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Specialist Roster 9/25/2020 Loyola Physician Partners Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations Participating In: Molina Next Gen. ACO BCBS IL HMO BCBS IL Medicare Advantage HMO BCBS IL PPO ACO BCBS IL Medicare Advantage PPO BCBS IL MMAI Cigna CAC Cigna HMO Humana Medicare Advantage Clearspring Medicare Advantage Longevity Medicare Advantage United Healthcare Medicare Advantage Illinicare Jacobson Mark MD Allergy and Immunology Allergy and Asthma Physicians SC 911 N. Elm St. Suite 300 Hinsdale, IL 60521 (630) 455-0456 (630) 455-0626 MacNeal Hospital X X X X Simonaire Jennifer DO Allergy and Immunology Allergy and Asthma Physicians SC 911 N. Elm St. Suite 300 Hinsdale, IL 60521 (630) 455-0456 (630) 455-0626 MacNeal Hospital X X X X Thomas Dolly MD Allergy and Immunology Center for Asthma and Allergy 4014 N. Central Ave. Chicago, IL 60634-1832 (773) 283-9594 (773) 283-6711 X X X X X X X X Thomas Dolly MD Allergy and Immunology Center for Asthma and Allergy 520 E. Northwest Highway Mt. Prospect, IL 60056 (847) 255-3050 (773) 283-6711 X X X X X X X X Thomas Dolly MD Allergy and Immunology Center for Asthma and Allergy 2222 W. Division St. Chicago, IL 60622 (773) 283-9594 (773) 283-6711 X X X X X X X X Espiritu Baltazar MD Allergy and Immunology Loyola University Medical Center 1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 Loyola University Medical Center X X X X X X X X X X X X X Espiritu Baltazar MD Allergy and Immunology Loyola University Medical Center 2160 S. First Avenue Maywood, IL 60153 (888)584-7888 Loyola University Medical Center X X X X X X X X X X X X X Rabbat Joyce MD Allergy and Immunology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center X X X X X X X X X X X X X Ghani Muhammad MD Allergy and Immunology Midwest Allergy, Inc 10001 W. Roosevelt Road Suite 304 Westchester, IL 60154 (708) 344-3550 (708) 344-6577 MacNeal Hospital X X X X X X X X X X X X Gobin Karina MD Allergy and Immunology Rachna Shah MD SC 675 W. North Ave. Suite 310 Melrose Park, IL 60160 (708) 450-5054 (708) 450-7088 Gottlieb Memorial Hospital X X X X X X X X X Gobin Karina MD Allergy and Immunology Rachna Shah MD SC 1140 Lake St. Oak Park, IL 60301 (708) 450-5054 (708) 450-7088 Gottlieb Memorial Hospital X X X X X X X X X Shah Rachna MD Allergy and Immunology Rachna Shah MD SC 675 W. North Avenue Melrose Park, IL 60160 (708) 450-5054 Gottlieb Memorial Hospital X X X X X X X X X Shah Rachna MD Allergy and Immunology Rachna Shah MD SC 1140 Lake St. Oak Park, IL 60301 (708) 450-5054 (708) 450-7088 Gottlieb Memorial Hospital X X X X X X X X X Ananthanarayanan Vijayalakshmi MD Anatomic and Clinical Pathology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X Atieh Mohammed MD Anatomic and Clinical Pathology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X Borys Dariusz MD Anatomic and Clinical Pathology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X Ding Xianzhong MD Anatomic and Clinical Pathology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X Duan Xiuzchen MD Anatomic and Clinical Pathology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X Massarani-Wafai Razan MD Anatomic and Clinical Pathology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X Mehrotra Swati MD Anatomic and Clinical Pathology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X Mirza Muhammad Ph.D, MD Anatomic and Clinical Pathology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X Mudaliar Kumaran MD Anatomic and Clinical Pathology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X Pambuccian Stefan MD Anatomic and Clinical Pathology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X Speiser Jodi MD Anatomic and Clinical Pathology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X Tang Ping MD, PhD Anatomic and Clinical Pathology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X Velankar Milind MD Anatomic and Clinical Pathology Loyola University Medical Center 2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X
Transcript
Page 1: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Jacobson Mark MD Allergy and Immunology Allergy and Asthma Physicians SC911 N. Elm St. Suite 300 Hinsdale, IL 60521 (630) 455-0456 (630) 455-0626 MacNeal Hospital X X X X

Simonaire Jennifer DO Allergy and Immunology Allergy and Asthma Physicians SC911 N. Elm St. Suite 300 Hinsdale, IL 60521 (630) 455-0456 (630) 455-0626 MacNeal Hospital X X X X

Thomas Dolly MD Allergy and Immunology Center for Asthma and Allergy4014 N. Central Ave. Chicago, IL 60634-1832 (773) 283-9594 (773) 283-6711 X X X X X X X X

Thomas Dolly MD Allergy and Immunology Center for Asthma and Allergy

520 E. Northwest Highway Mt. Prospect, IL 60056 (847) 255-3050 (773) 283-6711 X X X X X X X X

Thomas Dolly MD Allergy and Immunology Center for Asthma and Allergy2222 W. Division St. Chicago, IL 60622 (773) 283-9594 (773) 283-6711 X X X X X X X X

Espiritu Baltazar MD Allergy and Immunology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600

Loyola University Medical Center X X X X X X X X X X X X X

Espiritu Baltazar MD Allergy and Immunology Loyola University Medical Center2160 S. First Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Rabbat Joyce MD Allergy and Immunology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Ghani Muhammad MD Allergy and Immunology Midwest Allergy, Inc

10001 W. Roosevelt Road Suite 304 Westchester, IL 60154 (708) 344-3550 (708) 344-6577 MacNeal Hospital X X X X X X X X X X X X

Gobin Karina MD Allergy and Immunology Rachna Shah MD SC

675 W. North Ave. Suite 310 Melrose Park, IL 60160 (708) 450-5054 (708) 450-7088

Gottlieb Memorial Hospital X X X X X X X X X

Gobin Karina MD Allergy and Immunology Rachna Shah MD SC1140 Lake St. Oak Park, IL 60301 (708) 450-5054 (708) 450-7088

Gottlieb Memorial Hospital X X X X X X X X X

Shah Rachna MD Allergy and Immunology Rachna Shah MD SC675 W. North Avenue Melrose Park, IL 60160 (708) 450-5054

Gottlieb Memorial Hospital X X X X X X X X X

Shah Rachna MD Allergy and Immunology Rachna Shah MD SC1140 Lake St. Oak Park, IL 60301 (708) 450-5054 (708) 450-7088

Gottlieb Memorial Hospital X X X X X X X X X

Ananthanarayanan Vijayalakshmi MDAnatomic and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Atieh Mohammed MDAnatomic and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Borys Dariusz MDAnatomic and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Ding Xianzhong MDAnatomic and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Duan Xiuzchen MDAnatomic and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Massarani-Wafai Razan MDAnatomic and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Mehrotra Swati MDAnatomic and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Mirza MuhammadPh.D, MD

Anatomic and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X

Mudaliar Kumaran MDAnatomic and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Pambuccian Stefan MDAnatomic and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Speiser Jodi MDAnatomic and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Tang PingMD, PhD

Anatomic and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Velankar Milind MDAnatomic and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Page 2: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Kaufman Michael MD Anatomic PathologyIllinois Laboratory Medicine Associates, LTD

1200 Harger Rd. Suite 408 Oak Brook, IL 60523 (630) 581-6503 (630) 645-6408 MacNeal Hospital X X X X X X

Kaufman Michael MD Anatomic Pathology Illinois Pathology Associates, LTD1200 Harger Rd. Suite 408 Oak Brook, IL 60523 (630) 581-6503 (630) 645-6408 MacNeal Hospital X X X X X X

Borys Ewa MD Anatomic Pathology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

McGivney Randall DOAnatomic Pathology and Clinical Pathology

Illinois Laboratory Medicine Associates, LTD

1200 Harger Rd. Suite 408 Oak Brook, IL 60523 (630) 581-6503 (630) 645-6408 MacNeal Hospital X X X X X X

Qiao Xiaoying MDAnatomic Pathology and Clinical Pathology

Illinois Laboratory Medicine Associates, LTD

1200 Harger Rd. Suite 408 Oak Brook, IL 60523 (630) 581-6503 (630) 645-6408 MacNeal Hospital X X X X X X

Schindler Susanne MDAnatomic Pathology and Clinical Pathology

Illinois Laboratory Medicine Associates, LTD

1200 Harger Rd. Suite 408 Oak Brook, IL 60523 (630) 581-6503 (630) 645-6408 MacNeal Hospital X X X X X X

McGivney Randall DOAnatomic Pathology and Clinical Pathology Illinois Pathology Associates, LTD

1200 Harger Rd. Suite 408 Oak Brook, IL 60523 (630) 581-6503 (630) 645-6408 MacNeal Hospital X X X X X X

Qiao Xiaoying MDAnatomic Pathology and Clinical Pathology Illinois Pathology Associates, LTD

1200 Harger Rd. Suite 408 Oak Brook, IL 60523 (630) 581-6503 (630) 645-6408 MacNeal Hospital X X X X X X

Schindler Susanne MDAnatomic Pathology and Clinical Pathology Illinois Pathology Associates, LTD

1200 Harger Rd. Suite 408 Oak Brook, IL 60523 (630) 581-6503 (630) 645-6408 MacNeal Hospital X X X X X X

Boyes Shaun MDAnatomic Pathology and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X

Chen XiuxuMD, PhD

Anatomic Pathology and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Uraizee Imran MDAnatomic Pathology and Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X

Iantorno Andrea APN Anesthesiology CPMG2750 S. River Rd. Des Plaines, IL 60018 (847) 470-8740 (847) 470-8750

Gottlieb Memorial Hospital X X X X X X X

Iantorno Andrea APN Anesthesiology CPMG675 W. North Ave. Melrose Park, IL 60160 (847) 470-8740 (847) 470-8750

Gottlieb Memorial Hospital X X X X X X X

Konowitz Howard MD Anesthesiology CPMG2750 S. River Rd. Des Plaines, IL 60018 (847) 470-8740 (847) 470-8750

Gottlieb Memorial Hospital X X X X X X X

Konowitz Howard MD Anesthesiology CPMG675 W. North Ave. Melrose Park, IL 60160 (847) 470-8740 (847) 470-8750

Gottlieb Memorial Hospital X X X X X X X

Xia Tian DO Anesthesiology Integrated Pain Management244 E. Roosevelt Lombard, IL 60148 (630) 629-6298 (630) 599-7149 X X X X X X X X

Xia Tian DO Anesthesiology Integrated Pain Management4906 N. Western Ave. Chicago, IL 60625 (630) 629-6298 (630) 599-7149 X X X X X X X X

Xia Tian DO Anesthesiology Integrated Pain Management2502 N. Harlem Ave. Elmwood Park, IL 60707 (630) 629-6298 (630) 599-7149 X X X X X X X X

Adams Karen CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Ahmad Fatima MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Ahmann Zachery CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Ander Michael MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Anderson Amanda CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Avramov Michail MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Baker-Watson N. Kurt MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Bartels Steven MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Beta Elio MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Blair Samara CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Bouton Amber CRNA Anesthesiology Loyola University Medical Center2160 S. First Ave. Maywood, IL 60513 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X

Boyce Thomas CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X X

Briggs Ann CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Brown Irwin DO Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Page 3: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Brown Lisa CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X X

Butler Deborah CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Byram Mark CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X X

Byram Scott MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Byram Susanna MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Campbell Charles CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Cardella Francesco CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Clemans Kathryn CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (708) 216-9000 (708) 216-5617

Loyola University Medical Center X X X X X X

Darden Caitlin CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X

Davis Meredith CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Edelstein Steven MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Farney Robert MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Francois Audrice MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

French Claire CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Gramlich Lisa MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Griesemer Emily CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Griffith Alexander MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Gustin Allen MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Hartman Laura CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Hartwig Jeffrey DO Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Haske Michael MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Hessler Mark CRNA Anesthesiology Loyola University Medical Center2160 S. First Ave. Maywood, IL 60513 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X

Hewlett Kimberly CRNA Anesthesiology Loyola University Medical Center2160 S. First Ave Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Horwath Hariklia CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Hosseinian Leila MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X

Huggins Lilian CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Hughes Laura CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X

Hunter Nakia MD Anesthesiology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Kim Eun APN Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Klaus Abby CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Krawczyk Susan CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Kutlu Kathryn MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X

Kwak Jenny MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Kwon Haemin CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Lannert Kelly CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Lathitham Chris CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Lee Rebecca MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (708) 216-9000 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Li Pulsar DO Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Loo James MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Loudon Caitlin DO Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X

Luu Brian MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Page 4: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Majewski Michael MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Marinaro Jennifer CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Martin Lindsey CRNA Anesthesiology Loyola University Medical Center2160 S. First Ave Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Metry Jonathan MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Miles Katharine MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Mitchell Joshua CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Mitchell Teresa CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X

Mondesir Legia MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Morrow Megan CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Mugve Neal MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Murphy Keely CRNA Anesthesiology Loyola University Medical Center2160 S. First Ave. Maywood, IL 60513 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X

Murray Amy MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Ochab Heidi CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X

Oftadeh Mina DO Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

O'Rourke Michael MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Pawlowski Julius MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Pedone Eric MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X

Pham Dung MD Anesthesiology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Pietrzak Agnieszka DO Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Polyakov Yelena CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Presta Michael DO Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Reddy MallikarjunMD, MPH Anesthesiology Loyola University Medical Center

2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Rizvi Jason MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X

Ruffolo Daria APN Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Schilf Christopher MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 X X X X X X X X X X X X

Schippa Dulcie CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Smith Karen CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Sullivan Kendell CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Tabatabai Ali CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Tetteh Elizabeth MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Tkachenko Igor MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Tselonis Pauline Kim CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Ural Nil MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Vadakara Molly CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Vitantonio Tracy CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Vodvarka Jane CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Walker Annie CRNA Anesthesiology Loyola University Medical Center2160 S. First Ave Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Walsh Jennifer CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (708) 216-9000 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X X

Watson Michael CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Wiisanen Michael MD Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Woodard Kenyetta CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Page 5: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Young Betty CRNA Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Yousif Daniel MD Anesthesiology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Aronov Yuriy MD Anesthesiology Midwest Anesthesia Partners

387 Shuman Blvd. Suite 240W Naperville, IL 60563 (708) 538-5222

Gottlieb Memorial Hospital X

Aureus Rebecca MD Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (847) 470-8740

Gottlieb Memorial Hospital X

Barak Mor MD Anesthesiology Midwest Anesthesia Partners

387 Shumen Blvd. Suite 240W Naperville, IL 60563 (708) 538-5222 (708) 538-8493

Gottlieb Memorial Hospital X

Belvis Dawn MD Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (708)538-5222

Gottlieb Memorial Hospital X

Bickmann Jonathan CRNA Anesthesiology Midwest Anesthesia Partners

387 Shuman Blvd. Suite 240W Naperville, IL 60563 (708) 538-5222

Gottlieb Memorial Hospital X

Christ Andrew CRNA Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (708)538-5222

Gottlieb Memorial Hospital X

Colombo James MD Anesthesiology Midwest Anesthesia Partners

387 Shuman Blvd. Suite 240W Naperville, IL 60563 (708)538-4934

Gottlieb Memorial Hospital X

Fouliard Eric DO Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (708)538-5222

Gottlieb Memorial Hospital X

Grehan William MD Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (847) 470-8740

Gottlieb Memorial Hospital X

Iacopelli Brian CRNA Anesthesiology Midwest Anesthesia Partners

387 Shuman Blvd. Suite 240W Naperville, IL 60563 (708) 538-5222

Gottlieb Memorial Hospital X

Iusco Arcangelo MD Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (847) 470-8740

Gottlieb Memorial Hospital X

Kaufmann Matthew MD Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (847) 470-8740

Gottlieb Memorial Hospital X

Kolonda Fathima MD Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (708)538-5222

Gottlieb Memorial Hospital X

Lubawski Jamie MD Anesthesiology Midwest Anesthesia Partners

387 Shuman Blvd. Suite 240W Naperville, IL 60563 (708) 538-5222

Gottlieb Memorial Hospital

Mastbrook Cynthia DO Anesthesiology Midwest Anesthesia Partners

387 Shuman Blvd. Suite 240W Naperville, IL 60563 (708) 538-5222 (708) 538-8493

Gottlieb Memorial Hospital X

Molnar Robert MD Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (847) 470-8740

Gottlieb Memorial Hospital X

Molnar Robert MD Anesthesiology Midwest Anesthesia Partners9000 N. Waukegan Road Morton Grove, IL 60053

Gottlieb Memorial Hospital X

Ott Cory CRNA Anesthesiology Midwest Anesthesia Partners

387 Shuman Blvd. Suite 240W Naperville, IL 60563 (708) 538-5222

Gottlieb Memorial Hospital X

Park Suzanne CRNA Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (847) 470-8740

Gottlieb Memorial Hospital X

Reichard Andrew CRNA Anesthesiology Midwest Anesthesia Partners

387 Shuman Blvd. Suite 240W Naperville, IL 60563 (708) 538-5222

Gottlieb Memorial Hospital X

Shah Nick MD Anesthesiology Midwest Anesthesia Partners

387 Shuman Blvd. Suite 240W Naperville, IL 60563 (708) 538-5222

Gottlieb Memorial Hospital

Sims John MD Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (847) 470-8740

Gottlieb Memorial Hospital X

Stephenson Richard MD Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (708)538-5222

Gottlieb Memorial Hospital X

Vajda Tiffany CRNA Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (847) 470-8740

Gottlieb Memorial Hospital X

Voronov Michael MD Anesthesiology Midwest Anesthesia Partners

387 Shumen Blvd. Suite 240W Naperville, IL 60563 (708)538-4934

Gottlieb Memorial Hospital X

Zaucha Tamara CRNA Anesthesiology Midwest Anesthesia Partners3300 Green Briar Lane Riverwoods, IL 60015 (847) 470-8740

Gottlieb Memorial Hospital X

Asif Asma MD Anesthesiology Premier Pain and Spine LLC

1365 Wiley Road Suite 153 Schaumburg, IL 60173-4357 (847) 519-4701 (847) 519-4707 MacNeal Hospital X X X X X X

Asif Asma MD Anesthesiology Premier Pain and Spine LLC

3800 Highland Rd. Suite 100 Downers Grove, IL 60515 (847) 519-4701 (847) 519-4707 MacNeal Hospital X X X X X X

Dunsmore Virginia AuD Audiology Loyola University Medical Center

15300 West Ave Suite 1181 Orland Park, IL 60462 (708) 873-2503 (708) 873-2495

Loyola University Medical Center X X X X X X X X X X

Dunsmore Virginia AuD Audiology Loyola University Medical Center6800 N. Frontage Rd. Burr Ridge, IL 60527 (708) 327-1132 (708) 327-1117

Loyola University Medical Center X X X X X X X X X X

Harano JoAnn AuD Audiology Loyola University Medical Center

15300 West Ave. Room 1181 Orland Park, IL 60462 (708) 873-2503

Loyola University Medical Center X X X X X X

Page 6: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Harano JoAnn AuD Audiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (708) 216-9000 (708) 216-5617

Loyola University Medical Center X X X X X X

Nickels Janet AuD Audiology Loyola University Medical Center

15300 West Ave Room 1181 Orland Park, IL 60462 (708) 873-2503

Loyola University Medical Center X X X X X X

Nickels Janet AuD Audiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (708) 216-9000 (708) 216-5617

Loyola University Medical Center X X X X X X

Nowak Triezenberg Margaret AuD Audiology Loyola University Medical Center

15300 West Ave Suite 1181 Orland Park, IL 60462 (708) 873-2503 (708) 873-2495

Loyola University Medical Center X X X X X X X X X X

Welch Melissa AuD Audiology Loyola University Medical Center

15300 West Ave Suite 1181 Orland Park, IL 60462 (708) 873-2503 (708) 873-2495

Loyola University Medical Center X X X X X X X X X X

Wilke-Allen Stefanie AuD Audiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (708) 216-9000 (708) 216-5617

Loyola University Medical Center X X X X X X

Wilke-Allen Stefanie AuD Audiology Loyola University Medical Center

15300 West Ave. Room 1181 Orland Park, IL 60462 (708) 873-2503

Loyola University Medical Center X X X X X X

Au Mareiko BCBA Behavior Analyst Early Autism Services LLC306 N. Kensington Ave. La Grange Park, IL 60526 (312) 914-0611 (312) 929-0324 X X X X

Berlinski Michelle BCBA Behavior Analyst Early Autism Services LLC306 N. Kensington Ave. La Grange Park, IL 60526 (312) 965-2997 (312) 929-0324 X X X X

Caratachea Lauren BCBA Behavior Analyst Early Autism Services LLC306 N. Kensington Ave. La Grange Park, IL 60526 (312) 965-2997 (312) 929-0324 X X X X

Dunne Mary Kate BCBA Behavior Analyst Early Autism Services LLC306 N. Kensington Ave. La Grange Park, IL 60526 (312) 965-2997 (312) 929-0324 X X X X

Harker Kristin BCBA Behavior Analyst Early Autism Services LLC306 N. Kensington Ave. La Grange Park, IL 60526 (312) 965-2997 (312) 929-0324 X X X X

Kaehler Jordan BCBA Behavior Analyst Early Autism Services LLC306 N. Kensington Ave. La Grange Park, IL 60526 (312) 914-0611 (312) 929-0324 X X X X

Montalvo Jessica BCBA Behavior Analyst Early Autism Services LLC306 N. Kensington Ave. La Grange Park, IL 60526 (312) 965-2997 (312) 929-0324 X X X X

Nippa Alexa BCBA Behavior Analyst Early Autism Services LLC306 N. Kensington Ave. La Grange Park, IL 60526 (312) 965-2997 (312) 929-0324 X X X X

Sawyers Danyelle BCBA Behavior Analyst Early Autism Services LLC306 N. Kensington Ave. La Grange Park, IL 60526 (312) 965-2997 (312) 929-0324 X X X X

Weiland Kathryn BCBA Behavior Analyst Early Autism Services LLC306 N. Kensington Ave. La Grange Park, IL 60526 (312) 965-2997 (312) 929-0324 X X X X

James Megan BCBA Behavior AnalystHand Over Hand Behavioral Consultants, LLC

2248 S. Michigan Ave. Chicago, IL 60616 (312) 842-5083 (312) 842-5086 X X X

DeChristopher PhillipMD, PHD

Blood Banking and Transfusion Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X

Balek Mark MD Cardiology Chicago Cardiology Institute, S.C.

804 E. Woodfield Rd. #300 Schaumburg, IL 60173-4776 (847) 605-9500 (847) 637-0737

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

Balek Mark MD Cardiology Chicago Cardiology Institute, S.C.7035 W. North Ave. Oak Park, IL 60302-1015 (708) 680-3800 (708) 777-4776

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

De La Paz Marissa APN Cardiology Chicago Cardiology Institute, S.C.

804 E. Woodfield Rd. #300 Schaumburg, IL 60173-4776 (847) 605-9500 (847) 637-0737 X X X X

De La Paz Marissa APN Cardiology Chicago Cardiology Institute, S.C.7035 W. North Ave. Oak Park, IL 60302-1015 (708) 680-3800 (708) 777-4776 X X X X

Doshi Parag MD Cardiology Chicago Cardiology Institute, S.C.

804 E. Woodfield Rd. #300 Schaumburg, IL 60173-4776 (847) 605-9500 (847) 637-0737

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

Doshi Parag MD Cardiology Chicago Cardiology Institute, S.C.7035 W. North Ave. Oak Park, IL 60302-1015 (708) 680-3800 (708) 777-4776

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

Fajardo Julianna APRN Cardiology Chicago Cardiology Institute, S.C.

804 E. Woodfield Rd. #300 Schaumburg, IL 60173-4776 (847) 605-9500 (847) 605-8700 X X X X

Gandhi Jigna APN Cardiology Chicago Cardiology Institute, S.C.

804 E. Woodfield Rd. #300 Schaumburg, IL 60173-4776 (847) 605-9500 (847) 637-0737 X X X X

Page 7: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Gandhi Jigna APN Cardiology Chicago Cardiology Institute, S.C.7035 W. North Ave. Oak Park, IL 60302-1015 (708) 680-3800 (708) 777-4776 X X X X

Heretis Katherine MD Cardiology Chicago Cardiology Institute, S.C.

804 E. Woodfield Rd. #300 Schaumburg, IL 60173-4776 (847) 605-9500 (847) 637-0737

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

Heretis Katherine MD Cardiology Chicago Cardiology Institute, S.C.7035 W. North Ave. Oak Park, IL 60302-1015 (708) 680-3800 (708) 777-4776

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

Jawad Evyan MD Cardiology Chicago Cardiology Institute, S.C.

804 E. Woodfield Rd. #300 Schaumburg, IL 60173-4776 (847) 605-9500 (847) 637-0737

West Suburban Medical Center X X X X

Jawad Evyan MD Cardiology Chicago Cardiology Institute, S.C.7035 W. North Ave. Oak Park, IL 60302-1015 (708) 680-3800 (708) 777-4776

West Suburban Medical Center X X X X

Khan Raffay MD Cardiology Chicago Cardiology Institute, S.C.

804 E. Woodfield Rd. #300 Schaumburg, IL 60173-4776 (847) 605-9500 (847) 637-0737

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

Khan Raffay MD Cardiology Chicago Cardiology Institute, S.C.7035 W. North Ave. Oak Park, IL 60302-1015 (708) 680-3800 (708) 777-4776

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

Patel Renuka NP Cardiology Chicago Cardiology Institute, S.C.

804 E. Woodfield Rd. #300 Schaumburg, IL 60173-4776 (847) 605-9500 (847) 637-0737 X X X X

Patel Renuka NP Cardiology Chicago Cardiology Institute, S.C.7035 W. North Ave. Oak Park, IL 60302-1015 (708) 680-3800 (708) 777-4776 X X X X

Sager Solomon MD Cardiology Chicago Cardiology Institute, S.C.

804 E. Woodfield Rd. #300 Schaumburg, IL 60173-4776 (847) 605-9500 (847) 637-0737

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

Sager Solomon MD Cardiology Chicago Cardiology Institute, S.C.7035 W. North Ave. Oak Park, IL 60302-1015 (708) 680-3800 (708) 777-4776

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

Soto Pablo MD Cardiology Chicago Cardiology Institute, S.C.

