Medicare Advantage Ancillary December 2014 ENROLLEE SERVICES: 1-855-275-2781 115 ANCILLARY PROVIDERS TTY: 1-888-461-2378 ABCOR, INC. ACCESS HEALTH MEDICAL SUPPLIES 3201 N WILKE RD ARLINGTON HEIGH IL 60004 Group: ABCOR, INC. Phone: (847) 670-8424 ACCURATE IMAGING DIAGNOSTIC, LTD 1750 E 87TH ST IL 60617 Group: ACCESS HEALTH MEDICAL SUPPLIE Phone: (773) 221-4273 ADVANCED MEDICAL SUPPLY INC 3525 W PETERSON AVE IL 60659 Group: ACCURATE IMAGING DIAGNOSTIC, Phone: (773) 588-8378 AMERICAN CORP 3322 N MILWAUKEE AVE IL 60641 Group: ADVANCED MEDICAL SUPPLY INC Phone: (773) 205-6993 AMERICAN MEDICAL ALERT CORP 1660 N FARNSWORTH AVE AURORA IL 60505 Group: AMERICAN CORP Phone: (800) 872-4427 APEX CARE INC 4440 LINCOLN HWY MATTESON IL 60443 Group: AMERICAN MEDICAL ALERT CORP Phone: (708) 342-2622 ARLINGTON HEIGHTS RENAL CENTER 2607 W. 22ND ST OAK BROOK IL 60523 Group: APEX CARE INC Phone: (630) 908-4830 BALLERT ORTHOPEDIC PROSTHETICS ORTHOTICS 1250 N MILL ST NAPERVILLE IL 60563 Group: BALLERT ORTHOPEDIC Phone: (630) 637-9540 17 W GOLD RD ARLINGTON HEIGH IL 60005 Phone: (847) 437-2188 BALLERT ORTHOPEDIC PROSTHETICS ORTHOTICS 2434 W PETERSON AVE IL 60659 Group: BALLERT ORTHOPEDIC Phone: (773) 878-2445 12/24/2014 Page 1 of 10
BATUTA INC IMAGING CENTER ONE TRANS AM PLAZA DR OAKBROOK TERRA IL 60181 Group: BATUTA INC Phone: (630) 827-2500 BECKER PROFESSIONAL PHARMACY IN 4744 N WESTERN AVE IL 60625 Group: BECKER PROFESSIONAL PHARMAC Phone: (773) 561-4486 BEST AID MEDICAL SUPPLIES BEVERLY 716 S MILWAUKEE AVE WHEELING IL 60090 Group: BEST AID MEDICAL SUPPLIES Phone: (847) 401-3295 BIG OAKS 5623 W TOUHY AVE NILES IL 60714 Phone: (847) 647-3140 BLI MEDICAL SUPPLY LTD 7737 S WESTERN AVE IL 60620 Group: BLI MEDICAL SUPPLY LTD Phone: (773) 476-4400 CENTRAD HEALTHCARE LLC 184 SHUMAN BLVD NAPERVILLE IL 60563 Group: CENTRAD HEALTHCARE LLC Phone: (800) 478-5070 HEIGHTS 2611 N HALSTED ST IL 60614 Phone: (773) 549-2010 8109 SOUTH WESTERN AVE IL 60620 Phone: (773) 778-0173 BIOCONCEPTS INC 100 TOWER DR BURR RIDGE IL 60527 Group: BIOCONCEPTS INC Phone: (630) 896-0007 CADENCE AMBULATORY SURGERY CTR AMBULATORY SURGERY CENTER 27650 FERRY RD WARRENVILLE IL 60555 Group: CADENCE AMBULATORY SURGERY Phone: (630) 225-2700 CENTRAL CLINICAL LABS INC CLINICAL LABORATORY 6858 W ARCHER AVE IL 60638 Group: CENTRAL CLINICAL LABS INC Phone: (773) 788-1577 KIDNEY CENTER 4013 PAYSPHERE CIRCLE IL 60674 Group: FRESENIUS MEDICAL CARE Phone: (708) 344-6122 12/24/2014 Page 2 of 10
