Medicare Advantage HMO Chemical Dependence Services Facility Network

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RPG Medicare Advantage HMO Chemical Dependence Services Facility Network Adults Facility Name Facility Address Contact Person & Phone No. Administrator Comments Advocate Addiction Treatment Program (formerly Advocate Lutheran General) 701 Lee St. Suite 800 Des Plaines, IL 60016 Phone: 847-795-3100 Delores Thomas, Admissions Phone: 847-795-3100 Fax: 847-795-3901 Dr. E. Stutzman, Facility Director Dual Diagnosis. Inpatient Services is provided by Advocate Lutheran General and authorized by Advocate Addiction. (L) Low Intensity Outpatient Program up to 10 hours over several weeks. Alexian Brothers 1650 Moonlake Blvd. Hoffman Estates, IL 60194 Phone: 847-882-1600 Intake Phone: 800-432-5005 Phone: 847-755-8045 Fax: 847-755-8103 Central DuPage Behavioral Health Services 27-350 High Lake Rd. Winfield, IL 60190 Phone: 630-653-4000 Terry Ziszek, Inpatient Admissions Manager Phone: 630-933-4655 Fax: 630-933-1933 Terry Ziszek, Outpatient MH Coord; Phone: 630-933-4608 Fax: 630-933-1933 Paul Teodo, Vice President (ext. 4660) Extended day program (approximately 13 hours) Christ & Medical Center (a.k.a. Advocate-Christ & Medical Center) 4440 W. 95th St. Oak Lawn, IL 60453 Phone: 708-684-8000 Admissions and Referrals Phone: 708-684-1337 Fax: 708-684-4137 Marge Maur, Director is evening only A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Rev. 12/12 1

Dreyer Medical Clinic (Addiction Services of the Department of Psychiatry of Dreyer Medical Clinic) 1870 W. Galena Blvd. Aurora, IL 60506 Phone: 630-906-5120 Jim LaFager, LCSW Phone: 630-906-5120 Fax: 630-906-5093 Dr. David Leader, Chief, Department of Psychiatry Illinois Masonic Medical Center - Clean Start 938 W. Nelson Chicago, Illinois 60657 Fax: 773-296-3226 Jim Nardiello, Supervisor Linden Oaks a.k.a Arabella House 1250 N. Mill St. Naperville, IL 60563 Phone: 630-646-8057 Beth Sack, Phone: 630-646-8057 Fax: 630-646-8066 Cindy Musikanto, Administrator MacNeal Dependency Treatment Center 3249 S. Oak Park Ave. 4th Floor, North Building Berwyn, IL 60402 Phone: 708-783-3056 Intake Phone: 708-783-3140 Fax: 708-783-3577 Dual Diagnosis program during day only. Evening Northwest Community 800 W. Central Rd. Arlington Heights, IL 60005 Joe Novak, 847-618-4077 Palos Community 15300 West Ave. Suite 313 Orland Park, IL 60462 Phone: 708-460-2721 Linda Wittmayer, Phone: 708-923-5791 Fax: 708-923-8842 or 708-226-2621 Dual Inpatient services are at 12251 S. 80th Ave. Palos Heights, IL 60463 Provena Mercy 1325 W. Highland Ave. Aurora, IL 60506 Phone: 630-859-2222 Doris Trattner, Behavioral Health Intake Phone: 630-801-2657 Fax: 630-801-2525 T.J. Vaughn, Associate Vice President for 708-801-2567 Relapse prevention in aftercare program. morning & evenings - 4 eves/wk; 5 days/wk. - Downers Grove 2001 Butterfield Rd. Suite 320 Downers Grove, IL 60515 Phone: 888-969-7874 Carol Irons-CD, Phone: 312-563-3622 Fax: 312-563-3704 mandated) DUI Services, Low Intensity Outpatient program. Continuing Care, Relapse Program Rev. 12/12 2