804 E. Woodfield Rd. #300 Schaumburg, IL 60173-4776 (847) 605-9500 (847) 637-0737

West Suburban Medical Center X X X X

Soto Pablo MD Cardiology Chicago Cardiology Institute, S.C.7035 W. North Ave. Oak Park, IL 60302-1015 (708) 680-3800 (708) 777-4776

West Suburban Medical Center X X X X

Bajgrowicz John MD Cardiology Clinical Cardiology Consultants, S.C

675 W. North Avenue Suite 101 Melrose Park, IL 60160 (708) 450-4935 (708) 345-1618

Gottlieb Memorial Hospital X X X X X X X X

Aziz George MD CardiologyGottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919 MacNeal Hospital X X X X X X X X X X X X

Bane Christopher MD CardiologyGottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919

MacNeal Hospital, West Suburban Medical Center X X X X X X X X X X X X

Cusick David MD CardiologyGottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919

MacNeal Hospital, West Suburban Medical Center X X X X X X X X X X X X

Kason Thomas MD CardiologyGottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919 MacNeal Hospital X X X X X X X X X X X

Kinder Charles MD CardiologyGottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919 MacNeal Hospital X X X X X X X X X X X

Maragos Stavros MD CardiologyGottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919 MacNeal Hospital X X X X X X X X X X X X

Ramani Kishin MD CardiologyGottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919 MacNeal Hospital X X X X X X X X X X X

Shin Hang-Jin MD CardiologyGottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919 MacNeal Hospital X X X X X X X X X X X X

Tierney Sean MD CardiologyGottlieb Community Healthservices DBA MacNeal Medical Group

125 N LAGRANGE RD LAGRANGE, IL 60525-2041 708-783-3377 708-783-5656 MacNeal Hospital X X X X X X X X X X X X

Aziz George MD Cardiology Heart Care Centers of Illinois SC195 Springfield Ave.Ste 201 Joliet, IL 60435 (815) 823-8200 (815) 823-8201 MacNeal Hospital X X X X X X X X X X X

Bane Christopher MD Cardiology Heart Care Centers of Illinois SC13011 S. 104th Ave. Suite 100 Palos Park, IL 60464 (708) 274-3278 (708) 274-3299

MacNeal Hospital, West Suburban Medical Center X X X X X X X X X X X

Page 8: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Camba Noel MD Cardiology Heart Care Centers of Illinois SC13011 S. 104th Ave. Suite 100 Palos Park, IL 60464 (708) 274-3278 (708) 274-3299 MacNeal Hospital X X X X X X X X X X X

Camba Noel MD Cardiology Heart Care Centers of Illinois SC3231 S. Euclid Suite 201 Berwyn, IL 60402 (708) 783-2055 (708) 783-2181 MacNeal Hospital X X X X X X X X X X X

Camba Noel MD Cardiology Heart Care Centers of Illinois SC

11560 S. Kedzie Ave. Suite 100 Merrionette Park, IL 60803 (708) 824-1114 (708) 824-9341 MacNeal Hospital X X X X X X X X X X X

Cusick David MD Cardiology Heart Care Centers of Illinois SC3231 S. Euclid Suite 201 Berwyn, IL 60402 (708) 783-2055 (708) 783-2181

MacNeal Hospital, West Suburban Medical Center X X X X X X X X X X X

Kakavas Peter MD Cardiology Heart Care Centers of Illinois SC19001 Old LaGrange Road Mokena, IL 60448 (708) 478-3600 (708) 824-4415 MacNeal Hospital X X X X X X X X X X X

Kason Thomas MD Cardiology Heart Care Centers of Illinois SC

11560 S. Kedzie Ave. Suite 100 Merrionette Park, IL 60803 (708) 824-1114 (708) 824-9341 MacNeal Hospital X X X X X X X X X X X

Kinder Charles MD Cardiology Heart Care Centers of Illinois SC

13011 S. 104th Ave. Suite 100 Palos Park, IL 60464-1508 (708) 274-3278 (708) 274-3299 MacNeal Hospital X X X X X X X X X X X

Kinder Charles MD Cardiology Heart Care Centers of Illinois SC195 Springfield Ave. Suite 201 Joliet, IL 60435 (815) 823-8200 (815) 823-8201 MacNeal Hospital X X X X X X X X X X X

Kinder Charles MD Cardiology Heart Care Centers of Illinois SC

11560 S. Kedzie Ave. Suite 100 Merrionette Park, IL 60803-4517 (708) 824-1114 (708) 824-9341 MacNeal Hospital X X X X X X X X X X X

Kinder Charles MD Cardiology Heart Care Centers of Illinois SC3231 S. Euclid Suite 201 Berwyn, IL 60402 (708) 783-2055 (708) 783-2181 MacNeal Hospital X X X X X X X X X X X

Macaluso Gregory MD Cardiology Heart Care Centers of Illinois SC13011 S. 104th Ave. Suite 100 Palos Park, IL 60464 (708) 274-3278 (708) 274-3299 MacNeal Hospital X X X X X X X X X X X

Maragos Stavros MD Cardiology Heart Care Centers of Illinois SC13011 S. 104th Ave. Suite 100 Palos Park, IL 60464 (708) 274-3278 (708) 274-3299 MacNeal Hospital X X X X X X X X X X X

Ramana Ravi DO Cardiology Heart Care Centers of Illinois SC13011 S. 104th Ave. Suite 100 Palos Park, IL 60464 (708) 478-3600 (708) 478-3552

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Ramani Kishin MD Cardiology Heart Care Centers of Illinois SC3231 S. Euclid Suite 201 Berwyn, IL 60402 (708) 783-2055 (708) 783-2181 MacNeal Hospital X X X X X X X X X X X

Shin Hang-Jin MD Cardiology Heart Care Centers of Illinois SC3231 S. Euclid Suite 201 Berwyn, IL 60402 (708) 783-2055 (708) 783-2181 MacNeal Hospital X X X X X X X X X X X

Tierney Sean MD Cardiology Heart Care Centers of Illinois SC

11560 S. Kedzie Ave. Suite 100 Merrionette Park, IL 60803 (708) 824-1114 (708) 824-9341 MacNeal Hospital X X X X X X X X X X X

Klein Lloyd MD Cardiology Lloyd W Klein MDSC675 W. North Avenue Melrose Park, IL 60160 (708) 681-7862

Gottlieb Memorial Hospital X

Aubert GregoryMD, PhD Cardiology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Babar Asim MD Cardiology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Bakir May MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Ball Caroline MD Cardiology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Barron JohnMD,PHD Cardiology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X X

Barron JohnMD,PHD Cardiology Loyola University Medical Center

1030 W. Higgins Rd. Park Ridge, IL 60068 (708) 327-7000

Loyola University Medical Center X X X X X X X X X X X X X

Charo Kimberly APN Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Cytron Joseph MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Dajani Khaled MD Cardiology Loyola University Medical Center15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400 (708) 645-3411

Loyola University Medical Center X X X X X X X X X X X X X

Dajani Khaled MD Cardiology Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000 (708) 327-1322

Loyola University Medical Center X X X X X X X X X X X X X

Darki Amir MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Green Alexander MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Habercoss Charis APN Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Page 9: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Heroux Alain MD Cardiology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X X

Ilias Basha Haseeb MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Kinno Menhel MD Cardiology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Laude Kathleen APRN Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Lewis Bruce MD Cardiology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Leya Ferdinand MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Leya Ferdinand MD Cardiology Loyola University Medical Center1030 W. Higgins Rd. Park Ridge, IL 60068 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Liebo Max MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

McDonough Timothy MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X

McKiernan Thomas MD Cardiology Loyola University Medical Center300 N. York Rd. Elmhurst, IL 60126 (708) 327-7030

Loyola University Medical Center X X X X X X X X X X X X X

McKiernan Thomas MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

McKiernan Thomas MD Cardiology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center X X X X X X X X X X X X X

Minser Julie APN Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X

Pacold Ivan MD Cardiology Loyola University Medical Center1950 S. Harlem Avenue North Riverside, IL 60546 (708) 354-9250

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Phillip Mary APN Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Rabbat Mark MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Ramadurai Govind MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Rangel Yadira APN Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Sanagala Thriveni MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Santucci Peter MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Shah Subir DO Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Shakir Mohammad DO Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Syed Mushabbar MD Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Syed Mushabbar MD Cardiology Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center X X X X X X X X X X X X X

Wilber David MD Cardiology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X X

Kracinski Lisa NP Cardiology Lumen Cardiovascular Specialist, Ltd340 W. Butterfield Rd. #3A Elmhurst, IL 60126 (630) 869-0888 (630) 834-1017

Gottlieb Memorial Hospital X X X X X

Sadat Kamel MD Cardiology Lumen Cardiovascular Specialist, Ltd

675 W. North Ave. Suite 309 Melrose Park, IL 60160 (630) 869-0888 (773) 305-1424

Gottlieb Memorial Hospital X X X X X X X X X

Sadat Kamel MD Cardiology Lumen Cardiovascular Specialist, Ltd340 W. Butterfield Rd. #3A Elmhurst, IL 60126 (630) 869-0888 (630) 834-1017

Gottlieb Memorial Hospital X X X X X X X X X

Serajian Asif DO Cardiology Lumen Cardiovascular Specialist, Ltd340 W. Butterfield Rd. #3A Elmhurst, IL 60126 (630) 869-0888 (773) 305-1424

Gottlieb Memorial Hospital X X X X X X X X X

Serajian Asif DO Cardiology Lumen Cardiovascular Specialist, Ltd

675 W. North Ave. Suite 309 Melrose Park, IL 60160 (630) 869-0888 (773) 305-1424

Gottlieb Memorial Hospital X X X X X X X X X

Patodia Nirmal MD Cardiology Nirmal Patodia, MD

675 W. North Ave. Suite 408 Melrose Park, IL 60160-4156 (708) 338-9388 (708) 388-9389

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X X X

Page 10: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Kinder Charles MD Cardiology Premier Vascular, LLC

11560 S. Kedzie Ave. Suite 102 Merrionette Park, IL 60803 (708) 972-7525 (708) 792-7526 MacNeal Hospital X X X X X X X X X

Akbar Muhammad MD Cardiology Shifa Cardiology Consultants4640 N. Marine Dr. Chicago, IL 60640-5719 (773) 338-5719 (773) 267-4911

Weiss Memorial Hospital X X X X X X X X

Akbar Muhammad MD Cardiology Shifa Cardiology Consultants6320 N. Lincoln Ave. Chicago, IL 60659-1204 (773) 267-5111 (773) 267-4911

Weiss Memorial Hospital X X X X X X X X

Saudye Hammad MD Cardiology Shifa Cardiology Consultants4640 N. Marine Dr. Chicago, IL 60640-5719 (773) 338-5719 (773) 267-4911

Weiss Memorial Hospital X X X X X X X X

Saudye Hammad MD Cardiology Shifa Cardiology Consultants6320 N. Lincoln Ave. Chicago, IL 60659-1204 (773) 267-5111 (773) 267-4911

Weiss Memorial Hospital X X X X X X X X

Saudye Muhammad MD Cardiology Shifa Cardiology Consultants6320 N. Lincoln Ave. Chicago, IL 60659-1204 (773) 267-5111 (773) 267-4911

Weiss Memorial Hospital X X X X X X X X

Saudye Muhammad MD Cardiology Shifa Cardiology Consultants4640 N. Marine Dr. Chicago, IL 60640-5719 (773) 338-5719 (773) 267-4911

Weiss Memorial Hospital X X X X X X X X

Sheikh Amjad MD Cardiology Shifa Cardiology Consultants4640 N. Marine Dr. Chicago, IL 60640-5719 (773) 338-5719 (773) 267-4911

Weiss Memorial Hospital X X X X X X X X

Sheikh Amjad MD Cardiology Shifa Cardiology Consultants6320 N. Lincoln Ave. Chicago, IL 60659-1204 (773) 267-5111 (773) 267-4911

Weiss Memorial Hospital X X X X X X X X

Abdelsalam Hossam MDChild and Adolescent Neurology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Kabbani Haidar MDChild and Adolescent Neurology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Schnitzler Eugene MDChild and Adolescent Neurology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Rosenthal Ryan DC Chiropractic Medicine Advanced Physical Medicine, S. C.6931 W. North Ave. Oak Park, IL 60302 (708) 763-0580 (708) 763-0586 X X

Russo Igor DC Chiropractic Medicine Advanced Physical Medicine, S. C.6931 W. North Ave. Oak Park, IL 60302 (708) 763-0580 (708) 763-0586 X X

Cicero Gerard DC Chiropractic Medicine Chicago Neck and Back Institute, Ltd

5700 W. Fullerton Ave. Suite 1 Chicago, IL 60639-2307 (773) 237-8660 (773) 237-3159 X X X X

Cantu John DC Chiropractic Medicine John A. Cantu, DC1 Erie Court Suite 4010 Oak Park, IL 60302-2510 (708) 848-0677 (708) 848-4672

West Suburban Medical Center X X X X X X X

Jonihakis John DC Chiropractic Medicine John Jonihakis DC PC

12770 S. Harlem Avenue Suite 150 Palos Heights, IL 60463-2145 (708) 671-1400 (708) 671-9228 X X X X X X

Longinotti John DC Chiropractic Medicine Longinotti Chiropractic Center LTD1144 Lake St. Suite 202 Oak Park, IL 60301-1043 (708) 386-7570 (708) 386-7595 X X X X X X X

Jusino Robert DC Chiropractic Medicine Robert C Jusino7605 W. North Ave. River Forest, IL 60305 (708) 771-0665 (708) 771-0662

West Suburban Medical Center X X X X X

Porter Michael MDClinical Cardiac Electrophysiology Heart Care Centers of Illinois SC

3231 S. Euclid Suite 201 Berwyn, IL 60402 (708) 783-2055 (708) 783-2181 MacNeal Hospital X X X X X X X X X X

Vasaiwala Smit MDClinical Cardiac Electrophysiology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Blodgett Christina PhDClinical Neuropsychology Thomson Memory Center, LLC

1451 Merchant Dr. Algonquin, IL 60102-5917 (847) 469-7537 (847) 469-7540 X X X X X X X X X

Blodgett Christina PhDClinical Neuropsychology Thomson Memory Center, LLC

700 Commerce Dr. Suite 500 Oak Brook, IL 60523 (847) 469-7537 (847) 469-7540 X X X X X X X X X

Blodgett Christina PhDClinical Neuropsychology Thomson Memory Center, LLC

120 Northwest Hwy. Barrington, IL 60642 (847) 469-7537 (847) 469-7540 X X X X X X X X X

Blodgett Christina PhDClinical Neuropsychology Thomson Memory Center, LLC

939 W. North Ave. Suite 750 Chicago, IL 60642 (847) 469-7537 (847) 469-7540 X X X X X X X X X

Hagen Holly PsyDClinical Neuropsychology Thomson Memory Center, LLC

1451 Merchant Dr. Algonquin, IL 60102-5917 (847) 469-7537 (847) 469-7540 X X X X X X X X X

Hagen Holly PsyDClinical Neuropsychology Thomson Memory Center, LLC

700 Commerce Dr. Suite 500 Oak Brook, IL 60523 (847) 469-7537 (847) 469-7540 X X X X X X X X X

Hagen Holly PsyDClinical Neuropsychology Thomson Memory Center, LLC

2300 Barrington Rd. Suite 105 Hoffman Estates, IL 60169-2036 (847) 469-7537 (847) 469-7540 X X X X X X X X X

Hagen Holly PsyDClinical Neuropsychology Thomson Memory Center, LLC

939 W. North Ave. Suite 750 Chicago, IL 60642 (847) 469-7537 (847) 469-7540 X X X X X X X X X

Gvozdjan Kristina MD Clinical Pathology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Kini AmeetMD,PHD Clinical Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Page 11: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Eberhardt Joshua MDColon and Rectal Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Singer Marc MDColon and Rectal Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Singer Marc MDColon and Rectal Surgery Loyola University Medical Center

15300 West Avenue Orland Park, IL 60462 (888)584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Weisman Robert MDColon and Rectal Surgery Robert I. Weisman M.D.

1875 Dempster Suite 280 Park Ridge, IL 60068 (847) 318-9071 (847) 318-2535

Gottlieb Memorial Hospital X X

Johnson Jessica MD Critical Care Medicine Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X

Kalimullah Ejaaz MD Critical Care Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Kumar Sunita MD Critical Care Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Kumar Sunita MD Critical Care Medicine Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center X X X X X X X X X X X X

Lowery Erin MD Critical Care Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Mukherji Jayanta MD Critical Care Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Padiyara Julia APN Critical Care Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Quddus Sana MD Critical Care Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Simpson Kevin MD Critical Care Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Hammond Kendra MD Critical Care MedicineLoyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3249 (708) 783-9100 (708) 783-6919

Loyola University Medical Center, MacNeal Hospital X X X X X X X X

Amesbury Stephen MD Critical Care Medicine Pulmonary Medicine Associates

675 W. North Ave. Suite 505 Melrose Park, IL 60160 (708) 450-4557 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X

Amesbury Stephen MD Critical Care Medicine Pulmonary Medicine Associates800 Austin St. #563 Evanston, IL 60202 (847) 328-1853 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X

Amesbury Stephen MD Critical Care Medicine Pulmonary Medicine Associates890 Garfield Ave. #209 Libertyville, IL 60068 (847) 367-5209 (847) 367-3063

Gottlieb Memorial Hospital X X X X X X X X X X

Friedman Harvey MD Critical Care Medicine Pulmonary Medicine Associates

675 W. North Ave. Suite 505 Melrose Park, IL 60160 (708) 450-4557 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X

Friedman Harvey MD Critical Care Medicine Pulmonary Medicine Associates800 Austin St. #563 Evanston, IL 60202 (847) 328-1853 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X

Friedman Harvey MD Critical Care Medicine Pulmonary Medicine Associates890 Garfield Ave. #209 Libertyville, IL 60068 (847) 367-5209 (847) 367-3063

Gottlieb Memorial Hospital X X X X X X X X X X

Hussain Omar DO Critical Care Medicine Pulmonary Medicine Associates

675 W. North Ave. Suite 505 Melrose Park, IL 60160 (708) 450-4557 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X

Hussain Omar DO Critical Care Medicine Pulmonary Medicine Associates890 Garfield Ave. #209 Libertyville, IL 60068 (847) 367-5209 (847) 367-3063

Gottlieb Memorial Hospital X X X X X X X X X X

Hussain Omar DO Critical Care Medicine Pulmonary Medicine Associates800 Austin St. #563 Evanston, IL 60202 (847) 328-1853 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X

Lee Ryan MD Critical Care Medicine Pulmonary Medicine Associates

675 W. North Ave. Suite 505 Melrose Park, IL 60160 (708) 450-4557 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X

Luger Gerald MD Critical Care Medicine Pulmonary Medicine Associates

675 W. North Ave. Suite 505 Melrose Park, IL 60160 (708) 450-4557 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X

Luger Gerald MD Critical Care Medicine Pulmonary Medicine Associates800 Austin St. #563 Evanston, IL 60202 (847) 328-1853 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X

Luger Gerald MD Critical Care Medicine Pulmonary Medicine Associates890 Garfield Ave. #209 Libertyville, IL 60068 (847) 367-5209 (847) 367-3063

Gottlieb Memorial Hospital X X X X X X X X X X

Barkan Guliz MD Cytopathology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Wojcik Eva MD Cytopathology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Black Lisa DDS Dentist Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X

Bonk Jeffrey DDS Dentist Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X

Farsakian Larry DDS Dentist Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X

Page 12: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Panomitros Nicholas DDS Dentist Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X

Slezak Nicole DDS Dentist Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X

Szpaderska Anna DDS Dentist Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Talentowski Diane DDS Dentist Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X

Zielinski Matthew DDS Dentist Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Craig Richard DDS Dentist Midwest Dental Sleep Center150 E. Huron Suite 1103 Chicago, IL 60611-2973 (312) 676-9893 (815) 744-7059 X X X X X

Craig Richard DDS Dentist Midwest Dental Sleep Center

120 Oakbrook Center Suite 318 Oak Brook, IL 60523 (630) 218-1920 (815) 744-7059 X X X X X

Lockhart Charles DDS Dentist Midwest Dental Sleep Center150 E. Huron Suite 1103 Chicago, IL 60611-2973 (312) 676-9893 (815) 744-7059 X X X X X

Lockhart Charles DDS Dentist Midwest Dental Sleep Center

120 Oakbrook Center Suite 318 Oak Brook, IL 60523 (630) 218-1920 (815) 744-7059 X X X X X

Lockhart Charles DDS Dentist Midwest Dental Sleep Center4711 Golf Rd. Skokie, IL 60076 (630) 218-1920 (815) 744-7059 X X X X X

Lockhart Charles DDS Dentist Midwest Dental Sleep Center220 Channahon St. Shorewood, IL 60404 (815) 744-7055 (815) 744-7059 X X X X X

Lockhart Charles DDS Dentist Midwest Dental Sleep Center

27790 W. Highway 22 Barrington, IL 60010-2340 (630) 218-1920 (815) 744-7059 X X X X X

Moravec Steven DDS Dentist Midwest Dental Sleep Center

120 Oakbrook Center Suite 318 Oak Brook, IL 60523-4754 (630) 218-1920 (815) 744-7059 X X X X X

Moravec Steven DDS Dentist Midwest Dental Sleep Center150 E. Huron Suite 1103 Chicago, IL 60611 (312) 676-9893 (815) 744-7059 X X X X X

Moravec Steven DDS Dentist Midwest Dental Sleep Center27790 W. Highway 22 Barrington, IL 60010 (630) 218-1920 (815) 744-7059 X X X X X

Moravec Steven DDS Dentist Midwest Dental Sleep Center4711 Golf Rd. Skokie, IL 60076 (630) 218-1920 (815) 744-7059 X X X X X

Moravec Steven DDS Dentist Midwest Dental Sleep Center

220 Channahon St. Shorewood, IL 60404-9330 (815) 744-7055 (815) 744-7059 X X X X X

Prentice Brian DDS Dentist Midwest Dental Sleep Center

120 Oakbrook Center Suite 318 Oak Brook, IL 60523-4754 (630) 218-1920 (815) 744-7059 X X X X X

Prentice Brian DDS Dentist Midwest Dental Sleep Center150 E. Huron Suite 1103 Chicago, IL 60611-2973 (312) 676-9893 (815) 744-7059 X X X X X

Prentice Brian DDS Dentist Midwest Dental Sleep Center27790 W. Highway 22 Barrington, IL 60010 (630) 218-1920 (815) 744-7059 X X X X X

Prentice Brian DDS Dentist Midwest Dental Sleep Center220 Channahon St. Shorewood, IL 60404 (815) 744-7055 (815) 744-7059 X X X X X

Prentice Brian DDS Dentist Midwest Dental Sleep Center4711 Golf Rd. Skokie, IL 60076-1242 (630) 218-1920 (815) 744-7059 X X X X X

Valcarenghi Ivan DDS Dentist Midwest Dental Sleep Center

120 Oakbrook Center Suite 318 Oak Brook, IL 60523-4754 (630) 218-1920 (815) 744-7059 X X X X X

Valcarenghi Ivan DDS Dentist Midwest Dental Sleep Center220 Channahon St. Shorewood, IL 60404 (815) 744-7055 (815) 744-7059 X X X X X

Valcarenghi Ivan DDS Dentist Midwest Dental Sleep Center150 E. Huron Chicago, IL 60611 (312) 676-9893 (815) 744-7059 X X X X X

Valcarenghi Ivan DDS Dentist Midwest Dental Sleep Center4711 Golf Rd. Skokie, IL 60076 (630) 218-1920 (815) 744-7059 X X X X X

Valcarenghi Ivan DDS Dentist Midwest Dental Sleep Center

27790 W. Highway 22 Barrington, IL 60010-2340 (630) 218-1920 (815) 744-7059 X X X X X

Wallace Kevin DDS Dentist Midwest Dental Sleep Center150 E. Huron Suite 1103 Chicago, IL 60611-2973 (312) 676-9893 (815) 744-7059 X X X X X

Wallace Kevin DDS Dentist Midwest Dental Sleep Center4711 Golf Rd. Suite 413 Skokie, IL 60076 (630) 218-1920 (815) 744-7059 X X X X X

Wallace Kevin DDS Dentist Midwest Dental Sleep Center120 Oakbrook Center Oak Brook, IL 60523 (630) 218-1920 (815) 744-7059 X X X X X

Wallace Kevin DDS Dentist Midwest Dental Sleep Center220 Channahon St. Shorewood, IL 60404 (815) 744-7055 (815) 744-7059 X X X X X

Wallace Kevin DDS Dentist Midwest Dental Sleep Center

27790 W. Highway 22 Barrington, IL 60010-2340 (630) 218-1920 (815) 744-7059 X X X X X

Ringhofer Curt DDS DentistSuburban Pulmonary and Sleep Associates Ltd

700 E. Ogden Ave. Suite 202 Westmont, IL 60559-1296 (630) 789-9785 (630) 789-9798 X X X X X

Ringhofer Curt DDS DentistSuburban Pulmonary and Sleep Associates Ltd

14486 John Humphrey Dr. Orland Park, IL 60462 (630) 789-9785 (630) 789-9798 X X X X X

Page 13: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Berkson Michael MD Dermatology Forefront Dermatology, S.C.

3253 S. Harlem Ave. Suite 1A Berwyn, IL 60402-3073 (708) 788-3885 (708) 788-6884 X X X X X X X X

Berkson Michael MD Dermatology Forefront Dermatology, S.C.

2800 N. Sheridan Rd. Suite 508 Chicago, IL 60657 (773) 525-5550 (773) 525-3084 X X X X X X X X

Marsh Eric MD Dermatology Forefront Dermatology, S.C.

3253 S. Harlem Ave. Suite 1A Berwyn, IL 60402-3073 (708) 788-3885 (708) 788-6884 X X X X X X X X

Meccia Alexandria MD Dermatology Forefront Dermatology, S.C.

3253 S. Harlem Ave. Suite 1A Berwyn, IL 60402-3073 (708) 788-3885 (708) 788-6884 X X X X X X

Mehta Sheetal MD Dermatology Forefront Dermatology, S.C.

