaritan Hospital NOT COVERED

McCormick, Sarah -DOGood Samaritan Hospital NOT COVERED

McElligott, David -MDGood Samaritan Hospital NOT COVERED

McGee, Edwin -MDGood Samaritan Hospital NOT COVERED

McLachlan, Daniel -MDGood Samaritan Hospital NOT COVERED

McLaughlin, Russell -MDGood Samaritan Hospital NOT COVERED

McLeland, Heather -NPGood Samaritan Hospital NOT COVERED

McLemore, Nelson -MDGood Samaritan Hospital NOT COVERED

McMillin, John -MDGood Samaritan Hospital COVERED UNDER FAP

McPartlin, Richard -MDGood Samaritan Hospital COVERED UNDER FAP

McShane, Chelsey -MDGood Samaritan Hospital NOT COVERED

Med Spa Women’s Health CenterGood Samaritan Hospital NOT COVERED

Medavaram, Meher -MDGood Samaritan Hospital NOT COVERED

Melvani, Ramesh -MDGood Samaritan Hospital NOT COVERED

Mendak, Stephen -MDGood Samaritan Hospital NOT COVERED

Menta, Surya -MDGood Samaritan Hospital NOT COVERED

Merling, Brandon -MDGood Samaritan Hospital NOT COVERED

Metro Chicago Surgical Oncology LLCGood Samaritan Hospital NOT COVERED

Metro Infectious Disease Consultants, LLCGood Samaritan Hospital NOT COVERED

Meyer, M. -MDGood Samaritan Hospital NOT COVERED

MGM Medical Associates, Ltd, SCGood Samaritan Hospital NOT COVERED

Michael Karakourtis, DDS, LtdGood Samaritan Hospital NOT COVERED

Michelsen, Ashley -PAGood Samaritan Hospital NOT COVERED

Midwest Anesthesia Partners, LLCGood Samaritan Hospital NOT COVERED

Midwest Bone & Joint InstituteGood Samaritan Hospital NOT COVERED

Page 80

Page 81: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Midwest Cardiac Center, SCGood Samaritan Hospital NOT COVERED

Midwest Cardiac Consultants, SCGood Samaritan Hospital NOT COVERED

Midwest Diabetes and Endocrine SpecialtyGood Samaritan Hospital NOT COVERED

Midwest Diagnostic Pathology, SCGood Samaritan Hospital NOT COVERED

Midwest Gastroenterology Associates, LtdGood Samaritan Hospital NOT COVERED

Midwest Geriatric AssociatesGood Samaritan Hospital NOT COVERED

Midwest Internist, Ltd.Good Samaritan Hospital NOT COVERED

Midwest Pediatrics, LtdGood Samaritan Hospital NOT COVERED

Midwest Plastic Surgery Institute, IncGood Samaritan Hospital NOT COVERED

Midwest psychiatry associatesGood Samaritan Hospital NOT COVERED

Midwest Pulmonary Associates, SCGood Samaritan Hospital NOT COVERED

Midwest Sinus CenterGood Samaritan Hospital NOT COVERED

Midwest Surgical AssociatesGood Samaritan Hospital NOT COVERED

Midwest Vascular CenterGood Samaritan Hospital NOT COVERED

Midwest Women Ob/Gyn, Ltd.Good Samaritan Hospital NOT COVERED

Midwestern UniversityGood Samaritan Hospital NOT COVERED

Mikhail, Allen -MDGood Samaritan Hospital NOT COVERED

Milewski, Amy -CRNAGood Samaritan Hospital NOT COVERED

Milgram, Inna -MDGood Samaritan Hospital NOT COVERED

Milhouse, Olufenwa -MDGood Samaritan Hospital NOT COVERED

Miller, Steven -DPMGood Samaritan Hospital NOT COVERED

Millewich, Melissa -DOGood Samaritan Hospital NOT COVERED

Mininni, Sonia -MDGood Samaritan Hospital NOT COVERED

Miocinovic, Ranko -MDGood Samaritan Hospital NOT COVERED

Mirhosseini, Maziyar -MDGood Samaritan Hospital COVERED UNDER FAP

Mirza, Nadia -MDGood Samaritan Hospital COVERED UNDER FAP

Mirza, Nureain -MDGood Samaritan Hospital NOT COVERED

Mitchell, Susan -MDGood Samaritan Hospital NOT COVERED

Mody, Ketan -MDGood Samaritan Hospital NOT COVERED

Mohammed, Mushtaq -MDGood Samaritan Hospital NOT COVERED

Mohammed, Nasiruddin -MDGood Samaritan Hospital NOT COVERED

Mollsen, Adam -PAGood Samaritan Hospital NOT COVERED

Momoyama, Yoko -MDGood Samaritan Hospital NOT COVERED

Moran, Barbara -CNSGood Samaritan Hospital NOT COVERED

Moran, Jacqueline -MDGood Samaritan Hospital NOT COVERED

Morgan, George -MDGood Samaritan Hospital NOT COVERED

Morris, Casey -MDGood Samaritan Hospital COVERED UNDER FAP

Moulki, Naeem -MDGood Samaritan Hospital NOT COVERED

Mourad, William -MDGood Samaritan Hospital NOT COVERED

Moy, Nicholas -MDGood Samaritan Hospital NOT COVERED

MPS Kohli, MD SCGood Samaritan Hospital NOT COVERED

Mruz, Estelle -RNGood Samaritan Hospital NOT COVERED

Mularkey, Kelly -PAGood Samaritan Hospital NOT COVERED

Muller, Aaron -MDGood Samaritan Hospital NOT COVERED

Mullin, Thomas -MDGood Samaritan Hospital NOT COVERED

Munn, Eric -MDGood Samaritan Hospital NOT COVERED

Muppavarapu, Satheesh -MDGood Samaritan Hospital NOT COVERED

Murchison, Allison -MDGood Samaritan Hospital NOT COVERED

Murdock, Elmer -MDGood Samaritan Hospital COVERED UNDER FAP

Murphy, Brian -MDGood Samaritan Hospital NOT COVERED

Murphy, Jeanine -NPGood Samaritan Hospital NOT COVERED

Murphy, Patricia -MDGood Samaritan Hospital NOT COVERED

Mussani, Henna -DOGood Samaritan Hospital COVERED UNDER FAP

Muzaffar, Zahida -MDGood Samaritan Hospital NOT COVERED

Myers, Faith -DOGood Samaritan Hospital NOT COVERED

Nacke, Elliot -MDGood Samaritan Hospital NOT COVERED

Nadkarni, Nitin -MDGood Samaritan Hospital NOT COVERED

Nagpal and Arora Associates, SCGood Samaritan Hospital NOT COVERED

Page 81

Page 82: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Nagpal, Krishan -MDGood Samaritan Hospital NOT COVERED

Nair, Tad -MDGood Samaritan Hospital NOT COVERED

Nair, Vijayakumar -MDGood Samaritan Hospital COVERED UNDER FAP

Najjar, Samer -MDGood Samaritan Hospital NOT COVERED

Naperbrook Medical CenterGood Samaritan Hospital NOT COVERED

Narayanan, Ramya -MDGood Samaritan Hospital NOT COVERED

Naseer, Mehjabeen -DOGood Samaritan Hospital NOT COVERED

Nashert, Mary -NPGood Samaritan Hospital COVERED UNDER FAP

Nayak, Shweta -MDGood Samaritan Hospital NOT COVERED

Nazimuddin, Ahmed -MDGood Samaritan Hospital NOT COVERED

Nehart, Natalie -PAGood Samaritan Hospital NOT COVERED

Nelson, Ann -NPGood Samaritan Hospital NOT COVERED

Nemivant, Ravi -MDGood Samaritan Hospital NOT COVERED

Nephrology Associates of Northern Illinois, LTDGood Samaritan Hospital NOT COVERED

Neural WatchGood Samaritan Hospital NOT COVERED

Neurological Surgery & Spine Surgery, SCGood Samaritan Hospital NOT COVERED

Neurology, Clinical Neurophysiology and Sleep MedicineGood Samaritan Hospital NOT COVERED

Neuro-Psych Technologies LTDGood Samaritan Hospital NOT COVERED

Nguyen, Bao -MDGood Samaritan Hospital NOT COVERED

Nick, Jamie -NPGood Samaritan Hospital NOT COVERED

Nijmeh, George -MDGood Samaritan Hospital NOT COVERED

Niles, Angela -NPGood Samaritan Hospital NOT COVERED

Nolan Watson, Katherine -MDGood Samaritan Hospital COVERED UNDER FAP

Nolte, Margaret -NPGood Samaritan Hospital COVERED UNDER FAP

Nora, Matthew -MDGood Samaritan Hospital NOT COVERED

Northern Illinois Plastic Surgery, LTDGood Samaritan Hospital NOT COVERED

Novy-Celli, Cynthia -NPGood Samaritan Hospital NOT COVERED

Nuvasive Clinical ServicesGood Samaritan Hospital NOT COVERED

Oak Brook Allergists, SCGood Samaritan Hospital NOT COVERED

Oak Brook UrologyGood Samaritan Hospital NOT COVERED

Oakbrook Pediatric & Adolescent Center, S.CGood Samaritan Hospital NOT COVERED

Ochoa, Christopher -MDGood Samaritan Hospital NOT COVERED

O'Connell, Katelyn -PAGood Samaritan Hospital NOT COVERED

O'Connor Parker, Marie -MDGood Samaritan Hospital NOT COVERED

O'Connor, Carolyn -PAGood Samaritan Hospital COVERED UNDER FAP

Ofelia B. Ayuste, MD, SCGood Samaritan Hospital NOT COVERED

Oken, Jeffrey -MDGood Samaritan Hospital NOT COVERED

Okigawa, Ashley -PAGood Samaritan Hospital NOT COVERED

Oleaga, Jamie -MDGood Samaritan Hospital NOT COVERED

O'Leary, Brian -MDGood Samaritan Hospital NOT COVERED

O'Leary, Patrick -MDGood Samaritan Hospital NOT COVERED

Orthopedic Associates of Kankakee, SCGood Samaritan Hospital NOT COVERED

Oscar L. Alonso, MD, SCGood Samaritan Hospital NOT COVERED

Oshmyansky, Alexander -MDGood Samaritan Hospital NOT COVERED

Osmanovic, Diana -DOGood Samaritan Hospital NOT COVERED

Otoole, Michael -MDGood Samaritan Hospital NOT COVERED

Ottolin, Mark -MDGood Samaritan Hospital NOT COVERED

Owaisi, Anjum -MDGood Samaritan Hospital NOT COVERED

Ozog, Diane -MDGood Samaritan Hospital NOT COVERED

Padalik, Sara -DOGood Samaritan Hospital NOT COVERED

Paleologos, Nina -MDGood Samaritan Hospital COVERED UNDER FAP

Panchal, Hemant -MDGood Samaritan Hospital NOT COVERED

Panico, Ambrose -DOGood Samaritan Hospital NOT COVERED

Papa, Christopher -DOGood Samaritan Hospital NOT COVERED

Papierski, Paul -MDGood Samaritan Hospital NOT COVERED

Pappas, Evans -MDGood Samaritan Hospital NOT COVERED

Paresi, Robert -MDGood Samaritan Hospital NOT COVERED

Parhar, Preeti -MDGood Samaritan Hospital NOT COVERED

Page 82

Page 83: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Parikh, Jason -MDGood Samaritan Hospital NOT COVERED

Parikh, Pratik -MDGood Samaritan Hospital COVERED UNDER FAP

Parkes, Megan -MDGood Samaritan Hospital NOT COVERED

Paruchuri, Sudhakara -MDGood Samaritan Hospital NOT COVERED

Pasciak, Mary -MDGood Samaritan Hospital NOT COVERED

Pasciak, Robert -MDGood Samaritan Hospital NOT COVERED

Patadia, Dipul -MDGood Samaritan Hospital NOT COVERED

Patel, Amish -MDGood Samaritan Hospital NOT COVERED

Patel, Amit -MDGood Samaritan Hospital NOT COVERED

Patel, Arpan -MDGood Samaritan Hospital NOT COVERED

Patel, Hemali -DOGood Samaritan Hospital NOT COVERED

Patel, Ishani -PAGood Samaritan Hospital NOT COVERED

Patel, Jeremy -MDGood Samaritan Hospital NOT COVERED

Patel, Kanchan -MDGood Samaritan Hospital NOT COVERED

Patel, Munira -MDGood Samaritan Hospital NOT COVERED

Patel, Neel -MDGood Samaritan Hospital NOT COVERED

Patel, Payal -DOGood Samaritan Hospital NOT COVERED

Patel, Pooja -MDGood Samaritan Hospital NOT COVERED

Patel, Ronak -MDGood Samaritan Hospital NOT COVERED

Patel, Umang -MDGood Samaritan Hospital NOT COVERED

Patel, Vijaykumar -MDGood Samaritan Hospital NOT COVERED

Patni, Yaquta -MDGood Samaritan Hospital NOT COVERED

Patolot, Arius -MDGood Samaritan Hospital NOT COVERED

Patsavas, Kristia -MDGood Samaritan Hospital NOT COVERED

Paul, P. -MDGood Samaritan Hospital NOT COVERED

Pavone, Larissa -MDGood Samaritan Hospital NOT COVERED

Pediatric & Adolescent Healthy Lifestyle Center, LLCGood Samaritan Hospital NOT COVERED

Pediatric Wellness CenterGood Samaritan Hospital NOT COVERED

Pediatrics of WoodridgeGood Samaritan Hospital NOT COVERED

Peev, Milen -MDGood Samaritan Hospital NOT COVERED

Pendley, Chad -MDGood Samaritan Hospital COVERED UNDER FAP

Pentony, Eileen -MDGood Samaritan Hospital NOT COVERED

Perillo, Kelly -PAGood Samaritan Hospital NOT COVERED

Personal Physicians, S.C.Good Samaritan Hospital NOT COVERED

Peters, Lisa -MDGood Samaritan Hospital NOT COVERED

Petrak, Russell -MDGood Samaritan Hospital NOT COVERED

Petri, Walter -MDGood Samaritan Hospital NOT COVERED

Phillips, Valerie -MDGood Samaritan Hospital NOT COVERED

Philobos, Marie -MDGood Samaritan Hospital NOT COVERED

Pieta, Jacek -MDGood Samaritan Hospital NOT COVERED

Pillai, Seema -NPGood Samaritan Hospital NOT COVERED

Pillai, Srikumar -MDGood Samaritan Hospital NOT COVERED

Pinnacle Dermatology, SCGood Samaritan Hospital NOT COVERED

Pinsky, Jonathan -MDGood Samaritan Hospital NOT COVERED

Plancich, Alicia -PAGood Samaritan Hospital NOT COVERED

Plastic Surgery Services and Equipment, LLCGood Samaritan Hospital NOT COVERED

Plica, Keri -PAGood Samaritan Hospital NOT COVERED

Podiatry Center SCGood Samaritan Hospital NOT COVERED

Pollock, Glen -MDGood Samaritan Hospital COVERED UNDER FAP

Pomazal, Eric -PAGood Samaritan Hospital NOT COVERED

Pongonis, Raymond -MDGood Samaritan Hospital NOT COVERED

Pontikis, George -MDGood Samaritan Hospital NOT COVERED

Poole, Laurel -PAGood Samaritan Hospital NOT COVERED

Pope, Nicole -NPGood Samaritan Hospital NOT COVERED

Popper, Michael -MDGood Samaritan Hospital NOT COVERED

Porcelli, John -MDGood Samaritan Hospital NOT COVERED

Poser, Hana -MDGood Samaritan Hospital NOT COVERED

Potempa, Leonard -MDGood Samaritan Hospital NOT COVERED

Page 83

Page 84: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Premier Family Health and Wellness Center, Inc.Good Samaritan Hospital NOT COVERED

Premier Pain & Spine, LLCGood Samaritan Hospital NOT COVERED

Premier Surgical AssistantsGood Samaritan Hospital NOT COVERED

Prete, Mario -MDGood Samaritan Hospital NOT COVERED

Price, Jessica -PAGood Samaritan Hospital NOT COVERED

Primary Care Services, SCGood Samaritan Hospital NOT COVERED

Progressive Eye Care, SCGood Samaritan Hospital NOT COVERED

Pua, Jeffrey -MDGood Samaritan Hospital NOT COVERED

Pulmonary Clinic for Children, SCGood Samaritan Hospital NOT COVERED

Puppala, Anuj -MDGood Samaritan Hospital NOT COVERED

Purcell, Michelle -PAGood Samaritan Hospital NOT COVERED

Puthenpurakal, Kriti -DPMGood Samaritan Hospital NOT COVERED

Quadri, Syeda -DOGood Samaritan Hospital COVERED UNDER FAP

Radiation Oncology Consultants LtdGood Samaritan Hospital NOT COVERED

Rae, Carolyn -MDGood Samaritan Hospital NOT COVERED

Raichand, Sunil -MDGood Samaritan Hospital NOT COVERED

Raiser, Manfred -MDGood Samaritan Hospital NOT COVERED

Rajaram, Priyanka -MDGood Samaritan Hospital NOT COVERED

Rajendran, Ramji -MDGood Samaritan Hospital NOT COVERED

Rajmane, Oojwala -MDGood Samaritan Hospital NOT COVERED

Raju, Mahesh -MDGood Samaritan Hospital COVERED UNDER FAP

Rakesh Marwaha, MD, SCGood Samaritan Hospital NOT COVERED

Ramachandran, Mahesh -MDGood Samaritan Hospital NOT COVERED

Ramanathan, Anand -MDGood Samaritan Hospital COVERED UNDER FAP

Ramani, Ram -MDGood Samaritan Hospital NOT COVERED

Ramesh Melvani MD SCGood Samaritan Hospital NOT COVERED

Rana, Nasiruddin -MDGood Samaritan Hospital NOT COVERED

Ranario, Danelle -PAGood Samaritan Hospital COVERED UNDER FAP

Rankin, Kelly -PAGood Samaritan Hospital NOT COVERED

Rao, Noel -MDGood Samaritan Hospital NOT COVERED

Rauf, Anis -DOGood Samaritan Hospital NOT COVERED

Rauh, R. -MDGood Samaritan Hospital NOT COVERED

Ravi Medical GroupGood Samaritan Hospital NOT COVERED

Ravi, Narsipur -MDGood Samaritan Hospital NOT COVERED

Rawal, Ankit -DOGood Samaritan Hospital NOT COVERED

Reddy Dermatology S CorporationGood Samaritan Hospital NOT COVERED

Reddy, Anup -MDGood Samaritan Hospital NOT COVERED

Reddy, Lalitha -MDGood Samaritan Hospital NOT COVERED

Reddy, Naveen -MDGood Samaritan Hospital NOT COVERED

Reddy, Shantan -MDGood Samaritan Hospital NOT COVERED

Reed, Kristen -PAGood Samaritan Hospital NOT COVERED

Rehabilitation Institute of ChicagoGood Samaritan Hospital NOT COVERED

Rehabilitation Medicine Clinic, IncGood Samaritan Hospital NOT COVERED

Rehabilitation Medicine Clinic, Inc.Good Samaritan Hospital NOT COVERED

Reilly, John -MDGood Samaritan Hospital NOT COVERED

Reishus, Scott -DOGood Samaritan Hospital NOT COVERED

Reproductive Medicine Institute, LLCGood Samaritan Hospital NOT COVERED

Reu, Peggy -CNSGood Samaritan Hospital COVERED UNDER FAP

Rhew, Elisa -MDGood Samaritan Hospital NOT COVERED

Rhodes, Megan -PAGood Samaritan Hospital COVERED UNDER FAP

Richardson, Brent -MDGood Samaritan Hospital NOT COVERED

Richman, Nicole -MDGood Samaritan Hospital NOT COVERED

Ridges, Kelly -NPGood Samaritan Hospital NOT COVERED

Rienstra, Lauren -NPGood Samaritan Hospital NOT COVERED

Rifenburg, Robert -DOGood Samaritan Hospital NOT COVERED

Riff, Andrew -MDGood Samaritan Hospital NOT COVERED

Rinehart, John -MDGood Samaritan Hospital NOT COVERED

Rita Yadava, MD, SCGood Samaritan Hospital NOT COVERED

Page 84

Page 85: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Rivera Guerrero, Jose -MDGood Samaritan Hospital NOT COVERED

Rizvi, Zehra -MDGood Samaritan Hospital NOT COVERED

RMU Neurology, SCGood Samaritan Hospital NOT COVERED

Robinson, Melissa -DOGood Samaritan Hospital NOT COVERED

Rodriguez, Jessica -PAGood Samaritan Hospital NOT COVERED

Rogoz, Deborah -NPGood Samaritan Hospital NOT COVERED

Roland, Autumn -PAGood Samaritan Hospital NOT COVERED

Ronald H.Stefani, Jr. MD, SCGood Samaritan Hospital NOT COVERED

Roppel, Heather -NPGood Samaritan Hospital NOT COVERED

Rosen, Jeffrey -MDGood Samaritan Hospital NOT COVERED

Rosenfeld-Barbash, Janis -MDGood Samaritan Hospital NOT COVERED

Ross, Michael -MDGood Samaritan Hospital NOT COVERED

Rosseau, Richard -MDGood Samaritan Hospital NOT COVERED

Rossini, Connie -MDGood Samaritan Hospital NOT COVERED

Roth, Andrew -MDGood Samaritan Hospital NOT COVERED

Rowley, Stephen -MDGood Samaritan Hospital COVERED UNDER FAP

Rush University Pediatric SurgeonsGood Samaritan Hospital NOT COVERED

Ryan, Susan -NPGood Samaritan Hospital NOT COVERED

Sabah, Saima -MDGood Samaritan Hospital NOT COVERED

Sabaliauskas, Gaile -MDGood Samaritan Hospital COVERED UNDER FAP

Sadah, Alan -MDGood Samaritan Hospital NOT COVERED

Sahgal, Nishi -MDGood Samaritan Hospital NOT COVERED

Said, Omar -MDGood Samaritan Hospital NOT COVERED

Sait, Mohamed -MDGood Samaritan Hospital NOT COVERED

Saiyed, Humaira -MDGood Samaritan Hospital NOT COVERED

Saleem, Moeen -MDGood Samaritan Hospital COVERED UNDER FAP

Salehi, Sean -MDGood Samaritan Hospital NOT COVERED

Salhadar, Ammar -DOGood Samaritan Hospital NOT COVERED

Salvino , Natalie -NPGood Samaritan Hospital NOT COVERED

Salvino, Kevin -DPMGood Samaritan Hospital NOT COVERED

Sams, Michael -MDGood Samaritan Hospital NOT COVERED

Sankari, Susan -MDGood Samaritan Hospital NOT COVERED

Sarmiento, Rodolfo -MDGood Samaritan Hospital NOT COVERED

Saujani, Mayur -MDGood Samaritan Hospital NOT COVERED

Sayyad, Anjum -MDGood Samaritan Hospital NOT COVERED

Scavone, Anthony -DOGood Samaritan Hospital NOT COVERED

Schaafsma, Drew -PAGood Samaritan Hospital NOT COVERED

Schermer, Carol -MDGood Samaritan Hospital COVERED UNDER FAP

Schlorff, Caitlin -PAGood Samaritan Hospital NOT COVERED

Schmidt, Kevin -MDGood Samaritan Hospital NOT COVERED

Schmidt, Michael -MDGood Samaritan Hospital NOT COVERED

Schneider, Karen -NPGood Samaritan Hospital COVERED UNDER FAP

Schowalter, Michael -MDGood Samaritan Hospital NOT COVERED

Schubert, Charles -MDGood Samaritan Hospital NOT COVERED

Schubkegel, Andrew -MDGood Samaritan Hospital NOT COVERED

Schultz, Kurt -MDGood Samaritan Hospital NOT COVERED

Schultz, Olivia -PAGood Samaritan Hospital NOT COVERED

Schwab, Nicole -NPGood Samaritan Hospital NOT COVERED

Schwartz, Charles -MDGood Samaritan Hospital NOT COVERED

Schwartz, Jeffrey -MDGood Samaritan Hospital NOT COVERED

Schwartz, Michael -MDGood Samaritan Hospital NOT COVERED

Schwartzers, Debra -MDGood Samaritan Hospital NOT COVERED

Scigacz, Bozena -MDGood Samaritan Hospital NOT COVERED

Segalene, Asya -MDGood Samaritan Hospital NOT COVERED

Segel, Brett -MDGood Samaritan Hospital NOT COVERED

Sehdev, Surinder -MDGood Samaritan Hospital NOT COVERED

Seipp, Regan -MDGood Samaritan Hospital NOT COVERED

Seo, Robert -MDGood Samaritan Hospital NOT COVERED

Page 85

Page 86: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Seraphin, Peter -DOGood Samaritan Hospital NOT COVERED

Shadid, Hythem -MDGood Samaritan Hospital NOT COVERED

Shah, Amar -MDGood Samaritan Hospital NOT COVERED

Shah, Ami -MDGood Samaritan Hospital NOT COVERED

Shah, Kamlesh -MDGood Samaritan Hospital NOT COVERED

Shah, Monica -PAGood Samaritan Hospital NOT COVERED

Shah, Nirav -MDGood Samaritan Hospital NOT COVERED

Shah, Ojas -MDGood Samaritan Hospital NOT COVERED

Shah, Pranjal -MDGood Samaritan Hospital NOT COVERED

Shah, Shivani -MDGood Samaritan Hospital NOT COVERED

Shah, Surbhi -MDGood Samaritan Hospital NOT COVERED

Shah, Varsha -MDGood Samaritan Hospital NOT COVERED

Shahab, Nasir -MDGood Samaritan Hospital NOT COVERED

Shahbandar, Lena -MDGood Samaritan Hospital NOT COVERED

Shahzad, Muhammad -MDGood Samaritan Hospital NOT COVERED

Shams, Farhan -MDGood Samaritan Hospital NOT COVERED

Shanahan, Lindsay -NPGood Samaritan Hospital NOT COVERED

Sharif, Sitara -MDGood Samaritan Hospital NOT COVERED

Sharma, Chandra -MDGood Samaritan Hospital NOT COVERED

Sharma, Girish -MDGood Samaritan Hospital NOT COVERED

Sharma, Rahul -MDGood Samaritan Hospital NOT COVERED

Sharma, Sudarshan -MDGood Samaritan Hospital NOT COVERED

Sheehan, Kerry -DOGood Samaritan Hospital NOT COVERED

Sheikh, M. Tahir -MDGood Samaritan Hospital COVERED UNDER FAP

Sheppard, Lynn -NPGood Samaritan Hospital NOT COVERED

Sherman, Edward -MDGood Samaritan Hospital NOT COVERED

Shin, Kee -MDGood Samaritan Hospital NOT COVERED

Shirley Ryan Ability LabGood Samaritan Hospital NOT COVERED

Shirsat, Milind -DOGood Samaritan Hospital NOT COVERED

Shivalingappa, Prabhu -MDGood Samaritan Hospital NOT COVERED

Shuaipaj, Tasin -MDGood Samaritan Hospital NOT COVERED

Siavelis, Harry -MDGood Samaritan Hospital NOT COVERED

Siddiqi, Aheed -MDGood Samaritan Hospital NOT COVERED

Siddique, Mohammad -MDGood Samaritan Hospital NOT COVERED

Siddiqui, Arshea -MDGood Samaritan Hospital NOT COVERED

Sievertsen, Grant -MDGood Samaritan Hospital NOT COVERED

Signorino, Paul -MDGood Samaritan Hospital NOT COVERED

Sime, Jessica -MDGood Samaritan Hospital NOT COVERED

Simmons, Chad -PAGood Samaritan Hospital NOT COVERED

Simon, Christopher -MDGood Samaritan Hospital NOT COVERED

Simon, Gerald -MDGood Samaritan Hospital NOT COVERED

Sims, Brittany -PAGood Samaritan Hospital NOT COVERED

Singh, Manvinder -MDGood Samaritan Hospital NOT COVERED

Singh, Padamjit -MDGood Samaritan Hospital NOT COVERED

Sinno, Mohamed -MDGood Samaritan Hospital COVERED UNDER FAP

Skaluba, Stanislaw -MDGood Samaritan Hospital COVERED UNDER FAP

Skay, Colleen -MDGood Samaritan Hospital COVERED UNDER FAP

Sledz, Eva -MDGood Samaritan Hospital COVERED UNDER FAP

Sloan, Stephen -MDGood Samaritan Hospital NOT COVERED

Slobodan D. Vucicevic, MD, SCGood Samaritan Hospital NOT COVERED

Smart, Brian -MDGood Samaritan Hospital NOT COVERED

Smith, Craig -MDGood Samaritan Hospital NOT COVERED

Smith, Elizabeth -MDGood Samaritan Hospital NOT COVERED

Smith, Matthew -MDGood Samaritan Hospital NOT COVERED

Smith, Thomas -DOGood Samaritan Hospital NOT COVERED

Smythe, Emily -DDSGood Samaritan Hospital NOT COVERED

Snyder, Edward -MDGood Samaritan Hospital NOT COVERED

Sobol, Jennifer -PAGood Samaritan Hospital NOT COVERED

Page 86

Page 87: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Somvanshi, Rahul -MDGood Samaritan Hospital NOT COVERED

Soneru, Alexander -MDGood Samaritan Hospital NOT COVERED

Sosenko, George -MDGood Samaritan Hospital NOT COVERED

Spaccapaniccia Podiatry, LtdGood Samaritan Hospital NOT COVERED

Spaccapaniccia, Mark -DPMGood Samaritan Hospital NOT COVERED

Spangler, Jennifer -NPGood Samaritan Hospital NOT COVERED

Spiller, Marc -MDGood Samaritan Hospital NOT COVERED

Srigiriraju, Padma -MDGood Samaritan Hospital NOT COVERED

SS Medical ServicesGood Samaritan Hospital NOT COVERED

Stanislaus, Anna -MDGood Samaritan Hospital NOT COVERED

Statkus, Jennifer -NPGood Samaritan Hospital COVERED UNDER FAP

Stefani , Ronald -MDGood Samaritan Hospital NOT COVERED

Steiner, Donald -MDGood Samaritan Hospital NOT COVERED

Stephan, William -MDGood Samaritan Hospital COVERED UNDER FAP

Stephen P. Boghossian, MD, PCGood Samaritan Hospital NOT COVERED

Stephen T Jagielo DDS PCGood Samaritan Hospital NOT COVERED

Stephens Archer, Chantale -MDGood Samaritan Hospital NOT COVERED

Stewart, Amy -MDGood Samaritan Hospital COVERED UNDER FAP

Stiff, Andrew -MDGood Samaritan Hospital NOT COVERED

Strauch, Matthew -DOGood Samaritan Hospital NOT COVERED

Strotman, Patrick -MDGood Samaritan Hospital NOT COVERED

Stutz, Michael -MDGood Samaritan Hospital NOT COVERED

Suburban Plastic SurgeryGood Samaritan Hospital NOT COVERED

Suburban Primary CareGood Samaritan Hospital NOT COVERED

Suburban Pulmonary & Sleep Associates, Ltd.Good Samaritan Hospital NOT COVERED

Suburban Surgery CenterGood Samaritan Hospital NOT COVERED

Sudarshan Sharma, MD, LtdGood Samaritan Hospital NOT COVERED

Sugrue, Patrick -MDGood Samaritan Hospital COVERED UNDER FAP

Sullivan, Daniel -MDGood Samaritan Hospital COVERED UNDER FAP

Summit Dermatology & Aesthetic SurgeryGood Samaritan Hospital NOT COVERED

Sumoza, Ilia -MDGood Samaritan Hospital COVERED UNDER FAP

Supple, Peggy -MDGood Samaritan Hospital NOT COVERED

Surabhi, Srinivas -MDGood Samaritan Hospital NOT COVERED

Sutherland, Joseph -MDGood Samaritan Hospital NOT COVERED

Swade, Terrence -MDGood Samaritan Hospital NOT COVERED

Swamy, Sheela -MDGood Samaritan Hospital NOT COVERED

Swanson, Heidi -DOGood Samaritan Hospital NOT COVERED

Swiatek, Megan -NPGood Samaritan Hospital NOT COVERED

Swisher, Stacie -PAGood Samaritan Hospital NOT COVERED

Switzer, Mark -MDGood Samaritan Hospital NOT COVERED

Syed, Zubair -MDGood Samaritan Hospital NOT COVERED

Szachowicz, Patrick -DOGood Samaritan Hospital NOT COVERED

Tamragouri, Ravikiran -MDGood Samaritan Hospital NOT COVERED

Tanveer, Shahida -MDGood Samaritan Hospital NOT COVERED

Taormina, Mia -DOGood Samaritan Hospital NOT COVERED

Tatara, Mark -MDGood Samaritan Hospital COVERED UNDER FAP

Tatebe, Leah -MDGood Samaritan Hospital COVERED UNDER FAP

Tazeen, Farah -MDGood Samaritan Hospital NOT COVERED

Templin, Cary -MDGood Samaritan Hospital NOT COVERED

Thaker, Vibhaben -MDGood Samaritan Hospital NOT COVERED

Thakkar, Jigarkumar -MDGood Samaritan Hospital NOT COVERED

Thangamani, Vijay -MDGood Samaritan Hospital NOT COVERED

The Wright Center for Women's HealthGood Samaritan Hospital NOT COVERED

Thomas, Celia -CNSGood Samaritan Hospital NOT COVERED

Thomas, Robert -MDGood Samaritan Hospital NOT COVERED

Thompson, Andrew -MDGood Samaritan Hospital NOT COVERED

Thompson, Sara -PAGood Samaritan Hospital NOT COVERED

Thompson, Zachary -MDGood Samaritan Hospital NOT COVERED

Page 87

Page 88: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Thomson, Tricia -MDGood Samaritan Hospital NOT COVERED

Thorsness, Robert -MDGood Samaritan Hospital NOT COVERED

Thukral, Arpi -MDGood Samaritan Hospital NOT COVERED

Tiesenga Surgical Associates, S.C.Good Samaritan Hospital NOT COVERED

Tiesenga, Frederick -MDGood Samaritan Hospital NOT COVERED

Tilwalli, Dhruva -MDGood Samaritan Hospital NOT COVERED

Tobin Vealey, Kristen -MDGood Samaritan Hospital NOT COVERED

TRE Medical, Ltd.Good Samaritan Hospital NOT COVERED

Tresley, Gilbert -MDGood Samaritan Hospital NOT COVERED

Tresley, Jonathan -MDGood Samaritan Hospital NOT COVERED

Troiani, Blake -MDGood Samaritan Hospital NOT COVERED

Trukhacheva, Elena -MDGood Samaritan Hospital NOT COVERED

Tsonis, Lambros -MDGood Samaritan Hospital NOT COVERED

Tu, Rong -MDGood Samaritan Hospital NOT COVERED

Tuchek, James -DOGood Samaritan Hospital NOT COVERED

Tulipan, David -MDGood Samaritan Hospital NOT COVERED

Twenty First Century PediatricsGood Samaritan Hospital NOT COVERED

Tye, Grace -MDGood Samaritan Hospital NOT COVERED

Ubilluz, Rodrigo -MDGood Samaritan Hospital NOT COVERED

Udani, Suneel -MDGood Samaritan Hospital NOT COVERED

Ung, Feodor -MDGood Samaritan Hospital NOT COVERED

Ung, Jean -MDGood Samaritan Hospital NOT COVERED

University Dermatology and Vein Clinic LLCGood Samaritan Hospital NOT COVERED

University Foot Specialist, LtdGood Samaritan Hospital NOT COVERED

University Head & Neck AssociatesGood Samaritan Hospital NOT COVERED

University of Chicago MedicineGood Samaritan Hospital NOT COVERED

Urbanosky, Leah -MDGood Samaritan Hospital NOT COVERED

Urbanowicz, Cynthia -MDGood Samaritan Hospital NOT COVERED

UroPartners, LLCGood Samaritan Hospital NOT COVERED

Vajaria, Gaurav -DPMGood Samaritan Hospital NOT COVERED

Vajaria, Yogesh -MDGood Samaritan Hospital NOT COVERED

Valika, Ali -MDGood Samaritan Hospital COVERED UNDER FAP

Valika, Aziz -MDGood Samaritan Hospital NOT COVERED

Vallina, Van -MDGood Samaritan Hospital NOT COVERED

Van Osdol, Thomas -MDGood Samaritan Hospital NOT COVERED

Vana, Paul -MDGood Samaritan Hospital COVERED UNDER FAP

Velasquez, Gladys -MDGood Samaritan Hospital NOT COVERED

Ventura, Arturo -NPGood Samaritan Hospital NOT COVERED

Ventura, Doreen -MDGood Samaritan Hospital NOT COVERED

Vergara, Claudia -MDGood Samaritan Hospital NOT COVERED

Vijayakumar, Asha -MDGood Samaritan Hospital COVERED UNDER FAP

Vila-Sola, Olga -MDGood Samaritan Hospital NOT COVERED

Villa Medical ArtsGood Samaritan Hospital NOT COVERED

Villanueva, Jaime -MDGood Samaritan Hospital NOT COVERED

Vimr, Ross -MDGood Samaritan Hospital NOT COVERED

Vinci, Samuel -DPMGood Samaritan Hospital NOT COVERED

Virant, Jennifer -MDGood Samaritan Hospital NOT COVERED

Vision RadiologyGood Samaritan Hospital NOT COVERED

Volden, Dane -MDGood Samaritan Hospital NOT COVERED

Voronov, Ellen -MDGood Samaritan Hospital NOT COVERED

Vucicevic, Slobodan -MDGood Samaritan Hospital NOT COVERED

W. P. Dmowski, MD, Ph.D. & AssociatesGood Samaritan Hospital NOT COVERED

Waitley, David -MDGood Samaritan Hospital NOT COVERED

Wallace, Suzanne -NPGood Samaritan Hospital NOT COVERED

Wallis, Diane -MDGood Samaritan Hospital COVERED UNDER FAP

Walsh, James -MDGood Samaritan Hospital NOT COVERED

Walsh, Kevin -MDGood Samaritan Hospital NOT COVERED

Wang, Alan -MDGood Samaritan Hospital NOT COVERED

Page 88

Page 89: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Wanta, Kaitlin -DOGood Samaritan Hospital NOT COVERED

Ward, Brian -MDGood Samaritan Hospital NOT COVERED

Warren, Kimberly -NPGood Samaritan Hospital NOT COVERED

Watts, Daniel -CRNAGood Samaritan Hospital NOT COVERED

Weber, Benjamin -MDGood Samaritan Hospital NOT COVERED

Weinberg, Kenneth -MDGood Samaritan Hospital NOT COVERED

Weinstein, Jordan -MDGood Samaritan Hospital NOT COVERED

Weiss, Lee -MDGood Samaritan Hospital COVERED UNDER FAP

Weiss, Mark -MDGood Samaritan Hospital NOT COVERED

Weldon, Elizabeth -MDGood Samaritan Hospital NOT COVERED

Wemhoff, Michael -MDGood Samaritan Hospital COVERED UNDER FAP

Wenninger, Deborah -PAGood Samaritan Hospital NOT COVERED

Wesner, Joyce -PAGood Samaritan Hospital NOT COVERED

Wessing, Misty -PAGood Samaritan Hospital NOT COVERED

West Suburban Neurosurgical Associates, SCGood Samaritan Hospital NOT COVERED

Western DuPage Obstetrics & Gynecology, SCGood Samaritan Hospital NOT COVERED

Wharton, Stacie -PAGood Samaritan Hospital NOT COVERED

Wiese, Kristin -MDGood Samaritan Hospital NOT COVERED

Wilkens, William -MDGood Samaritan Hospital NOT COVERED

Wilson, John -MDGood Samaritan Hospital NOT COVERED

Win, Khin -MDGood Samaritan Hospital NOT COVERED

Wingo, Melissa -PAGood Samaritan Hospital NOT COVERED

Winter, Michelle -MDGood Samaritan Hospital NOT COVERED

Wirth, Summer -MDGood Samaritan Hospital NOT COVERED

Wlodarek, Craig -MDGood Samaritan Hospital NOT COVERED

Wolf, Robert -DDSGood Samaritan Hospital NOT COVERED

Wolowick, Karen -DOGood Samaritan Hospital NOT COVERED

Wolraich, David -MDGood Samaritan Hospital NOT COVERED

Women's Health Group ChicagoGood Samaritan Hospital NOT COVERED

Woodridge Clinic, SCGood Samaritan Hospital NOT COVERED

Wourms, Jamie -NPGood Samaritan Hospital NOT COVERED

Wray, John -DPMGood Samaritan Hospital NOT COVERED

Wright, James -MDGood Samaritan Hospital NOT COVERED

Wright, Kevin -PAGood Samaritan Hospital NOT COVERED

Wright, Kimberly -MDGood Samaritan Hospital NOT COVERED

Wright, LaBianca -MDGood Samaritan Hospital NOT COVERED

Wurzelbacher, Alan -MDGood Samaritan Hospital NOT COVERED

Xenidis, Melissa -DOGood Samaritan Hospital NOT COVERED

Yadava, Gaurav -MDGood Samaritan Hospital NOT COVERED

Yadava, Rita -MDGood Samaritan Hospital NOT COVERED

Yalamanchi, Ravi -MDGood Samaritan Hospital NOT COVERED

Yapp, Rockford -MDGood Samaritan Hospital NOT COVERED

Ying, Huei Fang -CRNAGood Samaritan Hospital NOT COVERED

Yohannan, Charles -MDGood Samaritan Hospital NOT COVERED

Yonkus, Michelle -NPGood Samaritan Hospital NOT COVERED

Yoon, Peter -MDGood Samaritan Hospital NOT COVERED

Yousuf, Mohammed -MDGood Samaritan Hospital NOT COVERED

Yu, Andrew -MDGood Samaritan Hospital NOT COVERED

Yu, Mingxi -MDGood Samaritan Hospital NOT COVERED

Yunez, Karim -MDGood Samaritan Hospital NOT COVERED

Yunus, Saadia -DOGood Samaritan Hospital NOT COVERED

Zaderetskii, Roksolana -PAGood Samaritan Hospital NOT COVERED

Zajac, Jacek -MDGood Samaritan Hospital NOT COVERED

Zayat, Rachel -PAGood Samaritan Hospital NOT COVERED

Zayed, Hythem -MDGood Samaritan Hospital NOT COVERED

Zeller, W. -MDGood Samaritan Hospital NOT COVERED

Zhao, Yan -MDGood Samaritan Hospital NOT COVERED

Zhu, Ying -MDGood Samaritan Hospital NOT COVERED

Page 89

Page 90: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Ziffra, Jeffrey -DOGood Samaritan Hospital COVERED UNDER FAP

Zindrick, Michael -MDGood Samaritan Hospital NOT COVERED

Zlatarov, Nikolay -DOGood Samaritan Hospital NOT COVERED

Zofia Cygan, MD, SCGood Samaritan Hospital NOT COVERED

Zygmunt, Kenneth -DPMGood Samaritan Hospital NOT COVERED

Adelstein, Steven -DPMGood Shepard Hospital NOT COVERED

Advanced Allergy & Asthma Associates, SCGood Shepard Hospital NOT COVERED

Advanced Dermatology, LLCGood Shepard Hospital NOT COVERED

Advanced Ear, Nose and Throat SpecialistsGood Shepard Hospital NOT COVERED

Advanced Medical Care, LtdGood Shepard Hospital NOT COVERED

Advanced Reproductive CenterGood Shepard Hospital NOT COVERED

Advanced Surgical Care of Northern Illinois, LtdGood Shepard Hospital NOT COVERED

Advocate Health & Hospital Corp - Advocate Intensivist PartnersGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group - Barrington - 27790 W Highway 22Good Shepard Hospital COVERED UNDER FAP

Advocate Medical Group - Barrington - Northwest Highway - CardiologyGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group - Barrington -Highway 22Good Shepard Hospital COVERED UNDER FAP

Advocate Medical Group - Crystal Lake - OncologyGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group - Fox River Grove - Internal MedicineGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group - Libertyville - Milwaukee AveGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group - West Dundee - Family MedicineGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group - Wonder LakeGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Arlington HeightsGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Crystal LakeGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic MchenryGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Mount ProspectGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic PalatineGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group Algonquin Merchant DriveGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group Barrington FitnessGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group Barrington Internal MedicineGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group Barrington The GarlandsGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group Crystal LakeGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group Island LakeGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group Lake ZurichGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group McHenry Ridgeview DriveGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group NeonatologyGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group Nesset Physical Med & RehabGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group WaucondaGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group-Crystal Lake-525 East Congress Parkway-CardiologyGood Shepard Hospital COVERED UNDER FAP

Advocate Medical Group-Fox River Grove-912 West Northwest Highway-CardiologyGood Shepard Hospital COVERED UNDER FAP

Advocate Occupational Health Lake ZurichGood Shepard Hospital COVERED UNDER FAP

Affiliated Ear, Nose & Throat PhysiciansGood Shepard Hospital NOT COVERED

Affinati, Mario -MDGood Shepard Hospital NOT COVERED

Afifi, M. -MDGood Shepard Hospital NOT COVERED

Ahluwalia, Deepali -MDGood Shepard Hospital NOT COVERED

Ahmad Family Primary Care, SCGood Shepard Hospital NOT COVERED

Ahmad, Shad -MDGood Shepard Hospital NOT COVERED

Ahmad, Zubair -MDGood Shepard Hospital NOT COVERED

Ahmed, Amina -MDGood Shepard Hospital NOT COVERED

Ahmed, Nooruzsabha -MDGood Shepard Hospital NOT COVERED

Akers, Katie -NPGood Shepard Hospital NOT COVERED

Al Wafai, Ameer -MDGood Shepard Hospital NOT COVERED

Al-Ani, Ismail -MDGood Shepard Hospital NOT COVERED

Albrecht, Robert -MDGood Shepard Hospital NOT COVERED

Alexander, Bonita -MDGood Shepard Hospital NOT COVERED

Ali, Stefanie -MDGood Shepard Hospital NOT COVERED

Alikakos, Timothy -MDGood Shepard Hospital NOT COVERED

Allergy & Asthma Associates, LtdGood Shepard Hospital NOT COVERED

Allison, Matthew -MDGood Shepard Hospital NOT COVERED

Page 90

Page 91: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Alpert, Joshua -MDGood Shepard Hospital NOT COVERED

Alpine Foot Specialists, PCGood Shepard Hospital NOT COVERED

Altshuler, Barry -MDGood Shepard Hospital NOT COVERED

Alvi, Aijaz -MDGood Shepard Hospital NOT COVERED

American Surgical ProfessionalsGood Shepard Hospital NOT COVERED

Amiry Cardiology Consultant MD, SCGood Shepard Hospital NOT COVERED

Amiry, Abas -MDGood Shepard Hospital NOT COVERED

Anderson, Kathy -MDGood Shepard Hospital NOT COVERED

Anderson, Ryan -PAGood Shepard Hospital NOT COVERED

Angerame, Marc -MDGood Shepard Hospital NOT COVERED

Antioch Oral & Maxilofacial SurgeryGood Shepard Hospital NOT COVERED

Antonio C. Yuk, MD, SCGood Shepard Hospital NOT COVERED

Anwar, Asif -MDGood Shepard Hospital COVERED UNDER FAP

Apollo Hospitalist Group, LLCGood Shepard Hospital NOT COVERED

Arora, Amit -MDGood Shepard Hospital NOT COVERED

Arora, Mohit -MDGood Shepard Hospital NOT COVERED

Arora, Mukesh -MDGood Shepard Hospital NOT COVERED

Arthur L. Ostrowski, MD, SCGood Shepard Hospital NOT COVERED

Associated Allergists & Asthma Specialists, LtdGood Shepard Hospital NOT COVERED

Associates in Nephrology, SCGood Shepard Hospital NOT COVERED

Atia, Antwan -MDGood Shepard Hospital NOT COVERED

Atia, George -MDGood Shepard Hospital NOT COVERED

Aziz, Nader -MDGood Shepard Hospital NOT COVERED

Babigumira, Edward -MDGood Shepard Hospital NOT COVERED

Back to Basics Pediatrics, SCGood Shepard Hospital NOT COVERED

Baggio, Claudine -DOGood Shepard Hospital NOT COVERED

Baird, James -DPMGood Shepard Hospital NOT COVERED

Baker, Richard -DOGood Shepard Hospital NOT COVERED

Baldassano, Joseph -DDSGood Shepard Hospital NOT COVERED

Ballard, Jonathan -MDGood Shepard Hospital COVERED UNDER FAP

Balocki, John -DOGood Shepard Hospital COVERED UNDER FAP

Bang, Moriah -DOGood Shepard Hospital COVERED UNDER FAP

Bangash, Farhan -DOGood Shepard Hospital NOT COVERED

Bank, Bruce -MDGood Shepard Hospital NOT COVERED

Bannen, Todd -MDGood Shepard Hospital NOT COVERED

Barrington Anesthesia Associates, SCGood Shepard Hospital NOT COVERED

Barrington Family Health CareGood Shepard Hospital NOT COVERED

Barrington Plastic SurgeryGood Shepard Hospital NOT COVERED

Barrington Surgeons, Ltd.Good Shepard Hospital NOT COVERED

Bartolomeo, Orazio -MDGood Shepard Hospital NOT COVERED

Basko Dermatology, LLCGood Shepard Hospital NOT COVERED

Basko-Plluska, Juliana -MDGood Shepard Hospital NOT COVERED

Basran, Harpreet -MDGood Shepard Hospital NOT COVERED

Beckerman, John -MDGood Shepard Hospital NOT COVERED

Bector, Sumit -MDGood Shepard Hospital NOT COVERED

Been Facial PlasticsGood Shepard Hospital NOT COVERED

Been, Geeta -MDGood Shepard Hospital NOT COVERED

Been, Mark -MDGood Shepard Hospital NOT COVERED

Behzad Farah, MD, SCGood Shepard Hospital NOT COVERED

Bennett, Sarah -NPGood Shepard Hospital NOT COVERED

Berkowitz, Michael -MDGood Shepard Hospital NOT COVERED

Bessonny, Eric -MDGood Shepard Hospital NOT COVERED

Best Practices Inpatient Care, LtdGood Shepard Hospital NOT COVERED

Bhuva, Manish -MDGood Shepard Hospital NOT COVERED

Bianchi, Raymond -MDGood Shepard Hospital NOT COVERED

Bikshorn, Barry -MDGood Shepard Hospital NOT COVERED

Biskup, Mary -MDGood Shepard Hospital COVERED UNDER FAP

Blackman, Nikki -NPGood Shepard Hospital NOT COVERED

Page 91

Page 92: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Bockman, Susan -NPGood Shepard Hospital NOT COVERED

Bogan, Jennifer -MDGood Shepard Hospital NOT COVERED

Bolanos, Jose -MDGood Shepard Hospital NOT COVERED

Bolotin, Colleen -NPGood Shepard Hospital NOT COVERED

Bonk, Jeffrey -DDSGood Shepard Hospital NOT COVERED

Braaton, Michael -MDGood Shepard Hospital NOT COVERED

Braatz, Timothy -MDGood Shepard Hospital NOT COVERED

Bradshaw, Marques -MDGood Shepard Hospital NOT COVERED

Brady, Roseann -DOGood Shepard Hospital NOT COVERED

Brak, Brenda -MDGood Shepard Hospital NOT COVERED

Braun, Michael -MDGood Shepard Hospital NOT COVERED

Braverman, Charles -MDGood Shepard Hospital NOT COVERED

Brebach, Gregory -MDGood Shepard Hospital NOT COVERED

Bremer, Bonnie -MDGood Shepard Hospital NOT COVERED

Brobbey, Wahab -MDGood Shepard Hospital NOT COVERED

Brown, Christopher -MDGood Shepard Hospital NOT COVERED

Brown, Judith -MDGood Shepard Hospital NOT COVERED

Browning, Jared -MDGood Shepard Hospital NOT COVERED

Brubacher, Sara -NPGood Shepard Hospital NOT COVERED

Budnick, Amy -NPGood Shepard Hospital NOT COVERED

Bui, Minh-Son -MDGood Shepard Hospital NOT COVERED

Burdette, David -MDGood Shepard Hospital NOT COVERED

Burseth, Eric -MDGood Shepard Hospital COVERED UNDER FAP

Bushnick, Philip -MDGood Shepard Hospital NOT COVERED

Butt, Marium -MDGood Shepard Hospital NOT COVERED

Byskosh, Arkadiush -MDGood Shepard Hospital NOT COVERED

Cabai, Tonia -NPGood Shepard Hospital NOT COVERED

Caccopola, Jeanene -DOGood Shepard Hospital NOT COVERED

Camarda-Voight, Maria -MDGood Shepard Hospital NOT COVERED

Campau, Steven -MDGood Shepard Hospital NOT COVERED

Campbell, Michelle -NPGood Shepard Hospital NOT COVERED

Cantu-Manley, Haydee -MDGood Shepard Hospital NOT COVERED

Cardiac EP Consultants SCGood Shepard Hospital NOT COVERED

Cardiothoracic & Vascular Surgical AssocGood Shepard Hospital NOT COVERED

Cardiothoracic & Vascular Surgical Associates, SCGood Shepard Hospital NOT COVERED

Caring Family, SCGood Shepard Hospital NOT COVERED

Carlson, Allison -PAGood Shepard Hospital NOT COVERED

Carol Kotzan, MD LLCGood Shepard Hospital NOT COVERED

Castro, J. Eric -MDGood Shepard Hospital NOT COVERED

Centegra Surgical AssociatesGood Shepard Hospital NOT COVERED

Center for Arrhythmia CareGood Shepard Hospital NOT COVERED

Center for Cardiovascular Excellence, SCGood Shepard Hospital NOT COVERED

Center for Facial Plastic SurgeryGood Shepard Hospital NOT COVERED

Center for Maternal and Fetal MedicineGood Shepard Hospital NOT COVERED

Ceralde, Joel -NPGood Shepard Hospital NOT COVERED

Chan, Mario -MDGood Shepard Hospital NOT COVERED

Chandran, Nisha -MDGood Shepard Hospital COVERED UNDER FAP

Chang, Hsin-Yi -MDGood Shepard Hospital NOT COVERED

Charnota, David -DPMGood Shepard Hospital NOT COVERED

Chawla, Apoorva -MDGood Shepard Hospital NOT COVERED

Cheregi, John -MDGood Shepard Hospital NOT COVERED

Chest Medicine Consultants, SCGood Shepard Hospital NOT COVERED

Children & Teens Medical CenterGood Shepard Hospital NOT COVERED

Children's Dentistry Group, LLCGood Shepard Hospital NOT COVERED

Children's Medical Group, SCGood Shepard Hospital NOT COVERED

Chitwood, Rick -DOGood Shepard Hospital NOT COVERED

Choukas, Chris -DDSGood Shepard Hospital NOT COVERED

Christy Cardiology, LtdGood Shepard Hospital NOT COVERED

Page 92

Page 93: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Christy, George -MDGood Shepard Hospital NOT COVERED

Chudwin, David -MDGood Shepard Hospital NOT COVERED

Chunduri, Sandeep -MDGood Shepard Hospital COVERED UNDER FAP

Churchill, Gary -MDGood Shepard Hospital NOT COVERED

Ciabattoni, Steven -MDGood Shepard Hospital NOT COVERED

Cipolla, Anthony -MDGood Shepard Hospital COVERED UNDER FAP

Clark, Kirk -MDGood Shepard Hospital NOT COVERED

Cochran, Ashley -NPGood Shepard Hospital NOT COVERED

Colen, Darryl -DOGood Shepard Hospital NOT COVERED

Coll, Dympna -MDGood Shepard Hospital NOT COVERED

Collins, Mary Beth -MDGood Shepard Hospital NOT COVERED

Compagnoni, Gia -MDGood Shepard Hospital NOT COVERED

Comphrensive Kidney Care, LLCGood Shepard Hospital NOT COVERED

Comprehensive Urologic Care, SCGood Shepard Hospital NOT COVERED

Confer, Rand -MDGood Shepard Hospital NOT COVERED

Conforti, Julie -NPGood Shepard Hospital NOT COVERED

Conley, Hannelore -NPGood Shepard Hospital NOT COVERED

Core Orthopedics & Sports Medicine LLCGood Shepard Hospital NOT COVERED

Cornell, Kathleen -PAGood Shepard Hospital NOT COVERED

Cosmetic & Plastic Surgery Associates MD SCGood Shepard Hospital NOT COVERED

Cote, Jennifer -NPGood Shepard Hospital NOT COVERED

Covenant Physiatry, SCGood Shepard Hospital NOT COVERED

Coy, Dale -MDGood Shepard Hospital NOT COVERED

Crandall, David -MDGood Shepard Hospital NOT COVERED

Cronin, Donald -MDGood Shepard Hospital NOT COVERED

Crystal Lake Immediate Care Physicians Ltd.Good Shepard Hospital NOT COVERED

Crystal Lake Ophthalmology Assoc, PCGood Shepard Hospital NOT COVERED

Cummins, Craig -MDGood Shepard Hospital NOT COVERED

Cundiff, Jason -MDGood Shepard Hospital NOT COVERED

Czajkowska, Jadwiga -DOGood Shepard Hospital NOT COVERED

Dadabhoy, Dina -MDGood Shepard Hospital NOT COVERED

Daksha Mehta, MD, SCGood Shepard Hospital NOT COVERED

Davis, Richard -MDGood Shepard Hospital COVERED UNDER FAP

Dawson, Heather -NPGood Shepard Hospital NOT COVERED

Del Peral, Hilario -PAGood Shepard Hospital NOT COVERED

Depa, Angela -NPGood Shepard Hospital NOT COVERED

Derick Dermatology, LLCGood Shepard Hospital NOT COVERED

Derken, Lisa -MDGood Shepard Hospital NOT COVERED

Dermatology Specialists of Illinois, LtdGood Shepard Hospital NOT COVERED

Dermuss LTDGood Shepard Hospital NOT COVERED

Deutch, Todd -MDGood Shepard Hospital NOT COVERED

DeVault, Margaret -PAGood Shepard Hospital NOT COVERED

Di Iorio, Daniel -MDGood Shepard Hospital NOT COVERED

DiGiulio, Thomas -MDGood Shepard Hospital COVERED UNDER FAP

Dilman, Boris -MDGood Shepard Hospital NOT COVERED

Dimitropoulos, Stamatis -MDGood Shepard Hospital NOT COVERED

Dobson, Laura -NPGood Shepard Hospital COVERED UNDER FAP

Dodda, Venkata -MDGood Shepard Hospital NOT COVERED

Dohr, Julie -MDGood Shepard Hospital NOT COVERED

Dolezal, Edward -MDGood Shepard Hospital NOT COVERED

Dr. Sutpal Singh, DPM, A Prof CorporationGood Shepard Hospital NOT COVERED

Drake, Gregory -DOGood Shepard Hospital NOT COVERED

Drew, Jessica -NPGood Shepard Hospital NOT COVERED

Dreyer Clinic - Rush CopleyGood Shepard Hospital COVERED UNDER FAP

Drumm, Alison -MDGood Shepard Hospital COVERED UNDER FAP

Dutcher, Josette -NPGood Shepard Hospital NOT COVERED

Ear, Nose & Throat Care Center LtdGood Shepard Hospital NOT COVERED

Ear, Nose & Throat Care Center, LtdGood Shepard Hospital NOT COVERED

Page 93

Page 94: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Ear, Nose, Throat & Allergy ClinicGood Shepard Hospital NOT COVERED