NORTHSIDE HOSPITAL MRI CHILDRENS CENTER 1460 N HALSTED IL 60642 Group: NORTHSIDE HOSPITAL M Phone: (773) 525-2818 CHURCHVIEW 417 WARE AVE ROCKFORD IL 61107 Phone: (815) 397-4123 COBBLESTONE 836 DUNDEE ST ELGIN IL 60120 Phone: (847) 888-9386 CORE PROFESSIONALS 2611 N HALSTED ST IL 60614 Phone: (773) 549-2010 CHYODO MEDICAL SUPPLIES 211 e. 31 st IL 60616 Group: CHYODO MEDICAL SUPPLIES Phone: (773) 436-9600 COMMUNITY ALLIANCE 27 w 353 jewell rd WINFIELD IL 60190 Group: COMMUNITY ALLIANCE HOME HEA Phone: (630) 933-7851 D C MEDICAL SUPPLIES COMPANY 1100 W NORTHWEST HWY MOUNT PROSPECT IL 60056 Group: CORE PROFESSIONA Phone: (847) 222-0070 DOCTORS GENERAL LABORATORY INC 2440 W MADDISON ST IL 60612 Group: D C MEDICAL SUPPLIES COMPANY Phone: (312) 733-9441 DOUBEK MEDICAL SUPPLY INC 9243 S ROBERTS RD OAK LAWN IL 60457 Group: DOCTORS GENERAL LABORATORY Phone: (708) 599-5666 EDGEPARK MEDICAL SUPPLIES 11350 S CICERO AVE ALSIP IL 60803 Group: DOUBEK MEDICAL SUPPLY INC Phone: (708) 293-1122 EMERALD 1810 SUMMIT COMMERCE PARK TWINSBURG OH 44087 Group: EDGEPARK MEDICAL SUPPLIES Phone: (800) 307-5930 710 W 43RD ST IL 60609 Phone: (773) 843-5668 12/24/2014 Page 3 of 10
EMERALD EVANSTON RENAL CENTER 710 W 43RD ST IL 60609 Phone: (773) 843-5668 EVER CARING HOME HLTH NURSING 3939 N WILKE RD ARLINGTON HEIGH IL 60004 Group: EVER CARING HOME HLTH NURSIN Phone: (773) 794-3446 FIRST LINE MEDICAL SUPPLIES 81A S MILWAUKEE AVE WHEELING IL 60090 Group: FIRST LINE MEDICAL SUPPLIES Phone: (847) 520-2500 FRESENIUS MEDICAL CARE 450 E ROOSEVELT RD WEST IL 60185 Group: FRESENIUS MEDICAL CARE Phone: (630) 293-6356 FRESENIUS MEDICAL CARE 12200 WESTERN AVE BLUE ISLAND IL 60406 Group: FRESENIUS MEDICAL CARE Phone: (708) 597-9933 GLOBAL LAB INC IMAGING CENTER 2077 MINER ST DES PLAINES IL 60016 Group: GLOBAL LAB INC Phone: (847) 699-7100 1922 DEMPSTER ST EVANSTON IL 60202 Phone: (847) 869-5336 F J CARE INC 16650 S Harlem ave ORLAND HILLS IL 60477 Group: F J CARE INC Phone: (708) 468-8620 FRESENIUS MEDICAL CARE 455 MERCY LN AURORA IL 60506 Group: FRESENIUS MEDICAL CARE Phone: (630) 892-7445 FRESENIUS MEDICAL CARE 329 REMINGTON BLVD BOLINGBROOK IL 60440 Group: FRESENIUS MEDICAL CARE Phone: (630) 759-1395 GLOBAL HEALTH RESOURCES, INC. 1 WESTBROOK CORP CTR WESTCHESTER IL 60154 Group: GLOBAL HEALTH RESOURCES, INC. Phone: (708) 836-5580 GREAT PARAGON HEALTH CARE INC 2640 W TOUHY AVE IL 60645 Group: GREAT PARAGON HEALTH CARE IN Phone: (773) 274-7694 12/24/2014 Page 4 of 10
