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![Page 1: Ç } o W Z Ç ] ] v W v · W W Z } ô l î ñ l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ] } v](https://reader033.pdfslide.us/reader033/viewer/2022051807/600489dc6e1f1874d14c4718/html5/thumbnails/1.jpg)
PCP Roster12/22/2020
Loyola Physician Partners
Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations
Participating In:
MolinaNext Gen. ACO
BCBS IL HMO
BCBS IL Medicare Advantage HMO
BCBS IL PPO ACO
BCBS IL Medicare Advantage PPO
BCBS IL MMAI
Cigna CAC
Cigna HMO
Humana Medicare Advantage
Clearspring Medicare Advantage
Longevity Medicare Advantage
United Healthcare Medicare Advantage Illinicare
Adichithara Michelle APN Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE Berwyn, IL 60402-3429 (708) 783-7490
Loyola University Medical Center, MacNeal Hospital X X X X X X X X X
Adichithara Michelle APN Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X
Akere Ayoade MD Family Medicine Raphael Medical Services Corp4646 N. Marine Dr. Suite C6300 Chicago, IL 60201 (773) 564-5781 (773) 564-5782
Weiss Memorial Hospital X X X X
Akere Ayoade MD Family Medicine Raphael Medical Services Corp
6307 S. Stewart Ave. Suite 305 Chicago, IL 60621 (773) 776-8800 (773) 776-8801
Weiss Memorial Hospital X X X X
Akhand Manju MD Pediatrics Access Pediatrics Ltd6723 Roosevelt Rd. Berwyn, IL 60402 (708) 665-3129 (630) 679-1275 MacNeal Hospital X X X X X
Akhand Manju MD Pediatrics Access Pediatrics Ltd
151 Fernwood Drive Suite A Bolingbrook, IL 60440 (630) 679-1275 (630) 679-1276 MacNeal Hospital X X X X X
Ali Shehzad MD Internal Medicine Shehzad Ali, MD, SC
4646 N. Marine Dr. C6200 Chicago, IL 60640-5759 (773) 564-5313 (773) 564-5314
Weiss Memorial Hospital X X X
Arellano Christina MD Family MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
7020 W 79TH ST BRIDGEVIEW, IL 60455-4030 (708) 599-8200 (708) 599-8306 MacNeal Hospital X X X X X X X X X X X X
Arellano Christina MD Family MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
3722 S HARLEM AVE SUITE 101 RIVERSIDE, IL 60546-2331 (708) 783-2901 (708) 783-2914 MacNeal Hospital X X X X X X X X X X X X
Arredondo Rupp Melissa MD Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3722 S HARLEM AVE Suite LL34 RIVERSIDE, IL 60546-2312 708-783-6566 708-783-6567 MacNeal Hospital X X X X X X X X X X X X
Arredondo Rupp Melissa MD Internal MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
3249 S OAK PARK AVE BERWYN, IL 60402-3249 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X X
Azad Hema MD Internal Medicine Midwest Medical Associates LLC
1440 W North Avenue Ste 305 Melrose Park, IL 60160-1426 (708) 338-1000 (630) 405-0121
MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X
Barajas Antonio MD Family Medicine Antonio Barajas MD4151 N. Lincoln Ave. Chicago, IL 60618-3062 (773) 975-7200 (773) 975-7059 X X X X X
Barbato Rebecca MD Pediatrics Loyola University Medical Center1950 S. Harlem Avenue North Riverside, IL 60546 (708) 354-9250 (708) 354-8765
Loyola University Medical Center X X X X X X X X X X X X
Barragan Lorena MD Family Medicine Alivio Medical Center6447 W. Cermak Rd. Berwyn, IL 60402 (773) 254-1400 (708) 484-5413 MacNeal Hospital X X X X X X X X X
Barsanti-Sekhar Mary MD Internal Medicine Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000 (708) 327-1322
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Barsanti-Sekhar Mary MD Internal Medicine Loyola University Medical Center1030 W. Higgins Rd. Park Ridge, IL 60068 (708) 327-7000
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Becerra Elizabeth MD Internal Medicine Elizabeth Becerra MDSC2223 S. Oak Park Avenue Berwyn, IL 60402 (708) 462-4475 MacNeal Hospital X X X X X X X X X
Beissel Terence MD Pediatrics Loyola University Medical Center15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400 (708) 645-3411
Loyola University Medical Center X X X X X X X X X X X X
Beitner Galia DO Family Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X X
Beitner Galia DO Family Medicine Loyola University Medical Center
15300 West Avenue Building A Suite 160 Orland Park, IL 60462 (708)873-2490 (708)873-2495
Loyola University Medical Center X X X X X X X X X X X X
Bhargava Anu MD Pediatrics Loyola University Medical Center1950 S. Harlem Avenue North Riverside, IL 60546 (708) 354-9250 (708) 354-8765
Loyola University Medical Center X X X X X X X X X X X
Bhatia Ajay MD Internal Medicine Chicago Medical Associates2222 W. Division Street #230 Chicago, IL 60622
(312) 720- 0851
MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X
Bhatnagar Rupal DO Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR BERWYN, IL 60402-3471 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X X X
Bhatnagar Rupal DO Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495 MacNeal Hospital X X X X X X X X X X X X
Bhurgri Abdul MD Pediatrics Alivio Medical Center6447 W. Cermak Rd. Berwyn, IL 60402 (773) 254-1400 (708) 484-5413 MacNeal Hospital X X X X X X X X X
Bielanski Thomas MD Family MedicinePipeline - Lakefront Medical Associates, LLC
1 Erie Court Suite 6160 Oak Park, IL 60302-2510 (708) 763-2120 (708) 763-2162
West Suburban Medical Center X X X X X X X X
Blair Amy MD Family Medicine Loyola University Medical Center1211 W Roosevelt Road Maywood, IL 60153 (708) 531-5200 (708) 531-7915
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
![Page 2: Ç } o W Z Ç ] ] v W v · W W Z } ô l î ñ l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ] } v](https://reader033.pdfslide.us/reader033/viewer/2022051807/600489dc6e1f1874d14c4718/html5/thumbnails/2.jpg)
PCP Roster12/22/2020
Loyola Physician Partners
Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations
Participating In:
MolinaNext Gen. ACO
BCBS IL HMO
BCBS IL Medicare Advantage HMO
BCBS IL PPO ACO
BCBS IL Medicare Advantage PPO
BCBS IL MMAI
Cigna CAC
Cigna HMO
Humana Medicare Advantage
Clearspring Medicare Advantage
Longevity Medicare Advantage
United Healthcare Medicare Advantage Illinicare
Boblick James MD Internal Medicine Loyola University Medical Center300 N. York Road Elmhurst, IL 60126 (708) 327-7030 (630) 833-8834
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Boblick James MD Internal Medicine Loyola University Medical Center7005 West North Ave Oak Park, IL 60301 (708) 327-1410 (708) 383-8932
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Boblick John MD Internal Medicine Loyola University Medical Center300 N. York Road Elmhurst, IL 60126 (708) 327-7030 (708) 327-8834
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Boblick John MD Internal Medicine Loyola University Medical Center7005 West North Ave Oak Park, IL 60302 (708) 327-1410 (708) 383-8932
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Boblick Kevin MD Internal Medicine Loyola University Medical Center300 N. York Road Elmhurst, IL 60126 (708) 327-7030 (630) 833-8834
Loyola University Medical Center X X X X X X X X X X X X X
Boblick Kevin MD Internal Medicine Loyola University Medical Center7005 West North Ave Oak Park, IL 60302 (708) 327-1410 (708) 383-8932
Loyola University Medical Center X X X X X X X X X X X X X
Boblick William MD Internal Medicine Loyola University Medical Center300 N. York Road Elmhurst, IL 60126 (708) 327-7030 (630) 833-8834
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Boblick William MD Internal Medicine Loyola University Medical Center7005 West North Ave Oak Park, IL 60301 (708) 327-1410 (708) 383-8932
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Bollam Geeta MD Family Medicine Loyola University Medical Center7255 W. Grand Avenue Elmwood Park, IL 60707 (888) 584-7888
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Boyd Bridget MD Pediatrics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5390
Loyola University Medical Center X X X X X X X X X X X X
Buchanan Amy MD Family Medicine Loyola University Medical Center
675 W. North Avenue - Suite 201and210 Melrose Park, IL 60160 (708) 327-1445
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Buechele Susan APN Family Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X
Cahill Sean MD Internal Medicine Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X X X
Carbonara Kimberly NP Pediatrics MP Pediatrics Corp
7222 W. Cermak Rd. Suite 504 North Riverside, IL 60546 (773) 284-6270 (773) 284-6290 MacNeal Hospital X X X X
Carney Coleen APN Family Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X
Carney Coleen APN Family Medicine Loyola University Medical Center
15300 West Avenue Building A Suite 160 Orland Park, IL 60462 (708)873-2490 (708)873-2495
Loyola University Medical Center X X X X X X X X X X
