Anexo 1 Lista de FAP de Proveedores/Médicos

De manera consecuente con los valores de compasión y administración de AHC, es política de AHC proporcionar asistencia financiera a los pacientes que la necesiten. La Política de asistencia financiera (FAP) aplica a toda atención médica o de emergencia necesaria que brinda el hospital, pero no es vinculante para otros proveedores individuales (por ej. médicos) de servicios médicos fuera del hospital. Tampoco es vinculante para un proveedor, en el caso de pero sin limitarse a, el cambio de su relación de empleo con AHC o un cambio en su ámbito de práctica. Por lo tanto, ya que los médicos y otros proveedores incluidos en esta lista pueden cambiar cada cierto tiempo, AHC actualizará y publicará una nueva versión en este sitio web (www.advocatehealth.com/financialassistance) al menos trimestralmente.

Si el Estado de cobertura de la FAP del proveedor se muestra como “CUBIERTO BAJO LA FAP”, entonces el proveedor o la atención de la práctica del proveedor (prestada en las instalaciones del hospital) está cubierta bajo esta Política de asistencia financiera. Si el Estado de cobertura de la FAP del proveedor se muestra como “SIN COBERTURA”, entonces el proveedor o la atención de la práctica del proveedor (prestada en las instalaciones del hospital) no está cubierta bajo la Política de asistencia financiera.

Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Bromenn Medical Center Abadeer, Peter -DO NOT COVERED Bromenn Medical Center Abrahamsen, Antonia -NP NOT COVERED Bromenn Medical Center Adams, Sarah -NP NOT COVERED Bromenn Medical Center Adeoye, Oriade -MD COVERED UNDER FAP Bromenn Medical Center Advanced Inpatient Consultants, LLC NOT COVERED Bromenn Medical Center Advanced Women's Healthcare, SC NOT COVERED Bromenn Medical Center Advocate Eureka Hospital Family Practice - El Paso COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - 1300 Franklin Ave - Hospitalists COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - 1302 Franklin - Endovascular Neuro COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - College Ave - Family Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - College Ave - Immediate Care COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - Franklin - Endocrinology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group - Normal - Pediatric Cardiology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Bloomington Family Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Bloomington Pediatrics COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group BroMenn Psychiatry COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group El Paso COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Emergency Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Fairbury COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group General & Colorectal Surgery Central IL COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Illinois Heart & Lung Cardiology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Illinois Heart & Lung Pulmonology COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Immediate Care/ Occ Medicine COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group LeRoy COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Lexington COVERED UNDER FAP Bromenn Medical Center Advocate Medical Group Wound Healing & Hyperbaric Medicine COVERED UNDER FAP Bromenn Medical Center Agha, Caroline -MD NOT COVERED Bromenn Medical Center Ahn, Joseph -MD COVERED UNDER FAP Bromenn Medical Center Akhtar, Muhammad -MD COVERED UNDER FAP Bromenn Medical Center Albaro, Cecilia -MD NOT COVERED Bromenn Medical Center Alberts, Lyndi -NP NOT COVERED Bromenn Medical Center Alexander, Carrie -NP COVERED UNDER FAP Bromenn Medical Center Alexander, John -MD NOT COVERED Bromenn Medical Center Allen, Otis -MD NOT COVERED Bromenn Medical Center Alonso, Alexander -MD NOT COVERED Bromenn Medical Center Altenburger, Dana -MD NOT COVERED Bromenn Medical Center Alyea, Daniel -MD NOT COVERED Bromenn Medical Center Ambulatory Anesthesiology, Ltd. NOT COVERED Bromenn Medical Center Anderson, David -MD NOT COVERED Bromenn Medical Center Anesthesiology Consultants NOT COVERED

Page 1 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Bromenn Medical Center Anwar, Khalida -MD NOT COVERED Bromenn Medical Center Applied Pain Institute, LLC NOT COVERED Bromenn Medical Center Aprahamian, Ara -MD NOT COVERED Bromenn Medical Center Armstrong, Lucas -MD NOT COVERED Bromenn Medical Center Ash, Jennifer -MD NOT COVERED Bromenn Medical Center Associated Anesthesiologists, SC NOT COVERED Bromenn Medical Center Associates In Dermatology, SC NOT COVERED Bromenn Medical Center Atkins, Marsha -NP COVERED UNDER FAP Bromenn Medical Center Austin, Xiaotian -MD NOT COVERED Bromenn Medical Center Bajaj, Madhuri -MD NOT COVERED Bromenn Medical Center Bandy, John -MD NOT COVERED Bromenn Medical Center Banerjee, Sara -MD NOT COVERED Bromenn Medical Center Bankston, Kimberly -NP NOT COVERED Bromenn Medical Center Barba, Kenneth -MD NOT COVERED Bromenn Medical Center Bechir, George -MD COVERED UNDER FAP Bromenn Medical Center Benson, Jonathan -DO COVERED UNDER FAP Bromenn Medical Center Benyamin, Ramsin -MD NOT COVERED Bromenn Medical Center Berck, Lilla -MD NOT COVERED Bromenn Medical Center Bhardwaj, Davender -MD NOT COVERED Bromenn Medical Center Bhaskar, Renuka -MD NOT COVERED Bromenn Medical Center Bhatia, Sumit -MD NOT COVERED Bromenn Medical Center Birge, Kenneth -MD NOT COVERED Bromenn Medical Center Bishof, Christine -MD COVERED UNDER FAP Bromenn Medical Center Blitz, Arie -MD NOT COVERED Bromenn Medical Center Bloomington Pediatrics & Allergy NOT COVERED Bromenn Medical Center Bloomington Primary Care, LTD NOT COVERED Bromenn Medical Center Bloomington Radiology, SC NOT COVERED Bromenn Medical Center Bloomington Rehabilitation Associates, LLC NOT COVERED Bromenn Medical Center Bloomington-Normal Anesthesia NOT COVERED Bromenn Medical Center Bloomington-Normal Birthing Center, LLC NOT COVERED Bromenn Medical Center Bloomington-Normal ENT LTD NOT COVERED Bromenn Medical Center Boe, Erik -MD NOT COVERED Bromenn Medical Center Bohn, Kathryn -MD NOT COVERED Bromenn Medical Center Boholst-Panopio, Phoebe -MD NOT COVERED Bromenn Medical Center Bozman, Raymond -MD NOT COVERED Bromenn Medical Center Braastad, Robert -MD COVERED UNDER FAP Bromenn Medical Center Bradford, Amber -CRNA NOT COVERED Bromenn Medical Center Brander, Thomas -MD NOT COVERED Bromenn Medical Center Brownstone, Daniel -MD NOT COVERED Bromenn Medical Center Bruha, Robert -MD NOT COVERED Bromenn Medical Center Burr, John -MD COVERED UNDER FAP Bromenn Medical Center Butler, Stephanie -NP COVERED UNDER FAP Bromenn Medical Center Button, Andrew -PA COVERED UNDER FAP Bromenn Medical Center Caldemeyer, Karen -MD NOT COVERED Bromenn Medical Center Callaway, Edward -MD NOT COVERED Bromenn Medical Center Cancer Care Associates NOT COVERED Bromenn Medical Center Cardiovascular Health Specialists NOT COVERED Bromenn Medical Center Carle Physician Group NOT COVERED Bromenn Medical Center Carmichael, Craig -MD NOT COVERED Bromenn Medical Center Carrington, Scott -MD COVERED UNDER FAP Bromenn Medical Center Carter, Leslie -NP NOT COVERED Bromenn Medical Center Casey, Kristin -MD NOT COVERED Bromenn Medical Center Cash, Jason -MD NOT COVERED Bromenn Medical Center Castillo, Richard -MD NOT COVERED Bromenn Medical Center Center for Cosmetic and Laser Surgery, LLC NOT COVERED Bromenn Medical Center Central Illinois Center for Wellness LLC NOT COVERED Bromenn Medical Center Central Illinois Neuro Health Sciences, Ltd NOT COVERED Bromenn Medical Center Central Illinois Neuroradiology Ltd-Advanced MRI NOT COVERED

Page 2 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Bromenn Medical Center Central Illinois Orthopedic Surgery, LLC NOT COVERED Bromenn Medical Center Central Illinois Pediatric Associates, LLC NOT COVERED Bromenn Medical Center Chalian, Vicken -MD NOT COVERED Bromenn Medical Center Chan, David -MD NOT COVERED Bromenn Medical Center Cherukuri, Sudha -MD NOT COVERED Bromenn Medical Center Children's Center for Dentistry NOT COVERED Bromenn Medical Center Children's Hospital of Illinois Medical Group NOT COVERED Bromenn Medical Center Chokshi, Nikhil -MD NOT COVERED Bromenn Medical Center Choudhry, Asifa -MD COVERED UNDER FAP Bromenn Medical Center Christie Clinic, LLC NOT COVERED Bromenn Medical Center Cienfuegos, Anthony -CRNA NOT COVERED Bromenn Medical Center Clark, Robert -MD NOT COVERED Bromenn Medical Center Clemons, Kristin -MD NOT COVERED Bromenn Medical Center Cobb, Michael -MD NOT COVERED Bromenn Medical Center Cochran, Michael -MD NOT COVERED Bromenn Medical Center Cogent Hospitalists NOT COVERED Bromenn Medical Center Cole, Bradley -NP NOT COVERED Bromenn Medical Center Coleman, Benjamin -MD NOT COVERED Bromenn Medical Center Community Cancer Center, LLC NOT COVERED Bromenn Medical Center Conley, Diane -MD NOT COVERED Bromenn Medical Center Cordoba, Adrian -MD NOT COVERED Bromenn Medical Center Cortese Foot & Ankle Clinic, P.C NOT COVERED Bromenn Medical Center Cortese, Carl -DPM NOT COVERED Bromenn Medical Center Cortese, Craig -DPM NOT COVERED Bromenn Medical Center Crockett, Catharine -MD NOT COVERED Bromenn Medical Center Cunningham, Daniel -DO NOT COVERED Bromenn Medical Center Dalbak, Dana -PA NOT COVERED Bromenn Medical Center Dalton, Rachel -DO NOT COVERED Bromenn Medical Center Dameron, Jennifer -MD NOT COVERED Bromenn Medical Center Dangles, Chris -MD NOT COVERED Bromenn Medical Center Daniel A Nord MD Obstetrics and Gynecology, LLC NOT COVERED Bromenn Medical Center Davis, Jason -MD NOT COVERED Bromenn Medical Center Deeken-Draisey, Audrey -MD NOT COVERED Bromenn Medical Center Deffenbaugh, Jacqueline -NP NOT COVERED Bromenn Medical Center Definitive Neurodiagnostics, LLC NOT COVERED Bromenn Medical Center Degon, Ronald -SA NOT COVERED Bromenn Medical Center Dermatology and Mohs Surgery Institute, Ltd NOT COVERED Bromenn Medical Center Detwiler, Angie -CNM NOT COVERED Bromenn Medical Center Devlin, Elizabeth -NP NOT COVERED Bromenn Medical Center DeWeert, Thomas -MD NOT COVERED Bromenn Medical Center DeWitt, Kellie -PA NOT COVERED Bromenn Medical Center Dhorajia, Girishkumar -MD COVERED UNDER FAP Bromenn Medical Center Dick, Herman -MD COVERED UNDER FAP Bromenn Medical Center Dietz, Gregory -DMD NOT COVERED Bromenn Medical Center Digestive Disease Consultants, LTD NOT COVERED Bromenn Medical Center Djagarian, Artur -MD COVERED UNDER FAP Bromenn Medical Center Dobransky, Paul -MD COVERED UNDER FAP Bromenn Medical Center Draksler, David -CRNA NOT COVERED Bromenn Medical Center Ductan, Kerline -MD COVERED UNDER FAP Bromenn Medical Center Dustman, John -MD NOT COVERED Bromenn Medical Center Dutta, Sarah -MD NOT COVERED Bromenn Medical Center El-Ansary, Mohamed -MD NOT COVERED Bromenn Medical Center Elemo, Ibrahim -MD COVERED UNDER FAP Bromenn Medical Center Emm, Brian -MD NOT COVERED Bromenn Medical Center Emm, Lisa -MD NOT COVERED Bromenn Medical Center Farinas, Eric -MD NOT COVERED Bromenn Medical Center Favila, Marlito -MD COVERED UNDER FAP Bromenn Medical Center Feinzimer, Benjamin -DO COVERED UNDER FAP

Page 3 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Bromenn Medical Center Fernandes, Darryl -MD COVERED UNDER FAP Bromenn Medical Center Fernandes, Patrick -MD NOT COVERED Bromenn Medical Center Feucht, Jeanette -NP NOT COVERED Bromenn Medical Center Fever, Kali -NP NOT COVERED Bromenn Medical Center Fischer, Debra -NP NOT COVERED Bromenn Medical Center Fishkin, Paul -MD NOT COVERED Bromenn Medical Center Fitzgerald, Katherine -MD NOT COVERED Bromenn Medical Center Fogle, Dominno -PA NOT COVERED Bromenn Medical Center Foss, Jonathan -MD NOT COVERED Bromenn Medical Center Francois, Andre -MD NOT COVERED Bromenn Medical Center Frantz, Alex -PA NOT COVERED Bromenn Medical Center Frazier, Jennifer -CRNA NOT COVERED Bromenn Medical Center Fulk, John -PA COVERED UNDER FAP Bromenn Medical Center Fulk, Nona -MD NOT COVERED Bromenn Medical Center Fuss, Brenda -NP COVERED UNDER FAP Bromenn Medical Center Gailey Eye Clinic NOT COVERED Bromenn Medical Center Galue, Gustavo -MD NOT COVERED Bromenn Medical Center Galvan OBGYN & Associates, LLC NOT COVERED Bromenn Medical Center Galvan, Jeffrey -MD NOT COVERED Bromenn Medical Center Gandhi, Siddharth -DO COVERED UNDER FAP Bromenn Medical Center Gebhart, Brian -DO COVERED UNDER FAP Bromenn Medical Center Gerardo A. Grieco, MD, SC NOT COVERED Bromenn Medical Center Gerstner, Gregory -MD NOT COVERED Bromenn Medical Center Ginnetti, Richard -MD NOT COVERED Bromenn Medical Center Ginzburg, Alan -MD COVERED UNDER FAP Bromenn Medical Center Glatz, Alan -NP NOT COVERED Bromenn Medical Center Gleason-Dintaman, Catherine -CRNA NOT COVERED Bromenn Medical Center Gomez, Patrick -MD NOT COVERED Bromenn Medical Center Gordhan, Ajeet -MD COVERED UNDER FAP Bromenn Medical Center Goswami, Panna -MD NOT COVERED Bromenn Medical Center Grahs, Kathryn -NP COVERED UNDER FAP Bromenn Medical Center Gratkins, Lawrence -MD NOT COVERED Bromenn Medical Center Grieco, Gerardo -MD COVERED UNDER FAP Bromenn Medical Center Griffin, Anthony -CRNA NOT COVERED Bromenn Medical Center Guardian Headache and Pain Management Institute, LLC NOT COVERED Bromenn Medical Center Gurganious, Nicholas -PA NOT COVERED Bromenn Medical Center Ha, Daniel -MD NOT COVERED Bromenn Medical Center Haas, Ellen -MD NOT COVERED Bromenn Medical Center Hahn, Deanna -DO NOT COVERED Bromenn Medical Center Hakki, Ahadi -MD NOT COVERED Bromenn Medical Center Hall, Thomas -DMD NOT COVERED Bromenn Medical Center Halperin, Caroline -DO COVERED UNDER FAP Bromenn Medical Center Halperin, Gregory -MD NOT COVERED Bromenn Medical Center Hameeduddin, Rafiya -DO COVERED UNDER FAP Bromenn Medical Center Hammond, David -CRNA NOT COVERED Bromenn Medical Center Hancock, James -MD NOT COVERED Bromenn Medical Center Hanson, Katie -NP NOT COVERED Bromenn Medical Center Hanson, Mark -MD NOT COVERED Bromenn Medical Center Haque, Kashif -MD COVERED UNDER FAP Bromenn Medical Center Hariharan, Mini -MD COVERED UNDER FAP Bromenn Medical Center Harman, Joseph -MD NOT COVERED Bromenn Medical Center Harold A Nord OB-Gyn S.C. NOT COVERED Bromenn Medical Center Harrison, Heather -MD COVERED UNDER FAP Bromenn Medical Center Hassan, Johara -MD NOT COVERED Bromenn Medical Center Hasselman, Ty -MD NOT COVERED Bromenn Medical Center Hauter, Marcia -MD COVERED UNDER FAP Bromenn Medical Center Hayden, Curtis -MD COVERED UNDER FAP Bromenn Medical Center Heart of Illinois Obstetrics and Gynecology NOT COVERED

Page 4 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Bromenn Medical Center Hecht, Adam -MD NOT COVERED Bromenn Medical Center Hernandez, Amie -CNM NOT COVERED Bromenn Medical Center Hill, Amy -CNM NOT COVERED Bromenn Medical Center Hinsdale Orthopaedic Associates, SC NOT COVERED Bromenn Medical Center Hinthorne, Summer -NP NOT COVERED Bromenn Medical Center Hochstrasser, Jason -MD NOT COVERED Bromenn Medical Center Holst, Christopher -MD NOT COVERED Bromenn Medical Center Holt, Paige -MD NOT COVERED Bromenn Medical Center Hom, Sophia -MD NOT COVERED Bromenn Medical Center Horinek, Anthony -MD NOT COVERED Bromenn Medical Center Hoschek, Jeffrey -MD NOT COVERED Bromenn Medical Center Houghton, Adam -MD NOT COVERED Bromenn Medical Center Houk, Sara -PA NOT COVERED Bromenn Medical Center Houser, David -MD NOT COVERED Bromenn Medical Center Huber, Jill -NP COVERED UNDER FAP Bromenn Medical Center Hussain, Syed -MD NOT COVERED Bromenn Medical Center Illinois CancerCare, PC NOT COVERED Bromenn Medical Center Illinois State University NOT COVERED Bromenn Medical Center Imam, Syed -MD NOT COVERED Bromenn Medical Center Immen, Steven -MD NOT COVERED Bromenn Medical Center Ingalsbe, Steven -MD COVERED UNDER FAP Bromenn Medical Center Ireland Grove Center for Surgery, LLC NOT COVERED Bromenn Medical Center Israel, Daniel -MD NOT COVERED Bromenn Medical Center Jacob, Raji -MD NOT COVERED Bromenn Medical Center James, Gordon -MD NOT COVERED Bromenn Medical Center Jamnadas, Amit -MD NOT COVERED Bromenn Medical Center Jantzen, David -MD NOT COVERED Bromenn Medical Center Jarzabkowski, Dory -DO COVERED UNDER FAP Bromenn Medical Center Javadi, Pooria -MD NOT COVERED Bromenn Medical Center Jaworowicz, John -MD NOT COVERED Bromenn Medical Center Jeffrey Jones, DDS, LLC NOT COVERED Bromenn Medical Center Jeong, Hwan -MD NOT COVERED Bromenn Medical Center Jhee, Won -MD NOT COVERED Bromenn Medical Center Jibawi, Ahmad -MD COVERED UNDER FAP Bromenn Medical Center Johnson, Nisa -LCSW NOT COVERED Bromenn Medical Center Jones, Jeffrey -DDS NOT COVERED Bromenn Medical Center Joseph, Maneesha -NP COVERED UNDER FAP Bromenn Medical Center Jujjavarapu, Srinivas -MD NOT COVERED Bromenn Medical Center Kane, Andrea -MD COVERED UNDER FAP Bromenn Medical Center Kao, Wynn -MD NOT COVERED Bromenn Medical Center Karagiorgos, Nikolaos -MD NOT COVERED Bromenn Medical Center Karkatzounis, Ioannis -MD COVERED UNDER FAP Bromenn Medical Center Katta, Solomon -MD NOT COVERED Bromenn Medical Center Kedlaya, Divakara -MD COVERED UNDER FAP Bromenn Medical Center Keller, Brett -DO NOT COVERED Bromenn Medical Center Kelly, Thomas -MD COVERED UNDER FAP Bromenn Medical Center Kenney, Tom -MD NOT COVERED Bromenn Medical Center Keto, Andrew -DO COVERED UNDER FAP Bromenn Medical Center Kettering, Todd -DO COVERED UNDER FAP Bromenn Medical Center Khan, Usman -MD NOT COVERED Bromenn Medical Center Khatod, Elaine -MD NOT COVERED Bromenn Medical Center Khattak, Muhammad -MD NOT COVERED Bromenn Medical Center Kidney Care Center Bloomington, LLC NOT COVERED Bromenn Medical Center Kidney Care Center Rockford, LLC NOT COVERED Bromenn Medical Center Kieser, David -NP COVERED UNDER FAP Bromenn Medical Center Kim, Danielle -DO NOT COVERED Bromenn Medical Center Kindred, Stephen -MD COVERED UNDER FAP Bromenn Medical Center King, Brittany -NP NOT COVERED

Page 5 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Bromenn Medical Center Kink, Shaun -MD NOT COVERED Bromenn Medical Center Klauss, Sven -MD NOT COVERED Bromenn Medical Center Klein, Angela -NP NOT COVERED Bromenn Medical Center Klein, Jerome -MD NOT COVERED Bromenn Medical Center KMB, SC NOT COVERED Bromenn Medical Center Knepp, Marc -MD NOT COVERED Bromenn Medical Center Koh, David -MD COVERED UNDER FAP Bromenn Medical Center Kohaus, Ashley -MD NOT COVERED Bromenn Medical Center Kolb, Edward -MD NOT COVERED Bromenn Medical Center Kolb, Jean -MD NOT COVERED Bromenn Medical Center Kopp, Alan -MD NOT COVERED Bromenn Medical Center Kossler, Karla -MD NOT COVERED Bromenn Medical Center Kovalaske, Anastasia -NP NOT COVERED Bromenn Medical Center Kube, Brenda -MD COVERED UNDER FAP Bromenn Medical Center Kujalowicz, Zbigniew -MD NOT COVERED Bromenn Medical Center Kumar, Pankaj -MD NOT COVERED Bromenn Medical Center Lange, Daniel -MD NOT COVERED Bromenn Medical Center Lanz, Jennifer -NP COVERED UNDER FAP Bromenn Medical Center Lanzerotte, Mark -MD NOT COVERED Bromenn Medical Center Lath, Nikesh -MD COVERED UNDER FAP Bromenn Medical Center Laura C. Randolph, MD SC NOT COVERED Bromenn Medical Center Leak, Benjamin -MD NOT COVERED Bromenn Medical Center Lee, Anita -MD NOT COVERED Bromenn Medical Center Lee, Dennis -MD NOT COVERED Bromenn Medical Center Lee, Robert -MD NOT COVERED Bromenn Medical Center Le-Lindqwister, Nguyet -MD NOT COVERED Bromenn Medical Center Leone, Douglas -MD NOT COVERED Bromenn Medical Center Lewis, Julie -MD COVERED UNDER FAP Bromenn Medical Center Li, Fang -MD COVERED UNDER FAP Bromenn Medical Center Li, Ji -MD NOT COVERED Bromenn Medical Center Li, Lawrence -MD NOT COVERED Bromenn Medical Center Lillie, Christopher -PA NOT COVERED Bromenn Medical Center Lindsey, Sarah -CNS NOT COVERED Bromenn Medical Center Lira, Sorel -MD COVERED UNDER FAP Bromenn Medical Center Liu, Jijun -MD NOT COVERED Bromenn Medical Center Looney, Darrell -MD COVERED UNDER FAP Bromenn Medical Center Lopez, Kimberly -NP NOT COVERED Bromenn Medical Center MacVicar, Gary -MD NOT COVERED Bromenn Medical Center Madden, Pamela -NP NOT COVERED Bromenn Medical Center Mafazy, Munib -NP COVERED UNDER FAP Bromenn Medical Center Mahmood, Omar -MD NOT COVERED Bromenn Medical Center Mahmood, Talal -MD NOT COVERED Bromenn Medical Center Malik, Rizwan -MD COVERED UNDER FAP Bromenn Medical Center Malpani, Ajay -MD NOT COVERED Bromenn Medical Center Manness, Wayne -MD NOT COVERED Bromenn Medical Center Marrochello, Veronica -DPM NOT COVERED Bromenn Medical Center Marshall, Kimberly -MD NOT COVERED Bromenn Medical Center Matter, Stephen -MD NOT COVERED Bromenn Medical Center Maves, Jeffrey -CRNA NOT COVERED Bromenn Medical Center McDonnell, Kevin -MD NOT COVERED Bromenn Medical Center McDougall, Tonya -NP NOT COVERED Bromenn Medical Center McKenna, Jeffrey -MD NOT COVERED Bromenn Medical Center McLean County Foot and Ankle, Ltd NOT COVERED Bromenn Medical Center McLean County Orthopedics, Ltd NOT COVERED Bromenn Medical Center Medical Group - College Avenue NOT COVERED Bromenn Medical Center Mehta, Kartik -DO COVERED UNDER FAP Bromenn Medical Center Menendez, Jennifer -PA COVERED UNDER FAP Bromenn Medical Center Michaels, Jason -MD NOT COVERED

Page 6 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Bromenn Medical Center Mid-Illinois Hematology & Oncology Associates Ltd NOT COVERED Bromenn Medical Center Midstate Podiatry Associates, Ltd NOT COVERED Bromenn Medical Center Midwest Allergy Sinus Asthma, SC NOT COVERED Bromenn Medical Center Migas, John -MD NOT COVERED Bromenn Medical Center Millennium Pain Center, LLC NOT COVERED Bromenn Medical Center Miller Urogynecology, SC NOT COVERED Bromenn Medical Center Miller, Jay James -MD NOT COVERED Bromenn Medical Center Milligan, David -MD COVERED UNDER FAP Bromenn Medical Center Misra, Vijay Laxmi -MD NOT COVERED Bromenn Medical Center Mobile Anesthesiologists LLC NOT COVERED Bromenn Medical Center Morgan, Scott -MD NOT COVERED Bromenn Medical Center Morrison, Sherri -PA NOT COVERED Bromenn Medical Center Moshier, Brian -DO NOT COVERED Bromenn Medical Center Murphy, Patrick -MD NOT COVERED Bromenn Medical Center Murphy, Thomas -DO COVERED UNDER FAP Bromenn Medical Center Mustard, Michael -MD COVERED UNDER FAP Bromenn Medical Center Myers, Danea -CRNA NOT COVERED Bromenn Medical Center Mygatt, Christopher -PA NOT COVERED Bromenn Medical Center Naour, Paul -MD NOT COVERED Bromenn Medical Center Nardone, Emilio -MD NOT COVERED Bromenn Medical Center Nazarian, Sarkis -MD COVERED UNDER FAP Bromenn Medical Center Neubrander, Judy -NP NOT COVERED Bromenn Medical Center Neumann, Margaret -NP NOT COVERED Bromenn Medical Center Nevin, James -MD NOT COVERED Bromenn Medical Center Newcomer, Joseph -MD NOT COVERED Bromenn Medical Center Nielsen, Thomas -MD NOT COVERED Bromenn Medical Center Nilles, Joel -DO COVERED UNDER FAP Bromenn Medical Center Nona Fulk MD, SC NOT COVERED Bromenn Medical Center Nord, Daniel -MD NOT COVERED Bromenn Medical Center Normal Bloomington Anesthesiologists, Ltd NOT COVERED Bromenn Medical Center Norris, Joseph -MD NOT COVERED Bromenn Medical Center Novick, Michael -MD NOT COVERED Bromenn Medical Center Novotny, Joseph -MD NOT COVERED Bromenn Medical Center Noyes, Willard -MD NOT COVERED Bromenn Medical Center Nwankwo, John -MD NOT COVERED Bromenn Medical Center Oakey, Jerome -MD NOT COVERED Bromenn Medical Center Oberle, Jill -CNS NOT COVERED Bromenn Medical Center Obstetrics & Gynecology II, Ltd. NOT COVERED Bromenn Medical Center Obstetrics and Gynecology Care Associates, SC NOT COVERED Bromenn Medical Center O'Connor, Scott -DPM NOT COVERED Bromenn Medical Center Ogunleye, Bamidele -MD NOT COVERED Bromenn Medical Center Olorode, Gbemisola -MD COVERED UNDER FAP Bromenn Medical Center Orcutt, Jeffrey -MD NOT COVERED Bromenn Medical Center Orthopedic & Shoulder Center NOT COVERED Bromenn Medical Center Orthopedic and Sports Enhancement Center, LLC NOT COVERED Bromenn Medical Center Orthopedics & Shoulder Center NOT COVERED Bromenn Medical Center Orthopedics of Illinois NOT COVERED Bromenn Medical Center OSF Cardiovascular Institute NOT COVERED Bromenn Medical Center OSF Children's Hospital of Illinois Medical Group NOT COVERED Bromenn Medical Center OSF Medical Group NOT COVERED Bromenn Medical Center OSF Medical Group - College Avenue NOT COVERED Bromenn Medical Center OSF Multi-Specialty Group NOT COVERED Bromenn Medical Center Otis Allen, MD, SC NOT COVERED Bromenn Medical Center Paige C. Holt MD Ltd NOT COVERED Bromenn Medical Center Pandurangadu, Ananda -MD COVERED UNDER FAP Bromenn Medical Center Paschold, Bryce -DPM NOT COVERED Bromenn Medical Center Pasley, Stephanie -NP NOT COVERED Bromenn Medical Center Patel, Priti -MD NOT COVERED

Page 7 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Bromenn Medical Center Paul, Gerald -DPM NOT COVERED Bromenn Medical Center Paul, Kristin -NP COVERED UNDER FAP Bromenn Medical Center Paul, Marc -MD NOT COVERED Bromenn Medical Center Pauley, Nichole -SA NOT COVERED Bromenn Medical Center Pedersen, Paul -MD NOT COVERED Bromenn Medical Center Pediatric Dental Associates of McLean Co NOT COVERED Bromenn Medical Center Pendleton, Dionna -MD COVERED UNDER FAP Bromenn Medical Center Pflederer, Timothy -MD NOT COVERED Bromenn Medical Center Phillips, Mikel -CRNA NOT COVERED Bromenn Medical Center Pieren, Sara -MD NOT COVERED Bromenn Medical Center Pilcher, Stephen -MD NOT COVERED Bromenn Medical Center Piller, Joseph -PA COVERED UNDER FAP Bromenn Medical Center Pinter, Larry -MD COVERED UNDER FAP Bromenn Medical Center Pinter, Scott -MD NOT COVERED Bromenn Medical Center Plocher, Elizabeth -MD NOT COVERED Bromenn Medical Center Pogue, Lucas -MD NOT COVERED Bromenn Medical Center Pollak, Tal -MD COVERED UNDER FAP Bromenn Medical Center Pope, Brian -DO COVERED UNDER FAP Bromenn Medical Center Poulter, Jeffrey -MD NOT COVERED Bromenn Medical Center Prager, Diane -MD NOT COVERED Bromenn Medical Center Pratt, Alan -MD NOT COVERED Bromenn Medical Center Premier Medical Group - Kulb, Chalian and Leak Urology, Ltd NOT COVERED Bromenn Medical Center Premier Medical Group, LLC NOT COVERED Bromenn Medical Center Premier Medical Group, LLC Mid-Central Illinois Gastroenterology NOT COVERED Bromenn Medical Center PRO Podiatry LLC - Premier Podiatry NOT COVERED Bromenn Medical Center Randolph, Laura -MD NOT COVERED Bromenn Medical Center Rasin, Arkady -MD NOT COVERED Bromenn Medical Center Rauen Dardis, Sara -DDS NOT COVERED Bromenn Medical Center Raut, Nita -NP NOT COVERED Bromenn Medical Center Ray, William -MD NOT COVERED Bromenn Medical Center Redd, Erin -NP NOT COVERED Bromenn Medical Center Reddy, Chittaranjan -MD NOT COVERED Bromenn Medical Center Rehman, Nadia -MD NOT COVERED Bromenn Medical Center Reiner, Bruce -MD NOT COVERED Bromenn Medical Center RenalCare Associates, SC NOT COVERED Bromenn Medical Center Retina Consultants of Central Illinois, SC NOT COVERED Bromenn Medical Center Ricaurte, Kimberly -DO NOT COVERED Bromenn Medical Center Richard W Wellman, MD LLC NOT COVERED Bromenn Medical Center Riley, Gloria -NP NOT COVERED Bromenn Medical Center Rizzo, Teri -NP COVERED UNDER FAP Bromenn Medical Center Rocke, Christie -NP COVERED UNDER FAP Bromenn Medical Center Rogers, Charles - NOT COVERED Bromenn Medical Center Rosborough, David -MD NOT COVERED Bromenn Medical Center Rosen, Charles -MD NOT COVERED Bromenn Medical Center Rosengarten, Jeffrey -MD NOT COVERED Bromenn Medical Center Roth, Elisa -DMD NOT COVERED Bromenn Medical Center Roth, Lucas -PA NOT COVERED Bromenn Medical Center Royyuru, Sasikala -MD COVERED UNDER FAP Bromenn Medical Center Rozell, Joseph -MD NOT COVERED Bromenn Medical Center Ruch, Shelley -CSA NOT COVERED Bromenn Medical Center Rudicil, Shaun -PA NOT COVERED Bromenn Medical Center Rufus, Deborah -NP NOT COVERED Bromenn Medical Center Rulnick, Adam -MD NOT COVERED Bromenn Medical Center Russell, Robert -MD NOT COVERED Bromenn Medical Center Sader, Samer -MD NOT COVERED Bromenn Medical Center Saenz, Naomi -MD NOT COVERED Bromenn Medical Center Samad, Zia -MD NOT COVERED Bromenn Medical Center Santiago, Joseph -MD NOT COVERED

Page 8 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Bromenn Medical Center Sarah Dutta, OB-GYN, SC NOT COVERED Bromenn Medical Center Sawyer, Darren -NP NOT COVERED Bromenn Medical Center Saxena, Sanjay -MD NOT COVERED Bromenn Medical Center Scanlon, Elizabeth -NP NOT COVERED Bromenn Medical Center Schertz, Nicole -CRNA NOT COVERED Bromenn Medical Center Schertz, Robin -NP NOT COVERED Bromenn Medical Center Schieler, Emily -NP COVERED UNDER FAP Bromenn Medical Center Schoenig, Kenneth -MD NOT COVERED Bromenn Medical Center Schrock, Brian -PA NOT COVERED Bromenn Medical Center Schroeder, Martin -MD NOT COVERED Bromenn Medical Center Schupbach, Adrienne -MD NOT COVERED Bromenn Medical Center Sciuk, Adam -MD NOT COVERED Bromenn Medical Center Seibly, Jason -DO NOT COVERED Bromenn Medical Center Seidl, Robert -MD NOT COVERED Bromenn Medical Center Setter, Joseph -DPM NOT COVERED Bromenn Medical Center Shah, Nicholas -MD NOT COVERED Bromenn Medical Center Shah, Samir -MD COVERED UNDER FAP Bromenn Medical Center Shanmugam, Raju -MD COVERED UNDER FAP Bromenn Medical Center Sharon R. Weaver, MD, SC NOT COVERED Bromenn Medical Center Shi, Helen -MD NOT COVERED Bromenn Medical Center Shrishrimal, Kumarpal -MD NOT COVERED Bromenn Medical Center Singh, Gurpreet -MD COVERED UNDER FAP Bromenn Medical Center Sinks, Jessica -NP COVERED UNDER FAP Bromenn Medical Center Siri, Dareen -MD NOT COVERED Bromenn Medical Center Sivalingam, Senthil -MD COVERED UNDER FAP Bromenn Medical Center Smith, Glen -MD NOT COVERED Bromenn Medical Center Smith, Kevin -MD NOT COVERED Bromenn Medical Center Solhkhah, Cyrus -MD COVERED UNDER FAP Bromenn Medical Center Springer, Michael -MD COVERED UNDER FAP Bromenn Medical Center Srinivasan, Parthasarathy -MD NOT COVERED Bromenn Medical Center Sriratana, Pramern -MD NOT COVERED Bromenn Medical Center Starnes, Mary -CRNA NOT COVERED Bromenn Medical Center Steffen, Samuel -MD COVERED UNDER FAP Bromenn Medical Center Steinkoenig, Victoria -CNS COVERED UNDER FAP Bromenn Medical Center Stern, Jennifer -NP NOT COVERED Bromenn Medical Center Stites, Amy -PA NOT COVERED Bromenn Medical Center Stivers, Mark -MD COVERED UNDER FAP Bromenn Medical Center Strayer, Sue -MD NOT COVERED Bromenn Medical Center Stroink, Ann -MD NOT COVERED Bromenn Medical Center Summit Family Medical Center NOT COVERED Bromenn Medical Center Sung, Karen -DO COVERED UNDER FAP Bromenn Medical Center Susan Svientek MD SC - Women for Women NOT COVERED Bromenn Medical Center Svientek, Susan -MD NOT COVERED Bromenn Medical Center Swaminathan, Rajagopala -MD NOT COVERED Bromenn Medical Center Swanson, James -MD NOT COVERED Bromenn Medical Center Taimoorazy, Benjamin -MD NOT COVERED Bromenn Medical Center Tannebaum, Ross -MD COVERED UNDER FAP Bromenn Medical Center Tattini, Chad -MD NOT COVERED Bromenn Medical Center Taulbee, Kent -MD NOT COVERED Bromenn Medical Center Tedesco, Kurtis -MD NOT COVERED Bromenn Medical Center The Center for Outpatient Medicine NOT COVERED Bromenn Medical Center The Vein Specialists, LLC NOT COVERED Bromenn Medical Center Thornton, Sherri-Lee -MD NOT COVERED Bromenn Medical Center Tillman, Anita -MD COVERED UNDER FAP Bromenn Medical Center Tobin, Katherine -MD NOT COVERED Bromenn Medical Center Tolentino, Mariano -MD NOT COVERED Bromenn Medical Center Toohill, Jennifer -NP NOT COVERED Bromenn Medical Center Toohill, Kaye -MD NOT COVERED

Page 9 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Bromenn Medical Center Traeger, Aaron -MD COVERED UNDER FAP Bromenn Medical Center Tumilty, Beth -DO COVERED UNDER FAP Bromenn Medical Center Turner, James -MD NOT COVERED Bromenn Medical Center Tyner, Jean-Marie -NP COVERED UNDER FAP Bromenn Medical Center Ulbrich, Mark -MD NOT COVERED Bromenn Medical Center Vales, James -MD NOT COVERED Bromenn Medical Center Vallejo, Ricardo -MD NOT COVERED Bromenn Medical Center Vangala, Sai Rupa -MD COVERED UNDER FAP Bromenn Medical Center Veeder, Michael -MD NOT COVERED Bromenn Medical Center Virtual Radiologic Professionals, LLC NOT COVERED Bromenn Medical Center VisionPoint Eye Center PLLC NOT COVERED Bromenn Medical Center Voegel, Victoria -PA NOT COVERED Bromenn Medical Center Vogel, Trudy -NP COVERED UNDER FAP Bromenn Medical Center Vora, Moiz -MD NOT COVERED Bromenn Medical Center Vottero, Robert -MD COVERED UNDER FAP Bromenn Medical Center Vyas, Amit -MD NOT COVERED Bromenn Medical Center Vyas, Smita -MD NOT COVERED Bromenn Medical Center Warmac, Nicole -NP COVERED UNDER FAP Bromenn Medical Center Weaver, Sharon -MD NOT COVERED Bromenn Medical Center Wellman, Richard -MD NOT COVERED Bromenn Medical Center Welsh, Sarah -CRNA NOT COVERED Bromenn Medical Center Welte, Frank -MD NOT COVERED Bromenn Medical Center Weraarchakul, Witoon -MD COVERED UNDER FAP Bromenn Medical Center Wietfeldt, Debbie -NP NOT COVERED Bromenn Medical Center Williamson, John -PA COVERED UNDER FAP Bromenn Medical Center Williamson, Judith -NP NOT COVERED Bromenn Medical Center Wilson, Denise -NP NOT COVERED Bromenn Medical Center Wilson, Elizabeth -PA COVERED UNDER FAP Bromenn Medical Center Wisdom, Lucy -MD NOT COVERED Bromenn Medical Center Wong, Gene -MD NOT COVERED Bromenn Medical Center Wong, Katy -MD NOT COVERED Bromenn Medical Center Woodhouse, Shermian -MD NOT COVERED Bromenn Medical Center Woods, Michael -MD NOT COVERED Bromenn Medical Center Wright, Ruel -MD NOT COVERED Bromenn Medical Center Yambay Valiente, Liza -MD COVERED UNDER FAP Bromenn Medical Center Yasin, Jamil -MD NOT COVERED Bromenn Medical Center Yerrabolu, Meera -MD COVERED UNDER FAP Bromenn Medical Center Young, Erica -PA NOT COVERED Bromenn Medical Center Yousuf, Naveed -MD NOT COVERED Bromenn Medical Center Yu, Liyuan -MD NOT COVERED Bromenn Medical Center Zafar, Mohammad -MD NOT COVERED Bromenn Medical Center Zaidi, Syed Javed -MD COVERED UNDER FAP Bromenn Medical Center Zimmermann, Ronald -DO COVERED UNDER FAP Bromenn Medical Center Zimny, Robert -CRNA NOT COVERED Bromenn Medical Center Zorn, Jeffrey -MD NOT COVERED Bromenn Medical Center Zotz, Jared -MD NOT COVERED Christ Medical Center and Children's Hospital A2Z Care Med-Meds Specialist, PC NOT COVERED Christ Medical Center and Children's Hospital Abbasian, Javaneh -MD NOT COVERED Christ Medical Center and Children's Hospital Abboud, Maha -MD NOT COVERED Christ Medical Center and Children's Hospital Abdallah, Osamah -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Abdessalam, Nadia -NP NOT COVERED Christ Medical Center and Children's Hospital Abdessamad, Mohamad Adel -MD NOT COVERED Christ Medical Center and Children's Hospital Abdoue, Akram -MD NOT COVERED Christ Medical Center and Children's Hospital Abi Mansour, Pierrot -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Abourahma, Ashraf -MD NOT COVERED Christ Medical Center and Children's Hospital Abraham, Joseph -CRNA NOT COVERED Christ Medical Center and Children's Hospital Abramson, Brad -DO NOT COVERED Christ Medical Center and Children's Hospital Abushaer, Muhammad -MD NOT COVERED

Page 10 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Abusharif, Hamdala -MD NOT COVERED Christ Medical Center and Children's Hospital Adair, Roy -MD NOT COVERED Christ Medical Center and Children's Hospital Adeniji, Adejimi -MD NOT COVERED Christ Medical Center and Children's Hospital Adenwalla, Mohamed -MD NOT COVERED Christ Medical Center and Children's Hospital Adeoye, Martins -MD NOT COVERED Christ Medical Center and Children's Hospital Adhikari, Sujeen -DO NOT COVERED Christ Medical Center and Children's Hospital Adult Medicine Center NOT COVERED Christ Medical Center and Children's Hospital Adult Primary Care Center, Ltd NOT COVERED Christ Medical Center and Children's Hospital Advanced Allergy & Asthma Clinic SC NOT COVERED Christ Medical Center and Children's Hospital Advanced Orthopedic and Spine Care, SC NOT COVERED Christ Medical Center and Children's Hospital Advanced Reproductive Health Centers, Ltd NOT COVERED Christ Medical Center and Children's Hospital Advanced Vein Treatment and Cosmetic Center NOT COVERED Christ Medical Center and Children's Hospital Advocate Medical Group - Burbank - Palliative Medicine COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Burbank - 4901 West 79th Street - Obstetrics & Gynecology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Des Plaines 8901 W Golf Road COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Downers Grove - 3551 Highland Ave - Neurosurgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Downers Grove - 3825 Highland Ave - Palliative Care COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Downers Grove 1441 Branding COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Evergreen - Adolescent Medicine COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 4220 W 95th Street - Pediatrics COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 4225 W 95th COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds Developmental COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds Endocrinology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds Genetics COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds Nephrology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds Neurology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds Orthopedics COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - 9555 S 52nd Ave - Peds Urology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn - Family Medicine COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn -Cicero Avenue COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group - Oak Lawn, 4440 West 95th Street - Obstetrics & Gynecology -ED Tri COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Advocate Clinic Chicago 75th Street COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Advocate Clinic Joliet COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Beverly COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Burbank COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Chicago 2315 E 93rd Street Neurology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Christ Peds Hospitalist COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group CMC Pediatric Pulmonology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Emergency Medicine COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Emergency Medicine CMC - Peds COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Evergreen COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Evergreen Peds COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Hazel Crest Gastro COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Hospitalist COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group LaGrange Road COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Merrionette Park COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Midwest Heart Specialists COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Midwest Pediatric Cardio COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Neurointerventional Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn - 4440 West 95th Street - Pediatric Critical Care COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn - Trauma Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn - West 95th Street - Pediatric Hematology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn 95th St ENT COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn General Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn Infectious Disease COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn Maternal/Fetal COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn Nephrology COVERED UNDER FAP

Page 11 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn Neurosurgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn Pediatrics General Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Oak Lawn Plastic Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Orland Park COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Palos COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Pediatric Cardiovascular Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Peds Hospitalist COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group South Holland COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman OB/Gyne COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Peds Cardiology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Peds General Surgery COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group Yacktman Peds Rheumatology COVERED UNDER FAP Christ Medical Center and Children's Hospital Advocate Medical Group-Chicago-93rd Street COVERED UNDER FAP Christ Medical Center and Children's Hospital Affiliated Oncologists, LLC NOT COVERED Christ Medical Center and Children's Hospital Afzal, Zahid -MD NOT COVERED Christ Medical Center and Children's Hospital Aggarwal, Nimit -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ahmad, Asima -MD NOT COVERED Christ Medical Center and Children's Hospital Ahmad, Thaer -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ahmed, Farida -MD NOT COVERED Christ Medical Center and Children's Hospital Ahmed, Zafar -MD NOT COVERED Christ Medical Center and Children's Hospital Ahuja, Akash -MD NOT COVERED Christ Medical Center and Children's Hospital Ahuja, Anuprit -PA COVERED UNDER FAP Christ Medical Center and Children's Hospital Aicher, Tracy -NP NOT COVERED Christ Medical Center and Children's Hospital Aippersbach, Elke -MD NOT COVERED Christ Medical Center and Children's Hospital Ajmal, Saira -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Akhtar, Naveed -MD NOT COVERED Christ Medical Center and Children's Hospital Akhtar, Rasheed -MD NOT COVERED Christ Medical Center and Children's Hospital Akhtar, Sameena -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Akhter, Javeed -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Al Sharif, Hani -MD NOT COVERED Christ Medical Center and Children's Hospital Al-Ahdab, Mohamad -MD NOT COVERED Christ Medical Center and Children's Hospital Alattar, Mohammad -MD NOT COVERED Christ Medical Center and Children's Hospital Alawad Medical Center, Ltd NOT COVERED Christ Medical Center and Children's Hospital Alawad, Mohammed -MD NOT COVERED Christ Medical Center and Children's Hospital Albanis, Chris -MD NOT COVERED Christ Medical Center and Children's Hospital Albertine, Paul -MD NOT COVERED Christ Medical Center and Children's Hospital Albovias, Susan -MD NOT COVERED Christ Medical Center and Children's Hospital Albright, Joslyn -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Alcordo, Miguel -MD NOT COVERED Christ Medical Center and Children's Hospital Aldaas, Fadi -MD NOT COVERED Christ Medical Center and Children's Hospital Aleksonis, Dinas -MD NOT COVERED Christ Medical Center and Children's Hospital Alex, Charles -MD NOT COVERED Christ Medical Center and Children's Hospital Alexander, Philip -MD NOT COVERED Christ Medical Center and Children's Hospital Ali, Abid -MD NOT COVERED Christ Medical Center and Children's Hospital Ali, Imran -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ali, Shama -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Alikakos, Zoe -MD NOT COVERED Christ Medical Center and Children's Hospital Al-Khaled, Nouri -MD NOT COVERED Christ Medical Center and Children's Hospital Al-Khudari, Mohammad -MD NOT COVERED Christ Medical Center and Children's Hospital Allam, Talha -MD NOT COVERED Christ Medical Center and Children's Hospital Allen, Charles -DPM NOT COVERED Christ Medical Center and Children's Hospital Almouradi, Tarek -MD NOT COVERED Christ Medical Center and Children's Hospital Alnajar, Tarek -DO NOT COVERED Christ Medical Center and Children's Hospital Alpha Med Physicians Group, LLC NOT COVERED Christ Medical Center and Children's Hospital Al-Qawasmi, Fouad -MD NOT COVERED Christ Medical Center and Children's Hospital AlShobaki, Mansour -MD NOT COVERED Christ Medical Center and Children's Hospital Altarshan, Abdallah -MD NOT COVERED Christ Medical Center and Children's Hospital Altman, Igor -DO NOT COVERED

Page 12 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Alzalam, Nazem -MD NOT COVERED Christ Medical Center and Children's Hospital Alzein Medical Ltd NOT COVERED Christ Medical Center and Children's Hospital Alzein Medical, Ltd NOT COVERED Christ Medical Center and Children's Hospital Alzein, Hassan -MD NOT COVERED Christ Medical Center and Children's Hospital Alzein, Mohamad -MD NOT COVERED Christ Medical Center and Children's Hospital Amare, Dawit -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Ambrose, Steven -MD NOT COVERED Christ Medical Center and Children's Hospital American Surgical Professionals NOT COVERED Christ Medical Center and Children's Hospital Amin, Alkesh -MD NOT COVERED Christ Medical Center and Children's Hospital Amin, Manali -MD NOT COVERED Christ Medical Center and Children's Hospital Amin, Ruchita -MD NOT COVERED Christ Medical Center and Children's Hospital Amine, Muhamad -MD NOT COVERED Christ Medical Center and Children's Hospital Amiran, Sasha -MD NOT COVERED Christ Medical Center and Children's Hospital Amita Health Cancer Center NOT COVERED Christ Medical Center and Children's Hospital Amita Health Medical Group NOT COVERED Christ Medical Center and Children's Hospital Anani, Ashraf -MD NOT COVERED Christ Medical Center and Children's Hospital Ananth, Anupama -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Anastos, John -DO NOT COVERED Christ Medical Center and Children's Hospital Andersen, Jennifer -MD NOT COVERED Christ Medical Center and Children's Hospital Anderson, Christine -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Anderson, Michael -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Anderst, James -MD NOT COVERED Christ Medical Center and Children's Hospital Andina & Irabagon, SC NOT COVERED Christ Medical Center and Children's Hospital Andina, Robert -MD NOT COVERED Christ Medical Center and Children's Hospital Andrade, Ambar -MD NOT COVERED Christ Medical Center and Children's Hospital Andreoni, John -MD NOT COVERED Christ Medical Center and Children's Hospital Angspatt, Sompongse -MD NOT COVERED Christ Medical Center and Children's Hospital Angspatt-Pisit, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Anita Arora, MD, PC NOT COVERED Christ Medical Center and Children's Hospital Anneken, Steven -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Annes, John -MD NOT COVERED Christ Medical Center and Children's Hospital Annes, Nicole -PA NOT COVERED Christ Medical Center and Children's Hospital Annita John, MD, PC NOT COVERED Christ Medical Center and Children's Hospital Antle, Kayla -PA COVERED UNDER FAP Christ Medical Center and Children's Hospital Applequist, Jennifer -PA NOT COVERED Christ Medical Center and Children's Hospital Arbor Center for Eyecare, SC NOT COVERED Christ Medical Center and Children's Hospital Ares Maisonet, Guillermo -MD NOT COVERED Christ Medical Center and Children's Hospital Ares, Kathleen -PsyD NOT COVERED Christ Medical Center and Children's Hospital Armstrong, Qianna -MD NOT COVERED Christ Medical Center and Children's Hospital Arndt, Thomas -MD NOT COVERED Christ Medical Center and Children's Hospital Arora, Anita -MD NOT COVERED Christ Medical Center and Children's Hospital Arora, Subash -MD NOT COVERED Christ Medical Center and Children's Hospital Arroyo, Patricia -MD NOT COVERED Christ Medical Center and Children's Hospital Arundel, Cali -NP NOT COVERED Christ Medical Center and Children's Hospital Arvan, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Asem, Humera -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ashton, Loryn -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Asima, Sika -CRNA NOT COVERED Christ Medical Center and Children's Hospital Asokan, Sangarappillai -MD NOT COVERED Christ Medical Center and Children's Hospital Associated Cardiovascular Physicians, SC NOT COVERED Christ Medical Center and Children's Hospital Associated Urological Specialists, LLC NOT COVERED Christ Medical Center and Children's Hospital Associates in Nephrology, SC NOT COVERED Christ Medical Center and Children's Hospital Associates in Pediatric Neurology, SC NOT COVERED Christ Medical Center and Children's Hospital Associates in Rehabilitation Medicine, SC NOT COVERED Christ Medical Center and Children's Hospital Asuncion, Kristine -NP NOT COVERED Christ Medical Center and Children's Hospital Atassi, Mohamad -MD NOT COVERED Christ Medical Center and Children's Hospital Atieh, Osama -MD NOT COVERED Christ Medical Center and Children's Hospital Atwood, Stephanie -NP COVERED UNDER FAP

Page 13 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Aubeid, Firas -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Aumann, April -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Aung, Soe -MD NOT COVERED Christ Medical Center and Children's Hospital AVD Medical SC NOT COVERED Christ Medical Center and Children's Hospital Avula, Surendra -MD NOT COVERED Christ Medical Center and Children's Hospital Awwad, Reem -MD NOT COVERED Christ Medical Center and Children's Hospital Ayub, Kamran -MD NOT COVERED Christ Medical Center and Children's Hospital Aziz, George -MD NOT COVERED Christ Medical Center and Children's Hospital Bajaj, Vijay -MD NOT COVERED Christ Medical Center and Children's Hospital Balandrin, Jorge -MD NOT COVERED Christ Medical Center and Children's Hospital Balanlayos, Ivy -CNS NOT COVERED Christ Medical Center and Children's Hospital Balash, Paul -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ballany, Wassim -MD NOT COVERED Christ Medical Center and Children's Hospital Balouch, Muhammad -MD NOT COVERED Christ Medical Center and Children's Hospital Bamman, Mark -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Bancerek Stengele, Justyna -MD NOT COVERED Christ Medical Center and Children's Hospital Bane, Christopher -MD NOT COVERED Christ Medical Center and Children's Hospital Barakat, Mohamad -MD NOT COVERED Christ Medical Center and Children's Hospital Barakat, Nabil -MD NOT COVERED Christ Medical Center and Children's Hospital Barber, Courtenay -NP NOT COVERED Christ Medical Center and Children's Hospital Barboza, Joaquim -MD NOT COVERED Christ Medical Center and Children's Hospital Bardezbanian, Bryce -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Barounis, David -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Barsella, Adam -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Bartgen, Daniel -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Bartnicki, Alison -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Bavisi, Swati -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Baylis, William -DO NOT COVERED Christ Medical Center and Children's Hospital Bayrakdar, Ammar -MD NOT COVERED Christ Medical Center and Children's Hospital Beata I. Styka MD, SC NOT COVERED Christ Medical Center and Children's Hospital Beaumont, Laura -PsyD NOT COVERED Christ Medical Center and Children's Hospital Beck, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Becker, Kimberly -PsyD NOT COVERED Christ Medical Center and Children's Hospital Bedikian, Sarkis -DO NOT COVERED Christ Medical Center and Children's Hospital Bednarczyk, Katelyn -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Bein, Laura -PhD NOT COVERED Christ Medical Center and Children's Hospital Belgrad, Jonathan -MD NOT COVERED Christ Medical Center and Children's Hospital Bell, Brandon -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Bell, Jeremy -PA NOT COVERED Christ Medical Center and Children's Hospital Bell, Nathan -PA NOT COVERED Christ Medical Center and Children's Hospital Bellamy-Peyton, April -MD NOT COVERED Christ Medical Center and Children's Hospital Bellar, Barbara -MD NOT COVERED Christ Medical Center and Children's Hospital Bellosa, Nora -MD NOT COVERED Christ Medical Center and Children's Hospital Bender, Jessica -DO NOT COVERED Christ Medical Center and Children's Hospital Benig, Karlo -NP NOT COVERED Christ Medical Center and Children's Hospital Benton, Kathryn -PhD NOT COVERED Christ Medical Center and Children's Hospital Berg, Mallory -NP NOT COVERED Christ Medical Center and Children's Hospital Berger, Aaron -MD NOT COVERED Christ Medical Center and Children's Hospital Beri, Rohinee -MD NOT COVERED Christ Medical Center and Children's Hospital Berkelhammer, Charles -MD NOT COVERED Christ Medical Center and Children's Hospital Berkovich, Lilia -PsyD NOT COVERED Christ Medical Center and Children's Hospital Bernklau, Sandra -NP NOT COVERED Christ Medical Center and Children's Hospital Berns, Dana -DPM NOT COVERED Christ Medical Center and Children's Hospital Bero, Jennifer -MD NOT COVERED Christ Medical Center and Children's Hospital Berwyn Pediatrics NOT COVERED Christ Medical Center and Children's Hospital Best Practices Inpatient Care, Ltd NOT COVERED Christ Medical Center and Children's Hospital Beth Ledvora, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Bevolo, Andrea -PA NOT COVERED

Page 14 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Bharati, Saroja -MD NOT COVERED Christ Medical Center and Children's Hospital Bhatia, Sandeep -MD NOT COVERED Christ Medical Center and Children's Hospital Bhatt, Harit -MD NOT COVERED Christ Medical Center and Children's Hospital Bhatti, Humaa -DO NOT COVERED Christ Medical Center and Children's Hospital Bhoopal, Kiran -MD NOT COVERED Christ Medical Center and Children's Hospital Bhupali, Chetan -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Bielinski Dermatology Group LLC NOT COVERED Christ Medical Center and Children's Hospital Bielinski, Kenneth -MD NOT COVERED Christ Medical Center and Children's Hospital Birhanu, Kidanu -MD NOT COVERED Christ Medical Center and Children's Hospital Bisaga, Mary -NP NOT COVERED Christ Medical Center and Children's Hospital Biskup & Segui Pediatric Partners PC NOT COVERED Christ Medical Center and Children's Hospital Biskup, Nicole -MD NOT COVERED Christ Medical Center and Children's Hospital Biso, Sylvia Marie -MD NOT COVERED Christ Medical Center and Children's Hospital Bite Size Pediatric Dentistry NOT COVERED Christ Medical Center and Children's Hospital Blachowicz, Ewa -NP NOT COVERED Christ Medical Center and Children's Hospital Blanco, Ryan -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Blevins, Bonnie -CNS NOT COVERED Christ Medical Center and Children's Hospital Block, Adam -DO NOT COVERED Christ Medical Center and Children's Hospital Blue Sky Neurology NOT COVERED Christ Medical Center and Children's Hospital Blumenstein, Brian -MD NOT COVERED Christ Medical Center and Children's Hospital Blumstein, Andrea -MD NOT COVERED Christ Medical Center and Children's Hospital Boarden, Wilfred -MD NOT COVERED Christ Medical Center and Children's Hospital Boatwright, Patricia -MD NOT COVERED Christ Medical Center and Children's Hospital Boersma, Sarah -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Bogan, Kristi -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Bojedla, Kiran -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Bok, Edward -MD NOT COVERED Christ Medical Center and Children's Hospital Bommaraju, Kalki -MD NOT COVERED Christ Medical Center and Children's Hospital Bonaguro, Sheila -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Bonaminio, Phyllis -MD NOT COVERED Christ Medical Center and Children's Hospital Bonaminio, Robert -DO NOT COVERED Christ Medical Center and Children's Hospital Bonk, Alison -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Bonk, Robert -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Borhani, Martin -MD NOT COVERED Christ Medical Center and Children's Hospital Bosack, Robert -DDS NOT COVERED Christ Medical Center and Children's Hospital Bottari, Diana -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Boumendjel, Yelena -DPM NOT COVERED Christ Medical Center and Children's Hospital Bousman, Tina -PA NOT COVERED Christ Medical Center and Children's Hospital Boyd, Christine -MD NOT COVERED Christ Medical Center and Children's Hospital Boysen, Lawrence -MD NOT COVERED Christ Medical Center and Children's Hospital Bradfield, Hannah -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Brann, Donald -DPM NOT COVERED Christ Medical Center and Children's Hospital Branovacki, George -MD NOT COVERED Christ Medical Center and Children's Hospital Brasch, Joel -MD NOT COVERED Christ Medical Center and Children's Hospital Brener, Alina -MD NOT COVERED Christ Medical Center and Children's Hospital Brennan, Sharon -NP NOT COVERED Christ Medical Center and Children's Hospital Bresticker, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Brindise, Elizabeth -DO NOT COVERED Christ Medical Center and Children's Hospital Brisbin, Beverlee -MD NOT COVERED Christ Medical Center and Children's Hospital Brown, Henry -MD NOT COVERED Christ Medical Center and Children's Hospital Brown, Joanne -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Brunetti, Tracy -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Bruno, Robert -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Brusca, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Buch, Piyush -MD NOT COVERED Christ Medical Center and Children's Hospital Buka, Jonathan -MD NOT COVERED Christ Medical Center and Children's Hospital Bump, Thomas -MD NOT COVERED Christ Medical Center and Children's Hospital Burda, Diana -MD NOT COVERED

Page 15 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Burke, John -MD NOT COVERED Christ Medical Center and Children's Hospital Burke, Martin -DO NOT COVERED Christ Medical Center and Children's Hospital Burke, Nancy -NP NOT COVERED Christ Medical Center and Children's Hospital Burns, Katharine -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Burns, Leah -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Burokas, Laura -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Burrows, Nicole -PA NOT COVERED Christ Medical Center and Children's Hospital Bush, Aneta -MD NOT COVERED Christ Medical Center and Children's Hospital Butterly, Mark -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Byrnes, Michael -DPM NOT COVERED Christ Medical Center and Children's Hospital Cadayona, Joseph -NP NOT COVERED Christ Medical Center and Children's Hospital Cala, Mary -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Calandriello, Amy -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Callahan, Nicholas -MD NOT COVERED Christ Medical Center and Children's Hospital Calvert, Christopher -MD NOT COVERED Christ Medical Center and Children's Hospital Camba, Noel -MD NOT COVERED Christ Medical Center and Children's Hospital Canner, Jason -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Capina, Elmer -PA NOT COVERED Christ Medical Center and Children's Hospital Carandang, Godofredo -MD NOT COVERED Christ Medical Center and Children's Hospital Carbonara, Kimberly -NP NOT COVERED Christ Medical Center and Children's Hospital Cardiology Medical Group NOT COVERED Christ Medical Center and Children's Hospital Cardio-Medicine, SC NOT COVERED Christ Medical Center and Children's Hospital Cardiothoracic & Vascular Surgical Associates, SC NOT COVERED Christ Medical Center and Children's Hospital Cardiovascular Care Consultants, SC NOT COVERED Christ Medical Center and Children's Hospital Cardiovascular Consultants, LLP NOT COVERED Christ Medical Center and Children's Hospital Cardozo, Charmaine -MD NOT COVERED Christ Medical Center and Children's Hospital Carli, Erin -NP NOT COVERED Christ Medical Center and Children's Hospital Carlson, Andrea -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Carreon, V. Grace -MD NOT COVERED Christ Medical Center and Children's Hospital Carrillo, Tami -MD NOT COVERED Christ Medical Center and Children's Hospital Cartolano, Thomas -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Casciato, Christina -PA NOT COVERED Christ Medical Center and Children's Hospital Cassidy, Emmet -MD NOT COVERED Christ Medical Center and Children's Hospital Cavett, Jennifer -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Centene Corporation/Illinicare NOT COVERED Christ Medical Center and Children's Hospital Center for Heart Transplant and Assist Devices NOT COVERED Christ Medical Center and Children's Hospital Center for Internal Medicine NOT COVERED Christ Medical Center and Children's Hospital Center for Oral Surgery NOT COVERED Christ Medical Center and Children's Hospital Center for Pediatric Gastroenterology NOT COVERED Christ Medical Center and Children's Hospital Center for Pediatric Gastroenterology & Nutrition, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Center for Women’s Care NOT COVERED Christ Medical Center and Children's Hospital Century Ear Nose and Throat-Head and Neck Surgery Associates, Ltd NOT COVERED Christ Medical Center and Children's Hospital Chaar, Bassem -MD NOT COVERED Christ Medical Center and Children's Hospital Chacko, Jupin -MD NOT COVERED Christ Medical Center and Children's Hospital Chadaga, Amar -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Chagnon, Kari -PA NOT COVERED Christ Medical Center and Children's Hospital Chaiban, Joumana -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Challa, Pragathi -MD NOT COVERED Christ Medical Center and Children's Hospital Challapalli, Malliswari -MD NOT COVERED Christ Medical Center and Children's Hospital Chalupczak, Robert -MD NOT COVERED Christ Medical Center and Children's Hospital Chan, Cindy -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Chan, Denise -MD NOT COVERED Christ Medical Center and Children's Hospital Chandler, Steven -DO NOT COVERED Christ Medical Center and Children's Hospital Chandra, Priya -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Chandra, Sandeep -MD NOT COVERED Christ Medical Center and Children's Hospital Chandran, Sangili -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Chang, Julie -PA NOT COVERED Christ Medical Center and Children's Hospital Chapman, Chris -DO COVERED UNDER FAP

Page 16 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Chastain, Michelle -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Chaudhry, Samina -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Chaudri, Salman -DO NOT COVERED Christ Medical Center and Children's Hospital Chen, Shih-Hua -PA NOT COVERED Christ Medical Center and Children's Hospital Chennamaneni, Rupa -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Cherian, Mini -MD NOT COVERED Christ Medical Center and Children's Hospital Chhabra, Darshika -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Chicago Center for Women's Health, SC NOT COVERED Christ Medical Center and Children's Hospital Chicago Foot and Ankle, PC NOT COVERED Christ Medical Center and Children's Hospital Chicago kiDDS Pediatric Dentistry NOT COVERED Christ Medical Center and Children's Hospital Chicago Movement Specialists, LLC NOT COVERED Christ Medical Center and Children's Hospital Chickerillo, Krystina -NP NOT COVERED Christ Medical Center and Children's Hospital Children's Wellness Center, LLC NOT COVERED Christ Medical Center and Children's Hospital Chittineni, Sreedevi -MD NOT COVERED Christ Medical Center and Children's Hospital Chokshi, Nikunj -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Chonillo, Carla -MD NOT COVERED Christ Medical Center and Children's Hospital Chowdhry, Saeed -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Chowdhury, Nayeema -DO NOT COVERED Christ Medical Center and Children's Hospital Christopoulos, Niki -MD NOT COVERED Christ Medical Center and Children's Hospital Chronopoulos, Foti -MD NOT COVERED Christ Medical Center and Children's Hospital Chua-Apolinario, Susan -MD NOT COVERED Christ Medical Center and Children's Hospital Chung, Gene -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Church, Nancy -MD NOT COVERED Christ Medical Center and Children's Hospital Chuy, Francisco -MD NOT COVERED Christ Medical Center and Children's Hospital Cifuentes, Enrique -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Cirone, Michael -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Clark, Justin -MD NOT COVERED Christ Medical Center and Children's Hospital Clark, Steven -MD NOT COVERED Christ Medical Center and Children's Hospital Clinical Associates of Palos Heights NOT COVERED Christ Medical Center and Children's Hospital Coates, Ryan -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Coenen, Allison -PA NOT COVERED Christ Medical Center and Children's Hospital Cohen, Stephanie -PA COVERED UNDER FAP Christ Medical Center and Children's Hospital Cole, Corrina -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Collins, David -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Collins, Mary Ann -MD NOT COVERED Christ Medical Center and Children's Hospital Collins, Patricia -MD NOT COVERED Christ Medical Center and Children's Hospital Collins, Steven -PA NOT COVERED Christ Medical Center and Children's Hospital Collopy, William -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Coltro, Jerry -MD NOT COVERED Christ Medical Center and Children's Hospital Compton, Anne -DDS NOT COVERED Christ Medical Center and Children's Hospital Connelly, Ashlee -NP NOT COVERED Christ Medical Center and Children's Hospital Connolly, Alison -LCSW NOT COVERED Christ Medical Center and Children's Hospital Consultants in Cardiology & Electrophysiology, LLC NOT COVERED Christ Medical Center and Children's Hospital Contreras, Johnny -PA NOT COVERED Christ Medical Center and Children's Hospital Cook, Danae -PA NOT COVERED Christ Medical Center and Children's Hospital Copak, Irene -CNS NOT COVERED Christ Medical Center and Children's Hospital CorVita Health and Associates NOT COVERED Christ Medical Center and Children's Hospital Cossor, Waseem -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Cote, Valerie -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Cotts, William -MD NOT COVERED Christ Medical Center and Children's Hospital Coyle, Laura -NP NOT COVERED Christ Medical Center and Children's Hospital Crane, Jason -DO NOT COVERED Christ Medical Center and Children's Hospital Crosby, Jennifer -CNS NOT COVERED Christ Medical Center and Children's Hospital Cross, Chadrick -MD NOT COVERED Christ Medical Center and Children's Hospital Crossan, Paul -MD NOT COVERED Christ Medical Center and Children's Hospital Crotty, Hilary -DDS NOT COVERED Christ Medical Center and Children's Hospital Cuadros, Hugo -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Cudney, Nicholas -DDS NOT COVERED

Page 17 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Cueva, John -MD NOT COVERED Christ Medical Center and Children's Hospital Cunningham, Teresa -PsyD NOT COVERED Christ Medical Center and Children's Hospital Cwikla, Tomasz -MD NOT COVERED Christ Medical Center and Children's Hospital Czupek, Deborah -PhD NOT COVERED Christ Medical Center and Children's Hospital Dado, Ralph -MD NOT COVERED Christ Medical Center and Children's Hospital Dahlberg, Elizabeth -MD NOT COVERED Christ Medical Center and Children's Hospital Daigle, Jeremy -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Dalawari, Satinder -MD NOT COVERED Christ Medical Center and Children's Hospital Dallal, Ousama -MD NOT COVERED Christ Medical Center and Children's Hospital Dangles, George -MD NOT COVERED Christ Medical Center and Children's Hospital Danielsky, Paul -MD NOT COVERED Christ Medical Center and Children's Hospital Dannhausen-Brun, Christian -MD NOT COVERED Christ Medical Center and Children's Hospital Dar, Nabeel -MD NOT COVERED Christ Medical Center and Children's Hospital D'Astice, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Dave, Ankur -DO NOT COVERED Christ Medical Center and Children's Hospital Davis, Maurice -MD NOT COVERED Christ Medical Center and Children's Hospital Dawson, Emily -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital De Leon, Humberto -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Dean, Laura -PA NOT COVERED Christ Medical Center and Children's Hospital Debre, Michael -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital DeFranco, John -MD NOT COVERED Christ Medical Center and Children's Hospital DeFrino, Paul -MD NOT COVERED Christ Medical Center and Children's Hospital DeJong, Megan -MD NOT COVERED Christ Medical Center and Children's Hospital Delach, Anthony -MD NOT COVERED Christ Medical Center and Children's Hospital DelBusto, Paul -MD NOT COVERED Christ Medical Center and Children's Hospital Delis, Steve -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Demeter, Lela -MD NOT COVERED Christ Medical Center and Children's Hospital Deneufbourg, Maddalena -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Denk, Jennifer -MD NOT COVERED Christ Medical Center and Children's Hospital Denning, Gene -DO NOT COVERED Christ Medical Center and Children's Hospital DenOuden, Christian -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Dermatology Associates, Ltd NOT COVERED Christ Medical Center and Children's Hospital Desai, Chaitanya -MD NOT COVERED Christ Medical Center and Children's Hospital Desai, Manish -DO NOT COVERED Christ Medical Center and Children's Hospital DeSanto, Jeffrey -MD NOT COVERED Christ Medical Center and Children's Hospital Desch, Larry -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Deshpande, Prashant -MD NOT COVERED Christ Medical Center and Children's Hospital DeStefano & Stamat Pediatrics, LLC NOT COVERED Christ Medical Center and Children's Hospital DeStefano, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital DeVito, Michael -DPM NOT COVERED Christ Medical Center and Children's Hospital Dharia, Shimoni -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Dhillon, Kiran -MD NOT COVERED Christ Medical Center and Children's Hospital Dia, Muhyaldeen -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Diab, Mazen -MD NOT COVERED Christ Medical Center and Children's Hospital Diabetes and Endocrine Care, Ltd NOT COVERED Christ Medical Center and Children's Hospital Diabetes, Osteoporosis, Obesity, INC. NOT COVERED Christ Medical Center and Children's Hospital Diamond, Terrence -MD NOT COVERED Christ Medical Center and Children's Hospital Dinkha, Josephine -MD NOT COVERED Christ Medical Center and Children's Hospital Dixon-Grevious, Dolores -MD NOT COVERED Christ Medical Center and Children's Hospital Doah, Jack -DO NOT COVERED Christ Medical Center and Children's Hospital Dodaro, Matthew -MD NOT COVERED Christ Medical Center and Children's Hospital Dodd, Kenneth -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Doherty, James -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Dolin, Edwin -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Dolin, Natalia -MD NOT COVERED Christ Medical Center and Children's Hospital Doliner, Marina -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Donkoh, Yaw -MD NOT COVERED Christ Medical Center and Children's Hospital Donte Medical, SC & Home Health Medical, LLC NOT COVERED

Page 18 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Donthamsetti, Ajay -MD NOT COVERED Christ Medical Center and Children's Hospital Doot, Shane -DDS NOT COVERED Christ Medical Center and Children's Hospital Doppalapudi, Anil -MD NOT COVERED Christ Medical Center and Children's Hospital Doshi, Taral -MD NOT COVERED Christ Medical Center and Children's Hospital Dr Joseph's Medical Serv. SC NOT COVERED Christ Medical Center and Children's Hospital Dr Susan Rife and Associates Family Medi NOT COVERED Christ Medical Center and Children's Hospital Dr. Ashraf Abourahma, MD, Ltd NOT COVERED Christ Medical Center and Children's Hospital Dr. Matthew E. Schmidt and Associates Ophthalmologists, SC NOT COVERED Christ Medical Center and Children's Hospital Dr. Robert J. Familaro & Assoc. Ltd. NOT COVERED Christ Medical Center and Children's Hospital Dragisic, Peter -MD NOT COVERED Christ Medical Center and Children's Hospital Draths-Hanson, Kathleen -MD NOT COVERED Christ Medical Center and Children's Hospital Drever, Erin -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Dreyer Clinic - Highland COVERED UNDER FAP Christ Medical Center and Children's Hospital Drinan, Kathleen -DO NOT COVERED Christ Medical Center and Children's Hospital Du Mais, Brian -MD NOT COVERED Christ Medical Center and Children's Hospital Du Page Medical Group, LTD NOT COVERED Christ Medical Center and Children's Hospital Duback, Kimberly -CNS NOT COVERED Christ Medical Center and Children's Hospital Duggal, Manoj -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital DuMais Pediatrics, SC NOT COVERED Christ Medical Center and Children's Hospital DuPage Children's ENT and Allergy NOT COVERED Christ Medical Center and Children's Hospital DuPage Medical Group, LTC NOT COVERED Christ Medical Center and Children's Hospital DuPage Medical Group, Ltd NOT COVERED Christ Medical Center and Children's Hospital Duran, Isis -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Durudogan, Ibrahim -DO NOT COVERED Christ Medical Center and Children's Hospital Dwyer, Megan -DO NOT COVERED Christ Medical Center and Children's Hospital Dy-Johnson, Jessica -MD NOT COVERED Christ Medical Center and Children's Hospital Dziepak, Marissa -DMD NOT COVERED Christ Medical Center and Children's Hospital Eadie, James -MD NOT COVERED Christ Medical Center and Children's Hospital Eapen, Joyce -NP NOT COVERED Christ Medical Center and Children's Hospital Ear, Nose, and Throat Associates, SC NOT COVERED Christ Medical Center and Children's Hospital Eaves, Dominique -NP NOT COVERED Christ Medical Center and Children's Hospital EBS Pediatrics NOT COVERED Christ Medical Center and Children's Hospital Edens, Cuoghi -MD NOT COVERED Christ Medical Center and Children's Hospital Egel, Robert -MD NOT COVERED Christ Medical Center and Children's Hospital Elkhatib, Imad -MD NOT COVERED Christ Medical Center and Children's Hospital Elkin, Julia -CRNA NOT COVERED Christ Medical Center and Children's Hospital Ellenby, Martin -MD NOT COVERED Christ Medical Center and Children's Hospital Elmhurst Clinic NOT COVERED Christ Medical Center and Children's Hospital Els, Dena -MD NOT COVERED Christ Medical Center and Children's Hospital Elser, Denise -MD NOT COVERED Christ Medical Center and Children's Hospital Elsheikh, Malak -MD NOT COVERED Christ Medical Center and Children's Hospital Elugbadebo, Joyce -MD NOT COVERED Christ Medical Center and Children's Hospital El-Zein, Chawki -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ennis, William -DO NOT COVERED Christ Medical Center and Children's Hospital Erickson, Kurt -MD NOT COVERED Christ Medical Center and Children's Hospital Errek, Henry -PhD NOT COVERED Christ Medical Center and Children's Hospital Espel, Julia -MD NOT COVERED Christ Medical Center and Children's Hospital Evans, Diana -PA NOT COVERED Christ Medical Center and Children's Hospital Evans, Kaleigh -MD NOT COVERED Christ Medical Center and Children's Hospital Everett, Marlon -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Evolve Pediatrics LLC NOT COVERED Christ Medical Center and Children's Hospital Eydelman, Leon -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Eye Specialist Group, LLC NOT COVERED Christ Medical Center and Children's Hospital Faasse, Mark -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Fagen, Kimberly -MD NOT COVERED Christ Medical Center and Children's Hospital Fairview Ogden Medical Group NOT COVERED Christ Medical Center and Children's Hospital Fajardo, Ashley -NP NOT COVERED Christ Medical Center and Children's Hospital Fakhouri, Anton -MD NOT COVERED

Page 19 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Familaro, Robert -DDS NOT COVERED Christ Medical Center and Children's Hospital Family Eye Physicians, Ltd NOT COVERED Christ Medical Center and Children's Hospital Family Med Care Center NOT COVERED Christ Medical Center and Children's Hospital Family Practice Health Care, P.C. NOT COVERED Christ Medical Center and Children's Hospital Farbstein, Samuel -MD NOT COVERED Christ Medical Center and Children's Hospital Farhat, Hamad -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Farrell, Brian -MD NOT COVERED Christ Medical Center and Children's Hospital Feitl, Marianne -MD NOT COVERED Christ Medical Center and Children's Hospital Felder, Mila -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Feria, Araceli -MD NOT COVERED Christ Medical Center and Children's Hospital Ferragut, Justin -MD NOT COVERED Christ Medical Center and Children's Hospital Ferrel, James -MD NOT COVERED Christ Medical Center and Children's Hospital Fertility and Reproductive Medicine NOT COVERED Christ Medical Center and Children's Hospital Fertility Centers of Illinois, SC NOT COVERED Christ Medical Center and Children's Hospital Finkelstein, Kenneth -DO NOT COVERED Christ Medical Center and Children's Hospital Flanagan, Erin -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Flanagan, Jane -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Fletcher, Kathryn -MD NOT COVERED Christ Medical Center and Children's Hospital Fliegelman, Robert -DO NOT COVERED Christ Medical Center and Children's Hospital Florence, Kathleen -MD NOT COVERED Christ Medical Center and Children's Hospital Floro, Lourdes -MD NOT COVERED Christ Medical Center and Children's Hospital Flosi, Sam -DO NOT COVERED Christ Medical Center and Children's Hospital Fochesatto Filho, Luciano -MD NOT COVERED Christ Medical Center and Children's Hospital Fonner, Brent -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Fonseca, Luvianca -MD NOT COVERED Christ Medical Center and Children's Hospital Foot & Ankle Associates, Ltd NOT COVERED Christ Medical Center and Children's Hospital Forstrom-Daly, Erin -NP NOT COVERED Christ Medical Center and Children's Hospital Fort, LaTeisha -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Foster, Anne -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Foster, Vanessa -MD NOT COVERED Christ Medical Center and Children's Hospital Fouliard, Eric -DO NOT COVERED Christ Medical Center and Children's Hospital Fowler, Mary -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Fox, Christa -NP NOT COVERED Christ Medical Center and Children's Hospital Fox, Jennifer -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Francisco L. Chuy, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Frank, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Frazier, Terra -DO NOT COVERED Christ Medical Center and Children's Hospital Freedman, Ryan -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Friedenberg, Lauren -PA COVERED UNDER FAP Christ Medical Center and Children's Hospital Furlong, Denise -MD NOT COVERED Christ Medical Center and Children's Hospital Fuzail, Anjum -MD NOT COVERED Christ Medical Center and Children's Hospital Gadula, Mariusz -MD NOT COVERED Christ Medical Center and Children's Hospital Gail D. Miller, MD SC NOT COVERED Christ Medical Center and Children's Hospital Gajda, Malgorzata -MD NOT COVERED Christ Medical Center and Children's Hospital Gal, Krystyna -DO NOT COVERED Christ Medical Center and Children's Hospital Galatanu, Mirela -MD NOT COVERED Christ Medical Center and Children's Hospital Gallant, Emily -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Galley, Brett -MD NOT COVERED Christ Medical Center and Children's Hospital Gamboa, David -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Gandhi, Rupali -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Gannon Stringer, Heather -PA NOT COVERED Christ Medical Center and Children's Hospital Garcia, Enzo -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Garland, Lisa -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Garras, David -MD NOT COVERED Christ Medical Center and Children's Hospital Garrett-Hauser, Shayla -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Garstka, Margaret -PA NOT COVERED Christ Medical Center and Children's Hospital Gauriloff Rothenberg, Jane -MD NOT COVERED Christ Medical Center and Children's Hospital Gavani and Kanuri MD SC NOT COVERED

Page 20 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Gavani, Uma -MD NOT COVERED Christ Medical Center and Children's Hospital Gaynor, Brandon -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Geatrakas, Christina -MD NOT COVERED Christ Medical Center and Children's Hospital Gelsomino, Steven -DPM NOT COVERED Christ Medical Center and Children's Hospital Gentile, Elise -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital George J. Dangles MD, PC NOT COVERED Christ Medical Center and Children's Hospital George Skarpathiotis, MD, SC NOT COVERED Christ Medical Center and Children's Hospital George, Meena -MD NOT COVERED Christ Medical Center and Children's Hospital Germino, Kevin -MD NOT COVERED Christ Medical Center and Children's Hospital Ghabra, Mohammed -MD NOT COVERED Christ Medical Center and Children's Hospital Ghavami Shirehjini, Forough -DO NOT COVERED Christ Medical Center and Children's Hospital Ghera, Elizabeth -NP NOT COVERED Christ Medical Center and Children's Hospital GI Partners of Illinois, LLC NOT COVERED Christ Medical Center and Children's Hospital Gierbolini, Mayte -MD NOT COVERED Christ Medical Center and Children's Hospital Gigea, Mariana -MD NOT COVERED Christ Medical Center and Children's Hospital Ginde, Sunita -MD NOT COVERED Christ Medical Center and Children's Hospital Gir, Khursheed -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Girgis, Yousry -MD NOT COVERED Christ Medical Center and Children's Hospital Girzadas, Daniel -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Gloude, Christopher -NP NOT COVERED Christ Medical Center and Children's Hospital Glowicki, Allyson -PA NOT COVERED Christ Medical Center and Children's Hospital Gnatenco, Carmen -MD NOT COVERED Christ Medical Center and Children's Hospital Goel, Anupam -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Goetz, Maria -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Gogawale, Puja -MD NOT COVERED Christ Medical Center and Children's Hospital Gokhale, Nisha -MD NOT COVERED Christ Medical Center and Children's Hospital Gokhale, Sudhir -MD NOT COVERED Christ Medical Center and Children's Hospital Golem, Gina -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Golobof, Alexandra -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Golzar, Jaafer -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Gomberawalla, Ameer -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Goodmanson, Nicholas -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Gopal Madhav, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Gordon, Melanie -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Gordon, Paul -MD NOT COVERED Christ Medical Center and Children's Hospital Gourineni, Prasad -MD NOT COVERED Christ Medical Center and Children's Hospital Govostis, Dean -MD NOT COVERED Christ Medical Center and Children's Hospital Grady, John -DPM NOT COVERED Christ Medical Center and Children's Hospital Graney, Nicole -CNS NOT COVERED Christ Medical Center and Children's Hospital Greene, McKenzie -PA NOT COVERED Christ Medical Center and Children's Hospital Grela, Jacek -MD NOT COVERED Christ Medical Center and Children's Hospital Grindeanu, Ligia -MD NOT COVERED Christ Medical Center and Children's Hospital Grissom, Alyssa -CNS NOT COVERED Christ Medical Center and Children's Hospital Grobelny, Thomas -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Grote, Christina -NP NOT COVERED Christ Medical Center and Children's Hospital Guerrero, Marissa -NP NOT COVERED Christ Medical Center and Children's Hospital Guglielmi, Kelly -MD NOT COVERED Christ Medical Center and Children's Hospital Guirguis, Alfred -DO NOT COVERED Christ Medical Center and Children's Hospital Guirguis, Samuel -DO NOT COVERED Christ Medical Center and Children's Hospital Gulecyuz, Mehmet -MD NOT COVERED Christ Medical Center and Children's Hospital Gulecyuz, Yesim -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Gunderson, Candice -NP NOT COVERED Christ Medical Center and Children's Hospital Gundeti, Mohan -MD NOT COVERED Christ Medical Center and Children's Hospital Gunnerson, Helena -MD NOT COVERED Christ Medical Center and Children's Hospital Guzman-Schmitt, Lorena -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Guzzetta, Paul -MD NOT COVERED Christ Medical Center and Children's Hospital Gynecological Cancer Institute of Chicago, LLC NOT COVERED Christ Medical Center and Children's Hospital Habbal, Bassam -MD COVERED UNDER FAP

Page 21 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Hagan, Vanessa -MD NOT COVERED Christ Medical Center and Children's Hospital Hager, Cheryl -CNS NOT COVERED Christ Medical Center and Children's Hospital Hahn Pediatric Group, LLC NOT COVERED Christ Medical Center and Children's Hospital Hajjar, Gail -MD NOT COVERED Christ Medical Center and Children's Hospital Hall, Laurie -NP NOT COVERED Christ Medical Center and Children's Hospital Hamad, Amar -MD NOT COVERED Christ Medical Center and Children's Hospital Hamadeh, Muhammad -MD NOT COVERED Christ Medical Center and Children's Hospital Hamilton, John -MD NOT COVERED Christ Medical Center and Children's Hospital Hammadeh, Rasheed -MD NOT COVERED Christ Medical Center and Children's Hospital Han, Michael -DDS NOT COVERED Christ Medical Center and Children's Hospital Hanif, Tabassum -MD NOT COVERED Christ Medical Center and Children's Hospital Hanna, James -NP NOT COVERED Christ Medical Center and Children's Hospital Hanna, Wafaa -MD NOT COVERED Christ Medical Center and Children's Hospital Haque, Muhammad -MD NOT COVERED Christ Medical Center and Children's Hospital Haraldsson, Catherine -PA NOT COVERED Christ Medical Center and Children's Hospital Harley, J. -PhD NOT COVERED Christ Medical Center and Children's Hospital Harris, Shannon -NP NOT COVERED Christ Medical Center and Children's Hospital Hart, Elise -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Harting, Rekha -MD NOT COVERED Christ Medical Center and Children's Hospital Harwood, Robert -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Hashmi, Faiza -MD NOT COVERED Christ Medical Center and Children's Hospital Hattori, Steven -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Havelka, George -MD NOT COVERED Christ Medical Center and Children's Hospital Hawkins, Debra -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Hawkins, John -DO NOT COVERED Christ Medical Center and Children's Hospital Hayward, Todd -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Healthonomic Primary Care NOT COVERED Christ Medical Center and Children's Hospital Healthy Kids, S.C. NOT COVERED Christ Medical Center and Children's Hospital Heaney, Stephen -DDS NOT COVERED Christ Medical Center and Children's Hospital Heart Care Centers of Illinois, SC NOT COVERED Christ Medical Center and Children's Hospital Heenan, Brian -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Heller, William -MD NOT COVERED Christ Medical Center and Children's Hospital Hermann, Kelly -PA NOT COVERED Christ Medical Center and Children's Hospital Hernandez, Gonzalo -MD NOT COVERED Christ Medical Center and Children's Hospital Herron, Sarah -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Herzog, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Hibino, Narutoshi -MD NOT COVERED Christ Medical Center and Children's Hospital Hicks, Sarah -MD NOT COVERED Christ Medical Center and Children's Hospital Hicks, Stephen -NP NOT COVERED Christ Medical Center and Children's Hospital Hicks, Taylor -MD NOT COVERED Christ Medical Center and Children's Hospital Hilgart, Bey Yu -MD NOT COVERED Christ Medical Center and Children's Hospital Hill Creek Pediatrics Inc NOT COVERED Christ Medical Center and Children's Hospital Hirsch, Daniel -MD NOT COVERED Christ Medical Center and Children's Hospital Hirshfeld-Cytron, Jennifer -MD NOT COVERED Christ Medical Center and Children's Hospital Ho, Lucy -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Hoang, Truc -MD NOT COVERED Christ Medical Center and Children's Hospital Hodakowski, George -MD NOT COVERED Christ Medical Center and Children's Hospital Hoganson, George -MD NOT COVERED Christ Medical Center and Children's Hospital Holcomb, Rachel -DO NOT COVERED Christ Medical Center and Children's Hospital Holley, Linda -CNS NOT COVERED Christ Medical Center and Children's Hospital Homsi Pediatric Neurology NOT COVERED Christ Medical Center and Children's Hospital Homsi, Mohammed -MD NOT COVERED Christ Medical Center and Children's Hospital Hook, Jonathan -DPM NOT COVERED Christ Medical Center and Children's Hospital Hoover, Adina -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Horowitz, Ira -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Hosso-Cooper, Jennifer -DO NOT COVERED Christ Medical Center and Children's Hospital Housner, Ryan -PA NOT COVERED Christ Medical Center and Children's Hospital Howard, Deirdre -PA COVERED UNDER FAP

Page 22 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Hristea, Nic -MD NOT COVERED Christ Medical Center and Children's Hospital Huang, Jingtao -MD NOT COVERED Christ Medical Center and Children's Hospital Huff, Victoria -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Hugh, Brian -DO NOT COVERED Christ Medical Center and Children's Hospital Hughes, Kylie -NP NOT COVERED Christ Medical Center and Children's Hospital Husain, Abrar -MD NOT COVERED Christ Medical Center and Children's Hospital Husain, Amina -MD NOT COVERED Christ Medical Center and Children's Hospital Husayni, Tarek -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Hussain, Tajammul -MD NOT COVERED Christ Medical Center and Children's Hospital Hussain, Zoya -DO NOT COVERED Christ Medical Center and Children's Hospital Husseini, Amer -MD NOT COVERED Christ Medical Center and Children's Hospital Hutchinson, Ashley -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Hutchinson, Michael -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Iannitelli, Katherine -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ignaczewska, Anna -MD NOT COVERED Christ Medical Center and Children's Hospital Ilarde, Emelie -MD NOT COVERED Christ Medical Center and Children's Hospital Ilbawi, Michel -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Illinois Bone & Joint Institute LLC NOT COVERED Christ Medical Center and Children's Hospital Illinois Dermatology Institute, LLC NOT COVERED Christ Medical Center and Children's Hospital Illinois Eye Institute NOT COVERED Christ Medical Center and Children's Hospital Illinois Institute of Pediatric Cardiology, Ltd NOT COVERED Christ Medical Center and Children's Hospital Imran, Naveen -MD NOT COVERED Christ Medical Center and Children's Hospital Ingersoll, Michael -PsyD NOT COVERED Christ Medical Center and Children's Hospital Institute of Neurobehavioral Services, SC NOT COVERED Christ Medical Center and Children's Hospital Integrated Imaging Associates NOT COVERED Christ Medical Center and Children's Hospital Integrated Imaging Consultants, LLC NOT COVERED Christ Medical Center and Children's Hospital Integrative Health Group NOT COVERED Christ Medical Center and Children's Hospital Iqbal, Nasir -MD NOT COVERED Christ Medical Center and Children's Hospital Iqbal, Naveed -MD NOT COVERED Christ Medical Center and Children's Hospital Iqbal, Vaseem -MD NOT COVERED Christ Medical Center and Children's Hospital Irabagon, Nenita -MD NOT COVERED Christ Medical Center and Children's Hospital Irizarry, Sylvia -MD NOT COVERED Christ Medical Center and Children's Hospital Itkin, Arthur -MD NOT COVERED Christ Medical Center and Children's Hospital Ittiara, Shaun -MD NOT COVERED Christ Medical Center and Children's Hospital Ivey-Brown, Jacqueline -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ivkov, Nestor -MD NOT COVERED Christ Medical Center and Children's Hospital J & M Tang, MD's & Associates, SC NOT COVERED Christ Medical Center and Children's Hospital J C Reyes Pediatrics, SC NOT COVERED Christ Medical Center and Children's Hospital J.R. Nephrology & Associates, PC NOT COVERED Christ Medical Center and Children's Hospital Jaber, Anas -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Jacek Grela, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Jacob, Pradeep -MD NOT COVERED Christ Medical Center and Children's Hospital Jacobs, Renee -MD NOT COVERED Christ Medical Center and Children's Hospital Jacobson, Daniel -MD NOT COVERED Christ Medical Center and Children's Hospital Jager, Rama -MD NOT COVERED Christ Medical Center and Children's Hospital Jain, Sachin -MD NOT COVERED Christ Medical Center and Children's Hospital Jain, Shishir -MD NOT COVERED Christ Medical Center and Children's Hospital Jain, Tarun -MD NOT COVERED Christ Medical Center and Children's Hospital Jamilla, Francis -MD NOT COVERED Christ Medical Center and Children's Hospital Javois, Alexander -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Javorski, Joseph -MD NOT COVERED Christ Medical Center and Children's Hospital Jedd, Anthony -MD NOT COVERED Christ Medical Center and Children's Hospital Jen, Robert -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital JenCare Senior Medical Center NOT COVERED Christ Medical Center and Children's Hospital Jido, Ebby -MD NOT COVERED Christ Medical Center and Children's Hospital Joechle, Betty -NP NOT COVERED Christ Medical Center and Children's Hospital John McInerney, DO, SC NOT COVERED Christ Medical Center and Children's Hospital John, Annita -MD NOT COVERED