GUARDIAN ANGEL HOME CARE INC HAYAT HOME MEDICAL EQUIPMENT 1420 RENAISSANCE DR PARK RIDGE IL 60068 Group: GUARDIAN ANGEL HOME CARE INC Phone: (847) 674-2711 HAZEL CREST RENAL CENTER 3470 W 183RD ST HAZEL CREST IL 60429 Phone: (708) 799-3101 HEARING AIDS SERVICES 4551 OAKTON ST SKOKIE IL 60076 Group: HEARING AIDS SERVICES Phone: (847) 409-6260 DEPOT INC 2101 W CERMAK RD BROADVIEW IL 60155 Group: DEPOT INC Phone: (708) 345-2466 HOME MEDICAL INC 3518 W 95TH ST IL 60805 Group: HAYAT HOME MEDICAL EQUIPMEN Phone: (866) 764-2928 HEALTH TECHNOLOGY RESOURCES LL 600 ACADEMY DR NORTHBROOK IL 60062 Group: HEALTH TECHNOLOGY RESOURCES Phone: (847) 291-2637 HOME CARE PLUS INC 6337 N PULASKI RD IL 60646 Group: HOME CARE PLUS INC Phone: (773) 267-5123 PROVIDERS PC 16650 S HARLEM AVE tinley park IL 60477 Group: PROVIDERS PC Phone: (708) 229-9828 HOSPICE CARE OF AMERICA INC 1902 TECHNY CT NORTHBROOK IL 60062 Group: HOME MEDICAL INC Phone: (847) 480-9390 INTEGRATED HOMECARE SERVS INC 5027 HARRISON AVE ROCKFORD IL 61108 Group: INTEGRATED HOMECARE SERVS IN Phone: (815) 747-6994 3815 N MULFORD RD ROCKFORD IL 61114 Group: HOSPICE CARE OF AMERICA INC Phone: ( ) - KEDZIE MADISON DRUGS 3179 W MADISON ST IL 60612 Group: KEDZIE MADISON DRUGS Phone: (773) 826-4900 12/24/2014 Page 5 of 10
KELLER ORTHOTICS INC 2451 N LINCOLN AVE IL 60614 Group: KELLER ORTHOTICS INC Phone: (773) 929-4700 KENNEDY HOME 5509 N CUMBERLAND NORRIDGE IL 60656 Phone: (773) 631-8296 KENWOOD 4259 S COTTAGE GROVE AVE IL 60653 Phone: (773) 285-3621 LINCOLN PARK KOEBERS PROS AND ORTHO LAB PROSTHETICS ORTHOTICS 3834 W IRVING PARK RD IL 60618 Group: KOEBERS PROS AND ORTHO LAB Phone: (773) 539-7333 LINK MEDICAL EQUIPMENT INC 3157 N LINCOLN AVE IL 60657 Phone: (773) 348-0101 LITTLE VILLAGE 6406 N. CALIFORNIA AVE IL 60645 Group: LINK MEDICAL EQUIPMENT INC Phone: (773) 465-5936 LOGAN SQUARE 2335 W CERMAK RD IL 60608 Phone: (773) 523-2939 LOOP RENAL CENTER 1101 S CANAL ST IL 60607 Phone: (312) 341-2543 M B CARE MEDICAL SUPPLY INC 318 MADISON AVE BROADVIEW IL 60153 Group: M B CARE MEDICAL SUPPLY INC Phone: (708) 615-0860 2838 N KIMBALL AVE IL 60618 Phone: (773) 342-3738 M & R PRESCRIPTION CENTER 1959 E 71 ST IL 60649 Group: M & R PRESCRIPTION CENTER Phone: (773) 643-4200 MARKHAM RENAL CENTER 3053 159TH ST TINLEY PARK IL 60478 Phone: (708) 206-1845 12/24/2014 Page 6 of 10
