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Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Abad Suresh MD Alexian Brothers Medical Group Not Covered Abariotis Nicolaos G MD DEV Medical Associates, SC Not Covered Abay Maria Cristina CRNA American Associates of IL, SC Not Covered Abbas Huma MD Dreyer Medical Group Not Covered Abboud Maha MD Elmhurst Memorial Ctr for Health Not Covered Abboud Worood MD Presence Cancer Care/JOHA Not Covered Abdel-Hadi Mazen A MD Midwest Respiratory, Ltd. Not Covered Abdelrhman Tamer Mohamed Refaa MD Loyola University Medical Center Not Covered Abdul Karim Ahmad MD Heartland Cardiovascular Center Not Covered Abdulmassih Abdulmassih MD Family Doctors Family Healthcare Not Covered Abella Dennis DO Elk Grove Medical Associates Not Covered Aboudi Shadi MD Chicago Institute for Advanced Not Covered Abraham Malik DPM Northwest , S.C. Not Covered Abraham Raju Z MD RMG Not Covered Abraham Saju MD Center for Neurological Diseases Not Covered Abraham Sonia MD Associates in Not Covered Abrams Madeline R. PA-C Forefront , S.C. Not Covered Abtahi Mohammad MD Mohammad Abtahi, MD Not Covered Acevedo Hernandez Alejandro Luis MD PrimeCare Community Health, Inc Not Covered Ackerman Jeffrey A MD Illinois Bone & Joint Institute, LLC Not Covered Ackerman Paul David MD Northwestern Neurosurgical Associates Not Covered Ackermann Evelyn S MD Associates Not Covered Adab Kalid Namah MD South Chicago Associates, LLC Not Covered Adajar Marc A MD S.T. Surgical Consultants - DBA Precision Surgical Group Not Covered Adamczyk Samantha R PA-C Orthopaedic Assoc of Riverside LLC Not Covered Adamo Gregory P MD MidSuburban Radiological Associates, LLC/Elk Grove Not Covered Adams James M DDS Drs. Slaby Adams and Tietjens, Ltd Not Covered Adelstein Steven T DPM Northwest Suburban Foot & Ankle Clinic Not Covered Ademoyo Adeniyi C. CRNA Anesthesia Associates, Ltd. Not Covered Adeniran O CSA Epic Surgical Solutions LLC Not Covered Adenwalla Mohamed K MD Retina Associates Ltd Not Covered Adeoye Martins A MD Martins Adeoye, LLC Not Covered Adil Mohammed M MD Mohammed M. Adil, M.D. Not Covered Adina Cesyl J APN Bassam F. Matar, M.D., S.C. Not Covered Adkins Tiffany Lyn APN/CNP Lake Shore Adult & Geriatic , Ltd Not Covered Ads Hussein O DDS OraMax Oral-Maxillofacial & Implant Specialists Not Covered Aftab Nozaina MD Associates In Infectious Disease, S.C. Not Covered Agarwala Brojendra Nath MD Univ of Chicago, Pediatric Not Covered Aggarwal Hem C MD Sugar Grove Health Center Not Covered Agha Ahmad J MD Joliet Sleep Ctr & Pulmon Disease Not Covered Agha Fariha MD Fariha Agha Not Covered Agha Rania MD Summit Derm and Aesthetic Surgery Not Covered Agopian Maria APN Not Covered Agostino Guy J MD DuPage Medical Group Not Covered Agrawal Kireet MD Kidney Docs, PA Not Covered Agrawal Rekha MD Loyola Univ. Med. Center, Peds Dept Not Covered Agrawal Vishwanath MD John H. Stroger, Jr. Hospital of Cook County Not Covered Aguila-Manalo Marisa S MD Marisa Aguila-Manalo, MD Not Covered Ahart Michael D APRN Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Ahdab Tarek M MD Advanced Cardiovascular Specialists, S.C Not Covered Ahlowalia Neerja MD Neerja Ahlowalia, MD Not Covered Ahmad Afzal CSA Afzal Ahmad, CSA Not Covered Ahmad Ijaz MD R & W Medical LLC Not Covered Ahmad Bilal MD Loyola University Medical Center Not Covered Ahmad Nasir J MD Nephrology Associates of Northern Illinois Not Covered Ahmad Saad MD Kovach Eye Institute Not Covered Ahmad Usman DO Advance Inpatient Medicine Not Covered Ahmad Zubair MD Pulmonary, Critical Care & Specialists, S.C. Not Covered Ahmed Anam MD Stat Cardiologist Not Covered Ahmed Aziz MD Metropolitan Cardiovascular Associates, LLC Not Covered Ahmed Huma CSA Reproductive & Infertility Not Covered Ahmed Iram A MD Primary Care Services, SC Not Covered Ahmed Irma MD Retina Macula Specialists PC Not Covered Ahmed Junaid Abdul MD Augusta-Damen Medical Center Not Covered Ahmed Khursheed MD Khursheed Ahmed, M.D Not Covered Ahmed Mansoor DPM M & M Foot and Ankle Specialists, LLC Not Covered Ahmed Misbahuddin MD Ahmed Not Covered Ahmed Mohammed Mohsin MD Fox Valley Orthopedics Not Covered Ahmed Mohammed N MD Joliet Behavioral Health & Associates Not Covered Ahmed Mohammed Riaz MD TeamHealth Not Covered Ahmed Mohammed S DO NANI-Hinsdale Not Covered Ahmed Nafees U MD Asian Human Services Not Covered Ahmed Naila L MD Northeast Nephrology Consultants Ltd Not Covered Ahmed Nooruzsabha S MD Metro Infectious Disease Consultants Not Covered Ahmed Qadeer MD CEP-Illinois Not Covered Ahmed Saba MD Prairie Associates Not Covered Ahmed Sakif APRN Dr Patricia A Larson, MD & Assoc Not Covered Ahmed Seema S MD Susan Orhan MD PC Not Covered Ahmed Wahaj MD Advance Inpatient Medicine Not Covered

1 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Ahn Tae-Jun DPM United Foot & Ankle Surgeons, P.C. Not Covered Ahsan Azeem DO Medical Practice of Azeem Ahsan DO Not Covered Ahsan Mohammad MD Northwest Suburban Pain Center Not Covered Ahuja Richard Manish MD Norwegian American Hospital Not Covered Aijaz Maimoona Sharif MD Medical Practice of Maimoona Aijaz, MD Not Covered Ajide Julius C CRNA American Anesthesiology Associates of Illinois, SC Not Covered Ajmani Harpinder S MD Saint Elizabeth Ambulatory Clinic Not Covered Ajmere Reshma D MD Woodridge Clinic SC Not Covered Akbar Samreen MD Up To Date Healthcare for Women, S.C., Inc. Not Covered Akbar Syed Ali MD Direct Radiology Not Covered Akhand Manju MD Access Ltd Not Covered Akhtar Matheena MD DuPage Medical Group Not Covered Akhtar Moyeed MD Humayun, S.C. Not Covered Akhtar Naveed MD Advanced & Asthma Clinic Not Covered Akhtar Nomana DO Downers Grove Pediatrics Not Covered Akhtar Nusrath MD Downers Grove Pediatrics Not Covered Akhtar Rokeya MD Dunning Family Medicine Not Covered Akhter Javeed MD Advocate Christ Medical Center Not Covered Akhter Naheed R MD Women OB/Gyn Associates Not Covered Aki Robert H MD Northwest Surgical Healthcare, LLC Not Covered Akiens Grace H MD A & H Family Medicine, PC Not Covered Akin-Olugbemi Morounkeji MD Pediatric and Adolescent Healthy Lifestyle Center Not Covered Akl Nathalie G MD The KIDS Place of Willowbrook Not Covered Akthar Adil S MD Radiation Oncology Consultants, Ltd. Not Covered Al Muradi Hazem MD Heartland Cardiovascular Center Not Covered Al Wafai Ameer T MD Northwest , Ltd Not Covered Ala Syed Muhammed MD Inpatient Consultants of Illinois Not Covered Aladin Mustafa H MD Primary Care Joliet Not Covered Alamillo Jennifer M FNP-BC Haveric Medical Not Covered Alausa Morufu Olatunji MD Germane Nephrology Associates dba Kidney Care Center Not Covered Alavi Nahid MD Nephrology Assoc of Northern IL Not Covered Albeheary Ghada A MD Not Covered Albert Andrew MD Chicago Gastro, LLC Not Covered Albert Hannah D PA-C Midwest Institute, Inc Not Covered Alberti Lawrence Edward MD Dreyer Medical Group Not Covered Albores Rudolph R MD Hinsdale Internal Med Assoc Not Covered Albrecht Kathleen G MD Aesthetic Eye Associates, SC Not Covered Albritton David F. MD MidSuburban Radiological Associates Not Covered Aldana Centeno Otto MD Presence Resurrection Medical Center Not Covered Alden Kris J MD Hinsdale Orthopaedic Associates Not Covered Alexander Bonita MD Rehabilitation Institute of Chicago Not Covered Alexander Charles L PsyD Not Covered Alexander Frederick MD Southwest Infectious Disease Associates Not Covered Alexander Laurel APN/CNP Heartland Cardiovascular Center Not Covered Alexander Philip J MD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Alexopoulos Stavros Orestis DPM SCH Professional Plaza Not Covered Alghalith Yazan MD Advanced Skin and Mohs Surgery Center Not Covered Alhayani MD DuPage Medical Group, Ltd Not Covered Ali Ahmer MD Northwest Neurology, LTD Not Covered Ali Muhammad Asad MD The Heart Team, LLC Not Covered Ali Mustafa Mohammed MD Kidney Specialists of Illinois, LLC Not Covered Ali Safdar MD Chicago Heart Associates, SC Not Covered Ali Samina MD Grace Pediatrics LLC Not Covered Ali Shehzad MD Not Covered Ali Zeeshan Mohammad MD DuPage Medical Group Not Covered Alia Yazan M MD Dupage Medical Group, Ltd Not Covered Ali-Burford Zarinah CRNA American Anesthesiology Associates of Illinois, SC Not Covered Aliniazee Mateen Khurram MD Kovach Eye Institute Not Covered Alischoewski Kerstin MD Not Covered Alkhalafawi Amal MD Amal Alkhalafawi MD SC Not Covered Al-Kunani Anwar S MD OB/GYNE Infertility Center S.C. Not Covered Alla Sarada MD ABMG - ICC Mount Prospect Not Covered Allababidi Anas MD CEP America - Illinois - Amita Health Saint Joseph Hospital Not Covered Allamneni Sireesha DO Rehabilitation Specialists of Illinois Not Covered Allar Brendan Whayne PA-C Northwest Orthopaedics Assoc. & Not Covered Allar Robert MD Robert M Allar MD and Associates, PC Not Covered Allen Alfred Lamee MD AAA Healthcare Not Covered Allen Anne C PA Nephrology Assoc of Northern IL Not Covered Allen Jamison D DO Northern Illinois Medical Associates Not Covered Allen Magic M APRN Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Allen Neil MD Consultants in Neurology, Ltd. Not Covered Allen Virginia T MD Dermatology Associates of OakBrook Terrace Not Covered Allgeier Michael Anthony DC Allgeier Chiropractice Ltd Not Covered Alm A DPM Alm Foot Care Not Covered Al-Massalkhi Mohamad Iyad MD Midwest Pulmonary Associates, S.C. Not Covered Almeida Roselle X MD RMG Pulmonology Not Covered Almoshelli Bader MD Community Not Covered Almusaddy Mousab MD CEP America - Illinois - Amita Health Saint Joseph Hospital Not Covered Alpert Joshua M MD Midwest Bone & Joint - Elgin Not Covered

2 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Alter Daniel C MD Midwest Retina Consultants, S.C. - Des Plaines Not Covered Alter Mark David MD Center For Family Guidance/InSight Telepsychiatry Not Covered Altergott Rudolph A MD Associates, SC Not Covered Alvarez David V APN/CNP Presence Saint Joseph Hospital Not Covered Alvi Aijaz MD Specialty Care Institute SC Not Covered Alvi Farhana P MD Alvi Medical Services Not Covered Alvi Hasham M MD Barrington Orthopedic Specialists Not Covered Alvi Nishat P MD The Vision Institute of Illinois Not Covered Alvis Emily I. PA-C Alan Chen Surgical Associates, PC Not Covered Alwarshetty Mamata M. MD Fox Valley Cardiovascular Consultants Not Covered Amde Wendewessen MD Chicagoland Retinal Consultants, LLC Not Covered Amer Emad M MD Emad Amer, MD Not Covered Amer Rana Dabah PA-C Pain Associates, LTD. Not Covered Amesbury Stephen MD Pulmonary Medicine Associates Not Covered Amin Umesh C MD St. Alexius Medical Center Not Covered Amsler Barbara E MD Health Habits Key to Wellness Not Covered Analytis Peter D MD Morris Hospital Neurology Specialists Not Covered Anand Chandra Shekhar MD JC Medical Group Not Covered Anand Dharam R MD Key Not Covered Anand Jolly C MD JC Medical Group Not Covered Anandappa Chrisantha E MD Compass Health Center Not Covered Andersen Matthew R MD Nephrology Assoc of Northern IL Not Covered Anderson Daniele M MD Northwest Neurology, LTD Not Covered Anderson Lynn Michelle MD Kidney & Hypertension Consultants, SC Not Covered Anderson Maria APN Pain Specialists of Greater Chicago Not Covered Anderson Michael J MD Metro Infectious Disease Consultants, LLC Not Covered Anderson Nicolas S DPM Orthopaedic Assoc of Riverside LLC Not Covered Anderson Parks Elizabeth MD Elizabeth Anderson MD Not Covered Andreas Julie E DPM DuPage Medical Group, Ltd. Not Covered Andreoli Christa S. DC Arlington Chiropractic Clinic Not Covered Andres Bernard P APN Stat Cardiology Not Covered Andressakis Chrisoula E MD Shirley Ryan Ability Lab @ Amita Health Not Covered Andrise Patricia J PhD Hinsdale Psychological Resources Not Covered Andros Gregory J MD Advanced Associates Not Covered Aneziokoro Ogbonnaya E MD Northwest Medical Associates Not Covered Aniol Halina S MD Chicago Pediatric & , S.C. Not Covered Aniol Zbigniew MD AMITA Health Medical Group Not Covered Ankeney Leigh Ann APN/CNP American Anesthesiology Associates of Illinois, SC Not Covered Annes Nicole PA-C Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Ansari Naveed Z MD Suburban Associates in Ophthalmology, LLC Not Covered Ansari Yasmeen MD The University of Chicago Medicine in Orland Park Not Covered Anstadt Bradford G MD Tennenbaum and Anstadt, Ltd DBA Gottlieb Eye Center Not Covered Antkowiak Tomasz T MD Orthopedic Assoc of Kankakee Not Covered Antonini Steven J MD Hedges Clinic Not Covered Anwar Khalida MD Advanced Rehabilitation Care, LLC Not Covered Anwar Mohammad N MD Amita Health Resurrection Medical Center Not Covered Anwar Syed H MD Associates in & Counseling, PC Not Covered Aoki Katherin M CRNA Medical Center Anesthesia Not Covered Appiagyei Emelia B. APN Universal Healthclinic Not Covered Appiagyei Michael O. MD Universal Healthclinics, SC Not Covered Aqueel Jabeen MD AMITA Health Medical Group Not Covered Aquino Lina L MD Not Covered Adnanul A CSA Central Surgical Assistants Not Covered Arain Ashfaq A CSA Ashfaq Arain, CSA Not Covered Arain Erum MD Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Arain Imtiaz A MD Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Arain Mohammad I CSA Mohammad I Arain, CSA Not Covered Arain Mohammed M MD Mohammed M. Arain, MD Not Covered Aranador Dercy J MD Laboure Clinic Not Covered Aranas Rosalyn M MD Neurology & Sleep Clinics of Chicago, S.C. Not Covered Arand Walter A MD DuPage Medical Group Not Covered Araujo Tatiana L MD AMITA Health Adventist Medical Center-LaGrange Not Covered Arber Lia A MD Lia Arber Pediatrics Not Covered Archil Vanessa Claire MD Women First Specialists, SC Not Covered Arekat Loai PA-C CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Arevalo Darrell APRN Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Arfelis Gloria PsyD Gloria Arfelis, PsyD PC Not Covered Arias Ada I MD Ada Arias, MD Not Covered Arias Andrea APN Associates in Nephrology Not Covered Ariga Deepak MD Greater Elgin Family Care Center Not Covered Ariri Alex APN/CNP, PhD Haveric Medical Not Covered Armstrong Trent ORT Barrington Orthopedic Specialists Not Covered Aronson Adam Lee MD Kids First Pediatrics Partners Not Covered Arora Amit MD Nephrology Associates of Northern Illinois Not Covered Arora Rachna MD Dreyer Medical Group Not Covered Arps Alan Dale MD Medical Practice of Alan Arps, MD Not Covered Arshad Abrar MD Northwest Pediatric Neurology Not Covered Arya Praveena Walter MD VNA Health Care Not Covered Arynova Bakytbubu MD Elite Women’s Care Not Covered

3 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Aschinberg L Claude MD Aschinberg Pediatrics Not Covered Aschinberg Paul S MD Aschinberg Pediatrics Not Covered Asghar Syed S MD Syed S. Asghar, M.D., P.C. Not Covered Ashpole Bradley L MD Bradley Ashpole, MD Not Covered Asif Asma MD Premier Pain & Spine Not Covered Askari Ruhi MD Ruhi Askari, M.D. Not Covered Asokan Vanitha MD Advanced Rehabilitation Care, LLC Not Covered Assimacopoulos Aristides MD Aristides Assimacopoulos, M.D. Not Covered Astrauskas Asta M MD Ann & Robert H. Lurie Children's Hospital of Chicago Not Covered Asuncion Larry P CSA Larry P Asuncion, CSA Not Covered Atallah Carl Kamil DO Advanced GI LLC Not Covered Atassi Tamer MD Digestive Health Consultants SC Not Covered Atcha Ismail E. MD Ismail E. Atcha, M.D. Not Covered Athanasatos George MD Vasc & Not Covered Ather Nazneen DO DuPage Pediatrics Ltd Not Covered Atia Noshi MD Illinois Center for Digestive Disease & Liver Hlth Not Covered Atia George N Atallah MD Illinois Center for Digestive Disease & Liver Hlth Not Covered Atkins Thomas A MD Fox Valley Orthopaedic Institute Not Covered Atkins Trisha L PA CEPAmerica Illinois LLP Not Covered Atkinson Taylor Rae PA-C Orthopedic Assoc of Kankakee Not Covered Atluri Prasant MD Associates, S.C. Not Covered Atluri Vyjayanthi MD DuPage Medical Group, Ltd. Not Covered Atri Gaurika MD Vivek Gupta, MD, SC Not Covered Atri Nipun MD Metro Infectious Disease Consultants, LLC Not Covered Attanasio Erica C DO DuPage Medical Group Not Covered Attavane Rohini APRN Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Attia Saad Maged Magdi MD Healing Medical Group Not Covered Auffenberg Carolyn Elaine MD Compass Health Center Not Covered Augusthy Reggie Matthew DO Dreyer Medical Group Not Covered Auh Sogyong Lucia MD, PhD Forefront Dermatology SC Not Covered Aung Soe M MD Nuvasive Clinical Services Not Covered Austin Jill H. DPM Dreyer Medical Group Not Covered Avellana Russell PA-C Midwest Sports Medicine & Orthopaedic Surgical Specialists, Ltd. Not Covered Avinashi Aalok MD Presence Saints Mary and Elizabeth Medical Center Not Covered Awad Magdy K MD Magdy K Awad,MD,SC Not Covered Awad Michael DO Michael Awad, DO Not Covered Awua-Larbi Stella MD Kidney Care Center Not Covered Ayub Kamran MD Southwest , S.C. Not Covered Ayuste Cathleen B MD Ofelia Ayuste, MD SC Not Covered Ayyagari Susmita MD Advance Inpatient Medicine Not Covered Ayzenberg Leonid MD Eye Clinic Leonid Ayzenberg, MD Not Covered Azad Hema MD Hema Azad, MD Not Covered Azarcon Dominique V PA-C Advent Neurology, SC Not Covered Azimuddin Mustafa Syed DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Aziz Asad S DO Dupage Medical Group Not Covered Aziz George F MD Heart Care Centers of IL SC Not Covered Azizi Freidoon MD Presence Saint Joseph Hospital Not Covered Azizi Ramsen MD RAM Plastic Surgery, LLC Not Covered Azmat Shazia MD TeamHealth Not Covered Baber Laura MD Laura E Baber MD LLC Not Covered Bacalar Carey M. MD OB Hospitalist Group Not Covered Bach Malgorzata K. MD Northwest Neurology, LTD Not Covered Badar Amir MD Limitless Medical Group Not Covered Badawi David Y MD Central Eye Care, LTD Not Covered Baddi Lisa Lynne DO Illinois Cancer Specialists Not Covered Bader Faizan DPM Michael M. Maghrabi, DPM, P.C. Not Covered Badlani Ravi MD Not Covered Bae Esther DO AMITA Health Medical Group Heart & Vascular Not Covered Baer Rachel Podrazik MD General & , Ltd. Not Covered Bagrov Dimitri CRNA Medical Center Anesthesia Not Covered Baig Meraj PA-C Advanced Behavioral Health Services Not Covered Baig Mirza Aziz MD Schaumburg Immediate Care Not Covered Bailey Christopher J. DPM Bailey Foot & Ankle Specialists Not Covered Bain Alan F DO Chicago Health & Wellness Alliance Inc Not Covered Baird Tamara B APN/CNP Rehabilitation Specialists of Illinois Not Covered Bajic Nicole MD Koziol-Thoms Eye Associates Not Covered Bajwa Tehmina A MD Dreyer Medical Group Not Covered Bakal Debra A. MD Bakal Dermatology Associates, S.C. - Moon Lake Not Covered Bakal Jeffrey S MD Bakal Dermatology Associates, S.C. - Moon Lake Not Covered Bakane Deepak MD Medical Practice of Deepak Bakane MD Not Covered Baker Talia B MD UCM Transplantation Institute Not Covered Bala Massarat A MD Healing Hands Primary Care Not Covered Balaram Ajay K MD Hand Surgery Associates, S.C. Not Covered Balcerak Richard J DDS Oral & Maxillofacial Surgery Associates, PC Not Covered Balek Mark MD Chicago Cardiology Institute S.C. Not Covered Baley Richard M MD Dupage Medical Group, Ltd Not Covered Balharry Ghislaine Belen MD Advance Inpatient Medicine Not Covered Baloch Amina AGPCNP S & K Medical Center Not Covered Banakis Mark DDS Schaumburg Oral & Maxillofacial Surgery Not Covered

4 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Banas Anna K MD ASB Medical Clinic Not Covered Banas, Jr. Irineo O. SA American Surgical Professionals Not Covered Bandepalli Chandrarekha MD Neonatal Intensive Care Unit Not Covered Bane Christopher D. MD Heart Care Centers of IL SC Not Covered Banez Leonor D APN Nephrology Associates of Northern IL Not Covered Bang Jane Y MD Colette Gordon, MD Not Covered Bangarulingam Sujay Yellappa MD Rush Copley Medical Group Not Covered Bangash Farhan J DO Kidney Care Center Elgin, LLC Not Covered Bangash Suleman J. DO Suleman J. Bangash, D.O.S.C. Not Covered Banias Pandelis MD Midwest Medical Associates, LLC Not Covered Bank Bruce B. MD Northwest Oncology & , S.C. Not Covered Bansal Amar MD Dreyer Medical Group Not Covered Bansal Priya J MD Asthma and Allergy Wellness Center Not Covered Bansal Sachin Kumar MD Castle Orthopaedics & Sports Medicine Not Covered Bansal Tina MD Advanced Endocrinology, LLC Not Covered Barakat Mohamad MD Kidney & Hypertension Associates Not Covered Barakat Nabil A MD Midwest Hand Surgery Not Covered Barakat Rouba Alsoufe MD Pediatrics of Woodridge SC Not Covered Baral Irene B MD Alenta Health Not Covered Baran Gabriella Maria DO Hinsdale Family Medicine Center Not Covered Barbato Tobia Anthony MD Barbato & Zbigien, MD, SC Not Covered Barclay James C MD Center For Family Guidance/InSight Telepsychiatry Not Covered Barclay Joanna C MD Core Orthopedics & Sports Medicine LLC Not Covered Bardfield Steven G MD Hinsdale Orthopaedic Assoc SC Not Covered Bardouniotis George MD DuPage Medical Group, Ltd Not Covered Bareiss Claire E PA-C Endocrinology & Metabolism Consultants, Ltd Not Covered Barger Amber Janay PsyD Amber J Barger, PsyD Not Covered Barino Maria N MD Maria Barino, MD Not Covered Barnes Matthew S. PA Suburban Orthopaedics - Bartlett Not Covered Barnes Robert J MD Aurora Eye Clinic Not Covered Barnett Sean P MD NCH Medical Group - Division of Surgery Not Covered Barry Sheila M MD Metro Infectious Disease Consultants, LLC Not Covered Barsanti Carl M MD Midwest Pulmonary Associates, S.C. Not Covered Barsky Yelana DPM Global Not Covered Barszczak Agnieszka CRNA American Anesthesiology Associates of IL, SC Not Covered Bartel Eric K MD Fox Valley Orthopaedic Institute Not Covered Bartkowiak Anthony PA Suburban Orthopaedics - Bartlett Not Covered Bartolomeo Orazio MD Work Right Not Covered Bartolomeo Vincenzo MD Family Medical Group of La Grange Not Covered Basile Paul T DPM Suburban Foot & Ankle Associates Not Covered Basit Arshi MD Midwest Diabetes and Endocrine Specialty Not Covered Bass Eric MD Dupage Medical Group, Ltd Not Covered Bastani Ahmad MD Not Covered Bathla Baljinder S MD Chicago Sports and Spine, LLC Not Covered Batish Naina MD ABC Pediatrics Not Covered Batista Tatiana A DO Seton Family Health Center Not Covered Batra Shivani S DO Chicago Orthopaedics & Sports Medicine Not Covered Battistini Jose F MD Springfield OB/GYN Group Not Covered Baugh Matthew J MD DuPage Medical Group Not Covered Baughman Steven M MD DuPage Medical Group, Ltd. Not Covered Bauknecht Nicole Marie PA-C UroPartners, LLC Not Covered Bauman Tina Marie APN Amita Health Cancer Institute Not Covered Bautista Eleanor V MD DuPage Medical Group, Ltd. Not Covered Bautista Gay G. APN Healing Hands Primary Care Not Covered Bawamia Ali H MD Advance Inpatient Medicine, LLC Not Covered Bawden David George MD Neuro-Psych Technologies, LTD Not Covered Bayang Maria Christine N MD Advanced Pediatric Care Ltd Not Covered Bayers Stephanie Lauren MD Advanced Skin and Mohs Surgery Center Not Covered Bayran Neema MD The Pain Center of IL Not Covered Bazell Gregory M. MD Aesthetic Plastic Surgery Center Not Covered Beaird Leslie MD Beaird Dermatology, SC Not Covered Beaver Bart DPM Weil Foot & Ankle Not Covered Bechtel William C MD Radiology Partners (Midwest Imaging Professionals, LLC) Not Covered Beck Gina T APN/CNP Metro Infectious Disease Consultants Not Covered Beck M Hytham I MD IMH Multi Specialty Physicians Clinic Not Covered Becker Herbert C MD Elgin Eye Clinic Not Covered Becker Kathryn A APN/CNP Midwest Respiratory, Ltd Not Covered Beckerly Aida Diar DO Gold Coast Osteopathic, SC Not Covered Bector Sumit MD Nephrology Associates of Northern Illinois Not Covered Bedingfield Bruce DO Drs. Bedingfield and Rosewell, S.C. Not Covered Beedle Dennis D MD Dennis Beedle, MD Not Covered Beezhold David W DO Metro Infectious Disease Not Covered Begov Ivan S MD Fox Valley Medical Associates Not Covered Behara Venkata Yerram R MD Nephrology Associates of Northern Illinois Not Covered Behnke Tara PA-C Illinois Bone & Joint Institute Not Covered Behrens George M MD Vasc & Interventional Radiology Not Covered Belcher Brooke A MD Barrington Orthopedic Specialists Not Covered Belingon-Suerte Cielo C MD Cielo Belingon-Suerte, MD SC Not Covered Bellinger Anke MD Illinois Pain Institute Not Covered

5 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Belmares-Avalos Jaime MD Metro Infectious Disease Not Covered Beltsos Angeline N. MD Vios Fertility Institute Not Covered Bender Christopher J MD DuPage Pediatrics Ltd Not Covered Bendikas Leonard George MD Northwest Eye Clinic, Ltd Not Covered Benjamin Amanda R APN/CNP Endo-Med Clinic S.C. Not Covered Benjamin Holly J MD U of C Children's Hosp Not Covered Bennett Sarah S APN Core Orthopedics & Sports Medicine Not Covered Benny Shiji APN Illinois Adult Healthcare, LLC Not Covered Benoit Daniel N DPM Associated Foot and Ankle Clinic Not Covered Benson Leon S MD Illinois Bone & Joint Institute, LLC Not Covered Beraki Mussie MD George Hvostik, M.D. Not Covered Bercek Michael E MD Women's Health Care of Hinsdale Not Covered Berg Laurie A APRN NANI-Hinsdale Not Covered Berg Lawrence F MD Proponent Medical Group, Ltd Not Covered Berger Abigail C PA-C Cardiac Surgery Associates, SC Not Covered Berger Daniel S MD NorthStar Medical Center Not Covered Bergin Christopher J MD The Spine Center Not Covered Bergren Ryan K MD Loyola University Medical Center Not Covered Berhe Tseghai MD Midwest Pediatric Endocrinology, Inc Not Covered Beri Abhimanyu MD Riverside Heart and Vascular Institute Not Covered Berki Zafeer MD Zafeer H K Berki, MD Not Covered Berkowitz Michael MD Shirley Ryan Ability Lab @ Amita Health Not Covered Berkson Michael Henry MD Forefront Dermatology SC Not Covered Berman James H MD Advocate Medical Group Not Covered Bermudez Maximo C MD Asian Human Services Not Covered Bernas Eliza MD Dr. Aimee & Associates Not Covered Bernhard Mark J MD Fox Valley Medical Associates Not Covered Berno Amanda Marie PA-C CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Berns Arnold S MD Lakeside Nephrology, Ltd Not Covered Bernsen Mitchell MD Northwest Gastroenterologists, S.C. - Arlington Heights Not Covered Bernstein Harry A. MD Elgin Eye Clinic Not Covered Bernstein Matthew A MD Barrington Orthopedic Specialists Not Covered Berry Sothida CRNA Anesthesia Associates, Ltd Not Covered Bertenshaw Richard H MD Robert J Becker MD Ltd Not Covered Bertini Matthew J MD Advance Inpatient Medicine, LLC Not Covered Bertumen J. Bradford H MD Metro Infectious Disease Not Covered Besler Christopher C SA CB Surgical, LLC Not Covered Betancourt Joanna E. MD Do not use! Not Covered Betman Jeffrey J DPM Podiatric and Surgeon, PC Not Covered Bettag Eric B. DPM St. Charles Foot and Ankle Center, P.C. Not Covered Betts Cari A APN Spectrum Behavioral Health Not Covered Beusse Walter DO Bartlett Family Healthcare Not Covered Bezanis Gregory Jacob MD Forefront Dermatology, S.C. Not Covered Bhagavan Sheila MD Primary Care Medical Associates, Ltd Not Covered Bhalla Suresh MD Medical Practice of Suresh Bhalla MD Not Covered Bhandarkar Manohar S MD Not Covered Bhargava Nikhil DO Digestive Disease Consultants Not Covered Bhaskar Ashok H MD Community Pediatrics Ltd Not Covered Bhaskar Sadashivaiah MD Pediatric Group LLC Not Covered Bhatia Ajay MD Chicago Medical Associates Not Covered Bhatia Ashish MD Oak Dermatology Not Covered Bhatt Divyesh M MD DuPage Medical Group Not Covered Bhatt Nikhil J MD Associates in ENT & Head & Neck Surgery Not Covered Bhatt Renuka H MD Fine Skin Dermatology & Med Spa Not Covered Bhatt Shamir MD DuPage Medical Group of Westmont Not Covered Bhattacharya Tanya MD Forefront Dermatology, S.C. Not Covered Bhatti Rabia Z MD Tiesenga Surgical Associates, SC Not Covered Bhave Meghan MD Northwest Suburban Pain Center Not Covered Bhayani Bipin N MD Medical Practice of Bipin Bhayani, MD Not Covered Biafora Sam J MD Hand Surgery Associates, S.C. Not Covered Bialon-Oster Beata DPM Elgin Foot & Ankle Center Not Covered Bianchi Lucie Marie MD Winters Family Practice Not Covered Bicek Paul D MD DuPage Medical Group of Westmont Not Covered Biel Jennifer M PA Northwest Pediatric Services Not Covered Bienia Konrad A MD Suburban Radiologists, S.C. Not Covered Bierma Douglas Ray MD DuPage Medical Group Not Covered Bigart Kevin Christopher MD Parkview Orthopaedic Group Not Covered Bigol Percival MD Percival A. Bigol, M.D., Ltd. Not Covered Bijari Armita MD DuPage Medical Group Not Covered Bilimoria Malcolm M MD Northwest Community Health Services Not Covered Bilookiy Oleksandr CSA Barrington Orthopedic Specialists Not Covered Bingham Wendy M APN/CNP Dreyer Medical Group Not Covered Birman Michael V MD Hand Surgery Associates, S.C. Not Covered Bisla Rashmi MD Kidney Care Center Not Covered Bizios Mary DO Bloomingdale Family Practice Not Covered Blachut Tina Fruscione DO North Suburban Family Medicine Not Covered Black Ashley Gale DO Northwest Pulmonary Associates, SC Not Covered Black Michael R PsyD Presence Saint Joseph Hospital Not Covered Blacker Bruce A MD Commonwealth Medical Physicians Group, SC Not Covered

6 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Blackman Martin PsyD Not Covered Blair Michael P MD Retina Consultants, Ltd Not Covered Blakeman Bradford P MD Cardiac Surgery Associates, SC Not Covered Blendonohy Peter M DO Rehabilitation Associates of the Midwest, SC Not Covered Block Alec Michael MD LUMC Radiaton Oncology Not Covered Blodgett Christina J. PhD Thomson Memory Center Not Covered Bloechl Jamie Elizabeth APN Rush Univ - - Chicago Not Covered Blonsky Adam N. MD Dreyer Medical Group Not Covered Bloom Allen D MD Rush Copley Medical Group (Drs. Bloom, Hodgett, Weinstein) Not Covered Bloom Jacob MD Bloom Plastic Surgery / Illinois Dermatology Institute Not Covered Bloom John H DDS OraMax Oral-Maxillofacial & Implant Specialists Not Covered Blosser Susan Ruth APN/CNP InternaMed Not Covered Blumenfeld Philip A MD Nuclear Oncology, SC Not Covered Boan Brandi Kristen PsyD Mathers Clinic Not Covered Boas Steven R MD Children's Asthma Respiratory & Exercise Spc. Not Covered Bochniak John F MD MidSuburban Radiological Associates Not Covered Bock Kathleen Marie MD Hinsdale Family Medicine Center Not Covered Bock Marciann W. APN Salud Pediatrics Not Covered Boco Tibor MD Neurological Surgery & Spine Surgery Not Covered Boddie Ellena L MD Advance Inpatient Medicine, LLC Not Covered Boddipalli Surekha V MD DuPage Medical Group Ltd Not Covered Boddipalli Viveka MD DuPage Medical Group, Ltd Not Covered Bogard Annette CRNA American Anesthesiology Associates of IL, SC Not Covered Boghossian Stephen Paul MD Stephen P. Boghossian, MD Not Covered Bognet Rachel Ann MD Christina G. Steil Derm., Ltd. Not Covered Bohls Tatum Joanna PA-C CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Bohnenkamp Frank C MD OrthoIllinois Not Covered Bolano Jaime O MD Not Covered Bolanos Jose T MD Metro Infectious Disease Consultants Not Covered Bonaminio Emo R DPM Lake in the Hills Podiatry PC Not Covered Boncu Otilia APN Elgin Clinic, Ltd. - Elgin Not Covered Bond Alexis MD Northwest Suburban Pediatrics, SC Not Covered Bond Jennifer K DO Germane Nephrology Associates Not Covered Bondi Elizabeth DPM Northern Illinois Foot & Ankle Specialists, Ltd. Not Covered Bonilla Juan J MD Cardiac Surgery Associates, SC Not Covered Bonzani Robert A MD Mokena Urology Not Covered Boo Amanda S PA-C Premier Internal Medical Group Not Covered Borders Ann E B MD NorthShore University HealthSystem Not Covered Bornstein Mark I PsyD Psychological Resource Center, PC Not Covered Borrelli Anthony H. DPM Weil Foot & Ankle Institute Not Covered Boryslavska Halyna MD Advanced Family Clinic, Ltd. Not Covered Bosack Robert C DDS Century Medical Park Not Covered Bosh Ronald Gregory MD Dreyer Medical Group Not Covered Boskovic Sinisa MD Me & My Doctor, Ltd Not Covered Boton Robert MD Pediatric Care Associates, S.C. Not Covered Botros Samuel F MD Med Spa Women's Health Center Not Covered Boundaoui Oussama MD The Vision Institute of IL Inc Not Covered Bourand Jean E MD Not Covered Bowers Nicole Anne PA-C Advanced Behavioral Health Services Not Covered Bowersox Keith MD, PhD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Boyer Jennifer B PA-C Orthopaedic Assoc of Riverside LLC Not Covered Boyer Martin J DO Radiation Oncology Consultants Ltd Not Covered Boyes Edith APN Alexian Brothers Medical Center Not Covered Boyle Deborah A MD Ofelia Ayuste, MD SC Not Covered Bozich Amanda DPM Ankle & Foot Surgery, LLC Not Covered Bozorgzadeh Saloumeh PsyD Evolve Psychological Service Not Covered Bozzano Beck Silvia Francesca PhD Gersten Center for Behavioral Health Not Covered Bradshaw William H MD Cardiac Surgery Associates, SC Not Covered Brady Roseann E. DO Lake Zurich Medical Associates Not Covered Braithwaite Brian M MD The Aesthetic Institute of Chicago, SC Not Covered Brak Brenda L MD Barrington Family Healthcare S.C. - Fox Glen Not Covered Brammeier Gotthelf Claire Ann DDS Petrie, Storer & Associates, DDS, PC Not Covered Brandt Mark T MD Northwest Metropolitan Urology Associates Not Covered Brannick Robert Thomas PA-C CEP - America - Illinois - Presence St. Mary's Hospital Not Covered Branovacki George MD Midwest Orthopaedic Consultants Not Covered Branshaw Philip A MD Fox Valley Medical Associates Not Covered Brar Jasdip S MD Adventist GlenOaks Hospital Not Covered Brar Kelsey A DMD Band and Wire Orthodontics and Pediatric Not Covered Brasky Jeffrey T DO North Suburban Gastroenterology Assoc., SC Not Covered Braverman Charles Mark MD Pediatric Specialists of the Northwest Not Covered Braverman Nathan A DMD, MD Highland Park Oral Maxillofacial & Implant Not Covered Bregman Harold MD Associates in Nephrology, SC Not Covered Brenart Heather R CRNA American Anesthesiology Associates of Illinois, SC Not Covered Bresch James R. MD Orthopaedic Surgery Specialists, Ltd. - Fox River Not Covered Bresch Janet MD Suburban Associates in Ophthalmology Not Covered Bresnahan Joseph M MD BHS Digestive Diseases Not Covered Brezinski Thomas E DDS Dental Practice of Thomas Brezinski, DDS Not Covered Bridgford Christy Louise CRNA American Anesthesiology associates of IL SC Not Covered Briggs Daniel Mark MD Core Orthopedics & Sports Medicine Not Covered

