Provider Directory - Aetna Medicare
Provider Directory - Aetna Medicare Provider Directory - Aetna Medicare
Balsam, Gonzales, Khan, Rose, Tauchauer, Clement Sabah, Theodore, Ronald, Allan S., Dinu, MD;PCP;633308;VHS Acquisition Acquisition Subsidiary Subsidiary Subsidiary Number Number 3, Number Inc. 3, 3, dba Inc. 3, dba Weiss Inc. Weiss dba Physicians Weiss Physicians Physicians Billing; Billing;Spanish Billing;German Balsam, Gonzales, Khan, Rose, Tauchauer, Clement Sabah, Theodore, Ronald, Allan S., Dinu, MD;PCP;633308;VHS Acquisition Acquisition Subsidiary Subsidiary Subsidiary Number Number 3, Number Inc. 3, 3, dba Inc. 3, dba Weiss Inc. Weiss dba Physicians Weiss Physicians Physicians Billing; Billing;Spanish Billing;German COOK Primary Care Physicians or 4646 North Marine Drive Suite C6100 Chicago, IL 60640 (773) 564-6025 or 4646 North Marine Drive Elevator C, 8th Floor Chicago, IL 60640 (773) 564-5888 or 4824 North Meridian Road Chicago, IL 60640 (773) 564-7400 or 4646 North Marine Drive Suite A5900 5 Blum Chicago, IL 60640 (773) 564-5776 Rose, Clement S., MD;PCP;633308;; Aetna Primary Office ID 633308 Rose, Clement S., MDe 4646 North Marine Drive Suite A4600 Chicago, IL 60640 (773) 878-8700 or 4824 North Sheridan Road Chicago, IL 60640 (773) 564-7400 Spevak, Victoria, MD;PCP;145993;;Russian Aetna Primary Office ID 145993 Spevak, Victoria, MD 1069 West Argyle Street Chicago, IL 60640 (773) 392-7400 Speaks Russian Tran, Phoung L., MD;PCP;145811;;Vietnamese Aetna Primary Office ID 145811 Tran, Phoung L., MDM 5129 North Broadway Avenue Suite E Chicago, IL 60640 (773) 275-4250 Speaks Vietnamese Aetna Primary Office ID 633308 VHS Acquisition Subsidiary Number 3, Inc. dba Weiss Physicians Billing Balsam, Theodore, MD Gonzales, Ronald, MD Khan, Sabah, MD Rose, Clement S., MD Tauchauer, Allan Dinu, MD 4646 North Marine Drive Suite A4600 Chicago, IL 60640 (773) 564-5866 Speaks German, Spanish Aetna Primary Office ID 633308 VHS Acquisition Subsidiary Number 3, Inc. dba Weiss Physicians Billing Balsam, Theodore, MD Gonzales, Ronald, MD Khan, Sabah, MD Rose, Clement S., MD Tauchauer, Allan Dinu, MD 4824 North Sheridan Road Chicago, IL 60640 (773) 564-7400 Speaks German, Spanish Chicago - 60641 Family Practice ;PCP;137589;Advocate Health Centers; Aetna Primary Office ID 137589 Advocate Health Centers 4211 North Cicero Avenue Chicago, IL 60641 (773) 736-6125 Accepting Current Patients Only Internal Medicine ;PCP;137589;Advocate Health Centers; Aetna Primary Office ID 137589 Advocate Health Centers 4211 North Cicero Avenue Chicago, IL 60641 (773) 736-6125 Accepting Current Patients Only Lee, Sue, MD;PCP;689337;;Korean Aetna Primary Office ID 689337 Lee, Sue, MD✤ ADVOCATE HEALTH CENTERS - MEDICARE 4211 North Cicero Avenue Suite 308 Chicago, IL 60641 (773) 736-6125 Speaks Korean Rathod, Chandra B., MD;PCP;49375;;Gujarati Aetna Primary Office ID 49375 Rathod, Chandra B., MDM 4211 North Cicero Avenue