Hospital Directory. Integrated Care Program (ICP) Family Health Plan (FHP)

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1 Hospital Directory Integrated Care Program (ICP) Family Health Plan (FHP)

2 BlackHawk (IA) ALLEN MEMORIAL HOSPITAL CORPORATION 1825 LOGAN AVENUE Waterloo, IA Provider Number: Champaign Presence Covenant Medical Center Provena Health Covenant Medical Center 1400 West Park Street Urbana, IL Provider Number: Clinton (IA) Genesis Medical Center Dewitt Genesis Medical Center Dewitt th Street De Witt, IA Provider Number: Cook Adventist LaGrange Memorial Hospital Adventist LaGrange Memorial Hospital 5101 South Willow Springs Road La Grange, IL Provider Number: Alexian Brothers Behavioral Health Hospital Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Boulevard Hoffman Estates, IL Provider Number: Alexian Brothers Medical Center Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village, IL Provider Number: Ann and Robert H Lurie Childrens Hospital of Chicago Ann Robert H Lurie Childrens 225 East Chicago Avenue Chicago, IL Provider Number: Aurora Chicago Lakeshore Hospital, LLC Aurora Chicago Lakeshore Hospital, LLC 4840 North Marine Drive Chicago, IL Provider Number: Community First Medical Center Community First Medical Center 5645 West Addison Street Chicago, IL Provider Number: Evanston Hospital - IL Evanston Hospital 2650 Ridge Avenue Evanston, IL Provider Number: Northshore Evanston Hospital 2650 Ridge Avenue Evanston, IL Provider Number: Northshore Glenbrook Hospital 2100 Pfingsten Road Glenview, IL Provider Number: Holy Cross Hospital Holy Cross Hospital 2701 West 68th Street Chicago, IL Provider Number:

3 Presence Holy Family Medical Center Holy Family Medical Center 100 North River Road Des Plaines, IL Provider Number: Kindred Chicago Central Hospital Kindred Chicago Central Hospital 4058 West Melrose Street Chicago, IL Provider Number: Ingalls Memorial Hospital Ingalls Memorial Hospital 1 Ingalls Drive Harvey, IL Provider Number: Kindred Chicago Lakeshore Kindred Chicago Lakeshore 6130 North Sherdian Road Chicago, IL Provider Number: INGALLS MEMORIAL HOSPITAL INGALLS MEMORIAL HOSPTIAL 1 Ingalls Drive Harvey, IL Provider Number: Kindred Hospital Chicago North Kindred Hospital chicago north campus 2544 West Montrose Avenue Chicago, IL Provider Number: Jackson Park Hospital Jackson Park Hospital 7531 South Stony Island Avenue Chicago, IL Provider Number: Kindred Hospital Chicago Northlake Kindred Hospital Chicago Northlake Campus 365 East North Avenue Melrose Park, IL Provider Number: Jackson Park Hospital IL Jackson Park Hospital 7531 South Stony Island Avenue Chicago, IL Provider Number: La Rabida Childrens Hosp La Rabida Childrens Hosp 6501 South Promontory Dr Chicago, IL Provider Number: John H Stroger JR. Hospital of Cook County John H. Stroger, Jr. Hospital of Cook County 1901 West Harrison Street Chicago, IL Provider Number: John H Stroger JR. Hospital of Cook County John H. Stroger, Jr. Hospital of Cook County 1969 West Ogden Avenue Chicago, IL Provider Number: Little Company of Mary Hospital Little Company Of Mary Hospital Inc 2800 West 95th Street Evergreen Park, IL Provider Number: Loretto Hospital Loretto Hospital 645 South Central Avenue Chicago, IL Provider Number: Louis A Weiss Memorial Hospital Louis A Weiss Memorial Hospital

