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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