3253 S. Harlem Ave. Suite 1A Berwyn, IL 60402-3073 (708) 788-3885 (708) 788-6884 X X X X X X X

Mehta Sheetal MD Dermatology Forefront Dermatology, S.C.1520 Bon St. Naperville, IL 60563 (630) 357-7536 (630) 904-0413 X X X X X X X

Mandrea Steven MD Dermatology Illinois Dermatology3000 N. Halsted St. Suite 409 Chicago, IL 60657 (773) 281-9200 (773) 281-9201 Mercy Medical Center X X X X

Kim Wendy DO Dermatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Lake Eden MD Dermatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Lee Kristin MD Dermatology Loyola University Medical Center321 N. LaGrange Road LaGrange Park, IL 60526 (708) 485-1020 (708) 485-1173

Loyola University Medical Center X X X X X X X X X X X X X

Lee Kristin MD Dermatology Loyola University Medical Center

1S224 and 260 Summit Ave Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X X

Lee Kristin MD Dermatology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Mafee Miriam MD Dermatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (708) 216-9000 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X X X X

Swan James MD Dermatology Loyola University Medical Center321 N. LaGrange Road LaGrange Park, IL 60526 (708) 485-1020

Loyola University Medical Center X X X X X X X X X X X X X

Webb Kirsten MD Dermatology Loyola University Medical Center321 N. LaGrange Road LaGrange Park, IL 60526 (708) 485-1020 (708) 485-1173

Loyola University Medical Center X X X X X X X X X X X X X

Webb Kirsten MD Dermatology Loyola University Medical Center

1S224 and 260 Summit Ave Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X X

Webb Kirsten MD Dermatology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Berk Mark MD Dermatology Mark Allan Berk, MD

3000 N. Halsted Suite 320 Chicago, IL 60657-5190 (773) 296-3636 (773) 296-3639 X X X X

Berk Mark MD Dermatology Mark Allan Berk, MD

900 N. Westmoreland Rd. Suite 222 Lake Forest, IL 60045-1694 (847) 234-6121 (847) 735-8734 X X X X

Berk Mark MD Dermatology Mark Allan Berk, MD2551 Compass Rd. Glenview, IL 60026-8042 (847) 901-0252 (847) 901-0273 X X X X

Moore Julie MD Dermatology Moore Dermatology

501 W. North Ave. Suite 103 Melrose Park, IL 60160 (708) 450-5086 (708) 345-4075

Gottlieb Memorial Hospital X

Welykyj Sophia MD Dermatology Sophia Welykyj MD

7234 W. Ogden Ave. Suite 1S Riverside, IL 60546-2387 (708) 783-2970 (708) 783-2973 X X X

Campbell Tracy MD Dermatology Tracy Campbell, MD LLC

501 W. North Ave. Suite 103 Melrose Park, IL 60160 (708) 450-5086 (708) 345-4075

Gottlieb Memorial Hospital X

Dimitropoulos Vassilios MD Dermatology University Dermatology and Vein Clinic

4700 N. Marine Drive Suite 220 Chicago, IL 60640-7972 (773) 334-3376 (773) 334-3399

Weiss Memorial Hospital X X X X X X X X X X

Garden Benjamin MD Dermatology University Dermatology and Vein Clinic

4700 N. Marine Drive Suite 220 Chicago, IL 60640-7972 (773) 334-3376 (773) 334-3399

Weiss Memorial Hospital X X X X X X X X X X

Garden Benjamin MD Dermatology University Dermatology and Vein Clinic4605 W. Gold Rd. Skokie, IL 60076 (847) 679-5199 (847) 679-5490

Weiss Memorial Hospital X X X X X X X X X X

Garden Benjamin MD Dermatology University Dermatology and Vein Clinic8110 S. Cass Ave. Darien, IL 60561 (630) 920-1900 (630) 920-1901

Weiss Memorial Hospital X X X X X X X X X X

Laniosz Valerie MD Dermatology University Dermatology and Vein Clinic

4700 N. Marine Drive Suite 220 Chicago, IL 60640-7972 (773) 334-3376 (773) 334-3399

Weiss Memorial Hospital X X X X X X X X X X

Tazudeen Noor MD Dermatology University Dermatology and Vein Clinic

4700 N. Marine Drive Suite 220 Chicago, IL 60640-7972 (773) 334-3376 (773) 334-3399

Weiss Memorial Hospital X X X X X X X X X X

Tazudeen Noor MD Dermatology University Dermatology and Vein Clinic4605 W. Golf Rd. Skokie, IL 60076 (847) 679-5199 (847) 679-5490

Weiss Memorial Hospital X X X X X X X X X X

Page 14: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Wang Stephanie MD Dermatology University Dermatology and Vein Clinic

4700 N. Marine Dr. Suite 220 Chicago, IL 60640-7972 (773) 334-3376 (269) 408-4933

Weiss Memorial Hospital X X X X X X X X X

Wang Stephanie MD Dermatology University Dermatology and Vein Clinic4605 W. Golf Rd. Skokie, IL 60076 (847) 679-5199 (847) 679-5490

Weiss Memorial Hospital X X X X X X X X X

Jazayerli Rany MD Dermatology

West Suburban Dermatology & Cosmetic Surgery dba Clear Skin Dermatology

1050 W. Chicago Ave. Oak Park, IL 60302 (708) 383-6366

Gottlieb Memorial Hospital X X X X X X

Alexander Anup MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Allam Emad MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Amin Parag MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Bashir Mariah MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Bova Davide MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Budorick Nancy MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Camren Gerald MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Duda Benjamin Stefanie MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Freiburg Luke MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Ganesh Keith MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Gerena Marielia MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Goldberg Ari MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Gururajan Kaushik MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Hibbeln John MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Jawahar Anugayathri MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X

Kazan Tannus Joao MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Kethcart Michelle NP Diagnostic Radiology Loyola University Medical Center2160 S. First Ave Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Kezdi-Rogus Paula MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Kuritza Theresa DO Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Page 15: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Lim-Dunham Jennifer MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Lin YiMD, PhD Diagnostic Radiology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Lomasney Laurie MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Mahmoud Faaiza MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Mirowitz Scott MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Najim Najla MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Nucifora Paolo MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Ozga Timothy MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Poccia Julia MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Reddy Arra MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Rosania Stephanie MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Rosania Stephanie MD Diagnostic Radiology Loyola University Medical Center675 W. NORTH AVENUE Melrose Park, IL 60160

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Sehgal Vivek MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Sheikh Muhammad MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X

Song Albert MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Vade Aruna MD Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Werhun Erin DO Diagnostic Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Harper Claire RD Dietitian, Registered Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Hook Jacklyn RD Dietitian, Registered Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Pfest Brooke RD Dietitian, Registered Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X

Adrian Rene MD Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (734) 995-3764

Gottlieb Memorial Hospital X X

Ball Julieanne MD Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (773)229-2373

Gottlieb Memorial Hospital X X X

Beal David MD Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (734) 995-3764

Gottlieb Memorial Hospital X X

Page 16: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Bekkerman Anthony MD Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (734) 995-3764

Gottlieb Memorial Hospital X X

Graff Nicholas DO Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (708) 538-4975

Gottlieb Memorial Hospital X

Haile Zewdu MD Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (708)538-4975

Gottlieb Memorial Hospital X X

Kadar Rachel MD Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (773)229-2373

Gottlieb Memorial Hospital X X

Lassner Bryan MD Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (708) 538-4975

Gottlieb Memorial Hospital X

Nava-Lopez Fabiola NP Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (734) 995-3764

Gottlieb Memorial Hospital X X

Navarrete Eduardo MD Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (734) 995-3764

Gottlieb Memorial Hospital X X

Papazian Kathleen DO Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (773)229-2373

Gottlieb Memorial Hospital X X

Smith Manda APN Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (708) 538-4975

Gottlieb Memorial Hospital X X

Sproles Lon DO Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (773)229-2373

Gottlieb Memorial Hospital X X

Swayze Matthew DO Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (734) 995-3764

Gottlieb Memorial Hospital X X

Tatka Keith DO Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (734) 995-3764

Gottlieb Memorial Hospital X X

Viglione Richard MD Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (773)229-2373

Gottlieb Memorial Hospital X X

Wesley Betsy DO Emergency Medicine Emergency Physicians Medical Group2000 Green Road Suite 300 Ann Arbor, MI 48105 (734) 995-3764

Gottlieb Memorial Hospital X X

Bacidore Vicki APN Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Baluzy Matthew DO Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X

Barbas Brian MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Bebej Paula DO Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Boykin Tracy MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Boyle Mary MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Cichon Mark MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Colucci Nicole DO Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Davenport William MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Davenport William MD Emergency Medicine Loyola University Medical Center675 W. NORTH AVENUE Melrose Park, IL 60160

Loyola University Medical Center X X X X X X X X X X X X

Dimopoulos Joan MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Donaldson Kristen MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Dziedzic Jacqueline DO Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Feliciano Claudine DO Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Graziano Hank MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Hegarty Kathleen MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Holschen Jolie MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Kuchinic Paulina MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Kule Amy MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Lew George MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Page 17: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Long Christina MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Lovett Shannon MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Mason Alexandra MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Mueller Joseph MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Murray Timothy MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Neacy Kathleen MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Nemeth Paul MD Emergency Medicine Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center X X X X X X X X X X X X

Nghiem Trac MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Nguyen Theresa MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Palmatier Jason MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Reed Trent DO Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Riggs Robert MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Russell Timothy DO Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Sharp Lydia MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Simpson Giles MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Snow David MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Sterk Ethan DO Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Williams DeAndre MD Emergency Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Kadar Rachel MD Emergency Medicine Pulmonary Medicine Associates

675 W. North Ave. Suite 505 Melrose Park, IL 60160 (708) 450-4557 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X

Kadar Rachel MD Emergency Medicine Pulmonary Medicine Associates800 Austin St. #563 Evanston, IL 60202 (847) 328-1853 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X

Kadar Rachel MD Emergency Medicine Pulmonary Medicine Associates890 Garfield Ave. #209 Libertyville, IL 60068 (847) 367-5209 (847) 367-3063

Gottlieb Memorial Hospital X X X X X X X X X X

Cerinich Melanie MDEmergency Medicine (Immediate Care) Loyola University Medical Center

15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400

Loyola University Medical Center X X X X X X X X X X X X X

Connolly Helene MDEmergency Medicine (Immediate Care) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Dionisio Rebecca DOEmergency Medicine (Immediate Care) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Napier Laura MDEmergency Medicine (Immediate Care) Loyola University Medical Center

1S224 & 260 Summit Ave. Oakbrook Terrace, IL 60181 (630) 953-6600

Loyola University Medical Center X X X X X X X

Napier Laura MDEmergency Medicine (Immediate Care) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (708) 216-9000 (708) 216-5617

Loyola University Medical Center X X X X X X X

Probst Beatrice MDEmergency Medicine (Immediate Care) Loyola University Medical Center

6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center X X X X X X X X X X X X X

Roskam Stephen DOEmergency Medicine (Immediate Care) Loyola University Medical Center

2160 S. 1st Ave. Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Lee Hong MD Endocrinology Diabetes Endocrinology Group, S.C.

201 E. Ogden Avenue Suite 26 Hinsdale, IL 60521 (630) 323-2455 (630) 323-2422 MacNeal Hospital X X X X X X X X

Abboud Maha MD Endocrinology Diabetes Osteoporosis Obesity Inc

1200 S. York Rd. Suite 3150 Elmhurst, IL 60126-5628 (630) 532-5821 (708) 345-2224

West Suburban Medical Center X X X X X X X X

Abboud Maha MD Endocrinology Diabetes Osteoporosis Obesity Inc9629 Southwest Highway Oak Lawn, IL 60453 (630) 532-5821 (708) 345-2224

West Suburban Medical Center X X X X X X X X

Washington Terri MD Endocrinology Diabetes Osteoporosis Obesity Inc

1200 S. York Rd. Suite 3150 Elmhurst, IL 60126-5628 (630) 532-5821 (708) 345-2224

West Suburban Medical Center X X X X X X X X

Washington Terri MD Endocrinology Diabetes Osteoporosis Obesity Inc9629 Southwest Highway Oak Lawn, IL 60453 (630) 532-5821 (708) 345-2224

West Suburban Medical Center X X X X X X X X

Joubran Rim MD Endocrinology EDM Consultant Services LTD

675 West North Avenue- Suite 104 Melrose Park, IL 60160 (708) 681-7695 (708) 345-7112

Gottlieb Memorial Hospital X X X X X X X X

Arceo-Mendoza Rod MD Endocrinology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Arceo-Mendoza Rod MD Endocrinology Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center X X X X X X X X X X X X X

Bertucci Terese APN Endocrinology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Page 18: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Brooks Claire APN Endocrinology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Brooks Claire APN Endocrinology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X

Camacho Pauline MD Endocrinology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X X

Camacho Pauline MD Endocrinology Loyola University Medical Center2160 S. First Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Charnogursky Gerald MD Endocrinology Loyola University Medical Center9608 Roberts Road Hickory Hills, IL 60457 (708) 233-5333

Loyola University Medical Center X X X X X X X X X X X X X

Charnogursky Gerald MD Endocrinology Loyola University Medical Center15750 Marain Drive Homer Glen, IL 60491

Loyola University Medical Center X X X X X X X X X X X X X

Charnogursky Gerald MD Endocrinology Loyola University Medical Center2160 S 1st Ave Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Emanuele Mary Ann MD Endocrinology Loyola University Medical Center15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400

Loyola University Medical Center X X X X X X X X X X X X X

Lopez Norma MD Endocrinology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Lopez Norma MD Endocrinology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Mazhari Alaleh DO Endocrinology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Mazhari Alaleh DO Endocrinology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center X X X X X X X X X X X X X

Samarasinghe Shanika MD Endocrinology Loyola University Medical Center9608 Roberts Road Hickory Hills, IL 60457 (708) 233-5333

Loyola University Medical Center X X X X X X X X X X X X X

Dons Robert MD EndocrinologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3722 S HARLEM AVE SUITE 101 RIVERSIDE, IL 60546-2331 (708) 783-2901 (708) 783-2914 MacNeal Hospital X X X X X X X X

Ionescu Madalina MD EndocrinologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3722 S HARLEM AVE SUITE 101 RIVERSIDE, IL 60546-2331 (708) 783-2901 (708) 783-2914 MacNeal Hospital X X X X X X X X X X X X

Shettar Vignesh MD EndocrinologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3722 S HARLEM AVE SUITE 101 RIVERSIDE, IL 60546-2331 (708) 783-2901 (708) 783-2914 MacNeal Hospital X X X X X X X X X X X X

Cardenas Maria MD EndocrinologyPipeline - Lakefront Medical Associates, LLC

7411 W. Lake St. Suite 1120 - Bldg. A River Forest, IL 60305-1882 (708) 345-3076 (708) 345-9984 X X X X X X

Cardenas Maria MD EndocrinologyPipeline - Lakefront Medical Associates, LLC

1350 Lake St. Unit B Melrose Park, IL 60160-4033 (708) 343-2657 (708) 343-2793 X X X X X X

Mulla Irena MD EndocrinologyPipeline - Lakefront Medical Associates, LLC

4700 N. Marine Dr. Suite 300 Chicago, IL 60640-7976 (773) 564-5355 (773) 564-5021

Weiss Memorial Hospital X X X X X X

Gujja Sapna MD Family Medicine Cimpar Consulting, LLC101 Madison Street Suite 300 Oak Park, IL 60302 (708) 486-2700

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X

Gujja Sapna MD Family Medicine Cimpar, SC

101 Madison St. Suite 300 Oak Park, IL 60302-4278 (708) 486-2700 (708) 486-2702

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X

Ladd Katelyn APN Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-7490 MacNeal Hospital X X X X X X X X X

Ladd Katelyn APN Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group

125 N LAGRANGE RD LAGRANGE, IL 60525-2041 708-783-3377 708-783-5656 MacNeal Hospital X X X X X X X X X

Zuelke Elizabeth APN Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group

3231 S EUCLID AVE BERWYN, IL 60402-3471 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X

Zuelke Elizabeth APN Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group

125 N LAGRANGE RD LAGRANGE, IL 60525-2041 708-783-3377 708-783-5656 MacNeal Hospital X X X X X X X X X X

Alkhawaldeh Lara MDFamily Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Dhami Rajdeep MDFamily Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Fatima Syeda MDFamily Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Patel Prerak MDFamily Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Andrews Steve MDFamily Medicine (Immediate Care) Loyola University Medical Center

7617 W North Avenue River Forest, IL 60305 (708) 771-1300

Loyola University Medical Center X X X X X X X X X X X X X

Page 19: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Babino Khalilah MDFamily Medicine (Immediate Care) Loyola University Medical Center

15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400

Loyola University Medical Center X X X X X X X X X X X X X

Castaldi Adele MDFamily Medicine (Immediate Care) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Ferguson Angela APNFamily Medicine (Immediate Care) Loyola University Medical Center

7255 W. Grand Avenue Elmwood Park, IL 60707 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Hajira Amtul DOFamily Medicine (Immediate Care) Loyola University Medical Center

2160 S 1st Ave. Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X X

Hajira Amtul DOFamily Medicine (Immediate Care) Loyola University Medical Center

1S224 & 260 Summit Ave. Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X

Holloway Lianne MDFamily Medicine (Immediate Care) Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600

Loyola University Medical Center X X X X X X X X X X X X X

Keleher Colleen MDFamily Medicine (Immediate Care) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Lyn Whitney MDFamily Medicine (Immediate Care) Loyola University Medical Center

7617 W North Avenue River Forest, IL 60305 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

McGuire Mark MDFamily Medicine (Immediate Care) Loyola University Medical Center

6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center X X X X X X X X X X X X X

McGuire Mark MDFamily Medicine (Immediate Care) Loyola University Medical Center

2160 S. First Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Nielsen Janet MDFamily Medicine (Immediate Care) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Nwachukwu Dennis MDFamily Medicine (Immediate Care) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Raschka Kathleen MDFamily Medicine (Immediate Care) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Serrano Belinda MDFamily Medicine (Immediate Care) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Serrano Belinda MDFamily Medicine (Immediate Care) Loyola University Medical Center

15750 Marain Drive Homer Glen, IL 60491

Loyola University Medical Center X X X X X X X X X X X X X

Mueller Elizabeth MD

Female Pelvic Medicine and Reconstructive Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Furlong Denise MD

Female Pelvic Medicine and Reconstructive Surgery Providea Health Partners, LLC

7456 S. State Rd.Suite 300 Chicago, IL 60638 (312) 626-2244 (312) 610-5718 MacNeal Hospital X X X X X X

Rosenbaum Allen MD Gastroenterology Allen Rosenbaum, M.D.

3340 S. Oak Park Avenue Suite 304 Berwyn, IL 60402-3483 (708) 795-9595 (708) 795-9598 MacNeal Hospital X X X X X X X X X X X

Bresnahan Joseph MD Gastroenterology BHS Digestive Disease Associates3722 S. Harlem Ave Suite 102 Riverside, IL 60546 (708) 783-7000 (708) 231-7259 MacNeal Hospital X X X X X X X X X X

Ng Jennie MD Gastroenterology BHS Digestive Disease Associates3722 S. Harlem Ave Suite 102 Riverside, IL 60546 (708) 783-7000 (708) 231-7259 MacNeal Hospital X X X X X X X X X X

Srivastava Amit MD Gastroenterology BHS Digestive Disease Associates3722 S. Harlem Ave Suite 102 Riverside, IL 60546 (708) 783-7000 (708) 231-7259 MacNeal Hospital X X X X X X X X X X

Venetos John MD Gastroenterology John Venetos, MD

2740 W. Foster Ave. Suite 116 Chicago, IL 60625 (773) 989-6262 (773) 989-6263

Weiss Memorial Hospital X X X X X X X X X X X

Arora Ashish MD GastroenterologyLakeshore Gastroenterology and Liver Disease Institute

1 Erie Court Suite 3100 Oak Park, IL 60302-2566 (708) 763-8248 (708) 383-7875

West Suburban Medical Center X X X X X

Heydarpour Kamran MD GastroenterologyLakeshore Gastroenterology and Liver Disease Institute

1 Erie Court Suite 3100 Oak Park, IL 60302-2566 (708) 763-8248 (708) 383-7875

West Suburban Medical Center X X X X X X

Abegunde Ayokunle MD Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Abegunde Ayokunle MD Gastroenterology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Anderson Katherine APN Gastroenterology Loyola University Medical Center675 W. North Avenue Melrose Park, IL 60160 (708) 327-1565

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Anderson Katherine APN Gastroenterology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708)-873-2490

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Asamoah Nikiya MD Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Page 20: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Asamoah Nikiya MD Gastroenterology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708)-873-2490

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Asamoah Nikiya MD Gastroenterology Loyola University Medical Center6800 N. Frontage Rd Burr Ridge, Illinois 60527 (708) 327-1000

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Broy Charles MD Gastroenterology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Chand Bipan MD Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Chand Bipan MD Gastroenterology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708) 873-2490

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Guild Michelle APN Gastroenterology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Gupta Neil MD Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Gupta Neil MD Gastroenterology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708) 873-2490

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Haseeb Abdul MD Gastroenterology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Hecht Gail MD Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Hendler Steven MD Gastroenterology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Hendler Steven MD Gastroenterology Loyola University Medical Center6800 N. Frontage Rd Burr Ridge, IL 60527 (708) 327-1000 (708) 327-1322

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Hendler Steven MD Gastroenterology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708)-873-2490

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

John Jolu APRN Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X

Liem Brian DO Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Loewe Robin APN Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Marchbank Jacqueline APN Gastroenterology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

McMahon Charles MD Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

McMahon Charles MD Gastroenterology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Melroy Samantha APN Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Melroy Samantha APN Gastroenterology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708)-873-2490

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Page 21: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Melroy Samantha APN Gastroenterology Loyola University Medical Center6800 N. Frontage Rd Burr Ridge, Illinois 60527 (708) 327-1000

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Meyer Sharon APN Gastroenterology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Naik Amar MD Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Naik Amar MD Gastroenterology Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000 (708) 327-1322

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Naik Amar MD Gastroenterology Loyola University Medical Center

15300 West Avenue Orland Park, Illinois 60462 (708)-873-2490

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Raucci Nicole APN Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Sargon Peter MD Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Shastri Nikhil MD Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Shokoohi Susanne MD Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Venu Mukund MD Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Wakade Zuie DO Gastroenterology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Wakade Zuie DO Gastroenterology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708) 873-2490

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Iglesias Manuel MD Gastroenterology Manuel C. Iglesias1350 W. Lake St. Melrose Park, IL 60160 (708) 681-0070 (708) 366-3439

Gottlieb Memorial Hospital X X X X X X X X X X

Alva Manuel MD Gastroenterology Medicor Partners, SC6832 W. Ogden Avenue Berwyn, IL 60402-3643 (708) 795-0890 (708) 795-1521 MacNeal Hospital X X X X X X X X X X X X

Steiner Stephen MD Gastroenterology Mid North Gastroenterology4646 N. Marine Dr. Suite 5100 Chicago, IL 60640 (773) 334-7581 (773) 334-0014

Weiss Memorial Hospital X X X X X X X X X

Chunduri Sinha MD Gastroenterology Sinha Chunduri MDSC

675 W. North Ave. Suite 511 Melrose Park, IL 60160 (708) 343-2235 (708) 343-2250

Gottlieb Memorial Hospital X X X X X X X X X X X X

Chua David MD GastroenterologySummit Digestive and Liver Disease Specialists

1S280 Summit Ave. Court 1-A Villa Park, IL 60181 (630) 889-9889 (630) 889-9877 MacNeal Hospital X X X X X X X X

Guirguis Alfred DO Gynecologic OncologyGynecological Cancer Institute of Chicago LLC

6700 W. 95th St. Suite 330 Oak Lawn, IL 60453-2416 (708) 422-3242 (708) 422-3243 MacNeal Hospital X X X

Guirguis Alfred DO Gynecologic OncologyGynecological Cancer Institute of Chicago LLC

3825 Highland Ave. Tower 1 Suite 2D Downers Grove, IL 60515-1548 (708) 422-3242 (708) 422-3243 MacNeal Hospital X X X

Potkul Ronald MD Gynecologic Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X

Fishman Felicity MD Hand Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Puri Sameer MD Hand Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Berry John MD HematologyGottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE Berwyn, IL 60402-3249 (708) 783-9100 MacNeal Hospital X X X X X X X X X X X

Page 22: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Ma Irene MD HematologyGottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE Berwyn, IL 60402-3249 (708) 783-9100 MacNeal Hospital X X X X X X X X X X X

Badami Ami MD Hematology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Barton Kevin MD Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Berg Stephanie DO Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Czerlanis Cheryl MD Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Dean Andrea MD Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Dhanarajan Asha MD Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Firkus Jaime APN Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Fortenberry Teresa APN Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Henry Elizabeth MD Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Hossain Nasheed MD Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Ilyash Lyudmyla APN Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Kiley Karen APN Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Kittaneh Muaiad MD Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Kittaneh Muaiad MD Hematology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Nand Sucha MD Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Payan Monika APN Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Phelan Kathleen MD Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Porter Nancy APN Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Smith ScottMD, PHD Hematology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Stiff Patrick MD Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Tsai Stephanie MD Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Volle Miriam APN Hematology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Berry John MD HematologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

6801 W 34TH ST SUITE 107 BERWYN, IL 60402-5594 (708) 484-8400 (708) 484-8426 MacNeal Hospital X X X X X X X X X X X X

Ma Irene MD HematologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

6801 W 34TH ST SUITE 107 BERWYN, IL 60402-5594 (708) 484-8400 (708) 484-8426 MacNeal Hospital X X X X X X X X X X X X

Koko Isoken MD HematologyPipeline - Lakefront Medical Associates, LLC

7420 W. Central Ave. River Forest, IL 60305-1800 (708) 763-2700 (708) 488-9660

West Suburban Medical Center X X X X X X

Rubin Jonah MD Hepatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Picken MariaMD, PHD Immunopathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Albarillo Fritzie MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Bonwit Andrew MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Clark Nina MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Cook James MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Page 23: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Durvasula Ravi MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X

Fitzpatrick Margaret MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Johnson Stuart MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Marek Katherine APN Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

O'Keefe J. Paul MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Pacheco Susan MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Parada Jorge MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Reid Gail MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Sabzwari Rabeeya MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Skinner Andrew MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Slade David MD Infectious Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Alva Esther MD Infectious Disease Medicor Partners, SC6832 W. Ogden Avenue Berwyn, IL 60402-3643 (708) 795-0890 (708) 795-1521 MacNeal Hospital X X X X X X X X X

Atri Nipun MD Infectious Disease Metro Infectious Disease Consultants

2923 N. California Avenue Suite 220 Chicago, IL 60618-7702 (773) 205-4660 (773) 205-7654

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital, West Suburban Medical Center X X X X X X

Beezhold David DO Infectious Disease Metro Infectious Disease Consultants

901 McClintock Drive Suite 202 Burr Ridge, IL 60527-0872 (888) 220-6432 (630) 654-4253 MacNeal Hospital X X X X X

Belmares-Avalos Jaime MD Infectious Disease Metro Infectious Disease Consultants

901 McClintock Drive Suite 202 Burr Ridge, IL 60527-0872 (888) 220-6432 (630) 654-4253

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X

Bolanos Jose MD Infectious Disease Metro Infectious Disease Consultants

610 S. Maple Ave. Suite 4050 Oak Park, IL 60304-1091 (708) 383-0943 (708) 613-4382

Gottlieb Memorial Hospital X X X X X X

Bolanos Jose MD Infectious Disease Metro Infectious Disease Consultants

901 McClintock Drive Suite 202 Burr Ridge, IL 60527-0872 (630) 654-4201 (630) 734-4715

Gottlieb Memorial Hospital X X X X X X

Brobbey Wahab MD Infectious Disease Metro Infectious Disease Consultants

2923 N. California Avenue Suite 220 Chicago, IL 60618-7702 (773) 205-4660 (773) 205-7654

West Suburban Medical Center X X X X X X

Chundi Vishnu MD Infectious Disease Metro Infectious Disease Consultants

2923 N. California Avenue Suite 220 Chicago, IL 60618-7702 (773) 205-4660 (773) 205-7654

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital, West Suburban Medical Center X X X X X X

Chundi Vishnu MD Infectious Disease Metro Infectious Disease Consultants

610 S. Maple Ave. Suite 4050 Oak Park, IL 60304-1091 (708) 383-0943 (708) 613-4382

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital, West Suburban Medical Center X X X X X X