Catalano Kisti MD Internal Medicine Pillars Community Health23 Calendar Avenue LaGrange, IL 60525 (708) 352-0081 (708) 795-4834 X X X X X X
Cavero Jorge MD Internal Medicine Cavero Medical Group LTD4007 W. 63rd St. Chicago, IL 60629 (773) 767-2266 (773) 767-4380 MacNeal Hospital X X X X X X X X X X X X
Chagoya Pablo MD Pediatrics Dr. Chagoya Pediatrics Ltd2645 W. 51st St. Chicago, IL 60632 (773) 863-0022 (773) 236-8568 MacNeal Hospital X X X X X
Chagoya Pablo MD Pediatrics Dr. Chagoya Pediatrics Ltd6545 Cermak Road Berwyn, IL 60402-2313 (708) 788-0077 (708) 788-5620 MacNeal Hospital X X X X X
Chan Bobby MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495 MacNeal Hospital X X X X X X X X X X X X
Chan Bobby MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR Berwyn, IL 60402-4603 (708) 783-2000 MacNeal Hospital X X X X X X X X X X X X
Chan Lucas MD Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3722 S HARLEM AVE Suite LL34 RIVERSIDE, IL 60546-2312 708-783-6566 708-783-6567 MacNeal Hospital X X X X X X X X X X
Chan Lucas MD Internal MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X
Chandra Sandeep MD Internal Medicine Sandeep Chandra, M.D. , S.C.5331 W. 79th Street Burbank, IL 60459 (708) 422-9577 (708) 422-8101 MacNeal Hospital X X X X X X
Choi Haemi MD Family Medicine Loyola University Medical Center1211 W Roosevelt Road Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Choi Haemi MD Family Medicine Loyola University Medical Center
675 W. North Ave Suites 201 & 210 Melrose Park, IL 60160 (708) 327-1445
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
![Page 3: Ç } o W Z Ç ] ] v W v · W W Z } ô l î ñ l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ] } v](https://reader033.pdfslide.us/reader033/viewer/2022051807/600489dc6e1f1874d14c4718/html5/thumbnails/3.jpg)
PCP Roster12/22/2020
Loyola Physician Partners
Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations
Participating In:
MolinaNext Gen. ACO
BCBS IL HMO
BCBS IL Medicare Advantage HMO
BCBS IL PPO ACO
BCBS IL Medicare Advantage PPO
BCBS IL MMAI
Cigna CAC
Cigna HMO
Humana Medicare Advantage
Clearspring Medicare Advantage
Longevity Medicare Advantage
United Healthcare Medicare Advantage Illinicare
Choi Haemi MD Family Medicine Loyola University Medical Center15300 West Avenue Orland Park, IL 60462 (708) 873-2503
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Choi Haemi MD Family Medicine Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000 (708) 327-1322
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Choi Haemi MD Family Medicine Loyola University Medical Center9608 Roberts Road Hickory Hills, IL 60457 (708) 233-5333
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Chow-Johnson Hannah MD Pediatrics Loyola University Medical Center1950 S. Harlem Avenue North Riverside, IL 60546 (708) 354-9250 (708) 354-8765
Loyola University Medical Center X X X X X X X X X X X X
Clark Michael MD Internal Medicine Loyola University Medical Center300 N. York Road Elmhurst, IL 60126 (708) 327-7030 (708) 327-8834
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Clark Michael MD Internal Medicine Loyola University Medical Center7005 West North Ave Oak Park, IL 60302 (708) 327-1410 (708) 383-8932
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Clifford Bradley MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X X X
Clifford Bradley MD Internal Medicine Loyola University Medical Center
1S224 and 260 Summit Ave Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382
Loyola University Medical Center X X X X X X X X X X X X X
Cook J. Wesley DO Family Medicine Dr. J. Wesley Cook, DO, LLC2001 W. Addison St. Chicago, IL 60618 (773) 404-1000 (773) 404-9750
Weiss Memorial Hospital X X X
Couret Luis MD Internal Medicine Couret Medical and Urgent Care, S.C.
2930 N. Mannheim Road Suite 1 Franklin Park, IL 60131 (847) 451-4064 (847) 451-4098
Gottlieb Memorial Hospital X X X X X X X X X X X X
Cullinane Kevin MD Family MedicinePipeline - Lakefront Medical Associates, LLC
1 Erie Court Suite 6160 Oak Park, IL 60302-2510 (708) 763-2120 (708) 763-2162
West Suburban Medical Center X X X X X X X X
Cutro Brent DOInternal Medicine (Hospital Based)
Loyola University Medical Center DBA Loyola Medical Group LLC
3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-3398
Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X
Dabhade Narendra MD Internal Medicine Narendra D. Dabhade, MD, Ltd9722 Grand Ave. Suite 1 Franklin Park, IL 60131 (847) 455-3302 (847) 455-2539
Gottlieb Memorial Hospital X X X X X X X X X X
Davidoff Lisa MD Pediatrics Loyola University Medical Center300 N. York Road Elmhurst, IL 60126 (708) 327-7030 (630) 833-8834
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Davidoff Lisa MD Pediatrics Loyola University Medical Center7005 West North Ave Oak Park, IL 60301 (708) 327-1410 (708) 383-8932
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Delagarza Louis MDInternal Medicine (Hospital Based)
Loyola University Medical Center DBA Loyola Medical Group LLC
3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X X
Desai Manish DO Internal MedicineI. Desai and R Gokani MD SC DBA Personal Physician West
5909 W. 35th St. Cicero, IL 60804 (708) 652-2040 (708) 652-0058 MacNeal Hospital X X X X X X X X
Desai Manish DO Internal MedicineI. Desai and R Gokani MD SC DBA Personal Physician West
235 Remington Blvd. Bolingbrook, IL 60440 (630) 770-1201 (630) 771-1203 MacNeal Hospital X X X X X X X X
Desai Shilpa DO Internal MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
47 S 6TH AVE LAGRANGE, IL 60525-5637 (708) 354-4900 (708) 482-3324 MacNeal Hospital X X X X X X X X X X X X
Destani Nejat MD Family Medicine Primary Care Associates, Ltd.6840 Windsor Ave. Berwyn, IL 60402 (708) 484-0042 (708) 749-5489 MacNeal Hospital X X X X X X X X
Diamond Sean MD Pediatrics Loyola University Medical Center15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400 (708) 645-3411
Loyola University Medical Center X X X X X X X X X X X X
Dionisio David DO Family Medicine Family Care Associates6187 S. Archer Ave.Suite 103 Chicago, IL 60638 (773) 581-1500 (773) 581-2160 MacNeal Hospital X X X X X X X X X X
Dlugopolski Gach Josephine MD Internal Medicine Loyola University Medical Center9608 Roberts Road Hickory Hills, IL 60457 (708) 233-5333 (708) 233-5348
Loyola University Medical Center X X X X X X X X X X X X X
Dlugopolski Gach Josephine MD Internal Medicine Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000 (708) 327-1322
Loyola University Medical Center X X X X X X X X X X X X X
Doriwala Asima MD Internal Medicine Loyola University Medical Center1950 S. Harlem Avenue North Riverside, IL 60546 (708) 354-9250 (708) 354-8765
Loyola University Medical Center X X X X X X X X X X X X X
Doss Sara MD Internal Medicine Loyola University Medical Center15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400 (708) 645-3411
Loyola University Medical Center X X X X X X X X X X X X X
Dubin Leonard MD Internal Medicine Leonard Dubin M.D., LLC
675 W North Avenue Suite 401 Melrose Park, IL 60160 (708)632-5566
Gottlieb Memorial Hospital X X X X X X
Dudani Priyanka MD Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3722 S HARLEM AVE RIVERSIDE, IL 60546-2312 708-783-6566 708-783-6567 MacNeal Hospital X X X X X X X X X X X X X
![Page 4: Ç } o W Z Ç ] ] v W v · W W Z } ô l î ñ l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ] } v](https://reader033.pdfslide.us/reader033/viewer/2022051807/600489dc6e1f1874d14c4718/html5/thumbnails/4.jpg)
PCP Roster12/22/2020
Loyola Physician Partners
Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations
Participating In:
MolinaNext Gen. ACO
BCBS IL HMO
BCBS IL Medicare Advantage HMO
BCBS IL PPO ACO
BCBS IL Medicare Advantage PPO
BCBS IL MMAI
Cigna CAC
Cigna HMO
Humana Medicare Advantage
Clearspring Medicare Advantage
Longevity Medicare Advantage
United Healthcare Medicare Advantage Illinicare
Dunlop Jennifer APN Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
125 N LAGRANGE RD LAGRANGE, IL 60525-2041 708-783-3377 708-783-5656
Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X
Dunlop Jennifer APN Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495
Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X
Dunlop Jennifer APN Family Medicine Healthstop Medical Practice SC3635 S. Harlem Ave. Berwyn, IL 60402 (708) 447-9402 (708) 447-3246
Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X
Edwards Monica MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5390
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Einhorn Howard MD Internal MedicineDiabetes and Internal Medicine of Illinois, S.C.