Edo, Robby -DOGood Shepard Hospital COVERED UNDER FAP

Edson, Steven -MDGood Shepard Hospital NOT COVERED

Einfalt, Melinda -MDGood Shepard Hospital COVERED UNDER FAP

Elstrom & Hall, SCGood Shepard Hospital NOT COVERED

Erlenbusch, Amy -PAGood Shepard Hospital NOT COVERED

Faliszek, James -MDGood Shepard Hospital NOT COVERED

Family Medicine for McHenry CountyGood Shepard Hospital NOT COVERED

Family Practice Specialist, S.C.Good Shepard Hospital NOT COVERED

Farah, Behzad -MDGood Shepard Hospital NOT COVERED

Farooki, Basheeruddin -MDGood Shepard Hospital NOT COVERED

Favia Primary Care SCGood Shepard Hospital NOT COVERED

Favia Primary Care, SCGood Shepard Hospital NOT COVERED

Favia, Julie -MDGood Shepard Hospital COVERED UNDER FAP

Favia, Philip -MDGood Shepard Hospital NOT COVERED

Feldman, James -MDGood Shepard Hospital NOT COVERED

Fell, Michael -DOGood Shepard Hospital NOT COVERED

Ferguson, James -NPGood Shepard Hospital NOT COVERED

Ferolo, Richard -MDGood Shepard Hospital NOT COVERED

Fertility Centers of Illinois, SCGood Shepard Hospital NOT COVERED

Filipiuk, Marek -MDGood Shepard Hospital NOT COVERED

Fine, Kara -MDGood Shepard Hospital NOT COVERED

Fiore, Eddie -MDGood Shepard Hospital NOT COVERED

Fiorito, Thomas -MDGood Shepard Hospital NOT COVERED

First Step Foot Care, PCGood Shepard Hospital NOT COVERED

Fischer, Robin -PAGood Shepard Hospital NOT COVERED

Flaherty, Elizabeth -MDGood Shepard Hospital NOT COVERED

Flood, James -DPMGood Shepard Hospital NOT COVERED

Fondriest, Diane -MDGood Shepard Hospital NOT COVERED

Foot and Ankle Specialists of Illinois, Ltd.Good Shepard Hospital NOT COVERED

Fortsas, Michael -MDGood Shepard Hospital COVERED UNDER FAP

Fox, Michael -MDGood Shepard Hospital NOT COVERED

Freihage, Jeffrey -MDGood Shepard Hospital COVERED UNDER FAP

Fugina, Mary -MDGood Shepard Hospital NOT COVERED

Gadson, Vidhi -MDGood Shepard Hospital NOT COVERED

Gancayco, George -MDGood Shepard Hospital NOT COVERED

Gancayco, Jamie -MDGood Shepard Hospital NOT COVERED

Gandhi, Hetal -MDGood Shepard Hospital COVERED UNDER FAP

Garon, Sarah -MDGood Shepard Hospital NOT COVERED

Gastroenterology & Internal Medicine Specialists, SCGood Shepard Hospital NOT COVERED

Gawronski, Mary -DOGood Shepard Hospital NOT COVERED

Gent, Justin -MDGood Shepard Hospital NOT COVERED

George N. Atia, MD, SCGood Shepard Hospital NOT COVERED

George Nahra, M.D.Good Shepard Hospital NOT COVERED

Gettys, George -MDGood Shepard Hospital NOT COVERED

Ghosh, Rilina -MDGood Shepard Hospital NOT COVERED

GI Partners of Illinois, LLCGood Shepard Hospital NOT COVERED

Giacomin, Mark -DOGood Shepard Hospital NOT COVERED

Giese, Todd -MDGood Shepard Hospital NOT COVERED

Gindorf, Jeffrey -MDGood Shepard Hospital NOT COVERED

Go, Kevin -MDGood Shepard Hospital NOT COVERED

Goesel, Christopher -MDGood Shepard Hospital NOT COVERED

Gohil, Viren -MDGood Shepard Hospital NOT COVERED

Golbin-Hallett, Dina -DOGood Shepard Hospital NOT COVERED

Goldkind, Adam -DPMGood Shepard Hospital NOT COVERED

Goldrath, David -MDGood Shepard Hospital NOT COVERED

Gong, John -MDGood Shepard Hospital NOT COVERED

Goode, Galina -MDGood Shepard Hospital NOT COVERED

Page 94

Page 95: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Goodell, Melanie -MDGood Shepard Hospital NOT COVERED

Goodman Kramer, Heidi -MDGood Shepard Hospital NOT COVERED

Goodman-Flider, Marina -MDGood Shepard Hospital COVERED UNDER FAP

Gordon, Andrew -MDGood Shepard Hospital NOT COVERED

Gordon, Dafna -MDGood Shepard Hospital NOT COVERED

Gordon, Gary -MDGood Shepard Hospital NOT COVERED

Gordon, Jason -MDGood Shepard Hospital NOT COVERED

Grad, Gary -MDGood Shepard Hospital NOT COVERED

Greenberg, David -MDGood Shepard Hospital NOT COVERED

Gross, Mark -MDGood Shepard Hospital NOT COVERED

Gross, Steven -MDGood Shepard Hospital NOT COVERED

Grouper, Sharon -MDGood Shepard Hospital NOT COVERED

Grover, Andrew -PAGood Shepard Hospital NOT COVERED

Gulson, Deborah -MDGood Shepard Hospital NOT COVERED

Gumidyala, Eshwar -MDGood Shepard Hospital NOT COVERED

Gundavaram, Madhu -MDGood Shepard Hospital NOT COVERED

Gupta, Sanjeev -MDGood Shepard Hospital COVERED UNDER FAP

Gurrera, Anna -DPMGood Shepard Hospital NOT COVERED

Hafiz, Irfan -MDGood Shepard Hospital NOT COVERED

Hai, Khola -MDGood Shepard Hospital NOT COVERED

Haider Medical Group, Ltd.Good Shepard Hospital NOT COVERED

Haider, Syed -MDGood Shepard Hospital NOT COVERED

Hall, Robert -MDGood Shepard Hospital NOT COVERED

Hamilton, Joni Lynn -MDGood Shepard Hospital NOT COVERED

Hannam, Ami -MDGood Shepard Hospital NOT COVERED

Hassman, Deborah -NPGood Shepard Hospital NOT COVERED

Heightened Health S.CGood Shepard Hospital NOT COVERED

Helkowski, Robyn -NPGood Shepard Hospital COVERED UNDER FAP

Hendricks, Sean -MDGood Shepard Hospital NOT COVERED

Henning, Douglas -MDGood Shepard Hospital NOT COVERED

Hensley, Jennifer -MDGood Shepard Hospital NOT COVERED

Herbolsheimer, Heather -DOGood Shepard Hospital NOT COVERED

Herdegen, James -MDGood Shepard Hospital NOT COVERED

Herer, Paul -DDSGood Shepard Hospital NOT COVERED

Ho, Allan -MDGood Shepard Hospital NOT COVERED

Ho, Pui-Nn -MDGood Shepard Hospital NOT COVERED

Hoeltgen, Daniel -MDGood Shepard Hospital NOT COVERED

Hoffman Estates DermatologyGood Shepard Hospital NOT COVERED

Hoffman-Barrington Internal Medicine SpecialistsGood Shepard Hospital NOT COVERED

Holistic & Family Practice Medicine LtdGood Shepard Hospital NOT COVERED

Horizons Behavioral Health Professional Services LLCGood Shepard Hospital NOT COVERED

Horvath, Elizabeth -DOGood Shepard Hospital NOT COVERED

Hoshizaki, Robert -MDGood Shepard Hospital COVERED UNDER FAP

Houser, Ann Marie -DOGood Shepard Hospital COVERED UNDER FAP

Hsu, Jerry -PAGood Shepard Hospital NOT COVERED

Hughes, Jason -MDGood Shepard Hospital NOT COVERED

Humayun, Youshay -MDGood Shepard Hospital NOT COVERED

Hussain, Syed -DPMGood Shepard Hospital NOT COVERED

Hussain, Yasmin -MDGood Shepard Hospital NOT COVERED

Hyderi, Zehra -DPMGood Shepard Hospital NOT COVERED

Ilahi, Shahid -MDGood Shepard Hospital NOT COVERED

Illinois Bone & Joint Institute LLCGood Shepard Hospital NOT COVERED

Illinois Cardiovascular SpecialistsGood Shepard Hospital NOT COVERED

Imdad, Zarqa -MDGood Shepard Hospital NOT COVERED

Integrated Care, Inc.Good Shepard Hospital NOT COVERED

Integrated Imaging Consultants, LLCGood Shepard Hospital NOT COVERED

Inverarity, Laura -DOGood Shepard Hospital NOT COVERED

InVia FertilityGood Shepard Hospital NOT COVERED

Page 95

Page 96: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Issa, Nabil -MDGood Shepard Hospital NOT COVERED

Itri, Jason -MDGood Shepard Hospital NOT COVERED

Jabbarzadeh, Mehran -MDGood Shepard Hospital NOT COVERED

Jalalzai, Waheed -MDGood Shepard Hospital NOT COVERED

James A. Baird, DPM, PCGood Shepard Hospital NOT COVERED

James A. Wilcox, PCGood Shepard Hospital NOT COVERED

Jasonowicz, Steven -DPMGood Shepard Hospital NOT COVERED

Jawed, Sameena -MDGood Shepard Hospital NOT COVERED

Jednacz, Jeffrey -MDGood Shepard Hospital NOT COVERED

Jeffrey D. Gindorf, PCGood Shepard Hospital NOT COVERED

Jeffrey T. Bonk, D.D.SGood Shepard Hospital NOT COVERED

Jindal, Vishnu -MDGood Shepard Hospital NOT COVERED

John W. Van Gilder, DDSGood Shepard Hospital NOT COVERED

Johnson, Bruce -MDGood Shepard Hospital NOT COVERED

Jolepalem, Jyothi -MDGood Shepard Hospital NOT COVERED

Joseph V. Baldassano, DDS, MSD, LLCGood Shepard Hospital NOT COVERED

Kadakia, Sunil -MDGood Shepard Hospital COVERED UNDER FAP

Kalsi, Munesh -MDGood Shepard Hospital NOT COVERED

Kamholz, Katherine -MDGood Shepard Hospital NOT COVERED

Kanehann, Susan -MDGood Shepard Hospital NOT COVERED

Kanji, Shabbir -MDGood Shepard Hospital NOT COVERED

Kanter, Steven -MDGood Shepard Hospital NOT COVERED

Kanu Panchal MD, SCGood Shepard Hospital NOT COVERED

Kaplan, Abe -MDGood Shepard Hospital NOT COVERED

Kaplan, Richard -MDGood Shepard Hospital NOT COVERED

Kapoor, Rajeev -MDGood Shepard Hospital NOT COVERED

Kappil, Joseph -MDGood Shepard Hospital NOT COVERED

Karadsheh, Zeid -MDGood Shepard Hospital NOT COVERED

Karande, Vishvanath -MDGood Shepard Hospital NOT COVERED

Kartha, Krishnan -MDGood Shepard Hospital NOT COVERED

Katsamakis, George -MDGood Shepard Hospital NOT COVERED

Kaufman, Jonathan -MDGood Shepard Hospital NOT COVERED

Kay, Gary -MDGood Shepard Hospital NOT COVERED

Kellar, Dennis -MDGood Shepard Hospital NOT COVERED

Keller, Lacee -PAGood Shepard Hospital NOT COVERED

Kershaw, Kirsten -MDGood Shepard Hospital NOT COVERED

Kessler, Eric -MDGood Shepard Hospital NOT COVERED

Keuer, Brian -MDGood Shepard Hospital NOT COVERED

Khademi, Shawn -DPMGood Shepard Hospital NOT COVERED

Khan, Ahmir -MDGood Shepard Hospital NOT COVERED

Khandaker, Dilara -MDGood Shepard Hospital NOT COVERED

Khanna, Vikram -MDGood Shepard Hospital NOT COVERED

Kher, Nitin -MDGood Shepard Hospital NOT COVERED

Khurana, Deepak -MDGood Shepard Hospital NOT COVERED

Kidney Care Center Elgin, LLCGood Shepard Hospital NOT COVERED

Kiernan, Joseph -MDGood Shepard Hospital NOT COVERED

Kilgore, Kelli -DOGood Shepard Hospital NOT COVERED

Kipferl, Robert -DPMGood Shepard Hospital NOT COVERED

Kipferl, Steven -DPMGood Shepard Hospital NOT COVERED

Kirshenbaum, Kevin -MDGood Shepard Hospital NOT COVERED

Klingbeil, Jennifer -PAGood Shepard Hospital NOT COVERED

Klopack, Erin -NPGood Shepard Hospital NOT COVERED

Kobierska, Magdalena -MDGood Shepard Hospital NOT COVERED

Koehl, Justin -PAGood Shepard Hospital NOT COVERED

Kohn Group LTDGood Shepard Hospital NOT COVERED

Kohn, Robert -DOGood Shepard Hospital NOT COVERED

Kolb, John -MDGood Shepard Hospital NOT COVERED

Kolton, Bruce -MDGood Shepard Hospital NOT COVERED

Page 96

Page 97: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Kolton, Dana -MDGood Shepard Hospital NOT COVERED

Korpela, Daniel -PAGood Shepard Hospital NOT COVERED

Koterbski, Dawn -PAGood Shepard Hospital COVERED UNDER FAP

Kotzan, Carol -MDGood Shepard Hospital NOT COVERED

Kovach, Joan -CSAGood Shepard Hospital NOT COVERED

Krausz, David -MDGood Shepard Hospital NOT COVERED

Kreamer, Jeffry -DOGood Shepard Hospital NOT COVERED

Krishnamurthy, Anupama -DDSGood Shepard Hospital NOT COVERED

Kruckmeyer, Warren -MDGood Shepard Hospital COVERED UNDER FAP

Kubik, Gregory -DDSGood Shepard Hospital NOT COVERED

Kuesis, Daniel -MDGood Shepard Hospital NOT COVERED

Kuhlman, Donald -MDGood Shepard Hospital NOT COVERED

Kulkarni, Kedar -MDGood Shepard Hospital NOT COVERED

Kuo, Paul -MDGood Shepard Hospital NOT COVERED

Kurien, Sudha -NPGood Shepard Hospital COVERED UNDER FAP

Kurzer, Michael -MDGood Shepard Hospital COVERED UNDER FAP

Kutka, Bradley -MDGood Shepard Hospital NOT COVERED

Lake Barrington Women's Health Center PCGood Shepard Hospital NOT COVERED

Lake County Neurosurgery LLCGood Shepard Hospital NOT COVERED

Lake Shore Pediatrics, LtdGood Shepard Hospital NOT COVERED

LaReau, Amanda -MDGood Shepard Hospital NOT COVERED

Law, Amanda -NPGood Shepard Hospital NOT COVERED

Lawson, John -MDGood Shepard Hospital NOT COVERED

Lee, Andrew -MDGood Shepard Hospital NOT COVERED

Lee, Ashley -DPMGood Shepard Hospital NOT COVERED

Lee, Eugene -MDGood Shepard Hospital NOT COVERED

Lee, John -DOGood Shepard Hospital NOT COVERED

Lee, Len -DOGood Shepard Hospital NOT COVERED

Leeson, Sandra -PAGood Shepard Hospital NOT COVERED

Lehman & Menis Oral & Maxillofacial SurgGood Shepard Hospital NOT COVERED

Leonard, Deena -MDGood Shepard Hospital NOT COVERED

Leong, Seng -MDGood Shepard Hospital COVERED UNDER FAP

Lesser, Stuart -MDGood Shepard Hospital NOT COVERED

Lewis, Tamra -MDGood Shepard Hospital NOT COVERED

LG Healthcare, LLCGood Shepard Hospital NOT COVERED

Li, Jaslynn -MDGood Shepard Hospital NOT COVERED

Lincheck, Anna -NPGood Shepard Hospital NOT COVERED

Lincoln B Pain Clinic, Ltd.Good Shepard Hospital NOT COVERED

Lindberg, Amy -PAGood Shepard Hospital NOT COVERED

Liu, Jerry -MDGood Shepard Hospital COVERED UNDER FAP

Livingston, Gary -MDGood Shepard Hospital NOT COVERED

Lockhart, Kathleen -MDGood Shepard Hospital NOT COVERED

Lodowsky, Christopher -MDGood Shepard Hospital NOT COVERED

Long, Melissa -NPGood Shepard Hospital NOT COVERED

Loqman, Mabria -MDGood Shepard Hospital NOT COVERED

Lowenthal, Mark -MDGood Shepard Hospital NOT COVERED

Lukowski, Gregory -CSAGood Shepard Hospital NOT COVERED

Lutsi, Brant -MDGood Shepard Hospital NOT COVERED

Lutz, Thomas -MDGood Shepard Hospital NOT COVERED

Lyons, Rachel -NPGood Shepard Hospital NOT COVERED

MacGregor, Scott -DOGood Shepard Hospital NOT COVERED

Maddala, Vamsilatha -MDGood Shepard Hospital NOT COVERED

Madry, Stephen -MDGood Shepard Hospital NOT COVERED

Magee, Gary -MDGood Shepard Hospital NOT COVERED

Maheshwari, Hiralal -MDGood Shepard Hospital NOT COVERED

Mahmoud, Sarah -DMDGood Shepard Hospital NOT COVERED

Main-Benner, Carol -NPGood Shepard Hospital COVERED UNDER FAP

Main-Benner, Carol -NPGood Shepard Hospital NOT COVERED

Page 97

Page 98: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Mallick, Nadir -MDGood Shepard Hospital NOT COVERED

Mann, Stewart -MDGood Shepard Hospital NOT COVERED

Mannion, June -MDGood Shepard Hospital NOT COVERED

Marian, Camelia -MDGood Shepard Hospital NOT COVERED

Martinez, Charles -DDSGood Shepard Hospital NOT COVERED

Mbekeani, Kamana -MDGood Shepard Hospital NOT COVERED

McDermott, Raymond -DOGood Shepard Hospital NOT COVERED

McDonough, Richard -MDGood Shepard Hospital COVERED UNDER FAP

McEneaney, Patrick -DPMGood Shepard Hospital NOT COVERED

McHenry Heart InstituteGood Shepard Hospital NOT COVERED

McKelvey, Stacey -MDGood Shepard Hospital NOT COVERED

McKian, Kevin -MDGood Shepard Hospital NOT COVERED

McManigle, Kelley -DOGood Shepard Hospital COVERED UNDER FAP

McMillan, Susan -NPGood Shepard Hospital NOT COVERED

Medley, Brian -DOGood Shepard Hospital NOT COVERED

Meesala, Sandhya -MDGood Shepard Hospital NOT COVERED

Megahed, Amr -MDGood Shepard Hospital NOT COVERED

Mehmood, Sajid -MDGood Shepard Hospital NOT COVERED

Mehrotra, Puja -MDGood Shepard Hospital COVERED UNDER FAP

Mehta, Daksha -MDGood Shepard Hospital NOT COVERED

Menezes, Matthew -MDGood Shepard Hospital NOT COVERED

Menis, Michael -DDSGood Shepard Hospital NOT COVERED

Mercy Algonquin Medical CenterGood Shepard Hospital NOT COVERED

Mercy Barrington Medical CenterGood Shepard Hospital NOT COVERED

Mercy Crystal Lake Medical Center-EastGood Shepard Hospital NOT COVERED

Mercy Crystal Lake Medical Center-SouthGood Shepard Hospital NOT COVERED

Mercy Crystal Lake SouthGood Shepard Hospital NOT COVERED

Mercy McHenry Medical CenterGood Shepard Hospital NOT COVERED

Mercy Medical Center,WoodstockGood Shepard Hospital NOT COVERED

Mercy Woodstock Medical CenterGood Shepard Hospital NOT COVERED

Metro Infectious Disease Consultants, LLCGood Shepard Hospital NOT COVERED

Metz, Raymond -MDGood Shepard Hospital NOT COVERED

Meyer, Thomas -MDGood Shepard Hospital NOT COVERED

Michaels, Elizabeth -DOGood Shepard Hospital NOT COVERED

Midwest Bone & Joint InstituteGood Shepard Hospital NOT COVERED

Midwest Endocrinology, LLCGood Shepard Hospital NOT COVERED

Midwest Lakes Medical Center SCGood Shepard Hospital NOT COVERED

Mielke, Lauren -NPGood Shepard Hospital NOT COVERED

Millman, Leonard -MDGood Shepard Hospital NOT COVERED

Minciotti, Ann -MDGood Shepard Hospital NOT COVERED

Minneapolis VA Medical centerGood Shepard Hospital NOT COVERED

Minster, Riley -MDGood Shepard Hospital NOT COVERED

Mitchell, Richard -MDGood Shepard Hospital NOT COVERED

Mitra, Amitabha -MDGood Shepard Hospital NOT COVERED

Mitra, Deepak -MDGood Shepard Hospital COVERED UNDER FAP

Mo, Josephine -MDGood Shepard Hospital NOT COVERED

Modi, Tejal -PAGood Shepard Hospital NOT COVERED

Moduthagam, Asunta -MDGood Shepard Hospital COVERED UNDER FAP

Mohammad, Zulfiqar -MDGood Shepard Hospital NOT COVERED

Mohammed, Vikaruddin -MDGood Shepard Hospital NOT COVERED

Montalbano, Catherine -MDGood Shepard Hospital NOT COVERED

Montgomery, Travis -CSAGood Shepard Hospital NOT COVERED

Montoya Barraza, Roberto -MDGood Shepard Hospital NOT COVERED

Moran, Lisa -NPGood Shepard Hospital NOT COVERED

Motl, Jill -MDGood Shepard Hospital NOT COVERED

Mueller, Mary -PAGood Shepard Hospital COVERED UNDER FAP

Murati, Nehru -MDGood Shepard Hospital COVERED UNDER FAP

Murray, Jeffrey -MDGood Shepard Hospital NOT COVERED

Page 98

Page 99: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Muscavitch, Kelly -PAGood Shepard Hospital NOT COVERED

Mustafa, Fahad -MDGood Shepard Hospital COVERED UNDER FAP

Myasein, Aungnainghtun -MDGood Shepard Hospital NOT COVERED

Naaz-Ikramuddin, Parveen -MDGood Shepard Hospital NOT COVERED

Nabong, Ricardo -MDGood Shepard Hospital NOT COVERED

Nadar, Kenan -DOGood Shepard Hospital NOT COVERED

Nadimpalli, Suryaprakasharao -MDGood Shepard Hospital NOT COVERED

Nagel, Philip -MDGood Shepard Hospital NOT COVERED

Nahra, George -MDGood Shepard Hospital NOT COVERED

Nani, Jane -MDGood Shepard Hospital NOT COVERED

Narang, Arun -MDGood Shepard Hospital COVERED UNDER FAP

Narang, Parmod -MDGood Shepard Hospital COVERED UNDER FAP

Narang, Sunita -MDGood Shepard Hospital COVERED UNDER FAP

Nath, Ranjana -MDGood Shepard Hospital NOT COVERED

Nayak, Hemal -MDGood Shepard Hospital NOT COVERED

Nayak, Sujatha -MDGood Shepard Hospital COVERED UNDER FAP

Nazarian, Arthur -MDGood Shepard Hospital COVERED UNDER FAP

Neerhof, Mark -DOGood Shepard Hospital NOT COVERED

Nephrology Associates of Northern Illinois, LTDGood Shepard Hospital NOT COVERED

Nepomuceno, Daniel -MDGood Shepard Hospital NOT COVERED

Nepomuceno, Jenie -MDGood Shepard Hospital NOT COVERED

Nicell, Donald -MDGood Shepard Hospital NOT COVERED

Niermeyer, Alexa -PAGood Shepard Hospital NOT COVERED

Nieves, Jennifer -NPGood Shepard Hospital NOT COVERED

Nitin Kher, MD SCGood Shepard Hospital NOT COVERED

Norbeck, David -MDGood Shepard Hospital NOT COVERED

Northern Illinois Foot & Ankle Specialists, LtdGood Shepard Hospital NOT COVERED

NorthShore University Health SystemGood Shepard Hospital NOT COVERED

Northwest Eye CenterGood Shepard Hospital NOT COVERED

Northwest Kidney Specialists, IncGood Shepard Hospital NOT COVERED

Northwest Neurology, LtdGood Shepard Hospital NOT COVERED

Northwest Oncology & Hematology, SCGood Shepard Hospital NOT COVERED

Northwest Pulmonary and Sleep Medicine, SCGood Shepard Hospital NOT COVERED

Northwest Rheumatology Specialists, SCGood Shepard Hospital NOT COVERED

Northwest Suburban Foot and Ankle ClinicGood Shepard Hospital NOT COVERED

Novak, Kasi -NPGood Shepard Hospital NOT COVERED

Novas Dohr & Coll OB/GYN Associates, SCGood Shepard Hospital NOT COVERED

Novas, Jeanne -MDGood Shepard Hospital NOT COVERED

O Brien, Erin -MDGood Shepard Hospital NOT COVERED

O. Bartolomeo MD, SCGood Shepard Hospital NOT COVERED

O'Connell, John -DOGood Shepard Hospital NOT COVERED

O'Donnell, Brynn -NPGood Shepard Hospital COVERED UNDER FAP

ODonnell, Michael -MDGood Shepard Hospital NOT COVERED

Ogino-McElligott, Makiko -PAGood Shepard Hospital NOT COVERED

Oh, Richard -MDGood Shepard Hospital NOT COVERED

OMSO Medical, LtdGood Shepard Hospital NOT COVERED

Ondrula, David -MDGood Shepard Hospital NOT COVERED

Onwuta, J. -MDGood Shepard Hospital COVERED UNDER FAP

Oommen, Jacob -MDGood Shepard Hospital NOT COVERED

OrthoIllinoisGood Shepard Hospital NOT COVERED

Orthopaedic Surgery Specialists, LtdGood Shepard Hospital NOT COVERED

Oryhon, Jeremy -MDGood Shepard Hospital NOT COVERED

O'Shea, Jennifer -PAGood Shepard Hospital NOT COVERED

Ostrowski, Arthur -MDGood Shepard Hospital NOT COVERED

Ostrowski, Eva -MDGood Shepard Hospital NOT COVERED

Ouyang, David -MDGood Shepard Hospital NOT COVERED

Pacific Vein CareGood Shepard Hospital NOT COVERED

Padmini Thakkar, MD, SCGood Shepard Hospital NOT COVERED

Page 99

Page 100: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Panchal, Kanu -MDGood Shepard Hospital NOT COVERED

Panchal, Surbhi -MDGood Shepard Hospital NOT COVERED

Pandey, Anita -MDGood Shepard Hospital NOT COVERED

Parekh, Nita -MDGood Shepard Hospital NOT COVERED

Park Leonard, Catherine -MDGood Shepard Hospital NOT COVERED

Parkey, Joe -MDGood Shepard Hospital NOT COVERED

Parnell, Jeffrey -MDGood Shepard Hospital NOT COVERED

Pasquesi, Sayra -PAGood Shepard Hospital NOT COVERED

Patel, Anil -MDGood Shepard Hospital NOT COVERED

Patel, Ankita -MDGood Shepard Hospital NOT COVERED

Patel, Dipika -MDGood Shepard Hospital NOT COVERED

Patel, Hemendra -MDGood Shepard Hospital COVERED UNDER FAP

Patel, Kumkum -MDGood Shepard Hospital NOT COVERED

Patel, Paras -MDGood Shepard Hospital NOT COVERED

Patel, Priyesh -MDGood Shepard Hospital NOT COVERED

Patel, Sejal -MDGood Shepard Hospital NOT COVERED

Patel, Smitesh -MDGood Shepard Hospital NOT COVERED

Patel, Subhash -MDGood Shepard Hospital NOT COVERED

Patel, Swastika -NPGood Shepard Hospital COVERED UNDER FAP

Patenio, Melissa -DDSGood Shepard Hospital NOT COVERED

Pathadan, Nileena -NPGood Shepard Hospital NOT COVERED

Pediatric Care, PCGood Shepard Hospital NOT COVERED

Pediatric Specialists of the NorthwestGood Shepard Hospital NOT COVERED

PediaTrust, LLCGood Shepard Hospital NOT COVERED

Pelletiere, Christopher -MDGood Shepard Hospital NOT COVERED

Pelletreau, Cathleen -NPGood Shepard Hospital NOT COVERED

Perlmutter, Jack -MDGood Shepard Hospital NOT COVERED

Pesavento, Daniel -MDGood Shepard Hospital NOT COVERED

Petchenik, Lon -MDGood Shepard Hospital NOT COVERED

Petersen, Brent -MDGood Shepard Hospital COVERED UNDER FAP

Peterson, Matthew -MDGood Shepard Hospital NOT COVERED

Pinto, Jack -MDGood Shepard Hospital NOT COVERED

Plein, Colleen -MDGood Shepard Hospital NOT COVERED

Pohlman, Samantha -PAGood Shepard Hospital NOT COVERED

Polito, William -MDGood Shepard Hospital NOT COVERED

Pollastrini, John -MDGood Shepard Hospital COVERED UNDER FAP

Poshni, Aftab -MDGood Shepard Hospital NOT COVERED

Poulos, Christine -MDGood Shepard Hospital NOT COVERED

Prasad, Bharati -MDGood Shepard Hospital NOT COVERED

Premier Eye Care & Surgery, LtdGood Shepard Hospital NOT COVERED

Priest, Edwin -MDGood Shepard Hospital NOT COVERED

Pugnale, Marci -MDGood Shepard Hospital NOT COVERED

Pulmonary Critical Care & Sleep Medicine Specialists, SCGood Shepard Hospital NOT COVERED

Pulmonary MedicineGood Shepard Hospital NOT COVERED

Quinn, Tracy -DOGood Shepard Hospital COVERED UNDER FAP

Quraishi, Hanzla -MDGood Shepard Hospital NOT COVERED

Radiation Oncology Consultants LtdGood Shepard Hospital NOT COVERED

Rahaby, Mouyyad -MDGood Shepard Hospital NOT COVERED

Ram, Priti -MDGood Shepard Hospital NOT COVERED

Ramirez-Dolleton, Racquel -MDGood Shepard Hospital NOT COVERED

Rampurwala, Mariya -MDGood Shepard Hospital NOT COVERED

Randolph, Guy -MDGood Shepard Hospital NOT COVERED

Rao, Madhavi -MDGood Shepard Hospital NOT COVERED

Rappleye, Mark -DDSGood Shepard Hospital NOT COVERED

Ratnani, Iqbal -MDGood Shepard Hospital NOT COVERED

Rawal, Paresh -MDGood Shepard Hospital NOT COVERED

Regency Medical Center, PCGood Shepard Hospital NOT COVERED

Rehabilitation Institute of ChicagoGood Shepard Hospital NOT COVERED

Page 100

Page 101: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Reilly, Michael -MDGood Shepard Hospital NOT COVERED

Resnick, Alan -MDGood Shepard Hospital NOT COVERED

Retina Services of Illinois, LLCGood Shepard Hospital NOT COVERED

RIC- Physicial Medicine & RehabiliationGood Shepard Hospital NOT COVERED

Ricardo N. Nabong, MD, SCGood Shepard Hospital NOT COVERED

Richter, Amy -PAGood Shepard Hospital COVERED UNDER FAP

Rickman, Christopher -MDGood Shepard Hospital NOT COVERED

Rivard, Daniel -MDGood Shepard Hospital NOT COVERED

Robbins, Joel -MDGood Shepard Hospital NOT COVERED

Robert S. Kipferl, DPM, SCGood Shepard Hospital NOT COVERED

Robert Schwartzenberg, MD, PCGood Shepard Hospital NOT COVERED

Robinette, Alison -MDGood Shepard Hospital NOT COVERED

Roche, Jessica -NPGood Shepard Hospital NOT COVERED

Rodgers, Allison -MDGood Shepard Hospital NOT COVERED

Roeske, Stephen -DPMGood Shepard Hospital NOT COVERED

Rogge, Kathryn -NPGood Shepard Hospital NOT COVERED

Roig, Michele -MDGood Shepard Hospital NOT COVERED

Romer, Stephanie -NPGood Shepard Hospital NOT COVERED

Rommel, Jennee -MDGood Shepard Hospital NOT COVERED

Romolo, Robert -DOGood Shepard Hospital NOT COVERED

Roseann Brady, DO, SCGood Shepard Hospital NOT COVERED

Rosen, Barry -MDGood Shepard Hospital NOT COVERED

Rosen, David -MDGood Shepard Hospital NOT COVERED

Rosen, Thomas -PAGood Shepard Hospital NOT COVERED

Rosenthal, Kimberly -DOGood Shepard Hospital NOT COVERED

Rosner, Karol -MDGood Shepard Hospital NOT COVERED

Ross, Sheri -MDGood Shepard Hospital NOT COVERED

Ruffer, James -MDGood Shepard Hospital NOT COVERED

Rush University Medical CenterGood Shepard Hospital NOT COVERED

Russell, Eleanor -NPGood Shepard Hospital NOT COVERED

Sahay, Manisha -MDGood Shepard Hospital NOT COVERED

Saikh, Shahariar -MDGood Shepard Hospital NOT COVERED

Saini, Gurbax -MDGood Shepard Hospital COVERED UNDER FAP

Saini, Ravinder -NPGood Shepard Hospital NOT COVERED

Saltzman, David -MDGood Shepard Hospital NOT COVERED

Salvi, Thomas -MDGood Shepard Hospital NOT COVERED

Salzman, Ryan -DOGood Shepard Hospital NOT COVERED

Samuels, Jane -NPGood Shepard Hospital NOT COVERED

Samuels, Jordan -MDGood Shepard Hospital NOT COVERED

Sanchez, Oscar -MDGood Shepard Hospital NOT COVERED

Sapountzi, Paraskevi -MDGood Shepard Hospital NOT COVERED

Sarker, Sharfi -MDGood Shepard Hospital NOT COVERED

Savino, Anthony -MDGood Shepard Hospital NOT COVERED

Sawant, Anjali -MDGood Shepard Hospital COVERED UNDER FAP

Schnack, Bradley -MDGood Shepard Hospital NOT COVERED

Schneider, David -DOGood Shepard Hospital NOT COVERED

Schrage, Andrea -PAGood Shepard Hospital NOT COVERED

Schroeder, Robert -MDGood Shepard Hospital NOT COVERED

Schwartz, Glenn -MDGood Shepard Hospital NOT COVERED

Schwartzenberg, Robert -MDGood Shepard Hospital NOT COVERED

Seeds, James -MDGood Shepard Hospital NOT COVERED

Seneviratne, Krishanthi -MDGood Shepard Hospital NOT COVERED

Senior Healthcare Solutions, IncGood Shepard Hospital NOT COVERED

Sethi, Aman -MDGood Shepard Hospital COVERED UNDER FAP

Shade, Ronald -MDGood Shepard Hospital NOT COVERED

Shah, Aditi -MDGood Shepard Hospital NOT COVERED

Shah, Amit -MDGood Shepard Hospital NOT COVERED

Shah, Una -MDGood Shepard Hospital NOT COVERED

Page 101

Page 102: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Shahid Ilahi, MD, SCGood Shepard Hospital NOT COVERED

Shareef, Naushin -MDGood Shepard Hospital NOT COVERED

Sharma, Raja -MDGood Shepard Hospital NOT COVERED

Sharma, Rani -MDGood Shepard Hospital COVERED UNDER FAP

Sharp, Cindy -NPGood Shepard Hospital NOT COVERED

Sheehan, Jessica -MDGood Shepard Hospital NOT COVERED

Sheikh, Syema -MDGood Shepard Hospital NOT COVERED

Sheinkop, Susan -MDGood Shepard Hospital NOT COVERED

Shen, Emily -MDGood Shepard Hospital NOT COVERED

Sherman, Sanford -MDGood Shepard Hospital NOT COVERED

Shirazi, Mobeen -MDGood Shepard Hospital NOT COVERED

Shoults, Kevin -MDGood Shepard Hospital NOT COVERED

Sibol, Michael -MDGood Shepard Hospital COVERED UNDER FAP

Siddiqui, Saba -MDGood Shepard Hospital NOT COVERED

Simon, Melinda -MDGood Shepard Hospital NOT COVERED

Singh, Amarjit -MDGood Shepard Hospital NOT COVERED

Singh, Sutpal -DPMGood Shepard Hospital NOT COVERED

Small, Robert -MDGood Shepard Hospital NOT COVERED

Smith, Rebecca -NPGood Shepard Hospital NOT COVERED

Smyrniotis, George -MDGood Shepard Hospital NOT COVERED

Snyder, Brenda -DOGood Shepard Hospital NOT COVERED

So, Daniel -MDGood Shepard Hospital NOT COVERED

Sokol, Joshua -MDGood Shepard Hospital NOT COVERED

Sommerfeld, Barry -MDGood Shepard Hospital NOT COVERED

Soorya, Ranjana -MDGood Shepard Hospital NOT COVERED

Soruco, Luis -MDGood Shepard Hospital NOT COVERED

Spangler, Chad -MDGood Shepard Hospital NOT COVERED

Sparrow, Michelle -NPGood Shepard Hospital NOT COVERED

Specialists in GastroenterologyGood Shepard Hospital NOT COVERED

Specialty Care Institute, SCGood Shepard Hospital NOT COVERED

Spohnholtz, Dawn -CSAGood Shepard Hospital NOT COVERED

Sriram, Krishnan -MDGood Shepard Hospital NOT COVERED

Staicu, Irina -MDGood Shepard Hospital COVERED UNDER FAP

Statkus, Rimvydas -DPMGood Shepard Hospital NOT COVERED

Stefani, Margaret -DOGood Shepard Hospital NOT COVERED

Stein, Ty -MDGood Shepard Hospital NOT COVERED

Stephen Madry, MD, SCGood Shepard Hospital NOT COVERED

Steven P Kipferl, DPM PCGood Shepard Hospital NOT COVERED

Subramanian, Sanjay -MDGood Shepard Hospital NOT COVERED

Suburban Ear Nose & Throat Associates, LtdGood Shepard Hospital NOT COVERED

Suburban Endocrinology and Diabetes, LLPGood Shepard Hospital NOT COVERED

Suburban Sleep and Pulmonary Medicine SCGood Shepard Hospital NOT COVERED

Sullivan, Scott -MDGood Shepard Hospital NOT COVERED

Sutcliffe, Joan -MDGood Shepard Hospital NOT COVERED

Swisher, Jefferson -PAGood Shepard Hospital NOT COVERED

Syed, Mukaramullah -MDGood Shepard Hospital NOT COVERED

Tajuddin, Al-Karim -MDGood Shepard Hospital NOT COVERED

Talwar, Ritu -MDGood Shepard Hospital NOT COVERED

Tan, Kelly -MDGood Shepard Hospital NOT COVERED

Taub, Amy -MDGood Shepard Hospital NOT COVERED

Thakkar, Padmini -MDGood Shepard Hospital NOT COVERED

Thayu, Sivakami -MDGood Shepard Hospital COVERED UNDER FAP

The American Center for Spine & Neurosurgery, LLCGood Shepard Hospital NOT COVERED

The Elgin Clinic, LtdGood Shepard Hospital NOT COVERED

Thompson, Andrew -MDGood Shepard Hospital NOT COVERED

Thompson, Mark -MDGood Shepard Hospital NOT COVERED

Thomson, Leroy -MDGood Shepard Hospital NOT COVERED

Thress, Tyler -MDGood Shepard Hospital NOT COVERED

Page 102

Page 103: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Thrive OB, SCGood Shepard Hospital NOT COVERED

Tjaden, Jason -MDGood Shepard Hospital NOT COVERED

Tomasian, Douglas -MDGood Shepard Hospital NOT COVERED

Tomchik, Kenneth -MDGood Shepard Hospital NOT COVERED

Tonkovic, Russell -MDGood Shepard Hospital COVERED UNDER FAP

Trauscht, Ann -MDGood Shepard Hospital COVERED UNDER FAP

Trauscht, Robert -MDGood Shepard Hospital COVERED UNDER FAP

Tri-County Emergency Physicians LtdGood Shepard Hospital NOT COVERED

Tri-County Emergency Physicians, LtdGood Shepard Hospital NOT COVERED

Troy, Richard -MDGood Shepard Hospital NOT COVERED

Tsonis, George -MDGood Shepard Hospital NOT COVERED

Tsoutsias, George -MDGood Shepard Hospital NOT COVERED

Tzelepis, Elias -MDGood Shepard Hospital NOT COVERED

Uhl, Justin -MDGood Shepard Hospital NOT COVERED

Underwood, Amy -PAGood Shepard Hospital NOT COVERED

University Gynecologic Oncology Assoc.Good Shepard Hospital NOT COVERED

University Medicine and CardiologyGood Shepard Hospital NOT COVERED

Uraizee, Faheem -MDGood Shepard Hospital COVERED UNDER FAP

Urban, George -MDGood Shepard Hospital NOT COVERED

UrbanCare Internal MedicineGood Shepard Hospital NOT COVERED

UrbanCare, LLCGood Shepard Hospital NOT COVERED

Van Gilder, John -DDSGood Shepard Hospital NOT COVERED

Vedak, Chandragupta -MDGood Shepard Hospital NOT COVERED

Vein Specialists of IllinoisGood Shepard Hospital NOT COVERED

Vemuri, Preeti -MDGood Shepard Hospital NOT COVERED

Verzal, Rhonda -MDGood Shepard Hospital NOT COVERED

Virtual Radiologic Professionals, LLCGood Shepard Hospital NOT COVERED

Votapka, Timothy -MDGood Shepard Hospital NOT COVERED

Wallen, Ashley -NPGood Shepard Hospital NOT COVERED

Ward, Ashley -NPGood Shepard Hospital NOT COVERED

Warren, Ann -MDGood Shepard Hospital COVERED UNDER FAP

Warren, Jonathan -MDGood Shepard Hospital NOT COVERED

Wear, Vanessa -MDGood Shepard Hospital NOT COVERED

Weiner, Glenn -DOGood Shepard Hospital NOT COVERED

Weiss, Debbie -MDGood Shepard Hospital COVERED UNDER FAP

Wessendorf, Kimberly -NPGood Shepard Hospital COVERED UNDER FAP

Weston, Anthony -MDGood Shepard Hospital COVERED UNDER FAP

Weyburn, Thomas -DOGood Shepard Hospital COVERED UNDER FAP

Whispering Point Ophthalmology SCGood Shepard Hospital NOT COVERED

Wilcox, James -DOGood Shepard Hospital NOT COVERED

Wittkopf, Justin -MDGood Shepard Hospital NOT COVERED

Wittkopf, Maria -MDGood Shepard Hospital NOT COVERED

Wool, Daniel -MDGood Shepard Hospital NOT COVERED

Wu, Ning -MDGood Shepard Hospital NOT COVERED

Wuertz, Peter -MDGood Shepard Hospital NOT COVERED

Xu, Lai -MDGood Shepard Hospital NOT COVERED

Yalovetskiy, Igor -PAGood Shepard Hospital NOT COVERED

Yorulmazoglu, Erol -MDGood Shepard Hospital NOT COVERED

Yu, Andrew -MDGood Shepard Hospital COVERED UNDER FAP

Yuk, Antonio -MDGood Shepard Hospital NOT COVERED

Zarzuela, Angeline -MDGood Shepard Hospital NOT COVERED

Zhang, Jeanie -MDGood Shepard Hospital NOT COVERED

Zielinski, Matthew -DDSGood Shepard Hospital NOT COVERED

Abdelsalam, Ahmed -MDIllinois Masonic Medical Center NOT COVERED

Abt and Willis Family DentistryIllinois Masonic Medical Center NOT COVERED

Ackerman, Jeffrey -MDIllinois Masonic Medical Center NOT COVERED

Adajar, Marc -MDIllinois Masonic Medical Center NOT COVERED

Adesuyi, Adeola -CRNAIllinois Masonic Medical Center NOT COVERED

Page 103

Page 104: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Adisa, Motunrayo -MDIllinois Masonic Medical Center NOT COVERED

Advanced Cancer Clinic, LtdIllinois Masonic Medical Center NOT COVERED

Advanced GI, LLCIllinois Masonic Medical Center NOT COVERED

Advanced Sinus and Allergy Center, SCIllinois Masonic Medical Center NOT COVERED

Advanced Skin and Mohs Surgery CenterIllinois Masonic Medical Center NOT COVERED

Advanced Women's Health of Chicago, SCIllinois Masonic Medical Center NOT COVERED

Advocate Medical Group - 836 W Wellington - Congestive Heart FailureIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group - Chicago - 900 W Nelson - Digestive HealthIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group - Chicago - North BroadwayIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group - Chicago N Clark - CardiologyIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group - Chicago N Clark - EndocrinologyIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group - Chicago N Clark - Internal MedicineIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group - Chicago N Clark - MidwiferyIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group - Chicago N Clark - NeurologyIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group - Chicago N Clark - OBGYNIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group - Chicago N Halsted - NeurosurgeryIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group - Chicago N Halsted - SurgeryIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group - Chicago N Halsted - Vascular SurgeryIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group - Chicago N Ravenswood - NeurologyIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group - Lakeview Immediate CareIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group AntenatalIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group Chicago 4600 N Ravenswood Ave OBGYNIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group Chicago-North Cicero AvenueIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group Halsted and BlackhawkIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group Halsted UrogynecologyIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group Halsted UrologyIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group Maternal FetalIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group Nesset Internal MedicineIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group Pediatrics Developmental CenterIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group Ravenswood Family MedicineIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group Ravenswood Primary CareIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group Rheumatology CenterIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group Trauma SurgeryIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group Yacktman Peds CardiologyIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group-Chicago-1273 N MilwaukeeIllinois Masonic Medical Center COVERED UNDER FAP

Advocate Medical Group-Chicago-836 W Wellington Ave-NeonatologyIllinois Masonic Medical Center COVERED UNDER FAP

Aggarwal, Smita -MDIllinois Masonic Medical Center NOT COVERED

Aghajani, Katayoun -MDIllinois Masonic Medical Center NOT COVERED

Ahluwalia, Mukesh -MDIllinois Masonic Medical Center NOT COVERED

Ahmad, Amjad -MDIllinois Masonic Medical Center NOT COVERED

Ahmed, Shaheena -DOIllinois Masonic Medical Center NOT COVERED

AKG Medical Service CorporationIllinois Masonic Medical Center NOT COVERED

Akhter, Syed -MDIllinois Masonic Medical Center NOT COVERED

Akinde, Kudus -MDIllinois Masonic Medical Center COVERED UNDER FAP

Aklilu, Mebea -MDIllinois Masonic Medical Center COVERED UNDER FAP

Alameda Foot Center PCIllinois Masonic Medical Center NOT COVERED

Alameda, David -DPMIllinois Masonic Medical Center NOT COVERED

Alasadi, Rusul -MDIllinois Masonic Medical Center COVERED UNDER FAP

Albert, Andrew -MDIllinois Masonic Medical Center NOT COVERED

Alde, Jonathan -MDIllinois Masonic Medical Center NOT COVERED

Alderman, Sarah -MDIllinois Masonic Medical Center NOT COVERED

Aleksandar L. Krunic, MD, SCIllinois Masonic Medical Center NOT COVERED

Alenta Health Immediate Care, LLCIllinois Masonic Medical Center NOT COVERED

Alexander-El, Troy -MDIllinois Masonic Medical Center NOT COVERED

Ali, S. -MDIllinois Masonic Medical Center COVERED UNDER FAP

AliKhan, Nadira -MDIllinois Masonic Medical Center NOT COVERED

Alile, Noredia -MDIllinois Masonic Medical Center COVERED UNDER FAP

Alischoewski, Kerstin -MDIllinois Masonic Medical Center NOT COVERED

Page 104

Page 105: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

All For Women Healthcare, SCIllinois Masonic Medical Center NOT COVERED

All Kids DentalIllinois Masonic Medical Center NOT COVERED

All Women's Medical CenterIllinois Masonic Medical Center NOT COVERED

Allegretti, Joseph -MDIllinois Masonic Medical Center NOT COVERED

Allen, Joyce -NPIllinois Masonic Medical Center NOT COVERED

Allen, Neil -MDIllinois Masonic Medical Center NOT COVERED

Allergy Center, Inc.Illinois Masonic Medical Center NOT COVERED

Alvarez, Juan -MDIllinois Masonic Medical Center NOT COVERED

Amde, Wendewessen -MDIllinois Masonic Medical Center NOT COVERED

American Indian Health Services, ChicagoIllinois Masonic Medical Center NOT COVERED

American Medical AssociationIllinois Masonic Medical Center NOT COVERED

Amin, Nilam -DOIllinois Masonic Medical Center NOT COVERED

AMITA Health Medical GroupIllinois Masonic Medical Center NOT COVERED

Amjad Z. Ahmad, MD, SCIllinois Masonic Medical Center NOT COVERED

Anderson, Christine -MDIllinois Masonic Medical Center NOT COVERED

Anderson, Lynn -MDIllinois Masonic Medical Center NOT COVERED

Andreeva, Ilina -MDIllinois Masonic Medical Center NOT COVERED

Aneziokoro, Ogbonnaya -MDIllinois Masonic Medical Center NOT COVERED

Anil Shah MD FACS SCIllinois Masonic Medical Center NOT COVERED

Ankle N Foot Centers, LLCIllinois Masonic Medical Center NOT COVERED

Antoine, Ranae -MDIllinois Masonic Medical Center NOT COVERED

Anyadike, David -MDIllinois Masonic Medical Center NOT COVERED

Aparicio, Alejandro -MDIllinois Masonic Medical Center NOT COVERED

Applebaum, Michael -MDIllinois Masonic Medical Center NOT COVERED

Aquino, Benjamin -MDIllinois Masonic Medical Center NOT COVERED

Arbor Center for Eyecare, SCIllinois Masonic Medical Center NOT COVERED

Archer Dental SpecialistIllinois Masonic Medical Center NOT COVERED

Archer Family DentalIllinois Masonic Medical Center NOT COVERED

Arekapudi, Swathi -MDIllinois Masonic Medical Center NOT COVERED

Arekapudi, Vijayalakshmi -MDIllinois Masonic Medical Center NOT COVERED

Arnau-Gonzalez, Julio -MDIllinois Masonic Medical Center COVERED UNDER FAP

Arons, James -DOIllinois Masonic Medical Center NOT COVERED

Aronson, Andrew -MDIllinois Masonic Medical Center NOT COVERED

Arun, Haleyur -MDIllinois Masonic Medical Center NOT COVERED

Arun, Veena -MDIllinois Masonic Medical Center NOT COVERED

Asad Zaman, MD, SCIllinois Masonic Medical Center NOT COVERED

Ashland Medical ClinicIllinois Masonic Medical Center NOT COVERED

Ashok M. Doshi, MD, SC, Ltd.Illinois Masonic Medical Center NOT COVERED

Asselmeier, Scott -MDIllinois Masonic Medical Center NOT COVERED

Associates in Nephrology, SCIllinois Masonic Medical Center NOT COVERED

Atallah, Carl -DOIllinois Masonic Medical Center NOT COVERED

Atcha, Ismail -MDIllinois Masonic Medical Center NOT COVERED

Atri, Nipun -MDIllinois Masonic Medical Center NOT COVERED

Auerbach, Larry -MDIllinois Masonic Medical Center NOT COVERED

August, Carey -MDIllinois Masonic Medical Center NOT COVERED

Azad, Hema -MDIllinois Masonic Medical Center NOT COVERED

Aziz, Saad -DOIllinois Masonic Medical Center NOT COVERED

Babbin, Lindsey -MDIllinois Masonic Medical Center NOT COVERED

Babiarz, Jennifer -PAIllinois Masonic Medical Center COVERED UNDER FAP

Baddi, Ajay -MDIllinois Masonic Medical Center COVERED UNDER FAP

Badlani, Ravi -MDIllinois Masonic Medical Center NOT COVERED

Bahk, Jane -MDIllinois Masonic Medical Center NOT COVERED

Bahrani, Neda -DOIllinois Masonic Medical Center COVERED UNDER FAP

Baim, Howard -MDIllinois Masonic Medical Center NOT COVERED

Baker, Jeffrey -DPMIllinois Masonic Medical Center NOT COVERED

Baker, Kristin -PAIllinois Masonic Medical Center NOT COVERED

Balu Nataranjan MD, SCIllinois Masonic Medical Center NOT COVERED

Barajas, Antonio -MDIllinois Masonic Medical Center NOT COVERED

Page 105

Page 106: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Baral, Irene -MDIllinois Masonic Medical Center NOT COVERED

Baron, Tova -NPIllinois Masonic Medical Center COVERED UNDER FAP

Barrett, James -MDIllinois Masonic Medical Center NOT COVERED

Barrios, Antonio -MDIllinois Masonic Medical Center NOT COVERED

Barry Summers, MD, SCIllinois Masonic Medical Center NOT COVERED

Barry, Martha -CNMIllinois Masonic Medical Center COVERED UNDER FAP

Bartman, Howard -MDIllinois Masonic Medical Center NOT COVERED

Baskin, Rachel -MDIllinois Masonic Medical Center COVERED UNDER FAP

Basnillo-San Diego, Venus Liezl -NPIllinois Masonic Medical Center NOT COVERED

Basques, Kyle -MDIllinois Masonic Medical Center NOT COVERED

Bastani, Ahmad -MDIllinois Masonic Medical Center NOT COVERED

Batra, Shivani -DOIllinois Masonic Medical Center NOT COVERED

Bauer, Sarah -MDIllinois Masonic Medical Center COVERED UNDER FAP

Baus, Abbey -PAIllinois Masonic Medical Center NOT COVERED

Bautista, Maria -MDIllinois Masonic Medical Center NOT COVERED

Bayers, Stephanie -MDIllinois Masonic Medical Center NOT COVERED

Beaird Dermatology, SCIllinois Masonic Medical Center NOT COVERED

Beall Sacasa, Allan -MDIllinois Masonic Medical Center COVERED UNDER FAP

Bear, Marc -MDIllinois Masonic Medical Center NOT COVERED

Beck, Traci -MDIllinois Masonic Medical Center COVERED UNDER FAP

Bedon, Ana -CNSIllinois Masonic Medical Center NOT COVERED

Behal, Rajan -MDIllinois Masonic Medical Center NOT COVERED

Behnke, Pamela -CNMIllinois Masonic Medical Center NOT COVERED

Belingon-Suerte, Cielo -MDIllinois Masonic Medical Center NOT COVERED

Beltran, Liset -DDSIllinois Masonic Medical Center NOT COVERED

Beltsos, Angeline -MDIllinois Masonic Medical Center NOT COVERED

Benjamin, Jessica -MDIllinois Masonic Medical Center COVERED UNDER FAP

Benz, James -DDSIllinois Masonic Medical Center NOT COVERED

Berger, Daniel -MDIllinois Masonic Medical Center NOT COVERED

Berk, Mark -MDIllinois Masonic Medical Center NOT COVERED

Besse, Anthony -DDSIllinois Masonic Medical Center NOT COVERED

Best Practices Inpatient Care, LtdIllinois Masonic Medical Center NOT COVERED

Bhaiji, Azmina -MDIllinois Masonic Medical Center COVERED UNDER FAP

Bhatia, Ajay -MDIllinois Masonic Medical Center NOT COVERED

Bicalho, Silvia -MDIllinois Masonic Medical Center COVERED UNDER FAP

Bilinski, Robert -MDIllinois Masonic Medical Center NOT COVERED

Bishop, Margaret -CRNAIllinois Masonic Medical Center NOT COVERED

Bloniarz, Dorothy -MDIllinois Masonic Medical Center NOT COVERED

Bloom Plastic Surgery, SCIllinois Masonic Medical Center NOT COVERED

Bloom, Jacob -MDIllinois Masonic Medical Center NOT COVERED

Blum, Corinne -MDIllinois Masonic Medical Center NOT COVERED

Bonasera, Lara -MDIllinois Masonic Medical Center NOT COVERED

Boyer, Jerrel -DOIllinois Masonic Medical Center COVERED UNDER FAP

Brady, Peter -MDIllinois Masonic Medical Center COVERED UNDER FAP

Branch, Riva -MDIllinois Masonic Medical Center COVERED UNDER FAP

Braunstein, Sara -DOIllinois Masonic Medical Center COVERED UNDER FAP

Broadway Medical Office, SCIllinois Masonic Medical Center NOT COVERED

Brown, Clarence -MDIllinois Masonic Medical Center NOT COVERED

Brown, Cory -MDIllinois Masonic Medical Center NOT COVERED

Brown, Finley -MDIllinois Masonic Medical Center NOT COVERED

Brown, Leah -PAIllinois Masonic Medical Center NOT COVERED

Brown, Sara -DOIllinois Masonic Medical Center COVERED UNDER FAP

Buch, Deep -MDIllinois Masonic Medical Center COVERED UNDER FAP

Buddharaju, Venkata -MDIllinois Masonic Medical Center NOT COVERED

Buder, Alex -MDIllinois Masonic Medical Center NOT COVERED

Buse, Susan -CNSIllinois Masonic Medical Center NOT COVERED

Buyea, Bridget -MDIllinois Masonic Medical Center NOT COVERED

Byrne, Elizabeth -MDIllinois Masonic Medical Center COVERED UNDER FAP

Page 106

Page 107: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Cabai, Jillian -DPMIllinois Masonic Medical Center NOT COVERED