Didwania Vishal MD Infectious Disease Metro Infectious Disease Consultants

901 McClintock Drive Suite 202 Burr Ridge, IL 60527-0872 (888) 220-6432 (630) 654-4253 X X X X X X X

Dworkin Mark MD Infectious Disease Metro Infectious Disease Consultants

901 McClintock Drive Suite 202 Burr Ridge, IL 60527-0872 (888) 220-6432 (630) 654-4253 X X X X X X X

Elsheikh Malak MD Infectious Disease Metro Infectious Disease Consultants

13755 S. Cicero Ave. Crestwood, IL 60418-1824 (708) 385-2400 (630) 385-7840 MacNeal Hospital X X X X X X

Elsheikh Malak MD Infectious Disease Metro Infectious Disease Consultants

901 McClintock Drive Suite 202 Burr Ridge, IL 60527-0872 (630) 654-4201 (630) 734-4715 MacNeal Hospital X X X X X X

Espinoza Fabiola MD Infectious Disease Metro Infectious Disease Consultants

610 S. Maple Ave. Suite 4050 Oak Park, IL 60304-1091 (888) 220-6432 (708) 654-4253

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital X X X X X X

Espinoza Fabiola MD Infectious Disease Metro Infectious Disease Consultants555 West Court St. Kankakee, IL 60901 (888) 220-6432

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital X X X X X X

Feller Margaret APRN Infectious Disease Metro Infectious Disease Consultants

901 McClintock Drive Suite 202 Burr Ridge, IL 60527-0872 (888) 220-6432 (630) 654-4253

Gottlieb Memorial Hospital X X X X X X X

Page 24: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Fliegelman Robert DO Infectious Disease Metro Infectious Disease Consultants

13755 S. Cicero Ave. Crestwood, IL 60418-1824 (888) 220-6432 (630) 654-4253 MacNeal Hospital X X X X X X X

Han Alice MD Infectious Disease Metro Infectious Disease Consultants

610 S. Maple Ave. Suite 4050 Oak Park, IL 60304-1091 (708) 383-0943 (708) 613-4382

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital X X X X X X X

Harting Brian MD Infectious Disease Metro Infectious Disease Consultants

901 McClintock Drive Suite 202 Burr Ridge, IL 60527-0872 (888) 220-6432 (630) 654-4253 MacNeal Hospital X X X X X X X

Hines David MD Infectious Disease Metro Infectious Disease Consultants

2923 N. California Avenue Suite 220 Chicago, IL 60618-7702 (773) 205-4660 (773) 205-7654

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital X X X X X X

Hines David MD Infectious Disease Metro Infectious Disease Consultants

610 S. Maple Ave. Suite 4050 Oak Park, IL 60304-1091 (708) 383-0943 (708) 613-4382

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital X X X X X X

Hirsch Daniel MD Infectious Disease Metro Infectious Disease Consultants

13755 S. Cicero Ave. Crestwood, IL 60418-2406 (708) 385-2400 (708) 385-7840 MacNeal Hospital X X X X X

Kent Joseph MD Infectious Disease Metro Infectious Disease Consultants

13755 S. Cicero Ave. Crestwood, IL 60418-1824 (888) 220-6432 (630) 654-4253 MacNeal Hospital X X X X X X X

Lee Boeun MD Infectious Disease Metro Infectious Disease Consultants

2923 N. California Avenue Suite 220 Chicago, IL 60618-7702 (773) 205-4660 (773) 205-7654

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X

Lisowski Jeffrey MD Infectious Disease Metro Infectious Disease Consultants

2923 N. California Avenue Suite 220 Chicago, IL 60618-7702 (773) 205-4660 (773) 205-7654

Weiss Memorial Hospital X X X X X X

Lisowski Jeffrey MD Infectious Disease Metro Infectious Disease Consultants

890 Garfield Ave. Suite 210 Libertyville, IL 60048-3100 (847) 816-6538 (847) 816-7217

Weiss Memorial Hospital X X X X X X

Mcguinn Marcella MD Infectious Disease Metro Infectious Disease Consultants

901 McClintock Drive Suite 202 Burr Ridge, IL 60527-0872 (888) 220-6432 (630) 654-4253

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X

Mcguinn Marcella MD Infectious Disease Metro Infectious Disease Consultants

610 S. Maple Ave. Suite 4050 Oak Park, IL 60304-1091 (708) 383-0943 (708) 613-4382

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X

Owaisi Anjum MD Infectious Disease Metro Infectious Disease Consultants

396 Remington Blvd. Suite 330 Bolingbrook, IL 60440-4302 (888) 220-6432 (630) 654-4253 MacNeal Hospital X X X X X X

Ramani Ram MD Infectious Disease Metro Infectious Disease Consultants

901 McClintock Drive Suite 202 Burr Ridge, IL 60527-0872 (888) 220-6432 (630) 654-4253 MacNeal Hospital X X X X X X

Siddiqi Nyal DO Infectious Disease Metro Infectious Disease Consultants

901 McClintock Drive Suite 202 Hinsdale, IL 60527-0872 (888) 220-6432 (708) 613-4382

MacNeal Hospital, Gottlieb Memorial Hospital X X X X

Sidhwa Kamo MD Infectious Disease Metro Infectious Disease Consultants

13755 S. Cicero Ave. Crestwood, IL 60418-2406 (708) 385-2400 (708) 385-7840 MacNeal Hospital X X X X X

Stake Jonathan MD Infectious Disease Metro Infectious Disease Consultants

2923 N. California Avenue Suite 220 Chicago, IL 60618-7702 (773) 205-4660 (773) 205-7654

Weiss Memorial Hospital X X X X X X

Stake Jonathan MD Infectious Disease Metro Infectious Disease Consultants

890 Garfield Ave. Suite 210 Libertyville, IL 60048-3100 (847) 816-6538 (847) 816-7217

Weiss Memorial Hospital X X X X X X

Stroupe Daniel MD Infectious Disease Metro Infectious Disease Consultants

610 S. Maple Ave. Suite 4050 Oak Park, IL 60304-1091 (708) 383-0943 (708) 613-4382

MacNeal Hospital, Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X

Thompson Andrew MD Infectious Disease Metro Infectious Disease Consultants

901 McClintock Drive Suite 201 Burr Ridge, IL 60527 (888) 220-6432 (630) 654-4253 MacNeal Hospital X X X X X X X

Vais Dana MD Infectious Disease Metro Infectious Disease Consultants

2923 N. California Avenue Suite 220 Chicago, IL 60618-7702 (773) 205-4660 (773) 205-7654

Gottlieb Memorial Hospital, Weiss Memorial Hospital, West Suburban Medical Center X X X X X X

Vais Dana MD Infectious Disease Metro Infectious Disease Consultants

180 N. Michigan Ave. Suite 2220 Chicago, IL 60601 (888) 220-6432

Gottlieb Memorial Hospital, Weiss Memorial Hospital, West Suburban Medical Center X X X X X X

Aleksoniene Kristina MD Infectious DiseaseWest Suburban Infectious Disease Specialists

610 S. Maple Ave. Suite 5700 Oak Park, IL 60304-2808 (708) 763-8381 (708) 763-8390

MacNeal Hospital, Gottlieb Memorial Hospital X X X

Page 25: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

D'Alfonso-Laghi Nausica MD Infectious DiseaseWest Suburban Infectious Disease Specialists

610 S. Maple Ave. Suite 5700 Oak Park, IL 60304-2808 (708) 763-8381 (708) 763-8390

MacNeal Hospital, Gottlieb Memorial Hospital, West Suburban Medical Center X X X

Enayet Iram MD Infectious DiseaseWest Suburban Infectious Disease Specialists

610 S. Maple Ave. Suite 5700 Oak Park, IL 60304-2808 (708) 763-8381 (708) 763-8390

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital, West Suburban Medical Center X X X

Shaw Connor APRN Infectious DiseaseWest Suburban Infectious Disease Specialists

610 S. Maple Ave. Suite 5700 Oak Park, IL 60304-2808 (708) 763-8381 (708) 763-8390

MacNeal Hospital, Gottlieb Memorial Hospital X X X

Antoine Ranae MD Internal Medicine Cimpar Consulting, LLC101 Madison Street Suite 300 Oak Park, IL 60302 (773)307-5131

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X

Lagatao Mary Joyce APN Internal Medicine Cimpar Consulting, LLC101 Madison Street Suite 300 Oak Park, IL 60302 (708) 486-2700 (708) 486-2702

Gottlieb Memorial Hospital X X X X X X X

Mubarak Tariq Mohd MD Internal Medicine Cimpar Consulting, LLC101 Madison Street Suite 300 Oak Park, IL 60302 (708) 486-2700

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X

Patel Sejalben NP Internal Medicine Cimpar Consulting, LLC101 Madison Street Suite 300 Oak Park, IL 60302 (708) 486-2700 (708) 486-2702 X X X X X X X

Vasquez Lisa NP Internal Medicine Cimpar Consulting, LLC101 Madison Street Suite 300 Oak Park, IL 60302 (708) 486-2700 (708) 486-2702

Gottlieb Memorial Hospital X X X X X

Garrett Michelle NP Internal Medicine Cimpar, SC

101 Madison St. Suite 300 Oak Park, IL 60302-4278 (708) 486-2700 (708) 486-2702 X X X X X X X X

Garrett Michelle NP Internal Medicine Cimpar, SC

3815 Highland Ave. Tower 1 Office 2M Downers Grove, IL 60515 (708) 486-2700 (708) 486-2702 X X X X X X X X

Garrett Michelle NP Internal Medicine Cimpar, SC421 Madison St. Maywood, IL 60153 (708) 486-2700 (708) 486-2702 X X X X X X X X

Garrett Michelle NP Internal Medicine Cimpar, SC5801G North Pulaski Rd. Chicago, IL 60646 (708) 486-2700 (708) 486-2702 X X X X X X X X

Garrett Michelle NP Internal Medicine Cimpar, SC4646 N. Marine Dr. Chicago, IL 60640-5759 (708) 486-2700 (708) 486-2702 X X X X X X X X

Lagatao Mary Joyce APN Internal Medicine Cimpar, SC

101 Madison St. Suite 300 Oak Park, IL 60302-4278 (708) 486-2700 (708) 486-2702

Gottlieb Memorial Hospital X X X X X X X X

Mubarak Tariq Mohd MD Internal Medicine Cimpar, SC

101 Madison St. Suite 300 Oak Park, IL 60302-4278 (708) 486-2700 (708) 486-2702

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X

Rosa Cari NP Internal Medicine Cimpar, SC1111 Superior Melrose Park, IL 60160 (708) 486-2700 (708) 486-2702

Gottlieb Memorial Hospital X X X X X X X X

Vasquez Lisa NP Internal Medicine Cimpar, SC

101 Madison St. Suite 300 Oak Park, IL 60302-4278 (708) 486-2700 (708) 486-2702

Gottlieb Memorial Hospital X X X X X X X X

Zaharia Alexandre MD Internal Medicine Cimpar, SC

101 Madison St. Suite 300 Oak Park, IL 60302-4278 (708) 486-2700 (708) 486-2702

Weiss Memorial Hospital X X X X X X X X X

Zaharia Alexandre MD Internal Medicine Cimpar, SC

3815 Highland Ave. Tower 1 Office 2M Downers Grove, IL 60515 (708) 486-2700 (708) 486-2702

Weiss Memorial Hospital X X X X X X X X X

Zaharia Alexandre MD Internal Medicine Cimpar, SC421 Madison St. Maywood, IL 60153 (708) 486-2700 (708) 486-2702

Weiss Memorial Hospital X X X X X X X X X

Zaharia Alexandre MD Internal Medicine Cimpar, SC5801G North Pulaski Rd. Chicago, IL 60646 (708) 486-2700 (708) 486-2702

Weiss Memorial Hospital X X X X X X X X X

Zaharia Alexandre MD Internal Medicine Cimpar, SC4646 N. Marine Dr. Chicago, IL 60640-5759 (708) 486-2700 (708) 486-2702

Weiss Memorial Hospital X X X X X X X X X

Demarco David MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Naha Kakan MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Sadiq Sobia MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Smith David MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Patel Sneha NP Internal MedicineLoyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X

Mahajan Dheeraj MDInternal Medicine (Hospital Based) Cimpar Consulting, LLC

101 Madison Street Suite 300 Oak Park, IL 60302 (708) 486-2700

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital X X X X X X X X

Page 26: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Barrios Antonio MDInternal Medicine (Hospital Based) Cimpar, SC

101 Madison St. Suite 300 Oak Park, IL 60302-4278 (708) 486-2710 (708) 486-2702

Gottlieb Memorial Hospital X X X X X X X X X

Mahajan Dheeraj MDInternal Medicine (Hospital Based) Cimpar, SC

101 Madison St. Suite 300 Oak Park, IL 60302-4278 (708) 486-2700 (708) 486-2702

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital X X X X X X X X X

Mahajan Dheeraj MDInternal Medicine (Hospital Based) Cimpar, SC

3815 Highland Ave. Tower 1 Office 2M Downers Grove, IL 60515 (708) 486-2700 (708) 486-2702

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital X X X X X X X X X

Mahajan Dheeraj MDInternal Medicine (Hospital Based) Cimpar, SC

421 Madison St. Maywood, IL 60153 (708) 486-2700 (708) 486-2702

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital X X X X X X X X X

Mahajan Dheeraj MDInternal Medicine (Hospital Based) Cimpar, SC

5801G North Pulaski Rd. Chicago, IL 60646 (708) 486-2700 (708) 486-2702

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital X X X X X X X X X

Mahajan Dheeraj MDInternal Medicine (Hospital Based) Cimpar, SC

4646 N. Marine Dr. Chicago, IL 60640-5759 (708) 486-2700 (708) 486-2702

MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital X X X X X X X X X

Chweh Thomas MDInternal Medicine (Hospital Based) Encompass Physicians, LLC

701 W. North Avenue Melrose Park, IL 60160 (708) 681-3200

Gottlieb Memorial Hospital X X X X X X X X X X X

Dumfeh Jude MDInternal Medicine (Hospital Based) Encompass Physicians, LLC

701 W. North Avenue Melrose Park, IL 60160 (708) 681-3200

Gottlieb Memorial Hospital X X X X X X X X X X X

Jonas Daniel MDInternal Medicine (Hospital Based) Encompass Physicians, LLC

701 W. North Avenue Melrose Park, IL 60160 (708) 681-3200 (708) 538-2030

Gottlieb Memorial Hospital X X X X X X

Joo Peter MDInternal Medicine (Hospital Based) Encompass Physicians, LLC

701 W. North Avenue Melrose Park, IL 60160 (708) 681-3200

Gottlieb Memorial Hospital X X X X X X X X X X X

Kamal Binoy MDInternal Medicine (Hospital Based) Encompass Physicians, LLC

701 W. North Avenue Melrose Park, IL 60160 (708) 681-3200

Gottlieb Memorial Hospital X X X X X X X X X X X

Patel Alpa MDInternal Medicine (Hospital Based) Encompass Physicians, LLC

701 W. North Avenue Melrose Park, IL 60160 (708) 681-3200

Gottlieb Memorial Hospital X X X X X X X X X X X

Thorp Christopher MDInternal Medicine (Hospital Based) Encompass Physicians, LLC

701 W. North Avenue Melrose Park, IL 60160 (708) 681-3200

Gottlieb Memorial Hospital X X X X X X X X X X X

Ansari Aziz DOInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Antony Agith DOInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Bailey Brenda MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Bertino Anne-Marie MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Derhammer Nathan MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Desai Bina MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Despe Joyce APNInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Garg Ritu MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Gazi Sadia MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (708) 216-9000 (708) 216-5617

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Gomez Timana Lucy MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Greenhalgh Sean MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Henry Kelly MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Joshi Neeraj MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. First Ave. Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Katsouli Anthi MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Kellberg Gail APNInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Khan Fareeha MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Kim Amy MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Komorowski Monica MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Page 27: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Korpics Michael MDInternal Medicine (Hospital Based) Loyola University Medical Center

6800 N. Frontage Rd Burr Ridge, IL 60527 (708) 327-1000 (708) 327-1322

Loyola University Medical Center X X X X X X X X X

Korpics Michael MDInternal Medicine (Hospital Based) Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X

Korpics Michael MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X

Kristopaitis Theresa MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Lapic Stela APNInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X

Lee Helen MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Leischner Matthew MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Libot Agnes MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Marfia Paula MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Mashruwala Anar MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Mayhew Ryan MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Poonja Shirin DOInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Qazi Sameer MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Radzienda Michael MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Raghavan Krishna MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Sabau Roxana MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Santa Edwin MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Smith Kevin MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Tancredi Mark MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X

Tsien Margaret MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Vankerkhoff Todd MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Wantuch Elizabeth MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X

Warriner Lindsay APNInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

White Martin MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

White Tiffany MDInternal Medicine (Hospital Based) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Amin Parag DOInternal Medicine (Hospital Based)

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X X

Bartkus Darius MDInternal Medicine (Hospital Based)

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X X

Degiovanni Alberto MDInternal Medicine (Hospital Based)

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3249 (708) 783-9100 (708) 783-6919

Loyola University Medical Center, MacNeal Hospital X X X X X X X X

Glover Jennifer MDInternal Medicine (Hospital Based)

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X X

Guloy Diorella DOInternal Medicine (Hospital Based)

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-3398 MacNeal Hospital X X X X X X X X X X X X

Humayun Youshay MDInternal Medicine (Hospital Based)

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X X

Page 28: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Kamran Uroosa MDInternal Medicine (Hospital Based)

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X X

Lonjers Zachary MDInternal Medicine (Hospital Based)

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X X

Martin James MDInternal Medicine (Hospital Based)

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X X

Nezirova Lilyana MDInternal Medicine (Hospital Based)

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3471 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X X

Stacks Summers MDInternal Medicine (Hospital Based)

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-3398 MacNeal Hospital X X X X X X X X X X X X

Tung Allen MDInternal Medicine (Hospital Based)

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X X

Mohamed Elsayed MDInterventional Cardiology Chicago Cardiology Institute, S.C.

804 E. Woodfield Rd. #300 Schaumburg, IL 60173-4776 (847) 605-9500 (847) 637-0737

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

Mohamed Elsayed MDInterventional Cardiology Chicago Cardiology Institute, S.C.

7035 W. North Ave. Oak Park, IL 60302-1015 (708) 680-3800 (708) 777-4776

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

Patel Tarpan MDInterventional Cardiology Chicago Cardiology Institute, S.C.

804 E. Woodfield Rd. #300 Schaumburg, IL 60173-4776 (847) 605-9500 (847) 637-0737

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

Patel Tarpan MDInterventional Cardiology Chicago Cardiology Institute, S.C.

7035 W. North Ave. Oak Park, IL 60302-1015 (708) 680-3800 (708) 777-4776

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X

Erickson Kurt MDInterventional Cardiology

Gottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919

MacNeal Hospital, West Suburban Medical Center X X X X X X X X X X X X

Iaffaldano Robert MDInterventional Cardiology

Gottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919 MacNeal Hospital X X X X X X X X X X

Iqbal Naveed MDInterventional Cardiology

Gottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919 MacNeal Hospital X X X X X X X X

Stella Dominick MDInterventional Cardiology

Gottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919 MacNeal Hospital X X X X X X X X X X X

Stella Ronald MDInterventional Cardiology

Gottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919 MacNeal Hospital X X X X X X X X X X X X

Sur James MDInterventional Cardiology

Gottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-9100 708-783-6919 MacNeal Hospital X X X X X X X X X X X

Erickson Kurt MDInterventional Cardiology Heart Care Centers of Illinois SC

3231 S. Euclid Suite 201 Berwyn, IL 60402 (708) 783-2055 (708) 783-2181

MacNeal Hospital, West Suburban Medical Center X X X X X X X X X X

Iaffaldano Robert MDInterventional Cardiology Heart Care Centers of Illinois SC

13011 S. 104th Ave. Suite 100 Palos Park, IL 60464 (708) 274-3278 (708) 274-3299 MacNeal Hospital X X X X X X X X X X

Iqbal Naveed MDInterventional Cardiology Heart Care Centers of Illinois SC

13011 S. 104th Ave. Suite 100 Palos Park, IL 60464 (708) 274-3278 (708) 274-3299 MacNeal Hospital X X X X X X X X X X

Stella Dominick MDInterventional Cardiology Heart Care Centers of Illinois SC

13011 S. 104th Ave. Suite 100 Palos Park, IL 60464 (708) 274-3278 (708) 274-3299 MacNeal Hospital X X X X X X X X X X

Stella Joseph DOInterventional Cardiology Heart Care Centers of Illinois SC

13011 S. 104th Ave. Suite 100 Palos Park, IL 60464 (708) 274-3278 (708) 274-3299 MacNeal Hospital X X X X X X X X X X

Stella Ronald MDInterventional Cardiology Heart Care Centers of Illinois SC

13011 S. 104th Ave. Suite 100 Palos Park, IL 60464 (708) 274-3278 (708) 274-3278 MacNeal Hospital X X X X X X X X X X

Sur James MDInterventional Cardiology Heart Care Centers of Illinois SC

13011 S. 104th Ave. Suite 100 Palos Park, IL 60464 (708) 274-3278 (708) 274-3299 MacNeal Hospital X X X X X X X X X X

Yun Hong Jun MDInterventional Cardiology Heart Care Centers of Illinois SC

13011 S. 104th Ave. Suite 100 Palos Park, IL 60464 (708) 274-3278 (708) 274-3299

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X

Dieter RobertMD, RVT

Interventional Cardiology Loyola University Medical Center

15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Page 29: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Dieter RobertMD, RVT

Interventional Cardiology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Lopez John MDInterventional Cardiology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Steen Lowell MDInterventional Cardiology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Steen Lowell MDInterventional Cardiology Loyola University Medical Center

7005 W. NORTH AVENUE Oak Park, IL 60302 (708) 327-1410

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Iaffaldano Robert MDInterventional Cardiology Premier Vascular, LLC

11560 S. Kedzie Ave. Suite 102 Merrionette Park, IL 60803 (708) 972-7525 (708) 792-7526 MacNeal Hospital X X X X X X X X

Stella Dominick MDInterventional Cardiology Premier Vascular, LLC

11560 S. Kedzie Ave. Suite 102 Merrionette Park, IL 60803 (708) 972-7525 (708) 792-7526 MacNeal Hospital X X X X X X X X

Stella Ronald MDInterventional Cardiology Premier Vascular, LLC

11560 S. Kedzie Ave. Suite 102 Merrionette Park, IL 60803 (708) 972-7525 (708) 792-7526 MacNeal Hospital X X X X X X X X X

Sur James MDInterventional Cardiology Premier Vascular, LLC

11560 S. Kedzie Ave. Suite 102 Merrionette Park, IL 60803 (708) 972-7525 (708) 792-7526 MacNeal Hospital X X X X X X X X

Borge Marc MD Interventional Radiology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Borge Marc MD Interventional Radiology Loyola University Medical Center2160 S. First Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Malamis Angelo MD Interventional Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Molvar Christopher MD Interventional Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Verploegh Jennifer APN Interventional Radiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Ahmed Sameer MD Interventional RadiologyMidwest Institute for Minimally Invasive Therapies, PC

675 W. North Ave. Suite 402 Melrose Park, IL 60160 (708) 486-2600 (708) 486-2610

Gottlieb Memorial Hospital X X X X X X X X X X

Ahmed Sameer MD Interventional RadiologyMidwest Institute for Minimally Invasive Therapies, PC

2415 S. Michigan Ave. Chicago, IL 60616 (708) 486-2600 (708) 486-2610

Gottlieb Memorial Hospital X X X X X X X X X X

Ahmed Sameer MD Interventional RadiologyMidwest Institute for Minimally Invasive Therapies, PC

1S210 Summit Ave. Oak Brook, IL 60181 (708) 486-2600 (708) 486-2610

Gottlieb Memorial Hospital X X X X X X X X X X

Chopra Paramjit MD Interventional RadiologyMidwest Institute for Minimally Invasive Therapies, PC

675 W. North Ave. Suite 402 Melrose Park, IL 60160 (708) 486-2600 (708) 486-2610

Gottlieb Memorial Hospital X X X X X X X X X X

Chopra Paramjit MD Interventional RadiologyMidwest Institute for Minimally Invasive Therapies, PC

1S210 Summit Ave. Oak Brook, IL 60181 (708) 486-2600 (708) 486-2610

Gottlieb Memorial Hospital X X X X X X X X X X

Chopra Paramjit MD Interventional RadiologyMidwest Institute for Minimally Invasive Therapies, PC

2415 S. Michigan Ave. Chicago, IL 60616 (708) 486-2600 (708) 486-2610

Gottlieb Memorial Hospital X X X X X X X X X X

Goodman Jean MDMaternal and Fetal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Goodman Jean MDMaternal and Fetal Medicine Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Lal Ann MDMaternal and Fetal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Sprawka Nicole MDMaternal and Fetal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Albain Kathy MD Medical Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Clark Joseph MD Medical Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Hagen Patrick MD Medical Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Lo Shelly MD Medical Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Page 30: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Mai Hanh DO Medical Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Mai Hanh DO Medical Oncology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Micetich Kenneth MD Medical Oncology Loyola University Medical Center15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400

Loyola University Medical Center X X X X X X X X X X X X X

Micetich Kenneth MD Medical Oncology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Motykowski Bryant APN Medical Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Robinson Patricia MD Medical Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Rosi David MD Medical Oncology Loyola University Medical Center675 W. North Avenue Melrose Park, IL 60160 (708) 327-1445

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Wang Siao-Yi MD Medical Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 X X X X X X X X X X X X X

Hashimi May MD Medical OncologyPipeline - Lakefront Medical Associates, LLC

4700 N. Marine Dr. Suite 315 Chicago, IL 60640-7976 (773) 564-5030 (773) 564-5021

Weiss Memorial Hospital X X X X X X

Krauss Stuart MD Medical OncologyPipeline - Lakefront Medical Associates, LLC

4700 N. Marine Dr. Suite 315 Chicago, IL 60640-7976 (773) 564-5030 (773) 564-5021

Weiss Memorial Hospital X X X X X X

Yedavalli Nina MD Medical OncologyPipeline - Lakefront Medical Associates, LLC

7420 W. Central Ave. River Forest, IL 60305-1800 (708) 763-2700 (708) 488-9660

MacNeal Hospital, West Suburban Medical Center X X X X X X

Hantsch Christina MD Medical Toxicology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Amin Sachin MDNeonatal-Perinatal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Astrug Lauren MDNeonatal-Perinatal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Hummel Patricia APNNeonatal-Perinatal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Hussain Walid MDNeonatal-Perinatal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Juretschke Linda APNNeonatal-Perinatal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Katebian Roia MDNeonatal-Perinatal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (708) 216-9000 (708) 216-5617

Loyola University Medical Center, MacNeal Hospital X X X X X X X

Muraskas Jonathan MDNeonatal-Perinatal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Naber Margaret APNNeonatal-Perinatal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Petro Barbara APNNeonatal-Perinatal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Sajous Christine MDNeonatal-Perinatal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Weiss Marc MDNeonatal-Perinatal Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Cremer Eduardo MD Nephrology Associates in Nephrology, SC2721 N. Spaulding Chicago, IL 60647-1338 (312) 654-2701 (312) 654-0118