Page 23 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital John, Jobin -MD NOT COVERED Christ Medical Center and Children's Hospital John, Thomas -MD NOT COVERED Christ Medical Center and Children's Hospital Johnson, Christine -CRNA NOT COVERED Christ Medical Center and Children's Hospital Johnson, Karen -MD NOT COVERED Christ Medical Center and Children's Hospital Johnson, Karen -NP NOT COVERED Christ Medical Center and Children's Hospital Johnson, Kristina -DO NOT COVERED Christ Medical Center and Children's Hospital Johnson, Lisa -MD NOT COVERED Christ Medical Center and Children's Hospital Johnson, Naythea -NP NOT COVERED Christ Medical Center and Children's Hospital Johnson, Sarah -MD NOT COVERED Christ Medical Center and Children's Hospital Jonas, Emily -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Jones, April -DO NOT COVERED Christ Medical Center and Children's Hospital Jones, Joseph -NP NOT COVERED Christ Medical Center and Children's Hospital Jordan, Wyeth -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Jorge, Efren Jason -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Joseph, Kevin -MD NOT COVERED Christ Medical Center and Children's Hospital Joshi, Anjali -MD NOT COVERED Christ Medical Center and Children's Hospital Joshi, Komal -MD NOT COVERED Christ Medical Center and Children's Hospital Jovanovic, Dragomir -MD NOT COVERED Christ Medical Center and Children's Hospital Jurek & Jurek Family Practice NOT COVERED Christ Medical Center and Children's Hospital Jurek, Bozena -MD NOT COVERED Christ Medical Center and Children's Hospital Jweied, Eias -MD NOT COVERED Christ Medical Center and Children's Hospital Kadar, Rachel -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kakavas, Peter -MD NOT COVERED Christ Medical Center and Children's Hospital Kale, Alka -MD NOT COVERED Christ Medical Center and Children's Hospital Kalimuthu, Ramasamy -MD NOT COVERED Christ Medical Center and Children's Hospital Kalnins, Aleksandrs -MD NOT COVERED Christ Medical Center and Children's Hospital Kamath, Deepa -DO NOT COVERED Christ Medical Center and Children's Hospital Kamba, Kathleen -NP NOT COVERED Christ Medical Center and Children's Hospital Kamenjarin, Linda -CNS NOT COVERED Christ Medical Center and Children's Hospital Kampanatkosol, Richard -DO NOT COVERED Christ Medical Center and Children's Hospital Kampanatkosol, Ronald -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Kanani, Reza -MD NOT COVERED Christ Medical Center and Children's Hospital Kandel, Jessica -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kane, Jennifer -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Kane, Sarah -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Kang, Hyuk -MD NOT COVERED Christ Medical Center and Children's Hospital Kanu, Lovella -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kapur, Sachin -MD NOT COVERED Christ Medical Center and Children's Hospital Kapustiak, James -MD NOT COVERED Christ Medical Center and Children's Hospital Karim, Eman -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Karzoun, M Eyad -MD NOT COVERED Christ Medical Center and Children's Hospital Kason, Thomas -MD NOT COVERED Christ Medical Center and Children's Hospital Kassas, Ibrahim -MD NOT COVERED Christ Medical Center and Children's Hospital Katerji Pediatric Neurology & Associates SC NOT COVERED Christ Medical Center and Children's Hospital Katerji, M. Ammar -MD NOT COVERED Christ Medical Center and Children's Hospital Kathleen J. Drinan, DO, Ltd NOT COVERED Christ Medical Center and Children's Hospital Katiyar, Abhishek -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Katyal, Shivani -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Katz, Jeremy -MD NOT COVERED Christ Medical Center and Children's Hospital Kawadry, Ola -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Kaza, Chandrarekha -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kazaniwskyj, Andrew -DO NOT COVERED Christ Medical Center and Children's Hospital Kazaniwskyj, Lubomyra -DO NOT COVERED Christ Medical Center and Children's Hospital Kazi, Mohammed -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Keane, Janice -NP NOT COVERED Christ Medical Center and Children's Hospital Keane, John -MD NOT COVERED Christ Medical Center and Children's Hospital Keating, Kelly -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Kedainis, Dalius -MD NOT COVERED

Page 24 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Kellett, Helen -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kelly, Jennifer -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Kelta, Mouhammed -MD NOT COVERED Christ Medical Center and Children's Hospital Kemp, David -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kenfack, Eve -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kennedy, Michael -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kent, Joseph -MD NOT COVERED Christ Medical Center and Children's Hospital Kerwin, Christopher -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kettaneh, Nicolas -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ketterhagen, Timothy -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kevin, Kristina -NP NOT COVERED Christ Medical Center and Children's Hospital Khaja Ahmed, Wassia -MD NOT COVERED Christ Medical Center and Children's Hospital Khalil, Syed Tariq -MD NOT COVERED Christ Medical Center and Children's Hospital Khallak, Nelli -NP NOT COVERED Christ Medical Center and Children's Hospital Khan, Huma -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Khan, Khadija -MD NOT COVERED Christ Medical Center and Children's Hospital Khan, Mitchell -DO NOT COVERED Christ Medical Center and Children's Hospital Khan, Murtaza -MD NOT COVERED Christ Medical Center and Children's Hospital Khan, Noorun -MD NOT COVERED Christ Medical Center and Children's Hospital Khan, Rifat -MD NOT COVERED Christ Medical Center and Children's Hospital Khan, Shamroze -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Khan, Shirin -MD NOT COVERED Christ Medical Center and Children's Hospital Khan, Sunnie -MD NOT COVERED Christ Medical Center and Children's Hospital Khatoon, Fahmida -PA NOT COVERED Christ Medical Center and Children's Hospital Khilfeh, Hamdi -MD NOT COVERED Christ Medical Center and Children's Hospital Kidanu Birhanu, MD SC NOT COVERED Christ Medical Center and Children's Hospital Kidney & Hypertension Associates, SC NOT COVERED Christ Medical Center and Children's Hospital Kidney Care Center South, LLC NOT COVERED Christ Medical Center and Children's Hospital Kids Heart Clinic NOT COVERED Christ Medical Center and Children's Hospital Kiernicki Sklar, Anna -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kilani, Jyotsna -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kim and Calvert MD, SC NOT COVERED Christ Medical Center and Children's Hospital Kim, Erin -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kim, Jae -MD NOT COVERED Christ Medical Center and Children's Hospital Kim, Sung Lana -MD NOT COVERED Christ Medical Center and Children's Hospital Kim, Tom -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kimovec, Maria -MD NOT COVERED Christ Medical Center and Children's Hospital King, Kieya -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kingra, Satwant -MD NOT COVERED Christ Medical Center and Children's Hospital Kinzler, Gordon -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kirsch, Therese -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kishkurno, Serguei -MD NOT COVERED Christ Medical Center and Children's Hospital Kishta, Ali -CRNA NOT COVERED Christ Medical Center and Children's Hospital Kmicikewycz, Alexander -MD NOT COVERED Christ Medical Center and Children's Hospital Kmiecik, Joseph -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Knox, Timothy -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Koehler, Lynn -MD NOT COVERED Christ Medical Center and Children's Hospital Koinis, Van -DO NOT COVERED Christ Medical Center and Children's Hospital Kolawole, Olatokunbo -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kolonda, Fathima -MD NOT COVERED Christ Medical Center and Children's Hospital Koltun, Douglas -MD NOT COVERED Christ Medical Center and Children's Hospital Konicki, P. -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Kooiker, Philip -MD NOT COVERED Christ Medical Center and Children's Hospital Kos, Joanna -NP NOT COVERED Christ Medical Center and Children's Hospital Kos, Margarita -NP NOT COVERED Christ Medical Center and Children's Hospital Kotz, Karen -NP NOT COVERED Christ Medical Center and Children's Hospital Kovac, Adam -MD NOT COVERED Christ Medical Center and Children's Hospital Kowalczyk, Joseph -MD NOT COVERED

Page 25 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Kozlowski, Rachel -CRNA NOT COVERED Christ Medical Center and Children's Hospital Kozyckyj, Roman -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Krause, Nora -NP NOT COVERED Christ Medical Center and Children's Hospital Kriedemann, Lorie -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Kriesberg, Chelsea -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Krikorian, Armand -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Krishna, Hema -MD NOT COVERED Christ Medical Center and Children's Hospital Kronen, Gary -MD NOT COVERED Christ Medical Center and Children's Hospital Kronlage, Maria -DO NOT COVERED Christ Medical Center and Children's Hospital Krueger, Barbara -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Krueger, Evan -DO NOT COVERED Christ Medical Center and Children's Hospital Krzycka, Katarzyna -PA NOT COVERED Christ Medical Center and Children's Hospital Kudirka, Jennifer -CRNA NOT COVERED Christ Medical Center and Children's Hospital Kuhn, Steven -DDS NOT COVERED Christ Medical Center and Children's Hospital Kukla, Lisa -NP NOT COVERED Christ Medical Center and Children's Hospital Kumar, Anup -MD NOT COVERED Christ Medical Center and Children's Hospital Kumar, Ravi -MD NOT COVERED Christ Medical Center and Children's Hospital Kumar, Sampath -MD NOT COVERED Christ Medical Center and Children's Hospital Kumar, Vinay -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Kurtzman, Daniel -MD NOT COVERED Christ Medical Center and Children's Hospital Kuruvilla, Aneesh -DO NOT COVERED Christ Medical Center and Children's Hospital Kutom, Ali -MD NOT COVERED Christ Medical Center and Children's Hospital Kwak, Heewon -MD NOT COVERED Christ Medical Center and Children's Hospital Kwan, Lola -MD NOT COVERED Christ Medical Center and Children's Hospital Kyi, Richard -MD NOT COVERED Christ Medical Center and Children's Hospital Lakeview Family Care NOT COVERED Christ Medical Center and Children's Hospital Lakshminarayan, Gowri -MD NOT COVERED Christ Medical Center and Children's Hospital Lambert, Michael -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital LaMonte, Dennis -DDS NOT COVERED Christ Medical Center and Children's Hospital Lampe, Emily -MD NOT COVERED Christ Medical Center and Children's Hospital Landeras, Veeda -MD NOT COVERED Christ Medical Center and Children's Hospital Lannert, Kelly -CRNA NOT COVERED Christ Medical Center and Children's Hospital Larese, Joseph -MD NOT COVERED Christ Medical Center and Children's Hospital LaRoy, Valerie -NP NOT COVERED Christ Medical Center and Children's Hospital Latta, Shadi -MD NOT COVERED Christ Medical Center and Children's Hospital Lawlor-Klean, Phyllis -CNS NOT COVERED Christ Medical Center and Children's Hospital Lawn Medical Center, SC NOT COVERED Christ Medical Center and Children's Hospital Lawn Obstetrics and Gyneology NOT COVERED Christ Medical Center and Children's Hospital Lawrence, Rebecca -NP NOT COVERED Christ Medical Center and Children's Hospital Layne, Mia -MD NOT COVERED Christ Medical Center and Children's Hospital LCM Affiliated Physians Group NOT COVERED Christ Medical Center and Children's Hospital LeDonne, Ashley -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Ledvora, Beth -MD NOT COVERED Christ Medical Center and Children's Hospital Lee, Douglas -MD NOT COVERED Christ Medical Center and Children's Hospital Lee, James -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Lee, Jane -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Lee, Ryan -MD NOT COVERED Christ Medical Center and Children's Hospital Lee, Thomas -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Leipold, Lori -DO NOT COVERED Christ Medical Center and Children's Hospital Lekovic, Marko -MD NOT COVERED Christ Medical Center and Children's Hospital Lela Demeter MD, PC NOT COVERED Christ Medical Center and Children's Hospital Lenoir, Latrina -NP NOT COVERED Christ Medical Center and Children's Hospital Lentzou, Maria -MD NOT COVERED Christ Medical Center and Children's Hospital Leonard, James -MD NOT COVERED Christ Medical Center and Children's Hospital Lerma, Edgar -MD NOT COVERED Christ Medical Center and Children's Hospital Leung-Duffy, Debbie -PA NOT COVERED Christ Medical Center and Children's Hospital Levin, Thomas -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Levrant, Seth -MD NOT COVERED

Page 26 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Levy, Rebecca -PA COVERED UNDER FAP Christ Medical Center and Children's Hospital Li, Yanxia -MD NOT COVERED Christ Medical Center and Children's Hospital Liang, James -MD NOT COVERED Christ Medical Center and Children's Hospital Liang, Luzhou -MD NOT COVERED Christ Medical Center and Children's Hospital Lieder, Charles -DO NOT COVERED Christ Medical Center and Children's Hospital Life Enhancement Clinic and Med Spa NOT COVERED Christ Medical Center and Children's Hospital Lifecircle Women's Health SC NOT COVERED Christ Medical Center and Children's Hospital LifeSource Blood Center NOT COVERED Christ Medical Center and Children's Hospital Lim, Richard -MD NOT COVERED Christ Medical Center and Children's Hospital Limpert, Jonathan -MD NOT COVERED Christ Medical Center and Children's Hospital Linares, Oscar -MD NOT COVERED Christ Medical Center and Children's Hospital Lindgren, Robert -MD NOT COVERED Christ Medical Center and Children's Hospital Little Company of Mary Affiliated Physicians NOT COVERED Christ Medical Center and Children's Hospital Little Company of Mary Medical Group NOT COVERED Christ Medical Center and Children's Hospital Liu, Shu -DO NOT COVERED Christ Medical Center and Children's Hospital Lo, Joanna -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Lonergan-Thomas, Helen -CNS COVERED UNDER FAP Christ Medical Center and Children's Hospital Loomba, Rohit -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Lopatka, Keith -MD NOT COVERED Christ Medical Center and Children's Hospital Lopez, Georgina -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Loughry, Kevin -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Lovell, Elise -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Lowe, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Lubas, Janice -DDS NOT COVERED Christ Medical Center and Children's Hospital Ludwig, Shari -MD NOT COVERED Christ Medical Center and Children's Hospital Lue, Wayne -MD NOT COVERED Christ Medical Center and Children's Hospital Luke, Alan -MD NOT COVERED Christ Medical Center and Children's Hospital Luke, Kevin -MD NOT COVERED Christ Medical Center and Children's Hospital Lyon, Mark -MD NOT COVERED Christ Medical Center and Children's Hospital Lyon, Susan -MD NOT COVERED Christ Medical Center and Children's Hospital Ma, Di -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Maas, Mara -MD NOT COVERED Christ Medical Center and Children's Hospital Macaluso, Gregory -MD NOT COVERED Christ Medical Center and Children's Hospital MacGillis, Kyle -MD NOT COVERED Christ Medical Center and Children's Hospital Maciolek, Sarah -CNS NOT COVERED Christ Medical Center and Children's Hospital Macri, Andrew -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Madhav, Gopal -MD NOT COVERED Christ Medical Center and Children's Hospital Mahafzah, Mahmoud -MD NOT COVERED Christ Medical Center and Children's Hospital Mahoney, Edward -PsyD NOT COVERED Christ Medical Center and Children's Hospital Majewski, Janet -MD NOT COVERED Christ Medical Center and Children's Hospital Majid, Sophia -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Majkut, Krystyna -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Majmundar, Mihir -MD NOT COVERED Christ Medical Center and Children's Hospital Major, Colette -MD NOT COVERED Christ Medical Center and Children's Hospital Makdah, Salem -MD NOT COVERED Christ Medical Center and Children's Hospital Mallick, Naveed -MD NOT COVERED Christ Medical Center and Children's Hospital Manaparambil, Sheela -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Manera, Ricarchito -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Maniakouras, Denise -DDS NOT COVERED Christ Medical Center and Children's Hospital Manley, Steven -MD NOT COVERED Christ Medical Center and Children's Hospital Manning, Sarah -PA COVERED UNDER FAP Christ Medical Center and Children's Hospital Mar, Calvin -MD NOT COVERED Christ Medical Center and Children's Hospital Maragos, Stavros -MD NOT COVERED Christ Medical Center and Children's Hospital Marcic, Sonja -MD NOT COVERED Christ Medical Center and Children's Hospital Marek, Steven -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Mark S. Reiter, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Mark Sack DPM PC NOT COVERED Christ Medical Center and Children's Hospital Markiewicz, Michael -MD NOT COVERED

Page 27 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Markin, Richard -PhD NOT COVERED Christ Medical Center and Children's Hospital Marra, Silvio -MD NOT COVERED Christ Medical Center and Children's Hospital Marshall, Roland -MD NOT COVERED Christ Medical Center and Children's Hospital Martin, Michele -CNS NOT COVERED Christ Medical Center and Children's Hospital Martin, Paul -DPM NOT COVERED Christ Medical Center and Children's Hospital Martinez, Heriberto -MD NOT COVERED Christ Medical Center and Children's Hospital Martins Adeoye, LLC NOT COVERED Christ Medical Center and Children's Hospital Marynowski, Michael -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Massih, Lyna -MD NOT COVERED Christ Medical Center and Children's Hospital Mataria, Hamed -MD NOT COVERED Christ Medical Center and Children's Hospital Mataria, Mohammad -MD NOT COVERED Christ Medical Center and Children's Hospital Mathur, Hema -MD NOT COVERED Christ Medical Center and Children's Hospital Mathur, Virendra -MD NOT COVERED Christ Medical Center and Children's Hospital Matics, Travis -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Matson, Jeffrey -CRNA NOT COVERED Christ Medical Center and Children's Hospital Maya Medical Centers, SC NOT COVERED Christ Medical Center and Children's Hospital Mayekar, Emily -MD NOT COVERED Christ Medical Center and Children's Hospital Mazahreh, Yazan -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Maze-Rothstein, Galen -MD NOT COVERED Christ Medical Center and Children's Hospital Mbanu, Ibeawuchi -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital McBroom, Amanda -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital McCafferty, Maureen -CNS NOT COVERED Christ Medical Center and Children's Hospital McCaffrey, Thomas -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital McCarthy, Katija -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital McCourt-O'Donnell, Lorri -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital McDonough, Natalie -NP NOT COVERED Christ Medical Center and Children's Hospital McElmeel, David -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital McFall, Rebecca -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital McFarlane, Paul -MD NOT COVERED Christ Medical Center and Children's Hospital McGinnis, Amanda -NP NOT COVERED Christ Medical Center and Children's Hospital McGinnis, Bridget -PA COVERED UNDER FAP Christ Medical Center and Children's Hospital McGrath, Brian -MD NOT COVERED Christ Medical Center and Children's Hospital McInerney, John -DO NOT COVERED Christ Medical Center and Children's Hospital McIntyre, Sandra -NP NOT COVERED Christ Medical Center and Children's Hospital McKean, James -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital McKenna, Rajalaxmi -MD NOT COVERED Christ Medical Center and Children's Hospital McKnight, Matthew -DDS NOT COVERED Christ Medical Center and Children's Hospital McNeill, Courtney -PA NOT COVERED Christ Medical Center and Children's Hospital McWilliams, Lucas -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital MD Pediatric Center, SC NOT COVERED Christ Medical Center and Children's Hospital Mears, Cynthia -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Medical and Heart Clinic, SC NOT COVERED Christ Medical Center and Children's Hospital Medical Center of Dyer, Ltd NOT COVERED Christ Medical Center and Children's Hospital Med-Peds Specialists NOT COVERED Christ Medical Center and Children's Hospital Meehan, Karen -CNS NOT COVERED Christ Medical Center and Children's Hospital Meeker, Michael -PA NOT COVERED Christ Medical Center and Children's Hospital Meerapatel, Shakilbanu -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Mei, Lily -MD NOT COVERED Christ Medical Center and Children's Hospital Meisel, Adam -MD NOT COVERED Christ Medical Center and Children's Hospital Mejia Acosta, Monica -MD NOT COVERED Christ Medical Center and Children's Hospital Mekhail, Anis -MD NOT COVERED Christ Medical Center and Children's Hospital Memon, Aftab -MD NOT COVERED Christ Medical Center and Children's Hospital Memon, Saadia -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Memon, Shermeen -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Mendez, Ray -MD NOT COVERED Christ Medical Center and Children's Hospital Menon, Vijay -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Mensch, Stephanie -NP NOT COVERED Christ Medical Center and Children's Hospital Merkler, Andrea -CNS COVERED UNDER FAP

Page 28 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Merman, Dawn -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Merrionette Park Physicians Group NOT COVERED Christ Medical Center and Children's Hospital Mesleh, Marc -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Messing, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Messmer, Tania -PA NOT COVERED Christ Medical Center and Children's Hospital Metgud, Sheela -MD NOT COVERED Christ Medical Center and Children's Hospital Metro Infectious Disease Consultants, LLC NOT COVERED Christ Medical Center and Children's Hospital Metro Medical Group, Ltd NOT COVERED Christ Medical Center and Children's Hospital Metro Primary Care Associates, LLC NOT COVERED Christ Medical Center and Children's Hospital Metropedix NOT COVERED Christ Medical Center and Children's Hospital Meyer, Madeline -PA COVERED UNDER FAP Christ Medical Center and Children's Hospital Mgbodille, Nnaneme -MD NOT COVERED Christ Medical Center and Children's Hospital Mian, Waqar -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Michael A. De Vito, DPM, PC NOT COVERED Christ Medical Center and Children's Hospital Michael Destefano, MD, S.C NOT COVERED Christ Medical Center and Children's Hospital Michel, Lisa -NP NOT COVERED Christ Medical Center and Children's Hospital MidAmerica Orthopaedics, SC NOT COVERED Christ Medical Center and Children's Hospital Midland Orthopedic Associates, SC NOT COVERED Christ Medical Center and Children's Hospital Midway Pediatrics, LLC NOT COVERED Christ Medical Center and Children's Hospital Midwest Allergy & Asthma Clinic NOT COVERED Christ Medical Center and Children's Hospital Midwest Anesthesia Partners, LLC NOT COVERED Christ Medical Center and Children's Hospital Midwest Anesthesiologists, Ltd NOT COVERED Christ Medical Center and Children's Hospital Midwest Center for Digestive Health SC NOT COVERED Christ Medical Center and Children's Hospital Midwest Diagnostic Pathology, SC NOT COVERED Christ Medical Center and Children's Hospital Midwest Gastroenterology Associates, Ltd NOT COVERED Christ Medical Center and Children's Hospital Midwest Hand Surgery, SC NOT COVERED Christ Medical Center and Children's Hospital Midwest Interventional Pain Solutions, LLC NOT COVERED Christ Medical Center and Children's Hospital Midwest Oral & Maxillofacial NOT COVERED Christ Medical Center and Children's Hospital Midwest Orthopaedic Consultants, SC NOT COVERED Christ Medical Center and Children's Hospital Midwest Pediatric Cardiology, PC NOT COVERED Christ Medical Center and Children's Hospital Midwest Pulmonary Critical Care & Sleep Consultants, LLC NOT COVERED Christ Medical Center and Children's Hospital Midwest Pulmonary, Critical Care & Sleep Consultants LLC NOT COVERED Christ Medical Center and Children's Hospital Midwest Women's Health Care Center NOT COVERED Christ Medical Center and Children's Hospital Mietus, Adam -PA NOT COVERED Christ Medical Center and Children's Hospital Mihailescu, Mihaela -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Miiller, Kim -PsyD NOT COVERED Christ Medical Center and Children's Hospital Miinedoctor, Inc NOT COVERED Christ Medical Center and Children's Hospital Mikal, Meggan -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Milas, Anamaria -DO NOT COVERED Christ Medical Center and Children's Hospital Millennium Surgical NOT COVERED Christ Medical Center and Children's Hospital Miller, Gail -MD NOT COVERED Christ Medical Center and Children's Hospital Miller, Karen -CRNA NOT COVERED Christ Medical Center and Children's Hospital Mirshed Medical Center, SC NOT COVERED Christ Medical Center and Children's Hospital Mirshed, Nayeh -MD NOT COVERED Christ Medical Center and Children's Hospital Mishra, Seetal -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Mission Optical NOT COVERED Christ Medical Center and Children's Hospital Mistry, Chintan -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Mital, Deepak -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Mitchell, Jeffrey -NP NOT COVERED Christ Medical Center and Children's Hospital Mittal, Sachin -MD NOT COVERED Christ Medical Center and Children's Hospital Moeed, Syed -MD NOT COVERED Christ Medical Center and Children's Hospital Mohammad Razzaque, MD, Ltd. NOT COVERED Christ Medical Center and Children's Hospital Mohammed, Deena -MD NOT COVERED Christ Medical Center and Children's Hospital Mohammed, Rafat -MD NOT COVERED Christ Medical Center and Children's Hospital Mohsin, Sana -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Mohsin, Syed -MD NOT COVERED Christ Medical Center and Children's Hospital Moioli, Eduardo -MD NOT COVERED Christ Medical Center and Children's Hospital Montgomery, Paul -MD COVERED UNDER FAP

Page 29 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Moonan, Sheri -CNS NOT COVERED Christ Medical Center and Children's Hospital Moore, Markeita -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Moore, Mary -DO NOT COVERED Christ Medical Center and Children's Hospital Moore, Tiffany -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Morris, David -MD NOT COVERED Christ Medical Center and Children's Hospital Morrison, Michelle -MD NOT COVERED Christ Medical Center and Children's Hospital Motzny, Sean -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Mozden, Nicole -MD NOT COVERED Christ Medical Center and Children's Hospital Muangmingsuk, Sunthorn -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Mudryj, Gloria -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Muhammad, Nina -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Mularczyk, Joseph -MD NOT COVERED Christ Medical Center and Children's Hospital Mulcrone, Sandra -CNM NOT COVERED Christ Medical Center and Children's Hospital Mullin, Kimberly -MD NOT COVERED Christ Medical Center and Children's Hospital Munnerlyn, Kenneth -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Murphy, Anna -NP NOT COVERED Christ Medical Center and Children's Hospital Muscarello, Vincent -MD NOT COVERED Christ Medical Center and Children's Hospital Muzykansky, Eugene -MD NOT COVERED Christ Medical Center and Children's Hospital Myint, Ronald -MD NOT COVERED Christ Medical Center and Children's Hospital Myint, Win -MD NOT COVERED Christ Medical Center and Children's Hospital Mylvaganam, Hari -MD NOT COVERED Christ Medical Center and Children's Hospital Nagesh, Darshan -DPM NOT COVERED Christ Medical Center and Children's Hospital Nagpal, Rajeev -MD NOT COVERED Christ Medical Center and Children's Hospital Nahhas, Anas -MD NOT COVERED Christ Medical Center and Children's Hospital Nahhas, Mohamed -MD NOT COVERED Christ Medical Center and Children's Hospital Nahra, Karim -MD NOT COVERED Christ Medical Center and Children's Hospital Naik, Trushar -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Nancy R G Church MD LLC - Wellness Connections, LLC NOT COVERED Christ Medical Center and Children's Hospital Nanini, Steven -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Napier, Laura -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Natale, Jamie -CRNA NOT COVERED Christ Medical Center and Children's Hospital Natanawan, Emerito -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Nater, Melissa -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Nawas, Sammy -MD NOT COVERED Christ Medical Center and Children's Hospital Nayef, Husam -MD NOT COVERED Christ Medical Center and Children's Hospital Neal, Christopher -DDS NOT COVERED Christ Medical Center and Children's Hospital Neiger, Jeffrey -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Nellett, Michelle -CNS NOT COVERED Christ Medical Center and Children's Hospital Nelson McMillan, Kristen -MD NOT COVERED Christ Medical Center and Children's Hospital Nelson, Kent -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Nemri, Mourice -MD NOT COVERED Christ Medical Center and Children's Hospital Nepal, Raksha -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Neubauer, Nikki -MD NOT COVERED Christ Medical Center and Children's Hospital Neural Watch NOT COVERED Christ Medical Center and Children's Hospital Neurologic Associates, Ltd NOT COVERED Christ Medical Center and Children's Hospital Neurosurgical Professionals, Ltd. NOT COVERED Christ Medical Center and Children's Hospital Newtoff, Marissa -NP NOT COVERED Christ Medical Center and Children's Hospital Nguyen, Cheryl -CNS NOT COVERED Christ Medical Center and Children's Hospital Nierzwicki, Bartlomiej -DMD NOT COVERED Christ Medical Center and Children's Hospital Nikas, Dimitrios -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Nikolas, Helen -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Nikoltcheva, Irina -NP NOT COVERED Christ Medical Center and Children's Hospital Nilsson, Maria -CNS NOT COVERED Christ Medical Center and Children's Hospital Nomanbhoy, Yunus -MD NOT COVERED Christ Medical Center and Children's Hospital Nora Bellosa, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Nordengreen, Jennifer -CRNA NOT COVERED Christ Medical Center and Children's Hospital Northwest Neurology, Ltd NOT COVERED Christ Medical Center and Children's Hospital Nouneh, Chadi -MD NOT COVERED

Page 30 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Nowak, Mary Jane -MD NOT COVERED Christ Medical Center and Children's Hospital Nowell, Ana -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Nowobilska Medical Practice NOT COVERED Christ Medical Center and Children's Hospital Nowobilska, Anna -MD NOT COVERED Christ Medical Center and Children's Hospital Numaira, Shohala -MD NOT COVERED Christ Medical Center and Children's Hospital Nuvasive Clinical Services NOT COVERED Christ Medical Center and Children's Hospital Nuvasive Clinical Services Monitoring, Inc. / American Neuromonitoring Associates, PC NOT COVERED Christ Medical Center and Children's Hospital Nweke, Chigozie -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Oak Lawn Kid Care Inc. NOT COVERED Christ Medical Center and Children's Hospital Oak Lawn Pediatrics Ltd NOT COVERED Christ Medical Center and Children's Hospital Oak Lawn Radiology Imaging Consultants, SC NOT COVERED Christ Medical Center and Children's Hospital Oak Street Health - Avalon Park Clinic NOT COVERED Christ Medical Center and Children's Hospital Oak Street Health Physicians Group PC NOT COVERED Christ Medical Center and Children's Hospital Ob/Gyn Health Associates, SC NOT COVERED Christ Medical Center and Children's Hospital Obasi, Ejikeme -MD NOT COVERED Christ Medical Center and Children's Hospital Ob-Gyn Southwest, SC NOT COVERED Christ Medical Center and Children's Hospital Obringer, Emily -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital OConnell, Joseph -DO NOT COVERED Christ Medical Center and Children's Hospital O'Connor, Timothy -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital O'Connor, Yvonne -CRNA NOT COVERED Christ Medical Center and Children's Hospital Office of Cardiac Pathology NOT COVERED Christ Medical Center and Children's Hospital Ogdon, Tracey -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Ogilvie, Michael -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Oguejiofor, Ikechukwu -MD NOT COVERED Christ Medical Center and Children's Hospital Ogunbuyide, Mojisola -CRNA NOT COVERED Christ Medical Center and Children's Hospital Ohata, Cynthia -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Okafor, Chinelo -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Okoroafor, Whitney -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Okubanjo, Oyinkansola -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Olafsdottir, Agusta -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Oliversen, Kirsten -MD NOT COVERED Christ Medical Center and Children's Hospital Omari, Mohammad -MD NOT COVERED Christ Medical Center and Children's Hospital Omastiak, Paul -MD NOT COVERED Christ Medical Center and Children's Hospital Omer, Muhammad -MD NOT COVERED Christ Medical Center and Children's Hospital Omerovic, Azra -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Omi, Ellen -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital One Palos Medical NOT COVERED Christ Medical Center and Children's Hospital O'Neal, Patrick -MD NOT COVERED Christ Medical Center and Children's Hospital Onyenwenyi, Chijoke -MD NOT COVERED Christ Medical Center and Children's Hospital Opperman, Hannah -PA NOT COVERED Christ Medical Center and Children's Hospital Oral & Maxillofacial Surgery of Chicago, PC NOT COVERED Christ Medical Center and Children's Hospital Orfei, Joanne -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Orland Primary Care Specialists, Inc NOT COVERED Christ Medical Center and Children's Hospital Ortegon, Nina -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Orwar, Nicole -DO NOT COVERED Christ Medical Center and Children's Hospital Osama K. Atieh,MD, SC NOT COVERED Christ Medical Center and Children's Hospital Oswiecimski, Ltd NOT COVERED Christ Medical Center and Children's Hospital Oswiecimski, Margaret -MD NOT COVERED Christ Medical Center and Children's Hospital Oswiecimski, Paul -MD NOT COVERED Christ Medical Center and Children's Hospital Oubaid Pediatrics NOT COVERED Christ Medical Center and Children's Hospital Oubaid, Abdelraouf -MD NOT COVERED Christ Medical Center and Children's Hospital P & D Medical, SC NOT COVERED Christ Medical Center and Children's Hospital Pacella, Amy -NP NOT COVERED Christ Medical Center and Children's Hospital Padilla, Sofia -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Paik, John -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Paliga, Robin -NP NOT COVERED Christ Medical Center and Children's Hospital Pallath, Sreya -MD NOT COVERED Christ Medical Center and Children's Hospital Palm, Denada -MD NOT COVERED

Page 31 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Palmer, Robert -MD NOT COVERED Christ Medical Center and Children's Hospital Palmieri, Ashley -NP NOT COVERED Christ Medical Center and Children's Hospital Palos Internists, SC NOT COVERED Christ Medical Center and Children's Hospital Palos Medical Group NOT COVERED Christ Medical Center and Children's Hospital Palos Pediatric Associates, PC NOT COVERED Christ Medical Center and Children's Hospital Palos Primary Care Center NOT COVERED Christ Medical Center and Children's Hospital Pandit Foot and Ankle Clinic NOT COVERED Christ Medical Center and Children's Hospital Pandit, Bela -DPM NOT COVERED Christ Medical Center and Children's Hospital Pandya, Dave -MD NOT COVERED Christ Medical Center and Children's Hospital Pandya, Mauna -MD NOT COVERED Christ Medical Center and Children's Hospital Panice, Jessica -CNS NOT COVERED Christ Medical Center and Children's Hospital Pannu, Gurpal -MD NOT COVERED Christ Medical Center and Children's Hospital Panos, George -DDS NOT COVERED Christ Medical Center and Children's Hospital Papari, Mona -MD NOT COVERED Christ Medical Center and Children's Hospital Pappas, Patroklos -MD NOT COVERED Christ Medical Center and Children's Hospital Paquette, Katherine -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Park Primary Care, Ltd NOT COVERED Christ Medical Center and Children's Hospital Park, Paul -MD NOT COVERED Christ Medical Center and Children's Hospital Parkview Orthopaedic Group, SC NOT COVERED Christ Medical Center and Children's Hospital Parkview Orthopedics NOT COVERED Christ Medical Center and Children's Hospital Partyka, Mary -NP NOT COVERED Christ Medical Center and Children's Hospital Paruchuri, Sudheer -MD NOT COVERED Christ Medical Center and Children's Hospital Patel, Asmita -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Patel, Dhaval -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Patel, Gautam -MD NOT COVERED Christ Medical Center and Children's Hospital Patel, Jayantibhai -MD NOT COVERED Christ Medical Center and Children's Hospital Patel, Kevin -MD NOT COVERED Christ Medical Center and Children's Hospital Patel, Nick -PA NOT COVERED Christ Medical Center and Children's Hospital Patel, Parit -MD NOT COVERED Christ Medical Center and Children's Hospital Patel, Rinku -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Patel, Ruchita -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Patel, Samir -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Patel, Samir -MD NOT COVERED Christ Medical Center and Children's Hospital Patel, Shirali -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Patel, Sonali -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Patricia M. Boatwright, MD, PC NOT COVERED Christ Medical Center and Children's Hospital Pauwaa, Annie -PA NOT COVERED Christ Medical Center and Children's Hospital Pauwaa, Sunil -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Pavese, Joseph -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Pavlovic Surjancev, Biljana -MD NOT COVERED Christ Medical Center and Children's Hospital Payne, Kyra -MD NOT COVERED Christ Medical Center and Children's Hospital Peart, Renee -MD NOT COVERED Christ Medical Center and Children's Hospital Pediatric Associates of Palos, SC NOT COVERED Christ Medical Center and Children's Hospital Pediatric Associates, PC NOT COVERED Christ Medical Center and Children's Hospital Pediatric Health Partners, SC NOT COVERED Christ Medical Center and Children's Hospital Pediatric Healthy Hearts NOT COVERED Christ Medical Center and Children's Hospital Pediatrics on Demand NOT COVERED Christ Medical Center and Children's Hospital Peiss, Robert -MD NOT COVERED Christ Medical Center and Children's Hospital Pelzek, Christopher -MD NOT COVERED Christ Medical Center and Children's Hospital Peng, Benjamin -MD NOT COVERED Christ Medical Center and Children's Hospital Peoples, Elizabeth -PA COVERED UNDER FAP Christ Medical Center and Children's Hospital Personal Physicians, S.C. NOT COVERED Christ Medical Center and Children's Hospital Petruccione, Mara -PA COVERED UNDER FAP Christ Medical Center and Children's Hospital Pezeshki, Nichole -LCSW NOT COVERED Christ Medical Center and Children's Hospital Pham-Smith, Trang -PsyD NOT COVERED Christ Medical Center and Children's Hospital Phelan, Janet -MD NOT COVERED Christ Medical Center and Children's Hospital Phillips, Molly -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Phillips, Stephen -MD NOT COVERED

Page 32 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Pierce, David -MD NOT COVERED Christ Medical Center and Children's Hospital Pierce, Robert -MD NOT COVERED Christ Medical Center and Children's Hospital Pierce, Sheena -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Pierpaoli, Steven -MD NOT COVERED Christ Medical Center and Children's Hospital Pierson, Brooke -PA NOT COVERED Christ Medical Center and Children's Hospital Pietrzak, Constance -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Pinnacle Dermatology S.C. NOT COVERED Christ Medical Center and Children's Hospital Pintozzi, Robert -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Piotrowski, MD SC NOT COVERED Christ Medical Center and Children's Hospital Piotrowski, Miroslaw -MD NOT COVERED Christ Medical Center and Children's Hospital Piracha, Lubna -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Piyush C. Buch, MD, PC NOT COVERED Christ Medical Center and Children's Hospital Plastic Surgery Clinic of Chicago, LLC NOT COVERED Christ Medical Center and Children's Hospital Plotke, John -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Plummer, Malgorzata -MD NOT COVERED Christ Medical Center and Children's Hospital Podbielski, Francis -MD NOT COVERED Christ Medical Center and Children's Hospital Polavarapu, Nagendra -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ponnappan, Anand -MD NOT COVERED Christ Medical Center and Children's Hospital Port, Jeffrey -MD NOT COVERED Christ Medical Center and Children's Hospital Porter, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Pradeep Thapar, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Pragathi Challa, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Prager, Leah -PA NOT COVERED Christ Medical Center and Children's Hospital Prairie Medical Physicians Group, SC NOT COVERED Christ Medical Center and Children's Hospital Prasad, Neenu -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Pratuangtham, Surasak -MD NOT COVERED Christ Medical Center and Children's Hospital Prentice, Robert -DO NOT COVERED Christ Medical Center and Children's Hospital Preventive Pediatrics, LTD NOT COVERED Christ Medical Center and Children's Hospital Price, Scott -MD NOT COVERED Christ Medical Center and Children's Hospital Primary Health Care Specialists SC NOT COVERED Christ Medical Center and Children's Hospital Pri-Med Medical Center, PC NOT COVERED Christ Medical Center and Children's Hospital Principato, Danielle -PsyD NOT COVERED Christ Medical Center and Children's Hospital Principe, John -MD NOT COVERED Christ Medical Center and Children's Hospital Professional Anesthesia Consultants, LLC NOT COVERED Christ Medical Center and Children's Hospital Prokop, Gail -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Prokop, Thomas -PA NOT COVERED Christ Medical Center and Children's Hospital Prompt Care Physicians, Ltd NOT COVERED Christ Medical Center and Children's Hospital Pronger Smith Medical Associates, LLP NOT COVERED Christ Medical Center and Children's Hospital Providea Health Partners, LLC NOT COVERED Christ Medical Center and Children's Hospital Psaradellis, Telly -MD NOT COVERED Christ Medical Center and Children's Hospital Pudusseri, Lisa -DO NOT COVERED Christ Medical Center and Children's Hospital Pulmonary & Critical Care Consultants,SC NOT COVERED Christ Medical Center and Children's Hospital Pulmonary Consultants NOT COVERED Christ Medical Center and Children's Hospital Pulmonary Consultants, SC NOT COVERED Christ Medical Center and Children's Hospital Putman, Margaret -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Pyle, Joseph -MD NOT COVERED Christ Medical Center and Children's Hospital Qayyum, Naheed -MD NOT COVERED Christ Medical Center and Children's Hospital Qazi, Masood -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Quinn, Steven -MD NOT COVERED Christ Medical Center and Children's Hospital Quinn, Thomas -MD NOT COVERED Christ Medical Center and Children's Hospital Rabi Sulayman Pediatric Cardiology COVERED UNDER FAP Christ Medical Center and Children's Hospital Rachid, Mazen -MD NOT COVERED Christ Medical Center and Children's Hospital Raddawi, Hareth -MD NOT COVERED Christ Medical Center and Children's Hospital Radzevicius, Evaldas -MD NOT COVERED Christ Medical Center and Children's Hospital Rai, Karishma -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Raiji, Manish -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Raja, Omar -MD NOT COVERED Christ Medical Center and Children's Hospital Rajchert, Donna -MD NOT COVERED

Page 33 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Rajendra R. Shah M.D., SC NOT COVERED Christ Medical Center and Children's Hospital Rajendran, Kavitha -PA NOT COVERED Christ Medical Center and Children's Hospital Rajmane, Kiran -MD NOT COVERED Christ Medical Center and Children's Hospital Raju, Priya -MD NOT COVERED Christ Medical Center and Children's Hospital Ramadan, Nabih -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ramadan, Suha -MD NOT COVERED Christ Medical Center and Children's Hospital Ramadurai, Jayanthi -MD NOT COVERED Christ Medical Center and Children's Hospital Ramana, Ravi -DO NOT COVERED Christ Medical Center and Children's Hospital Raminski, David -DO NOT COVERED Christ Medical Center and Children's Hospital Rangsithienchai, Pisit -MD NOT COVERED Christ Medical Center and Children's Hospital Rao, S. Ramana -MD NOT COVERED Christ Medical Center and Children's Hospital Rao, Subramanya -MD NOT COVERED Christ Medical Center and Children's Hospital Rawda, Ayman -MD NOT COVERED Christ Medical Center and Children's Hospital Rayner, Loris -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Razma, Antanas -MD NOT COVERED Christ Medical Center and Children's Hospital Razzaque, Mohammad -MD NOT COVERED Christ Medical Center and Children's Hospital Recker, Darlene -DO NOT COVERED Christ Medical Center and Children's Hospital Reddy, Satyajit -MD NOT COVERED Christ Medical Center and Children's Hospital Redondo, Luis -MD NOT COVERED Christ Medical Center and Children's Hospital Regan, Elizabeth -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Regroup Telemedicine NOT COVERED Christ Medical Center and Children's Hospital Reinhart, Glenn -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Reiter, Mark -MD NOT COVERED Christ Medical Center and Children's Hospital Remo, Mylene -MD NOT COVERED Christ Medical Center and Children's Hospital Renaissance Medical Group SC NOT COVERED Christ Medical Center and Children's Hospital Renaissance Medical Group, SC NOT COVERED Christ Medical Center and Children's Hospital Resnick, Kenneth -MD NOT COVERED Christ Medical Center and Children's Hospital Retina Associates, Ltd NOT COVERED Christ Medical Center and Children's Hospital Retina Macula Care NOT COVERED Christ Medical Center and Children's Hospital Retina Vitreous Associates, PC NOT COVERED Christ Medical Center and Children's Hospital Retinal Vitreal Consultants, Ltd NOT COVERED Christ Medical Center and Children's Hospital Rezai, Pedram -MD NOT COVERED Christ Medical Center and Children's Hospital Rhine, David -MD NOT COVERED Christ Medical Center and Children's Hospital Ridgeland Foot Clinic NOT COVERED Christ Medical Center and Children's Hospital Ridings, Larry -MD NOT COVERED Christ Medical Center and Children's Hospital Riehl Schmidt, Betty -CRNA NOT COVERED Christ Medical Center and Children's Hospital Rifai, Luay -MD NOT COVERED Christ Medical Center and Children's Hospital Rife, Susan -DO NOT COVERED Christ Medical Center and Children's Hospital Riff, Katherine -MD NOT COVERED Christ Medical Center and Children's Hospital Rimawi, Kelly -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital River North Dental Group NOT COVERED Christ Medical Center and Children's Hospital Roberson, David -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Robert C. Bosack, DDS, & Assoc. Ltd. NOT COVERED Christ Medical Center and Children's Hospital Robert T. Egel MD, SC NOT COVERED Christ Medical Center and Children's Hospital Roberts, Gabrielle -PhD NOT COVERED Christ Medical Center and Children's Hospital Roberts, Lin -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Roberts, Thomas -DO NOT COVERED Christ Medical Center and Children's Hospital Robinson, Mounica -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Robinson, Warren -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Rodriguez, Alexis -MD NOT COVERED Christ Medical Center and Children's Hospital Rodriguez, Sophia -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Rodriguez-Fernandez, Jorge -MD NOT COVERED Christ Medical Center and Children's Hospital Rojas, Cathleen -CRNA NOT COVERED Christ Medical Center and Children's Hospital Rojas, Manuel -MD NOT COVERED Christ Medical Center and Children's Hospital Rojas, Michelle -MD NOT COVERED Christ Medical Center and Children's Hospital Romain, Carmelle -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Roney, Joanne -NP NOT COVERED Christ Medical Center and Children's Hospital Rooney, Melissa -MD NOT COVERED

Page 34 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Rooney, Nicole -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Rose, Katelyn -PA NOT COVERED Christ Medical Center and Children's Hospital Roska, Anne Gillian -CNS NOT COVERED Christ Medical Center and Children's Hospital Ross, Eleanor -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ross, John -DO NOT COVERED Christ Medical Center and Children's Hospital Rowan, Daniel -DO NOT COVERED Christ Medical Center and Children's Hospital Rowland, Kathryn -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Rowles, Rian -DO NOT COVERED Christ Medical Center and Children's Hospital Roy, Larry -MD NOT COVERED Christ Medical Center and Children's Hospital Roy, Meghana -MD NOT COVERED Christ Medical Center and Children's Hospital Roy, Mitali -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Roy, Ruby -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ruggero, Kathleen -DO NOT COVERED Christ Medical Center and Children's Hospital Ruiz De Luzuriaga, Arlene -MD NOT COVERED Christ Medical Center and Children's Hospital Russell, Ann Marie -NP NOT COVERED Christ Medical Center and Children's Hospital Russell, Holly -MD NOT COVERED Christ Medical Center and Children's Hospital Ryan, Dennis -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ryan, Edward -MD NOT COVERED Christ Medical Center and Children's Hospital Rybka, Edward -DO NOT COVERED Christ Medical Center and Children's Hospital Rydel, James -MD NOT COVERED Christ Medical Center and Children's Hospital Rzucidlo, Jozef -MD NOT COVERED Christ Medical Center and Children's Hospital S. L. Yang, MD, Ltd NOT COVERED Christ Medical Center and Children's Hospital S. M. Gokhale, MD, SC NOT COVERED Christ Medical Center and Children's Hospital S.W. Pediatrics, SC NOT COVERED Christ Medical Center and Children's Hospital Sabo, Ashley -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sack, Mark -DPM NOT COVERED Christ Medical Center and Children's Hospital Sadok, Smain -MD NOT COVERED Christ Medical Center and Children's Hospital Safvi, Amjad -MD NOT COVERED Christ Medical Center and Children's Hospital Saha, Debjit -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Saha, Kanta -MD NOT COVERED Christ Medical Center and Children's Hospital Sahajpal, Tripat -MD NOT COVERED Christ Medical Center and Children's Hospital Sahloul, Mohammed -MD NOT COVERED Christ Medical Center and Children's Hospital Said, Yasser -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Saini, Jyoti -MD NOT COVERED Christ Medical Center and Children's Hospital Sajan, Imran -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Salud LatinX, LLC NOT COVERED Christ Medical Center and Children's Hospital Sam, Ronald -DO NOT COVERED Christ Medical Center and Children's Hospital Sanchez, Adam -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sanchez, Mario -MD NOT COVERED Christ Medical Center and Children's Hospital Sanchez, Patrick -DPM NOT COVERED Christ Medical Center and Children's Hospital Sandeep Chandra, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Sanders, Ericka -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sandhu, Harcharan -MD NOT COVERED Christ Medical Center and Children's Hospital Sangal, Neha -MD NOT COVERED Christ Medical Center and Children's Hospital Sankary, Howard -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Santaniello, John -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Santos, Carlos -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sarfraz, Sarah -MD NOT COVERED Christ Medical Center and Children's Hospital Sarhan, Mohammad -MD NOT COVERED Christ Medical Center and Children's Hospital Saroli, Tania -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sarvida, Marie-Ellen -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Satwant Kingra, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Savage, Hugh -MD NOT COVERED Christ Medical Center and Children's Hospital Savage, Judith -MD NOT COVERED Christ Medical Center and Children's Hospital Savin, Michael -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sawlani, Omprakash -MD NOT COVERED Christ Medical Center and Children's Hospital Saxena, Madhulika -MD NOT COVERED Christ Medical Center and Children's Hospital Sayger, Brian -DO COVERED UNDER FAP

Page 35 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Schaefer, Steven -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Schaffer, Leslie -MD NOT COVERED Christ Medical Center and Children's Hospital Schaible, Anne -MD NOT COVERED Christ Medical Center and Children's Hospital Schaible, Keith -MD NOT COVERED Christ Medical Center and Children's Hospital Schmidt, Matthew -MD NOT COVERED Christ Medical Center and Children's Hospital Schrader, Taryn -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Schroeder, Bill -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Schwab, Theresa -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Schwartz, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Schwer, William -MD NOT COVERED Christ Medical Center and Children's Hospital Schwermer, Jon -PA NOT COVERED Christ Medical Center and Children's Hospital Sciamanna, Christopher -DO NOT COVERED Christ Medical Center and Children's Hospital Scigacz, Anna -MD NOT COVERED Christ Medical Center and Children's Hospital Scoccia, Humberto -MD NOT COVERED Christ Medical Center and Children's Hospital Scott, Jonathan -MD NOT COVERED Christ Medical Center and Children's Hospital Segui, Jo-An -DO NOT COVERED Christ Medical Center and Children's Hospital Selk, Natalie -MD NOT COVERED Christ Medical Center and Children's Hospital Seth Levrant, MD, PC NOT COVERED Christ Medical Center and Children's Hospital Setia, Suman -MD NOT COVERED Christ Medical Center and Children's Hospital Sewell, Brittany -NP NOT COVERED Christ Medical Center and Children's Hospital Shah, Amisha -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Shah, Bhavik -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Shah, Hassan -MD NOT COVERED Christ Medical Center and Children's Hospital Shah, Kunjal -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Shah, Mahesh -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Shah, Mihir -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Shah, Mousami -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Shah, Mrunal -MD NOT COVERED Christ Medical Center and Children's Hospital Shah, Natasha -MD NOT COVERED Christ Medical Center and Children's Hospital Shah, Nirav -MD NOT COVERED Christ Medical Center and Children's Hospital Shah, Rajendra -MD NOT COVERED Christ Medical Center and Children's Hospital Shah, Samir -MD NOT COVERED Christ Medical Center and Children's Hospital Shah, Sunil -DO NOT COVERED Christ Medical Center and Children's Hospital Shah, Trilok -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Shahbain Internal Medicine, LTD NOT COVERED Christ Medical Center and Children's Hospital Shahbain, Abdul Hamid -MD NOT COVERED Christ Medical Center and Children's Hospital Shaheen, Sarwat -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sharma, Jamie -DO NOT COVERED Christ Medical Center and Children's Hospital Shea, Krista -NP NOT COVERED Christ Medical Center and Children's Hospital Shelhorse, Kristen -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Sherman, Jonathan -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sherry, Kenneth -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Sheth Dermatology, PC NOT COVERED Christ Medical Center and Children's Hospital Sheth, Seema -MD NOT COVERED Christ Medical Center and Children's Hospital Sheth, Tejas -MD NOT COVERED Christ Medical Center and Children's Hospital Sheth, Veeral -MD NOT COVERED Christ Medical Center and Children's Hospital Shetty, Ira -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Shih, Timothy -DO NOT COVERED Christ Medical Center and Children's Hospital Shin, Hang-Jin -MD NOT COVERED Christ Medical Center and Children's Hospital Shirazi, Wasif -MD NOT COVERED Christ Medical Center and Children's Hospital Shivaraju, Anupama -MD NOT COVERED Christ Medical Center and Children's Hospital Shneker, Bassel -MD NOT COVERED Christ Medical Center and Children's Hospital Shupp, Randi -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Sickles, Christine -DO NOT COVERED Christ Medical Center and Children's Hospital Siddiqui, Irfan -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Siddiqui, Saad -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sidrys, Linas -MD NOT COVERED Christ Medical Center and Children's Hospital Siemeck, Roxanne -CNS NOT COVERED

Page 36 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Siffermann, Emily -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sigala, Whitney -MD NOT COVERED Christ Medical Center and Children's Hospital Sihabdeen, Samira -MD NOT COVERED Christ Medical Center and Children's Hospital Silva, Rogelio -MD NOT COVERED Christ Medical Center and Children's Hospital Silverman, Paul -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Singh, Bhurji -MD NOT COVERED Christ Medical Center and Children's Hospital Singh, Priti -MD NOT COVERED Christ Medical Center and Children's Hospital Singh, Rama Shankar -MD NOT COVERED Christ Medical Center and Children's Hospital Singh, Sunita -MD NOT COVERED Christ Medical Center and Children's Hospital Sinha, Sunil -DDS NOT COVERED Christ Medical Center and Children's Hospital Sinnott, Jessica -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sivagnanam, Milani -MD NOT COVERED Christ Medical Center and Children's Hospital Skalka, Ariel -PA NOT COVERED Christ Medical Center and Children's Hospital Skarpathiotis, Georgios -MD NOT COVERED Christ Medical Center and Children's Hospital Skarpathiotis, Stratos -MD NOT COVERED Christ Medical Center and Children's Hospital Skripkauskas, Dainius -SA NOT COVERED Christ Medical Center and Children's Hospital Sladek, Stephen -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Slakey, Douglas -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Slidell, Mark -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Slodyczka, Edyta -PA COVERED UNDER FAP Christ Medical Center and Children's Hospital Slugocki, Kathleen -DO NOT COVERED Christ Medical Center and Children's Hospital Slusinski, Bernard -DO NOT COVERED Christ Medical Center and Children's Hospital Smain Sadok MD SC NOT COVERED Christ Medical Center and Children's Hospital Smith, Christopher -MD NOT COVERED Christ Medical Center and Children's Hospital Smith, Roxanne -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Smith, Sylvia -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Snow, Ayelet -MD NOT COVERED Christ Medical Center and Children's Hospital Sokolowski, Molly -NP NOT COVERED Christ Medical Center and Children's Hospital Soltes, Barbara -MD NOT COVERED Christ Medical Center and Children's Hospital Soltes, Steven -MD NOT COVERED Christ Medical Center and Children's Hospital Sommer, Jennifer -PA NOT COVERED Christ Medical Center and Children's Hospital Sorgeloos, Aliesje -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sorum, Kirsten -DO NOT COVERED Christ Medical Center and Children's Hospital Souder, Kimberly -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Soumya Health LLC NOT COVERED Christ Medical Center and Children's Hospital South Chicago Orthopedic Specialists, SC NOT COVERED Christ Medical Center and Children's Hospital Southtown Allergy & Asthma Care, PC NOT COVERED Christ Medical Center and Children's Hospital Southwest Allergy Associates, SC NOT COVERED Christ Medical Center and Children's Hospital Southwest Center for Healthy Joints NOT COVERED Christ Medical Center and Children's Hospital Southwest Gastroenterology, SC NOT COVERED Christ Medical Center and Children's Hospital Southwest Infectious Disease & Internal Medicine, SC NOT COVERED Christ Medical Center and Children's Hospital Southwest Medical Affiliates, PC NOT COVERED Christ Medical Center and Children's Hospital Southwest Medical Center NOT COVERED Christ Medical Center and Children's Hospital Southwest Medical Consultants, SC NOT COVERED Christ Medical Center and Children's Hospital Southwest Nephrology Associates, SC NOT COVERED Christ Medical Center and Children's Hospital Southwest Pediatrics, Ltd NOT COVERED Christ Medical Center and Children's Hospital Southwest Physicians & Associates SC NOT COVERED Christ Medical Center and Children's Hospital Southwest Physicians Group, LTD NOT COVERED Christ Medical Center and Children's Hospital Southwest Rheumatology, PC NOT COVERED Christ Medical Center and Children's Hospital Spann, Ananya -MD NOT COVERED Christ Medical Center and Children's Hospital Spear, William -MD NOT COVERED Christ Medical Center and Children's Hospital Speziale, Nicholas -MD NOT COVERED Christ Medical Center and Children's Hospital Spoo, Charisa -DO NOT COVERED Christ Medical Center and Children's Hospital St. Steven Medical Center, Ltd NOT COVERED Christ Medical Center and Children's Hospital Sta Maria Calma, Michelle -MD NOT COVERED Christ Medical Center and Children's Hospital Staley, Shannon -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Stamat, Nicholas -MD NOT COVERED Christ Medical Center and Children's Hospital Steagerman, Rosanne -NP COVERED UNDER FAP

Page 37 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Stein, Robert -MD NOT COVERED Christ Medical Center and Children's Hospital Steinard, Derick -PA NOT COVERED Christ Medical Center and Children's Hospital Steinberg, Jay -MD NOT COVERED Christ Medical Center and Children's Hospital Steinecker, Gary -MD NOT COVERED Christ Medical Center and Children's Hospital Stella, Ronald -MD NOT COVERED Christ Medical Center and Children's Hospital Stephen M. Heaney, DDS, PC NOT COVERED Christ Medical Center and Children's Hospital Stephens, Katie -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Stephens, Kevin -MD NOT COVERED Christ Medical Center and Children's Hospital Stephens, Patrice -CNS NOT COVERED Christ Medical Center and Children's Hospital Stern, David -MD NOT COVERED Christ Medical Center and Children's Hospital Steven E Ambrose MD NOT COVERED Christ Medical Center and Children's Hospital Steven F. Soltes, MD, Ltd NOT COVERED Christ Medical Center and Children's Hospital Stoklosa, Michelle -NP NOT COVERED Christ Medical Center and Children's Hospital Stringer, Elizabeth -MD NOT COVERED Christ Medical Center and Children's Hospital Strugala, Robert -MD NOT COVERED Christ Medical Center and Children's Hospital Strzembosz, Patricia -MD NOT COVERED Christ Medical Center and Children's Hospital Studlo, James -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Styka, Beata -MD NOT COVERED Christ Medical Center and Children's Hospital Suan, Evan -MD NOT COVERED Christ Medical Center and Children's Hospital Suburban Eye Specialists NOT COVERED Christ Medical Center and Children's Hospital Suburban Otolaryngology, S.C. NOT COVERED Christ Medical Center and Children's Hospital Suburban Plastic Surgery NOT COVERED Christ Medical Center and Children's Hospital Sulayman, Rabi -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sullivan, Henry -MD NOT COVERED Christ Medical Center and Children's Hospital Sullivan, Mary -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sun, Jinglu -MD NOT COVERED Christ Medical Center and Children's Hospital Sunbuli, Moutaz -MD NOT COVERED Christ Medical Center and Children's Hospital Sunbulli, Talal -MD NOT COVERED Christ Medical Center and Children's Hospital Sundar, Kannan -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sundermeier, Joanne -MD NOT COVERED Christ Medical Center and Children's Hospital Sunil K. Shah D.O., SC NOT COVERED Christ Medical Center and Children's Hospital Sur, James -MD NOT COVERED Christ Medical Center and Children's Hospital Sura, Parimal -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Sutich, Christine -CNS NOT COVERED Christ Medical Center and Children's Hospital Sweis, Rochelle -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Swiatkowski, Valerie -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Syed, Saira -DO NOT COVERED Christ Medical Center and Children's Hospital Syed, Zainulabuddin -MD NOT COVERED Christ Medical Center and Children's Hospital Sylora, James -MD NOT COVERED Christ Medical Center and Children's Hospital Szczodry, Dorota -MD NOT COVERED Christ Medical Center and Children's Hospital Szczodry, Michal -MD NOT COVERED Christ Medical Center and Children's Hospital Tabachnick, Deborah -MD NOT COVERED Christ Medical Center and Children's Hospital Tabriz, Muhammad -MD NOT COVERED Christ Medical Center and Children's Hospital Tai, Leewen -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Taksande, Sushant -MD NOT COVERED Christ Medical Center and Children's Hospital Tang, JueLin -MD NOT COVERED Christ Medical Center and Children's Hospital Tang, Ming-Yeng -MD NOT COVERED Christ Medical Center and Children's Hospital Tatooles, Antone -MD NOT COVERED Christ Medical Center and Children's Hospital Tauscher, John -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Taylor, Prentiss -MD NOT COVERED Christ Medical Center and Children's Hospital Tcheng, Helen -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital TeKippe, Michael -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Tekwani, Karis -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Tekwani, Shivan -MD NOT COVERED Christ Medical Center and Children's Hospital Tellence, Tintu -NP NOT COVERED Christ Medical Center and Children's Hospital Teplitz, Eric -MD NOT COVERED Christ Medical Center and Children's Hospital Tesher, Melissa -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Teske, Peggy -NP COVERED UNDER FAP

Page 38 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Thakkar, Nirav -MD NOT COVERED Christ Medical Center and Children's Hospital Thapar, Pradeep -MD NOT COVERED Christ Medical Center and Children's Hospital The Center For Sleep Medicine NOT COVERED Christ Medical Center and Children's Hospital The Eye Specialists Center, LLC NOT COVERED Christ Medical Center and Children's Hospital The University of Chicago Medicine NOT COVERED Christ Medical Center and Children's Hospital The Women's Health and Wellness Group LTD NOT COVERED Christ Medical Center and Children's Hospital Thill, Rodney -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Thomas John Vision Institute, PC NOT COVERED Christ Medical Center and Children's Hospital Thomas, Abraham -MD NOT COVERED Christ Medical Center and Children's Hospital Thomas, George -MD NOT COVERED Christ Medical Center and Children's Hospital Thomas, Linda -MD NOT COVERED Christ Medical Center and Children's Hospital Thomas, Monica -CRNA NOT COVERED Christ Medical Center and Children's Hospital Thomas, Yalaunda -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Thompson, Amy -MD NOT COVERED Christ Medical Center and Children's Hospital Thoracic Surgical Associates, LLC NOT COVERED Christ Medical Center and Children's Hospital Tierney, Sean -MD NOT COVERED Christ Medical Center and Children's Hospital Timbers, Kay -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Tobia, Nader -MD NOT COVERED Christ Medical Center and Children's Hospital Tofovic, David -MD NOT COVERED Christ Medical Center and Children's Hospital Tolentino, Stephanie -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Tomezsko, Janet -MD NOT COVERED Christ Medical Center and Children's Hospital Toney, Hermon -SA NOT COVERED Christ Medical Center and Children's Hospital Tootla, Yasmin -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Torero, Luis -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Torres, Carmelita -MD NOT COVERED Christ Medical Center and Children's Hospital Treasured Smiles Dentistry, LLC NOT COVERED Christ Medical Center and Children's Hospital Treitman, Adam -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Triantafillou, Thomas -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Trivedi, Dinker -MD NOT COVERED Christ Medical Center and Children's Hospital Trombly, Ryan -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Troy, Daniel -MD NOT COVERED Christ Medical Center and Children's Hospital Trybula, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Trzupek, Irene -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Tsang, Regina -NP NOT COVERED Christ Medical Center and Children's Hospital Tsimerinov, Evgeny -MD NOT COVERED Christ Medical Center and Children's Hospital Tsui, Kevin -MD NOT COVERED Christ Medical Center and Children's Hospital Tudor, Alice -CRNA NOT COVERED Christ Medical Center and Children's Hospital Tyler, Matthew -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Uddin, Ahmed -MD NOT COVERED Christ Medical Center and Children's Hospital Ugarte, Luis -MD NOT COVERED Christ Medical Center and Children's Hospital UIC Division of General & ER Pediatrics NOT COVERED Christ Medical Center and Children's Hospital UIC Physician's Group NOT COVERED Christ Medical Center and Children's Hospital UIC Plastic Surgery/Craniofacial Center NOT COVERED Christ Medical Center and Children's Hospital Union Health Service, Inc NOT COVERED Christ Medical Center and Children's Hospital Union Health Services NOT COVERED Christ Medical Center and Children's Hospital United Elite Hospitalists, LLC NOT COVERED Christ Medical Center and Children's Hospital University Family Physicians Southwest NOT COVERED Christ Medical Center and Children's Hospital University of Illinois at Chicago NOT COVERED Christ Medical Center and Children's Hospital University of Illinois IVF Center NOT COVERED Christ Medical Center and Children's Hospital University Retina & Macula Associates, PC NOT COVERED Christ Medical Center and Children's Hospital Upadhyaya, Varsha -MD NOT COVERED Christ Medical Center and Children's Hospital Upadhyaya, Vinod -MD NOT COVERED Christ Medical Center and Children's Hospital Upputuri, Radha -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital User, Herbert -MD NOT COVERED Christ Medical Center and Children's Hospital Usmani, Sarah -MD NOT COVERED Christ Medical Center and Children's Hospital Usselman, Chelessa -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Ustas, Leah -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital V. Upadhyaya, MD, Ltd NOT COVERED

Page 39 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital VAD Transplant Program NOT COVERED Christ Medical Center and Children's Hospital Vadali, Mahesh -MD NOT COVERED Christ Medical Center and Children's Hospital Vadali, Maitrayee -MD NOT COVERED Christ Medical Center and Children's Hospital Vaishnav, Nikunj -MD NOT COVERED Christ Medical Center and Children's Hospital Vaishnav, Soham -MD NOT COVERED Christ Medical Center and Children's Hospital Valentin, Carl -MD NOT COVERED Christ Medical Center and Children's Hospital Valentin, Ruth -NP NOT COVERED Christ Medical Center and Children's Hospital Vali, Faisal -MD NOT COVERED Christ Medical Center and Children's Hospital Van Bergen, Andrew -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Van Slambrouck, Leah -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Vanderjack, Staci -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Vanessa Hagan, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Varadhi, Harsha -MD NOT COVERED Christ Medical Center and Children's Hospital Vargas-Zapata, Rafael -MD NOT COVERED Christ Medical Center and Children's Hospital Varnado-Smith, Sunnette -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Vasavada, Shreya -PA NOT COVERED Christ Medical Center and Children's Hospital Vaughn, LaTonya -NP NOT COVERED Christ Medical Center and Children's Hospital Velamati, Rukmini -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Velasquez, Monica -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Velez Jo, Estrellita -MD NOT COVERED Christ Medical Center and Children's Hospital Vence, Chethana -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Venkataraman, Subramanian -MD NOT COVERED Christ Medical Center and Children's Hospital Victor, Nicole -NP NOT COVERED Christ Medical Center and Children's Hospital Vijay Bajaj, MD, SC NOT COVERED Christ Medical Center and Children's Hospital Villaflor, Edward -MD NOT COVERED Christ Medical Center and Children's Hospital Villena, Sheyla -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Virparia, Sonia -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Virtual Radiologic Professionals, LLC NOT COVERED Christ Medical Center and Children's Hospital Viswanathan, Vidhya -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Vivar, Zenaida -MD NOT COVERED Christ Medical Center and Children's Hospital Vlachos, Dana -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Vogel, Justine -PA NOT COVERED Christ Medical Center and Children's Hospital Vohra, Samir -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Volz, Colleen -PA COVERED UNDER FAP Christ Medical Center and Children's Hospital Von Zychlin, Kara -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Vootkur, Aparna -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Voss, Sandra -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Vricella, Luca -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Vucic, Ivica -MD NOT COVERED Christ Medical Center and Children's Hospital Vukomanovic, Emela -MD NOT COVERED Christ Medical Center and Children's Hospital Vyas, Harshiv -DDS NOT COVERED Christ Medical Center and Children's Hospital Vyas, Sahana -MD NOT COVERED Christ Medical Center and Children's Hospital Waddell, Kristi -NP NOT COVERED Christ Medical Center and Children's Hospital Wagner, Jeffrey -MD NOT COVERED Christ Medical Center and Children's Hospital Waickus, Cynthia -MD NOT COVERED Christ Medical Center and Children's Hospital Waidzunas, Thomas -MD NOT COVERED Christ Medical Center and Children's Hospital Walchuk, Stephan -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Wallace, Gabriel -MD NOT COVERED Christ Medical Center and Children's Hospital Walloch, Jami -MD NOT COVERED Christ Medical Center and Children's Hospital Walsh, Curtis -MD NOT COVERED Christ Medical Center and Children's Hospital Wang, Leo -MD NOT COVERED Christ Medical Center and Children's Hospital Wardell, Steven -MD NOT COVERED Christ Medical Center and Children's Hospital Warner, Christina -MD NOT COVERED Christ Medical Center and Children's Hospital Washington, Terri -MD NOT COVERED Christ Medical Center and Children's Hospital Wassef, Samir -MD NOT COVERED Christ Medical Center and Children's Hospital Wasz, Megan -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Watkins, Summer -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Watson, Jonathan -MD NOT COVERED

Page 40 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Watti, Hussam -MD NOT COVERED Christ Medical Center and Children's Hospital Watts, Hannah -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Wazwaz, Hesham -MD NOT COVERED Christ Medical Center and Children's Hospital Webb, Jeffrey -NP NOT COVERED Christ Medical Center and Children's Hospital Webster, Kathleen -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Wegierek, Anna-Maria -PsyD NOT COVERED Christ Medical Center and Children's Hospital Wehrheim, Karla -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Weigel, Thomas -MD NOT COVERED Christ Medical Center and Children's Hospital Weil Foot and Ankle Institute NOT COVERED Christ Medical Center and Children's Hospital Weinberg, Aaron -MD NOT COVERED Christ Medical Center and Children's Hospital Weiss, Meagan -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Weiss, Melinda -DO NOT COVERED Christ Medical Center and Children's Hospital Weiss, Raymond -MD NOT COVERED Christ Medical Center and Children's Hospital Welbel, Rachel -MD NOT COVERED Christ Medical Center and Children's Hospital WellBeingMD, LTD NOT COVERED Christ Medical Center and Children's Hospital Wells, Kalani -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Welsch, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Werdi, Asem -MD NOT COVERED Christ Medical Center and Children's Hospital Wereski, Jennifer -NP NOT COVERED Christ Medical Center and Children's Hospital Western Hills Medical Center, Ltd NOT COVERED Christ Medical Center and Children's Hospital White, Brent -MD NOT COVERED Christ Medical Center and Children's Hospital White, Jennifer -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Whole Health Mama Pediatrics NOT COVERED Christ Medical Center and Children's Hospital Wichter, Melvin -MD NOT COVERED Christ Medical Center and Children's Hospital Wigfield, Christopher -MD NOT COVERED Christ Medical Center and Children's Hospital Wilbur, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Will, Karen -DO COVERED UNDER FAP Christ Medical Center and Children's Hospital Williams, Herlanders -MD NOT COVERED Christ Medical Center and Children's Hospital Williamson, Margaret -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Williamson, Nikita -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Willner, Deborah -PA NOT COVERED Christ Medical Center and Children's Hospital Wilson, Patricia -NP NOT COVERED Christ Medical Center and Children's Hospital Win Myint, MD, PC NOT COVERED Christ Medical Center and Children's Hospital Winterfield, Roland -MD NOT COVERED Christ Medical Center and Children's Hospital Wittle, Katherine -CNS NOT COVERED Christ Medical Center and Children's Hospital Wittmayer, Kimberly -CNS NOT COVERED Christ Medical Center and Children's Hospital Wodek, Stephanie -PA COVERED UNDER FAP Christ Medical Center and Children's Hospital Wojciechowski, Lilla -NP NOT COVERED Christ Medical Center and Children's Hospital Wojnowski, Renea -CNS NOT COVERED Christ Medical Center and Children's Hospital Women's Care Group NOT COVERED Christ Medical Center and Children's Hospital Women's Health Institute of Illinois, Ltd NOT COVERED Christ Medical Center and Children's Hospital Women's Healthcare Affiliates NOT COVERED Christ Medical Center and Children's Hospital Wong, Joshua -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Wong, Warren -MD NOT COVERED Christ Medical Center and Children's Hospital Wong-Yu, Jenifer -PA NOT COVERED Christ Medical Center and Children's Hospital Woodruff, Jennifer -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital WPC, Inc. NOT COVERED Christ Medical Center and Children's Hospital Wu, Allen -MD NOT COVERED Christ Medical Center and Children's Hospital Wygodny, Jeffrey -MD NOT COVERED Christ Medical Center and Children's Hospital Yacoob, Daniel -DMD NOT COVERED Christ Medical Center and Children's Hospital Yallapragada, Rathna -MD NOT COVERED Christ Medical Center and Children's Hospital Yang, Sen-Lian -MD NOT COVERED Christ Medical Center and Children's Hospital Yapo, Natalie -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Yasmeen, Tahira -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ybanez, Neil -MD NOT COVERED Christ Medical Center and Children's Hospital Yelamanchili, Lakshmi -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Yeturu, Mangala -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Yeturu, Sudhakar -MD COVERED UNDER FAP

Page 41 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Christ Medical Center and Children's Hospital Yinusa, Maruf -NP NOT COVERED Christ Medical Center and Children's Hospital Yost, Howard -MD NOT COVERED Christ Medical Center and Children's Hospital Young, Kisha -CRNA NOT COVERED Christ Medical Center and Children's Hospital Young, Michael -MD NOT COVERED Christ Medical Center and Children's Hospital Yousef, Nida -MD NOT COVERED Christ Medical Center and Children's Hospital Yu, Brian -MD NOT COVERED Christ Medical Center and Children's Hospital Yuen, Lily -NP NOT COVERED Christ Medical Center and Children's Hospital Yun, Hong Jun -MD NOT COVERED Christ Medical Center and Children's Hospital Zager, Emil -DPM NOT COVERED Christ Medical Center and Children's Hospital Zaheerullah, Mohammad -MD NOT COVERED Christ Medical Center and Children's Hospital Zaidi, Ali -MD NOT COVERED Christ Medical Center and Children's Hospital Zaidi, Nausheen -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Zajac, Krista -NP NOT COVERED Christ Medical Center and Children's Hospital Zakaria, Mhd Firas -MD NOT COVERED Christ Medical Center and Children's Hospital Zaki, Ahmed -MD NOT COVERED Christ Medical Center and Children's Hospital Zakieh, Nasser -MD NOT COVERED Christ Medical Center and Children's Hospital Zalam Medical Center, LTD NOT COVERED Christ Medical Center and Children's Hospital Zalzaleh, Ghassan -MD NOT COVERED Christ Medical Center and Children's Hospital Zamojski, Diana -DO NOT COVERED Christ Medical Center and Children's Hospital Zamora, Kathryn -MD NOT COVERED Christ Medical Center and Children's Hospital Zarzuela, Cassia -MD NOT COVERED Christ Medical Center and Children's Hospital Zats, Svetlana -DPM NOT COVERED Christ Medical Center and Children's Hospital Zavala, Carla -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Zehra, Tharanum -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Zeihen, Stefanie -NP COVERED UNDER FAP Christ Medical Center and Children's Hospital Zelinger, Allan -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Zelkovich, William -MD NOT COVERED Christ Medical Center and Children's Hospital Zikos, Veta -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Zimmerman, Frank -MD COVERED UNDER FAP Christ Medical Center and Children's Hospital Ziporin, Scott -MD NOT COVERED Christ Medical Center and Children's Hospital Zitter, Robert -PhD NOT COVERED Christ Medical Center and Children's Hospital Zivin, Sean -MD NOT COVERED Christ Medical Center and Children's Hospital Zorub, Ossama -MD NOT COVERED Condell Medical Center A. Podolskiy, MD, SC NOT COVERED Condell Medical Center Abderholden, Guy -MD NOT COVERED Condell Medical Center Acharya, Manish -MD NOT COVERED Condell Medical Center Acosta, Anthony -MD NOT COVERED Condell Medical Center Adam Rubinstein MD, SC NOT COVERED Condell Medical Center Adjei, Philip -MD NOT COVERED Condell Medical Center Adult & Pediatric Orthopedics, SC NOT COVERED Condell Medical Center Advanced Diabetes and Endocrine Ctr PC NOT COVERED Condell Medical Center Advanced Fertility Center of Chicago NOT COVERED Condell Medical Center Advanced Inpatient Consultants, LLC NOT COVERED Condell Medical Center Advanced Ortho & Sports Injury NOT COVERED Condell Medical Center Advanced Pain Consultants, SC NOT COVERED Condell Medical Center Advocate Medical Group - Crystal Lake - Oncology COVERED UNDER FAP Condell Medical Center Advocate Medical Group - Gurnee - 45 Tower Court COVERED UNDER FAP Condell Medical Center Advocate Medical Group - Gurnee - Tower Court - Pediatrics COVERED UNDER FAP Condell Medical Center Advocate Medical Group - Libertyville - 1870 West Winchester COVERED UNDER FAP Condell Medical Center Advocate Medical Group - Libertyville - Breast Surgery COVERED UNDER FAP Condell Medical Center Advocate Medical Group - Libertyville - Cardiology COVERED UNDER FAP Condell Medical Center Advocate Medical Group - Libertyville - Garfield Rd - Pain Management COVERED UNDER FAP Condell Medical Center Advocate Medical Group - Libertyville - Milwaukee Ave COVERED UNDER FAP Condell Medical Center Advocate Medical Group - Libertyville - Neurology COVERED UNDER FAP Condell Medical Center Advocate Medical Group - Libertyville - Oncology COVERED UNDER FAP Condell Medical Center Advocate Medical Group - Libertyville - Ortho COVERED UNDER FAP Condell Medical Center Advocate Medical Group - Libertyville - Pediatrics COVERED UNDER FAP Condell Medical Center Advocate Medical Group - Lincolnshire COVERED UNDER FAP

Page 42 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center Advocate Medical Group - Mundelein - 3220 IL Route 60 COVERED UNDER FAP Condell Medical Center Advocate Medical Group Advocate Clinic Gurnee COVERED UNDER FAP Condell Medical Center Advocate Medical Group Advocate Clinic Libertyville COVERED UNDER FAP Condell Medical Center Advocate Medical Group Advocate Clinic Round Lake Beach COVERED UNDER FAP Condell Medical Center Advocate Medical Group Children's Hoffman Estate COVERED UNDER FAP Condell Medical Center Advocate Medical Group Condell Hospitalist COVERED UNDER FAP Condell Medical Center Advocate Medical Group Family Practice Gurnee COVERED UNDER FAP Condell Medical Center Advocate Medical Group Libertyville OB/GYN COVERED UNDER FAP Condell Medical Center Affordable Pain Management NOT COVERED Condell Medical Center Agata Oczko-Danguilan, MD, SC NOT COVERED Condell Medical Center Ahmed, Nasreen -MD COVERED UNDER FAP Condell Medical Center Ahmed, Syed -MD COVERED UNDER FAP Condell Medical Center Ahsan, Mohammad -MD NOT COVERED Condell Medical Center Akbarnia, Halleh -MD NOT COVERED Condell Medical Center Akinlade, Bolanle -MD NOT COVERED Condell Medical Center Alapishvili, Nino -MD NOT COVERED Condell Medical Center Alderstein, David -MD NOT COVERED Condell Medical Center Alengo, David -MD NOT COVERED Condell Medical Center Alexander, Jonathan -MD NOT COVERED Condell Medical Center Allegretti, Peter -MD NOT COVERED Condell Medical Center Allergy & Asthma Associates, Ltd NOT COVERED Condell Medical Center Allergy & Asthma Consultants, LTD NOT COVERED Condell Medical Center Allgaier, Bernhard -MD NOT COVERED Condell Medical Center Allison, Caroline -CRNA NOT COVERED Condell Medical Center Alrashid, Arkan -MD NOT COVERED Condell Medical Center Al-Salman, Omar -MD NOT COVERED Condell Medical Center Alsikafi, Nejd -MD NOT COVERED Condell Medical Center Alzate, Juan -MD NOT COVERED Condell Medical Center Amato, Lawrence -MD NOT COVERED Condell Medical Center Amer, Michael -MD NOT COVERED Condell Medical Center Amesbury, Stephen -MD NOT COVERED Condell Medical Center AMG Illinois, Ltd NOT COVERED Condell Medical Center Anchor Pediatrics NOT COVERED Condell Medical Center Anderson, Daniele -MD NOT COVERED Condell Medical Center Andrade, Kristine -MD NOT COVERED Condell Medical Center Anthony Terrasse, MD, SC NOT COVERED Condell Medical Center Anthony, Joseph -CRNA NOT COVERED Condell Medical Center Anwar, Mohammad -MD NOT COVERED Condell Medical Center Anwuli Okoli MD Inc NOT COVERED Condell Medical Center Apilado, Ron-Gran -PA COVERED UNDER FAP Condell Medical Center Appleson, Tova -DO COVERED UNDER FAP Condell Medical Center Arber, Anatoly -MD NOT COVERED Condell Medical Center Arikan, Istiklal -MD COVERED UNDER FAP Condell Medical Center Arnolds, Marin -MD NOT COVERED Condell Medical Center Arroyo, Martha -MD NOT COVERED Condell Medical Center Asha Gandhi MD, SC NOT COVERED Condell Medical Center Asherson, Ronit -MD NOT COVERED Condell Medical Center Aspen Medical Group NOT COVERED Condell Medical Center Assoc.Phys. of Libertyville NOT COVERED Condell Medical Center Associates in Nephrology, SC NOT COVERED Condell Medical Center Atkinson Clinic SC NOT COVERED Condell Medical Center Atzeff, Kristopher -MD NOT COVERED Condell Medical Center Avinashi, Aalok -MD NOT COVERED Condell Medical Center Bagan, Bradley -MD NOT COVERED Condell Medical Center Baier, Thomas -MD COVERED UNDER FAP Condell Medical Center Baker, Howard -DO COVERED UNDER FAP Condell Medical Center Baker, Robert -MD NOT COVERED Condell Medical Center Bamrolia, Anshul -MD NOT COVERED

Page 43 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center Bansal-Kapuria, Vijayta -MD NOT COVERED Condell Medical Center Barhoum, Maan -MD NOT COVERED Condell Medical Center Baril, Robert -DO NOT COVERED Condell Medical Center Barr, Lewis -MD NOT COVERED Condell Medical Center Bawani, Mohammad -MD NOT COVERED Condell Medical Center Beach, Christopher -MD NOT COVERED Condell Medical Center Beaird Dermatology, SC NOT COVERED Condell Medical Center Bellucci-Jackson, Jennifer -MD NOT COVERED Condell Medical Center Beraki, Mussie -MD NOT COVERED Condell Medical Center Bergman, Rebecca -MD NOT COVERED Condell Medical Center Bergquist, Laura -SA NOT COVERED Condell Medical Center Berman, Laura -CRNA NOT COVERED Condell Medical Center Bermudez, Andrea -PA NOT COVERED Condell Medical Center Bernardi, Tina -NP NOT COVERED Condell Medical Center Best Practices Inpatient Care, Ltd NOT COVERED Condell Medical Center Bhalala, Gopal -MD NOT COVERED Condell Medical Center Blais, Amy -DO COVERED UNDER FAP Condell Medical Center Block, Leslie -MD NOT COVERED Condell Medical Center Borders, Ann -MD NOT COVERED Condell Medical Center Bortnik, Karina -PsyD NOT COVERED Condell Medical Center Boyd, Quentin -NP COVERED UNDER FAP Condell Medical Center Bright Horizons Pediatrics, PC NOT COVERED Condell Medical Center Brunetti, John -DMD NOT COVERED Condell Medical Center Buesser, Julia -NP NOT COVERED Condell Medical Center Buier, Linda -NP COVERED UNDER FAP Condell Medical Center Bukhalo, Yuriy -MD NOT COVERED Condell Medical Center Burnstine, Thomas -MD COVERED UNDER FAP Condell Medical Center Bylsma, Frederick -PhD NOT COVERED Condell Medical Center Caner, Richard -MD NOT COVERED Condell Medical Center Cardiothoracic & Vascular Surgical Assoc NOT COVERED Condell Medical Center Cardiothoracic & Vascular Surgical Associates, SC NOT COVERED Condell Medical Center Carnazzola, Kim -MD NOT COVERED Condell Medical Center Caronis, Gregory -MD COVERED UNDER FAP Condell Medical Center Carpenter, Ronisha -PA NOT COVERED Condell Medical Center Carpenter, Selina -PA COVERED UNDER FAP Condell Medical Center Carr, Leigha -PA NOT COVERED Condell Medical Center Catenacci, Michelle -MD NOT COVERED Condell Medical Center Center for Diagnosis & Treatment of Pain NOT COVERED Condell Medical Center Center for Maternal and Fetal Medicine NOT COVERED Condell Medical Center Center for Sleep Medicine NOT COVERED Condell Medical Center Chams, Roger -MD NOT COVERED Condell Medical Center Chan, Jennifer -MD NOT COVERED Condell Medical Center Chandel, Chhaya -MD NOT COVERED Condell Medical Center Chandel, Samarendra -MD NOT COVERED Condell Medical Center Chatskis, Emily -MD NOT COVERED Condell Medical Center Chee, Ru-ik -MD NOT COVERED Condell Medical Center Chelampath, Mariann -MD COVERED UNDER FAP Condell Medical Center Cheryl L. Perlis, MD, SC NOT COVERED Condell Medical Center Chest and Sleep Medicine Associates, SC NOT COVERED Condell Medical Center Chhabria, Pessoolal -MD NOT COVERED Condell Medical Center Chicago Anesthesia Associates, SC NOT COVERED Condell Medical Center Chicago Medical Clinic, LLC NOT COVERED Condell Medical Center Chicago Surgical Clinic, Ltd NOT COVERED Condell Medical Center Ching, Quimbo -MD COVERED UNDER FAP Condell Medical Center Chow, Raymond -MD NOT COVERED Condell Medical Center Christopher Harris, MD LTD NOT COVERED Condell Medical Center Chua Lee, Antonio -MD NOT COVERED Condell Medical Center Chuang, Eric -MD NOT COVERED

Page 44 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center Chung, Elizabeth -MD COVERED UNDER FAP Condell Medical Center Chyna, Mark -MD NOT COVERED Condell Medical Center Citow, Jonathan -MD NOT COVERED Condell Medical Center Claymore Medical Group, SC NOT COVERED Condell Medical Center Cochran, Michael -MD COVERED UNDER FAP Condell Medical Center Cohen, Jack -MD NOT COVERED Condell Medical Center Cohen, Justin -MD NOT COVERED Condell Medical Center Colino, Katherine -CRNA NOT COVERED Condell Medical Center Coll, Jonathan -MD NOT COVERED Condell Medical Center Colodny, Charles -MD NOT COVERED Condell Medical Center Colvig, Cameron -MD NOT COVERED Condell Medical Center Comprehensive Wound Care, LLC NOT COVERED Condell Medical Center Conterato, Dean -MD NOT COVERED Condell Medical Center Cordial Medical Center, SC NOT COVERED Condell Medical Center Coury, Christopher -MD NOT COVERED Condell Medical Center Craioveanu, Anna -DO COVERED UNDER FAP Condell Medical Center Cullen, Kelly -DO NOT COVERED Condell Medical Center Curran, Ronald -MD NOT COVERED Condell Medical Center Dagel, Brian -CRNA NOT COVERED Condell Medical Center Dahms, Eric -PA NOT COVERED Condell Medical Center Dalloul, Omar -MD NOT COVERED Condell Medical Center Damani, Dimple -MD NOT COVERED Condell Medical Center Dante P. Gabriel, MD, SC NOT COVERED Condell Medical Center Davey, Kari -NP NOT COVERED Condell Medical Center Davis, Larry -MD NOT COVERED Condell Medical Center Davuluri, Srikanth -MD NOT COVERED Condell Medical Center Dayan, Erica -MD NOT COVERED Condell Medical Center De Leon, Serafin -MD NOT COVERED Condell Medical Center DeBruler, Jennifer -MD COVERED UNDER FAP Condell Medical Center Deerbrook Medical Associates NOT COVERED Condell Medical Center Degani, Omaima -MD NOT COVERED Condell Medical Center Deisinger, Matthew -PA NOT COVERED Condell Medical Center Deliduka, Steven -MD NOT COVERED Condell Medical Center Dellaria, Andrea -MD NOT COVERED Condell Medical Center Dermatology Associates of Wisconsin SC - Forefront Dermatology NOT COVERED Condell Medical Center Dermatology-Chicago, SC NOT COVERED Condell Medical Center Derrick, Matthew -MD NOT COVERED Condell Medical Center Desai, Narendra -MD NOT COVERED Condell Medical Center Devaney, Jennifer -MD NOT COVERED Condell Medical Center Devaney, John -MD NOT COVERED Condell Medical Center Diabetes Osteo Thyro End Cntr NOT COVERED Condell Medical Center Diaconescu, Eliza -MD NOT COVERED Condell Medical Center Dihu, Jamil -DO NOT COVERED Condell Medical Center Din, Salima -MD NOT COVERED Condell Medical Center Dirst, Jeffrey -CRNA NOT COVERED Condell Medical Center Dixit, Ninad -MD NOT COVERED Condell Medical Center Doan, Lien -MD NOT COVERED Condell Medical Center Dolce, Helene -DDS NOT COVERED Condell Medical Center Domont, Zachary -MD COVERED UNDER FAP Condell Medical Center Dookie, Annabelle -DPM NOT COVERED Condell Medical Center Dubin, Benjamin -MD NOT COVERED Condell Medical Center Duke, Gina -MD COVERED UNDER FAP Condell Medical Center Duran, Marina -MD NOT COVERED Condell Medical Center Durrani, Zia -MD NOT COVERED Condell Medical Center Eisenstein, Daniel -MD NOT COVERED Condell Medical Center Elfe, Kristina -PA NOT COVERED Condell Medical Center Ellington, Violet -NP NOT COVERED Condell Medical Center Emily Chatskis MD, PC NOT COVERED

Page 45 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center Erickson, Robert -MD NOT COVERED Condell Medical Center Estrella, Rochie -NP NOT COVERED Condell Medical Center Excelsior Medical Center, Ltd NOT COVERED Condell Medical Center Eye Care Center of Lake County, Ltd NOT COVERED Condell Medical Center Falouji, Fanan -MD NOT COVERED Condell Medical Center Family Care of Lake County NOT COVERED Condell Medical Center Family Medicine & Integrative Medicine NOT COVERED Condell Medical Center Family Medicine Specialists NOT COVERED Condell Medical Center Family Medicine Specialists, Inc NOT COVERED Condell Medical Center Farhadieh Morales, Mandana -MD NOT COVERED Condell Medical Center Farhadieh, Mina -MD COVERED UNDER FAP Condell Medical Center Fattouhi, Mazin -MD NOT COVERED Condell Medical Center Fenton, Ira -DO NOT COVERED Condell Medical Center Ferraresi, Laurette -PhD NOT COVERED Condell Medical Center Fetter, David -MD NOT COVERED Condell Medical Center Figura, Anastasia -DO NOT COVERED Condell Medical Center Finneke, Kathleen -PA NOT COVERED Condell Medical Center First Step Foot Care, PC NOT COVERED Condell Medical Center Fisher, Donald -MD NOT COVERED Condell Medical Center Fitzgerald, Roxanne -CRNA NOT COVERED Condell Medical Center Foosaner, David -MD NOT COVERED Condell Medical Center Foreman, Syd -DO NOT COVERED Condell Medical Center Forson, Michelle -MD NOT COVERED Condell Medical Center Fortuna, Robert -MD NOT COVERED Condell Medical Center Francis, Steffanie -PA NOT COVERED Condell Medical Center Francisco, Kristine -NP NOT COVERED Condell Medical Center Frank, Charles -MD COVERED UNDER FAP Condell Medical Center Frank, Gerald -MD NOT COVERED Condell Medical Center Frank, Ralph -DO COVERED UNDER FAP Condell Medical Center Frederiksen, Ryan -MD NOT COVERED Condell Medical Center Fremgen, Michael -DO NOT COVERED Condell Medical Center French, Scott -MD NOT COVERED Condell Medical Center Friedman, Arie -MD NOT COVERED Condell Medical Center Friedman, Harvey -MD NOT COVERED Condell Medical Center Friedrich, Laura -NP NOT COVERED Condell Medical Center Frost, Brandy -MD NOT COVERED Condell Medical Center Fruhbauer, Margaret -DO COVERED UNDER FAP Condell Medical Center Furubayashi, Jill -MD NOT COVERED Condell Medical Center Gabriel, Dante -MD NOT COVERED Condell Medical Center Gagliardi, Giuseppe -MD NOT COVERED Condell Medical Center Gandhi, Asha -MD NOT COVERED Condell Medical Center Gandhi, Kavitha -MD NOT COVERED Condell Medical Center Gandhi, Sanjay -MD NOT COVERED Condell Medical Center Ganesha Institute of Neurology & Psychiatry, SC NOT COVERED Condell Medical Center Garcia-Rojas, Xavier -MD NOT COVERED Condell Medical Center Garden Pediatrics NOT COVERED Condell Medical Center Gastroenterologists, Ltd. NOT COVERED Condell Medical Center Gaziano, Joseph -PA NOT COVERED Condell Medical Center Geetha M. Reddy, SC NOT COVERED Condell Medical Center George Hvostik MD, SC NOT COVERED Condell Medical Center Gerald A. Frank, MD Internal Medicine, SC NOT COVERED Condell Medical Center Gersten Center for Behavioral Health NOT COVERED Condell Medical Center Gersten, Jeffrey -PsyD NOT COVERED Condell Medical Center GI Partners of Illinois, LLC NOT COVERED Condell Medical Center Gibson, Laurence -MD NOT COVERED Condell Medical Center Ginsburg, Beth -MD NOT COVERED Condell Medical Center Ginzburg, Leonard -MD NOT COVERED Condell Medical Center Giron, Oscar -MD NOT COVERED

Page 46 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center Glantsman, Bela -MD NOT COVERED Condell Medical Center Glaws, Walter -DO NOT COVERED Condell Medical Center Glover, Marisol -NP COVERED UNDER FAP Condell Medical Center Goldman, Lana -MD NOT COVERED Condell Medical Center Gopal N. Bhalala MD, LLC NOT COVERED Condell Medical Center Gorenyuk, Olga -MD NOT COVERED Condell Medical Center Gorman, Britney -PA NOT COVERED Condell Medical Center Grable, Ian -MD NOT COVERED Condell Medical Center Grand Oaks Behavioral Health NOT COVERED Condell Medical Center Great Lakes Pain Physicians, Ltd. NOT COVERED Condell Medical Center Green, Jill -MD NOT COVERED Condell Medical Center Greenleaf EMG, LLC NOT COVERED Condell Medical Center Greenleaf Medical Associates SC NOT COVERED Condell Medical Center Greenwood, Lauren -PA NOT COVERED Condell Medical Center Griff J. Winters Foot & Ankle Specialists, Ltd NOT COVERED Condell Medical Center Grubb, Eileen -MD NOT COVERED Condell Medical Center Guilfoil, Ryan -PA NOT COVERED Condell Medical Center Gupta, Mohina -MD NOT COVERED Condell Medical Center Gupta, Rajat -MD NOT COVERED Condell Medical Center Gurvich, Leon -NP NOT COVERED Condell Medical Center Guzman, Alma -MD NOT COVERED Condell Medical Center Hall, Michael -MD NOT COVERED Condell Medical Center Hallett, Joshua -DO NOT COVERED Condell Medical Center Hamming, David -MD NOT COVERED Condell Medical Center Hamming, Mark -MD NOT COVERED Condell Medical Center Han, Phyllis -MD NOT COVERED Condell Medical Center Harag, Irina -MD NOT COVERED Condell Medical Center Harris, Christopher -MD NOT COVERED Condell Medical Center Hashim, Ahmed -MD NOT COVERED Condell Medical Center Hassib, May -MD NOT COVERED Condell Medical Center Heart & Vascular Center of Lake County NOT COVERED Condell Medical Center Heart Rhythm Management of Lake County Ltd NOT COVERED Condell Medical Center Hecker, Roger -MD COVERED UNDER FAP Condell Medical Center Heffernan, Karen -NP COVERED UNDER FAP Condell Medical Center Helene M. Dolce and Assoc. NOT COVERED Condell Medical Center Helms, Ray -MD NOT COVERED Condell Medical Center Henderson, Patrick -MD NOT COVERED Condell Medical Center Herman, David -MD NOT COVERED Condell Medical Center Hicks, Jeffrey -DPM NOT COVERED Condell Medical Center Hime, Linda -DDS NOT COVERED Condell Medical Center Hoang, Vivian -MD NOT COVERED Condell Medical Center Hochberg, Laurie -MD NOT COVERED Condell Medical Center Hoepfner, Peter -MD NOT COVERED Condell Medical Center Hoffman, Dennis -MD NOT COVERED Condell Medical Center Hoffman, Inna -NP NOT COVERED Condell Medical Center Hoffmann, Kimberlee -NP COVERED UNDER FAP Condell Medical Center Holem, Mary -NP NOT COVERED Condell Medical Center Hollander, Michael -DPM NOT COVERED Condell Medical Center Horras, Roy -MD NOT COVERED Condell Medical Center Hosep H. Deyrmenjian, MD, PC NOT COVERED Condell Medical Center Huettl, Brian -MD NOT COVERED Condell Medical Center Hui, Rosenna -MD NOT COVERED Condell Medical Center Hurh, Jay -MD COVERED UNDER FAP Condell Medical Center Hussain, Omar -DO NOT COVERED Condell Medical Center Hvostik, George -MD NOT COVERED Condell Medical Center Ibe, Eberechukwu -MD NOT COVERED Condell Medical Center IHC-Libertyville Emergency Physicians, LLC NOT COVERED Condell Medical Center IHC-Libertyville Emergency Physicians, LLC NOT COVERED

