Provider Directory - Harmony Health Plan

Transcription

Provider Directory - Harmony Health Plan
Southern Illinois
Provider
Directory
Welcome to the plan that
gives your family more.
WELCOME TO HARMONY HEALTH PLAN
While every provider listed in this document contracts with Harmony Health Plan of Illinois, Inc., to
provide primary care services, not every provider listed will be accepting new patients. Although
Harmony has identified those providers who were not accepting patients as known to Harmony at the
time this directory was created, the status of any physician’s practice may have changed. For the most
current information regarding the status of any physician’s practice, please contact either the selected
physician or Harmony’s Member Services Department at 1-800-608-8158.
BIENVENIDO A HARMONY HEALTH PLAN
Pese a que cada uno de los proveedores que aparecen listados en este documento ha firmado un
contrato con Harmony Health Plan of Illinois, Inc., para brindar servicios de atención primaria, no todos
aceptarán nuevos pacientes. En el momento de confeccionar este directorio, Harmony identificó a
aquellos proveedores que informaron que no aceptarán nuevos pacientes. Sin embargo, el estado de la
práctica del médico puede haberse modificado. Si desea obtener información actualizada acerca del
estado de la práctica de cualquier médico, por favor póngase en contacto con el médico elegido o con
el Departamento de Servicios para Miembros llamando al 1-800-608-8158.
A provider’s listing in the directory does not guarantee that the provider is still in the network or
accepting new members.
TABLE OF CONTENTS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
PRIMARY CARE PROVIDERS
ILLINOIS
FRANKLIN COUNTY..........................................................3
JACKSON COUNTY ..........................................................3
JEFFERSON COUNTY ......................................................4
MADISON COUNTY...........................................................5
MONROE COUNTY ...........................................................7
PERRY COUNTY ...............................................................7
RANDOLPH COUNTY .......................................................7
SAINT CLAIR COUNTY .....................................................7
WASHINGTON COUNTY...................................................9
WILLIAMSON COUNTY .....................................................9
MISSOURI
SAINT CHARLES COUNTY ...............................................9
SAINT LOUIS COUNTY ...................................................10
SAINT LOUIS CITY ..........................................................11
SPECIALTY PHYSICIANS
ILLINOIS
ALL COUNTY ...................................................................15
FRANKLIN COUNTY........................................................15
JACKSON COUNTY ........................................................15
JEFFERSON COUNTY ....................................................17
MADISON COUNTY.........................................................18
MONROE COUNTY .........................................................22
PERRY COUNTY .............................................................23
RANDOLPH COUNTY .....................................................23
SAINT CLAIR COUNTY ...................................................24
SALINE COUNTY.............................................................32
WASHINGTON COUNTY.................................................32
WILLIAMSON COUNTY ...................................................33
MISSOURI
CAPE GIRARDEAU COUNTY .........................................35
SAINT CHARLES COUNTY .............................................35
SAINT LOUIS COUNTY ...................................................37
SAINT LOUIS CITY ..........................................................53
HOSPITALS
ILLINOIS
JACKSON COUNTY ........................................................73
JEFFERSON COUNTY ....................................................73
MADISON COUNTY.........................................................73
MONROE COUNTY .........................................................73
SAINT CLAIR COUNTY ...................................................73
WILLIAMSON COUNTY ...................................................73
MISSOURI
SAINT CHARLES COUNTY .............................................73
SAINT LOUIS COUNTY ...................................................73
SAINT LOUIS CITY ..........................................................73
ANCILLARY PROVIDERS
ILLINOIS
ALL COUNTY ...................................................................74
1
TABLE OF CONTENTS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
ANCILLARY PROVIDERS (cont.)
FRANKLIN COUNTY........................................................74
JACKSON COUNTY ........................................................74
JEFFERSON COUNTY ....................................................74
MADISON COUNTY.........................................................74
MONROE COUNTY .........................................................74
PERRY COUNTY .............................................................74
RANDOLPH COUNTY .....................................................74
SAINT CLAIR COUNTY ...................................................75
SALINE COUNTY.............................................................75
WASHINGTON COUNTY.................................................75
WILLIAMSON COUNTY ...................................................75
MISSOURI
CAPE GIRARDEAU COUNTY .........................................75
SAINT CHARLES COUNTY .............................................76
SAINT LOUIS COUNTY ...................................................76
SAINT LOUIS CITY ..........................................................76
ALLIED PROVIDERS
ILLINOIS
FRANKLIN COUNTY........................................................78
JACKSON COUNTY ........................................................78
JEFFERSON COUNTY ....................................................78
MADISON COUNTY.........................................................78
MONROE COUNTY .........................................................78
RANDOLPH COUNTY .....................................................78
SAINT CLAIR COUNTY ...................................................78
MISSOURI
SAINT LOUIS COUNTY ...................................................78
SAINT LOUIS CITY ..........................................................79
INDEX OF PROVIDERS................................................................ 81
2
PRIMARY CARE PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS
FRANKLIN COUNTY
FAMILY PRACTICE
Connelley, Marci, MD !
Provider ID: 250431
AHS ID: 3600125
West Frankfort Family Practice
2553 Ken Gray Blvd
West Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Harrison, Brian, MD !"
Provider ID: 544322
AHS ID: 3600128
Southern Illinois Medical Services
203 Bailey Ln Ste 1
Benton, IL 62812
(618) 438-5670
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Hartman, John, MD
Provider ID: 470984
AHS ID: 3600129
West Frankfort Family Practice
2553 Ken Gray Blvd
West Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Holmes, Robert, DO
Provider ID: 233703
AHS ID: 3600135
West Frankfort Family Practice
2553 Ken Gray Blvd
W Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Humphrey, Andrea, MD !
Provider ID: 470953
AHS ID: 3600126
West Frankfort Family Practice
2553 Ken Gray Blvd
West Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Humphrey, Jon, MD !
Provider ID: 471051
AHS ID: 3600130
West Frankfort Family Practice
2553 Ken Gray Blvd
West Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
! BOARD CERTIFIED
FEBRUARY 2012
Morthland, Timothy, MD !
Provider ID: 471011
AHS ID: 3600132
West Frankfort Family Practice
2553 Ken Gray Blvd
West Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Tippy, Penelope, MD "#
Provider ID: 250424
AHS ID: 3600123
West Frankfort Family Practice
2553 Ken Gray Blvd
West Frankfort, IL 62896
(618) 952-3957
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Morthland, Timothy, MD !"
Provider ID: 439541
Siu Physicians & Surgeons
2553 Ken Gray Blvd
West Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
INTERNAL MEDICINE
Naing, Kyaw, MD
Provider ID: 242487
AHS ID: 3600131
West Frankfort Family Practice
2553 Ken Gray Blvd
W Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Schonewolf, Scott, DO !
Provider ID: 471039
AHS ID: 3600121
West Frankfort Family Practice
2553 Ken Gray Blvd
West Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Schonewolf, Scott, DO !"
Provider ID: 331442
Siu Physicians & Surgeons
2553 Ken Gray Blvd
West Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Scott, Quincy, DO
Provider ID: 233559
AHS ID: 3600124
West Frankfort Family Practice
2553 Ken Gray Blvd
W Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
Smaga, Sharon, MD !"#
Provider ID: 241861
AHS ID: 3600133
Language: Spanish
West Frankfort Family Practice
2553 Ken Gray Blvd
W Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Khan, Saeed, MD !#
Provider ID: 283366
Language: Urdu
Saeed A Khan MD
205 Bailey Ave
Benton, IL 62812
(618) 435-8189
Ages Seen: 00 Yrs/99 Yrs
Crossroads Community
Hospital
Holmes, Robert, DO !
Provider ID: 241845
Siu Physicians & Surgeons
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Humphrey, Andrea, MD !"
Provider ID: 419902
Siu Physicians & Surgeons
305 W Jackson Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
JACKSON COUNTY
FAMILY PRACTICE
Blaise, Dale, MD !"
Provider ID: 266847
AHS ID: 4700270
Southern Illinois Medical Services
19 E Shawnee Dr Ste 2
Murphysboro, IL 62966
(618) 684-2172
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Goddard, Jerry, MD !"
Provider ID: 242485
Siu Physicians & Surgeons
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 536-6621
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Union Co Hospital District
Grandhi, Sandhya, MD "
Provider ID: 563560
AHS ID: 4700267
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Hanson, Emily, DO !"
Provider ID: 233470
AHS ID: 4700265
Southern Illinois Medical Services
19 E Shawnee Dr Ste 2
Murphysboro, IL 62966
(618) 684-2172
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
" WHEELCHAIR ACCESSIBLE
3
Hartman, John, MD
Provider ID: 449489
Siu Physicians & Surgeons
305 W Jackson Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Humphrey, Jon, MD !"
Provider ID: 437921
West Frankfort Family Practice
305 W Jackson Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Malone, Sara, MD "
Provider ID: 548752
Siu Physicians & Surgeons
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Migone, Ana, MD #
Provider ID: 250416
AHS ID: 4700272
Language: Italian, Spanish
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Moore Connelley, Marci, MD
Provider ID: 241863
Siu Physicians & Surgeons
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
# EXISTING PATIENTS ONLY
PRIMARY CARE PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
JACKSON COUNTY (cont.)
FAMILY PRACTICE (cont.)
Morthland, Timothy, MD !"
Provider ID: 439541
Siu Physicians & Surgeons
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Naing, Kyaw, MD
Provider ID: 242488
Siu Physicians & Surgeons
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Royyuru, Sasikala, MD "
Provider ID: 623993
AHS ID: 4700290
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
Schonewolf, Scott, DO !"
Provider ID: 331442
Siu Physicians & Surgeons
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Scott, Quincy, MD
Provider ID: 241852
Siu Physicians & Surgeons
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
Shelton, Socorro, MD "
Provider ID: 558531
Language: Tagalog
Siu Physicians & Surgeons
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Smaga, Sharon, MD !
Provider ID: 241862
Language: Spanish
Siu Physicians & Surgeons
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
! BOARD CERTIFIED
FEBRUARY 2012
Tippy, Penelope, MD
Provider ID: 241860
Siu Physicians & Surgeons
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Travis, Edward, MD !
Provider ID: 244326
AHS ID: 4700285
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Azam, Mohammad, MD !"
Provider ID: 541137
AHS ID: 4700279
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 12 Yrs/99 Yrs
Memorial Hospital Carbondale
Martin, Kurt, MD #
Provider ID: 233331
AHS ID: 4700282
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
Migone, Ana, MD #
Provider ID: 250417
AHS ID: 4700273
Language: Italian, Spanish
Southern Illinois Medical Services
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Palys, Erica, MD !"
Provider ID: 562107
AHS ID: 4700266
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
PEDIATRICS
INTERNAL MEDICINE
Bleichner, Amanda, MD "
Provider ID: 555712
AHS ID: 4700287
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 543-5361
Ages Seen: 00 Yrs/18 Yrs
Memorial Hospital Carbondale
Huffstutler, William, MD !
Provider ID: 435378
AHS ID: 4900113
Crossroads Physician Corp
4101 N Watertower Pl
Mount Vernon, IL 62864
(618) 244-4313
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Churling, Kathryn, MD
Provider ID: 233696
AHS ID: 4700280
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/21 Yrs
Memorial Hospital Carbondale
Lebedowicz, Bohdan, MD "
Provider ID: 299152
AHS ID: 4900109
Language: German, Polish,
Russian, Ukrainian
Crossroads Physician Corp
4101 N Watertower Pl
Mount Vernon, IL 62864
(618) 244-4313
Ages Seen: 18 Yrs/99 Yrs
Crossroads Community
Hospital
Korte, Tanatip, MD
Provider ID: 233910
AHS ID: 4700281
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/21 Yrs
Memorial Hospital Carbondale
Pavlovich, James, MD
Provider ID: 233908
AHS ID: 4700269
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/21 Yrs
Memorial Hospital Carbondale
Swidler, Petra, MD "
Provider ID: 540145
AHS ID: 4700268
St Louis University
415 Health Dept Rd
Murphysboro, IL 62966
(618) 384-3143
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
SSM St Marys Health Center
St Louis University Hospital
JEFFERSON COUNTY
FAMILY PRACTICE
Neely, Megan, MD !"
Provider ID: 528484
AHS ID: 4900107
Crossroads Physician Corp
209 Crossroads Pl Ste 140
Mount Vernon, IL 62864
(618) 242-4210
Ages Seen: 12 Yrs/99 Yrs
Crossroads Community
Hospital
Parks, Robert, MD !
Provider ID: 426095
AHS ID: 4900104
Crossroads Physician Corp
1 Doctors Park Rd Ste C
Mount Vernon, IL 62864
(618) 242-1397
Ages Seen: 00 Yrs/99 Yrs
Crossroads Community
Hospital
Parks, Robert, MD "
Provider ID: 530735
AHS ID: 4900105
Crossroads Physician Corp
209 Crossroads Place Ste 100
Mount Vernon, IL 62864
(618) 242-1397
Ages Seen: 00 Yrs/99 Yrs
Crossroads Community
Hospital
Warner, Tricia, MD !"
Provider ID: 562036
AHS ID: 4900103
Crossroads Physician Corp
209 Crossroads Pl Ste 120
Mount Vernon, IL 62864
(618) 241-8508
Ages Seen: 16 Yrs/99 Yrs
Crossroads Community
Hospital
" WHEELCHAIR ACCESSIBLE
4
# EXISTING PATIENTS ONLY
PRIMARY CARE PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
JEFFERSON COUNTY (cont.)
PEDIATRICS
Swidler, Petra, MD "
Provider ID: 540148
AHS ID: 4900106
St Louis University
1 Doctors Park Rd Ste F
Mount Vernon, IL 62864
(618) 244-7134
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
SSM St Marys Health Center
St Louis University Hospital
MADISON COUNTY
FAMILY PRACTICE
FEBRUARY 2012
Eakin, K, MD "#
Provider ID: 234274
AHS ID: 6500328
Language: Spanish
Family Physicians of Madison
3 Junction Dr W
Glen Carbon, IL 62034
(618) 288-5088
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Elkhatib, Runda, MD "#
Provider ID: 266820
AHS ID: 6500309
Language: Spanish
Granite City Clinic Corp
1121 University Dr
Edwardsville, IL 62025
(618) 655-9523
Ages Seen: 00 Yrs/99 Yrs
Adesara, Rashmin, MD "
Fischer, Linda, MD !"
Provider ID: 558271
Provider ID: 624076
AHS ID: 6500312
AHS ID: 1200035
Granite City Clinic Corp
Hshs Medical Group
101 United Dr
30 Apex Dr Ste 2
Collinsville, IL 62234
Highland, IL 62249
(618) 344-0248
(618) 651-2727
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center
St Elizabeths Hospital Bellville
Ayres, Robert, MD
Provider ID: 233334
AHS ID: 6500307
Robert A Ayres MD
6616 Center Grove Rd
Edwardsville, IL 62025
(618) 692-1444
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Berkenbile, David, DO !"
Provider ID: 563545
AHS ID: 1200032
Hshs Medical Group
30 Apex Dr Ste 2
Highland, IL 62249
(618) 651-2727
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Cantrell, Dolores, MD "#
Provider ID: 233907
AHS ID: 6500320
Granite City Clinic Corp
220 E US Hwy 40
Troy, IL 62294
(618) 667-1200
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
! BOARD CERTIFIED
Follwell, Jennifer, DO !"
Provider ID: 525194
AHS ID: 6500319
Associates
501 Belt Line Rd Ste 20 D
Collinsville, IL 62234
(618) 343-6005
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Hong, Jim, MD !"
Provider ID: 389403
AHS ID: 6500324
Language: Chinese
Southern Illinois Family Medic
6810 State Rte 162 Ste 20
Maryville, IL 62062
(618) 288-9466
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Malcolm, Ashley, MD !"
Provider ID: 589270
Hshs Medical Group
30 Apex Dr
Highland, IL 62249
(618) 651-2727
Ages Seen: 00 Yrs/99 Yrs
McDaniel, Trent, MD !"
Provider ID: 558242
AHS ID: 1200027
Hshs Medical Group
30 Apex Dr Ste 2
Highland, IL 62249
(618) 654-6135
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Smith, Melissa, MD !"
Provider ID: 560846
AHS ID: 6500314
Granite City Clinic Corp
101 United Dr
Collinsville, IL 62234
(618) 344-0248
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center
Moslener, Matthew, MD !"
Provider ID: 558393
AHS ID: 1200028
Hshs Medical Group
30 Apex Dr Ste 2
Highland, IL 62249
(618) 651-2727
Ages Seen: 00 Yrs/99 Yrs
Weber, Raymond, MD "#
Provider ID: 234275
AHS ID: 6500313
Language: Spanish
Family Physicians of Madison
3 Junction Dr W
Glen Carbon, IL 62034
(618) 288-5088
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Motwani, Haresh, MD "
Provider ID: 377774
AHS ID: 6500304
Language: Hindi, Sindhi
Haresh K Motwani MD
6810 State Rte 162
Second Fl Rm 207
Maryville, IL 62062
(618) 288-7605
Ages Seen: 05 Yrs/99 Yrs
Anderson Hospital
Mulligan, Michael, MD "#
Provider ID: 233483
AHS ID: 6500316
3 Junction Dr W
Glen Carbon, IL 62034
(618) 288-5088
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Mulligan, Michelle, MD "#
Provider ID: 233988
AHS ID: 6500317
3 Junction Dr W
Glen Carbon, IL 62034
(618) 288-5088
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Robinson, William, MD "#
Provider ID: 233688
AHS ID: 6400078
Dr William P Robinson MD
815 E Fifth St Ste 209
Alton, IL 62002
(618) 463-0561
Ages Seen: 00 Yrs/99 Yrs
Saint Anthonys Health Center
Smith, Hayden, MD "
Provider ID: 561305
AHS ID: 1200029
Hshs Medical Group
30 Apex Dr Ste 2
Highland, IL 62249
(618) 651-2727
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
5
GENERAL PRACTICE
Blankenship, Robert, MD "#
Provider ID: 292075
AHS ID: 6500308
Granite City Physician Corp
2044 Madison Ave Ste 15
Granite City, IL 62040
(618) 451-1500
Ages Seen: 18 Yrs/99 Yrs
Gateway Regional Med Center
INTERNAL MEDICINE
Adams, Michael, MD "#
Provider ID: 294895
AHS ID: 6500315
Granite City Physician Corp
1121 University Dr Ste 2
Edwardsville, IL 62025
(618) 451-1500
Ages Seen: 18 Yrs/99 Yrs
Anderson Hospital
Alvarado, Alejandro, MD "
Provider ID: 582018
AHS ID: 1200034
Hshs Medical Group
821 Poplar St
Highland, IL 62249
(618) 654-7578
Ages Seen: 12 Yrs/99 Yrs
Anderson Hospital
Alvarado, Janet, MD !"
Provider ID: 635023
Language: Spanish
Hshs Medical Group
821 Poplar St
Highland, IL 62249
(618) 654-6665
Ages Seen: 12 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
PRIMARY CARE PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
Suthan, Nanthini, MD !"
Hill, Laura, MD !#
Provider ID: 582017
Provider ID: 370534
AHS ID: 6500359
AHS ID: 6400081
National Healthcare of Mt Ver
Pediatric Healthcare Unlimited
INTERNAL MEDICINE (cont.)
300 Lakin Blvd
2 Memorial Dr Ste 120
Wood River, IL 62095
Alton, IL 62002
Aryal, Nitu, MD "#
(618)
798-3937
(618) 474-1711
Provider ID: 592914
Ages Seen: 18 Yrs/99 Yrs
Ages Seen: 00 Yrs/21 Yrs
AHS ID: 1200033
Gateway
Regional
Med
Center
SSM Cardinal Glennon Child
Hshs Medical Group
Saint Anthonys Health Center
1520 Ninth St Ste 240
Konzen, Kevin, MD !"#
Suthan, Sambasivam, MD !"
Highland, IL 62249
Provider ID: 294471
Provider ID: 582343
Lackey, Timothy, MD !"
(618) 651-2730
AHS ID: 6500360
Provider ID: 619022
Granite City Physician Corp
Ages Seen: 00 Yrs/99 Yrs
1121 University Dr Ste 2
Granite City Clinic Corp
SSM Managed Care Organization
Saint Elizabeth Hospital
Edwardsville, IL 62025
300 Lakin Blvd
6800 State Rte 162
Wood
River,
IL
62095
Maryville, IL 62062
(618)
451-1500
Carazo, Elizabeth, MD "
Ages Seen: 00 Yrs/99 Yrs
(618) 798-3977
(618) 288-5711
Provider ID: 541192
Gateway
Regional
Med
Center
Ages
Seen:
18
Yrs/99
Yrs
Ages Seen: 00 Yrs/21 Yrs
AHS ID: 6500339
SSM Cardinal Glennon Child
Granite City Clinic Corp
Konzen, Kevin, MD !"#
Zaman, Mohammad, MD !
SSM Depaul Health Center
800 St Louis Rd
Provider ID: 294471
Provider ID: 405093
SSM St Marys Health Center
Collinsville, IL 62234
AHS ID: 6500333
Granite City Physician Corp
(618) 344-0068
First Care SC
Malur, Gita, MD !
2044 Madison Ave Ste 15
Ages Seen: 12 Yrs/99 Yrs
500 O’Hara Dr Ste 120
Provider ID: 234153
Granite City, IL 62040
Gateway Regional Med Center
Troy, IL 62294
AHS ID: 6400077
(618) 451-1500
Language: Indian
Ages Seen: 00 Yrs/99 Yrs
(618) 667-7007
Chen, Richard, MD
Gateway
Regional
Med
Center
Ages
Seen:
18
Yrs/99
Yrs
Pediatric
Healthcare Unlimited
Provider ID: 233320
Anderson Hospital
2 Memorial Dr Ste 120
AHS ID: 6500306
Mahay, Rajinder, MD "#
Alton, IL 62002
Language: Chinese
Provider ID: 391882
(618) 474-1711
PEDIATRICS
Richard C Chen MD
AHS ID: 6500311
Ages Seen: 00 Yrs/18 Yrs
415 W Main St Ste 4
Ashraf, Mohammad, MD "
Language: Punjabi
Saint Anthonys Health Center
Collinsville, IL 62234
Provider ID: 242319
Granite City Physician Corp
(618) 345-1112
AHS ID: 6500332
2044 Madison Ave Ste 15
Robinson, Janis, MD #
Ages Seen: 12 Yrs/99 Yrs
Language: Farsi
Granite City, IL 62040
Provider ID: 233767
Anderson Hospital
Mohammad R Ashraf MD
AHS ID: 6400079
(618) 451-1500
1420 20th St
Language: French, Spanish
Ages Seen: 18 Yrs/99 Yrs
Florendo, Oscar, MD "
Granite
City,
IL
62040
Gateway
Regional
Med
Center
Janis
B Robinson
Provider ID: 289104
(618) 877-8200
St Elizabeths Hospital Bellville
815 E Fifth St Ste 209
AHS ID: 1200030
Ages Seen: 00 Yrs/21 Yrs
Alton, IL 62002
Language: Spanish, Tagalog
Malcharek, Paul, MD !"#
Anderson Hospital
(618) 463-0561
Osbec Medical of Southern Illinois
Provider ID: 403196
Childrens
Memorial
Hospital
Ages Seen: 00 Yrs/18 Yrs
180 Woodcrest Dr
AHS ID: 6500348
Gateway Regional Med Center
Saint Anthonys Health Center
Highland, IL 62249
Associates
(618) 651-8333
Ashraf, Mohammad, MD "
1950 Vandalia St
Swidler, Petra, MD "
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 233214
Collinsville, IL 62234
Provider ID: 540151
Anderson Hospital
AHS ID: 6500331
AHS ID: 6500310
(618) 281-9005
Language: Farsi
Ages Seen: 12 Yrs/99 Yrs
St Louis University
Hagen, Alan, MD !"
Mohammad R Ashraf MD
Memorial Hospital
101 E Edwardsville Rd
Provider ID: 371730
415 W Main St
St Elizabeths Hospital Bellville
Wood River, IL 62095
AHS ID: 6500322
Collinsville,
IL
62234
(618) 296-6062
Wellness Professional
Malcharek, Paul, MD !"#
(618) 877-8200
Ages Seen: 00 Yrs/21 Yrs
531 Vandalia
Provider ID: 301489
Ages
Seen:
00
Yrs/21
Yrs
SSM Cardinal Glennon Child
Second Fl
AHS ID: 6500341
Anderson Hospital
SSM St Marys Health Center
Collinsville, IL 62234
Hshs Medical Group
Childrens
Memorial
Hospital
St Louis University Hospital
(618) 343-0500
1950 Vandalia St
Gateway Regional Med Center
Ages Seen: 04 Yrs/99 Yrs
Collinsville, IL 62234
Wuellner, Kathie, MD !#
Anderson Hospital
Chia, Wak, MD
Provider ID: 233337
(618) 281-9005
Provider ID: 233968
AHS ID: 6400083
Ages Seen: 00 Yrs/99 Yrs
Harmon, Lawrence, MD !"#
AHS
ID:
6500305
Memorial
Hospital
Pediatric
Healthcare Unlimited
Provider ID: 264227
Language: Chinese
St Elizabeths Hospital Bellville
2 Memorial Dr Ste 120
AHS ID: 6500340
Wak S Chia MD
Alton, IL 62002
Granite City Physician Corp
1702 Vaughn Rd Ste 2
(618) 474-1711
1121 University Dr
Wood
River,
IL
62095
Ages Seen: 00 Yrs/21 Yrs
Edwardsville, IL 62025
(618) 259-5100
Saint Anthonys Health Center
(618) 692-9250
Ages
Seen:
00
Yrs/18
Yrs
Ages Seen: 18 Yrs/99 Yrs
Saint Anthonys Health Center
Anderson Hospital
Gateway Regional Med Center
ILLINOIS (cont.)
MADISON COUNTY (cont.)
! BOARD CERTIFIED
Harmon, Lawrence, MD !"#
Provider ID: 305859
AHS ID: 6500330
Granite City Physician Corp
2044 Madison Ste 23
Pontoon Beach, IL 62040
(618) 451-1500
Ages Seen: 18 Yrs/99 Yrs
Anderson Hospital
" WHEELCHAIR ACCESSIBLE
6
# EXISTING PATIENTS ONLY
PRIMARY CARE PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
MONROE COUNTY
FAMILY PRACTICE
Collantes, Roberto, MD !"
Provider ID: 519538
AHS ID: 7500030
Associates
830 Admiral Weinel Blvd
Columbia, IL 62236
(618) 281-7373
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
Hipskind, Stephen, MD "
Provider ID: 592910
AHS ID: 7500040
Red Bud Clinic Corp
1335 Jamie Ln
Waterloo, IL 62298
(618) 939-1560
Ages Seen: 00 Yrs/21 Yrs
Wasiak, Andrzej, MD !"
Provider ID: 312006
AHS ID: 7500034
Language: Polish
Family Medicine of Columbia
123 Wedgewood Dr
Columbia, IL 62236
(618) 281-2233
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
GENERAL PRACTICE
Gupta, Anil, MD
Provider ID: 482037
AHS ID: 7500036
Anil Gupta; MD
224 Bradford Ln Ste A
Waterloo, IL 62298
(618) 939-8190
Ages Seen: 02 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Gupta, Anil, MD
Provider ID: 420416
AHS ID: 7500035
Anil Gupta; MD
421 S Main St
Columbia, IL 62236
(618) 281-7151
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
FEBRUARY 2012
PERRY COUNTY
SAINT CLAIR COUNTY
FAMILY PRACTICE
FAMILY PRACTICE
Davidson, Robert, MD #
Provider ID: 233914
AHS ID: 8100078
Robert T Davidson
13 N Walnut St
Pinckneyville, IL 62274
(618) 357-2147
Ages Seen: 00 Yrs/99 Yrs
Furry, Craig, MD !"
Provider ID: 250186
AHS ID: 4700283
Craig W Furry MD
20 N Washington St Ste 2
Du Quoin, IL 62832
(618) 542-2129
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
Memorial Hospital
RANDOLPH COUNTY
FAMILY PRACTICE
Hipskind, Stephen, MD "
Provider ID: 592911
AHS ID: 7500041
Red Bud Clinic Corp
415 W S Fourth St Ste D
Red Bud, IL 62278
(618) 282-7777
Ages Seen: 00 Yrs/21 Yrs
Mahtani, Andrew, MD "
Provider ID: 570553
Red Bud Clinic Corp
325 Spring St
Red Bud, IL 62278
(618) 282-5205
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Rohlfing, Amy, MD !"
Provider ID: 302641
AHS ID: 7500033
Red Bud Clinic Corp
325 Spring St
Red Bud, IL 62278
(618) 282-7373
Ages Seen: 65 Yrs/99 Yrs
PEDIATRICS
Birner, Nancy, MD !"
Provider ID: 233325
AHS ID: 7500037
Red Bud Clinic Corp
415 W South Fourth St Ste D
Red Bud, IL 62278
(618) 282-7777
Ages Seen: 00 Yrs/21 Yrs
! BOARD CERTIFIED
Abraham, Prasad, MD "
Provider ID: 233360
AHS ID: 9600420
Prasad Abraham MD
901 Range Ln
Cahokia, IL 62206
(618) 332-2311
Ages Seen: 07 Yrs/99 Yrs
Saint Elizabeth Hospital
Hennon, Nell, DO !"#
Provider ID: 415744
AHS ID: 6500337
Hshs Medical Group
1512 N Green Mount Rd Ste 108
O Fallon, IL 62269
(618) 624-3750
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Khan, Mahrakh, MD !"#
Provider ID: 488736
AHS ID: 9600386
Language: Urdu
Gateway Healthcare
8601 W Main St Ste 101
Belleville, IL 62223
(618) 398-6266
Ages Seen: 12 Yrs/99 Yrs
SSM St Marys Health Center
St Elizabeths Hospital Bellville
Lee, Michael, MD !"
Provider ID: 592912
AHS ID: 6500362
Language: Arabic
Hshs Medical Group
1512 N Greenmount Rd Ste 200
O Fallon, IL 62269
(618) 624-1860
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Magner, John, MD
Provider ID: 233547
AHS ID: 9600404
Language: Spanish
Touchette Comm Med Arts
2071 Goose Lake Rd
Sauget, IL 62206
(618) 332-5369
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
Saint Elizabeth Hospital
Needles, James, MD "#
Provider ID: 254482
AHS ID: 6500318
James J Needles MD
107 W First St
O Fallon, IL 62269
(618) 632-2118
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
O’Neill, David, DO !"
Provider ID: 636786
Cardiology & Critical Care Con
300 West Lincoln St
Belleville, IL 62220
(618) 235-8820
Ages Seen: 16 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Pritchett, Kevin, MD !"#
Provider ID: 406151
AHS ID: 6500361
Kevin L Prichett MD
100 Springfield Ct
O Fallon, IL 62269
(618) 632-3565
Ages Seen: 00 Yrs/99 Yrs
Radwan, Ahmed, MD !"
Provider ID: 419453
AHS ID: 6500356
Language: Arabic
Hshs Medical Group
1512 N Green Mount Rd Ste 200
O Fallon, IL 62269
(618) 624-1860
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Rawdon, David, MD !"
Provider ID: 547565
AHS ID: 9600398
Associates
4600 Memorial Dr Ste 160
Belleville, IL 62226
(618) 235-0460
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Reinert, Kenneth, MD !"#
Provider ID: 234005
AHS ID: 6500325
Hshs Medical Group
1512 Greenmount Rd Ste 108
O Fallon, IL 62269
(618) 624-5510
Mannan-Hilaly, Salma, MD !"#
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 378401
Saint Elizabeth Hospital
AHS ID: 9600383
St Elizabeths Hospital Bellville
Associates
4550 Memorial Dr Ste 180
Belleville, IL 62226
(618) 235-8282
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
" WHEELCHAIR ACCESSIBLE
7
# EXISTING PATIENTS ONLY
PRIMARY CARE PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
GENERAL PRACTICE
ILLINOIS (cont.)
SAINT CLAIR COUNTY (cont.) Manarang, Don, DO "
FAMILY PRACTICE (cont.)
Samson, Carla, MD !"#
Provider ID: 548864
AHS ID: 9600419
Family Health Associates SC
60 Regency Pl
Millstadt, IL 62260
(618) 476-3373
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Schallert, Joseph, MD !"#
Provider ID: 259886
AHS ID: 9600406
Associates
4600 Memorial Dr Ste 160
Belleville, IL 62226
(618) 235-0460
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Schenewerk,
Christopher, MD !"
Provider ID: 259520
AHS ID: 9600403
Associates
4017 Sr 159 Ste 101
Smithton, IL 62285
(618) 257-2875
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Wade, James, MD !"#
Provider ID: 402641
AHS ID: 7500031
Associates
1002 Spotsylvania St
New Athens, IL 62264
(618) 475-3731
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Wade, James, MD !"#
Provider ID: 401942
AHS ID: 9600393
Associates
3701 Memorial Dr
Belleville, IL 62226
(618) 222-0000
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
! BOARD CERTIFIED
Provider ID: 402740
AHS ID: 9600399
Associates
325 S Main St
Dupo, IL 62239
(618) 286-5251
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
INTERNAL MEDICINE
Alba, Zarah-Ann, MD !"#
Provider ID: 474080
AHS ID: 9600381
Associates
130 Lincoln Place Ct
Belleville, IL 62221
(618) 257-1297
Ages Seen: 16 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Hageman, Matthew, MD !"#
Provider ID: 265657
AHS ID: 9600413
Associates
130 Lincoln Place Ct
Belleville, IL 62221
(618) 257-1297
Ages Seen: 12 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Hussain, Syed, MD "
Provider ID: 234257
AHS ID: 9600429
S IL Regional Wellness Center
1835 Kingshighway
Washington Pk, IL 62204
(618) 482-7881
Ages Seen: 18 Yrs/99 Yrs
Khalid, Muhiyuddin, MD "
Provider ID: 234148
AHS ID: 6500336
Language: Urdu
Muhiyuddin Khalid MD
1512 N Green Mount Rd Ste 109
O Fallon, IL 62269
(618) 622-3450
Ages Seen: 15 Yrs/99 Yrs
Memorial Hospital
Saint Elizabeth Hospital
Lakho, Mazhar, MD #
Provider ID: 234152
AHS ID: 9600391
Mazhar H Lakho MD
4600 Memorial Dr Ste 310
Belleville, IL 62226
(618) 235-8720
Ages Seen: 16 Yrs/99 Yrs
Memorial Hospital
Saint Elizabeth Hospital
Mauch, Stuart, MD "#
Provider ID: 398428
AHS ID: 9600402
Stuart W Mauch Jr MD
333 S Illinois Ste A
Belleville, IL 62220
(618) 277-4888
Ages Seen: 14 Yrs/99 Yrs
Memorial Hospital
Middendorf, Ellen, MD !"
Provider ID: 406421
AHS ID: 9600431
Associates
4600 Memorial Dr
Ste 160 Medical Center 2
Belleville, IL 62226
(618) 235-0460
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Ramos-Pardo, Beatriz, MD "#
Provider ID: 403781
AHS ID: 9600401
Associates
4600 Memorial Dr Ste 440
Belleville, IL 62226
(618) 236-8000
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Shawahin, Nidal, MD !"#
Provider ID: 265636
AHS ID: 9600411
Associates
4600 Memorial Dr Ste 360
Belleville, IL 62226
(618) 222-7280
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Umoru, Benedicta, MD "
Provider ID: 241814
Language: Slovak
S IL Regional Wellness Center
100 N Eighth St Ste 256
East Saint Louis, IL 62201
(618) 874-3120
Ages Seen: 12 Yrs/99 Yrs
Umoru, Benedicta, MD "
Provider ID: 241814
Language: Slovak
S IL Regional Wellness Center
4500 Memorial Dr
Belleville, IL 62223
(618) 874-3120
Ages Seen: 12 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
8
PEDIATRICS
Boc, Inocencio, MD "#
Provider ID: 265579
AHS ID: 9600392
Language: Filipino
Inocencio M Boc MD
821 Upper Cahokia Rd
Cahokia, IL 62206
(618) 332-0200
Ages Seen: 00 Yrs/18 Yrs
Dincer, Tulay, MD !"
Provider ID: 278931
AHS ID: 9600415
Dincer Pediatrics LTD-Imd
520 Fullerton Rd Ste A
Swansea, IL 62226
(618) 233-7244
Ages Seen: 00 Yrs/21 Yrs
Eberhart, Lori, MD !"
Provider ID: 441059
AHS ID: 9600385
SSM Managed Care Organization
1230 George E Chance Pkwy
Caseyville, IL 62232
(618) 345-5437
Ages Seen: 00 Yrs/18 Yrs
Anderson Hospital
SSM Cardinal Glennon Child
Elzoobi, Khaldoun, MD !"
Provider ID: 479021
AHS ID: 9600416
Language: Arabic, Italian
Elzoobi Pediatrics
3214 N Illinois St
Swansea, IL 62226
(618) 233-0742
Ages Seen: 00 Yrs/18 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Garrison, Gregory, MD #
Provider ID: 233574
AHS ID: 9600380
Language: Spanish
St Clair Pediatrics
4941 Benchmark Centre Dr Ste 100
Belleville, IL 62226
(618) 624-9970
Ages Seen: 00 Yrs/18 Yrs
Memorial Hospital
Saint Elizabeth Hospital
Jacob, Pothen, MD "
Provider ID: 233213
AHS ID: 9600430
Language: Hindi
Pothen Jacob MD
4601 State St Ste 210
E Saint Louis, IL 62205
(618) 874-3700
Ages Seen: 00 Yrs/21 Yrs
# EXISTING PATIENTS ONLY
PRIMARY CARE PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
SAINT CLAIR COUNTY (cont.)
PEDIATRICS (cont.)
Johnston, Jill, MD "
Provider ID: 272792
AHS ID: 9600395
St Clair Pediatrics
4941 Benchmark Center Dr
Belleville, IL 62226
(618) 624-9970
Ages Seen: 00 Yrs/21 Yrs
Memorial Hospital
Saint Elizabeth Hospital
Laff, Stacie, MD !
Provider ID: 309686
AHS ID: 9600418
TLC Pediatrics
4600 Memorial Dr Ste 280
Belleville, IL 62226
(618) 257-2800
Ages Seen: 00 Yrs/21 Yrs
Levrault, Thomas, MD
Provider ID: 233204
AHS ID: 6500323
Thomas Levrault/Gabriel’s Prid
1337 Park Plaza Dr Ste 1
O Fallon, IL 62269
(618) 624-7391
Ages Seen: 00 Yrs/21 Yrs
Memorial Hospital
McGranahan, Mark, MD !"
Provider ID: 473041
AHS ID: 9600412
SSM Managed Care Organization
1230 George E Chance Pkwy
Caseyville, IL 62232
(618) 345-5437
Ages Seen: 00 Yrs/21 Yrs
Anderson Hospital
SSM Cardinal Glennon Child
Ngo, Khai, MD !"
Provider ID: 311450
AHS ID: 9600408
Language: French, Vietnamese
TLC Pediatrics
4600 Memorial Dr Ste 280
Belleville, IL 62226
(618) 257-2800
Ages Seen: 00 Yrs/21 Yrs
Memorial Hospital
Norman, David, MD "
Provider ID: 234170
AHS ID: 9600396
David Norman MD
4600 Memorial Dr Ste 60
Belleville, IL 62226
(618) 257-2550
Ages Seen: 00 Yrs/21 Yrs
Memorial Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Ogbevoen, Justin, MD !"
Provider ID: 234121
AHS ID: 9600407
Edgemont Pediatrics
8710 State St
East Saint Louis, IL 62203
(618) 398-6601
Ages Seen: 00 Yrs/21 Yrs
INTERNAL MEDICINE
Neely, Megan, MD "
Provider ID: 586936
AHS ID: 8100110
Crossroads Physician Corp
1245 S Mill St
Nashville, IL 62263
(618) 327-9333
Ages Seen: 00 Yrs/99 Yrs
Crossroads Community
Hospital
Ponciroli, Kevin, MD !"
Provider ID: 493660
AHS ID: 9600405
Language: Spanish
St Clair Pediatrics
WILLIAMSON COUNTY
4941 Benchmark Centre Dr Ste 100
FAMILY PRACTICE
Belleville, IL 62226
(618) 624-9970
Fox-Altug, Jodi, MD !"
Ages Seen: 00 Yrs/18 Yrs
Provider ID: 233336
Memorial Hospital
AHS ID: 10800361
St Elizabeths Hospital Bellville
Southern IL Medical Care Assoc
3411 Professional Pk Dr
Savadamuthu,
Marion, IL 62959
Krishnasamy, MD !"
(618) 997-2161
Provider ID: 496781
Ages Seen: 00 Yrs/99 Yrs
Language: Tamil
Heartland Regional Medical
S IL Regional Wellness Center
Center
100 N Eighth St Ste 232
East Saint Louis, IL 62201
Gauto, Suzanne, MD !
(618) 655-9554
Provider ID: 422410
Ages Seen: 00 Yrs/21 Yrs
AHS ID: 10800370
Southern IL Medical Care Assoc
Wagner, Jean, MD !
3411 Professional Park Dr
Provider ID: 472971
Marion, IL 62959
AHS ID: 9600394
(618) 997-2161
SSM Managed Care Organization
Ages Seen: 00 Yrs/99 Yrs
1230 George E Chance Pkwy
Heartland Regional Medical
Caseyville, IL 62232
Center
(618) 345-5437
Ages Seen: 00 Yrs/21 Yrs
Graham, Eric, MD "
Anderson Hospital
Provider ID: 494917
SSM Cardinal Glennon Child
AHS ID: 10800352
Graham Family Medicine
WASHINGTON COUNTY
4501 W Deyoung St Ste B107
Marion, IL 62959
FAMILY PRACTICE
(618) 998-9200
Ages Seen: 00 Yrs/15 Yrs
Coy, Thomas, DO "
Heartland Regional Medical
Provider ID: 565351
Center
AHS ID: 8100092
Language: Spanish
McCain, Sean, MD "
Associates
Provider ID: 410578
673 E St Louis St
AHS ID: 10800369
Nashville, IL 62263
Southern IL Medical Care Assoc
(618) 327-8119
3411 Professional Park Dr
Ages Seen: 00 Yrs/99 Yrs
Marion, IL 62959
Crossroads Community
(618) 997-2161
Hospital
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Goforth, Gary, DO !"
Center
Provider ID: 464005
AHS ID: 2300045
Crossroads Physician Corp
207 E Belleville St
Okawville, IL 62271
(618) 243-5151
Ages Seen: 00 Yrs/99 Yrs
Crossroads Community
Hospital
" WHEELCHAIR ACCESSIBLE
9
Strack, Karen, DO !"#
Provider ID: 233339
AHS ID: 10800362
Heartland Rural Healthcare LL
3331 W Deyoung St Ste 305
Marion, IL 62959
(618) 985-9140
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
INTERNAL MEDICINE
Cao, Shimin #
Provider ID: 234271
AHS ID: 10800358
Language: Chinese
Cao Shimin
404 Lincoln Dr
Herrin, IL 62948
(618) 998-9910
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
PEDIATRICS
Chediak, Ronald, MD
Provider ID: 234276
AHS ID: 10800354
Memorial Management
3331 W Deyoung Ste 207
Marion, IL 62959
(618) 993-1421
Ages Seen: 00 Yrs/18 Yrs
Heartland Regional Medical
Center
Lopez, Luis, MD "
Provider ID: 233693
AHS ID: 10800356
Language: Italian, Spanish
Heartland Pediatric Assoc-Mari
805 W Deyoung Ste B
Marion, IL 62959
(618) 993-5274
Ages Seen: 00 Yrs/21 Yrs
Heartland Regional Medical
Center
MISSOURI
SAINT CHARLES COUNTY
PEDIATRICS
Burgdorf Jr, Max, MD !"
Provider ID: 496311
SSM Managed Care Organization
200 Medical Plz
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
PRIMARY CARE PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
PEDIATRICS (cont.)
Burgdorf Jr, Max, MD !"
Provider ID: 496310
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
SAINT LOUIS COUNTY
FAMILY PRACTICE
Fatoki, Akinrinola, MD !"
Provider ID: 475458
Bahm Family Medicine
2880 Netherton Dr Ste 200
Saint Louis, MO 63136
(314) 355-5300
Ages Seen: 00 Yrs/99 Yrs
Haines, Cynthia, MD
Provider ID: 464687
AHS ID: 364
St Louis University
1034 S Brentwood Ste 420
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 00 Yrs/99 Yrs
Johnson, Homer, MD "
Provider ID: 385026
AHS ID: 388
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Khan, Mahrukh, MD !"#
Provider ID: 444350
AHS ID: 298
Language: Urdu
Gateway Healthcare
140 E Lockwood
Saint Louis, MO 63119
(314) 961-3038
Ages Seen: 12 Yrs/99 Yrs
SSM St Marys Health Center
St Elizabeths Hospital Bellville
Railey, Michael, MD !"
Provider ID: 503816
AHS ID: 302
St Louis University
1034 S Brentwood Ste 1120
Saint Louis, MO 63117
(314) 977-4600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Rudnick, Caroline, MD "
Provider ID: 247150
AHS ID: 386
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Elizabeths Hospital Bellville
St Louis University Hospital
Schneider, Frank, MD !"
Provider ID: 486085
AHS ID: 385
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Spezia, Michael, DO "
Provider ID: 233326
SSM Managed Care Organization
23 N Oaks Plz Ste 200
Saint Louis, MO 63121
(314) 385-7161
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Stephens, Gillian, MD
Provider ID: 412642
AHS ID: 276
St Louis University
1034 S Brentwood
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Zoberi, Kimberly, MD "
Provider ID: 234118
AHS ID: 383
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
GERIATRIC MEDICINE
Cruz Oliver, Dulce, MD !"
Provider ID: 549771
AHS ID: 319
St Louis University
2365 Dougherty Ferry Rd Ste 420
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Little, Milta, DO "
Provider ID: 549840
AHS ID: 348
St Louis University
2345 Dougherty Ferry Ste 420
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Mahon, Gerald, MD !
Provider ID: 530197
AHS ID: 275
St Louis University
2345 Dougherty Ferry Ste 420
Saint Louis, MO 63122
(314) 966-9313
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Mahon, Gerald, MD !
Provider ID: 530197
AHS ID: 275
St Louis University
2345 Dougherty Ferry Ste 420
Saint Louis, MO 63122
(314) 966-9313
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Olsen, Thomas, MD !"
Provider ID: 234124
AHS ID: 387
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
INTERNAL MEDICINE
Buckhold, Fred, MD "
Provider ID: 549768
AHS ID: 384
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Cruz Oliver, Dulce, MD !"
Provider ID: 549771
AHS ID: 319
St Louis University
2365 Dougherty Ferry Rd Ste 420
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Devkota, Bishnu, MD
Provider ID: 412720
AHS ID: 335
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Little, Milta, DO !"
Provider ID: 549840
AHS ID: 348
St Louis University
2345 Dougherty Ferry Ste 420
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
10
Patel, Rajiv, MD !"
Provider ID: 427630
SSM Managed Care Organization
1035 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 647-1115
Ages Seen: 12 Yrs/99 Yrs
Porter, Nora, MD "
Provider ID: 234002
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
SSM Cardinal Glennon Child
PEDIATRICS
Burgdorf Jr, Max, MD !"
Provider ID: 496312
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/99 Yrs
Burgdorf Jr, Max, MD !
Provider ID: 349238
SSM Managed Care Organization
12255 Depaul Dr Ste 300
Bridgeton, MO 63044
(636) 344-6021
Ages Seen: 00 Yrs/18 Yrs
Burgdorf Jr, Max, MD !"
Provider ID: 496315
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
PRIMARY CARE PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
PEDIATRICS (cont.)
Herbers, Mark, MD "
Provider ID: 247246
St Louis University
1011 Bowles Ave Ste 300
Fenton, MO 63026
(636) 496-5000
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
SSM St Clare Health Center
SSM St Marys Health Center
Herbers, Mark, MD "
Provider ID: 247246
St Louis University
1747 Smizer Station Rd
Fenton, MO 63026
(636) 225-7908
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
SSM St Clare Health Center
SSM St Marys Health Center
Lackey, Timothy, MD !"
Provider ID: 375124
SSM Managed Care Organization
3555 Sunset Office Dr Ste 101
Saint Louis, MO 63127
(314) 966-3324
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
SSM Depaul Health Center
SSM St Marys Health Center
Porter, Nora, MD "
Provider ID: 234002
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
SSM Cardinal Glennon Child
SAINT LOUIS CITY
FAMILY PRACTICE
Gillian, Stephan, MD
Provider ID: 486315
AHS ID: 322
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-4600
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Jacobs, Christine, MD
Provider ID: 486357
AHS ID: 340
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-4600
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Jacobs, Christine, MD
Provider ID: 486357
AHS ID: 340
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-4600
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Manard, William, MD !"
Provider ID: 530727
AHS ID: 284
St Louis University
3660 Vista
SLU Medical Home
Saint Louis, MO 63103
(314) 977-3500
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Mahon, Gerald, MD !
Provider ID: 530186
AHS ID: 274
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Stephens, Gillian, MD
Provider ID: 412652
AHS ID: 277
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
GERIATRIC MEDICINE
Cruz Oliver, Dulce, MD !"
Provider ID: 549770
AHS ID: 318
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Flaherty, Joseph, MD "
Provider ID: 234126
AHS ID: 343
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Gammack, Julie, MD "
Provider ID: 238624
AHS ID: 344
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Morley, John, MD "
Provider ID: 233860
AHS ID: 341
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Naseer, Shahida, MD "
Provider ID: 233871
AHS ID: 291
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4070
Ages Seen: 00 Yrs/01 Yrs
SSM Cardinal Glennon Child
Omran, Mohhamed, MD "
Provider ID: 250586
AHS ID: 369
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 65 Yrs/99 Yrs
Paniagua, Miguel, MD
Provider ID: 388706
AHS ID: 347
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Thomas, David, MD
Provider ID: 233861
AHS ID: 314
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
11
INTERNAL MEDICINE
Allen, Alina, MD "
Provider ID: 558796
AHS ID: 371
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Baeza, Jose, MD "#
Provider ID: 586002
AHS ID: 390
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Bakanas, Erin, MD "
Provider ID: 234205
AHS ID: 269
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Bakanas, Erin, MD "
Provider ID: 242432
AHS ID: 270
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Bhattacharyya, Anjan, MD !
