Exhibit 1 FAP Provider/Physician List - Advocate Health Care

[Pages:81]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

Advanced Women's Healthcare, SC Advocate Eureka Hospital Family Practice - El Paso Advocate Eureka Hospital Family Practice - Eureka Advocate Health & Hospital Corp - Advocate Intensivist Partners Advocate Medical Group Advocate Medical Group - Burbank - Palliative Medicine Advocate Medical Group - Bloomington - 3024 E. Empire - Sports Medicine Advocate Medical Group - Chicago - Trinity - Emergency Medicine Advocate Medical Group - Normal - 1300 Franklin Ave - Hospitalists Advocate Medical Group - Oak Lawn - 4440 West 95th Street - Behavioral Health Advocate Medical Group - Park Ridge - 1875 Dempster - Neurology Advocate Medical Group Bloomington Eastland Advocate Medical Group Bloomington Empire Behavioral Health Advocate Medical Group Bloomington Pediatrics Advocate Medical Group BroMenn Psychiatry Advocate Medical Group Downers Grove 3825 Highland Advocate Medical Group Emergency Medicine Advocate Medical Group ENT Surgical Associates Advocate Medical Group Fairbury Advocate Medical Group General & Colorectal Surgery Central IL Advocate Medical Group Hospitalists Advocate Medical Group Illinois Heart & Lung Cardiology Advocate Medical Group Illinois Heart & Lung Pulmonology Advocate Medical Group Immediate Care/ Occ Medicine Advocate Medical Group Irving and Western Advocate Medical Group LeRoy Advocate Medical Group Lexington Advocate Medical Group Midwest Heart Specialists Advocate Medical Group Midwest Pediatric Cardio Advocate Medical Group Midwest Pediatric Cardiology Advocate Medical Group Neonatology Advocate Medical Group Sugar Creek Endocrinology Advocate Medical Group Sugar Creek Primary Care Advocate Medical Group Sykes Advocate Medical Group Trauma Advocate Medical Group Trauma Surgery Advocate Medical Group Wound Healing & Hyperbaric Medicine Advocate Medical Group Yacktman Peds Neurology Advocate Medical Group-1300 Franklin Ave-Hospitalist Advocate Medical Group-Oak Lawn-Cicero Avenue

Page 1

FAP Coverage Status

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 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

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

Afifi, M. Sherif-MD Aggarwal, Nimit K.-MD Ahn, Joseph Y.-MD Al-Ani, Ismail -MD Ambulatory Anesthesiology, Ltd. AMG Emergency Medicine Anesthesiology Consultants Applied Pain Institute, LLC Armstrong, Lucas C.-MD Associates In Dermatology, SC Bajaj, Madhuri -MD Bari, Naveed -MD Barounis, David Alan-MD Becton, Wendell W.-MD Bloomington Pediatrics & Allergy Bloomington Primary Care, LTD Bloomington Radiology, SC Bloomington Rehabilitation Associates, LLC Bloomington-Normal ENT LTD Bolles, Jonathan E.-PA Braun, Jessica Nicole-PA BroMenn Family Health Clinic Cancer Care Associates Cardiac Surgery Associates, SC Cardiovascular Health Specialists Carmichael, Craig W.-MD Center for Cosmetic and Laser Surgery, LLC Central Illinois Neuro Health Sciences, Ltd Central Illinois Neuroradiology Ltd-Advanced MRI Central Illinois Orthopedic Surgery, LLC Central Illinois Pediatric Associates, LLC Central Illinois Pulmonary and Critical Care Chest Medicine Consultants, SC Chicago Anesthesia Associates, SC Children's Center for Dentistry Children's Hospital of Illinois Medical Group Chokshi, Nikhil Kanu-MD Cohler, Larry Frederic-MD Cole, Bradley J.-NP Community Cancer Center, LLC Comphrensive Kidney Care, LLC Cortese Foot & Ankle Clinic, P.C Cross, Chadrick Antony-MD Dangles, Chris John-MD Daniel A Nord MD Obstetrics and Gynecology, LLC David M Skillrud MD LTD Definitive Neurodiagnostics, LLC Dermatology and Mohs Surgery Institute, Ltd Digestive Disease Consultants, LTD DMH Millenium Pain Center Draksler, David J.-CRNA Dreyer Clinic - Rush Copley Dubovoy, Natalie -MD Dustman, John Anthony-MD Eye Surgical Associates, SC Farooki, Basheeruddin M.-MD Finn R. Amble, MD, FACS, SC Frantz, Alex Wayne-PA

