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Phụ lục 1Danh sách bác sĩ/các nhà cung cấp FAP

Phù hợp với các giá trị nhân đạo và trách nhiệm quản lý của AHC, chính sách này của AHC nhằm Hỗ trợ Tài chính cho các bệnh nhân có nhu cầu. Chính sách Hỗ trợ Tài chính (FAP) áp dụng cho tất cả các trường hợp cấp cứu hoặc cần dịch vụ chăm sóc y tế thiết yếu tại bệnh viện, nhưng không ràng buộc các nhà cung cấp dịch vụ y tế ngoài bệnh viện tư nhân khác (ví dụ, các bác sĩ). Chính sách cũng không ràng buộc một nhà cung cấp vào, ví dụ nhưng không giới hạn bởi, một sự thay đổi trong mối quan hệ công việc với AHC hay một thay đổi trong phạm vi hành nghề của họ. Do đó, bởi vì các bác sĩ và các nhà cung cấp khác được liệt kê trong danh sách này có thể thay đổi theo thời gian, nên AHC sẽ cập nhật và đăng bản danh sách mới trên trang web của AHC ít nhất hàng quý (www.advocatehealth.com/financialassistance).

Nếu tình trạng bảo hiểm theo FAP của các nhà cung cấp được ghi là “ĐƯỢC BẢO HIỂM THEO FAP”, thì dịch vụ chăm sóc của nhà cung cấp hoặc cơ sở hành nghề của nhà cung cấp (được thực hiện trong cơ sở bệnh viện) được bảo hiểm theo Chính sách FAP. Nếu tình trạng bảo hiểm theo FAP của các nhà cung cấp được ghi là “KHÔNG ĐƯỢC BẢO HIỂM”, thì dịch vụ chăm sóc của nhà cung cấp hoặc cơ sở hành nghề của nhà cung cấp (được thực hiện trong cơ sở bệnh viện) không được bảo hiểm theo Chính sách FAP.

Tên bệnh viện Advocate Tên nhà cung cấp hoặc Văn phòng của Nhà cung cấp Tình trạng bảo hiểm theo FAP

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

Bromenn Medical Center Gordhan, Ajeet Dhaya-MD NOT COVERED

Bromenn Medical Center Guardian Headache and Pain Management Institute, LLC NOT COVERED

Bromenn Medical Center Hall, Thomas D.-DMD NOT COVERED

Bromenn Medical Center Hamm, Brian Lee-DPM NOT COVERED

Bromenn Medical Center Hanson, Katie E.-NP NOT COVERED

Bromenn Medical Center Hanson, Mark J.-MD NOT COVERED

Bromenn Medical Center Haq, Syed Samee-Ul-DO NOT COVERED

Bromenn Medical Center Harold A Nord OB-Gyn S.C. NOT COVERED

Bromenn Medical Center Hartman, Eric Thomas-MD NOT COVERED

Bromenn Medical Center Hashmi, Faiza -MD NOT COVERED

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

Bromenn Medical Center HeartCare Midwest, Ltd. NOT COVERED

Bromenn Medical Center HeartCare Midwest, SC NOT COVERED

Bromenn Medical Center Housner, Ryan Joseph-PA NOT COVERED

Bromenn Medical Center Illinois CancerCare, PC NOT COVERED

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

Bromenn Medical Center Infinity Healthcare Physicians COVERED UNDER FAP

Bromenn Medical Center Irwin, George Stephen-MD NOT COVERED

Bromenn Medical Center Jantzen, David -MD NOT COVERED

Bromenn Medical Center Jeffrey Jones, DDS, LLC NOT COVERED

Bromenn Medical Center Jweied, Eias -MD NOT COVERED

Bromenn Medical Center Katta, Solomon -MD NOT COVERED

Bromenn Medical Center Kidney Care Center Bloomington, LLC NOT COVERED

Bromenn Medical Center Kink, Shaun Anthony-MD NOT COVERED

Bromenn Medical Center Klich, Janice Ruth-MD NOT COVERED

Bromenn Medical Center KMB, SC NOT COVERED

Bromenn Medical Center Knepp, Marc Douglas-MD NOT COVERED

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

Bromenn Medical Center Laura C. Randolph, MD SC NOT COVERED

Bromenn Medical Center Lee, Dennis -MD NOT COVERED

Bromenn Medical Center Leonard, W. Marc-DPM NOT COVERED

Bromenn Medical Center Li, Fang -MD COVERED UNDER FAP

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

Bromenn Medical Center Mann, Stewart Ralph-MD NOT COVERED

Bromenn Medical Center Markos, Michael Achilles-MD NOT COVERED

Bromenn Medical Center Medical Group - College Avenue NOT COVERED

Bromenn Medical Center Mehmood, Sajid -MD NOT COVERED

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

Bromenn Medical Center Metro Infectious Disease Consultants, LLC NOT COVERED

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Bromenn Medical Center Mid-Illinois Hematology & Oncology Associates Ltd NOT COVERED