Page 47 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center Illinois Bone & Joint Institute LLC NOT COVERED Condell Medical Center Illinois Gastroenterology Group, LLC NOT COVERED Condell Medical Center Illinois Institute of Allergy & Asthma, SC NOT COVERED Condell Medical Center Illinois Internal Medicine Inc NOT COVERED Condell Medical Center Illinois Pain Institute NOT COVERED Condell Medical Center Illinois Retina Associates, SC NOT COVERED Condell Medical Center Imam, Neda -MD NOT COVERED Condell Medical Center Infectious Disease Consultants of Northern Illinois, SC NOT COVERED Condell Medical Center Inga, Barbara -CRNA NOT COVERED Condell Medical Center Innovative Pain Specialists NOT COVERED Condell Medical Center Integrated Imaging Consultants, LLC NOT COVERED Condell Medical Center Irani, Mohamad -MD NOT COVERED Condell Medical Center Irby, Laura -PA NOT COVERED Condell Medical Center Irina K. Harag, MD, Ltd NOT COVERED Condell Medical Center Iverson, Mallory -NP NOT COVERED Condell Medical Center Jacobs, Brian -MD NOT COVERED Condell Medical Center Jacobsen, Scott -DPM NOT COVERED Condell Medical Center Jaffe, Charles -DO NOT COVERED Condell Medical Center Jaffe, Leland -DPM NOT COVERED Condell Medical Center Jain, Sachin -MD NOT COVERED Condell Medical Center Jajeh, Fahd -MD NOT COVERED Condell Medical Center Jamnagerwalla, Juzar -MD NOT COVERED Condell Medical Center Jeffrey J Hicks DPM PC NOT COVERED Condell Medical Center Jensen, Jennifer -NP NOT COVERED Condell Medical Center Jin, Lindsay -MD NOT COVERED Condell Medical Center John Brunetti, DMD, Ltd NOT COVERED Condell Medical Center Johnson, Benjamin -MD NOT COVERED Condell Medical Center Johnson, Brittany -PA NOT COVERED Condell Medical Center Johnson, Robert -MD COVERED UNDER FAP Condell Medical Center Johnston, Steven -CRNA NOT COVERED Condell Medical Center Jones, Gary -MD NOT COVERED Condell Medical Center Joseph, Alison -DPM NOT COVERED Condell Medical Center Joseph, Bincy -MD COVERED UNDER FAP Condell Medical Center Joseph, Janaies -NP NOT COVERED Condell Medical Center Joseph, Robert -DPM NOT COVERED Condell Medical Center Joshi, Divyang -MD NOT COVERED Condell Medical Center Joshipura, Premal -MD NOT COVERED Condell Medical Center Joyce T. Muni M.D. NOT COVERED Condell Medical Center Joyce, Andrew -PA NOT COVERED Condell Medical Center Juiris, Tahira -MD NOT COVERED Condell Medical Center Julian-Stiegel, Edith -CRNA NOT COVERED Condell Medical Center Jung, Katherine -NP NOT COVERED Condell Medical Center Kabot, Timothy -DDS NOT COVERED Condell Medical Center Kagzi, Mohammad -MD NOT COVERED Condell Medical Center Kallwitz, Karin -MD NOT COVERED Condell Medical Center Kalra, Amit -MD NOT COVERED Condell Medical Center Kampmeier, Patricia -MD NOT COVERED Condell Medical Center Kapadia, Narendrakumar -MD NOT COVERED Condell Medical Center Kaplan, Mark -MD NOT COVERED Condell Medical Center Kapoor, John -MD NOT COVERED Condell Medical Center Kashmar, Mary -CRNA NOT COVERED Condell Medical Center Kashow, Iyad -MD NOT COVERED Condell Medical Center Kato, Kambrie -MD NOT COVERED Condell Medical Center Katz, Anna -MD COVERED UNDER FAP Condell Medical Center Kazem, Fatima -MD NOT COVERED Condell Medical Center Kenneth R. Margules MD NOT COVERED Condell Medical Center Kesner, Kimberly -MD NOT COVERED Condell Medical Center Khaja, Aslam -MD NOT COVERED

Page 48 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center Khalili, Michael -MD NOT COVERED Condell Medical Center Khan, Amna -MD COVERED UNDER FAP Condell Medical Center Khan, Maria -MD NOT COVERED Condell Medical Center Khan, Raza -MD NOT COVERED Condell Medical Center Khan, Zareena -MD NOT COVERED Condell Medical Center Khanna, Rakhi -DO NOT COVERED Condell Medical Center Khodarkovskiy, Mikhail -MD NOT COVERED Condell Medical Center Khorashadi, Farhad -MD NOT COVERED Condell Medical Center Khorshid, Milena -MD COVERED UNDER FAP Condell Medical Center Khurana, Anil -MD NOT COVERED Condell Medical Center Kiesau, Yana -MD NOT COVERED Condell Medical Center Kim, Daniel -MD NOT COVERED Condell Medical Center Kim, Dianna -MD NOT COVERED Condell Medical Center Kim, Ginna -CRNA NOT COVERED Condell Medical Center Kim, Jessica -NP COVERED UNDER FAP Condell Medical Center Kim, Joon -MD NOT COVERED Condell Medical Center Kim, Ronald -MD NOT COVERED Condell Medical Center Kin-Kartsimas, Yuliya -MD COVERED UNDER FAP Condell Medical Center Kirch, Everett -MD NOT COVERED Condell Medical Center Kirill Zhadovich, MD, SC NOT COVERED Condell Medical Center Kirschner, Daniel -MD NOT COVERED Condell Medical Center Klimas-Osolkowski, Katarzyna -MD NOT COVERED Condell Medical Center Knar, Antonette -PA NOT COVERED Condell Medical Center Kobitter, Sherry -NP NOT COVERED Condell Medical Center Koch, Robert -DO NOT COVERED Condell Medical Center Kon, Audrey -CRNA NOT COVERED Condell Medical Center Kondelis, Nicholas -MD NOT COVERED Condell Medical Center Kostiv, Alex -MD NOT COVERED Condell Medical Center Kotis, Andrew -DO COVERED UNDER FAP Condell Medical Center Kovacic, Katherine -PA COVERED UNDER FAP Condell Medical Center Krivickas, Paul -MD NOT COVERED Condell Medical Center Kroger, Elliott -MD NOT COVERED Condell Medical Center Krouleva, Rumyana -NP NOT COVERED Condell Medical Center Kruper, Gregory -MD NOT COVERED Condell Medical Center Kulach, Emanuela -DO NOT COVERED Condell Medical Center Kumar, Yoginder -MD NOT COVERED Condell Medical Center Kummerer, Robert -MD NOT COVERED Condell Medical Center Kurko, Peter -MD NOT COVERED Condell Medical Center Kutty, Rafiq -MD NOT COVERED Condell Medical Center Kuyzin, Lanis -MD NOT COVERED Condell Medical Center Kwiecinski, Mary Gail -DPM NOT COVERED Condell Medical Center Kyncl, John -MD NOT COVERED Condell Medical Center Kyncl, Miloslava -MD NOT COVERED Condell Medical Center Lake County Acute Care, LLP NOT COVERED Condell Medical Center Lake County Anesthesiologists, Ltd NOT COVERED Condell Medical Center Lake County Head & Neck Specialists, SC NOT COVERED Condell Medical Center Lake County Internal Medicine Associates NOT COVERED Condell Medical Center Lake County Medical Group NOT COVERED Condell Medical Center Lake County Neurological Assoc Ltd NOT COVERED Condell Medical Center Lake County Plastic Surgery NOT COVERED Condell Medical Center Lake County Surgeons, PC NOT COVERED Condell Medical Center Lake Forest Acute Care NOT COVERED Condell Medical Center Lake Forest Ear, Nose and Throat, LTD NOT COVERED Condell Medical Center Lake Forest Internal Medicine NOT COVERED Condell Medical Center Lake Heart Specialists NOT COVERED Condell Medical Center Lake Shore Dermatology NOT COVERED Condell Medical Center Lakeside Dermatology NOT COVERED Condell Medical Center Lang, David -DO NOT COVERED

Page 49 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center Lanoff, Martin -MD NOT COVERED Condell Medical Center Lark, Erin -NP NOT COVERED Condell Medical Center Larson, Patricia -MD NOT COVERED Condell Medical Center Le, Chuong -MD NOT COVERED Condell Medical Center Lee, David -MD NOT COVERED Condell Medical Center Lee, Sean -MD NOT COVERED Condell Medical Center Leventis, John -MD NOT COVERED Condell Medical Center Levin, Jay -MD NOT COVERED Condell Medical Center Levitin, Yelena -MD NOT COVERED Condell Medical Center LG Healthcare, LLC NOT COVERED Condell Medical Center Libertyville OB/GYN, SC NOT COVERED Condell Medical Center Libertyville Oral Surgery NOT COVERED Condell Medical Center Liebovich, Kevin -MD NOT COVERED Condell Medical Center Liesen, Daniel -MD NOT COVERED Condell Medical Center Lindenhurst Pediatrics NOT COVERED Condell Medical Center Lindstrom, Martha -NP NOT COVERED Condell Medical Center Lira, Kristine -NP COVERED UNDER FAP Condell Medical Center Lisa Sullivan, MD, SC NOT COVERED Condell Medical Center Lisuzzo, Anthony -PA COVERED UNDER FAP Condell Medical Center Lodd Medical Group SC NOT COVERED Condell Medical Center Lodd, Shubhangi -MD NOT COVERED Condell Medical Center Logue, Edward -MD NOT COVERED Condell Medical Center Lotharius, Edythe -MD NOT COVERED Condell Medical Center Lotts, Wendy -MD COVERED UNDER FAP Condell Medical Center Loud, Holly -DO NOT COVERED Condell Medical Center Louis, Demetrios -MD NOT COVERED Condell Medical Center Lu, Leonard -MD NOT COVERED Condell Medical Center Luecking, Jane -MD COVERED UNDER FAP Condell Medical Center Luger, Gerald -MD NOT COVERED Condell Medical Center Lukose, Meriam -PA NOT COVERED Condell Medical Center Ly, Justin -MD NOT COVERED Condell Medical Center Lynch, Daniel -MD NOT COVERED Condell Medical Center Mackendrick, William -MD NOT COVERED Condell Medical Center Madhani, Ajay -MD NOT COVERED Condell Medical Center Major, Klara -NP COVERED UNDER FAP Condell Medical Center Makda, Junaid -MD COVERED UNDER FAP Condell Medical Center Malhotra, Kavin -MD NOT COVERED Condell Medical Center Malloy, Robert -MD NOT COVERED Condell Medical Center Maloney, William -MD NOT COVERED Condell Medical Center Mangruen, Donna -CNS NOT COVERED Condell Medical Center Mann, Anuradha -MD NOT COVERED Condell Medical Center Mann, Shelly -MD NOT COVERED Condell Medical Center Manquen, Louis -MD NOT COVERED Condell Medical Center Maqbool, Asia -MD NOT COVERED Condell Medical Center Margolin, Richard -DO NOT COVERED Condell Medical Center Margules, Kenneth -MD NOT COVERED Condell Medical Center Marinello, Michael -MD NOT COVERED Condell Medical Center Markaryan, Violetta -NP NOT COVERED Condell Medical Center Marquardt, Steven -MD NOT COVERED Condell Medical Center Marsiglia, Paul -DO NOT COVERED Condell Medical Center Martinez, William -MD NOT COVERED Condell Medical Center Mary Gail Kwiecinski, DPM, PC NOT COVERED Condell Medical Center Mass, Mark -MD NOT COVERED Condell Medical Center Matseshe, John -MD NOT COVERED Condell Medical Center May, Heather -NP NOT COVERED Condell Medical Center Mazur, Patrycja -NP NOT COVERED Condell Medical Center McCauley, Katharine -CRNA NOT COVERED Condell Medical Center McConn, Timothy -DPM NOT COVERED

Page 50 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center McConnehey, Kelli -PA NOT COVERED Condell Medical Center McGaha, Ruth -NP NOT COVERED Condell Medical Center McKenzie, Lindsay -NP COVERED UNDER FAP Condell Medical Center McMahon, Abby -NP NOT COVERED Condell Medical Center McMurtry, Stacie -MD NOT COVERED Condell Medical Center Medical Arts Unlimited, Corp NOT COVERED Condell Medical Center Mehta, Amit -MD NOT COVERED Condell Medical Center Mehta, Nilesh -MD NOT COVERED Condell Medical Center Meis, Joseph -MD COVERED UNDER FAP Condell Medical Center Mekki, Yasir -MD NOT COVERED Condell Medical Center Mensheha, Oksana -MD NOT COVERED Condell Medical Center Messinger, Jeremy -NP NOT COVERED Condell Medical Center Metro Infectious Disease Consultants, LLC NOT COVERED Condell Medical Center Middleton, Rannveig -MD NOT COVERED Condell Medical Center Midwest Anesthesia Partners, LLC NOT COVERED Condell Medical Center Midwest Anesthesia Partners, Ltd NOT COVERED Condell Medical Center Midwest Center for Women's HealthCare, Ltd NOT COVERED Condell Medical Center Midwest Diagnostic Pathology, SC NOT COVERED Condell Medical Center Midwest Sleep Institute NOT COVERED Condell Medical Center Midwestern Institute of Health, Ltd NOT COVERED Condell Medical Center Mihalcik, Stephen -MD NOT COVERED Condell Medical Center Mila-Marie Kyncl, MD, SC NOT COVERED Condell Medical Center Milejczyk, Mariusz -MD NOT COVERED Condell Medical Center Mileos, Chris -CRNA NOT COVERED Condell Medical Center Millard, M Dietra -MD NOT COVERED Condell Medical Center Miller, Elliot -MD NOT COVERED Condell Medical Center Miller, Scott -MD NOT COVERED Condell Medical Center Milman, Julia -MD NOT COVERED Condell Medical Center Mirza, Wajahat -MD NOT COVERED Condell Medical Center Mitchell, Jessica -MD COVERED UNDER FAP Condell Medical Center Mjukian, Maral -NP NOT COVERED Condell Medical Center Monarca, Arnel -SA NOT COVERED Condell Medical Center Montes, Faye -MD NOT COVERED Condell Medical Center Morcott, Scott -MD NOT COVERED Condell Medical Center Morrison, Eileen -MD NOT COVERED Condell Medical Center Mougolias, Dimitrios -MD NOT COVERED Condell Medical Center Mukherjee, Soma -MD NOT COVERED Condell Medical Center Mun, Joseph -MD NOT COVERED Condell Medical Center Mundelein Pediatrics, SC NOT COVERED Condell Medical Center Muni, Joyce -MD NOT COVERED Condell Medical Center Munir, Jawad -MD NOT COVERED Condell Medical Center Munson, Robert -MD NOT COVERED Condell Medical Center Murad, Faris -MD NOT COVERED Condell Medical Center Mysiak, Waldemar -MD NOT COVERED Condell Medical Center Nahlawi, Maher -MD NOT COVERED Condell Medical Center Nakanishi, Akemi -MD NOT COVERED Condell Medical Center Narang, Shweta -MD NOT COVERED Condell Medical Center Neault, Mark -MD COVERED UNDER FAP Condell Medical Center Nelson, Erik -MD NOT COVERED Condell Medical Center Nemickas, Tomas -MD NOT COVERED Condell Medical Center Nephrology Associates of Northern Illinois, LTD NOT COVERED Condell Medical Center Nephrology Associates of Northern Illinois,Ltd NOT COVERED Condell Medical Center Neuropsychological Service, PC NOT COVERED Condell Medical Center Nho, Jai Jung -MD NOT COVERED Condell Medical Center Nieciunski, Agnieszka -NP NOT COVERED Condell Medical Center Nisipeanu, Oana -MD COVERED UNDER FAP Condell Medical Center Nixon, Linda -NP NOT COVERED Condell Medical Center Njoku, Emmanuel -MD NOT COVERED

Page 51 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center North Lake Cardiovascular Center, PC NOT COVERED Condell Medical Center North Shore Advanced Surgery, SC NOT COVERED Condell Medical Center North Shore Allergy & Asthma, SC NOT COVERED Condell Medical Center North Shore Consultants in Ob/Gyn, SC NOT COVERED Condell Medical Center North Shore Glaucoma Center NOT COVERED Condell Medical Center North Shore Medical Practice NOT COVERED Condell Medical Center North Shore Primary Care NOT COVERED Condell Medical Center North Shore Urogynecology, LTD NOT COVERED Condell Medical Center North Suburban Dermatology Associates NOT COVERED Condell Medical Center North Suburban Family Healthcare, SC NOT COVERED Condell Medical Center North Suburban Healthcare, Ltd NOT COVERED Condell Medical Center North Suburban Medical Office, Ltd NOT COVERED Condell Medical Center Northern Illinois Eye Clinic, LLC NOT COVERED Condell Medical Center Northshore Dermatology Center, SC NOT COVERED Condell Medical Center NorthShore Medical Group NOT COVERED Condell Medical Center NorthShore University Health System NOT COVERED Condell Medical Center Northwest Neurology, Ltd NOT COVERED Condell Medical Center Northwest Suburban Pain Associates NOT COVERED Condell Medical Center Northwestern Medical Group NOT COVERED Condell Medical Center Oberhaus, Jasmina -DO NOT COVERED Condell Medical Center OB-Gyne Associates of Libertyville, SC NOT COVERED Condell Medical Center Obrero, Benz -NP NOT COVERED Condell Medical Center O'Brien, Alejandra -MD NOT COVERED Condell Medical Center O'Brien, Maureen -NP COVERED UNDER FAP Condell Medical Center O'Bryan, Sophia -PA NOT COVERED Condell Medical Center Oczko-Danguilan, Agata -MD NOT COVERED Condell Medical Center Oest, Angela -PA NOT COVERED Condell Medical Center Ogden Professional Center NOT COVERED Condell Medical Center Okoli, Anwuli -MD NOT COVERED Condell Medical Center Okonkwo, Adaora -MD NOT COVERED Condell Medical Center Oksana Mensheha MD, SC NOT COVERED Condell Medical Center Oppenheim, David -MD NOT COVERED Condell Medical Center Orchard Medical Center, SC NOT COVERED Condell Medical Center Orenstein, Sabrina -MD NOT COVERED Condell Medical Center Oscar S. Giron, MD, SC NOT COVERED Condell Medical Center Otto, Scott -MD NOT COVERED Condell Medical Center Pacheco, Frances -PsyD NOT COVERED Condell Medical Center Padovano, Vincenzo -MD NOT COVERED Condell Medical Center Pahl, Cheryl -CNS NOT COVERED Condell Medical Center Panov, Ilia -CRNA NOT COVERED Condell Medical Center Papesch, James -MD NOT COVERED Condell Medical Center Parag Thakkar MD, SC NOT COVERED Condell Medical Center Parikh, Amit -DO NOT COVERED Condell Medical Center Parikh, Rhutav -MD NOT COVERED Condell Medical Center Park, Christopher -MD NOT COVERED Condell Medical Center Park, Kelly -MD NOT COVERED Condell Medical Center Pascua, Jon -MD COVERED UNDER FAP Condell Medical Center Patel, Alpesh -MD NOT COVERED Condell Medical Center Patel, Ashish -MD NOT COVERED Condell Medical Center Patel, Sohal -MD NOT COVERED Condell Medical Center Patel, Sutchin -MD NOT COVERED Condell Medical Center Patricia A. Larson, M.D. & Associates P.C. NOT COVERED Condell Medical Center Patzik, Shayle -MD NOT COVERED Condell Medical Center Paul, Michael -MD COVERED UNDER FAP Condell Medical Center Pavlatos, Christ -MD NOT COVERED Condell Medical Center Pearlman, Julie -MD NOT COVERED Condell Medical Center Pearlman, Michael -MD NOT COVERED Condell Medical Center Peck-Rosen, Lisa -MD COVERED UNDER FAP

Page 52 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center Pediatric Partners NOT COVERED Condell Medical Center PediaTrust, LLC NOT COVERED Condell Medical Center Peel, Avanee -MD NOT COVERED Condell Medical Center Pellerite, Matthew -MD NOT COVERED Condell Medical Center Perlis, Cheryl -MD NOT COVERED Condell Medical Center Peterson, Allison -CRNA NOT COVERED Condell Medical Center Phadke, Ashok -MD NOT COVERED Condell Medical Center Piotrowski, John -MD NOT COVERED Condell Medical Center Plunkett, Beth -MD NOT COVERED Condell Medical Center Podolskiy, Aleksandr -MD NOT COVERED Condell Medical Center Pollock, Max -MD NOT COVERED Condell Medical Center Pomeranets, Eugene -MD NOT COVERED Condell Medical Center Poole, Kevin -PA NOT COVERED Condell Medical Center Porter, Caitlin -PA NOT COVERED Condell Medical Center Potermin, Alexander -MD NOT COVERED Condell Medical Center PrairieShore Pain Center, PC NOT COVERED Condell Medical Center Preskill, David -MD NOT COVERED Condell Medical Center Priola, Victoria -PsyD NOT COVERED Condell Medical Center Provida Health Center, SC NOT COVERED Condell Medical Center Prunskis, John -MD NOT COVERED Condell Medical Center Pulla, Ganesh -MD NOT COVERED Condell Medical Center Pulmonary Medicine Associates NOT COVERED Condell Medical Center Puthenveetil, Peter -MD NOT COVERED Condell Medical Center Quertermous, James -MD NOT COVERED Condell Medical Center Rabinowe, Steven -MD NOT COVERED Condell Medical Center Radiation Oncology Consultants Ltd NOT COVERED Condell Medical Center Ramaeker, Alison -PA NOT COVERED Condell Medical Center Rao, Rumya -MD NOT COVERED Condell Medical Center Raut, Swati -MD NOT COVERED Condell Medical Center Ravage, Zac -MD NOT COVERED Condell Medical Center Real Time Neuromonitoring Associates of CA, PC NOT COVERED Condell Medical Center Recker, Lori -PA COVERED UNDER FAP Condell Medical Center Reddy, Geetha -MD NOT COVERED Condell Medical Center Reinglass, Steven -MD NOT COVERED Condell Medical Center Rene, Martin -MD NOT COVERED Condell Medical Center Retina Institute of Illinois, PC NOT COVERED Condell Medical Center Riad, Shareef -MD NOT COVERED Condell Medical Center Ritacca Cosmetic Surgery & Medspa, Ltd NOT COVERED Condell Medical Center Rizvi, Asghar -MD NOT COVERED Condell Medical Center Robert S. Baker, MD, Ltd NOT COVERED Condell Medical Center Robinson, Barrett -MD NOT COVERED Condell Medical Center Robinson, Richmond -DPM NOT COVERED Condell Medical Center Roden, Lynda -DO COVERED UNDER FAP Condell Medical Center Rojas, Benjamin -DO NOT COVERED Condell Medical Center Ron, Jennifer -MD NOT COVERED Condell Medical Center Rosalind Franklin University Health System NOT COVERED Condell Medical Center Rosen, Gregory -MD NOT COVERED Condell Medical Center Rosenberg, Fred -MD NOT COVERED Condell Medical Center Rosenberg, Jonathan -MD NOT COVERED Condell Medical Center Rosenberg, Robert -MD NOT COVERED Condell Medical Center Rozenfeld, Michael -DO NOT COVERED Condell Medical Center Rubin, Mark -MD NOT COVERED Condell Medical Center Rubinstein, Adam -MD NOT COVERED Condell Medical Center Rudnik, Paula -MD NOT COVERED Condell Medical Center Ruhnke, Earle -PsyD NOT COVERED Condell Medical Center Saeed, Yumna -MD NOT COVERED Condell Medical Center Saffrin, Robert -MD NOT COVERED Condell Medical Center Salazar, Luis -MD NOT COVERED

Page 53 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center Saleki-Hadavand, Armita -NP COVERED UNDER FAP Condell Medical Center Samelson, Timothy -MD NOT COVERED Condell Medical Center Sara R. Vegh, MD, SC NOT COVERED Condell Medical Center Sauer, Julianne -PA NOT COVERED Condell Medical Center Savino, Angelo -MD NOT COVERED Condell Medical Center Savitt, Michael -MD NOT COVERED Condell Medical Center Schaefer, Jennifer -MD NOT COVERED Condell Medical Center Schaeffer, Kelly -NP NOT COVERED Condell Medical Center Schafer, David -MD NOT COVERED Condell Medical Center Scheer Surgical, SC NOT COVERED Condell Medical Center Scheer, Michael -MD NOT COVERED Condell Medical Center Schiller, Carol -MD NOT COVERED Condell Medical Center Schmidt, Courtney -NP NOT COVERED Condell Medical Center Schmidt, Valerie -DO NOT COVERED Condell Medical Center Schmitz, Stacy -PA NOT COVERED Condell Medical Center Schoellerman, Manal -MD NOT COVERED Condell Medical Center Scholl Foot and Ankle Center NOT COVERED Condell Medical Center Schreiber, Sheri -MD NOT COVERED Condell Medical Center Schubert, Steven -MD NOT COVERED Condell Medical Center Schulman, Zara -MD NOT COVERED Condell Medical Center Schwartz, Brian -MD NOT COVERED Condell Medical Center Seba, Amber -MD COVERED UNDER FAP Condell Medical Center Sefton, Jessica -PA NOT COVERED Condell Medical Center Sekharan, Mathangi -MD NOT COVERED Condell Medical Center Senno, Ricardo -MD NOT COVERED Condell Medical Center SennoGroup - Wellness & Rehabilitation NOT COVERED Condell Medical Center Senthilkumar, Arouna -MD NOT COVERED Condell Medical Center Seskiewicz, Kathy -MD NOT COVERED Condell Medical Center Sgarlata, Natalie -MD COVERED UNDER FAP Condell Medical Center Shah, Dilip -MD NOT COVERED Condell Medical Center Shah, Jai -MD NOT COVERED Condell Medical Center Shah, Parthiv -MD NOT COVERED Condell Medical Center Shah, Roma -NP NOT COVERED Condell Medical Center Shakir, Zaid -MD NOT COVERED Condell Medical Center Shane, Nathan -DPM NOT COVERED Condell Medical Center Shanker, David -MD NOT COVERED Condell Medical Center Shapiro, Mishail -DO NOT COVERED Condell Medical Center Sharpless, Sonya -MD NOT COVERED Condell Medical Center Shenfeld, Ronald -MD NOT COVERED Condell Medical Center Shevlyagin, Sergei -MD NOT COVERED Condell Medical Center Shklyar, Yury -MD NOT COVERED Condell Medical Center Short, Lawrence -DPM NOT COVERED Condell Medical Center Siegel, Aaron -MD NOT COVERED Condell Medical Center Silberman, Carl -MD NOT COVERED Condell Medical Center Simpson, Dustin -MD NOT COVERED Condell Medical Center Sirota, Susan -MD NOT COVERED Condell Medical Center Sivasubramanian, Geetha -MD NOT COVERED Condell Medical Center Skala, Taylor -PA COVERED UNDER FAP Condell Medical Center Slivnick, David -MD COVERED UNDER FAP Condell Medical Center Sobhy, Taher -MD NOT COVERED Condell Medical Center Soifer, Elizabeth -DO NOT COVERED Condell Medical Center Sonenthal, Kathy -MD NOT COVERED Condell Medical Center Song, Scott -MD NOT COVERED Condell Medical Center Sorensen, Matthew -DPM NOT COVERED Condell Medical Center Soto, Eliezer -MD NOT COVERED Condell Medical Center Spellman, Adriana -MD NOT COVERED Condell Medical Center Srinivasan, Lavanya -MD NOT COVERED Condell Medical Center StatRad NOT COVERED

Page 54 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center Steele, Shawn -SA NOT COVERED Condell Medical Center Stegemann, Anna -DO NOT COVERED Condell Medical Center Steinberg, Lon -MD NOT COVERED Condell Medical Center Strohmayer, Paul -MD NOT COVERED Condell Medical Center Stucky, Amanda -PA NOT COVERED Condell Medical Center Suburban Neonatal, Ltd NOT COVERED Condell Medical Center Suburban Surgical Specialists NOT COVERED Condell Medical Center Sujata, Leon -MD NOT COVERED Condell Medical Center Sullivan, Lisa -MD NOT COVERED Condell Medical Center Summerville, Bruce -MD NOT COVERED Condell Medical Center Surgeons of Lake County LLC NOT COVERED Condell Medical Center Surowiec, Daniel -DPM NOT COVERED Condell Medical Center Surya Medical Group, SC NOT COVERED Condell Medical Center Susie Lattner, Debra -MD NOT COVERED Condell Medical Center Swaminathan, Bharathi -MD NOT COVERED Condell Medical Center Swanson, Christina -MD COVERED UNDER FAP Condell Medical Center Swanson, Christine -NP NOT COVERED Condell Medical Center Swarbrick, Kimberly -PA NOT COVERED Condell Medical Center Tack, Paul -MD NOT COVERED Condell Medical Center Tack, Stanford -MD NOT COVERED Condell Medical Center Taha, Rami -MD NOT COVERED Condell Medical Center Taiberg, Leo -MD NOT COVERED Condell Medical Center Tainsh, Cynthia -MD NOT COVERED Condell Medical Center Talerico, Kathryn -MD NOT COVERED Condell Medical Center Talerico, Marcus -MD COVERED UNDER FAP Condell Medical Center Tan, Samantha -NP NOT COVERED Condell Medical Center Tarasov, Eugene -DO NOT COVERED Condell Medical Center Tasiopoulos, John -DO NOT COVERED Condell Medical Center Tenoso, Marson -MD NOT COVERED Condell Medical Center Terrasse, Anthony -MD NOT COVERED Condell Medical Center Thadani, Peter -MD NOT COVERED Condell Medical Center Thakkar, Parag -MD NOT COVERED Condell Medical Center Thao Nguyen Tran, MD, SC NOT COVERED Condell Medical Center The American Center for Spine & Neurosurgery, LLC NOT COVERED Condell Medical Center The Center for Internal Medicine NOT COVERED Condell Medical Center The Center for Sleep Medicine NOT COVERED Condell Medical Center The Family Stress Clinic, Ltd. NOT COVERED Condell Medical Center Thomas, David -MD NOT COVERED Condell Medical Center Thomas, Isaac -MD NOT COVERED Condell Medical Center Thomas, Jaya -MD NOT COVERED Condell Medical Center Thomson, Matthew -MD NOT COVERED Condell Medical Center Thunga, Raghavender -MD NOT COVERED Condell Medical Center Tien, Shelly -MD NOT COVERED Condell Medical Center Tijunelis, Aras -MD NOT COVERED Condell Medical Center Timoshevskaya, Irina -PA NOT COVERED Condell Medical Center Tolomeo, Valerie -PA NOT COVERED Condell Medical Center Total Womens Healthcare NOT COVERED Condell Medical Center Towle, Lauren -MD NOT COVERED Condell Medical Center Tran, Nha -MD NOT COVERED Condell Medical Center Tran, Thao -MD NOT COVERED Condell Medical Center Tresley, Daniel -MD NOT COVERED Condell Medical Center Trevick, Stephen -MD NOT COVERED Condell Medical Center Trivedi, Ashka -DPM NOT COVERED Condell Medical Center Trob, Joshua -MD NOT COVERED Condell Medical Center Tumulak, Jose -CRNA NOT COVERED Condell Medical Center Ulyanov, Vladimir -MD NOT COVERED Condell Medical Center Ulyanova, Olga -MD NOT COVERED Condell Medical Center University Foot Associates NOT COVERED

Page 55 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center Upadhyay, Nandini -MD COVERED UNDER FAP Condell Medical Center Uropartners, LLC NOT COVERED Condell Medical Center Uyenishi, Molly -PA NOT COVERED Condell Medical Center Valente, Martin -MD NOT COVERED Condell Medical Center Valente, Matthew -MD NOT COVERED Condell Medical Center Van De Hey, Jordin -PA NOT COVERED Condell Medical Center Vaselakos, Mark -DO NOT COVERED Condell Medical Center Vaughn, Eric -MD NOT COVERED Condell Medical Center Vayl, Gregory -CRNA NOT COVERED Condell Medical Center Vegh, Sara -MD NOT COVERED Condell Medical Center Velotta, Emily -MD NOT COVERED Condell Medical Center Venetos, Tina -MD NOT COVERED Condell Medical Center Vercillo, Kristin -MD NOT COVERED Condell Medical Center Verma, Vishal -MD NOT COVERED Condell Medical Center Vernon Hills Medical Center NOT COVERED Condell Medical Center Villaceran, Richard -NP NOT COVERED Condell Medical Center Vista Physician Group NOT COVERED Condell Medical Center Vora, Anand -MD NOT COVERED Condell Medical Center Vorel, Alyssa -PA NOT COVERED Condell Medical Center Vridhachalam, Sanjeevi -MD NOT COVERED Condell Medical Center Wafai, A. -MD NOT COVERED Condell Medical Center Wagner, Ermil -DO NOT COVERED Condell Medical Center Wait, Cynthia -MD NOT COVERED Condell Medical Center Wajahat Mirza, MD, SC NOT COVERED Condell Medical Center Walton, Haley -PA NOT COVERED Condell Medical Center Watson, William -MD NOT COVERED Condell Medical Center Waukegan Clinic-Family Medicine NOT COVERED Condell Medical Center Waukegan Clinic-Internal Medicine NOT COVERED Condell Medical Center Waukegan Clinic-OHANI NOT COVERED Condell Medical Center Waukegan Clinic-Pulmonary NOT COVERED Condell Medical Center Waukegan Immediate Care NOT COVERED Condell Medical Center Weil Foot and Ankle Institute NOT COVERED Condell Medical Center Weiss, Shana -MD NOT COVERED Condell Medical Center Wessel, Matthew -MD NOT COVERED Condell Medical Center Whitt, Alesia -NP NOT COVERED Condell Medical Center William A. Martinez, MD, SC NOT COVERED Condell Medical Center Willow Oak Pediatrics NOT COVERED Condell Medical Center Winchester Medical Group, SC NOT COVERED Condell Medical Center Winiger, Deborah -MD NOT COVERED Condell Medical Center Winters, Griff -DPM NOT COVERED Condell Medical Center Witzel, Steven -MD COVERED UNDER FAP Condell Medical Center Wojtowicz, Sarah -NP NOT COVERED Condell Medical Center Wolf, Robert -MD COVERED UNDER FAP Condell Medical Center Wolford, Holly -NP NOT COVERED Condell Medical Center Women's Health Partners NOT COVERED Condell Medical Center Wong, Sarah -MD NOT COVERED Condell Medical Center Wu, Stephanie -DPM NOT COVERED Condell Medical Center Yaacoub, Chadi -MD NOT COVERED Condell Medical Center Yango-Eugenio, Maria Cynthia -MD NOT COVERED Condell Medical Center Yasir A. Mekki MD, SC NOT COVERED Condell Medical Center Yau, Sydney -DPM NOT COVERED Condell Medical Center Yorro, Dionisio -MD NOT COVERED Condell Medical Center Yury M. Shklyar, M.D., P.C. NOT COVERED Condell Medical Center Zaidi, Farhan -MD NOT COVERED Condell Medical Center Zamora, Julie -NP NOT COVERED Condell Medical Center Zaret, Phillip -MD NOT COVERED Condell Medical Center Zartaisky, Alexander -MD NOT COVERED Condell Medical Center Zdon, Michael -MD NOT COVERED

Page 56 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Condell Medical Center Zegrean, Anca -MD NOT COVERED Condell Medical Center Zick, Robert -MD NOT COVERED Condell Medical Center Zoellick, David -MD NOT COVERED Condell Medical Center Zorn, Shannon -PA COVERED UNDER FAP Condell Medical Center Zweig, Noel -MD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Abbas, Huma -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Abogunrin, Oluwakemi -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Abrams, Barry -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Adighibe, Nnebuife -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group - Burbank - Palliative Medicine COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group - Chicago - 918 West Montrose - Immediate Care COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group - Downers Grove - 1441 Branding COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group - Downers Grove 1441 Branding COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group - Oak Lawn - 4440 West 95th Street - Palliative Care COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group - Park Ridge - 1775 Dempster Street - Employee Health COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Aurora COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Berwyn COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Bolingbrook COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Calumet City COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Carol Stream COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Chicago 55th Street COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Chicago 95th Street COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Chicago Clark Street COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Chicago Fullerton Avenue COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Chicago King Drive COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Chicago Milwaukee Avenue COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Chicago Monroe St COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Chicago Ridge Avenue COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Chicago State St COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Chicago Wells Street COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Chicago Western Avenue COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Downers Grove COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Glen Ellyn COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Hanover Park COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Lake Zurich COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Lyons COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Mokena COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Montgomery COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Naperville 87th Street COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Naperville Book Road COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Oak Lawn COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Oak Park COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Orland Park COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Plainfield 135th Street COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Plainfield Caton Farm Road COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic River Forest COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Romeoville COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic St. Charles COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Sycamore COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Villa Park COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Westmont COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Advocate Clinic Yorkville COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Beverly COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Burbank COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Evergreen COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Halsted and Blackhawk COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Hospitalist COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Immediate Care/ Occ Medicine COVERED UNDER FAP

Page 57 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Logan Square COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Millennium Park COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Olympia Fields Vollmer COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Orland Park COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Pain Management COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Palos COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group South Holland COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Sykes COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group Sykes Hospitalist COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group-Lombard-Roosevelt Road COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Medical Group-Oak Lawn-9555 S. 52nd Ave-Immediate Care COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Occupational Governor's State University COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Occupational Health IMMC COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Occupational Health Lake Zurich COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Occupational Health-Downers Grove COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Occupational Health-Elk Grove COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Occupational Health-Hazel Crest COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Occupational Health-Libertville COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Advocate Occupational Health-Niles COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Akkawi, Joyal -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Alberti, Lawrence -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Alexander, Jessie -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Alexander, Nicole -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ali, Mohammed -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ali, Syeda -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Alvarez, Liliana -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Angderson, Christie -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Armstrong, Centuria -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Arora, Rachna -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Arroyo, Gerry -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Arzadon-Mercado, Maria -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Asya, Miriam -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Augusthy, Reggie -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Aulert, Michael -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Austermuehle, Patricia -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Austin, Jill -DPM COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Avila, Lucila -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ayanlaja, Habiba -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Baboulas, Diane -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bahena, Diana -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bajwa, Tehmina -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Baker, Mary -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bansal, Amar -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bara, Jessica -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Baron, Valerie -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bell, Evelyn -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bendis, Malia -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Benes, Maylene -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Benson, Irene -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Benson, Shelley -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Benton, Linda -LCSW COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Benton, Linda -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Benziger, Keith -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Best, Melissa -PA NOT COVERED Dreyer, Walgreens and other Clinic Physicians Beyers, Dana -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians Bibbs, Diana-Marie -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bienia, Kathleen -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bingham, Wendy -NP COVERED UNDER FAP

Page 58 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Dreyer, Walgreens and other Clinic Physicians Blezien, Monica -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Blonsky, Adam -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bohringer, Rachel - NOT COVERED Dreyer, Walgreens and other Clinic Physicians Bolger, Dave -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bolognani, Jennifer -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians Bonczak, Magdalena -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bosh, Ronald -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bowman, Gary -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bowman, Mark -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Branta, Jeffrey -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bretz, Karen -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Brito, Socrates -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Brookenthal, Heidi -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Brooks, Cassandra -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Brown, Josalynn -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians Buckner, Alma -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bulj, Tanya -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Burch, Patrice -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Burgner, Karen -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Burnham, Faye -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Bustamante, Vicky -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Byas, Robia -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Calvin, Patricia -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Cardinal, Colleen -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Carlson, Amy -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Carroll, Michele -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Castillo Jr., Bienvenido -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Castillo, Ramon -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Cave, Joni -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Chan, Joseph -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Chang, Titus -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Cheema, Jaskiran -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Chen, Sea -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Chicos, Diana -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Chivari, Sharron -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Choi, Mehee -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Chorvat, Karen -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Chow, Edmund -MD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Christofersen, Jon -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Chu, John -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Chua, Dave -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Closser, Meghan -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Cockrell-Tapalla, Amanda -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Coda, Joseph -PsyD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Colby, Terri -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Cole, Donna -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Collins, Michael -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Comer, Stephanie -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Cook, Tracie -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Corum, Amanda -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Cosgrove Counts, Kristen -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Crane, Jennifer -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Crang, Mary -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Crulcich, J. -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Cuasay, Thad -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Culberson, Cheryl -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Cupuro , Patricia -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Currie, La Verne -MD COVERED UNDER FAP

Page 59 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Dreyer, Walgreens and other Clinic Physicians Dagiantis, William -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dantzer, Michael -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dave, Shilpa -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Davies, Jeanine -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Davis, Nicole -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Davis, Nneka -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians De Boer, Erin -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dehnee, Cory -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Delgadillo, Leonor -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Denure, Bryan -LCPC NOT COVERED Dreyer, Walgreens and other Clinic Physicians Deol, Kiranjit -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dewberry-Lait, Mary -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Di Maria, Charisse -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Divakaruni, Naveen -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dixit, Sachin -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dmochowski, Jolanta -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dodhia, Navinchandra -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dolan, Theresa -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Domingo, Mariane -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians Dorman, Douglas -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dreyer Clinic - Batavia COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dreyer Clinic - Fox Valley COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dreyer Clinic - Highland COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dreyer Clinic - Hinckley COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dreyer Clinic - North Aurora COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dreyer Clinic - Oswego COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dreyer Clinic - Plainfield COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dreyer Clinic - Rush Copley COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dreyer Clinic - Sequoia COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dreyer Clinic - Yorkville COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dreyer, Roman -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Drynan, Kristin -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dudley, Catherine -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dumasia, Eva -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Dunne, Alexis -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Durski, Agnieszka -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Eckberg, Lorene -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Edwards, Touwanna -PsyD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Ehman, Bridget -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Elahi, Taj -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Elgar, Corissa -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Elliott, Erica -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Escobar, Bertha -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Eshbach, Julianna -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Eskew, Nina -LCPC NOT COVERED Dreyer, Walgreens and other Clinic Physicians Esslinger, Erica -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Estrada, Adam -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Evans, Matthew -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Fakhruddin, Atif -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Farquharson, Roger -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Fields, Karen -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Fila, Mandy - NOT COVERED Dreyer, Walgreens and other Clinic Physicians Fischer, Linda -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Fisher, Thomas -MD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Fitzpatrick, Marikay -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Foggs, Michael -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Frankel, Stephanie -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Funasaki-Fiene, Kristyn -PhD NOT COVERED

Page 60 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Dreyer, Walgreens and other Clinic Physicians Gadjev, Krastina -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians Gagner, Tara -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gajownik, Allison -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Galla Pagadala, Aruna -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gaynor, Bryan -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gazdziak, Nancy -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gendels, Suzanne -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gervasi, Kristen -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gettel, Erin -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gewarges, Paula -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ghafouri, Manijeh -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians Ghannam, Necholas -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gibb, Jennifer -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians Gill, Kimberly -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Glavin, Suzanne -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Glenn, Donald -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Glon, Raymond -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Glover, Janel -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Godoy-Romero, Ernesto -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Goel, Ankush -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gonzales, Jessica -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gordon, La Shawn -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gordon, Shina -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gorovits, Anatoly -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gottfried, Rhoda -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Granberry, Katherine -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Grant, Meagan -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Gray, Randall -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Greene, Andrew -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Greene, Tabatha -PsyD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Groen, Tiffany -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Groskopf, Lisa -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ha, Juhyun -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Habib, Ibrahim -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hackfort, Ann -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hackl, Megan -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hale, Chikira -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hampton, Tony -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Harnack, Steven -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Harris, Sandra -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hawkins-Smith, Betty -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hayes-Sharpley, Carol -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hebert, Loretta -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Heinisch, Edward -OD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Heist, Kurt -PsyD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Helon, Jessica -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Henderson, Heather -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Henderson, Rachel -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hernandez, Basil -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hetfield, Caroline -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hilby, Mariah -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hilgers, Marc -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hirsch, Marlyn -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hokl, Caroline -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Holgado-Cocjin, Maria -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Honasoge, Ananth -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hope, Katina -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Houlahan, Roy -MD COVERED UNDER FAP

Page 61 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Dreyer, Walgreens and other Clinic Physicians Howard, Danesha -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hubbard, Brian -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Huerta-Galvez, Imelda -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hughes, Kristi -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians Hulet, Jessica -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hussain, Asif -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hussain, Farah -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hynes, Kristy -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Hyrc, Teresa -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Iglesias, Ann -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ireland, Charles -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ireland, Robert -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Jackatey, Suzie -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Jacobs-El, Jamil -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Jacobson, Alan -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Jaffery, Maliha -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Jenkins, Rachel -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Johnson, Samantha -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Johnson, Tajuana -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Johnston, William -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Jones, Allison -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Jones, Jeanice -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Jones, Meghan -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Jones, Michelle -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Jordan, Dorene -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Jovanovich, Sonja -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Julka, Kabir -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kakodkar, Nisha -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kakodkar, Siddharth -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kampman, Bridget -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kandula, Aruna -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Karam, Maya -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Karesh, John -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Karlin, Fred -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Karnick, Paula -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians Katsigiannis, Joanna -PsyD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Kekish, Tosca -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kelly, Richard -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kelly, Victoria -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kelsey, John -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kemp, Anitra -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kersch, Richard -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kersten, Juliann -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Keske, Lisa -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Khan, Anjum -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Khan, Ruta -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Khan, Saba -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Khouchaba, Tina -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kinahan, Patricia -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kirk, Spencer -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kirkwood, Selena -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians Klaw, Erica -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Klingman, Sharon -LCPC NOT COVERED Dreyer, Walgreens and other Clinic Physicians Kluever, Mary -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Knospe, Sherrill -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Knox, Karen -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kouvelis, Katherine -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Krippner, Kevin -PhD NOT COVERED

Page 62 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Dreyer, Walgreens and other Clinic Physicians Krol, Laura -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Krolikowski, Laurie -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Kuehl, Ann -PA NOT COVERED Dreyer, Walgreens and other Clinic Physicians Kukulski, Laura -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kulczycki, Ted -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kumar, Ashwin -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Kwak, Sandy -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Lakhani, Aliya -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Langeland, Lori -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Lapetino, Shawn -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Lasi-Siddiqi, Shehla -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Law, Judy -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Le, Van -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Lee, Christine -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Lee, Frances -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Lee, Karen -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Lemon, Gail -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Leung, Dominic -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ligon, Samuel -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Lloyd, Mary -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Lopez, Jamie -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Low, Li Shien -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Madlangbayan, Julie -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Maher, Sharon -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Mahon, Melissa -PsyD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Malkani, Sunil -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Mallinger, Adam -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Maloney, Anna -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Markham, Colleen -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Marks, Nicole -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Marzec, Michael -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Matejcak, Colette -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Mazhar, Sameer -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians McClure, Michelle -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians McFarland, Constance -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians McGuire, Laura -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Mclean, Lauren -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Meier, James -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Melegos, Stavroula -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Merai, Parag -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Merrick, Maria -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Millas, Lee Anne -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Miller, Cheri -PsyD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Miller, Leanne -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Mills, Carolyn -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Mirza, Bina -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Miyamasu, Julie -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Mohsin, Ayeza -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Morgan, Sarah - NOT COVERED Dreyer, Walgreens and other Clinic Physicians Morker, Neha -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Morrell, Kalliope -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Morris, Jeffrey -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Mortland, Rebecca -PsyD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Morton, Jerry -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Motycka, Julie -MD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Moynihan, Cathy -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Mulder, Corlyne -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Murphy, Dennis -MD COVERED UNDER FAP

Page 63 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Dreyer, Walgreens and other Clinic Physicians Nabavi, Seyed Mahmoud -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Nam, Moon-woo -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Narahari, Sheetal -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Natarajan, Janaki -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Naugle, Andrea -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Netter, Molly -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians New, Melissa -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Newman, Edward -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Nfundoak, Manyi -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Nichols, Karen -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Niebur, Thomas -LCPC NOT COVERED Dreyer, Walgreens and other Clinic Physicians Niedergerke, Sarah -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Norberg, Lois -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Nuyles, Michael -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Nwakudu, Chiedza -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians O'Brien, William -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians O'Daniel, Joseph -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians O'Donnell Weiss, Mary -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians ODonnell, Marguerite -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians O'Donnell, Mary -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians O'Grady, Kathryn -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Oji, Chidinma -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ollee, Sharon -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Olmstead, David -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Olson, Patricia -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Oluwole, Olumide -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Oostman, Brian -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Osborne, Lori -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Otremba, Dorothy -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ow, Andrew -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Palmer, Shari -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Parcellano, Ria Luz -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Parekh, Shruti -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Parungao, Jenssen -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Patel, Bharti -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Patel, Dadhija -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Patel, Dipti -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Patel, Hina -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Patel, Mansi -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Patel, Pinkey -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Patel, Rutuja -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Pawlak, Andrea -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Pearson McCreary, Barbara -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Peoples, Pamela -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Perez, Irma -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Perisin, Kelly -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians Pershing, Rebekah -PsyD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Peterson, Mark -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Phelps, Nicole -DO NOT COVERED Dreyer, Walgreens and other Clinic Physicians Photowala, Fatema -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Piazza, Daniel -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Pistone, Christine -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Pitsilos, George -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Pokharna, Mandakini -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Polk, Joanna -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Poovathur, Tincy -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Poultney, Jody -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Prakash, Ravi -MD COVERED UNDER FAP

Page 64 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Dreyer, Walgreens and other Clinic Physicians Pranger, Andrea -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Pratt, Betty -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians Pratumngern, Guntippar -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Prewitt, Mary -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Puls, Richard -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Puri, Jignasa -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Qureshi, Amber -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Radville, Lisa -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Rafacz, Ewa -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Raheem, Mohammed -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Raigaga, Kumar -DPM COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Raimondi, Chantalle - NOT COVERED Dreyer, Walgreens and other Clinic Physicians Rajendran, Mallika -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ralyea, Elizabeth -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ramachandra, Divya - NOT COVERED Dreyer, Walgreens and other Clinic Physicians Ramirez, Danielle -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Renaud, Laura -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Richman, Michael -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Rivera, Jomarie Rose -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Robbin, Julia -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Robles, Yvonne -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Roche, Natalie -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Rogers, Cornelius -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Rogers, Ollie -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Rosenmann, Patricia -LCPC NOT COVERED Dreyer, Walgreens and other Clinic Physicians Rousseau, Layne -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ruane, Sean -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ruestow, Paul -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Rule, Colleen -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Rush-Drake, Suzette -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ryan, Kelly -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Salazar, Marisa -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians San Juan, April -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sarcu, David -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sarran, Susan -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Saujani, Lauren -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sayef, Nazneen -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Schilf, Candy -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Schulman, Rachel -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Scrima, Sylvia -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sedlacek, Julie -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sekhon, Sudhir -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Senseng, Daniel -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Serrato, Maribel -PsyD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Sethi, Mehak -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sethi, Romi -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sey, Nashira -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Shah, Jignasha -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Shah, Reena -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sharma, Rahul -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sharma, Sonia -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sherrell, Leon -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sherrow, Michael -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Shetty, Anisha -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Shieh, Sharon -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Siddiqui, Mohammed -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sidell, Linda -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sigl, Gordon -NP COVERED UNDER FAP

Page 65 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Dreyer, Walgreens and other Clinic Physicians Silver, Andrea -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Simkins, Kelly -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Simone, Amy -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sinatra, Shelly -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Singh, Raman -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sinnaeve, Erin -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Skurka, Jerome -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Smith , Ann - NOT COVERED Dreyer, Walgreens and other Clinic Physicians Smith, Lolita -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Smith, Sarah -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Smutny, Sylwia -PsyD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Solache, Heidi -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Sotolongo-Veras, Ramon -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sowa, Elizabeth -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Spanik, Carli -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Spelic, Robert -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sreerama, Shantala -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sroka, Jeffrey -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Stanley, Ava -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Stann-McCarthy, Tanya -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Stein, Adam -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Stoch, Agnes -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sulaver, Randy -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Summers, Carrie -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Sundar, Balakrishna -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sunil, Dhanya -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sweeney, Bryan -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Syed, Maaria -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Sylvester, Brent -PhD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Szuch, Neena -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Taha, Ibrahim -DPM COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Taylor, Jill -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Thakolkaran, Nimmy -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Thomas, Amy -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Thomas, Brendan -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Thomas-Craft, Lisa -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Toguem, Solange -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Tomur, Rashmi -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Trevino, Reyna -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Trost, Jennifer -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Trussell, Teresa -NP NOT COVERED Dreyer, Walgreens and other Clinic Physicians Van Loon, Lauren -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Vastola-Lewan, Bonnie -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Vaughn, Eboni -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Veldman, Mark -DO COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Verma, Priyadarshini -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Vicencio, Kenneth -PsyD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Vielgo, Arnulfo -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Vogel, Kristie -PA COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Waheed, Mona -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Weber, Kelly -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Weigt, Amelia -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Weiler, Keith -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Whereatt, Nancy -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians White, Thomas -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Wieland, Lisa -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Williams, Andrea -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Williams, Anthony -PA COVERED UNDER FAP

Page 66 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Dreyer, Walgreens and other Clinic Physicians Willis, Angela -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Willis, Christina -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Wilson, Alan -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Wojciak, Theresa -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Wolf, Steven -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Woodburn, Judy -PhD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Woroch, Ruth -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Wyka, Christine -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Yates, Isaure -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Yin, Jennifer -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Young, Julie -PsyD NOT COVERED Dreyer, Walgreens and other Clinic Physicians Zahatnansky, Juraj -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Zak, Angela -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Zerfowski, Jennifer -LCSW NOT COVERED Dreyer, Walgreens and other Clinic Physicians Zessemos, Olivia -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Zhang, Guoshi -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Zhang, Ying -MD COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Zhao, Lin -NP COVERED UNDER FAP Dreyer, Walgreens and other Clinic Physicians Ziegler, Dawn -NP COVERED UNDER FAP Eureka Hospital Advocate Eureka Hospital Family Practice - El Paso COVERED UNDER FAP Eureka Hospital Advocate Eureka Hospital Family Practice - Eureka COVERED UNDER FAP Eureka Hospital Advocate Medical Group - Normal - 1300 Franklin Ave - Hospitalists COVERED UNDER FAP Eureka Hospital Advocate Medical Group Emergency Medicine Eureka COVERED UNDER FAP Eureka Hospital Advocate Medical Group Roanoke COVERED UNDER FAP Eureka Hospital Advocate Medical Group Urgent Care/Occupational Medicine COVERED UNDER FAP Eureka Hospital Ahlers, Brandon -CRNA NOT COVERED Eureka Hospital Anesthesia Specialties Alliance NOT COVERED Eureka Hospital Associated Anesthesiologists, SC NOT COVERED Eureka Hospital Central Illinois Orthopedic Surgery, LLC NOT COVERED Eureka Hospital Chang, Jeffrey -MD NOT COVERED Eureka Hospital Chioni, Kristi -NP NOT COVERED Eureka Hospital DMH Millenium Pain Center NOT COVERED Eureka Hospital Dym, Jean-Paul -MD NOT COVERED Eureka Hospital Elsesser, Brian -CRNA NOT COVERED Eureka Hospital Endocrine & Diabetes, SC NOT COVERED Eureka Hospital Farmer, Alexandra -PA COVERED UNDER FAP Eureka Hospital Fogo, Shane -MD COVERED UNDER FAP Eureka Hospital Gerber, Benjamin -MD NOT COVERED Eureka Hospital Guardian Headache and Pain Management Institute, LLC NOT COVERED Eureka Hospital HSHS Medical Group NOT COVERED Eureka Hospital Hughes, Christopher -MD COVERED UNDER FAP Eureka Hospital Ifft, Keith -MD NOT COVERED Eureka Hospital Illinois Gastroenterology, Institute, SC NOT COVERED Eureka Hospital Jones, Steven -MD COVERED UNDER FAP Eureka Hospital Keedy, Michael -CRNA NOT COVERED Eureka Hospital Kell, John -MD COVERED UNDER FAP Eureka Hospital Kiefer-Griffin, Susan -CRNA NOT COVERED Eureka Hospital Kirkenir, Bradley -CRNA NOT COVERED Eureka Hospital Krishnan, Brinda -MD COVERED UNDER FAP Eureka Hospital Lakic, Tomislav -MD COVERED UNDER FAP Eureka Hospital Leman, Jeffrey -MD COVERED UNDER FAP Eureka Hospital Leverton, Samantha -NP NOT COVERED Eureka Hospital Midwest Mobile Anesthesia Consultants NOT COVERED Eureka Hospital Miller, David -MD COVERED UNDER FAP Eureka Hospital Mitchell, Philip -MD COVERED UNDER FAP Eureka Hospital Moon, Michael -DDS NOT COVERED Eureka Hospital OSF Medical Group - Surgery NOT COVERED Eureka Hospital Parkhe, Amit -NP COVERED UNDER FAP

Page 67 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Eureka Hospital Penn, Donald -MD NOT COVERED Eureka Hospital Perry, Dana -MD COVERED UNDER FAP Eureka Hospital Pieniazek, John -MD COVERED UNDER FAP Eureka Hospital Roach, Jason -PA NOT COVERED Eureka Hospital Shore, Brian -PA NOT COVERED Eureka Hospital Sudholt, Eric -DMD NOT COVERED Eureka Hospital Tanck, Allison -MD NOT COVERED Eureka Hospital Threm, Megan -NP NOT COVERED Eureka Hospital Vetri, Francesco -MD NOT COVERED Eureka Hospital Virtual Radiologic Professionals, LLC NOT COVERED Good Samaritan Hospital A Bella Baby OBGYN NOT COVERED Good Samaritan Hospital A2Z Care Med-Meds Specialist, PC NOT COVERED Good Samaritan Hospital Abramson, Simon -MD NOT COVERED Good Samaritan Hospital Abusuwwa, Raed -DO COVERED UNDER FAP Good Samaritan Hospital Academic Endocrine Metabolism & Nutrition, Inc. NOT COVERED Good Samaritan Hospital Adamsky, Melanie -MD NOT COVERED Good Samaritan Hospital Adamson, Cathy -NP COVERED UNDER FAP Good Samaritan Hospital Adnan, Mohammed -MD NOT COVERED Good Samaritan Hospital Adult Medicine Physicians NOT COVERED Good Samaritan Hospital Advance Inpatient Medicine NOT COVERED Good Samaritan Hospital Advanced Headache and NeuroCare Clinic NOT COVERED Good Samaritan Hospital Advanced Heart Lipid Clinic NOT COVERED Good Samaritan Hospital Advanced Oral & Maxillofacial Surgery NOT COVERED Good Samaritan Hospital Advanced Orthopedic and Spine Care, SC NOT COVERED Good Samaritan Hospital Advanced Rehabilitation Care, LLC NOT COVERED Good Samaritan Hospital Advanced Skin and Mohs Surgery Center NOT COVERED Good Samaritan Hospital Advocate Medical Group - Crystal Lake - Oncology COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group - Des Plaines - Rand Rd COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group - Downers Grove - 3551 Highland Ave - Neurosurgery COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group - Downers Grove - 3745 Highland - Oncology COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group - Downers Grove - 3825 Highland Ave - Palliative Care COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group - Naperville COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group - Park Ridge - 1875 Dempster - Neurosurgery COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group Advocate Clinic Downers Grove COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group Christ Peds Hospitalist COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group Downers Grove Family Med COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group Downers Grove Internal Med COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group Emergency Medicine COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group Hospitalists COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group Lombard - 500 East 22nd Street - Suite A COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group Midwest Heart Specialists COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group Nesset Post Acute Care Ntwk COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group Park Ridge 1875 Dempster Street Pediatric Neurosurgery COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group Parkside General Surgery COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group Trauma Surgery COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group-Downers Grove-1341 Warren Avenue COVERED UNDER FAP Good Samaritan Hospital Advocate Medical Group-Lombard-Roosevelt Road COVERED UNDER FAP Good Samaritan Hospital Aftab, Nozaina -MD NOT COVERED Good Samaritan Hospital Agha, Arif -MD NOT COVERED Good Samaritan Hospital Agha, Fariha -MD NOT COVERED Good Samaritan Hospital Agha, Rania -MD NOT COVERED Good Samaritan Hospital Agrawal, Lily -MD NOT COVERED Good Samaritan Hospital Ahmad, Afzal -CSA NOT COVERED Good Samaritan Hospital Ahmad, Saad -MD NOT COVERED Good Samaritan Hospital Ahmed, Iram -MD NOT COVERED Good Samaritan Hospital Ahmed, Mohammed -DO NOT COVERED Good Samaritan Hospital Ahn, Charles -MD NOT COVERED Good Samaritan Hospital Ahsan, Maleeha -MD COVERED UNDER FAP

Page 68 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Airan, Mohan -MD COVERED UNDER FAP Good Samaritan Hospital Ajmere, Reshma -MD NOT COVERED Good Samaritan Hospital Akhtar, Nomana -DO NOT COVERED Good Samaritan Hospital Akhtar, Nusrath -MD NOT COVERED Good Samaritan Hospital Akin-Olugbemi, Morounkeji -MD NOT COVERED Good Samaritan Hospital Akl, Nathalie -MD NOT COVERED Good Samaritan Hospital Akthar, Adil -MD NOT COVERED Good Samaritan Hospital Al Halabi, Shadi -MD NOT COVERED Good Samaritan Hospital Alasadi, Rameez -MD NOT COVERED Good Samaritan Hospital Alden, Kris -MD NOT COVERED Good Samaritan Hospital Alexander, Aristides -MD NOT COVERED Good Samaritan Hospital Alhussaini, Amer -MD NOT COVERED Good Samaritan Hospital Ali, Aman -MD COVERED UNDER FAP Good Samaritan Hospital Ali, Mustafa -MD NOT COVERED Good Samaritan Hospital Ali, Rafi -MD NOT COVERED Good Samaritan Hospital Ali, Sayeda-Fatima -MD NOT COVERED Good Samaritan Hospital Alia, Yazan -MD NOT COVERED Good Samaritan Hospital Aliga, Norman -MD NOT COVERED Good Samaritan Hospital AliNiazee, Mateen -MD NOT COVERED Good Samaritan Hospital Allergy & Asthma Associates of DuPage, PC NOT COVERED Good Samaritan Hospital Alonso, Oscar -MD NOT COVERED Good Samaritan Hospital Altergott, Rudolph -MD NOT COVERED Good Samaritan Hospital American Foot & Ankle Specialists, Ltd NOT COVERED Good Samaritan Hospital American Hip Institute NOT COVERED Good Samaritan Hospital AMG Neurosurgeons NOT COVERED Good Samaritan Hospital Amidei-Stefanik, Diana -NP COVERED UNDER FAP Good Samaritan Hospital Amin, Anish -MD COVERED UNDER FAP Good Samaritan Hospital Amin, Medha -MD NOT COVERED Good Samaritan Hospital Amita Health Medical Group - Woodridge MultiSpecialty Ambulatory Center NOT COVERED Good Samaritan Hospital Andreas, Julie -DPM NOT COVERED Good Samaritan Hospital Andrew A. Roth, MD, SC NOT COVERED Good Samaritan Hospital Andrise, Patricia -PhD NOT COVERED Good Samaritan Hospital Anesthesiologists, Ltd NOT COVERED Good Samaritan Hospital Angel Health Care services, S.C. NOT COVERED Good Samaritan Hospital Anliker, Luke -PA NOT COVERED Good Samaritan Hospital Antkowiak, Tomasz -MD NOT COVERED Good Samaritan Hospital Antoniolli, Michael -MD NOT COVERED Good Samaritan Hospital Anwar, Farzeen -PA NOT COVERED Good Samaritan Hospital Arain, Imtiaz -MD NOT COVERED Good Samaritan Hospital Arand, Walter -MD NOT COVERED Good Samaritan Hospital Ardon, Marjorie -MD NOT COVERED Good Samaritan Hospital Arenas, Aris -SA NOT COVERED Good Samaritan Hospital Arialis, Amy -MD COVERED UNDER FAP Good Samaritan Hospital Armitage Oral Surgery NOT COVERED Good Samaritan Hospital Arndt, Stephen -MD NOT COVERED Good Samaritan Hospital Arora, Hena -MD NOT COVERED Good Samaritan Hospital Arora, Vinay -MD NOT COVERED Good Samaritan Hospital Arora, Vipal -MD NOT COVERED Good Samaritan Hospital Arun Kumar, MD, SC NOT COVERED Good Samaritan Hospital Asman, Leah -DO NOT COVERED Good Samaritan Hospital Associated Physicians of Rehabilitation NOT COVERED Good Samaritan Hospital Associates in Gynecology, Ltd NOT COVERED Good Samaritan Hospital Atluri, Vyjayanthi -MD NOT COVERED Good Samaritan Hospital Attia Saad, Maged -MD NOT COVERED Good Samaritan Hospital Awad, Michael -DO NOT COVERED Good Samaritan Hospital Ayub, Nazia -MD NOT COVERED Good Samaritan Hospital Ayuste, Cathleen -MD NOT COVERED Good Samaritan Hospital Ayyagari, Susmita -MD NOT COVERED

Page 69 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Azuma, Dennis -MD COVERED UNDER FAP Good Samaritan Hospital Baber, Marcin -MD NOT COVERED Good Samaritan Hospital Bach, Harold -MD COVERED UNDER FAP Good Samaritan Hospital Bachra, Jaspreet -PA NOT COVERED Good Samaritan Hospital Bachrach, Laurie -MD NOT COVERED Good Samaritan Hospital Baig, Benazir -MD NOT COVERED Good Samaritan Hospital Bajaj, Ajay -MD NOT COVERED Good Samaritan Hospital Baker, Manisa -CNS NOT COVERED Good Samaritan Hospital Bakhos, Mamdouh -MD NOT COVERED Good Samaritan Hospital Balaney, Subhash -MD NOT COVERED Good Samaritan Hospital Balash, Jennifer -MD NOT COVERED Good Samaritan Hospital Baluchi Medical Group NOT COVERED Good Samaritan Hospital Banning, Michael -MD NOT COVERED Good Samaritan Hospital Bansore, Shamita -MD NOT COVERED Good Samaritan Hospital Banuelos, George -MD NOT COVERED Good Samaritan Hospital Barakat, Rouba -MD NOT COVERED Good Samaritan Hospital Barbara B. Loeb MD NOT COVERED Good Samaritan Hospital Barbour, Christopher -MD COVERED UNDER FAP Good Samaritan Hospital Bardfield, Steven -MD NOT COVERED Good Samaritan Hospital Bardolph, Susan -MD NOT COVERED Good Samaritan Hospital Barkley, Jeanne -NP COVERED UNDER FAP Good Samaritan Hospital Barnabas, Abraham -MD NOT COVERED Good Samaritan Hospital Barr, Lawrence -MD COVERED UNDER FAP Good Samaritan Hospital Barsanti, Carl -MD NOT COVERED Good Samaritan Hospital Barton, Richard -MD NOT COVERED Good Samaritan Hospital Basit, Arshi -MD NOT COVERED Good Samaritan Hospital Bastian Voice Institute, LLC NOT COVERED Good Samaritan Hospital Bastian, Robert -MD NOT COVERED Good Samaritan Hospital Bastian, Zachary -MD NOT COVERED Good Samaritan Hospital Battista, Robert -MD NOT COVERED Good Samaritan Hospital Battle-Miller, Kimberly -MD COVERED UNDER FAP Good Samaritan Hospital Baugh, Matthew -MD NOT COVERED Good Samaritan Hospital Baughman, Steven -MD NOT COVERED Good Samaritan Hospital Bautista Ordonez, Eden -MD NOT COVERED Good Samaritan Hospital Bawamia, Ali -MD NOT COVERED Good Samaritan Hospital Bawden, David -MD NOT COVERED Good Samaritan Hospital Bazzetta, Elizabeth -PA NOT COVERED Good Samaritan Hospital Beaudry, Dawn -PA NOT COVERED Good Samaritan Hospital Beckman, Dawn -MD NOT COVERED Good Samaritan Hospital Beezhold, David -DO NOT COVERED Good Samaritan Hospital Behavioral Medicine & Consulting NOT COVERED Good Samaritan Hospital Belden, Matthew -MD NOT COVERED Good Samaritan Hospital Belin, Eric -MD NOT COVERED Good Samaritan Hospital Bell, Anthony -MD NOT COVERED Good Samaritan Hospital Belmares-Avalos, Jaime -MD NOT COVERED Good Samaritan Hospital Belmonte, John -MD NOT COVERED Good Samaritan Hospital Beltran, Steven -MD NOT COVERED Good Samaritan Hospital Berg, Edward -MD NOT COVERED Good Samaritan Hospital Bergquist, David -MD NOT COVERED Good Samaritan Hospital Berti, Jeffrey -MD NOT COVERED Good Samaritan Hospital Bertini, Matthew -MD NOT COVERED Good Samaritan Hospital Bertumen, J. Bradford -MD NOT COVERED Good Samaritan Hospital Beville, Jennifer -PA COVERED UNDER FAP Good Samaritan Hospital Bhagwakar, Ojash -MD NOT COVERED Good Samaritan Hospital Bhatia, Sonjai -MD NOT COVERED Good Samaritan Hospital Bhatt, Shamir -MD NOT COVERED Good Samaritan Hospital Bhorade, Rajeev -MD NOT COVERED Good Samaritan Hospital Bicek, Paul -MD NOT COVERED

Page 70 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Bijari, Armita -MD NOT COVERED Good Samaritan Hospital Biswas, Nirja -PA NOT COVERED Good Samaritan Hospital Blake Horio, MD, Ltd NOT COVERED Good Samaritan Hospital Blakeman, Bradford -MD NOT COVERED Good Samaritan Hospital Blaney, Daniel -PA NOT COVERED Good Samaritan Hospital Bobb, Wendell -MD NOT COVERED Good Samaritan Hospital Boco, Tibor -MD NOT COVERED Good Samaritan Hospital Boddipalli, Surekha -MD NOT COVERED Good Samaritan Hospital Boddipalli, Viveka -MD NOT COVERED Good Samaritan Hospital Boettcher, Michael -MD NOT COVERED Good Samaritan Hospital Boghossian, Stephen -MD NOT COVERED Good Samaritan Hospital Bolanowski, Marybeth -PA NOT COVERED Good Samaritan Hospital Bolden, Nathan -MD NOT COVERED Good Samaritan Hospital Bolingbrook Health Care Associates NOT COVERED Good Samaritan Hospital Bonilla, Juan -MD NOT COVERED Good Samaritan Hospital Borok, Raphael -MD NOT COVERED Good Samaritan Hospital Bou, Steven -MD NOT COVERED Good Samaritan Hospital Bouchelion, Bryan -DDS NOT COVERED Good Samaritan Hospital Bouri, Loveena -MD NOT COVERED Good Samaritan Hospital Boyle, Deborah -MD NOT COVERED Good Samaritan Hospital Boyle, Elizabeth -DO NOT COVERED Good Samaritan Hospital Bozena Scigacz Medical Office, SC NOT COVERED Good Samaritan Hospital Bradley, Ciaran -MD NOT COVERED Good Samaritan Hospital Brand, Marc -MD NOT COVERED Good Samaritan Hospital Brandonisio, Danielle -NP NOT COVERED Good Samaritan Hospital Bratis, Christina -MD NOT COVERED Good Samaritan Hospital Bridgeman, Kristopher -PA NOT COVERED Good Samaritan Hospital Briggs, Julia -SA NOT COVERED Good Samaritan Hospital Brottman, Michael -MD COVERED UNDER FAP Good Samaritan Hospital Brown, Alan -MD COVERED UNDER FAP Good Samaritan Hospital Brown, Saghi -MD NOT COVERED Good Samaritan Hospital Bruno, Ehlie -DDS NOT COVERED Good Samaritan Hospital Bueche, Matthew -MD NOT COVERED Good Samaritan Hospital Bufalino, Vincent -MD COVERED UNDER FAP Good Samaritan Hospital Buranosky, Dale -DPM NOT COVERED Good Samaritan Hospital Burg, Tyler -PA COVERED UNDER FAP Good Samaritan Hospital Burgess Square Healthcare & Rehab Centre NOT COVERED Good Samaritan Hospital Burgess, Brian -DPM NOT COVERED Good Samaritan Hospital Burgess, Kelly -PA NOT COVERED Good Samaritan Hospital Burra, Giridhar -MD NOT COVERED Good Samaritan Hospital Burstein, Scott -MD NOT COVERED Good Samaritan Hospital Cabana, John -MD NOT COVERED Good Samaritan Hospital Cahill, John -MD COVERED UNDER FAP Good Samaritan Hospital Calandra, Carl -DO NOT COVERED Good Samaritan Hospital Carbone, Robert -MD NOT COVERED Good Samaritan Hospital Cardiac Surgery Associates, SC NOT COVERED Good Samaritan Hospital Carmody, Thomas -MD NOT COVERED Good Samaritan Hospital Carroll, James -MD NOT COVERED Good Samaritan Hospital Caruso, Anthony -MD NOT COVERED Good Samaritan Hospital Casey, Adam -PA NOT COVERED Good Samaritan Hospital Casey, Cash -MD COVERED UNDER FAP Good Samaritan Hospital Casey, Ines -MD NOT COVERED Good Samaritan Hospital Celmer, Jacqueline -NP NOT COVERED Good Samaritan Hospital Center for Dental Implants, Oral & Facial NOT COVERED Good Samaritan Hospital Center for Dental Implants, Oral and Facial Surgery NOT COVERED Good Samaritan Hospital Center for Neurological Diseases, SC NOT COVERED Good Samaritan Hospital Central DuPage Foot & Ankle Specialists NOT COVERED Good Samaritan Hospital Chakeer, Ridha -MD NOT COVERED

Page 71 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Chan, Linda -MD NOT COVERED Good Samaritan Hospital Chandler, Jeffrey -DDS NOT COVERED Good Samaritan Hospital Chang, Wilson -MD NOT COVERED Good Samaritan Hospital Charles, Alix -MD NOT COVERED Good Samaritan Hospital Charuk, George -DO NOT COVERED Good Samaritan Hospital Chaudhary, Kamran -MD NOT COVERED Good Samaritan Hospital Chaudhry, Alyas -MD NOT COVERED Good Samaritan Hospital Chaudhry, Shahla -PA NOT COVERED Good Samaritan Hospital Chawla, Anshuman -MD NOT COVERED Good Samaritan Hospital Cherukupally, Shilpa -MD NOT COVERED Good Samaritan Hospital Cheung, Jessie -MD NOT COVERED Good Samaritan Hospital Cheung, Joanne -MD NOT COVERED Good Samaritan Hospital Cheung, Lawrence -MD NOT COVERED Good Samaritan Hospital Chicago Dental Implants, Oral and Facial Surgery NOT COVERED Good Samaritan Hospital Chicago Hand and Orthopedic Surgery Centers, SC NOT COVERED Good Samaritan Hospital Chicago Midwest Geriatrics Physicians, Inc. NOT COVERED Good Samaritan Hospital Chin, Janet -MD NOT COVERED Good Samaritan Hospital Chittineni, Bharati -MD NOT COVERED Good Samaritan Hospital Choi, Yoon -PA NOT COVERED Good Samaritan Hospital Choudhry, Kiran -MD COVERED UNDER FAP Good Samaritan Hospital Chough, Steven -MD COVERED UNDER FAP Good Samaritan Hospital Chow, May -MD NOT COVERED Good Samaritan Hospital Chudik, Steven -MD NOT COVERED Good Samaritan Hospital Chung, Diana -MD NOT COVERED Good Samaritan Hospital CIMPAR, SC NOT COVERED Good Samaritan Hospital Clark, James -MD NOT COVERED Good Samaritan Hospital Clark, Stanley -MD COVERED UNDER FAP Good Samaritan Hospital Clemente, Dan -NP COVERED UNDER FAP Good Samaritan Hospital Cline, Sharon -MD NOT COVERED Good Samaritan Hospital Clohecy, Kimberly -NP NOT COVERED Good Samaritan Hospital Coffel, Michael -NP NOT COVERED Good Samaritan Hospital Collander, Brett -MD NOT COVERED Good Samaritan Hospital Collins, Eileen -MD NOT COVERED Good Samaritan Hospital Complete Skin Care at Steil Dermatology NOT COVERED Good Samaritan Hospital Comprehensive Pediatric Care 1, Ltd NOT COVERED Good Samaritan Hospital Comstock, Taylor -PA NOT COVERED Good Samaritan Hospital Conniff, Cory -MD NOT COVERED Good Samaritan Hospital Connolly, Laura -PA NOT COVERED Good Samaritan Hospital ContiMica, Michael -MD NOT COVERED Good Samaritan Hospital Cooling, Danielle -MD NOT COVERED Good Samaritan Hospital Cordero, Weiser -MD NOT COVERED Good Samaritan Hospital Costanzo, Maria -MD COVERED UNDER FAP Good Samaritan Hospital Coufal, Stanislava -MD NOT COVERED Good Samaritan Hospital Covert, Robert -MD NOT COVERED Good Samaritan Hospital Crews, Christina -NP NOT COVERED Good Samaritan Hospital Crosby, Kimberle -NP NOT COVERED Good Samaritan Hospital Crouch, Stephen -MD NOT COVERED Good Samaritan Hospital Crowley, Angela -MD NOT COVERED Good Samaritan Hospital Cushing, Heather -MD NOT COVERED Good Samaritan Hospital Cygan, Zofia -MD NOT COVERED Good Samaritan Hospital Dairyko, Gregory -MD NOT COVERED Good Samaritan Hospital Dalal, Neil -DO COVERED UNDER FAP Good Samaritan Hospital Daley, Robert -MD NOT COVERED Good Samaritan Hospital Danahey, Daniel -MD NOT COVERED Good Samaritan Hospital Darwish, Ashraf -MD NOT COVERED Good Samaritan Hospital Dasgupta, Sunavo -MD NOT COVERED Good Samaritan Hospital DaValle, Michael -MD NOT COVERED Good Samaritan Hospital Davis, Ann -MD COVERED UNDER FAP

Page 72 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Davis, Patricia -MD NOT COVERED Good Samaritan Hospital Davison, Kenneth -PsyD NOT COVERED Good Samaritan Hospital Daw, Joseph -MD NOT COVERED Good Samaritan Hospital Dawravoo, Lesley -MD NOT COVERED Good Samaritan Hospital Deen, Zahra -MD NOT COVERED Good Samaritan Hospital DeHaan, David -MD NOT COVERED Good Samaritan Hospital Delaney, Kristie -MD NOT COVERED Good Samaritan Hospital Dempsey, Amy -PA NOT COVERED Good Samaritan Hospital DeNucci, Christopher -MD NOT COVERED Good Samaritan Hospital Dermatology & Dermatologic Surgery, Ltd. NOT COVERED Good Samaritan Hospital Derus, Charles -MD NOT COVERED Good Samaritan Hospital Desai, Nimit -MD NOT COVERED Good Samaritan Hospital Desai, Samir -MD NOT COVERED Good Samaritan Hospital Devara, Dolly -MD NOT COVERED Good Samaritan Hospital Devata, Sandeep -MD NOT COVERED Good Samaritan Hospital DeZoute, Melissa -PA NOT COVERED Good Samaritan Hospital Diane L. Ozog, MD, SC NOT COVERED Good Samaritan Hospital Didwania, Vishal -MD NOT COVERED Good Samaritan Hospital Diesner, Paige -PA NOT COVERED Good Samaritan Hospital Digate, Mary -CNS NOT COVERED Good Samaritan Hospital Digestive Disease Associates, Ltd NOT COVERED Good Samaritan Hospital Dillon, Patrick -MD COVERED UNDER FAP Good Samaritan Hospital DiSanto, Kerry -MD NOT COVERED Good Samaritan Hospital Discher, Thomas -MD COVERED UNDER FAP Good Samaritan Hospital Dixit, Rajeev -MD NOT COVERED Good Samaritan Hospital Dmowski, W. -MD NOT COVERED Good Samaritan Hospital Dohse, Anthony -DDS NOT COVERED Good Samaritan Hospital Domb, Benjamin -MD NOT COVERED Good Samaritan Hospital Domjan, Irina -MD NOT COVERED Good Samaritan Hospital Donenberg, Bruce -MD NOT COVERED Good Samaritan Hospital Doppenberg, Egon -MD COVERED UNDER FAP Good Samaritan Hospital Dougherty, Evan -MD NOT COVERED Good Samaritan Hospital Douglas, Daniel -MD NOT COVERED Good Samaritan Hospital Doukas, Demetrios -DO NOT COVERED Good Samaritan Hospital Downers Grove Medical Group PC NOT COVERED Good Samaritan Hospital Downers Grove OB/GYN, PC NOT COVERED Good Samaritan Hospital Downers Grove Pediatrics, Ltd NOT COVERED Good Samaritan Hospital Dr. Muzaffar's Pediatric Care, SC NOT COVERED Good Samaritan Hospital Dracopoulos, Henna -PA NOT COVERED Good Samaritan Hospital Dreyer Clinic - Highland COVERED UNDER FAP Good Samaritan Hospital Dritz, Steven -MD NOT COVERED Good Samaritan Hospital Drs. Girgis & Associates, SC NOT COVERED Good Samaritan Hospital Duerinck, Mark -MD COVERED UNDER FAP Good Samaritan Hospital Duey, Deborah -CNS COVERED UNDER FAP Good Samaritan Hospital Duffy, Anna -PA NOT COVERED Good Samaritan Hospital Dumitru, Rodica -MD NOT COVERED Good Samaritan Hospital Dunaj, Emily -PA NOT COVERED Good Samaritan Hospital Dungan, David -MD NOT COVERED Good Samaritan Hospital Dunning, Lisa -MD NOT COVERED Good Samaritan Hospital DuPage Cardiology Group, SC NOT COVERED Good Samaritan Hospital DuPage Emergency Physician Convenient Care, LLC NOT COVERED Good Samaritan Hospital DuPage Emergency Physicians, Ltd NOT COVERED Good Samaritan Hospital DuPage Eye Associates, SC NOT COVERED Good Samaritan Hospital DuPage Eye Center NOT COVERED Good Samaritan Hospital Dupage Internal Medicine of IL, LLC. NOT COVERED Good Samaritan Hospital Dupage Medical Group Surgery NOT COVERED Good Samaritan Hospital DuPage Medical Group, LTC NOT COVERED Good Samaritan Hospital DuPage Medical Group, Ltd NOT COVERED

Page 73 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital DuPage Neonatology Associates NOT COVERED Good Samaritan Hospital DuPage Ophthalmology SC NOT COVERED Good Samaritan Hospital Duraski, Sylvia -NP NOT COVERED Good Samaritan Hospital Durkin, Michael -MD NOT COVERED Good Samaritan Hospital Dutton, Jay -MD NOT COVERED Good Samaritan Hospital Dvorak, Amanda -PA NOT COVERED Good Samaritan Hospital Ear Institute of Chicago, LLC NOT COVERED Good Samaritan Hospital Earnest, Laura -PA NOT COVERED Good Samaritan Hospital East Coast Wound Care PC NOT COVERED Good Samaritan Hospital East, Nicole -NP COVERED UNDER FAP Good Samaritan Hospital Edwards, Andrea -NP NOT COVERED Good Samaritan Hospital Eghrari, Faramarz -MD NOT COVERED Good Samaritan Hospital Ehmke, Thomas -DO NOT COVERED Good Samaritan Hospital Ekram, Nazish -MD NOT COVERED Good Samaritan Hospital Elahi, Mohammed -MD NOT COVERED Good Samaritan Hospital Elahi, Sadaf -MD NOT COVERED Good Samaritan Hospital Eldersveld, Rachel -PA NOT COVERED Good Samaritan Hospital Elite Sports Medicine Institute, Ltd NOT COVERED Good Samaritan Hospital Elmhurst Clinic NOT COVERED Good Samaritan Hospital Elmhurst Medical Group NOT COVERED Good Samaritan Hospital Elshafei, Anas -MD NOT COVERED Good Samaritan Hospital Enas, Enas -MD NOT COVERED Good Samaritan Hospital Endocrinology Associates, SC NOT COVERED Good Samaritan Hospital England, Gale -MD COVERED UNDER FAP Good Samaritan Hospital Ensign Medical, Inc. NOT COVERED Good Samaritan Hospital ENT Specialists, Ltd. NOT COVERED Good Samaritan Hospital Espinosa-Becerra, Francisco -MD NOT COVERED Good Samaritan Hospital Euliano, Suzanne -NP COVERED UNDER FAP Good Samaritan Hospital Fajardo, Marc -MD NOT COVERED Good Samaritan Hospital Fakouri, Bejan -MD NOT COVERED Good Samaritan Hospital Falco, Daniel -DO NOT COVERED Good Samaritan Hospital Fallah, Marc -MD NOT COVERED Good Samaritan Hospital Fanapour, Susan -DO NOT COVERED Good Samaritan Hospital Fang, Sharon -MD NOT COVERED Good Samaritan Hospital Farolan, Leslie -MD NOT COVERED Good Samaritan Hospital Faseehuddin, Mohammed -DO NOT COVERED Good Samaritan Hospital Feinkind, Leonard -MD NOT COVERED Good Samaritan Hospital Fendon, Timothy -DO NOT COVERED Good Samaritan Hospital Fenner, Patrick -MD COVERED UNDER FAP Good Samaritan Hospital Fetzer, Martin -DO NOT COVERED Good Samaritan Hospital Fitzgerald, Michael -MD NOT COVERED Good Samaritan Hospital Fitzpatrick, Collins -MD NOT COVERED Good Samaritan Hospital Fletcher, Tony -PsyD NOT COVERED Good Samaritan Hospital Flores, Juan G. -MD NOT COVERED Good Samaritan Hospital Forefront Dermatology, S.C. - Premier Dermatology NOT COVERED Good Samaritan Hospital Foy, Bryan -MD NOT COVERED Good Samaritan Hospital Francis, Maria -DO NOT COVERED Good Samaritan Hospital Frank, Daniel -MD NOT COVERED Good Samaritan Hospital Freeman, Julie -NP NOT COVERED Good Samaritan Hospital Friedman, Elizabeth -MD NOT COVERED Good Samaritan Hospital Froehlich, Judith -MD NOT COVERED Good Samaritan Hospital From Pain to Wellness, LLC NOT COVERED Good Samaritan Hospital Frommelt, Julie -NP COVERED UNDER FAP Good Samaritan Hospital Fronczak, Stanley -MD NOT COVERED Good Samaritan Hospital Gaffud, Michael -MD NOT COVERED Good Samaritan Hospital Gallagher, Thomas -MD NOT COVERED Good Samaritan Hospital Gallinero, Eden Mae -NP NOT COVERED Good Samaritan Hospital Gallo, Martin -MD NOT COVERED

Page 74 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Galvin, Donald -PA NOT COVERED Good Samaritan Hospital Gami, Apoor -MD COVERED UNDER FAP Good Samaritan Hospital Gan, Stephanie -MD NOT COVERED Good Samaritan Hospital Garcia, Lady Ariane -NP COVERED UNDER FAP Good Samaritan Hospital Gardner, Glenn -MD NOT COVERED Good Samaritan Hospital Garrett, Michelle -NP NOT COVERED Good Samaritan Hospital Garrison, Daniel -MD COVERED UNDER FAP Good Samaritan Hospital Gastroenterology Service, Ltd NOT COVERED Good Samaritan Hospital Gateway Spine & Pain Physicians, LLC NOT COVERED Good Samaritan Hospital Geannopoulos, Chris -MD NOT COVERED Good Samaritan Hospital Genesis Orthopedics & Sports Medicine, LLC NOT COVERED Good Samaritan Hospital Genslinger, Jessica -PA NOT COVERED Good Samaritan Hospital Gerard, David -MD NOT COVERED Good Samaritan Hospital Gerdisch, Marc -MD NOT COVERED Good Samaritan Hospital GI Partners of Illinois, LLC NOT COVERED Good Samaritan Hospital Giacalone, Laura -CRNA NOT COVERED Good Samaritan Hospital Gibbs, Stanley -NP NOT COVERED Good Samaritan Hospital Giese, Emily -PA NOT COVERED Good Samaritan Hospital Gifford, Janet -NP NOT COVERED Good Samaritan Hospital Gillies, Katie -PA NOT COVERED Good Samaritan Hospital Gioia, James -PsyD NOT COVERED Good Samaritan Hospital Girdhar, Kiran -MD NOT COVERED Good Samaritan Hospital Girgis, Samuel -MD NOT COVERED Good Samaritan Hospital Glassman, Alan -MD NOT COVERED Good Samaritan Hospital Gogoneata, Elena -MD COVERED UNDER FAP Good Samaritan Hospital Gokhale, Rahul -MD NOT COVERED Good Samaritan Hospital Golden Rule Family Practice NOT COVERED Good Samaritan Hospital Goldsborough, Katy -MD COVERED UNDER FAP Good Samaritan Hospital Gomez-Lam, Angela -MD NOT COVERED Good Samaritan Hospital Gondi, Vinai -MD NOT COVERED Good Samaritan Hospital Goodwin, Mark -MD COVERED UNDER FAP Good Samaritan Hospital Gosselin, Marc -MD NOT COVERED Good Samaritan Hospital Govekar, Henry -MD NOT COVERED Good Samaritan Hospital Gowani, Soha -NP NOT COVERED Good Samaritan Hospital Gowda, Nayan -MD NOT COVERED Good Samaritan Hospital Graf, Staci -MD NOT COVERED Good Samaritan Hospital Graham, Lee -MD NOT COVERED Good Samaritan Hospital Gramm, James -MD NOT COVERED Good Samaritan Hospital Greater Chicago Specialty Physicians, LLC NOT COVERED Good Samaritan Hospital Green, Michael -PA NOT COVERED Good Samaritan Hospital Greenstein, Eugene -MD NOT COVERED Good Samaritan Hospital Gregory Malo PsyD & Assoicates in Neuropsychology NOT COVERED Good Samaritan Hospital Grieco, John -MD NOT COVERED Good Samaritan Hospital Griesemer, Robert -MD NOT COVERED Good Samaritan Hospital Griffin, Jason -MD NOT COVERED Good Samaritan Hospital Grimm, Michael -NP NOT COVERED Good Samaritan Hospital Gritzenbach, Shannon -MD COVERED UNDER FAP Good Samaritan Hospital Grotelueschen, Catherine -MD NOT COVERED Good Samaritan Hospital Gruft, James -MD NOT COVERED Good Samaritan Hospital Gruzalski, Kathleen -MD NOT COVERED Good Samaritan Hospital Gundala, Srilata -MD NOT COVERED Good Samaritan Hospital Gupta, Anurag -MD NOT COVERED Good Samaritan Hospital Gupta, Balaji -MD NOT COVERED Good Samaritan Hospital Gutierrez Steil, Christina -MD NOT COVERED Good Samaritan Hospital Guyer, Lance -DDS NOT COVERED Good Samaritan Hospital Hafiz-Ahmed, Afshan -MD NOT COVERED Good Samaritan Hospital Hagen, Colleen -MD NOT COVERED Good Samaritan Hospital Hagensee, Rebecca -CNS COVERED UNDER FAP

Page 75 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Hall, Heather -MD NOT COVERED Good Samaritan Hospital Hamad, Bachar -MD NOT COVERED Good Samaritan Hospital Hamad, Fares -DO NOT COVERED Good Samaritan Hospital Hamby, John -MD NOT COVERED Good Samaritan Hospital Hampole, Ashwin -MD NOT COVERED Good Samaritan Hospital Hanna, Barbra -DO NOT COVERED Good Samaritan Hospital Hanna, Emalee -PA NOT COVERED Good Samaritan Hospital Harold H. Jaimes MD, PC NOT COVERED Good Samaritan Hospital Harris, Richard -MD NOT COVERED Good Samaritan Hospital Harting, Brian -MD NOT COVERED Good Samaritan Hospital Hashimoto, Amy -MD NOT COVERED Good Samaritan Hospital Healing Medical Group Inc. NOT COVERED Good Samaritan Hospital Heatwole, Benjamin -MD NOT COVERED Good Samaritan Hospital Heinking, Kurt -DO NOT COVERED Good Samaritan Hospital Hernandez, Julia -MD NOT COVERED Good Samaritan Hospital Hernandez, Telva -DPM NOT COVERED Good Samaritan Hospital Hesser, Jennifer -MD NOT COVERED Good Samaritan Hospital Higgins, Laura -NP NOT COVERED Good Samaritan Hospital Hinkamp, Thomas -MD NOT COVERED Good Samaritan Hospital Hinsdale Asthma and Allergy Center NOT COVERED Good Samaritan Hospital Hinsdale Gastroenterology Associates NOT COVERED Good Samaritan Hospital Hinsdale Orthopaedic Associates, SC NOT COVERED Good Samaritan Hospital Hinsdale Psychologist Resources, Inc. NOT COVERED Good Samaritan Hospital Ho, Bryant -MD NOT COVERED Good Samaritan Hospital Hodgson, David -LCSW NOT COVERED Good Samaritan Hospital Hoesli, Rebecca -MD NOT COVERED Good Samaritan Hospital Holleman Duray, Deanna -MD NOT COVERED Good Samaritan Hospital Homedi, Eyad -MD NOT COVERED Good Samaritan Hospital Hong, John -MD NOT COVERED Good Samaritan Hospital Hope & Healing Cancer Services NOT COVERED Good Samaritan Hospital Hoppock, Kate -DO NOT COVERED Good Samaritan Hospital Horio, Blake -MD NOT COVERED Good Samaritan Hospital Hou, Jue -MD NOT COVERED Good Samaritan Hospital Hsu, Griffith -MD NOT COVERED Good Samaritan Hospital Huang, Chris -MD NOT COVERED Good Samaritan Hospital Hughes, Kristen -PA COVERED UNDER FAP Good Samaritan Hospital Hulesch, William -MD COVERED UNDER FAP Good Samaritan Hospital Huliyar, Vinay -MD NOT COVERED Good Samaritan Hospital Humayun SC Comprehensive Kidney Care NOT COVERED Good Samaritan Hospital Humayun, Wasay -MD NOT COVERED Good Samaritan Hospital Humayun's Medical Associates NOT COVERED Good Samaritan Hospital Hung, Adelina -MD NOT COVERED Good Samaritan Hospital Hung, Stephen -MD NOT COVERED Good Samaritan Hospital Hunt, Shannon -MD NOT COVERED Good Samaritan Hospital Huntington-Alfano, Kimberly -DO NOT COVERED Good Samaritan Hospital Hura, Stefan -MD NOT COVERED Good Samaritan Hospital Hurbanek, Jason -MD NOT COVERED Good Samaritan Hospital Hurley, Stephen -DO NOT COVERED Good Samaritan Hospital Hussain, Yessar -MD NOT COVERED Good Samaritan Hospital Ibrahim, Denise -DO NOT COVERED Good Samaritan Hospital Ijaz, Kiran -MD NOT COVERED Good Samaritan Hospital Illinois Gastroenterology Group, LLC NOT COVERED Good Samaritan Hospital Illinois Institute of Pediatric Cardiology, Ltd NOT COVERED Good Samaritan Hospital Immediate Care of Westmont NOT COVERED Good Samaritan Hospital Integrated Imaging Consultants, LLC NOT COVERED Good Samaritan Hospital Internal Medicine Center, SC NOT COVERED Good Samaritan Hospital Ionides, Stavros -MD NOT COVERED Good Samaritan Hospital Ip, Gigi -MD NOT COVERED