Caballero, Nadieska -MDIllinois Masonic Medical Center NOT COVERED

Cabiya, Marie -MDIllinois Masonic Medical Center COVERED UNDER FAP

Cahill, Casey -MDIllinois Masonic Medical Center NOT COVERED

CAM Medical Group, SCIllinois Masonic Medical Center NOT COVERED

Campbell, MaiBritt -MDIllinois Masonic Medical Center NOT COVERED

Cancer Treatment CenterIllinois Masonic Medical Center NOT COVERED

Candido, Kenneth -MDIllinois Masonic Medical Center NOT COVERED

Cano, Mariela -MDIllinois Masonic Medical Center COVERED UNDER FAP

Cardiac Associates SCIllinois Masonic Medical Center NOT COVERED

Cardiac Surgery Associates, SCIllinois Masonic Medical Center NOT COVERED

Care EndodonticsIllinois Masonic Medical Center NOT COVERED

Carlos H. Zambrano, MD, LLCIllinois Masonic Medical Center NOT COVERED

Carlos, Ilona -MDIllinois Masonic Medical Center NOT COVERED

Carqueville, Jordan -MDIllinois Masonic Medical Center NOT COVERED

Carrara, Julianne -DMDIllinois Masonic Medical Center NOT COVERED

Carter, Stephen -MDIllinois Masonic Medical Center NOT COVERED

Castillo, Frank -MDIllinois Masonic Medical Center NOT COVERED

Cataldo, Maria -NPIllinois Masonic Medical Center COVERED UNDER FAP

Causey, Austin -MDIllinois Masonic Medical Center COVERED UNDER FAP

Cavalenes, Mark -MDIllinois Masonic Medical Center NOT COVERED

Center for Advance TherapyIllinois Masonic Medical Center NOT COVERED

Center for Asthma and Allergy, SCIllinois Masonic Medical Center NOT COVERED

Center for Neurological DisordersIllinois Masonic Medical Center NOT COVERED

Chacko, Emily -MDIllinois Masonic Medical Center COVERED UNDER FAP

Chalakova, Petya -MDIllinois Masonic Medical Center NOT COVERED

Chandra, Gopika -MDIllinois Masonic Medical Center NOT COVERED

Chappidi, Prasad -MDIllinois Masonic Medical Center NOT COVERED

Chartre, Kathya -MDIllinois Masonic Medical Center NOT COVERED

Chaudhary, Mohammad -MDIllinois Masonic Medical Center NOT COVERED

Chavez, Milton -MDIllinois Masonic Medical Center NOT COVERED

Chawla, Manjeet -MDIllinois Masonic Medical Center NOT COVERED

Chawla, Shalini -MDIllinois Masonic Medical Center NOT COVERED

Chen, Kevin -MDIllinois Masonic Medical Center NOT COVERED

Cherf, John -MDIllinois Masonic Medical Center NOT COVERED

Chernoff, Allen -MDIllinois Masonic Medical Center NOT COVERED

Chest Medicine Consultants, SCIllinois Masonic Medical Center NOT COVERED

Chhadia, Sumit -MDIllinois Masonic Medical Center NOT COVERED

Chicago Anesthesia Associates, SCIllinois Masonic Medical Center NOT COVERED

Chicago Anesthesiology Pain Specialists, LLCIllinois Masonic Medical Center NOT COVERED

Chicago Arthritis, LLCIllinois Masonic Medical Center NOT COVERED

Chicago Eye InstituteIllinois Masonic Medical Center NOT COVERED

Chicago Family Asthma & Allergy, SCIllinois Masonic Medical Center NOT COVERED

Chicago Foot Health Centers, LLCIllinois Masonic Medical Center NOT COVERED

Chicago Gastro, LLCIllinois Masonic Medical Center NOT COVERED

Chicago Headache Center & Research InstituteIllinois Masonic Medical Center NOT COVERED

Chicago Heart Rhythm, LLCIllinois Masonic Medical Center NOT COVERED

Chicago Institute of Advanced SurgeryIllinois Masonic Medical Center NOT COVERED

Chicago Institute of OrthopedicsIllinois Masonic Medical Center NOT COVERED

Chicago Nasal & Sinus Center, SCIllinois Masonic Medical Center NOT COVERED

Chicago Ophthalmology, PCIllinois Masonic Medical Center NOT COVERED

Chicago Pediatric Clinic CorpIllinois Masonic Medical Center NOT COVERED

Chicago Pediatric Dentistry & OrthodonticsIllinois Masonic Medical Center NOT COVERED

Chicago Rheumatology and Medical ClinicIllinois Masonic Medical Center NOT COVERED

Chicagoland Complete Healthcare, LLCIllinois Masonic Medical Center NOT COVERED

Chicagoland Retinal Consultants, LLCIllinois Masonic Medical Center NOT COVERED

Chin, Michael -DPMIllinois Masonic Medical Center NOT COVERED

Chitgopeker, Pooja -MDIllinois Masonic Medical Center NOT COVERED

Page 107

Page 108: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Chitown Orthopaedics & Sports Medicine, SCIllinois Masonic Medical Center NOT COVERED

Chou, Peter E-Min -MDIllinois Masonic Medical Center COVERED UNDER FAP

Chou, Vivian -MDIllinois Masonic Medical Center NOT COVERED

Christoff, Eric -MDIllinois Masonic Medical Center NOT COVERED

Chu, Chae -MDIllinois Masonic Medical Center COVERED UNDER FAP

Chua, David -MDIllinois Masonic Medical Center NOT COVERED

Chundi, Vishnu -MDIllinois Masonic Medical Center NOT COVERED

Churyla, Alesia -MDIllinois Masonic Medical Center COVERED UNDER FAP

Ciaccia, Gina -DOIllinois Masonic Medical Center NOT COVERED

Cielo Belingon-Suerte MD SCIllinois Masonic Medical Center NOT COVERED

CIMPAR, SCIllinois Masonic Medical Center NOT COVERED

City Kids DentalIllinois Masonic Medical Center NOT COVERED

CK Pulmonary Associates, SCIllinois Masonic Medical Center NOT COVERED

Clair, Elyse -NPIllinois Masonic Medical Center COVERED UNDER FAP

Clancy, James -MDIllinois Masonic Medical Center NOT COVERED

Clarke, Clifton -MDIllinois Masonic Medical Center NOT COVERED

Cohen, David -MDIllinois Masonic Medical Center NOT COVERED

Cohen, Harry -MDIllinois Masonic Medical Center COVERED UNDER FAP

Coleman J. Spector,DDSIllinois Masonic Medical Center NOT COVERED

Colman, Kathryn -MDIllinois Masonic Medical Center NOT COVERED

Colman, Matthew -MDIllinois Masonic Medical Center NOT COVERED

Connor, Jennifer -MDIllinois Masonic Medical Center NOT COVERED

Constantinescu, Corina -NPIllinois Masonic Medical Center COVERED UNDER FAP

Consultants in Neurology, LtdIllinois Masonic Medical Center NOT COVERED

Conte, Alison -CNMIllinois Masonic Medical Center COVERED UNDER FAP

Cook County HealthIllinois Masonic Medical Center NOT COVERED

Cook, J. Wesley -DOIllinois Masonic Medical Center NOT COVERED

Cooper, Valerie -PAIllinois Masonic Medical Center NOT COVERED

Corey, Jacquelynne -MDIllinois Masonic Medical Center NOT COVERED

Correa Medical Group SCIllinois Masonic Medical Center NOT COVERED

Correa Medical Group, SCIllinois Masonic Medical Center NOT COVERED

Correa, Eduardo -MDIllinois Masonic Medical Center NOT COVERED

Costas, Chris -MDIllinois Masonic Medical Center NOT COVERED

Cremer, Eduardo -MDIllinois Masonic Medical Center NOT COVERED

Creticos, Catherine -MDIllinois Masonic Medical Center NOT COVERED

Crotteau, Charles -MDIllinois Masonic Medical Center COVERED UNDER FAP

Cruz, Celeste -MDIllinois Masonic Medical Center COVERED UNDER FAP

Cudecki, John -MDIllinois Masonic Medical Center NOT COVERED

Cummins, John -MDIllinois Masonic Medical Center COVERED UNDER FAP

Curtis, Arthur -MDIllinois Masonic Medical Center NOT COVERED

Czajkowski, George -MDIllinois Masonic Medical Center COVERED UNDER FAP

D&A Medical, LTDIllinois Masonic Medical Center NOT COVERED

Dahodwala, Mohamed -MDIllinois Masonic Medical Center NOT COVERED

Daisy, Emma -MDIllinois Masonic Medical Center NOT COVERED

Dallas, Nikolaos -MDIllinois Masonic Medical Center COVERED UNDER FAP

Danciu, Sorin -MDIllinois Masonic Medical Center COVERED UNDER FAP

Darrell, Brenda -MDIllinois Masonic Medical Center COVERED UNDER FAP

Dassani, Jitendra -MDIllinois Masonic Medical Center COVERED UNDER FAP

Dauphin-VanDyk, Margaret -MDIllinois Masonic Medical Center NOT COVERED

David Spindel, MD, SCIllinois Masonic Medical Center NOT COVERED

Davis, Mari-Elena -DOIllinois Masonic Medical Center COVERED UNDER FAP

De Ranieri, Aladino -MDIllinois Masonic Medical Center NOT COVERED

DeKalb Eye Consultants, LLC - Lakeside Eye GroupIllinois Masonic Medical Center NOT COVERED

DeLaCruz, Marco -MDIllinois Masonic Medical Center NOT COVERED

Delfinado, Leah -MDIllinois Masonic Medical Center COVERED UNDER FAP

Delis, Constantine -DOIllinois Masonic Medical Center NOT COVERED

Dennis, Melissa -MDIllinois Masonic Medical Center COVERED UNDER FAP

Dental Art SpecialistsIllinois Masonic Medical Center NOT COVERED

Page 108

Page 109: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Dental SalonIllinois Masonic Medical Center NOT COVERED

Dermatology Physicians Group, LLCIllinois Masonic Medical Center NOT COVERED

Derylo, Bogdan -MDIllinois Masonic Medical Center NOT COVERED

Dibs, Samer -MDIllinois Masonic Medical Center NOT COVERED

Diekevers, Doug -DPMIllinois Masonic Medical Center NOT COVERED

Dillard, Jazmine -DDSIllinois Masonic Medical Center NOT COVERED

Dillig, Gina -MDIllinois Masonic Medical Center NOT COVERED

DiMaria, Frank -DOIllinois Masonic Medical Center NOT COVERED

Dimitropoulos, Vassilios -MDIllinois Masonic Medical Center NOT COVERED

Dini, Kourosh -MDIllinois Masonic Medical Center NOT COVERED

Dini, Morteza -MDIllinois Masonic Medical Center NOT COVERED

Dixon, Julian -MDIllinois Masonic Medical Center NOT COVERED

Do, Van -MDIllinois Masonic Medical Center NOT COVERED

Donnell, Aaron -MDIllinois Masonic Medical Center NOT COVERED

Donoghue, Jennifer -NPIllinois Masonic Medical Center COVERED UNDER FAP

Doren, Gregory -MDIllinois Masonic Medical Center NOT COVERED

Dorgan, Christopher -MDIllinois Masonic Medical Center COVERED UNDER FAP

Doshi, Ashokkumar -MDIllinois Masonic Medical Center NOT COVERED

Dr. J. Wesley Cook, DO LLCIllinois Masonic Medical Center NOT COVERED

Dray, Philip -MDIllinois Masonic Medical Center NOT COVERED

Drazkiewicz, Maciej -MDIllinois Masonic Medical Center NOT COVERED

Dreyer Clinic - BataviaIllinois Masonic Medical Center COVERED UNDER FAP

Driver, Steven -MDIllinois Masonic Medical Center COVERED UNDER FAP

DSilva, Joseph -MDIllinois Masonic Medical Center NOT COVERED

D'Silva, Oliver -MDIllinois Masonic Medical Center COVERED UNDER FAP

Duffy, Katherine -MDIllinois Masonic Medical Center NOT COVERED

Dunphy, James -MDIllinois Masonic Medical Center COVERED UNDER FAP

DuPage Medical Group, LtdIllinois Masonic Medical Center NOT COVERED

Dupre, Deirdre -MDIllinois Masonic Medical Center NOT COVERED

Durfee, Sharon -DDSIllinois Masonic Medical Center NOT COVERED

Duval, Jude -MDIllinois Masonic Medical Center NOT COVERED

Dzubur, Elvira -NPIllinois Masonic Medical Center NOT COVERED

Ebrahimi, Farzad -MDIllinois Masonic Medical Center NOT COVERED

Egger, Paul -DDSIllinois Masonic Medical Center NOT COVERED

Egues, Darlene -MDIllinois Masonic Medical Center NOT COVERED

Ehlers, Kara -MDIllinois Masonic Medical Center NOT COVERED

Einstein, Noah -MDIllinois Masonic Medical Center COVERED UNDER FAP

Elizondo, Jose -MDIllinois Masonic Medical Center COVERED UNDER FAP

Enger, Minyuen -MDIllinois Masonic Medical Center NOT COVERED

Epstein, Marc -NPIllinois Masonic Medical Center COVERED UNDER FAP

Ermias Tilahun, MD, SCIllinois Masonic Medical Center NOT COVERED

Estrada, Joaquin -MDIllinois Masonic Medical Center COVERED UNDER FAP

Evers, Michelle -NPIllinois Masonic Medical Center NOT COVERED

Excel Kidney Care LLCIllinois Masonic Medical Center NOT COVERED

Eye Physicians and Surgeons of Chicago, SCIllinois Masonic Medical Center NOT COVERED

Ezidinma, Afoma -MDIllinois Masonic Medical Center COVERED UNDER FAP

Fabros Munez, Desiree -MDIllinois Masonic Medical Center COVERED UNDER FAP

Family Medical CenterIllinois Masonic Medical Center NOT COVERED

Fantus, Richard -MDIllinois Masonic Medical Center COVERED UNDER FAP

Farrell, Jennifer -DDSIllinois Masonic Medical Center NOT COVERED

Favila, Emmanuel -DOIllinois Masonic Medical Center COVERED UNDER FAP

Fayyaz, Ghazala -MDIllinois Masonic Medical Center NOT COVERED

Feijoo, Andrea -MDIllinois Masonic Medical Center COVERED UNDER FAP

Fernandez, Carlos -MDIllinois Masonic Medical Center COVERED UNDER FAP

Fertility Centers of Illinois, SCIllinois Masonic Medical Center NOT COVERED

Fisch, Nicole -PAIllinois Masonic Medical Center NOT COVERED

Fisher, Theodore -MDIllinois Masonic Medical Center NOT COVERED

Flanagan, Sara -NPIllinois Masonic Medical Center NOT COVERED

Page 109

Page 110: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Flanagan-Hall, Elyse -CNMIllinois Masonic Medical Center COVERED UNDER FAP

Fleischer, Adam -DPMIllinois Masonic Medical Center NOT COVERED

Fleming, Scott -DDSIllinois Masonic Medical Center NOT COVERED

Flicker, Michael -MDIllinois Masonic Medical Center NOT COVERED

Flood, Timothy -MDIllinois Masonic Medical Center NOT COVERED

Flores, Javier -MDIllinois Masonic Medical Center NOT COVERED

Forest Foot CareIllinois Masonic Medical Center NOT COVERED

Forman, Edward -DOIllinois Masonic Medical Center NOT COVERED

Fox, John -MDIllinois Masonic Medical Center NOT COVERED

Frazier, Matthew -DOIllinois Masonic Medical Center NOT COVERED

Friedman, Michael -MDIllinois Masonic Medical Center NOT COVERED

Furno, Robert -MDIllinois Masonic Medical Center COVERED UNDER FAP

Gaddam, Eliyazar -MDIllinois Masonic Medical Center NOT COVERED

Gaddy, Erica -NPIllinois Masonic Medical Center NOT COVERED

Galambos, Linda -NPIllinois Masonic Medical Center NOT COVERED

Galiano, Jaime -MDIllinois Masonic Medical Center NOT COVERED

G-Amlak, Maaza -MDIllinois Masonic Medical Center NOT COVERED

Garber, Joseph -MDIllinois Masonic Medical Center NOT COVERED

Garcia-Buder, Sofia -MDIllinois Masonic Medical Center NOT COVERED

Garden, Benjamin -MDIllinois Masonic Medical Center NOT COVERED

Garelick, David -MDIllinois Masonic Medical Center NOT COVERED

Garland, Lisa -MDIllinois Masonic Medical Center NOT COVERED

Gastroenterology & Associates, SCIllinois Masonic Medical Center NOT COVERED

Gaziano, Dominic -MDIllinois Masonic Medical Center NOT COVERED

Gazzi-Johnson, Renata -MDIllinois Masonic Medical Center NOT COVERED

Geldner, Peter -MDIllinois Masonic Medical Center NOT COVERED

George N. Atia, MD, SCIllinois Masonic Medical Center NOT COVERED

George, Adia -MDIllinois Masonic Medical Center COVERED UNDER FAP

George, Sean -MDIllinois Masonic Medical Center COVERED UNDER FAP

Gerstein Eye InstituteIllinois Masonic Medical Center NOT COVERED

Gerstein, Craig -MDIllinois Masonic Medical Center NOT COVERED

Ghaey, Kamala -MDIllinois Masonic Medical Center NOT COVERED

Ghaly, Ramsis -MDIllinois Masonic Medical Center NOT COVERED

Ghazanfari, Keikhosrow -MDIllinois Masonic Medical Center NOT COVERED

GI Partners of Illinois, LLCIllinois Masonic Medical Center NOT COVERED

Gibbons, Patrick -DOIllinois Masonic Medical Center NOT COVERED

Gilbert, Aaron -MDIllinois Masonic Medical Center NOT COVERED

Gilfillan, Rebecca -MDIllinois Masonic Medical Center COVERED UNDER FAP

Gill, Sanjay -MDIllinois Masonic Medical Center NOT COVERED

Gill, Sukhjit -MDIllinois Masonic Medical Center NOT COVERED

Giraldo, Andres -MDIllinois Masonic Medical Center COVERED UNDER FAP

Gleason, Loyola -DDSIllinois Masonic Medical Center NOT COVERED

Gleason, Lucia -MDIllinois Masonic Medical Center NOT COVERED

Gluncic, Vicko -MDIllinois Masonic Medical Center NOT COVERED

Gluskin, Lawrence -MDIllinois Masonic Medical Center NOT COVERED

Goldberg, Benjamin -MDIllinois Masonic Medical Center NOT COVERED

Goldenberg, Bruce -MDIllinois Masonic Medical Center COVERED UNDER FAP

Goldstein, Julie -MDIllinois Masonic Medical Center NOT COVERED

Gomez, Michael -MDIllinois Masonic Medical Center NOT COVERED

Gomez, Wika -DPMIllinois Masonic Medical Center NOT COVERED

Gong, Kenneth -MDIllinois Masonic Medical Center COVERED UNDER FAP

Gonzalez, Joaquin -MDIllinois Masonic Medical Center COVERED UNDER FAP

Gonzalez, Maria -MDIllinois Masonic Medical Center NOT COVERED

Gonzalez, Sergio -MDIllinois Masonic Medical Center NOT COVERED

Gopaniuk-Folga, Anna -MDIllinois Masonic Medical Center NOT COVERED

Gordon-Smith, Zyra -NPIllinois Masonic Medical Center NOT COVERED

Gorelick, Gleb -MDIllinois Masonic Medical Center NOT COVERED

Gosnell, Jason -MDIllinois Masonic Medical Center COVERED UNDER FAP

Page 110

Page 111: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Graham, Nancy -CNMIllinois Masonic Medical Center COVERED UNDER FAP

Grand Vein Specialists, LLCIllinois Masonic Medical Center NOT COVERED

Great Chicago Smiles, PCIllinois Masonic Medical Center NOT COVERED

Green, Maya -MDIllinois Masonic Medical Center NOT COVERED

Green, Patricia -NPIllinois Masonic Medical Center NOT COVERED

Greenberg, Martin -MDIllinois Masonic Medical Center NOT COVERED

Greenview Health Center CharterIllinois Masonic Medical Center NOT COVERED

Gregor, Angela -PAIllinois Masonic Medical Center NOT COVERED

Gribovich, Galina -MDIllinois Masonic Medical Center NOT COVERED

Grinter, Jason -DDSIllinois Masonic Medical Center NOT COVERED

Gripentrog, Drew -DMDIllinois Masonic Medical Center NOT COVERED

Gross, Rachel -PAIllinois Masonic Medical Center NOT COVERED

Grunsten, Robert -MDIllinois Masonic Medical Center NOT COVERED

Guelich, David -MDIllinois Masonic Medical Center NOT COVERED

Guerrero, Charlemagne -MDIllinois Masonic Medical Center NOT COVERED

Gujja, Sapna -MDIllinois Masonic Medical Center NOT COVERED

Gunaratnam, Lettricia -MDIllinois Masonic Medical Center NOT COVERED

Gupta, Ashima -MDIllinois Masonic Medical Center NOT COVERED

Gupta, Roop -MDIllinois Masonic Medical Center NOT COVERED

Gupta, Vivek -MDIllinois Masonic Medical Center NOT COVERED

Gurau, Izabella -MDIllinois Masonic Medical Center NOT COVERED

Guthmann, Richard -MDIllinois Masonic Medical Center COVERED UNDER FAP

Gutmann, Ernest -MDIllinois Masonic Medical Center NOT COVERED

Gutsell, Philip -MDIllinois Masonic Medical Center COVERED UNDER FAP

Guynn, Todd -MDIllinois Masonic Medical Center NOT COVERED

Guyot, Anne -MDIllinois Masonic Medical Center NOT COVERED

Guziec, Gary -DPMIllinois Masonic Medical Center NOT COVERED

Guzina, Tatjana -MDIllinois Masonic Medical Center NOT COVERED

Guzman, Andrew -MDIllinois Masonic Medical Center NOT COVERED

Gwinn, Elizabeth -MDIllinois Masonic Medical Center COVERED UNDER FAP

Habib, Fadi -MDIllinois Masonic Medical Center NOT COVERED

Hajian, Nisha -NPIllinois Masonic Medical Center NOT COVERED

Halajian, Elise -DOIllinois Masonic Medical Center COVERED UNDER FAP

Hallar, Erin -CRNAIllinois Masonic Medical Center NOT COVERED

Hamdard Center for Health & Human ServicesIllinois Masonic Medical Center NOT COVERED

Han, Alice -MDIllinois Masonic Medical Center NOT COVERED

Han, Sehjin -MDIllinois Masonic Medical Center NOT COVERED

Hanson, David -DDSIllinois Masonic Medical Center NOT COVERED

Haque, Faraz -DPMIllinois Masonic Medical Center NOT COVERED

Harold H. Jaimes MD, PCIllinois Masonic Medical Center NOT COVERED

Harrington, Aiden -CNMIllinois Masonic Medical Center NOT COVERED

Harris, Faith -CNMIllinois Masonic Medical Center NOT COVERED

Hartl, Erica -MDIllinois Masonic Medical Center COVERED UNDER FAP

Harvey, Ann -NPIllinois Masonic Medical Center NOT COVERED

Harvey, Anna -DMDIllinois Masonic Medical Center NOT COVERED

Hayes, Ellen -MDIllinois Masonic Medical Center NOT COVERED

Head & Neck Cosmetic Surgery Associates, LtdIllinois Masonic Medical Center NOT COVERED

Health Direction Medical Center, SCIllinois Masonic Medical Center NOT COVERED

Healthy Chicago Primary Care LLC - Physicians Immediate Care North Chicago LLCIllinois Masonic Medical Center NOT COVERED

Heart Specialist, IncIllinois Masonic Medical Center NOT COVERED

Heartland Health CenterIllinois Masonic Medical Center NOT COVERED

Heartland International Health CenterIllinois Masonic Medical Center NOT COVERED

Heartland International Health Center-WilsonIllinois Masonic Medical Center NOT COVERED

Hebert, Randy -MDIllinois Masonic Medical Center COVERED UNDER FAP

Hejira HealthcareIllinois Masonic Medical Center NOT COVERED

Helin, Radley -DOIllinois Masonic Medical Center COVERED UNDER FAP

Hermes Health SCIllinois Masonic Medical Center NOT COVERED

Hermes, Nesreen -MDIllinois Masonic Medical Center NOT COVERED

Page 111

Page 112: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Herst, Barry -MDIllinois Masonic Medical Center NOT COVERED

Herst, Brian -MDIllinois Masonic Medical Center NOT COVERED

Herwick, Steven -MDIllinois Masonic Medical Center NOT COVERED

Hoffman, David -MDIllinois Masonic Medical Center NOT COVERED

Hossain, Tania -MDIllinois Masonic Medical Center NOT COVERED

Houlberg, Magda -MDIllinois Masonic Medical Center NOT COVERED

Howard Brown Health CenterIllinois Masonic Medical Center NOT COVERED

Howard M Baim, MD, SCIllinois Masonic Medical Center NOT COVERED

Huang, Felix -MDIllinois Masonic Medical Center COVERED UNDER FAP

Hubjer, Azra -NPIllinois Masonic Medical Center COVERED UNDER FAP

Hubjer, Lamija -PAIllinois Masonic Medical Center NOT COVERED

Hughes, Charles -MDIllinois Masonic Medical Center NOT COVERED

Hughes, Lauren -MDIllinois Masonic Medical Center NOT COVERED

Hui-Sam, Pei -NPIllinois Masonic Medical Center COVERED UNDER FAP

Husain, Syed -MDIllinois Masonic Medical Center NOT COVERED

Hussain, Walid -MDIllinois Masonic Medical Center COVERED UNDER FAP

Hussaini, Syed -MDIllinois Masonic Medical Center NOT COVERED

Hynes, Christina -MDIllinois Masonic Medical Center NOT COVERED

Ida, James -MDIllinois Masonic Medical Center NOT COVERED

Idowu, Olumuyiwa -MDIllinois Masonic Medical Center NOT COVERED

Ignacio, Maria -MDIllinois Masonic Medical Center COVERED UNDER FAP

IL Sports Medicine & Ortho CentersIllinois Masonic Medical Center NOT COVERED

Illinois Allergy and Asthma Specialists, SCIllinois Masonic Medical Center NOT COVERED

Illinois Allergy Asthma & Sinus CenterIllinois Masonic Medical Center NOT COVERED

Illinois Bone & Joint Institute LLCIllinois Masonic Medical Center NOT COVERED

Illinois Center of Digestive and Liver HealthIllinois Masonic Medical Center NOT COVERED

Illinois Dermatology Institute, LLCIllinois Masonic Medical Center NOT COVERED

Illinois Gastroenterology and HepatologyIllinois Masonic Medical Center NOT COVERED

Illinois Masonic Behavioral HealthIllinois Masonic Medical Center NOT COVERED

Illinois Masonic Dental GroupIllinois Masonic Medical Center NOT COVERED

Illinois Retina Associates, SCIllinois Masonic Medical Center NOT COVERED

Imam, Javed -MDIllinois Masonic Medical Center NOT COVERED

Innovative Platinum Care, SCIllinois Masonic Medical Center NOT COVERED

Institute for Human ReproductionIllinois Masonic Medical Center NOT COVERED

Integrated Imaging Consultants, LLCIllinois Masonic Medical Center NOT COVERED

Integrative Wellness Group, SCIllinois Masonic Medical Center NOT COVERED

Irby, Shemeka -PAIllinois Masonic Medical Center NOT COVERED

Iteld, Lawrence -MDIllinois Masonic Medical Center NOT COVERED

Ivanov, Rada -MDIllinois Masonic Medical Center NOT COVERED

Izewski, Richard -MDIllinois Masonic Medical Center NOT COVERED

Jabbour, Jerome -MDIllinois Masonic Medical Center NOT COVERED

Jackson, Mitchell -MDIllinois Masonic Medical Center NOT COVERED

Jacksoneye, S.C.Illinois Masonic Medical Center NOT COVERED

Jacobs, Laurence -MDIllinois Masonic Medical Center NOT COVERED

Jaime A. Galiano, MD, SC, Ltd.Illinois Masonic Medical Center NOT COVERED

Jaimes, Harold -MDIllinois Masonic Medical Center NOT COVERED

Jain, Mukesh -MDIllinois Masonic Medical Center NOT COVERED

Jain, Sonali -MDIllinois Masonic Medical Center COVERED UNDER FAP

Jamali, Jason -DDSIllinois Masonic Medical Center NOT COVERED

Jani, Jai -MDIllinois Masonic Medical Center NOT COVERED

Jankelow, Margolit -MDIllinois Masonic Medical Center NOT COVERED

Jaojaroenkul, Thiti -MDIllinois Masonic Medical Center NOT COVERED

Jarava, Abelardo -MDIllinois Masonic Medical Center NOT COVERED

Javier, Desler -MDIllinois Masonic Medical Center COVERED UNDER FAP

Jeelani, Roohi -MDIllinois Masonic Medical Center NOT COVERED

Jeske, John -PAIllinois Masonic Medical Center NOT COVERED

John, Annie -MDIllinois Masonic Medical Center NOT COVERED

Johnson, Jada -MDIllinois Masonic Medical Center COVERED UNDER FAP

Page 112

Page 113: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Johnson, Laura -MDIllinois Masonic Medical Center COVERED UNDER FAP

Johnson, Sarah -MDIllinois Masonic Medical Center NOT COVERED

Jordan C Carqueville MD LLCIllinois Masonic Medical Center NOT COVERED

Jorgenson, Sarah -MDIllinois Masonic Medical Center COVERED UNDER FAP

Joyful Smiles Pediatric DentistryIllinois Masonic Medical Center NOT COVERED

Julianne Carrara, DMD, MS, LTDIllinois Masonic Medical Center NOT COVERED

Julie Wehner, MD SCIllinois Masonic Medical Center NOT COVERED

Just Kids Dental, PCIllinois Masonic Medical Center NOT COVERED

Kachru, Anil -MDIllinois Masonic Medical Center NOT COVERED

Kahn, Evan -MDIllinois Masonic Medical Center NOT COVERED

Kahn, Geralynn -MDIllinois Masonic Medical Center NOT COVERED

Kailas, Sujatha -MDIllinois Masonic Medical Center NOT COVERED

Kalakota, Nandini -MDIllinois Masonic Medical Center COVERED UNDER FAP

Kalb, Angela -DDSIllinois Masonic Medical Center NOT COVERED

Kaleta, Jennifer -DPMIllinois Masonic Medical Center NOT COVERED

Kaminska Dermatology, PLLCIllinois Masonic Medical Center NOT COVERED

Kaminska, Edidiong -MDIllinois Masonic Medical Center NOT COVERED

Kaminski, Jan -MDIllinois Masonic Medical Center COVERED UNDER FAP

Kap J. No, MD, SCIllinois Masonic Medical Center NOT COVERED

Kaplan, Brian -MDIllinois Masonic Medical Center NOT COVERED

Kapur, Sashil -MDIllinois Masonic Medical Center NOT COVERED

Karaman, Tarek -MDIllinois Masonic Medical Center COVERED UNDER FAP

Karas, Vasili -MDIllinois Masonic Medical Center NOT COVERED

Kasprowicz, Sarah -MDIllinois Masonic Medical Center NOT COVERED

Katilius, Marius -MDIllinois Masonic Medical Center NOT COVERED

Katsnelson, Alexander -DMDIllinois Masonic Medical Center NOT COVERED

Kauffman, Ashley -DDSIllinois Masonic Medical Center NOT COVERED

Kaufman, Lawrence -MDIllinois Masonic Medical Center NOT COVERED

Kaz, Ari -MDIllinois Masonic Medical Center NOT COVERED

Keldahl, Mark -MDIllinois Masonic Medical Center COVERED UNDER FAP

Kenar, Erin -NPIllinois Masonic Medical Center COVERED UNDER FAP

Keshavarzi, Sahel -MDIllinois Masonic Medical Center NOT COVERED

Kesslering, Christy -MDIllinois Masonic Medical Center NOT COVERED

Khalaf, Habeeb -MDIllinois Masonic Medical Center COVERED UNDER FAP

Khan, Atika -MDIllinois Masonic Medical Center NOT COVERED

Khan, Farah -MDIllinois Masonic Medical Center NOT COVERED

Khare, Rahul -MDIllinois Masonic Medical Center NOT COVERED

Khorasani, Arjang -MDIllinois Masonic Medical Center NOT COVERED

Kidney & Hypertension Consultants, SCIllinois Masonic Medical Center NOT COVERED

Kidz HealthIllinois Masonic Medical Center NOT COVERED

Kiely, Michael -DPMIllinois Masonic Medical Center NOT COVERED

Kiely, Thomas -DPMIllinois Masonic Medical Center NOT COVERED

King, Ashley -PAIllinois Masonic Medical Center NOT COVERED

Kingsley, Samuel -MDIllinois Masonic Medical Center COVERED UNDER FAP

Kirshenbaum, Myron -MDIllinois Masonic Medical Center NOT COVERED

Klarquist, Thomas -MDIllinois Masonic Medical Center COVERED UNDER FAP

Klein, Lloyd -MDIllinois Masonic Medical Center NOT COVERED

Kleszcz, Kathy -NPIllinois Masonic Medical Center COVERED UNDER FAP

Klingbeil, Lindsey -MDIllinois Masonic Medical Center NOT COVERED

Knapp Medical Center LTDIllinois Masonic Medical Center NOT COVERED

Knapp, Keith -MDIllinois Masonic Medical Center NOT COVERED

Koduri, Priyadarshini -MDIllinois Masonic Medical Center COVERED UNDER FAP

Kohn, Norman -MDIllinois Masonic Medical Center NOT COVERED

Konicek, Frank -MDIllinois Masonic Medical Center NOT COVERED

Koo, Nathaniel -MDIllinois Masonic Medical Center NOT COVERED

Koopman, Steven -MDIllinois Masonic Medical Center NOT COVERED

Korah, Veena -MDIllinois Masonic Medical Center NOT COVERED

Korey, Michael -MDIllinois Masonic Medical Center NOT COVERED

Page 113

Page 114: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Kosinski, Mark -DOIllinois Masonic Medical Center COVERED UNDER FAP

Kotis, John -DOIllinois Masonic Medical Center NOT COVERED

Kowalski, Danuta -MDIllinois Masonic Medical Center COVERED UNDER FAP

Koziol-Thoms OphthalmologyIllinois Masonic Medical Center NOT COVERED

Kozlowski, Catherine -PAIllinois Masonic Medical Center NOT COVERED

Krasaeath, Rebecca -MDIllinois Masonic Medical Center COVERED UNDER FAP

Krol, Kornelia -MDIllinois Masonic Medical Center NOT COVERED

Kromash, Kenneth -DDSIllinois Masonic Medical Center NOT COVERED

Krunic, Aleksandar -MDIllinois Masonic Medical Center NOT COVERED

Kumar, Surender -MDIllinois Masonic Medical Center NOT COVERED

Kupkowski, Michael -MDIllinois Masonic Medical Center NOT COVERED

Kushner, Marla -DOIllinois Masonic Medical Center NOT COVERED

Lacek, Aneta -DDSIllinois Masonic Medical Center NOT COVERED

Lai, Ying -MDIllinois Masonic Medical Center COVERED UNDER FAP

Lake Shore Medical Associates, LtdIllinois Masonic Medical Center NOT COVERED

Lakeshore Eye PhysiciansIllinois Masonic Medical Center NOT COVERED

Lakeshore Infectious Disease AssociatesIllinois Masonic Medical Center NOT COVERED

Lakeshore Medical ConsultantsIllinois Masonic Medical Center NOT COVERED

Lakeview Immediate Care, LLCIllinois Masonic Medical Center NOT COVERED

Lakeview Plastic Surgery, LLCIllinois Masonic Medical Center NOT COVERED

Lakeview Pulmonary & Sleep Consultants, Ltd.Illinois Masonic Medical Center NOT COVERED

LaMaster, Zachary -DOIllinois Masonic Medical Center COVERED UNDER FAP

Lane, Lynda -MDIllinois Masonic Medical Center NOT COVERED

Langiewicz, Janusz -MDIllinois Masonic Medical Center NOT COVERED

Lara, Gilka -MDIllinois Masonic Medical Center NOT COVERED

Latall, John -MDIllinois Masonic Medical Center NOT COVERED

Lawrence H. Iteld, MD, LLCIllinois Masonic Medical Center NOT COVERED

Lee, David -MDIllinois Masonic Medical Center COVERED UNDER FAP

Lee, Sue -MDIllinois Masonic Medical Center COVERED UNDER FAP

Lehrer, Nelson -MDIllinois Masonic Medical Center NOT COVERED

Leischner, Mark -MDIllinois Masonic Medical Center NOT COVERED

Lengyel, Ulrike -MDIllinois Masonic Medical Center NOT COVERED

Leong, King -MDIllinois Masonic Medical Center COVERED UNDER FAP

Lepkowski, Joanna -MDIllinois Masonic Medical Center COVERED UNDER FAP

Levi, Gabriel -MDIllinois Masonic Medical Center NOT COVERED

Levi, Roberto -MDIllinois Masonic Medical Center NOT COVERED

Levine Gynecology of Chicago, SCIllinois Masonic Medical Center NOT COVERED

Levine, Brett -MDIllinois Masonic Medical Center NOT COVERED

Levine, Elliot -MDIllinois Masonic Medical Center NOT COVERED

Levinson, Dennis -MDIllinois Masonic Medical Center NOT COVERED

Levitan, Denise -MDIllinois Masonic Medical Center COVERED UNDER FAP

Levy, Adam -MDIllinois Masonic Medical Center NOT COVERED

Lewicky, Andrew -MDIllinois Masonic Medical Center NOT COVERED

Lewitt, George -MDIllinois Masonic Medical Center NOT COVERED

Leyland, John -MDIllinois Masonic Medical Center NOT COVERED

Liao, Thomas -MDIllinois Masonic Medical Center NOT COVERED

Lincoln Medical Center, PCIllinois Masonic Medical Center NOT COVERED

Lincoln Park Family Physicians SCIllinois Masonic Medical Center NOT COVERED

Lincoln Park OB/GYN SCIllinois Masonic Medical Center NOT COVERED

Lincoln Pediatric Center, PCIllinois Masonic Medical Center NOT COVERED

Lincona Medical Associates, LTD.Illinois Masonic Medical Center NOT COVERED

Lindeman, Lawrence -MDIllinois Masonic Medical Center NOT COVERED

Lio, Peter -MDIllinois Masonic Medical Center NOT COVERED

Lipkin, Lori -DPMIllinois Masonic Medical Center NOT COVERED

Lipov, Eugene -MDIllinois Masonic Medical Center NOT COVERED

Lisowski, Jeffrey -MDIllinois Masonic Medical Center NOT COVERED

Litoff, Daniel -MDIllinois Masonic Medical Center COVERED UNDER FAP

Lobe, Thom -MDIllinois Masonic Medical Center NOT COVERED

Page 114

Page 115: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Locher, Stephen -MDIllinois Masonic Medical Center COVERED UNDER FAP

Lopez, Osvaldo -MDIllinois Masonic Medical Center NOT COVERED

Lubeck, David -MDIllinois Masonic Medical Center NOT COVERED

Lue-Lai, Jessica -MDIllinois Masonic Medical Center NOT COVERED

Luka, Betsy -MDIllinois Masonic Medical Center NOT COVERED

Luke, Maja -CNMIllinois Masonic Medical Center COVERED UNDER FAP

Luria, Jamie -DDSIllinois Masonic Medical Center NOT COVERED

Lutfi, Rami -MDIllinois Masonic Medical Center NOT COVERED

M Y PediatricsIllinois Masonic Medical Center NOT COVERED

M. Chavez, MD, SCIllinois Masonic Medical Center NOT COVERED

MacCumber, Mathew -MDIllinois Masonic Medical Center NOT COVERED

Machado, Ricardo -MDIllinois Masonic Medical Center COVERED UNDER FAP

Madanes, Amos -MDIllinois Masonic Medical Center NOT COVERED

Mael, David -MDIllinois Masonic Medical Center COVERED UNDER FAP

Maggio, Vijay -MDIllinois Masonic Medical Center NOT COVERED

Mahajan, Dheeraj -MDIllinois Masonic Medical Center NOT COVERED

Maker Surgical, SCIllinois Masonic Medical Center NOT COVERED

Maker, Ajay -MDIllinois Masonic Medical Center COVERED UNDER FAP

Maker, Vijay -MDIllinois Masonic Medical Center NOT COVERED

Malani, Brijmohan -MDIllinois Masonic Medical Center COVERED UNDER FAP

Malecka, Katarzyna -MDIllinois Masonic Medical Center NOT COVERED

Malecki, Zbigniew -MDIllinois Masonic Medical Center NOT COVERED

Maletich, James -MDIllinois Masonic Medical Center COVERED UNDER FAP

Mandrea, Eugene -MDIllinois Masonic Medical Center NOT COVERED

Mandujano, Alicia -MDIllinois Masonic Medical Center COVERED UNDER FAP

Manjeet S. Chawla MD Ltd.Illinois Masonic Medical Center NOT COVERED

Manogura, Anita -MDIllinois Masonic Medical Center NOT COVERED

Manshio, Dennis -MDIllinois Masonic Medical Center NOT COVERED

Mansury, Nasiruddin -MDIllinois Masonic Medical Center NOT COVERED

Marc D. Bear, MD, LLCIllinois Masonic Medical Center NOT COVERED

Margaret Dauphin Van Dyk, MD, SCIllinois Masonic Medical Center NOT COVERED

Margaret Park MD SCIllinois Masonic Medical Center NOT COVERED

Maria Riza Bautista, MD SCIllinois Masonic Medical Center NOT COVERED

Mark Allan Berk, MD, SCIllinois Masonic Medical Center NOT COVERED

Mark, My -MDIllinois Masonic Medical Center COVERED UNDER FAP

Markul, Eddie -MDIllinois Masonic Medical Center COVERED UNDER FAP

Marla D. Kushner, DO, S.C.Illinois Masonic Medical Center NOT COVERED

Marruenda, Francisco -MDIllinois Masonic Medical Center NOT COVERED

Martin J. Greenberg, MD, SCIllinois Masonic Medical Center NOT COVERED

Martin, Amy -DDSIllinois Masonic Medical Center NOT COVERED

Martin, Robert -DOIllinois Masonic Medical Center COVERED UNDER FAP

Martinez Diaz, Gabriel -MDIllinois Masonic Medical Center NOT COVERED

Martino, Julie -MDIllinois Masonic Medical Center COVERED UNDER FAP

Marwah, Birinder -MDIllinois Masonic Medical Center NOT COVERED

Masini, Linda -NPIllinois Masonic Medical Center NOT COVERED

Maternal Fetal Consultants, SCIllinois Masonic Medical Center NOT COVERED

Mathew, Niby -MDIllinois Masonic Medical Center NOT COVERED

Mauer, Ann -MDIllinois Masonic Medical Center COVERED UNDER FAP

Maurice, Joanna -MDIllinois Masonic Medical Center COVERED UNDER FAP

Mc Donaugh, Darcie -NPIllinois Masonic Medical Center NOT COVERED

McDonald, Yaa -DMDIllinois Masonic Medical Center NOT COVERED

McElwee, Angela -MDIllinois Masonic Medical Center COVERED UNDER FAP

McGowan, Shanele -MDIllinois Masonic Medical Center NOT COVERED

McGuinn, Marcella -MDIllinois Masonic Medical Center NOT COVERED

McLaurin, Leslie -NPIllinois Masonic Medical Center COVERED UNDER FAP

Meadows, Matthew -MDIllinois Masonic Medical Center NOT COVERED

Med Spring CareIllinois Masonic Medical Center NOT COVERED

Medical Dermatology Associates of Chicago, LTDIllinois Masonic Medical Center NOT COVERED

Page 115

Page 116: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Medical Services, RICIllinois Masonic Medical Center NOT COVERED

Medplus, SCIllinois Masonic Medical Center NOT COVERED

Mellett, Michele -MDIllinois Masonic Medical Center NOT COVERED

Mendoza, Carrie -MDIllinois Masonic Medical Center COVERED UNDER FAP

Mendoza, Ricardo -DDSIllinois Masonic Medical Center NOT COVERED

Merrick, Daniel -MDIllinois Masonic Medical Center NOT COVERED

Mert, Ismail -MDIllinois Masonic Medical Center COVERED UNDER FAP

Metro Chest Professionals, LLCIllinois Masonic Medical Center NOT COVERED

Metro Chicago Surgical Oncology LLCIllinois Masonic Medical Center NOT COVERED

Metro Chicago Surgical Oncology, LLCIllinois Masonic Medical Center NOT COVERED

Metro Infectious Disease Consultants, LLCIllinois Masonic Medical Center NOT COVERED

Michigan Avenue ENT PCIllinois Masonic Medical Center NOT COVERED

Michigan Avenue Immediate Care, SCIllinois Masonic Medical Center NOT COVERED

Michigan Avenue Primary CareIllinois Masonic Medical Center NOT COVERED

Michigan Avenue Primary Care, SCIllinois Masonic Medical Center NOT COVERED

Mid-North Gastroenterologists, LtdIllinois Masonic Medical Center NOT COVERED

Midtown Foot Health CentersIllinois Masonic Medical Center NOT COVERED

Midwest Diagnostic Pathology, SCIllinois Masonic Medical Center NOT COVERED

Midwest Fertility CenterIllinois Masonic Medical Center NOT COVERED

Midwest Orthopaedics at Rush, LLCIllinois Masonic Medical Center NOT COVERED

Midwest Perinatal Consultants, SCIllinois Masonic Medical Center NOT COVERED

Midwest Pulmonary Critical Care & Sleep Consultants, LLCIllinois Masonic Medical Center NOT COVERED

Millennium Park Medical Associates SCIllinois Masonic Medical Center NOT COVERED

Milner, John -MDIllinois Masonic Medical Center NOT COVERED

Mirabito, Katelyn -PAIllinois Masonic Medical Center COVERED UNDER FAP

Miranzadeh, B. -DOIllinois Masonic Medical Center NOT COVERED

Mishra, Ravi -MDIllinois Masonic Medical Center COVERED UNDER FAP

MISN Medical OfficeIllinois Masonic Medical Center NOT COVERED

Mizuno, Eric -MDIllinois Masonic Medical Center NOT COVERED

Moaddab, Golbarg -MDIllinois Masonic Medical Center COVERED UNDER FAP

Moore, David -DOIllinois Masonic Medical Center NOT COVERED

Mora, Juanita -MDIllinois Masonic Medical Center NOT COVERED

Morales, Cesar -MDIllinois Masonic Medical Center NOT COVERED

Moran, Megan -PAIllinois Masonic Medical Center NOT COVERED

Morin, Christopher -DDSIllinois Masonic Medical Center NOT COVERED

Morse, Brian -MDIllinois Masonic Medical Center NOT COVERED

Moscowitz, Dori -DOIllinois Masonic Medical Center COVERED UNDER FAP

Moskal, Anna -MDIllinois Masonic Medical Center NOT COVERED

Mossman, Rosemarie -NPIllinois Masonic Medical Center COVERED UNDER FAP

Mount Sinai HospitalIllinois Masonic Medical Center NOT COVERED

Mubarak, Tariq -MDIllinois Masonic Medical Center NOT COVERED

Mubeen, Mohammed -MDIllinois Masonic Medical Center NOT COVERED

Mukesh C. Jain, MD, SCIllinois Masonic Medical Center NOT COVERED

Mukherjee, Ashish -MDIllinois Masonic Medical Center NOT COVERED

Muni, Haresh -MDIllinois Masonic Medical Center NOT COVERED

Munsayac, Joseph -MDIllinois Masonic Medical Center COVERED UNDER FAP

Murauski, Daniel -DOIllinois Masonic Medical Center NOT COVERED

Muro, Kenji -MDIllinois Masonic Medical Center COVERED UNDER FAP

Murphy, Brandon -DDSIllinois Masonic Medical Center NOT COVERED

Murphy, James -MDIllinois Masonic Medical Center NOT COVERED

Murthy, Amishi -MDIllinois Masonic Medical Center NOT COVERED

Myers, William -MDIllinois Masonic Medical Center NOT COVERED

Nadira AliKhan MDIllinois Masonic Medical Center NOT COVERED

Nadiri, Mojtaba -MDIllinois Masonic Medical Center NOT COVERED

Najibi, Faranak -MDIllinois Masonic Medical Center COVERED UNDER FAP

Nam, Ellis -MDIllinois Masonic Medical Center NOT COVERED

Nanda, Atul -MDIllinois Masonic Medical Center NOT COVERED

Narula, Sapna -DOIllinois Masonic Medical Center NOT COVERED

Page 116

Page 117: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Natarajan, Aparna -MDIllinois Masonic Medical Center NOT COVERED

Natarajan, Balakrishnan -MDIllinois Masonic Medical Center NOT COVERED

Nava A. Segall, MD, SCIllinois Masonic Medical Center NOT COVERED

Neckrysh, Sergey -MDIllinois Masonic Medical Center NOT COVERED

Neurosciences, LtdIllinois Masonic Medical Center NOT COVERED

Newhall, Kelly -MDIllinois Masonic Medical Center NOT COVERED

Nguyen, Duyhuu -MDIllinois Masonic Medical Center COVERED UNDER FAP

Nguyen, Linda -DOIllinois Masonic Medical Center COVERED UNDER FAP

Nicol, Lara -MDIllinois Masonic Medical Center COVERED UNDER FAP

NIMA Skin InstituteIllinois Masonic Medical Center NOT COVERED

No, Kap -MDIllinois Masonic Medical Center NOT COVERED

Noparstak, David -MDIllinois Masonic Medical Center COVERED UNDER FAP

Norman Weinzweig, MD, F.A.C.S., SCIllinois Masonic Medical Center NOT COVERED

North Park Pediatrics, SCIllinois Masonic Medical Center NOT COVERED

Northshore HealthpartnersIllinois Masonic Medical Center NOT COVERED

Northside Neonatal and Infant Care, SCIllinois Masonic Medical Center NOT COVERED

Northwest Chicago Primary Care, SCIllinois Masonic Medical Center NOT COVERED

Northwest Medical Associates of Chicago, IncIllinois Masonic Medical Center NOT COVERED

Northwestern Specialists in Plastic Surgery, S.C.Illinois Masonic Medical Center NOT COVERED

Noven, Robert -MDIllinois Masonic Medical Center NOT COVERED

Nuvasive Clinical ServicesIllinois Masonic Medical Center NOT COVERED

Nye, Matthew -DDSIllinois Masonic Medical Center NOT COVERED

Oak Street Health Physicians Group P.C.Illinois Masonic Medical Center NOT COVERED

Ochs, Todd -MDIllinois Masonic Medical Center NOT COVERED

Ojea, Fernando -MDIllinois Masonic Medical Center NOT COVERED

Olivera, Arturo -MDIllinois Masonic Medical Center NOT COVERED

Oliveros, Omar -MDIllinois Masonic Medical Center NOT COVERED

Olivo, Jacqueline -MDIllinois Masonic Medical Center NOT COVERED

OMNI HealthcareIllinois Masonic Medical Center NOT COVERED

Onispir-Kafali, Sue -MDIllinois Masonic Medical Center NOT COVERED

Ontrop, Nathan -MDIllinois Masonic Medical Center COVERED UNDER FAP

Oppenheim, Joanne -DDSIllinois Masonic Medical Center NOT COVERED

Optimum Kidney Care, SCIllinois Masonic Medical Center NOT COVERED

Oral & Maxillofacial Surgery of Chicago, PCIllinois Masonic Medical Center NOT COVERED

Oral and Maxilloficial Head and Neck Associates LLCIllinois Masonic Medical Center NOT COVERED

Orozco, Daniel -MDIllinois Masonic Medical Center NOT COVERED

Ortega, Pilar -MDIllinois Masonic Medical Center COVERED UNDER FAP

Orthopaedic & Rehabilitation Centers, SCIllinois Masonic Medical Center NOT COVERED

Osipova Surgical Services CorporationIllinois Masonic Medical Center NOT COVERED

Osipova, Maria -MDIllinois Masonic Medical Center NOT COVERED

Osolkowski, Ewa -MDIllinois Masonic Medical Center NOT COVERED

Osolkowski, Tomasz -MDIllinois Masonic Medical Center NOT COVERED

Otero Medical Center SCIllinois Masonic Medical Center NOT COVERED

Otero, William -MDIllinois Masonic Medical Center NOT COVERED

Otolaryngology AssociatesIllinois Masonic Medical Center NOT COVERED

Pachucki, Constance -MDIllinois Masonic Medical Center NOT COVERED

Pagani, Marco -MDIllinois Masonic Medical Center NOT COVERED

Palmer, Henry -MDIllinois Masonic Medical Center COVERED UNDER FAP

Palmisano, Erica -MDIllinois Masonic Medical Center NOT COVERED

Palu, Maria -CRNAIllinois Masonic Medical Center NOT COVERED

Pant, Mamta -MDIllinois Masonic Medical Center NOT COVERED

Pantoja, Rachel -MDIllinois Masonic Medical Center COVERED UNDER FAP

Panzer, Jeffrey -MDIllinois Masonic Medical Center NOT COVERED

Park City DentalIllinois Masonic Medical Center NOT COVERED

Park West Family MedicineIllinois Masonic Medical Center NOT COVERED

Park West Family Physicians, SCIllinois Masonic Medical Center NOT COVERED

Park, Margaret -MDIllinois Masonic Medical Center NOT COVERED

Pasiewicz, Richard -DDSIllinois Masonic Medical Center NOT COVERED

Page 117

Page 118: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Pasiewicz, Ryan -DMDIllinois Masonic Medical Center NOT COVERED

Patel, Parav -MDIllinois Masonic Medical Center COVERED UNDER FAP

Patel, Phalguni -DDSIllinois Masonic Medical Center NOT COVERED

Patel, Prem -MDIllinois Masonic Medical Center NOT COVERED

Patel, Rajiv -MDIllinois Masonic Medical Center NOT COVERED

Patel, Toral -MDIllinois Masonic Medical Center NOT COVERED

Patino, Jairo -DDSIllinois Masonic Medical Center NOT COVERED

Patricio, Myrna -MDIllinois Masonic Medical Center NOT COVERED

Pawar, Varun -MDIllinois Masonic Medical Center NOT COVERED

PCC Community Wellness CenterIllinois Masonic Medical Center NOT COVERED

Pearlman, Robert -MDIllinois Masonic Medical Center NOT COVERED

Pediatric Dentistry of NorthbrookIllinois Masonic Medical Center NOT COVERED

Pediatric Dentistry SpecialistsIllinois Masonic Medical Center NOT COVERED

Pediatric Developmental CenterIllinois Masonic Medical Center NOT COVERED

Pediatrics Dental Health AssociatesIllinois Masonic Medical Center NOT COVERED

Pelino, Colleen -DOIllinois Masonic Medical Center COVERED UNDER FAP

Pena, Sandra -MDIllinois Masonic Medical Center NOT COVERED

Perez-Tamayo, Ruheri -MDIllinois Masonic Medical Center NOT COVERED

Performance Podiatry PartnersIllinois Masonic Medical Center NOT COVERED

Perry, Tamara -MDIllinois Masonic Medical Center NOT COVERED

Peters, Neill -MDIllinois Masonic Medical Center NOT COVERED

Pezzo, Jessica -PAIllinois Masonic Medical Center NOT COVERED

Phoenix Medical AssociatesIllinois Masonic Medical Center NOT COVERED

Pietruczuk, Margaret -NPIllinois Masonic Medical Center NOT COVERED

Pietz, Mark -DPMIllinois Masonic Medical Center NOT COVERED

Pilyuyko, Polina -MDIllinois Masonic Medical Center COVERED UNDER FAP

Pincus, Esther -DMDIllinois Masonic Medical Center NOT COVERED

Piotrowski, Robert -MDIllinois Masonic Medical Center COVERED UNDER FAP

Pitzele, Henry -MDIllinois Masonic Medical Center COVERED UNDER FAP

Plastic and Reconstructive Surgery Center, SCIllinois Masonic Medical Center NOT COVERED

Plonka, Catherine -MDIllinois Masonic Medical Center COVERED UNDER FAP

Pollack, Libby -PAIllinois Masonic Medical Center NOT COVERED

Popper, Fran -MDIllinois Masonic Medical Center COVERED UNDER FAP

Port, Arielle -MDIllinois Masonic Medical Center COVERED UNDER FAP

Potts, Steven -DOIllinois Masonic Medical Center COVERED UNDER FAP

Poulos, Harry -MDIllinois Masonic Medical Center NOT COVERED

Prabhakar, Naveen -MDIllinois Masonic Medical Center NOT COVERED

Premier Allergy Asthma and Sinus, SCIllinois Masonic Medical Center NOT COVERED

Preodor, Michael -MDIllinois Masonic Medical Center NOT COVERED

Prime Medical Associates, LtdIllinois Masonic Medical Center NOT COVERED

Pritikin, Jordan -MDIllinois Masonic Medical Center NOT COVERED

Prodromos, Chadwick -MDIllinois Masonic Medical Center NOT COVERED

Pudlo, Joseph -MDIllinois Masonic Medical Center NOT COVERED

Pulido, Maria -MDIllinois Masonic Medical Center NOT COVERED

Pulver, Tanya -MDIllinois Masonic Medical Center COVERED UNDER FAP

Qaisi, Mohammed -MDIllinois Masonic Medical Center NOT COVERED

Quinlin, Kate -DMDIllinois Masonic Medical Center NOT COVERED

Quinn, Carissa -CNSIllinois Masonic Medical Center NOT COVERED

Quinteros, Francisco -MDIllinois Masonic Medical Center NOT COVERED

R & W Medical CenterIllinois Masonic Medical Center NOT COVERED

Rada Ivanov, MD SCIllinois Masonic Medical Center NOT COVERED

Radiation Oncology Consultants LtdIllinois Masonic Medical Center NOT COVERED

Ramirez, Esmilkrys -MDIllinois Masonic Medical Center NOT COVERED

Ramirez-Lopez, Nestor -MDIllinois Masonic Medical Center NOT COVERED

Rao, Madhav -MDIllinois Masonic Medical Center NOT COVERED

Rao, Sanjay -MDIllinois Masonic Medical Center NOT COVERED

Raskovich, Olivera -MDIllinois Masonic Medical Center COVERED UNDER FAP

Rauber, Kendra -DOIllinois Masonic Medical Center COVERED UNDER FAP

Page 118

Page 119: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Ravenswood PediatricsIllinois Masonic Medical Center NOT COVERED

Ravi Badlani, MD SCIllinois Masonic Medical Center NOT COVERED

Redjai Moshai, Asadoliah -MDIllinois Masonic Medical Center NOT COVERED

Redondo, Gloria -MDIllinois Masonic Medical Center COVERED UNDER FAP

Rehabilitation Institute of ChicagoIllinois Masonic Medical Center NOT COVERED

Reilly, Charles -DPMIllinois Masonic Medical Center NOT COVERED

Reilly, Supna -DPMIllinois Masonic Medical Center NOT COVERED

Reinglass, Howard -MDIllinois Masonic Medical Center NOT COVERED

Reis, Brady -MDIllinois Masonic Medical Center COVERED UNDER FAP

Remski, Kimberly -MDIllinois Masonic Medical Center COVERED UNDER FAP

Respiratory Critical Care and Sleep Specialists, LLCIllinois Masonic Medical Center NOT COVERED