Bromenn Medical Center Midstate Podiatry Associates, Ltd NOT COVERED

Bromenn Medical Center Midwest Allergy Sinus Asthma, SC NOT COVERED

Bromenn Medical Center Midwest Lung and Sleep Consultants NOT COVERED

Bromenn Medical Center Midwest Pulmonary Associates, SC NOT COVERED

Bromenn Medical Center Millennium Pain Center, LLC NOT COVERED

Bromenn Medical Center Miller Urogynecology, SC NOT COVERED

Bromenn Medical Center Minneapolis VA Medical center NOT COVERED

Bromenn Medical Center Mohammad, Zulfiqar -MD NOT COVERED

Bromenn Medical Center Mygatt, Christopher L.-PA NOT COVERED

Bromenn Medical Center Naour, Paul R.-MD NOT COVERED

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

Bromenn Medical Center Nevin, James Laverne-MD NOT COVERED

Bromenn Medical Center Newcomer, Joseph Kaysing-MD NOT COVERED

Bromenn Medical Center Nona Fulk MD, SC NOT COVERED

Bromenn Medical Center Normal Bloomington Anesthesiologists, Ltd NOT COVERED

Bromenn Medical Center Norris, Joseph Bryan-MD NOT COVERED

Bromenn Medical Center Novotny, Joseph A.-MD NOT COVERED

Bromenn Medical Center Oakey, Jerome W.-MD NOT COVERED

Bromenn Medical Center Obstetrics & Gynecology Care Associates, SC NOT COVERED

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

Bromenn Medical Center Advanced Women's Healthcare, SC NOT COVERED

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

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

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

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

Bromenn Medical Center Advocate Medical Group - Bloomington - 3024 E. Empire - Sports Medicine COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group - Chicago - Trinity - Emergency Medicine COVERED UNDER FAP

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

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

Bromenn Medical Center Advocate Medical Group - Park Ridge - 1875 Dempster - Neurology COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Bloomington Empire Behavioral Health COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Bloomington Pediatrics COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group BroMenn Psychiatry COVERED UNDER FAP

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

Bromenn Medical Center Advocate Medical Group Emergency Medicine COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group ENT Surgical Associates COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Fairbury COVERED UNDER FAP

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

Bromenn Medical Center Advocate Medical Group Hospitalist COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Hospitalists COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Illinois Heart & Lung Cardiology COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Illinois Heart & Lung Pulmonology COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Immediate Care/ Occ Medicine COVERED UNDER FAP

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

Bromenn Medical Center Advocate Medical Group LeRoy COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Lexington COVERED UNDER FAP

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

Bromenn Medical Center Advocate Medical Group Midwest Pediatric Cardiology COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Neonatology COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Sugar Creek Endocrinology COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Sugar Creek Primary Care COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Sykes COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Trauma COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Trauma Surgery COVERED UNDER FAP

Bromenn Medical Center Advocate Medical Group Wound Healing & Hyperbaric Medicine COVERED UNDER FAP

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

Bromenn Medical Center Advocate Medical Group-Oak Lawn-Cicero Avenue COVERED UNDER FAP

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

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

Bromenn Medical Center Ahn, Joseph Y.-MD NOT COVERED

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

Bromenn Medical Center Ambulatory Anesthesiology, Ltd. NOT COVERED

Bromenn Medical Center AMG Emergency Medicine NOT COVERED

Bromenn Medical Center Anesthesiology Consultants NOT COVERED

Bromenn Medical Center Applied Pain Institute, LLC NOT COVERED

Bromenn Medical Center Armstrong, Lucas C.-MD NOT COVERED

Bromenn Medical Center Associates In Dermatology, SC NOT COVERED

Bromenn Medical Center Bajaj, Madhuri -MD NOT COVERED

Bromenn Medical Center Bari, Naveed -MD NOT COVERED

Bromenn Medical Center Becton, Wendell W.-MD COVERED UNDER FAP

Bromenn Medical Center Bloomington Pediatrics & Allergy NOT COVERED

Bromenn Medical Center Bloomington Primary Care, LTD NOT COVERED

Bromenn Medical Center Bloomington Radiology, SC NOT COVERED

Bromenn Medical Center Bloomington Rehabilitation Associates, LLC NOT COVERED

Bromenn Medical Center Bloomington-Normal ENT LTD NOT COVERED

Bromenn Medical Center Bolles, Jonathan E.-PA NOT COVERED

Bromenn Medical Center Braun, Jessica Nicole-PA NOT COVERED

Bromenn Medical Center BroMenn Family Health Clinic COVERED UNDER FAP

Bromenn Medical Center Cancer Care Associates NOT COVERED

Bromenn Medical Center Cardiac Surgery Associates, SC NOT COVERED

Bromenn Medical Center Cardiovascular Health Specialists NOT COVERED

Bromenn Medical Center Carmichael, Craig W.-MD NOT COVERED

Bromenn Medical Center Carter, Leslie Elaine-NP NOT COVERED

Bromenn Medical Center Center for Cosmetic and Laser Surgery, LLC NOT COVERED

Bromenn Medical Center Central Illinois Neuro Health Sciences, Ltd NOT COVERED

Bromenn Medical Center Central Illinois Neuroradiology Ltd-Advanced MRI NOT COVERED