Provider ID: 461062
AHS ID: 365
St Louis University
3660 Vista Ave Ste 207
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
Bhutto, Asif, MD
Provider ID: 453467
AHS ID: 320
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6150
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
# EXISTING PATIENTS ONLY
PRIMARY CARE PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
Brosch, Sirisha, MD "
Provider ID: 549649
AHS ID: 321
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-0000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
INTERNAL MEDICINE (cont.)
Buckhold, Fred, MD "
Provider ID: 549764
AHS ID: 266
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Buckhold, Fred, MD "
Provider ID: 549760
AHS ID: 265
St Louis University
3660 Vista Ave Ste 207
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Castillo, Roque, MD
Provider ID: 430528
AHS ID: 289
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Castillo, Roque, MD "
Provider ID: 235423
AHS ID: 288
St Louis University
3660 Vista Ave Ste 207
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 16 Yrs/99 Yrs
St Louis University Hospital
Chaar, Bassem, MD "
Provider ID: 247353
Language: Arabic, French
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-8762
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
FEBRUARY 2012
Chacko, Sonia, MD "
Provider ID: 560695
AHS ID: 370
St Louis University
3660 Vista Ave Ste 207
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Delaney, Nancy, MD
Provider ID: 234166
AHS ID: 352
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Gammack, Julie, MD "
Provider ID: 238624
AHS ID: 344
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Chadaga, Rajagopal, MD "
Provider ID: 286247
St Louis University
3660 Vista Ave
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 12 Yrs/99 Yrs
St Louis University Hospital
Delaney, Nancy, MD "
Provider ID: 247601
AHS ID: 353
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Heaney, Robert, MD "
Provider ID: 234206
AHS ID: 287
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Devkota, Bishnu, MD
Provider ID: 430549
AHS ID: 366
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 18 Yrs/99 Yrs
Hussain, Zainal, MD
Provider ID: 429651
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 18 Yrs/99 Yrs
Chandra, Pradeep, MD "
Provider ID: 503625
AHS ID: 295
St Louis University
3660 Vista Ave Ste 207
Saint Louis, MO 63110
(314) 977-9100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Cornelius, Victoria, MD "
Provider ID: 233384
AHS ID: 281
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Devkota, Bishnu, MD
Provider ID: 412712
AHS ID: 334
St Louis University
3660 Vista Ave Ste 207
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Cornelius, Victoria, MD "
Provider ID: 242429
AHS ID: 282
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Fitch, Coy, MD
Provider ID: 430337
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 18 Yrs/99 Yrs
Cornelius, Victoria, MD
Provider ID: 250395
AHS ID: 283
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Cruz Oliver, Dulce, MD !"
Provider ID: 549770
AHS ID: 318
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Fitch, Coy, MD "
Provider ID: 247239
St Louis University
3660 Vista Ave Ste 207
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Flaherty, Joseph, MD "
Provider ID: 234126
AHS ID: 343
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
12
Kevorkian, Rafl, MD
Provider ID: 304401
AHS ID: 296
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 12 Yrs/99 Yrs
St Louis University Hospital
Kolli, Swathy, MD "
Provider ID: 368049
St Louis University
3660 Vista
Saint Louis, MO 63110
(314) 577-6143
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Mahon, Gerald, MD !
Provider ID: 530186
AHS ID: 274
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Maxwell, Marilyn, MD "
Provider ID: 233784
AHS ID: 368
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
PRIMARY CARE PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
Maxwell, Marilyn, MD "
Provider ID: 242431
AHS ID: 299
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
INTERNAL MEDICINE (cont.)
Mitchell, William, MD
Provider ID: 429485
St Louis University
3518 Laciede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Morley, John, MD "
Provider ID: 233860
AHS ID: 341
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Nagaldine, Govind, MD "
Provider ID: 357341
AHS ID: 278
St Louis University
3660 Vista Ave Ste 207
Saint Louis, MO 63110
(314) 577-6143
Ages Seen: 17 Yrs/99 Yrs
St Louis University Hospital
Nagaldinne, Govind, MD
Provider ID: 411723
AHS ID: 279
St Louis University
3518 Laciede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 17 Yrs/99 Yrs
St Louis University Hospital
Naseer, Shahida, MD "
Provider ID: 233871
AHS ID: 291
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4070
Ages Seen: 00 Yrs/01 Yrs
SSM Cardinal Glennon Child
! BOARD CERTIFIED
FEBRUARY 2012
Olsen, Thomas, MD "
Provider ID: 242435
AHS ID: 326
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Rice, Timothy, MD "
Provider ID: 233609
AHS ID: 329
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Olsen, Thomas, MD "
Provider ID: 242436
AHS ID: 327
St Louis University
3660 Vista Ave Ste 207
Saint Louis, MO 63110
(314) 577-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Rice, Timothy, MD "
Provider ID: 242426
AHS ID: 330
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Omran, Mohhamed, MD "
Provider ID: 250585
AHS ID: 351
St Louis University
1402 S Grand Blvd Ste 238
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 05 Yrs/99 Yrs
St Louis University Hospital
Rodin, Miriam, MD
Provider ID: 429484
AHS ID: 349
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Omran, Mohhamed, MD
Provider ID: 233354
AHS ID: 350
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 05 Yrs/99 Yrs
St Louis University Hospital
Sprague, Randy, MD "
Provider ID: 234491
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6055
Ages Seen: 00 Yrs/99 Yrs
Paniagua, Miguel, MD
Provider ID: 388706
AHS ID: 347
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Porter, Nora, MD !"
Provider ID: 242406
AHS ID: 356
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
SSM Cardinal Glennon Child
Porter, Nora, MD "
Provider ID: 242407
AHS ID: 357
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
SSM Cardinal Glennon Child
Thomas, David, MD
Provider ID: 233861
AHS ID: 314
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Trinh, Chantri, MD "
Provider ID: 315338
AHS ID: 333
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Walden, Henry, MD "
Provider ID: 234253
AHS ID: 306
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
13
Walden, Henry, MD "
Provider ID: 242392
St Louis University
3635 Vista
Saint Louis, MO 63110
(314) 577-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Walden, Henry, MD "
Provider ID: 242392
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
PEDIATRICS
Ahmad, Kaashif, MD "
Provider ID: 286248
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4070
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Ahmad, Shahnaz, MD "
Provider ID: 244415
AHS ID: 292
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5643
Ages Seen: 00 Yrs/01 Yrs
SSM Cardinal Glennon Child
Baumer, Susan, MD !"
Provider ID: 321637
Health Care For Kids
4055 Lindell Blvd
Saint Louis, MO 63108
(314) 535-7701
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
SSM St Marys Health Center
Bowers, James, MD
Provider ID: 430476
AHS ID: 310
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5643
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Dempsey, Maureen, MD !"
Provider ID: 551971
Health Care For Kids
4055 Lindell Blvd
Saint Louis, MO 63108
(314) 535-7701
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
SSM St Marys Health Center
# EXISTING PATIENTS ONLY
PRIMARY CARE PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
Doerhoff, Faye, MD "
Provider ID: 237457
AHS ID: 367
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
PEDIATRICS (cont.)
Eddy, Mark, MD !"
Provider ID: 199138
AHS ID: 300
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4070
Ages Seen: 00 Yrs/01 Yrs
St Louis University Hospital
Ghazi-Askar, Zahra, MD "
Provider ID: 252549
St Louis University
1465 Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
St Louis University Hospital
Haller, Kenneth, MD "
Provider ID: 233794
AHS ID: 342
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4070
Ages Seen: 00 Yrs/01 Yrs
St Louis University Hospital
Halloran, Donna, MD "
Provider ID: 299339
AHS ID: 316
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
St Louis University Hospital
Heaney, Mary, MD "
Provider ID: 241742
AHS ID: 301
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4070
Ages Seen: 00 Yrs/01 Yrs
SSM Cardinal Glennon Child
! BOARD CERTIFIED
FEBRUARY 2012
Kutz, Timothy, MD "
Provider ID: 247251
AHS ID: 328
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/01 Yrs
SSM Cardinal Glennon Child
Sallee, Heidi, MD "
Provider ID: 233357
AHS ID: 305
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/01 Yrs
St Louis University Hospital
Labarge, Gene, MD
Provider ID: 384787
AHS ID: 271
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Schiff, Teresa, MD "
Provider ID: 250860
AHS ID: 324
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Ladage, Jennifer, MD "
Provider ID: 234169
AHS ID: 312
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/01 Yrs
SSM Cardinal Glennon Child
Sineff, Michelle, MD "
Provider ID: 312867
AHS ID: 304
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/01 Yrs
SSM Cardinal Glennon Child
Laffey, Steven, MD "
Provider ID: 250753
AHS ID: 323
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Staed, Timothy, MD "
Provider ID: 236359
AHS ID: 331
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6190
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
May, Ariane, MD !"
Provider ID: 321639
Language: Spanish
Health Care For Kids
4055 Lindell Blvd
Saint Louis, MO 63108
(314) 535-7701
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Sugarbaker, Elizabeth, MD !"
Provider ID: 498352
AHS ID: 268
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5643
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Newby, David, MD "
Provider ID: 247304
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Noffsinger, Jay, MD "
Provider ID: 234009
AHS ID: 311
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/01 Yrs
SSM Cardinal Glennon Child
Uong, Elizabeth, MD "
Provider ID: 245410
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5639
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Warren, Timothy, MD "
Provider ID: 530079
AHS ID: 332
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5648
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Wathen, David, DO "
Provider ID: 514546
AHS ID: 315
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4035
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Swidler, Petra, MD "
Provider ID: 320407
AHS ID: 294
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5639
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
SSM St Marys Health Center
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
14
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS
ALL COUNTY
BEHAVIORAL HEALTH
COUNSELING
Magellan
For Additional Providers and
Locations Please Call:
IL
(888) 684-2026
FRANKLIN COUNTY
DERMATOLOGY
Kenneaster, Derek, MD !"
Provider ID: 560692
Southern Illinois Dermatology
108 N Emma St
West Frankfort, IL 62896
(618) 937-1346
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
OBSTETRICS/
GYNECOLOGY
Hartman, Rebecca, MD !
Provider ID: 242665
West Frankfort Family Practice
2553 Ken Gray Blvd
W Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
OPTOMETRY
Schwengel, Emily, OD "
Provider ID: 451710
Marion Eye Centers
1102 N Main
Benton, IL 62812
(618) 439-2020
Ages Seen: 00 Yrs/99 Yrs
Schwengel, Emily, OD "
Provider ID: 451710
Marion Eye Centers
909 W Main
West Frankfort, IL 62896
(618) 937-2442
Ages Seen: 00 Yrs/99 Yrs
PEDIATRIC CARDIOLOGY
Chen, Su-Chiung, MD !
Provider ID: 529660
St Louis University
2553 Kengray Blvd
West Frankfort, IL 62896
(618) 932-2155
Ages Seen: 00 Yrs/18 Yrs
! BOARD CERTIFIED
FEBRUARY 2012
SPORTS MEDICINE
Humphrey, Jon, MD !
Provider ID: 471051
West Frankfort Family Practice
2553 Ken Gray Blvd
West Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Schonewolf, Scott, DO !"
Provider ID: 331442
Siu Physicians & Surgeons
2553 Ken Gray Blvd
West Frankfort, IL 62896
(618) 932-3937
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
UROLOGY
Stokes III, Sam, MD !
Provider ID: 247423
Stokes Institute of Urology L
406 W Saint Louis St
W Frankfort, IL 62896
(618) 351-9300
Ages Seen: 03 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
McCain, Mack, MD !"
Provider ID: 548514
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
BEHAVIORAL HEALTH
FACILITY
Gateway Foundation
Carbondale "
Provider ID: T4577800000-01
Provides Inpatient Services
1080 E Park St
Carbondale, IL 62901
(618) 529-1151
Ages Seen: 00 Yrs/99 Yrs
GENERAL SURGERY
Brewer, Robert, MD !"
Provider ID: 490617
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
DERMATOLOGY
Kenneaster, Derek, MD !"
Provider ID: 560692
Southern Illinois Dermatology
1401 Walnut St
Murphysboro, IL 62966
(618) 565-1212
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Clutts, David, MD !
Provider ID: 238793
Language: French
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Van Acker, Ted, DO !
Provider ID: 247410
Southern Illinois Dermatology
1401 Walnut St
Murphysboro, IL 62966
(618) 565-1212
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
JACKSON COUNTY
EAR NOSE & THROAT
ALLERGY & IMMUNOLOGY
Schalch, Paul, MD !"
Provider ID: 578647
Language: German, Spanish
Southern Illinois Medical Services
2601 W Main
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
Mings, Ronald, MD
Provider ID: 235317
Southern Ill Allergy & Asthma
1001 E Main St
2A Professional Park E
Carbondale, IL 62901
(618) 549-9385
Ages Seen: 00 Yrs/99 Yrs
BEHAVIORAL HEALTH
COUNSELING
Gunzel, Yolanda, MSW
Provider ID: T5792980000-03
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 06 Yrs/99 Yrs
Hammonds, Jennifer, MSW
Provider ID: T7771730000-04
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 06 Yrs/64 Yrs
ENDOCRINOLOGY
DIABETES METABOLISM
Abedmahmoud, Issa, MD
Provider ID: 290233
Language: Arabic
Issa Abedmahmoud MD
1100 W Diann Ln
Carbondale, IL 62901
(618) 988-1877
Ages Seen: 16 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
GASTROENTEROLOGY
McCain, Mack, MD !"
Provider ID: 548514
Southern Illinois Medical Services
10121 W Florissant Ave
Carbondale, IL 62901
(314) 522-1834
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
" WHEELCHAIR ACCESSIBLE
15
Dressen, Frederick, DO !"
Provider ID: 443738
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
Martin, Adrian, MD "
Provider ID: 401417
Language: French, German,
Italian, Romanian
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
Mattison, Ronald, MD !"
Provider ID: 490619
Southern Illinois Medical Services
1237 E Main St Ste C1
Carbondale, IL 62901
(618) 257-2281
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Ryan, Marsha, MD !"
Provider ID: 236232
Siu Physicians & Surgeons
120 N Illinois Ave
Carbondale, IL 62901
(618) 529-5611
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
JACKSON COUNTY (cont.)
HEMATOLOGY
Graham, Peter, MD "
Provider ID: 553149
Southern Illinois Medical Services
305 W Jackson St Ste 303
Carbondale, IL 62901
(618) 351-4967
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
HEMATOLOGY &
ONCOLOGY
Rao, Sujatha, MD !
Provider ID: 265426
Language: Hindi, Telugu
Sujatha A Rao MD
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 18 Yrs/99 Yrs
Herrin Hospital
INFECTIOUS DISEASE
Palys, Erica, MD "
Provider ID: 562107
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
INTERNAL MEDICINE
Bhatara, Vikas, MD "
Provider ID: 548510
Language: Hindi, Punjabi, Urdu
Southern Illinois Medical Services
305 W Jackson St Ste 301
Carbondale, IL 62901
(618) 529-0520
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
Pineda, Raymund, MD !"
Provider ID: 558164
Southern Illinois Medical Services
305 W Jackson St Ste 301
Carbondale, IL 62901
(618) 529-0520
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
! BOARD CERTIFIED
FEBRUARY 2012
MEDICAL ONCOLOGY
Graham, Peter, MD !"
Provider ID: 553149
Southern Illinois Medical Services
305 W Jackson St Ste 303
Carbondale, IL 62901
(618) 351-4967
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
NEUROLOGY
Alam, Fakhre, MD !"
Provider ID: 264939
Fakhre Alam MD
305 W Jackson Ste 300
Carbondale, IL 62901
(618) 549-6378
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
Trivedi, Bhargava, MD !"#
Provider ID: 551423
Southern Illinois Medical Services
305 W Jackson St Ste 102
Carbondale, IL 62901
(618) 351-4974
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
OBSTETRICS/
GYNECOLOGY
PAIN MANAGEMENT
Gates, Douglas, MD
Provider ID: 235776
Language: Spanish
New Horizons OB GYN
305 W Jackson St Ste 100
Carbondale, IL 62901
(618) 457-0404
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Hartman, Rebecca, MD
Provider ID: 242666
New Horizons OB GYN
305 W Jackson Ste 100
Carbondale, IL 62901
(618) 457-0404
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Walker, Frank, MD
Provider ID: 235777
New Horizons OB GYN
305 W Jackson St Ste 100
Carbondale, IL 62901
(618) 457-0404
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
Memorial Hospital Carbondale
OPTOMETRY
NEUROSURGERY
Gocio, Allan, MD !"
Provider ID: 285236
Language: Spanish
Allan C Gocio MD Neurosurgical
305 W Jackson St Ste 301
Carbondale, IL 62901
(618) 549-6031
Ages Seen: 16 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
Jones, Jeffery, DO !"
Provider ID: 527907
Southern Illinois Medical Services
305 W Jackson St Ste 103
Carbondale, IL 62901
(618) 351-4972
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Taveau, Jon, DO !"
Provider ID: 534339
Southern Illinois Medical Services
305 W Jackson St Ste 103
Carbondale, IL 62901
(618) 351-4972
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Schwengel, Emily, OD "
Provider ID: 451710
Marion Eye Centers
1001 Beadle
Carbondale, IL 62901
(618) 549-2282
Ages Seen: 00 Yrs/99 Yrs
ORTHOPAEDIC SURGERY
Davis, John, MD
Provider ID: 455595
Southern Orthopedic Associates
1101 Diann Ln
Carbondale, IL 62901
(618) 997-6800
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Wood, John, MD "#
Provider ID: 194200
Southern Orthopedic Associates
510 405 W Jackson St
Carbondale, IL 62901
(618) 997-6800
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
" WHEELCHAIR ACCESSIBLE
16
Criste, Gerson, MD "
Provider ID: 562298
Southern Illinois Medical Services
2601 W Main St
Carbondale, IL 62901
(618) 555-1212
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
PLASTIC &
RECONSTRUCTIVE
SURGERY
White, Aisha, MD "
Provider ID: 527420
Southern Illinois Medical Services
2250 Reed Station Rd Ste 204
Carbondale, IL 62901
(618) 457-0394
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
PULMONARY DISEASE
Bhatara, Vikas, MD !"
Provider ID: 548510
Language: Hindi, Punjabi, Urdu
Southern Illinois Medical Services
305 W Jackson St Ste 301
Carbondale, IL 62901
(618) 529-0520
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
Pineda, Raymund, MD !"
Provider ID: 558164
Southern Illinois Medical Services
305 W Jackson St Ste 301
Carbondale, IL 62901
(618) 529-0520
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
SPORTS MEDICINE
Humphrey, Jon, MD !"
Provider ID: 437921
West Frankfort Family Practice
305 W Jackson Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Schonewolf, Scott, DO !"
Provider ID: 331442
Siu Physicians & Surgeons
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
JACKSON COUNTY (cont.)
THORACIC &
CARDIOVASCULAR
SURGERY
Miller, Robert, MD !"
Provider ID: 247418
Memorial Management
305 W Jackson St Ste 106
Carbondale, IL 62901
(618) 536-1100
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
Herrin Hospital
Memorial Hospital Carbondale
Saum, Kenneth, MD "
Provider ID: 450892
Siu Physicians & Surgeons
305 W Jackson St Ste 200
Carbondale, IL 62901
(618) 536-2565
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Wallace, Douglas, MD !"
Provider ID: 473807
Language: Spanish
Siu Physicians & Surgeons
305 W Jackson Ste 200
Carbondale, IL 62901
(618) 536-2565
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Watson, John, MD !"
Provider ID: 635519
Southern Illinois Medical Services
305 W Jackson Ste 105
Carbondale, IL 62901
(618) 536-2565
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
UROLOGY
Rajamahanty, Srinivas, MD "
Provider ID: 635123
Southern Illinois Medical Services
2601 W Main
Carbondale, IL 62901
(618) 549-5361
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Stokes III, Sam, MD !"
Provider ID: 247423
Stokes Institute of Urology L
305 W Jackson St Ste 400
Carbondale, IL 62901
(618) 351-9300
Ages Seen: 03 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
! BOARD CERTIFIED
FEBRUARY 2012
JEFFERSON COUNTY
BEHAVIORAL HEALTH
COUNSELING
Roedl, Julie, MA "
Provider ID: T1342220000-02
219 Withers Dr
Mount Vernon, IL 62864
(618) 244-0344
Ages Seen: 00 Yrs/99 Yrs
CARDIOLOGY
Bleyer, Frank, MD !"
Provider ID: 256596
River To River Heart Group
Ste 1 Doctor Park Rd Ste C
Mount Vernon, IL 62864
(618) 998-7600
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
St Louis University Hospital
Dickler, Andrew, MD !"
Provider ID: 454733
River To River Heart Group
Ste 1 Doctors Park Rd Ste C
Mount Vernon, IL 62864
(618) 242-1397
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
SSM St Joseph Health Center
Parham, Walter, MD !"
Provider ID: 445901
River To River Heart Group
1 Doctors Park Rd Ste C
Mount Vernon, IL 62864
(618) 242-1397
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
St Louis University Hospital
Parham, Walter, MD !"
Provider ID: 535565
Crossroads Physician Corp
Ste 1 Doctors Park Rd Ste C
Mount Vernon, IL 62864
(618) 242-4585
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
St Louis University Hospital
GENERAL SURGERY
Hollander, Lawrence, MD !"
Provider ID: 281093
Crossroads Physician Corp
209 Crossroads Pl Ste 130
Mount Vernon, IL 62864
(618) 242-3831
Ages Seen: 00 Yrs/99 Yrs
Crossroads Community
Hospital
Hollander, Lawrence, MD !"
Provider ID: 281093
Crossroads Physician Corp
8 Doctors Park Rd
Mount Vernon, IL 62864
(618) 244-5500
Ages Seen: 00 Yrs/99 Yrs
Crossroads Community
Hospital
Hollander, Lawrence, MD !
Provider ID: 281093
Crossroads Physician Corp
Ste 1 Doctors Park Rd Ste C
Mount Vernon, IL 62864
(618) 242-4585
Ages Seen: 00 Yrs/99 Yrs
Crossroads Community
Hospital
Johnson, Andrew, MD !"
Provider ID: 520611
Crossroads Physician Corp
209 Crossroads Pl Ste 130
Mount Vernon, IL 62864
(618) 242-3831
Ages Seen: 00 Yrs/99 Yrs
Crossroads Community
Hospital
SSM St Marys Health Center
Johnson, Andrew, MD !"
Provider ID: 520611
Crossroads Physician Corp
4218 Lincolnshire Dr
Mount Vernon, IL 62864
(618) 242-8480
Ages Seen: 00 Yrs/99 Yrs
Crossroads Community
Hospital
SSM St Marys Health Center
INTERNAL MEDICINE
Bleyer, Frank, MD !"
Provider ID: 256596
River To River Heart Group
Ste 1 Doctor Park Rd Ste C
Mount Vernon, IL 62864
(618) 998-7600
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
St Louis University Hospital
Dave, Chirag, MD !"
Provider ID: 271797
Crossroads Physician Corp
209 Crossroads Pl Ste 110
Mount Vernon, IL 62864
(618) 241-8508
Ages Seen: 12 Yrs/99 Yrs
Crossroads Community
Hospital
" WHEELCHAIR ACCESSIBLE
17
Dickler, Andrew, MD !"
Provider ID: 454733
River To River Heart Group
Ste 1 Doctors Park Rd Ste C
Mount Vernon, IL 62864
(618) 242-1397
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
SSM St Joseph Health Center
OBSTETRICS/
GYNECOLOGY
Sammarco, Michael, MD !"
Provider ID: 587203
Crossroads Physician Corp
1702 Broadway St
Mt Vernon, IL 62864
(618) 244-4800
Ages Seen: 18 Yrs/99 Yrs
Crossroads Community
Hospital
OPHTHALMOLOGY
Maher, Jeffrey, MD !
Provider ID: 418745
Terrence G Klingele MD
109 S 32nd St
Mount Vernon, IL 62864
(618) 532-5531
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
OPTOMETRY
Johnson, Troy, OD "
Provider ID: 589656
Eyecare Management
109 S 32nd St
Mount Vernon, IL 62864
(618) 242-4141
Ages Seen: 00 Yrs/99 Yrs
Wolf, Daniel, OD "
Provider ID: 265396
Eyecare Management
109 S 32nd St
Mount Vernon, IL 62864
(618) 242-4141
Ages Seen: 00 Yrs/99 Yrs
PEDIATRIC CARDIOLOGY
Chen, Su-Chiung, MD !
Provider ID: 529660
St Louis University
605 N 12th St
Mount Vernon, IL 62864
(618) 242-4600
Ages Seen: 00 Yrs/18 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
CARDIOLOGY
ILLINOIS (cont.)
JEFFERSON COUNTY (cont.) Bitar, Saad, MD
UROLOGY
Reagan, Gary, MD !
Provider ID: 281432
Crossroads Physician Corp
209 Crossroads Plc Ste 150
Mount Vernon, IL 62864
(618) 244-6710
Ages Seen: 00 Yrs/99 Yrs
Crossroads Community
Hospital
MADISON COUNTY
BEHAVIORAL HEALTH
COUNSELING
Bowles, Tamera, MA "
Provider ID: T2576990000-02
2016 Vadalabene Dr Ste A
Maryville, IL 62062
(618) 288-8787
Ages Seen: 00 Yrs/17 Yrs
Fritz Parker, Mary, MSW
Provider ID: T6000151070-04
322 State St Ste 200
Alton, IL 62002
(618) 225-9956
Ages Seen: 06 Yrs/99 Yrs
Hasty, Kimberly, MS "
Provider ID: T2981350000-02
2016 Vadalabene Dr Ste A
Maryville, IL 62062
(618) 288-8787
Ages Seen: 18 Yrs/99 Yrs
BEHAVIORAL HEALTH
FACILITY
Provider ID: 242782
SSM Managed Care Organization
2 Memorial Dr Ste 102
Alton, IL 62002
(618) 462-6612
Ages Seen: 16 Yrs/99 Yrs
Singh, Toniya, MD "
Provider ID: 338867
SSM Managed Care Organization
1121 University Dr
Edwardsville, IL 62025
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Singh, Toniya, MD
Provider ID: 338867
SSM Managed Care Organization
2118 Washington Ave
Granite City, IL 62040
(618) 876-8214
Ages Seen: 00 Yrs/99 Yrs
Chin, Mark, MD "
Provider ID: 336677
SSM Managed Care Organization
15 Professional Park Dr
Maryville, IL 62062
(618) 288-0086
Ages Seen: 00 Yrs/99 Yrs
Qayyum, Usman, MD !"
Provider ID: 337661
SSM Managed Care Organization
1121 University Dr
Edwardsville, IL 62025
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Chouhan, Lalithkumar, MD "
Provider ID: 242899
SSM Managed Care Organization
2 Memorial Dr Ste 201
Alton, IL 62002
(618) 462-6612
Ages Seen: 00 Yrs/99 Yrs
Qayyum, Usman, MD !
Provider ID: 337661
SSM Managed Care Organization
2118 Washington
Granite City, IL 62040
(618) 876-8214
Ages Seen: 00 Yrs/99 Yrs
Das, Sundeep, MD "
Provider ID: 247441
SSM Managed Care Organization
1121 University Dr
Edwardsville, IL 62025
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Ramadan, Rafiq, MD "
Provider ID: 247440
SSM Managed Care Organization
1121 University Dr
Edwardsville, IL 62025
(314) 876-8214
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center
Das, Sundeep, MD "
Provider ID: 247441
SSM Managed Care Organization
2118 Washington Ave
Granite City, IL 62040
(618) 876-8214
Ages Seen: 00 Yrs/99 Yrs
Fleissner, Michael, MD "
Provider ID: 290338
Gateway Regional Med Center "
SSM Managed Care Organization
Provider ID: 215142
15 Professional Pkwy Dr
Granite City IL Hospital dba Gatew
Maryville, IL 62062
2100 Madison Ave
(800) 303-3250
Granite City, IL 62040
Ages Seen: 00 Yrs/99 Yrs
(618) 798-3000
SSM St Marys Health Center
Ages Seen: 02 Yrs/99 Yrs
Hilgard, James, MD #
Gateway Regional Medical
Provider ID: 237046
Center "
2 Memorial Dr Ste 202
Provider ID: T0118360000-01
Alton, IL 62002
Language: Greek, Spanish
(618) 462-5979
Provides Inpatient Services
Ages Seen: 00 Yrs/99 Yrs
2100 Madison Ave
Lutan, Robert, MD !"
Granite City, IL 62040
Provider ID: 242841
(618) 798-3589
SSM Managed Care Organization
Ages Seen: 00 Yrs/99 Yrs
2 Memorial Dr Ste 201
Alton, IL 62002
(618) 462-6612
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
Mattis, Henry, MD !
Provider ID: 237612
Cardiology Consultants
1515 Main St
Highland, IL 62249
(618) 233-6044
Ages Seen: 12 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Speidel, Christopher, MD !"
Provider ID: 337522
SSM Managed Care Organization
15 Professional Park Dr
Maryville, IL 62062
(800) 303-3250
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Stronach, Linda, MD !"
Provider ID: 337549
SSM Managed Care Organization
15 Professional Park Dr
Maryville, IL 62062
(800) 303-3250
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Tahir, Mohammad, MD "
Provider ID: 247338
Ramadan, Rafiq, MD "
Provider ID: 247440
SSM Managed Care Organization
1121 University Dr
SSM Managed Care Organization
Edwardsville, IL 62025
2118 Washington Ave
Granite City, IL 62040
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
(618) 876-8214
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center Tahir, Mohammad, MD
Provider ID: 247338
Razzaq, Abdul, MD
SSM Managed Care Organization
2118 Washington
Provider ID: 252148
Granite City, IL 62040
SSM Managed Care Organization
2118 Washington Ave
(618) 876-8214
Granite City, IL 62040
Ages Seen: 00 Yrs/99 Yrs
(618) 876-8214
Ziaee, Ali, MD !
Ages Seen: 17 Yrs/99 Yrs
Provider ID: 337334
Gateway Regional Med Center
SSM Managed Care Organization
2 Memorial Dr Ste 102
Serota, Harvey, MD "
Alton, IL 62002
Provider ID: 235566
SSM Managed Care Organization
(618) 462-6612
1121 Universtiy Dr
Ages Seen: 00 Yrs/99 Yrs
Edwardsville, IL 62025
(314) 741-0911
CARDIOVASCULAR
SURGERY
Ages Seen: 00 Yrs/99 Yrs
Serota, Harvey, MD "
Provider ID: 235566
SSM Managed Care Organization
2118 Washington Ave
Pontoon Beach, IL 62040
(618) 876-8214
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
18
Serota, Harvey, MD "
Provider ID: 235566
SSM Managed Care Organization
1121 Universtiy Dr
Edwardsville, IL 62025
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
MADISON COUNTY (cont.)
CARDIOVASCULAR
SURGERY (cont.)
Serota, Harvey, MD "
Provider ID: 235566
SSM Managed Care Organization
2118 Washington Ave
Pontoon Beach, IL 62040
(618) 876-8214
Ages Seen: 00 Yrs/99 Yrs
Vardi, Gil, MD "
Provider ID: 337669
SSM Managed Care Organization
1121 University Dr
Edwardsville, IL 62025
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Vardi, Gil, MD "
Provider ID: 337669
SSM Managed Care Organization
2118 Washington Ave
Granite City, IL 62040
(618) 876-8214
Ages Seen: 00 Yrs/99 Yrs
CHIROPRACTIC
Smith, Stewart, DC
Provider ID: 239048
543 E Ferguson Ave
Wood River, IL 62095
(618) 254-8472
Ages Seen: 00 Yrs/99 Yrs
Thayer, David, DC
Provider ID: 371679
Language: Italian
Integrated Medical Group
435 S Buchanan
Edwardsville, IL 62025
(618) 692-6700
Ages Seen: 00 Yrs/99 Yrs
Thayer, David, DC "
Provider ID: 371679
Language: Italian
Integrated Medical Group
811 Broadway
Highland, IL 62249
(618) 654-3900
Ages Seen: 00 Yrs/99 Yrs
DERMATOLOGY
Connor, Charles, MD "
Provider ID: 235744
Charles Dobbin Connor
22 Professional Park Dr
Maryville, IL 62062
(618) 288-0998
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Memorial Hospital
St Elizabeths Hospital Bellville
! BOARD CERTIFIED
FEBRUARY 2012
Connor, Charles, MD "
FAMILY PRACTICE
Provider ID: 242833
Southern Illinois Health Care Assoc Fischer, Lewis, MD "
Provider ID: 633471
22 Professional Park Dr
Hshs Medical Group
Maryville, IL 62062
30 Apex Dr Ste 2
(618) 288-0998
Highland, IL 62249
Ages Seen: 00 Yrs/99 Yrs
(618) 651-2727
Anderson Hospital
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
GENERAL DENTISTRY
EAR NOSE & THROAT
Anderson, Stephen, DDS "
Provider ID: T111465-39
Fernandez, James, MD "
2133 Pontoon Rd
Provider ID: 237913
Granite City, IL 62040
Southern Illinois Health Care Assoc
(618) 931-2400
2120 Madison Ave Ste 200
Ages Seen: 03 Yrs/99 Yrs
Granite City, IL 62040
(618) 451-1800
Csaszar, Michael, DMD
Ages Seen: 00 Yrs/99 Yrs
Provider ID: T112325-05
Gateway Regional Med Center
7656 Plummer Business Dr
SSM Rehab
Troy, IL 62294
(618) 667-6650
Fernandez, James, MD "
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 237913
Southern Illinois Health Care Assoc
Fredrickson, Dennis, DDS "
9 Glen Ed Professional Park
Provider ID: T111028-95
Glen Carbon, IL 62034
1099 Belt Line Rd
(618) 692-0196
Collinsville, IL 62234
Ages Seen: 00 Yrs/99 Yrs
(618) 346-2006
Gateway Regional Med Center
Ages Seen: 04 Yrs/99 Yrs
SSM Rehab
Fredrickson, Dennis, DDS
Fierstein, Jeffrey, MD !"
Provider ID: T111028-28
Provider ID: 239207
3429 Nameoki Rd
Southern Illinois Health Care Assoc
Granite City, IL 62040
2120 Madison Ave Ste 200
(618) 452-2006
Granite City, IL 62040
Ages Seen: 00 Yrs/99 Yrs
(618) 451-1800
Ages Seen: 00 Yrs/99 Yrs
Wolter, Scott, DMD "
Anderson Hospital
Provider ID: T110166-44
Gateway Regional Med Center
1610 Washington Ave
Alton, IL 62002
Fierstein, Jeffrey, MD !"
(618) 462-7471
Provider ID: 239207
Ages Seen: 03 Yrs/99 Yrs
Southern Illinois Health Care Assoc
Harris, Wesley, MD !"
Provider ID: 458258
Granite City Clinic Corp
2 Memorial Dr Ste 105
Alton, IL 62002
(618) 462-3191
Ages Seen: 18 Yrs/99 Yrs
Gateway Regional Med Center
Harris, Wesley, MD !
Provider ID: 458258
Granite City Clinic Corp
2044 Madison Ave Ste 27
Granite City, IL 62040
(618) 798-3475
Ages Seen: 18 Yrs/99 Yrs
Gateway Regional Med Center
Vonderlancken, Gustavo, MD "
Provider ID: 247379
Language: Spanish
Granite City Clinic Corp
2044 Madison Ave Ste 27
Granite City, IL 62040
(618) 451-7600
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Vonderlancken, Gustavo, MD
Provider ID: 247379
Language: Spanish
Granite City Clinic Corp
2246 State Rt 157 Ste 200
Glen Carbon, IL 62034
(618) 798-7600
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
INTERNAL MEDICINE
Flury, Kirk, MD !"
Provider ID: 486483
St Louis University
2100 Madison Ave
Granite City, IL 62040
(618) 798-3400
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
9 Glen Ed Professional Park
GENERAL SURGERY
Glen Carbon, IL 62034
(618) 692-0196
Afuwape, Emmanuel, MD !"
Mattis, Henry, MD
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 239108
Provider ID: 237612
Anderson Hospital
Granite City Clinic Corp
Cardiology Consultants
Gateway Regional Med Center
2120 Madison Ave Ste 203
1515 Main St
Granite City, IL 62040
Highland, IL 62249
Sanford, Thomas, MD !"
(618) 451-7600
Provider ID: 291586
(618) 233-6044
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 12 Yrs/99 Yrs
St Louis University
Gateway Regional Med Center
Memorial Hospital
One Professional Dr
St Elizabeths Hospital Bellville
Alton, IL 62002
Diaz, Jose, MD !"
(618) 463-8534
Provider ID: 635343
Nisar, Abid, MD !"
Ages Seen: 00 Yrs/99 Yrs
Language: Spanish
Provider ID: 256592
St Louis University Hospital
Hshs Medical Group
Abid Nisar; MD
1520 Ninth St Ste 250
2044 Madison Ave Ste 28
Highland, IL 62249
Granite City, IL 62040
(618) 664-2457
(618) 451-9953
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
" WHEELCHAIR ACCESSIBLE
19
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
Naseer, Riaz, MD "
Hurford, Dennis, MD !"
Provider ID: 237099
Provider ID: 264333
Language: Urdu
Granite City Clinic Corp
2044 Madison Ave Ste G2
Tri-City Neurology Assoc
INTERNAL MEDICINE (cont.)
Granite City, IL 62040
6828 B State Rte 162
Maryville, IL 62062
(618) 288-9251
Painter, Benedict, MD "#
Ages Seen: 00 Yrs/99 Yrs
(618)
288-5906
Provider ID: 259752
Anderson Hospital
Ages Seen: 06 Yrs/99 Yrs
Granite City Physician Corp
Anderson
Hospital
2044 Madison Ave Ste 15
Gateway Regional Med Center Hurford, Dennis, MD !"
Granite City, IL 62040
Provider ID: 264333
(618) 451-1500
Granite City Clinic Corp
NEUROSURGERY
Ages Seen: 17 Yrs/99 Yrs
2246 IL St Rt 157
Anderson Hospital
Bailey, Gregory, MD "
Glen Carbon, IL 62034
Gateway Regional Med Center
Provider ID: 235478
(618) 288-9251
Language:
German
Ages Seen: 00 Yrs/99 Yrs
Painter, Benedict, MD "#
SSM Managed Care Organization
Anderson Hospital
Provider ID: 259752
2120
Madison
Ave
Ste
106
Granite City Physician Corp
Kisabeth, Tim, MD !"
Granite City, IL 62040
800 St Louis Rd
Provider ID: 637352
(314)
543-5999
Collinsville, IL 62234
Illini Medical Associates
Ages
Seen:
00
Yrs/99
Yrs
(618) 451-1500
2 Saint Anthonys Way Ste 105
SSM
Depaul
Health
Center
Ages Seen: 17 Yrs/99 Yrs
Alton, IL 62002
SSM
St
Clare
Health
Center
Anderson Hospital
(618) 463-1111
SSM
St
Marys
Health
Center
Gateway Regional Med Center
Ages Seen: 12 Yrs/99 Yrs
Saint Anthonys Health Center
NUCLEAR MEDICINE
ILLINOIS (cont.)
MADISON COUNTY (cont.)
NEUROLOGY
Scharff, Kevin, MD !
Provider ID: 247462
Language: Russian
Granite City Clinic Corp
2246 S State Rte 157 Ste 100
Glen Carbon, IL 62034
(618) 288-9251
Ages Seen: 14 Yrs/99 Yrs
Gateway Regional Med Center
Shah, Yogendra, MD !"
Provider ID: 238344
Yogendra A Shah MD SC
3165 Myrtle Ave
Granite City, IL 62040
(618) 451-7717
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Song, Hee, MD !"
Provider ID: 242607
Language: Korean
Hee M Song
1702 Vaughn Rd Ste 4
Wood River, IL 62095
(618) 259-0283
Ages Seen: 00 Yrs/99 Yrs
Lynch, Alyssa, DO "
Polack, Donovan, MD "
Ali, Syed, MD "
Provider ID: 509138
Staten, Patrice, MD "#
Provider ID: 239118
Provider ID: 236720
Provider ID: 237044
Granite
City
Clinic
Corp
SSM
Managed
Care
Organization
Language: Hindi, Urdu
2246 S State Rte 157
Distinctive Care For Women Lt
2044 Madison Ave Ste 15
Tri-City Neurology Assoc
Glen Carbon, IL 62034
6810 State Rte 162 Ste 202
Granite City, IL 62040
2044 Madison Ave Ste 24
Maryville, IL 62062
(618) 288-9251
(314) 741-1600
Granite City, IL 62040
Ages
Seen:
00
Yrs/99
Yrs
(618) 288-9320
Ages
Seen:
00
Yrs/99
Yrs
(618) 876-6341
Gateway Regional Med Center
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
SSM
Depaul
Health
Center
Anderson Hospital
Midkiff, Christina, MD !"
Gateway Regional Med Center
Provider ID: 253075
Thompson, Soldrea, MD
Polack, Donovan, MD
Christina
L
Midkiff
MD
SC
Provider ID: 459296
Provider
ID:
239118
Ali, Syed, MD
2023 Vadalabene Dr
Illini Medical Associates
SSM Managed Care Organization
Provider ID: 236720
Maryville,
IL
62062
2016 Vadalabene Dr
2100
Madison
Ave
Ste
106
Language: Hindi, Urdu
Maryville, IL 62062
(618) 288-7408
Granite City, IL 62040
Tri-City Neurology Assoc
Ages
Seen:
00
Yrs/99
Yrs
(618) 288-2970
(618)
452-8420
6828 B State Rte 162
Saint Elizabeth Hospital
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Maryville, IL 62062
St
Elizabeths
Hospital
Bellville
Anderson Hospital
Gateway
Regional
Med
Center
(618) 288-5906
SSM Depaul Health Center
Ages Seen: 00 Yrs/99 Yrs
Owens, Markel, MD "
Thompson, Soldrea, MD "
Anderson Hospital
Provider
ID:
546188
Provider ID: 459296
OBSTETRICS/
Gateway Regional Med Center
SSM Managed Care Organization
Illini Medical Associates
GYNECOLOGY
2023 Vadalabene Dr Ste 200
Ste 2 Saint Anthony’s Way Ste 105
Dalal, Rashid, MD "
Maryville, IL 62062
Alton, IL 62002
Cannon, Sara, MD
Provider ID: 242875
Provider
ID:
411428
(618)
288-7408
(618) 463-1111
Language: Gujarati
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Illini Medical Associates
Rashid A Dalal MD
Anderson
Hospital
Anderson Hospital
2
St
Anthonys
Way
Ste
105
2120 Madison Ave Ste 105
SSM St Marys Health Center
Alton, IL 62002
Granite City, IL 62040
(618) 463-1111
OPHTHALMOLOGY
(314) 367-1083
Scharff, Kevin, MD !
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Chen, Wen, MD !"
Provider ID: 247462
Saint Anthonys Health Center
Provider ID: 24328
Language:
Russian
Naseer, Riaz, MD "
Terrence G Klingele MD
Gingrich, Tina, MD "
Granite City Clinic Corp
Provider ID: 237099
12 Professional Park Dr
Provider
ID:
238384
2044
Madison
Ave
Ste
G2
Language: Urdu
Maryville, IL 62062
Granite City, IL 62040
Tina M F Gingrich MD dba Mary
Tri-City Neurology Assoc
(618) 288-7266
2016
Vadalabene
Dr
(618)
288-9251
2044 Madison Ave Ste 24
Ages Seen: 00 Yrs/99 Yrs
Maryville, IL 62062
Ages Seen: 14 Yrs/99 Yrs
Granite City, IL 62040
Anderson Hospital
Gateway
Regional
Med
Center
(618)
288-2970
(618) 876-6321
Saint Anthonys Health Center
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 06 Yrs/99 Yrs
Anderson
Hospital
Anderson Hospital
St Elizabeths Hospital Bellville
Gateway Regional Med Center
! BOARD CERTIFIED
" WHEELCHAIR ACCESSIBLE
20
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
MADISON COUNTY (cont.)
OPHTHALMOLOGY (cont.)
Chen, Wen, MD !"
Provider ID: 24328
Terrence G Klingele MD
2421 Corp Center Ste 100
Granite City, IL 62040
(618) 931-6980
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Saint Anthonys Health Center
FEBRUARY 2012
Jones, Michael, MD "
Provider ID: 401553
Terrence G Klingele MD
12 Professional Park Dr
Maryville, IL 62062
(618) 288-7266
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Jones, Michael, MD "
Provider ID: 401553
Terrence G Klingele MD
2421 Corporate Center Ste 100
Granite City, IL 62040
(618) 931-6980
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Doisey, Edward, MD !"
Provider ID: 567033
Terrence G Klingele MD
Maher, Jeffrey, MD !"
12 Professional Park Dr
Provider ID: 418745
Maryville, IL 62062
Terrence G Klingele MD
(618) 288-7266
415 W Main St
Ages Seen: 00 Yrs/99 Yrs
Collinsville, IL 62234
Anderson Hospital
(618) 345-7887
Gateway Regional Med Center
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Doisey, Edward, MD !"
Provider ID: 567033
Unwin, Donald, MD !"
Terrence G Klingele MD
Provider ID: 237126
18 Ginger Crk
Terrence G Klingele MD
Glen Carbon, IL 62034
18 Ginger Crk
(618) 656-7774
Glen Carbon, IL 62034
Ages Seen: 00 Yrs/99 Yrs
(618) 656-7774
Anderson Hospital
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center
Memorial Hospital
St Elizabeths Hospital Bellville
Doisey, Edward, MD !"
Provider ID: 567033
OPTOMETRY
Terrence G Klingele MD
2421 Corp Center Ste 100
Baker, Chad, OD "
Granite City, IL 62040
Provider ID: 622418
(618) 933-6980
3 F Vision dba Clarkson Eyecar
Ages Seen: 00 Yrs/99 Yrs
3405 Nameoki Rd Ste A
Anderson Hospital
Granite City, IL 62040
Gateway Regional Med Center
(618) 219-8909
Ages Seen: 00 Yrs/99 Yrs
Fleming, Thomas, MD !"
Provider ID: 397114
Johnson, Troy, OD "
Language: Spanish
Provider ID: 589656
Illinois Retina Surgery
Eyecare Management
18 Ginger Crk
18 Ginger Creek
Glen Carbon, IL 62034
Collinsville, IL 62234
(618) 656-7774
(618) 345-7887
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville Johnson, Troy, OD "
Provider ID: 589656
Hudson, James, MD !"
Eyecare Management
Provider ID: 609521
2421 Corp Center Ste 100
Terrence G Klingele MD
Granite City, IL 62040
1310 D’Adrian Professional Park
(618) 931-6980
Godfrey, IL 62035
Ages Seen: 00 Yrs/99 Yrs
(618) 433-5005
Ages Seen: 00 Yrs/99 Yrs
Saint Anthonys Health Center
! BOARD CERTIFIED
Johnson, Troy, OD "
Provider ID: 589656
Eyecare Management
415 W Main St
Collinsville, IL 62234
(618) 345-7887
Ages Seen: 00 Yrs/99 Yrs
Meier, Gary, OD "
Provider ID: 540862
Eyecare Management
18 Ginger Crk
Glen Carbon, IL 62034
(618) 656-7774
Ages Seen: 00 Yrs/99 Yrs
Meier, Gary, OD "
Provider ID: 540862
Eyecare Management
415 W Main St
Collinsville, IL 62234
(618) 345-7887
Ages Seen: 00 Yrs/99 Yrs
Reynolds, Kirsten, OD "
Provider ID: 631147
Eyecare Management
1310 Dadrian Professional Park
Godfrey, IL 62035
(618) 433-5005
Ages Seen: 00 Yrs/99 Yrs
Yates, Mark, OD "
Provider ID: 563588
Eyecare Management
12 Professional Park Dr
Maryville, IL 62062
(618) 288-7266
Ages Seen: 00 Yrs/99 Yrs
Yates, Mark, OD "
Provider ID: 563588
Eyecare Management
2421 Corp Center
STE100
Granite City, IL 62040
(618) 931-6980
Ages Seen: 00 Yrs/99 Yrs
ORTHOPAEDIC SURGERY
Anderson, Peter, MD !
Provider ID: 254987
Granite City Orthopedic Physic
4802 S State Rte 159
Glen Carbon, IL 62034
(618) 288-4388
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Gateway Regional Med Center
Beyer, Craig, MD !"
Provider ID: 255121
Granite City Orthopedic Physic
2044 Madison Ave Ste E
Granite City, IL 62040
(618) 288-4248
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Gateway Regional Med Center
Beyer, Craig, MD !
Provider ID: 255121
Granite City Orthopedic Physic
4802 S State Rt 159
Glen Carbon, IL 62034
(618) 288-4248
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Gateway Regional Med Center
Penn, Timothy, MD !"
Provider ID: 255059
Granite City Orthopedic Physic
2044 Madison Ave Ste 5
Granite City, IL 62040
(618) 288-4248
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Penn, Timothy, MD !
Provider ID: 255059
Granite City Orthopedic Physic
4802 S State Rt 159
Glen Carbon, IL 62034
(618) 288-4248
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Scherer, Paul, MD !"
Provider ID: 238765
Granite City Orthopedic Physic
2044 Madison Ave Ste 5
Granite City, IL 62040
(218) 288-4248
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Anderson, Peter, MD !"
Provider ID: 254987
Granite City Orthopedic Physic
2044 Madison Ave
Granite City, IL 62040
(618) 288-4388
Ages Seen: 00 Yrs/99 Yrs
Scherer, Paul, MD !
Anderson Hospital
Provider ID: 238765
Gateway Regional Med Center
Granite City Orthopedic Physic
4802 S State Rt 159
Glen Carbon, IL 62034
(618) 288-4248
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
" WHEELCHAIR ACCESSIBLE
21
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
MADISON COUNTY (cont.)
ORTHOPAEDIC SURGERY
(cont.)
Shepperson, Kyle, MD !"
Provider ID: 264226
Orthopedic & Sports Medicine C
4411 Alby St
Alton, IL 62002
(618) 474-8052
Ages Seen: 00 Yrs/99 Yrs
Saint Anthonys Health Center
FEBRUARY 2012
Noyes, Blakeslee, MD !
Provider ID: 236486
St Louis University
6820 State Rt 162
Maryville, IL 62062
(618) 288-5606
Ages Seen: 00 Yrs/18 Yrs
PSYCHIATRY
Arbaugh, Scott, MD !
Provider ID: T0102590000-09
1 Memorial Dr
Alton, IL 62002
(636) 695-4554
Ages Seen: 18 Yrs/99 Yrs
Alton Meml Hospital
Depaul Health Center
St Charles Cnty Recvy Center
Sola, James, MD !