Ries, Joshua -DMDIllinois Masonic Medical Center NOT COVERED

Ries, Michael -MDIllinois Masonic Medical Center NOT COVERED

Ringel, Paul -MDIllinois Masonic Medical Center COVERED UNDER FAP

Rios, Ricardo -MDIllinois Masonic Medical Center NOT COVERED

Rivera, Adriana -CNMIllinois Masonic Medical Center COVERED UNDER FAP

Riverside Neurology SpecialistsIllinois Masonic Medical Center NOT COVERED

Roberts, Leigh -MDIllinois Masonic Medical Center NOT COVERED

Roberts, Nancy -DOIllinois Masonic Medical Center NOT COVERED

Rogers Park Family MedicineIllinois Masonic Medical Center NOT COVERED

Rogers, Gina -MDIllinois Masonic Medical Center NOT COVERED

Rojas, David -MDIllinois Masonic Medical Center COVERED UNDER FAP

Romano, Andrea -MDIllinois Masonic Medical Center COVERED UNDER FAP

Roscoe Village Family MedicineIllinois Masonic Medical Center NOT COVERED

Rose, Clement -MDIllinois Masonic Medical Center NOT COVERED

Rosenberg, Neil -MDIllinois Masonic Medical Center NOT COVERED

Rosenthal, Marc -DDSIllinois Masonic Medical Center NOT COVERED

Ross, Michael -DOIllinois Masonic Medical Center COVERED UNDER FAP

Rossato, Jennifer -DOIllinois Masonic Medical Center COVERED UNDER FAP

Rotskoff, Brian -MDIllinois Masonic Medical Center NOT COVERED

Rowley, Guy -MDIllinois Masonic Medical Center COVERED UNDER FAP

Rubinstein, Scott -MDIllinois Masonic Medical Center NOT COVERED

Rudnick, Lawrence -MDIllinois Masonic Medical Center NOT COVERED

Rudnicki, Marek -MDIllinois Masonic Medical Center NOT COVERED

Ruiz, JoAnn -MDIllinois Masonic Medical Center NOT COVERED

Rumilla, Alfredo -MDIllinois Masonic Medical Center NOT COVERED

Runge, Kevin -PAIllinois Masonic Medical Center NOT COVERED

Runke, James -MDIllinois Masonic Medical Center NOT COVERED

Rusinak, Jacqueline -MDIllinois Masonic Medical Center COVERED UNDER FAP

S. T. Surgical ConsultantsIllinois Masonic Medical Center NOT COVERED

Saad, Peguy -MDIllinois Masonic Medical Center NOT COVERED

Saatee, Simin -MDIllinois Masonic Medical Center NOT COVERED

Saeed Medical Group, LtdIllinois Masonic Medical Center NOT COVERED

Saeed, Asim -MDIllinois Masonic Medical Center NOT COVERED

Saeed, Omar -MDIllinois Masonic Medical Center NOT COVERED

Sage Medical Group, SCIllinois Masonic Medical Center NOT COVERED

Sahni, Jasjot -DDSIllinois Masonic Medical Center NOT COVERED

Saker, Mark -MDIllinois Masonic Medical Center NOT COVERED

Salcedo, Hector -MDIllinois Masonic Medical Center NOT COVERED

Salem, Mohamed -MDIllinois Masonic Medical Center NOT COVERED

Salgado, Hilda -PAIllinois Masonic Medical Center NOT COVERED

Samee, Mohammed -MDIllinois Masonic Medical Center COVERED UNDER FAP

Samuels, Joseph -PAIllinois Masonic Medical Center NOT COVERED

Sanchez, Francisco -MDIllinois Masonic Medical Center NOT COVERED

Sanchez-Palacios, Carla -MDIllinois Masonic Medical Center NOT COVERED

Sanders, Laura -MDIllinois Masonic Medical Center NOT COVERED

Sanders, William -MDIllinois Masonic Medical Center NOT COVERED

Sanjay S. Gill M.D. P.C.Illinois Masonic Medical Center NOT COVERED

Page 119

Page 120: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Santiago-Gonzalez, Juan -MDIllinois Masonic Medical Center COVERED UNDER FAP

Saper, David -MDIllinois Masonic Medical Center NOT COVERED

Sarah Alderman, MD, SCIllinois Masonic Medical Center NOT COVERED

Savard, Andelina -NPIllinois Masonic Medical Center NOT COVERED

Scarpulla, Kathleen -MDIllinois Masonic Medical Center NOT COVERED

Schierle, Clark -MDIllinois Masonic Medical Center NOT COVERED

Schiller, Alissa -PAIllinois Masonic Medical Center COVERED UNDER FAP

Schlanser, Victoria -DOIllinois Masonic Medical Center NOT COVERED

Schlatter, Betty -CNMIllinois Masonic Medical Center COVERED UNDER FAP

Schmerman, Michael -DDSIllinois Masonic Medical Center NOT COVERED

Schueneman, Gina -DOIllinois Masonic Medical Center COVERED UNDER FAP

Schuman, Cynthia -MDIllinois Masonic Medical Center COVERED UNDER FAP

Seferovic, Kijana -MDIllinois Masonic Medical Center NOT COVERED

Segall, Nava -MDIllinois Masonic Medical Center NOT COVERED

Shah, Ali -MDIllinois Masonic Medical Center COVERED UNDER FAP

Shah, Anil -MDIllinois Masonic Medical Center NOT COVERED

Shah, Ashok -MDIllinois Masonic Medical Center NOT COVERED

Shah, Bharat -MDIllinois Masonic Medical Center NOT COVERED

Shah, Biraj -MDIllinois Masonic Medical Center NOT COVERED

Shah, Niranjana -MDIllinois Masonic Medical Center NOT COVERED

Shah, Nishit -MDIllinois Masonic Medical Center COVERED UNDER FAP

Shah, Parinda -MDIllinois Masonic Medical Center NOT COVERED

Shah, Saurabh -MDIllinois Masonic Medical Center COVERED UNDER FAP

Shah, Shefali -MDIllinois Masonic Medical Center NOT COVERED

Shah-Khan, Farheen -MDIllinois Masonic Medical Center NOT COVERED

Shalini Chawla, MD, LLCIllinois Masonic Medical Center NOT COVERED

Shapiro, David -MDIllinois Masonic Medical Center NOT COVERED

Shapiro, Sarah -MDIllinois Masonic Medical Center COVERED UNDER FAP

Sharma, Meera -MDIllinois Masonic Medical Center COVERED UNDER FAP

Sharma, Monica -DOIllinois Masonic Medical Center NOT COVERED

Sharma, Nitin -MDIllinois Masonic Medical Center NOT COVERED

Shashoua, Abraham -MDIllinois Masonic Medical Center COVERED UNDER FAP

Shen, Jason -MDIllinois Masonic Medical Center NOT COVERED

Sheridan Medical Center SCIllinois Masonic Medical Center NOT COVERED

Shifa Nephrology Associates LLCIllinois Masonic Medical Center NOT COVERED

Shinde, Abhijit -MDIllinois Masonic Medical Center NOT COVERED

Shliapochnik, Silvana -MDIllinois Masonic Medical Center NOT COVERED

Shore, Alison -MDIllinois Masonic Medical Center NOT COVERED

Shore, David -MDIllinois Masonic Medical Center NOT COVERED

Shuber, Heider -MDIllinois Masonic Medical Center COVERED UNDER FAP

Siddharth Tambar, MDIllinois Masonic Medical Center NOT COVERED

Siddiqi, Ayesha -MDIllinois Masonic Medical Center NOT COVERED

Siddiqui, Mumtaz -MDIllinois Masonic Medical Center NOT COVERED

Siddiqui, Tahseen -MDIllinois Masonic Medical Center NOT COVERED

Sidney Hillman Health CentreIllinois Masonic Medical Center NOT COVERED

Simonelli, Jon -MDIllinois Masonic Medical Center COVERED UNDER FAP

Sims, Thomas -MDIllinois Masonic Medical Center NOT COVERED

Singh, Deepti -MDIllinois Masonic Medical Center COVERED UNDER FAP

Singh, Inder -MDIllinois Masonic Medical Center NOT COVERED

Sinha, Sanjay -MDIllinois Masonic Medical Center NOT COVERED

Sinno, Sammy -MDIllinois Masonic Medical Center NOT COVERED

Sirinian, Erenee -DOIllinois Masonic Medical Center NOT COVERED

Skomurski, James -MDIllinois Masonic Medical Center COVERED UNDER FAP

Slack, Charles -MDIllinois Masonic Medical Center NOT COVERED

Smiles Pediatric DentistryIllinois Masonic Medical Center NOT COVERED

Smith, Patrick -DMDIllinois Masonic Medical Center NOT COVERED

Snyder, Stacy -PAIllinois Masonic Medical Center NOT COVERED

Sodini, Irma -MDIllinois Masonic Medical Center COVERED UNDER FAP

Page 120

Page 121: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Sofia Garcia-Buder, MD, SCIllinois Masonic Medical Center NOT COVERED

Soni, Mona -MDIllinois Masonic Medical Center COVERED UNDER FAP

Southwest Nephrology Associates, SCIllinois Masonic Medical Center NOT COVERED

Spatz, Mital -DDSIllinois Masonic Medical Center NOT COVERED

Spector, Coleman -DDSIllinois Masonic Medical Center NOT COVERED

Spindel, David -MDIllinois Masonic Medical Center NOT COVERED

Sprague, Jennifer -MDIllinois Masonic Medical Center COVERED UNDER FAP

Springer, David -MDIllinois Masonic Medical Center NOT COVERED

Stake, Jonathan -MDIllinois Masonic Medical Center NOT COVERED

Stallings, Leonard -MDIllinois Masonic Medical Center COVERED UNDER FAP

Stancu, Mihaela -MDIllinois Masonic Medical Center NOT COVERED

Stanford, Kimberly -CRNAIllinois Masonic Medical Center NOT COVERED

Stankiewicz, Joanna -MDIllinois Masonic Medical Center NOT COVERED

Stanuch, Robert -DDSIllinois Masonic Medical Center NOT COVERED

Stapleton, Elizabeth -NPIllinois Masonic Medical Center COVERED UNDER FAP

Starr, Jessica -CRNAIllinois Masonic Medical Center NOT COVERED

Starr, Rosally -MDIllinois Masonic Medical Center COVERED UNDER FAP

Steiner, Stephen -MDIllinois Masonic Medical Center NOT COVERED

Stephenson, Mara -DOIllinois Masonic Medical Center NOT COVERED

Stephenson, Richard -MDIllinois Masonic Medical Center NOT COVERED

Stevens, Rom -MDIllinois Masonic Medical Center NOT COVERED

Stock, Tyson -DOIllinois Masonic Medical Center NOT COVERED

Striedinger Medical GroupIllinois Masonic Medical Center NOT COVERED

Striedinger, Fernando -MDIllinois Masonic Medical Center NOT COVERED

Stryker, John -NPIllinois Masonic Medical Center NOT COVERED

Suburban Eye SpecialistsIllinois Masonic Medical Center NOT COVERED

Sullivan, James -MDIllinois Masonic Medical Center NOT COVERED

Summers, Barry -MDIllinois Masonic Medical Center NOT COVERED

Summit Digestive and Liver Disease SpecialistsIllinois Masonic Medical Center NOT COVERED

Sundaresan, Gayathri -MDIllinois Masonic Medical Center NOT COVERED

Surati, Natverlal -MDIllinois Masonic Medical Center NOT COVERED

Surucci, Arminio -MDIllinois Masonic Medical Center NOT COVERED

Surucci, Narcisa -MDIllinois Masonic Medical Center NOT COVERED

Sy, Harold -MDIllinois Masonic Medical Center NOT COVERED

Sy, Virginia -CNSIllinois Masonic Medical Center NOT COVERED

Sypien, Malgorzata -MDIllinois Masonic Medical Center NOT COVERED

Tam, Jenny -MDIllinois Masonic Medical Center NOT COVERED

Tam, Maria -MDIllinois Masonic Medical Center NOT COVERED

Tamayo-Cordero, Jorge -MDIllinois Masonic Medical Center NOT COVERED

Tambar, Siddharth -MDIllinois Masonic Medical Center NOT COVERED

Tanner, Katie -NPIllinois Masonic Medical Center NOT COVERED

Tapon, Philippe -MDIllinois Masonic Medical Center COVERED UNDER FAP

Taube, Tina -MDIllinois Masonic Medical Center COVERED UNDER FAP

Tazudeen, Noor -MDIllinois Masonic Medical Center NOT COVERED

Tenhundfeld, John -MDIllinois Masonic Medical Center NOT COVERED

Tepper, Daniel -MDIllinois Masonic Medical Center NOT COVERED

Thakkar, Ghanshyam -MDIllinois Masonic Medical Center COVERED UNDER FAP

Tharian, Antony -MDIllinois Masonic Medical Center NOT COVERED

Thawani, Saroja -MDIllinois Masonic Medical Center COVERED UNDER FAP

The Chicago Center for Plastic & Reconstructive SurgeryIllinois Masonic Medical Center NOT COVERED

The Geldner CenterIllinois Masonic Medical Center NOT COVERED

The Gynecology Institute of Chicago, LtdIllinois Masonic Medical Center NOT COVERED

Thoele, David -MDIllinois Masonic Medical Center COVERED UNDER FAP

Thomas, Alex -MDIllinois Masonic Medical Center NOT COVERED

Thomas, Dolly -MDIllinois Masonic Medical Center NOT COVERED

Thomas, Frances -MDIllinois Masonic Medical Center COVERED UNDER FAP

Tilahun, Ermias -MDIllinois Masonic Medical Center NOT COVERED

TJ Siddiqui, Inc.Illinois Masonic Medical Center NOT COVERED

Page 121

Page 122: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Tooth Buds Pediatric DentistryIllinois Masonic Medical Center NOT COVERED

Torphy, Bradley -MDIllinois Masonic Medical Center NOT COVERED

Torrence, Alfred -MDIllinois Masonic Medical Center NOT COVERED

Torres, Thalia -MDIllinois Masonic Medical Center COVERED UNDER FAP

Total Care Physicians, LtdIllinois Masonic Medical Center NOT COVERED

Trandai, Michelle -MDIllinois Masonic Medical Center NOT COVERED

Trendafilova, Victoria -MDIllinois Masonic Medical Center NOT COVERED

Tresley, David -MDIllinois Masonic Medical Center NOT COVERED

Tsatsos, George -DPMIllinois Masonic Medical Center NOT COVERED

Tsimpas, Asterios -MDIllinois Masonic Medical Center COVERED UNDER FAP

Tur Kaspa, Ilan -MDIllinois Masonic Medical Center NOT COVERED

Turelli, Robert -MDIllinois Masonic Medical Center COVERED UNDER FAP

Tuscher, Ryan -DDSIllinois Masonic Medical Center NOT COVERED

Uday Vyas, MD, SCIllinois Masonic Medical Center NOT COVERED

Uhler, Meike -MDIllinois Masonic Medical Center NOT COVERED

Ukena, Jenny -MDIllinois Masonic Medical Center COVERED UNDER FAP

Union Health Service, IncIllinois Masonic Medical Center NOT COVERED

Union Health ServicesIllinois Masonic Medical Center NOT COVERED

University Dermatology and Vein Clinic LLCIllinois Masonic Medical Center NOT COVERED

University Head & Neck AssociatesIllinois Masonic Medical Center NOT COVERED

University of Illinois at ChicagoIllinois Masonic Medical Center NOT COVERED

University OphthalmologyIllinois Masonic Medical Center NOT COVERED

Urology and Physician ServicesIllinois Masonic Medical Center NOT COVERED

UroPartners, LLCIllinois Masonic Medical Center NOT COVERED

Vais, Dana -MDIllinois Masonic Medical Center NOT COVERED

Valaitis, Daiva -MDIllinois Masonic Medical Center NOT COVERED

Valencia, Val -MDIllinois Masonic Medical Center COVERED UNDER FAP

Varga, Julie -MDIllinois Masonic Medical Center COVERED UNDER FAP

Vaselopulos, Peter -MDIllinois Masonic Medical Center NOT COVERED

Venkatesan, T K -MDIllinois Masonic Medical Center NOT COVERED

Verano, Nestor -NPIllinois Masonic Medical Center NOT COVERED

Vigilante, Alexandra -PAIllinois Masonic Medical Center COVERED UNDER FAP

Villa, Eugene -MDIllinois Masonic Medical Center NOT COVERED

Vios Fertility InstituteIllinois Masonic Medical Center NOT COVERED

Vios Fertility Institute Chicago, LLCIllinois Masonic Medical Center NOT COVERED

Vios Fertility South Loop IVF CenterIllinois Masonic Medical Center NOT COVERED

Viru, SCIllinois Masonic Medical Center NOT COVERED

Vitello, William -MDIllinois Masonic Medical Center NOT COVERED

Vivek A. Gupta, MD SCIllinois Masonic Medical Center NOT COVERED

Vladimirskiy, Natalya -MDIllinois Masonic Medical Center NOT COVERED

Vohra, Sudesh -MDIllinois Masonic Medical Center NOT COVERED

Vyas, Uday -MDIllinois Masonic Medical Center NOT COVERED

Walter, Kristin -MDIllinois Masonic Medical Center NOT COVERED

Wang, Stephanie -MDIllinois Masonic Medical Center NOT COVERED

Wang, Theodore -MDIllinois Masonic Medical Center COVERED UNDER FAP

Warnick, Pamela -MDIllinois Masonic Medical Center COVERED UNDER FAP

Weatherford, Brian -MDIllinois Masonic Medical Center NOT COVERED

Webster Dental CareIllinois Masonic Medical Center NOT COVERED

Wehner, Julie -MDIllinois Masonic Medical Center NOT COVERED

Weil Foot and Ankle InstituteIllinois Masonic Medical Center NOT COVERED

Weiler, Amy -DOIllinois Masonic Medical Center NOT COVERED

Weinstein, Mitchell -MDIllinois Masonic Medical Center NOT COVERED

Weinzweig, Jeffrey -MDIllinois Masonic Medical Center NOT COVERED

Weinzweig, Norman -MDIllinois Masonic Medical Center NOT COVERED

Weisenberg, Elliot -MDIllinois Masonic Medical Center NOT COVERED

Weiss, Joshua -DOIllinois Masonic Medical Center NOT COVERED

Welke, Justin -DDSIllinois Masonic Medical Center NOT COVERED

Well Integrative Family Medicine, Inc.Illinois Masonic Medical Center NOT COVERED

Page 122

Page 123: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Wennerberg, Karen -CNMIllinois Masonic Medical Center COVERED UNDER FAP

West Suburban Eye AssociatesIllinois Masonic Medical Center NOT COVERED

West, Nathaniel -MDIllinois Masonic Medical Center COVERED UNDER FAP

Westgate Implant & Oral SurgeryIllinois Masonic Medical Center NOT COVERED

Westgate Orthopaedics, LtdIllinois Masonic Medical Center NOT COVERED

Westin, Craig -MDIllinois Masonic Medical Center NOT COVERED

Wetters, Nathan -MDIllinois Masonic Medical Center NOT COVERED

Whittington-Cirton, Julie -MDIllinois Masonic Medical Center NOT COVERED

Whole Health MD LLCIllinois Masonic Medical Center NOT COVERED

Wiedmann, Margaret -MDIllinois Masonic Medical Center COVERED UNDER FAP

Williams, Joel -MDIllinois Masonic Medical Center NOT COVERED

Williams, Nicole -MDIllinois Masonic Medical Center NOT COVERED

Win-Care Medical Consultants LtdIllinois Masonic Medical Center NOT COVERED

Windy City Foot & Ankle Physicians LLCIllinois Masonic Medical Center NOT COVERED

Windy City Pain Relief, SCIllinois Masonic Medical Center NOT COVERED

Wolny, Yvonne -MDIllinois Masonic Medical Center NOT COVERED

Women to Women OB/Gyn, SCIllinois Masonic Medical Center NOT COVERED

Wong, Seit -MDIllinois Masonic Medical Center NOT COVERED

Wood, Daniel -NPIllinois Masonic Medical Center NOT COVERED

Woodridge Dental LLCIllinois Masonic Medical Center NOT COVERED

Wu, Nancy -MDIllinois Masonic Medical Center COVERED UNDER FAP

Wynn, Daniel -MDIllinois Masonic Medical Center NOT COVERED

Wysocki, Nicole -MDIllinois Masonic Medical Center NOT COVERED

Xenos, Helen -MDIllinois Masonic Medical Center NOT COVERED

Yanong, Procopio -MDIllinois Masonic Medical Center NOT COVERED

Yonover, Paul -MDIllinois Masonic Medical Center NOT COVERED

Yorath, Martin -DPMIllinois Masonic Medical Center NOT COVERED

Yu, Jeffrey -MDIllinois Masonic Medical Center COVERED UNDER FAP

Zabad, Ahmad -MDIllinois Masonic Medical Center COVERED UNDER FAP

Zaharia, Alexandre -MDIllinois Masonic Medical Center NOT COVERED

Zambrano, Annie -PAIllinois Masonic Medical Center NOT COVERED

Zambrano, Carlos -MDIllinois Masonic Medical Center NOT COVERED

Zamudio Rasof, Sophia -MDIllinois Masonic Medical Center COVERED UNDER FAP

Zarling, Rachel -MDIllinois Masonic Medical Center COVERED UNDER FAP

Zecevic Sternic, Vesna -MDIllinois Masonic Medical Center NOT COVERED

Zorger, Rachel -DPMIllinois Masonic Medical Center NOT COVERED

Zorin, Danylo -MDIllinois Masonic Medical Center NOT COVERED

Zuiderveld, Loren -MDIllinois Masonic Medical Center NOT COVERED

Zulfiqar, Beenish -MDIllinois Masonic Medical Center NOT COVERED

Zull, Lisa -NPIllinois Masonic Medical Center COVERED UNDER FAP

4 Kids Pediatrics, SCLutheran General and Children's Hospital NOT COVERED

A & H Family Med CenterLutheran General and Children's Hospital NOT COVERED

Abdo, Samir -MDLutheran General and Children's Hospital NOT COVERED

Abiera, Ellen -NPLutheran General and Children's Hospital NOT COVERED

Abraham, Amira -MDLutheran General and Children's Hospital NOT COVERED

Abraham, Gina -MDLutheran General and Children's Hospital NOT COVERED

Abraham, Naveen -MDLutheran General and Children's Hospital COVERED UNDER FAP

Abtahi, Mohammad -MDLutheran General and Children's Hospital NOT COVERED

Access Genesis Center for Health and EmpowermentLutheran General and Children's Hospital NOT COVERED

Adams, Julie -CRNALutheran General and Children's Hospital NOT COVERED

Adams, Stephen -DOLutheran General and Children's Hospital NOT COVERED

Adanin, Simon -DOLutheran General and Children's Hospital NOT COVERED

Adhikari, Seetal -MDLutheran General and Children's Hospital COVERED UNDER FAP

Adler, Douglas -MDLutheran General and Children's Hospital NOT COVERED

Adley, Brian -MDLutheran General and Children's Hospital NOT COVERED

Ads, Ayman -MDLutheran General and Children's Hospital NOT COVERED

Advanced Allergists, LtdLutheran General and Children's Hospital NOT COVERED

Advanced Allergy & Asthma Associates, SCLutheran General and Children's Hospital NOT COVERED

Page 123

Page 124: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Advanced Dermatology CenterLutheran General and Children's Hospital NOT COVERED

Advanced Family Care, S.C.Lutheran General and Children's Hospital NOT COVERED

Advanced Gynecology, SCLutheran General and Children's Hospital NOT COVERED

Advanced Medical Consultations, LtdLutheran General and Children's Hospital NOT COVERED

Advanced Medical PracticesLutheran General and Children's Hospital NOT COVERED

Advanced Neurological Associates, SCLutheran General and Children's Hospital NOT COVERED

Advent Neurology, SCLutheran General and Children's Hospital NOT COVERED

Advincula, Linda -NPLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Pediatric GastroenterologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Health & Hospital Corp - Advocate Intensivist PartnersLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Chicago - 4801 West PetersonLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Des Plaines - Rand Rd. - PediatricsLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Des Plaines 8901 W Golf RoadLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Downers Grove - 1441 BrandingLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Libertyville - Milwaukee AveLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Libertyville - PediatricsLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Libertyville - Peds SubSpecialtyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 4220 W 95th Street - PediatricsLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Park Ridge - 1675 Dempster - Pediatric Critical CareLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Park Ridge - 1700 Luther Lane - NeurologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Park Ridge - 1875 Dempster - NeurologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Park Ridge - 1875 Dempster - NeuromuscularLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Park Ridge - 1875 Dempster - NeurosurgeryLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Park Ridge - Gynecologic OncologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Park Ridge - Luther Lane - Bone Marrow TransplantLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Park Ridge - Luther Ln - OncologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Park Ridge - Pediatric NeurosurgeryLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Park Ridge - Vascular SurgeryLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Parkside - Thoracic SurgeryLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group - Wilmette - Peds DermatologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Adult Down Syndrome CenterLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Arlington HeightsLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic AuroraLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Buffalo GroveLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Elk Grove VillageLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Lake ZurichLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Morton GroveLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Mount ProspectLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic NorthfieldLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic PalatineLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Park RidgeLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic WheelingLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Buffalo GroveLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group CACLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Christ Peds HospitalistLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Glenview Compass DriveLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Maternal FetalLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Midwest Pediatric CardioLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Morton GroveLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group NeonatologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Nesset EndocrinologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Nesset Geriatric MedicineLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Nesset Internal MedicineLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Nesset Physical Med & RehabLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Nesset RheumatologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Neurointerventional SurgeryLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Niles Dempster Wound CareLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Niles Milwaukee AveLutheran General and Children's Hospital COVERED UNDER FAP

Page 124

Page 125: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Advocate Medical Group Park Ridge 1775 Dempster Street Pediatric Critical CareLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Park Ridge 1875 Dempster Obstetrics & GynecologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Park Ridge 1875 Dempster OncologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Park Ridge 850 Busse HighwayLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Parkside CardiologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Parkside Colorectal SurgeryLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Parkside General SurgeryLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Parkside Maternal FetalLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Peds Plastic SurgLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Sykes HospitalistLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group TraumaLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Trauma SurgeryLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Developmental PedsLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Peds CardiologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Peds DermatologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Peds EndocrinologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Peds General SurgeryLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Peds Hem/OncLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Peds Infectious DiseaseLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Peds NephrologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Peds NeurologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Peds Plastic SurgLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Peds PulmonologyLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group Yacktman Sleep MedicineLutheran General and Children's Hospital COVERED UNDER FAP

Advocate Medical Group-Des Plaines-8901 W Golf RoadLutheran General and Children's Hospital COVERED UNDER FAP

Affinati, Brenda -MDLutheran General and Children's Hospital NOT COVERED

Afshari, Zahra -MDLutheran General and Children's Hospital NOT COVERED

Agrawal, Caitlin -MDLutheran General and Children's Hospital COVERED UNDER FAP

Ahluwalia, Kumkum -MDLutheran General and Children's Hospital NOT COVERED

Ahmad, Fawaz -MDLutheran General and Children's Hospital COVERED UNDER FAP

Ahn, Catherine -MDLutheran General and Children's Hospital NOT COVERED

Ahn, Jonathan -MDLutheran General and Children's Hospital NOT COVERED

Akiens, Grace -MDLutheran General and Children's Hospital NOT COVERED

Aleksandr Galperin M.D.Lutheran General and Children's Hospital NOT COVERED

Aleksandrovich, Ellen -MDLutheran General and Children's Hospital COVERED UNDER FAP

Alfano, Suzanne -MDLutheran General and Children's Hospital NOT COVERED

Ali, Arif -MDLutheran General and Children's Hospital NOT COVERED

Ali, Asya -MDLutheran General and Children's Hospital NOT COVERED

Aljadeff, Gabriel -MDLutheran General and Children's Hospital COVERED UNDER FAP

Alkhas, Addie -MDLutheran General and Children's Hospital COVERED UNDER FAP

Allar, Brendan -PALutheran General and Children's Hospital NOT COVERED

Allegretti, John -MDLutheran General and Children's Hospital COVERED UNDER FAP

Allergy & Asthma Associates, LtdLutheran General and Children's Hospital NOT COVERED

Allergy Partners of ChicagoLutheran General and Children's Hospital NOT COVERED

Allied Healthcare AssociatesLutheran General and Children's Hospital NOT COVERED

Almanaseer, Imad -MDLutheran General and Children's Hospital NOT COVERED

Alsheik, Nila -MDLutheran General and Children's Hospital NOT COVERED

Alter, Daniel -MDLutheran General and Children's Hospital NOT COVERED

Alvaro, Bright -NPLutheran General and Children's Hospital COVERED UNDER FAP

Alvaro, Bright -NPLutheran General and Children's Hospital NOT COVERED

American Cancer Center, PCLutheran General and Children's Hospital NOT COVERED

American Health Center, Ltd.Lutheran General and Children's Hospital NOT COVERED

American Hip Institute, LLCLutheran General and Children's Hospital NOT COVERED

AMITA Health Medical Group Neurosciences InstituteLutheran General and Children's Hospital NOT COVERED

Anderson, Bonnie -MDLutheran General and Children's Hospital NOT COVERED

Anderson, Chad -PALutheran General and Children's Hospital NOT COVERED

Anderson, Eric -MDLutheran General and Children's Hospital NOT COVERED

Anderson, Martin -MDLutheran General and Children's Hospital NOT COVERED

Page 125

Page 126: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Anderson, Sandra -MDLutheran General and Children's Hospital COVERED UNDER FAP

Angelopoulos, Mary -DOLutheran General and Children's Hospital NOT COVERED

Angle, Brad -MDLutheran General and Children's Hospital COVERED UNDER FAP

Angyalosy, Alina -CRNALutheran General and Children's Hospital NOT COVERED

Aniol, Halina -MDLutheran General and Children's Hospital NOT COVERED

Apichai, Seema -MDLutheran General and Children's Hospital NOT COVERED

Archer, Amy -MDLutheran General and Children's Hospital COVERED UNDER FAP

Archil, Vanessa -MDLutheran General and Children's Hospital NOT COVERED

Ardakani, Navid -MDLutheran General and Children's Hospital NOT COVERED

Arkema, Helen -MDLutheran General and Children's Hospital COVERED UNDER FAP

Arlington Eye Physicians, LLCLutheran General and Children's Hospital NOT COVERED

Arnold, Erin -MDLutheran General and Children's Hospital NOT COVERED

Aronov, Yuriy -MDLutheran General and Children's Hospital NOT COVERED

Aronson, Adam -MDLutheran General and Children's Hospital NOT COVERED

Arora, Ashish -MDLutheran General and Children's Hospital NOT COVERED

Arslanagic, Alma -MDLutheran General and Children's Hospital COVERED UNDER FAP

Artinian, Gary -MDLutheran General and Children's Hospital COVERED UNDER FAP

Arvind Patel MD, SCLutheran General and Children's Hospital NOT COVERED

Asian Human Services Family Health CenterLutheran General and Children's Hospital NOT COVERED

Asimacopoulos, Voula -MDLutheran General and Children's Hospital NOT COVERED

Askari, Ruhi -MDLutheran General and Children's Hospital NOT COVERED

Askenazi, Noga -MDLutheran General and Children's Hospital NOT COVERED

Associated Allergists & Asthma Specialists, LtdLutheran General and Children's Hospital NOT COVERED

Associated Pediatric Partners, SCLutheran General and Children's Hospital NOT COVERED

Associates in Nephrology, SCLutheran General and Children's Hospital NOT COVERED

Associates in Psychiatric Medicine, LLCLutheran General and Children's Hospital NOT COVERED

Associates in Psychiatric Wellness, LPLutheran General and Children's Hospital NOT COVERED

Asthma & Allergy AssociatesLutheran General and Children's Hospital NOT COVERED

Asthma and Allergy InstituteLutheran General and Children's Hospital NOT COVERED

Atienza, Matthew -MDLutheran General and Children's Hospital COVERED UNDER FAP

Avant Obstetrics and Gynecology Ltd.Lutheran General and Children's Hospital NOT COVERED

Awadallah, Nancy -MDLutheran General and Children's Hospital NOT COVERED

Bach, Malgorzata -MDLutheran General and Children's Hospital NOT COVERED

Baddi, Lisa -DOLutheran General and Children's Hospital NOT COVERED

Bade, Brian -NPLutheran General and Children's Hospital COVERED UNDER FAP

Bai, Grace -MDLutheran General and Children's Hospital NOT COVERED

Baig, Mirza -MDLutheran General and Children's Hospital NOT COVERED

Bailey, Kathy -MDLutheran General and Children's Hospital COVERED UNDER FAP

Baker, Molly -PALutheran General and Children's Hospital COVERED UNDER FAP

Baker, Rachel - Lutheran General and Children's Hospital NOT COVERED

Baker, Stephanie -MDLutheran General and Children's Hospital NOT COVERED

Baker, Todd -MDLutheran General and Children's Hospital COVERED UNDER FAP

Bakman, Lubov -NPLutheran General and Children's Hospital NOT COVERED

Bala, Matangi -MDLutheran General and Children's Hospital NOT COVERED

Balagani, Radha -MDLutheran General and Children's Hospital COVERED UNDER FAP

Balamohan, Sanjeev -MDLutheran General and Children's Hospital NOT COVERED

Balodimas, James -MDLutheran General and Children's Hospital NOT COVERED

Bang, Jane -MDLutheran General and Children's Hospital NOT COVERED

Baran-Pressen, Malgorzata -MDLutheran General and Children's Hospital NOT COVERED

Barbaglia, Gina -PALutheran General and Children's Hospital COVERED UNDER FAP

Barczyk, Janet -MDLutheran General and Children's Hospital NOT COVERED

Barnes, Katarzyna -NPLutheran General and Children's Hospital NOT COVERED

Barney, Kathryn -NPLutheran General and Children's Hospital COVERED UNDER FAP

Barr, Annemarie -NPLutheran General and Children's Hospital COVERED UNDER FAP

Barr, Joseph -EdDLutheran General and Children's Hospital NOT COVERED

Bartt, Russell -MDLutheran General and Children's Hospital NOT COVERED

Bass, Amee -MDLutheran General and Children's Hospital NOT COVERED

Bass, Marla -NPLutheran General and Children's Hospital COVERED UNDER FAP

Page 126

Page 127: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Bauer, Jerry -MDLutheran General and Children's Hospital NOT COVERED

Baxamusa, Taizoon -MDLutheran General and Children's Hospital NOT COVERED

Bazan, Andrea -MDLutheran General and Children's Hospital NOT COVERED

Bazi, Martin -MDLutheran General and Children's Hospital COVERED UNDER FAP

Beckemeier, David -MDLutheran General and Children's Hospital NOT COVERED

Behara, Venkata -MDLutheran General and Children's Hospital NOT COVERED

Behrens, Deanna -MDLutheran General and Children's Hospital COVERED UNDER FAP

Bello, Alfonso -MDLutheran General and Children's Hospital NOT COVERED

Belmonte, Frank -DOLutheran General and Children's Hospital COVERED UNDER FAP

Belvis, Dawn -MDLutheran General and Children's Hospital NOT COVERED

Bendikas, Leonard -MDLutheran General and Children's Hospital NOT COVERED

Bennett, Alicia -DOLutheran General and Children's Hospital NOT COVERED

Bennett, Catherine -CNSLutheran General and Children's Hospital NOT COVERED

Bereskin, Gayle -DOLutheran General and Children's Hospital COVERED UNDER FAP

Berger, Abigail -PALutheran General and Children's Hospital NOT COVERED

Bergin, Christopher -MDLutheran General and Children's Hospital NOT COVERED

Berman, Andrew -MDLutheran General and Children's Hospital NOT COVERED

Berman, Daniel -MDLutheran General and Children's Hospital COVERED UNDER FAP

Berman, James -MDLutheran General and Children's Hospital COVERED UNDER FAP

Bernadette Mayer, MD, SCLutheran General and Children's Hospital NOT COVERED

Bernheim, Bruce -MDLutheran General and Children's Hospital COVERED UNDER FAP

Bernstein, Avi -MDLutheran General and Children's Hospital NOT COVERED

Bernstein, Leslie -MDLutheran General and Children's Hospital NOT COVERED

Berry, John -DOLutheran General and Children's Hospital COVERED UNDER FAP

Bertoglio, Bryan -MDLutheran General and Children's Hospital COVERED UNDER FAP

Best Practices Inpatient Care, LtdLutheran General and Children's Hospital NOT COVERED

Bhandarkar, Manohar -MDLutheran General and Children's Hospital NOT COVERED

Bhardwaj, Harvinder -MDLutheran General and Children's Hospital COVERED UNDER FAP

Bialko, Christine -PALutheran General and Children's Hospital NOT COVERED

Biank, Vincent -MDLutheran General and Children's Hospital NOT COVERED

Bielinski Dermatology Group, LLCLutheran General and Children's Hospital NOT COVERED

Bilinski, Ewa -MDLutheran General and Children's Hospital NOT COVERED

Billote, Dinna -MDLutheran General and Children's Hospital NOT COVERED

Bilodeau, Janet -NPLutheran General and Children's Hospital COVERED UNDER FAP

Binder, Christian -MDLutheran General and Children's Hospital NOT COVERED

Bissing, Mary Kay -DOLutheran General and Children's Hospital NOT COVERED

Bitar, Reem -MDLutheran General and Children's Hospital NOT COVERED

Bitran, Jacob -MDLutheran General and Children's Hospital COVERED UNDER FAP

Blachut, Tina -DOLutheran General and Children's Hospital NOT COVERED

Black, Ashley -DOLutheran General and Children's Hospital NOT COVERED

Blair, Michael -MDLutheran General and Children's Hospital NOT COVERED

Blandon, Roberta -MDLutheran General and Children's Hospital NOT COVERED

Blankas-Hernaez, Nida -MDLutheran General and Children's Hospital NOT COVERED

Bloom, Ronald -MDLutheran General and Children's Hospital NOT COVERED

Blue Sky NeurologyLutheran General and Children's Hospital NOT COVERED

Blunck, Joshua -DOLutheran General and Children's Hospital NOT COVERED

Bochenska, Katarzyna -MDLutheran General and Children's Hospital NOT COVERED

Boden, Thomas -MDLutheran General and Children's Hospital NOT COVERED

Bodner, Alla -MDLutheran General and Children's Hospital NOT COVERED

Bolton, Paul -MDLutheran General and Children's Hospital COVERED UNDER FAP

Bond, Alexis -MDLutheran General and Children's Hospital NOT COVERED

Boppana, Prashanthi -MDLutheran General and Children's Hospital COVERED UNDER FAP

Borgen, Kristina -MDLutheran General and Children's Hospital NOT COVERED

Borowicz, Jessica -DOLutheran General and Children's Hospital NOT COVERED

Boskov, Djordje -MDLutheran General and Children's Hospital NOT COVERED

Boskovic, Sinisa -MDLutheran General and Children's Hospital NOT COVERED

Bosley - Hair Restoration & TransplantLutheran General and Children's Hospital NOT COVERED

Boton, Robert -MDLutheran General and Children's Hospital NOT COVERED

Page 127

Page 128: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Boudos, Jessica -PALutheran General and Children's Hospital COVERED UNDER FAP

Boumendjel, Redouane -MDLutheran General and Children's Hospital NOT COVERED

Bovis, George -MDLutheran General and Children's Hospital NOT COVERED

Bowersox, Keith -MDLutheran General and Children's Hospital NOT COVERED

Boyer, Martin -DOLutheran General and Children's Hospital NOT COVERED

Brander, William -MDLutheran General and Children's Hospital COVERED UNDER FAP

Brandt, Mark -MDLutheran General and Children's Hospital NOT COVERED

Brandwein, Sydney -MDLutheran General and Children's Hospital COVERED UNDER FAP

Brasky, Jeffrey -DOLutheran General and Children's Hospital NOT COVERED

Breen, Sarah -DOLutheran General and Children's Hospital NOT COVERED

Bregman, Harold -MDLutheran General and Children's Hospital NOT COVERED

Breivald, Rachel -NPLutheran General and Children's Hospital COVERED UNDER FAP

Bremer, Khin Khin -MDLutheran General and Children's Hospital COVERED UNDER FAP

Brennan, Maura -MDLutheran General and Children's Hospital COVERED UNDER FAP

Bresch, James -MDLutheran General and Children's Hospital NOT COVERED

Breslow, Marc -MDLutheran General and Children's Hospital NOT COVERED

Brikha Medical CenterLutheran General and Children's Hospital NOT COVERED

Brikha, Charles -MDLutheran General and Children's Hospital NOT COVERED

Brinckerhoff, Beau -MDLutheran General and Children's Hospital COVERED UNDER FAP

Brindise, Renata -DOLutheran General and Children's Hospital NOT COVERED

Brodsky Dermatology, LLCLutheran General and Children's Hospital NOT COVERED

Brodsky, Amy -MDLutheran General and Children's Hospital NOT COVERED

Brookfield, Leslie -MDLutheran General and Children's Hospital COVERED UNDER FAP

Brown, Kristen -MDLutheran General and Children's Hospital NOT COVERED

Brown, Susan -MDLutheran General and Children's Hospital NOT COVERED

Brull, Ellen -MDLutheran General and Children's Hospital NOT COVERED

Brunetti, Michelle -NPLutheran General and Children's Hospital NOT COVERED

Buchwach, Abigail -MDLutheran General and Children's Hospital COVERED UNDER FAP

Buckman, Jeffrey -MDLutheran General and Children's Hospital NOT COVERED

Buenvenida, Carissa -MDLutheran General and Children's Hospital COVERED UNDER FAP

Bufalino, Shams -MDLutheran General and Children's Hospital COVERED UNDER FAP

Bukowski, Rachel -NPLutheran General and Children's Hospital COVERED UNDER FAP

Bulthuis, Katherine -CNSLutheran General and Children's Hospital NOT COVERED

Burke, Chelsey -MDLutheran General and Children's Hospital COVERED UNDER FAP

Burrell, Christian -MDLutheran General and Children's Hospital NOT COVERED

Burrowes, Susan -MDLutheran General and Children's Hospital NOT COVERED

Busch, Kenneth -MDLutheran General and Children's Hospital NOT COVERED

Bush, John -MDLutheran General and Children's Hospital NOT COVERED

Bussell, Gregory -MDLutheran General and Children's Hospital NOT COVERED

Butler, Jesse -MDLutheran General and Children's Hospital NOT COVERED

Byun, Michael -MDLutheran General and Children's Hospital NOT COVERED

C. Dean Katsamakis DO, FACC, SCLutheran General and Children's Hospital NOT COVERED

Cabrera, Julio -MDLutheran General and Children's Hospital NOT COVERED

Camarda, Lauren -MDLutheran General and Children's Hospital COVERED UNDER FAP

Campbell, Walter -MDLutheran General and Children's Hospital NOT COVERED

Cantrell, Bridget -NPLutheran General and Children's Hospital COVERED UNDER FAP

Capezio, Joseph -MDLutheran General and Children's Hospital NOT COVERED

Cappello, Michael -DOLutheran General and Children's Hospital COVERED UNDER FAP

Cardiac Surgery Associates, SCLutheran General and Children's Hospital NOT COVERED

Cardiology Electrophysiology & Pacemaker Specialists, LtdLutheran General and Children's Hospital NOT COVERED

Cardiothoracic & Vascular Surgical Associates, SCLutheran General and Children's Hospital NOT COVERED

Carlson, Bruce -DDSLutheran General and Children's Hospital NOT COVERED

Carlstrom, Luke -MDLutheran General and Children's Hospital NOT COVERED

Casini, Rebecca -DOLutheran General and Children's Hospital NOT COVERED

Casper, Francis -MDLutheran General and Children's Hospital NOT COVERED

Cates-Rudolph, Natalie -CNSLutheran General and Children's Hospital NOT COVERED

Cathy DiVincenzo MD Pediatrics, SCLutheran General and Children's Hospital NOT COVERED

Cavazos, Cristina -MDLutheran General and Children's Hospital NOT COVERED

Page 128

Page 129: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Cayer, Emily -CRNALutheran General and Children's Hospital NOT COVERED

Center for Digestive HealthLutheran General and Children's Hospital NOT COVERED

Center for Holistic MedicineLutheran General and Children's Hospital NOT COVERED

Center for Vitreo Retinal Diseases, SCLutheran General and Children's Hospital NOT COVERED

Center of Brain & Spine SurgeryLutheran General and Children's Hospital NOT COVERED

Chacko, Susan -NPLutheran General and Children's Hospital NOT COVERED

Chams Women's Health Care, SCLutheran General and Children's Hospital NOT COVERED

Chams, Joyce -MDLutheran General and Children's Hospital NOT COVERED

Chand, Mumtaj -DOLutheran General and Children's Hospital NOT COVERED

Chang, Laura -DOLutheran General and Children's Hospital COVERED UNDER FAP

Chao, Jasmine -DOLutheran General and Children's Hospital NOT COVERED

Chapman, Norman -MDLutheran General and Children's Hospital NOT COVERED

Chaptini, Nayla -MDLutheran General and Children's Hospital NOT COVERED

Charles E. Miller, MD & AssociatesLutheran General and Children's Hospital NOT COVERED

Charles Mullenix, M.D., S.C.Lutheran General and Children's Hospital NOT COVERED

Charnond, Kirsten -MDLutheran General and Children's Hospital NOT COVERED

Charo, Satish -MDLutheran General and Children's Hospital NOT COVERED

Charous, Matthew -MDLutheran General and Children's Hospital NOT COVERED

Chaturvedi, Gaurav -MDLutheran General and Children's Hospital COVERED UNDER FAP

Chaudhary, Hamad -MDLutheran General and Children's Hospital NOT COVERED

Chaudhary, Haroon -DOLutheran General and Children's Hospital COVERED UNDER FAP

Chaudhry, Hunan -MDLutheran General and Children's Hospital COVERED UNDER FAP

Chaus, Farah -MDLutheran General and Children's Hospital COVERED UNDER FAP

Chen, Alice -MDLutheran General and Children's Hospital NOT COVERED

Cheng, Lisa -MDLutheran General and Children's Hospital COVERED UNDER FAP

Cherny, Barry -DDSLutheran General and Children's Hospital NOT COVERED

Chet, Andrew -DOLutheran General and Children's Hospital COVERED UNDER FAP

Chi, Kenneth -MDLutheran General and Children's Hospital NOT COVERED

Chicago Allergy & Asthma, LLCLutheran General and Children's Hospital NOT COVERED

Chicago Cosmetic SurgeryLutheran General and Children's Hospital NOT COVERED

Chicago Hand and Orthopedic Surgery Centers, SCLutheran General and Children's Hospital NOT COVERED

Chicago Pediatric & Neonatology, SCLutheran General and Children's Hospital NOT COVERED

Chicoine, Brian -MDLutheran General and Children's Hospital COVERED UNDER FAP

Chiganos, Terry -MDLutheran General and Children's Hospital COVERED UNDER FAP

Children & Teens Medical CenterLutheran General and Children's Hospital NOT COVERED

Children Health Care, LtdLutheran General and Children's Hospital NOT COVERED

Childrens and Adolescent Dentistry, LtdLutheran General and Children's Hospital NOT COVERED

Children's DentistryLutheran General and Children's Hospital NOT COVERED

Chimino, Joseph -DOLutheran General and Children's Hospital COVERED UNDER FAP

Chin, Seong -MDLutheran General and Children's Hospital NOT COVERED

Chinwuba, Ebele -MDLutheran General and Children's Hospital COVERED UNDER FAP

Chmiel, Kathleen -DOLutheran General and Children's Hospital COVERED UNDER FAP

Chmielewski, Gary -MDLutheran General and Children's Hospital COVERED UNDER FAP

Cho-Dorado, Michele -MDLutheran General and Children's Hospital COVERED UNDER FAP

Choi, Daniel -MDLutheran General and Children's Hospital COVERED UNDER FAP

Cholkeri-Singh, Aarathi -MDLutheran General and Children's Hospital NOT COVERED

Chon, Chris -MDLutheran General and Children's Hospital NOT COVERED

Chong Soo Rim MD LtdLutheran General and Children's Hospital NOT COVERED

Chowdhry, Shakeel -MDLutheran General and Children's Hospital NOT COVERED

Choy, Siu Yung -DOLutheran General and Children's Hospital COVERED UNDER FAP

Chris Oh, MD SCLutheran General and Children's Hospital NOT COVERED

Christian, Sonia -MDLutheran General and Children's Hospital NOT COVERED

Chung, Hyuk -MDLutheran General and Children's Hospital NOT COVERED

Cial, Parul -MDLutheran General and Children's Hospital NOT COVERED

Ciobanu, Bety -MDLutheran General and Children's Hospital NOT COVERED

Citronberg, Robert -MDLutheran General and Children's Hospital NOT COVERED

Clark, Todd -MDLutheran General and Children's Hospital COVERED UNDER FAP

Claveria, Joanne -MDLutheran General and Children's Hospital COVERED UNDER FAP

Page 129

Page 130: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Clay, Brian -MDLutheran General and Children's Hospital NOT COVERED

Clinical Associates, S.C.Lutheran General and Children's Hospital NOT COVERED

Clinical Associates, SCLutheran General and Children's Hospital NOT COVERED

Cobb, Rebecca -DOLutheran General and Children's Hospital COVERED UNDER FAP

Coderre, Melanie -PALutheran General and Children's Hospital NOT COVERED

Cohn, Kellen -DPMLutheran General and Children's Hospital NOT COVERED

Cole Lundquist, MD, SCLutheran General and Children's Hospital NOT COVERED

Colombo, James -MDLutheran General and Children's Hospital NOT COVERED

Comas, Rebecca -NPLutheran General and Children's Hospital NOT COVERED

Comprehensive Pediatric Care, LtdLutheran General and Children's Hospital NOT COVERED

Comrov, Elana -MDLutheran General and Children's Hospital NOT COVERED

Conley, Mark -DOLutheran General and Children's Hospital COVERED UNDER FAP

Conner, Katherine -MDLutheran General and Children's Hospital NOT COVERED

Consultants in Allergy & Asthma Care, LLCLutheran General and Children's Hospital NOT COVERED

Contemporary Care For Women, Ltd.Lutheran General and Children's Hospital NOT COVERED

Cordova, Jonathan -DOLutheran General and Children's Hospital NOT COVERED

Corona Candelario, Laura -MDLutheran General and Children's Hospital COVERED UNDER FAP

CortiCareLutheran General and Children's Hospital NOT COVERED

Cottrell, John -DOLutheran General and Children's Hospital NOT COVERED

Cottrell, Jonathan -DOLutheran General and Children's Hospital NOT COVERED

Craig, Joseph -MDLutheran General and Children's Hospital COVERED UNDER FAP

Cralle, Doris -MDLutheran General and Children's Hospital NOT COVERED

Crawford, Susan -MDLutheran General and Children's Hospital NOT COVERED

Dahlem, Andrew -MDLutheran General and Children's Hospital NOT COVERED

Danek, Beata -MDLutheran General and Children's Hospital NOT COVERED

Daniel A. Rosenthal, MDLutheran General and Children's Hospital NOT COVERED

Dave, Nayana -MDLutheran General and Children's Hospital COVERED UNDER FAP

David Weiss, MD SCLutheran General and Children's Hospital NOT COVERED

Davies Fertility and IVF Specialists, SCLutheran General and Children's Hospital NOT COVERED

Davies, Susan -MDLutheran General and Children's Hospital NOT COVERED

Davis, Emily -NPLutheran General and Children's Hospital NOT COVERED

Davood, Dalia -MDLutheran General and Children's Hospital COVERED UNDER FAP

Daye, Mona -NPLutheran General and Children's Hospital NOT COVERED

De Jesus, Jocelyn -MDLutheran General and Children's Hospital NOT COVERED

De Mito, April -NPLutheran General and Children's Hospital NOT COVERED

DeBoer, David -MDLutheran General and Children's Hospital NOT COVERED

December, Maribeth -MDLutheran General and Children's Hospital COVERED UNDER FAP

DeGroot, Bradley -DDSLutheran General and Children's Hospital NOT COVERED

DelBeccaro, Melanie -MDLutheran General and Children's Hospital NOT COVERED

Delio, Jean -NPLutheran General and Children's Hospital NOT COVERED

Dempster Plaza PediatricsLutheran General and Children's Hospital NOT COVERED

DeRosa, Katelyn -PALutheran General and Children's Hospital COVERED UNDER FAP

Derylo, Maria -NPLutheran General and Children's Hospital NOT COVERED

Des Plaines Eye Physicians & Surgeons, LtdLutheran General and Children's Hospital NOT COVERED

Desai, Bela -MDLutheran General and Children's Hospital NOT COVERED

Desai, Neeraj -MDLutheran General and Children's Hospital NOT COVERED

Deshmukh, Sanaa -MDLutheran General and Children's Hospital COVERED UNDER FAP

Deutsch, Andrew -MDLutheran General and Children's Hospital NOT COVERED

Dev Medical Associates, SCLutheran General and Children's Hospital NOT COVERED

Devarapalli, Heyer -MDLutheran General and Children's Hospital NOT COVERED

Devare, Doria -MDLutheran General and Children's Hospital NOT COVERED

Diaz, Edward -MDLutheran General and Children's Hospital COVERED UNDER FAP

Diaz, Rosa -NPLutheran General and Children's Hospital COVERED UNDER FAP

Dikopf, Mark -MDLutheran General and Children's Hospital NOT COVERED

Din, Eraj -MDLutheran General and Children's Hospital COVERED UNDER FAP

Dines, Marshall -MDLutheran General and Children's Hospital NOT COVERED

DiVincenzo, Cathy -MDLutheran General and Children's Hospital NOT COVERED

Dobkin, David -MDLutheran General and Children's Hospital NOT COVERED

Page 130

Page 131: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Dolan, James -MDLutheran General and Children's Hospital NOT COVERED

Dominiak, Erin -MDLutheran General and Children's Hospital COVERED UNDER FAP

Donets, Simon -DPMLutheran General and Children's Hospital NOT COVERED

Doniparthi, Meghana -MDLutheran General and Children's Hospital COVERED UNDER FAP

Donoghue, Courtney -PALutheran General and Children's Hospital NOT COVERED

Donovan-Hunt, Cheryl -MDLutheran General and Children's Hospital NOT COVERED

Donskoy, Innessa -MDLutheran General and Children's Hospital COVERED UNDER FAP

Doran, Anne -MDLutheran General and Children's Hospital COVERED UNDER FAP

Dorodi, Shervin -MDLutheran General and Children's Hospital NOT COVERED

Dotchev, Plamen -MDLutheran General and Children's Hospital NOT COVERED

Douglass, Jennifer -NPLutheran General and Children's Hospital COVERED UNDER FAP

Dr. Kordas Pediatric Health Center, LLCLutheran General and Children's Hospital NOT COVERED

Dr. Roma Franzia Pediatric PracticeLutheran General and Children's Hospital NOT COVERED

Drapkin, Sol -MDLutheran General and Children's Hospital NOT COVERED

Dreyer Clinic - BataviaLutheran General and Children's Hospital NOT COVERED

Duboe, Fred -MDLutheran General and Children's Hospital NOT COVERED

Dudek, Emily -DOLutheran General and Children's Hospital COVERED UNDER FAP

Duer, Charlotte -PALutheran General and Children's Hospital NOT COVERED

Dukkipati, Haritha -MDLutheran General and Children's Hospital NOT COVERED

Dulczewska-Miller, Miroslawa -MDLutheran General and Children's Hospital NOT COVERED

Dumanis, Leo -DDSLutheran General and Children's Hospital NOT COVERED

Dumin, Magdalena -MDLutheran General and Children's Hospital COVERED UNDER FAP

DuPage Medical Group, LTCLutheran General and Children's Hospital NOT COVERED

Dy Dermatology CenterLutheran General and Children's Hospital NOT COVERED

Dy, Lady -MDLutheran General and Children's Hospital NOT COVERED

Dyer, Robin -MDLutheran General and Children's Hospital NOT COVERED

E2Bio ConsultantsLutheran General and Children's Hospital NOT COVERED

Ear, Nose & Throat Center SCLutheran General and Children's Hospital NOT COVERED

Ear, Nose & Throat Specialists of Illinois, LtdLutheran General and Children's Hospital NOT COVERED

Ecker, Hillary -MDLutheran General and Children's Hospital COVERED UNDER FAP

Eckhouse, Diane -CNSLutheran General and Children's Hospital NOT COVERED

Edelstein, Vadim -MDLutheran General and Children's Hospital NOT COVERED

Edward H. Kaplan, MD & AssociatesLutheran General and Children's Hospital NOT COVERED

Ehrenpreis, Eli -MDLutheran General and Children's Hospital NOT COVERED

Ehrlich, Deborah -MDLutheran General and Children's Hospital NOT COVERED

Eisenberg, Gerald -MDLutheran General and Children's Hospital NOT COVERED

Eklund, John -MDLutheran General and Children's Hospital NOT COVERED

El Tag, Eiman -MDLutheran General and Children's Hospital NOT COVERED

Eleonora Kul-Lipski, MD SCLutheran General and Children's Hospital NOT COVERED

Elikman, Gennadiy -MDLutheran General and Children's Hospital COVERED UNDER FAP

Elios, Megan -MDLutheran General and Children's Hospital NOT COVERED

Ellis-Pelletier, Amanda -DOLutheran General and Children's Hospital COVERED UNDER FAP

Elman, Lila -MDLutheran General and Children's Hospital NOT COVERED

Emerzian, Garo -DPMLutheran General and Children's Hospital NOT COVERED

Encompass Physicians, LLCLutheran General and Children's Hospital NOT COVERED

Engelstein, Erica -MDLutheran General and Children's Hospital NOT COVERED

Enright, Christy -CNMLutheran General and Children's Hospital NOT COVERED

EP Consultation, LtdLutheran General and Children's Hospital NOT COVERED

Escobar, Rossini -MDLutheran General and Children's Hospital NOT COVERED

Evans-Snulligan, Kenyatta -NPLutheran General and Children's Hospital NOT COVERED

Excelsior HealthcareLutheran General and Children's Hospital NOT COVERED

Expert Medical GroupLutheran General and Children's Hospital NOT COVERED

Eye Care, LtdLutheran General and Children's Hospital NOT COVERED

Eye Specialists of Illinois, SCLutheran General and Children's Hospital NOT COVERED

Eyes of Grace, SCLutheran General and Children's Hospital NOT COVERED

Facer, Evan -DOLutheran General and Children's Hospital COVERED UNDER FAP

Fahrenbach, Gregory -MDLutheran General and Children's Hospital NOT COVERED

Faibussowitsch, Ilja -MDLutheran General and Children's Hospital NOT COVERED

Page 131

Page 132: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Fairchok, Gregory -MDLutheran General and Children's Hospital NOT COVERED

Fallahian, Amir -MDLutheran General and Children's Hospital NOT COVERED

Family Medical CareLutheran General and Children's Hospital NOT COVERED

Family Medicine Associates of Lutheran General, SCLutheran General and Children's Hospital NOT COVERED

Fanale, Christopher -MDLutheran General and Children's Hospital NOT COVERED

Farid, Joseph -MDLutheran General and Children's Hospital NOT COVERED

Farrell, Julie -NPLutheran General and Children's Hospital COVERED UNDER FAP

Faye, Eden - Lutheran General and Children's Hospital NOT COVERED

Fechner, Emily -PALutheran General and Children's Hospital NOT COVERED

Feldman, Ansley -MDLutheran General and Children's Hospital NOT COVERED

FemaCare Obstetrics & Gynecology, SCLutheran General and Children's Hospital NOT COVERED

Fenner Plastic SurgeryLutheran General and Children's Hospital NOT COVERED

Fenner, Geoffrey -MDLutheran General and Children's Hospital NOT COVERED

Ferber, Stuart -MDLutheran General and Children's Hospital NOT COVERED

Fernandez, Veronica -NPLutheran General and Children's Hospital COVERED UNDER FAP

Fertility Centers of Illinois, SCLutheran General and Children's Hospital NOT COVERED