7 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Briggs Julia CSA DuPage Medical Group Ltd Not Covered Bright-Allott Julie K APN/CNP Suburban Gynecology, LLC Not Covered Brindise Joseph Patrick DO Illinois Spine Institute, S.C. - Schaumburg Not Covered Brinkman Mark J MD Joliet Pediatrics & Family Care, Ltd. Not Covered Brito Socrates Alejandro MD Dreyer Medical Group (Highland) Not Covered Brobbey Wahab MD Metro Infectious Disease Consultants, LLC Not Covered Brod Nicole DC Greater Chicago Specialty Physicians Not Covered Broderick Richard MD Advocate Medical Group Not Covered Broderick Steven Michael MD DuPage Medical Group Not Covered Brodersen Gay W DDS ABC Dentistry Not Covered Brongiel Alan James MD DuPage Medical Group Not Covered Brooks Kristen CRNA American Anesthesiology Associates of Illinois, SC Not Covered Brotea Cristina Sorina MD Medical Practice of Cristina S Brotea MD,S.C. Not Covered Brotman Monique DO Monique Brotman D.O. Not Covered Brown Arlette F MD OB Hospitalist Group Not Covered Brown Clarence W MD Advanced Skin and Mohs Surgery Center Not Covered Brown Finley Webster MD Logan Square Medical Group Not Covered Brown James P MD Associates in Urology LTD Not Covered Brown Judith Ngozi DO Elite Women’s Care Not Covered Brown Lesley Gael Marcus APN Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Brown Michelle C. CRNA Medical Center Anesthesia Group Not Covered Brown O'Toole Alyssa C DDS Hinsdale Dental Not Covered Brownlee Maurice A APN/CNP NorthStar Medical Center Not Covered Brukasz Peter MD Institute for Vein Health Not Covered Brunelle Jorge MD,MPH Medical Practice of Jorge Brunelle MD Not Covered Bruno-Rodgers Kierra SA Epic Surgical Solutions LLC Not Covered Brunson Jack Michael PA-C CEP - America - Illinois - Presence St. Mary's Hospital Not Covered Bryniczka Adam DPM Northwest Podiatry Center, Ltd. - Wheaton Not Covered Bryniczka Gregory DPM Northwest Podiatry Center, Ltd. - Wheaton Not Covered Bucciero George V DPM George V Bucciero DPM PC Not Covered Buchanan Kyle Daro MD AMITA Health Medical Group Heart & Vascular Not Covered Bucher Gary G MD Anal Dysplasia Clinic MidWest Not Covered Buchupalli Deepika MD Southwest Infectious Disease Associates Not Covered Buckman Jeffrey MD Suburban Medical Group Not Covered Buddharaju Venkata L MD Lakeview Pulmonary & Sleep Consultants, LTD Not Covered Buddharaju Venkata MD Kidney Care Center Elgin, LLC Not Covered Budhwani Laila Amin CRNA American Anesthesiology Associates of Illinois, SC Not Covered Budo Emily A CRNA *Physician Anesthesia Associates Not Covered Budziakowski Robert Stanislaw MD Not Covered Bugno Terrence J MD Radiant Oncology, S.C. Not Covered Bui Minhson MD Associates in Nephrology Not Covered Buka Jonathan S MD The Eye Specialists Group Not Covered Bukhalo Michael MD Arlington Dermatology Not Covered Bukhalo Yuriy MD Northwest Suburban Pain Center Not Covered Bunploog-Lane Anna MD Asian Human Services Not Covered Buranosky Mark P MD Eye Specialists of Chicago Not Covered Burford Foggs Adrienne M MD Adrienne Burford-Foggs, MD, SC Not Covered Burger Kristin Evelyn PA-C Nausheen Hasan M.D., S.C. Not Covered Burgner Karen M. MD Dreyer Medical Group Not Covered Burgos Miguel A. MD Santa Maria Medical Center Not Covered Burhani Nafisa D MD Presence Cancer Care/JOHA Not Covered Burke Martin C DO Not Covered Burke Renee M MD Renee Burke, M.D. Not Covered Burns Steven J MD Eye Physicians of Kankakee Not Covered Burns Thomas E MD Advanced Urology Associates Not Covered Burra Giridhar MD Hinsdale Orthopaedic Associates Not Covered Burseth Eric P MD Advocate Heart Institute Not Covered Burt David M MD Midwest Sports Medicine Inst Not Covered Burt Tripti MD Burt&Will Plastic Surg & Laser Ctr Not Covered Bush Aneta S MD Metro Infectious Disease Not Covered Bush John G MD Midwest Center for Women`s Healthcare-Noga Not Covered Bushnick Philip N MD Cosmetic & Plastic Surgery Associates Not Covered Butler Tracy APN CEPAmerica Illinois LLP Not Covered Butt Shiraz Mahmud MD Butt & Bokhari Medical Associates, Inc Not Covered Bylsma Frederick W PhD Neuropsychological Servic es, PC Not Covered Byskosh Arkadiush T MD Ear, Nose, Throat and Allergy Clinic - Barrington Not Covered Byun Michael Y. MD Chicago Cosmetic Surgery, Northbrook Not Covered Cabai Tonia Lynn APN Northwest Oncology & Hematology, S.C. Not Covered Cabana John D MD Downers Grove Pediatrics Not Covered Cabin Mark E MD Mark Cabin MD Not Covered Cabrera Bertha L MD Bertha Cabrera, MD Not Covered Cabrera Ernest C MD Remegio M Vilbar MD SC Not Covered Cabrera Ranulfo P MD Austin Street Pediatrics, LLC Not Covered Cacioppo Phillip L MD *Phillip Cacioppo, M.D., S.C. Not Covered Cahill Gina R MD Barrington Orthopedic Specialists Not Covered Cahill Jennifer Ann MD Northwest Gastroenterologists, A Division of Illinois Gastroenterology Group Not Covered Cahill Thomas J PhD La Grange Family Medicine Center Not Covered Calabrese Peter A DO PrimeCare Family Physicians, Ltd Not Covered Calandra Carl J DO Digestive Disease Associates Not Covered

8 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Caldwell Kristine M CRNA American Anesthesiology Associates of Illinois, SC Not Covered Callard Erica Eileen NP Midwest Internal Medicine Clinic Not Covered Camara Cristina MD Forefront Dermatology, S.C. Not Covered Camara Miguel G MD Allergy & Asthma Center, Inc. Not Covered Camarda Voight Maria L MD Children and Teen`s Medical Center - Schaumburg Not Covered Camba Noel MD Heart Care Centers of Illinois Not Covered Campbell Daniel J MD Hinsdale Pediatric Associates Not Covered Campbell Thomas Michael DPM Talcott Foot & Ankle Specialists, PC Not Covered Campbell-Peshek Katherine MD Hinsdale Pediatric Associates Not Covered Campo Adalberto MD Adalberto Campo, MD, S.C. Not Covered Camras Louis E MD Aurora Pediatric Clinic Not Covered Caneva Daryl DPM Caneva Foot & Ankle Clinic Not Covered Cannestra Vincent P MD Midwest Bone & Joint Not Covered Cao Thomas L MD Midwest Oncology Hematology, LTD Not Covered Capobianco Frank MD Not Covered Caraballo Christina M PA-C Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Carbone Robert A MD DuPage Medical Group Not Covered Carbonell Fabian E MD Fabian Carbonell MDSC Not Covered Carden JaTame Rae PA-C CEP - America - Illinois - Presence Mercy Medical Center Not Covered Cardenas Samantha J NP Renee Burke, M.D. Not Covered Cardone Joan T. MD West Suburban Women's Hlth Ltd Not Covered Carioscia George J DPM Ankle & Foot Associates, PC Not Covered Carlile Kevin R MD OrthoIllinois Not Covered Carlson Steven APN/CNP Advocate Medical Group - Urology Not Covered Carlstrom Luke MD Northwest Pulmonary Associates, SC Not Covered Carpenter Carla A DO West Suburban Women's Hlth Ltd Not Covered Carr Lee LCPC Evolve Wellness Not Covered Carrasco Gaston MD DuPage Medical Group Not Covered Carson Nicole A PA-C Associates in Psychiatry & Counseling, PC Not Covered Caruso Joseph L DDS Not Covered Casabal Elizabeth APRN Brookville Medical Center Not Covered Casey Ines M MD Metro Infectious Disease Not Covered Cassidy Brett J MD Aishling & Gynecology Not Covered Castaneda Crystal Vanessa MD Lurie Children's Hospital/Divison of Hosp Based Medicine Not Covered Castillo Bienvenido V. MD Dreyer Medical Group Not Covered Castillo Samuel MD Chicago Gastroenterology, LLC Not Covered Castillo Samuel F MD Chicago Gastroenterology, LLC Not Covered Castillo Curiel Christian Jesus MD John H. Stroger, Jr. Hospital of Cook County Not Covered Castro-Alvear Jorge Alejandro MD PrimeCare Community Health, Inc Not Covered Cataldo Steven MD DuPage Medical Group Not Covered Cavett Jennifer L APRN Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Cavinder Scott A APN/CNP Cardiac Surgery Associates, SC Not Covered Cay Niluardo B MD Niluardo B Cay, MD Not Covered Cecala Russell J DDS PerioCare Not Covered Celmer Jacqueline J APN NANI Internal Med, LLC Not Covered Ceralde Joel APN Northwest Neurology, LTD Not Covered Chakeer Ridha M MD Premier Family Health and Wellness Ctr Not Covered Chakrabarti Sudarsana MD Suburban Wellness, SC Not Covered Chan Linda S MD Midwest Pulmonary Associates, S.C. Not Covered Chan Mario Him Ming MD Suburban Endocrinology & Diabetes Not Covered Chandan Naresh C DO RMC - Chandan, Naresh Not Covered Chandan Ritu DO Family Medicine Associates of Kankakee Not Covered Chandy Sunitha Rachel PsyD Artesian Collaborative, LLC Not Covered Chang Huan J MD,MPH Saint Elizabeth Ambulatory Clinic Not Covered Chang Titus C MD Dreyer Medical Group Not Covered Chao Frank C MD AHMG - Carol Stream Not Covered Chappidi Prasad V MD Center for Neurological Disorders Not Covered Chapple Charles W DC Advanced Chiropractic Health Center Not Covered Charles Alix J MD DuPage Medical Group/Elm Not Covered Charles Bernard R MD Rehabilitation Specialists of Illinois Not Covered Charnogursky Cara MD Ann & Robert H. Lurie Children's Hospital of Chicago Not Covered Charnota David A DPM Alpine Foot Specialists, P.C. Not Covered Chartre Kathya Michelle MD Immediate MD/Urgent Care Not Covered Charuk George E DO George Charuk, DO Not Covered Chatrath Sanjay DO RMC - Chatrath, Sanjay Not Covered Chatterjee Adrija PsyD Gersten Center for Behavioral Health Not Covered Chatterjee Anish MD Suburban Radiologists SC Not Covered Chatterji Raja MD AMG Women's Healthcare Center Not Covered Chaturvedi Vivek MD Illinois Retina Associates, S.C Not Covered Chau Sylvie MD VNA Health Care Not Covered Chaudhary Kamran A. MD ABC Dentistry LLP Not Covered Chaudhry Alyas MD Cardiac Surgery Associates, SC Not Covered Chaudhry Urmila MD Presence Saint Joseph Hospital Not Covered Chauhan Ajay K DO Chicago Head and Neck Surgical Specialists, SC Not Covered Chauhan Keyur M MD DuPage Medical Group Not Covered Chavez Milton C MD M. Chavez, MD, SC Not Covered Chawla Anshuman MD Digestive Health Services SC Not Covered Chawla Apoorva MD Northwest Oncology & Hematology, SC Not Covered Chawla Bhuvan MD Sun Clinic Not Covered

9 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Chawla Kamal K MD Kamal K Chawla, MD Not Covered Chawla Manjeet S MD Manjeet S. Chawla, MD, Ltd. Not Covered Chee Ru-Ik MD Retina Institute of Illinois, PC Not Covered Cheema Asad A MD Holistic Science Pain Clinic Not Covered Cheema Gurleen Kaur DPM Mercy Hospital & Medical Center - Podiatry Residency Not Covered Cheema Jaskiran Kaur MD Dreyer Medical Group Not Covered Chehab Eric L MD Illinois Bone & Joint Institute, LLC Not Covered Chen Alan H MD Alan Chen Surgical Associates, PC Not Covered Chen Daniel DO Family Med Ctr of La Grange Not Covered Chen Kevin W MD Illinois Bone & Joint Institute, LLC Not Covered Chen Michael MD Virtual Medical Staff, LLC Not Covered Chen Shih-Hua PA-C Midwest Orthopaedic Consultants Not Covered Cheng Elaine R MD OBHG Illinois, SC Not Covered Chernoff Allen M MD Metro Chicago , LLC Not Covered Cheval Debra A APN Drs. Girgis & Associates, S.C. Not Covered Chhabra Bhupinder K. MD Bhupinder Chhabra, MD Not Covered Chhadia Ankur MD Suburban Orthopaedics - Bartlett Not Covered Chhay Vuthik Tan PA-C Metro Chicago Surgical Oncology, LLC Not Covered Chiamas Patricia MD Ann & Robert H. Lurie Children's Hospital of Chicago Not Covered Chiang Lo-Ku MD Associates in Nephrology - Arlington Heights Not Covered Chiari Beth Anne APN Nausheen Hasan M.D., S.C. Not Covered Chiemmongkoltip Panita MD Legacy Medical Care, Inc. Not Covered Chien Ming T MD MEA-Elk Grove, LLC Not Covered Chikhman Alla MD Healing Hands Primary Care Not Covered Chin Daniel I DDS Daniel I. Chin, DDS & Associates Not Covered Chin Janet MD DuPage Medical Group Ltd Not Covered Ching Quimbo G MD Not Covered Ching William MD PMG-Hospitalist Not Covered Chlebowicz Magdalena A DO Access Evanston Family Health Center Not Covered Cho Jennifer Sez DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Cho Luke S MD Advanced Urology Associates Not Covered Cho Michele E MD Advocate Medical Group Not Covered Choh Mark S MD Suburban Surgical Assoc Ltd Not Covered Choi Gene Y DPM Midwest Foot & Ankle Clinics Not Covered Choi Hyowon DPM Presence St. Joseph Hospital Not Covered Chomka Eva Victoria MD Presence Saint Joseph Hospital Not Covered Chon Maria DPM Maria Chon DPM Not Covered Chorba Thomas J MD Thomas J Chorba, MD Not Covered Choudry Abdussalam MD Physicians Care Midwest, SC Not Covered Choudry Samiullah M MD Internal Medicine & Family Practice Not Covered Chow May T MD Nephrology Assoc of Northern Il Not Covered Chowdhry Shakeel A MD NorthShore University Health System Not Covered Chowdhury Mohammed Abdul Awal MD Rehabilitation Medicine Specialists Not Covered Choy Wesley E MD Orthopedic Assoc of Kankakee Not Covered Christoforidis Jim A MD PrimeCare Community Health, Inc Not Covered Christopoulos Niki A MD Niki A Christopoulos MD SC Not Covered Christy Sheryl Milton DO Fox Valley Cardiovascular Consulants Not Covered Chu John Lung MD Dreyer Medical Group Not Covered Chua Dave Yu MD Dreyer Medical Group Not Covered Chua David C MD State Street Clinic - Gastroenterology Not Covered Chudik Steven C MD Hinsdale Orthopaedic Associates, SC Not Covered Chudwin David S MD Allergy and Asthma Associates Not Covered Chugh Rashmi K MD, MPH DuPage County Health Department Not Covered Chundi Vishnu V MD Metro Infectious Diseases Consultants, LLC Not Covered Chung Sung J MD ENT Surgical Consultants Not Covered Chura Joanna M DPM Fox Valley Orthopaedic Institute Not Covered Chuy Francisco L MD Not Covered Ciccarelli Sam M DDS Petrie, Storer & Associates, DDS, PC Not Covered Cinefro Robert J MD Rosanova Eyecare Not Covered Ciobanu Bety C MD Illinois Cancer Specialists Not Covered Cirrincione Ciro MD Barrington Orthopedic Specialists Not Covered Cisneros Alfred MD Alfred Cisneros MD Not Covered Clancy James P MD Rogers Park Family Medicine, S.C. Not Covered Clarbour Terry L MD Not Covered Clarey Richard Anthony MD Carbonell and Associates Not Covered Clark James R MD Digestive Health Services SC Not Covered Clark Jessica J PA-C Fox Valley Orthopaedic Institute Not Covered Clark Kirk R MD Suburban Ear, Nose and Throat Associates - Arlington Heights II Not Covered Clark Mary Anne PsyD Not Covered Clarke Laura A MD Lurie Children's Hospital/Divison of Hosp Based Medicine Not Covered Claudio Marina MD Not Covered Cleveland Nancy A. APN Not Covered Clingan Beth A. DO Associates in Pediatrics, S.C. - Streamwood Not Covered Cobbins Lorri MD The Aesthetic Institute of Chicago, SC Not Covered Coconate Jessica M. APN Susan Orhan, M.D. Not Covered Coderre Melanie PA-C Orthopaedics and Rheumatology of the North Shore Not Covered Cohanim Nooshin S MD Primary Care Medical Associates, Ltd Not Covered Cohen Adam J MD The Art of Eyes, Sc Not Covered Cohen Jack A MD Illinois Retina Associates, SC Not Covered

10 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Cohen Michael J MD DuPage Medical Group Not Covered Cohen Robert I DPM Evanston Affiliated Podiatry Not Covered Cohen Robin Lynn MD PMG - Center for Orthopedics and Specialty Care Not Covered Cohen Steven M MD Clinical Associates Not Covered Coker Mobolanle A MD Ann & Robert H. Lurie Children's Hospital of Chicago Not Covered Cole Nancy L Third Coast Reflexology Not Covered Colen Darryl DO Pediatric Associates of Barrington - Crystal Lake Not Covered Colin Victor H MD Elgin Family Physicians Not Covered Coll Dympna MD Novas, Dohr & Coll Obstetrics/Gynecology Associates Not Covered Collander Brett A MD Dupage Medical Group Not Covered Colledge Patricia L. APN/CNP, RN CEP - America - Illinois - Presence Mercy Medical Center Not Covered Collins Jeffrey K DDS Oral & Maxillofacial Surgery Associates, PC Not Covered Collins Steven M PA-C Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Collins Tonya L APN/CNP CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Colomb Sarah R PA-C DuPage Medical Group, Ltd. Not Covered Compagnoni Gia M. MD Advanced Surgical Care - Fox Glen Not Covered Conard Mark W PhD Mark Conard, PhD Not Covered Conforti Julie APN Northwest Neurology, Ltd Not Covered Conner Katherine G MD Allergy Partners P.A. d/b/a Allergy Partners of Chicago Not Covered Connolly Laura L PA-C Neurological Surg & Spine Surg Not Covered Connolly Mark M MD Presence Center for Advanced Care Not Covered Connolly Megan Therese PA-C Forefront Dermatology, S.C. Not Covered Connor Jennifer J MD Orthopaedic & Rehabilitation Centers, SC Not Covered Conrad Chelsy Rhae PA-C Mohs Surgery and Dermatology Center Not Covered Conrad Samantha B MD Conrad Petersen Dermatology Not Covered Conterato Dean J MD Radiation Oncology Consultants, Ltd Not Covered Conti Thomas James MD Skowron Dougal McClellan & Sullivan Eye Associates Not Covered Conway Tyler MD Mohs Surgery and Dermatology Center Not Covered Cook David Allen MD Suburban Radiologists SC Not Covered Coolidge Ross Daniel DO Shirley Ryan Ability Lab Not Covered Corcoran Michael J MD Orthopedic Assoc of Kankakee Not Covered Cordell Samantha C DMD ABC Dentistry Not Covered Cordero Weiser E MD DuPage Med Group North Pavilion Not Covered Corey Jacquelynne Perou MD Chicago Nasal & Sinus Center, SC Not Covered Corey Samantha Marie PA-C Oak Orthopedics Not Covered Cornfield Joel Z MD UroPartners Hinsdale Not Covered Corona Alma D. APRN South Chicago Oncology Not Covered Corrales Manuel F MD Dupage Medical Group, Ltd Not Covered Corro Allison PA Advanced Women`s Healthcare Specialists, SC Not Covered Cortez Maria S CRNA Medical Center Anesthesia Not Covered Corum Amanda K MD Dreyer Medical Group (Highland) Not Covered Coscino Joseph M DPM Premier Foot & Ankle Center Not Covered Costas Chris O MD AMITA Health Medical Group Not Covered Cote Jennifer L. APN Northwest Neurology, Ltd. Not Covered Cotes Eliecer MD Not Covered Cotler Scott J MD Loyola University Medical Center Not Covered Cottrell John M DO Cottrell Medical Group Not Covered Cottrell Jonathan Thomas DO Cottrell Medical Group Not Covered Cottrell Thomas L. MD Thomas Cottrell, M.D. Not Covered Coufal Stanislava MD Oak Brook Peds & Adolescent Ctr Not Covered Cox Jennifer M. CRNA Medical Center Anesthesia Group Not Covered Cox John W MD Mohs Surgery and Dermatology Center Not Covered Cozzi Thomas Frank MD Not Covered Crane Adam G. PhD Suburban Surgical Care Specialists, S.C. Not Covered Craven Rita Lee PA-C CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Crawford Abby PA-C CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Creed Heather M APN/CNP Illinois Gastroenterology Not Covered Cremer Eduardo J MD Associates in Nephrology, SC Not Covered Cremerius Michael E PhD R Scott Furda PsyD, LLC Not Covered Crews Christina D APN/CNP Tiesenga Surgical Associates, SC Not Covered Croghan John E MD Dedication Health, LLC Not Covered Cronin Donald F MD Associates in Nephrology, SC Not Covered Cropsey Jason APRN Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Cross Chadrick A MD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Crowe Brian T SA Illinois Orthopedic Institute Not Covered Crowley Angela R MD Hinsdale Orthopaedic Assoc SC Not Covered Cruz Cecille D APN/CNP Illinois Cancer Specialists Not Covered Cruz Janet MD Not Covered Cudal Katrina Joyce G APN/CNP Rehabilitation Medicine Specialists Not Covered Cudecki John J MD Uropartners, LLC, Not Covered Cullath Harikrishnan Sathish Kumar MD Premier Health Consultants Not Covered Cummins Matthew Earl DPM Presence St. Joseph Hospital Not Covered Curcio Mark DDS Medical Center Dental Associates Not Covered Curnyn Kimberlee M MD Suburban Associates in Ophthalmology Not Covered Curtin Margaret PA-C Orthopedic Assoc of Kankakee Not Covered Cusack Blaine Patrick DDS Dr. Blaine Cusack Not Covered Cvengros Teresa M MD Munoz MD & Cvengros MD, SC Not Covered Cyriac Nisha APN/CNP Digestive Disease Clinic of Joliet Not Covered Czajkowska Jadwiga B DO Northwest Rheumatology Specialists Not Covered

11 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Czarny Ann M. APN Adventist Hinsdale Hospital Not Covered Dabade Tushar Suresh MD Burt and Will Plastic Surgery and Dermatology Not Covered Dabah Wajde MD Pain Therapy Associates, LTD. Not Covered Dabawala Asharaf T. MD Not Covered Dabhade Narendra MD Not Covered Dabrowski Slawomir S MD Not Covered Dadabhoy Dina P MD Northwest Rheumatology Specialists Not Covered Dadarlat Iunia A MD Compass Health Center Not Covered Dadkhah Shahriar MD MidAmerica Medical Associates Not Covered Dagiantis William P MD Dreyer Medical Group Not Covered Dahlinghaus Daniel Louis MD NORTHWEST GENERAL SURGEONS LTD Not Covered Dahman Marc H MD Presence Saint Francis Hospital Not Covered Dahodwala Mohamed S MD Cardiac Associates SC Not Covered Dairi Firas MD Pulmonary and Sleep Medicine Clinic Not Covered Daki Jamal E MD Associates of Integrated Medicine, Ltd. Not Covered Dalessandro Alan A. DDS Dalessandro Implants & Periodontics Not Covered Daley Daryll E Lac Alternative Health Group, LLC Not Covered Dallas Terri L MD Illinois Pain Institute, Ltd. Not Covered Dalloul Majed MD Presence Saints Mary and Elizabeth Medical Center Not Covered Damaraju Ravi K MD Nephrology Associates of Northern Illinois Not Covered Dandekar Virag K MD Presence Regional Cancer Center Not Covered Daniels John L. MD Rockford Orthopedic - Algonquin Not Covered Daniels Shelley PsyD Cognitive Behavioral Health Not Covered Danielson Mark V MD Dupage Medical Group, Ltd Not Covered Danielson-Sadlicki Debra L APN Northwest Association for Women`s Healthcare Not Covered Danziger Carolyn R MD C & C Pediatrics, SC Not Covered Dara Nkeiruka Okwuchi MD Access Community Health Network Not Covered Darki Amir MD Center for Heart and Vascular Medicine Not Covered Das Andrea MD Advanced Ob/Gyne Associates SC Not Covered Daudi Shazia MD Dr. Shazia Daudi Not Covered Dauphin-VanDyk Margaret I MD Margaret Dauphin-Van Dyk, MD Not Covered Dauti Taulant SA Illinois Spine Institute, S.C. - Schaumburg Not Covered DaValle Michael J MD Cardiac Surgery Associates, SC Not Covered Davenport Christina M APN DuPage Medical Group, Ltd. Not Covered Davis Jennifer Nicole PsyD Family Adolescent Child Treatment Services LLC Not Covered Davis Maria G. CRNA *Physician Anesthesia Associates Not Covered Davis Patricia L MD Progressive Eye Care Not Covered Davis Robert F DO DuPage Pediatrics Ltd Not Covered Davisson Ryan Edward Shaw PA-C CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Dawravoo Lesley K MD Digestive Health Services SC Not Covered Dayan Steven H MD Chicago Center for Facial Plastic Surgery Not Covered Dayhoff Clyde W DO The Medical Group Not Covered D'Costa Molly DO My Family Doc Not Covered De Castro Alain Erich E MD Diagnostic Psychiatry Not Covered De Fuss Carrie A APN/CNP Advanced Urology Associates Not Covered De La Hera Aristides MD Heartland Cardiovascular Center Not Covered De La Paz Marissa ANP-BC, CVNP-BC Chicago Cardiology Institute S.C. Not Covered De Los Santos Renato C MD AMITA Health Behavioral Health Hospital Outpatient Group Practice Not Covered De Young Barbara J APN/CNP RMG Pulmonology Not Covered Dean Sarah A APN/CNP Southwest Infectious Disease Associates Not Covered DeBoer David A MD Cardiac Surgery Associates, SC Not Covered Deck Elizabeth D APN/CNP Moss, Keith Not Covered DeCoste Adam D. CST Barrington Orthopedic Specialists Not Covered Deen Zahra MD Humayun, S.C. Not Covered DeGirolami Daniele P MD Heartland Cardiovascular Center Not Covered Deitch Robert L MD Bruce G. Grossman, M.D.S.C. Not Covered Dejesus Ernest MD Nephrology Assoc of Northern IL Not Covered Dejoseph Anthony PsyD Associates in Behavioral Science Not Covered Dekhtyar Aleksandr MD Dr Dekhtyar and Associates Not Covered Del Campo Danilo Christopher MD Chicago Skin Clinic Ltd Not Covered Del Priore Anthony MD Midwest Heart and Vascular, Inc. Not Covered DelBeccaro Melanie Elizabeth MD Midwest Center for Women`s Healthcare-Noga Not Covered Dellaria Andrea Therese MD Northwest Neurology, LTD Not Covered DelMonaco Jennifer PA-C Diamond Headache Clinic Not Covered DeLorenzo Anthony W DO LifeMine Health Not Covered DeMaertelaere Michael DO Hedges Clinic Not Covered Denenberg Greg D MD Orchard Medical Group Not Covered Denev Konstantin I MD Midwest Emergency Associates, LLC Not Covered Dennis Kimberly S CNM Med Spa Women's Health Center Not Covered Depasquale Salvatore A SA Midwest Orthopaedic Consultants Not Covered Deppe Frances G MD Suburban Rehabilitation Specialists LLC Not Covered Derken Lisa Friederika MD Barrington Family Healthcare S.C. - Fox Glen Not Covered Derylo Bogdan MD Associates in Nephrology, SC Not Covered Desai Ankit MD Windy City Retina Not Covered Desai Apurva A. MD Illinois Cancer Specialists - Elgin Not Covered Desai Bela D MD Golf Medical Plaza Not Covered Desai Hemina Bharatrai DMD Apple Dental Care Not Covered Desai Manish I DO Personal Physicians West Not Covered Desai Parin MD Kidney Care Center Elgin, LLC Not Covered

12 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Desai Samir Bharat MD DuPage Medical Group, Ltd. Not Covered Desai Vikas A MD DuPage Medical Group, Ltd. Not Covered Destani Nejat MD Primary Care Associates Not Covered Dethmers Tara CNM AMITA Health Obstetrics & Gynecology - Hinsdale Not Covered Detwiler Kathleen E. MD Presence Resurrection Medical Center Not Covered Devara Dolly K MD Marianjoy Medical Group Not Covered Devarapalli Heyer MD Heyer C.O. Devarapalli, M.D. Not Covered Devare Doria L. MD Premier Optimal Health Not Covered DeVault Margaret M. PA Novas, Dohr & Coll Obstetrics/Gynecology Associates Not Covered DeWolfe Kelly Ann APN MacNeal Physicians Group Not Covered DeWolfe Michael S. MD Chicago Health Medical Group Not Covered Dey Lucy MD Dr. Lucy Dey Diabetes, Endocrinology & Metabolism Clinic, PC Not Covered DeZoute Melissa L PA-C DuPage Medical Group, Ltd. Not Covered Dhaliwal Jasmeet Singh MD Chicagoland Eye Consultants SC dba Advanced Vision Specialis Not Covered Dhananjayan Bhupesh MD IPC of Illinois, Inc. Not Covered Dharmaraj Arockiamary T PA-C Northwest Pulmonary Associates, SC Not Covered Dhillon Kiran MD ID Associates Not Covered Di Domenico Michael J PsyD Michael J DiDomenico, PsyD Not Covered Diab Mazen MD Kidney & Hypertension Associates LTD Not Covered Diamond Mark D DO Midwest Hospitalists, LLC Not Covered Diamond Merle L MD Diamond Headache Clinic Not Covered Dibs Samer R MD Chicago Heart Rhythm Not Covered Dickey Sarah E DPM Northern Illinois Foot & Ankle Specialists Not Covered Didier Annie APN DuPage Medical Group, Ltd. Not Covered DiDomenico Lawrence A DPM Laboure Clinic Not Covered DiDomenico Robert J DC DiDomenico Chiropractic Not Covered Didwania Suresh K MD Internal Medicine Specialists of Kankakee Not Covered Didwania Vishal Kumar MD Metro Infectious Disease Not Covered Diekevers Doug A DPM Chicago Orthopaedic and Sports Medicine Not Covered Digate Terry L. APN/CNP, RN CEP - America - Illinois - Presence Mercy Medical Center Not Covered Dilliard Kelley DO Hinsdale Family Medicine Center Not Covered Dillon Paul C MD Paul C Dillon, MD-The Physician's Group S.C. Not Covered Dimitropoulos Stamatis A MD University Medicine and Cardiology Not Covered Dimitropoulos Vassilios A MD University Dermatology and Vein Clinic Not Covered Din Eraj MD Drs. Bedingfield and Rosewell, S.C. Not Covered Diniotis Athanasios D MD Tiesenga Surgical Associates, SC Not Covered DiPasquale Anthony P MD Aschinberg Pediatrics Not Covered Dirkes Richard V MD Addison Medical Associates, Ltd. Not Covered Dissen Moshe MD Not Covered Divakaruni Naveen DO Dreyer Medical Group Not Covered DiVenere Scott W MD ENT Surgical Consultants Not Covered Dizon J V MD Neuro Psychiatric Services, S.C. Not Covered Dodhia Navinchandra J MD Dreyer Medical Group Not Covered Doerfler Gregory DDS Schaumburg Oral & Maxillofacial Surgery Not Covered Dohr Julie C MD Novas, Dohr & Coll Obstetrics/Gynecology Associates Not Covered Dolan Patrick MD Rehabilitation Medicine Specialists Not Covered Doman Tara E MD Pediatric Health Associates Not Covered Domb Benjamin G MD American Hip Institute, LLC Not Covered Dominguez Manuel G MD Chicagoland Complete Healthcare Not Covered Donausky Aileen M MD Hedges Clinic Not Covered Donets Simon N DPM Global Podiatry Not Covered Dongas John F MD Heartland Cardiovascular Center Not Covered Donnelly Jerome V DO Western Springs Podiatry Center Not Covered Doren Gregory S MD Chicago Ophthalmology, PC Not Covered Dorfmeister Jennifer A MD Illinois Gastroenterology Not Covered Dorne Pamela E MD River Forest OB/GYN Not Covered Dornfeld Mitchell David PsyD Gersten Center for Behavioral Health Not Covered Dorning Michael D DO DuPage Medical Group Not Covered Dorodi Shervin MD Quality Medical Care SC Not Covered Doshi Ashokkumar M MD Ashok M Doshi, MD, SC, Ltd Not Covered Doshi Nirali MD Pain Centers of Chicago Not Covered Doshi Parag M MD Chicago Cardiology Institute, SC Not Covered Dotchev Plamen N MD Women's and Children's Health Care Associates, LLC Not Covered Dougal Mary Aleksandra MD Skowron Dougal McClellan & Sullivan Eye Associates Not Covered Dougherty Evan A MD Hinsdale Orthopaedic Assoc SC Not Covered Douros Maria J DO Ariston Family Medicine, PC Not Covered Downing Rosalind S MD Woodridge Clinic, S.C. Not Covered Doyle Christine Jennifer APN/CNP Fox Valley Cardiovascular Consulants Not Covered Doyle Timothy W DO DuPage Medical Group Not Covered Drake Gregory N DO Core Orthopedics & Sports Medicine Not Covered Drapkin Sol MD Allergy Partners P.A. d/b/a Allergy Partners of Chicago Not Covered Drazkiewicz Maciej MD Advanced Cancer Clinic Ltd. Not Covered Drew Jessica APN Stephen Madry, M.D. Not Covered Dreyer Roman MD Dreyer Medical Group Not Covered Drobny Eliza P. MD, DDS Assoc. for Oral, Maxillofacial & Implant Surgery Not Covered Drouin Chad C DMD Glen Ellyn Implant and Oral Surg Not Covered Drugas Diane Marie MD Diane M Drugas, MD Not Covered Dschida Dorothy MD PrimeCare Community Health, Inc Not Covered DSilva Joseph Louis MD Illinois Bone & Joint Institute Not Covered

13 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr D'Souza Godwin H MD G & M D`Souza Not Covered Duarte Bernardo MD Bernardo Duarte, MD Not Covered Dubik Jayci Nicole APN Modern Pain Consultants Not Covered Dubin Mark E MD DuPage Medical Group Not Covered Dubnow Jessica Ellen PsyD Gersten Center for Behavioral Health Not Covered Duboe Fred J MD Northwest Association for Women`s Healthcare Not Covered Dudani Rajesh MD John H. Stroger, Jr. Hospital of Cook County Not Covered Dudek Edyta NP-C Infectious Diseases Associates, PC Not Covered Duffy Stephanie R FNP-BC 2HT Kidney Care, LTD Not Covered Dulli Bassel DDS Pediatric Dentistry Consultants Not Covered Dulnuan Fhyne Sheina APRN Advance Inpatient Medicine Not Covered Dumitru Rodica MD Metro Infectious Disease Not Covered Dunne Alexis Patricia MD Dreyer Medical Group Not Covered Dupont Michael Francis MD Family Med Ctr of La Grange Not Covered Duque Kristin S MD AHMG Heart & Vascular Chicago Not Covered Durga Anita DO Anita Durga, D.O. Not Covered Durham Trisha E APN Modern Pain Consultants Not Covered Durkin Michael C MD Hinsdale Orthopaedic Assoc SC Not Covered Dusek Amy Lynn APN/CNP CEP - America - Illinois - Presence Mercy Medical Center Not Covered Duttlinger Kimberly J CRNA American Anesthesiology Associates of Illinois, SC Not Covered Duval Sharon Linette MD Elgin Internal Medical Associates/DuPage Medical Group Not Covered Dworkin Mark S MD Metro Infectious Disease Consultants, LLC Not Covered Dybis John Edward DO IVme Hydration Clinic Not Covered Dyonzak Jane V PhD Insomnia Treatment Specialists, Ltd Not Covered Dziok Jolanta P MD Chicago Pediatric & Neonatology, S.C. Not Covered Eappen Seth A MD Seth A. Eappen, MD, LLC Not Covered Ebara Leona Yoshida MD Nihon Medical Clinic, S.C. Not Covered Edelstein Vadim M MD Oakton Park Medical Center Not Covered Adrienne M. MD Pediatric Health Partner - Algonquin Not Covered Edwards Jeannette M MD DuPage Medical Group Not Covered Effarah Samer Nagib PsyD Joseph N. O'Donnell & Associates Not Covered Egekeze Gilbert N MD Oaklund Medical Group Not Covered Ehmke Thomas A DO Hinsdale Orthopaedic Assoc SC Not Covered Ehrenpreis Jamie Ethel MD Asian Human Services Family Health Center Not Covered Eidt Steven C MD Eye Specialists of Chicago Not Covered Eilers Robert E MD Robert E Eilers MD SC Not Covered Eisenberg Michael J MD Women's HealthFirst - Schaumburg Not Covered El Djouzi Sofiane MD BariJuve Surgical Not Covered El Tag Eiman H MD Women's Choice, LLC Not Covered El Yafawi Rama MD Associates in Pulmonary & Critical Care Not Covered Elahi Sadaf M MD Nephrology Assoc of Northern Il Not Covered Elborno Ahmed A MD Dr. Elborno Center Not Covered Elgamal Ahmed MD Community Physicians Not Covered Elgar Robert D DO Heartland Cardiovascular Center Not Covered El-Harake Wassim A MD Endo-Med Clinic S.C. Not Covered Elipas James G DPM Ankle & Foot Specialists Not Covered Ellington Violet L APN MEA-Elk Grove, LLC Not Covered Ellis Carey E MD Orthopedic Assoc of Kankakee Not Covered Ellis Christina Ann LCSW Wildflower Center for Emotional Health LLC Not Covered Ellis Emily Jane PA-C CEP-Illinois Not Covered Elshafei Anas MD Advance Inpatient Medicine Not Covered Elsheikh Malak Mohamed MD Metro Infectious Disease Consultants, LLC Not Covered Embry Glenda CNM Associates for Women`s Healthcare Not Covered Emert Alexis N PA-C Scott D Glazer MD SC Not Covered Emini Diana M DPM DM Foot & Ankle Associates, LLC Not Covered Endara Rodrigo F MD Not Covered Engel Geoffery MD UroPartners, LLC Not Covered Enger Ivy Millar APN/CNP St. Mary Internal Medicine Associates Not Covered Enger Minyuen Chang MD John H. Stroger, Jr. Hospital of Cook County Not Covered English James M PsyD Behavioral Health Care Associates Not Covered Englum Velarde Sara Ashley MD VNA Healthcare Not Covered Epstein Brad L MD Suburban Womens Health Specialists, Ltd Not Covered Epstein Rachel Helene MD Chicago Cornea Consultants Not Covered Epstein Randy J. MD Chicago Cornea Consultants Not Covered Erce Bryan David DMD Medical Center Dental Associates Not Covered Erickson Kurt W MD Heart Care Centers of IL SC Not Covered Erlich Jonathan Mark MD GI Solutions of Illinois, LLC Not Covered Errampalli Daniel MD Digestive Disease Consultants Not Covered Eshbach Julianna E MD Dreyer Medical Group Not Covered Espinosa Becerra Francisco J MD, PhD Neurological Surg & Spine Surg Not Covered Espinoza Fabiola M MD Metro Infectious Disease Consultants, LLC Not Covered Esposito Patrick M. MD Associates in Pediatrics, S.C. - Streamwood Not Covered Esposito Ralph G DPM Ankle & Foot Associates, PC Not Covered Esquenazi Modiano Marcos MD Carbonell and Associates Not Covered Estacio Emerald A NP-C CEP - America - Illinois - Presence St. Mary's Hospital Not Covered Estes Kimberly Jean MD Glen Ellyn Ophthalmology Associates, LTD Not Covered Estrada Januario P MD Januario P. Estrada, III, M.D. Not Covered Ethezaz Mahveen MD DuPage Medical Group Ltd Not Covered Ethington Jason G MD Skowron Dougal McClellan & Sullivan Eye Associates Not Covered