Suite 203 Chicago, IL 60641 (773) 794-8800 Speaks Gujarati Chicago - 60642 Family Practice Bibbs, Diana-Marie, MD;PCP;96778;Advocate Health Centers; Aetna Primary Office ID 96778 Advocate Health Centers Bibbs, Diana-Marie, MD 1460 North Halsted Street Suite 401 Chicago, IL 60642 (773) 292-2700 Accepting Current Patients Only Bibbs, Diana-Marie, MD;PCP;96778;; Aetna Primary Office ID 96778 Bibbs, Diana-Marie, MD 1460 North Halsted Street Suite 401 Chicago, IL 60642 (773) 292-2700 Accepting Current Patients Only Casaclang, Brian, DO;PCP;891959;; Aetna Primary Office ID 891959 Casaclang, Brian, DO✤ ADVOCATE HEALTH CENTERS - MEDICARE 1460 North Halsted Street Suite 401 Chicago, IL 60642 (773) 880-0320 Provena Mercy Center Faber, William, MD;PCP;535966;; Aetna Primary Office ID 535966 Faber, William, MD✤ ADVOCATE HEALTH CENTERS - MEDICARE 1460 North Halsted Street Suite 401 Chicago, IL 60642 (773) 880-0320 Scott, Kristin, MD;PCP;554482;; Aetna Primary Office ID 554482 Scott, Kristin, MD✤ ADVOCATE HEALTH CENTERS - MEDICARE 1460 North Halsted Street Suite 401 Chicago, IL 60642 (773) 880-0320 Internal Medicine ;PCP;96778;Advocate Health Centers; Aetna Primary Office ID 96778 Advocate Health Centers 1460 North Halsted Street Suite 401 Chicago, IL 60642 (773) 292-2700 Accepting Current Patients Only ✤ Aetna Medicare Plan (HMO) Only 38 e Electronic Prescribing M Providers identified with M symbol may also participate in Medicaid.
;PCP;96761;Advocate Kandula, Kelsey, Shah, Vielgo, Yeturu, Mahesh, John, Arnulfo, Sudhakar, Aruna, MD;PCP;96761;Advocate Health Centers; Health Centers;Gujarati!Hindi Centers;Telugu Centers;Hindi!Telugu Primary Care Physicians COOK Reed, William R., MD;PCP;752944;; Aetna Primary Office ID 752944 Reed, William R., MD ADVOCATE HEALTH CENTERS - MEDICARE 1460 North Halsted Street Suite 401 Chicago, IL 60642 (773) 880-0320 Thomas, Frances, MD;PCP;716768;; Aetna Primary Office ID 716768 Thomas, Frances, MD✤ ADVOCATE HEALTH CENTERS - MEDICARE 1460 North Halsted Street Suite 401 Chicago, IL 60642 (773) 880-0320 Chicago - 60643 Family Practice ;PCP;96881;Advocate Health Centers; Aetna Primary Office ID 96881 Advocate Health Centers 9831 South Western Avenue Chicago, IL 60643 (773) 445-3500 Accepting Current Patients Only ;PCP;96761;Advocate Dubois, Thierry, MD;PCP;96761;Advocate Health Centers; Health Centers;French Aetna Primary Office ID 96761 Advocate Health Centers Dubois, Thierry, MD✤e 9831 South Western Avenue Chicago, IL 60643 (773) 881-7207 Speaks French ;PCP;96761;Advocate Hayes-Sharpley, Carol Health Denise, Centers; MD;PCP;96761;Advocate Health Centers; Aetna Primary Office ID 96761 Advocate Health Centers Hayes-Sharpley, Carol Denise, MDMe 1357 West 103rd Street Chicago, IL 60643 (773) 238-0800 Hayes-Sharpley, Carol Denise, MD;PCP;96761;; Aetna Primary Office ID 96761 Hayes-Sharpley, Carol Denise, MDMe 1357 West 103rd Street Chicago, IL 60643 (773) 238-0800 