Bromenn Medical Center Central Illinois Orthopedic Surgery, LLC NOT COVERED

Bromenn Medical Center Central Illinois Pediatric Associates, LLC NOT COVERED

Bromenn Medical Center Central Illinois Pulmonary and Critical Care NOT COVERED

Bromenn Medical Center Chatrath, Sanjay -DO NOT COVERED

Bromenn Medical Center Chest Medicine Consultants, SC NOT COVERED

Bromenn Medical Center Chicago Anesthesia Associates, SC NOT COVERED

Bromenn Medical Center Children's Center for Dentistry NOT COVERED

Bromenn Medical Center Children's Hospital of Illinois Medical Group NOT COVERED

Bromenn Medical Center Chokshi, Nikhil Kanu-MD NOT COVERED

Bromenn Medical Center Cohler, Larry Frederic-MD NOT COVERED

Bromenn Medical Center Cole, Bradley J.-NP NOT COVERED

Bromenn Medical Center Community Cancer Center, LLC NOT COVERED

Bromenn Medical Center Comphrensive Kidney Care, LLC NOT COVERED

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

Bromenn Medical Center Cross, Chadrick Antony-MD NOT COVERED

Bromenn Medical Center Dangles, Chris John-MD NOT COVERED

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

Bromenn Medical Center David M Skillrud MD LTD NOT COVERED

Bromenn Medical Center Definitive Neurodiagnostics, LLC NOT COVERED

Bromenn Medical Center Dermatology and Mohs Surgery Institute, Ltd NOT COVERED

Bromenn Medical Center Dick, Herman Justus-MD COVERED UNDER FAP

Bromenn Medical Center Digestive Disease Consultants, LTD NOT COVERED

Bromenn Medical Center DMH Millenium Pain Center NOT COVERED

Bromenn Medical Center Draksler, David J.-CRNA NOT COVERED

Bromenn Medical Center Dreyer Clinic - Rush Copley NOT COVERED

Bromenn Medical Center Dubovoy, Natalie -MD NOT COVERED

Bromenn Medical Center Dustman, John Anthony-MD NOT COVERED

Bromenn Medical Center Efferen, Tobin Robinson-MD NOT COVERED

Bromenn Medical Center Eye Surgical Associates, SC NOT COVERED

Page 3


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

Bromenn Medical Center Finn R. Amble, MD, FACS, SC NOT COVERED

Bromenn Medical Center Frantz, Alex Wayne-PA NOT COVERED

Bromenn Medical Center Gailey Eye Clinic NOT COVERED

Bromenn Medical Center Galvan OBGYN & Associates, LLC NOT COVERED

Bromenn Medical Center Garretto, Robert -DO COVERED UNDER FAP

Bromenn Medical Center Gerardo A. Grieco, MD, SC NOT COVERED

Bromenn Medical Center Orthopedics & Shoulder Center NOT COVERED

Bromenn Medical Center Orthopedics of Illinois NOT COVERED

Bromenn Medical Center Osawe, Faithful O.-MD NOT COVERED

Bromenn Medical Center OSF Children's Hospital of Illinois Medical Group NOT COVERED