675 W. North Avenue Melrose Park, IL 60160 (708) 450-5745 (708) 345-3927
Gottlieb Memorial Hospital X X X X X X X X X
Esparza Nereida MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR BERWYN, IL 60402-3471 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X X X
Esparza Nereida MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495 MacNeal Hospital X X X X X X X X X X X X
Eupierre Peter MD Internal MedicinePipeline - Lakefront Medical Associates, LLC
7411 W. Lake St. Suite 1120 Building A River Forest, IL 60305 (708) 345-3076 (708) 345-9984
Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X
Eupierre Peter MD Internal MedicinePipeline - Lakefront Medical Associates, LLC
4646 N. Marine Dr. Chicago, IL 60640 (773) 564-5355 (773) 564-5359
Gottlieb Memorial Hospital, West Suburban Medical Center X X X X X X X
Evans Joshua MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5390
Loyola University Medical Center X X X X X X X X X X X X
Fearon Lorraine APN Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X
Fearon Maureen MD Internal Medicine Loyola University Medical Center
1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382
Loyola University Medical Center X X X X X X X X X X X X X
Fearon Maureen MD Internal Medicine Loyola University Medical Center
1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382
Loyola University Medical Center X X X X X X X X X X X X X
Ferrera Maria MD Internal MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
3722 S HARLEM AVE SUITE 101 RIVERSIDE, IL 60546-2331 (708) 783-2901 (708) 783-2914 MacNeal Hospital X X X X X X X X X X X X
Finn Susan APN Pediatrics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X
Fitz Matthew MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 531-7915
Loyola University Medical Center X X X X X X X X X X X X X
Fitzpatrick Carolyn MD Family MedicinePipeline - Lakefront Medical Associates, LLC
1 Erie Court Suite 6160 Oak Park, IL 60302-2510 (708) 763-2120 (708) 763-2162
West Suburban Medical Center X X X X X X X X
Foley Edward MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR Berwyn, IL 60402-3471 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X X X
Foley Edward MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495 MacNeal Hospital X X X X X X X X X X X X
Fonseca Luvianca MD Family Medicine Mirshed Medical Center4255 W. 63rd St Chicago, IL 60629-5041 (773) 424-4048 (773) 424-6463 MacNeal Hospital X X X X X X X
Freed Marc DO Pediatrics FGM Pediatrics8711 West Cermak Road Riverside, IL 60546-1166 (708) 442-7979 (708) 442-8574 MacNeal Hospital X X X X X
Galvez Patricia FNP Internal Medicine Primary Health Care Specialists, S.C.5857 W. 35th St. Cicero, IL 60804 (708) 780-1464 (708) 780-1468 X X X X X X X
Garcia Bernardino MD Family Medicine Garcia Life Partners LTD5101 S. Kildare Ave Chicago, IL 60632 (773) 735-5600 (773) 735-9489 MacNeal Hospital X X X X X X X X X X
Garcia Robyn MD Family Medicine Garcia Life Partners LTD5101 S. Kildare Ave Chicago, IL 60632 (773) 735-5600 (773) 735-9489 MacNeal Hospital X X X X X X X X X X
Gaughan Bridget APN Family Medicine Loyola University Medical Center300 N. York Road Elmhurst, IL 60126 (708) 327-7030
Loyola University Medical Center X X X X X X X X X X X
Gershberg Michael MD Family Medicine Primary Care Associates, Ltd.6840 Windsor Ave. Berwyn, IL 60402 (708) 484-0042 (708) 749-5489 MacNeal Hospital X X X X X X X X
Ghani Ehtesham MD Internal Medicine Ehtesham Ghani MD SC
9223 Ogden Ave. Brookfield, IL 60513-1944 (708) 485-4050 (708) 485-9216 MacNeal Hospital X X X X X X X X X
Ghani Ehtesham MD Internal Medicine Ehtesham Ghani MD SC120 E. Ogden Ave. Hinsdale, IL 60521-3542 (630) 325-5285 (630) 325-5184 MacNeal Hospital X X X X X X X X X
Gill Michael MD Internal Medicine Loyola University Medical Center1030 W. Higgins Rd. Park Ridge, IL 60068 (708) 327-7000 (847) 685-0857
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Gleeson Erika APN Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR BERWYN, IL 60402-3471 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X
![Page 5: Ç } o W Z Ç ] ] v W v · W W Z } ô l î ñ l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ] } v](https://reader033.pdfslide.us/reader033/viewer/2022051807/600489dc6e1f1874d14c4718/html5/thumbnails/5.jpg)
PCP Roster12/22/2020
Loyola Physician Partners
Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations
Participating In:
MolinaNext Gen. ACO
BCBS IL HMO
BCBS IL Medicare Advantage HMO
BCBS IL PPO ACO
BCBS IL Medicare Advantage PPO
BCBS IL MMAI
Cigna CAC
Cigna HMO
Humana Medicare Advantage
Clearspring Medicare Advantage
Longevity Medicare Advantage
United Healthcare Medicare Advantage Illinicare
Gleeson Erika APN Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
125 N LAGRANGE RD LAGRANGE, IL 60525-2041 708-783-3377 708-783-5656 MacNeal Hospital X X X X X X X X X X
Gleeson Erika APN Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 MacNeal Hospital X X X X X X X X X X
Grant Peter MD Family Medicine Peter J. Grant MD, Ltd610 S. Maple St. Suite 3000 Oak Park, IL 60304 (708) 524-1747 (708) 383-2741
MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X
Grindeanu Ligia MD Pediatrics JC Reyes Pediatrics, SC.
6649 W. Archer Ave. Suite 400 Chicago, IL 60638 (773) 229-2373 (773) 229-2376 MacNeal Hospital X X X X X X
Grove de Alencar Amber MD Family MedicinePipeline - Lakefront Medical Associates, LLC
1 Erie Court Suite 6160 Oak Park, IL 60302-2510 (708) 763-2120 (708) 763-2162
West Suburban Medical Center X X X X X X X X
Gruszka Mary Ellen MD Pediatrics FGM Pediatrics8711 West Cermak Road Riverside, IL 60546-1166 (708) 442-7979 (708) 442-8574 MacNeal Hospital X X X X X
Gryniewicz-Sika Nancy MD Family Medicine Family Medical Care LTD965 Lake Street Oak Park, IL 60301 (708) 383-0400 (708) 383-4314 MacNeal Hospital X X X X X X X X X X
Gunasekara Samindi MD Internal MedicinePipeline - Lakefront Medical Associates, LLC
7411 W. Lake St. Suite 1120 - Bldg. A River Forest, IL 60305-1882 (708) 345-3076 (708) 345-9984
West Suburban Medical Center X X X X X X X X
Guo Yili MD Internal Medicine Midtown Physicians, S.C.