14 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Ettner Frederic M MD Not Covered Euler Dillon C MD Center For Family Guidance/InSight Telepsychiatry Not Covered Eun Dhohee K PA-C Consulting Surgeons Not Covered Evans Diana M PA-C Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Evans Sheri L DO DuPage Medical Group, Ltd. Not Covered Everhart Joshua Michael DO TeamHealth Not Covered Ezenekwe Uchenna B APRN Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Ezepue Chizoba Joakin MD St Louis University Hospital Not Covered Fabsits Randi Lynn PA-C Orthopedic Assoc of Kankakee Not Covered Facchini Francis R MD Vasc & Interventional Radiology Not Covered Fagerson Donald L MD Proactive Behavioral Services Not Covered Fahrenbach Elizabeth N MD North Branch Dermatology LLC Not Covered Fahrenbach Gary Richard MD Gary R Fahrenbach MD Not Covered Fahrenbach Gregory J MD Northwest Orthopaedics Assoc. & Sports Medicine Not Covered Fahrenbach Paul V MD GI Solutions of Illinois, LLC Not Covered Fair Jeannine M APN/CNP Anesthesia Associates, Ltd Not Covered Fajardo Julianna APRN Chicago Cardiology Institute S.C. Not Covered Fajardo Marc R MD Hinsdale Orthopaedic Assoc SC Not Covered Fakhri Nasir MD Virtual Medical Staff, LLC Not Covered Fakhruddin Atif MD Dreyer Medical Group Not Covered Fakouri Bejan J MD DuPage Medical Group Not Covered Falcon Anthony E PA-C CEP-Illinois Not Covered Falkowska-Grosrenaud Alfreda MD Presence Saints Mary and Elizabeth Medical Center Not Covered Fallico Sandra MD MidSuburban Radiological Associates, LLC/Elk Grove Radiology Not Covered Falouji Fanan M MD NorthShore Medical Practice Not Covered Fang Henry Y MD Medical Practice of Henry Fang, MD Not Covered Fang Hsien-Ta MD Nephrology Assoc of Northern IL Not Covered Fanto Salvatore A MD Medical Practice of Salvatore Fanto MD Not Covered Farbota Leo M. MD General & Vascular Surgery, Ltd. Not Covered Farhana Arjumand MD Grace Pediatrics LLC Not Covered Farhat Hamad I MD Amita Health Medical Group - Neurosciences Institute Not Covered Farmer Derrick Lloyd MD Compass Health Center Not Covered Fathalla-Ashmawy Ayman Gamal CSA Global Surgical Inc Not Covered Fatima Sehar DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Fatima Shaheen MD Ridge Medical Center Not Covered Faulkner Valencia T APN/CNP Rehabilitation Medicine Specialists Not Covered Favor Robin L MD Suburban Surgical Assoc Ltd Not Covered Feder Marc S DPM Affiliated Podiatrists, LTD Not Covered Fedirko Bohdan MD Cardiovascular Service Associates Not Covered Feighery Christine Furmanek APN/CNP Northwest Suburban Medical Associates, SC Not Covered Feinkind Leonard N MD MFM Consultants of Illinois Not Covered Feldman Kori E MD Integrative FamiilyHealth Associates dba Vitality Family Health Not Covered Feldmann Luz A MD Luz A. Feldmann, M.D., Ltd. Not Covered Fell Michael S. DO Children and Teens Medical Center Not Covered Feller Margaret A APN/CNP Metro Infectious Disease Consultants, LLC Not Covered Fendon Thomas H. MD Fendon Plastic Surgery SC Not Covered Feoktistov Alexander P MD Synergy Integrative Headache Center Not Covered Fewell Jennifer T. APN/CNP Midwest Respiratory, Ltd Not Covered Fields Karen L APN/CNP Fabian Carbonell MDSC Not Covered Fields Kristin L PA-C Orthopedic Assoc of Kankakee Not Covered Fineberg Steven Jay MD The Spine Center Not Covered Finigan Michael Kevin PA-C OrthoIllinois Not Covered Fink Andrea PhD Andrea Fink, PhD Not Covered Finke Helen Margaret PA-C Cardiac Surgery Associates - Arlington Heights Not Covered Finn William J DPM Weil Foot & Ankle Institute Not Covered Fioretti Tina R PA-C Suburban Surgical Care Specialists, S.C. Not Covered Fisch Nicole Kristen PA-C Cardiac Surgery Associates, SC Not Covered Fisher Denise E DDS Kids Plus Pediatric Dentistry Not Covered Fisher Theodore Jason MD Illinois Bone & Joint Institute Not Covered Fishman David Leon MD David L. Fishman, MD, SC Not Covered Fishman Deborah R MD Pediatric Eye Associates - Wilmette Not Covered Fishman Ilya MD Illinois Adult Healthcare, LLC Not Covered Fitchev Elena I MD Not Covered Fitzpatrick Catherine F. MD Pediatric Care Associates, S.C. Not Covered Fitzpatrick Collins T MD RML Specialty Hospital Not Covered Flach Thomas S DO Dr Flach & Associates PC Not Covered Flaherty Elizabeth Chruscinski MD Northwest Neurology, LTD Not Covered Flaherty Stephen A CRNA Anesthesia Associates, Ltd. Not Covered Flais Shelly V MD Pediatric Health Associates Not Covered Flanagan John T DPM Ankle & Foot Specialists Not Covered Fletcher Alyssa Ann PA-C Midwest Bone & Joint Not Covered Fletcher Estelle S MD, PhD Estelle Fletcher MD PhD Family Doctor SC Not Covered Flicker Michael Scott MD Advanced GI LLC Not Covered Fliegelman Robert M DO Metro Infectious Disease Consultants LLC Not Covered Flood Timothy P MD Illinois Retina Associates, SC Not Covered Flores David G SA Core Orthopedics & Sports Medicine Not Covered Flores Efrain MD Dr. Efrain Flores-Pediatrics S.C. Not Covered Flores William PA-C IL Emerg Med Spec. Not Covered Flynn Dennis M MD Dupage Medical Group, Ltd Not Covered

15 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Foca-Munoz Lillian MD Medicina General/Medical Clinic Not Covered Foes Jennifer A DMD Apple Dental Care Not Covered Foody Robert J MD Aurora Eye Clinic Not Covered Ford Janet B CNM Midwest OB/Gyn & Midwifery Not Covered Forman Edward Steven DO Chitown Orthopaedics & Sports Medicine, S.C. Not Covered Forni Phillip L DPM AFP Podiatry, LTD Not Covered Forsberg Amy Elizabeth PA-C CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Foschi Alberto Eleodoro MD Alberto E. Foschi, MD Not Covered Foster Risha M MD Uropartners LaGrange Urology Not Covered Foulkes Richard B MD Not Covered Fowler Deanne Janet PA-C CEP - America - Illinois - Presence Saint Joseph Hospital - Chicago Not Covered Foy Bryan K MD Cardiac Surgery Associates, SC Not Covered Francis Andrew W MD Chicagoland Advanced Retina Care Ltd Not Covered Francis Christopher David DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Francis Maria DO Metro Infectious Disease Not Covered Franco Lisa A MD Hinsdale Pediatric Associates Not Covered Frank Daniel J MD DuPage Medical Group Ltd Not Covered Frank Judith E MD Rheumatology Specialists PC Not Covered Frank Kelley DPM AMITA Wound Healing Center Not Covered Frank Lawrence W MD Edward Elmhurst Health Not Covered Frank Michael W MD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Franke Kevin J PhD Kevin Franke PhD Not Covered Frankel Rhoda R LCSW Presence Saint Joseph Hospital Not Covered Franklin Jason Rim MD Fisher-Swale-Nicholson Eye Center Not Covered Frantzides Constantinos T MD Chicago Institute of Minimally Invasive Surgery Not Covered Frausto Laurel V DMD Robert E Rada, DDS Not Covered Free Alan Ettore MD Union Health Service Not Covered Freebeck Peter C MD Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Freed Marc A DO FGM Pediatrics PC Not Covered Freedberg Howard I MD Suburban Orthopaedics - Bartlett Not Covered Freedman Mark D MD Mark D. Freedman, MD Not Covered Freels Stephanie MD Aesthetic & Clinical Dermatology Associates Not Covered Freeman Deborah MD DM Freeman MD, Endocrinology, Ltd Not Covered Freihage Jeffrey H MD Midwest Heart Specialists - Barrington Not Covered Fremgen Michael W DO Chicago Surgical Clinic, Ltd. Not Covered French Neel K MD Neel French, MD SC Not Covered Frer Anthony MD, DDS McHenry Dental Specialists Not Covered Friberg Jan MD Friberg Medical Associates Not Covered Friedl Charles A DO DuPage Medical Group Ltd. Not Covered Friedman Harvey J MD Pulmonary Medicine Associates Not Covered Friedman Mark James MD Maryville Academcy Not Covered Friedman Neil R MD Metro Chicago Surgical Oncology, LLC Not Covered Friedrich Timothy DPM Orthopedic Assoc of Kankakee Not Covered Fritcher Anne PA-C CEP - America - Illinois - Presence St. Mary's Hospital Not Covered Fritz Julie Ireland PA-C CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Fritz Mark J MD Medical Practice of Mark Fritz, M.D. Not Covered Fronczak Stanley W MD West Suburban Neurological Associates, S.C. Not Covered Fruhauff Katherine PsyD Katherine Fruhauff, PsyD Inc Not Covered Fuentes Henry J MD Parkview Orthopaedic Group Not Covered Furda R Scott PsyD R Scott Furda PsyD, LLC Not Covered Furmanov Sergey MD Rheumatic Disease Center Physicians, SC Not Covered Fyda Jacob Philip MD Bespoke Psychiatry Not Covered Gadson Vidhi S MD Novas, Dohr & Coll Obstetrics/Gynecology Associates Not Covered Gager Roseann MD DuPage Medical Group, Ltd. Not Covered Gagliardi Giuseppe MD Chicago Surgical Clinic, Ltd. Not Covered Gaiha Vishnu D MD Vishnu D. Gaiha, MD, SC Not Covered Galinsky Dennis L MD Berwyn Radiation Oncology Center Not Covered Galla Pagadala Aruna MD Dreyer Medical Group Not Covered Gallagher J. Richard MD Medical Practice of J. Richard Gallagher MD Not Covered Gallagher Katrina L FNP-BC Inpatient Consultants of Illinois Not Covered Gallagher Thomas J MD DuPage Medical Group Not Covered Gallanosa Arvin Joseph Kiamco MD Rehabilitation Associates of the Midwest, SC Not Covered Galloucis Matthew PhD Rehabilitation Associates of the Midwest, SC Not Covered Galloway Margaret M NP *Phillip Cacioppo, M.D., S.C. Not Covered Galperin Aleksandr MD AG FAMILY CARE LTD Not Covered Gambla Gregory R DO Illinois Gastroenterology Not Covered Gan Stephanie Diane MD DuPage Medical Group, Ltd Not Covered Gandhi Bhavesh R MD Geriatric Medical Associates Not Covered Gandhi Chhavi MD Western Springs Asthma & Allergy, SC Not Covered Gandhi Jigna NP Chicago Cardiology Institute S.C. Not Covered Gandhi Nisarg MD Rheumatic Disease Center Physicians, SC Not Covered Gandhi Rajiv Jay MD Nephrology Associates of Northern Illinois Not Covered Gandhi Sanjay MD North Shore , Ltd. Not Covered Gandhiraj Bindu Lakshmi MD Associates in Psychiatry & Counseling, PC Not Covered Garala Mehul H MD Illinois Bone & Joint Institute, LLC Not Covered Garapati Amar Babu MD Midwest Respiratory, Ltd. Not Covered Garapati Rajeev MD Northshore Healthcare University Faculty Practice Assoc Not Covered Garber Joseph Brett MD Eye Physicians & Surgeons of Chicago, SC Not Covered Garcia Elizabeth APN Midwest OB/Gyn & Midwifery Not Covered

16 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Garcia Maria L MD ABC Pediatrics Not Covered Garcia-Alvarez Esperanza MD Advocate Medical Group Not Covered Garcia-Valenzuela Enrique MD Midwest Retina Consultants, S.C. - Des Plaines Not Covered Garden Benjamin C MD University Dermatology and Vein Clinic Not Covered Garelick David H MD Illinois Bone & Joint Institute Not Covered Garganera Dan A MD Southwest Infectious Disease Associates Not Covered Garofola Chad Michael DC Not Covered Garoufalis Matthew G DPM Professional Foot Care Spec PC Not Covered Garrity Thomas E MD Northwest ENT Associates - CHGO Not Covered Gartlan Michael G MD ENT Surgical Consultants Not Covered Garza Fernando J CSA American Surgical Professionals Not Covered Gasparich Elizabeth M CSA DuPage Medical Group Ltd. Not Covered Gaunt Amy K MD Women OB/Gyn Associates Not Covered Gautam Sagun MD Chicagoland Integrated Professionals, Inc. Not Covered Gavino Wayne R MD Fox Valley Neurology Not Covered Gawrysz Marek MD Not Covered Gaynor Bryan Robert DO Dreyer Medical Group (Highland) Not Covered Gaziano Dominic J MD Body & Mind Medical Center Not Covered Gelbort Michael M PhD Medical Practice of Michael Gelbort, PHD Not Covered Gelfand Inessa M MD East West Internal Medicine Associates Not Covered Georgatos-Melanis Anna PsyD Gersten Center for Behavioral Health Not Covered George Benjamin A PA-C Vasc & Interventional Radiology Not Covered George Joe M DPM Illinois Orthopedic Institute LLC Not Covered George Mary K. MD Personalized Wellness Internal Medicine, INC Not Covered George Najat Shaba MD Medical Health Clinic, Ltd Not Covered George Regeni MD DuPage Medical Group Not Covered Georgiou Peter DC ReAlign Chriopractic PC Not Covered Gephart Todd A MD DuPage Medical Group Not Covered Gerard David P MD Gastroenterology Services, Ltd. Not Covered Gerber Brian S MD Urology Care Center Not Covered Gerber Gail S MD Northwest Association for Women`s Healthcare Not Covered Gerber Robert M DPM Robert M. Gerber, DPM Not Covered Gerdisch Marc W MD Cardiac Surgery Associates, SC Not Covered Geroulis Anthony J. MD North Shore Center for Plastic & Cosmetic Surgery - Northfield Not Covered Gershan Deepali Gangahar MD Compass Health Center Not Covered Gershberg Michael MD Primary Care Associates Not Covered Gershteyn Marina PA-C Respiratory, Critical Care & Sleep Specialist, LLC Not Covered Gersten Jeffrey B PsyD Gersten Center for Behavioral Health Not Covered Gerwin Meganne PA-C Forefront Dermatology, S.C. Not Covered Getz Paul MD Dundee Dermatology Not Covered Gewarges Paula C DO Dreyer Medical Group Not Covered Ghaderi Bahram MD St. Charles Plastic Surgery LTD. Not Covered Ghadiali Larissa K MD Hinsdale Eye Clinic, LLC Not Covered Ghaey Kamala Arabolu MD Kidz Health Not Covered Ghanayem Kubilius Kathryn Maria MD Hinsdale Family Medicine Center Not Covered Ghani Ambereen MD MedPlus Medical Center SC Not Covered Ghani Ehtesham J MD Maple Medical Center Not Covered Ghani Muhammad T K MD Allergy & Clinical Ctr Not Covered Ghavami Forough S DO Nuvasive Clinical Services Not Covered Ghazizadeh Ramin DPM Professional Foot and Ankle LLC Not Covered Ghee Charles David MD Cardiac Surgery Associates Not Covered Gherman Maya O APN/CNP Rehabilitation Associates of the Midwest, SC Not Covered Ghignone Erica Chiara MD Compass Health Center Not Covered Ghirri Muhanned CSA UNITED SUBURBAN SURGICAL ASSISTANCE Not Covered Gholap Tejasi Arvind MD VNA Healthcare Not Covered Ghosh Geeti MD Geeti Ghosh MD SC Not Covered Ghosh Mona MD Progressive Womens Healthcare SC Mona Ghosh, M.D. Not Covered Ghuman Supreet Kaur DPM Fox Valley Wound Care Associates Not Covered Ghumra Mohamed K MD Access Neurocare Not Covered Giacomo Carly N PA-C CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Giancarlo Joseph Anthony DO Aschinberg Pediatrics Not Covered Giannola Deanne K PA-C Midwest Surgical Associates SC Not Covered Giannotti Giovanni D MD Giovanni D Giannotti, MD,SC Not Covered Giannoulias Christos S. MD Not Covered Gibbons Jerry MD Kenneth Young Centers 1 Not Covered Gikas MD Elias G Gikas, MD Not Covered Gilbert Brett Evan DDS Not Covered Gill Poonam J MD Apex Northwest HealthCare SC Not Covered Gill Sanjay S MD Lincoln Park Heart Center Not Covered Gill Santosh Kaur MD Fox Valley Cardiovascular Consulants Not Covered Gill Simrun Kaur MD Maple Medical Center Not Covered Gill Sukhjit S MD Lincoln Park Heart Center Not Covered Gill Vikramjit S MD Alina TeleHealth Not Covered Gilleon Cherie Renee DO Gilleon Health Not Covered Gillies Katie Anita PA-C DuPage Medical Group Ltd Not Covered Gillis Mark C MD DuPage Medical Group Not Covered Ginsburg Beth E MD Pulmonary Medicine Associates Not Covered Giovannetti Andres Eleazar MD Chicago Institute for Advanced Surgery Not Covered Giraldo Andres Alberto MD Advocate Medical Group Primary Care Not Covered

17 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Girdhar Kiran MD Hinsdale Asthma & Allergy Center Not Covered Girdhar Manika DO Hinsdale Asthma and Allergy Center Not Covered Girgis Philip J DMD Philip J. Girgis, DMD, PC Not Covered Girgis Samuel J MD Drs Girgis & Associates Not Covered Giri Visvanatha V MD Midwest Respiratory, Ltd. Not Covered Gitelis Michael MD Gitelis Orthopedics Ltd Not Covered Gladdin Stephen MD Obstetrics and Gynecology in Elgin Not Covered Glaser Mitchell L MD Glaser And Associates LLC Not Covered Glaser Scott E MD Pain Specialists of Greater Chicago Not Covered Glavin Michael J MD Glavin Eye Center Not Covered Glaws Walter R DO Illinois Gastroenterology Group, LLC Not Covered Glazer Alex M MD Scott D Glazer MD SC Not Covered Glazer Scott David MD Scott D Glazer, MD, SC Not Covered Gleason Thomas MD Illinois Bone & Joint institute Not Covered Glenn Charlotte MD Elk Grove Medical Associates Not Covered Glick Barry M. DO Elk Grove Medical Associates Not Covered Gloude Christopher M APN/CNP DuPage Medical Group, Ltd Not Covered Gluckman Gordon MD UroPartners, LLC Not Covered Gluskin Adam Bradley MD Northwest Gastroenterologists, S.C. - Arlington Heights Not Covered Gluskin Lawrence E MD Illinois Gastroenterology Group LLC Not Covered Gobin Karina Shah MD Allergy, Sinus, and Asthma Professionals Not Covered Gocke Sean P DPM West Suburban Podiatry Not Covered Godambe Sonia S MD Illinois Gastroenterology Not Covered Godellas Constantine V MD Loyola University Medical Center Not Covered Godoy-Romero Ernesto A MD Dreyer Medical Group Not Covered Goel Ankush MD Dreyer Medical Group Not Covered Gogia Rajendra MD Nova Medico Not Covered Gogoneata Elena MD Rheumatology Services Ltd Not Covered Golbin Hallett Dina DO Specialty Care Institute Not Covered Goldberg Marlyn F MD Kovach Eye Institute Not Covered Goldberg Richard S MD AMITA Health Medical Group Not Covered Goldenberg Bruce D MD Advocate Medical Group Internal Medicine Not Covered Golden-Brenner Carrie E MD Vision Surgeons & Consultants Not Covered Goldfain Valerie MD Westwood OB-GYN Not Covered Goldflies Mitchell Lee MD Sports Medicine, Ltd Not Covered Goldin Harry M MD Derm Assoc of La Grange Not Covered Goldkind Adam D DPM Northwest Suburban Foot & Ankle Clinic Not Covered Goldman Jaroslav Isak MD East West Internal Medicine Associates Not Covered Goldstein Jordan L. MD Orthopaedic Surgery Specialists, Ltd. - Fox River Not Covered Goldvekht Aleksandr MD Alpha Pain & Wellness Center Not Covered Golec Janusz E MD Not Covered Gomaa Mona Mohsen MD Brilliant Women Care Not Covered Gomez Carlos A MD Family Care Associates Not Covered Gomez James J MD James J Gomez MD Not Covered Gomez Michael Sazon MD Uropartners, LLC, Not Covered Gomez Rose MD Not Covered Gomez-Galan Angel MD Gomez Medical Group Inc Not Covered Gondi Vinai MD Radiation Oncology Consultants Ltd Not Covered Gonzales Ronald D MD NorthStar Medical Center Not Covered Gonzalez Isabel MD Amita Health Mercy Medical Center Not Covered Gonzalez Leticia MD OBHG Illinois, SC Not Covered Gonzalez Maria E APRN, FNP A to Z Pediatrics and Youth Healthcare Not Covered Goodman Dusty PA-C Illinois Bone & Joint Institute, LLC Not Covered Goodman Ira J MD Pain Specialists of Greater Chicago Not Covered Goodman Olga MD Rheumatic Disease Center Physicians, SC Not Covered Goodman Paul Lawrence DPM The Foot & Ankle Treatment Center Not Covered Goodsite Janine A CRNA American Anesthesiology Associates of Illinois, SC Not Covered Gopaniuk-Folga Anna B MD Kidney & Hypertension Consultants, SC Not Covered Gopi Shanthi R MD City Center Health Care Not Covered Gordon Bradley J MD Thorek Hospital Not Covered Gordon Colette Bostin MD Colette Gordon, MD Not Covered Gordon Gary S MD Northwest Oncology & Hematology, S.C. Not Covered Gordon Olena Y MD Wellness Medical Center Not Covered Gordon Paul J MD Thoracic Surgical Associates, LLC Not Covered Gorengaut Vladislav I MD Suburban Radiologists SC Not Covered Goreshi Renato MD Pinnacle Dermatology Not Covered Gorla Kiranmai MD Advocate Medical Group Not Covered Gorla Madhu S R MD Chicago Glaucoma Consultants Not Covered Gorovits Anatoly MD Premier Occupational Health Not Covered Goulder Steven J MD IL Dermatology Institute LLC Not Covered Goulson Haley PA-C DuPage Medical Group, Ltd. Not Covered Govdyak Oksana SA Not Covered Gowda Nayan S MD Nephrology Assoc of Northern IL Not Covered Gowda Satish MD Pulmonary, Critical Care & Sleep Medicine Specialists, S.C. Not Covered Goyal Subhash C MD St Anthony Health Affiliates Not Covered Grabavoy Alexander DDS Medical Practice of Alexander Grabavoy DDS Not Covered Grable Ian A MD NorthShore University HealthSystem Not Covered Grabowski Agnieszka Ewelina LCSW Wildflower Center for Emotional Health LLC Not Covered Grabowski Stephen T MD DuPage Medical Group Not Covered

18 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Grad Gary I MD Northwest Oncology & Hematology, S.C. Not Covered Graf Carl N MD Illinois Spine Institute, S.C. - Schaumburg Not Covered Graham Robert O MD Seton Family Health Center Not Covered Grama Nikita DPM Mercy Hospital & Medical Center - Podiatry Residency Not Covered Gramm James A MD Cardiac Surgery Associates, SC Not Covered Grande Anthony A MD North Suburban Gastroenterology Assoc., SC Not Covered Grandinetti Debora M MD Family Medical Care Not Covered Grandinetti Philip G MD Family Medical Care Not Covered Graziano James J MD DuPage Medical Group, Ltd. Not Covered Greager John A MD Cancer Therapy Associates Not Covered Grear Michael J MD We Care Orthopedics Not Covered Green Alexander I MD Loyola University Medical Center Not Covered Green Kristian Ashley PA-C OrthoIllinois Not Covered Greenberg Bruce MD Northwest Gastroenterologists, S.C. - Arlington Heights Not Covered Greenberg Michael MD Illinois Dermatology Institute, LLC Not Covered Greene McKenzie Dickson PA-C Midland Orthopedic Assoc SC Not Covered Gregor Angela Louise PA-C Illinois Center for Digestive Disease & Liver Hlth Not Covered Gregoriou Kimberly A APN AMITA Health Medical Center, LaGrange Not Covered Gregus Margaret M APN Sangita Sudharshan M.D. Not Covered Gremley Candice PA-C CEP - America - Illinois - Presence St. Mary's Hospital Not Covered Grendon Michael Todd MD Commonwealth Medical Physicians Group, SC Not Covered Gribovich Yuriy CSA Cardiac Surgery Associates, SC Not Covered Grieco John G MD Cardiac Surgery Associates Not Covered Griem Katherine L MD Berwyn Radiation Oncology Center Not Covered Griffin James H MD Advocate Medical Group - Urology Not Covered Griffin Jason D MD DuPage Medical Group Not Covered Griffin Joseph R. ORT Barrington Orthopedic Specialists Not Covered Griggs Louisa W MD Advanced Ob/Gyne Associates SC Not Covered Grimm Michael J APN/CNP Cardiac Surgery Associates, SC Not Covered Griza Carmen L MD North Suburban Family Medicine Not Covered Gronli Jerome O MD Pediatric Health Associates Not Covered Gros William H MD DuPage Medical Group Not Covered Groskopf Lisa A DO Dreyer Medical Group Not Covered Grosso Stephanie E PA-C CEP - America - Illinois - Presence St. Mary's Hospital Not Covered Grote Christina APRN Suburban Pulmonary and Sleep Associates, Ltd. Not Covered Grover Andrew R PA Northwest Neurology, LTD Not Covered Gruner Charles R MD Surgical Associates, S.C. Not Covered Gruss Jason Joseph MD Advanced Rehabilitation Care, LLC Not Covered Gruszka Mary Ellen MD FGM Pediatrics PC Not Covered Gryniewicz-Sika Nancy S MD Family Medical Care Associates Not Covered Grzegorek Daniel J DO DuPage Medicine Willowbrook Not Covered Grzeskowiak Wojciech Z MD Family Practice Not Covered Guelich David R MD Chicago Orthopaedics & Sports Medicine, SC Not Covered Guerra Kathleen Sofen PA-C Mohs Surgery and Dermatology Center Not Covered Guerra Mayte PsyD Gersten Center for Behavioral Health Not Covered Guerra Rodas Daniel MD Shifa Nephrology Associates, LLC Not Covered Guerrero Charlemagne G MD Northwest Chicago Primary Care, SC Not Covered Guirguis Alfred S DO Gynecologic Cancer Institute of Chicago Not Covered Gulack Brian Charles MD Alexian Brothers Medical Group Not Covered Gulati Dhiraj MD RCMG Digestive Disease Consul-Aurora Not Covered Gulecyuz Mehmet S MD Illinois Institute of Pediatric Cardiology, LTD Not Covered Gullo Gregory J MD Radiological Consultants of Woodstock, LTD Not Covered Gunasekaran Thirumazhisai S MD Advocate Medical Group Not Covered Gundavaram Madhu S MD Northwest Pulmonary & Sleep Medicine Not Covered Guo Yili MD Midtown Physicians SC Not Covered Gupta Aleea MD Family First Direct Primary Care Inc Not Covered Gupta Anshu MD Anshu Gupta, MD., P.C Not Covered Gupta Anurag MD DuPage Medical Group Ltd Not Covered Gupta Atul N MD Southwest Infectious Disease Associates Not Covered Gupta Balaji K MD DuPage Ophthalmology Not Covered Gupta Bhavna MD Amita Health Saint Joseph Hospital Not Covered Gupta H V MD Illinois Gastroenterology Group, LLC Not Covered Gupta Priya CSA American Surgical Professionals Not Covered Gupta Sachin Kumar MD Presence Saint Joseph Hospital Not Covered Gupta Vanita MD Elgin Family Physicians Not Covered Gupta Vivek Anand MD Vivek Gupta, MD, SC Not Covered Gurau Izabella MD Northwest Medical Associates of Chicago Not Covered Gurevich Boris MD East West Internal Medicine Associates Not Covered Gurevich Tamara MD Advance Medical & Rehabilitation Not Covered Gurfinchel Aaron MD Northeast Nephrology Consultants, Ltd Not Covered Guske Paul J MD Suburban Surgical Care Specialists, S.C. Not Covered Gustafson Ellen J MD Presence Cancer Care/JOHA Not Covered Gutierrez Robyn Michelle DO Lurie Children's Hospital-Pediatric Hospitalists Not Covered Gutta Gawtham MD DuPage Medical Group Not Covered Guynn Todd P MD Cardiac Surgery Associates, S.C. Not Covered Guziec Gary J DPM Midtown Foot Health Centers Not Covered Guzman Vinasco Luis Fernando MD Northwest Suburban Medical Associates, SC Not Covered Gyuzelev Petar Ivanov SA American Surgical Professionals Not Covered Habib Fadi A MD Fadi Habib, MD, Division of MCSO Not Covered

19 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Habib Ibrahim MD Dreyer Clinic - Highland Not Covered Hackfort Ann Elsa DO Dreyer Medical Group Not Covered Hadi Mohammed A. MD Mohammed A. Hadi, M.D. Not Covered Irfan N MD Metro Infectious Disease Consultants Not Covered Hagen Colleen A MD Midwest Surgical Associates SC Not Covered Hahn David MD Vasc & Interventional Radiology Not Covered Hahn Eugenia L MD Advanced Allergy & Asthma Associates Not Covered Hajduk Mary B CP Hanger Orthotics & Prosthetics Not Covered Hakim Mustafa CSA Mustafa Hakim, CSA Not Covered Halihan Craig W DPM Advanced Foot & Ankle Specialists Not Covered Hall Calvin Houston MD Not Covered Hall Heather Anne MD Tiesenga Surgical Associates, SC Not Covered Hall Jennifer L MD DuPage Pediatrics Ltd Not Covered Hall Miena Meek MD Hinsdale Family Medicine Center Not Covered Halloran Fred J MD Fred J Halloran, MD, SC Not Covered Halper Shelley J MD Derm Assoc of La Grange Not Covered Halperin Cathy J MD La Grange Women's Clinic Not Covered Halpern Jeffrey A. DDS Not Covered Ham Jongwook MD Associates in ENT & Head & Neck Surgery Not Covered Hamad Bachar MD Dupage Medical Group, Ltd Not Covered Hamad Fares DO Dupage Medical Group, Ltd. - Gastroenterology Not Covered Hamblin Michael H MD Radiology Partners (Midwest Imaging Professionals, LLC) Not Covered Hameeduddin Afshan MD Northwest Suburban Medical Group, S.C. Not Covered Hameeduddin Mohammed MD Ann & Robert H. Lurie Children's Hospital of Chicago Not Covered Hamell Heather Anne APN/CNP Midwest Respiratory, Ltd Not Covered Hamer John F MD Suburban Radiologists SC Not Covered Hamidani Nasreen MD Horizon Medical Health Not Covered Hamilton Joni Lynn M. MD Children and Teen`s Medical Center - Algonquin Not Covered Han Alice MD Metro Infectious Disease Consultants, LLC Not Covered Han Tina S MD Nephrology Associates of Northern Illinois Not Covered Handler Michael R MD Amita Health Alexian Brothers Medical Center Not Covered Handrup Theodore B MD Handrup and Associates Not Covered Hanna Emalee Jann PA-C Dreyer Medical Group Not Covered Hanna Wafik A MD Hanna Facial Cosmetic Surgery Not Covered Hannon Margaret M MD DuPage Medical Group Fam Med Not Covered Hanson Katie E APN/CNP Amita Health Saint Joseph Hospital-Chicago Not Covered Hansra-Godfrey Inderjit K MD Suburban Pulmonary and Sleep Associates, Ltd. Not Covered Haque Faraz Imtiaz DPM Ankle N Foot Center Not Covered Haque Sarfaraz MD Midwest Hospitalists, LLC Not Covered Haraldsson Catherine A PA-C Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Harazin James M DO Midwest Family Physicians Not Covered Hargan Robert T MD PMG - Lincoln Park Medical Associates Not Covered Harijith Anantha Krishnan MD Presence Saint Joseph Hospital Not Covered Haritha Josna MD Northwest Rheumatology Specialists, SC Not Covered Harkenrider Matthew Mark MD LUMC Radiaton Oncology Not Covered Harms Gregory John PsyD Diamond Headache Clinic Not Covered Harnack Steven C MD Dreyer Medical Group Not Covered Harnisch Darin O MD Northwest Infectious Disease Consultants, SC Not Covered Harris Daniel Preston PA-C CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Harris Edwin J DPM Dr Edwin J Harris Not Covered Harsoor Suneela MD Pain Specialists of Illinois Not Covered Harting Brian P MD Metro Infectious Disease Not Covered Hartsell William F MD Northwestern Medicine Chicago Proton Center Not Covered Harward Eleanor N PA-C Cardiac Surgery Associates, SC Not Covered Hasan Ashraf MD Orthopedic Assoc of Kankakee Not Covered Hasan Nausheen MD Nausheen Hasan M.D., S.C. Not Covered Hasan Syed A MD Valley Heart & Vascular Clinic, Ltd.-Elgin Not Covered Hasan Zeba M MD Pediatric Health Associates Not Covered Hashim Firdaus MD Center for Not Covered Hashimoto Amy MD DuPage Medical Group Not Covered Hashmi Nashib MD 2HT Kidney Care, LTD Not Covered Hasson Albert MD Northwest Pediatrics Not Covered Haswah Neda S MD Suburban Radiologists SC Not Covered Hatakeyama Teruyuki DDS Teruyuki Hatakeyama DDS Not Covered Hatfield Suzan L. APN/CNP Presence Cancer Care/JOHA Not Covered Hatoum Nawar MD Chicago Maternal-Fetal Medicine, SC Not Covered Haveric Zlatko MD Haveric Medical, Ltd. Not Covered Hawkins James N. DO Aishling Obstetrics & Gynecology Not Covered Hayek Richard James MD Northwest Orthopaedics Assoc. & Sports Medicine Not Covered Hayes Randall CSA Epic Surgical Solutions LLC Not Covered Headley Ryan C MD Suburban Surgical Assoc Ltd Not Covered Heald Claudia APN/CNP Haveric Medical Not Covered Heaton Alex Edward MD Vascular and Interventional Professionals, LLC Not Covered Heaver Angeline APN DuPage Medical Group Not Covered Heck Christine L DPM Not Covered Hedman Joshua R DPM Chicago Pain and Orthopedic Institute Not Covered Heffelfinger Brian L MD Fox Valley Ophthalmology Not Covered Heffernan Eileen E MD Freedom Family Practice Not Covered Hefner Alan B MD Fox Valley Ophthalmology Not Covered

20 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Heidenry Valerie A MD Fox Valley Medical Associates Not Covered Heilizer Tim J MD Timothy Heilizer, MD Not Covered Hein Jennifer M MD Women's Institute of Cosmetic & Laser Surgery Not Covered Hejna Michael J MD, PhD Orthopaedic Assoc of Riverside LLC Not Covered Heldt Angela M APN/CNP RMG Pulmonology Not Covered Heller William A MD Midland Orthopedic Assoc SC Not Covered Hemenway Charles MD Loyola University Medical Center - Maywood Not Covered Hemmer David S MD Fox Valley Ear, Nose and Throat Associates Not Covered Hendrix Andrew Leahy MD Shirley Ryan Ability Lab @ Amita Health Not Covered Hennes Charmaine M MD Family Medical Care Not Covered Hennig Brian C PA-C Uropartners, LLC Not Covered Henriquez Rolando MD Progressive Medical Center Not Covered Hentz Courtney Lynn MD Loyola University Medical Center Not Covered Heretis Katherine MD Chicago Cardiology Not Covered Hernandez Basil S MD Dreyer Medical Group Not Covered Hernandez Hector MD Advocate Medical Group Not Covered Hernandez Maria S MD Summit Digestive & Liver Diseases Specialists Not Covered Hernandez Stephanie V DO Presence Medical Group Not Covered Hernandez-Uy Evelyn M. CRNA Medical Center Anesthesia Group Not Covered Heroux Alain L MD Loyola University Medical Center Not Covered Herr Jason M PsyD Mindset Health PC Not Covered Hersh Bryan L DPM Center for Podiatric Medicine - Orleans Street Not Covered Herst Barry S MD Eye Physicians & Surgeons of Chicago, SC Not Covered Herst Brian Siegan MD Eye Physicians & Surgeons of Chicago, SC Not Covered Hertz Bruce M MD A & H Family Medicine, PC Not Covered Hess Richard D DDS Hess, Richard Not Covered Heuser Alicia PA-C Fox Valley Orthopaedic Institute Not Covered Heydarpour Kamran MD Lakeshore Gastroenterology and Liver Disease Institute, SC Not Covered Hibey Katherine Noelle LCPC Core Counseling, Inc Not Covered Hickman Lynn APN Not Covered Hidalgo Raynelda R MD Women First Specialists, SC Not Covered Hietpas Kelly APN Cardiovascular Associates, S.C. Not Covered Hilgers Marc P MD, PhD Dreyer - Orthopedics Not Covered Hill Carl E MD Carl E. Hill, MD Not Covered Hill James M. MD Illinois Bone & Joint Institute, LLC Not Covered Hill-Cordell Nicola DDS ABC Dentistry Not Covered Hillenbrand Charles MD Not Covered Hillman David S MD Eye Specialists of Chicago Not Covered Hinds Nicolai E MD OBHG Illinois,SC Not Covered Hines David W MD Metro Infectious Disease Consultants, LLC Not Covered Hinkamp Thomas J MD Cardiac Surgery Associates, SC Not Covered Hinkle Lenita L. APRN Chicagoland Pain Mgmt Inst Inc Not Covered Hirani Waheeda Mona MD Allergy Partners of Chicago Not Covered Hirsch Alan R MD Smell & Taste Treatment & Research Foundation Not Covered Hirsch Arica MD Associated Radiologists, Ltd. - Park Ridge Not Covered Hirsch Sheldon M MD Lakeside Nephrology, Ltd Not Covered Hiser Christy J MD Dupage Medical Group, Ltd Not Covered Hizon Miguel L MD 2HT Kidney Care, LTD Not Covered Hla Ommar Tin MD Nuclear Oncology, SC Not Covered Ho Allan A MD Suburban Ear, Nose and Throat Associates - Arlington Heights II Not Covered Ho Bryant Shane MD Hinsdale Orthopaedic Assoc SC Not Covered Ho Erling MD Orthopaedic Assoc of Riverside LLC Not Covered Hoang Vu T MD Cardiac Surgery Associates Not Covered Hodakowski George T MD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Hodges Molly PA Suburban Orthopaedics - Bartlett Not Covered Hodulik Rebecca J DPM Prairie Rock Foot & Ankle Clinics Not Covered Hoffman David A MD Chicago Orthopaedic and Sports Medicine Not Covered Hoffman Dennis MD CHEST AND SLEEP MEDICINE Not Covered Hoffmann Heidi M. DPM Lincoln Foot and Ankle Center Not Covered Hoffstein Jessica PA-C CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Hofmann Elisa Ann MD Cadence Physician Group Not Covered Hofmeister Elizabeth M DPM Prairie Rock Foot & Ankle Clinics Not Covered Hollett Kirsten Leigh MD Kids First Pediatrics Partners Not Covered Hollister Timothy Carl MD Metro Chicago Surgical Oncology, LLC Not Covered Homa Theodore M. MD Advantage Healthcare Specialists Not Covered Hong John K MD Gateway Spine & Pain Physicians Not Covered Hong Tina MD OB/GYNE Infertility Center S.C. Not Covered Honor Laurie F PhD Not Covered Hopkins Mackenzie R PA-C Cardiac Surgery Associates, SC Not Covered Horn Michael A. MD Lake Shore Plastic Surgery Not Covered Horodysky Orest MD Hedges Clinic Not Covered Horwitz Jessica L APN/CNP Diamond Headache Clinic Not Covered Hosain Farzana S MD Hampshire Clinic Inc Not Covered Housner Ryan J. PA Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Hrabski Peter MD Suburban Radiologists SC Not Covered Hsieh Matthew C MD Primary Care Associates Not Covered Hsin Peter T MD Nicholas Dunkas & Associates Not Covered Hsu Norris W MD DuPage Medical Group Not Covered Hsu Te Shao MD Oak Dermatology Not Covered