Bromenn Medical Center OSF Medical Group - College Avenue NOT COVERED

Bromenn Medical Center OSF Multi-Specialty Group NOT COVERED

Bromenn Medical Center OSF Neurology NOT COVERED

Bromenn Medical Center Otis Allen, MD, SC NOT COVERED

Bromenn Medical Center Paige C. Holt MD Ltd NOT COVERED

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

Bromenn Medical Center Paschold, Bryce Andrew-DPM NOT COVERED

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

Bromenn Medical Center Paul, Gerald Wayne-DPM NOT COVERED

Bromenn Medical Center Pediatric Cardiology Associates, SC NOT COVERED

Bromenn Medical Center Physicians Care Midwest, SC COVERED UNDER FAP

Bromenn Medical Center Prasad, Bharati -MD NOT COVERED

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

Bromenn Medical Center Premier Medical Group, LLC NOT COVERED

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

Bromenn Medical Center PRO Podiatry LLC - Premier Podiatry NOT COVERED

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

Bromenn Medical Center Pulmonary Medicine NOT COVERED

Bromenn Medical Center Rauen Dardis, Sara Renee-DDS NOT COVERED

Bromenn Medical Center RenalCare Associates, SC NOT COVERED

Bromenn Medical Center Retina Consultants of Central Illinois, SC NOT COVERED

Bromenn Medical Center Richard W Wellman, MD LLC NOT COVERED

Bromenn Medical Center Rufus, Deborah J.-NP NOT COVERED

Bromenn Medical Center Sage Medical Group, SC NOT COVERED

Bromenn Medical Center Saleem, Moeen A.-MD COVERED UNDER FAP

Bromenn Medical Center Sarah Dutta, OB-GYN, SC NOT COVERED

Bromenn Medical Center Sawyer, Darren M.-NP NOT COVERED

Bromenn Medical Center Schertz, Nicole Christine-CRNA NOT COVERED

Bromenn Medical Center Schrock, Brian Andrew-PA NOT COVERED

Bromenn Medical Center Seidl, Robert K.-MD NOT COVERED

Bromenn Medical Center Sharon R. Weaver, MD, SC NOT COVERED

Bromenn Medical Center Singh, Amarjit -MD NOT COVERED

Bromenn Medical Center Slotky, Barry -MD NOT COVERED

Bromenn Medical Center Smith, Kevin S.-MD NOT COVERED

Bromenn Medical Center Sriram, Krishnan -MD NOT COVERED

Bromenn Medical Center Steinkoenig, Victoria L.-CNS NOT COVERED

Bromenn Medical Center Stern, David Ross-MD NOT COVERED

Bromenn Medical Center Stivers, Mark Richard-MD COVERED UNDER FAP

Bromenn Medical Center Subramanian, Sanjay -MD NOT COVERED

Bromenn Medical Center Summit Family Medical Center NOT COVERED

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

Bromenn Medical Center Tattini, Chad Douglas-MD NOT COVERED

Bromenn Medical Center Taulbee, Kent Simmons-MD NOT COVERED

Bromenn Medical Center The Center for Outpatient Medicine NOT COVERED

Bromenn Medical Center Uraizee, Faheem -MD COVERED UNDER FAP

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

Bromenn Medical Center Virtual Radiologic Professionals NOT COVERED

Page 4


Bromenn Medical Center Virtual Radiologic Professionals, LLC NOT COVERED

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

Christ Medical Center and Children's Hospital A2Z Care Med-Meds Specialist, PC NOT COVERED

Christ Medical Center and Children's Hospital Abdessalam, Nadia F.-NP NOT COVERED

Christ Medical Center and Children's Hospital Abramson, Brad L.-DO COVERED UNDER FAP

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

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

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

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

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

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

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

Christ Medical Center and Children's Hospital Advocate Medical Group - Chicago - Pullman Park COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group - Chicago - Trinity - Emergency Medicine COVERED UNDER FAP

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

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

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

Christ Medical Center and Children's Hospital Advocate Medical Group - Hazel Crest - Kedzie Avenue COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 4220 W 95th St - Pediatric Subspecialties COVERED UNDER FAP

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

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

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

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

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

Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 4550 Southwest Hwy - Family Practice COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Advocate Medical Group - Park Ridge - 1675 Dempster - Pediatric Critical Care COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group - Park Ridge - Pediatric Neurosurgery COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Advocate Medical Group BroMenn Psychiatry COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Chicago 2315 E 93rd Street Neurology COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Chicago-Ashland Ave COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Children's Hoffman Estate COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Advocate Medical Group Clinical Ethics and Pallative Medicine COVERED UNDER FAP

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

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

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

Christ Medical Center and Children's Hospital Advocate Medical Group Downers Grove 3825 Highland COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Downers Grove Highland Avenue COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Emergency Medicine COVERED UNDER FAP

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

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

Christ Medical Center and Children's Hospital Advocate Medical Group Halsted Neurosurgery COVERED UNDER FAP

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

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

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

Christ Medical Center and Children's Hospital Advocate Medical Group Irving and Western COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Maternal Fetal COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Merrionette Park COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group MidAmerica Cardio HazelCrest COVERED UNDER FAP

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

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

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

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

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

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

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

Page 5


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

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

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

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

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

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

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

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

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

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

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

Christ Medical Center and Children's Hospital Advocate Medical Group Orland Park COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Advocate Medical Group Park Ridge 1775 Dempster Street Pediatric Critical Care COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Park Ridge 1875 Dempster Oncology COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Parkside Cardiology COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Parkside Genetics COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Parkside Maternal Fetal COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Pediatric Cardiovascular Surgery COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Pediatrics Developmental Center COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Advocate Medical Group South Holland Hospitalist COVERED UNDER FAP

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

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

Christ Medical Center and Children's Hospital Advocate Medical Group Trauma Surgery COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Pediatrics COVERED UNDER FAP

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

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

Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Peds Hem/Onc COVERED UNDER FAP

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

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

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

Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Psychiatry COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Advocate Medical Group-Downers Grove, 3825 Highland Ave.-Palliative Care COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Advocate Medical Group-Oak Lawn - 4220 W 95th St - Pediatric Subspecialties COVERED UNDER FAP

Christ Medical Center and Children's Hospital Advocate Medical Group-Oak Lawn-Cicero Avenue COVERED UNDER FAP

Christ Medical Center and Children's Hospital Afifi, M. Sherif-MD NOT COVERED

Christ Medical Center and Children's Hospital Aggarwal, Nimit K.-MD NOT COVERED

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

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

Christ Medical Center and Children's Hospital Aicher, Tracy Marie-NP NOT COVERED

Christ Medical Center and Children's Hospital AIMMC Congestive Heart Failure Clinic COVERED UNDER FAP

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

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

Christ Medical Center and Children's Hospital Al-Ani, Ismail -MD NOT COVERED

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

Christ Medical Center and Children's Hospital Albright, Joslyn Marie-MD COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Alex, Charles G.-MD NOT COVERED

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

Christ Medical Center and Children's Hospital Alexander, Jonathan M.-MD NOT COVERED

Christ Medical Center and Children's Hospital Alexander, Philip J.-MD NOT COVERED

