Professional Provider Network Consultant Assignments (Revised February 2017)
Our Professional Provider Network Consultants (PNCs) serve as the liaison between Blue Cross and
Blue Shield of Illinois (BCBSIL) and our independently contracted professional provider community,
developing and maintaining cooperative working relationships with professional providers in our
network throughout Illinois and Northwest Indiana.
Professional PNCs are assigned by region and are available to meet with you on a routine basis
to educate your staff on BCBSIL procedures, help ensure provider contract compliance and work
with you to resolve any operational issues. The team also includes a designated Billing Services
Representative, who provides specialized training for all Billing Services in the Chicago Metro
area. With a thorough knowledge of the PPO product, your assigned PNC specializes in
investigating issues, producing data and developing solutions.
To find your Professional PNC, refer to this Illinois county map. PNCs for professional providers in
Cook and DuPage Counties (Codes 16 and 22) are assigned by either Chicago ZIP code or city, as
listed below.
If you need help identifying your assigned PNC, email [email protected] along
with your provider name, NPI, Tax ID city and county.
ILLINOIS TERRITORY BREAKDOWN
Aaron Nash – City: Lemont; Counties: 20, 32, 46, 47, 53, 57 and 99
Ana Hernandez – Cities: Bensenville, Clarendon Hills, Des Plaines, Elmhurst, Glencoe, Glenview,
Golf, Hinsdale, Inverness, Itasca, Kenilworth, Lincolnwood, Lombard, Morton Grove, Mt. Prospect,
Neenah, Niles, Northbrook, Northfield, Oak Brook, Oak Brook Terrace, Palatine, Prospect
Heights, Rolling Meadows, Rosemont, Skokie, South Barrington, Villa Park, Westmont,
Wheeling, Wilmette, Winnetka, Wood Dale
Andreea Hoover – Cities: Alsip, Bellwood, Berkeley, Berwyn, Blue Island, Bridgeview, Broadview,
Brookfield, Burbank, Chicago Ridge, Cicero, Elmwood Park, Evergreen Park, Forest Park, Franklin
Park, Harwood Heights, Hillside, Hines, Hometown, Indian Head Park, Justice, Knoxville, La Grange,
La Grange Park, La Grange Highlands, Lyons, Maywood, Melrose Park, Merrionette Park,
Norridge, North Riverside, Northlake, Oak Lawn, Oak Park, Park Ridge, River Forest, River Grove,
Riverside, Schiller Park, Stone Park, Summit Argo, Westchester, Western Springs
Cathy Dismuke – Cities: Addison, Bartlett, Bloomingdale, Hanover Park, Hillisburg, Medinah,
Roselle, Streamwood, Wayne; Counties: 4, 8, 19, 43, 45, 52, 71, 89 and 101
Gina Plescia – Cities: Arlington Heights, Elk Grove Village, Hoffman Estates, Schaumburg;
Counties; 6, 34, 36, 37, 49, 56, 66, 81, 94 and 98
J’ne Kanady - Counties: 1, 5, 9, 10, 11, 12, 15, 18, 21, 23, 27, 29, 38, 48, 50, 54, 55, 58, 62, 63,
65, 69, 70, 72, 74, 75, 78, 84, 85, 86, 87, 88, 90, 92 and 102
Karen Pospiech – City: Evanston ZIP Codes: 60608, 60609, 60613, 60615, 60617, 60618,
60619, 60620, 60621, 60623, 60624, 60625, 60626, 60627, 60628, 60629, 60630, 60631,
60632, 60633, 60634, 60635, 60636, 60637, 60638, 60639, 60640, 60641, 60643, 60644,
60645, 60646, 60647, 60648, 60649, 60650, 60651, 60652, 60653, 60655, 60656, 60657,
60658, 60659, 60660, 60666, 60668, 60669, 60670, 60673, 60674, 60675, 60676, 60677,
60678, 60680, 60681, 60686, 60689, 60690, 60693, 60694, 60695, 60696
Kathleen Barry – Cities: Aurora, Burr Ridge, Calumet City, Chicago Heights, Darien, Dolton,
Flossmoor, Ford Heights, Glen Ellyn, Glendale Heights, Glenwood, Homewood, Lansing, Lisle,
Lynwood, Matteson, Naperville, Olympia Fields, Park Forest, Richton Park, Riverdale, Sauk