21 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Hu Wei MD Presence Mercy Medical Center (Aurora) Not Covered Huang Shou-Yien Shirley MD John H. Stroger, Jr. Hospital of Cook County Not Covered Huang Tian E MD Metro Infectious Disease Consultants, LLC Not Covered Hubka Teresa A DO Comprehensive Wellness Care Not Covered Huddleston Leon Marcell MD Presence Center for Wound Care & Hyperbaric Medicine Not Covered Hudoba Pavel MD Nonsurgical Spine & Ortho Care LLC Not Covered Huey Jonathan Kenneth DPM Presence St. Joseph Hospital Not Covered Hufford Theadore Alvin MD Surgical Associates, S.C. Not Covered Hughes Charles Tanner MD Uropartners, LLC, Not Covered Hughes Timothy J MD Northwest ENT Associates - EGV Not Covered Huliyar Vinay MD Advance Inpatient Medicine Not Covered Humad Satyendra K MD Satyendra K. Humad, MD, SC Not Covered Humayun Hamid MD Maple Avenue Kidney Center LLC Not Covered Humayun Wasay Ali MD Maple Avenue Kidney Center LLC Not Covered Humayun Youshay MD Maple Avenue Kidney Center LLC Not Covered Hung Ming L MD Suburban Rehabilitation Specialists LLC Not Covered Hung Stephen C MD DuPage Medical Group of Westmont Not Covered Hunnius David Joseph DO The Sports Medicine & Regenerative Therapeutics Institute Not Covered Hunt Alison Dawn CRNA Anesthesia Associates, Ltd. Not Covered Hunt Shannon Barbara MD DuPage Eye Center Not Covered Husain Sarwar MD Talcott Primary Care, LLC Not Covered Husain Syed Khalid DPM Midwest Foot & Ankle Clinics Not Covered Husayni Tarek S MD Advocate Children's Heart Institute Not Covered Hussain Ahmed MD Internal Medicine & Family Practice Not Covered Hussain Asif MD Dreyer - Plainfield Not Covered Hussain Ayesha MD Asian Human Services Not Covered Hussain Farah K DO Dreyer Medical Group Not Covered Hussain Maria PA Suburban Medical Center Not Covered Hussain Mohammed A MD Not Covered Hussain Mohammed T MD South Chicago Oncology Associates, LLC Not Covered Hussain S DO Pulmonary Medicine Associates Not Covered Hussain Rehan M MD Retina Associates Ltd Not Covered Hussain Syed Asif DPM Northwest Suburban Foot & Ankle Clinic Not Covered Hussain Tayeb S DPM Evanston Podiatric Surgeons, PC Not Covered Hussain Yessar Mufeed MD Nuvasive Clinical Services Not Covered Hussaini Asima K MD RMC-Hussaini, Asima Not Covered Huynh Phuong N MD Northwest United Urology, LLC Not Covered Hvostik George MD George Hvostik, M.D. Not Covered Hyder Fatima Ali MD TeamHealth Not Covered Hyderi Naveed PA-C Northwest Suburban Medical Group, S.C. Not Covered Hyser Matthew J MD Surgical Associates, S.C. Not Covered Hytros Michal S MD Presence Resurrection Medical Center Not Covered Iaccino David G DPM David G Iaccino, DPM Not Covered Iaffaldano Robert A MD Heart Care Centers of IL SC Not Covered Ibe Joyce Christina Fortuna MD Amita Health Resurrection Medical Center Not Covered Ibrahim Christine M MD DuPage Medical Group Not Covered Ida Robert Alex PsyD NeuroCare & Family Services, PC Not Covered Igaravidez Michael B PsyD Gersten Center for Behavioral Health Not Covered Iglesias Ann M APN/CNP Dreyer - Oswego Not Covered Ignacio Jemini G. MD DuPage Medical Group Not Covered Igoe Brian MD Igoe EyeCare Not Covered Ijaz Kiran MD Primary Care Providers of Chicago, SC Not Covered Ikelheimer Douglas Mark MD Center For Family Guidance/InSight Telepsychiatry Not Covered Ikramuddin Mohammad MD AMG Advocate Medical Group Not Covered Ilahi Shahid B. MD GI Partners of Illinois, LLC Not Covered Ilyas Zubair MD Suburban Endocrinology & Diabetes Not Covered Javed MD Swedish Covenant Medical Group Not Covered Imdad Zarqa MD MIDIC Not Covered Imran Mehnaz MD Dupage Medical Group Not Covered Indyk Andrzej P MD Austin Family Medicine Not Covered Intili Angela MD Medical Practice of Angela Intili, MD Not Covered Ionescu Ofelia M MD Not Covered Iqbal Javaid MD Alina TeleHealth Not Covered Iqbal Naveed Syed MD Heart Care Centers of Illinois Not Covered Iqbal Robina Maryam MD Dupage Medical Group Not Covered Ireland Cliff J DO Orchard Medical Group Not Covered Irfani Samia MD Omni Health PC Not Covered Irwin Heidi Lynn Lac Alternative Health Group, LLC Not Covered Isaacs Alexandra Marie PsyD Chicago Neurobehavioral Associates (dba Mindsy Psychology) Not Covered Ishkhan Khachig K MD DEV Medical Associates S.C Not Covered Iskander Ashraf A MD St. Mary Internal Medicine Associates Not Covered Iskander Safwat G MD Iskander, Safwat Not Covered Issleib Stuart A MD Stuart Issleib, LLC Not Covered Iteld Lawrence H MD Iteld Plastic Surgery Not Covered Ivankovich Daniel T MD Chicago Musculoskeletal Institute, SC Not Covered Ivanovich Matthew A MD Pulmonary, Critical Care & Sleep Medicine Specialists, S.C. Not Covered Ives Daniel W MD Elk Grove Radiology, SC Not Covered Iyengar Neha P MD Hinsdale Eye Clinic, LLC Not Covered Iyer Shilpa Valmiki MD The University of Chicago Medicine - Dept of Obstetrics and Gynecology Not Covered

22 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Izewski Richard MD Richard Izewski, M.D. Not Covered Jaber Nabil MD Dr. Jaber Pediatrics Not Covered Jabr Ayman M MD A.M. Jabr, MD SC Not Covered Jabri Mohamed N MD Jabri Medical Ltd Not Covered Jabri Nabeel MD Southwest Diabetes and Endocrinology Not Covered Jabshetty Sangmesh MD VNA Health Care Not Covered Jackowski Mariola MD Comprehensive Pediatric Care Not Covered Jackson Alyce MD RMC - Riverside Physical Med & Rehabilitation Specialists Not Covered Jackson Tamara C MD Suburban Radiologists SC Not Covered Jacob Ann M MD Advance Psychiatry and Counseling Not Covered Jacob Gregory S. DDS North Glen Dentistry Not Covered Jacob Sincer Kurian PA-C GENESIS ORTHOPEDICS & SPORT MEDICINE-OAK BROOK Not Covered Jacobs Laurence A MD Fertility Centers of Illinois Not Covered Jacobs-El Jamil MD Dreyer Medical Group Not Covered Jacoby Cory DPM Elgin Foot & Ankle Center Not Covered Jacoby Jeffrey Allen MD Fox Valley Orthopaedic Associates, S.C. Not Covered Jacoby Kenneth DPM Elgin Foot and Ankle Center, S.C. Not Covered Jagielo Paul J MD Suburban Pulmonary and Sleep Associates, Ltd. Not Covered Jagielo Ted J MD Not Covered Jailwala Bharat MD American Cancer Center, PC Not Covered Jain Anuj MD Woodridge Clinic SC Not Covered Jain Bhagwan D MD Not Covered Jain Leela MD Willowbrook Internal Medicine Not Covered Jain Madhu B MD Woodridge Clinic SC Not Covered Jain Manish MD Satyendra K. Humad, MD, SC Not Covered Jain Parag MD Heartland Cardiovascular Center Not Covered Jain Sheeja MD Personal Physicians West Not Covered Jain Shishir MD Personal Physicians West Not Covered Jain Vandana MD Orchard Medical Group Not Covered Jalal Saima MD Fox Valley Ophthalmology Not Covered Jamalvi SM Zia UL MD TeamHealth Not Covered Janda Robert C MD Hinsdale Gastroenterology Associates Not Covered Janecek Gwendolyn A CRNA American Anesthesiology Associates of Illinois, SC Not Covered Janecek Maria J DO Downers Grove Pediatrics Not Covered Janezic Katherine S APN/CNP North Branch Dermatology, LLC Not Covered Jankelow Margolit H MD Kidz Health Not Covered Jankelowitz Larry M MD Northwest Pulmonary Associates, SC Not Covered Jannusch Elizabeth A APN Dupage Medical Group Not Covered Jansen Ashley Rhea PA-C Mohs Surgery and Dermatology Center Not Covered Jansyn Gregory M DPM Suburban Podiatry Associates, PC Not Covered Jaramillo Janneth M MD Janneth Jaramillo, MD SC Not Covered Jarava Abelardo J MD Ashland Clinic Not Covered Jarka Maura FNP-BC Cardiac Surgery Associates, SC Not Covered Jaroszewska Anna MD PrimeCare Portage Park Not Covered Jasinski Nicholas Edward PsyD Neuropsychological Services, PC - Chicago Not Covered Javeri Asavari Nikhil MD DuPage Medical Group Not Covered Jawad Evyan F MD Chicago Cardiology Institute S.C. Not Covered Jazayerli Roukan MD The Center for Sleep Medicine Not Covered Jeelani Roohi MD Vios Fertility Institute Not Covered Jegadeesh Naresh Kumar MD Cook Radiation Oncology, SC Not Covered Jejurikar Sandeep S MD Midwest Plastic Surgery Institute, Inc. Not Covered Jenkins Cary Ann MD Morris Dermatology Not Covered Jennings Shannon Michele MD Alina TeleHealth Not Covered Jennings-Lugowski Erin CRNA Resolute Anesthesia Illinois SC Not Covered Jercinovic Bruno J. MD Jercinovic Pediatrics Not Covered Jercinovic Spomenka MD Jercinovic Pediatrics Not Covered Jereb Sean E MD Barrington Orthopedic Specialists Not Covered Jerome-Kon Scarline Marie MD Alina TeleHealth Not Covered Jeske John A PA-C Illinois Bone & Joint Institute Not Covered Jethani Manohar MD Health Stop Not Covered Jhawar Basant K MD Medical Practice of Basant Jhawar MD Not Covered Jimenez Andrew Esteban MD American Hip Institute, LLC Not Covered Jimenez Rosita C DDS Rosita C Jimenez, DDS Not Covered Jin Jong L MD Prime Medical Associates, Ltd Not Covered Jirschele Cameron DO DuPage Medical Group Ltd Not Covered Jobanputra Ketan N MD Chicago Infertility Asssociates Not Covered Jobanputra Smita K MD FEMCARE OB-GYN LTD. Not Covered Johanek Andrew J DO Joliet Radiological Service Corporation Not Covered John James T MD Ford Not Covered Johnson Bruce A MD Northwest Rheumatology Specialists Not Covered Johnson Dale A. CSA Northwest Orthopedic Surgery, S.C. Not Covered Johnson Elliot P PA-C Genesis Orthopedics & Sports Medicine Not Covered Johnson Jaicey A APN/CNP Elite Cardiology Solutions Not Covered Johnson Janice L MD North Shore Women`s Health, SC Not Covered Johnson Jonathan Michael MD NuVasive Clinical Services Not Covered Johnson Pamela J DDS Johnson Orthodontics Not Covered Johnson Tyran E. DDS Oral & Maxillofacial Surg Assoc PC Not Covered Jones Cicily MD Premier Internists, S.C. Not Covered Jones Denis E CRNA American Anesthesiology Associates of Illinois, SC Not Covered

23 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Jones Eddie MD Orthopedic Assoc of Kankakee Not Covered Jones Mark A DPM Center for Podiatric Medicine - Schaumburg Not Covered Jones Milena FNP-BC Valley Spine and Pain Care Centers Not Covered Jones III Lynwood Alexander MD Infectious Diseases Associates, P.C. Not Covered Joo J B MD Rush Copley Medical Cen. Not Covered Jordan Ashby M MD Pulmonary, Critical Care & Sleep Medicine Specialists, S.C. Not Covered Jorge Juaquito M MD Tiesenga Surgical Associates, SC Not Covered Joseph Deepa M MD DuPage Pediatrics Ltd Not Covered Joseph Judy MD Saint Francis Health Center Not Covered Joseph Simi Jesto APN/CNP GI Solutions of Illinois, LLC Not Covered Joseph Sunil T MD Illinois Gastroenterology Not Covered Joshi Divyang A MD Divyang A. Joshi, M.D., P.C. Not Covered Joshi Jaydeep MD National Pain Centers, Inc. Not Covered Joshi Poonam MD Infectious Diseases Associates, P.C. Not Covered Jourdan Julie Mather PA-C Dermatology Associates of OakBrook Terrace Not Covered Jova Adrian DO Advance Inpatient Medicine Not Covered Julka Kabir MD Dreyer Medical Group Not Covered Jung Kelly M. APN Alexian Brothers Medical Center Not Covered Jusko Jonathan E PA-C Orthopedic Assoc of Kankakee Not Covered Jutovsky Michael H MD Not Covered Kabir Arsalan DO Hinsdale Family Medicine Center Not Covered Sergey M DO Northwest Orthopedic Surgery, S.C. Not Covered Kachru Anil MD Respiratory, Critical Care & Sleep Specialist, LLC Not Covered Kaczor David E MD La Grange Pediatrics Ltd Not Covered Kadakia Sunil N. MD Advocate Heart Institute - Fox River Grove Not Covered Kadow Brian Thomas MD DuPage Medical Group Ltd Not Covered Yasmin Irfan MD Avicenna Primary Care Not Covered Kailas Sujatha MD George N. Atia MD, SC dba The Illinois Center for Digestive and Liver Health Not Covered Kaistha Vivek MD PMG - Internal Medicine Stony Island Not Covered Kakavas Peter W MD Heart Care Centers of Illinois Not Covered Kaki Suma R MD Boling Medical LLC Not Covered Kakodkar Siddharth Arvind MD Dreyer Medical Group Not Covered Kalache Krimo SA OR Surgical Assistants LLC Not Covered Kalache Zeina M MD DuPage Medical Group of Westmont Not Covered Kalakota Kapila MD AMITA Health Cancer Institute Not Covered Kalathiveetil Sujith J MD DuPage medical Group, Ltd Not Covered Kalbas Peggy Walsh CNOR Center for Sports Orthopaedics, S.C. Not Covered Kalchbrenner Kyle A PA-C Metro Infectious Disease Consultants, LLC Not Covered Kalin Andrew W MD Gateway Spine & Pain Physicians Not Covered Kalis John B MD Illinois Dermatology Institue LLC Not Covered Kalk Jason M DPM Affiliated Podiatrists, LTD Not Covered Kalra Jyoti Swaroop MD Radiant Oncology, S.C. Not Covered Kalra Sandeep MD Naperville Internists Not Covered Kalvoda Natalie J APRN Chicagoland Pain Mgmt Inst Inc Not Covered Kamberos Natalie L DO Loyola University Department of Pediatrics, Maguire Not Covered Kamholz Katherine N MD Northwest Primary Healthcare Not Covered Kaminski John C DDS John C. Kaminski, DDS, PC Not Covered Kaminski Joshua James MD AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Kampas Leah D PA-C Uropartners, LLC Not Covered Kanabar Shreya MD Pediatric Health Associates Not Covered Kanda Jyoti APRN Addison Medical Associates, Ltd. Not Covered James M. MD Suburban Surgical Care Specialists, S.C. Not Covered Kanev Leo MD Midwest , LLC Not Covered Kang Jennifer L PA-C Orthopaedic Associates of Riverside, LLC Not Covered Kangou Ceres APRN Advance Inpatient Medicine Not Covered Kania Agnieszka MD Women and Children's Health Care Associates, LLC Not Covered Kannan Sreepathy MD Center for Brain and Nerve Disorders, SC Not Covered Kannin Thomas F MD Kannin Medical Group Not Covered Kant Meghna DO Hinsdale Pediatric Associates Not Covered Kantar Mouhannad MD Geriatric Medical Associates Not Covered Kanter Steven L. MD Northwest Oncology & Hematology, S.C. Not Covered Kaplan Matthew J DO Digestive Disease Consultants Not Covered Kaplan Mitchell S MD Northwest Gastroenterologists, S.C. - Arlington Heights Not Covered Kaplinsky Robert Scott MD Northwest Metropolitan Urology Associates Not Covered Kapur Rashmi MD Retina Health Institute Not Covered Kapur Sachin MD Chicago Movement Specialists, LLC Not Covered Karadsheh Zeid F MD The Illinois Center for Digestive and Liver Health Not Covered Karande Vishvanath MD Karande and Associates, S.C. Not Covered Karas Vasili MD Midwest Orthopaedics at Rush Not Covered Kareem Folashade M. MD Midwest Hospitalists, LLC Not Covered Karesh John W MD Dreyer Medical Group Not Covered Karides Mark MD Illinois Cancer Specialists Not Covered Karpach Alena N APN American Hip Institute, LLC Not Covered Kashyap Rikhev DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Kassar Samer MD Midwest Neurology Associates Not Covered Kassar Wahid MD Elite Endocrinology Not Covered Katerji M. Ammar MD Katerji Pediatric Neurology & Assoc., SC Not Covered Kathpalia Paru P MD Lakeside Nephrology, Ltd Not Covered Katilius Marius MD DuPage Medical Group Not Covered

24 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Katsamakis George MD Northwest Neurology, LTD Not Covered Katsnelson Flora MD Northwest Health Institute Not Covered Katsnelson Yan MD Vein Clinics of Chicago LLC Not Covered Kattar Sandeep MD VNA Health Care Not Covered Kaufman Lawrence M MD AMITA Health Medical Group Not Covered Kaur Sukhjit DDS Smiles for Life PC Not Covered Kaur Suman MD Digestive Disease Associates Not Covered Kauth Jessica L PA-C CEPAmerica Illinois LLP Not Covered Kavi Tapan MD Virtual Medical Staff, LLC Not Covered Kavlie Laura Ann PA-C CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Kawadry Bassam MD Midwest Emergency Associates, LLC Not Covered Kawji Muhamed Mazen MD Heartland Cardiovascular Center Not Covered Kay Gary MD Northwest Oncology & Hematology, S.C. Not Covered Kayali Muhannad MD Healthy Hearts Doctors Not Covered Kaz Ari J MD Illinois Bone & Joint Institute Not Covered Kazaglis Jeffrey A MD Associates in Orthopaedic Surgery Not Covered Kazan Robert P MD West Suburban Neurological Associates, S.C. Not Covered Kazantsev Stephanie Mathews MD Forefront Dermatology, S.C. Not Covered Kazi Amber MD Northwest Psychiatry, P.C. Not Covered Kazmer Gary M DPM Kazmer Foot and Ankle Centers, LTD (1710) Not Covered Keane Dennis J. MD Rehabilitation Medicine Clinic, Inc. Not Covered Kearns Clifford L. DC Center for Physical Health Not Covered Kearns Kimberly A CNP Dupage Medical Group Not Covered Kecala Zenon L MD Kecala & Kecala, SC Not Covered Kedainis Dalius MD DuPage Medical Group Not Covered Kedainis Rasa L MD Fox Valley Medical Associates Not Covered Keenan William Brooks MD Mid Suburban Radiologists Not Covered Kekish Tosca M MD Dreyer Medical Group Not Covered Kelanic Stephen M MD Midwest ENT Associates Not Covered Kelleher Matthew MD Forefront Dermatology, S.C. Not Covered Kelly Amanda Kay CRNA Anesthesia Associates, Ltd Not Covered Kelly Joanna K MD Not Covered Kelly Melissa DO Advance Inpatient Medicine Not Covered Kendregan Regan L PA-C Olofsson, Brian Not Covered Keni Sanjay P MD Sanjay P. Keni, M.D., S.C. Not Covered Kennedy Terri L APRN IL Emerg Med Spec. Not Covered Kent Joseph H MD Metro Infectious Disease Consultants LLC Not Covered Kentra Gorey Elizabeth Renee MD Drs Girgis & Associates Not Covered Kern Jennifer A APN DuPage Internal Medicine of IL Not Covered Kesani Ajit Kumar MD Consultants in Kidney Disease, LLC Not Covered Kesslering Christy M MD Radiation Oncology Consultants, Ltd. Not Covered Kett Dwight D MD Women's Health Care of Hinsdale Not Covered Kewalramani Anita L MD DuPage Pediatrics Ltd Not Covered Khademi Shawn B DPM Northern Illinois Foot & Ankle Specialists Not Covered Khaja Aslam M. MD Northwest Neurology, LTD Not Covered Khaja Hameeduddin MD Alexian Brothers Medical Center - Elk Grove Village Not Covered Khalid Taneya APN/CNP Northern Illinois Medical Associates Not Covered Mohamed Sobhy MD Amita Health St. Mary's Hospital Not Covered Khan Ahmir H MD, PhD Northwest Neurology, LTD Not Covered Khan DPM Devon foot and Ankle Clinic Not Covered Khan Alam A MD Commonwealth Medical Physicians Group, SC Not Covered Khan Aqeel A MD Advanced Psychiatry & Counseling Not Covered Khan Basharath Mohammed Ali MD Oncology Of Northshore Not Covered Khan Farah N MD Millennium Park Medical Associates Not Covered Khan Farhan A MD VNA Health Care Not Covered Khan Farooq A MD Modern Pain Consultants, SC Not Covered Khan Farooq Hassan MD TeamHealth Not Covered Khan Maliha DPM Instep Podiatry, P.C. Not Covered Khan Mansoor MD Alexian Brothers Specialty Group Not Covered Khan Mohammed A. SA American Surgical Professionals Not Covered Khan Naseeruddin G MD Lincoln Square Medical Center Not Covered Khan Naser M MD Dupage Medical Group Not Covered Khan Naveed M MD Presence Saint Joseph Hospital Not Covered Khan Raffay S MD Chicago Cardiology Institute S.C. Not Covered Khan Saad Ali DO Advocate Medical Group Not Covered Khan Sarah M DO VNA Healthcare Not Covered Khan Talat Nasir MD A2Z Pediatrics Med-Peds Specialists, PC Not Covered Khan Usman A MD Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Khan Zubair A DPM Evanston Podiatric Surgeons, PC Not Covered Khankari Kishore B MD Angel Health Care Services SC Not Covered Khankari Shweta Kishore MD Angel Health Care Services SC Not Covered Khanna Ramesh R MD Ramesh Khanna, M.D. Not Covered Khanna Samrat Umesh MD RMG Pulmonology Not Covered Khater Russell Isam MD Will County OB-GYN, Ltd. Not Covered Khawaja Abbas A MD Cardiovascular Consultants of Aurora S.C. Not Covered Kher Anjali MD Suburban Health Care Associates Not Covered Khilanani Vijay V MD Compass Health Center Not Covered Khilfeh Manhal MD John H. Stroger, Jr. Hospital of Cook County Not Covered Kholoki M. Samer MD Intermed, Ltd. Not Covered

25 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Khosla Krishdeep MD S & K Medical Center Not Covered Khosropour Andrea M. MD Oak Street Health Physicians Group, PC Not Covered Khurana Deepak MD Specialists in Gastroenteroloy Not Covered Khurshid Naila MD Good Samaritan Prof Building Not Covered Kiang Richard MD Richard Kiang, MD Not Covered Kibbons Kimberly C APN/CNP Rehabilitation Medicine Specialists Not Covered Kijek Barbara G MD Medical Office Not Covered Kijek Mark MD Medical Practice Not Covered Kil Haein DMD Apple Dental Care Not Covered Killian Dennis M MD Heartland Cardiovascular Center Not Covered Kim Aaron K DPM Midwest Podiatry Not Covered Kim Bryan M MD Midwest Retina Consultants, S.C. - Des Plaines Not Covered Kim Donna S MD Suburban Radiologists SC Not Covered Kim Gina K APN/CNP Summit Digestive & Liver Disease Specialists Not Covered Kim Gloria PA Suburban Surgical Care Specialists, S.C. Not Covered Kim James C MD Northwest United Urology, LLC Not Covered Kim Lisa S. MD Lisa Kim Medical Associates, SC Not Covered Kim Michelle M DPM DM Foot & Ankle Associates, LLC Not Covered Kim SuJin G. DPM Illinois Institute of Foot & Ankle, P.C. Not Covered Kim Tony MD Suburban Radiologists, S.C. Not Covered Kim Yi-Hwa MD Hinsdale Family Medicine Center Not Covered Kim You S MD ABC Pediatrics Not Covered Kime Aaron Maxwell MD Cardiac Surgery Associates Not Covered Kimes Nathan E. CRNA Medical Center Anesthesia Group Not Covered Kinder Charles A MD Heart Care Centers of IL SC Not Covered King Brian A DPM Medical Practice of Brian A. King, DPM Not Covered Kinnas Spero J MD Westchester Eye Surgeons Not Covered Kinser Ewa M APRN Adventist GlenOaks Hospital Not Covered Kirchens Jennifer I. DPM Midwest Foot & Ankle Clinics Not Covered Kirincic Marie MD Hinsdale Orthopaedic Assoc SC Not Covered Kirk Tyler Quentin MD Aurora Eye Clinic Not Covered Kirollos Mariam Alber MD VNA Health Care Not Covered Kisiel Beata A MD Sun Clinic Not Covered Klein Erin Eve DPM Weil Foot & Ankle Institute, Ltd Not Covered Klein Juliana N APN/CNP Summit Digestive & Ulcer Disease Specialists Not Covered Kleinfelder Raymond Edward DO Advanced Skin and Mohs Surgery Center Not Covered Kleinklaus-Lee Amy Karen DO Women's HealthFirst - Buffalo Grove/Amita Health Not Covered Klemine Lubov A MD Not Covered Klemm Lori L. DPM DuPage Medical Group Not Covered Klempel Barbara MD Not Covered Klima Carrie S APN/CNM Presence Saint Joseph Hospital Not Covered Klimuk Ala MD Klimuk Immediate Care LLC Not Covered Klingbeil Lindsey Renee MD Chicago Institute for Advanced Surgery Not Covered Klipstein Sigal MD Karande and Associates, S.C. Not Covered Kloch Janelle T APN/CNP Elio Vento, M.D. & Assoc. Not Covered Klocker Kristen APN Advance Pediatric and Neonatal Medicine Not Covered Klodd David A PhD Professional Audiology, Inc Not Covered Kluck Steven Ray PA-C CEP - America - Illinois - Presence Saint Joseph Hospital - Chicago Not Covered Klump Jennifer S APN/CNM Westwood OB-GYN Not Covered Kmiecik Joanna Lucja MD Oak Street Health Physicians Group, PC Not Covered Knapp Lauren PA-C Advanced Behavioral Health Services Not Covered Knaus John V DO Metro Chicago Surgical Oncology LLC Not Covered Kniaz Daniel MD Associates in Nephrology, SC Not Covered Knight Christine PA-C Cardiac Surgery Associates, SC Not Covered Knight Ricardo A. MD Integrative Rehab Medicine Not Covered Knipple Judith MD Northwest Adult Medicine, S.C. Not Covered Knuth Albert E MD Orthopaedic Surgery Specialists, Ltd. - Park Ridge Not Covered Knysak David J MD Oak Brook Allergists, S.C. Not Covered Koch Elizabeth A PA-C Neurological Surg & Spine Surg Not Covered Kochanek Malgorzata MD Associates in Nephrology, SC Not Covered Kochar Kunal MD Not Covered Kochvar Guy T MD Northwest Suburban Medical Associates, SC Not Covered Kodros Nina Renae PA-C Cardiac Surgery Associates Not Covered Koecher Brian S. DO Lake Street Family Medicine, LLC Not Covered Koehl Justin M PA Core Orthopedics & Sports Medicine Not Covered Koehn Gary L MD Modern Pain Consultants, SC Not Covered Kogan Alan D MD PMG - NSPG - Cardiology Not Covered Kogan Edward D MD DuPage Medical Group Not Covered Kogan Michael G. MD Midwest Bone & Joint Not Covered Kohli Mandeep S DO Center for Adult Healthcare, S.C. Not Covered Kohli Maninder S MD Maninder S Kohli MD Not Covered Kohn Erinn R PsyD Gersten Center for Behavioral Health Not Covered Kohn Norman Vita MD Not Covered Kokanovic Obrad Stevan MD DuPage Medical Group, Ltd. Not Covered Kokocharov Stoyan I. MD Advanced Surgical Ltd. Not Covered Kola Ramesh MD Midwest Center for Cancer & Blood Not Covered Kolenchery Mercy J APN/CNP Global Healthcare, SC Not Covered Koliopoulos Elias J MD DuPage Medical Group Not Covered Kolton Bruce MD Bruce Kolton MD, LLC Not Covered

26 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Kolyvas Chris MD Heartland Cardiovascular Center Not Covered Konda Sheela D MD, PhD Suburban Radiologists SC Not Covered Kondelis Nicholas P MD Advanced Pain Consultants Not Covered Kondiles Milton Neil DPM Kondiles Chicagoland Footcare Not Covered Koneru Prafulla MD Dr. Koneru Not Covered Koop James F. MD Elio M. Vento, MD & Associates, SC Not Covered Koopman Steven G MD Uropartners, LLC, Not Covered Kopala Carrie L. PA-C Elio Vento, M.D. & Assoc. Not Covered Koppula Samyukta MD Praana Ctr-Asthma & Allergy LLC Not Covered Kosova Lawrence M DPM Family Podiatry Center Not Covered Kostiv Alex MD Kirill Zhadovich, MD.SC Not Covered Kota Srinivas C MD Premier Physicians Not Covered Kothari Jayesh M MD Presence Mercy Medical Center (Aurora) Not Covered Kotsakis George DMD George Kotsakis, DMD Not Covered Kouchis Nick S MD Nick S. Kouchis, MD Not Covered Koul Sunita MD TeamHealth Not Covered Kouris George J MD Midwest Plastic Surgery Not Covered Kouvelis Katherine F MD Dreyer Medical Group Not Covered Kowalczyk Marian J MD Marian J Kowalczyk, MD Clinic Not Covered Kowalczyk-BudziakowskBeata Z MD Advanced Family Care, SC Not Covered Komal Dolar DO Komal Koya D.O. Not Covered Kozeny Gregory A MD Nephrology Assoc of Northern IL Not Covered Kozeny Keith M MD Scott D Glazer, MD, SC Not Covered Koziol Anna FNP Metro Cardiovascular Assoc LLC Not Covered Koziol Mariusz MD Midwest OB/Gyn & Midwifery Not Covered Kozlov Kristi L MD Simpson Eye Associates Not Covered Krad Muhamad MD Advance Inpatient Medicine Not Covered Kramer Andrew J MD Surgery Group, S.C. Not Covered Kramer Lauren S PA-C Neurological Surg & Spine Surg Not Covered Krandel Sydney A PA Suburban Surgical Care Specialists, S.C. Not Covered Kraseman Stephen James MD Drs Girgis & Associates Not Covered Krasinski Andrea A MD Andrea A Krasinski, MD Not Covered Krasteva Meyer Stoyka Todorova PsyD Associates in Psychiatry & Counseling Not Covered Kratzmeyer Ridhi M DPM Elgin Foot and Ankle Center, S.C. Not Covered Krause David E MD Not Covered Krause Michelle E APN/CNP Elio Vento, M.D. & Assoc. Not Covered Krengel Samuel S MD UroPartners Hinsdale Not Covered Krieger Richard Paul MD Rehabilitation Medicine Clinic Not Covered Kriesberg Keith D. PA-C Cardiac Surgery Associates Not Covered Krishna Meena MD Bethesda Medicare Services Not Covered Kritsas John J MD UroPartners Hinsdale Not Covered Kroczek Bohdan J MD KROCZEK SURGICAL ASSOCIATES LTD Not Covered Krol Kornelia E MD Women for Women OB/Gyn, SC Not Covered Kropp Jeffrey J MD Nephrology Assoc of Northern IL Not Covered Krouleva Rumyana G APN Northwest Neurology, LTD Not Covered Krouse Matthew A DPM Advanced Foot & Ankle Specialists Not Covered Kroymann Amanda Marie PA-C OrthoIllinois Not Covered Kruckmeyer Warren G. MD Advocate Medical Group Not Covered Krunic Aleksandar L MD Innovative Dermatology Not Covered Krupa Anna E APN/CNP Primary Care Joliet Not Covered Krupica Kathleen A PsyD JEM Psychological Services, PC dba Kathleen Krupica, PsyD Not Covered Kryukov Djamilia MD Advanced Ob/Gyne Associates SC Not Covered Kuder Miroslawa A MD UK Family Practice Not Covered Kuder Paul MD Midwest Obgyn and Midwifery Not Covered Kuehn Jemima Sybil MD PrimeCare Portage Park Not Covered Kuesis Daniel T MD Core Orthopedics & Sports Medicine Not Covered Kulczycki Ted Joseph MD Dreyer Medical Group Not Covered Kul-Lipski Eleonora MD Not Covered Kulovitz Kerri A DO Chicago Hand & Orthopedic Surgery Center, SC Not Covered Kumar Arun MD Prime Care of Naperville Not Covered Kumar Arvind MD Presence Cancer Care/JOHA Not Covered Kumar Ashwin MD Dreyer Medical Group Not Covered Kumar Bhavya MD Maninder S. Kohli, M.D. Not Covered Kumar Hemali APN/CNP Illinois Gastroenterology Not Covered Kumar Rajeev MD Presence Resurrection Medical Center Not Covered Kumar Sampath P MD Metro Infectious Disease Consultants Not Covered Kumar Shawn MD Illinois Spine Institute, S.C. - Schaumburg Not Covered Kumar Vijay P MD DuPage Cardiology Group Not Covered Kummerer Robert G MD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Kuo Rebecca C MD Illinois Orthopedic Institute LLC Not Covered Kurilo Eva MD Associates in Psychiatry & Counseling, PC Not Covered Kurzydlowski Henry S. MD Henry Kurzydlowski, M.D. Not Covered Kushner Marla D DO Not Covered Kuta Peter R APN/CNP Northwest Pulmonary Associates, SC Not Covered Kutty Rafiq M MD Pulmonary Medicine Associates Not Covered Kuznetsky Kenneth A MD Kenneth Kuznetsky, MD Not Covered Lababidy Muhammed MD Midwest Respiratory, Ltd. Not Covered LaBarge Ann Marie MD Midwest Center for Women`s Healthcare-Noga Not Covered Labotka David C MD DuPage Med Group North Pavilion Not Covered

27 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Lacek Teresa CRNA, RN Anesthesia Associates, Ltd Not Covered Lacey Michael G DPM Center for Podiatric Medicine Not Covered Lachman Melanie C MD All Star Pediatrics, PC Not Covered Ladendorf Keith M PA-C Cardiac Surgery Associates, SC Not Covered Laderberg Nicole Beth PsyD Gersten Center for Behavioral Health Not Covered Lafayette Kshayla C APN/CNP Uplifted Care Not Covered Lagdaan Kaye C DPM Lincoln Foot & Ankle Center Not Covered Lakhani Ali R MD Presence Cancer Care/JOHA Not Covered Lakhani Kishore Kumar MD Kishore Lakhani M.D., S.C. Not Covered Lakshminarayan Gowri MD Nuvasive Clinical Services Not Covered Lal Anuj MD Orchard Medical Group Not Covered Lall Ajay MD American Hip Institute, LLC Not Covered Lamba Neerav Neel MD Chicago Retina, Inc. Not Covered Lamberghini Flavia DDS Apple Dental Care Not Covered Lamberti Christen R. APN Associates in Nephrology Not Covered Lambiase Elyse A MD Swedish Covenant Medical Group Not Covered Lami Babak S MD Illinois Spine Institute, S.C. - Schaumburg Not Covered Lamiot John W DPM Fox Valley Wound Care Associates Not Covered Landers Ted S OTC Midwest Sports Medicine & Orthopaedics - Elk Grove Not Covered Lane Lynda S MD LAKESHORE MEDICAL CONSULTANTS Not Covered Lang Angela M PA-C Fox Valley Orthopaedic Institute Not Covered Lang James E MD PrimeCare Community Health, Inc Not Covered Lang Soren David MD S. David Lang MD Limited Not Covered Langiewicz Janusz MD Allergy Center - South Barrington Not Covered Langner Karl M DO DuPage Medical Group Fam Med Not Covered Laniosz Valerie MD, PhD University Dermatology & Vein Clinic Not Covered Lansky Olga MD East West Internal Medicine Associates Not Covered Lantner Renee R MD Western Springs Asthma & Allergy, SC Not Covered LaPat Lia L. RN Core Orthopedics & Sports Medicine Not Covered Lapinski Paula K MD Pinnacle Dermatology Not Covered LaReau Justin M MD Hinsdale Orthopaedic Associates, SC Not Covered Larsen Brian P MD Chicago Eye Consultants Not Covered Larsen David S MD The Center for Headache Medicine Not Covered Larson Don Alfred PA-C OrthoIllinois Not Covered Larson Patricia A. MD Dr Patricia A Larson, MD & Assoc Not Covered Laskonis Laura M DO All Star Pediatrics, PC Not Covered Lastowiecka Monika K. MD Schaumburg Medicine & Endocrinology, S.C. Not Covered Lastowiecki Peter L MD Schaumburg Medicine and Endocrinology Not Covered Latall John G MD Premier Allergy, Asthma, and Sinus Care Not Covered Latif Maria R MD DuPage Medical Group Not Covered Latif Abid MD Alina TeleHealth Not Covered Lattanzio Kristin L APN/CNP Northwest Pulmonary Associates, SC Not Covered Lattin Joel M DO Northwest Gastroenterologists, S.C. - Arlington Heights Not Covered Laubacher Bryn Johnson DPM Northwest Podiatry Center, LTD Not Covered Lavaccare John A MD John A. Lavaccare MD Not Covered Law Amanda MacGregor APN Northwest Pulmonary & Sleep Medicine Not Covered Lawrence Amber L PA-C Epic Surgical Solutions LLC Not Covered Lawrence Emily APN/CNP Primary Care Joliet Not Covered Lawson John K MD Allergy and Asthma Associates Not Covered Lawton Cort Daniel MD OrthoIllinois Not Covered Lay Brittiany Elise APRN Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Layer Senuri Nimaya MD Dreyer Medical Group Not Covered Lazarevic Milenko B MD MD Care Center, SC Not Covered Le An Duy DPM Southshore Foot and Ankle Surgery Not Covered LeBoyer Russell M MD Eye Care, Ltd Not Covered Lee Ashley B. DPM First Step Foot Care Not Covered Lee Boeun MD Metro Infectious Disease Consultants, LLC Not Covered Lee Da Hee DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Lee Hong S. MD MW Endocrn & Diabetes Care LLC Not Covered Lee Joanna M APN Uropartners LaGrange Urology Not Covered Lee Karen M MD Dreyer Medical Group Not Covered Lee Patricia E MD Suburban Radiologists, S.C. Not Covered Lee Richard K MD Nephrology Associates of Northern Illinois Not Covered Lee Robert M MD Hinsdale Gastroenterology Associates Not Covered Lee Ronald D MD UroPartners, LLC Not Covered Lee Ryan Shelton MD Pulmonary Medicine Associates Not Covered Lee Scott K MD Suburban Radiologists SC Not Covered Leeberg Kenneth C CRNA American Anesthesiology Associates of Illinois, SC Not Covered Leininger Michael S PA-C Cardiac Surgery Associates, SC Not Covered Leischner Mark P MD Associates in Nephrology, SC Not Covered Leischner Thomas DDS Dentistry For All Ages Not Covered Lemus Gabriel APN/CNP Suburban Health Care Associates Not Covered Lenstrom Amber L PA-C CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Leonard James P MD Midwest Orthopaedic Consultants Not Covered Leonetti Michael DPM Dr. Michael Leonetti Not Covered Lepp J APN/CNP Scott D Glazer MD SC Not Covered Lertsburapa Kirkeith MD Heartland Cardiovascular Center Not Covered Letko Chelsy PA-C Northwest Orthopaedics Assoc. & Sports Medicine Not Covered Leung Dominic KM MD Dreyer Medical Group Not Covered