Christ Medical Center and Children's Hospital Al-Khaled, Nouri -MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Allam, Talha Samie-MD COVERED UNDER FAP

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

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

Page 6


Christ Medical Center and Children's Hospital Al-Qawasmi, Fouad A.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Altman, Igor A.-DO NOT COVERED

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

Christ Medical Center and Children's Hospital Alzein, Mohamad Riad-MD NOT COVERED

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

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

Christ Medical Center and Children's Hospital Amita Health Medical Group NOT COVERED

Christ Medical Center and Children's Hospital Anastos, John P.-DO NOT COVERED

Christ Medical Center and Children's Hospital Andel, Kristen Marie-PA NOT COVERED

Christ Medical Center and Children's Hospital Anderst, James D.-MD NOT COVERED

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

Christ Medical Center and Children's Hospital Andrade, Ambar Afshar-MD COVERED UNDER FAP

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

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

Christ Medical Center and Children's Hospital Annes, John G.-MD NOT COVERED

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

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

Christ Medical Center and Children's Hospital Ares Maisonet, Guillermo Javier-MD NOT COVERED

Christ Medical Center and Children's Hospital Aronson, Andrew James-MD NOT COVERED

Christ Medical Center and Children's Hospital Arora, Vinay -MD NOT COVERED

Christ Medical Center and Children's Hospital Arthur L. Ostrowski, MD, SC NOT COVERED

Christ Medical Center and Children's Hospital Arun, Haleyur P.-MD NOT COVERED

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

Christ Medical Center and Children's Hospital Asima, Sika S.-CRNA NOT COVERED

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

Christ Medical Center and Children's Hospital Associated Allergists & Asthma Specialists, Ltd NOT COVERED

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

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

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

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

Christ Medical Center and Children's Hospital Aziz, George F.-MD NOT COVERED

Christ Medical Center and Children's Hospital Bajwa, Ajwad Saeed-MD NOT COVERED

Christ Medical Center and Children's Hospital Balandrin, Jorge E.-MD NOT COVERED

Christ Medical Center and Children's Hospital Balanlayos, Ivy Ignas-CNS NOT COVERED

Christ Medical Center and Children's Hospital Balash, Paul Richard-MD COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Bane, Christopher D.-MD NOT COVERED

Christ Medical Center and Children's Hospital Bardezbanian, Bryce Joseph-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Bari, Naveed -MD NOT COVERED

Christ Medical Center and Children's Hospital Bauer, Richard Marcus-MD NOT COVERED

Christ Medical Center and Children's Hospital Baylis, William J.-DO NOT COVERED

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

Christ Medical Center and Children's Hospital Beaumont, Laura A.-PsyD NOT COVERED

Christ Medical Center and Children's Hospital Beck, Michael E.-MD NOT COVERED

Christ Medical Center and Children's Hospital Beckett, James E.-MD NOT COVERED

Christ Medical Center and Children's Hospital Bedikian, Sarkis Michael-DO NOT COVERED

Christ Medical Center and Children's Hospital Bell, Jeremy Thomas-PA NOT COVERED

Christ Medical Center and Children's Hospital Bell, Nathan Howard-PA NOT COVERED

Christ Medical Center and Children's Hospital Bero, Jennifer Lynn-MD NOT COVERED

Christ Medical Center and Children's Hospital Berwyn Pediatrics NOT COVERED

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

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

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

Christ Medical Center and Children's Hospital Bisaga, Mary Katherine-NP NOT COVERED

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

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

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

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

Page 7


Christ Medical Center and Children's Hospital Bonk, Alison Katherine-NP COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Bortoli, Kristin -NP NOT COVERED

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

Christ Medical Center and Children's Hospital Bousman, Tina M.-PA NOT COVERED

Christ Medical Center and Children's Hospital Bowersox, Keith D.-MD NOT COVERED

Christ Medical Center and Children's Hospital Boyd, Christine D.-MD NOT COVERED

Christ Medical Center and Children's Hospital Brann, Donald Duane-DPM NOT COVERED

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

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

Christ Medical Center and Children's Hospital Bresticker, Michael A.-MD NOT COVERED

Christ Medical Center and Children's Hospital Brinton, Taylor D.-DO NOT COVERED

Christ Medical Center and Children's Hospital Brisbin, Beverlee Ann-MD NOT COVERED

Christ Medical Center and Children's Hospital Brooker, Jay M.-MD NOT COVERED

Christ Medical Center and Children's Hospital Brown, Henry Gordon-MD NOT COVERED

Christ Medical Center and Children's Hospital Browning, Carol Ann Tennent-MD NOT COVERED

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

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

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

Christ Medical Center and Children's Hospital Burke, Nancy E.-NP NOT COVERED

Christ Medical Center and Children's Hospital Burns, Justine Yuri-PA NOT COVERED

Christ Medical Center and Children's Hospital Burns, Leah M.-NP COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Captain James A. Lovell Federal Health Care Center NOT COVERED

Christ Medical Center and Children's Hospital Cardiac Surgery Associates, SC NOT COVERED

Christ Medical Center and Children's Hospital Cardiology Medical Group NOT COVERED