675 W. North Avenue #303 Melrose Park, IL 60160 (708) 343-8900 (708) 343-8903
MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X
Guo Yili MD Internal Medicine Midtown Physicians, S.C.6538 W. Cermak Road Berwyn, IL 60402 (708) 795-8900 (708) 788-0772
MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X
Guzman Maurice MD Family Medicine Galilee Medical Center S.C.4200 W. 63rd St. Chicago, IL 60629 (773) 581-5660 (773) 581-5661 MacNeal Hospital X X X X X X X X X X X
Hall Leo MD Internal Medicine Loyola University Medical Center
1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382
Loyola University Medical Center X X X X X X X X X X X X X
Hall Leo MD Internal Medicine Loyola University Medical Center
1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382
Loyola University Medical Center X X X X X X X X X X X X X
Harrison Amy MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR BERWYN, IL 60402-3471 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X X X
Harrison Amy MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495 MacNeal Hospital X X X X X X X X X X X X
Hathiwala Damayanti MD Pediatrics Damayanti S. Hathiwala MD PC
3340 S. Oak Park Avenue Suite 201 Berwyn, IL 60402 (708) 795-5502 (708) 795-5516 MacNeal Hospital X X X X X X X
Hermes Nesreen MD Family Medicine Hermes Health, SC7047 North Ave. Oak Park, IL 60302-1015 (773) 303-7505 (773) 309-8467
West Suburban Medical Center X X X X X X
Herrada Baudelio MD Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3722 S HARLEM AVE Suite LL34 RIVERSIDE, IL 60546-2312 708-783-6566 708-783-6567 MacNeal Hospital X X X X X X X X X X X X
Herrera-Villasenor Roselia MD Family Medicine Roselia Herrera MD, SC6039 W. Cermak Rd. Cicero, IL 60804 (708) 652-0056 (708) 652-9397 MacNeal Hospital X X X X X X X X
Hroncich Mark MD Internal MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
6425 W CERMAK RD SUITE 102 BERWYN, IL 60402-4602 (708) 783-9100 (708) 783-3398 MacNeal Hospital X X X X X X X X X X X X
Hsieh Matthew MD Family Medicine Primary Care Associates, Ltd.6840 Windsor Ave. Berwyn, IL 60402 (708) 484-0042 (708) 749-5489 MacNeal Hospital X X X X X X X X
Idowu Olumuyiwa MD Internal MedicinePipeline - Lakefront Medical Associates, LLC
4646 N. Marine Dr. 4th Floor Elevator Chicago, IL 60640-5759 (773) 564-5355 (773) 564-5359
Weiss Memorial Hospital X X X X X X X
Idowu Olumuyiwa MD Internal Medicine Sheridan Medical Center
840 W. Irving Park Rd. Suite 302 Chicago, IL 60613 (773) 871-5150 (773) 871-5153
Weiss Memorial Hospital X X X X
Ing Brian MD Internal Medicine Loyola University Medical Center1950 S. Harlem Avenue North Riverside, IL 60546 (708) 354-9250 (708) 354-8765
Loyola University Medical Center X X X X X X X X X X X X X
Irfan Khudsia MD Pediatrics Cicero Pediatrics5307 W Cermak Road Cicero, IL 60804 (708) 447-6700 (708) 477-6704 MacNeal Hospital X X X X X X
Jain Sheeja MD Internal MedicineI. Desai and R Gokani MD SC DBA Personal Physician West
235 Remington Blvd.Ste E Bolingbrook, IL 60440 (630) 771-1201 (630) 771-1203 X X X X X X X X
Jain Shishir MD Internal MedicineI. Desai and R Gokani MD SC DBA Personal Physician West
5909 W. 35th St. Cicero, IL 60804 (708) 652-2040 (708) 652-0058 MacNeal Hospital X X X X X X X X
Jain Shishir MD Internal MedicineI. Desai and R Gokani MD SC DBA Personal Physician West
235 E. Remington Blvd. Bolingbrook, IL 60440 (630) 770-1201 (630) 771-1203 MacNeal Hospital X X X X X X X X
Jain Renu MD Pediatrics Jain Pediatrics33 North Addison Road Addison, IL 60101 (630) 530-2224 X X X
Janakiram Mithila MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR BERWYN, IL 60402-3471 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X X X
![Page 6: Ç } o W Z Ç ] ] v W v · W W Z } ô l î ñ l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ] } v](https://reader033.pdfslide.us/reader033/viewer/2022051807/600489dc6e1f1874d14c4718/html5/thumbnails/6.jpg)
PCP Roster12/22/2020
Loyola Physician Partners
Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations
Participating In:
MolinaNext Gen. ACO
BCBS IL HMO
BCBS IL Medicare Advantage HMO
BCBS IL PPO ACO
BCBS IL Medicare Advantage PPO
BCBS IL MMAI
Cigna CAC
Cigna HMO
Humana Medicare Advantage
Clearspring Medicare Advantage
Longevity Medicare Advantage
United Healthcare Medicare Advantage Illinicare
Janakiram Mithila MD Family MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
7020 W 79TH ST BRIDGEVIEW, IL 60455-4030 (708) 599-8200 (708) 599-8306 MacNeal Hospital X X X X X X X X X X X X
Jethani Manohar MD Family Medicine Healthstop Medical Practice SC3635 S. Harlem Ave. Berwyn, IL 60402 (708) 447-9402 (708) 447-3246 MacNeal Hospital X X X X X X X X X X X X
Jones Mary MD Pediatrics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5390
Loyola University Medical Center X X X X X X X X X X X X
Jordan Tamajah MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR BERWYN, IL 60402-3471 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X X X
Jordan Tamajah MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495 MacNeal Hospital X X X X X X X X X X X X
Junia Christine MD Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3722 S HARLEM AVE Suite LL34 RIVERSIDE, IL 60546-2312 708-783-6566 708-783-6567 MacNeal Hospital X X X X X X X X X X X X
Junia Christine MD Internal MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
3249 S OAK PARK AVE BERWYN, IL 60402-3249 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X X
Jurek Bozena MD Family Medicine Jurek and Jurek Family Practice5059 W. 111th Street Alsip, IL 60803 (708) 425-1300 MacNeal Hospital X X X X X
Kakol Cezary MD Internal Medicine Cezary A. Kakol MD6508 W. Archer Ave. Suite 3 Chicago, IL 60638 (773) 586-2220 (773) 349-4020
MacNeal Hospital, West Suburban Medical Center X X X X X X X X X X X
Kaul Komal MD Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3722 S HARLEM AVE Suite LL34 RIVERSIDE, IL 60546-2312 708-783-6566 708-783-6567 MacNeal Hospital X X X X X X X X X X X X X
Kelley Eric MD Internal Medicine Eric Kelley MDSC2215 S. 17th Avenue Broadview, IL 60155 (708) 344-7171
Gottlieb Memorial Hospital X X X X X X X X
Khan Shazia MD Internal Medicine Loyola University Medical Center
1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382
Loyola University Medical Center X X X X X X X X X X X X X
Khan Shazia MD Internal Medicine Loyola University Medical Center
1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382
Loyola University Medical Center X X X X X X X X X X X X X
Khan Sabah MD Internal MedicinePipeline - Lakefront Medical Associates, LLC
4646 N. Marine Dr. 4th floor Suite A 4600 Chicago, IL 60640-5759 (773) 564-5355 (773) 564-5359
Weiss Memorial Hospital X X X X X X X X
Khan Sabah MD Internal Medicine Sabah Khan, MD, SC
4646 N. Marine Dr. C6200 Chicago, IL 60640-5759 (773) 564-5313 (773) 564-5314
Weiss Memorial Hospital X X X X X X X X X X
Koop James MD Internal Medicine James F. Koop MD, LLC
675 W. North Avenue Suite 409 Melrose Park, IL 60160 (708) 450-5070 (708) 681-0929
Gottlieb Memorial Hospital X X X X X X X
Laff Marianne APN Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X
Lagedrost Sarah MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X X X
Larsen Camilla MD Family Medicine Loyola University Medical Center7255 W. Grand Avenue Elmwood Park, IL 60707 (708) 327-1600 (708) 327-1601
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Lazarevic Milenko MD Internal Medicine MD Care Center SC
5067 N. Lincoln Ave. Suite 1S Chicago, IL 60625-8370 (773) 878-6550 (773) 878-6557
Weiss Memorial Hospital X X X X X X X X X X X
Lee Aaron DO Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR BERWYN, IL 60402-3471 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X X X
Lee Aaron DO Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
125 N LAGRANGE RD LAGRANGE, IL 60525-2041 708-783-3377 708-783-5656 MacNeal Hospital X X X X X X X X X X X X
Lee Aaron DO Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 MacNeal Hospital X X X X X X X X X X X X
Lee Eugene MD Family Medicine Loyola University Medical Center1211 W Roosevelt Road Maywood, IL 60153 (708) 531-5200
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Lee Kit MD Family Medicine Loyola University Medical Center1211 W Roosevelt Road Maywood, IL 60153 (708) 531-5200 (708) 531-7915
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Leon-Jauregui Dulces MD Family Medicine Loyola University Medical Center7634 W Belmont Avenue Chicago, IL 60634 (888) 584-7888
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X
Leung Vania MD Internal Medicine Shirley S Wong M.D.S.C.
