Exhibit 1 FAP Provider/Physician List - Advocate Health Care

[Pages:186]Exhibit 1 FAP Provider/Physician List

Consistent with AHC's values of compassion and stewardship, it is the policy of AHC to provide financial assistance to patients in need. The Financial Assistance Policy (FAP) applies to all emergency or medically necessary care provided by the hospital, but is not binding upon other individual providers (e.g., physicians) of medical services outside of the hospital. Nor is it binding on a provider, such as but not limited to, a change in their employment relationship with AHC or a change in their scope of practice. Therefore, because the physicians and other providers included on this list may change from time to time, AHC will update and post a new version on its website (financialassistance) at least quarterly.

If the provider's FAP Coverage Status is listed as "COVERED UNDER FAP", then the provider or provider practice's care (rendered in the hospital facility) is covered under this Financial Assistance Policy. If the provider's FAP Coverage Status is listed as "NOT COVERED", then the provider or provider practice's care (rendered in the hospital facility) is not covered under this Financial Assistance Policy.

Advocate Hospital Name

Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center

Provider Name or Provider Office Name

Abadeer, Peter -DO Abrahamsen, Antonia -NP Adams, Sarah -NP Adeoye, Oriade -MD Advanced Inpatient Consultants, LLC Advanced Women's Healthcare, SC Advocate Eureka Hospital Family Practice - El Paso Advocate Medical Group - Normal - 1300 Franklin Ave - Hospitalists Advocate Medical Group - Normal - 1302 Franklin - Endovascular Neuro Advocate Medical Group - Normal - College Ave - Family Medicine Advocate Medical Group - Normal - College Ave - Immediate Care Advocate Medical Group - Normal - Franklin - Endocrinology Advocate Medical Group - Normal - Pediatric Cardiology Advocate Medical Group Bloomington Family Medicine Advocate Medical Group Bloomington Pediatrics Advocate Medical Group BroMenn Psychiatry Advocate Medical Group El Paso Advocate Medical Group Emergency Medicine Advocate Medical Group Fairbury Advocate Medical Group General & Colorectal Surgery Central IL Advocate Medical Group Illinois Heart & Lung Cardiology Advocate Medical Group Illinois Heart & Lung Pulmonology Advocate Medical Group Immediate Care/ Occ Medicine Advocate Medical Group LeRoy Advocate Medical Group Lexington Advocate Medical Group Wound Healing & Hyperbaric Medicine Agha, Caroline -MD Ahn, Joseph -MD Akhtar, Muhammad -MD Albaro, Cecilia -MD Alberts, Lyndi -NP Alexander, Carrie -NP Alexander, John -MD Allen, Otis -MD Alonso, Alexander -MD Altenburger, Dana -MD Alyea, Daniel -MD Ambulatory Anesthesiology, Ltd. Anderson, David -MD Anesthesiology Consultants

Page 1

FAP Coverage Status

NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED

Advocate Hospital Name

Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center

Provider Name or Provider Office Name

Anwar, Khalida -MD Applied Pain Institute, LLC Aprahamian, Ara -MD Armstrong, Lucas -MD Ash, Jennifer -MD Associated Anesthesiologists, SC Associates In Dermatology, SC Atkins, Marsha -NP Austin, Xiaotian -MD Bajaj, Madhuri -MD Bandy, John -MD Banerjee, Sara -MD Bankston, Kimberly -NP Barba, Kenneth -MD Bechir, George -MD Benson, Jonathan -DO Benyamin, Ramsin -MD Berck, Lilla -MD Bhardwaj, Davender -MD Bhaskar, Renuka -MD Bhatia, Sumit -MD Birge, Kenneth -MD Bishof, Christine -MD Blitz, Arie -MD Bloomington Pediatrics & Allergy Bloomington Primary Care, LTD Bloomington Radiology, SC Bloomington Rehabilitation Associates, LLC Bloomington-Normal Anesthesia Bloomington-Normal Birthing Center, LLC Bloomington-Normal ENT LTD Boe, Erik -MD Bohn, Kathryn -MD Boholst-Panopio, Phoebe -MD Bozman, Raymond -MD Braastad, Robert -MD Bradford, Amber -CRNA Brander, Thomas -MD Brownstone, Daniel -MD Bruha, Robert -MD Burr, John -MD Butler, Stephanie -NP Button, Andrew -PA Caldemeyer, Karen -MD Callaway, Edward -MD Cancer Care Associates Cardiovascular Health Specialists Carle Physician Group Carmichael, Craig -MD Carrington, Scott -MD Carter, Leslie -NP Casey, Kristin -MD Cash, Jason -MD Castillo, Richard -MD Center for Cosmetic and Laser Surgery, LLC Central Illinois Center for Wellness LLC Central Illinois Neuro Health Sciences, Ltd Central Illinois Neuroradiology Ltd-Advanced MRI