Page 2

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 COVERED UNDER FAP 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 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

Gailey Eye Clinic Galvan OBGYN & Associates, LLC Garretto, Robert -DO Gerardo A. Grieco, MD, SC Gleason-Dintaman, Catherine -CRNA Gordhan, Ajeet Dhaya-MD Guardian Headache and Pain Management Institute, LLC Hall, Thomas D.-DMD Hamm, Brian Lee-DPM Hanson, Katie E.-NP Hanson, Mark J.-MD Haq, Syed Samee-Ul-DO Harold A Nord OB-Gyn S.C. Hartman, Eric Thomas-MD Hashmi, Faiza -MD HeartCare Midwest, Ltd. HeartCare Midwest, SC Housner, Ryan Joseph-PA Illinois CancerCare, PC Illinois Cardiovascular & Thoracic Surgery, Ltd Infinity Healthcare Physicians Irwin, George Stephen-MD Jantzen, David -MD Jeffrey Jones, DDS, LLC Jweied, Eias -MD Katta, Solomon -MD Kidney Care Center Bloomington, LLC Kink, Shaun Anthony-MD Klich, Janice Ruth-MD KMB, SC Knepp, Marc Douglas-MD Kummerer, Robert G.-MD Laura C. Randolph, MD SC Lee, Dennis -MD Leonard, W. Marc-DPM Lincoln B Pain Clinic, Ltd. Mann, Stewart Ralph-MD Markos, Michael Achilles-MD Medical Group - College Avenue Mehmood, Sajid -MD Mejzak, Ronald V.-DO Metro Infectious Disease Consultants, LLC Mid-Illinois Hematology & Oncology Associates Ltd Midstate Podiatry Associates, Ltd Midwest Allergy Sinus Asthma, SC Midwest Lung and Sleep Consultants Midwest Pulmonary Associates, SC Millennium Pain Center, LLC Miller Urogynecology, SC Mohammad, Zulfiqar -MD Mygatt, Christopher L.-PA Naour, Paul R.-MD Nawas, Sammy I.-MD Nevin, James Laverne-MD Newcomer, Joseph Kaysing-MD Nona Fulk MD, SC Normal Bloomington Anesthesiologists, LTD Norris, Joseph Bryan-MD

Page 3

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 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 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

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 Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital

Provider Name or Provider Office Name

Novotny, Joseph A.-MD Oakey, Jerome W.-MD Obstetrics & Gynecology Care Associates, SC Obstetrics & Gynecology II, Ltd. Orthopedics & Shoulder Center Orthopedics of Illinois Osawe, Faithful O.-MD OSF Children's Hospital of Illinois Medical Group OSF Medical Group - College Avenue OSF Multi-Specialty Group OSF Neurology Otis Allen, MD, SC Paige C. Holt MD Ltd Pappas, Patroklos S.-MD Paschold, Bryce Andrew-DPM Patel, Subhash R.-MD Paul, Gerald Wayne-DPM Pediatric Cardiology Associates, SC Prasad, Bharati -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 Pulmonary & Critical Care Consultants,SC Pulmonary Medicine Rauen Dardis, Sara Renee-DDS RenalCare Associates, SC Retina Consultants of Central Illinois, SC Richard W Wellman, MD LLC Rufus, Deborah J.-NP Sage Medical Group, SC Sarah Dutta, OB-GYN, SC Sawyer, Darren M.-NP Schertz, Nicole Christine-CRNA Schrock, Brian Andrew-PA Seidl, Robert K.-MD Sharon R. Weaver, MD, SC Singh, Amarjit -MD Slotky, Barry -MD Smith, Kevin S.-MD Sriram, Krishnan -MD Stern, David Ross-MD Subramanian, Sanjay -MD Summit Family Medical Center Susan Svientek MD SC - Women for Women Tattini, Chad Douglas-MD Taulbee, Kent Simmons-MD The Center for Outpatient Medicine Virtual Radiologic Professionals, LLC Williamson, John Jeffrey-PA A2Z Care Med-Meds Specialist, PC Abdessalam, Nadia F.-NP Abramson, Brad L.-DO Adult Medical Care, LTD Adult Medicine Center Adult Primary Care Center, Ltd Advanced Allergy & Asthma Clinic SC Advanced Reproductive Health Centers, Ltd