Provider ID: 253190
Granite City Orthopedic Physic
2044 Madison Ave Ste 5
Granite City, IL 62040
Arbaugh, Scott, MD !
(618) 288-4248
Provider ID: T0102590000-10
Ages Seen: 00 Yrs/99 Yrs
1515 Main St
Anderson Hospital
Highland, IL 62249
Gateway Regional Med Center
(636) 695-4554
Ages Seen: 18 Yrs/99 Yrs
Sola, James, MD !"
Alton Meml Hospital
Provider ID: 253190
Depaul Health Center
Granite City Orthopedic Physic
St Charles Cnty Recvy Center
4802 S State Rt 159
Glen Carbon, IL 62034
Habib, Arif, MD !"
(618) 288-4248
Provider ID: T2256210000-02
Ages Seen: 00 Yrs/99 Yrs
2120 Madison Ave Ste 404
Anderson Hospital
Granite City, IL 62040
Gateway Regional Med Center
(618) 876-7515
Ages Seen: 18 Yrs/99 Yrs
Vest, Bruce, MD
Forest Park Hospital
Provider ID: 239041
Gateway Regl Medcl Center
Orthopedic & Sports Medicine C
St Alexius Hospital
4411 Alby St
Alton, IL 62002
Habib, Asif, Mbbc !"
(618) 474-8052
Provider ID: T2156170000-02
Ages Seen: 00 Yrs/99 Yrs
Language: Urdu
2120 Madison Ave Ste 404
PEDIATRIC PSYCHIATRY
Granite City, IL 62040
(618) 876-7515
Gundersen, Karl, MD !"
Ages Seen: 13 Yrs/99 Yrs
Provider ID: T2744230000-01
Forest Park Hospital
2120 Madison Ave Ste 405
Kindred Hospital
Granite City, IL 62040
St Johns Mercy
(618) 876-0653
Hospwashington Mo
Ages Seen: 06 Yrs/99 Yrs
Gateway Regl Medcl Center
Nigam, Sanjay, MD !"
Provider ID: T7299390000-05
PEDIATRIC PULMONOLOGY
Language: Punjabi, Urdu
16 Junction Dr W Ste 2
Albers, Gary, MD
Glen Carbon, IL 62034
Provider ID: 238093
(618) 659-8706
St Louis University
Ages Seen: 18 Yrs/99 Yrs
6820 State Rte 162
Anderson Hospital Maryville
Maryville, IL 62062
Greenville Regl Hospital
(618) 288-5606
Ages Seen: 00 Yrs/21 Yrs
Szatkowski, Sharon, Msn !"
Provider ID: T2713190000-05
16 Junction Dr W Ste 2
Glen Carbon, IL 62034
(618) 659-8706
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
Tilzer, Seth, MD !"
Provider ID: T0332070000-07
1 Memorial Dr
Alton, IL 62002
(618) 798-3012
Ages Seen: 13 Yrs/99 Yrs
Chrstn Hospital NE
Depaul Health Center
Gateway Regl Medcl Center
Edwardsvill
Tilzer, Seth, MD !
Provider ID: T0332070000-06
2100 Madison Ave
Granite City, IL 62040
(618) 798-3012
Ages Seen: 13 Yrs/99 Yrs
Chrstn Hospital NE
Depaul Health Center
Gateway Regl Medcl Center
Edwardsvill
PULMONARY DISEASE
Flury, Kirk, MD !"
Provider ID: 486483
St Louis University
2100 Madison Ave
Granite City, IL 62040
(618) 798-3400
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
THORACIC &
CARDIOVASCULAR
SURGERY
Ruiz, Victor, MD !
Provider ID: 337508
Granite City Clinic Corp
2044 Madison Ave Ste 27
Granite City, IL 62040
(618) 451-7600
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center
UROLOGY
Cho, Soo, MD "
Provider ID: 238255
Language: Korean
Soo I Cho
815 E Fifth St
STE403
Alton, IL 62002
(618) 462-2226
Ages Seen: 00 Yrs/99 Yrs
Saint Anthonys Health Center
Ernst, Joseph, MD !"
Provider ID: 493450
Language: Spanish
Granite City Clinic Corp
2120 Madison Ave Ste 201
Granite City, IL 62040
(618) 798-8410
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center
Shady, Trudy, MD !
Provider ID: 620009
Granite City Clinic Corp
MONROE COUNTY
2044 Madison Ave Ste 25
Granite City, IL 62040
BEHAVIORAL HEALTH
(618) 451-7600
FACILITY
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center St Elizabeths Hospital Bellville "
Provider ID: 203302
Memorial Hospital
St Elizabeth Hospital dba Bell
St Elizabeths Hospital Bellville
9538 Caring Way
Shady, Trudy, MD !
Columbia, IL 62236
Provider ID: 241787
(618) 234-2120
Southern Illinois Pulmonary Co
Ages Seen: 00 Yrs/99 Yrs
2044 Madison Ave Ste 25
Granite City, IL 62040
CARDIOLOGY
(618) 235-4883
Almousalli, Omar, MD
Ages Seen: 16 Yrs/99 Yrs
Provider ID: 301720
Gateway Regional Med Center
Advanced Heart Care
Memorial Hospital
9538 Caring Way Ste 205
St Elizabeths Hospital Bellville
Columbia, IL 62236
Shady, Trudy, MD !
(618) 628-8294
Provider ID: 241787
Ages Seen: 18 Yrs/99 Yrs
Southern Illinois Pulmonary Co
2246 State Rte 157 Ste 200
NEPHROLOGY
Glen Carbon, IL 62034
Seltzer, Jay, MD !"
(618) 235-4883
Provider ID: 545026
Ages Seen: 16 Yrs/99 Yrs
SSM Managed Care Organization
Gateway Regional Med Center
509 Hamacher St Ste 206
Memorial Hospital
Waterloo, IL 62298
St Elizabeths Hospital Bellville
(618) 939-9003
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
" WHEELCHAIR ACCESSIBLE
22
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
MONROE COUNTY (cont.)
NEUROLOGY
Dalal, Rashid, MD
Provider ID: 242875
Language: Gujarati
Rashid A Dalal MD
9538 Caring Way Ste 205
Columbia, IL 62236
(618) 239-9500
Ages Seen: 00 Yrs/99 Yrs
OBSTETRICS/
GYNECOLOGY
FEBRUARY 2012
OPTOMETRY
Bush, John, OD "
Provider ID: 469385
Eyecare Management
204 Bradford Ln
Waterloo, IL 62298
(618) 969-6163
Ages Seen: 00 Yrs/99 Yrs
Johnson, Troy, OD "
Provider ID: 589656
Eyecare Management
204 Bradford Ln
Waterloo, IL 62298
(618) 939-6163
Ages Seen: 00 Yrs/99 Yrs
Brennan, James, MD
Provider ID: 444947
SSM Managed Care Organization
509 Hamacher St
Waterloo, IL 62298
(618) 939-0575
Ages Seen: 00 Yrs/99 Yrs
Jones, Eric, OD "
Provider ID: 473518
Eyecare Management
204 S Bradford
Waterloo, IL 62298
(618) 939-6163
Ages Seen: 00 Yrs/99 Yrs
Brennan, Richard, MD
Provider ID: 443064
SSM Managed Care Organization
509 Hamacher St
Waterloo, IL 62298
(618) 939-0575
Ages Seen: 00 Yrs/99 Yrs
Lewis, Scott, OD "
Provider ID: 483735
Eyecare Management
204 Bradford Ln
Waterloo, IL 62298
(618) 939-6163
Ages Seen: 00 Yrs/99 Yrs
Skelly, Stephanie, MD !"
Provider ID: 242871
Red Bud Clinic Corp
723 Station Crossing
Waterloo, IL 62298
(618) 939-1551
Ages Seen: 12 Yrs/99 Yrs
Memorial Hospital
OPHTHALMOLOGY
Ferguson Jr, Homer, MD !"
Provider ID: 401360
Homer A Ferguson Jr MD
204 Bradford Ln
Waterloo, IL 62298
(618) 939-6163
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
Unwin, Donald, MD !"
Provider ID: 237126
Terrence G Klingele MD
204 Bradford Ln
Waterloo, IL 62298
(618) 939-6163
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
! BOARD CERTIFIED
PERRY COUNTY
DERMATOLOGY
Van Acker, Ted, DO !"
Provider ID: 247410
Southern Illinois Dermatology
111 W Main St
Du Quoin, IL 62832
(618) 542-2426
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
ENDOCRINOLOGY
DIABETES METABOLISM
Abedmahmoud, Issa, MD
Provider ID: 290233
Language: Arabic
Issa Abedmahmoud MD
900 N Washington
Du Quoin, IL 62832
(618) 542-2146
Ages Seen: 16 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
GENERAL DENTISTRY
Teel, Douglas, DMD
Provider ID: T110941-41
215 S Washington St
Du Quoin, IL 62832
(618) 542-3166
Ages Seen: 00 Yrs/99 Yrs
GENERAL SURGERY
CARDIOLOGY
Brewer, Robert, MD !"
Provider ID: 490617
Southern Illinois Medical Services
101 N Walnut St
Pinckneyville, IL 62274
(618) 357-2187
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Shah, Atul, MD "
Provider ID: 235177
Language: Hindi
Cardiology Consultants
211B S Burns Ave
Sparta, IL 62286
(618) 233-6044
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Clutts, David, MD !"
Provider ID: 238793
Language: French
Southern Illinois Medical Services
101 N Walnut St
Pinckneyville, IL 62274
(618) 357-2187
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Dressen, Frederick, DO !"
Provider ID: 443738
Southern Illinois Medical Services
101 N Walnut St
Pinckneyville, IL 62274
(618) 357-2187
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
Martin, Adrian, MD "
Provider ID: 401417
Language: French, German,
Italian, Romanian
Southern Illinois Medical Services
101 N Walnut St
Pinckneyville, IL 62274
(618) 357-2187
Ages Seen: 00 Yrs/99 Yrs
OPTOMETRY
Schwengel, Emily, OD "
Provider ID: 451710
Marion Eye Centers
821 S Washington St
Du Quoin, IL 62832
(618) 542-3812
Ages Seen: 00 Yrs/99 Yrs
RANDOLPH COUNTY
BEHAVIORAL HEALTH
COUNSELING
Jackson, Pamela, MSW "
Provider ID: T7313390000-04
10257 State Rte 3
Red Bud, IL 62278
(618) 282-6233
Ages Seen: 06 Yrs/99 Yrs
Jackson, Pamela, MSW "
Provider ID: T7313390000-05
104 Northtown Rd
Sparta, IL 62286
(618) 443-3045
Ages Seen: 06 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
23
CHIROPRACTIC
Dewilde, Jennifer, DC "
Provider ID: 375974
Dr Jennifer R Dewilde
930 W Market Ste 1
Red Bud, IL 62278
(618) 282-3900
Ages Seen: 00 Yrs/99 Yrs
DERMATOLOGY
Van Acker, Ted, DO !"
Provider ID: 247410
Southern Illinois Dermatology
1900 State St
Chester, IL 62233
(618) 826-4581
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
GASTROENTEROLOGY
Quader, Zafar, MD !
Provider ID: 349462
Language: Urdu
Zafar Quader MD
325 Spring St
Red Bud, IL 62278
(618) 443-2177
Ages Seen: 18 Yrs/99 Yrs
GENERAL DENTISTRY
Crisio, Raymond, DMD
Provider ID: T110734-29
305 Broad
Evansville, IL 62242
(618) 853-2215
Ages Seen: 00 Yrs/99 Yrs
GENERAL SURGERY
Khan, Chung, MD "#
Provider ID: 275627
Red Bud Clinic Corp
325 Spring St
Red Bud, IL 62278
(618) 282-8700
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
RANDOLPH COUNTY (cont.)
GENERAL SURGERY (cont.)
Khan, Chung, MD #
Provider ID: 275627
Red Bud Clinic Corp
415 W S Fourth St Ste C
Red Bud, IL 62278
(618) 282-8700
Ages Seen: 00 Yrs/99 Yrs
INTERNAL MEDICINE
Flury, Kirk, MD !"
Provider ID: 486483
St Louis University
325 Spring St
Red Bud, IL 62278
(618) 282-3831
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Quader, Zafar, MD
Provider ID: 349462
Language: Urdu
Zafar Quader MD
325 Spring St
Red Bud, IL 62278
(618) 443-2177
Ages Seen: 18 Yrs/99 Yrs
Shah, Atul, MD !"
Provider ID: 235177
Language: Hindi
Cardiology Consultants
211B S Burns Ave
Sparta, IL 62286
(618) 233-6044
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
OPHTHALMOLOGY
FEBRUARY 2012
OPTOMETRY
Bush, John, OD
Provider ID: 469385
Eyecare Management
210 S Main St
Red Bud, IL 62278
(618) 282-6226
Ages Seen: 00 Yrs/99 Yrs
Johnson, Troy, OD "
Provider ID: 589656
Eyecare Management
210 S Main
Red Bud, IL 62278
(618) 282-6226
Ages Seen: 00 Yrs/99 Yrs
Jones, Eric, OD "
Provider ID: 473518
Eyecare Management
210 S Main
Red Bud, IL 62278
(618) 282-6226
Ages Seen: 00 Yrs/99 Yrs
ORTHOPAEDIC SURGERY
Bassman, Donald, MD "#
Provider ID: 236684
Dr Donald R Bassman
1 Broadway Plz
Sparta, IL 62286
(618) 443-2177
Ages Seen: 00 Yrs/99 Yrs
Bassman, Donald, MD "#
Provider ID: 236684
Dr Donald R Bassman
325 Spring St
Second Fl
Red Bud, IL 62278
(314) 567-9400
Ages Seen: 00 Yrs/99 Yrs
PSYCHIATRY
Ferguson Jr, Homer, MD !"
Provider ID: 401360
Homer A Ferguson Jr MD
210 S Main St
Red Bud, IL 62278
(618) 282-6226
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
Gupta, Rajendra, MD !"
Provider ID: T1766410000-05
10257 State Rte 3
Red Bud, IL 62278
(618) 282-6233
Ages Seen: 06 Yrs/99 Yrs
Unwin, Donald, MD !"
Provider ID: 237126
Terrence G Klingele MD
210 S Main St
Red Bud, IL 62278
(618) 282-6226
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Flury, Kirk, MD !"
Provider ID: 486483
St Louis University
325 Spring St
Red Bud, IL 62278
(618) 282-3831
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
PULMONARY DISEASE
UROLOGY
Stokes III, Sam, MD !
Provider ID: 247423
Stokes Institute of Urology L
1900 State St
Chester, IL 62233
(618) 826-4581
Ages Seen: 03 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
SAINT CLAIR COUNTY
BEHAVIORAL HEALTH
COUNSELING
Georgen, Jeanette, MA "
Provider ID: T2731970000-03
111 Union Hill Rd
Fairview Heights, IL 62208
(618) 394-8952
Ages Seen: 00 Yrs/64 Yrs
Vinyard, John, MA "
Provider ID: T2265240000-08
1110 W Main St
Belleville, IL 62220
(618) 234-4123
Ages Seen: 06 Yrs/64 Yrs
BEHAVIORAL HEALTH
FACILITY
Saint Elizabeths Hospital "
Provider ID: T0017740000-01
Language: Filipino, French,
Hungarian, Italian
Provides Inpatient Services
211 S Third St
Belleville, IL 62220
(618) 234-2120
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville "
Provider ID: 203302
St Elizabeth Hospital dba Bell
736 N Jefferson
Mascoutah, IL 62258
(618) 234-2120
Ages Seen: 00 Yrs/99 Yrs
CARDIAC
ELECTROPHYSIOLOGY
McPike, James, MD !"
Provider ID: 472394
C A Group
4550 Memorial Dr Ste 320
Belleville, IL 62226
(618) 233-0833
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
CARDIOLOGY
Abdulnabi, Yousef, MD !"
Provider ID: 545175
Language: Arabic
Advanced Heart Care
100 Springfield Ct
O Fallon, IL 62269
(618) 222-8900
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
SSM Depaul Health Center
St Elizabeths Hospital Bellville
Abdulnabi, Yousef, MD !"
Provider ID: 527941
Language: Arabic
SSM Managed Care Organization
4600 Memorial Dr Ste W3
Belleville, IL 62226
(618) 222-8900
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville "
St Elizabeths Hospital Bellville
Provider ID: 203302
Abdulnabi, Yousef, MD !"
St Elizabeth Hospital dba Bell
Provider ID: 545175
180 S Lincoln
Language: Arabic
Belleville, IL 62220
Advanced Heart Care
(618) 234-2120
4600 Memorial Dr Ste W3
Ages Seen: 00 Yrs/99 Yrs
Belleville, IL 62226
St Elizabeths Hospital Bellville "
(618) 222-8900
Provider ID: 203302
Ages Seen: 00 Yrs/99 Yrs
St Elizabeth Hospital dba Bell
Memorial Hospital
211 S Third St
SSM Depaul Health Center
Belleville, IL 62220
St Elizabeths Hospital Bellville
(618) 234-8600
Abdulnabi, Yousef, MD !"
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 545175
St Elizabeths Hospital Bellville "
Language: Arabic
Provider ID: 203302
Advanced Heart Care
St Elizabeth Hospital dba Bell
739 N Jefferson St
2810 S Third St
Mascoutah, IL 62258
Belleville, IL 62223
(618) 222-8900
(618) 234-2120
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
SSM Depaul Health Center
St Elizabeths Hospital Bellville
" WHEELCHAIR ACCESSIBLE
24
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
SAINT CLAIR COUNTY (cont.)
CARDIOLOGY (cont.)
Al-Joundi, Bassam, MD "
Provider ID: 236222
Language: Arabic, Romanian,
Turkish
SSM Managed Care Organization
4600 Memorial Dr Ste W3
Belleville, IL 62226
(618) 222-8900
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Clare Health Center
St Louis University Hospital
Al-Joundi, Tammam, MD "
Provider ID: 235300
Language: Arabic, Turkish
SSM Managed Care Organization
4600 Memorial Dr Ste W3
Belleville, IL 62226
(618) 222-8900
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
St Louis University Hospital
Almousalli, Omar, MD
Provider ID: 301720
Advanced Heart Care
211 S Third St
Swansea, IL 62220
(618) 239-3356
Ages Seen: 18 Yrs/99 Yrs
Almousalli, Omar, MD
Provider ID: 301720
Advanced Heart Care
326 Fountains Pkwy
Fairview Heights, IL 62208
(618) 222-8900
Ages Seen: 18 Yrs/99 Yrs
Almousalli, Omar, MD
Provider ID: 301720
Advanced Heart Care
4500 Memorial Dr
Belleville, IL 62220
(618) 628-8294
Ages Seen: 18 Yrs/99 Yrs
Almousalli, Omar, MD "
Provider ID: 301720
Advanced Heart Care
4600 Memorial Dr Ste W3
Belleville, IL 62226
(618) 222-8900
Ages Seen: 18 Yrs/99 Yrs
Almousalli, Omar, MD
Provider ID: 301720
Advanced Heart Care
739 N Jefferson Ste 100
Mascoutah, IL 62258
(618) 628-8294
Ages Seen: 18 Yrs/99 Yrs
! BOARD CERTIFIED
FEBRUARY 2012
Assi, Nizar, MD "
Provider ID: 239266
SSM Managed Care Organization
4600 Memorial Dr Ste W3
Belleville, IL 62226
(618) 222-8900
Ages Seen: 12 Yrs/99 Yrs
SSM Depaul Health Center
St Louis University Hospital
Rao, Mallavarapu, MD "
Provider ID: 526425
Language: Gujarati
C A Group
4043 Mississippi Ave
East Saint Louis, IL 62206
(618) 332-6641
Ages Seen: 12 Yrs/99 Yrs
Memorial Hospital
Dincer, Bulent, MD "
Provider ID: 256717
C A Group
4550 Memorial Dr Ste 310
Belleville, IL 62226
(618) 257-6112
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Shah, Anil, MD !
Provider ID: 238761
Language: Gujarati, Hindi
Cardiology Consultants
211 S Third St
Belleville, IL 62222
(618) 233-6044
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Jacobs, Daryl, MD !
Provider ID: 250752
Cardiology Consultants
301 W Lincoln St
Belleville, IL 62220
(618) 233-6044
Ages Seen: 00 Yrs/99 Yrs
Lal, Roop, MD !"
Provider ID: 236567
Language: Hindi, Telugu
Cardiology Consultants
340 W Lincoln St
Belleville, IL 62220
(618) 233-0644
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Mattis, Henry, MD !"
Provider ID: 237612
Cardiology Consultants
340 W Lincoln Ste 400
Belleville, IL 62220
(618) 233-6044
Ages Seen: 12 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Nass, Omar, MD !"
Provider ID: 252205
Cardiology Consultants
340 W Lincoln Ste 400
Belleville, IL 62220
(618) 233-6044
Ages Seen: 18 Yrs/99 Yrs
Pathan, Amanullah, MD !"
Provider ID: 264772
Language: Sindhi, Urdu
Amanullah K Pathan MD
4600 Memorial Dr Ste 420
Belleville, IL 62226
(618) 239-3356
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Shah, Anil, MD !"
Provider ID: 238761
Language: Gujarati, Hindi
Cardiology Consultants
340 W Lincoln
Belleville, IL 62220
(618) 233-6044
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Shah, Atul, MD "
Provider ID: 235177
Language: Hindi
Cardiology Consultants
301 W Lincoln St
Belleville, IL 62220
(618) 233-6044
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Shah, Atul, MD "
Provider ID: 235177
Language: Hindi
Cardiology Consultants
340 W Lincoln St Ste 400
Belleville, IL 62220
(618) 233-6044
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Younis, Liwa, MD "
Provider ID: 236223
Language: Arabic, French
SSM Managed Care Organization
4600 Memorial Dr Ste W3
Belleville, IL 62226
(618) 222-8900
Ages Seen: 18 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
25
CARDIOVASCULAR
SURGERY
Jain, Sudhir, MD
Provider ID: 234623
Cardiology Consultants
301 W Lincoln St
Belleville, IL 62220
(618) 233-6044
Wallace, David, MD "
Provider ID: 235649
Cardiology Consultants
340 W Lincoln Ste 400
Belleville, IL 62220
(618) 233-6044
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
COMMUNITY MENTAL
HEALTH CENTER
Gateway Fdntn Caseyville
Center "
Provider ID: T4577740000-01
Provides Inpatient Services
600 W Lincoln Ave
Caseyville, IL 62232
(618) 345-3970
Ages Seen: 00 Yrs/99 Yrs
Gateway Foundation Belleville
Provider ID: T6006917570-01
7 N High St
Belleville, IL 62220
(618) 234-9002
Ages Seen: 00 Yrs/99 Yrs
DERMATOLOGY
Gregory, James, MD !"
Provider ID: 250841
St Louis University
510 Fullerton Rd
Belleville, IL 62226
(618) 233-7666
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Gregory, James, MD !"
Provider ID: 529792
Gregory & Associates Dermatolo
510 Fullerton Rd
Belleville, IL 62226
(618) 233-7666
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Journagan, Susan, MD
Provider ID: 506240
Gregory & Associates Dermatolo
1512 N Greenmount Rd Ste 300
O Fallon, IL 62269
(618) 631-5001
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
GASTROENTEROLOGY
ILLINOIS (cont.)
SAINT CLAIR COUNTY (cont.) Ahmed, Shakeel, MD !"
DERMATOLOGY (cont.)
Journagan, Susan, MD "
Provider ID: 411215
St Louis University
1512 N Greenmount Rd Ste 300
O Fallon, IL 62269
(618) 632-5001
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Journagan, Susan, MD "
Provider ID: 506240
Gregory & Associates Dermatolo
510 Fullerton Rd
Belleville, IL 62226
(618) 233-7666
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Journagan, Susan, MD "
Provider ID: 411215
St Louis University
510 Fullerton Rd
Swansea, IL 62226
(618) 233-7666
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Musick, Steven, MD !"
Provider ID: 252138
Musick Dermatology
4932 Benchmark Centre Dr
Swansea, IL 62226
(618) 628-2588
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
FAMILY PRACTICE
Khan, Jawad, MD !"
Provider ID: 280383
Language: Arabic, Hindi,
Punjabi, Urdu
Gateway Healthcare
8601 W Main St Ste 101
Belleville, IL 62223
(618) 398-6266
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
! BOARD CERTIFIED
Provider ID: 376240
Center For Gastrointestinal
5023 N Illinois St
Fairview Heights, IL 62208
(618) 239-0678
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Greenspan, Aaron, MD !"
Provider ID: 256734
M S A Alliance
4550 Memorial Dr Ste 350
Belleville, IL 62226
(618) 239-9690
Ages Seen: 18 Yrs/99 Yrs
GENERAL DENTISTRY
Crisio, Raymond, DMD
Provider ID: T110734-70
4933A Benchmark Centre Dr
Swansea, IL 62226
(618) 632-6100
Ages Seen: 00 Yrs/99 Yrs
Hand, Burl, DDS
Provider ID: T111331-40
1 Southgate Center
Freeburg, IL 62243
(618) 539-5519
Ages Seen: 00 Yrs/99 Yrs
GENERAL SURGERY
Aach, Douglas, MD !"
Provider ID: 237889
Lincoln Surgical Associates Lt
340 W Lincoln St Ste 500
Belleville, IL 62220
(618) 277-7400
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Aach, Douglas, MD !"
Provider ID: 237889
Lincoln Surgical Associates Lt
4500 Memorial Dr Ste 100
Belleville, IL 62226
(618) 277-4700
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Afuwape, Emmanuel, MD !
Provider ID: 239108
Granite City Clinic Corp
4601 State St Ste 240
E Saint Louis, IL 62205
(618) 274-4640
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center
Barnett, Kevin, MD !"
Provider ID: 244686
Lincoln Surgical Associates Lt
340 W Lincoln Ste 500
Belleville, IL 62220
(618) 277-7400
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Memorial Hospital
St Elizabeths Hospital Bellville
Kazi, Abdul, MD !"
Provider ID: 259619
Abdul W Kazi MD dba Abdul W
14 A Park Pl Ste A
Swansea, IL 62226
(618) 277-3332
Ages Seen: 18 Yrs/99 Yrs
Anderson Hospital
Memorial Hospital
St Elizabeths Hospital Bellville
Barnett, Kevin, MD !"
Provider ID: 244686
Lincoln Surgical Associates Lt
4550 Memorial Dr Ste 100
Belleville, IL 62226
(618) 277-7400
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Memorial Hospital
St Elizabeths Hospital Bellville
Smith, Craig, MD !"
Provider ID: 308890
Lincoln Surgical Associates Lt
340 W Licoln St Ste 500
Belleville, IL 62220
(618) 277-7400
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Clanahan, James, MD !"
Provider ID: 250814
Lincoln Surgical Associates Lt
340 W Lincoln St Ste 500
Belleville, IL 62220
(618) 277-7400
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Clanahan, James, MD !"
Provider ID: 250814
Lincoln Surgical Associates Lt
4550 Memorial Dr Ste 100
Belleville, IL 62226
(618) 277-7400
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Crouch, Donald, MD !"
Provider ID: 236921
Lincoln Surgical Associates Lt
340 W Lincoln St Ste 500
Belleville, IL 62220
(618) 277-7400
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Crouch, Donald, MD !"
Provider ID: 236921
Lincoln Surgical Associates Lt
4550 Memorial Dr Ste 100
Belleville, IL 62226
(618) 277-7400
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
" WHEELCHAIR ACCESSIBLE
26
Smith, Craig, MD !"
Provider ID: 308890
Lincoln Surgical Associates Lt
4550 Memorial Dr Ste 100
Belleville, IL 62226
(618) 277-7400
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Szopa, Bernard, MD !"
Provider ID: 317808
Lincoln Surgical Associates Lt
340 W Lincoln St Ste 500
Belleville, IL 62220
(618) 277-7400
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Szopa, Bernard, MD !"
Provider ID: 317808
Lincoln Surgical Associates Lt
4550 Memorial Dr Ste 100
Belleville, IL 62226
(617) 277-7400
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
GYNECOLOGY
Mueller, Stephen, MD "
Provider ID: 236093
Southern Illinois Health Care Assoc
180 S Third St Ste 200
Belleville, IL 62220
(618) 233-0017
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
SAINT CLAIR COUNTY (cont.)
INFECTIOUS DISEASE
Badahman, Omer, MD !"
Provider ID: 257204
Omer Badahman MD
1178 Preswyck Dr
Swansea, IL 62221
(618) 476-9399
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
Badahman, Omer, MD !
Provider ID: 257204
Omer Badahman MD
4550 Memorial Dr
STE480
Belleville, IL 62226
(618) 222-5999
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
Badahman, Omer, MD !"
Provider ID: 257204
Omer Badahman MD
5900 Bond Ave
E Saint Louis, IL 62207
(618) 332-5445
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
INTERNAL MEDICINE
Abdulnabi, Yousef, MD "
Provider ID: 545175
Language: Arabic
Advanced Heart Care
100 Springfield Ct
O Fallon, IL 62269
(618) 222-8900
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
SSM Depaul Health Center
St Elizabeths Hospital Bellville
Abdulnabi, Yousef, MD "
Provider ID: 545175
Language: Arabic
Advanced Heart Care
4600 Memorial Dr Ste W3
Belleville, IL 62226
(618) 222-8900
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
SSM Depaul Health Center
St Elizabeths Hospital Bellville
FEBRUARY 2012
Abdulnabi, Yousef, MD "
Provider ID: 545175
Language: Arabic
Advanced Heart Care
739 N Jefferson St
Mascoutah, IL 62258
(618) 222-8900
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
SSM Depaul Health Center
St Elizabeths Hospital Bellville
Dincer, Bulent, MD "
Provider ID: 256717
C A Group
4550 Memorial Dr Ste 310
Belleville, IL 62226
(618) 257-6112
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Amari, Wassila, MD !"
Provider ID: 524282
M S A Alliance
800 E Hwy 50
O Fallon, IL 62269
(618) 257-6829
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
Martinez-Barrios,
Eduardo, MD !"
Provider ID: 320813
M S A Alliance
4600 Memorial Dr Ste 120
Swansea, IL 62226
(618) 233-2220
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Awad, Omar, MD !"
Provider ID: 402915
M S A Alliance
4600 Memorial Dr Ste 120
Belleville, IL 62226
(618) 223-2220
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Mattis, Henry, MD "
Provider ID: 237612
Cardiology Consultants
340 W Lincoln Ste 400
Belleville, IL 62220
(618) 233-6044
Ages Seen: 12 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Beg, Humayun, MD !"
Provider ID: 414376
Language: Urdu
M S A Alliance
4600 Memorial Dr Ste 440
Belleville, IL 62226
(618) 233-8401
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
McPike, James, MD "
Provider ID: 472394
C A Group
4550 Memorial Dr Ste 320
Belleville, IL 62226
(618) 233-0833
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Bhutto, Kashif, MD !"
Provider ID: 402918
M S A Alliance
4600 Memorial Dr Ste 120
Belleville, IL 62226
(618) 233-2220
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Nisar, Abid, MD !"
Provider ID: 256592
Abid Nisar; MD
1151 Camp Jackson Rd
East Saint Louis, IL 62206
(618) 332-0900
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
Chiu, Regina, MD !"
Provider ID: 437333
Cardiology Consultants
340 W Lincoln Ste 400
Belleville, IL 62220
(618) 233-6044
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Rao, Mallavarapu, MD !"
Provider ID: 526425
Language: Gujarati
C A Group
4043 Mississippi Ave
East Saint Louis, IL 62206
(618) 332-6641
Ages Seen: 12 Yrs/99 Yrs
Memorial Hospital
Dejong, Marc, MD !"
Provider ID: 402962
O A Associates
4550 Memorial Dr Ste G100
Belleville, IL 62226
(618) 236-2246
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
! BOARD CERTIFIED
" WHEELCHAIR ACCESSIBLE
27
Shah, Anil, MD !
Provider ID: 238761
Language: Gujarati, Hindi
Cardiology Consultants
211 S Third St
Belleville, IL 62222
(618) 233-6044
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Shah, Anil, MD !"
Provider ID: 238761
Language: Gujarati, Hindi
Cardiology Consultants
340 W Lincoln
Belleville, IL 62220
(618) 233-6044
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Shah, Atul, MD !"
Provider ID: 235177
Language: Hindi
Cardiology Consultants
301 W Lincoln St
Belleville, IL 62220
(618) 233-6044
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Shah, Atul, MD !"
Provider ID: 235177
Language: Hindi
Cardiology Consultants
340 W Lincoln St Ste 400
Belleville, IL 62220
(618) 233-6044
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Stewart, Janiece, MD !"
Provider ID: 381904
Hshs Medical Group
180 S Third St Ste 100
Belleville, IL 62220
(618) 641-5800
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
St Louis University Hospital
Stewart, Janiece, MD !
Provider ID: 381904
Hshs Medical Group
301 W Lincoln Ste 210
Belleville, IL 62220
(618) 641-5800
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
NEUROLOGY
ILLINOIS (cont.)
SAINT CLAIR COUNTY (cont.) Barta, Charisse, MD #
NEONATAL PERINATAL
MEDICINE
Al-Hosni, Mohamad, MD !
Provider ID: 252023
St Louis University
6000 Bond Ave
East Saint Louis, IL 62207
(618) 332-2740
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Spence, Kimberly, MD !
Provider ID: 368896
St Louis University
4500 Memorial Dr
Belleville, IL 62226
(618) 233-7750
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
NEPHROLOGY
Provider ID: 238746
Ronald G Welch MD
333 S Illinois St Ste B
Belleville, IL 62220
(618) 235-3378
Memorial Hospital
St Elizabeths Hospital Bellville
Burger, Stephen, MD #
Provider ID: 236068
Language: German
Ronald G Welch MD
333 S Illinois St Ste B
Belleville, IL 62220
(618) 235-3378
Ages Seen: 12 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Callison, Richard, MD !
Provider ID: 547536
St Louis University
6000 Bond Ave
East Saint Louis, IL 62207
(618) 332-2740
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Bashiruddin, Ifath, MD "
Provider ID: 270389
Ifath G Bashiruddin MD
4550 Memorial Dr
Center One Ste 410
Dalal, Rashid, MD "
Belleville, IL 62226
Provider ID: 242875
(618) 234-8246
Language: Gujarati
Ages Seen: 00 Yrs/99 Yrs
Rashid A Dalal MD
Gateway Regional Med Center
4550 Memorial Dr Ste 480
Belleville, IL 62226
Hu, Ruo-Qi, MD "
(618) 239-9500
Provider ID: 423844
Ages Seen: 00 Yrs/99 Yrs
Language: Chinese
M S A Alliance
4550 Memorial Dr Ste 410
Belleville, IL 62226
(618) 234-8246
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Rose, Donald, MD !"
Provider ID: 389541
David Rose MD
5105 W Main
Belleville, IL 62226
(618) 233-0798
Ages Seen: 16 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Wendland, Marcia, MD !"
Provider ID: 406898
David Rose; MD LTD
5105 W Main St
Belleville, IL 62226
(618) 233-0798
Ages Seen: 16 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
! BOARD CERTIFIED
Dalal, Rashid, MD "
Provider ID: 242875
Language: Gujarati
Rashid A Dalal MD
5900 Bond Ave Ste 123
East Saint Louis, IL 62207
(618) 239-9500
Ages Seen: 00 Yrs/99 Yrs
Geller, Thomas, MD
Provider ID: 236026
St Louis University
6000 Bond Ave
East Saint Louis, IL 62207
(618) 332-2740
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Jafri, Ahmed, MD !"
Provider ID: 593579
Language: Hindi, Urdu
M S A Alliance
4550 Memorial Dr Ste 480
Belleville, IL 62226
(618) 234-4531
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
NEUROSURGERY
Poulos, Nicholas, MD !"
Provider ID: 565181
Language: Greek
Hshs Medical Group
340 W Lincoln Ste 540
Belleville, IL 62222
(618) 234-2120
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Yazdi, Joseph, MD !"
Provider ID: 571416
Hshs Medical Group
301 W Lincoln St
Belleville, IL 62220
(618) 641-1341
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
OBSTETRICS/
GYNECOLOGY
Boyd, Emily, MD !"
Provider ID: 527081
Grace Womens Healthcare
180 S Third St Ste 200
Belleville, IL 62220
(618) 233-0017
Ages Seen: 14 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Bray, Kenneth, MD !"
Provider ID: 235101
OB Practice
4600 Memorial Dr Ste 400
Belleville, IL 62226
(618) 234-2390
Ages Seen: 12 Yrs/99 Yrs
Memorial Hospital
Herrmann, Michael, MD !"
Provider ID: 238547
Michael E Hermann
2900 Frank Scott Pkwy W Ste 966
Belleville, IL 62223
(618) 235-8600
Ages Seen: 11 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Hucker, John, MD "
Provider ID: 236319
Midwest Woman’s Care
340 W Lincoln St Ste 560
Belleville, IL 62220
(618) 355-7745
Ages Seen: 12 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Kelsey, Sekou, MD !"
Provider ID: 373454
OB Practice
4600 Memorial Dr Ste 400
Belleville, IL 62226
(618) 234-2390
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
Mathus, Steven, MD !"
Provider ID: 528663
Grace Womens Healthcare
180 S Third St Ste 200
Belleville, IL 62220
(618) 233-0017
Ages Seen: 14 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Merritt, Melvin, MD !"
Provider ID: 592924
OB Practice
4600 Memorial Dr Ste 400
Belleville, IL 62226
Calong, Rosel, MD "
(618) 234-2390
Provider ID: 238802
Ages Seen: 00 Yrs/99 Yrs
Southern Illinois Health Care Assoc
Memorial Hospital
800 E Hwy 50
O Fallon, IL 62269
Midkiff, Christina, MD !
(618) 632-3518
Provider ID: 253075
Ages Seen: 00 Yrs/99 Yrs
Christina L Midkiff MD SC
St Elizabeths Hospital Bellville
734 Cambridge Blvd
O Fallon, IL 62269
Chadwick, William, MD !"
(618) 288-7408
Provider ID: 235045
Ages Seen: 00 Yrs/99 Yrs
OB Practice
Saint Elizabeth Hospital
4600 Memorial Dr Ste 400
St Elizabeths Hospital Bellville
Belleville, IL 62226
(618) 234-2390
Mueller, Stephen, MD !"
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 534784
Memorial Hospital
Grace Womens Healthcare
180 S Third 200 Ste 200
Eisenberg, David, MD
Belleville, IL 62220
Provider ID: 584543
(618) 233-0017
Language: Spanish
Ages Seen: 00 Yrs/99 Yrs
Planned Parenthood of The St L
Memorial Hospital
4529 N Illinois
St Elizabeths Hospital Bellville
Belleville, IL 62226
(618) 277-6668
Ages Seen: 18 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
28
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
SAINT CLAIR COUNTY (cont.)
OBSTETRICS/
GYNECOLOGY (cont.)
FEBRUARY 2012
Song, Hee, MD
Provider ID: 234407
Language: Korean
S IL Regional Wellness Center
540 N Sixth St
Sauget, IL 62201
(618) 874-3120
Ages Seen: 00 Yrs/99 Yrs
Mueller, Stephen, MD "
Provider ID: 236093
Southern Illinois Health Care Assoc
Tissier, Bradley, MD "#
180 S Third St Ste 200
Provider ID: 236900
Belleville, IL 62220
OB/GYN
Care
(618) 233-0017
1512 N Green Mount Rd Ste 107
Ages Seen: 00 Yrs/99 Yrs
O Fallon, IL 62269
Memorial Hospital
(618) 628-1717
St Elizabeths Hospital Bellville
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
Mussemann, Frank, MD !"
St Elizabeths Hospital Bellville
Provider ID: 521676
Grace Womens Healthcare
OPHTHALMOLOGY
180 S Third St Ste 200
Belleville, IL 62220
Chen, Wen, MD !"
(618) 233-0017
Provider ID: 24328
Ages Seen: 12 Yrs/99 Yrs
Terrence G Klingele MD
Memorial Hospital
3990 N Illinois St
St Elizabeths Hospital Bellville
Belleville, IL 62226
(618) 277-1130
Mussemann, Helen, MD !"
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 534369
Anderson Hospital
Grace Womens Healthcare
Saint Anthonys Health Center
180 S Third St Ste 200
Belleville, IL 62220
Doisey, Edward, MD !"
(618) 233-0017
Provider ID: 567033
Ages Seen: 12 Yrs/99 Yrs
Terrence
G Klingele MD
Memorial Hospital
3990 N Illinois St
St Elizabeths Hospital Bellville
Belleville, IL 62226
(618) 277-1130
Owens, Markel, MD "
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 546188
Anderson Hospital
SSM Managed Care Organization
Gateway Regional Med Center
734 Cambridge Blvd Ste 200
O Fallon, IL 62269
Edelstein, Sean, MD !"
(618) 622-6196
Provider ID: 549300
Ages Seen: 00 Yrs/99 Yrs
Terrence G Klingele MD
Anderson Hospital
111 W Lincoln St
SSM St Marys Health Center
Belleville, IL 62220
(618) 234-1774
Shumway, Joseph, MD !"
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 544129
St Louis University Hospital
Hshs Medical Group
211 S Third St
Edelstein, Sean, MD !"
Fourth Fl
Provider ID: 549300
Belleville, IL 62220
Terrence G Klingele MD
(618) 641-5807
3990 N Illinois St
Ages Seen: 00 Yrs/99 Yrs
Belleville, IL 62226
St Elizabeths Hospital Bellville
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
Song, Hee, MD "
St Louis University Hospital
Provider ID: 234407
Language: Korean
Ferguson Jr, Homer, MD !"
S IL Regional Wellness Center
Provider ID: 401360
100 N Eighth St Ste 238
Homer A Ferguson Jr MD
E Saint Louis, IL 62201
3990 North Illinois St
(618) 874-3120
Belleville, IL 62226
Ages Seen: 00 Yrs/99 Yrs
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
! BOARD CERTIFIED
Fleming, Thomas, MD !"
Provider ID: 397114
Language: Spanish
Illinois Retina Surgery
3990 N Illinois
Swansea, IL 62226
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Green, Kenneth, MD !"
Provider ID: 23962
Terrence G Klingele MD
111 W Lincoln St
Belleville, IL 62220
(618) 234-1774
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Jones, Bart, MD !"
Provider ID: 398577
Terrence G Klingele MD
111 W Lincoln St
Belleville, IL 62261
(618) 234-7979
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Jones, Bart, MD !"
Provider ID: 398577
Terrence G Klingele MD
3990 N Illinois
Belleville, IL 62220
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Jones, Michael, MD "
Provider ID: 401553
Terrence G Klingele MD
3990 N Illinois
Belleville, IL 62226
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Klingele, Terence, MD !"
Provider ID: 401338
Terrence G Klingele MD
111 West Lincoln St
Belleville, IL 62226
(618) 234-1774
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Klingele, Terence, MD !"
Provider ID: 401338
Terrence G Klingele MD
3990 N Illinois
Swansea, IL 62226
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
" WHEELCHAIR ACCESSIBLE
29
Maher, Jeffrey, MD !"
Provider ID: 418745
Terrence G Klingele MD
3990 N Illinos
Swansea, IL 62226
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Peralta, Enrique, MD "
Provider ID: 337507
Language: French
SSM Managed Care Organization
6575 N Illinois St
Fairview Heights, IL 62208
(314) 878-2222
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Safi, Malaz, MD "
Provider ID: 237949
SSM Managed Care Organization
5900 Bond Ave
East Saint Louis, IL 62207
(314) 664-1158
Ages Seen: 00 Yrs/99 Yrs
Unwin, Donald, MD !"
Provider ID: 237126
Terrence G Klingele MD
111 W Lincoln St
Belleville, IL 62220
(618) 398-9660
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Unwin, Donald, MD !"
Provider ID: 237126
Terrence G Klingele MD
3990 N Illinois St
Belleville, IL 62226
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Waltman, Stephen, MD !"
Provider ID: 238815
Terrence G Klingele MD
111 W Lincoln St
Belleville, IL 62220
(618) 234-1774
Ages Seen: 00 Yrs/99 Yrs
OPTOMETRY
Bush, John, OD "
Provider ID: 469385
Eyecare Management
3990 N Illinois
Swansea, IL 62226
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
ORTHOPAEDIC SURGERY
ILLINOIS (cont.)
SAINT CLAIR COUNTY (cont.) Bassman, Donald, MD "#
OPTOMETRY (cont.)
Johnson, Jeffery, OD "
Provider ID: 563909
Eyecare Management
3990 N Illinois St
Belleville, IL 62226
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
Johnson, Thomas, OD "
Provider ID: 611117
3 F Vision dba Clarkson Eyecar
10 Lincoln Hwy Ste 101
Fairview Heights, IL 62208
(618) 624-0222
Ages Seen: 00 Yrs/99 Yrs
Johnson, Troy, OD "
Provider ID: 589656
Eyecare Management
111 W Lincoln
Belleville, IL 62226
(618) 234-1774
Ages Seen: 00 Yrs/99 Yrs
Johnson, Troy, OD "
Provider ID: 589656
Eyecare Management
3990 N Illinois St
Swansea, IL 62226
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
Jones, Eric, OD "
Provider ID: 473518
Eyecare Management
3990 N Illinois
Belleville, IL 62226
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
Meier, Gary, OD "
Provider ID: 540862
Eyecare Management
3990 N Illinois
Belleville, IL 62226
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
Rivera, Kathleen, OD "
Provider ID: 473566
Eyecare Management
3990 N IL St
Belleville, IL 62226
(618) 277-1130
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
Provider ID: 236684
Dr Donald R Bassman
317 Salem Pl
Fairview Heights, IL 62208
(618) 632-3343
Ages Seen: 00 Yrs/99 Yrs
Johnston, Donald, DO !"
Provider ID: 634084
Hshs Medical Group
180 S Third St Ste 100
Belleville, IL 62220
(618) 641-5800
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Meyer, Thomas, MD !"
Provider ID: 545566
Hshs Medical Group
180 S Third St Ste 100
Belleville, IL 62220
(618) 641-5800
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Rushford, James, DO !"
Provider ID: 466949
Hshs Medical Group
180 S Third St Ste 100
Belleville, IL 62220
(618) 641-5800
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
PAIN MANAGEMENT
Naseer, Kristina, MD !"
Provider ID: 632148
Hshs Medical Group
340 W Lincoln Ste 200
Belleville, IL 62220
(618) 234-2120
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
PEDIATRIC PULMONOLOGY
Albers, Gary, MD
Provider ID: 238093
St Louis University
6000 Bond Ave
East Saint Louis, IL 62207
(618) 332-2740
Ages Seen: 00 Yrs/21 Yrs
Noyes, Blakeslee, MD !
Provider ID: 236486
St Louis University
6000 Bond Ave
East Saint Louis, IL 62207
(618) 332-2740
Ages Seen: 00 Yrs/18 Yrs
PEDIATRICS
Gupta, Salil, MD "
Provider ID: 562105
Hshs Medical Group
211 S Third St
Belleville, IL 62220
(618) 234-2120
Ages Seen: 00 Yrs/21 Yrs
St Elizabeths Hospital Bellville
St Louis University Hospital
PHYSICAL MEDICINE &
REHABILITATION
Khan, Anwar, MD !"
Provider ID: 259401
Anwar A Khan MD
4010 N Illinois
Belleville, IL 62226
(618) 235-6867
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Memorial Hospital
St Elizabeths Hospital Bellville
Khattak, Hafiz, MD "
Provider ID: 450764
Gateway Healthcare
8601 West Main 101
Belleville, IL 62223
(618) 398-6266
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
SSM St Joseph Hospital West
St Elizabeths Hospital Bellville
Ravi, Latha, MD "
Provider ID: 254997
180 S Third St Ste 102
Belleville, IL 62220
(619) 235-2511
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
PLASTIC &
RECONSTRUCTIVE
SURGERY
Camp, Linda, MD !"
Provider ID: 570086
Hshs Medical Group
2900 Frank Scott Pkwy W Ste 970
Belleville, IL 62223
(618) 235-8500
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Geisler Wang, Dawn, MD "
Provider ID: 467473
M S A Alliance
4600 Memorial Dr Ste 320
Belleville, IL 62226
(618) 257-2100
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
" WHEELCHAIR ACCESSIBLE
30
Haymes Jr, David, MD !"
Provider ID: 564671
Hshs Medical Group
2900 Frank Scott Pkwy W Ste 970
Belleville, IL 62223
(618) 235-8500
Ages Seen: 0 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Hehmann, Richard, MD !"
Provider ID: 238171
M S A Alliance
4600 Memorial Dr Ste 320
Belleville, IL 62226
(618) 257-2100
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Librach, Stanley, MD #
Provider ID: 236672
SSM Managed Care Organization
105-5 Regency Park
O Fallon, IL 62269
(618) 632-7666
Ages Seen: 00 Yrs/99 Yrs
Librach, Stanley, MD #
Provider ID: 236672
SSM Managed Care Organization
5900 Bond Ave
East Saint Louis, IL 62207
(618) 332-5475
Ages Seen: 00 Yrs/99 Yrs
Reid, David, MD !"
Provider ID: 563185
Hshs Medical Group
2900 Frank Scott Pkwy W
Belleville, IL 62223
(618) 235-8500
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
PODIATRY
Boberg, Jeffrey, DPM !"
Provider ID: 306390
Ankle & Foot Surgeons of The M
180 S Third St Ste 103
Belleville, IL 62220
(618) 236-7444
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
SSM Depaul Health Center
St Elizabeths Hospital Bellville
Claxton, Matthew, DPM
Provider ID: 405022
Ankle & Foot Surgeons of The M
180 S Third St Ste 103
Belleville, IL 62220
(618) 236-7444
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
SAINT CLAIR COUNTY (cont.)
PSYCHIATRY
Chalfant, Jeffery, DO !
Provider ID: T3544480000-12
2900 Frank Scott Pkwy W Ste 990
Belleville, IL 62223
(618) 236-6501
Ages Seen: 18 Yrs/99 Yrs
Chalfant, Jeffery, DO !
Provider ID: T3544480000-06
310 N 7 Hills Rd
O Fallon, IL 62269
(618) 236-6507
Ages Seen: 18 Yrs/99 Yrs
Chalfant, Jeffery, DO !
Provider ID: T3544480000-09
4600 Memorial Dr Ste 325
Belleville, IL 62226
(618) 236-6501
Ages Seen: 18 Yrs/99 Yrs
Chalfant, Jeffery, DO !"
Provider ID: T3544480000-05
4600 Memorial Dr Ste 328
Belleville, IL 62226
(618) 236-6507
Ages Seen: 18 Yrs/99 Yrs
Fournier II, Warren, MD !"