2335-B S Wentworth Avenue Chicago, IL 60616 (312) 808-0900 (312) 808-9680 X X X X X
Levin Scott MD Family MedicinePipeline - Lakefront Medical Associates, LLC
1 Erie Court Suite 6160 Oak Park, IL 60302-2510 (708) 763-1490 (708) 763-7232
West Suburban Medical Center X X X X X X X X
![Page 7: Ç } o W Z Ç ] ] v W v · W W Z } ô l î ñ l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ] } v](https://reader033.pdfslide.us/reader033/viewer/2022051807/600489dc6e1f1874d14c4718/html5/thumbnails/7.jpg)
PCP Roster12/22/2020
Loyola Physician Partners
Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations
Participating In:
MolinaNext Gen. ACO
BCBS IL HMO
BCBS IL Medicare Advantage HMO
BCBS IL PPO ACO
BCBS IL Medicare Advantage PPO
BCBS IL MMAI
Cigna CAC
Cigna HMO
Humana Medicare Advantage
Clearspring Medicare Advantage
Longevity Medicare Advantage
United Healthcare Medicare Advantage Illinicare
Levy David MD Family Medicine Archer Family Medical Group LLC6649 W. Archer Ave. Chicago, IL 60638 (773) 586-2100 (773) 362-3267 MacNeal Hospital X X X X X X X X X X X
Libby Tiffany APN Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X
Licea Rosaura MD Family Medicine Cicero Medical Clinica San Lazaro5712 W. 35th St. Cicero, IL 60804 (708) 656-5485 (708) 656-5657 MacNeal Hospital X X X X X X X X X X X
Lichtenberg Robert MD Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3722 S HARLEM AVE SUITE LL34 RIVERSIDE, IL 60546-2312 708-783-6566 708-783-6567 MacNeal Hospital X X X X X X X X X X X X
Linares Oscar MD Pediatrics Berwyn Pediatrics6545 Cermak Road Berwyn, IL 60402-2313 (708) 788-0077 (708) 788-5620 MacNeal Hospital X X X X X X X
Linares Oscar MD Pediatrics Berwyn Pediatrics2645 W. 51st St. Chicago, IL 60632 (773) 863-0022 (708) 788-5620 MacNeal Hospital X X X X X X X
Linares Victoria MD Family Medicine Loyola University Medical Center9608 Roberts Road Hickory Hills, IL 60457 (888)584-7888
Loyola University Medical Center X X X X X X X X X X X X X
Liu Lisa MD Family Medicine Loyola University Medical Center
675 W. North Avenue - Suite 416 Melrose Park, IL 60160 (708) 327-1445
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X
Lopez Joaquin MD Pediatrics ProSalud62386238 W. Cermak Rd Berwyn, IL 60402 (708) 795-5020 (708) 795-5158 MacNeal Hospital X X X X X
Maalouf Monica MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X X X
Machnica Dobroslawa MD Pediatrics M M Kids, S.C.90 Turner Ave. Elk Grove Village, IL 60007 (847) 437-1006 (847) 437-1308
Gottlieb Memorial Hospital X X
Madappallil Meera MD Internal Medicine MGM Medical Associates, Ltd, SC
2425 W. 22nd Street Suite 210 Oak Brook, IL 60523 (630) 368-3909 (630) 368-3958
Gottlieb Memorial Hospital X X X X X X X X X X
Maietta Katherine MD Internal Medicine Loyola University Medical Center9608 Roberts Road Hickory Hills, IL 60457 (708) 233-5333 (708) 233-5348
Loyola University Medical Center X X X X X X X X X X X X X
Majcher Barbara APN Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X
Malinowska Miroslawa MD Pediatrics M M Kids, S.C.90 Turner Ave. Elk Grove Village, IL 60007 (847) 437-1006 (847) 437-1308
Gottlieb Memorial Hospital X X
Mankowski Patricia APN Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
125 N LAGRANGE RD LAGRANGE, IL 60525-2041 708-783-3377 708-783-5656 MacNeal Hospital X X X X X X X X X X
Mankowski Patricia APN Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495 MacNeal Hospital X X X X X X X X X X
Mansur Bahir MD Family Medicine Almansur Family Practice Services LTD7318 W. Madison Street Forest Park, IL 60130 (708) 366-1871 (708) 366-4519 MacNeal Hospital X X X X X X X X X X X
Marchel Ryszard MD Family Medicine Ryszard Marchel5506 W. 79th Street Burbank, IL 60459 (708) 422-7702 X X X X
Martinez Heriberto MD Internal Medicine Primary Health Care Specialists, S.C.5837 W. 35th Street Cicero, IL 60804 (708) 780-1464 (708) 780-1468 MacNeal Hospital X X X X X X X X
Martinez Heriberto MD Internal Medicine Primary Health Care Specialists, S.C.6433 S. Pulaski Rd. Chicago, IL 60629-5148 (773) 585-7590 (773) 585-7598 MacNeal Hospital X X X X X X X X
Masella Kathleen APN Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE Berwyn, IL 60402-3429 (708) 783-7490
Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X
Masella Kathleen APN Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X
McCray Gary MD Internal Medicine Elmhurst Memorial Center for Health1200 S. York Road Suite 4250 Elmhurst, IL 60126 (708) 476-9129
Gottlieb Memorial Hospital X X X
McIntyre Jessica MD Family Medicine Loyola University Medical Center7255 W. Grand Avenue Elmwood Park, IL 60707 (708) 327-1600 (708) 327-1601
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
McMahon Margaret MD Internal Medicine Loyola University Medical Center300 N. York Road Elmhurst, IL 60126 (708) 327-7030 (630) 833-8834
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
McMahon Margaret MD Internal Medicine Loyola University Medical Center7005 West North Ave Oak Park, IL 60301 (708) 327-1410 (708) 383-8932
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Medici Kathleen APN Family MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X
Meineke Calvin MD Internal Medicine Calvin T Meineke, MD1100 Lake Street Suite LL40 Oak Park, IL 60301 (708) 383-7776 (708) 383-5249
Gottlieb Memorial Hospital X X X X X X X X
Melvani Ramesh MD Internal Medicine Ramesh Melvani MD SC344 Sherwood Ct. La Grange Park, IL 60526 (708) 579-3773 (708) 579-2833 MacNeal Hospital X X X X X X X
Mencel Kathryn MD Family Medicine Kathryn Mencel MD SC7740 W. North Avenue Elmwood Park, IL 60707 (708) 456-3200 (708) 456-3427
Gottlieb Memorial Hospital X X X X X X X X X X
Mencias Celinne APN Family Medicine Family Medical Care LTD965 Lake Street Oak Park, IL 60301-1292 (708) 383-0400 (708) 383-4314 MacNeal Hospital X X X X X X X X
![Page 8: Ç } o W Z Ç ] ] v W v · W W Z } ô l î ñ l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ] } v](https://reader033.pdfslide.us/reader033/viewer/2022051807/600489dc6e1f1874d14c4718/html5/thumbnails/8.jpg)
PCP Roster12/22/2020
Loyola Physician Partners
Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations
Participating In:
MolinaNext Gen. ACO
BCBS IL HMO
BCBS IL Medicare Advantage HMO
BCBS IL PPO ACO
BCBS IL Medicare Advantage PPO
BCBS IL MMAI
Cigna CAC
Cigna HMO
Humana Medicare Advantage
Clearspring Medicare Advantage
Longevity Medicare Advantage
United Healthcare Medicare Advantage Illinicare
Merrill Alina DO Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR BERWYN, IL 60402-3471 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X X X
Merrill Alina DO Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495 MacNeal Hospital X X X X X X X X X X X X
Michel Steve MD Internal MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
47 S 6TH AVE LAGRANGE, IL 60525-5637 (708) 354-4900 (708) 482-3324 MacNeal Hospital X X X X X X X X X X X X
Michelfelder Aaron MD Family Medicine Loyola University Medical Center1211 W Roosevelt Road Maywood, IL 60153 (708) 531-5200 (708) 531-7915
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Miller Robert MD Family Medicine Loyola University Medical Center
675 W. North Avenue - Suite 201and210 Melrose Park, IL 60160 (708) 327-1445
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Minic Christina APN Family Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X
Minic Christina APN Family Medicine Loyola University Medical Center
15300 West Avenue Building A Suite 160 Orland Park, IL 60462 (708)873-2490 (708)873-2495
Loyola University Medical Center X X X X X X X X X X X
Mirshed Nayeh MD Internal Medicine Mirshed Medical Center4255 W. 63rd St Chicago, IL 60629-5041 (773) 424-4048 (773) 424-6463 MacNeal Hospital X X X X X X X
Mitchell Donna APN Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X
Mo James MD Family Medicine Harmony Medical & Wellness Center4600 N. Magnolia Ave. Suite D Chicago, IL 60640 (773) 989-1885 (773) 989-9828
Weiss Memorial Hospital X X X X X X X X X X X
Momin Nadia MD Family Medicine Primary Care Associates, Ltd.6840 Windsor Ave. Berwyn, IL 60402 (708) 484-0042 (708) 749-5489 MacNeal Hospital X X X X X X X X
Munteanu Andra MD Internal MedicinePipeline - Lakefront Medical Associates, LLC
4700 N. Marine Dr. Suite 300 Chicago, IL 60640 (773) 564-5355 (773) 564-5359
Weiss Memorial Hospital X X X X X X X
Murphy Yvonne MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR BERWYN, IL 60402-3471 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X X X
Murphy Yvonne MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495 MacNeal Hospital X X X X X X X X X X X X
Myczek Kate APN Family Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X
Nair Shanti MD Pediatrics Loyola University Medical Center9608 Roberts Road Hickory Hills, IL 60457 (708) 233-5333
Loyola University Medical Center X X X X X X X X X X X X
Nair Shanti MD Pediatrics Loyola University Medical Center15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400 (708) 645-3411
Loyola University Medical Center X X X X X X X X X X X X
Nam Teresa MD Internal Medicine Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1301 (708) 327-1322
Loyola University Medical Center X X X X X X X X X X X X X
Nardulli Maria APN Family Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X
Nardulli Maria APN Family Medicine Loyola University Medical Center7005 West North Ave Oak Park, IL 60301 (708) 327-1410 (708) 383-8932
Loyola University Medical Center X X X X X X X X X X X
Novak Richard MD Family Medicine Novak Family Medical Center401 E. North AvenueSte 5 Villa Park, IL 60181 (630) 834-0132 (630) 834-0319
MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X X
Nowobilska Anna MD Family Medicine Nowobilska Medical Practice5257 S. Cicero Avenue Chicago, IL 60632 (773) 735-8038 (773) 735-8297 MacNeal Hospital X X X X
O'Keefe Julie MD Pediatrics Loyola University Medical Center1950 S. Harlem Avenue North Riverside, IL 60546 (708) 354-9250 (708) 354-8765
Loyola University Medical Center X X X X X X X X X X X X
Otero-Yokana Myriam MD Family Medicine Mannheim Medical Associates
2930 N. Mannheim Road Suite 2 Franklin Park, IL 60131 (847) 451-9244 (847) 451-9413
Gottlieb Memorial Hospital X X X X X X X X X X X
Ozark Gregory MD Internal Medicine Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1301 (708) 327-1322
Loyola University Medical Center X X X X X X X X X X X X X
Ozark Laura MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X X
Pangan Antonio MD Internal Medicine Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1301 (708) 327-1322
Loyola University Medical Center X X X X X X X X X X X X X
Parker Elizabeth APN Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X
Parker Ellen MD Internal Medicine Loyola University Medical Center300 N. York Road Elmhurst, IL 60126 (708) 327-7030 (630) 833-8834
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Parker Ellen MD Internal Medicine Loyola University Medical Center7005 West North Ave Oak Park, IL 60302 (708)327-1410 (708)383-8932
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Patel Ashruta MD Internal Medicine Ashruta J. Patel6834 W. Cermak Road Berwyn, IL 60402 (708) 788-6270
Gottlieb Memorial Hospital X X X X X X X
Patel Bhupendra MD Internal Medicine Bhupendra Patel, MDSC9663 Franklin Avenue Franklin Park, IL 60131 (847) 455-4701
Gottlieb Memorial Hospital X X X X X X X X
![Page 9: Ç } o W Z Ç ] ] v W v · W W Z } ô l î ñ l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ] } v](https://reader033.pdfslide.us/reader033/viewer/2022051807/600489dc6e1f1874d14c4718/html5/thumbnails/9.jpg)
PCP Roster12/22/2020
Loyola Physician Partners
Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations
Participating In:
MolinaNext Gen. ACO
BCBS IL HMO
BCBS IL Medicare Advantage HMO
BCBS IL PPO ACO
BCBS IL Medicare Advantage PPO
BCBS IL MMAI
Cigna CAC
Cigna HMO
Humana Medicare Advantage
Clearspring Medicare Advantage
Longevity Medicare Advantage
United Healthcare Medicare Advantage Illinicare
Patel Dilip MD Internal Medicine Midtown Physicians, S.C.6538 W. Cermak Road Berwyn, IL 60402 (708) 795-8900 (708) 788-0772
MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X
Patel Dilip MD Internal Medicine Midtown Physicians, S.C.