Page 2

FAP Coverage Status

NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED

Advocate Hospital Name

Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center

Provider Name or Provider Office Name

Central Illinois Orthopedic Surgery, LLC Central Illinois Pediatric Associates, LLC Chalian, Vicken -MD Chan, David -MD Cherukuri, Sudha -MD Children's Center for Dentistry Children's Hospital of Illinois Medical Group Chokshi, Nikhil -MD Choudhry, Asifa -MD Christie Clinic, LLC Cienfuegos, Anthony -CRNA Clark, Robert -MD Clemons, Kristin -MD Cobb, Michael -MD Cochran, Michael -MD Cogent Hospitalists Cole, Bradley -NP Coleman, Benjamin -MD Community Cancer Center, LLC Conley, Diane -MD Cordoba, Adrian -MD Cortese Foot & Ankle Clinic, P.C Cortese, Carl -DPM Cortese, Craig -DPM Crockett, Catharine -MD Cunningham, Daniel -DO Dalbak, Dana -PA Dalton, Rachel -DO Dameron, Jennifer -MD Dangles, Chris -MD Daniel A Nord MD Obstetrics and Gynecology, LLC Davis, Jason -MD Deeken-Draisey, Audrey -MD Deffenbaugh, Jacqueline -NP Definitive Neurodiagnostics, LLC Degon, Ronald -SA Dermatology and Mohs Surgery Institute, Ltd Detwiler, Angie -CNM Devlin, Elizabeth -NP DeWeert, Thomas -MD DeWitt, Kellie -PA Dhorajia, Girishkumar -MD Dick, Herman -MD Dietz, Gregory -DMD Digestive Disease Consultants, LTD Djagarian, Artur -MD Dobransky, Paul -MD Draksler, David -CRNA Ductan, Kerline -MD Dustman, John -MD Dutta, Sarah -MD El-Ansary, Mohamed -MD Elemo, Ibrahim -MD Emm, Brian -MD Emm, Lisa -MD Farinas, Eric -MD Favila, Marlito -MD Feinzimer, Benjamin -DO

Page 3

FAP Coverage Status

NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP

Advocate Hospital Name

Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center

Provider Name or Provider Office Name

Fernandes, Darryl -MD Fernandes, Patrick -MD Feucht, Jeanette -NP Fever, Kali -NP Fischer, Debra -NP Fishkin, Paul -MD Fitzgerald, Katherine -MD Fogle, Dominno -PA Foss, Jonathan -MD Francois, Andre -MD Frantz, Alex -PA Frazier, Jennifer -CRNA Fulk, John -PA Fulk, Nona -MD Fuss, Brenda -NP Gailey Eye Clinic Galue, Gustavo -MD Galvan OBGYN & Associates, LLC Galvan, Jeffrey -MD Gandhi, Siddharth -DO Gebhart, Brian -DO Gerardo A. Grieco, MD, SC Gerstner, Gregory -MD Ginnetti, Richard -MD Ginzburg, Alan -MD Glatz, Alan -NP Gleason-Dintaman, Catherine -CRNA Gomez, Patrick -MD Gordhan, Ajeet -MD Goswami, Panna -MD Grahs, Kathryn -NP Gratkins, Lawrence -MD Grieco, Gerardo -MD Griffin, Anthony -CRNA Guardian Headache and Pain Management Institute, LLC Gurganious, Nicholas -PA Ha, Daniel -MD Haas, Ellen -MD Hahn, Deanna -DO Hakki, Ahadi -MD Hall, Thomas -DMD Halperin, Caroline -DO Halperin, Gregory -MD Hameeduddin, Rafiya -DO Hammond, David -CRNA Hancock, James -MD Hanson, Katie -NP Hanson, Mark -MD Haque, Kashif -MD Hariharan, Mini -MD Harman, Joseph -MD Harold A Nord OB-Gyn S.C. Harrison, Heather -MD Hassan, Johara -MD Hasselman, Ty -MD Hauter, Marcia -MD Hayden, Curtis -MD Heart of Illinois Obstetrics and Gynecology