28 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Leung Jason G MD Rehabilitation Institute of Chicago Not Covered Leung Patrick MD Suburban Orthopaedics - Bartlett Not Covered Leung Philip S MD Midwest Respiratory, Ltd. Not Covered Leverentz Charu M. PA MEA-Elk Grove, LLC Not Covered Leverentz Todd M MD Northwest Internal Medical Group, LLC Not Covered Levi Gabriel Steven MD Orthopaedic & Rehabilitation Centers, SC Not Covered Levi Roberto E MD Orthopaedic & Rehabilitation Centers, SC Not Covered Levin Mark N MD Barrington Orthopedic Specialists Not Covered Levin Neil DPM Family Podiatry Not Covered Levine Lawrence E MD Lawrence E. Levine MD Not Covered Levine Max Monahan PA-C Orthopaedic & Rehabilitation Centers, SC Not Covered Levine Rebecca Ann MD Oak Street Health Physicians Group, PC Not Covered Levis William A MD Illinois Gastroenterology Not Covered Levitin Valeria O MD Clinical Associates Medical Services Not Covered Levitin Yelena MD Chicago Surgical Clinic, Ltd. Not Covered Levy Noah P MD Lurie Children's Hospital/Divison of Hosp Based Medicine Not Covered Lewicky Lubow O MD Westwood OB-GYN Not Covered Lewis Bruce E MD Presence Saint Joseph Hospital Not Covered Lewis Gregory A MD Advanced Urology Associates Not Covered Lewis Kody C. PA-C Midwest Sports Medicine & Orthopaedics - Elk Grove Not Covered Lewis Ryan Gregory PA-C Advanced Urology Associates Not Covered Liang Tehming MD Pinnacle Dermatology Not Covered Liao Frank K MD Phillip L Cacioppo MD SC Not Covered Liaugminas Dalius MD ACCESS Martin T Russo FHC Not Covered Libunao Allan J DDS Suburban Oral Surg & Implant Ctr Not Covered Liebovich Kevin M MD Illinois Gastroenterology Group Not Covered Liebovitz Susan G. MD Pinnacle Dermatology Not Covered Lim Keith S DO DuPage Medical Group Not Covered Lim Michael E. MD Center for Family & Geriatric Medicine, S.C. Not Covered Lima Alex MD The Professional Center Not Covered Limon Julie MD Hedges Clinic Not Covered Lin Hubert F APN DuPage Medical Group, Ltd. Not Covered Lin Jody Y MD La Grange Women's Clinic Not Covered Lin Judith Y MD Family Med Ctr of La Grange Not Covered Lin Pey Yi Kevin MD Doctors Plastic Surgery Not Covered Lindberg Amy E PA-C Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Lindgren Bruce W. MD Ann & Robert Lurie Children's Hospital of Chicago Not Covered Lingl Adriana V PA-C Orthopedic Assoc of Kankakee Not Covered Liotta Margaret Rose DO Loyola University Medical Center Not Covered Lipinska Marzena J MD Primary Care Providers of Chicago, SC Not Covered Lipinski Gary R MD AMITA Health Saint Joseph Medical Center Not Covered Lipman Edward W MD Fox Valley Cardiovascular Consultants Not Covered Lipov Eugene G MD Not Covered Lipov Sergei G MD InternaMed Not Covered Lipowich Alex MD Brock Medical Plaza Not Covered Lipson Stacey Rebecca PsyD Gersten Center for Behavioral Health Not Covered Lis Linda A MD DuPage Medical Group, Ltd. Not Covered Lisboa Livia De Souza PA-C Cardiac Surgery Associates Not Covered Lisek Ernst W MD DuPage Medical Group Ltd Not Covered Lisowski Jeffrey M MD Metro Infectious Disease Consultants, LLC Not Covered Liss Ronald DDS Ronald Liss, DDS Not Covered Litsas Vasilios DPM Litsas Ctr for Advanced Foot Care Not Covered Liu Ingrid DO Wellcome MD Not Covered Liyanapatabendi Chool MD Advanced Medical Consultations, LTD Not Covered Lloyd Riley P MD Riley Perry Lloyd, M.D. Not Covered Lo Joyce K. MD DuPage Medical Group Not Covered Lochmueller Glen MD Fox Valley Ear, Nose and Throat Associates Not Covered Lockett Flavion Verlina CSA DuPage Medical Group, Ltd Not Covered Lockhart Courtney Alicia MD OBHG Illinois, SC Not Covered LoDuca Procopio M MD Northwest Infectious Disease Consultants, SC Not Covered Lojewski Blazej MD Not Covered Lojewski Elzbieta MD Oak-Mill Pediatrics, SC Not Covered Lome Leon G MD LOME UROLOGY, LTD Not Covered London Michelle K PsyD London Psychology Group Not Covered Long Jeffery D MD The Medical Group 2 Not Covered Long Melissa APN Northwest Neurology, Ltd Not Covered Longi Muhammed N MD Advanced Pediatric Care Ltd Not Covered Lopez Bianca Marie PA-C Central Primary Care Not Covered Lopez Eugene MD Midwest Sports Medicine & Orthopaedics - Elk Grove Not Covered Lopez John J MD Loyola University Medical Center Not Covered Lopez Luis Alfredo MD TeamHealth Not Covered Lopez Marcos A MD Marcos Lopez & Associates Not Covered Lorenz Mark A MD Hinsdale Orthopaedic Assoc SC Not Covered Loring Lisa M APN/CNP Rehabilitation Medicine Specialists Not Covered Losik Stefanie J. CRNA Medical Center Anesthesia Not Covered Losurdo Joseph MD Illinois Gastroenterology Not Covered Lotsu Dzifaa MD Lotsu Digestive Health & Nutrition Center Not Covered Louis Steven S MD Hinsdale Orthopaedic Assoc SC Not Covered Loutrianakis Emmanuel MD Clinical Associates, S.C. Not Covered

29 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Lovda Michael Andrew DDS Michael A. Lovda, D.D.S., Ltd. Not Covered Lovda Michael DDS Michael A. Lovda, D.D.S., Ltd. Not Covered Love Jennifer L NP-C CEP - America - Illinois - Presence St. Mary's Hospital Not Covered Low Li Shien MD Dreyer Medical Group (Highland) Not Covered Lozano Cosme O MD Joliet Center for Clinical Research Not Covered Lucas Paul R DPM Miller Foot Center - Elk Grove Not Covered Luft Ulrich Cameron MD Dupage Medical Group Not Covered Luger Gerald MD Pulmonary Medicine Associates Not Covered Lukose Jairus James MD Dupage Medical Group Not Covered Lum Shireen DPM Foot Clinics Not Covered Lutrin Frank J MD Cardiac Surgery Associates, SC Not Covered Lutz Thomas A MD Vein Specialists of Illinois Not Covered Luz Agnes A CSA Aesthetic Plastic & Reconstructive Surgery Not Covered Lykowski Tara A PA-C Northwest Orthopaedics Assoc. & Sports Medicine Not Covered Lynn Christopher J APN Dr Dekhtyar and Associates Not Covered Lyon John H MD Orthopaedic Surgery Specialists, Ltd. - Fox River Not Covered Lyon Paul B MD DuPage Medical Group Not Covered Lyons Kelly Jean PA-C Vasc & Interventional Radiology Not Covered Mabazza Ma Vanessa S NP-C Elite Cardiology Solutions Not Covered MacCumber Mathew W MD Illinois Retina Associates Not Covered MacGregor Scott N DO NorthShore University HealthSystem Not Covered Machnica Dobroslawa MD MM Kids S.C. Not Covered Mack Robert J MD Mack Eye Center Not Covered Mackler Jeffrey M DPM Bolingbrook Foot Specialists, Ltd Not Covered MacNab Robert K DPM MacNab Foot and Ankle Center, PC Not Covered Macrie Bryan MD Radiant Oncology, S.C. Not Covered Madan Alka DO Pinnacle Dermatology, SC Not Covered Maday Michael G MD Midland Orthopedic Assoc SC Not Covered Madda Frank C MD Midwest Plastic Surgery Institute, Inc. Not Covered Madden Kelli L CSA DuPage Medical Group, Ltd Not Covered Maddineni Nanda Kishore CSA American Surgical Professionals Not Covered Madry Stephen A MD Stephen A. Madry, M.D. Not Covered Magarzo Lucia B. CRNA Medical Center Anesthesia Group Not Covered Maghrabi Michael M DPM Foot Clinics Not Covered Magill Meghan Ann DO Rehabilitation Institute of Chicago Not Covered Maguluri Srilakshmi MD Lake Shore Retina, SC Not Covered Mahdavian Mani MD Lakeshore Gastroenterology & Liver Disease Inst SC Not Covered Maheshwari Pradeep MD Cardiac Arrhythmia Services, Ltd Not Covered Mahmood Tahir MD Primary Care Services, S.C. Not Covered Mahon David E. MD NCH Medical Group - Division of Surgery Not Covered Mahoney Lynette M DPM Barrington Orthopedic Specialists Not Covered Mahoney Sarah Lynn PA-C Schaumburg Dermatology Not Covered Mahr Christopher C MD Northwest Orthopaedics Assoc. & Sports Medicine Not Covered Maine Emily Marie PA-C CEP - America - Illinois - Presence Mercy Medical Center Not Covered Majka-Kravets Zdzislawa MD Northeast Nephrology Consultants Ltd Not Covered Majmudar Parag MD Chicago Cornea Consultants Not Covered Majmudar Sonali P. MD Allergy, Asthma and Immunology Not Covered Majmundar Mita M MD Suburban Radiologists SC Not Covered Majzoub Ibrahim A MD Not Covered Malhes Abdul K MD Pediatric Central Not Covered Malhotra Neil MD Expert Pain Physicians Not Covered Malhotra Nitin MD Expert Pain Physicians Not Covered Malicay Manuel A MD Manuel Malicay, MDSCManuel Malicay, MD, SC Not Covered Malik Zahid M MD TeamHealth Not Covered Malinowska Miroslawa MD MM Kids S.C. Not Covered Malkani Sunil K MD Dreyer Medical Group Not Covered Malko Marek Artur MD Marek A. Malko, MD Not Covered Mallinger Adam John DO Dreyer Medical Group Not Covered Malone Lindsey T MD West Suburban Women's Hlth Ltd Not Covered Malvar Thomas C MD Urological Surgeons Associates Not Covered Mampilly Jobby Jocob MD DuPage Medical Group Not Covered Manam Bob A MD Fox Valley Medical Associates Not Covered Manasrah Khaled SA AMERICAN SURGICAL PROFESSIONALS Not Covered Mancini Stamatina FNP-BC Dupage Medical Group, Ltd -Cardiology Not Covered Mandal Robert Walter MD Illinois Cancer Specialists - Elgin Not Covered Mandala Cassie L PA-C Fox Valley Orthopaedic Institute Not Covered Manecke Ryan G MD Advanced Urology Associates Not Covered Mangahas Susan A MD Legacy Medical Care, Inc. Not Covered Mangano Alicia M APN/CNP Giovanni D Giannotti, MD,SC Not Covered Mangurten Howard S MD Howard Mangurtan, M.D. Not Covered Mani Lisa K MD Associates in Pediatrics, S.C. - Elgin Not Covered Manjooran Elizabeth D MD Precious Hearts Pediatrics, PC Not Covered Manjunath Rajini MD Illinois Cancer Specialists - Elgin Not Covered Manjunath Shwetha MD Northeast Endocrinology Consultant Not Covered Manning Jake DO JAKE ANTHONY MANNING DO Not Covered Mannion June J. MD Children and Teens Medical Center Not Covered Mannion Richard A MD Northwest Orthopedic Surgery, S.C. Not Covered Manshio Dennis T MD Not Covered Mansour Haytham DPM HMI Foot and Ankle Group Not Covered

30 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Maragos Stavros G MD Heart Care Centers of IL SC Not Covered Maramreddy Sailaja V. MD Advent Neurology, S.C. Not Covered Maratea Derek Joseph PA-C CEP - America - Illinois - Presence Mercy Medical Center Not Covered Marbach Walter J MD Metro Infectious Disease Not Covered March Carolyn A MD C & C Pediatrics, SC Not Covered Marchel Ryszard MD Not Covered Marczak Lawrence DPM Podiatry Consultants of Chicago Not Covered Mardjetko Steven M MD Illinois Bone & Joint institute Not Covered Marecik Slawomir J MD Not Covered Margolis Shana MD Rehabilitation Institute of Chicago Not Covered Marin Diego MD The Ruth Institute of Integrative Care Not Covered Marin Thelma S MD Woodridge Clinic SC Not Covered Marina Shadi Nabieh MD TeamHealth Not Covered Marius-Nunez Andres L MD Marius-Nunez Medical Group, SC Not Covered Markarian Gregory G MD Chicago Sports Medicine Institute Not Covered Marks Constance A MD Advanced Urology Associates Not Covered Marr Darcy L MD Northwest Orthopedic Surgery, S.C. Not Covered Marruenda Francisco MD Chicago Eye Institute Not Covered Marshall Dawn Marie CRNA Anesthesia Associates, Ltd. Not Covered Marshall Stephen G DDS Stephen G. Marshall DDS Not Covered Marsik-Castillo Victoria A. MD MidSuburban Radiological Associates Not Covered Martin Lawrence O MD Lawrence Martin, M.D., S.C. Not Covered Martin Lisa A MD Pediatric Health Associates Not Covered Martin Robert P DPM Prairie Rock Foot & Ankle Clinics Not Covered Martinez Sophal APN Midwest Medical Partners Not Covered Martinez Mateo Melissa Andrea MD Hinsdale Gastroenterology Associates Not Covered Martini Muawia MD Heartland Cardiovascular Center Not Covered Martini Seif A MD Heartland Cardiovascular Center Not Covered Marty Gerard R MD Northwest Orthopedic Surgery, S.C. Not Covered Marwaha Rachit MD Naperville Internists Not Covered Marwaha Rakesh MD Naperville Internists Not Covered Maslana Jason J APN Barrington Orthopedic Specialists Not Covered Mason J. Michael CSA M & M Surgical Assistants, Inc Not Covered Masood Leslie A MD Advanced Headache and Neurocare Clinic Not Covered Masood Shahid MD Internal Medicine & Family Practice Not Covered Massey Gina M. APN/CNP TeamHealth Not Covered Massey Patrick MD Alt - Med Medical and Not Covered Mast John Fox MD Hinsdale Family Medicine Center Not Covered Masteller Michael Alan MD Northwestern Memorial Hospital Not Covered Mastro Andrew Michael PA-C Advanced Skin and Mohs Surgery Center Not Covered Mata Christine M MD Dougal McClellan & Sullivan Eye Associates - Chicago Not Covered Matar Bassam F MD Bassam F. Matar, M.D., S.C. Not Covered Matchett Lauren A APN/CNP Elite Cardiology Solutions Not Covered Mathew Binitha APN/CNP Rehabilitation Medicine Specialists Not Covered Mathew Liji MD DuPage Medical Group Not Covered Mathew Theresa MD Howard Mangurtan, M.D. Not Covered Matiwala Sunil N MD Center for Adult Healthcare, S.C. Not Covered Matschullat Kristy Elaine PA-C CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Matsumoto Kojiro MD Nihon Medical Clinic, S.C. Not Covered Mattera Laurie Ann PhD Psychology Associates of the Midwest, SC Not Covered Matthew Susan C APRN Employee Health Not Covered Matushek Marcia CRNA American Anesthesiology Associates of Illinois, SC Not Covered Maurice Thomas J DDS Plainfield Pediatric Dentistry Not Covered Mavashev Feliks MD Universal Health, Ltd Not Covered Mavi Harbans S. MD Harbans S. Mavi, M.D. Not Covered Maw Thida MD Thida Maw, M.D. Not Covered Mayer Bernadette B MD Not Covered Mayuga Valerie Visitacion MD Omni Healthcare Not Covered Maze-Rothstein Galen F MD Nuvasive Clinical Services Not Covered Mazhar Sameer M MD Dreyer Medical Group Not Covered Mazurek Robert MD DuPage Medical Group Not Covered McCaffrey Thomas J MD OB Hospitalist Group Not Covered McCall Brian R MD Northwest Orthopaedics Assoc. & Sports Medicine Not Covered McCarthy Patrick L. MD MidSuburban Radiological Associates, LLC/Elk Grove Radiology Not Covered McCarty Stacy F MD Rehabilitation Institute of Chicago Not Covered McClane Stacie D MD Dr. Stacie McClane Not Covered McClellan Kevin R MD Skowron Dougal McClellan & Sullivan Eye Associates Not Covered McClellan Michael W PA Suburban Orthopaedics - Bartlett Not Covered McCloskey Gayle Lee MD Forefront Dermatology, S.C. Not Covered McClure Stacy L MD Derm Assoc of La Grange Not Covered McCormick Maureen R APN Robert J Becker MD Ltd Not Covered McCormick Sarah Fitzgerald DO Shirley Ryan Ability Lab @ Amita Health Not Covered McCoy Ryan A. MD Pediatric Care Associates, S.C. Not Covered McCuiston Stonewall MD McCuiston, Stonewall Not Covered McCune Alexandra Marie PA-C Diamond Headache Clinic Not Covered McDaniel Scott Edward MD Chicagoland Pain Management Institute, Inc Not Covered McDaniel Scott Edward MD Chicagoland Pain Management Institute, Inc Not Covered McDermott Ann M DO Swedish Covenant Medical Group Not Covered McDonough Kristopher M MD Midwest Respiratory, Ltd. Not Covered

31 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr McDonough Thomas P DO AMITA Medical Group Not Covered McFadden David L MD Medical Practice of David McFadden MD Not Covered McFall Rebecca E MD Advocate Christ Medical Center Not Covered McGing Nancy A APN Hinsdale Hospital Not Covered McGinnis Patrick L MD PSMH Cancer Center Not Covered McGowen Jennifer G MD DuPage Medical Group, Ltd. Not Covered McGrath Kris Graham MD Kris G McGrath MD SC Not Covered McGrath Rosemary MD Mokena Family Physicians Not Covered McGuinn Marcella L MD Metro Infectious Disease Consultants, LLC Not Covered McGuire Birgitta T MD Talcott Primary Care, LLC Not Covered McGuire Colleen A MD Compass Health Center Not Covered McIlwain Carrie Allison MD Gynecologic Cancer Institute of Chicago Not Covered McIntyre Maris F DO McIntyre Family Medicine, LLC Not Covered McKanna Alexander DPM Itasca Foot and Ankle Ltd Not Covered McKay Scott C T PA-C Fox Valley Orthopaedic Institute Not Covered McKelvey Stacey L MD Illinois Center for Digestive Disease & Liver Hlth Not Covered McKenney Amy D APN Northwest Gastroenterologists, S.C. - Arlington Heights Not Covered McKenzie Andrew Mead PsyD Gersten Center for Behavioral Health Not Covered McKian Kevin Patrick MD Northwest Oncology & Hematology, SC Not Covered McKinnon McKay MD Not Covered McLachlan Daniel L MD DuPage Eye Center Not Covered McLennon Allison A APN/CNP Rehabilitation Associates of the Midwest, SC Not Covered McMillan Susan E APN Northwest Neurology, LTD Not Covered McNab Martha APN/CNP Primary Care Joliet Not Covered McNally Thomas A MD Suburban Orthopaedics - Bartlett Not Covered McNeill Courtney Ann PA-C Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered McNulty Jessica L PA-C CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered McQuade Kenneth MD DuPage Medical Group, Ltd. Not Covered McShane Colleen E DDS Medical Center Dental Associates Not Covered McShane James DDS Medical Center Dental Associates Not Covered McTabi Wael MD Internal Medicine & Family Practice Not Covered Mead Daniel Robert APN/CNP Shifa Nephrology Associates, LLC Not Covered Meadows Matthew Aaron MD Uropartners, LLC, Not Covered Meccia Alexandria Z MD Forefront Dermatology, S.C Not Covered Medavaram Meher B MD Naperbrook Medical Center Not Covered Medina Crystal APN/CNP CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Medvedev Alexander MD Advanced Psychiatry & Counseling Not Covered Meersman Michelene J. PA Midwest Emergency Associates, LLC Not Covered Meesala Sandhya R. MD Covenant Physiatry Not Covered Megahed Amr N. MD Children and Teen`s Medical Center - Schaumburg Not Covered Meghpara Mitchell B. MD American Hip Institute, LLC Not Covered Mehendale Ramkrishna G MD Women`s Health Consultants, SC Not Covered Mehta Manoj K MD Endoscopy Center of the North Shore, LLC Not Covered Mehta Rajeev H MD ENT Surgical Consultants, Ltd. Not Covered Mehta Sheetal MD Forefront Dermatology, S.C. dba Premier Dermatology Not Covered Mehta Shilpa V MD Radiological Consultants of Woodstock Not Covered Mehta Vishal Mahul MD Fox Valley Orthopaedic Institute Not Covered Meisels Henry Isaac MD Henry I. Meisels, MD, SC Not Covered Meisenbach Joseph A MD Medical Practice of Joseph Meisenbach Not Covered Meisles Lynn D MD Rheumatology Specialists PC Not Covered Mejer Janusz A MD Central Family Care and Weight Loss Clinic, LLC Not Covered Melcher Jennifer APN/CNP Heart Care Centers of Illinois Not Covered Melchionna Kenneth V DO Simpson Eye Associates Not Covered Melendez Kristin APN/CNP Rehabilitation Associates of the Midwest, SC Not Covered Melero Otilio N MD Otilio Melero, MD Not Covered Melian Edward MD LUMC Radiaton Oncology Not Covered Melnic Natalia APN/CNP CEP - America - Illinois - Presence Mercy Medical Center Not Covered Melvani Ramesh P MD Ramesh Melvani, M.D., SC Not Covered Memon Aamir A MD Nephrology Associates of Northern Illinois Not Covered Mendez Bernardino Michael MD Pinnacle Dermatology Not Covered Mendivil-Moreno Francisco Guadalupe DPM Presence St. Joseph Hospital Not Covered Mendoza Mae Grace P NP-C Rehabilitation Medicine Specialists Not Covered Menezes Matthew C MD Associates in Nephrology, SC Not Covered Menner Carol A MD Chicago Retina, Inc. Not Covered Mensah Victor MD Selah Medical Associates Not Covered Merai Parag Ghanshyam MD Dreyer Medical Group Not Covered Mercado Alvaro O MD Alvaro Mercado, MD Not Covered Mercado Lloyd A APN/CNP Omni Healthcare Not Covered Mercado O. Kent DPM Mercado Foot & Ankle Center West Not Covered Mercado Sergio A MD Fox Valley Medical Associates Not Covered Mercurio Kimberly J MD Neurological Surg & Spine Surg Not Covered Merhi Nahla O MD Suburban Gynecology, LLC Not Covered Merrick Daniel Seth MD Uropartners, LLC, Not Covered Merrill Pauline T MD Illinois Retina Associates, S.C. Not Covered Mershon Lynn Decker DO Rehabilitation Medicine Specialists Not Covered Merza Anthony P MD Not Covered Messinger Marina MD Northwest Oncology & Hematology, S.C. Not Covered Metcalf Jerry T CRNA Anesthesia Associates, Ltd Not Covered Metrick Scott A MD Neurology and Neurodiagnostics Ltd Not Covered

32 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Metz Raymond J MD Core Orthopedics & Sports Medicine Not Covered Metz Sloan V DPM Park West Family Physicians Not Covered Meyers Stephanie Kay PA-C Suburban Surgical Care Specialists, S.C. Not Covered Mezo Isaac R MD Morris Hospital Neurology Specialists Not Covered Micco Alan G MD NMFF Otology Not Covered Michael Belmina N MD Advanced Dermatology Center Not Covered Michael Christopher S MD Suburban Womens Health Specialists, -Algonquin,IL Not Covered Michael John C MD Retina Institute of Illinois, P.C. Not Covered Michael Magdy M MD Not Covered Michaels Eli K MD UroPartners, LLC Not Covered Michalow Alexander E MD Orthopedic Assoc of Kankakee Not Covered Miguel George E MD Medical Practice of George Miguel, MD Not Covered Miguel-Villegas Maria Soledad MD RMC - Riverside Physical Med & Rehabilitation Specialists Not Covered Mihalcik Stephen Andrew MD Radiation Oncology Consultants, Ltd. Not Covered Mihalov Sarah A MD Shirley Ryan Ability Lab @ Amita Health Not Covered Miklos David Robert DPM Miklos Foot and Ankle Specialists, PC Not Covered Mikuzis John D. DO Action Physical Med & Rehab SC Not Covered Milani Michael H DO Uropartners LaGrange Urology Not Covered Mileos Chris E CRNA St. Alexius Medical Center Not Covered Miles David A CRNA American Anesthesiology Associates of Illinois, SC Not Covered Milhouse Olufenwa F. MD DuPage Medical Group, Ltd. Not Covered Milik Adam W MD Milik, Adam - Frankfort Not Covered Miller Daniel Wesley MD Women's and Children's Health Care Associates, LLC Not Covered Miller G Klaud MD Windy City Orthopedics & Sports Medicine Not Covered Miller Mark A MD Advanced Allergists Not Covered Miller Melissa Joy DO Suburban Womens Health Specialists, Ltd Not Covered Miller Sabrina PA-C Associates in Orthopaedic Surgery Not Covered Miller Steven B DPM Skokie Foot & Ankle Specialists, Ltd Not Covered Miller Steven W DPM Hinsdale Orthopaedic Assoc SC Not Covered Mills Christopher Daniel APN/CNP Northern Illinois Medical Associates Not Covered Mills Megan PhD Megan Mills PhD Not Covered Minev Evgueni M MD Nephrology Associates of Northern Illinois Not Covered Miocinovic Ranko MD DuPage Medical Group Not Covered Mirchandani Preeti P. DO Pediatric Care Associates, S.C. Not Covered Mirkovic Dijana DPM Chicagoland Foot and Ankle Not Covered Mirza Bina I MD Dreyer Medical Group Not Covered Mirza Irfan A MD Illinois Cancer Specialists Not Covered Mirza Nureain MD Midwest Pulmonary Associates, S.C. Not Covered Mirza Wajahat MD Not Covered Misch William K PA Midwest Sports Medicine & Orthopaedics - Elk Grove Not Covered Misek Kathleen Elizabeth PA-C CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Misra Subhasree MD Midwest Neurology Associates Not Covered Mitchell Cornelius Avery MD Healogics Specialty Physicians of Illinois, LLC Not Covered Mitra Amitabha MD Associates in Nephrology - Arlington Heights Not Covered Mitrakul Wimol Ann MD The Institute for Personal Development Not Covered Mittal Anubha MD Lurie Children's Hospital/Divison of Hosp Based Medicine Not Covered Mizuno Eric T MD Omni Healthcare Not Covered Mlot Ellen M. DO Associates in Pediatrics, S.C. - Elgin Not Covered Modi Sanjiv S MD Presence Cancer Care/JOHA Not Covered Modlin Nadya Monique PA-C CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Mody Ketan R MD Elite Sports Medicine Institute, Ltd Not Covered Mohamed Elsayed MD Chicago Cardiology Institute S.C. Not Covered Mohammed Farah P DPM Suburban Foot and Ankle Not Covered Mohammed Mushtaq H MD Advance Inpatient Medicine, LLC Not Covered Mohammed Nasiruddin MD Radiation Oncology Consultants, Ltd. Not Covered Mohan S C MD Community Mental Health Services Not Covered Mohan Vivek MD Orthopaedic Spine Institute, SC Not Covered Mohiuddin Maaz S MD Allergy & Asthma Center, Inc. Not Covered Mohiuddin Majid M MD Associated Radiologists, Ltd. - Park Ridge Not Covered Mohiuddin Shahab MD DuPage Medical Group, Ltd. Not Covered Mohr David Gilbert DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Mohsin Ayeza M DO Dreyer Medical Group (Highland) Not Covered Mohsin Safder MD Internal Medicine Associates, S.C. Not Covered Moinuddin Irfan K MD Kidney Care Center Elgin Not Covered Moinuddin Sunnan MD Advance Inpatient Medicine Not Covered Mok Young He Moon MD Young Family Health Center Not Covered Mokarry Victor P MD Northwest ENT Associates - CHGO Not Covered Momin Nadia K MD Primary Care Associates Not Covered Monaco Mary E DO Medical Practice of Mary Monaco DO Not Covered Arnel V. SA Chicago Surgical Clinic, Ltd. Not Covered Money Jeffrey A NP CEP-Illinois Not Covered Monk Madison Marie PA Advanced Women`s Healthcare Specialists, SC Not Covered Monson Keith Milton MD Rush Copley Medical Group (Drs. Bloom, Hodgett, Weinstein) Not Covered Montella Bruce J MD Midwest Sports Medicine & Orthopaedics - Elk Grove Not Covered Montgomery Uwa MD Primary Care Joliet Not Covered Montoya Deepa B DPM Chicago Podiatric Surgeons, PC Not Covered Montoya Castillo Johanna Carolina PA-C CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Montoya-Barraza Roberto C MD Northwest Oncology & Hematology, S.C. Not Covered Moore Christine CRNA American Anesthesiology Associates of Illinois, SC Not Covered

33 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Moore Janice R CRNA Anesthesia Associates (DeKalb) Not Covered Moore Philip A MD Medical Practice of Philip A. Moore Not Covered Moore Thomas John MD DuPage Medical Group Not Covered Moosabhoy Mufadal A MD Hinsdale Pediatric Associates Not Covered Moosabhoy Nafeesa A MD Hinsdale Pediatric Associates Not Covered Morales Cesar A MD CAM Medical Group, SC Not Covered Moran Brian J MD DuPage Medical Group - Radiation Oncology Not Covered Moran Megan I PA-C Chicago Orthopaedic & Sports Medicine Not Covered Morariu Istina E MD AMITA Health Medical Group Not Covered Morawski David R MD Fox Valley Orthopaedic Institute Not Covered Mordeno Rachel Arpilleda APN/CNP Rehabilitation Medicine Specialists Not Covered Moreira Jennifer MD ThriveOB Women's Wellness Not Covered Morey Rishikesh MD Germane Nephrology Associates Not Covered Morgan O'Connor Maureen Michelle MD Endocrine Solutions Not Covered Morimoto David MD Associated Ophthalmologists Not Covered Morker Neha M. DO Dreyer Medical Group Not Covered Morno Kathleen M MD Ritacca Cosmetic Surgery Center & Medspa Not Covered Morr Douglas J MD Kankakee Family Medicine Not Covered Morrell Mary K MD Midwest Sports Medicine & Orthopaedics - Elk Grove Not Covered Morris Michael S. PA Barrington Orthopedic Specialists Not Covered Morrow Charles W MD Lurie Children's Hospital/Divison of Hosp Based Medicine Not Covered Morrow Megan Ann Laudwig CRNA Anesthesia Associates (DeKalb) Not Covered Morrow Meghan Irene MD Derm Assoc of La Grange Not Covered Mortlock Mary M. APN Pediatric Care Associates, S.C. Not Covered Morton Jerry G MD Dreyer Medical Group Not Covered Moscoso Tangee X APN/CNP Associates in Psychiatry & Counseling, PC Not Covered Moshovitis Carl K MD MidAmerica Medical Associates Not Covered Moss Keith MD Moss, Keith Not Covered Mox Scott W. MD Associates in Orthopaedic Surgery Not Covered Moy Nicholas S MD Advance Inpatient Medicine, LLC Not Covered Moy Shirley APN/CNP P. Patel & K. Patel, SC Not Covered Moya Kate W APN/CNP Summit Digestive & Liver Disease Specialists Not Covered Mozwecz Monica A MD DuPage Medical Group Fam Med Not Covered Mroz Gloria MD Northwest Internal Medical Group, LLC Not Covered Mruz Estelle V. RNFA Richard M. Mruz, M.D., SC Not Covered Muangmingsuk Sunthorn MD Heart Institute for Children Advocate Medical Group Not Covered Muasher Issa E MD Vein Management Clinic Not Covered Mubeen Mohammed A MD Excel Kidney Care Not Covered Mudda Bhargav MD Chicagoland Pain Mgmt Inst Inc Not Covered Mueller Christine M MD High Touch Medicine Not Covered Muhammad Kermit S MD Orthopedic Assoc of Kankakee Not Covered Mukherjee Ashish MD HEART SPECIALISTS, INC. Not Covered Mukhopadhyay Dipankar MD La Grange Family Medicine Center Not Covered Mukunda Ramalingappa MD Primary Care Joliet Not Covered Mulder Corlyne S MD Dreyer Medical Group Not Covered Mule Nancy M. PA Midwest Emergency Associates, LLC Not Covered Mullahy Donna M PA-C Northwest Metropolitan Urology Associates Not Covered Muller Brieann Alexandra MD Rush Center for Congenital Cardiology Not Covered Mullick Tarun MD Faith Medical & GI Center Not Covered Muneer Basharat H MD Fox Valley Cardiovascular Consulants Not Covered Muni Haresh M MD Associates in Nephrology, SC Not Covered Munoz Gilberto MD Munoz MD & Cvengros MD, SC Not Covered Munoz Maria Milagros MD Maria M. Munoz, MD Not Covered Munson Gina Michelle CRNA NorthStar Anesthesia of Illinois, LLC Not Covered Munzir Syed M MD Advanced Neurology and Sleep Clinic LLC Not Covered Muppavarapu Satheesh MD ARC - Advanced Rehabilitation Care Not Covered Murchison Allison E MD DuPage Eye Center Not Covered Murciano Elias MD PrimeCare Community Health, Inc Not Covered Murphy Cara Ann CRNA American Anesthesiology Associates of Illinois, SC Not Covered Murphy Michael P DO DuPage Medical Group Not Covered Murphy Aguilu Ivette DO Infectious Diseases Associates, P.C. Not Covered Murray Jeffrey A MD Core Orthopedics & Sports Medicine Not Covered Murrey Susan S MD West Suburban Women's Hlth Ltd Not Covered Murtaza Sajjad MD Sajjad Murtaza, M.D. Not Covered Murthey Stephanie Elizabeth PA-C Illinois Bone & Joint Institute, LLC Not Covered Musashe Jake Peter PA Northwest United Urology, LLC Not Covered Musgrave Brandon Keith MD Bruce G. Grossman, M.D.S.C. Not Covered Muska Brian J MD Dupage Medical Group Not Covered Mussat Florence MD Not Covered Mustafa Asif Khan MD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Muthalaly Asha Susan MD Prairie Rheumatology Associates Not Covered Muzaffar Zahida MD Dr Muzaffar's Ped Care SC Not Covered Muzammil Muhammad MD DuPage Medical Group Not Covered Muzykansky Eugene A MD Adult Healthcare Center Not Covered Mydam Janardhan MD Presence Saint Joseph Hospital Not Covered Myers Faith S DO Pediatric Wellness Not Covered Myers Melissa M CRNA American Anesthesiology Associates of Illinois, SC Not Covered Mylvaganam Hari N MD Retina Associates, Ltd Not Covered Myrda Jerry J DO Winters Family Practice Not Covered

34 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Naaz-Ikramuddin Parveen MD Northwest Kidney Specialists, Inc. Not Covered Nabolotny Michael J MD Primary Care Providers of Chicago, SC Not Covered Nabrinsky Stanley MD Illinois Cancer Specialists - Elgin Not Covered Nadelman David H MD Associates in Pediatrics, S.C. - Streamwood Not Covered Nadkarni Nitin V MD Center for Neurological Diseases Not Covered Nadkarni Veena N MD NE Endocrinology Consultants Not Covered Nador Sally J PsyD Not Covered Nagarkatte Preeti R MD Northeast Nephrology Consultants Ltd Not Covered Nagpal Rajeev MD Center for Pediatric Gastroenterology Nutrition, MD, SC Not Covered Nahra Karim R MD Northwest Neurology, LTD Not Covered Naidu Jayarama K MD Associates in Psychiatry & Counseling, PC Not Covered Naidu Mohanakumari MD Associates in Psychiatry & Counseling, PC Not Covered Naik Minal B MD Clybourn Medical Center Not Covered Nair Sunitha MD JNN Internal Medicine Not Covered Najafi Christopher C MD Lakeside Nephrology, Ltd Not Covered Nakhshin Danielle M CRNA American Anesthesiology Associates of IL, SC Not Covered Nam Ellis K MD Chicago Orthopaedics & Sports Medicine, SC Not Covered Nance Kara J MD WellessenceMD Not Covered Nand Bela MD Adventist Medical Center, Hinsdale Not Covered Nanda Vishakha MD Presence Saints Mary and Elizabeth Medical Center Not Covered Nandam Janaki DO Northwest Associates for Women's Healthcare Not Covered Nandkumar Premalatha MD Elk Grove Internists Not Covered Nandra Mukhtar S MD Nandra Family Practice Not Covered Nani Jane M. MD Fertility Centers of Illinois Not Covered Nannegari Veena H MD GI Solutions of Illinois, LLC Not Covered Napolitano Kimberly J MD Women's Health Care of Hinsdale Not Covered Narepalem Narendra MD UroPartners, LLC Not Covered Narula Neelam MD Pediatric Health Partner - Algonquin Not Covered Narula Rajiv MD Virtual Medical Staff, LLC Not Covered Naryzhny Igor DO Lakeshore Gastroenterology & Liver Disease Inst SC Not Covered Naseeruddin Sameer M. MD Skypoint Medical Center Not Covered Nash Donald D MD Rush Primary Care at Oak Park Not Covered Nasir Saifullah MD STAT Cardiologist INC Not Covered Nasrullah Nishat DO Hinsdale Hospital Pediatric Services Not Covered Nassif Merit Samir MD VNA Healthcare Not Covered Natarajan Aparna MD Northwest Medical Associates of Chicago, Inc Not Covered Natarajan Balakrishnan MD Balakrishnan Natarajan, MDSC Not Covered Natesh Ramanathapur K MD Hertko Chiropractic Building Not Covered Natesh Rupa N. MD Medical Practice of R Natesh MD Not Covered Nathan Jonathan I MD Advanced Skin and Mohs Surgery Center Not Covered Navarro Nancy APN/CNP Suburban Physicians Not Covered Nawab Hina MD Northern Illinois Medical Associates Not Covered Nawas Sammy I MD Thoracic Surgical Associates, LLC Not Covered Nayak Hemal M MD University of Chicago Medicine Center for Arrhythmia Care Not Covered Nayak Shweta Ramakrishna MD Institute Not Covered Nayar Rajeev MD Summit Digestive & Liver Diseases Specialists Not Covered Nazarian Arthur MD Advocate Heart Institute Not Covered Nazeer Abid Khalid MD Advanced Psychiatric Solution, Inc Not Covered Nazeer Umair Khalid MD Dupage Medical Group, Ltd Not Covered Nazimuddin Ahmed MD DuPage Medical Group, Ltd. Not Covered Nazir Javed MD Javed Nazir, MD Not Covered Ndrio Petrit MD Advanced Behavioral Health Services Not Covered Neal Michael Bryan MD Arlington Orthopedics and Hand Surgery Specialists, LTD Not Covered Neal Ronald Brian MD Not Covered Neamand Mark E DPM Neamand Foot and Ankle Not Covered Neary Amanda G. CRNA *Physician Anesthesia Associates Not Covered Nebbeling Nicole M Lac Alternative Health Group, LLC Not Covered Neerhof Mark G DO NorthShore University HealthSystem Not Covered Negrete Maria F APRN Vasc & Interventional Radiology Not Covered Nehart Natalie N PA-C Neurological Surg & Spine Surg Not Covered Neilsen, Jr. Jeffrey Andrew PA Barrington Orthopedic Specialists Not Covered Nellessen David A MD Northwest United Urology, LLC Not Covered Nelson Gregory A MD Suburban Associates in Ophthalmology Not Covered Nelson Lori J APN/CNP Presence Resurrection Medical Center Not Covered Nelson William L MD Limberis Nelson Medical Group Not Covered Nemeth Stefan J MD DuPage Medical Group Not Covered Nepomuceno Daniel J MD Pulmonary, Critical Care & Sleep Medicine Specialists, S.C. Not Covered Nepomuceno Jenie S MD Metro Infectious Disease Consultants Not Covered Nerad Judith L MD Vitas Innovative Healthcare Not Covered Neri Gene O MD Gene O. Neri, M.D.S.C. Not Covered Nettleton Margaret MD Midwest OB/GYN & Midwifery, SC Not Covered Neubauer Nikki Lynn MD Gynecologic Cancer Institute of Chicago Not Covered Neubauer Steven W MD Forefront Dermatology, S.C. Not Covered Neuberger Stephen M MD Midwest Pediatric Cardiology Not Covered Newcomb Scott A DPM Scott A. Newcomb, DPM PC Not Covered Newman Daniel C MD Illinois Bone & Joint Institute Not Covered Newsom Gordon C MD Elio M. Vento, MD & Associates, SC Not Covered Ng Jennie S MD BHS Digestive Diseases Not Covered Nguyen Albert Q DO Fabian Carbonell MDSC Not Covered