Page 76 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Issa, Sakeba -MD NOT COVERED Good Samaritan Hospital Ivy, Andre -MD NOT COVERED Good Samaritan Hospital Iwanicki, Michael -DO COVERED UNDER FAP Good Samaritan Hospital Jabbar, Zaid -MD NOT COVERED Good Samaritan Hospital Jafri, Sana -DO NOT COVERED Good Samaritan Hospital Jagielo, Stephen -DDS NOT COVERED Good Samaritan Hospital Jahn, Susan -PA NOT COVERED Good Samaritan Hospital Jain, Anuj -MD NOT COVERED Good Samaritan Hospital Jain, Madhu -MD NOT COVERED Good Samaritan Hospital Jain, Sheeja -MD NOT COVERED Good Samaritan Hospital Jajko, Robert -MD NOT COVERED Good Samaritan Hospital Janda, Robert -MD NOT COVERED Good Samaritan Hospital Janecek, Maria -DO NOT COVERED Good Samaritan Hospital Janssen, Kellie -PA NOT COVERED Good Samaritan Hospital Jeffrey W. Chandler DDS, MD, PC NOT COVERED Good Samaritan Hospital Jejurikar, Sandeep -MD NOT COVERED Good Samaritan Hospital Jenks, James -MD NOT COVERED Good Samaritan Hospital Jentel, Jacques -MD NOT COVERED Good Samaritan Hospital Jessie Cheung, MD Dermatology & Laser Center NOT COVERED Good Samaritan Hospital Jirschele, Cameron -DO NOT COVERED Good Samaritan Hospital John McInerney, DO, SC NOT COVERED Good Samaritan Hospital Johnson, Elliot -PA NOT COVERED Good Samaritan Hospital Johnson, Jennifer -PA NOT COVERED Good Samaritan Hospital Johnson, Katrina -NP NOT COVERED Good Samaritan Hospital Johnson, Morgan -NP COVERED UNDER FAP Good Samaritan Hospital Jorge, Juaquito -MD NOT COVERED Good Samaritan Hospital Joseph L. Daw, MD NOT COVERED Good Samaritan Hospital Joseph, Thomas -MD NOT COVERED Good Samaritan Hospital Joshi, Brinda -DO NOT COVERED Good Samaritan Hospital Julka, Naresh -MD NOT COVERED Good Samaritan Hospital Julka, Reena -MD NOT COVERED Good Samaritan Hospital K.I.D.S. Place of Willowbrook NOT COVERED Good Samaritan Hospital Kahn, Stasia -MD NOT COVERED Good Samaritan Hospital Kalache, Zeina -MD NOT COVERED Good Samaritan Hospital Kalathiveetil, Sujith -MD NOT COVERED Good Samaritan Hospital Kalin, Andrew -MD NOT COVERED Good Samaritan Hospital Kalmar, Heidee -DPM NOT COVERED Good Samaritan Hospital Kalra, Sandeep -MD NOT COVERED Good Samaritan Hospital Kalthia, Rupesh -MD NOT COVERED Good Samaritan Hospital Karahalios, Dean -MD COVERED UNDER FAP Good Samaritan Hospital Karakourtis, Michael -DDS NOT COVERED Good Samaritan Hospital Karim S. Yunez, MDSC NOT COVERED Good Samaritan Hospital Karlsson, Troy -MD NOT COVERED Good Samaritan Hospital Katta, Silpa -MD NOT COVERED Good Samaritan Hospital Katula, Sarah -CNS NOT COVERED Good Samaritan Hospital Katwala, Kashyap -MD NOT COVERED Good Samaritan Hospital Katwala, Parin -NP NOT COVERED Good Samaritan Hospital Kaufmann-Reed, Elizabeth -PA NOT COVERED Good Samaritan Hospital Kaur, Suman -MD NOT COVERED Good Samaritan Hospital Kazan, Robert -MD NOT COVERED Good Samaritan Hospital Kearney, Margaret -CNS NOT COVERED Good Samaritan Hospital Kee D. Shin, MD, SC NOT COVERED Good Samaritan Hospital Keen, Mary -MD NOT COVERED Good Samaritan Hospital Kelly, Melissa -DO NOT COVERED Good Samaritan Hospital Kelly, Virginia -MD NOT COVERED Good Samaritan Hospital Kern, Jennifer -NP NOT COVERED Good Samaritan Hospital Kerwin, Peter -MD NOT COVERED Good Samaritan Hospital Khan, Aqeel -MD NOT COVERED

Page 77 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Khan, Bilal -MD NOT COVERED Good Samaritan Hospital Khan, Gul -MD NOT COVERED Good Samaritan Hospital Khan, Rabiya -MD NOT COVERED Good Samaritan Hospital Khan, Talat -MD NOT COVERED Good Samaritan Hospital Khan, Yasmeen -MD COVERED UNDER FAP Good Samaritan Hospital Khankari, Shweta -MD NOT COVERED Good Samaritan Hospital Khedkar Rao, Sheetal -MD NOT COVERED Good Samaritan Hospital Khurshid, Naila -MD NOT COVERED Good Samaritan Hospital Kicsak, Kathleen -MD NOT COVERED Good Samaritan Hospital Kidney Specialists of Illinois, LLC NOT COVERED Good Samaritan Hospital Kim, Andrew -MD NOT COVERED Good Samaritan Hospital Kim, Brian -MD NOT COVERED Good Samaritan Hospital Kim, David -MD NOT COVERED Good Samaritan Hospital Kim, Gloria -MD NOT COVERED Good Samaritan Hospital Kim, Josie -MD NOT COVERED Good Samaritan Hospital Kime, Aaron -MD NOT COVERED Good Samaritan Hospital Kinder, Joseph -NP NOT COVERED Good Samaritan Hospital King, Robert -MD COVERED UNDER FAP Good Samaritan Hospital Kinsey, Timothy -PA NOT COVERED Good Samaritan Hospital Kirincic, Marie -MD NOT COVERED Good Samaritan Hospital Klein, Sarah -DO COVERED UNDER FAP Good Samaritan Hospital Klugman, Adam -MD NOT COVERED Good Samaritan Hospital Knight, Christine -PA NOT COVERED Good Samaritan Hospital Ko Surgical Associates NOT COVERED Good Samaritan Hospital Ko, Sung Tao -MD NOT COVERED Good Samaritan Hospital Kocen, Lawrence -PA NOT COVERED Good Samaritan Hospital Koch, Elizabeth -PA NOT COVERED Good Samaritan Hospital Kohli, Maninder -MD NOT COVERED Good Samaritan Hospital Koliopoulos, Elias -MD NOT COVERED Good Samaritan Hospital Kong, Jesse -PA COVERED UNDER FAP Good Samaritan Hospital Kopolovic, Richard -MD NOT COVERED Good Samaritan Hospital Korcek, Andrew -MD NOT COVERED Good Samaritan Hospital Korompilas, Louis -DDS NOT COVERED Good Samaritan Hospital Korpics, John -MD NOT COVERED Good Samaritan Hospital Kou, Anita -MD NOT COVERED Good Samaritan Hospital Kouchis, Nicholas -MD NOT COVERED Good Samaritan Hospital Kovach Eye Institute, Ltd. NOT COVERED Good Samaritan Hospital Kovach, Kevin -MD NOT COVERED Good Samaritan Hospital Kozlowski, Julie -CNS COVERED UNDER FAP Good Samaritan Hospital Kramer, Lauren -PA NOT COVERED Good Samaritan Hospital Krieger, Richard -MD NOT COVERED Good Samaritan Hospital Kriesberg, Keith -PA NOT COVERED Good Samaritan Hospital Kross, Jonathan -NP NOT COVERED Good Samaritan Hospital Krouse, Richard -MD NOT COVERED Good Samaritan Hospital Kulovitz, Kerri -DO NOT COVERED Good Samaritan Hospital Kulunkoglu, Hannah -NP NOT COVERED Good Samaritan Hospital Kumar, Arun -MD NOT COVERED Good Samaritan Hospital Kumar, Bhavya -MD NOT COVERED Good Samaritan Hospital Kumar, M. S. Rajeev -MD NOT COVERED Good Samaritan Hospital Kumar, Malini -DO NOT COVERED Good Samaritan Hospital Kumar, Samir -MD NOT COVERED Good Samaritan Hospital Kumar, Vijay -MD NOT COVERED Good Samaritan Hospital Kurian, Bency -MD NOT COVERED Good Samaritan Hospital Kwiecinski, Michael -MD NOT COVERED Good Samaritan Hospital Labotka, David -MD NOT COVERED Good Samaritan Hospital Labriola, Joanne -MD NOT COVERED Good Samaritan Hospital Lake County Acute Care, LLP NOT COVERED Good Samaritan Hospital Lallanilla, Stephanie -PA NOT COVERED

Page 78 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Lalmalani, Gopal -MD NOT COVERED Good Samaritan Hospital Lam, Sheridan -MD NOT COVERED Good Samaritan Hospital Laniosz, Valerie -MD NOT COVERED Good Samaritan Hospital Lapinski, Bryan -MD NOT COVERED Good Samaritan Hospital Lapinski, Paula -MD NOT COVERED Good Samaritan Hospital LaReau, Justin -MD NOT COVERED Good Samaritan Hospital Larsen, Kristine -PA NOT COVERED Good Samaritan Hospital Lask, Sheri -PA NOT COVERED Good Samaritan Hospital Latanich, Christopher -MD NOT COVERED Good Samaritan Hospital Lawler, Robert -MD NOT COVERED Good Samaritan Hospital Lawrenz, Nancy -PsyD NOT COVERED Good Samaritan Hospital Lazala, Olga -CNS NOT COVERED Good Samaritan Hospital Lee, John -MD COVERED UNDER FAP Good Samaritan Hospital Lee, Robert -MD NOT COVERED Good Samaritan Hospital Lee, Stephen -MD NOT COVERED Good Samaritan Hospital Lee, Theresa -MD NOT COVERED Good Samaritan Hospital Leininger, Michael -PA NOT COVERED Good Samaritan Hospital Lenart, Andrew -PA NOT COVERED Good Samaritan Hospital Liang, Tehming -MD NOT COVERED Good Samaritan Hospital Lieber, Lawrence -MD NOT COVERED Good Samaritan Hospital Lieberman, Steven -MD NOT COVERED Good Samaritan Hospital LifeWeigh Bariatrics NOT COVERED Good Samaritan Hospital Lim, Jennifer -PA NOT COVERED Good Samaritan Hospital Lin, Anthony -MD NOT COVERED Good Samaritan Hospital Lin, Hubert -NP NOT COVERED Good Samaritan Hospital Lin, Margaret -MD NOT COVERED Good Samaritan Hospital Lin, Philip -DDS NOT COVERED Good Samaritan Hospital Lin, Pin -MD NOT COVERED Good Samaritan Hospital Lindell, Ernest -MD NOT COVERED Good Samaritan Hospital Lisa J. Peters, MD, SC NOT COVERED Good Samaritan Hospital Lisboa, Livia -PA NOT COVERED Good Samaritan Hospital Lisek, Ernst -MD NOT COVERED Good Samaritan Hospital Livak, Christina -MD NOT COVERED Good Samaritan Hospital Livorsi-Moore, Jeanne -NP NOT COVERED Good Samaritan Hospital Lobert, Philip -MD NOT COVERED Good Samaritan Hospital Loeb, Barbara -MD NOT COVERED Good Samaritan Hospital Loesch, Mathew -DO NOT COVERED Good Samaritan Hospital Loewenstein, Devin -MD NOT COVERED Good Samaritan Hospital Lofchy, Neal -MD NOT COVERED Good Samaritan Hospital Lofton, Carrie -NP NOT COVERED Good Samaritan Hospital Logan, Michael -MD NOT COVERED Good Samaritan Hospital Long, Cheryl -LCSW NOT COVERED Good Samaritan Hospital Lopez, Liza -MD NOT COVERED Good Samaritan Hospital Lorenz, Mark -MD NOT COVERED Good Samaritan Hospital Lorenz, Mitchell -MD NOT COVERED Good Samaritan Hospital LoSavio, Andelka -MD NOT COVERED Good Samaritan Hospital Louis, Steven -MD NOT COVERED Good Samaritan Hospital Love, Jennifer -PA NOT COVERED Good Samaritan Hospital Loyola University Medical Center NOT COVERED Good Samaritan Hospital Luce, Stephanie -NP NOT COVERED Good Samaritan Hospital Luetkehans, Daniel -DPM NOT COVERED Good Samaritan Hospital Luft, Ulrich -MD NOT COVERED Good Samaritan Hospital Luke, Scott -DO COVERED UNDER FAP Good Samaritan Hospital Lulla, Sunil -MD NOT COVERED Good Samaritan Hospital Lyon, Paul -MD NOT COVERED Good Samaritan Hospital M. Z. Sait, MD, Ltd NOT COVERED Good Samaritan Hospital Mackie, Kelly -DO NOT COVERED Good Samaritan Hospital Madappallil, Meera -MD NOT COVERED

Page 79 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Madonna, Mary Beth -MD NOT COVERED Good Samaritan Hospital Mahan, Kathleen -MD NOT COVERED Good Samaritan Hospital Mahoney, Eileen -MD NOT COVERED Good Samaritan Hospital Maini, Anuja -MD NOT COVERED Good Samaritan Hospital Majka, Darcy -MD NOT COVERED Good Samaritan Hospital Malhotra, Rabindra -MD NOT COVERED Good Samaritan Hospital Malick, Owais -MD COVERED UNDER FAP Good Samaritan Hospital Mampilly, Jobby -MD NOT COVERED Good Samaritan Hospital Manzara, Lauren -NP NOT COVERED Good Samaritan Hospital Mao, Justin -MD COVERED UNDER FAP Good Samaritan Hospital Marek, Joseph -MD COVERED UNDER FAP Good Samaritan Hospital Marianjoy Medical Group NOT COVERED Good Samaritan Hospital Marin, Thelma -MD NOT COVERED Good Samaritan Hospital Marinescu, Victor -MD COVERED UNDER FAP Good Samaritan Hospital Martin, Monica -MD COVERED UNDER FAP Good Samaritan Hospital Martirano, Michael -MD NOT COVERED Good Samaritan Hospital Martis, Nikhil -MD NOT COVERED Good Samaritan Hospital Martucci, John -MD NOT COVERED Good Samaritan Hospital Marwaha, Rakesh -MD NOT COVERED Good Samaritan Hospital Mash, Steven -MD NOT COVERED Good Samaritan Hospital Masood, Leslie -MD NOT COVERED Good Samaritan Hospital Mastro, Andrew -PA NOT COVERED Good Samaritan Hospital Maternal Fetal Medicine NOT COVERED Good Samaritan Hospital Mather, Steven -MD NOT COVERED Good Samaritan Hospital Mathern, David -PA NOT COVERED Good Samaritan Hospital Matook, Cynthia -LCSW NOT COVERED Good Samaritan Hospital Mattson, Leslie -MD NOT COVERED Good Samaritan Hospital May, Patricia -NP NOT COVERED Good Samaritan Hospital Mayle, Jessica -MD NOT COVERED Good Samaritan Hospital McAlpin, Carolyn -NP COVERED UNDER FAP Good Samaritan Hospital McCaffrey, Thomas -MD NOT COVERED Good Samaritan Hospital McCormick, Sarah -DO NOT COVERED Good Samaritan Hospital McElligott, David -MD NOT COVERED Good Samaritan Hospital McGee, Edwin -MD NOT COVERED Good Samaritan Hospital McKeon, Nancy -LCSW NOT COVERED Good Samaritan Hospital McLachlan, Daniel -MD NOT COVERED Good Samaritan Hospital McLaughlin, Russell -MD NOT COVERED Good Samaritan Hospital McLeland, Heather -NP NOT COVERED Good Samaritan Hospital McLemore, Nelson -MD NOT COVERED Good Samaritan Hospital McMillin, John -MD COVERED UNDER FAP Good Samaritan Hospital McPartlin, Richard -MD COVERED UNDER FAP Good Samaritan Hospital McShane, Chelsey -MD NOT COVERED Good Samaritan Hospital Medavaram, Meher -MD NOT COVERED Good Samaritan Hospital Melvani, Ramesh -MD NOT COVERED Good Samaritan Hospital Mendak, Stephen -MD NOT COVERED Good Samaritan Hospital Menta, Surya -MD NOT COVERED Good Samaritan Hospital Merling, Brandon -MD NOT COVERED Good Samaritan Hospital Metro Chicago Surgical Oncology LLC NOT COVERED Good Samaritan Hospital Metro Infectious Disease Consultants, LLC NOT COVERED Good Samaritan Hospital Meyer, M. -MD NOT COVERED Good Samaritan Hospital MGM Medical Associates, Ltd, SC NOT COVERED Good Samaritan Hospital Michael Karakourtis, DDS, Ltd NOT COVERED Good Samaritan Hospital Michelsen, Ashley -PA NOT COVERED Good Samaritan Hospital Midwest Anesthesia Partners, LLC NOT COVERED Good Samaritan Hospital Midwest Bone & Joint Institute NOT COVERED Good Samaritan Hospital Midwest Cardiac Center, SC NOT COVERED Good Samaritan Hospital Midwest Cardiac Consultants, SC NOT COVERED Good Samaritan Hospital Midwest Diabetes and Endocrine Specialty NOT COVERED

Page 80 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Midwest Diagnostic Pathology, SC NOT COVERED Good Samaritan Hospital Midwest Gastroenterology Associates, Ltd NOT COVERED Good Samaritan Hospital Midwest Geriatric Associates NOT COVERED Good Samaritan Hospital Midwest Geriatrics Specialists, LLC NOT COVERED Good Samaritan Hospital Midwest Internist, Ltd. NOT COVERED Good Samaritan Hospital Midwest Pediatrics, Ltd NOT COVERED Good Samaritan Hospital Midwest Plastic Surgery Institute, Inc NOT COVERED Good Samaritan Hospital Midwest psychiatry associates NOT COVERED Good Samaritan Hospital Midwest Pulmonary Associates, SC NOT COVERED Good Samaritan Hospital Midwest Sinus Center NOT COVERED Good Samaritan Hospital Midwest Surgical Associates NOT COVERED Good Samaritan Hospital Midwest Vascular Center NOT COVERED Good Samaritan Hospital Midwest Women Ob/Gyn, Ltd. NOT COVERED Good Samaritan Hospital Midwestern University NOT COVERED Good Samaritan Hospital Mikhail, Allen -MD NOT COVERED Good Samaritan Hospital Milewski, Amy -CRNA NOT COVERED Good Samaritan Hospital Milgram, Inna -MD NOT COVERED Good Samaritan Hospital Milhouse, Olufenwa -MD NOT COVERED Good Samaritan Hospital Miller, Steven -DPM NOT COVERED Good Samaritan Hospital Millewich, Melissa -DO NOT COVERED Good Samaritan Hospital Mininni, Sonia -MD NOT COVERED Good Samaritan Hospital Miocinovic, Ranko -MD NOT COVERED Good Samaritan Hospital Mirhosseini, Maziyar -MD COVERED UNDER FAP Good Samaritan Hospital Mirza, Nadia -MD COVERED UNDER FAP Good Samaritan Hospital Mirza, Nureain -MD NOT COVERED Good Samaritan Hospital Mitchell, Susan -MD NOT COVERED Good Samaritan Hospital Mody, Ketan -MD NOT COVERED Good Samaritan Hospital Mohammed, Mushtaq -MD NOT COVERED Good Samaritan Hospital Mohammed, Nasiruddin -MD NOT COVERED Good Samaritan Hospital Mollsen, Adam -PA NOT COVERED Good Samaritan Hospital Momoyama, Yoko -MD NOT COVERED Good Samaritan Hospital Moran, Barbara -CNS NOT COVERED Good Samaritan Hospital Moran, Jacqueline -MD NOT COVERED Good Samaritan Hospital Morgan, George -MD NOT COVERED Good Samaritan Hospital Morimoto, Judy -NP COVERED UNDER FAP Good Samaritan Hospital Morris, Casey -MD COVERED UNDER FAP Good Samaritan Hospital Moulki, Naeem -MD NOT COVERED Good Samaritan Hospital Mourad, William -MD NOT COVERED Good Samaritan Hospital Moy, Nicholas -MD NOT COVERED Good Samaritan Hospital MPS Kohli, MD SC NOT COVERED Good Samaritan Hospital Mruz, Estelle -RN NOT COVERED Good Samaritan Hospital Mularkey, Kelly -PA NOT COVERED Good Samaritan Hospital Muller, Aaron -MD NOT COVERED Good Samaritan Hospital Mullin, Thomas -MD NOT COVERED Good Samaritan Hospital Munn, Eric -MD NOT COVERED Good Samaritan Hospital Muppavarapu, Satheesh -MD NOT COVERED Good Samaritan Hospital Murchison, Allison -MD NOT COVERED Good Samaritan Hospital Murdock, Elmer -MD COVERED UNDER FAP Good Samaritan Hospital Murphy, Brian -MD NOT COVERED Good Samaritan Hospital Murphy, Jeanine -NP NOT COVERED Good Samaritan Hospital Murphy, Patricia -MD NOT COVERED Good Samaritan Hospital Mussani, Henna -DO COVERED UNDER FAP Good Samaritan Hospital Muzaffar, Zahida -MD NOT COVERED Good Samaritan Hospital Myers, Faith -DO NOT COVERED Good Samaritan Hospital Nacke, Elliot -MD NOT COVERED Good Samaritan Hospital Nadkarni, Nitin -MD NOT COVERED Good Samaritan Hospital Nagpal and Arora Associates, SC NOT COVERED Good Samaritan Hospital Nagpal, Krishan -MD NOT COVERED

Page 81 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Nair, Tad -MD NOT COVERED Good Samaritan Hospital Nair, Vijayakumar -MD COVERED UNDER FAP Good Samaritan Hospital Najjar, Samer -MD NOT COVERED Good Samaritan Hospital Naperbrook Medical Center NOT COVERED Good Samaritan Hospital Narayanan, Ramya -MD NOT COVERED Good Samaritan Hospital Naseer, Mehjabeen -DO NOT COVERED Good Samaritan Hospital Nashert, Mary -NP COVERED UNDER FAP Good Samaritan Hospital Nayak, Shweta -MD NOT COVERED Good Samaritan Hospital Nazimuddin, Ahmed -MD NOT COVERED Good Samaritan Hospital Nehart, Natalie -PA NOT COVERED Good Samaritan Hospital Nelson, Ann -NP NOT COVERED Good Samaritan Hospital Nemivant, Ravi -MD NOT COVERED Good Samaritan Hospital Nephrology Associates of Northern Illinois, Ltd NOT COVERED Good Samaritan Hospital Neural Watch NOT COVERED Good Samaritan Hospital Neurological Surgery & Spine Surgery, SC NOT COVERED Good Samaritan Hospital Neurology, Clinical Neurophysiology and Sleep Medicine NOT COVERED Good Samaritan Hospital Neuro-Psych Technologies LTD NOT COVERED Good Samaritan Hospital Nguyen, Bao -MD NOT COVERED Good Samaritan Hospital Nick, Jamie -NP NOT COVERED Good Samaritan Hospital Nicklas, Eleanor -PA NOT COVERED Good Samaritan Hospital Nijmeh, George -MD NOT COVERED Good Samaritan Hospital Niles, Angela -NP NOT COVERED Good Samaritan Hospital Nolan Watson, Katherine -MD COVERED UNDER FAP Good Samaritan Hospital Nolte, Margaret -NP NOT COVERED Good Samaritan Hospital Noorlag, William -DPM NOT COVERED Good Samaritan Hospital Nora, Matthew -MD NOT COVERED Good Samaritan Hospital Northern Illinois Plastic Surgery, LTD NOT COVERED Good Samaritan Hospital Novy-Celli, Cynthia -NP NOT COVERED Good Samaritan Hospital Nuvasive Clinical Services NOT COVERED Good Samaritan Hospital Oak Brook Allergists, SC NOT COVERED Good Samaritan Hospital Oak Brook Urology NOT COVERED Good Samaritan Hospital Oakbrook Pediatric & Adolescent Center, S.C NOT COVERED Good Samaritan Hospital Ochoa, Christopher -MD NOT COVERED Good Samaritan Hospital O'Connor Parker, Marie -MD NOT COVERED Good Samaritan Hospital O'Connor, Carolyn -PA COVERED UNDER FAP Good Samaritan Hospital Ofelia B. Ayuste, MD, SC NOT COVERED Good Samaritan Hospital Oken, Jeffrey -MD NOT COVERED Good Samaritan Hospital Okigawa, Ashley -PA NOT COVERED Good Samaritan Hospital O'Leary, Brian -MD NOT COVERED Good Samaritan Hospital O'Leary, Patrick -MD NOT COVERED Good Samaritan Hospital Orthopedic Associates of Kankakee, SC NOT COVERED Good Samaritan Hospital Oscar L. Alonso, MD, SC NOT COVERED Good Samaritan Hospital Oshmyansky, Alexander -MD NOT COVERED Good Samaritan Hospital Osmanovic, Diana -DO NOT COVERED Good Samaritan Hospital Otoole, Michael -MD NOT COVERED Good Samaritan Hospital Ottolin, Mark -MD NOT COVERED Good Samaritan Hospital Owaisi, Anjum -MD NOT COVERED Good Samaritan Hospital Ozog, Diane -MD NOT COVERED Good Samaritan Hospital Padalik, Sara -DO NOT COVERED Good Samaritan Hospital Paleologos, Nina -MD COVERED UNDER FAP Good Samaritan Hospital Panchal, Hemant -MD NOT COVERED Good Samaritan Hospital Panico, Ambrose -DO NOT COVERED Good Samaritan Hospital Papa, Christopher -DO NOT COVERED Good Samaritan Hospital Papierski, Paul -MD NOT COVERED Good Samaritan Hospital Pappas, Evans -MD NOT COVERED Good Samaritan Hospital Paresi, Robert -MD NOT COVERED Good Samaritan Hospital Parhar, Preeti -MD NOT COVERED Good Samaritan Hospital Parikh, Jason -MD NOT COVERED

Page 82 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Parikh, Pratik -MD COVERED UNDER FAP Good Samaritan Hospital Parkes, Megan -MD NOT COVERED Good Samaritan Hospital Paruchuri, Sudhakara -MD NOT COVERED Good Samaritan Hospital Pasciak, Mary -MD NOT COVERED Good Samaritan Hospital Pasciak, Robert -MD NOT COVERED Good Samaritan Hospital Patadia, Dipul -MD NOT COVERED Good Samaritan Hospital Patel, Amish -MD NOT COVERED Good Samaritan Hospital Patel, Amit -MD NOT COVERED Good Samaritan Hospital Patel, Arpan -MD NOT COVERED Good Samaritan Hospital Patel, Hemali -DO NOT COVERED Good Samaritan Hospital Patel, Ishani -PA NOT COVERED Good Samaritan Hospital Patel, Jeremy -MD NOT COVERED Good Samaritan Hospital Patel, Kanchan -MD NOT COVERED Good Samaritan Hospital Patel, Munira -MD NOT COVERED Good Samaritan Hospital Patel, Neel -MD NOT COVERED Good Samaritan Hospital Patel, Payal -DO NOT COVERED Good Samaritan Hospital Patel, Pooja -MD NOT COVERED Good Samaritan Hospital Patel, Ronak -MD NOT COVERED Good Samaritan Hospital Patel, Savan -MD NOT COVERED Good Samaritan Hospital Patel, Umang -MD NOT COVERED Good Samaritan Hospital Patel, Vijaykumar -MD NOT COVERED Good Samaritan Hospital Patni, Yaquta -MD NOT COVERED Good Samaritan Hospital Patolot, Arius -MD NOT COVERED Good Samaritan Hospital Patsavas, Kristia -MD NOT COVERED Good Samaritan Hospital Paul, P. -MD NOT COVERED Good Samaritan Hospital Pavone, Larissa -MD NOT COVERED Good Samaritan Hospital Pediatric & Adolescent Healthy Lifestyle Center, LLC NOT COVERED Good Samaritan Hospital Pediatric Wellness Center NOT COVERED Good Samaritan Hospital Pediatrics of Woodridge NOT COVERED Good Samaritan Hospital Peev, Milen -MD NOT COVERED Good Samaritan Hospital Pendley, Chad -MD COVERED UNDER FAP Good Samaritan Hospital Pentony, Eileen -MD NOT COVERED Good Samaritan Hospital Perillo, Kelly -PA NOT COVERED Good Samaritan Hospital Personal Physicians, S.C. NOT COVERED Good Samaritan Hospital Peters, Lisa -MD NOT COVERED Good Samaritan Hospital Petrak, Russell -MD NOT COVERED Good Samaritan Hospital Petri, Walter -MD NOT COVERED Good Samaritan Hospital Phillips, Valerie -MD NOT COVERED Good Samaritan Hospital Philobos, Marie -MD NOT COVERED Good Samaritan Hospital Pieta, Jacek -MD NOT COVERED Good Samaritan Hospital Pillai, Seema -NP NOT COVERED Good Samaritan Hospital Pillai, Srikumar -MD NOT COVERED Good Samaritan Hospital Pinnacle Dermatology, SC NOT COVERED Good Samaritan Hospital Pinsky, Jonathan -MD NOT COVERED Good Samaritan Hospital Plancich, Alicia -PA NOT COVERED Good Samaritan Hospital Plastic Surgery Services and Equipment, LLC NOT COVERED Good Samaritan Hospital Plica, Keri -PA NOT COVERED Good Samaritan Hospital Podiatry Center SC NOT COVERED Good Samaritan Hospital Pollock, Glen -MD COVERED UNDER FAP Good Samaritan Hospital Pomazal, Eric -PA NOT COVERED Good Samaritan Hospital Pongonis, Raymond -MD NOT COVERED Good Samaritan Hospital Pontikis, George -MD NOT COVERED Good Samaritan Hospital Poole, Laurel -PA NOT COVERED Good Samaritan Hospital Pope, Nicole -NP NOT COVERED Good Samaritan Hospital Popper, Michael -MD NOT COVERED Good Samaritan Hospital Porcelli, John -MD NOT COVERED Good Samaritan Hospital Poser, Hana -MD NOT COVERED Good Samaritan Hospital Potempa, Leonard -MD NOT COVERED

Page 83 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Premier Family Health and Wellness Center, Inc. NOT COVERED Good Samaritan Hospital Premier Pain & Spine, LLC NOT COVERED Good Samaritan Hospital Premier Surgical Assistants NOT COVERED Good Samaritan Hospital Prete, Mario -MD NOT COVERED Good Samaritan Hospital Price, Jessica -PA NOT COVERED Good Samaritan Hospital Primary Care Services, SC NOT COVERED Good Samaritan Hospital Progressive Eye Care, SC NOT COVERED Good Samaritan Hospital Psych Care Associates NOT COVERED Good Samaritan Hospital Pua, Jeffrey -MD NOT COVERED Good Samaritan Hospital Pulmonary Clinic for Children, SC NOT COVERED Good Samaritan Hospital Puppala, Anuj -MD NOT COVERED Good Samaritan Hospital Purcell, Michelle -PA NOT COVERED Good Samaritan Hospital Puthenpurakal, Kriti -DPM NOT COVERED Good Samaritan Hospital Quadri, Syeda -DO COVERED UNDER FAP Good Samaritan Hospital Radiation Oncology Consultants Ltd NOT COVERED Good Samaritan Hospital Rae, Carolyn -MD NOT COVERED Good Samaritan Hospital Raichand, Sunil -MD NOT COVERED Good Samaritan Hospital Raiser, Manfred -MD NOT COVERED Good Samaritan Hospital Rajaram, Priyanka -MD NOT COVERED Good Samaritan Hospital Rajendran, Ramji -MD NOT COVERED Good Samaritan Hospital Rajmane, Oojwala -MD NOT COVERED Good Samaritan Hospital Raju, Mahesh -MD COVERED UNDER FAP Good Samaritan Hospital Rakesh Marwaha, MD, SC NOT COVERED Good Samaritan Hospital Ramachandran, Mahesh -MD NOT COVERED Good Samaritan Hospital Ramanathan, Anand -MD COVERED UNDER FAP Good Samaritan Hospital Ramani, Ram -MD NOT COVERED Good Samaritan Hospital Ramesh Melvani MD SC NOT COVERED Good Samaritan Hospital Rana, Nasiruddin -MD NOT COVERED Good Samaritan Hospital Ranario, Danelle Rose -PA COVERED UNDER FAP Good Samaritan Hospital Rao, Noel -MD NOT COVERED Good Samaritan Hospital Rauf, Anis -DO NOT COVERED Good Samaritan Hospital Rauh, R. -MD NOT COVERED Good Samaritan Hospital Ravi Medical Group NOT COVERED Good Samaritan Hospital Ravi, Narsipur -MD NOT COVERED Good Samaritan Hospital Rawal, Ankit -DO NOT COVERED Good Samaritan Hospital Reddy Dermatology S Corporation NOT COVERED Good Samaritan Hospital Reddy, Anup -MD NOT COVERED Good Samaritan Hospital Reddy, Lalitha -MD NOT COVERED Good Samaritan Hospital Reddy, Naveen -MD NOT COVERED Good Samaritan Hospital Reddy, Shantan -MD NOT COVERED Good Samaritan Hospital Reed, Kristen -PA COVERED UNDER FAP Good Samaritan Hospital Rehabilitation Institute of Chicago NOT COVERED Good Samaritan Hospital Rehabilitation Medicine Clinic, Inc NOT COVERED Good Samaritan Hospital Rehabilitation Medicine Clinic, Inc. NOT COVERED Good Samaritan Hospital Reilly, John -MD NOT COVERED Good Samaritan Hospital Reishus, Scott -DO NOT COVERED Good Samaritan Hospital Reproductive Medicine Institute, LLC NOT COVERED Good Samaritan Hospital Reu, Peggy -CNS NOT COVERED Good Samaritan Hospital Rhew, Elisa -MD NOT COVERED Good Samaritan Hospital Rhodes, Megan -PA COVERED UNDER FAP Good Samaritan Hospital Rhone, Christopher -LCPC NOT COVERED Good Samaritan Hospital Richardson, Brent -MD NOT COVERED Good Samaritan Hospital Richman, Nicole -MD NOT COVERED Good Samaritan Hospital Ridges, Kelly -NP NOT COVERED Good Samaritan Hospital Rienstra, Lauren -NP NOT COVERED Good Samaritan Hospital Rifenburg, Robert -DO NOT COVERED Good Samaritan Hospital Rinehart, John -MD NOT COVERED Good Samaritan Hospital Rita Yadava, MD, SC NOT COVERED

Page 84 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Rivera Guerrero, Jose -MD NOT COVERED Good Samaritan Hospital Rizvi, Zehra -MD NOT COVERED Good Samaritan Hospital RMU Neurology, SC NOT COVERED Good Samaritan Hospital Robinson, Melissa -DO NOT COVERED Good Samaritan Hospital Rodriguez, Jessica -PA NOT COVERED Good Samaritan Hospital Rogoz, Deborah -NP NOT COVERED Good Samaritan Hospital Roland, Autumn -PA NOT COVERED Good Samaritan Hospital Ronald H.Stefani, Jr. MD, SC NOT COVERED Good Samaritan Hospital Roppel, Heather -NP NOT COVERED Good Samaritan Hospital Rosen, Jeffrey -MD NOT COVERED Good Samaritan Hospital Rosenfeld-Barbash, Janis -MD NOT COVERED Good Samaritan Hospital Ross, Michael -MD NOT COVERED Good Samaritan Hospital Rosseau, Richard -MD NOT COVERED Good Samaritan Hospital Rossini, Connie -MD NOT COVERED Good Samaritan Hospital Roth, Andrew -MD NOT COVERED Good Samaritan Hospital Rowley, Stephen -MD COVERED UNDER FAP Good Samaritan Hospital Rush University Pediatric Surgeons NOT COVERED Good Samaritan Hospital Ryan, Susan -NP NOT COVERED Good Samaritan Hospital Sabah, Saima -MD NOT COVERED Good Samaritan Hospital Sabaliauskas, Gaile -MD COVERED UNDER FAP Good Samaritan Hospital Sadah, Alan -MD NOT COVERED Good Samaritan Hospital Sahgal, Nishi -MD NOT COVERED Good Samaritan Hospital Said, Omar -MD NOT COVERED Good Samaritan Hospital Sait, Mohamed -MD NOT COVERED Good Samaritan Hospital Saiyed, Humaira -MD NOT COVERED Good Samaritan Hospital Saleem, Moeen -MD COVERED UNDER FAP Good Samaritan Hospital Salehi, Sean -MD NOT COVERED Good Samaritan Hospital Salhadar, Ammar -DO NOT COVERED Good Samaritan Hospital Salvino , Natalie -NP NOT COVERED Good Samaritan Hospital Sams, Michael -MD NOT COVERED Good Samaritan Hospital Sankari, Susan -MD NOT COVERED Good Samaritan Hospital Sarmiento, Rodolfo -MD NOT COVERED Good Samaritan Hospital Saujani, Mayur -MD NOT COVERED Good Samaritan Hospital Sayyad, Anjum -MD NOT COVERED Good Samaritan Hospital Scavone, Anthony -DO NOT COVERED Good Samaritan Hospital Schaafsma, Drew -PA NOT COVERED Good Samaritan Hospital Schermer, Carol -MD COVERED UNDER FAP Good Samaritan Hospital Schlorff, Caitlin -PA NOT COVERED Good Samaritan Hospital Schmidt, Kevin -MD NOT COVERED Good Samaritan Hospital Schmidt, Michael -MD NOT COVERED Good Samaritan Hospital Schneider, Karen -NP COVERED UNDER FAP Good Samaritan Hospital Schowalter, Michael -MD NOT COVERED Good Samaritan Hospital Schubert, Charles -MD NOT COVERED Good Samaritan Hospital Schubkegel, Andrew -MD NOT COVERED Good Samaritan Hospital Schultz, Kurt -MD NOT COVERED Good Samaritan Hospital Schultz, Olivia -PA NOT COVERED Good Samaritan Hospital Schwab, Nicole -NP NOT COVERED Good Samaritan Hospital Schwartz, Charles -MD NOT COVERED Good Samaritan Hospital Schwartz, Jeffrey -MD NOT COVERED Good Samaritan Hospital Schwartz, Michael -MD NOT COVERED Good Samaritan Hospital Schwartzers, Debra -MD NOT COVERED Good Samaritan Hospital Scigacz, Bozena -MD NOT COVERED Good Samaritan Hospital Scopp, Lauren -PA NOT COVERED Good Samaritan Hospital Segalene, Asya -MD NOT COVERED Good Samaritan Hospital Segel, Brett -MD NOT COVERED Good Samaritan Hospital Sehdev, Surinder -MD COVERED UNDER FAP Good Samaritan Hospital Seipp, Regan -MD NOT COVERED Good Samaritan Hospital Seo, Robert -MD NOT COVERED

Page 85 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Seraphin, Peter -DO NOT COVERED Good Samaritan Hospital Shadid, Hythem -MD NOT COVERED Good Samaritan Hospital Shah, Amar -MD NOT COVERED Good Samaritan Hospital Shah, Ami -MD NOT COVERED Good Samaritan Hospital Shah, Amy -DO NOT COVERED Good Samaritan Hospital Shah, Kamlesh -MD NOT COVERED Good Samaritan Hospital Shah, Monica -PA NOT COVERED Good Samaritan Hospital Shah, Nirav -MD NOT COVERED Good Samaritan Hospital Shah, Ojas -MD NOT COVERED Good Samaritan Hospital Shah, Pranjal -MD NOT COVERED Good Samaritan Hospital Shah, Shivani -MD NOT COVERED Good Samaritan Hospital Shah, Surbhi -MD NOT COVERED Good Samaritan Hospital Shah, Varsha -MD NOT COVERED Good Samaritan Hospital Shahab, Nasir -MD NOT COVERED Good Samaritan Hospital Shahbandar, Lena -MD NOT COVERED Good Samaritan Hospital Shahzad, Muhammad -MD NOT COVERED Good Samaritan Hospital Shanahan, Lindsay -NP NOT COVERED Good Samaritan Hospital Sharif, Sitara -MD NOT COVERED Good Samaritan Hospital Sharma, Chandra -MD NOT COVERED Good Samaritan Hospital Sharma, Girish -MD NOT COVERED Good Samaritan Hospital Sharma, Rahul -MD NOT COVERED Good Samaritan Hospital Sharma, Sudarshan -MD NOT COVERED Good Samaritan Hospital Sheehan, Kerry -DO NOT COVERED Good Samaritan Hospital Sheikh, M. Tahir -MD COVERED UNDER FAP Good Samaritan Hospital Sheppard, Lynn -NP NOT COVERED Good Samaritan Hospital Sherman, Edward -MD NOT COVERED Good Samaritan Hospital Shin, Kee -MD NOT COVERED Good Samaritan Hospital Shirley Ryan Ability Lab NOT COVERED Good Samaritan Hospital Shirsat, Milind -DO NOT COVERED Good Samaritan Hospital Shivalingappa, Prabhu -MD NOT COVERED Good Samaritan Hospital Shuaipaj, Tasin -MD NOT COVERED Good Samaritan Hospital Siavelis, Harry -MD NOT COVERED Good Samaritan Hospital Siddiqi, Aheed -MD NOT COVERED Good Samaritan Hospital Siddique, Mohammad -MD NOT COVERED Good Samaritan Hospital Siddiqui, Arshea -MD NOT COVERED Good Samaritan Hospital Sievertsen, Grant -MD NOT COVERED Good Samaritan Hospital Signorino, Paul -MD NOT COVERED Good Samaritan Hospital Sime, Jessica -MD NOT COVERED Good Samaritan Hospital Simmons, Chad -PA COVERED UNDER FAP Good Samaritan Hospital Simon, Christopher -MD NOT COVERED Good Samaritan Hospital Simon, Gerald -MD NOT COVERED Good Samaritan Hospital Sims, Brittany -PA NOT COVERED Good Samaritan Hospital Singh, Manvinder -MD NOT COVERED Good Samaritan Hospital Singh, Padamjit -MD NOT COVERED Good Samaritan Hospital Sinno, Mohamed -MD COVERED UNDER FAP Good Samaritan Hospital Skaluba, Stanislaw -MD COVERED UNDER FAP Good Samaritan Hospital Skay, Colleen -MD COVERED UNDER FAP Good Samaritan Hospital Sledz, Eva -MD COVERED UNDER FAP Good Samaritan Hospital Sloan, Stephen -MD NOT COVERED Good Samaritan Hospital Slobodan D. Vucicevic, MD, SC NOT COVERED Good Samaritan Hospital Smart, Brian -MD NOT COVERED Good Samaritan Hospital Smith, Craig -MD NOT COVERED Good Samaritan Hospital Smith, Elizabeth -MD NOT COVERED Good Samaritan Hospital Smith, Matthew -MD NOT COVERED Good Samaritan Hospital Smith, Thomas -DO NOT COVERED Good Samaritan Hospital Smithson, Melissa -PA NOT COVERED Good Samaritan Hospital Smythe, Emily -DDS NOT COVERED Good Samaritan Hospital Snyder, Edward -MD NOT COVERED

Page 86 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Sobol, Jennifer -PA NOT COVERED Good Samaritan Hospital Somvanshi, Rahul -MD NOT COVERED Good Samaritan Hospital Soneru, Alexander -MD NOT COVERED Good Samaritan Hospital Sosenko, George -MD NOT COVERED Good Samaritan Hospital Spaccapaniccia Podiatry, Ltd NOT COVERED Good Samaritan Hospital Spaccapaniccia, Mark -DPM NOT COVERED Good Samaritan Hospital Spangler, Jennifer -NP NOT COVERED Good Samaritan Hospital Spiller, Marc -MD NOT COVERED Good Samaritan Hospital Srigiriraju, Padma -MD NOT COVERED Good Samaritan Hospital SS Medical Services NOT COVERED Good Samaritan Hospital Stanislaus, Anna -MD NOT COVERED Good Samaritan Hospital Statkus, Jennifer -NP COVERED UNDER FAP Good Samaritan Hospital Stefani, Ronald -MD NOT COVERED Good Samaritan Hospital Steiner, Donald -MD NOT COVERED Good Samaritan Hospital Stephan, William -MD COVERED UNDER FAP Good Samaritan Hospital Stephen P. Boghossian, MD, PC NOT COVERED Good Samaritan Hospital Stephen T Jagielo DDS PC NOT COVERED Good Samaritan Hospital Stephens Archer, Chantale -MD NOT COVERED Good Samaritan Hospital Stewart, Amy -MD COVERED UNDER FAP Good Samaritan Hospital Stiff, Andrew -MD NOT COVERED Good Samaritan Hospital Strauch, Matthew -DO NOT COVERED Good Samaritan Hospital Stutz, Michael -MD NOT COVERED Good Samaritan Hospital Suburban Primary Care NOT COVERED Good Samaritan Hospital Suburban Pulmonary & Sleep Associates, Ltd. NOT COVERED Good Samaritan Hospital Suburban Surgery Center NOT COVERED Good Samaritan Hospital Sudarshan Sharma, MD, Ltd NOT COVERED Good Samaritan Hospital Sugrue, Patrick -MD COVERED UNDER FAP Good Samaritan Hospital Sullivan, Daniel -MD COVERED UNDER FAP Good Samaritan Hospital Summerville, Randall -PsyD NOT COVERED Good Samaritan Hospital Summit Dermatology & Aesthetic Surgery NOT COVERED Good Samaritan Hospital Sumoza, Ilia -MD COVERED UNDER FAP Good Samaritan Hospital Supple, Peggy -MD NOT COVERED Good Samaritan Hospital Surabhi, Srinivas -MD NOT COVERED Good Samaritan Hospital Sutherland, Joseph -MD NOT COVERED Good Samaritan Hospital Swade, Terrence -MD NOT COVERED Good Samaritan Hospital Swamy, Sheela -MD NOT COVERED Good Samaritan Hospital Swanson, Heidi -DO NOT COVERED Good Samaritan Hospital Swiatek, Megan -NP NOT COVERED Good Samaritan Hospital Swisher, Stacie -PA NOT COVERED Good Samaritan Hospital Switzer, Mark -MD NOT COVERED Good Samaritan Hospital Syed, Zubair -MD NOT COVERED Good Samaritan Hospital Symphony Medical Group, PC NOT COVERED Good Samaritan Hospital Szachowicz, Patrick -DO NOT COVERED Good Samaritan Hospital Tamragouri, Ravikiran -MD NOT COVERED Good Samaritan Hospital Tanveer, Shahida -MD NOT COVERED Good Samaritan Hospital Taormina, Mia -DO NOT COVERED Good Samaritan Hospital Tatara, Mark -MD COVERED UNDER FAP Good Samaritan Hospital Tatebe, Leah -MD COVERED UNDER FAP Good Samaritan Hospital Tazeen, Farah -MD NOT COVERED Good Samaritan Hospital Templin, Cary -MD NOT COVERED Good Samaritan Hospital Thaker, Vibhaben -MD NOT COVERED Good Samaritan Hospital Thakkar, Jigarkumar -MD NOT COVERED Good Samaritan Hospital Thangamani, Vijay -MD NOT COVERED Good Samaritan Hospital The Wright Center for Women's Health NOT COVERED Good Samaritan Hospital Thomas, Celia -CNS NOT COVERED Good Samaritan Hospital Thomas, Robert -MD NOT COVERED Good Samaritan Hospital Thompson, Andrew -MD NOT COVERED Good Samaritan Hospital Thompson, Sara -PA NOT COVERED

Page 87 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Thompson, Zachary -MD NOT COVERED Good Samaritan Hospital Thomson, Tricia -MD NOT COVERED Good Samaritan Hospital Thorsness, Robert -MD NOT COVERED Good Samaritan Hospital Thukral, Arpi -MD NOT COVERED Good Samaritan Hospital Tiesenga Surgical Associates, S.C. NOT COVERED Good Samaritan Hospital Tiesenga, Frederick -MD NOT COVERED Good Samaritan Hospital Tilwalli, Dhruva -MD NOT COVERED Good Samaritan Hospital Tjaden, Jamie -MD NOT COVERED Good Samaritan Hospital Tobin Vealey, Kristen -MD NOT COVERED Good Samaritan Hospital TRE Medical, Ltd. NOT COVERED Good Samaritan Hospital Tresley, Gilbert -MD NOT COVERED Good Samaritan Hospital Tresley, Jonathan -MD NOT COVERED Good Samaritan Hospital Troiani, Blake -MD NOT COVERED Good Samaritan Hospital Trukhacheva, Elena -MD NOT COVERED Good Samaritan Hospital Tsonis, Lambros -MD NOT COVERED Good Samaritan Hospital Tu, Rong -MD NOT COVERED Good Samaritan Hospital Tuchek, James -DO NOT COVERED Good Samaritan Hospital Tulipan, David -MD NOT COVERED Good Samaritan Hospital Twenty First Century Pediatrics NOT COVERED Good Samaritan Hospital Tye, Grace -MD NOT COVERED Good Samaritan Hospital Ubilluz, Rodrigo -MD NOT COVERED Good Samaritan Hospital Udani, Suneel -MD NOT COVERED Good Samaritan Hospital Ung, Feodor -MD NOT COVERED Good Samaritan Hospital Ung, Jean -MD NOT COVERED Good Samaritan Hospital University Dermatology and Vein Clinic LLC NOT COVERED Good Samaritan Hospital University Foot Specialist, Ltd NOT COVERED Good Samaritan Hospital University Head & Neck Associates NOT COVERED Good Samaritan Hospital Urbanosky, Leah -MD NOT COVERED Good Samaritan Hospital Urbanowicz, Cynthia -MD NOT COVERED Good Samaritan Hospital UroPartners, LLC NOT COVERED Good Samaritan Hospital Vajaria, Gaurav -DPM NOT COVERED Good Samaritan Hospital Vajaria, Yogesh -MD NOT COVERED Good Samaritan Hospital Valika, Ali -MD COVERED UNDER FAP Good Samaritan Hospital Valika, Aziz -MD NOT COVERED Good Samaritan Hospital Vallina, Van -MD NOT COVERED Good Samaritan Hospital Van Osdol, Thomas -MD NOT COVERED Good Samaritan Hospital Vana, Paul -MD NOT COVERED Good Samaritan Hospital Velasquez, Gladys -MD NOT COVERED Good Samaritan Hospital Ventura, Arturo -NP NOT COVERED Good Samaritan Hospital Ventura, Doreen -MD NOT COVERED Good Samaritan Hospital Vergara, Claudia -MD NOT COVERED Good Samaritan Hospital Vijayakumar, Asha -MD COVERED UNDER FAP Good Samaritan Hospital Vila-Sola, Olga -MD NOT COVERED Good Samaritan Hospital Villa Medical Arts NOT COVERED Good Samaritan Hospital Villanueva, Jaime -MD NOT COVERED Good Samaritan Hospital Vimr, Ross -MD NOT COVERED Good Samaritan Hospital Vinci, Samuel -DPM NOT COVERED Good Samaritan Hospital Virant, Jennifer -MD NOT COVERED Good Samaritan Hospital Vision Radiology NOT COVERED Good Samaritan Hospital Volden, Dane -MD NOT COVERED Good Samaritan Hospital Voronov, Ellen -MD NOT COVERED Good Samaritan Hospital Vucicevic, Slobodan -MD NOT COVERED Good Samaritan Hospital W. P. Dmowski, MD, Ph.D. & Associates NOT COVERED Good Samaritan Hospital Waitley, David -MD NOT COVERED Good Samaritan Hospital Wallace, Suzanne -NP NOT COVERED Good Samaritan Hospital Wallis, Diane -MD COVERED UNDER FAP Good Samaritan Hospital Walsh, James -MD NOT COVERED Good Samaritan Hospital Walsh, Kevin -MD NOT COVERED

Page 88 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Wang, Alan -MD NOT COVERED Good Samaritan Hospital Warren, Kimberly -NP NOT COVERED Good Samaritan Hospital Watts, Daniel -CRNA NOT COVERED Good Samaritan Hospital Weber, Benjamin -MD NOT COVERED Good Samaritan Hospital Weinberg, Kenneth -MD NOT COVERED Good Samaritan Hospital Weinstein, Jordan -MD NOT COVERED Good Samaritan Hospital Weiss, Lee -MD COVERED UNDER FAP Good Samaritan Hospital Weiss, Mark -MD NOT COVERED Good Samaritan Hospital Weldon, Elizabeth -MD NOT COVERED Good Samaritan Hospital Wemhoff, Michael -MD COVERED UNDER FAP Good Samaritan Hospital Wenninger, Deborah -PA NOT COVERED Good Samaritan Hospital Wesner, Joyce -PA NOT COVERED Good Samaritan Hospital Wessing, Misty -PA NOT COVERED Good Samaritan Hospital West Suburban Neurosurgical Associates, SC NOT COVERED Good Samaritan Hospital Western DuPage Obstetrics & Gynecology, SC NOT COVERED Good Samaritan Hospital Westside Medical Associates, Ltd NOT COVERED Good Samaritan Hospital Wharton, Stacie -PA NOT COVERED Good Samaritan Hospital Wiese, Kristin -MD NOT COVERED Good Samaritan Hospital Wilkens, William -MD NOT COVERED Good Samaritan Hospital Wilson, John -MD NOT COVERED Good Samaritan Hospital Win, Khin -MD NOT COVERED Good Samaritan Hospital Winter, Michelle -MD NOT COVERED Good Samaritan Hospital Wirth, Summer -MD NOT COVERED Good Samaritan Hospital Wlodarek, Craig -MD NOT COVERED Good Samaritan Hospital Wolf, Robert -DDS NOT COVERED Good Samaritan Hospital Wolowick, Karen -DO NOT COVERED Good Samaritan Hospital Wolraich, David -MD NOT COVERED Good Samaritan Hospital Women's Health Group Chicago NOT COVERED Good Samaritan Hospital Woodridge Clinic, SC NOT COVERED Good Samaritan Hospital Wourms, Jamie -NP COVERED UNDER FAP Good Samaritan Hospital Wray, John -DPM NOT COVERED Good Samaritan Hospital Wright, James -MD NOT COVERED Good Samaritan Hospital Wright, Kevin -PA NOT COVERED Good Samaritan Hospital Wright, Kimberly -MD NOT COVERED Good Samaritan Hospital Wright, LaBianca -MD NOT COVERED Good Samaritan Hospital Wurzelbacher, Alan -MD NOT COVERED Good Samaritan Hospital Xenidis, Melissa -DO NOT COVERED Good Samaritan Hospital Yadava, Gaurav -MD NOT COVERED Good Samaritan Hospital Yadava, Rita -MD NOT COVERED Good Samaritan Hospital Yalamanchi, Ravi -MD NOT COVERED Good Samaritan Hospital Yapp, Rockford -MD NOT COVERED Good Samaritan Hospital Ying, Huei Fang -CRNA NOT COVERED Good Samaritan Hospital Yohannan, Charles -MD NOT COVERED Good Samaritan Hospital Yonkus, Michelle -NP COVERED UNDER FAP Good Samaritan Hospital Yoon, Peter -MD NOT COVERED Good Samaritan Hospital Yousuf, Mohammed -MD NOT COVERED Good Samaritan Hospital Yu, Andrew -MD NOT COVERED Good Samaritan Hospital Yu, Mingxi -MD NOT COVERED Good Samaritan Hospital Yunez, Karim -MD NOT COVERED Good Samaritan Hospital Yunus, Saadia -DO NOT COVERED Good Samaritan Hospital Zaderetskii, Roksolana -PA NOT COVERED Good Samaritan Hospital Zajac, Jacek -MD NOT COVERED Good Samaritan Hospital Zayat, Rachel -PA NOT COVERED Good Samaritan Hospital Zayed, Hythem -MD NOT COVERED Good Samaritan Hospital Zeller, W. -MD NOT COVERED Good Samaritan Hospital Zhao, Yan -MD NOT COVERED Good Samaritan Hospital Zhu, Ying -MD NOT COVERED Good Samaritan Hospital Ziffra, Jeffrey -DO COVERED UNDER FAP

Page 89 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Samaritan Hospital Zindrick, Michael -MD NOT COVERED Good Samaritan Hospital Zlatarov, Nikolay -DO NOT COVERED Good Samaritan Hospital Zofia Cygan, MD, SC NOT COVERED Good Samaritan Hospital Zygmunt, Kenneth -DPM NOT COVERED Good Shepard Hospital Adelstein, Steven -DPM NOT COVERED Good Shepard Hospital Advanced Allergy & Asthma Associates, SC NOT COVERED Good Shepard Hospital Advanced Dermatology, LLC NOT COVERED Good Shepard Hospital Advanced Medical Care, Ltd NOT COVERED Good Shepard Hospital Advanced Reproductive Center NOT COVERED Good Shepard Hospital Advanced Surgical Care of Northern Illinois, Ltd NOT COVERED Good Shepard Hospital Advocate Medical Group COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group - Barrington - 27790 W Highway 22 COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group - Barrington - Northwest Highway - Cardiology COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group - Barrington -Highway 22 COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group - Crystal Lake - Oncology COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group - Fox River Grove - Internal Medicine COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group - Libertyville - Milwaukee Ave COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group - Wonder Lake COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Advocate Clinic Arlington Heights COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Advocate Clinic Crystal Lake COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Advocate Clinic Mchenry COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Advocate Clinic Mount Prospect COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Advocate Clinic Palatine COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Algonquin Merchant Drive COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Algonquin Ryan Pkwy COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Barrington Fitness COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Barrington Internal Medicine COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Barrington The Garlands COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Crystal Lake COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Hospitalists COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Island Lake COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Lake Zurich COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Midwest Heart Specialists COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Neonatology COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Nesset Geriatric Medicine COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Nesset Physical Med & Rehab COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Peds Hospitalist COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group Wauconda COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group-Chicago, Trinity-Neonatology COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group-Crystal Lake-525 East Congress Parkway-Cardiology COVERED UNDER FAP Good Shepard Hospital Advocate Medical Group-Fox River Grove-912 West Northwest Highway-Cardiology COVERED UNDER FAP Good Shepard Hospital Advocate Occupational Health Lake Zurich COVERED UNDER FAP Good Shepard Hospital Affiliated Ear, Nose & Throat Physicians NOT COVERED Good Shepard Hospital Affinati, Mario -MD NOT COVERED Good Shepard Hospital Afifi, Mohamed -MD NOT COVERED Good Shepard Hospital Ahluwalia, Deepali -MD NOT COVERED Good Shepard Hospital Ahmad Family Primary Care, SC NOT COVERED Good Shepard Hospital Ahmad, Shad -MD NOT COVERED Good Shepard Hospital Ahmad, Zubair -MD NOT COVERED Good Shepard Hospital Ahmed, Amina -MD NOT COVERED Good Shepard Hospital Ahmed, Muhammad -MD NOT COVERED Good Shepard Hospital Ahmed, Nooruzsabha -MD NOT COVERED Good Shepard Hospital Akers, Katie -NP NOT COVERED Good Shepard Hospital Al Wafai, Ameer -MD NOT COVERED Good Shepard Hospital Al-Ani, Ismail -MD NOT COVERED Good Shepard Hospital Albrecht, Robert -MD NOT COVERED Good Shepard Hospital Alexander, Bonita -MD NOT COVERED Good Shepard Hospital Ali, Stefanie -MD NOT COVERED

Page 90 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Alikakos, Timothy -MD NOT COVERED Good Shepard Hospital Allergy & Asthma Associates, Ltd NOT COVERED Good Shepard Hospital Allison, Matthew -MD NOT COVERED Good Shepard Hospital Alpert, Joshua -MD NOT COVERED Good Shepard Hospital Alpine Foot Specialists, PC NOT COVERED Good Shepard Hospital Altshuler, Barry -MD NOT COVERED Good Shepard Hospital Alvi, Aijaz -MD NOT COVERED Good Shepard Hospital American Surgical Professionals NOT COVERED Good Shepard Hospital Amiry Cardiology Consultant MD, SC NOT COVERED Good Shepard Hospital Amiry, Abas -MD NOT COVERED Good Shepard Hospital Amita Health Medical Group-Lake Zurich NOT COVERED Good Shepard Hospital Anderson, Kathy -MD NOT COVERED Good Shepard Hospital Anderson, Ryan -PA NOT COVERED Good Shepard Hospital Angerame, Marc -MD NOT COVERED Good Shepard Hospital Antioch Oral & Maxilofacial Surgery NOT COVERED Good Shepard Hospital Antonio C. Yuk, MD, SC NOT COVERED Good Shepard Hospital Anwar, Asif -MD COVERED UNDER FAP Good Shepard Hospital Apollo Hospitalist Group, LLC NOT COVERED Good Shepard Hospital Arora, Amit -MD NOT COVERED Good Shepard Hospital Arora, Mohit -MD NOT COVERED Good Shepard Hospital Arora, Mukesh -MD NOT COVERED Good Shepard Hospital Arthur L. Ostrowski, MD, SC NOT COVERED Good Shepard Hospital Associated Allergists & Asthma Specialists, Ltd NOT COVERED Good Shepard Hospital Associates in Nephrology, SC NOT COVERED Good Shepard Hospital Atia, Antwan -MD NOT COVERED Good Shepard Hospital Atia, George -MD NOT COVERED Good Shepard Hospital Azeem, Mohammed -MD NOT COVERED Good Shepard Hospital Aziz, Nader -MD NOT COVERED Good Shepard Hospital Babigumira, Edward -MD NOT COVERED Good Shepard Hospital Back to Basics Pediatrics, SC NOT COVERED Good Shepard Hospital Baggio, Claudine -DO NOT COVERED Good Shepard Hospital Baird, James -DPM NOT COVERED Good Shepard Hospital Baker, Richard -DO NOT COVERED Good Shepard Hospital Baldassano, Joseph -DDS NOT COVERED Good Shepard Hospital Ballard, Jonathan -MD COVERED UNDER FAP Good Shepard Hospital Balocki, John -DO COVERED UNDER FAP Good Shepard Hospital Bang, Moriah -DO COVERED UNDER FAP Good Shepard Hospital Bangash, Farhan -DO NOT COVERED Good Shepard Hospital Bank, Bruce -MD NOT COVERED Good Shepard Hospital Bannen, Todd -MD NOT COVERED Good Shepard Hospital Bari, Naveed -MD NOT COVERED Good Shepard Hospital Barrington Anesthesia Associates, SC NOT COVERED Good Shepard Hospital Barrington Family Health Care NOT COVERED Good Shepard Hospital Barrington Plastic Surgery NOT COVERED Good Shepard Hospital Barrington Surgeons, Ltd. NOT COVERED Good Shepard Hospital Bartolomeo, Orazio -MD NOT COVERED Good Shepard Hospital Basko Dermatology, LLC NOT COVERED Good Shepard Hospital Basko-Plluska, Juliana -MD NOT COVERED Good Shepard Hospital Beckerman, John -MD NOT COVERED Good Shepard Hospital Bector, Sumit -MD NOT COVERED Good Shepard Hospital Been Facial Plastics NOT COVERED Good Shepard Hospital Been, Geeta -MD NOT COVERED Good Shepard Hospital Been, Mark -MD NOT COVERED Good Shepard Hospital Behm, Jill -NP COVERED UNDER FAP Good Shepard Hospital Behzad Farah, MD, SC NOT COVERED Good Shepard Hospital Bennett, Sarah -NP NOT COVERED Good Shepard Hospital Berkowitz, Michael -MD NOT COVERED Good Shepard Hospital Bessonny, Eric -MD NOT COVERED

Page 91 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Best Practices Inpatient Care, Ltd NOT COVERED Good Shepard Hospital Bhuva, Manish -MD NOT COVERED Good Shepard Hospital Bianchi, Raymond -MD NOT COVERED Good Shepard Hospital Bibby, Robert -PsyD NOT COVERED Good Shepard Hospital Bikshorn, Barry -MD NOT COVERED Good Shepard Hospital Biskup, Mary -MD COVERED UNDER FAP Good Shepard Hospital Blackman, Nikki -NP NOT COVERED Good Shepard Hospital Blodgett, Christina -PhD NOT COVERED Good Shepard Hospital Bockman, Susan -NP COVERED UNDER FAP Good Shepard Hospital Bogan, Jennifer -MD NOT COVERED Good Shepard Hospital Bolanos, Jose -MD NOT COVERED Good Shepard Hospital Bolden, Christine -NP NOT COVERED Good Shepard Hospital Bolotin, Colleen -NP COVERED UNDER FAP Good Shepard Hospital Bonk, Jeffrey -DDS NOT COVERED Good Shepard Hospital Borst, Cheryl -PsyD NOT COVERED Good Shepard Hospital Braaton, Michael -MD NOT COVERED Good Shepard Hospital Braatz, Timothy -MD NOT COVERED Good Shepard Hospital Bradshaw, Marques -MD NOT COVERED Good Shepard Hospital Brady, Roseann -DO NOT COVERED Good Shepard Hospital Brak, Brenda -MD NOT COVERED Good Shepard Hospital Braun, Michael -MD NOT COVERED Good Shepard Hospital Braverman, Charles -MD NOT COVERED Good Shepard Hospital Brebach, Gregory -MD NOT COVERED Good Shepard Hospital Bremer, Bonnie -MD NOT COVERED Good Shepard Hospital Brobbey, Wahab -MD NOT COVERED Good Shepard Hospital Brown, Christopher -MD NOT COVERED Good Shepard Hospital Brown, Judith -MD NOT COVERED Good Shepard Hospital Browning, Jared -MD NOT COVERED Good Shepard Hospital Brubacher, Sara -NP NOT COVERED Good Shepard Hospital Buchanan, Renee -PA COVERED UNDER FAP Good Shepard Hospital Budnick, Amy -NP NOT COVERED Good Shepard Hospital Bui, Minh-Son -MD NOT COVERED Good Shepard Hospital Burdette, David -MD NOT COVERED Good Shepard Hospital Burseth, Eric -MD COVERED UNDER FAP Good Shepard Hospital Bushnick, Philip -MD NOT COVERED Good Shepard Hospital Butt, Marium -MD NOT COVERED Good Shepard Hospital Byskosh, Arkadiush -MD NOT COVERED Good Shepard Hospital Cabai, Tonia -NP NOT COVERED Good Shepard Hospital Caccopola, Jeanene -DO NOT COVERED Good Shepard Hospital Camarda-Voight, Maria -MD NOT COVERED Good Shepard Hospital Campau, Steven -MD NOT COVERED Good Shepard Hospital Campbell, Michelle -NP COVERED UNDER FAP Good Shepard Hospital Cantu-Manley, Haydee -MD COVERED UNDER FAP Good Shepard Hospital Cardiac EP Consultants SC NOT COVERED Good Shepard Hospital Cardiothoracic & Vascular Surgical Assoc NOT COVERED Good Shepard Hospital Cardiothoracic & Vascular Surgical Associates, SC NOT COVERED Good Shepard Hospital Caring Family, SC NOT COVERED Good Shepard Hospital Carlson, Allison -PA NOT COVERED Good Shepard Hospital Carol Kotzan, MD LLC NOT COVERED Good Shepard Hospital Castro, J. Eric -MD NOT COVERED Good Shepard Hospital Centegra Neurology, SC NOT COVERED Good Shepard Hospital Centegra Physician Care-Surgical Associates NOT COVERED Good Shepard Hospital Centegra Surgical Associates NOT COVERED Good Shepard Hospital Center for Arrhythmia Care NOT COVERED Good Shepard Hospital Center for Facial Plastic Surgery NOT COVERED Good Shepard Hospital Center for Maternal and Fetal Medicine NOT COVERED Good Shepard Hospital Ceralde, Joel -NP NOT COVERED Good Shepard Hospital Chan, Mario -MD NOT COVERED

Page 92 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Chandran, Nisha -MD COVERED UNDER FAP Good Shepard Hospital Chang, Hsin-Yi -MD NOT COVERED Good Shepard Hospital Charnota, David -DPM NOT COVERED Good Shepard Hospital Chawla, Apoorva -MD NOT COVERED Good Shepard Hospital Cheregi, John -MD NOT COVERED Good Shepard Hospital Chest Medicine Consultants, SC NOT COVERED Good Shepard Hospital Children & Teens Medical Center NOT COVERED Good Shepard Hospital Children's Dentistry Group, LLC NOT COVERED Good Shepard Hospital Children's Medical Group, SC NOT COVERED Good Shepard Hospital Chitwood, Rick -DO NOT COVERED Good Shepard Hospital Choukas, Chris -DDS NOT COVERED Good Shepard Hospital Christy Cardiology, Ltd NOT COVERED Good Shepard Hospital Christy, George -MD NOT COVERED Good Shepard Hospital Chudwin, David -MD NOT COVERED Good Shepard Hospital Chunduri, Sandeep -MD COVERED UNDER FAP Good Shepard Hospital Churchill, Gary -MD NOT COVERED Good Shepard Hospital Ciabattoni, Steven -MD NOT COVERED Good Shepard Hospital Cipolla, Anthony -MD COVERED UNDER FAP Good Shepard Hospital Clark, Kirk -MD NOT COVERED Good Shepard Hospital Clocktower Psychological Associates NOT COVERED Good Shepard Hospital Cochran, Ashley -NP NOT COVERED Good Shepard Hospital Colen, Darryl -DO NOT COVERED Good Shepard Hospital Coll, Dympna -MD NOT COVERED Good Shepard Hospital Collins, Mary Beth -MD NOT COVERED Good Shepard Hospital Compagnoni, Gia -MD NOT COVERED Good Shepard Hospital Comphrensive Kidney Care, LLC NOT COVERED Good Shepard Hospital Comprehensive Urologic Care, SC NOT COVERED Good Shepard Hospital Conforti, Julie -NP NOT COVERED Good Shepard Hospital Conley, Hannelore -NP NOT COVERED Good Shepard Hospital Core Orthopedics & Sports Medicine LLC NOT COVERED Good Shepard Hospital Cornell-Weld, Kathleen -PA NOT COVERED Good Shepard Hospital Cosmetic & Plastic Surgery Associates MD SC NOT COVERED Good Shepard Hospital Cote, Jennifer -NP NOT COVERED Good Shepard Hospital Covenant Physiatry, SC NOT COVERED Good Shepard Hospital Coy, Dale -MD NOT COVERED Good Shepard Hospital Crandall, David -MD NOT COVERED Good Shepard Hospital Cronin, Donald -MD NOT COVERED Good Shepard Hospital Crystal Lake Immediate Care Physicians Ltd. NOT COVERED Good Shepard Hospital Crystal Lake Ophthalmology Assoc, PC NOT COVERED Good Shepard Hospital Cummins, Craig -MD NOT COVERED Good Shepard Hospital Cundiff, Jason -MD NOT COVERED Good Shepard Hospital Czajkowska, Jadwiga -DO NOT COVERED Good Shepard Hospital Dadabhoy, Dina -MD NOT COVERED Good Shepard Hospital Daksha Mehta, MD, SC NOT COVERED Good Shepard Hospital Davis, Richard -MD COVERED UNDER FAP Good Shepard Hospital Dawson, Heather -NP NOT COVERED Good Shepard Hospital Del Peral, Hilario -PA NOT COVERED Good Shepard Hospital Denne, Tracy -PA COVERED UNDER FAP Good Shepard Hospital Depa, Angela -NP NOT COVERED Good Shepard Hospital Derick Dermatology, LLC NOT COVERED Good Shepard Hospital Derken, Lisa -MD NOT COVERED Good Shepard Hospital Dermatology Specialists of Illinois, Ltd NOT COVERED Good Shepard Hospital Dermuss LTD NOT COVERED Good Shepard Hospital Deutch, Todd -MD NOT COVERED Good Shepard Hospital DeVault, Margaret -PA NOT COVERED Good Shepard Hospital Di Iorio, Daniel -MD NOT COVERED Good Shepard Hospital DiGiulio, Thomas -MD COVERED UNDER FAP Good Shepard Hospital Dilman, Boris -MD NOT COVERED

Page 93 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Dimitropoulos, Stamatis -MD NOT COVERED Good Shepard Hospital Dobson, Laura -NP COVERED UNDER FAP Good Shepard Hospital Dohr, Julie -MD NOT COVERED Good Shepard Hospital Dolezal, Edward -MD NOT COVERED Good Shepard Hospital Dr. Sutpal Singh, DPM, A Prof Corporation NOT COVERED Good Shepard Hospital Drake, Gregory -DO NOT COVERED Good Shepard Hospital Drew, Jessica -NP NOT COVERED Good Shepard Hospital Dreyer Clinic - Rush Copley COVERED UNDER FAP Good Shepard Hospital Drs Kane, Misawa & Nguyen, LLC NOT COVERED Good Shepard Hospital Drumm, Alison -MD COVERED UNDER FAP Good Shepard Hospital Dutcher, Josette -NP COVERED UNDER FAP Good Shepard Hospital Ear, Nose, Throat & Allergy Clinic NOT COVERED Good Shepard Hospital Edo, Robby -DO COVERED UNDER FAP Good Shepard Hospital Edson, Steven -MD NOT COVERED Good Shepard Hospital Einfalt, Melinda -MD COVERED UNDER FAP Good Shepard Hospital Elissa M Virruso PC NOT COVERED Good Shepard Hospital Elstrom & Hall, SC NOT COVERED Good Shepard Hospital Erlenbusch, Amy -PA NOT COVERED Good Shepard Hospital Faliszek, James -MD NOT COVERED Good Shepard Hospital Family Medicine for McHenry County NOT COVERED Good Shepard Hospital Family Practice Specialist, S.C. NOT COVERED Good Shepard Hospital Farah, Behzad -MD NOT COVERED Good Shepard Hospital Farooki, Basheeruddin -MD NOT COVERED Good Shepard Hospital Favia Primary Care, SC NOT COVERED Good Shepard Hospital Favia, Julie -MD COVERED UNDER FAP Good Shepard Hospital Favia, Philip -MD NOT COVERED Good Shepard Hospital Feldman, James -MD NOT COVERED Good Shepard Hospital Fell, Michael -DO NOT COVERED Good Shepard Hospital Ferguson, James -NP NOT COVERED Good Shepard Hospital Ferolo, Richard -MD NOT COVERED Good Shepard Hospital Fertility Centers of Illinois, SC NOT COVERED Good Shepard Hospital Filipiuk, Marek -MD NOT COVERED Good Shepard Hospital Fine, Kara -MD NOT COVERED Good Shepard Hospital Fiore, Eddie -MD NOT COVERED Good Shepard Hospital Fiorito, Thomas -MD NOT COVERED Good Shepard Hospital First Step Foot Care, PC NOT COVERED Good Shepard Hospital Fischer, Robin -PA NOT COVERED Good Shepard Hospital Flaherty, Elizabeth -MD NOT COVERED Good Shepard Hospital Flood, James -DPM NOT COVERED Good Shepard Hospital Fondriest, Diane -MD NOT COVERED Good Shepard Hospital Foot and Ankle Specialists of Illinois, Ltd. NOT COVERED Good Shepard Hospital Fortsas, Michael -MD COVERED UNDER FAP Good Shepard Hospital Fox, Michael -MD NOT COVERED Good Shepard Hospital Freihage, Jeffrey -MD COVERED UNDER FAP Good Shepard Hospital Fugina, Mary -MD NOT COVERED Good Shepard Hospital Gadson, Vidhi -MD NOT COVERED Good Shepard Hospital Gancayco, George -MD NOT COVERED Good Shepard Hospital Gancayco, Jamie -MD NOT COVERED Good Shepard Hospital Gandhi, Hetal -MD COVERED UNDER FAP Good Shepard Hospital Garon, Sarah -MD NOT COVERED Good Shepard Hospital Gastroenterology & Internal Medicine Specialists, SC NOT COVERED Good Shepard Hospital Gawronski, Mary -DO NOT COVERED Good Shepard Hospital George N. Atia, MD, SC NOT COVERED Good Shepard Hospital George Nahra, M.D. NOT COVERED Good Shepard Hospital Germbusters, P.C. NOT COVERED Good Shepard Hospital Gettys, George -MD NOT COVERED Good Shepard Hospital Ghosh, Rilina -MD NOT COVERED Good Shepard Hospital GI Partners of Illinois, LLC NOT COVERED

Page 94 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Giacomin, Mark -DO NOT COVERED Good Shepard Hospital Giese, Todd -MD NOT COVERED Good Shepard Hospital Gindorf, Jeffrey -MD NOT COVERED Good Shepard Hospital Gitelis Orthopedics, Ltd NOT COVERED Good Shepard Hospital Go, Kevin -MD NOT COVERED Good Shepard Hospital Goesel, Christopher -MD NOT COVERED Good Shepard Hospital Gohil, Viren -MD NOT COVERED Good Shepard Hospital Golbin-Hallett, Dina -DO NOT COVERED Good Shepard Hospital Goldkind, Adam -DPM NOT COVERED Good Shepard Hospital Goldrath, David -MD NOT COVERED Good Shepard Hospital Gong, John -MD NOT COVERED Good Shepard Hospital Goode, Galina -MD NOT COVERED Good Shepard Hospital Goodell, Melanie -MD NOT COVERED Good Shepard Hospital Goodman Kramer, Heidi -MD NOT COVERED Good Shepard Hospital Goodman-Flider, Marina -MD COVERED UNDER FAP Good Shepard Hospital Gordon, Andrew -MD NOT COVERED Good Shepard Hospital Gordon, Dafna -MD NOT COVERED Good Shepard Hospital Gordon, Gary -MD NOT COVERED Good Shepard Hospital Gordon, Jason -MD NOT COVERED Good Shepard Hospital Grad, Gary -MD NOT COVERED Good Shepard Hospital Greenberg, David -MD NOT COVERED Good Shepard Hospital Grindstaff, Paul -MD NOT COVERED Good Shepard Hospital Gross, Mark -MD NOT COVERED Good Shepard Hospital Gross, Steven -MD NOT COVERED Good Shepard Hospital Grouper, Sharon -MD NOT COVERED Good Shepard Hospital Grover, Andrew -PA NOT COVERED Good Shepard Hospital Gulson, Deborah -MD NOT COVERED Good Shepard Hospital Gumidyala, Eshwar -MD NOT COVERED Good Shepard Hospital Gundavaram, Madhu -MD NOT COVERED Good Shepard Hospital Gupta, Sanjeev -MD COVERED UNDER FAP Good Shepard Hospital Gurrera, Anna -DPM NOT COVERED Good Shepard Hospital Hafiz, Irfan -MD NOT COVERED Good Shepard Hospital Hai, Khola -MD NOT COVERED Good Shepard Hospital Haider Medical Group, Ltd. NOT COVERED Good Shepard Hospital Haider, Syed -MD NOT COVERED Good Shepard Hospital Hall, Robert -MD NOT COVERED Good Shepard Hospital Hamilton, Joni Lynn -MD NOT COVERED Good Shepard Hospital Heightened Health S.C NOT COVERED Good Shepard Hospital Helkowski, Robyn -NP COVERED UNDER FAP Good Shepard Hospital Hendricks, Sean -MD NOT COVERED Good Shepard Hospital Henning, Douglas -MD NOT COVERED Good Shepard Hospital Hensley, Jennifer -MD NOT COVERED Good Shepard Hospital Herbolsheimer, Heather -DO NOT COVERED Good Shepard Hospital Herdegen, James -MD NOT COVERED Good Shepard Hospital Herer, Paul -DDS NOT COVERED Good Shepard Hospital Ho, Allan -MD NOT COVERED Good Shepard Hospital Hoeltgen, Daniel -MD NOT COVERED Good Shepard Hospital Hoffman Estates Dermatology NOT COVERED Good Shepard Hospital Hoffman-Barrington Internal Medicine Specialists NOT COVERED Good Shepard Hospital Holistic & Family Practice Medicine Ltd NOT COVERED Good Shepard Hospital Horizons Behavioral Health NOT COVERED Good Shepard Hospital Horizons Behavioral Health Professional Services LLC NOT COVERED Good Shepard Hospital Horvath, Elizabeth -DO NOT COVERED Good Shepard Hospital Hoshizaki, Robert -MD COVERED UNDER FAP Good Shepard Hospital Houser, Ann Marie -DO COVERED UNDER FAP Good Shepard Hospital Hsu, Jerry -PA NOT COVERED Good Shepard Hospital Hughes, Jason -MD NOT COVERED Good Shepard Hospital Humayun, Youshay -MD NOT COVERED

Page 95 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Hussain, Syed -DPM NOT COVERED Good Shepard Hospital Hussain, Yasmin -MD NOT COVERED Good Shepard Hospital Hyderi, Zehra -DPM NOT COVERED Good Shepard Hospital Ilahi, Shahid -MD NOT COVERED Good Shepard Hospital Illinois Bone & Joint Institute LLC NOT COVERED Good Shepard Hospital Illinois Cardiovascular Specialists NOT COVERED Good Shepard Hospital Imdad, Zarqa -MD NOT COVERED Good Shepard Hospital Integrated Care, Inc. NOT COVERED Good Shepard Hospital Integrated Imaging Consultants, LLC NOT COVERED Good Shepard Hospital Inverarity, Laura -DO NOT COVERED Good Shepard Hospital InVia Fertility NOT COVERED Good Shepard Hospital Issa, Nabil -MD NOT COVERED Good Shepard Hospital Jabbarzadeh, Mehran -MD NOT COVERED Good Shepard Hospital Jalalzai, Waheed -MD NOT COVERED Good Shepard Hospital James A. Baird, DPM, PC NOT COVERED Good Shepard Hospital James A. Wilcox, PC NOT COVERED Good Shepard Hospital Jasonowicz, Steven -DPM NOT COVERED Good Shepard Hospital Jawed, Sameena -MD COVERED UNDER FAP Good Shepard Hospital Jednacz, Jeffrey -MD NOT COVERED Good Shepard Hospital Jeffrey D. Gindorf, PC NOT COVERED Good Shepard Hospital Jeffrey T. Bonk, D.D.S NOT COVERED Good Shepard Hospital Jindal, Vishnu -MD NOT COVERED Good Shepard Hospital John W. Van Gilder, DDS NOT COVERED Good Shepard Hospital Johnson, Bruce -MD NOT COVERED Good Shepard Hospital Jolepalem, Jyothi -MD NOT COVERED Good Shepard Hospital Joseph V. Baldassano, DDS, MSD, LLC NOT COVERED Good Shepard Hospital Jovic, Marta -NP COVERED UNDER FAP Good Shepard Hospital Kadakia, Sunil -MD COVERED UNDER FAP Good Shepard Hospital Kalsi, Munesh -MD NOT COVERED Good Shepard Hospital Kamholz, Katherine -MD NOT COVERED Good Shepard Hospital Kane, Mary -MD NOT COVERED Good Shepard Hospital Kanehann, Susan -MD NOT COVERED Good Shepard Hospital Kang, Richard -MD NOT COVERED Good Shepard Hospital Kanji, Shabbir -MD NOT COVERED Good Shepard Hospital Kanter, Steven -MD NOT COVERED Good Shepard Hospital Kanu Panchal MD, SC NOT COVERED Good Shepard Hospital Kaplan, Abe -MD NOT COVERED Good Shepard Hospital Kaplan, Richard -MD NOT COVERED Good Shepard Hospital Kapoor, Rajeev -MD NOT COVERED Good Shepard Hospital Kappil, Joseph -MD NOT COVERED Good Shepard Hospital Karadsheh, Zeid -MD NOT COVERED Good Shepard Hospital Karande, Vishvanath -MD NOT COVERED Good Shepard Hospital Kartha, Krishnan -MD NOT COVERED Good Shepard Hospital Katsamakis, George -MD NOT COVERED Good Shepard Hospital Kaufman, Jonathan -MD NOT COVERED Good Shepard Hospital Kay, Gary -MD NOT COVERED Good Shepard Hospital Kellar, Dennis -MD NOT COVERED Good Shepard Hospital Keller, Lacee -PA NOT COVERED Good Shepard Hospital Kershaw, Kirsten -MD NOT COVERED Good Shepard Hospital Kessler, Eric -MD NOT COVERED Good Shepard Hospital Keuer, Brian -MD NOT COVERED Good Shepard Hospital Khan, Ahmir -MD NOT COVERED Good Shepard Hospital Khandaker, Dilara -MD NOT COVERED Good Shepard Hospital Khanna, Vikram -MD NOT COVERED Good Shepard Hospital Kher, Nitin -MD NOT COVERED Good Shepard Hospital Khurana, Deepak -MD NOT COVERED Good Shepard Hospital Kidney Care Center Elgin, LLC NOT COVERED Good Shepard Hospital Kiernan, Joseph -MD NOT COVERED

Page 96 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Kilgore, Kelli -DO NOT COVERED Good Shepard Hospital Kipferl, Robert -DPM NOT COVERED Good Shepard Hospital Kipferl, Steven -DPM NOT COVERED Good Shepard Hospital Kirshenbaum, Kevin -MD NOT COVERED Good Shepard Hospital Klingbeil, Jennifer -PA NOT COVERED Good Shepard Hospital Klopack, Erin -NP COVERED UNDER FAP Good Shepard Hospital Kobierska, Magdalena -MD NOT COVERED Good Shepard Hospital Koehl, Justin -PA NOT COVERED Good Shepard Hospital Kohn Group LTD NOT COVERED Good Shepard Hospital Kohn, Robert -DO NOT COVERED Good Shepard Hospital Kolb, John -MD NOT COVERED Good Shepard Hospital Kolton, Bruce -MD NOT COVERED Good Shepard Hospital Kolton, Dana -MD NOT COVERED Good Shepard Hospital Korpela, Daniel -PA NOT COVERED Good Shepard Hospital Koterbski, Dawn -PA COVERED UNDER FAP Good Shepard Hospital Kotzan, Carol -MD NOT COVERED Good Shepard Hospital Kovach, Joan -CSA NOT COVERED Good Shepard Hospital Krausz, David -MD NOT COVERED Good Shepard Hospital Kreamer, Jeffry -DO NOT COVERED Good Shepard Hospital Krishnamurthy, Anupama -DDS NOT COVERED Good Shepard Hospital Kruckmeyer, Warren -MD COVERED UNDER FAP Good Shepard Hospital Kubik, Gregory -DDS NOT COVERED Good Shepard Hospital Kuesis, Daniel -MD NOT COVERED Good Shepard Hospital Kuhlman, Donald -MD NOT COVERED Good Shepard Hospital Kulkarni, Kedar -MD NOT COVERED Good Shepard Hospital Kuo, Paul -MD NOT COVERED Good Shepard Hospital Kurien, Sudha -NP COVERED UNDER FAP Good Shepard Hospital Kurzer, Michael -MD COVERED UNDER FAP Good Shepard Hospital Kutka, Bradley -MD NOT COVERED Good Shepard Hospital Lake Barrington Women's Health Center PC NOT COVERED Good Shepard Hospital Lake County Neurosurgery LLC NOT COVERED Good Shepard Hospital Lake Shore Pediatrics, Ltd NOT COVERED Good Shepard Hospital LaReau, Amanda -MD NOT COVERED Good Shepard Hospital Law, Amanda -NP NOT COVERED Good Shepard Hospital Lawson, John -MD NOT COVERED Good Shepard Hospital Lee, Andrew -MD NOT COVERED Good Shepard Hospital Lee, Ashley -DPM NOT COVERED Good Shepard Hospital Lee, Eugene -MD NOT COVERED Good Shepard Hospital Lee, John -DO NOT COVERED Good Shepard Hospital Lee, Len -DO NOT COVERED Good Shepard Hospital Leeson, Sandra -PA NOT COVERED Good Shepard Hospital Lehman & Menis Oral & Maxillofacial Surg NOT COVERED Good Shepard Hospital Leonard, Deena -MD NOT COVERED Good Shepard Hospital Leong, Seng -MD COVERED UNDER FAP Good Shepard Hospital Lesser, Stuart -MD NOT COVERED Good Shepard Hospital Lewis, Tamra -MD NOT COVERED Good Shepard Hospital LG Healthcare, LLC NOT COVERED Good Shepard Hospital Li, Jaslynn -MD NOT COVERED Good Shepard Hospital Lincheck, Anna -NP NOT COVERED Good Shepard Hospital Lincoln B Pain Clinic, Ltd. NOT COVERED Good Shepard Hospital Lindberg, Amy -PA NOT COVERED Good Shepard Hospital Litza, Samantha -PA NOT COVERED Good Shepard Hospital Liu, Jerry -MD COVERED UNDER FAP Good Shepard Hospital Livingston, Gary -MD NOT COVERED Good Shepard Hospital Lockhart, Kathleen -MD NOT COVERED Good Shepard Hospital Lodowsky, Christopher -MD NOT COVERED Good Shepard Hospital Long, Melissa -NP NOT COVERED Good Shepard Hospital Loqman, Mabria -MD NOT COVERED

Page 97 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Lowenthal, Mark -MD NOT COVERED Good Shepard Hospital Lukowski, Gregory -CSA NOT COVERED Good Shepard Hospital Lutsi, Brant -MD NOT COVERED Good Shepard Hospital Lutz, Thomas -MD NOT COVERED Good Shepard Hospital Lyons, Rachel -NP COVERED UNDER FAP Good Shepard Hospital MacGregor, Scott -DO NOT COVERED Good Shepard Hospital Maddala, Vamsilatha -MD NOT COVERED Good Shepard Hospital Madry, Stephen -MD NOT COVERED Good Shepard Hospital Magee, Gary -MD NOT COVERED Good Shepard Hospital Maheshwari, Hiralal -MD NOT COVERED Good Shepard Hospital Mahmoud, Sarah -DMD NOT COVERED Good Shepard Hospital Main-Benner, Carol -NP NOT COVERED Good Shepard Hospital Mallick, Nadir -MD NOT COVERED Good Shepard Hospital Mancilla, Kimberly -CST NOT COVERED Good Shepard Hospital Mann, Stewart -MD NOT COVERED Good Shepard Hospital Mannion, June -MD NOT COVERED Good Shepard Hospital Marian, Camelia -MD NOT COVERED Good Shepard Hospital Martin, Edna -PsyD NOT COVERED Good Shepard Hospital Martinez, Charles -DDS NOT COVERED Good Shepard Hospital Mbekeani, Kamana -MD NOT COVERED Good Shepard Hospital McDermott, Raymond -DO NOT COVERED Good Shepard Hospital McDonough, Richard -MD COVERED UNDER FAP Good Shepard Hospital McEneaney, Patrick -DPM NOT COVERED Good Shepard Hospital McHenry Heart Institute NOT COVERED Good Shepard Hospital McKelvey, Stacey -MD NOT COVERED Good Shepard Hospital McKian, Kevin -MD NOT COVERED Good Shepard Hospital McManigle, Kelley -DO COVERED UNDER FAP Good Shepard Hospital McMillan, Susan -NP NOT COVERED Good Shepard Hospital Medley, Brian -DO NOT COVERED Good Shepard Hospital Meesala, Sandhya -MD NOT COVERED Good Shepard Hospital Megahed, Amr -MD NOT COVERED Good Shepard Hospital Mehmood, Sajid -MD NOT COVERED Good Shepard Hospital Mehrotra, Puja -MD COVERED UNDER FAP Good Shepard Hospital Mehta, Daksha -MD NOT COVERED Good Shepard Hospital Menezes, Matthew -MD NOT COVERED Good Shepard Hospital Menis, Michael -DDS NOT COVERED Good Shepard Hospital Mercy Algonquin Medical Center NOT COVERED Good Shepard Hospital Mercy Barrington Medical Center NOT COVERED Good Shepard Hospital Mercy Crystal Lake East NOT COVERED Good Shepard Hospital Mercy Crystal Lake Medical Center-East NOT COVERED Good Shepard Hospital Mercy Crystal Lake Medical Center-South NOT COVERED Good Shepard Hospital Mercy Crystal Lake South NOT COVERED Good Shepard Hospital Mercy McHenry Medical Center NOT COVERED Good Shepard Hospital Mercy Medical Center,Woodstock NOT COVERED Good Shepard Hospital Mercy Woodstock Medical Center NOT COVERED Good Shepard Hospital Metcalf, Kelly -PA NOT COVERED Good Shepard Hospital Metro Infectious Disease Consultants, LLC NOT COVERED Good Shepard Hospital Metz, Raymond -MD NOT COVERED Good Shepard Hospital Meyer, Thomas -MD NOT COVERED Good Shepard Hospital Michaels, Elizabeth -DO NOT COVERED Good Shepard Hospital Midwest Bone & Joint Institute NOT COVERED Good Shepard Hospital Midwest Endocrinology, LLC NOT COVERED Good Shepard Hospital Midwest Lakes Medical Center SC NOT COVERED Good Shepard Hospital Mielke, Lauren -NP NOT COVERED Good Shepard Hospital Millman, Leonard -MD NOT COVERED Good Shepard Hospital Minciotti, Ann -MD NOT COVERED Good Shepard Hospital Minneapolis VA Medical center NOT COVERED Good Shepard Hospital Minster, Riley -MD NOT COVERED

Page 98 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Misawa, Kyoko -MD NOT COVERED Good Shepard Hospital Mitchell, Richard -MD NOT COVERED Good Shepard Hospital Mitra, Amitabha -MD NOT COVERED Good Shepard Hospital Mitra, Deepak -MD COVERED UNDER FAP Good Shepard Hospital Mitra, Sanjukta -MD NOT COVERED Good Shepard Hospital Mo, Josephine -MD NOT COVERED Good Shepard Hospital Modi, Tejal -PA NOT COVERED Good Shepard Hospital Moduthagam, Asunta -MD COVERED UNDER FAP Good Shepard Hospital Mohammad, Zulfiqar -MD NOT COVERED Good Shepard Hospital Mohammed, Vikaruddin -MD NOT COVERED Good Shepard Hospital Montalbano, Catherine -MD NOT COVERED Good Shepard Hospital Montgomery, Travis -CSA NOT COVERED Good Shepard Hospital Montoya Barraza, Roberto -MD NOT COVERED Good Shepard Hospital Moran, Lisa -NP NOT COVERED Good Shepard Hospital Morley, Robert -DO NOT COVERED Good Shepard Hospital Motl, Jill -MD NOT COVERED Good Shepard Hospital Mueller, Mary -PA COVERED UNDER FAP Good Shepard Hospital Mule, Nancy -PA NOT COVERED Good Shepard Hospital Murati, Nehru -MD COVERED UNDER FAP Good Shepard Hospital Murray, Jeffrey -MD NOT COVERED Good Shepard Hospital Mustafa, Fahad -MD COVERED UNDER FAP Good Shepard Hospital Myasein, Aungnainghtun -MD NOT COVERED Good Shepard Hospital Naaz-Ikramuddin, Parveen -MD NOT COVERED Good Shepard Hospital Nabong, Ricardo -MD NOT COVERED Good Shepard Hospital Nadar, Kenan -DO COVERED UNDER FAP Good Shepard Hospital Nadimpalli, Suryaprakasharao -MD NOT COVERED Good Shepard Hospital Nagel, Philip -MD NOT COVERED Good Shepard Hospital Nahra, George -MD NOT COVERED Good Shepard Hospital Nani, Jane -MD NOT COVERED Good Shepard Hospital Narang, Arun -MD COVERED UNDER FAP Good Shepard Hospital Narang, Parmod -MD COVERED UNDER FAP Good Shepard Hospital Narang, Sunita -MD COVERED UNDER FAP Good Shepard Hospital Nath, Ranjana -MD NOT COVERED Good Shepard Hospital Nayak, Hemal -MD NOT COVERED Good Shepard Hospital Nayak, Sujatha -MD COVERED UNDER FAP Good Shepard Hospital Nazarian, Arthur -MD COVERED UNDER FAP Good Shepard Hospital Neerhof, Mark -DO NOT COVERED Good Shepard Hospital Nephrology Associates of Northern Illinois, LTD NOT COVERED Good Shepard Hospital Nepomuceno, Daniel -MD NOT COVERED Good Shepard Hospital Nepomuceno, Jenie -MD NOT COVERED Good Shepard Hospital Nguyen, Phithao -DO NOT COVERED Good Shepard Hospital Nicell, Donald -MD NOT COVERED Good Shepard Hospital Niermeyer, Alexa -PA NOT COVERED Good Shepard Hospital Nieves, Jennifer -NP NOT COVERED Good Shepard Hospital Nitin Kher, MD SC NOT COVERED Good Shepard Hospital Norbeck, David -MD NOT COVERED Good Shepard Hospital North Shore Pediatric Therapy NOT COVERED Good Shepard Hospital Northern Illinois Foot & Ankle Specialists, Ltd NOT COVERED Good Shepard Hospital NorthShore University Health System NOT COVERED Good Shepard Hospital Northwest Eye Center NOT COVERED Good Shepard Hospital Northwest Kidney Specialists, Inc NOT COVERED Good Shepard Hospital Northwest Neurology, Ltd NOT COVERED Good Shepard Hospital Northwest Oncology & Hematology, SC NOT COVERED Good Shepard Hospital Northwest Pulmonary and Sleep Medicine, SC NOT COVERED Good Shepard Hospital Northwest Rheumatology Specialists, SC NOT COVERED Good Shepard Hospital Northwest Suburban Foot and Ankle Clinic NOT COVERED Good Shepard Hospital Novak, Kasi -NP NOT COVERED Good Shepard Hospital Novas Dohr & Coll OB/GYN Associates, SC NOT COVERED