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

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

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

Christ Medical Center and Children's Hospital Carli, Erin D.-NP NOT COVERED

Christ Medical Center and Children's Hospital Carlos Smith, DPM, PC NOT COVERED

Christ Medical Center and Children's Hospital Carrillo, Tami Catherine-MD NOT COVERED

Christ Medical Center and Children's Hospital Castelli, Michael Edward-PA NOT COVERED

Christ Medical Center and Children's Hospital Center for Adult and Pediatric Wellness NOT COVERED

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

Christ Medical Center and Children's Hospital Center for Internal Medicine NOT COVERED

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

Christ Medical Center and Children's Hospital Center for Pediatric Gastroenterology NOT COVERED

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

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

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

Christ Medical Center and Children's Hospital Chaar, Bassem T.-MD NOT COVERED

Christ Medical Center and Children's Hospital Chagnon, Kari Lynn-PA NOT COVERED

Christ Medical Center and Children's Hospital Chalupczak, Robert J.-MD NOT COVERED

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

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

Christ Medical Center and Children's Hospital Charuk, George E.-DO NOT COVERED

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

Christ Medical Center and Children's Hospital Chepuri, Neeraj Babu-MD NOT COVERED

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

Christ Medical Center and Children's Hospital Chicago Anesthesia Associates, SC NOT COVERED

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

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

Christ Medical Center and Children's Hospital Chicago Hand and Orthopedic Surgery Centers, SC NOT COVERED

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

Christ Medical Center and Children's Hospital Chicagoland Allergy and Asthma Consultants, LTD NOT COVERED

Christ Medical Center and Children's Hospital Chickerillo, Krystina Marie-NP NOT COVERED

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

Page 8


Christ Medical Center and Children's Hospital Christopher T. Kardasis, MD, SC NOT COVERED

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

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

Christ Medical Center and Children's Hospital Chronopoulos, Foti T.-MD NOT COVERED

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

Christ Medical Center and Children's Hospital Clark, Steven T.-MD NOT COVERED

Christ Medical Center and Children's Hospital Coenen, Allison Marie-PA NOT COVERED

Christ Medical Center and Children's Hospital Cohen, Stephanie Brooke-PA COVERED UNDER FAP

Christ Medical Center and Children's Hospital Collins, Mary Ann Jugovic-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Collins, Steven M.-PA NOT COVERED

Christ Medical Center and Children's Hospital Comphrensive Kidney Care, LLC NOT COVERED

Christ Medical Center and Children's Hospital Cora, Natalie B.-NP NOT COVERED

Christ Medical Center and Children's Hospital CortiCare NOT COVERED

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

Christ Medical Center and Children's Hospital Coury, Christopher Anthony-MD NOT COVERED

Christ Medical Center and Children's Hospital Crosby, Jennifer L.-CNS NOT COVERED

Christ Medical Center and Children's Hospital Cross, Chadrick Antony-MD NOT COVERED

Christ Medical Center and Children's Hospital Crossan, Paul D.-MD NOT COVERED

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

Christ Medical Center and Children's Hospital Czupek, Deborah A.-PhD NOT COVERED

Christ Medical Center and Children's Hospital Dado, Ralph N.-MD NOT COVERED

Christ Medical Center and Children's Hospital Danielsky, Paul Joseph-MD COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital De Ranieri, Deirdre Ita-MD NOT COVERED

Christ Medical Center and Children's Hospital DeFrino, Paul F.-MD NOT COVERED

Christ Medical Center and Children's Hospital DeJong, Megan Joy-MD NOT COVERED

Christ Medical Center and Children's Hospital Dermatology Associates of Illinois SC NOT COVERED

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

Christ Medical Center and Children's Hospital Desai, Chaitanya Rajendra-MD COVERED UNDER FAP

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

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

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

Christ Medical Center and Children's Hospital Diamond, Terrence P.-MD NOT COVERED

Christ Medical Center and Children's Hospital Dickinson, John Douglas-DO NOT COVERED

Christ Medical Center and Children's Hospital Dixon-Grevious, Dolores Louise-MD NOT COVERED

Christ Medical Center and Children's Hospital DJH Rheumatology Consultants LLC NOT COVERED

Christ Medical Center and Children's Hospital Dolan, Theresa A.-NP COVERED UNDER FAP

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

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

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

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

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

Christ Medical Center and Children's Hospital Draths-Hanson, Kathleen G.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Dreyer Clinic - Highland NOT COVERED

Christ Medical Center and Children's Hospital Dreyer Clinic - Rush Copley NOT COVERED

Christ Medical Center and Children's Hospital Drs. Wang, MD, SC NOT COVERED

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

Christ Medical Center and Children's Hospital Duback, Kimberly M.-CNS NOT COVERED

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

Christ Medical Center and Children's Hospital DuPage Children's ENT and Allergy NOT COVERED

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

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

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

Christ Medical Center and Children's Hospital EBS Pediatrics NOT COVERED

Christ Medical Center and Children's Hospital Ellenby, Martin I.-MD NOT COVERED

Christ Medical Center and Children's Hospital Elmhurst Clinic NOT COVERED

Christ Medical Center and Children's Hospital EM Strategies, Ltd. COVERED UNDER FAP

