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Rev. 11-2018

CE#Contract NPIMG#MG NPIM edical Group NameContact TypeContact NameContact Address 1 Contact Address 2 Contact CityStZipContact PhoneExtContact FaxEmail Address05213664890490521366489049 Franciscan PHO Northern IN HammondClaims InquiryPatty Arredondo; Julie Lambertino7905 S Calumet AveMunsterIN46321(219) 836-580066347(219) Covenant Physician Partners, IncClaims InquiryClaims Department2740 W Foster AveSTE 411 ChicagoIL60625(773) 271-0880(773) Health PartnersClaims InquiryCustomer ServicePO Box 3358 Glen EllynIL60138(630) 942-7950(630) Care Network, InquiryClient Services630 E Jefferson StRockfordIL61107(815) 963-6699(815) Medical Clinic AdvocateClaims InquiryCustomer Service2357 Sequoia DriveAuroraIL60506(630) 859-0400(630) Suburban Health ProvidersClaims InquiryCustomer Service750 Pasquinelli DrSTE 216 WestmontIL60559(708) 783-7100(708)

MG NPI: Medical Group Name Contact Type: Contact Name Contact Address 1: Contact Address 2 Contact City: St Zip: Contact Phone Ext: Contact Fax Email Address

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Transcription of Rev. 11-2018

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