4 4646 North Marine Drive Chicago, IL Provider Number: MacNeal Hospital1 MacNeal Hospital 3249 South Oak Park Avenue Berwyn, IL Provider Number: Mercy Hospital and Medical Center Mercy Hospital and Medical Center 2525 South Michigan Avenue Chicago, IL Provider Number: Methodist Hospital of Chicago Methodist Hospital of Chicago 5025 North Paulina Street Chicago, IL Provider Number: Metro South Medical Center MetroSouth Medical Center South Gregory Street Blue Island, IL Provider Number: Mount Sinai Hospital Medical Center Mount Sinai Hospital Medical Center 1500 South California Avenue Chicago, IL Provider Number: Northwest Community Hospital IL Northwest Community Hospital 800 West Central Road Arlington Heights, IL Provider Number: Norwegian American Hospital Norwegian American Hospital 1044 North Francisco Avenue Chicago, IL Provider Number: Palos Community Hospital Palos Community Hospital South 80th Avenue Palos Heights, IL Provider Number: Provident Hospital Of Cook County Provident Hospital of Cook County 500 East 51st Street Chicago, IL Provider Number: Rehabilitation Institute of Chicago Rehabilitation Institute of Chicago 345 East Superior Street Chicago, IL Provider Number: Presence Resurrection Medical Center Resurrection Medical Center 7435 West Talcott Avenue Chicago, IL Provider Number: Roseland Community Hospital Roseland Community Hospital 45 West 111th Street Chicago, IL Provider Number: Saint Alexius Medical Center Saint Alexius Medical Center 1555 Barrington Road Hoffman Estates, IL Provider Number: Saint Anthony Hospital Saint Anthony Hospital 2875 West 19th Street Chicago, IL Provider Number:

5 Presence Saints Mary and Elizabeth Medical Center Saint Elizabeth Campus 1431 North Claremont Avenue Chicago, IL Provider Number: South Shore Hospital South Shore Hospital 8012 South Crandon Avenue Chicago, IL Provider Number: Presence Saint Francis Hospital Saint Francis Hospital 355 Ridge Avenue Evanston, IL Provider Number: Saint Bernard Hospital St Bernard Hospital 326 West 64th Street Chicago, IL Provider Number: Presence Saint Joseph Hospital Chicago Saint Joseph Hospital 2900 North Lake Shore Drive Chicago, IL Provider Number: Presence Saints Mary and Elizabeth Medical Center Saint Mary Campus 2233 West Division Street Chicago, IL Provider Number: Franciscan St. James Health St James Hospital & Health Center Olympia Flds South Crawford Avenue Olympia Fields, IL Provider Number: Franciscan St. James Health St James Hospital & Health Centers 1423 Chicago Road Chicago Heights, IL Provider Number: Schwab Rehabilitation Hospital Schwab Rehabilitation and Care Network 1401 South California Avenue Chicago, IL Provider Number: Swedish Covenant Hospital Swedish Covenant Hospital 5145 North California Avenue Chicago, IL Provider Number: Shriners SHRINERS HOSPITALS FOR CHILDREN - Chicago 2211 North Oak Park Avenue Chicago, IL Provider Number: Northshore Skokie Hospital 9600 Gross Point Road Skokie, IL Provider Number: Thorek Memorial Hospital Thorek Memorial Hospital 850 West Irving Park Road Chicago, IL Provider Number: The University of Chicago Medical Center University of Chicago Medical Center 5700 South Maryland Avenue Chicago, IL Provider Number:

6 The University of Chicago Medical Center University of Chicago Medical Center 5841 South Maryland Avenue Chicago, IL Provider Number: University of Illinois University of Illinois Hospital & Health Sciences System 1740 West Taylor Street Chicago, IL Provider Number: US Healthvest LLC US Healthvest LLC 555 Wilson Lane Des Plaines, IL Provider Number: VHS West Suburban Medical Center Inc West Suburban Medical Center 3 Erie Court Oak Park, IL Provider Number: North Grandview Avenue Dubuque, IA Provider Number: DuPage Adventist GlenOaks Hospital Adventist GlenOaks Hospital 701 Winthrop Avenue Glendale Heights, IL Provider Number: Hinsdale Hospital Hinsdale Hospital 120 North Oak Street Hinsdale, IL Provider Number: Greene Thomas H Boyd Memorial Hospital Thomas H Boyd Memorial Hospital 800 School Street Carrollton, IL Provider Number: VHS Westlake Hospital Inc Westlake Hospital 1225 West Lake Street Melrose Park, IL Provider Number: DeKalb Kindred Hospital Sycamore Kindred Hospital Sycamore 225 Edward Street Sycamore, IL Provider Number: Dubuque (IA) UnityPoint Finley Hospital Henry OSF Saint Luke Medical Center OSF Saint Luke Medical Center 1051 West South Street Kewanee, IL Provider Number: Jones (IA) ST LUKE'S JONES REGIONAL MEDICAL CENTER 1795 HIGHWAY 64 E ANAMOSA, IA Provider Number: Kane