Brister, Gray, Kimberly, Marie, MD;PCP;258550;MetroSouth Physicians Group; Aetna Primary Office ID 258550 MetroSouth Physicians Group Brister, Marie, MD✤e Gray, Kimberly, MD✤e 1701 West Monterey Avenue Chicago, IL 60643 (773) 298-9800 Internal Medicine ;PCP;96761;Advocate Health Centers; Aetna Primary Office ID 96761 Advocate Health Centers 9831 South Western Avenue Chicago, IL 60643 (773) 881-7207 Aetna Primary Office ID 96761 Advocate Health Centers Kandula, Aruna, MD✤e Kelsey, John, MD✤e Shah, Mahesh, MD✤e Vielgo, Arnulfo, MD✤e Yeturu, Sudhakar, MD✤e 1357 West 103rd Street Chicago, IL 60643 (773) 238-0800 Speaks Gujarati, Hindi, Telugu ;PCP;96881;Advocate Saladi, Narasimha R., MD;PCP;96881;Advocate Health Centers; Health Centers;Hindi!Telugu Aetna Primary Office ID 96881 Advocate Health Centers Saladi, Narasimha R., MD✤ 9831 South Western Avenue Chicago, IL 60643 (773) 445-3500 Accepting Current Patients Only Speaks Hindi, Telugu ;PCP;96778;Advocate Taylor, Prentiss B., MD;PCP;96778;Advocate Health Centers; Health Centers; Aetna Primary Office ID 96778 Advocate Health Centers Taylor, Prentiss B., MDe 1357 West 103rd Street Chicago, IL 60643 (773) 238-0800 Accepting Current Patients Only Benig, Corazon R., MD;PCP;49700;;Spanish!Tagalog Aetna Primary Office ID 49700 Benig, Corazon R., MD 1222 West 95th Street Chicago, IL 60643 (773) 445-8155 Speaks Spanish, Tagalog Byas, Robia, MD;PCP;832040;; Aetna Primary Office ID 832040 Byas, Robia, MD✤e ADVOCATE HEALTH CENTERS - MEDICARE 9831 South Western Avenue Chicago, IL 60643 (773) 445-3500 Clay, Jill Diane, MD;PCP;96881;; Aetna Primary Office ID 96881 Clay, Jill Diane, MDMe 9831 South Western Avenue Chicago, IL 60643 (773) 445-3500 Accepting Current Patients Only Evans, Thelma, MD;PCP;517814;; Aetna Primary Office ID 517814 Evans, Thelma, MD✤ ADVOCATE HEALTH CENTERS - MEDICARE 9831 South Western Avenue Chicago, IL 60643 (773) 445-3500 Eze, Emeka, MD;PCP;317180;; Aetna Primary Office ID 317180 Eze, Emeka, MD✤e ADVOCATE HEALTH CENTERS - MEDICARE 9831 South Western Avenue Chicago, IL 60643 (773) 445-3500 Kelsey, John, MD;PCP;96761;; Aetna Primary Office ID 96761 Kelsey, John, MD✤e 1357 West 103rd Street Chicago, IL 60643 (773) 238-0800 Manaparambil, Sheela, MD;PCP;516479;;Malayalam Aetna Primary Office ID 516479 Manaparambil, Sheela, MD✤e ADVOCATE HEALTH CENTERS - MEDICARE 9831 South Western Avenue Chicago, IL 60643 (773) 445-3500 Speaks Malayalam Natanawan, Emerito, MD;PCP;492866;;Tagalog Aetna Primary Office ID 492866 Natanawan, Emerito, MD✤e ADVOCATE HEALTH CENTERS - MEDICARE 9831 South Western Avenue Chicago, IL 60643 (773) 445-3500 Speaks Tagalog PCPs ✤ Aetna Medicare Plan (HMO) Only M Providers identified with M symbol may also participate in Medicaid. e Electronic Prescribing 39
- Page 1 and 2: Aetna Medicare SM Plan (HMO) (PPO)
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- Page 38 and 39: ;PCP;311020;Lakefront Dudek, Fergus