Page 4

FAP Coverage Status

COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED COVERED UNDER FAP NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED

Advocate Hospital Name

Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center

Provider Name or Provider Office Name

Hecht, Adam -MD Hernandez, Amie -CNM Hill, Amy -CNM Hinsdale Orthopaedic Associates, SC Hinthorne, Summer -NP Hochstrasser, Jason -MD Holst, Christopher -MD Holt, Paige -MD Hom, Sophia -MD Horinek, Anthony -MD Hoschek, Jeffrey -MD Houghton, Adam -MD Houk, Sara -PA Houser, David -MD Huber, Jill -NP Hussain, Syed -MD Illinois CancerCare, PC Illinois State University Imam, Syed -MD Immen, Steven -MD Ingalsbe, Steven -MD Ireland Grove Center for Surgery, LLC Israel, Daniel -MD Jacob, Raji -MD James, Gordon -MD Jamnadas, Amit -MD Jantzen, David -MD Jarzabkowski, Dory -DO Javadi, Pooria -MD Jaworowicz, John -MD Jeffrey Jones, DDS, LLC Jeong, Hwan -MD Jhee, Won -MD Jibawi, Ahmad -MD Johnson, Nisa -LCSW Jones, Jeffrey -DDS Joseph, Maneesha -NP Jujjavarapu, Srinivas -MD Kane, Andrea -MD Kao, Wynn -MD Karagiorgos, Nikolaos -MD Karkatzounis, Ioannis -MD Katta, Solomon -MD Kedlaya, Divakara -MD Keller, Brett -DO Kelly, Thomas -MD Kenney, Tom -MD Keto, Andrew -DO Kettering, Todd -DO Khan, Usman -MD Khatod, Elaine -MD Khattak, Muhammad -MD Kidney Care Center Bloomington, LLC Kidney Care Center Rockford, LLC Kieser, David -NP Kim, Danielle -DO Kindred, Stephen -MD King, Brittany -NP

Page 5

FAP Coverage Status

NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED COVERED UNDER FAP NOT COVERED COVERED UNDER FAP NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED COVERED UNDER FAP NOT COVERED

Advocate Hospital Name

Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center

Provider Name or Provider Office Name

Kink, Shaun -MD Klauss, Sven -MD Klein, Angela -NP Klein, Jerome -MD KMB, SC Knepp, Marc -MD Koh, David -MD Kohaus, Ashley -MD Kolb, Edward -MD Kolb, Jean -MD Kopp, Alan -MD Kossler, Karla -MD Kovalaske, Anastasia -NP Kube, Brenda -MD Kujalowicz, Zbigniew -MD Kumar, Pankaj -MD Lange, Daniel -MD Lanz, Jennifer -NP Lanzerotte, Mark -MD Lath, Nikesh -MD Laura C. Randolph, MD SC Leak, Benjamin -MD Lee, Anita -MD Lee, Dennis -MD Lee, Robert -MD Le-Lindqwister, Nguyet -MD Leone, Douglas -MD Lewis, Julie -MD Li, Fang -MD Li, Ji -MD Li, Lawrence -MD Lillie, Christopher -PA Lindsey, Sarah -CNS Lira, Sorel -MD Liu, Jijun -MD Looney, Darrell -MD Lopez, Kimberly -NP MacVicar, Gary -MD Madden, Pamela -NP Mafazy, Munib -NP Mahmood, Omar -MD Mahmood, Talal -MD Malik, Rizwan -MD Malpani, Ajay -MD Manness, Wayne -MD Marrochello, Veronica -DPM Marshall, Kimberly -MD Matter, Stephen -MD Maves, Jeffrey -CRNA McDonnell, Kevin -MD McDougall, Tonya -NP McKenna, Jeffrey -MD McLean County Foot and Ankle, Ltd McLean County Orthopedics, Ltd Medical Group - College Avenue Mehta, Kartik -DO Menendez, Jennifer -PA Michaels, Jason -MD