Filippo, Matthew -DOLutheran General and Children's Hospital COVERED UNDER FAP

Fine, Marc -MDLutheran General and Children's Hospital COVERED UNDER FAP

Fineberg, Steven -MDLutheran General and Children's Hospital NOT COVERED

Finke, Helen -PALutheran General and Children's Hospital NOT COVERED

Finkle, Elonna -MDLutheran General and Children's Hospital NOT COVERED

First Step Foot Care, PCLutheran General and Children's Hospital NOT COVERED

Fischer, Kathleen -NPLutheran General and Children's Hospital NOT COVERED

Fisher, Michael -MDLutheran General and Children's Hospital NOT COVERED

Fitzpatrick, Catherine -MDLutheran General and Children's Hospital NOT COVERED

Fitzsimons, Theresa -MDLutheran General and Children's Hospital NOT COVERED

Fleig, Denise -CNSLutheran General and Children's Hospital COVERED UNDER FAP

Flores, Luis -MDLutheran General and Children's Hospital NOT COVERED

Fossen, Erik -DOLutheran General and Children's Hospital COVERED UNDER FAP

Foster, Troy -MDLutheran General and Children's Hospital COVERED UNDER FAP

Fox, Stephanie -PALutheran General and Children's Hospital COVERED UNDER FAP

Fragen, Michael -MDLutheran General and Children's Hospital NOT COVERED

Frakes, Amanda -PALutheran General and Children's Hospital NOT COVERED

Francis, Amy -DOLutheran General and Children's Hospital COVERED UNDER FAP

Franzia, Roma -MDLutheran General and Children's Hospital NOT COVERED

Frenkel, Irina -NPLutheran General and Children's Hospital NOT COVERED

Furmanov, Sergey -MDLutheran General and Children's Hospital NOT COVERED

Gabriel, Paul -MDLutheran General and Children's Hospital NOT COVERED

Galanopoulos, Alison -MDLutheran General and Children's Hospital NOT COVERED

Galasso, John -MDLutheran General and Children's Hospital NOT COVERED

Galperin, Aleksandr -MDLutheran General and Children's Hospital NOT COVERED

Galvez, Angel -MDLutheran General and Children's Hospital COVERED UNDER FAP

Galvez, Jose -MDLutheran General and Children's Hospital NOT COVERED

Gandhi, Nisarg -MDLutheran General and Children's Hospital NOT COVERED

Ganesan, Rani -MDLutheran General and Children's Hospital COVERED UNDER FAP

Garcia, Judith -MDLutheran General and Children's Hospital NOT COVERED

Garcia-Alvarez, Esperanza -MDLutheran General and Children's Hospital COVERED UNDER FAP

Garcia-Gonzalez, Jose -MDLutheran General and Children's Hospital NOT COVERED

Garcia-Valenzuela, Enrique -MDLutheran General and Children's Hospital NOT COVERED

Garibashvili, Konstantin -MDLutheran General and Children's Hospital NOT COVERED

Garoon, Ira -MDLutheran General and Children's Hospital NOT COVERED

Garoon, Robert -MDLutheran General and Children's Hospital NOT COVERED

Garrett, Jonathan -PALutheran General and Children's Hospital NOT COVERED

Gaupp, Abraham -MDLutheran General and Children's Hospital NOT COVERED

Geismar, Deborah -MDLutheran General and Children's Hospital NOT COVERED

Geleske, Timothy -MDLutheran General and Children's Hospital NOT COVERED

Geller, Steven -MDLutheran General and Children's Hospital NOT COVERED

Gelyana, Dennis -MDLutheran General and Children's Hospital NOT COVERED

Page 132

Page 133: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

George, Alphonsa -MDLutheran General and Children's Hospital NOT COVERED

George, Jeffrey -DOLutheran General and Children's Hospital COVERED UNDER FAP

George, Juliet -NPLutheran General and Children's Hospital NOT COVERED

George, Regeni -MDLutheran General and Children's Hospital NOT COVERED

Geraghty, Scott -MDLutheran General and Children's Hospital COVERED UNDER FAP

Gerber, Gail -MDLutheran General and Children's Hospital NOT COVERED

Geremia, Glen -MDLutheran General and Children's Hospital NOT COVERED

Gerena, Davida -MDLutheran General and Children's Hospital NOT COVERED

Gericare, LtdLutheran General and Children's Hospital NOT COVERED

Ghadiali, Quraish -MDLutheran General and Children's Hospital NOT COVERED

Ghai, Aashima -DOLutheran General and Children's Hospital COVERED UNDER FAP

Ghai, Kanika -MDLutheran General and Children's Hospital COVERED UNDER FAP

Gharpure, Varsha -MDLutheran General and Children's Hospital COVERED UNDER FAP

GI Solutions of Illinois, LLCLutheran General and Children's Hospital NOT COVERED

Gianakakos, Anastasia -MDLutheran General and Children's Hospital COVERED UNDER FAP

Giese, Sheryl -NPLutheran General and Children's Hospital COVERED UNDER FAP

Gillespie, Kevin -CRNALutheran General and Children's Hospital NOT COVERED

Gingrich, Sharron -NPLutheran General and Children's Hospital NOT COVERED

Giovannetti, Mark -MDLutheran General and Children's Hospital NOT COVERED

Gitelman, Darren -MDLutheran General and Children's Hospital COVERED UNDER FAP

Gleason, Thomas -MDLutheran General and Children's Hospital NOT COVERED

Glen Medical AssociatesLutheran General and Children's Hospital NOT COVERED

Global Health Care, SCLutheran General and Children's Hospital NOT COVERED

Global PodiatryLutheran General and Children's Hospital NOT COVERED

Glon, Daniel -NPLutheran General and Children's Hospital COVERED UNDER FAP

Gluckman, Gordon -MDLutheran General and Children's Hospital NOT COVERED

Godfrey, Teresa -NPLutheran General and Children's Hospital COVERED UNDER FAP

Goel, Smriti -MDLutheran General and Children's Hospital NOT COVERED

Goldberg, Julie -MDLutheran General and Children's Hospital NOT COVERED

Goldberg, Marni -MDLutheran General and Children's Hospital COVERED UNDER FAP

Goldin, Alexander -MDLutheran General and Children's Hospital NOT COVERED

Goldman, Samuel -MDLutheran General and Children's Hospital NOT COVERED

Goldman, Stuart -MDLutheran General and Children's Hospital NOT COVERED

Goldstein, Jeffrey -MDLutheran General and Children's Hospital NOT COVERED

Goldstein, Jordan -MDLutheran General and Children's Hospital NOT COVERED

Goldstein, Samuel -MDLutheran General and Children's Hospital COVERED UNDER FAP

Goldstein, Wayne -MDLutheran General and Children's Hospital NOT COVERED

Goldvekht, Irina -DOLutheran General and Children's Hospital NOT COVERED

Golf Mill Medical Center, LtdLutheran General and Children's Hospital NOT COVERED

Golf Western Surgical SpecialistLutheran General and Children's Hospital NOT COVERED

Gomez, Blake -NPLutheran General and Children's Hospital COVERED UNDER FAP

Goni, Michelle -MDLutheran General and Children's Hospital NOT COVERED

Gonzalez, Dawn -NPLutheran General and Children's Hospital COVERED UNDER FAP

Gonzalez, Miguel Gudelio -MDLutheran General and Children's Hospital NOT COVERED

Gonzalez, Nancy -MDLutheran General and Children's Hospital NOT COVERED

Goodell, William -MDLutheran General and Children's Hospital COVERED UNDER FAP

Goodman, Olga -MDLutheran General and Children's Hospital NOT COVERED

Gordan, Maria -MDLutheran General and Children's Hospital NOT COVERED

Gordon, Alexander -MDLutheran General and Children's Hospital NOT COVERED

Gordon, Cynthia -MDLutheran General and Children's Hospital NOT COVERED

Gorla, Kiranmai -MDLutheran General and Children's Hospital COVERED UNDER FAP

Govindan, Sarmila -MDLutheran General and Children's Hospital COVERED UNDER FAP

Goyal, Vinod -MDLutheran General and Children's Hospital NOT COVERED

Grabiner, Fred -MDLutheran General and Children's Hospital NOT COVERED

Grady, Kristine -CRNALutheran General and Children's Hospital NOT COVERED

Graham, Adam -MDLutheran General and Children's Hospital NOT COVERED

Graham, Carol -MDLutheran General and Children's Hospital COVERED UNDER FAP

Graham, Neil -MDLutheran General and Children's Hospital NOT COVERED

Page 133

Page 134: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Grande, Anthony -MDLutheran General and Children's Hospital NOT COVERED

Grandinetti, Debora -MDLutheran General and Children's Hospital NOT COVERED

Grandinetti, Philip -MDLutheran General and Children's Hospital NOT COVERED

Gravdal, Judith -MDLutheran General and Children's Hospital COVERED UNDER FAP

Grayslake Medical Group, LLCLutheran General and Children's Hospital NOT COVERED

Greater Elgin Family Care CenterLutheran General and Children's Hospital NOT COVERED

Green, Keren -NPLutheran General and Children's Hospital NOT COVERED

Greene, Ryan -MDLutheran General and Children's Hospital COVERED UNDER FAP

Greening, Heidi -DOLutheran General and Children's Hospital COVERED UNDER FAP

Greenspahn, Bruce -MDLutheran General and Children's Hospital COVERED UNDER FAP

Greising, Michael -MDLutheran General and Children's Hospital NOT COVERED

Gries, Patrick -MDLutheran General and Children's Hospital COVERED UNDER FAP

Griffith, Carissa -PALutheran General and Children's Hospital NOT COVERED

Grinblatt, Jeffrey -MDLutheran General and Children's Hospital NOT COVERED

Griza, Carmen -MDLutheran General and Children's Hospital NOT COVERED

Groboski, Michelle -MDLutheran General and Children's Hospital COVERED UNDER FAP

Grosdidier, Maureen -MDLutheran General and Children's Hospital COVERED UNDER FAP

Grossman, Lisa -CNMLutheran General and Children's Hospital NOT COVERED

Groves, Anne -MDLutheran General and Children's Hospital COVERED UNDER FAP

Guardi, Jodie -NPLutheran General and Children's Hospital NOT COVERED

Guenther, Mary -MDLutheran General and Children's Hospital COVERED UNDER FAP

Guevara, Mary Jennelle -NPLutheran General and Children's Hospital NOT COVERED

Guidi, Joseph -DOLutheran General and Children's Hospital COVERED UNDER FAP

Gunasekaran, Thirumazhisai -MDLutheran General and Children's Hospital COVERED UNDER FAP

Gunter, Ashley -MDLutheran General and Children's Hospital NOT COVERED

Gupta, Renu -MDLutheran General and Children's Hospital COVERED UNDER FAP

Gupta, Suraj -MDLutheran General and Children's Hospital NOT COVERED

Gusswein, Amanda -NPLutheran General and Children's Hospital COVERED UNDER FAP

Gutman, Inna -MDLutheran General and Children's Hospital COVERED UNDER FAP

Habib, Amina -MDLutheran General and Children's Hospital COVERED UNDER FAP

Hagman, Marie -CNSLutheran General and Children's Hospital NOT COVERED

Hahn, Eugenia -MDLutheran General and Children's Hospital NOT COVERED

Hakhu, Nisha -DOLutheran General and Children's Hospital COVERED UNDER FAP

Hakimian, David -MDLutheran General and Children's Hospital NOT COVERED

Halkias, Louis -DDSLutheran General and Children's Hospital NOT COVERED

Hallmeyer, Sigrun -MDLutheran General and Children's Hospital COVERED UNDER FAP

Hamdallah, Abdallah -MDLutheran General and Children's Hospital COVERED UNDER FAP

Hammer, Michael -MDLutheran General and Children's Hospital COVERED UNDER FAP

Hamming, Katherine -MDLutheran General and Children's Hospital NOT COVERED

Han, Tina -MDLutheran General and Children's Hospital NOT COVERED

Hande, Rashmi -MDLutheran General and Children's Hospital NOT COVERED

Hanif, Farhan -MDLutheran General and Children's Hospital NOT COVERED

Hann, Susan -MDLutheran General and Children's Hospital NOT COVERED

Hanna, Akanksha -MDLutheran General and Children's Hospital COVERED UNDER FAP

Hanna, Dima -MDLutheran General and Children's Hospital NOT COVERED

Hanna, Michael -MDLutheran General and Children's Hospital NOT COVERED

Hanna, Michelle -DOLutheran General and Children's Hospital COVERED UNDER FAP

Harnisch, Darin -MDLutheran General and Children's Hospital NOT COVERED

Hart, Kimberley -NPLutheran General and Children's Hospital NOT COVERED

Hartsell, William -MDLutheran General and Children's Hospital NOT COVERED

Hartzen, Marla -MDLutheran General and Children's Hospital COVERED UNDER FAP

Haseeb, Ateeq -MDLutheran General and Children's Hospital NOT COVERED

Hasler, Jenny -MDLutheran General and Children's Hospital NOT COVERED

Hassard, David -MDLutheran General and Children's Hospital COVERED UNDER FAP

Havalad, Vinod -MDLutheran General and Children's Hospital COVERED UNDER FAP

Hawthorne PediatricsLutheran General and Children's Hospital NOT COVERED

Hayek, Richard -MDLutheran General and Children's Hospital NOT COVERED

He, Theresa -MDLutheran General and Children's Hospital COVERED UNDER FAP

Page 134

Page 135: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Head & Neck Cosmetic Surgery Associates, LtdLutheran General and Children's Hospital NOT COVERED

Heal N Cure, SCLutheran General and Children's Hospital NOT COVERED

Health Endeavors, SCLutheran General and Children's Hospital NOT COVERED

Heilbrunn, Benjamin -MDLutheran General and Children's Hospital COVERED UNDER FAP

Hendon, Emily -NPLutheran General and Children's Hospital COVERED UNDER FAP

Heneghan, Mary Kathleen -MDLutheran General and Children's Hospital COVERED UNDER FAP

Hennes, Charmaine -MDLutheran General and Children's Hospital NOT COVERED

Hennes, Jason -MDLutheran General and Children's Hospital NOT COVERED

Hennig, Brian -PALutheran General and Children's Hospital NOT COVERED

Henschen, Elizabeth -DOLutheran General and Children's Hospital COVERED UNDER FAP

Hensley, Lauren -MDLutheran General and Children's Hospital COVERED UNDER FAP

Herbstman, Burton -MDLutheran General and Children's Hospital COVERED UNDER FAP

Herena, Juan -MDLutheran General and Children's Hospital NOT COVERED

Herman, Gail -MDLutheran General and Children's Hospital NOT COVERED

Hernaez, Edward -MDLutheran General and Children's Hospital NOT COVERED

Hernandez, Hector -MDLutheran General and Children's Hospital COVERED UNDER FAP

Hersh, Steven -MDLutheran General and Children's Hospital COVERED UNDER FAP

Hertsberg, Anna -MDLutheran General and Children's Hospital COVERED UNDER FAP

Herzmann, Ann -NPLutheran General and Children's Hospital NOT COVERED

Herzog, Steven -DDSLutheran General and Children's Hospital NOT COVERED

Heydarpour, Kamran -MDLutheran General and Children's Hospital NOT COVERED

HEYER DEVARAPALLI, MDSCLutheran General and Children's Hospital NOT COVERED

Hidalgo, Raynelda -MDLutheran General and Children's Hospital NOT COVERED

Higgins, Mary -MDLutheran General and Children's Hospital COVERED UNDER FAP

Higgins, Richard -MDLutheran General and Children's Hospital NOT COVERED

Highland Park Ob-Gyn Associates, Ltd.Lutheran General and Children's Hospital NOT COVERED

Hijab, Samina -MDLutheran General and Children's Hospital COVERED UNDER FAP

Hillman, Beth -DOLutheran General and Children's Hospital COVERED UNDER FAP

Hirani, Waheeda -MDLutheran General and Children's Hospital NOT COVERED

Hirsch, Arica -MDLutheran General and Children's Hospital NOT COVERED

Hoang, Vu -MDLutheran General and Children's Hospital NOT COVERED

Hobeika, Elie -MDLutheran General and Children's Hospital NOT COVERED

Hochstadter, Bruce -DDSLutheran General and Children's Hospital NOT COVERED

Hochstadter, Isaacson & Cherny & AssocLutheran General and Children's Hospital NOT COVERED

Hochstadter, Isaacson, Cherny, Dumanis & AssociatesLutheran General and Children's Hospital NOT COVERED

Hoffman, Joan -MDLutheran General and Children's Hospital COVERED UNDER FAP

Holland, Julie -MDLutheran General and Children's Hospital NOT COVERED

Hollett, Kirsten -MDLutheran General and Children's Hospital NOT COVERED

Holloway, Lori -NPLutheran General and Children's Hospital NOT COVERED

Holmes, Thomas -MDLutheran General and Children's Hospital COVERED UNDER FAP

Homa, Theodore -MDLutheran General and Children's Hospital NOT COVERED

Hong, Ok Ro -MDLutheran General and Children's Hospital NOT COVERED

Hooberman, Arthur -MDLutheran General and Children's Hospital COVERED UNDER FAP

Hope Med ClinicLutheran General and Children's Hospital NOT COVERED

Howard Klapman, MD, LtdLutheran General and Children's Hospital NOT COVERED

Howard, John -DOLutheran General and Children's Hospital COVERED UNDER FAP

Hozman, Robert -MDLutheran General and Children's Hospital NOT COVERED

Hozman, Wendy -MDLutheran General and Children's Hospital NOT COVERED

Hruskocy, Michael -MDLutheran General and Children's Hospital NOT COVERED

Hughes, Megan -CNSLutheran General and Children's Hospital NOT COVERED

Huliyar, Radhika -MDLutheran General and Children's Hospital NOT COVERED

Hunnell, Laura -PALutheran General and Children's Hospital COVERED UNDER FAP

Hussain, Shoeb -MDLutheran General and Children's Hospital COVERED UNDER FAP

Hyun, Jae -MDLutheran General and Children's Hospital NOT COVERED

Iannucci, Thomas -MDLutheran General and Children's Hospital COVERED UNDER FAP

Ikramuddin, Mohammad -MDLutheran General and Children's Hospital COVERED UNDER FAP

Illinois Bone & Joint - GlenviewLutheran General and Children's Hospital NOT COVERED

Illinois Bone & Joint InstituteLutheran General and Children's Hospital NOT COVERED

Page 135

Page 136: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Illinois Bone & Joint Institute LLCLutheran General and Children's Hospital NOT COVERED

Illinois Cancer SpecialistsLutheran General and Children's Hospital NOT COVERED

Illinois Dermatology Institute, LLCLutheran General and Children's Hospital NOT COVERED

Illinois Gastroenterology Group, LLCLutheran General and Children's Hospital NOT COVERED

Illinois Professionals Health Program, LLCLutheran General and Children's Hospital NOT COVERED

Illinois Urogynecology, LtdLutheran General and Children's Hospital NOT COVERED

Im, Lorna -MDLutheran General and Children's Hospital NOT COVERED

Indu M. Vence MD, SCLutheran General and Children's Hospital NOT COVERED

Integrated Imaging Consultants LLCLutheran General and Children's Hospital NOT COVERED

Integrated Imaging Consultants, LLCLutheran General and Children's Hospital NOT COVERED

InVia FertilityLutheran General and Children's Hospital NOT COVERED

Isaacson, Richard -DDSLutheran General and Children's Hospital NOT COVERED

Ishkhan, Khachig -MDLutheran General and Children's Hospital NOT COVERED

Islam, Sherazad -MDLutheran General and Children's Hospital NOT COVERED

Iusco, Arcangelo -MDLutheran General and Children's Hospital NOT COVERED

J. Keith Lemmon, MD, SCLutheran General and Children's Hospital NOT COVERED

Jackowski, Mariola -MDLutheran General and Children's Hospital NOT COVERED

Jacobs, Chad -MDLutheran General and Children's Hospital COVERED UNDER FAP

Jacobs, Jeffrey -MDLutheran General and Children's Hospital NOT COVERED

Jacobs, Nekaiya -MDLutheran General and Children's Hospital COVERED UNDER FAP

Jagielo, Ted -MDLutheran General and Children's Hospital NOT COVERED

Jahedi, Sogol -MDLutheran General and Children's Hospital NOT COVERED

Jamerson, Christopher -MDLutheran General and Children's Hospital COVERED UNDER FAP

James, Edward -MDLutheran General and Children's Hospital COVERED UNDER FAP

Jankelowitz, Larry -MDLutheran General and Children's Hospital NOT COVERED

Januszyk, Jamie -MDLutheran General and Children's Hospital COVERED UNDER FAP

Jasenof, Ian -MDLutheran General and Children's Hospital NOT COVERED

Jasmine Wang Chao, DO Ltd.Lutheran General and Children's Hospital NOT COVERED

Jean Shlyak, MD, PCLutheran General and Children's Hospital NOT COVERED

Jefferson, Agatha -NPLutheran General and Children's Hospital NOT COVERED

Jeffrey A. Grinblatt, MDLutheran General and Children's Hospital NOT COVERED

Jiang, Linda -MDLutheran General and Children's Hospital COVERED UNDER FAP

Jimenez, Matthew -MDLutheran General and Children's Hospital NOT COVERED

Jipping, Victoria -NPLutheran General and Children's Hospital COVERED UNDER FAP

Jirschele, Kelly -DOLutheran General and Children's Hospital NOT COVERED

Joglekar, Shilpa -MDLutheran General and Children's Hospital NOT COVERED

John David McKenzie, MD, SCLutheran General and Children's Hospital NOT COVERED

John M. Cottrell, DOLutheran General and Children's Hospital NOT COVERED

John Oh, MD S.C.Lutheran General and Children's Hospital NOT COVERED

John V. White, MD, FACSLutheran General and Children's Hospital NOT COVERED

John, Rahel -MDLutheran General and Children's Hospital NOT COVERED

Johnson, Deborah -CNMLutheran General and Children's Hospital NOT COVERED

Johnson, Jonathan -MDLutheran General and Children's Hospital NOT COVERED

Johnson, Peter -MDLutheran General and Children's Hospital NOT COVERED

Johnson, Susan -NPLutheran General and Children's Hospital NOT COVERED

Jones, Brian -MDLutheran General and Children's Hospital COVERED UNDER FAP

Joob, Axel -MDLutheran General and Children's Hospital COVERED UNDER FAP

Jose M. Galvez, MD, LtdLutheran General and Children's Hospital NOT COVERED

Joseph, Simi -NPLutheran General and Children's Hospital NOT COVERED

Joshipura-Chi, Sheetal -MDLutheran General and Children's Hospital COVERED UNDER FAP

Joyce, Cathy Lynn -MDLutheran General and Children's Hospital COVERED UNDER FAP

Joyce, John -MDLutheran General and Children's Hospital NOT COVERED

Jun, David -MDLutheran General and Children's Hospital NOT COVERED

Juscinska, Agnieszka -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kagan, Tatyana -MDLutheran General and Children's Hospital NOT COVERED

Kaiser, Pamela -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kaissar, Guy -MDLutheran General and Children's Hospital NOT COVERED

Kakodkar, Samir -MDLutheran General and Children's Hospital COVERED UNDER FAP

Page 136

Page 137: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Kalakota, Kapila -MDLutheran General and Children's Hospital NOT COVERED

Kalejs, Heather -MDLutheran General and Children's Hospital NOT COVERED

Kammerer, Warren -MDLutheran General and Children's Hospital NOT COVERED

Kampas, Leah -PALutheran General and Children's Hospital NOT COVERED

Kanaloupitis, Dimitra -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kaner, Dina -MDLutheran General and Children's Hospital NOT COVERED

Kanev, Leo -MDLutheran General and Children's Hospital NOT COVERED

Kang, Christina -CRNALutheran General and Children's Hospital NOT COVERED

Kang, Evan -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kania, Agnieszka -MDLutheran General and Children's Hospital NOT COVERED

Kantoris, Deborah -CNSLutheran General and Children's Hospital NOT COVERED

Kaplan, Bruce -MDLutheran General and Children's Hospital NOT COVERED

Kaplan, Edward -MDLutheran General and Children's Hospital NOT COVERED

Kaplan, Richard -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kaplinsky, Robert -MDLutheran General and Children's Hospital NOT COVERED

Kapustka, Eric -MDLutheran General and Children's Hospital NOT COVERED

Karaman, Wanda -MDLutheran General and Children's Hospital COVERED UNDER FAP

Karides, Mark -MDLutheran General and Children's Hospital NOT COVERED

Katib, Omar -MDLutheran General and Children's Hospital NOT COVERED

Katsamakis, Constantine -DOLutheran General and Children's Hospital NOT COVERED

Katsoulis, Michael -DOLutheran General and Children's Hospital NOT COVERED

Katsoyannis, Katherine -MDLutheran General and Children's Hospital NOT COVERED

Katz, James -MDLutheran General and Children's Hospital NOT COVERED

Kawasaki, Raymond -MDLutheran General and Children's Hospital NOT COVERED

Keigher, Kiffon -NPLutheran General and Children's Hospital COVERED UNDER FAP

Keiser, Shannon -NPLutheran General and Children's Hospital NOT COVERED

Keller, James -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kellogg, Robert -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kelly, Leo -MDLutheran General and Children's Hospital NOT COVERED

Kenneally, Claire -MDLutheran General and Children's Hospital NOT COVERED

Kent Shinozaki, DDS PC DBA Northpoint Oral SurgeryLutheran General and Children's Hospital NOT COVERED

Khalil, Sofia -MDLutheran General and Children's Hospital COVERED UNDER FAP

Khan, Akber -MDLutheran General and Children's Hospital NOT COVERED

Khan, Mahjabeen -MDLutheran General and Children's Hospital NOT COVERED

Khan, Nadia -MDLutheran General and Children's Hospital COVERED UNDER FAP

Khapekar, Rahul -DOLutheran General and Children's Hospital COVERED UNDER FAP

Khipple, Sheilendr -MDLutheran General and Children's Hospital NOT COVERED

Khorsand, Joubin -MDLutheran General and Children's Hospital NOT COVERED

Kibrit, Gabriel -MDLutheran General and Children's Hospital NOT COVERED

Kidiwala, Nilofer -DOLutheran General and Children's Hospital COVERED UNDER FAP

Kim, Bryan -MDLutheran General and Children's Hospital NOT COVERED

Kim, Eugene -MDLutheran General and Children's Hospital NOT COVERED

Kim, Jean -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kim, Kyung -MDLutheran General and Children's Hospital NOT COVERED

Kim, Lisa -MDLutheran General and Children's Hospital NOT COVERED

Kim, Mike -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kim, Oliver -MDLutheran General and Children's Hospital NOT COVERED

Kim, Pu -MDLutheran General and Children's Hospital NOT COVERED

Kim, Sun-Bum -MDLutheran General and Children's Hospital NOT COVERED

Kim, Teresa -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kinzer, John -MDLutheran General and Children's Hospital NOT COVERED

Kirill Zhadovich, MD, SCLutheran General and Children's Hospital NOT COVERED

Kirschner, Greg -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kitlas, Roland -MDLutheran General and Children's Hospital NOT COVERED

Klapman, Howard -MDLutheran General and Children's Hospital NOT COVERED

Klassman, Lynn -CNSLutheran General and Children's Hospital NOT COVERED

Klein, Elizabeth -MDLutheran General and Children's Hospital NOT COVERED

Klein, Joel -MDLutheran General and Children's Hospital NOT COVERED

Page 137

Page 138: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Klein, Leonard -MDLutheran General and Children's Hospital NOT COVERED

Kleinman, Marlon -MDLutheran General and Children's Hospital NOT COVERED

Klemine, Lubov -MDLutheran General and Children's Hospital NOT COVERED

Klich, Janice -MDLutheran General and Children's Hospital NOT COVERED

Klipstein, Sigal -MDLutheran General and Children's Hospital NOT COVERED

Knauss, Cathleen -NPLutheran General and Children's Hospital NOT COVERED

Kniaz, Daniel -MDLutheran General and Children's Hospital NOT COVERED

Knight, Tina -PALutheran General and Children's Hospital NOT COVERED

Knisley, Jeffrey -MDLutheran General and Children's Hospital COVERED UNDER FAP

Knuth, Albert -MDLutheran General and Children's Hospital NOT COVERED

Ko, Jennifer -MDLutheran General and Children's Hospital NOT COVERED

Kobler, Kathleen -CNSLutheran General and Children's Hospital NOT COVERED

Kocemba, Julia -PALutheran General and Children's Hospital NOT COVERED

Kochanek, Malgorzata -MDLutheran General and Children's Hospital NOT COVERED

Kochar, Kunal -MDLutheran General and Children's Hospital NOT COVERED

Kogan, Jillene -MDLutheran General and Children's Hospital NOT COVERED

Koh, Chung Kay -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kolomeyevskaya, Nonna -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kon Njewel, Iris -MDLutheran General and Children's Hospital COVERED UNDER FAP

Konieczny, Margaret -NPLutheran General and Children's Hospital COVERED UNDER FAP

Koo, Kevin -MDLutheran General and Children's Hospital COVERED UNDER FAP

Koperdowski, Anna -CNSLutheran General and Children's Hospital NOT COVERED

Kopparthi, Rom Mohan -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kordas, Bernadeta -MDLutheran General and Children's Hospital NOT COVERED

Kos, Liborka -MDLutheran General and Children's Hospital COVERED UNDER FAP

Koss, Robert -MDLutheran General and Children's Hospital NOT COVERED

Kothari, Ami -MDLutheran General and Children's Hospital NOT COVERED

Kowalczyk-Budziakowska, Beata -MDLutheran General and Children's Hospital NOT COVERED

Koziol, Julia -PALutheran General and Children's Hospital NOT COVERED

Koziol, Mariusz -MDLutheran General and Children's Hospital NOT COVERED

Kragt, Joel -MDLutheran General and Children's Hospital NOT COVERED

Kramer, Andrea -MDLutheran General and Children's Hospital NOT COVERED

Kravis, Dean -MDLutheran General and Children's Hospital NOT COVERED

Kravtchenko, Svetlana -MDLutheran General and Children's Hospital COVERED UNDER FAP

Krawzak, Kathleen -NPLutheran General and Children's Hospital COVERED UNDER FAP

Kritikos, Eleni -NPLutheran General and Children's Hospital COVERED UNDER FAP

Krive, Marianna -DOLutheran General and Children's Hospital COVERED UNDER FAP

Kroin, Veronika -MDLutheran General and Children's Hospital NOT COVERED

Krueger, Eric -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kruger, Tracy -NPLutheran General and Children's Hospital NOT COVERED

Kuder, Miroslawa -MDLutheran General and Children's Hospital NOT COVERED

Kuder, Paul -MDLutheran General and Children's Hospital NOT COVERED

Kulikowski, Jenna -NPLutheran General and Children's Hospital COVERED UNDER FAP

Kul-Lipski, Eleonora -MDLutheran General and Children's Hospital NOT COVERED

Kulwin, Robert -MDLutheran General and Children's Hospital NOT COVERED

Kumar, Shashi -MDLutheran General and Children's Hospital NOT COVERED

Kupriyenko, Lidiya -MDLutheran General and Children's Hospital COVERED UNDER FAP

Kuptel, Irma -MDLutheran General and Children's Hospital NOT COVERED

Kurien, Sudha -NPLutheran General and Children's Hospital COVERED UNDER FAP

Kurzydlowski, Henry -MDLutheran General and Children's Hospital NOT COVERED

Kushner, David -DOLutheran General and Children's Hospital COVERED UNDER FAP

Kuttab, H. Johnny -DDSLutheran General and Children's Hospital NOT COVERED

L.M. Prasad, MD, SCLutheran General and Children's Hospital NOT COVERED

LaBarge, Ann -MDLutheran General and Children's Hospital NOT COVERED

Ladendorf, Keith -PALutheran General and Children's Hospital NOT COVERED

Lakani, Elizabeth -NPLutheran General and Children's Hospital COVERED UNDER FAP

Lake Cook Neurological Consultants, SCLutheran General and Children's Hospital NOT COVERED

Lakeshore Gastroenterology & Liver Disease Institute, SCLutheran General and Children's Hospital NOT COVERED

Page 138

Page 139: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Lakeview Family DoctorsLutheran General and Children's Hospital NOT COVERED

Lakha, Asif -MDLutheran General and Children's Hospital COVERED UNDER FAP

Lall, Ajay -MDLutheran General and Children's Hospital NOT COVERED

Lamb, Jeremy -PALutheran General and Children's Hospital COVERED UNDER FAP

Laskoe, Barry -DOLutheran General and Children's Hospital COVERED UNDER FAP

Laura M. Shea DPM Podiatry ServicesLutheran General and Children's Hospital NOT COVERED

LaVaccare, John -MDLutheran General and Children's Hospital NOT COVERED

Laven, Rachel -DOLutheran General and Children's Hospital COVERED UNDER FAP

Lawhun, Michele -MDLutheran General and Children's Hospital NOT COVERED

Layland, Michael -MDLutheran General and Children's Hospital NOT COVERED

Lazar, Daniel -MDLutheran General and Children's Hospital COVERED UNDER FAP

Lazaro, Kenneth -NPLutheran General and Children's Hospital COVERED UNDER FAP

Leadley, Eric -NPLutheran General and Children's Hospital COVERED UNDER FAP

League, Alan -MDLutheran General and Children's Hospital NOT COVERED

Lebioda, Agata -MDLutheran General and Children's Hospital NOT COVERED

Lechner, Alison -DOLutheran General and Children's Hospital NOT COVERED

Lee Holmes, Carissa -MDLutheran General and Children's Hospital NOT COVERED

Lee, Edward -MDLutheran General and Children's Hospital NOT COVERED

Lee, Heather -NPLutheran General and Children's Hospital NOT COVERED

Lee, Hyemin -NPLutheran General and Children's Hospital NOT COVERED

Lee, Justin -PALutheran General and Children's Hospital COVERED UNDER FAP

Lee, Ronald -MDLutheran General and Children's Hospital NOT COVERED

Lees, Dania -MDLutheran General and Children's Hospital COVERED UNDER FAP

Leikin, Jerrold -MDLutheran General and Children's Hospital NOT COVERED

Leishman, Lisa -MDLutheran General and Children's Hospital NOT COVERED

Lelchuk, Boris -MDLutheran General and Children's Hospital NOT COVERED

Lemek, Jessica -PALutheran General and Children's Hospital NOT COVERED

Lemmon, J. -MDLutheran General and Children's Hospital NOT COVERED

Lenon, Angela -MDLutheran General and Children's Hospital COVERED UNDER FAP

Lenzen, Christine -NPLutheran General and Children's Hospital COVERED UNDER FAP

Lerum, Erica -NPLutheran General and Children's Hospital COVERED UNDER FAP

Lestingi, Timothy -MDLutheran General and Children's Hospital COVERED UNDER FAP

Leszczak, Jaroslaw -MDLutheran General and Children's Hospital NOT COVERED

Lev, Andrey -MDLutheran General and Children's Hospital NOT COVERED

Levin, Geoffrey -MDLutheran General and Children's Hospital COVERED UNDER FAP

Levis, Eryn -MDLutheran General and Children's Hospital NOT COVERED

Levitin, Valeria -MDLutheran General and Children's Hospital NOT COVERED

Levy, Mark -MDLutheran General and Children's Hospital NOT COVERED

Lewandowska, Karolina -NPLutheran General and Children's Hospital NOT COVERED

Lewis, Joanna -MDLutheran General and Children's Hospital COVERED UNDER FAP

Li, Ningjing -MDLutheran General and Children's Hospital NOT COVERED

Li, Terrence -MDLutheran General and Children's Hospital COVERED UNDER FAP

Lichtenberg, Victor -DOLutheran General and Children's Hospital NOT COVERED

Life Medical, SCLutheran General and Children's Hospital NOT COVERED

Lindberg, Peder -MDLutheran General and Children's Hospital COVERED UNDER FAP

Lindell, Joanna -DOLutheran General and Children's Hospital NOT COVERED

Lindsey, Roshena -NPLutheran General and Children's Hospital COVERED UNDER FAP

Lipman, Michelle -MDLutheran General and Children's Hospital NOT COVERED

Lis, Susan -MDLutheran General and Children's Hospital COVERED UNDER FAP

Lisa Kim Medical Associates, S.C.Lutheran General and Children's Hospital NOT COVERED

Liyanapatabendi, Chool -MDLutheran General and Children's Hospital NOT COVERED

Lloyd-Harris, Jennifer -MDLutheran General and Children's Hospital NOT COVERED

Lo Duca, Procopio -MDLutheran General and Children's Hospital NOT COVERED

Locker, Brian -MDLutheran General and Children's Hospital NOT COVERED

Loeff, Deborah -MDLutheran General and Children's Hospital COVERED UNDER FAP

Loehrke Sichhart, Lisa -DOLutheran General and Children's Hospital NOT COVERED

Loghmanee, Darius -MDLutheran General and Children's Hospital COVERED UNDER FAP

Loj, Jadwiga -MDLutheran General and Children's Hospital COVERED UNDER FAP

Page 139

Page 140: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Lojewski, Blazej -MDLutheran General and Children's Hospital NOT COVERED

Lojewski, Elzbieta -MDLutheran General and Children's Hospital NOT COVERED

Loly, Carla -MDLutheran General and Children's Hospital NOT COVERED

Lombard, Emily -DOLutheran General and Children's Hospital NOT COVERED

Longo, Robert -MDLutheran General and Children's Hospital NOT COVERED

Lopata, Linda -MDLutheran General and Children's Hospital NOT COVERED

Lopata, Randee -MDLutheran General and Children's Hospital NOT COVERED

Lopes, Demetrius -MDLutheran General and Children's Hospital COVERED UNDER FAP

Loren S. Schechter, MD, SC, LTDLutheran General and Children's Hospital NOT COVERED

Lott, Melisa -DOLutheran General and Children's Hospital COVERED UNDER FAP

Loutrianakis, Emmanuel -MDLutheran General and Children's Hospital NOT COVERED

Lovett, Jeanne -MDLutheran General and Children's Hospital COVERED UNDER FAP

Lucas, Paul -DPMLutheran General and Children's Hospital NOT COVERED

Luke, Guillermina -PALutheran General and Children's Hospital NOT COVERED

Lundblad, Kristin -MDLutheran General and Children's Hospital NOT COVERED

Lundquist, Cole -MDLutheran General and Children's Hospital NOT COVERED

Lutrin, Frank -MDLutheran General and Children's Hospital NOT COVERED

Lygizos, Nicholas -MDLutheran General and Children's Hospital NOT COVERED

Lykowski, Tara -PALutheran General and Children's Hospital NOT COVERED

Lyon, John -MDLutheran General and Children's Hospital NOT COVERED

MacDougall, Andrew -DOLutheran General and Children's Hospital COVERED UNDER FAP

MacFarlane, Patricia -MDLutheran General and Children's Hospital NOT COVERED

Maciorowski, Helen -MDLutheran General and Children's Hospital NOT COVERED

Mack, Blair -PALutheran General and Children's Hospital COVERED UNDER FAP

Mack, Susan -NPLutheran General and Children's Hospital COVERED UNDER FAP

Macklis, Jason -MDLutheran General and Children's Hospital COVERED UNDER FAP

Mahdavian, Mani -MDLutheran General and Children's Hospital NOT COVERED

Mahr, Christopher -MDLutheran General and Children's Hospital NOT COVERED

Maine Ridge Medical Associates Ltd.Lutheran General and Children's Hospital NOT COVERED

Majcher, Catherine -NPLutheran General and Children's Hospital NOT COVERED

Mak, Grace -MDLutheran General and Children's Hospital COVERED UNDER FAP

Makovetskaia, Marina -NPLutheran General and Children's Hospital NOT COVERED

Malhotra, Meena -MDLutheran General and Children's Hospital NOT COVERED

Malhotra, Rajat -MDLutheran General and Children's Hospital NOT COVERED

Malk, Craig -MDLutheran General and Children's Hospital NOT COVERED

Malko, Marek -MDLutheran General and Children's Hospital NOT COVERED

Mandelaris, George -DDSLutheran General and Children's Hospital NOT COVERED

Mandrea, Steven -MDLutheran General and Children's Hospital NOT COVERED

Manogura, Sandra -NPLutheran General and Children's Hospital COVERED UNDER FAP

Manta, Cristina -MDLutheran General and Children's Hospital COVERED UNDER FAP

Maramreddy, Sailaja -MDLutheran General and Children's Hospital NOT COVERED

March, Anthony -DOLutheran General and Children's Hospital COVERED UNDER FAP

Marcus, Wendi -MDLutheran General and Children's Hospital NOT COVERED

Mardjetko, Steven -MDLutheran General and Children's Hospital NOT COVERED

Marecik, Slawomir -MDLutheran General and Children's Hospital NOT COVERED

Marinelli, Melissa -MDLutheran General and Children's Hospital COVERED UNDER FAP

Marinov, Marin -MDLutheran General and Children's Hospital COVERED UNDER FAP

Mark Allan Berk, MD, SCLutheran General and Children's Hospital NOT COVERED

Mark E. Neamand, DPM, PCLutheran General and Children's Hospital NOT COVERED

Markowitz, Phillip -DOLutheran General and Children's Hospital NOT COVERED

Martinez, Hector -PALutheran General and Children's Hospital COVERED UNDER FAP

Martini, Annette -MDLutheran General and Children's Hospital NOT COVERED

Maslo, Robert -MDLutheran General and Children's Hospital NOT COVERED

Mastny, Ava -MDLutheran General and Children's Hospital NOT COVERED

Mattone-Volpe, Francesca -MDLutheran General and Children's Hospital NOT COVERED

Mau, Jean -CNSLutheran General and Children's Hospital NOT COVERED

Mayer, Bernadette -MDLutheran General and Children's Hospital NOT COVERED

Mayer, Robert -MDLutheran General and Children's Hospital NOT COVERED

Page 140

Page 141: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

McCall, Brian -MDLutheran General and Children's Hospital NOT COVERED

McCann, Christina -NPLutheran General and Children's Hospital COVERED UNDER FAP

McCoy, Ryan -MDLutheran General and Children's Hospital NOT COVERED

McCune, Kevin -MDLutheran General and Children's Hospital COVERED UNDER FAP

McGrath, Megan -MDLutheran General and Children's Hospital NOT COVERED

McGuire, Birgitta -MDLutheran General and Children's Hospital NOT COVERED

McKenzie, John -MDLutheran General and Children's Hospital NOT COVERED

Me and My DoctorLutheran General and Children's Hospital NOT COVERED

Med-Pol S.C.Lutheran General and Children's Hospital NOT COVERED

Megally, Mahfouz Fouad -MDLutheran General and Children's Hospital NOT COVERED

Mehra, Suwan -MDLutheran General and Children's Hospital COVERED UNDER FAP

Mehta, Elisabeth -MDLutheran General and Children's Hospital NOT COVERED

Melnick, Michael -MDLutheran General and Children's Hospital COVERED UNDER FAP

Memmel Mitidiero, Heidi -MDLutheran General and Children's Hospital COVERED UNDER FAP

Mendelsberg, Michal -NPLutheran General and Children's Hospital NOT COVERED

Mendez, Carolyn -NPLutheran General and Children's Hospital COVERED UNDER FAP

Mendez, Leticia -NPLutheran General and Children's Hospital COVERED UNDER FAP

Mercado, Alvaro -MDLutheran General and Children's Hospital NOT COVERED

Merel, Nina -MDLutheran General and Children's Hospital NOT COVERED

Messersmith, Richard -MDLutheran General and Children's Hospital NOT COVERED

Metro Chicago Surgical Oncology LLCLutheran General and Children's Hospital NOT COVERED

Metro Family Practice, SCLutheran General and Children's Hospital NOT COVERED

Meyer, Eric -MDLutheran General and Children's Hospital NOT COVERED

Meyer, Scott -MDLutheran General and Children's Hospital NOT COVERED

Meyers, Sanford -MDLutheran General and Children's Hospital NOT COVERED

Michael, Alexander -MDLutheran General and Children's Hospital NOT COVERED

Michael, Belmina -MDLutheran General and Children's Hospital NOT COVERED

Michael, John -MDLutheran General and Children's Hospital NOT COVERED

Michaels, Eli -MDLutheran General and Children's Hospital NOT COVERED

Michelena, Mia -DOLutheran General and Children's Hospital COVERED UNDER FAP

Midwest Anesthesia PartnersLutheran General and Children's Hospital NOT COVERED

Midwest Anesthesia Partners, LLCLutheran General and Children's Hospital NOT COVERED

Midwest Anesthesia Partners, LtdLutheran General and Children's Hospital NOT COVERED

Midwest Anesthesiologists, LtdLutheran General and Children's Hospital NOT COVERED

Midwest Center for Women's HealthCare, LtdLutheran General and Children's Hospital NOT COVERED

Midwest Diagnostic Pathology, SCLutheran General and Children's Hospital NOT COVERED

Midwest Geriatrics, LLCLutheran General and Children's Hospital NOT COVERED

Midwest Glaucoma Center, PCLutheran General and Children's Hospital NOT COVERED

Midwest OB/GYN & MidwiferyLutheran General and Children's Hospital NOT COVERED

Midwest Retina Consultants, SCLutheran General and Children's Hospital NOT COVERED

Midwest Vein ConsultantsLutheran General and Children's Hospital NOT COVERED

Mihalov, Michael -MDLutheran General and Children's Hospital NOT COVERED

Mikesell, Timothy -DOLutheran General and Children's Hospital COVERED UNDER FAP

Mikhael, Mark -MDLutheran General and Children's Hospital NOT COVERED

Mikos, Anna -CNMLutheran General and Children's Hospital NOT COVERED

Miller Foot CentersLutheran General and Children's Hospital NOT COVERED

Miller Foot ClinicLutheran General and Children's Hospital NOT COVERED

Miller, Charles -MDLutheran General and Children's Hospital NOT COVERED

Miller, Daniel -MDLutheran General and Children's Hospital NOT COVERED

Miller, Frederick -DPMLutheran General and Children's Hospital NOT COVERED

Miller, Mark -MDLutheran General and Children's Hospital NOT COVERED

Miller, Scott -MDLutheran General and Children's Hospital COVERED UNDER FAP

Miller, William -MDLutheran General and Children's Hospital NOT COVERED

Mindrut, Madalina -MDLutheran General and Children's Hospital COVERED UNDER FAP

Miner, Amy -NPLutheran General and Children's Hospital COVERED UNDER FAP

Minev, Evgueni -MDLutheran General and Children's Hospital NOT COVERED

Mirchandani, Preeti -DOLutheran General and Children's Hospital NOT COVERED

Miroi, Roxana -MDLutheran General and Children's Hospital COVERED UNDER FAP

Page 141

Page 142: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Mirza, Irfan -MDLutheran General and Children's Hospital NOT COVERED

Missygar, Joanna -PALutheran General and Children's Hospital NOT COVERED

Miszczyszyn, Bogusia -CRNALutheran General and Children's Hospital NOT COVERED

Mitrano, Amy -PALutheran General and Children's Hospital COVERED UNDER FAP

Mittelman, David -MDLutheran General and Children's Hospital NOT COVERED

Modi, Rahul -MDLutheran General and Children's Hospital COVERED UNDER FAP

Moen, Michael -MDLutheran General and Children's Hospital NOT COVERED

Mohammad Abtahi, MDLutheran General and Children's Hospital NOT COVERED

Mohammed, Abdul -MDLutheran General and Children's Hospital COVERED UNDER FAP

Mohiuddin, Majid -MDLutheran General and Children's Hospital NOT COVERED

Mohiuddin, Mohtasham -MDLutheran General and Children's Hospital NOT COVERED

Mohs Surgery and Dermatology CenterLutheran General and Children's Hospital NOT COVERED

Molloy, Anne -NPLutheran General and Children's Hospital COVERED UNDER FAP

Molnar, Robert -DOLutheran General and Children's Hospital NOT COVERED

Monahan, Martin -MDLutheran General and Children's Hospital NOT COVERED

Mono, Jeffrey -MDLutheran General and Children's Hospital NOT COVERED

Montgomery, Victoria -DOLutheran General and Children's Hospital COVERED UNDER FAP

Moradia, Jadav -MDLutheran General and Children's Hospital NOT COVERED

Morais, Joshua -MDLutheran General and Children's Hospital NOT COVERED

Morgan Medical Group, LLCLutheran General and Children's Hospital NOT COVERED

Morrill, Timothy -NPLutheran General and Children's Hospital NOT COVERED

Morrow, Meghan -MDLutheran General and Children's Hospital NOT COVERED

Morton, Leo -DDSLutheran General and Children's Hospital NOT COVERED

Moss, Robert -MDLutheran General and Children's Hospital NOT COVERED

Moy, John -MDLutheran General and Children's Hospital NOT COVERED

Moy, Tiffany -NPLutheran General and Children's Hospital NOT COVERED

MP PediatricsLutheran General and Children's Hospital NOT COVERED

Mullahy, Donna -PALutheran General and Children's Hospital NOT COVERED

Mullen, C. -MDLutheran General and Children's Hospital COVERED UNDER FAP

Mullenix, Charles -MDLutheran General and Children's Hospital NOT COVERED

Murfey, Sarah -NPLutheran General and Children's Hospital NOT COVERED

Murglin, Jessica -NPLutheran General and Children's Hospital COVERED UNDER FAP

Murphey, Dona -MDLutheran General and Children's Hospital NOT COVERED

Murphey, Melissa -NPLutheran General and Children's Hospital NOT COVERED

Murphy, Laura -MDLutheran General and Children's Hospital COVERED UNDER FAP

Murthey, Stephanie -PALutheran General and Children's Hospital NOT COVERED

Murty, Pavan -MDLutheran General and Children's Hospital COVERED UNDER FAP

Mutchnik, David -MDLutheran General and Children's Hospital NOT COVERED

Mutchnik, Steven -MDLutheran General and Children's Hospital NOT COVERED

Muthukumar, Ramesh -MDLutheran General and Children's Hospital COVERED UNDER FAP

Nalawadi, Shantesh -MDLutheran General and Children's Hospital COVERED UNDER FAP

Nandam, Janaki -DOLutheran General and Children's Hospital NOT COVERED

Nannegari, Veena -MDLutheran General and Children's Hospital NOT COVERED

Naran, Sanjay -MDLutheran General and Children's Hospital COVERED UNDER FAP

Narepalem, Narendra -MDLutheran General and Children's Hospital NOT COVERED

Naryzhny, Igor -DOLutheran General and Children's Hospital NOT COVERED

Nash, Matthew -MDLutheran General and Children's Hospital NOT COVERED

Nasir, Saifullah -MDLutheran General and Children's Hospital NOT COVERED

Nasrallah, Erin -MDLutheran General and Children's Hospital COVERED UNDER FAP

NCH Medical GroupLutheran General and Children's Hospital NOT COVERED

Neamand, Mark -DPMLutheran General and Children's Hospital NOT COVERED

Nehme, Nadine -MDLutheran General and Children's Hospital NOT COVERED

Nelson, Susan -MDLutheran General and Children's Hospital NOT COVERED

Nephrology Associates of Northern Illinois, Ltd.Lutheran General and Children's Hospital NOT COVERED

Neuberger, Stephen -MDLutheran General and Children's Hospital COVERED UNDER FAP

Neural WatchLutheran General and Children's Hospital NOT COVERED

Neurology at the Glen, SCLutheran General and Children's Hospital NOT COVERED

Nicewicz, Maria-Jolanta -MDLutheran General and Children's Hospital NOT COVERED

Page 142

Page 143: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Niewiarowski, Ketina -NPLutheran General and Children's Hospital COVERED UNDER FAP

Nikolakakis, James -DOLutheran General and Children's Hospital COVERED UNDER FAP

Nikolich, Sanja -MDLutheran General and Children's Hospital COVERED UNDER FAP

Nimmagadda, Sai -MDLutheran General and Children's Hospital NOT COVERED

Ninan, Reji -MDLutheran General and Children's Hospital NOT COVERED

Noone, Michael -MDLutheran General and Children's Hospital NOT COVERED

Noren, Richard -MDLutheran General and Children's Hospital NOT COVERED

Norman Chapman, M.D. & Associates, S.C.Lutheran General and Children's Hospital NOT COVERED

Norris, Donald -MDLutheran General and Children's Hospital NOT COVERED

Norris, Jeffrey -MDLutheran General and Children's Hospital NOT COVERED

North Arlington Pediatrics, S.C.Lutheran General and Children's Hospital NOT COVERED

North Shore Internists Physicians, LLCLutheran General and Children's Hospital NOT COVERED

North Shore Pediatrics, Ltd.Lutheran General and Children's Hospital NOT COVERED

North Suburban Family MedicineLutheran General and Children's Hospital NOT COVERED

North Suburban Gastroenterology Associates, SCLutheran General and Children's Hospital NOT COVERED

North Suburban Pulmonary and Critical Care Consultants, SCLutheran General and Children's Hospital NOT COVERED

North Suburban Surgical Consultants, LLCLutheran General and Children's Hospital NOT COVERED

NorthShore Pediatric GastroenterologyLutheran General and Children's Hospital NOT COVERED

Northshore Pediatrics Associates,SCLutheran General and Children's Hospital NOT COVERED

Northwest Associates For Women's HealthcareLutheran General and Children's Hospital NOT COVERED

Northwest Community Health ServicesLutheran General and Children's Hospital NOT COVERED

Northwest Community Medical GroupLutheran General and Children's Hospital NOT COVERED

Northwest Eye Clinic, LtdLutheran General and Children's Hospital NOT COVERED

Northwest Infectious Disease Consultants, SCLutheran General and Children's Hospital NOT COVERED

Northwest Neurology, LtdLutheran General and Children's Hospital NOT COVERED

Northwest Orthopaedic Associates, LtdLutheran General and Children's Hospital NOT COVERED

Northwest Orthopaedics and Sports MedicineLutheran General and Children's Hospital NOT COVERED

Northwest Pulmonary & Sleep Medicine, SCLutheran General and Children's Hospital NOT COVERED

Northwest Pulmonary Associates, SCLutheran General and Children's Hospital NOT COVERED

Northwest Suburban Family Physicians,LLCLutheran General and Children's Hospital NOT COVERED

Northwest Suburban Pediatrics, SCLutheran General and Children's Hospital NOT COVERED

Noureldin, Tamer -MDLutheran General and Children's Hospital COVERED UNDER FAP

Novales, Jaime -MDLutheran General and Children's Hospital COVERED UNDER FAP

Novota, Gabriela -MDLutheran General and Children's Hospital NOT COVERED

Novota, Peter -MDLutheran General and Children's Hospital NOT COVERED

Nozicka, Charles -DOLutheran General and Children's Hospital COVERED UNDER FAP

Nuckols, Hannah -DOLutheran General and Children's Hospital COVERED UNDER FAP

Nussenbaum, Doris -MDLutheran General and Children's Hospital COVERED UNDER FAP

Oak Mill Medical Associates, S.C.Lutheran General and Children's Hospital NOT COVERED

Oak Mill Pediatrics, SCLutheran General and Children's Hospital NOT COVERED

Oakton Health Center, SCLutheran General and Children's Hospital NOT COVERED

Oakton Park Medical CenterLutheran General and Children's Hospital NOT COVERED

Obyrtacz, Margaret -NPLutheran General and Children's Hospital NOT COVERED

OConnor, Therese -MDLutheran General and Children's Hospital NOT COVERED

Odeh, Ruba -DOLutheran General and Children's Hospital NOT COVERED

Odeyemi, Ifeyemi -MDLutheran General and Children's Hospital COVERED UNDER FAP

O'Donnell, Scott -MDLutheran General and Children's Hospital NOT COVERED

Ogarek, Joseph -MDLutheran General and Children's Hospital COVERED UNDER FAP

Oh, John -MDLutheran General and Children's Hospital NOT COVERED

Oh, Kyong -MDLutheran General and Children's Hospital NOT COVERED

O'Hearn, Colleen -NPLutheran General and Children's Hospital COVERED UNDER FAP

Ohri, Arun -MDLutheran General and Children's Hospital NOT COVERED

Okeefe, Robert -DPMLutheran General and Children's Hospital NOT COVERED

Okorie, Helen -NPLutheran General and Children's Hospital NOT COVERED

Okuno, William -MDLutheran General and Children's Hospital NOT COVERED

Old Irving Park Community ClinicLutheran General and Children's Hospital NOT COVERED

OLeary, Patricia -MDLutheran General and Children's Hospital COVERED UNDER FAP

O'Leary, Shaun -MDLutheran General and Children's Hospital NOT COVERED

Page 143

Page 144: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Oliff, Irma -MDLutheran General and Children's Hospital NOT COVERED

Olivier, Mildred -MDLutheran General and Children's Hospital NOT COVERED

Olorvida, Albert -MDLutheran General and Children's Hospital NOT COVERED

Olpinski, Marian -MDLutheran General and Children's Hospital NOT COVERED

Olsen, Erin -PALutheran General and Children's Hospital NOT COVERED

Olsen, Jon -MDLutheran General and Children's Hospital COVERED UNDER FAP

O'Mara, Susan -CNSLutheran General and Children's Hospital NOT COVERED

Omni Health PCLutheran General and Children's Hospital NOT COVERED

Oral Surgery AssociatesLutheran General and Children's Hospital NOT COVERED

Oram, Ronda -MDLutheran General and Children's Hospital COVERED UNDER FAP

OReilly, Kevin -DOLutheran General and Children's Hospital COVERED UNDER FAP

Orescanin, Anne Marie -MDLutheran General and Children's Hospital COVERED UNDER FAP

Origenes, Rovi Dolores -NPLutheran General and Children's Hospital COVERED UNDER FAP

O'Riordan, Kenneth -MDLutheran General and Children's Hospital NOT COVERED

O'Rourke, Michael -MDLutheran General and Children's Hospital NOT COVERED

Orozco-Kellermeier, Adriana -MDLutheran General and Children's Hospital COVERED UNDER FAP

Orth, Mary -NPLutheran General and Children's Hospital COVERED UNDER FAP

Orthopaedic Surgery Specialists, LtdLutheran General and Children's Hospital NOT COVERED

Orthopaedics & Rheumatology of North Shore, SCLutheran General and Children's Hospital NOT COVERED

Oserman, Stuart -MDLutheran General and Children's Hospital COVERED UNDER FAP

Osier, Gregory -PALutheran General and Children's Hospital NOT COVERED

Osmanovic, Senad -MDLutheran General and Children's Hospital NOT COVERED

Ostrowski, Margaret -PALutheran General and Children's Hospital NOT COVERED

O'Toole, Rosemary -NPLutheran General and Children's Hospital NOT COVERED

Ovadia, Marc -MDLutheran General and Children's Hospital NOT COVERED

Overton, Margaret -MDLutheran General and Children's Hospital NOT COVERED

Owczarek, Miroslaw -MDLutheran General and Children's Hospital NOT COVERED

Paidi, Sasikala -MDLutheran General and Children's Hospital NOT COVERED

Pain Care Consultants, SCLutheran General and Children's Hospital NOT COVERED

Pajak, Natalia -PALutheran General and Children's Hospital NOT COVERED

Pales, Eric -MDLutheran General and Children's Hospital NOT COVERED

Palm, Gina -NPLutheran General and Children's Hospital COVERED UNDER FAP

Palmieri, Vincenzo -DPMLutheran General and Children's Hospital NOT COVERED

Pankau, Lawrence -MDLutheran General and Children's Hospital NOT COVERED

Papadimitriou, Michael -DDSLutheran General and Children's Hospital NOT COVERED

Papanos, Nicholas -MDLutheran General and Children's Hospital NOT COVERED

Parilla, Barbara -MDLutheran General and Children's Hospital NOT COVERED

Parise, Nicholas -DOLutheran General and Children's Hospital NOT COVERED

Park Ridge Anesthesiology Associates Ltd.Lutheran General and Children's Hospital NOT COVERED