35 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Nguyen Laurie Tran PA CEP-Illinois Not Covered Nguyen Paul Huy MD Elite Cardiology Solutions Not Covered Nguyen Thai T MD Advanced Urology Associates Not Covered Nguyen Thuy Thi DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Niazi Sher Ahsan K MD Joliet Pediatrics & Family Care, Ltd. Not Covered Nicewicz Maria Jolanta MD Chicago Pediatric & Neonatology, S.C. Not Covered Nichols Donald E DPM DuPage Foot & Ankle, LLC Not Covered Nicholson Kimberly Elizabeth APN Advanced Endocrinology, LLC Not Covered Niedzwiecki Matthew J MD Center For Family Guidance/InSight Telepsychiatry Not Covered Nielsen Patricia A APN/CNP CEP - America - Illinois - Presence St. Mary's Hospital Not Covered Niemaszyk Kelly C PA-C Northwestern Neurosurgical Associates Not Covered Niemiec Megan K APN/CNP Advanced Skin and Mohs Surgery Center Not Covered Nietupski Katarzyna DPM Illinois Foot and Ankle Specialists, P.C. Not Covered Niles Sara Carolyn PA-C CEP - America - Illinois - Presence Saint Joseph Hospital - Chicago Not Covered Ninan Reji MD Metro Family Practice Not Covered Nishimoto Rebecca F PA-C Illinois Bone & Joint Institute, LLC Not Covered Nitzarim Rachel Sarah PhD Smith Psychotherapy Associates, S.C. Not Covered Njeh Julius APN/CNP JC Medical Group Not Covered Nolan Thomas P CRNA American Anesthesiology Associates of Illinois, SC Not Covered Nora Ernest G MD Presence Saint Joseph Hospital Not Covered Noren Richard L. MD Richard L. Noren, M.D. Not Covered Norrell Nelly P MD Center For Family Guidance/InSight Telepsychiatry Not Covered Norris Jeffrey P MD UroPartners, LLC Not Covered Noth James M MD James M Noth MD Ltd Not Covered Nourbash Paul Said MD Barrington Orthopedic Specialists Not Covered Nourbash Shannon MD Drs. Bedingfield and Rosewell, S.C. Not Covered Novak Carly Paige PsyD Gersten Center for Behavioral Health Not Covered Novak Gary James MD Not Covered Novas Jeanne B MD Novas, Dohr & Coll Obstetrics/Gynecology Associates Not Covered Novoseletsky Dmitry MD Suburban Orthopaedics - Bartlett Not Covered Nowak Waldemar M MD Women`s Health & Wellness Center Not Covered Noxon Bruce DPM The Foot & Ankle Treatment Center Not Covered Nuccio Gina DPM Two Steps Ahead Podiatry Not Covered Nunez Ausencio MD Progressive Medical Center Not Covered Nuyles Michael Robert DO Dreyer Medical Group Not Covered Nwoko Nkechinyere Christina DPM Presence St. Joseph Hospital Not Covered Nyaeme Shahla M MD DuPage Medical Group, Ltd Not Covered Obermeyer Thomas S MD Barrington Orthopedic Specialists Not Covered O'Brian David W DPM Northwest Podiatry Center, Ltd. - Wheaton Not Covered O'Brien Erin K. MD Children's Medical Group Not Covered O'Brien William James MD Dreyer Medical Group Not Covered Obyrtacz Margaret WHNP Women's and Children's Health Care Associates, LLC Not Covered Occhipinti Kathryn MD Suburban Radiologists SC Not Covered Ochoa Christopher Daniel MD DuPage Medical Group Not Covered Ochwat Gary F DPM Advanced Foot & Ankle Specialists Not Covered O'Connell John T. DO Senior Healthcare Solutions, Inc Not Covered O'Connell Timothy J MD Suburban Radiologists SC Not Covered OConnor Timothy W MD Talcott Internal Med. & Cardiology, Ltd Not Covered O'Connor Karen Yeniz MD PrimeCare Community Health, Inc Not Covered O'Connor Thomas L MD Digestive Disease Consultants Not Covered Odeh Jallwa M APN/CNP CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Odeh Ruba Shaker DO Northwest Infectious Disease Consultants, SC Not Covered Odell Sean MD Midwest Sports Medicine & Orthopaedics - Elk Grove Not Covered O'Donnell Brynn Nicole APN Advocate Heart Institute Not Covered O'Donnell Joseph N PhD Joseph N. O`Donnell & Associates Not Covered O'Donnell Mary Elizabeth PA-C Dreyer - Orthopedics Not Covered O'Donnell Michael R. MD Children and Teen`s Medical Center - Schaumburg Not Covered O'Donnell Scott MD Children and Teen`s Medical Center - Schaumburg Not Covered O'Donoghue Michael K. MD Illinois Dermatology Institute, LLC Not Covered Odoom Kobina APRN Faith Medical & GI Center Not Covered Ogilvie Michael MD Not Covered Ohabughiro Terrance Nnamdi MD Killeen West Clinic Not Covered O'Hara Raymond T DPM Barrington Orthopedic Specialists Not Covered Ohri Arun MD GI Solutions of Illinois, LLC Not Covered Ohri Ekta DO Lake Street Family Medicine, LLC Not Covered Ojea Fernando A MD Greenview Health Center Chartered Not Covered Okeefe John J MD Marian Orthopedic & Rehabilitation Centers Not Covered Okpareke Ikenna Chikeziri MD Pain Centers of Chicago Not Covered O'Laughlin Charles J MD Charles O'Laughlin MD Not Covered O'Leary Shaun T. MD, PhD Shaun T. O'Leary M.D., PhD Not Covered Olejniczak Jacek CSA Jacek Olejniczak Not Covered Olejniczak Katarzyna A. MD Women and Children's Health Care Associates, LLC Not Covered Olen Richard N MD NORTHWEST GENERAL SURGEONS LTD Not Covered Oles Jennifer L APN/CNP CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Oliver Leslie A APN/CNM Aishling Obstetrics & Gynecology Not Covered Olivera Arturo MD Ghazanfari & Olivera Gastroenterology, Ltd Not Covered Olivera Emma Blanca MD Joliet Pediatrics & Family Care, Ltd. Not Covered Oliveros Omar Alberto MD CAM Medical Group Not Covered Olivier Mildred M MD Midwest Glaucoma Center Not Covered

36 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Oliyapurathu Vini Teresa APRN Advance Inpatient Medicine Not Covered Ollee Sharon C MD Dreyer Medical Group Not Covered Olofsson Brian P MD Olofsson, Brian Not Covered Olpinski Marian I. MD, PhD Women and Children's Health Care Associates, LLC Not Covered Olshansky Caryn R PA-C North Branch Dermatology, LLC Not Covered Olson Jeffrey A MD Swedish Covenant Medical Group Not Covered Omar Ayman I MD Neurology and NeuroOncology Consultant, LLC Not Covered Omar Nadrine Sinead DC Not Covered O'Neil Howard K MD Suburban Radiologists SC Not Covered Onispir-Kafali Sue Burcu MD Advanced Women`s Health of Chicago, SC Not Covered Onyibor Kate MD TeamHealth Not Covered Oo Myint K MD ABC Pediatrics Not Covered Oo Saw M MD Alliance Internal Medicine Not Covered Oommen Bino V MD Lifespan Medical Associates Not Covered Opacian Susan J CRNA American Anesthesiology Associates of IL, SC Not Covered Oraham Tina F APRN Shirley Ryan Ability Lab Not Covered Orawiec Bronislaw J MD Not Covered Orhan Susan Ayfe MD Elite Women’s Care Not Covered Orkiszewska Aleksandra MD ABMG - ICC Mount Prospect Not Covered Orona Kathryn R CRNA American Anesthesiology Associates of IL, SC Not Covered Ortega Melissa PA CEP-Illinois Not Covered Osafo Seth K MD Osafo Health Care Clinic Not Covered Osei Michael Akwasi MD Rehabilitation Specialists of Illinois Not Covered Osgood Brittany J. MD Central Eye Care, LTD Not Covered O'Shea Jennifer R PA Metro Infectious Disease Consultants Not Covered Osher Shira Ruth MD Northwest Pulmonary Associates, SC Not Covered Osipova Maria Andreevna MD S.T. Surgical Consultants - DBA Precision Surgical Group Not Covered Osmani Imran Ali MD TeamHealth Not Covered Osmanovic Smajo S MD Arlington Eye Physicians, LLC Not Covered Ostrowski Margaret PA-C Uropartners, LLC Not Covered O'Sullivan Niles Kathleen A CRNA American Anesthesiology Associates of Illinois, SC Not Covered Ouyang David W MD NorthShore University HealthSystem Not Covered Ovadia Aaron MD Advocate Medical Group - Urology Not Covered Ovadia Marc MD EP Consultation Ltd Not Covered Overpeck Steven B DPM STEVEN B OVERPECK DPM PC Not Covered Owaisi Anjum S MD Metro Infectious Disease Not Covered Owens Daniel P MD Suburban Retina Ltd Not Covered Ozog Diane L MD Diane L. Ozog, MD., S.C. Not Covered Ozog Kara Marie PA-C Vasc & Interventional Radiology Not Covered Pabalan Francesca PA-C CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Pacana Tommy Yap MD RCMG Digestive Disease Consul-Aurora Not Covered Pacelli Gregory Joseph MD Pediatric Eye Consultants, PC Not Covered Pachikara Anita Josephine MD VNA Healthcare Not Covered Pachnik Shannon K APN Suburban Ear-Nose & Throat Associates, LTD Not Covered Pacocha Elizabeth DPM Elizabeth Pacocha, DPM, PC Not Covered Padaoan Bella Y CRNA American Anesthesiology Associates of Illinois, SC Not Covered Pagani Marco MD Associates in Nephrology, SC Not Covered Pagulayan Eleanor F CSA Bolingbrook Family Medicine Not Covered Pai Aparna Upendra MD Primary Care for U Not Covered Paidi Sasikala MD American Cancer Care, PC Not Covered Paik Michael MD Northwest United Urology, LLC Not Covered Pajak Natalia E PA-C Uropartners, LLC Not Covered Palermo Peter MD DuPage Medical Group, Ltd. Not Covered Palliser Michael John DPM Michael J. Palliser DPM PC Not Covered Palmer Benjamin D DPM Advanced Foot and Ankle Specialists Not Covered Palmer Shawn W DO OrthoIllinois Not Covered Palmieri Vincenzo DPM Miller Foot Centers Not Covered Palmisano Cynthia DO Cynthia Palmisano, DO Not Covered Palmissano Robin Amber PsyD Gersten Center for Behavioral Health Not Covered Panares Alan S. SA Alan Panares, CVSA Not Covered Panchal Kanu K MD Kanu K Panchal, M.D. Pediatrics Not Covered Panchal Mrunal MD Arthritis & Rehab Associates Not Covered Panchal Prerana M. MD Arthritis & Rehab Associates Not Covered Pandey Anita MD Northwest Oncology & Hematology, S.C. Not Covered Pandya Kevin K MD Nephrology Assoc of Northern IL Not Covered Pangan Normita S CSA Advanced Surgical Ltd. Not Covered Panicker Rincy R T PA-C CEPAmerica Illinois LLP Not Covered Panicker Sumitha V MD Premier Internists, S.C. Not Covered Panitch Silvia Z MD Lakeview Integrative Medicine Not Covered Panjwani Poornima PA-C Pain Centers of Chicago Not Covered Panopoulos John N DC Active Health Ltd Not Covered Pantanella Anthony C. DC Anthony C. Pantanella, DC Not Covered Panyshkevych Liliya FNP-BC Carlos H Zambrano MD, LLC Not Covered Paolucci Ada V DPM Essington Podiatry Group Not Covered Papa Najma A MD Nausheen Hasan M.D., S.C. Not Covered Papa Ruksana MD Barrington Internal Medicine P.C. Not Covered Papadopoulos MD Antonios Papadopoulos, MD Not Covered Papanastassiou Efthymia P MD PrimeCare Family Physicians, Ltd Not Covered Papanos Nicholas S MD Global Healthcare, SC Not Covered

37 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Papciak Courtney Amber PA-C Rehabilitation Medicine Specialists Not Covered Papierski Paul E MD Chicago Hand & Orthopedic Surgery Cntr, SC Not Covered Pappas Patroklos S MD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Paran Christine Mary C APN Illinois Gastroenterology Group/IGG Not Covered Paraskevov Plamen T. SA American Surgical Professionals Not Covered Paraskevova Lazarina K SA Not Covered Parekh Paras DPM Paras Parekh, DPM Not Covered Parekh Utpal P MD Faith Medical & GI Center Not Covered Parenti Katherine Nonna MD DuPage Medical Group Not Covered Paresi Robert J MD Plastic Surgery Services and Equipment LLC Not Covered Parikh Jason J MD DuPage Medical Group Not Covered Parikh Jimmy P MD Metropedix Not Covered Parikh Nirali R MD Kavya Medical Center Not Covered Park Jesse K MD Jesse K Park, MD Not Covered Park John J MD Not Covered Park Richard B MD Valley Heart & Vascular Clinic, Ltd.-Elgin Not Covered Parker Christine M MD Ann & Robert H. Lurie Children's Hospital of Chicago Not Covered Parkes Megan R MD Rehabilitation Institute of Chicago Physicians Not Covered Park-Leonard Catherine K MD Radiation Oncology Consultants Ltd Not Covered Parnell Jeffrey R MD Retina Services of Illinois, LLC Not Covered Partida Sara T APN DuPage Medical Group Not Covered Pasciak Robert M MD DuPage Urology Associates, Ltd. Not Covered Pascual Edwin B MD Holy Family Medical Clinic Not Covered Pasquale Christopher R MD Rehabilitation Associates of the Midwest, SC Not Covered Pasternock Laura J CRNA Medical Center Anesthesia Not Covered Pastore Robin L DPM Central DuPage Foot & Ankle Associates Not Covered Patari Kirit MD Healthcare Associates of Streamwood Not Covered Patel Aasita N MD Chicago Cardiology Institute S.C. Not Covered Patel Amit R MD DuPage Medical Group, Ltd. Not Covered Patel Amritbhai P MD Community First Medical Center Not Covered Patel Anjali DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Patel Ankit M MD ENT Surgical Consultants Not Covered Patel Anna A MD Presence Saints Mary and Elizabeth Medical Center Not Covered Patel Arpan J MD Premier Pain & Spine Schaumburg Not Covered Patel Arvind MD Clinical Associates Medical Services Not Covered Patel Ashish V MD Horizon Medical Center, Ltd. Not Covered Patel Avni R PA Metro Infectious Disease Consultants Not Covered Patel Bhanuprasad L MD Arcade Physician, Ltd Not Covered Patel Bhupendra R. MD Not Covered Patel Bijal CRNA Medical Center Anesthesia Group Not Covered Patel Chinmay K. DO Chinmay Patel, DO Not Covered Patel Chirag P MD Associates in Nephrology, SC Not Covered Patel D. P. MD Midtown Physicians SC Not Covered Patel Daksesh Bipin DO Illinois Gastroenterology Group, LLC Not Covered Patel Devang M DO Aunt Martha's Health Center West Joliet Not Covered Patel Dharmesh K MD Primary Care Joliet Not Covered Patel Dhaval M MD Chicago Institute of Plastic Surgery Not Covered Patel DilipKumar B CSA Consulting Surgeons Not Covered Patel Ishwar MD Midwest Center for Women's Healthcare Not Covered Patel Kalpesh M. MD Advanced Integrative Medicine Not Covered Patel Kamlesh M DDS Lakeview Oral/Maxillofacial Surgery Not Covered Patel Kevin Hasmukh MD Retina Associates, Ltd. Not Covered Patel Krishna D MD Midtown Physicians SC Not Covered Patel Monik CST Barrington Orthopedic Specialists Not Covered Patel Mukeshchandra Dayalal MD Mukeshchandra Patel, MD Not Covered Patel Munira M MD Bolingbrook Health Care Associates Not Covered Patel Narendra R DPM Barrington Orthopedic Specialists Not Covered Patel Nick D PA-C Midwest Orthopaedic Consultants Not Covered Patel Nisha APN Signature Medical Group Not Covered Patel Nisha MD Nisha Goyal, M.D. Not Covered Patel Nishant N MD AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Patel Paresh A MD Oakton Medical Associates Not Covered Patel Parit MD Plastic Surgery Clinic of Chicago Not Covered Patel Payal B APN/CNP Lakeshore Gastroenterology & Liver Disease Inst SC Not Covered Patel Pinalkumar Vasantbhai MD TeamHealth Not Covered Patel Pooja Oza MD Diane L. Ozog, MD., S.C. Not Covered Patel Prachi I DO Family Med Ctr of La Grange Not Covered Patel Pratibha B DPM Edgebrook Foot & Ankle Clinic Not Covered Patel Priya Indravadan DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Patel Dhirajlal MD Suburban Medical & Wellness Center, LLC Not Covered Patel Rajesh MD Pain & Spine Institute Not Covered Patel Rajiv Jashu MD Radiation Oncology Consultants, Ltd. Not Covered Patel Ramesh N. MD Joliet Cardiology Center Not Covered Patel Renuka J APRN Chicago Cardiology Institute S.C. Not Covered Patel Resha S APN UroPartners, LLC Not Covered Patel Ritesh D MD Suburban Medical Center Not Covered Patel Ronak MD Hinsdale Orthopaedic Assoc SC Not Covered Patel Sanjay P MD Emily Chacko Not Covered Patel Sejal R MD Associates in Nephrology Not Covered

38 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Patel Sheetalben M APN Suburban Medical Center Not Covered Patel Shephali A MD Norwegian American Hospital Not Covered Patel Shivani PA-C UroPartners, LLC Not Covered Patel Sohal K MD Northwest Neurology, LTD Not Covered Patel Sonal V PA Schaumburg Dermatology Not Covered Patel Tarpan R MD Chicago Cardiology Institute S.C. Not Covered Patel Toral A MD Lakeshore Infectious Disease Associates Not Covered Patel Udit V DO Pain & Spine Institute Not Covered Patel Umang S MD Woodridge Clinic SC Not Covered Patel Umesh O MD Nephrology Associates of Northern Illinois Not Covered Patel Utsahi Rajendra MD Bubble Pediatrics, LLC Not Covered Patel Vallabh N MD Internal Medicine Specialists of Kankakee Not Covered Patel Vijay H DC Harbans S. Mavi, M.D. Not Covered Patel Vijaykumar C MD Woodridge Clinic SC Not Covered Patel Yogitaben Deepakkumar APRN Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Patel Cooke Sheena MD Dupage Medical Group Not Covered Paterek Malgorzata M. MD Infants & Children Clinic Not Covered Patni Yaquta Mustafa MD PSJMC Wound Center & Hyperbaric Medicine Not Covered Patolot Arius G MD Shirley Ryan Ability Lab @ Amita Health Not Covered Patras James T MD James T. Patras, M.D. Not Covered Patricio Myrna M MD Chicagoland Complete Healthcare Not Covered Patro Malgorzata MD Kidney & Hypertension Consultants, SC Not Covered Patterson Jill A MD Medical Practice of Jill Patterson MD Not Covered Patwa Tanmay P MD Southwest Infectious Disease Associates Not Covered Paul Michael A MD Advocate Children's Heart Institute Not Covered Paul Reena Daisy MD Northwest Suburban Medical Group, S.C. Not Covered Paulose Sinu APN/CNP G & M D`Souza Not Covered Pauwaa Annie A PA-C Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Pavlovic Chris MD Parkside Professional Building Not Covered Pavlovic Thomas Anthony L MD Parkside Professional Building Not Covered Pavlovic-Surjancev Biljana MD Medical and Heart Clinic, S.C. Not Covered Pawlowski Ireneusz MD MED-POL, SC Not Covered Pawlowski Ronald C DO Greenbrook Family Clinic Not Covered Paxhia Michael Joseph MD Northwest Eye Clinic, Ltd Not Covered Payne John (Jack) W MD DuPage Medical Group, LTD Not Covered Payvar Sasan MD Joliet Radiological Service Corporation Not Covered Pazooki Babak MD DuPage Medical Group Not Covered Pearl Jeffrey A MD UroPartners, LLC Not Covered Pearlman Robert B MD Chicagoland Retinal Consultants, LLC Not Covered Pearlman Steven J MD Talcott Primary Care, LLC Not Covered Pecherek-Rogers Teresa MD Rogers Medical, LTD Not Covered Peck Andrew M MD Nephrology Associates of Northern Illinois Not Covered Pedraza Gustavo MD Channahon Clinic Not Covered Pedraza James APRN CEP-Illinois Not Covered Pelinkovic Dalip MD Suburban Orthopaedics - Bartlett Not Covered Pelletiere Christopher V MD Barrington Plastic Surgery, Ltd. Not Covered Pelletiere Vincent J. MD Barrington Plastic Surgery, Ltd. Not Covered Peluchiwski Susan L CRNA Midwest Anesthesia Partners, LLC Not Covered Penmetcha Sanjay MD Soumya Health LLC Not Covered Perch John E DO OB Hospitalist Group Not Covered Perera Thushanthi Shanila MD Hinsdale Pediatric Associates Not Covered Perez Manuel MD Manuel Perez, MD Not Covered Perez Walter D MD A to Z Pediatric and Youth Healthcare Not Covered Perlmuter Robert G MD Primary Care Medical Associates, Ltd Not Covered Perri Steven PA-C Illinois Pain Institute Not Covered Perros Dimitrios G MD Dimitris G. Perros, MD, SC Not Covered Perry Tamara Marshall MD Advanced Women`s Health of Chicago, SC Not Covered Perry Tina S APN/CNP Valley Medical & Cardiac Clinic Not Covered Persak Joseph J MD Midwest Emergency Associates, Elk Grove Not Covered Perumal Sindhu V. MD Alexian Brothers Medical Group - Addison Not Covered Pesavento Jessica Arlene PA-C ENT Surgical Consultants Not Covered Petchenik Lon J MD Suburban Ear, Nose and Throat Associates - Arlington Heights II Not Covered Peters Lisa J MD Not Covered Peters Vanessa APN/CNP Cardiac Surgery Associates, SC Not Covered Petersen Erin Kathleen MD Conrad Petersen Dermatology Not Covered Petersen Patricia A APN/CNP Heartland Cardiovascular Center Not Covered Petersen Whitney Amber PA-C Center for Athletic Medicine, LTD Not Covered Peterson Kyle S DPM Suburban Orthopaedics - Bartlett Not Covered Peterson Mark E MD Dreyer Medical Group Not Covered Pethkar Sanjay MD Suburban Health Care Associates Not Covered Petrak Russell M MD Metro Infectious Disease Not Covered Petrich Rudolph DPM DuPage Foot & Ankle Not Covered Petrov Dinko T CRNA Anesthesia Associates, Ltd. Not Covered Petrov Oleg DPM Not Covered Petrovas Demetrios MD George Karabelas, M.D. Not Covered Petrucci Jasper A. MD Fox Valley Orthopaedic Institute Not Covered Petsche Timothy S MD Fox Valley Orthopaedic Institute Not Covered Pezen David S MD David S. Pezen, MD, SC Not Covered Pfeiffer Emily Jayne APN/CNP CEP - America - Illinois - Presence Saint Joseph Hospital - Elgin Not Covered

39 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Philips Sharon E CRNA Resolute Anesthesia Illinois SC Not Covered Phillips Bryan J MD Phillips Eye Center Not Covered Phillips Dawn R MD Phillips Eye Center Not Covered Phillips LaRon E MD Laron E Phillips, MD Not Covered Phillips Martin T MD Metro Infectious Disease Consultants Not Covered Phillips Scott B MD PSMEMC Dermatology Not Covered Philobos Marie K MD The KIDS Place of Willowbrook Not Covered Photowala Fatema M MD Dreyer Medical Group Not Covered Phouikham Lily DO Healing Hands Primary Care, LLC Not Covered Pichler Stephen William MD Lurie Children's Hospital/Divison of Hosp Based Medicine Not Covered Piekos Grazyna MD Midwest Neurological Associates Not Covered Piekos Marek W MD Reproductive Health Specialists Not Covered Pierandozzi Noreen A APN/CNP Geriatric Medical Associates Not Covered Pieri Italo D MD Talcott Primary Care, LLC Not Covered Pieta Jacek MD Midwest Pulmonary Associates, S.C. Not Covered Pigato Joseph MD Medical Practice of Joseph Pigato Not Covered Pilant Oleaha F APN AHP Specialty Care, NFP Not Covered Pillai Gokila MD Pediatric Health Associates Not Covered Pillai Rajesh S MD Illinois Gastroenterology Not Covered Pillay Krushen DO Work and Pillay, SC Not Covered Pillsbury Lisa L MD Nephrology Associates of Northern Illinois Not Covered Pimental Patricia PsyD Neurobehavioral Medicine Consultants, LTD Not Covered Pinchcofsky Howard Aaron MD Suburban Radiologists, SC Not Covered Pinchuck Curt P MD Center For Family Guidance/InSight Telepsychiatry Not Covered Pinsky Jonathan K MD Metro Infectious Disease Not Covered Pinto Juan MD Americas Medical Center Not Covered Piotrowski Anna MD Women and Children's Health Care Associates, LLC Not Covered Piotrowski Mark J MD Suburban Associates in Ophthalmology Not Covered Pitroda Priyanka Pravin MD Dreyer Medical Group Not Covered Pitsilos George N MD Premier Occupational Health Not Covered Pizarro Pamela F APN/CNP Omni Healthcare Not Covered Pizinger Jacqueline NP Illinois Orthopedic Institute LLC Not Covered Pizinger Ryan M. MD Illinois Orthopedic Institute LLC Not Covered Placik Otto J MD Associated Plastic Surgeons, SC Not Covered Plavnik Helen MD Femacare Obstetrics & Gynecology Not Covered Plein Colleen T MD Specialty Care Institute SC Not Covered Plunkett Beth A MD NorthShore University HealthSystem Not Covered Plunkett Michael J MD Resurrection Family Medicine Center Not Covered Podbielski Francis J MD Thoracic Surgical Associates, LLC Not Covered Podjasek Joshua O MD Derm Assoc of La Grange Not Covered Poepping Thomas MD G&T Orthopedics Not Covered Polito William Fred MD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Polizos Theodore DPM Polizos Theodore DPM Not Covered Pollack John S MD Illinois Retina Associates, S.C Not Covered Pollak Alan C MD Alan Pollak Not Covered Pombar Xavier F DO Women`s Health Consultants, SC Not Covered Pomerantz Rhoda S MD Presence Saint Joseph Hospital Not Covered Pond Robin K PA-C Oaklund Medical Group Not Covered Pongonis Raymond M MD Oak Brook Allergists, S.C. Not Covered Pont Edward Abba MD DuPage Medical Group Not Covered Poonawalla Hajra MD Tots N` Teens Health Associates Not Covered Pope Katie PA Barrington Orthopedic Specialists Not Covered Popovic Aleksandra MD IPC of Illinois, Inc. Not Covered Portela Paola Andrea MD Infant Welfare Society Clinic Not Covered Porter Katrina L MD West Suburban Women's Hlth Ltd Not Covered Porter Michael J MD Heart Care Centers of Illinois Not Covered Portland Gregory H MD Illinois Bone & Joint Institute, LLC Not Covered Poteet Lauren E CRNA Medical Center Anesthesia Group Not Covered Potempa Leonard D MD Nephrology Assoc of Northern Il Not Covered Potempa Robert L DPM Robert L. Potempa, DPM Not Covered Potkul Ronald K MD Loyola University Medical Center Not Covered Potter Benjamin Gerald DPM Mercy Hospital & Medical Center - Podiatry Residency Not Covered Potter Theresa L CSA Barrington Orthopedic Specialists Not Covered Poulos Dorothea MD Elgin Family Physicians Not Covered Powell Amanda J APN Midwest Internal Medicine Clinic Not Covered Powell Tanya M MD Radiation Oncology Consultants, Ltd Not Covered Poynter Taylor C PA-C CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Pozzi Patrick MD DuPage Medical Group, Ltd. Not Covered Prabhu Veena MD DuPage Internal Medicine of IL Not Covered Prakash Ravi K MD Dreyer Clinic - Highland Not Covered Prendergast Michael R MD Surgical Associates, S.C. Not Covered Pressley James E SA Epic Surgical Solutions LLC Not Covered Prickett Adam Lee MD Northwest Eye Physicians Not Covered Pride Tamara Ann PA-C Mohs Surgery and Dermatology Center Not Covered Prieboy Joseph P DO Mokena Family Physicians Not Covered Priest Edwin MD Northwest Oncology & Hematology, SC Not Covered Prieto Jorge J MD Jorge Prieto, MD Not Covered Prieto Sorvein MD SPS Family Care Not Covered Pritikin Jordan B MD Chicago Nasal & Sinus Center, SC Not Covered

40 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Proctor Brian D DO Tennenbaum and Anstadt, Ltd DBA Gottlieb Eye Center Not Covered Prodromos Chadwick CD MD Illinois Sportsmedicine Not Covered Prokop Thomas A PA-C Midwest Orthopaedic Consultants Not Covered Provenzano Sheila RN Not Covered Prunskis John V MD Illinois Pain Institute, Ltd. Not Covered Ptak Paul Daniel SA Surgical Assistants of Illinois Not Covered Ptaszek Amy Jo MD Illinois Bone & Joint Institute, LLC Not Covered Pugnale Marci Jill MD Suburban Ear, Nose and Throat Associates - Arlington Heights II Not Covered Pullos Alissa Nicole DDS Armitage Oral Surgery Not Covered Pulver Rachel M PA-C CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Punsalan Annabel Lingan APN/CNP Summit Digestive & Liver Disease Specialists Not Covered Puri Mohammad Muneeb MD DuPage Medical Group Nephrology Not Covered Puri Rajeev D MD Orthopedic Assoc of Kankakee Not Covered Puscheck Elizabeth Ella MD Karande and Associates, S.C. DBA: InVia Fertility Specialists Not Covered Putterman Allen Michael MD Not Covered Pyle Jennifer R MD Medical Pediatrics Not Covered Qadir Abdul MD Medical Practice of Abdul Qadir MD Not Covered Qadir Adnan MD TeamHealth Not Covered Qadir Khurram MD Kish HealthSystens Physician Group Not Covered Qamar Sohail CSA Consulting Surgeons Not Covered Qazi Iram Manzoo MD Presence Mercy Medical Center Not Covered Qazi Manzoor Ahmad MD Manzoor A. Qazi, MD Not Covered Quadri Syed J MD Quadri Family Practice Not Covered Quadri Syeda DO Infectious Diseases Associates, P.C. Not Covered Quartetti Eric J MD Fox Valley Ophthalmology Not Covered Quertermous James Lassiter MD Beaird Dermatology, SC Not Covered Quigley Nicole M CNM Advanced Women`s Healthcare Specialists, SC Not Covered Quinteros Francisco A MD Chicago Institute for Advanced Surgery Not Covered Quirk Bridget PA American Hip Institute LLC Not Covered Qureshi Amber Amjid DO Dreyer Medical Group (Highland) Not Covered Qureshi Javeria Shaheen MD PMG - -Kankakee Not Covered Qureshi Mohammed A. MD Randall Residence of Wood Dale Not Covered Rabinowitz Richard S MD Barrington Orthopedic Specialists Not Covered Racenstein Michael J. MD MidSuburban Radiological Associates, LLC/Elk Grove Radiology Not Covered Rachel John D MD Center for Liposculpture - Glenview Not Covered Racho Zenaida E MD Zenaida Racho, MD Not Covered Rada Robert E DDS Robert E Rada, DDS Not Covered Radford Kelly CRNA American Anesthesiology Associates of Illinois, SC Not Covered Radovan Gaddi Maria Carmichelle CSA AHP Surgical Assistants Not Covered Rafi Rene CRNA American Anesthesiology Associates of Illinois, SC Not Covered Rager Jeff J DPM Oakton Park Medical Center Not Covered Ragland Michael Steven MD VNA Healthcare Not Covered Ragona Brian P. MD DuPage Medical Group, Ltd. Not Covered Raheem Mohammed A MD Dreyer Medical Group Not Covered Rahim Syed A MD Alina TeleHealth Not Covered Rahim Tariq MD RCMG Digestive Disease Consul-Aurora Not Covered Rahman Faiz Ur MD PMG-Hospitalist Not Covered Rahman Joseph Z APN Dr Dekhtyar and Associates Not Covered Rahman Maleka P DO Broadway Eye Institute Not Covered Rahman Mohamed A MD Nephrology Associates of Northern Illinois Not Covered Raichand Sunil MD DuPage Eye Associates SC Not Covered Raigaga Kumar B DPM Dreyer Medical Group Not Covered Rais-Dana Jalal MD Jalal Rais-Dana, M.D., Ltd. Not Covered Raiser Manfred W MD Gastroenterology Services, Ltd. Not Covered Rajagopalan Rajeswar MD Northwest Specialty Medicine, PC Not Covered Rajani Jackie Raj MD Not Covered Rajaram Priyanka MD DuPage Medical Group Not Covered Rajendran Ramji R MD Radiation Oncology Consultants Ltd Not Covered Raju Jayashree R DO Jayashree R. Raju, DO PC Not Covered Ramadurai Govind MD Heartland Cardiovascular Center Not Covered Ramakrishna Renuka J MD Ramakrishna Obstetrics & Gynecology Ltd. Not Covered Ramana Ravi K DO Heart Care Centers of IL SC Not Covered Ramani Kishin MD Heart Care Centers of IL SC Not Covered Ramani Ram L MD Metro Infectious Disease Consultants, LLC Not Covered Ramesh Priya MD Tots N` Teens Health Associates Not Covered Ramirez Esmilkrys B MD Health Direction Medical Center Not Covered Rampurwala Abbas Y. MD Metro Heart & Vascular Institute Not Covered Rana Nasiruddin MD Reproductive Endocrinology & Infertility Not Covered Ranallo Rena PA-C Fox Valley Orthopaedic Associates, S.C. Not Covered Rancich Margaret Grace PA-C CEP - America - Illinois - Presence Mercy Medical Center Not Covered Randazzo Randall F MD Metro Chicago Surgical Oncology, LLC Not Covered Randhawa Sundeep Singh MD Presence Saints Mary & Elizabeth Medical Center (MedicalGroup) Not Covered Ranganathan Manjari MD DuPage Medical Group Ltd. Not Covered Rantis Peter C MD Suburban Surgical Care Specialists, S.C. Not Covered Rao Gopal S MD Elk Grove Medical Associates, LLC Not Covered Rao Madhav V MD Associates in Nephrology, SC Not Covered Rao Robert MD NCH Medical Group - Division of Surgery Not Covered Rao Sheetal Khedkar MD DuPage Medical Group Not Covered Rapaport Barry A MD Barry A Rapaport, MD Not Covered

41 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Rashan Raad N MD Harlem Medical Center Not Covered Rashed Issra MD Nuclear Oncology, SC Not Covered Rasheed Zaynab MD AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Ratazak Danielle Marie APN/CNP Primary Care Joliet Not Covered Rathi Sapna S. MD Advanced Pain Centers, S.C. - Elk Grove Not Covered Ratkovich Edward I DPM Parkview Orthopaedic Group Not Covered Rauf Anis A DO NANI-Hinsdale Not Covered Ravage Zac B MD Illinois Retina Associates, SC Not Covered Rawal Ankit DO DuPage Medical Group Nephrology Not Covered Ray Kathryn M. MD Midwest Center for Women's Healthcare Not Covered Ray Luann Mary Lac Alternative Health Group, LLC Not Covered Ray Raju B MD Nephrology Associates of Northern Illinois Not Covered Rebuck David Aaron MD Uropartners, LLC Not Covered Reda William Jonathan MD Lurie Children's Pediatric Faculty Foundation Not Covered Redd Kisha L APN CEP-Illinois Not Covered Reddy Anup B MD Advance Inpatient Medicine Not Covered Reddy Megan Zust PhD Gersten Center for Behavioral Health Not Covered Reddy Nagamani P MD S R Psychiatric Ltd. Not Covered Reddy Naveen C MD Nephrology Associates of Northern IL Not Covered Reddy Rajagopal K MD Rajagopal K Reddy MD SC Not Covered Reddy Shantan G MD DuPage Medical Group Ltd Not Covered Redondo Luis J MD Midwest Orthopaedic Consultants Not Covered Regan E Quinn MD Illinois Bone & Joint Institute, LLC Not Covered Rehal Harkamal K MD Fox Valley Medical Associates Not Covered Rehusch Steven MD DuPage Medical Group Not Covered Reibel Joseph PA-C Fox Valley Orthopaedic Institute Not Covered Reich Alan M MD Alan M. Reich, MD Not Covered Reid Russell R MD University of Chicago Medical Center Not Covered Reid Kosova Marlene DPM Family Podiatry Center Not Covered Reilly Jaimie Christine PA Dr Patricia A Larson, MD & Assoc Not Covered Reilly Supna O DPM Performance Podiatry Partners, LLC Not Covered Reinglass Howard J MD Lakeshore Eye Physicians Not Covered Reinhart Kim DO Hinsdale Family Medicine Center Not Covered Reinke Lance D PsyD NeuroCare & Family Services, PC Not Covered Reinstein Michelle L. MD Pediatric Care Associates, S.C. Not Covered Reis Jader D MD Jader Reis, MD Not Covered Reishus Scott A DO Tiesenga Surgical Associates, SC Not Covered Rejowski James E MD AMITA Health Medical Group ENT Not Covered Rembarsu Sunita MD TeamHealth Not Covered Repa Shaunna Northwest Pediatric Services Not Covered Resnick Kenneth I MD Retina Associates Ltd Not Covered Reyes David PA-C Cardiac Surgery Associates - RHPB Not Covered Reyes Hernan S MD Not Covered Reyes Pedro A MD Family Care Associated, Ltd Not Covered Reynish Alex D PsyD Behavioral Health Care Associates Not Covered Rhyne Christopher Patrick MD Diamond Headache Clinic Not Covered Ribo Fonseca Miguel A CSA Consulting Surgeons Not Covered Ricaurte Kimberly K DO Premier Allergy, Asthma & Sinus Care Not Covered Riccardo Nick J. MD DuPage Medical Group Not Covered Richards Christopher Frank MD Center For Family Guidance/InSight Telepsychiatry Not Covered Richey Jacob Mendel DPM Affiliated Podiatrists, LTD Not Covered Richman Joel PhD Not Covered Ridings Larry W MD Nuvasive Clinical Services Not Covered Ridlen James R DDS James R Ridlen DDS Not Covered Riemma Laura Ellen PA-C CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Riermaier Michael MD Associates for Women`s Healthcare Not Covered Ries Michael H MD Chest Medicine Consultants, SC Not Covered Riff Andrew Joseph MD Hinsdale Orthopaedic Assoc SC Not Covered Riggs Kevin Brian PA-C CEP - America - Illinois - Presence Mercy Medical Center Not Covered Rii Joyce Chung DO Metro Infectious Disease Consultants Not Covered Riley Sarah Elizabeth Rees PsyD Sarah Rees Riley, PsyD Not Covered Riman Amit SA Consulting Surgeons Not Covered Rimington Todd Randall MD Northwest Orthopaedics Assoc. & Sports Medicine Not Covered Rinehart John S MD Rinehart Ctr for Reproductive Med Not Covered Ringhofer Curt William DDS Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Riordan Kenneth I O MD Lakeshore Gastroenterology & Liver Disease Inst SC Not Covered Rios Edgar R MD Edgar R Rios, MD SC Not Covered Rios Josephine A CNM, MS Northwestern Medicine Not Covered Rios Ricardo Rolando MD Edgar R Rios, MD SC Not Covered Risdon T MD Not Covered Risner Richard C MD Not Covered Ritacca Daniel J MD Ritacca Cosmetic Surgery Center & Medspa Not Covered Rivera Donna L. CNM Midwest OB/Gyn & Midwifery Not Covered Rivera Lorna M MD Kenneth Young Centers 1 Not Covered Rizvi Heather Ann MD La Grange Pediatrics Ltd Not Covered Robarts Ross Matthew PA Midwest Sports Medicine & Orthopaedics - Elk Grove Not Covered Roberts Karen L APN/CNP Rehabilitation Associates of the Midwest, SC Not Covered Robertson Scott D DO Family Med Ctr of La Grange Not Covered Robinson Barrett K MD NorthShore University HealthSystem Not Covered