Page 6

FAP Coverage Status

NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED

Advocate Hospital Name

Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center

Provider Name or Provider Office Name

Mid-Illinois Hematology & Oncology Associates Ltd Midstate Podiatry Associates, Ltd Midwest Allergy Sinus Asthma, SC Migas, John -MD Millennium Pain Center, LLC Miller Urogynecology, SC Miller, Jay James -MD Milligan, David -MD Misra, Vijay Laxmi -MD Mobile Anesthesiologists LLC Morgan, Scott -MD Morrison, Sherri -PA Moshier, Brian -DO Murphy, Patrick -MD Murphy, Thomas -DO Mustard, Michael -MD Myers, Danea -CRNA Mygatt, Christopher -PA Naour, Paul -MD Nardone, Emilio -MD Nazarian, Sarkis -MD Neubrander, Judy -NP Neumann, Margaret -NP Nevin, James -MD Newcomer, Joseph -MD Nielsen, Thomas -MD Nilles, Joel -DO Nona Fulk MD, SC Nord, Daniel -MD Normal Bloomington Anesthesiologists, Ltd Norris, Joseph -MD Novick, Michael -MD Novotny, Joseph -MD Noyes, Willard -MD Nwankwo, John -MD Oakey, Jerome -MD Oberle, Jill -CNS Obstetrics & Gynecology II, Ltd. Obstetrics and Gynecology Care Associates, SC O'Connor, Scott -DPM Ogunleye, Bamidele -MD Olorode, Gbemisola -MD Orcutt, Jeffrey -MD Orthopedic & Shoulder Center Orthopedic and Sports Enhancement Center, LLC Orthopedics & Shoulder Center Orthopedics of Illinois OSF Cardiovascular Institute OSF Children's Hospital of Illinois Medical Group OSF Medical Group OSF Medical Group - College Avenue OSF Multi-Specialty Group Otis Allen, MD, SC Paige C. Holt MD Ltd Pandurangadu, Ananda -MD Paschold, Bryce -DPM Pasley, Stephanie -NP Patel, Priti -MD

Page 7

FAP Coverage Status

NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED

Advocate Hospital Name

Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center Bromenn Medical Center

Provider Name or Provider Office Name

Paul, Gerald -DPM Paul, Kristin -NP Paul, Marc -MD Pauley, Nichole -SA Pedersen, Paul -MD Pediatric Dental Associates of McLean Co Pendleton, Dionna -MD Pflederer, Timothy -MD Phillips, Mikel -CRNA Pieren, Sara -MD Pilcher, Stephen -MD Piller, Joseph -PA Pinter, Larry -MD Pinter, Scott -MD Plocher, Elizabeth -MD Pogue, Lucas -MD Pollak, Tal -MD Pope, Brian -DO Poulter, Jeffrey -MD Prager, Diane -MD Pratt, Alan -MD Premier Medical Group - Kulb, Chalian and Leak Urology, Ltd Premier Medical Group, LLC Premier Medical Group, LLC Mid-Central Illinois Gastroenterology PRO Podiatry LLC - Premier Podiatry Randolph, Laura -MD Rasin, Arkady -MD Rauen Dardis, Sara -DDS Raut, Nita -NP Ray, William -MD Redd, Erin -NP Reddy, Chittaranjan -MD Rehman, Nadia -MD Reiner, Bruce -MD RenalCare Associates, SC Retina Consultants of Central Illinois, SC Ricaurte, Kimberly -DO Richard W Wellman, MD LLC Riley, Gloria -NP Rizzo, Teri -NP Rocke, Christie -NP Rogers, Charles Rosborough, David -MD Rosen, Charles -MD Rosengarten, Jeffrey -MD Roth, Elisa -DMD Roth, Lucas -PA Royyuru, Sasikala -MD Rozell, Joseph -MD Ruch, Shelley -CSA Rudicil, Shaun -PA Rufus, Deborah -NP Rulnick, Adam -MD Russell, Robert -MD Sader, Samer -MD Saenz, Naomi -MD Samad, Zia -MD Santiago, Joseph -MD

Page 8

FAP Coverage Status

NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED COVERED UNDER FAP NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED NOT COVERED

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