Weiss Memorial Hospital X X X X X X X X X X X X

Cremer Eduardo MD Nephrology Associates in Nephrology, SC2608 W. Addison Unit B Chicago, IL 60618-5905 (773) 525-4501 (773) 525-3416

Weiss Memorial Hospital X X X X X X X X X X X X

Delis Constantine DO Nephrology Associates in Nephrology, SC2608 W. Addison Unit B Chicago, IL 60618-5905 (773) 525-4501 (773) 525-3416

Gottlieb Memorial Hospital X X X X X X X X X X X X

Derylo Bogdan MD Nephrology Associates in Nephrology, SC2608 W. Addison Unit B Chicago, IL 60618-5905 (773) 525-4501 (773) 525-3416

Weiss Memorial Hospital X X X X X X X X X X X X

Dhananjaya Neetha MD Nephrology Associates in Nephrology, SC2608 W. Addison Unit B Chicago, IL 60618-5905 (773) 525-4501 (773) 525-3416

Gottlieb Memorial Hospital X X X X X X X X X X X X

Leischner Mark MD Nephrology Associates in Nephrology, SC

2913 North Commonwealth 5th Floor Chicago, IL 60657-6211 (773) 525-4501 (773) 525-3416

Weiss Memorial Hospital X X X X X X X X X X X X

Leischner Mark MD Nephrology Associates in Nephrology, SC2608 W. Addison Unit B Chicago, IL 60618-5905 (773) 525-4501 (773) 525-3416

Weiss Memorial Hospital X X X X X X X X X X X X

Muni Haresh MD Nephrology Associates in Nephrology, SC

2740 W. Foster Ave. Suite 201 Chicago, IL 60625-3500 (773) 728-0857 (773) 909-2307

Weiss Memorial Hospital X X X X X X X X X X X X

Page 31: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Muni Haresh MD Nephrology Associates in Nephrology, SC2608 W. Addison Unit B Chicago, IL 60618-5905 (773) 525-4501 (773) 525-3416

Weiss Memorial Hospital X X X X X X X X X X X X

Rao Madhav MD Nephrology Associates in Nephrology, SC3002 N Ashland Ave. Chicago, IL 60657 (773) 525-4501 (773) 525-3416

Weiss Memorial Hospital X X X X X X X X X X X X

Rao Madhav MD Nephrology Associates in Nephrology, SC2608 W. Addison Unit B Chicago, IL 60618-5905 (773) 525-4501 (773) 525-3416

Weiss Memorial Hospital X X X X X X X X X X X X

Berns Arnold MD Nephrology Lakeside Nephrology LTD2277 W. Howard Chicago, IL 60645-1922 (773) 508-0110 (773) 508-0074

Weiss Memorial Hospital X X X X X X X X X X X X

Hirsch Sheldon MD Nephrology Lakeside Nephrology LTD1717 S. Wabash Chicago, IL 60616-1219 (773) 508-0110 (770) 508-0074

Weiss Memorial Hospital X X X X X X X X X X X X

Hirsch Sheldon MD Nephrology Lakeside Nephrology LTD1101 S. Canal St. #5 Chicago, IL 60607-4901 (312) 986-0110 (312) 663-1010

Weiss Memorial Hospital X X X X X X X X X X X X

Kathpalia Paru MD Nephrology Lakeside Nephrology LTD1101 S. Canal St. #5 Chicago, IL 60607-4901 (773) 508-0110 (770) 508-0074

Weiss Memorial Hospital X X X X X X X X X X X X

Kathpalia Paru MD Nephrology Lakeside Nephrology LTD1717 S. Wabash Chicago, IL 60616-1219 (773) 508-0110 (770) 508-0074

Weiss Memorial Hospital X X X X X X X X X X X X

Najafi Christopher MD Nephrology Lakeside Nephrology LTD9801 Woods Dr Skokie, IL 60077-1074 (773) 581-0110 (770) 508-0074

Weiss Memorial Hospital X X X X X X X X X X X X

Najafi Christopher MD Nephrology Lakeside Nephrology LTD2277 W. Howard Chicago, IL 60645-1922 (773) 508-0110 (773) 508-0074

Weiss Memorial Hospital X X X X X X X X X X X X

Soifer Neil MD Nephrology Lakeside Nephrology LTD2277 W. Howard Chicago, IL 60645-1922 (773) 508-0110 (770) 508-0074

Weiss Memorial Hospital X X X X X X X X X X X X

Soifer Neil MD Nephrology Lakeside Nephrology LTD1717 S. Wabash Chicago, IL 60616-1219 (773) 508-0110 (770) 508-0074

Weiss Memorial Hospital X X X X X X X X X X X X

Akkina Sanjeev MD Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Bansal Vinod MD Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Barnes Sylvester MD Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Dahlberg Kirsten APN Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Griffin Karen MD Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Jain Divya DO Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Leehey David MD Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Ling Benjamin DO Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Mattix-Kramer Holly MD Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Samra Manpreet MD Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X

Schneider Julia MD Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Sheikh Shehla MD Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Sodhi Rupinder MD Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Vellanki Kavitha MD Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Wadhwa Anuradha MD Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Kosuri Rajani MD NephrologyMidwest Nephrology and Internal Medicine

7315 W. North Avenue River Forest, IL 60305 (708) 689-8539 (708) 689-8688

MacNeal Hospital, Gottlieb Memorial Hospital X X X

Andersen Matthew MD NephrologyNephrology Associates of Northern Illinois Ltd

6827 Stanley Ave. Berwyn, IL 60402-3287 (708) 749-4617 (708) 749-0094 MacNeal Hospital X X X X X X X X X X X X

Finn Martin MD NephrologyNephrology Associates of Northern Illinois Ltd

675 W. North Avenue Suite 510 Melrose Park, IL 60160-1630 708-450-4551 (708) 681-9711

Gottlieb Memorial Hospital, Weiss Memorial Hospital, West Suburban Medical Center X X X X X X X X X X X X

Gandhi Rajiv MD NephrologyNephrology Associates of Northern Illinois Ltd

6827 Stanley Ave. Berwyn, IL 60402-3287 (708) 749-4617 (708) 749-0094

MacNeal Hospital, West Suburban Medical Center X X X X X X X X X X X X

Kowalski Andrew MD NephrologyNephrology Associates of Northern Illinois Ltd

6827 Stanley Ave. Berwyn, IL 60402-3287 (708) 749-4617 (708) 749-0094 MacNeal Hospital X X X X X X X X X X X X

Kracker David MD NephrologyNephrology Associates of Northern Illinois Ltd

One Erie Court Suite 4120 Oak Park, IL 60302-2511 (708) 524-4576 (708) 524-5073

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X X X X

Manco Genti APN NephrologyNephrology Associates of Northern Illinois Ltd

One Erie Court Suite 4120 Oak Park, IL 60302-2511 (708) 524-4576 (708) 524-5073 X X X X X X X X X X X

Naratadam George DO NephrologyNephrology Associates of Northern Illinois Ltd

675 W. North Avenue Suite 510 Melrose Park, IL 60160-1630 708-450-4551 (708) 524-5073

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X X X X X

Page 32: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Naratadam George DO NephrologyNephrology Associates of Northern Illinois Ltd

One Erie Court Suite 4120 Oak Park, IL 60302-2511 (708) 524-4576 (708) 524-5073

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X X X X X

Ruiz Juan Pablo MD NephrologyNephrology Associates of Northern Illinois Ltd

6827 Stanley Ave. Berwyn, IL 60402-3287 (708) 749-4617 (708) 749-0094 MacNeal Hospital X X X X X X X X X X X X

Wagener Osvaldo MD Nephrology Primecare Nephrology

1111 W. superior St. Suite 204 Melrose Park, IL 60160 (708) 223-7920 (708) 338-1790

Gottlieb Memorial Hospital X X X X X X X X X X

Anderson Douglas MD Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

George Raina APN Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Germanwala Anand MD Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Jones George MD Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Kritikos Eleni NP Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Kurien Angela APN Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Nielsen Magan APN Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Nockels Russell MD Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Pappu Suguna MD Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Prabhu Vikram MD Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Reynolds Matthew MD Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Reynolds Matthew MD Neurological Surgery Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (888)584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Ryan Anna APN Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Schilling Erin APN Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Serrone Joseph MD Neurological Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Boco Tibor MD Neurological Surgery Neurological Surgery and Spine, SC

133 E. Brush Hill Rd Suite 205 Elmhurst, IL 60126-5659 (331) 221-5708 (708) 343-3585

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X

Espinosa-Becerra Francisco MD Neurological Surgery Neurological Surgery and Spine, SC

1 Westbrook Corp. Ctr. Suite 800 Westchester, IL 60154-5714 (708) 343-3566 (708) 343-3585

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X

Salehi Sean MD Neurological Surgery Neurological Surgery and Spine, SC

1 Westbrook Corp. Ctr. Suite 800 Westchester, IL 60154-5714 (708) 343-3566 (708) 343-3585

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X

Salehi Sean MD Neurological Surgery Neurological Surgery and Spine, SC5645 W. Addison St. Suite 250 Chicago, IL 60634 (708) 343-3566 (708) 343-3585

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X

Song John MD Neurological Surgery Neurological Surgery and Spine, SC

1 Westbrook Corp. Ctr. Suite 800 Westchester, IL 60154-5714 (708) 343-3566 (708) 343-3585

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X

Zelby Andrew MD Neurological Surgery Neurological Surgery and Spine, SC

1 Westbrook Corp. Ctr. Suite 800 Westchester, IL 60154-5714 (708) 343-3566 (708) 343-3585

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X

Asconape Jorge MD Neurology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Biller Jose MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Page 33: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Colletta Kalea DO Neurology Loyola University Medical Center2160 S. First Ave Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X X

Cunningham Claire APN Neurology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X

Doerrler Michael DO Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Garg Ravi MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Garg Rishi MD Neurology Loyola University Medical Center2160 S. 1st Ave. Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Gill Rick MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Golombievski Esteban MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Gruener Gregory MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Iglesias Antonio MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Kass Hout Tareq MD Neurology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Kelly Michael MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Kostidis Athena MD Neurology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Kujawa Kathy MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Mazin Abdul MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

McCoyd Matthew MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

McGonagle Timothy MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Millsap Lisa APN Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Morales Vidal Sarkis MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Nishida Takashi MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Rouse Stasia MD Neurology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Schneck Michael MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Thakkar Jigisha MD Neurology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Wojcik Walter MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Zeidman Lawrence MD Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Page 34: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Cunningham Claire APN NeurologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3340 S OAK PARK AVE SUITE 200 BERWYN, IL 60402-3483 (708) 783-0022 (708) 783-0223

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X

Iglesias Antonio MD NeurologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3340 S OAK PARK AVE SUITE 200 BERWYN, IL 60402-3483 (708) 783-0022 (708) 783-6563

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Kujawa Kathy MD NeurologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3340 S OAK PARK AVE SUITE 200 BERWYN, IL 60402-3483 (708) 783-0022 (708) 783-6563

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

McGonagle Timothy MD NeurologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3340 S OAK PARK AVE SUITE 200 BERWYN, IL 60402-3483 (708) 783-0022 (708) 783-0223

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Morales Vidal Sarkis MD NeurologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3340 S OAK PARK AVE SUITE 200 BERWYN, IL 60402-3483 (708) 783-0022 (708) 783-6563

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Rouse Stasia MD NeurologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3340 S OAK PARK AVE SUITE 200 BERWYN, IL 60402-3483 (708) 783-0022 (708) 783-6563

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Thakkar Jigisha MD NeurologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3340 S OAK PARK AVE Suite 200 BERWYN, IL 60402-3483 (708) 783-0022 (708) 783-0223

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Wojcik Walter MD NeurologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3340 S OAK PARK AVE SUITE 200 BERWYN, IL 60402-3483 (708) 783-0022 (708) 783-0223

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Piekos Grazyna MD Neurology Midwest Neurological Associates, Ltd

675 W. North Ave. Suite 512 Melrose Park, IL 60160 (708) 681-7630 (708) 681-7391

Gottlieb Memorial Hospital X X X X X

Wilson John MD NeurologyNeurology, Clinical Neurophysiology & Sleep Medicine

675 W. North Ave. Melrose Park, IL 60160 (708) 671-7879 (708) 681-7886

Gottlieb Memorial Hospital X X X X X X X

Mallik AtulMD, PhD Neuroradiology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Pasquale David MD Neuroradiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Rosenblum Jordan MD Neuroradiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Gabriel Mehdat MD Nuclear Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Savir Baruch Bital MD Nuclear Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Wagner Robert MD Nuclear Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Lehrer Nelson MDObstetrics and Gynecology All Women's Medical Center

3140 W. Irving Park Rd. Chicago, IL 60618-3410 (773) 478-0700 (773) 478-0773

Weiss Memorial Hospital X X X X X X

Rostein Daniel MDObstetrics and Gynecology Daniel Rostein M.D., SC

2208 Midwest Rd. Suite 102 Oak Brook, IL 60523-4115 (630) 472-9100 (630) 472-9101 MacNeal Hospital X X X X X X X X X

McIlwain Carrie MDObstetrics and Gynecology

Gynecological Cancer Institute of Chicago LLC

6700 W. 95th St. Suite 330 Oak Lawn, IL 60453-2416 (708) 422-3242 (708) 422-3243 MacNeal Hospital X X X

Gomez James MDObstetrics and Gynecology James J. Gomez, MD, S.L.

10215 W. Roosevelt Rd. Suite 101 Westchester, IL 60154 (708) 450-5762 (708) 938-5283

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X

Furlin Joseph MDObstetrics and Gynecology Joseph Furlin

675 W. North Avenue Suite 312 Melrose Park, IL 60160 (708) 615-1100 (708) 615-1350

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X

Loya-Frank Laura MDObstetrics and Gynecology Laura Loya-Frank

1350 W. Lake Street Melrose Park, IL 60160-4027 (708) 343-8512 (708) 343-8529

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X

Acevedo-Alverez Marian MDObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Afriyie-Gray Akua MDObstetrics and Gynecology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Page 35: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Ahlin KaLee MDObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5390

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Ahlin KaLee MDObstetrics and Gynecology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Alrahmani Layan MDObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Deighan Karen MDObstetrics and Gynecology Loyola University Medical Center

1950 S. Harlem Avenue North Riverside, IL 60546 (708) 354-9250 (708) 354-8765

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Frenn Recia MDObstetrics and Gynecology Loyola University Medical Center

1950 S. Harlem Avenue North Riverside, IL 60546 (708) 354-9250 (708) 354-8765

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Graziano Scott MDObstetrics and Gynecology Loyola University Medical Center

6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1301 (708) 327-1322

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Graziano Scott MDObstetrics and Gynecology Loyola University Medical Center

2160 S. First Avenue Maywood, IL 60153 (888)584-7888 (708) 216-5390

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Graziano Scott MDObstetrics and Gynecology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Holthaus Emily MDObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Liotta Margaret DOObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Liotta Margaret DOObstetrics and Gynecology Loyola University Medical Center

15300 West Avenue Orland Park, IL 60462 (888)584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Lynn Mary DOObstetrics and Gynecology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Marable Julie APNObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Marks Julie APNObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

McCormack Donna APNObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

McDermott Nancy APNObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

McDermott Nancy APNObstetrics and Gynecology Loyola University Medical Center

15300 West Avenue Orland Park, IL 60462 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X

Minhas Ruby MDObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Pham Thythy MDObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Sung Juliana MDObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Uribe Sandra APNObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Wagner Sarah MDObstetrics and Gynecology Loyola University Medical Center

6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1301 (708) 327-1322

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Wagner Sarah MDObstetrics and Gynecology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

White Prock Paula MDObstetrics and Gynecology Loyola University Medical Center

6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1301 (708) 327-1322

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

White Prock Paula MDObstetrics and Gynecology Loyola University Medical Center

2160 S. First Avenue Maywood, IL 60153 (888)584-7888 (708) 216-5390

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Page 36: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

White Prock Paula MDObstetrics and Gynecology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Wiley Lena MDObstetrics and Gynecology Loyola University Medical Center

6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1301 (708) 327-1322

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Wiley Lena MDObstetrics and Gynecology Loyola University Medical Center

2160 S. First Avenue Maywood, IL 60153 (888)584-7888 (708) 216-5390

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Wiley Lena MDObstetrics and Gynecology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Williams Freager MDObstetrics and Gynecology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Winder Abigail MDObstetrics and Gynecology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Yang Linda MDObstetrics and Gynecology Loyola University Medical Center

15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400 (708) 645-3411

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Yang Linda MDObstetrics and Gynecology Loyola University Medical Center

2160 S. First Avenue Maywood, IL 60153 (888)584-7888 (708) 216-5390

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Adamczyk Charles MDObstetrics and Gynecology

Loyola University Medical Center DBA L. Medicine Physician Group LLC

47 S 6TH AVE LAGRANGE, IL 60525-5637 (708) 354-4900 (708) 482-3324 MacNeal Hospital X X X X X X X X X X X X

Adamczyk Charles MDObstetrics and Gynecology

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3722 S HARLEM AVE RIVERSIDE, IL 60546-2320 (708) 783-7840 (708) 783-7843 MacNeal Hospital X X X X X X X X X X X X

Cruz Janet MDObstetrics and Gynecology

Loyola University Medical Center DBA L. Medicine Physician Group LLC

6187 S ARCHER AVE SUITE 102 CHICAGO, IL 60638-2812 (773) 581-9650 (773) 581-9661 MacNeal Hospital X X X X X X X X X X X X

Gavino Michael MDObstetrics and Gynecology

Loyola University Medical Center DBA L. Medicine Physician Group LLC

7020 W 79TH ST BRIDGEVIEW, IL 60455-4030 (708) 599-8200 (708) 599-8306 MacNeal Hospital X X X X X X X X X X X X

Gonzalez Leticia MDObstetrics and Gynecology

Loyola University Medical Center DBA L. Medicine Physician Group LLC

6425 W CERMAK RD SUITE 202 BERWYN, IL 60402-4602 (708) 783-0022 (708) 783-0088 MacNeal Hospital X X X X X X X X X X X X

Mahoney Kathleen MDObstetrics and Gynecology

Loyola University Medical Center DBA L. Medicine Physician Group LLC

47 S 6TH AVE LAGRANGE, IL 60525-5637 (708) 354-4900 (708) 482-3324 MacNeal Hospital X X X X X X X X X X X X

Porto Susan MDObstetrics and Gynecology

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3722 S HARLEM AVE SUITE 204 RIVERSIDE, IL 60546-2320 (708) 783-7840 (708) 783-7843 MacNeal Hospital X X X X X X X X X X X X

Tolentino Jocelyn MDObstetrics and Gynecology

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3722 S HARLEM AVE SUITE 204 RIVERSIDE, IL 60546-2320 (708) 783-7840 (708) 783-7843 MacNeal Hospital X X X X X X X X X X X X

Torres Elizabeth CNMObstetrics and Gynecology

Loyola University Medical Center DBA L. Medicine Physician Group LLC

6425 W CERMAK RD Suite 202 BERWYN, IL 60402-4602 (708) 783-0022 (708) 783-0088 MacNeal Hospital X X X X X X X X X X

Totonchi Kara DOObstetrics and Gynecology

Loyola University Medical Center DBA L. Medicine Physician Group LLC

6187 S ARCHER AVE Suite 102 CHICAGO, IL 60638-2812 (773) 581-9650 (773) 581-9661 MacNeal Hospital X X X X X X X X X X X X

Zeromska-Cancellaro Monika MD

Obstetrics and Gynecology

Loyola University Medical Center DBA L. Medicine Physician Group LLC

6187 S ARCHER AVE SUITE 102 CHICAGO, IL 60638-2812 (773) 581-9650 (773) 581-9661 MacNeal Hospital X X X X X X X X X X X X

Farhi Manuela MDObstetrics and Gynecology Manuela B. Farhi, MD

7010 W. North Ave. Chicago, IL 60707 (773) 889-4422 (773) 889-0442 X X X X X X

Patel Mukesh MDObstetrics and Gynecology Mukesh Patel MD SC

6035 W. Cermak Road Cicero, IL 60804 (708) 656-5230 (708) 795-1521 MacNeal Hospital X X X X X X X X X

Mehta Mukundini MDObstetrics and Gynecology Mukundini Mehta

5909 W. 35th Street Cicero, IL 60804 (708) 656-3550 (708) 656-3551 MacNeal Hospital X X X X X X X X X

Sadikovic Azra MDObstetrics and Gynecology

Pipeline - Lakefront Medical Associates, LLC

4700 N. Marine Dr. Suite 300 Chicago, IL 60640-7976 (773) 564-5355 (773) 564-5359

MacNeal Hospital, Weiss Memorial Hospital X X X X X X

Sadikovic Azra MDObstetrics and Gynecology

Pipeline - Lakefront Medical Associates, LLC

6201 N. Broadway Ave. Chicago, IL 60660-1903 (773) 796-3400 (773) 796-3409

MacNeal Hospital, Weiss Memorial Hospital X X X X X X

Horan Mary MD

Obstetrics and Gynecology (Hospital-Based)

Loyola University Medical Center DBA L. Medicine Physician Group LLC

3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-3398 MacNeal Hospital X X X X X X X X X X X X

Page 37: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Noble A. Gwendolyn MD Ophthalmology A. Gwendolyn Noble, M.DD, PhD

1200 S. York Road Suite 3230 Elmhurst, IL 60126-5629 (708) 452-4257 (630) 279-3843

Gottlieb Memorial Hospital X X X X X X X X X X X

Noble A. Gwendolyn MD Ophthalmology A. Gwendolyn Noble, M.DD, PhD

7638 W. North Avenue Elmwood Park, IL 60707-4157 (708) 452-4257 (708) 452-4283

Gottlieb Memorial Hospital X X X X X X X X X X X

Ahmad Amjad MD Ophthalmology Amjad Z. Ahmad MD SC3100 Ogden Ave. Lisle, IL 60532 (630) 505-8888 (630) 505-8889 X X X X X X X X X

Igoe Brian MD Ophthalmology Brian P. Igoe MD SC347 Burlington Riverside, IL 60546-2149 (708) 442-8262 (708) 442-9119 MacNeal Hospital X X X X

Abdelsalam Ahmed MD Ophthalmology Chicagoland Retinal Consultants LLC4401 S. Harlem Ave. Stickney, IL 60402 (708) 484-8500 (708) 484-8501

Weiss Memorial Hospital X X X X X X X X X

Abdelsalam Ahmed MD Ophthalmology Chicagoland Retinal Consultants LLC

5215 N. California Ave. Suite F801 Chicago, IL 60625 (773) 561-5100 (773) 561-5900

Weiss Memorial Hospital X X X X X X X X X

Amde Wendewessen MD Ophthalmology Chicagoland Retinal Consultants LLC710 N. York Road Suite 1 Hinsdale, IL 60521 (630) 734-2000 (630) 734-1090

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X X

Amde Wendewessen MD Ophthalmology Chicagoland Retinal Consultants LLC4401 S. Harlem Ave. Stickney, IL 60402 (708) 788-3400 (708) 788-3472

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X X

Amde Wendewessen MD Ophthalmology Chicagoland Retinal Consultants LLC5215 N. California Ave. Chicago, IL 60625 (773) 561-5700 (773) 561-5900

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X X

Amde Wendewessen MD Ophthalmology Chicagoland Retinal Consultants LLC5600 W. Addison Chicago, IL 60634-4401 (773) 561-5100 (773) 561-5900

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X X

Pearlman Robert MD Ophthalmology Chicagoland Retinal Consultants LLC4401 S. Harlem Ave. Stickney, IL 60402-4250 (708) 484-8500 (708) 484-8501

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X X

Pearlman Robert MD Ophthalmology Chicagoland Retinal Consultants LLC

5215 N. California Ave. Suite F801 Chicago, IL 60625 (773) 561-5100 (773) 561-5900

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X X

Mehta Milap MD Ophthalmology DeKalb Eye Consultants, LLC4401 S. Harlem Avenue Stickney, IL 60402-4250 (708) 788-3400 (708) 788-3472 MacNeal Hospital X X X X X X X X X

MacCumber Mathew MD Ophthalmology Illinois Retina Associates SC

610 S. Maple Ave. Suite 1700 Oak Park, IL 60304-1096 (708) 660-8450 (708) 660-8454 MacNeal Hospital X X X X X X X X X X

MacCumber Mathew MD Ophthalmology Illinois Retina Associates SC

2845 N. Sheridan Rd. Suite 900 Chicago, IL 60657-7227 (773) 871-8444 (773) 871-4781 MacNeal Hospital X X X X X X X X X X

MacCumber Mathew MD Ophthalmology Illinois Retina Associates SC

1725 W. Harrison St. Suite 915 Chicago, IL 60612-3835 (312) 942-2117 (312) 563-2607 MacNeal Hospital X X X X X X X X X X

Merrill Pauline MD Ophthalmology Illinois Retina Associates SC

610 S. Maple Ave. Suite 1700 Oak Park, IL 60304-1096 (708) 660-8450 (708) 660-8454 MacNeal Hospital X X X X X X X X X X

Merrill Pauline MD Ophthalmology Illinois Retina Associates SC

25 E. Washington St. Suite 301 Chicago, IL 60602-1734 (312) 726-4949 (312) 726-2368 MacNeal Hospital X X X X X X X X X X

Merrill Pauline MD Ophthalmology Illinois Retina Associates SC1725 W. Harrison Suite 915 Chicago, IL 60612 (312) 942-2117 (312) 563-2607 MacNeal Hospital X X X X X X X X X X

Bakos Irene MD Ophthalmology Irene Bakos, M.D.