Provider ID: T8348130000-01
Language: French
4600 Memorial Dr Ste 328
Belleville, IL 62226
(618) 236-6507
Ages Seen: 18 Yrs/99 Yrs
PULMONARY DISEASE
Awad, Omar, MD !"
Provider ID: 402915
M S A Alliance
4600 Memorial Dr Ste 120
Belleville, IL 62226
(618) 223-2220
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Bhutto, Kashif, MD !"
Provider ID: 402918
M S A Alliance
4600 Memorial Dr Ste 120
Belleville, IL 62226
(618) 233-2220
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
! BOARD CERTIFIED
FEBRUARY 2012
Dothager, Douglas, MD !"
Provider ID: 255079
M S A Alliance
340 W Lincoln St Ste 300
Belleville, IL 62220
(618) 233-2220
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Dothager, Douglas, MD !
Provider ID: 255079
M S A Alliance
4600 Memorial Dr Ste 120
Belleville, IL 62226
(618) 233-2220
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Jamous, Abdulsalam, MD !"
Provider ID: 475144
Language: Arabic
M S A Alliance
4600 Memorial Dr Ste 120
Belleville, IL 62226
(618) 233-2220
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Martinez-Barrios,
Eduardo, MD "
Provider ID: 320813
M S A Alliance
4600 Memorial Dr Ste 120
Swansea, IL 62226
(618) 233-2220
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Mohan, Ventrapragada, MD "
Provider ID: 237467
Southern Illinois Pulmonary Co
340 W Lincoln St Ste 300
Belleville, IL 62220
(618) 235-4883
Ages Seen: 16 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Rizvi, Syed, MD !"
Provider ID: 384592
Language: Urdu
Southern Illinois Pulmonary Co
340 W Lincoln Ste 300
Belleville, IL 62220
(618) 235-4883
Ages Seen: 16 Yrs/99 Yrs
MacNeal Hospital
Memorial Hospital
St Elizabeths Hospital Bellville
Shady, Trudy, MD !"
Beg, Humayun, MD !"
Provider ID: 241787
Provider ID: 414376
Language: Urdu
Southern Illinois Pulmonary Co
340 W Lincoln St Ste 300
M S A Alliance
Belleville, IL 62220
4600 Memorial Dr Ste 440
Belleville, IL 62226
(618) 235-4883
Ages Seen: 16 Yrs/99 Yrs
(618) 233-8401
Gateway Regional Med Center
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
Memorial Hospital
St Elizabeths Hospital Bellville
SPORTS MEDICINE
Sudholt, Barbara, MD "
Dejong, Marc, MD !"
Provider ID: 235930
Provider ID: 402962
Southern Illinois Pulmonary Co
O A Associates
340 W Lincoln St Ste 300
4550 Memorial Dr Ste G100
Belleville, IL 62220
Belleville, IL 62226
(618) 235-4883
(618) 236-2246
Ages Seen: 16 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center
Memorial Hospital
Memorial Hospital
St Elizabeths Hospital Bellville
Radwan, Ahmed, MD !"
Provider ID: 436126
Vest, James, MD !
Language: Arabic
Provider ID: 251981
St Elizabeth Hospital dba Bell
M S A Alliance
301 West Lincoln Ste 210
4600 Memorial Dr Ste 120
Belleville, IL 62220
Belleville, IL 62226
(618) 641-5800
(618) 233-2220
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
Memorial Hospital
St Elizabeths Hospital Bellville
Smithers, Jeffrey, MD !"
Provider ID: 474348
Vest, James, MD !"
O A Associates
Provider ID: 551698
4550 Memorial Dr Ste G100
Associates
Belleville, IL 62226
4600 Memorial Dr Ste 120
(618) 236-2246
Belleville, IL 62226
Ages Seen: 00 Yrs/99 Yrs
(618) 233-2220
Memorial Hospital
Ages Seen: 00 Yrs/99 Yrs
Vest, James, MD
Provider ID: 236011
Touchette Comm Med Arts
5900 Bond Ave
E Saint Louis, IL 62207
(618) 332-3060
Memorial Hospital
St Elizabeths Hospital Bellville
Vest, James, MD !"
Provider ID: 251981
M S A Alliance
5900 Bond Ave
E Saint Louis, IL 62207
(618) 332-3060
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
RHEUMATOLOGY
Amari, Wassila, MD "
Provider ID: 524282
M S A Alliance
800 E Hwy 50
O Fallon, IL 62269
(618) 257-6829
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
" WHEELCHAIR ACCESSIBLE
31
Stewart, Janiece, MD !"
Provider ID: 381904
Hshs Medical Group
180 S Third St Ste 100
Belleville, IL 62220
(618) 641-5800
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
St Louis University Hospital
Stewart, Janiece, MD !
Provider ID: 381904
Hshs Medical Group
301 W Lincoln Ste 210
Belleville, IL 62220
(618) 641-5800
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
St Louis University Hospital
Wadsworth, Larkin, MD !"
Provider ID: 371787
Hshs Medical Group
180 S Third St Ste 100
Belleville, IL 62220
(618) 641-5800
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
SAINT CLAIR COUNTY (cont.)
SPORTS MEDICINE (cont.)
Wadsworth, Larkin, MD !"
Provider ID: 371787
Hshs Medical Group
301 W Lincoln St Ste 120
Belleville, IL 62220
(618) 641-5800
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
THORACIC &
CARDIOVASCULAR
SURGERY
Daily, Bill, MD !"
Provider ID: 337622
Cardiothoracic Surgery Assoc
9 Park Pl
Belleville, IL 62226
(618) 233-5722
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Lee, Winnie, MD !"
Provider ID: 365068
Cardiothoracic Surgery Assoc
9 Park Pl
Swansea, IL 62226
(618) 233-5722
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
Memorial Hospital
St Elizabeths Hospital Bellville
Sadoff, John, MD !"
Provider ID: 290592
Cardiothoracic Surgery Assoc
9 Park Pl
Belleville, IL 62226
(618) 233-5722
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
UROLOGY
Arett, Christopher, MD "
Provider ID: 559735
M S A Alliance
4550 Memorial Dr Ste 280
Belleville, IL 62226
(618) 641-5803
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
! BOARD CERTIFIED
FEBRUARY 2012
Doshi, Rajen, MD !"
Provider ID: 326998
Language: Gujarati
M S A Alliance
4550 Memorial Dr Ste 280
Belleville, IL 62226
(618) 277-3109
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Psihramis, Kostantinos, MD "
Provider ID: 425231
Hshs Medical Group
301 W Lincoln St
Belleville, IL 62220
(618) 641-5803
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Stanczyk, Dennis, MD !"
Provider ID: 275215
M S A Alliance
301 W Lincoln St Ste 57
Belleville, IL 62220
(618) 233-2603
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
VASCULAR SURGERY
Callison, Richard, MD
Provider ID: 547536
St Louis University
6000 Bond Ave
East Saint Louis, IL 62207
(618) 332-2740
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Finlay, David, MD "
Provider ID: 253501
David J Finlay MD
311 W Lincoln Ste 200
Swansea, IL 62220
(618) 233-2500
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Lee, Robert, MD !"
Provider ID: 438806
Vascular and Hand Surgery
311 W Lincoln Ste 200
Belleville, IL 62220
(618) 233-2500
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Moosa, Hans, MD "
Madhani, Parag, MD "
Provider ID: 238380
Provider ID: 423309
Southern Illinois Health Care Assoc
River To River Heart Group
311 W Lincoln St Ste 200
117 E Clark St
Belleville, IL 62220
Harrisburg, IL 62946
(618) 233-2500
(618) 252-8625
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
Heartland Regional Medical
St Elizabeths Hospital Bellville
Center
Moosa, Hans, MD !"
Provider ID: 364460
M S A Alliance
4550 Memorial Dr Ste 480
Belleville, IL 62226
(618) 233-2506
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Parham, Walter, MD !"
Provider ID: 445901
River To River Heart Group
117 E Clark St
Harrisburg, IL 62946
(618) 252-8625
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
St Louis University Hospital
Prieb, Kosit, MD "
Provider ID: 234395
INTERNAL MEDICINE
Language: Thai
Southern Illinois Health Care Assoc Dickler, Andrew, MD !"
Provider ID: 454733
311 W Lincoln St Ste 200
River To River Heart Group
Belleville, IL 62220
117 E Clark St
(618) 233-2500
Harrisburg, IL 62946
Ages Seen: 00 Yrs/99 Yrs
(618) 252-8625
Anderson Hospital
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
Heartland Regional Medical
St Elizabeths Hospital Bellville
Center
SSM St Joseph Health Center
SALINE COUNTY
BEHAVIORAL HEALTH
COUNSELING
Floyd Kennett, Elana, MSW "
Provider ID: T6005094800-01
1007 US Hwy 45 N
Eldorado, IL 62930
(618) 273-7723
Ages Seen: 18 Yrs/99 Yrs
CARDIOLOGY
Al-Sharif, Nabil, MD !"
Provider ID: 417195
Language: Arabic, French
River To River Heart Group
117 E Clark St
Harrisburg, IL 62946
(618) 252-8625
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
Dickler, Andrew, MD !"
Provider ID: 454733
River To River Heart Group
117 E Clark St
Harrisburg, IL 62946
(618) 252-8625
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
SSM St Joseph Health Center
" WHEELCHAIR ACCESSIBLE
32
PSYCHOLOGY
Handwerk, Michael, PhD "
Provider ID: T2991510000-02
1007 US Hwy 45 N
Eldorado, IL 62930
(618) 273-7723
Ages Seen: 00 Yrs/64 Yrs
WASHINGTON COUNTY
CARDIOLOGY
Al-Sharif, Nabil, MD !"
Provider ID: 417195
Language: Arabic, French
River To River Heart Group
1245 S Mill St
Nashville, IL 62263
(618) 244-4313
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
Bleyer, Frank, MD !"
Provider ID: 256596
River To River Heart Group
1245 S Mill St
Nashville, IL 62263
(618) 998-7600
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
WASHINGTON COUNTY
(cont.)
CARDIOLOGY (cont.)
Dickler, Andrew, MD !"
Provider ID: 454733
River To River Heart Group
1245 S Mill St
Nashville, IL 62263
(618) 244-4313
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
SSM St Joseph Health Center
Madhani, Parag, MD "
Provider ID: 423309
River To River Heart Group
1245 S Mill St
Nashville, IL 62263
(618) 244-4313
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
Parham, Walter, MD !"
Provider ID: 445901
River To River Heart Group
1245 S Mill St
Nashville, IL 62263
(618) 244-4313
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
St Louis University Hospital
INTERNAL MEDICINE
Bleyer, Frank, MD !"
Provider ID: 256596
River To River Heart Group
1245 S Mill St
Nashville, IL 62263
(618) 998-7600
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
St Louis University Hospital
Dickler, Andrew, MD !"
Provider ID: 454733
River To River Heart Group
1245 S Mill St
Nashville, IL 62263
(618) 244-4313
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
SSM St Joseph Health Center
FEBRUARY 2012
OPHTHALMOLOGY
Maher, Jeffrey, MD !
Provider ID: 418745
Terrence G Klingele MD
1249 S Mill
Nashville, IL 62263
(618) 532-5531
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
WILLIAMSON COUNTY
BEHAVIORAL HEALTH
COUNSELING
Gunzel, Yolanda, MSW "
Provider ID: T5792980000-02
112 Airway Dr
Marion, IL 62959
(618) 998-0888
Ages Seen: 06 Yrs/99 Yrs
Ketring, Elaine, MA "
Provider ID: T6006672780-01
1220 S Park Ave
Herrin, IL 62948
(618) 988-1757
Ages Seen: 06 Yrs/99 Yrs
McVey, Gaia, MA "
Provider ID: T6004054490-01
1220 S Park Ave
Herrin, IL 62948
(618) 988-1757
Ages Seen: 13 Yrs/64 Yrs
Mitchell, Debbie, MS "
Provider ID: T2431220000-02
1220 S Park Ave
Herrin, IL 62948
(618) 988-1757
Ages Seen: 13 Yrs/64 Yrs
Mitchell, Robert, MSW !"
Provider ID: T2508430000-01
1220 S Park Ave
Herrin, IL 62948
(618) 988-1757
Ages Seen: 06 Yrs/99 Yrs
Smith, Nancy, MSW
Provider ID: T2734790000-03
1616 W Main St Ste 500
Marion, IL 62959
(618) 889-9477
Ages Seen: 18 Yrs/99 Yrs
Treece, Janet, MS "
Provider ID: T8199360000-03
106 Tippy Rd
Carterville, IL 62918
(618) 985-3406
Ages Seen: 06 Yrs/64 Yrs
Womack Walters, Diana, MSW "
Provider ID: T2280300000-04
202 S Pershing
Energy, IL 62933
(618) 988-9843
Ages Seen: 18 Yrs/99 Yrs
! BOARD CERTIFIED
CARDIOLOGY
Al-Sharif, Nabil, MD !
Provider ID: 417195
Language: Arabic, French
River To River Heart Group
3331 W Deyoung Ste 100
Marion, IL 62959
(618) 997-4733
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
Al-Sharif, Nabil, MD !
Provider ID: 417195
Language: Arabic, French
River To River Heart Group
3331 W Deyoung Ste 203
Marion, IL 62959
(618) 997-4733
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
Al-Sharif, Nabil, MD !"
Provider ID: 417195
Language: Arabic, French
River To River Heart Group
Ste 1 Doctors Park Rd Ste C
Marion, IL 62959
(618) 242-1397
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
Bleyer, Frank, MD !
Provider ID: 256596
River To River Heart Group
3331 W Deyoung Ste 100
Marion, IL 62959
(618) 998-7600
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
St Louis University Hospital
Dickler, Andrew, MD !
Provider ID: 454733
River To River Heart Group
3331 W Deyoung Ste 100
Marion, IL 62959
(618) 998-7600
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
SSM St Joseph Health Center
Lipoff, Jay, MD !
Provider ID: 239050
Jay I Lipoff MD
8316 Expy Dr
Marion, IL 62959
(618) 998-8447
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
33
Madhani, Parag, MD
Provider ID: 423309
River To River Heart Group
3331 W Deyoung Ste 100
Marion, IL 62959
(618) 998-7600
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
Madhani, Parag, MD
Provider ID: 423309
River To River Heart Group
3331 W Deyoung Ste 304
Marion, IL 62959
(618) 998-7600
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
Madhani, Parag, MD "
Provider ID: 423309
River To River Heart Group
Ste 1 Doctors Park Dr Ste C
Marion, IL 62959
(618) 242-1397
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
Parham, Walter, MD !"
Provider ID: 445901
River To River Heart Group
3331 W Deyoung St Ste 100
Marion, IL 62959
(618) 998-7600
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
St Louis University Hospital
Saquib, Azim, MD !"
Provider ID: 414672
Language: Urdu
River To River Heart Group
3331 W Deyoung Ste 100
Marion, IL 62959
(618) 998-7600
Ages Seen: 18 Yrs/99 Yrs
Crossroads Community
Hospital
DERMATOLOGY
Kenneaster, Derek, MD !"
Provider ID: 560692
Southern Illinois Dermatology
220 N Park Ave Ste 2
Herrin, IL 62948
(618) 942-3344
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
WILLIAMSON COUNTY (cont.)
DERMATOLOGY (cont.)
Van Acker, Ted, DO !"
Provider ID: 247410
Southern Illinois Dermatology
220 N Park Ave Ste 2
Herrin, IL 62948
(618) 942-3344
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
EAR NOSE & THROAT
Delaney, Michael, MD "
Provider ID: 239042
Memorial Management
3331 W Deyoung St Ste 208
Marion, IL 62959
(618) 997-4012
Ages Seen: 00 Yrs/99 Yrs
ENDOCRINOLOGY
DIABETES METABOLISM
Abedmahmoud, Issa, MD
Provider ID: 290233
Language: Arabic
Issa Abedmahmoud MD
3022 S Park Ave
Herrin, IL 62948
(618) 988-1877
Ages Seen: 16 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
FEBRUARY 2012
Kos, Antoni, MD !"
Provider ID: 500402
Language: Polish
Southern Illinois Medical Services
3307 Logan Dr
Herrin, IL 62948
(618) 549-2357
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Miller, Rodney, MD !"
Provider ID: 247415
Southern Illinois Medical Services
3307 Logan Dr
Herrin, IL 62948
(618) 549-2357
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
Herrin Hospital
NEUROLOGY
Alam, Fakhre, MD !
Provider ID: 264939
Fakhre Alam MD
400 Lincoln Dr
Herrin, IL 62948
(618) 998-0696
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
INTERNAL MEDICINE
Bleyer, Frank, MD !
Provider ID: 256596
River To River Heart Group
3331 W Deyoung Ste 100
Marion, IL 62959
(618) 998-7600
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
St Louis University Hospital
Dickler, Andrew, MD !
Provider ID: 454733
River To River Heart Group
3331 W Deyoung Ste 100
Marion, IL 62959
GASTROENTEROLOGY
(618) 998-7600
Ages Seen: 00 Yrs/99 Yrs
Tibrewala, Sushilkumar, MD !"
Heartland Regional Medical
Provider ID: 264757
Center
Language: Bengali, Hindi,
SSM St Joseph Health Center
Marathi
Gastroenterology Care of South
Lipoff, Jay, MD !
3301 Patriot Ct
Provider ID: 239050
Herrin, IL 62948
Jay I Lipoff MD
(618) 998-8885
8316 Expy Dr
Ages Seen: 00 Yrs/99 Yrs
Marion, IL 62959
Heartland Regional Medical
(618) 998-8447
Center
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
Mohr, Clinton, MD !"
Provider ID: 457667
GENERAL SURGERY
Memorial Management
1008 W Cherry Ste D
Ahuja, Naresh, MD !"
Marion, IL 62959
Provider ID: 563921
(618) 997-2396
Southern Illinois Medical Services
Ages Seen: 14 Yrs/99 Yrs
317 S 14th St
Heartland Regional Medical
Herrin, IL 62948
Center
(618) 988-6171
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
! BOARD CERTIFIED
Ravindranathan, Mannil, MD !" Harryman, William, MD "#
Provider ID: 525056
Provider ID: 238298
Memorial Management
Southern Orthopedic Associates
1008 W Cherry St Ste D
510 Lincoln Dr
Marion, IL 62959
Herrin, IL 62948
(618) 997-2396
(618) 997-6800
Ages Seen: 18 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Heartland Regional Medical
Center
Center
Herrin Hospital
NEUROSURGERY
Gocio, Allan, MD !"
Provider ID: 285236
Language: Spanish
Allan C Gocio MD Neurosurgical
3331 Deyoung St Ste 308
Marion, IL 62959
(314) 348-0283
Ages Seen: 16 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
OPHTHALMOLOGY
Umana, Ukeme, MD
Provider ID: 238797
Marion Eye Centers
1200 W Deyoung St
Marion, IL 62959
(918) 993-5686
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
ORTHOPAEDIC SURGERY
Davis, John, MD "
Provider ID: 455595
Southern Orthopedic Associates
510 Lincoln Dr
Herrin, IL 62948
(618) 997-6800
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
Golz, Robert, MD !"
Provider ID: 237695
Southern Orthopedic Associates
510 Lincoln Dr
Herrin, IL 62948
(618) 997-6800
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
" WHEELCHAIR ACCESSIBLE
34
Morgan, Richard, MD !
Provider ID: 236677
Southern Orthopedic Associates
510 Lincoln Dr
Herrin, IL 62948
(618) 997-6800
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Wood, Charles, MD #
Provider ID: 236678
Southern Orthopedic Associates
510 Lincoln Dr
Herrin, IL 62948
(618) 997-6800
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
Herrin Hospital
Memorial Hospital Carbondale
Wood, John, MD "#
Provider ID: 194200
Southern Orthopedic Associates
510 Lincoln Dr
Herrin, IL 62948
(618) 997-6800
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Memorial Hospital Carbondale
Young, Steven, MD "#
Provider ID: 238796
Southern Orthopedic Associates
510 Lincoln Dr
Herrin, IL 62948
(618) 997-6800
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
Herrin Hospital
Memorial Hospital Carbondale
PODIATRY
Dickinson, David, DPM "
Provider ID: 522088
Daniel R Brown; MD
101 N 16th St
Herrin, IL 62948
(618) 988-6034
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
WILLIAMSON COUNTY (cont.)
PSYCHIATRY
Handwerk, Julie, MD "
Provider ID: T6002474230-04
112 Airway Dr
Marion, IL 62959
(618) 998-0888
Ages Seen: 18 Yrs/99 Yrs
Harrisburg Medcl Center
Qureshi, Naeem, MD !"
Provider ID: T7295590000-08
Language: Urdu
112 Airway Dr
Marion, IL 62959
(618) 998-0888
Ages Seen: 00 Yrs/99 Yrs
Harrisburg Medcl Center
Wolz, Alyson, Msn !"
Provider ID: T3511330000-01
202 S Pershing
Energy, IL 62933
(618) 988-9843
Ages Seen: 18 Yrs/99 Yrs
THORACIC &
CARDIOVASCULAR
SURGERY
Daily, Bill, MD !
Provider ID: 337622
Cardiothoracic Surgery Assoc
3331 W Deyoung Ste 205
Marion, IL 62959
(618) 998-7000
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Lee, Winnie, MD !"
Provider ID: 365068
Cardiothoracic Surgery Assoc
3331 W Deyoung Ste 205
Marion, IL 62959
(618) 998-8573
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
Memorial Hospital
St Elizabeths Hospital Bellville
Miller, Robert, MD !
Provider ID: 247418
Memorial Management
3331 W Deyoung St Ste 109
Marion, IL 62959
(618) 998-7239
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
Herrin Hospital
Memorial Hospital Carbondale
! BOARD CERTIFIED
FEBRUARY 2012
Sadoff, John, MD !
Provider ID: 290592
Cardiothoracic Surgery Assoc
3331 W Deyoung Ste 205
Marion, IL 62959
(618) 233-5722
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Wallace, Douglas, MD !"
Provider ID: 555995
Language: Spanish
Memorial Management
3331 W Deyoung St Ste 101
Marion, IL 62959
(618) 997-2918
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital Carbondale
UROLOGY
Aher, Vijaykumar, MD !"
Provider ID: 235460
Memorial Management
3331 W Deyoung Ste 105
Marion, IL 62959
(618) 997-9496
Ages Seen: 00 Yrs/99 Yrs
Heartland Regional Medical
Center
Chouhan, Lalithkumar, MD "
Provider ID: 242899
SSM Managed Care Organization
1551 Wall St Ste 430
Saint Charles, MO 63301
(636) 669-2220
Ages Seen: 00 Yrs/99 Yrs
King, Thomas, MD "
Provider ID: 337815
SSM Managed Care Organization
1475 Kisker Rd Ste 201
Saint Charles, MO 63304
(636) 498-5980
Ages Seen: 00 Yrs/99 Yrs
King, Thomas, MD "
Provider ID: 337815
SSM Managed Care Organization
300 Medical Plaza
Lake Saint Louis, MO 63367
(636) 625-2662
Ages Seen: 00 Yrs/99 Yrs
Lutan, Robert, MD !"
Provider ID: 242841
SSM Managed Care Organization
1475 Kisker Rd Ste 201
Saint Charles, MO 63304
(636) 498-5890
Ages Seen: 00 Yrs/99 Yrs
Narayanan, Suresh, MD !"
MISSOURI
Provider ID: 337808
CAPE GIRARDEAU COUNTY
SSM Managed Care Organization
PEDIATRIC CARDIOLOGY
Al Jureidini, Saadeh, MD
Provider ID: 237455
St Louis University
211 Saint Francis Dr
Cape Girardeau, MO 63703
(573) 331-3000
Ages Seen: 00 Yrs/21 Yrs
PEDIATRIC
ENDOCRINOLOGY
Dempsher, David, MD !"
Provider ID: 233638
St Louis University
1701 Lacey St
Cape Girardeau, MO 63701
(573) 331-6372
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
SAINT CHARLES COUNTY
CARDIOLOGY
Chouhan, Lalithkumar, MD "
Provider ID: 242899
SSM Managed Care Organization
1475 Kisker Rd Ste 201
Saint Charles, MO 63304
(636) 498-5890
Ages Seen: 00 Yrs/99 Yrs
1475 Kisker Rd Ste 201
Saint Charles, MO 63304
(636) 498-5890
Ages Seen: 00 Yrs/99 Yrs
Narayanan, Suresh, MD !"
Provider ID: 337804
SSM Managed Care Organization
1551 Wall St Ste 430
Saint Charles, MO 63301
(636) 669-2220
Ages Seen: 00 Yrs/99 Yrs
Qayum, Khalid, MD !"
Provider ID: 590429
Language: Urdu
SSM Managed Care Organization
2 Harbor Bend Ct Ste 202
Lake Saint Louis, MO 63367
(314) 344-7636
Ages Seen: 18 Yrs/99 Yrs
Qayum, Khalid, MD !"
Provider ID: 590429
Language: Urdu
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 18 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
35
Qayum, Khalid, MD !"
Provider ID: 590429
Language: Urdu
SSM Managed Care Organization
70 Jungermann Cir Ste 201
Saint Peters, MO 63376
(636) 441-2202
Ages Seen: 18 Yrs/99 Yrs
Shah, Bharat, MD !"
Provider ID: 337838
SSM Managed Care Organization
1475 Kisker Rd Ste 201
Saint Charles, MO 63304
(636) 498-5890
Ages Seen: 00 Yrs/99 Yrs
Shah, Bharat, MD !"
Provider ID: 337836
SSM Managed Care Organization
1551 Wall St Ste 430
Saint Charles, MO 63301
(636) 669-2220
Ages Seen: 00 Yrs/99 Yrs
Thanavaro, Samer, MD !"
Provider ID: 337312
SSM Managed Care Organization
1475 Kisker Rd
Saint Charles, MO 63304
(636) 498-5890
Ages Seen: 00 Yrs/99 Yrs
Thanavaro, Samer, MD "
Provider ID: 242836
SSM Managed Care Organization
1475 Kisker Rd Ste 201
Saint Charles, MO 63304
(636) 498-5890
Ages Seen: 00 Yrs/99 Yrs
Thanavaro, Samer, MD "
Provider ID: 242836
SSM Managed Care Organization
1551 Wall St Ste 430
Saint Charles, MO 63301
(636) 669-2220
Ages Seen: 00 Yrs/99 Yrs
Weiss, Edward, MD
Provider ID: 236362
SSM Managed Care Organization
1475 Kisker Rd Ste 201
Saint Charles, MO 63304
(636) 498-5890
Ages Seen: 00 Yrs/99 Yrs
Weiss, Edward, MD
Provider ID: 236362
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
CARDIOLOGY (cont.)
Ziaee, Ali, MD !
Provider ID: 337334
SSM Managed Care Organization
1475 Kisker Rd Ste 200
Saint Charles, MO 63304
(636) 498-5870
Ages Seen: 00 Yrs/99 Yrs
Ziaee, Ali, MD !
Provider ID: 337334
SSM Managed Care Organization
1551 Wall St
Saint Charles, MO 63304
(636) 669-2220
Ages Seen: 00 Yrs/99 Yrs
CARDIOVASCULAR
SURGERY
Nanda, Ardaman, MD
Provider ID: 234684
2 Harbor Bend Ste 202
Lake Saint Louis, MO 63367
(314) 218-2300
Nanda, Ardaman, MD
Provider ID: 234684
70 Jungermann Cir Ste 201
Saint Peters, MO 63376
(314) 218-2300
GENERAL SURGERY
Dysarz, Francis, MD !"
Provider ID: 392491
SSM Managed Care Organization
830 Waterbury Falls Dr
O Fallon, MO 63368
(314) 644-5151
Ages Seen: 00 Yrs/99 Yrs
HAND SURGERY
Dysarz, Francis, MD "
Provider ID: 392491
SSM Managed Care Organization
830 Waterbury Falls Dr
O Fallon, MO 63368
(314) 644-5151
Ages Seen: 00 Yrs/99 Yrs
INFECTIOUS DISEASE
Hinrichs, James, MD !"
Provider ID: 496440
SSM Managed Care Organization
100 Medical Plz
Lake Saint Louis, MO 63367
(636) 625-5309
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Hospital West
! BOARD CERTIFIED
FEBRUARY 2012
Hinrichs, James, MD !"
Provider ID: 496440
SSM Managed Care Organization
1551 Wall St Ste 400
Saint Charles, MO 63303
(636) 669-2210
Ages Seen: 00 Yrs/99 Yrs
SSM St Joseph Hospital West
INTERNAL MEDICINE
OBSTETRICS/
GYNECOLOGY
Eisenberg, David, MD
Provider ID: 584543
Language: Spanish
Planned Parenthood of The St L
208 Mid Rivers Mall Center Dr
Saint Peter, MO 63183
(636) 279-3339
Ages Seen: 18 Yrs/99 Yrs
Wright, Thomas, MD !"
Mimlitz, Michael, MD !"
Provider ID: 476162
Provider ID: 565870
SSM Managed Care Organization
SSM Managed Care Organization
3449 Pheasant Meadow Dr Ste 100
9979 Winghaven Blvd Ste 206
O Fallon, MO 63368
O Fallon, MO 63368
(636) 397-4012
(314) 432-8505
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
MATERNAL FETAL
SSM St Joseph Hospital West
MEDICINE
SSM St Marys Health Center
Amon, Erol, MD
Provider ID: 252261
OPHTHALMOLOGY
SSM Managed Care Organization
Peralta, Enrique, MD
100 Medical Plaza Dr
Provider ID: 337507
O Fallon, MO 63367
Language: French
(636) 625-5200
SSM Managed Care Organization
Ages Seen: 00 Yrs/99 Yrs
2965 Hwy K
O Fallon, MO 63366
Amon, Erol, MD "
Provider ID: 252261
(314) 878-2222
Ages Seen: 00 Yrs/99 Yrs
SSM Managed Care Organization
SSM St Marys Health Center
300 First Capital Dr
Saint Charles, MO 63301
Peralta, Enrique, MD "
(314) 947-5000
Provider ID: 337507
Ages Seen: 00 Yrs/99 Yrs
Language: French
SSM Managed Care Organization
NEUROLOGY
390 Mid Rivers Mall Dr
Cruz- Flores, Salvador, MD !"
Saint Peters, MO 63376
Provider ID: 513100
(314) 569-2020
Language: Spanish
Ages Seen: 00 Yrs/99 Yrs
SSM Managed Care Organization
SSM St Marys Health Center
100 Medical Plz
Lake Saint Louis, MO 63367
ORTHOPAEDIC SURGERY
(636) 625-5200
Graven, Timothy, DO !"
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 402593
SSM Cardinal Glennon Child
SSM Managed Care Organization
SSM Depaul Health Center
1475 Kisker Rd Ste 100
St Louis University Hospital
Saint Charles, MO 63304
Cruz- Flores, Salvador, MD !"
(636) 332-8455
Provider ID: 513100
Ages Seen: 00 Yrs/99 Yrs
Language: Spanish
Graven, Timothy, DO !"
SSM Managed Care Organization
Provider ID: 402593
300 First Capitol Dr
SSM Managed Care Organization
Saint Charles, MO 63301
1601 Wentzville Pkwy Ste 117
(636) 947-5000
Wentzville, MO 63385
Ages Seen: 00 Yrs/99 Yrs
(636) 332-8455
SSM Cardinal Glennon Child
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
36
PAIN MANAGEMENT
Gheith, Ramis, MD "
Provider ID: 548596
SSM Managed Care Organization
100 Medical Plz Dr Ste 1201
Lake Saint Louis, MO 63367
(636) 625-5342
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Gheith, Ramis, MD "
Provider ID: 548596
SSM Managed Care Organization
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5000
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
PEDIATRIC CARDIOLOGY
Chen, Su-Chiung, MD !
Provider ID: 529660
St Louis University
300 First Capitol Dr
Saint Charles, MO 63301
(636) 947-5053
Ages Seen: 00 Yrs/18 Yrs
PEDIATRIC
GASTROENTEROLOGY
Rosenblum, Jerry, MD !"
Provider ID: 550138
St Louis University
1475 Kisker Rd
Saint Charles, MO 63304
(636) 349-8797
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
PEDIATRIC NEUROLOGY
Bicknese, Alma, MD !"
Provider ID: 235858
St Louis University
330 First Capitol Dr Ste 240
Saint Charles, MO 63301
(636) 946-4006
Ages Seen: 00 Yrs/18 Yrs
Goretzke, Sean, MD !"
Provider ID: 556392
St Louis University
1475 Kisker Rd
Saint Charles, MO 63304
(636) 498-7979
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT CHARLES COUNTY
(cont.)
PEDIATRIC PULMONOLOGY
Wilmott, Robert, MD !
Provider ID: 24288
St Louis University
100 Medical Plz
Lake Saint Louis, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
PEDIATRICS
Al-Hosni, Mohamad, MD
Provider ID: 254232
SSM Managed Care Organization
100 Medical Plaza Dr
O Fallon, MO 63367
(636) 625-5200
Ages Seen: 00 Yrs/21 Yrs
Al-Hosni, Mohamad, MD
Provider ID: 254232
SSM Managed Care Organization
300 First Capital Dr
Saint Charles, MO 63301
(314) 947-5000
Ages Seen: 00 Yrs/21 Yrs
PODIATRY
Liu, Sophie, DPM
Provider ID: 237519
SSM Managed Care Organization
1475 Kisker Rd Ste 260
Saint Charles, MO 63304
(636) 928-4447
Ages Seen: 00 Yrs/99 Yrs
Liu, Sophie, DPM
Provider ID: 237519
SSM Managed Care Organization
300 Medical Plaza Ste 122
Lake Saint Louis, MO 63367
(636) 928-4447
Ages Seen: 00 Yrs/99 Yrs
Lombardo, Anthony, DPM !"
Provider ID: 337515
SSM Managed Care Organization
2 Progress Point Pkwy Ste J
O Fallon, MO 63368
(636) 344-1501
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
UROLOGY
FEBRUARY 2012
SAINT LOUIS COUNTY
ADOLESCENT MEDICINE
Elfenbein, Dianne, MD !"
Provider ID: 544646
St Louis University
224 S Woodsmill Rd
S 640
Chesterfield, MO 63017
(314) 678-2178
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
ALLERGY & IMMUNOLOGY
Temprano, James, MD !"
Provider ID: 529920
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
CARDIOLOGY
Abdulnabi, Yousef, MD !"
Provider ID: 527941
Language: Arabic
SSM Managed Care Organization
10012 Kennerly Rd Ste 301
Saint Louis, MO 63128
(314) 729-0088
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Abdulnabi, Yousef, MD !"
Provider ID: 527941
Language: Arabic
SSM Managed Care Organization
12277 De Paul Dr Ste 405
Bridgeton, MO 63044
(314) 729-0088
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Abdulnabi, Yousef, MD !"
Provider ID: 527941
Language: Arabic
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 310
Saint Louis, MO 63122
(314) 729-0088
Ages Seen: 00 Yrs/99 Yrs
St Elizabeths Hospital Bellville
Al-Joundi, Bassam, MD
Provider ID: 236222
Language: Arabic, Romanian,
Turkish
SSM Managed Care Organization
10012 Kennerly Rd Ste 301
Saint Louis, MO 63128
(314) 729-0088
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Clare Health Center
St Louis University Hospital
Al-Joundi, Bassam, MD "
Provider ID: 236222
Language: Arabic, Romanian,
Turkish
SSM Managed Care Organization
12255 De Paul Dr Ste 405
Bridgeton, MO 63044
(314) 729-0088
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Clare Health Center
St Louis University Hospital
Al-Joundi, Bassam, MD
Provider ID: 236222
Language: Arabic, Romanian,
Turkish
SSM Managed Care Organization
12345 W Bend Dr Ste 105
Saint Louis, MO 63128
(314) 729-0088
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Clare Health Center
St Louis University Hospital
Al-Joundi, Bassam, MD "
Provider ID: 236222
Language: Arabic, Romanian,
Turkish
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 310
Saint Louis, MO 63122
(314) 729-0088
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Clare Health Center
St Louis University Hospital
Al-Joundi, Tammam, MD "
Provider ID: 235300
Language: Arabic, Turkish
SSM Managed Care Organization
10012 Kennerly Rd Ste 301
Saint Louis, MO 63128
(314) 729-0088
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
St Louis University Hospital
Al-Joundi, Tammam, MD "
Provider ID: 235300
Language: Arabic, Turkish
SSM Managed Care Organization
12255 De Paul Dr Ste 405
Bridgeton, MO 63044
(314) 729-0088
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
St Louis University Hospital
Al-Joundi, Tammam, MD "
Provider ID: 235300
Language: Arabic, Turkish
SSM Managed Care Organization
2335 Dougherty Ferry Rd
Saint Louis, MO 63122
(314) 966-9699
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
St Louis University Hospital
Al-Joundi, Tammam, MD "
Provider ID: 235300
Language: Arabic, Turkish
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 310
Saint Louis, MO 63122
(314) 729-0088
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
St Louis University Hospital
Alderson, Lisa, MD !"
Provider ID: 572756
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 977-4663
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Alderson, Lisa, MD !"
Provider ID: 572756
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Assi, Nizar, MD "
Provider ID: 239266
SSM Managed Care Organization
10012 Kennerly Rd Ste 301
Saint Louis, MO 63128
(314) 729-0088
Ages Seen: 12 Yrs/99 Yrs
SSM Depaul Health Center
St Louis University Hospital
Berni, Kimberly, MD
Provider ID: 242627
St Louis University
100 Medical Plaza
Lake Saint Louis, MO 63367
(636) 561-6710
! BOARD CERTIFIED
" WHEELCHAIR ACCESSIBLE
37
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
CARDIOLOGY (cont.)
Assi, Nizar, MD "
Provider ID: 239266
SSM Managed Care Organization
12255 De Paul Dr Ste 405
Bridgeton, MO 63044
(314) 729-0088
Ages Seen: 12 Yrs/99 Yrs
SSM Depaul Health Center
St Louis University Hospital
Assi, Nizar, MD
Provider ID: 239266
SSM Managed Care Organization
2335 Dougherty Ferry Rd
Saint Louis, MO 63122
(314) 894-0787
Ages Seen: 12 Yrs/99 Yrs
SSM Depaul Health Center
St Louis University Hospital
Assi, Nizar, MD "
Provider ID: 239266
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 310
Saint Louis, MO 63122
(314) 729-0088
Ages Seen: 12 Yrs/99 Yrs
SSM Depaul Health Center
St Louis University Hospital
Berg, Ryan, MD
Provider ID: 460761
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Bitar, Saad, MD
Provider ID: 242781
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Bitar, Saad, MD
Provider ID: 242780
Liza Koswara
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Chin, Mark, MD "
Provider ID: 336677
SSM Managed Care Organization
3023 N Ballas Rd Ste 400D
Saint Louis, MO 63131
(314) 447-1301
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
FEBRUARY 2012
Chouhan, Lalithkumar, MD "
Provider ID: 242900
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Chouhan, Lalithkumar, MD
Provider ID: 236205
Liza Koswara
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Chouhan, Lalithkumar, MD "
Provider ID: 242899
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
Das, Sundeep, MD "
Provider ID: 247441
SSM Managed Care Organization
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Das, Sundeep, MD
Provider ID: 247441
SSM Managed Care Organization
12277 Depaul Dr Ste 503
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Das, Sundeep, MD "
Provider ID: 247441
SSM Managed Care Organization
12303 Depaul Dr Ste A
Bridgeton, MO 63044
(314) 966-5151
Ages Seen: 00 Yrs/99 Yrs
Das, Sundeep, MD "
Provider ID: 247441
SSM Managed Care Organization
13303 Tesson Ferry Rd Ste 150
Saint Louis, MO 63128
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Das, Sundeep, MD "
Provider ID: 247441
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Ferreira, Scott, MD !"
Provider ID: 597951
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Kirkorian, Raffi, MD !"
Provider ID: 252298
Language: Russian
St Louis University
3844 S Lindberg Blvd
Saint Louis, MO 63127
(314) 849-0923
Ages Seen: 12 Yrs/99 Yrs
Fleissner, Michael, MD "
Provider ID: 290338
SSM Managed Care Organization
3023 N Ballas Rd Ste 400D
Saint Louis, MO 63131
(314) 447-1301
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Klein, Andrew, MD !
Provider ID: 524771
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 977-4663
Ages Seen: 18 Yrs/99 Yrs
Forsberg, Michael, MD !
Provider ID: 385068
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Hauptman, Paul, MD "
Provider ID: 236310
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 00 Yrs/99 Yrs
Kilgore, John, MD "
Provider ID: 259058
SSM Managed Care Organization
1035 Bellevue Ave Ste 500
Saint Louis, MO 63117
(314) 925-4744
King, Thomas, MD
Provider ID: 234964
Liza Koswara
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
King, Thomas, MD "
Provider ID: 337815
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
King, Thomas, MD "
Provider ID: 337815
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
38
Laddu, Abhay, MD "
Provider ID: 513049
St Louis University
1034 S Brentwood Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Laddu, Abhay, MD "
Provider ID: 513049
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Longnecker, Christopher, MD "
Provider ID: 378412
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Longnecker, Christopher, MD "
Provider ID: 378412
St Louis University
2325 Dough Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Lutan, Robert, MD !
Provider ID: 242841
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Lutan, Robert, MD
Provider ID: 235762
Liza Koswara
261 Dunn Rd
Florissant, MO 63031
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
CARDIOLOGY (cont.)
Lutan, Robert, MD !
Provider ID: 242841
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Maniet, Alan, DO "
Provider ID: 239093
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 00 Yrs/99 Yrs
Miller, Donald, MD "
Provider ID: 252145
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 00 Yrs/99 Yrs
Narayanan, Suresh, MD !"
Provider ID: 337795
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Narayanan, Suresh, MD !"
Provider ID: 337808
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
Narayanan, Suresh, MD !"
Provider ID: 337804
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
Neumayr, Robert, MD "
Provider ID: 550137
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 977-4663
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Neumayr, Robert, MD "
Provider ID: 550137
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Parham, Walter, MD
Provider ID: 247485
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 977-4663
Ages Seen: 18 Yrs/99 Yrs
Phlaum, Stephen, MD "
Provider ID: 235422
St Louis University
2325 Dougherty Ferry Rd
Kirkwood, MO 63122
(314) 977-9690
Ages Seen: 00 Yrs/99 Yrs
Piotrowski, Bryan, MD "
Provider ID: 588563
St Louis University
1034 S Brentwood Blved Ste 1120
Saint Louis, MO 63117
(314) 977-4663
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Qayum, Khalid, MD !"
Provider ID: 590429
Language: Urdu
SSM Managed Care Organization
12266 Depaul Dr Ste 205
Bridgeton, MO 63044
(314) 218-2300
Ages Seen: 18 Yrs/99 Yrs
Qayum, Khalid, MD !"
Provider ID: 590429
Language: Urdu
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 18 Yrs/99 Yrs
Qayyum, Usman, MD !
Provider ID: 337661
SSM Managed Care Organization
11155 Dunn Rd Ste 304
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Qayyum, Usman, MD !"
Provider ID: 337661
SSM Managed Care Organization
12255 Depaul Dr Ste 870
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Qayyum, Usman, MD !
Provider ID: 337661
SSM Managed Care Organization
12277 Depaul Dr Ste 503
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Serota, Harvey, MD "
Provider ID: 235566
SSM Managed Care Organization
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Qayyum, Usman, MD !"
Provider ID: 337661
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
Serota, Harvey, MD "
Provider ID: 235566
SSM Managed Care Organization
12255 Depaul Dr Ste 865
Hazelwood, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Qayyum, Usman, MD !"
Provider ID: 337661
SSM Managed Care Organization
13303 Tesson Ferry Rd Ste 150
Saint Louis, MO 63128
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Serota, Harvey, MD
Provider ID: 235566
SSM Managed Care Organization
12277 Depaul Dr Ste 503
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Qayyum, Usman, MD !"
Provider ID: 337661
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Serota, Harvey, MD "
Provider ID: 235566
SSM Managed Care Organization
13303 Tesson Ferry Rd Ste 150
Saint Louis, MO 63128
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Ramadan, Rafiq, MD "
Serota, Harvey, MD "
Provider ID: 247440
Provider ID: 235566
SSM Managed Care Organization
SSM Managed Care Organization
11155 Dunn Rd Ste 304
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63136
Saint Louis, MO 63122
(314) 741-0911
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center
Shah, Bharat, MD
Ramadan, Rafiq, MD "
Provider ID: 236348
Provider ID: 247440
Liza Koswara
11133 Dunn Rd Ste 2346
SSM Managed Care Organization
Saint Louis, MO 63136
12277 De Paul Dr Ste 503
Bridgeton, MO 63044
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center Shah, Bharat, MD !"
Provider ID: 337833
Ramadan, Rafiq, MD "
SSM Managed Care Organization
Provider ID: 247440
11133 Dunn Rd Ste 2346
Florissant, MO 63031
SSM Managed Care Organization
13303 Tesson Ferry Rd Ste 150
(314) 653-5125
Saint Louis, MO 63128
Ages Seen: 00 Yrs/99 Yrs
(314) 741-0911
Shah, Bharat, MD !"
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 337836
Gateway Regional Med Center
SSM Managed Care Organization
261 Dunn Rd
Ramadan, Rafiq, MD "
Florissant, MO 63031
Provider ID: 247440
SSM Managed Care Organization
(314) 839-5522
2355 Dougherty Ferry Rd Ste 320
Ages Seen: 00 Yrs/99 Yrs
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center
" WHEELCHAIR ACCESSIBLE
39
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
CARDIOLOGY (cont.)
Siddiqui, Jawed, MD !"
Provider ID: 358893
Metro Cardiovascular
11115 New Halls Ferry Rd
Stes 301-302
Florissant, MO 63033
(314) 921-6200
Ages Seen: 12 Yrs/99 Yrs
St Louis University Hospital
Siddiqui, Jawed, MD !"
Provider ID: 358893
Metro Cardiovascular
763 S New Ballas Rd Ste 260
Saint Louis, MO 63141
(314) 692-0606
Ages Seen: 12 Yrs/99 Yrs
St Louis University Hospital
Singh, Toniya, MD "
Provider ID: 338867
SSM Managed Care Organization
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Singh, Toniya, MD "
Provider ID: 338867
SSM Managed Care Organization
12255 Depaul Dr Ste 870
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Singh, Toniya, MD "
Provider ID: 338867
SSM Managed Care Organization
12303 Depaul Dr Ste A
Bridgeton, MO 63044
(314) 966-5151
Ages Seen: 00 Yrs/99 Yrs
Singh, Toniya, MD "
Provider ID: 338867
SSM Managed Care Organization
13303 Tesson Ferry Rd Ste 150
Saint Louis, MO 63128
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Singh, Toniya, MD "
Provider ID: 338867
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
FEBRUARY 2012
Speidel, Christopher, MD !"
Provider ID: 337522
SSM Managed Care Organization
1027 Bellevue Ave Ste 139
Saint Louis, MO 63117
(314) 447-1301
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Speidel, Christopher, MD !"
Provider ID: 337522
SSM Managed Care Organization
3023 N Ballas Rd Ste 400D
Saint Louis, MO 63131
(314) 447-1301
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Speidel, Christopher, MD !"
Provider ID: 337522
SSM Managed Care Organization
625 S New Ballas Rd Ste 7020
Saint Louis, MO 63141
(314) 447-1301
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Stolker, Joshua, MD !"
Provider ID: 465678
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 977-4663
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Stolker, Joshua, MD !"
Provider ID: 465678
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Stronach, Linda, MD !"
Provider ID: 337549
SSM Managed Care Organization
3023 N Ballas Rd Ste 400D
Saint Louis, MO 63131
(314) 447-1301
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Tahir, Mohammad, MD "
Provider ID: 247338
SSM Managed Care Organization
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Tahir, Mohammad, MD "
Provider ID: 247338
SSM Managed Care Organization
12255 Depaul Dr Ste 870
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Tahir, Mohammad, MD "
Provider ID: 247338
SSM Managed Care Organization
12303 Depaul Dr Ste A
Bridgeton, MO 63044
(314) 966-5151
Ages Seen: 00 Yrs/99 Yrs
Tahir, Mohammad, MD "
Provider ID: 247338
SSM Managed Care Organization
13303 Tesson Ferry Rd Ste 150
Saint Louis, MO 63128
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Tahir, Mohammad, MD "
Provider ID: 247338
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Thanavaro, Samer, MD
Provider ID: 235754
Liza Koswara
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Thanavaro, Samer, MD "
Provider ID: 242836
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Thanavaro, Samer, MD "
Provider ID: 242836
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
Thanigaraj, Srihari, MD "
Provider ID: 289777
SSM Managed Care Organization
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Thanigaraj, Srihari, MD "
Provider ID: 289777
SSM Managed Care Organization
12277 Depaul Dr Ste 503
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
" WHEELCHAIR ACCESSIBLE
40
Thanigaraj, Srihari, MD "
Provider ID: 289777
SSM Managed Care Organization
13303 Tesson Ferry Rd Ste 150
Saint Louis, MO 63128
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Thanigaraj, Srihari, MD "
Provider ID: 289777
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Weiss, Edward, MD
Provider ID: 236362
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Weiss, Edward, MD
Provider ID: 236362
SSM Managed Care Organization
261 Dunn Rd
Florissant, MO 63031
(314) 839-5522
Ages Seen: 00 Yrs/99 Yrs
Younis, Liwa, MD "
Provider ID: 236223
Language: Arabic, French
SSM Managed Care Organization
12345 W Bend Dr Ste 105
Saint Louis, MO 63128
(314) 729-0088
Ages Seen: 18 Yrs/99 Yrs
Younis, Liwa, MD "
Provider ID: 236223
Language: Arabic, French
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 310
Saint Louis, MO 63122
(631) 772-9008
Ages Seen: 18 Yrs/99 Yrs
Ziaee, Ali, MD !
Provider ID: 337334
SSM Managed Care Organization
11133 Dunn Rd Ste 2346
Saint Louis, MO 63136
(314) 653-5125
Ages Seen: 00 Yrs/99 Yrs
Ziaee, Ali, MD !
Provider ID: 337334
SSM Managed Care Organization
12255 Depaul Dr Ste 460
Saint Louis, MO 63136
(314) 770-9888
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
CARDIOVASCULAR
SURGERY
Beardslee, Michael, MD !"