Page 4

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 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 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

Advocate Hospital Name

Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital

Provider Name or Provider Office Name

FAP Coverage Status

Advocate Health & Hospital Corp - Advocate Intensivist Partners

COVERED UNDER FAP

Advocate Medical Group - Burbank - Palliative Medicine

COVERED UNDER FAP

Advocate Medical Group - Chicago - Pullman Park

COVERED UNDER FAP

Advocate Medical Group - Chicago - Trinity - Emergency Medicine

COVERED UNDER FAP

Advocate Medical Group - Des Plaines 8901 W Golf Road

COVERED UNDER FAP

Advocate Medical Group - Downers Grove - 3551 Highland Ave - Neurosurgery

COVERED UNDER FAP

Advocate Medical Group - Hazel Crest - Kedzie Avenue

COVERED UNDER FAP

Advocate Medical Group - Oak Lawn

COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 4220 W 95th St - PediatricSubspecialties

COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 4220 West 95th Street

COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 4400 W 95th St - Behavioral Health

COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 4440 W 95th Street - Hospitalists

COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 4440 W 95th Street - Pediatric Orthopedics

COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 4440 West 95th Street - Behavioral Health

COVERED UNDER FAP

Advocate Medical Group - Oak Lawn - 4550 Southwest Hwy - Family Practice

COVERED UNDER FAP

Advocate Medical Group - Oak Lawn, 4440 West 95th Street - Obstetrics & Gynecology -ED Tri COVERED UNDER FAP

Advocate Medical Group - Park Ridge - 1675 Dempster - Pediatric Critical Care

COVERED UNDER FAP

Advocate Medical Group - Park Ridge - Pediatric Neurosurgery

COVERED UNDER FAP

Advocate Medical Group Beverly

COVERED UNDER FAP

Advocate Medical Group BroMenn Psychiatry

COVERED UNDER FAP

Advocate Medical Group Chicago 2315 E 93rd Street Neurology

COVERED UNDER FAP

Advocate Medical Group Chicago-Ashland Ave

COVERED UNDER FAP

Advocate Medical Group Children's Hoffman Estate

COVERED UNDER FAP

Advocate Medical Group Christ Peds Hospitalist

COVERED UNDER FAP

Advocate Medical Group Clinical Ethics and Pallative Medicine

COVERED UNDER FAP

Advocate Medical Group CMC Pediatric Infectious Disease

COVERED UNDER FAP

Advocate Medical Group CMC Pediatric Pulmonology

COVERED UNDER FAP

Advocate Medical Group CMC Pediatric Urology

COVERED UNDER FAP

Advocate Medical Group Downers Grove 3825 Highland

COVERED UNDER FAP

Advocate Medical Group Downers Grove Highland Avenue

COVERED UNDER FAP

Advocate Medical Group Emergency Medicine

COVERED UNDER FAP

Advocate Medical Group Evergreen

COVERED UNDER FAP

Advocate Medical Group Evergreen Peds

COVERED UNDER FAP

Advocate Medical Group Halsted Neurosurgery

COVERED UNDER FAP

Advocate Medical Group Hazel Crest Gastro

COVERED UNDER FAP

Advocate Medical Group Hospitalists

COVERED UNDER FAP

Advocate Medical Group Irving and Western

COVERED UNDER FAP

Advocate Medical Group Maternal Fetal

COVERED UNDER FAP

Advocate Medical Group Merrionette Park

COVERED UNDER FAP

Advocate Medical Group MidAmerica Cardio HazelCrest

COVERED UNDER FAP

Advocate Medical Group Midwest Heart Specialists

COVERED UNDER FAP

Advocate Medical Group Midwest Pediatric Cardio

COVERED UNDER FAP

Advocate Medical Group Midwest Pediatric Cardiology

COVERED UNDER FAP

Advocate Medical Group Neurointerventional Surgery

COVERED UNDER FAP

Advocate Medical Group Oak Lawn - 4440 West 95th Street - Pediatric Critical Care