MEDSOURCE LLC 700 N SACRAMENTO BLVD IL 60612 Group: MEDSOURCE LLC Phone: (888) 510-5100 MIDWEST MEDICAL EQUIPMENT 7646 W 159TH ST ORLAND PARK IL 60462 Group: MIDWEST MEDICAL EQUIPMENT Phone: (708) 633-1560 MOTHERS CARE AND HEALTH EQUIP 4554 N BROADWAY ST IL 60640 Group: MOTHERS CARE AND HEALTH EQUI Phone: (773) 271-4110 NAPERVILLE MEDICAL IMAGING LLC 1888 BAY SCOTT CIRCLE NAPERVILLE IL 60540 Group: NAPERVILLE MEDICAL IMAGING LL Phone: (630) 717-3700 OLYMPIA FIELDS CENTER 4557B LINCOLN HWY MATTESON IL 60443 Phone: (708) 503-1112 ORBIT MEDICAL OF NAPERVILLE 1701 QUINCY AVE NAPERVILLE IL 60540 Group: ORBIT MEDICAL OF NAPERVILLE Phone: (630) 544-5381 PACIFIC CARE MT GREENWOOD 3401 W 111TH ST IL 60655 Phone: (773) 445-0558 NURSEPOWER SERVICES CORP 9715 SOUTHWEST HWY OAK LAWN IL 60453 Group: NURSEPOWER SERVICES CORP Phone: (708) 424-5222 ORBIT MEDICAL OF INC 1419 W CARROLL AVE IL 60607 Group: ORBIT MEDICAL OF INC Phone: (312) 379-0680 ORSINI HOME MEDICAL EQUIPMENT 1111 NICHOLAS BLVD ELK GROVE VILLAG IL 60007 Group: Phone: (800) 672-0869 PARKSIDE IMAGING LTD 4136 N KEDZIE AVE IL 60618 Group: PACIFIC CARE Phone: (773) 463-1047 4200 W 63RD ST BEDFORD PARK IL 60629 Group: PARKSIDE IMAGING LTD Phone: (847) 268-8900 12/24/2014 Page 7 of 10
PARKSIDE IMAGING LTD 4200 W 63RD ST BEDFORD PARK IL 60629 Group: PARKSIDE IMAGING LTD Phone: (847) 268-8900 PREFERRED OPEN MRI LTD IMAGING CENTER 4200 W 63RD ST IL 60629 Group: PREFERRED OPEN MRI LTD Phone: (773) 581-5600 PREFERRED OPEN MRI LTD 4200 W 63RD ST IL 60629 Group: PREFERRED OPEN MRI LTD Phone: (773) 581-5600 PREMIER CARE SERV 210 N HAMMES JOLIET IL 60435 Group: PREMIER CARE SER Phone: ( ) - PREMIER HOMECARE SUPPLIES LTD 8048 S KEDZIE AVE IL 60652 Group: PREMIER HOMECARE SUPPLIES LTD Phone: (773) 776-9941 REHABTECH SUPPLY CORPORATION 650 W GRAND AVE ELMHURST IL 60126 Group: REHABTECH SUPPLY CORPORATIO Phone: (888) 800-9445 RENAL CENTER WEST JOLIET PREFERRED OPEN MRI LTD IMAGING CENTER 4200 W 63RD ST IL 60629 Group: PREFERRED OPEN MRI LTD Phone: (773) 581-5600 PREMIER CARE SERV 1011 LAKE ST OAK PARK IL 60301 Group: PREMIER CARE SER Phone: (708) 848-0962 PULMONARY PROVIDERS GROUP INC 4330 n california ave IL 60618 Group: PULMONARY PROVIDERS GROUP IN Phone: (847) 824-0500 RENAL CENTER NEW LENOX 1890 SILVER CROSS BLVD NEW LENOX IL 60451 Phone: (815) 320-3049 ROXBURY CENTER 1051 ESSINGTON RD CREST HILL IL 60435 Phone: (815) 725-3275 622 ROXBURY RD ROCKFORD IL 61107 Phone: (815) 397-0713 12/24/2014 Page 8 of 10