7740 W. North Ave. Elmwood Park, IL 60707-4116 (708) 450-0500 (708) 450-1070

West Suburban Medical Center X X X X X X X

Kirk Carter MD Ophthalmology Kirk Eye Center7427 Lake St. River Forest, IL 60305-1817 (708) 771-3334 (708) 771-0841

West Suburban Medical Center X X X X X X X X X

Kirk Kent MD Ophthalmology Kirk Eye Center7427 Lake St. River Forest, IL 60305-1817 (708) 771-3334 (708) 771-0841

West Suburban Medical Center X X X X X X X X X X

Kirk Scott MD Ophthalmology Kirk Eye Center7427 Lake St. River Forest, IL 60305-1817 (708) 771-3334 (708) 771-0841

West Suburban Medical Center X X X X X X X X X X

Kirk Scott MD Ophthalmology Kirk Eye Center3477 Grand Ave. Gurnee, IL 60031 (847) 249-4660 (847) 249-4950

West Suburban Medical Center X X X X X X X X X X

Kirk Tyler MD Ophthalmology Kirk Eye Center7427 Lake St. River Forest, IL 60305-1817 (708) 771-3334 (708) 771-0841

West Suburban Medical Center X X X X X X X X X X

Kirk Tyler MD Ophthalmology Kirk Eye Center1300 N. Highland Ave. Aurora, IL 60506 (630) 897-5104

West Suburban Medical Center X X X X X X X X X X

Bouchard Charles MD Ophthalmology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X X

Bouchard Charles MD Ophthalmology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708) 873-2490

Loyola University Medical Center X X X X X X X X X X X X X

Chaku Meenakshi MD Ophthalmology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Cronin Cathleen MD Ophthalmology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

De Alba Felipe MD Ophthalmology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Liu Dianna MD Ophthalmology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Page 38: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

McDonnell James MD Ophthalmology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

McDonnell James MD Ophthalmology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center X X X X X X X X X X X X X

Raiji Veena MD Ophthalmology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Starnes Taylor MD Ophthalmology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X

Vasaiwala Roshni MD Ophthalmology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Yoo David MD Ophthalmology Loyola University Medical Center9608 Roberts Road Hickory Hills, IL 60457 (708) 233-5333

Loyola University Medical Center X X X X X X X X X X X X X

Yoo David MD Ophthalmology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center X X X X X X X X X X X X X

Lopez Marcos MD Ophthalmology Marcos A. Lopez MD SC9005 W. Cermak Rd. North Riverside, IL 60546 (708) 442-8010 (708) 442-8009 MacNeal Hospital X X X X X X X X X X

Torres Azucena NP Ophthalmology Marcos A. Lopez MD SC9005 W. Cermak Rd. North Riverside, IL 60546 (708) 442-8010 (708) 442-8009 MacNeal Hospital X X X X X X X X

McCarthy Timothy MD Ophthalmology McCarthy Eye Center1200 S. York Rd. Suite 3290 Elmhurst, IL 60126 (630) 249-2030

Gottlieb Memorial Hospital X X X X X X X

McCarthy Timothy MD Ophthalmology McCarthy Eye Center7055 W. North Avenue Oak Park, IL 60302 (708) 848-2030 (708) 848-2070

Gottlieb Memorial Hospital X X X X X X X

Hennessey Michael MD Ophthalmology Oak Park Eye Center S.C.7638 W. North Ave. Elmwood Park, IL 60707 (708) 452-4257 (708) 452-4283

Gottlieb Memorial Hospital X X X X X X X

Hennessey Michael MD Ophthalmology Oak Park Eye Center S.C.1200 S. York Rd. Suite 3230 Elmhurst, IL 60126 (630) 279-3678

Gottlieb Memorial Hospital X X X X X X X

Santiago Manuel MD Ophthalmology Oak Park Eye Center S.C.7638 W. North Ave. Elmwood Park, IL 60707 (708) 452-4257 (708) 452-4283

Gottlieb Memorial Hospital X X X X X X X

Santiago Manuel MD Ophthalmology Oak Park Eye Center S.C.1200 S. York Rd. Suite 3230 Elmhurst, IL 60126 (630) 279-3678

Gottlieb Memorial Hospital X X X X X X X

Rubin Gary MD OphthalmologyOphthalmology Consultants of IL SC d/b/a Archer Eye Center

7001 W. Archer Ave. Chicago, IL 60638-2201 (773) 229-8818 (888) 598-6004 MacNeal Hospital X X X X X X X X X X X

Panton Peter MD Ophthalmology Panton Eye Center7740 North Avenue Elmwood Park, IL 60707 (708) 452-7200

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X

Panton Robert MD Ophthalmology Panton Eye Center7740 North Avenue Elmwood Park, IL 60707 (708) 452-7200

Gottlieb Memorial Hospital X X X X X X X X

Michael John MD Ophthalmology Retina Institute of IL2326 W. Foster Chicago, IL 60625-1826 (773) 784-9400 (773) 784-8730

Weiss Memorial Hospital X X X X X X X X X X X

Rao Rumya MD Ophthalmology Retina Institute of IL2326 W. Foster Chicago, IL 60625-1826 (773) 784-9400 (773) 784-8730

Weiss Memorial Hospital X X X X X X X X X X X

Rao Rumya MD Ophthalmology Retina Institute of IL8780 W. Golf Rd. Suite 3004 Niles, IL 60714 (847) 297-8900 (847) 297-8926

Weiss Memorial Hospital X X X X X X X X X X X

Amde Wendewessen MD Ophthalmology Ronald S. Weiss MD SC4401 S. Harlem Ave. Stickney, IL 60402-4250 (708) 788-3400 (708) 788-3472

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X X X

Larsen Brian MD Ophthalmology Ronald S. Weiss MD SC4401 S. Harlem Ave. Stickney, IL 60402-4250 (708) 788-3400 (708) 788-3472 MacNeal Hospital X X X X X X X X X X

Larsen Brian MD Ophthalmology Ronald S. Weiss MD SC

710 N. York Road 1st Floor Hinsdale, IL 60521-3555 (630) 734-2000 (630) 734-1090 MacNeal Hospital X X X X X X X X X X

Larsen Brian MD Ophthalmology Ronald S. Weiss MD SC7427 Lake Street River Forest, IL 60305 (708) 397-8114 (708) 771-0841 MacNeal Hospital X X X X X X X X X X

Pearlman Robert MD Ophthalmology Ronald S. Weiss MD SC4401 S. Harlem Ave. Stickney, IL 60402-4250 (708) 788-3400 (708) 788-3472

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X X X

Quraishi Saba MD Ophthalmology Ronald S. Weiss MD SC4401 S. Harlem Ave. Stickney, IL 60402-4250 (708) 788-3400 (708) 788-3472 MacNeal Hospital X X X X X X X X X X

Weiss Ronald MD Ophthalmology Ronald S. Weiss MD SC4401 S. Harlem Ave. Stickney, IL 60402-4250 (708) 788-3400 (708) 788-3472 MacNeal Hospital X X X X X X X X X X

Stone Lawrence MD Ophthalmology Stone Eye Center, LLC4640 N. Marine Dr. Suite A5400 Chicago, IL 60640 (773) 561-4545 (773) 561-9031

Weiss Memorial Hospital X X X X X

Ticho Benjamin MD Ophthalmology Suburban Eye Specialists

10436 Southwest Highway Suite 1 Chicago Ridge, IL 60415-2282 (708) 423-4070 (708) 423-4216 X X X X X X X X X X

Page 39: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Owens Daniel MD Ophthalmology Suburban Retina, Ltd130 S. Main St. Suite 303 Lombard, IL 60148-2670 (630) 424-9877 (630) 424-9878

West Suburban Medical Center X X X X X X

Vierling Susan MD Ophthalmology Suburban Retina, Ltd130 S. Main St. Suite 303 Lombard, IL 60148-2670 (630) 424-9877 (630) 424-9878

West Suburban Medical Center X X X X X X

Anstadt Bradford MD Ophthalmology Tennenbaum and Anstadt, LTD

675 W. North Avenue #107 Melrose Park, IL 60160 (708) 450-4510 (708) 450-9361

Gottlieb Memorial Hospital X X X X X X X X X

Anstadt Bradford MD Ophthalmology Tennenbaum and Anstadt, LTD5201 S. Willow Springs Rd. LaGrange, IL 60525 (708) 531-1601 (708) 245-7579

Gottlieb Memorial Hospital X X X X X X X X X

Levin Marc MD Ophthalmology Tennenbaum and Anstadt, LTD675 W. North Avenue Melrose Park, IL 60160 (708) 450-4510 (708) 450-9361

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X X

Levin Marc MD Ophthalmology Tennenbaum and Anstadt, LTD5201 S. Willow Springs Rd. LaGrange, IL 60525 (708) 531-1601 (708) 245-7579

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X X

Noth James MD Ophthalmology Tennenbaum and Anstadt, LTD675 W. North Avenue Melrose Park, IL 60160 (708) 450-4510 (708) 450-9361

Gottlieb Memorial Hospital X X X X X X X X X

Noth James MD Ophthalmology Tennenbaum and Anstadt, LTD5201 S. Willow Springs Rd. LaGrange, IL 60525 (708) 531-1601 (708) 245-7579

Gottlieb Memorial Hospital X X X X X X X X X

Proctor Brian MD Ophthalmology Tennenbaum and Anstadt, LTD675 W. North Avenue Melrose Park, IL 60160 (708) 450-4510 (708) 450-9361

Gottlieb Memorial Hospital X X X X X X X X X

Proctor Brian MD Ophthalmology Tennenbaum and Anstadt, LTD675 W. North Avenue Melrose Park, IL 60160

Gottlieb Memorial Hospital X X X X X X X X X

Mizen Thomas MD Ophthalmology Thomas R Mizen & Associates LLC

6187 S. Archer Ave. Suite 101 Chicago, IL 60638-2605 (773) 581-2000 (773) 581-2878 MacNeal Hospital X X X X X

Bahk Jane MD Ophthalmology West Suburban Eye Associates LLC1 Erie Court Suite 6140 Oak Park, IL 60302-2510 (708) 848-2400 (708) 445-8269

West Suburban Medical Center X X X X X X X

Bahk Jane MD Ophthalmology West Suburban Eye Associates LLC

7411 W. Lake Street River Forest, IL 60305-1876 (708) 488-1900 (708) 488-1974

West Suburban Medical Center X X X X X X X

Levin Marc MD Ophthalmology West Suburban Eye Associates LLC1 Erie Court Suite 6140 Oak Park, IL 60302-2510 (708) 848-2400 (708) 445-8269

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X

Levin Marc MD Ophthalmology West Suburban Eye Associates LLC

7411 W. Lake Street River Forest, IL 60305-1876 (708) 488-1900 (708) 488-1974

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X

Phillips Bryan MD Ophthalmology West Suburban Eye Associates LLC

7411 W. Lake Street Suite 1140 River Forest, IL 60305 (708) 488-1900 (708) 488-1974

West Suburban Medical Center X X X X X X X

Phillips Bryan MD Ophthalmology West Suburban Eye Associates LLC1 Erie Court Suite 6140 Oak Park, IL 60302-2510 (708) 848-2400 (708) 445-8269

West Suburban Medical Center X X X X X X X

Springer David MD Ophthalmology West Suburban Eye Associates LLC1 Erie Court Suite 6140 Oak Park, IL 60302-2510 (708) 848-2400 (708) 445-8269

West Suburban Medical Center X X X X X X X

Springer David MD Ophthalmology West Suburban Eye Associates LLC

7411 W. Lake Street River Forest, IL 60305-1876 (708) 488-1900 (708) 488-1974

West Suburban Medical Center X X X X X X X

Gable Eileen OD Optometry Loyola University Medical Center9608 Roberts Road Hickory Hills, IL 60457 (708) 233-5333

Loyola University Medical Center X X X X X X X X X X X

Gable Eileen OD Optometry Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center X X X X X X X X X X X

Hunter Megan OD Optometry Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Patadia Neelam OD Optometry Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Patadia Neelam OD Optometry Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X

Williams Robert OD Optometry Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Berry Alyssa OD Optometry Ronald S. Weiss MD SC4401 S. Harlem Ave. Stickney, IL 60402-4250 (708) 788-3400 X X X X X X X

Swetland Beth Ann OD Optometry Tennenbaum and Anstadt, LTD675 W. North Avenue Melrose Park, IL 60160 (708) 450-4510 (708) 450-9361

Gottlieb Memorial Hospital X X X X X X X X

Swetland Beth Ann OD Optometry Tennenbaum and Anstadt, LTD5201 S. Willow Springs Rd. LaGrange, IL 60525 (708) 531-1601 (708) 245-7579

Gottlieb Memorial Hospital X X X X X X X X

Marchmont-Robinson Hugh DDS

Oral and Maxillofacial Surgery Hugh Marchmont-Robinson DDS SC

3302 S. Grove Avenue Berwyn, IL 60402-3421 (708) 788-8200 (708) 795-8997 MacNeal Hospital X X X

Baptist Joseph DDSOral and Maxillofacial Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X

Kalant Don DDSOral and Maxillofacial Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X

Page 40: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Ledger Jordan DDSOral and Maxillofacial Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

MacLeod Stephen MD,BDSOral and Maxillofacial Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Steinberg MarkDDS, MD

Oral and Maxillofacial Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X

Wrzosek MariuszMD, DDS

Oral and Maxillofacial Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Clark Andrew DDSOrthodontics and Dentofacial Orthopedics Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X

Wolin Preston MD Orthopedic Surgery Center for Athletic Medicine830 W. Diversey Pkwy. #300 Chicago, IL 60614 (773) 248-4150 (773) 248-4291

Weiss Memorial Hospital X X X X X X X X X

Altiok Haluk MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Bednar Michael MD Orthopedic Surgery Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X X

Bednar Michael MD Orthopedic Surgery Loyola University Medical Center2160 S. First Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Belich Paul MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Belich Paul MD Orthopedic Surgery Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center X X X X X X X X X X X X X

Brown Nicholas MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Cohen Joseph MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Cooper AnnaMD, MPH Orthopedic Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Cooper AnnaMD, MPH Orthopedic Surgery Loyola University Medical Center

675 W North Ave Suite 214 Melrose Park, IL 60163 (708) 538-6700 (708) 538-6720

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Davidson-Bell Victoria APN Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Evans Douglas MD Orthopedic Surgery Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Evans Douglas MD Orthopedic Surgery Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Garbis Nickolas MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Ghanayem Alexander MD Orthopedic Surgery Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Hopkinson William MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Kogan Monica MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Levack Ashley MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X

Miller John MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Page 41: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Miller John MD Orthopedic Surgery Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708) 873-2490

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Mitchell Robert APN Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Pinzur Michael MD Orthopedic Surgery Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Prinz Paul MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Prinz Paul MD Orthopedic Surgery Loyola University Medical Center

675 W North Ave Suite 214 Melrose Park, IL 60163 (708) 538-6700 (708) 538-6720

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Rees Harold MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Rees Harold MD Orthopedic Surgery Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Salazar Dane MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Salazar Dane MD Orthopedic Surgery Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708) 873-2490

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Schiff Adam MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Schiff Adam MD Orthopedic Surgery Loyola University Medical Center

675 W North Ave Suite 214 Melrose Park, IL 60163 (708) 538-6700 (708) 538-6720

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Schiffman Kenneth MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Schiffman Kenneth MD Orthopedic Surgery Loyola University Medical Center

675 W North Ave Suite 214 Melrose Park, IL 60163 (708) 538-6700 (708) 538-6720

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Summers Hobie MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Tonino Pietro MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Wojewnik Bartosz MD Orthopedic Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Wojewnik Bartosz MD Orthopedic Surgery Loyola University Medical Center

675 W North Ave Suite 214 Melrose Park, IL 60163 (708) 538-6700 (708) 538-6720

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Wu Karen MD Orthopedic Surgery Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Page 42: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Brown Nicholas MD Orthopedic SurgeryLoyola University Medical Center DBA L. Medicine Physician Group LLC

47 S 6TH AVE Suite M LAGRANGE, IL 60525-5637 (708) 354-2663 (708) 783-6595

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Iftikhar Tariq MD Orthopedic SurgeryLoyola University Medical Center DBA L. Medicine Physician Group LLC

7020 W 79TH ST BRIDGEVIEW, IL 60455-4030 (708) 599-8200 (708) 599-8306 MacNeal Hospital X X X X X X X X X X X X

McQueen Peter MD Orthopedic SurgeryLoyola University Medical Center DBA L. Medicine Physician Group LLC

47 S 6TH AVE SUITE M LaGrange, IL 60525-5637 (708) 354-2663

Loyola University Medical Center, MacNeal Hospital, West Suburban Medical Center X X X X X X X X X X X

McQueen Peter MD Orthopedic SurgeryLoyola University Medical Center DBA L. Medicine Physician Group LLC

7020 W 79TH ST Bridgeview, IL 60455-4030 (708) 599-8200

Loyola University Medical Center, MacNeal Hospital, West Suburban Medical Center X X X X X X X X X X X

Miller John MD Orthopedic SurgeryLoyola University Medical Center DBA L. Medicine Physician Group LLC

7020 W 79TH ST BRIDGEVIEW, IL 60455-4030 (708) 599-8200 (708) 599-8306

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Goldflies Mitchell MD Orthopedic Surgery Mitchell Goldflies, MD, S.C.4646 N. Marine Dr. Chicago, IL 60640 (773) 792-3311 (773) 775-6212

Weiss Memorial Hospital X X X X X X X X X

Goldflies Mitchell MD Orthopedic Surgery Mitchell Goldflies, MD, S.C.6445 N. Central Chicago, IL 60646-2901 (773) 792-3311 (773) 775-6212

Weiss Memorial Hospital X X X X X X X X X

Hejna Michael MD Orthopedic SurgeryOrthopaedic Associates of Riverside, LLC

353 E. Burlington St. Suite 100 Riverside, IL 60546 (708) 442-0221 (708) 442-5670 MacNeal Hospital X X X X X X X X X X

Ho Erling MD Orthopedic SurgeryOrthopaedic Associates of Riverside, LLC

353 E. Burlington St. Ste 100 Riverside, IL 60546 (708) 442-0221 (708) 442-5670 MacNeal Hospital X X X X X X X X X X

Seymour Scott MD Orthopedic SurgeryOrthopaedic Associates of Riverside, LLC

353 E. Burlington St. Ste 100 Riverside, IL 60546 (708) 442-0221 (708) 442-5670 MacNeal Hospital X X X X X X X X X X

Hennessy Ryon MD Orthopedic Surgery Orthopedic Specialists SC

360 W. Butterfield Rd. Suite 160 Elmhurst, IL 60126 (630) 782-9600 (630) 782-1643

Gottlieb Memorial Hospital X X X X X X

Hennessy Ryon MD Orthopedic Surgery Orthopedic Specialists SC

2675 W. North Ave. Suite 314 Melrose Park, IL 60160 (708) 450-5744 (630) 782-1643

Gottlieb Memorial Hospital X X X X X X

Meisles Jeffrey MD Orthopedic Surgery Orthopedic Specialists SC

360 W. Butterfield Rd. Suite 160 Elmhurst, IL 60126 (630) 782-9600 (630) 782-1643

Gottlieb Memorial Hospital X X X X X X

Meisles Jeffrey MD Orthopedic Surgery Orthopedic Specialists SC

2675 W. North Ave. Suite 314 Melrose Park, IL 60160 (708) 450-5744 (630) 782-1643

Gottlieb Memorial Hospital X X X X X X

O'Connor Daryl MD Orthopedic Surgery Orthopedic Specialists SC

360 W. Butterfield Rd. Suite 160 Elmhurst, IL 60126 (630) 782-9600 (630) 782-1643

Gottlieb Memorial Hospital X X X X X X

O'Connor Daryl MD Orthopedic Surgery Orthopedic Specialists SC

2675 W. North Ave. Suite 314 Melrose Park, IL 60160 (708) 450-5744 (630) 782-1643

Gottlieb Memorial Hospital X X X X X X

Brecher Allan MD Orthopedic Surgery Orthopedics Midwest, SC3501 S. Harlem Ave. Berwyn, IL 60402 (708) 788-2201 (708) 405-2047 MacNeal Hospital X X X X X X X X X

McGann Maria DO Orthopedic Surgery Romano Orthopaedics7411 Lake St. Suite 2110 River Forest, IL 60305 (708) 848-4662 (708) 613-4319

West Suburban Medical Center X X X

Romano Victor MD Orthopedic Surgery Romano Orthopaedics7411 Lake St. Suite 2110 River Forest, IL 60305 (708) 848-4662 (708) 613-4319

West Suburban Medical Center X X X

Vucicevic Slobodan MD Orthopedic Surgery Slobodan D. Vucicevic, M.D. , S.C.3501 S. Harlem Avenue Berwyn, IL 60402 (708) 749-0117 (708) 749-8593 MacNeal Hospital X X X X X X X X

Vucicevic Slobodan MD Orthopedic Surgery Slobodan D. Vucicevic, M.D. , S.C.

3825 Highland Ave. Suite 3C Downers Grove, IL 60515 (630) 852-0720 (630) 964-8766 MacNeal Hospital X X X X X X X X

McNally Thomas MD Orthopedic Surgery Suburban Orthopaedics1110 W. Schick Rd. Bartlett, IL 60103-3007 (630) 372-1100 (630) 483-0852

Weiss Memorial Hospital X X X X X

McNally Thomas MD Orthopedic Surgery Suburban Orthopaedics

800 Biesterfield Rd. Suite 565 Elk Grove Village, IL 60007-3361 (847) 439-9488 (847) 439-9498

Weiss Memorial Hospital X X X X X

Pollak Alan MD Otolaryngology Alan C. Pollak, M.D.9150 Crawford Suite 206 Skokie, IL 60076-1770 (847) 679-1605 (847) 679-3019

Weiss Memorial Hospital X X X X

Pollak Alan MD Otolaryngology Alan C. Pollak, M.D.

4646 N. Marine Dr. 5th Floor Elevator A Chicago, IL 60640 (847) 679-1605 (847) 679-3019

Weiss Memorial Hospital X X X X

Pollak Alan MD Otolaryngology Alan C. Pollak, M.D.9301 Golf Rd. Des Plaines, IL 60016 (847) 679-1605 (847) 679-3019

Weiss Memorial Hospital X X X X

Cozzi Laura MD Otolaryngology Laura M. Cozzi M.D. LLC675 W. North Avenue Melrose Park, IL 60160 (708) 450-5748

Gottlieb Memorial Hospital X X X X X X X

Page 43: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Cozzi Laura MD Otolaryngology Laura M. Cozzi M.D. LLC1200 S. York Rd. #3240 Elmhurst, IL 60126-5608 (630) 758-8848 (630) 758-8687

Gottlieb Memorial Hospital X X X X X X X

Bier-Laning Carol MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Borrowdale Richard MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Charous Steven MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Gantwerker Eric MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Hotaling Andrew MD Otolaryngology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X

Hotaling Andrew MD Otolaryngology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center X X X X X X X X X X X X

Hurtuk Agnes MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Hurtuk Agnes MD Otolaryngology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708) 873-2490

Loyola University Medical Center X X X X X X X X X X X X

Johnson Cynthia APN Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Johnson Siobhan APN Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Jones Paul MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Kircher Matthew MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Leonetti John MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Marzo Sam MD Otolaryngology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X

Moore Dennis MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Moore Dennis MD Otolaryngology Loyola University Medical Center1030 W. Higgins Rd. Park Ridge, IL 60068 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X

Patadia Monica MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Patel Chirag MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Patel Neel MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Pittman Amy MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Ruth Julia APN Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Stankiewicz James MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Thorpe Eric MD Otolaryngology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Zaveri Rishi MD Otolaryngology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Kurtzman Daniel MD Otolaryngology Suburban Otolaryngology SC

3340 S. Oak Park Ave. Suite 204 Berwyn, IL 60402 (708) 749-3070 (708) 749-3410 MacNeal Hospital X X X X X X X X X

Ponnappan Anand MD Otolaryngology Suburban Otolaryngology SC

3340 S. Oak Park Ave.Suite 204 Berwyn, IL 60402 (708) 749-3070 (708) 749-3410 MacNeal Hospital X X X X X X X X X

Chang Randolph MD Pain MedicineAdvanced Pain and Anesthesia Consultants, PC

5215 North California Ave. Suite F715 Chicago, IL 60625-7014 (773) 728-4296 (773) 728-0562

Weiss Memorial Hospital X X X X X X X X

Chang Randolph MD Pain MedicineAdvanced Pain and Anesthesia Consultants, PC

10215 W. Roosevelt Rd. Suite 100 Westchester, IL 60154 (708) 483-7007 (708) 562-0129

Weiss Memorial Hospital X X X X X X X X

Chang Randolph MD Pain MedicineAdvanced Pain and Anesthesia Consultants, PC

10448 S. Pulaski Rd. Oak Lawn, IL 60453 (708) 483-7007 (708) 562-0129

Weiss Memorial Hospital X X X X X X X X

Chang Randolph MD Pain MedicineAdvanced Pain and Anesthesia Consultants, PC

11456 S. Broadway Crown Point, IN 46307 (219) 488-0154 (219) 661-1408

Weiss Memorial Hospital X X X X X X X X

Hagle Todd MD Pain MedicineAdvanced Pain and Anesthesia Consultants, PC

10215 W. Roosevelt Rd. Suite A Westchester, IL 60154-2555 (708) 483-7007 (708) 562-0129

Weiss Memorial Hospital X X X X X X X X

Hagle Todd MD Pain MedicineAdvanced Pain and Anesthesia Consultants, PC

2210 Dean St. Suite K Saint Charles, IL 60175 (630) 584-4728 (630) 584-7199

Weiss Memorial Hospital X X X X X X X X

Hagle Todd MD Pain MedicineAdvanced Pain and Anesthesia Consultants, PC

10448 S. Pulaski Rd. Oak Lawn, IL 60453 (708) 483-7007 (708) 562-0129

Weiss Memorial Hospital X X X X X X X X

Hagle Todd MD Pain MedicineAdvanced Pain and Anesthesia Consultants, PC

4646 N. Marine Dr. Chicago, IL 60640 (773) 564-5205 (773) 564-5791

Weiss Memorial Hospital X X X X X X X X

Buck Troy MD Pain Medicine Loyola University Medical Center15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400

Loyola University Medical Center X X X X X X X X X X X X

Page 44: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Holtman JosephMD, PhD Pain Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Piton Larisa APN Pain Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Raghavendra Meda MD Pain Medicine Loyola University Medical Center15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400

Loyola University Medical Center X X X X X X X X X X X X

Raghavendra Meda MD Pain Medicine Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708) 873-2490

Loyola University Medical Center X X X X X X X X X X X X

Raghavendra Meda MD Pain Medicine Loyola University Medical Center2160 S 1st Ave Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X

Dasgupta Sunavo MD Pain Medicine Premier Pain and Spine LLC

1365 Wiley Road Suite 153 Schaumburg, IL 60173-4357 (847) 519-4701 (847) 519-4707 MacNeal Hospital X X X X X X

Dasgupta Sunavo MD Pain Medicine Premier Pain and Spine LLC2550 South Oak Park Ave. Berwyn, IL 60402 (708) 783-7071 (708) 783-3787 MacNeal Hospital X X X X X X

Dasgupta Sunavo MD Pain Medicine Premier Pain and Spine LLC3800 Highland Rd. Downers Grove, IL 60515 (630) 283-0835 (815) 519-4707 MacNeal Hospital X X X X X X

Patel Amish MD Pain Medicine Premier Pain and Spine LLC

1365 Wiley Road Suite 153 Schaumburg, IL 60173-4357 (847) 519-4701 (847) 519-4707

MacNeal Hospital, Weiss Memorial Hospital, West Suburban Medical Center X X X X X X

