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

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Hospital Directory Integrated Care Program (ICP) Family Health Plan (FHP) Updated 11.8.2017 1

Black Hawk (IA) ALLEN MEMORIAL HOSPITAL CORPORATION 1825 LOGAN AVENUE Waterloo IA, 50703 Provider Number: 1336231091 Champaign Presence Covenant Medical Center Provena Health Covenant Medical Center 1400 West Park Street Urbana IL, 61801 Provider Number: 1275585663 Clinton (IA) Genesis Medical Center Dewitt Genesis Medical Center Dewitt 1118 11th Street De Witt IA, 52742 Provider Number: 1649368523 Cook Adventist LaGrange Memorial Hospital Adventist LaGrange Memorial Hospital 5101 South Willow Springs Road La Grange IL, 60525 Provider Number: 1407889652 Ann and Robert H Lurie Childrens Hospital of Chicago Ann Robert H Lurie Childrens 225 East Chicago Avenue Chicago IL, 60611 Provider Number: 1235234535 Aurora Chicago Lakeshore Hospital, LLC Aurora Chicago Lakeshore Hospital, LLC 4840 North Marine Drive Chicago IL, 60640 Provider Number: 1659338168 Community First Medical Center Community First Medical Center 5645 West Addison Street Chicago IL, 60634 Provider Number: 1033214416 Evanston Hospital - IL Evanston Hospital 2650 Ridge Avenue Evanston IL, 60201 Provider Number: 1184670549 Franciscan St. James Health St James Hospital & Health Center Olympia Flds 20201 South Crawford Avenue Olympia Fields IL, 60461 Provider Number: 1588771919 Alexian Brothers Behavioral Health Hospital Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Boulevard Hoffman Estates IL, 60169 Provider Number: 1013017839 Franciscan St. James Health St James Hospital & Health Centers 1423 Chicago Road Chicago Heights IL, 60411 Provider Number: 1588771919 Alexian Brothers Medical Center Alexian Brothers Medical Center 800 Biesterfield Road Elk Grove Village IL, 60007 Provider Number: 1265577191 Holy Cross Hospital Holy Cross Hospital 2701 West 68th Street Chicago IL, 60629 Provider Number: 1962425611 Updated 11.8.2017 2

Ingalls Memorial Hospital Ingalls Memorial Hospital 1 Ingalls Drive Harvey IL, 60426 Provider Number: 1598756686 La Rabida Childrens Hosp La Rabida Childrens Hosp 6501 South Promontory Dr Chicago IL, 60649 Provider Number: 1427146430 Jackson Park Hospital Jackson Park Hospital 7531 South Stony Island Avenue Chicago IL, 60649 Provider Number: 1497750699 Little Company of Mary Hospital Little Company Of Mary Hospital Inc 2800 West 95th Street Evergreen Park IL, 60805 Provider Number: 1598768780 John H Stroger JR. Hospital of Cook County John H. Stroger, Jr. Hospital of Cook County 1901 West Harrison Street Chicago IL, 60612 Provider Number: 1730209545 Kindred Chicago Central Hospital Kindred Chicago Central Hospital 4058 West Melrose Street Chicago IL, 60641 Provider Number: 1578648028 Kindred Chicago Lakeshore Kindred Chicago Lakeshore 6130 North Sherdian Road Chicago IL, 60677 Provider Number: 1528143088 Kindred Hospital Chicago North Kindred Hospital chicago north campus 2544 West Montrose Avenue Chicago IL, 60677 Provider Number: 1871678334 Kindred Hospital Chicago Northlake Kindred Hospital Chicago Northlake Campus 365 East North Avenue Melrose Park IL, 60164 Provider Number: 1679658132 Loretto Hospital Loretto Hospital 645 South Central Avenue Chicago IL, 60644 Provider Number: 1447280284 Louis A Weiss Memorial Hospital Louis A Weiss Memorial Hospital 4646 North Marine Drive Chicago IL, 60640 Provider Number: 1770568123 MacNeal Hospital MacNeal Hospital 3249 South Oak Park Avenue Berwyn IL, 60402 Provider Number: 1295710580 Mercy Hospital and Medical Center Mercy Hospital and Medical Center 2525 South Michigan Avenue Chicago IL, 60616 Provider Number: 1730166224 Methodist Hospital of Chicago Methodist Hospital of Chicago 5025 North Paulina Street Chicago IL, 60640 Provider Number: 1891755351 Updated 11.8.2017 3