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;PCP;96761;Advocate Kandula, Kelsey, Shah, Vielgo, Yeturu, Mahesh, John, Arnulfo, Sudhakar, Aruna, MD;PCP;96761;Advocate Health Centers;<br />
Health Centers;Gujarati!Hindi<br />
Centers;Telugu<br />
Centers;Hindi!Telugu<br />
Primary Care Physicians<br />
COOK<br />
Reed, William R., MD;PCP;752944;;<br />
<strong>Aetna</strong> Primary Office ID<br />
752944<br />
Reed, William R., MD<br />
ADVOCATE HEALTH<br />
CENTERS - MEDICARE<br />
1460 North Halsted Street<br />
Suite 401<br />
Chicago, IL 60642<br />
(773) 880-0320<br />
Thomas, Frances, MD;PCP;716768;;<br />
<strong>Aetna</strong> Primary Office ID<br />
716768<br />
Thomas, Frances, MD✤<br />
ADVOCATE HEALTH<br />
CENTERS - MEDICARE<br />
1460 North Halsted Street<br />
Suite 401<br />
Chicago, IL 60642<br />
(773) 880-0320<br />
Chicago - 60643<br />
Family Practice<br />
;PCP;96881;Advocate Health Centers;<br />
<strong>Aetna</strong> Primary Office ID<br />
96881<br />
Advocate Health Centers<br />
9831 South Western<br />
Avenue<br />
Chicago, IL 60643<br />
(773) 445-3500<br />
Accepting Current Patients<br />
Only<br />
;PCP;96761;Advocate Dubois, Thierry, MD;PCP;96761;Advocate Health Centers; Health Centers;French<br />
<strong>Aetna</strong> Primary Office ID<br />
96761<br />
Advocate Health Centers<br />
Dubois, Thierry, MD✤e<br />
9831 South Western<br />
Avenue<br />
Chicago, IL 60643<br />
(773) 881-7207<br />
Speaks French<br />
;PCP;96761;Advocate Hayes-Sharpley, Carol Health Denise, Centers; MD;PCP;96761;Advocate Health Centers;<br />
<strong>Aetna</strong> Primary Office ID<br />
96761<br />
Advocate Health Centers<br />
Hayes-Sharpley, Carol<br />
Denise, MDMe<br />
1357 West 103rd Street<br />
Chicago, IL 60643<br />
(773) 238-0800<br />
Hayes-Sharpley, Carol Denise, MD;PCP;96761;;<br />
<strong>Aetna</strong> Primary Office ID<br />
96761<br />
Hayes-Sharpley, Carol<br />
Denise, MDMe<br />
1357 West 103rd Street<br />
Chicago, IL 60643<br />
(773) 238-0800<br />
Brister, Gray, Kimberly, Marie, MD;PCP;258550;MetroSouth Physicians Group;<br />
<strong>Aetna</strong> Primary Office ID<br />
258550<br />
MetroSouth Physicians<br />
Group<br />
Brister, Marie, MD✤e<br />
Gray, Kimberly, MD✤e<br />
1701 West Monterey<br />
Avenue<br />
Chicago, IL 60643<br />
(773) 298-9800<br />
Internal Medicine<br />
;PCP;96761;Advocate Health Centers;<br />
<strong>Aetna</strong> Primary Office ID<br />
96761<br />
Advocate Health Centers<br />
9831 South Western<br />
Avenue<br />
Chicago, IL 60643<br />
(773) 881-7207<br />
<strong>Aetna</strong> Primary Office ID<br />
96761<br />
Advocate Health Centers<br />
Kandula, Aruna, MD✤e<br />
Kelsey, John, MD✤e<br />
Shah, Mahesh, MD✤e<br />
Vielgo, Arnulfo, MD✤e<br />
Yeturu, Sudhakar,<br />
MD✤e<br />
1357 West 103rd Street<br />
Chicago, IL 60643<br />
(773) 238-0800<br />
Speaks Gujarati, Hindi,<br />
Telugu<br />