Provider ID: 314510
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2502
Ages Seen: 00 Yrs/99 Yrs
Nanda, Ardaman, MD
Provider ID: 234684
12266 Depaul Dr Ste 205
Bridgeton, MO 63044
(314) 218-2300
Serota, Harvey, MD "
Provider ID: 235566
SSM Managed Care Organization
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Serota, Harvey, MD "
Provider ID: 235566
SSM Managed Care Organization
12255 Depaul Dr Ste 865
Hazelwood, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Serota, Harvey, MD
Provider ID: 235566
SSM Managed Care Organization
12277 Depaul Dr Ste 503
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Serota, Harvey, MD "
Provider ID: 235566
SSM Managed Care Organization
13303 Tesson Ferry Rd Ste 150
Saint Louis, MO 63128
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Serota, Harvey, MD "
Provider ID: 235566
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Vardi, Gil, MD "
Provider ID: 337669
SSM Managed Care Organization
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
FEBRUARY 2012
Vardi, Gil, MD "
Provider ID: 337669
SSM Managed Care Organization
12255 Depaul Dr Ste 870
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
Vardi, Gil, MD "
Provider ID: 337669
SSM Managed Care Organization
13303 Tesson Ferry Rd Ste 150
Saint Louis, MO 63128
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Vardi, Gil, MD "
Provider ID: 337669
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
DERMATOLOGY
Cheng, Amy, MD !
Provider ID: 428290
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Glaser, Dee, MD !
Provider ID: 238843
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Guo, Aibing, MD "
Provider ID: 550166
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Jensen, Sarah, MD !
Provider ID: 374828
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Semchyshyn, Natalie, MD !"
Provider ID: 356423
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9666
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Antisdel, Jastin, MD "
Provider ID: 547804
St Louis University
621 S New Ballas Rd Ste 307 A
Saint Louis, MO 63141
(314) 251-6395
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Slutsky, Jordan, MD
Provider ID: 588558
St Louis University
2315 Dougherty Ferry Rd Ste 200
Saint Louis, MO 63122
(314) 977-9711
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Brickman, Todd, MD
Provider ID: 432018
St Louis University
621 S New Ballas Rd Ste 307 A
Saint Louis, MO 63141
(314) 569-6362
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Smith, Sarah, MD
Provider ID: 449300
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Brickman, Todd, MD "
Provider ID: 432018
St Louis University
621 S New Ballas Rd Ste 482A
Saint Louis, MO 63141
(314) 251-6395
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Tarbox, Michelle, MD !"
Provider ID: 550154
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Hentzelman, Joshua, MD "
Provider ID: 564634
St Louis University
12700 Southfork Rd Ste 155D
Saint Louis, MO 63128
(314) 525-4949
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
DERMATOPATHOLOGY
Tarbox, Michelle, MD "
Provider ID: 550154
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
EAR NOSE & THROAT
Antisdel, Jastin, MD "
Provider ID: 547804
St Louis University
621 S New Ballas Ste 482 A
Saint Louis, MO 63141
(314) 251-6395
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
41
Hentzelman, Joshua, MD "
Provider ID: 564634
St Louis University
621 S New Ballas Rd Ste 307A
Saint Louis, MO 63141
(314) 569-6362
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Mikulec, Anthony, MD !"
Provider ID: 247483
St Louis University
621 S New Ballas Rd Ste 307A
Saint Louis, MO 63141
(314) 251-6362
Ages Seen: 00 Yrs/99 Yrs
Mikulec, Anthony, MD !
Provider ID: 247483
St Louis University
621 S New Ballas Rd Ste 482A
Saint Louis, MO 63141
(314) 251-6395
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
Stith, John, MD !"
Provider ID: 236760
St Louis University
12700 Southford Rd Ste 101
EAR NOSE & THROAT (cont.)
Saint Louis, MO 63128
(314) 577-5305
Mitchell, Ron, MD !"
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 348024
St Louis University
Stith, John, MD !"
12700 Southfork Rd Ste 101
Provider ID: 236760
Saint Louis, MO 63128
St Louis University
(314) 525-4949
13131 Tesson Ferry Rd Ste 105
Ages Seen: 00 Yrs/18 Yrs
Saint Louis, MO 63128
St Louis University Hospital
(314) 842-3535
Ages Seen: 00 Yrs/99 Yrs
Mitchell, Ron, MD !"
Provider ID: 348024
Varvares, Mark, MD "
St Louis University
Provider ID: 248268
621 S New Ballas Rd Ste 307A
St Louis University
Saint Louis, MO 63141
621 S New Ballas Rd Ste 307A
(314) 251-6361
Saint Louis, MO 63141
Ages Seen: 00 Yrs/18 Yrs
(314) 251-6362
St Louis University Hospital
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Sanford, Thomas, MD !"
Provider ID: 291586
Varvares, Mark, MD "
St Louis University
Provider ID: 248268
12700 Southfork Rd Ste 101
St Louis University
Saint Louis, MO 63128
621 S New Ballas Rd Ste 482 A
(314) 842-3535
Saint Louis, MO 63141
Ages Seen: 00 Yrs/99 Yrs
(314) 251-6395
St Louis University Hospital
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Sanford, Thomas, MD !"
Provider ID: 291586
Walker, Ronald, MD "
St Louis University
Provider ID: 547827
12700 Southfork Rd Ste 155D
St Louis University
Saint Louis, MO 63128
621 S New Ballas Rd Ste 307A
(314) 842-3535
Saint Louis, MO 63141
Ages Seen: 00 Yrs/99 Yrs
(314) 251-6362
St Louis University Hospital
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
Sanford, Thomas, MD !"
St Louis University Hospital
Provider ID: 291586
St Louis University
Walker, Ronald, MD "
3009 N Ballas Rd Ste 228A
Provider ID: 547827
Saint Louis, MO 63131
St Louis University
(314) 991-0330
621 S New Ballas Rd Ste 482A
Ages Seen: 00 Yrs/99 Yrs
Saint Louis, MO 63141
St Louis University Hospital
(314) 251-6395
Ages Seen: 00 Yrs/99 Yrs
Sanford, Thomas, MD !"
SSM Cardinal Glennon Child
Provider ID: 291586
St Louis University Hospital
St Louis University
621 S New Ballas Rd Ste 307A
Wild, Alan, MD !"
Saint Louis, MO 63141
Provider ID: 516627
(314) 251-6362
St Louis University
Ages Seen: 00 Yrs/99 Yrs
12700 Southfork Rd Ste 155D
St Louis University Hospital
Saint Louis, MO 63128
(314) 842-3535
Sanford, Thomas, MD !"
Ages Seen: 00 Yrs/18 Yrs
Provider ID: 291586
SSM Cardinal Glennon Child
St Louis University
St Louis University Hospital
621 S New Ballas Rd Ste 482 A
Saint Louis, MO 63141
(314) 251-6395
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
! BOARD CERTIFIED
Wild, Alan, MD !"
Provider ID: 516627
St Louis University
3009 N Ballas Rd Ste 228A
Saint Louis, MO 63131
(314) 991-0330
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Wild, Alan, MD !"
Provider ID: 516627
St Louis University
621 S New Ballas Rd Ste 307A
Saint Louis, MO 63141
(314) 251-6362
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Wild, Alan, MD !"
Provider ID: 516627
St Louis University
621 S New Ballas Rd Ste 482A
Saint Louis, MO 63141
(314) 251-6395
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
ENDOCRINOLOGY
DIABETES METABOLISM
Griffing, George, MD !"
Provider ID: 242434
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 977-4663
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
GASTROENTEROLOGY
Agarwal, Banke, MD
Provider ID: 234893
St Louis University
12855 N 40th Dr
Saint Louis, MO 63141
(314) 336-1130
Ages Seen: 00 Yrs/99 Yrs
Alkaade, Samer, MD "
Provider ID: 463482
St Louis University
8790 Watson Rd Ste 201
Saint Louis, MO 63119
(314) 543-2800
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Bialecki, Eldad, MD "
Provider ID: 397436
SSM Managed Care Organization
100 Village Square Dr
Hazelwood, MO 63042
(314) 355-4010
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
42
Greenspan, Aaron, MD
Provider ID: 433793
St Louis University
3555 Sunset Office Dr Ste C100
Saint Louis, MO 63127
(314) 238-9100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Greenspan, Aaron, MD
Provider ID: 433793
St Louis University
505 Couch Ave Ste 245
Saint Louis, MO 63122
(314) 238-9100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Greenspan, Aaron, MD
Provider ID: 433793
St Louis University
6400 Clayton Rd Ste 216
Saint Louis, MO 63117
(314) 646-7848
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Hassan, Tariq, MD !"
Provider ID: 376206
SSM Managed Care Organization
100 Village Square Dr
Hazelwood, MO 63042
(314) 559-5167
Ages Seen: 15 Yrs/99 Yrs
Landau, David, MD !"
Provider ID: 250924
SSM Managed Care Organization
100 Village Sq Dr
Hazelwood, MO 63042
(314) 355-4010
Ages Seen: 00 Yrs/99 Yrs
Landau, David, MD !
Provider ID: 250924
SSM Managed Care Organization
11125 Dunn Rd Ste 406
Saint Louis, MO 63136
(314) 355-4010
Ages Seen: 00 Yrs/99 Yrs
Landau, David, MD !
Provider ID: 250924
SSM Managed Care Organization
135 S Lasalle St
Hazelwood, MO 63042
(314) 739-7793
Ages Seen: 00 Yrs/99 Yrs
Margolis, David, MD !"
Provider ID: 337208
SSM Managed Care Organization
100 Village Square Dr
Hazelwood, MO 63042
(314) 739-7793
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
GASTROENTEROLOGY
(cont.)
Quader, Zafar, MD !"
Provider ID: 349462
Language: Urdu
Zafar Quader MD
10004 Kennerly Rd Ste 257 A
Saint Louis, MO 63128
(314) 842-6333
Ages Seen: 18 Yrs/99 Yrs
Quader, Zafar, MD !"
Provider ID: 349462
Language: Urdu
Zafar Quader MD
3009 N Ballas Rd Ste 229 A
Saint Louis, MO 63131
(314) 432-5144
Ages Seen: 18 Yrs/99 Yrs
Riley, Joel, MD !
Provider ID: 238168
Language: French
SSM Managed Care Organization
6400 Clayton Rd Ste 216
Saint Louis, MO 63117
(314) 646-7848
Ages Seen: 17 Yrs/99 Yrs
Stoffa, Robert, MD "
Provider ID: 444437
SSM Managed Care Organization
100 Village Square Dr
Hazelwood, MO 63042
(314) 355-4010
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
GENERAL SURGERY
Dysarz, Francis, MD !"
Provider ID: 392491
SSM Managed Care Organization
1035 Bellevue Ave Ste 203
Saint Louis, MO 63117
(314) 644-5151
Ages Seen: 00 Yrs/99 Yrs
Graff, Ralph, MD "
Provider ID: 237245
St Louis University
1035 Bellevue Ave Ste 203
Saint Louis, MO 63117
(314) 645-6051
Ages Seen: 00 Yrs/99 Yrs
Hsueh, Eddy, MD "
Provider ID: 237529
St Louis University
10012 Kennerly Rd Ste 305
Saint Louis, MO 63128
(314) 525-4325
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
FEBRUARY 2012
Kirkland, Levi, MD "
Provider ID: 235218
SSM Managed Care Organization
1027 Bellevue Ave Ste 201
Saint Louis, MO 63117
(314) 644-1411
Ages Seen: 15 Yrs/99 Yrs
Morales, Mario, MD "
Provider ID: 522310
Language: Spanish
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2502
Ages Seen: 02 Yrs/99 Yrs
Morales, Mario, MD "
Provider ID: 522310
Language: Spanish
SSM Managed Care Organization
12266 De Paul Dr Ste 310
Bridgeton, MO 63044
(314) 344-6800
Ages Seen: 02 Yrs/99 Yrs
Morales, Mario, MD "
Provider ID: 522310
Language: Spanish
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 02 Yrs/99 Yrs
Peterson, Gary, MD !"
Provider ID: 238703
St Louis University
10012 Kennerly Rd Ste 305
Saint Louis, MO 63128
(314) 525-4325
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Peterson, Gary, MD !
Provider ID: 238703
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Schnepp, Stephanie, MD !"
Provider ID: 506866
SSM Managed Care Organization
1011 Bowles Ave Ste 300
Fenton, MO 63026
(636) 496-5000
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
Schnepp, Stephanie, MD !"
Provider ID: 506866
SSM Managed Care Organization
1031 Bellevue Ave Ste 300
Saint Louis, MO 63117
(314) 644-6300
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
Schnepp, Stephanie, MD !"
Provider ID: 506866
SSM Managed Care Organization
1035 Bellevue Ave Ste 500
Saint Louis, MO 63117
(314) 644-6300
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
Schnepp, Stephanie, MD !"
Provider ID: 506866
SSM Managed Care Organization
533 Couch Ave Ste 220
Saint Louis, MO 63122
(314) 644-6300
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
Schwartz, Theresa, MD !"
Provider ID: 586200
St Louis University
10012 Kennerly Rd Ste 305
Saint Louis, MO 63128
(314) 525-4325
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
GYNECOLOGICAL
ONCOLOGY
Buekers, Thomas, MD "
Provider ID: 291760
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Buekers, Thomas, MD "
Provider ID: 291760
St Louis University
12303 Depaul Dr
Hazelwood, MO 63044
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Buekers, Thomas, MD "
Provider ID: 291760
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
43
Helm, Cyril, MD !"
Provider ID: 573200
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Helm, Cyril, MD !"
Provider ID: 573200
St Louis University
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Helm, Cyril, MD !"
Provider ID: 573200
St Louis University
6420 Clayton Rd
First Fl
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Kao, Ming, MD "
Provider ID: 238857
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Kao, Ming, MD
Provider ID: 238857
St Louis University
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Kao, Ming, MD
Provider ID: 238857
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
HAND SURGERY
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.) Dysarz, Francis, MD "
GYNECOLOGICAL
ONCOLOGY (cont.)
Xynos, Francisco, MD "
Provider ID: 291679
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 13 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Xynos, Francisco, MD
Provider ID: 291679
St Louis University
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 13 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Xynos, Francisco, MD "
Provider ID: 291679
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 13 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Xynos, Pericles, MD
Provider ID: 479539
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 781-1505
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
GYNECOLOGY
Backer, Matthias, MD "
Provider ID: 238859
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
Backer, Matthias, MD "
Provider ID: 238859
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
Provider ID: 392491
SSM Managed Care Organization
1035 Bellevue Ave Ste 203
Saint Louis, MO 63117
(314) 644-5151
Ages Seen: 00 Yrs/99 Yrs
Kraemer, Bruce, MD "
Provider ID: 292018
St Louis University
1035 Bellevue Ste 203
Saint Louis, MO 63117
(314) 645-6051
Ages Seen: 00 Yrs/99 Yrs
HEMATOLOGY &
ONCOLOGY
Becker-Koepke,
Stephanie, MD !"
Provider ID: 513715
SSM Managed Care Organization
1011 Bowles Ave Ste G50
Fenton, MO 63026
(636) 496-4640
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
Inhorn, Roger, MD
Provider ID: 250566
Hematology Oncology Associates
12255 De Paul Dr Ste 700
Bridgeton, MO 63044
(314) 291-8302
Ages Seen: 00 Yrs/99 Yrs
INFECTIOUS DISEASE
Burmeister, R, MD "
Provider ID: 238096
SSM Managed Care Organization
13131 Tesson Ferry Rd Ste 129
Saint Louis, MO 63128
(314) 849-6611
Ages Seen: 00 Yrs/99 Yrs
Dewan, Rajeev, MD !"
Provider ID: 508484
SSM Managed Care Organization
10010 Kennerly Rd
Saint Louis, MO 63128
(314) 842-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Dewan, Rajeev, MD !"
Provider ID: 508484
SSM Managed Care Organization
10018 Kennerly Rd Ste 250
Saint Louis, MO 63128
(314) 842-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Dewan, Rajeev, MD !"
Provider ID: 508484
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(314) 842-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Dewan, Rajeev, MD !"
Provider ID: 508484
SSM Managed Care Organization
12700 Southfork Ste 17
Saint Louis, MO 63128
(314) 842-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Dewan, Rajeev, MD !"
Provider ID: 508484
SSM Managed Care Organization
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
(314) 842-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Dewan, Rajeev, MD !"
Provider ID: 508484
SSM Managed Care Organization
3015 N Ballas Rd
Saint Louis, MO 63131
(314) 842-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Dewan, Rajeev, MD !"
Provider ID: 508484
SSM Managed Care Organization
3844 S Lindbergh Blvd Ste 250
Saint Louis, MO 63127
(314) 842-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Hendershot, Edward, MD
Provider ID: 236048
SSM Managed Care Organization
12277 De Paul Dr Ste 201
Bridgeton, MO 63044
(314) 344-7070
Zinser, Phillip, MD
Provider ID: 234549
SSM Managed Care Organization
12277 De Paul Dr Ste 201
Bridgeton, MO 63044
(314) 344-7070
Ages Seen: 00 Yrs/99 Yrs
Zinser, Phillip, MD
Provider ID: 234549
SSM Managed Care Organization
12774 Boenker Ln
Bridgeton, MO 63044
(314) 291-7997
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
44
INTERNAL MEDICINE
Almasalmeh, Naser, MD !"
Provider ID: 626306
Language: Arabic
Granite City Clinic Corp
751 Saint Francois St
Florissant, MO 63031
(314) 838-7000
Ages Seen: 12 Yrs/99 Yrs
SSM Depaul Health Center
Berg, Ryan, MD
Provider ID: 460761
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Chilappa, Madan, MD
Provider ID: 247362
SSM Managed Care Organization
10004 Kennerly Rd Ste 310A
Saint Louis, MO 63128
(314) 647-7801
Ages Seen: 12 Yrs/99 Yrs
SSM Depaul Health Center
Chilappa, Madan, MD "
Provider ID: 247362
SSM Managed Care Organization
2531 Big Bend Blvd Ste 1
Saint Louis, MO 63143
(314) 647-7801
Ages Seen: 12 Yrs/99 Yrs
SSM Depaul Health Center
Chilappa, Madan, MD "
Provider ID: 247362
SSM Managed Care Organization
6400 Clayton Rd Ste 316
Saint Louis, MO 63117
(314) 647-7801
Ages Seen: 12 Yrs/99 Yrs
SSM Depaul Health Center
Devkota, Bishnu, MD !
Provider ID: 488169
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Flury, Kirk, MD !"
Provider ID: 486483
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
INTERNAL MEDICINE (cont.)
Kinsella, Laurence, MD !"
Provider ID: 237744
St Louis University
1055 Bowles Ave Ste 200
Fenton, MO 63026
(636) 496-3900
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
St Louis University Hospital
Kinsella, Laurence, MD !
Provider ID: 237744
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
St Louis University Hospital
FEBRUARY 2012
Lash, Jennifer, MD !"
Provider ID: 449787
St Louis University
2325 Dougherty Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Nisar, Abid, MD !"
Provider ID: 256592
Abid Nisar; MD
1224 Graham Rd Ste 3002
Florissant, MO 63031
(314) 836-0565
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
Quader, Zafar, MD "
Provider ID: 349462
Language: Urdu
Zafar Quader MD
10004 Kennerly Rd Ste 257 A
Saint Louis, MO 63128
(314) 842-6333
Ages Seen: 18 Yrs/99 Yrs
Lakshmanan, Rekha, MD
Provider ID: 247365
SSM Managed Care Organization
6400 Clayton Rd Ste 316
Saint Louis, MO 63117
(314) 647-7801
Ages Seen: 18 Yrs/99 Yrs
Quader, Zafar, MD "
Provider ID: 349462
Language: Urdu
Zafar Quader MD
3009 N Ballas Rd Ste 229 A
Saint Louis, MO 63131
(314) 432-5144
Ages Seen: 18 Yrs/99 Yrs
Landau, David, MD !"
Provider ID: 250924
SSM Managed Care Organization
100 Village Sq Dr
Hazelwood, MO 63042
(314) 355-4010
Ages Seen: 00 Yrs/99 Yrs
Ravuri, Sreenivas, MD
Provider ID: 247360
SSM Managed Care Organization
12700 Southfork Rd Ste 275
Saint Louis, MO 63128
(314) 849-1500
Landau, David, MD !
Provider ID: 250924
SSM Managed Care Organization
11125 Dunn Rd Ste 406
Saint Louis, MO 63136
(314) 355-4010
Ages Seen: 00 Yrs/99 Yrs
Riley, Joel, MD !
Provider ID: 238168
Language: French
SSM Managed Care Organization
6400 Clayton Rd Ste 216
Saint Louis, MO 63117
(314) 646-7848
Ages Seen: 17 Yrs/99 Yrs
Landau, David, MD !
Provider ID: 250924
SSM Managed Care Organization
135 S Lasalle St
Hazelwood, MO 63042
(314) 739-7793
Ages Seen: 00 Yrs/99 Yrs
Lash, Jennifer, MD !
Provider ID: 449787
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
Suarez-Solar, Pedro, MD
Provider ID: 247367
SSM Managed Care Organization
6400 Clayton Rd Ste 316
Saint Louis, MO 63117
(314) 647-7801
Ages Seen: 18 Yrs/99 Yrs
Weintraub, Steven, MD "
Provider ID: 496381
SSM Managed Care Organization
12155 Woodcrest Executive Dr
Ste 220
Saint Louis, MO 63141
(314) 317-0600
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
MATERNAL FETAL
MEDICINE
Amon, Erol, MD !
Provider ID: 234886
St Louis University
1027 Bellevue Ave
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Amon, Erol, MD !"
Provider ID: 234886
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Amon, Erol, MD !
Provider ID: 234886
St Louis University
12303 De Paul Dr
Bridgeton, MO 63044
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Amon, Erol, MD
Provider ID: 252261
SSM Managed Care Organization
12303 Depaul Dr
Hazelwood, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
Amon, Erol, MD !
Provider ID: 234886
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Artal, Raul, MD "
Provider ID: 238616
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Artal, Raul, MD "
Provider ID: 238616
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
" WHEELCHAIR ACCESSIBLE
45
Gross, Gilad, MD !"
Provider ID: 539989
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Gross, Gilad, MD !"
Provider ID: 539989
St Louis University
224 S Woods Mill Rd
S First Fl Clinicte 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Gross, Gilad, MD !"
Provider ID: 539989
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Vlastos, Emanuel, MD "
Provider ID: 380590
St Louis University
1015 Bowles Ave
Fenton, MO 63026
(363) 649-6200
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Joseph Hospital West
St Louis University Hospital
Vlastos, Emanuel, MD "
Provider ID: 380590
St Louis University
1027 Bellevue Ave
Saint Louis, MO 63117
(314) 768-8730
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Joseph Hospital West
St Louis University Hospital
Vlastos, Emanuel, MD "
Provider ID: 380590
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Joseph Hospital West
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
NEPHROLOGY
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.) Seltzer, Jay, MD !"
MATERNAL FETAL
MEDICINE (cont.)
Vlastos, Emanuel, MD "
Provider ID: 380590
St Louis University
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6495
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Joseph Hospital West
St Louis University Hospital
Vlastos, Emanuel, MD "
Provider ID: 380590
St Louis University
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-8873
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Joseph Hospital West
St Louis University Hospital
MEDICAL ONCOLOGY
Greenberg, David, MD "
Provider ID: 558932
St Louis University
3655 Vista Ave
Saint Louis, MO 63141
(314) 577-8904
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Greenberg, David, MD "
Provider ID: 558932
St Louis University
621 S New Ballas Rd
Ste 3005 Tower B
Saint Louis, MO 63141
(314) 251-7580
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
NEONATAL PERINATAL
MEDICINE
Hall, Heather, MD
Provider ID: 291862
St Louis University
6420 Clayton Rd
Saint Louis, MO 63117
(618) 577-5642
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
Provider ID: 545026
SSM Managed Care Organization
12855 N 40 Dr Ste 205
Saint Louis, MO 63141
(314) 729-0900
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
NEUROLOGY
Andrews, Wegdan, MD
Provider ID: 325048
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Kinsella, Laurence, MD !
Provider ID: 237744
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
St Louis University Hospital
Mithen, Francis, MD "
Provider ID: 357331
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
NEUROSURGERY
Cruz- Flores, Salvador, MD !"
Provider ID: 513100
Language: Spanish
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
SSM Depaul Health Center
St Louis University Hospital
Bailey, Gregory, MD "
Provider ID: 235478
Language: German
SSM Managed Care Organization
1027 Bellevue Ave Ste 145
Saint Louis, MO 63117
(314) 543-5999
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Clare Health Center
SSM St Marys Health Center
Cruz- Flores, Salvador, MD !"
Provider ID: 513100
Language: Spanish
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
SSM Depaul Health Center
St Louis University Hospital
Bailey, Gregory, MD "
Provider ID: 235478
Language: German
SSM Managed Care Organization
1035 Bellevue Ave Ste 500
Saint Louis, MO 63117
(636) 496-3900
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Clare Health Center
SSM St Marys Health Center
Cruz- Flores, Salvador, MD !"
Provider ID: 513100
Language: Spanish
SSM Managed Care Organization
6400 Clayton Rd
Saint Louis, MO 63117
(314) 768-8000
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
SSM Depaul Health Center
St Louis University Hospital
Chen, Fangxiang, MD
Provider ID: 597948
St Louis University
10012 Kennerly Rd Ste 400
Saint Louis, MO 63128
(314) 543-5951
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Kinsella, Laurence, MD !"
Provider ID: 237744
St Louis University
1055 Bowles Ave Ste 200
Fenton, MO 63026
(636) 496-3900
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
St Louis University Hospital
Felton, Jason, MD
Provider ID: 556391
St Louis University
10012 Kennerl Y Rd Ste 400
Saint Louis, MO 63128
(314) 543-5951
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
46
Khan, Shah-Naz, MD !
Provider ID: 527757
St Louis University
10004 Kennerly Rd Ste 400
Saint Louis, MO 63128
(314) 543-5951
Ages Seen: 18 Yrs/99 Yrs
Quinn, Tanya, MD "
Provider ID: 550134
St Louis University
10012 Kennerly Rd Ste 400
Saint Louis, MO 63128
(314) 577-8720
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
NUCLEAR MEDICINE
Polack, Donovan, MD "
Provider ID: 239118
SSM Managed Care Organization
11125 Dunn Rd Ste 206
Saint Louis, MO 63136
(314) 741-1600
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center
SSM Depaul Health Center
Polack, Donovan, MD "
Provider ID: 239118
SSM Managed Care Organization
11125 Dunn Rd Ste 308
Saint Louis, MO 63136
(314) 741-1600
Ages Seen: 00 Yrs/99 Yrs
Gateway Regional Med Center
SSM Depaul Health Center
OBSTETRICS/
GYNECOLOGY
Blaskiewicz, Robert, MD "
Provider ID: 235873
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Brennan, Richard, MD "
Provider ID: 443064
SSM Managed Care Organization
13023 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 849-3711
Ages Seen: 00 Yrs/99 Yrs
Brennan Jr, Robert, MD !"
Provider ID: 444951
SSM Managed Care Organization
1011 Bowles Ave
Fenton, MO 63026
(636) 326-2600
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OBSTETRICS/
GYNECOLOGY (cont.)
Brennan Jr, Robert, MD !"
Provider ID: 444951
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Brennan Jr, Robert, MD !"
Provider ID: 444951
SSM Managed Care Organization
13023 Tesson Ferry Rd
Saint Louis, MO 63128
(314) 849-3711
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Dickert, Erin, MD "
Provider ID: 549998
St Louis University
6420 Clayton Rd
First Fl
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Eisenberg, David, MD
Provider ID: 584543
Language: Spanish
Planned Parenthood of The St L
1 Stonegate Center
Valley Park, MO 63088
(636) 431-0030
Ages Seen: 18 Yrs/99 Yrs
Eisenberg, David, MD
Provider ID: 584543
Language: Spanish
Planned Parenthood of The St L
2796 -98 N Hwy 67
Florissant, MO 63033
(314) 921-4445
Ages Seen: 18 Yrs/99 Yrs
Haque, Hoosna, MD !"
Provider ID: 348184
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 11 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Hoenicke, Nicole, MD !"
Provider ID: 291768
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Lefevre, Cherie, MD "
Provider ID: 238056
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Hoenicke, Nicole, MD !"
Provider ID: 291768
St Louis University
12303 Depaul Dr
Hazelwood, MO 63044
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Lefevre, Cherie, MD "
Provider ID: 238056
St Louis University
12255 Depaul Dr Ste 65
Bridgeton, MO 63044
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Hoenicke, Nicole, MD !"
Provider ID: 291768
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Lefevre, Cherie, MD "
Provider ID: 238056
St Louis University
12303 Depaul Dr
Bridgeton, MO 63044
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Holloran-Schwartz, Mary, MD "
Provider ID: 237132
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Keller, Sarah, MD !"
Provider ID: 298941
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Keller, Sarah, MD !"
Provider ID: 298941
St Louis University
12303 Depaul Dr
Hazelwood, MO 63044
(314) 344-6495
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Keller, Sarah, MD !"
Provider ID: 298941
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 781-1505
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Lefevre, Cherie, MD "
Provider ID: 238056
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Leong, Fah, MD "
Provider ID: 239092
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Leong, Fah, MD "
Provider ID: 239092
St Louis University
12303 Depaul Dr
Hazelwood, MO 63044
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Leong, Fah, MD
Provider ID: 239092
St Louis University
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
47
Leong, Fah, MD "
Provider ID: 239092
St Louis University
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Liftis-Podorozhansky,
Yulia, MD !"
Provider ID: 354343
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/18 Yrs
SSM St Marys Health Center
St Louis University Hospital
Liftis-Podorozhansky,
Yulia, MD !
Provider ID: 354343
St Louis University
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 00 Yrs/18 Yrs
SSM St Marys Health Center
St Louis University Hospital
Liftis-Podorozhansky,
Yulia, MD !"
Provider ID: 354343
St Louis University
6420 Clayton Rd
First Fl
Saint Louis, MO 63117
(314) 781-1505
Ages Seen: 00 Yrs/18 Yrs
SSM St Marys Health Center
St Louis University Hospital
Mayer, Jonathan, MD
Provider ID: 462963
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
McCloskey, Leslie, MD "
Provider ID: 298224
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OBSTETRICS/
GYNECOLOGY (cont.)
McCloskey, Leslie, MD "
Provider ID: 298224
St Louis University
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6495
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
McCloskey, Leslie, MD "
Provider ID: 298224
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 781-1505
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
McLennan, Mary, MD "
Provider ID: 238858
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
McLennan, Mary, MD "
Provider ID: 238858
St Louis University
12303 Depaul Dr
Hazelwood, MO 63044
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
McLennan, Mary, MD
Provider ID: 238858
St Louis University
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Mimlitz, Michael, MD !"
Provider ID: 565870
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Joseph Hospital West
SSM St Marys Health Center
! BOARD CERTIFIED
FEBRUARY 2012
Mimlitz, Michael, MD !"
Provider ID: 565870
SSM Managed Care Organization
621 S New Ballas Rd Ste 419A
Saint Louis, MO 63141
(631) 432-8505
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Joseph Hospital West
SSM St Marys Health Center
Myles, Thomas, MD
Provider ID: 239091
St Louis University
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Mostello, Dorothea, MD "
Provider ID: 234887
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Myles, Thomas, MD "
Provider ID: 239091
St Louis University
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Myles, Thomas, MD
Provider ID: 239091
St Louis University
1027 Bellevue
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Myles, Thomas, MD "
Provider ID: 239091
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Myles, Thomas, MD "
Provider ID: 239091
St Louis University
12255 De Paul Dr Ste 65
Bridgeton, MO 63044
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Myles, Thomas, MD "
Provider ID: 239091
St Louis University
12303 Depaul Dr
Bridgeton, MO 63044
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Nguyen, Thinh, MD "
Provider ID: 504591
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Petersen, Diane, MD !"
Provider ID: 365136
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 16 Yrs/99 Yrs
St Louis University Hospital
Powell, Jill, MD "
Provider ID: 235417
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/16 Yrs
SSM St Marys Health Center
Powell, Jill, MD "
Provider ID: 235417
St Louis University
6420 Clayton Rd
First Fl
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/16 Yrs
SSM St Marys Health Center
Rempe, Margaret, MD !"
Provider ID: 299285
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
48
Rempe, Margaret, MD !"
Provider ID: 299285
St Louis University
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6495
Ages Seen: 00 Yrs/99 Yrs
Rempe, Margaret, MD !"
Provider ID: 299285
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
Sample, Andrea, MD !
Provider ID: 566404
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Sample, Andrea, MD !"
Provider ID: 566404
SSM Managed Care Organization
493 St Francois St Ste 2
Florissant, MO 63031
(314) 972-9888
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Shah, Mitul, MD
Provider ID: 412681
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Shyken, Jaye, MD "
Provider ID: 238617
St Louis University
6420 Clayton Rd
Saint Louis, MO 63117
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Steele, Andrew, MD "
Provider ID: 291743
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OBSTETRICS/
GYNECOLOGY (cont.)
Steele, Andrew, MD
Provider ID: 291743
St Louis University
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Steele, Andrew, MD "
Provider ID: 291743
St Louis University
3655 Vista Ave
Saint Louis, MO 63117
(314) 577-8000
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Steele, Andrew, MD
Provider ID: 291743
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Suwan, Mehra, MD "
Provider ID: 621032
St Louis University
6420 Clayton Rd
First Fl
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Thomure, Michael, MD "
Provider ID: 237428
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Thomure, Michael, MD "
Provider ID: 237428
St Louis University
12303 Depaul Dr
Hazelwood, MO 63044
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Thomure, Michael, MD "
Provider ID: 237428
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 781-4772
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Ward, Donald, MD
Provider ID: 238618
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Vlastos, Emanuel, MD "
Provider ID: 380590
St Louis University
1015 Bowles Ave
Fenton, MO 63026
(363) 649-6200
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Joseph Hospital West
St Louis University Hospital
Ward, Donald, MD
Provider ID: 238618
St Louis University
12255 Depaul Dr Ste 65
Hazelwood, MO 63044
(314) 781-7455
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Vlastos, Emanuel, MD "
Provider ID: 380590
St Louis University
1027 Bellevue Ave
Saint Louis, MO 63117
(314) 768-8730
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Joseph Hospital West
St Louis University Hospital
Vlastos, Emanuel, MD "
Provider ID: 380590
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Joseph Hospital West
St Louis University Hospital
Vlastos, Emanuel, MD "
Provider ID: 380590
St Louis University
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6495
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Joseph Hospital West
St Louis University Hospital
Vlastos, Emanuel, MD "
Provider ID: 380590
St Louis University
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-8873
Ages Seen: 18 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Joseph Hospital West
St Louis University Hospital
Ward, Donald, MD "
Provider ID: 238618
St Louis University
4000 Jennings Station Rd
Saint Louis, MO 63121
(314) 679-7800
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Ward, Donald, MD "
Provider ID: 238618
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 781-1505
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Xynos, Francisco, MD "
Provider ID: 291679
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 13 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Xynos, Francisco, MD
Provider ID: 291679
St Louis University
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 13 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
49
Xynos, Francisco, MD "
Provider ID: 291679
St Louis University
6420 Clayton Rd
First Fl Clinic
Saint Louis, MO 63117
(314) 768-8373
Ages Seen: 13 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Xynos, Nicole, MD
Provider ID: 462967
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Xynos, Pericles, MD
Provider ID: 479539
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 781-1505
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Yalom, Eve, MD "
Provider ID: 285531
St Louis University
1031 Bellevue
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Yalom, Eve, MD "
Provider ID: 285531
St Louis University
6420 Clayton Rd
Saint Louis, MO 63117
(314) 781-8605
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Yeung, Patrick, MD !"
Provider ID: 597934
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Ziainia, Tina, MD "
Provider ID: 234900
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
OPHTHALMOLOGY
Akduman, Levent, MD
Provider ID: 234525
St Louis University
1034 S Kirkwood Rd
Saint Louis, MO 63122
(314) 821-4252
Ages Seen: 00 Yrs/99 Yrs
Akduman, Levent, MD "
Provider ID: 242623
SSM Managed Care Organization
1034 S Kirkwood Rd
Saint Louis, MO 63122
(314) 821-4252
Ages Seen: 00 Yrs/99 Yrs
Blatt, Andrew, MD
Provider ID: 247478
SSM Managed Care Organization
675 Old Ballas Rd Ste 220
Saint Louis, MO 63141
(314) 997-3937
Ages Seen: 00 Yrs/99 Yrs
Cruz, Oscar, MD !"
Provider ID: 234357
Language: Spanish
St Louis University
12700 Southfork Rd
Saint Louis, MO 63125
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Cruz, Oscar, MD !"
Provider ID: 234357
Language: Spanish
St Louis University
13131 Tesson Ferry Rd
Saint Louis, MO 63129
(314) 842-3535
Ages Seen: 00 Yrs/99 Yrs
Davitt, Bradley, MD !"
Provider ID: 238064
St Louis University
12700 Southfork Rd
Saint Louis, MO 63125
(314) 977-4440
Ages Seen: 00 Yrs/99 Yrs
Davitt, Bradley, MD !"
Provider ID: 238064
St Louis University
13131 Tesson Ferry Rd
Saint Louis, MO 63129
(314) 842-3535
Ages Seen: 00 Yrs/99 Yrs
Lewis, Robert, MD
Provider ID: 237948
SSM Managed Care Organization
12700 Southfork Rd Ste 205
Saint Louis, MO 63128
(314) 842-0582
! BOARD CERTIFIED
FEBRUARY 2012
Peralta, Enrique, MD "
Provider ID: 337507
Language: French
SSM Managed Care Organization
10004 Kennerly Rd Ste 120
Saint Louis, MO 63128
(314) 849-0101
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 337507
Language: French
SSM Managed Care Organization
17249 Chesterfield Airport Rd
Chesterfield, MO 63005
(314) 569-2020
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD
Provider ID: 337507
Language: French
SSM Managed Care Organization
10465 St Charles Rock Rd
Saint Ann, MO 63074
(314) 878-2222
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD
Provider ID: 337507
Language: French
SSM Managed Care Organization
1730 Clarkson Rd Ste B
Chesterfield, MO 63017
(314) 878-2222
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD
Provider ID: 337507
Language: French
SSM Managed Care Organization
11477 Olive Blvd
Saint Louis, MO 63141
(314) 878-2222
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 337507
Language: French
SSM Managed Care Organization
2900 Lemay Rd Ste 120
Saint Louis, MO 63125
(314) 892-8211
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 337507
Language: French
SSM Managed Care Organization
11710 Chesterfield
Airport Rd
Chesterfield, MO 63005
(314) 569-2020
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD
Provider ID: 337507
Language: French
SSM Managed Care Organization
5694 Telegraph Plz
Saint Louis, MO 63129
(314) 878-2222
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 337507
Language: French
SSM Managed Care Organization
11710 Old Ballas Rd Ste 102
Saint Louis, MO 63141
(314) 569-2020
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 337507
Language: French
SSM Managed Care Organization
12255 De Paul Dr Ste 420
Bridgeton, MO 63044
(314) 291-5000
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD "
Provider ID: 337507
Language: French
SSM Managed Care Organization
699 Gravois Bluff Ste B
Fenton, MO 63026
(636) 349-3005
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Peralta, Enrique, MD
Provider ID: 337507
Language: French
SSM Managed Care Organization
730 S Kirkwood Rd
Saint Louis, MO 63122
(314) 569-2020
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Safi, Malaz, MD "
Provider ID: 237949
SSM Managed Care Organization
8790 Watson Rd Ste 203
Saint Louis, MO 63119
(314) 543-2850
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
50
Schrenk, Loren, MD
Provider ID: 234392
SSM Managed Care Organization
12818 Tesson Ferry Rd Ste 201
Saint Louis, MO 63128
(314) 843-4044
OPTOMETRY
Porter, Thomas, OD "
Provider ID: 291918
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
ORTHOPAEDIC SURGERY
Bassman, Donald, MD "#
Provider ID: 236684
Dr Donald R Bassman
522 N New Ballas Rd Ste 199
Saint Louis, MO 63141
(314) 567-9400
Ages Seen: 00 Yrs/99 Yrs
Cutuk, Adnan, MD "
Provider ID: 561648
St Louis University
621 S New Ballas Rd
Ste 3005 Tower B
Saint Louis, MO 63141
(314) 251-7580
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Engel, Elizabeth, MD "
Provider ID: 235843
St Louis University
12700 Southford Rd Ste 101
Saint Louis, MO 63128
(314) 577-5305
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Greenberg, David, MD "
Provider ID: 558932
St Louis University
3655 Vista Ave
Saint Louis, MO 63141
(314) 577-8904
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Greenberg, David, MD "
Provider ID: 558932
St Louis University
621 S New Ballas Rd
Ste 3005 Tower B
Saint Louis, MO 63141
(314) 251-7580
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
ORTHOPAEDIC SURGERY
(cont.)
Nott, Erik, MD !"
Provider ID: 564640
St Louis University
621 S New Ballas Rd
Ste 3005 Tower B
Saint Louis, MO 63141
(314) 251-7580
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Puryear, Aki, MD "
Provider ID: 287182
St Louis University
12700 Southford Rd Ste 101
Saint Louis, MO 63128
(314) 577-5302
Ages Seen: 18 Yrs/99 Yrs
Stoneback, Jason, MD "
Provider ID: 597952
St Louis University
621 S New Ballas Rd
Ste 3005 Tower B
Saint Louis, MO 63141
(314) 251-7580
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
PAIN MANAGEMENT
Coleman, Kevin, MD !"
Provider ID: 495790
SSM Managed Care Organization
13131 Tesson Ferry Rd Ste 105
Saint Louis, MO 63128
(314) 756-8035
Ages Seen: 00 Yrs/99 Yrs
Gahn, Richard, MD !"
Provider ID: 246474
SSM Managed Care Organization
1031 Belleville Ave Ste 310
Saint Louis, MO 63117
(314) 768-8491
Ages Seen: 16 Yrs/99 Yrs
SSM St Clare Health Center
Gahn, Richard, MD !"
Provider ID: 246474
SSM Managed Care Organization
12345 W Bend Dr Ste 302
Saint Louis, MO 63128
(314) 729-0707
Ages Seen: 16 Yrs/99 Yrs
SSM St Clare Health Center
! BOARD CERTIFIED
FEBRUARY 2012
Gheith, Ramis, MD "
Provider ID: 548596
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
Granberg, Steven, MD "
Provider ID: 496993
SSM Managed Care Organization
13131 Tesson Ferry Rd Ste 105
Saint Louis, MO 63128
(314) 756-8035
Ages Seen: 00 Yrs/99 Yrs
PEDIATRIC EAR NOSE &
THROAT
Costa, Dary, MD "
Provider ID: 598551
St Louis University
12700 Southfork Rd Ste 155D
Saint Louis, MO 63128
(314) 525-4949
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
PEDIATRIC
ENDOCRINOLOGY
Kanafani, Nadim, DO
Provider ID: 514556
St Louis University
12700 Southford Rd Ste 101
Saint Louis, MO 63128
(314) 977-2222
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
PEDIATRIC
GASTROENTEROLOGY
Derdoy, Jose, MD !"
Provider ID: 374854
St Louis University
224 S Woodsmill Rd
S 640
Chesterfield, MO 63017
(314) 678-2178
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Foy, Thomas, MD "
Provider ID: 236357
St Louis University
505 Couch Ave
Saint Louis, MO 63122
(314) 966-1528
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
PEDIATRIC NEUROLOGY
Piriyawat, Paisith, MD !"
Provider ID: 505816
SSM Managed Care Organization
12303 Depaul Dr
Bridgeton, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
PEDIATRIC
OPHTHALMOLOGY
Cruz, Oscar, MD "
Provider ID: 234357
Language: Spanish
St Louis University
12700 Southfork Rd
Saint Louis, MO 63125
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Cruz, Oscar, MD "
Provider ID: 234357
Language: Spanish
St Louis University
13131 Tesson Ferry Rd
Saint Louis, MO 63129
(314) 842-3535
Ages Seen: 00 Yrs/99 Yrs
PEDIATRIC SURGERY
Keller, Martin, MD !"
Provider ID: 236470
St Louis University
12700 Southford Rd Ste 101
Sappington, MO 63128
(314) 577-5305
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Weber, Thomas, MD !
Provider ID: 238704
Language: Spanish
Mount Sinai Community Foundati
12700 Southford Rd Ste 101
Saint Louis, MO 63128
(314) 977-2222
Ages Seen: 00 Yrs/18 Yrs
Mt Sinai Hospital Med Center
Chi
St Louis University Hospital
PEDIATRICS
Al-Hosni, Mohamad, MD "
Provider ID: 254232
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/21 Yrs
" WHEELCHAIR ACCESSIBLE
51
Al-Hosni, Mohamad, MD
Provider ID: 254232
SSM Managed Care Organization
12303 Depaul Dr
Hazelwood, MO 63044
(314) 344-6000
Ages Seen: 00 Yrs/21 Yrs
Al-Hosni, Mohamad, MD "
Provider ID: 254232
SSM Managed Care Organization
525 Couch Ave
Saint Louis, MO 63122
(314) 966-1500
Ages Seen: 00 Yrs/21 Yrs
Doerhoff, Faye, MD "
Provider ID: 244809
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
Ages Seen: 00 Yrs/99 Yrs
Doerhoff, Faye, MD "
Provider ID: 244809
SSM Managed Care Organization
525 Couch Ave
Saint Louis, MO 63122
(314) 966-1500
Ages Seen: 00 Yrs/99 Yrs
PHYSICAL MEDICINE &
REHABILITATION
Khattak, Hafiz, MD "
Provider ID: 450764
Gateway Healthcare
140 E Lockwood
Saint Louis, MO 63119
(314) 961-3038
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
SSM St Joseph Hospital West
St Elizabeths Hospital Bellville
PLASTIC &
RECONSTRUCTIVE
SURGERY
Klomp, S, MD "
Provider ID: 298031
St Louis University
1035 Bellevue Ste 203
Saint Louis, MO 63117
(314) 645-6051
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Kraemer, Bruce, MD "
Provider ID: 292018
St Louis University
1035 Bellevue Ste 203
Saint Louis, MO 63117
(314) 645-6051
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.)
PLASTIC &
RECONSTRUCTIVE
SURGERY (cont.)
Librach, Stanley, MD #
Provider ID: 236672
SSM Managed Care Organization
10004 Kennerly Rd Ste 259B
Saint Louis, MO 63128
(314) 842-3565
Ages Seen: 00 Yrs/99 Yrs
Librach, Stanley, MD #
Provider ID: 236672
SSM Managed Care Organization
2345 Doughtery Ferry Rd Ste 420
Saint Louis, MO 63122
(314) 966-9313
Ages Seen: 00 Yrs/99 Yrs
Lin, Alexander, MD "
Provider ID: 556255
St Louis University
1035 Bellevue Ave Ste 203
Saint Louis, MO 63117
(314) 645-6051
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
SSM St Marys Health Center
St Louis University Hospital
Plikaitis, Christina, MD "
Provider ID: 556257
St Louis University
1035 Bellevue Ave Ste 203
Saint Louis, MO 63117
(314) 645-6051
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
SSM St Marys Health Center
St Louis University Hospital
PODIATRY
Boberg, Jeffrey, DPM !
Provider ID: 306390
Ankle & Foot Surgeons of The M
1224 Graham Rd Ste 2007
Florissant, MO 63031
(314) 921-5340
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
SSM Depaul Health Center
St Elizabeths Hospital Bellville
Boberg, Jeffrey, DPM !"
Provider ID: 306390
Ankle & Foot Surgeons of The M
12255 Depaul Dr Ste 100
Bridgeton, MO 63044
(314) 739-7100
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
SSM Depaul Health Center
St Elizabeths Hospital Bellville
! BOARD CERTIFIED
FEBRUARY 2012
Claxton, Matthew, DPM "
Provider ID: 405022
Ankle & Foot Surgeons of The M
12255 Depaul Dr Ste 100
Bridgeton, MO 63044
(314) 739-7100
Ages Seen: 00 Yrs/99 Yrs
Lombardo, Anthony, DPM !
Provider ID: 337515
SSM Managed Care Organization
12255 Depaul Dr Ste 470
Bridgeton, MO 63044
(314) 739-8863
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Lombardo, Anthony, DPM !
Provider ID: 337515
SSM Managed Care Organization
2325 Dougerty Ferry Rd Ste 104
Saint Louis, MO 63122
(314) 821-5868
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Espiritu, Joseph, MD !"
Provider ID: 303836
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Schwartz, Oscar, MD "
Provider ID: 237624
Southern Illinois Health Care Assoc
969 Mason Rd Ste 250
Saint Louis, MO 63141
(314) 878-4699
Ages Seen: 00 Yrs/99 Yrs
Anderson Hospital
Flury, Kirk, MD !"
Provider ID: 486483
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Stoeckel, David, MD "
Provider ID: 234123
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Goldstein, Gary, MD "
Provider ID: 24100
SSM Managed Care Organization
11133 Dunn Rd Ste 2335
Saint Louis, MO 63136
(314) 653-5007
Ages Seen: 00 Yrs/99 Yrs
Lombardo, Anthony, DPM !
Provider ID: 337515
SSM Managed Care Organization
5661 Telegraph Rd Ste 2A
Saint Louis, MO 63129
(314) 846-2199
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Goldstein, Gary, MD "
Provider ID: 24100
SSM Managed Care Organization
1225 Graham Rd
Breathing Center
Florissant, MO 63031
(314) 653-5007
Ages Seen: 00 Yrs/99 Yrs
Oldani, Timothy, DPM "
Provider ID: 413588
SSM Managed Care Organization
621 S New Ballas Rd
Ste 7005 B
Saint Louis, MO 63141
(314) 991-3668
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Goldstein, Gary, MD "
Provider ID: 24100
SSM Managed Care Organization
450 N New Ballas Rd Ste 262
Saint Louis, MO 63141
(314) 653-5007
Ages Seen: 00 Yrs/99 Yrs
PROSTHETICS
Premier Prosthetics and
Orthotics !"
Provider ID: 536424
Language: Spanish
Premier Prothetics and Orthoti
633 Emerson Rd Ste 10
Creve Coeur, MO 63141
(314) 262-8900
Ages Seen: 00 Yrs/99 Yrs
PULMONARY DISEASE
Barkoviak, Michael, MD !
Provider ID: 309638
SSM Managed Care Organization
11133 Dunn Rd Ste 2335
Saint Louis, MO 63136
(314) 653-5007
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Nayak, Ravi, MD !"
Provider ID: 287088
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Nelson, Kirk, DO !"