COVERED UNDER FAP

Advocate Medical Group Oak Lawn - Trauma Surgery

COVERED UNDER FAP

Advocate Medical Group Oak Lawn - West 95th Street - Pediatric Cardiovascular Surgery

COVERED UNDER FAP

Advocate Medical Group Oak Lawn - West 95th Street - Pediatric Hematology

COVERED UNDER FAP

Advocate Medical Group Oak Lawn 95th St ENT

COVERED UNDER FAP

Advocate Medical Group Oak Lawn 95th St Pediatrics

COVERED UNDER FAP

Advocate Medical Group Oak Lawn Cardiology

COVERED UNDER FAP

Advocate Medical Group Oak Lawn Infectious Disease

COVERED UNDER FAP

Advocate Medical Group Oak Lawn Maternal/Fetal

COVERED UNDER FAP

Advocate Medical Group Oak Lawn Nephrology

COVERED UNDER FAP

Advocate Medical Group Oak Lawn Neurosurgery

COVERED UNDER FAP

Advocate Medical Group Oak Lawn OB/Gyne

COVERED UNDER FAP

Advocate Medical Group Oak Lawn Pediatrics General Surgery

COVERED UNDER FAP

Advocate Medical Group Oak Lawn Peds Rheumatology

COVERED UNDER FAP

Page 5

Advocate Hospital Name

Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital

Provider Name or Provider Office Name

Advocate Medical Group Oak Lawn Plastic Surgery Advocate Medical Group Orland Park Advocate Medical Group Palos Advocate Medical Group Park Ridge 1775 Dempster Street Pediatric Critical Care Advocate Medical Group Park Ridge 1875 Dempster Oncology Advocate Medical Group Parkside Genetics Advocate Medical Group Parkside Maternal Fetal Advocate Medical Group Pediatric Cardiovascular Surgery Advocate Medical Group Pediatrics Developmental Center Advocate Medical Group Peds Hospitalist Advocate Medical Group South Holland Hospitalist Advocate Medical Group Sykes Advocate Medical Group Trauma Advocate Medical Group Trauma Surgery Advocate Medical Group Yacktman Pediatrics Advocate Medical Group Yacktman Peds Endocrinology Advocate Medical Group Yacktman Peds General Surgery Advocate Medical Group Yacktman Peds Hem/Onc Advocate Medical Group Yacktman Peds Nephrology Advocate Medical Group Yacktman Peds Neurology Advocate Medical Group Yacktman Peds Rheumatology Advocate Medical Group Yacktman Psychiatry Advocate Medical Group-Chicago-93rd Street Advocate Medical Group-Downers Grove, 3825 Highland Ave.-Palliative Care Advocate Medical Group-Downers Grove, 3825 Highland Ave-Palliative Care Advocate Medical Group-Oak Lawn - 4220 W 95th St - Pediatric Subspecialties Advocate Medical Group-Oak Lawn-Cicero Avenue Affinati, Brenda R. Reiter-MD Afifi, M. Sherif-MD Aggarwal, Nimit K.-MD Ahmad, Faheem -MD Ahuja, Akash -MD Aicher, Tracy Marie-NP AIMMC Congestive Heart Failure Clinic Aippersbach, Elke D.-MD Akhtar, Rasheed -MD Al-Ani, Ismail -MD Alawad Medical Center, Ltd Albright, Joslyn Marie-MD Aldaas, Fadi -MD Alex, Charles G.-MD Alexander, Aristides Nicholaos-MD Alexander, Jonathan M.-MD Alexander, Philip J.-MD Ali, Abid M.-MD Al-Khaled, Nouri -MD Allam, Talha Samie-MD Almasri, Hussam -MD Alpha Med Physicians Group, LLC Al-Qawasmi, Fouad A.-MD Altman, Igor A.-DO Alzein Medical, Ltd Alzein, Mohamad Riad-MD Amit Vyas, MD, SC Amita Health Cancer Center Amita Health Medical Group Anastos, John P.-DO Andel, Kristen Marie-PA