Metro South Medical Center MetroSouth Medical Center 12935 South Gregory Street Blue Island IL, 60406 Provider Number: 1043581044 Mount Sinai Hospital Medical Center Mount Sinai Hospital Medical Center 1500 South California Avenue Chicago IL, 60608 Provider Number: 1871581314 Northshore Evanston Hospital 2650 Ridge Avenue Evanston IL, 60201 Provider Number: 1184670549 Northshore Glenbrook Hospital 2100 Pfingsten Road Glenview IL, 60026 Provider Number: 1184670549 Northshore Skokie Hospital 9600 Gross Point Road Skokie IL, 60076 Provider Number: 1184670549 Northwest Community Hospital IL Northwest Community Hospital 800 West Central Road Arlington Heights IL, 60005 Provider Number: 1770531600 Palos Community Hospital Palos Community Hospital 12251 South 80th Avenue Palos Heights IL, 60463 Provider Number: 1851386692 Presence Holy Family Medical Center Holy Family Medical Center 100 North River Road Des Plaines IL, 60016 Provider Number: 1689775736 Presence Resurrection Medical Center Resurrection Medical Center 7435 West Talcott Avenue Chicago IL, 60631 Provider Number: 1205923539 Presence Saint Francis Hospital Saint Francis Hospital 355 Ridge Avenue Evanston IL, 60202 Provider Number: 1033210166 Presence Saint Joseph Hospital Chicago Saint Joseph Hospital 2900 North Lake Shore Drive Chicago IL, 60657 Provider Number: 1679659585 Presence Saints Mary and Elizabeth Medical Center Saint Elizabeth Campus 1431 North Claremont Avenue Chicago IL, 60622 Provider Number: 1922177229 Norwegian American Hospital Norwegian American Hospital 1044 North Francisco Avenue Chicago IL, 60622 Provider Number: 1972594877 Presence Saints Mary and Elizabeth Medical Center Saint Mary Campus 2233 West Division Street Chicago IL, 60622 Provider Number: 1922177229 Updated 11.8.2017 4

Provident Hospital Of Cook County Provident Hospital of Cook County 500 East 51st Street Chicago IL, 60615 Provider Number: 1487664561 Schwab Rehabilitation Hospital Schwab Rehabilitation and Care Network 1401 South California Avenue Chicago IL, 60608 Provider Number: 1700968492 Rehabilitation Institute of Chicago Rehabilitation Institute of Chicago 345 East Superior Street Chicago IL, 60611 Provider Number: 1205879095 RML Specialty Hospital RML Chicago 3435 West Van Buren Street Chicago IL, 60624 Provider Number: 1952304826 Roseland Community Hospital Roseland Community Hospital 45 West 111th Street Chicago IL, 60628 Provider Number: 1568472819 Saint Alexius Medical Center Saint Alexius Medical Center 1555 Barrington Road Hoffman Estates IL, 60169 Provider Number: 1376644385 Saint Anthony Hospital Saint Anthony Hospital 2875 West 19th Street Chicago IL, 60623 Provider Number: 1194723999 Saint Bernard Hospital St Bernard Hospital 326 West 64th Street Chicago IL, 60621 Provider Number: 1811034291 Shriners SHRINERS HOSPITALS FOR CHILDREN - Chicago 2211 North Oak Park Avenue Chicago IL, 60635 Provider Number: 1376656538 South Shore Hospital South Shore Hospital 8012 South Crandon Avenue Chicago IL, 60617 Provider Number: 1689935397 Swedish Covenant Hospital Swedish Covenant Hospital 5145 North California Avenue Chicago IL, 60625 Provider Number: 1831151257 The University of Chicago Medical Center University of Chicago Medical Center 5841 South Maryland Avenue Chicago IL, 60637 Provider Number: 1033218128 Thorek Memorial Hospital Thorek Memorial Hospital 850 West Irving Park Road Chicago IL, 60613 Provider Number: 1982643961 University of Illinois University of Illinois Hospital & Health Sciences System 1740 West Taylor Street Chicago IL, 60612 Provider Number: 1942404850 Updated 11.8.2017 5

US Healthvest LLC US Healthvest LLC 555 Wilson Lane Des Plaines IL, 60016 Provider Number: 1083021877 VHS West Suburban Medical Center Inc West Suburban Medical Center 3 Erie Court Oak Park IL, 60302 Provider Number: 1902125529 VHS Westlake Hospital Inc Westlake Hospital 1225 West Lake Street Melrose Park IL, 60160 Provider Number: 1770802308 DeKalb Kindred Hospital Sycamore Kindred Hospital Sycamore 225 Edward Street Sycamore IL, 60178 Provider Number: 1780769257 DuPage Adventist GlenOaks Hospital Adventist GlenOaks Hospital 701 Winthrop Avenue Glendale Heights IL, 60139 Provider Number: 1760415939 Hinsdale Hospital Hinsdale Hospital 120 North Oak Street Hinsdale IL, 60521 Provider Number: 1265465439 Greene Thomas H Boyd Memorial Hospital Thomas H Boyd Memorial Hospital 800 School Street Carrollton, IL 62016 Provider Number: 1811096811 Henry OSF Saint Luke Medical Center OSF Medical Group - Kewanee 1051 West South Street Kewanee IL, 61443 Provider Number: 1871919381 Jones (IA) ST LUKE'S JONES REGIONAL MEDICAL CENTER 1795 HIGHWAY 64 E ANAMOSA IA, 52205 Provider Number: 1164514741 Kane Presence Mercy Medical Center Presence Mercy Medical Center 1325 North Higland Avenue Aurora IL, 60506 Provider Number: 1265454391 Provena Health Saint Joseph Hospital Provena Health Saint Joseph Hospital 77 North Airlite Street Elgin IL, 60123 Provider Number: 1598845828 Kankakee RML Specialty Hospital RML Health Providers 5601 South County Line Road Hinsdale IL, 60521 Provider Number: 1952304826 Presence St Mary's Hospital -IL Provena St Mary Hosp- Kankakee 500 West Court Street Kankakee IL, 60901 Provider Number: 1770678260 Updated 11.8.2017 6