Christ Medical Center and Children's Hospital Ennis, William J.-DO NOT COVERED

Page 9


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

Christ Medical Center and Children's Hospital Erickson, Kurt W.-MD NOT COVERED

Christ Medical Center and Children's Hospital Errek, Henry K.-PhD NOT COVERED

Christ Medical Center and Children's Hospital Evans, Diana M.-PA NOT COVERED

Christ Medical Center and Children's Hospital Evans, Kaleigh Lynette-MD NOT COVERED

Christ Medical Center and Children's Hospital Fairview Ogden Medical Group NOT COVERED

Christ Medical Center and Children's Hospital Fakhouri, Anton J.-MD NOT COVERED

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

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

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

Christ Medical Center and Children's Hospital Farooki, Basheeruddin M.-MD NOT COVERED

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

Christ Medical Center and Children's Hospital Feria, Araceli Ilagan-MD NOT COVERED

Christ Medical Center and Children's Hospital Ferrel, James Arthur-MD NOT COVERED

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

Christ Medical Center and Children's Hospital Flanagan, Jane T.-NP NOT COVERED

Christ Medical Center and Children's Hospital Foosaner, David E.-MD NOT COVERED

Christ Medical Center and Children's Hospital Fowler, Mary V.-NP NOT COVERED

Christ Medical Center and Children's Hospital Fox, Christa M.-NP NOT COVERED

Christ Medical Center and Children's Hospital Frank, Michael W.-MD NOT COVERED

Christ Medical Center and Children's Hospital Frazier, Terra N.-DO NOT COVERED

Christ Medical Center and Children's Hospital Gajda, Malgorzata A.-MD NOT COVERED

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

Christ Medical Center and Children's Hospital Garras, David -MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Gavani, Uma Devi-MD NOT COVERED

Christ Medical Center and Children's Hospital Gelsomino, Steven L.-DPM NOT COVERED

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

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

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

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

Christ Medical Center and Children's Hospital Ginde, Jayant V.-MD NOT COVERED

Christ Medical Center and Children's Hospital Glowicki, Allyson Elizabeth-PA NOT COVERED

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

Christ Medical Center and Children's Hospital Goldstein, Irene Michele-MD NOT COVERED

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

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

Christ Medical Center and Children's Hospital Gordon, Melanie Jaynee-MD COVERED UNDER FAP

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

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

Christ Medical Center and Children's Hospital Gourineni, Prasad V.-MD NOT COVERED

Christ Medical Center and Children's Hospital Govostis, Dean M.-MD NOT COVERED

Christ Medical Center and Children's Hospital Grady, John F.-DPM NOT COVERED

Christ Medical Center and Children's Hospital Grehan, William G.-MD NOT COVERED

Christ Medical Center and Children's Hospital Grote, Christina -NP NOT COVERED

Christ Medical Center and Children's Hospital Grove, Katherine L.-NP NOT COVERED

Christ Medical Center and Children's Hospital Guajardo, Aaron -MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Guglielmi, Kelly E.-MD NOT COVERED

Christ Medical Center and Children's Hospital Gulabani, Aditi Gulab-MD NOT COVERED

Christ Medical Center and Children's Hospital Guzzetta, Paul Michael-MD COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Haddad, Rami Yacoub-MD NOT COVERED

Christ Medical Center and Children's Hospital Hager, Cheryl A.-CNS NOT COVERED

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

Christ Medical Center and Children's Hospital Hall, Laurie A.-NP NOT COVERED

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

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

Christ Medical Center and Children's Hospital Hameed, Tariq -MD NOT COVERED

Christ Medical Center and Children's Hospital Hamilton, John F.-MD NOT COVERED

Page 10


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

Christ Medical Center and Children's Hospital Hanahan, Laura Jane-MD NOT COVERED

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

Christ Medical Center and Children's Hospital Haraldsson, Catherine A.-PA NOT COVERED

Christ Medical Center and Children's Hospital Harley, J. Preston-PhD NOT COVERED

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

Christ Medical Center and Children's Hospital Hassan, Ahmed N.-MD NOT COVERED

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

Christ Medical Center and Children's Hospital Heaney, Stephen M.-DDS NOT COVERED

Christ Medical Center and Children's Hospital Heenan, Brian Anthony-NP NOT COVERED

Christ Medical Center and Children's Hospital Heil, Nancy Jo-MD NOT COVERED

Christ Medical Center and Children's Hospital Heller, William A.-MD NOT COVERED

Christ Medical Center and Children's Hospital Herbert C. Becker Jr., MD SC NOT COVERED

Christ Medical Center and Children's Hospital Hermann, Kelly J.-PA NOT COVERED

Christ Medical Center and Children's Hospital Hicks, Sarah M.-MD COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Hodakowski, George T.-MD NOT COVERED

Christ Medical Center and Children's Hospital Homsi Pediatric Neurology NOT COVERED

Christ Medical Center and Children's Hospital Hook, Jonathan Lee-DPM COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Hosso-Cooper, Jennifer Mary-DO NOT COVERED

Christ Medical Center and Children's Hospital Housner, Ryan Joseph-PA NOT COVERED

Christ Medical Center and Children's Hospital Hugh Medical NOT COVERED

Christ Medical Center and Children's Hospital Hutchinson, Ashley N.-NP COVERED UNDER FAP