Page 99 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Novas, Jeanne -MD NOT COVERED Good Shepard Hospital O Brien, Erin -MD NOT COVERED Good Shepard Hospital O. Bartolomeo MD, SC NOT COVERED Good Shepard Hospital O'Connell, John -DO NOT COVERED Good Shepard Hospital O'Donnell, Brynn -NP COVERED UNDER FAP Good Shepard Hospital ODonnell, Michael -MD NOT COVERED Good Shepard Hospital Ogino-McElligott, Makiko -PA NOT COVERED Good Shepard Hospital OMSO Medical, Ltd NOT COVERED Good Shepard Hospital Ondrula, David -MD NOT COVERED Good Shepard Hospital Onwuta, J. -MD COVERED UNDER FAP Good Shepard Hospital Oommen, Jacob -MD NOT COVERED Good Shepard Hospital Oral Facial & Implant Specialists, P.C NOT COVERED Good Shepard Hospital Orthopaedic Surgery Specialists, Ltd NOT COVERED Good Shepard Hospital Oryhon, Jeremy -MD NOT COVERED Good Shepard Hospital O'Shea, Jennifer -PA NOT COVERED Good Shepard Hospital Ostrowski, Arthur -MD NOT COVERED Good Shepard Hospital Ostrowski, Eva -MD NOT COVERED Good Shepard Hospital Ouyang, David -MD NOT COVERED Good Shepard Hospital Pacific Vein Care NOT COVERED Good Shepard Hospital Padmini Thakkar, MD, SC NOT COVERED Good Shepard Hospital Panchal, Kanu -MD NOT COVERED Good Shepard Hospital Panchal, Surbhi -MD NOT COVERED Good Shepard Hospital Parekh, Nita -MD NOT COVERED Good Shepard Hospital Park Leonard, Catherine -MD NOT COVERED Good Shepard Hospital Parkey, Joe -MD NOT COVERED Good Shepard Hospital Parnell, Jeffrey -MD NOT COVERED Good Shepard Hospital Patel, Anil -MD NOT COVERED Good Shepard Hospital Patel, Ankita -MD NOT COVERED Good Shepard Hospital Patel, Chirag -MD NOT COVERED Good Shepard Hospital Patel, Dipika -MD NOT COVERED Good Shepard Hospital Patel, Hemendra -MD COVERED UNDER FAP Good Shepard Hospital Patel, Kumkum -MD NOT COVERED Good Shepard Hospital Patel, Paras -MD NOT COVERED Good Shepard Hospital Patel, Sejal -MD NOT COVERED Good Shepard Hospital Patel, Smitesh -MD NOT COVERED Good Shepard Hospital Patel, Subhash -MD NOT COVERED Good Shepard Hospital Patel, Swastika -NP COVERED UNDER FAP Good Shepard Hospital Patenio, Melissa -DDS NOT COVERED Good Shepard Hospital Pathadan, Nileena -NP NOT COVERED Good Shepard Hospital Pediatric Care, PC NOT COVERED Good Shepard Hospital Pediatric Specialists of the Northwest NOT COVERED Good Shepard Hospital PediaTrust, LLC NOT COVERED Good Shepard Hospital Pelletiere, Christopher -MD NOT COVERED Good Shepard Hospital Pelletreau, Cathleen -NP NOT COVERED Good Shepard Hospital Perlmutter, Jack -MD NOT COVERED Good Shepard Hospital Pesavento, Daniel -MD NOT COVERED Good Shepard Hospital Petchenik, Lon -MD NOT COVERED Good Shepard Hospital Petersen, Brent -MD COVERED UNDER FAP Good Shepard Hospital Peterson, Matthew -MD NOT COVERED Good Shepard Hospital Pinto, Jack -MD NOT COVERED Good Shepard Hospital Pitts, Claudia -PhD NOT COVERED Good Shepard Hospital Plein, Colleen -MD NOT COVERED Good Shepard Hospital Polito, William -MD NOT COVERED Good Shepard Hospital Pollastrini, John -MD COVERED UNDER FAP Good Shepard Hospital Poshni, Aftab -MD NOT COVERED Good Shepard Hospital Poulos, Christine -MD NOT COVERED Good Shepard Hospital Prasad, Bharati -MD NOT COVERED Good Shepard Hospital Premier Eye Care & Surgery, Ltd NOT COVERED

Page 100 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Priest, Edwin -MD NOT COVERED Good Shepard Hospital Pugnale, Marci -MD NOT COVERED Good Shepard Hospital Pulmonary Critical Care & Sleep Medicine Specialists, SC NOT COVERED Good Shepard Hospital Pulmonary Medicine NOT COVERED Good Shepard Hospital Quinn, Tracy -DO COVERED UNDER FAP Good Shepard Hospital Quraishi, Hanzla -MD NOT COVERED Good Shepard Hospital Radiation Oncology Consultants Ltd NOT COVERED Good Shepard Hospital Rahaby, Mouyyad -MD NOT COVERED Good Shepard Hospital Ram, Priti -MD NOT COVERED Good Shepard Hospital Ramirez-Dolleton, Racquel -MD NOT COVERED Good Shepard Hospital Rampurwala, Mariya -MD NOT COVERED Good Shepard Hospital Randolph, Guy -MD NOT COVERED Good Shepard Hospital Rao, Madhavi -MD NOT COVERED Good Shepard Hospital Rappleye, Mark -DDS NOT COVERED Good Shepard Hospital Ratnani, Muhammad -MD NOT COVERED Good Shepard Hospital Rawal, Paresh -MD COVERED UNDER FAP Good Shepard Hospital Regency Medical Center, PC NOT COVERED Good Shepard Hospital Rehabilitation Institute of Chicago NOT COVERED Good Shepard Hospital Reilly, Michael -MD NOT COVERED Good Shepard Hospital Resnick, Alan -MD NOT COVERED Good Shepard Hospital Retina Services of Illinois, LLC NOT COVERED Good Shepard Hospital RIC- Physicial Medicine & Rehabiliation NOT COVERED Good Shepard Hospital Ricardo N. Nabong, MD, SC NOT COVERED Good Shepard Hospital Richter, Amy -PA COVERED UNDER FAP Good Shepard Hospital Rickman, Christopher -MD NOT COVERED Good Shepard Hospital Rivard, Daniel -MD NOT COVERED Good Shepard Hospital Robbins, Joel -MD NOT COVERED Good Shepard Hospital Robert S. Kipferl, DPM, SC NOT COVERED Good Shepard Hospital Robert Schwartzenberg, MD, PC NOT COVERED Good Shepard Hospital Robinette, Alison -MD NOT COVERED Good Shepard Hospital Roche, Jessica -NP NOT COVERED Good Shepard Hospital Rodgers, Allison -MD NOT COVERED Good Shepard Hospital Rogge, Kathryn -NP NOT COVERED Good Shepard Hospital Roginsky Tsesis, Alexandra -MD NOT COVERED Good Shepard Hospital Roig, Michele -MD NOT COVERED Good Shepard Hospital Romer, Stephanie -NP NOT COVERED Good Shepard Hospital Rommel, Jennee -MD NOT COVERED Good Shepard Hospital Romolo, Robert -DO NOT COVERED Good Shepard Hospital Roseann Brady, DO, SC NOT COVERED Good Shepard Hospital Rosen, Barry -MD NOT COVERED Good Shepard Hospital Rosen, David -MD NOT COVERED Good Shepard Hospital Rosen, Thomas -PA NOT COVERED Good Shepard Hospital Rosenthal, Kimberly -DO NOT COVERED Good Shepard Hospital Rosner, Karol -MD NOT COVERED Good Shepard Hospital Ross, Sheri -MD NOT COVERED Good Shepard Hospital Ruffer, James -MD NOT COVERED Good Shepard Hospital Rush University Medical Center NOT COVERED Good Shepard Hospital Russell, Eleanor -NP NOT COVERED Good Shepard Hospital Sahay, Manisha -MD NOT COVERED Good Shepard Hospital Saikh, Shahariar -MD NOT COVERED Good Shepard Hospital Saini, Gurbax -MD COVERED UNDER FAP Good Shepard Hospital Saini, Ravinder -NP NOT COVERED Good Shepard Hospital Saltzman, David -MD NOT COVERED Good Shepard Hospital Salvi, Thomas -MD NOT COVERED Good Shepard Hospital Salzman, Ryan -DO NOT COVERED Good Shepard Hospital Samuels, Jane -NP COVERED UNDER FAP Good Shepard Hospital Samuels, Jordan -MD NOT COVERED Good Shepard Hospital Sanchez, Oscar -MD NOT COVERED

Page 101 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Sapountzi, Paraskevi -MD NOT COVERED Good Shepard Hospital Sarker, Sharfi -MD NOT COVERED Good Shepard Hospital Savino, Anthony -MD NOT COVERED Good Shepard Hospital Sawant, Anjali -MD COVERED UNDER FAP Good Shepard Hospital Schiappa, Deborah -DO NOT COVERED Good Shepard Hospital Schnack, Bradley -MD NOT COVERED Good Shepard Hospital Schneider, David -DO NOT COVERED Good Shepard Hospital Schnibben, Amanda -PsyD NOT COVERED Good Shepard Hospital Schrage, Andrea -PA NOT COVERED Good Shepard Hospital Schroeder, Robert -MD NOT COVERED Good Shepard Hospital Schwartz, Glenn -MD NOT COVERED Good Shepard Hospital Schwartzenberg, Robert -MD NOT COVERED Good Shepard Hospital Seeds, James -MD NOT COVERED Good Shepard Hospital Segal, Stewart -MD NOT COVERED Good Shepard Hospital Seneviratne, Krishanthi -MD NOT COVERED Good Shepard Hospital Senior Healthcare Solutions, Inc NOT COVERED Good Shepard Hospital Sethi, Aman -MD COVERED UNDER FAP Good Shepard Hospital Shade, Ronald -MD NOT COVERED Good Shepard Hospital Shah, Aditi -MD NOT COVERED Good Shepard Hospital Shah, Amit -MD NOT COVERED Good Shepard Hospital Shah, Una -MD NOT COVERED Good Shepard Hospital Shahid Ilahi, MD, SC NOT COVERED Good Shepard Hospital Shareef, Naushin -MD NOT COVERED Good Shepard Hospital Sharma, Raja -MD NOT COVERED Good Shepard Hospital Sharma, Rani -MD COVERED UNDER FAP Good Shepard Hospital Sharp, Cindy -NP COVERED UNDER FAP Good Shepard Hospital Sheehan, Jessica -MD NOT COVERED Good Shepard Hospital Sheinkop, Susan -MD NOT COVERED Good Shepard Hospital Shen, Emily -MD NOT COVERED Good Shepard Hospital Sherman, Sanford -MD NOT COVERED Good Shepard Hospital Shirazi, Mobeen -MD NOT COVERED Good Shepard Hospital Shoults, Kevin -MD NOT COVERED Good Shepard Hospital Sibol, Michael -MD COVERED UNDER FAP Good Shepard Hospital Siddiqui, Saba -MD NOT COVERED Good Shepard Hospital Simon, Melinda -MD NOT COVERED Good Shepard Hospital Singh, Amarjit -MD NOT COVERED Good Shepard Hospital Singh, Sutpal -DPM NOT COVERED Good Shepard Hospital Sitapara, Urvashi -NP COVERED UNDER FAP Good Shepard Hospital Small, Robert -MD NOT COVERED Good Shepard Hospital Smyrniotis, George -MD NOT COVERED Good Shepard Hospital Snyder, Brenda -DO NOT COVERED Good Shepard Hospital So, Daniel -MD NOT COVERED Good Shepard Hospital Sokol, Joshua -MD NOT COVERED Good Shepard Hospital Sommerfeld, Barry -MD NOT COVERED Good Shepard Hospital Soorya, Ranjana -MD NOT COVERED Good Shepard Hospital Soruco, Luis -MD NOT COVERED Good Shepard Hospital Spangler, Chad -MD NOT COVERED Good Shepard Hospital Sparrow, Michelle -NP NOT COVERED Good Shepard Hospital Specialists in Gastroenterology NOT COVERED Good Shepard Hospital Specialty Care Institute, SC NOT COVERED Good Shepard Hospital Spohnholtz, Dawn -CSA NOT COVERED Good Shepard Hospital Sriram, Krishnan -MD NOT COVERED Good Shepard Hospital Staicu, Irina -MD COVERED UNDER FAP Good Shepard Hospital Stasi, Gregory -PsyD NOT COVERED Good Shepard Hospital Stefani, Margaret -DO NOT COVERED Good Shepard Hospital Stein, Ty -MD NOT COVERED Good Shepard Hospital Stephen Madry, MD, SC NOT COVERED Good Shepard Hospital Steven P Kipferl, DPM PC NOT COVERED

Page 102 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Stom, Sayra -PA NOT COVERED Good Shepard Hospital Strain, Mary -PhD NOT COVERED Good Shepard Hospital Subramanian, Sanjay -MD NOT COVERED Good Shepard Hospital Suburban Ear Nose & Throat Associates, Ltd NOT COVERED Good Shepard Hospital Suburban Endocrinology and Diabetes, LLP NOT COVERED Good Shepard Hospital Suburban Sleep and Pulmonary Medicine SC NOT COVERED Good Shepard Hospital Sullivan, Scott -MD NOT COVERED Good Shepard Hospital Sutcliffe, Joan -MD NOT COVERED Good Shepard Hospital Swisher, Jefferson -PA NOT COVERED Good Shepard Hospital Syed, Mukaramullah -MD NOT COVERED Good Shepard Hospital Tajuddin, Al-Karim -MD NOT COVERED Good Shepard Hospital Talwar, Ritu -MD NOT COVERED Good Shepard Hospital Tan, Kelly -MD NOT COVERED Good Shepard Hospital Taub, Amy -MD NOT COVERED Good Shepard Hospital Thakkar, Padmini -MD NOT COVERED Good Shepard Hospital Thayu, Sivakami -MD COVERED UNDER FAP Good Shepard Hospital The American Center for Spine & Neurosurgery, LLC NOT COVERED Good Shepard Hospital The Barrington Center: Psychotherapy and Wellness NOT COVERED Good Shepard Hospital The Elgin Clinic, Ltd NOT COVERED Good Shepard Hospital Thompson, Andrew -MD NOT COVERED Good Shepard Hospital Thompson, Mark -MD NOT COVERED Good Shepard Hospital Thomson Memory Center NOT COVERED Good Shepard Hospital Thomson, Leroy -MD NOT COVERED Good Shepard Hospital Thress, Tyler -MD NOT COVERED Good Shepard Hospital Thrive OB, SC NOT COVERED Good Shepard Hospital Tjaden, Jason -MD NOT COVERED Good Shepard Hospital Tomasian, Douglas -MD NOT COVERED Good Shepard Hospital Tomchik, Kenneth -MD NOT COVERED Good Shepard Hospital Tonkovic, Russell -MD COVERED UNDER FAP Good Shepard Hospital Trauscht, Ann -MD COVERED UNDER FAP Good Shepard Hospital Trauscht, Robert -MD COVERED UNDER FAP Good Shepard Hospital Tri-County Emergency Physicians, Ltd NOT COVERED Good Shepard Hospital Troy, Richard -MD NOT COVERED Good Shepard Hospital Tsonis, George -MD NOT COVERED Good Shepard Hospital Tsoutsias, George -MD NOT COVERED Good Shepard Hospital Tzelepis, Elias -MD NOT COVERED Good Shepard Hospital Uhl, Justin -MD NOT COVERED Good Shepard Hospital University Gynecologic Oncology Assoc. NOT COVERED Good Shepard Hospital University Medicine and Cardiology NOT COVERED Good Shepard Hospital Uraizee, Faheem -MD COVERED UNDER FAP Good Shepard Hospital Urban, George -MD NOT COVERED Good Shepard Hospital UrbanCare Internal Medicine NOT COVERED Good Shepard Hospital UrbanCare, LLC NOT COVERED Good Shepard Hospital Van Gilder, John -DDS NOT COVERED Good Shepard Hospital Vedak, Chandragupta -MD NOT COVERED Good Shepard Hospital Vein Specialists of Illinois NOT COVERED Good Shepard Hospital Vemuri, Preeti -MD NOT COVERED Good Shepard Hospital Verzal, Rhonda -MD NOT COVERED Good Shepard Hospital Virruso, Elissa -PsyD NOT COVERED Good Shepard Hospital Virtual Radiologic Professionals, LLC NOT COVERED Good Shepard Hospital Votapka, Timothy -MD NOT COVERED Good Shepard Hospital Wallen, Ashley -NP COVERED UNDER FAP Good Shepard Hospital Ward, Ashley -NP NOT COVERED Good Shepard Hospital Warren, Ann -MD COVERED UNDER FAP Good Shepard Hospital Warren, Jonathan -MD NOT COVERED Good Shepard Hospital Wear, Vanessa -MD NOT COVERED Good Shepard Hospital Weiner, Glenn -DO NOT COVERED Good Shepard Hospital Weiss, Debbie -MD COVERED UNDER FAP

Page 103 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Good Shepard Hospital Wessendorf, Kimberly -NP NOT COVERED Good Shepard Hospital Weston, Anthony -MD COVERED UNDER FAP Good Shepard Hospital Weyburn, Thomas -DO COVERED UNDER FAP Good Shepard Hospital Whispering Point Ophthalmology SC NOT COVERED Good Shepard Hospital Wilcox, James -DO NOT COVERED Good Shepard Hospital Wittkopf, Justin -MD NOT COVERED Good Shepard Hospital Wittkopf, Maria -MD NOT COVERED Good Shepard Hospital Wool, Daniel -MD NOT COVERED Good Shepard Hospital Wu, Ning -MD NOT COVERED Good Shepard Hospital Wuertz, Peter -MD NOT COVERED Good Shepard Hospital Yalovetskiy, Igor -PA NOT COVERED Good Shepard Hospital Yorulmazoglu, Erol -MD NOT COVERED Good Shepard Hospital Yuk, Antonio -MD NOT COVERED Good Shepard Hospital Zarlengo, Dominic -MD COVERED UNDER FAP Good Shepard Hospital Zarzuela, Angeline -MD NOT COVERED Good Shepard Hospital Zhang, Jeanie -MD NOT COVERED Good Shepard Hospital Zidron, Martin -DDS NOT COVERED Good Shepard Hospital Zielinski, Matthew -DDS NOT COVERED Illinois Masonic Medical Center Abdelsalam, Ahmed -MD NOT COVERED Illinois Masonic Medical Center Abt and Willis Family Dentistry NOT COVERED Illinois Masonic Medical Center Access Community Health Network NOT COVERED Illinois Masonic Medical Center Ackerman, Jeffrey -MD NOT COVERED Illinois Masonic Medical Center Adajar, Marc -MD NOT COVERED Illinois Masonic Medical Center Adesuyi, Adeola -CRNA NOT COVERED Illinois Masonic Medical Center Adisa, Motunrayo -MD NOT COVERED Illinois Masonic Medical Center Advanced Cancer Clinic, Ltd NOT COVERED Illinois Masonic Medical Center Advanced GI, LLC NOT COVERED Illinois Masonic Medical Center Advanced Sinus and Allergy Center, SC NOT COVERED Illinois Masonic Medical Center Advanced Skin and Mohs Surgery Center NOT COVERED Illinois Masonic Medical Center Advanced Women's Health of Chicago NOT COVERED Illinois Masonic Medical Center Advocate Medical Group - Chicago - 1945 West Wilson COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group - Chicago - 900 W Nelson - Digestive Health COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group - Chicago - North Broadway COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group - Chicago N Clark - Cardiology COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group - Chicago N Clark - Endocrinology COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group - Chicago N Clark - Internal Medicine COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group - Chicago N Clark - Midwifery COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group - Chicago N Clark - Neurology COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group - Chicago N Clark - OBGYN COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group - Chicago N Halsted - Neurosurgery COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group - Chicago N Halsted - Surgery COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group - Chicago N Halsted - Vascular Surgery COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group - Chicago N Ravenswood - Neurology COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group - Lakeview Immediate Care COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Antenatal COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Beverly COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Chicago 4600 N Ravenswood Ave OBGYN COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Chicago-North Cicero Avenue COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Emergency Medicine COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Halsted COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Halsted and Blackhawk COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Halsted OB/Gyne COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Halsted Urogynecology COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Halsted Urology COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Hospitalist COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Hospitalists COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Lincolnwood COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Logan Square COVERED UNDER FAP

Page 104 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Advocate Medical Group Maternal Fetal COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Nesset Internal Medicine COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Pediatrics Developmental Center COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Ravenswood Family Medicine COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Ravenswood Primary Care COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Rheumatology Center COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Sykes COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Trauma Surgery COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group Yacktman Peds Cardiology COVERED UNDER FAP Illinois Masonic Medical Center Advocate Medical Group-Chicago-1273 N Milwaukee COVERED UNDER FAP Illinois Masonic Medical Center Aggarwal, Smita -MD NOT COVERED Illinois Masonic Medical Center Aghajani, Katayoun -MD NOT COVERED Illinois Masonic Medical Center Ahluwalia, Mukesh -MD NOT COVERED Illinois Masonic Medical Center Ahmad, Amjad -MD NOT COVERED Illinois Masonic Medical Center Ahmed, Shaheena -DO NOT COVERED Illinois Masonic Medical Center AKG Medical Service Corporation NOT COVERED Illinois Masonic Medical Center Akhter, Syed -MD NOT COVERED Illinois Masonic Medical Center Akinde, Kudus -MD COVERED UNDER FAP Illinois Masonic Medical Center Aklilu, Mebea -MD COVERED UNDER FAP Illinois Masonic Medical Center Alameda Foot Center PC NOT COVERED Illinois Masonic Medical Center Alameda, David -DPM NOT COVERED Illinois Masonic Medical Center Alasadi, Rusul -MD COVERED UNDER FAP Illinois Masonic Medical Center Albert, Andrew -MD NOT COVERED Illinois Masonic Medical Center Alde, Jonathan -MD NOT COVERED Illinois Masonic Medical Center Alderman, Sarah -MD NOT COVERED Illinois Masonic Medical Center Aleksandar L. Krunic, MD, SC NOT COVERED Illinois Masonic Medical Center Alenta Health Immediate Care, LLC NOT COVERED Illinois Masonic Medical Center Alexander-El, Troy -MD NOT COVERED Illinois Masonic Medical Center Ali, Safwan -MD COVERED UNDER FAP Illinois Masonic Medical Center AliKhan, Nadira -MD NOT COVERED Illinois Masonic Medical Center Alile, Noredia -MD NOT COVERED Illinois Masonic Medical Center Alischoewski, Kerstin -MD NOT COVERED Illinois Masonic Medical Center All For Women Healthcare, SC NOT COVERED Illinois Masonic Medical Center All Kids Dental NOT COVERED Illinois Masonic Medical Center All Women's Medical Center NOT COVERED Illinois Masonic Medical Center Allegretti, Joseph -MD NOT COVERED Illinois Masonic Medical Center Allen, Joyce -NP NOT COVERED Illinois Masonic Medical Center Allen, Neil -MD NOT COVERED Illinois Masonic Medical Center Allergy Center, Inc. NOT COVERED Illinois Masonic Medical Center Alvarez, Juan -MD NOT COVERED Illinois Masonic Medical Center Amde, Wendewessen -MD NOT COVERED Illinois Masonic Medical Center American Indian Health Services, Chicago NOT COVERED Illinois Masonic Medical Center American Medical Association NOT COVERED Illinois Masonic Medical Center Amin, Nilam -DO NOT COVERED Illinois Masonic Medical Center Amjad Z. Ahmad, MD, SC NOT COVERED Illinois Masonic Medical Center Anderson, Christine -MD NOT COVERED Illinois Masonic Medical Center Anderson, Lynn -MD NOT COVERED Illinois Masonic Medical Center Andreeva, Ilina -MD NOT COVERED Illinois Masonic Medical Center Aneziokoro, Ogbonnaya -MD NOT COVERED Illinois Masonic Medical Center Anil Shah MD FACS SC NOT COVERED Illinois Masonic Medical Center Ankle N Foot Centers, LLC NOT COVERED Illinois Masonic Medical Center Antoine, Ranae -MD NOT COVERED Illinois Masonic Medical Center Anyadike, David -MD NOT COVERED Illinois Masonic Medical Center Aparicio, Alejandro -MD NOT COVERED Illinois Masonic Medical Center Applebaum, Michael -MD NOT COVERED Illinois Masonic Medical Center Aquino, Benjamin -MD NOT COVERED Illinois Masonic Medical Center Arbor Center for Eyecare, SC NOT COVERED Illinois Masonic Medical Center Archer Family Dental NOT COVERED

Page 105 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Arekapudi, Swathi -MD NOT COVERED Illinois Masonic Medical Center Arekapudi, Vijayalakshmi -MD NOT COVERED Illinois Masonic Medical Center Arnau-Gonzalez, Julio -MD COVERED UNDER FAP Illinois Masonic Medical Center Arons, James -DO NOT COVERED Illinois Masonic Medical Center Aronson, Andrew -MD NOT COVERED Illinois Masonic Medical Center Arun, Haleyur -MD NOT COVERED Illinois Masonic Medical Center Arun, Veena -MD NOT COVERED Illinois Masonic Medical Center Asad Zaman, MD, SC NOT COVERED Illinois Masonic Medical Center Ashland Medical Clinic NOT COVERED Illinois Masonic Medical Center Ashok M. Doshi, MD, SC, Ltd. NOT COVERED Illinois Masonic Medical Center Asselmeier, Scott -MD NOT COVERED Illinois Masonic Medical Center Associates in Nephrology, SC NOT COVERED Illinois Masonic Medical Center Atallah, Carl -DO NOT COVERED Illinois Masonic Medical Center Atcha, Ismail -MD NOT COVERED Illinois Masonic Medical Center Atri, Nipun -MD NOT COVERED Illinois Masonic Medical Center Auerbach, Larry -MD NOT COVERED Illinois Masonic Medical Center August, Carey -MD NOT COVERED Illinois Masonic Medical Center Azad, Hema -MD NOT COVERED Illinois Masonic Medical Center Aziz, Saad -DO NOT COVERED Illinois Masonic Medical Center Babbin, Lindsey -MD NOT COVERED Illinois Masonic Medical Center Babiarz, Jennifer -PA COVERED UNDER FAP Illinois Masonic Medical Center Baddi, Ajay -MD COVERED UNDER FAP Illinois Masonic Medical Center Badlani, Ravi -MD NOT COVERED Illinois Masonic Medical Center Bahena, Yesenia -MD NOT COVERED Illinois Masonic Medical Center Bahk, Jane -MD NOT COVERED Illinois Masonic Medical Center Bahrani, Neda -DO COVERED UNDER FAP Illinois Masonic Medical Center Baim, Howard -MD NOT COVERED Illinois Masonic Medical Center Baker, Jeffrey -DPM NOT COVERED Illinois Masonic Medical Center Baker, Kristin -PA NOT COVERED Illinois Masonic Medical Center Balu Nataranjan MD, SC NOT COVERED Illinois Masonic Medical Center Barajas, Antonio -MD NOT COVERED Illinois Masonic Medical Center Baral, Irene -MD NOT COVERED Illinois Masonic Medical Center Baron, Tova -NP COVERED UNDER FAP Illinois Masonic Medical Center Barrett, James -MD NOT COVERED Illinois Masonic Medical Center Barry Summers, MD, SC NOT COVERED Illinois Masonic Medical Center Barry, Martha -CNM COVERED UNDER FAP Illinois Masonic Medical Center Bartman, Howard -MD NOT COVERED Illinois Masonic Medical Center Baskin, Rachel -MD COVERED UNDER FAP Illinois Masonic Medical Center Basnillo-San Diego, Venus Liezl -NP NOT COVERED Illinois Masonic Medical Center Basques, Kyle -MD NOT COVERED Illinois Masonic Medical Center Bastani, Ahmad -MD NOT COVERED Illinois Masonic Medical Center Batra, Shivani -DO NOT COVERED Illinois Masonic Medical Center Bauer, Sarah -MD COVERED UNDER FAP Illinois Masonic Medical Center Baus, Abbey -PA NOT COVERED Illinois Masonic Medical Center Bautista, Maria -MD NOT COVERED Illinois Masonic Medical Center Bayers, Stephanie -MD NOT COVERED Illinois Masonic Medical Center Beaird Dermatology, SC NOT COVERED Illinois Masonic Medical Center Beall Sacasa, Allan -MD COVERED UNDER FAP Illinois Masonic Medical Center Bear, Marc -MD NOT COVERED Illinois Masonic Medical Center Beck, Traci -MD COVERED UNDER FAP Illinois Masonic Medical Center Bedon, Ana -CNS COVERED UNDER FAP Illinois Masonic Medical Center Bedon, Ana -CNS NOT COVERED Illinois Masonic Medical Center Behal, Rajan -MD NOT COVERED Illinois Masonic Medical Center Behnke, Pamela -CNM NOT COVERED Illinois Masonic Medical Center Belingon-Suerte, Cielo -MD NOT COVERED Illinois Masonic Medical Center Beltran, Liset -DDS NOT COVERED Illinois Masonic Medical Center Beltsos, Angeline -MD NOT COVERED Illinois Masonic Medical Center Benjamin, Jessica -MD COVERED UNDER FAP

Page 106 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Benton, Kathryn -PhD NOT COVERED Illinois Masonic Medical Center Benz, James -DDS COVERED UNDER FAP Illinois Masonic Medical Center Berk, Mark -MD NOT COVERED Illinois Masonic Medical Center Besse, Anthony -DDS NOT COVERED Illinois Masonic Medical Center Best Practices Inpatient Care, Ltd NOT COVERED Illinois Masonic Medical Center Bhaiji, Azmina -MD COVERED UNDER FAP Illinois Masonic Medical Center Bhatia, Ajay -MD NOT COVERED Illinois Masonic Medical Center Bicalho, Silvia -MD COVERED UNDER FAP Illinois Masonic Medical Center Bilinski, Robert -MD NOT COVERED Illinois Masonic Medical Center Bishop, Margaret -CRNA NOT COVERED Illinois Masonic Medical Center Bloniarz, Dorothy -MD NOT COVERED Illinois Masonic Medical Center Blum, Corinne -MD NOT COVERED Illinois Masonic Medical Center Bonasera, Lara -MD NOT COVERED Illinois Masonic Medical Center Boyer, Jerrel -DO COVERED UNDER FAP Illinois Masonic Medical Center Brady, Peter -MD COVERED UNDER FAP Illinois Masonic Medical Center Branch, Riva -MD COVERED UNDER FAP Illinois Masonic Medical Center Braunstein, Sara -DO COVERED UNDER FAP Illinois Masonic Medical Center Broadway Medical Office, SC NOT COVERED Illinois Masonic Medical Center Brown, Clarence -MD NOT COVERED Illinois Masonic Medical Center Brown, Cory -MD NOT COVERED Illinois Masonic Medical Center Brown, Finley -MD NOT COVERED Illinois Masonic Medical Center Brown, Leah -PA NOT COVERED Illinois Masonic Medical Center Brown, Sara -DO COVERED UNDER FAP Illinois Masonic Medical Center Buch, Deep -MD COVERED UNDER FAP Illinois Masonic Medical Center Buddharaju, Venkata -MD NOT COVERED Illinois Masonic Medical Center Buder, Alex -MD NOT COVERED Illinois Masonic Medical Center Buse, Susan -CNS NOT COVERED Illinois Masonic Medical Center Buyea, Bridget -MD NOT COVERED Illinois Masonic Medical Center Byrne, Elizabeth -MD COVERED UNDER FAP Illinois Masonic Medical Center Cabai, Jillian -DPM NOT COVERED Illinois Masonic Medical Center Caballero, Nadieska -MD NOT COVERED Illinois Masonic Medical Center Cabiya, Marie -MD COVERED UNDER FAP Illinois Masonic Medical Center Cahill, Casey -MD NOT COVERED Illinois Masonic Medical Center CAM Medical Group, SC NOT COVERED Illinois Masonic Medical Center Campbell, MaiBritt -MD NOT COVERED Illinois Masonic Medical Center Cancer Treatment Center NOT COVERED Illinois Masonic Medical Center Candido, Kenneth -MD NOT COVERED Illinois Masonic Medical Center Cano, Mariela -MD COVERED UNDER FAP Illinois Masonic Medical Center Cardiac Associates SC NOT COVERED Illinois Masonic Medical Center Cardiac Surgery Associates, SC NOT COVERED Illinois Masonic Medical Center Cardiothoracic & Vascular Surgical Associates, SC NOT COVERED Illinois Masonic Medical Center Care Endodontics NOT COVERED Illinois Masonic Medical Center Carlos H. Zambrano, MD, LLC NOT COVERED Illinois Masonic Medical Center Carqueville, Jordan -MD NOT COVERED Illinois Masonic Medical Center Carrara, Julianne -DMD NOT COVERED Illinois Masonic Medical Center Carter, Stephen -MD NOT COVERED Illinois Masonic Medical Center Cataldo, Maria -NP COVERED UNDER FAP Illinois Masonic Medical Center Cavalenes, Mark -MD NOT COVERED Illinois Masonic Medical Center Center for Advance Therapy NOT COVERED Illinois Masonic Medical Center Center for Asthma and Allergy, SC NOT COVERED Illinois Masonic Medical Center Center for Neurological Disorders NOT COVERED Illinois Masonic Medical Center Chacko, Emily -MD COVERED UNDER FAP Illinois Masonic Medical Center Chalakova, Petya -MD NOT COVERED Illinois Masonic Medical Center Chappidi, Prasad -MD NOT COVERED Illinois Masonic Medical Center Chartre, Kathya -MD NOT COVERED Illinois Masonic Medical Center Chaudhary, Mohammad -MD NOT COVERED Illinois Masonic Medical Center Chavez, Milton -MD NOT COVERED Illinois Masonic Medical Center Chawla, Manjeet -MD NOT COVERED

Page 107 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Chawla, Shalini -MD NOT COVERED Illinois Masonic Medical Center Chen, Kevin -MD NOT COVERED Illinois Masonic Medical Center Cherf, John -MD NOT COVERED Illinois Masonic Medical Center Chernoff, Allen -MD NOT COVERED Illinois Masonic Medical Center Chest Medicine Consultants, SC NOT COVERED Illinois Masonic Medical Center Chhadia, Sumit -MD NOT COVERED Illinois Masonic Medical Center Chicago Anesthesia Associates, SC NOT COVERED Illinois Masonic Medical Center Chicago Anesthesiology Pain Specialists, LLC NOT COVERED Illinois Masonic Medical Center Chicago Arthritis, LLC NOT COVERED Illinois Masonic Medical Center Chicago Eye Institute NOT COVERED Illinois Masonic Medical Center Chicago Family Asthma & Allergy, SC NOT COVERED Illinois Masonic Medical Center Chicago Foot Health Centers, LLC NOT COVERED Illinois Masonic Medical Center Chicago Gastro, LLC NOT COVERED Illinois Masonic Medical Center Chicago Heart Rhythm, LLC NOT COVERED Illinois Masonic Medical Center Chicago Institute of Advanced Surgery NOT COVERED Illinois Masonic Medical Center Chicago Institute of Orthopedics NOT COVERED Illinois Masonic Medical Center Chicago Nasal & Sinus Center, SC NOT COVERED Illinois Masonic Medical Center Chicago Ophthalmology, PC NOT COVERED Illinois Masonic Medical Center Chicago Orthopaedics & Sports Medicine, SC NOT COVERED Illinois Masonic Medical Center Chicago Pediatric Clinic Corp NOT COVERED Illinois Masonic Medical Center Chicago Pediatric Dentistry & Orthodontics NOT COVERED Illinois Masonic Medical Center Chicago Rheumatology and Medical Clinic NOT COVERED Illinois Masonic Medical Center Chicagoland Complete Healthcare, LLC NOT COVERED Illinois Masonic Medical Center Chicagoland Retinal Consultants, LLC NOT COVERED Illinois Masonic Medical Center Chin, Michael -DPM NOT COVERED Illinois Masonic Medical Center Chitgopeker, Pooja -MD NOT COVERED Illinois Masonic Medical Center Chitown Orthopaedics & Sports Medicine, SC NOT COVERED Illinois Masonic Medical Center Chou, Peter E-Min -MD COVERED UNDER FAP Illinois Masonic Medical Center Chou, Vivian -MD NOT COVERED Illinois Masonic Medical Center Christoff, Eric -MD NOT COVERED Illinois Masonic Medical Center Chu, Chae -MD COVERED UNDER FAP Illinois Masonic Medical Center Chua, David -MD NOT COVERED Illinois Masonic Medical Center Chundi, Vishnu -MD NOT COVERED Illinois Masonic Medical Center Churyla, Alesia -MD COVERED UNDER FAP Illinois Masonic Medical Center Ciaccia, Gina -DO NOT COVERED Illinois Masonic Medical Center Cielo Belingon-Suerte MD SC NOT COVERED Illinois Masonic Medical Center CIMPAR, SC NOT COVERED Illinois Masonic Medical Center CK Pulmonary Associates, SC NOT COVERED Illinois Masonic Medical Center Clair, Elyse -NP COVERED UNDER FAP Illinois Masonic Medical Center Clancy, James -MD NOT COVERED Illinois Masonic Medical Center Clarke, Clifton -MD NOT COVERED Illinois Masonic Medical Center Cohen, David -MD NOT COVERED Illinois Masonic Medical Center Cohen, Harry -MD COVERED UNDER FAP Illinois Masonic Medical Center Coleman J. Spector,DDS NOT COVERED Illinois Masonic Medical Center Colman, Kathryn -MD NOT COVERED Illinois Masonic Medical Center Colman, Matthew -MD NOT COVERED Illinois Masonic Medical Center Colonial Medical Center, SC NOT COVERED Illinois Masonic Medical Center Connor, Jennifer -MD NOT COVERED Illinois Masonic Medical Center Conran, Michael -PA NOT COVERED Illinois Masonic Medical Center Constantinescu, Corina -NP COVERED UNDER FAP Illinois Masonic Medical Center Consultants in Neurology, Ltd NOT COVERED Illinois Masonic Medical Center Conte, Alison -CNM COVERED UNDER FAP Illinois Masonic Medical Center Cook County Health NOT COVERED Illinois Masonic Medical Center Cook, J. Wesley -DO NOT COVERED Illinois Masonic Medical Center Cooper, Valerie -PA NOT COVERED Illinois Masonic Medical Center Corey, Jacquelynne -MD NOT COVERED Illinois Masonic Medical Center Correa, Eduardo -MD NOT COVERED Illinois Masonic Medical Center Cosgrove, Christine -NP COVERED UNDER FAP

Page 108 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Costas, Chris -MD NOT COVERED Illinois Masonic Medical Center Cremer, Eduardo -MD NOT COVERED Illinois Masonic Medical Center Creticos, Catherine -MD NOT COVERED Illinois Masonic Medical Center Crotteau, Charles -MD COVERED UNDER FAP Illinois Masonic Medical Center Cudecki, John -MD NOT COVERED Illinois Masonic Medical Center Cuevas, Jorge -PhD NOT COVERED Illinois Masonic Medical Center Cummins, John -MD NOT COVERED Illinois Masonic Medical Center Curtis, Arthur -MD NOT COVERED Illinois Masonic Medical Center Czajkowski, George -MD COVERED UNDER FAP Illinois Masonic Medical Center D&A Medical, LTD NOT COVERED Illinois Masonic Medical Center Dahodwala, Mohamed -MD NOT COVERED Illinois Masonic Medical Center Daisy, Emma -MD NOT COVERED Illinois Masonic Medical Center Dallas, Nikolaos -MD COVERED UNDER FAP Illinois Masonic Medical Center Danciu, Sorin -MD COVERED UNDER FAP Illinois Masonic Medical Center Darrell, Brenda -MD COVERED UNDER FAP Illinois Masonic Medical Center Dassani, Jitendra -MD COVERED UNDER FAP Illinois Masonic Medical Center Dauphin-VanDyk, Margaret -MD NOT COVERED Illinois Masonic Medical Center David Spindel, MD, SC NOT COVERED Illinois Masonic Medical Center Davis, Mari-Elena -DO COVERED UNDER FAP Illinois Masonic Medical Center De Ranieri, Aladino -MD NOT COVERED Illinois Masonic Medical Center DeKalb Eye Consultants, LLC - Lakeside Eye Group NOT COVERED Illinois Masonic Medical Center DeLaCruz, Marco -MD NOT COVERED Illinois Masonic Medical Center Delfinado, Leah -MD COVERED UNDER FAP Illinois Masonic Medical Center Delis, Constantine -DO NOT COVERED Illinois Masonic Medical Center Dennis T. Manshio, MD, PhD, SC NOT COVERED Illinois Masonic Medical Center Dennis, Melissa -MD COVERED UNDER FAP Illinois Masonic Medical Center Dental Art Specialists NOT COVERED Illinois Masonic Medical Center Dental Salon NOT COVERED Illinois Masonic Medical Center Dermatology Physicians Group, LLC NOT COVERED Illinois Masonic Medical Center Derylo, Bogdan -MD NOT COVERED Illinois Masonic Medical Center Dibs, Samer -MD NOT COVERED Illinois Masonic Medical Center Diekevers, Doug -DPM NOT COVERED Illinois Masonic Medical Center Dillard, Jazmine -DDS NOT COVERED Illinois Masonic Medical Center Dillig, Gina -MD NOT COVERED Illinois Masonic Medical Center DiMaria, Frank -DO NOT COVERED Illinois Masonic Medical Center Dimitropoulos, Vassilios -MD NOT COVERED Illinois Masonic Medical Center Dini, Kourosh -MD NOT COVERED Illinois Masonic Medical Center Dini, Morteza -MD COVERED UNDER FAP Illinois Masonic Medical Center Dixon, Julian -MD NOT COVERED Illinois Masonic Medical Center Do, Van -MD NOT COVERED Illinois Masonic Medical Center Donnell, Aaron -MD NOT COVERED Illinois Masonic Medical Center Donoghue, Jennifer -NP COVERED UNDER FAP Illinois Masonic Medical Center Doren, Gregory -MD NOT COVERED Illinois Masonic Medical Center Dorgan, Christopher -MD COVERED UNDER FAP Illinois Masonic Medical Center Doshi, Ashokkumar -MD NOT COVERED Illinois Masonic Medical Center Dr. J. Wesley Cook, DO LLC NOT COVERED Illinois Masonic Medical Center Dray, Philip -MD NOT COVERED Illinois Masonic Medical Center Drazkiewicz, Maciej -MD NOT COVERED Illinois Masonic Medical Center Driver, Steven -MD COVERED UNDER FAP Illinois Masonic Medical Center DSilva, Joseph -MD NOT COVERED Illinois Masonic Medical Center D'Silva, Oliver -MD COVERED UNDER FAP Illinois Masonic Medical Center Duffy, Katherine -MD NOT COVERED Illinois Masonic Medical Center Dunphy, James -MD COVERED UNDER FAP Illinois Masonic Medical Center DuPage Medical Group, Ltd NOT COVERED Illinois Masonic Medical Center Dupre, Deirdre -MD NOT COVERED Illinois Masonic Medical Center Durfee, Sharon -DDS NOT COVERED Illinois Masonic Medical Center Duval, Jude -MD NOT COVERED Illinois Masonic Medical Center Ebert, David -MD NOT COVERED

Page 109 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Ebrahimi, Farzad -MD NOT COVERED Illinois Masonic Medical Center Egger, Paul -DDS NOT COVERED Illinois Masonic Medical Center Eghtesad, Mansooreh -MD NOT COVERED Illinois Masonic Medical Center Egues, Darlene -MD NOT COVERED Illinois Masonic Medical Center Ehlers, Kara -MD NOT COVERED Illinois Masonic Medical Center Einstein, Noah -MD COVERED UNDER FAP Illinois Masonic Medical Center Elizondo, Jose -MD COVERED UNDER FAP Illinois Masonic Medical Center Emmerich, Katelyn -PA COVERED UNDER FAP Illinois Masonic Medical Center Enger, Minyuen -MD NOT COVERED Illinois Masonic Medical Center Epstein, Marc -NP COVERED UNDER FAP Illinois Masonic Medical Center Ermias Tilahun, MD, SC NOT COVERED Illinois Masonic Medical Center Espina, Toni-Denise -MD NOT COVERED Illinois Masonic Medical Center Estrada, Joaquin -MD COVERED UNDER FAP Illinois Masonic Medical Center Evers, Michelle -NP NOT COVERED Illinois Masonic Medical Center Excel Kidney Care LLC NOT COVERED Illinois Masonic Medical Center Eye Physicians and Surgeons of Chicago, SC NOT COVERED Illinois Masonic Medical Center Fabros Munez, Desiree -MD COVERED UNDER FAP Illinois Masonic Medical Center Family Medical Center NOT COVERED Illinois Masonic Medical Center Farrell, Jennifer -DDS COVERED UNDER FAP Illinois Masonic Medical Center Favila, Emmanuel -DO COVERED UNDER FAP Illinois Masonic Medical Center Fayyaz, Ghazala -MD NOT COVERED Illinois Masonic Medical Center Feijoo, Andrea -MD COVERED UNDER FAP Illinois Masonic Medical Center Fernandez, Carlos -MD COVERED UNDER FAP Illinois Masonic Medical Center Fertility Centers of Illinois, SC NOT COVERED Illinois Masonic Medical Center Fisher, Theodore -MD NOT COVERED Illinois Masonic Medical Center Flanagan, Sara -NP NOT COVERED Illinois Masonic Medical Center Flanagan-Hall, Elyse -CNM COVERED UNDER FAP Illinois Masonic Medical Center Fleischer, Adam -DPM NOT COVERED Illinois Masonic Medical Center Fleming, Scott -DDS NOT COVERED Illinois Masonic Medical Center Flicker, Michael -MD NOT COVERED Illinois Masonic Medical Center Flood, Timothy -MD NOT COVERED Illinois Masonic Medical Center Flores, Javier -MD NOT COVERED Illinois Masonic Medical Center Forest Foot Care NOT COVERED Illinois Masonic Medical Center Forman, Edward -DO NOT COVERED Illinois Masonic Medical Center Fox, John -MD NOT COVERED Illinois Masonic Medical Center Fox, Katherine -MD NOT COVERED Illinois Masonic Medical Center Frazier, Matthew -DO NOT COVERED Illinois Masonic Medical Center Fried, Karen -PsyD NOT COVERED Illinois Masonic Medical Center Friedman, Michael -MD NOT COVERED Illinois Masonic Medical Center Furno, Robert -MD COVERED UNDER FAP Illinois Masonic Medical Center Gaddam, Eliyazar -MD NOT COVERED Illinois Masonic Medical Center Gaddy, Erica -NP NOT COVERED Illinois Masonic Medical Center Galambos, Linda -NP NOT COVERED Illinois Masonic Medical Center Galiano, Jaime -MD NOT COVERED Illinois Masonic Medical Center G-Amlak, Maaza -MD NOT COVERED Illinois Masonic Medical Center Garber, Joseph -MD NOT COVERED Illinois Masonic Medical Center Garcia-Buder, Sofia -MD NOT COVERED Illinois Masonic Medical Center Garden, Benjamin -MD NOT COVERED Illinois Masonic Medical Center Garelick, David -MD NOT COVERED Illinois Masonic Medical Center Garg, Aneesh -DO NOT COVERED Illinois Masonic Medical Center Gastroenterology & Associates, SC NOT COVERED Illinois Masonic Medical Center Gattuso, Jonna -PsyD NOT COVERED Illinois Masonic Medical Center Gaziano, Dominic -MD NOT COVERED Illinois Masonic Medical Center Gazzi-Johnson, Renata -MD NOT COVERED Illinois Masonic Medical Center Geldner, Peter -MD NOT COVERED Illinois Masonic Medical Center George N. Atia, MD, SC NOT COVERED Illinois Masonic Medical Center George, Adia -MD COVERED UNDER FAP Illinois Masonic Medical Center George, Sean -MD COVERED UNDER FAP

Page 110 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Gerstein Eye Institute NOT COVERED Illinois Masonic Medical Center Gerstein, Craig -MD NOT COVERED Illinois Masonic Medical Center Ghaey, Kamala -MD NOT COVERED Illinois Masonic Medical Center Ghaly, Ramsis -MD NOT COVERED Illinois Masonic Medical Center Ghazanfari, Keikhosrow -MD NOT COVERED Illinois Masonic Medical Center GI Partners of Illinois, LLC NOT COVERED Illinois Masonic Medical Center Gibbons, Patrick -DO NOT COVERED Illinois Masonic Medical Center Gilbert, Aaron -MD NOT COVERED Illinois Masonic Medical Center Gilfillan, Rebecca -MD COVERED UNDER FAP Illinois Masonic Medical Center Gill, Sanjay -MD NOT COVERED Illinois Masonic Medical Center Gill, Sukhjit -MD NOT COVERED Illinois Masonic Medical Center Giraldo, Andres -MD COVERED UNDER FAP Illinois Masonic Medical Center Gleason, Loyola -DDS NOT COVERED Illinois Masonic Medical Center Gleason, Luica -MD NOT COVERED Illinois Masonic Medical Center Gluncic, Vicko -MD NOT COVERED Illinois Masonic Medical Center Gluskin, Lawrence -MD NOT COVERED Illinois Masonic Medical Center Goldenberg, Bruce -MD COVERED UNDER FAP Illinois Masonic Medical Center Goldstein, Julie -MD NOT COVERED Illinois Masonic Medical Center Gomez, Michael -MD NOT COVERED Illinois Masonic Medical Center Gomez, Wika -DPM NOT COVERED Illinois Masonic Medical Center Gong, Kenneth -MD COVERED UNDER FAP Illinois Masonic Medical Center Gonzalez, Joaquin -MD COVERED UNDER FAP Illinois Masonic Medical Center Gonzalez, Maria -MD NOT COVERED Illinois Masonic Medical Center Gonzalez, Sergio -MD NOT COVERED Illinois Masonic Medical Center Gopaniuk-Folga, Anna -MD NOT COVERED Illinois Masonic Medical Center Gordon-Smith, Zyra -NP NOT COVERED Illinois Masonic Medical Center Gorelick, Gleb -MD NOT COVERED Illinois Masonic Medical Center Gosnell, Jason -MD COVERED UNDER FAP Illinois Masonic Medical Center Graham, Nancy -CNM COVERED UNDER FAP Illinois Masonic Medical Center Grand Vein Specialists, LLC NOT COVERED Illinois Masonic Medical Center Great Chicago Smiles, PC NOT COVERED Illinois Masonic Medical Center Green, Maya -MD NOT COVERED Illinois Masonic Medical Center Green, Patricia -NP NOT COVERED Illinois Masonic Medical Center Greenberg, Martin -MD NOT COVERED Illinois Masonic Medical Center Greenberg, Robert -DDS NOT COVERED Illinois Masonic Medical Center Greenview Health Center Charter NOT COVERED Illinois Masonic Medical Center Gregor, Angela -PA NOT COVERED Illinois Masonic Medical Center Gribovich, Galina -MD NOT COVERED Illinois Masonic Medical Center Grinter, Jason -DDS NOT COVERED Illinois Masonic Medical Center Gripentrog, Drew -DMD COVERED UNDER FAP Illinois Masonic Medical Center Gross, Rachel -PA NOT COVERED Illinois Masonic Medical Center Grunsten, Robert -MD NOT COVERED Illinois Masonic Medical Center Guelich, David -MD NOT COVERED Illinois Masonic Medical Center Guerrero, Charlemagne -MD NOT COVERED Illinois Masonic Medical Center Guhl, Lauren -PA NOT COVERED Illinois Masonic Medical Center Gujja, Sapna -MD NOT COVERED Illinois Masonic Medical Center Gunaratnam, Lettricia -MD NOT COVERED Illinois Masonic Medical Center Gupta, Ashima -MD NOT COVERED Illinois Masonic Medical Center Gupta, Roop -MD NOT COVERED Illinois Masonic Medical Center Gupta, Vivek -MD NOT COVERED Illinois Masonic Medical Center Gurau, Izabella -MD NOT COVERED Illinois Masonic Medical Center Guthmann, Richard -MD COVERED UNDER FAP Illinois Masonic Medical Center Gutmann, Ernest -MD NOT COVERED Illinois Masonic Medical Center Guynn, Todd -MD NOT COVERED Illinois Masonic Medical Center Guyot, Anne -MD NOT COVERED Illinois Masonic Medical Center Guziec, Gary -DPM NOT COVERED Illinois Masonic Medical Center Guzina, Tatjana -MD NOT COVERED Illinois Masonic Medical Center Guzman, Andrew -MD NOT COVERED

Page 111 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Gwinn, Elizabeth -MD COVERED UNDER FAP Illinois Masonic Medical Center Habib, Fadi -MD NOT COVERED Illinois Masonic Medical Center Haiderzad, Fatma -CRNA NOT COVERED Illinois Masonic Medical Center Hajian, Nisha -NP NOT COVERED Illinois Masonic Medical Center Halajian, Elise -DO COVERED UNDER FAP Illinois Masonic Medical Center Hallar, Erin -CRNA NOT COVERED Illinois Masonic Medical Center Hamdard Center for Health & Human Services NOT COVERED Illinois Masonic Medical Center Han, Alice -MD NOT COVERED Illinois Masonic Medical Center Han, Sehjin -MD NOT COVERED Illinois Masonic Medical Center Hanson, David -DDS NOT COVERED Illinois Masonic Medical Center Haque, Faraz -DPM NOT COVERED Illinois Masonic Medical Center Harold H. Jaimes MD, PC NOT COVERED Illinois Masonic Medical Center Harrington, Aiden -CNM NOT COVERED Illinois Masonic Medical Center Harris, Faith -CNM NOT COVERED Illinois Masonic Medical Center Hartl, Erica -MD COVERED UNDER FAP Illinois Masonic Medical Center Harvey, Ann -NP NOT COVERED Illinois Masonic Medical Center Harvey, Anna -DMD NOT COVERED Illinois Masonic Medical Center Hauser, Meagan -PsyD NOT COVERED Illinois Masonic Medical Center Hayes, Ellen -MD NOT COVERED Illinois Masonic Medical Center Head & Neck Cosmetic Surgery Associates, Ltd NOT COVERED Illinois Masonic Medical Center Health Direction Medical Center, SC NOT COVERED Illinois Masonic Medical Center Heart Specialist, Inc NOT COVERED Illinois Masonic Medical Center Heartland Health Center NOT COVERED Illinois Masonic Medical Center Heartland International Health Center NOT COVERED Illinois Masonic Medical Center Heartland International Health Center-Wilson NOT COVERED Illinois Masonic Medical Center Hebert, Randy -MD COVERED UNDER FAP Illinois Masonic Medical Center Hejira Healthcare NOT COVERED Illinois Masonic Medical Center Helin, Radley -DO NOT COVERED Illinois Masonic Medical Center Hermes, Nesreen -MD NOT COVERED Illinois Masonic Medical Center Herst, Barry -MD NOT COVERED Illinois Masonic Medical Center Herwick, Steven -MD NOT COVERED Illinois Masonic Medical Center Hoffman, David -MD NOT COVERED Illinois Masonic Medical Center Hossain, Tania -MD NOT COVERED Illinois Masonic Medical Center Houlberg, Magda -MD NOT COVERED Illinois Masonic Medical Center Howard Brown Health Center NOT COVERED Illinois Masonic Medical Center Howard M Baim, MD, SC NOT COVERED Illinois Masonic Medical Center Huang, Felix -MD COVERED UNDER FAP Illinois Masonic Medical Center Hubjer, Azra -NP COVERED UNDER FAP Illinois Masonic Medical Center Hubjer, Lamija -PA NOT COVERED Illinois Masonic Medical Center Hui-Sam, Pei -NP COVERED UNDER FAP Illinois Masonic Medical Center Husain, Syed -MD NOT COVERED Illinois Masonic Medical Center Hussaini, Syed -MD NOT COVERED Illinois Masonic Medical Center Hynes, Christina -MD NOT COVERED Illinois Masonic Medical Center Ida, James -MD NOT COVERED Illinois Masonic Medical Center Idowu, Olumuyiwa -MD NOT COVERED Illinois Masonic Medical Center Ignacio, Maria -MD COVERED UNDER FAP Illinois Masonic Medical Center IL Sports Medicine & Ortho Centers NOT COVERED Illinois Masonic Medical Center Illinois Allergy and Asthma Specialists, SC NOT COVERED Illinois Masonic Medical Center Illinois Allergy Asthma & Sinus Center NOT COVERED Illinois Masonic Medical Center Illinois Bone & Joint Institute LLC NOT COVERED Illinois Masonic Medical Center Illinois Center of Digestive and Liver Health NOT COVERED Illinois Masonic Medical Center Illinois Dermatology Institute, LLC NOT COVERED Illinois Masonic Medical Center Illinois Gastroenterology and Hepatology NOT COVERED Illinois Masonic Medical Center Illinois Masonic Behavioral Health NOT COVERED Illinois Masonic Medical Center Illinois Masonic Dental Group NOT COVERED Illinois Masonic Medical Center Illinois Retina Associates, SC NOT COVERED Illinois Masonic Medical Center Imam, Javed -MD NOT COVERED Illinois Masonic Medical Center Innovative Platinum Care, SC NOT COVERED

Page 112 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Institute for Human Reproduction NOT COVERED Illinois Masonic Medical Center Integrated Imaging Consultants, LLC NOT COVERED Illinois Masonic Medical Center Integrative Wellness Group, SC NOT COVERED Illinois Masonic Medical Center Irby, Shemeka -PA NOT COVERED Illinois Masonic Medical Center Iteld, Lawrence -MD NOT COVERED Illinois Masonic Medical Center Ivanov, Rada -MD NOT COVERED Illinois Masonic Medical Center Izewski, Richard -MD NOT COVERED Illinois Masonic Medical Center Jabbour, Jerome -MD COVERED UNDER FAP Illinois Masonic Medical Center Jackson, Mitchell -MD NOT COVERED Illinois Masonic Medical Center Jacksoneye, S.C. NOT COVERED Illinois Masonic Medical Center Jacobs, Laurence -MD NOT COVERED Illinois Masonic Medical Center Jaime A. Galiano, MD, SC, Ltd. NOT COVERED Illinois Masonic Medical Center Jaimes, Harold -MD NOT COVERED Illinois Masonic Medical Center Jain, Mukesh -MD NOT COVERED Illinois Masonic Medical Center Jain, Sonali -MD COVERED UNDER FAP Illinois Masonic Medical Center Jamali, Jason -DDS NOT COVERED Illinois Masonic Medical Center Jani, Jai -MD NOT COVERED Illinois Masonic Medical Center Jankelow, Margolit -MD NOT COVERED Illinois Masonic Medical Center Jaojaroenkul, Thiti -MD NOT COVERED Illinois Masonic Medical Center Jarava, Abelardo -MD NOT COVERED Illinois Masonic Medical Center Javier, Desler -MD COVERED UNDER FAP Illinois Masonic Medical Center Jeelani, Roohi -MD NOT COVERED Illinois Masonic Medical Center Jeske, John -PA NOT COVERED Illinois Masonic Medical Center John, Annie -MD NOT COVERED Illinois Masonic Medical Center Johnson, Jada -MD COVERED UNDER FAP Illinois Masonic Medical Center Johnson, Laura -MD COVERED UNDER FAP Illinois Masonic Medical Center Johnson, Sarah -MD NOT COVERED Illinois Masonic Medical Center Jordan C Carqueville MD LLC NOT COVERED Illinois Masonic Medical Center Joyful Smiles Pediatric Dentistry NOT COVERED Illinois Masonic Medical Center Julianne Carrara, DMD, MS, LTD NOT COVERED Illinois Masonic Medical Center Julie Wehner, MD SC NOT COVERED Illinois Masonic Medical Center Just Kids Dental, PC NOT COVERED Illinois Masonic Medical Center Kachru, Anil -MD NOT COVERED Illinois Masonic Medical Center Kahn, Evan -MD COVERED UNDER FAP Illinois Masonic Medical Center Kahn, Geralynn -MD NOT COVERED Illinois Masonic Medical Center Kailas, Sujatha -MD NOT COVERED Illinois Masonic Medical Center Kalakota, Nandini -MD COVERED UNDER FAP Illinois Masonic Medical Center Kalb, Angela -DDS NOT COVERED Illinois Masonic Medical Center Kaleta, Jennifer -DPM NOT COVERED Illinois Masonic Medical Center Kaminski, Jan -MD COVERED UNDER FAP Illinois Masonic Medical Center Kap J. No, MD, SC NOT COVERED Illinois Masonic Medical Center Kaplan, Brian -MD NOT COVERED Illinois Masonic Medical Center Kapur, Sashil -MD COVERED UNDER FAP Illinois Masonic Medical Center Karaman, Tarek -MD COVERED UNDER FAP Illinois Masonic Medical Center Karas, Vasili -MD NOT COVERED Illinois Masonic Medical Center Kasprowicz, Sarah -MD NOT COVERED Illinois Masonic Medical Center Katilius, Marius -MD NOT COVERED Illinois Masonic Medical Center Katsnelson, Alexander -DMD NOT COVERED Illinois Masonic Medical Center Kauffman, Ashley -DDS NOT COVERED Illinois Masonic Medical Center Kaufman, Lawrence -MD NOT COVERED Illinois Masonic Medical Center Kaz, Ari -MD NOT COVERED Illinois Masonic Medical Center Keldahl, Mark -MD COVERED UNDER FAP Illinois Masonic Medical Center Kenar, Erin -NP COVERED UNDER FAP Illinois Masonic Medical Center Keshavarzi, Sahel -MD NOT COVERED Illinois Masonic Medical Center Kesslering, Christy -MD NOT COVERED Illinois Masonic Medical Center Khan, Atika -MD NOT COVERED Illinois Masonic Medical Center Khan, Farah -MD NOT COVERED Illinois Masonic Medical Center Khare, Rahul -MD NOT COVERED

Page 113 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Khorasani, Arjang -MD NOT COVERED Illinois Masonic Medical Center Kidney & Hypertension Consultants, SC NOT COVERED Illinois Masonic Medical Center Kidz Health NOT COVERED Illinois Masonic Medical Center Kiely, Michael -DPM NOT COVERED Illinois Masonic Medical Center Kiely, Thomas -DPM NOT COVERED Illinois Masonic Medical Center King, Ashley -PA NOT COVERED Illinois Masonic Medical Center Kingsley, Samuel -MD COVERED UNDER FAP Illinois Masonic Medical Center Kirshenbaum, Myron -MD NOT COVERED Illinois Masonic Medical Center Klarquist, Thomas -MD COVERED UNDER FAP Illinois Masonic Medical Center Klein, Lloyd -MD NOT COVERED Illinois Masonic Medical Center Kleszcz, Kathy -NP COVERED UNDER FAP Illinois Masonic Medical Center Klingbeil, Lindsey -MD NOT COVERED Illinois Masonic Medical Center Knapp Medical Center LTD NOT COVERED Illinois Masonic Medical Center Knapp, Keith -MD NOT COVERED Illinois Masonic Medical Center Koduri, Priyadarshini -MD COVERED UNDER FAP Illinois Masonic Medical Center Kohn, Norman -MD NOT COVERED Illinois Masonic Medical Center Konicek, Frank -MD NOT COVERED Illinois Masonic Medical Center Koo, Nathaniel -MD NOT COVERED Illinois Masonic Medical Center Koopman, Steven -MD NOT COVERED Illinois Masonic Medical Center Korah, Veena -MD COVERED UNDER FAP Illinois Masonic Medical Center Korey, Michael -MD NOT COVERED Illinois Masonic Medical Center Kotis, John -DO NOT COVERED Illinois Masonic Medical Center Kotz-Joob, Nanette -NP COVERED UNDER FAP Illinois Masonic Medical Center Kowalski, Danuta -MD COVERED UNDER FAP Illinois Masonic Medical Center Kozlowski, Catherine -PA NOT COVERED Illinois Masonic Medical Center Krasaeath, Rebecca -MD COVERED UNDER FAP Illinois Masonic Medical Center Krol, Kornelia -MD NOT COVERED Illinois Masonic Medical Center Kromash, Kenneth -DDS NOT COVERED Illinois Masonic Medical Center Krunic, Aleksandar -MD NOT COVERED Illinois Masonic Medical Center Kumar, Surender -MD NOT COVERED Illinois Masonic Medical Center Kupkowski, Michael -MD NOT COVERED Illinois Masonic Medical Center Kushner, Marla -DO NOT COVERED Illinois Masonic Medical Center Lacek, Aneta -DDS NOT COVERED Illinois Masonic Medical Center Lai, Ying -MD COVERED UNDER FAP Illinois Masonic Medical Center Lake Shore Medical Associates, Ltd NOT COVERED Illinois Masonic Medical Center Lakeshore Eye Physicians NOT COVERED Illinois Masonic Medical Center Lakeshore Infectious Disease Associates NOT COVERED Illinois Masonic Medical Center Lakeshore Medical Consultants NOT COVERED Illinois Masonic Medical Center Lakeview Immediate Care, LLC NOT COVERED Illinois Masonic Medical Center Lakeview Plastic Surgery, LLC NOT COVERED Illinois Masonic Medical Center Lakeview Pulmonary & Sleep Consultants, Ltd. NOT COVERED Illinois Masonic Medical Center LaMaster, Zachary -DO COVERED UNDER FAP Illinois Masonic Medical Center Lane, Lynda -MD NOT COVERED Illinois Masonic Medical Center Langiewicz, Janusz -MD NOT COVERED Illinois Masonic Medical Center Lara, Gilka -MD NOT COVERED Illinois Masonic Medical Center Latall, John -MD NOT COVERED Illinois Masonic Medical Center Lawrence H. Iteld, MD, LLC NOT COVERED Illinois Masonic Medical Center Lawrence M. Kaufman, MD PhD SC NOT COVERED Illinois Masonic Medical Center Lee, David -MD COVERED UNDER FAP Illinois Masonic Medical Center Lee, Patricia -MD COVERED UNDER FAP Illinois Masonic Medical Center Lee, Sue -MD COVERED UNDER FAP Illinois Masonic Medical Center Lehrer, Nelson -MD NOT COVERED Illinois Masonic Medical Center Leischner, Mark -MD NOT COVERED Illinois Masonic Medical Center Lengyel, Ulrike -MD NOT COVERED Illinois Masonic Medical Center Leong, King -MD COVERED UNDER FAP Illinois Masonic Medical Center Lepkowski, Joanna -MD COVERED UNDER FAP Illinois Masonic Medical Center Levi, Gabriel -MD NOT COVERED Illinois Masonic Medical Center Levi, Roberto -MD NOT COVERED

Page 114 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Levine Gynecology of Chicago, SC NOT COVERED Illinois Masonic Medical Center Levine, Brett -MD NOT COVERED Illinois Masonic Medical Center Levine, Elliot -MD NOT COVERED Illinois Masonic Medical Center Levinson, Dennis -MD NOT COVERED Illinois Masonic Medical Center Levitan, Denise -MD COVERED UNDER FAP Illinois Masonic Medical Center Levy, Adam -MD NOT COVERED Illinois Masonic Medical Center Lewicky, Andrew -MD NOT COVERED Illinois Masonic Medical Center Lewitt, George -MD NOT COVERED Illinois Masonic Medical Center Leyland, John -MD NOT COVERED Illinois Masonic Medical Center Liao, Thomas -MD NOT COVERED Illinois Masonic Medical Center Lincoln Medical Center, PC NOT COVERED Illinois Masonic Medical Center Lincoln Park Family Physicians SC NOT COVERED Illinois Masonic Medical Center Lincoln Park OB/GYN SC NOT COVERED Illinois Masonic Medical Center Lincoln Pediatric Center, PC NOT COVERED Illinois Masonic Medical Center Lincona Medical Associates, LTD. NOT COVERED Illinois Masonic Medical Center Lindeman, Lawrence -MD NOT COVERED Illinois Masonic Medical Center Lio, Peter -MD NOT COVERED Illinois Masonic Medical Center Lipkin, Lori -DPM NOT COVERED Illinois Masonic Medical Center Lipov, Eugene -MD NOT COVERED Illinois Masonic Medical Center Lisowski, Jeffrey -MD NOT COVERED Illinois Masonic Medical Center Litoff, Daniel -MD COVERED UNDER FAP Illinois Masonic Medical Center Lobe, Thom -MD NOT COVERED Illinois Masonic Medical Center Lopez, Osvaldo -MD NOT COVERED Illinois Masonic Medical Center Lubeck, David -MD NOT COVERED Illinois Masonic Medical Center Lue-Lai, Jessica -MD COVERED UNDER FAP Illinois Masonic Medical Center Luka, Betsy -MD NOT COVERED Illinois Masonic Medical Center Luke, Maja -CNM COVERED UNDER FAP Illinois Masonic Medical Center Luria, Jamie -DDS NOT COVERED Illinois Masonic Medical Center Lutfi, Rami -MD NOT COVERED Illinois Masonic Medical Center M Y Pediatrics NOT COVERED Illinois Masonic Medical Center M. Chavez, MD, SC NOT COVERED Illinois Masonic Medical Center MacCumber, Mathew -MD NOT COVERED Illinois Masonic Medical Center Machabanski, Hector -PhD NOT COVERED Illinois Masonic Medical Center Machado, Ricardo -MD COVERED UNDER FAP Illinois Masonic Medical Center Madanes, Amos -MD NOT COVERED Illinois Masonic Medical Center Mael, David -MD COVERED UNDER FAP Illinois Masonic Medical Center Maggio, Vijay -MD NOT COVERED Illinois Masonic Medical Center Mahajan, Dheeraj -MD NOT COVERED Illinois Masonic Medical Center Maker Surgical, SC NOT COVERED Illinois Masonic Medical Center Maker, Ajay -MD COVERED UNDER FAP Illinois Masonic Medical Center Maker, Vijay -MD NOT COVERED Illinois Masonic Medical Center Malani, Brijmohan -MD COVERED UNDER FAP Illinois Masonic Medical Center Maldonado, Janette -MD NOT COVERED Illinois Masonic Medical Center Malecka, Katarzyna -MD NOT COVERED Illinois Masonic Medical Center Malecki, Zbigniew -MD NOT COVERED Illinois Masonic Medical Center Maletich, James -MD COVERED UNDER FAP Illinois Masonic Medical Center Mandrea, Eugene -MD NOT COVERED Illinois Masonic Medical Center Mandujano, Alicia -MD COVERED UNDER FAP Illinois Masonic Medical Center Manjeet S. Chawla MD Ltd. NOT COVERED Illinois Masonic Medical Center Manogura, Anita -MD NOT COVERED Illinois Masonic Medical Center Manshio, Dennis -MD NOT COVERED Illinois Masonic Medical Center Mansury, Nasiruddin -MD NOT COVERED Illinois Masonic Medical Center Marc D. Bear, MD, LLC NOT COVERED Illinois Masonic Medical Center Margaret Dauphin Van Dyk, MD, SC NOT COVERED Illinois Masonic Medical Center Margaret Park, MD, SC NOT COVERED Illinois Masonic Medical Center Maria Riza Bautista, MD SC NOT COVERED Illinois Masonic Medical Center Mark Allan Berk, MD, SC NOT COVERED Illinois Masonic Medical Center Mark, My -MD COVERED UNDER FAP

Page 115 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Marks, Leah -PhD NOT COVERED Illinois Masonic Medical Center Markul, Eddie -MD COVERED UNDER FAP Illinois Masonic Medical Center Marla D. Kushner, DO, S.C. NOT COVERED Illinois Masonic Medical Center Marruenda, Francisco -MD NOT COVERED Illinois Masonic Medical Center Martin J. Greenberg, MD, SC NOT COVERED Illinois Masonic Medical Center Martin, Amy -DDS COVERED UNDER FAP Illinois Masonic Medical Center Martin, Robert -DO COVERED UNDER FAP Illinois Masonic Medical Center Martinez Diaz, Gabriel -MD NOT COVERED Illinois Masonic Medical Center Martino, Julie -MD COVERED UNDER FAP Illinois Masonic Medical Center Marwah, Birinder -MD NOT COVERED Illinois Masonic Medical Center Masini, Linda -NP NOT COVERED Illinois Masonic Medical Center Maternal Fetal Consultants, SC NOT COVERED Illinois Masonic Medical Center Mathew, Niby -MD NOT COVERED Illinois Masonic Medical Center Mauer, Ann -MD COVERED UNDER FAP Illinois Masonic Medical Center Maurice, Joanna -MD COVERED UNDER FAP Illinois Masonic Medical Center Mc Donaugh, Darcie -NP NOT COVERED Illinois Masonic Medical Center McDonald, Yaa -DMD NOT COVERED Illinois Masonic Medical Center McElwee, Angela -MD COVERED UNDER FAP Illinois Masonic Medical Center McGowan, Shanele -MD NOT COVERED Illinois Masonic Medical Center McGuinn, Marcella -MD NOT COVERED Illinois Masonic Medical Center McLaurin, Leslie -NP COVERED UNDER FAP Illinois Masonic Medical Center Meadows, Matthew -MD NOT COVERED Illinois Masonic Medical Center Med Spring Care NOT COVERED Illinois Masonic Medical Center Medical Dermatology Associates of Chicago, LTD NOT COVERED Illinois Masonic Medical Center Medical Services, RIC NOT COVERED Illinois Masonic Medical Center Medplus, SC NOT COVERED Illinois Masonic Medical Center Mellett, Michele -MD NOT COVERED Illinois Masonic Medical Center Mendoza, Carrie -MD COVERED UNDER FAP Illinois Masonic Medical Center Mendoza, Ricardo -DDS NOT COVERED Illinois Masonic Medical Center Merrick, Daniel -MD NOT COVERED Illinois Masonic Medical Center Metro Chest Professionals, LLC NOT COVERED Illinois Masonic Medical Center Metro Chicago Surgical Oncology LLC NOT COVERED Illinois Masonic Medical Center Metro Chicago Surgical Oncology, LLC NOT COVERED Illinois Masonic Medical Center Metro Infectious Disease Consultants, LLC NOT COVERED Illinois Masonic Medical Center Michigan Avenue ENT PC NOT COVERED Illinois Masonic Medical Center Michigan Avenue Immediate Care, SC NOT COVERED Illinois Masonic Medical Center Michigan Avenue Primary Care NOT COVERED Illinois Masonic Medical Center Michigan Avenue Primary Care, SC NOT COVERED Illinois Masonic Medical Center Mid-North Gastroenterologists, Ltd NOT COVERED Illinois Masonic Medical Center Midtown Foot Health Centers NOT COVERED Illinois Masonic Medical Center Midwest Diagnostic Pathology, SC NOT COVERED Illinois Masonic Medical Center Midwest Fertility Center NOT COVERED Illinois Masonic Medical Center Midwest Orthopaedics at Rush, LLC NOT COVERED Illinois Masonic Medical Center Midwest Perinatal Consultants, SC NOT COVERED Illinois Masonic Medical Center Midwest Pulmonary Critical Care & Sleep Consultants, LLC NOT COVERED Illinois Masonic Medical Center Millennium Park Medical Associates SC NOT COVERED Illinois Masonic Medical Center Milner, John -MD NOT COVERED Illinois Masonic Medical Center Miranzadeh, B. -DO NOT COVERED Illinois Masonic Medical Center Mishra, Ravi -MD NOT COVERED Illinois Masonic Medical Center MISN Medical Office NOT COVERED Illinois Masonic Medical Center Mizuno, Eric -MD NOT COVERED Illinois Masonic Medical Center Moaddab, Golbarg -MD COVERED UNDER FAP Illinois Masonic Medical Center Mohammed, Abdul Mubeen -MD NOT COVERED Illinois Masonic Medical Center Moore, David -DO NOT COVERED Illinois Masonic Medical Center Mora, Juanita -MD NOT COVERED Illinois Masonic Medical Center Morales, Cesar -MD NOT COVERED Illinois Masonic Medical Center Moran, Megan -PA NOT COVERED Illinois Masonic Medical Center Morin, Christopher -DDS NOT COVERED

Page 116 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Morse, Brian -MD NOT COVERED Illinois Masonic Medical Center Moskal, Anna -MD NOT COVERED Illinois Masonic Medical Center Mossman, Rosemarie -NP COVERED UNDER FAP Illinois Masonic Medical Center Mount Sinai Hospital NOT COVERED Illinois Masonic Medical Center Mubarak, Tariq -MD NOT COVERED Illinois Masonic Medical Center Mukesh C. Jain, MD, SC NOT COVERED Illinois Masonic Medical Center Mukherjee, Ashish -MD NOT COVERED Illinois Masonic Medical Center Mulford, Laura -PhD NOT COVERED Illinois Masonic Medical Center Muni, Haresh -MD NOT COVERED Illinois Masonic Medical Center Munsayac, Joseph -MD COVERED UNDER FAP Illinois Masonic Medical Center Murauski, Daniel -DO NOT COVERED Illinois Masonic Medical Center Muro, Kenji -MD COVERED UNDER FAP Illinois Masonic Medical Center Murphy, Brandon -DDS NOT COVERED Illinois Masonic Medical Center Murphy, James -MD NOT COVERED Illinois Masonic Medical Center Murthy, Amishi -MD NOT COVERED Illinois Masonic Medical Center Myers, William -MD NOT COVERED Illinois Masonic Medical Center Nadira AliKhan MD NOT COVERED Illinois Masonic Medical Center Nadiri, Mojtaba -MD NOT COVERED Illinois Masonic Medical Center Najibi, Faranak -MD COVERED UNDER FAP Illinois Masonic Medical Center Nam, Ellis -MD NOT COVERED Illinois Masonic Medical Center Nanda, Atul -MD NOT COVERED Illinois Masonic Medical Center Narula, Sapna -DO NOT COVERED Illinois Masonic Medical Center Nasilowski, Paul -MD NOT COVERED Illinois Masonic Medical Center Natarajan, Aparna -MD NOT COVERED Illinois Masonic Medical Center Natarajan, Balakrishnan -MD NOT COVERED Illinois Masonic Medical Center Nava A. Segall, MD, SC NOT COVERED Illinois Masonic Medical Center Neckrysh, Sergey -MD NOT COVERED Illinois Masonic Medical Center Neocare Health, Inc NOT COVERED Illinois Masonic Medical Center Neurosciences, Ltd NOT COVERED Illinois Masonic Medical Center Newhall, Kelly -MD NOT COVERED Illinois Masonic Medical Center Nguyen, Duyhuu -MD COVERED UNDER FAP Illinois Masonic Medical Center Nguyen, Linda -DO COVERED UNDER FAP Illinois Masonic Medical Center Nicol, Lara -MD COVERED UNDER FAP Illinois Masonic Medical Center NIMA Skin Institute NOT COVERED Illinois Masonic Medical Center No, Kap -MD NOT COVERED Illinois Masonic Medical Center Noparstak, David -MD COVERED UNDER FAP Illinois Masonic Medical Center Norman Weinzweig, MD, F.A.C.S., SC NOT COVERED Illinois Masonic Medical Center North Park Pediatrics, SC NOT COVERED Illinois Masonic Medical Center Northshore Healthpartners NOT COVERED Illinois Masonic Medical Center Northside Neonatal and Infant Care, SC NOT COVERED Illinois Masonic Medical Center Northwest Chicago Primary Care, SC NOT COVERED Illinois Masonic Medical Center Northwest Medical Associates of Chicago, Inc NOT COVERED Illinois Masonic Medical Center Northwestern Specialists in Plastic Surgery, S.C. NOT COVERED Illinois Masonic Medical Center Noven, Robert -MD NOT COVERED Illinois Masonic Medical Center Nuvasive Clinical Services NOT COVERED Illinois Masonic Medical Center Nye, Matthew -DDS NOT COVERED Illinois Masonic Medical Center Oak Street Health Physicians Group P.C. NOT COVERED Illinois Masonic Medical Center Ochs, Todd -MD NOT COVERED Illinois Masonic Medical Center Ojea, Fernando -MD NOT COVERED Illinois Masonic Medical Center Olivera, Arturo -MD NOT COVERED Illinois Masonic Medical Center Oliveros, Omar -MD NOT COVERED Illinois Masonic Medical Center Olivo, Jacqueline -MD NOT COVERED Illinois Masonic Medical Center OMNI Healthcare NOT COVERED Illinois Masonic Medical Center One Medical with Advocate COVERED UNDER FAP Illinois Masonic Medical Center Onispir-Kafali, Sue -MD NOT COVERED Illinois Masonic Medical Center Ontrop, Nathan -MD COVERED UNDER FAP Illinois Masonic Medical Center Oppenheim, Joanne -DDS NOT COVERED Illinois Masonic Medical Center Optimum Kidney Care, SC NOT COVERED

Page 117 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Oral & Maxillofacial Surgery of Chicago, PC NOT COVERED Illinois Masonic Medical Center Oral and Maxilloficial Head and Neck Associates LLC NOT COVERED Illinois Masonic Medical Center Orozco, Daniel -MD NOT COVERED Illinois Masonic Medical Center Ortega, Pilar -MD COVERED UNDER FAP Illinois Masonic Medical Center Orthopaedic & Rehabilitation Centers, SC NOT COVERED Illinois Masonic Medical Center Osborne, Lori -PhD NOT COVERED Illinois Masonic Medical Center Osipova, Maria -MD NOT COVERED Illinois Masonic Medical Center Osolkowski, Ewa -MD NOT COVERED Illinois Masonic Medical Center Osolkowski, Tomasz -MD NOT COVERED Illinois Masonic Medical Center Otero Medical Center SC NOT COVERED Illinois Masonic Medical Center Otero, William -MD NOT COVERED Illinois Masonic Medical Center Otolaryngology Associates NOT COVERED Illinois Masonic Medical Center Pachucki, Constance -MD NOT COVERED Illinois Masonic Medical Center Pagani, Marco -MD NOT COVERED Illinois Masonic Medical Center Palacio, Grace -PsyD NOT COVERED Illinois Masonic Medical Center Palmer, Henry -MD COVERED UNDER FAP Illinois Masonic Medical Center Palmisano, Erica -MD NOT COVERED Illinois Masonic Medical Center Palu, Maria -CRNA NOT COVERED Illinois Masonic Medical Center Pant, Mamta -MD NOT COVERED Illinois Masonic Medical Center Pantoja, Rachel -MD NOT COVERED Illinois Masonic Medical Center Panzer, Jeffrey -MD NOT COVERED Illinois Masonic Medical Center Park City Dental NOT COVERED Illinois Masonic Medical Center Park West Family Medicine NOT COVERED Illinois Masonic Medical Center Park West Family Physicians, SC NOT COVERED Illinois Masonic Medical Center Park, Margaret -MD NOT COVERED Illinois Masonic Medical Center Pasiewicz, Richard -DDS NOT COVERED Illinois Masonic Medical Center Pasiewicz, Ryan -DMD NOT COVERED Illinois Masonic Medical Center Patel, Parav -MD COVERED UNDER FAP Illinois Masonic Medical Center Patel, Phalguni -DDS NOT COVERED Illinois Masonic Medical Center Patel, Prem -MD NOT COVERED Illinois Masonic Medical Center Patel, Rajiv -MD NOT COVERED Illinois Masonic Medical Center Patel, Toral -MD NOT COVERED Illinois Masonic Medical Center Patino, Jairo -DDS NOT COVERED Illinois Masonic Medical Center Patricio, Myrna -MD NOT COVERED Illinois Masonic Medical Center Pawar, Varun -MD NOT COVERED Illinois Masonic Medical Center PCC Community Wellness Center NOT COVERED Illinois Masonic Medical Center Pearlman, Robert -MD NOT COVERED Illinois Masonic Medical Center Pediatric Dentistry of Northbrook NOT COVERED Illinois Masonic Medical Center Pediatric Dentistry Specialists NOT COVERED Illinois Masonic Medical Center Pediatric Developmental Center NOT COVERED Illinois Masonic Medical Center Pediatrics Dental Health Associates NOT COVERED Illinois Masonic Medical Center Pelino, Colleen -DO COVERED UNDER FAP Illinois Masonic Medical Center Perez-Tamayo, Ruheri -MD NOT COVERED Illinois Masonic Medical Center Performance Podiatry Partners NOT COVERED Illinois Masonic Medical Center Peters, Neill -MD NOT COVERED Illinois Masonic Medical Center Phoenix Medical Associates NOT COVERED Illinois Masonic Medical Center Physicians Immediate Care North Chicago, LLC NOT COVERED Illinois Masonic Medical Center Pietruczuk, Margaret -NP NOT COVERED Illinois Masonic Medical Center Pietz, Mark -DPM NOT COVERED Illinois Masonic Medical Center Pilyuyko, Polina -MD COVERED UNDER FAP Illinois Masonic Medical Center Piotrowski, Robert -MD COVERED UNDER FAP Illinois Masonic Medical Center Pitzele, Henry -MD COVERED UNDER FAP Illinois Masonic Medical Center Plastic and Reconstructive Surgery Center, SC NOT COVERED Illinois Masonic Medical Center Plonka, Catherine -MD COVERED UNDER FAP Illinois Masonic Medical Center Pollack, Libby -PA NOT COVERED Illinois Masonic Medical Center Popper, Fran -MD COVERED UNDER FAP Illinois Masonic Medical Center Port, Arielle -MD COVERED UNDER FAP Illinois Masonic Medical Center Potts, Steven -DO COVERED UNDER FAP

Page 118 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Poulos, Harry -MD NOT COVERED Illinois Masonic Medical Center Prabhakar, Naveen -MD NOT COVERED Illinois Masonic Medical Center Premier Allergy Asthma and Sinus, SC NOT COVERED Illinois Masonic Medical Center Preodor, Michael -MD NOT COVERED Illinois Masonic Medical Center Prime Medical Associates, Ltd NOT COVERED Illinois Masonic Medical Center Pritikin, Jordan -MD NOT COVERED Illinois Masonic Medical Center Prodromos, Chadwick -MD NOT COVERED Illinois Masonic Medical Center Pudlo, Joseph -MD NOT COVERED Illinois Masonic Medical Center Pulido, Maria -MD COVERED UNDER FAP Illinois Masonic Medical Center Pulver, Tanya -MD COVERED UNDER FAP Illinois Masonic Medical Center Qaisi, Mohammed -MD NOT COVERED Illinois Masonic Medical Center Quinlin, Kate -DMD NOT COVERED Illinois Masonic Medical Center Quinn, Carissa -CNS NOT COVERED Illinois Masonic Medical Center Quinteros, Francisco -MD NOT COVERED Illinois Masonic Medical Center R & W Medical Center NOT COVERED Illinois Masonic Medical Center Rada Ivanov, MD SC NOT COVERED Illinois Masonic Medical Center Radiation Oncology Consultants Ltd NOT COVERED Illinois Masonic Medical Center Ramirez, Esmilkrys -MD NOT COVERED Illinois Masonic Medical Center Ramirez-Lopez, Nestor -MD NOT COVERED Illinois Masonic Medical Center Rao, Madhav -MD NOT COVERED Illinois Masonic Medical Center Rao, Sanjay -MD NOT COVERED Illinois Masonic Medical Center Raskovich, Olivera -MD COVERED UNDER FAP Illinois Masonic Medical Center Rauber, Kendra -DO COVERED UNDER FAP Illinois Masonic Medical Center Ravenswood Pediatrics NOT COVERED Illinois Masonic Medical Center Ravi Badlani, MD SC NOT COVERED Illinois Masonic Medical Center Redjai Moshai, Asadoliah -MD NOT COVERED Illinois Masonic Medical Center Redondo, Gloria -MD COVERED UNDER FAP Illinois Masonic Medical Center Rehabilitation Institute of Chicago NOT COVERED Illinois Masonic Medical Center Reilly, Charles -DPM NOT COVERED Illinois Masonic Medical Center Reilly, Supna -DPM NOT COVERED Illinois Masonic Medical Center Reinglass, Howard -MD NOT COVERED Illinois Masonic Medical Center Reis, Brady -MD COVERED UNDER FAP Illinois Masonic Medical Center Remski, Kimberly -MD COVERED UNDER FAP Illinois Masonic Medical Center Respiratory Critical Care and Sleep Specialists, LLC NOT COVERED Illinois Masonic Medical Center Ries, Joshua -DMD NOT COVERED Illinois Masonic Medical Center Ries, Michael -MD NOT COVERED Illinois Masonic Medical Center Ringel, Paul -MD COVERED UNDER FAP Illinois Masonic Medical Center Rios, Ricardo -MD NOT COVERED Illinois Masonic Medical Center Rivera, Adriana -CNM COVERED UNDER FAP Illinois Masonic Medical Center Riverside Neurology Specialists NOT COVERED Illinois Masonic Medical Center Roberts, Leigh -MD NOT COVERED Illinois Masonic Medical Center Roberts, Nancy -DO COVERED UNDER FAP Illinois Masonic Medical Center Rogers Park Family Medicine NOT COVERED Illinois Masonic Medical Center Rogers, Gina -MD NOT COVERED Illinois Masonic Medical Center Rojas, David -MD COVERED UNDER FAP Illinois Masonic Medical Center Romano, Andrea -MD COVERED UNDER FAP Illinois Masonic Medical Center Roscoe Village Family Medicine NOT COVERED Illinois Masonic Medical Center Rose, Clement -MD NOT COVERED Illinois Masonic Medical Center Rosenberg, Neil -MD NOT COVERED Illinois Masonic Medical Center Rosenthal, Marc -DDS NOT COVERED Illinois Masonic Medical Center Ross, Michael -DO COVERED UNDER FAP Illinois Masonic Medical Center Rossato, Jennifer -DO COVERED UNDER FAP Illinois Masonic Medical Center Rotskoff, Brian -MD NOT COVERED Illinois Masonic Medical Center Rowley, Guy -MD COVERED UNDER FAP Illinois Masonic Medical Center Rubinstein, Scott -MD NOT COVERED Illinois Masonic Medical Center Rudnick, Lawrence -MD NOT COVERED Illinois Masonic Medical Center Rudnicki, Marek -MD NOT COVERED Illinois Masonic Medical Center Ruiz, JoAnn -MD NOT COVERED

Page 119 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Rumilla, Alfredo -MD NOT COVERED Illinois Masonic Medical Center Runge, Kevin -PA NOT COVERED Illinois Masonic Medical Center Runke, James -MD NOT COVERED Illinois Masonic Medical Center Rusinak, Jacqueline -MD COVERED UNDER FAP Illinois Masonic Medical Center S. T. Surgical Consultants NOT COVERED Illinois Masonic Medical Center Saad, Peguy -MD NOT COVERED Illinois Masonic Medical Center Saatee, Simin -MD NOT COVERED Illinois Masonic Medical Center Saeed Medical Group, Ltd NOT COVERED Illinois Masonic Medical Center Saeed, Asim -MD NOT COVERED Illinois Masonic Medical Center Saeed, Omar -MD NOT COVERED Illinois Masonic Medical Center Sage Medical Group, SC NOT COVERED Illinois Masonic Medical Center Sahni, Jasjot -DDS NOT COVERED Illinois Masonic Medical Center Saker, Mark -MD NOT COVERED Illinois Masonic Medical Center Salcedo, Hector -MD NOT COVERED Illinois Masonic Medical Center Salem, Mohamed -MD NOT COVERED Illinois Masonic Medical Center Salgado, Hilda -PA NOT COVERED Illinois Masonic Medical Center Samee, Mohammed -MD COVERED UNDER FAP Illinois Masonic Medical Center Samuels, Joseph -PA NOT COVERED Illinois Masonic Medical Center Sanchez, Francisco -MD NOT COVERED Illinois Masonic Medical Center Sanchez-Palacios, Carla -MD NOT COVERED Illinois Masonic Medical Center Sanders, Laura -MD NOT COVERED Illinois Masonic Medical Center Sanders, William -MD NOT COVERED Illinois Masonic Medical Center Sanjay S. Gill M.D. P.C. NOT COVERED Illinois Masonic Medical Center Santiago-Gonzalez, Juan -MD COVERED UNDER FAP Illinois Masonic Medical Center Saper, David -MD NOT COVERED Illinois Masonic Medical Center Sarah Alderman, MD, SC NOT COVERED Illinois Masonic Medical Center Savard, Andelina -NP NOT COVERED Illinois Masonic Medical Center Scarpulla, Kathleen -MD NOT COVERED Illinois Masonic Medical Center Schierle, Clark -MD NOT COVERED Illinois Masonic Medical Center Schiller, Alissa -PA COVERED UNDER FAP Illinois Masonic Medical Center Schlanser, Victoria -DO NOT COVERED Illinois Masonic Medical Center Schlatter, Betty -CNM COVERED UNDER FAP Illinois Masonic Medical Center Schmerman, Michael -DDS NOT COVERED Illinois Masonic Medical Center Schueneman, Gina -DO COVERED UNDER FAP Illinois Masonic Medical Center Schuman, Cynthia -MD COVERED UNDER FAP Illinois Masonic Medical Center Seferovic, Kijana -MD NOT COVERED Illinois Masonic Medical Center Segall, Nava -MD NOT COVERED Illinois Masonic Medical Center Shah, Ali -MD COVERED UNDER FAP Illinois Masonic Medical Center Shah, Anil -MD NOT COVERED Illinois Masonic Medical Center Shah, Ashok -MD NOT COVERED Illinois Masonic Medical Center Shah, Bharat -MD NOT COVERED Illinois Masonic Medical Center Shah, Biraj -DDS NOT COVERED Illinois Masonic Medical Center Shah, Niranjana -MD NOT COVERED Illinois Masonic Medical Center Shah, Parinda -MD NOT COVERED Illinois Masonic Medical Center Shah, Saurabh -MD COVERED UNDER FAP Illinois Masonic Medical Center Shah, Shefali -MD NOT COVERED Illinois Masonic Medical Center Shah-Khan, Farheen -MD NOT COVERED Illinois Masonic Medical Center Shalini Chawla, MD, LLC NOT COVERED Illinois Masonic Medical Center Shapiro, David -MD NOT COVERED Illinois Masonic Medical Center Shapiro, Sarah -MD COVERED UNDER FAP Illinois Masonic Medical Center Sharma, Meera -MD COVERED UNDER FAP Illinois Masonic Medical Center Sharma, Monica -DO NOT COVERED Illinois Masonic Medical Center Sharma, Nitin -MD NOT COVERED Illinois Masonic Medical Center Shashoua, Abraham -MD COVERED UNDER FAP Illinois Masonic Medical Center Shen, Jason -MD NOT COVERED Illinois Masonic Medical Center Sheridan Medical Center NOT COVERED Illinois Masonic Medical Center Shifa Nephrology Associates LLC NOT COVERED Illinois Masonic Medical Center Shinde, Abhijit -MD NOT COVERED