Said Omar MD Pain Medicine Premier Pain and Spine LLC

1365 Wiley Road Suite 153 Schaumburg, IL 60173-4357 (847) 519-4701 (847) 519-4707 MacNeal Hospital X X X X X X

Said Omar MD Pain Medicine Premier Pain and Spine LLC

800 Biesterfield Rd. Floor 1 Elk Grove Village, IL 60007 (847) 437-5500 MacNeal Hospital X X X X X X

Patodia Shobhana MD Pain Medicine Shobhana Patodia, MD

675 W. North Ave. Suite 408 Melrose Park, IL 60160 (708) 338-9387 (708) 388-9389

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X X

Morker Samip DO Pain MedicineStellar Pain Medicine and Spine Specialist

7411 Lake St. Suite L180 River Forest, IL 60305-2300 (708) 763-4781 (866) 642-1525

West Suburban Medical Center X X X X X X X X

Morker Samip DO Pain MedicineStellar Pain Medicine and Spine Specialist

2913 N. Commonwealth Ave. Unit 400 Chicago, IL 60657 (773) 665-3000 (866) 642-1525

West Suburban Medical Center X X X X X X X X

Shah Sameer MD Pain MedicineStellar Pain Medicine and Spine Specialist

7411 Lake St. Suite L180 River Forest, IL 60305-2300 (708) 763-4781

West Suburban Medical Center X X X X X X X X

Shah Sameer MD Pain MedicineStellar Pain Medicine and Spine Specialist

2913 N. Commonwealth Ave. Unit 400 Chicago, IL 60657 (773) 665-3000 (866) 642-1525

West Suburban Medical Center X X X X X X X X

Markiv Volodimir MD Pain Medicine United Pain Services SC3330 W. 177th St. Hazel Crest, IL 60429 (708) 799-1256 (708) 799-4899 MacNeal Hospital X X X X X X X X X

Markiv Volodimir MD Pain Medicine United Pain Services SC

7020 W. 79th Street Bridgeview, IL 60455-4030 (708) 447-4483 (708) 783-5861 MacNeal Hospital X X X X X X X X X

Abboud Amer MD PathologyIllinois Laboratory Medicine Associates, LTD

1200 Harger Rd. Suite 408 Oak Brook, IL 60523 (630) 581-6503 (630) 645-6408 MacNeal Hospital X X X X X X

Apushkin Marsha MD PathologyIllinois Laboratory Medicine Associates, LTD

1200 Harger Rd. Suite 408 Oak Brook, IL 60523 (630) 581-6503 (630) 645-6408

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X

Abboud Amer MD Pathology Illinois Pathology Associates, LTD1200 Harger Rd. Suite 408 Oak Brook, IL 60523 (630) 581-6503 (630) 645-6408 MacNeal Hospital X X X X X X

Apushkin Marsha MD Pathology Illinois Pathology Associates, LTD1200 Harger Rd. Suite 408 Oak Brook, IL 60523 (630) 581-6503 (630) 645-6408

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X

Apushkin Marsha MD Pathology Loyola University Medical Center2160 S 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X

Apushkin Marsha MD Pathology Loyola University Medical Center4646 N. Marine Dr. 8th Floor Chicago, IL 60640 (773) 564-5485

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X

Perlman JayMD, PHD Pathology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Dasmunshi Neha MD Pediatric Anesthesiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Foster Anne APN Pediatric Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Page 45: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Franklin Wayne MD Pediatric Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X

Franklin Wayne MD Pediatric Cardiology Loyola University Medical Center1030 W. Higgins Rd. Park Ridge, IL 60068 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X

Ma Tehui MD Pediatric Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X

Perkins Sarah MD Pediatric Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X

Siddiqui Saad MD Pediatric Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X

Zimmerman Frank MD Pediatric Cardiology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Fitzgerald Julie MDPediatric Critical Care Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Spence Tisha MDPediatric Critical Care Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Syed Almas MDPediatric Critical Care Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Tylka Joseph DDS Pediatric Dentistry Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X

Baram Mujahida MDPediatric Emergency Medicine Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Bansal Sanjay MD Pediatric Endocrinology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Ganan Soto Angela MD Pediatric Endocrinology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Shah Shivani MD Pediatric Endocrinology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Berman James MDPediatric Gastroenterology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X

Cho Michele MDPediatric Gastroenterology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Garcia-Alvarez Esperanza MDPediatric Gastroenterology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Gorla Kiranmai MDPediatric Gastroenterology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X

Gorla Kiranmai MDPediatric Gastroenterology Loyola University Medical Center

2160 S. First Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X

Gunasekaran Thirumazhisai MDPediatric Gastroenterology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X

Hernandez Hector MDPediatric Gastroenterology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

O'Hearn Colleen APNPediatric Gastroenterology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Hemenway CharlesMD, PHD

Pediatric Hematology-Oncology Loyola University Medical Center

15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400

Loyola University Medical Center X X X X X X X X X X X

Kamberos Natalie MDPediatric Hematology-Oncology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Suh Eugene MDPediatric Hematology-Oncology Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Agrawal Rekha MD Pediatric Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Bidani Anil MD Pediatric Nephrology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Moel Donald MD Pediatric Nephrology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X

Moel Donald MD Pediatric Nephrology Loyola University Medical Center2160 S. First Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X

Arora Rajinder MD Pediatric Pulmonology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X X

Abdullah FizanMD, PhD Pediatric Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Barsness Katherine MD Pediatric Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Chin Anthony MD Pediatric Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Page 46: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Dzakovic Alexander MD Pediatric Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Goldstein Seth MD Pediatric Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Grabowski Julia MD Pediatric Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Hood Elizabeth APN Pediatric Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Hu Yue-Yung MD Pediatric Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Langer Monica MD Pediatric Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Lautz Timothy MD Pediatric Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

O'Connor Ann MD Pediatric Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Rowell Erin MD Pediatric Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Superina Riccardo MD Pediatric Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Matoka Derek MD Pediatric Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Bhamre Veena MD Pediatrics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Castro-Caballero Yessenia MD Pediatrics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Jameel Aisha MD Pediatrics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Joyce Jannine MD Pediatrics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Sharma Astha MD Pediatrics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Thibeault Dinah Kate MD Pediatrics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X

Veselik Jill MD Pediatrics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (708) 216-9000 (708) 216-5617

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Young Sarah MD Pediatrics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X

Jodhan Nikisha DDS Periodontics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X

Barnabas Abraham MDPhysical Medicine and Rehabilitation Associated Physicians of Rehabilitation

3249 S. Oak Park Ave. Berwyn, IL 60402-2312 (708) 795-0100 (708) 795-0101

MacNeal Hospital, Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X X X X X

Douglas-Jackson Kesha NPPhysical Medicine and Rehabilitation Associated Physicians of Rehabilitation

205 E. Butterfield Rd. #297 Elmhurst, IL 60126-5103 (708) 795-0100 (708) 795-0101 MacNeal Hospital X X X X X X X X X X

Elgamal Ahmed MDPhysical Medicine and Rehabilitation Associated Physicians of Rehabilitation

205 E. Butterfield Rd. #297 Elmhurst, IL 60126-5103 (708) 795-0100 (708) 795-0101

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X X X X X

Ippensen Brittany APNPhysical Medicine and Rehabilitation Associated Physicians of Rehabilitation

800 W Central Road Arlington Heigh, IL 60005-2349 (708) 795-0100 (708) 795-0101 MacNeal Hospital X X X X X X X X X X X

Panambo Juliet APNPhysical Medicine and Rehabilitation Associated Physicians of Rehabilitation

205 E. Butterfield Rd. #297 Elmhurst, IL 60126-5103 (708) 795-0100 (708) 795-0101

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X X X X

Sharma Rahul MDPhysical Medicine and Rehabilitation Associated Physicians of Rehabilitation

205 E. Butterfield Rd. #297 Elmhurst, IL 60126-5103 (708) 795-0100 (708) 795-0101

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X X X X X

Wilson Jeanne MDPhysical Medicine and Rehabilitation Associated Physicians of Rehabilitation

205 E. Butterfield Rd. #297 Elmhurst, IL 60126-5103 (708) 795-0100 (708) 795-0101

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X X X X X

Wilson Jeanne MDPhysical Medicine and Rehabilitation Associated Physicians of Rehabilitation

2525 S. Michigan Ave. Chicago, IL 60616 (708) 795-0100 (708) 795-0101

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X X X X X

Elgamal Ahmed MDPhysical Medicine and Rehabilitation Chicago Rehabilitation Consultants, LLC

600 W. Ogden Avenue Hinsdale, IL 60521 (630) 325-9630 (630) 325-9648

MacNeal Hospital, Weiss Memorial Hospital X X X X X X X X

Bajaj Prempreet DOPhysical Medicine and Rehabilitation Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Page 47: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Bajaj Prempreet DOPhysical Medicine and Rehabilitation Loyola University Medical Center

6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Bajaj Prempreet DOPhysical Medicine and Rehabilitation Loyola University Medical Center

15300 West Avenue Orland Park, Illinois 60462 (708)-873-2490

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Bennis Stacey MDPhysical Medicine and Rehabilitation Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Keen Mary MDPhysical Medicine and Rehabilitation Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X

Pang Thomas MDPhysical Medicine and Rehabilitation Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Sheth Sonia MDPhysical Medicine and Rehabilitation Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Soliz Luis MDPhysical Medicine and Rehabilitation Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X

Mercurio Kimberly MDPhysical Medicine and Rehabilitation Neurological Surgery and Spine, SC

1 Westbrook Corp. Ctr. Suite 800 Westchester, IL 60154-5714 (708) 343-3566 (708) 343-3585

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X

Castelino Ajith MDPhysical Medicine and Rehabilitation Noel Castelino SC

5555 North Sheridan Rd. Suite 24 Chicago, IL 60640-1601 (773) 944-0484 (773) 944-0513

Weiss Memorial Hospital X X X X X X X X X X X

McNichols Megan PA-C Physician Assistant Chicago Rehabilitation Consultants, LLC

16300 Wausau Avenue South Holland, IL 60473-2158 (708) 480-2650 (708) 575-2876 X X X X X X X

Zambrano Anirdnagela PA-C Physician Assistant Cimpar, SC

101 Madison St. Suite 300 Oak Park, IL 60302-4278 (708) 486-2700 (708) 486-2702

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X

Zambrano Anirdnagela PA-C Physician Assistant Cimpar, SC

3815 Highland Ave. Tower 1 Office 2M Downers Grove, IL 60515 (708) 486-2700 (708) 486-2702

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X

Zambrano Anirdnagela PA-C Physician Assistant Cimpar, SC421 Madison St. Maywood, IL 60153 (708) 486-2700 (708) 486-2702

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X

Zambrano Anirdnagela PA-C Physician Assistant Cimpar, SC5801G North Pulaski Rd. Chicago, IL 60646 (708) 486-2700 (708) 486-2702

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X

Zambrano Anirdnagela PA-C Physician Assistant Cimpar, SC4646 N. Marine Dr. Chicago, IL 60640-5759 (708) 486-2700 (708) 486-2702

Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X X

Webb Colleen PA-C Physician AssistantGottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7025 708-783-3180

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X

Burrows Nicole PA-C Physician AssistantGynecological Cancer Institute of Chicago LLC

6700 W. 95th St. Suite 330 Oak Lawn, IL 60453-2416 (708) 422-3242 (708) 422-3243 X X X

Lopez Bianca PA-C Physician AssistantHaresh Sawlani, MD, PC, dba: Central Primary Care

3445 N. Central Ave. Unit C Chicago, IL 60634 (773) 205-0800 (773) 205-1804 X X X X X X X X

Boeder Alecia PA-C Physician Assistant Heart Care Centers of Illinois SC3231 S. Euclid Suite 201 Berwyn, IL 60402 (708) 783-2055 (708) 783-2181 MacNeal Hospital X X X X X X X X

Amundson Brian PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, MacNeal Hospital X X X X X X X

Braida Rebecca PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Carden JaTame PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Dye Jessica PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X

Page 48: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Dye Jessica PA-C Physician Assistant Loyola University Medical Center

675 W North Ave Suite 214 Melrose Park, IL 60163 (708) 538-6700 (708) 538-6720

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X

Federico Bianca PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X

Frederick Linda PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X

Lipes Lindsay PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X

Nunag Iris PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X

Perez Kaylee PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Saha Emily PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X

Van Wieren Alizabeth PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X

Ward Joanna PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X

Webb Colleen PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X

Yang Jennifer PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X

Yow Amber PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X

Zintak Grace PA-C Physician Assistant Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X

Lipes Lindsay PA-C Physician AssistantLoyola University Medical Center DBA L. Medicine Physician Group LLC

47 S 6TH AVE SUITE M LAGRANGE, IL 60525-5637 (708) 354-2663 (708) 783-6595

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X

Rodriguez Julie PA-C Physician Assistant Metro Infectious Disease Consultants

901 McClintock Drive Suite 202 Burr Ridge, IL 60527-0872 (888) 220-6432 (630) 654-4253

Gottlieb Memorial Hospital X X X X X X

Signorelli Daniel PA-C Physician AssistantMidwest Institute for Minimally Invasive Therapies, PC

675 W. North Ave. Suite 405 Melrose Park, IL 60160 (708) 486-2600 (708) 486-2610

Gottlieb Memorial Hospital X X X X X X X X

Signorelli Daniel PA-C Physician AssistantMidwest Institute for Minimally Invasive Therapies, PC

1S210 Summit Ave. Oak Brook, IL 60181 (708) 486-2600 (708) 486-2610

Gottlieb Memorial Hospital X X X X X X X X

Signorelli Daniel PA-C Physician AssistantMidwest Institute for Minimally Invasive Therapies, PC

2415 S. Michigan Ave. Chicago, IL 60616 (708) 486-2600 (708) 486-2610

Gottlieb Memorial Hospital X X X X X X X X

Greco Page Lauren PA-C Physician Assistant Moore Dermatology

501 W. North Ave. Suite 103 Melrose Park, IL 60160 (708) 450-5086 (708) 345-4075 X

Connolly Laura PA-C Physician Assistant Neurological Surgery and Spine, SC

1 Westbrook Corp. Ctr. Suite 800 Westchester, IL 60154-5714 (708) 343-3566 (708) 343-3585

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X

Connolly Laura PA-C Physician Assistant Neurological Surgery and Spine, SC133 E. Brush Hill Rd. Elmhurst, IL 60126 (708) 343-3566 (708) 343-3585

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X

Koch Elizabeth PA-C Physician Assistant Neurological Surgery and Spine, SC

1 Westbrook Corp. Ctr. Suite 800 Westchester, IL 60154-5714 (708) 343-3566 (708) 343-3585

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X

Page 49: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Kramer Lauren PA-C Physician Assistant Neurological Surgery and Spine, SC

1 Westbrook Corp. Ctr. Suite 800 Westchester, IL 60154-5714 (708) 343-3566 (708) 343-3585

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X

Nehart Natalie PA-C Physician Assistant Neurological Surgery and Spine, SC

1 Westbrook Corp. Ctr. Suite 800 Westchester, IL 60154-5714 (708) 343-3566 (708) 343-3585

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X

Shah Monica PA-C Physician Assistant Neurological Surgery and Spine, SC

1 Westbrook Corp. Ctr. Suite 800 Westchester, IL 60154-5714 (708) 343-3566 (708) 343-3585

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X

Adamczyk Samantha PA-C Physician AssistantOrthopaedic Associates of Riverside, LLC

353 E. Burlington St. Suite 100 Riverside, IL 60546 (708) 442-0221 (708) 442-5670 MacNeal Hospital X X X X X X X

Boyer Jennifer PA-C Physician AssistantOrthopaedic Associates of Riverside, LLC

353 E. Burlington St. Suite 100 Riverside, IL 60546 (708) 442-0221 (708) 442-5670 MacNeal Hospital X X X X X X X

Kang Jennifer PA-C Physician AssistantOrthopaedic Associates of Riverside, LLC

353 E. Burlington St. Suite 100 Riverside, IL 60546 (708) 442-0221 (708) 442-5670 MacNeal Hospital X X X X X X X

Aydt Stephen PA-C Physician Assistant Orthopedic Specialists SC

360 W. Butterfield Rd. Suite 160 Elmhurst, IL 60126 (630) 782-9600 (630) 782-1643

Gottlieb Memorial Hospital X X X X

Orvino Christopher PA-C Physician Assistant Orthopedic Specialists SC

360 W. Butterfield Rd. Suite 160 Elmhurst, IL 60126 (630) 782-9600 (630) 782-1643

Gottlieb Memorial Hospital X X X

Boo Amanda PA-C Physician Assistant Premier Internal Medicine Group, SC2910 S. Harlem Ave. Riverside, IL 60546 (708) 447-7267 (708) 447-2104 MacNeal Hospital X X X X X X X

Eldersveld Rachel PA-C Physician Assistant Premier Pain and Spine LLC

1365 Wiley Road Suite 153 Schaumburg, IL 60173-4357 (847) 519-4701 (847) 519-4707 MacNeal Hospital X X X X X

Eldersveld Rachel PA-C Physician Assistant Premier Pain and Spine LLC2550 South Oak Park Ave. Berwyn, IL 60402 (708) 783-7071 (708) 783-3787 MacNeal Hospital X X X X X

Eldersveld Rachel PA-C Physician Assistant Premier Pain and Spine LLC3800 Highland Rd. Downers Grove, IL 60515 (630) 283-0835 (815) 519-4707 MacNeal Hospital X X X X X

Eldersveld Rachel PA-C Physician Assistant Premier Pain and Spine LLC233 E. Erie St. Chicago, IL 60611 (312) 274-9573 (847) 519-4707 MacNeal Hospital X X X X X

Johnson Jeffrey PA-C Physician Assistant Premier Pain and Spine LLC

1365 Wiley Road Suite 153 Schaumburg, IL 60173-4357 (847) 519-4701 (847) 519-4707 MacNeal Hospital X X X X

Johnson Jeffrey PA-C Physician Assistant Premier Pain and Spine LLC2550 South Oak Park Ave. Berwyn, IL 60402 (708) 783-7071 (708) 783-3787 MacNeal Hospital X X X X

Mazenis Rhiannon PA-C Physician Assistant Premier Pain and Spine LLC

1365 Wiley Road Suite 153 Schaumburg, IL 60173-4357 (847) 519-4701 (847) 519-4707 MacNeal Hospital X X X X X

Agnew Sonya MDPlastic and Reconstructive Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Bucholz Eleanor MDPlastic and Reconstructive Surgery Loyola University Medical Center

2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Dahlerus Karina APNPlastic and Reconstructive Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Ogrodnik Joseph MDPlastic and Reconstructive Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Vandevender Darl MDPlastic and Reconstructive Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Vandevender Darl MDPlastic and Reconstructive Surgery Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Weinzweig Norman MDPlastic and Reconstructive Surgery Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X

DeWolfe Kelly APNPlastic and Reconstructive Surgery

Loyola University Medical Center DBA L. Medicine Physician Group LLC

47 S 6TH AVE LAGRANGE, IL 60525-5637 (708) 783-6900 (708) 783-6906 MacNeal Hospital X X X X X X X X X X

DeWolfe Michael MDPlastic and Reconstructive Surgery

Loyola University Medical Center DBA L. Medicine Physician Group LLC

47 S 6TH AVE Suite N LAGRANGE, IL 60525-5637 (708) 783-6900 (708) 783-6906 MacNeal Hospital X X X X X X X X X X X X

Page 50: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Le Beau Laura DPM Podiatry All Family Foot and Ankle Center2124 S. Austin Blvd. Cicero, IL 60804 (708) 863-5376 (708) 863-5375 MacNeal Hospital X X X X X X X X X

Camilleri Mark DPM PodiatryCamilleri Medical Center LTD DBA Ridgeland Foot and Ankle Center

6845 Stanley Ave. Suite 1 Berwyn, IL 60402 (708) 788-5232 (708) 788-3618 MacNeal Hospital X X X X X X X X X

Heck Christine DPM Podiatry Christine Heck, DPM, PC

675 W. North Ave. Suite 606 Melrose Park, IL 60160 (708) 450-5785 (708) 681-7678

Gottlieb Memorial Hospital X X X X

Hackel Dawn DPM Podiatry Dawn R. Hackel, DPM, PC129 N. Broadway Melrose Park, IL 60160 (708) 344-4300 (708) 344-4358

West Suburban Medical Center X X X X X X X X X X X

Hackel Dawn DPM Podiatry Dawn R. Hackel, DPM, PC

153 N. 19th Ave. Melrose Park, IL 60160-3702 (708) 344-4300 (708) 344-4358

West Suburban Medical Center X X X X X X X X X X X

Pandit Bela DPM Podiatry Dr. Bela Pandit PC

3830 W. 95th StreetSuite 100 Evergreen Park, IL 60805 (708) 423-3668 (855) 470-3596 MacNeal Hospital X X X X X X X X X

Caterino Vittorio DPM Podiatry Family Med Centers PC5700 W. Cermak Rd. Cicero, IL 60804-2128 (708) 863-6166 (708) 863-6172 MacNeal Hospital X X X X X X X X X

Caterino Vittorio DPM Podiatry Family Med Centers PC4280 S. Archer Chicago, IL 60632 (708) 863-6166 MacNeal Hospital X X X X X X X X X

Mercado Cynthia DPM Podiatry Freedom Foot Clinics of IL SC6842 West Cermak Rd. Berwyn, IL 60402-2240 (708) 484-3599 (844) 212-1015 MacNeal Hospital X X X X X X X X X X

Hugar Donald DPM Podiatry Hugar Foot & Ankle Specialist1614 N. Harlem Ave. Elmwood Park, IL 60707 (708) 452-6100 (708) 452-1614

Gottlieb Memorial Hospital X X

Hugar Ronald DPM Podiatry Hugar Foot & Ankle Specialist1614 N. Harlem Ave. Elmwood Park, IL 60707 (708) 452-6100 (708) 452-1614

Gottlieb Memorial Hospital X X

Marczak Lawrence DPM Podiatry Lawrence Marczak LTD

5511 1/2 W. Montrose Ave. Chicago, IL 60641-1331 (773) 283-6200 (773) 283-7578

Weiss Memorial Hospital X X X X X X X X X

Marczak Lawrence DPM Podiatry Lawrence Marczak LTD150 E. Huron Suite 801 Chicago, IL 60611 (312) 332-0041 (773) 283-7578

Weiss Memorial Hospital X X X X X X X X X

Litsas Vasilios DPM PodiatryLitsas Center for Advanced Foor Care Inc

4705 Willow Springs Road La Grange, IL 60525 (708) 588-0250 (708) 588-0256 MacNeal Hospital X X X X

Dux Katherine DPM Podiatry Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Harris Edwin DPM Podiatry Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Napolitano Coleen DPM Podiatry Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center X X X X X X X X X X X X

Napolitano Coleen DPM Podiatry Loyola University Medical Center15750 Marain Drive Homer Glen, IL 60491 (708) 645-3400

Loyola University Medical Center X X X X X X X X X X X X

Napolitano Coleen DPM Podiatry Loyola University Medical Center

15300 West Avenue Orland Park, Illinois 60462 (708)-873-2490

Loyola University Medical Center X X X X X X X X X X X X

Rottier Francis DPM Podiatry Loyola University Medical Center9608 Roberts Road Hickory Hills, IL 60457 (708) 233-5333

Loyola University Medical Center X X X X X X X X X X X X

Rottier Francis DPM Podiatry Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center X X X X X X X X X X X X

Staskiewicz Christina DPM Podiatry Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Staskiewicz Christina DPM Podiatry Loyola University Medical Center

675 W North Ave Suite 214 Melrose Park, IL 60163 (708) 538-6700 (708) 538-6720

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Stuck Rodney DPM Podiatry Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X

Stuck Rodney DPM Podiatry Loyola University Medical Center2160 S. First Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X

Mendoza Luis DPM Podiatry Luis E. Mendoza LTD5610 W. Cermak Rd. Unit 2 Cicero, IL 60804 (708) 780-8661 (708) 780-9537 MacNeal Hospital X X X X X X X X X X

Mathes Kathleen DPM Podiatry Mathes Podiatry Ltd6311 W. 95th Street Oak Lawn, IL 60453 (708) 636-4022 (708) 636-4105 MacNeal Hospital X X X X X X X X

Mercado O. Kent DPM Podiatry Mercado Foot & Ankle Clinic West, LLC

24024 W. Brancaster Drive Naperville, IL 60564 (630) 922-7722 (630) 922-1127

Gottlieb Memorial Hospital X X

Miklos David DPM Podiatry Miklos Foot and Ankle Specialists PC6634 W. Archer Ave. Chicago, IL 60638 (773) 586-5487 (773) 586-9523 MacNeal Hospital X X X X X X X X X

Miklos Jennifer DPM Podiatry Miklos Foot and Ankle Specialists PC6634 W. Archer Ave. Chicago, IL 60638 (773) 586-5487 (773) 586-9523 MacNeal Hospital X X X X X X X X X

Miklos Robert DPM Podiatry Miklos Foot and Ankle Specialists PC6634 W. Archer Ave. Chicago, IL 60638 (773) 586-5487 (773) 586-9523 MacNeal Hospital X X X X X X X X X

Anderson Nicolas DPM PodiatryOrthopaedic Associates of Riverside, LLC

353 E. Burlington St. Suite 100 Riverside, IL 60546 (708) 442-0221 (708) 442-5670 MacNeal Hospital X X X X X X X X X

Page 51: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Hanzelin Raymond DPM Podiatry Raymond Hanzelin, DPM2010 N. Harlem Ave. Elmwood Park, IL 60707 (708) 452-1111 (708) 452-4593 MacNeal Hospital X X X X X X X X

Kusunose Richard DPM Podiatry Richard L. Kusunose, DPM

4646 N. Marine Dr. Suite A6700 Chicago, IL 60640-5759 (773) 769-6846 (773) 564-5536

Weiss Memorial Hospital X X X X X X X X X

Spaccapaniccia Mark DPM Podiatry Spaccapaniccia Podiatry, LTD PC2340 S. Highland Ave. #100 Lombard, IL 60148 (630) 495-3338 (630) 495-3350

Gottlieb Memorial Hospital X X X X X X

Spaccapaniccia Mark DPM Podiatry Spaccapaniccia Podiatry, LTD PC675 W. North Avenue Melrose Park, IL 60160 (708) 450-5785

Gottlieb Memorial Hospital X X X X X X

Dukarevich Igor DPM Podiatry Specialized Podiatry, LLC1108 S. Kedzie Ave. Chicago, IL 60612 (800) 595-5490 (800) 595-5490

West Suburban Medical Center X X X X

Dukarevich Igor DPM Podiatry Specialized Podiatry, LLC645 S. Central Ave. 6th Floor Chicago, IL 60644 (800) 595-5490 (800) 595-5490

West Suburban Medical Center X X X X

Palin Charles DMD Prosthodontics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Bartels Jessica APN Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X

Bemiss Bradford MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Collins Elizabeth MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Dilling Daniel MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Formanek Perry MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Forsythe Sean MD Pulmonary Disease Loyola University Medical Center300 N. York Road Elmhurst, IL 60126 (708) 327-7030

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Forsythe Sean MD Pulmonary Disease Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Gagermeier James MD Pulmonary Disease Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X X

Gilbert Emily MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Goyal Amit MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Hutchison Paul MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Jubran Amal MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Khurshid Abid MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Kroupa Melissa APN Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Laghi Franco MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Littleton Stephen MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Mahoney Erin APN Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Mehta Rishi MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Patel Shruti MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Scarola Danielle APN Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Tan Ai-Yui MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Tobin Martin MD Pulmonary Disease Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Ginsburg Beth MD Pulmonary Disease Pulmonary Medicine Associates

675 W. North Ave. Suite 505 Melrose Park, IL 60160 (708) 450-4557 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X X

Ginsburg Beth MD Pulmonary Disease Pulmonary Medicine Associates800 Austin St. #563 Evanston, IL 60202 (847) 328-1853 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X X