675 W. North Avenue #303 Melrose Park, IL 60160 (708) 343-8900 (708) 343-8903
MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X
Patel Krishna MD Internal Medicine Midtown Physicians, S.C.6538 W. Cermak Road Berwyn, IL 60402 (708) 795-8900 (708) 788-0772
MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X
Patel Krishna MD Internal Medicine Midtown Physicians, S.C.
675 W. North Avenue #303 Melrose Park, IL 60160 (708) 343-8900 (708) 343-8903
MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X
Perez Jennifer MD Pediatrics MP Pediatrics Corp
7222 W. Cermak Road Suite 504 North Riverside, IL 60546 (773) 284-6270 (708) 284-6290 MacNeal Hospital X X X X X X
Pham Suzanne MD Internal MedicinePipeline - Lakefront Medical Associates, LLC
4640 N. Marine Dr. Suite A-4600 Chicago, IL 60640 (773) 564-7400 (773) 564-7401
Weiss Memorial Hospital X X X X X X X X
Piatek Magdaline MD Family Medicine Archer Family Medical Group LLC6649 W. Archer Ave. Chicago, IL 60638 (773) 586-2100 (773) 586-2157 MacNeal Hospital X X X X X X X X X X X
Pierko Eliza MD Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
125 N LAGRANGE RD LAGRANGE, IL 60525-2041 708-783-3377 708-783-5656 MacNeal Hospital X X X X X X X X X X X X
Pierko Eliza MD Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495 MacNeal Hospital X X X X X X X X X X X X
Piotrowski Miroslaw MD Family Medicine Piotrowski MD SC5912 S. Archer Ave. Chicago, IL 60638 (773) 735-5544 (773) 735-5253 MacNeal Hospital X X X X X X X
Podrazik Karla MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X X
Polsley Kevin MD Internal Medicine Loyola University Medical Center15750 Marian Drive Homer Glen, IL 60491 (708) 645-3400 (708) 645-3411
Loyola University Medical Center X X X X X X X X X X X X X
Poronsky Albert DO Family Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X X
Poronsky Albert DO Family Medicine Loyola University Medical Center
15300 West Avenue Building A Suite 160 Orland Park, IL 60462 (708)873-2490 (708)873-2495
Loyola University Medical Center X X X X X X X X X X X X
Puri Jignasa DOFamily Medicine (Immediate Care) Loyola University Medical Center
2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center X X X X X X X X X X X
Puzio-Bell Michelle DO Internal Medicine Loyola University Medical Center
15300 West Ave Room 1181 Orland Park, IL 60462 (708) 873-2503
Loyola University Medical Center X X X X X X X X X X X X X
Quinones Jolene FNP Family Medicine Archer Family Medical Group LLC6649 W. Archer Ave. Chicago, IL 60638 (773) 586-2100 (773) 586-2157 MacNeal Hospital X X X X X X X X X
Qureshi Nadia MD Pediatrics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5390
Loyola University Medical Center X X X X X X X X X X X X
Qureshi Mohammad MD Internal Medicine Midtown Physicians, S.C.
675 W. North Avenue #303 Melrose Park, IL 60160 (708) 343-8900 (708) 343-8903
MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X
Qureshi Mohammad MD Internal Medicine Midtown Physicians, S.C.6538 W. Cermak Road Berwyn, IL 60402 (708) 795-8900 (708) 788-0772
MacNeal Hospital, Gottlieb Memorial Hospital X X X X X X X X X
Ra-Hurka Yongsun MD Internal Medicine Loyola University Medical Center321 N. LaGrange Road LaGrange Park, IL 60526 (708) 485-1020 (708) 485-1173
Loyola University Medical Center X X X X X X X X X X X X X
Rais-Dana Jalal MD Pediatrics Jalal Rais Dana MD LTD2315 W. Belmont Ave. Chicago, IL 60618-6422 (773) 348-6530 (773) 348-6531 X X
Ralston Brian MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR BERWYN, IL 60402-3472 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X X X
Ralston Brian MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495 MacNeal Hospital X X X X X X X X X X X X
Ralston Brian MD Family MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
3231 S EUCLID AVE 5TH FLOOR BERWYN, IL 60402-3472 (708) 783-2000 (708) 783-2703 MacNeal Hospital X X X X X X X X X X X X
Renner Heidi MD Internal Medicine Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1301 (708) 327-1322
Loyola University Medical Center X X X X X X X X X X X X X
Revethis William MD Internal Medicine Loyola University Medical Center9608 Roberts Road Hickory Hills, IL 60457 (708) 233-5333
Loyola University Medical Center X X X X X X X X X X X X X
Reyes Joselito MD Pediatrics JC Reyes Pediatrics, SC.