Page 120 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Shliapochnik, Silvana -MD NOT COVERED Illinois Masonic Medical Center Shore, Alison -MD NOT COVERED Illinois Masonic Medical Center Shore, David -MD NOT COVERED Illinois Masonic Medical Center Shuber, Heider -MD COVERED UNDER FAP Illinois Masonic Medical Center Siddharth Tambar, MD NOT COVERED Illinois Masonic Medical Center Siddiqi, Ayesha -MD NOT COVERED Illinois Masonic Medical Center Siddiqui, Mumtaz -MD NOT COVERED Illinois Masonic Medical Center Siddiqui, Tahseen -MD NOT COVERED Illinois Masonic Medical Center Sidney Hillman Health Centre NOT COVERED Illinois Masonic Medical Center Simonelli, Jon -MD COVERED UNDER FAP Illinois Masonic Medical Center Sims, Thomas -MD NOT COVERED Illinois Masonic Medical Center Singh, Deepti -MD COVERED UNDER FAP Illinois Masonic Medical Center Singh, Inder -MD NOT COVERED Illinois Masonic Medical Center Sinha, Sanjay -MD NOT COVERED Illinois Masonic Medical Center Sinno, Sammy -MD NOT COVERED Illinois Masonic Medical Center Sirinian, Erenee -DO NOT COVERED Illinois Masonic Medical Center Skomurski, James -MD COVERED UNDER FAP Illinois Masonic Medical Center Slack, Charles -MD NOT COVERED Illinois Masonic Medical Center Smiles Pediatric Dentistry NOT COVERED Illinois Masonic Medical Center Smith, Patrick -DMD NOT COVERED Illinois Masonic Medical Center Snyder, Stacy -PA NOT COVERED Illinois Masonic Medical Center Sodini, Irma -MD COVERED UNDER FAP Illinois Masonic Medical Center Sofia Garcia-Buder, MD, SC NOT COVERED Illinois Masonic Medical Center Soni, Mona -MD COVERED UNDER FAP Illinois Masonic Medical Center Southwest Nephrology Associates, SC NOT COVERED Illinois Masonic Medical Center Spatz, Mital -DDS NOT COVERED Illinois Masonic Medical Center Spector, Coleman -DDS NOT COVERED Illinois Masonic Medical Center Spindel, David -MD NOT COVERED Illinois Masonic Medical Center Springer, David -MD NOT COVERED Illinois Masonic Medical Center Stake, Jonathan -MD NOT COVERED Illinois Masonic Medical Center Stallings, Leonard -MD COVERED UNDER FAP Illinois Masonic Medical Center Stancu, Mihaela -MD NOT COVERED Illinois Masonic Medical Center Stanford, Kimberly -CRNA NOT COVERED Illinois Masonic Medical Center Stankiewicz, Joanna -MD NOT COVERED Illinois Masonic Medical Center Stanuch, Robert -DDS NOT COVERED Illinois Masonic Medical Center Stapleton, Elizabeth -NP COVERED UNDER FAP Illinois Masonic Medical Center Starr, Jessica -CRNA NOT COVERED Illinois Masonic Medical Center Starr, Rosally -MD COVERED UNDER FAP Illinois Masonic Medical Center Steiner, Stephen -MD NOT COVERED Illinois Masonic Medical Center Stephenson, Mara -DO NOT COVERED Illinois Masonic Medical Center Stephenson, Richard -MD NOT COVERED Illinois Masonic Medical Center Stevens, Rom -MD NOT COVERED Illinois Masonic Medical Center Stock, Tyson -DO NOT COVERED Illinois Masonic Medical Center Striedinger Medical Group NOT COVERED Illinois Masonic Medical Center Striedinger, Fernando -MD NOT COVERED Illinois Masonic Medical Center Stryker, John -NP NOT COVERED Illinois Masonic Medical Center Suburban Eye Specialists NOT COVERED Illinois Masonic Medical Center Sullivan, James -MD NOT COVERED Illinois Masonic Medical Center Summers, Barry -MD NOT COVERED Illinois Masonic Medical Center Summit Digestive and Liver Disease Specialists NOT COVERED Illinois Masonic Medical Center Sundaresan, Gayathri -MD NOT COVERED Illinois Masonic Medical Center Surati, Natverlal -MD NOT COVERED Illinois Masonic Medical Center Surucci, Arminio -MD NOT COVERED Illinois Masonic Medical Center Surucci, Narcisa -MD NOT COVERED Illinois Masonic Medical Center Sy, Harold -MD NOT COVERED Illinois Masonic Medical Center Sy, Virginia -CNS NOT COVERED Illinois Masonic Medical Center Sypien, Malgorzata -MD NOT COVERED Illinois Masonic Medical Center Tam, Jenny -MD NOT COVERED

Page 121 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Tam, Maria -MD NOT COVERED Illinois Masonic Medical Center Tamayo-Cordero, Jorge -MD NOT COVERED Illinois Masonic Medical Center Tambar, Siddharth -MD NOT COVERED Illinois Masonic Medical Center Tapon, Philippe -MD COVERED UNDER FAP Illinois Masonic Medical Center Taube, Tina -MD NOT COVERED Illinois Masonic Medical Center Tazudeen, Noor -MD NOT COVERED Illinois Masonic Medical Center Tenhundfeld, John -MD NOT COVERED Illinois Masonic Medical Center Tepper, Daniel -MD NOT COVERED Illinois Masonic Medical Center Thakkar, Ghanshyam -MD COVERED UNDER FAP Illinois Masonic Medical Center Tharian, Antony -MD NOT COVERED Illinois Masonic Medical Center Thawani, Saroja -MD COVERED UNDER FAP Illinois Masonic Medical Center The Chicago Center for Plastic & Reconstructive Surgery NOT COVERED Illinois Masonic Medical Center The Geldner Center NOT COVERED Illinois Masonic Medical Center The Gynecology Institute of Chicago, Ltd NOT COVERED Illinois Masonic Medical Center Thoele, David -MD COVERED UNDER FAP Illinois Masonic Medical Center Thomas, Alex -MD NOT COVERED Illinois Masonic Medical Center Thomas, Dolly -MD NOT COVERED Illinois Masonic Medical Center Thomas, Frances -MD COVERED UNDER FAP Illinois Masonic Medical Center Tilahun, Ermias -MD NOT COVERED Illinois Masonic Medical Center TJ Siddiqui, Inc. NOT COVERED Illinois Masonic Medical Center Tooth Buds Pediatric Dentistry NOT COVERED Illinois Masonic Medical Center Torrence, Alfred -MD NOT COVERED Illinois Masonic Medical Center Torres, Thalia -MD COVERED UNDER FAP Illinois Masonic Medical Center Total Care Physicians, Ltd NOT COVERED Illinois Masonic Medical Center Trandai, Michelle -MD NOT COVERED Illinois Masonic Medical Center Trendafilova, Victoria -MD COVERED UNDER FAP Illinois Masonic Medical Center Tresley, David -MD NOT COVERED Illinois Masonic Medical Center Tsatsos, George -DPM NOT COVERED Illinois Masonic Medical Center Tsimpas, Asterios -MD COVERED UNDER FAP Illinois Masonic Medical Center Tur Kaspa, Ilan -MD NOT COVERED Illinois Masonic Medical Center Turelli, Robert -MD COVERED UNDER FAP Illinois Masonic Medical Center Tuscher, Ryan -DDS NOT COVERED Illinois Masonic Medical Center Uday Vyas, MD, SC NOT COVERED Illinois Masonic Medical Center Uhler, Meike -MD NOT COVERED Illinois Masonic Medical Center Ukena, Jenny -MD COVERED UNDER FAP Illinois Masonic Medical Center Union Health Service, Inc NOT COVERED Illinois Masonic Medical Center Union Health Services NOT COVERED Illinois Masonic Medical Center University Dermatology and Vein Clinic LLC NOT COVERED Illinois Masonic Medical Center University Head & Neck Associates NOT COVERED Illinois Masonic Medical Center University of Illinois at Chicago NOT COVERED Illinois Masonic Medical Center University Ophthalmology NOT COVERED Illinois Masonic Medical Center Urology and Physician Services NOT COVERED Illinois Masonic Medical Center UroPartners, LLC NOT COVERED Illinois Masonic Medical Center Vais, Dana -MD NOT COVERED Illinois Masonic Medical Center Valaitis, Daiva -MD NOT COVERED Illinois Masonic Medical Center Valencia, Val -MD COVERED UNDER FAP Illinois Masonic Medical Center Varga, Julie -MD COVERED UNDER FAP Illinois Masonic Medical Center Vaselopulos, Peter -MD NOT COVERED Illinois Masonic Medical Center Venkatesan, T K -MD NOT COVERED Illinois Masonic Medical Center Vigilante, Alexandra -PA COVERED UNDER FAP Illinois Masonic Medical Center Villa, Eugene -MD NOT COVERED Illinois Masonic Medical Center Vios Fertility Institute NOT COVERED Illinois Masonic Medical Center Vios Fertility Institute Chicago, LLC NOT COVERED Illinois Masonic Medical Center Vios Fertility South Loop IVF Center NOT COVERED Illinois Masonic Medical Center Viru, SC NOT COVERED Illinois Masonic Medical Center Vitello, William -MD NOT COVERED Illinois Masonic Medical Center Vivek A. Gupta, MD SC NOT COVERED Illinois Masonic Medical Center Vladimirskiy, Natalya -MD NOT COVERED

Page 122 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Vohra, Sudesh -MD NOT COVERED Illinois Masonic Medical Center Vyas, Uday -MD NOT COVERED Illinois Masonic Medical Center Walter, Kristin -MD NOT COVERED Illinois Masonic Medical Center Wang, Theodore -MD COVERED UNDER FAP Illinois Masonic Medical Center Warnick, Pamela -MD COVERED UNDER FAP Illinois Masonic Medical Center Weatherford, Brian -MD NOT COVERED Illinois Masonic Medical Center Webster Dental Care NOT COVERED Illinois Masonic Medical Center Wehner, Julie -MD NOT COVERED Illinois Masonic Medical Center Weil Foot and Ankle Institute NOT COVERED Illinois Masonic Medical Center Weiler, Amy -DO NOT COVERED Illinois Masonic Medical Center Weinstein, Mitchell -MD NOT COVERED Illinois Masonic Medical Center Weinzweig, Jeffrey -MD NOT COVERED Illinois Masonic Medical Center Weinzweig, Norman -MD NOT COVERED Illinois Masonic Medical Center Weisenberg, Elliot -MD NOT COVERED Illinois Masonic Medical Center Weiss, Joshua -DO NOT COVERED Illinois Masonic Medical Center Welke, Justin -DDS NOT COVERED Illinois Masonic Medical Center Well Integrative Family Medicine, Inc. NOT COVERED Illinois Masonic Medical Center Wennerberg, Karen -CNM COVERED UNDER FAP Illinois Masonic Medical Center West Suburban Eye Associates NOT COVERED Illinois Masonic Medical Center West, Nathaniel -MD COVERED UNDER FAP Illinois Masonic Medical Center Westgate Implant & Oral Surgery NOT COVERED Illinois Masonic Medical Center Westgate Orthopaedics, Ltd NOT COVERED Illinois Masonic Medical Center Westin, Craig -MD NOT COVERED Illinois Masonic Medical Center Wetters, Nathan -MD NOT COVERED Illinois Masonic Medical Center Whittington-Cirton, Julie -MD NOT COVERED Illinois Masonic Medical Center Whole Health MD LLC NOT COVERED Illinois Masonic Medical Center Wiedmann, Margaret -MD COVERED UNDER FAP Illinois Masonic Medical Center Williams, Joel -MD NOT COVERED Illinois Masonic Medical Center Williams, Mary -CNM COVERED UNDER FAP Illinois Masonic Medical Center Williams, Nicole -MD NOT COVERED Illinois Masonic Medical Center Win-Care Medical Consultants Ltd NOT COVERED Illinois Masonic Medical Center Windy City Foot & Ankle Physicians LLC NOT COVERED Illinois Masonic Medical Center Wolny, Yvonne -MD NOT COVERED Illinois Masonic Medical Center Women to Women OB/Gyn, SC NOT COVERED Illinois Masonic Medical Center Wong, Seit -MD NOT COVERED Illinois Masonic Medical Center Wood, Daniel -NP NOT COVERED Illinois Masonic Medical Center Woodridge Dental LLC NOT COVERED Illinois Masonic Medical Center Wu, Nancy -MD COVERED UNDER FAP Illinois Masonic Medical Center Wynn, Daniel -MD NOT COVERED Illinois Masonic Medical Center Wysocki, Nicole -MD NOT COVERED Illinois Masonic Medical Center Xenos, Helen -MD COVERED UNDER FAP Illinois Masonic Medical Center Yanong, Procopio -MD COVERED UNDER FAP Illinois Masonic Medical Center Yonover, Paul -MD NOT COVERED Illinois Masonic Medical Center Yorath, Martin -DPM NOT COVERED Illinois Masonic Medical Center Yu, Jeffrey -MD COVERED UNDER FAP Illinois Masonic Medical Center Zabad, Ahmad -MD COVERED UNDER FAP Illinois Masonic Medical Center Zaharia, Alexandre -MD NOT COVERED Illinois Masonic Medical Center Zalski, Andrew -MD NOT COVERED Illinois Masonic Medical Center Zambrano, Annie -PA NOT COVERED Illinois Masonic Medical Center Zambrano, Carlos -MD NOT COVERED Illinois Masonic Medical Center Zamudio Rasof, Sophia -MD COVERED UNDER FAP Illinois Masonic Medical Center Zarling, Rachel -MD COVERED UNDER FAP Illinois Masonic Medical Center Zastrow, Lynn -NP COVERED UNDER FAP Illinois Masonic Medical Center Zecevic-Sternic, Vesna -MD NOT COVERED Illinois Masonic Medical Center Zorger, Rachel -DPM NOT COVERED Illinois Masonic Medical Center Zorin, Danylo -MD NOT COVERED Illinois Masonic Medical Center Zuiderveld, Loren -MD NOT COVERED Illinois Masonic Medical Center Zulfiqar, Beenish -MD COVERED UNDER FAP

Page 123 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Illinois Masonic Medical Center Zull, Lisa -NP COVERED UNDER FAP Lutheran General and Children's Hospital 4 Kids Pediatrics, SC NOT COVERED Lutheran General and Children's Hospital A & H Family Med, PC NOT COVERED Lutheran General and Children's Hospital Abdo, Samir -MD NOT COVERED Lutheran General and Children's Hospital Abiera, Ellen -NP NOT COVERED Lutheran General and Children's Hospital Abraham, Amira -MD NOT COVERED Lutheran General and Children's Hospital Abraham, Gina -MD NOT COVERED Lutheran General and Children's Hospital Abraham, Naveen -MD COVERED UNDER FAP Lutheran General and Children's Hospital Abtahi, Mohammad -MD NOT COVERED Lutheran General and Children's Hospital Access Genesis Center for Health and Empowerment NOT COVERED Lutheran General and Children's Hospital Adams, Stephen -DO NOT COVERED Lutheran General and Children's Hospital Adanin, Simon -DO NOT COVERED Lutheran General and Children's Hospital Adhikari, Seetal -MD COVERED UNDER FAP Lutheran General and Children's Hospital Adler, Douglas -MD NOT COVERED Lutheran General and Children's Hospital Adley, Brian -MD NOT COVERED Lutheran General and Children's Hospital Advanced Allergists, Ltd NOT COVERED Lutheran General and Children's Hospital Advanced Allergy & Asthma Associates, SC NOT COVERED Lutheran General and Children's Hospital Advanced Dermatology Center NOT COVERED Lutheran General and Children's Hospital Advanced Family Care, S.C. NOT COVERED Lutheran General and Children's Hospital Advanced Gynecology, SC NOT COVERED Lutheran General and Children's Hospital Advanced Medical Consultations, Ltd NOT COVERED Lutheran General and Children's Hospital Advanced Medical Practices NOT COVERED Lutheran General and Children's Hospital Advanced Neurological Associates, SC NOT COVERED Lutheran General and Children's Hospital Advanced Primary Care, SC NOT COVERED Lutheran General and Children's Hospital Advent Neurology, SC NOT COVERED Lutheran General and Children's Hospital Advincula, Linda -NP COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Yacktman Pediatric Gastroenterology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Chicago - 1945 West Wilson COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Chicago - 4801 West Peterson COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Des Plaines - Rand Rd COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Des Plaines - Rand Rd. - Pediatrics COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Des Plaines 8901 W Golf Road COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Downers Grove - 3551 Highland Ave - Neurosurgery COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Downers Grove 1441 Branding COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Libertyville - Milwaukee Ave COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Libertyville - Pediatrics COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Libertyville - Peds SubSpecialty COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Nuclear Medicine COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Oak Lawn - 4220 W 95th Street - Pediatrics COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - 1675 Dempster - Pediatric Critical Care COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - 1875 Dempster - Neurology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - 1875 Dempster - Neuromuscular COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - 1875 Dempster - Neurosurgery COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - Luther Lane - Bone Marrow Transplant COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - Luther Ln - Oncology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - Pediatric Neurosurgery COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - Thoracic Surgery COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge - Vascular Surgery COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group - Park Ridge 1700 Luther Lane - Neurology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Adult Down Syndrome Center COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Advocate Clinic Arlington Heights COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Advocate Clinic Aurora COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Advocate Clinic Buffalo Grove COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Advocate Clinic Elk Grove Village COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Advocate Clinic Lake Zurich COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Advocate Clinic Morton Grove COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Advocate Clinic Mount Prospect COVERED UNDER FAP

Page 124 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Advocate Medical Group Advocate Clinic Northfield COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Advocate Clinic Palatine COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Advocate Clinic Park Ridge COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Advocate Clinic Wheeling COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Buffalo Grove COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group CAC COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Cancer Survivorship Center COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Christ Peds Hospitalist COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Emergency Medicine COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Emergency Medicine LGH - Peds COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Glenview Compass Drive COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Glenview Waukegan Rd COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Hospitalist COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Hospitalists COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Lincolnwood COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Maternal Fetal COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Midwest Pediatric Cardio COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Morton Grove COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Neonatology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Nesset Cardiology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Nesset Endocrinology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Nesset Geriatric Medicine COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Nesset Internal Medicine COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Nesset Neurology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Nesset Pavilion COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Nesset Physical Med & Rehab COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Nesset Rheumatology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Neurointerventional Surgery COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Niles Dempster Wound Care COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Niles Milwaukee Ave COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Park Ridge 1775 Dempster Street Pediatric Critical Care COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Park Ridge 1875 Dempster Obstetrics & Gynecology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Park Ridge 1875 Dempster Oncology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Park Ridge 1875 Dempster Street Pediatric Neurosurgery COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Park Ridge 850 Busse Highway COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Parkside Cardiology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Parkside Colorectal Surgery COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Parkside General Surgery COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Parkside Maternal Fetal COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Parkside Psychiatry COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Peds Hospitalist COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Peds Plastic Surg COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Sykes Hospitalist COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Trauma COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Trauma Surgery COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Yacktman OB/Gyne COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Yacktman Pediatrics COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Cardiology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Dermatology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Endocrinology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds General Surgery COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Hem/Onc COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Infectious Disease COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Nephrology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Neurology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Plastic Surg COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Medical Group Yacktman Peds Pulmonology COVERED UNDER FAP Lutheran General and Children's Hospital Advocate Occupational Health-Niles COVERED UNDER FAP

Page 125 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Affinati, Brenda -MD NOT COVERED Lutheran General and Children's Hospital Afshari, Zahra -MD NOT COVERED Lutheran General and Children's Hospital Agrawal, Caitlin -MD COVERED UNDER FAP Lutheran General and Children's Hospital Ahluwalia, Kumkum -MD NOT COVERED Lutheran General and Children's Hospital Ahn, Catherine -MD NOT COVERED Lutheran General and Children's Hospital Ahn, Jonathan -MD NOT COVERED Lutheran General and Children's Hospital Akiens, Grace -MD NOT COVERED Lutheran General and Children's Hospital Aleksandr Galperin M.D. NOT COVERED Lutheran General and Children's Hospital Aleksandrovich, Ellen -MD COVERED UNDER FAP Lutheran General and Children's Hospital Alfano, Suzanne -MD NOT COVERED Lutheran General and Children's Hospital Ali, Arif -MD NOT COVERED Lutheran General and Children's Hospital Ali, Asya -MD NOT COVERED Lutheran General and Children's Hospital Ali, Kelly -PA NOT COVERED Lutheran General and Children's Hospital Aljadeff, Gabriel -MD COVERED UNDER FAP Lutheran General and Children's Hospital Alkhas, Addie -MD COVERED UNDER FAP Lutheran General and Children's Hospital Allar, Brendan -PA NOT COVERED Lutheran General and Children's Hospital Allegretti, John -MD COVERED UNDER FAP Lutheran General and Children's Hospital Allergy & Asthma Associates, Ltd NOT COVERED Lutheran General and Children's Hospital Allergy Partners of Chicago NOT COVERED Lutheran General and Children's Hospital Allied Healthcare Associates NOT COVERED Lutheran General and Children's Hospital Almanaseer, Imad -MD NOT COVERED Lutheran General and Children's Hospital Alsheik, Nila -MD NOT COVERED Lutheran General and Children's Hospital Alter, Daniel -MD NOT COVERED Lutheran General and Children's Hospital Altman, David -MD NOT COVERED Lutheran General and Children's Hospital Alvaro, Bright -NP COVERED UNDER FAP Lutheran General and Children's Hospital American Cancer Center, PC NOT COVERED Lutheran General and Children's Hospital American Health Center, Ltd. NOT COVERED Lutheran General and Children's Hospital American Hip Institute NOT COVERED Lutheran General and Children's Hospital Amita Health Medical Group NOT COVERED Lutheran General and Children's Hospital Anderson, Bonnie -MD NOT COVERED Lutheran General and Children's Hospital Anderson, Chad -PA NOT COVERED Lutheran General and Children's Hospital Anderson, Eric -MD NOT COVERED Lutheran General and Children's Hospital Anderson, Martin -MD NOT COVERED Lutheran General and Children's Hospital Anderson, Sandra -MD COVERED UNDER FAP Lutheran General and Children's Hospital Angelopoulos, Mary -DO NOT COVERED Lutheran General and Children's Hospital Angle, Brad -MD COVERED UNDER FAP Lutheran General and Children's Hospital Angyalosy, Alina -CRNA NOT COVERED Lutheran General and Children's Hospital Aniol, Halina -MD NOT COVERED Lutheran General and Children's Hospital Anschel, David -MD NOT COVERED Lutheran General and Children's Hospital Apichai, Seema -MD NOT COVERED Lutheran General and Children's Hospital Archer, Amy -MD COVERED UNDER FAP Lutheran General and Children's Hospital Archil, Vanessa -MD NOT COVERED Lutheran General and Children's Hospital Ardakani, Navid -MD NOT COVERED Lutheran General and Children's Hospital Arkema, Helen -MD COVERED UNDER FAP Lutheran General and Children's Hospital Arnold, Erin -MD NOT COVERED Lutheran General and Children's Hospital Aronov, Yuriy -MD NOT COVERED Lutheran General and Children's Hospital Aronson, Adam -MD NOT COVERED Lutheran General and Children's Hospital Arora, Ashish -MD NOT COVERED Lutheran General and Children's Hospital Arslanagic, Alma -MD COVERED UNDER FAP Lutheran General and Children's Hospital Artinian, Gary -MD COVERED UNDER FAP Lutheran General and Children's Hospital Arvind Patel MD, SC NOT COVERED Lutheran General and Children's Hospital Asian Human Services Family Health Center NOT COVERED Lutheran General and Children's Hospital Asimacopoulos, Voula -MD NOT COVERED Lutheran General and Children's Hospital Askari, Ruhi -MD NOT COVERED Lutheran General and Children's Hospital Askenazi, Noga -MD NOT COVERED Lutheran General and Children's Hospital Askew, Allen -PhD NOT COVERED Lutheran General and Children's Hospital Associated Allergists & Asthma Specialists, Ltd NOT COVERED Lutheran General and Children's Hospital Associated Clinical Psychologists, Ltd. NOT COVERED

Page 126 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Associated Pediatric Partners, SC NOT COVERED Lutheran General and Children's Hospital Associates in Nephrology, SC NOT COVERED Lutheran General and Children's Hospital Associates in Psychiatric Medicine, LLC NOT COVERED Lutheran General and Children's Hospital Associates in Psychiatric Wellness, LP NOT COVERED Lutheran General and Children's Hospital Asthma & Allergy Associates NOT COVERED Lutheran General and Children's Hospital Asthma and Allergy Institute NOT COVERED Lutheran General and Children's Hospital Athans, Michael -PhD NOT COVERED Lutheran General and Children's Hospital Atienza, Matthew -MD COVERED UNDER FAP Lutheran General and Children's Hospital Attaya, Shariff -MD NOT COVERED Lutheran General and Children's Hospital Avant Obstetrics and Gynecology Ltd. NOT COVERED Lutheran General and Children's Hospital Awadallah, Nancy -MD NOT COVERED Lutheran General and Children's Hospital Bach, Malgorzata -MD NOT COVERED Lutheran General and Children's Hospital Baddi, Lisa -DO NOT COVERED Lutheran General and Children's Hospital Bai, Grace -MD NOT COVERED Lutheran General and Children's Hospital Baig, Mirza -MD NOT COVERED Lutheran General and Children's Hospital Bailey, Kathy -MD COVERED UNDER FAP Lutheran General and Children's Hospital Baker, Molly -PA COVERED UNDER FAP Lutheran General and Children's Hospital Baker, Rachel - NOT COVERED Lutheran General and Children's Hospital Baker, Stephanie -MD NOT COVERED Lutheran General and Children's Hospital Baker, Todd -MD COVERED UNDER FAP Lutheran General and Children's Hospital Bakman, Lubov -NP NOT COVERED Lutheran General and Children's Hospital Balagani, Radha -MD COVERED UNDER FAP Lutheran General and Children's Hospital Balamohan, Sanjeev -MD NOT COVERED Lutheran General and Children's Hospital Balodimas, James -MD NOT COVERED Lutheran General and Children's Hospital Bang, Jane -MD NOT COVERED Lutheran General and Children's Hospital Baran-Pressen, Malgorzata -MD NOT COVERED Lutheran General and Children's Hospital Barczyk, Janet -MD NOT COVERED Lutheran General and Children's Hospital Barker, Roberta -PhD NOT COVERED Lutheran General and Children's Hospital Barnes & Klatt, PC NOT COVERED Lutheran General and Children's Hospital Barnes, Ann -PsyD NOT COVERED Lutheran General and Children's Hospital Barnes, Katarzyna -NP NOT COVERED Lutheran General and Children's Hospital Barney, Kathryn -NP COVERED UNDER FAP Lutheran General and Children's Hospital Barr, Annemarie -NP NOT COVERED Lutheran General and Children's Hospital Barr, Joseph -EdD NOT COVERED Lutheran General and Children's Hospital Bartt, Russell -MD NOT COVERED Lutheran General and Children's Hospital Bass, Amee -MD NOT COVERED Lutheran General and Children's Hospital Bass, Marla -NP COVERED UNDER FAP Lutheran General and Children's Hospital Bauer, Jerry -MD NOT COVERED Lutheran General and Children's Hospital Bauersfeld, Bridget -LCSW NOT COVERED Lutheran General and Children's Hospital Baxamusa, Taizoon -MD NOT COVERED Lutheran General and Children's Hospital Bazan, Andrea -MD NOT COVERED Lutheran General and Children's Hospital Bazi, Martin -MD COVERED UNDER FAP Lutheran General and Children's Hospital Beckemeier, David -MD NOT COVERED Lutheran General and Children's Hospital Behara, Venkata -MD NOT COVERED Lutheran General and Children's Hospital Behrens, Deanna -MD COVERED UNDER FAP Lutheran General and Children's Hospital Bello, Alfonso -MD NOT COVERED Lutheran General and Children's Hospital Belmonte, Frank -DO COVERED UNDER FAP Lutheran General and Children's Hospital Belvis, Dawn -MD NOT COVERED Lutheran General and Children's Hospital Bendikas, Leonard -MD NOT COVERED Lutheran General and Children's Hospital Bennett, Alicia -DO NOT COVERED Lutheran General and Children's Hospital Bennett, Catherine -CNS NOT COVERED Lutheran General and Children's Hospital Berger, Abigail -PA NOT COVERED Lutheran General and Children's Hospital Bergin, Christopher -MD NOT COVERED Lutheran General and Children's Hospital Berman, Andrew -MD NOT COVERED Lutheran General and Children's Hospital Berman, Daniel -MD COVERED UNDER FAP Lutheran General and Children's Hospital Berman, James -MD COVERED UNDER FAP Lutheran General and Children's Hospital Bernadette Mayer, MD, SC NOT COVERED Lutheran General and Children's Hospital Bernheim, Bruce -MD COVERED UNDER FAP

Page 127 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Bernstein, Avi -MD NOT COVERED Lutheran General and Children's Hospital Bernstein, Leslie -MD NOT COVERED Lutheran General and Children's Hospital Best Practices Inpatient Care, Ltd NOT COVERED Lutheran General and Children's Hospital Betterman, Mary -MD NOT COVERED Lutheran General and Children's Hospital Betts, Aaron -MD NOT COVERED Lutheran General and Children's Hospital Bhandarkar, Manohar -MD NOT COVERED Lutheran General and Children's Hospital Bialko, Christine -PA NOT COVERED Lutheran General and Children's Hospital Biank, Vincent -MD NOT COVERED Lutheran General and Children's Hospital Bilinski, Ewa -MD NOT COVERED Lutheran General and Children's Hospital Billote, Dinna -MD NOT COVERED Lutheran General and Children's Hospital Bilodeau, Janet -NP COVERED UNDER FAP Lutheran General and Children's Hospital Binder, Christian -MD NOT COVERED Lutheran General and Children's Hospital Bissing, Mary Kay -DO NOT COVERED Lutheran General and Children's Hospital Bitar, Reem -MD NOT COVERED Lutheran General and Children's Hospital Bitran, Jacob -MD COVERED UNDER FAP Lutheran General and Children's Hospital Blachut, Tina -DO NOT COVERED Lutheran General and Children's Hospital Black, Ashley -DO NOT COVERED Lutheran General and Children's Hospital Blair, Michael -MD NOT COVERED Lutheran General and Children's Hospital Blandon, Roberta -MD NOT COVERED Lutheran General and Children's Hospital Blankas-Hernaez, Nida -MD NOT COVERED Lutheran General and Children's Hospital Bloom, Ronald -MD NOT COVERED Lutheran General and Children's Hospital Blue Sky Neurology NOT COVERED Lutheran General and Children's Hospital Blunck, Joshua -DO NOT COVERED Lutheran General and Children's Hospital Bochenska, Katarzyna -MD NOT COVERED Lutheran General and Children's Hospital Boden, Thomas -MD NOT COVERED Lutheran General and Children's Hospital Bodner, Alla -MD NOT COVERED Lutheran General and Children's Hospital Boe, Justin -MD NOT COVERED Lutheran General and Children's Hospital Bokor, Erika -PhD NOT COVERED Lutheran General and Children's Hospital Bolton, Paul -MD COVERED UNDER FAP Lutheran General and Children's Hospital Bond, Alexis -MD NOT COVERED Lutheran General and Children's Hospital Bonetti, Renee -MD NOT COVERED Lutheran General and Children's Hospital Boppana, Prashanthi -MD COVERED UNDER FAP Lutheran General and Children's Hospital Boren, Mary -MD NOT COVERED Lutheran General and Children's Hospital Borgen, Kristina -MD NOT COVERED Lutheran General and Children's Hospital Borowicz, Jessica -DO NOT COVERED Lutheran General and Children's Hospital Boskov, Djordje -MD NOT COVERED Lutheran General and Children's Hospital Boskovic, Sinisa -MD NOT COVERED Lutheran General and Children's Hospital Boton, Robert -MD NOT COVERED Lutheran General and Children's Hospital Boudos, Jessica -PA COVERED UNDER FAP Lutheran General and Children's Hospital Boumendjel, Redouane -MD NOT COVERED Lutheran General and Children's Hospital Bovis, George -MD NOT COVERED Lutheran General and Children's Hospital Bowersox, Keith -MD NOT COVERED Lutheran General and Children's Hospital Boyer, Martin -DO NOT COVERED Lutheran General and Children's Hospital Brander, William -MD COVERED UNDER FAP Lutheran General and Children's Hospital Brandt, Mark -MD NOT COVERED Lutheran General and Children's Hospital Brandwein, Sydney -MD COVERED UNDER FAP Lutheran General and Children's Hospital Brasky, Jeffrey -DO NOT COVERED Lutheran General and Children's Hospital Breen, Sarah -DO NOT COVERED Lutheran General and Children's Hospital Bregman, Harold -MD NOT COVERED Lutheran General and Children's Hospital Breivald, Rachel -NP COVERED UNDER FAP Lutheran General and Children's Hospital Brennan, Maura -MD COVERED UNDER FAP Lutheran General and Children's Hospital Bresch, James -MD NOT COVERED Lutheran General and Children's Hospital Breslow, Marc -MD NOT COVERED Lutheran General and Children's Hospital Brikha Medical Center NOT COVERED Lutheran General and Children's Hospital Brikha, Charles -MD NOT COVERED Lutheran General and Children's Hospital Brinckerhoff, Beau -MD COVERED UNDER FAP Lutheran General and Children's Hospital Brindise, Renata -DO NOT COVERED Lutheran General and Children's Hospital Brodsky Dermatology, LLC NOT COVERED

Page 128 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Brodsky, Amy -MD NOT COVERED Lutheran General and Children's Hospital Brodsky, George -MD NOT COVERED Lutheran General and Children's Hospital Brookfield, Leslie -MD COVERED UNDER FAP Lutheran General and Children's Hospital Brown, Kristen -MD NOT COVERED Lutheran General and Children's Hospital Brown, Susan -MD NOT COVERED Lutheran General and Children's Hospital Brull, Ellen -MD NOT COVERED Lutheran General and Children's Hospital Brunetti, Michelle -NP COVERED UNDER FAP Lutheran General and Children's Hospital Buchwach, Abigail -MD COVERED UNDER FAP Lutheran General and Children's Hospital Buckman, Jeffrey -MD NOT COVERED Lutheran General and Children's Hospital Buenvenida, Carissa -MD COVERED UNDER FAP Lutheran General and Children's Hospital Bufalino, Shams -MD COVERED UNDER FAP Lutheran General and Children's Hospital Bukowski, Rachel -NP COVERED UNDER FAP Lutheran General and Children's Hospital Bulthuis, Katherine -CNS NOT COVERED Lutheran General and Children's Hospital Burrell, Christian -MD NOT COVERED Lutheran General and Children's Hospital Burrowes, Susan -MD NOT COVERED Lutheran General and Children's Hospital Busch, Kenneth -MD NOT COVERED Lutheran General and Children's Hospital Bush, John -MD NOT COVERED Lutheran General and Children's Hospital Bussell, Gregory -MD NOT COVERED Lutheran General and Children's Hospital Butler, Jesse -MD NOT COVERED Lutheran General and Children's Hospital Byun, Michael -MD NOT COVERED Lutheran General and Children's Hospital C. Dean Katsamakis DO, FACC, SC NOT COVERED Lutheran General and Children's Hospital Cabrera, Julio -MD NOT COVERED Lutheran General and Children's Hospital Calka, Courtney -PA COVERED UNDER FAP Lutheran General and Children's Hospital Camarda, Lauren -MD COVERED UNDER FAP Lutheran General and Children's Hospital Campbell, Lisa -PsyD NOT COVERED Lutheran General and Children's Hospital Campbell, Walter -MD NOT COVERED Lutheran General and Children's Hospital Cantrell, Bridget -NP COVERED UNDER FAP Lutheran General and Children's Hospital Capezio, Joseph -MD NOT COVERED Lutheran General and Children's Hospital Cappello, Michael -DO COVERED UNDER FAP Lutheran General and Children's Hospital Cardiac Surgery Associates, SC NOT COVERED Lutheran General and Children's Hospital Cardiology Electrophysiology & Pacemaker Specialists, Ltd NOT COVERED Lutheran General and Children's Hospital Cardiothoracic & Vascular Surgical Associates, SC NOT COVERED Lutheran General and Children's Hospital Carlson, Bruce -DDS NOT COVERED Lutheran General and Children's Hospital Carlstrom, Luke -MD NOT COVERED Lutheran General and Children's Hospital Casini, Rebecca -DO NOT COVERED Lutheran General and Children's Hospital Casper, Francis -MD NOT COVERED Lutheran General and Children's Hospital Cates-Rudolph, Natalie -CNS NOT COVERED Lutheran General and Children's Hospital Cathy DiVincenzo MD Pediatrics, SC NOT COVERED Lutheran General and Children's Hospital Cavazos, Cristina -MD NOT COVERED Lutheran General and Children's Hospital Cayer, Emily -CRNA NOT COVERED Lutheran General and Children's Hospital Center for Digestive Health NOT COVERED Lutheran General and Children's Hospital Center for Holistic Medicine NOT COVERED Lutheran General and Children's Hospital Center for Vitreo Retinal Diseases, SC NOT COVERED Lutheran General and Children's Hospital Center of Brain & Spine Surgery NOT COVERED Lutheran General and Children's Hospital Chacko, Susan -NP COVERED UNDER FAP Lutheran General and Children's Hospital Chams Women's Health Care, SC NOT COVERED Lutheran General and Children's Hospital Chams, Joyce -MD NOT COVERED Lutheran General and Children's Hospital Chang, Laura -DO COVERED UNDER FAP Lutheran General and Children's Hospital Chao, Jasmine -DO NOT COVERED Lutheran General and Children's Hospital Chapman, Norman -MD NOT COVERED Lutheran General and Children's Hospital Chaptini, Nayla -MD COVERED UNDER FAP Lutheran General and Children's Hospital Charles E. Miller, MD & Associates NOT COVERED Lutheran General and Children's Hospital Charles Mullenix, M.D., S.C. NOT COVERED Lutheran General and Children's Hospital Charnond, Kirsten -MD NOT COVERED Lutheran General and Children's Hospital Charo, Satish -MD NOT COVERED Lutheran General and Children's Hospital Charous, Matthew -MD NOT COVERED Lutheran General and Children's Hospital Chaturvedi, Gaurav -MD COVERED UNDER FAP Lutheran General and Children's Hospital Chaudhary, Hamad -MD NOT COVERED

Page 129 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Chaudhary, Haroon -DO COVERED UNDER FAP Lutheran General and Children's Hospital Chaus, Farah -MD COVERED UNDER FAP Lutheran General and Children's Hospital Chen, Alice -MD NOT COVERED Lutheran General and Children's Hospital Cheng, Lisa -MD COVERED UNDER FAP Lutheran General and Children's Hospital Cherny, Barry -DDS NOT COVERED Lutheran General and Children's Hospital Chet, Andrew -DO COVERED UNDER FAP Lutheran General and Children's Hospital Chi, Kenneth -MD NOT COVERED Lutheran General and Children's Hospital Chicago Allergy & Asthma, LLC NOT COVERED Lutheran General and Children's Hospital Chicago Cosmetic Surgery NOT COVERED Lutheran General and Children's Hospital Chicago Pediatric & Neonatology, SC NOT COVERED Lutheran General and Children's Hospital Chicoine, Brian -MD COVERED UNDER FAP Lutheran General and Children's Hospital Chiganos, Terry -MD COVERED UNDER FAP Lutheran General and Children's Hospital Children & Teens Medical Center NOT COVERED Lutheran General and Children's Hospital Children Health Care, Ltd NOT COVERED Lutheran General and Children's Hospital Childrens and Adolescent Dentistry, Ltd NOT COVERED Lutheran General and Children's Hospital Children's Dentistry NOT COVERED Lutheran General and Children's Hospital Chimino, Joseph -DO COVERED UNDER FAP Lutheran General and Children's Hospital Chin, Seong -MD NOT COVERED Lutheran General and Children's Hospital Chinwuba, Ebele -MD COVERED UNDER FAP Lutheran General and Children's Hospital Chmiel, Kathleen -DO COVERED UNDER FAP Lutheran General and Children's Hospital Chmielewski, Gary -MD COVERED UNDER FAP Lutheran General and Children's Hospital Cho-Dorado, Michele -MD COVERED UNDER FAP Lutheran General and Children's Hospital Cholkeri-Singh, Aarathi -MD NOT COVERED Lutheran General and Children's Hospital Chon, Chris -MD NOT COVERED Lutheran General and Children's Hospital Chong Soo Rim MD Ltd NOT COVERED Lutheran General and Children's Hospital Chowdhry, Shakeel -MD NOT COVERED Lutheran General and Children's Hospital Choy, Siu Yung -DO COVERED UNDER FAP Lutheran General and Children's Hospital Chris Oh, MD SC NOT COVERED Lutheran General and Children's Hospital Christian, Sonia -MD NOT COVERED Lutheran General and Children's Hospital Chung, Hyuk -MD NOT COVERED Lutheran General and Children's Hospital Cial, Parul -MD NOT COVERED Lutheran General and Children's Hospital Ciobanu, Bety -MD NOT COVERED Lutheran General and Children's Hospital Citronberg, Robert -MD NOT COVERED Lutheran General and Children's Hospital Clark, Todd -MD COVERED UNDER FAP Lutheran General and Children's Hospital Clarke, Allison -PhD NOT COVERED Lutheran General and Children's Hospital Claveria, Joanne -MD COVERED UNDER FAP Lutheran General and Children's Hospital Clay, Brian -MD NOT COVERED Lutheran General and Children's Hospital Clinical Associates, S.C. NOT COVERED Lutheran General and Children's Hospital Clinical Associates, SC NOT COVERED Lutheran General and Children's Hospital Cobb, Rebecca -DO COVERED UNDER FAP Lutheran General and Children's Hospital Coderre, Melanie -PA NOT COVERED Lutheran General and Children's Hospital Cohn, Kellen -DPM NOT COVERED Lutheran General and Children's Hospital Cole Lundquist, MD, SC NOT COVERED Lutheran General and Children's Hospital Coleman, Brittney -NP NOT COVERED Lutheran General and Children's Hospital Colombo, James -MD NOT COVERED Lutheran General and Children's Hospital Comas, Rebecca -NP COVERED UNDER FAP Lutheran General and Children's Hospital Comprehensive Pediatric Care, Ltd NOT COVERED Lutheran General and Children's Hospital Comrov, Elana -MD NOT COVERED Lutheran General and Children's Hospital Conley, Mark -DO COVERED UNDER FAP Lutheran General and Children's Hospital Conner, Katherine -MD NOT COVERED Lutheran General and Children's Hospital Consultants in Allergy & Asthma Care, LLC NOT COVERED Lutheran General and Children's Hospital Contemporary Care For Women, Ltd. NOT COVERED Lutheran General and Children's Hospital Cordova, Jonathan -DO NOT COVERED Lutheran General and Children's Hospital CortiCare NOT COVERED Lutheran General and Children's Hospital Cottrell Medical Group NOT COVERED Lutheran General and Children's Hospital Cottrell, John -DO NOT COVERED Lutheran General and Children's Hospital Cottrell, Jonathan -MD NOT COVERED Lutheran General and Children's Hospital Craig, Joseph -MD COVERED UNDER FAP

Page 130 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Cralle, Doris -MD NOT COVERED Lutheran General and Children's Hospital Crawford, Susan -MD NOT COVERED Lutheran General and Children's Hospital Dahlem, Andrew -MD NOT COVERED Lutheran General and Children's Hospital Danek, Beata -MD NOT COVERED Lutheran General and Children's Hospital Dave, Nayana -MD COVERED UNDER FAP Lutheran General and Children's Hospital David Weiss, MD SC NOT COVERED Lutheran General and Children's Hospital Davies Fertility and IVF Specialists, SC NOT COVERED Lutheran General and Children's Hospital Davies, Susan -MD NOT COVERED Lutheran General and Children's Hospital Davis, Emily -NP NOT COVERED Lutheran General and Children's Hospital Davood, Dalia -MD COVERED UNDER FAP Lutheran General and Children's Hospital Daye, Mona -NP NOT COVERED Lutheran General and Children's Hospital De Jesus, Jocelyn -MD NOT COVERED Lutheran General and Children's Hospital De Mito, April -NP COVERED UNDER FAP Lutheran General and Children's Hospital DeBoer, David -MD NOT COVERED Lutheran General and Children's Hospital December, Maribeth -MD COVERED UNDER FAP Lutheran General and Children's Hospital DeGroot, Bradley -DDS NOT COVERED Lutheran General and Children's Hospital DelBeccaro, Melanie -MD NOT COVERED Lutheran General and Children's Hospital Delio, Jean -NP COVERED UNDER FAP Lutheran General and Children's Hospital Dempster Plaza Pediatrics NOT COVERED Lutheran General and Children's Hospital Denise A. Fiducia, PhD & Assoc., LLC NOT COVERED Lutheran General and Children's Hospital DeRosa, Katelyn -PA COVERED UNDER FAP Lutheran General and Children's Hospital Des Plaines Eye Physicians & Surgeons, Ltd NOT COVERED Lutheran General and Children's Hospital Desai, Bela -MD NOT COVERED Lutheran General and Children's Hospital Desai, Neeraj -MD NOT COVERED Lutheran General and Children's Hospital Deshmukh, Sanaa -MD COVERED UNDER FAP Lutheran General and Children's Hospital Deutsch, Andrew -MD NOT COVERED Lutheran General and Children's Hospital Dev Medical Associates, SC NOT COVERED Lutheran General and Children's Hospital Devarapalli, Heyer -MD NOT COVERED Lutheran General and Children's Hospital Devare, Doria -MD NOT COVERED Lutheran General and Children's Hospital Diaz, Edward -MD COVERED UNDER FAP Lutheran General and Children's Hospital Diaz, Rosa -NP COVERED UNDER FAP Lutheran General and Children's Hospital Dikopf, Mark -MD NOT COVERED Lutheran General and Children's Hospital Dines, Marshall -MD NOT COVERED Lutheran General and Children's Hospital Dirksen Center for Neuropsychology, LTD NOT COVERED Lutheran General and Children's Hospital Dirksen, Courtney -PhD NOT COVERED Lutheran General and Children's Hospital DiVincenzo, Cathy -MD NOT COVERED Lutheran General and Children's Hospital Dobkin, David -MD NOT COVERED Lutheran General and Children's Hospital Dodson, Danielle -LCSW NOT COVERED Lutheran General and Children's Hospital Dolan, James -MD NOT COVERED Lutheran General and Children's Hospital Dominiak, Erin -MD COVERED UNDER FAP Lutheran General and Children's Hospital Domont, Lawrence -MD COVERED UNDER FAP Lutheran General and Children's Hospital Donets, Simon -DPM NOT COVERED Lutheran General and Children's Hospital Donoghue, Courtney -PA NOT COVERED Lutheran General and Children's Hospital Donovan-Hunt, Cheryl -MD NOT COVERED Lutheran General and Children's Hospital Donskoy, Innessa -MD COVERED UNDER FAP Lutheran General and Children's Hospital Doran, Anne -MD COVERED UNDER FAP Lutheran General and Children's Hospital Dorodi, Shervin -MD NOT COVERED Lutheran General and Children's Hospital Dotchev, Plamen -MD NOT COVERED Lutheran General and Children's Hospital Douglass, Jennifer -NP COVERED UNDER FAP Lutheran General and Children's Hospital Dr. Kordas Pediatric Health Center, LLC NOT COVERED Lutheran General and Children's Hospital Dr. Roma Franzia Pediatric Practice NOT COVERED Lutheran General and Children's Hospital Drapkin, Sol -MD NOT COVERED Lutheran General and Children's Hospital Dreyer Clinic - Batavia COVERED UNDER FAP Lutheran General and Children's Hospital Duboe, Fred -MD NOT COVERED Lutheran General and Children's Hospital Dudek, Emily -DO COVERED UNDER FAP Lutheran General and Children's Hospital Duer, Charlotte -PA NOT COVERED Lutheran General and Children's Hospital Dukkipati, Haritha -MD NOT COVERED Lutheran General and Children's Hospital Dulczewska-Miller, Miroslawa -MD NOT COVERED

Page 131 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Dumanis, Leo -DDS NOT COVERED Lutheran General and Children's Hospital Dumin, Magdalena -MD COVERED UNDER FAP Lutheran General and Children's Hospital Dupont, Paul -MD NOT COVERED Lutheran General and Children's Hospital Dy Dermatology Center NOT COVERED Lutheran General and Children's Hospital Dy, Lady -MD NOT COVERED Lutheran General and Children's Hospital Dyer, Robin -MD NOT COVERED Lutheran General and Children's Hospital E2Bio Consultants NOT COVERED Lutheran General and Children's Hospital Ear, Nose & Throat Center SC NOT COVERED Lutheran General and Children's Hospital Ear, Nose & Throat Specialists of Illinois, Ltd NOT COVERED Lutheran General and Children's Hospital Ecker, Hillary -MD COVERED UNDER FAP Lutheran General and Children's Hospital Eckhouse, Diane -CNS NOT COVERED Lutheran General and Children's Hospital Edelstein, Vadim -MD NOT COVERED Lutheran General and Children's Hospital Edward H. Kaplan, MD & Associates NOT COVERED Lutheran General and Children's Hospital Ehrenpreis, Eli -MD NOT COVERED Lutheran General and Children's Hospital Ehrlich, Deborah -MD NOT COVERED Lutheran General and Children's Hospital Eisenberg, Gerald -MD NOT COVERED Lutheran General and Children's Hospital Eklund, John -MD NOT COVERED Lutheran General and Children's Hospital El Tag, Eiman -MD NOT COVERED Lutheran General and Children's Hospital Eleonora Kul-Lipski, MD SC NOT COVERED Lutheran General and Children's Hospital Elikman, Gennadiy -MD COVERED UNDER FAP Lutheran General and Children's Hospital Ellis-Pelletier, Amanda -DO COVERED UNDER FAP Lutheran General and Children's Hospital Elman, Lila -MD NOT COVERED Lutheran General and Children's Hospital Emerzian, Garo -DPM NOT COVERED Lutheran General and Children's Hospital Encompass Physicians, LLC NOT COVERED Lutheran General and Children's Hospital Engelstein, Erica -MD NOT COVERED Lutheran General and Children's Hospital Enright, Christy -CNM NOT COVERED Lutheran General and Children's Hospital EP Consultation, Ltd NOT COVERED Lutheran General and Children's Hospital Erpelo, Jessica -NP COVERED UNDER FAP Lutheran General and Children's Hospital Evans-Snulligan, Kenyatta -NP COVERED UNDER FAP Lutheran General and Children's Hospital Excelsior Healthcare NOT COVERED Lutheran General and Children's Hospital Expert Medical Group NOT COVERED Lutheran General and Children's Hospital Eye Care, Ltd NOT COVERED Lutheran General and Children's Hospital Eye Specialists of Illinois, SC NOT COVERED Lutheran General and Children's Hospital Eyes of Grace, SC NOT COVERED Lutheran General and Children's Hospital Fahrenbach, Gregory -MD NOT COVERED Lutheran General and Children's Hospital Faibussowitsch, Ilja -MD NOT COVERED Lutheran General and Children's Hospital Fairchok, Gregory -MD NOT COVERED Lutheran General and Children's Hospital Fallahian, Amir -MD NOT COVERED Lutheran General and Children's Hospital Family Medical Care NOT COVERED Lutheran General and Children's Hospital Family Medicine Associates of Lutheran General, SC NOT COVERED Lutheran General and Children's Hospital Fanale, Christopher -MD NOT COVERED Lutheran General and Children's Hospital Farid, Joseph -MD NOT COVERED Lutheran General and Children's Hospital Farrell, Julie -NP COVERED UNDER FAP Lutheran General and Children's Hospital Faye, Eden - NOT COVERED Lutheran General and Children's Hospital Fechner, Emily -PA NOT COVERED Lutheran General and Children's Hospital Feldman, Ansley -MD NOT COVERED Lutheran General and Children's Hospital FemaCare Obstetrics & Gynecology, SC NOT COVERED Lutheran General and Children's Hospital Fenner Plastic Surgery NOT COVERED Lutheran General and Children's Hospital Fenner, Geoffrey -MD NOT COVERED Lutheran General and Children's Hospital Ferber, Stuart -MD NOT COVERED Lutheran General and Children's Hospital Fernandez, Veronica -NP COVERED UNDER FAP Lutheran General and Children's Hospital Fertility Centers of Illinois, SC NOT COVERED Lutheran General and Children's Hospital Fiducia, Denise -PhD NOT COVERED Lutheran General and Children's Hospital Fine, Marc -MD COVERED UNDER FAP Lutheran General and Children's Hospital Finkle, Elonna -MD NOT COVERED Lutheran General and Children's Hospital First Step Foot Care, PC NOT COVERED Lutheran General and Children's Hospital Fischer, Kathleen -NP COVERED UNDER FAP Lutheran General and Children's Hospital Fisher, Michael -MD NOT COVERED

Page 132 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Fitzpatrick, Catherine -MD NOT COVERED Lutheran General and Children's Hospital Fitzsimons, Theresa -MD NOT COVERED Lutheran General and Children's Hospital Fleig, Denise -CNS COVERED UNDER FAP Lutheran General and Children's Hospital Flom, Suzanne -MD NOT COVERED Lutheran General and Children's Hospital Flores, Luis -MD NOT COVERED Lutheran General and Children's Hospital Foster, Troy -MD COVERED UNDER FAP Lutheran General and Children's Hospital Fox, Stephanie -PA COVERED UNDER FAP Lutheran General and Children's Hospital Fragen, Michael -MD NOT COVERED Lutheran General and Children's Hospital Francis, Amy -DO COVERED UNDER FAP Lutheran General and Children's Hospital Franzia, Roma -MD NOT COVERED Lutheran General and Children's Hospital Freedman, Abby -MD NOT COVERED Lutheran General and Children's Hospital Frenkel, Irina -NP NOT COVERED Lutheran General and Children's Hospital Furmanov, Sergey -MD NOT COVERED Lutheran General and Children's Hospital Galanopoulos, Alison -MD NOT COVERED Lutheran General and Children's Hospital Galasso, John -MD NOT COVERED Lutheran General and Children's Hospital Galperin, Aleksandr -MD NOT COVERED Lutheran General and Children's Hospital Galvez, Angel -MD COVERED UNDER FAP Lutheran General and Children's Hospital Galvez, Jose -MD NOT COVERED Lutheran General and Children's Hospital Gandhi, Nisarg -MD NOT COVERED Lutheran General and Children's Hospital Ganesan, Rani -MD COVERED UNDER FAP Lutheran General and Children's Hospital Garcia, Judith -MD NOT COVERED Lutheran General and Children's Hospital Garcia-Alvarez, Esperanza -MD COVERED UNDER FAP Lutheran General and Children's Hospital Garcia-Gonzalez, Jose -MD NOT COVERED Lutheran General and Children's Hospital Garcia-Valenzuela, Enrique -MD NOT COVERED Lutheran General and Children's Hospital Garibashvili, Konstantin -MD NOT COVERED Lutheran General and Children's Hospital Garoon, Ira -MD NOT COVERED Lutheran General and Children's Hospital Garoon, Robert -MD NOT COVERED Lutheran General and Children's Hospital Garrett, Jonathan -PA NOT COVERED Lutheran General and Children's Hospital Gaupp, Abraham -MD NOT COVERED Lutheran General and Children's Hospital Geismar, Deborah -MD NOT COVERED Lutheran General and Children's Hospital Geleske, Timothy -MD NOT COVERED Lutheran General and Children's Hospital Geller, Steven -MD NOT COVERED Lutheran General and Children's Hospital Gelyana, Dennis -MD NOT COVERED Lutheran General and Children's Hospital George, Jeffrey -DO COVERED UNDER FAP Lutheran General and Children's Hospital George, Juliet -NP COVERED UNDER FAP Lutheran General and Children's Hospital George, Regeni -MD NOT COVERED Lutheran General and Children's Hospital Georgemiller, Whyte & Associates NOT COVERED Lutheran General and Children's Hospital Geraghty, Scott -MD COVERED UNDER FAP Lutheran General and Children's Hospital Gerber, Gail -MD NOT COVERED Lutheran General and Children's Hospital Geremia, Glen -MD NOT COVERED Lutheran General and Children's Hospital Gerena, Davida -MD NOT COVERED Lutheran General and Children's Hospital Gericare, Ltd NOT COVERED Lutheran General and Children's Hospital Ghadiali, Quraish -MD NOT COVERED Lutheran General and Children's Hospital Ghai, Aashima -DO COVERED UNDER FAP Lutheran General and Children's Hospital Ghai, Kanika -MD COVERED UNDER FAP Lutheran General and Children's Hospital Gharpure, Varsha -MD COVERED UNDER FAP Lutheran General and Children's Hospital GI Solutions of Illinois, LLC NOT COVERED Lutheran General and Children's Hospital Gianakakos, Anastasia -MD COVERED UNDER FAP Lutheran General and Children's Hospital Giese, Sheryl -NP NOT COVERED Lutheran General and Children's Hospital Gillespie, Kevin -CRNA NOT COVERED Lutheran General and Children's Hospital Gingrich, Sharron -NP NOT COVERED Lutheran General and Children's Hospital Giovannetti, Mark -MD NOT COVERED Lutheran General and Children's Hospital Gitelman, Darren -MD COVERED UNDER FAP Lutheran General and Children's Hospital Gleason, Thomas -MD NOT COVERED Lutheran General and Children's Hospital Glen Medical Associates NOT COVERED Lutheran General and Children's Hospital Global Health Care, SC NOT COVERED Lutheran General and Children's Hospital Global Podiatry NOT COVERED Lutheran General and Children's Hospital Glon, Daniel -NP COVERED UNDER FAP

Page 133 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Gluckman, Gordon -MD NOT COVERED Lutheran General and Children's Hospital Godfrey, Teresa -NP COVERED UNDER FAP Lutheran General and Children's Hospital Goel, Smriti -MD NOT COVERED Lutheran General and Children's Hospital Golan, Elchanan -MD NOT COVERED Lutheran General and Children's Hospital Goldberg, Julie -MD NOT COVERED Lutheran General and Children's Hospital Goldberg, Marni -MD COVERED UNDER FAP Lutheran General and Children's Hospital Goldin, Alexander -MD NOT COVERED Lutheran General and Children's Hospital Goldman, Samuel -MD NOT COVERED Lutheran General and Children's Hospital Goldman, Stuart -MD NOT COVERED Lutheran General and Children's Hospital Goldstein, Jeffrey -MD NOT COVERED Lutheran General and Children's Hospital Goldstein, Jordan -MD NOT COVERED Lutheran General and Children's Hospital Goldstein, Paul -MD NOT COVERED Lutheran General and Children's Hospital Goldstein, Samuel -MD COVERED UNDER FAP Lutheran General and Children's Hospital Goldstein, Wayne -MD NOT COVERED Lutheran General and Children's Hospital Goldvekht, Irina -DO NOT COVERED Lutheran General and Children's Hospital Golf Mill Medical Center, Ltd NOT COVERED Lutheran General and Children's Hospital Golf Western Surgical Specialist NOT COVERED Lutheran General and Children's Hospital Gomez, Blake -NP COVERED UNDER FAP Lutheran General and Children's Hospital Goni, Michelle -MD NOT COVERED Lutheran General and Children's Hospital Gonzalez, Dawn -NP COVERED UNDER FAP Lutheran General and Children's Hospital Gonzalez, Miguel Gudelio -MD NOT COVERED Lutheran General and Children's Hospital Goodell, William -MD COVERED UNDER FAP Lutheran General and Children's Hospital Gordon, Alexander -MD NOT COVERED Lutheran General and Children's Hospital Gordon, Cynthia -MD NOT COVERED Lutheran General and Children's Hospital Gorla, Kiranmai -MD COVERED UNDER FAP Lutheran General and Children's Hospital Goyal, Vinod -MD NOT COVERED Lutheran General and Children's Hospital Grabiner, Fred -MD NOT COVERED Lutheran General and Children's Hospital Grady, Kristine -CRNA NOT COVERED Lutheran General and Children's Hospital Graham, Adam -MD NOT COVERED Lutheran General and Children's Hospital Graham, Alan -PhD NOT COVERED Lutheran General and Children's Hospital Graham, Carol -MD COVERED UNDER FAP Lutheran General and Children's Hospital Graham, Neil -MD NOT COVERED Lutheran General and Children's Hospital Grande, Anthony -MD NOT COVERED Lutheran General and Children's Hospital Grandinetti, Debora -MD NOT COVERED Lutheran General and Children's Hospital Grandinetti, Philip -MD NOT COVERED Lutheran General and Children's Hospital Gravdal, Judith -MD COVERED UNDER FAP Lutheran General and Children's Hospital Grayslake Medical Group, LLC NOT COVERED Lutheran General and Children's Hospital Grear, Michael -MD NOT COVERED Lutheran General and Children's Hospital Greater Elgin Family Care Center NOT COVERED Lutheran General and Children's Hospital Green, Keren -NP COVERED UNDER FAP Lutheran General and Children's Hospital Greene, Ryan -MD COVERED UNDER FAP Lutheran General and Children's Hospital Greening, Heidi -DO COVERED UNDER FAP Lutheran General and Children's Hospital Greenspahn, Bruce -MD COVERED UNDER FAP Lutheran General and Children's Hospital Greising, Michael -MD NOT COVERED Lutheran General and Children's Hospital Gries, Patrick -MD COVERED UNDER FAP Lutheran General and Children's Hospital Griffith, Carissa -PA NOT COVERED Lutheran General and Children's Hospital Grinblatt, Jeffrey -MD NOT COVERED Lutheran General and Children's Hospital Griza, Carmen -MD NOT COVERED Lutheran General and Children's Hospital Groboski, Michelle -MD COVERED UNDER FAP Lutheran General and Children's Hospital Grosdidier, Maureen -MD COVERED UNDER FAP Lutheran General and Children's Hospital Grossman, Lisa -CNM NOT COVERED Lutheran General and Children's Hospital Groves, Anne -MD COVERED UNDER FAP Lutheran General and Children's Hospital Guardi, Jodie -NP COVERED UNDER FAP Lutheran General and Children's Hospital Guenther, Mary -MD COVERED UNDER FAP Lutheran General and Children's Hospital Guevara, Mary Jennelle -NP NOT COVERED Lutheran General and Children's Hospital Guidi, Joseph -DO COVERED UNDER FAP Lutheran General and Children's Hospital Gunasekaran, Thirumazhisai -MD COVERED UNDER FAP Lutheran General and Children's Hospital Gunter, Ashley -MD NOT COVERED

Page 134 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Gupta, Renu -MD COVERED UNDER FAP Lutheran General and Children's Hospital Gupta, Suraj -MD NOT COVERED Lutheran General and Children's Hospital Gusswein, Amanda -NP COVERED UNDER FAP Lutheran General and Children's Hospital Gutman, Inna -MD COVERED UNDER FAP Lutheran General and Children's Hospital Habib, Amina -MD COVERED UNDER FAP Lutheran General and Children's Hospital Hagman, Marie -CNS NOT COVERED Lutheran General and Children's Hospital Hahn, Eugenia -MD NOT COVERED Lutheran General and Children's Hospital Haider, Ali -MD NOT COVERED Lutheran General and Children's Hospital Hakhu, Nisha -DO COVERED UNDER FAP Lutheran General and Children's Hospital Hakimian, David -MD NOT COVERED Lutheran General and Children's Hospital Haley, Debra -PhD NOT COVERED Lutheran General and Children's Hospital Halkias, Louis -DDS NOT COVERED Lutheran General and Children's Hospital Hallmeyer, Sigrun -MD COVERED UNDER FAP Lutheran General and Children's Hospital Halpin, Amanda -DO COVERED UNDER FAP Lutheran General and Children's Hospital Hammer, Michael -MD COVERED UNDER FAP Lutheran General and Children's Hospital Hamming, Katherine -MD NOT COVERED Lutheran General and Children's Hospital Han, Tina -MD NOT COVERED Lutheran General and Children's Hospital Hande, Rashmi -MD NOT COVERED Lutheran General and Children's Hospital Hanif, Farhan -MD NOT COVERED Lutheran General and Children's Hospital Hann, Susan -MD NOT COVERED Lutheran General and Children's Hospital Hanna, Akanksha -MD COVERED UNDER FAP Lutheran General and Children's Hospital Hanna, Dima -MD NOT COVERED Lutheran General and Children's Hospital Hanna, Michael -MD NOT COVERED Lutheran General and Children's Hospital Hanna, Michelle -DO COVERED UNDER FAP Lutheran General and Children's Hospital Harnisch, Darin -MD NOT COVERED Lutheran General and Children's Hospital Hart, Kimberley -NP NOT COVERED Lutheran General and Children's Hospital Hartman, Elizabeth -PhD NOT COVERED Lutheran General and Children's Hospital Hartsell, William -MD NOT COVERED Lutheran General and Children's Hospital Hartzen, Marla -MD COVERED UNDER FAP Lutheran General and Children's Hospital Haseeb, Ateeq -MD NOT COVERED Lutheran General and Children's Hospital Hasler, Jenny -MD NOT COVERED Lutheran General and Children's Hospital Hassard, David -MD COVERED UNDER FAP Lutheran General and Children's Hospital Havalad, Vinod -MD COVERED UNDER FAP Lutheran General and Children's Hospital Hawthorne Pediatrics NOT COVERED Lutheran General and Children's Hospital Hayek, Richard -MD NOT COVERED Lutheran General and Children's Hospital He, Theresa -MD COVERED UNDER FAP Lutheran General and Children's Hospital Head & Neck Cosmetic Surgery Associates, Ltd NOT COVERED Lutheran General and Children's Hospital Heal N Cure, SC NOT COVERED Lutheran General and Children's Hospital Health Endeavors, SC NOT COVERED Lutheran General and Children's Hospital Heilbrunn, Benjamin -MD COVERED UNDER FAP Lutheran General and Children's Hospital Hendon, Emily -NP COVERED UNDER FAP Lutheran General and Children's Hospital Heneghan, Mary Kathleen -MD COVERED UNDER FAP Lutheran General and Children's Hospital Hennes, Charmaine -MD NOT COVERED Lutheran General and Children's Hospital Hennes, Jason -MD NOT COVERED Lutheran General and Children's Hospital Hennig, Brian -PA NOT COVERED Lutheran General and Children's Hospital Henschen, Elizabeth -DO COVERED UNDER FAP Lutheran General and Children's Hospital Hensley, Lauren -MD COVERED UNDER FAP Lutheran General and Children's Hospital Herbstman, Burton -MD COVERED UNDER FAP Lutheran General and Children's Hospital Herena, Juan -MD NOT COVERED Lutheran General and Children's Hospital Herman, Gail -MD NOT COVERED Lutheran General and Children's Hospital Herman, Martin -MD NOT COVERED Lutheran General and Children's Hospital Hernaez, Edward -MD NOT COVERED Lutheran General and Children's Hospital Hernandez, Hector -MD COVERED UNDER FAP Lutheran General and Children's Hospital Hersh, Steven -MD COVERED UNDER FAP Lutheran General and Children's Hospital Hertsberg, Anna -MD COVERED UNDER FAP Lutheran General and Children's Hospital Herzmann, Ann -NP COVERED UNDER FAP Lutheran General and Children's Hospital Herzog, Steven -DDS NOT COVERED Lutheran General and Children's Hospital Heydarpour, Kamran -MD NOT COVERED

Page 135 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital HEYER DEVARAPALLI MDSC NOT COVERED Lutheran General and Children's Hospital Hidalgo, Raynelda -MD NOT COVERED Lutheran General and Children's Hospital Higgins, Mary -MD COVERED UNDER FAP Lutheran General and Children's Hospital Higgins, Richard -MD NOT COVERED Lutheran General and Children's Hospital Highland Park Ob-Gyn Associates, Ltd. NOT COVERED Lutheran General and Children's Hospital Hijab, Samina -MD COVERED UNDER FAP Lutheran General and Children's Hospital Hillman, Beth -DO COVERED UNDER FAP Lutheran General and Children's Hospital Hirani, Waheeda -MD NOT COVERED Lutheran General and Children's Hospital Hirsch, Arica -MD NOT COVERED Lutheran General and Children's Hospital Hoang, Vu -MD NOT COVERED Lutheran General and Children's Hospital Hochstadter, Bruce -DDS NOT COVERED Lutheran General and Children's Hospital Hochstadter, Isaacson & Cherny & Assoc NOT COVERED Lutheran General and Children's Hospital Hochstadter, Isaacson, Cherny, Dumanis & Associates NOT COVERED Lutheran General and Children's Hospital Hoffman, Joan -MD COVERED UNDER FAP Lutheran General and Children's Hospital Hollett, Kirsten -MD NOT COVERED Lutheran General and Children's Hospital Holloway, Lori -NP COVERED UNDER FAP Lutheran General and Children's Hospital Holmes, Judith -PhD NOT COVERED Lutheran General and Children's Hospital Holmes, Stevenson & Associates, PhD, PC NOT COVERED Lutheran General and Children's Hospital Holmes, Thomas -MD COVERED UNDER FAP Lutheran General and Children's Hospital Homa, Theodore -MD NOT COVERED Lutheran General and Children's Hospital Hong, Ok Ro -MD NOT COVERED Lutheran General and Children's Hospital Hooberman, Arthur -MD COVERED UNDER FAP Lutheran General and Children's Hospital Hope Med Clinic NOT COVERED Lutheran General and Children's Hospital Howard Klapman, MD, Ltd NOT COVERED Lutheran General and Children's Hospital Howard, John -DO COVERED UNDER FAP Lutheran General and Children's Hospital Hozman, Robert -MD NOT COVERED Lutheran General and Children's Hospital Hozman, Wendy -MD NOT COVERED Lutheran General and Children's Hospital Hruskocy, Michael -MD NOT COVERED Lutheran General and Children's Hospital Hughes, Megan -CNS NOT COVERED Lutheran General and Children's Hospital Huliyar, Radhika -MD NOT COVERED Lutheran General and Children's Hospital Hunnell, Laura -PA COVERED UNDER FAP Lutheran General and Children's Hospital Hyun, Jae -MD NOT COVERED Lutheran General and Children's Hospital Iannucci, Thomas -MD COVERED UNDER FAP Lutheran General and Children's Hospital Ikramuddin, Mohammad -MD COVERED UNDER FAP Lutheran General and Children's Hospital Illinois Bone & Joint - Glenview NOT COVERED Lutheran General and Children's Hospital Illinois Bone & Joint Institute NOT COVERED Lutheran General and Children's Hospital Illinois Bone & Joint Institute LLC NOT COVERED Lutheran General and Children's Hospital Illinois Cancer Specialists NOT COVERED Lutheran General and Children's Hospital Illinois Dermatology Institute, LLC NOT COVERED Lutheran General and Children's Hospital Illinois Gastroenterology Group, LLC NOT COVERED Lutheran General and Children's Hospital Illinois Professionals Health Program, LLC NOT COVERED Lutheran General and Children's Hospital Illinois Urogynecology, Ltd NOT COVERED Lutheran General and Children's Hospital Im, Lorna -MD NOT COVERED Lutheran General and Children's Hospital Indu M. Vence MD, SC NOT COVERED Lutheran General and Children's Hospital Integrated Imaging Consultants, LLC NOT COVERED Lutheran General and Children's Hospital InVia Fertility NOT COVERED Lutheran General and Children's Hospital Isaacson, Richard -DDS NOT COVERED Lutheran General and Children's Hospital Ishkhan, Khachig -MD NOT COVERED Lutheran General and Children's Hospital Islam, Sherazad -MD NOT COVERED Lutheran General and Children's Hospital Iusco, Arcangelo -MD NOT COVERED Lutheran General and Children's Hospital J. Keith Lemmon, MD, SC NOT COVERED Lutheran General and Children's Hospital Jackowski, Mariola -MD NOT COVERED Lutheran General and Children's Hospital Jacobs, Chad -MD COVERED UNDER FAP Lutheran General and Children's Hospital Jacobs, Jeffrey -MD NOT COVERED Lutheran General and Children's Hospital Jacobs, Nekaiya -MD COVERED UNDER FAP Lutheran General and Children's Hospital Jagielo, Ted -MD NOT COVERED Lutheran General and Children's Hospital Jahedi, Sogol -MD NOT COVERED Lutheran General and Children's Hospital Jamerson, Christopher -MD COVERED UNDER FAP

Page 136 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital James, Edward -MD COVERED UNDER FAP Lutheran General and Children's Hospital Jankelowitz, Larry -MD NOT COVERED Lutheran General and Children's Hospital Jasenof, Ian -MD NOT COVERED Lutheran General and Children's Hospital Jasmine Wang Chao, DO Ltd. NOT COVERED Lutheran General and Children's Hospital Jean Shlyak, MD, PC NOT COVERED Lutheran General and Children's Hospital Jefferson, Agatha -NP COVERED UNDER FAP Lutheran General and Children's Hospital Jimenez, Matthew -MD NOT COVERED Lutheran General and Children's Hospital Jipping, Victoria -NP COVERED UNDER FAP Lutheran General and Children's Hospital Jirschele, Kelly -DO NOT COVERED Lutheran General and Children's Hospital Joglekar, Shilpa -MD NOT COVERED Lutheran General and Children's Hospital John David McKenzie, MD, SC NOT COVERED Lutheran General and Children's Hospital John Oh, MD S.C. NOT COVERED Lutheran General and Children's Hospital John V. White, MD, FACS NOT COVERED Lutheran General and Children's Hospital John, Rahel -MD NOT COVERED Lutheran General and Children's Hospital Johnson, Deborah -CNM NOT COVERED Lutheran General and Children's Hospital Johnson, Jonathan -MD NOT COVERED Lutheran General and Children's Hospital Johnson, Peter -MD NOT COVERED Lutheran General and Children's Hospital Johnson, Susan -NP COVERED UNDER FAP Lutheran General and Children's Hospital Jones, Brian -MD COVERED UNDER FAP Lutheran General and Children's Hospital Joob, Axel -MD COVERED UNDER FAP Lutheran General and Children's Hospital Jose M. Galvez, MD, Ltd NOT COVERED Lutheran General and Children's Hospital Joseph, Simi -NP NOT COVERED Lutheran General and Children's Hospital Joshipura, Sheetal -MD COVERED UNDER FAP Lutheran General and Children's Hospital Joyce, Cathy Lynn -MD COVERED UNDER FAP Lutheran General and Children's Hospital Joyce, John -MD NOT COVERED Lutheran General and Children's Hospital Jun, David -MD NOT COVERED Lutheran General and Children's Hospital Juscinska, Agnieszka -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kagan, Tatyana -MD NOT COVERED Lutheran General and Children's Hospital Kaiser, Pamela -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kaissar, Guy -MD NOT COVERED Lutheran General and Children's Hospital Kalakota, Kapila -MD NOT COVERED Lutheran General and Children's Hospital Kalejs, Heather -MD NOT COVERED Lutheran General and Children's Hospital Kammerer, Warren -MD NOT COVERED Lutheran General and Children's Hospital Kampas, Leah -PA NOT COVERED Lutheran General and Children's Hospital Kanaloupitis, Dimitra -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kaner, Dina -MD NOT COVERED Lutheran General and Children's Hospital Kanev, Leo -MD NOT COVERED Lutheran General and Children's Hospital Kang, Christina -CRNA NOT COVERED Lutheran General and Children's Hospital Kang, Evan -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kania, Agnieszka -MD NOT COVERED Lutheran General and Children's Hospital Kantoris, Deborah -CNS NOT COVERED Lutheran General and Children's Hospital Kaplan, Bruce -MD NOT COVERED Lutheran General and Children's Hospital Kaplan, Edward -MD NOT COVERED Lutheran General and Children's Hospital Kaplan, Richard -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kaplinsky, Robert -MD NOT COVERED Lutheran General and Children's Hospital Kapustka, Eric -MD NOT COVERED Lutheran General and Children's Hospital Karaman, Wanda -MD COVERED UNDER FAP Lutheran General and Children's Hospital Karides, Mark -MD NOT COVERED Lutheran General and Children's Hospital Katib, Omar -MD NOT COVERED Lutheran General and Children's Hospital Katsamakis, Constantine -DO NOT COVERED Lutheran General and Children's Hospital Katsoulis, Michael -DO NOT COVERED Lutheran General and Children's Hospital Katsoyannis, Katherine -MD NOT COVERED Lutheran General and Children's Hospital Katz, James -MD NOT COVERED Lutheran General and Children's Hospital Kawasaki, Raymond -MD COVERED UNDER FAP Lutheran General and Children's Hospital Keigher, Kiffon -NP COVERED UNDER FAP Lutheran General and Children's Hospital Keller, James -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kellogg, Robert -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kelly, Leo -MD NOT COVERED

Page 137 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Kenneally, Claire -MD NOT COVERED Lutheran General and Children's Hospital Kent Shinozaki, DDS PC DBA Northpoint Oral Surgery NOT COVERED Lutheran General and Children's Hospital Khalil, Sofia -MD COVERED UNDER FAP Lutheran General and Children's Hospital Khan, Akber -MD NOT COVERED Lutheran General and Children's Hospital Khan, Mahjabeen -MD NOT COVERED Lutheran General and Children's Hospital Khan, Nadia -MD COVERED UNDER FAP Lutheran General and Children's Hospital Khapekar, Rahul -DO COVERED UNDER FAP Lutheran General and Children's Hospital Khipple, Sheilendr -MD NOT COVERED Lutheran General and Children's Hospital Khorsand, Joubin -MD NOT COVERED Lutheran General and Children's Hospital Kibrit, Gabriel -MD NOT COVERED Lutheran General and Children's Hospital Kidiwala, Nilofer -DO COVERED UNDER FAP Lutheran General and Children's Hospital Kiehn, Katherine -LCPC NOT COVERED Lutheran General and Children's Hospital Kim, Bryan -MD NOT COVERED Lutheran General and Children's Hospital Kim, Eugene -MD NOT COVERED Lutheran General and Children's Hospital Kim, Jenny -MD NOT COVERED Lutheran General and Children's Hospital Kim, Kyung -MD NOT COVERED Lutheran General and Children's Hospital Kim, Lisa -MD NOT COVERED Lutheran General and Children's Hospital Kim, Mike -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kim, Oliver -MD NOT COVERED Lutheran General and Children's Hospital Kim, Pu -MD NOT COVERED Lutheran General and Children's Hospital Kim, Sun-Bum -MD NOT COVERED Lutheran General and Children's Hospital Kim, Teresa -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kinzer, John -MD NOT COVERED Lutheran General and Children's Hospital Kirill Zhadovich, MD, SC NOT COVERED Lutheran General and Children's Hospital Kirschner, Greg -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kitlas, Roland -MD NOT COVERED Lutheran General and Children's Hospital Klapman, Howard -MD NOT COVERED Lutheran General and Children's Hospital Klassman, Lynn -CNS NOT COVERED Lutheran General and Children's Hospital Kleiman, Adina -PhD NOT COVERED Lutheran General and Children's Hospital Klein, Elizabeth -MD NOT COVERED Lutheran General and Children's Hospital Klein, Joel -MD NOT COVERED Lutheran General and Children's Hospital Klein, Leonard -MD NOT COVERED Lutheran General and Children's Hospital Kleinman, Marlon -MD NOT COVERED Lutheran General and Children's Hospital Klemine, Lubov -MD NOT COVERED Lutheran General and Children's Hospital Klich, Janice -MD NOT COVERED Lutheran General and Children's Hospital Klipstein, Sigal -MD NOT COVERED Lutheran General and Children's Hospital Knauss, Cathleen -NP NOT COVERED Lutheran General and Children's Hospital Kniaz, Daniel -MD NOT COVERED Lutheran General and Children's Hospital Knight, Tina -PA NOT COVERED Lutheran General and Children's Hospital Knisley, Jeffrey -MD COVERED UNDER FAP Lutheran General and Children's Hospital Knuth, Albert -MD NOT COVERED Lutheran General and Children's Hospital Ko, Jennifer -MD NOT COVERED Lutheran General and Children's Hospital Kobler, Kathleen -CNS NOT COVERED Lutheran General and Children's Hospital Kochanek, Malgorzata -MD NOT COVERED Lutheran General and Children's Hospital Kochar, Kunal -MD NOT COVERED Lutheran General and Children's Hospital Kogan, Jillene -MD NOT COVERED Lutheran General and Children's Hospital Koh, Chung Kay -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kolomeyevskaya, Nonna -MD COVERED UNDER FAP Lutheran General and Children's Hospital Konieczny, Margaret -NP COVERED UNDER FAP Lutheran General and Children's Hospital Koo, Kevin -MD COVERED UNDER FAP Lutheran General and Children's Hospital Koperdowski, Anna -CNS NOT COVERED Lutheran General and Children's Hospital Kopparthi, Rom Mohan -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kordas, Bernadeta -MD NOT COVERED Lutheran General and Children's Hospital Korsvik-Wysocki, Holly -MD NOT COVERED Lutheran General and Children's Hospital Kos, Liborka -MD COVERED UNDER FAP Lutheran General and Children's Hospital Koss, Robert -MD NOT COVERED Lutheran General and Children's Hospital Kothari, Ami -MD NOT COVERED Lutheran General and Children's Hospital Kowalczyk-Budziakowska, Beata -MD NOT COVERED

Page 138 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Koziol, Julia -PA NOT COVERED Lutheran General and Children's Hospital Koziol, Mariusz -MD NOT COVERED Lutheran General and Children's Hospital Kragt, Joel -MD NOT COVERED Lutheran General and Children's Hospital Kramer, Andrea -MD NOT COVERED Lutheran General and Children's Hospital Kravis, Dean -MD NOT COVERED Lutheran General and Children's Hospital Kravtchenko, Svetlana -MD COVERED UNDER FAP Lutheran General and Children's Hospital Krawzak, Kathleen -NP COVERED UNDER FAP Lutheran General and Children's Hospital Kritikos, Eleni -NP NOT COVERED Lutheran General and Children's Hospital Krive, Marianna -DO COVERED UNDER FAP Lutheran General and Children's Hospital Kroin, Veronika -MD NOT COVERED Lutheran General and Children's Hospital Krueger, Eric -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kruger, Tracy -NP NOT COVERED Lutheran General and Children's Hospital Kuder, Miroslawa -MD NOT COVERED Lutheran General and Children's Hospital Kuder, Paul -MD NOT COVERED Lutheran General and Children's Hospital Kulikowski, Jenna -NP COVERED UNDER FAP Lutheran General and Children's Hospital Kul-Lipski, Eleonora -MD NOT COVERED Lutheran General and Children's Hospital Kumar, Shashi -MD NOT COVERED Lutheran General and Children's Hospital Kupriyenko, Lidiya -MD COVERED UNDER FAP Lutheran General and Children's Hospital Kuptel, Irma -MD NOT COVERED Lutheran General and Children's Hospital Kurzydlowski, Henry -MD NOT COVERED Lutheran General and Children's Hospital Kushner, David -DO COVERED UNDER FAP Lutheran General and Children's Hospital Kuttab, H. Johnny -DDS NOT COVERED Lutheran General and Children's Hospital L.M. Prasad, MD, SC NOT COVERED Lutheran General and Children's Hospital La Rosa, Maria -NP COVERED UNDER FAP Lutheran General and Children's Hospital LaBarge, Ann -MD NOT COVERED Lutheran General and Children's Hospital Lacey, Robin -PhD NOT COVERED Lutheran General and Children's Hospital Ladendorf, Keith -PA NOT COVERED Lutheran General and Children's Hospital Lage, Kevin -NP NOT COVERED Lutheran General and Children's Hospital Lakani, Elizabeth -NP COVERED UNDER FAP Lutheran General and Children's Hospital Lake Cook Neurological Consultants, SC NOT COVERED Lutheran General and Children's Hospital Lakeshore Gastroenterology & Liver Disease Institute, SC NOT COVERED Lutheran General and Children's Hospital Lakeview Family Doctors NOT COVERED Lutheran General and Children's Hospital Lakha, Asif -MD COVERED UNDER FAP Lutheran General and Children's Hospital Lall, Ajay -MD NOT COVERED Lutheran General and Children's Hospital Lamb, Jeremy -PA COVERED UNDER FAP Lutheran General and Children's Hospital Landers, Catherine -MD NOT COVERED Lutheran General and Children's Hospital Landre, Nancy -PhD NOT COVERED Lutheran General and Children's Hospital Laskoe, Barry -DO COVERED UNDER FAP Lutheran General and Children's Hospital Lauber, Martha -PhD NOT COVERED Lutheran General and Children's Hospital Launer, Stephanie -PsyD NOT COVERED Lutheran General and Children's Hospital Laura M. Shea DPM Podiatry Services NOT COVERED Lutheran General and Children's Hospital Laurent, Elisa -MD NOT COVERED Lutheran General and Children's Hospital LaVaccare, John -MD NOT COVERED Lutheran General and Children's Hospital Laven, Rachel -DO COVERED UNDER FAP Lutheran General and Children's Hospital Lawhun, Michele -MD NOT COVERED Lutheran General and Children's Hospital Lawrence M. Kaufman, MD PhD SC NOT COVERED Lutheran General and Children's Hospital Layland, Michael -MD NOT COVERED Lutheran General and Children's Hospital Lazar, Daniel -MD COVERED UNDER FAP Lutheran General and Children's Hospital Lazaro, Kenneth -NP COVERED UNDER FAP Lutheran General and Children's Hospital League, Alan -MD NOT COVERED Lutheran General and Children's Hospital Lebioda, Agata -MD NOT COVERED Lutheran General and Children's Hospital Lechner, Alison -DO NOT COVERED Lutheran General and Children's Hospital Lee Holmes, Carissa -MD NOT COVERED Lutheran General and Children's Hospital Lee, Chloe -DO NOT COVERED Lutheran General and Children's Hospital Lee, Edward -MD NOT COVERED Lutheran General and Children's Hospital Lee, Heather -NP NOT COVERED Lutheran General and Children's Hospital Lee, Hyemin -NP COVERED UNDER FAP Lutheran General and Children's Hospital Lee, Justin -PA NOT COVERED

Page 139 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Lee, Ronald -MD NOT COVERED Lutheran General and Children's Hospital Lees, Dania -MD COVERED UNDER FAP Lutheran General and Children's Hospital Leishman, Lisa -MD NOT COVERED Lutheran General and Children's Hospital Lelchuk, Boris -MD NOT COVERED Lutheran General and Children's Hospital Lemmon, J. -MD NOT COVERED Lutheran General and Children's Hospital Lenon, Angela -MD COVERED UNDER FAP Lutheran General and Children's Hospital Lenzen, Christine -NP NOT COVERED Lutheran General and Children's Hospital Lerum, Erica -NP COVERED UNDER FAP Lutheran General and Children's Hospital Lestingi, Timothy -MD COVERED UNDER FAP Lutheran General and Children's Hospital Leszczak, Jaroslaw -MD NOT COVERED Lutheran General and Children's Hospital Lev, Andrey -MD NOT COVERED Lutheran General and Children's Hospital Levin, Geoffrey -MD COVERED UNDER FAP Lutheran General and Children's Hospital Levis, Eryn -MD NOT COVERED Lutheran General and Children's Hospital Levitin, Valeria -MD NOT COVERED Lutheran General and Children's Hospital Levy, Mark -MD NOT COVERED Lutheran General and Children's Hospital Lewandowska, Karolina -NP NOT COVERED Lutheran General and Children's Hospital Lewandowski, Susanne -PA NOT COVERED Lutheran General and Children's Hospital Lewis, Joanna -MD COVERED UNDER FAP Lutheran General and Children's Hospital Li, Ningjing -MD NOT COVERED Lutheran General and Children's Hospital Li, Terrence -MD COVERED UNDER FAP Lutheran General and Children's Hospital Lichtenberg, Victor -DO NOT COVERED Lutheran General and Children's Hospital Life Medical, SC NOT COVERED Lutheran General and Children's Hospital Lindberg, Peder -MD COVERED UNDER FAP Lutheran General and Children's Hospital Lindell, Joanna -DO COVERED UNDER FAP Lutheran General and Children's Hospital Lipman, Michelle -MD NOT COVERED Lutheran General and Children's Hospital Lis, Susan -MD COVERED UNDER FAP Lutheran General and Children's Hospital Lisa Kim Medical Associates, S.C. NOT COVERED Lutheran General and Children's Hospital Liyanapatabendi, Chool -MD NOT COVERED Lutheran General and Children's Hospital Lloyd-Harris, Jennifer -MD NOT COVERED Lutheran General and Children's Hospital Lo Duca, Procopio -MD NOT COVERED Lutheran General and Children's Hospital LoBianco, Brooke -NP COVERED UNDER FAP Lutheran General and Children's Hospital Locker, Brian -MD NOT COVERED Lutheran General and Children's Hospital Loeff, Deborah -MD COVERED UNDER FAP Lutheran General and Children's Hospital Loehrke Sichhart, Lisa -DO NOT COVERED Lutheran General and Children's Hospital Loghmanee, Darius -MD COVERED UNDER FAP Lutheran General and Children's Hospital Loj, Jadwiga -MD COVERED UNDER FAP Lutheran General and Children's Hospital Lojewski, Blazej -MD NOT COVERED Lutheran General and Children's Hospital Lojewski, Elzbieta -MD NOT COVERED Lutheran General and Children's Hospital Loly, Carla -MD NOT COVERED Lutheran General and Children's Hospital Lombard, Emily -DO NOT COVERED Lutheran General and Children's Hospital Longo, Robert -MD NOT COVERED Lutheran General and Children's Hospital Lopata, Linda -MD NOT COVERED Lutheran General and Children's Hospital Lopata, Randee -MD NOT COVERED Lutheran General and Children's Hospital Lopes, Demetrius -MD COVERED UNDER FAP Lutheran General and Children's Hospital Loren S. Schechter, MD, SC, LTD NOT COVERED Lutheran General and Children's Hospital Lott, Melisa -DO COVERED UNDER FAP Lutheran General and Children's Hospital Loutrianakis, Emmanuel -MD NOT COVERED Lutheran General and Children's Hospital Lovett, Jeanne -MD COVERED UNDER FAP Lutheran General and Children's Hospital Lucas, Paul -DPM NOT COVERED Lutheran General and Children's Hospital Luke, Guillermina -PA NOT COVERED Lutheran General and Children's Hospital Lundblad, Kristin -MD NOT COVERED Lutheran General and Children's Hospital Lundquist, Cole -MD NOT COVERED Lutheran General and Children's Hospital Lutheran General Hospital - Medical Cardiac ICU NOT COVERED Lutheran General and Children's Hospital Lutrin, Frank -MD NOT COVERED Lutheran General and Children's Hospital Lygizos, Nicholas -MD NOT COVERED Lutheran General and Children's Hospital Lykowski, Tara -PA NOT COVERED Lutheran General and Children's Hospital Lyle, Cynthia -MD NOT COVERED Lutheran General and Children's Hospital Lyon, John -MD NOT COVERED

Page 140 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital MacDougall, Andrew -DO COVERED UNDER FAP Lutheran General and Children's Hospital MacFarlane, Patricia -MD NOT COVERED Lutheran General and Children's Hospital Maciorowski, Helen -MD NOT COVERED Lutheran General and Children's Hospital Mack, Susan -NP COVERED UNDER FAP Lutheran General and Children's Hospital Macklis, Jason -MD COVERED UNDER FAP Lutheran General and Children's Hospital Mahdavian, Mani -MD NOT COVERED Lutheran General and Children's Hospital Mahr, Christopher -MD NOT COVERED Lutheran General and Children's Hospital Maine Ridge Medical Associates Ltd. NOT COVERED Lutheran General and Children's Hospital Majcher, Catherine -NP NOT COVERED Lutheran General and Children's Hospital Mak, Grace -MD COVERED UNDER FAP Lutheran General and Children's Hospital Makovetskaia, Marina -NP NOT COVERED Lutheran General and Children's Hospital Malhotra, Meena -MD NOT COVERED Lutheran General and Children's Hospital Malhotra, Rajat -MD NOT COVERED Lutheran General and Children's Hospital Malk, Craig -MD NOT COVERED Lutheran General and Children's Hospital Malko, Marek -MD NOT COVERED Lutheran General and Children's Hospital Mandelaris, George -DDS NOT COVERED Lutheran General and Children's Hospital Mandrea, Steven -MD NOT COVERED Lutheran General and Children's Hospital Manogura, Sandra -NP COVERED UNDER FAP Lutheran General and Children's Hospital Manta, Cristina -MD COVERED UNDER FAP Lutheran General and Children's Hospital Maramreddy, Sailaja -MD NOT COVERED Lutheran General and Children's Hospital March, Anthony -DO COVERED UNDER FAP Lutheran General and Children's Hospital Marcus, Wendi -MD NOT COVERED Lutheran General and Children's Hospital Mardjetko, Steven -MD NOT COVERED Lutheran General and Children's Hospital Marecik, Slawomir -MD NOT COVERED Lutheran General and Children's Hospital Marinelli, Melissa -MD COVERED UNDER FAP Lutheran General and Children's Hospital Marinov, Marin -MD COVERED UNDER FAP Lutheran General and Children's Hospital Mark Allan Berk, MD, SC NOT COVERED Lutheran General and Children's Hospital Mark E. Neamand, DPM, PC NOT COVERED Lutheran General and Children's Hospital Markowitz, Phillip -DO NOT COVERED Lutheran General and Children's Hospital Martha M. Lauber, PhD NOT COVERED Lutheran General and Children's Hospital Martinez, Hector -PA COVERED UNDER FAP Lutheran General and Children's Hospital Martini, Annette -MD NOT COVERED Lutheran General and Children's Hospital Maslo, Robert -MD NOT COVERED Lutheran General and Children's Hospital Mastny, Ava -MD NOT COVERED Lutheran General and Children's Hospital Mattone-Volpe, Francesca -MD NOT COVERED Lutheran General and Children's Hospital Mau, Jean -CNS NOT COVERED Lutheran General and Children's Hospital Mayer, Bernadette -MD NOT COVERED Lutheran General and Children's Hospital Mayer, Robert -MD NOT COVERED Lutheran General and Children's Hospital McCall, Brian -MD NOT COVERED Lutheran General and Children's Hospital McCann, Christina -NP COVERED UNDER FAP Lutheran General and Children's Hospital McClintock, Kelly -NP COVERED UNDER FAP Lutheran General and Children's Hospital McCoy, Ryan -MD NOT COVERED Lutheran General and Children's Hospital McCune, Kevin -MD COVERED UNDER FAP Lutheran General and Children's Hospital McGrath, Megan -MD NOT COVERED Lutheran General and Children's Hospital McGuire, Birgitta -MD NOT COVERED Lutheran General and Children's Hospital McKenzie, John -MD NOT COVERED Lutheran General and Children's Hospital Me and My Doctor NOT COVERED Lutheran General and Children's Hospital Med-Pol S.C. NOT COVERED Lutheran General and Children's Hospital Megally, Mahfouz Fouad -MD NOT COVERED Lutheran General and Children's Hospital Mehra, Suwan -MD COVERED UNDER FAP Lutheran General and Children's Hospital Mehta, Elisabeth -MD NOT COVERED Lutheran General and Children's Hospital Melnick, Michael -MD COVERED UNDER FAP Lutheran General and Children's Hospital Memmel Mitidiero, Heidi -MD COVERED UNDER FAP Lutheran General and Children's Hospital Mendelsberg, Michal -NP COVERED UNDER FAP Lutheran General and Children's Hospital Mendez, Carolyn -NP COVERED UNDER FAP Lutheran General and Children's Hospital Mendez, Leticia -NP COVERED UNDER FAP Lutheran General and Children's Hospital Mercado, Alvaro -MD NOT COVERED Lutheran General and Children's Hospital Merel, Nina -MD NOT COVERED