Knox St Mary Medical Center St Mary Medical Center 3333 North Seminary Street Galesburg IL, 61401 Provider Number: 1164485363 LaSalle OSF Saint Elizabeth Medical Center Ottawa Regional Hospital 1100 East Norris Drive Ottawa IL, 61350 Provider Number: 1588713440 OSF Saint Paul Medical Center OSF Saint Paul Medical Center 1401 East 12th Street Mendota, IL 61342 Provider Number: 1609803113 Vista Medical Center West Vista Medical Center West 2615 Washington Street Waukegan IL, 60085 Provider Number: 1992856819 Livingston Saint James Hospital John W Albrecht Medical Center 2500 West Reynolds Street Pontiac IL, 61764 Provider Number: 1407808090 Madison OSF Saint Anthony's Health Center OSF Saint Anthony's Health Center 1 Saint Anthony's Way Alton, IL 62002 Provider Number: 1710396932 Lake Highland Park Hospital Highland Park Hospital 777 Park Avenue West Highland Park IL, 60035 Provider Number: 1609817220 McHenry Centegra Hospital McHenry Northern Illinois Medical Center 4201 Medical Center Drive McHenry IL, 60050 Provider Number: 1982611281 Northshore Highland Park Hospital 777 Park Avenue West Highland Park IL, 60035 Provider Number: 1609817220 Centegra Hospital Woodstock Centegra Hospital Woodstock 3701 Doty Road Woodstock IL, 60098 Provider Number: 1730194259 Vista Medical Center East Vista Medical Center East 1324 North Sheridan Road Waukegan IL, 60085 Provider Number: 1639120694 Mercy Harvard Hospital Inc Mercy Harvard Hospital Inc 901 South Grant Street Harvard IL, 60033 Provider Number: 1427001445 Updated 11.8.2017 7

McLean St Joseph Medical Center St Joseph Medical Center 2200 East Washington Street Bloomington IL, 61701 Provider Number: 1619916806 Mercer Genesis Medical Center Aledo1 Genesis Medical Center Aledo 409 North West 9th Avenue Aledo IL, 61231 Provider Number: 1225380967 Peoria Saint Francis Medical Center Saint Francis Medical Center 530 North East Glen Oak Avenue Peoria IL, 61603 Provider Number: 1043260482 Methodist Medical Center of Illinois 221 Northeast Glen Oak Avenue Peoria IL, 61636 Provider Number: 1164474755 Polk (IA) Iowa Lutheran Hospital 700 East University Avenue Des Moines IA, 50316 Provider Number: 1033201793 Iowa Methodist Medical Center 1200 Pleasant Street Des Moines IA, 50309 Provider Number: 1104879576 Rock Island Genesis Medical Center - Illini Campus - Silvis Illini Hospital 801 Illini Drive Silvis IL, 61282 Provider Number: 1427132604 Trinity Medical Center - Rock Island 2701 17th Street Rock Island IL, 61201 Provider Number: 1316047632 Sac (IA) LORING HOSPITAL 211 HIGHLAND AVENUE SAC CITY IA, 50583 Provider Number: 1144378621 Warren OSF Holy Family Medical Center OSF Holy Family Medical Center 1000 West Harlem Avenue Monmouth IL, 61462 Provider Number: 1548393184 Will Adventist Bolingbrook Hospital Adventist Bolingbrook Hospital 500 Remington Boulevard Bolingbrook IL, 60440 Provider Number: 1164530465 Presence Mercy Medical Center Presence Saint Joseph Medical Center 333 North Madison Street Joliet IL, 60435 Provider Number: 1265454391 Updated 11.8.2017 8

Winnebago Rockford Memorial Hospitals Rockford Memorial Hospital 2400 North Rockton Avenue Rockford IL, 61103 Provider Number: 1629118609 Saint Anthony Medical Center Saint Anthony Medical Center 5666 East State Street Rockford IL, 61108 Provider Number: 1790739977 Swedish American Hospital Swedish American Hospital 1401 East State Street Rockford IL, 61104 Provider Number: 1760542732 Van Matre HealthSouth Rehabilitation Hospital Van Matre HealthSouth Rehabilitation Hospital 950 South Mulford Road Rockford IL, 61108 Provider Number: 1215901970 Updated 11.8.2017 9