Park Ridge Pediatrics, PCLutheran General and Children's Hospital NOT COVERED

Park, Chinyoung -MDLutheran General and Children's Hospital NOT COVERED

Park, Hong -MDLutheran General and Children's Hospital NOT COVERED

Park, Jimmy -MDLutheran General and Children's Hospital NOT COVERED

Park, John -MDLutheran General and Children's Hospital NOT COVERED

Parkside Obstetrics & Gynecology, SCLutheran General and Children's Hospital NOT COVERED

Parkside Pediatrics, SCLutheran General and Children's Hospital NOT COVERED

Paschos, Jennifer -MDLutheran General and Children's Hospital COVERED UNDER FAP

Passen, Edward -MDLutheran General and Children's Hospital NOT COVERED

Patel, Amitkumar -DMDLutheran General and Children's Hospital NOT COVERED

Patel, Anand -DOLutheran General and Children's Hospital COVERED UNDER FAP

Patel, Arvindbhai -MDLutheran General and Children's Hospital NOT COVERED

Patel, Cheerag -DOLutheran General and Children's Hospital NOT COVERED

Patel, Chirag -MDLutheran General and Children's Hospital NOT COVERED

Patel, Mallika -NPLutheran General and Children's Hospital NOT COVERED

Patel, Nigam -MDLutheran General and Children's Hospital NOT COVERED

Patel, Nisha -DOLutheran General and Children's Hospital COVERED UNDER FAP

Patel, Nisha -MDLutheran General and Children's Hospital NOT COVERED

Patel, Nishant -MDLutheran General and Children's Hospital COVERED UNDER FAP

Page 144

Page 145: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Patel, Parag -DOLutheran General and Children's Hospital COVERED UNDER FAP

Patel, Payal -NPLutheran General and Children's Hospital NOT COVERED

Patel, Rajan -MDLutheran General and Children's Hospital NOT COVERED

Patel, Resha -NPLutheran General and Children's Hospital NOT COVERED

Patel, Ritesh -MDLutheran General and Children's Hospital NOT COVERED

Patel, Savan -MDLutheran General and Children's Hospital NOT COVERED

Patel, Shetal -MDLutheran General and Children's Hospital COVERED UNDER FAP

Patel, Shivani -PALutheran General and Children's Hospital NOT COVERED

Patil, Rakhi -MDLutheran General and Children's Hospital NOT COVERED

Patil, Shruti -MDLutheran General and Children's Hospital NOT COVERED

Patt, Stephen -MDLutheran General and Children's Hospital NOT COVERED

Pattani, Anand -MDLutheran General and Children's Hospital COVERED UNDER FAP

Patterson, Todd -DOLutheran General and Children's Hospital NOT COVERED

Patton, Jill -DOLutheran General and Children's Hospital COVERED UNDER FAP

Paul, Raina -MDLutheran General and Children's Hospital COVERED UNDER FAP

Pavlovic, Chris -MDLutheran General and Children's Hospital NOT COVERED

Pavlovic, Thomas -MDLutheran General and Children's Hospital NOT COVERED

Pawlowski, Ireneusz -MDLutheran General and Children's Hospital NOT COVERED

Paxhia, Joseph -MDLutheran General and Children's Hospital NOT COVERED

Paxhia, Michael -MDLutheran General and Children's Hospital NOT COVERED

Paz Averbuch, Beatrisa -MDLutheran General and Children's Hospital NOT COVERED

PCC Community Wellness Walk-InLutheran General and Children's Hospital NOT COVERED

Peabody, Joseph -MDLutheran General and Children's Hospital COVERED UNDER FAP

Pearl, Jeffrey -MDLutheran General and Children's Hospital NOT COVERED

Peck, Andrew -MDLutheran General and Children's Hospital NOT COVERED

Peckler, M. -MDLutheran General and Children's Hospital NOT COVERED

Pediatric & Dermatology, SCLutheran General and Children's Hospital NOT COVERED

Pediatric Care Associates, SCLutheran General and Children's Hospital NOT COVERED

Pediatric Clinic, LtdLutheran General and Children's Hospital NOT COVERED

Pediatric Health Care Associates, SCLutheran General and Children's Hospital NOT COVERED

Pediatric Medical Services, SCLutheran General and Children's Hospital NOT COVERED

Pediatric Solutions, SCLutheran General and Children's Hospital NOT COVERED

PediaTrust, LLCLutheran General and Children's Hospital NOT COVERED

Peera, Aurelia -MDLutheran General and Children's Hospital COVERED UNDER FAP

Perez, Edelberto -MDLutheran General and Children's Hospital NOT COVERED

Perez, Jennifer -MDLutheran General and Children's Hospital NOT COVERED

Perez, Kelly -NPLutheran General and Children's Hospital NOT COVERED

Periodontal Medicine Surgical Specialists, LTDLutheran General and Children's Hospital NOT COVERED

Perlow, Bruce -MDLutheran General and Children's Hospital COVERED UNDER FAP

Perlow, Tamar -MDLutheran General and Children's Hospital COVERED UNDER FAP

Persak, Joseph -MDLutheran General and Children's Hospital COVERED UNDER FAP

Pervos, Richard -MDLutheran General and Children's Hospital NOT COVERED

Pesence Medical Group - Norwood Park PediatricsLutheran General and Children's Hospital NOT COVERED

Peskin Oral Surgery, LtdLutheran General and Children's Hospital NOT COVERED

Peskin, Kenneth -DDSLutheran General and Children's Hospital NOT COVERED

Pesok, Anna -MDLutheran General and Children's Hospital COVERED UNDER FAP

Peter E. Johnson, MD, SCLutheran General and Children's Hospital NOT COVERED

Peters, Andrew -MDLutheran General and Children's Hospital NOT COVERED

Peters, Krysta -MDLutheran General and Children's Hospital NOT COVERED

Petkovic, Djuro -MDLutheran General and Children's Hospital NOT COVERED

Petrovas, Demetrios -MDLutheran General and Children's Hospital NOT COVERED

Phillip Markowitz, DO, SCLutheran General and Children's Hospital NOT COVERED

Phillips, Karen -MDLutheran General and Children's Hospital NOT COVERED

Pierotti, Sarah -DOLutheran General and Children's Hospital COVERED UNDER FAP

Pierre, Natacha -NPLutheran General and Children's Hospital NOT COVERED

Pins, Michael -MDLutheran General and Children's Hospital NOT COVERED

Piotrowski, Anna -MDLutheran General and Children's Hospital NOT COVERED

Piper, Patrick -MDLutheran General and Children's Hospital COVERED UNDER FAP

Page 145

Page 146: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Pjevcevic, Kelly -PALutheran General and Children's Hospital NOT COVERED

Plavnik, Helen -MDLutheran General and Children's Hospital NOT COVERED

PMG-ElectrophysiologyLutheran General and Children's Hospital NOT COVERED

Podgorny, Kathryn -MDLutheran General and Children's Hospital NOT COVERED

Podnar, Jeffrey -MDLutheran General and Children's Hospital NOT COVERED

Poeling, Nancy -CNSLutheran General and Children's Hospital NOT COVERED

Polisky, Robert -MDLutheran General and Children's Hospital NOT COVERED

Polotskaya, Rimma -MDLutheran General and Children's Hospital NOT COVERED

Poludasu, Rajaram -MDLutheran General and Children's Hospital NOT COVERED

Powell, Jonathan -MDLutheran General and Children's Hospital NOT COVERED

Powell, Tanya -MDLutheran General and Children's Hospital NOT COVERED

Prazad, Preetha -MDLutheran General and Children's Hospital COVERED UNDER FAP

Prekezes, Christine -MDLutheran General and Children's Hospital NOT COVERED

Premier Optimal HealthLutheran General and Children's Hospital NOT COVERED

Presence Amita Medical GroupLutheran General and Children's Hospital NOT COVERED

Presence Medical GroupLutheran General and Children's Hospital NOT COVERED

Primary Care of Illinois, SCLutheran General and Children's Hospital NOT COVERED

Primary Care Providers of Chicago, SCLutheran General and Children's Hospital NOT COVERED

ProPsych Associates, SCLutheran General and Children's Hospital NOT COVERED

Pryka, Mary -NPLutheran General and Children's Hospital NOT COVERED

Pu Woong Kim, MD,SCLutheran General and Children's Hospital NOT COVERED

Purim-Shem-Tov, Yanina -MDLutheran General and Children's Hospital COVERED UNDER FAP

Qamar, Sanaa -MDLutheran General and Children's Hospital COVERED UNDER FAP

Qazi, Baseer -MDLutheran General and Children's Hospital NOT COVERED

Quaid, Maureen -MDLutheran General and Children's Hospital COVERED UNDER FAP

Quality Medical Care, SCLutheran General and Children's Hospital NOT COVERED

Qureshi, Fawad -MDLutheran General and Children's Hospital NOT COVERED

Raab, David -MDLutheran General and Children's Hospital NOT COVERED

Raasch, Jennifer -MDLutheran General and Children's Hospital NOT COVERED

Rabin, Barry -MDLutheran General and Children's Hospital NOT COVERED

Radiation Oncology Consultants LtdLutheran General and Children's Hospital NOT COVERED

Radis, Malka -MDLutheran General and Children's Hospital NOT COVERED

Rager, Jeff -DPMLutheran General and Children's Hospital NOT COVERED

Rahimi, Fred -DPMLutheran General and Children's Hospital NOT COVERED

Raiji, Veena -MDLutheran General and Children's Hospital NOT COVERED

Rainbow Hospice and Palliative CareLutheran General and Children's Hospital NOT COVERED

Rajpal, Jurat -MDLutheran General and Children's Hospital COVERED UNDER FAP

Rajpal, Miriam -MDLutheran General and Children's Hospital COVERED UNDER FAP

Ralph N. Robbins, D.D.S., LTD.Lutheran General and Children's Hospital NOT COVERED

Ramesh, Priyadarsini -MDLutheran General and Children's Hospital NOT COVERED

Ramic, Maya -MDLutheran General and Children's Hospital NOT COVERED

Ramos, Jade -CRNALutheran General and Children's Hospital NOT COVERED

Randall, David -DOLutheran General and Children's Hospital COVERED UNDER FAP

Rapisarda, John -MDLutheran General and Children's Hospital NOT COVERED

Ravangard, Samadh -DOLutheran General and Children's Hospital COVERED UNDER FAP

Raza, Syed -MDLutheran General and Children's Hospital COVERED UNDER FAP

Rebuck, David -MDLutheran General and Children's Hospital NOT COVERED

Reginald Spears, MD, LLCLutheran General and Children's Hospital NOT COVERED

Reich, Alan -MDLutheran General and Children's Hospital NOT COVERED

Reinstein, Michelle -MDLutheran General and Children's Hospital NOT COVERED

Reniva, Amando -MDLutheran General and Children's Hospital NOT COVERED

Resnick, Daniel -MDLutheran General and Children's Hospital COVERED UNDER FAP

Respiratory Critical Care and Sleep Specialists, LLCLutheran General and Children's Hospital NOT COVERED

Retina Consultants, LtdLutheran General and Children's Hospital NOT COVERED

Retina Health Institute, SCLutheran General and Children's Hospital NOT COVERED

Retina Institute of Illinois, PCLutheran General and Children's Hospital NOT COVERED

Reyes, David -PALutheran General and Children's Hospital NOT COVERED

Rheumatic Disease CenterLutheran General and Children's Hospital NOT COVERED

Page 146

Page 147: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Rhoades, William -DOLutheran General and Children's Hospital COVERED UNDER FAP

Rich, Randy -MDLutheran General and Children's Hospital NOT COVERED

Richards, Jon -MDLutheran General and Children's Hospital COVERED UNDER FAP

Richardson, Tehemina -DDSLutheran General and Children's Hospital NOT COVERED

Rickert, Chelsea -PALutheran General and Children's Hospital NOT COVERED

Ricketts, Cecelia -MDLutheran General and Children's Hospital NOT COVERED

Rico, Rebeca -MDLutheran General and Children's Hospital COVERED UNDER FAP

Riegelhaupt, Ronald -DPMLutheran General and Children's Hospital NOT COVERED

Rim, Chong -MDLutheran General and Children's Hospital NOT COVERED

Rim, Susan -MDLutheran General and Children's Hospital COVERED UNDER FAP

Rimington, Todd -MDLutheran General and Children's Hospital NOT COVERED

Ritacca Cosmetic Surgery & Medspa, LtdLutheran General and Children's Hospital NOT COVERED

Rivard, Wendy -NPLutheran General and Children's Hospital COVERED UNDER FAP

Robbins, Ralph -DDSLutheran General and Children's Hospital NOT COVERED

Robert Hozman, MD, SCLutheran General and Children's Hospital NOT COVERED

Roberts, David -MDLutheran General and Children's Hospital NOT COVERED

Rodriguez, Tulio -MDLutheran General and Children's Hospital COVERED UNDER FAP

Rodriguez-Paez, Alejandra -MDLutheran General and Children's Hospital NOT COVERED

Roemisch, Frank -MDLutheran General and Children's Hospital NOT COVERED

Rogell, Camille -CNSLutheran General and Children's Hospital NOT COVERED

Rojas, Juan -MDLutheran General and Children's Hospital NOT COVERED

Rojek, Brian -DOLutheran General and Children's Hospital NOT COVERED

Romanelli, Robert -MDLutheran General and Children's Hospital NOT COVERED

Ronin, David -MDLutheran General and Children's Hospital COVERED UNDER FAP

Rooney, Mallory -PALutheran General and Children's Hospital COVERED UNDER FAP

Rosalind Franklin University Health SystemLutheran General and Children's Hospital NOT COVERED

Rosario, Carmen -MDLutheran General and Children's Hospital NOT COVERED

Rosen, Marianne -MDLutheran General and Children's Hospital NOT COVERED

Rosen, Robert -MDLutheran General and Children's Hospital NOT COVERED

Rosenbaum, Richard -MDLutheran General and Children's Hospital NOT COVERED

Rosenfeld, Alan -DDSLutheran General and Children's Hospital NOT COVERED

Rosenfeld, Elaine -MDLutheran General and Children's Hospital COVERED UNDER FAP

Rosenthal, Daniel -MDLutheran General and Children's Hospital NOT COVERED

Rossi, Joanna -MDLutheran General and Children's Hospital NOT COVERED

Rossman, Suellyn -MDLutheran General and Children's Hospital NOT COVERED

Rubenstein, Brian -MDLutheran General and Children's Hospital COVERED UNDER FAP

Rubinstein, Wayne -MDLutheran General and Children's Hospital COVERED UNDER FAP

Ruge, John -MDLutheran General and Children's Hospital COVERED UNDER FAP

Ruhi Askari M.D.S.C.Lutheran General and Children's Hospital NOT COVERED

Rukhlyada, Yuliya -MDLutheran General and Children's Hospital NOT COVERED

Russo, Dana -DOLutheran General and Children's Hospital NOT COVERED

Rutledge, Rachel -PALutheran General and Children's Hospital COVERED UNDER FAP

Ryabov, Yakov -MDLutheran General and Children's Hospital NOT COVERED

Ryan, Emily -PALutheran General and Children's Hospital COVERED UNDER FAP

Ryjewski, Constance -CNSLutheran General and Children's Hospital NOT COVERED

Sabri, Moustafa -MDLutheran General and Children's Hospital COVERED UNDER FAP

Saeed, Fasiha -MDLutheran General and Children's Hospital COVERED UNDER FAP

Saeedi, Joel -MDLutheran General and Children's Hospital COVERED UNDER FAP

Sager, David -MDLutheran General and Children's Hospital NOT COVERED

Saks, Noel -MDLutheran General and Children's Hospital NOT COVERED

Salcedo, Susana -MDLutheran General and Children's Hospital COVERED UNDER FAP

Salvino, Renee -MDLutheran General and Children's Hospital NOT COVERED

Salzmann, Chloe -MDLutheran General and Children's Hospital COVERED UNDER FAP

Samir Suleiman, MD, SCLutheran General and Children's Hospital NOT COVERED

Samuelsohn, Beth -DOLutheran General and Children's Hospital NOT COVERED

Sanders Court Pediatrics, LtdLutheran General and Children's Hospital NOT COVERED

Sandulescu, Corina -MDLutheran General and Children's Hospital NOT COVERED

Sarrafi, Ghodratollah -MDLutheran General and Children's Hospital NOT COVERED

Page 147

Page 148: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Sasaki, Kirsten -MDLutheran General and Children's Hospital COVERED UNDER FAP

Sathyakumar, Sandhya -MDLutheran General and Children's Hospital NOT COVERED

Sawlani, Neal -MDLutheran General and Children's Hospital COVERED UNDER FAP

Sawlani, Sarena -MDLutheran General and Children's Hospital NOT COVERED

Sbrana, Fabio -MDLutheran General and Children's Hospital COVERED UNDER FAP

Scarimbolo, Carmen -MDLutheran General and Children's Hospital NOT COVERED

Scaunas, Dorina -MDLutheran General and Children's Hospital NOT COVERED

Schaffer, Kenneth -NPLutheran General and Children's Hospital COVERED UNDER FAP

Schechter, Loren -MDLutheran General and Children's Hospital NOT COVERED

Schneider, Karen -MDLutheran General and Children's Hospital NOT COVERED

Schraiber, Steven -MDLutheran General and Children's Hospital NOT COVERED

Schuette, Patrick -MDLutheran General and Children's Hospital NOT COVERED

Schuster, Katherine -PALutheran General and Children's Hospital NOT COVERED

Schwartz, Beth -NPLutheran General and Children's Hospital COVERED UNDER FAP

Schwartz, Cheryl -DOLutheran General and Children's Hospital NOT COVERED

Schwartz, Lewis -MDLutheran General and Children's Hospital COVERED UNDER FAP

Schy, Susan -MDLutheran General and Children's Hospital NOT COVERED

Sclamberg, Steven -MDLutheran General and Children's Hospital NOT COVERED

Scolin, Tatiana -MDLutheran General and Children's Hospital NOT COVERED

Scott, Gregory -MDLutheran General and Children's Hospital NOT COVERED

Secco, Alessandra -MDLutheran General and Children's Hospital NOT COVERED

Sedoris, Amanda -PALutheran General and Children's Hospital COVERED UNDER FAP

Seed Pediatrics, SCLutheran General and Children's Hospital NOT COVERED

Segalite, Lara -MDLutheran General and Children's Hospital COVERED UNDER FAP

Selbka Salituro, Sofia -MDLutheran General and Children's Hospital NOT COVERED

Senescu, Carly -MDLutheran General and Children's Hospital COVERED UNDER FAP

Serafini, Nicholas -MDLutheran General and Children's Hospital COVERED UNDER FAP

Sergeyenko, Artem -MDLutheran General and Children's Hospital NOT COVERED

Seruya, Abby -MDLutheran General and Children's Hospital NOT COVERED

Serwa, Marie -NPLutheran General and Children's Hospital COVERED UNDER FAP

Shah, Anita -DOLutheran General and Children's Hospital NOT COVERED

Shah, Bhaven -MDLutheran General and Children's Hospital NOT COVERED

Shah, Hemant -MDLutheran General and Children's Hospital NOT COVERED

Shah, Manojkumar -MDLutheran General and Children's Hospital COVERED UNDER FAP

Shah, Nishant -MDLutheran General and Children's Hospital COVERED UNDER FAP

Shah, Nishant -MDLutheran General and Children's Hospital NOT COVERED

Shah, Ritesh -MDLutheran General and Children's Hospital NOT COVERED

Shah, Sonia -MDLutheran General and Children's Hospital NOT COVERED

Shah, Ushma -DOLutheran General and Children's Hospital NOT COVERED

Shams, Ehab -MDLutheran General and Children's Hospital NOT COVERED

Shannon, Connor -DOLutheran General and Children's Hospital NOT COVERED

Shapiro, Alan -MDLutheran General and Children's Hospital NOT COVERED

Shapiro, Dov -MDLutheran General and Children's Hospital NOT COVERED

Shapiro, Kimberly -NPLutheran General and Children's Hospital NOT COVERED

Shapiro, Michael -MDLutheran General and Children's Hospital NOT COVERED

Shapiro, Ricky -PALutheran General and Children's Hospital NOT COVERED

Sharos, Elizabeth -NPLutheran General and Children's Hospital COVERED UNDER FAP

Shaw, Geoffrey -MDLutheran General and Children's Hospital NOT COVERED

Shea, Laura -DPMLutheran General and Children's Hospital NOT COVERED

Shea, Patrick -MDLutheran General and Children's Hospital NOT COVERED

Shechtman, Steven -MDLutheran General and Children's Hospital NOT COVERED

Sheftel, David -MDLutheran General and Children's Hospital COVERED UNDER FAP

Sheilendr Khipple, MD.Lutheran General and Children's Hospital NOT COVERED

Shepherd, Katherine -MDLutheran General and Children's Hospital NOT COVERED

Sherman, Andrew -MDLutheran General and Children's Hospital NOT COVERED

Sherman, Angela -PALutheran General and Children's Hospital NOT COVERED

Sheynin, Boris -MDLutheran General and Children's Hospital NOT COVERED

Shinozaki, Kent -DDSLutheran General and Children's Hospital NOT COVERED

Page 148

Page 149: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Shlyak, Jean -MDLutheran General and Children's Hospital NOT COVERED

Shokso, Sonam -NPLutheran General and Children's Hospital NOT COVERED

Shoolin, Joel -DOLutheran General and Children's Hospital COVERED UNDER FAP

Shore, Scott -DDSLutheran General and Children's Hospital NOT COVERED

Shuber, Suad -MDLutheran General and Children's Hospital NOT COVERED

Shukhman, Mark -MDLutheran General and Children's Hospital NOT COVERED

Shukla, Archana -DOLutheran General and Children's Hospital COVERED UNDER FAP

Siddiqui, Aisha -DOLutheran General and Children's Hospital NOT COVERED

Siddiqui, Amir -MDLutheran General and Children's Hospital COVERED UNDER FAP

Siddiqui, Bilal -DPMLutheran General and Children's Hospital NOT COVERED

Siddiqui, Fraaz -NPLutheran General and Children's Hospital COVERED UNDER FAP

Siddiqui, Juwaria -MDLutheran General and Children's Hospital NOT COVERED

Siddiqui, Rumana -MDLutheran General and Children's Hospital NOT COVERED

Siegel, Lori -MDLutheran General and Children's Hospital NOT COVERED

Siegel, Richard -MDLutheran General and Children's Hospital NOT COVERED

Siegele, Peggy -NPLutheran General and Children's Hospital COVERED UNDER FAP

Siegfried, Michael -MDLutheran General and Children's Hospital NOT COVERED

Sienkiewicz, Anna -MDLutheran General and Children's Hospital NOT COVERED

Siglin, Scott -MDLutheran General and Children's Hospital COVERED UNDER FAP

Signature Medical GroupLutheran General and Children's Hospital NOT COVERED

Silas, Dean -MDLutheran General and Children's Hospital COVERED UNDER FAP

Silver, Jeffrey -MDLutheran General and Children's Hospital NOT COVERED

Simmons, Todd -MDLutheran General and Children's Hospital NOT COVERED

Sims, John -MDLutheran General and Children's Hospital NOT COVERED

Singh, Jagvir -MDLutheran General and Children's Hospital COVERED UNDER FAP

Sipahi, Sevgi -MDLutheran General and Children's Hospital COVERED UNDER FAP

Sipe, Christopher -MDLutheran General and Children's Hospital NOT COVERED

Sirota, Ronald -MDLutheran General and Children's Hospital NOT COVERED

Sitafalwalla, Shoeb -MDLutheran General and Children's Hospital COVERED UNDER FAP

Sitapara, Urvashi -NPLutheran General and Children's Hospital COVERED UNDER FAP

Skiba, Philip -DOLutheran General and Children's Hospital COVERED UNDER FAP

Skjong, Christian -MDLutheran General and Children's Hospital NOT COVERED

Sklansky, Jodi -DOLutheran General and Children's Hospital NOT COVERED

Skokie Family Clinic PCLutheran General and Children's Hospital NOT COVERED

Skypoint Medical CenterLutheran General and Children's Hospital NOT COVERED

Slater, Bethany -MDLutheran General and Children's Hospital COVERED UNDER FAP

Slone, Richard -MDLutheran General and Children's Hospital NOT COVERED

Smiley, William -DOLutheran General and Children's Hospital NOT COVERED

Smith, Gretchen -MDLutheran General and Children's Hospital NOT COVERED

Smith, Jaimee -NPLutheran General and Children's Hospital NOT COVERED

Smolina, Alexandra -PALutheran General and Children's Hospital NOT COVERED

Snow, Julie -MDLutheran General and Children's Hospital NOT COVERED

Sobol, Urszula -MDLutheran General and Children's Hospital NOT COVERED

Soden, William -MDLutheran General and Children's Hospital NOT COVERED

Sokolowski, Malgorzata -CNSLutheran General and Children's Hospital NOT COVERED

Soliz, May -MDLutheran General and Children's Hospital COVERED UNDER FAP

Solway, Douglas -DPMLutheran General and Children's Hospital NOT COVERED

Sonia Shah MDSCLutheran General and Children's Hospital NOT COVERED

Sonin, Lee -MDLutheran General and Children's Hospital NOT COVERED

Sorin, Luda -MDLutheran General and Children's Hospital COVERED UNDER FAP

Soundarrajan, Radha -MDLutheran General and Children's Hospital NOT COVERED

Southwest DermatologyLutheran General and Children's Hospital NOT COVERED

Spanierman, Clifford -MDLutheran General and Children's Hospital COVERED UNDER FAP

Spears, Reginald -MDLutheran General and Children's Hospital NOT COVERED

Specialists in Cardiology, LtdLutheran General and Children's Hospital NOT COVERED

Speil, Nicoleta -MDLutheran General and Children's Hospital COVERED UNDER FAP

Spencer, David -MDLutheran General and Children's Hospital NOT COVERED

Spine Consultants, LLCLutheran General and Children's Hospital NOT COVERED

Page 149

Page 150: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Spingola, Kathryn -PALutheran General and Children's Hospital NOT COVERED

Spitz, Jamie -MDLutheran General and Children's Hospital COVERED UNDER FAP

Sprout Pediatric DentistryLutheran General and Children's Hospital NOT COVERED

Srivastava, Arth -MDLutheran General and Children's Hospital COVERED UNDER FAP

Staehle, William -MDLutheran General and Children's Hospital NOT COVERED

Staisz, Maria -MDLutheran General and Children's Hospital NOT COVERED

Starr, Abram -MDLutheran General and Children's Hospital COVERED UNDER FAP

Stat! Cardiologist Inc.Lutheran General and Children's Hospital NOT COVERED

Stec, Patricia -MDLutheran General and Children's Hospital NOT COVERED

Steele, Yunsan -PALutheran General and Children's Hospital NOT COVERED

Stefanov, Gospodin -MDLutheran General and Children's Hospital COVERED UNDER FAP

Stein, Rhonda -MDLutheran General and Children's Hospital NOT COVERED

Steinberg, Guy -MDLutheran General and Children's Hospital COVERED UNDER FAP

Stern, Darryl -MDLutheran General and Children's Hospital NOT COVERED

Stevenson, Bernadette -MDLutheran General and Children's Hospital COVERED UNDER FAP

Stevoff, Ann -MDLutheran General and Children's Hospital COVERED UNDER FAP

Stich, Duane -MDLutheran General and Children's Hospital COVERED UNDER FAP

Stock, Megan -MDLutheran General and Children's Hospital COVERED UNDER FAP

Stone, Arvey -MDLutheran General and Children's Hospital NOT COVERED

Straka, Carol -MDLutheran General and Children's Hospital NOT COVERED

Strimling, Bradley -MDLutheran General and Children's Hospital NOT COVERED

Suad Shuber, MD, SCLutheran General and Children's Hospital NOT COVERED

Subramanian, Susila -MDLutheran General and Children's Hospital NOT COVERED

Suburban Lung Associates, SCLutheran General and Children's Hospital NOT COVERED

Suburban Medical CenterLutheran General and Children's Hospital NOT COVERED

Suburban Medical GroupLutheran General and Children's Hospital NOT COVERED

Suburban Pediatrics, LtdLutheran General and Children's Hospital NOT COVERED

Suellyn S. Rossman, MDLutheran General and Children's Hospital NOT COVERED

Suhs, Kaleigh -DOLutheran General and Children's Hospital COVERED UNDER FAP

Suidan, Rudy -MDLutheran General and Children's Hospital COVERED UNDER FAP

Suleiman, Samir -MDLutheran General and Children's Hospital NOT COVERED

Sulkowski, Robert -MDLutheran General and Children's Hospital NOT COVERED

Sum, Beth -MDLutheran General and Children's Hospital NOT COVERED

Summers Pediatrics, SCLutheran General and Children's Hospital NOT COVERED

Summers, Gregory -MDLutheran General and Children's Hospital NOT COVERED

Sun, Amy -MDLutheran General and Children's Hospital COVERED UNDER FAP

Sundaralingam, Rohan -MDLutheran General and Children's Hospital NOT COVERED

Susila Subramanian, MD SCLutheran General and Children's Hospital NOT COVERED

Suzue, Kimiko -MDLutheran General and Children's Hospital NOT COVERED

Sweeney, Patrick -MDLutheran General and Children's Hospital NOT COVERED

Swiatek, Erin -PALutheran General and Children's Hospital NOT COVERED

Szabo, Jennifer -DOLutheran General and Children's Hospital NOT COVERED

Szachowicz, Donald -MDLutheran General and Children's Hospital NOT COVERED

Szczupak, Michal -MDLutheran General and Children's Hospital NOT COVERED

Szkliniarz, Kelly -NPLutheran General and Children's Hospital COVERED UNDER FAP

Takhtehchian, Dariush -MDLutheran General and Children's Hospital COVERED UNDER FAP

Takhtehchian, Kurosh -DOLutheran General and Children's Hospital NOT COVERED

Tam, Joyce -NPLutheran General and Children's Hospital COVERED UNDER FAP

Tanna, Manish -MDLutheran General and Children's Hospital NOT COVERED

Taylor, Alexander -MDLutheran General and Children's Hospital NOT COVERED

Teal, Suzanne -NPLutheran General and Children's Hospital COVERED UNDER FAP

Temesvari, Raquel -NPLutheran General and Children's Hospital NOT COVERED

Tennant, Madeline -PALutheran General and Children's Hospital NOT COVERED

Ter Rahe, Caroline -MDLutheran General and Children's Hospital NOT COVERED

Test, Bob -MDLutheran General and Children's Hospital NOT COVERED

The Ear, Nose & Throat Center, SCLutheran General and Children's Hospital NOT COVERED

The Midwest Center for SightLutheran General and Children's Hospital NOT COVERED

The Spine Center, SCLutheran General and Children's Hospital NOT COVERED

Page 150

Page 151: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Thomas A. Pavlovic, MD,SCLutheran General and Children's Hospital NOT COVERED

Thomas, Linda -MDLutheran General and Children's Hospital NOT COVERED

Tiplitsky, Scott -MDLutheran General and Children's Hospital NOT COVERED

Tojo, David -MDLutheran General and Children's Hospital NOT COVERED

Tokarz, Farha -MDLutheran General and Children's Hospital COVERED UNDER FAP

Topin, Jeremy -MDLutheran General and Children's Hospital NOT COVERED

Total Health Dental CenterLutheran General and Children's Hospital NOT COVERED

Tots N Teens Health AssociatesLutheran General and Children's Hospital NOT COVERED

Toussaint, Paul -MDLutheran General and Children's Hospital NOT COVERED

Tran, Phuong -MDLutheran General and Children's Hospital NOT COVERED

Trsar, Jennifer -NPLutheran General and Children's Hospital NOT COVERED

Tselonis, Pauline-Kenneth -CRNALutheran General and Children's Hospital NOT COVERED

Tumashova, Yelena -MDLutheran General and Children's Hospital COVERED UNDER FAP

Tummuru, Soujanya -DOLutheran General and Children's Hospital NOT COVERED

Twardowski, Barbara -MDLutheran General and Children's Hospital COVERED UNDER FAP

Twarling, Erica -PALutheran General and Children's Hospital NOT COVERED

Udeoji, Dioma -MDLutheran General and Children's Hospital NOT COVERED

UK Family PracticeLutheran General and Children's Hospital NOT COVERED

Unfer, Susan -MDLutheran General and Children's Hospital COVERED UNDER FAP

Unger, Michael -MDLutheran General and Children's Hospital NOT COVERED

University Plastic Surgery, SCLutheran General and Children's Hospital NOT COVERED

Urfy, Mian -MDLutheran General and Children's Hospital COVERED UNDER FAP

Urgacz, Slawomir -MDLutheran General and Children's Hospital NOT COVERED

UroPartners, LLCLutheran General and Children's Hospital NOT COVERED

Usanetashvili, Nino -MDLutheran General and Children's Hospital COVERED UNDER FAP

Vadim Edelstein MD LTD Oakton Park Medical CenterLutheran General and Children's Hospital NOT COVERED

Valfer, Regan -MDLutheran General and Children's Hospital NOT COVERED

Valfer, Steven -MDLutheran General and Children's Hospital NOT COVERED

Vallikat, Deepa -NPLutheran General and Children's Hospital COVERED UNDER FAP

Vallort, Maria -NPLutheran General and Children's Hospital NOT COVERED

Van Dusen, Laura -MDLutheran General and Children's Hospital NOT COVERED

Vanderbloemen, Shalyn -PALutheran General and Children's Hospital NOT COVERED

Vanderby, Brooke -MDLutheran General and Children's Hospital NOT COVERED

Varghese, Asha -MDLutheran General and Children's Hospital NOT COVERED

Varghese, Brian -MDLutheran General and Children's Hospital NOT COVERED

Varma, Richa -MDLutheran General and Children's Hospital NOT COVERED

Vassallo, Brett -MDLutheran General and Children's Hospital NOT COVERED

Vassmer, Linda -MDLutheran General and Children's Hospital COVERED UNDER FAP

Vaughn, Ryan -MDLutheran General and Children's Hospital NOT COVERED

Vayalil, Peter -MDLutheran General and Children's Hospital COVERED UNDER FAP

Vazzalwar, Ramesh -MDLutheran General and Children's Hospital COVERED UNDER FAP

Veit, Marla -PALutheran General and Children's Hospital COVERED UNDER FAP

Vela, Maria Victoria -MDLutheran General and Children's Hospital NOT COVERED

Veltman, Shannon -PALutheran General and Children's Hospital NOT COVERED

Vence, Indu -MDLutheran General and Children's Hospital NOT COVERED

Vercillo, Michael -MDLutheran General and Children's Hospital COVERED UNDER FAP

Vergara, Esther -MDLutheran General and Children's Hospital COVERED UNDER FAP

Verges, Sonia -MDLutheran General and Children's Hospital NOT COVERED

Vernovsky, Natalya -MDLutheran General and Children's Hospital NOT COVERED

Vicari, Frank -MDLutheran General and Children's Hospital COVERED UNDER FAP

Victor, Carol -CNSLutheran General and Children's Hospital NOT COVERED

Vila, Molly -MDLutheran General and Children's Hospital NOT COVERED

Vilione, Stacey -PALutheran General and Children's Hospital NOT COVERED

Villanueva, Lisa -MDLutheran General and Children's Hospital NOT COVERED

Virtual Radiologic Professionals, LLCLutheran General and Children's Hospital NOT COVERED

Visotsky, Jeffrey -MDLutheran General and Children's Hospital NOT COVERED

Vizcayno, Diana -NPLutheran General and Children's Hospital NOT COVERED

Vizinas, Dimitrina -DOLutheran General and Children's Hospital NOT COVERED

Page 151

Page 152: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Volden, Joanne -MDLutheran General and Children's Hospital COVERED UNDER FAP

Vormittag, Kara -MDLutheran General and Children's Hospital NOT COVERED

Voronov, Michael -MDLutheran General and Children's Hospital NOT COVERED

Vyas, Shrinal -MDLutheran General and Children's Hospital COVERED UNDER FAP

Wagle, Smriti -DOLutheran General and Children's Hospital COVERED UNDER FAP

Walczynski, Ann -MDLutheran General and Children's Hospital NOT COVERED

Walicki, Nan -MDLutheran General and Children's Hospital NOT COVERED

Walker Santiago, Rafael -MDLutheran General and Children's Hospital NOT COVERED

Walker, Susan -NPLutheran General and Children's Hospital NOT COVERED

Wallis, Benjamin -MDLutheran General and Children's Hospital NOT COVERED

Walner, David -MDLutheran General and Children's Hospital NOT COVERED

Walsh, Beth -MDLutheran General and Children's Hospital NOT COVERED

Walsh, Lori -MDLutheran General and Children's Hospital COVERED UNDER FAP

Walter Campbell, MD, LLCLutheran General and Children's Hospital NOT COVERED

Walters, Abigail -NPLutheran General and Children's Hospital COVERED UNDER FAP

Ward, Kristina -MDLutheran General and Children's Hospital NOT COVERED

Wargelin, Lindsay -NPLutheran General and Children's Hospital COVERED UNDER FAP

Warren Kammerer MD, SCLutheran General and Children's Hospital NOT COVERED

Wasserman, Michael -MDLutheran General and Children's Hospital NOT COVERED

Wassink, Brett -PALutheran General and Children's Hospital NOT COVERED

Watts, Kimberly -MDLutheran General and Children's Hospital COVERED UNDER FAP

Waz, Natalia -PALutheran General and Children's Hospital NOT COVERED

Weedon, James -MDLutheran General and Children's Hospital COVERED UNDER FAP

Weedon, Kathryn -MDLutheran General and Children's Hospital COVERED UNDER FAP

Weil Foot and Ankle InstituteLutheran General and Children's Hospital NOT COVERED

Weiner, Lawrence -MDLutheran General and Children's Hospital NOT COVERED

Weinstein, Daniel -MDLutheran General and Children's Hospital NOT COVERED

Weisman, Robert -MDLutheran General and Children's Hospital COVERED UNDER FAP

Weiss, David -MDLutheran General and Children's Hospital NOT COVERED

Weiss, Glenn -MDLutheran General and Children's Hospital NOT COVERED

Welch, Ayten -CRNALutheran General and Children's Hospital NOT COVERED

Weller, Stephanie -MDLutheran General and Children's Hospital COVERED UNDER FAP

Wendell, Kristen -DOLutheran General and Children's Hospital NOT COVERED

Werner, Phillip -MDLutheran General and Children's Hospital COVERED UNDER FAP

White, John -MDLutheran General and Children's Hospital NOT COVERED

Whitehouse, Clifford -PALutheran General and Children's Hospital NOT COVERED

Whiteley, Michael -MDLutheran General and Children's Hospital NOT COVERED

Whole Health Family Medicine and Weight LossLutheran General and Children's Hospital NOT COVERED

Wierzbicki, Margaret -NPLutheran General and Children's Hospital COVERED UNDER FAP

Williams, Craig -MDLutheran General and Children's Hospital NOT COVERED

Winger, Tracy -MDLutheran General and Children's Hospital COVERED UNDER FAP

Winkler, John -MDLutheran General and Children's Hospital NOT COVERED

Wistenberg, Lexy -MDLutheran General and Children's Hospital COVERED UNDER FAP

Witek, Bozena -MDLutheran General and Children's Hospital NOT COVERED

Witkowski, Megan -NPLutheran General and Children's Hospital COVERED UNDER FAP

Wolf, Steven -MDLutheran General and Children's Hospital COVERED UNDER FAP

Wolfman, Steve -DOLutheran General and Children's Hospital NOT COVERED

Wolford, Kathryn -MDLutheran General and Children's Hospital COVERED UNDER FAP

Wolodko, Margaret -MDLutheran General and Children's Hospital NOT COVERED

Woloson, Susanne -MDLutheran General and Children's Hospital NOT COVERED

Wombacher, Timothy -PALutheran General and Children's Hospital NOT COVERED

Women First Specialists, S.C.Lutheran General and Children's Hospital NOT COVERED

Women First Specialists, SCLutheran General and Children's Hospital NOT COVERED

Women's and Children's Healthcare Associates, LLCLutheran General and Children's Hospital NOT COVERED

Women's ChoiceLutheran General and Children's Hospital NOT COVERED

Women's Health SpecialistsLutheran General and Children's Hospital NOT COVERED

Wos, Therese -MDLutheran General and Children's Hospital COVERED UNDER FAP

Wubs, Julie -NPLutheran General and Children's Hospital COVERED UNDER FAP

Page 152

Page 153: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Wuenstel, Andrew -MDLutheran General and Children's Hospital NOT COVERED

Wydra, Marguerite -CNSLutheran General and Children's Hospital COVERED UNDER FAP

Wyhinny, George -MDLutheran General and Children's Hospital NOT COVERED

Wyhinny, Patricia -MDLutheran General and Children's Hospital NOT COVERED

Yajnik, Santosh -MDLutheran General and Children's Hospital NOT COVERED

Yoon, Rachel -MDLutheran General and Children's Hospital COVERED UNDER FAP

Young, David -MDLutheran General and Children's Hospital NOT COVERED

Young, Sona -MDLutheran General and Children's Hospital NOT COVERED

Yousefi, Youhana -MDLutheran General and Children's Hospital NOT COVERED

YR Medical Group, SCLutheran General and Children's Hospital NOT COVERED

Yu, Minyong -DOLutheran General and Children's Hospital COVERED UNDER FAP

Zahid, Sarwar -MDLutheran General and Children's Hospital NOT COVERED

Zak, Steven -MDLutheran General and Children's Hospital NOT COVERED

Zawilenski, Matthew -MDLutheran General and Children's Hospital NOT COVERED

Zeng, Qingju -NPLutheran General and Children's Hospital COVERED UNDER FAP

Zenk, Gerald -MDLutheran General and Children's Hospital NOT COVERED

Zhadovich, Kirill -MDLutheran General and Children's Hospital NOT COVERED

Zike, Sara -NPLutheran General and Children's Hospital NOT COVERED

Zimmanck, Robert -MDLutheran General and Children's Hospital COVERED UNDER FAP

Zipp, Maria -MDLutheran General and Children's Hospital NOT COVERED

Zucker, Michele -MDLutheran General and Children's Hospital COVERED UNDER FAP

Zwirn, Marilyn -DOLutheran General and Children's Hospital COVERED UNDER FAP

Abbas, Syed -MDSherman Hospital COVERED UNDER FAP

Abboud, Samir -MDSherman Hospital NOT COVERED

Abdel-Latief, Eman -MDSherman Hospital COVERED UNDER FAP

Ackermann, Evelyn -MDSherman Hospital NOT COVERED

Advance Midwest Medical, S.C.Sherman Hospital NOT COVERED

Advanced Foot and Ankle Specialists, SCSherman Hospital NOT COVERED

Advanced Neurology and Sleep Clinic, LLCSherman Hospital NOT COVERED

Advanced OB/GYNE AssociatesSherman Hospital NOT COVERED

Advocate Complete Care CenterSherman Hospital COVERED UNDER FAP

Advocate Medical Group - BartlettSherman Hospital COVERED UNDER FAP

Advocate Medical Group - Elgin - Radiation OncologySherman Hospital COVERED UNDER FAP

Advocate Medical Group - Elgin - McLean - UrologySherman Hospital COVERED UNDER FAP

Advocate Medical Group - Elgin 1435 N Randall Rd - 201Sherman Hospital COVERED UNDER FAP

Advocate Medical Group - Elgin 1710 Randall RoadSherman Hospital COVERED UNDER FAP

Advocate Medical Group - Elgin 745 Fletcher Drive UrologySherman Hospital COVERED UNDER FAP

Advocate Medical Group - Sherman Hospital, Palliative CareSherman Hospital COVERED UNDER FAP

Advocate Medical Group - South ElginSherman Hospital COVERED UNDER FAP

Advocate Medical Group - West Dundee - Family MedicineSherman Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Glen EllynSherman Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Hanover ParkSherman Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic HuntleySherman Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic WestmontSherman Hospital COVERED UNDER FAP

Advocate Medical Group Elgin 1435 N Randall Rd 202Sherman Hospital COVERED UNDER FAP

Advocate Medical Group Sherman HospitalistSherman Hospital COVERED UNDER FAP

Advocate Medical Group-Elgin 1710 Randall RoadSherman Hospital COVERED UNDER FAP

Advocate Medical Group-Elgin 745 Fletcher DriveSherman Hospital COVERED UNDER FAP

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

Affiliated Ear, Nose & Throat PhysiciansSherman Hospital NOT COVERED

Afzal, Mohammed -MDSherman Hospital NOT COVERED

Agrawal, Gautam -MDSherman Hospital NOT COVERED

Ahdab, Tarek -MDSherman Hospital NOT COVERED

Ahmad, Nasir -MDSherman Hospital NOT COVERED

Ahmad, Sahar -MDSherman Hospital NOT COVERED

Ahmad, Tanveer -MDSherman Hospital NOT COVERED

Ahmed, Fatima -DOSherman Hospital NOT COVERED

Ahmed, Mohammed -MDSherman Hospital NOT COVERED

Page 153

Page 154: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Ahmed, Nazneen -MDSherman Hospital NOT COVERED

Akbar, Samreen -MDSherman Hospital NOT COVERED

Alan Arps MDSherman Hospital NOT COVERED

Alexian Brothers Specialty GroupSherman Hospital NOT COVERED

Algonquin Family Health Care, P.C.Sherman Hospital NOT COVERED

Ali, Ahmer -MDSherman Hospital NOT COVERED

Ali, Muhammad -MDSherman Hospital NOT COVERED

Allen, Jamison -DOSherman Hospital NOT COVERED

Alm, Walter -DPMSherman Hospital NOT COVERED

Alvi, Nishat -MDSherman Hospital NOT COVERED

Amarathithada, Amy -NPSherman Hospital NOT COVERED

American Cancer Center, PCSherman Hospital NOT COVERED

Amsler, Barbara -MDSherman Hospital NOT COVERED

Anderson, Mari -RNSherman Hospital NOT COVERED

Angeles, Emmanuel -NPSherman Hospital NOT COVERED

Anwar, Syed -MDSherman Hospital NOT COVERED

Aparicio Fernandez, Danilo -MDSherman Hospital COVERED UNDER FAP

Apollo Hospitalist Group, LLCSherman Hospital NOT COVERED

Appleman, Meagan -MDSherman Hospital COVERED UNDER FAP

Aquino, Suzanne -MDSherman Hospital NOT COVERED

Arps, Alan -MDSherman Hospital NOT COVERED

Arshad, Abrar -MDSherman Hospital NOT COVERED

Arshad, Mussarat -MDSherman Hospital NOT COVERED

Arville, Brent -DOSherman Hospital NOT COVERED

Ascencio Yanez, Dalia -NPSherman Hospital NOT COVERED

Asghar, Syed -MDSherman Hospital NOT COVERED

Associated Cardiovascular Physicians, SCSherman Hospital NOT COVERED

Associates for Women's HealthcareSherman Hospital NOT COVERED

Associates in Ear, Nose & Throat, Head & Neck Surgery, SCSherman Hospital NOT COVERED

Associates in Endocrinology, Inc.Sherman Hospital NOT COVERED

Associates in Pediatrics, SCSherman Hospital NOT COVERED

Associates in Psychiatry and Counseling, PCSherman Hospital NOT COVERED

Atadero, Arsenio -MDSherman Hospital NOT COVERED

Atadero, Jennifer -MDSherman Hospital NOT COVERED

Atkins, Thomas -MDSherman Hospital NOT COVERED

Azer, Fadel -MDSherman Hospital NOT COVERED

Aziz, Asad -DOSherman Hospital NOT COVERED

Baer, Rachel -MDSherman Hospital COVERED UNDER FAP

Bajowala, Sakina -MDSherman Hospital NOT COVERED

Balek, Mark -MDSherman Hospital NOT COVERED

Baley, Richard -MDSherman Hospital NOT COVERED

Bangash, Suleman -DOSherman Hospital NOT COVERED

Barakat, M. -MDSherman Hospital NOT COVERED

Barclay, JoAnna -MDSherman Hospital NOT COVERED

Bardouniotis, George -MDSherman Hospital NOT COVERED

Barnes, Matthew -PASherman Hospital NOT COVERED

Bartel, Eric -MDSherman Hospital NOT COVERED

Barthel, Jeness -MDSherman Hospital NOT COVERED

Bartkowiak, Anthony -PASherman Hospital NOT COVERED

Beaird Dermatology, SCSherman Hospital NOT COVERED

Beaird, Leslie -MDSherman Hospital NOT COVERED

Beck, Gina -NPSherman Hospital NOT COVERED

Becker, Brett -DPMSherman Hospital NOT COVERED

Becker, Herbert -MDSherman Hospital NOT COVERED

Behrens, George -MDSherman Hospital NOT COVERED

Berg, Lawrence -MDSherman Hospital NOT COVERED

Berhe, Tseghai -MDSherman Hospital NOT COVERED

Berkson, Michael -MDSherman Hospital NOT COVERED

Page 154

Page 155: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Bernstein, Harry -MDSherman Hospital NOT COVERED

Best Practices Inpatient Care, LtdSherman Hospital NOT COVERED

Betancourt, Joanna -MDSherman Hospital NOT COVERED

Beusse, Walter -DOSherman Hospital NOT COVERED

Bhatt, Nikhil -MDSherman Hospital NOT COVERED

Bialon-Oster, Beata -DPMSherman Hospital NOT COVERED

Bianchi, Lucie -MDSherman Hospital NOT COVERED

Biswas, Debdut -MDSherman Hospital NOT COVERED

Blau, Bamini -DDSSherman Hospital NOT COVERED

Blosser, Susan -NPSherman Hospital COVERED UNDER FAP

Boas, Steven -MDSherman Hospital NOT COVERED

Bock, Marciann -NPSherman Hospital NOT COVERED

Bode, Sharon -NPSherman Hospital COVERED UNDER FAP

Bogarapu, Soujanya -MDSherman Hospital NOT COVERED

Bohnenkamp, Frank -MDSherman Hospital NOT COVERED

Bonaminio, Emo -DPMSherman Hospital NOT COVERED

Boncu, Otilia -NPSherman Hospital NOT COVERED

Bonczak, Boguslaw -MDSherman Hospital NOT COVERED

Bontu, Udaya -MDSherman Hospital COVERED UNDER FAP

Boulos, Dany -MDSherman Hospital NOT COVERED

Boundaoui, Oussama -MDSherman Hospital NOT COVERED

Braaksma, Brian -MDSherman Hospital NOT COVERED

Brankin, Shara Ann -NPSherman Hospital NOT COVERED

Brems, John -MDSherman Hospital COVERED UNDER FAP

Brissey, Nicholas -DPMSherman Hospital NOT COVERED

Broderick, Richard -MDSherman Hospital NOT COVERED

Brunson, Jack -PASherman Hospital NOT COVERED

Bryniczka, Adam -DPMSherman Hospital NOT COVERED

Buddharaju, Venkata -MDSherman Hospital NOT COVERED

Burks, James -MDSherman Hospital NOT COVERED

Cain, Sarah -NPSherman Hospital NOT COVERED

Campbell, Tracy -MDSherman Hospital NOT COVERED

Cannestra, Vincent -MDSherman Hospital NOT COVERED

Cao, Thomas -MDSherman Hospital NOT COVERED

Cardiac Arrhythmia ServicesSherman Hospital NOT COVERED

Carlile, Kevin -MDSherman Hospital NOT COVERED

Carlson, Steven -NPSherman Hospital COVERED UNDER FAP

Carlson, Wayne -MDSherman Hospital NOT COVERED

Casciaro, Karen -MDSherman Hospital NOT COVERED

Castor, Patricia -DDSSherman Hospital NOT COVERED

Centegra Physician CareSherman Hospital NOT COVERED

Centegra Primary CareSherman Hospital NOT COVERED

Century Dental of HuntleySherman Hospital NOT COVERED

CEP America - Illinois, LLPSherman Hospital NOT COVERED

Challa, Karthik -MDSherman Hospital COVERED UNDER FAP

Chan, Jerry -NPSherman Hospital NOT COVERED

Chatterji, Raja -MDSherman Hospital COVERED UNDER FAP

Chestnut Health of IllinoisSherman Hospital NOT COVERED

Chhadia, Ankur -MDSherman Hospital NOT COVERED

Chicago Cardiology Institute, SCSherman Hospital NOT COVERED

Chicago Institute of Plastic SurgerySherman Hospital NOT COVERED

Chicagoland Eye Consultants, SCSherman Hospital NOT COVERED

Chiemmongkoltip, Panita -MDSherman Hospital NOT COVERED

Children's Asthma Respiratory & Exercise SpecialistsSherman Hospital NOT COVERED

Chin, Jamie -MDSherman Hospital NOT COVERED

Chovanec, Abby -CRNASherman Hospital NOT COVERED

Chowdhury, Mohammed -MDSherman Hospital NOT COVERED

Chu, Felicia -DDSSherman Hospital NOT COVERED

Page 155

Page 156: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Chudik, Brian -DOSherman Hospital COVERED UNDER FAP

Chukwulebe, Steve -MDSherman Hospital NOT COVERED

Chung, Joseph -MDSherman Hospital COVERED UNDER FAP

Chura, Joanna -DPMSherman Hospital NOT COVERED

Clark, Jessica -PASherman Hospital NOT COVERED

Clark, Lindsay -NPSherman Hospital NOT COVERED

Clingan, Beth -DOSherman Hospital NOT COVERED

Cohn, James -MDSherman Hospital NOT COVERED

Coke, Courtney -MDSherman Hospital COVERED UNDER FAP

Colin, Victor -MDSherman Hospital NOT COVERED

Collins, Tonya -NPSherman Hospital NOT COVERED

Complete Heathcare for Women, SCSherman Hospital NOT COVERED

Comprehensive Eyecare Physicians, PCSherman Hospital NOT COVERED

Comprehensive Urologic Care, SCSherman Hospital NOT COVERED

Conchita Gavino, MD, SCSherman Hospital NOT COVERED

Conway, Tyler -MDSherman Hospital NOT COVERED

Copley, Kevin -MDSherman Hospital NOT COVERED

Cox, John -MDSherman Hospital NOT COVERED

Creed, Heather -NPSherman Hospital NOT COVERED

Czapla, Marc -DDSSherman Hospital NOT COVERED

Dahleen, Callie -PASherman Hospital NOT COVERED

Dairi, Firas -MDSherman Hospital NOT COVERED

Damaraju, Ravi -MDSherman Hospital NOT COVERED

Dandekar, Vineet -MDSherman Hospital COVERED UNDER FAP

Dang, Vi -MDSherman Hospital NOT COVERED

Das, Andrea -MDSherman Hospital NOT COVERED

Das, Prasun -MDSherman Hospital COVERED UNDER FAP

Daudi, Shazia -MDSherman Hospital NOT COVERED

Davis, Eurydice -NPSherman Hospital NOT COVERED

Davis, Jennifer -NPSherman Hospital NOT COVERED

De Marco-Paitl, Laura -DOSherman Hospital COVERED UNDER FAP

Debrah, Joanne -MDSherman Hospital NOT COVERED

Desai, Ankit -MDSherman Hospital NOT COVERED

Desai, Apurva -MDSherman Hospital NOT COVERED

Desai, Naman -MDSherman Hospital NOT COVERED

Deshpande, Lina -MDSherman Hospital NOT COVERED

Dhaliwal, Jasmeet -MDSherman Hospital NOT COVERED

Dhillon, Kushleen -MDSherman Hospital COVERED UNDER FAP

Dholakia, Chirag -MDSherman Hospital COVERED UNDER FAP

Dhrulata R. Shah, MD SCSherman Hospital NOT COVERED

Dickey, Sarah -DPMSherman Hospital NOT COVERED

Dimante, Janeta -MDSherman Hospital NOT COVERED

Ding, Charley -MDSherman Hospital NOT COVERED

Divyang A. Joshi, MD, PCSherman Hospital NOT COVERED

Doja, Saira -DOSherman Hospital COVERED UNDER FAP

Dorfmeister, Jennifer -MDSherman Hospital NOT COVERED

Doshi, Parag -MDSherman Hospital NOT COVERED

Dovidio, Thomas -DOSherman Hospital COVERED UNDER FAP

Dr. Michael Williams Podiatry, Inc.Sherman Hospital NOT COVERED

Dreyer Clinic - SequoiaSherman Hospital COVERED UNDER FAP

Dubin, Mark -MDSherman Hospital NOT COVERED

Duffy, Lauren -NPSherman Hospital NOT COVERED

Dundee DermatologySherman Hospital NOT COVERED

DuPage Medical Group, LTCSherman Hospital NOT COVERED

DuPage Medical Group, LtdSherman Hospital NOT COVERED

Duval, Sharon -MDSherman Hospital NOT COVERED

Dykun, Roman -MDSherman Hospital NOT COVERED

Earhart, Jeffrey -MDSherman Hospital NOT COVERED

Page 156

Page 157: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Ebirim, Reginald -MDSherman Hospital NOT COVERED