Page 141 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Messersmith, Richard -MD NOT COVERED Lutheran General and Children's Hospital Metro Chicago Surgical Oncology LLC NOT COVERED Lutheran General and Children's Hospital Metro Family Practice, SC NOT COVERED Lutheran General and Children's Hospital Meyer, Eric -MD NOT COVERED Lutheran General and Children's Hospital Meyer, Scott -MD NOT COVERED Lutheran General and Children's Hospital Meyers, Sanford -MD NOT COVERED Lutheran General and Children's Hospital Michael J. Athans, PhD and Associates NOT COVERED Lutheran General and Children's Hospital Michael, Alexander -MD NOT COVERED Lutheran General and Children's Hospital Michael, Belmina -MD NOT COVERED Lutheran General and Children's Hospital Michael, John -MD NOT COVERED Lutheran General and Children's Hospital Michaels, Eli -MD NOT COVERED Lutheran General and Children's Hospital Midwest Anesthesia Partners NOT COVERED Lutheran General and Children's Hospital Midwest Anesthesia Partners, LLC NOT COVERED Lutheran General and Children's Hospital Midwest Anesthesia Partners, Ltd NOT COVERED Lutheran General and Children's Hospital Midwest Anesthesiologists, Ltd NOT COVERED Lutheran General and Children's Hospital Midwest Center for Women's HealthCare, Ltd NOT COVERED Lutheran General and Children's Hospital Midwest Diagnostic Pathology, SC NOT COVERED Lutheran General and Children's Hospital Midwest Geriatrics, LLC NOT COVERED Lutheran General and Children's Hospital Midwest Glaucoma Center, PC NOT COVERED Lutheran General and Children's Hospital Midwest OB/GYN & Midwifery NOT COVERED Lutheran General and Children's Hospital Midwest Retina Consultants, SC NOT COVERED Lutheran General and Children's Hospital Midwest Vein Consultants NOT COVERED Lutheran General and Children's Hospital Mihalov, Michael -MD NOT COVERED Lutheran General and Children's Hospital Mikesell, Timothy -DO COVERED UNDER FAP Lutheran General and Children's Hospital Mikhael, Mark -MD NOT COVERED Lutheran General and Children's Hospital Mikos, Anna -CNM NOT COVERED Lutheran General and Children's Hospital Miller Foot Centers NOT COVERED Lutheran General and Children's Hospital Miller Foot Clinic NOT COVERED Lutheran General and Children's Hospital Miller, Charles -MD NOT COVERED Lutheran General and Children's Hospital Miller, Daniel -MD NOT COVERED Lutheran General and Children's Hospital Miller, Frederick -DPM NOT COVERED Lutheran General and Children's Hospital Miller, Kenneth -MD NOT COVERED Lutheran General and Children's Hospital Miller, Mark -MD NOT COVERED Lutheran General and Children's Hospital Miller, Robert -MD NOT COVERED Lutheran General and Children's Hospital Miller, Scott -MD COVERED UNDER FAP Lutheran General and Children's Hospital Miller, William -MD NOT COVERED Lutheran General and Children's Hospital Mindrut, Madalina -MD COVERED UNDER FAP Lutheran General and Children's Hospital Miner, Amy -NP COVERED UNDER FAP Lutheran General and Children's Hospital Minev, Evgueni -MD NOT COVERED Lutheran General and Children's Hospital Mirchandani, Preeti -DO NOT COVERED Lutheran General and Children's Hospital Miroi, Roxana -MD COVERED UNDER FAP Lutheran General and Children's Hospital Mirza, Irfan -MD NOT COVERED Lutheran General and Children's Hospital Missygar, Joanna -PA NOT COVERED Lutheran General and Children's Hospital Miszczyszyn, Bogusia -CRNA NOT COVERED Lutheran General and Children's Hospital Mitrano, Amy -PA COVERED UNDER FAP Lutheran General and Children's Hospital Mittelman, David -MD NOT COVERED Lutheran General and Children's Hospital Modi, Rahul -MD COVERED UNDER FAP Lutheran General and Children's Hospital Moen, Michael -MD NOT COVERED Lutheran General and Children's Hospital Mohammad Abtahi, MD NOT COVERED Lutheran General and Children's Hospital Mohammed, Abdul -MD COVERED UNDER FAP Lutheran General and Children's Hospital Mohiuddin, Majid -MD NOT COVERED Lutheran General and Children's Hospital Mohiuddin, Mohtasham -MD NOT COVERED Lutheran General and Children's Hospital Mohs Surgery and Dermatology Center NOT COVERED Lutheran General and Children's Hospital Molik, Brenna -NP COVERED UNDER FAP Lutheran General and Children's Hospital Molloy, Anne -NP COVERED UNDER FAP Lutheran General and Children's Hospital Molnar, Robert -DO NOT COVERED Lutheran General and Children's Hospital Mono, Jeffrey -MD NOT COVERED Lutheran General and Children's Hospital Montgomery, Victoria -DO COVERED UNDER FAP

Page 142 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Moradia, Jadav -MD NOT COVERED Lutheran General and Children's Hospital Morais, Joshua -MD NOT COVERED Lutheran General and Children's Hospital Moreira, Jennifer -MD NOT COVERED Lutheran General and Children's Hospital Morgan Medical Group, LLC NOT COVERED Lutheran General and Children's Hospital Morrill, Timothy -NP NOT COVERED Lutheran General and Children's Hospital Morrow, Meghan -MD NOT COVERED Lutheran General and Children's Hospital Morton, Leo -DDS NOT COVERED Lutheran General and Children's Hospital Moss, Robert -MD NOT COVERED Lutheran General and Children's Hospital Moy, John -MD NOT COVERED Lutheran General and Children's Hospital Moy, Tiffany -NP COVERED UNDER FAP Lutheran General and Children's Hospital MP Pediatrics NOT COVERED Lutheran General and Children's Hospital Mullahy, Donna -PA NOT COVERED Lutheran General and Children's Hospital Mullen, C. -MD COVERED UNDER FAP Lutheran General and Children's Hospital Mullenix, Charles -MD NOT COVERED Lutheran General and Children's Hospital Murfey, Sarah -NP NOT COVERED Lutheran General and Children's Hospital Murphey, Dona -MD NOT COVERED Lutheran General and Children's Hospital Murphey, Melissa -NP COVERED UNDER FAP Lutheran General and Children's Hospital Murphy, Laura -MD COVERED UNDER FAP Lutheran General and Children's Hospital Murty, Pavan -MD COVERED UNDER FAP Lutheran General and Children's Hospital Mutchnik, David -MD NOT COVERED Lutheran General and Children's Hospital Mutchnik, Steven -MD NOT COVERED Lutheran General and Children's Hospital Muthukumar, Ramesh -MD COVERED UNDER FAP Lutheran General and Children's Hospital Nalawadi, Shantesh -MD COVERED UNDER FAP Lutheran General and Children's Hospital Nannegari, Veena -MD NOT COVERED Lutheran General and Children's Hospital Naran, Sanjay -MD COVERED UNDER FAP Lutheran General and Children's Hospital Narepalem, Narendra -MD NOT COVERED Lutheran General and Children's Hospital Naryzhny, Igor -DO NOT COVERED Lutheran General and Children's Hospital Nash, Matthew -MD NOT COVERED Lutheran General and Children's Hospital Nasir, Saifullah -MD NOT COVERED Lutheran General and Children's Hospital Nasrallah, Erin -MD COVERED UNDER FAP Lutheran General and Children's Hospital NCH Medical Group NOT COVERED Lutheran General and Children's Hospital Neamand, Mark -DPM NOT COVERED Lutheran General and Children's Hospital Nehme, Nadine -MD NOT COVERED Lutheran General and Children's Hospital Nelson, Susan -MD NOT COVERED Lutheran General and Children's Hospital Nephrology Associates of Northern Illinois, Ltd. NOT COVERED Lutheran General and Children's Hospital Neuberger, Stephen -MD COVERED UNDER FAP Lutheran General and Children's Hospital Neural Watch NOT COVERED Lutheran General and Children's Hospital NeuroHealth NOT COVERED Lutheran General and Children's Hospital Neurology at the Glen, SC NOT COVERED Lutheran General and Children's Hospital Nicewicz, Maria-Jolanta -MD NOT COVERED Lutheran General and Children's Hospital Niewiarowski, Ketina -NP COVERED UNDER FAP Lutheran General and Children's Hospital Nikolakakis, James -DO COVERED UNDER FAP Lutheran General and Children's Hospital Nikolich, Sanja -MD COVERED UNDER FAP Lutheran General and Children's Hospital Nimmagadda, Sai -MD NOT COVERED Lutheran General and Children's Hospital Ninan, Reji -MD NOT COVERED Lutheran General and Children's Hospital Noone, Michael -MD NOT COVERED Lutheran General and Children's Hospital Noren, Richard -MD NOT COVERED Lutheran General and Children's Hospital Norman Chapman, M.D. & Associates, S.C. NOT COVERED Lutheran General and Children's Hospital Norris, Donald -MD NOT COVERED Lutheran General and Children's Hospital Norris, Jeffrey -MD NOT COVERED Lutheran General and Children's Hospital North Arlington Pediatrics, S.C. NOT COVERED Lutheran General and Children's Hospital North Shore Internists Physicians, LLC NOT COVERED Lutheran General and Children's Hospital North Shore Medical Group NOT COVERED Lutheran General and Children's Hospital North Shore Pediatrics, Ltd. NOT COVERED Lutheran General and Children's Hospital North Suburban Family Medicine NOT COVERED Lutheran General and Children's Hospital North Suburban Gastroenterology Associates, SC NOT COVERED Lutheran General and Children's Hospital North Suburban Pulmonary and Critical Care Consultants, SC NOT COVERED Lutheran General and Children's Hospital North Suburban Surgical Consultants, LLC NOT COVERED

Page 143 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital NorthShore Pediatric Gastroenterology NOT COVERED Lutheran General and Children's Hospital Northshore Pediatrics Associates,SC NOT COVERED Lutheran General and Children's Hospital Northwest Associates For Women's Healthcare NOT COVERED Lutheran General and Children's Hospital Northwest Community Health Services NOT COVERED Lutheran General and Children's Hospital Northwest Community Medical Group NOT COVERED Lutheran General and Children's Hospital Northwest Eye Clinic, Ltd NOT COVERED Lutheran General and Children's Hospital Northwest Infectious Disease Consultants, SC NOT COVERED Lutheran General and Children's Hospital Northwest Neurology, Ltd NOT COVERED Lutheran General and Children's Hospital Northwest Orthopaedic Associates, Ltd NOT COVERED Lutheran General and Children's Hospital Northwest Orthopaedics and Sports Medicine NOT COVERED Lutheran General and Children's Hospital Northwest Pulmonary & Sleep Medicine, SC NOT COVERED Lutheran General and Children's Hospital Northwest Pulmonary Associates, SC NOT COVERED Lutheran General and Children's Hospital Northwest Suburban Family Physicians,LLC NOT COVERED Lutheran General and Children's Hospital Northwest Suburban Pediatrics, SC NOT COVERED Lutheran General and Children's Hospital Noureldin, Tamer -MD COVERED UNDER FAP Lutheran General and Children's Hospital Novales, Jaime -MD COVERED UNDER FAP Lutheran General and Children's Hospital Novota, Gabriela -MD NOT COVERED Lutheran General and Children's Hospital Novota, Peter -MD NOT COVERED Lutheran General and Children's Hospital Nozicka, Charles -DO COVERED UNDER FAP Lutheran General and Children's Hospital Nuckols, Hannah -DO COVERED UNDER FAP Lutheran General and Children's Hospital Nussenbaum, Doris -MD COVERED UNDER FAP Lutheran General and Children's Hospital Nuvasive Clinical Services Monitoring, Inc. / American Neuromonitoring Associates, PC NOT COVERED Lutheran General and Children's Hospital Oak Mill Medical Associates, S.C. NOT COVERED Lutheran General and Children's Hospital Oak Mill Pediatrics, SC NOT COVERED Lutheran General and Children's Hospital Oakton Health Center, SC NOT COVERED Lutheran General and Children's Hospital Oakton Park Medical Center NOT COVERED Lutheran General and Children's Hospital Obyrtacz, Margaret -NP NOT COVERED Lutheran General and Children's Hospital OConnor, Therese -MD NOT COVERED Lutheran General and Children's Hospital Odeh, Ruba -DO NOT COVERED Lutheran General and Children's Hospital Odeyemi, Ifeyemi -MD COVERED UNDER FAP Lutheran General and Children's Hospital O'Donnell, Scott -MD NOT COVERED Lutheran General and Children's Hospital Ogarek, Joseph -MD COVERED UNDER FAP Lutheran General and Children's Hospital Oh, John -MD NOT COVERED Lutheran General and Children's Hospital Oh, Kyong -MD NOT COVERED Lutheran General and Children's Hospital O'Hearn, Colleen -NP COVERED UNDER FAP Lutheran General and Children's Hospital Ohri, Arun -MD NOT COVERED Lutheran General and Children's Hospital Okeefe, Robert -DPM NOT COVERED Lutheran General and Children's Hospital Okorie, Helen -NP NOT COVERED Lutheran General and Children's Hospital Okuno, William -MD NOT COVERED Lutheran General and Children's Hospital Old Irving Park Community Clinic NOT COVERED Lutheran General and Children's Hospital OLeary, Patricia -MD COVERED UNDER FAP Lutheran General and Children's Hospital O'Leary, Shaun -MD NOT COVERED Lutheran General and Children's Hospital Oliff, Irma -MD NOT COVERED Lutheran General and Children's Hospital Olivier, Mildred -MD NOT COVERED Lutheran General and Children's Hospital Olorvida, Albert -MD NOT COVERED Lutheran General and Children's Hospital Olpinski, Marian -MD NOT COVERED Lutheran General and Children's Hospital Olsen, Erin -PA NOT COVERED Lutheran General and Children's Hospital Olsen, Jon -MD COVERED UNDER FAP Lutheran General and Children's Hospital O'Mara, Susan -CNS NOT COVERED Lutheran General and Children's Hospital Oral Surgery Associates NOT COVERED Lutheran General and Children's Hospital Oram, Ronda -MD COVERED UNDER FAP Lutheran General and Children's Hospital OReilly, Kevin -DO COVERED UNDER FAP Lutheran General and Children's Hospital Orescanin, Anne Marie -MD COVERED UNDER FAP Lutheran General and Children's Hospital Origenes, Rovi Dolores -NP COVERED UNDER FAP Lutheran General and Children's Hospital O'Riordan, Kenneth -MD NOT COVERED Lutheran General and Children's Hospital O'Rourke, Michael -MD NOT COVERED Lutheran General and Children's Hospital Orozco-Kellermeier, Adriana -MD COVERED UNDER FAP Lutheran General and Children's Hospital Orth, Mary -NP COVERED UNDER FAP

Page 144 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Orthopaedic & Rehabilitation Centers, SC NOT COVERED Lutheran General and Children's Hospital Orthopaedic Surgery Specialists, Ltd NOT COVERED Lutheran General and Children's Hospital Orthopaedics & Rheumatology of North Shore, SC NOT COVERED Lutheran General and Children's Hospital Oserman, Stuart -MD COVERED UNDER FAP Lutheran General and Children's Hospital Osmanovic, Senad -MD NOT COVERED Lutheran General and Children's Hospital Ostrowski, Margaret -PA NOT COVERED Lutheran General and Children's Hospital O'Toole, Rosemary -NP NOT COVERED Lutheran General and Children's Hospital Otto, Tara -MD NOT COVERED Lutheran General and Children's Hospital Ovadia, Marc -MD NOT COVERED Lutheran General and Children's Hospital Overton, Margaret -MD NOT COVERED Lutheran General and Children's Hospital Owczarek, Miroslaw -MD NOT COVERED Lutheran General and Children's Hospital Paidi, Sasikala -MD NOT COVERED Lutheran General and Children's Hospital Pain Care Consultants, SC NOT COVERED Lutheran General and Children's Hospital Pajak, Natalia -PA NOT COVERED Lutheran General and Children's Hospital Pajeau, Nichelle -PA COVERED UNDER FAP Lutheran General and Children's Hospital Pales, Eric -MD NOT COVERED Lutheran General and Children's Hospital Palm, Gina -NP COVERED UNDER FAP Lutheran General and Children's Hospital Palmer, Jennifer -PsyD NOT COVERED Lutheran General and Children's Hospital Palmieri, Vincenzo -DPM NOT COVERED Lutheran General and Children's Hospital Pankau, Lawrence -MD NOT COVERED Lutheran General and Children's Hospital Papadimitriou, Michael -DDS NOT COVERED Lutheran General and Children's Hospital Papanos, Nicholas -MD NOT COVERED Lutheran General and Children's Hospital Parilla, Barbara -MD NOT COVERED Lutheran General and Children's Hospital Parise, Nicholas -DO NOT COVERED Lutheran General and Children's Hospital Park Ridge Pediatrics, PC NOT COVERED Lutheran General and Children's Hospital Park, Chinyoung -MD NOT COVERED Lutheran General and Children's Hospital Park, Hong -MD NOT COVERED Lutheran General and Children's Hospital Park, Jimmy -MD NOT COVERED Lutheran General and Children's Hospital Park, John -MD NOT COVERED Lutheran General and Children's Hospital Parkside Obstetrics & Gynecology, SC NOT COVERED Lutheran General and Children's Hospital Parkside Pediatrics, SC NOT COVERED Lutheran General and Children's Hospital Paschos, Jennifer -MD COVERED UNDER FAP Lutheran General and Children's Hospital Passen, Edward -MD NOT COVERED Lutheran General and Children's Hospital Patel, Amitkumar -DMD NOT COVERED Lutheran General and Children's Hospital Patel, Anand -DO COVERED UNDER FAP Lutheran General and Children's Hospital Patel, Arvindbhai -MD NOT COVERED Lutheran General and Children's Hospital Patel, Cheerag -DO NOT COVERED Lutheran General and Children's Hospital Patel, Chirag -MD NOT COVERED Lutheran General and Children's Hospital Patel, Mallika -NP NOT COVERED Lutheran General and Children's Hospital Patel, Nigam -MD NOT COVERED Lutheran General and Children's Hospital Patel, Nisha -DO COVERED UNDER FAP Lutheran General and Children's Hospital Patel, Nisha -MD NOT COVERED Lutheran General and Children's Hospital Patel, Nishant -MD COVERED UNDER FAP Lutheran General and Children's Hospital Patel, Parag -DO COVERED UNDER FAP Lutheran General and Children's Hospital Patel, Payal -NP NOT COVERED Lutheran General and Children's Hospital Patel, Rajan -MD NOT COVERED Lutheran General and Children's Hospital Patel, Resha -NP NOT COVERED Lutheran General and Children's Hospital Patel, Ritesh -MD NOT COVERED Lutheran General and Children's Hospital Patel, Shetal -MD COVERED UNDER FAP Lutheran General and Children's Hospital Patel, Shivani -PA NOT COVERED Lutheran General and Children's Hospital Patil, Rakhi -MD NOT COVERED Lutheran General and Children's Hospital Patil, Shruti -MD NOT COVERED Lutheran General and Children's Hospital Patt, Stephen -MD NOT COVERED Lutheran General and Children's Hospital Pattani, Anand -MD COVERED UNDER FAP Lutheran General and Children's Hospital Patterson, Todd -DO NOT COVERED Lutheran General and Children's Hospital Patton, Jill -DO COVERED UNDER FAP Lutheran General and Children's Hospital Paul, Raina -MD COVERED UNDER FAP Lutheran General and Children's Hospital Pavlovic, Chris -MD NOT COVERED

Page 145 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Pavlovic, Thomas -MD NOT COVERED Lutheran General and Children's Hospital Pawlowski, Ireneusz -MD NOT COVERED Lutheran General and Children's Hospital Paxhia, Joseph -MD NOT COVERED Lutheran General and Children's Hospital Paxhia, Michael -MD NOT COVERED Lutheran General and Children's Hospital Paz Averbuch, Beatrisa -MD NOT COVERED Lutheran General and Children's Hospital PCC Community Wellness Walk-In NOT COVERED Lutheran General and Children's Hospital Peabody, Joseph -MD COVERED UNDER FAP Lutheran General and Children's Hospital Pearl, Jeffrey -MD NOT COVERED Lutheran General and Children's Hospital Peck, Andrew -MD NOT COVERED Lutheran General and Children's Hospital Peckler, M. -MD NOT COVERED Lutheran General and Children's Hospital Pediatric & Dermatology, SC NOT COVERED Lutheran General and Children's Hospital Pediatric Care Associates, SC NOT COVERED Lutheran General and Children's Hospital Pediatric Clinic, Ltd NOT COVERED Lutheran General and Children's Hospital Pediatric Health Care Associates, SC NOT COVERED Lutheran General and Children's Hospital Pediatric Medical Services, SC NOT COVERED Lutheran General and Children's Hospital Pediatric Solutions, SC NOT COVERED Lutheran General and Children's Hospital Pediatrust After Hours Center NOT COVERED Lutheran General and Children's Hospital PediaTrust, LLC NOT COVERED Lutheran General and Children's Hospital Peera, Aurelia -MD COVERED UNDER FAP Lutheran General and Children's Hospital Perez, Edelberto -MD NOT COVERED Lutheran General and Children's Hospital Perez, Jennifer -MD NOT COVERED Lutheran General and Children's Hospital Perez, Kelly -NP NOT COVERED Lutheran General and Children's Hospital Periodontal Medicine Surgical Specialists, LTD NOT COVERED Lutheran General and Children's Hospital Perlow, Bruce -MD COVERED UNDER FAP Lutheran General and Children's Hospital Perlow, Tamar -MD COVERED UNDER FAP Lutheran General and Children's Hospital Persak, Joseph -MD COVERED UNDER FAP Lutheran General and Children's Hospital Pervos, Richard -MD NOT COVERED Lutheran General and Children's Hospital Pesence Medical Group - Norwood Park Pediatrics NOT COVERED Lutheran General and Children's Hospital Peskin Oral Surgery, Ltd NOT COVERED Lutheran General and Children's Hospital Peskin, Kenneth -DDS NOT COVERED Lutheran General and Children's Hospital Pesok, Anna -MD COVERED UNDER FAP Lutheran General and Children's Hospital Peter E. Johnson, MD, SC NOT COVERED Lutheran General and Children's Hospital Peters, Andrew -MD NOT COVERED Lutheran General and Children's Hospital Peters, Krysta -MD NOT COVERED Lutheran General and Children's Hospital Petkovic, Djuro -MD NOT COVERED Lutheran General and Children's Hospital Petrovas, Demetrios -MD NOT COVERED Lutheran General and Children's Hospital Philipps, Laurie -PhD NOT COVERED Lutheran General and Children's Hospital Phillip Markowitz, DO, SC NOT COVERED Lutheran General and Children's Hospital Phillips, Karen -MD NOT COVERED Lutheran General and Children's Hospital Phoenix Health Care NOT COVERED Lutheran General and Children's Hospital Pierotti, Sarah -DO COVERED UNDER FAP Lutheran General and Children's Hospital Pierre, Natacha -NP COVERED UNDER FAP Lutheran General and Children's Hospital Pins, Michael -MD NOT COVERED Lutheran General and Children's Hospital Piotrowski, Anna -MD NOT COVERED Lutheran General and Children's Hospital Piper, Patrick -MD COVERED UNDER FAP Lutheran General and Children's Hospital Pjevcevic, Kelly -PA NOT COVERED Lutheran General and Children's Hospital Plavnik, Helen -MD NOT COVERED Lutheran General and Children's Hospital PMG-Electrophysiology NOT COVERED Lutheran General and Children's Hospital Podgorny, Kathryn -MD NOT COVERED Lutheran General and Children's Hospital Podnar, Jeffrey -MD NOT COVERED Lutheran General and Children's Hospital Poeling, Nancy -CNS NOT COVERED Lutheran General and Children's Hospital Polisky, Robert -MD NOT COVERED Lutheran General and Children's Hospital Polotskaya, Rimma -MD NOT COVERED Lutheran General and Children's Hospital Poludasu, Rajaram -MD COVERED UNDER FAP Lutheran General and Children's Hospital Poniatowicz, Joanna -MD NOT COVERED Lutheran General and Children's Hospital Powell, Jonathan -MD NOT COVERED Lutheran General and Children's Hospital Powell, Tanya -MD NOT COVERED Lutheran General and Children's Hospital Prazad, Preetha -MD COVERED UNDER FAP

Page 146 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Prekezes, Christine -MD NOT COVERED Lutheran General and Children's Hospital Premier Optimal Health NOT COVERED Lutheran General and Children's Hospital Presence Medical Group NOT COVERED Lutheran General and Children's Hospital Pribyl, Mary -PhD NOT COVERED Lutheran General and Children's Hospital Primary Care of Illinois, SC NOT COVERED Lutheran General and Children's Hospital Primary Care Providers of Chicago, SC NOT COVERED Lutheran General and Children's Hospital Propp, Douglas -MD COVERED UNDER FAP Lutheran General and Children's Hospital ProPsych Associates, SC NOT COVERED Lutheran General and Children's Hospital Pryka, Mary -NP NOT COVERED Lutheran General and Children's Hospital Pu Woong Kim, MD,SC NOT COVERED Lutheran General and Children's Hospital Pundy, Andrew -MD NOT COVERED Lutheran General and Children's Hospital Purim-Shem-Tov, Yanina -MD COVERED UNDER FAP Lutheran General and Children's Hospital Qamar, Sanaa -MD COVERED UNDER FAP Lutheran General and Children's Hospital Qazi, Baseer -MD NOT COVERED Lutheran General and Children's Hospital Quaid, Maureen -MD COVERED UNDER FAP Lutheran General and Children's Hospital Quality Medical Care, SC NOT COVERED Lutheran General and Children's Hospital Qureshi, Fawad -MD NOT COVERED Lutheran General and Children's Hospital Raab, David -MD NOT COVERED Lutheran General and Children's Hospital Raasch, Jennifer -MD NOT COVERED Lutheran General and Children's Hospital Rabin, Barry -MD NOT COVERED Lutheran General and Children's Hospital Radiation Oncology Consultants Ltd NOT COVERED Lutheran General and Children's Hospital Radis, Malka -MD NOT COVERED Lutheran General and Children's Hospital Rager, Jeff -DPM NOT COVERED Lutheran General and Children's Hospital Rahimi, Fred -DPM NOT COVERED Lutheran General and Children's Hospital Raiji, Veena -MD NOT COVERED Lutheran General and Children's Hospital Rainbow Hospice and Palliative Care NOT COVERED Lutheran General and Children's Hospital Rajpal, Jurat -MD COVERED UNDER FAP Lutheran General and Children's Hospital Rajpal, Miriam -MD COVERED UNDER FAP Lutheran General and Children's Hospital Ralph N. Robbins, D.D.S., LTD. NOT COVERED Lutheran General and Children's Hospital Ramesh, Priyadarsini -MD NOT COVERED Lutheran General and Children's Hospital Ramic, Maya -MD COVERED UNDER FAP Lutheran General and Children's Hospital Ramos, Jade -CRNA NOT COVERED Lutheran General and Children's Hospital Randall, David -DO COVERED UNDER FAP Lutheran General and Children's Hospital Rapisarda, John -MD NOT COVERED Lutheran General and Children's Hospital Ravangard, Samadh -DO COVERED UNDER FAP Lutheran General and Children's Hospital Raza, Syed -MD COVERED UNDER FAP Lutheran General and Children's Hospital Rebuck, David -MD NOT COVERED Lutheran General and Children's Hospital Reese, Ronald -MD NOT COVERED Lutheran General and Children's Hospital Reginald Spears, MD, LLC NOT COVERED Lutheran General and Children's Hospital Reich, Alan -MD NOT COVERED Lutheran General and Children's Hospital Reinstein, Michelle -MD NOT COVERED Lutheran General and Children's Hospital Reniva, Amando -MD NOT COVERED Lutheran General and Children's Hospital Resnick, Daniel -MD COVERED UNDER FAP Lutheran General and Children's Hospital Respiratory Critical Care and Sleep Specialists, LLC NOT COVERED Lutheran General and Children's Hospital Retina Consultants, Ltd NOT COVERED Lutheran General and Children's Hospital Retina Health Institute, SC NOT COVERED Lutheran General and Children's Hospital Retina Institute of Illinois, PC NOT COVERED Lutheran General and Children's Hospital Rheumatic Disease Center NOT COVERED Lutheran General and Children's Hospital Rhoades, William -DO COVERED UNDER FAP Lutheran General and Children's Hospital Rich, Randy -MD NOT COVERED Lutheran General and Children's Hospital Richards, Jon -MD COVERED UNDER FAP Lutheran General and Children's Hospital Richardson, Tehemina -DDS NOT COVERED Lutheran General and Children's Hospital Rickert, Chelsea -PA NOT COVERED Lutheran General and Children's Hospital Ricketts, Cecelia -MD NOT COVERED Lutheran General and Children's Hospital Rico, Rebeca -MD COVERED UNDER FAP Lutheran General and Children's Hospital Riegelhaupt, Ronald -DPM NOT COVERED Lutheran General and Children's Hospital Rim, Chong -MD NOT COVERED Lutheran General and Children's Hospital Rim, Susan -MD COVERED UNDER FAP

Page 147 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Rimington, Todd -MD NOT COVERED Lutheran General and Children's Hospital Ritacca Cosmetic Surgery & Medspa, Ltd NOT COVERED Lutheran General and Children's Hospital Rivard, Wendy -NP COVERED UNDER FAP Lutheran General and Children's Hospital Robbins, Ralph -DDS NOT COVERED Lutheran General and Children's Hospital Robert Hozman, MD, SC NOT COVERED Lutheran General and Children's Hospital Roberts, David -MD NOT COVERED Lutheran General and Children's Hospital Rodriguez, Tulio -MD COVERED UNDER FAP Lutheran General and Children's Hospital Rodriguez-Paez, Alejandra -MD NOT COVERED Lutheran General and Children's Hospital Roemisch, Frank -MD NOT COVERED Lutheran General and Children's Hospital Rogell, Camille -CNS NOT COVERED Lutheran General and Children's Hospital Rojas, Juan -MD NOT COVERED Lutheran General and Children's Hospital Rojek, Brian -DO NOT COVERED Lutheran General and Children's Hospital Romanelli, Robert -MD NOT COVERED Lutheran General and Children's Hospital Romstadt, Spencer -MD NOT COVERED Lutheran General and Children's Hospital Ronin, David -MD COVERED UNDER FAP Lutheran General and Children's Hospital Rooney, Mallory -PA COVERED UNDER FAP Lutheran General and Children's Hospital Rosalind Franklin University Health System NOT COVERED Lutheran General and Children's Hospital Rosario, Carmen -MD NOT COVERED Lutheran General and Children's Hospital Rosen, Marianne -MD NOT COVERED Lutheran General and Children's Hospital Rosen, Robert -MD NOT COVERED Lutheran General and Children's Hospital Rosenbaum, Richard -MD NOT COVERED Lutheran General and Children's Hospital Rosenfeld, Alan -DDS NOT COVERED Lutheran General and Children's Hospital Rosenfeld, Elaine -MD COVERED UNDER FAP Lutheran General and Children's Hospital Rosenthal, Daniel -MD NOT COVERED Lutheran General and Children's Hospital Rossi, Joanna -MD NOT COVERED Lutheran General and Children's Hospital Rossman, Suellyn -MD NOT COVERED Lutheran General and Children's Hospital Roy, Shruti -DO NOT COVERED Lutheran General and Children's Hospital Rubenstein, Brian -MD COVERED UNDER FAP Lutheran General and Children's Hospital Rubinstein, Wayne -MD COVERED UNDER FAP Lutheran General and Children's Hospital Ruge, John -MD COVERED UNDER FAP Lutheran General and Children's Hospital Ruhi Askari M.D.S.C. NOT COVERED Lutheran General and Children's Hospital Rukhlyada, Yuliya -MD NOT COVERED Lutheran General and Children's Hospital Russo, Dana -DO NOT COVERED Lutheran General and Children's Hospital Rutledge, Rachel -PA COVERED UNDER FAP Lutheran General and Children's Hospital Ryabov, Yakov -MD NOT COVERED Lutheran General and Children's Hospital Ryan, Emily -PA COVERED UNDER FAP Lutheran General and Children's Hospital Ryjewski, Constance -CNS NOT COVERED Lutheran General and Children's Hospital Sabri, Moustafa -MD COVERED UNDER FAP Lutheran General and Children's Hospital Saeed, Fasiha -MD COVERED UNDER FAP Lutheran General and Children's Hospital Saeedi, Joel -MD NOT COVERED Lutheran General and Children's Hospital Sager, David -MD NOT COVERED Lutheran General and Children's Hospital Saks, Noel -MD NOT COVERED Lutheran General and Children's Hospital Salcedo, Susana -MD COVERED UNDER FAP Lutheran General and Children's Hospital Salvino, Renee -MD NOT COVERED Lutheran General and Children's Hospital Salzmann, Chloe -MD COVERED UNDER FAP Lutheran General and Children's Hospital Samir Suleiman, MD, SC NOT COVERED Lutheran General and Children's Hospital Sammons, Cynthia -PhD NOT COVERED Lutheran General and Children's Hospital Samuelsohn, Beth -DO NOT COVERED Lutheran General and Children's Hospital Sanders Court Pediatrics, Ltd NOT COVERED Lutheran General and Children's Hospital Sandulescu, Corina -MD NOT COVERED Lutheran General and Children's Hospital Sarrafi, Ghodratollah -MD NOT COVERED Lutheran General and Children's Hospital Sasaki, Kirsten -MD COVERED UNDER FAP Lutheran General and Children's Hospital Sathyakumar, Sandhya -MD NOT COVERED Lutheran General and Children's Hospital Sawlani, Neal -MD COVERED UNDER FAP Lutheran General and Children's Hospital Sawlani, Sarena -MD NOT COVERED Lutheran General and Children's Hospital Sbrana, Fabio -MD COVERED UNDER FAP Lutheran General and Children's Hospital Scarimbolo, Carmen -MD NOT COVERED Lutheran General and Children's Hospital Scaunas, Dorina -MD NOT COVERED

Page 148 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Schaffer, Emily -PA NOT COVERED Lutheran General and Children's Hospital Schaffer, Kenneth -NP COVERED UNDER FAP Lutheran General and Children's Hospital Schechter, Loren -MD NOT COVERED Lutheran General and Children's Hospital Schmidt, Mary -PhD NOT COVERED Lutheran General and Children's Hospital Schneider, Karen -MD NOT COVERED Lutheran General and Children's Hospital Schraiber, Steven -MD NOT COVERED Lutheran General and Children's Hospital Schreiber, Verena -MD NOT COVERED Lutheran General and Children's Hospital Schuette, Patrick -MD NOT COVERED Lutheran General and Children's Hospital Schuster, Katherine -PA NOT COVERED Lutheran General and Children's Hospital Schwartz, Beth -NP COVERED UNDER FAP Lutheran General and Children's Hospital Schwartz, Cheryl -DO NOT COVERED Lutheran General and Children's Hospital Schwartz, Lewis -MD COVERED UNDER FAP Lutheran General and Children's Hospital Schy, Susan -MD COVERED UNDER FAP Lutheran General and Children's Hospital Sclamberg, Steven -MD NOT COVERED Lutheran General and Children's Hospital Scolin, Tatiana -MD NOT COVERED Lutheran General and Children's Hospital Scott, Gregory -MD NOT COVERED Lutheran General and Children's Hospital Secco, Alessandra -MD NOT COVERED Lutheran General and Children's Hospital Seed Pediatrics, SC NOT COVERED Lutheran General and Children's Hospital Segalite, Lara -MD COVERED UNDER FAP Lutheran General and Children's Hospital Selbka Salituro, Sofia -MD NOT COVERED Lutheran General and Children's Hospital Senescu, Carly -MD COVERED UNDER FAP Lutheran General and Children's Hospital Serwa, Marie -NP COVERED UNDER FAP Lutheran General and Children's Hospital Shafran, Morris -PsyD NOT COVERED Lutheran General and Children's Hospital Shah, Anita -DO NOT COVERED Lutheran General and Children's Hospital Shah, Bhaven -MD NOT COVERED Lutheran General and Children's Hospital Shah, Hemant -MD NOT COVERED Lutheran General and Children's Hospital Shah, Manojkumar -MD COVERED UNDER FAP Lutheran General and Children's Hospital Shah, Nishant -MD COVERED UNDER FAP Lutheran General and Children's Hospital Shah, Nishant -MD NOT COVERED Lutheran General and Children's Hospital Shah, Ritesh -MD NOT COVERED Lutheran General and Children's Hospital Shah, Sonia -MD NOT COVERED Lutheran General and Children's Hospital Shams, Ehab -MD NOT COVERED Lutheran General and Children's Hospital Shannon, Connor -DO NOT COVERED Lutheran General and Children's Hospital Shapiro, Alan -MD NOT COVERED Lutheran General and Children's Hospital Shapiro, Dov -MD NOT COVERED Lutheran General and Children's Hospital Shapiro, Kimberly -NP NOT COVERED Lutheran General and Children's Hospital Shapiro, Michael -MD NOT COVERED Lutheran General and Children's Hospital Shapiro, Ricky -PA NOT COVERED Lutheran General and Children's Hospital Sharos, Elizabeth -NP COVERED UNDER FAP Lutheran General and Children's Hospital Shaw, Geoffrey -MD NOT COVERED Lutheran General and Children's Hospital Shea, Laura -DPM NOT COVERED Lutheran General and Children's Hospital Shea, Patrick -MD NOT COVERED Lutheran General and Children's Hospital Shechtman, Steven -MD NOT COVERED Lutheran General and Children's Hospital Sheftel, David -MD COVERED UNDER FAP Lutheran General and Children's Hospital Sheilendr Khipple, MD. NOT COVERED Lutheran General and Children's Hospital Shepherd, Katherine -MD NOT COVERED Lutheran General and Children's Hospital Sherman, Andrew -MD NOT COVERED Lutheran General and Children's Hospital Sheynin, Boris -MD NOT COVERED Lutheran General and Children's Hospital Shinozaki, Kent -DDS NOT COVERED Lutheran General and Children's Hospital Shlyak, Jean -MD NOT COVERED Lutheran General and Children's Hospital Shokso, Sonam -NP COVERED UNDER FAP Lutheran General and Children's Hospital Shoolin, Joel -DO COVERED UNDER FAP Lutheran General and Children's Hospital Shore, Scott -DDS NOT COVERED Lutheran General and Children's Hospital Shuber, Suad -MD NOT COVERED Lutheran General and Children's Hospital Shukhman, Mark -MD NOT COVERED Lutheran General and Children's Hospital Shukla, Archana -DO COVERED UNDER FAP Lutheran General and Children's Hospital Siddiqui, Aisha -DO NOT COVERED Lutheran General and Children's Hospital Siddiqui, Amir -MD COVERED UNDER FAP

Page 149 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Siddiqui, Bilal -DPM NOT COVERED Lutheran General and Children's Hospital Siddiqui, Fraaz -NP COVERED UNDER FAP Lutheran General and Children's Hospital Siddiqui, Rumana -MD NOT COVERED Lutheran General and Children's Hospital Siegel, Lori -MD NOT COVERED Lutheran General and Children's Hospital Siegel, Richard -MD NOT COVERED Lutheran General and Children's Hospital Siegele, Peggy -NP COVERED UNDER FAP Lutheran General and Children's Hospital Siegfried, Michael -MD NOT COVERED Lutheran General and Children's Hospital Sienkiewicz, Anna -MD NOT COVERED Lutheran General and Children's Hospital Siglin, Scott -MD COVERED UNDER FAP Lutheran General and Children's Hospital Signature Medical Group NOT COVERED Lutheran General and Children's Hospital Silas, Dean -MD COVERED UNDER FAP Lutheran General and Children's Hospital Silver, Jeffrey -MD NOT COVERED Lutheran General and Children's Hospital Simmons, Todd -MD NOT COVERED Lutheran General and Children's Hospital Sims, John -MD NOT COVERED Lutheran General and Children's Hospital Singh, Jagvir -MD COVERED UNDER FAP Lutheran General and Children's Hospital Singh, Vinita -MD COVERED UNDER FAP Lutheran General and Children's Hospital Sipahi, Sevgi -MD COVERED UNDER FAP Lutheran General and Children's Hospital Sipe, Christopher -MD NOT COVERED Lutheran General and Children's Hospital Sirota, Ronald -MD NOT COVERED Lutheran General and Children's Hospital Sitafalwalla, Shoeb -MD COVERED UNDER FAP Lutheran General and Children's Hospital Skiba, Philip -DO COVERED UNDER FAP Lutheran General and Children's Hospital Skjong, Christian -MD NOT COVERED Lutheran General and Children's Hospital Sklansky, Jodi -DO NOT COVERED Lutheran General and Children's Hospital Skokie Family Clinic PC NOT COVERED Lutheran General and Children's Hospital Skypoint Medical Center NOT COVERED Lutheran General and Children's Hospital Slater, Bethany -MD COVERED UNDER FAP Lutheran General and Children's Hospital Slone, Richard -MD NOT COVERED Lutheran General and Children's Hospital Smiley, William -DO COVERED UNDER FAP Lutheran General and Children's Hospital Smith, Gretchen -MD NOT COVERED Lutheran General and Children's Hospital Smith, Jaimee -NP NOT COVERED Lutheran General and Children's Hospital Smolina, Alexandra -PA NOT COVERED Lutheran General and Children's Hospital Snow, Julie -MD NOT COVERED Lutheran General and Children's Hospital Sobol, Urszula -MD NOT COVERED Lutheran General and Children's Hospital Soden, William -MD NOT COVERED Lutheran General and Children's Hospital Sokolowski, Malgorzata -CNS NOT COVERED Lutheran General and Children's Hospital Soliz, May -MD COVERED UNDER FAP Lutheran General and Children's Hospital Solway, Douglas -DPM NOT COVERED Lutheran General and Children's Hospital Sonia Shah MDSC NOT COVERED Lutheran General and Children's Hospital Sonin, Lee -MD NOT COVERED Lutheran General and Children's Hospital Sorin, Luda -MD COVERED UNDER FAP Lutheran General and Children's Hospital Soundarrajan, Radha -MD NOT COVERED Lutheran General and Children's Hospital Southwest Dermatology NOT COVERED Lutheran General and Children's Hospital Spanierman, Clifford -MD COVERED UNDER FAP Lutheran General and Children's Hospital Spears, Reginald -MD NOT COVERED Lutheran General and Children's Hospital Specialists in Cardiology, Ltd NOT COVERED Lutheran General and Children's Hospital Speil, Nicoleta -MD COVERED UNDER FAP Lutheran General and Children's Hospital Spencer, David -MD NOT COVERED Lutheran General and Children's Hospital Spine Consultants, LLC NOT COVERED Lutheran General and Children's Hospital Spingola, Kathryn -PA NOT COVERED Lutheran General and Children's Hospital Sprout Pediatric Dentistry NOT COVERED Lutheran General and Children's Hospital Staehle, William -MD NOT COVERED Lutheran General and Children's Hospital Staisz, Maria -MD NOT COVERED Lutheran General and Children's Hospital Starosta, Monika -MD COVERED UNDER FAP Lutheran General and Children's Hospital Starr, Abram -MD COVERED UNDER FAP Lutheran General and Children's Hospital Stat! Cardiologist Inc. NOT COVERED Lutheran General and Children's Hospital Stec, Patricia -MD NOT COVERED Lutheran General and Children's Hospital Steele, Yunsan -PA NOT COVERED Lutheran General and Children's Hospital Stefanov, Gospodin -MD COVERED UNDER FAP

Page 150 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Stein, Rhonda -MD NOT COVERED Lutheran General and Children's Hospital Steinberg, Guy -MD COVERED UNDER FAP Lutheran General and Children's Hospital Stern, Darryl -MD NOT COVERED Lutheran General and Children's Hospital Stevenson, Bernadette -MD COVERED UNDER FAP Lutheran General and Children's Hospital Stevoff, Ann -MD COVERED UNDER FAP Lutheran General and Children's Hospital Stich, Duane -MD COVERED UNDER FAP Lutheran General and Children's Hospital Stickler, Robert -PA NOT COVERED Lutheran General and Children's Hospital Stock, Megan -MD COVERED UNDER FAP Lutheran General and Children's Hospital Stoia, Damaris -NP COVERED UNDER FAP Lutheran General and Children's Hospital Stone, Arvey -MD NOT COVERED Lutheran General and Children's Hospital Straka, Carol -MD NOT COVERED Lutheran General and Children's Hospital Strimling, Bradley -MD NOT COVERED Lutheran General and Children's Hospital Studl, Michele -PhD NOT COVERED Lutheran General and Children's Hospital Suad Shuber, MD, SC NOT COVERED Lutheran General and Children's Hospital Subramanian, Susila -MD NOT COVERED Lutheran General and Children's Hospital Suburban Lung Associates, SC NOT COVERED Lutheran General and Children's Hospital Suburban Medical Center NOT COVERED Lutheran General and Children's Hospital Suburban Medical Group NOT COVERED Lutheran General and Children's Hospital Suburban Pediatrics, Ltd NOT COVERED Lutheran General and Children's Hospital Suellyn S. Rossman, MD NOT COVERED Lutheran General and Children's Hospital Suhs, Kaleigh -DO COVERED UNDER FAP Lutheran General and Children's Hospital Suleiman, Samir -MD NOT COVERED Lutheran General and Children's Hospital Sulkowski, Robert -MD NOT COVERED Lutheran General and Children's Hospital Sum, Beth -MD NOT COVERED Lutheran General and Children's Hospital Summers Pediatrics, SC NOT COVERED Lutheran General and Children's Hospital Summers, Gregory -MD NOT COVERED Lutheran General and Children's Hospital Sun, Amy -MD COVERED UNDER FAP Lutheran General and Children's Hospital Sundaralingam, Rohan -MD NOT COVERED Lutheran General and Children's Hospital Susila Subramanian, MD SC NOT COVERED Lutheran General and Children's Hospital Suzue, Kimiko -MD NOT COVERED Lutheran General and Children's Hospital Sweeney, Patrick -MD NOT COVERED Lutheran General and Children's Hospital Swiatek, Erin -PA NOT COVERED Lutheran General and Children's Hospital Szachowicz, Donald -MD COVERED UNDER FAP Lutheran General and Children's Hospital Szczupak, Michal -MD NOT COVERED Lutheran General and Children's Hospital Szerlag, Katarzyna -NP COVERED UNDER FAP Lutheran General and Children's Hospital Szkliniarz, Kelly -NP COVERED UNDER FAP Lutheran General and Children's Hospital Takhtehchian, Dariush -MD COVERED UNDER FAP Lutheran General and Children's Hospital Takhtehchian, Kurosh -DO NOT COVERED Lutheran General and Children's Hospital Tam, Joyce -NP COVERED UNDER FAP Lutheran General and Children's Hospital Tanna, Manish -MD NOT COVERED Lutheran General and Children's Hospital Taylor, Alexander -MD NOT COVERED Lutheran General and Children's Hospital Teal, Suzanne -NP COVERED UNDER FAP Lutheran General and Children's Hospital Temesvari, Raquel -NP COVERED UNDER FAP Lutheran General and Children's Hospital Ter Rahe, Caroline -MD NOT COVERED Lutheran General and Children's Hospital The Ear, Nose & Throat Center, SC NOT COVERED Lutheran General and Children's Hospital The Midwest Center for Sight NOT COVERED Lutheran General and Children's Hospital The Spine Center, SC NOT COVERED Lutheran General and Children's Hospital Thomas A. Pavlovic, MD,SC NOT COVERED Lutheran General and Children's Hospital Thrive OB, SC NOT COVERED Lutheran General and Children's Hospital Tiplitsky, Scott -MD NOT COVERED Lutheran General and Children's Hospital Tojo, David -MD NOT COVERED Lutheran General and Children's Hospital Tokarz, Farha -MD COVERED UNDER FAP Lutheran General and Children's Hospital Topin, Jeremy -MD NOT COVERED Lutheran General and Children's Hospital Total Health Dental Center NOT COVERED Lutheran General and Children's Hospital Tots N Teens Health Associates NOT COVERED Lutheran General and Children's Hospital Toussaint, Paul -MD NOT COVERED Lutheran General and Children's Hospital Tran, Phuong -MD NOT COVERED Lutheran General and Children's Hospital Trsar, Jennifer -NP COVERED UNDER FAP

Page 151 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Tselonis, Pauline-Kenneth -CRNA NOT COVERED Lutheran General and Children's Hospital Tumashova, Yelena -MD COVERED UNDER FAP Lutheran General and Children's Hospital Tummuru, Soujanya -DO NOT COVERED Lutheran General and Children's Hospital Twardowski, Barbara -MD COVERED UNDER FAP Lutheran General and Children's Hospital Twarling, Erica -PA NOT COVERED Lutheran General and Children's Hospital Udeoji, Dioma -MD NOT COVERED Lutheran General and Children's Hospital UK Family Practice NOT COVERED Lutheran General and Children's Hospital Umfress, Kris -PhD NOT COVERED Lutheran General and Children's Hospital Unfer, Susan -MD COVERED UNDER FAP Lutheran General and Children's Hospital Unger, Michael -MD NOT COVERED Lutheran General and Children's Hospital University Plastic Surgery, SC NOT COVERED Lutheran General and Children's Hospital Urfy, Mian -MD COVERED UNDER FAP Lutheran General and Children's Hospital Urgacz, Slawomir -MD NOT COVERED Lutheran General and Children's Hospital UroPartners, LLC NOT COVERED Lutheran General and Children's Hospital Usanetashvili, Nino -MD COVERED UNDER FAP Lutheran General and Children's Hospital Vadim Edelstein MD LTD Oakton Park Medical Center NOT COVERED Lutheran General and Children's Hospital Valfer, Regan -MD NOT COVERED Lutheran General and Children's Hospital Valfer, Steven -MD NOT COVERED Lutheran General and Children's Hospital Vallikat, Deepa -NP COVERED UNDER FAP Lutheran General and Children's Hospital Vallort, Maria -NP NOT COVERED Lutheran General and Children's Hospital Van Dusen, Laura -MD NOT COVERED Lutheran General and Children's Hospital Van Meurs, Brian -PhD NOT COVERED Lutheran General and Children's Hospital Vanderbloemen, Shalyn -PA NOT COVERED Lutheran General and Children's Hospital Vanderby, Brooke -MD NOT COVERED Lutheran General and Children's Hospital Varghese, Asha -MD NOT COVERED Lutheran General and Children's Hospital Varghese, Brian -MD NOT COVERED Lutheran General and Children's Hospital Varma, Richa -MD NOT COVERED Lutheran General and Children's Hospital Vassallo, Brett -MD NOT COVERED Lutheran General and Children's Hospital Vassmer, Linda -MD COVERED UNDER FAP Lutheran General and Children's Hospital Vaughn, Ryan -MD NOT COVERED Lutheran General and Children's Hospital Vayalil, Peter -MD COVERED UNDER FAP Lutheran General and Children's Hospital Vazzalwar, Ramesh -MD COVERED UNDER FAP Lutheran General and Children's Hospital Veit, Marla -PA COVERED UNDER FAP Lutheran General and Children's Hospital Vela, Maria Victoria -MD NOT COVERED Lutheran General and Children's Hospital Veltman, Shannon -PA NOT COVERED Lutheran General and Children's Hospital Vence, Indu -MD NOT COVERED Lutheran General and Children's Hospital Vercillo, Michael -MD COVERED UNDER FAP Lutheran General and Children's Hospital Vergara, Esther -MD COVERED UNDER FAP Lutheran General and Children's Hospital Verges, Sonia -MD NOT COVERED Lutheran General and Children's Hospital Vernovsky, Natalya -MD NOT COVERED Lutheran General and Children's Hospital Verville, Dennis -PsyD NOT COVERED Lutheran General and Children's Hospital Vicari, Frank -MD COVERED UNDER FAP Lutheran General and Children's Hospital Victor, Carol -CNS NOT COVERED Lutheran General and Children's Hospital Viegas Miller, Babita -PhD NOT COVERED Lutheran General and Children's Hospital Vilione, Stacey -PA NOT COVERED Lutheran General and Children's Hospital Villanueva, Lisa -MD NOT COVERED Lutheran General and Children's Hospital Virtual Radiologic Professionals, LLC NOT COVERED Lutheran General and Children's Hospital Visotsky, Jeffrey -MD NOT COVERED Lutheran General and Children's Hospital Vizcayno, Diana -NP COVERED UNDER FAP Lutheran General and Children's Hospital Vizinas, Dimitrina -DO NOT COVERED Lutheran General and Children's Hospital Volden, Joanne -MD COVERED UNDER FAP Lutheran General and Children's Hospital Vormittag, Kara -MD NOT COVERED Lutheran General and Children's Hospital Voronov, Michael -MD NOT COVERED Lutheran General and Children's Hospital Vyas, Shrinal -MD COVERED UNDER FAP Lutheran General and Children's Hospital Wagle, Smriti -DO COVERED UNDER FAP Lutheran General and Children's Hospital Walczynski, Ann -MD NOT COVERED Lutheran General and Children's Hospital Walicki, Nan -MD NOT COVERED Lutheran General and Children's Hospital Walker Santiago, Rafael -MD NOT COVERED

Page 152 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Walker, Susan -NP COVERED UNDER FAP Lutheran General and Children's Hospital Wallis, Benjamin -MD NOT COVERED Lutheran General and Children's Hospital Walner, David -MD NOT COVERED Lutheran General and Children's Hospital Walsh, Beth -MD NOT COVERED Lutheran General and Children's Hospital Walsh, Lori -MD COVERED UNDER FAP Lutheran General and Children's Hospital Walter Campbell, MD, LLC NOT COVERED Lutheran General and Children's Hospital Walters, Abigail -NP NOT COVERED Lutheran General and Children's Hospital Ward, Kristina -MD NOT COVERED Lutheran General and Children's Hospital Wargelin, Lindsay -NP COVERED UNDER FAP Lutheran General and Children's Hospital Warren Kammerer MD, SC NOT COVERED Lutheran General and Children's Hospital Wasserman, Michael -MD NOT COVERED Lutheran General and Children's Hospital Wassink, Brett -PA NOT COVERED Lutheran General and Children's Hospital Watson, Susan -LCSW NOT COVERED Lutheran General and Children's Hospital Watts, Kimberly -MD COVERED UNDER FAP Lutheran General and Children's Hospital Waz, Natalia -PA NOT COVERED Lutheran General and Children's Hospital We Care Orthopedics, Ltd. NOT COVERED Lutheran General and Children's Hospital Weedon, James -MD COVERED UNDER FAP Lutheran General and Children's Hospital Weedon, Kathryn -MD COVERED UNDER FAP Lutheran General and Children's Hospital Weil Foot and Ankle Institute NOT COVERED Lutheran General and Children's Hospital Weiner, Lawrence -MD NOT COVERED Lutheran General and Children's Hospital Weinstein, Daniel -MD NOT COVERED Lutheran General and Children's Hospital Weisman, Robert -MD COVERED UNDER FAP Lutheran General and Children's Hospital Weiss, David -MD NOT COVERED Lutheran General and Children's Hospital Weiss, Glenn -MD NOT COVERED Lutheran General and Children's Hospital Welch, Ayten -CRNA NOT COVERED Lutheran General and Children's Hospital Weller, Stephanie -MD COVERED UNDER FAP Lutheran General and Children's Hospital Werner, Phillip -MD COVERED UNDER FAP Lutheran General and Children's Hospital White, John -MD NOT COVERED Lutheran General and Children's Hospital Whitehouse, Clifford -PA NOT COVERED Lutheran General and Children's Hospital Whiteley, Michael -MD NOT COVERED Lutheran General and Children's Hospital Whole Health Family Medicine and Weight Loss NOT COVERED Lutheran General and Children's Hospital Whyte, Bonnie -PhD NOT COVERED Lutheran General and Children's Hospital Wiebe, Steven -DO COVERED UNDER FAP Lutheran General and Children's Hospital Wierzbicki, Margaret -NP COVERED UNDER FAP Lutheran General and Children's Hospital Williams, Craig -MD NOT COVERED Lutheran General and Children's Hospital Willow Wellness Center NOT COVERED Lutheran General and Children's Hospital Winger, Tracy -MD COVERED UNDER FAP Lutheran General and Children's Hospital Winkler, John -MD NOT COVERED Lutheran General and Children's Hospital Wistenberg, Lexy -MD COVERED UNDER FAP Lutheran General and Children's Hospital Witek, Bozena -MD NOT COVERED Lutheran General and Children's Hospital Witkowski, Megan -NP COVERED UNDER FAP Lutheran General and Children's Hospital Wolf, Steven -MD COVERED UNDER FAP Lutheran General and Children's Hospital Wolfman, Steve -DO NOT COVERED Lutheran General and Children's Hospital Wolford, Kathryn -MD COVERED UNDER FAP Lutheran General and Children's Hospital Wolodko, Margaret -MD NOT COVERED Lutheran General and Children's Hospital Woloson, Susanne -MD NOT COVERED Lutheran General and Children's Hospital Wombacher, Timothy -PA NOT COVERED Lutheran General and Children's Hospital Women First Specialists, SC NOT COVERED Lutheran General and Children's Hospital Women's and Children's Healthcare Associates, LLC NOT COVERED Lutheran General and Children's Hospital Women's Choice NOT COVERED Lutheran General and Children's Hospital Women's Health Specialists NOT COVERED Lutheran General and Children's Hospital Wos, Therese -MD COVERED UNDER FAP Lutheran General and Children's Hospital Wydra, Marguerite -NP COVERED UNDER FAP Lutheran General and Children's Hospital Wyhinny, George -MD NOT COVERED Lutheran General and Children's Hospital Wyhinny, Patricia -MD NOT COVERED Lutheran General and Children's Hospital Yacktman Pavillion NOT COVERED Lutheran General and Children's Hospital Yajnik, Santosh -MD NOT COVERED Lutheran General and Children's Hospital Young, David -MD NOT COVERED

Page 153 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Lutheran General and Children's Hospital Young, Sona -MD NOT COVERED Lutheran General and Children's Hospital Yousefi, Youhana -MD NOT COVERED Lutheran General and Children's Hospital YR Medical Group, SC NOT COVERED Lutheran General and Children's Hospital Zak, Steven -MD NOT COVERED Lutheran General and Children's Hospital Zander, Joseph -PhD NOT COVERED Lutheran General and Children's Hospital Zawilenski, Matthew -MD NOT COVERED Lutheran General and Children's Hospital Zeng, Qingju -NP COVERED UNDER FAP Lutheran General and Children's Hospital Zenk, Gerald -MD NOT COVERED Lutheran General and Children's Hospital Zhadovich, Kirill -MD NOT COVERED Lutheran General and Children's Hospital Zike, Sara -NP NOT COVERED Lutheran General and Children's Hospital Zimmanck, Robert -MD COVERED UNDER FAP Lutheran General and Children's Hospital Zipp, Maria -MD NOT COVERED Lutheran General and Children's Hospital Zwirn, Marilyn -DO COVERED UNDER FAP Sherman Hospital Abbas, Syed -MD COVERED UNDER FAP Sherman Hospital Abboud, Samir -MD NOT COVERED Sherman Hospital Ackermann, Evelyn -MD NOT COVERED Sherman Hospital Advance Midwest Medical, S.C. NOT COVERED Sherman Hospital Advanced Foot and Ankle Specialists, SC NOT COVERED Sherman Hospital Advanced Neurology and Sleep Clinic, LLC NOT COVERED Sherman Hospital Advanced OB/GYNE Associates NOT COVERED Sherman Hospital Advocate Complete Care Center COVERED UNDER FAP Sherman Hospital Advocate Medical Group - Algonquin Randall Rd COVERED UNDER FAP Sherman Hospital Advocate Medical Group - Bartlett COVERED UNDER FAP Sherman Hospital Advocate Medical Group - Elgin - Radiation Oncology COVERED UNDER FAP Sherman Hospital Advocate Medical Group - Elgin - McLean - Urology COVERED UNDER FAP Sherman Hospital Advocate Medical Group - Elgin 1435 N Randall Rd - 201 COVERED UNDER FAP Sherman Hospital Advocate Medical Group - Elgin 1710 Randall Road COVERED UNDER FAP Sherman Hospital Advocate Medical Group - Elgin 745 Fletcher Drive Urology COVERED UNDER FAP Sherman Hospital Advocate Medical Group - Huntley - 13900 Quality Drive COVERED UNDER FAP Sherman Hospital Advocate Medical Group - Sherman Hospital, Palliative Care COVERED UNDER FAP Sherman Hospital Advocate Medical Group - South Elgin COVERED UNDER FAP Sherman Hospital Advocate Medical Group - West Dundee - Family Medicine COVERED UNDER FAP Sherman Hospital Advocate Medical Group Advocate Clinic Glen Ellyn COVERED UNDER FAP Sherman Hospital Advocate Medical Group Advocate Clinic Hanover Park COVERED UNDER FAP Sherman Hospital Advocate Medical Group Advocate Clinic Huntley COVERED UNDER FAP Sherman Hospital Advocate Medical Group Advocate Clinic Westmont COVERED UNDER FAP Sherman Hospital Advocate Medical Group Condell Hospitalist COVERED UNDER FAP Sherman Hospital Advocate Medical Group Elgin 1435 N Randall Rd 202 COVERED UNDER FAP Sherman Hospital Advocate Medical Group Elgin 750 Fletcher Drive COVERED UNDER FAP Sherman Hospital Advocate Medical Group Peds Hospitalist COVERED UNDER FAP Sherman Hospital Advocate Medical Group Sherman Hospitalist COVERED UNDER FAP Sherman Hospital Advocate Medical Group-Elgin 1710 Randall Road COVERED UNDER FAP Sherman Hospital Advocate Medical Group-Elgin 745 Fletcher Drive COVERED UNDER FAP Sherman Hospital Advocate Medical Group-Elgin,1435 N Randall Rd-107 COVERED UNDER FAP Sherman Hospital Affiliated Ear, Nose & Throat Physicians NOT COVERED Sherman Hospital Afzal, Mohammed -MD NOT COVERED Sherman Hospital Agrawal, Gautam -MD NOT COVERED Sherman Hospital Ahdab, Tarek -MD NOT COVERED Sherman Hospital Ahmad, Nasir -MD NOT COVERED Sherman Hospital Ahmad, Sahar -MD NOT COVERED Sherman Hospital Ahmad, Tanveer -MD NOT COVERED Sherman Hospital Ahmed, Fatima -DO NOT COVERED Sherman Hospital Ahmed, Mohammed -MD NOT COVERED Sherman Hospital Ahmed, Nazneen -MD NOT COVERED Sherman Hospital Akbar, Samreen -MD NOT COVERED Sherman Hospital Alan Arps MD NOT COVERED Sherman Hospital Alexian Brothers Medical Group Streamwood NOT COVERED Sherman Hospital Alexian Brothers Specialty Group NOT COVERED

Page 154 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital Algonquin Family Health Care, P.C. NOT COVERED Sherman Hospital Ali, Ahmer -MD NOT COVERED Sherman Hospital Ali, Muhammad -MD NOT COVERED Sherman Hospital Allen, Jamison -DO NOT COVERED Sherman Hospital Alm, Walter -DPM NOT COVERED Sherman Hospital Alvi, Nishat -MD NOT COVERED Sherman Hospital Amarathithada, Amy -NP NOT COVERED Sherman Hospital American Cancer Center, PC NOT COVERED Sherman Hospital Amsler, Barbara -MD NOT COVERED Sherman Hospital Anderson, Julie -DO COVERED UNDER FAP Sherman Hospital Anderson, Mari -RN NOT COVERED Sherman Hospital Angeles, Emmanuel -NP NOT COVERED Sherman Hospital Anwar, Syed -MD NOT COVERED Sherman Hospital Aparicio Fernandez, Danilo -MD COVERED UNDER FAP Sherman Hospital Apollo Hospitalist Group, LLC NOT COVERED Sherman Hospital Aquino, Suzanne -MD NOT COVERED Sherman Hospital Arps, Alan -MD NOT COVERED Sherman Hospital Arshad, Abrar -MD NOT COVERED Sherman Hospital Arshad, Mussarat -MD NOT COVERED Sherman Hospital Arville, Brent -DO NOT COVERED Sherman Hospital Ascencio Yanez, Dalia -NP NOT COVERED Sherman Hospital Asghar, Syed -MD NOT COVERED Sherman Hospital Aspen Behavioral Care NOT COVERED Sherman Hospital Associated Cardiovascular Physicians, SC NOT COVERED Sherman Hospital Associates for Women's Healthcare NOT COVERED Sherman Hospital Associates in Ear, Nose & Throat, Head & Neck Surgery, SC NOT COVERED Sherman Hospital Associates in Endocrinology, Inc. NOT COVERED Sherman Hospital Associates in Pediatrics, SC NOT COVERED Sherman Hospital Associates in Psychiatry and Counseling, PC NOT COVERED Sherman Hospital Atadero, Arsenio -MD NOT COVERED Sherman Hospital Atadero, Jennifer -MD NOT COVERED Sherman Hospital Atkins, Thomas -MD NOT COVERED Sherman Hospital Azer, Fadel -MD NOT COVERED Sherman Hospital Aziz, Asad -DO NOT COVERED Sherman Hospital Baer, Rachel -MD COVERED UNDER FAP Sherman Hospital Bajowala, Sakina -MD NOT COVERED Sherman Hospital Balek, Mark -MD NOT COVERED Sherman Hospital Baley, Richard -MD NOT COVERED Sherman Hospital Bangash, Javed -MD NOT COVERED Sherman Hospital Bangash, Suleman -DO NOT COVERED Sherman Hospital Barakat, Safwan -MD NOT COVERED Sherman Hospital Barclay, JoAnna -MD NOT COVERED Sherman Hospital Bardouniotis, George -MD NOT COVERED Sherman Hospital Barnes, Matthew -PA NOT COVERED Sherman Hospital Bartel, Eric -MD NOT COVERED Sherman Hospital Barthel, Jeness -MD NOT COVERED Sherman Hospital Bartkowiak, Anthony -PA NOT COVERED Sherman Hospital Beaird Dermatology, SC NOT COVERED Sherman Hospital Beaird, Leslie -MD NOT COVERED Sherman Hospital Beck, Gina -NP NOT COVERED Sherman Hospital Becker, Brett -DPM NOT COVERED Sherman Hospital Becker, Herbert -MD NOT COVERED Sherman Hospital Behrens, George -MD NOT COVERED Sherman Hospital Berg, Lawrence -MD NOT COVERED Sherman Hospital Berhe, Tseghai -MD NOT COVERED Sherman Hospital Berkson, Michael -MD NOT COVERED Sherman Hospital Bernstein, Harry -MD NOT COVERED Sherman Hospital Best Practices Inpatient Care, Ltd NOT COVERED

Page 155 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital Betancourt, Joanna -MD NOT COVERED Sherman Hospital Beusse, Walter -DO NOT COVERED Sherman Hospital Bhatt, Nikhil -MD NOT COVERED Sherman Hospital Bialon-Oster, Beata -DPM NOT COVERED Sherman Hospital Bianchi, Lucie -MD NOT COVERED Sherman Hospital Biswas, Debdut -MD NOT COVERED Sherman Hospital Blau, Bamini -DDS NOT COVERED Sherman Hospital Blosser, Susan -NP COVERED UNDER FAP Sherman Hospital Boas, Steven -MD NOT COVERED Sherman Hospital Bock, Marciann -NP NOT COVERED Sherman Hospital Bode, Sharon -NP COVERED UNDER FAP Sherman Hospital Bogarapu, Soujanya -MD NOT COVERED Sherman Hospital Bohnenkamp, Frank -MD NOT COVERED Sherman Hospital Bonaminio, Emo -DPM NOT COVERED Sherman Hospital Boncu, Otilia -NP NOT COVERED Sherman Hospital Bonczak, Boguslaw -MD NOT COVERED Sherman Hospital Bontu, Udaya -MD COVERED UNDER FAP Sherman Hospital Boulos, Dany -MD NOT COVERED Sherman Hospital Boundaoui, Oussama -MD NOT COVERED Sherman Hospital Braaksma, Brian -MD NOT COVERED Sherman Hospital Brandon, Matthew -MD NOT COVERED Sherman Hospital Brankin, Shara Ann -NP NOT COVERED Sherman Hospital Brems, John -MD COVERED UNDER FAP Sherman Hospital Brissey, Nicholas -DPM NOT COVERED Sherman Hospital Broderick, Richard -MD NOT COVERED Sherman Hospital Brunson, Jack -PA NOT COVERED Sherman Hospital Bryniczka, Adam -DPM NOT COVERED Sherman Hospital Buddharaju, Venkata -MD NOT COVERED Sherman Hospital Burks, James -MD NOT COVERED Sherman Hospital Cain, Sarah -NP NOT COVERED Sherman Hospital Calhoun, Molly -PA NOT COVERED Sherman Hospital Campbell, Tracy -MD NOT COVERED Sherman Hospital Cannestra, Vincent -MD NOT COVERED Sherman Hospital Cao, Thomas -MD NOT COVERED Sherman Hospital Cardiac Arrhythmia Services NOT COVERED Sherman Hospital Carlile, Kevin -MD NOT COVERED Sherman Hospital Carlson, Steven -NP COVERED UNDER FAP Sherman Hospital Carlson, Wayne -MD COVERED UNDER FAP Sherman Hospital Casciaro, Karen -MD NOT COVERED Sherman Hospital Castor, Patricia -DDS NOT COVERED Sherman Hospital Catanese, Jaclyn -NP COVERED UNDER FAP Sherman Hospital Centegra Physician Care NOT COVERED Sherman Hospital Centegra Primary Care NOT COVERED Sherman Hospital Century Dental of Huntley NOT COVERED Sherman Hospital CEP America - Illinois, LLP NOT COVERED Sherman Hospital Challa, Karthik -MD COVERED UNDER FAP Sherman Hospital Chan, Jerry -NP NOT COVERED Sherman Hospital Chatterji, Raja -MD COVERED UNDER FAP Sherman Hospital Chhadia, Ankur -MD NOT COVERED Sherman Hospital Chia Li, Ricardo -MD NOT COVERED Sherman Hospital Chicago Cardiology Institute, SC NOT COVERED Sherman Hospital Chicago Institute of Plastic Surgery NOT COVERED Sherman Hospital Chicagoland Eye Consultants, SC NOT COVERED Sherman Hospital Chiemmongkoltip, Panita -MD NOT COVERED Sherman Hospital Children's Asthma Respiratory & Exercise Specialists NOT COVERED Sherman Hospital Chin, Jamie -MD NOT COVERED Sherman Hospital Chovanec, Abby -CRNA NOT COVERED Sherman Hospital Chowdhury, Mohammed -MD NOT COVERED

Page 156 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital Chu, Felicia -DDS NOT COVERED Sherman Hospital Chudik, Brian -DO COVERED UNDER FAP Sherman Hospital Chukwulebe, Steve -MD NOT COVERED Sherman Hospital Chung, Joseph -MD COVERED UNDER FAP Sherman Hospital Chura, Joanna -DPM NOT COVERED Sherman Hospital Clark, Jessica -PA NOT COVERED Sherman Hospital Clark, Lindsay -NP NOT COVERED Sherman Hospital Clingan, Beth -DO NOT COVERED Sherman Hospital Cohn, James -MD NOT COVERED Sherman Hospital Coke, Courtney -MD COVERED UNDER FAP Sherman Hospital Colin, Victor -MD NOT COVERED Sherman Hospital Collins, Tonya -NP NOT COVERED Sherman Hospital Complete Heathcare for Women, SC NOT COVERED Sherman Hospital Comprehensive Eyecare Physicians, PC NOT COVERED Sherman Hospital Comprehensive Urologic Care, SC NOT COVERED Sherman Hospital Conchita Gavino, MD, SC NOT COVERED Sherman Hospital Conway, Tyler -MD NOT COVERED Sherman Hospital Copley, Kevin -MD NOT COVERED Sherman Hospital Courtney, Angi -PA NOT COVERED Sherman Hospital Cox, John -MD NOT COVERED Sherman Hospital Creed, Heather -NP NOT COVERED Sherman Hospital Crystal Lake Dermatalogy NOT COVERED Sherman Hospital Czapla, Marc -DDS NOT COVERED Sherman Hospital Dahleen, Callie -PA NOT COVERED Sherman Hospital Dairi, Firas -MD NOT COVERED Sherman Hospital Damaraju, Ravi -MD NOT COVERED Sherman Hospital Dandekar, Vineet -MD COVERED UNDER FAP Sherman Hospital Dang, Vi -MD NOT COVERED Sherman Hospital Das, Andrea -MD NOT COVERED Sherman Hospital Das, Prasun -MD COVERED UNDER FAP Sherman Hospital Daudi, Shazia -MD NOT COVERED Sherman Hospital Davis, Eurydice -NP NOT COVERED Sherman Hospital Davis, Jennifer -NP NOT COVERED Sherman Hospital De Marco-Paitl, Laura -DO COVERED UNDER FAP Sherman Hospital Debrah, Joanne -MD NOT COVERED Sherman Hospital Desai, Ankit -MD NOT COVERED Sherman Hospital Desai, Apurva -MD NOT COVERED Sherman Hospital Desai, Naman -MD NOT COVERED Sherman Hospital Deshpande, Lina -MD NOT COVERED Sherman Hospital Dhaliwal, Jasmeet -MD NOT COVERED Sherman Hospital Dhillon, Kushleen -MD COVERED UNDER FAP Sherman Hospital Dholakia, Chirag -MD COVERED UNDER FAP Sherman Hospital Dhrulata R. Shah, MD SC NOT COVERED Sherman Hospital Dickey, Sarah -DPM NOT COVERED Sherman Hospital Dillon, Jane -MD NOT COVERED Sherman Hospital Dimante, Janeta -MD NOT COVERED Sherman Hospital Ding, Charley -MD NOT COVERED Sherman Hospital Divyang A. Joshi, MD, PC NOT COVERED Sherman Hospital Doja, Saira -DO COVERED UNDER FAP Sherman Hospital Dorfmeister, Jennifer -MD NOT COVERED Sherman Hospital Doshi, Parag -MD NOT COVERED Sherman Hospital Dovidio, Thomas -DO COVERED UNDER FAP Sherman Hospital Dr. Michael Williams Podiatry, Inc. NOT COVERED Sherman Hospital Dreyer Clinic - Sequoia COVERED UNDER FAP Sherman Hospital Du Page Medical Group, Ltd NOT COVERED Sherman Hospital Dubin, Mark -MD NOT COVERED Sherman Hospital Duffy, Lauren -NP NOT COVERED Sherman Hospital Dundee Dermatology NOT COVERED

Page 157 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital DuPage Medical Group, LTC NOT COVERED Sherman Hospital DuPage Medical Group, Ltd NOT COVERED Sherman Hospital Duval, Sharon -MD NOT COVERED Sherman Hospital Dykun, Roman -MD NOT COVERED Sherman Hospital Earhart, Jeffrey -MD NOT COVERED Sherman Hospital Ebirim, Reginald -MD NOT COVERED Sherman Hospital Edge, Adrienne -MD NOT COVERED Sherman Hospital Egekeze, Gilbert -MD NOT COVERED Sherman Hospital Elgin Barrington Neurosurgery, SC NOT COVERED Sherman Hospital Elgin Family Physicians, SC NOT COVERED Sherman Hospital Elgin Foot & Ankle Center, SC NOT COVERED Sherman Hospital Elgin Internal Medical Associates, SC NOT COVERED Sherman Hospital Elgin Medical Associates NOT COVERED Sherman Hospital Elgin Rehabilitation Physicians NOT COVERED Sherman Hospital Eligijus P. Lelis MD & Associates, SC NOT COVERED Sherman Hospital Elio M. Vento, MD & Associates, SC NOT COVERED Sherman Hospital Elite Cardiology Solutions, LLC NOT COVERED Sherman Hospital Embry, Glenda -CNM NOT COVERED Sherman Hospital Engen, Paul -DDS NOT COVERED Sherman Hospital Epstein, Brad -MD NOT COVERED Sherman Hospital Esposito, Patrick -MD NOT COVERED Sherman Hospital Estes, Christine -MD NOT COVERED Sherman Hospital Facchini, Francis -MD NOT COVERED Sherman Hospital Fang, Henry -MD NOT COVERED Sherman Hospital Farbota, Leo -MD COVERED UNDER FAP Sherman Hospital Faubel, Christopher -MD NOT COVERED Sherman Hospital Fendon Plastic Surgery NOT COVERED Sherman Hospital Fendon, Thomas -MD NOT COVERED Sherman Hospital Fernau, Stephen -CRNA NOT COVERED Sherman Hospital Ferry, Scott -MD NOT COVERED Sherman Hospital Fiandaca Periodontics, P.C. NOT COVERED Sherman Hospital Fiandaca, Dante -DDS NOT COVERED Sherman Hospital Fiedler, John -MD NOT COVERED Sherman Hospital Finigan, Michael -PA NOT COVERED Sherman Hospital Fischer, Lauren -MD NOT COVERED Sherman Hospital Florentino, Jennifer -NP COVERED UNDER FAP Sherman Hospital Flynn, Dennis -MD NOT COVERED Sherman Hospital Flynn, Jessica -MD NOT COVERED Sherman Hospital Fong, Nepenthe -MD NOT COVERED Sherman Hospital Foreman, Jason -MD NOT COVERED Sherman Hospital Forsberg, Amy -PA NOT COVERED Sherman Hospital Foster, Brian -MD NOT COVERED Sherman Hospital Fotso, Carmen -MD COVERED UNDER FAP Sherman Hospital Fox Valley Comprehensive Women's Healthcare NOT COVERED Sherman Hospital Fox Valley Ear, Nose, and Throat Associates, SC NOT COVERED Sherman Hospital Fox Valley Laboratory Physicians, SC NOT COVERED Sherman Hospital Fox Valley Neurology, PC NOT COVERED Sherman Hospital Fox Valley Ophthalmology, Ltd. NOT COVERED Sherman Hospital Fox Valley Orthopaedic Associates, SC NOT COVERED Sherman Hospital Frankel, Hong -MD NOT COVERED Sherman Hospital Frantz, Christopher -MD NOT COVERED Sherman Hospital Frazier, Mark -PsyD NOT COVERED Sherman Hospital Freedberg, Howard -MD NOT COVERED Sherman Hospital Gager, Roseann -MD NOT COVERED Sherman Hospital Galan, Angel -MD NOT COVERED Sherman Hospital Gallagher, Katrina -NP COVERED UNDER FAP Sherman Hospital Gambla, Gregory -DO NOT COVERED Sherman Hospital Gandhiraj, Bindu -MD NOT COVERED

Page 158 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital Gavino, Conchita -MD NOT COVERED Sherman Hospital Gavino, Wayne -MD NOT COVERED Sherman Hospital Geeti Ghosh, MD, SC NOT COVERED Sherman Hospital General & Vascular Surgery, Ltd. (a member of Sherman Physician Group) NOT COVERED Sherman Hospital George , Benjamin -PA NOT COVERED Sherman Hospital George L. Stankevych, MD, PC NOT COVERED Sherman Hospital George, Mary -MD NOT COVERED Sherman Hospital Gephart, Anandita -MD NOT COVERED Sherman Hospital Gephart, Todd -MD NOT COVERED Sherman Hospital Gerber, Brian -MD NOT COVERED Sherman Hospital Germbusters, P.C. NOT COVERED Sherman Hospital Getz, Paul -MD NOT COVERED Sherman Hospital Ghaderi, Bahram -MD NOT COVERED Sherman Hospital Ghani, Muhammad -MD NOT COVERED Sherman Hospital Ghosh, Geeti -MD NOT COVERED Sherman Hospital Ghumra, Mohamed -MD NOT COVERED Sherman Hospital Giannini, Marchelle -MD NOT COVERED Sherman Hospital Gitelis Orthopedics, Ltd NOT COVERED Sherman Hospital Gitelis, Michael -MD NOT COVERED Sherman Hospital Gladdin, Stephen -MD NOT COVERED Sherman Hospital Godambe, Sonia -MD NOT COVERED Sherman Hospital Goel, Archana -MD NOT COVERED Sherman Hospital Goldberg, Marlyn -MD NOT COVERED Sherman Hospital Goldenberg, Bradley -MD NOT COVERED Sherman Hospital Goldin, Allison -MD COVERED UNDER FAP Sherman Hospital Gomez Medical Group, Inc NOT COVERED Sherman Hospital Gonzalez, Ramon -MD COVERED UNDER FAP Sherman Hospital Goodall, Jana -NP COVERED UNDER FAP Sherman Hospital Gowda, Satish -MD NOT COVERED Sherman Hospital Graba, Sandra -MD NOT COVERED Sherman Hospital Greater Elgin Family Care Center NOT COVERED Sherman Hospital Greater Elgin Pain Management Consultants, SC NOT COVERED Sherman Hospital Green, Kristian -PA NOT COVERED Sherman Hospital Griffin, James -MD COVERED UNDER FAP Sherman Hospital Griggs, Louisa -MD NOT COVERED Sherman Hospital Grossman, Stephen -MD NOT COVERED Sherman Hospital Guerra, Kathleen -PA NOT COVERED Sherman Hospital Guman, Sebastian -MD NOT COVERED Sherman Hospital Gupta, Vanita -MD NOT COVERED Sherman Hospital Gvildys, Dalia -MD NOT COVERED Sherman Hospital Haight, Marta -PA NOT COVERED Sherman Hospital Halihan, Craig -DPM NOT COVERED Sherman Hospital Halloran, Fred -MD NOT COVERED Sherman Hospital Ham, Jongwook -MD NOT COVERED Sherman Hospital Hamada, Susan -MD COVERED UNDER FAP Sherman Hospital Hampshire Clinic, Inc NOT COVERED Sherman Hospital Harvin, Howard -MD NOT COVERED Sherman Hospital Hasan, Syed -MD NOT COVERED Sherman Hospital Health Care Associates of Streamwood NOT COVERED Sherman Hospital Heffelfinger, Brian -MD NOT COVERED Sherman Hospital Hefner, Alan -MD NOT COVERED Sherman Hospital Hemmer, David -MD NOT COVERED Sherman Hospital Henke, Briana -PA NOT COVERED Sherman Hospital Herbert C. Becker Jr., MD SC NOT COVERED Sherman Hospital Heretis, Katherine -MD NOT COVERED Sherman Hospital Heritage Primary Care, SC NOT COVERED Sherman Hospital Hernandez, Michael -MD COVERED UNDER FAP Sherman Hospital Heuser, Alicia -PA NOT COVERED

Page 159 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital High Touch Medicine NOT COVERED Sherman Hospital Holevas, William -DDS NOT COVERED Sherman Hospital Holtkamp, Kelly -MD NOT COVERED Sherman Hospital Holtz, Geraldine -NP NOT COVERED Sherman Hospital Horn, Jamie -MD NOT COVERED Sherman Hospital Horng Y. Fang, MD, SC NOT COVERED Sherman Hospital Hosain, Farzana -MD NOT COVERED Sherman Hospital Hospital Medicine Consultants. LLC NOT COVERED Sherman Hospital Hsu, Raymond -MD NOT COVERED Sherman Hospital Hu, Ping -MD NOT COVERED Sherman Hospital Huang, Tian -MD NOT COVERED Sherman Hospital Hussain, Mujahid -MD NOT COVERED Sherman Hospital Hyman, Bruce -MD NOT COVERED Sherman Hospital Ignacio, Jemini -MD NOT COVERED Sherman Hospital Illinois Cancer Specialists NOT COVERED Sherman Hospital Illinois Gastroenterology Group, LLC NOT COVERED Sherman Hospital Imran, Mehnaz -MD NOT COVERED Sherman Hospital Inpatient Consultants of Illinois, PC NOT COVERED Sherman Hospital Integrated Imaging Consultants, LLC NOT COVERED Sherman Hospital internamed NOT COVERED Sherman Hospital Ivanovich, Matthew -MD NOT COVERED Sherman Hospital Izquierdo, Rolando -MD NOT COVERED Sherman Hospital Jacobs, Melissa -MD NOT COVERED Sherman Hospital Jacoby, Cory -DPM NOT COVERED Sherman Hospital Jacoby, Kenneth -DPM NOT COVERED Sherman Hospital Jailwala, Bharat -MD NOT COVERED Sherman Hospital Jaimes-Huerta, Patricia -MD COVERED UNDER FAP Sherman Hospital Jalal, Saima -MD NOT COVERED Sherman Hospital Janeta Dimante MD, SC NOT COVERED Sherman Hospital Jansen, Ashley -PA NOT COVERED Sherman Hospital Johnson, Gregory -MD NOT COVERED Sherman Hospital Johnson, Kari -PA NOT COVERED Sherman Hospital Jordan, Ashby -MD NOT COVERED Sherman Hospital Joseph, Sunil -MD NOT COVERED Sherman Hospital Joshi, Divyang -MD NOT COVERED Sherman Hospital Joya, Neslie -NP NOT COVERED Sherman Hospital Kall, John -MD NOT COVERED Sherman Hospital Kamboj, Ginny -MD NOT COVERED Sherman Hospital Kaneland Allergy & Asthma Center NOT COVERED Sherman Hospital Kang, Yong -MD NOT COVERED Sherman Hospital Kapur, Rashmi -MD NOT COVERED Sherman Hospital Karsten, Matthew -DMD NOT COVERED Sherman Hospital Kattiyaman, Rosilyn -NP NOT COVERED Sherman Hospital Kazaglis, Jeffrey -MD NOT COVERED Sherman Hospital Kazmer Foot and Ankle Centers, Ltd NOT COVERED Sherman Hospital Kazmer, Gary -DPM NOT COVERED Sherman Hospital Kelso, Francois -PA NOT COVERED Sherman Hospital Ketterling, Kevan -MD NOT COVERED Sherman Hospital Khalid, Taneya -NP NOT COVERED Sherman Hospital Khan, Abdul -MD NOT COVERED Sherman Hospital Khan, Mohammed -MD NOT COVERED Sherman Hospital Khan, Muhammad -MD NOT COVERED Sherman Hospital Khan, Naser -MD NOT COVERED Sherman Hospital Khan, Raffay -MD NOT COVERED Sherman Hospital Khanna, Ramesh -MD COVERED UNDER FAP Sherman Hospital Khemani, Anil -MD NOT COVERED Sherman Hospital Khokhar, Jawaad -MD NOT COVERED Sherman Hospital Khurana, Neal -MD NOT COVERED

Page 160 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital Kid Care Medical NOT COVERED Sherman Hospital Kidney Care Center Elgin, LLC NOT COVERED Sherman Hospital Kid's Dental & Endodontics NOT COVERED Sherman Hospital Kids First Pediatric Dentistry NOT COVERED Sherman Hospital Kim, James -MD NOT COVERED Sherman Hospital Kim, Kyung-Hong -DDS NOT COVERED Sherman Hospital Kim, Sihun -MD NOT COVERED Sherman Hospital King, Brian -DPM NOT COVERED Sherman Hospital Klaustermeier, Jacob -PA NOT COVERED Sherman Hospital Kloch, Janelle -NP NOT COVERED Sherman Hospital Klumpp, Macy -NP NOT COVERED Sherman Hospital Kogan, Michael -MD NOT COVERED Sherman Hospital Koneru, Prafulla -MD NOT COVERED Sherman Hospital Koop, James -MD NOT COVERED Sherman Hospital Kopala, Carrie -PA NOT COVERED Sherman Hospital Korcek, Kenneth -MD NOT COVERED Sherman Hospital Korzen, Carol -MD NOT COVERED Sherman Hospital Kosinski, Lawrence -MD NOT COVERED Sherman Hospital Kossut, Barbara -MD NOT COVERED Sherman Hospital Kostinsky, Natalie -MD NOT COVERED Sherman Hospital Kozlov, Kristi -MD NOT COVERED Sherman Hospital Kratzmeyer, Ridhi -DPM NOT COVERED Sherman Hospital Krause, Michelle -NP NOT COVERED Sherman Hospital Krouse, Matthew -DPM NOT COVERED Sherman Hospital Kruskol, Bryan -DO NOT COVERED Sherman Hospital Kugia, Nicholas -DDS NOT COVERED Sherman Hospital Kulsakdinun, Pamorn -MD NOT COVERED Sherman Hospital Kulsakdinun, Rachel -MD NOT COVERED Sherman Hospital Kumar, Hemali -NP NOT COVERED Sherman Hospital Kunio, Nicholas -MD COVERED UNDER FAP Sherman Hospital Lake County Acute Care, LLP NOT COVERED Sherman Hospital Lake Immediate Care & Clinic, SC NOT COVERED Sherman Hospital Lake in the Hills Podiatry NOT COVERED Sherman Hospital Lambruschi, Philip -MD NOT COVERED Sherman Hospital Lamoutte, Humberto -MD COVERED UNDER FAP Sherman Hospital Lanciloti, John -MD NOT COVERED Sherman Hospital Lang, Angela -PA NOT COVERED Sherman Hospital Langefeld, Czapla & Associates, DDS, PC NOT COVERED Sherman Hospital LaVanway, Nichole -MD NOT COVERED Sherman Hospital Legacy Medical Care, Inc. NOT COVERED Sherman Hospital Leon, Gabriela -NP NOT COVERED Sherman Hospital Levis, William -MD NOT COVERED Sherman Hospital Li, Yanbing -MD NOT COVERED Sherman Hospital Liang, Roland -MD NOT COVERED Sherman Hospital Lifespan NOT COVERED Sherman Hospital Lipov, Sergei -MD NOT COVERED Sherman Hospital Lochmueller, Glen -MD NOT COVERED Sherman Hospital Logsdon, Mallory -DO COVERED UNDER FAP Sherman Hospital Loring, Lisa -NP NOT COVERED Sherman Hospital Losurdo, Joseph -MD NOT COVERED Sherman Hospital Lovato, Peter -DPM NOT COVERED Sherman Hospital Lynch, Elise -NP COVERED UNDER FAP Sherman Hospital Lynn D. Mershon, DO, Ltd NOT COVERED Sherman Hospital Lyons, Kelly -PA NOT COVERED Sherman Hospital M D Patel, Inc NOT COVERED Sherman Hospital Ma, Gloria -MD NOT COVERED Sherman Hospital Mabazza, Ma Vanessa -NP NOT COVERED Sherman Hospital Macariola-Coad, Justin -MD NOT COVERED

Page 161 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital Macrie, Bryan -MD NOT COVERED Sherman Hospital Maggio, Frank -DDS NOT COVERED Sherman Hospital Magnanao, Ulysses -DO COVERED UNDER FAP Sherman Hospital Maheshwari, Pradeep -MD NOT COVERED Sherman Hospital Majmudar, Sonali -MD NOT COVERED Sherman Hospital Malik, Nida -DO NOT COVERED Sherman Hospital Malik, Zahid -MD NOT COVERED Sherman Hospital Malinski, Maciej -MD COVERED UNDER FAP Sherman Hospital Mallett, Eric -MD NOT COVERED Sherman Hospital Mamou, Dany -MD NOT COVERED Sherman Hospital Mandal, Robert -MD NOT COVERED Sherman Hospital Mandala, Cassie -PA NOT COVERED Sherman Hospital Mangahas, Susan -MD NOT COVERED Sherman Hospital Mani, Lisa -MD NOT COVERED Sherman Hospital Manjunath, Rajini -MD NOT COVERED Sherman Hospital Mann, David -MD NOT COVERED Sherman Hospital Maroney, Joseph -PA NOT COVERED Sherman Hospital Martin, Megan -NP NOT COVERED Sherman Hospital Matarieh, Azmey -MD COVERED UNDER FAP Sherman Hospital Matschullat, Kristy -PA NOT COVERED Sherman Hospital Maw, Thida -MD NOT COVERED Sherman Hospital Mazurek, Robert -MD NOT COVERED Sherman Hospital McCannon, Valerie -PA NOT COVERED Sherman Hospital McClellan, Michael -PA NOT COVERED Sherman Hospital McElligott, Brendan -PA NOT COVERED Sherman Hospital McGuire, Kent -MD COVERED UNDER FAP Sherman Hospital McKay, Scott -PA NOT COVERED Sherman Hospital McLinden, Matthew -NP NOT COVERED Sherman Hospital McNally, Thomas -MD NOT COVERED Sherman Hospital Medical Associates of Crystal Lake, LLC NOT COVERED Sherman Hospital Mehta, Ajay -MD NOT COVERED Sherman Hospital Mehta, Ashok -MD NOT COVERED Sherman Hospital Mehta, Vishal -MD NOT COVERED Sherman Hospital Melchionna, Kenneth -DO NOT COVERED Sherman Hospital Memon, Aamir -MD NOT COVERED Sherman Hospital Memon, Mohammed -MD NOT COVERED Sherman Hospital Mercy Medical Center Cardiology Clinic NOT COVERED Sherman Hospital Mercy Pediatrics NOT COVERED Sherman Hospital Merlo, Patricia -DO COVERED UNDER FAP Sherman Hospital Mershon, Lynn -DO NOT COVERED Sherman Hospital Messinger, Marina -MD NOT COVERED Sherman Hospital Metro Heart & Vascular Institute, Ltd NOT COVERED Sherman Hospital Metro Infectious Disease Consultants, LLC NOT COVERED Sherman Hospital Michael J. Riermaier, MD, JD, SC NOT COVERED Sherman Hospital Michael, Christopher -MD NOT COVERED Sherman Hospital Midwest Allergy Inc. NOT COVERED Sherman Hospital Midwest Anesthesia Partners NOT COVERED Sherman Hospital Midwest Anesthesia Partners, LLC NOT COVERED Sherman Hospital Midwest Bone & Joint Institute NOT COVERED Sherman Hospital Midwest Center for Women's HealthCare, Ltd NOT COVERED Sherman Hospital Midwest Oncology Hematology, Ltd NOT COVERED Sherman Hospital Midwest Pediatric Endocrinology NOT COVERED Sherman Hospital Midwest Plastic Surgery Specialists NOT COVERED Sherman Hospital Midwest Professional Medical Care NOT COVERED Sherman Hospital Midwest Pulmonary and Sleep Clinic, SC NOT COVERED Sherman Hospital Midwest Radiation Oncology Consultants, Ltd. NOT COVERED Sherman Hospital Miller, Aaron -MD NOT COVERED Sherman Hospital Miller, Deanne -DO NOT COVERED