Page 6

FAP Coverage Status

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

Advocate Hospital Name

Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital

Provider Name or Provider Office Name

Anderst, James D.-MD Andina & Irabagon, SC Andrade, Ambar Afshar-MD Angspatt-Pisit, MD, SC Anita Arora, MD, PC Annes, John G.-MD Annita John, MD, PC Arbor Center for Eyecare, SC Ares Maisonet, Guillermo Javier-MD Aronson, Andrew James-MD Arora, Vinay -MD Arthur L. Ostrowski, MD, SC Arun, Haleyur P.-MD Asad Zaman, MD, SC Asima, Sika S.-CRNA Asklepios Medical Group, Ltd Associated Allergists & Asthma Specialists, Ltd Associated Cardiovascular Physicians, SC Associates in Nephrology, SC Associates in Pediatric Neurology, SC Associates in Rehabilitation Medicine, SC Aziz, George F.-MD Bajwa, Ajwad Saeed-MD Balandrin, Jorge E.-MD Balanlayos, Ivy Ignas-CNS Balash, Paul Richard-MD Ballany, Wassim -MD Bane, Christopher D.-MD Bardezbanian, Bryce Joseph-MD Bari, Naveed -MD Bauer, Richard Marcus-MD Baylis, William J.-DO Beata I. Styka MD, SC Beaumont, Laura A.-PsyD Beck, Michael E.-MD Beckett, James E.-MD Bedikian, Sarkis Michael-DO Bell, Jeremy Thomas-PA Bell, Nathan Howard-PA Bero, Jennifer Lynn-MD Berwyn Pediatrics Beth Ledvora, MD, SC Bielinski Dermatology Group LLC Bisaga, Mary Katherine-NP Biskup & Segui Pediatric Partners PC Bite Size Pediatric Dentistry Blevins, Bonnie A.-CNS Blumstein, Andrea M.-MD Bonk, Alison Katherine-NP Borhani, Martin -MD Bortoli, Kristin -NP Boumendjel, Yelena -DPM Bousman, Tina M.-PA Bowersox, Keith D.-MD Boyd, Christine D.-MD Brann, Donald Duane-DPM Branovacki, George -MD Brennan, Sharon -NP

Page 7

FAP Coverage Status

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 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 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

Advocate Hospital Name

Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital Christ Medical Center and Children's Hospital

Provider Name or Provider Office Name

Bresticker, Michael A.-MD Brinton, Taylor D.-DO Brisbin, Beverlee Ann-MD Brooker, Jay M.-MD Brown, Henry Gordon-MD Browning, Carol Ann Tennent-MD Broy, Charles C.-MD Bump, Thomas Elting-MD Burda, Diana M.-MD Burke, John H.-MD Burke, Nancy E.-NP Burns, Justine Yuri-PA Burns, Leah M.-NP Camren, Gerald Paul-MD Captain James A. Lovell Federal Health Care Center Cardiac Surgery Associates, SC Cardiology Medical Group Cardiovascular Associates, SC Cardiovascular Care Consultants, SC Cardiovascular Consultants, LLP Carli, Erin D.-NP Carlos Smith, DPM, PC Carrillo, Tami Catherine-MD Castelli, Michael Edward-PA Center for Adult and Pediatric Wellness Center for Heart Transplant and Assist Devices Center for Internal Medicine Center for Oral Surgery Center for Pediatric Gastroenterology Center for Pediatric Gastroenterology & Nutrition, MD, SC Center for Women's Care Century Ear Nose and Throat-Head and Neck Surgery Associates, Ltd Chaar, Bassem T.-MD Chagnon, Kari Lynn-PA Chalupczak, Robert J.-MD Chandran, Sangili -MD Chaptini, Nayla -MD Charuk, George E.-DO Chen, Shih-Hua -PA Chepuri, Neeraj Babu-MD Chest Medicine Consultants, SC Chicago Anesthesia Associates, SC Chicago Center for Women's Health, SC Chicago Foot and Ankle, PC Chicago Hand and Orthopedic Surgery Centers, SC Chicago kiDDS Pediatric Dentistry Chicagoland Allergy and Asthma Consultants, LTD Chickerillo, Krystina Marie-NP Children's Wellness Center, LLC Christopher T. Kardasis, MD, SC Christopoulos, Niki A.-MD Christy Cardiology, Ltd Chronopoulos, Foti T.-MD Chua-Apolinario, Susan -MD Clark, Steven T.-MD Coenen, Allison Marie-PA Cohen, Stephanie Brooke-PA Cole, Corrina L.-NP

Page 8

FAP Coverage Status

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 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 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 COVERED UNDER FAP

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