Edge, Adrienne -MDSherman Hospital NOT COVERED

Egekeze, Gilbert -MDSherman Hospital NOT COVERED

Elgin Barrington Neurosurgery, SCSherman Hospital NOT COVERED

Elgin Family Physicians, SCSherman Hospital NOT COVERED

Elgin Foot & Ankle Center, SCSherman Hospital NOT COVERED

Elgin Internal Medical Associates, SCSherman Hospital NOT COVERED

Elgin Medical AssociatesSherman Hospital NOT COVERED

Elgin Rehabilitation PhysiciansSherman Hospital NOT COVERED

Elio M. Vento, MD & Associates, SCSherman Hospital NOT COVERED

Elite Cardiology Solutions, LLCSherman Hospital NOT COVERED

Embry, Glenda -CNMSherman Hospital NOT COVERED

Engen, Paul -DDSSherman Hospital NOT COVERED

Epstein, Brad -MDSherman Hospital NOT COVERED

Esposito, Patrick -MDSherman Hospital NOT COVERED

Estes, Christine -MDSherman Hospital NOT COVERED

Facchini, Francis -MDSherman Hospital NOT COVERED

Fang, Henry -MDSherman Hospital NOT COVERED

Farbota, Leo -MDSherman Hospital COVERED UNDER FAP

Faubel, Christopher -MDSherman Hospital NOT COVERED

Fendon Plastic SurgerySherman Hospital NOT COVERED

Fendon, Thomas -MDSherman Hospital NOT COVERED

Fernau, Stephen -CRNASherman Hospital NOT COVERED

Ferry, Scott -MDSherman Hospital NOT COVERED

Fiandaca Periodontics, P.C.Sherman Hospital NOT COVERED

Fiandaca, Dante -DDSSherman Hospital NOT COVERED

Fiedler, John -MDSherman Hospital NOT COVERED

Finigan, Michael -PASherman Hospital NOT COVERED

Fischer, Lauren -MDSherman Hospital NOT COVERED

Florentino, Jennifer -NPSherman Hospital NOT COVERED

Flynn, Dennis -MDSherman Hospital NOT COVERED

Flynn, Jessica -MDSherman Hospital NOT COVERED

Fong, Nepenthe -MDSherman Hospital NOT COVERED

Forefront Dermatology, SCSherman Hospital NOT COVERED

Foreman, Jason -MDSherman Hospital NOT COVERED

Forsberg, Amy -PASherman Hospital NOT COVERED

Foster, Brian -MDSherman Hospital NOT COVERED

Fotso, Carmen -MDSherman Hospital COVERED UNDER FAP

Fox Valley Comprehensive Women's HealthcareSherman Hospital NOT COVERED

Fox Valley Ear, Nose, and Throat Associates, SCSherman Hospital NOT COVERED

Fox Valley Laboratory Physicians, SCSherman Hospital NOT COVERED

Fox Valley Neurology, PCSherman Hospital NOT COVERED

Fox Valley Ophthalmology, Ltd.Sherman Hospital NOT COVERED

Fox Valley Orthopaedic Associates, SCSherman Hospital NOT COVERED

Freedberg, Howard -MDSherman Hospital NOT COVERED

Gager, Roseann -MDSherman Hospital NOT COVERED

Galan, Angel -MDSherman Hospital NOT COVERED

Gallagher, Katrina -NPSherman Hospital COVERED UNDER FAP

Gambla, Gregory -DOSherman Hospital NOT COVERED

Gandhiraj, Bindu -MDSherman Hospital NOT COVERED

Gavino, Conchita -MDSherman Hospital NOT COVERED

Gavino, Wayne -MDSherman Hospital NOT COVERED

Geeti Ghosh, MD, SCSherman Hospital NOT COVERED

General & Vascular Surgery, Ltd. (a member of Sherman Physician Group)Sherman Hospital NOT COVERED

George L. Stankevych, MD, PCSherman Hospital NOT COVERED

George, Benjamin -PASherman Hospital NOT COVERED

George, Mary -MDSherman Hospital NOT COVERED

Gephart, Anandita -MDSherman Hospital NOT COVERED

Page 157

Page 158: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Gephart, Todd -MDSherman Hospital NOT COVERED

Gerber, Brian -MDSherman Hospital NOT COVERED

Germbusters, P.C.Sherman Hospital NOT COVERED

Getz, Paul -MDSherman Hospital NOT COVERED

Ghaderi, Bahram -MDSherman Hospital NOT COVERED

Ghani, Muhammad -MDSherman Hospital NOT COVERED

Ghosh, Geeti -MDSherman Hospital NOT COVERED

Ghumra, Mohamed -MDSherman Hospital NOT COVERED

Giannini, Marchelle -MDSherman Hospital NOT COVERED

Gitelis Orthopedics, LtdSherman Hospital NOT COVERED

Gitelis, Michael -MDSherman Hospital NOT COVERED

Gladdin, Stephen -MDSherman Hospital NOT COVERED

Godambe, Sonia -MDSherman Hospital NOT COVERED

Goel, Archana -MDSherman Hospital NOT COVERED

Goldberg, Marlyn -MDSherman Hospital NOT COVERED

Goldenberg, Bradley -MDSherman Hospital NOT COVERED

Goldin, Allison -MDSherman Hospital COVERED UNDER FAP

Gomez Medical Group, IncSherman Hospital NOT COVERED

Gonzalez, Ramon -MDSherman Hospital COVERED UNDER FAP

Goodall, Jana -NPSherman Hospital COVERED UNDER FAP

Gowda, Satish -MDSherman Hospital NOT COVERED

Graba, Sandra -MDSherman Hospital NOT COVERED

Graff, Lindsey -DOSherman Hospital NOT COVERED

Greater Elgin Family Care CenterSherman Hospital NOT COVERED

Greater Elgin Pain Management Consultants, SCSherman Hospital NOT COVERED

Green, Kristian -PASherman Hospital NOT COVERED

Griffin, James -MDSherman Hospital COVERED UNDER FAP

Griggs, Louisa -MDSherman Hospital NOT COVERED

Grossman, Stephen -MDSherman Hospital NOT COVERED

Guerra, Kathleen -PASherman Hospital NOT COVERED

Guman, Sebastian -MDSherman Hospital NOT COVERED

Gupta, Vanita -MDSherman Hospital NOT COVERED

Gvildys, Dalia -MDSherman Hospital NOT COVERED

Haight, Marta -PASherman Hospital NOT COVERED

Halihan, Craig -DPMSherman Hospital NOT COVERED

Halloran, Fred -MDSherman Hospital NOT COVERED

Ham, Jongwook -MDSherman Hospital NOT COVERED

Hamada, Susan -MDSherman Hospital COVERED UNDER FAP

Hampshire Clinic, IncSherman Hospital NOT COVERED

Harvin, Howard -MDSherman Hospital NOT COVERED

Hasan, Syed -MDSherman Hospital NOT COVERED

Health Care Associates of StreamwoodSherman Hospital NOT COVERED

Heffelfinger, Brian -MDSherman Hospital NOT COVERED

Hefner, Alan -MDSherman Hospital NOT COVERED

Hemmer, David -MDSherman Hospital NOT COVERED

Henke, Briana -PASherman Hospital NOT COVERED

Herbert C. Becker Jr., MD SCSherman Hospital NOT COVERED

Heretis, Katherine -MDSherman Hospital NOT COVERED

Heritage Primary Care, SCSherman Hospital NOT COVERED

Hernandez, Michael -MDSherman Hospital COVERED UNDER FAP

Heuser, Alicia -PASherman Hospital NOT COVERED

High Touch MedicineSherman Hospital NOT COVERED

Hodges, Molly -PASherman Hospital NOT COVERED

Holevas, William -DDSSherman Hospital NOT COVERED

Holtkamp, Kelly -MDSherman Hospital NOT COVERED

Holtz, Geraldine -NPSherman Hospital NOT COVERED

Horn, Jamie -MDSherman Hospital NOT COVERED

Horng Y. Fang, MD, SCSherman Hospital NOT COVERED

Page 158

Page 159: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Hosain, Farzana -MDSherman Hospital NOT COVERED

Hospital Medicine Consultants. LLCSherman Hospital NOT COVERED

Hsieh, Lily -MDSherman Hospital COVERED UNDER FAP

Hsu, Raymond -MDSherman Hospital NOT COVERED

Hu, Ping -MDSherman Hospital NOT COVERED

Huang, Tian -MDSherman Hospital NOT COVERED

Hussain, Mujahid -MDSherman Hospital NOT COVERED

Hyman, Bruce -MDSherman Hospital NOT COVERED

Ignacio, Jemini -MDSherman Hospital NOT COVERED

Illinois Cancer SpecialistsSherman Hospital NOT COVERED

Illinois Gastroenterology Group, LLCSherman Hospital NOT COVERED

Imran, Mehnaz -MDSherman Hospital NOT COVERED

Inpatient Consultants of Illinois, PCSherman Hospital NOT COVERED

Integrated Imaging Consultants, LLCSherman Hospital NOT COVERED

internamedSherman Hospital NOT COVERED

Ivanovich, Matthew -MDSherman Hospital NOT COVERED

Izquierdo, Rolando -MDSherman Hospital NOT COVERED

Jacobs, Melissa -MDSherman Hospital NOT COVERED

Jacoby, Cory -DPMSherman Hospital NOT COVERED

Jacoby, Kenneth -DPMSherman Hospital NOT COVERED

Jailwala, Bharat -MDSherman Hospital NOT COVERED

Jaimes-Huerta, Patricia -MDSherman Hospital COVERED UNDER FAP

Jalal, Saima -MDSherman Hospital NOT COVERED

Janeta Dimante MD, SCSherman Hospital NOT COVERED

Jansen, Ashley -PASherman Hospital NOT COVERED

Johnson, Gregory -MDSherman Hospital NOT COVERED

Jordan, Ashby -MDSherman Hospital NOT COVERED

Joseph, Sunil -MDSherman Hospital NOT COVERED

Joshi, Divyang -MDSherman Hospital NOT COVERED

Joya, Neslie -NPSherman Hospital NOT COVERED

Kall, John -MDSherman Hospital NOT COVERED

Kamboj, Ginny -MDSherman Hospital NOT COVERED

Kaneland Allergy & Asthma CenterSherman Hospital NOT COVERED

Kang, Yong -MDSherman Hospital NOT COVERED

Kapur, Rashmi -MDSherman Hospital NOT COVERED

Karsten, Matthew -DMDSherman Hospital NOT COVERED

Kattiyaman, Rosilyn -NPSherman Hospital NOT COVERED

Kazaglis, Jeffrey -MDSherman Hospital NOT COVERED

Kazmer Foot and Ankle Centers, LtdSherman Hospital NOT COVERED

Kazmer, Gary -DPMSherman Hospital NOT COVERED

Kelso, Francois -PASherman Hospital NOT COVERED

Ketterling, Kevan -MDSherman Hospital NOT COVERED

Khalid, Taneya -NPSherman Hospital NOT COVERED

Khan, Abdul -MDSherman Hospital NOT COVERED

Khan, Mohammed -MDSherman Hospital NOT COVERED

Khan, Muhammad -MDSherman Hospital NOT COVERED

Khan, Naser -MDSherman Hospital NOT COVERED

Khan, Raffay -MDSherman Hospital NOT COVERED

Khanna, Ramesh -MDSherman Hospital COVERED UNDER FAP

Khemani, Anil -MDSherman Hospital NOT COVERED

Khokhar, Jawaad -MDSherman Hospital NOT COVERED

Kid Care MedicalSherman Hospital NOT COVERED

Kidney Care Center Elgin, LLCSherman Hospital NOT COVERED

Kid's Dental & EndodonticsSherman Hospital NOT COVERED

Kids First Pediatric DentistrySherman Hospital NOT COVERED

Kim, Cal -DDSSherman Hospital NOT COVERED

Kim, James -MDSherman Hospital NOT COVERED

Kim, Sihun -MDSherman Hospital NOT COVERED

Page 159

Page 160: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

King, Brian -DPMSherman Hospital NOT COVERED

Klaustermeier, Jacob -PASherman Hospital NOT COVERED

Kloch, Janelle -NPSherman Hospital NOT COVERED

Kluck, Steven -PASherman Hospital NOT COVERED

Klumpp, Macy -NPSherman Hospital NOT COVERED

Kogan, Michael -MDSherman Hospital NOT COVERED

Koneru, Prafulla -MDSherman Hospital NOT COVERED

Koo, Charlotte -MDSherman Hospital COVERED UNDER FAP

Koop, James -MDSherman Hospital NOT COVERED

Kopala, Carrie -PASherman Hospital NOT COVERED

Korcek, Kenneth -MDSherman Hospital NOT COVERED

Korzen, Carol -MDSherman Hospital NOT COVERED

Kossut, Barbara -MDSherman Hospital NOT COVERED

Kostinsky, Natalie -MDSherman Hospital NOT COVERED

Kozlov, Kristi -MDSherman Hospital NOT COVERED

Kratzmeyer, Ridhi -DPMSherman Hospital NOT COVERED

Krause, Michelle -NPSherman Hospital NOT COVERED

Krouse, Matthew -DPMSherman Hospital NOT COVERED

Kruskol, Bryan -DOSherman Hospital NOT COVERED

Kugia, Nicholas -DDSSherman Hospital NOT COVERED

Kulsakdinun, Pamorn -MDSherman Hospital NOT COVERED

Kulsakdinun, Rachel -MDSherman Hospital NOT COVERED

Kumar, Hemali -NPSherman Hospital NOT COVERED

Kunio, Nicholas -MDSherman Hospital COVERED UNDER FAP

Lake County Acute Care, LLPSherman Hospital NOT COVERED

Lake Immediate Care & Clinic, SCSherman Hospital NOT COVERED

Lake in the Hills PodiatrySherman Hospital NOT COVERED

Lambruschi, Philip -MDSherman Hospital NOT COVERED

Lamoutte, Humberto -MDSherman Hospital NOT COVERED

Lanciloti, John -MDSherman Hospital NOT COVERED

Lang, Angela -PASherman Hospital NOT COVERED

Langefeld, Czapla & Associates, DDS, PCSherman Hospital NOT COVERED

LaVanway, Nichole -MDSherman Hospital NOT COVERED

Legacy Medical Care, Inc.Sherman Hospital NOT COVERED

Leon, Gabriela -NPSherman Hospital NOT COVERED

Levis, William -MDSherman Hospital NOT COVERED

Li, Yanbing -MDSherman Hospital NOT COVERED

Liang, Roland -MDSherman Hospital NOT COVERED

LifespanSherman Hospital NOT COVERED

Lipov, Sergei -MDSherman Hospital NOT COVERED

Lochmueller, Glen -MDSherman Hospital NOT COVERED

Logsdon, Mallory -DOSherman Hospital COVERED UNDER FAP

Loring, Lisa -NPSherman Hospital NOT COVERED

Losurdo, Joseph -MDSherman Hospital NOT COVERED

Lovato, Peter -DPMSherman Hospital NOT COVERED

Lukose, Jairus -MDSherman Hospital NOT COVERED

Lynch, Elise -NPSherman Hospital COVERED UNDER FAP

Lynn D. Mershon, DO, LtdSherman Hospital NOT COVERED

Lyons, Kelly -PASherman Hospital NOT COVERED

M D Patel, IncSherman Hospital NOT COVERED

Ma, Gloria -MDSherman Hospital NOT COVERED

Mabazza, Ma Vanessa -NPSherman Hospital NOT COVERED

Macariola-Coad, Justin -MDSherman Hospital NOT COVERED

Maggio, Frank -DDSSherman Hospital NOT COVERED

Magnanao, Ulysses -DOSherman Hospital COVERED UNDER FAP

Maheshwari, Pradeep -MDSherman Hospital NOT COVERED

Majmudar, Sonali -MDSherman Hospital NOT COVERED

Malik, Nida -DOSherman Hospital NOT COVERED

Page 160

Page 161: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Malik, Zahid -MDSherman Hospital NOT COVERED

Malinski, Maciej -MDSherman Hospital COVERED UNDER FAP

Mallett, Eric -MDSherman Hospital NOT COVERED

Mamou, Dany -MDSherman Hospital NOT COVERED

Mandal, Robert -MDSherman Hospital NOT COVERED

Mandala, Cassie -PASherman Hospital NOT COVERED

Mangahas, Susan -MDSherman Hospital NOT COVERED

Mani, Lisa -MDSherman Hospital NOT COVERED

Manjunath, Rajini -MDSherman Hospital NOT COVERED

Mann, David -MDSherman Hospital NOT COVERED

Maroney, Joseph -PASherman Hospital NOT COVERED

Martin, Megan -NPSherman Hospital NOT COVERED

Mastrangeli, Jaclyn -NPSherman Hospital COVERED UNDER FAP

Matarieh, Azmey -MDSherman Hospital COVERED UNDER FAP

Matchett, Lauren -NPSherman Hospital NOT COVERED

Matschullat, Kristy -PASherman Hospital NOT COVERED

Maw, Thida -MDSherman Hospital NOT COVERED

Mazurek, Robert -MDSherman Hospital NOT COVERED

McCannon, Valerie -PASherman Hospital NOT COVERED

McClellan, Michael -PASherman Hospital NOT COVERED

McElligott, Brendan -PASherman Hospital NOT COVERED

McGuire, Kent -MDSherman Hospital COVERED UNDER FAP

McKay, Scott -PASherman Hospital NOT COVERED

McLinden, Matthew -NPSherman Hospital NOT COVERED

McNally, Thomas -MDSherman Hospital NOT COVERED

Medical Associates of Crystal Lake, LLCSherman Hospital NOT COVERED

Mehta, Ajay -MDSherman Hospital NOT COVERED

Mehta, Ashok -MDSherman Hospital NOT COVERED

Mehta, Vishal -MDSherman Hospital NOT COVERED

Melahn, Robyn -MDSherman Hospital NOT COVERED

Melchionna, Kenneth -DOSherman Hospital NOT COVERED

Memon, Aamir -MDSherman Hospital NOT COVERED

Memon, Mohammed -MDSherman Hospital NOT COVERED

Mercy Medical Center Cardiology ClinicSherman Hospital NOT COVERED

Merlo, Patricia -DOSherman Hospital COVERED UNDER FAP

Mershon, Lynn -DOSherman Hospital NOT COVERED

Messinger, Marina -MDSherman Hospital NOT COVERED

Metro Heart & Vascular Institute, LtdSherman Hospital NOT COVERED

Metro Infectious Disease Consultants, LLCSherman Hospital NOT COVERED

Michael J. Riermaier, MD, JD, SCSherman Hospital NOT COVERED

Michael, Christopher -MDSherman Hospital NOT COVERED

Michaliszyn, Piotr -MDSherman Hospital COVERED UNDER FAP

Midwest Allergy Inc.Sherman Hospital NOT COVERED

Midwest Anesthesia PartnersSherman Hospital NOT COVERED

Midwest Anesthesia Partners, LLCSherman Hospital NOT COVERED

Midwest Bone & Joint InstituteSherman Hospital NOT COVERED

Midwest Center for Women's HealthCare, LtdSherman Hospital NOT COVERED

Midwest Oncology Hematology, LtdSherman Hospital NOT COVERED

Midwest Pediatric EndocrinologySherman Hospital NOT COVERED

Midwest Plastic Surgery SpecialistsSherman Hospital NOT COVERED

Midwest Professional Medical CareSherman Hospital NOT COVERED

Midwest Pulmonary and Sleep Clinic, SCSherman Hospital NOT COVERED

Miller, Aaron -MDSherman Hospital NOT COVERED

Miller, Deanne -DOSherman Hospital NOT COVERED

Miller, Melissa -DOSherman Hospital NOT COVERED

Miller, Sabrina -PASherman Hospital NOT COVERED

Mills, Christopher -NPSherman Hospital NOT COVERED

Misra, Sharmita -MDSherman Hospital NOT COVERED

Page 161

Page 162: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Mlot, Ellen -DOSherman Hospital NOT COVERED

Mohamed, Elsayed -MDSherman Hospital NOT COVERED

Mohiuddin, Mohd -MDSherman Hospital NOT COVERED

Mohiuddin, Shahab -MDSherman Hospital NOT COVERED

MOHS Surgery and Dermatology CenterSherman Hospital NOT COVERED

Moinuddin, Irfan -MDSherman Hospital NOT COVERED

Montes, Socorro -DPMSherman Hospital NOT COVERED

Moore, John -PASherman Hospital NOT COVERED

Morawski, David -MDSherman Hospital NOT COVERED

Morema, Jennifer -NPSherman Hospital NOT COVERED

Moreno, Yvonne -MDSherman Hospital NOT COVERED

Mox, Scott -MDSherman Hospital NOT COVERED

Mueller, Christine -MDSherman Hospital NOT COVERED

Mulamalla, Srilatha -MDSherman Hospital COVERED UNDER FAP

Munzir, Syed -MDSherman Hospital NOT COVERED

Muska, Brian -MDSherman Hospital NOT COVERED

Musser, Bret -DPMSherman Hospital NOT COVERED

Myrda, Jerry -DOSherman Hospital NOT COVERED

Nabrinsky, Stanley -MDSherman Hospital NOT COVERED

Nadelman, David -MDSherman Hospital NOT COVERED

Naidu, Jayarama -MDSherman Hospital NOT COVERED

Naidu, Mohanakumari -MDSherman Hospital NOT COVERED

Narula, Neelam -MDSherman Hospital NOT COVERED

Narumanchi, Suman -MDSherman Hospital NOT COVERED

Navik, Samir -MDSherman Hospital NOT COVERED

Nawab, Hina -MDSherman Hospital NOT COVERED

Negrete, Maria -NPSherman Hospital NOT COVERED

Nephrology Associates of Northern Illinois, LTDSherman Hospital NOT COVERED

Nettleton, Margaret -MDSherman Hospital NOT COVERED

Newsom, Gordon -MDSherman Hospital NOT COVERED

Next Generation PediatricsSherman Hospital NOT COVERED

Next Generation Pediatrics, LLCSherman Hospital NOT COVERED

Nguyen, Paul -MDSherman Hospital NOT COVERED

Nguyen, Rubina -DDSSherman Hospital NOT COVERED

Nicholas Kugia, DDS LLCSherman Hospital NOT COVERED

Nicholas, Olga -CRNASherman Hospital NOT COVERED

Nickles, Magaly -NPSherman Hospital NOT COVERED

Nikoleit, James -MDSherman Hospital NOT COVERED

Niles, Sara -PASherman Hospital NOT COVERED

Nisar, Asim -MDSherman Hospital COVERED UNDER FAP

Northern Illinois Foot & Ankle Specialists, LtdSherman Hospital NOT COVERED

Northern Illinois Medical AssociatesSherman Hospital NOT COVERED

Northwest Brain and Spine SurgerySherman Hospital NOT COVERED

Northwest Dental Sleep MedicineSherman Hospital NOT COVERED

Northwest Healthcare AssociatesSherman Hospital NOT COVERED

Northwest Neurology, LtdSherman Hospital NOT COVERED

Northwest Oncology & Hematology, SCSherman Hospital NOT COVERED

Northwest Pediatric NeurologySherman Hospital NOT COVERED

Northwest Pediatric Services, SCSherman Hospital NOT COVERED

Northwest Podiatry Center, LtdSherman Hospital NOT COVERED

Northwest Primary Care, PCSherman Hospital NOT COVERED

Northwest Suburban Oncology and Hematology Associates SCSherman Hospital NOT COVERED

Northwestern Regional Medical GroupSherman Hospital NOT COVERED

Oaklund Medical Group, LtdSherman Hospital NOT COVERED

Ochwat, Gary -DPMSherman Hospital NOT COVERED

Oleksiak, Michael -MDSherman Hospital NOT COVERED

Onyibor, Kate -MDSherman Hospital NOT COVERED

Oommen, Bino -MDSherman Hospital NOT COVERED

Page 162

Page 163: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Ophthalmology Associates, LtdSherman Hospital NOT COVERED

Opus Plastic Surgery, LTDSherman Hospital NOT COVERED

OrthoIllinoisSherman Hospital NOT COVERED

Osadnik, Renata -MDSherman Hospital NOT COVERED

OSF ST. Paul Medical CenterSherman Hospital NOT COVERED

Osinski, Katarzyna -NPSherman Hospital NOT COVERED

Ovadia, Aaron -MDSherman Hospital COVERED UNDER FAP

Owens, Daniel -MDSherman Hospital NOT COVERED

Ozog, Kara -PASherman Hospital NOT COVERED

Pagoria, Natalie -MDSherman Hospital COVERED UNDER FAP

Palermo, Amanda -NPSherman Hospital NOT COVERED

Palmer, Shawn -DOSherman Hospital NOT COVERED

Panicker, Rincy -PASherman Hospital NOT COVERED

Papciak, Courtney -PASherman Hospital NOT COVERED

Papiernik, Marci -CRNASherman Hospital NOT COVERED

Paradis, Cheryl -MDSherman Hospital NOT COVERED

Parenti, Katherine -MDSherman Hospital NOT COVERED

Park, Richard -MDSherman Hospital NOT COVERED

Patari, Kirit -MDSherman Hospital NOT COVERED

Patel Cooke, Sheena -MDSherman Hospital NOT COVERED

Patel, Aasita -MDSherman Hospital NOT COVERED

Patel, Dhaval -MDSherman Hospital NOT COVERED

Patel, Hina -MDSherman Hospital NOT COVERED

Patel, Mukeshchandra -MDSherman Hospital NOT COVERED

Patel, Neil -DOSherman Hospital NOT COVERED

Patel, Niki -PASherman Hospital NOT COVERED

Patel, Nilesh -DOSherman Hospital NOT COVERED

Patel, Pratixa -CRNASherman Hospital NOT COVERED

Patel, Raj -MDSherman Hospital NOT COVERED

Patel, Taral -MDSherman Hospital NOT COVERED

Patel, Tarpan -MDSherman Hospital NOT COVERED

Patel, Umesh -MDSherman Hospital NOT COVERED

Pease, Stephanie -PASherman Hospital NOT COVERED

Pediatric & Child Development Clinic, IncSherman Hospital NOT COVERED

Pediatric and Family DentalSherman Hospital NOT COVERED

Pediatric Health PartnerSherman Hospital NOT COVERED

PediaTrust, LLCSherman Hospital NOT COVERED

Pena Chavez, Samantha -MDSherman Hospital NOT COVERED

Pereira DaCunha, Tatiana -MDSherman Hospital COVERED UNDER FAP

Periodontics of Elgin, Ltd.Sherman Hospital NOT COVERED

Perlin, Michael -MDSherman Hospital NOT COVERED

Perry, Tina -NPSherman Hospital NOT COVERED

Personal Women's Healthcare, SCSherman Hospital NOT COVERED

Peterson, Kyle -DPMSherman Hospital NOT COVERED

Petrucci, Jasper -MDSherman Hospital NOT COVERED

Petsche, Timothy -MDSherman Hospital NOT COVERED

Pfeiffer, Emily -NPSherman Hospital NOT COVERED

Phouikham, Lily -DOSherman Hospital NOT COVERED

Phu, Kyla -NPSherman Hospital NOT COVERED

Pillai, Rajesh -MDSherman Hospital NOT COVERED

Pitroda, Parol -MDSherman Hospital NOT COVERED

PMG CardiologySherman Hospital NOT COVERED

Pond, Robin -PASherman Hospital NOT COVERED

Poulos, Dorothea -MDSherman Hospital NOT COVERED

Powell, Anthony -MDSherman Hospital NOT COVERED

Pozzi, Patrick -MDSherman Hospital NOT COVERED

Prafulla K. Koneru, M.D., S.C.Sherman Hospital NOT COVERED

Prairie Point Obstetrics & Gynecology, LtdSherman Hospital NOT COVERED

Page 163

Page 164: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Predmore, Kimberly -NPSherman Hospital NOT COVERED

Premier Women's Health Associates, SCSherman Hospital NOT COVERED

Presence Medical GroupSherman Hospital NOT COVERED

Pride, Tamara -PASherman Hospital NOT COVERED

Proponent Medical Group, LtdSherman Hospital NOT COVERED

Pulmonary & Sleep Medicine Clinic, LLCSherman Hospital NOT COVERED

Pulmonary Critical Care & Sleep Medicine Specialists, SCSherman Hospital NOT COVERED

Qadir, Adnan -MDSherman Hospital COVERED UNDER FAP

Qazi, Manzoor -MDSherman Hospital NOT COVERED

Quadri Family Practice, S.C.Sherman Hospital NOT COVERED

Quadri, Syed -MDSherman Hospital NOT COVERED

Quartetti, Eric -MDSherman Hospital NOT COVERED

Raasch, Christopher -NPSherman Hospital COVERED UNDER FAP

Rahman, Amer -MDSherman Hospital NOT COVERED

Rajesh, Mythili -DDSSherman Hospital NOT COVERED

Raju, Subba -MDSherman Hospital NOT COVERED

Rampurwala, Abbas -MDSherman Hospital NOT COVERED

Ray, Raju -MDSherman Hospital NOT COVERED

Redmond, Kristine -NPSherman Hospital NOT COVERED

Rehabilitation Medicine SpecialistsSherman Hospital NOT COVERED

Reibel, Joseph -PASherman Hospital NOT COVERED

Renovo Endodontic StudioSherman Hospital NOT COVERED

Retina Health Institute, SCSherman Hospital NOT COVERED

Riaz, Muhammad -MDSherman Hospital NOT COVERED

Richards, David -MDSherman Hospital COVERED UNDER FAP

Riermaier, Michael -MDSherman Hospital NOT COVERED

Rivers, Marie -PASherman Hospital NOT COVERED

Roberts, Wesley -MDSherman Hospital NOT COVERED

Rockford Neuroscience CenterSherman Hospital NOT COVERED

Rodriguez, Patrick -DOSherman Hospital NOT COVERED

Rosenberg, Michael -MDSherman Hospital NOT COVERED

Roth, Timothy -MDSherman Hospital NOT COVERED

Ryan, David -MDSherman Hospital NOT COVERED

Sager, Solomon -MDSherman Hospital NOT COVERED

Saguil, Enrique -MDSherman Hospital COVERED UNDER FAP

Sakka, Nidal -MDSherman Hospital NOT COVERED

Saleheen, Qamar -MDSherman Hospital NOT COVERED

Salman, Jacob -MDSherman Hospital COVERED UNDER FAP

Salud Pediatrics, SCSherman Hospital NOT COVERED

Salwan, Ashima -MDSherman Hospital NOT COVERED

Salwan, Manav -MDSherman Hospital NOT COVERED

Salzmann, Marvin -MDSherman Hospital NOT COVERED

Sampaleanu, Dana -MDSherman Hospital NOT COVERED

Sanchez, Alex -MDSherman Hospital NOT COVERED

Santa Ines, Lata -MDSherman Hospital NOT COVERED

Saylor, Alaine -PASherman Hospital NOT COVERED

Schaye, Conor -MDSherman Hospital NOT COVERED

Schening, Jennifer -DOSherman Hospital NOT COVERED

Schiltz, James -PASherman Hospital NOT COVERED

Schirf, Brian -MDSherman Hospital NOT COVERED

Schlageter, Nicholas -MDSherman Hospital NOT COVERED

Schultz, Kara -MDSherman Hospital NOT COVERED

Schwartz, Joel -DOSherman Hospital NOT COVERED

Scott, Lindsey -PASherman Hospital NOT COVERED

Sebastian, Gracykutty -NPSherman Hospital NOT COVERED

Seigle, Michael -MDSherman Hospital NOT COVERED

Sellers, Brian -MDSherman Hospital NOT COVERED

Seo, Michelle -MDSherman Hospital NOT COVERED

Page 164

Page 165: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Sethi, Pradip -MDSherman Hospital NOT COVERED

Setlur, Vikram -MDSherman Hospital NOT COVERED

Sewall, Luke -MDSherman Hospital NOT COVERED

Shah Medical Associates, LLCSherman Hospital NOT COVERED

Shah Medical Center, SCSherman Hospital NOT COVERED

Shah, Asad -MDSherman Hospital NOT COVERED

Shah, Bhavesh -MDSherman Hospital NOT COVERED

Shah, Devendra -MDSherman Hospital NOT COVERED

Shah, Dhrulata -MDSherman Hospital NOT COVERED

Shah, Harsh -MDSherman Hospital NOT COVERED

Shahab, Irum -MDSherman Hospital NOT COVERED

Shaikh, Laura -MDSherman Hospital NOT COVERED

Shakaib, Mohammed -MDSherman Hospital NOT COVERED

Shankara, Besagarahally -MDSherman Hospital NOT COVERED

Shapiro, Bradley -MDSherman Hospital NOT COVERED

Sheade, Wynn -MDSherman Hospital NOT COVERED

Sheahan, William -PASherman Hospital NOT COVERED

Sherman, Gene -DDSSherman Hospital NOT COVERED

Sheth, Harshal -MDSherman Hospital COVERED UNDER FAP

Shirazi, Abdul -MDSherman Hospital NOT COVERED

Shroff, Pranavkumar -MDSherman Hospital NOT COVERED

Shuttari, Syed -MDSherman Hospital NOT COVERED

Shyamani, Heena -MDSherman Hospital NOT COVERED

Sichlau, Michael -MDSherman Hospital NOT COVERED

Sikorsky, Allison -NPSherman Hospital NOT COVERED

Silbert, Agnieszka -MDSherman Hospital NOT COVERED

Silfies, Dawn -DMDSherman Hospital NOT COVERED

Simpson Eye Associates, LtdSherman Hospital NOT COVERED

Sims, Michael -MDSherman Hospital NOT COVERED

Singer, Howard -MDSherman Hospital NOT COVERED

Singh, Amitabh -MDSherman Hospital NOT COVERED

Singh, Priti -MDSherman Hospital NOT COVERED

Singh, Raminder -MDSherman Hospital COVERED UNDER FAP

Singh, Sukhvir -MDSherman Hospital NOT COVERED

Singh, Veerpal -MDSherman Hospital NOT COVERED

Smith, Diane -CNMSherman Hospital NOT COVERED

Smith, Imelda -PASherman Hospital NOT COVERED

Smith, Steven -MDSherman Hospital NOT COVERED

Solis, Diana -MDSherman Hospital NOT COVERED

Song, Richard -MDSherman Hospital NOT COVERED

Song, Suisui -MDSherman Hospital COVERED UNDER FAP

Sood, Rajiv -MDSherman Hospital NOT COVERED

Sood, Ruchi -MDSherman Hospital NOT COVERED

Sostak, James -MDSherman Hospital NOT COVERED

Sostak, Laura -CRNASherman Hospital NOT COVERED

Soto, Pablo -MDSherman Hospital NOT COVERED

Spain, Adam -DOSherman Hospital COVERED UNDER FAP

Spektor, Tatyana -MDSherman Hospital NOT COVERED

SSD Medical GroupSherman Hospital NOT COVERED

St. Charles Foot & Ankle CenterSherman Hospital NOT COVERED

St. Charles Plastic Surgery, Ltd.Sherman Hospital NOT COVERED

Standage, Christopher -MDSherman Hospital NOT COVERED

Stankevych, George -MDSherman Hospital NOT COVERED

Stanley, Tom -MDSherman Hospital NOT COVERED

Stanziola, Alex -MDSherman Hospital NOT COVERED

Steimle, Cynthia -MDSherman Hospital NOT COVERED

Stilson, Matthew -MDSherman Hospital NOT COVERED

Stinneford, James -MDSherman Hospital NOT COVERED

Page 165

Page 166: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Stipati, Karla -DPMSherman Hospital NOT COVERED

Suburban Dental MedicineSherman Hospital NOT COVERED

Suburban Orthopaedics, LtdSherman Hospital NOT COVERED

Suburban Retina, LtdSherman Hospital NOT COVERED

Suburban Women's Health Specialists, LtdSherman Hospital NOT COVERED

Sukavachana, Orawan -MDSherman Hospital NOT COVERED

Sun, Wei -MDSherman Hospital NOT COVERED

Sunderbruch, Kathryn -MDSherman Hospital NOT COVERED

Susarla, Savitha -DOSherman Hospital NOT COVERED

Susarla, Viswanatham -MDSherman Hospital NOT COVERED

Sutaria, Sanjay -MDSherman Hospital NOT COVERED

Swanson, Cynthia -NPSherman Hospital COVERED UNDER FAP

Syed S. Asghar, MD, PCSherman Hospital NOT COVERED

Syed, Ehteshamuddin -MDSherman Hospital NOT COVERED

Syed, Shahwar -MDSherman Hospital NOT COVERED

Szczerba, Stefan -MDSherman Hospital NOT COVERED

Tabao, Michelle -MDSherman Hospital NOT COVERED

Tahir Bukhari, Pauravi -CRNASherman Hospital NOT COVERED

Tan, Tisha -MDSherman Hospital NOT COVERED

Tanna, Shital -MDSherman Hospital COVERED UNDER FAP

Tanveer Ahmad, MDSherman Hospital NOT COVERED

Taylor, Carol -NPSherman Hospital NOT COVERED

Taylor, Evangeline -PASherman Hospital NOT COVERED

Teplis, Carol -MDSherman Hospital NOT COVERED

Thalheimer, Quinn -PASherman Hospital NOT COVERED

The Elgin Clinic, LtdSherman Hospital NOT COVERED

The Endocrine and Metabolic Center, IncSherman Hospital NOT COVERED

The Heart Team, LLCSherman Hospital NOT COVERED

The Vision Institute of Illinois, IncSherman Hospital NOT COVERED

Thida Maw, MD, PCSherman Hospital NOT COVERED

Thomas, Subil -PASherman Hospital NOT COVERED

Thompson, Kevin -MDSherman Hospital NOT COVERED

Thompson, Mark -MDSherman Hospital NOT COVERED

Thornwood NeurologySherman Hospital NOT COVERED

Thors, Gunnar -MDSherman Hospital NOT COVERED

Thothathri, Vijaya -MDSherman Hospital NOT COVERED

Tiballi, Robert -DOSherman Hospital NOT COVERED

Todd S. Hewell, III, MD, FACSSherman Hospital NOT COVERED

Torio, Kristine -PASherman Hospital NOT COVERED

Torosian, Craig -MDSherman Hospital NOT COVERED

Tri-City Neurology, SCSherman Hospital NOT COVERED

Tsai, Salina -MDSherman Hospital NOT COVERED

Turok, David -MDSherman Hospital NOT COVERED

Udoiwod, Fatima -CRNASherman Hospital NOT COVERED

Upadhyay, Rupal -MDSherman Hospital NOT COVERED

UpToDate Healthcare for Women, IncSherman Hospital NOT COVERED

UrbanCare Internal MedicineSherman Hospital NOT COVERED

Urology Care Center, SCSherman Hospital NOT COVERED

V. Susarla, MD, SCSherman Hospital NOT COVERED

Valena, Marlyn -MDSherman Hospital COVERED UNDER FAP

Valika, Shujauddin -MDSherman Hospital NOT COVERED

Valley Medical & Cardiac Clinic, LtdSherman Hospital NOT COVERED

Valley Plastic SurgerySherman Hospital NOT COVERED

Valley Psychiatry and Counseling, LLCSherman Hospital NOT COVERED

Van Thiel, Geoffrey -MDSherman Hospital NOT COVERED

Varma, Rashi -MDSherman Hospital NOT COVERED

Vascular and Interventional Professionals, LLCSherman Hospital NOT COVERED

Vascular and Interventional RadiologySherman Hospital NOT COVERED

Page 166

Page 167: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Vein and Laser Center of Elgin Cardiac SurgerySherman Hospital NOT COVERED

Vento, Elio -MDSherman Hospital NOT COVERED

Vierling, Susan -MDSherman Hospital NOT COVERED

Vijaykumar, Aarthi -MDSherman Hospital NOT COVERED

Villwock, Michael -NPSherman Hospital NOT COVERED

Virnig, Katherine -PASherman Hospital NOT COVERED

Viscarra, Merrie -DOSherman Hospital NOT COVERED

Vision RadiologySherman Hospital NOT COVERED

VituitySherman Hospital NOT COVERED

Vlahos, Athanasios -MDSherman Hospital NOT COVERED

VNA Clinic of Fox ValleySherman Hospital NOT COVERED

VNA HealthcareSherman Hospital NOT COVERED

Waite, Alicia -DOSherman Hospital NOT COVERED

Waite, Odin -DDSSherman Hospital NOT COVERED

Wakeman, Kevin -MDSherman Hospital NOT COVERED

Waliuddin, Syed -MDSherman Hospital NOT COVERED

Walter A. Alm, DPM, PCSherman Hospital NOT COVERED

Wang, Susan -MDSherman Hospital NOT COVERED

Ward, Andrew -MDSherman Hospital NOT COVERED

Washburn, Lynne -RNSherman Hospital NOT COVERED

Washington, Blaine -MDSherman Hospital NOT COVERED

Weess, Cameron -PASherman Hospital NOT COVERED

Weiss, Esther -CNSSherman Hospital NOT COVERED

Welker, Keith -PASherman Hospital NOT COVERED

Well Baby Care, PCSherman Hospital NOT COVERED

Well Care Neonatologists, SCSherman Hospital NOT COVERED

Wen, Dennis -MDSherman Hospital NOT COVERED

Wendel, Lucas -MDSherman Hospital NOT COVERED

Wernick, Mark -MDSherman Hospital NOT COVERED

White, John -MDSherman Hospital NOT COVERED

Whitehurst, Jon -MDSherman Hospital NOT COVERED

William J. Holevas, DDS, LTDSherman Hospital NOT COVERED

Williams, Christopher -PASherman Hospital NOT COVERED

Williams, Michael -DPMSherman Hospital NOT COVERED

Williby, Roland -MDSherman Hospital NOT COVERED

Winkelman, Daniel -MDSherman Hospital NOT COVERED

Winters Family PracticeSherman Hospital NOT COVERED

Winters, Gregory -MDSherman Hospital NOT COVERED

Women's Center for WellnessSherman Hospital NOT COVERED

Wong, Jonathan -DDSSherman Hospital NOT COVERED

Wood, Anne -NPSherman Hospital NOT COVERED

Wu, Irene -MDSherman Hospital NOT COVERED

Wunder, Joshua -MDSherman Hospital NOT COVERED

Yang, Gongyu -MDSherman Hospital NOT COVERED

Yarkony Rehabilitation AssociatesSherman Hospital NOT COVERED

Yarkony, Gary -MDSherman Hospital NOT COVERED

Yeshwant, C. -MDSherman Hospital NOT COVERED

Yoshida, Emmy -MDSherman Hospital NOT COVERED

Yuen, Michael -MDSherman Hospital NOT COVERED

Yung, Silvia -PASherman Hospital NOT COVERED

Yu-Tungol, Debbie -MDSherman Hospital NOT COVERED

Zahid, Mohammad -MDSherman Hospital NOT COVERED

Zahir, Syed -MDSherman Hospital NOT COVERED

Zaidi, Mazhar -MDSherman Hospital NOT COVERED

Zaman, Mohammad -MDSherman Hospital NOT COVERED

Zuckerman, Susan -MDSherman Hospital NOT COVERED

A Step Ahead Footcare, PCSouth Suburban Hospital NOT COVERED

Abbasi, Tahir -MDSouth Suburban Hospital NOT COVERED

Page 167

Page 168: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Aboyeji, Olufemi -MDSouth Suburban Hospital NOT COVERED

Abushaqra, Sumar -NPSouth Suburban Hospital COVERED UNDER FAP

Administer Medical AssociatesSouth Suburban Hospital NOT COVERED

Advance Heart GroupSouth Suburban Hospital NOT COVERED

Advanced Heart GroupSouth Suburban Hospital NOT COVERED

Advanced Orthopedic Specialist S.C.South Suburban Hospital NOT COVERED

Advanced PodiatrySouth Suburban Hospital NOT COVERED

Advocate Medical Group - Burbank - Palliative MedicineSouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group - Chicago - Trinity - Emergency MedicineSouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group - Downers Grove - 1441 BrandingSouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group - Hazel Crest - 17850 S Kedzie - Suite 3100South Suburban Hospital COVERED UNDER FAP

Advocate Medical Group - Hazel Crest - 178th Kedzie - Breast SurgerySouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group - Hazel Crest, SSH - Ob/GyneSouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic JolietSouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic LockportSouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Oak LawnSouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic Orland ParkSouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group Advocate Clinic RomeovilleSouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group FrankfortSouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group Hazel Crest GastroSouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group Heather MedicalSouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group Oak Lawn Maternal/FetalSouth Suburban Hospital COVERED UNDER FAP

Advocate Medical Group Olympia Fields VollmerSouth Suburban Hospital COVERED UNDER FAP

Advocate Occupational Health-Hazel CrestSouth Suburban Hospital COVERED UNDER FAP

Affiliated Oncologists, LLCSouth Suburban Hospital NOT COVERED

Ahmad, Faheem -MDSouth Suburban Hospital NOT COVERED

Ahmed, Vasia -MDSouth Suburban Hospital NOT COVERED

Al Kassar, Ghiath -MDSouth Suburban Hospital NOT COVERED

Alaani, Ziad -MDSouth Suburban Hospital NOT COVERED

Alagna, Michael -NPSouth Suburban Hospital COVERED UNDER FAP

Alhalbouni, Saadi -MDSouth Suburban Hospital NOT COVERED

Almasri, Hussam -MDSouth Suburban Hospital NOT COVERED

Al-Massalkhi, Mohamad -MDSouth Suburban Hospital NOT COVERED

Almeda, Francis -MDSouth Suburban Hospital NOT COVERED

Almoshelli, Bader -MDSouth Suburban Hospital NOT COVERED

Alper, Seth -MDSouth Suburban Hospital COVERED UNDER FAP

Alpha Med Physicians Group, LLCSouth Suburban Hospital NOT COVERED

ALR Health and Wellness, IncSouth Suburban Hospital NOT COVERED

Alsip Medical CenterSouth Suburban Hospital NOT COVERED

Amenta, Charles -MDSouth Suburban Hospital NOT COVERED

American Surgical ProfessionalsSouth Suburban Hospital NOT COVERED

Amin, Bharti -MDSouth Suburban Hospital NOT COVERED

Amin, Pinakin -MDSouth Suburban Hospital NOT COVERED

AMITA Health Medical GroupSouth Suburban Hospital NOT COVERED

Andersen, Molly -DOSouth Suburban Hospital COVERED UNDER FAP

Anderson, Michael -MDSouth Suburban Hospital NOT COVERED

Anoina, Dorothy -MDSouth Suburban Hospital NOT COVERED

Antillas Family Medical CenterSouth Suburban Hospital NOT COVERED

Arbor Center for Eyecare, SCSouth Suburban Hospital NOT COVERED

Aribindi, Ram -MDSouth Suburban Hospital NOT COVERED

Arnett AssociatesSouth Suburban Hospital NOT COVERED

Arnett, Bridgette -MDSouth Suburban Hospital NOT COVERED

Aronson, Robert -MDSouth Suburban Hospital NOT COVERED

Arrington, Dexter -MDSouth Suburban Hospital NOT COVERED

Arthur H. Katz, MD, SCSouth Suburban Hospital NOT COVERED

Asad Zaman, MD, SCSouth Suburban Hospital NOT COVERED

Asadullah, Khaja -MDSouth Suburban Hospital NOT COVERED

Assefa, Girma -MDSouth Suburban Hospital COVERED UNDER FAP

Page 168

Page 169: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Associated Allergists & Asthma Specialists,LtdSouth Suburban Hospital NOT COVERED

Associated Medical Centers of IllinoisSouth Suburban Hospital NOT COVERED

Associated Urological Specialists, LLCSouth Suburban Hospital NOT COVERED

Associates in Nephrology, SCSouth Suburban Hospital NOT COVERED

Atlas, David -MDSouth Suburban Hospital COVERED UNDER FAP

Aunt Martha's Youth Service CenterSouth Suburban Hospital NOT COVERED

Austin, Tonja -MDSouth Suburban Hospital NOT COVERED

Avella, Trevor -PASouth Suburban Hospital COVERED UNDER FAP

Azad, Shahnaz -MDSouth Suburban Hospital NOT COVERED

B.D. Sharma, MD, SCSouth Suburban Hospital NOT COVERED

Babbo, Angela -MDSouth Suburban Hospital NOT COVERED

Baghdan, Marwan -MDSouth Suburban Hospital COVERED UNDER FAP

Baig, Mirza -MDSouth Suburban Hospital COVERED UNDER FAP

Ballard, Darren -MDSouth Suburban Hospital NOT COVERED

Bardwell, Roy -DOSouth Suburban Hospital NOT COVERED

Barry, Sheila -MDSouth Suburban Hospital NOT COVERED

Baxi, Chirayu -MDSouth Suburban Hospital COVERED UNDER FAP

Baylock, Jaime -MDSouth Suburban Hospital NOT COVERED

Beckett, James -MDSouth Suburban Hospital NOT COVERED

Bellamy, Latasha -MDSouth Suburban Hospital COVERED UNDER FAP

Berry, Jennette -MDSouth Suburban Hospital COVERED UNDER FAP

Beshay, Nader -MDSouth Suburban Hospital NOT COVERED

Beste, Lester -DDSSouth Suburban Hospital NOT COVERED

Bhan, Adarsh -MDSouth Suburban Hospital COVERED UNDER FAP

Bhan, Varsha -MDSouth Suburban Hospital NOT COVERED

Bhasin, Amarjit -MDSouth Suburban Hospital NOT COVERED

Bhatia, Motilal -MDSouth Suburban Hospital COVERED UNDER FAP

Bliznikas, Darius -MDSouth Suburban Hospital NOT COVERED

Bokarius, Andrew -MDSouth Suburban Hospital COVERED UNDER FAP

Booker, Timberly -MDSouth Suburban Hospital COVERED UNDER FAP

Boruc, Agnieszka -NPSouth Suburban Hospital COVERED UNDER FAP

Bozanich, Nadia -MDSouth Suburban Hospital COVERED UNDER FAP

Bozzo, Maria -PASouth Suburban Hospital COVERED UNDER FAP

Bradshaw, Joi -MDSouth Suburban Hospital NOT COVERED

Brandies, Julie -MDSouth Suburban Hospital COVERED UNDER FAP

Brody, Cheryl -DOSouth Suburban Hospital COVERED UNDER FAP

Brucato, Catrina -PASouth Suburban Hospital NOT COVERED

Bruce W. Smit DPM, LtdSouth Suburban Hospital NOT COVERED

Buchanan, Dwayne -MDSouth Suburban Hospital NOT COVERED

Buck, Michael -DPMSouth Suburban Hospital NOT COVERED

Bulger, John -MDSouth Suburban Hospital NOT COVERED

Bulow, Paul -DOSouth Suburban Hospital NOT COVERED

Bush, John -DOSouth Suburban Hospital NOT COVERED

Bussell, Avida -MDSouth Suburban Hospital COVERED UNDER FAP

Campbell Health Solutions, S.C.South Suburban Hospital NOT COVERED

Campbell, William -DOSouth Suburban Hospital NOT COVERED

Cashen, Agnes -NPSouth Suburban Hospital NOT COVERED

Cassuto, Nicholas -MDSouth Suburban Hospital NOT COVERED

Cavinder, Beth -NPSouth Suburban Hospital COVERED UNDER FAP

Center for Adult and Pediatric WellnessSouth Suburban Hospital NOT COVERED

Center for Neurological Diseases, SCSouth Suburban Hospital NOT COVERED

Chandra Diagnostic Cardiology, LtdSouth Suburban Hospital NOT COVERED

Chandra, Lokesh -MDSouth Suburban Hospital NOT COVERED

Chang, Mark -MDSouth Suburban Hospital NOT COVERED

Chaudhry, Arslan -MDSouth Suburban Hospital COVERED UNDER FAP

Chavin, Grant -MDSouth Suburban Hospital NOT COVERED

Chelich, Matthew -DOSouth Suburban Hospital NOT COVERED

Chemello, Paul -DOSouth Suburban Hospital COVERED UNDER FAP

Page 169

Page 170: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Chicago Center for Sports Medicine & Orthopedic SurgerySouth Suburban Hospital NOT COVERED

Chicago Podiatric Surgeons PCSouth Suburban Hospital NOT COVERED

Chicago Rehabilitation Consultants LLCSouth Suburban Hospital NOT COVERED

Chicagoland Infectious Disease, PCSouth Suburban Hospital NOT COVERED

Child Life CenterSouth Suburban Hospital NOT COVERED

Chin-Bonds, Shaunda -DOSouth Suburban Hospital NOT COVERED

Chow, May -MDSouth Suburban Hospital NOT COVERED

Christopher T. Kardasis, MD, SCSouth Suburban Hospital NOT COVERED

Chudgar, Nirav -MDSouth Suburban Hospital NOT COVERED

Cline, Kenneth -MDSouth Suburban Hospital NOT COVERED

Colbert, Carmelita -MDSouth Suburban Hospital NOT COVERED

Coleman, Dolphine -NPSouth Suburban Hospital NOT COVERED

Community PhysiciansSouth Suburban Hospital NOT COVERED

Concepcion, Carlos -MDSouth Suburban Hospital COVERED UNDER FAP

Cook, Edwin -DOSouth Suburban Hospital COVERED UNDER FAP

Coolidge, Bradley -MDSouth Suburban Hospital NOT COVERED

Costello, Ellen -NPSouth Suburban Hospital NOT COVERED

Couture, Eileen -DOSouth Suburban Hospital COVERED UNDER FAP

Crestwood Medical AssociatesSouth Suburban Hospital NOT COVERED

Cryder, Jill -NPSouth Suburban Hospital NOT COVERED

Curry, Chandra -MDSouth Suburban Hospital COVERED UNDER FAP

Curtin, John -DOSouth Suburban Hospital NOT COVERED

Daly, Jerome -DOSouth Suburban Hospital NOT COVERED

Darius Bliznikas MD SCSouth Suburban Hospital NOT COVERED

Darley, Julia -NPSouth Suburban Hospital NOT COVERED

Dasar Raju, Jayasri -MDSouth Suburban Hospital COVERED UNDER FAP

David L. Ellens MD, FACP, LLCSouth Suburban Hospital NOT COVERED

De Simone, Daniel -DOSouth Suburban Hospital NOT COVERED

Decuir, Briana -MDSouth Suburban Hospital COVERED UNDER FAP

DeFrates, Megan -MDSouth Suburban Hospital NOT COVERED

Dekayie-Amenu, Gameli -MDSouth Suburban Hospital COVERED UNDER FAP

Del Castillo, Edgar -MDSouth Suburban Hospital NOT COVERED

Del Real, Alejandro -NPSouth Suburban Hospital NOT COVERED

DePasquale, Salvatore -SASouth Suburban Hospital NOT COVERED

Dermatology Associates, LtdSouth Suburban Hospital NOT COVERED

Deshmukh, Ravi -MDSouth Suburban Hospital NOT COVERED

Dolton Medical CenterSouth Suburban Hospital NOT COVERED

Doshi, Ripple -MDSouth Suburban Hospital NOT COVERED

Dreyer Clinic - HighlandSouth Suburban Hospital COVERED UNDER FAP

Dreyfuss Plastic SurgerySouth Suburban Hospital NOT COVERED

Dreyfuss, David -MDSouth Suburban Hospital NOT COVERED

Du, Yifei -DOSouth Suburban Hospital NOT COVERED

DuPage Medial GroupSouth Suburban Hospital NOT COVERED

DuPage Medical Group, LtdSouth Suburban Hospital NOT COVERED

DuPage Valley AnesthesiologistSouth Suburban Hospital NOT COVERED

Dwarakanathan, A A -MDSouth Suburban Hospital NOT COVERED

Elahi, Riaz -MDSouth Suburban Hospital NOT COVERED

Elgamal, Ahmed -MDSouth Suburban Hospital NOT COVERED

Elite Surgical Services, INCSouth Suburban Hospital NOT COVERED

Ellens, David -MDSouth Suburban Hospital NOT COVERED

Elmahboub, Asim -MDSouth Suburban Hospital NOT COVERED

Emory, Lakshmi -MDSouth Suburban Hospital NOT COVERED

Ericson, Eric -MDSouth Suburban Hospital NOT COVERED

Espinoza, Fabiola -MDSouth Suburban Hospital NOT COVERED

Express Urgent Care, LLCSouth Suburban Hospital NOT COVERED

Fadke, Katherine -NPSouth Suburban Hospital NOT COVERED

Fanto, Salvatore -MDSouth Suburban Hospital NOT COVERED

Farano, Jenise -NPSouth Suburban Hospital NOT COVERED

Page 170

Page 171: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Farley, Keitha -NPSouth Suburban Hospital NOT COVERED

Femcare OB-GYN, LTDSouth Suburban Hospital NOT COVERED

Fenlon, Mark -DPMSouth Suburban Hospital NOT COVERED

Ferrera, Dean -DOSouth Suburban Hospital NOT COVERED

Fitzpatrick, Joyce -NPSouth Suburban Hospital NOT COVERED

Flais, Michael -MDSouth Suburban Hospital NOT COVERED

Flossmoor Family Care, SCSouth Suburban Hospital NOT COVERED

Forefront Adult & Pediatric Care, SCSouth Suburban Hospital NOT COVERED

Forsythe, Kristen -NPSouth Suburban Hospital NOT COVERED

Franciscan Physician NetworkSouth Suburban Hospital NOT COVERED

Frankel, Jennifer -MDSouth Suburban Hospital NOT COVERED

Frankfort Medical Clinic, Inc.South Suburban Hospital NOT COVERED

Fregia, Adrienne -MDSouth Suburban Hospital NOT COVERED

Gagnon, Mark -DPMSouth Suburban Hospital NOT COVERED

Gallardi, Robin -DDSSouth Suburban Hospital NOT COVERED

Gandhi, Shailesh -MDSouth Suburban Hospital NOT COVERED

Gandhi, Shweta -DOSouth Suburban Hospital COVERED UNDER FAP

Garg, Rachna -MDSouth Suburban Hospital NOT COVERED

Garner, Whitney -PASouth Suburban Hospital NOT COVERED

Gastevski, Dragan -MDSouth Suburban Hospital NOT COVERED

Gelles, Robert -DPMSouth Suburban Hospital NOT COVERED

Geri Med Service LtdSouth Suburban Hospital NOT COVERED

Ghani, Abdul -MDSouth Suburban Hospital COVERED UNDER FAP

Ghazizadeh, Ramin -DPMSouth Suburban Hospital NOT COVERED

GI Partners of Illinois, LLCSouth Suburban Hospital NOT COVERED

Ginde, Jayant -MDSouth Suburban Hospital NOT COVERED

Gonzales, James -CSASouth Suburban Hospital NOT COVERED

Gopi, Ram -MDSouth Suburban Hospital NOT COVERED

Gormley, Nanette -MDSouth Suburban Hospital COVERED UNDER FAP

Guajardo, Aaron -MDSouth Suburban Hospital NOT COVERED

Habib, Fakher -MDSouth Suburban Hospital COVERED UNDER FAP

Habib, James -MDSouth Suburban Hospital NOT COVERED

Haddad, Rami -MDSouth Suburban Hospital NOT COVERED

Hagan, Meghan -NPSouth Suburban Hospital NOT COVERED

Hajjo-Rifai, Saleh -MDSouth Suburban Hospital NOT COVERED

Hakim HealthcareSouth Suburban Hospital NOT COVERED

Hall, Martin -MDSouth Suburban Hospital NOT COVERED

Hamadeh, M. -MDSouth Suburban Hospital NOT COVERED

Hamdan, Shadi -MDSouth Suburban Hospital NOT COVERED

Hancock, Christie -MDSouth Suburban Hospital NOT COVERED

Harmon, Agnes -CNSSouth Suburban Hospital NOT COVERED

Harsha K Sud MD, SCSouth Suburban Hospital NOT COVERED

Harvey Anesthesiologists, S.C.South Suburban Hospital NOT COVERED

Hathaway, Samantha -MDSouth Suburban Hospital NOT COVERED

Hathcock, Virginia -NPSouth Suburban Hospital COVERED UNDER FAP

Hayes, Shelanda -MDSouth Suburban Hospital NOT COVERED

Helme-Smith, Beth Ann -CNMSouth Suburban Hospital NOT COVERED

Hinsdale Orthopaedic Associates, SCSouth Suburban Hospital NOT COVERED

Hollins, Edwin -MDSouth Suburban Hospital COVERED UNDER FAP

Holmes, Kenneth -MDSouth Suburban Hospital NOT COVERED

Horizon Healthcare Associates, SCSouth Suburban Hospital NOT COVERED

Horowitz, Matthew -MDSouth Suburban Hospital NOT COVERED

Hunter, James -MDSouth Suburban Hospital NOT COVERED

Hussain, Arif -DOSouth Suburban Hospital NOT COVERED

Illinois Foot and Ankle Center SCSouth Suburban Hospital NOT COVERED

Imlach, William -DOSouth Suburban Hospital COVERED UNDER FAP

In Step, LtdSouth Suburban Hospital NOT COVERED

Integrated Imaging AssociatesSouth Suburban Hospital NOT COVERED

Page 171

Page 172: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Integrated Imaging Consultants, LLCSouth Suburban Hospital NOT COVERED