7 Presence Mercy Medical Center Presence Mercy Medical Center 1325 North Higland Avenue Aurora, IL Provider Number: Highland Park Hospital Highland Park Hospital 777 Park Avenue West Highland Park, IL Provider Number: Provena Health Saint Joseph Hospital Provena Health Saint Joseph Hospital 77 North Airlite Street Elgin, IL Provider Number: Northshore Highland Park Hospital 777 Park Avenue West Highland Park, IL Provider Number: Kankakee Presence St Mary's Hospital - IL Provena St Mary Hosp- Kankakee 500 West Court Street Kankakee, IL Provider Number: Knox St Mary Medical Center St Mary Medical Center 3333 North Seminary Street Galesburg, IL Provider Number: LaSalle OSF Saint Paul Medical Center OSF Saint Paul Medical Center 1401 East 12th Street Mendota, IL Provider Number: OSF Saint Elizabeth Medical Center Ottawa Regional Hospital 1100 East Norris Drive Ottawa, IL Provider Number: Lake Vista Medical Center East Vista Medical Center East 1324 North Sheridan Road Waukegan, IL Provider Number: Vista Medical Center West Vista Medical Center West 2615 Washington Street Waukegan, IL Provider Number: Linn (IA) UnityPoint Saint Luke's Hospital 1026 A Avenue Northeast Cedar Rapids, IA Provider Number: Livingston Saint James Hospital John W Albrecht Medical Center 2500 West Reynolds Street Pontiac, IL Provider Number: Macon Decatur Memorial Hospital

8 Decatur Memorial Hospital 2300 North Edward Street Decatur, IL Provider Number: Decatur Memorial Hospital Decatur Memorial Hospital 2300 North Edward Street Decatur, IL Provider Number: Bloomington, IL Provider Number: Mercer Genesis Medical Center Aledo Genesis Medical Center Aledo 409 North West 9th Avenue Aledo, IL Provider Number: Madison OSF Saint Anthony's Health Center OSF Saint Anthony's Health Center 1 Saint Anthony's Way Alton, IL Provider Number: Peoria Methodist Medical Center of Illinois 221 Northeast Glen Oak Avenue Peoria, IL Provider Number: McHenry Centegra Hospital-Woodstock Centegra Hospital Woodstock 3701 Doty Road Woodstock, IL Provider Number: Mercy Harvard Hospital Inc Mercy Harvard Hospital Inc 901 South Grant Street Harvard, IL Provider Number: Saint Francis Medical Center Saint Francis Medical Center 530 North East Glen Oak Avenue Peoria, IL Provider Number: Polk (IA) Iowa Lutheran Hospital 700 East University Avenue Des Moines, IA Provider Number: Centegra Hospital McHenry Northern Illinois Medical Center 4201 Medical Center Drive McHenry, IL Provider Number: Iowa Methodist Medical Center 1200 Pleasant Street Des Moines, IA Provider Number: McLean St Joseph Medical Center St Joseph Medical Center 2200 East Washington Street Rock Island Genesis Medical Center - Illini Campus - Silvis Illini Hospital

9 801 Illini Drive Silvis, IL Provider Number: North Madison Street Joliet, IL Provider Number: Trinity Medical Center - Rock Island th Street Rock Island, IL Provider Number: Sac (IA) LORING HOSPITAL 211 HIGHLAND AVENUE SAC CITY, IA Provider Number: Winnebago Rockford Memorial Hospitals Rockford Memorial Hospital 2400 North Rockton Avenue Rockford, IL Provider Number: Saint Anthony Medical Center Saint Anthony Medical Center 5666 East State Street Rockford, IL Provider Number: Scott (IA) Genesis Medical Center East Davenport Genesis Medical Center East Davenport 1227 East Rusholme Street Davenport, IA Provider Number: Warren OSF Holy Family Medical Center OSF Holy Family Medical Center 1000 West Harlem Avenue Monmouth, IL Provider Number: Swedish American Hospital Swedish American Hospital 1401 East State Street Rockford, IL Provider Number: Van Matre HealthSouth Rehabilitation Hospital Van Matre HealthSouth Rehabilitation Hospital 950 South Mulford Road Rockford, IL Provider Number: Will Adventist Bolingbrook Hospital Adventist Bolingbrook Hospital 500 Remington Boulevard Bolingbrook, IL Provider Number: Presence Mercy Medical Center Presence Saint Joseph Medical Center

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