Christ Medical Center and Children's Hospital Ilarde, Emelie J.-MD NOT COVERED

Christ Medical Center and Children's Hospital Illinois Dermatology Institute, LLC NOT COVERED

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

Christ Medical Center and Children's Hospital Illinois Institute Pediatric Cardiology, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Imbarrato, Gregory James-DO NOT COVERED

Christ Medical Center and Children's Hospital Institute of Neurobehavioral Services, SC NOT COVERED

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

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

Christ Medical Center and Children's Hospital Intensive Neuro NOT COVERED

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

Christ Medical Center and Children's Hospital Iskandar, Joy -DO NOT COVERED

Christ Medical Center and Children's Hospital Ivey-Brown, Jacqueline R.-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital J & M Tang, MD's & Associates, SC NOT COVERED

Christ Medical Center and Children's Hospital J.B. Jenkins, DPM & Associates NOT COVERED

Christ Medical Center and Children's Hospital J.R. Nephrology & Associates, PC NOT COVERED

Christ Medical Center and Children's Hospital Jacob, Pradeep Kumer-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Jacobson, Daniel R.-MD NOT COVERED

Christ Medical Center and Children's Hospital Jameria, Zenith A.-MD NOT COVERED

Christ Medical Center and Children's Hospital John McInerney, DO, SC NOT COVERED

Christ Medical Center and Children's Hospital Johnson, Naythea M.-NP NOT COVERED

Christ Medical Center and Children's Hospital Jurek & Jurek Family Practice NOT COVERED

Christ Medical Center and Children's Hospital Jweied, Eias -MD NOT COVERED

Christ Medical Center and Children's Hospital Kakavas, Peter W.-MD NOT COVERED

Christ Medical Center and Children's Hospital Kalnins, Aleksandrs U.-MD COVERED UNDER FAP

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

Christ Medical Center and Children's Hospital Kamba, Kathleen Marie-NP NOT COVERED

Christ Medical Center and Children's Hospital Kane, Sarah Lynn-NP NOT COVERED

Christ Medical Center and Children's Hospital Kang, Hyuk J.-MD NOT COVERED

Christ Medical Center and Children's Hospital Kanu, Lovella Duru-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Karim, Eman -NP COVERED UNDER FAP

Christ Medical Center and Children's Hospital Karzoun, M Eyad -MD NOT COVERED

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

Christ Medical Center and Children's Hospital Katerji Pediatric Neurology & Associates SC NOT COVERED

Christ Medical Center and Children's Hospital Kathleen J. Drinan, DO, Ltd NOT COVERED

Page 11


Christ Medical Center and Children's Hospital Katz, Jeremy Richard-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Kazaniwskyj, Andrew Lubomyr-DO NOT COVERED

Christ Medical Center and Children's Hospital Kazaniwskyj, Lubomyra M.-DO NOT COVERED

Christ Medical Center and Children's Hospital Kelta, Mouhammed -MD NOT COVERED

Christ Medical Center and Children's Hospital Kevin, Kristina M.-NP NOT COVERED

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

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

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

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

Christ Medical Center and Children's Hospital Kidney & Hypertension Associates, Ltd NOT COVERED

Christ Medical Center and Children's Hospital Kidney Care Center Olympia Fields, LLC NOT COVERED

Christ Medical Center and Children's Hospital Kidney Care Center South, LLC NOT COVERED

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

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

Christ Medical Center and Children's Hospital Kim, Daniel Y.-MD NOT COVERED

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

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

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

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

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

Christ Medical Center and Children's Hospital Klich, Janice Ruth-MD NOT COVERED

Christ Medical Center and Children's Hospital Kmicikewycz, Alexander W.-MD NOT COVERED

Christ Medical Center and Children's Hospital Koenig, Christopher Joseph-PA NOT COVERED

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

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

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

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

Christ Medical Center and Children's Hospital Krause, Nora Jane-NP NOT COVERED

Christ Medical Center and Children's Hospital Krishna, Hema -MD NOT COVERED

Christ Medical Center and Children's Hospital Kronen, Gary Adam-MD COVERED UNDER FAP

Christ Medical Center and Children's Hospital Krueger, Barbara Lynn-MD COVERED UNDER FAP

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

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

Christ Medical Center and Children's Hospital Kutom, Ali -MD NOT COVERED

Christ Medical Center and Children's Hospital Kwak, Heewon Aimee-MD NOT COVERED

Christ Medical Center and Children's Hospital Lai, Jessica -MD NOT COVERED

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

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

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

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

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

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

Christ Medical Center and Children's Hospital Lawlor-Klean, Phyllis -CNS NOT COVERED

Christ Medical Center and Children's Hospital Lawn Obstetrics and Gyneology NOT COVERED

Christ Medical Center and Children's Hospital Lawrence, Rebecca S.-NP NOT COVERED

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

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

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

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

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

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

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

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

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

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

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

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

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

Page 12


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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Christ Medical Center and Children's Hospital Metropedix NOT COVERED

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

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

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

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

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

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

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

Page 13


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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Page 14


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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Page 15


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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Page 16


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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Christ Medical Center and Children's Hospita

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