;PCP;96881;Advocate Saladi, Narasimha R., MD;PCP;96881;Advocate Health Centers; Health Centers;Hindi!Telugu<br />
<strong>Aetna</strong> Primary Office ID<br />
96881<br />
Advocate Health Centers<br />
Saladi, Narasimha R.,<br />
MD✤<br />
9831 South Western<br />
Avenue<br />
Chicago, IL 60643<br />
(773) 445-3500<br />
Accepting Current Patients<br />
Only<br />
Speaks Hindi, Telugu<br />
;PCP;96778;Advocate Taylor, Prentiss B., MD;PCP;96778;Advocate Health Centers; Health Centers;<br />
<strong>Aetna</strong> Primary Office ID<br />
96778<br />
Advocate Health Centers<br />
Taylor, Prentiss B., MDe<br />
1357 West 103rd Street<br />
Chicago, IL 60643<br />
(773) 238-0800<br />
Accepting Current Patients<br />
Only<br />
Benig, Corazon R., MD;PCP;49700;;Spanish!Tagalog<br />
<strong>Aetna</strong> Primary Office ID<br />
49700<br />
Benig, Corazon R., MD<br />
1222 West 95th Street<br />
Chicago, IL 60643<br />
(773) 445-8155<br />
Speaks Spanish, Tagalog<br />
Byas, Robia, MD;PCP;832040;;<br />
<strong>Aetna</strong> Primary Office ID<br />
832040<br />
Byas, Robia, MD✤e<br />
ADVOCATE HEALTH<br />
CENTERS - MEDICARE<br />
9831 South Western<br />
Avenue<br />
Chicago, IL 60643<br />
(773) 445-3500<br />
Clay, Jill Diane, MD;PCP;96881;;<br />
<strong>Aetna</strong> Primary Office ID<br />
96881<br />
Clay, Jill Diane, MDMe<br />
9831 South Western<br />
Avenue<br />
Chicago, IL 60643<br />
(773) 445-3500<br />
Accepting Current Patients<br />
Only<br />
Evans, Thelma, MD;PCP;517814;;<br />
<strong>Aetna</strong> Primary Office ID<br />
517814<br />
Evans, Thelma, MD✤<br />
ADVOCATE HEALTH<br />
CENTERS - MEDICARE<br />
9831 South Western<br />
Avenue<br />
Chicago, IL 60643<br />
(773) 445-3500<br />
Eze, Emeka, MD;PCP;317180;;<br />
<strong>Aetna</strong> Primary Office ID<br />
317180<br />
Eze, Emeka, MD✤e<br />
ADVOCATE HEALTH<br />
CENTERS - MEDICARE<br />
9831 South Western<br />
Avenue<br />
Chicago, IL 60643<br />
(773) 445-3500<br />
Kelsey, John, MD;PCP;96761;;<br />
<strong>Aetna</strong> Primary Office ID<br />
96761<br />
Kelsey, John, MD✤e<br />
1357 West 103rd Street<br />
Chicago, IL 60643<br />
(773) 238-0800<br />
Manaparambil, Sheela, MD;PCP;516479;;Malayalam<br />
<strong>Aetna</strong> Primary Office ID<br />
516479<br />
Manaparambil, Sheela,<br />
MD✤e<br />
ADVOCATE HEALTH<br />
CENTERS - MEDICARE<br />
9831 South Western<br />
Avenue<br />
Chicago, IL 60643<br />
(773) 445-3500<br />
Speaks Malayalam<br />
Natanawan, Emerito, MD;PCP;492866;;Tagalog<br />
<strong>Aetna</strong> Primary Office ID<br />
492866<br />
Natanawan, Emerito,<br />
MD✤e<br />
ADVOCATE HEALTH<br />
CENTERS - MEDICARE<br />
9831 South Western<br />
Avenue<br />
Chicago, IL 60643<br />
(773) 445-3500<br />
Speaks Tagalog<br />
PCPs<br />
✤ <strong>Aetna</strong> <strong>Medicare</strong> Plan (HMO) Only<br />
M <strong>Provider</strong>s identified with M symbol may also participate in Medicaid.<br />
e Electronic Prescribing<br />
39