Evanston 355 Ridge Ave. 2nd floor Evanston, IL 60202 847-316-6262 847-316-2214 Intake Specialists Phone: 847-493-3575 Dual Diagnosis, Judicial Treatment Program (court mandated), DUI Services, Continuing Care. Low Intensity Lake Bluff Lincoln Park - Downtown - Palos Heights Silver Cross St. Elizabeth's (New Vision for Only) () 71 Waukegan Rd. Suite 900 Lake Bluff, IL 60044 Phone: 847-493-3575 Fax: 847-493-3590 2913 N. Commonwealth Ave. Manor Building, 6th Floor Chicago, IL 60657 Phone: 847-293-3500 Fax: 847-493-3531 8 S. Michigan Ave. Suite 2100 Chicago, IL 60603 Phone: 312-563-4600 1824 Southwest Hwy. Suite 230 Palos Heights, IL 60463 Phone: 847-493-3650 Fax: 847-493-3666 1900 Silver Cross Blvd. New Lenox, IL 60451-9508 Phone: 815-300-1100 1431 North Claremont Ave. Chicago, IL 60622 Phone: 773-278-5015 Suzanne Walker, Phone: 312-563-3119 Fax: 847-735-6400 Jody Fox, Phone: 847-493-3500 Fax: 847-493-3531 Patrick O'Donnell, Phone: 312-563-4666 Fax: 312-372-6719 Don Nietzel, Phone: 312-563-2500 Fax: 708-923-1177 Intake Phone: 815-300-1100 Alex Mejia, Phone: 773-278-5015 Fax: 312-491-5017 Lynn Stoiber, Nurse Manager, Services Barbara Ramos, Program Manager Dual Diagnosis, Judicial Treatment Program (court mandated), DUI Services, Continuing Care. Low Intensity mandated), Dual diagnosis, Continuing Care mandated), Dual Diagnosis, Low Intensity, Continuing Care mandated), Dual Diagnosis, Low Intensity, Continuing Care on Medical floor 3 Days Only 4 Saint Mary and Elizabeth Medical Center 2233 W. Division Street Chicago, IL 60622 (Merged) Rev. 12/12 3

St. Joseph () d.b.a. Harborview 2900 N. Lake Shore Dr. Chicago, IL 60657 Intake Phone: 773-665-3517 Group Therapies Adult Only. Residential Services Westlake Community () 1225 Lake St. Melrose Park, IL 60160 Phone: 708-681-3000 Donna Spanos, CD Intake Phone: 708-938-7566 Fax: 708-938-7093 CODE RPR ILA DEFINITION Outpatient Inpatient Inpatient Partial Program Intensive Early Recovery Group Relapse Prevention Group Independent Living Rev. 12/12 4

RPG ILA Adolescents Facility Name Facility Address Contact Person & Phone No. Comments Alexian Brothers 1650 Moonlake Blvd. Hoffman Estates, IL 60194 Phone: 847-755-8080 Fax: 847-755-8052 Intake Phone: 847-755-8080 Fax: 847-755-8052 Central DuPage Behavioral Health Services 27-350 High Lake Rd. Winfield, IL 60190 Phone: 630-653-4000 Bonnie Knox Outpatient Phone: 630-933-4606 Fax: 630-933-1933 Extended day program (approximately 13 hours) (Adult & Adolescent). Dual Diagnosis Program Illinois Masonic Medical Center - Clean Start 938 W. Nelson Chicago, Illinois 60657 Fax 773-296-3226 Eric Linden Oaks d.b.a. Arabella House 852 West St. Naperville, IL 60540 Phone: 630-305-5077 630-527 3000 Trish Jones-Bendel Needs Assessment Director Phone: 630-305-5027 Fax: 630-305-5030 Adolescent &, Chemical Dependency and dual diagnosis program contact: Vicki Freier 630-305-5190 Northwest Community Youth Treatment Center () 800 West Central Arlington Heights, IL 60005 Phone: 847-618-2700 Intake Phone: 847-618-2700 Adolescent Residential treatment program for ages 12-19. Males and Females Palos Community 15300 West Ave. Suite 313 Orland Park, IL 60462 Phone: 708-460-2721 Linda Wittmayer Phone: 708-923-5791 Fax: 708-923-8842 13 Years of age and up Rev. 12/12 5

Provena Mercy 1325 W. Highland Ave. Aurora, IL 60506 Phone: 630-859-2222 Doris Trattner, Intake Phone: 630-801-2657 Fax: 630-801-2525 Aftercare services for Adolescent and Adult Downers Grove 2001 Butterfield Rd. Suite 320 Downers Grove, IL 60515 Phone: 888-969-7874 Carols Irons CD Phone: 312-563-3622 Fax: 312-563-3704 Dual Diagnosis, Low Inensity Outpatient program Lake Bluff Palos Heights 71 Waukegan Rd. Suite 900 Lake Bluff, IL 60044 Phone: 847-493-3575 Fax: 847-493-3590 1824 Southwest Hwy. Suite 230 Palos Heights, IL 60463 Phone: 847-493-3650 Fax: 847-493-3666 Suzanne Walker Phone: 312-563-3119 Fax: 847-735-6400 Don Nietzel Adult/Adolescent Phone: 312-563-2500 Fax: 708-923-1177 Dual Diagnosis, Low Intensity Dual Diagnosis, Low Intensity CODE RPR ILA DEFINITION Outpatient Inpatient Inpatient Partial Program Intensive Early Recovery Group Relapse Prevention Group Independent Living Rev. 12/12 6