6649 W. Archer Ave. Suite 400 Chicago, IL 60638 (773) 229-2373 (773) 229-2376 MacNeal Hospital X X X X X
Rice Jason MD Internal Medicine Loyola University Medical Center321 N. LaGrange Road LaGrange Park, IL 60526 (708) 485-1020 (708) 485-1173
Loyola University Medical Center X X X X X X X X X X X X X
Rieger Brent MD Internal Medicine Loyola University Medical Center1100 Lake Street S#150 Oak Park, IL 60301 (708) 327-1555 (708) 327-1322
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
![Page 10: Ç } o W Z Ç ] ] v W v · W W Z } ô l î ñ l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ] } v](https://reader033.pdfslide.us/reader033/viewer/2022051807/600489dc6e1f1874d14c4718/html5/thumbnails/10.jpg)
PCP Roster12/22/2020
Loyola Physician Partners
Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations
Participating In:
MolinaNext Gen. ACO
BCBS IL HMO
BCBS IL Medicare Advantage HMO
BCBS IL PPO ACO
BCBS IL Medicare Advantage PPO
BCBS IL MMAI
Cigna CAC
Cigna HMO
Humana Medicare Advantage
Clearspring Medicare Advantage
Longevity Medicare Advantage
United Healthcare Medicare Advantage Illinicare
Rieger Brent MD Internal Medicine Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000 (708) 327-1322
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Rohail Tahir MD Internal Medicine Premier Internal Medicine Group, SC2910 S. Harlem Ave. Riverside, IL 60546 (708) 447-7267 (708) 447-2104 MacNeal Hospital X X X X X X X X X
Rohde Susan MD Internal Medicine Loyola University Medical Center
1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382
Loyola University Medical Center X X X X X X X X X X X X X
Rohde Susan MD Internal Medicine Loyola University Medical Center
1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382
Loyola University Medical Center X X X X X X X X X X X X X
Rose Clement MD Internal MedicinePipeline - Lakefront Medical Associates, LLC
4646 N. Marine Dr. 4th Floor Elevator Chicago, IL 60640-5759 (773) 564-5355 (773) 564-5359
Weiss Memorial Hospital X X X X X X X X
Rose Clement MD Internal Medicine Win Care Medical Consultants LTD
4646 N. Marine Dr. Suite A6100 Chicago, IL 60640-5759 (773) 564-5444 (773) 564-5445
Weiss Memorial Hospital X X X X X X X X X X X X
Rosenstein Gregorio MD Internal Medicine Porteno Medical Services6142 S. Pulaski Rd Chicago, IL 60629 (773) 767-4359 (773) 767-4369 MacNeal Hospital X X X X X X X X X X X
Rubin Cindy MD Pediatrics Loyola University Medical Center1950 S. Harlem Avenue North Riverside, IL 60546 (708) 354-9250 (708) 354-8765
Loyola University Medical Center X X X X X X X X X X X
Rudinger Ann MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5390
Loyola University Medical Center X X X X X X X X X X X X X
Rueda Amado MD Family MedicineMedplus, SC DBA Su Salud Medical Center
6035 W. Cermak Road Cicero, IL 60804-2021 (708) 656-5230 (708) 656-6610 MacNeal Hospital X X X X X X X X X X
Ruiz Oscar MD Family Medicine Cavero Medical Group LTD4007 W. 63rd St. Chicago, IL 60629 (773) 767-2266 (773) 767-4380 MacNeal Hospital X X X X X X X X X X X X
Rupp James MD Internal Medicine Loyola University Medical Center321 N. LaGrange Road LaGrange Park, IL 60526 (708) 485-1020 (708) 485-1173
Loyola University Medical Center X X X X X X X X X X X X X
Ryan Eilis MD Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
125 N LAGRANGE RD LAGRANGE, IL 60525-2041 708-783-3377 708-783-5656 MacNeal Hospital X X X X X X X X X X X X X
Rzucidlo Jozef MD Family Medicine Dr. Joseph''s Medical Services SC5838 S. Harlem Ave. Summit Argo, IL 60501 (708) 496-8400 (708) 496-8416 MacNeal Hospital X X X X X X
Saeed Omar MD Family Medicine Saeed Medical Group4332 N. Elston Ave. Chicago, IL 60641-2144 (773) 754-3500 (773) 754-3509
Weiss Memorial Hospital X X X X X X X X X X
Saelinger-Shafer Laura MD Internal Medicine Loyola University Medical Center321 N. LaGrange Road LaGrange Park, IL 60526 (708) 485-1020 (708) 485-1173
Loyola University Medical Center X X X X X X X X X X X X X
Salas Faylene APRN Family Medicine Alivio Medical Center6447 W. Cermak Rd. Berwyn, IL 60402 (773) 254-1400 (708) 484-5413 X X X X X X
Saldanha Rita MD Internal MedicineMedplus, SC DBA Su Salud Medical Center
6035 W. Cermak Road Cicero, IL 60804-2021 (708) 656-5230 (708) 656-6610 MacNeal Hospital X X X X X X X X
Saleh Nabil MD Pediatrics Nabil Saleh, MD1419 Lake Street Suite D Melrose Park, IL 60160 (708) 450-0112 (708) 450-9038
Gottlieb Memorial Hospital X X X
Sardone-Ponnappan Jennifer MD Internal Medicine
Gottlieb Community Healthservices DBA MacNeal Medical Group
3722 S HARLEM AVE Suite LL34 RIVERSIDE, IL 60546-2312 708-783-6566 708-783-6567 MacNeal Hospital X X X X X X X X X X X X X
Sardone-Ponnappan Jennifer MD Internal Medicine
Loyola University Medical Center DBA Loyola Medical Group LLC
3722 S HARLEM AVE Suite 101 RIVERSIDE, IL 60546-2331 (708) 783-2901 (708) 783-2914 MacNeal Hospital X X X X X X X X X X X
Sawlani Haresh MD Internal MedicineHaresh Sawlani, MD, PC, dba: Central Primary Care
3445 N. Central Ave. Unit C Chicago, IL 60634 (773) 205-0800 (773) 205-1804
Gottlieb Memorial Hospital X X X X X X X X X X
Saxena Madhulika MD Internal Medicine Sandeep Chandra, M.D. , S.C.5331 W. 79th Street Burbank, IL 60459 (708) 422-9577 (708) 422-8101 MacNeal Hospital X X X X X X
Schainis Rodney MD Internal Medicine Rodney Schainis, MD LLC
675 W. North Avenue Suite 409 Melrose Park, IL 60160 (708) 450-5070 (708) 450-5078
Gottlieb Memorial Hospital X X X X X X X X
Serembytsky Iryna MD Family Medicine Westeros Family Practice, LTD366 E. Burlington St. Riverside, IL 60546 (708) 442-7174 (708) 443-6074 MacNeal Hospital X X X X X X X X X X
Shaw Charles MD Internal Medicine Family Care Associates6187 S. Archer Ave.Suite 103 Chicago, IL 60638 (773) 581-1500 (773) 581-2160 MacNeal Hospital X X X X X X X X X X
Shivakumar Deepti MD Family Medicine Loyola University Medical Center
675 W. North Avenue - Suite 416 Melrose Park, IL 60160 (708) 327-1445
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Siddiqui Suhail MD Internal Medicine Ilahi Medicine of IL
6374 N. Lincoln Ave. Suite 202 Chicago, IL 60659-1219 (773) 681-0260 (773) 304-4415
Weiss Memorial Hospital X X X X X X X X
Sisbarro Daniel MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5390
Loyola University Medical Center X X X X X X X X X X X X X
Skerrett Jacquelyn MD Family MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
6425 W CERMAK RD SUITE 101 BERWYN, IL 60402-4602 (708) 484-0044 (708) 484-0290 MacNeal Hospital X X X X X X X X X X X X
![Page 11: Ç } o W Z Ç ] ] v W v · W W Z } ô l î ñ l î ì î ì > } Ç } o W Z Ç ] ] v W v > E u & ] E u d ] o ^ ] o Ç' } µ E u D ] v K ( ( ] d o Z } v & Æ , } ] o ( ( ] o ] ] } v](https://reader033.pdfslide.us/reader033/viewer/2022051807/600489dc6e1f1874d14c4718/html5/thumbnails/11.jpg)
PCP Roster12/22/2020
Loyola Physician Partners
Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations
Participating In:
MolinaNext Gen. ACO
BCBS IL HMO
BCBS IL Medicare Advantage HMO
BCBS IL PPO ACO
BCBS IL Medicare Advantage PPO
BCBS IL MMAI
Cigna CAC
Cigna HMO
Humana Medicare Advantage
Clearspring Medicare Advantage
Longevity Medicare Advantage
United Healthcare Medicare Advantage Illinicare
Spangenberg Katherine MD Internal Medicine Loyola University Medical Center1100 Lake Street S#150 Oak Park, IL 60301 (708) 327-1301
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Spishakoff Leonard MD Family Medicine Total Care Medical Clinic LLC6929 Ogden Ave Berwyn, IL 60402-3649 (708) 484-9472 (708) 484-9473 MacNeal Hospital X X X X X X X
Srivastava Alka MD PediatricsLoyola University Medical Center DBA Loyola Medical Group LLC
3722 S HARLEM AVE SUITE 200 RIVERSIDE, IL 60546-2334 (708) 447-4999 (708) 447-6498 MacNeal Hospital X X X X X X X X X X X X
Stirling Jerold MD Pediatrics Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5390
Loyola University Medical Center X X X X X X X X X X X X
Stokas Michael MD Internal Medicine Loyola University Medical Center9608 Roberts Road Hickory Hills, IL 60457 (708) 233-5333 (708) 233-5348
Loyola University Medical Center X X X X X X X X X X X X X
Stranges Elizabeth MD Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3722 S HARLEM AVE Suite LL34 RIVERSIDE, IL 60546-2312 708-783-6566 708-783-6567 MacNeal Hospital X X X X X X X X X X
Stranges Elizabeth MD Internal MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-3398 MacNeal Hospital X X X X X X X X X X
Suh Courtney MDFamily Medicine (Immediate Care) Loyola University Medical Center
7255 W. Grand Avenue Elmwood Park, IL 60707 (708) 327-1600 (708) 327-1601
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X
Sullivan Lauren DO Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3722 S HARLEM AVE Suite LL34 RIVERSIDE, IL 60546-2312 708-783-6566 708-783-6567 MacNeal Hospital X X X X X X X X X X X X
Sulo Robert MD Internal Medicine Loyola University Medical Center
15300 West Ave Room 1181 Orland Park, IL 60462 (708) 873-2503