Provider ID: 429376
SSM Managed Care Organization
11200 Tesson Ferry Rd Ste 100
Saint Louis, MO 63123
(314) 849-1500
Ages Seen: 00 Yrs/99 Yrs
Saint Anthonys Health Center
Ojile, Joseph, MD !"
Provider ID: 457715
SSM Managed Care Organization
11200 Tesson Ferry Rd Ste 100
Saint Louis, MO 63123
(314) 849-1500
Ages Seen: 00 Yrs/99 Yrs
Saint Anthonys Health Center
" WHEELCHAIR ACCESSIBLE
52
RHEUMATOLOGY
Temprano, Katherine, MD "
Provider ID: 529916
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
SPORTS MEDICINE
Wadsworth, Larkin, MD !
Provider ID: 384810
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 06 Yrs/99 Yrs
St Elizabeths Hospital Bellville
THORACIC &
CARDIOVASCULAR
SURGERY
Daily, Bill, MD !"
Provider ID: 337622
Cardiothoracic Surgery Assoc
12277 Depaul Dr Ste 505
Bridgeton, MO 63044
(314) 291-1222
Ages Seen: 18 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Kraeger, Russell, MD "
Provider ID: 235032
SSM Managed Care Organization
10012 Kennerly Rd Ste 305
Saint Louis, MO 63128
(314) 543-5939
Ages Seen: 00 Yrs/99 Yrs
Kraeger, Russell, MD "
Provider ID: 235032
SSM Managed Care Organization
505 Couch Ave Ste 250
Saint Louis, MO 63122
(314) 543-5939
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
UROLOGY/GYNECOLOGY
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.) Steele, Andrew, MD "
THORACIC &
CARDIOVASCULAR
SURGERY (cont.)
Lee, Winnie, MD !"
Provider ID: 365068
Cardiothoracic Surgery Assoc
12277 Depaul Dr Ste 505
Bridgeton, MO 63044
(314) 291-1222
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
Memorial Hospital
St Elizabeths Hospital Bellville
Provider ID: 291743
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Steele, Andrew, MD
Provider ID: 291743
St Louis University
224 S Woodsmill Rd Ste 665 S
Chesterfield, MO 63017
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Ruiz, Victor, MD !
Provider ID: 337508
Granite City Clinic Corp
Steele, Andrew, MD "
224 South Woods Mill Rd Ste 450S
Provider ID: 291743
Chesterfield, MO 63017
St Louis University
(314) 434-2454
3655 Vista Ave
Ages Seen: 00 Yrs/99 Yrs
Saint Louis, MO 63117
Gateway Regional Med Center
(314) 577-8000
Ages Seen: 00 Yrs/99 Yrs
THORACIC SURGERY
SSM St Marys Health Center
St Louis University Hospital
Fonseca, Peter, MD "
Provider ID: 237527
Steele, Andrew, MD
SSM Managed Care Organization
Provider ID: 291743
10004 Kennerly Rd Ste 345A
St Louis University
Saint Louis, MO 63128
6420 Clayton Rd
(314) 543-5252
First Fl Clinic
Saint Louis, MO 63117
Fonseca, Peter, MD "
(314) 977-7455
Provider ID: 237527
Ages Seen: 00 Yrs/99 Yrs
SSM Managed Care Organization
SSM St Marys Health Center
12255 Depaul Dr Ste 260N
St Louis University Hospital
Bridgeton, MO 63044
(314) 543-5252
VASCULAR SURGERY
Fonseca, Peter, MD "
Provider ID: 237527
SSM Managed Care Organization
505 Couch Ave Ste 250
Saint Louis, MO 63122
(314) 965-9660
Naunheim, Keith, MD "
Provider ID: 239176
St Louis University
1035 Bellevue Ave
Saint Louis, MO 63117
(314) 977-6051
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Jacobs, Donald, MD "
Provider ID: 235570
St Louis University
10012 Kennerly Rd Ste 305
Saint Louis, MO 63128
(314) 525-4325
Ages Seen: 00 Yrs/99 Yrs
Peterson, Brian, MD !
Provider ID: 365193
St Louis University
10004 Kennerly
Saint Louis, MO 63128
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Peterson, Brian, MD !"
Provider ID: 365193
St Louis University
10012 Kennerly Rd Ste 305
Saint Louis, MO 63128
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
Peterson, Brian, MD !
Provider ID: 365193
St Louis University
22325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
ALLERGY & IMMUNOLOGY
Peterson, Brian, MD !"
Provider ID: 365193
St Louis University
2315 Dougherty Ferry Rd Ste 200
Saint Louis, MO 63122
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Becker, Bradley, MD "
Provider ID: 238092
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4014
Ages Seen: 00 Yrs/99 Yrs
Borts, Michael, MD "
Provider ID: 234490
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6070
Ages Seen: 00 Yrs/99 Yrs
Peterson, Gary, MD !"
Provider ID: 238703
St Louis University
10012 Kennerly Rd Ste 305
Saint Louis, MO 63128
(314) 525-4325
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Slavin, Raymond, MD "
Provider ID: 236753
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Peterson, Gary, MD !
Provider ID: 238703
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Temprano, James, MD !
Provider ID: 529920
St Louis University
3660 Vista Ave Ste 203
Saint Louis, MO 63110
(314) 977-6070
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Zakhary, Emad, MD !"#
Provider ID: 569127
St Louis University
10012 Kennerly Rd Ste 305
Saint Louis, MO 63128
(314) 525-4325
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
CARDIOLOGY
SAINT LOUIS CITY
ADOLESCENT MEDICINE
Dunstan-Brady, Marianne, MD "
Provider ID: 250748
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
Elfenbein, Dianne, MD !"
Provider ID: 544646
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6406
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
53
Guerra, Meghan, MD "
Provider ID: 292130
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6406
Ages Seen: 00 Yrs/18 Yrs
Alderson, Lisa, MD !"
Provider ID: 572756
St Louis University
3635 Vista Ave
Saint Louis, MO 63110
(314) 577-8897
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Babusis, Elizabeth, MD "
Provider ID: 235427
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5644
Ages Seen: 00 Yrs/99 Yrs
Berg, Ryan, MD
Provider ID: 460761
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
CARDIOLOGY (cont.)
Bjerregaard, Preben, MD "
Provider ID: 234904
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6190
Ages Seen: 00 Yrs/99 Yrs
Bleyer, Frank, MD !
Provider ID: 256596
River To River Heart Group
3635 Vista Grand Ave
Saint Louis, MO 63110
(618) 998-7600
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
St Louis University Hospital
Bleyer, Frank, MD "
Provider ID: 234901
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6190
Ages Seen: 00 Yrs/99 Yrs
Chaitman, Bernard, MD "
Provider ID: 237764
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 00 Yrs/99 Yrs
Cohen, Jerome, MD "
Provider ID: 237432
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 00 Yrs/99 Yrs
Czarnik, Bruce, MD !"
Provider ID: 325036
St Louis University
1034 S Brent Wood Blvd Ste 1120
Saint Louis, MO 63177
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Czarnik, Bruce, MD !"
Provider ID: 325036
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Dolan, Melda, MD "
Provider ID: 235421
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 00 Yrs/99 Yrs
Ferreira, Scott, MD !"
Provider ID: 597951
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 577-8860
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Forsberg, Michael, MD !
Provider ID: 385068
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Janosik, Denise, MD "
Provider ID: 234349
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6190
Ages Seen: 00 Yrs/99 Yrs
Jeffreys, Florence, MD "
Provider ID: 237855
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63195
(314) 726-6554
Ages Seen: 00 Yrs/99 Yrs
Klein, Andrew, MD !
Provider ID: 524771
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
Laddu, Abhay, MD "
Provider ID: 513049
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Lim, Michael, MD "
Provider ID: 291839
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 00 Yrs/99 Yrs
Longnecker, Christopher, MD "
Provider ID: 378412
St Louis University
3655 Vista
Saint Louis, MO 63110
(314) 577-8860
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Taniuchi, Megumi, MD !"
Provider ID: 325032
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Longnecker, Christopher, MD "
Provider ID: 378412
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Ziaee, Ali, MD "
Provider ID: 237122
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Mikolajczak, Peter, MD
Provider ID: 513183
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Parham, Walter, MD "
Provider ID: 247485
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
Piotrowski, Bryan, MD "
Provider ID: 588563
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 577-8860
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Siddiqui, Jawed, MD !"
Provider ID: 358893
Metro Cardiovascular
3737 N Kingshighway
Saint Louis, MO 63115
(314) 382-3630
Ages Seen: 12 Yrs/99 Yrs
St Louis University Hospital
Taniuchi, Megumi, MD !"
Provider ID: 325032
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63177
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
54
CARDIOVASCULAR
SURGERY
Farkas, Emily, MD
Provider ID: 431232
St Louis University
3655 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Farkas, Emily, MD
Provider ID: 431232
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
CLINICAL
NEUROPHYSIOLOGY
Kitchener, Jacob, MD !"
Provider ID: 564627
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
COLON & RECTAL
SURGERY
Bardakcioglu, Ovunc, MD !
Provider ID: 412603
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
DERMATOLOGY
Allen, Erin, MD "
Provider ID: 356789
St Louis University
1755 S Grand Ave
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
Amato, Jason, MD "
Provider ID: 236281
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
Breer, Wayne, MD "
Provider ID: 237753
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 268-5215
Ages Seen: 00 Yrs/99 Yrs
Burkemper, Nicole, MD "
Provider ID: 342899
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
Cheng, Amy, MD !
Provider ID: 428290
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Council, Martha, MD "
Provider ID: 550173
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Doig, Mark, 99999 "
Provider ID: 247271
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6064
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
FEBRUARY 2012
Duvall, Joseph, MD "
Provider ID: 235851
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6064
Ages Seen: 00 Yrs/99 Yrs
Erickson, Quenby, DO !"
Provider ID: 522315
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3420
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Fosko, Scott, MD "
Provider ID: 235852
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6064
Ages Seen: 00 Yrs/99 Yrs
Glaser, Dee, MD !"
Provider ID: 238843
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 726-1612
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Journagan, Susan, MD "
Provider ID: 506240
Gregory & Associates Dermatolo
1755 S Grand Blvd
Saint Louis, MO 63104
(618) 632-5001
Ages Seen: 00 Yrs/99 Yrs
Memorial Hospital
St Elizabeths Hospital Bellville
Siegfried, Elaine, MD
Provider ID: 235534
St Louis University
1465 S Grand
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Leonardi, Craig, MD "
Provider ID: 237406
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6064
Ages Seen: 00 Yrs/99 Yrs
Siegfried, Elaine, MD "
Provider ID: 235534
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Nelsen, Christine, MD !"
Provider ID: 550161
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Slutsky, Jordan, MD "
Provider ID: 588558
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3220
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Obadiah, Joseph, MD "
Provider ID: 238328
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6064
Ages Seen: 00 Yrs/99 Yrs
Smith, Sarah, MD
Provider ID: 449300
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Hruza, George, MD "
Provider ID: 238052
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
Obadiah, Joseph, MD "
Provider ID: 238328
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
Hurley, Yadira, MD "
Provider ID: 234878
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 268-5215
Ages Seen: 00 Yrs/99 Yrs
Pitts, Eric, MD "
Provider ID: 237093
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
Jensen, Sarah, MD !"
Provider ID: 374828
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Riordan, Anne, MD "
Provider ID: 239070
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
Semchyshyn, Natalie, MD !
Provider ID: 356423
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
55
Tournas, Joshua, MD "
Provider ID: 504597
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3430
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Vidal, Claudia, MD "
Provider ID: 504594
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3430
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Yoon, Jaeyoung, MD
Provider ID: 464011
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
DERMATOPATHOLOGY
Wang, Xiao-Dong, MD "
Provider ID: 234320
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3400
Ages Seen: 00 Yrs/99 Yrs
EAR NOSE & THROAT
Antisdel, Jastin, MD "
Provider ID: 547804
St Louis University
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Brickman, Todd, MD "
Provider ID: 432018
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5675
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Brickman, Todd, MD "
Provider ID: 432018
St Louis University
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Eisenbeis, John, MD "
Provider ID: 234896
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
FEBRUARY 2012
Hentzelman, Joshua, MD "
Provider ID: 564634
St Louis University
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Katsantonis, George, MD "
Provider ID: 245781
St Louis University
3660 Vista Ave
Saint Louis, MO 63104
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
Mikulec, Anthony, MD !"
Provider ID: 247483
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5675
Ages Seen: 00 Yrs/99 Yrs
Mikulec, Anthony, MD !"
Provider ID: 247483
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
Mitchell, Ron, MD !"
Provider ID: 348024
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5675
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Mitchell, Ron, MD !"
Provider ID: 348024
St Louis University
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Fuller, Dennis, MD "
Provider ID: 236306
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
Sanford, Thomas, MD !"
Provider ID: 291586
St Louis University
1465 S Grand
Saint Louis, MO 63104
(314) 577-5675
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Hentzelman, Joshua, MD "
Provider ID: 564634
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Sanford, Thomas, MD !"
Provider ID: 291586
St Louis University
3635 Vista Ave
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
Sanford, Thomas, MD !"
Provider ID: 291586
St Louis University
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Sepich, Virgina, MD "
Provider ID: 265961
St Louis University
1465 Grand Blvd
Saint Louis, MO 63104
(314) 577-5675
Ages Seen: 00 Yrs/99 Yrs
Stith, John, MD !"
Provider ID: 236760
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/99 Yrs
Varvares, Mark, MD "
Provider ID: 248268
St Louis University
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Walker, Ronald, MD "
Provider ID: 547827
St Louis University
146 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Walker, Ronald, MD "
Provider ID: 547827
St Louis University
3655 Vista Ave
Second Fl
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Walker, Ronald, MD "
Provider ID: 547827
St Louis University
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
56
Wild, Alan, MD !"
Provider ID: 516627
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4010
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Wild, Alan, MD !"
Provider ID: 516627
St Louis University
3660 Vista Ave Ste 312
Saint Louis, MO 63104
(314) 977-5110
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
ENDOCRINOLOGY
DIABETES METABOLISM
Albert, Stewart, MD "
Provider ID: 236756
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 00 Yrs/99 Yrs
Griffing, George, MD !"
Provider ID: 242434
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Griffing, George, MD !"
Provider ID: 242434
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Silverberg, Alan, MD "
Provider ID: 234894
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Wehmeier, Kent, MD "
Provider ID: 236312
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
GASTROENTEROLOGY
Agarwal, Banke, MD "
Provider ID: 234893
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 977-6150
Ages Seen: 00 Yrs/99 Yrs
Alkaade, Samer, MD
Provider ID: 463482
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Ashraf, Yassir, MD !
Provider ID: 463002
St Louis University
915 N Grand Blvd
Saint Louis, MO 63106
(314) 289-6434
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Bacon, Bruce, MD "
Provider ID: 238623
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 00 Yrs/99 Yrs
Befeler, Alex, MD "
Provider ID: 239094
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 00 Yrs/99 Yrs
Bernstein, Marc, MD "
Provider ID: 504792
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 977-6150
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Bouneva, Iliana, MD !
Provider ID: 529912
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Burton, Frank, MD "
Provider ID: 235039
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Burton, Mary, MD "
Provider ID: 238934
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 00 Yrs/99 Yrs
Clines, Damon, MD
Provider ID: 234527
Touchette Comm Med Arts
5621 Delmar Blvd Ste 108
Saint Louis, MO 63112
(314) 454-6903
Ages Seen: 00 Yrs/99 Yrs
Dibisceglie, Adrian, MD "
Provider ID: 239095
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 00 Yrs/99 Yrs
Fimmel, Claus, MD "
Provider ID: 237226
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Giacaman, Mike, MD "
Provider ID: 237121
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 18 Yrs/99 Yrs
Gordon, Glenn, MD !
Provider ID: 423056
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
Greenspan, Aaron, MD "
Provider ID: 433793
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 977-6150
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Hachem, Christine, MD
Provider ID: 456845
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Hayashi, Paul, MD "
Provider ID: 237125
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Joshi, Shobha, MD "
Provider ID: 368628
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 977-6150
Ages Seen: 18 Yrs/99 Yrs
Labundy, Jennifer, MD "
Provider ID: 504836
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Luxon, Bruce, MD "
Provider ID: 235999
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
McCain, Mack, MD !"
Provider ID: 548514
Southern Illinois Medical Services
2415 N Kings Hwy
Saint Louis, MO 63115
(314) 522-1834
Ages Seen: 00 Yrs/99 Yrs
Herrin Hospital
Presti, Michael, MD "
Provider ID: 287823
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Swaroop, Prabhakar, MD "
Provider ID: 236313
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
57
Taylor, Jason, MD !"
Provider ID: 588560
St Louis University
3660 Vista Ave
Ste 302 308
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Taylor, Jason, MD !"
Provider ID: 588560
St Louis University
915 N Grand
Saint Louis, MO 63103
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Tetri, Brent, MD "
Provider ID: 234351
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 00 Yrs/99 Yrs
GENERAL SURGERY
Andrus, Charles, MD !
Provider ID: 354431
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
Andrus, Charles, MD !"
Provider ID: 354431
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(317) 977-5125
Ages Seen: 00 Yrs/99 Yrs
Bailey, Jeffrey, MD "
Provider ID: 238931
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
Barner, Hendrick, MD !"
Provider ID: 368027
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Beretvas, Robert, MD "
Provider ID: 237244
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-8569
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
GENERAL SURGERY (cont.)
Coln, Charles, MD "
Provider ID: 367800
St Louis University
1465 S Grand Ave
Saint Louis, MO 63104
(314) 577-5629
Ages Seen: 00 Yrs/18 Yrs
Dyliacco, Mark, MD !"
Provider ID: 588579
St Louis University
3660 Vista Ave Ste 302
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Freeman, Carl, MD !"
Provider ID: 396900
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Freeman, Carl, MD !"
Provider ID: 396900
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Freeman, Carl, MD !"
Provider ID: 396900
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Frei, Lonnie "
Provider ID: 237854
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
Holt, Brian, MD !"
Provider ID: 547881
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Holt, Brian, MD !"
Provider ID: 547881
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Peterson, Gary, MD !"
Provider ID: 238703
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Horton, Peter, MD "
Provider ID: 577050
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Phan, Peter, MD "
Provider ID: 561641
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Hsueh, Eddy, MD "
Provider ID: 237529
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
Rand, Jamie, MD !"
Provider ID: 610910
St Louis University
3660 Vista Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Johnson, Frank, MD !"
Provider ID: 236442
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
Kaminski, Donald, MD "
Provider ID: 235571
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
Mahoney, Kevin, MD
Provider ID: 412586
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Mahoney, Kevin, MD
Provider ID: 412586
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Naughton, Daniel, MD !"
Provider ID: 522411
SSM Managed Care Organization
1465 S Grand Blvd
63104
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/99 Yrs
Schwartz, Theresa, MD !"
Provider ID: 586200
St Louis University
3655 Vista Ave
First Fl
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Scifres, Aaron, MD !"
Provider ID: 252320
St Louis University
3660 Vista Ave
Saint Louis, MO 63104
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
Smith, Kenneth, MD "
Provider ID: 245753
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6198
Ages Seen: 00 Yrs/99 Yrs
Solomon, Harvey, MD "
Provider ID: 236875
St Louis University
3635 Vista @ Grand Blvd
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
Strasberg, Steven, MD "
Provider ID: 250575
St Louis University
216 S Kingshighway Blvd
Saint Louis, MO 63110
(561) 683-7093
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
58
Strilka, Richard, MD "
Provider ID: 299276
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
Tenquist, Jane, MD
Provider ID: 412587
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Tenquist, Jane, MD
Provider ID: 412587
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Tuttle Newhall, Janet, MD !"
Provider ID: 518580
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Vane, Dennis, MD !
Provider ID: 463020
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5629
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
GENETIC COUNSELING
Moghaddam, Billur, MD "
Provider ID: 250583
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Moghaddam, Billur, MD "
Provider ID: 250584
St Louis University
3635 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
GERIATRIC MEDICINE
Banks, William, MD "
Provider ID: 234165
St Louis University
3635 Vista @ Grand
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Joshi, Seema, MD !"
Provider ID: 312909
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 00 Yrs/99 Yrs
Kevorkian, Rafl, MD !"
Provider ID: 304404
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Little, Milta, DO "
Provider ID: 550091
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Perry, Horace, MD "
Provider ID: 235998
St Louis University
1402 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Trinh, Chantri, MD "
Provider ID: 315333
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Yap, Frederick, MD "
Provider ID: 530730
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-6055
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
GYNECOLOGICAL
ONCOLOGY
Buekers, Thomas, MD "
Provider ID: 291760
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Helm, Cyril, MD !"
Provider ID: 573200
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Xynos, Francisco, MD "
Provider ID: 291679
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 13 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
HAND SURGERY
Kraemer, Bruce, MD "
Provider ID: 292018
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/99 Yrs
Kraemer, Bruce, MD "
Provider ID: 292018
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6130
Ages Seen: 00 Yrs/99 Yrs
Kraemer, Bruce, MD "
Provider ID: 292018
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6125
Ages Seen: 00 Yrs/99 Yrs
HEMATOLOGY
Fesler, Mark, MD "
Provider ID: 547918
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6056
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Kudva, Ganesh, MD "
Provider ID: 235426
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Reimers, Hans-Joachim, MD "
Provider ID: 234352
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Richart, John, MD "
Provider ID: 235425
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
HEMATOLOGY &
ONCOLOGY
Petruska, Paul, MD "
Provider ID: 235040
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Pincus, Steven, MD "
Provider ID: 238864
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Salman, Huda, MD !"
Provider ID: 396984
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-8854
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Schuening, Friedrich, MD "
Provider ID: 584383
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6056
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
59
HOSPICE AND PALLIATIVE
CARE
Schultz, Michelle, MD "
Provider ID: 462390
SSM Managed Care Organization
6420 Clayton Rd
Saint Louis, MO 63150
(314) 768-8652
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
INFECTIOUS DISEASE
Anderson, Edwin, MD !
Provider ID: 238860
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/21 Yrs
Anderson, Edwin, MD !
Provider ID: 238860
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
Belshe, Robert, MD "
Provider ID: 234903
St Louis University
1200 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Burmeister, R, MD "
Provider ID: 238096
SSM Managed Care Organization
3960 Lindell Blvd
Saint Louis, MO 63108
(314) 652-0100
Ages Seen: 00 Yrs/99 Yrs
Dewan, Rajeev, MD !"
Provider ID: 508484
SSM Managed Care Organization
3933 S Broadway
Saint Louis, MO 63118
(314) 842-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Dewan, Rajeev, MD !"
Provider ID: 508484
SSM Managed Care Organization
6150 Oakland Ave
Saint Louis, MO 63139
(314) 842-3400
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
Mazumder, Shirin, MD "
Provider ID: 550135
St Louis University
3691 Rutger Ave
INFECTIOUS DISEASE (cont.)
Saint Louis, MO 63110
(314) 977-9050
Frey, Sharon, MD "
Ages Seen: 18 Yrs/99 Yrs
Provider ID: 238159
St Louis University Hospital
St Louis University
1200 S Grand Blvd
Sokol Anderson, Marcia, MD "
Saint Louis, MO 63104
Provider ID: 238620
(314) 977-6100
St Louis University
Ages Seen: 00 Yrs/99 Yrs
1200 S Grand Blvd Ste 100
Saint Louis, MO 63110
George, Sarah, MD "
(314) 268-5448
Provider ID: 291783
Ages Seen: 00 Yrs/99 Yrs
St Louis University
3691 Rutger Ave
INTERNAL MEDICINE
Saint Louis, MO 63110
(314) 977-9050
Ashraf, Yassir, MD !
Ages Seen: 00 Yrs/99 Yrs
Provider ID: 463002
St Louis University
Gorse, Geoffrey, MD "
915 N Grand Blvd
Provider ID: 238621
Saint Louis, MO 63106
St Louis University
(314) 289-6434
1200 S Grand Blvd
Ages Seen: 18 Yrs/99 Yrs
Saint Louis, MO 63104
St Louis University Hospital
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Banks, William, MD !"
Provider ID: 234165
Graham, Irene, MD "
St Louis University
Provider ID: 291810
3635 Vista @ Grand
St Louis University
Saint Louis, MO 63110
3691 Rutger St
(314) 977-6055
Saint Louis, MO 63110
Ages Seen: 65 Yrs/99 Yrs
(314) 977-9050
St Louis University Hospital
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Berg, Ryan, MD
Provider ID: 460761
Hoft, Daniel, MD "
St Louis University
Provider ID: 236755
3660 Vista Ave Ste 103
St Louis University
Saint Louis, MO 63110
1200 S Grand Blvd
(314) 977-6190
Saint Louis, MO 63104
Ages Seen: 18 Yrs/99 Yrs
(314) 977-6100
St Louis University Hospital
Ages Seen: 00 Yrs/99 Yrs
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
Kennedy, Donald, MD "
Provider ID: 234902
St Louis University
1200 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Lusk, Rodney, MD "
Provider ID: 236876
St Louis University
915 N Grand Blvd
Saint Louis, MO 63106
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
Bleyer, Frank, MD !
Provider ID: 256596
River To River Heart Group
3635 Vista Grand Ave
Saint Louis, MO 63110
(618) 998-7600
Ages Seen: 18 Yrs/99 Yrs
Heartland Regional Medical
Center
St Louis University Hospital
Drake, James, MD "
Provider ID: 247236
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Edelstein, Sean, MD !
Provider ID: 462328
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3227
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Lash, Jennifer, MD !
Provider ID: 449787
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Fesler, Mark, MD !"
Provider ID: 547918
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6056
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Little, Milta, DO !"
Provider ID: 550091
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Flury, Kirk, MD !"
Provider ID: 486483
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Miller, Douglas, MD "
Provider ID: 233785
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Kinsella, Laurence, MD !
Provider ID: 237744
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
St Louis University Hospital
Zhang, Zhiwei, MD !"
Provider ID: 556388
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Kinsella, Laurence, MD !"
Provider ID: 237744
St Louis University
6150 Oakland Ave Ste 430
Saint Louis, MO 63139
(314) 768-3257
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
St Louis University Hospital
Greenberg, David, MD "
Provider ID: 558932
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4065
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Kinsella, Laurence, MD !"
Provider ID: 237744
St Louis University
6420 Clayton Rd
Saint Louis, MO 63150
(314) 768-8000
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
St Louis University Hospital
Lash, Jennifer, MD !
Provider ID: 449787
St Louis University
3635 Vista Ave @ Grand Blvd
Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
60
MEDICAL ONCOLOGY
Greenberg, David, MD "
Provider ID: 558932
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
NEONATAL PERINATAL
MEDICINE
Al-Hosni, Mohamad, MD !"
Provider ID: 252023
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
NEONATAL PERINATAL
MEDICINE (cont.)
Anderson, Connie, MD "
Provider ID: 236786
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6410
Ages Seen: 00 Yrs/21 Yrs
Bender, Thomas, MD !"
Provider ID: 356578
St Louis University
1465 S Grand Ave
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Booth, Gregory, MD !
Provider ID: 431511
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/18 Yrs
Brooker, Robert, MD "
Provider ID: 246930
St Louis University
1465 Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
St Louis University Hospital
Bruzzini, Daniel, MD !
Provider ID: 462710
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5629
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Cerny, Laura, MD !
Provider ID: 462700
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Cibulskis, Catherine, MD !"
Provider ID: 597941
St Louis University
1465 S Grand Ave
Saint Louis, MO 63104
(314) 577-5663
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
SSM St Marys Health Center
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Cooke, Richard, MD "
Provider ID: 544635
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Defranco, Paul, DO !"
Provider ID: 320642
St Louis University
1465 S Grand Blve
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Fleming, Robert, MD "
Provider ID: 236797
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
French, Michael, MD "
Provider ID: 291796
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/18 Yrs
Hall, Heather, MD "
Provider ID: 291862
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(618) 577-5642
Ages Seen: 00 Yrs/99 Yrs
Havranek, Thomas, MD !"#
Provider ID: 368118
Language: Czech
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/18 Yrs
Keenan, William, MD "
Provider ID: 237459
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
Koenig, Joyce, MD !"
Provider ID: 356456
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5642
Ages Seen: 00 Yrs/18 Yrs
Sadiq, Hamid, MD "
Provider ID: 238376
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
Walentik, Corinne, MD "
Provider ID: 234930
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
NEPHROLOGY
Agha, Irfan, MD !"
Provider ID: 304808
Language: Urdu
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Alvarez, Alejandro, MD "
Provider ID: 344867
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Bastani, Bahar, MD "
Provider ID: 236311
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Craici, Iasmina, MD !"
Provider ID: 588569
St Louis University
3660 Vista Ste 103
Saint Louis, MO 63110
(314) 977-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Domoto, Douglass, MD "#
Provider ID: 238389
SSM Managed Care Organization
2606 Clark Ave
Saint Louis, MO 63103
(314) 535-3720
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
61
Edwards, John, MD !"
Provider ID: 588583
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6000
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
El-Achkar, Tarek, MD !
Provider ID: 463082
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Gibbons, Vincent, MD !"
Provider ID: 558861
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5338
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Gonzalez, Esther "
Provider ID: 235424
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Iqbal, Nadia, MD "
Provider ID: 388717
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Kathuria, Pranay, MD !"
Provider ID: 374837
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Lentine, Krista, MD "
Provider ID: 253577
St Louis University
3660 Vista Ave
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Martin, Kevin, MD "
Provider ID: 239097
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
NEPHROLOGY (cont.)
Philipneri, Marie, MD "
Provider ID: 236444
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Qazi, Rizwan, MD "
Provider ID: 378405
Language: Urdu
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
Schmitz, Paul, MD "
Provider ID: 237532
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
Voinescu, Alexandra, MD
Provider ID: 429940
Language: German, Romanian
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
Zhang, Zhiwei, MD !"
Provider ID: 556388
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
NEUROLOGY
Acharya, Aninda, MD
Provider ID: 238049
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Acharya, Aninda, MD "
Provider ID: 238049
St Louis University
6150 Oakland Ave Ste 430
Saint Louis, MO 63139
(314) 768-3878
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
FEBRUARY 2012
Alshekhlee, Amer, MD !"
Provider ID: 530823
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-4440
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Callison, Richard, MD !"
Provider ID: 547536
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Dalal, Rashid, MD "
Provider ID: 242875
Language: Gujarati
Rashid A Dalal MD
2415 N Kingshighway
Saint Louis, MO 63113
(314) 367-1083
Ages Seen: 00 Yrs/99 Yrs
Andrews, Wegdan, MD
Provider ID: 325048
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5338
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Cantando, John, DO "
Provider ID: 356537
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-8849
Ages Seen: 00 Yrs/99 Yrs
Diamond, Alan, DO "
Provider ID: 320647
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Andrews, Wegdan, MD "
Provider ID: 325048
St Louis University
3635 Vista Ave
Saint Louis, MO 63110
(314) 977-4800
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Andrews, Wegdan, MD
Provider ID: 325048
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Andrews, Wegdan, MD "
Provider ID: 325048
St Louis University
6150 Oakland Ave Ste 430
Saint Louis, MO 63139
(314) 768-3257
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Andrews, Wegdan, MD
Provider ID: 325048
St Louis University
915 N Grand Blvd
Saint Louis, MO 63106
(314) 652-4100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Brenner, Steven, MD "
Provider ID: 238833
St Louis University
3635 Vista @ Grand Blvd
Saint Louis, MO 63110
(314) 977-4800
Ages Seen: 00 Yrs/99 Yrs
Chand, Pratap, MD
Provider ID: 460867
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
Chen, Xi, MD !"
Provider ID: 325053
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Cruz- Flores, Salvador, MD !"
Provider ID: 513100
Language: Spanish
SSM Managed Care Organization
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
SSM Depaul Health Center
St Louis University Hospital
Cruz- Flores, Salvador, MD !"
Provider ID: 513100
Language: Spanish
SSM Managed Care Organization
6420 Clayton Rd
Saint Louis, MO 63150
(314) 768-8000
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
SSM Depaul Health Center
St Louis University Hospital
Cruz-Flores, Salvador, MD "
Provider ID: 234314
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
62
Edgell, Randall, MD
Provider ID: 391149
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Feen, Eliahu, MD
Provider ID: 391163
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Fenton, Glen, MD "
Provider ID: 237742
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Frederick, Tim, MD !"
Provider ID: 583899
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Geller, Thomas, MD "
Provider ID: 236026
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5338
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
NEUROLOGY (cont.)
Geller, Thomas, MD "
Provider ID: 236026
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Hayat, Ghazala, MD !
Provider ID: 234884
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5338
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Hayat, Ghazala, MD !
Provider ID: 234884
St Louis University
3545 Lafayette
Saint Louis, MO 63104
(314) 977-5337
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Hayat, Ghazala, MD !"
Provider ID: 234884
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Holzemer, Eve "
Provider ID: 248918
St Louis University
6150 Oakland Ave
Saint Louis, MO 63139
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Kinsella, Laurence, MD !
Provider ID: 237744
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Kinsella, Laurence, MD !"
Provider ID: 237744
St Louis University
6150 Oakland Ave Ste 430
Saint Louis, MO 63139
(314) 768-3257
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
St Louis University Hospital
Kinsella, Laurence, MD !"
Provider ID: 237744
St Louis University
6420 Clayton Rd
Saint Louis, MO 63150
(314) 768-8000
Ages Seen: 00 Yrs/99 Yrs
SSM St Clare Health Center
SSM St Marys Health Center
St Louis University Hospital
Kitchener, Jacob, MD !"
Provider ID: 564627
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Luchanok, Uladzimir, MD !"
Provider ID: 498475
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Malhotra, Raman, MD !
Provider ID: 463936
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Pan, Yi, MD "
Provider ID: 237408
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Piriyawat, Paisith, MD "
Provider ID: 298924
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-8026
Ages Seen: 18 Yrs/99 Yrs
Piryawat, Paisith, MD "
Provider ID: 291763
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 577-8026
Ages Seen: 18 Yrs/99 Yrs
Selhorst, John, MD "
Provider ID: 237409
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Thomas, Florian, MD "
Provider ID: 235859
St Louis University
915 N Grand Blvd
Saint Louis, MO 63106
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Vora, Nirav, MD !
Provider ID: 463923
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Walsh, David, MD "
Provider ID: 245805
St Louis University
3660 Vista Ave
Saint Louis, MO 63104
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Willmore Jr, Luther, MD "
Provider ID: 235398
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
NEUROSURGERY
Abdulrauf, Saleem, MD "
Provider ID: 236440
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
Abdulrauf, Saleem, MD
Provider ID: 236440
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
63
Bailey, Gregory, MD
Provider ID: 235478
Language: German
SSM Managed Care Organization
6725 Chippewa St
Saint Louis, MO 63109
(314) 543-5999
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Clare Health Center
SSM St Marys Health Center
Bucholz, Richard, MD "
Provider ID: 234534
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Chen, Fangxiang, MD "
Provider ID: 597948
St Louis University
3655 Vista Ave
First Fl
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Coppens, Jeroen, MD "
Provider ID: 464609
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Crafts, David, MD "
Provider ID: 238706
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Darbar, Aneela, MD "
Provider ID: 547539
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Darbar, Aneela, MD "
Provider ID: 547539
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
NEUROSURGERY (cont.)
Eichholz, Kurt, MD
Provider ID: 528559
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 18 Yrs/99 Yrs
Elbabaa, Samer, MD "
Provider ID: 556390
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Felton, Jason, MD
Provider ID: 556391
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Felton, Jason, MD "
Provider ID: 556391
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Flannery, Ann, MD "
Provider ID: 564670
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Lyadurai, Stanley, MD "
Provider ID: 547537
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Quinn, Tanya, MD "
Provider ID: 550134
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5306
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Quinn, Tanya, MD "
Provider ID: 550134
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Sherrill, Joseph, MD "
Provider ID: 236472
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6125
Ages Seen: 00 Yrs/99 Yrs
NUCLEAR MEDICINE
Civelek, Ali, MD "
Provider ID: 239099
Language: Turkish
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
Nguyen, Nghi, MD !
Provider ID: 429568
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 577-8047
Ages Seen: 00 Yrs/99 Yrs
Osman, Medhat, MD "
Provider ID: 252028
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6082
Ages Seen: 00 Yrs/99 Yrs
OBSTETRICS/
GYNECOLOGY
Eisenberg, David, MD
Provider ID: 584543
Language: Spanish
Planned Parenthood of The St L
3401 S Grand
Saint Louis, MO 63118
(314) 865-1850
Ages Seen: 18 Yrs/99 Yrs
Eisenberg, David, MD "
Provider ID: 584543
Language: Spanish
Planned Parenthood of The St L
4251 Forest Park Ave
Saint Louis, MO 63108
(314) 531-7526
Ages Seen: 18 Yrs/99 Yrs
Eisenberg, David, MD "
Provider ID: 544883
Language: Spanish
Reproductive Health Services
4251 Forest Park Ave
Saint Louis, MO 63108
(314) 531-7526
Ages Seen: 00 Yrs/99 Yrs
Hoenicke, Nicole, MD !"
Provider ID: 291768
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5347
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Hoenicke, Nicole, MD !"
Provider ID: 291768
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2802
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Hoenicke, Nicole, MD !"
Provider ID: 291768
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-2802
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Keller, Sarah, MD !"
Provider ID: 298941
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
Liftis-Podorozhansky,
Yulia, MD !"
Provider ID: 354343
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5347
Ages Seen: 00 Yrs/18 Yrs
SSM St Marys Health Center
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
64
Liftis-Podorozhansky,
Yulia, MD !"
Provider ID: 354343
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/18 Yrs
SSM St Marys Health Center
St Louis University Hospital
Luck, Ali, MD "
Provider ID: 247482
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 781-7455
Ages Seen: 00 Yrs/99 Yrs
SSM St Marys Health Center
McCloskey, Leslie, MD "
Provider ID: 298224
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
Petersen, Diane, MD !
Provider ID: 365136
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 977-7455
Ages Seen: 16 Yrs/99 Yrs
St Louis University Hospital
Powell, Jill, MD
Provider ID: 235417
St Louis University
1465 S Grand Blvd
First Fl
Saint Louis, MO 63104
(314) 577-5347
Ages Seen: 00 Yrs/16 Yrs
SSM St Marys Health Center
Rempe, Margaret, MD !"
Provider ID: 299285
St Louis University
3518 Laciede Ave
Saint Louis, MO 63103
(314) 977-2802
Ages Seen: 00 Yrs/99 Yrs
Rempe, Margaret, MD !"
Provider ID: 299285
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
OBSTETRICS/
GYNECOLOGY (cont.)
Ward, Donald, MD
Provider ID: 238618
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2802
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Ward, Donald, MD
Provider ID: 238618
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 18 Yrs/99 Yrs
SSM St Marys Health Center
St Louis University Hospital
Xynos, Francisco, MD "
Provider ID: 291679
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 13 Yrs/99 Yrs
SSM Depaul Health Center
SSM St Marys Health Center
St Louis University Hospital
Xynos, Nicole, MD
Provider ID: 462967
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Yalom, Eve, MD "
Provider ID: 285531
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
OPHTHALMOLOGY
Akduman, Levent, MD
Provider ID: 234525
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3220
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
FEBRUARY 2012
Akduman, Levent, MD "
Provider ID: 242623
SSM Managed Care Organization
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3220
Ages Seen: 00 Yrs/99 Yrs
Feman, Stephen, MD "
Provider ID: 237426
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 977-4440
Ages Seen: 00 Yrs/99 Yrs
Shields, Steven, MD "
Provider ID: 235885
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 977-4440
Ages Seen: 00 Yrs/99 Yrs
Amin, Navinkumar, MD "
Provider ID: 237584
SSM Managed Care Organization
5535 Delmar Blvd Ste 509
Saint Louis, MO 63112
(314) 367-7077
Ages Seen: 00 Yrs/99 Yrs
Holds, John, MD "
Provider ID: 235409
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 977-4440
Ages Seen: 00 Yrs/99 Yrs
Chung, Sophia, MD "
Provider ID: 238627
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6038
Ages Seen: 00 Yrs/99 Yrs
Hsu, Hugo, MD "
Provider ID: 245725
St Louis University
1755 S Grand St
Saint Louis, MO 63104
(514) 977-4440
Ages Seen: 00 Yrs/99 Yrs
Tarantola, Ryan, MD !"
Provider ID: 588556
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3220
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Council, Matthew, MD "
Provider ID: 490113
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3232
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Lind, John, MD
Provider ID: 488726
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3220
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Cruz, Oscar, MD !"
Provider ID: 234357
Language: Spanish
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5660
Ages Seen: 00 Yrs/99 Yrs
Davitt, Bradley, MD !"
Provider ID: 238064
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3200
Ages Seen: 00 Yrs/99 Yrs
Edelstein, Sean, MD
Provider ID: 462328
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3227
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Espinoza, Gabriela, MD "
Provider ID: 280230
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3220
Ages Seen: 00 Yrs/99 Yrs
Phillips, Cathy, OD "
Provider ID: 24043
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6038
Ages Seen: 00 Yrs/99 Yrs
Raja, Farheen, MD "
Provider ID: 597953
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3220
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Safi, Malaz, MD "
Provider ID: 237949
SSM Managed Care Organization
2331 Hampton Ave
Saint Louis, MO 63139
(314) 664-1158
Ages Seen: 00 Yrs/99 Yrs
Safi, Malaz, MD "
Provider ID: 237949
SSM Managed Care Organization
5800 Natural Bridge Rd
Saint Louis, MO 63120
(314) 389-4244
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
65
Tesser, Paul, MD "
Provider ID: 234358
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 977-4440
Ages Seen: 00 Yrs/99 Yrs
OPTOMETRY
Beck, Michelle, OD !"
Provider ID: 610922
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Porter, Thomas, OD "
Provider ID: 291918
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6038
Ages Seen: 00 Yrs/99 Yrs
ORTHOPAEDIC SURGERY
Alander, Dirk, MD "
Provider ID: 247371
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
Alander, Dirk, MD
Provider ID: 247371
St Louis University
1755 S Grand
Orthopaedics
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
ORTHOPAEDIC SURGERY
(cont.)
Boudreau, John, MD "
Provider ID: 349695
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Boudreau, John, MD "
Provider ID: 349695
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Cannada, Lisa, MD !
Provider ID: 308336
St Louis University
1465 S Grand
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Cannada, Lisa, MD !
Provider ID: 308336
St Louis University
1755 S Grand
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Cutuk, Adnan, MD "
Provider ID: 561648
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6438
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Cutuk, Adnan, MD "
Provider ID: 561648
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Cutuk, Adnan, MD "
Provider ID: 561648
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Jackman, James, DO "
Provider ID: 291617
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Kuldjanov, Djoldas, MD "
Provider ID: 234313
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 577-8850
Ages Seen: 00 Yrs/99 Yrs
McMichael, Jessica, MD "
Provider ID: 558824
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 266-4065
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Engel, Elizabeth, MD "
Provider ID: 235843
St Louis University
1312 Carr Ln
Saint Louis, MO 63104
(314) 977-2222
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Jackman, James, DO
Provider ID: 291617
St Louis University
1755 S Grand
Orthopaedics
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Engel, Elizabeth, MD "
Provider ID: 235843
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4065
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Kaar, Scott, MD
Provider ID: 456038
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4065
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
McMichael, Jessica, MD "
Provider ID: 558824
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Engel, Elizabeth, MD "
Provider ID: 235843
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 268-5880
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Kaar, Scott, MD
Provider ID: 456038
St Louis University
1755 S Grand
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Moed, Berton, MD "
Provider ID: 237748
St Louis University
1312 Carr Lane Ave
Fl 2
Saint Louis, MO 63104
(314) 577-8850
Ages Seen: 00 Yrs/99 Yrs
Greenberg, David, MD "
Provider ID: 558932
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4065
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Karges, David, MD "
Provider ID: 248209
St Louis University
1312 Carr Lane Ave
Fl 2
Saint Louis, MO 63104
(314) 577-8850
Ages Seen: 00 Yrs/99 Yrs
Nott, Erik, MD !"
Provider ID: 564640
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4065
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Greenberg, David, MD "
Provider ID: 558932
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Jackman, James, DO "
Provider ID: 291617
St Louis University
1312 Carr Ln
Saint Louis, MO 63110
(314) 577-6029
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Kieffer, David, MD !"
Provider ID: 248290
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-8850
Ages Seen: 00 Yrs/99 Yrs
Kieffer, David, MD !"
Provider ID: 248290
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
Kieffer, David, MD !"
Provider ID: 248290
St Louis University
3518 Laclede
Saint Louis, MO 63103
(314) 977-2808
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
66
Nott, Erik, MD !"
Provider ID: 564640
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Otto, Thomas, MD "
Provider ID: 234872
St Louis University
1312 Carr Lane Ave
Saint Louis, MO 63104
(314) 577-8850
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
ORTHOPAEDIC SURGERY
(cont.)
Otto, Thomas, MD
Provider ID: 234872
St Louis University
1755 S Grand
Orthopaedics
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
Place, Howard, MD "
Provider ID: 235842
St Louis University
1312 Carr Lane Ave
Saint Louis, MO 63104
(314) 577-6029
Ages Seen: 00 Yrs/99 Yrs
Place, Howard, MD
Provider ID: 235842
St Louis University
1465 S Grand Blvd
Orthpaedics
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
FEBRUARY 2012
Puryear, Aki, MD "
Provider ID: 287182
St Louis University
3635 Vista Ave
Saint Louis, MO 63110
(314) 577-8850
Ages Seen: 18 Yrs/99 Yrs
Stoneback, Jason, MD "
Provider ID: 597952
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Thompson, J, MD "
Provider ID: 237087
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
Walker, Damion, DO
Provider ID: 384499
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
Place, Howard, MD "
Provider ID: 235842
St Louis University
1755 S Grand
Orthopaedics
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
Walker, Damion, DO
Provider ID: 384499
St Louis University
1755 S Grand
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
Puryear, Aki, MD "
Provider ID: 287182
St Louis University
1312 Carr Ln
Saint Louis, MO 63104
(314) 577-8850
Ages Seen: 18 Yrs/99 Yrs
Watson, John, MD "
Provider ID: 247348
St Louis University
1312 Carr Lane Ave
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Puryear, Aki, MD "
Provider ID: 287182
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 18 Yrs/99 Yrs
Puryear, Aki, MD "
Provider ID: 287182
St Louis University
1755 S Grand
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 18 Yrs/99 Yrs
! BOARD CERTIFIED
Watson, John, MD "
Provider ID: 247348
St Louis University
1755 S Grand
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Weltmer, John, MD "
Provider ID: 234873
St Louis University
1312 Carr Lane Ave
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 00 Yrs/99 Yrs
Whiting, Jeffrey, MD !"
Provider ID: 471585
St Louis University
1755 S Grand
Saint Louis, MO 63104
(314) 256-3850
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
PAIN MANAGEMENT
Brenner, Steven, MD "
Provider ID: 238833
St Louis University
3635 Vista @ Grand Blvd
Saint Louis, MO 63110
(314) 977-4800
Ages Seen: 00 Yrs/99 Yrs
PEDIATRIC ALLERGY &
IMMUNOLOGY
Knutsen, Alan, MD "
Provider ID: 252107
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
Warrier, Manoj, MD "
Provider ID: 485408
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5644
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
PEDIATRIC CARDIOLOGY
Al Jureidini, Saadeh, MD "
Provider ID: 237455
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/21 Yrs
Bromberg, Burt, MD !
Provider ID: 428256
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
Chen, Su-Chiung, MD !
Provider ID: 529660
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(573) 331-3000
Ages Seen: 00 Yrs/18 Yrs
" WHEELCHAIR ACCESSIBLE
67
Danon, Saar, MD !"
Provider ID: 584237
St Louis University
1465 S Grand
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
SSM St Marys Health Center
St Louis University Hospital
Jone, Pei-Ni, MD "
Provider ID: 388603
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/21 Yrs
St Louis University Hospital
Peterson, Renuka, MD !"
Provider ID: 515939
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Rahimi, Mohammad, MD "
Provider ID: 300663
St Louis University
1465 S Grand Blv
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
Reddy, Chetana, MD !"
Provider ID: 384776
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Schowengerdt,
Kenneth, MD !"
Provider ID: 347887
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Sharkey, Angela, MD !"
Provider ID: 264960
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
PEDIATRIC CARDIOLOGY
(cont.)
Sutherell, Jamie, DO "
Provider ID: 514551
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Trivedi, Kalyani, MD !"
Provider ID: 497826
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5633
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
PEDIATRIC EAR NOSE &
THROAT
Costa, Dary, MD "
Provider ID: 598551
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
PEDIATRIC
ENDOCRINOLOGY
Dempsher, David, MD !"
Provider ID: 233638
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5648
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Kanafani, Nadim, DO "
Provider ID: 514556
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5648
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Myers, Susan, MD "
Provider ID: 199140
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5609
Ages Seen: 00 Yrs/21 Yrs
! BOARD CERTIFIED
FEBRUARY 2012
Tollefsen, Sherida, MD "
Provider ID: 234927
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5648
Ages Seen: 00 Yrs/21 Yrs
PEDIATRIC
GASTROENTEROLOGY
Barlow, Sarah, MD "
Provider ID: 237163
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/21 Yrs
Derdoy, Jose, MD !"
Provider ID: 374854
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Foy, Thomas, MD "
Provider ID: 236357
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Jain, Ajay, MD !
Provider ID: 526415
Language: Spanish
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/18 Yrs
PEDIATRIC GENETICS
Braddock, Stephen, MD !"
Provider ID: 556382
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5641
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Davenport, Sandra, MD !"
Provider ID: 530830
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 557-7563
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
PEDIATRIC HEMATOLOGY/
ONCOLOGY
Bhatla, Deepika, MD !"
Provider ID: 379026
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5368
Ages Seen: 00 Yrs/21 Yrs
Chu, Jen, MD "
Provider ID: 236796
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5638
Ages Seen: 00 Yrs/21 Yrs
Ferguson, William, MD !"
Provider ID: 271216
St Louis University
1465 S Grand
Saint Louis, MO 63110
(314) 577-5638
Ages Seen: 00 Yrs/18 Yrs
Rosenblum, Jerry, MD !"
Provider ID: 550138
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Gale, Gordon, MD "
Provider ID: 237164
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5638
Ages Seen: 00 Yrs/21 Yrs
Teckman, Jeffrey, MD "
Provider ID: 291761
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-4567
Ages Seen: 00 Yrs/18 Yrs
Gauvain, Karen, MD "
Provider ID: 397506
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5638
Ages Seen: 00 Yrs/18 Yrs
Hugge, Christopher, MD "
Provider ID: 291675
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5638
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Oconnor, Dennis, MD "
Provider ID: 235913
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5644
Ages Seen: 00 Yrs/21 Yrs
Puetz, John, MD "
Provider ID: 236794
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5332
Ages Seen: 00 Yrs/21 Yrs
Saini, Shermini, MD !"