Internal Medicine Physicians, IncSouth Suburban Hospital NOT COVERED

Irons Holland, Dalila -DOSouth Suburban Hospital COVERED UNDER FAP

Issan Health CareSouth Suburban Hospital NOT COVERED

Iyengar, Vivek -MDSouth Suburban Hospital NOT COVERED

Jackson, Quiana -NPSouth Suburban Hospital COVERED UNDER FAP

Jacobs, Kimberly -NPSouth Suburban Hospital COVERED UNDER FAP

Jain, Pankaj -MDSouth Suburban Hospital NOT COVERED

James-Patrick, Nanette -MDSouth Suburban Hospital NOT COVERED

Jampala, Sadasiva -MDSouth Suburban Hospital NOT COVERED

Jen Care Neighborhood Medical CentersSouth Suburban Hospital NOT COVERED

JenCareSouth Suburban Hospital NOT COVERED

Jobanputra, Ketan -MDSouth Suburban Hospital NOT COVERED

Jobanputra, Smita -MDSouth Suburban Hospital NOT COVERED

John G Bush And AssociatesSouth Suburban Hospital NOT COVERED

John, Sunil -MDSouth Suburban Hospital NOT COVERED

Johnson, Carl -MDSouth Suburban Hospital NOT COVERED

Jones Caillouet, Kathy -MDSouth Suburban Hospital COVERED UNDER FAP

Jones, Monique -MDSouth Suburban Hospital NOT COVERED

Joseph T. Monaco, MD, SCSouth Suburban Hospital NOT COVERED

Joshi, Komal -MDSouth Suburban Hospital NOT COVERED

Joshi, Sanjeev -MDSouth Suburban Hospital COVERED UNDER FAP

Joudeh, Yazen -MDSouth Suburban Hospital NOT COVERED

Julka, Rahul -MDSouth Suburban Hospital NOT COVERED

Kaiser, Robert -MDSouth Suburban Hospital NOT COVERED

Kalchbrenner, Kyle -PASouth Suburban Hospital NOT COVERED

Kandaswamy, Chinnammal -MDSouth Suburban Hospital COVERED UNDER FAP

Kandimalla, Himabindu -MDSouth Suburban Hospital COVERED UNDER FAP

Kane, Timothy -CRNASouth Suburban Hospital NOT COVERED

Karanastasis, Georgios -MDSouth Suburban Hospital NOT COVERED

Kardasis, Christopher -MDSouth Suburban Hospital NOT COVERED

Karimpour, Shervin -MDSouth Suburban Hospital NOT COVERED

Kassar MD, Inc.South Suburban Hospital NOT COVERED

Katabi, Firas -DDSSouth Suburban Hospital NOT COVERED

Katz, Arthur -MDSouth Suburban Hospital NOT COVERED

Kaur, Tanjeev -MDSouth Suburban Hospital NOT COVERED

Kay, Helen -MDSouth Suburban Hospital COVERED UNDER FAP

Keane, Thomas -MDSouth Suburban Hospital NOT COVERED

Kern, Yuri -MDSouth Suburban Hospital NOT COVERED

Khawaja, Wasim -MDSouth Suburban Hospital NOT COVERED

Khilfeh, Mohayya -MDSouth Suburban Hospital NOT COVERED

Khokher, Tahir -MDSouth Suburban Hospital NOT COVERED

Kidney Care CenterSouth Suburban Hospital NOT COVERED

Kidney Care Center Olympia Fields, LLCSouth Suburban Hospital NOT COVERED

Kieso, Hassan -MDSouth Suburban Hospital NOT COVERED

Kim, Hee -MDSouth Suburban Hospital NOT COVERED

Kim, Won -MDSouth Suburban Hospital NOT COVERED

Kitapci, N. -MDSouth Suburban Hospital NOT COVERED

Klaas, Jennifer -NPSouth Suburban Hospital COVERED UNDER FAP

Klepac, Steven -MDSouth Suburban Hospital NOT COVERED

Komprehensive Primary Care Sports & Musculoskeletal Medicine SCSouth Suburban Hospital NOT COVERED

Kontos, Pamela -NPSouth Suburban Hospital NOT COVERED

Kost, Adam -MDSouth Suburban Hospital NOT COVERED

Kraus, Mark -MDSouth Suburban Hospital NOT COVERED

Krcik, James -MDSouth Suburban Hospital NOT COVERED

Kremke, Meghan -PASouth Suburban Hospital NOT COVERED

Krinski, Roseanne -MDSouth Suburban Hospital COVERED UNDER FAP

Kritzer, Sara -MDSouth Suburban Hospital NOT COVERED

Page 172

Page 173: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Kumar, Ajit -MDSouth Suburban Hospital NOT COVERED

Kumar, Raghuvansh -MDSouth Suburban Hospital NOT COVERED

Kumar, S. -MDSouth Suburban Hospital NOT COVERED

Kumaraiah, Vasantha -MDSouth Suburban Hospital NOT COVERED

Kung, John -MDSouth Suburban Hospital NOT COVERED

Kurani Med IncorporatedSouth Suburban Hospital NOT COVERED

Kurani, Ilesh -MDSouth Suburban Hospital NOT COVERED

Labana, Neal -MDSouth Suburban Hospital NOT COVERED

Lamba, Anil -MDSouth Suburban Hospital NOT COVERED

Lasala, Julieta -MDSouth Suburban Hospital COVERED UNDER FAP

Lau, Cynthia -MDSouth Suburban Hospital NOT COVERED

Lawton, Ronald -MDSouth Suburban Hospital COVERED UNDER FAP

LeClair, Bridget -PASouth Suburban Hospital COVERED UNDER FAP

Lin, Andy -MDSouth Suburban Hospital NOT COVERED

Lipson, Scott -MDSouth Suburban Hospital NOT COVERED

Lodestar Obstetrics and Gynecology, LTDSouth Suburban Hospital NOT COVERED

Looyenga, David -MDSouth Suburban Hospital COVERED UNDER FAP

Luttig, Christopher -MDSouth Suburban Hospital COVERED UNDER FAP

Macagba, Gladys -DOSouth Suburban Hospital COVERED UNDER FAP

Macyko, Catherine -MDSouth Suburban Hospital NOT COVERED

Majeed, Munazza -MDSouth Suburban Hospital NOT COVERED

Malachinski, Julie -MDSouth Suburban Hospital NOT COVERED

Manatt, Savio -MDSouth Suburban Hospital NOT COVERED

Manolis, Evan -MDSouth Suburban Hospital NOT COVERED

Manuel Perez, MD, SCSouth Suburban Hospital NOT COVERED

Maqsood, Muhammad -MDSouth Suburban Hospital NOT COVERED

Markiv, Volodimir -MDSouth Suburban Hospital NOT COVERED

Marneris, Athanasios -DOSouth Suburban Hospital NOT COVERED

Martin, Allison -MDSouth Suburban Hospital COVERED UNDER FAP

Martin, Tamika -MDSouth Suburban Hospital COVERED UNDER FAP

Martini, Mohamad -MDSouth Suburban Hospital NOT COVERED

Mask, Milena -NPSouth Suburban Hospital NOT COVERED

Matheu, Joseph -DOSouth Suburban Hospital NOT COVERED

Mathew, Abraham -MDSouth Suburban Hospital NOT COVERED

Matzinger, Tracy -NPSouth Suburban Hospital NOT COVERED

May, Kelly -DPMSouth Suburban Hospital NOT COVERED

Maytum, Karmen -NPSouth Suburban Hospital NOT COVERED

Maze, Jelica -MDSouth Suburban Hospital NOT COVERED

Mc Gowan, Sandra -MDSouth Suburban Hospital NOT COVERED

Mc Nair, Howard -MDSouth Suburban Hospital COVERED UNDER FAP

McClurkin, Clark -MDSouth Suburban Hospital NOT COVERED

McDermott Podiatry of Joliet, LLCSouth Suburban Hospital NOT COVERED

McDermott Trevino, Tracy -NPSouth Suburban Hospital NOT COVERED

McDermott, Michael -DPMSouth Suburban Hospital NOT COVERED

McGowan Family Health & Wellness CenterSouth Suburban Hospital NOT COVERED

McGrath, James -DOSouth Suburban Hospital NOT COVERED

McGuire, Cara -NPSouth Suburban Hospital NOT COVERED

McLaughlin, Jeanette -MDSouth Suburban Hospital NOT COVERED

Medavaram, Rama -MDSouth Suburban Hospital NOT COVERED

MedPlus Physician Partners I, LLCSouth Suburban Hospital NOT COVERED

Meeks, Michelle -MDSouth Suburban Hospital NOT COVERED

Meghpara, Bhagvanji -DOSouth Suburban Hospital NOT COVERED

Mehl, David -MDSouth Suburban Hospital NOT COVERED

Mehrotra, Surabhi -MDSouth Suburban Hospital NOT COVERED

Mercyhealth Crystal Lake SouthSouth Suburban Hospital NOT COVERED

Mesirow, Manuel -MDSouth Suburban Hospital NOT COVERED

Metro Infectious Disease Consultants, LLCSouth Suburban Hospital NOT COVERED

Metro Primary Care Associates, LLCSouth Suburban Hospital NOT COVERED

Page 173

Page 174: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Midwest Anesthesiologists, LtdSouth Suburban Hospital NOT COVERED

Midwest Diagnostic Pathology, SCSouth Suburban Hospital NOT COVERED

Midwest Interventional Pain Solutions, LLCSouth Suburban Hospital NOT COVERED

Midwest Pulmonary Associates, SCSouth Suburban Hospital NOT COVERED

Midwest Spinecare SCSouth Suburban Hospital NOT COVERED

Mietelski, Maureen -DOSouth Suburban Hospital NOT COVERED

Miinedoctor, IncSouth Suburban Hospital NOT COVERED

Mikulich, Sandra -NPSouth Suburban Hospital NOT COVERED

Miller, George -DOSouth Suburban Hospital COVERED UNDER FAP

Mitchell, Charlotte -MDSouth Suburban Hospital NOT COVERED

Moinuddin, Rizwan -DOSouth Suburban Hospital NOT COVERED

Mokena Foot & Ankle ClinicSouth Suburban Hospital NOT COVERED

Monaco, Joseph -MDSouth Suburban Hospital NOT COVERED

Montalvo, Daniel -MDSouth Suburban Hospital COVERED UNDER FAP

Montelpasse, Lisa -MDSouth Suburban Hospital NOT COVERED

Montoya, Deepa -DPMSouth Suburban Hospital NOT COVERED

Moore, Deshon -MDSouth Suburban Hospital COVERED UNDER FAP

Morris, George -DDSSouth Suburban Hospital NOT COVERED

Mostowfi, Kiumars -MDSouth Suburban Hospital NOT COVERED

Multack Eye Care, SCSouth Suburban Hospital NOT COVERED

Multack, Richard -DOSouth Suburban Hospital NOT COVERED

Multack, Samuel -DOSouth Suburban Hospital NOT COVERED

Murray, Laura -CRNASouth Suburban Hospital NOT COVERED

Nabelsi, Sameh -MDSouth Suburban Hospital NOT COVERED

Nagubadi, Sandhya -MDSouth Suburban Hospital NOT COVERED

Naguboyina, Gopichand -MDSouth Suburban Hospital NOT COVERED

Najera, Larry -MDSouth Suburban Hospital NOT COVERED

Narcissi, Phillip -DPMSouth Suburban Hospital NOT COVERED

Nayak, Veena -MDSouth Suburban Hospital NOT COVERED

Needleman, Robert -MDSouth Suburban Hospital COVERED UNDER FAP

Neurological Surgery & Spine Surgery, SCSouth Suburban Hospital NOT COVERED

Neurology Consultants, SCSouth Suburban Hospital NOT COVERED

Nicola, Heidi -MDSouth Suburban Hospital COVERED UNDER FAP

Nirav P Chudgar, MD, SCSouth Suburban Hospital NOT COVERED

Noble, Kristen -NPSouth Suburban Hospital NOT COVERED

Noriega, Antonio -MDSouth Suburban Hospital NOT COVERED

Northwest Medical AssociatesSouth Suburban Hospital NOT COVERED

Nwawka, Chukwudi -MDSouth Suburban Hospital NOT COVERED

Nyatsanza, Ignatius -MDSouth Suburban Hospital NOT COVERED

Odom, April -NPSouth Suburban Hospital NOT COVERED

ODonnell, James -MDSouth Suburban Hospital NOT COVERED

Ofoma, Ihuoma -MDSouth Suburban Hospital NOT COVERED

Ojiako, Ifenlota -MDSouth Suburban Hospital COVERED UNDER FAP

Okafor, Doris -MDSouth Suburban Hospital NOT COVERED

Okafor, Lawrence -MDSouth Suburban Hospital COVERED UNDER FAP

Okoe, Jamilah -MDSouth Suburban Hospital COVERED UNDER FAP

Olaleye, Caroline -MDSouth Suburban Hospital NOT COVERED

Opensky Podiatry, IncSouth Suburban Hospital NOT COVERED

Opensky, Brian -DPMSouth Suburban Hospital NOT COVERED

Oral Surgery CenterSouth Suburban Hospital NOT COVERED

Orland Park Plastic Surgery, SCSouth Suburban Hospital NOT COVERED

O'Shea Wilk, Kathleen -MDSouth Suburban Hospital COVERED UNDER FAP

Ottman, Albara -MDSouth Suburban Hospital COVERED UNDER FAP

Ovando, Michelle -PASouth Suburban Hospital NOT COVERED

Oyewole, Kolawole -MDSouth Suburban Hospital COVERED UNDER FAP

Palla, Jyothsna -MDSouth Suburban Hospital COVERED UNDER FAP

Palos Family Foot CareSouth Suburban Hospital NOT COVERED

Pandya, Kaushik -MDSouth Suburban Hospital NOT COVERED

Page 174

Page 175: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Pandya, Shachi -MDSouth Suburban Hospital NOT COVERED

Pang, Kenneth -MDSouth Suburban Hospital NOT COVERED

Panio, Paschal -MDSouth Suburban Hospital NOT COVERED

Panning, Jennifer -NPSouth Suburban Hospital COVERED UNDER FAP

Panzica, Paul -MDSouth Suburban Hospital NOT COVERED

Pape, Alexandra -CNMSouth Suburban Hospital NOT COVERED

Pardiwala, Krunal -MDSouth Suburban Hospital NOT COVERED

Paredes, Jose -MDSouth Suburban Hospital NOT COVERED

Parikh & Abbasi, MD, SCSouth Suburban Hospital NOT COVERED

Parikh, Ajay -MDSouth Suburban Hospital COVERED UNDER FAP

Parikh, Dilipkumar -MDSouth Suburban Hospital NOT COVERED

Parikh, Sonal -MDSouth Suburban Hospital NOT COVERED

Park, Samuel -MDSouth Suburban Hospital NOT COVERED

Parvathala, Praveen -MDSouth Suburban Hospital COVERED UNDER FAP

Patel, Amishi -MDSouth Suburban Hospital NOT COVERED

Patel, Amit -MDSouth Suburban Hospital NOT COVERED

Patel, Chirag -DOSouth Suburban Hospital NOT COVERED

Patel, Dharmesh -MDSouth Suburban Hospital COVERED UNDER FAP

Patel, Naeem -MDSouth Suburban Hospital NOT COVERED

Patel, Nipa -MDSouth Suburban Hospital NOT COVERED

Patel, Purvi -MDSouth Suburban Hospital NOT COVERED

Patel, Rajesh -MDSouth Suburban Hospital NOT COVERED

Payne, Jacqueline -DOSouth Suburban Hospital COVERED UNDER FAP

Payne, William -MDSouth Suburban Hospital NOT COVERED

Peace Medical CenterSouth Suburban Hospital NOT COVERED

Pearce, Francine -MDSouth Suburban Hospital NOT COVERED

Peplinski, Gary -MDSouth Suburban Hospital NOT COVERED

Perez, Manuel -MDSouth Suburban Hospital NOT COVERED

Petrak, Allison -PASouth Suburban Hospital NOT COVERED

Petrov, Jaclyn -CNMSouth Suburban Hospital NOT COVERED

Philipp, Sarah -MDSouth Suburban Hospital COVERED UNDER FAP

Phillips, Martin -MDSouth Suburban Hospital NOT COVERED

Piepenbrink, Rachel -SASouth Suburban Hospital NOT COVERED

Plamoottil, George -MDSouth Suburban Hospital COVERED UNDER FAP

Porada, Joseph -MDSouth Suburban Hospital NOT COVERED

Pradhan, Melissa -MDSouth Suburban Hospital NOT COVERED

Pradhan, Sanjeev -MDSouth Suburban Hospital NOT COVERED

Prairie State Pulmonary & Sleep Consultants, LLCSouth Suburban Hospital NOT COVERED

Premier Orthopaedic & Hand Center, SCSouth Suburban Hospital NOT COVERED

Primary Care For You, LtdSouth Suburban Hospital NOT COVERED

Primary Healthcare AssociatesSouth Suburban Hospital NOT COVERED

Primary HealthCare Associates, SCSouth Suburban Hospital NOT COVERED

Primus Orthopedics, SCSouth Suburban Hospital NOT COVERED

Primus, Gregory -MDSouth Suburban Hospital NOT COVERED

Priya Shastri, MDSouth Suburban Hospital NOT COVERED

Professional Foot and Ankle LLCSouth Suburban Hospital NOT COVERED

Providea Health Partners, LLCSouth Suburban Hospital NOT COVERED

Prskalo, Stacy -NPSouth Suburban Hospital COVERED UNDER FAP

Pulmonary and Sleep Associates IncSouth Suburban Hospital NOT COVERED

Pyle, Tia -MDSouth Suburban Hospital NOT COVERED

Qasim, Mohammad -MDSouth Suburban Hospital NOT COVERED

Quadri, Syed -MDSouth Suburban Hospital COVERED UNDER FAP

Quinones, Richard -MDSouth Suburban Hospital NOT COVERED

Radfar, Baroukh -MDSouth Suburban Hospital COVERED UNDER FAP

Raghavendra, Sushma -MDSouth Suburban Hospital COVERED UNDER FAP

Raghuvir, Rashmi -MDSouth Suburban Hospital COVERED UNDER FAP

Rao, Vijaykumar -MDSouth Suburban Hospital NOT COVERED

Reynolds, Albert -MDSouth Suburban Hospital NOT COVERED

Page 175

Page 176: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

RiChard, Jamie -MDSouth Suburban Hospital NOT COVERED

Richardson, James -MDSouth Suburban Hospital COVERED UNDER FAP

Rifenburg, Nancy -MDSouth Suburban Hospital COVERED UNDER FAP

Rii, Joyce -DOSouth Suburban Hospital NOT COVERED

Roach, Danielle -NPSouth Suburban Hospital NOT COVERED

Robertson, Thessa -MDSouth Suburban Hospital NOT COVERED

Robin Snead MD and Associates Integrative Medical PracticeSouth Suburban Hospital NOT COVERED

Robinson, Carl -MDSouth Suburban Hospital NOT COVERED

Robinson, Dore -DOSouth Suburban Hospital NOT COVERED

Robinson, Veronica -MDSouth Suburban Hospital COVERED UNDER FAP

Robledo, Cristobal -SASouth Suburban Hospital NOT COVERED

Romberg, Michael -MDSouth Suburban Hospital NOT COVERED

Rossi, Johnny -DPMSouth Suburban Hospital NOT COVERED

Rozell, Shaina -MDSouth Suburban Hospital NOT COVERED

Ruby, Allan -MDSouth Suburban Hospital COVERED UNDER FAP

Rusco, Jennifer -NPSouth Suburban Hospital NOT COVERED

Rychter, Kelly -DOSouth Suburban Hospital NOT COVERED

Sadegi, Barry -MDSouth Suburban Hospital NOT COVERED

Salah, Yusuf -MDSouth Suburban Hospital NOT COVERED

Saldanha, Rita -MDSouth Suburban Hospital NOT COVERED

Salhadar, Alia -MDSouth Suburban Hospital NOT COVERED

Salvatore A. Fanto, MDSouth Suburban Hospital NOT COVERED

Sameh Nabelsi, MDSouth Suburban Hospital NOT COVERED

Samson, Suresh -MDSouth Suburban Hospital NOT COVERED

Sanath Kumar, MD, LtdSouth Suburban Hospital NOT COVERED

Sanchez, Carlos -SASouth Suburban Hospital NOT COVERED

Sandalow, Nathan -MDSouth Suburban Hospital COVERED UNDER FAP

Sarguroh, Tauseef -MDSouth Suburban Hospital NOT COVERED

SAS Surgical, LtdSouth Suburban Hospital NOT COVERED

Sastri, Suriya -MDSouth Suburban Hospital NOT COVERED

Savio G. Manatt, SCSouth Suburban Hospital NOT COVERED

Schanbacher, Alicia -NPSouth Suburban Hospital NOT COVERED

Scoigletti, Mary -NPSouth Suburban Hospital NOT COVERED

Searles, Ericka -MDSouth Suburban Hospital COVERED UNDER FAP

Seshadri, Venkat -MDSouth Suburban Hospital NOT COVERED

SFZ CorporationSouth Suburban Hospital NOT COVERED

Shabani, Merime -NPSouth Suburban Hospital COVERED UNDER FAP

Shafi, Mohammad -MDSouth Suburban Hospital NOT COVERED

Shah, Arpeet -MDSouth Suburban Hospital NOT COVERED

Shah, Arpit -DOSouth Suburban Hospital NOT COVERED

Shah, Biren -MDSouth Suburban Hospital NOT COVERED

Shah, Kumudchandra -MDSouth Suburban Hospital NOT COVERED

Shah, Leena -MDSouth Suburban Hospital COVERED UNDER FAP

Shah, Neilesh -MDSouth Suburban Hospital NOT COVERED

Shah, Niranjan -MDSouth Suburban Hospital NOT COVERED

Shah, Sumin -DOSouth Suburban Hospital NOT COVERED

Shaik, Nazeerulla -MDSouth Suburban Hospital NOT COVERED

Shamshuddin, Mohammed -MDSouth Suburban Hospital NOT COVERED

Sharabash, Noura -MDSouth Suburban Hospital COVERED UNDER FAP

Shared Physician’s OfficesSouth Suburban Hospital NOT COVERED

Sharma, Bansi -MDSouth Suburban Hospital NOT COVERED

Sharma, Rekha -MDSouth Suburban Hospital NOT COVERED

Sharpe, Tiphne -NPSouth Suburban Hospital NOT COVERED

Shastri, Priya -MDSouth Suburban Hospital NOT COVERED

Sheth, Ravi -MDSouth Suburban Hospital COVERED UNDER FAP

Shifrin Group, LLCSouth Suburban Hospital NOT COVERED

Shifrin, Kabita -DOSouth Suburban Hospital NOT COVERED

Shirazi, Syed Javed -MDSouth Suburban Hospital NOT COVERED

Page 176

Page 177: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Sidhwa, Kamo -MDSouth Suburban Hospital NOT COVERED

Silakowski, Linda -NPSouth Suburban Hospital NOT COVERED

Simon, Sherrone -MDSouth Suburban Hospital NOT COVERED

Sims, Desarey -NPSouth Suburban Hospital COVERED UNDER FAP

Singh, Navneet -MDSouth Suburban Hospital COVERED UNDER FAP

Singh, Richa -MDSouth Suburban Hospital NOT COVERED

Sink-Jedloe, Cynthia -DPMSouth Suburban Hospital NOT COVERED

Smit, Bruce -DPMSouth Suburban Hospital NOT COVERED

Snead, Robin -MDSouth Suburban Hospital NOT COVERED

Song, John -MDSouth Suburban Hospital NOT COVERED

Soundararajan, Ramesh -MDSouth Suburban Hospital NOT COVERED

South Suburban Cardiology Associates, LtdSouth Suburban Hospital NOT COVERED

Southland Orthopaedics LtdSouth Suburban Hospital NOT COVERED

Southland Rheumatology Center, Ltd.South Suburban Hospital NOT COVERED

Southwest Eye Center, SCSouth Suburban Hospital NOT COVERED

Southwest Nephrology Associates, SCSouth Suburban Hospital NOT COVERED

Sowade, Olalekan -MDSouth Suburban Hospital NOT COVERED

Specialty Orthopaedics, LLCSouth Suburban Hospital NOT COVERED

Specialty Physicians of IllinoisSouth Suburban Hospital NOT COVERED

Specialty Physicians of Illinois, LLCSouth Suburban Hospital NOT COVERED

Spicer, Stephanie -DPMSouth Suburban Hospital NOT COVERED

Spicka, Cindy -NPSouth Suburban Hospital COVERED UNDER FAP

Sreekanth, Devangi -MDSouth Suburban Hospital NOT COVERED

Sreekanth, Shantha -MDSouth Suburban Hospital NOT COVERED

Staron, Jeffrey -MDSouth Suburban Hospital NOT COVERED

Stephens, Anthony -MDSouth Suburban Hospital NOT COVERED

Sterling Primary Endocrine Care Associates SCSouth Suburban Hospital NOT COVERED

Stoeberl, Jessica -PASouth Suburban Hospital NOT COVERED

Suburban Infectious Disease, LLCSouth Suburban Hospital NOT COVERED

Sud, Madhupa -MDSouth Suburban Hospital NOT COVERED

Sullivan, Christopher -MDSouth Suburban Hospital COVERED UNDER FAP

Sullivan, Maricel -NPSouth Suburban Hospital NOT COVERED

Sundaram, Ravi -DOSouth Suburban Hospital NOT COVERED

Sundram, Ponnambalam -MDSouth Suburban Hospital NOT COVERED

Surgical Care Associates, LtdSouth Suburban Hospital NOT COVERED

Suriya V. Sastri MD, PCSouth Suburban Hospital NOT COVERED

Swenson, Erik -MDSouth Suburban Hospital NOT COVERED

Szaflarski, Natalia -DOSouth Suburban Hospital COVERED UNDER FAP

Tan, William -DOSouth Suburban Hospital NOT COVERED

Tanquilut, Eugene -DOSouth Suburban Hospital NOT COVERED

Tatineni, Suveer -MDSouth Suburban Hospital COVERED UNDER FAP

Teli, Kunal -MDSouth Suburban Hospital NOT COVERED

Tepeli, Agop -MDSouth Suburban Hospital COVERED UNDER FAP

Terrado, Lourdes -MDSouth Suburban Hospital NOT COVERED

Thakadiyil, Anita -MDSouth Suburban Hospital NOT COVERED

Thakrar, Ameet -DPMSouth Suburban Hospital NOT COVERED

Thalji, Zuhair -MDSouth Suburban Hospital NOT COVERED

Thomas, Reginald -MDSouth Suburban Hospital COVERED UNDER FAP

Thompson, James -MDSouth Suburban Hospital NOT COVERED

Thorp, Christopher -MDSouth Suburban Hospital NOT COVERED

Thukral, Anjali -MDSouth Suburban Hospital NOT COVERED

Tinley Primary CareSouth Suburban Hospital NOT COVERED

Triebes, Lindy -MDSouth Suburban Hospital COVERED UNDER FAP

Tulley, Jacqueline -NPSouth Suburban Hospital NOT COVERED

United Elite Hospitalists, LLCSouth Suburban Hospital NOT COVERED

United Pain Services, SCSouth Suburban Hospital NOT COVERED

University of Chicago Physician Group, Child Life CenterSouth Suburban Hospital NOT COVERED

University Retina & Macula Associates, PCSouth Suburban Hospital NOT COVERED

Page 177

Page 178: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

UW Health Surgery at Swedish American HospitalSouth Suburban Hospital NOT COVERED

Valkenburg, Judy -PASouth Suburban Hospital NOT COVERED

Van Slambrouck, Charles -MDSouth Suburban Hospital NOT COVERED

Vanda Shah, MDSouth Suburban Hospital NOT COVERED

Varsha Bhan MD SCSouth Suburban Hospital NOT COVERED

Vascular Specialists, LLCSouth Suburban Hospital NOT COVERED

Vasectomy Clinics of Chicago SCSouth Suburban Hospital NOT COVERED

Veldman, Kristen -PASouth Suburban Hospital NOT COVERED

Villasenor, Christian -CRNASouth Suburban Hospital NOT COVERED

Vittori Foot and Ankle SpecialistSouth Suburban Hospital NOT COVERED

Vittori, Christopher -DPMSouth Suburban Hospital NOT COVERED

Vols, Phyllis -SASouth Suburban Hospital NOT COVERED

Vora, Mehul -MDSouth Suburban Hospital NOT COVERED

Walji, Aijaz -MDSouth Suburban Hospital NOT COVERED

Wallace, David -MDSouth Suburban Hospital NOT COVERED

Warakomski, Romuald -DOSouth Suburban Hospital NOT COVERED

Ward, Michael -MDSouth Suburban Hospital NOT COVERED

Warren, Andrea -NPSouth Suburban Hospital COVERED UNDER FAP

Watson, Carla -MDSouth Suburban Hospital NOT COVERED

Watt, Tiffany -PASouth Suburban Hospital NOT COVERED

West, Christal -MDSouth Suburban Hospital NOT COVERED

Whitehorn, Karen -MDSouth Suburban Hospital NOT COVERED

Wiley, Arielle -NPSouth Suburban Hospital COVERED UNDER FAP

Wilk, David -MDSouth Suburban Hospital COVERED UNDER FAP

Wilkin, Matthew -PASouth Suburban Hospital NOT COVERED

Will, William -MDSouth Suburban Hospital NOT COVERED

Williams, Donna -DOSouth Suburban Hospital NOT COVERED

Williams, Eveleigh -DPMSouth Suburban Hospital NOT COVERED

Williams, Keith -MDSouth Suburban Hospital COVERED UNDER FAP

Wilson, Tiffany -MDSouth Suburban Hospital NOT COVERED

Women for Women Health Care, SCSouth Suburban Hospital NOT COVERED

Women’s Healthcare of IllinoisSouth Suburban Hospital NOT COVERED

Women's Health Consulting, LLCSouth Suburban Hospital NOT COVERED

Women's Healthcare Associates of Illinois, SCSouth Suburban Hospital NOT COVERED

Women's Wellness World, SCSouth Suburban Hospital NOT COVERED

Yao, Jim -MDSouth Suburban Hospital NOT COVERED

Yassin, Amin -MDSouth Suburban Hospital COVERED UNDER FAP

Yohay, Daniel -MDSouth Suburban Hospital NOT COVERED

Zaidi, Shahla -MDSouth Suburban Hospital NOT COVERED

Zaletel, Cynthia -NPSouth Suburban Hospital NOT COVERED

Ziaee, Saba -MDSouth Suburban Hospital NOT COVERED

Abuhasna, Said -MDTrinity Hospital NOT COVERED

Adab, Kalid -MDTrinity Hospital NOT COVERED

Advocate Medical Group - Burbank - Palliative MedicineTrinity Hospital COVERED UNDER FAP

Advocate Medical Group - Chicago - Imani VillageTrinity Hospital COVERED UNDER FAP

Advocate Medical Group - Chicago - Trinity - Emergency MedicineTrinity Hospital COVERED UNDER FAP

Advocate Medical Group - Trinity - EndocrinologyTrinity Hospital COVERED UNDER FAP

Advocate Medical Group EvergreenTrinity Hospital COVERED UNDER FAP

Advocate Medical Group Greenwood on 87thTrinity Hospital COVERED UNDER FAP

Advocate Medical Group IllianaTrinity Hospital COVERED UNDER FAP

Advocate Medical Group Southeast HospitalistsTrinity Hospital COVERED UNDER FAP

Advocate Medical Group Trinity General SurgeryTrinity Hospital COVERED UNDER FAP

Advocate Medical Group-Chicago, Trinity-NeonatologyTrinity Hospital COVERED UNDER FAP

Advocate Medical Group-Chicago-93rd StreetTrinity Hospital COVERED UNDER FAP

Agrawal, Anjali -MDTrinity Hospital NOT COVERED

Ahlowalia, Neerja -MDTrinity Hospital NOT COVERED

Ahmad, Afzal -MDTrinity Hospital NOT COVERED

Ahmad, Ijaz -MDTrinity Hospital NOT COVERED

Page 178

Page 179: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Ahmad, Shahida -MDTrinity Hospital COVERED UNDER FAP

Ahmad, Wakas -DOTrinity Hospital COVERED UNDER FAP

Ahmed, Irma -MDTrinity Hospital NOT COVERED

Ahmed, Khadeer -MDTrinity Hospital NOT COVERED

Ahmed, Syed -MDTrinity Hospital COVERED UNDER FAP

Ahuja, Satya -MDTrinity Hospital NOT COVERED

Akhtar Parvaiz, MDTrinity Hospital NOT COVERED

Alliowe, Nickyla -MDTrinity Hospital COVERED UNDER FAP

Alpha Med Physicians Group, LLCTrinity Hospital NOT COVERED

Alston, Charles -MDTrinity Hospital NOT COVERED

Alter, Robert -MDTrinity Hospital COVERED UNDER FAP

American Anesthesiology Associates of Illinois, SCTrinity Hospital NOT COVERED

American Anesthesiology of Illinois, LLCTrinity Hospital NOT COVERED

American Women's Medical CenterTrinity Hospital NOT COVERED

Amin, Dhara -MDTrinity Hospital COVERED UNDER FAP

Amit Vyas, MD, SCTrinity Hospital NOT COVERED

Amuh, Donald -MDTrinity Hospital NOT COVERED

Amuh, Shelley -MDTrinity Hospital COVERED UNDER FAP

Anand, Chandra -MDTrinity Hospital NOT COVERED

Anderson, Julie -DOTrinity Hospital NOT COVERED

Angel Health Care Services, SCTrinity Hospital NOT COVERED

Anointed Health Partners, LtdTrinity Hospital NOT COVERED

Antic, Nenad -MDTrinity Hospital NOT COVERED

Apata, Oladayo -NPTrinity Hospital COVERED UNDER FAP

Apata, Olusegun -MDTrinity Hospital NOT COVERED

Appiagyei, Michael -MDTrinity Hospital NOT COVERED

Aribandi, Manohar -MDTrinity Hospital NOT COVERED

Asad Zaman, MD, SCTrinity Hospital NOT COVERED

Aschkenasi, Carl -MDTrinity Hospital NOT COVERED

Asonye, Udochukwu -MDTrinity Hospital NOT COVERED

Associates in Nephrology, SCTrinity Hospital NOT COVERED

Associates In Primary Care, SCTrinity Hospital NOT COVERED

Atassi, Sami -MDTrinity Hospital NOT COVERED

Atassi, Wadah -MDTrinity Hospital NOT COVERED

Awomolo, Arinola -MDTrinity Hospital COVERED UNDER FAP

Aziz, Mariam -PATrinity Hospital COVERED UNDER FAP

Bademosi, Adebayo -MDTrinity Hospital NOT COVERED

Baig, Mohammad -MDTrinity Hospital COVERED UNDER FAP

Bauer, Richard -MDTrinity Hospital NOT COVERED

Bell, Angela -MDTrinity Hospital NOT COVERED

Bell, Greta -MDTrinity Hospital COVERED UNDER FAP

Bhanushali, Gautam -MDTrinity Hospital NOT COVERED

Bisla, Virendra -MDTrinity Hospital NOT COVERED

Bone, Richard -MDTrinity Hospital NOT COVERED

Bose, Sucharitha -PATrinity Hospital COVERED UNDER FAP

Brahmbhatt, Nimeet -MDTrinity Hospital NOT COVERED

Brandon, Eden -MDTrinity Hospital NOT COVERED

Bridgford, Christy -CRNATrinity Hospital NOT COVERED

Brinkman, Aaron -MDTrinity Hospital NOT COVERED

Brooker, Jay -MDTrinity Hospital NOT COVERED

Brooks, Harley -MDTrinity Hospital NOT COVERED

Burke, Winston -DPMTrinity Hospital NOT COVERED

Butler-MooYoung, Nichole -MDTrinity Hospital NOT COVERED

Cabe, Ramon -MDTrinity Hospital NOT COVERED

Cancer Medicine Group, IncTrinity Hospital NOT COVERED

Carlos F. Smith DPM, PCTrinity Hospital NOT COVERED

Carroll, Rosemary -MDTrinity Hospital NOT COVERED

Castle Podiatry, LLCTrinity Hospital NOT COVERED

Page 179

Page 180: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Castle, Whitney -DPMTrinity Hospital NOT COVERED

Catizzone, Doris -CRNATrinity Hospital NOT COVERED

Chaffin, Edith -MDTrinity Hospital NOT COVERED

Chandler, Fritz-Jose -MDTrinity Hospital NOT COVERED

Chandra Diagnostic Cardiology, LtdTrinity Hospital NOT COVERED

Charles Clifford Alston, MD, SCTrinity Hospital NOT COVERED

Chicago Eye SpecialistsTrinity Hospital NOT COVERED

Chicago Family Health CenterTrinity Hospital NOT COVERED

Choudhry, Saira -PATrinity Hospital NOT COVERED

Choudry, Abdussalam -MDTrinity Hospital NOT COVERED

Chunduru, Prameela -MDTrinity Hospital COVERED UNDER FAP

Clanton, Waverly -MDTrinity Hospital COVERED UNDER FAP

Clary-Selli, Tyrisha -MDTrinity Hospital COVERED UNDER FAP

CMJ Medical Enterprises, LtdTrinity Hospital NOT COVERED

Coleman, Cedric -MDTrinity Hospital NOT COVERED

Collins, Kelly -NPTrinity Hospital COVERED UNDER FAP

Colson, Alec -PATrinity Hospital COVERED UNDER FAP

Cone, Jonathan -MDTrinity Hospital NOT COVERED

Continental Anesthesia, Ltd.Trinity Hospital NOT COVERED

Cothran, Judith -MDTrinity Hospital COVERED UNDER FAP

Crawford, Paul -MDTrinity Hospital NOT COVERED

Cruz, Pamela -MDTrinity Hospital COVERED UNDER FAP

D J Dawson, MD IncorporatedTrinity Hospital NOT COVERED

D.H. Medical Group, SCTrinity Hospital NOT COVERED

Damper, Patricia -MDTrinity Hospital NOT COVERED

Daniel, Lisa -MDTrinity Hospital COVERED UNDER FAP

Daniels, Kenisha -NPTrinity Hospital COVERED UNDER FAP

Dawson, Derek -MDTrinity Hospital NOT COVERED

Dean Onayemi, Mary -MDTrinity Hospital COVERED UNDER FAP

DeKoster, Loretta -ODTrinity Hospital NOT COVERED

Devina Shah, SCTrinity Hospital NOT COVERED

DeWhite, April -MDTrinity Hospital COVERED UNDER FAP

Diaz-Jimenez, Evelyn -MDTrinity Hospital NOT COVERED

Dickler, Adam -MDTrinity Hospital NOT COVERED

Dobler, Elizabeth -MDTrinity Hospital COVERED UNDER FAP

Doctors Unlimited Service CorporationTrinity Hospital NOT COVERED

Donald Amuh, MD, LtdTrinity Hospital NOT COVERED

Donthamsetti, Vikrant -DOTrinity Hospital NOT COVERED

Dudar, Irina -MDTrinity Hospital NOT COVERED

Dugas, Jeffrey -MDTrinity Hospital NOT COVERED

DuPage Medical Group, LTCTrinity Hospital NOT COVERED

East Side Medical Health Ctr.Trinity Hospital NOT COVERED

Ebie, Nyambi -MDTrinity Hospital NOT COVERED

Egwele, Richard -MDTrinity Hospital NOT COVERED

Eigles, Stephen -MDTrinity Hospital NOT COVERED

Ema, Linus -DOTrinity Hospital COVERED UNDER FAP

Escoto, Michael -DOTrinity Hospital COVERED UNDER FAP

Exchange Medical CenterTrinity Hospital NOT COVERED

Family Care Partners IncTrinity Hospital NOT COVERED

Family Doctor Medical Center, SCTrinity Hospital NOT COVERED

Fasih, Subia -MDTrinity Hospital COVERED UNDER FAP

Fatoki, Adeyemi -MDTrinity Hospital NOT COVERED

Febbo, Brian -MDTrinity Hospital COVERED UNDER FAP

Ferrell, Shawndra -NPTrinity Hospital COVERED UNDER FAP

Filip, Bailey -PATrinity Hospital COVERED UNDER FAP

Finder, Dorian -MDTrinity Hospital COVERED UNDER FAP

Flores, R. Michael -MDTrinity Hospital NOT COVERED

Foot & Ankle Health Center, PCTrinity Hospital NOT COVERED

Page 180

Page 181: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Foot Health InstituteTrinity Hospital NOT COVERED

For Your Health & WellnessTrinity Hospital NOT COVERED

Fox, Matthew -MDTrinity Hospital NOT COVERED

Franco, John -MDTrinity Hospital COVERED UNDER FAP

Frazier, Kendra -MDTrinity Hospital NOT COVERED

Fung-Cap, Ana -DOTrinity Hospital COVERED UNDER FAP

Gaddi, Kiran -MDTrinity Hospital COVERED UNDER FAP

Gadrinab, Nelcar -MDTrinity Hospital NOT COVERED

Gaim, Helen -PATrinity Hospital COVERED UNDER FAP

Gandhi, Harivadan -MDTrinity Hospital NOT COVERED

Gao, Lizhu -MDTrinity Hospital NOT COVERED

Gaston, Darrien -MDTrinity Hospital NOT COVERED

Gaw, Jodie -DOTrinity Hospital COVERED UNDER FAP

Gerst, David -DPMTrinity Hospital NOT COVERED

Gervais, Jacqueline -MDTrinity Hospital NOT COVERED

Goodman, Margaret -MDTrinity Hospital NOT COVERED

Gopal, Aravind -MDTrinity Hospital COVERED UNDER FAP

Goyal, Raj -MDTrinity Hospital NOT COVERED

Goyal, Sonia -DPMTrinity Hospital NOT COVERED

Great Heights Family Medicine LtdTrinity Hospital NOT COVERED

Great Lakes Pulmonary & Sleep Associates, Inc.Trinity Hospital NOT COVERED

Grevious, Mark -MDTrinity Hospital NOT COVERED

Grimes, Ephriam -MDTrinity Hospital COVERED UNDER FAP

Gruber, Benjamin -MDTrinity Hospital COVERED UNDER FAP

Gulati, Anil -MDTrinity Hospital NOT COVERED

Gurpinar, Ediz -MDTrinity Hospital NOT COVERED

Haj Darweesh, Mutazz -MDTrinity Hospital NOT COVERED

Harivadan Gandhi, MD, SCTrinity Hospital NOT COVERED

Harris, Michelle -MDTrinity Hospital COVERED UNDER FAP

Harsoor, Suneela -MDTrinity Hospital NOT COVERED

Hasan, Muhammad -MDTrinity Hospital NOT COVERED

Hasan, Nidal -MDTrinity Hospital NOT COVERED

Hashmi, Syed Affan -MDTrinity Hospital NOT COVERED

Hawkins, Rochelle -MDTrinity Hospital NOT COVERED

Hayes, Ronald -MDTrinity Hospital NOT COVERED

Health and Renewal Plastic Surgery Associates, S.C.Trinity Hospital NOT COVERED

Heart Care Centers of South ChicagoTrinity Hospital NOT COVERED

Heaton, Alex -MDTrinity Hospital NOT COVERED

Herron, Burnetta -MDTrinity Hospital NOT COVERED

Hill, Erin -PATrinity Hospital COVERED UNDER FAP

Hirsh, Erica -DOTrinity Hospital NOT COVERED

Hoang, Troy -MDTrinity Hospital COVERED UNDER FAP

Hobbie, Christopher -MDTrinity Hospital NOT COVERED

Holmes, Charles -MDTrinity Hospital NOT COVERED

Hong, Richard -MDTrinity Hospital NOT COVERED

Horsley, Neil -DPMTrinity Hospital NOT COVERED

Humera, Subuhi -DOTrinity Hospital COVERED UNDER FAP

Hussain, Anwer -DOTrinity Hospital COVERED UNDER FAP

Hussain, Mohammed -MDTrinity Hospital NOT COVERED

Hussain, Sakhawat -MDTrinity Hospital NOT COVERED

Illiana Nephrology Associates, LtdTrinity Hospital NOT COVERED

Integrated Imaging Consultants, LLCTrinity Hospital NOT COVERED

Ippolito, John -MDTrinity Hospital NOT COVERED

Iyengar, Rajesh -MDTrinity Hospital NOT COVERED

J.B. Jenkins, DPM & AssociatesTrinity Hospital NOT COVERED

Jean-Jacques, Wilfrid -MDTrinity Hospital NOT COVERED

Jenkins, Jondell -DPMTrinity Hospital NOT COVERED

Jimenez, Daniel -DOTrinity Hospital COVERED UNDER FAP

Page 181

Page 182: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Johnnie Lewis, DPM, PCTrinity Hospital NOT COVERED

Johnson, Ansel -ODTrinity Hospital NOT COVERED

Johnson, Claudia -MDTrinity Hospital NOT COVERED

Joo, Michael -MDTrinity Hospital COVERED UNDER FAP

Joseph, Sebastian -MDTrinity Hospital NOT COVERED

Joshi, Prashant -MDTrinity Hospital NOT COVERED

Kalawadia, Sejal -MDTrinity Hospital NOT COVERED

Kalman, Ross -MDTrinity Hospital COVERED UNDER FAP

Kalyanpur, Arjun -MDTrinity Hospital NOT COVERED

Kamath, Sanjay -MDTrinity Hospital NOT COVERED

Kamper, Josephine -MDTrinity Hospital NOT COVERED

Kandala, Rajiv -MDTrinity Hospital NOT COVERED

Kennedy, April -MDTrinity Hospital NOT COVERED

Keshava, Pramode -MDTrinity Hospital NOT COVERED

Khan, Nausheen -PATrinity Hospital NOT COVERED

Khan, Samina -MDTrinity Hospital NOT COVERED

Khan, Sanobar -MDTrinity Hospital NOT COVERED

Khankari, Kishore -MDTrinity Hospital NOT COVERED

Khishfe, Basem -MDTrinity Hospital COVERED UNDER FAP

Kidney Care Center Olympia Fields, LLCTrinity Hospital NOT COVERED

Kim, Howard -MDTrinity Hospital NOT COVERED

Kim, Hyo-Jin -MDTrinity Hospital COVERED UNDER FAP

Kim, Theresa -MDTrinity Hospital COVERED UNDER FAP

Kotler, Howard -MDTrinity Hospital COVERED UNDER FAP

Kurani, Pinky -MDTrinity Hospital COVERED UNDER FAP

Kysia, Rashid -MDTrinity Hospital COVERED UNDER FAP

Lamba, Indu -MDTrinity Hospital NOT COVERED

Landers, Sabrina -DPMTrinity Hospital NOT COVERED

LaPat, Kenneth -MDTrinity Hospital NOT COVERED

Lawson, Ebony -MDTrinity Hospital COVERED UNDER FAP

Lee, Myung -CRNATrinity Hospital NOT COVERED

Lee, Peter -MDTrinity Hospital NOT COVERED

Lewis, Dakisha -MDTrinity Hospital COVERED UNDER FAP

Lewis, Johnnie -DPMTrinity Hospital NOT COVERED

Lucy, Jeanie -ODTrinity Hospital NOT COVERED

Maday, Michael -MDTrinity Hospital NOT COVERED

Madewell, Holli -CRNATrinity Hospital NOT COVERED

Madhani, Jayesh -MDTrinity Hospital NOT COVERED

Madueke, Ijeoma -MDTrinity Hospital COVERED UNDER FAP

Maly, Jasmine -MDTrinity Hospital NOT COVERED

Manney, Errin -MDTrinity Hospital COVERED UNDER FAP

Manzoor Shah, MD, SCTrinity Hospital NOT COVERED

Marcic, Branislav -MDTrinity Hospital NOT COVERED

Martinez, Estella -MDTrinity Hospital COVERED UNDER FAP

McGuffin, Denise -MDTrinity Hospital COVERED UNDER FAP

McManus, Patrick -MDTrinity Hospital COVERED UNDER FAP

Meck, Candice -DOTrinity Hospital COVERED UNDER FAP

Mehta, Neil -MDTrinity Hospital NOT COVERED

Melrose Eyecare CenterTrinity Hospital NOT COVERED

Metropolitan Gastroenterology Consultant LtdTrinity Hospital NOT COVERED

Mezey, Dylan -MDTrinity Hospital COVERED UNDER FAP

Michel, Marjorie -MDTrinity Hospital NOT COVERED

Midland Orthopedic Associates, SCTrinity Hospital NOT COVERED

Midwest Anesthesia Partners, LLCTrinity Hospital NOT COVERED

Midwest Diagnostic Pathology, SCTrinity Hospital NOT COVERED

Midwest Eye Center, SCTrinity Hospital NOT COVERED

Midwest NeoPed Associates, LtdTrinity Hospital NOT COVERED

Migally, Farida -MDTrinity Hospital NOT COVERED

Page 182

Page 183: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Milazzo, Vincent -CRNATrinity Hospital NOT COVERED

Mintz, Ari -MDTrinity Hospital NOT COVERED

Mitchell, Winston -MDTrinity Hospital NOT COVERED

Mohammed, Farooq -MDTrinity Hospital NOT COVERED

Mohana Health Care, LtdTrinity Hospital NOT COVERED

Mohiuddin, Salman -MDTrinity Hospital NOT COVERED

Moore, Monica -MDTrinity Hospital NOT COVERED

Mourillon, Nicole -MDTrinity Hospital COVERED UNDER FAP

Muhammad, Taquana -NPTrinity Hospital COVERED UNDER FAP

N Hasan MD SCTrinity Hospital NOT COVERED

Nackers, Ruth -PATrinity Hospital COVERED UNDER FAP

Narh, Raymond -MDTrinity Hospital NOT COVERED

Nash, Karen -DDSTrinity Hospital NOT COVERED

Nedumgottil, Sumol -MDTrinity Hospital NOT COVERED

Nelson, Senora -MDTrinity Hospital COVERED UNDER FAP

Nephrology Associates of Northern Illinois, LTDTrinity Hospital NOT COVERED

Nephrology Associates of Northern Illinois, Ltd.Trinity Hospital NOT COVERED

Nettem, Bhargavi -MDTrinity Hospital NOT COVERED

Noghnogh, Abd -MDTrinity Hospital NOT COVERED

Oak Street Health - Avalon Park ClinicTrinity Hospital NOT COVERED

Okwuje, Philip -MDTrinity Hospital NOT COVERED

Onyewuchi, Otuonye -MDTrinity Hospital NOT COVERED

Oshin, Peter -MDTrinity Hospital COVERED UNDER FAP

Oxman, Daniel -MDTrinity Hospital COVERED UNDER FAP

Oyetunde, Susan -MDTrinity Hospital NOT COVERED

Pain Specialists of Illinois, SCTrinity Hospital NOT COVERED

Papari, Victor -MDTrinity Hospital COVERED UNDER FAP

Parvaiz, Akhtar -MDTrinity Hospital NOT COVERED

Patel, Bhakti -MDTrinity Hospital COVERED UNDER FAP

Patel, Chittaranjan -MDTrinity Hospital NOT COVERED

Patel, Kushal -DOTrinity Hospital COVERED UNDER FAP

Patel, Vedvati -MDTrinity Hospital NOT COVERED

Pennington, Norman -MDTrinity Hospital NOT COVERED

Peppers, Kina -MDTrinity Hospital COVERED UNDER FAP

Perkins, Theisha -MDTrinity Hospital NOT COVERED

Petrovic, Polina -MDTrinity Hospital NOT COVERED

Physicians Care Midwest, SCTrinity Hospital NOT COVERED

Pierson, Janice -MDTrinity Hospital NOT COVERED

Powell, Emilie -MDTrinity Hospital COVERED UNDER FAP

Powell, Ernest -MDTrinity Hospital COVERED UNDER FAP

Pulmonary ConsultantsTrinity Hospital NOT COVERED

Radiation Oncology of Chicago, SCTrinity Hospital NOT COVERED

Raghavan, Vinitha -MDTrinity Hospital NOT COVERED

Rajiv Kandala, MD SCTrinity Hospital NOT COVERED

Ramos, Filimon -PATrinity Hospital NOT COVERED

Randhawa, Ranjiv -MDTrinity Hospital COVERED UNDER FAP

Raymond Narh, MD, S.C.Trinity Hospital NOT COVERED

Retina Macula Specialists PCTrinity Hospital NOT COVERED

Richards, Ken -MDTrinity Hospital COVERED UNDER FAP

Rocco, Carmen -MDTrinity Hospital NOT COVERED

Roche, Amanda -PATrinity Hospital COVERED UNDER FAP

Rosett Plastic Surgery, LLCTrinity Hospital NOT COVERED

Rosett, Brian -MDTrinity Hospital NOT COVERED

Rosin Eyecare - Comprehensive Eyecare PhysiciansTrinity Hospital NOT COVERED

Rowley, Vincent -MDTrinity Hospital NOT COVERED

Rudyard Smith MD and Associates, SCTrinity Hospital NOT COVERED

Rupani, Gita -MDTrinity Hospital NOT COVERED

Sabree, Latifah -MDTrinity Hospital COVERED UNDER FAP

Page 183

Page 184: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Sackeim, Alexander -MDTrinity Hospital COVERED UNDER FAP

Saffold, Carol -MDTrinity Hospital COVERED UNDER FAP

Said, Albara -MDTrinity Hospital NOT COVERED

Saiz, LtdTrinity Hospital NOT COVERED

Sami Atassi, MD, LtdTrinity Hospital NOT COVERED

Sample, Madison -MDTrinity Hospital NOT COVERED

Schaar, Diane -MDTrinity Hospital NOT COVERED

Schmelka, Daniel -MDTrinity Hospital NOT COVERED

Seby, SCTrinity Hospital NOT COVERED

Shafiei, Ghazal -MDTrinity Hospital COVERED UNDER FAP

Shah, Devina -MDTrinity Hospital NOT COVERED

Shah, Malathi -MDTrinity Hospital NOT COVERED

Shah, Manzoor -MDTrinity Hospital NOT COVERED

Shah, Muhammad -DPMTrinity Hospital NOT COVERED

Shah, Uday -MDTrinity Hospital NOT COVERED

Sherman, Joshua -MDTrinity Hospital COVERED UNDER FAP

Shirazi, Haider -MDTrinity Hospital NOT COVERED

Siddiqui, Faiza -MDTrinity Hospital COVERED UNDER FAP

Simmons, Erica -PATrinity Hospital NOT COVERED

Simpson, Kareen -MDTrinity Hospital NOT COVERED

Smith Centers for Foot and Ankle CareTrinity Hospital NOT COVERED

Smith, Carlos -DPMTrinity Hospital NOT COVERED

Smith, Gregory -MDTrinity Hospital NOT COVERED

Smith, Jamiere -MDTrinity Hospital NOT COVERED

Smith, Rudyard -MDTrinity Hospital NOT COVERED

Smith, Steven -MDTrinity Hospital NOT COVERED

Sobrero, Maria -MDTrinity Hospital NOT COVERED

Sonty, Sriram -MDTrinity Hospital NOT COVERED

South Chicago Oncology Associates LLCTrinity Hospital NOT COVERED

South Park Pediatrics, IncTrinity Hospital NOT COVERED

South Shore CardiologyTrinity Hospital NOT COVERED

Southeast Anesthesia Consultants, LTDTrinity Hospital NOT COVERED

Southeast Chicago Neurology Associates, SCTrinity Hospital NOT COVERED

St. Bernard Hospital Ambulatory Care CenterTrinity Hospital NOT COVERED

Tanase, Emma -MDTrinity Hospital NOT COVERED

Taylor, Julie -MDTrinity Hospital COVERED UNDER FAP

Taylor, Karen -MDTrinity Hospital NOT COVERED

TCA ChathamTrinity Hospital NOT COVERED

Teleradiology SolutionsTrinity Hospital NOT COVERED

Tellez Medical Center, SCTrinity Hospital NOT COVERED

Tellez, Juan -MDTrinity Hospital NOT COVERED

Thomas, Joseph -MDTrinity Hospital NOT COVERED

Toguem, Serge -MDTrinity Hospital COVERED UNDER FAP

Trivedi, Kiritkumar -MDTrinity Hospital NOT COVERED

Tung, Allen -MDTrinity Hospital COVERED UNDER FAP

Turcanu, Ruslan -MDTrinity Hospital NOT COVERED

Twanow, Graeme -MDTrinity Hospital COVERED UNDER FAP

Tyson, C -MDTrinity Hospital NOT COVERED

United Elite Hospitalists, LLCTrinity Hospital NOT COVERED

Universal HealthClinics, SCTrinity Hospital NOT COVERED

Upadhyay, Naresh -MDTrinity Hospital NOT COVERED

Valek, James -MDTrinity Hospital NOT COVERED

Vascular and Interventional Professionals, LLCTrinity Hospital NOT COVERED

Velan, Prabhu -MDTrinity Hospital NOT COVERED

Verma, Saroj -MDTrinity Hospital NOT COVERED

Vision Salon Eye Care AssociatesTrinity Hospital NOT COVERED

Vowal, Patricia -NPTrinity Hospital NOT COVERED

VRAJ LtdTrinity Hospital NOT COVERED

Page 184

Page 185: Приложение 1 Перечень провайдеров FAP/врачей · Приложение 1 Перечень провайдеров fap/врачей Поскольку

Название больницы Advocate Имя провайдера или название офиса провайдера Статус покрытия согласно FAP

Vyas, Amit -MDTrinity Hospital NOT COVERED

Wable, Sumathi -MDTrinity Hospital NOT COVERED

Wan, Regina -NPTrinity Hospital COVERED UNDER FAP

Warner, Nathan -PATrinity Hospital COVERED UNDER FAP

Watson, Daryl -CRNATrinity Hospital NOT COVERED

Wechter, David -MDTrinity Hospital COVERED UNDER FAP

Weil Foot and Ankle InstituteTrinity Hospital NOT COVERED

Weisberg, Michael -MDTrinity Hospital NOT COVERED

Wheeler, Wendell -MDTrinity Hospital NOT COVERED

Williams, Helen -MDTrinity Hospital COVERED UNDER FAP

Wilson, Jessica -MDTrinity Hospital COVERED UNDER FAP

Women's Healthcare AffiliatesTrinity Hospital NOT COVERED

Wood, Michael -DPMTrinity Hospital NOT COVERED

Woodard, Qeena -DPMTrinity Hospital NOT COVERED

Yedidag, Azade -MDTrinity Hospital COVERED UNDER FAP

Yerlioglu, Ben -MDTrinity Hospital NOT COVERED

Yranela, Julito -CRNATrinity Hospital NOT COVERED

Zaman, Syed -MDTrinity Hospital NOT COVERED

Zayyad, Adel -MDTrinity Hospital NOT COVERED

Zhang, Alice -MDTrinity Hospital COVERED UNDER FAP

Page 185