Loyola University Medical Center X X X X X X X X X X X X X
Sung Tae MD Family Medicine Tae H. Sung, M.D.7035 W. Grand Ave. #105 Chicago, IL 60707 (773) 637-4454 (773) 637-2560
Gottlieb Memorial Hospital X X X X X X X X
Sung Tae MD Family Medicine Tae H. Sung, M.D.4909 W. Division St. #509 Chicago, IL 60651 (773) 287-9777 (773) 287-5480
Gottlieb Memorial Hospital X X X X X X X X
Syed Nicole MD Family MedicinePipeline - Lakefront Medical Associates, LLC
7411 W. Lake St. Suite 1120 - Bldg. A River Forest, IL 60305-1882 (708) 345-3076 (708) 345-9984
West Suburban Medical Center X X X X X X
Tachauer Allan MD Internal MedicinePipeline - Lakefront Medical Associates, LLC
4646 N. Marine Dr. Suite 4600 Chicago, IL 60640 (773) 564-7400 (773) 564-7401
Weiss Memorial Hospital X X X X X X X X
Tamayo Raul MD PediatricsLoyola University Medical Center DBA Loyola Medical Group LLC
3722 S HARLEM AVE SUITE 200 RIVERSIDE, IL 60546-2334 (708) 447-4999 (708) 447-6498 MacNeal Hospital X X X X X X X X X X X
Tayeh Linda MD Internal Medicine Loyola University Medical Center
1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382
Loyola University Medical Center X X X X X X X X X X X X X
Tayeh Linda MD Internal Medicine Loyola University Medical Center
1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382
Loyola University Medical Center X X X X X X X X X X X X X
Thomas Shantay MDFamily Medicine (Hospital Based)
Gottlieb Community Healthservices DBA MacNeal Medical Group
125 N LAGRANGE RD LAGRANGE, IL 60525-2041 708-783-3377 708-783-5656 MacNeal Hospital X X X X X X X X X X X
Thomas Shantay MDFamily Medicine (Hospital Based)
Gottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495 MacNeal Hospital X X X X X X X X X X X
Thomas Shantay MDFamily Medicine (Hospital Based)
Gottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE BERWYN, IL 60402-3471 708-783-2000 MacNeal Hospital X X X X X X X X X X X
Thomas Shantay MDFamily Medicine (Hospital Based)
Loyola University Medical Center DBA Loyola Medical Group LLC
3249 S OAK PARK AVE BERWYN, IL 60402-3429 (708) 783-9100 (708) 783-6919 MacNeal Hospital X X X X X X X X X X X
Tinfang Rodrigue MD Family MedicineRodrigue Tinfang, MD, dba Family Health, Ltd
4909 W. Division Suite 503 Chicago, IL 60651-3161 (773) 626-8833 (773) 626-1635
West Suburban Medical Center X X X X X X X X X
Tong Robin DO Family MedicinePipeline - Lakefront Medical Associates, LLC
6201 N. Broadway Ave. Chicago, IL 60660-1903 (773) 796-3400 (773) 796-3409
Weiss Memorial Hospital X X X X X X X X X
Torres Natalia APRN Family Medicine Alivio Medical Center6447 W. Cermak Rd. Berwyn, IL 60402 (773) 254-1400 (708) 484-5413 X X X X X
Toulios Melissa APN Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
125 N LAGRANGE RD LAGRANGE, IL 60525-2041 708-783-3377 708-783-5656
Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X
Toulios Melissa APN Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE BERWYN, IL 60402-3429 708-783-7490 708-783-7495
Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X X
Toulios Melissa APN Family Medicine Healthstop Medical Practice SC3635 S. Harlem Ave. Berwyn, IL 60402 (708) 447-9402 (708) 447-3246
Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X
Tuerk Emily MD Internal Medicine Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1000 (708) 327-1322
Loyola University Medical Center X X X X X X X X X X X X X
Valero Elsa MD Family MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
6425 W CERMAK RD Suite 101-102 BERWYN, IL 60402-4602 (708) 484-0044 (708) 484-0290 MacNeal Hospital X X X X X X X X X X X X
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PCP Roster12/22/2020
Loyola Physician Partners
Last Name First Name Title Specialty Group Name Main Office Address Telephone Fax Hospital Affiliations
Participating In:
MolinaNext Gen. ACO
BCBS IL HMO
BCBS IL Medicare Advantage HMO
BCBS IL PPO ACO
BCBS IL Medicare Advantage PPO
BCBS IL MMAI
Cigna CAC
Cigna HMO
Humana Medicare Advantage
Clearspring Medicare Advantage
Longevity Medicare Advantage
United Healthcare Medicare Advantage Illinicare
Vargas Jennifer MD Family Medicine Alivio Medical Center6447 W. Cermak Rd. Berwyn, IL 60402 (773) 254-1400 (708) 484-5413 MacNeal Hospital X X X X X X X X X
Varkey Anita MD Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888 (708) 216-5390
Loyola University Medical Center X X X X X X X X X X X X X
Vavra Timothy DO Internal Medicine Loyola University Medical Center
1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382
Loyola University Medical Center X X X X X X X X X X X X X
Vavra Timothy DO Internal Medicine Loyola University Medical Center
1S224 Summit Avenue Oakbrook Terrace, IL 60181 (630) 953-6600 (630) 627-7382
Loyola University Medical Center X X X X X X X X X X X X X
Veselik Keith MD Internal Medicine Loyola University Medical Center6800 N. Frontage Road Burr Ridge, IL 60527 (708) 327-1301 (708) 327-1322
Loyola University Medical Center X X X X X X X X X X X X X
Villamizar-Zuniga Juan MD Family Medicine Angel Medical Center2619 S. Lawndale Ave. Chicago, IL 60623 (773) 521-4305 (773) 521-4329 MacNeal Hospital X X X X X X X X X
Wainer Bradford DO Family Medicine Primary Care Associates, Ltd.6840 Windsor Ave. Berwyn, IL 60402 (708) 484-0042 (708) 749-5489 MacNeal Hospital X X X X X X X X
Walker Karen MD Pediatrics PediaGroup Associates SC
610 S. Maple Ave. Suite 3150 Oak Park, IL 60304-2434 (708) 848-8240 (708) 383-2135
MacNeal Hospital, West Suburban Medical Center X X X X X
Weiss Lori MD Pediatrics Primary Care Associates, Ltd.6840 Windsor Ave. Berwyn, IL 60402 (708) 484-0042 (708) 749-5489 MacNeal Hospital X X X X X X
Westervelt Norma MD Pediatrics Alivio Medical Center6447 W. Cermak Rd. Berwyn, IL 60402 (773) 254-1400 (708) 484-5413 MacNeal Hospital X X X X X X X X X
Wiener Janis MD Internal MedicineLoyola University Medical Center DBA Loyola Medical Group LLC
137 N OAK PARK AVE SUITE 125 OAK PARK, IL 60301-1300 (708) 327-1380 (708) 386-3071 MacNeal Hospital X X X X X X X X X X X X
Winger James MD Family Medicine Loyola University Medical Center1211 W Roosevelt Road Maywood, IL 60153 (708) 531-5200
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Winger James MD Family Medicine Loyola University Medical Center
675 W. North Ave Ste#201and210 Melrose Park, IL 60160 (708) 327-1445
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X X
Wong Chu-Kwan MD Family Medicine 3P4 Care (IL), LLC Avondale3502 North Kedzie Ave. Chicago, IL 60618-5622 (773) 564-1888 (773) 754-7412
Weiss Memorial Hospital X X X X X X X X X X
Wong Shirley MD Internal Medicine Shirley S Wong M.D.S.C.
2335-B S Wentworth Avenue Chicago, IL 60616 (312) 808-0900 (312) 808-9680 X X X X X X
Wuest Maureen APN Internal MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3249 S OAK PARK AVE Berwyn, IL 60402-3429 (708) 783-7490
Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X
Wuest Maureen APN Internal Medicine Loyola University Medical Center2160 S. 1st Avenue Maywood, IL 60153 (888) 584-7888
Loyola University Medical Center, MacNeal Hospital X X X X X X X X X X
Yallapragada Rathna MD Internal Medicine Soumya Health LLC2340 S. Highland Ave. Lombard, IL 60148 (630) 889-2000 (630) 889-2299 MacNeal Hospital X X X X X
Yallapragada Rathna MD Internal Medicine Soumya Health LLC6925 W. Cermak Road Berwyn, IL 60402-2248 (630) 323-8595 (630) 735-5138 MacNeal Hospital X X X X X
Yallapragada Rathna MD Internal Medicine Soumya Health LLC621 Plainfield Rd. Suite 107 Burr Ridge, IL 60527 (630) 323-8595 (630) 735-5138 MacNeal Hospital X X X X X
Yang Davis MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR BERWYN, IL 60402-3471 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X X X
Yang Davis MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
125 N LAGRANGE RD LAGRANGE, IL 60525-2041 708-783-3377 708-783-5656 MacNeal Hospital X X X X X X X X X X X X
Yang Lee-Ann MD Internal Medicine Loyola University Medical Center9608 Roberts Road Hickory Hills, IL 60457 (708) 233-5333 (708) 233-5348
Loyola University Medical Center X X X X X X X X X X X X X
Yen Scott MD Internal MedicinePipeline - Lakefront Medical Associates, LLC
1 Erie Ct. Suite 7000 Oak Park, IL 60302 (708) 763-1701 (708) 763-1708
West Suburban Medical Center X X X X X X X
Yepez Yesenia MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
3231 S EUCLID AVE 5TH FLOOR BERWYN, IL 60402-3471 708-783-2000 708-783-3656 MacNeal Hospital X X X X X X X X X X X X
Yepez Yesenia MD Family MedicineGottlieb Community Healthservices DBA MacNeal Medical Group
125 N LAGRANGE RD LAGRANGE, IL 60525-2041 708-783-3377 708-783-5656 MacNeal Hospital X X X X X X X X X X X X
Zak Ramona MD Family Medicine Loyola University Medical Center1030 W. Higgins Rd. Park Ridge, IL 60068 (708) 327-7000 (847) 685-0857
Loyola University Medical Center, Gottlieb Memorial Hospital X X X X X X X X X X X X
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