Provider ID: 558838
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5638
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
PEDIATRIC INFECTIOUS
DISEASE
Anderson, Edwin, MD
Provider ID: 238860
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
Ages Seen: 00 Yrs/21 Yrs
Anderson, Edwin, MD
Provider ID: 238860
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/21 Yrs
Barenkamp, Stephen, MD "
Provider ID: 235464
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5644
Ages Seen: 00 Yrs/21 Yrs
PEDIATRIC NEPHROLOGY
Belsha, Craig, MD "
Provider ID: 234926
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5662
Ages Seen: 00 Yrs/21 Yrs
" WHEELCHAIR ACCESSIBLE
68
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
PEDIATRIC NEPHROLOGY
(cont.)
Feldenberg, Louis, MD !"
Provider ID: 356126
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5662
Ages Seen: 00 Yrs/21 Yrs
St Louis University Hospital
Lynch, Robert, MD !"
Provider ID: 235466
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5395
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Wood, Ellen, MD "
Provider ID: 239116
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5662
Ages Seen: 00 Yrs/21 Yrs
PEDIATRIC NEUROLOGY
Abraham, Elizabeth, MD "
Provider ID: 559460
St Louis University
1465 S Grand
Saint Louis, MO 63104
(314) 577-5662
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Arun, Deepa, MD "
Provider ID: 514565
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5338
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Arun, Deepa, MD
Provider ID: 514565
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
Bicknese, Alma, MD !"
Provider ID: 235858
St Louis University
1465 S Grand
Saint Louis, MO 63110
(314) 577-5338
Ages Seen: 00 Yrs/18 Yrs
Goretzke, Sean, MD !"
Provider ID: 556392
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5338
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Piriyawat, Paisith, MD !"
Provider ID: 505816
SSM Managed Care Organization
1465 South Grand Blvd
Saint Louis, MO 63104
(314) 577-5338
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
Piriyawat, Paisith, MD !"
Provider ID: 505816
SSM Managed Care Organization
6420 Clayton Rd
Saint Louis, MO 63150
(314) 768-8000
Ages Seen: 00 Yrs/99 Yrs
SSM Depaul Health Center
PEDIATRIC
OPHTHALMOLOGY
Cruz, Oscar, MD "
Provider ID: 234357
Language: Spanish
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5660
Ages Seen: 00 Yrs/99 Yrs
Paruthi, Shalini, MD !
Provider ID: 462712
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4101
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Keller, Martin, MD !"
Provider ID: 236470
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5629
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Powell, Kevin, MD !
Provider ID: 420986
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6439
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Klinkner, Denise, MD "
Provider ID: 597949
St Louis University
1465 S Grand Blvd
First Fl
Saint Louis, MO 63104
(314) 577-5629
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Rejent, Anthony, MD "
Provider ID: 238094
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6439
Ages Seen: 00 Yrs/21 Yrs
Wilmott, Robert, MD !"
Provider ID: 24288
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5606
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Wooldridge, Jamie, MD !"
Provider ID: 561459
St Louis University
1465 S Grand
Saint Louis, MO 63104
(314) 268-6439
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
PEDIATRIC
RHEUMATOLOGY
PEDIATRIC PULMONOLOGY Syed, Reema, MD
Albers, Gary, MD "
Provider ID: 238093
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6439
Ages Seen: 00 Yrs/21 Yrs
Noyes, Blakeslee, MD !
Provider ID: 236486
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6439
Ages Seen: 00 Yrs/18 Yrs
Provider ID: 384840
St Louis University
3660 Vista Ave Ste 203
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Kumar, Tarun, MD
Provider ID: 438444
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5329
Ages Seen: 00 Yrs/21 Yrs
Vane, Dennis, MD !
Provider ID: 463020
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5629
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Weber, Thomas, MD !
Provider ID: 238704
Language: Spanish
Mount Sinai Community Foundati
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5629
Ages Seen: 00 Yrs/18 Yrs
Mt Sinai Hospital Med Center
Chi
St Louis University Hospital
Yang, Edmund, MD !"
Provider ID: 498012
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5629
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
PEDIATRIC SURGERY
Bower, Richard, MD !"
Provider ID: 237456
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5629
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
69
PEDIATRIC UROLOGY
Firlit, Casimir, MD !
Provider ID: 465819
SSM Managed Care Organization
1465 S Grand Blvd Ste 3709
Saint Louis, MO 63104
(314) 268-4154
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
PEDIATRICS
Andreone, Teresa, MD "
Provider ID: 250787
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5395
Ages Seen: 00 Yrs/21 Yrs
Babusis, Elizabeth, MD !"
Provider ID: 235427
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5644
Ages Seen: 00 Yrs/99 Yrs
Blondis, Thomas, MD !
Provider ID: 251783
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5609
Ages Seen: 00 Yrs/18 Yrs
Braddock, Stephen, MD !"
Provider ID: 556382
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5641
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Broom, Matthew, MD !"
Provider ID: 356470
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5634
Ages Seen: 00 Yrs/99 Yrs
Bruzzini, Daniel, MD !
Provider ID: 462710
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5629
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Guerra, Meghan, MD "
Provider ID: 292130
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6406
Ages Seen: 00 Yrs/18 Yrs
! BOARD CERTIFIED
FEBRUARY 2012
Kottoor, Vinayak, MD "
Provider ID: 355924
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5634
Ages Seen: 00 Yrs/18 Yrs
Maxim, Rolanda, MD "
Provider ID: 247252
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 678-2322
Ages Seen: 00 Yrs/21 Yrs
McManus, Nan, MD
Provider ID: 252017
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 989-3774
Murti, Meena, MD "
Provider ID: 573201
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6439
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Portnoy, Shulamit, MD !
Provider ID: 463724
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5641
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Thomas, Scott, MD "
Provider ID: 462707
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5360
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Tredway, Trevor, MD !"
Provider ID: 245819
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5360
Ages Seen: 00 Yrs/18 Yrs
St Louis University Hospital
Twyman, Kimberly, MD !
Provider ID: 529911
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5609
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Ultmann, Monica, MD "
Provider ID: 247798
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5609
Ages Seen: 00 Yrs/21 Yrs
PEDIATRICS BEHAVIORAL
AND DEVELOPMENTAL
Teodorescu, Cristiana, MD !"
Provider ID: 569126
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5641
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Twyman, Kimberly, MD "
Provider ID: 566869
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5609
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
PHYSICAL MEDICINE &
REHABILITATION
Tilbor, Adrienne, DO "
Provider ID: 274975
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5609
Ages Seen: 00 Yrs/21 Yrs
PLASTIC &
RECONSTRUCTIVE
SURGERY
Bernstein, Michael, MD
Provider ID: 526099
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/99 Yrs
Bernstein, Michael, MD
Provider ID: 526099
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
Bernstein, Michael, MD "
Provider ID: 526099
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
70
Ferguson, John, DO "
Provider ID: 378375
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
Klomp, S, MD "
Provider ID: 298031
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Klomp, S, MD "
Provider ID: 298031
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Klomp, S, MD "
Provider ID: 298031
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Kraemer, Bruce, MD "
Provider ID: 292018
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/99 Yrs
Kraemer, Bruce, MD "
Provider ID: 292018
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6130
Ages Seen: 00 Yrs/99 Yrs
Kraemer, Bruce, MD "
Provider ID: 292018
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6125
Ages Seen: 00 Yrs/99 Yrs
Librach, Stanley, MD #
Provider ID: 236672
SSM Managed Care Organization
2639 Miami St
Saint Louis, MO 63118
(314) 865-6580
Ages Seen: 00 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
PLASTIC &
RECONSTRUCTIVE
SURGERY (cont.)
Librach, Stanley, MD #
Provider ID: 236672
SSM Managed Care Organization
3535 S Jefferson Ste 201
Saint Louis, MO 63118
(314) 577-5778
Ages Seen: 00 Yrs/99 Yrs
Librach, Stanley, MD #
Provider ID: 236672
SSM Managed Care Organization
3933 S Broadway
Saint Louis, MO 63118
(314) 865-7913
Ages Seen: 00 Yrs/99 Yrs
Lin, Alexander, MD "
Provider ID: 556255
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5850
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
SSM St Marys Health Center
St Louis University Hospital
Lin, Alexander, MD "
Provider ID: 556255
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
SSM St Marys Health Center
St Louis University Hospital
Plikaitis, Christina, MD "
Provider ID: 556257
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5850
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
SSM St Marys Health Center
St Louis University Hospital
Plikaitis, Christina, MD "
Provider ID: 556257
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6027
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
SSM St Marys Health Center
St Louis University Hospital
! BOARD CERTIFIED
FEBRUARY 2012
PODIATRY
Liu, Sophie, DPM "
Provider ID: 237519
SSM Managed Care Organization
3171 S Grand Blvd
Saint Louis, MO 63118
(636) 928-4447
Ages Seen: 00 Yrs/99 Yrs
PULMONARY DISEASE
Espiritu, Joseph, MD !"
Provider ID: 303836
St Louis University
3545 Lafayette
Saint Louis, MO 63104
(314) 977-5337
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Espiritu, Joseph, MD !"
Provider ID: 303836
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Flury, Kirk, MD !"
Provider ID: 486483
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Kaplan, Carl, MD "
Provider ID: 237766
St Louis University
3635 Vista Ave
Saint Louis, MO 63110
(314) 577-6190
Ages Seen: 00 Yrs/99 Yrs
Nayak, Ravi, MD !"
Provider ID: 287088
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Ortega Perez, Wilman, MD "
Provider ID: 292126
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Stoeckel, David, MD "
Provider ID: 234123
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
RADIOLOGY INTERVENTIONAL &
VASCULAR
Siddiqi, Nasir, MD !"
Provider ID: 558845
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-8642
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Siddiqi, Nasir, MD !"
Provider ID: 558845
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 577-8022
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Siddiqi, Nasir, MD !"
Provider ID: 558845
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-8022
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Siddiqi, Nasir, MD !"
Provider ID: 558845
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 977-6025
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
RHEUMATOLOGY
Bandlamudi, Rama, MD "
Provider ID: 237124
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-8799
Ages Seen: 00 Yrs/99 Yrs
Coulson, Kathryn, MD
Provider ID: 385051
St Louis University
3660 Vista Ave Ste 203
Saint Louis, MO 63110
(314) 977-6070
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
71
Kamat, Sona, MD "
Provider ID: 236315
St Louis University
3635 Vista Ave @grand Blvd
Saint Louis, MO 63110
(314) 577-6070
Ages Seen: 00 Yrs/18 Yrs
Moore, Terry, MD "
Provider ID: 238061
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-5600
Ages Seen: 00 Yrs/99 Yrs
Pepmueller, Peri, MD "
Provider ID: 238861
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 726-1612
Ages Seen: 00 Yrs/99 Yrs
Syed, Reema, MD !
Provider ID: 384840
St Louis University
3660 Vista Ave Ste 203
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Temprano, Katherine, MD
Provider ID: 529916
St Louis University
3660 Vista Ave Ste 203
Saint Louis, MO 63110
(314) 977-6070
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
SLEEP MEDICINE
Murti, Meena, MD "
Provider ID: 573201
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6439
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
SPORTS MEDICINE
Stewart, Janiece, MD
Provider ID: 391171
St Louis University
3518 Laclede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
# EXISTING PATIENTS ONLY
SPECIALTY PHYSICIANS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
SURGICAL ONCOLOGY
Veerapong, Jula, MD !"
Provider ID: 621004
St Louis University
3655 Vista Ave
First Fl Surgery Ste
Saint Louis, MO 63110
(314) 977-4440
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
THORACIC SURGERY
Fiore, Andrew, MD "
Provider ID: 235033
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-8359
Ages Seen: 00 Yrs/99 Yrs
Johnson, Robert, MD "
Provider ID: 235035
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 268-5880
Ages Seen: 00 Yrs/99 Yrs
Naunheim, Keith, MD "
Provider ID: 239176
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Sasser, William, MD !"
Provider ID: 276264
St Louis University
2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63110
(314) 977-9600
Ages Seen: 00 Yrs/99 Yrs
Sasser, William, MD !"
Provider ID: 276264
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
UROLOGY
Berni, Kimberly, MD
Provider ID: 242627
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 977-5050
! BOARD CERTIFIED
FEBRUARY 2012
Chehval, Michael, MD !"
Provider ID: 498487
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5334
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
Maloney, Robert, MD "
Provider ID: 238705
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 268-5880
Ages Seen: 00 Yrs/99 Yrs
Newhall, Philip, MD !
Provider ID: 530074
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Peterson, Gary, MD !"
Provider ID: 238703
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Wittgen, Catherine, MD "
Provider ID: 237243
St Louis University
3630 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
Zakhary, Emad, MD !"#
Provider ID: 569127
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-6131
Ages Seen: 00 Yrs/99 Yrs
SSM Cardinal Glennon Child
St Louis University Hospital
VASCULAR SURGERY
Callison, Richard, MD "
Provider ID: 547536
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6082
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Edgell, Randall, MD
Provider ID: 391149
St Louis University
3660 Vista Ave Ste 303
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Jacobs, Donald, MD "
Provider ID: 235570
St Louis University
3635 Vista @ Grand Blvd
Saint Louis, MO 63110
(314) 577-8310
Ages Seen: 00 Yrs/99 Yrs
Peterson, Brian, MD !"
Provider ID: 365193
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(317) 977-6125
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
72
# EXISTING PATIENTS ONLY
HOSPITALS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS
JACKSON COUNTY
HOSPITAL
Memorial Hospital Carbondale "
West Frankfort Family Practice
405 W Jackson St
Carbondale, IL 62901
(618) 549-0721
JEFFERSON COUNTY
HOSPITAL
Crossroads Community
Hospital "
National Healthcare of Mt Ver
8 Doctors Park Rd
Mount Vernon, IL 62864
(618) 244-5500
MADISON COUNTY
HOSPITAL
Gateway Regional Med Center "
Granite City IL Hospital dba Gatew
2100 Madison Ave
Granite City, IL 62040
(618) 798-3000
Saint Anthonys Health Center "
Saint Anthony’s Health Center
1 Saint Anthonys Way
Alton, IL 62002
(618) 465-2571
FEBRUARY 2012
MONROE COUNTY
WILLIAMSON COUNTY
SAINT LOUIS COUNTY
HOSPITAL
HOSPITAL
HOSPITAL
St Elizabeths Hospital Bellville " Heartland Regional Medical
Center "
St Elizabeth Hospital dba Bell
9538 Caring Way
3333 W Deyoung St
Columbia, IL 62236
Marion, IL 62959
(618) 234-2120
(618) 998-7000
SSM Depaul Health Center "
SSM Managed Care Organization
12303 De Paul Dr
Bridgeton, MO 63044
(314) 344-6000
Herrin Hospital "
West Frankfort Family Practice
HOSPITAL
201 S 14th St
Herrin, IL 62948
St Elizabeths Hospital Bellville "
(618) 942-2171
St Elizabeth Hospital dba Bell
180 S Lincoln
MISSOURI
Belleville, IL 62220
(618) 234-2120
SAINT CHARLES COUNTY
SSM St Clare Health Center "
SSM Managed Care Organization
1015 Bowles Ave
Fenton, MO 63026
(636) 496-2000
SAINT CLAIR COUNTY
HOSPITAL
St Elizabeths Hospital Bellville "
St Elizabeth Hospital dba Bell
SSM St Joseph Health Center "
211 S Third St
SSM Managed Care Organization
Belleville, IL 62220
300 First Capitol Dr
(618) 234-8600
Saint Charles, MO 63301
(636) 947-5000
St Elizabeths Hospital Bellville "
SSM St Marys Health Center "
SSM Managed Care Organization
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-8000
SAINT LOUIS CITY
HOSPITAL
St Elizabeth Hospital dba Bell
2810 S Third St
Belleville, IL 62223
(618) 234-2120
SSM Cardinal Glennon Child "
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5600
736 N Jefferson
Mascoutah, IL 62258
(618) 234-2120
St Louis University Hospital "
Tenet Health Sys dba St Louis
3635 Vista Ave
Saint Louis, MO 63110
(314) 577-8000
SSM St Joseph Health Center Wentzville "
SSM Managed Care Organization
500 Medical Dr
Wentzville, MO 63385
St Elizabeths Hospital Bellville "
(314) 327-1000
St Elizabeth Hospital dba Bell
SSM St Joseph Hospital West "
SSM Managed Care Organization
100 Medical Plz
Lake Saint Louis, MO 63367
(636) 625-5200
" WHEELCHAIR ACCESSIBLE
73
ANCILLARY PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS
ALL COUNTY
FEBRUARY 2012
MEDICALLY NECESSARY
TRANSPORTATION
Medical Transportation
Fox Med-Equip Services "
1832 Vandalia St
Collinsville, IL 62234
(618) 345-0649
LABORATORY PATHOLOGY Management
TESTING
For Providers and Locations Please Hanger Pros & Orth East "
Labcorp
For Providers and Locations Please
Call:
IL
(888) 522-2677
Quest Diagnostics
For Providers and Locations Please
Call:
IL
(800) 377-8448
FRANKLIN COUNTY
HOME HEALTH CARE
VNA-Tip Homecare
VNA Homecare
1107 W Church St
Benton, IL 62812
(800) 642-8099
MEDICALLY NECESSARY
TRANSPORTATION
Medical Transportation
Management
For Providers and Locations Please
Call:
IL
(877) 248-1338
JACKSON COUNTY
AMBULATORY SURGERY
CENTER
Physicians Surgery Center "
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
DURABLE MEDICAL
EQUIPMENT
Southern Illinois Surgical
Appliance Co "
Southern Illinois Surg App
1301 W Main St
Carbondale, IL 62901
(618) 529-2406
LABORATORY PATHOLOGY
TESTING
Carbondale Clinic Lab
Carbondale Clinic
2601 W Main St
Carbondale, IL 62901
(618) 549-5361
Call:
IL
(877) 248-1338
Hanger Prosthetics & Orthotics
2118 Vadalabene Dr
Maryville, IL 62062
(618) 288-8920
JEFFERSON COUNTY
DURABLE MEDICAL
EQUIPMENT
Care Medical Supplies "
Care Medical Supplies dba
4201 Ilberry Rd
Mount Vernon, IL 62864
(618) 244-4949
Hanger Pros & Orth East
Hanger Prosthetics & Orthotics
301 Main St
Mount Vernon, IL 62864
(352) 683-3052
Mid America Audiology Group
Mid America Audiology Group L
1417 Washington Ave
Alton, IL 62002
(618) 462-7900
HEARING AID THERAPY &
SPECIALIST
The Hearing Center
1180 Belt Rd
Collinsville, IL 62234
(618) 344-6636
HOME HEALTH CARE
LABORATORY PATHOLOGY Aging Well Healthcare "
TESTING
Aging Wellhealth Care
Quest Diagnostics Clinical Lab
Quest Diagnostics
1009 S 42nd St Ste 6
Mount Vernon, IL 62864
(618) 242-0502
MEDICALLY NECESSARY
TRANSPORTATION
Medical Transportation
Management
For Providers and Locations Please
Call:
IL
(877) 248-1338
MADISON COUNTY
CRITICAL ACCESS
HOSPITAL
St Josephs Hospital of The
Hospital of T "
St Joseph Hospital of The Hosp Si
1515 Main St
Highland, IL 62249
(618) 651-2525
DURABLE MEDICAL
EQUIPMENT
Convacare Services "
2700 North Center St
Maryville, IL 62062
(618) 288-7474
Convacare Services "
447 S Buchanan
Edwardsville, IL 62025
(618) 692-4441
540 Regency Centre
Collinsville, IL 62234
(618) 344-8800
VNA Healthcare Inc
VNA Healthcare
200 N Center Dr
Alton, IL 62002
(618) 467-2080
VNA-Tip Homecare
VNA Homecare
1504 Main St
Highland, IL 62249
(800) 443-7862
VNA-Tip Homecare "
VNA Homecare
200 N Center Dr
Alton, IL 62002
(618) 467-2080
VNA-Tip Homecare
VNA Homecare
2122 Pontoon Rd Ste D
Pontoon Beach, IL 62040
(800) 443-7862
LABORATORY PATHOLOGY
TESTING
Quest Diagnostics Clinical Lab
Quest Diagnostics
2136 Vadalabene Dr Ste A
Maryville, IL 62062
(618) 288-4163
" WHEELCHAIR ACCESSIBLE
74
Quest Diagnostics Clinical Lab
Quest Diagnostics
237B E Center Dr
Alton, IL 62002
(618) 465-5877
Quest Diagnostics Clinical Lab
Quest Diagnostics
2421 Corporate Center
Granite City, IL 62040
(618) 931-6270
Tri-Lab
2100 Madison Ave
Granite City, IL 62040
(618) 343-0639
MEDICALLY NECESSARY
TRANSPORTATION
Medical Transportation
Management
For Providers and Locations Please
Call:
IL
(877) 248-1338
MONROE COUNTY
LABORATORY PATHOLOGY
TESTING
Quest Diagnostics Clinical Lab
Quest Diagnostics
509 Hamacher St Ste 201
Waterloo, IL 62298
(618) 939-1660
MEDICALLY NECESSARY
TRANSPORTATION
Medical Transportation
Management
For Providers and Locations Please
Call:
IL
(877) 248-1338
PERRY COUNTY
MEDICALLY NECESSARY
TRANSPORTATION
Medical Transportation
Management
For Providers and Locations Please
Call:
IL
(877) 248-1338
RANDOLPH COUNTY
CRITICAL ACCESS
HOSPITAL
Red Bud Regional Hospital "
Red Bud Illinois Co dba Re
325 Spring St
Red Bud, IL 62278
(618) 282-3831
ANCILLARY PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS (cont.)
RANDOLPH COUNTY (cont.)
CRITICAL ACCESS
HOSPITAL (cont.)
Sparta Community Hospital "
St Louis University
818 E Broadway St
Sparta, IL 62286
(618) 443-2177
MEDICALLY NECESSARY
TRANSPORTATION
Medical Transportation
Management
For Providers and Locations Please
Call:
IL
(877) 248-1338
SAINT CLAIR COUNTY
AMBULATORY SURGERY
CENTER
Bel-Clair Ambulatory Surgical
Center "
Bel-Clair Ambulatory Surg Trea
325 W Lincoln St
Belleville, IL 62220
(618) 235-2299
Physicians Surgical Center
311 W Lincoln St
Belleville, IL 62220
(618) 233-7077
The Eye Surgery Center "
3990 N Illinois
Belleville, IL 62226
(618) 277-1130
DIAGNOSTIC IMAGING
Belleville Imaging "
15 Park Pl
Swansea, IL 62226
(618) 233-9729
DURABLE MEDICAL
EQUIPMENT
Care Medical Supplies "
Care Medical Supplies dba
6500 W Main St Ste 38
Belleville, IL 62223
(618) 398-3762
Convacare Services "
2007 Camp Jackson Rd
Cahokia, IL 62206
(618) 332-2500
FEBRUARY 2012
I V Care dba IV & Respiratory
Care "
IV Care D/B/A Respiratory
65 S 65th St Ste 10
Belleville, IL 62223
(618) 398-8069
Lincare "
Advanced Radiation Oncology SE
1128 Royal Heights Rd
Belleville, IL 62226
(618) 235-4458
Medicate Pharmacy
Fisher Pharmacy
100 N Eighth St Ste 100
E Saint Louis, IL 62201
(618) 875-1000
FAMILY PLANNING
Planned Parenthood of The St
Louis Regio "
Planned Parenthood of The St L
4529 N Illinois
Lakeland Square
Belleville, IL 62226
(618) 277-6668
HEARING AID SUPPLIER
Advanced Hearing System
Melissa Moore-Schmitt
4933 B Benchmark Centre Dr
Swansea, IL 62226
(618) 628-1212
LABORATORY PATHOLOGY Fox Med-Equip Services
TESTING
1400 W Main St
Marion, IL 62959
Quest Diagnostics Clinical Lab
(618) 345-0649
Quest Diagnostics
2900 Frank Scott Pkwy W Ste 920A Fox Med-Equip Services "
Belleville, IL 62223
1909 Wentzville Pkwy
(618) 234-0501
Marion, IL 62959
(636) 327-0344
Quest Diagnostics Clinical Lab
Quest Diagnostics
Hanger Pros & Orth East
317 Salem Pl
Hanger Prosthetics & Orthotics
Fairview Heights, IL 62208
404 Rushing Dr
(618) 628-3975
Herrin, IL 62948
(618) 997-1451
Quest Diagnostics Clinical Lab
Quest Diagnostics
Holland Medical Services dba
4041 Mississippi Ave
Holland "
East Saint Louis, IL 62206
Holland Medical Services D
(618) 332-2573
3907 W Ernestine Dr
Marion, IL 62959
MEDICALLY NECESSARY
(618) 993-1422
TRANSPORTATION
Medical Transportation
Management
For Providers and Locations Please
Call:
IL
(877) 248-1338
SALINE COUNTY
MEDICALLY NECESSARY
TRANSPORTATION
Medical Transportation
Management
For Providers and Locations Please
HOME HEALTH CARE
Call:
Ancilla Home Health of St Mary’s
IL
St Marys Hospital of E St Loui
(877) 248-1338
129 N Eighth St
E Saint Louis, IL 62201
WASHINGTON COUNTY
(618) 274-1900
Home Health Srvcs of St
Elizabeths Hospital
St Elizabeth Hospital dba Bell
211 S Third St
Belleville, IL 62220
(618) 277-9360
Southern IL Home Care "
Touchette Regional Hospital
129 N Eighth St
East Saint Louis, IL 62201
(618) 482-7147
Southwestern Illinois Visiting
Nurse Assoc
Southwestern Illinois Visiting
7 Executive Woods Ct
Belleville, IL 62226
(618) 236-5800
MEDICALLY NECESSARY
TRANSPORTATION
Medical Transportation
Management
For Providers and Locations Please
Call:
IL
(877) 248-1338
WILLIAMSON COUNTY
DURABLE MEDICAL
EQUIPMENT
Convacare Services "
116 North Park Ave
Herrin, IL 62948
(618) 942-5315
Family Home Health Care "
104 N 14th St
Herrin, IL 62948
(618) 942-4807
" WHEELCHAIR ACCESSIBLE
75
HOME HEALTH CARE
VNA-Tip Homecare
VNA Homecare
4501 West De Young St Ste 100 B
Marion, IL 62959
(800) 642-6099
MEDICALLY NECESSARY
TRANSPORTATION
Medical Transportation
Management
For Providers and Locations Please
Call:
IL
(877) 248-1338
MISSOURI
CAPE GIRARDEAU COUNTY
DURABLE MEDICAL
EQUIPMENT
Hanger Pros & Orth East "
Hanger Prosthetics & Orthotics
3065 William St Ste 205
Cape Girardeau, MO 63703
(573) 334-2000
Healthcare Equipment &
Supply "
Tricorex
435 N Main St
Jackson, MO 63755
(573) 204-1628
Lincare "
Advanced Radiation Oncology SE
286 Christine St
Cape Girardeau, MO 63703
(573) 332-0020
ANCILLARY PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
SSM Rehab "
SSM Managed Care Organization
3789 New Town Blvd
Saint Charles, MO 63304
(636) 669-2377
Lincare "
Advanced Radiation Oncology SE
2074 Concourse Dr
Saint Louis, MO 63146
(314) 995-3779
SSM Rehab "
SSM Managed Care Organization
400 First Capitol Dr Ste 101
Saint Charles, MO 63301
(636) 947-5467
Medical West Respiratory
Services "
444 S Brentwood Blvd
Saint Louis, MO 63105
(314) 725-1888
SSM Rehab "
SSM Managed Care Organization
500 Medical Dr Ste 109
Wentzville, MO 63385
(636) 327-1170
Medical West Respiratory
Services "
9301 Dielman Industrial Dr
Saint Louis, MO 63132
(314) 993-8100
Hanger Pros & Orth East "
Hanger Prosthetics & Orthotics
150 St Peters Centre Blvd
Saint Peters, MO 63376
(636) 922-3260
SSM Rehab "
SSM Managed Care Organization
7421 Hwy N Ste B
Dardenne Prairie, MO 63368
(636) 561-2060
Provider Plus "
7748 Watson Rd
Saint Louis, MO 63119
(314) 961-8500
Hanger Pros & Orth East "
Hanger Prosthetics & Orthotics
2110 S Baltimore
Saint Peters, MO 63376
(660) 627-2124
SSM Rehab "
SSM Managed Care Organization
Ste 2 Harbor Bend Ct Ste 102
Lake Saint Louis, MO 63367
(636) 695-2070
MISSOURI (cont.)
CAPE GIRARDEAU COUNTY
(cont.)
DURABLE MEDICAL
EQUIPMENT (cont.)
Lincare
Advanced Radiation Oncology SE
305 Main St
Pocahontas, MO 63779
(636) 528-1640
SAINT CHARLES COUNTY
DURABLE MEDICAL
EQUIPMENT
Personal Care Products
1302 Rustique Sq
O Fallon, MO 63368
(800) 575-0302
Provider Plus "
7750 Winghaven Blvd
O Fallon, MO 63368
(636) 695-4644
REHABILITATION FACILITY
SSM Rehab "
SSM Managed Care Organization
1475 Kisker Rd Ste 150
Saint Charles, MO 63304
(636) 498-7474
SSM Rehab "
SSM Managed Care Organization
1551 Wall St
Saint Charles, MO 63303
(314) 768-5300
SSM Rehab "
SSM Managed Care Organization
1551 Wall St Ste 110
Saint Charles, MO 63303
(314) 768-5300
SSM Rehab "
SSM Managed Care Organization
300 First Capitol Dr Ste 101
Saint Charles, MO 63301
(636) 947-5302
SAINT LOUIS COUNTY
AUDIOLOGY
Estill, Amy, MD
St Louis University
621 S New Ballas Rd Ste 307A
Saint Louis, MO 63141
(314) 251-6362
Harris, Dave, PhD
St Louis University
621 S New Ballas Rd Ste 307A
Saint Louis, MO 63141
(314) 251-6362
St Louis University Hospital
DURABLE MEDICAL
EQUIPMENT
Hanger Pros & Orth East "
Hanger Prosthetics & Orthotics
13131 Tesson Ferry Rd Ste 121
Saint Louis, MO 63128
(314) 849-5026
Hanger Pros & Orth East "
Hanger Prosthetics & Orthotics
9719 Olive Blvd
Saint Louis, MO 63132
(314) 567-6844
I V Care dba IV & Respiratory
Care "
IV Care D/B/A Respiratory
218 Chesterfield Industrial Blvd
Chesterfield, MO 63005
(636) 532-3407
FAMILY PLANNING
Planned Parenthood of The St
Louis Regio "
Planned Parenthood of The St L
1 Stonegate Center
Valley Park, MO 63088
(636) 431-0030
Planned Parenthood of The St
Louis Regio "
Planned Parenthood of The St L
2796-98 N Hwy 67
Florissant, MO 63033
(314) 921-4445
HOME HEALTH CARE
Aging Well Healthcare
Aging Wellhealth Care
7212-16 Balson Ave
Saint Louis, MO 63130
(314) 726-5600
Alere Woman’s and Children’s
Health
Alere Women’s and Children’s H
680 Craig Rd Ste 301
Saint Louis, MO 63141
(880) 999-9428
Maxim Healthcare Services
11330 Olive Blvd Ste 200
Saint Louis, MO 63141
(314) 997-9144
VNA-Tip Homecare
VNA Homecare
3445 Bridgeland Dr
Hazelwood, MO 63044
(800) 443-7862
" WHEELCHAIR ACCESSIBLE
76
LABORATORY PATHOLOGY
TESTING
Rj Technology dba Clinlab "
763 S New Ballas Rd Ste 160
Saint Louis, MO 63141
(314) 647-4327
ORTHOTICS
Premier Prosthetics and
Orthotics "
Premier Prothetics and Orthoti
633 Emerson Rd Ste 10
Creve Coeur, MO 63141
(314) 262-8900
ORTHOTICS &
PROSTHETICS
Orthotic & Prosthetic Lab
748 Marshall Ave
Webster Grvs, MO 63119
(314) 968-8555
REHABILITATION FACILITY
SSM Rehab "
SSM Managed Care Organization
1 Village Sq Plaza Ste A
Hazelwood, MO 63042
(314) 731-4555
SSM Rehab "
SSM Managed Care Organization
1027 Bellevue Ste 15
Saint Louis, MO 63117
(314) 768-5375
SSM Rehab "
SSM Managed Care Organization
12266 Depaul Dr Ste 115
Bridgeton, MO 63044
(314) 209-7700
SSM Rehab "
SSM Managed Care Organization
201 S Kirkwood Rd
Saint Louis, MO 63122
(314) 984-9220
SSM Rehab "
SSM Managed Care Organization
6420 Clayton Rd
Saint Louis, MO 63117
(314) 768-5207
SAINT LOUIS CITY
AUDIOLOGY
Estill, Amy, MD
St Louis University
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
ANCILLARY PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
AUDIOLOGY (cont.)
Harris, Dave, PhD "
St Louis University
3660 Vista Ave Ste 312
Saint Louis, MO 63110
(314) 977-5110
St Louis University Hospital
DURABLE MEDICAL
EQUIPMENT
AAA Home Medical
Equipment "
AAA Home Medical Equip
4473 Forest Park Ave
Saint Louis, MO 63108
(314) 371-7800
FEBRUARY 2012
Hanger Pros & Orth East "
Hanger Prosthetics & Orthotics
3533 Dunn Rd Ste 226
Saint Louis, MO 63108
(314) 831-7844
Hanger Pros & Orth East "
Hanger Prosthetics & Orthotics
4483 Forest Park Blvd
Saint Louis, MO 63108
(706) 733-2323
FAMILY PLANNING
Planned Parenthood of The St
Louis Regio "
Planned Parenthood of The St L
208 Mid Rivers Mall Center Dr
Saint Louis, MO 63118
(636) 279-3339
Planned Parenthood of The St
Louis Regio "
Planned Parenthood of The St L
3401 S Grand
Saint Louis, MO 63118
(314) 965-1850
Planned Parenthood of The St
Louis Regio "
Planned Parenthood of The St L
4251 Forest Park Ave
Saint Louis, MO 63108
(314) 531-7526
NUTRITION
Shoemaker, James, MD "
St Louis University
1402 S Grand
Saint Louis, MO 63104
(314) 977-9230
" WHEELCHAIR ACCESSIBLE
77
REHABILITATION FACILITY
SSM Rehab "
SSM Managed Care Organization
6555 Chippewa Ste 125
Saint Louis, MO 63109
(314) 781-0011
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
ILLINOIS
FRANKLIN COUNTY
HEARING AID THERAPY &
SPECIALIST
Reimbold, John, AuD
Provider ID: 265525
Carbondale Hearing Center
5011/2 B Public Square
Benton, IL 62812
(618) 435-6005
Ages Seen: 18 Yrs/99 Yrs
JACKSON COUNTY
FAMILY PRACTICE
Law, Laura, PA "
Provider ID: 481352
Siu Physicians & Surgeons
305 W Jackson Ste 200
Carbondale, IL 62901
(618) 453-3777
Ages Seen: 00 Yrs/99 Yrs
FEBRUARY 2012
MONROE COUNTY
COMMUNITY HEALTH
CENTER
Monroe County Health
Department "
Provider ID: 533319
Monroe County Health Departmen
901 Illinois Ave
Waterloo, IL 62298
(618) 939-3871
Ages Seen: 00 Yrs/99 Yrs
OBSTETRICS/
GYNECOLOGY
Smith, Marla, APRN "
Provider ID: 563486
Marla R Smith dba Waterloo Wom
869 N Illinois Rte 3
Waterloo, IL 62298
(618) 939-7771
Ages Seen: 12 Yrs/99 Yrs
RANDOLPH COUNTY
HEARING AID THERAPY &
SPECIALIST
Reimbold, John, AuD "
Provider ID: 265525
Carbondale Hearing Center
1717 W Main St
Carbondale, IL 62901
(618) 457-6643
Ages Seen: 18 Yrs/99 Yrs
JEFFERSON COUNTY
INTERNAL MEDICINE
COMMUNITY HEALTH
CENTER
Randolph County Health
Department "
Provider ID: 530863
Randolph County
2515 State St
Chester, IL 62233
(618) 826-5007
Ages Seen: 00 Yrs/99 Yrs
GERIATRIC MEDICINE
Rector, Angel, APRN
Provider ID: 469926
Crossroads Physician Corp
4101 N Watertower Pl
Mount Vernon, IL 62864
(618) 244-4313
Ages Seen: 18 Yrs/99 Yrs
Sheehan, Jessica, ARNP "
Provider ID: 592918
Red Bud Clinic Corp
325 Spring St
Red Bud, IL 62278
(618) 282-7373
Ages Seen: 65 Yrs/99 Yrs
MADISON COUNTY
INTERNAL MEDICINE
FAMILY PRACTICE
Kempfer, Raechelle, ARNP "
Provider ID: 606361
Red Bud Clinic Corp
1408 Sparta Center Dr
Sparta, IL 62286
(618) 443-3295
Ages Seen: 00 Yrs/99 Yrs
Collman, Susan, ARNP "
Provider ID: 589917
Hshs Medical Group
821 Poplar St
Highland, IL 62249
(618) 654-7578
Ages Seen: 00 Yrs/99 Yrs
SAINT CLAIR COUNTY
FAMILY PRACTICE
Morgan, Jessica, ARNP "
Provider ID: 634937
Associates
4550 Memorial Dr Ste 180
Belleville, IL 62226
(618) 235-8282
Ages Seen: 00 Yrs/99 Yrs
! BOARD CERTIFIED
Simmons, Krista, ARNP "
Provider ID: 606613
Muich, Sally, ARNP "
SSM Managed Care Organization
Provider ID: 365655
12277 De Paul Dr Ste 503
Southern Illinois Health Care Assoc
Bridgeton, MO 63044
1512 N Green Mount Rd Ste 200
(314) 739-9618
O Fallon, IL 62269
Ages Seen: 00 Yrs/99 Yrs
(618) 624-1860
Ages Seen: 50 Yrs/99 Yrs
Simmons, Krista, ARNP "
Provider ID: 606613
SSM Managed Care Organization
HEARING AID THERAPY &
SPECIALIST
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
Moore-Schmitt, Melissa, AuD
(314) 741-0911
Provider ID: 24272
Ages Seen: 00 Yrs/99 Yrs
Melissa Moore-Schmitt
4933 B Benchmark Centre Dr
Simmons, Krista, ARNP "
Swansea, IL 62226
Provider ID: 606613
(618) 628-1212
SSM Managed Care Organization
Ages Seen: 03 Yrs/99 Yrs
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
SUB-ACUTE CARE
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Loepker, Dana, APRN "
Provider ID: 625204
Zipprich, Jenny, ARNP "
Hshs Medical Group
Provider ID: 250557
211 S Third St
St Louis University
Belleville, IL 62220
1034 S Brentwood Blvd Ste 1120
(618) 234-2120
Saint Louis, MO 63117
Ages Seen: 16 Yrs/99 Yrs
(314) 726-1612
Ages Seen: 00 Yrs/99 Yrs
GERIATRIC MEDICINE
MISSOURI
SAINT LOUIS COUNTY
CARDIOLOGY
Scaife, Tamara, ARNP "
Provider ID: 545341
SSM Managed Care Organization
2355 Dougherty Ferry Rd Ste 320
Saint Louis, MO 63122
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Scaife, Tamara, ARNP "
Provider ID: 545341
SSM Managed Care Organization
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Scaife, Tamara, ARNP "
Provider ID: 545341
SSM Managed Care Organization
13303 Tesson Ferry Rd Ste 150
Saint Louis, MO 63128
(314) 741-0911
Ages Seen: 00 Yrs/99 Yrs
Scaife, Tamara, ARNP "
Provider ID: 545341
SSM Managed Care Organization
12277 Depaul Dr Ste 503
Bridgeton, MO 63044
(314) 739-9618
Ages Seen: 00 Yrs/99 Yrs
" WHEELCHAIR ACCESSIBLE
78
INTERNAL MEDICINE
Keegan, Mary, APRN
Provider ID: 394617
St Louis University
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117
(314) 726-1612
Ages Seen: 18 Yrs/99 Yrs
Keegan, Mary, APRN "
Provider ID: 606786
St Louis University
2315 Doughery Ferry Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
OBSTETRICS/
GYNECOLOGY
Hoffstetter, Susan, ARNP "
Provider ID: 356910
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 18 Yrs/99 Yrs
Hoffstetter, Susan, ARNP "
Provider ID: 356910
St Louis University
12266 Depaul Dr Ste 65
Bridgeton, MO 63044
(314) 781-7455
Ages Seen: 18 Yrs/99 Yrs
# EXISTING PATIENTS ONLY
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
DERMATOLOGY
MISSOURI (cont.)
SAINT LOUIS COUNTY (cont.) King, Rosemary, PA
OBSTETRICS/
GYNECOLOGY (cont.)
Taylor, Julie, APRN
Provider ID: 432035
St Louis University
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117
(314) 977-7455
Ages Seen: 00 Yrs/99 Yrs
PULMONARY DISEASE
Dettenmeier, Patricia, ARNP "
Provider ID: 249944
St Louis University
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122
(314) 977-9600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
VASCULAR SURGERY
Gregory, Karen, APRN "
Provider ID: 356957
St Louis University
10012 Kennerly Rd Ste 305
Saint Louis, MO 63128
(314) 525-4325
Ages Seen: 18 Yrs/99 Yrs
Lebbing, Rhonda, APRN !"
Provider ID: 510996
St Louis University
10012 Kennerly Rd Ste 305
Saint Louis, MO 63128
(314) 525-4325
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
SAINT LOUIS CITY
ADOLESCENT MEDICINE
Furtak, Jenny, CNP
Provider ID: 437371
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6406
Ages Seen: 00 Yrs/21 Yrs
St Louis University Hospital
CARDIOVASCULAR
SURGERY
Hohenberg, Mary, PA
Provider ID: 247273
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4180
! BOARD CERTIFIED
INTERNAL MEDICINE
EAR NOSE & THROAT
Keegan, Mary, ARNP "
Provider ID: 250549
St Louis University
5411 S Grand Blvd
Saint Louis, MO 63111
(314) 351-5600
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
McGlaughlin, Alicia, RN !
Provider ID: 464084
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Keegan, Mary, ARNP
Provider ID: 391182
St Louis University
3660 Vista Ave Ste 207
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
GASTROENTEROLOGY
Mahon, Suzanne, ARNP "
Provider ID: 249870
St Louis University
3655 Vista Ave
Saint Louis, MO 63110
(314) 577-8854
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
Provider ID: 247275
St Louis University
1755 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6064
Campbell, Shirley, ARNP "
Provider ID: 600178
St Louis University
3660 Vista Ave
Ste 302 & 308
Saint Louis, MO 63110
(314) 577-6000
Ages Seen: 18 Yrs/99 Yrs
GENERAL SURGERY
Adorjan, Michelle, ARNP !
Provider ID: 415506
St Louis University
3635 Vista Ave @ Grand Blvd
Saint Louis, MO 63110
(314) 977-6125
Ages Seen: 18 Yrs/99 Yrs
GERIATRIC MEDICINE
Keegan, Mary, ARNP
Provider ID: 391182
St Louis University
3660 Vista Ave Ste 207
Saint Louis, MO 63110
(314) 977-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Traber, Christina, APRN "
Provider ID: 429697
St Louis University
3660 Vista Ave Ste 204
Saint Louis, MO 63110
(314) 977-8462
Ages Seen: 65 Yrs/99 Yrs
St Louis University Hospital
Petzchen, Marcella, ARNP
Provider ID: 250551
St Louis University
3518 Laciede Ave
Saint Louis, MO 63103
(314) 977-2323
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Petzchen, Marcella, ARNP "
Provider ID: 250551
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6100
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
Philpot, Carolyn, ARNP "
Provider ID: 250552
St Louis University
3660 Vista Ave
Saint Louis, MO 63110
(314) 577-6055
Ages Seen: 00 Yrs/99 Yrs
ORTHOPAEDIC SURGERY
Hietpas, Shay, PA !"
Provider ID: 374772
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5646
Ages Seen: 00 Yrs/99 Yrs
St Louis University Hospital
" WHEELCHAIR ACCESSIBLE
79
PEDIATRIC EAR NOSE &
THROAT
Albert, Tara, ARNP !
Provider ID: 464098
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5650
Ages Seen: 00 Yrs/18 Yrs
PEDIATRIC
ENDOCRINOLOGY
Lunneen, Matthew, ARNP "
Provider ID: 611478
St Louis University
1465 S Grand
Saint Louis, MO 63110
(314) 577-5648
Ages Seen: 18 Yrs/99 Yrs
Simpkins, Marsha, ARNP "
Provider ID: 519372
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5648
Ages Seen: 00 Yrs/18 Yrs
PEDIATRIC
GASTROENTEROLOGY
Hotle, Laura, ARNP "
Provider ID: 571787
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/18 Yrs
PEDIATRICS
Christanell, Cara, ARNP "
Provider ID: 571547
SSM Managed Care Organization
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-6406
Ages Seen: 00 Yrs/21 Yrs
Christanell, Cara, RN "
Provider ID: 292048
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6406
Ages Seen: 00 Yrs/18 Yrs
SSM Cardinal Glennon Child
Keth, Stefanee, ARNP "
Provider ID: 577073
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-6439
Ages Seen: 00 Yrs/18 Yrs
# EXISTING PATIENTS ONLY
ALLIED PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
MISSOURI (cont.)
SAINT LOUIS CITY (cont.)
PEDIATRICS (cont.)
Leet, Jessica, ARNP "
Provider ID: 587284
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 268-4070
Ages Seen: 00 Yrs/18 Yrs
Orlando, Angela, ARNP "
Provider ID: 588892
St Louis University
1465 S Grand
Saint Louis, MO 63104
(314) 577-5360
Ages Seen: 00 Yrs/18 Yrs
Spranaitis, Kathleen, ARNP "
Provider ID: 250556
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5647
Ages Seen: 00 Yrs/21 Yrs
SSM Cardinal Glennon Child
Wolff, Bonita, ARNP "
Provider ID: 238379
St Louis University
1465 S Grand Blvd
Saint Louis, MO 63104
(314) 577-5648
Ages Seen: 00 Yrs/18 Yrs
PULMONARY DISEASE
Dettenmeier, Patricia, ARNP "
Provider ID: 249944
St Louis University
3660 Vista Ave Ste 103
Saint Louis, MO 63110
(314) 977-6190
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
VASCULAR SURGERY
Gregory, Karen, APRN "
Provider ID: 356957
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 577-8310
Ages Seen: 18 Yrs/99 Yrs
Lebbing, Rhonda, APRN !