Village, South Holland, Steger, Summit, Thornton, Warrenville, Willowbrook, Woodridge;
Northwest Indiana
Michelle Brownfield-Nance – Cities: Calumet Park, Carol Stream, Country Club Hills,
Countryside, Crestwood, Downers Grove, Harvey, Hazel Crest, Hickory Hills, Homer Glen,
Markham, Midlothian, Oak Forest, Orland Hills, Orland Park, Palos Heights, Palos Hills, Palos
Park, Posen, Robbins, Tinley Park, West Chicago, Wheaton, Willow Springs, Winfield, Worth
Paul Meyer – ZIP Codes: 60601, 60602, 60603, 60604, 60605, 60606, 60607, 60610, 60611,
60612, 60614, 60616, 60622, 60642, 60654, 60661
Code
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
County
Adams
Alexander
Bond
Boone
Brown
Bureau
Calhoun
Carroll
Cass
Champaign
Christian
Clark
Clay
Clinton
Coles
Cook
Crawford
Cumberland
DeKalb
Dewitt
Douglas
DuPage
Edgar
Edwards
Effingham
Fayette
Ford
Franklin
Fulton
Gallatin
Greene
Grundy
Hamilton
Hancock
Hardin
Henderson
Henry
Iroquois
Jackson
Jasper
Jefferson
Jersey
Jo Daviess
43
43
81
81
94
94
48
48
34
55
52
52
66
99
77
31
31
60
60
Andreea Hoover – 312-653-5058
[email protected]
@bcbsil.com
Cathy Dismuke – 312-653-2388
[email protected]
l.com
Gina Plescia – 312-653-4733
2-653-4733
[email protected]
bsil.com
J’ne Kanady – 217-698-5125
j'[email protected]
Karen Pospiech – 312-653-1088
[email protected]
Kathleen Barry – 312-653-4247*
[email protected]
bcbsil.com
82
82
67
67
79
79
27
27
74
74
70
70
87
87
68
68
95
95
13
13
61
61
39
39
91
91
22 77
77
33
33
28
28
23
23
15
15
12
12
40
40
80
80
17
17
51
51
93
24 93
24
County
Johnson
Kane
Kankakee
Kendall
Knox
LaSalle
Lake
Lawrence
Lee
Livingston
Logan
Macon
Macoupin
Madison
Marion
Marshall
Mason
Massac
McDonough
McHenry
McLean
Menard
Mercer
Monroe
Montgomery
Morgan
Moultrie
Ogle
Peoria
Perry
Piatt
Pike
Pope
Pulaski
Putnam
Randolph
Richland
Rock Island
Saline
Sangamon
Schuyler
Scott
Shelby
St Clair
Stark
Stephenson
Tazewell
Union
Vermilion
Wabash
Warren
Washington
Wayne
White
Whiteside
Will
Williamson
Winnebago
Woodford
97
97
83
83 30
30
100
100
44
44
76
76
35
35
64
64
Michelle Brownfield-Nance
eld-Nance – 312-653-4727
[email protected]
[email protected]
Paul Meyer – 312-653-3123
-653-3123
[email protected]
Teresa Trumbley – 618-998-2528
[email protected]
Teresa Trumbley - Counties: 2, 3, 7, 13, 14, 17, 24, 25, 26, 28, 30, 31, 33, 35, 39, 40, 41, 42,
44, 51, 59, 60, 61, 64, 67, 68, 73, 76, 77, 79, 80, 82, 83, 91, 93, 95, 96, 97 and 100
If you are an ancillary provider (DME, home infusion therapy, skilled nursing facility,
home health, hospice, orthotics/prosthetics, dialysis, private duty nursing), you can
contact your PNC at [email protected].
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
21
21
96
96
41
41
73
73
92
92
10
10
18
18
25
25
26
26
14
14
46
46
38
38
20
20
11
11
16
16
99
99
53
53
58
58
33
22
22
32
32
57
57
84
84
42
42
45
45
50
50
90
90
65
65
49
47
47
102
102
54
54
49
56
56
19
19
62
62
72
72
59
59
Ana Hernandez – 312-653-6488
[email protected]
bsil.com
44
78
78
88
88
69
86 69
86
75
75
Aaron Nash – 312-653-3274
2-653-3274
[email protected]
sil.com
98
98
63
63
85
85
1
71
71
29
29
55
55
101
101
88
37
37
66
66
36
36
89
89
Code
44
45
46
47
48
50
49
51
52
53
54
58
59
60
61
62
63
64
55
56
57
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
83
84
85
86
87
82
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
Key:
Cook County (16) and DuPage
County (22) are split between
Aaron, Ana, Andreea, Cathy,
Gina, Karen, Kathleen, Michelle
and Paul.
*N W Indiana is assigned
to Kathleen.
02957.0217