SCHAUMBURG RENAL CENTER 1156 S ROSELLE RD SCHAUMBURG IL 60193 Phone: (847) 524-4310 SHIELD DENVER HLT CARE CTR INC 747 CHURCH RD ELMHURST IL 60126 Group: SHIELD DENVER HLT CARE CTR INC Phone: (800) 672-6603 SIGMA SURGICAL SUPPLY CORP 2636 W DIVISION ST IL 60622 Group: SIGMA SURGICAL SUPPLY CORP Phone: (773) 235-5553 SKYLINE HOME SISTERS SERV INC 117 S 3RD ST ROCKFORD IL 61104 Group: SISTERS SERV INC Phone: (815) 961-2170 SOUTH HOLLAND RENAL CENTER 7009 W BELMONT AVE HARWOOD HEIGHT IL 60634 Phone: (773) 637-7303 STONECREST 16136 S PARK AVE SOUTH HOLLAND IL 60473 Phone: (708) 331-0200 STONY CREEK 1302 E STATE ST ROCKFORD IL 61104 Phone: (815) 968-5794 STONY ISLAND 9115 S CICERO AVE OAK LAWN IL 60453 Phone: (708) 423-0300 SUNSHINE HOME CARE INC 8725 S STONY ISLAND AVE IL 60617 Phone: (773) 221-7320 TOTAL MEDICAL SERVICES INC 1503 W 174TH ST HAZEL CREST IL 60429 Group: TOTAL MEDICAL SERVICES INC Phone: (708) 335-3775 2040 N HARLEM AVE ELMWOOD PARK IL 60707 Group: SUNSHINE HOME CARE INC Phone: (877) 932-8738 TRUE CARE DURABLE MED EQUIP 501-525 RIDGE RD HOMEWOOD IL 60430 Group: TRUE CARE DURABLE MED EQUIP Phone: (708) 747-2253 12/24/2014 Page 9 of 10
UNITED DIAGNOSTIC SYSTEMS 5301 W DEMPSTER ST SKOKIE IL 60077 Group: UNITED DIAGNOSTIC SYSTEMS Phone: (847) 581-9911 UNITED MEDICAL SERVICES INC 5301 W DEMPSTER ST SKOKIE IL 60077 Group: UNITED MEDICAL SERVICES INC Phone: (847) 581-9911 VIRGOS CARE INC VITAL HOME AND HEALTHCARE INC 8930 GROSS POINT RD SKOKIE IL 60077 Group: VIRGOS CARE INC Phone: (847) 965-8914 VN MEDICAL SUPPLY INC 8051 W 186TH ST ORLAND HILLS IL 60487 Group: VITAL HOME AND HEALTHCARE IN Phone: ( ) - WEST LAWN 4409 N SHERIDAN RD IL 60640 Group: VN MEDICAL SUPPLY INC Phone: (773) 506-2560 WINDY CITY MEDICAL SUPPLY INC 3155 191st pl LANSING IL 60438 Group: WINDY CITY MEDICAL SUPPLY INC Phone: (708) 585-0530 7000 S PULASKI RD IL 60629 Phone: (773) 284-5324 WOODLAWN 5060 STATE ST IL 60609 Phone: (773) 285-1840 WOODRIDGE HOME 7425 JANES AVE WOODRIDGE IL 60517 Phone: (630) 968-0129 12/24/2014 Page 10 of 10