Page 162 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital Miller, Melissa -DO NOT COVERED Sherman Hospital Miller, Sabrina -PA NOT COVERED Sherman Hospital Mills, Christopher -NP NOT COVERED Sherman Hospital Misra, Sharmita -MD NOT COVERED Sherman Hospital Mlot, Ellen -DO NOT COVERED Sherman Hospital Mohamed, Elsayed -MD NOT COVERED Sherman Hospital Mohiuddin, Mohd -MD NOT COVERED Sherman Hospital Mohiuddin, Shahab -MD NOT COVERED Sherman Hospital MOHS Surgery and Dermatology Center NOT COVERED Sherman Hospital Moinuddin, Irfan -MD NOT COVERED Sherman Hospital Montes, Socorro -DPM NOT COVERED Sherman Hospital Moore, John -PA NOT COVERED Sherman Hospital Morawski, David -MD NOT COVERED Sherman Hospital Morema, Jennifer -NP COVERED UNDER FAP Sherman Hospital Moreno, Yvonne -MD NOT COVERED Sherman Hospital Mox, Scott -MD NOT COVERED Sherman Hospital Mueller, Christine -MD NOT COVERED Sherman Hospital Mulamalla, Srilatha -MD COVERED UNDER FAP Sherman Hospital Munzir, Syed -MD NOT COVERED Sherman Hospital Muska, Brian -MD NOT COVERED Sherman Hospital Musser, Bret -DPM NOT COVERED Sherman Hospital Myrda, Jerry -DO NOT COVERED Sherman Hospital Nabrinsky, Stanley -MD NOT COVERED Sherman Hospital Nadelman, David -MD NOT COVERED Sherman Hospital Naidu, Jayarama -MD NOT COVERED Sherman Hospital Naidu, Mohanakumari -MD NOT COVERED Sherman Hospital Narula, Neelam -MD NOT COVERED Sherman Hospital Narumanchi, Suman -MD NOT COVERED Sherman Hospital Navik, Samir -MD NOT COVERED Sherman Hospital Nawab, Hina -MD NOT COVERED Sherman Hospital Negrete, Maria -NP NOT COVERED Sherman Hospital Nephrology Associates of Northern Illinois, LTD NOT COVERED Sherman Hospital Nettleton, Margaret -MD NOT COVERED Sherman Hospital NeuroCare & Family Services NOT COVERED Sherman Hospital Newsom, Gordon -MD NOT COVERED Sherman Hospital Next Generation Pediatrics NOT COVERED Sherman Hospital Next Generation Pediatrics, LLC NOT COVERED Sherman Hospital Nguyen, Paul -MD NOT COVERED Sherman Hospital Nguyen, Rubina -DDS NOT COVERED Sherman Hospital Nicholas Kugia, DDS LLC NOT COVERED Sherman Hospital Nicholas, Olga -CRNA NOT COVERED Sherman Hospital Nickles, Magaly -NP NOT COVERED Sherman Hospital Nikoleit, James -MD NOT COVERED Sherman Hospital Niles, Sara -PA NOT COVERED Sherman Hospital Nisar, Asim -MD COVERED UNDER FAP Sherman Hospital Northern Illinois Foot & Ankle Specialists, Ltd NOT COVERED Sherman Hospital Northern Illinois Medical Associates NOT COVERED Sherman Hospital Northwest Brain and Spine Surgery NOT COVERED Sherman Hospital Northwest Dental Sleep Medicine NOT COVERED Sherman Hospital Northwest Healthcare Associates NOT COVERED Sherman Hospital Northwest Neurology, Ltd NOT COVERED Sherman Hospital Northwest Oncology & Hematology, SC NOT COVERED Sherman Hospital Northwest Pediatric Neurology NOT COVERED Sherman Hospital Northwest Pediatric Services, SC NOT COVERED Sherman Hospital Northwest Podiatry Center, Ltd NOT COVERED Sherman Hospital Northwest Primary Care, PC NOT COVERED Sherman Hospital Northwest Suburban Oncology and Hematology Associates SC NOT COVERED Sherman Hospital Northwestern Regional Medical Group NOT COVERED

Page 163 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital Oaklund Medical Group, Ltd NOT COVERED Sherman Hospital Ochwat, Gary -DPM NOT COVERED Sherman Hospital Oleksiak, Michael -MD NOT COVERED Sherman Hospital Onyibor, Kate -MD NOT COVERED Sherman Hospital Oommen, Bino -MD NOT COVERED Sherman Hospital Ophthalmology Associates, Ltd NOT COVERED Sherman Hospital Opus Plastic Surgery, LTD NOT COVERED Sherman Hospital OrthoIllinois NOT COVERED Sherman Hospital Osadnik, Renata -MD NOT COVERED Sherman Hospital OSF ST. Paul Medical Center NOT COVERED Sherman Hospital Osinski, Katarzyna -NP COVERED UNDER FAP Sherman Hospital Ovadia, Aaron -MD COVERED UNDER FAP Sherman Hospital Owens, Daniel -MD NOT COVERED Sherman Hospital Ozog, Kara -PA NOT COVERED Sherman Hospital Palermo, Amanda -NP NOT COVERED Sherman Hospital Palmer, Shawn -DO NOT COVERED Sherman Hospital Papciak, Courtney -PA NOT COVERED Sherman Hospital Papiernik, Marci -CRNA NOT COVERED Sherman Hospital Paradis, Cheryl -MD NOT COVERED Sherman Hospital Parenti, Katherine -MD NOT COVERED Sherman Hospital Park, Richard -MD NOT COVERED Sherman Hospital Patari, Kirit -MD NOT COVERED Sherman Hospital Patel Cooke, Sheena -MD NOT COVERED Sherman Hospital Patel, Aasita -MD NOT COVERED Sherman Hospital Patel, Dhaval -MD NOT COVERED Sherman Hospital Patel, Hina -MD NOT COVERED Sherman Hospital Patel, Mukeshchandra -MD NOT COVERED Sherman Hospital Patel, Niki -PA NOT COVERED Sherman Hospital Patel, Nilesh -DO NOT COVERED Sherman Hospital Patel, Pratixa -CRNA NOT COVERED Sherman Hospital Patel, Raj -MD NOT COVERED Sherman Hospital Patel, Taral -MD NOT COVERED Sherman Hospital Patel, Tarpan -MD NOT COVERED Sherman Hospital Patel, Umesh -MD NOT COVERED Sherman Hospital Pease, Stephanie -PA NOT COVERED Sherman Hospital Pediatric & Child Development Clinic, Inc NOT COVERED Sherman Hospital Pediatric and Family Dental NOT COVERED Sherman Hospital Pediatric Health Partner NOT COVERED Sherman Hospital PediaTrust, LLC NOT COVERED Sherman Hospital Pelinkovic, Dalip -MD NOT COVERED Sherman Hospital Pena Chavez, Samantha -MD NOT COVERED Sherman Hospital Pereira DaCunha, Tatiana -MD COVERED UNDER FAP Sherman Hospital Periodontics of Elgin, Ltd. NOT COVERED Sherman Hospital Perlin, Michael -MD NOT COVERED Sherman Hospital Perry, Tina -NP NOT COVERED Sherman Hospital Personal Women's Healthcare, SC NOT COVERED Sherman Hospital Peterson, Kyle -DPM NOT COVERED Sherman Hospital Petrucci, Jasper -MD NOT COVERED Sherman Hospital Petsche, Timothy -MD NOT COVERED Sherman Hospital Pfeiffer, Emily -NP NOT COVERED Sherman Hospital Phu, Kyla -NP COVERED UNDER FAP Sherman Hospital Pillai, Rajesh -MD NOT COVERED Sherman Hospital Pitroda, Parol -MD NOT COVERED Sherman Hospital PMG Cardiology NOT COVERED Sherman Hospital Pond, Robin -PA NOT COVERED Sherman Hospital Poulos, Dorothea -MD NOT COVERED Sherman Hospital Powell, Anthony -MD NOT COVERED Sherman Hospital Pozzi, Patrick -MD NOT COVERED

Page 164 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital Prafulla K. Koneru, M.D., S.C. NOT COVERED Sherman Hospital Prairie Point Obstetrics & Gynecology, Ltd NOT COVERED Sherman Hospital Predmore, Kimberly -NP COVERED UNDER FAP Sherman Hospital Premier Women's Health Associates, SC NOT COVERED Sherman Hospital Presence Medical Group NOT COVERED Sherman Hospital Pride, Tamara -PA NOT COVERED Sherman Hospital Proponent Medical Group, Ltd NOT COVERED Sherman Hospital Pulmonary & Sleep Medicine Clinic, LLC NOT COVERED Sherman Hospital Pulmonary Critical Care & Sleep Medicine Specialists, SC NOT COVERED Sherman Hospital Qadir, Adnan -MD COVERED UNDER FAP Sherman Hospital Qazi, Manzoor -MD NOT COVERED Sherman Hospital Quadri Family Practice, S.C. NOT COVERED Sherman Hospital Quadri, Syed -MD NOT COVERED Sherman Hospital Quartetti, Eric -MD NOT COVERED Sherman Hospital Raasch, Christopher -NP COVERED UNDER FAP Sherman Hospital Rahman, Amer -MD NOT COVERED Sherman Hospital Rajesh, Mythili -DDS NOT COVERED Sherman Hospital Raju, Subba -MD NOT COVERED Sherman Hospital Rampurwala, Abbas -MD NOT COVERED Sherman Hospital Ray, Raju -MD NOT COVERED Sherman Hospital Redmond, Kristine -NP NOT COVERED Sherman Hospital Rehabilitation Medicine Specialists NOT COVERED Sherman Hospital Rehusch, Steven -MD NOT COVERED Sherman Hospital Reibel, Joseph -PA NOT COVERED Sherman Hospital Reinke, Lance -PsyD NOT COVERED Sherman Hospital Renovo Endodontic Studio NOT COVERED Sherman Hospital Retina Health Institute, SC NOT COVERED Sherman Hospital Riaz, Muhammad -MD NOT COVERED Sherman Hospital Richards, David -MD COVERED UNDER FAP Sherman Hospital Riermaier, Michael -MD NOT COVERED Sherman Hospital Rivers, Marie -PA NOT COVERED Sherman Hospital Roberts, Wesley -MD NOT COVERED Sherman Hospital Rockford Neuroscience Center NOT COVERED Sherman Hospital Rodriguez, Patrick -DO NOT COVERED Sherman Hospital Rosenberg, Michael -MD NOT COVERED Sherman Hospital Roth, Timothy -MD NOT COVERED Sherman Hospital Runge, Robyn -MD NOT COVERED Sherman Hospital Ryan, David -MD NOT COVERED Sherman Hospital Sager, Solomon -MD NOT COVERED Sherman Hospital Saguil, Enrique -MD COVERED UNDER FAP Sherman Hospital Sakka, Nidal -MD NOT COVERED Sherman Hospital Saleheen, Qamar -MD NOT COVERED Sherman Hospital Salud Pediatrics, SC NOT COVERED Sherman Hospital Salwan, Ashima -MD NOT COVERED Sherman Hospital Salwan, Manav -MD NOT COVERED Sherman Hospital Salzmann, Marvin -MD NOT COVERED Sherman Hospital Sampaleanu, Dana -MD NOT COVERED Sherman Hospital Sanchez, Alex -MD NOT COVERED Sherman Hospital Sandoval, William -MD NOT COVERED Sherman Hospital Santa Ines, Lata -MD NOT COVERED Sherman Hospital Saylor, Alaine -PA NOT COVERED Sherman Hospital Schaye, Conor -MD NOT COVERED Sherman Hospital Schening, Jennifer -DO NOT COVERED Sherman Hospital Schiltz, James -PA NOT COVERED Sherman Hospital Schirf, Brian -MD NOT COVERED Sherman Hospital Schlageter, Nicholas -MD NOT COVERED Sherman Hospital Schultz, Kara -MD NOT COVERED Sherman Hospital Schwartz, Joel -DO NOT COVERED

Page 165 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital Scott, Lindsey -PA NOT COVERED Sherman Hospital Seigle, Michael -MD NOT COVERED Sherman Hospital Sellers, Brian -MD NOT COVERED Sherman Hospital Seo, Michelle -MD NOT COVERED Sherman Hospital Sethi, Pradip -MD NOT COVERED Sherman Hospital Setlur, Vikram -MD NOT COVERED Sherman Hospital Sewall, Luke -MD NOT COVERED Sherman Hospital Shah Medical Associates, LLC NOT COVERED Sherman Hospital Shah Medical Center, SC NOT COVERED Sherman Hospital Shah, Asad -MD NOT COVERED Sherman Hospital Shah, Bhavesh -MD NOT COVERED Sherman Hospital Shah, Devendra -MD NOT COVERED Sherman Hospital Shah, Dhrulata -MD NOT COVERED Sherman Hospital Shah, Harsh -MD NOT COVERED Sherman Hospital Shahab, Irum -MD NOT COVERED Sherman Hospital Shaikh, Laura -MD NOT COVERED Sherman Hospital Shakaib, Mohammed -MD NOT COVERED Sherman Hospital Shankara, Besagarahally -MD NOT COVERED Sherman Hospital Shapiro, Bradley -MD NOT COVERED Sherman Hospital Sheade, Wynn -MD NOT COVERED Sherman Hospital Sherman, Gene -DDS NOT COVERED Sherman Hospital Sheth, Harshal -MD COVERED UNDER FAP Sherman Hospital Shirazi, Abdul -MD NOT COVERED Sherman Hospital Shroff, Pranavkumar -MD NOT COVERED Sherman Hospital Shuttari, Syed -MD NOT COVERED Sherman Hospital Shyamani, Heena -MD NOT COVERED Sherman Hospital Sichlau, Michael -MD NOT COVERED Sherman Hospital Sikorsky, Allison -NP NOT COVERED Sherman Hospital Silbert, Agnieszka -MD NOT COVERED Sherman Hospital Silfies, Dawn -DMD NOT COVERED Sherman Hospital Simpson Eye Associates, Ltd NOT COVERED Sherman Hospital Sims, Michael -MD NOT COVERED Sherman Hospital Singer, Howard -MD NOT COVERED Sherman Hospital Singh, Amitabh -MD NOT COVERED Sherman Hospital Singh, Priti -MD NOT COVERED Sherman Hospital Singh, Raminder -MD COVERED UNDER FAP Sherman Hospital Singh, Sukhvir -MD NOT COVERED Sherman Hospital Singh, Veerpal -MD NOT COVERED Sherman Hospital Smith, Diane -CNM NOT COVERED Sherman Hospital Smith, Imelda -PA NOT COVERED Sherman Hospital Smith, Steven -MD NOT COVERED Sherman Hospital So, Charlotte -MD COVERED UNDER FAP Sherman Hospital Sojitra, Payal -MD NOT COVERED Sherman Hospital Solis, Diana -MD NOT COVERED Sherman Hospital Song, Richard -MD NOT COVERED Sherman Hospital Song, Suisui -MD COVERED UNDER FAP Sherman Hospital Sood, Rajiv -MD NOT COVERED Sherman Hospital Sood, Ruchi -MD NOT COVERED Sherman Hospital Sostak, James -MD NOT COVERED Sherman Hospital Sostak, Laura -CRNA NOT COVERED Sherman Hospital Soto, Pablo -MD NOT COVERED Sherman Hospital Soyannwo Balogun, Bolanle -MD NOT COVERED Sherman Hospital Spektor, Tatyana -MD NOT COVERED Sherman Hospital SSD Medical Group NOT COVERED Sherman Hospital St. Charles Foot & Ankle Center NOT COVERED Sherman Hospital St. Charles Plastic Surgery, Ltd. NOT COVERED Sherman Hospital Standage, Christopher -MD NOT COVERED Sherman Hospital Stankevych, George -MD NOT COVERED

Page 166 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital Stanley, Tom -MD NOT COVERED Sherman Hospital Stanziola, Alex -MD NOT COVERED Sherman Hospital Steimle, Cynthia -MD NOT COVERED Sherman Hospital Stilson, Matthew -MD NOT COVERED Sherman Hospital Stinneford, James -MD NOT COVERED Sherman Hospital Stipati, Karla -DPM NOT COVERED Sherman Hospital Suburban Dental Medicine NOT COVERED Sherman Hospital Suburban Orthopaedics, Ltd NOT COVERED Sherman Hospital Suburban Retina, Ltd NOT COVERED Sherman Hospital Suburban Women's Health Specialists, Ltd NOT COVERED Sherman Hospital Sukavachana, Orawan -MD NOT COVERED Sherman Hospital Sun, Wei -MD NOT COVERED Sherman Hospital Sunderbruch, Kathryn -MD NOT COVERED Sherman Hospital Susarla, Savitha -DO NOT COVERED Sherman Hospital Susarla, Viswanatham -MD NOT COVERED Sherman Hospital Sutaria, Sanjay -MD NOT COVERED Sherman Hospital Swanson, Cynthia -NP COVERED UNDER FAP Sherman Hospital Syed S. Asghar, MD, PC NOT COVERED Sherman Hospital Syed, Ehteshamuddin -MD NOT COVERED Sherman Hospital Syed, Shahwar -MD NOT COVERED Sherman Hospital Szczerba, Stefan -MD NOT COVERED Sherman Hospital Tabao, Michelle -MD NOT COVERED Sherman Hospital Tahir Bukhari, Pauravi -CRNA NOT COVERED Sherman Hospital Tan, Tisha -MD NOT COVERED Sherman Hospital Tanna, Shital -MD COVERED UNDER FAP Sherman Hospital Tanveer Ahmad, MD NOT COVERED Sherman Hospital Taylor, Evangeline -PA NOT COVERED Sherman Hospital Teplis, Carol -MD NOT COVERED Sherman Hospital Thalheimer, Quinn -PA NOT COVERED Sherman Hospital The Elgin Clinic, Ltd NOT COVERED Sherman Hospital The Endocrine and Metabolic Center, Inc NOT COVERED Sherman Hospital The Heart Team, LLC NOT COVERED Sherman Hospital The Vision Institute of Illinois, Inc NOT COVERED Sherman Hospital Thida Maw, MD, PC NOT COVERED Sherman Hospital Thomas, Subil -PA NOT COVERED Sherman Hospital Thompson, Kevin -MD NOT COVERED Sherman Hospital Thompson, Mark -MD NOT COVERED Sherman Hospital Thornwood Neurology NOT COVERED Sherman Hospital Thors, Gunnar -MD NOT COVERED Sherman Hospital Thothathri, Vijaya -MD NOT COVERED Sherman Hospital Tiballi, Robert -DO NOT COVERED Sherman Hospital Todd S. Hewell, III, MD, FACS NOT COVERED Sherman Hospital Torio, Kristine -PA NOT COVERED Sherman Hospital Torosian, Craig -MD NOT COVERED Sherman Hospital Tracey, Stephanie -PA NOT COVERED Sherman Hospital Tri-City Neurology, SC NOT COVERED Sherman Hospital Tsai, Salina -MD NOT COVERED Sherman Hospital Turok, David -MD NOT COVERED Sherman Hospital Udoiwod, Fatima -CRNA NOT COVERED Sherman Hospital Upadhyay, Rupal -MD NOT COVERED Sherman Hospital UpToDate Healthcare for Women, Inc NOT COVERED Sherman Hospital UrbanCare Internal Medicine NOT COVERED Sherman Hospital UrbanCare, LLC NOT COVERED Sherman Hospital Urology Care Center, SC NOT COVERED Sherman Hospital V. Susarla, MD, SC NOT COVERED Sherman Hospital Valena, Marlyn -MD COVERED UNDER FAP Sherman Hospital Valika, Shujauddin -MD NOT COVERED Sherman Hospital Valley Medical & Cardiac Clinic, Ltd NOT COVERED

Page 167 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital Valley Plastic Surgery NOT COVERED Sherman Hospital Valley Psychiatry and Counseling, LLC NOT COVERED Sherman Hospital Van Thiel, Geoffrey -MD NOT COVERED Sherman Hospital Varma, Rashi -MD NOT COVERED Sherman Hospital Vascular and Interventional Professionals, LLC NOT COVERED Sherman Hospital Vascular and Interventional Radiology NOT COVERED Sherman Hospital Vein and Laser Center of Elgin Cardiac Surgery NOT COVERED Sherman Hospital Vento, Elio -MD NOT COVERED Sherman Hospital Vierling, Susan -MD NOT COVERED Sherman Hospital Vijaykumar, Aarthi -MD NOT COVERED Sherman Hospital Villwock, Michael -NP COVERED UNDER FAP Sherman Hospital Virnig, Katherine -PA NOT COVERED Sherman Hospital Viscarra, Merrie -DO NOT COVERED Sherman Hospital Vision Radiology NOT COVERED Sherman Hospital Vituity NOT COVERED Sherman Hospital Vlahos, Athanasios -MD NOT COVERED Sherman Hospital VNA Clinic of Fox Valley NOT COVERED Sherman Hospital VNA Healthcare NOT COVERED Sherman Hospital Waite, Alicia -DO COVERED UNDER FAP Sherman Hospital Waite, Odin -DDS NOT COVERED Sherman Hospital Wakeman, Kevin -MD NOT COVERED Sherman Hospital Waliuddin, Syed -MD NOT COVERED Sherman Hospital Walter A. Alm, DPM, PC NOT COVERED Sherman Hospital Wang, Susan -MD NOT COVERED Sherman Hospital Ward, Andrew -MD NOT COVERED Sherman Hospital Washburn, Lynne -RN NOT COVERED Sherman Hospital Washington, Blaine -MD NOT COVERED Sherman Hospital Weess, Cameron -PA NOT COVERED Sherman Hospital Weiss, Esther -CNS NOT COVERED Sherman Hospital Welker, Keith -PA NOT COVERED Sherman Hospital Well Baby Care, PC NOT COVERED Sherman Hospital Well Care Neonatologists, SC NOT COVERED Sherman Hospital Wen, Dennis -MD NOT COVERED Sherman Hospital Wendel, Lucas -MD NOT COVERED Sherman Hospital Wernick, Mark -MD NOT COVERED Sherman Hospital White, John -MD NOT COVERED Sherman Hospital Whitehurst, Jon -MD NOT COVERED Sherman Hospital William J. Holevas, DDS, LTD NOT COVERED Sherman Hospital Williams, Christopher -PA NOT COVERED Sherman Hospital Williams, Michael -DPM NOT COVERED Sherman Hospital Williby, Roland -MD NOT COVERED Sherman Hospital Winkelman, Daniel -MD NOT COVERED Sherman Hospital Winters Family Practice NOT COVERED Sherman Hospital Winters, Gregory -MD NOT COVERED Sherman Hospital Women's Center for Wellness NOT COVERED Sherman Hospital Wong, Jonathan -DDS NOT COVERED Sherman Hospital Wood, Anne -NP COVERED UNDER FAP Sherman Hospital Wu, Irene -MD NOT COVERED Sherman Hospital Wunder, Joshua -MD NOT COVERED Sherman Hospital Yang, Gongyu -MD NOT COVERED Sherman Hospital Yarkony Rehabilitation Associates NOT COVERED Sherman Hospital Yarkony, Gary -MD NOT COVERED Sherman Hospital Yeshwant, Chilakamarri -MD NOT COVERED Sherman Hospital Yoshida, Emmy -MD NOT COVERED Sherman Hospital Yuen, Michael -MD NOT COVERED Sherman Hospital Yung, Silvia -PA NOT COVERED Sherman Hospital Yu-Tungol, Debbie -MD NOT COVERED Sherman Hospital Zahid, Mohammad -MD NOT COVERED

Page 168 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Sherman Hospital Zahir, Syed -MD NOT COVERED Sherman Hospital Zaidi, Mazhar -MD NOT COVERED Sherman Hospital Zaman, Mohammad -MD NOT COVERED Sherman Hospital Zuckerman, Susan -MD NOT COVERED South Suburban Hospital A Step Ahead Footcare, PC NOT COVERED South Suburban Hospital Abbasi, Tahir -MD NOT COVERED South Suburban Hospital Aboyeji, Olufemi -MD NOT COVERED South Suburban Hospital Abushaqra, Sumar -NP COVERED UNDER FAP South Suburban Hospital Administer Medical Associates NOT COVERED South Suburban Hospital Advance Heart Group NOT COVERED South Suburban Hospital Advanced Heart Group NOT COVERED South Suburban Hospital Advanced Orthopedic Specialist S.C. NOT COVERED South Suburban Hospital Advanced Podiatry NOT COVERED South Suburban Hospital Advocate Medical Group - Burbank - Palliative Medicine COVERED UNDER FAP South Suburban Hospital Advocate Medical Group - Chicago - Trinity - Emergency Medicine COVERED UNDER FAP South Suburban Hospital Advocate Medical Group - Downers Grove 1441 Branding COVERED UNDER FAP South Suburban Hospital Advocate Medical Group - Hazel Crest - 17850 S Kedzie - Suite 3100 COVERED UNDER FAP South Suburban Hospital Advocate Medical Group - Hazel Crest - 178th Kedzie - Breast Surgery COVERED UNDER FAP South Suburban Hospital Advocate Medical Group - Hazel Crest, SSH - Ob/Gyne COVERED UNDER FAP South Suburban Hospital Advocate Medical Group - Oak Lawn -Cicero Avenue COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Advocate Clinic Joliet COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Advocate Clinic Lockport COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Advocate Clinic Oak Lawn COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Advocate Clinic Orland Park COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Advocate Clinic Romeoville COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Beverly COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Elgin 750 Fletcher Drive COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Emergency Medicine COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Frankfort COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Hazel Crest Gastro COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Heather Medical COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Hospitalist COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Hospitalists COVERED UNDER FAP South Suburban Hospital Advocate Medical Group MidAmerica Cardio HazelCrest COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Oak Lawn Maternal/Fetal COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Olympia Fields Vollmer COVERED UNDER FAP South Suburban Hospital Advocate Medical Group Orland Park COVERED UNDER FAP South Suburban Hospital Advocate Medical Group South Holland COVERED UNDER FAP South Suburban Hospital Advocate Medical Group South Holland Hospitalist COVERED UNDER FAP South Suburban Hospital Advocate Medical Group-Oak Lawn-9555 S. 52nd Ave-Immediate Care COVERED UNDER FAP South Suburban Hospital Advocate Occupational Health-Hazel Crest COVERED UNDER FAP South Suburban Hospital Affiliated Oncologists, LLC NOT COVERED South Suburban Hospital Ahmad, Faheem -MD NOT COVERED South Suburban Hospital Ahmed, Vasia -MD NOT COVERED South Suburban Hospital Al Kassar, Ghiath -MD NOT COVERED South Suburban Hospital Alaani, Ziad -MD NOT COVERED South Suburban Hospital Alagna, Michael -NP COVERED UNDER FAP South Suburban Hospital Alhalbouni, Saadi -MD NOT COVERED South Suburban Hospital Almasri, Hussam -MD NOT COVERED South Suburban Hospital Al-Massalkhi, Mohamad -MD NOT COVERED South Suburban Hospital Almeda, Francis -MD NOT COVERED South Suburban Hospital Almoshelli, Bader -MD NOT COVERED South Suburban Hospital Alper, Seth -MD COVERED UNDER FAP South Suburban Hospital Alpha Med Physicians Group, LLC NOT COVERED South Suburban Hospital ALR Health and Wellness, Inc NOT COVERED South Suburban Hospital Amenta, Charles -MD NOT COVERED South Suburban Hospital American Surgical Professionals NOT COVERED South Suburban Hospital Amin, Bharti -MD NOT COVERED

Page 169 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP South Suburban Hospital Anand, Pramod -MD NOT COVERED South Suburban Hospital Anderson, Michael -MD NOT COVERED South Suburban Hospital Anoina, Dorothy -MD NOT COVERED South Suburban Hospital Antillas Family Medical Center NOT COVERED South Suburban Hospital Arbor Center for Eyecare, SC NOT COVERED South Suburban Hospital Aribindi, Ram -MD NOT COVERED South Suburban Hospital Arnett Associates NOT COVERED South Suburban Hospital Arnett, Bridgette -MD NOT COVERED South Suburban Hospital Aronson, Robert -MD NOT COVERED South Suburban Hospital Arrington, Dexter -MD NOT COVERED South Suburban Hospital Arthur H. Katz, MD, SC NOT COVERED South Suburban Hospital Asad Zaman, MD, SC NOT COVERED South Suburban Hospital Asadullah, Khaja -MD NOT COVERED South Suburban Hospital Assefa, Girma -MD COVERED UNDER FAP South Suburban Hospital Associated Allergists & Asthma Specialists,Ltd NOT COVERED South Suburban Hospital Associated Medical Centers of Illinois NOT COVERED South Suburban Hospital Associated Urological Specialists, LLC NOT COVERED South Suburban Hospital Associates in Nephrology, SC NOT COVERED South Suburban Hospital Atlas, David -MD COVERED UNDER FAP South Suburban Hospital Aunt Martha's Youth Service Center NOT COVERED South Suburban Hospital Austin, Tonja -MD NOT COVERED South Suburban Hospital Azad, Shahnaz -MD NOT COVERED South Suburban Hospital B.D. Sharma, MD, SC NOT COVERED South Suburban Hospital Baghdan, Marwan -MD COVERED UNDER FAP South Suburban Hospital Baig, Mirza -MD COVERED UNDER FAP South Suburban Hospital Ballard, Darren -MD NOT COVERED South Suburban Hospital Bardwell, Roy -DO NOT COVERED South Suburban Hospital Barry, Sheila -MD NOT COVERED South Suburban Hospital Baxi, Chirayu -MD COVERED UNDER FAP South Suburban Hospital Baylock, Jaime -MD NOT COVERED South Suburban Hospital Beckett, James -MD NOT COVERED South Suburban Hospital Bellamy, Latasha -MD COVERED UNDER FAP South Suburban Hospital Berry, Jennette -MD COVERED UNDER FAP South Suburban Hospital Beshay, Nader -MD NOT COVERED South Suburban Hospital Beste, Lester -DDS NOT COVERED South Suburban Hospital Bhan, Adarsh -MD COVERED UNDER FAP South Suburban Hospital Bhan, Varsha -MD NOT COVERED South Suburban Hospital Bhasin, Amarjit -MD NOT COVERED South Suburban Hospital Bhatia, Motilal -MD COVERED UNDER FAP South Suburban Hospital Blazek, Michelle -NP COVERED UNDER FAP South Suburban Hospital Bokarius, Andrew -MD COVERED UNDER FAP South Suburban Hospital Booker, Timberly -MD COVERED UNDER FAP South Suburban Hospital Boruc, Agnieszka -NP COVERED UNDER FAP South Suburban Hospital Bosh, Gregory -MD COVERED UNDER FAP South Suburban Hospital Bozzo, Maria -PA COVERED UNDER FAP South Suburban Hospital Bradshaw, Joi -MD NOT COVERED South Suburban Hospital Brandies, Julie -MD COVERED UNDER FAP South Suburban Hospital Brinson, Tyree -PsyD NOT COVERED South Suburban Hospital Brody, Cheryl -DO COVERED UNDER FAP South Suburban Hospital Bruce W. Smit DPM, Ltd NOT COVERED South Suburban Hospital Buchanan, Dwayne -MD NOT COVERED South Suburban Hospital Buck, Michael -DPM NOT COVERED South Suburban Hospital Bulger, John -MD NOT COVERED South Suburban Hospital Bulow, Paul -DO NOT COVERED South Suburban Hospital Bush, John -DO NOT COVERED South Suburban Hospital Bussell, Avida -MD COVERED UNDER FAP South Suburban Hospital Camp, Kristen -NP COVERED UNDER FAP South Suburban Hospital Campbell Health Solutions, S.C. NOT COVERED

Page 170 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP South Suburban Hospital Campbell, William -DO NOT COVERED South Suburban Hospital Cardiothoracic & Vascular Surgical Associates, SC NOT COVERED South Suburban Hospital Cashen, Agnes -NP COVERED UNDER FAP South Suburban Hospital Cassuto, Nicholas -MD NOT COVERED South Suburban Hospital Cavinder, Beth -NP COVERED UNDER FAP South Suburban Hospital Center for Adult and Pediatric Wellness NOT COVERED South Suburban Hospital Center for Neurological Diseases, SC NOT COVERED South Suburban Hospital Chandra Diagnostic Cardiology, Ltd NOT COVERED South Suburban Hospital Chandra, Lokesh -MD NOT COVERED South Suburban Hospital Chang, Mark -MD NOT COVERED South Suburban Hospital Chaudhry, Arslan -MD COVERED UNDER FAP South Suburban Hospital Chavin, Grant -MD NOT COVERED South Suburban Hospital Chelich, Matthew -DO NOT COVERED South Suburban Hospital Chemello, Paul -DO COVERED UNDER FAP South Suburban Hospital Chicago Center for Sports Medicine & Orthopedic Surgery NOT COVERED South Suburban Hospital Chicago Podiatric Surgeons PC NOT COVERED South Suburban Hospital Chicago Rehabilitation Consultants LLC NOT COVERED South Suburban Hospital Chicagoland Infectious Disease, PC NOT COVERED South Suburban Hospital Child Life Center NOT COVERED South Suburban Hospital Chiles, Deborah -PsyD NOT COVERED South Suburban Hospital Chin-Bonds, Shaunda -DO NOT COVERED South Suburban Hospital Chow, May -MD NOT COVERED South Suburban Hospital Christopher T. Kardasis, MD, SC NOT COVERED South Suburban Hospital Chudgar, Nirav -MD NOT COVERED South Suburban Hospital Clark, Meghan -NP NOT COVERED South Suburban Hospital Clark, Zenobia -NP COVERED UNDER FAP South Suburban Hospital Cline, Kenneth -MD NOT COVERED South Suburban Hospital Colbert, Carmelita -MD COVERED UNDER FAP South Suburban Hospital Coleman, Dolphine -NP COVERED UNDER FAP South Suburban Hospital Collins, Devyn -NP COVERED UNDER FAP South Suburban Hospital Community Physicians NOT COVERED South Suburban Hospital Concepcion, Carlos -MD COVERED UNDER FAP South Suburban Hospital Cook, Edwin -DO COVERED UNDER FAP South Suburban Hospital Coolidge, Bradley -MD NOT COVERED South Suburban Hospital Costello, Ellen -NP COVERED UNDER FAP South Suburban Hospital Couture, Eileen -DO COVERED UNDER FAP South Suburban Hospital Crestwood Medical Associates NOT COVERED South Suburban Hospital Cryder, Jill -NP NOT COVERED South Suburban Hospital Curry, Chandra -MD COVERED UNDER FAP South Suburban Hospital Curtin, John -DO NOT COVERED South Suburban Hospital Daly, Jerome -DO NOT COVERED South Suburban Hospital Darley, Julia -NP COVERED UNDER FAP South Suburban Hospital Dasar Raju, Jayasri -MD COVERED UNDER FAP South Suburban Hospital David L. Ellens MD, FACP, LLC NOT COVERED South Suburban Hospital DC Psych Consulting NOT COVERED South Suburban Hospital De Simone, Daniel -DO NOT COVERED South Suburban Hospital DeBartolo, Dore -DO NOT COVERED South Suburban Hospital DeCicco, Monica -NP COVERED UNDER FAP South Suburban Hospital Decuir, Briana -MD COVERED UNDER FAP South Suburban Hospital DeFrates, Megan -MD NOT COVERED South Suburban Hospital Dekayie-Amenu, Gameli -MD COVERED UNDER FAP South Suburban Hospital Del Castillo, Edgar -MD NOT COVERED South Suburban Hospital Del Real, Alejandro -NP NOT COVERED South Suburban Hospital DePasquale, Salvatore -SA NOT COVERED South Suburban Hospital Dermatology Associates, Ltd NOT COVERED South Suburban Hospital Deshmukh, Ravi -MD NOT COVERED South Suburban Hospital Dolton Medical Center NOT COVERED South Suburban Hospital Doshi, Ripple -MD NOT COVERED

Page 171 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP South Suburban Hospital Dr. Tyree Brinson & Associates, LLC NOT COVERED South Suburban Hospital Dreyer Clinic - Highland COVERED UNDER FAP South Suburban Hospital Dreyfuss Plastic Surgery NOT COVERED South Suburban Hospital Dreyfuss, David -MD NOT COVERED South Suburban Hospital Du, Yifei -DO NOT COVERED South Suburban Hospital DuPage Medial Group NOT COVERED South Suburban Hospital DuPage Valley Anesthesiologist NOT COVERED South Suburban Hospital Dwarakanathan, A A -MD NOT COVERED South Suburban Hospital Elahi, Riaz -MD COVERED UNDER FAP South Suburban Hospital Elgamal, Ahmed -MD NOT COVERED South Suburban Hospital Elite Surgical Services, INC NOT COVERED South Suburban Hospital Ellens, David -MD NOT COVERED South Suburban Hospital Elmahboub, Asim -MD NOT COVERED South Suburban Hospital Emory, Lakshmi -MD NOT COVERED South Suburban Hospital Ericson, Eric -MD NOT COVERED South Suburban Hospital Espinoza, Fabiola -MD NOT COVERED South Suburban Hospital Express Urgent Care, LLC NOT COVERED South Suburban Hospital Fadke, Katherine -NP NOT COVERED South Suburban Hospital Farano, Jenise -NP COVERED UNDER FAP South Suburban Hospital Farley, Keitha -NP NOT COVERED South Suburban Hospital Femcare OB-GYN, LTD NOT COVERED South Suburban Hospital Fenlon, Mark -DPM NOT COVERED South Suburban Hospital Ferrera, Dean -DO NOT COVERED South Suburban Hospital Fitzpatrick, Joyce -NP NOT COVERED South Suburban Hospital Flais, Michael -MD NOT COVERED South Suburban Hospital Flossmoor Family Care, SC NOT COVERED South Suburban Hospital Forefront Adult & Pediatric Care, SC NOT COVERED South Suburban Hospital Forsythe, Kristen -NP NOT COVERED South Suburban Hospital Franciscan Physician Network NOT COVERED South Suburban Hospital Frankel, Jennifer -MD COVERED UNDER FAP South Suburban Hospital Frankfort Medical Clinic, Inc. NOT COVERED South Suburban Hospital Fregia, Adrienne -MD NOT COVERED South Suburban Hospital Gagnon, Mark -DPM NOT COVERED South Suburban Hospital Gallardi, Robin -DDS NOT COVERED South Suburban Hospital Gandhi, Shailesh -MD NOT COVERED South Suburban Hospital Gandhi, Shweta -DO COVERED UNDER FAP South Suburban Hospital Garg, Rachna -MD NOT COVERED South Suburban Hospital Garner, Whitney -PA COVERED UNDER FAP South Suburban Hospital Gastevski, Dragan -MD NOT COVERED South Suburban Hospital Gelles, Robert -DPM NOT COVERED South Suburban Hospital Geri Med Service Ltd NOT COVERED South Suburban Hospital Ghani, Abdul -MD COVERED UNDER FAP South Suburban Hospital Ghazizadeh, Ramin -DPM NOT COVERED South Suburban Hospital GI Partners of Illinois, LLC NOT COVERED South Suburban Hospital Ginde, Jayant -MD NOT COVERED South Suburban Hospital Goldstein, Irene -MD NOT COVERED South Suburban Hospital Gonzales, James -CSA NOT COVERED South Suburban Hospital Gopi, Ram -MD NOT COVERED South Suburban Hospital Gormley, Nanette -MD COVERED UNDER FAP South Suburban Hospital Guajardo, Aaron -MD NOT COVERED South Suburban Hospital Habib, Fakher -MD COVERED UNDER FAP South Suburban Hospital Habib, James -MD NOT COVERED South Suburban Hospital Haddad, Rami -MD NOT COVERED South Suburban Hospital Hajjo-Rifai, Saleh -MD NOT COVERED South Suburban Hospital Hakim Healthcare NOT COVERED South Suburban Hospital Hall, Martin -MD NOT COVERED South Suburban Hospital Hamadeh, Mufaddal -MD NOT COVERED South Suburban Hospital Harmon, Agnes -CNS NOT COVERED

Page 172 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP South Suburban Hospital Harsha K Sud MD, SC NOT COVERED South Suburban Hospital Harvey Anesthesiologists, S.C. NOT COVERED South Suburban Hospital Hathaway, Samantha -MD NOT COVERED South Suburban Hospital Hathcock, Virginia -NP COVERED UNDER FAP South Suburban Hospital Hayes, Shelanda -MD NOT COVERED South Suburban Hospital Helme-Smith, Beth -NP NOT COVERED South Suburban Hospital High, Rachel -PA COVERED UNDER FAP South Suburban Hospital Hinsdale Orthopaedic Associates, SC NOT COVERED South Suburban Hospital Hollins, Edwin -MD COVERED UNDER FAP South Suburban Hospital Holmes, Kenneth -MD NOT COVERED South Suburban Hospital Horizon Healthcare Associates, SC NOT COVERED South Suburban Hospital Horowitz, Matthew -MD NOT COVERED South Suburban Hospital Hunter, James -MD NOT COVERED South Suburban Hospital Hussain, Arif -DO NOT COVERED South Suburban Hospital Illinois Foot and Ankle Center SC NOT COVERED South Suburban Hospital Imlach, William -DO COVERED UNDER FAP South Suburban Hospital In Step, Ltd NOT COVERED South Suburban Hospital Integrated Imaging Associates NOT COVERED South Suburban Hospital Integrated Imaging Consultants, LLC NOT COVERED South Suburban Hospital Internal Medicine Physicians, Inc NOT COVERED South Suburban Hospital Irons Holland, Dalila -DO COVERED UNDER FAP South Suburban Hospital Issan Health Care NOT COVERED South Suburban Hospital Itani, Oussama -MD NOT COVERED South Suburban Hospital Iyengar, Vivek -MD NOT COVERED South Suburban Hospital Jackson, Quiana -NP COVERED UNDER FAP South Suburban Hospital Jacobs, Kimberly -NP COVERED UNDER FAP South Suburban Hospital Jain, Pankaj -MD NOT COVERED South Suburban Hospital James-Patrick, Nanette -MD NOT COVERED South Suburban Hospital Jampala, Sadasiva -MD NOT COVERED South Suburban Hospital Jen Care Neighborhood Medical Centers NOT COVERED South Suburban Hospital JenCare NOT COVERED South Suburban Hospital Jencare Neighborhood Medical Center NOT COVERED South Suburban Hospital Jobanputra, Ketan -MD NOT COVERED South Suburban Hospital Jobanputra, Smita -MD NOT COVERED South Suburban Hospital John Bulger, M.D., SC NOT COVERED South Suburban Hospital John G Bush And Associates NOT COVERED South Suburban Hospital John, Sunil -MD COVERED UNDER FAP South Suburban Hospital Johnson, Carl -MD NOT COVERED South Suburban Hospital Jones Caillouet, Kathy -MD COVERED UNDER FAP South Suburban Hospital Jones, Monique -MD NOT COVERED South Suburban Hospital Joseph T. Monaco, MD, SC NOT COVERED South Suburban Hospital Joshi, Sanjeev -MD COVERED UNDER FAP South Suburban Hospital Joudeh, Yazen -MD NOT COVERED South Suburban Hospital Julka, Rahul -MD NOT COVERED South Suburban Hospital Kaiser, Robert -MD NOT COVERED South Suburban Hospital Kalchbrenner, Kyle -PA NOT COVERED South Suburban Hospital Kandaswamy, Chinnammal -MD COVERED UNDER FAP South Suburban Hospital Kandimalla, Himabindu -MD COVERED UNDER FAP South Suburban Hospital Kane, Timothy -CRNA NOT COVERED South Suburban Hospital Karanastasis, Georgios -MD NOT COVERED South Suburban Hospital Kardasis, Christopher -MD NOT COVERED South Suburban Hospital Kassar MD, Inc. NOT COVERED South Suburban Hospital Katabi, Firas -DDS NOT COVERED South Suburban Hospital Katz, Arthur -MD NOT COVERED South Suburban Hospital Kaur, Tanjeev -MD NOT COVERED South Suburban Hospital Kay, Helen -MD COVERED UNDER FAP South Suburban Hospital Keane, Thomas -MD NOT COVERED South Suburban Hospital Kern, Yuri -MD NOT COVERED

Page 173 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP South Suburban Hospital Khawaja, Wasim -MD NOT COVERED South Suburban Hospital Khilfeh, Mohayya -MD COVERED UNDER FAP South Suburban Hospital Kidney Care Center NOT COVERED South Suburban Hospital Kidney Care Center Olympia Fields, LLC NOT COVERED South Suburban Hospital Kieso, Hassan -MD NOT COVERED South Suburban Hospital Kim, Hee -MD NOT COVERED South Suburban Hospital Kitapci, N. -MD NOT COVERED South Suburban Hospital Klaas, Jennifer -NP COVERED UNDER FAP South Suburban Hospital Klepac, Steven -MD NOT COVERED South Suburban Hospital Klipfel, William -MD NOT COVERED South Suburban Hospital Komprehensive PC, Sports & Musculoskeletal Med SC NOT COVERED South Suburban Hospital Kontos, Pamela -NP NOT COVERED South Suburban Hospital Kost, Adam -MD NOT COVERED South Suburban Hospital Kraus, Mark -MD NOT COVERED South Suburban Hospital Krcik, James -MD NOT COVERED South Suburban Hospital Kremke, Meghan -PA NOT COVERED South Suburban Hospital Krinski, Roseanne -MD COVERED UNDER FAP South Suburban Hospital Kritzer, Sara -MD NOT COVERED South Suburban Hospital Kumar, Ajit -MD NOT COVERED South Suburban Hospital Kumar, Raghuvansh -MD NOT COVERED South Suburban Hospital Kumar, Sanath -MD NOT COVERED South Suburban Hospital Kumaraiah, Vasantha -MD NOT COVERED South Suburban Hospital Kung, John -MD NOT COVERED South Suburban Hospital Kurani Med Incorporated NOT COVERED South Suburban Hospital Kurani, Ilesh -MD NOT COVERED South Suburban Hospital Labana, Neal -MD NOT COVERED South Suburban Hospital Lamba, Anil -MD NOT COVERED South Suburban Hospital Lasala, Julieta -MD COVERED UNDER FAP South Suburban Hospital Lau, Cynthia -MD COVERED UNDER FAP South Suburban Hospital Lawton, Ronald -MD COVERED UNDER FAP South Suburban Hospital LeClair, Bridget -PA COVERED UNDER FAP South Suburban Hospital Lin, Andy -MD NOT COVERED South Suburban Hospital Lipson, Scott -MD NOT COVERED South Suburban Hospital Lodestar Obstetrics and Gynecology, LTD NOT COVERED South Suburban Hospital Looyenga, David -MD COVERED UNDER FAP South Suburban Hospital Luttig, Christopher -MD COVERED UNDER FAP South Suburban Hospital Macagba, Gladys -DO COVERED UNDER FAP South Suburban Hospital Macyko, Catherine -MD COVERED UNDER FAP South Suburban Hospital Majeed, Munazza -MD NOT COVERED South Suburban Hospital Malachinski, Julie -MD COVERED UNDER FAP South Suburban Hospital Manatt, Savio -MD NOT COVERED South Suburban Hospital Manolis, Evan -MD NOT COVERED South Suburban Hospital Manuel Perez, MD, SC NOT COVERED South Suburban Hospital Maqsood, Muhammad -MD NOT COVERED South Suburban Hospital Markiv, Volodimir -MD NOT COVERED South Suburban Hospital Martin, Allison -MD COVERED UNDER FAP South Suburban Hospital Martin, Tamika -MD COVERED UNDER FAP South Suburban Hospital Martinez, Don -PA COVERED UNDER FAP South Suburban Hospital Martini, Mohamad -MD NOT COVERED South Suburban Hospital Matheu, Joseph -DO COVERED UNDER FAP South Suburban Hospital Mathew, Abraham -MD NOT COVERED South Suburban Hospital Matzinger, Tracy -NP NOT COVERED South Suburban Hospital May, Kelly -DPM NOT COVERED South Suburban Hospital Maytum, Karmen -NP COVERED UNDER FAP South Suburban Hospital Maze, Jelica -MD NOT COVERED South Suburban Hospital Mc Gowan, Sandra -MD NOT COVERED South Suburban Hospital Mc Nair, Howard -MD COVERED UNDER FAP South Suburban Hospital McClurkin, Clark -MD NOT COVERED

Page 174 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP South Suburban Hospital McDermott Podiatry of Joliet, LLC NOT COVERED South Suburban Hospital McDermott Trevino, Tracy -NP COVERED UNDER FAP South Suburban Hospital McDermott, Michael -DPM NOT COVERED South Suburban Hospital McGowan Family Health & Wellness Center NOT COVERED South Suburban Hospital McGrath, James -DO NOT COVERED South Suburban Hospital McGuire, Cara -NP NOT COVERED South Suburban Hospital McLaughlin, Jeanette -MD NOT COVERED South Suburban Hospital Medavaram, Rama -MD NOT COVERED South Suburban Hospital MedPlus Physician Partners I, LLC NOT COVERED South Suburban Hospital Meeks, Michelle -MD NOT COVERED South Suburban Hospital Meghpara, Bhagvanji -DO NOT COVERED South Suburban Hospital Mehl, David -MD NOT COVERED South Suburban Hospital Mehrotra, Surabhi -MD NOT COVERED South Suburban Hospital Mercyhealth Crystal Lake South NOT COVERED South Suburban Hospital Mesirow, Manuel -MD NOT COVERED South Suburban Hospital Metro Infectious Disease Consultants, LLC NOT COVERED South Suburban Hospital Metro Primary Care Associates, LLC NOT COVERED South Suburban Hospital Midwest Anesthesiologists, Ltd NOT COVERED South Suburban Hospital Midwest Diagnostic Pathology, SC NOT COVERED South Suburban Hospital Midwest Interventional Pain Solutions, LLC NOT COVERED South Suburban Hospital Midwest Pulmonary Associates, SC NOT COVERED South Suburban Hospital Midwest Pulmonary Critical Care & Sleep Consultants, LLC NOT COVERED South Suburban Hospital Midwest Spinecare SC NOT COVERED South Suburban Hospital Mietelski, Maureen -DO NOT COVERED South Suburban Hospital Miinedoctor, Inc NOT COVERED South Suburban Hospital Mikulich, Sandra -NP NOT COVERED South Suburban Hospital Miller, George -DO COVERED UNDER FAP South Suburban Hospital Mitchell, Charlotte -MD NOT COVERED South Suburban Hospital Moinuddin, Rizwan -DO NOT COVERED South Suburban Hospital Mokena Foot & Ankle Clinic NOT COVERED South Suburban Hospital Monaco, Joseph -MD NOT COVERED South Suburban Hospital Montalvo, Daniel -MD COVERED UNDER FAP South Suburban Hospital Montelpasse, Lisa -MD COVERED UNDER FAP South Suburban Hospital Montoya, Deepa -DPM NOT COVERED South Suburban Hospital Moore, Deshon -MD COVERED UNDER FAP South Suburban Hospital Morris, George -DDS NOT COVERED South Suburban Hospital Mostowfi, Kiumars -MD NOT COVERED South Suburban Hospital Multack Eye Care, SC NOT COVERED South Suburban Hospital Multack, Richard -DO NOT COVERED South Suburban Hospital Multack, Samuel -DO NOT COVERED South Suburban Hospital Murray, Laura -CRNA NOT COVERED South Suburban Hospital Nabelsi, Sameh -MD NOT COVERED South Suburban Hospital Nagubadi, Sandhya -MD NOT COVERED South Suburban Hospital Naguboyina, Gopichand -MD COVERED UNDER FAP South Suburban Hospital Najera, Larry -MD NOT COVERED South Suburban Hospital Narcissi, Phillip -DPM NOT COVERED South Suburban Hospital Nayak, Veena -MD NOT COVERED South Suburban Hospital Needleman, Robert -MD COVERED UNDER FAP South Suburban Hospital Neighborhood Pediatrics NOT COVERED South Suburban Hospital Neurological Surgery & Spine Surgery, SC NOT COVERED South Suburban Hospital Neurology Consultants, SC NOT COVERED South Suburban Hospital Nicola, Heidi -MD COVERED UNDER FAP South Suburban Hospital Nirav P Chudgar, MD, SC NOT COVERED South Suburban Hospital Noriega, Antonio -MD NOT COVERED South Suburban Hospital Northwest Medical Associates NOT COVERED South Suburban Hospital Nwawka, Chukwudi -MD NOT COVERED South Suburban Hospital Nyatsanza, Ignatius -MD COVERED UNDER FAP South Suburban Hospital Odom, April -NP COVERED UNDER FAP

Page 175 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP South Suburban Hospital ODonnell, James -MD COVERED UNDER FAP South Suburban Hospital Ofoma, Ihuoma -MD NOT COVERED South Suburban Hospital Ojiako, Ifenlota -MD COVERED UNDER FAP South Suburban Hospital Okafor, Doris -MD NOT COVERED South Suburban Hospital Okafor, Lawrence -MD COVERED UNDER FAP South Suburban Hospital Okoe, Jamilah -MD COVERED UNDER FAP South Suburban Hospital Olaleye, Caroline -MD NOT COVERED South Suburban Hospital Olsen, Kathleen -CRNA NOT COVERED South Suburban Hospital Opensky Podiatry, Inc. NOT COVERED South Suburban Hospital Opensky, Brian -DPM NOT COVERED South Suburban Hospital Oral Surgery Center NOT COVERED South Suburban Hospital Orland Park Plastic Surgery, SC NOT COVERED South Suburban Hospital O'Shea Wilk, Kathleen -MD COVERED UNDER FAP South Suburban Hospital Ottman, Albara -MD COVERED UNDER FAP South Suburban Hospital Oyewole, Kolawole -MD COVERED UNDER FAP South Suburban Hospital P.K. Anand, MD, LTD. NOT COVERED South Suburban Hospital Palla, Jyothsna -MD COVERED UNDER FAP South Suburban Hospital Palos Family Foot Care NOT COVERED South Suburban Hospital Pandya, Kaushik -MD NOT COVERED South Suburban Hospital Pang, Kenneth -MD NOT COVERED South Suburban Hospital Panio, Paschal -MD NOT COVERED South Suburban Hospital Panning, Jennifer -NP COVERED UNDER FAP South Suburban Hospital Panzica, Paul -MD NOT COVERED South Suburban Hospital Pape, Alexandra -CNM NOT COVERED South Suburban Hospital Pardiwala, Krunal -MD NOT COVERED South Suburban Hospital Paredes, Jose -MD NOT COVERED South Suburban Hospital Parikh & Abbasi, MD, SC NOT COVERED South Suburban Hospital Parikh, Ajay -MD COVERED UNDER FAP South Suburban Hospital Parikh, Dilipkumar -MD NOT COVERED South Suburban Hospital Parikh, Sonal -MD NOT COVERED South Suburban Hospital Park, Samuel -MD NOT COVERED South Suburban Hospital Park, Stephen -MD COVERED UNDER FAP South Suburban Hospital Parvathala, Praveen -MD COVERED UNDER FAP South Suburban Hospital Patel, Amishi -MD NOT COVERED South Suburban Hospital Patel, Amit -MD NOT COVERED South Suburban Hospital Patel, Chirag -DO NOT COVERED South Suburban Hospital Patel, Dharmesh -MD COVERED UNDER FAP South Suburban Hospital Patel, Naeem -MD NOT COVERED South Suburban Hospital Patel, Nipa -MD NOT COVERED South Suburban Hospital Patel, Purvi -MD COVERED UNDER FAP South Suburban Hospital Patel, Rajesh -MD NOT COVERED South Suburban Hospital Payne, Jacqueline -DO COVERED UNDER FAP South Suburban Hospital Payne, William -MD NOT COVERED South Suburban Hospital Peace Medical Center NOT COVERED South Suburban Hospital Peplinski, Gary -MD NOT COVERED South Suburban Hospital Perez, Manuel -MD NOT COVERED South Suburban Hospital Peswani, Namrata -MD COVERED UNDER FAP South Suburban Hospital Petrak, Allison -PA NOT COVERED South Suburban Hospital Philipp, Sarah -MD COVERED UNDER FAP South Suburban Hospital Phillips, Martin -MD NOT COVERED South Suburban Hospital Phyllis, Vols -SA NOT COVERED South Suburban Hospital Piepenbrink, Rachel -SA NOT COVERED South Suburban Hospital Plamoottil, George -MD COVERED UNDER FAP South Suburban Hospital Porada, Jr, Joseph -MD NOT COVERED South Suburban Hospital Pradhan, Melissa -MD COVERED UNDER FAP South Suburban Hospital Pradhan, Sanjeev -MD NOT COVERED South Suburban Hospital Prairie State Pulmonary & Sleep Consultants, LLC NOT COVERED South Suburban Hospital Prairie State Pulmonary & Sleep Consultants, LLC NOT COVERED

Page 176 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP South Suburban Hospital Premier Orthopaedic & Hand Center, SC NOT COVERED South Suburban Hospital Primary Care For You, Ltd NOT COVERED South Suburban Hospital Primary Healthcare Associates NOT COVERED South Suburban Hospital Primary Healthcare Associates, SC NOT COVERED South Suburban Hospital Primus Orthopedics, SC NOT COVERED South Suburban Hospital Primus, Gregory -MD NOT COVERED South Suburban Hospital Professional Foot and Ankle LLC NOT COVERED South Suburban Hospital Providea Health Partners, LLC NOT COVERED South Suburban Hospital Prskalo, Stacy -NP COVERED UNDER FAP South Suburban Hospital Pulmonary and Sleep Associates Inc NOT COVERED South Suburban Hospital Qasim, Mohammad -MD NOT COVERED South Suburban Hospital Quinones, Richard -MD NOT COVERED South Suburban Hospital Radfar, Baroukh -MD COVERED UNDER FAP South Suburban Hospital Raghavendra, Sushma -MD COVERED UNDER FAP South Suburban Hospital Raghuvir, Rashmi -MD COVERED UNDER FAP South Suburban Hospital Rao, Subba -MD NOT COVERED South Suburban Hospital Rao, Vijaykumar -MD NOT COVERED South Suburban Hospital Reynolds, Albert -MD NOT COVERED South Suburban Hospital RiChard, Jamie -MD NOT COVERED South Suburban Hospital Richardson, James -MD COVERED UNDER FAP South Suburban Hospital Rifenburg, Nancy -MD COVERED UNDER FAP South Suburban Hospital Rii, Joyce -DO NOT COVERED South Suburban Hospital Ro, Young -MD NOT COVERED South Suburban Hospital Roach, Danielle -NP NOT COVERED South Suburban Hospital Robertson, Thessa -MD NOT COVERED South Suburban Hospital Robin Snead MD and Associates Integrative Medical Practice NOT COVERED South Suburban Hospital Robinson, Carl -MD NOT COVERED South Suburban Hospital Robinson, Veronica -MD COVERED UNDER FAP South Suburban Hospital Robledo, Cristobal -SA NOT COVERED South Suburban Hospital Romberg, Michael -MD NOT COVERED South Suburban Hospital Roome, Mark -MD NOT COVERED South Suburban Hospital Rossi, Johnny -DPM NOT COVERED South Suburban Hospital Rozell, Shaina -MD NOT COVERED South Suburban Hospital Ruby, Allan -MD COVERED UNDER FAP South Suburban Hospital Rusco, Jennifer -NP COVERED UNDER FAP South Suburban Hospital Sadegi, Barry -MD NOT COVERED South Suburban Hospital Salah, Yusuf -MD NOT COVERED South Suburban Hospital Saldanha, Rita -MD NOT COVERED South Suburban Hospital Salhadar, Alia -MD NOT COVERED South Suburban Hospital Sameh Nabelsi, MD NOT COVERED South Suburban Hospital Samson, Suresh -MD NOT COVERED South Suburban Hospital Sanath Kumar, MD, Ltd NOT COVERED South Suburban Hospital Sanchez, Carlos -SA NOT COVERED South Suburban Hospital Sandalow, Nathan -MD COVERED UNDER FAP South Suburban Hospital Sarguroh, Tauseef -MD NOT COVERED South Suburban Hospital SAS Surgical, Ltd NOT COVERED South Suburban Hospital Sastri, Suriya -MD NOT COVERED South Suburban Hospital Savio G. Manatt, SC NOT COVERED South Suburban Hospital Schanbacher, Alicia -NP NOT COVERED South Suburban Hospital Scoigletti, Mary -NP COVERED UNDER FAP South Suburban Hospital Scott Terry Female Health Associates PC NOT COVERED South Suburban Hospital Searles, Ericka -MD COVERED UNDER FAP South Suburban Hospital Serafin, Jaclyn -CNM NOT COVERED South Suburban Hospital Seshadri, Venkat -MD NOT COVERED South Suburban Hospital SFZ Corporation NOT COVERED South Suburban Hospital Shabani, Merime -NP COVERED UNDER FAP South Suburban Hospital Shafi, Mohammad -MD NOT COVERED South Suburban Hospital Shah, Arpeet -MD NOT COVERED

Page 177 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP South Suburban Hospital Shah, Arpit -DO NOT COVERED South Suburban Hospital Shah, Biren -MD NOT COVERED South Suburban Hospital Shah, Kumudchandra -MD NOT COVERED South Suburban Hospital Shah, Leena -MD COVERED UNDER FAP South Suburban Hospital Shah, Neilesh -MD COVERED UNDER FAP South Suburban Hospital Shah, Niranjan -MD NOT COVERED South Suburban Hospital Shah, Sumin -DO COVERED UNDER FAP South Suburban Hospital Shaik, Nazeerulla -MD NOT COVERED South Suburban Hospital Shamshuddin, Mohammed -MD NOT COVERED South Suburban Hospital Shank, Justin -PA COVERED UNDER FAP South Suburban Hospital Sharabash, Noura -MD COVERED UNDER FAP South Suburban Hospital Shared Physician’s Offices NOT COVERED South Suburban Hospital Sharma, Bansi -MD NOT COVERED South Suburban Hospital Sharma, Rekha -MD NOT COVERED South Suburban Hospital Sharpe, Tiphne -NP NOT COVERED South Suburban Hospital Shifrin Group, LLC NOT COVERED South Suburban Hospital Shifrin, Kabita -DO NOT COVERED South Suburban Hospital Shirazi, Syed Javed -MD NOT COVERED South Suburban Hospital Sidhwa, Kamo -MD NOT COVERED South Suburban Hospital Silakowski, Linda -NP COVERED UNDER FAP South Suburban Hospital Simon, Sherrone -MD NOT COVERED South Suburban Hospital Sims, Desarey -NP COVERED UNDER FAP South Suburban Hospital Singh, Navneet -MD COVERED UNDER FAP South Suburban Hospital Singh, Richa -MD NOT COVERED South Suburban Hospital Sink-Jedloe, Cynthia -DPM NOT COVERED South Suburban Hospital Smit, Bruce -DPM NOT COVERED South Suburban Hospital Snead, Robin -MD NOT COVERED South Suburban Hospital Song, John -MD NOT COVERED South Suburban Hospital Soundararajan, Ramesh -MD NOT COVERED South Suburban Hospital South Suburban Cardiology Associates, Ltd NOT COVERED South Suburban Hospital Southland Orthopaedics Ltd NOT COVERED South Suburban Hospital Southland Rheumatology Center, Ltd. NOT COVERED South Suburban Hospital Southwest Eye Center, SC NOT COVERED South Suburban Hospital Southwest Nephrology Associates, SC NOT COVERED South Suburban Hospital Sowade, Olalekan -MD NOT COVERED South Suburban Hospital Specialty Physicians of Illinois NOT COVERED South Suburban Hospital Specialty Physicians of Illinois, LLC NOT COVERED South Suburban Hospital Spicer, Stephanie -DPM NOT COVERED South Suburban Hospital Spicka, Cindy -NP NOT COVERED South Suburban Hospital Sreekanth, Devangi -MD NOT COVERED South Suburban Hospital Sreekanth, Shantha -MD NOT COVERED South Suburban Hospital Staron, Jeffrey -MD NOT COVERED South Suburban Hospital Stephens, Anthony -MD NOT COVERED South Suburban Hospital Sterling Primary Endocrine Care Associates SC NOT COVERED South Suburban Hospital Stoeberl, Jessica -PA NOT COVERED South Suburban Hospital Suburban Infectious Diseaase, LLC NOT COVERED South Suburban Hospital Sud, Madhupa -MD NOT COVERED South Suburban Hospital Sullivan, Christopher -MD COVERED UNDER FAP South Suburban Hospital Sullivan, Maricel -NP COVERED UNDER FAP South Suburban Hospital Sundaram, Ravi -DO NOT COVERED South Suburban Hospital Sundram, Ponnambalam -MD NOT COVERED South Suburban Hospital Surgical Care Associates, Ltd NOT COVERED South Suburban Hospital Suriya V. Sastri MD, PC NOT COVERED South Suburban Hospital Swenson, Erik -MD COVERED UNDER FAP South Suburban Hospital Szaflarski, Natalia -DO COVERED UNDER FAP South Suburban Hospital Tan, William -DO NOT COVERED South Suburban Hospital Tanquilut, Eugene -DO NOT COVERED South Suburban Hospital Tatineni, Suveer -MD COVERED UNDER FAP

Page 178 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP South Suburban Hospital Teli, Kunal -MD NOT COVERED South Suburban Hospital Tepeli, Agop -MD COVERED UNDER FAP South Suburban Hospital Terrado, Lourdes -MD NOT COVERED South Suburban Hospital Terry, Toni -MD NOT COVERED South Suburban Hospital Thakadiyil, Anita -MD NOT COVERED South Suburban Hospital Thakrar, Ameet -DPM NOT COVERED South Suburban Hospital Thalji, Zuhair -MD NOT COVERED South Suburban Hospital Thomas, Reginald -MD COVERED UNDER FAP South Suburban Hospital Thompson, James -MD NOT COVERED South Suburban Hospital Thorp, Christopher -MD NOT COVERED South Suburban Hospital Thukral, Anjali -MD NOT COVERED South Suburban Hospital Tinley Primary Care NOT COVERED South Suburban Hospital Tisser, Andrew -DO COVERED UNDER FAP South Suburban Hospital Tolbert, Gerald -MD COVERED UNDER FAP South Suburban Hospital Toms, Hannah -PA COVERED UNDER FAP South Suburban Hospital Triebes, Lindy -MD COVERED UNDER FAP South Suburban Hospital Tulley, Jacqueline -NP NOT COVERED South Suburban Hospital United Elite Hospitalists, LLC NOT COVERED South Suburban Hospital United Pain Services, SC NOT COVERED South Suburban Hospital University of Chicago Physician Group, Child Life Center NOT COVERED South Suburban Hospital Van Slambrouck, Charles -MD NOT COVERED South Suburban Hospital Vanda Shah, MD NOT COVERED South Suburban Hospital Varsha Bhan MD SC NOT COVERED South Suburban Hospital Vascular Specialists, LLC NOT COVERED South Suburban Hospital Vasectomy Clinics of Chicago SC NOT COVERED South Suburban Hospital Veldman, Kristen -PA NOT COVERED South Suburban Hospital Villasenor, Christian -CRNA NOT COVERED South Suburban Hospital Vittori Foot and Ankle Specialist NOT COVERED South Suburban Hospital Vittori, Christopher -DPM NOT COVERED South Suburban Hospital Vora, Mehul -MD NOT COVERED South Suburban Hospital Walji, Aijaz -MD NOT COVERED South Suburban Hospital Warakomski, Romuald -DO NOT COVERED South Suburban Hospital Ward, Michael -MD NOT COVERED South Suburban Hospital Warren, Andrea -NP COVERED UNDER FAP South Suburban Hospital Watson, Carla -MD NOT COVERED South Suburban Hospital Watt, Tiffany -PA COVERED UNDER FAP South Suburban Hospital West, Christal -MD NOT COVERED South Suburban Hospital Whitehorn, Karen -MD NOT COVERED South Suburban Hospital Wiley, Arielle -NP COVERED UNDER FAP South Suburban Hospital Wilk, David -MD COVERED UNDER FAP South Suburban Hospital Wilkin, Matthew -PA NOT COVERED South Suburban Hospital Will, William -MD NOT COVERED South Suburban Hospital Williams, Donna -DO COVERED UNDER FAP South Suburban Hospital Williams, Keith -MD COVERED UNDER FAP South Suburban Hospital Wilson, Tiffany -MD COVERED UNDER FAP South Suburban Hospital Winterman-Goble, Maria -CRNA NOT COVERED South Suburban Hospital Women for Women Health Care, SC NOT COVERED South Suburban Hospital Women’s Healthcare of Illinois NOT COVERED South Suburban Hospital Women's Health Consulting, LLC NOT COVERED South Suburban Hospital Women's Healthcare Associates of Illinois, SC NOT COVERED South Suburban Hospital Women's Wellness World, SC NOT COVERED South Suburban Hospital Yao, Jim -MD NOT COVERED South Suburban Hospital Yassin, Amin -MD COVERED UNDER FAP South Suburban Hospital Yohay, Daniel -MD NOT COVERED South Suburban Hospital Zaidi, Shahla -MD NOT COVERED South Suburban Hospital Zakkar, Mohamed -MD NOT COVERED South Suburban Hospital Zaletel, Cynthia -NP COVERED UNDER FAP South Suburban Hospital Ziaee, Saba -MD NOT COVERED

Page 179 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Trinity Hospital Abuhasna, Said -MD NOT COVERED Trinity Hospital Adab, Kalid -MD NOT COVERED Trinity Hospital Advocate Medical Group - Burbank - Palliative Medicine COVERED UNDER FAP Trinity Hospital Advocate Medical Group - Chicago - Imani Village COVERED UNDER FAP Trinity Hospital Advocate Medical Group - Chicago - Trinity - Emergency Medicine COVERED UNDER FAP Trinity Hospital Advocate Medical Group - Trinity - Endocrinology COVERED UNDER FAP Trinity Hospital Advocate Medical Group Beverly COVERED UNDER FAP Trinity Hospital Advocate Medical Group Chicago 2315 E 93rd Street Neurology COVERED UNDER FAP Trinity Hospital Advocate Medical Group Emergency Medicine COVERED UNDER FAP Trinity Hospital Advocate Medical Group Evergreen COVERED UNDER FAP Trinity Hospital Advocate Medical Group Greenwood on 87th COVERED UNDER FAP Trinity Hospital Advocate Medical Group Hospitalist COVERED UNDER FAP Trinity Hospital Advocate Medical Group Hospitalists COVERED UNDER FAP Trinity Hospital Advocate Medical Group Illiana COVERED UNDER FAP Trinity Hospital Advocate Medical Group Southeast Hospitalists COVERED UNDER FAP Trinity Hospital Advocate Medical Group Sykes COVERED UNDER FAP Trinity Hospital Advocate Medical Group Trinity General Surgery COVERED UNDER FAP Trinity Hospital Advocate Medical Group-Chicago, Trinity-Neonatology COVERED UNDER FAP Trinity Hospital Advocate Medical Group-Chicago-93rd Street COVERED UNDER FAP Trinity Hospital Agrawal, Anjali -MD NOT COVERED Trinity Hospital Ahlowalia, Neerja -MD NOT COVERED Trinity Hospital Ahmad, Afzal -MD NOT COVERED Trinity Hospital Ahmad, Ijaz -MD NOT COVERED Trinity Hospital Ahmad, Shahida -MD COVERED UNDER FAP Trinity Hospital Ahmad, Wakas -DO COVERED UNDER FAP Trinity Hospital Ahmed, Irma -MD NOT COVERED Trinity Hospital Ahmed, Khadeer -MD NOT COVERED Trinity Hospital Ahmed, Syed -MD COVERED UNDER FAP Trinity Hospital Ahuja, Satya -MD NOT COVERED Trinity Hospital Akhtar Parvaiz, MD NOT COVERED Trinity Hospital Alpha Med Physicians Group, LLC NOT COVERED Trinity Hospital Alston, Charles -MD NOT COVERED Trinity Hospital Alter, Robert -MD COVERED UNDER FAP Trinity Hospital American Anesthesiology Associates of Illinois, SC NOT COVERED Trinity Hospital American Anesthesiology of Illinois, LLC NOT COVERED Trinity Hospital American Women's Medical Center NOT COVERED Trinity Hospital Amin, Dhara -MD COVERED UNDER FAP Trinity Hospital Amit Vyas, MD, SC NOT COVERED Trinity Hospital Amuh, Donald -MD NOT COVERED Trinity Hospital Amuh, Shelley -MD COVERED UNDER FAP Trinity Hospital Anand, Chandra -MD NOT COVERED Trinity Hospital Angel Health Care Services, SC NOT COVERED Trinity Hospital Anointed Health Partners, Ltd NOT COVERED Trinity Hospital Antic, Nenad -MD COVERED UNDER FAP Trinity Hospital Apata, Oladayo -NP COVERED UNDER FAP Trinity Hospital Apata, Olusegun -MD NOT COVERED Trinity Hospital Appiagyei, Michael -MD NOT COVERED Trinity Hospital Aribandi, Manohar -MD NOT COVERED Trinity Hospital Asad Zaman, MD, SC NOT COVERED Trinity Hospital Aschkenasi, Carl -MD NOT COVERED Trinity Hospital Asonye, Udochukwu -MD NOT COVERED Trinity Hospital Associates in Nephrology, SC NOT COVERED Trinity Hospital Associates In Primary Care, SC NOT COVERED Trinity Hospital Atassi, Sami -MD NOT COVERED Trinity Hospital Atassi, Wadah -MD NOT COVERED Trinity Hospital Awomolo, Arinola -MD COVERED UNDER FAP Trinity Hospital Aziz, Mariam -PA COVERED UNDER FAP Trinity Hospital Bademosi, Adebayo -MD NOT COVERED

Page 180 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Trinity Hospital Baig, Mohammad -MD COVERED UNDER FAP Trinity Hospital Bauer, Richard -MD NOT COVERED Trinity Hospital Bell, Angela -MD NOT COVERED Trinity Hospital Bell, Greta -MD COVERED UNDER FAP Trinity Hospital Bhanushali, Gautam -MD NOT COVERED Trinity Hospital Bisla, Virendra -MD NOT COVERED Trinity Hospital Bone, Richard -MD COVERED UNDER FAP Trinity Hospital Bose, Sucharitha -PA COVERED UNDER FAP Trinity Hospital Brahmbhatt, Nimeet -MD NOT COVERED Trinity Hospital Brandon, Eden -MD NOT COVERED Trinity Hospital Bridgford, Christy -CRNA NOT COVERED Trinity Hospital Brinkman, Aaron -MD NOT COVERED Trinity Hospital Brooker, Jay -MD NOT COVERED Trinity Hospital Brooks, Harley -MD NOT COVERED Trinity Hospital Burke, Winston -DPM NOT COVERED Trinity Hospital Butler-MooYoung, Nichole -MD NOT COVERED Trinity Hospital Cabe, Ramon -MD NOT COVERED Trinity Hospital Cancer Medicine Group, Inc NOT COVERED Trinity Hospital Carlos F. Smith DPM, PC NOT COVERED Trinity Hospital Carroll, Rosemary -MD COVERED UNDER FAP Trinity Hospital Castle, Whitney -DPM NOT COVERED Trinity Hospital Catizzone, Doris -CRNA NOT COVERED Trinity Hospital Chaffin, Edith -MD NOT COVERED Trinity Hospital Chandra Diagnostic Cardiology, Ltd NOT COVERED Trinity Hospital Charles Clifford Alston, MD, SC NOT COVERED Trinity Hospital Chicago Eye Specialists NOT COVERED Trinity Hospital Chicago Family Health Center NOT COVERED Trinity Hospital Choudry, Abdussalam -MD NOT COVERED Trinity Hospital Chunduru, Prameela -MD COVERED UNDER FAP Trinity Hospital Clanton, Waverly -MD COVERED UNDER FAP Trinity Hospital Clary-Selli, Tyrisha -MD COVERED UNDER FAP Trinity Hospital CMJ Medical Enterprises, Ltd NOT COVERED Trinity Hospital Coleman, Cedric -MD NOT COVERED Trinity Hospital Collins, Kelly -NP COVERED UNDER FAP Trinity Hospital Colson, Alec -PA NOT COVERED Trinity Hospital Cone, Jonathan -MD NOT COVERED Trinity Hospital Continental Anesthesia, Ltd. NOT COVERED Trinity Hospital Cothran, Judith -MD COVERED UNDER FAP Trinity Hospital Crawford, Paul -MD NOT COVERED Trinity Hospital Cruz, Pamela -MD COVERED UNDER FAP Trinity Hospital D J Dawson, MD Incorporated NOT COVERED Trinity Hospital D.H. Medical Group, SC NOT COVERED Trinity Hospital Damper, Patricia -MD NOT COVERED Trinity Hospital Daniel, Lisa -MD COVERED UNDER FAP Trinity Hospital Daniels, Kenisha -NP COVERED UNDER FAP Trinity Hospital David Gerst, DPM, SC NOT COVERED Trinity Hospital Dawson, Derek -MD NOT COVERED Trinity Hospital Dean Onayemi, Mary -MD COVERED UNDER FAP Trinity Hospital DeKoster, Loretta -OD NOT COVERED Trinity Hospital Devina Shah, SC NOT COVERED Trinity Hospital DeWhite, April -MD COVERED UNDER FAP Trinity Hospital Diaz-Jimenez, Evelyn -MD NOT COVERED Trinity Hospital Dickler, Adam -MD NOT COVERED Trinity Hospital Doctors Unlimited Service Corporation NOT COVERED Trinity Hospital Donald Amuh, MD, Ltd NOT COVERED Trinity Hospital Dudar, Irina -MD NOT COVERED Trinity Hospital Dugas, Jeffrey -MD NOT COVERED Trinity Hospital DuPage Medical Group, LTC NOT COVERED

Page 181 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Trinity Hospital East Side Medical Health Ctr. NOT COVERED Trinity Hospital Ebie, Nyambi -MD NOT COVERED Trinity Hospital Egwele, Richard -MD NOT COVERED Trinity Hospital Eigles, Stephen -MD NOT COVERED Trinity Hospital Ema, Linus -DO COVERED UNDER FAP Trinity Hospital Escoto, Michael -DO COVERED UNDER FAP Trinity Hospital Exchange Medical Center NOT COVERED Trinity Hospital Family Care Partners Inc NOT COVERED Trinity Hospital Family Doctor Medical Center, SC NOT COVERED Trinity Hospital Fasih, Subia -MD COVERED UNDER FAP Trinity Hospital Fatoki, Adeyemi -MD NOT COVERED Trinity Hospital Febbo, Brian -MD COVERED UNDER FAP Trinity Hospital Ferrell, Shawndra -NP COVERED UNDER FAP Trinity Hospital Filip, Bailey -PA COVERED UNDER FAP Trinity Hospital Finder, Dorian -MD COVERED UNDER FAP Trinity Hospital Flores, R. Michael -MD NOT COVERED Trinity Hospital Foot & Ankle Health Center, PC NOT COVERED Trinity Hospital Foot Health Institute NOT COVERED Trinity Hospital For Your Health & Wellness NOT COVERED Trinity Hospital Fox, Matthew -MD NOT COVERED Trinity Hospital Franco, John -MD COVERED UNDER FAP Trinity Hospital Frazier, Kendra -MD NOT COVERED Trinity Hospital Fung-Cap, Ana -DO COVERED UNDER FAP Trinity Hospital Gadrinab, Nelcar -MD NOT COVERED Trinity Hospital Gaim, Helen -PA COVERED UNDER FAP Trinity Hospital Gandhi, Harivadan -MD NOT COVERED Trinity Hospital Gaston, Darrien -MD NOT COVERED Trinity Hospital Gaw, Jodie -DO COVERED UNDER FAP Trinity Hospital Gerst, David -DPM NOT COVERED Trinity Hospital Gervais, Jacqueline -MD NOT COVERED Trinity Hospital Goodman, Margaret -MD NOT COVERED Trinity Hospital Gopal, Aravind -MD COVERED UNDER FAP Trinity Hospital Goyal, Raj -MD NOT COVERED Trinity Hospital Goyal, Sonia -DPM NOT COVERED Trinity Hospital Great Heights Family Medicine Ltd NOT COVERED Trinity Hospital Great Lakes Pulmonary & Sleep Associates, Inc. NOT COVERED Trinity Hospital Grevious, Mark -MD NOT COVERED Trinity Hospital Grimes, Ephriam -MD COVERED UNDER FAP Trinity Hospital Gruber, Benjamin -MD COVERED UNDER FAP Trinity Hospital Gulati, Anil -MD NOT COVERED Trinity Hospital Gurpinar, Ediz -MD NOT COVERED Trinity Hospital Haj Darweesh, Mutazz -MD NOT COVERED Trinity Hospital Harivadan Gandhi, MD, SC NOT COVERED Trinity Hospital Harris, Michelle -MD COVERED UNDER FAP Trinity Hospital Harsoor, Suneela -MD NOT COVERED Trinity Hospital Hasan, Muhammad -MD NOT COVERED Trinity Hospital Hasan, Nidal -MD NOT COVERED Trinity Hospital Hashmi, Syed Affan -MD NOT COVERED Trinity Hospital Hawkins, Rochelle -MD NOT COVERED Trinity Hospital Hayes, Ronald -MD NOT COVERED Trinity Hospital Health and Renewal Plastic Surgery Associates, S.C. NOT COVERED Trinity Hospital Heart Care Centers of South Chicago NOT COVERED Trinity Hospital Heaton, Alex -MD NOT COVERED Trinity Hospital Herron, Burnetta -MD COVERED UNDER FAP Trinity Hospital Hirsh, Erica -DO NOT COVERED Trinity Hospital Hoang, Troy -MD COVERED UNDER FAP Trinity Hospital Hobbie, Christopher -MD NOT COVERED Trinity Hospital Holmes, Charles -MD NOT COVERED

Page 182 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Trinity Hospital Hong, Richard -MD NOT COVERED Trinity Hospital Horsley, Neil -DPM NOT COVERED Trinity Hospital Howley Stevenson, MD, SC NOT COVERED Trinity Hospital Humera, Subuhi -DO COVERED UNDER FAP Trinity Hospital Hussain, Anwer -DO COVERED UNDER FAP Trinity Hospital Hussain, Mohammed -MD NOT COVERED Trinity Hospital Hussain, Sakhawat -MD NOT COVERED Trinity Hospital Illiana Nephrology Associates, Ltd NOT COVERED Trinity Hospital Integrated Imaging Consultants, LLC NOT COVERED Trinity Hospital Ippolito, John -MD NOT COVERED Trinity Hospital Iyengar, Rajesh -MD NOT COVERED Trinity Hospital J.B. Jenkins, DPM & Associates NOT COVERED Trinity Hospital Jean-Jacques, Wilfrid -MD NOT COVERED Trinity Hospital Jenkins, Jondell -DPM NOT COVERED Trinity Hospital Jimenez, Daniel -DO COVERED UNDER FAP Trinity Hospital Johnnie Lewis, DPM, PC NOT COVERED Trinity Hospital Johnson, Ansel -OD NOT COVERED Trinity Hospital Johnson, Claudia -MD NOT COVERED Trinity Hospital Joo, Michael -MD COVERED UNDER FAP Trinity Hospital Joseph, Sebastian -MD NOT COVERED Trinity Hospital Joshi, Prashant -MD COVERED UNDER FAP Trinity Hospital Kalawadia, Sejal -MD NOT COVERED Trinity Hospital Kalman, Ross -MD COVERED UNDER FAP Trinity Hospital Kalyanpur, Arjun -MD NOT COVERED Trinity Hospital Kamath, Sanjay -MD NOT COVERED Trinity Hospital Kamper, Josephine -MD NOT COVERED Trinity Hospital Kandala, Rajiv -MD NOT COVERED Trinity Hospital Kennedy, April -MD NOT COVERED Trinity Hospital Keshava, Pramode -MD NOT COVERED Trinity Hospital Khan, Nausheen -PA NOT COVERED Trinity Hospital Khan, Sanobar -MD NOT COVERED Trinity Hospital Khankari, Kishore -MD NOT COVERED Trinity Hospital Khishfe, Basem -MD COVERED UNDER FAP Trinity Hospital Kidney Care Center Olympia Fields, LLC NOT COVERED Trinity Hospital Kim, Howard -MD NOT COVERED Trinity Hospital Kim, Hyo-Jin -MD COVERED UNDER FAP Trinity Hospital Kim, Theresa -MD COVERED UNDER FAP Trinity Hospital Kotler, Howard -MD COVERED UNDER FAP Trinity Hospital Kurani, Pinky -MD COVERED UNDER FAP Trinity Hospital Kysia, Rashid -MD COVERED UNDER FAP Trinity Hospital Lamba, Indu -MD NOT COVERED Trinity Hospital Landers, Sabrina -DPM NOT COVERED Trinity Hospital Lang, Denisha -NP NOT COVERED Trinity Hospital LaPat, Kenneth -MD NOT COVERED Trinity Hospital Lawson, Ebony -MD COVERED UNDER FAP Trinity Hospital Lee, Myung -CRNA NOT COVERED Trinity Hospital Lee, Peter -MD NOT COVERED Trinity Hospital Lewis, Dakisha -MD COVERED UNDER FAP Trinity Hospital Lewis, Johnnie -DPM NOT COVERED Trinity Hospital Maday, Michael -MD NOT COVERED Trinity Hospital Madewell, Holli -CRNA NOT COVERED Trinity Hospital Madhani, Jayesh -MD NOT COVERED Trinity Hospital Madueke, Ijeoma -MD COVERED UNDER FAP Trinity Hospital Maly, Jasmine -MD NOT COVERED Trinity Hospital Manney, Errin -MD COVERED UNDER FAP Trinity Hospital Manzoor Shah, MD, SC NOT COVERED Trinity Hospital Marcic, Branislav -MD NOT COVERED Trinity Hospital Martinez, Estella -MD COVERED UNDER FAP

Page 183 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Trinity Hospital McGuffin, Denise -MD COVERED UNDER FAP Trinity Hospital McManus, Patrick -MD COVERED UNDER FAP Trinity Hospital Meck, Candice -DO COVERED UNDER FAP Trinity Hospital Mehta, Neil -MD NOT COVERED Trinity Hospital Mekhaiel, Essam -MD NOT COVERED Trinity Hospital Mekonen, Endale -MD NOT COVERED Trinity Hospital Melrose Eyecare Center NOT COVERED Trinity Hospital Metropolitan Gastroenterology Consultant Ltd NOT COVERED Trinity Hospital Mezey, Dylan -MD COVERED UNDER FAP Trinity Hospital Michel, Marjorie -MD NOT COVERED Trinity Hospital Midland Orthopedic Associates, SC NOT COVERED Trinity Hospital Midwest Anesthesia Partners, LLC NOT COVERED Trinity Hospital Midwest Diagnostic Pathology, SC NOT COVERED Trinity Hospital Midwest Eye Center, SC NOT COVERED Trinity Hospital Midwest NeoPed Associates, Ltd NOT COVERED Trinity Hospital Midwest Pulmonary Critical Care & Sleep Consultants, LLC NOT COVERED Trinity Hospital Migally, Farida -MD NOT COVERED Trinity Hospital Milazzo, Vincent -CRNA NOT COVERED Trinity Hospital Mintz, Ari -MD NOT COVERED Trinity Hospital Mitchell, Winston -MD NOT COVERED Trinity Hospital Mohammed, Farooq -MD COVERED UNDER FAP Trinity Hospital Mohana Health Care, Ltd NOT COVERED Trinity Hospital Mohiuddin, Salman -MD NOT COVERED Trinity Hospital Moore, Monica -MD NOT COVERED Trinity Hospital Mourillon, Nicole -MD COVERED UNDER FAP Trinity Hospital Mrozek, Nancy -NP COVERED UNDER FAP Trinity Hospital Muhammad, Taquana -NP COVERED UNDER FAP Trinity Hospital N Hasan MD SC NOT COVERED Trinity Hospital Nackers, Ruth -PA COVERED UNDER FAP Trinity Hospital Narh, Raymond -MD NOT COVERED Trinity Hospital Nash, Karen -DDS NOT COVERED Trinity Hospital Nedumgottil, Sumol -MD NOT COVERED Trinity Hospital Nelson, Senora -MD COVERED UNDER FAP Trinity Hospital Nephrology Associates of Northern Illinois, LTD NOT COVERED Trinity Hospital Nephrology Associates of Northern Illinois, Ltd. NOT COVERED Trinity Hospital Nettem, Bhargavi -MD NOT COVERED Trinity Hospital Noghnogh, Abd -MD NOT COVERED Trinity Hospital Oak Street Health - Avalon Park Clinic NOT COVERED Trinity Hospital Okwuje, Philip -MD NOT COVERED Trinity Hospital Onyewuchi, Otuonye -MD NOT COVERED Trinity Hospital Oshin, Peter -MD COVERED UNDER FAP Trinity Hospital Oxman, Daniel -MD COVERED UNDER FAP Trinity Hospital Oyetunde, Susan -MD NOT COVERED Trinity Hospital Pain Specialists of Illinois, SC NOT COVERED Trinity Hospital Papari, Victor -MD COVERED UNDER FAP Trinity Hospital Parvaiz, Akhtar -MD NOT COVERED Trinity Hospital Patel, Bhakti -MD COVERED UNDER FAP Trinity Hospital Patel, Chittaranjan -MD NOT COVERED Trinity Hospital Patel, Kushal -DO COVERED UNDER FAP Trinity Hospital Patel, Vedvati -MD NOT COVERED Trinity Hospital Pennington, Norman -MD NOT COVERED Trinity Hospital Peppers, Kina -MD COVERED UNDER FAP Trinity Hospital Peracha, Mohammed -MD NOT COVERED Trinity Hospital Perkins, Theisha -MD NOT COVERED Trinity Hospital Petrovic, Polina -MD NOT COVERED Trinity Hospital Physicians Care Midwest, SC NOT COVERED Trinity Hospital Pierson, Janice -MD NOT COVERED Trinity Hospital Powell, Emilie -MD COVERED UNDER FAP

Page 184 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Trinity Hospital Powell, Ernest -MD COVERED UNDER FAP Trinity Hospital Pulmonary Consultants NOT COVERED Trinity Hospital Radiation Oncology of Chicago, SC NOT COVERED Trinity Hospital Raghavan, Vinitha -MD NOT COVERED Trinity Hospital Rajiv Kandala, MD SC NOT COVERED Trinity Hospital Ramos, Filimon -PA NOT COVERED Trinity Hospital Randhawa, Ranjiv -MD COVERED UNDER FAP Trinity Hospital Raymond Narh, MD, S.C. NOT COVERED Trinity Hospital Retina Macula Specialists PC NOT COVERED Trinity Hospital Richards, Ken -MD COVERED UNDER FAP Trinity Hospital Roberts, Kenrick -PA NOT COVERED Trinity Hospital Roche, Amanda -PA COVERED UNDER FAP Trinity Hospital Rosett Plastic Surgery, LLC NOT COVERED Trinity Hospital Rosett, Brian -MD NOT COVERED Trinity Hospital Rosin Eyecare - Comprehensive Eyecare Physicians NOT COVERED Trinity Hospital Rowley, Vincent -MD NOT COVERED Trinity Hospital Rudyard Smith MD and Associates, SC NOT COVERED Trinity Hospital Rupani, Gita -MD NOT COVERED Trinity Hospital Sabree, Latifah -MD COVERED UNDER FAP Trinity Hospital Sackeim, Alexander -MD COVERED UNDER FAP Trinity Hospital Saffold, Carol -MD COVERED UNDER FAP Trinity Hospital Said, Albara -MD NOT COVERED Trinity Hospital Saiz, Ltd NOT COVERED Trinity Hospital Sami Atassi, MD, Ltd NOT COVERED Trinity Hospital Sample, Madison -MD NOT COVERED Trinity Hospital Santhanam, Vimala -MD COVERED UNDER FAP Trinity Hospital Schaar, Diane -MD NOT COVERED Trinity Hospital Schmelka, Daniel -MD NOT COVERED Trinity Hospital Scott, Mac -MD NOT COVERED Trinity Hospital Seby, SC NOT COVERED Trinity Hospital Shafiei, Ghazal -MD COVERED UNDER FAP Trinity Hospital Shah, Devina -MD NOT COVERED Trinity Hospital Shah, Malathi -MD NOT COVERED Trinity Hospital Shah, Manzoor -MD NOT COVERED Trinity Hospital Shah, Muhammad -DPM NOT COVERED Trinity Hospital Shah, Uday -MD NOT COVERED Trinity Hospital Sherman, Joshua -MD COVERED UNDER FAP Trinity Hospital Shirazi, Haider -MD NOT COVERED Trinity Hospital Siddiqui, Faiza -MD COVERED UNDER FAP Trinity Hospital Simmons, Erica -PA NOT COVERED Trinity Hospital Simpson, Kareen -MD NOT COVERED Trinity Hospital Smith Centers for Foot and Ankle Care NOT COVERED Trinity Hospital Smith, Carlos -DPM NOT COVERED Trinity Hospital Smith, Gregory -MD NOT COVERED Trinity Hospital Smith, Rudyard -MD NOT COVERED Trinity Hospital Smith, Steven -MD NOT COVERED Trinity Hospital Sobolski, John -MD COVERED UNDER FAP Trinity Hospital Sobrero, Maria -MD NOT COVERED Trinity Hospital Sonty, Sriram -MD NOT COVERED Trinity Hospital South Chicago Oncology Associates LLC NOT COVERED Trinity Hospital South Chicago Orthopedic Specialists, SC NOT COVERED Trinity Hospital South Park Pediatrics, Inc NOT COVERED Trinity Hospital South Shore Cardiology NOT COVERED Trinity Hospital Southeast Anesthesia Consultants, LTD NOT COVERED Trinity Hospital Southeast Chicago Neurology Associates, SC NOT COVERED Trinity Hospital St. Bernard Hospital Ambulatory Care Center NOT COVERED Trinity Hospital Stevenson, Howley -MD NOT COVERED Trinity Hospital Tanase, Emma -MD NOT COVERED

Page 185 Nombre de Advocate Hospital Nombre del proveedor o nombre del consultorio del proveedor Estado de cobertura de la FAP Trinity Hospital Taylor, Julie -MD COVERED UNDER FAP Trinity Hospital Taylor, Karen -MD NOT COVERED Trinity Hospital Teleradiology Solutions NOT COVERED Trinity Hospital Tellez Medical Center, SC NOT COVERED Trinity Hospital Tellez, Juan -MD NOT COVERED Trinity Hospital Thomas, Joseph -MD NOT COVERED Trinity Hospital Toguem, Serge -MD COVERED UNDER FAP Trinity Hospital Toya, Sophie -MD NOT COVERED Trinity Hospital Trivedi, Kiritkumar -MD NOT COVERED Trinity Hospital Tung, Allen -MD COVERED UNDER FAP Trinity Hospital Turcanu, Ruslan -MD NOT COVERED Trinity Hospital Tyson, C -MD NOT COVERED Trinity Hospital United Elite Hospitalists, LLC NOT COVERED Trinity Hospital Universal HealthClinics, SC NOT COVERED Trinity Hospital Upadhyay, Naresh -MD NOT COVERED Trinity Hospital Valek, James -MD NOT COVERED Trinity Hospital Vascular and Interventional Professionals, LLC NOT COVERED Trinity Hospital Velan, Prabhu -MD NOT COVERED Trinity Hospital Verma, Saroj -MD NOT COVERED Trinity Hospital Vision Salon Eye Care Associates NOT COVERED Trinity Hospital Vowal, Patricia -NP NOT COVERED Trinity Hospital VRAJ Ltd NOT COVERED Trinity Hospital Vyas, Amit -MD NOT COVERED Trinity Hospital Wable, Sumathi -MD NOT COVERED Trinity Hospital Wan, Regina -NP COVERED UNDER FAP Trinity Hospital Washington, Jeanie -OD NOT COVERED Trinity Hospital Watson, Daryl -CRNA NOT COVERED Trinity Hospital Wechter, David -MD COVERED UNDER FAP Trinity Hospital Weisberg, Michael -MD NOT COVERED Trinity Hospital Wheeler, Wendell -MD NOT COVERED Trinity Hospital Williams, Helen -MD COVERED UNDER FAP Trinity Hospital Willis, Vivian -CRNA NOT COVERED Trinity Hospital Wilson, Jessica -MD COVERED UNDER FAP Trinity Hospital Women's Healthcare Affiliates NOT COVERED Trinity Hospital Wood, Michael -DPM NOT COVERED Trinity Hospital Woodard, Qeena -DPM NOT COVERED Trinity Hospital Yedidag, Azade -MD COVERED UNDER FAP Trinity Hospital Yerlioglu, Ben -MD NOT COVERED Trinity Hospital Yranela, Julito -CRNA NOT COVERED Trinity Hospital Zaman, Syed -MD NOT COVERED Trinity Hospital Zayyad, Adel -MD NOT COVERED

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