42 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Robinson Caroline N MD Beaird Dermatology, SC Not Covered Rodgers Carol P APN Uropartners LaGrange Urology Not Covered Rodney Simi Susan MD TeamHealth Not Covered Rodriguez Alexis A MD Center for Pediatric Gastroenterology Nutrition, MD, SC Not Covered Rodriguez Evelyn MD La Grange Women's Clinic Not Covered Rodriguez Felix N MD Alina TeleHealth Not Covered Rodriguez Julie Ann PA-C Metro Infectious Disease Consultants, LLC Not Covered Rodriguez Laura APRN Advance Inpatient Medicine Not Covered Rodriguez Rowena G. APN Not Covered Rodriguez Sophia MD West Suburban Women's Hlth Ltd Not Covered Rodriguez-Collazo Edgardo DPM Chicago Foot & Ankle Correction Center Not Covered Rogers Gina M MD Eye Physicians & Surgeons of Chicago, SC Not Covered Rogers Laura H MD Laura Rogers Allergy and Asthma Not Covered Rogers Laura Msall MD All Star Pediatrics, PC Not Covered Roggelin Michael Joseph APN/CNP NorthStar Medical Center Not Covered Rohail Huma Q MD Nephrology Assoc of Northern IL Not Covered Rohail Tahir MD Premier Internal Med Group SC Not Covered Roig Michele M. MD Children and Teen`s Medical Center - Algonquin Not Covered Rolandelli Audrey L APN Spectrum Behavioral Health Not Covered Rolek Monika MD Midwest Adult Care, LLC Not Covered Romanowski Elzbieta CRNA Envision Physician Services Not Covered Romm Stephan PsyD Stephan Romm, PsyD Not Covered Rooney Peter W MD Presence Saint Joseph Hospital Not Covered Roque David L MD Roque-Ponton Medical Group, SC Not Covered Rosado Manuel Francisco MD Bassam F. Matar, M.D., S.C. Not Covered Rosania David B MD Pain Relief Institute Not Covered Rosanova Mark A MD Advanced Eye Care Associates Not Covered Rosanova-Kaper Mary Ann MD Rosanova-Kaper & Rosanova MDs Not Covered Rosario Carmen M MD Northwest Pulmonary Associates, SC Not Covered Rose Katelyn Michelle PA Midland Orthopedic Assoc SC Not Covered Roseman Daniel A MD Daniel Roseman MD Not Covered Roseman Melvin K MD Melvin K. Roseman, MD, SC Not Covered Rosen Barry MD Advanced Surgical Care - Fox Glen Not Covered Rosen David I MD David I. Rosen, MD LTD Not Covered Rosen Thomas M PA Core Orthopedics & Sports Medicine Not Covered Rosenbaum Allen J MD Allen Rosenbaum, MD Not Covered Rosenberg Neil MD Respiratory, Critical Care & Sleep Specialist, LLC Not Covered Rosenblum Yonatan Lee PsyD Gersten Center for Behavioral Health Not Covered Rosenfeld Katie E DO St. Alexius Breast Care Center at Bartlett Not Covered Rosenstein Gregorio G MD Not Covered Rosewell Debora S. MD Drs. Bedingfield and Rosewell, S.C. Not Covered Rosewell Krystal A DO Drs. Bedingfield and Rosewell, S.C. Not Covered Rosinski Victoria Nicole CRNA American Anesthesiology Associates of Illinois, SC Not Covered Roska Ed Allen E. CRNA American Anesthesiology Associates of Illinois, SC Not Covered Rosner Karol E MD Nephrology Associates of Northern Illinois Not Covered Ross Bradley S DPM Bradley S. Ross, DPM, PC Not Covered Ross Eleanor T MD Heart Institue for Children Not Covered Rosselson Maria E MD Chicago Cornea Consultants Not Covered Rostein Daniel A MD Daniel Rostein MD SC Not Covered Rotnicki Richard M DO Digestive Health Specialists, Ltd PC Not Covered Rotskoff Brian D MD Illinois Allergy, Asthma & Sinus Center Not Covered Rotstein Jason MD Barrington Orthopedic Specialists Not Covered Rousseau Layne A. DO Dreyer Medical Group Not Covered Roux Maria E APN Midwest Center for Women's Healthcare Not Covered Rowe Sarah E. MD Mid Suburban Radiological Associates Not Covered Rowley Guy A MD Advocate Medical Group Wicker Park Primary Care Not Covered Roxas Ronald Isidore APN Northwest Pediatric Services Not Covered Roy Anna L APN/CNP Omni Healthcare Not Covered Roy Cristina Herico APN/CNP Estefan Roy, MD Not Covered Roy Estefan G MD Estefan Roy, MD Not Covered Roy Patricia Herico MD Patricia Roy, MD Not Covered Rozanski Brian L DPM West Suburban Podiatry Not Covered Rubach Bryan W MD Midwest ENT Associates Not Covered Rubin Arnon E MD Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Rubin Jason S DPM Rubin Foot & Ankle Center Not Covered Rubin Zachary Edward MD Butterfield Family Medical Associates Not Covered Rubinstein Harry MD Fox Valley Medical Associates Not Covered Rubinstein Scott A MD Illinois Bone & Joint Institute Not Covered Rud Nathan PA MEA/TEAM Health, Elk Grove Not Covered Ruda Susan C APN/CNP Parkview Orthopaedic Group Not Covered Ruddock-Walker Sara Charace MD Lurie Children's Hospital/Divison of Hosp Based Medicine Not Covered Rudnick Lawrence A. MD Respiratory, Critical Care and Sleep Specialists, LLC Not Covered Ruffer James E MD Radiation Oncology Consultants Ltd Not Covered Ruiz Juan Pablo MD Nephrology Associates of Northern Illinois Not Covered Rumilla Alfredo E MD Chicagoland Complete Healthcare Not Covered Runge Kevin Robert PA-C Metro Infectious Disease Consultants, LLC Not Covered Rushing Marcus Dewayne MD Hinsdale Family Medicine Center Not Covered Russell Eleanor M APN Northwest Pulmonary & Sleep Medicine Not Covered Russo Frank H DPM Instep Podiatry, P.C. Not Covered

43 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Ruzycki Julie A PsyD Julie A. Ruzycki, PsyD Not Covered Ryan David J MD DuPage Medical Group, Ltd Not Covered Ryan Jeffrey J CRNA American Anesthesiology Associates of IL, SC Not Covered Ryan Tammy F APN/CNP Uplifted Care Not Covered Ryerson Mark A DPM Central Podiatry Not Covered Ryne Joseph E DDS Joseph E Ryne DDS Not Covered Saad Peguy MD Metro Infectious Disease Consultants, LLC Not Covered Saavedra Olga L MD Olga L Saavedra, MD, SC Not Covered Sabir Galina MD Cardiovascular Consultants Not Covered Sachtleben David M MD Hinsdale Internal Med Assoc Not Covered Sack Mark D. DPM Bartlett Foot Center Not Covered Sadah Alan Y MD Metro Chicago Surgical Oncology, LLC Not Covered Sadikovic Azra MD Chicago Health Medical Group Not Covered Sadowski Joseph W MD Not Covered Sadowski Julita K MD Not Covered Sadowski Lawrence E MD Vision Correction Center Not Covered Saeed Faisal MD Inpatient Consultants of Illinois, PC Not Covered Saeed Moazzam MD Advanced Pediatric Care, Ltd Not Covered Saeed Mohammed M MD Addison Medical Associates, Ltd. Not Covered Saeed Naveed M. DC Access Health Care Not Covered Saeed Yumna MD Northwest Neurology, LTD Not Covered Saffold Carol W MD OBHG Illinois,SC Not Covered Safvi Amjad Ali MD Associated Imaging Specialists Not Covered Sager David S MD Rheumatic Disease Center Physicians, SC Not Covered Sager Solomon J MD Chicago Cardiology Institute S.C. Not Covered Sagerman Scott D MD Hand Surgery Associates, S.C. Not Covered Saheb Farid MD Presence Resurrection Medical Center Not Covered Sahgal Nishi B MD Metro Infectious Disease Not Covered Sahni Neha MD RCMG Digestive Disease Consul-Aurora Not Covered Said Omar MD Premier Pain & Spine Schaumburg Not Covered Saint Martin Gaston A MD Suburban Radiologists, S.C. Not Covered Saiyed Humaira F MD Midwest Psychiatry Associates Not Covered Sajjad Mohammed MD Apollo Family Medical Center Not Covered Sakharuk Aleksey DO Hinsdale Family Medicine Center Not Covered Sakka Nidal MD Midwest Pulmonary and Sleep Clinic Not Covered Saks Noel D MD Eye Specialists of Illinois, S.C. - Park Ridge Not Covered Saksena Franklin B MD Not Covered Sakyi Denise MD TeamHealth Not Covered Salcedo Hector L MD Salcedo Medical Center Not Covered Saldanha Rita P MD MedPlus, S.C. Not Covered Saleem Khurram MD Nephrology Assoc of Northern IL Not Covered Saleh Hani Jacob MD NorthShore Associates in OB & Gyne, SC Not Covered Saleh Rania MD Southwest Infectious Disease Associates Not Covered Saleheen Qamar U S MD Metro Infectious Disease Consultants, LLC Not Covered Salehi Sean A MD Neurological Surg & Spine Surg Not Covered Salem Mohamed Medhat MD Optimum Kidney Care, SC Not Covered Salgado Hilda PA-C Metro Chicago Surgical Oncology, LLC Not Covered Salhadar Ammar DO Advance Inpatient Medicine Not Covered Salman Suleiman B DO The Sports Medicine & Regenerative Therapeutics Institute Not Covered Salvino Kevin J DPM Hinsdale Foot & Ankle Specialists Not Covered Salvino Michael J MD Salvino Plastic Surgery Not Covered Salvino Natalie A APN MPS Kohli, MD, SC dba SUBURBAN PRIMARY CARE Not Covered Salwan Ashima MD Northern Illinois Medical Associates Not Covered Salwan Manav K MD Advanced Internal Medicine of Northern Illinois Not Covered Samala Vasantha MD Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Sambare Dattatreya MD Brookville Medical Center Not Covered Sambare Varsha D MD Brookville Medical Center Not Covered Samett Evan Jeffrey MD ONRAD, Inc. Not Covered Sami Mohammad MD Salt Creek Therapy Center Not Covered Sampat Chintan Suren MD Parkview Orthopaedic Group Not Covered Sampath Savitharani MD VNA Healthcare Not Covered Samuels Jordan MD Northwest Neurology, LTD Not Covered Samuelsohn Beth H. DO North Suburban Family Medicine Not Covered Sanchez Alex A MD IPC of Illinois, Inc. Not Covered Sanchez Claudia MD PrimeCare Community Health, Inc Not Covered Sanchez Francisco J MD Chicago Family Wellness, SC Not Covered Sanchez Vargas Gustavo R MD Gustavo Ricardo Sanchez Vargas MD, SC Not Covered Sandas Vasilike J MD Medlux Rehabilitation and Wellness Not Covered Sanders Karen A MD Westwood OB-GYN Not Covered Sandesara Kalyan B MD Kalyan B. Sandesara, MD SC Not Covered Sandler Steven A MD Steven A. Sandler, MD Not Covered Sandulescu Corina MD Midwest Center for Women`s Healthcare-Noga Not Covered Sanford Emilie E CRNA Anesthesia Associates, Ltd Not Covered Sankari Abdul H MD Heartland Cardiovascular Center Not Covered Sankari Susan MD Twenty First Century Pediatrics Not Covered Santa Ines Lata G MD OB Hospitalist Group Not Covered Santana Sabrina PA Midwest Neurology Associates Not Covered Santiago Berrios Luis F MD Luis F. Santiago, MD Not Covered Santiago-Palma Juan MD Orthopedic Assoc of Kankakee Not Covered

44 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Santilli Michael D DO Country Family Practice Not Covered Saper David MD Orthopaedic & Rehabilitation Centers, SC Not Covered Saporta Albert J MD Summit Digestive & Ulcer Disease Specialists Not Covered Sapountzi Paraskevi MD Suburban Endocrinology & Diabetes Not Covered Sarantoupoulos Christina G. DPM Ankle N Foot Centers Not Covered Sarcu David Allan MD Dreyer Medical Group (Highland) Not Covered Sarkos Sophia M MD Downers Grove Eye Center, PC Not Covered Sarmiento-Gupana Priscilla A DO VNA Healthcare Not Covered Sasikumar Preethi MD TeamHealth/IPC Not Covered Sasso Brian C DO Digestive Disease Consultants Not Covered Sastri Suriya V MD Suriya V. Sastri, MD, P.C. dba Midwest Digestive Center Not Covered Sathissarat Voraphot MD Allergy and Asthma Associates, S.C. Not Covered Sathyakumar Sandhya S MD Northwest Infectious Disease Consultants, SC Not Covered Satko Cynthia R DDS Cynthia R Satko, DDS Not Covered Saudye Muhammad A S MD Shifa Cardiology Consultants Not Covered Saulis Alexandrina S MD Aesthetic Plastic & Reconstructive Surgery Not Covered Sauri Anne M. CRNA Resolute Anesthesia Illinois SC Not Covered Saviano Liza Marie G. DPM Dr. Liza Marie G Saviano DPM, LTD Not Covered Savino Anthony W MD Midwest Bone & Joint Not Covered Sawhney Sandeep MD Advanced Urology Associates Not Covered Sawlani Amishi P MD Amishi P Sawlani Not Covered Sawlani Ashok D MD Ashok D Sawlani MD Not Covered Sawlani Haresh B MD Central Primary Care Not Covered Sawlani Manish B MD Dr. Manish Sawlani Not Covered Sawlani Purshotam D MD Purshotam D. Sawlani, MD, FACC Not Covered Sawlani Sarena A MD Chicago Allergy & Asthma Not Covered Saxe Lauren MD Hinsdale Eye Clinic, LLC Not Covered Sayeed Khaleel Ahmed MD Nephrology Associates of Northern Illinois Not Covered Sayeed Sifatur R MD Sifatur Sayeed MD, SC Not Covered Saylor Alaine Nicole PA-C CEP - America - Illinois - Presence Saint Joseph Hospital - Chicago Not Covered Sbigoli Aldo DDS McHenry Dental Specialists Not Covered Scafidi Kimberley A RN Core Orthopedics & Sports Medicine Not Covered Scanlon Kimberly S DO DuPage Medical Group Fam Med Not Covered Scanlon Mary S MD Midwest Center for Women's Healthcare Not Covered Scaramella John G MD Not Covered Scarimbolo Carmen J MD Midwest Center for Women`s Healthcare-Noga Not Covered Schacht Mark J MD Metro Chicago Surgical Oncology, LLC Not Covered Schaeffer Kelly A. APN Northwest Neurology, LTD Not Covered Schafer Kathleen DPM Kathleen M. Schafer, DPM, Inc. Not Covered Scheerenberger Theresa K APN Pain Specialists of Greater Chicago Not Covered Schied Michael J MD La Grange Women's Clinic Not Covered Schilder Lawrence DO Alina TeleHealth Not Covered Schiltz James A PA-C Fox Valley Orthopaedic Institute Not Covered Schiopu Michelle APN MEA-Elk Grove, LLC Not Covered Schirf Brian E MD Vasc & Interventional Radiology Not Covered Schlichting Sara APN Northwest Suburban Medical Group,SC Not Covered Schlieben David J MD Nephrology Assoc of Northern IL Not Covered Schlund Marie DPM Itasca Foot and Ankle Ltd Not Covered Schmelka Daniel R MD Vasc & Interventional Radiology Not Covered Schmidt Danielle Jessica PA-C Advanced Behavioral Health Services Not Covered Schore Mark Leroy SA American Surgical Professionals Not Covered Schreiber David A MD Compass Health Center Not Covered Schroeder Judy M APN Midwest Emergency Associates, LLC Not Covered Schroeder Keith E MD Barrington Orthopedic Specialists Not Covered Schroeder Robert P MD Retina Services of Illinois, LLC Not Covered Schubert Charles Bradley MD Tiesenga Surgical Associates, SC Not Covered Schubert Robert S MD DuPage Medical Group Not Covered Schubkegel Andrew J MD ENT Specialists Ltd Not Covered Schulte Suzanne G. A. MD Lurie Children's Hospital/Divison of Hosp Based Medicine Not Covered Schultz Kara Lee MD Ophthalmology Associates Not Covered Schultz Natalie MD Advanced Reproductive Health Centers Not Covered Schuster Brian J PA-C UroPartners Hinsdale Not Covered Schuster Frederick A DC Total Athleticare Not Covered Schuster George A MD UroPartners, LLC Not Covered Schwartz David M MD Schwartz Pediatrics Not Covered Schwartz Glenn J MD Suburban Ear-Nose & Throat Associates, LTD Not Covered Schwartz Henry C. MD Schwartz Pediatrics Not Covered Schwartz Jeffrey Paul MD Cardiac Surgery Associates, SC Not Covered Schwartz Rachel APN Legacy Medical Care Inc Not Covered Schwartz Tovah M MD Schwartz Pediatrics Not Covered Schwartz-Peterson Christine L MD Journey Care Not Covered Schweigert Karla R APN/CNP Riverside Heart and Vascular Institute Not Covered Scigacz Bozena MD Bozena Scigacz Medical Office Not Covered Sclamberg Steven G MD Orthopaedics and Rheumatology of the North Shore Not Covered Scoigletti Mary APN/CNP Rehabilitation Medicine Specialists Not Covered Scott Lindsey Marie PA-C CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Secco Alessandra Anna MD Northwest Infectious Disease Consultants SC Not Covered See Joel B. MD DuPage Medical Group Not Covered Seebruch Shelli M MD Aschinberg Pediatrics Not Covered

45 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Seeds James R. MD Midwest Bone & Joint Not Covered Seferovic Kijana MD Lincoln Medical Center, PC Not Covered Seidman Don N MD DuPage Medical Group Not Covered Seigle Michael L. MD Ophthalmology Associates Not Covered Sekhadia Lipi Mehul MD Midwest Hospitalists, LLC Not Covered Sekhon Sudhir S MD Dreyer Medical Group Not Covered Selvaraj Prakash MD West Suburban Eye Center Not Covered Selvaraj Rajakumari P MD West Suburban Eye Center Not Covered Semba Robert T MD Parkview Orthopaedic Group Not Covered Senthilkumar Arouna MD Northwest Medical Associates of Chicago Not Covered Seo Robert M MD DuPage Medical Group Not Covered Serafin Philip Peter DO Hinsdale Family Medicine Center Not Covered Serajian Asif DO Lumen Cardiovascular Specialists Not Covered Seraphin Peter L DO Hinsdale Gastroenterology Associates Not Covered Serdiuk Jennifer Ann APN/CNP CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Serembytsky Yuriy CSA UNITED SUBURBSN SURGICAL ASSISTANCE Not Covered Serna Philip J MD DuPage Medical Group Not Covered Serowka Karen E PA-C CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Serpe Jason L DPM RMC - Serpe, Jason Not Covered Seruya Abby H MD Northwest Associates For Women's Healthcare Not Covered Seshagirirao Donthamsetti MD Cook County Radiation Oncology, SC Not Covered Sester Dana L APN/CNP, RN CEP - America - Illinois - Presence Mercy Medical Center Not Covered Sethi Aman MD Dreyer Medical Group Not Covered Sethi Pradip MD Pulmonary Critical Care Sleep Medicine Specialists SC Not Covered Sethi Puja MD Drs Girgis & Associates Not Covered Setlur Usha MD Medical Practice Not Covered Settergren Roy D MD AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Sewall Luke E MD Vasc & Interventional Radiology Not Covered Sexton-Radek Kathleen J PhD Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Seymour Scott A MD Orthopaedic Assoc of Riverside LLC Not Covered Shade Ronald J MD Northwest Oncology & Hematology, S.C. Not Covered Shadid Hythem P MD Genesis Orthopedics & Sports Medicine Not Covered Shafi Mohammad S MD Kidney Care Center Not Covered Shah Anil R MD Anil R. Shah, M.D., S.C. Not Covered Shah Anita Arun DO Northwest Pulmonary Associates, SC Not Covered Shah Ankit K MD Summit Medical Center Not Covered Shah Asad MD Northern Illinois Medical Associates Not Covered Shah Ashish R MD Digestive Disease Consultants Not Covered Shah Ashok C MD Ashok Shah M.D., P.C. Not Covered Shah Bharat Keshavlal MD Prime Medical Associates, Ltd Not Covered Shah Bhavin C MD Midwest Surgery and Oncology Consultants LLC Not Covered Shah Binita P PA CEP-Illinois Not Covered Shah Chirag H DC Advanced Health and Wellness Not Covered Shah Devendra U. MD Shah Medical Center Not Covered Shah Gaurav Bipin DO Fox Valley Cardiovascular Consulants Not Covered Shah Jalaal Ahmad DO Orthopedic Assoc of Kankakee Not Covered Shah Keyur V MD Associates of Inpatient Management Not Covered Shah Krupa Mahesh DO Digestive Disease Consultants Not Covered Shah Lena C MD Suburban Associates in Ophthalmology Not Covered Shah Manthan MD Retina Services, Ltd Not Covered Shah Mehal Nilesh DO Dr. MEHAL SHAH Not Covered Shah Mehul Ramesh MD Primary Care Providers of Chicago, SC Not Covered Shah Monica N PA-C Neurological Surg & Spine Surg Not Covered Shah Niraj Yatin MD Primary Care Joliet Not Covered Shah Niranjana D MD Not Covered Shah Nirmala A MD Nirmala A. Shah, MD Not Covered Shah Nishant S. MD Advocate Medical Group Not Covered Shah Pranjal H MD Woodridge Clinic SC Not Covered Shah Rachna MD Allergy, Sinus and Asthma Professionals Not Covered Shah Roshni S PsyD Gersten Center for Behavioral Health Not Covered Shah Ruchir MD Virtual Medical Staff, LLC Not Covered Shah Samir R MD Midwest Hand Surgery Not Covered Shah Sejal MD Sejal Shah, MD, Ltd. Not Covered Shah Shirish N MD DEV Medical Associates, SC Not Covered Shah Sunil K DO Kankakee Internal Medicine Group Not Covered Shah Surbhi P MD Bolingbrook Health Care Associates Not Covered Shah Ushma Bharat DO Northwest Infectious Disease Consultants SC Not Covered Shah Vijay J MD Fox Valley Cardiovascular Consultants Not Covered Shah Vipuj Amita MD DuPage Medical Group Nephrology Not Covered Shah Yatin M. MD Primary Care Joliet Not Covered Shahab Irum J MD Nephrology Associates of Northern Illinois Not Covered Shahab Nasir MD DuPage Medical Group Ltd Not Covered Shahbain Abdul-Hamid M MD Shahbain Internal Medicine Ltd Not Covered Shah-Khan Farheen M MD Shifa Nephrology Associates, LLC Not Covered Shahzad Muhammad A MD S & K Medical Center Not Covered Shaik Nazeer Ulla MD Issan Healthcare Not Covered Shaikh Ahmari S. MD Shaikh Medical Center Not Covered Shaikh Arshibanoo M MD TeamHealth Not Covered Shaikh Imran M. MD Sleep Center Not Covered

46 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Shaikh Laura MD Rehabilitation Medicine Specialists Not Covered Shaikh Rahil MD Advance Inpatient Medicine, LLC Not Covered Shaikh-Abbasi Iram MD Lifetime Family Health Care, Ltd. Not Covered Shakaib Mohammed I MD DuPage Medical Group, Ltd. Not Covered Shakir Mohammad S DO Loyola Cardiology Not Covered Shakir Sofia MD Pediatric Health Associates Not Covered Shakir Taaha Ahmed MD PMG-Hospitalist Not Covered Shaman Laith DPM Jesse Brown VA - Podiatry Residency Program Not Covered Shams Ehab M MD Global Healthcare, SC Not Covered Shams Farhan MD Uplifted Care Not Covered Shams Hooman DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Shanahan Lindsay K APN DuPage Internal Medicine of IL, LLC Not Covered Shanchuk Yelena MD Midwest Internal Medicine Clinic Not Covered Shanholtzer Michael DPM Medical Practice of Michael Shanholtzer DPM Not Covered Shanley John A MD Not Covered Shapiro Bradley D MD Dupage Medical Group Not Covered Shapiro Gary Scott MD Illinois Bone & Joint Institute, LLC Not Covered Shapiro Michael J MD Retina Consultants, Ltd Not Covered Shapiro Mishail Alexander DO Medical Arts Unlimited Corporation Not Covered Sharain Roza APN/CNP MidAmerica Medical Associates Not Covered Sharfaei Soraya MD DuPage Medical Group Not Covered Sharif Sitara B MD SS Medical Services Not Covered Sharma Ankur MD Northeast Nephrology Consultants Ltd Not Covered Sharma Bansi Dhar MD Not Covered Sharma Chandra MD Woodridge Clinic SC Not Covered Sharma Deepak APN Suburban Medical & Wellness Center Not Covered Sharma Gaurav K MD TeamHealth Not Covered Sharma Monica DO Lakeshore Infectious Disease Associates Not Covered Sharma Neelima MD Advance Medicine Not Covered Sharma Rahul MD Dreyer Medical Group Not Covered Sharma Richa MD Sound Physicians Not Covered Sharma Samir MD Pain & Spine Institute Not Covered Sharma Sonia DO Dreyer Medical Group Not Covered Sharma Sudarshan K MD Sudarshan K. Sharma, M.D., Ltd. Not Covered Sharma Vritti MD Streamwood Pediatrics, PC Not Covered Shaukat Bilal A MD Retina Associates Ltd Not Covered Shaw Alexander Charles DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Shaw Suman Gowda APRN Modern Pain Consultants Not Covered Shayani Vafa MD Bariatric Institute of Greater Chicago Not Covered Shea Laura M DPM Laura M. Shea, DPM Podiatry Services Not Covered Sheade Wynn MD Associates in Pediatrics, S.C. - Streamwood Not Covered Sheehan Kerry V DO Downers Grove Pediatrics Not Covered Sheehey Haley PA Dupage Medical Group Not Covered Sheikh Amjad Imran MD Cardiology Internal Medicine Not Covered Sheikh Salman Qadeer MD Respiratory Consultant Services Not Covered Sheikh Syema I MD Northwest Neurology, LTD Not Covered Shen Jason Yue MD Not Covered Shenoy Tara J MD Pediatric Health Associates Not Covered Shepherd Katherine L MD Kids First Pediatrics Partners Not Covered Sher Danice J PA-C CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Sheridan Philip H MD Dedication Health, LLC Not Covered Sherman Andrew L MD Northwest Pulmonary Associates, SC Not Covered Sherman Edward M MD DuPage Medical Group Not Covered Sherman Sanford S MD Northwest Neurology, LTD Not Covered Sherrow Michael Jeffrey MD Dreyer Medical Group Not Covered Sheth Riten H MD Digestive Disease Clinic of Joliet Not Covered Sheth Seema S MD Sheth Dermatology, PC Not Covered Sheth Veeral Sudhakar MD University Retina & Macula r Associates Not Covered Shetty Ashwin Ram MD Nephrology Associates of Northern Illinois, Ltd Not Covered Sheynin Boris MD Oakton Park Medical Center Not Covered Shields Mary A. APN Barrington Orthopedic Specialists Not Covered Shikata Hideki MD Nihon Medical Clinic, S.C. Not Covered Shimada L. Kimmy CRNA *Physician Anesthesia Associates Not Covered Shinde Abhijit A MD AAYU Clinics Lakeview Immediate Care, LLC Not Covered Shirsat Milind S DO Advance Inpatient Medicine, LLC Not Covered Shivalingappa Prabhu MD DuPage Internal Medicine of IL Not Covered Shlyak Jean MD Jean Shlyak, MD Not Covered Shonibare Segun S CRNA Anesthesia Associates, Ltd Not Covered Shore Alison M MD Lakeview Plastic Surgery LLC Not Covered Shore David Michael MD Uropartners, LLC, Not Covered Shoshara I MD Pediatric Health Associates Not Covered Shrader Victoria L CRNA American Anesthesiology Associates of Illinois, SC Not Covered Shroff Pranavkumar MD DuPage Medical Group Not Covered Shroff Samata PA-C North Shore Urogynecology Not Covered Shroff Sunil C MD Heartland Cardiovascular Center Not Covered Shturmak Larisa APN Dr Patricia A Larson, MD & Assoc Not Covered Shuaipaj Adem DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Shuaipaj Tasin MD Advance Inpatient Medicine, LLC Not Covered Shyamani Heena M. MD Shah Medical Center, S.C. Not Covered

47 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Sia Imelda A MD Glendale Heights Healthcare Center Not Covered Sichlau Michael J MD Vasc & Interventional Radiology Not Covered Muhammad Y MD Suburban Physicians, S.C. Not Covered Siddiq Muhammad Yousuf MD Suburban Physicians, S.C. Sleep and Neuro Ctr. Not Covered Siddiqi Alia N MD Alia Siddiqi, MD, SC Not Covered Siddique Mohammad T MD DuPage Medical Group, Ltd. Not Covered Akhtar K MD Respiratory Consultant Services Not Covered Siddiqui Arshea MD Arshea Siddiqui, MD Not Covered Siddiqui Bazgha MD Southwest Infectious Disease Associates Not Covered Siddiqui Bilal DPM Weil Foot and Ankle Institute Not Covered Siddiqui Hina DO Hinsdale Pediatric Associates Not Covered Siddiqui Juwaria O MD Omni Health PC Not Covered Siddiqui Mohammed S MD SS Behavioral Health INC Not Covered Siddiqui Mumtaz A MD Metropolitan Cardiovascular Associates, LLC Not Covered Siddiqui Rumana J MD Signature Medical Group Not Covered Siddiqui Saad A MD Advocate Children’s Heart Institute Not Covered Siddiqui Suhail A MD ILAHI Medicine of Illinois, LLC Not Covered Siddiqui Zaki A MD Omni Health PC Not Covered Sidhwa Kamo G MD Metro Infectious Disease Consultants Not Covered Sienkiewicz Anna P MD Comprehensive Pediatric care Not Covered Sievertsen Grant D MD DuPage Medical Group Not Covered Sih Rahmawati MD DuPage Medical Group, Ltd Not Covered Sikand Paramjit MD Primary Care Joliet Not Covered Sikora Lindsey Erin APN/CNP Omni Healthcare Not Covered Silgalis Jessica W PA-C Illinois Bone & Joint Institute, LLC Not Covered Silva Bradley MD Illinois Pain Institute Not Covered Silver Andrea A MD Dreyer Medical Group Not Covered Silver Jeffrey M MD Cardiac Surgery Associates, SC Not Covered Silver Joy MD Drs. Bedingfield and Rosewell, S.C. Not Covered Silverio Amy L DO Kidz Health Not Covered Silverstein Kendall Marie PsyD Gersten Center for Behavioral Health Not Covered Simmons Todd D. MD Orthopaedic Surgery Specialists, Ltd. - Fox River Not Covered Simon Christopher P MD DuPage Medical Group Not Covered Simon Gerald J MD Adult Med Phys of Countryside Not Covered Simon Mark Thomas MD PrimeCare Community Health, Inc. Not Covered Simonaire Jennifer C DO Allergy & Asthma Physicians Not Covered Simonovich John R DPM Northwestern Medical Group Not Covered Sims Brittany Nicole PA-C Cardiac Surgery Associates, SC Not Covered Sinclair Julia Marie DPM Performance Podiatry Partners, LLC Not Covered Sindic Audrey B PA-C Illinois Bone & Joint Institute, LLC Not Covered Singh Bhupinder MD Tru Impact Healthcare, SC Not Covered Singh Gaurav K MD Premier Vision Associates Not Covered Singh Inder MD Inder P Singh, MD Not Covered Singh Neeraj MD Virtual Medical Staff, LLC Not Covered Singh Simran Kaur DO PMG - Neurology Hospital-Based Kankakee Not Covered Singh Sutpal DPM Sutpal Singh, M.D. Not Covered Singh Veerpal MD Illinois Cancer Specialists - Elgin Not Covered Singhal Vipul DMD Ally Dentist Not Covered Singla Abhinav MD Clinical Associates in Medicine, LLC Not Covered Singri Prashant MD Schaumburg Dermatology Not Covered Sinha Sunil Prasad DDS Oral & Maxillofacial Surgery of Chicago, PC Not Covered Sink Cynthia A. DPM Medical Practice of Cynthia Sink, DPM Not Covered Sinno Sammy MD TLKM Plastic Surgery Not Covered Sinsheimer Erica G MD Endocrinology & Metabolism Consultants, Ltd Not Covered Siodlarz Christopher DO Fox Valley Orthopaedic Institute Not Covered Sipe Christopher S MD Fertility Centers of Illinois, SC Not Covered Siraj Sanya Ghousunnisa MD TeamHealth Not Covered Sisto John M DDS Oral & Maxillofacial Surgery Affiliates Not Covered Sivarajan Kulumani M. MD Presence Cancer Care/JOHA Not Covered Sivarajan Lakshmi MD Midwest Respiratory, Ltd Not Covered Skjong Christian Cotter MD Illinois Bone & Joint Institute, LLC Not Covered Skladman Arthur MD Arthur N. Skladman, M.D., S.C. Not Covered Sklar Samantha Ann DPM Foot First Podiatry Centers, VPC Not Covered Skolarz Andrew MD Not Covered Skolarz Kathryn D MD Kathryn Skolarz, MD PC Not Covered Skolarz Marian Jerzy MD Marian Skolarz, MD PC Not Covered Skop Agnieszka MD Women and Children's Health Care Associates, LLC Not Covered Sloan Lindsay Chick PA-C Diamond Headache Clinic Not Covered Sloan Stephen M MD Advance Inpatient Medicine, LLC Not Covered Slodowy Wojciech J MD Wojciech J Slodowy, MD, Inc Not Covered Slogoff Michele MD Surgery Group, S.C. Not Covered Slom Trevor J MD Northwest Suburban Medical Associates, SC Not Covered Sloven David M MD David M Sloven, MD S.C. Not Covered Small Robert A MD Hoffman Barrington Internal Medicine Specialists Not Covered Small William MD LUMC Radiaton Oncology Not Covered Smeraglinolo Rebecca MD Pediatric Health Associates Not Covered Smit Milton John MD Orthopedic Assoc of Kankakee Not Covered Smith Abigail Linn MD PrimeCare Community Health, Inc Not Covered Smith Brian D MD Smith-Perry Eye Center SC Not Covered

48 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Smith Carlos F DPM Smith Centers for Foot & Ankle Care Not Covered Smith Christopher J MD Center for Pediatric Gastroenterology Nutrition, MD, SC Not Covered Smith Craig A MD DuPage Medical Group Ltd Not Covered Smith David H DMD Grove Dental Associates Not Covered Smith Diane CNM Associates for Women`s Healthcare Not Covered Smith Imelda PA MEA-Elk Grove, LLC Not Covered Smith Kristen Diane MD DuPage Medical Group Not Covered Smith Pamela E MD OB Hospitalist Group Not Covered Smith Paul Francis DPM West Suburban Podiatry Not Covered Smolarcik Yehuda G PsyD AFG Guidance Center Not Covered Smolina Alexandra PA-C UroPartners, LLC Not Covered Smyrniotis George MD Suburban Ear, Nose and Throat Associates - Arlington Heights II Not Covered Snow Ayelet B MD Sigma Health Not Covered Snyder Angela Maria APN/CNP CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Snyder Edward J MD AMITA Health Medical Group Westchester Not Covered Snyder Stacy P PA-C Chicago Orthopaedics & Sports Medicine, SC Not Covered So Daniel D MD Suburban Endocrinology & Diabetes Not Covered Sobel Melissa PsyD Gersten Center for Behavioral Health Not Covered Sohel Muhammad Sameer DO AdventHealth Medical Group East Florida Hospitalists Not Covered Soifer Neil E MD Lakeside Nephrology, Ltd Not Covered Sokolowski Mark J MD Mark Sokolowski, MD, SC Not Covered Sokovich Ronald Scott MD Dreyer Clinic - Highland Not Covered Solanki Abhishek A MD LUMC Radiaton Oncology Not Covered Solis Diana L MD Winters Family Practice Not Covered Solomos Jennifer MD VNA Health Care (Aurora) Not Covered Soloveychik Igor PsyD Not Covered Solt Shelane M FNP-BC Primary Care Joliet Not Covered Sommerfeld Barry A. MD Children and Teen`s Medical Center - Schaumburg Not Covered Soneru Alexander P MD Chicago Hand & Orthopedic Surgery Cntr, SC Not Covered Song John K MD Neurological Surg & Spine Surg Not Covered Song Jonathan Y MD TLC Medical Group, S.C. (St. Charles) Not Covered Song Richard MD Dupage Medical Group Not Covered Song Sharon PhD Rehabilitation Associates of the Midwest, SC Not Covered Sonin Lee MD Advanced Allergists Not Covered Sood Aditya MD New Horizons Center for Cosmetic Surgery Not Covered Sood Pardeep K MD Fox Valley Medical Associates Not Covered Sood Rajiv MD Associates in Nephrology Not Covered Sood Ruchi MD Kidney Care Center Elgin, LLC Not Covered Sorensen Kristina M PsyD Gersten Center for Behavioral Health Not Covered Sosenko Alexander Zenon MD Midwest Respiratory, Ltd. Not Covered Sosenko George R MD George R. Sosenko, MD Ltd. Not Covered Sosenko Maria C MD Prairie Rheumatology Associates Not Covered Sosnowski Cyndi R MD Rush Center for Congenital Cardiology Not Covered Sostak James Patrick MD Fox Valley Orthopaedic Institute Not Covered Soter Soterios James PhD Rehabilitation Associates of the Midwest, SC Not Covered Soto Pablo F MD Chicago Cardiology Institute S.C. Not Covered Sotolongo-Veras Ramon PA-C Dreyer Medical Group Not Covered Spacapan Renee APN Nephrology Associates of Northern Illinois Not Covered Spadoni Alex J MD Medical Practice of Alex Spadoni MD Not Covered Spagnola Joseph APN In Home Medical Group Not Covered Spalding Katherine APN/CNP Fox Valley Cardiovascular Consulants Not Covered Spargur Amy Valerie CRNA American Anesthesiology Associates of Illinois, SC Not Covered Sparrow Michelle Lynn APN Elgin Clinic, Ltd. - Elgin Not Covered Spatola Robin M APN/CNP Midwest Surgery and Oncology Consultants LLC Not Covered Speil Cristian A MD Northwest Suburban Medical Associates, SC Not Covered Speiser Ann Katherine CRNA American Anesthesiology Associates of Illinois, SC Not Covered Spencer Leslie A MD Women's Health Care of Hinsdale Not Covered Speron Sam MD Dr. Speron Plastic Surgery, SC Not Covered Speziale Nicholas J MD Midwest Hand Surgery Not Covered Spina Anthony M MD, DDS Spina Oral,Maxillofacial & Dental Implant Surgery Not Covered Spinazze Mark A DDS Assoc. for Oral, Maxillofacial & Implant Surgery Not Covered Spinazze Russell P DDS Assoc. for Oral, Maxillofacial & Implant Surgery Not Covered Spindel David MD David Spindel, MD, SC Not Covered Spishakoff Leonard M MD Not Covered Spohnholtz Dawn L SA American Surgical Professionals Not Covered Springer R Scott DO Center for Reproductive Health Not Covered Srivastava Amit K MD BHS Digestive Diseases Not Covered Srivastava Richa MD The Healing Touch Medical Care Not Covered Srodulski Janusz P MD Northwest Internal Medical Group, LLC Not Covered Ssaai Hani SA Not Covered Stabile Stephen S MD PrimeCare Wicker Park Not Covered Stagno Marilyn J. PsyD Marilyn Stagno, Psy D Not Covered Staicu Irina MD Advocate Heart Institute - Fox River Grove Not Covered Staisz Maria U MD Pediatric Clinic, Ltd Not Covered Stake Jonathan J MD Metro Infectious Disease Consultants, LLC Not Covered Stancy Angela M RN Not Covered Stanek Eric J DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Stankiewicz Joanna MD Joanna Stankiewicz, MD, SC Not Covered Stanley Tom Davis MD OrthoIllinois Not Covered

49 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Stansfield William Elliott MD Cardiothoracic & Vascular Surgical Associates, Sc Not Covered Stasinos Panagiota B DC Active Health Ltd Not Covered Stathopoulos Tom K MD Centegra Physician Care Cardiology Not Covered Statkus Rimvydas Paul DPM Northern Illinois Foot & Ankle Specialists Not Covered Steel Darcy A APN Susan Orhan M.D. Elite Women’s Care Not Covered Steele Yunsan Jessica PA-C UroPartners, LLC Not Covered Steen Lowell H MD Presence Saint Joseph Hospital Not Covered Steil Christina M MD Steil Dermatology Not Covered Steimle Cynthia N MD Northern Illinois Cardiothoracic & Vascular Surgery Not Covered Stein Lee Russell DPM Lake Shore Foot and Ankle, PC Not Covered Stein Rhonda H MD Hinsdale Pediatric Associates Not Covered Steinard Derick James PA-C Midland Orthopedic Assoc SC Not Covered Steinbeck Jennifer L MD Northwest Suburban Medical Associates, SC Not Covered Stella Dominick J MD Heart Care Centers of IL SC Not Covered Stella Joseph F DO Heart Care Centers of IL SC Not Covered Stella Ronald E MD Heart Care Centers of IL SC Not Covered Sterling Leigh E DO Zaheer Pediatric Associates Not Covered Stern David R MD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Stevens Gregory N DMD Gregory N Stevens DMD Ltd Not Covered Stevens-Schilsky Linda V MD PMG-Hospitalist Not Covered Stewart Elizabeth A CRNA Anesthesia Associates, Ltd Not Covered Stewart Julianne NP AMITA Health Breast Surgery Not Covered Stewart Linda T MD PSMH Wound Care Center Not Covered Stewart Maria PsyD Comprehensive Psychological and Speech Services Not Covered Stiles William R MD Not Covered Stinneford James G MD Illinois Gastroenterology Not Covered Stipati Karla L DPM St. Charles Foot and Ankle Center Not Covered Stith Herbert DDS Herbert D. Stith, D.D.S. Not Covered Stoecker William C MD Metro Infectious Disease Consultants Not Covered Stokar Evan Craig MD Advanced Skin and Mohs Surgery Center Not Covered Stone Lori Kay CRNA Anesthesia Associates, Ltd Not Covered Storer Mark M DDS Petrie, Storer & Associates, DDS, PC Not Covered Strand Meghan P PA-C Vascular and Interventional Professionals, LLC Not Covered Strassner Howard T MD Presence Saint Joseph Hospital Not Covered Stratelak Patricia A CRNA Hinsdale Anesthesia Assoc Ltd Not Covered Stretch George G. ND, APN Elgin Naprapathic Healthcare Not Covered Stridiron Marissa Leaynora MD Center For Family Guidance/InSight Telepsychiatry Not Covered Strnad Robert G MD Nadya Modlin, PA-C Not Covered Stroupe Daniel Bogdan MD Dr Patricia A Larson, MD & Assoc Not Covered Strum Robyn M APN/CNP Dupage Medical Group, Ltd Not Covered Strycharz Katarzyna A. MD DuPage Medical Group, Ltd. Not Covered Stutz Michael A MD Radiation Oncology Consultants, Ltd. Not Covered Sueblinvong Vithida MD University of Illinois at Chicago Not Covered Sugar Andrew DDS Associates for Oral, Maxillofacial & Implant Surgery - Elk Grove Not Covered Suh Eugene MD Loyola University Medical Center - Maywood Not Covered Suh Jason Jung-Gon MD Presence Cancer Care/JOHA Not Covered Suh Timothy I Lac Alternative Health Group LLC Not Covered Sukavachana Orawan MD Northwest Pediatric Services Not Covered Sukenik Dmitry MD Dmitry Sukenik, MD Not Covered Sula Stephen J MD St. Alexius Medical Center Not Covered Sulaver Randy K MD Dreyer Clinic - Highland Not Covered Sulayman Naseem M MD Alexian Brothers Medical Group Not Covered Suleiman Azza S. MD Associates in Nephrology, S.C. Not Covered Suleiman Mobolaji B MD Riverside Medical Group - Internal Medicine & Geriatric Specialists Not Covered Suleiman Samir A MD Elmwood Park Medical, Dental & Multispecialty Not Covered Sullivan Daniel J MD Suburban Radiologists, S.C. Not Covered Sullivan Henry J MD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Sullivan James F MD Lakeshore Infectious Disease Associates Not Covered Sullivan Jessica Adrienne DPM Ankle & Foot Associates, PC Not Covered Sullivan Kevin L MD Dougal McClellan & Sullivan Eye Associates - Chicago Not Covered Sultanian Nina MD Not Covered Sumida Colin W MD Heartland Cardiovascular Center Not Covered Summers Barry M MD Presence Saints Mary and Elizabeth Medical Center Not Covered Summerville Randall W PsyD Gregory Malo PsyD & Assoc Not Covered Sun Judy MD Suburban Gynecology, LLC Not Covered Sun Patricia K MD Northwest Gastroenterologists, S.C. - Arlington Heights Not Covered Sun Wei M MD Illinois Gastroenterology Not Covered Sundar Balakrishna MD Advocate Medical Group Not Covered Sunder Nithya A MD Pediatric Health Associates Not Covered Sundram Ponnambalam MD Advanced Heart Group SC Not Covered Sunje Mensur O MD Chicago Uptown Medical Center SC Not Covered Sunkara Neelima MD TeamHealth Not Covered Sunkara Praveen MD TeamHealth Not Covered Suprenant Brad L DO Riverside Heart and Vascular Institute Not Covered Sur James P MD Heart Care Centers of IL SC Not Covered Surabhi Srinivas R MD Naperbrook Medical Center Not Covered Surucci Arminio MD Northshore Health Partners Ltd Not Covered Surucci Narcisa MD Northshore Health Partners Ltd Not Covered Susarla Savitha DO Viswanatham Susarla, M.D. Not Covered