Provider ID: 510996
St Louis University
3660 Vista Ave Ste 108
Saint Louis, MO 63110
(314) 577-8310
Ages Seen: 18 Yrs/99 Yrs
St Louis University Hospital
! BOARD CERTIFIED
" WHEELCHAIR ACCESSIBLE
80
# EXISTING PATIENTS ONLY
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
A
AAA Home Medical Equipment .................77
Aach, Douglas, MD ......................................26
Abdulnabi, Yousef, MD ...................24, 27, 37
Abdulrauf, Saleem, MD ...............................63
Abedmahmoud, Issa, MD ...............15, 23, 34
Abraham, Elizabeth, MD .............................69
Abraham, Prasad, MD ...................................7
Acharya, Aninda, MD ..................................62
Adams, Michael, MD .....................................5
Adesara, Rashmin, MD .................................5
Adorjan, Michelle, ARNP .............................79
Advanced Hearing System ........................75
Afuwape, Emmanuel, MD ......................19, 26
Agarwal, Banke, MD ..............................42, 57
Agha, Irfan, MD ............................................61
Aging Well Healthcare .........................74, 76
Aher, Vijaykumar, MD ..................................35
Ahmad, Kaashif, MD ....................................13
Ahmad, Shahnaz, MD .................................13
Ahmed, Shakeel, MD ...................................26
Ahuja, Naresh, MD ......................................34
Akduman, Levent, MD ...........................50, 65
Al Jureidini, Saadeh, MD ......................35, 67
Alam, Fakhre, MD ..................................16, 34
Alander, Dirk, MD ........................................65
Alba, Zarah-Ann, MD .....................................8
Albers, Gary, MD .............................22, 30, 69
Albert, Stewart, MD .....................................56
Albert, Tara, ARNP ......................................79
Alderson, Lisa, MD ................................37, 53
Alere Woman’s and Children’s Health .....76
Al-Hosni, Mohamad, MD ...........28, 37, 51, 60
Ali, Syed, MD ...............................................20
Al-Joundi, Bassam, MD ........................25, 37
Al-Joundi, Tammam, MD ......................25, 37
Alkaade, Samer, MD .............................42, 57
Allen, Alina, MD ...........................................11
Allen, Erin, MD .............................................55
Almasalmeh, Naser, MD .............................44
Almousalli, Omar, MD ...........................22, 25
Al-Sharif, Nabil, MD ...............................32, 33
Alshekhlee, Amer, MD ................................62
Alvarado, Alejandro, MD ...............................5
Alvarado, Janet, MD ......................................5
Alvarez, Alejandro, MD ................................61
Amari, Wassila, MD ...............................27, 31
Amato, Jason, MD .......................................55
Amin, Navinkumar, MD ................................65
Amon, Erol, MD .....................................36, 45
Ancilla Home Health of St Mary’s .............75
Anderson, Connie, MD ................................61
Anderson, Edwin, MD ...........................59, 68
Anderson, Peter, MD ..................................21
Anderson, Stephen, DDS ............................19
Andreone, Teresa, MD ................................70
Andrews, Wegdan, MD .........................46, 62
Andrus, Charles, MD ...................................57
Antisdel, Jastin, MD ..............................41, 56
Arbaugh, Scott, MD .....................................22
Arett, Christopher, MD .................................32
Artal, Raul, MD ............................................45
Arun, Deepa, MD .........................................69
Aryal, Nitu, MD ..............................................6
Ashraf, Mohammad, MD ...............................6
Ashraf, Yassir, MD ................................57, 60
Assi, Nizar, MD ................................25, 37, 38
FEBRUARY 2012
Awad, Omar, MD .................................. 27, 31 Bower, Richard, MD .................................... 69
Ayres, Robert, MD ........................................ 5 Bowers, James, MD .................................... 13
Azam, Mohammad, MD ................................ 4 Bowles, Tamera, MA .................................. 18
Boyd, Emily, MD ......................................... 28
B
Braddock, Stephen, MD ....................... 68, 70
Bray, Kenneth, MD ...................................... 28
Babusis, Elizabeth, MD ........................ 53, 70
Breer, Wayne, MD ...................................... 55
Backer, Matthias, MD ................................. 44
Brennan Jr, Robert, MD ....................... 46, 47
Bacon, Bruce, MD ....................................... 57
Brennan, James, MD .................................. 23
Badahman, Omer, MD ................................ 27
Brennan, Richard, MD .......................... 23, 46
Baeza, Jose, MD ......................................... 11
Brenner, Steven, MD ............................ 62, 67
Bailey, Gregory, MD ....................... 20, 46, 63
Brewer, Robert, MD .............................. 15, 23
Bailey, Jeffrey, MD ...................................... 57
Brickman, Todd, MD ............................ 41, 56
Bakanas, Erin, MD ...................................... 11
Bromberg, Burt, MD ................................... 67
Baker, Chad, OD ........................................ 21
Brooker, Robert, MD ................................... 61
Bandlamudi, Rama, MD ............................. 71
Broom, Matthew, MD .................................. 70
Banks, William, MD ............................... 59, 60
Brosch, Sirisha, MD .................................... 12
Bardakcioglu, Ovunc, MD .......................... 54
Bruzzini, Daniel, MD ............................. 61, 70
Barenkamp, Stephen, MD .......................... 68
Bucholz, Richard, MD ................................. 63
Barkoviak, Michael, MD ............................. 52
Buckhold, Fred, MD ............................. 10, 12
Barlow, Sarah, MD ..................................... 68
Buekers, Thomas, MD .......................... 43, 59
Barner, Hendrick, MD ................................. 57
Burgdorf Jr, Max, MD ............................. 9, 10
Barnett, Kevin, MD ..................................... 26
Burger, Stephen, MD .................................. 28
Barta, Charisse, MD .................................... 28
Burkemper, Nicole, MD .............................. 55
Bashiruddin, Ifath, MD ............................... 28
Burmeister, R, MD ................................ 44, 59
Bassman, Donald, MD .................... 24, 30, 50
Burton, Frank, MD ...................................... 57
Bastani, Bahar, MD .................................... 61
Burton, Mary, MD ....................................... 57
Baumer, Susan, MD ................................... 13
Bush, John, OD .............................. 23, 24, 29
Beardslee, Michael, MD ............................. 41
Beck, Michelle, OD ..................................... 65
C
Becker, Bradley, MD ................................... 53
Becker-Koepke, Stephanie, MD ................. 44 Callison, Richard, MD ............... 28, 32, 62, 72
Befeler, Alex, MD ........................................ 57 Calong, Rosel, MD ...................................... 28
Beg, Humayun, MD ............................... 27, 31 Camp, Linda, MD ........................................ 30
Bel-Clair Ambulatory Surgical Center ..... 75 Campbell, Shirley, ARNP ............................ 79
Belleville Imaging ...................................... 75 Cannada, Lisa, MD ..................................... 66
Belsha, Craig, MD ....................................... 68 Cannon, Sara, MD ...................................... 20
Belshe, Robert, MD .................................... 59 Cantando, John, DO ................................... 62
Bender, Thomas, MD .................................. 61 Cantrell, Dolores, MD ................................... 5
Beretvas, Robert, MD ................................. 57 Cao, Shimin ................................................... 9
Berg, Ryan, MD ........................ 38, 44, 53, 60 Carazo, Elizabeth, MD .................................. 6
Berkenbile, David, DO .................................. 5 Carbondale Clinic Lab ............................... 74
Berni, Kimberly, MD .............................. 37, 72 Care Medical Supplies ........................ 74, 75
Bernstein, Marc, MD .................................. 57 Castillo, Roque, MD ................................... 12
Bernstein, Michael, MD .............................. 70 Cerny, Laura, MD ........................................ 61
Beyer, Craig, MD ........................................ 21 Chaar, Bassem, MD .................................... 12
Bhatara, Vikas, MD ..................................... 16 Chacko, Sonia, MD ..................................... 12
Bhatla, Deepika, MD ................................... 68 Chadaga, Rajagopal, MD ............................ 12
Bhattacharyya, Anjan, MD ......................... 11 Chadwick, William, MD ............................... 28
Bhutto, Asif, MD ......................................... 11 Chaitman, Bernard, MD .............................. 54
Bhutto, Kashif, MD ............................... 27, 31 Chalfant, Jeffery, DO .................................. 31
Bialecki, Eldad, MD .................................... 42 Chand, Pratap, MD ..................................... 62
Bicknese, Alma, MD ............................. 36, 69 Chandra, Pradeep, MD ............................... 12
Birner, Nancy, MD ........................................ 7 Chediak, Ronald, MD .................................... 9
Bitar, Saad, MD .................................... 18, 38 Chehval, Michael, MD ................................. 72
Bjerregaard, Preben, MD ........................... 54 Chen, Fangxiang, MD ........................... 46, 63
Blaise, Dale, MD ........................................... 3 Chen, Richard, MD ........................................ 6
Blankenship, Robert, MD ............................. 5 Chen, Su-Chiung, MD ............... 15, 17, 36, 67
Blaskiewicz, Robert, MD ............................ 46 Chen, Wen, MD ............................... 20, 21, 29
Blatt, Andrew, MD ....................................... 50 Chen, Xi, MD ............................................... 62
Bleichner, Amanda, MD ............................... 4 Cheng, Amy, MD ................................... 41, 55
Bleyer, Frank, MD ......... 17, 32, 33, 34, 54, 60 Chia, Wak, MD .............................................. 6
Blondis, Thomas, MD ................................. 70 Chilappa, Madan, MD ................................. 44
Boberg, Jeffrey, DPM ........................... 30, 52 Chin, Mark, MD ..................................... 18, 38
Boc, Inocencio, MD ....................................... 8 Chiu, Regina, MD ........................................ 27
Booth, Gregory, MD .................................... 61 Cho, Soo, MD .............................................. 22
Borts, Michael, MD ..................................... 53 Chouhan, Lalithkumar, MD ............. 18, 35, 38
Boudreau, John, MD .................................. 66 Christanell, Cara, ARNP ............................ 79
Bouneva, Iliana, MD ................................... 57 Christanell, Cara, RN ................................. 79
81
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
Chu, Jen, MD ...............................................68
Chung, Sophia, MD .....................................65
Churling, Kathryn, MD ...................................4
Cibulskis, Catherine, MD ............................61
Civelek, Ali, MD ...........................................64
Clanahan, James, MD .................................26
Claxton, Matthew, DPM .........................30, 52
Clines, Damon, MD .....................................57
Clutts, David, MD ..................................15, 23
Cohen, Jerome, MD .....................................54
Coleman, Kevin, MD ....................................51
Collantes, Roberto, MD .................................7
Collman, Susan, ARNP ...............................78
Coln, Charles, MD .......................................58
Connelley, Marci, MD ....................................3
Connor, Charles, MD ...................................19
Convacare Services .............................74, 75
Cooke, Richard, MD ....................................61
Coppens, Jeroen, MD .................................63
Cornelius, Victoria, MD ...............................12
Costa, Dary, MD ....................................51, 68
Coulson, Kathryn, MD .................................71
Council, Martha, MD ...................................55
Council, Matthew, MD .................................65
Coy, Thomas, DO ..........................................9
Crafts, David, MD ........................................63
Craici, Iasmina, MD .....................................61
Crisio, Raymond, DMD ..........................23, 26
Criste, Gerson, MD ......................................16
Crossroads Community Hospital .............73
Crouch, Donald, MD ....................................26
Cruz- Flores, Salvador, MD .............36, 46, 62
Cruz Oliver, Dulce, MD ...................10, 11, 12
Cruz, Oscar, MD ........................50, 51, 65, 69
Cruz-Flores, Salvador, MD ..........................62
Csaszar, Michael, DMD ...............................19
Cutuk, Adnan, MD .................................50, 66
Czarnik, Bruce, MD .....................................54
Flury, Kirk, MD ........ 19, 22, 24, 44, 52, 60, 71
Follwell, Jennifer, DO ................................... 5
Fonseca, Peter, MD .................................... 53
Forsberg, Michael, MD ......................... 38, 54
Fosko, Scott, MD ........................................ 55
Fournier II, Warren, MD .............................. 31
Fox Med-Equip Services ..................... 74, 75
Fox-Altug, Jodi, MD ...................................... 9
Foy, Thomas, MD .................................. 51, 68
Frederick, Tim, MD ..................................... 62
Fredrickson, Dennis, DDS ......................... 19
Freeman, Carl, MD ...................................... 58
Frei, Lonnie ................................................. 58
French, Michael, MD ................................... 61
Frey, Sharon, MD ........................................ 60
E
Fritz Parker, Mary, MSW ............................ 18
Fuller, Dennis, MD ...................................... 56
Eakin, K, MD ................................................. 5
Furry, Craig, MD ........................................... 7
Eberhart, Lori, MD ........................................ 8
Furtak, Jenny, CNP .................................... 79
Eddy, Mark, MD .......................................... 14
Edelstein, Sean, MD ....................... 29, 60, 65
G
Edgell, Randall, MD .............................. 62, 72
Edwards, John, MD .................................... 61 Gahn, Richard, MD ...................................... 51
Eichholz, Kurt, MD ...................................... 64 Gale, Gordon, MD ....................................... 68
Eisenbeis, John, MD .................................. 56 Gammack, Julie, MD ............................ 11, 12
Eisenberg, David, MD .............. 28, 36, 47, 64 Garrison, Gregory, MD ................................. 8
El-Achkar, Tarek, MD ................................. 61 Gates, Douglas, MD .................................... 16
Elbabaa, Samer, MD ................................... 64 Gateway Fdntn Caseyville Center ............ 25
Elfenbein, Dianne, MD ......................... 37, 53 Gateway Foundation Belleville ................. 25
Elkhatib, Runda, MD .................................... 5 Gateway Foundation Carbondale ............. 15
Elzoobi, Khaldoun, MD ................................. 8 Gateway Regional Med Center ........... 18, 73
Engel, Elizabeth, MD ............................ 50, 66 Gateway Regional Medical Center ........... 18
Erickson, Quenby, DO ............................... 55 Gauto, Suzanne, MD .................................... 9
Ernst, Joseph, MD ...................................... 22 Gauvain, Karen, MD ................................... 68
Espinoza, Gabriela, MD .............................. 65 Geisler Wang, Dawn, MD ........................... 30
Espiritu, Joseph, MD ............................ 52, 71 Geller, Thomas, MD ........................ 28, 62, 63
Estill, Amy, MD ........................................... 76 George, Sarah, MD ..................................... 60
Georgen, Jeanette, MA ............................... 24
F
Ghazi-Askar, Zahra, MD ............................. 14
Gheith, Ramis, MD ................................ 36, 51
Family Home Health Care ......................... 75
Giacaman, Mike, MD .................................. 57
Farkas, Emily, MD ....................................... 54
Gibbons, Vincent, MD ................................. 61
Fatoki, Akinrinola, MD ................................. 10
Gillian, Stephan, MD ................................... 11
Feen, Eliahu, MD ......................................... 62
Gingrich, Tina, MD ..................................... 20
Feldenberg, Louis, MD ............................... 69
Glaser, Dee, MD ................................... 41, 55
Felton, Jason, MD ................................. 46, 64
Gocio, Allan, MD ................................... 16, 34
Feman, Stephen, MD .................................. 65
Goddard, Jerry, MD ...................................... 3
Fenton, Glen, MD ....................................... 62
Goforth, Gary, DO ........................................ 9
Ferguson Jr, Homer, MD ............... 23, 24, 29
Goldstein, Gary, MD ................................... 52
Ferguson, John, DO ................................... 70
Golz, Robert, MD ........................................ 34
Ferguson, William, MD ............................... 68
Gonzalez, Esther ........................................ 61
Fernandez, James, MD .............................. 19
Gordon, Glenn, MD ..................................... 57
Ferreira, Scott, MD ............................... 38, 54
Goretzke, Sean, MD ............................. 36, 69
Fesler, Mark, MD .................................. 59, 60
Gorse, Geoffrey, MD ................................... 60
Fierstein, Jeffrey, MD ................................. 19
Graff, Ralph, MD ......................................... 43
Fimmel, Claus, MD ..................................... 57
Graham, Eric, MD ......................................... 9
Finlay, David, MD ....................................... 32
Graham, Irene, MD ..................................... 60
Fiore, Andrew, MD ...................................... 72
Graham, Peter, MD ..................................... 16
Firlit, Casimir, MD ....................................... 69
Granberg, Steven, MD ................................ 51
Fischer, Lewis, MD ..................................... 19
Grandhi, Sandhya, MD ................................. 3
Fischer, Linda, MD ....................................... 5
Graven, Timothy, DO .................................. 36
Fitch, Coy, MD ............................................ 12
Green, Kenneth, MD ................................... 29
Flaherty, Joseph, MD ........................... 11, 12
Greenberg, David, MD .............. 46, 50, 60, 66
Flannery, Ann, MD ...................................... 64
Greenspan, Aaron, MD ................... 26, 42, 57
Fleissner, Michael, MD ......................... 18, 38
Gregory, James, MD ................................... 25
Fleming, Robert, MD .................................. 61
Gregory, Karen, APRN ......................... 79, 80
Fleming, Thomas, MD .......................... 21, 29
Griffing, George, MD ............................ 42, 56
Florendo, Oscar, MD .................................... 6
Gross, Gilad, MD ........................................ 45
Floyd Kennett, Elana, MSW ....................... 32
Guerra, Meghan, MD ............................ 53, 70
D
Daily, Bill, MD ..................................32, 35, 52
Dalal, Rashid, MD ......................20, 23, 28, 62
Danon, Saar, MD .........................................67
Darbar, Aneela, MD .....................................63
Das, Sundeep, MD .................................18, 38
Dave, Chirag, MD .........................................17
Davenport, Sandra, MD ..............................68
Davidson, Robert, MD ...................................7
Davis, John, MD ....................................16, 34
Davitt, Bradley, MD ................................50, 65
Defranco, Paul, DO .....................................61
Dejong, Marc, MD ..................................27, 31
Delaney, Michael, MD ..................................34
Delaney, Nancy, MD ....................................12
Dempsey, Maureen, MD ..............................13
Dempsher, David, MD ...........................35, 68
Derdoy, Jose, MD ..................................51, 68
Dettenmeier, Patricia, ARNP .................79, 80
Devkota, Bishnu, MD .......................10, 12, 44
Dewan, Rajeev, MD ...............................44, 59
Dewilde, Jennifer, DC ..................................23
Diamond, Alan, DO .....................................62
Diaz, Jose, MD .............................................19
Dibisceglie, Adrian, MD ..............................57
Dickert, Erin, MD .........................................47
Dickinson, David, DPM ...............................34
Dickler, Andrew, MD ..................17, 32, 33, 34
Dincer, Bulent, MD ................................25, 27
Dincer, Tulay, MD ......................................... 8
Doerhoff, Faye, MD .............................. 14, 51
Doig, Mark, 99999 ....................................... 55
Doisey, Edward, MD ............................. 21, 29
Dolan, Melda, MD ....................................... 54
Domoto, Douglass, MD .............................. 61
Doshi, Rajen, MD ........................................ 32
Dothager, Douglas, MD .............................. 31
Drake, James, MD ...................................... 60
Dressen, Frederick, DO ........................ 15, 23
Dunstan-Brady, Marianne, MD .................. 53
Duvall, Joseph, MD ..................................... 55
Dyliacco, Mark, MD .................................... 58
Dysarz, Francis, MD ....................... 36, 43, 44
82
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
Gundersen, Karl, MD ..................................22
Gunzel, Yolanda, MSW .........................15, 33
Guo, Aibing, MD ...........................................41
Gupta, Anil, MD .............................................7
Gupta, Rajendra, MD ...................................24
Gupta, Salil, MD ...........................................30
H
Habib, Arif, MD ............................................22
Habib, Asif, Mbbc .........................................22
Hachem, Christine, MD ................................57
Hageman, Matthew, MD ................................8
Hagen, Alan, MD ............................................6
Haines, Cynthia, MD ....................................10
Hall, Heather, MD ..................................46, 61
Haller, Kenneth, MD ....................................14
Halloran, Donna, MD ...................................14
Hammonds, Jennifer, MSW ........................15
Hand, Burl, DDS ..........................................26
Handwerk, Julie, MD ...................................35
Handwerk, Michael, PhD .............................32
Hanger Pros & Orth East .........74, 75, 76, 77
Hanson, Emily, DO ........................................3
Haque, Hoosna, MD ....................................47
Harmon, Lawrence, MD .................................6
Harris, Dave, PhD ..................................76, 77
Harris, Wesley, MD ......................................19
Harrison, Brian, MD .......................................3
Harryman, William, MD ...............................34
Hartman, John, MD .......................................3
Hartman, Rebecca, MD .........................15, 16
Hassan, Tariq, MD .......................................42
Hasty, Kimberly, MS ....................................18
Hauptman, Paul, MD ...................................38
Havranek, Thomas, MD ...............................61
Hayashi, Paul, MD .......................................57
Hayat, Ghazala, MD .....................................63
Haymes Jr, David, MD ................................30
Healthcare Equipment & Supply ...............75
Heaney, Mary, MD .......................................14
Heaney, Robert, MD ....................................12
Heartland Regional Medical Center ..........73
Hehmann, Richard, MD ...............................30
Helm, Cyril, MD ......................................43, 59
Hendershot, Edward, MD ............................44
Hennon, Nell, DO ..........................................7
Hentzelman, Joshua, MD ......................41, 56
Herbers, Mark, MD ......................................11
Herrin Hospital ............................................73
Herrmann, Michael, MD ..............................28
Hietpas, Shay, PA .......................................79
Hilgard, James, MD .....................................18
Hill, Laura, MD ...............................................6
Hinrichs, James, MD ...................................36
Hipskind, Stephen, MD .................................7
Hoenicke, Nicole, MD ............................47, 64
Hoffstetter, Susan, ARNP ...........................78
Hoft, Daniel, MD ..........................................60
Hohenberg, Mary, PA ..................................79
Holds, John, MD ..........................................65
Holland Medical Services dba Holland .....75
Hollander, Lawrence, MD ............................17
Holloran-Schwartz, Mary, MD ....................47
Holmes, Robert, DO ......................................3
Holt, Brian, MD ............................................58
Holzemer, Eve .............................................63
FEBRUARY 2012
Home Health Srvcs of St Elizabeths Hospital
..................................................................... 75
Hong, Jim, MD .............................................. 5
Horton, Peter, MD ....................................... 58
Hotle, Laura, ARNP .................................... 79
Hruza, George, MD ..................................... 55
Hsu, Hugo, MD ............................................ 65
Hsueh, Eddy, MD .................................. 43, 58
Hu, Ruo-Qi, MD ........................................... 28
Hucker, John, MD ....................................... 28
Hudson, James, MD ................................... 21
Huffstutler, William, MD ............................... 4
Hugge, Christopher, MD ............................. 68
Humphrey, Andrea, MD ................................ 3
Humphrey, Jon, MD ......................... 3, 15, 16
Hurford, Dennis, MD ................................... 20
Hurley, Yadira, MD ..................................... 55
Hussain, Syed, MD ....................................... 8
Hussain, Zainal, MD ................................... 12
I
I V Care dba IV & Respiratory Care .... 75, 76
Inhorn, Roger, MD ...................................... 44
Iqbal, Nadia, MD ......................................... 61
J
Jackman, James, DO ................................. 66
Jackson, Pamela, MSW ............................. 23
Jacob, Pothen, MD ....................................... 8
Jacobs, Christine, MD ................................ 11
Jacobs, Daryl, MD ...................................... 25
Jacobs, Donald, MD ............................. 53, 72
Jafri, Ahmed, MD ........................................ 28
Jain, Ajay, MD ............................................. 68
Jain, Sudhir, MD ......................................... 25
Jamous, Abdulsalam, MD ........................... 31
Janosik, Denise, MD .................................. 54
Jeffreys, Florence, MD ............................... 54
Jensen, Sarah, MD ............................... 41, 55
Johnson, Andrew, MD ................................ 17
Johnson, Frank, MD ................................... 58
Johnson, Homer, MD ................................. 10
Johnson, Jeffery, OD ................................. 30
Johnson, Robert, MD ................................. 72
Johnson, Thomas, OD ............................... 30
Johnson, Troy, OD ............. 17, 21, 23, 24, 30
Johnston, Donald, DO ................................ 30
Johnston, Jill, MD ......................................... 9
Jone, Pei-Ni, MD ......................................... 67
Jones, Bart, MD .......................................... 29
Jones, Eric, OD ............................... 23, 24, 30
Jones, Jeffery, DO ...................................... 16
Jones, Michael, MD .............................. 21, 29
Joshi, Seema, MD ...................................... 59
Joshi, Shobha, MD ..................................... 57
Journagan, Susan, MD .................. 25, 26, 55
K
Kaar, Scott, MD ........................................... 66
Kamat, Sona, MD ........................................ 71
Kaminski, Donald, MD ................................ 58
Kanafani, Nadim, DO ............................ 51, 68
Kao, Ming, MD ............................................ 43
Kaplan, Carl, MD ........................................ 71
Karges, David, MD ...................................... 66
Kathuria, Pranay, MD ................................. 61
Katsantonis, George, MD .......................... 56
83
Kazi, Abdul, MD .......................................... 26
Keegan, Mary, APRN .................................. 78
Keegan, Mary, ARNP .................................. 79
Keenan, William, MD ................................... 61
Keller, Martin, MD ................................. 51, 69
Keller, Sarah, MD ................................. 47, 64
Kelsey, Sekou, MD ..................................... 28
Kempfer, Raechelle, ARNP ........................ 78
Kenneaster, Derek, MD ........................ 15, 33
Kennedy, Donald, MD ................................. 60
Keth, Stefanee, ARNP ................................ 79
Ketring, Elaine, MA ..................................... 33
Kevorkian, Rafl, MD ............................. 12, 59
Khalid, Muhiyuddin, MD ................................ 8
Khan, Anwar, MD ........................................ 30
Khan, Chung, MD ................................. 23, 24
Khan, Jawad, MD ........................................ 26
Khan, Mahrakh, MD ...................................... 7
Khan, Mahrukh, MD .................................... 10
Khan, Saeed, MD .......................................... 3
Khan, Shah-Naz, MD .................................. 46
Khattak, Hafiz, MD ................................ 30, 51
Kieffer, David, MD ....................................... 66
Kilgore, John, MD ....................................... 38
King, Rosemary, PA .................................... 79
King, Thomas, MD ................................ 35, 38
Kinsella, Laurence, MD ............ 45, 46, 60, 63
Kirkland, Levi, MD ...................................... 43
Kirkorian, Raffi, MD .................................... 38
Kisabeth, Tim, MD ...................................... 20
Kitchener, Jacob, MD ........................... 54, 63
Klein, Andrew, MD ................................ 38, 54
Klingele, Terence, MD ................................ 29
Klinkner, Denise, MD .................................. 69
Klomp, S, MD ....................................... 51, 70
Knutsen, Alan, MD ...................................... 67
Koenig, Joyce, MD ...................................... 61
Kolli, Swathy, MD ....................................... 12
Konzen, Kevin, MD ....................................... 6
Korte, Tanatip, MD ........................................ 4
Kos, Antoni, MD .......................................... 34
Kottoor, Vinayak, MD ................................. 70
Kraeger, Russell, MD .................................. 52
Kraemer, Bruce, MD ................. 44, 51, 59, 70
Kudva, Ganesh, MD ................................... 59
Kuldjanov, Djoldas, MD .............................. 66
Kumar, Tarun, MD ...................................... 69
Kutz, Timothy, MD ....................................... 14
L
Labarge, Gene, MD .................................... 14
Labcorp ...................................................... 74
Labundy, Jennifer, MD ............................... 57
Lackey, Timothy, MD .............................. 6, 11
Ladage, Jennifer, MD .................................. 14
Laddu, Abhay, MD ................................ 38, 54
Laff, Stacie, MD ............................................ 9
Laffey, Steven, MD ..................................... 14
Lakho, Mazhar, MD ....................................... 8
Lakshmanan, Rekha, MD ........................... 45
Lal, Roop, MD ............................................. 25
Landau, David, MD ............................... 42, 45
Lash, Jennifer, MD ................................ 45, 60
Law, Laura, PA ............................................ 78
Lebbing, Rhonda, APRN ...................... 79, 80
Lebedowicz, Bohdan, MD ............................ 4
Lee, Michael, MD .......................................... 7
Lee, Robert, MD .......................................... 32
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
Lee, Winnie, MD ...............................32, 35, 53
Leet, Jessica, ARNP ....................................80
Lefevre, Cherie, MD ....................................47
Lentine, Krista, MD ......................................61
Leonardi, Craig, MD ....................................55
Leong, Fah, MD ...........................................47
Levrault, Thomas, MD ...................................9
Lewis, Robert, MD .......................................50
Lewis, Scott, OD ..........................................23
Librach, Stanley, MD .................30, 52, 70, 71
Liftis-Podorozhansky, Yulia, MD .........47, 64
Lim, Michael, MD .........................................54
Lin, Alexander, MD ................................52, 71
Lincare ...................................................75, 76
Lind, John, MD ............................................65
Lipoff, Jay, MD ......................................33, 34
Little, Milta, DO ................................10, 59, 60
Liu, Sophie, DPM ...................................37, 71
Loepker, Dana, APRN .................................78
Lombardo, Anthony, DPM .....................37, 52
Longnecker, Christopher, MD ...............38, 54
Lopez, Luis, MD .............................................9
Luchanok, Uladzimir, MD ............................63
Luck, Ali, MD ...............................................64
Lunneen, Matthew, ARNP ...........................79
Lusk, Rodney, MD .......................................60
Lutan, Robert, MD .....................18, 35, 38, 39
Luxon, Bruce, MD ........................................57
Lyadurai, Stanley, MD .................................64
Lynch, Alyssa, DO .......................................20
Lynch, Robert, MD ......................................69
M
Madhani, Parag, MD ..............................32, 33
Magellan ......................................................15
Magner, John, MD .........................................7
Mahay, Rajinder, MD .....................................6
Maher, Jeffrey, MD ....................17, 21, 29, 33
Mahon, Gerald, MD .........................10, 11, 12
Mahon, Suzanne, ARNP ..............................79
Mahoney, Kevin, MD ...................................58
Mahtani, Andrew, MD ....................................7
Malcharek, Paul, MD .....................................6
Malcolm, Ashley, MD .....................................5
Malhotra, Raman, MD .................................63
Malone, Sara, MD ..........................................3
Maloney, Robert, MD ...................................72
Malur, Gita, MD ..............................................6
Manarang, Don, DO ......................................8
Manard, William, MD ...................................11
Maniet, Alan, DO .........................................39
Mannan-Hilaly, Salma, MD ...........................7
Margolis, David, MD ....................................42
Martin, Adrian, MD .................................15, 23
Martin, Kevin, MD ........................................61
Martin, Kurt, MD ............................................4
Martinez-Barrios, Eduardo, MD ............27, 31
Mathus, Steven, MD ....................................28
Mattis, Henry, MD ......................18, 19, 25, 27
Mattison, Ronald, MD ..................................15
Mauch, Stuart, MD .........................................8
Maxim Healthcare Services .......................76
Maxim, Rolanda, MD ...................................70
Maxwell, Marilyn, MD ............................12, 13
May, Ariane, MD ..........................................14
Mayer, Jonathan, MD ...................................47
Mazumder, Shirin, MD .................................60
McCain, Mack, MD ................................15, 57
FEBRUARY 2012
McCain, Sean, MD ........................................ 9
McCloskey, Leslie, MD ................... 47, 48, 64
McDaniel, Trent, MD ..................................... 5
McGlaughlin, Alicia, RN ............................. 79
McGranahan, Mark, MD ............................... 9
McLennan, Mary, MD ................................. 48
McManus, Nan, MD .................................... 70
McMichael, Jessica, MD ............................. 66
McPike, James, MD .............................. 24, 27
McVey, Gaia, MA ........................................ 33
Medical Transportation Management 74, 75
Medical West Respiratory Services ......... 76
Medicate Pharmacy ................................... 75
Meier, Gary, OD .................................... 21, 30
Memorial Hospital Carbondale ................. 73
Merritt, Melvin, MD ..................................... 28
Meyer, Thomas, MD .................................... 30
Mid America Audiology Group ................. 74
Middendorf, Ellen, MD ................................. 8
Midkiff, Christina, MD ........................... 20, 28
Migone, Ana, MD ...................................... 3, 4
Mikolajczak, Peter, MD .............................. 54
Mikulec, Anthony, MD ........................... 41, 56
Miller, Donald, MD ...................................... 39
Miller, Douglas, MD .................................... 60
Miller, Robert, MD ................................. 17, 35
Miller, Rodney, MD ..................................... 34
Mimlitz, Michael, MD ............................ 36, 48
Mings, Ronald, MD ..................................... 15
Mitchell, Debbie, MS .................................. 33
Mitchell, Robert, MSW ................................ 33
Mitchell, Ron, MD ................................. 42, 56
Mitchell, William, MD .................................. 13
Mithen, Francis, MD .................................... 46
Moed, Berton, MD ....................................... 66
Moghaddam, Billur, MD .............................. 58
Mohan, Ventrapragada, MD ........................ 31
Mohr, Clinton, MD ....................................... 34
Monroe County Health Department ......... 78
Moore Connelley, Marci, MD ....................... 3
Moore, Terry, MD ........................................ 71
Moore-Schmitt, Melissa, AuD .................... 78
Moosa, Hans, MD ....................................... 32
Morales, Mario, MD .................................... 43
Morgan, Jessica, ARNP .............................. 78
Morgan, Richard, MD .................................. 34
Morley, John, MD .................................. 11, 13
Morthland, Timothy, MD ........................... 3, 4
Moslener, Matthew, MD ................................ 5
Mostello, Dorothea, MD .............................. 48
Motwani, Haresh, MD ................................... 5
Mueller, Stephen, MD ..................... 26, 28, 29
Muich, Sally, ARNP .................................... 78
Mulligan, Michael, MD .................................. 5
Mulligan, Michelle, MD ................................. 5
Murti, Meena, MD ................................. 70, 71
Musick, Steven, MD .................................... 26
Mussemann, Frank, MD ............................. 29
Mussemann, Helen, MD ............................. 29
Myers, Susan, MD ...................................... 68
Myles, Thomas, MD .................................... 48
N
Nagaldine, Govind, MD .............................. 13
Nagaldinne, Govind, MD ............................ 13
Naing, Kyaw, MD ...................................... 3, 4
Nanda, Ardaman, MD ........................... 36, 41
Narayanan, Suresh, MD ....................... 35, 39
84
Naseer, Kristina, MD ................................... 30
Naseer, Riaz, MD ........................................ 20
Naseer, Shahida, MD ............................ 11, 13
Nass, Omar, MD ......................................... 25
Naughton, Daniel, MD ................................ 58
Naunheim, Keith, MD ............................ 53, 72
Nayak, Ravi, MD ................................... 52, 71
Needles, James, MD ..................................... 7
Neely, Megan, MD .................................... 4, 9
Nelsen, Christine, MD ................................. 55
Nelson, Kirk, DO ......................................... 52
Neumayr, Robert, MD ................................. 39
Newby, David, MD ...................................... 14
Newhall, Philip, MD ..................................... 72
Ngo, Khai, MD ............................................... 9
Nguyen, Nghi, MD ....................................... 64
Nguyen, Thinh, MD ..................................... 48
Nigam, Sanjay, MD ..................................... 22
Nisar, Abid, MD ............................... 19, 27, 45
Noffsinger, Jay, MD .................................... 14
Norman, David, MD ...................................... 9
Nott, Erik, MD ........................................ 51, 66
Noyes, Blakeslee, MD ..................... 22, 30, 69
O
O’Neill, David, DO ......................................... 7
Obadiah, Joseph, MD ................................. 55
Oconnor, Dennis, MD ................................. 68
Ogbevoen, Justin, MD .................................. 9
Ojile, Joseph, MD ........................................ 52
Oldani, Timothy, DPM ................................. 52
Olsen, Thomas, MD .............................. 10, 13
Omran, Mohhamed, MD ........................ 11, 13
Orlando, Angela, ARNP .............................. 80
Ortega Perez, Wilman, MD ......................... 71
Orthotic & Prosthetic Lab ......................... 76
Osman, Medhat, MD ................................... 64
Otto, Thomas, MD ................................. 66, 67
Owens, Markel, MD ............................... 20, 29
P
Painter, Benedict, MD ................................. 20
Palys, Erica, MD ..................................... 4, 16
Pan, Yi, MD ................................................. 63
Paniagua, Miguel, MD ........................... 11, 13
Parham, Walter, MD ............ 17, 32, 33, 39, 54
Parks, Robert, MD ........................................ 4
Paruthi, Shalini, MD .................................... 69
Patel, Rajiv, MD .......................................... 10
Pathan, Amanullah, MD .............................. 25
Pavlovich, James, MD .................................. 4
Penn, Timothy, MD ...................................... 21
Pepmueller, Peri, MD ................................. 71
Peralta, Enrique, MD ....................... 29, 36, 50
Perry, Horace, MD ...................................... 59
Personal Care Products ............................ 76
Petersen, Diane, MD ............................ 48, 64
Peterson, Brian, MD ............................. 53, 72
Peterson, Gary, MD .................. 43, 53, 58, 72
Peterson, Renuka, MD ............................... 67
Petruska, Paul, MD ..................................... 59
Petzchen, Marcella, ARNP ......................... 79
Phan, Peter, MD .......................................... 58
Philipneri, Marie, MD .................................. 62
Phillips, Cathy, OD ..................................... 65
Philpot, Carolyn, ARNP .............................. 79
Phlaum, Stephen, MD ................................. 39
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
Physicians Surgery Center ........................74
Physicians Surgical Center .......................75
Pincus, Steven, MD .....................................59
Pineda, Raymund, MD .................................16
Piotrowski, Bryan, MD ..........................39, 54
Piriyawat, Paisith, MD .....................51, 63, 69
Piryawat, Paisith, MD ..................................63
Pitts, Eric, MD ..............................................55
Place, Howard, MD ......................................67
Planned Parenthood of The St Louis Regio
..........................................................75, 76, 77
Plikaitis, Christina, MD ..........................52, 71
Polack, Donovan, MD ............................20, 46
Ponciroli, Kevin, MD .....................................9
Porter, Nora, MD .............................10, 11, 13
Porter, Thomas, OD ..............................50, 65
Portnoy, Shulamit, MD ................................70
Poulos, Nicholas, MD ..................................28
Powell, Jill, MD ......................................48, 64
Powell, Kevin, MD .......................................69
Premier Prosthetics and Orthotics .....52, 76
Presti, Michael, MD .....................................57
Prieb, Kosit, MD ...........................................32
Pritchett, Kevin, MD ......................................7
Provider Plus ..............................................76
Psihramis, Kostantinos, MD ........................32
Puetz, John, MD ..........................................68
Puryear, Aki, MD ...................................51, 67
Q
Qayum, Khalid, MD ................................35, 39
Qayyum, Usman, MD ............................18, 39
Qazi, Rizwan, MD ........................................62
Quader, Zafar, MD .....................23, 24, 43, 45
Quest Diagnostics ......................................74
Quest Diagnostics Clinical Lab ...........74, 75
Quinn, Tanya, MD .................................46, 64
Qureshi, Naeem, MD ...................................35
R
Radwan, Ahmed, MD ...............................7, 31
Rahimi, Mohammad, MD .............................67
Railey, Michael, MD .....................................10
Raja, Farheen, MD .......................................65
Rajamahanty, Srinivas, MD .........................17
Ramadan, Rafiq, MD .............................18, 39
Ramos-Pardo, Beatriz, MD ...........................8
Rand, Jamie, MD .........................................58
Randolph County Health Department ......78
Rao, Mallavarapu, MD ...........................25, 27
Rao, Sujatha, MD .........................................16
Ravi, Latha, MD ...........................................30
Ravindranathan, Mannil, MD ......................34
Ravuri, Sreenivas, MD .................................45
Rawdon, David, MD .......................................7
Razzaq, Abdul, MD ......................................18
Reagan, Gary, MD .......................................18
Rector, Angel, APRN ...................................78
Red Bud Regional Hospital .......................74
Reddy, Chetana, MD ...................................67
Reid, David, MD ...........................................30
Reimbold, John, AuD ..................................78
Reimers, Hans-Joachim, MD .......................59
Reinert, Kenneth, MD ....................................7
Rejent, Anthony, MD ....................................69
Rempe, Margaret, MD ...........................48, 64
Reynolds, Kirsten, OD .................................21
FEBRUARY 2012
Rice, Timothy, MD ....................................... 13
Richart, John, MD ....................................... 59
Riley, Joel, MD ...................................... 43, 45
Riordan, Anne, MD ..................................... 55
Rivera, Kathleen, OD .................................. 30
Rizvi, Syed, MD .......................................... 31
Rj Technology dba Clinlab ....................... 76
Robinson, Janis, MD .................................... 6
Robinson, William, MD ................................. 5
Rodin, Miriam, MD ...................................... 13
Roedl, Julie, MA .......................................... 17
Rohlfing, Amy, MD ....................................... 7
Rose, Donald, MD ....................................... 28
Rosenblum, Jerry, MD ......................... 36, 68
Royyuru, Sasikala, MD ................................. 4
Rudnick, Caroline, MD ............................... 10
Ruiz, Victor, MD .................................... 22, 53
Rushford, James, DO ................................. 30
Ryan, Marsha, MD ...................................... 15
S
Sadiq, Hamid, MD ....................................... 61
Sadoff, John, MD .................................. 32, 35
Safi, Malaz, MD ............................... 29, 50, 65
Saini, Shermini, MD .................................... 68
Saint Anthonys Health Center .................. 73
Saint Elizabeths Hospital .......................... 24
Sallee, Heidi, MD ........................................ 14
Salman, Huda, MD ...................................... 59
Sammarco, Michael, MD ............................ 17
Sample, Andrea, MD ................................... 48
Samson, Carla, MD ...................................... 8
Sanford, Thomas, MD .................... 19, 42, 56
Saquib, Azim, MD ....................................... 33
Sasser, William, MD .................................... 72
Saum, Kenneth, MD .................................... 17
Savadamuthu, Krishnasamy, MD ................. 9
Scaife, Tamara, ARNP ................................ 78
Schalch, Paul, MD ...................................... 15
Schallert, Joseph, MD .................................. 8
Scharff, Kevin, MD ...................................... 20
Schenewerk, Christopher, MD ..................... 8
Scherer, Paul, MD ...................................... 21
Schiff, Teresa, MD ...................................... 14
Schmitz, Paul, MD ...................................... 62
Schneider, Frank, MD ................................ 10
Schnepp, Stephanie, MD ............................ 43
Schonewolf, Scott, DO ................. 3, 4, 15, 16
Schowengerdt, Kenneth, MD ..................... 67
Schrenk, Loren, MD .................................... 50
Schuening, Friedrich, MD ........................... 59
Schultz, Michelle, MD ................................. 59
Schwartz, Oscar, MD .................................. 52
Schwartz, Theresa, MD ........................ 43, 58
Schwengel, Emily, OD .................... 15, 16, 23
Scifres, Aaron, MD ..................................... 58
Scott, Quincy, DO ......................................... 3
Scott, Quincy, MD ......................................... 4
Selhorst, John, MD ..................................... 63
Seltzer, Jay, MD .................................... 22, 46
Semchyshyn, Natalie, MD .................... 41, 55
Sepich, Virgina, MD .................................... 56
Serota, Harvey, MD .................. 18, 19, 39, 41
Shady, Trudy, MD ................................. 22, 31
Shah, Anil, MD ...................................... 25, 27
Shah, Atul, MD .......................... 23, 24, 25, 27
Shah, Bharat, MD .................................. 35, 39
Shah, Mitul, MD ........................................... 48
85
Shah, Yogendra, MD ................................... 20
Sharkey, Angela, MD .................................. 67
Shawahin, Nidal, MD .................................... 8
Sheehan, Jessica, ARNP ............................ 78
Shelton, Socorro, MD ................................... 4
Shepperson, Kyle, MD ............................... 22
Sherrill, Joseph, MD ................................... 64
Shields, Steven, MD ................................... 65
Shoemaker, James, MD ............................. 77
Shumway, Joseph, MD ............................... 29
Shyken, Jaye, MD ....................................... 48
Siddiqi, Nasir, MD ....................................... 71
Siddiqui, Jawed, MD ............................. 40, 54
Siegfried, Elaine, MD .................................. 55
Silverberg, Alan, MD .................................. 56
Simmons, Krista, ARNP ............................. 78
Simpkins, Marsha, ARNP ........................... 79
Sineff, Michelle, MD .................................... 14
Singh, Toniya, MD ................................ 18, 40
Skelly, Stephanie, MD ................................ 23
Slavin, Raymond, MD ................................. 53
Slutsky, Jordan, MD ............................. 41, 55
Smaga, Sharon, MD .................................. 3, 4
Smith, Craig, MD ......................................... 26
Smith, Hayden, MD ....................................... 5
Smith, Kenneth, MD .................................... 58
Smith, Marla, APRN .................................... 78
Smith, Melissa, MD ....................................... 5
Smith, Nancy, MSW .................................... 33
Smith, Sarah, MD ................................. 41, 55
Smith, Stewart, DC ..................................... 19
Smithers, Jeffrey, MD ................................. 31
Sokol Anderson, Marcia, MD ..................... 60
Sola, James, MD ......................................... 22
Solomon, Harvey, MD ................................ 58
Song, Hee, MD ..................................... 20, 29
Southern IL Home Care ............................. 75
Southern Illinois Surgical Appliance Co . 74
Southwestern Illinois Visiting Nurse Assoc
...................................................................... 75
Sparta Community Hospital ...................... 75
Speidel, Christopher, MD ...................... 18, 40
Spence, Kimberly, MD ................................ 28
Spezia, Michael, DO ................................... 10
Sprague, Randy, MD .................................. 13
Spranaitis, Kathleen, ARNP ....................... 80
SSM Cardinal Glennon Child .................... 73
SSM Depaul Health Center ........................ 73
SSM Rehab ........................................... 76, 77
SSM St Clare Health Center ...................... 73
SSM St Joseph Health Center .................. 73
SSM St Joseph Health Center - Wentzville
...................................................................... 73
SSM St Joseph Hospital West .................. 73
SSM St Marys Health Center ..................... 73
St Elizabeths Hospital Bellville ..... 22, 24, 73
St Josephs Hospital of The Hospital of T 74
St Louis University Hospital ..................... 73
Staed, Timothy, MD ..................................... 14
Stanczyk, Dennis, MD ................................ 32
Staten, Patrice, MD ..................................... 20
Steele, Andrew, MD ........................ 48, 49, 53
Stephens, Gillian, MD ........................... 10, 11
Stewart, Janiece, MD ...................... 27, 31, 71
Stith, John, MD ..................................... 42, 56
Stoeckel, David, MD ............................. 52, 71
Stoffa, Robert, MD ...................................... 43
Stokes III, Sam, MD ........................ 15, 17, 24
INDEX OF PROVIDERS
HARMONY HEALTH PLAN OF ILLINOIS
FEBRUARY 2012
Stolker, Joshua, MD ....................................40
Stoneback, Jason, MD ..........................51, 67
Strack, Karen, DO .........................................9
Strasberg, Steven, MD ................................58
Strilka, Richard, MD ....................................58
Stronach, Linda, MD .............................18, 40
Suarez-Solar, Pedro, MD ............................45
Sudholt, Barbara, MD ..................................31
Sugarbaker, Elizabeth, MD .........................14
Suthan, Nanthini, MD ....................................6
Suthan, Sambasivam, MD .............................6
Sutherell, Jamie, DO ...................................68
Suwan, Mehra, MD ......................................49
Swaroop, Prabhakar, MD ............................57
Swidler, Petra, MD ..........................4, 5, 6, 14
Syed, Reema, MD ..................................69, 71
Szatkowski, Sharon, Msn ............................22
Szopa, Bernard, MD ....................................26
Umoru, Benedicta, MD ................................. 8
X
Unwin, Donald, MD ................... 21, 23, 24, 29
Uong, Elizabeth, MD ................................... 14 Xynos, Francisco, MD ............... 44, 49, 59, 65
Xynos, Nicole, MD ................................ 49, 65
V
Xynos, Pericles, MD .............................. 44, 49
T
Tahir, Mohammad, MD ..........................18, 40
Taniuchi, Megumi, MD ................................54
Tarantola, Ryan, MD ...................................65
Tarbox, Michelle, MD ...................................41
Taveau, Jon, DO ..........................................16
Taylor, Jason, MD .......................................57
Taylor, Julie, APRN .....................................79
Teckman, Jeffrey, MD .................................68
Teel, Douglas, DMD .....................................23
Temprano, James, MD ..........................37, 53
Temprano, Katherine, MD .....................52, 71
Tenquist, Jane, MD .....................................58
Teodorescu, Cristiana, MD .........................70
Tesser, Paul, MD .........................................65
Tetri, Brent, MD ...........................................57
Thanavaro, Samer, MD .........................35, 40
Thanigaraj, Srihari, MD ...............................40
Thayer, David, DC .......................................19
The Eye Surgery Center .............................75
The Hearing Center ....................................74
Thomas, David, MD ...............................11, 13
Thomas, Florian, MD ...................................63
Thomas, Scott, MD ......................................70
Thompson, J, MD ........................................67
Thompson, Soldrea, MD .............................20
Thomure, Michael, MD ................................49
Tibrewala, Sushilkumar, MD .......................34
Tilbor, Adrienne, DO ....................................70
Tilzer, Seth, MD ...........................................22
Tippy, Penelope, MD .................................3, 4
Tissier, Bradley, MD ....................................29
Tollefsen, Sherida, MD ................................68
Tournas, Joshua, MD ..................................55
Traber, Christina, APRN ..............................79
Travis, Edward, MD .......................................4
Tredway, Trevor, MD ...................................70
Treece, Janet, MS ........................................33
Tri-Lab .........................................................74
Trinh, Chantri, MD .................................13, 59
Trivedi, Bhargava, MD .................................16
Trivedi, Kalyani, MD ....................................68
Tuttle Newhall, Janet, MD ...........................58
Twyman, Kimberly, MD ...............................70
Van Acker, Ted, DO ....................... 15, 23, 34
Vane, Dennis, MD ................................. 58, 69
Vardi, Gil, MD ........................................ 19, 41
Varvares, Mark, MD .............................. 42, 56
Veerapong, Jula, MD .................................. 72
Vest, Bruce, MD .......................................... 22
Vest, James, MD ......................................... 31
Vidal, Claudia, MD ...................................... 55
Vinyard, John, MA ...................................... 24
Vlastos, Emanuel, MD .................... 45, 46, 49
VNA Healthcare Inc ................................... 74
VNA-Tip Homecare ........................ 74, 75, 76
Voinescu, Alexandra, MD ........................... 62
Vonderlancken, Gustavo, MD .................... 19
Vora, Nirav, MD ........................................... 63
W
Wade, James, MD ......................................... 8
Wadsworth, Larkin, MD .................. 31, 32, 52
Wagner, Jean, MD ........................................ 9
Walden, Henry, MD ..................................... 13
Walentik, Corinne, MD ................................ 61
Walker, Damion, DO ................................... 67
Walker, Frank, MD ...................................... 16
Walker, Ronald, MD .............................. 42, 56
Wallace, David, MD .................................... 25
Wallace, Douglas, MD .......................... 17, 35
Walsh, David, MD ....................................... 63
Waltman, Stephen, MD ............................... 29
Wang, Xiao-Dong, MD ................................ 56
Ward, Donald, MD ................................. 49, 65
Warner, Tricia, MD ........................................ 4
Warren, Timothy, MD .................................. 14
Warrier, Manoj, MD ..................................... 67
Wasiak, Andrzej, MD .................................... 7
Wathen, David, DO ..................................... 14
Watson, John, MD ................................ 17, 67
Weber, Raymond, MD ................................... 5
Weber, Thomas, MD ............................. 51, 69
Wehmeier, Kent, MD .................................. 56
Weintraub, Steven, MD .............................. 45
Weiss, Edward, MD .............................. 35, 40
Weltmer, John, MD ..................................... 67
Wendland, Marcia, MD ............................... 28
White, Aisha, MD ........................................ 16
Whiting, Jeffrey, MD ................................... 67
Wild, Alan, MD ...................................... 42, 56
Willmore Jr, Luther, MD ............................. 63
Wilmott, Robert, MD ............................. 37, 69
Wittgen, Catherine, MD .............................. 72
Wolf, Daniel, OD ......................................... 17
Wolff, Bonita, ARNP ................................... 80
Wolter, Scott, DMD ..................................... 19
Wolz, Alyson, Msn ....................................... 35
Womack Walters, Diana, MSW .................. 33
Wood, Charles, MD ..................................... 34
Wood, Ellen, MD ......................................... 69
Wood, John, MD ................................... 16, 34
Wooldridge, Jamie, MD .............................. 69
U
Wright, Thomas, MD ................................... 36
Ultmann, Monica, MD ..................................70 Wuellner, Kathie, MD .................................... 6
Umana, Ukeme, MD ....................................34
86
Y
Yalom, Eve, MD .................................... 49, 65
Yang, Edmund, MD ..................................... 69
Yap, Frederick, MD ...................................... 59
Yates, Mark, OD .......................................... 21
Yazdi, Joseph, MD ...................................... 28
Yeung, Patrick, MD ..................................... 49
Yoon, Jaeyoung, MD .................................. 55
Young, Steven, MD ..................................... 34
Younis, Liwa, MD .................................. 25, 40
Z
Zakhary, Emad, MD .............................. 53, 72
Zaman, Mohammad, MD ............................... 6
Zhang, Zhiwei, MD ................................ 60, 62
Ziaee, Ali, MD ............................ 18, 36, 40, 54
Ziainia, Tina, MD ......................................... 49
Zinser, Phillip, MD ....................................... 44
Zipprich, Jenny, ARNP ............................... 78
Zoberi, Kimberly, MD .................................. 10
Harmony Health Plan makes affordable
health insurance a reality.
If you have any questions about information
contained in this directory, please call us.
43754
Member Services:
1-800-608-8158 (TTY 1-877-650-0952)
IL017978_CAD_PRD_MLT ©WellCare 2012 IL_02_12

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