Ginsburg Beth MD Pulmonary Disease Pulmonary Medicine Associates890 Garfield Ave. #209 Libertyville, IL 60068 (847) 367-5209 (847) 367-3063

Gottlieb Memorial Hospital X X X X X X X X X X X

Kutty Rafiq MD Pulmonary Disease Pulmonary Medicine Associates

675 W. North Ave. Suite 505 Melrose Park, IL 60160 (708) 450-4557 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X X

Kutty Rafiq MD Pulmonary Disease Pulmonary Medicine Associates800 Austin St. #563 Evanston, IL 60202 (847) 328-1853 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X X

Kutty Rafiq MD Pulmonary Disease Pulmonary Medicine Associates890 Garfield Ave. #209 Libertyville, IL 60068 (847) 367-5209 (847) 367-3063

Gottlieb Memorial Hospital X X X X X X X X X X X

Zaidi Farhan MD Pulmonary Disease Pulmonary Medicine Associates

675 W. North Ave. Suite 505 Melrose Park, IL 60160 (708) 450-4557 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X X

Page 52: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Zaidi Farhan MD Pulmonary Disease Pulmonary Medicine Associates800 Austin St. #563 Evanston, IL 60202 (847) 328-1853 (708) 338-0200

Gottlieb Memorial Hospital X X X X X X X X X X X

Zaidi Farhan MD Pulmonary Disease Pulmonary Medicine Associates890 Garfield Ave. #209 Libertyville, IL 60068 (847) 367-5209 (847) 367-3063

Gottlieb Memorial Hospital X X X X X X X X X X X

Arain Erum MD Pulmonary DiseaseSuburban Pulmonary and Sleep Associates Ltd

700 E. Ogden Ave. Suite 202 Westmont, IL 60559-1296 (630) 789-9785 (630) 789-9798 X X X X

Arain Erum MD Pulmonary DiseaseSuburban Pulmonary and Sleep Associates Ltd

396 Remington Blvd. Suite 360 Bolingbrook, IL 60440 (630) 789-9785 (630) 789-9798 X X X X

Jagielo Paul MD Pulmonary DiseaseSuburban Pulmonary and Sleep Associates Ltd

700 E. Ogden Ave. Suite 202 Westmont, IL 60559-1296 (630) 789-9785 (630) 789-9798 MacNeal Hospital X X X X X

Jagielo Paul MD Pulmonary DiseaseSuburban Pulmonary and Sleep Associates Ltd

6649 W. Archer Ave. Suite 200 Chicago, IL 60638 (630) 789-9785 (630) 789-9798 MacNeal Hospital X X X X X

Kim Nam MD Radiation Oncology Lakeshore Cancer Care5020 N. Ashland Ave. Chicago, IL 60640-2880 (773) 506-0900 (773) 506-0909

Weiss Memorial Hospital X X X X

Kim Nam MD Radiation Oncology Lakeshore Cancer Care2233 W. Division St. Chicago, IL 60622 (312) 842-9600 (773) 842-7491

Weiss Memorial Hospital X X X X

Abdelrhman Tamer MD Radiation Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Block Alec MD Radiation Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Emami Bahman MD Radiation Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Gryzbek Angela APN Radiation Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Harkenrider Matthew MD Radiation Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Hentz Courtney MD Radiation Oncology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X

Hentz Courtney MD Radiation Oncology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708)-873-2490

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X

Melian Edward MD Radiation Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Small William MD Radiation Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Solanki Abhishek MD Radiation Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Thomas Tarita MD Radiation Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Tomblyn Michael MD Radiation Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Welsh James MD Radiation Oncology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Kuznetsova Marina MD Radiation Oncology Marina Kuznetsova, MD4646 N. Marine Dr. Chicago, IL 60640 (773) 878-8700

Weiss Memorial Hospital X X X X X X X X X

Blumenfeld Philip MD Radiation OncologyNOMC/MacNeal Radiation Therapy Joint Venture, LLC

6801 W 34th St. Suite 107 Berwyn, IL 60402 (708) 484-0011 (708) 795-1521

MacNeal Hospital, West Suburban Medical Center X X X X X X X X

Galinsky Dennis MD Radiation OncologyNOMC/MacNeal Radiation Therapy Joint Venture, LLC

2900 N. Lake Shore Drive Chicago, IL 60657 (773) 665-3803 (773) 665-3102

MacNeal Hospital, West Suburban Medical Center X X X X X X X X

Griem Katherine MD Radiation OncologyNOMC/MacNeal Radiation Therapy Joint Venture, LLC

6801 W. 34th St.Suite 107 Berwyn, IL 60402 (708) 484-0011 (708) 484-0549 MacNeal Hospital X X X X X X X X

Rashed Issra MD Radiation OncologyNOMC/MacNeal Radiation Therapy Joint Venture, LLC

6801 W. 34th St. Suite 107 Berwyn, IL 60402 (708) 484-0011 (708) 484-0549

MacNeal Hospital, West Suburban Medical Center X X X X X X X X

Aouhab Zineb MD Rheumatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Bhalla Varun MD Rheumatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X

Briones Melissa MD Rheumatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Page 53: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Haseeb Sana DO Rheumatology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Haseeb Sana DO Rheumatology Loyola University Medical Center6800 N. Frontage Rd Burr Ridge, IL 60527 (708) 327-1000 (708) 327-1322

Loyola University Medical Center X X X X X X X X X X X X X

Ostrowski Rochella MD Rheumatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Siddique Faizah MD Rheumatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Tehrani Rodney MD Rheumatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Rizvi Syed MD RheumatologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3722 S HARLEM AVE SUITE 101 RIVERSIDE, IL 60546-2331 (708) 783-2901 (708) 783-2914 MacNeal Hospital X X X X X X X X X X X X

Harris Max MD RheumatologyPipeline - Lakefront Medical Associates, LLC

3 Erie Court Suite L500 Oak Park, IL 60302-2519 (708) 763-2536 (708) 763-6655

West Suburban Medical Center X X X X X X

Frank Judith MD Rheumatology Rheumatology Specialist PC

675 W. North Avenue Suite 305 Melrose Park, IL 60160 (708) 450-5085 (708) 344-3909

Gottlieb Memorial Hospital X X X X X X X X X

Meisles Lynn MD Rheumatology Rheumatology Specialist PC

675 W. North Avenue Suite 305 Melrose Park, IL 60160 (708) 450-5085 (708) 344-3909

Gottlieb Memorial Hospital X X X X X X X X X

Linarez Esteban MD Sleep Medicine Esteban Linarez Sleep LLC850 W. Madison St. Suite A Oak Park, IL 60302 (708) 613-4140 (708) 434-5641 MacNeal Hospital X X X X X X X X

Guralnick Amy MD Sleep Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X

Undevia Nidhi MD Sleep Medicine Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center X X X X X X X X X X X X

Samala Vasantha MD Sleep MedicineSuburban Pulmonary and Sleep Associates Ltd

700 E. Ogden Ave. Suite 202 Westmont, IL 60559-1296 (630) 789-9785 (630) 789-9798 MacNeal Hospital X X X X X

Samala Vasantha MD Sleep MedicineSuburban Pulmonary and Sleep Associates Ltd

396 Remington Blvd. Suite 360 Bolingbrook, IL 60440 (630) 789-9785 (630) 789-9798 MacNeal Hospital X X X X X

Jones Nathaniel MD Sports Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Jones Nathaniel MD Sports Medicine Loyola University Medical Center7617 W. NORTH AVENUE River Forest, IL 60305

Loyola University Medical Center X X X X X X X X X X X X

Jenkins Lee MD Surgery Lee Jenkins MDSC675 W. North Avenue Melrose Park, IL 60160 (708) 450-4950

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X

Abood Gerard MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Abood Gerard MD Surgery Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Abraham Gifty MD Surgery Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Anstadt Michael MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Baker Marshall MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Baldea Anthony MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Busse Karmen APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Clevy-Schneller Ted APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Cohn Tyler MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

De Jong Steven MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

DeHaan Michael MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Desai Amishi DO Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Page 54: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Donahoe Meghan APN Surgery Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Ellegood Michelene APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Flaherty Ellen APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Freeman Richard MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Garcia-Roca Raquel MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Gigliotti Patricia APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Godellas Constantine MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Gunsteen Cynthia APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Jenkins Lee MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Kabaker Adam MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Kelly Elizabeth APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Knab Lawrence MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Kramer Philip MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Laucis Zachary DO Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X

Lee David MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Lemon Kristina MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Liu Yuk Ming MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Lopez-Soler Reynold MD Surgery Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Luchette Frederick MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Martin Lauren APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Pak Nancy APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Patel Purvi MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Patel Sima APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Petersen Paula APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Radwan Lenah APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Rinella Nadine APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Sanford Arthur MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Suma Sarah APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Ton-That Hieu MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Vaince Faaiza MD Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Yoo Jongwon APN Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Geller Robert MD Surgery Robert Geller MDSC675 W. North Avenue Melrose Park, IL 60160 (708) 450-0462

Gottlieb Memorial Hospital X X X X X X X X X X

Choh Mark MD Surgery Suburban Metabolic Institute LLC

3340 S. Oak Park Ave. Suite 309 Berwyn, IL 60402 (708) 484-0621 (708) 484-0250 MacNeal Hospital X X X X X X X X X

Page 55: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Headley Ryan MD Surgery Suburban Metabolic Institute LLC

3340 S. Oak Park Ave. Suite 309 Berwyn, IL 60402 (708) 484-0621 (708) 484-0250 MacNeal Hospital X X X X X X X X X

Yang Wayne MD Surgery Suburban Metabolic Institute LLC

3340 S. Oak Park Ave. Suite 309 Berwyn, IL 60402 (708) 484-0621 (708) 484-0250 MacNeal Hospital X X X X X X X X X

Favor Robin MD Surgery Suburban Surgical Associates Ltd

3340 S. Oak Park Ave.Suite 309 Berwyn, IL 60402 (708) 484-0621 (708) 484-0250 MacNeal Hospital X X X X X X X X X

Zawacki Jeffrey MD Surgery Suburban Surgical Associates Ltd

3340 S. Oak Park Ave. Suite 309 Berwyn, IL 60402 (708) 484-0621 (708) 484-0250 MacNeal Hospital X X X X X X X X X

Bhatti Rabia MD Surgery Tiesenga Surgical Associates SC

3825 Highland Ave. Tower 1 Suite 2M Downers Grove, IL 60515 (630) 963-0805 (630) 963-0904

West Suburban Medical Center X X X X X X X X X X X X X

Bhatti Rabia MD Surgery Tiesenga Surgical Associates SC

1950 N. Harlem Ave. Elmwood Park, IL 60707-3717 (708) 453-6800 (708) 453-3985

West Suburban Medical Center X X X X X X X X X X X X X

Bhatti Rabia MD Surgery Tiesenga Surgical Associates SC7447 W. Talcott Suite 302 Chicago, IL 60631 (773) 774-1747 (708) 453-3985

West Suburban Medical Center X X X X X X X X X X X X X

Crews Christina APN Surgery Tiesenga Surgical Associates SC

3825 Highland Ave. Tower 1 Suite 2M Downers Grove, IL 60515 (630) 963-0805 (630) 963-0704

West Suburban Medical Center X X X X X X X X X X X

Crews Christina APN Surgery Tiesenga Surgical Associates SC7447 W. Talcott Suite 302 Chicago, IL 60631 (773) 774-1747 (708) 453-3985

West Suburban Medical Center X X X X X X X X X X X

Crews Christina APN Surgery Tiesenga Surgical Associates SC

1950 N. Harlem Ave. Elmwood Park, IL 60707-3717 (708) 453-6800 (708) 453-3985

West Suburban Medical Center X X X X X X X X X X X

Crews Christina APN Surgery Tiesenga Surgical Associates SC

2913 N. Commonwealth Suite 400 Chicago, IL 60657 (708) 453-6800 (708) 453-6985

West Suburban Medical Center X X X X X X X X X X X

Jorge Juaquito MD Surgery Tiesenga Surgical Associates SC

3825 Highland Ave. Tower 1 Suite 2M Downers Grove, IL 60515 (630) 963-0805 (630) 963-0904

West Suburban Medical Center X X X X X X X X X X X X X

Jorge Juaquito MD Surgery Tiesenga Surgical Associates SC7447 W. Talcott Suite 302 Chicago, IL 60631 (773) 774-1747 (708) 453-3985

West Suburban Medical Center X X X X X X X X X X X X X

Jorge Juaquito MD Surgery Tiesenga Surgical Associates SC

1950 N. Harlem Ave. Elmwood Park, IL 60707-3717 (708) 453-6800 (708) 456-1718

West Suburban Medical Center X X X X X X X X X X X X X

Reishus Scott DO Surgery Tiesenga Surgical Associates SC7447 W. Talcott Suite 302 Chicago, IL 60631 (773) 774-1747 (708) 453-3985

West Suburban Medical Center X X X X X X X X X X X X

Reishus Scott DO Surgery Tiesenga Surgical Associates SC

1950 N. Harlem Ave. Elmwood Park, IL 60707-3717 (708) 453-6800 (708) 456-1718

West Suburban Medical Center X X X X X X X X X X X X

Reishus Scott DO Surgery Tiesenga Surgical Associates SC

3825 Highland Ave. Tower 1 Suite 2M Downers Grove, IL 60515 (630) 963-0805 (630) 963-0904

West Suburban Medical Center X X X X X X X X X X X X

Saju Shiny APN Surgery Tiesenga Surgical Associates SC7447 W. Talcott Suite 302 Chicago, IL 60631 (773) 774-1747 (708) 453-3985 X X X X X X X X X X X

Saju Shiny APN Surgery Tiesenga Surgical Associates SC

3825 Highland Ave. Tower 1 Suite 2M Downers Grove, IL 60515 (630) 963-0805 (630) 963-0904 X X X X X X X X X X X

Saju Shiny APN Surgery Tiesenga Surgical Associates SC

1950 N. Harlem Ave. Elmwood Park, IL 60707-3717 (708) 453-6800 (708) 456-1718 X X X X X X X X X X X

Tiesenga Frederick MD Surgery Tiesenga Surgical Associates SC

1950 N. Harlem Ave. Elmwood Park, IL 60707-3717 (708) 453-6800 (708) 453-3985

West Suburban Medical Center X X X X X X X X X X X X X

Tiesenga Frederick MD Surgery Tiesenga Surgical Associates SC1200 York Rd. Suite 4250 Elmhurst, IL 60126 (708) 453-6800 (708) 453-3985

West Suburban Medical Center X X X X X X X X X X X X X

Tiesenga Frederick MD Surgery Tiesenga Surgical Associates SC7447 W. Talcott Suite 302 Chicago, IL 60631 (773) 774-1747 (708) 453-3985

West Suburban Medical Center X X X X X X X X X X X X X

Tiesenga Frederick MD Surgery Tiesenga Surgical Associates SC

3825 Highland Ave. Tower 1 Suite 2M Downers Grove, IL 60515 (630) 963-0805 (630) 963-0904

West Suburban Medical Center X X X X X X X X X X X X X

Friend Chante APN Surgical Critical Care Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Gonzalez Richard MD Surgical Critical Care Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Torres Jessica NP Surgical Critical Care Loyola University Medical Center2160 S. First Ave Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X

Vaughn LaTonya NP Surgical Critical Care Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Ali Syed MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Gottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7025 708-783-3180

MacNeal Hospital, West Suburban Medical Center X X X X X X X X X X X X X

Page 56: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Bakhos Mamdouh MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Gottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7025 708-783-3180

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

McGee Edwin MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Gottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7025 708-783-3180

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Porter Julie APN

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Gottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7025 708-783-3180

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Schwartz Jeffrey MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Gottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7025 708-783-3180

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Tsonis Lambros MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Gottlieb Community Healthservices DBA MacNeal Medical Group

3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7025 708-783-3180

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital X X X X X X X X X X X X X

Abdelsattar Zaid MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Ali Syed MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

MacNeal Hospital, West Suburban Medical Center X X X X X X X X X X X X X

Bakhos Mamdouh MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Faletti Alissa APN

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Foy Bryan MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Gerdisch Marc MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Ghee Charles MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Gramm James MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Grieco John MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Hoang Vu MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Ilbawi Michel MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

James Beena APN

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Kime Aaron MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X

Lubawski James MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Lutrin Frank MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, West Suburban Medical Center X X X X X X X X X X

Macis Mary APN

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

McGee Edwin MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Page 57: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Morrissey Janine APN

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Moses Camille NP

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Perez-Tamayo Ruheri MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Porter Julie APN

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Schwartz Jeffrey MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Smyth Laura APN

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Triola Laura APN

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Tsonis Lambros MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital, Weiss Memorial Hospital X X X X X X X X X X X

Tuchek James DO

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, West Suburban Medical Center X X X X X X X X X X

Vigneswaran Wickii MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Vricella Luca MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Loyola University Medical Center

2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X

Berkes Jamie MD Transplant Hepatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Berkes Jamie MD Transplant Hepatology Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center X X X X X X X X X X X X

Cotler Scott MD Transplant Hepatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Gill Debra APN Transplant Hepatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Kallwitz Eric MD Transplant Hepatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Scaglione Steven MD Transplant Hepatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Vent Diane APN Transplant Hepatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Von Roenn Natasha MD Transplant Hepatology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Von Roenn Natasha MD Transplant Hepatology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (888)584-7888

Loyola University Medical Center X X X X X X X X X X X X

Fitzgerald Colleen MD Urogynecology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Rios Ricardo MD Urology Edgar Rios, MD, SC4152 W 26th Street Chicago, IL 60623 (773) 521-1100 (773) 521-9032 MacNeal Hospital X X X X X X X X

Baldea Kristin MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Bowen Diana MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Branch Jeffrey MD Urology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Bresler Larissa MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Capoccia Edward MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X

Page 58: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Delos Santos Grace MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Dornbier Ryan MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X

Farooq Ahmer DO Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Flanigan Robert MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Flanigan Robert MD Urology Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (888)584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Fruth Erin APN Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Gonzalez Christopher MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Gorbonos Alex MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Gupta Gopal MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Gupta Gopal MD Urology Loyola University Medical Center

1S224 Summit Avenue Oakbrook Terrace, IL 60181

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Hogan Mary APN Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

McVary Kevin MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888)584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Patel Hiten MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X

Quek Marcus MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Reeves Kaylea APN Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Ross Kelsey APN Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X

Seager Catherine MD Urology Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X X

Sylora James MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X

Totonchi Samer DO Urology Loyola University Medical Center2160 S. 1st Ave. Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Turk Thomas MD Urology Loyola University Medical Center300 N. York Road Elmhurst, IL 60126 (708) 327-7030

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Ulit Jasmin APN Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X X X X

Woods Michael MD Urology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Asbury Jeffrey MD UrologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3231 S EUCLID AVE Suite 403 BERWYN, IL 60402-3472 (708) 783-0700 (708) 783-0701 MacNeal Hospital X X X X X X X X X X X X

Page 59: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Kucera Joseph MD UrologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3231 S EUCLID AVE SUITE 403 BERWYN, IL 60402-3472 (708) 783-0700 (708) 783-0701 MacNeal Hospital X X X X X X X X X X X X

Patel Hemlatta APRN UrologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3231 S. Euclid Ave. Suite 403 Berwyn, IL 60402-3472 (708) 783-0700 MacNeal Hospital X X X X X X X X X

Totonchi Samer DO UrologyLoyola University Medical Center DBA L. Medicine Physician Group LLC

3231 S EUCLID AVE SUITE 403 BERWYN, IL 60402-3472 (708) 783-0700 (708) 783-0701

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X X X

Friedman Neil MD Urology Metro Chicago Surgical Oncology LLC

3201 Old Glenview Rd.#130 Wilmette, IL 60091 (847) 673-6505 (847) 673-2099 X X X X X X X X X

Habib Fadi MD Urology Metro Chicago Surgical Oncology LLC5600 W. Addison St.Ste 305 Chicago, IL 60634 (773) 725-0760 (773) 725-9554

Gottlieb Memorial Hospital X X X X X X X X X

Leyland John MD Urology Metro Chicago Surgical Oncology LLC1 Erie Court Suite 4030 Oak Park, IL 60302 (708) 386-7888 (708) 386-2784

MacNeal Hospital, West Suburban Medical Center X X X X X X X X X

Malvar Thomas MD Urology Metro Chicago Surgical Oncology LLC

2800 N. Sheridan Rd.#602 Chicago, IL 60657 (773) 248-2842 (773) 248-3439 X X X X X X X X X

Sharma Nitin MD Urology Metro Chicago Surgical Oncology LLC1 Erie Court Suite 4030 Oak Park, IL 60302 (708) 386-7888 (708) 386-2784 MacNeal Hospital X X X X X X X X X

Vaselopulos Peter MD Urology Metro Chicago Surgical Oncology LLC800 Austin St.#569 Evanston, IL 60202 (847) 328-5600 (847) 328-4740 X X X X X X X X X

Adamsky Melanie MD Urology Uropartners, LLC

501 W North Avenue Suite 201 Melrose Park, IL 60160 (708) 450-5055 (708) 338-2474

Gottlieb Memorial Hospital X X X X X

Adamsky Melanie MD Urology Uropartners, LLC

133 E. Brush Hill Road, Suite 301 Elmhurst, IL 60126 (630) 834-5701 (630)834-5707

Gottlieb Memorial Hospital X X X X X

Adamsky Melanie MD Urology Uropartners, LLC1034 Warren Avenue Downers Grove, IL 60515 (331) 777-9088

Gottlieb Memorial Hospital X X X X X

Adamsky Melanie MD Urology Uropartners, LLC2600 Patriot Blvd Glenview, IL 60026-8024 (708) 450-5055

Gottlieb Memorial Hospital X X X X X

Bachrach Laurie MD Urology Uropartners, LLC

501 W North Avenue Suite 201 Melrose Park, IL 60160 (708) 450-5055 (708) 338-2474

Gottlieb Memorial Hospital X X X X X

Bachrach Laurie MD Urology Uropartners, LLC

133 E. Brush Hill Road, Suite 301 Elmhurst, IL 60126 (630) 834-5701 (630)834-5707

Gottlieb Memorial Hospital X X X X X

Bachrach Laurie MD Urology Uropartners, LLC1034 Warren Avenue Downers Grove, IL 60515 (331) 777-9088

Gottlieb Memorial Hospital X X X X X

Bachrach Laurie MD Urology Uropartners, LLC2600 Patriot Blvd Glenview, IL 60026-8024 (708) 450-5055

Gottlieb Memorial Hospital X X X X X

Harris Richard MD Urology Uropartners, LLC

501 W North Avenue Suite 201 Melrose Park, IL 60160 (708) 450-5055 (708) 338-2474

Gottlieb Memorial Hospital X X X X X

Harris Richard MD Urology Uropartners, LLC

133 E. Brush Hill Road, Suite 301 Elmhurst, IL 60126 (630) 834-5701 (630)834-5707

Gottlieb Memorial Hospital X X X X X

Harris Richard MD Urology Uropartners, LLC1034 Warren Avenue Downers Grove, IL 60515 (331) 777-9088

Gottlieb Memorial Hospital X X X X X

Harris Richard MD Urology Uropartners, LLC2600 Patriot Blvd Glenview, IL 60026-8024 (708) 450-5055

Gottlieb Memorial Hospital X X X X X

Harris Richard MD Urology Uropartners, LLC160 E. Illinois Street Chicago, IL 60611 (312) 595-1444

Gottlieb Memorial Hospital X X X X X

Hurley Stephen DO Urology Uropartners, LLC

501 W North Avenue Suite 201 Melrose Park, IL 60160 (708) 450-5055 (708) 338-2474

Gottlieb Memorial Hospital X X X X X

Hurley Stephen DO Urology Uropartners, LLC

133 E. Brush Hill Road, Suite 301 Elmhurst, IL 60126 (630) 834-5701 (630)834-5707

Gottlieb Memorial Hospital X X X X X

Hurley Stephen DO Urology Uropartners, LLC1034 Warren Avenue Downers Grove, IL 60515 (331) 777-9088

Gottlieb Memorial Hospital X X X X X

Hurley Stephen DO Urology Uropartners, LLC2600 Patriot Blvd Glenview, IL 60026-8024 (708) 450-5055

Gottlieb Memorial Hospital X X X X X

Ruland Sean DO Vascular Neurology Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X X

Colaiuta Elizabeth MD Vascular Surgery Heart Care Centers of Illinois SC3231 S. Euclid Suite 201 Berwyn, IL 60402 (708) 783-2055 (708) 783-2181 MacNeal Hospital X X X X X X X X X X

Page 60: Ç } o W Z Ç ] ] v W v · ^ ] o ] Z } ó l î ð l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ]

Specialist Roster9/25/2020

Loyola Physician Partners

Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations

Participating In:

MolinaNext Gen. ACO

BCBS IL HMO

BCBS IL Medicare Advantage HMO

BCBS IL PPO ACO

BCBS IL Medicare Advantage PPO

BCBS IL MMAI

Cigna CAC

Cigna HMO

Humana Medicare Advantage

Clearspring Medicare Advantage

Longevity Medicare Advantage

United Healthcare Medicare Advantage Illinicare

Aulivola Bernadette MD Vascular Surgery Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X

Aulivola Bernadette MD Vascular Surgery Loyola University Medical Center2160 S. First Avenue Maywood, IL 60153 (708)216-8646 (708) 216-8658

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X

Bechara Carlos MD Vascular Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X

Blecha Matthew MD Vascular Surgery Loyola University Medical Center2160 S. 1st Ave. Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X

Crisostomo Paul MD Vascular Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X

Gahtan Vivian MD Vascular Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X

Halandras Pegge MD Vascular Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X

Katwala Parin APN Vascular Surgery Loyola University Medical Center2160 S. 1st Ave Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Mathew Tina APN Vascular Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center X X X X X X X X X X X

Mazzeffi Sandra NP Vascular Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5617

Loyola University Medical Center X X X X X X X X

Moon Sunhee DNP Vascular Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X

Soult Michael MD Vascular Surgery Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X

Blecha Matthew MD Vascular SurgeryLoyola University Medical Center DBA L. Medicine Physician Group LLC

3231 S EUCLID AVE SUITE 400 BERWYN, IL 60402-3472 (708) 783-0244 (708) 783-5424

Loyola University Medical Center, MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X X X X

Schubert Charles MD Vascular Surgery Tiesenga Surgical Associates SC

1950 N. Harlem Ave. Elmwood Park, IL 60707-3717 (708) 453-6800 (708) 453-3985

West Suburban Medical Center X X X X X X X X X X X X

Schubert Charles MD Vascular Surgery Tiesenga Surgical Associates SC7447 W. Talcott Suite 302 Chicago, IL 60631 (773) 774-1747 (708) 453-3985

West Suburban Medical Center X X X X X X X X X X X X

Schubert Charles MD Vascular Surgery Tiesenga Surgical Associates SC

3825 Highland Ave. Tower 1 Suite 2M Downers Grove, IL 60515 (630) 963-0805 (630) 963-0904

West Suburban Medical Center X X X X X X X X X X X X


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