50 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Susarla Viswanatham MD Viswanatham Susarla, M.D. Not Covered Sutherland David MD Digestive Disease Consultants Not Covered Suwan Nesreen N MD Midwest Academy of Pain & Spine Not Covered Swale Jerome A MD Fisher-Swale-Nicholson Eye Center Not Covered Swanson Heidi E DO Downers Grove Pediatrics Not Covered Sweeney Patrick J MD Radiation Oncology Consultants Ltd Not Covered Sweet Donald L MD AHP Specialty Care, NFP Not Covered Sweis Iliana E. MD Chicago Plastic Surgery Not Covered Swisher Jefferson K. PA-C Core Orthopedics & Sports Medicine Not Covered Swisher Stacie Lee PA Genesis Orthopedics & Sports Medicine Not Covered Sy Harold M MD Chicago Eye Institute Not Covered Syed Faheem Unisa APN/CNP Rehabilitation Medicine Specialists Not Covered Syed Maaria MD Dreyer Medical Group Not Covered Syed Maryam MD Suburban Medical Center Not Covered Syed Shahwar Fatima MD Syed S. Asghar, M.D., P.C. Not Covered Syed Zainulabuddin MD Fairview Ogden Medical Group Not Covered Sykes Bellamy Melinda MD Complete Family Healthcare Not Covered Szachowicz Patrick J DO Advance Inpatient Medicine, LLC Not Covered Szafranski Jacob Michael CRNA Anesthesia Associates, Ltd. Not Covered Szafranski Karl A MD DuPage Medical Group Not Covered Szanto Martin J MD Not Covered Szatkowski Scott DDS Medical Center Dental Associates Not Covered Szczerba Stefan M. MD OPUS Plastic Surgery Not Covered Szczupak Michal C MD Women's and Children's Health Care Associates, LLC Not Covered Szmyd Tomasz DPM Foot & Ankle Health Care Center, Ltd Not Covered Szorc Victoria PA AMITA Health Medical Group Not Covered Szpindor Anne MD Allergy & Asthma Not Covered Szuch Neena S MD Dreyer Medical Group Not Covered Tabachnick Deborah R MD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Tabao Michelle P MD Yarkony Rehabilitation Associates Not Covered Tabor Diana K DPM DuPage Medical Group Not Covered Tabora Janell L MD Presence Saint Joseph Medical Center Not Covered Taff Heather Therese MD VNA Health Care - Elgin Villa Street OB Not Covered Taha Ibrahim A DPM Dreyer Medical Group Not Covered Taha Rami K MD Infectious Disease Consultants of Northern Illinios Not Covered Tahir Muhammad Hammad MD Advance Inpatient Medicine Not Covered Mustafa MD Alina TeleHealth Not Covered Tajuddin Al-Karim MD Northwest Oncology & Hematology Not Covered Takhsh Eden MD Chicago Women`s Health Not Covered Talasila Sreya MD Advanced Skin and Mohs Surgery Center Not Covered Talbert Ellis J MD Willowbrook Family Practice Not Covered Talbott Carolyn A. FNP-BC CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Talty Stephen J MD Rehabilitation Associates of the Midwest, SC Not Covered Talwar Sunita MD Sunita Talwar, M. D. Internal Medicine Not Covered Tam Jenny MD All for Women Healthcare Not Covered Tam Maria Teresa MD All for Women Healthcare Not Covered Tamayo Cassandra Anandappa DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Tambar Siddharth MD Chicago Arthritis Not Covered Tamragouri Prashanth R MD The Health Hub Not Covered Tamragouri Ravikiran N MD Internal Medicine Center SC Not Covered Tan Tisha Joerla Mirasol MD Kidney Care Center Elgin, LLC Not Covered Tandeter Ely R MD Kimball Medical Center Not Covered Tandez Cornelia V. MD Legacy Medical Care, Inc. Not Covered Tang Julian H MD Pediatric Health Associates Not Covered Tanna Manish M MD Nephrology Associates of Northern Illinois Not Covered Tanner Janine APN DuPage Medical Group Not Covered Taormina Mia A DO Associates In Infectious Disease, S.C. Not Covered Taparia Uma MD Willowbrook Family Practice Not Covered Tarasov Eugene DO Chicago Surgical Clinic, Ltd. Not Covered Tashima David L MD Barrington Orthopedic Specialists Not Covered Tata Narayan S MD Midwest Sports & Pain Specialists, PC Not Covered Tatineni Suveer B MD Aurora Radiology Consultants Not Covered Tatooles J MD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Tavakoly Nasser CSA Delijan Surgical Assistants, Inc. Not Covered Tayani Joseph PA-C Midwest Sports Medicine & Orthopaedics - Elk Grove Not Covered Taylor Alexander Scott MD Kids First Pediatrics Partners Not Covered Taylor Carol Ann APN/CNP Illinois Gastroenterology Not Covered Taylor Evangeline PA-C Fox Valley Orthopaedic Institute Not Covered Taylor Jaclyn G CRNA Physician Anesthesia Associates Not Covered Taylor Renwick Wilson MD Lurie Children's Hospital/Divison of Hosp Based Medicine Not Covered Taylor Roger L MD Westwood OB-GYN Not Covered Tazeen Farah MD Eman Medical SC Not Covered Tazudeen Noor Mohamed MD University Dermatology and Vein Clinic Not Covered Tek Peter DO Advanced Urology Associates Not Covered Tenczar Alan J DPM Talcott Foot & Ankle Specialists, PC Not Covered Tenezaca Marcia C APN/CNP Empatia Care, Ltd, SC Not Covered Tenhundfeld John W MD Lincoln Park Family Physicians Not Covered Teplica David MD Not Covered Teplis Carol F. MD Associates in Pediatrics, S.C. - Elgin Not Covered

51 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Tepper Daniel Jay MD Wicker Park Eye Center, Ltd Not Covered Tepper Joshua A MD Joliet Radiological Service Corporation Not Covered Termini Salvatore J DDS Park Dental Specialists Not Covered Terna Theresa L APN Alexian Brothers Medical Center Not Covered Tessmer Chantel MD AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Thakkar Anand M MD Anand Thakkar, M.D. Not Covered Thakkar Sanjaykumar A MD Yorkville Internists, SC Not Covered Thakker Nitesh MD Midwest Hospitalists, LLC Not Covered Thakrar Ameet DPM Vittori Foot and Ankle Specialist Not Covered Thakrar Harish V MD Cook County Radiation Oncology, SC Not Covered Thalheimer Nicole Anne PsyD Gersten Center for Behavioral Health Not Covered Thalheimer Quinn M PA-C Vasc & Interventional Radiology Not Covered Theodoropoulos Bozena G MD JourneyCare Not Covered Thomas Alex MD Center for Asthma & Allergy Not Covered Thomas Amy O'Brian MD Dreyer Medical Group Not Covered Thomas Anju Mathew APRN S & K Medical Center Not Covered Thomas Asha MD Westbrook Wellness Internal Medicine SC Not Covered Thomas Chelsea L PA-C OrthoIllinois Not Covered Thomas Dolly MD Center for Asthma & Allergy Not Covered Thomas Jacob William DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Thomas Nancy T MD Pediatric Health Associates Not Covered Thomas Nisha NP R.K. Medical Center, Ltd. Not Covered Thomas Sonya L MD Little Village Women`s Health Not Covered Thomas Subil PA-C Associates in Orthopaedic Surgery- dba OrthoIlinois Not Covered Thomas Tarita O MD LUMC Radiaton Oncology Not Covered Thompson Andrew Blatt MD Metro Infectious Disease Not Covered Thompson Karen Barlo PA Illinois Bone & Joint Institute, LLC Not Covered Thompson Mark J MD Greater Elgin Family Care Center Not Covered Thoms Monica L. MD Koziol Thoms Eye Associates, S.C. Not Covered Thorgesen Lindsay R APN/CNP Heartland Cardiovascular Center Not Covered Thornton Patrick Douglas APN/CNM Not Covered Thors Gunnar MD Midwest Plastic Surgery Specialists Not Covered Thukral Arpi D MD Radiation Oncology Consultants, Ltd Not Covered Tiballi Robert N DO Germbusters, P.C. - Elgin Not Covered Ticho Benjamin H MD The Eye Specialist Center LLC Not Covered Tien Shelly Hsiao-Ying MD NorthShore University HealthSystem Not Covered Tierney Sean P MD Heart Care Centers of IL SC Not Covered Tiesenga Frederick M MD Tiesenga Surgical Associates, SC Not Covered Tietjens Kiiri T DDS Drs. Slaby Adams and Tietjens, Ltd Not Covered Timchak Alexander Mueller MD Compass Health Center Not Covered Tinfang Rodrigue M MD Rodrigue Tinfang MD Family Health, Ltd Not Covered Tingle Thomas C MD Northwest Orthopedic Surgery, S.C. Not Covered Tinkle Bradley T MD Not Covered Tiongson Frelea Lyn CRNA Anesthesia Associates (DeKalb) Not Covered Tiplitsky Scott I MD UroPartners, LLC Not Covered Titus Bindu APN Lifespan Medical Associates Not Covered Tiwari Paritosh MD 2HT Kidney Care, LTD Not Covered Tjaden Jason C. MD Children's Medical Group Not Covered Tolbert Charone T MD PMG-Hospitalist Not Covered Tolitano Dominic J MD Midwest Vein Center Not Covered Tomblyn Michael B MD LUMC Radiaton Oncology Not Covered Tomecki George MD The Family Doctors Not Covered Tomezsko Janet E MD Women's Health Institute of Illinois Not Covered Tomur Rashmi C MD Valley Women's Health, S.C. Not Covered Tonkovic Russ J MD Midwest Heart Specialists - Barrington Not Covered Topin Jeremy D MD Northwest Pulmonary Associates, SC Not Covered Torio Kristine V. PA-C Fox Valley Orthopaedic Institute Not Covered Toriumi Dean M MD Toriumi FAcial Plastics Not Covered Torosian Craig M MD Fox Valley Orthopaedic Institute Not Covered Torphy Bradley D MD Chicago Headache Center & Research Institute Not Covered Torres Azucena APN Marcos A. Lopez, MD SC Not Covered Tortoriello Paul J MD DuPage Medical Group Not Covered Tourk Karim MD Geriatric Professional Services Not Covered Trabado Mark CRNA American Anesthesiology Associates of Illinois, SC Not Covered Trakhtman Steven V PA-C Lake Shore Adult & Geriatric Medicine, Ltd Not Covered Trambas Constantine DDS Sheridan Health Center Not Covered Tran Grace D APN/CNP Rehabilitation Medicine Specialists Not Covered Traverso Samuel DO AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Tresley Gilbert E MD Gilbert E Tresley, MD Not Covered Trevick Stephen A MD Northwest Neurology, LTD Not Covered Trevino Jose G MD Valley West Medical Center Not Covered Trevino Lisa Marie APN/CNP DuPage Medical Group, Ltd Not Covered Trevino Sylvia D MD Healthy Beginnings Pediatrics Not Covered Troiani Blake M. MD Dermatology & Plastic Surgery Associates, SC Not Covered Trotter Anna Alexa APN/CNP Vivek Gupta, MD, SC Not Covered Trukhacheva Elena V MD Reproductive Endocrinology & Infertility Not Covered Trum Paulette C MD Joliet Center for Clinical Research Not Covered Truncale Kristin Marie DPM Podiatry of Chicago Not Covered Truong Anh-Tuan N MD Chicago Aesthetics Not Covered

52 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Tsaran Marianna MD Marianna Tsaran, MD SC Not Covered Tsimerinov Evgeny I MD Nuvasive Clinical Services Not Covered Tsinman Michael G MD Tsinman, PC Not Covered Tsipursky Svetlana S MD Advanced Eye Care Not Covered Tsonis Lambros MD Cardiac Surgery Associates, SC Not Covered Tu Kevin C. MD G&T Orthopaedics and Sports Medicine 1 Not Covered Tu Rong-Shang MD Midwest Pulmonary Associates, S.C. Not Covered Tubic Goran MD Chicagoland Pain Mgmt Inst Inc Not Covered Tuchek James M DO Cardiac Surgery Associates, SC Not Covered Tumma Julie Christine MD La Grange Pediatrics Ltd Not Covered Tunnat Kevin J DPM Evanston Foot and Ankle Clinic Not Covered Turf Robert DPM Elmhurst Podiatry Center, Ltd. Not Covered Farah MD Family Health Center of Plainfield Not Covered Turner Elaine M CSA DuPage Medical Group, Ltd. Not Covered Turner Jeffrey M CSA Epic Surgical Solutions LLC Not Covered Twarling Erica J PA-C Illinois Bone & Joint Institute, LLC Not Covered Tymann Nicole FNP CEP-Illinois Not Covered Tyson C MD South Shore Cardiology Group Not Covered Tzelepis Elias MD Suburban Endocrinology & Diabetes Not Covered Ubaka Jacek Louis MD Presence Resurrection Medical Center Not Covered Ubilluz Rodrigo M MD R M U Neurology, S.C. Not Covered Udani Suneel M MD NANI-Hinsdale Not Covered Udovich Christopher W MD Hedges Clinic Not Covered Unger Michael J MD Allied Healthcare Associates Not Covered Upadhyay Rupal MD Associates in Pediatrics, S.C. - Elgin Not Covered Upadhyay Sanjiv MD Rush-Copley Medical Group Not Covered Uphoff Katherine A PhD Katherine Uphoff, PhD Not Covered Urban George J MD Diamond Headache Clinic Not Covered Urbanosky Leah R MD Hinsdale Orthopaedic Associates, SC Not Covered Urgacz Slawomir Wieslaw MD UK Family Practice Not Covered Urton Sarah Ada Genevieve DPM Presence St. Joseph Hospital Not Covered Uselding Laura M MD Pediatric Health Associates Not Covered Vafa Amir MD AMITA Health TeleICU Not Covered Vaghani Sapna P MD Forefront Dermatology, S.C. Not Covered Vaid Huma DPM Global Foot & Ankle Clinic Not Covered Vaidya Neel S MD Chicago Cornea Consultants Not Covered Vainder John Martin Alle MD Illinois Gastroenterology Group, LLC Not Covered Vais Dana Ioana MD Metro Infectious Disease Consultants, LLC Not Covered Vajaria Gaurav P DPM DuPage Medical Group, Ltd. Not Covered Vajaria Punit MD DuPage Medical Group Not Covered Valaitis Daiva K MD Kidney & Hypertension Consultants, SC Not Covered Valaitis Sandra R MD University of Chicago Medical Center Not Covered Valentin Carl N MD Radiology Partners (Midwest Imaging Professionals, LLC) Not Covered Valentine Shanita M APN/CNP DuPage Medical Group Not Covered Valfer Regan A MD Highland Park OB-GYNE Associates, Ltd Not Covered Valfer Steven I MD Highland Park OB-GYNE Associates, Ltd Not Covered Valika Aziz K MD NANI-Hinsdale Not Covered Vallejo David MD OB Hospitalist Group Not Covered Vallone John A DDS Vallone, John Not Covered Vallort Maria PNP Pediatric Care Associates, S.C. Not Covered Van Julie Dan-Phuong DO DuPage Medical Group, Ltd. Not Covered Van Slee Alicia Joanna PA-C Parkview Orthopaedic Group Not Covered Vance Ilana Michelle PA-C Illinois Bone & Joint Institute Not Covered Vanhouten Magdoline CRNA Medical Center Anesthesia Group Not Covered Varade Reena Suhas MD DuPage Medical Group Not Covered Varanda Melissa A APN Team Health Not Covered Varga Peter MD Presence Resurrection Medical Center Not Covered Varghese Sajoy Purathumuriyil MD Alina TeleHealth Not Covered Varghese Sharon S DDS Kids Plus Pediatric Dentistry, P.C. Not Covered Varma Richa MD Dupage Medical Group Not Covered Vasaiwala Smit C MD Loyola University Medical Center Not Covered Vasanwala Salil R MD Vasanwala, Salil Not Covered Vaseemuddin Mohammad MD Kidney Consultants Not Covered Vaselopulos Peter T MD Metro Chicago Surgical Oncology, LLC Not Covered Vasey Matthew Joseph APN/CNP CEP America - Illinois - Presence Saints Mary and Elizabeth Medical Center Not Covered Vasnani Raj J MD Associated Imaging Specialists Not Covered Vastola Mark M LCPC Sheridan Counseling Group PC Not Covered Vatev Danail V MD Empatia Care, Ltd, SC Not Covered Vateva Ioanna V MD Empatia Care, Ltd, SC Not Covered Vaughn Eric T MD Suburban Surgical Specialists, S.C. Not Covered Vazquez Jennifer APN/CNP Primary Care Providers of Chicago, SC Not Covered Vekkos Leonard E DPM Foot and Ankle Wellness Center Not Covered Velamati Ramakrishna MD Presence Saint Joseph Hospital Not Covered Velis Dean T MD Velis Vein Institute, Ltd Not Covered Veltman Shannon HZ PA-C Uropartners, LLC Not Covered Vemareddy Sarada MD Heartland Primary Care Not Covered Vemareddy Srilakshmi MD Heartland Primary Care Not Covered Vence Indu M. MD Not Covered Vender Michael I MD Hand Surgery Associates, S.C. Not Covered

53 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Venetos John MD John Venetos MD, LTD Not Covered Venkataraman Priya MD Midwest Hospitalists, LLC Not Covered Venkatesan Roma H APN Alexian Brothers Medical Group - EGV Not Covered Venkatesan T K MD Chicago ENT Not Covered Vento Elio M MD Elio M. Vento, MD & Associates, SC Not Covered Verderber Lisa C MD Pediatric Eye Associates - Wilmette Not Covered Vergara Claudia Lorena MD Greater Chicago Specialty Physicians Not Covered Verma Arun K MD Norwegian American Hospital Not Covered Verma Priyadarshini MD Dreyer Medical Group Not Covered Vexelman Mark MD Lake Shore Adult & Geriatic Medicine, Ltd Not Covered Vicenio Myra F MD TeamHealth Not Covered Vick Melissa Losaria PA-C Drs Girgis & Associates Not Covered Victor Rosina Hannilora CNM Advanced Women`s Healthcare Specialists, SC Not Covered Vierling Susan G MD Suburban Retina Ltd Not Covered Vij Nikhil APN/CNP Geriatric Medical Associates Not Covered Vijaykumar Aarthi MD Nephrology Associates of Northern Illinois Not Covered Vilbar Remegio M MD Remegio M Vilbar MD SC Not Covered Vile Stephen Alan MD Not Covered Villa Eduardo J MD Not Covered Villamizar-Zuniga Juan C MD Angel Medical Center, Ltd Not Covered Villegas Joel P MD Alliance Internal Medicine Not Covered Vinson Wallace Laray CSA Epic Surgical Solutions LLC Not Covered Virani Mansoor DPM Oak Brook Medical Associates Not Covered Virani Rozina A APN/CNP JC Medical Group Not Covered Virant Jennifer T MD DuPage Medical Group Not Covered Virnig Katherine PA-C Midwest Bone & Joint Not Covered Viswanathan Vairavan Ramesh MD DuPage Medical Group Not Covered Vitale Jennifer K CRNA Anesthesia Associates, Ltd Not Covered Vitello William A MD Chicago Orthopaedic and Sports Medicine Not Covered Vladika Amber Marie APN/CNP CEP - America - Illinois - Presence Saint Joseph Medical Center Not Covered Vladimirskiy Natalya MD Oak Street Health Physicians Group, PC Not Covered Vlahos Athanasios MD Vasc & Interventional Radiology Not Covered Vlahu Tedi Sasho MD Cardiac Surgery Associates, S. C. Not Covered Vogt Aaron DDS Apple Dental Care Not Covered Vogt Matthew Edward MD The Sports Medicine and Regenerative Therapeutics Institute, LLC Not Covered Vohra Praveen K DPM Medical Practice of Praveen Vohra DPM Not Covered Vohra Vijay Kumar H MD Amita Medical Group Not Covered Volkening Christina S CNM Suburban Womens Health Specialists, Ltd Not Covered Vora Sandip K SA Consulting Surgeons Not Covered Voronov Ellen I MD DuPage Medical Group, Ltd. Not Covered Voss Lauren Nicole PA-C Parkview Orthopaedic Group Not Covered Votapka Timothy V MD Cardiothoracic & Vascular Surgical Associates, S.C. Not Covered Vottero John A MD Not Covered Vucicevic Slobodan D MD Slobodan Vucicevic, MD Not Covered Vukas Daniel D MD Northwest ENT Associates - CHGO Not Covered Vulykh Vitaliy A CRNA Physician Anesthesia Associates Not Covered Vyas Uday I MD Uday I. Vyas, MD, SC Not Covered Waheed Harris MD First Care Family Clinic Not Covered Waheed Salman Abdul MD DuPage Medical Group Not Covered Wahl Andrew V DPM Essington Podiatry Group Not Covered Wainer Bradford S DO Primary Care Associates Not Covered Waite Odin Alexander DDS Elgin Oral and Maxillofacial Surgery Not Covered Waitley David W MD Metro Infectious Disease Consultants, LLC Not Covered Waliuddin Syed MD Valley Psychiatry and Counseling, LLC Not Covered Walker Regina P MD Regina P Walker, MD Not Covered Wallace Jonathan W. MD Suburban Surgical Care Specialists, S.C. Not Covered Walsh James J MD Cardiac Surgery Associates SC Not Covered Walsh John M MD Midwest Respiratory, Ltd. Not Covered Walton Robert L MD Plastic Surgery Chicago, LLC Not Covered Wang Alan H MD DuPage Medical Group, Ltd Not Covered Wang Kun MD TeamHealth Not Covered Wang Min MD Alina TeleHealth Not Covered Wang Stephanie Si-Ping MD University Dermatology and Vein Clinic Not Covered Wanta Kaitlin Elizabeth DO DuPage Medical Group, Ltd Not Covered Wanyana Christine APN/CNP Rehabilitation Medicine Specialists Not Covered Ward Kathleen A MD AMITA Health - Cardiology Not Covered Warren Jonathan MD Suburban Sleep and Pulmonary Medicine Not Covered Warskow Richard PA Barrington Orthopedic Specialists Not Covered Washington Blaine F MD Rehabilitation Medicine Specialists Not Covered Washington Terri MD Elmhurst Memorial Ctr for Health Not Covered Wasiti Ali MD TeamHealth Not Covered Wasiuddin Roohi U MD Young Family Health Center Not Covered Wassef Samir Y MD Ghabra and Tarsha Medical, Inc. Not Covered Watkins Jeffrey William DPM Castle Orthopaedics & Sports Medicine Not Covered Weatherford-Zaluzec Karen M APN Women's Health Care of Hinsdale Not Covered Weber Nicholas H DO Shirley Ryan Ability Lab Not Covered Weess Cameron D PA-C Fox Valley Orthopaedic Institute Not Covered Wegierek Anna-Maria J PsyD Wegierek Psychology Center, Inc. Not Covered Wehrheim Karla Katherine MD Advocate Children Heart Institute Not Covered

54 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Wei Daniel MD Rehabilitation Medicine Specialists Not Covered Wei Dapeng MD IPC of Illinois, Inc. Not Covered Weinberg Aaron B MD Retina Associates Ltd Not Covered Weiner Glenn L DO Northwest Rheumatology Specialists Not Covered Weinstein Craig Leslie MD Rush Copley Medical Group (Drs. Bloom, Hodgett, Weinstein) Not Covered Weinstein Mitchell Randy MD Lakeshore Infectious Disease Associates Not Covered Weisberg Mark MD Elk Grove Internists Not Covered Weiss Jami Teresa PA Adventist Health Partners, Inc Not Covered Weiss Lori J MD Primary Care Associates Not Covered Weiss Mark Seth MD DuPage Medical Group, Ltd. Not Covered Weiss Richard J DPM AAA Foot & Ankle Associates Not Covered Weiss Ronald S MD Chicago Eye Consultants Not Covered Welch Raquel APN/CNP Clinical Associates in Medicine, LLC Not Covered Welke Claudia P MD Compass Health Center Not Covered Welker Keith Nelson PA Suburban Orthopaedics - Bartlett Not Covered Welsh James Sherman MD LUMC Radiaton Oncology Not Covered Wen Dennis MD Elgin Barrington Neurosurgery, SC Not Covered Wendel Lucas J A MD Fox Valley Ophthalmology Not Covered Wesley Alisha M APN/CNM Westwood OB-GYN Not Covered Wessel Matthew M MD Retina Institute of Illinois Not Covered West Hannah Victoria PA-C Diamond Headache Clinic Not Covered West Semone Michelle MD Spectrum Behavioral Health Not Covered Westin Craig D MD Illinois Bone & Joint Institute, LLC Not Covered Wetters Nathan George MD Illinois Bone & Joint Institute Not Covered Wever Daryl B DPM Itasca Foot and Ankle Not Covered Wharton Stacie PA Gateway Spine & Pain Physicians Not Covered Whatley Robin Alane MD OBHG Illinois, PC Not Covered Wheeler Sofia APN In Home Medical Group, LLC Not Covered Whereatt Nancy E MD Dreyer Medical Group Not Covered White John H MD DuPage Medical Group, Ltd Not Covered White Michelle Sarah PsyD Family Adolescent Child Treatment Services LLC Not Covered Whitehouse Clifford Charles PA-C Northwest Orthopaedics Assoc. & Sports Medicine Not Covered Whitney Bethany A APN Woodfield Urology Not Covered Whitney David H MD Crystal Lake Dermatology SC Not Covered Wiacek Jan K MD Belmont Cragin Family Medicine Not Covered Wick Grady M MD Nephrology Associates of Northern Illinois Not Covered Wicker Heather Marie CSA Core Orthopedics & Sports Medicine Not Covered Wiener Gregory A MD Gregory A Wiener MD Not Covered Wiener Rebecca PA-C Northwest United Urology, LLC Not Covered Wienkes Brittany APN/CNP CEP - America - Illinois - Presence Mercy Medical Center Not Covered Wiesch Amy L DPM Associated Foot and Ankle Clinic Not Covered Wiese Kristin Marie MD Dupage Medical Group Not Covered Wiesman Gary G MD Gary Wiesman MD Not Covered Wiesman Irvin M MD Not Covered Will Neena MD Burt&Will Plastic Surg & Laser Ctr Not Covered Will Thomas A MD UroPartners, LLC Not Covered Williams Andrea M APN/CNP Dreyer Clinic - Highland Not Covered Williams Anthony N PA-C Dreyer Medical Group Not Covered Williams Christopher PA-C Vasc & Interventional Radiology Not Covered Williams Michael S DPM Lincoln Park Podiatry Not Covered Williams Nicole E MD The Gynecology Institute of Chicago, LTD Not Covered Williams Sonal H APN/CNP CEP - America - Illinois - Presence Saint Joseph Hospital - Elgin Not Covered Williams Steven D MD RMC - Williams, Steven Not Covered Williamson Johnny L MD Spectrum Behavioral Health Not Covered Williamson Wayne C MD Vivek Gupta, MD, SC Not Covered Williby Roland MD VNA Health Care Not Covered Willis Michelle PA-C CEP America - Illinois, LLP - Presence Mercy Medical Center - Aurora Not Covered Willis Sheveta APN Associates in Nephrology Not Covered Wilson James E MD Interventional Pain Specialists Not Covered Wilson John R MD Neurology, & Sleep Med. Not Covered Wilson Sue E APN/CNP Metro Chicago Surgical Oncology Not Covered Winchester Alexandria PA-C Illinois Bone & Joint Institute, LLC Not Covered Winder Abigail Duncan MD Loyola University Medical Center Not Covered Winerman Samantha Dolph DPM Podiatry Plus, PC Not Covered Winkelman Daniel R MD DuPage Medical Group, Ltd. Not Covered Winkelman Emily M PA Suburban Surgical Care Specialists, S.C. Not Covered Winkler John W MD Des Plaines Eye Physicians & Surgeons, Ltd. Not Covered Winkler Kathryn P MD Des Plaines Eye Physicians Not Covered Winston Danielle Gorens PsyD Gersten Center for Behavioral Health Not Covered Winters David E MD DuPage Medical Group, Ltd. Not Covered Winters Gregory T. MD Winters Family Practice Not Covered Wirt Timothy Craig DPM Presence St. Joseph Hospital Not Covered Wisby Dana DPM Advanced Foot & Ankle Center of Illinois Not Covered Witek Bozena MD Illinois Cancer Specialists Not Covered Witten Sandra Gail PA-C Advanced Skin and MOHS Surgery Center Not Covered Wittkopf Maria L MD Suburban Ear, Nose and Throat Associates Not Covered Wlodarek Craig A MD DuPage Medical Group Not Covered Wohl Lisa G MD DuPage Medical Group, Ltd. Not Covered Wojcik Karen NP-C Center for Sports Orthopaedics Not Covered

55 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Wojewoda Andrzej DPM AW Podiatry Not Covered Wolf Bernard G DO Fox Valley Neurodiagnostic Ctr Not Covered Wolf Brian Aaron MD Northwest Suburban Medical Associates, SC Not Covered Wolf Margo M DO DuPage Medical Group Not Covered Wolf Myron I DPM Myron I Wolf DPM D/B/A Wolf Podiatry & Associates Not Covered Wolford Holly APN Northwest Neurology, Ltd Not Covered Wolfson Ronald Leslie MD Allergy/Asthma Clinics of Fox Valley, S.C. Not Covered Wolin Preston M MD Center for Athletic Medicine Not Covered Wollin Warren D. DO Physicians Immediate Care- Elgin Not Covered Wolny Yvonne M MD Lincoln Park OBGYN Not Covered Wombacher Timothy Peter PA-C Cardiac Surgery Associates, SC Not Covered Wong Chu-Kwan A MD 3P4Care (IL) LLC Avondale Not Covered Wong Jonathan W DDS Renovo Endodontic Studio Not Covered Wong Joshua Hanwin MD Advocate Children's Heart Institute Not Covered Wood Christopher F MD Northwest Eye Physicians Not Covered Woodard David O. MD Associated General Surgeons Not Covered Woods Donna M. MD Perakis, Resis, Woods & Associates Not Covered Wray John M DPM Podiatric Center, S.C. Not Covered Wright Jeremy R APN/CNP Uplifted Care Not Covered Wroblewski Thomas A MD Wroblewski Not Covered Wu Irene I MD DuPage Medical Group, Ltd Not Covered Wu Jonathan MD DuPage Medical Group Not Covered Wu Phillip C MD Suburban Eye Clinic, LLC Not Covered Wu Simon K MD Wu, Simon Not Covered Wunderlich Andrew Warren MD DuPage Medical Group Not Covered Wyhinny George J MD Midwest Retina Consultants, S.C. - Des Plaines Not Covered Wynn Daniel R MD Consultants in Neurology, Ltd. Not Covered Wynn Raymond Bernard MD LUMC Radiaton Oncology Not Covered Wysocki Nicole Marie MD Rehab Institute of Chicago Not Covered Xenidis Melissa E.S. DO Burges Square- Optimal Rehabilitation PLLC Not Covered Xiao Xiao MD Swedish Hospital Not Covered Xu Lai MD Northwest Oncology & Hematology, S.C. Not Covered Yaacoub Chadi I MD Illinois Pain Institute, Ltd. Not Covered Yadava Gaurav MD Rita Yadava MD Not Covered Yaffe Mark MD Barrington Orthopedic Specialists Not Covered Yajnik Santosh V MD Radiation Oncology Consultants Ltd Not Covered Yalamanchi Ravi K MD Advance Inpatient Medicine Not Covered Yalamanchili Sarat MD Yalamanchili, Sarat Not Covered Yallapragada Rathna K MD Soumya Health LLC Not Covered Yalovetskiy Vadim CSA Not Covered Yang Anna DPM Advanced Foot and Ankle Centers of Illinois Not Covered Yang Benson P MD Northwestern Neurosurgical Associates Not Covered Yang Sijun MD Naperville Medical Group Not Covered Yang Wayne MD Suburban Surgical Assoc Ltd Not Covered Yang Wen-Ho MD Howard Brown Health Not Covered Yango-Eugenio Maria Cynthia MD Maria C. Yango-Eugenio Not Covered Yano Shingo M MD Modern Pain Consultants, SC Not Covered Yanovskiy Alexander DPM Illinois Foot & Ankle Clinic, LLC Not Covered Yao Tito Go MD GSK Medical Center Not Covered Yarbrough Melissa A APN/CNP Melissa A. Yarbrought, NP-C Not Covered Yarkony Gary M MD Yarkony Rehabilitation Associates Not Covered Yasmine Kimberley L DO Family Medical Group of La Grange Not Covered Yee Martin J MD Advanced Rehabilitation Care, LLC Not Covered Yellen Steven F MD Steven F Yellen MD SC Not Covered Yen Sunto MD Sy Health Rehab, LLC Not Covered Yeshwant C MD Illinois Cancer Specialists - Elgin Not Covered Yi Jong-Yoon MD Heartland Cardiovascular Center Not Covered Yigazu Solomon M MD Yigazu Primary Care Not Covered Yin Jennifer K. MD Dreyer Medical Group Not Covered Yockey Ranae L DO Advanced Women's Healthcare Specialists, SC Not Covered Yonover Paul M MD Uropartners, LLC, Not Covered York Kelsey Michelle PA-C Family Medical Group of La Grange Not Covered Yorulmazoglu Erol MD Northwest Oncology & Hematology, S.C. Not Covered You David C MD Suburban Pulmonary & Sleep Associates, Ltd. Not Covered Young Adam Christopher MD Not Covered Young Alison Dawn Traffanste DPM Podiatry Center, S.C. Not Covered Youssef Hassan H MD Youseff, Hassan Not Covered Yousuf Mohammed MD DuPage Medical Group, Ltd. Not Covered Yranela Julito L CRNA American Anesthesiology Associates of IL, SC Not Covered Yu Brian C MD Metro Infectious Disease Consultants Not Covered Yuen Michael H. MD Michael H. Yuen, M.D. Not Covered Yuk Antonio C MD Antonio C Yuk,MD,SC Not Covered Yun Hong Jun MD Heart Care Centers of Illinois Not Covered Yunez Nicholas Samuel MD AMITA HEALTH Adventist Medical Center, LaGrange Family Medicine Reside Not Covered Yung Silvia I-Chun PA Advocate Medical Group Not Covered Yunus Saadia DO DuPage Medical Group Ltd Not Covered Zabiega Margaret H. MD Midwest Hospitalists, LLC Not Covered Zabor Kathleen M PA-C Suburban Surgical Care Specialists, S.C. Not Covered Zahedi Syeda H MD Syeda H. Zahedi, MD,SC Not Covered

56 Updated July 2021

Last Name First Name Middle Initial Degree Group Name FAP Covered/ Not Covered Apr Zaheer Saadia A MD Zaheer Pediatric Associates Not Covered Zahid Mohammad MD Elgin Clinic, Ltd. - Elgin Not Covered Zahid Sarwar MD Retina Institute of Illinois, P.C. Not Covered Zahir Syed A. MD Illinois Cancer Specialists - Elgin Not Covered Zahner Melanie L MD Aesthetic & Clinical Dermatology Assoc Not Covered Zahner Scott L MD Aesthetic & Clinical Dermatology Assoc Not Covered Zahrebelski George MD Digestive Disorders & Liver Center Not Covered Zaide Junirose Valenzuela PA-C Presence Saints Mary and Elizabeth Medical Center Not Covered Zaidi Farhan MD Pulmonary Medicine Associates Not Covered Zaidi Hashim R MD The Medical Group Not Covered Zaidi Shabiha MD Mazhar H. Zaidi, M.D. Not Covered Zaidi Syed S A MD RCMG Digestive Disease Consul-Aurora Not Covered Zak Richard D MD Aurora Eye Clinic Not Covered Zak Steven M MD Biotronic Neuro Network Not Covered Zakkar Mohamed M MD Pulmonary Consultants Not Covered Zambrano Carlos H MD Carlos H Zambrano MD, LLC Not Covered Zamora Nancy Adela MD Primary Care Medical Associates, Ltd Not Covered Zangas Rosemary CRNA American Anesthesiology Associates of Illinois, SC Not Covered Zankle Gregory F CRNA American Anesthesiology Associates of IL, SC Not Covered Zapata Mario Arce MD Associated Women's Health, Ltd Not Covered Zappa Frank W DPM The Foot Clinic Not Covered Zarei Payam DDS West Village Dental Not Covered Zaret Phillip H MD Phillip H Zaret, MD Not Covered Zarling Bradley John MD Dreyer - Orthopedics Not Covered Zaveri Shailesh MD Dr. Zaveri & Associates, S.C. Not Covered Zawacki Jeffrey K MD Suburban Surgical Assoc Ltd Not Covered Zawilenski Matthew D. MD Skypoint Medical Center Not Covered Zayat Rachel PA-C Genesis Orthopedics & Sports Medicine Not Covered Zayed Hythem R MD, MPH Advance Inpatient Medicine Not Covered Zayed Malik K DPM Malik Zayed, DPM Not Covered Zbiegien Theodore F MD Barbato & Zbigien, MD, SC Not Covered Zelby Andrew S MD Neurological Surg & Spine Surg Not Covered Zelhart Heather R FNP-BC Medical Practice of Joseph Pigato Not Covered Zeng Yuzhen APN In Home Medical Group Not Covered Zenz Julieanne Marie CRNA Anesthesia Associates (DeKalb) Not Covered Zhadovich Kirill V MD Kirill Zhadovich, MD, SC Not Covered Zhubi Adrian MD Advanced Behavioral Health Services Not Covered Zid Joanna Wanda MD DuPage Medical Group Not Covered Zike Sara Hlvain APN/CNP Uropartners, LLC Not Covered Zimmerman Frank J MD Advocate Children's Heart Institute Not Covered Zimny Robert William CRNA Anesthesia Associates, Ltd. Not Covered Zinger Eduard MD Eduard Zinger, MD Not Covered Zlioba Aras M MD Associated Ophthalmologists Not Covered Zofakis Argiro MD Not Covered Zofakis Tina MD Not Covered Zorub Ossama H MD Pioneer Physicians Not Covered Zuberi Meiraj F MD Agha Medical Not Covered Zubrickaite Alina APN/CNP Midwest Medical Associates, LLC Not Covered Zuckerman Susan E MD Yarkony Rehabilitation Associates Not Covered Zuffante Joseph T DDS Artistic Dental Care Not Covered Zukowski Mark L MD Zukowski Center/Cosmetic Plastic Surg., SC Not Covered Zumdahl Brianna PsyD Gersten Center for Behavioral Health Not Covered Zuska Albert MD MidSuburban Radiological Associates, LLC/Elk Grove Radiology Not Covered Zyskowski Noelia N MD Rehabilitation Medicine Specialists Not Covered

57